Performance Management System (PMS) Implementation for an Ayurvedic Healthcare Organization

EXECUTIVE SUMMARY

A well-established Ayurvedic healthcare organization operating with clinical, pharmacy, administrative, and support teams faced challenges in evaluating employee performance due to the absence of a structured Performance Management System (PMS). Reviews were subjective, inconsistent, and lacked measurable indicators, resulting in unclear expectations and limited managerial accountability.

Paresha HR Services conducted a comprehensive study of the organization’s structure, functional requirements, and performance gaps. We developed and implemented a customized PMS framework featuring organizational OKRs, departmental KRAs, role-based KPIs, structured review cycles, and manager/employee enablement programs. This ensured alignment, transparency, and measurable performance across all departments.

KEY CHALLENGES

Before PMS Implementation

  • No formal Performance Management System
  • Absence of organizational and departmental OKRs
  • Undefined KRAs and KPIs across clinical and non-clinical roles
  • Limited awareness on performance expectations
  • Subjective and inconsistent performance reviews

PARESHA’S PMS SOLUTION

1. Organizational OKRs

  • Created clear organization-wide Objectives and Key Results
  • Linked OKRs to patient care, pharmacy efficiency, service quality, and operational excellence
  • Ensured day-to-day performance aligned with the organization’s strategic vision

2. Departmental KRAs & Role-Based KPIs

KRAs and KPIs were developed for:

  • Clinical & Therapy Functions
  • Pharmacy Operations
  • Administration
  • Support & Operations

Each role received measurable, relevant, and objective performance parameters.

3. Manager & Employee Induction

  • Conducted structured PMS induction workshops
  • Trained teams on KRAs, KPIs, OKRs, and review processes
  • Enabled employees to understand expectations and self-track performance

4. Performance Tracking & Review Mechanism

  • Implemented performance tracking formats
  • Facilitated periodic reviews and feedback cycles
  • Supported managers during the initial review periods to ensure adherence

5. Stabilization & Knowledge Transfer

  • Provided hands-on support during rollout
  • Ensured HR and managers were fully equipped to manage PMS independently
  • Established a sustainable performance monitoring system

RESULTS & BUSINESS IMPACT

  • Clear alignment between organizational objectives and individual roles
  • Objective and transparent evaluations replacing subjective judgments
  • Improved managerial capability in conducting structured performance reviews
  • Higher employee clarity and accountability across departments
  • Consistent performance tracking enabling informed decisions on increments and development needs

“Implementing the PMS with Paresha has been a turning point for us. Their team not only designed KRAs and OKRs tailored to healthcare operations but also trained our managers to adopt the system confidently. Performance reviews are now consistent, data-driven, and aligned with our organizational goals.”


— Chief Executive Officer

VALUE DELIVERED BY PARESHA

Paresha HR Services transformed the organization’s informal performance evaluation approach into a structured, measurable, and sustainable Performance Management System. This enabled leadership to make data-driven decisions while preserving the values and care-focused ethos of Ayurvedic healthcare.

The implemented PMS now serves as a long-term foundation for professional growth, operational efficiency, and organizational development.