Anderson Peggy PhD; Pulich, Marcia PhDHealth Care Supervisor: June 1998 Original Article: PDF Only Buy Abstract Today's work environment requires improved employee performance levels in order to satisfy pressures for cost containment and efficient case management techniques. Effective use of performance appraisals can play a highly valuable role in accomplishing these requirements. Design and use of an active appraisal system is discussed in this article. © Williams & Wilkins 1998. All Rights Reserved.