The key elements of performance evaluation under ISO 9001:2015 include monitoring and measuring processes, assessing customer satisfaction, conducting internal audits, and ongoing management reviews of the Quality Management System (QMS). These elements are crucial for determining the performance and effectiveness of the QMS.

To incorporate the findings into management reviews for continual improvement, organizations should:

1. Evaluate the performance and effectiveness of the QMS by analyzing the extent to which quality objectives have been met.
2. Use evidence from monitoring and measuring processes to make informed decisions.
3. Identify areas for improvement based on the analysis of performance data, customer feedback, and audit results.
4. Develop action plans to address identified non-conformities and opportunities for improvement.
5. Foster a culture of continual improvement by integrating these activities into the organization's operational practices and strategic goals.

Management reviews should focus on strategic and performance questions, compliance and audit findings, continual improvement initiatives, and employee engagement to ensure the QMS is effective and aligned with the organization's objectives.