Gratia Case Study — Care IQ
Case Study

Care IQ

The power of active reinforcement — turning clinical education into lasting habits

94.2%
of staff felt Care IQ positively impacted quality of care
71%
of staff felt care tips reinforced an action taken during patient care
The Challenge
Diminishing returns on traditional education

The "Forgetting Curve": Despite robust orientations, up to 80% of new information is often lost within weeks.

Lagging indicators: Quality scores revealed gaps weeks after they occurred, failing to prevent errors in real-time.

The Shift Gap: "Digital noise" from emails and newsletters created alert fatigue — especially for night and weekend shifts who lacked access leadership coaching.

Setting
ScionHealth Specialty Hospital Division
72Facilities
5,224Care IQ Users
RNs, LVNs, CNAs & MTsClinical job types enrolled

Acute Care & Specialty Hospitals across the ScionHealth network.

The Solution
Care IQ — a game-based clinical engagement experience

Care IQ boosts education, awareness, and recall of key evidence-based practices across critical care quality topics. Care tips surface in a team social feed. Staff compete in mini-challenges. "Mastery" badges are earned when topic modules are completed.

The strategy — active reinforcement in four pillars
From "Digital Noise" to "Brain Bursts"

Dense clinical guidelines become quick, engaging, interactive knowledge bursts — perfect for protocol review between shifts.

Gamified competition

Leaderboards and badges drove 25% engagement in the first month, turning individual recall into team-wide community.

Workflow integration

Accessible 24/7 via mobile and workstations — staff participate without disrupting patient care, including nights and weekends.

Real-time leader insights

Live visibility into education gaps enables proactive, data-driven coaching — replacing lagging quality scores with timely intelligence.

The impact — knowledge into habit
Key metric Result Impact
Direct quality impact 94.2% Staff who believe care tips directly improved care quality at their facility. In-workflow reinforcement delivered tips without adding burden- staff encountered guidance exactly when and where they needed it.
Behavioral reinforcement 71% Staff reporting that a care tip reinforced a specific action taken during patient care. Peer-driven engagement created consistent participation across teams, keeping care practices top of mind and translating knowledge into repeated bedside behavior.
Clinical mastery 41% Staff who earned a badge by completing all care modules. Real-time visibility gave leaders a clear picture of progress, enabling them to encourage completion proactively rather than relying on lagging indicators after the fact.
Clinical confidence 4.77/5 Mean knowledge score for hand hygiene protocols across clinical and non-clinical roles. In-workflow reinforcement ensured learning reached every role — not just clinical staff — without requiring separate training programs or manager-led instruction.
25%

Rapid EngagementGame structure — leaderboards, badges, and mini-challenges — drove 25% participation in month one, establishing Care IQ as a go-to part of the clinical routine rather than another inbox notification to ignore.

Conclusion

Care IQ demonstrated that the antidote to the "forgetting curve" isn't more information — it's better reinforcement. By transforming dense clinical guidelines into gamified, bite-sized interactions, ScionHealth replaced reactive quality monitoring with a proactive culture of continuous learning. The result: a workforce that doesn't just know best practices, but instinctively lives them.