Gratia Case Study — Care IQ
Case Study

Care IQ: The Power of Active Reinforcement

94.2%
reported Care IQ impacted quality of care at their facility
71%
reported care tips reinforced an action taken during patient care
The Challenge
The "forgetting curve"

Despite ScionHealth's strong commitment to safety, traditional training approaches were delivering diminishing returns. Although staff received comprehensive training, the "forgetting curve" meant that up to 80% of new information was lost within weeks without active recall reinforcement. Furthermore, quality scores were lagging indicators; staff struggled to connect daily actions to broader quality outcomes.

Setting
ScionHealth Specialty Hospitals
72Hospitals
5,224Care IQ Users
RNs, LPNs & Nurse Assistants, Techs, EVS, RT, DietaryPrimary staff engaged

A national leader managing medically complex patients across specialty and community settings.

The Strategy: Care IQ
High-Frequency Reinforcement

Care IQ was implemented as a high-frequency reinforcement layer designed to protect the hospital’s most critical evidence-based protocols. Clinical guidelines were translated into quick "Brain Bursts" to keep vital, high-stakes protocols top of mind during active patient care.

Workflow Integration

Care IQ was accessible via mobile devices and workstations, which allowed staff to participate without disrupting patient care. This on-demand access is a critical lifeline for night and weekend staff.

Gamified Engagement

By introducing a reward-based structure, the Care IQ game achieved a 25% engagement rate in its first month. The "Brain Burst" format effectively cut through digital fatigue, leading 991 employees to participate and 41% of those to earn their proficiency badge.

Measuring the Impact
Rapid & Consistent Adoption

Within the first month, 25% of eligible employees engaged with the Care IQ game, and 41% (411 employees) completed the full series to earn their badge.

Clinical Competency

Feedback from staff highlighted the games effectiveness. Staff shifted from theoretical knowledge to rapid-fire recognition, with 85% of respondents agreeing that the game improved their ability to recognize best practices during their shift.

Quality & Confidence

Surveyed staff reported a high confidence level of 4.77/5 regarding protocol knowledge, and 94.2% believed the care tips delivered in the game directly impacted the quality of patient care at their facility.

"Mitigating infection risk highly depends on making evidence-based practices a daily, interactive habit."
Nurse Manager, Scionhealth
Conclusion

Bite-sized, accessible clinical education successfully counters the "forgetting curve" that undermines traditional training. By empowering frontline staff with rapid-fire recognition and high confidence, ScionHealth transformed a longstanding "blind spot" into a measurable pillar of patient safety. Ultimately, this "bottom-up" engagement model offers a scalable blueprint for healthcare organizations seeking to connect individual daily actions to broader institutional goals.