Gratia Case Study — The Heart of Retention
Case Study

The Heart of Retention

How capturing 'invisible' work transformed employee sentiment

4.4×
higher retention among badge achievers
85%
of staff felt more appreciated & supported
Setting
ScionHealth Specialty Hospital Division
72Facilities
7,049Participants
RNs, LVNs, CNAs & MTsClinical job types enrolled

Acute Care & Specialty Hospitals across the ScionHealth network.

The Challenge
Post-pandemic breakdown of human infrastructure

ScionHealth needed a solution beyond traditional retention and staffing fixes — moving from reactive crisis management to a proactive ecosystem where professional recognition drives employee loyalty.

Gratia's approach
Multi-tiered badge system

Staff earn badges via a mobile-first SMS platform, creating a visible path for career achievement and dedication.

A "Badge of Honor"

Actions that were once viewed as transactional burdens, such as picking up an extra shift, helping a team member out, or spending extra time with a patient, were reframed as an accomplishment, rewarding positive engagements in real-time to be celebrated by all.

Celebrating the "Invisible"

This system provided a high-visibility stage for vital, everyday work that typically goes unnoticed in high-stress clinical environments.

Beyond the numbers: Identifying "Recognition Magnets"
Clinical Vigilance

By publicly acknowledging "Good catches" such as early detection of vital sign changes, turned clinical safety into a celebrated achievement and near-misses into system-wide learning opportunities.

Informal Leaders

The platform identified "Recognition Magnets" - caregivers receiving the most praise and served as the social glue holding for their units.

Breaking Silos

High-perorming facilities proved more unified, not just effecient. A high volume of cross-departmental praise — such as Billing recognizing Nursing — signals a cohesive, integrated approach to patient care.

"Gratia has helped us elevate something that already exists in strong teams: recognizing the everyday moments that often go unnoticed."
Ed Freysinger, CEOSt. Joseph Regional Medical Center
Conclusion

The Impact Program demonstrated that financial sustainability is intrinsically linked to employee happiness. ScionHealth went beyond budget issues to rebuild its hospital culture from the inside out. By replacing transactional agency staffing with a platform that rewards loyalty, clinical excellence, and peer support, ScionHealth has fostered an environment in which staff support for one another has resulted in high levels of satisfaction and retention. Quantifying the impact of informal leaders has proven that investing in core team members transforms them from budget line items into the hospital's most valuable competitive advantage.