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Trust Index Drives 25% Drop in Turnover, 13% Hiring Growth, and 1,800+ Promotions at HMH

After COVID-19, Hackensack Meridian Health (HMH) faced a deep dip in the employee experience. But HMH struggled to make sense of employee survey data. How could HMH turn data overload into action?

Trust Index Drives 25% Drop in Turnover, 13% Hiring Growth, and 1,800+ Promotions at HMH

Meet Hackensack Meridian Health

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Hackensack Meridian Health is a not-for-profit health care organization based in New Jersey. Its expansive health care network includes 18 hospitals and hundreds of patient care locations, including surgery centers, home health services, and rehabilitation centers.

With a leadership philosophy called “the Committed Coach,” HMH is focused on developing leaders who can build strong teams and, in turn, achieve strong results. The company has identified “5 Cs” as its core beliefs: creative, courageous, compassionate, collaborative, and connected.

HMH has been Great Place To Work® Certified™ for 10 years and joined the Fortune 100 Best Companies to Work For® in 2025, with 85% of its 32,000+ employees saying it’s a great place to work. HMH was also named to the Fortune 100 Best Workplaces for Women™ and the Fortune 100 Best Workplaces in Health Care™ in 2024, as well as the Fortune Best Workplaces in New York™ 2025.

Key Outcomes 

25% drop in employee turnover

By zeroing in on specific, controllable data from the Trust Index™, HMH was able to reduce its voluntary turnover rate by 25% over two years.

13% more external hires

HMH has seen a 13% increase in external hirings, enabling the company to grow its workforce rather than just backfill positions.

Next-level talent development

With strong investments in leadership development, HMH has promoted more than 1,800 team members internally within the organization.

A data-driven brand story that resonates

By using open-ended statements and other data from the Trust Index, HMH was able to craft a clear, employee-led brand story.

“The data and guidance from Great Place To Work have helped us build strong, effective strategies. But we always wrap them in love — because even the best strategies fall flat if team members don’t feel they’re delivered with care.”

Tria Deibert, senior vice president, culture and team member wellbeing, Hackensack Meridian Health

Why HMH partners with Great Place To Work

The health care industry is a challenging one. Long hours, high emotions, and hazardous conditions can quickly lead to burnout if employees don’t feel they’re physically and psychologically safe.

Like at many workplaces, the culture team at HMH initially assumed that the responsibility of employee engagement fell solely on their shoulders. However, once they began digging into their Trust Index data, they quickly realized that culture is a collective effort, with clear parallels between high engagement and leaders’ actions.

“What we saw really spoke to the fact that engagement is built leader by leader, team by team,” says Tria Deibert, SVP of culture and team member well-being at HMH.

That data is now the basis of their “Standard Work that Works” model, a four-point framework for leaders to ensure a positive employee experience.

Challenge

Finding focus and setting clear goals  

One of the problems with measuring employee engagement is that it’s impacted by many factors — and not all of them are in a manager’s control. Home life, personal health, and wider business issues can all impact an employee’s experience and are beyond their manager’s influence.

This posed a challenge for people managers at HMH, who had outcome-focused goals around engagement. For example, one of the survey statements, “People here quickly adapt to changes needed for our organization’s success,” is something that’s difficult for HMH’s leaders to have an impact on.

Not only that, but large data sets can be overwhelming. HMH’s leaders were stuck, struggling to align a large amount of data, some of which they couldn’t control, with a complex outcome as their goal.

“As the saying goes, when you focus on everything, you focus on nothing,” says Mary Baszkowski, director of culture and team member experience at Hackensack Meridian Health.

Solution

Correlational analysis between Trust Index scores and business success  

HMH realized that leaders need clarity to effectively nurture engagement. HMH developed an engagement model, providing a clear path for leaders to support their employees with clear and actionable insights.

To achieve this, the company created a custom focus area in their Trust Index Survey, looking at four factors that are within leaders’ sphere of influence: communication, involvement, celebration, and checking in.

Statements included a mix of customized and pre-set options, such as:

  • “My team consistently meets for Team Huddle at our agreed-upon time.”
  • “My direct manager involves people in decisions that affect their job or work environment.”
  • “Everyone has an opportunity to get special recognition.”

HMH found that employees who responded positively to all of the above statements were up to six times more likely to say HMH was a great place to work. In fact, among teams where the majority of members answered “almost always true” or “often true” to those statements, 97% said HMH was a great place to work.

In contrast, teams with mostly negative responses to those same statements — such as “sometimes true” or “untrue”— had Great Place To Work scores in the mid-teens.

The data was clear: If HMH wanted to improve company culture, they needed to start with what was in leaders’ direct control. This realization formed the basis of HMH’s “Standard Work that Works,” a culture model that aligns leadership goals with those statements.

This gave leaders clearer direction and made employee engagement a more tangible goal.

“Once we made the shift from focusing on the outcome to the actions, that was key,” says Tria.

HMH CS 01

HMH CS 02

Outcome

Better recruitment and retention, and data that tells a story 

Over two years, HMH was able to drastically reduce its voluntary turnover rate, dropping it to less than 10%. Not only that, but the company has had a 13% increase in external starts and internally promoted more than 1,800 team members.

For an industry known for high burnout and turnover, these numbers were a clear indicator that their approach was the right one.

In the surveys, HMH was able to see a clear correlation between their grouped Standard Work that Works statements and their overall Trust Index statement of “This is a great place to work”:

  • In 2021, 73% of responses to HMH’s Standard Work that Works focus area statements were positive, closely mirroring the 70% of positive responses to “This is a great place to work.”
  • In 2024, positive responses to HMH’s Standard Work that Works focus area statements climbed to 84%, and positive responses to their “This is a great place to work” statement reached 85%.

“These position trends are not accidental,” says Mary. “They’re really a direct result of our data-driven strategy aligned with our brand values, including investments like leadership development.”

HMH CS 03 

The clearer data also enabled HMH to use storytelling to get buy-in across the organization. They now had a visible cause and effect that related directly back to HMH’s mission to transform health care and be a leader of positive change.

HMH admits that it took a while to get it right. There were nine years of steady effort to finally land on the Fortune 100 Best Companies to Work For. But the numbers proved that the work was worth it.

HMH CS 04

“You can’t turn engagement on a dime. It’s a slow burn, and then when it cooks, it cooks. You feel it. That’s really what we experienced this last year. We had all the ingredients. We built this recipe.”

Tria Deibert, senior vice president, culture and team member well-being, Hackensack Meridian Health

How HMH created a brand story through data — and how you can, too

At the heart of HMH’s brand story is their team member value proposition (TMVP) — a spin on the usual employee value proposition, which is typically top-down: the employer saying why someone should want to work for them. Instead, HMH used employee feedback to create a TMVP.

“You have the most powerful tool at your fingertips: data. The comments in your team member surveys and feedback from meetings aren’t just metrics; they are a direct reflection of your brand story and culture,” says Mary.

She recommends looking at open-ended comments from your survey, your top-performing statements, and what your team members appreciate about your company.

You can also review recruiting metrics, exit interviews, and data around promotions and departmental turnover.

Then, craft your story with the data. What are the key themes from what you analyzed? Can you develop a narrative? If you’re not sure where to start, Mary recommends partnering with marketing colleagues and experimenting until you find what works best for your organization.

“Together, you can transform data into a compelling brand story that resonates with both team members and customers. Remember, authenticity is your north star. Let the genuine voices of your team members guide your narrative.”

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