University Health System redesigned their onboarding program to address a 40 percent increase in hiring as the result of a product line expansion. The new orientation—called The Journey Begins Now—was designed by a cross-functional team and uses gamification and emphasizes connection over compliance. Thanks to the new orientation system, employee engagement and efficiency both increased, with 9 out of ten new hires coming away from the training engaged and knowledgeable. The average retention score for 90-day employees is now 91 percent.