Table 2.

Comparisons of culture index top and bottom quartile performers and national ranking performance on employee engagement survey domains

HealthStream Employee Engagement Survey	Top quartile, n = 30,817a	Bottom quartile, n = 44,855a	Difference in national ranking	Cronbach’s alpha reliability	Significance testing
Your immediate supervisor	73	14	59	0.945	t = 48.12, p < 0.01b
Pay and benefits	79	10	69	0.764	t = 80.75, p < 0.01b
Hiring, promotion, and opportunity	83	7	76	0.903	t = 98.71, p < 0.01b
Upper management	83	5	78	0.956	t = 105.30, p < 0.01b
Quality and competence	86	5	81	0.851	t = 86.66, p < 0.01b
Job engagement	78	12	66	0.895	t = 46.12, p < 0.01b
Organizational engagement	89	6	83	0.923	t = 96.60, p < 0.01b
Outcomes	88	4	84	0.931	t = 113.94, p < 0.01b

Notes:

^an = number of employees in the HealthStream Employee Engagement Survey database responding from hospitals in the top and bottom quartiles of the culture index.

^bDifferences are statistically significant at the level noted.