Transforming Health Care with TSAM®

By Gen Guanci MEd, CAGS OD, RN, NPD-BC, CCRN-K, CEO

Why Choose Creative Health Care Insight (CHCI) for TSAM®? 

When health care organizations consider adopting a tiered skills approach, it’s easy to be overwhelmed by the number of platforms claiming to support it. But there’s only one place to find comprehensive support for educational consulting of the implementation of the original, evidence-informed Tiered Skill Acquisition Model (TSAM®): Creative Health Care Insight (CHCI). 

Exclusive Rights to TSAM® 

Unlike other companies that house TSAM®-inspired content, or make you pay extra for the actual TSAM® competencies, CHCI is the only authorized provider of educational consulting services for the implementation of the TSAM® framework. This means CHCI doesn’t just store content, it delivers the authentic model with the expertise required for successful implementation. That means: 

• Education – CHCI delivers the initial TSAM® education directly to health care organizations. 

• Consultation – CHCI provides the strategic guidance needed to implement and operationalize the model. 

• Cultural Alignment – Only CHCI offers support in orientation redesign, coaching, and tiered development grounded in authentic TSAM® methodology. 

Measurable Return on Investment (ROI) Across All Domains 

Implementing TSAM® through CHCI delivers quantifiable returns on investment—financial, operational, clinical, and cultural: 

Financial Impact 

• Orientation length decreases by 18%, reducing salary and training costs. 

• Preceptor/orientee pairs carry full patient assignments from Day 1, avoiding extra staffing. 

• Improved retention saves $40K–$80K per nurse in replacement costs. 

Operational Efficiency 

• Standardized, tiered skill progression reduces redundancy and saves time in both onboarding and annual competencies. 

• Preceptors report clearer pathways and reduced duplication. 

Clinical Excellence 

• Consistent skill application leads to safer patient care and reduced variation in practice. 

• Alignment with Magnet® and Pathway to Excellence® standards strengthens professional development infrastructure. 

Cultural Transformation 

• New hires gain confidence through clear progression tiers. 

• Preceptors feel more engaged and less burned out. 

• Organizations build a sustainable culture of accountability and growth. 

The CHCI Difference 

Choosing CHCI means choosing TSAM® fidelity, integrity, and outcomes. With CHCI’s exclusive consultation and implementation support, organizations can: 

• Reduce orientation costs and accelerate time to independent practice. 

• Improve patient outcomes with structured, evidence-based skill progression. 

• Strengthen workforce satisfaction and retention through transparent, empowering development. 

• Build a sustainable culture of excellence that aligns with national recognition pathways. 

When it comes to tiered skills acquisition, not all platforms are created equal. Only CHCI holds the exclusive partnership rights to provide the TSAM® implementation educational consulting required for measurable success. 

Health care leaders seeking a proven model for onboarding, competence, and retention should look no further. With CHCI, your organization gains not just a platform, but a partner in excellence. 

Ready to transform your workforce with TSAM®?