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From Pencils to Progress: How Kryterion Helped TruMerit Expand Global Access and Modernize Certification

TruMerit, a global leader in healthcare credentialing, plays a vital role in ensuring nurses and other practitioners can work safely and effectively anywhere they’re needed. But by 2010, their paper-and-pencil exam model was slowing growth, limiting global reach, and making secure delivery increasingly difficult.

With a growing portfolio of high-stakes certifications—including the TruMerit Nurse Qualifying Exam, ISPN Program, and the new Certified Global Nurse - Rehabilitation credential—TruMerit needed more control, better security, and greater flexibility. Relying on a third-party vendor for all exam content restricted agility, delayed updates, and increased operational strain.

To fulfill their vision of global workforce mobility, TruMerit needed more than a test delivery vendor—they needed a true innovation partner.

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AT*SQA Redefines Certification


"The seamless experience Kryterion provides, both for our internal teams and for candidates, has been a game-changer in operational efficiency."


-Jacklyn Schacht, Head of Career Mobility and Credentialing, TruMerit

The Solution

A Secure, Scalable, Digital-First Future

Kryterion guided TruMerit through a seamless shift from paper to secure, computer-based testing. With both in-person and online proctoring, TruMerit could reach professionals in even the most remote locations. The move also brought exam development and management in-house—empowering the team to make real-time updates, run psychometric analyses, and set standards without dependency on a third party.

Key results included:

  • 40% global test site expansion—from 500 to nearly 700 locations
  • Enhanced candidate experience with faster score reporting and easier scheduling
  • Improved operational efficiency through intuitive exam management and reduced administrative burden
  • Strengthened test security with advanced fraud prevention protocols

The Impact

Today, TruMerit’s certification programs are more accessible, secure, and future-ready than ever. By expanding into underserved regions and modernizing operations, the organization can support more healthcare professionals on their path to service—wherever they’re needed most.

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