Temporary, Temp-to-Perm, or Permanent Hire? Tips for More Cost-Effective Healthcare Hiring

Across the healthcare spectrum, from physicians and nurses to therapists, technicians, and other dedicated professionals, staffing plays a critical role in ensuring quality patient care. However, when it comes to staffing healthcare candidates, hiring managers and administrators face a constant challenge: optimizing staffing decisions for both cost-effectiveness and quality patient care. 

As a trusted healthcare staffing partner for over 20 years, we know the key to overcoming this challenge is through understanding more about the complexities of hiring. Having worked with thousands of clients and talent, we’re not only experts but have a few staffing tips to help empower you to build cost-conscious teams that consistently deliver exceptional patient care. 

Understanding Your Hiring Options

To begin, let’s distinguish between three hiring options:

  • Temporary Hires: Also known as contract or contingent hires, these professionals fill staffing gaps for a predetermined period of time or immediate needs within a facility. They provide flexibility during situations such as high patient volume surges, seasonal fluctuations, staff vacations, or maternity leave. 
  • Temp-to-Perm Hires: Also referred to as contract-to-hire, this hybrid model provides the advantages of temporary staffing with the possibility of converting the role into a permanent position. It allows for a ‘trial period’ where both the facility and the candidate can assess suitability before committing to a permanent role. The temporary period can last from a few weeks to several months depending on a multitude of factors.
  • Permanent Hires: Designed to fill long-term, ongoing needs within your facility, these roles require stability and continuity.  Permanent staff members often develop specialized knowledge specific to your facility and build strong relationships with colleagues and patients.

Cost Considerations: Beyond the Salary

Hiring the right person for the job isn’t just about filling a position – it’s about making sound financial decisions. Every new hire comes with a price tag, and understanding the true cost – both direct and indirect – is vital for financial stability. 

  • Direct Costs: These are straightforward expenses like salaries, wages, taxes, and benefits.
  • Indirect Costs: Often overlooked, these include recruitment, onboarding, advertising, and cost of turnover. Hiring the wrong candidate can result in lost productivity, wasted training expenses, and the need to repeat the entire process.

It’s important to consider the cost implications of each option throughout the entire employment lifecycle. While temporary staff can sometimes command a higher hourly rate, the overall cost can be lower due to the absence of benefits and minimal onboarding needs. Temp-to-perm offers a middle ground, allowing you to assess a potential permanent hire while incurring lower upfront costs. Conversely, permanent staff offer long-term value but carry the burden of ongoing salary, benefits, and potential training expenses. 

Benefits of Temporary Staffing

  • Reduced Long-Term Financial Commitment: Ideal for fluctuating needs, temporary staffing offers flexibility in terms of cost and commitment. This is particularly beneficial for new facilities or those experiencing unpredictable patient volumes. Temporary staffing allows you to scale your workforce up or down quickly without incurring the long-term financial obligations associated with permanent hires.
  • Quick Adaptation to Fluctuations: Respond swiftly to changes in patient volume or seasonal demands by acquiring specific skill sets for temporary projects.  For instance during flu season, you may need to bring in additional staff to manage a surge in patients. Temporary staffing agencies can help you secure qualified personnel quickly and efficiently to address these short-term fluctuations.
  • Speed of Hiring: Temporary staffing agencies often fill positions much faster than traditional hiring processes. This is because they have a pre-vetted pool of qualified candidates and can streamline the onboarding process. This is a significant advantage when you need to fill an immediate staffing gap to ensure continuity of care.
  • Specialized Skills: Focus on specific patient needs by engaging temporary personnel with niche skill sets for short-term situations. This allows you to access experts for specific projects without the commitment of a permanent hire.
  • Reduced Administrative Burden: Delegate recruitment and onboarding tasks to the staffing agency, freeing up your valuable time and resources for core operations.  Temporary staffing agencies handle everything from candidate screening and skills assessments to reference checks and payroll processing. This allows you to focus on your core competencies, such as patient care and facility management.

Benefits of Temp-to-Perm Staffing

  • Reduced Hiring Costs: Utilizing temp-to-perm hiring eliminates the initial recruitment costs associated with permanent hires, such as sourcing and screening candidates. This saves healthcare facilities significant time and resources, and allows focus to remain on core competencies and strategic initiatives. 
  • Extended Evaluation Period: The temporary phase allows for a more thorough evaluation of a candidate’s skills, work ethic, and cultural fit before committing to a permanent position. During this time, the candidate gains valuable hands-on experience within the specific role and healthcare environment. This extended evaluation period provides a strong foundation for making a confident decision about permanent placement.
  • Increased Flexibility: This model offers flexibility for both the facility and the candidates. It allows the facility to assess long-term needs while mitigating the risk of a poor permanent placement. For the candidate, it provides an opportunity to showcase their skills and work ethic, potentially leading to a permanent position with a familiar team and environment.  This flexibility can be particularly attractive to candidates seeking a trial period before committing to a long-term position.
  • Faster Hiring: Compared to traditional permanent hiring, temp-to-perm can expedite the process of acquiring skilled talent. By leveraging a pre-vetted pool of temporary candidates and streamlining the interview process, healthcare facilities can fill critical staffing gaps more quickly. This is especially beneficial in a competitive healthcare job market where top talent can be snapped up quickly.

Benefits of Permanent Hires

  • Institutional Knowledge: Permanent staff members gain invaluable experience and knowledge specific to your facility’s policies, procedures, and patient population. This institutional knowledge can translate into improved efficiency, reduced errors, and better continuity of care.
  • Stronger Team Cohesion and Morale: A stable team fosters a sense of community and belonging among staff members. This can lead to improved collaboration, communication, and overall morale within the workplace.
  • Consistency in Standards: Permanent staff members become familiar with your facility’s quality standards and protocols. This consistency ensures a high level of care delivery for all patients.

Best Practices for Cost-Effective Hiring

Determining the ideal staffing solution revolves around analyzing your facility’s specific needs. Carefully consider patient care demands, projected future workforce trends, and your overall budget before utilizing these three cost-effective hiring best practices:

  • Utilize Data: Analyze staffing metrics like turnover rates, overtime usage, and patient service needs to identify staffing gaps and areas for improvement.
  • Develop a Staffing Plan: Create a comprehensive plan outlining short-term and long-term staffing requirements based on data and projections.
  • Partner with a Trusted Recruitment Agency: A staffing partner is a valuable resource for navigating all your hiring needs, whether temporary, temp-to-perm, or permanent.

Partnering with Medix for Success

At Medix, we understand the complexities of hiring in the healthcare industry. We offer a comprehensive range of solutions, including temporary, temp-to-perm, and permanent hiring to cost-effectively support the unique needs of our clients. These solutions allow our clients to optimize their workforce under budget while continuing to deliver exceptional patient care.  

Contact us today to learn more!

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