Resource Guide

Staffing Model Comparison Guide

A comprehensive comparison of healthcare staffing models to help facility decision-makers choose the right approach for their clinical workforce needs.

Contract Staffing vs. Permanent Placement vs. Internal PRN

FeatureContract StaffingPermanent PlacementInternal PRN
Time to Fill1-2 weeks4-8 weeksImmediate (if available)
Duration4-26 weeksPermanentShift-by-shift
Cost StructureHigher hourly, no benefitsLower hourly, full benefitsHigher hourly, minimal benefits
FlexibilityHigh - adjustable assignmentsLow - long-term commitmentVery High - on-demand
Quality ControlAgency-verified credentialsDirect facility controlKnown staff
Best ForCoverage gaps, seasonal needsBuilding core teamShort-term fluctuations

Detailed Model Breakdown

Contract Staffing

Pros:

  • Rapid deployment to address urgent staffing needs
  • Access to specialized clinical expertise
  • No long-term commitment or benefits overhead

Cons:

  • Higher hourly rates than permanent staff
  • Learning curve for facility-specific protocols

Permanent Placement

Pros:

  • Long-term stability and team cohesion
  • Lower long-term costs
  • Direct control over onboarding and development

Cons:

  • Longer recruitment timelines
  • Higher benefits and overhead costs

Internal PRN

Pros:

  • Familiar with facility protocols and culture
  • Immediate availability (if scheduled)

Cons:

  • Limited pool size and availability
  • Unpredictable coverage for larger gaps

Need Help Choosing the Right Model?

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