Case Study

IRP

How One Hospital is Saving $1M in Costs While Reducing Staff Burnout

A Long Island hospital overhauled its staffing model by implementing a per diem Internal Resource Pool (IRP), achieving significant cost savings and improving staffing agility

$1M

Cost savings derived from filling shifts at lower rates than Overtime (OT) and Agency

$100,000

Saved in permanent placement costs (due to $0 conversion fees)

30%

Flexing potential (up and down) created using the resource pool

The Challenge

Facing Pressure on Multiple Fronts

A leading non-profit hospital in Long Island, NY, was under mounting pressure to maintain coverage without exceeding the budget or overburdening its staff

Excessive Overtime Costs

Labor costs were inflated due to the frequent use of overtime and potentially high agency rates

Clinician Fatigue & Burnout

Reliance on existing staff to cover shifts was causing clinician fatigue and burnout

Inefficient Scheduling

The hospital lacked a mobile scheduling solution, and was impacted by frequent unplanned call-outs

Our Solution

How Directshifts Responded

Having previously partnered with DirectShifts for COVID-era support, the hospital needed a long-term, cost-effective solution for better staffing agility. The intervention was the creation of an Internal Resource Pool (IRP) of fully credentialed, ready-to-work per diem clinicians.

Our Comprehensive Approach

DirectShifts implemented a multi-faceted strategy combining high-touch recruitment, quality assurance, and data-driven optimization to deliver consistent results.

Nationwide Network

Access to clinicians across all 50 states

Compliance Focus

Ensuring Medicaid/Medicare requirements

Dedicated Support

End-to-end partnership and guidance

Minimal

Admin Overhead

Full timesheet approvals were handled through the DirectShifts platform, streamlining administration

Budget-Friendly Staffing
  • Filled open shifts at staff RN rates, not overtime rates

  • Reduced overall labor costs by replacing expensive OT and agency spend

Flexible Scheduling and Technology
  • Clinicians used the DirectShifts app to instantly view, request, and schedule shifts

  • Streamlined administration and rapidly built a fully staffed internal float pool in weeks

Burnout Prevention & Rapid Response
  • Created a flexible pool to spread out the workload, improving Nurse-Patient ratios and reducing pressure on staff RNs

  • Used notifications and outreach to fill last-minute call-outs within hours

Impact & Results

Why It Worked?

With DirectShifts's tech and talent support, the hospital built a custom float pool and gained the ability to handle last-minute scheduling with a few clicks. The successful implementation provided significant cost relief and reduced the burden on permanent staff

Achieved $1M

in cost savings

Built a custom

internal float pool in weeks—not months

Created a 30%

flexing potential for staffing needs

About DirectShifts

The Virtual Care Staffing Platform Built for Scale

DirectShifts enables telehealth companies to expand nationwide coverage, onboard clinicians faster, and maintain compliance at scale — all through one integrated staffing and credentialing platform.

Beyond Traditional Staffing

We go beyond conventional staffing vendors to deliver a flexible, data-driven solution built for virtual care. Our platform connects you with pre-vetted, multi-state licensed clinicians and streamlines every step from sourcing to credentialing and scheduling.

Quality-First Approach

 Every clinician is pre-screened, licensed, and credentialed before presentation.

Data-Driven Results

 Real-time reporting and analytics optimize provider availability and performance.

End-to-End Partnership

We handle sourcing, credentialing, and onboarding — so you can focus on care delivery.

Compliance First

 Full CAQH/NPI verification and Medicaid/Medicare compliance support

Speed & Scale

Deploy clinicians across all 50 states with consistent quality

Expert Support

Recruiting teams experienced in telehealth operations and remote-care workflows

Nationwide Network

Access to thousands of licensed clinicians ready for virtual assignments

Trusted by Healthcare Leaders Nationwide

500+

Healthcare Partners

50K+

Clinicians Placed

98%

Client Satisfaction

About DirectShifts

The Healthcare Staffing Platform Built for Scale

DirectShifts helps hospitals, health systems, and care centers strengthen their clinical workforce — improving coverage, reducing staffing gaps, and simplifying credentialing through a tech-enabled, partnership-driven model.

Beyond Traditional Staffing

We’re not a traditional agency — we combine technology and service to help healthcare organizations fill permanent and contract roles quickly and efficiently. Our platform is designed to meet the staffing, compliance, and credentialing needs of complex care environments.

Quality-First Approach

All clinicians are fully screened, licensed, and credentialed before placement.

Data-Driven Results

Actionable analytics on sourcing, time-to-fill, and workforce utilization.

End-to-End Partnership

From recruiting to onboarding, DirectShifts manages the full staffing lifecycle.

Compliance First

Robust verification and documentation for all payer and state requirements

Speed & Scale

Rapid placement of qualified clinicians to reduce coverage gaps

Expert Support

Dedicated recruiters with deep hospital and ambulatory staffing expertise

Nationwide Network

A broad pipeline of RNs, advanced practitioners, and physicians across specialties

Trusted by Healthcare Leaders Nationwide

500+

Healthcare Partners

50K+

Clinicians Placed

98%

Client Satisfaction

Schedule Your Demo

See How Quickly You Can Expand Your Clinician Network

Get a personalized demo showing exactly how DirectShifts can solve your specific hiring challenges and scale your clinician workforce faster.

$1M

Cost savings derived from filling shifts at lower rates than Overtime (OT) and Agency

Pre-Vetted Talent

Access quality, licensed clinicians

Nationwide Reach

Scale across all 50 states

Compliance Assured

CAQH/NPI verified candidates

Limited Time Offer

Schedule your demo this month and receive a complimentary workforce analysis showing potential hiring improvements for your organization.