Mercy

Mercy, a 40+ hospital system, faced a pre-existing nursing shortage worsened by the pandemic, leading to over-reliance on costly overtime, agency staff, and incentive spend. Existing procurement processes required ongoing manual interventions that heavily burdened front-line managers. Travel nurses had grown to represent 25% of their workforce, driving unsustainable labor costs.

Mercy partnered with Trusted Health to deploy the Works platform, implementing Works Flex for streamlined long-term agency procurement and Works OnDemand for autonomous open shift recruitment. An AI-powered dynamic pricing algorithm identifies optimal incentive levels to balance fill rate and spend. A labor mix optimization engine automatically matches open shifts with best-fit nurses across core staff, float pools, and gig workers across the entire 44-hospital system.

Over three years, Mercy saved more than $70 million in premium labor spend and achieved a 62% reduction in system-wide agency spend and a 60% reduction in traveler utilization. Over 1,000,000 shifts have been filled across the system. RN turnover dropped 8% and staffing office scheduling time was reduced by 20%, while fill rates improved to 8% above goals.

• AI-powered dynamic incentive pricing can simultaneously improve fill rates and reduce incentive overspend by recruiting selectively rather than broadcasting maximum rates broadly.
• Unifying all workforce layers (core, float, gig, agency) into a single platform enables labor mix optimization that reduces reliance on the most expensive staffing sources.
• Automating multi-step procurement and scheduling workflows eliminates administrative burden on nurse managers and creates end-to-end analytics visibility for supplier performance management.