Strategies to Ensure Adequate Staffing and Self-Reliance in Times of Uncertainty

UCLA Health developed a system-wide in-house float team to meet organizational demands and strategic expansion, merging all facility float teams to create the nursing system float team (NSFT). The NSFT is designed as a centralized functional organizational structure that allows for systematic processes. In addition, the structure is designed to enable expansion into other areas with appropriate managerial oversight. As a result, contract labor dependence decreased by 45%, and self-reliance increased by 41%, providing a favorable operating margin. This article serves as a guide for external organizations to collaborate in developing a systematic approach for redeveloping staffing models.