The Case for Bid-Based Staffing
Hospitals are experimenting with a new staffing model
Nurse Leadership Dumpster Fire
Aug 13, 2026 · 35 min · 9 segments
Staffing a Unit with 17 pregnant nurses at the same time SHOULD be a nightmare! But Chief Nursing Officer, Lisa Gossett, RN, MSN, CENP has created a culture where frontline leaders have the…
Lisa GossettGuestCindyHostTaresaHostyeah Going back to the staffing model you were talking about, Thrasa sent me a little video about it actually this morning.
I didn't even hear about it.
But there is a facility on the East Coast that's getting a lot of publicity right now because they're planning to roll out a staffing model called BidCity.
staffing.
And the way that it sounds like it's modeled is that a nurse will sign up for a shift and it will be at a premium pay above their base rate.
And then other people can sign up for the same shift and bid like lower amounts going down.
So there's been a couple of different perspectives that I found.
One is like very sensational.
And they're basically saying that they're They're going to let people keep bidding until they get the lowest bidder.
And then they're going to take that nurse and say, oh, we're going to take the cheapest version.
I've also looked into like what the facility's perspective was.
And their perspective was that they were trying to entice people to sign up earlier and entice them to sign up for shifts that are undesirable.
It'll be interesting to see if they do actually go forward with it because I'm wondering if they'll pull back because they're getting so much negativity.
How's that actually going to work? And you said before we started recording that you've heard of those concepts and you have some opinions about them.
And I wonder, please tell us what your thoughts are about

What I like about them is that individual nurses are putting their own value on their time.

this so the individual this much so they're putting there's so the nurse is saying I'm willing to do it for this and other nurses might say I'm willing to do it for this and others for this but there are so many dynamics that go into staffing and We've talked about here is how sometimes we escalate our staffing, our vacancies or where there's where there's gaps in staffing is you start out offering here and then pretty soon you're offering here and then you're offering here.

Whereas if we could offer something higher sooner, we wouldn't go into the scrambling at the last minute to fill a need.

And so this concept, I think, could potentially allow us not to get into the firefighting mode as much and potentially put patients at risk.

It'll be really interesting to see how it plays out because there are so many dynamics involved.
yeah Going back to the staffing model you were talking about, Thrasa sent me a little video about it actually this morning.
I didn't even hear about it.
But there is a facility on the East Coast that's getting a lot of publicity right now because they're planning to roll out a staffing model called BidCity.
staffing.
And the way that it sounds like it's modeled is that a nurse will sign up for a shift and it will be at a premium pay above their base rate.
And then other people can sign up for the same shift and bid like lower amounts going down.
So there's been a couple of different perspectives that I found.
One is like very sensational.
And they're basically saying that they're They're going to let people keep bidding until they get the lowest bidder.
And then they're going to take that nurse and say, oh, we're going to take the cheapest version.
I've also looked into like what the facility's perspective was.
And their perspective was that they were trying to entice people to sign up earlier and entice them to sign up for shifts that are undesirable.
It'll be interesting to see if they do actually go forward with it because I'm wondering if they'll pull back because they're getting so much negativity.
How's that actually going to work? And you said before we started recording that you've heard of those concepts and you have some opinions about them.
And I wonder, please tell us what your thoughts are about

What I like about them is that individual nurses are putting their own value on their time.

this so the individual this much so they're putting there's so the nurse is saying I'm willing to do it for this and other nurses might say I'm willing to do it for this and others for this but there are so many dynamics that go into staffing and We've talked about here is how sometimes we escalate our staffing, our vacancies or where there's where there's gaps in staffing is you start out offering here and then pretty soon you're offering here and then you're offering here.

Whereas if we could offer something higher sooner, we wouldn't go into the scrambling at the last minute to fill a need.

And so this concept, I think, could potentially allow us not to get into the firefighting mode as much and potentially put patients at risk.

It'll be really interesting to see how it plays out because there are so many dynamics involved.
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The Case for Bid-Based Staffing
Hospitals are experimenting with a new staffing model
Find Your Leadership Purpose
Strong leaders begin by understanding themselves deeply
Nursing Is Potential-Building
Leadership development mirrors the patience of bedside care
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