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How One Hospital Cut Nurse Turnover 40 Percent With One Schedule Change
Episode 109 of The Operator's Manual dives into the overlooked driver of nursing shortages: self-scheduling burnout. Lucas and Luna examine the specific fix that a 250-bed community hospital in Ohio implemented in 2025—moving from a first-come-first-served self-scheduling system to a seniority-weighted preference model with a 60-day lookahead. The result: voluntary turnover dropped from 28 percent to 17 percent in under eight months, saving the hospital an estimated $2.1 million in recruitment and temp-staffing costs. The episode unpacks the behavioral economics behind the fix—why…
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