How Two ‘Sister Hospitals’ Achieved a Zero Vacancy Rate in the Emergency Departments
The Mount Sinai Morningside (MSM) and Mount Sinai West (MSW) hospitals are sister hospitals in a seven hospital enterprise in New York City. As with many hospitals and emergency departments (EDs), staffing levels have been a significant concern since the COVID-19 pandemic. In 2021 the national registered nurse (RN) turnover rate was 27.1%. This rate remains elevated, despite a decrease on a national level to 18.4% in 2023.
A story of progress and stability.
In 2021, the MSM ED had a turnover rate of 27% and MSW ED a turnover rate of 21%. These rates have since trended down, ending 2024 at MSM ED with a 12% turnover rate and MSW ED 7.25%. Today, in 2025, both sites are boasting zero vacancies. This is credited to strategic planning, talent development commitment, and strong partnerships.
A different approach to utilizing travel RNs.
MSM and MSW strategically utilized travel RNs to bridge staffing gaps. However, instead of viewing them as temporary fixes, leadership integrated them into the department culture, ensuring collaboration with permanent staff. A certain percentage of travel nurses ultimately converted to full-time roles, drawn by MSM and MSW ED’s supportive environment and strong team cohesion.
To help strengthen workplace […]