Healthcare Workforce Planning for 2027: 5 Key Steps

Group of healthcare executives meeting at facility, representing healthcare workforce planning

Healthcare workforce planning starts with a simple question: Will you have the right people, in the right places, when you need them?

Answering it is rarely simple.

Patient demand shifts. Turnover fluctuates. New services generate different talent needs. Some roles take months or years to build a sustainable pipeline for. And decisions about hiring, contingent labor, internal resources, and workforce development all create ripple effects on one another.

A strong healthcare workforce planning process helps you connect those variables, look beyond today’s vacancies, and make workforce decisions with a clearer view of what’s ahead.

What Is Healthcare Workforce Planning?

Healthcare workforce planning is the process of assessing your current workforce, forecasting future talent needs, identifying potential gaps, and developing strategies to address them.

But it goes beyond projecting headcount. Effective planning connects workforce demand to clinical priorities, financial goals, and talent availability, giving you more visibility and lead time to make decisions before a gap becomes urgent.

According to the American Hospital Association’s 2026 Costs of Caring report, workforce costs rose 5.6% in 2025. With that kind of pressure, planning ahead matters. A strong workforce plan can help you move beyond reacting to today’s challenges and start asking bigger questions:

  • Where is demand changing?
  • Which gaps are likely to persist?
  • Where do you need more flexibility?
  • Which workforce needs require action now?

Here’s a step-by-step framework to help answer them.

Step 1: Connect Workforce Planning to Organizational Priorities

Start with where your organization is going.

New facilities or expansions, financial goals or constraints, changes in patient demand, and other strategic priorities can all affect the people and skills you’ll need. Bringing those plans into the workforce conversation early gives your teams more time to prepare.

Consider what your organization expects to accomplish over the next one, three, and five years. Then ask what workforce you’ll need to make those plans possible.

That connection matters. A growth strategy isn’t complete if the talent needed to support it won’t be available when the doors open.

Step 2: Assess Your Current Workforce

Next, establish a clear view of the workforce you have today.

Look beyond headcount and vacancies to measures such as turnover, time-to-fill, overtime, contingent labor utilization, internal capacity, and anticipated retirements.

More importantly, look at these measures together:

  • Persistent vacancies combined with rising overtime and turnover may point to a structural capacity issue rather than a temporary shortage.
  • Predictable utilization spikes at the same times each year may indicate a need to build recurring flexibility into your plan.
  • Consistent long time-to-fill in the same specialties could signal that you need to begin recruiting earlier or expand the talent sources you’re using.

Individual metrics tell you what’s happening, but the patterns across them can help tell you why it matters and where to act.

Step 3: Forecast and Prioritize Future Workforce Needs

Once you understand where you are, look ahead.

Use patient volumes, seasonality, turnover, retirements, service-line growth, labor-market conditions, and other relevant data to estimate how your talent needs could change.

Plan for more than one future: Consider how different scenarios could affect your workforce. What happens if patient demand increases? Turnover rises? A planned expansion accelerates? A critical specialty becomes harder to recruit?

Then compare expected talent supply with projected demand and prioritize potential gaps based on four factors:

  • Urgency: How soon could the gap affect coverage?
  • Duration: Is the need temporary, recurring, or structural?
  • Talent availability: How difficult is the talent to find?
  • Operational impact: What happens if the gap persists?

A smaller gap in a hard-to-recruit specialty with a long lead time may require action sooner than a larger need you can address quickly. The goal is to identify not only where you may come up short, but where you need to start preparing now.

Group of executives sitting around a conference table, forecasting talent needs.

Step 4: Match Your Talent Strategy to the Need

Once you’ve prioritized the gaps, determine which talent strategy makes the most sense for each one.

A short-term census increase, recurring seasonal shortage, hard-to-fill specialty, and multiyear growth plan shouldn’t automatically lead to the same staffing response.

It can help to think across three planning horizons:

  • Now: How will you cover immediate and unexpected needs?
  • Next: What recurring or emerging gaps need a more sustainable solution?
  • Later: What talent pipelines need to be built now to support long-term needs?

From permanent recruitment and internal resources to contingent staffing and international talent pipelines, your talent mix should reflect the type of need you’re addressing, the talent available, and how much time you have to prepare.

Instead of asking only ‘How do we fill this opening?’ ask ‘What talent strategy makes the most sense for this need?‘

That’s the difference between filling today’s vacancies and building a healthcare staffing strategy that can support where you’re going.

Step 5: Turn Workforce Insights Into Action

Good workforce planning depends on more than having the right data. Technology can give you a clearer view of demand, vacancies, utilization, spend, talent supply, and workforce performance, helping you spot patterns and potential gaps earlier.

But visibility is only useful if it leads to action. Look at where challenges keep surfacing, where actual results differ from your forecasts, and where your strategy may need to adjust.

This is also where bringing workforce partners into the conversation earlier can help. When they understand your forecasts, recurring coverage challenges, growth plans, and longer-term talent needs, they can bring market perspective to the data and help you prepare for needs before they become urgent.

The strongest planning brings both together: the visibility technology provides and the experience to know what to do with it.

Five Questions to Take Into Your Next Healthcare Workforce Planning Conversation

A workforce plan becomes more valuable when it drives the right conversations across clinical, operational, financial, and HR leadership. As you look ahead, consider asking:

  • Which of today’s staffing challenges are likely to still exist 12 months from now?
  • Which workforce needs have the longest lead times, and are we acting early enough?
  • Where are we repeatedly using short-term solutions for long-term needs?
  • What assumptions about demand and talent availability are built into our plan?
  • What would need to change for us to adjust our talent strategy?

The answers can help separate the challenges that need attention today from the ones you need to start preparing for now.

At Medical Solutions, we help healthcare leaders turn workforce plans into action with the right mix of talent, technology, and expertise. Connect with our team to start planning for what’s ahead.

About the author

Tara Drosset is a healthcare staffing content specialist based in Northern Washington. She enjoys writing articles that dissect industry challenges and trends, inspire and uplift, and help healthcare leaders and clinicians navigate the forces shaping healthcare today.