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eDocTalk article

Best strategy in times of uncertainty: Have a plan

July 2017

Legacy leaders recently got advice from Trent Green, Legacy’s chief strategy officer, when he said, “Our key strategy in times of uncertainty? Have a plan.” For Legacy providers, that means Legacy will continue to focus on our strategic plan, making adjustments as needed, and riding the current period of uncertainty with our strong financial foundation and track record.

Today’s uncertain environment doesn’t mean we ignore reality or throw up our hands. It means we continue to focus on the major initiatives that, irrespective of the uncertainty we face, will strategically position the organization and our providers for the future.

This approach was recently affirmed by Legacy’s Board of Directors. According to Jeffrey Fullman, M.D., board chair, “Legacy is on the right path for a successful future. Legacy’s Board of Directors and management team are in agreement about this organization’s direction, even during this period of transition while we search for a new president and CEO, as well as a chief financial officer.”

Below is an overview of our strategic plan and examples of the “no regrets” moves we are pursuing for our continued success.

Strategic growth

Legacy Health has experienced tremendous growth with the addition of Silverton Health and PacificSource Health Plans. Future growth strategies are focused on Washington County, regional relationships and filling gaps in the continuum of care:

  • Legacy recently welcomed Westside Internal Medicine into Legacy Medical Group.
  • Legacy–GoHealth continues to expand with two additional locations scheduled to open in the next six months.
  • Legacy Health, OHSU and The Vancouver Clinic have launched the SW Washington Cancer Collaborative to care for oncology patients in SW Washington.
  • Legacy Epic for Affiliated Providers (LEAP) continues to expand — Albertina Kerr is a new Epic provider and Legacy is in LEAP discussions with several large health care providers.
  • Legacy has created a joint venture (Legacy Imaging Ventures) with Legacy-affiliated radiologists to develop additional access points in the Portland area.
  • Legacy is actively developing post-acute relationships to fill the continuum of care.

Care transformation

Legacy continues to optimize investments in Legacy Health Partners and Population Health. The Pacific Source-Legacy Health partnership will be launching commercial and Medicare Advantage products in the Portland market. SW Washington remains a key opportunity for PacificSource expansion in upcoming years.

Performance excellence

Improving quality and efficiency are another key part of Legacy’s strategy. Foundational pieces such as Daily Patient Safety huddles, unit Key Performance Indicators (KPI) boards, and utilization of Just Culture response to errors are in place system-wide. Performance tracking for quality, patient experience and financial performance is routine. Sharing and adapting learnings across the system is the next iteration of Legacy’s Performance Excellence work. Legacy is also focused on identifying opportunities for standardization and developing a central, formal process for overall innovation scanning.

Stages of development key to our strategy for the future

Legacy’s strategic initiatives are in different stages of development. This is a sign of a healthy and growing organization.

Many of Legacy’s strategic initiatives are in the investment, ready for take-off and fast growth phases. We believe these are the right initiatives to position us for long-term sustainability and strength. Legacy Health will continue to focus on the strategic plan and key investments — making adjustments as needed — while riding the current period of uncertainty.

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