What makes a community?

As a community-owned health system, this is a question we ask ourselves often. Portland-Vancouver is the place we call home. How do we help it…grow? go? give back? More importantly, how can we help those within this community create their own legacy of good health?

See an overview of Legacy's contributions to the community.

  1. Grow

    Community Report grow

    What makes a community grow?

    Healthy kids 

    That's why we have built a new home for Randall Children's Hospital at Legacy Emanuel.

    Hey wait, didn't you already have a children's hospital?
    Yes, Randall Children's Hospital at Legacy Emanuel sees about 100,000 kids a year. It's a great hospital, but we simply needed more room.

    Why didn't you just expand?
    We didn't have anywhere else to go. Plus, today's medical technology has outgrown the old building. While the doctors and nurses provide great care, our old building was built in the 1970s. We needed a new space to give the kids the level of care they deserve.

    How big is it?
    Our new building is four times the size of our old hospital, nine stories in all.

    So what's this hospital like?
    It's a beauty. Everything is set up to make the care better for children and their families — large, private rooms with large windows and views, plus family lounges, playrooms, a classroom and even a theater. It's flooded with natural light and features a terrace garden, which promotes healing.

    When did it open?

    February 2012

    Read more about our new home for Randall Children's Hospital


    Community Report grow quote


    Good Health

    We have taken a complete approach to the issue of preventable medical mistakes. The result: We have had fewer deaths and infections in our hospitals.

    What's the issue?
    Many hospitals don't like to admit it, but preventable medical errors in hospitals are a significant cause of death in the U.S.

    You tried to get rid of mistakes?
    To err is human. What we did was to try to eliminate “preventable harm” and “needless death.” Focusing on practices that are proven to reduce patient deaths and infections during hospital stays.

    What did you do?
    We decided to say, “Let's talk about it. Let's face it. And let's fix it.” We made a plan across our six hospitals to involve everyone in following best practices. We announced specific goals, we followed lists of proven safety measures and we had teams of caregivers, instead of one doctor, check patients each day.

    What happened?
    The bottom line is that we prevented an estimated 300 deaths and 950 infections, saving some $20 million in three years from the costs of treating health care-associated infections.

    What does that mean?
    In the words of The Oregonian, which ran a front-page article and then an editorial about our success, “… that translates to Grandma coming home, Dad getting back to work faster, Mom having a less complicated childbirth … .” Well said.

    Quality
    Read more about our commitment to quality and patient safety.


     

    Community Report quote 2


    Great ideas

    We're changing the way we deliver medicine.

    Does that mean more equipment and more tests?
    We certainly have some amazing medical technology. However, we've made great strides in other ways, too.

    Such as?
    One way we are changing the way medicine is delivered is called the “health home” or “medical home.”

    What is a health home?
    The essence of the health home idea is that we have a primary care doctor leading a team of people who look after all aspects of your health. All our primary care clinics are moving in that direction.

    How is that different?
    For one thing, instead of focusing on treating you when you're sick, we are helping you maintain your health.

    What about changes in electronic communication?
    In fact, one of the biggest things we have done is install across our system an “electronic health record.” Epic places all health records into a highly sophisticated computer system.

    How does that help?
    It means doctors and nurses have instant access to your medical records when they need it. It means your medications are recorded electronically, which helps catch mistakes in drug interactions. It means better communication among the doctors, nurses and others taking care of you. Better communication and better coordination lead to better care.

    Read more about Legacy's Medical Homes.

  2. Go

    Community Report Go

    What makes a community go?

    Diversity

    Building a culture that values diversity in how we work with each other, how we deliver care, how we partner with our community and how we do business.

    Why are you focusing on diversity?
    Well, for one thing, the makeup of this area is changing rapidly. Becoming more diverse in race, in ethnicity, in cultural background and more. However, diversity is a broader issue than race or gender.

    What do you mean?
    We realize that people have a range of values, ideas, culture and experiences. We want to create a place that values those differences. That acceptance will make people want to work here. Which, in turn, helps us reflect the communities we serve. It will also make people want to come here for care.

    Why does diversity matter in health care?
    Our patients and their families deserve to receive care that is sensitive to and respectful of their various needs and cultural backgrounds. We want our staff to understand that when we treat our patients the way they want to be treated, it makes for better care and results.

    So what are you doing about it?
    Quite a bit. For one, we are talking about the issue. Openly. Intentionally. Moreover, we have a detailed plan with specific goals to make us a diverse and what we call “culturally competent” organization. The link below explains it better, but we want to make sure the importance of diversity at Legacy is tangible and real.

    Read more about Legacy Diversity.


    Community Report Go

    Communication

    We want to make sure people understand what their doctor or nurse tells them. And the instructions on their medication.

    What do you mean?
    The health care industry is becoming aware that many patients cannot, or do not, fully understand what they are told or what they read about their treatment. One study found that almost 50 percent of people can't understand instructions on common medications.

    Really?
    Even educated, well-read people have trouble following a medical form, a doctor's instructions or a prescription bottle.

    What is the result?
    If patients are not able to follow the instructions, they may not be able to achieve the highest level of health. That failure, in turn, hurts our attempt to improve the quality of care and reduce health care costs in society.

    What is Legacy doing about this issue?
    We are just starting. Our plan is to address the issue across our system, working to make sure patients have a better understanding of what they are supposed to do to help their health.

    Learn more by visiting our Health Literacy section.


    Community Report Go


    Technology

    Legacy invests in the best medical technology. Not just for the sake of technology, but to help people get better more quickly.

    Do you really need all that medical equipment?
    Nothing replaces a good doctor. And we are proud of our doctors and all of our clinical staff. However, technology can do great things.

    Such as?
    For one, it may help get people out of the hospital sooner. Legacy is a leader in using robotic technology to assist with surgeries, particularly some forms of cancer surgery. The robotic “hand” is precise and does not need as large an incision as those done with the human hand.

    How does that help?
    Smaller incisions mean a smaller surgical cut. Which then means less pain, less scarring and less time in the hospital.

    How else does technology help?
    Another good example is in “imaging,” which is using such technology as MRI and CT to get a better look inside the body to help the doctor figure out what is wrong. A better diagnosis results in a more accurate treatment plan.

    Learn More About Robotic Surgery


    Community Report Go


  3. Give

    Community Report Go

    What makes a community give?

    Empathy

    People coming together to improve everyone's health.

    Aren't you a big hospital company that makes a lot of money? What do you give to the community?
    Legacy is local. We're nonprofit. We don't have any investors or stock. All the money we make goes back into the organization with the goal to improve the health of the community.

    You don't make a profit?
    Not in those terms — we strive to have our revenues exceed our expenses. We use the term “margin,” and we need a positive margin.

    Why?
    Because illness and injury don't care about economic cycles, we must remain stable to provide the finest medical care to those who need it. Our margin ensures that we can maintain our services — and make them better with additional investment. We also want to be a responsible employer of 10,000 people, and we need a margin to pursue our mission of good health for the community.

    Health for the community? Beyond medical care?
    We spend millions each year helping the community in countless ways. Among them: offering classes on health, sponsoring programs for injury prevention, supporting other groups and conducting medical research.

    What about charity care?
    One of the most important things Legacy does for the community is provide medical care, regardless if the person has medical insurance or the ability to pay. We provide millions in services for people on Medicare and Medicaid and those who are uninsured or underinsured.

    Learn more about Legacy in the Community.


    Community Report Go


    Compassion

    Legacy Health Foundations raise money to support and improve the health and well-being of our communities.

    Why do you raise money?
    To phrase it simply, to make Legacy Health the best it can be. Revenue generated by fees for service simply do not provide the resources to make Legacy the type of health care organization we want to be — or the type of organization the people of our community deserve.

    So you ask people to make donations?
    Philanthropy has been a cornerstone of almost every great medical center in the country, just as it is a cornerstone of Legacy Health. Gifts of every size sustain our services, our programs and our facilities. The act of offering charitable support has positive impact on the donor, too — studies show that it actually feels good to donate to worthy causes. And what could be more worthy than supporting outstanding medical care, or paying tribute to a beloved family member or friend, or recognizing the outstanding service of a doctor, nurse or other Legacy employee?

    How much do you raise?
    Through the generosity of donors, we have raised millions. These gifts, along with investment income, help the foundation support Legacy programs and services.

    How does it help?
    Donations enable us to provide the finest care and help every patient who comes through our doors. Plus, charitable support covers the cost of healing gardens, essential programs, new technology and groundbreaking research. None of the expenses incurred by overseeing these facilities or offering these services can be covered in the fees we charge for service.

    What are some other examples of the difference that philanthropy makes at Legacy?
    The generosity of our donors means we can reach some 5,000 people a year with education about preventing burn injuries — supporting the Legacy Oregon Burn Center is caring for the community. Donations help us with the CARES Northwest program, serving children who may be abused or neglected. And, donations are playing a big part in building the new home for The Children's Hospital at Legacy Emanuel.

    For more examples, see Legacy Philanthropy.

    Collaboration

    Legacy works with dozens of groups to improve the health of the community.

    Aren't you in the hospital business?
    Legacy does much more than treat illness and provide care. We take an active role in the health of the community, providing services that amount to hundreds of millions each year. One of the ways we help is to support or collaborate with other groups.

    Such as?
    We have given a grant to the Children's Community Clinic to help children with chronic disease or obesity. We help link low-income women with prenatal care. We provide office space to nonprofit groups and collaborate with local schools. There are dozens more.

    What about Legacy volunteers?
    We have more than 2,800 people who volunteer more than 200,000 hours at our hospitals. In addition, Legacy supports employees who volunteer in the community. We give them paid time off to do so.

    Learn more about Community Partnerships (PDF).


    Community Report Go