Legacy Health Partners - News & Updates

Delivering value and improving health

Supporting care that lasts

A message from Dr. Albert Chaffin, LHP Medical Director and Jenny Robinson, LHP Executive Director

Jenny Robinson

Across healthcare, value-based care is becoming a practical reality. For Legacy Health Partners, this is not a single initiative, but a continued shift toward care models that support patients, clinicians and practices for the long term. As highlighted in our message last January, there is growing confidence that value-based approaches offer a path that is both clinically meaningful and operationally sustainable. 

At its best, value-based care helps us focus on what matters most: improving access, earlier intervention, stronger care coordination and more meaningful time with patients. As care models evolve, technology and new workflows can play an important role, particularly when used thoughtfully, reducing friction and extending the reach of care teams rather than adding burden. 

Value based care also provides a constructive framework as we navigate ongoing financial and policy pressures. By aligning quality, stewardship and sustainability, value-based care reinforces that patient-centered, well-coordinated care is not only better; it is more durable for practices and health systems alike. 

Importantly, value-based care is not one size fits all. The realities of practice vary by specialty, geography and patient population, and a successful strategy must reflect that diversity. Progress depends on recognizing different starting points and supporting practices in ways that align with their local context. Caring for complex and medically frail patients highlights the importance of continuity, coordination and long-term relationships. 

These principles are central to LHP’s current strategic planning work. Over the past several months, we have been engaging in discussions to shape the next phase of the network’s strategy, informed by provider experience and the evolving healthcare landscape. With a Board retreat and a finalized strategic plan this summer, we will continue to provide opportunities for engagement and share updates on our strategic plan as we go, recognizing that effective strategy is built through shared understanding, not just formal approval. Our direction throughout this work remains clear: build a model of care that reflects the needs of our diverse practices while staying grounded in our shared mission to improve the health of the communities we serve. 

Quality Corner:2025 Final performance results & what the data tells us

As we close out 2025 performance, we want to thank LHP providers and practice teams for your continued commitment to high quality, coordinated, and patient centered care. Final 2025 results show meaningful improvement across several key measures, along with clear signals where focused, system level change is needed. These results will guide our quality priorities and the support we offer practices in the year ahead. 

Where the network is performing well 

These results show that when data, workflows and support align, meaningful improvement follows.

  • Hospital throughput and efficiency: Average length of stay improved to 3.5 days, down from 4.0 days in 2024, reflecting systemwide throughput work.
  • Cancer screening remains a strength: Breast and colorectal cancer screening continue to meet or exceed targets and remain historically strong across the network.
  • Chronic disease management gains:
    • Diabetes care: HbA1c poor control improved by 7.9%, driven largely by better outcomes reported during supplemental data collection. In 2025, 94.1% of results reported from independent practices were in control, up from 87.2% in 2024.
    • Blood pressure control: Improved 8.2% year over year, with several independent practices demonstrating notable gains.
  • Preventive and supportive care improvements:
    • Diabetes eye exam rates improved 4.7% since 2024.
    • Advance care planning continues to improve year over year.
    • Generic prescribing rates remain consistently high across the network.
  • Targeted improvement works: Perioperative temperature management rebounded in Q4 after collaboration with clinical teams and alignment with best practice thresholds. 

Where data signals a need for change

What you’ll hear more about in 2026

At the same time, 2025 results highlight system level challenges that require coordinated action across practices, the health system, and LHP: 

Utilization pressures are rising

  • Avoidable ED visits increased year over year. 
  • High-tech imaging utilization continues to climb and 2025 was the highest rate it's been for commercial populations.  

Readmissions exceed target: 

The commercial readmission rate exceeded target by 4% and is elevated across all practices, not driven by outliers

Care coordination gaps persist:

  • The rate of PCP identified at discharge has declined for the fifth consecutive year. 
  • In network care coordination remains below target. 

Preventive care gaps: 

  • Cervical cancer screening rates were below the target for the second year after several years of strong performance. 
  • Childhood immunizations met the performance target but show increasing vaccine hesitancy: 3.9% of children in 2025 received no vaccines, compared to 1.9% in 2023.

These results are shaping LHP’s quality roadmap and how we engage with practices this year. Providers can expect more proactive, targeted updates in the following areas: 

Utilization & affordability 

  • Deeper dives on ED visits, imaging, readmissions, and length of stay 
  • Payor specific insights where targeted action may unlock improvement or incentive gains 
  • Practical tools and peer examples to support change without adding burden 

Care coordination 

  • Focused work on PCP identification at discharge and transitions of care 
  • Clarifying workflows, data visibility, and shared accountability across settings 

Preventive & chronic care gaps 

  • Targeted support for cervical cancer screening and childhood immunizations 
  • Continued emphasis on diabetes and blood pressure control, with practice level insight 

Better use of data 

  • More timely, relevant performance updates 
  • Clearer connections between metrics, initiatives, and outcomes 
  • Opportunities to share what’s working across the network

An invitation to engage 

Our goal is to move beyond reviewing results a few times a year to working together throughout the year, using data to focus attention, and track impact in ways that are meaningful for practices. In upcoming updates, we’ll be asking, “What information helps you take action in your practice?” This will help improve information flowing in both directions, so LHP can help support progress and share meaningful changes more broadly. 

Thank you for your partnership in 2025. We look forward to continuing this work together and sharing practical support throughout the year. 

Network Spotlight: Legacy Heart Failure Program update

By Dr. Brendan Daly, Medical Director, Legacy Medical Group Cardiology 

I’m pleased to share a few exciting updates from the Legacy Heart Failure Program as we continue to grow our clinic, expand advanced therapies and strengthen partnerships across our provider community, all with the goal of delivering exceptional care to our patients. 

Growing our provider team 

Chris Chien, MD continues to see patients in the Heart Failure Clinic one day each week. We also value our strong and growing collaboration with the OHSU Advanced Heart Failure and Transfer Program. Through this partnership, Drs. Luke Masha, Johannes Steiner, Nalini Colaco, and Conrad Macon rotate through our clinic weekly, bringing additional expertise and access to advanced heart failure care. 

Expanding advanced therapy options 

Our program continues to broaden treatment options for patients with chronic heart failure, including several implantable therapies designed to improve symptoms, quality of life and long-term outcomes: 

  • Barostim™ – For patients with persistent heart failure symptoms despite guideline directed medical therapy and reduced ejection fraction. 
  • Cardiac Contractility Modulation (CCM) – An option for patients with symptomatic heart failure and a moderately reduced ejection fraction. 
  • CardioMEMS™ – A pulmonary artery sensor that allows patients to transmit pressure readings from home, enabling proactive medication adjustments to help manage fluid status, reduce hospitalizations, and improve symptoms. Legacy is currently the largest CardioMEMS implanter in the region, and we’re excited to soon introduce the next generation monitoring system, CardioMEMS HERO. 

We’re here to support you and your patients 

If you’re wondering whether a patient might benefit from a heart failure clinic evaluation or one of these advanced therapies, we encourage you to connect with your local LMG cardiologist or reach out directly to me at bdaly@lhs.org.  

Thank you for your continued partnership and for the care you provide to our shared patients. 

Announcements, deadlines, and reminders

  • Important change: Beginning in 2026, LHP has retired the formerly required Clinical Integration (CI) Education video. Providers are no longer required to complete an annual CI education activity to qualify for their earned incentive. We are shifting to optional participation. We expect this to be a welcome change for our network of providers and encourage you to review the announcement and FAQs to learn more about this change. 
  • Data updates: Data and reports for 2026 recently launched in the LHP Reporting Suite so practices can track and monitor quality outcomes and utilization patterns for their patients. These online resources for dashboards, reporting and tools provide actionable data at your fingertips so you can coordinate with providers within the LHP network to control costs, improve performance on value-based contracts and improve coordination of care. Some measures do not have data showing yet but will display once they are available. Performance targets will also display once they have been approved by the LHP Board this summer.