Not Changing Is the Greatest Risk: An Open Letter to Healthcare Leaders

You’ve been through a lot.

We’ve battled the first pandemic in a decade and the most significant one in generations. Unfortunately, for many leaders, it won’t be the last. As healthcare providers begin to take stock in the wake of COVID-19, round one, they must set aside time to consider their long-term strategic plans. What should they keep, what needs to evolve based on everything that’s happened since early March, 2020?

David Pate


Here, David Pate, MD, JD, offers in-depth guidance for how hospital and health system executives can work through this strategic review. Pate spent a decade as president and CEO of St. Luke’s Health System in Boise, ID, where his accomplishments included a substantial move towards a value-based model of care. It is this perspective that he offers in his open letter, which you can download below.

About the Author /

[email protected]

David C. Pate, MD, JD, is past president and CEO of Boise, Idaho-based St. Luke’s Health System, a Top 15 Health System as rated by IBM Watson Health. He serves in an of-counsel role at Jarrard Inc. He received his bachelor’s degree from Rice University, his medical degree from Baylor College of Medicine and his law degree cum laude from the University of Houston Law Center. He completed his residency training at Baylor College of Medicine, is board-certified in internal medicine and is a Fellow of the American College of Physicians.