Fulcrum Methods is a change management agency. We apply agile management and performance excellence techniques to focus on strategic initiatives, strategy execution, complex organizational transitions, service improvement, information technology, informatics, and digital health. We help our clients achieve new levels of operational performance, adapt to markets, innovate, implement technology, and transform by uniting leadership experience with flexible tools and managed processes. Recent engagements using our agile management and performance excellence tools have included: *Market scenario planning for an integrated health system including a health plan, focus on impact analysis of potential local market disruption *Transformational strategic visioning, focus on leadership team consensus development *Corporate Services customer satisfaction survey, results analysis and facilitation of multi-year service improvement plans (SIPs) *Rapid Process Improvement sprints for key revenue cycle functions (denials, utilization review, case management and authorizations) *Standing up an enterprise Office for Strategic Initiatives, Planning and Development, including enterprise program management office Clients include commercial enterprises as well as preeminent, award winning health systems, hospitals, health plans and medical groups.