The health care landscape continues to change. James Hereford, who had been chief operations officer for California-based Stanford Health Care, started as the new president and CEO of Minneapolis-based nonprofit Fairview Health Services in late 2016. It’s been a busy first year on the job. In March, Fairview announced its merger with St. Paul-based HealthEast Care System; the combined operation is now the largest health care provider in the Twin Cities. Hereford has brought a new chief operating officer, chief nursing executive and chief medical officer to Fairview’s senior leadership team. He also brings a reputation as a strategic and collaborative leader, as providers everywhere look to improve care while trimming costs.