a. Describe the health care environment in Massachusetts in the 1990's. What were the driving forces for change that were pushing the industry?

a. Describe the health care environment in Massachusetts in the 1990's. What were the driving forces for change that were pushing the industry? What impact did these forces have on Tufts/New England Medical Center?

b. What happens within Tufts/NEMC as the external environment gyrates with change? What data in the case supports your claim?

c. How did Zane gain skills as a leader of change?

d. What type of change would you prefer to lead and why?