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?