Forces of Change: New Strategies for the Evolving Health Care Marketplace will be organized around the model developed by David Shore that serves as the foundation for his Forces of Change program. Section I frames the subject. The essays in this part of the book outline the current state of affairs in healthcare and the challenges health care institutions face. They examine the effects of the new health care reform legislation and the critical role of institutional and intellectual leadership in bringing about change. Section II focuses first on the forces shaping todays health care marketplace. It looks at the role played by each of the various stakeholders and the market structure that results from the interplay of forces. It then examines the virtues and limitations of some of the markets most important responses, such as increasing patient safety and strengthening health care information technology.