| Healthcare issue | “Old era” leader | “New era” leader |
| Management | Hierarchical | Collaborative |
| Hospital-physician relationships | Detached | Engaged |
| Community | Internally focused | Externally focused |
| Transparency | Private | Open |
| The patient experience | Episodic | Universal |
| Quality | Punitive | Instructive |
| Costs | Containment-oriented | Growth-oriented |
HENRY KOTULA 