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Increased and ageing population is putting enormous stress on existing health care infrastructure. Governments around the world need to address this issue with limited budgets. Governments have initiated health reform programs around the globe. These may include very decentralized program by Pakistan and a quite successful reform program of Turkey. Unfortunately most of the reforms end up in failure and do not provide the foreseen results. A careful assessment of any such initiative is required and any such program should also be considered as change management rather than health reforms alone. This research aimed to study the 2002 Health Reforms Initiative launched by Government of Turkey as a Change Management case. Health Policy Cycle (HPC) was used as a tool to implement the change that is similar to Six Sigma tool. Collected data was fed to DICE Scoring System that provided a prediction regarding success chances of the change process. The results obtained through interviews were compared with the predictions made by the DICE tool. The book provides important insight to policy makers, project managers as well general readers about various aspects of health reforms program.