Efforts to bring the healthcare industry into an era of value-based care have largely focused on primary care, but specialists have advantages of their own to offer during the transition, according to the Harvard Business Review. For example, the Brigham and Women's Physicians Organization uses "Directors of Performance Improvement" (DPIs) selected from the ranks of their specialists to help others improve the value of the care they deliver, while also encouraging DPIs to improve their management skills by enrolling in Harvard Business School's leadership program. "The culture change and engagement required for success can't be either top down or bottom up," write authors Jeffrey O. Greenberg, M.D. and Jessica Dudley, M.D. "It must be both." Read the full story at FiercePracticeManagement