While this article is about health care and innovative ways to address changing its culture, many of the ideas may be transferable to other industries and organizations:
“Much of the focus on health care redesign has been on primary care physicians, despite the fact that specialty care is responsible for the majority of health care spending. To engage specialists in care improvement, The Brigham and Women’s Physicians Organization (BWPO) has launched several programs, among them the creation of departmental “Directors of Performance Improvement” (DPI) which we’ll describe here.”
Source: Engaging Medical Specialists in Improving Health Care Value