Dr. Terrence Loftus is President of Loftus Health, a healthcare consulting company committed to educating and coaching the next generation of healthcare leaders on how to improve the delivery of healthcare. His new book, The Value Analysis Program: A How-to-Guide for Physician Leaders on Starting Up a Successful Program, builds on the concept of the Seven Pillars. The Seven Pillars refers to the observation that successful programs are supported by seven core elements. These elements can be remembered by the mnemonic SPECIAL PI, which stands for Seven Pillars, Purpose, Engagement, Communication, Infrastructure, Accountability, Leadership and Performance Improvement. These seven core elements are what differentiate successful programs from unsuccessful programs. Dr. Loftus uses his years of experience working as a surgeon, physician executive and leader to describe how to develop, implement, and sustain a successful value analysis program using the Seven Pillars.