The world of long-term care supports and services is in a state of change. No longer are people satisfied with a system of care that tells them what to do without listening and supporting them in making their own decisions. No longer do people want a system that offers no choice, choice in where to live and how to live. No longer do people want the institutional practices of the past but instead want individualized, person-centered care. This is culture change!In Colorado there is a community of dedicated individuals and organizations who have been working to transform long-term supports and services in our state to be more compassionate with the person being cared for at its center. This new model supports people living in nursing homes and assisted living communities to get up when they choose, eat what and when they want, participate in meaningful activities, and maintain the routines that have long been a part of their lifestyles. The model supports people receiving care in their homes whether personal care, home health care or hospice services to decide when they receive care, who they would like to provide it and helps them stay connected to their community.Person-centered or person-directed care is based on the principles of choice and self-determination. It is a philosophy of care where relationships matter, people are well-known, and purpose and engagement give meaning to life no matter where someone is living. It also requires a transformed organizational approach where all staff members are valued, empowered and included in decision-making. These practices and principles result in a better quality of life for people receiving care, improved quality outcomes and results in greater staff retention and loyalty for the organizations providing care.There are many organizations in Colorado from home care agencies to nursing homes that have adapted this changed system. Important questions to ask when looking for a person-centered environment include:What steps have been made to ensure person-centered care is delivered? Can people choose their care providers?How do you get to know the people with whom you work?Do you do annual satisfaction surveys? You do have a choice when it comes to the care and support you need. Be an informed consumer, ask the right questions and help transform services in Colorado!Editors Note: This article was submitted by Penny Cook. Penny is the Executive Director at the Colorado Culture Change Coalition. She may be reached at 303-868-4311 or at pcook@cocultuerchange.org. Visit their website at www.cocultuerchange.org.