An article written by Velma Roberts gives us an insight about one health care facility (Heritage Valley Medical Center) on how a well-known organization which provide quality services for all citizens in their community is culturally competent. For the past 20 years, this medical center had grown and committed to its mutual ideals and its respect for all patient and their families. Soon after the establishment of the State Health Indigent Care Fund, Medicaid settlement increases which make it comparable to those who managed care organizations. Heritage Valley Medical Center intended to utilize this new market and potential revenues that come with it to target the minorities. After 3 years, minorities’ residents increased from 10% to 40% who were mostly African American and Hispanics. Even with the increase in minority patients, the service providers’ ethnicity remained the same as before. About 85% of the staff members, which include nurses, laboratory technologists, physicians, therapist, and pharmacists were Caucasian. There were only two African American managers and one Hispanic manager. All the employees were like family as most of them had worked there for more than 15 years. They shared similar principles and values for the patients and respect toward them. Ms. Harper, vice president of community relations, shared the outcomes of a recent patient satisfaction with the administrative directors at a management meeting. The results indicated that although 80% of the Caucasian patients were very satisfaction with their care, merely 20% of Asians, 30% African Americans, and 10% of Hispanics were pleased. The reasons for the low satisfaction result were that some minorities did not feel welcomed there, people talk down on them and they feel the nursing staffs doesn’t seem to understand them. The nursing director quickly defended her staff stating that “she had one of the most caring, attentive, and qualified nursing staffs in the county”. She blamed the minority patients for being thankless. She continue on by stating “we can’t help it if these people are uneducated, can’t speak the language, and don’t know how to communicate with professional people”. The two African American mangers agreed with their co-workers after being asked what their thoughts were on the patients’ response. However, the male Hispanic manager was dismayed about the Caucasian’s and African American’s feedback about Hispanics. He knew that it was wrong to unnecessarily targeted the Hispanic who are hardworking people doing work on one else would. After reading the article, there were some cultural competence demonstrated by the nursing director and the two African Americans managers. It’s understandable for the two managers to agree with their colleagues but it’s ethnically unacceptable for them to do so. Heritage Valley Medical Center is lacking competent employees in their center. The current staff may not directly notice the changes they implemented in the way of employing, retaining and mentoring new ones, so there is a need for managers to continuously discuss about and endorse the organization’s new process, and it is also needed to improve the staff from within. The organization must take note of the outputs of their diversity platforms and continually let the employees know about them. If they cannot comprehend the cultural differences and be able to connect well with their staff, the facility would not survive. Ms. Haper need to discuss to the board about the current situation. It is indicated that the staffs of this medical center refuse to changes, but they strongly need extensive training and reality check because this nation is not limited to only one race, belief, sexual category, or philosophy. Training is also really needed by the management and the executive staff as well. The patients’ diversity has shifted immensely and everybody has the right to be treated fairly. Lastly, the executive and management department needs to work as a team and learn about the various cultures of the society to grasp a better comprehension of what the world is really composed of. They need to have some type of a class to teach their employees about diversity before actually working there. This institute has been dealing with Caucasian patients who are just in the same race as them. Diversity is an unavoidable effect of changes in population statistics that occurs in our community now. It is significant for health care institutes to know how to deal with and take in the changes in the diversity’s perspective. The organization must learn how to use varying communication techniques, behaviors and anticipations of a diverse community. As individuals, we should know that everybody is worthy to be rightfully treated no matter what their race, skin color, or belief is and no matter where they come from.