Cultural competence is a way of being that enables people and organizations to engage effectively in a variety of cross-cultural environments. It is not an off-the-shelf program, but rather an approach that starts with the core values and cultural expectations of the specific organization. This approach assists both individuals and organizations to address the issues that arise in a diverse environment. We have introduced cultural proficiency to a wide range of organizations across the country including schools, hospitals, universities, not-for-profit organizations and faith based organizations. The four tools basic to this approach are: The Cultural Proficiency Continuum, The Essential Elements of Cultural Proficiency, The Guiding Principles of Cultural Proficiency and The Barriers to Cultural Proficiency.