With funding from The California Endowment and in partnership with the UCSF Center for the Health Professions, SNI worked with eight public hospital teams to improve language access and integrate cultural competency principles into administrative and clinical practice. Using four change strategies (Leadership, Education, Accountability and Dissemination), the program asked teams to focus on a single project to improve language access and/or cultural competency for their patients. For example, several teams focused on training hospital staff to provide interpreter services. Another team focused on improving cultural competency in palliative care settings, and another on culturally effective approaches to diabetes care for African-Americans.