Now in its second decade, the Pioneer Network in Culture Change is leading the effort to make resident-centered care the standard in nursing homes in the United States. Building on Fund-supported work begun last year, the Pioneer Network will continue to define core competencies for resident-centered practice of medicine in nursing homes, with an added focus on nursing; examine how state policies can promote culture change; and study the business case for culture change. Project staff will develop resident-centered care guidelines and case studies, create operational measures to assess culture change, and expand resources available on the Pioneer Web site. Depending on progress, a subsequent year of support may be requested. The Pioneer Network will provide cofunding in-kind; additional cofunding is being sought from the Picker Institute and the Retirement Research Foundation.