Does the 'culture change' model at long term care facilities involve a simple re-design of aesthetics, or does this model encourage an entirely different way of structuring long term care? How challenging is it to implement a culture change, or patient-centered model, especially at facilities that have operated under a traditional model for decades? Dr. Karen Leible, chief clinical officer for Pinon Management, a long term care management and consulting firm in Colorado, discusses these questions and more with host Dr. Eric Tangalos. How can culture change help to empower patients?