The Multiethnic Advocates for Cultural Competence (MACC) is a statewide organization committed to transforming systems through the implementation and sustainment of concepts related to cultural competence. We are a clearinghouse for training, resources, research, best practices, and collaboration. We define cultural competence as a continuous learning process that builds knowledge, awareness, skills and capacity to identify, understand and respect the unique beliefs, values, customs, languages, abilities and traditions of all Ohioans in order to develop policies to promote effective programs and services.