This article describes how one organization operationalized Swanson Caring Theory and changed practice to ensure consistently high standards of performance. The Carolina Care Model developed at the University of North Carolina Hospitals is designed to actualize caring theory, support practices that promote patient satisfaction, and transform cultural norms. Evaluation suggests that this approach to care delivery enhances patients' and families' hospital experience and facilitates desired outcomes. The authors outline the Professional Practice Model, key characteristics of Carolina Care, links to caring theory, and development and implementation methodologies.