This document discusses making cultural competency initiatives stick in organizations using a human-centered design approach. It advocates starting by understanding people's strengths, needs, wants and desires through engagement. It also recommends co-designing solutions with people and champions, measuring impact, and focusing on customers to ensure relevance and buy-in for cultural competency frameworks. Case studies from organizations that used this approach show benefits like identifying strengths, reframing complex frameworks, and gaining frontline clinician engagement.