Respecting Choices is an internationally recognized, evidence-based model that creates a healthcare culture of person-centered care---care that honors an individual’s goals and values for current and future healthcare. Respecting Choices’ goal is to design a system of person-centered care that is guided by the best scientific evidence and is aligned with an individual’s goals and values. This system requires a shared decision-making process that involves respectful interaction among providers, individuals, and families, and keeps the focus of planning on what matters most to each and every person for any healthcare decision. Through a systematic approach in designing and implementing ACP processes, the goal of honoring an individual’s healthcare decisions can be achieved.