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This first presentation focuses on development of a professional practice model to promote an evidence based practice environment. This model is essential to communicate how care is delivered, identify the underlying framework and components of practice, and serve as a guide for grounding in philosophy, principles, values, and standards in a rapidly evolving health care environment. A professional practice model must be supported by the highest level of authority and evolve over time in an inclusive, iterative process throughout the organization. At the Queen's Medical Center, the process began by identifying the essential components of the model such as philosophy of care, Lokomaikai (focus on patient and family centered care), guiding principles, vision for nursing that expresses the current and future aspirations of nurses, and core values (Compassion, Aloha, Respect, and Excellence) that guide practice. Standards of practice are based on the A.N.A. Standards of Nursing Practice and are implemented by every registered nurse. The Care Delivery Model “CARING EXCELLENCE” was developed recently by a task force of clinical leaders and includes four components: (1) Professional and personal accountability, (2) All patients have an accountable RN; (3) Communication is a driver, and (4) Therapeutic relationships are the goal. Shared Governance ensures that decisions are made at the most appropriate knowledge and skill level. Unit Councils and the Nursing Practice Council address standards of practice, Nursing Peer Review, and the Clinical Ladder. The newest component of the Professional Practice Model is the Queen Emma Nursing Institute which focuses on clinical research, professional practice, education, and workforce development. The Professional Practice Model must be a dynamic document that guides bedside practice of every nurse ensuring that all patients receive the highest standard of care.