The Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke grant will be utilized to implement evidence-based strategies to prevent and manage cardiovascular disease (CVD) and diabetes in high-burden populations/communities within Florida. Florida is the third most populous state with over 20.2 million residents living within 67 counties and has the highest percentage of elderly residents in the U.S. with 18.4% of the population over age 65. Approximately 9% (1.8 million) of Florida’s population lives in rural areas with limited resources and access to care and nearly 70% of Florida land is designated as rural. The Bureau will implement strategies to increase the awareness and accessibility of evidence based diabetes programs and ultimately reduce the burden of diabetes in the state. To aide with diabetes prevention the bureau will collaborate with community health worker (CHW) associations to convene work groups that focus on incorporating the utilization of community health workers in diabetes management and prevention. In addition, strategies focusing on cardiovascular disease prevention and management will incorporate the utilization of evidence based quality measures relating to patient care, physician quality, hypertension management and prevention, and diabetes management and prevention. Strategies in this area will also incorporate the use of CHWs in health care services and emphasize their role in medication therapy management support (MTMS). Cardiovascular strategies will continue to focus on the health system and incorporate programs such as blood pressure self monitoring (BPSM) into these systems. With each year, the bureau will analyze successes and barriers through data evaluation and conduct quality improvement measures to ensure continual success throughout the life span of this funding.