SHAPE-DP: Strategic Health Approach to Promote Equity in Diabetes Prevention - Trinity Health is the fifth largest health system in the United States and one of the largest not-for-profit, Catholic health care systems in the nation. It serves people and communities in 26 states with 88 hospitals, 135 continuing care locations, Programs of All-inclusive Care for the Elderly (PACE), senior living facilities and 136 urgent care locations. Trinity Health employs 123,000 colleagues and nearly 27,000 physicians and clinicians caring for diverse populations and communities. With an annual operating revenue of $21.5 billion, the organization returns $1.4 billion annually to communities in the form of charity care and other community benefit initiatives. To deliver on the organization’s mission of “…being a transforming, health presence in our communities…” it includes national strategies to reduce health inequities and deliver value-based care to vulnerable populations by screening and referring for SDOH-related needs and implementing the National Diabetes Prevention Program (NDPP) to manage chronic disease by preventing or delaying the onset of type 2 diabetes. Using a multi-sectoral approach to reduce type 2 diabetes prevalence and advance health equity in communities served, Trinity Health is applying for Component C of CDC-RFA-DP-23-0020 targeting Trinity Health’s regional geographies in 16 States (California, Connecticut, Delaware, Idaho, Georgia, Florida, Iowa, Indiana, Illinois, Maryland, Massachusetts. Michigan, New York, Ohio, Oregon, Pennsylvania) focusing on the 4141 most populous cities and their surrounding communities--which includes over 16.5 Million people over the age of 18. Beginning in year one, Trinity Health will launch SHAPE-DP – Strategic Health Approach to Promote Health Equity and Diabetes Prevention. This national network of collaborators (Hub), including Trinity Health, Aetna/CVS Health, Capital District Physician’s Health Plan, Community Pharmacy Enhanced Services Network, YMCA of the USA, Catholic Charities USA, HabitNu, and the American Medical Association and will advance health equity and reduce health disparities by implementing a bold strategy that promotes optimal health for people experiencing poverty and other vulnerabilities, including unmet SDOH related needs, by building a network of National Diabetes Prevention Program (NDPP) providers across the 16 state service area. Together, the Hub will implement workplan activities designed to support the 4 strategies focusing on 3 priority populations including Adults 65+, African American/Black and Hispanic/Latino. Over the course of the 5-year performance period, the Hub will expand membership to enroll a total of 20,000 participants (14,000 from a priority population) and apply strategies to ensure a 60% completion rate; engage 6 commercial payers to cover the costs of NDPP program delivery through existing and new payment models, standardize processes for Hub partners to screen 100% of all participants for SDOH-related needs, and refer 100% of those who request assistance to a low/no-cost community resource and continually work to remove barriers to participation in the NDPP. Through this bold approach and strategic interventions to advance health equity, Trinity Health expects to see reduced rates of type 2 diabetes incidence among the priority populations in the Service Area.