The North Country Chronic Disease Prevention Coalition will bring together providers and other key stakeholders in Clinton, Essex, and Franklin (CEF) counties to identify gaps, plan, develop and support implementation of specific chronic disease prevention programs and activities. The initial focus will be prevention of diabetes. Members of the Coalition will collaborate to promote access to evidence-based prevention programs that target individuals at increased risk for developing diabetes, while at the same time supporting expansion of environmental strategies that benefit the entire population. The result will be establishment of a system of care that emphasizes prevention, not just treatment, of chronic disease.