Heart disease, stroke and cancer are among the top five leading causes of death in Nebraska. They are some of the most widespread and costly health problems facing our nation and are among the most preventable. The morbidity and mortality of heart disease, stroke and cancer are caused by many factors including high risk behaviors, poor access to care, and lack of understanding of screenings. Strategies that successfully impact these three major health problems are similar, therefore SHIP Priorities 1 and 2 were combined to create a comprehensive approach capitalizing on the efforts of collaborative partnerships.