The National Health Care Quality and Disparities Report (NHQDR) (2012) identified three key themes. The issues are the quality of healthcare and suboptimal access, especially for minorities and low-income groups; overall quality improves, access worsens and disparities do not change; and urgent attention is needed to ensure continued improvements in: quality diabetes care, maternal and child health, adverse events, disparities in cancer care, and quality care among Southern states. The 2012 NHQDR is a comprehensive report that implies that there are changes that need to occur at multiple levels within the healthcare system and public policy. The report implies that the healthcare system must become more accessible to all populations and that disparities in the quality of care must decrease. Health professionals must evaluate access to care, the quality of treatment and its effectiveness. In the meantime, public policy must support funded programs that will improve access to care and support prevention services. As healthcare providers, advanced practice registered nurses (APRNs) should be actively involved in working to eliminate disparities. APRNs should conduct research to determine health disparities in their community using the Department of Health's state and local database. APRNs must report findings to local health care providers and political leaders, then initiate change based on the findings. APRNs could write culturally relevant health promotional literature about diabetes disease management and make the literature available at public health clinics, primary care clinics, local parishes, and senior centers. Literature must be available in multiple languages…half of the paper…facilitate cultural competence. The presentation should be tailored to the specific population or cultural groups served by the healthcare providers; should award continuing education credits and provide written materials, including relevant online resources. Planning and implementing a breast screening event in a predominantly African American community is one way ARPNs are able to address disparities in preventative care. The event must be advertised at local social centers, parishes and other religious institutions. APRNs should collaborate with local healthcare providers to ensure the availability of follow-up care to address any clinical findings. /search/results/nhqrdr/nhdr12/