The assessment of the Community Health Worker (CHW) role in chronic disease prevention and management in the North Country Public Health Region has been conducted through in-person interviews, telephone interviews and an online survey to gather information (63% response rate). The group represented a broad constituency including leaders in area business, faith-based groups, and health and human service organizations. Additional information includes data from the recent Community Health Needs Assessment by The North Country Health Consortium. The success of the assessment has relied on the established relationships with health care providers and community based organizations in the North Country, and used assessment tools that were customized to address the specific needs of the North Country communities.