Research has shown significant disparities in ESKD for members of vulnerable groups (e.g., Hispanic/Latino, Native Americans, low income), and that African Americans (AA) are a particularly vulnerable group. The AA population is disproportionately represented among patients with ESKD. Although AAs represent only 13% of the US population, they represent over 30% of those with ESKD. Since the late 1970s the incidence of ESKD increased at a fourfold rate among AA compared with whites (WH). Kidney disease is particularly problematic because its major causes are diabetes and hypertension, two diseases that are more prevalent among AA and are related to a combination of physiological, lifestyle, behavioral, socioeconomic, and healthcare access differences between AA and WH. AA race is associated with: (a) lower likelihood of referral for KT among dialysis patients, (b) a longer time to complete evaluation for KT, (c) lower likelihood of getting a KT, (d) lower rates of pre-emptive listing for KT and, (e) lower rates of LDKT versus DDKT. Therefore, two of the best ways to reduce disparities in KT may be to increase (a) the number of vulnerable group members who complete KT evaluation and (b) the rate of LDKT. Our study is a two-pronged approach to address these two critical areas leading to disparities.