ABSTRACT

In some iteration, a large Care circle networks (CCN) infrastructure might serve several small CCNs within small subpopulations. For instance, one congregation-based CCN might service shut-ins within their community, while an employer-based CCN might only service the diabetics in its employed ranks and their families. Both might fall under the care of a single, large physician group practice and CCN infrastructure, which would serve as the locus of care management and clinical guidance. The size of the population to be served will depend on more than just the number of patients in the community. With communities and population health, this chapter argues that some communities are far more interested than others in promoting health and wellness. For some patients, simply preparing the foundations for participation will result in new-found motivation and willpower to join in. Keep in mind that patients and resources may need to break barriers in order to participate and assimilate.