Chronic disease tracking, wellness programs, and referral coordination for Tract 12073001101 in Leon County, Florida.
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Centered on Census Tract 12073001101 in Leon County, Florida at latitude 30.4171849 and longitude -84.2923388.
A chronic disease wellness model for residents, coordinators, coaches, hub staff, and administrators.

Residents log the metrics that matter for chronic disease: blood pressure, weight, daily activity, medication adherence, and optional glucose readings. Those readings create the core loop that helps coordinators see when support is needed.

Walking groups, BP monitoring sessions, diabetes prevention workshops, and nutrition demos make Community a visible community presence. Coaches and hub staff support attendance, check-ins, and practical behavior change.

When readings cross a threshold, alerts route to a Care Coordinator first. Coordinators message residents, recommend programs, or generate PDF-first referrals to Bond CHC and NMC with consent.
Track BP, activity, weight, adherence, and glucose,
then connect to programs and coordinator support when trends change.
DESIGNED FOR COMMUNITY HEALTH ACCESS