Great hearing the pitch from Charlene Brown! I love mobilizing community workers and creating partnerships to tackle disease education and motivation.
Charlene, the following would be good people for you to connect with--
Andrey Ostrovsky runs Care at Hand, a super successful start-up utilizing technology and community workers to help manage discharged patients.
Cole Zanetti is leading the positive deviance model.
John Moore runs Twine Health, a super successful start-up utilizing technology and the broader care team (more usually nurses or health coaches, and not usually the physician--apparently physicians don't "scale") to manage chronic disease.
Konstantin Karmazin is a GTown med student who ran the screening process for StartUp Health for a few years and now leads the physician entrepreneur scene in DC, having run a Google Glass Hack in DC recently.