Our approach combines a first-of-its-kind chronic disease triage tool for providers and patient and protocols for improved patient adherence using contemporary medicine, socio-ecological models, and health beliefs.  These are utilized in a sustainable business model for a new subspecialty of medicine for complex chronic disease that supports the practice of primary and specialty care, including mental health. Direct impacts include precise directives for key stakeholders, a blueprint for new and improved healthcare communities, and policy recommendations for national governments and global organizations.