Infrastructure for people managing multiple chronic conditions.
Entire Care Systems is building CECE — patient-directed chronic care governance infrastructure that coordinates multi-morbidity care across fragmented health systems. We start where the burden is greatest, prove what works, and scale.
Patients managing multiple chronic conditions must navigate fragmented specialists, contradictory medications, and siloed records — with no coordination infrastructure and no support.
Entire Care Systems, Inc. (ECS) is the company. CECE is our product — a patient-directed care coordination framework built to solve one of healthcare's most persistent failures: the burden placed on patients to coordinate their own multi-condition care across fragmented systems.
We are a pre-revenue, pre-seed stage company founded in 2026 and headquartered in the United States, operating under the leadership of our Founder and CEO, Marshall G. Jackson, DM, MBA.
Entire Care Systems exists to build the coordination infrastructure that patients with multiple chronic conditions deserve but have never had. Our mission is to reduce the burden of care fragmentation — not by adding another app, but by creating a governance framework that puts patients at the center of their care ecosystem.
We do this through CECE: a structured, evidence-based coordination model that aligns specialists, pharmacies, caregivers, and community supports into a coherent whole — directed by the patient, not dictated to them.
We envision health systems where the coordination of complex, chronic care is embedded as infrastructure — the same way roads, utilities, and communication networks are embedded in how societies function.
CECE's Phase 0 pilot targets LMIC markets across Sub-Saharan Africa, South Asia, and Latin America — where multi-morbidity coordination failure is most acute and most documented. ECS is actively pursuing formal collaboration with health system partners in these regions. That multi-market evidence base then travels to the United States, and beyond.
CECE (Chronic Entire Care Ecosystem) is a patient-owned, interoperable, context-adaptive coordination architecture — not an app or dashboard, but a governance framework built on six universal pillars. The patient retains ownership and control of their longitudinal health data, ensuring portability across care settings, institutions, and national borders. Context-specific adaptations enhance functionality without altering the core architecture. Built on doctoral research and validated through implementation science.
The six pillars form a Universal Architecture Layer — applicable across both advanced health systems and resource-constrained LMIC environments. The patient sits at the center, holding a Personal Longitudinal Health Vault that travels with them across every care setting, institution, and national border.
Two Deployment Models. One Universal Architecture. CECE adapts to context without changing its core.
CECE — Advanced Health System Model: Specialty-driven EHR integration, risk stratification analytics, insurance optimization, remote monitoring, and appointment intelligence — for high-resource U.S. and global health systems.
CECE — LMIC Adaptation Model: Community health worker integration, Essential Medicines List coordination, SMS-based alerts, low-literacy education formats, and medication stock monitoring — purpose-built for resource-constrained environments across Sub-Saharan Africa, South Asia, and Latin America.
Both models share the same six-pillar Universal Architecture Layer and interoperability foundation — Standards-Based APIs, Audit Trails, and Security Controls — ensuring evidence and outcomes transfer across contexts.
ECS deliberately begins its validation in resource-constrained, high-burden environments across LMIC markets — where care coordination failure is most acute and most documented. This is not altruism; it is rigorous strategy. Proving that CECE reduces fragmentation and improves outcomes in the world's most demanding contexts creates the highest-quality evidence base for U.S. market entry, while simultaneously qualifying ECS for global health grant programs including NIH SBIR, CMMI Innovation, and USAID Development Innovation Ventures.
CECE's Phase 0 pilot targets LMIC markets across Sub-Saharan Africa, South Asia, and Latin America — where multi-morbidity coordination failure is most acute and most documented. ECS is actively pursuing formal collaboration with established health system partners across these regions.
Entire Care Systems is pre-revenue and proud of its transparency. Below is an honest account of what has been built, what is underway, and what investment or grant funding will unlock. We believe the strongest case for early-stage support is intellectual honesty about the journey.
ECS is founder-led. Marshall G. Jackson brings a rare combination of healthcare technology operations, doctoral research expertise, and lived experience with care fragmentation. We are actively building our advisory board and leadership team.
I spent fifteen years coordinating 45-person teams across complex healthcare technology ecosystems. I understood, at a technical and operational level, what it took to keep large systems running. Then my mother was diagnosed with multiple chronic conditions — and I watched firsthand what happens when care becomes fragmented.
Multiple specialists. Different pharmacy systems. Contradictory advice. Each provider excellent within their domain — but no one coordinating the ecosystem as a whole. The burden of integration fell entirely on her.
My doctoral research asked: why do well-intentioned healthcare interventions fail? The answer wasn't motivation. It was coordination. From that research — and from lived experience — CECE was born.
Now I'm building CECE beyond a framework. We're targeting LMIC markets across Sub-Saharan Africa, South Asia, and Latin America as our first validation environments — where multi-morbidity coordination failure is most acute and most documented — and working to establish the partnerships that will make those pilots possible. Then we bring that evidence to the United States.
Because no one should have to be their own systems integrator just to manage a chronic condition.
We're in active development and early conversations with funders, health system partners, and investors. Use the pathway that fits your context — we'll respond with the right information for your specific situation.
CECE does not provide medical advice, clinical support, or patient care services.