Systems and methods including a computer network are provided. The computer network includes a plurality of affiliate computing systems, each affiliate computing system including a processing unit and storage, the processing unit executing one or more programs for supporting care of a patient. The computer network includes a centralized care network including a central health care computing system, the central health care computing system being coupled to each affiliate computing system by way of a network and including a processing unit and storage, the processing unit executing one or more programs for managing patient records stored in the storage.