Care Management Society for Individuals & Professionals
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The Care Management Society,
published by Susan E. Campbell, PhD, RN-BC (IN), CCM, CPHQ, CIC 

An accomplished and credentialed Care Manager and Quality Improvement leader, Susan helped design International Care Plan Standards and established the Care Management Professionals advisory group 

Our philosophy is:

My doctor, my case managers, and my family are advisors I invite to my care team

Care Management Society's mission is to help people understand why and when care management could help, and how to access it.  We know that:

  • Individuals and families sometimes develop care plans without realizing it or go without them.
  • Doctors and other health professionals devise care plans with or without the person's involvement. ***When care planning centers on the person it is easier to get the right results at the right time***
  • We want to help everyone work collaboratively to help bring about a living document that serves to coordinate care, plan life goals, and assess the outcomes of care - a document people can use.

Our founder, Susan Campbell, working with colleagues developed the concepts outlined below.  
In the United States the primary care provider  and nurse or social work case manager convenes a team to develop a Care Plan.  People who have complex or many chronic illnesses or who are aging may benefit from a Care Plan.  It should encompass any Care Plans (AKA Plans of Care) for different conditions. In a plan of care the best health outcome for the specific condition is sought.  In the over-arching Care Plan, a person's life goals provide the organizing principles and definitions of what "getting better" means for the person.  A person can request a Care Plan be developed with their doctor and the primary care team.  It often makes the most sense for people suffering from multiple health challenges.

The Longitudinal Coordination of Care Working Group (ONC LCC WG) sponsored by the US Office of the National Coordinator for Health IT (ONC) assisted by Altarium developed illustrations of her concept:

Why is it important to know about Care Plan?   Individual people may have several clinicians working at several different healthcare organizations.  Not all of them talk to each other.  Most do not yet exchange health data electronically.  Some electronic systems don't share information with the person.  So the person and  family often have to sort it all out.   Can we help you? Ask the right questions and get the right answers, collaboratively.
Select this link:  Contact Us to discuss how we can help.  We offer affordable hourly rates.


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Coordination of Care Using a Health Informatics Supported Care Plan

Explanation submitted by Susan E. Campbell, PhD, RN-BC (IN), CPHQ, CCM, CIC on February 14, 2012,
Updated February 29, 2012 and submitted to the US Office of the National Coordinator, S&I Framework, Community-Led Initiatives, Longitudinal Coordination of Care Working Group as a resource. 

In February, 2012 Susan developed the concept of Team Member roles and functions as an essential component of Care Team.  She condensed and formalized these ideas in March, 2013 in connection with her work on the HL7 Clinical Coordination Service (CCS) team:

Care Team Member Roles

Care Team Member Functions

Care Plan Glossary of Electronic Health Record Information Model Updated Feb 5, 2013 -, LCC WG

Care Plan Information Sources
on our Products & Training Page, Updated March 17, 2013

Care Planning Assessment Developments:


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Care Management Organizations:

Care Management Models:

Care Coordination Service Project Pages
http:// Johns Hopkins

Standards & Informatics Organizations:

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