Care Management Professionals
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CM Home Page - Care Plan & Planning in E.H.R. & HIE


The Care Management Professionals'

published by Susan E. Campbell, PhD, RN-BC (IN), CCM, CPHQ 

An accomplished and credentialed Care Manager and Clinical Quality Improvement leader she has been a regular participant in the ONC, HL7, IHE, and OMG concept, policy, and standards organizations listed at the bottom of this page. 

Susan is originator of the nested concept series: Care Plan > Plans of Care > Treatment Plans > Instructions

The ONC Longitudinal Coordination of Care Working Group (ONC LCC WG) assisted by Altarium developed illustrations of her concept:

Care Management Professionals is an organization that intends to be the Care Management (CM) Informatics Professional's Source for CM and Health Information Exchange (HIE)
We offer:

  • Care Management, Health Informatics and Health Information Exchange (HIE) Information 
    • Care Managers and Care Management Organizations
    • Health Information Exchange (HIE) & EHR Developments, Barriers, and Innovations
    • Policy, Standards, and R&D Organizations working on Care Plan and Care Planning
    • Commercial Organizations providing care management

  • Care Plan, Plan of Care and Longitudinal Care Plan Concepts, Information, and Sources - scroll down this page.

   Information is free for use, courtesy of:   Please cite the source in reuse.


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. 

During 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 CCS team (see link below):

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 Coordination Service Project Pages
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