White Paper

6 Pages
  • 6 Pages

Doubts About the National Agenda of Self-Managing Chronic Conditions


Expecting that a large majority of the US population will take responsibility for their health and behavior to achieve self-management is a huge financial and psychological gamble.

You know you have passed over some invisible line when you begin to take pride in your ability to pour out the exact number of pills from each bottle that your “Day-Evening-Nite” pill container requires. Similar accomplishments are only the first chapter of our country’s insinuated goal that we all become empowered “self-managers” of our health, thereby putting less of a financial burden on healthcare providers and insurance companies, especially Medicare. People who reach the self-management level for their own care and the prevention of even worse maladies didn’t start out that way. Rather, they have been on a journey acquiring both knowledge and also fundamental skills and values to support that knowledge.



Karen Zander, RN, MS, CMAC, FAAN

Karen Zander, RN, MS, CMAC, FAAN

The Center for Case Management Inc

  • President and CEO of The Center for Case Management Inc
  • Her pioneering work with clinical case management and CareMap® systems began at New England Medical Center Hospitals (now Tufts Medical Center) in Boston 30 years ago and is internationally recognized
  • Hospitals and Health Networks named her a “Cutting Edge” leader
  • Wrote many articles about case management and editor of The New Definition newsletter
  • Has also written several case management texts: 1) Competency Evaluation Tools for Case Management Professionals (2009) , 2) Emergency Department Case Management: The Compendium of Best Practices 2nd edition with K.Walsh (2014), and Hospital Case Management Models: Evidence Connecting the Bedside to the Boardroom (2008) which is being updated for 2017
  • Has been on the Partners Care at Home Advisory Board, and has been a cellist in the New Philharmonia Orchestra for 20 years
  • M.S. degree in psychiatric-mental health nursing, Boston University, post-graduate credits in large system change from Massachusetts Institute of Technology, and a Doctorate in Humane Letters (DHL), honoris causa, from Ill. Wesleyan University; B.S.N. degree, Illinois Wesleyan University

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