# CMSA Today - Issue 7, 2013 - (Page 6)

President’s Letter Presenting a Consistent Face BY NANCY SKINNER, RN-BC, CCM M y mother-in-law was a “saver” — she treasured anything she considered to have sentimental value. These items ranged from my husband’s baby shoes to a copy of the letter President Lyndon B. Johnson sent my husband, George, in 1965 inviting him to join the Army and see the world — beginning with a lengthy stop in Vietnam. Recently, I went through some stored boxes which I had not opened in many years. In one of these boxes, I found a few items that were saved by George’s mother. Buried in that sentimental treasure trove was a toy from the 1940s called “Changeable Charlie.” On the inside of the box where the toy was stored was a description that read: “Believe It Or Not! Changeable Charlie can create 4,194,304 diﬀerent faces or expressions! It’s a mathematical fact that you can play with ‘Changeable Charlie’ eight hours a day, ﬁve days a week, 52 weeks a year, making one change a minute, and not repeat yourself in over 33 years!” In playing with the toy, the child could make Charlie happy, sad, mad, or indiﬀerent just by ﬂipping a block or rotating the mouthpiece in one direction or another. In essence, the child became the force that made “Charlie” work! Charlie’s sole purpose was to represent change — good to evil, kind to mean, pleasant to cranky, serious to silly. His face was malleable because the user made it so. This issue of CMSA Today focuses on the evolution and future of case management, and presents information regarding the current state of case management: diversity of practice setting, demographics, certiﬁcation and accreditation, educational pathways for those seeking to become 21st Century case managers, and a discussion of the evolving role of the case manager. As I considered what I might include in this 6 CMSA TODAY Changeable Charlie is a children’s toy from the 1940s that claimed to create 4,194,304 different faces or expressions from its 11 separate face block parts. letter, I thought of “Changeable Charlie” and how quickly change controlled by a single user impacts the face Charlie presents to the world. The child that received Charlie opened a box containing a set of 11 blocks, each with four lithographed sides. As packaged, these blocks presented one consistent face until touched by the child. At that point, the child was given an opportunity to make Charlie’s face into one of four million possibilities. In case management, we are not generally presented with one consistent role or one similar situation. Each of us begins our case management or care coordination career within unique structures. We follow Issue 7 • 2013 • DIGITAL distinct job descriptions, serve speciﬁc patient populations, function within diﬀerent systems of reimbursement, and are sometimes challenged to prove our value. Yet, as transitional strategies become a vital component of health care delivery, quality and value, it is case management and care coordination that are moving to center stage. As we move to that place of greater visibility and expectations, I ask you to remember “Changeable Charlie.” In case management, we must present one common face — a face that is founded in CMSA’s Standards of Practice for Case Management. These Standards describe the

PRESIDENT’S LETTER
ASSOCIATION NEWS
The Next Generation: Case Management Today and Its Evolution into the Future
The Case Management Foundation: Bridging the Gap
The Importance of Politics in Your Professional Practice: CMSA’s Public Policy Committee
CMSA CORPORATE PARTNERS

# CMSA Today - Issue 7, 2013

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