Life Care Planning

“The life care plan is a dynamic document based upon published standards of practice, comprehensive assessment, data analysis, and research, which provides an organized, concise plan for current and future needs with associated costs for individuals who have experienced catastrophic injury or have chronic health care needs.”

–  International Conference on Life Care Planning and the International Academy of Life Care Planners 

A life care plan (LCP) is a comprehensive report used to identify and project future medical and related care needs and associated costs for individuals who are injured, disabled, or chronically ill over the appropriate projection period. It also addresses long-term needs and quality-of-life considerations where applicable. Life care plans are most often used in more severe or catastrophic cases. For cases of lesser severity, a medical cost projection may be appropriate

Helpful For:
Plaintiff and Defense Attorneys, Personal Injury Attorneys, Medical Malpractice cases, Workman’s Compensation cases

When to use:
Moderate/severe injury cases, requirement of legal document for ongoing future medical expenses

What is in a life care plan?

The basic outline of the report follows a structure somewhat like this:

General outline of the information about the case

A chronology of the client’s history of health care since injury

A summary of the medical records reviewed for the past medical history

A summary of ongoing care

A summary of the client’s current abilities related to activities of daily living (ADLs) and instrumental activities of daily living (IADLs)

  • Rehabilitation care such as physical therapy and occupational therapy
  • Vocational therapy
  • Cost of future medical procedures
  • Medication use
  • Lost earning capacity
  • Durable Medical equipment (DME) and supplies
  • Cost of transportation
  • Home modification
  • Vehicle modification
  • In home Caregiver services Short-term or long-term care
  • Orthotics or prosthetics
  • Potential complications associated with the documented injuries or conditions, where supported by the records and literature
  • Recommendations on how to use the life care plan

What kind of cases is a life care plan for?

Here are some potential injuries that a life care plan can be used for: 

  • Amputations

  • Aneurysm

  • Anoxic and Hypoxic Brain Injuries

  • Autism

  • Back or Neck Injury with Chronic Pain Syndrome

  • Birth Injuries

  • Blindness

  • Brachial Plexus Injury

  • Burns

  • Cerebral Palsy

  • Concussion

  • Chronic Pain

  • Deafness

  • Emphysema

  • Slip and Fall

  • Guillian-Barre Syndrome

  • Hand Surgery

  • Hearing loss

  • Motor Vehicle Accidents (MVA)

  • Medical Malpractice

  • Multiple Sclerosis

  • Orthopedic Injuries

  • Organ Transplants

  • Paraplegia

  • Personal Injury

  • Psychological Trauma

  • Quadriplegia

  • Reflex Sympathetic Dystrophy

  • Spinal Cord Injuries

  • Stroke

  • Traumatic Brain Injuries

Life Care Plan Methodology

The process of putting together a Life Care Plan

1

Medical Record Review

Review of associated records related to the person’s medical history and other relevant documents

2

Interview

Detailed interview and evaluation (if possible) with the person injured to gain a better understanding of the individual’s circumstances and functional status 

3

Written communication with providers

Obtain and review treatment recommendations from relevant medical providers, when available

4

Outcome Identification / Medical Research

Research concerning the documented condition, likely future care needs, and case-specific treatment considerations

5

Recommendations & Cost Research

Recommendations are developed from the available records, provider recommendations, clinical analysis, and supporting research

6

Written Life Care Plan Report

A comprehensive report outlining the individual’s history, projected future care needs, and associated cost estimates based on the available information

When is the right time to hire a life care planner?

Pre-trial settlement negotiations fail

A life care plan may be considered when a more comprehensive analysis of future care needs and costs is necessary

Uncertainty about economic damages are present

A life care plan can be prepared to outline projected future care needs and costs when a more comprehensive future-damages analysis is needed

Litigation already started, and now there is a need for mediation arbitration or trial

A life care plan may be useful when a comprehensive future-care analysis is needed for mediation, arbitration, trial, or claim evaluation

Advantage and Disadvantages

Pros

  • Legal document - for active litigation and reactive

  • Assessment is based an interview (when possible), review of medical records, and provider communication - STRONG EVIDENCE

  • Extensive legal document with medical research

  • Expert review and testimony available, when retained

Cons

FAQ

Life care planners may come from a range of licensed healthcare and rehabilitation backgrounds, including:

– Physicians, nurse practitioners, nurses, occupational therapists, physical therapists, psychologists, physician assistants, rehabilitation counselors, and case managers

The Certified Life Care Planner (CLCP) credential is issued by International Commission on Health Care Certification (ICHCC) and was the first certifying body for life care planners and issued the first life care planner certification examination in March 1996.

ICHCC states that its CLCP certification program is accredited by ANAB Board (ANAB) in July 2024.

Preparation of a Life Care Plan involves a review of available records and case materials relevant to the individual’s medical condition, functional status, and future care needs. Records reviewed may include, when available:

  • Medical records from treating providers, hospitals, and rehabilitation services

  • Diagnostic testing and imaging studies

  • Therapy records (e.g., physical, occupational, or speech therapy)

  • Itemized medical billing records

  • Independent medical examination (IME) reports

  • Deposition transcripts of treating providers or other experts

  • Vocational or employment records, when relevant

  • Educational records in pediatric cases

  • Accident or incident reports

  • Photographs, videos, or other documentation relevant to the individual’s condition

The specific records reviewed depend on the materials made available and the needs of the case.

Contact us for more details  on specifics.

Typical turn around time is 30 days. Rush reports are available 2 weeks based on availability and severity of the case.

  • Life care plan is better for:
    • Moderate to severe cases.
    • Expert testimony is needed for deposition or trials
  • Medical Cost Projection is better for:
    • Minor to moderate cases
    • Speed matters, for example: negotiating a settlement, mediation or settlement, completing insurance claims

Reach out to us to help you decide which is right for you!