Cultivating Quality of Life

We work to provide prompt and professional life care plans with a hands-on, personal approach in a collaborative spirit. We collaborate with the client's current treatment team, when possible, to provide a comprehensive and patient-centered plan of care. This plan of care promotes best outcomes, explains recommended rehabilitation, reflects practices that are preventative in nature and reduces complications due to illness or injury.

When do you need a Life Care Plan? 

Anytime you find yourself wondering about the extent of the client's injury or disability and the cost of future care, it is time to consider a life care plan. 

By definition, 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. (IALCP, 1998)

The time to get a Life Care Planner involved is "as soon as possible". The care plan is a team effort that uses the opinions of the patient's physicians, therapists, counselors, and other caregivers. Starting early in the case allows time for necessary assessments to take place to allow for comprehensive care planning. 

Why do you need a life care plan?

Personal Planning

Life care plans are an excellent educational tool for those facing a future with a chronic disability or illness. Whether you are your own health manager, you have a loved one who is helping you manage your health, or you have a case manager, pursuing a life care plan can give you the peace of mind that your are on the right track for producing the best outcomes possible and maximizing your quality of life. 

Personal Injury Litigation

When a person is injured it is important to know what expenses are likely to occur in the future related to the injury. Future costs are not always obvious. Careful attention to research about long term outcomes after injury must be considered when available. In addition, working with treating physician to predict needs over the lifespan is part of the life care planner's role.

Retirement or Estate Planning

Understanding the costs associated with providing care for a loved one after you are no longer available to look after them is an important step in realistic retirement planning and estate planning. 

Trust Account Management

Trust officers may find a life care plan helpful when deciding the best use for client's assets and for reassurance that the appropriate level of care is being maintained. If you are assuming that your client's insurance or payor source has their quality of life and long-term outcomes in mind, you may want to reconsider. While their goal is likely cost effectiveness, the primary goal for persons suffering serious illness or disability should be optimal quality of life. A life care plan can help you and your institution rest assured that your client is getting the care they deserve. 

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Services Offered

Life Care


In the face of a complicated illness or injury, a methodical, and yet, dynamic process must be followed to ensure a full understanding is reached about current and future needs.

Life Care Plan Analysis

In addition to building life care plans, our consultants are skilled at analyzing existing life care plans developed for the injured client. 

Life Care Plan Updating

Life care plans may also need reviewing and updating when time has pass and/or the patient's status has changed. This is especially important when the life care plan is developed at an age prior to adulthood.

Quality of Life Advocate

Maybe you do not need a full life care plan, but could use guidance on how to improve your quality of life after a serious injury. We can help!

Brain Injury Expertise

We are uniquely qualified to provide life care plans for traumatic brain injury survivors. The life care planning expert, Amy Mackenzie, PhD, RN, CLCP completed an intensive PhD study and independent research in the needs of brain injury survivors and how quality of life is impacted over the lifespan for those individuals. This expertise is used in the assessment and planning process to build a life care plan that promotes an optimized quality of life for the brain injury survivor. 

Amy Mackenzie, PhD, RN, CLCP

Amy Mackenzie is a Certified Life Care Planner with special expertise in Traumatic Brain Injury (TBI) cases.  Before becoming a life care planner, Dr. Mackenzie worked as a critical care nurse, and then became the Director of Nursing Services at Pinehurst Alzheimer Special Care Center. She was later the Director of Patient Services at the Azalea Sleep Center. Amy was an Adjunct Faculty Member at the University of Texas at Tyler for several years. Amy has years of experience writing life care plans for both plaintiff and defense clients. She is a facilitator for the East Texas Brain Injury Support Group, and a member of the Texas Nurses Association, International Association of Rehabilitation Professionals, and Sigma Theta Tau, the Honor Society of Nursing.



  • University of Texas, Tyler
    PhD, Doctoral Nursing Program.
    Expertise in Traumatic Brain Injury Survivors
    Master of Science, Nursing Administration

  • University of Florida, Gainesville, FL
    Life Care Planning Certificate Program

  • Texas State University, San Marcos, Texas
    Certification for Assisted Living Management

  • The University of Texas, Austin
    Bachelor of Science in Nursing



Certified Life Care Planner


Recent Publications

Mackenzie, A., Alfred, D., Fountain, R., & Combs, D. (2015). Quality of Life and Adaptation for Traumatic Brain Injury Survivors: Assessment of the Disability Centrality Model. Journal of Rehabilitation, 81(3), 9.

Click icon to download Dr. Amy MacKenzie's CV

Anna "Katie" Heater, RN, BSN, CLCP 

Katie Heater is a Certified Life Care Planner. She is a Registered Nurse with a background in pediatrics and case management and has been certified as a Legal Nurse Consultant since 2011. She has worked with both defense and plaintiff firms in creating life care plans and cost estimates. Katie is a member of International Association of Rehabilitation Professionals. She also volunteers with CASA for Kids of East Texas.

Click icon to download Katie Heater's CV

Thea Patton, RCPhT, CPC

Thea is a Certified Professional Medical coder and a Registered Certified I.V. Pharmacy Technician.

She attended Brantley Draughon Business College and studied office business management for law and medical practices. Thea has over 20 years of coding and pharmacy experience most recently working for a large TPA (Third Party Administrator) reviewing varied medical records for accuracy of charges and indications of fraud, waste, or abuse for Medicare members.

She is also a member of the American Academy of Professional Coders and the Pharmacy Technician Certification Board.


© 2018 MacKenzie Life Care Planning