Support for linked individual care plans across multiple care providers

A computer implemented method of generating and managing individual care plans across multiple care providers for an individual, the method comprising:

• generating, within the memory of a first computer using an assessment generator module comprising code executing in a processor of the first computer, a individual assessment data object having a plurality of health metric data values relating to the individual;
• transmitting, with the first computer, the individual assessment data object to a second computer over a communications network;
• extrapolating, to a first array within the memory of the second computer using a goal identifier module, at least one individual care plan based on the health metric data values associated with the individual assessment data object wherein the extrapolation includes correlating at least one health metric data value to at least one personal outcome goal stored in a database and storing each correlated personal outcome goal as a unique element in a first array;
• generating, within the memory of the second computer using a care plan generator module comprising code executing in a processor of the second computer, for each element in the first array, a goal directed care plan (GDCP) by combining each personal outcome goal in the first array with a plurality of care variables into a GDCP data object, wherein each care variable of the GDCP has a defined set of possible values and at least one of the plurality of care variables represents a care provider to provide care to the individual and at least one other care variable represents either the amount of time or service activities needed to achieve the personal outcome goal;
• accessing, by the second computer, a database of existing GDCP data objects;
• comparing, using an efficacy module comprising code executing in the processor of the second computer, the personal outcome goal of the newly generated GDCPs and the personal outcome goals of the existing GDCP data objects and automatically selecting an initial value for at least one care variable value data feature of the newly generated GDCP data object based on the comparison;
• transmitting the newly generated GDCP data objects over a communications network to at least one service provider computer located at a care provider facility;
• collecting contemporaneous data on individual utilization of the care provider services;
• periodically transmitting the collected data back to the second computer;
• updating the newly generated GDCP data object based on the collected data using an update module comprising code executing in the processor of the second computer;
• and
• transmitting, with a computing device, the updated GDCP data object back to the service provider computer.