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CCM Certification began in May 1990 with a case management conference and a survey to determine interest and attitudes toward certification. As a result of this investigation, a case management country team met in Dallas on 27 May 1991. The minutes refer to the establishment of a steering committee comprising 30 professionals representing 29 healthcare industry stakeholders. The organisers envisage an entry level certificate to demonstrate basic education, experience and ability, backed up by examinations. People are most concerned about the various training and backgrounds of people who call themselves case managers; Ineptitude can damage a new profession and endanger the health of patients. The idea put forward is that case management professionals themselves, not regulators, should oversee the certification process. As a result of the Dallas meeting, the working group began researching and developing what would become the first CCM Certification.