Chronic Care

Our Chronic Care based Shared Medical Appointments are designed to help patients dealing with medical conditions such as Depression, COPD, Hypertension, or Diabetes. Classes are designed to help you gain in-depth knowledge of your condition and to develop real life strategies for managing your care. In addition, our team will discuss the latest research on medication management and the newest treatments available to improve your quality of life.

All patients should first have an individual consultation with their Heritage Health Provider prior to scheduling an SMA.

For more information please call (208) 620-5250 or email us at:

Chronic Care Management

This six week series will address chronic disease and offer discussion and practical experiences in making lifestyle changes that positively impact health such as: Preventative Health, Cardiovascular/Smoking Cessation, Depression, Diabetes, Medication Management, and Pain Management. Additional facilitators include the Clinical Pharmacist.

1090 W. Park Place, Coeur d'Alene, ID. 83814

Erika Mikles, PA

Tuesdays: 1:00pm

6 Weeks


This five week course is dedicated to helping people at risk for or have COPD. These classes will provide information to help patients understand the severity of COPD and Emphysema and learn the treatments and medication to manage their lung problems. Additional facilitators include the Registered Dietitian and Clinical Pharmacist.

  1090 W. Park Place, Coeur d'Alene, ID. 83814

  Mike Szymanski, MSN, FNP

  Wednesdays: 1:30pm - 2:30pm

  5 Weeks

 740 McKinley Ave. Kellogg, ID. 83837

 Robert Lakko, DO

 Fridays: 1:00pm - 2:00pm

 5 Weeks

 925 E. Polston Ave. Post Falls, ID. 83854

 Nancy Hunter


 5 Weeks

Depression and Anxiety

This course is designed to help improve the outcomes of depression and anxiety by promoting enhancement strategies for lifestyle and behavioral changes.

 1765 W. Golf Course Rd, CDA, ID. 83815

 Gayle Smith, DO

 Thursdays: 11:00am - Noon

 8 Weeks

Shared Medical Appointments: