With your help, Lima Memorial will establish a comprehensive Chronic Disease Management Program with a multidisciplinary team approach to build a network of care around patients with chronic conditions and ultimately improve their quality of life. Learn why three medical practitioners who care for patients with chronic diseases believe bringing this coordinated care to their patients is so critical.

“Establishing a Chronic Disease Management Program will positively impact so many people in our community. When a patient is experiencing multiple issues, each issue is treated separately, and it can be hard to determine what to focus on. This program will allow us to bring an exceptional level of wraparound support to the patient.”

Dr. Susan Kaufman
Lima Memorial Primary Care Provider
Lima Memorial’s Medical Staff Past President

Meet Members of Our Network Of Care

“Many of my patients have multiple other chronic conditions in addition to their heart disease and often report being so overwhelmed with the silo-like healthcare system. Our chronic disease management program will provide patients guided access to the care needed to manage their conditions. This will allow patients to live their best life without being overwhelmed and overburdened.”

Jamie Verhoff, Certified Nurse Practitioner
Congestive Heart Failure Clinic Coordinator

“A large portion of my patients experience some level of food insecurity. And, my patients cannot heal unless they have proper nutrition. A comprehensive Chronic Disease Management Program will put processes in place to ensure patients have the resources needed to support their nutritional needs, significantly contributing to their overall improved quality of life.”

Paige Wagner, MPH, RDN, LD
Outpatient Oncology / Cardiology Dietitian

Existing Programs

Phase I

Current Disease States

  • Congestive Heart Failure

  • Diabetes

  • Diabetic Self Management Training

  • Anticoagulation

New Programs

Phase II

New Model Therapies & Programs

  • Hyperlipidemia

  • COPD/Asthma

  • Palliative Care

  • Smoking Cessation

  • Weight Management

  • Hypertension

  • Medical Nutrition Therapy

  • Fall Risk Reduction

  • Medication Therapy Review

Chronic Disease Management Services

  • Comprehensive, individualized care plans

  • Interactive remote communication

  • Remote monitoring and management

  • Coordination among providers

  • Medication management

  • Nutrition counseling

  • Education

  • Mental health support and services

  • Social services support

  • Financial counseling

  • Palliative care

  • Hospice

One System

We will unite as one system to consistently provide exceptional patient experiences and outcomes.

Population Health

We will transform our healthcare delivery platform to foster healthier communities.

Extend Reach

We will grow our network and services to provide needed care and resources to support patients with multiple chronic conditions.

The first phase of establishing Lima Memorial’s comprehensive Chronic Disease Management Program will be to centralize our current programs and integrate them with the chronic disease management services listed below.

As we progress, we will continue to add new therapies and programs to best serve our patients.