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 Marshfield Clinic, Family Health Center Pursue PCMH Recognition Under New Standards

Editor's note: The following is an unedited article submitted by Eva Scheppa, R.N., Family Health Center clinical services manager. The article is about Marshfield Clinic and the Family Health Center receiving recognition for meeting Patient Centered Medical Home standards.

In 2014, Marshfield Clinic and Family Health Center of Marshfield, Inc. (FHC), primary care sites received National Committee for Quality Assurance Patient Centered Medical Home (PCMH) Level 3 recognition, according to 2011 Standards.

Patient-Centered Medical Home recognized practice badge

This is the highest achievable level and steps are now being taken to pursue recognition according to 2014 Standards prior to expiration in 2017, starting with the pilot sites of Stettin, Menomonie and Rice Lake centers.

Standards implemented through PCMH strongly support the journey towards meeting the Institute for Healthcare Improvement's Triple Aim to:

  • Improve the health of defined populations
  • Enhance the patient experience including quality, access and reliability
  • Reduce or at least control the per capita cost of care

Marshfield Clinic embraced the Triple Aim, introduced in 2007, seeing the value not only for patients but for sustainability of Marshfield Clinic in providing state-of-the-art care. The Triple Aim has been embedded within the mission of MCHS: To enrich lives through accessible, affordable compassionate health care.

PCMH encompasses these key functions and attributes supporting our efforts to align with the Triple Aim and realize our MCHS mission:

Comprehensive Care

Meeting the large majority of each patient's physical and mental health care needs, including prevention and wellness, acute care and chronic care. Providing comprehensive care requires a team of care providers.


Partnering with patients and their families which requires understanding and respecting each patient's unique needs, culture, values and preferences with the goal of patients learning to manage and organize their own care at the level they choose.

State of the Art Care chart

Coordinated Care

Coordinates care across all elements of the broader health care system, particularly critical during transitions between sites of care, like patients being discharged from the hospital.

Accessible Services

Accessible services with shorter waiting times for urgent needs; enhanced in-person hours; around-the-clock telephone or electronic access to a member of the care team; and alternative methods of communication like email and telephone care to be responsive to patient preferences regarding access.

Quality and Safety

Demonstrates a commitment to quality and quality improvement by ongoing engagement in activities like using evidence-based medicine and clinical decision-support tools to guide shared decision making with patients and families, engaging in performance measurement and improvement, measuring and responding to patient experiences and patient satisfaction and practicing population health management.

The goal to achieve the highest level of NCQA PCMH recognition is important in a value-based care environment. More important, PCMH is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into "what patients want it to be." 

The opportunity is to use PCMH as a guide to cultivate relationships between the patient, family and primary care team, in collaboration with specialists and community support structures.

As our organization prepares for PCMH submission, the hard work and dedication of our staff and providers in providing state of the art care throughout the system is recognized.