Medical Home

Froedtert & the Medical College of Wisconsin health centers and clinics are dedicated to improving overall health and wellness. Many of our clinics are nationally recognized under the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home Recognition Programs.

To identify these locations, look for the NCQA seal under the individual clinic location information.

Wisconsin Woman magazine featured the story of a woman who lost more than 100 pounds thanks to our patient-centered Medical Home model.

Read the article.

A New Delivery of Care

The purpose of the Medical Home is to build a lifelong relationship with your primary care provider and care team. Together we make shared medical decisions and provide you with resources, education and support to reach your optimal health. We leverage the use of technology to coordinate your care and provide additional means of communication.  We are here to help you navigate the sometimes complex world of healthcare and strive to be your “medical home”; the place you always come back to for your medical needs.

The Medical Home is a model for delivering health care that addresses each patient's full range of health and wellness during all stages of their life. We believe this is an exciting opportunity to transform the health of our community with a more patient-centered, proactive and evidence-based approach.

Team Approach

The Medical Home uses a team approach that will help you better understand and manage your treatment plan, medications, chronic conditions, necessary screenings, or any special concerns.

The cornerstone of the Medical Home is the relationship between a patient and his or her primary care physician. The physician leads a care team consisting of nurses, receptionists and a registered nurse care coordinator. Together with the patient, the care team sets health goals based upon the patient’s values and priorities, discuss how to achieve those goals, develop a care plan, and answer questions. 

This relationship aids in disease prevention, early detection and management – strategies that are proven to reduce health care costs for patients and improve health and quality of life. 

In the patient-centered medical home model, patients take an active role in their care. Our health care teams coordinate both preventive and post-illness patient care, screening tests and immunizations, follow-up visits, post hospital discharge management and manage many chronic illnesses such as hypertension, heart failure and diabetes. 

Treating You Through All Stages of Life

Medical Home Coordination

The Medical Home treats you through all stages of life - both acute and chronic. With the new Medical Home there is an increased emphasis on you and your needs by focusing on:

  • Greater access
  • Patient education
  • Self-management of chronic health conditions
  • Goal setting
  • Prevention
  • Use of evidence-based guidelines for care

Whether you come in for an urgent/same day illness, a check up or ongoing care, your team will proactively address all of your health and wellness concerns at that appointment. That may include scheduling any needed testing a few days prior to your appointment so we can discuss the results and treatment options together. If you are overdue for any testing, screenings or preventive care, you may also receive a letter or phone call that will remind you to schedule those services.

Three Key Medical Home Concepts

The Medical Home approach is proven to strengthen primary care because of its focus on:

Enhancing your Patient Care Experience

The Medical Home treats your complete needs versus the traditional approach of treating a single symptom at your visit. Care teams offer an increased emphasis on patient centeredness by making it easier for you to access services when you need them, providing more patient education to help you manage your health, setting treatment goals, focusing on prevention and using evidence based guidelines for all aspects of your care.

Improving the Health of our Community

The ultimate goal of the patient centered Medical Home is to improve the overall health status of our patients and our community. The use of electronic medical records by our care teams allows us to coordinate care and manage groups of patients dependent upon chronic conditions. This technology also helps identify the need for follow-up care, the need for additional help with treatment plans or the need for important wellness screenings that may be overdue.

Improving Outcomes and Efficiency

The added support from the care team, electronic records and the use of standardized work flows that incorporate proven best practices from the industry have been shown to improve quality, outcomes, patient satisfaction and patient involvement. Prevention, early detection and disease management are proven not only to reduce health care costs for patients, but more importantly improve health and quality of life.

A pillar of the medical home is an enhanced focus on listening to the voice of the patient and providing tools that improve patient care. The care team uses data obtained from quality scores and feedback from patient experience surveys to improve the care you receive. In addition, they are dedicated to providing cost effective care (i.e. prescribing generic medications).


For primary care:

  • 414-805-3666
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