In 2016, all five NFP Community Health Center locations earned Level 3 Patient-Centered Medical Home (PCMH) designation/recognition from the National Committee for Quality Assurance (NCQA) by meeting standards for addressing patient needs by:

  • offering access after-hours and online so patients get care where and when they need it
  • getting to know our patients in long-term partnerships, rather than hurried, sporadic visits
  • making treatment decisions together with patients based on individual preferences, and helping patients become better engaged in their own healthy behaviors and healthcare
  • working as a team to coordinate care from other providers and community resources
  • maximizing efficiency to help avoid costly and preventable complications and emergencies by focusing on prevention and managing chronic conditions

Patient-Centered Medical Homes provide many benefits, including better quality care, patient experience, continuity, prevention and disease management. Studies also show lower costs from reduced emergency department visits and hospital admissions.


The positive impact of our PCMH model of care on improving the health of those with chronic conditions including hypertension (high blood pressure) and diabetes is significant. In fact, NFP outperforms other Federally Qualified Health Centers at both the state and national level specific to patients diagnosed with these conditions.

The graphic below illustrates the percentage of NFP patients diagnosed with hypertension and diabetes who, thanks to the care plan established between them and their NFP providers, have control over their blood pressure and/or blood sugar, keeping them within what is considered a normal or healthy range.