Commitment to quality
Care we'd want for our own family.
Patient safety first
Evidence-based protocols, transparent reporting, and continuous learning from every adverse event — with root-cause review built into the workflow, not bolted on after the fact.
Partner with members
Patients and families help write the care plan. Goals are documented in the member's own words and revisited at every visit so care stays tied to what matters most.
Invest in our people
We hire, train, and retain talented clinicians, social workers, and Community Health Workers — paying competitively, capping caseloads, and protecting time for supervision and reflection.
Data drives improvement
We benchmark against top performers, publish internal metrics quarterly, and run rapid PDSA cycles when a measure drifts off target. No metric is for show.
Seamlessly coordinated
One shared record, one accountable Lead Care Manager, and warm handoffs across primary care, behavioral health, and community supports — so members never have to be their own messenger.
Equity and access
We measure outcomes by language, race, geography, and disability status — and act on the gaps. Removing barriers for under-served populations is a permanent priority, not a project.
Standards we hold ourselves to
Independently measured, openly reported.
Quality is more than an aspiration — it is a discipline. We align our programs with national standards, invite independent review, and share the results with our members, partners, and managed-care plans.
NCQA-aligned care management
Our Enhanced Care Management and Community Supports programs follow NCQA Population Health Management standards and California DHCS CalAIM specifications.
Continuous quality monitoring
A dedicated Quality Improvement Committee reviews HEDIS-aligned measures, member experience surveys, and grievance trends every month.
Independent audit ready
Annual third-party file audits, HIPAA risk assessments, and managed-care plan delegation reviews — with corrective action plans tracked to closure.
Results
Outcomes that prove it.
A snapshot of the most recent program year, drawn from claims data, member surveys, and our internal care-management platform.
32%
Fewer ED visits
vs. baseline, members enrolled 12+ months
28%
Fewer inpatient admissions
high-risk cohort, year-over-year
40%
Better medication adherence
chronic conditions, PDC ≥ 80%
94%
Member satisfaction
would recommend PHG to a friend or family member
< 48h
Outreach after referral
average time to first member contact
21
Languages supported
in-house staff and on-demand interpretation
What we measure
- Avoidable ED visits, readmissions, and inpatient days
- Chronic-condition control: A1C, blood pressure, depression (PHQ-9)
- Preventive screenings and immunization rates
- Member-reported goals achieved and quality-of-life scores
- Time to first contact, care-plan completion, and follow-through
How we improve
- Monthly QI Committee with clinical, operations, and member voice
- Rapid PDSA cycles when a measure drifts more than two points
- Case conferences for every high-acuity member, every 30 days
- Member and caregiver advisory council that shapes program design
- Open reporting of safety events with a just-culture framework
Data & technology
Built on a platform that listens.
Great care needs great signal. Our purpose-built care-management platform brings claims, clinical notes, social determinants, and member-reported goals into one record — so the Lead Care Manager already knows the story before the first call.
One unified record
Claims feeds, ADT alerts from hospitals, eligibility, assessments, and care-plan history live in a single longitudinal record per member.
Smart workflows
Risk stratification and rules-based prompts surface the right outreach, screening, or escalation at the right time — not buried in a worklist.
Mobile-first for the field
Community Health Workers document visits, capture consent, and request services from a phone or tablet — even offline in rural areas.
Privacy and security
HIPAA-compliant infrastructure, encryption in transit and at rest, role-based access, and annual third-party penetration testing.
100%
of visits documented in-platform within 24 hours
HL7 / FHIR
bi-directional exchange with managed-care plans
SOC 2 Type II
controls and HITRUST-aligned safeguards
"Quality isn't a department here — it's the way we show up for every member, every visit. If a measure isn't moving, we don't wait for a quarterly report. We change something on Monday."

