Health Services

​Providing Support, Advocacy, and High Value Health Care for Our Community

The Health Services Department is responsible for developing and implementing programs and activities of the Care Coordination, Utilization Management, Pharmacy, and Quality Improvement groups. The department operates under the direction of the Health Services Director and the Chief Medical Officer.

Health Education

The Health Education (HE) Services is a resource for assisting you in providing appropriate health education tips/materials for your members. Many are available in languages other than English.

Care Coordination

The objective of the Care Coordination group is to proactively invite members and their providers to participate in programs that will maximize positive health outcomes and satisfaction; educate providers about all case management programs with the latest protocols; and encourage providers to refer members to the appropriate programs.

​Pharmacy

The Pharmacy Department is responsible for formulary management and drug expenditure control.

​Quality Improvement

Improving quality and service to our members are strategic priorities of PHC. Our Quality Improvement Department supports these priorities by implementing activities and programs directed at the following goals by improving the health of the populations we serve

Click here to learn more about Quality

​Medical Directors

The Medical Directors of PHC are dedicated to the health of our members and the larger community. A majority of their time is spent on traditional Utilization Management (UM) activities; working with UM nurses to ensure inpatient care and other medical procedures where appropriate and working with the pharmacists and the pharmacy services team on authorizations for non-formulary medications.

 

Hospitalist Leadership Meeting with PHC Medical Directors

 

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Emergency Department Leadership Meeting with PHC Medical Directors

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News

March26
March 26, 2020

Liz Gibboney Joins California Health Care Foundation Board

​The California Health Care Foundation (CHCF) today announced the election of health plan CEO Elizabeth Gibboney to its board of directors.&...

Events

October20
October 20, 2020

Accelerated Learning Education Program: Academic Detailing Webinar: Improving Asthma Care and the HEDIS® Asthma Medication Ratio (AMR)

This learning session will cover the Healthcare Effectiveness and Data Information Set (HEDIS®) Asthma Medication Ratio measure...
October28
October 28, 2020

Board of Commissioners Meeting

​The Partnership HealthPlan of California is governed by a Board of Commissioners. The Board is comprised of locally elected officials, provider representatives, and patient a...
October28
October 28, 2020

Virtual ABCs of Quality Improvement: Office Hours

​Wednesday, October 28, 2020 - Noon to 1 p.m.*This is an optional session