About PMG

 

Physicians Medical Group of Santa Cruz County (PMG) seeks to provide you with the best care possible through a network of physicians dedicated to clinical excellence and teamwork.

Our convenient locations provide PMG patients with the benefits of personal care characteristic of small, private medical practices, without foregoing the benefits of a large physician network.

The advantages of choosing Physicians Medical Group of Santa Cruz County

 

  • The most Primary Care Physicians and Specialists in Santa Cruz County
  • Offices throughout Santa Cruz County
  • The most health plan affiliations
  • Free or discounted, selected health education classes through PEP, the Personal Enrichment Program of Dominican Santa Cruz Hospital.
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    Physicians Medical Group of Santa Cruz County bases authorization decisions on the member's health plan benefits and appropriateness of care. Denial decisions are not rewarded. Decision makers are not encouraged by financial incentives to make decisions to result in lower usage of services. PMG staff and network physicians involved in authorization decision making sign an annual formal attestation affirming that PMG does not offer incentives to encourage inappropriate use of services.


    PMG, as a county-wide, community-sensitive, multi-specialty, neighborhood-based, integrated health care delivery system, provides quality health services in accordance with the following guiding principles:

     

    1. Quality of care is our top priority.
    2. Health services include education and prevention as well as care of acute and chronic illness.
    3. Prevention is as important as diagnosis and treatment.
    4. Continuity of care is a priority.
    5. Providers collaboratively develop standards of care.
    6. Health care delivery will be physician-directed.
    7. Quality evaluation will include clinical outcome measures, patient satisfaction,   peer review and measures of cost effectiveness.
     

    PMG Board of Directors
     

    1.  Dean Kashino, MD - President
    2.  Arthur Dover, MD- Vice President
    3.  David Resneck-Sannes, MD - Secretary
    4.  Satish Chandra, MD - Treasurer
    5.  William Hopkins, MD - Member
    6.  Aaron Morse, MD - Member
    7.  Mark Rosen, MD - Member
    8.  Stuart Mumm, MD- Member
    9.  Robert Weber, MD- Member

     

    PMG Committees

     

    Patient Care Committee

    The purpose of the Patient Care Committee is to identify the most appropriate, cost effective method of providing quality patient care.  It's oversight includes all Utilization Management activities including reviewing guidelines, UM Policies & Procedures, pathways for patient treatment, and ensuring all services provided by providers meet PMG's standard of care.  Click here for full charter description.
     

    Patient Care Committee Chair
    Aaron Morse, MD - North County Specialist

     

     Quality Improvement Committee

    The purpose of the Quality Improvement Committee is to objectively and systematically monitor and evaluate quality of care and services, identify opportunities for improvement, recommend, implement, and monitor changes to validate quality of care.  The three main responsibilities of this committee include Credentialing and Recredentialing of new providers, Quality Assurance, and Systematic Quality Improvement.  Click here for full charter description.

     

    Quality Improvement Committee Chair
    David Resneck-Sannes, MD - North County Primary Care Physician

     

    Technology Committee

    The purpose of the Technology Committee is to identify and make recommendations to the Board regarding technologies and services designed to improve the clinical, financial and operational aspects of PMG and PMG member offices.  Click here for full charter description.

     

    Technology Committee Chair
    Robert Weber, MD - South County Primary Care Physician


    Finance Committee

    The purpose of the Finance Committee is to make recommendations to PMG Board concerning acceptance, rejection, or modification of all contracts.  Monitor reimbursement and financial and budget performance of all PMG providers.
    Click here for full charter description.
     

    Finance Committee Chair
    Arthur Dover, MD - South County Pediatrician

     

    Member Rights and Responsibilities

     

    Member Rights

  • Members have a right to receive information about PMG, its services, its practitioners and providers, and member’s rights and responsibilities.
  • Members have a right to be treated with respect, consideration and dignity and in a way that protects their privacy.

  • Members have a right to participate in the decision-making process involving their health care.

  • Members have a right to a candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage.

  • Members have a right to voice complaints or appeals about PMG or the care provided.

  • Members have a right to make recommendations regarding PMG’s Member’s right and responsibilities policies.    

      
  • Member Responsibilities

  • Members have a responsibility to provide, to the extent possible, information that PMG and its practitioners/providers need in order to provide care.
  • Members have a responsibility to follow the plans and instructions for care that they have agreed on with their practitioners.
  • Members have a responsibility to understand their health problems and participate in developing mutually agreed upon treatment goals.
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    Laboratory Services

    PMG ‘s laboratory provider is Quest. You will need a form from your doctor stating the laboratory test being requested.

     

    Emergency Services

    In a life-threatening situation, call 911 or go to the nearest emergency hospital, and call your doctor as soon afterwards as possible. Otherwise, call your primary care physician, and your doctor will advise you on the appropriate course of action.

     

    Contacting PMG

    Call PMG at (831) 465-7800 or our toll free number at (866) 875-3773, for additional information. We will be pleased to help answer your questions regarding:

     

  • List of PMG Providers
  • Selecting a doctor
  • How to obtain services
  • Complaints or appeals process
  • Utilization management criteria, UM issues, and the UM process
     

     

     

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