Quality Controls

Proxsys is committed to providing its customers with the highest level of service. To demonstrate this commitment Proxsys has structured its customer support functions into client-focused teams. This ensures each customer is supplied with a central point of reference for assistance or account information. Each client-focused team is accountable for the outcome and communication for each referral. This process is monitored rigorously though a series of internal audits, on-going reporting, complaint investigation and customer satisfaction surveys.

Proxsys is firmly committed to conducting its business in an honest and ethical manner, and stands firm in the belief that sincerity and integrity should guide all of our actions. To this end an extensive Quality Improvement (QI) Program has been implemented. The goal of the QI Program is to objectively and systematically monitor and evaluate the quality of services provided by Proxsys with emphasis on continued quality improvement and the identification and resolution of problems. Feedback to providers and administration is provided when opportunities for improvement are found.

Specific objectives of the QI Program include:

  1. To foster a system of effective, timely communication throughout the health care delivery system. Effective communication among appropriate individuals and appropriate channels assures consistency and accurate information.
  2. To meet or exceed state and federal, including HIPPA regulations regarding Quality Improvement and confidentiality of medical records
  3. To achieve optimal levels of patient and provider satisfaction, and implement changes as indicated to maintain optimal levels of satisfaction.
  4. To determine the cause and effect of identified problems and to seek solutions through the Plan / Do / Check / Act (PDCA) quality model.
  5. To design follow-up procedures to ensure prompt implementation of recommendations to resolve potential and actual service issues if any are identified.

Confidential Information

Employees and agents Proxsys will maintain the confidentiality of records, documents and business practices. Every employee is required to execute a confidentiality statement and said executed confidentiality statement will become a part of the employee personnel file. Confidential information includes, but is not limited to, personnel data, member and provider lists, member and provider services, cost and pricing data, marketing strategies, financial data, supplier and subcontractor information, and proprietary computer software.

Security and Privacy

Proxsys specifically agrees to adhere to the Standards of Privacy of Individually Identifiable Health Information published by the US Department of Health and Human Services Offices for Civil Rights (CRF 45 Parts 160 and 164). Proxsys is committed to providing the highest data security and integrity standards in its operating system. Its operations meet or exceed those required under HIPAA regulations. These standards include full 132-bit data encryption, as well as audit trails and logs for all transactions that access patient-level data on all Internet-based services. Protected Health Information (PHI) shall only be used for Treatment, Payment or Healthcare Operations. Proxsys enters into Business Associate agreements with all "covered entities".