About QFMS

Quality First Management Solutions, Inc. (QFMS) provides an online policy, procedure, credentialing and quality management solution to help Medicaid and Medicare programs, physician practices, Federally Qualified Health Centers (FQHC), and other healthcare organizations to access and manage their documents, credentials, and QM/QI from one convenient online database.

We had a quality team meeting last week with the membership and PolicyPLUS was discussed. All agreed what a wonderful product it is, and also complemented the staff that is working them in implementation. I can't thank you enough for the work you have done with our members over the last year, and they are also very appreciative.

Jennifer W. NeSmith, MBA
CEO, Kentucky Health Center Network

PolicyPLUS™ delivers simple and cost effective online solutions to your Policy, Procedure, Credentialing and Quality Management needs.


To exceed the client's expectations by providing outstanding customer service through ethical, and cost effective consulting services individually tailored to achieve the best results possible, and cost effective solutions for document and compliance management.


QFMS focuses on cost effective solutions and sustainable results.  We believe the right technology applied appropriately can provide those solutions and results.  Strong client relationships are essential in accomplishing these goals.  We believe this management approach of sharing information and experience through education, training, coaching, and mentoring is conducive to client satisfaction and acheiving effective results-oriented outcomes.  We also believe that this method yields benefits that sustain results over time.  QFMS is committed to providing the best possible service.


Randy ChittyRandal F. (Randy) Chitty is President, CEO, and co-founder of Quality First Management Solutions, Inc. (QFMS), and Vice President, COO, and co-founder of Quality First Healthcare Consulting, Inc. (QFHC).  Mr. Chitty is a versatile, results oriented executive with over 30 years of hands-on experience with Fortune 500 companies.

Mr. Chitty holds a Bachelors' degree in Finance from the University of South Florida's College of Business Administration.  Mr. Chitty was instrumental in the development, internal growth, and success of a company in the energy sector that recently sold for $1billion.  He has demonstrated the ability to listen to the client, zero in on their needs, and develop effective and affordable solutions that meet their goals and budget.  His ability to build trust and respect, and deliver outstanding solutions for each client is the hallmark of QFMS.

Candi ChittyCandace J. (Candi) Chitty, RN, MBA, CPHQ, PCMH-CCE, is Vice President and COO of Quality First Management Solutions (QFMS), and President and CEO of Quality First Healthcare Consulting (QFHC).  Candi has been in the healthcare industry for over 26 years.  Ms. Chitty holds a MBA degree in Health Care Management, a Bachelors’ degree in Nursing, a National Certification in Healthcare Quality, and is a licensed Healthcare Risk Manager.

Ms. Chitty is an active member of the National Association of Community Health Centers (NACHC), the Case Management Society of America, (CMSA), Medical Group Managment Association (MGMA) and the Patient-Centered Primary Care Collaborative (PCPCC).  She is an independent NCQA surveyor for NCQA’s Health Plan Accreditation, Patient-Centered Medical Home, and Credentialing Vendor Organization products.  Candace is a NCQA PCMH Certified Content Expert (PCMH-CCE).

Candace's software development experience includes design of workflow and decision support software applications for numerous software vendors.  Designs included weighted Health Risk Assessments and Health Impact Assessments, chronic condition management, case management, and utilization management rules-based decision support applications.

Erin VarelaErin Varela, MHS, OTR/L, PCMH-CCE, is a PolicyPLUS Senior Account Manager that brings over 13 years of experience in healthcare to QFMS. Mrs. Varela received her Master's degree in occupational therapy from the University of Florida in 2001.

Mrs. Varela has primarily worked in skilled nursing facilities and continuing care retirement communities providing direct patient care as well as managing large therapy departments.

Mrs. Varela has served as a consultant to FQHCs, assisted living facilities, and retirement communities. She is familiar with healthcare IT systems including ROX, AOD, Centricity, Point Click Care, and PolicyPLUS. Mrs. Varela has worked as a consultant for several primary care organizations assisting with PCMH recognition. She has also has experience with project management for successful implementation of PolicyPLUS. As an occupational therapist, Mrs. Varela has advanced knowledge of American Disabilities Act (ADA) guidelines for creating a medical office space that accommodates persons with disabilities, as well as optimal patient flow maximizing patient-centered team based care.

Erin is a NCQA PCMH Certified Content Expert (PCMH-CCE) and a contracted reviewer for NCQA.

Bonni Van Bonni Van, RN, MBA, PCMH CCE, is a Senior Associate Consultant at QFHC. She brings over 20 years’ experience to our healthcare industry. Ms. Van holds a Master’s Degree in Business Administration in Health Care Management, and a Bachelors’ degree in Nursing

Ms. Van is a PCMH reviewer with NCQA and held positions with health plans, pharmaceutical sales organizations, technology firms, online faculty, home health, and hospice. She is highly experienced in the areas of Care Management, Disease Management, quality improvement, medical record review, strategic operations including start-up expertise, governance, team building, and facilitation. Her consulting experience includes market research, policy & procedure development, time & work analysis, medical record auditing, case management curriculum design, care management design & implementation, and PCMH survey readiness. She enjoys working with primary care providers to improve work flow and overall efficiency. Her recent efforts have been directed at the PCMH Model of care and assisting health centers with OSV survey preparation.

Bonni is a NCQA PCMH Certified Content Expert (PCMH-CCE) and a contracted PCMH reviewer for NCQA.

Amber SappAmber Sapp, Account Manager, brings over 14 years of experience in the healthcare industry to the QFMS family. What began as volunteering in a predominant Emergency Department in Gainesville, FL became a career in healthcare. In solidifying her passion in medicine and community health Amber completed her Bachelor Degree at the University of Florida in Food Science and Human Nutrition with a specialization in Dietetics and Community Education. As a medical assistant at Gainesville Pediatric Associates in Gainesville FL she began building career strengthening relationships with physicians, specialist, and patients. After 5 years as a medical assistant and phone triage nurse at GPA, the following 3 years were spent as their referral specialist, and special projects coordinator. She has also has experience with project management for successful implementation of PolicyPLUS. Amber enjoys providing support for her clients and making their experience with PolicyPLUS a pleasant and successful one.

Senthil RamiahSenthil Ramiah, CEO, Aileron Consulting, LLC, leads the Aileron team that provides software design, support, & maintenance for PolicyPLUS. Aileron Consulting, LLC, is a Management and Technology consulting firm based in Arlington, VA. Mr. Ramiah is a seasoned IT leader with a strong management and technical background. Senthil has consistently and successfully delivered solutions to solve business IT and software design challenges. Senthil has extensive experience in the field of Healthcare applications including EHR, Medicaid systems, Disease Management, Case Management, Utilization Management, Behavioral Health, OSHA, HL7 and others. Senthil holds a Master’s degree in Computer Science from the University of Pennsylvania.

Request a Live Demonstration