HRSA is providing increasing guidance on the importance of quality improvement

and the development of Organizational QI Plans. Candi brings with her years of
experience working with practices across the country along with practical
tools and templates for creating your organizational quality improvement plan.
You will learn how to incorporate national initiatives including Meaningful Use and
Patient- Centered Medical Home into your daily quality improvement work.

Save the Date

t e d!
L
i
im ay November 20th
e is Tod Capitol Plaza Montpelier, VT
p ac ster
S egi Registration and Breakfast at 8:30
R Workshop from 9-3 (lunch included)

Featuring:
Candace J. (Candi) Chitty, RN, MBA, CPHQ, LHRM
President, Quality First Healthcare Consulting, Inc
Ms. Chitty is a health care professional with over 26 years experience in the health
care industry. She is President and CEO of Quality First Healthcare Consulting, Inc.,
and COO of Quality First Management Solutions, Inc. Her primary consulting focus is
health care system integration and operational management consulting.

To register for this event please contact :

Patty Launer at plauner@bistatepca.org or 802-229-0002 x221
This training is supported by a grant from the Bureau of Primary Health Care, Health
Resources and Services Administration, DHHS (grant number H2LCS18157)
 Candace J. (Candi) Chitty, RN, MBA, CPHQ, LHRM
12625 NE 204th Terrace – Waldo, FL 32694
Phone: 352-468-1715 –Fax: 352-468-1741
Email: cjchitty@qfhc.com
www.Qfhc.com
www.Qfms.org

____________________________________________________________________________________________

SUMMARY

Health care professional with 24 years experience in the health care industry. Focus on health care system
integration and operational management consulting. Competent in delivering effective management consulting
across a broad range of health care organizations. Proven expertise in NCQA accreditation, project management,
outcome measurement design/evaluation, accreditation, utilization management, technical assistance, quality and
risk management, and chronic condition management. Driven to deliver sustained results. Ms. Chitty has a keen
sense of detail and possesses excellent skills in health care operations, data analytics, report writing,
communication, and problem solving.

YEARS OF EXPERIENCE:
Experience Years
Education and Training (consumer and health care professionals) 21 years
Operational Management 18 years
New Start Development 18 years
Care Management Business Model Development, Implementation, and Evaluation 16 years
Quality/Risk Management 12 years
Outcomes Based Performance Measurement 12 years
Medical Management (staff and management) 12 years
Health Care Access to the Underserved 10 years
Government Programs, Pilots and Demonstration Project Management 10 years
NCQA Accreditation, Certification, and Recognition Program Readiness and Survey Preparation 9 years
Software Design (care management, document management, credentialing, disease management) 8 years
Community Health (Federally Qualified Health Centers and grant-funded access programs) 8 years
Health Care System Redesign and Integration 8 years
Clinical Nursing (staff and management) 8 years

PROFESSIONAL ACCOMPLISHMENTS:

Program Development: Emergency Department Transition Program to Primary Care Medical Home –
Project Management advisory consultant for a state funded pilot program to develop, implement, and demonstrate
a successful business model to transition individuals seeking treatment through the emergency room for non-
emergent care to a primary care medical home. Pilot period ended June 30, 2010.

Integrated Community Health System Care Management/ Information Technology

Implementation – Successful implementation of a community based collaborative project that integrated
safety net providers (3 hospitals, 1 Federally Qualified Healthcare Center, 3 faith-based clinics, a dental
clinic, a public health department and a behavioral health provider) through community linkages using a
web-based referral and communication tool for the purpose of increasing access to appropriate care and
services at the right time and at the right level and reducing utilization of the ED for non-emergent care.

Key successes include:

 Uncompensated Care Emergency Department (ED) utilization savings due to decreases in ED
utilization: $794,389.82 (2 safety net hospitals)
 Medicaid Net Revenue Recovery: $299,573.34
 Conversion of Bad Debt to Charity Care: $2,096,476.06
 $2.06 financial return for every $1.00 invested in the pilot program
 6% reduction in depressive symptoms among individuals diagnosed with depressive disorder as
evidenced by a decrease of baseline PHQ-9 score by at least 50%.
 Statistically significant improvements documented in mental health SF-12 Quality of Life scores.

Health Care Delivery Program Development – Experience includes collaborative development and
implementation of a one-year volunteer pilot health care delivery system (2002) for the low-income
uninsured population in a large urban community. Implemented a quality management, utilization and
care management program including policy and procedure development, use of a health risk assessment
model for identification of high risk members, developed comprehensive needs assessment for care
management risk stratification, and worked with information technology vendor as a development partner
to develop a web-based care management/disease management module.

Evaluation/Technical Assistance: Federally Funded Grantee Programs – Successful in meeting the

expectations of federal funded health care program grantees in the areas of program compliance and
technical assistance including direct evaluation, care delivery system assessment an redesign, chronic
care management, quality management and risk management services and/or coaching/mentoring in the
development of patient centered medical home model.

Accreditation –Managed Care - Project Management throughout the accreditation process including
gap analysis, implementation and oversight of interdepartmental action plans, facilitating member
satisfaction system-wide analysis workshops, and facilitation of company-wide team work in survey
preparation processes. Results: All receiving the highest accreditation status achievable. Contracted with
NCQA as surveyor for health plan accreditation and Patient-Centered Medical Home in 2009.

Utilization Management, Care Management, Risk Management, and Quality Management

Program Development - that meet regulatory and accrediting standards for hospitals, physician
practices, managed care organizations, management service organizations, community health centers,
and other community access programs. Specializes in start-up projects. Consulting scope of services
includes policies and procedure development and review, development of risk management plans, risk
compliance reviews, care management business models and operation management, performance
management, work flow analysis, RFI/RFP facilitation in purchase of management software (EMR,
EHR, UM, CM software applications), and HIT implementation project management.

Workflow Process and Outcome Measurement Design - for improving and monitoring the
effectiveness of chronic condition health management programs to numerous health care organizations.
Utilizes nationally recognized data collection methodologies that are most applicable to the client
organization (e.g., HEDIS, Agency for Healthcare Research and Quality (AHRQ), National Quality
Forum (NQF) etc.)

Software Development - Design of workflow and decisions support software applications for three (3)
software vendors. Designs included a weighted Health Risk Assessment, chronic condition management,
case management, and utilization management. In 2008 – 2010 designed and tested its software as a
solution (SaaS) product. The product, PolicyPlus™ is document management software designed for
community health center utilization to manage policies, procedures, forms, and provider credentials.

College Course Curriculum Development of an online course curriculum for an Advanced Technical
Certificate in Case Management.

Interim Management Services: 8 years experience assuming roles and responsibilities in the following
positions: Manager of Utilization/Quality, Regional Manager of Quality, and Director of Quality and Risk
Management. Competencies include but are not limited to management of both clinical and non-clinical
staff; budget planning; regulatory and accreditation compliance; customer service monitoring;
interdepartmental liaison for quality, utilization and risk activities.

PRESENTATIONS
 Implementing a Systematic Approach to Quality – Florida Association of Community Health Centers.
2009
 What’s the Buzz in Healthcare? Transformative Practice Design and Virtual Health Homes- A
Winning Combination – DataFutures, Inc. User’s Group Meeting, 2009
 The Story Behind the Story- Value of Demonstrating Outcomes Based on Scientific Methods –
Ascension Health, 2004
 The Logic Model, Healthy Community Access Program. 2004.
 Integrating Quality Management into Evaluation: Measuring over Time, Health Resources and
Services Administration. 2003.
 Improving the Quality of Health Care for the Low Income Uninsured in Duval County. North Florida
Association for Healthcare Quality. 2003.
 Presentations to professional and business organizations on such topics as the use of
chemotherapeutic agents, stem cell transplantation, health promotion – reducing cancer risks, health
care reform, health care access for the uninsured. 1992 - 2003.

PUBLICATIONS
 Are you are Transformer? Insights into Transforming Healthcare Collaboratives into Successful
Integrated Community Healthcare Systems. White Paper. 2007
 Disease Management Association of America – Disease Management Data Dictionary. 2004 (One of
a team of authors)
 Patient Reference Manual for Stem Cell Transplantation, Baptist Medical Center. Used for training
of personnel, practitioners, transplant candidates, and family members. 1994.
 Self-learning Program for Infusion Devices, Home Nutritional Services 1992.

WORK HISTORY
2001 - Present Quality First Healthcare Consulting, Inc. President
1999 - 2001 AmeriHealth of Florida, Inc. Regional Manager, Quality/Risk
1998 - 1999 HealthPlan Southeast Director, Quality and Risk Management
1996 - 1998 North American Medical Management Manager, Case Management/UM
1994 - 1996 Prudential Healthcare, Inc. Patient Care Coordinator/Case Manager
1992 - 1994 Baptist Medical Center Program Coordinator, Stem Cell
1990 - 1992 Home Nutritional Services, Inc. Supervisor of Clinical Practice
1986 - 1989 Baptist Medical Center Staff Nurse (1986 - 1989)
Patient Educator (1989)
EDUCATION
Masters in Business Administration – Health Care Management, 2002.
Bachelor of Science in Nursing, 1989.
Associate of Science in Nursing, 1985.

ASSOCIATIONS
American Evaluators Association
Case Management Society of America
National Committee for Quality Assurance – Surveyor (Health Plan, CVO, and Patient Centered Medical
Home)
Patient Centered Primary Care Collaborative
National Association of Community Health Centers
Communities Joined in Action
Disease Management Association of America – Member, Quality and Research Committee 2005
Florida Association of Healthcare Quality – Board of Directors, 2005-2006
North Florida Association of Case Managers
North Florida Association of Healthcare Quality

CURRENT CERTIFICATIONS & LICENSURES

Registered Nurse - State of Florida - RN1698412 - Expires: April 30, 2012
Certified Professional in Healthcare Quality (CPHQ) - Cert. # 9086 - Expires: December 31, 2011
Licensed Health Care Risk Manager (LHRM) - State of Florida - License # 5502491 - Expires: December
31, 2011

References available upon request