Recognizing opportunities to advance healthcare delivery
Elizabeth (Cissy) Kraft
MD MHS FAAFP
Physician Executive
Innovate – Lead - Collaborate
Execute - Deliver
SKILLS
Bed Day Management | Cost of Care Planning | Quality Improvement | Care Management Optimization
Provide clinical leadership in integration of quality and medical expense variance programs. Support employed and affiliated practices with risk management and risk readiness. Execute on operational infrastructure programs and transitions to value based care programs under the umbrella of a CIN. Develop team-based evidence-based clinical guidelines. Maintain regulatory, and accreditation quality compliance. Disseminate CME Medicare AWV training. Socialize care management programs.
Bed Day Management
Reversed unfavorable utilization trends with disciplined clinical team approach and medical management strategies.
- Achieved net 6% turnaround in admissions per thousand from 2.7 to -3.5% trend and net 14.6% days per thousand improved trend from 6.2 to -8.4% across all business lines.
Reduced inpatient medical expense 4.9% and ensured patient safety across healthcare delivery settings by directing comprehensive, well-aligned medical management strategy for commercial markets
Cost of Care Strategies
Reduced inpatient medical expense and ensured patient safety across healthcare delivery settings by directing comprehensive, well-aligned medical management strategy for commercial markets.
Leverage technologies to reduce readmissions for at risk patients with Remote Patient Monitoring (RPM) and in-home hospitalization.
Diversion of ER admissions and bounce back with safe transitions, care manager outreach within 48 hours and tracking patient reasons for seeking ER care.
Collaboration Across Matrix Partners
Translated complex clinical insights for nonclinical matrix partners and clients through medical interpretation and expertise, COVID-19 leadership huddles, and client presentations, providing clinical practice advice.
Participate in partner health plan JOCs and work teams.
Serve as CMO liaison for regional employee health plan in appeals, program operation and pharmacy management.
Quality Improvement
Experienced NCQA surveyor and PCMH recognition program reviewer.
Care Management Optimization
Work closely with Care Management teams to provide transitions support, guidance and resource management. Standardization and inclusion of SDoH queries and matching resources in electronic health record intake.
Develop team-based evidence-based clinical guidelines.