Elizabeth Leary DNP RN CPHQ CCM

Executive Director - Population Health at Stanford Medicine Partners
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Contact Information
us****@****om
(386) 825-5501
Location
Newark, US

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Experience

    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Executive Director - Population Health
      • Jan 2022 - 2 years

      Newark, California, United States Executive oversight of Stanford Medicine Partners quality improvement and population health initiatives, as well as oversight of multiple clinical programs including, complex care management, transitions of care, chronic disease management and risk adjustment programs for Stanford Medicine Partners managed care populations. * Stanford ACO Quality Improvement and Assurance Officer for the Medicare Shared Savings Program (MSSP). * Developed Value-Based Care Strategic Initiatives for… Show more Executive oversight of Stanford Medicine Partners quality improvement and population health initiatives, as well as oversight of multiple clinical programs including, complex care management, transitions of care, chronic disease management and risk adjustment programs for Stanford Medicine Partners managed care populations. * Stanford ACO Quality Improvement and Assurance Officer for the Medicare Shared Savings Program (MSSP). * Developed Value-Based Care Strategic Initiatives for Commercial, MSSP and Medicare Advantage Populations in Collaboration with Physician Leadership. * Responsible for Quality Improvement and HEDIS Measure Performance for Stanford Managed Care Populations. Key achievements include: * Fifteen percent across the board improvement in Stanford quality performance metrics across managed care populations including Medicare star ratings from 2021 to 2023. * Twenty-eight percent reduction in PMPM costs for Medicare Shared Savings patients, generating $18 million in annual revenues. * Reduced the MSSP hospital discharge 30-day readmission rate by two percent through care management program interventions. * Doubled the number of controlled diabetic and hypertensive patients through pharmacy program interventions. * Tripled the number of annual wellness visits for Medicare patients in the risk adjustment program. * Constructed SMP's Health Equity Executive Dashboard to identify and address potential health disparities in managed care populations. * Improved results for the IHA AMP Audit for the Affinity Medical Group. Show less

    • United States
    • Higher Education
    • 700 & Above Employee
    • President - Yale Club of Silicon Valley
      • Sep 2020 - 3 years 4 months

      Palo Alto, California, United States Primary contact for Yale University alumni relations in the San Francisco Bay Area as well as collaborative relationships with Harvard, Stanford and other alumni clubs in the Silicon Valley region. Organized key events such as: * VC Special Event: Future of AI discussion with Yale Alumni venture capitalists Ann Miura-Ko, Roger Lee and Laura Yao. * Innovation and Entrepreneurship at Yale - featuring Josh Geballe - Managing Partner at Yale Ventures. * Yale's "Naughty or Nice… Show more Primary contact for Yale University alumni relations in the San Francisco Bay Area as well as collaborative relationships with Harvard, Stanford and other alumni clubs in the Silicon Valley region. Organized key events such as: * VC Special Event: Future of AI discussion with Yale Alumni venture capitalists Ann Miura-Ko, Roger Lee and Laura Yao. * Innovation and Entrepreneurship at Yale - featuring Josh Geballe - Managing Partner at Yale Ventures. * Yale's "Naughty or Nice List" - How the Yale School of Management is Tracking Companies that Continue To Do Business in Russia and Its Impact on the Ukrainian Crisis * Masters of Scale: An Evening with Silicon Valley Legend and LinkedIn Co-Founder Reid Hoffman * An Evening with David Sze of Greylock Partners: Early investor in Facebook, LinkedIn, Roblox, Discord, Medium, Pandora, among others. * Anti-Asian Hate Crimes: Santa Clara County District Attorney Jeff Rosen Answers Your Questions * Venture Capital Trends in a Post-Covid World: Joint Harvard and Yale Club of Silicon Valley Event Show less

    • United States
    • Medical Practices
    • 700 & Above Employee
    • Executive Director - Integrated Care Management
      • Aug 2018 - Jan 2022

      Sunnyvale, CA Administered multiple population health and care management services for 500,000 Sutter Health value-based patients throughout the San Francisco Bay Area. Generated $21 million in annual revenue through value-based population health care management initiatives and partnerships. Oversight of multi-disciplinary care teams including complex care nurses, licensed clinical social workers, advanced practice pharmacists and care coordinators to improve Sutter patient outcomes from Santa Rosa to Santa… Show more Administered multiple population health and care management services for 500,000 Sutter Health value-based patients throughout the San Francisco Bay Area. Generated $21 million in annual revenue through value-based population health care management initiatives and partnerships. Oversight of multi-disciplinary care teams including complex care nurses, licensed clinical social workers, advanced practice pharmacists and care coordinators to improve Sutter patient outcomes from Santa Rosa to Santa Cruz, CA. - Delegated care management for Sutter Health Plus, the Sutter Aetna Joint Venture and the Sutter Alignment Medicare Advantage partnership. - Achieved National Committee for Quality Assurance (NCQA) Population Health Management program accreditation as delegated care management for Sutter Health Plus. - Produced $21 million in annual revenues through HMO and ACO dual/shared risk partnerships with Anthem, Cigna and United Healthcare including Medicare Advantage. - Achieved a 22 percent reduction in PMPM costs for delegated care management risk populations. - Generated $19 million in additional annual revenue through repatriation care management strategies. - Spearheaded ambulatory care redesign targeting high risk value-based patient interventions in both primary and specialty care. - Significantly reduced unnecessary acute utilization and potentially avoidable ED visits by 14 percent. - Extensive data analytics, LEAN, and HEDIS quality performance improvement experience. Show less

    • United States
    • Hospitals and Health Care
    • 400 - 500 Employee
    • Ambulatory and Community Health Executive - Lead Nurse Coordinator
      • Nov 2015 - Aug 2018

      San Jose, CA Executive lead nurse coordinator overseeing a systemwide population health initiative for the California Medi-Cal 2020 Waiver to improve patient outcomes and care quality for the Silicon Valley Medicaid patient population. Generated $17 million in county revenue including $2 million in bonus funds by achieving and exceeding multiple quality pay-for-performance HEDIS measures including reduced readmissions, blood pressure and diabetes control as well as infection prevention and medication… Show more Executive lead nurse coordinator overseeing a systemwide population health initiative for the California Medi-Cal 2020 Waiver to improve patient outcomes and care quality for the Silicon Valley Medicaid patient population. Generated $17 million in county revenue including $2 million in bonus funds by achieving and exceeding multiple quality pay-for-performance HEDIS measures including reduced readmissions, blood pressure and diabetes control as well as infection prevention and medication protocol compliance for various county Medi-Cal and federal grant programs. * Designed and administered several clinical improvement programs including the complex care and specialty care quality improvement initiatives for 36 ambulatory clinics. * Extensive regulatory compliance experience including HRSA, DHCS, TJC and CDPH audits, reports and surveys. * Implemented several expedited hospital discharge patient placement processes with post-acute care providers. * Developed an Epic EHR complexity scoring system to identify high risk patients for care interventions including operational outreach and care management reports. * Successfully integrated substance use treatment into the ambulatory care setting including primary care and behavioral health resulting in an 80 percent reduction in high utilizer patient readmissions. * Led a countywide population health effort to reduce outside medical costs and increase revenues through reduced readmissions and effective primary care panel management. * Led VMC's crisis response team for the 2015 TB infant exposure, including patient outreach and media communication as well as organizing prophylactic treatment protocols in multiple primary care clinics. Due to this care coordination effort, all infants were declared disease free.

    • Assistant Nurse Manager Cardiology
      • Feb 2013 - Oct 2015

      San Jose, CA Assistant nurse manager for the Valley Medical Center Cardiology Division. Managed day-to-day operations with over 60 employees including nurse practitioners, registered nurses, licensed vocational nurses, medical assistants, echocardiogram and EKG technicians as well as health services representatives. Services include the cardiac catheterization lab, cardiology and vascular outpatient clinics, hospital discharge and palliative care clinics, inpatient/outpatient nuclear medicine/stress… Show more Assistant nurse manager for the Valley Medical Center Cardiology Division. Managed day-to-day operations with over 60 employees including nurse practitioners, registered nurses, licensed vocational nurses, medical assistants, echocardiogram and EKG technicians as well as health services representatives. Services include the cardiac catheterization lab, cardiology and vascular outpatient clinics, hospital discharge and palliative care clinics, inpatient/outpatient nuclear medicine/stress testing, echocardiograms and EKG services. Duties and accomplishments include: • Board of Supervisors Cardiology Division Award for Patient Satisfaction • Led Unit Based Team (UBT) To Improve Patient Satisfaction • Inpatient and Ambulatory Clinic Management • Heart Failure Program to Reduce Readmissions • Managed Hospital Discharge and Palliative Care Clinics • CMS and TJC Compliance Reviews • Electronic Health Record (Epic) Implementation • Extensive Union Labor Management Experience • Supply, Equipment and Staffing Budget Management • Quality Improvement Initiatives and Implementation • Revenue Enhancement/Billing Oversight

Education

  • Yale University
    Doctor of Nursing Practice, Organizational Leadership
    2014 - 2017
  • Yale University
    Master’s Degree, Nursing, Management, Policy and Leadership (NMPL)
    2011 - 2014
  • Penn State University
    Bachelor of Science, Nursing
    2009 - 2010

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