In the 2019 Queen's Birthday Honours, Cram was appointed a Member of the Order of New Zealand, for services to Māori health and education.

She has served as the editor in chief of the journal Evaluation Matters - He Take To Te Aromatawai, published by the New Zealand Association for Educational Research.

[3] As of 2023 she is the chair of Te Tāhū Hauora (the Health Quality and Safety Commission)'s Family Violence Death Review Committee.

[10][11] In 2023 the committee released their eighth report, which recommended a new system be set up to better support child survivors of family violence resulting in death.

[10][12] In the 2019 Queen's Birthday Honours, Cram was appointed a Member of the Order of New Zealand, for services to Māori health and education.