Fleming Center

SPH - Fleming Center Home Image Rotator

Creating healthcare leaders

The George McMillan Fleming Center for Healthcare Management draws on the diverse academic and professional expertise of our accomplished faculty and partnerships with world-class institutions in the Texas Medical Center to advance healthcare management education and research. Preparing professionals to meet the unique challenges and changes confronting the healthcare industry is our central mission.

Degree programs

Our degree programs provide a solid foundation for managing an interdisciplinary healthcare environment. We currently offer a Master of Public Health (M.P.H.) and Doctor of Philosophy (Ph.D.) in Management and Policy with an emphasis in health management and health policy.

Learning from leading experts in healthcare management, our students acquire skills that go beyond the traditional financial and organizational needs of health institutions, to gain a broader perspective covering population health. Graduates are well-equipped for leadership positions in hospitals, public health agencies, pharmaceutical firms and other organizations in the healthcare sector.

We also offer a variety of executive education courses for working professionals looking to enhance their healthcare management expertise.

Academic and practical experience in healthcare management

Research, real-world cases, internships (practicums) and fellowships give students hands-on experience integrating healthcare management theory into practice. Our students also benefit from our faculty’s extensive academic and professional experience. Many faculty members serve as consultants to industry and offer valuable insight into the inner workings of healthcare organizations.

Rigorous training in healthcare management

Housed in the UTHealth School of Public Health’s Department of Management, Policy and Community Health, the Fleming Center offers rigorous training in healthcare management paired with a one-of-a-kind focus on population health. We currently offer a master’s degree and doctoral degree in public health with an emphasis in health management and health policy.

Our degree programs are designed to prepare students for the modern healthcare workplace through a challenging curriculum and real-world learning experiences. Students gain in-depth knowledge of the public health industry and graduate from the program confident they can:

  • Manage multidisciplinary managerial and public health functions within the health delivery system
  • Develop relationships and processes with other members of the health delivery system, including physicians, community partners, and insurers
  • Create a vision for the organization and the community and champion that vision internally and externally to stakeholders
  • Lead a team and participate with team members to achieve outcomes
  • Achieve their professional and personal goals

Master of Public Health

The M.P.H. in Healthcare Management provides students with a solid foundation for managing in a complex healthcare environment. The program provides training for students with interests in administration and the management of a variety of healthcare environments, including hospitals, public health agencies, nursing homes, health systems, pharmaceutical firms, insurers and other organizations in the healthcare sector (click here for the MPH in Health Management degree planner with a list of courses).

Doctor of Philosophy in Management and Policy

The Ph.D. in Health Management and Health Policy offers training for students who wish to practice health management at an advanced level or pursue academic careers in health management. The program develops researchers who can ask relevant questions, identify answers and drive policy and organizational change to improve healthcare access, quality and cost.

Admissions requirements

The UTHealth School of Public Health takes a holistic approach to admitting, and is committed to recruiting a diverse and academically qualified student body. Students are considered for admission to the Fleming Center’s academic programs based on multiple criteria including grades in all undergraduate and graduate programs, standardized test scores, academic history, career and volunteer experience, personal statement of goals, and letters of recommendation. Although important in the decision process, student GPA and standardized scores are not the sole basis for admission. Student goals and commitment to advancing public health are also taken into consideration. Please visit the School of Public Health’s admissions page for more information.

Average student scores: The average GPA for our incoming students pursuing a Master of Public Health degree in Healthcare Management is 3.3. The average GRE score is 155 Verbal, 155 Quantitative, and 4.0 Writing.

CAHME accreditation

The MPH degree program has been accepted as a candidate to seek accreditation from the Commission on Accreditation Healthcare Management Education (CAHME). Considered the benchmark that ensures the integrity of healthcare management education, CAHME accreditation is highly sought after by students and employers. Candidate status is an indication that a program in healthcare management has voluntarily committed to participate in a plan of self-evaluation and improvement and is actively progressing toward the status of accreditation. A final site visit, anticipated in 2017, will determine accreditation status.

Experts in healthcare management

Our diverse faculty includes researchers, consultants, former executives and current administrators of major healthcare organizations in the Texas Medical Center. Leaders in their field, Fleming Center faculty members frequently publish in prominent journals, serve as officers in national professional associations and organizations, and speak publicly about vital healthcare management issues.

Lee Revere, Ph.D., M.H.A.
Revere directs the Fleming Center and the Healthcare Management program, and teaches quality evaluation and improvement, research methods and proposal development and leadership. Before earning her doctorate in public health, she held numerous leadership positions in the healthcare industry. Revere has authored many works aimed at process improvement, service utilization and costs and innovative instruction for learning.

Ajit Appari, Ph.D., Mtech
Appari specializes in the economics of health information technology and the economics of health care delivery to priority populations, and teaches doctoral courses on health IT management, and research methods. Before earning his doctorate in business, Appari was principal software engineer with the Indian subsidiary of Honeywell and has held leadership positions in software quality system management.


Rigoberto I. Delgado, Ph.D., M.B.A.
Delgado brings more than two decades of experience in operations management, finance and economics to the Fleming Center. Currently, he is the principal investigator for several cost-effectiveness studies in cardiovascular disease, in partnership with UTHealth Medical School. Delgado has worked extensively for biotechnology, software and healthcare companies in the United States and in Latin America.

Carol Galeener, Ph.D.
Galeener teaches Introduction to Management and Policy Sciences, a core course in the Department of Management, Policy, and Community Health. She has more than 30 years of systems management experience in the energy industry. After retiring from ExxonMobil in 2000, she earned her doctorate in public health from the UTHealth School of Public Health, and joined the faculty in 2010. Currently, she is editor of the Texas Public Health Journal.


Gretchen Gemeinhardt, Ph.D., M.B.A., F.A.C.H.E.
Gemeinhardt has an extensive background in the teaching and application of management principles in healthcare organizations. Before joining the faculty of the Fleming Center, she ran a leadership development program for Harris Health System, led education at Memorial Hermann Hospital and taught in Texas Women’s University’s Master of Healthcare Administration program.

 Karen Gillard, M.A.
As program manager, Gillard oversees the Fleming Center’s executive education courses. She earned her master’s in human resource management from The University of Houston-Clear Lake. Prior to her current role, Gillard worked at Houston Methodist Hospital, where she managed education programs for the international department, and Baylor College of Medicine, where she worked with physicians to ensure quality health care delivery.


Trudy Millard Krause, Dr.PH., M.B.A., C.P.H.Q.
Krause is the Fleming Center’s content expert on outcomes analysis and claims data research. She has served as a hospital administrator, designed quality assessment programs and tools for health plans, created and managed employee assistance and disease management programs, and consulted nationally on accreditation and certification programs. She co-directs the UTHealth School of Public Health Center for Healthcare Data Research.

Osama I. Mikhail, Ph.D.
Mikhail founded the Fleming Center and is interim dean of UTHealth School of Public Health, UTHealth senior vice president for strategic planning, and executive vice president of planning for UT Physicians. He has worked for Mead Corporation, Eli Lilly, the Sisters of Charity Healthcare System, St. Luke’s Episcopal Health System, Continental Bank and Mellon Bank, and spearheaded innovative healthcare management and delivery, finance and organization projects.

Robert Morgan, Ph.D.
Morgan leads the Department of Management, Policy, and Community Health and is an affiliate investigator at the Houston Center for Quality of Care and Utilization Studies. He has studied health system outcomes for more than 30 years, and teaches courses on healthcare payment systems and policies, health survey research methods, health services delivery and performance, and proposal development.

Lynn Schroth, Dr.PH.
Schroth leads the Fleming Center’s executive education programs focused on leadership. She holds a doctorate in public health from the UTHealth School of Public Health, and joined the faculty as a part-time professor in 2010. Previously, she served as executive vice president of The Methodist Hospital System and chief executive officer for Methodist International, Southwest Memorial Hospital and Memorial Hermann Hospital.

Rebecca Wells, Ph.D.
Wells joined the Fleming Center in 2015 and is co-director for the Center for Management and Policy in Population Health. Her research focuses on cooperation within and among safety net providers. She has been a lead investigator on studies funded by the National Institute on Drug Abuse, National Cancer Institute, National Institute of Mental Health and the Robert Wood Johnson Foundation.

Click here for faculty CVs.

Opportunities to lead, collaborate and learn

The Fleming Center offers students many activities emphasizing leadership, teamwork, and learning from industry leaders, further enriching their academic experience.

The Board

A student organization focused on leadership and management, The Board seeks to enrich students academically, professionally and socially as they transition into their careers. The organization offers course selection help, peer to peer coaching, alumni networking and opportunities for involvement in professional organizations including the American College of Healthcare Executives and Healthcare Financial Management Association. The Board also sponsors career development workshops, and provides activities that encourage students to forge relationships with their peers and successful professionals in their field.

Fleming Center Panel Series

Students are invited to attend this unique discussion series offering insight into important issues facing the healthcare industry. To date, more than 2,500 members of the health care community have attended series lectures. Recent panel topics have included:

  • Pharmaceuticals without borders: A look at the costs and benefits of the more expensive drugs
  • Is the investment in health information technology paying off?
  • Healthcare reform: Are we asking the right questions?
  • Diversity within the healthcare executive suite
  • Will improving healthcare quality save money?

Case Competition

The Fleming Center’s annual case competition, co-sponsored by The Board, provides students with an exciting way to apply what they have learned in the classroom to a real-world problem. Teams of students compete to develop the best solution to a healthcare management-related case study. In the process, they bridge the academic and practice worlds, collaborate with their peers and take on leadership roles in a competitive setting. Last year, eight teams from seven universities participated--five from schools within Texas. Teams from UTHealth School of Public Health routinely take top honors in the competition.


Real-world training

Before graduating, each healthcare management M.P.H. student completes a practicum: 180 hours of hands-on experience in a community setting. Akin to an internship, the practicum is an essential part of a student’s public health education and should reflect his or her academic goals and professional interests. Check out these recent student projects, which highlight the diversity of our practicum experiences:

Surveying parental attitudes on vaccination

A Fleming Center student worked with the Immunization Project to administer a survey on parental hesitancy towards childhood vaccines. She helped enroll more than 250 pregnant patients and co-parents to gauge their beliefs about childhood vaccines. Data from the study will be used to better understand attitudes and beliefs about vaccines among expectant parents and help determine effective vaccine education. Practicum highlight: “Enrollment was an opportunity to connect with patients on a personal level.”

Improving access to healthcare

Working with a Houston-area multispecialty medical practice, another student helped implement projects under the Medicaid Delivery System Reform Incentive Payment (DSRIP), a statewide program that increases quality and access to healthcare. He analyzed project data, used to report milestones to governmental organizations, and helped implement a project that integrates behavioral health with primary healthcare services. Lessons learned: “A practicum is an invaluable experience that contextualizes your in-class learning.”

Reducing appointment no-shows

Developing and implementing a new policy aimed at reducing appointment no-shows was the focus of one student’s work. The policy focused specifically on hypertensive and diabetic patients who visited a charity care clinic in the Houston area. Our student encouraged patients to maintain their regular follow-up appointments and educated them about their medications and health conditions. Practicum highlight: “A unique chance to see and appreciate the patient-clinic flow from eligibility to follow-up.”


Learning the financial processes of an academic medical center

Yet another Fleming Center student developed skills involved in the financial planning and budgeting process in his practicum at the financial department of a major Houston academic medical center. He created budget templates, learned how medical service revenue is recognized and discovered how start-up funds are provided to newly hired physicians. Advice for students: “If you cannot find a practicum that interests you, don’t be afraid to create your own. After all this is YOUR experience!”


Supporting teens with HIV

After observing HIV-positive teens in the juvenile justice system and a teen clinic, one of our students focused her research on finding support groups for this vulnerable population. She crafted a white paper outlining the need for support groups for teens living with HIV in Houston, and listed funding sources to help fill in the gaps in healthcare services. Practicum highlight: “I had the opportunity to observe physicians provide healthcare to adolescents at the Harris County Juvenile Justice Center and the UT Physicians Adolescent HIV Clinic.”

The Fleming Center executive edge

Our executive education courses help busy healthcare professionals sharpen their skills and build the sought-after managerial and leadership expertise necessary to excel in today’s evolving healthcare industry. Classes feature engaging instruction with an emphasis on organizational dynamics, planning and implementing change, working in teams and real-world problem solving. Courses are available in the following:

Academic Medical Department Leadership

Target audience: Physician leaders in academic medicine including department chairs, section/division heads
Course description: Participants strengthen their ability to lead and manage the tripartite mission of academic medicine: delivering quality clinical care, teaching future physicians and innovating through research. They learn to analyze their organizations and think strategically; plan, communicate and implement change, hone their personal leadership style; and identify, plan and operationalize a strategic project.
Format: 12 sessions held 8 a.m. to 4 p.m. on specific Fridays, fall through spring semesters.

Physician Leadership

Target audience: Physicians in mid-level management positions or individuals desiring leadership experience
Course description: In this abbreviated version of the Academic Medical Department Leadership course, participants learn critical business concepts necessary to support their roles as developing leaders within the organization. They also learn to analyze their organization and prioritize options; plan, communicate and implement change; confidently lead teams within their organization; and identify, plan and operationalize a strategic project.
Format: Available to healthcare organizations. Course is customized to fit the organization that requests it, and the number of class sessions may vary accordingly.

Nursing Leadership

Target audience: Nurse leaders in academic medicine, including chief nursing officers
Course description: This course empowers chief nursing officers and senior nurse leaders to manage complex healthcare settings. Participants learn to analyze their organizations and think strategically; plan, communicate and implement change, hone their personal leadership style; and identify, plan and operationalize a strategic project for individual departments.
Format: 12-sessions, fall through the spring semesters. 

Lean Six Sigma

Target audience: Healthcare managers seeking to lead process improvement
Course description: Through hands-on activities, lab exercises, presentations and lectures, this course provides a strong foundation in Lean Six Sigma methodology. Participants map processes, identify root causes of problems, implement improvements and lead project teams to help organizations achieve performance improvements. They also conduct a real-world quality improvement project and become certified in Lean Six Sigma Green Belt.
Format: Nine-week hybrid course focuses on group training and is available to requesting healthcare organizations. Course is offered in partnership with the University of Houston College of Technology, and meets half of the time in a traditional face-to-face classroom environment, with the remainder of the course delivered electronically.