Fleming Center

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Welcome from the Program Director

Lee Revere, M.S., Ph.D. Program Director

Welcome and thank you for your interest in the George McMillan Fleming Center for Healthcare Management.

The Fleming Center is housed in the Department of Management, Policy and Community Health at UTHealth School of Public Health. Since our start in 2008, the center has grown into a respected leader in healthcare management education and research.

We are proud to provide the Houston area’s only MPH program in healthcare management. It’s one of only five healthcare management MPH programs in the country accredited by the Commission on Accreditation of Healthcare Management Education (CAHME). We also offer an accelerated, online MPH, designed for working professionals.

Our MPH program gives students a thorough understanding of the full continuum of healthcare delivery — covering population health, as well as healthcare delivery and effective operational decision making. Our PhD program takes the MPH curriculum a step further with a focus on policy and management.

<>We believe a population health curriculum best addresses these essential areas of healthcare management education. Fleming Center students graduate with the skills and perspective they need to become healthcare leaders.

 Curious if our program is for you? I encourage you to browse our website to learn more about the Fleming Center’s degree programs and mission, vision and values, or contact us for more information. We’re eager to set you on the path to healthcare leadership.

Lee Revere, M.S., Ph.D.
Program Director

About the Fleming Center

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.

Coming Fall 2020: Online MPH in Healthcare Management

Lead the way to a healthier future with a Master of Public Health in Healthcare Management from UTHealth School of Public Health—available online Fall 2020. This fast-track, cohort program is designed to be completed in 18 months while working full-time. Learn more and keep up to date with our online program launch here.

Fast Facts

•  50 M.P.H. students in Healthcare Management

•  35 Ph.D. students in Health Management and Health Policy 

•  14 faculty members, respected leaders in healthcare management

•  100% of graduates completed the M.P.H. program within 3 years

•  100% of graduates report the degree prepared them to meet the demands of their job

•  80% of alumni reported acquiring knowledge and skills needed to advance in the field

•  75% of graduates reported being employed full time <6 months after graduation; 60% within 3 months

•  About half of enrolled students work full time

Rigorous training in healthcare management

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. We also offer a graduate certificate in healthcare management for individuals considering an M.P.H. in healthcare management, but would first like exposure to many of the courses.

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.

M.P.H. in healthcare management core competencies

M.P.H. in healthcare management degree planner and course list

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.

Ph.D. in Health Management and Health Policy core competencies

Ph.D. in Health Management and Health Policy degree planner and course list

Graduate Certificate in Healthcare Management

The Certificate in Healthcare Management is intended for health practitioners and individuals wishing to increase their knowledge in healthcare management. The five courses in this non-degree program cover the core content of healthcare management. In-person classes are available at the Houston campus and via ITV across other UTHealth School of Public Health Campuses. Most courses are taught in the early evening, allowing working professionals to easily pursue the certificate.

A certificate is awarded to students who pass all five courses. The certificate program is designed to be completed in one year. 

Certificate in Healthcare Management curriculum

Certificate in Healthcare Management flyer

Certificate in Healthcare Management PowerPoint 

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 prospective students page for more information on admission requirements, tuition and financial assistance.

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.

Academic calendar

Course syllabi

Teaching methods and assessments

Students are taught through a combination of lectures, cases and hands-on assignments. In-person classes are available at the Houston campus and via ITV across other UTHealth School of Public Health campuses. Some classes are also available online.

Assessments include case studies, field work, essays, short answer tests, class leadership, and individual and team presentations. For specific assessments, and their relationship to each course and competency, please see the course syllabi

Grading policy

Letter grades (“A,” “B,” “C,” or “F”) are given for all M.P.H. core courses. Elective courses may be letter-graded or graded on the basis of pass/fail (“P” or “F”) at the discretion of the instructor. Letter grades in pass/fail courses (i.e., an “F”) will not be included in the GPA calculated for letter-graded courses. A GPA will be calculated from all letter-graded courses. For more information on grading policy, see the latest catalog for UTHealth School of Public Health.

CAHME accreditation

The M.P.H. degree program is accredited by 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. The Fleming Center's healthcare management program is one of just five M.P.H. programs in the country to receive the prestigious accreditation.

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.

Carol Galeener, Ph.D.Carol Galeener, PhD
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 JournalCV

Gretchen Gemeinhardt, Ph.D., M.B.A., F.A.C.H.E.Gretchen Gemeinhardt, PhD, MBA, FACHE
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. CV

Trudy Millard Krause, Dr.PH., M.B.A., C.P.H.Q.Trudy Millard Krause, DrPH, MBA, CPHQ
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. CV

James LangabeerJames Langabeer II, PhD, MBA
Langabeer has served in hospital leadership at several renowned academic medical centers, led two technology startup firms through commercialization, provided management consulting to non-profit organizations and is a seasoned researcher and professor. He has published in nearly 75 academic journals, authored six books and generated more than $20 million in funding as a principal investigator. CV

Osama I. Mikhail, Ph.D.Osama I. Mikhail, PhD
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. CV

Robert Morgan, Ph.D.Robert Morgan, PhD
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. CV

Mark PhelpsMark T. Phelps, JD, MS
Phelps is at the forefront of the effort to move the MPH in Healthcare Management online by 2020. His experience includes various roles in hospital administration, in both for profit and not-for-profit entities. Mark’s legal experience includes 30 years as a health care attorney representing physicians, hospitals, nursing homes and support staff. He also taught healthcare administration at Texas Woman’s University. CV

Lee Revere, Ph.D., M.H.A.Lee Revere, PhD, MS
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. CV

Gordon Shen WebGordon C. Shen, PhD
Shen is an assistant professor in the Department of Management, Policy, and Community Health at UTHealth School of Public Health. His research interests span health care management, global health, mental health, and organizational theory. He has consulted for the World Health Organization, the World Bank, and the U.S. Agency for International Development. CV

2015 Rebecca WellsRebecca Wells, PhD
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. CV

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 Competitions

 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. Fleming Center students also participate in case competitions sponsored by the National Association of Health Services Executives and Medical Group Management Association.


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.


The Healthcare Management Program’s mission is to prepare early and mid-career professionals, in Texas, the nation and the world, for leadership positions in health systems management and policy. Our program promotes the mission of the School of Public Health by delivering the latest training in management and policy theory and practice related to a range of settings including hospitals, health systems, government, public and private payers, and community-based organizations. We provide students with grounding in population health and competencies needed to manage and critically evaluate existing programs and services in these varied settings. This is achieved through an educational process that exposes students to classroom instruction, research projects and practice experience.


To be the premier health management program in the Southwest recognized for academic rigor, breadth of faculty expertise, Texas Medical Center resources, and orientation to population health.


In addition to the values of the public health profession, the HCM faculty and students are committed to the following statement of values and expectations that are essential to our achievements and to maintaining our recognition as a top-ranked program in health management.

We believe in the interdependency of policy, management and community benefit for enhancing the health of populations we serve.

We recognize the complexity of health and value the integration of research, teaching and practice in the pursuit of a more efficient and effective healthcare system.

We provide a broad range of active learning models that promote creative approaches to address complex health issues.

We advocate faculty and student diversity in academic background, professional knowledge, life experience, and career aspirations to reflect the populations we serve.