Fleming Center


  • To collaborate with other prominent University of Texas schools to provide innovative healthcare research and education on healthcare management, finance and organization.
  • To bring together leading healthcare executives, researchers, and students to enable change in health delivery and organizational effectiveness.

Academic Mission

  • Raise the visibility and importance of management concepts in healthcare
  • Provide state of the art research on issues of health organization, strategy, marketing, management, and finance
  • Develop and improve the educational degree programs currently available at the graduate level for healthcare management
  • Offer opportunities for both post-graduate fellowships and “executives in residence” to integrate theory and practice

Service Mission

  • Provide a forum for healthcare executives in the Texas Medical Center and beyond to dialogue industry and organizational challenges and strategies
  • Provide consulting and research to local and national healthcare organizations
  • Integrate theory into practice in our research areas through fellowships, residencies, internships and other projects
  • Leverage University of Texas brand name in industry-sponsored research

Strategic Advantage

  • Greater resources focused on healthcare management than most other university programs
  • Geographic location in the heart of the world-renowned Texas Medical Center, surrounded by 15 hospitals, 4000 physicians, and 30 million square feet of patient care facilities
  • Broad, multi-disciplinary focus of management nestled with policy, economics, epidemiology, health promotion, and others to truly understand how organizational and community health are unified
  • Close collaboration with other top-ranked UT schools, including the University of Texas School of Law, McCombs School of Business, and the LBJ School of Public Policy, in addition to the Schools of Medicine, Nursing, Dental, Biomedical Sciences and Health Informatics that comprise the UT Health Science Center Houston.

Center Leadership and Staff

The Fleming Center for Healthcare Management at the University of Texas School of Public Health is led and staffed by a number of faculty.

Director: Osama Mikhail, PhD, Professor of Management and Senior Vice President of Strategic Planning UTHealth (713) 500-3047 or Osama.I.Mikhail@uth.tmc.edu

Associate Director: Lee Revere, PhD, MHA, Associate Professor and Program Director Healthcare Management (713) 500-9199 or Frances.Lee.Revere@uth.tmc.edu

For further information, e-mail us at: FlemingCenter@uth.tmc.edu

About the MPH - Management Program

Course of Study

The Master of Public Health (M.P.H.) degree is the basic professional degree in the field. It is required for many supervisory and managerial positions in public health and is recommended for many others. Students are expected to complete a series of courses that cover the breadth of public health and develop competencies appropriate for their elected discipline.

The MPH in Healthcare Management program provides students with a solid foundation for managing in an interdisciplinary healthcare environment. The program provides training for students with interests in administration and management of a variety of healthcare environments, including hospitals, public health agencies, nursing homes, health systems, pharmaceutical firms, payers and other organizations in the healthcare sector. Students gain an appreciation of all aspects of management, including organizational theory, finance, operations management, law, and strategy, which will help to improve organizational and community decision-making. The program provides a basis for understanding key managerial functions within the broad spectrum of public and private health systems.

General MPH Degree Requirements:

  • Satisfactory completion of at least 45 semester credit hours
  • Completion of five core courses, one in each discipline:
    • Biostatistics
    • Environmental and Occupational Health Sciences: Epidemiology and Disease
    • Control Health Promotion and Behavioral Sciences Management, Policy and Community Health (see the UTSPH website for the list of MPH core courses)
    • Satisfactory completion of a practicum
  • Satisfactory completion of a culminating experience. All MPH students must present their culminating experience projects at the School prior to graduation.
  • All completed theses or reports will be made available to the public.

Recommended curriculum for MPH in Healthcare Management

  • The following Divisional courses are strongly recommended for an MPH student majoring in Healthcare Management:
  • PH 3744 Organizational Behavior in Healthcare Organizations
  • PH 3747 Healthcare Operations Management
  • PH 3720 Healthcare Finance
  • PH 3998 Payment Systems and Policy
  • PH 3738 Legal Issues in Healthcare
  • PH 3746 Quality Management and Improvement in Healthcare
  • PH 3735 Healthcare Strategic Management
  • One elective course in Management, Policy and Community Health Community Health (from a defined set of courses)

The practicum and culminating experience should have a healthcare management focus, respectively.

Competencies for MPH in Health Care Management

  • Demonstrate in-depth knowledge of the public health industry, including the legal, regulatory, clinical, financial, quality, and economic domains.
  • Integrate the multi-disciplinary managerial (e.g., quality, marketing, operations) and public health (e.g., biostatistics, epidemiology) functions within the health delivery system.
  • Identify and develop relationships/processes with the different components in the health delivery system/value chain (e.g., physicians, vendors, payers/insurers).
  • Create a vision, or destination, for the organization and the community.
  • Define that vision, internally and externally to stakeholders.
  • The ability to identify and explain current performance outcomes, and choose appropriate actions/decisions to influence direction and outcomes (performance management).
  • Demonstrate ethical principles of human behavior/conduct/norms, and ensure conformance to these codes.
  • Apply methods and structures for continuous improvement and learning.
  • Examine team dynamics, and influence group cohesiveness with effective resource allocation and decision-making (e.g., incentives, budgets).
  • Show the ability to minimize, or resolve, disputes and conflicts.

Download a Brochure About the Center

Fleming Center Advisory Board

Leon J. Leach, Advisory Board Chair (Executive Vice President, UT MD Anderson Cancer Center)

Kevin Dillon, Advisory Board Vice Chair (Executive VP/COO/CFO, UT Health Science Center at Houston)

Carrol E. Aulbaugh (Senior Vice President/Chief Financial Officer, Memorial Hermann Healthcare System)

Craig Cordola (Chief Executive Officer, Children’s Memorial Hermann Hospital)

Ben Melson (Executive Vice President/Chief Financial Officer, Texas Children’s Hospital)

Roberta B. Ness (Dean & M. David Low Chair in Public Health, UT School of Public Health)

Marc Boom (President/Chief Executive Officer, The Methodist Hospital System)

William Sage (Vice Provost for Health Affairs, University of Texas at Austin)

Published Research

Revisiting the Cost of Medical Student Education: A Measure of the Experience of UT Medical School - Houston

Elizabeth Gammon and Luisa Franzini
Journal of Healthcare Finance (2011) 37(3): 72-86

Productivity and Clinical IT: Are We Getting More Efficient?

Jeff Helton, Jim Langabeer, Jami DelliFraine, and Ed Hsu
Presentation by Jeff Helton at the 2011 Southern Regional Meeting of the Health Information Systems Society, April 29, 2011, Austin, Texas.

Perceptions of Quality Improvement Practices in Academic Emergency Medicine: Views from the Chairs of Academic EDs

Jami DelliFraine, Jim Langabeer and B King
Forthcoming in The Western Journal of Emergency Medicine.

Organizational Fraud Risks in Electronic Health Records.

Jeff Helton
Presentation at the 2010 Annual Meeting of the Healthcare Financial Management Association - Texas Gulf Coast Chapter, September, 20 2010, Galveston, Texas.

Assessing the Evidence of Six Sigma and LEAN in the Healthcare Industry

Jami DelliFraine, Jim Langabeer and I Nembhard
Forthcoming in Quality Management in Health Care

Physicians’ Acceptance of Telemedicine Technology: An Empirical Test of Competing Theories

J Kim, Jami DelliFraine, and K.H. Dansky
International Journal of Information Systems and Change Management 4(3): 210-225.

Telemedicine Use in Day Care Centers: An Exploration of its Need, Familiarity, Openness, and Preparedness in Non-Urban Areas

M Setia and Jami DelliFraine
Forthcoming in Journal of Telemedicine and Telecare.

Avoiding Fraud Risks Associated with EHRs

Jeff Helton
Published in the July 2010 edition of the Healthcare Financial Management

The Influence of Executive Optimism on Strategic Process.

Jim Langabeer, Jami Dellifraine and Jeff Helton
Paper presented at the Southwest Academy of Management 2010, March 3, 2010, Dallas, Texas.

Fraud Risks in Electronic Health Records.

Jeff Helton
Presentation at the 2010 Southern Regional Meeting of the Health Information Systems Society, May 14, 2010, Dallas, Texas.

Strategic Performance Evaluation in Cancer Centers

Rigo Delgado and Jim Langabeer
Published in the November/December 2009 edition of the Journal of Healthcare Management

Implementation of Lean and Six Sigma quality initiatives in hospitals: A goal theoretic perspective.

Jim Langabeer, Jami DelliFraine, Janelle Heineke (Boston University), and Ibrahim Abbass
Accepted for Publication in the December 2009 edition of the Operations Management Research

Financial Simulation Modeling in Clinical Trials

Jim Langabeer and Jeff Helton
Accepted for Publication in the October 2009 edition of the Journal of Applied Clinical Trials

Performance Normalization and Benchmarking In Healthcare Organizations

Jim Langabeer, Jami DelliFraine, Jeff Helton, Louis Galtiero
Published in the Spring, 2009 edition of Journal of Health Information Management

Performance Improvement in Hospitals and Health Systems

Chicago: HIMSS Publishing
Jim Langabeer, Editor; Book chapter contributions by Osama Mikhail, Jami DelliFraine, and Jim Langabeer

The Long-Term Efficiency of Oncology Hospitals

Jim Langabeer and Yasar Ozcan (Virginia Commonwealth University)
Accepted for Publication in the Fall 2009 edition of Health Care Management Science

Economic Outcomes of a Dental Electronic Patient Record

Jim Langabeer, with M. Walji, D. Taylor, J. Valenza (University of Texas Dental Branch)
Accepted for publication in the American Dental Association, Journal of Dental Education vol.72, (10), 1189-1200.

Variability in Medicare Reimbursement and Resource Intensity in End of Life Acute Care

Carol Galeener and Jim Langabeer
Accepted for publication in the Journal of Health Care Finance (2009) 35 (3).

The Current State of Finance and Accounting Management in the Healthcare Industry.

Jim Langabeer, Jami Dellifraine and Jeff Helton
Grant-funded technical report submitted to the Institute of Management Accountants, Foundation for Applied Research November, 2009.

Work in Progress

Quality and Organizational Performance in Healthcare

Osama Mikhail, Sarmad Sadeghi MD, Afsaneh Barzi MD and Jim Langabeer

Randomized Trial of Comprehensive Lifestyle Modification, Optimal Rx and PET Imaging for Detection and Management of Stable Coronary Artery Disease

Jim Langabeer, David Lairson, and Ibrahim Abbass, with Stefano Sdringola MD and Lance Gould, MD
5-year PET cardiology study, funded by the Weatherhead Foundation in partnership with the UT School of Medicine and Memorial Hermann Hospital.

Review of Problems, Progress and Challenges in Houston’s Healthcare Safety Net

Jim Langabeer and Jeff Helton
Ongoing cooperative effort with the Center for Health Services Research and the Houston Health Services Research Collaborative. Research funded by the Houston Endowment.

Exploring Physician Adoption of Computerized Physician Order Entry Systems

Jim Langabeer, Ibrahim Abbass, and Jeff Helton with D.Chou (Eastern Michigan University)

Trends in Operational Efficiency in Safety Net Hospitals in the U.S. 2004-2008

Jim Langabeer and Jeff Helton

This program will strengthen the effectiveness of physician leaders in academic medicine who must lead and manage the departmental tripartite mission:  delivering quality clinical care, teaching future physicians and innovating through research.

Program goal:
This program will strengthen the effectiveness of physician leaders in academic medicine who must lead and manage the departmental tripartite mission: delivering quality clinical care, teaching future physicians and innovating through research. Competencies developed through this course are:

  • Utilization of a basic framework of business and management knowledge to analyze their organizations and subsequently prioritize strategic options
  • Assessment of organizational dynamics which will enhance their ability to plan, communicate, and implement change
  • Confidence in their leadership skill through exploration of their personal leadership styles
  • Understanding of ethical leadership issues
  • Ability to identify, plan, and operationalize a strategic project for their individual department

Program Format:

This course is taught in 12-sessions and utilizes the executive format—8 am to 4 pm on alternating Fridays between September 2013 and April 2014.  A certificate of completion will be granted to those participants who attend ten classes (80 hours) from the twelve sessions.

Course Requirements:

  • Must be in a leadership position (i.e. Department Chair, Section/Division Head, senior Medical Director)
  • Must have sponsorship from your institution’s executive leadership team.

Course Topics:

  • Organization and System Dynamics
  • Healthcare environment and legal issues
  • Quality measurement and improvement strategies; customer experience management
  • Financial and business management
  • Personnel leadership and management
  • Personal leadership development
  • Strategic planning and implementation

The application can be found here.  Applications received by June 1, 2013 will receive first priority.

For more information or to submit an application please contact the Program Coordinator, Karen Gillard (Karen.C.Gillard@uth.tmc.edu).