Having focused on and published on financial and clinical outcomes related to health care interventions, he also led the internal evaluation of the BHCS system-wide implementation of health information technology (HIT). He has been involved in a number of Agency for Healthcare Research and Quality-funded projects including currently serving as principal investigator (PI) on Costs of Transforming Established Primary Care Practices to Patient-Centered Medical Homes (AHRQ 1 R03 HS022621–01). He also served as PI on Impact of Health IT on Primary Care Work-flow and Financial Measures, where the financial and non-financial (time and effort) costs were estimated that were associated with the implementation of the ambulatory electronic health record. Dr. Fleming was also co-investigator on two federally-funded HIT clinical evaluation projects: 1) Impact of Health IT Implementation on Diabetes Process and Outcome Measures in a Primary Care Setting (AHRQ 1R21HS020696-01) and 2) Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (AHRQ 1 R18 HS017908-01). Dr. Fleming has authored and co-authored numerous publications in health and health care-related journals such as Health Affairs, Annals of Internal Medicine, Medical Care, Health Services Research, International Journal for Quality in Health Care, Clinical Diabetes, Pharmacoepidemiology and Drug Safety, Health Promotion Practice, Journal of Clinical Outcomes Management, and Journal of Quality and Patient Safety (where he was on the editorial advisory board). Dr. Fleming was associate editor with Dr. David Ballard of the book entitled: Achieving STEEEP Health Care, published in 2014, which received The Shingo Research and Professional Publication Award. Dr. Fleming currently serves on the Methods Council of AcademyHealth and is on the editorial board of eGEMS.
As part of his responsibilities with the Robbins Institute, Dr. Fleming led the development of a PhD program in health services research and now serves as the PhD Program Advisor for the PhD in health services research. In addition to advising students, Dr. Fleming teaches Experimental and Quasi-Experimental Research Designs in HSR and Future Directions in Healthcare Policy and Leadership (in the Baylor U Executive MBA Program), as well as co-teaching Economic Evaluation: Decision Analysis with Baylor Scott & White colleague Dr. Ashley Collinsworth. Dr. Fleming received his BS in Mathematics and PhD in Health Services Research from Vanderbilt University. Prior to joining BHCS, he was a Statistician at the US Centers for Disease Control’s National Center for Health Statistics and a Medical Consultant for the Electronic Data Systems on the Texas Medicaid Program. He spent 21 years as President of Health Care Systems Consultants, focusing on health care costs and utilization, especially in the area of managed care. He has over 15 years’ experience in financial modeling for health care organizations and in excess of 35 years’ experience in health care services research and cross-industry statistical modeling. He is a senior member of the American Society for Quality and a Certified Quality Engineer since 1991. He has particular interests in the use of experimental and quasi-experimental designs for behavioral interventions, heath care innovation and technology, decision science including cost and cost-effectiveness, and health care policy.
View Dr. Fleming's publications on ResearchGate