Titles

• Vice President and Chief Operating Officer, STEEEP Global Institute: The Health Care Quality Practice of the BHCS

Education

• BS - Mathematics, Bucknell University, Lewisburg, PA (1974)
• MA - Sociology, Vanderbilt University, Nashville, TN (1976)
• PhD - Sociology—Health Services Research, Vanderbilt University, Nashville, TN (1980)

Additional Training

• American Society for Quality Certified Quality Engineer (1991)
• Measurement, Design and Analysis Methods for Health Outcomes Research, Harvard School of Public Health, Boston, MA (2009)
• Lean Healthcare Certification and Training from the University of Michigan Health System, Ann Arbor, MI (2011)

Research Interests

• Health economics, finance, and outcomes measurement
• Cost effectiveness within the framework of traditional and new quality perspectives, tools of quality in the health care delivery setting
• Access/barriers to care
• Time-series methods to statistically model the impact of interventions on health care processes and outcomes from clinical and fiscal perspectives
• Data mining methodologies to segment populations in relation to risks and outcomes

Dr. Fleming recently led the Agency for Healthcare Research and Quality-funded study Impact of Health Information Technology on Primary Care Workflow and Financial Measures. The study identified "hidden" costs, i.e. resources and staff time, that provider practices and health care organizations must consider when planning for electronic health record implementation. The study results were published in Health Affairs.