Neil S. Fleming


Neil S. Fleming 2018-04-09T14:23:58+00:00

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Financial Perspectives and Priorities for a Health Care System

Vice President of Quantitative Services, Baylor Scott & White Health

Dr. Fleming is Vice President of Quantitative Sciences for Baylor Scott & White Health (BSWH). Previously, he served as the BSWH Vice President for Health Care Research for 7 years, evaluating clinical and financial outcomes of BSWH initiatives with a major interest in Health Information Technology. He received federal funding from the Agency for Healthcare Research and Quality as a principal investigator for this research.

Before joining Baylor Health Care System, now part of BSWH, Dr. Fleming was a consultant for over 20 years, with clients such as the Office of Prepaid/Managed Care where he reviewed HMOs for federal qualification and compliance from financial (including actuarial) and marketing perspectives. Dr. Fleming served for 4 years as a Statistician at the CDC National Center for Health Statistics and for 2 years as a Medical Consultant with EDS on the Texas Medicaid Program. A senior member of the American Society for Quality, Dr. Fleming has been a Certified Quality Engineer for 20 years.

Extensively published as a research leader and collaborator, Dr. Fleming’s articles have appeared in Health AffairsHealth Services ResearchAnnals of Internal MedicineMedical CareInternational Journal for Quality in Health Care, and the Joint Commission Journal on Quality and Patient Safety. 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 (with Dr. Ballard). 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 and Health Services Research. He continues to serve as a principal investigator on an AHRQ-funded grant to examine the costs of patient-centered medical homes, as well as co-investigator on the implementation of a “bundled” intervention to improve delirium-related care (with Dr. Masica). Dr. Fleming was associate editor with Dr. Ballard on the recently published book (2013) “Achieving STEEEP Health Care” that details Baylor Health Care System’s rigorous approach to quality.

Dr. Fleming received his PhD from Vanderbilt University under a Fellowship of the DHHS National Center for Health Services Research and his BS in Mathematics from Bucknell University.