• Christy Harris Lemak, PhD, FACHE is Professor and Chair of the Department of Health Services Administration. Christy teaches and conducts research in the areas of health care management and leadership development, with an emphasis on how leadership and organizational factors are associated with high performance. She has examined a complex pay-for-value program for physicians, social determinants of health for vulnerable populations, interventions to improve population health, and the career trajectories of women leaders in health care. She currently serves as a Board Member of the Commission on Accreditation of Healthcare Management Education (CAHME), the National Center for Healthcare Leadership (Chicago, IL), Community Hospital Corporation (Plano, TX), and the Alabama Healthcare Hall of Fame.

    Previously, Christy was a faculty member in Health Management and Policy at the University of Michigan and the Michael O. and Barbara Bice Professor of Health Services Research, Management and Policy at the University of Florida. She holds a PhD in Health Services Organization and Policy from the University of Michigan, MHA and MBA degrees from the University of Missouri-Columbia, and a BS in Health Planning and Administration from the University of Illinois.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2020 Vertical Integration Into Skilled Nursing Facilities and Hospital Readmission Rates.Journal for Healthcare Quality2020
    2019 Hospital staffing patterns and safety culture perceptions: The mediating role of perceived teamwork and perceived handoffs.Health Care Management Review2019
    2019 Knowing Better and Doing Better to Advance Women in Academic SurgeryJAMA Network Open.  2:e1910211. 2019
    2019 Market and organizational factors associated with hospital vertical integration into sub-acute careHealth Care Management Review.  44:137-147. 2019
    2018 Resource-based view on safety culture's influence on hospital performance: The moderating role of electronic health record implementation.Health Care Management Review2018
    2018 Hospital vertical integration into subacute care as a strategic response to value-based payment incentives, market factors, and organizational factors: A multiple-case studyINQUIRY: The Journal of Health Care Organization, Provision, and Financing.  55. 2018
    2017 Predictive Value of Screening for Addressable Social Risk FactorsCommunity Medicine & Public Health Care.  4:1-5. 2017
    2017 Essential Values for Population Health ImprovementPopulation Health Management.  20:249-251. 2017
    2017 Outcomes for high-needs patients: Practices with a higher proportion of these patients have an edgeHealth Affairs.  36:476-484. 2017
    2017 Sustained Participation in a Pay-for-Value Program: Impact on High-Need PatientsAmerican Journal of Managed Care.  23:e33-e40. 2017
    2016 A leadership development program for surgeons: First-year participant evaluationSurgery.  160:255-263. 2016
    2016 A Leadership development program for surgeons: First-year participant evaluationSurgery2016
    2016 Health Administration Faculty: Intentions to Retire, Leave the Profession, and Change JobsJournal of Health Administration Education.  33:253-270. 2016
    2016 Leadership Characteristics of Academic Administrators in Health Administration: A Brief ReportJournal of Health Administration Education.  33:321-332. 2016
    2016 Salaries of Academics in Health Administration: Have Wages Kept Up with Inflation (2009-2015)?Journal of Health Administration Education.  33:295-305. 2016
    2016 Work-life Balance Among Health Adminstration Faculty Who Are ParentsJournal of Health Administration Education.  33:333-350. 2016
    2015 Designing a leadership development program for surgeonsJournal of Surgical Research.  200:53-58. 2015
    2015 Michigan's fee-for-value physician incentive program reduces spending and improves quality in primary careHealth Affairs.  34:645-652. 2015
    2014 Career inflection points of women who successfully achieved the hospital CEO positionJournal of Healthcare Management.  59:367-383. 2014
    2014 Do provider service networks result in lower expenditures compared with HMOs or primary care case management in Florida's Medicaid program?Health Services Research.  49:858-877. 2014
    2014 Postgraduate Fellowship Chase: Lessons and Recommendations from Five ProgramsJournal of Health Administration Education.  87-110. 2014
    2014 Reported experiences with medicaid managed care models among parents of childrenMaternal and Child Health Journal.  18:544-553. 2014
    2014 The quality of surgical care in safety net hospitals: A systematic reviewSurgery.  155:826-838. 2014
    2013 A positive deviance perspective on hospital knowledge management: analysis of Baldrige Award recipients 2002-2008.Journal of Healthcare Management.  58:187-203. 2013
    2013 Engaging primary care physicians in quality improvement: lessons from a payer-provider partnership.Journal of Healthcare Management.  58. 2013
    2013 Incentives for healthy behaviors: Experience from florida medicaid's enhanced benefit rewards programJournal of Primary Care and Community Health.  4:112-118. 2013
    2012 Physician practice responses to financial incentive programs: Exploring the concept of implementation mechanismsAdvances in health care management.  13:29-58. 2012
    2012 Developing leaders in surgeryArchives of Surgery -New York-.  147:944-945. 2012
    2012 Leadership Development in SurgeryArchives of Surgery.  147:944-945. 2012
    2012 Physician Practice Reponses to Financial Incentive Programs: Exploring the Concept of Implementation Mechanisms. Annual Review of Health Care Management: Strategy and Policy Perspectives on Reforming Health SystemsAdvances in health care management.  13:29-58. 2012
    2011 Navigating patient navigation: Crossing health services research and clinical boundariesAdvances in health care management.  11:149-183. 2011
    2011 Changes in per member per month expenditures after implementation of florida's medicaid reform demonstrationHealth Services Research.  46:787-804. 2011
    2011 Timeless truths. NCHL to promote leadership development that works whatever future holds.Modern Healthcare.  41:25. 2011
    2011 Successful implementation in the public sector: Lessons learned from Florida's medicaid reform programJournal of Public Health Management and Practice.  17:154-163. 2011
    2011 Developing Healthcare Leaders: What We Have Learned, and What is Next. White PaperNational Center for Healthcare Leadership2011
    2011 Improving Healthcare Management Education Using Principals from Baldrige and Evidence-Based ManagementJournal of Health Administration Education.  28:187-208. 2011
    2011 The Evolving Leadership Development Agenda in Health Care: A CommentaryAdvances in health care management.  10:167-169. 2011
    2010 Outsourcing administrative functions: Service organization demonstrations and Florida medicaid PCCM program costsJournal of Health Care Finance.  37:1-12. 2010
    2009 A malpractice lawsuit simulation: Critical care providers learn as participants in a mock trialCritical Care Nurse.  29:52-60. 2009
    2009 Organizational determinants of outpatient substance abuse treatment duration in womenJournal of Substance Abuse Treatment.  37:64-72. 2009
    2008 Expanding the definition of access: It isn't just about health insuranceJournal of Health Care for the Poor and Underserved.  19:625-638. 2008
    2008 Tailored treatment in the outpatient substance abuse treatment sector: 1995-2005Journal of Substance Abuse Treatment.  34:282-292. 2008
    2008 Evaluating Florida's medicaid provider services network demonstrationHealth Services Research.  43:384-400. 2008
    2008 A Bedsore Medical Malpractice Lawsuit: Critical Care Providers Learn as ParticipantsCritical Care Nurse2008
    2008 Variations in hospital administrative costsJournal of Healthcare Management.  53:153-166. 2008
    2007 Innovative teaching for health law: a case study of a hospital medical malpractice lawsuit simulation.Journal of Health Administration Education.  24:43-57. 2007
    2007 Tailoring of outpatient substance abuse treatment to women, 1995-2005Medical Care.  45:775-780. 2007
    2007 Case management and client access to health and social services in outpatient substance abuse treatmentJournal of Behavioral Health Services and Research.  34:221-236. 2007
    2007 Do licensing and accreditation matter in outpatient substance abuse treatment programs?Journal of Substance Abuse Treatment.  33:43-50. 2007
    2007 Is managed care closing substance abuse treatment units?Managed Care Interface.  20:28-32. 2007
    2006 Insights from a national survey into why substance abuse treatment units add prevention and outreach servicesSubstance Abuse Treatment, Prevention, and Policy.  1. 2006
    2006 Analyzing administrative costs in hospitalsHealth Care Management Review.  31:347-354. 2006
    2005 Organizational survival in the outpatient substance abuse treatment sector, 1988-2000Medical care review.  62:697-719. 2005
    2005 Factors associated with interorganizational relationships among outpatient drug treatment organizations 1990-2000Health Services Research.  40:1356-1378. 2005
    2005 Factors that influence staffing of outpatient substance abuse treatment programsPsychiatric Services.  56:934-939. 2005
    2005 Politically Connected: Using Organization Theory to Strengthen the Political Competency of Health Care Executives.Journal of Health Administration Education.  22:67-84-67-84. 2005
    2005 Politically connected: increasing the political competency of healthcare executives in health policy.Journal of Health Administration Education.  22:67-83. 2005
    2004 Collaboration to improve services for the uninsured: Exploring the concept of health navigators as interorganizational integratorsHealth Care Management Review.  29:196-206. 2004
    2003 Changes in Managed Care Activity in Outpatient Substance Abuse Treatment Organizations, 1995-2000Journal of Behavioral Health Services and Research.  30:369-381. 2003
    2003 Administrative burden and its implications for outpatient substance abuse treatment organizationsPsychiatric Services.  54:705-711. 2003
    2003 Creating a Financialy Sound Strategic Plan: An Interview with Christy Harris Lemak, PhD and Louis C. Gapenski, PhDExecutive Insights.  4-6. 2003
    2003 Strategy as simple rules: Understanding success in a rural clinicHealth Care Management Review.  28:179-188. 2003
    2003 Why do drug treatment organizations use contingent staffing arrangements? An analysis of market and social influencesJournal of Health and Social Behavior.  44:180-197. 2003
    2002 Medical Group Practice Information Systems Used within Managed Care EnvironmentsJournal of Ambulatory Care Management.  25:40-51. 2002
    2002 The adoption of computer-based information systems by medical groups in a managed care environmentJournal of Ambulatory Care Management.  25:40-51. 2002
    2001 Managed care and drug treatment practices: A model of organizational response to external influenceAdvances in health care management.  2:131-159. 2001
    2001 Managed care and outpatient substance abuse treatment intensityJournal of Behavioral Health Services and Research.  28:12-29. 2001
    2001 Selective contracting in managed care: The case of substance abuse treatmentMedical care review.  58:455-481. 2001
    1998 Managed care and technical efficiency in outpatient substance abuse treatment unitsJournal of Behavioral Health Services and Research.  25:377-396. 1998
    1997 Directors' perceptions of the effects of managed care in outpatient substance abuse treatmentJournal of Substance Abuse.  9:1-14. 1997
    1997 Managed Care Penetration in Outpatient Substance Abuse Treatment UnitsMedical care review.  54:490-507. 1997
    1997 The Effects of Managed Care on Administrative Burden in Outpatient Substance Abuse Treatment FacilitiesMedical Care.  35:1060-1068. 1997
    1996 Beyond adoption to sustained use: Telemedicine for rural communitiesTelemedicine journal : the official journal of the American Telemedicine Association.  2:285-293. 1996


    Year Title Altmetric
    2011 The evolving leadership development agenda in health care: A commentary.  Ed. 10.  2011


    Year Title Altmetric
    2016 The Need for Leaders: Leadership for the Future (chapter) 2016
    2015 Healthcare Reform: Implications for Leadership 2015
    2015 Managing and Governing Health Care Organizations. 2015
    2011 Timeless Truths: NCHL to promote leadership development that works whatever the future holds.  25-25. 2011
    2003 Timeless Truths.  4-6. 2003
    2000 Introduction Chapter 2000
    1989 Keeping Rural Facilities Alive and Well.  44-45. 1989

    Research Overview

  • Health care management and leadership development, with an emphasis on how leadership and organizational factors are associated with high performance.

    Complex pay-for-value program for physicians, social determinants of health for vulnerable populations, interventions to improve population health, and the career trajectories of women leaders in health care.
  • Education And Training

  • Doctor of Philosophy in Health Services / Allied Health / Health Sciences, University of Michigan System : Ann Arbor 1998
  • Master of Business Administration in Business Administration and Management, University of Missouri System : Columbia 1988
  • Master of Health Related in Health Services Administration, University of Missouri System : Columbia 1988
  • Bachelor of Science or Mathematics in Health and Medical Administrative Services, University of Illinois System : Urbana-Champaign 1986
  • Full Name

  • Christy Lemak
  • Blazerid

  • lemak