This work is built for leaders in healthcare — clinicians and non-clinicians — operating inside systems where influence, not just expertise, shapes outcomes.
You’ve been here.
You share an idea. Someone else says it.
It lands.
You watch it happen in real time.
You don’t know what to do.
This isn’t a communication problem.
It’s a visibility problem.
Visibility Determines Influence
What You Do
> Deliver high-quality work in complex, high-stakes environments
> Influence some spaces — but not the stakeholders who shape key decisions
> Notice others gaining traction within your organization or system
> Lack clarity on how decisions are made across clinical and operational leadership
You’re not underperforming. You’re underrecognized.
This is How Influence Actually Works
The Power Map™
Every outcome is shaped by FIVE roles — the people who influence what moves forward, and what doesn’t.
1 Manager
2 Advocate
3 Decision-Maker
4 Influencer
5 Risk Lens
If the right people don't see your work, it doesn't move.
What this Work Changes
You don't need to work harder. You need to be seen differently — by the people who shape outcomes.
You become visible at the right level
Not just known for your work — but recognized by the people who make decisions.
You understand how decisions get made
So you can position your work to move forward.
You stop being overlooked in critical moments
Start contributing to the conversations that shape direction.
You build influence that matches your capability
So your impact reflects the level at which you’re operating.
This isn't about speaking up more. It’s about reading the system and navigating with intent
This Work is Led by Michelle Flemmings, MD.
Dr. Flemmings brings over 30 years of experience across clinical medicine, healthcare systems, and executive leadership. Board-certified in Emergency and Internal Medicine, she has worked in environments where decisions carry real consequences — for individuals, teams, and organizations.
Dr. Flemmings brings over 30 years of experience across clinical medicine, healthcare systems, and executive leadership. Michelle has worked in environments where decisions carry real consequences — for individuals, teams, and organizations.
Her work extends to healthcare technology and enterprise leadership, including executive roles at Oracle and Cerner, where she operated within the systems that shape how decisions are made at scale.
Across this work, she has seen a consistent pattern:
High-performing professionals aren’t overlooked because of capability — but because they’re not positioned within the roles and moments that shape outcomes.
The Power Map™ was built to make that visible — and actionable.
Nursing Director Clinical Informatics
Dr. Flemmings delivered clarity, compassion, and a deep understanding of what it means to lead with purpose. The Catalyst experience is a powerful blend of emotional support, practical frameworks, and accountable momentum. I’ve gained tangible tools, reusable strategies, and a renewed sense of agency. This program has given me the confidence to lead with intention, vulnerability, and courage without waiting for perfection.
Senior Healthcare Technology Leader
Michelle was instrumental in coaching me to make wise decisions about my career path. She has a knack for listening to her clients and showing great empathy. I highly recommend her for any coaching, mentoring, and leadership opportunity.
Physician Leader, Women’s Health & Obesity Medicine
Michelle has a unique ability to help professionals align how they show up with the impact they want to make. Our work together helped me refine how I communicate my expertise and vision as a physician leader in women’s health and obesity medicine.
Physician Leader, VP Healthcare Technology
Working with Michelle has changed the way I show up. I have stopped waiting to be “ready” and started trusting that I already have the expertise and perspective worth sharing. I’ve learned to set better boundaries, speak up with clarity and confidence, and own my authority. I feel more like the kind of leader that I want to be.
If you’re ready to see how your work is landing
See what’s shaping your visibility—
and what’s not.
Your Visibility Assessment shows you where your work is landing, where it isn’t,
and how it’s affecting your ability to influence decisions.
Start Your Visibility Assessment
