• Health-related social needs and improving families access to social services (HelpSteps)
  • Internet-based management of chronic diseases (TriVox Health)
  • Injury prevention/fire arm violence


Eric Fleegler, MD, MPH is a pediatric emergency physician and health services researcher at Boston Children’s Hospital.  He was a political science major at Brown University, earned his medical degree at the University of Pennsylvania School of Medicine and his masters in public health at the Harvard School of Public Health. He has 14 years’ experience leading large-scale research projects and performing injury prevention research with a focus on violence and firearm fatalities. He is the founder and director of HelpSteps (www.helpsteps.com), a web and mobile-based system for helping families with social problems connect to social services, which is the backbone referral system for the Boston Public Health Commission. He is also the co-founder and co-director of TriVox Health (www.trivoxhealth.com), a web and mobile system used clinically to manage over 5000 patients with chronic diseases, including ADHD, asthma, autism, depression, anxiety, epilepsy, and other conditions.  TriVox Health is currently in use in 10 clinics at Boston Children’s Hospital and a growing number of outside institutions. His injury work has focused on evaluating the role of legislation in reducing injury fatalities, especially related to firearms, and understanding the epidemiology of firearm violence. He is the recipient of over two-dozen grants and has published over 30 original research articles including in JAMA Internal Medicine, Pediatrics, JAMA Pediatrics, the American Journal of Preventive Medicine and others.

Selected Publications

  1. Families' health-related social problems and missed referral opportunities. Fleegler EW, Lieu TA, Wise PH, Muret-Wagstaff S. Pediatrics. 2007;119(6):e1332-1341.
  2. Attempts to Silence Firearm Injury Prevention. Fleegler E, Monuteaux M, Bauer S, Lee L. American Journal of Preventive Medicine. 2012: 42(1):99-102.
  3. Firearm Legislation and Firearm-Related Fatalities in the United States. Fleegler EW, Lee LK, Monuteaux MC, Hemenway D, Mannix R. JAMA Intern Med. 2013;173(9):732-740.
  4. Firearm ownership and violent crime in the United States: An ecological study. Monuteaux MC, Lee LK, Hemenway D, Mannix R, Fleegler EW.Am J Prev Med 2015. 49(2):207-214.
  5. Improving Social Determinants of Health: Effectiveness of a web-based intervention. Hassan A, Blood EA, Pikcilingis A, Krull E, McNickles L, Marmon G, Woods ER, Fleegler EW. Am J Prev Med. 2015 Dec;49(6):822-31.
  6. Geographic Disparities in Access to Agencies Providing Income-related Social Services. Bauer S, Monuteaux M, Fleegler EW. Journal of Urban Health. 2015; 92(5): 853-863.
  7. County Poverty Concentration and Disparities in Unintentional Injury Deaths: A Fourteen-Year Analysis of 1.6 Million U.S. Fatalities. Karb RA, Subramanian SV, Fleegler EW. PLoS One. 2016 May 4;11(5):e0153516.
  8. Food Insecurity and the Burden of Health-Related Social Problems in an Urban Youth Population. Baer TE, Scherer EA, Fleegler EW, Hassan A. J Adolesc Health. 2015 Dec;57(6):601-7.
  9. Pain and Prejudice. Fleegler EW, Schechter NL. JAMA Pediatr. 2015 Nov;169(11):991-3. 


Publications powered by Harvard Catalyst Profiles

  1. Our Limited Knowledge of Youth Suicide Risk and Firearm Access. JAMA Netw Open. 2021 Oct 01; 4(10):e2127965. View abstract
  2. Correlation Between National Institutes of Health Funding for Pediatric Research and Pediatric Disease Burden in the US. JAMA Pediatr. 2021 Sep 13. View abstract
  3. Racial and Ethnic Disparities in Pain Management of Children With Limb Fractures or Suspected Appendicitis: A Retrospective Cross-Sectional Study. Front Pediatr. 2021; 9:652854. View abstract
  4. Nonfatal firearm injuries: Utilization and expenditures for children pre- and postinjury. Acad Emerg Med. 2021 08; 28(8):840-847. View abstract
  5. Explicit and implicit bias based on race, ethnicity, and weight among pediatric emergency physicians. Acad Emerg Med. 2021 09; 28(9):1073-1076. View abstract
  6. Screening for Interpersonal Violence: Missed Opportunities and Potential Harms. Am J Prev Med. 2021 09; 61(3):439-444. View abstract
  7. Increasing inclusivity in patient centered research begins with language. Prev Med. 2021 08; 149:106621. View abstract
  8. Screening Discordance and Characteristics of Patients With Housing-Related Social Risks. Am J Prev Med. 2021 07; 61(1):e1-e12. View abstract
  9. Inpatient Use and Outcomes at Children's Hospitals During the Early COVID-19 Pandemic. Pediatrics. 2021 06; 147(6). View abstract
  10. Retracted Nonfatal firearm injuries: Utilization and expenditures for children pre- and postinjury. Acad Emerg Med. 2021 Mar 17. View abstract
  11. Mental Health Utilization and Expenditures for Children Pre-Post Firearm Injury. Am J Prev Med. 2021 07; 61(1):133-135. View abstract
  12. Neighborhood Conditions and Recurrent Emergency Department Utilization by Children in the United States. J Pediatr. 2021 Jul; 234:115-122.e1. View abstract
  13. Emergency Visits and Hospitalizations for Child Abuse During the COVID-19 Pandemic. Pediatrics. 2021 04; 147(4). View abstract
  14. Pediatric Emergency Department Visits at US Children's Hospitals During the COVID-19 Pandemic. Pediatrics. 2021 04; 147(4). View abstract
  15. Paediatric ED utilisation in the early phase of the COVID-19 pandemic. Emerg Med J. 2021 Feb; 38(2):100-102. View abstract
  16. Assessment of Social Risk Factors and Interest in Receiving Health Care-Based Social Assistance Among Adult Patients and Adult Caregivers of Pediatric Patients. JAMA Netw Open. 2020 10 01; 3(10):e2021201. View abstract
  17. Child Access Prevention Firearm Laws and Firearm Fatalities Among Children Aged 0 to 14 Years, 1991-2016. JAMA Pediatr. 2020 05 01; 174(5):463-469. View abstract
  18. First, Prevent Harm: Eliminate Firearm Transfer Liability as a Lethal Means Reduction Strategy. Am J Public Health. 2020 05; 110(5):619-620. View abstract
  19. Coronavirus Disease 2019 (COVID-19) and Firearms in the United States: Will an Epidemic of Suicide Follow? Ann Intern Med. 2020 08 04; 173(3):228-229. View abstract
  20. Association of Pediatric Suicide With County-Level Poverty in the United States, 2007-2016. JAMA Pediatr. 2020 03 01; 174(3):287-294. View abstract
  21. Equitable and Timely Care of Febrile Neonates: A Cross-Sectional Study. Pediatr Emerg Care. 2020 Feb 01. View abstract
  22. Part II: A Qualitative Study of Social Risk Screening Acceptability in Patients and Caregivers. Am J Prev Med. 2019 12; 57(6 Suppl 1):S38-S46. View abstract
  23. Part I: A Quantitative Study of Social Risk Screening Acceptability in Patients and Caregivers. Am J Prev Med. 2019 12; 57(6 Suppl 1):S25-S37. View abstract
  24. Impact of Ondansetron Prescription on Return Emergency Department Visits Among Children with Acute Gastroenteritis. Pediatr Emerg Care. 2019 Sep 12. View abstract
  25. Mass School Shootings in the United States: A Novel Root Cause Analysis Using Lay Press Reports. Clin Pediatr (Phila). 2019 11; 58(13):1423-1428. View abstract
  26. Are Pediatric House Calls the Future? Exploring Patient Perceptions of Home-Centered Health. Clin Pediatr (Phila). 2019 09; 58(10):1049-1055. View abstract
  27. Mass Shootings and the Numbing of America. JAMA Intern Med. 2019 May 01; 179(5):610-611. View abstract
  28. Characteristics of Future Models of Integrated Outpatient Care. Healthcare (Basel). 2019 Apr 27; 7(2). View abstract
  29. The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families. Acad Pediatr. 2019 Nov - Dec; 19(8):891-898. View abstract
  30. The Impact of State Firearm Laws on Homicide and Suicide Deaths in the USA, 1991-2016: a Panel Study. J Gen Intern Med. 2019 10; 34(10):2021-2028. View abstract
  31. Association between access to social service resources and cardiometabolic risk factors: a machine learning and multilevel modeling analysis. BMJ Open. 2019 03 12; 9(3):e025281. View abstract
  32. Timely Interventions for Children with ADHD through Web-Based Monitoring Algorithms. Diseases. 2019 Feb 07; 7(1). View abstract
  33. Young Adults and Adverse Childhood Events: A Potent Measure of Cardiovascular Risk. Am J Med. 2019 05; 132(5):605-613. View abstract
  34. Caring electronically for young outpatients who have epilepsy. Epilepsy Behav. 2018 10; 87:226-232. View abstract
  35. Epidemiology of Pedestrian-Motor Vehicle Fatalities and Injuries, 2006-2015. Am J Prev Med. 2018 07; 55(1):98-105. View abstract
  36. Perspectives from the Society for Pediatric Research: interventions targeting social needs in pediatric clinical care. Pediatr Res. 2018 07; 84(1):10-21. View abstract
  37. Variation in Pediatric Procedural Sedations Across Children's Hospital Emergency Departments. Hosp Pediatr. 2018 01; 8(1):36-43. View abstract
  38. Cost-Effectiveness of a Health System-Based Smoking Cessation Program. Nicotine Tob Res. 2017 Nov 07; 19(12):1508-1515. View abstract
  39. A cross-sectional study of emergency care utilization and associated costs of violent-related (assault) injuries in the United States. J Trauma Acute Care Surg. 2017 11; 83(5S Suppl 2):S240-S245. View abstract
  40. Easiness of Legal Access to Concealed Firearm Permits and Homicide Rates in the United States. Am J Public Health. 2017 12; 107(12):1923-1929. View abstract
  41. State Intimate Partner Violence-Related Firearm Laws and Intimate Partner Homicide Rates in the United States, 1991 to 2015. Ann Intern Med. 2017 Oct 17; 167(8):536-543. View abstract
  42. A cross-sectional study of emergency care utilization and associated costs of violent-related (assault) injuries in the United States. J Trauma Acute Care Surg. 2017 08; 83(2):310-315. View abstract
  43. Broadening the Perspective on Gun Violence: An Examination of the Firearms Industry, 1990-2015. Am J Prev Med. 2017 Nov; 53(5):584-591. View abstract
  44. Firearm-Related Laws in All 50 US States, 1991-2016. Am J Public Health. 2017 07; 107(7):1122-1129. View abstract
  45. Community Poverty and Child Abuse Fatalities in the United States. Pediatrics. 2017 May; 139(5). View abstract
  46. Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need? Acad Pediatr. 2017 07; 17(5):497-503. View abstract
  47. Food Insecurity, Weight Status, and Perceived Nutritional and Exercise Barriers in an Urban Youth Population. Clin Pediatr (Phila). 2018 02; 57(2):152-160. View abstract
  48. The impact of preterm birth <37 weeks on parents and families: a cross-sectional study in the 2 years after discharge from the neonatal intensive care unit. Health Qual Life Outcomes. 2017 Feb 16; 15(1):38. View abstract
  49. Firearm Laws and Firearm Homicides: A Systematic Review. JAMA Intern Med. 2017 01 01; 177(1):106-119. View abstract
  50. Evaluating the Accountable Health Communities Demonstration Project. J Gen Intern Med. 2017 Mar; 32(3):345-349. View abstract
  51. Email Isn't Just for Old People: Teen Acceptability of Internet Communication With Medical Providers. Clin Pediatr (Phila). 2016 Dec; 55(14):1350-1353. View abstract
  52. Predictors and Outcomes of Pediatric Firearm Injuries Treated in the Emergency Department: Differences by Mechanism of Intent. Acad Emerg Med. 2016 07; 23(7):790-5. View abstract
  53. County Poverty Concentration and Disparities in Unintentional Injury Deaths: A Fourteen-Year Analysis of 1.6 Million U.S. Fatalities. PLoS One. 2016; 11(5):e0153516. View abstract
  54. Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma. MMWR Suppl. 2016 Feb 12; 65(1):11-20. View abstract
  55. Food Insecurity and the Burden of Health-Related Social Problems in an Urban Youth Population. J Adolesc Health. 2015 Dec; 57(6):601-7. View abstract
  56. Pain and Prejudice. JAMA Pediatr. 2015 Nov; 169(11):991-3. View abstract
  57. Geographic Disparities in Access to Agencies Providing Income-Related Social Services. J Urban Health. 2015 Oct; 92(5):853-63. View abstract
  58. Motor Vehicle Crash Fatalities in States With Primary Versus Secondary Seat Belt Laws: A Time-Series Analysis. Ann Intern Med. 2015 Aug 04; 163(3):184-90. View abstract
  59. Improving Social Determinants of Health: Effectiveness of a Web-Based Intervention. Am J Prev Med. 2015 Dec; 49(6):822-31. View abstract
  60. Firearm Ownership and Violent Crime in the U.S.: An Ecologic Study. Am J Prev Med. 2015 Aug; 49(2):207-14. View abstract
  61. Social disparities among youth and the impact on their health. Adolesc Health Med Ther. 2015; 6:37-45. View abstract
  62. Proactive tobacco cessation outreach to smokers of low socioeconomic status: a randomized clinical trial. JAMA Intern Med. 2015 Feb; 175(2):218-26. View abstract
  63. Firearm legislation and gun-related fatalities--reply. JAMA Intern Med. 2013 Nov 25; 173(21):2011-2. View abstract
  64. Red state blue state. Acad Emerg Med. 2013 Aug; 20(8):858-9. View abstract
  65. Firearm legislation and firearm-related fatalities in the United States. JAMA Intern Med. 2013 May 13; 173(9):732-40. View abstract
  66. Youths' health-related social problems: concerns often overlooked during the medical visit. J Adolesc Health. 2013 Aug; 53(2):265-71. View abstract
  67. Early identification of children at risk for critical care: standardizing communication for inter-emergency department transfers. Pediatr Emerg Care. 2013 Apr; 29(4):419-24. View abstract
  68. Booster seat laws and fatalities in children 4 to 7 years of age. Pediatrics. 2012 Dec; 130(6):996-1002. View abstract
  69. Assessing and referring adolescents' health-related social problems: qualitative evaluation of a novel web-based approach. J Telemed Telecare. 2012 Oct; 18(7):392-8. View abstract
  70. Debriefing assessment for simulation in healthcare: development and psychometric properties. Simul Healthc. 2012 Oct; 7(5):288-94. View abstract
  71. Children injured by violence in the United States: emergency department utilization, 2000-2008. Acad Emerg Med. 2012 May; 19(5):535-40. View abstract
  72. Attempts to silence firearm injury prevention. Am J Prev Med. 2012 Jan; 42(1):99-102. View abstract
  73. Adherence to guidelines for managing the well-appearing febrile infant: assessment using a case-based, interactive survey. Pediatr Emerg Care. 2010 Dec; 26(12):875-80. View abstract
  74. Using technology to improve adolescent healthcare. Curr Opin Pediatr. 2010 Aug; 22(4):412-7. View abstract
  75. The modern paediatric injury pyramid: injuries in Massachusetts children and adolescents. Inj Prev. 2010 Apr; 16(2):123-6. View abstract
  76. Families' health-related social problems and missed referral opportunities. Pediatrics. 2007 Jun; 119(6):e1332-41. View abstract
  77. Chronic ventilator need in the community: a 2005 pediatric census of Massachusetts. Pediatrics. 2007 Jun; 119(6):e1280-7. View abstract
  78. Perforated appendicitis in a child with Henoch-Schönlein purpura. J Pediatr Surg. 2005 Feb; 40(2):E24-7. View abstract
  79. Should parents accompany pediatric interfacility ground ambulance transports? Results of a national survey of pediatric transport team managers. Pediatr Emerg Care. 2001 Feb; 17(1):22-7. View abstract
  80. Should parents accompany pediatric interfacility ground ambulance transports? The parent's perspective. Pediatr Emerg Care. 2000 Dec; 16(6):383-90. View abstract