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Charles Macias, MD, MPH

Charles Macias, MD, MPH

  • Languages Spoken: English

Biography: Charles Macias, MD, MPH


  • Quality Improvement


  • Division Chief, Pediatric Emergency Medicine, UH Rainbow Babies and Children's Hospital
  • Chief Quality Officer, UH Rainbow Babies and Children's Hospital
  • Vice Chair for Quality and Safety, UH Rainbow Babies and Children's Hospital

Certifications & Memberships

  • Pediatric Emergency Medicine - American Board of Pediatrics
  • Pediatrics - American Board of Pediatrics


Other Education
University Of Texas School Of Public Health (1998 - 2003)

Fellowship | Pediatric Emergency Medicine
Pediatric Emergency Medicine - The Children's Hospital (1994 - 1997)

Residency | Pediatrics
Pediatrics - Children's Medical Center - Dallas (1991 - 1994)

Medical Education
University Of Texas Southwestern Medical School (1986 - 1991)

Stanford University (1983)


Charles Macias, MD, MPH, is the Division Chief for Pediatric Emergency Medicine and Chief Quality Officer/Vice Chair of Quality for the University Hospitals Rainbow Babies & Children’s system of care. He is an associate professor of pediatrics at Case Western Reserve University.

His interest in education has included leadership roles as the American Academy of Pediatrics’ Pediatric Emergency Medicine Fellowship Director’s Committee Chairman, a former Pediatric Emergency Medicine Fellowship Director at Baylor College of Medicine/Texas Children’s Hospital, and liaison to the Residency Review Committee for pediatric emergency medicine.

Dr. Macias has published over 100 journal articles and several textbook chapters. He is also a co-editor of the textbook, Pediatric Emergency Medicine. His research endeavors have included close to $20 million dollars in federal research/program funding and several national research leadership positions. This includes former roles as chair of the Pediatric Emergency Medicine Collaborative Research Committee, founding and steering committee member of the Pediatric Emergency Research Network (global PEM research network) and HEDA PI for the Pediatric Emergency Care Research Network.

He is the co-director of one of the two national Pediatric Disaster Centers of Excellence (one based in Cleveland) funded by the Assistant Secretary for Preparedness and Response. Dr. Macias has served as the Hospital Incident Command System commander for UH Rainbow Babies & Children’s Hospital and UH MacDonald Women’s Hospital during the COVID pandemic.

His focus on quality improvement and safety is evidenced in his national leadership roles. He is a co-chair of the Improving Pediatric Sepsis Outcomes quality improvement collaborative of the Children’s Hospital Association – a collaborative of over 54 institutions that has decreased mortality from pediatric sepsis nationally. He is the former chair and founding member of the Pediatric Septic Shock Collaborative of the AAP. He also serves as the executive director of the national Emergency Medical Services for Children Innovation and Improvement Center, utilizing improvement science to drive better outcomes across the emergency services continuum of care. The center was recently funded by a $10 million dollar federal grant to be led jointly out of offices here at Rainbow and at Dell Children’s in Austin, Texas.

He is past chair of the AAP’s Section on Emergency Medicine and most recently, he was elected to the newly created subspecialty seat on the Board of Directors of the American Academy of Pediatrics, the largest pediatric professional society with over 70,000 members.

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Industry Relationships

University Hospitals is committed to transparency in our interactions with industry partners, such as pharmaceutical, biotech, or medical device companies. At UH, we disclose practitioner and their family members’ ownership and intellectual property rights that are or in the process of being commercialized. In addition, we disclose payments to employed practitioners of $5,000 or more from companies with which the practitioners interact as part of their professional activities. These practitioner-industry relationships assist in developing new drugs, devices and therapies and in providing medical education aimed at improving quality of care and enhancing clinical outcomes. At the same time, UH understands that these relationships may create a conflict of interest. In providing this information, UH desires to assist patients in talking with their practitioners about industry relationships and how those relationships may impact their medical care.

UH practitioners seek advance approval for certain new industry relationships. In addition, practitioners report their industry relationships and activities, as well as those of their immediate family members, to the UH Office of Outside Interests annually. We review these reports and implement management plans, as appropriate, to address conflicts of interest that may arise in connection with medical research, clinical care and purchasing decisions.

View UH’s policy (PDF) on practitioner-industry relationships.

As of December 31, 2016, Charles Macias did not disclose any Outside Relationships with Industry.