Charles G. Macias, MD, MPH

Department or Service


  • Texas Medical Center


Emergency Medicine

Phone: 832-824-5497
Fax: 832-825-5424

Contact Information

6621 Fannin Street
Houston, TX 77030
United States

Chief Clinical Systems Integration Officer

Texas Children's Hospital

Associate Professor of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine

Co-Chairman, Improving Pediatric Sepsis Outcomes, Children's Hospital Association


School Education Degree Year
UT School of Public Health masters Master of Public Health 2004
University of Colorado School of Medicine fellowship Research Fellowship 1997
University of Colorado School of Medicine fellowship Pediatric Emergency Medicine 1996
University of Texas Southwestern Medical School residency Pediatrics 1994
University of Texas Southwestern Medical School internship Pediatrics 1992
University of Texas Southwestern Medical School medical school Doctor of Medicine 1991


Dr. Macias has had a long-time interest in quality improvement and has had a local, regional and national impact on improving healthcare infrastructures and their quality of care delivery. He is the Chief Clinical Systems Integration Officer for the Texas Children’s enterprise, leading the Evidence Based Outcomes Center and driving a number of analytics and QI based improvement activities.

He is the immediate past Chairman of the largest Pediatric Emergency Medicine national professional society group where he created and implemented a number of QI initiatives in pediatrics domains. He is a co-chairman of the Improving Pediatric Sepsis Outcomes, a QI collaborative in 48 children’s hospitals and related institutions aiming to decrease mortality from sepsis by a relative 75%. This comes at the heels of work he has done with the American Academy of Pediatrics in sepsis QI work under their umbrella of activities. He is the Executive Director of the EMS for Children Innovation and Improvement Center, an improvement science based center funded by HRSA/MCHB and housed out of Texas Children’s Hospital/Baylor College of Medicine, helping support infrastructures to drive QI in offices in 58 states and territories across the continuum of Emergency Medical Services for Children. 

He conducts health services research focused on improvement science across a number of clinical and cross cutting domains and has published over 100 articles in peer reviewed journals. As such, he had advanced the clinical and research activities of the field of pediatrics and pediatric emergency medicine. 

News Articles:

Preventing sepsis by reimagining systems and engaging patients 

Utilizing a core set of strategies, the Emergency Services department is committed to our vision of improving the health outcomes of all children in emergent and urgent care settings. Additionally, we endeavor to fulfill our mission of providing the highest quality care, experience, education, research, advocacy and value.

Please note that Dr. Macias only sees patients in the Emergency Centerand does not accept appointments.


Organization Name Role
American Academy of Pediatrics Member
American College of Emergency Physicians Member
Society for Academic Emergency Medicine Member
Texas Gulf Coast Asthma Coalition Founding Member
Texas Pediatric Society Member

Selected Publications

Mendez D, Caviness AC, Ma L, Macias CG. The diagnostic accuracy of an abdominal radiograph with signs and symptoms of intussusception.American Journal ofEmergency Medicine 2012 Mar;30(3):426-31. Epub 2011 Mar 29. PMID: 21447436.