Curriculum Vitae

William E. Baker, MD

Boston University School of Medicine – Boston Medical Center

Department of Emergency Medicine

1 Boston Medical Center Place, Dowling 1 S

Boston, MA 02118

wbaker@bu.edu

Academic Training:

      1986 B.S.              University of Pennsylvania, Philadelphia, PA; Natural Sciences

      1990 M.D.            University of Vermont, Burlington, VT

Postdoctoral Training:

      1990-1994             Resident in Emergency Medicine, Northwestern University, Chicago, IL

                                    6/1993-6/1994            Chief Resident; Emergency Medicine

Academic Appointments:

      1994-1997             Assistant Professor of Emergency Medicine, New York Medical College

      2002                      Clinical Instructor, Northeastern University, Health Science, Bouve College of Health Sciences, Physician Assistant Program

      1998-2016         Assistant Professor of Emergency Medicine, Boston University School of Medicine

2016-present         Associate Clinical Professor of Emergency Medicine, Boston University School of Medicine

Hospital Appointments, all Emergency Medicine (EM):

      1992-1993             Attending, Columbus Hospital, Chicago, IL

      1992-1994             Attending, Our Lady of the Resurrection Medical Center, Chicago, IL

      1993-1994             Attending, Mount Sinai Hospital, Chicago, IL

      1994-1997             Attending & Core Faculty Member, Lincoln Medical & Mental Health Center, Bronx, NY

      1995-1997             Attending, Northern Westchester Hospital Center, Mount Kisco, NY

      1997                      Attending, Columbia Presbyterian Medical Center, New York, NY

      1997-2009             Attending & Core Faculty Member (Boston University EM group) Quincy Medical Center, Quincy MA

      1997-present         Attending & Core Faculty Member Boston Medical Center (BMC), Boston, MA

Honors:

      1994                      Thomas R. Mulroy Award for Excellence in Emergency Medicine (Northwestern emergency medicine residency)

      1997                      Physician of the year (Lincoln Hospital emergency medicine)

      2005                      Chair’s Award, Boston University School of Medicine, “For unsurpassed patient care, teaching, dedication and administrative contributions”

Licenses and Certification:

      1997                      Massachusetts License (Board of Registration in Medicine), 152223

      1995                      American Board of Emergency Medicine, 23188

Departmental and University Committees:

      1994-1997             Safety Committee, Lincoln Hospital, Bronx, NY

      1994-1997             Pharmacy and Therapeutics Committee, Lincoln Hospital, Bronx, NY

      1994-1997             Disaster Committee (chaired 1996-1997), Lincoln Hospital, Bronx, NY

      2001-2002             Disaster Committee (co-chaired), Quincy Medical Center, Quincy, MA

      2001-2002             Executive Committee (hospital), Quincy Medical Center, Quincy, MA

      2002-present         Executive Committee (departmental), BMC, Boston, MA

      2002-2010             Continuous Quality Improvement Committee (departmental), BMC, Boston, MA

      2002-present         Policy and Procedure Committee (departmental), BMC, Boston, MA

      2002-present         Credentials Committee (hospital), BMC, Boston, MA

      2004-2012             Critical Care Committee (hospital), BMC, Boston, MA

      2007-present         Quality and Patient Safety Council (hospital, formerly Clinical Quality Council), BMC, Boston, MA

      2007-2012             Emergency Management Committee (hospital), BMC, Boston, MA

      2007-present         STEMI Work Group (hospital), BMC, Boston, MA

      2009-present         Professional Practice Evaluation Committee (hospital), BMC, Boston, MA

      2010-present         Quality-Patient Safety Leader Group (hospital), BMC, Boston, MA

      2012-present         BMC Sepsis Mortality Reduction Workgroup

      2013-present         Quality and Patient Safety Workgroup (departmental), BMC, Boston, MA

      2013-present         Critical Care Executive Committee (hospital), BMC, Boston, MA

      2014-                     Faculty Practice Foundation Professional Standards Committee (starting October 2014)

Teaching Experience and Responsibilities:

      2002-present         Regular lectures to house staff, fellows and faculty on various emergency medicine topics including:

                                    Blunt arterial trauma (cervicocranial, thoracic and iliofemoral)

                                                Boston EMS Refresher Course June 14, 2013

                                    Disaster medicine

                                    Neck infections (peritonsillar abscesses)

                                    School of Public Health Course guest lecturer (June 16, 2009 & June 21, 2011) SB8808

                                    Toxicology (nerve agents)

                                                Boston EMS ALS Refresher Course, October 20, 2011

                                    Ultrasound in emergency medicine, taught introduction to emergency ultrasound to incoming residents; hands-on training of residents and faculty

                                    Critical Care Monthly Conference facilitator, emergency medicine conference

                                    Morbidity and Mortality Conference facilitator (BU School of Medicine CME provided)

Major Mentoring Activities:

      2007-2008             Daniela Ramirez-Schrempp, M.D., fellow in pediatric emergency medicine

Major Administrative Responsibilities:

      1995-1997             Associate Medical Director, Surgical ED, Lincoln Hospital, Bronx, NY

Inner city, public hospital, trauma center, 170,000 ED visits/year; developed numerous clinical guidelines

      1998-2001             Residency Site Director (BU Emergency Medicine), Quincy Medical Center, Quincy, MA

      2001-2002             Interim Chief, ED, Quincy Medical Center, Quincy, MA

      2002-2008             Assistant Director, ED Ultrasound Section, BMC

      2005-2006             Associate Clinical Director, Menino ED, BMC

      2006-2008             Clinical Director, East Newton ED, BMC

      2008-present         Medical Director, ED, BMC

      7/2010-present      Vice Chair of Quality and Patient Safety, ED, BMC

      Selected Administrative Achievements at BMC:

1.     Developed and implemented criteria based core privileging for emergency medicine, the first department at BMC to do so (August 2003); a model for other departments.

2.     Developed and revised numerous clinical policies and guidelines (departmental and hospital wide).

3.     Departmental lead in improving STEMI care systems, development and implementation (in collaboration with cardiology partners) STEMI activation guidelines and systems, including direct activation of cath lab by ED.

4.     Department lead in developing and implementing an ED Rapid Follow-up Program (EDRP) for diabetes care in collaboration with endocrine. This program was selected and approved for the “Delivery System Transformation Initiative” under Massachusetts’ 1115 Medicaid Waiver, one of three programs chosen for the category: improve health outcomes and quality (December 2011 – June, 2014). This program has been referenced on a national level as an “Example Project” in describing Medicaid incentive programs

a.     Delivery system transformation initiatives proposal for the Massachusetts section 1115 waiver demonstration years 15 - 17 [Internet]. Boston, MA: Boston Medical Center; 2012 [cited 2014 Dec 1]. Available from: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ma/MassHealth/ma-masshealth-boston-medical-dsti-06142012.pdf

b.     Medicaid incentive programs: hospital perspectives form three states [Internet]. Washington, DC: Essential Hospitals Institute; 2014 [cited 2014 Dec 1]. Available from: http://essentialhospitals.org/wp-content/uploads/2014/09/AEH_Sept_Waivers_ResearchBrief_Interactive.pdf

5.     Departmental lead for sepsis mortality improvement project, activities included development and implementation of hospital wide policy on sepsis management. Components of project include optimization of IT infrastructure (order sets and lab interfaces) as well as measure reporting (under development). Project start date: March, 2012

6.     Overseeing the adaptation and implementation of an inpatient transitions of care tool (IPASS http://www.ipasshandoffstudy.com ) to ED intradepartmental handoffs (ongoing).

Other Professional Activities:

Professional Societies:

      1994-1997             The Medical Society of the State of New York

      1989-present         American College of Emergency Physicians

      1994-2014             American Academy of Emergency Physicians

      1994-present         Society for Academic Emergency Medicine

      1997-present         Massachusetts Medical Society

Major  Committee Assignments:

Regional:

2008-present               Member, Conference of Boston Teaching Hospitals (COBTH) Emergency Services Committee. COBTH. Boston, MA

                                    Chair, 2013-present

2011-present               Member, Metropolitan Boston Emergency Medical Services Council (MBEMSC) Medical Control Committee. MBEMSC. Massachusetts EMS Region IV (meetings held in Natick, MA).

National:

2012-2013                   Co-Chair, Clinical Directors Interest Group; Society for Academic Emergency Medicine

2013-present               Co-Chair, Operations Interest Group; Society for Academic Emergency Medicine

2013                            Member, Web Evolution Committee , Society for Academic Emergency Medicine

2014                            Chair, Web Evolution Committee, a major committee of the Society for Academic Emergency Medicine (selected by the President to chair this committee)

Editorial & Reviewer Services:

2008-present               Consulting Reviewer, Journal of Emergencies, Trauma and Shock (official journal of the INDO-US Emergency and Trauma Collaborative) http://www.onlinejets.org/aboutus.asp

2014                            Reviewer, SAEM Annual Meeting, (scientific abstract scoring system employed)

2014-                           Consulting Reviewer, Emergency Medicine Journal (co-owned by the [Royal] College of Emergency Medicine and the British Medical Journal) http://emj.bmj.com/site/about/

Invited Lectures and Presentations

May 1996             Advanced splinting. Innovations in emergency medicine. Workshop sponsored by New York Medical College/Lincoln Hospital department of emergency medicine. Bronx, NY

March 1999          The FAST exam. Controversies in emergency trauma management. Workshop sponsored by Boston University School of Medicine CME and department of emergency medicine. Boston, MA

March 1999          Hand injuries. Controversies in emergency trauma management. Lecture sponsored by Boston University School of Medicine CME and department of emergency medicine. Boston, MA

October 2000        Hand injuries. Emergency medicine grand rounds. Lecture sponsored by the department of Emergency Medicine, Mount Sinai Medical School. New York, NY.

May 2001             The FAST exam. Emergency medicine: acute care, trauma and diagnostic dilemmas. Lecture sponsored by Boston University School of Medicine CME and departments of emergency medicine, pediatrics and surgery. Boston, MA.

May 2001             Hand injuries. Emergency medicine grand rounds. Lecture sponsored by the division of emergency medicine, Northwestern University. Evanston, IL.

July 9, 2005          Peritonsillar abscesses. Contemporary evaluation and management of head and neck emergencies. Lecture sponsored by Boston University School of Medicine CME and departments of emergency medicine and otolaryngology. Boston, MA.

May 10, 2006       Blunt arterial injuries. Lecture sponsored by Boston Medflight. Hanscom Air Force Base, Bedford, MA

Sept 16, 2008        Post-Traumatic stress debriefing in the emergency department (Panelist). Schwartz Rounds. Sponsored by The Kenneth B. Schwartz Center and Boston University School of Medicine CME. Boston, MA

January 28, 2009  Ultrasound for vascular access. Emergency medicine update. Workshop sponsored by the University of Vermont College of Medicine and Department of Surgery, Division of Emergency Medicine. Stowe, VT

January 30, 2009  Advances in emergency department ultrasound. Emergency medicine update. Lecture sponsored by the University of Vermont College of Medicine and Department of Surgery, Division of Emergency Medicine. Stowe, VT

February 3, 2010  Emergency Ultrasound: Applications for the acute patient. Emergency medicine update course. Workshop sponsored by the University of Vermont College of Medicine and Department of Surgery, Division of Emergency Medicine. Stowe, VT

February 5, 2010  Blunt arterial injuries, it’s not just the aorta at risk. Emergency medicine update course. Sponsored by the University of Vermont College of Medicine and Department of Surgery, Division of Emergency Medicine. Stowe, VT

January 25, 2012  Clinical epidemiology & population health pandemic influenza tabletop exercise. Harvard Medical School. Coach for exercise. Boston, MA

May 12, 2015       Transitions of Care. Patient Safety and Quality for Academic Emergency Medicine (workshop). 2015 SAEM Annual Meeting. San Diego, CA

May 14, 2015       ED Operations Research: An Agenda for Impactful Research to Support Quality Patient Care Delivery. Moderator, Panel Discussion. 2015 SAEM Annual Meeting. San Diego, CA

Bibliography:

Peer Reviewed Publications:

1      Baker WE, Bilimoria MM, Victor MG. Motor-scooter handlebar syndrome: blunt traumatic injury to the femoral artery. J Trauma. 1996 Jun;40(6):1017-20.

2      Lanoix R, Baker WE, Mele JM, Dharmarajan L. Evaluation of an instructional model for emergency ultrasonography. Acad Emerg Med. 1998 Jan;5(1):58-63.

3      Baker WE, Wassermann J. Unsuspected vascular trauma: blunt arterial injuries. Emerg Med Clin North Am. 2004 Nov;22(4):1081-98.

4      Miller RR, Baker WE, Brandeis GH. Hair-thread tourniquet syndrome in a cognitively impaired nursing home resident. Adv Skin Wound Care. 2004 Nov-Dec;17(9):479.

5      Baker WE, Servais EL, Burke PA, Agarwal SK. Blunt carotid injury. Curr Treat Options Cardiovasc Med. 2006 Apr;8(2):167-73.

6      Freeman K, Dewitz A, Baker WE. Ultrasound-guided hip arthrocentesis in the ED. Am J Emerg Med. 2007 Jan;25(1):80-6.

7      Baker WE. Evaluation of physician competency and clinical performance in emergency medicine. Emerg Med Clin North Am. 2009 Nov;27(4):615-26.

8      Duong D, Baker WE, Adedipe AA. Clinician-performed ultrasound diagnosis of ruptured interstitial pregnancy. Am J Emerg Med. 2009 Nov;27(9):1170.e1-2.

9      Ramirez-Schrempp D, Dorfman DH, Baker WE, Liteplo AS. Ultrasound soft tissue applications in the pediatric emergency department, To drain or not to drain? Pediatr Emer Care. 2009 Jan;25(1):44-48

10   Husain LF, Hagopian L, Wayman D, Baker WE, Carmody KA. Sonographic diagnosis of pneumothorax. J Emerg Trauma Shock 2012;5:76-81

11   Rathlev NK, Obendorfer D, White LF, Rebholz C, Magauran B, Baker W, Ulrich A, Fisher L, Olshaker J. Time series analysis of emergency department length of stay per 8-hour shift. West J Emerg Med. 2012 May;13(2):163-8.

12   Burke LG, Joyce N, Baker WE, Biddinger PD, Dyer KS, Friedman FD, Imperato J, King A, Maciejko TM, Pearlmutter MD, Sayah A, Zane RD, Epstein SK. The effect of an ambulance diversion ban on emergency department length of stay and ambulance turnaround time. Ann Emerg Med. 2013 Mar;61(3):303-311.

Book Chapters

1      Baker WE, Lanoix R, Hedges JR, Field DL. Noninvasive assessment and support of oxygenation and ventilation. In Roberts, James R; Hedges, Jerris R, editors. Clinical procedures in emergency medicine. 3rd ed. Philadelphia: W.B. Saunders; 1998. p. 82-107.

2      Hedges JR, Baker WE, Lanoix, R,Field DL.Use of monitoring devices for assessing ventilation and oxygenation. In Roberts, James R; Hedges, Jerris R, editors. Clinical procedures in emergency medicine. 4th ed. Philadelphia: W.B. Saunders; 2004. p. 29-50.

3      Baker WE. Extremity splinting. In Mitchell, Elizabeth; Medzon, Ron, editors. Introduction to emergency medicine. Philadelphia: Lipincott, Williams & Wilkins; 2005. P. 678-84.

4      Baker WE. Vertigo. In Schaider J, Hayden SR, Wolfe R, Barkin RM, Rosen P, editors. Rosen & Barkin’s 5 minute emergency medicine consult, 5^th ed. Philadelphia: Lippincott, Williams and Wilkins; 2014. P 1220-1221.

5      Baker WE, Medzon R. Thoracic Trauma. In Nabel EG, Federman DD (editors). Walls RM (section Editor). Scientific American medicine; emergency medicine section[Internet]. Forthcoming 2015

Abstracts and Poster Presentations

1. Burke LG, Baker WE, Biddinger PD, Dyer S, Friedman FD, Imperato J, et al. The end of ambulance diversion: changes in emergency department length of stay and ambulance turn-around-times. Poster session presented at: Annual Meeting of the Society for Academic Emergency Medicine; 2011 Jun 1-5; Boston, MA.
2. Stein, DJ, Baker WE, Grundfast, KM. Analysis of roles for an emergency medicine physician versus role for a consulting otolaryngologist in management of patients with suspected peritonsillar abscess. Poster session presented at: Combined Otolaryngology Spring Meeting; 2013 Apr 10-14; Orlando, FL.
3. McDonnell M, et al. Direct Access to Acute Diabetes Clinic Reduces Hospitalizations and Cost at One Year. Oral presentation at: American Diabetes Association’s 74th Scientific Sessions; 2014 Jun 13-17; San Francisco, CA.
4. Hanchate AD, Paasche-Orlow M, Baker WE, Dyer S, Feng C, Feldman J. Reverse racial and ethnic disparities in end of life costs. Society of General Internal Medicine 2015 Annual Meetings, Poster Presentation; April 22, 2015; Toronto, ON.

Reports:

Pines JM, Baker WE, Yiadom MY. Emergency department crowding. Report to the Congressional Research Service. Submitted directly to the CRS, 2014 Sept.

Research Support:

Ongoing Research Support

NIH:  GRANT11668028 (3702561):   (Hanchate, PI)       4/1/2015-9/30/2018    

STATUS as of 10/01/2014: Impact score of 33 (percentile=26), resubmitted:

R01 HL127212-01 Hanchate/Feldman (PIs)              7/1/2015-6/30/2019

Racial and Ethnic Health Disparities Due to Ambulance Diversion

The Institute of Medicine (IOM) characterized ambulance diversion (AD), the practice by which Emergency Departments (EDs) are temporarily closed, as “antithetical to quality medical care” and called for its “elimination”. Massachusetts is the only state to ban AD, effective 1/1/2009. Using a novel data of ambulance use developed from administrative data from Medicare and Boston Emergency Medical Services, this study will use quasi-experimental methods to estimate the causal impact of AD on ambulance travel, type of destination ED, patient mortality, length of stay, and costs.