Division of Infectious Diseases · BIDMC

Advancing the science
of infection and
caring for Boston.

Home to 30+ faculty across HIV treatment & prevention, antimicrobial stewardship, transplant ID, and global health — all at the academic heart of Harvard Medical School.

Clinical Resources Division Analytics New to ID? Start here

1,500+

HIV Patients

in active care at BIDMC

30+

Faculty

HMS academic appointments

ACGME

Accredited

2-yr clinical + research track

6

Research Pillars

HIV · Stewardship · Transplant · AI

Research & Clinical Focus Areas

View all research →

HIV Treatment & Prevention

ART management, PrEP/PEP, HIV primary care, clinical trials, and health equity research for 1,500+ PWH in the Greater Boston area.

Krakower · Zash · Stephenson · Bielick→

Antimicrobial Stewardship

Empiric therapy guidelines, restricted antibiotic oversight, de-escalation pathways, ASP dashboards, and national quality benchmarking.

LaSalvia · Stewardship Team→

Transplant ID

Post-transplant prophylaxis, CMV management, endocarditis, prosthetic device infections, fungal prophylaxis for BMT and solid organ recipients.

Karchmer · Transplant ID Team→

Global Health & AI

HIV in sub-Saharan Africa, TB diagnostics, maternal-child health, clinical AI, and international research partnerships with NIAID and PEPFAR.

Nathavitharana · Shapiro · Bielick→

Division Updates

All announcements →

Division Analytics Portal Now Live — wRVU & Financial Dashboards via BILH DataHub

Apr 1, 2026NEWPowered by Snowflake → Power BI

Grand Rounds: AI in Antimicrobial Stewardship — Bielick presenting, April 8

Apr 8, 2026 · 12:00 PM · Farr 1 AuditoriumEDUCATION

Nathavitharana Lab: NIAID R01 Awarded — TB Diagnostics in Low-Resource Settings ($1.8M)

Mar 10, 2026GRANT

BIDMC–NEBH Campus Expansion: ID Division Coverage Model Under Development (Jan 2027 target)

Mar 20, 2026OPS

FY2026 Compensation Benchmarking vs MGMA 2025 — Full report in Analytics tab

Mar 28, 2026FINANCE

Division Leadership

Full directory →

DK

Douglas Krakower, MD

Division Chief · HIV Treatment & Prevention

Chief

ML

Mary LaSalvia, MD

Clinical Director · Antimicrobial Stewardship

Clinical Dir.

WS

Wendy Stead, MD

Fellowship Program Director

Fellowship PD

RN

Ruvandhi Nathavitharana, MD

Global Health · TB Diagnostics

Global Health

AK

Adolf Karchmer, MD

Endocarditis · Prosthetic Device Infections

Senior Faculty

CB

Catherine Bielick, MD

HIV · Clinical AI & Bioinformatics

AI Lead

Quick Links

Amion / OnService

Attending & call schedules

DHHS ART Guidelines

Current HIV treatment recommendations

IDSA Practice Guidelines

All IDSA clinical guidelines

ChatPPGD

AI search: BILH policies & procedures

PPGD

BILH policies, procedures & guidelines

Division Analytics Portal

wRVU, revenue, consult dashboards

Workday

HR, payroll, time-off requests

Fellowship Program

ID Fellowship at BIDMC

Upcoming

Full calendar →

APR

1

Semi-Annual Faculty Review

9:00 – 11:00 AM

📍 Shapiro Conference Room

APR

8

Grand Rounds: AI in Stewardship

12:00 – 1:00 PM

📍 Farr 1 Auditorium / Zoom

APR

11

ID-CRES Research Conference

Weekly · Friday PM

📍 Deaconess Conference Room

APR

15

Fellow Journal Club

5:00 – 6:30 PM

📍 Library, East Campus

APR

22

Division Faculty Meeting

12:00 – 1:00 PM

📍 Zoom

Clinical Resources

HIV Clinical Protocols

DHHS ART guidelines, drug interactions, resistance testing, PrEP/PEP protocols, and BIDMC-specific HIV care pathways including same-day ART initiation.

📄 Updated Jan 2026DHHS Guidelines ›

OPAT Management Guide

Outpatient parenteral antimicrobial therapy: PICC care, monitoring labs, pharmacy coordination, home infusion workflows, and follow-up expectations.

📄 Updated Mar 2026View Guide ›

Antimicrobial Stewardship

Empiric therapy guidelines, restricted antibiotic request process, ID consult criteria, de-escalation pathways, culture follow-up, and ASP dashboard access.

📄 Updated Feb 2026View Guide ›

Transplant ID Protocols

Post-transplant prophylaxis, CMV monitoring, fungal prophylaxis, and infection workup algorithms for BMT and solid organ transplant patients at BIDMC.

📄 Updated Dec 2025View Guide ›

Consult & Pager Workflow

How to reach the ID consult service, pager workflow, consult note templates, follow-up expectations, after-hours coverage, and urgent ID referral process.

📄 Updated Nov 2025View Guide ›

Infection Prevention & Control

BIDMC isolation protocols, HAI reporting, contact precaution guidelines, occupational exposure management (needlestick), and outbreak response.

📄 Updated Jan 2026PPGD ›

Division Analytics

FY2026 · Data as of March 31, 2026 · HMFP/BIDMC reporting period

Live · Refreshed nightly from BILH DataHub

⚡ Power BI Embedded

Confidential — Division Leadership Only. Faculty-level financial data is restricted to division chief and designees. Data source: BILH DataHub (Epic Professional Billing → Clarity → Snowflake). IRB not required for internal operational analytics.

Division wRVUs YTD

18,432

▲ 11.2% vs PY

Clinical FTE

26.4

+2.0 FTE vs FY25

Median wRVU / FTE

3,218

68th %ile · MGMA 2025

ID Consults YTD

4,871

▲ 8.4% vs PY

HIV Clinic Visits YTD

6,204

▲ 6.1% vs PY

Quality & Performance Metrics

HIV outcomes · Stewardship compliance · Goal attainment — Updated monthly

Power BI Embedded

wRVU Goal Attainment

68%

Target: ≥75th %ile MGMA · On track for FY close

HIV Viral Suppression

82%

HRSA Benchmark: 80% · Above target ✓

Stewardship Compliance

94%

ASP target: ≥90% · Exceeding benchmark ✓

Faculty Productivity — wRVU vs MGMA 2025 Benchmark

Infectious Disease specialty · HMFP reporting · Confidential — Chief access only

⚡ Live · DataHub

Faculty	Specialty Focus	wRVU YTD	Visits	Percentile
Krakower, D. Division Chief	HIV Tx · PrEP	4,218	1,284	88th %ile
LaSalvia, M. Clinical Director	Stewardship · ID Consults	3,891	1,102	78th %ile
Nathavitharana, R. Global Health	TB · Global ID	2,940	876	62nd %ile
Stead, W. Fellowship PD	HIV · Education	3,104	934	65th %ile
Bielick, C. AI Lead · First Year	HIV · Clinical AI	2,184	658	46th %ile

P

Powered by Power BI embedded in SharePoint · Data source: BILH DataHub (Epic Professional Billing → Clarity → Snowflake) · Refreshed nightly · MGMA 2025 Physician Compensation Survey (Infectious Disease specialty)

AI-Augmented Analytics — Roadmap & Vision

Where this dashboard is headed · In development or near-term feasibility with BILH DataHub infrastructure

ROADMAP

These capabilities are grounded in published literature and existing BILH infrastructure — not vaporware. Several are active at peer institutions. Priority is on embedding them natively into this portal as the data pipeline matures.

Infection Control Surveillance

ML-flagged HAI risk scores embedded directly in the patient census. C. diff cluster detection, MRSA acquisition alerts, and outbreak probability mapping using EHR + microbiology data — before the traditional surveillance catches it.

HAI Surveillance Epic + Micro data Published models exist

Stewardship Intelligence

Automated flagging of de-escalation opportunities in bacteremia: time-to-appropriate-therapy tracking, culture follow-up gaps, days-of-therapy optimization. Feeds directly into the ASP compliance metric visible above — closes the loop between surveillance and intervention.

ASP DOT tracking Integrates with DataHub

HIV Cascade & Care Gap Detection

Predictive identification of PWH at risk for viral rebound or loss to follow-up — from appointment gaps, lab trends, and social determinants in Epic. PrEP candidacy flagging in ED and primary care referrals. Live feed into the viral suppression metric above. Active at Fenway Health; feasible at BIDMC with existing ID data domain in DataHub.

HIV Cascade SDOH integration Peer institution precedent

Genomic Outbreak Detection

Integration of whole-genome sequencing (WGS) from the BIDMC clinical micro lab with EHR metadata for transmission cluster detection — CRE, CRAB, VRE, fungal outbreaks. Broad Institute proximity makes this unusually feasible here. Turns sequencing from a forensic tool into a prospective one.

WGS Broad proximity Hospital Epi

Consult & OPAT Intelligence

Predictive OPAT candidacy scoring at time of consult — flagging patients likely to succeed on home IV antibiotics before the team even asks. Consult complexity triage (routine vs. high-acuity) to support staffing. Time-to-consult and response-time tracking embedded in the consult volume KPI above.

OPAT Prediction Consult triage Epic Orders data

Natural Language over DataHub

Snowflake Cortex Analyst — already available in the BILH DataHub infrastructure — lets faculty and the chief ask ad-hoc questions in plain English: "Show me Dr. X's OPAT consult volume by quarter" or "Which service generates the most ID consults after 5pm?" No SQL required. Requires building a semantic model on top of existing DataHub tables — the next phase of this project.

Cortex Analyst Snowflake NL→SQL Infrastructure exists now

Faculty & Fellows Directory

Division of Infectious Diseases · BIDMC · Harvard Medical School

30+

Faculty

12

Fellows

6

Research Pillars

$28M+

Active Funding

Division Leadership

DK

Douglas Krakower, MD

Division Chief · Associate Professor, HMS
HIV Treatment & Prevention · PrEP Implementation

Division Chief

HIVPrEPHealth Equity

ML

Mary LaSalvia, MD

Clinical Director · Associate Professor, HMS
Antimicrobial Stewardship · ID Consults

Clinical Director

StewardshipConsults

WS

Wendy Stead, MD

Fellowship Program Director · Assistant Professor
HIV · Medical Education

Fellowship PD

HIVEducation

Faculty

RN

Ruvandhi Nathavitharana, MD

Associate Professor, HMS
Global Health · TB Diagnostics · NIAID R01

Global Health

TBGlobal IDNIAID

AK

Adolf Karchmer, MD

Professor Emeritus, HMS
Endocarditis · Prosthetic Device Infections · IE

Senior Faculty

EndocarditisProsthetics

RZ

Rebecca Zash, MD

Assistant Professor, HMS
HIV in Pregnancy · Botswana · PEPFAR

Global HIV

HIVPregnancyBotswana

AS

Alana Stephanson, MD

Assistant Professor, HMS
HIV Primary Care · LGBTQ+ Health · PrEP

HIV Primary Care

HIVLGBTQ+PrEP

NS

Neil Shapiro, MD

Associate Professor, HMS
Critical Care ID · Sepsis · Global Health

Critical Care ID

SepsisICUGlobal

CB

Catherine Bielick, MD

Instructor, HMS · HIV · Clinical AI & Bioinformatics
ARPA-H PACT · NHLBI ADEPT · AI Governance

AI & Bioinformatics Lead

HIVClinical AIARPA-HNHLBI

New to ID? Start Here.

1

Get Your System Access

Epic, Workday, BIDMC email, VPN, and SharePoint. Contact IT Service Desk (x617-667-3907). DataHub/Snowflake access: email Umber Shafiq (BILH IT, Data & Analytics).

2

Review Clinical Policies

Read current DHHS HIV Guidelines, IDSA guidelines for your rotation area, BIDMC stewardship protocols, and isolation procedures via PPGD (bilh.ellucid.com).

3

Set Up Your Schedule

Your Amion/OnService schedule is live before your start date. Attend weekly ID conference (Fridays), fellow journal club (monthly), and grand rounds (monthly, noon).

4

Meet the Team

Attend new faculty/fellow orientation with Dr. Stead (Fellowship PD). Admin contact: reach out via BIDMC directory. Division meetings are first and third Tuesdays, noon.

5

Research Opportunities

Review active grants and research pillars with your mentor. Join the ARISE computational cluster for AI research access. Contact Bielick for DataHub/analytics projects.

6

Tools & Resources

ChatPPGD (ai.bilh.org) for policy AI search. Division Analytics portal for productivity data. BIDMC ID SharePoint for all division resources. Workday for HR and payroll.

Key Contacts

Division Chief

Douglas Krakower, MD

dkrakower@bidmc.harvard.edu

Fellowship PD

Wendy Stead, MD

wstead@bidmc.harvard.edu

Clinical Director

Mary LaSalvia, MD

mlasalvia@bidmc.harvard.edu

Analytics & AI

Catherine Bielick, MD

cbielick@bidmc.harvard.edu

IT / DataHub Access

Umber Shafiq, BILH IT

Via BILH IT Service Desk

Fellowship Coordinator

Admin Office

617-667-XXXX

Admin & Operations

Scheduling & Coverage

Amion / OnService — attending & call schedules

ID consult service: weekday 7am–5pm + weekend coverage

NEBH expansion coverage model in development (Jan 2027)

Vacation/coverage requests: 6 weeks advance notice

Conference, CME, and academic time policies in Workday

Finance & Compensation

HMFP salary + wRVU-based incentive structure

wRVU reports: Division Analytics portal (monthly)

MGMA 2025 benchmarking: ID specialty, all regions

Faculty compensation meetings: semi-annual with Chief

Expense reimbursement: Workday → finance approval → Nancy

Research & Grants Admin

IRB submissions: HMS IRB portal (iRIS)

DataHub/Snowflake access: Umber Shafiq (BILH IT)

ARISE compute cluster: contact Bielick for onboarding

BIDMC grants admin: BIDMC Research Administration office

CFAR membership: contact Krakower (HIV-focused grants)

Education & Training

Fellowship: 2-year ACGME clinical + optional research year

Grand Rounds: monthly, noon, Farr 1 + Zoom

ID Conference: Fridays, weekly (research + clinical)

Journal Club: monthly, fellow-led

AI in Medicine curriculum: contact Bielick

Policies & Compliance

All BILH policies: PPGD (bilh.ellucid.com)

AI governance / clinical AI use: BILH AI Governance Committee

HIPAA training: annual, via Workday learning

Research compliance: HMS research integrity office

Conflicts of interest: annual BIDMC disclosure form

IT & Infrastructure

IT Service Desk: 617-667-3907 / IT@bidmc.harvard.edu

Epic access / tip sheets: BILH Epic Hub (SharePoint)

BILH DataHub (Snowflake): operational analytics access

Power BI dashboards: embedded here in Analytics tab

This SharePoint site admin: Bielick, Catherine

Advancing the scienceof infection andcaring for Boston.

Faculty & Fellows Directory

Advancing the science
of infection and
caring for Boston.