Anthony Napoli, MD FACEP MHL is the Executive Vice Chair of Emergency Medicine and Vice Chair of Clinical Affairs in the Department of Emergency Medicine with clinical oversight of 5 emergency departments serving over 250,000 patients annually. He is a Professor of Emergency Medicine in the Department of Emergency Medicine and Professor of Health Services, Policy, and Practice in the School of Public Health
Dr. Napoli previously graduated summa cum laude from University of Pennsylvania with a B.S.E. in Bioengineering in 1998 and from Georgetown University Medical School in 2002. He subsequently trained in Emergency Medicine at Brown University Medical School. Dr. Napoli obtained an Executive Master of Healthcare Leadership from Brown Unviersity School of Professional Studies in 2015. He served as an advisor for a number of years before taking over as Academic Director from 2021-2024.
Dr. Napoli has developed extensive research expertise, publishing over 50 manuscripts in such areas as noninvasive measures of fluid responsiveness in sepsis patients, management of the post-cardiac arrest patient, chest pain and acute cardiovascular disease, disparities in healthcare resource utilization, emergency department clinical decision units and clinical operations. His most recent work focuses on the clinical and financial effects of inpatient boarding on emergency department operations.
Prior to his current roles, he served as director of the Rhode Island Hospital Emergency Department Observation Unit before taking over as Chair and Medical Director at the Van Bueren Emergency Department of Newport Hospital and subsequently as Vice Chair of Clinical Affairs. He continues to publish widely, speak nationally, and consult on emergency department operations and healthcare leadership. He also currently serves as co-director of the Brown Emergency Medicine fellowship in Emergency Medicine Healthcare Leadership and Administration.
| Anthony M Napoli, Shihab Ali, Janette Baird, Dan Shanin, Nick Jouriles. "Extremes of Emergency Department Boarding are Associated With Poorer Financial Performance Among Hospitals." Journal of Healthcare Management, vol. 69, no. 3, 2024, pp. 219-230. |
| Napoli AM, Smith-Shain R, Lin T, Baird J. "The Accuracy of Predictive Analytics in Forecasting Emergency Department Volume Before and After Onset of COVID-19." Western Journal of Emergency Medicine, vol. 25, no. 1, 2024, pp. 61-66. |
| Tanzer JR, Dufault M, Roderick Rioux L, Machan J, Bergeron K, Napoli A. "I Was Here First, Why Did They Go Before Me": Examining Patients'Perceptions of Priority in a Psychometric Study of Emergency Department Triage." Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association, vol. 49, no. 2, 2023, pp. 294-304.e5. |
| Napoli, Anthony M., Ali, Shihab, Baird, Janette, Jouriles, Nick. "A quantitative assessment of emergency department boarding and its association with decreases in operational efficiency: A multicenter nationwide study." Academic Emergency Medicine, vol. 29, no. 9, 2022, pp. 1135-1137. |
| Soares WE 3rd, Melnick ER, Nath B, D'Onofrio G, Paek H, Skains RM, Walter LA, Casey MF, Napoli A, Hoppe JA, Jeffery MM. "Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems." Annals of Emergency Medicine, 2021. |
| Wang DX, Napoli AM, Webb AR, Etzel C, Baird J, Milzman D. "Player age and initial helmet contact among American football players." The American Journal of Emergency Medicine, vol. 47, 2021, pp. 115-118. |
| Napoli, Anthony, Ali, Shihab, Lawrence, Alexis, Baird, Jennifer. "Boarding is Associated with Reduced Emergency Department Efficiency that is not Mitigated by a Provider in Triage." WestJEM 21.3 May Issue, vol. 21, no. 3, 2020. |
| Milzman, Dave, Brady, kevin, Sommers, Darren, Walton, Ed, Napoli, Anthony, Neustadtl, Alan, Tanski, Christopher. "From Conception to 1000 Patients: Operationalizing a Field Hospital in 2 Weeks: Javits, NY, NY." Critical Care Medicine, vol. 49, no. 1, 2020, pp. 207-207. |
| Karb, Rebecca, Samuels, Elizabeth, Vanjani, Rahul, Trimbur, Catherine, Napoli, Anthony. "Homeless Shelter Characteristics and Prevalence of SARS-CoV-2." Western Journal of Emergency Medicine, vol. 21, no. 5, 2020, pp. 1048-1053. |
| Yiadom MYAB, Napoli A, Granovsky M, Parker RB, Pilgrim R, Pines JM, Schuur J, Augustine J, Jouriles N, Welch S. "Managing and Measuring Emergency Department Care: Results of the Fourth Emergency Department Benchmarking Definitions Summit." Academic Emergency Medicine, 2020. |
| Milzman D, Napoli AM. "Time for Epinephrine Reboot or Give It the Boot: What Is Learned From This Meta-Analysis." Critical care medicine, vol. 48, no. 2, 2020, pp. 266-267. |
| Napoli AM. "PRACTITIONER APPLICATION: Policy Flight Simulators: Accelerating Decisions to Adopt Evidence-Based Health Interventions." Journal of healthcare management / American College of Healthcare Executives, vol. 64, no. 4, 2019, pp. 241-242. |
| Madsen TE, Napoli AM. "Analysis of Race and Time to Antibiotics Among Patients with Severe Sepsis or Septic Shock." Journal of Racial and Ethnic Health Disparities, vol. 4, no. 4, 2017, pp. 680-686. |
| Corl KA, George NR, Romanoff J, Levinson AT, Chheng DB, Merchant RC, Levy MM, Napoli AM. "Inferior vena cava collapsibility detects fluid responsiveness among spontaneously breathing critically-ill patients." Journal of Critical Care, vol. 41, 2017, pp. 130-137. |
| Napoli AM, Baird J, Tran S, Wang J. "Low Adverse Event Rates But High Emergency Department Utilization in Chest Pain Patients Treated in an Emergency Department Observation Unit." Critical pathways in cardiology, vol. 16, no. 1, 2017, pp. 15-21. |
| Hou, Peter C., Filbin, Michael R., Napoli, Anthony, Feldman, Joseph, Pang, Peter S., Sankoff, Jeffrey, Lo, Bruce M., Dickey-White, Howard, Birkhahn, Robert H., Shapiro, Nathan I. "Cardiac Output Monitoring Managing Intravenous Therapy (COMMIT) to Treat Emergency Department Patients with Sepsis." SHOCK, vol. 46, no. 2, 2016, pp. 132-138. |
| Hou PC, Filbin MR, Napoli A, Pang PS, Sankoff J, Lo BM, Dickey-White H, Birkhahn RH, Shapiro NI. "Cardiac Output Monitoring Managing Intravenous Therapy (COMMIT) to Treat Emergency Department Patients with Sepsis." Shock, vol. 46, no. 2, 2016, pp. 132-138. |
| Madsen, Tracy E., Napoli, Anthony M. "Factors Associated With Progression to Septic Shock." Critical Care Medicine, vol. 43, no. 8, 2015, pp. e319. |
| Napoli, Anthony M. "Inter-rater Reliability of the Diamond & Forrester Score in Emergency Department Chest Pain Observation Unit Patients." Critical Pathways in Cardiology, vol. 14, no. 4, 2015, pp. 154-156. |
| Maughan, B. C., Seigel, T. A., Napoli, A. M. "Pleth Variability Index and Fluid Responsiveness of Hemodynamically Stable Patients After Cardiothoracic Surgery." American Journal of Critical Care, vol. 24, no. 2, 2015, pp. 172-175. |
| Napoli A. "Emergency department observation units offer efficiencies that cut costs, improve care." Modern healthcare, vol. 44, no. 44, 2014, pp. 40. |
| Napoli AM, Choo EK, McGregor A. "Gender disparities in stress test utilization in chest pain unit patients based upon the ordering physician's gender." Critical pathways in cardiology, vol. 13, no. 4, 2014, pp. 152-5. |
| Napoli AM, Mullins PM, Pines JM. "Predictors of hospital admission after ED observation unit care." The American Journal of Emergency Medicine, vol. 32, no. 11, 2014, pp. 1405-7. |
| Wigginton JG, Perman SM, Barr GC, McGregor AJ, Miller AC, Napoli AM, Safdar B, Weaver KR, Deutsch S, Kayea T, Becker L. "Sex- and gender-specific research priorities in cardiovascular resuscitation: proceedings from the 2014 Academic Emergency Medicine Consensus Conference Cardiovascular Resuscitation Research Workgroup." Academic Emergency Medicine, vol. 21, no. 12, 2014, pp. 1343-9. |
| Napoli AM. "The association between pretest probability of coronary artery disease and stress test utilization and outcomes in a chest pain observation unit." Academic Emergency Medicine, vol. 21, no. 4, 2014, pp. 401-7. |
| Madsen, Tracy E., Simmons, James, Choo, Esther K., Portelli, David, McGregor, Alyson J., Napoli, Anthony M. "The DISPARITY Study: do gender differences exist in Surviving Sepsis Campaign resuscitation bundle completion, completion of individual bundle elements, or sepsis mortality?." Journal of Critical Care, vol. 29, no. 3, 2014, pp. 473.e7-473.e11. |
| Madsen, Tracy E., Napoli, Anthony M. "The DISPARITY-II Study: Delays to Antibiotic Administration in Women With Severe Sepsis or Septic Shock." Academic Emergency Medicine, vol. 21, no. 12, 2014, pp. 1499-1502. |
| Coury T, Napoli AM, Wilson M, Daniels J, Murray R, Milzman D. "Injury patterns in recreational alpine skiing and snowboarding at a mountainside clinic." Wilderness & Environmental Medicine, vol. 24, no. 4, 2013, pp. 417-21. |
| Napoli AM, Tran S, Wang J. "Low-risk chest pain patients younger than 40 years do not benefit from admission and stress testing." Critical pathways in cardiology, vol. 12, no. 4, 2013, pp. 201-3. |
| Napoli AM, Choo EK, Dai J, Desroches B. "Racial disparities in stress test utilization in an emergency department chest pain unit." Critical pathways in cardiology, vol. 12, no. 1, 2013, pp. 9-13. |
| Napoli AM, Maughan B, Murray R, Maloy K, Milzman D. "Use of the relationship between absolute lymphocyte count and CD4 count to improve earlier consideration of pneumocystis pneumonia in HIV-positive emergency department patients with pneumonia." The Journal of Emergency Medicine, vol. 44, no. 1, 2013, pp. 28-35. |
| Corl K, Napoli AM, Gardiner F. "Bedside sonographic measurement of the inferior vena cava caval index is a poor predictor of fluid responsiveness in emergency department patients." Emergency medicine Australasia : EMA, vol. 24, no. 5, 2012, pp. 534-9. |
| Hahn SA, Lavonas EJ, Mace SE, Napoli AM, Fesmire FM, American College of Emergency Physicians Clinical Policies Subcommittee on Early Pregnancy. "Clinical policy: Critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy." Annals of Emergency Medicine, vol. 60, no. 3, 2012, pp. 381-90.e28. |
| Napoli A, Choo EK. "Gender and stress test use in an ED chest pain unit." The American Journal of Emergency Medicine, vol. 30, no. 6, 2012, pp. 890-5. |
| Napoli AM, Fast LD, Gardiner F, Nevola M, Machan JT. "Increased granzyme levels in cytotoxic T lymphocytes are associated with disease severity in emergency department patients with severe sepsis." Shock, vol. 37, no. 3, 2012, pp. 257-62. |
| Clyne B, Smith JL, Napoli AM. "Influence of clinical experience and productivity on emergency medicine faculty teaching scores." Journal of Graduate Medical Education, vol. 4, no. 4, 2012, pp. 434-7. |
| Napoli AM, Machan JT, Corl K, Forcada A. "Interrater reliability and parallel forms reliability of two noninvasive hemodynamic monitoring devices in clinically stable emergency department patients." European Journal of Emergency Medicine, vol. 19, no. 5, 2012, pp. 297-303. |
| Napoli AM. "Physiologic and Clinical Principles behind Noninvasive Resuscitation Techniques and Cardiac Output Monitoring." Cardiology Research and Practice, vol. 2012, 2012, pp. 531908. |
| Carey JL, Napoli AM. "Tension pneumoperitoneum during routine colonoscopy." The American Journal of Emergency Medicine, vol. 30, no. 1, 2012, pp. 261.e1-2. |
| Napoli AM, Fischer CM, Pines JM, Soe-lin H, Goyal M, Milzman D. "Absolute lymphocyte count in the emergency department predicts a low CD4 count in admitted HIV-positive patients." Academic Emergency Medicine, vol. 18, no. 4, 2011, pp. 385-9. |
| Ward JA, Zuckerman M, Adams CA, Napoli A. "Amphetamine use in Rhode Island Hospital trauma patients." The American Journal of Emergency Medicine, vol. 29, no. 5, 2011, pp. 569-71. |
| Milzman D, Napoli AM. "Examining the affect of norepinephrine on cardiac preload and reduced preload dependency in septic shock." Critical care medicine, vol. 39, no. 4, 2011, pp. 888-9. |
| Napoli AM, Corl K, Gardiner F, Forcada A. "Prognostic value of noninvasive measures of contractility in emergency department patients with severe sepsis and septic shock undergoing early goal-directed therapy." Journal of Critical Care, vol. 26, no. 1, 2011, pp. 47-53. |
| Cantisani V, Ricci P, Grazhdani H, Napoli A, Fanelli F, Catalano C, Galati G, D'Andrea V, Biancari F, Passariello R. "Prospective comparative analysis of colour-Doppler ultrasound, contrast-enhanced ultrasound, computed tomography and magnetic resonance in detecting endoleak after endovascular abdominal aortic aneurysm repair." European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, vol. 41, no. 2, 2011, pp. 186-92. |
| Napoli AM, Seigel TA. "The role of lactate clearance in the resuscitation bundle." Critical Care, vol. 15, no. 5, 2011, pp. 199. |
| Napoli AM, Machan JT. "Computed tomography coronary angiogram as a gatekeeper to conventional angiography." The American Journal of Cardiology, vol. 105, no. 11, 2010, pp. 1648; author reply 1647-8. |
| Napoli AM, Machan JT, Corl K, Forcada A. "The use of impedance cardiography in predicting mortality in emergency department patients with severe sepsis and septic shock." Academic Emergency Medicine, vol. 17, no. 4, 2010, pp. 452-5. |
| Napoli AM, Machan JT, Forcada A, Corl K, Gardiner F. "Tissue oxygenation does not predict central venous oxygenation in emergency department patients with severe sepsis and septic shock." Academic Emergency Medicine, vol. 17, no. 4, 2010, pp. 349-52. |
| Napoli AM, Milzman DP, Damergis JA, Machan J. "Physiologic affects of altitude on recreational climbers." The American Journal of Emergency Medicine, vol. 27, no. 9, 2009, pp. 1081-4. |
| Milzman D, Napoli A, Hogan C, Zlidenny A, Janchar T. "Thoracic impedance vs chest radiograph to diagnose acute pulmonary edema in the ED." The American Journal of Emergency Medicine, vol. 27, no. 7, 2009, pp. 770-5. |
| Napoli AM, Jagoda A. "Clinical policies: their history, future, medical legal implications, and growing importance to physicians." The Journal of Emergency Medicine, vol. 33, no. 4, 2007, pp. 425-32. |
| Huff JS, Decker WW, Quinn JV, Perron AD, Napoli AM, Peeters S, Jagoda AS, American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Syncope. "Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope." Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association, vol. 33, no. 6, 2007, pp. e1-e17. |
| Huff JS, Decker WW, Quinn JV, Perron AD, Napoli AM, Peeters S, Jagoda AS, American College of Emergency Physicians. "Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope." Annals of Emergency Medicine, vol. 49, no. 4, 2007, pp. 431-44. |
| Napoli AM, Panagos P. "Delayed presentation of traumatic facial nerve (CN VII) paralysis." The Journal of Emergency Medicine, vol. 29, no. 4, 2005, pp. 421-4. |
| Napoli A. "An unusual presentation of renal infarction." The American Journal of Emergency Medicine, vol. 22, no. 5, 2004, pp. 437-8. |
| Year | Degree | Institution |
|---|---|---|
| 2002 | MD | Georgetown University |
| 1998 | BS | University of Pennsylvania |
2020 COVID Special Service Award, Department of Emergency Medicine
2017 Barnet Fain Award for Quality and Safety – Lifespan Health System
2017 Top 10 Groundbreakers of 2017 – Lifestyle Magazine
2016 Foundation Leadership Award – Newport Emergency Department, Department of Emergency Medicine
2015 Clinical Director’s Award – Anderson Emergency Department, Department of Emergency Medicine
2015 Rhode Island Hospital Emergency Department Employee of the Month, October, 2015
2014 Rhode Island Hospital Emergency Department Employee of the Month, June, 2014
2012 Nominee, Rhode Island Hospital Emergency Department Employee of the Month, January, 2012
2011 Paul Calabresi Faculty Research Award, Department of Emergency Medicine
2011 Best Young Investigator Award, Society of Academic Emergency Medicine Annual Research Forum, Boston, MA
2011 Rhode Island Hospital Emergency Department “Team of the Month,” Attending Physician
2010 Outstanding Physician Award, Department of Emergency Medicine
2009 Selected as “Fellow” of the American College of Emergency Physicians
2009 Jacek Franaszek Faculty Teaching Award, Department of Emergency Medicine
2007 Junior Faculty Research Development Grant, Department of Emergency Medicine
2006 Robert H. Woolard Academic Achievement Award, Department of Emergency Medicine
American Colleage of Emergency Physicians
Society of Academic Emergency Medicine
American College of Healthcare Executives
Brown University School of Professional Studies
| Chair and Medical Director. Newport Hospital, 2015-2022 |
| Attending Physician. The Miriam Hospital, 2006-2022 |
| Attending Physician. Rhode Island Hospital, 2006-2022 |
2024 - present Faculty, Master of Healthcare Leadership, Brown University School of Professional Studies
2021 - 2024 Academic Director of the Executive Master of Healthcare Leadership, Brown University School of Professional Studies
2020 - present Co-director, Fellowship in Emergency Department Healthcare and Leadership
2006 - present Brown University Emergency Medicine Residency Program
| HCL 2080 - The Critical Challenge: Capstone Project |
| HCL 2130 - Data Analytics |
