Edward J. Miech, EdD
Assistant Professor of Emergency Medicine, Indiana University School of Medicine
Research Scientist, Indiana University Center for Health Services and Outcomes Research
Research Scientist, Center for Health Services Research, Regenstrief Institute, Inc.
Core Investigator, VA HSR&D Center of Excellence on Implementing Evidence-Based Practice
Dr. Miech has a doctorate in education from Harvard University with expertise in program evaluation, assessment, educational theory, and mixed methods. He is Assistant Professor of Emergency Medicine in the Indiana University School of Medicine. He is also a Research Scientist in the Indiana University Center for Health Services and Outcomes Research (CHSOR), the VA HSR&D Center of Excellence on Implementing Evidence-Based Practice (CIEBP), and the Regenstrief Institute Center for Health Services Research. Since joining IUSM and the VA in 2009, Dr. Miech has been a co-investigator on several VA HSR&D studies and is now principal investigator on a three-year, mixed methods study of the impact of context on the efforts of twelve VA sites to improve inpatient stroke care. He is also a faculty members of VA-CASE, the regional Veterans Engineering Resource Center based in the Midwest. In this capacity, he serves on planning committees for VA Systems Redesign initiatives – including collaboratives at the local, regional, and national levels – and helps plan and conduct program evaluations.
Dr. Miech has made an impact on the VA system by introducing a new approach to rapid-cycle reporting and real-time feedback. With the support of the chief of Systems Redesign at the Indianapolis VA Medical Center, he pioneered the use of an Audience Response System (ARS) in the VA in 2009 to evaluate the impact of conferences, sessions and workshops on individual participants. The ARS provides a new way to conduct innovative, evidence-based evaluation by collecting anonymous, linked pre- and post- data for each participant via a handheld “clicker.” Since 2009, the VA has deployed the ARS at meetings at the national, regional and local levels. The ARS innovation within the VA has both sustained and spread: the total number of ARS clickers owned by the VA system has scaled up from a couple hundred in 2009 to several thousand in 2011. Dr. Miech helped the VA improve as a system by facilitating the organization’s adoption of a dynamic, flexible platform for real-time feedback and rapid-cycle reporting.
I. VA QUERI SDP 10/01/2011 - 09/30/2014
"RE-INSPIRE: Rich-context Evaluation of INSPIRE" (PI)
The study will evaluate how and why local quality improvement initiatives within VA differ so widely in terms of success, spread, and sustainability by conducting a rigorous evaluation of the influence of local context.
II. NIH/NHLBI 10/01/2010 - 09/30/2013
"Sleep Apnea in TIA: Reducing Vascular Risk with AutoPAP (SLEEP TIGHT)" (PIs: Yaggi/Bravata)
This randomized controlled trial seeks to test the safely and efficacy of long-term positive airway pressure (PAP) therapy among patients with transient neurological symptoms, patients who are at high risk for both sleep apnea and cardiovascular events, to determine whether PAP therapy reduces the risk of vascular events. Role: Co-Investigator.
III. AHRQ R18 09/30/2010 - 07/30/2013
"Evaluating a State-Level Model to Improve Nursing Home Quality" (PI: Greg Arling)
This study is a comprehensive evaluation of the PIPP program to discover how effective strategies of system-level change can lead to higher quality and more efficient long-term care. Role: Co-Investigator.
IV. Veterans Engineering Resource Center (VERC) 2009-2012
"VISN 11 VA Center for Applied Systems Engineering (VA-CASE)" (Acting Director: Heather Woodward-Hagg)
The primary mission of this program is the development, testing and deployment of innovative methods of Operation Systems Engineering (OSE) within VISN 11 and VHA nationally. Role: Program Evaluator.
V. Roudebush VAMC SRD Improvement Capability Grant 2009-2012 (PI: Woodward-Hagg)
The overall goal of this program will be to enable lateral spread adoption of Systems Redesign techniques throughout our facility. Role: Program Evaluator.
|Selected Publications|||||Go To PubMed List >>|
- Matthias MS, Miech EJ, Myers LJ, Sargent C, Bair MJ. (In press). “‘There’s More to This Pain than Just Pain’: How Patients Develop an Understanding of How to Cope with Chronic Pain.” J Pain.
- Miech EJ, Bravata D, Chumbler N. ”The Role of Narrative in Understanding How Patients Make Medical Decisions.” Submitted for peer-reviewed publication.
- Bravata DM, Ferguson J, Miech EJ, Agarwal R, McClain V, Austin C, Struve F, Foresman B, Li X, Wang Z, Williams LS, Dallas MI, Couch CD, Sico J, Fragoso C, Matthias MS, Chumbler N, Myers J, Burrus N, Dube A, French DD, Schmid AA, Concato J, Yaggi HK. (2012). “Diagnosis and Treatment of Sleep Apnea in Patients’ Homes: The Rationale and Methods of the VA ‘GoToSleep’ Randomized-Controlled Trial.” Journal of Clinical Sleep Medicine. 8(1), 27-35.
- Humbert A, Besinger B, Miech EJ. (2011). “Assessing Clinical Reasoning Skills in Scenarios of Uncertainty: Convergent Validity for a Script Concordance Test in an Emergency Medicine Clerkship and Residency.” Academic Emergency Medicine. 18(6), 627-634.
- Humbert A, Johnson MT, Miech EJ, Friedberg F, Grackin JA and Seidman PA. (2011). “Assessment of Clinical Reasoning: A Script Concordance Test Designed for Pre-Clinical Medical Students.” Medical Teacher. 33(6), 472-477.
- Schmid AA, Kapoor JR, Miech EJ, Kuehn D, Dallas MI, Kerns RD, Lo AC, Concato J, Phipps M, Couch CD, Moran E, Williams LS, Goble LA, Bravata DM. (2011). “A Multidisciplinary Stroke Clinic for the Outpatient Care of Veterans with Cerebrovascular Disease.” Journal of Multidisciplinary Healthcare. 2011(4), 111-118.
- Miech EJ, Nave B, Mosteller F. (2005). “The 20,000 Article Problem: How A Structured Abstract Could Help Practitioners Sort Out Educational Research.” Phi Delta Kappan, 86(5), 396-400.
- Mosteller F, Nave B, Miech EJ. (2004). “Why We Need A Structured Abstract in Education Research.” Educational Researcher, 33(1), 29-34.
- Miech EJ, Nave B, Mosteller F. (2001). “Large-Scale Professional Development for Schoolteachers: Cases From Pittsburgh, New York City, and the National School Reform School Faculty.” New Directions for Evaluation, 90, 83-99.
- Nave B, Miech EJ, Mosteller F. (2000). “A Lapse in Standards: Linking Standards-Based Reform with Student Achievement.” Phi Delta Kappan, 82(2), 128-133.
- Nave B, Miech EJ, Mosteller F. (2000). “Rare Design: The Role of Field Trials in Evaluating School Practices.” In Evaluation Models, Madaus G, Kellaghan T. (Eds.) Boston: Kluwer-Nijhoff.
- Hall I, Campbell CH, Miech EJ. (Eds.) (1997). Class Acts: Teachers Reflect on Their Own Classroom Practice. Cambridge, MA: Harvard Education Publishing Group.
- Miech EJ, Nave B, Mosteller F. (1997). “On CALL: A Review of Computer-Assisted Language Learning in U.S. Colleges and Universities.” In Educational Media and Technology Yearbook 1997, Branch RC, Minor BB. (Eds.). Englewood, CO: Libraries Unlimited.
- Miech EJ. (1995). “The Rise and Fall of Strategic Planning,” Editors’ Review, Harvard Educational Review, 65(3), 504-513.