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, William M. Tierney Center for Health Services Research, Regenstrief Institute, Inc.
Core Investigator, VA HSR&D Center for Health Information and Communication

   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, a Research Scientist in the Indiana University Center for Health Services and Outcomes Research and the Regenstrief Institute's William M. Tierney Center for Health Services Research, and Core Investigator in the VA HSR&D Center for Health Information and Communication.  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 member 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 helped the VA improve as a system by facilitating the adoption of a dynamic, flexible platform for real-time feedback and rapid-cycle reporting.  With the support of the chief of Systems Redesign at the Richard L. Roudebush VA Medical Center in Indianapolis, he pioneered the use of an Audience Response System (ARS) to evaluate the impact of conferences, sessions and workshops on individual participants. The ARS provides a 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 the local, regional and national levels.   

Active Projects

I. VA QUERI SDP (2011-2015)

RE-INSPIRE: Rich-context Evaluation of INSPIRE" (PI)

The study evaluates 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.

Selected Publications                               |                            Go To PubMed List >>

1: Rattray NA, Damush TM, Luckhurst C, Bauer-Martinez CJ, Homoya BJ, Miech EJ. Prime movers: Advanced practice professionals in the role of stroke coordinator. J Am Assoc Nurse Pract. 2017 Jul;29(7):392-402. doi: 10.1002/2327-6924.12462. Epub 2017 Apr 25. PubMed PMID: 28440589.

2: Bravata DM, McClain V, Austin C, Ferguson J, Burrus N, Miech EJ, Matthias MS, Chumbler N, Ofner S, Foresman B, Sico J, Vaz Fragoso CA, Williams LS, Agarwal R, Concato J, Klar Yaggi H. Diagnosing and managing sleep apnea in patients with chronic cerebrovascular disease: a randomized trial of a home-based strategy. Sleep Breath. 2017 Apr 6. doi: 10.1007/s11325-017-1494-5. [Epub ahead of print] PubMed PMID: 28386781.

3: Outcalt SD, Nicolaidis C, Bair MJ, Myers LJ, Miech EJ, Matthias MS. A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts. Pain Med. 2017 Feb 1;18(2):211-219. doi: 10.1093/pm/pnw137. PubMedPMID: 28204704.

4: Koo BB, Bravata DM, Tobias LA, Mackey JS, Miech EJ, Matthias MS, Stahl SM, Sico JJ, Vaz Fragoso CA, Williams LS, Lampert R, Qin L, Yaggi HK. Observational Study of Obstructive Sleep Apnea in Wake-Up Stroke: The SLEEP TIGHT Study. Cerebrovasc Dis. 2016;41(5-6):233-41. doi: 10.1159/000440736. Epub 2016 Jan 27. PubMed PMID: 26811929.

5: Stahl SM, Yaggi HK, Taylor S, Qin L, Ivan CS, Austin C, Ferguson J, Radulescu R, Tobias L, Sico J, Vaz Fragoso CA, Williams LS, Lampert R, Miech EJ, Matthias MS, Kapoor J, Bravata DM. Infarct location and sleep apnea: evaluating the potential association in acute ischemic stroke. Sleep Med. 2015Oct;16(10):1198-203. doi: 10.1016/j.sleep.2015.07.003. Epub 2015 Jul 17. PubMedPMID: 26429745; PubMed Central PMCID: PMC4592521.

6: Arling PA, Abrahamson K, Miech EJ, Inui TS, Arling G. Communication and effectiveness in a US nursing home quality-improvement collaborative. Nurs Health Sci. 2014 Sep;16(3):291-7. doi: 10.1111/nhs.12098. Epub 2013 Nov 21. PubMed PMID:24256620.

7: Humbert AJ, Miech EJ. Measuring gains in the clinical reasoning of medical students: longitudinal results from a school-wide script concordance test. AcadMed. 2014 Jul;89(7):1046-50. doi: 10.1097/ACM.0000000000000267. PubMed PMID:24979174.

8: Matthias MS, Chumbler NR, Bravata DM, Yaggi HK, Ferguson J, Austin C, McClain V, Dallas MI, Couch CD, Burrus N, Miech EJ. Challenges and motivating factorsrelated to positive airway pressure therapy for post-TIA and stroke patients. Behav Sleep Med. 2014 Mar 4;12(2):143-57. doi: 10.1080/15402002.2013.778200. Epub2013 Apr 9. PubMed PMID: 23570672.

9: Matthias MS, Miech EJ, Myers LJ, Sargent C, Bair MJ. A qualitative study of chronic pain in Operation Enduring Freedom/Operation Iraqi Freedom veterans: "Aburden on my soul". Mil Med. 2014 Jan;179(1):26-30. doi:10.7205/MILMED-D-13-00196. PubMed PMID: 24402981.

10: Schmid AA, Yaggi HK, Burrus N, McClain V, Austin C, Ferguson J, Fragoso C,Sico JJ, Miech EJ, Matthias MS, Williams LS, Bravata DM. Circumstances andconsequences of falls among people with chronic stroke. J Rehabil Res Dev. 2013;50(9):1277-86. doi: 10.1682/JRRD.2012.11.0215. PubMed PMID: 24458967.

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