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. Humbert AJ, Miech EJ. Measuring gains in the clinical reasoning of medical students: longitudinal results from a school-wide script concordance test. Academic Medicine. 2014 Jul;89(7):1046-50.

2. Matthias MS, Miech EJ, Myers LJ, Sargent C, Bair MJ. A qualitative study of chronic pain in Operation Enduring Freedom/Operation Iraqi Freedom veterans: "A burden on my soul". Military Medicine. 2014 Jan;179(1):26-30.

3. Arling PA, Abrahamson K, Miech EJ, Inui TS, Arling G. Communication and effectiveness in a US nursing home quality-improvement collaborative. Nursing & Health Sciences. 2014 Sep;16(3):291-7.

4. 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 factors related to positive airway pressure therapy for post-TIA and stroke patients. Behavioral Sleep Medicine. 2014 Mar 4;12(2):143-57.

5. 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 and consequences of falls among people with chronic stroke. Journal of Rehabilitation Research and Development. 2013;50(9):1277-86.

6. Matthias MS, Miech EJ, Myers LJ, Sargent C, Bair MJ. An expanded view of self-management: patients' perceptions of education and support in an intervention for chronic musculoskeletal pain. Pain Medicine. 2012 Aug;13(8):1018-28.

7. Matthias MS, Miech EJ, Myers LJ, Sargent C, Bair MJ. "There's more to this pain than just pain": how patients' understanding of pain evolved during a randomized controlled trial for chronic pain. Journal of Pain. 2012 Jun;13(6):571-8.

8. 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. Diagnosis and Treatment of Sleep Apnea in patients' homes: the rationale and methods of the "GoToSleep" randomized-controlled trial. Journal of Clinical Sleep Medicine. 2012 Feb 15;8(1):27-35. 

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