Karl E. Minges, Ph.D., M.P.H.

Karl Minges Headshot
Assistant Professor

Department of Health Administration and Policy
School of Health Sciences
Education

Ph.D., Yale University, New Haven, CT, 2016

Fulbright Scholar, Baker IDI Heart & Diabetes Institute, Melbourne, Australia, 2010

M.P.H., Columbia University, New York, NY, 2010

B.S., Marist College, Poughkeepsie, NY, 2007

About Karl

Karl Minges is an expert on improving health systems through clinical decision-making; quality measurement and improvement; and the evaluation of healthcare interventions for cardiovascular diseases and procedures, as well as diabetes care and obesity prevention and management.

His work also focuses on identifying modifiable health behaviors – including physical activity, sedentary behavior, and sleep – among at-risk populations.

His current research examines variations in guideline-recommended patient education for people with heart failure. Providing patient education on lifestyle choices including physical activity; diet and sodium restriction; medication instruction; and weight management, he's found, is important, as it has demonstrated many beneficial patient outcomes, including lower mortality, shorter length of hospital stays, and improved quality of life.

His early findings show that most cardiology practices across the United States provide some element of patient education, most commonly related to physical activity and diet, but there is marked variation in the delivery of comprehensive, high-quality patient education with significant opportunity for improvement.

Dr. Minges’ educational background and experience in public health, health-services research, nursing, and social work enable him to bring a multidisciplinary perspective to his work. His research has benefited from collaborations with government, industry, and academia.

He has been an associate research scientist in the Yale School of Medicine Department of Internal Medicine in its section of cardiovascular medicine and in its Center for Outcomes Research & Evaluation. As a National Institutes of Health fellow, he focused on improving the health outcomes of vulnerable clinical populations.

As a Fulbright Scholar in Australia, he conducted research on a diabetes health promotion program delivered to older adults and indigenous Australians. He is the recipient of many early career honors, including awards from the American Heart Association, the Society of Behavioral Medicine, and the Anthony DiGuida Dissertation Prize (Yale University) for “demonstrating creative conceptualization of a complex clinical problem for study, methodologic, and analytic excellence, and superb writing.”

Dr. Minges’ research also examines obesity among children and looks closely at ways to improve the school environment to make it healthier for students (including the use of standing desks in schools and delaying school start times). He studies changes to health policy, specifically regarding the shift to value-based payments.

Widely published, Dr. Minges is the author of more than 35 peer-reviewed publications in the fields of public health, behavioral medicine, and outcomes and health-services research. His scholarship has appeared in prestigious journals, including JAMA, Journal of the American College of Cardiology, Pediatrics, Circulation, European Journal of Preventive Cardiology, International Journal of Behavior, Nutrition and Physical Activity, Sleep Medicine Reviews, Health Psychology, and Medicine and Science in Sports and Exercise, among others.

His publications include “Characteristics and Outcomes of Pediatric Patients Who Undergo Placement of Implantable Cardioverter-Defibrillators – Insights from the National Cardiovascular Data Registry” in Circulation: Electrophysiology and Arrhythmia and “Team-based Learning in the Clinical Setting: Perspectives of Doctor of Nursing Practice Students” in the Journal of Doctoral Nursing Practice. Dr. Minges has presented his research at the local and national levels.

He received his B.S. in social work from Marist College, his Master of Public Health from Columbia University, and his Ph.D. from Yale University.

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Publications

Thomas I, Wang Y, See VY, Minges KE, Curtis JP, Hsu J. (In press). Outcomes Following Implantable Cardioverter-Defibrillator Generator Replacement in Patients with Recovered Left Ventricular Systolic Function: The National Cardiovascular Data Registry. Heart Rhythm

Baskar S, Bao H, Minges KE, Spar DS, Czosek RJ. (In press). Characteristics and Outcomes of Pediatric Patients Who Undergo Placement of Implantable Cardioverter-Defibrillators - Insights from the National Cardiovascular Data Registry. Circulation: Electrophysiology and Arrhythmia

Annapureddy A, Murugiah K, Minges KE, Chui P, Desai NR, Curtis JP. (In press). Trends in Industry Payments to Cardiologists: A Longitudinal Analysis of the Open Payments Program. Circulation: Cardiovascular Quality and Outcomes

Annapureddy A, Minges KE, Sengodan P, Mahajan S, Murugiah K, Desai NR, Curtis JP. (In press). Distribution of Industry Payments Among Directors of Catheterization and Electrophysiology Labs from the Top 100 U.S. Hospitals. JAMA Internal Medicine

Minges KE. (In press). Team-based Learning in the Clinical Setting: Perspectives of Doctor of Nursing Practice Students. Journal of Doctoral Nursing Practice

Desai NR, Parzynski C, Brindis R, Spatz ES, Masters C, Minges KE, Peterson P, Masoudi F, Oetgen WJ, Buxton A, Zipes D, Curtis JP. (2018). The Department of Justice Investigation and ICD Implantations Not Meeting Medicare’s National Coverage Determination. JAMA. 3;320(1):63-71. doi: 10.1001/jama.2018.8151.

Minges KE, Bikdeli B, Wang Y, Attaran R, Krumholz HK. (2018). National and Regional Trends in Deep Vein Thrombosis Hospitalization Rates, Discharge Disposition, and Outcomes for Medicare Beneficiaries. The American Journal of Medicine. doi: https://doi.org/10.1016/j.amjmed.2018.04.033

Rosenberg A, Campbell Britton M, Feder S, Minges KE, Hodshon B, Chaudhry SI, Jenq G, Emerson B. (2018). A taxonomy and cultural analysis of intra‐hospital patient transfers. Research in Nursing & Health. doi:.org/10.1002/nur.21875

Goldsweig AM, Wang Y, Forrest JK, Cleman MW, Minges KE, Mangi AA, Aronow HD, Krumholz, HM, Curtis JP. (2018). Ventricular Septal Rupture Complicating Acute Myocardial Infarction: Incidence, Treatment, and Outcomes Among Medicare Beneficiaries 1999-2014. Catheterization and Cardiovascular Interventions. doi: 10.1002/ccd.27576

Badri M, Shapiro T, Wang Y, Minges KE, Curtis JP, Gray WA. (2018). Adoption of the transradial approach for percutaneous coronary intervention and rates of vascular complications following transfemoral procedures: Insights from NCDR. Catheterization and Cardiovascular Interventions. doi: 10.1002/ccd.27490.

Gawel M, Emerson B, Giuliano JS Jr, Rosenberg A, Minges KE, Feder S, Violano P, Morrell P, Petersen J, Christison-Lagay E, Auerbach M. (2018). A Qualitative Study of Multidisciplinary Providers' Experiences With the Transfer Process for Injured Children and Ideas for Improvement. Pediatric Emergency Care. 34(2):125-131. doi: 10.1097/PEC.0000000000001405.

Britton MC, Ouellet GM, Minges KE, Gawel M, Hodshon B, Chaudhry SI. (2017). Care transitions between hospitals and skilled nursing facilities: perspectives of sending and receiving providers. The Joint Commission Journal on Quality and Patient Safety. 43(11):565-572. doi: 10.1016/j.jcjq.2017.06.004.

Minges KE, Herrin J, Fiorilli P, Curtis JP. (2017). Development and validation of a simple risk score to predict 30-day readmission for percutaneous coronary intervention. Catheterization and Cardiovascular Interventions. 89(6):955-963. doi: 10.1002/ccd.26701. Epub 2016 Aug 12

Clark B, Baron K, Tynan-McKiernan K, Britton M, Minges KE, Chaudhry S. (2017). Perspectives of clinicians at skilled nursing facilities on 30-day hospital readmissions: a qualitative study. Journal of Hospital Medicine. 12(8):632-638. doi: 10.12788/jhm.2785.

Minges KE, Whittemore R, Weinzimer S, Irwin M, Redeker NS, Grey M. (2017). Correlates of overweight and obesity in 5,529 adolescents with type 1 diabetes: The T1D Exchange Clinic Registry. Diabetes Research and Clinical Practice. 126:68-78.

Stetson B, Minges KE, Richardson C. (2017). New directions for diabetes prevention and management in behavioral medicine. Journal of Behavioral Medicine. 40(1):127-144.

Goldstein CM, Minges KE, Schoffman DE, Cases MG. (2017). Preparing tomorrow’s behavioral medicine scientists and practitioners: a survey of future directions for education and training. Journal of Behavioral Medicine. 40(1): 214-226. doi:10.1007/s10865-016-9758-2

Minges KE, Strait, KM, Owen N, Dunstan DW, Camhi S, Lichtman J, Geda M, Dreyer R, Bueno H, Beltrame JF, Curtis JP, and Krumholz HM. (2016). Gender differences in physical activity following acute myocardial infarction in adults: a prospective, observational study. European Journal of Preventive Cardiology. 24(2):192-203

Minges KE, Whittemore R, Chao A, Jefferson V, Murphy KM, and Grey M. (2016). Clinical, psychosocial and demographic factors are associated with overweight and obesity in early adolescent girls with type 1 diabetes. The Diabetes Educator. doi: 10.1177/0145721716654006

Chao A, Minges KE, Park C, Dumser S, Murphy K, Grey M, & Whittemore R. (2016). General life and diabetes-related stressors in youth with type 1 diabetes. Journal of Pediatric Health Care. 30(2):133-142. PMCID:PMC4377440

Bikdeli B, Wang Y, Minges KE, Desai NR. (2016). Hospitalizations, therapies and outcomes of pulmonary embolism in Medicare Beneficiaries: trends are similar to Europe. Journal of the American College of Cardiology. 67(21):2559-2560. doi:10.1016/j.jacc.2016.02.075

Minges KE, Chao AM, Irwin ML, Owen N, Park C, Whittemore R, Salmon J. (2016). Classroom Standing Desks and Sedentary Behavior: A Systematic Review. Pediatrics. 137(2):e20153087. doi: 10.1542/peds.2015-3087. PMC4732360.

Bikdeli B, Wang Y, Minges KE, Desai NR, Kim N, Desai MM, Spertus JA, Masoudi FA, Nallamothu BK, Goldhaber SZ, and Krumholz HK. (2016). Vena caval filter utilization and outcomes in Medicare beneficiaries with pulmonary embolism from 1999-2010. Journal of the American College of Cardiology. 67(9):1027-1035. doi:10.1016/j.jacc.2015.12.028

Minges KE and Redeker NS. (2015). Delayed school start times and adolescent sleep: A systematic review of the experimental evidence. Sleep Medicine Reviews. 28:82-91. doi: 10.1016/j.smrv.2015.06.002. PMCID:PMC4844764.

Minges KE, Bikdeli B, Wang Y, Kim N, Desai MM, Curtis JP, and Krumholz HM. (2015). National trends in pulmonary embolism hospitalization rates and outcomes for adults ≥65 years of age in the United States (1999-2010). The American Journal of Cardiology, 116(9):1436-1442. doi:10.1016/j.amjcard.2015.07.068.

Minges KE, Owen N, Salmon J, Chao A, Dunstan DW, and Whittemore R. (2015). Reducing youth screen time: Qualitative metasynthesis of findings on barriers and facilitators. Health Psychology, 34(4): 381-397. doi: 10.1037/hea0000172. PMC4456186

Minges KE, Chao A, Nam S, Grey M, and Whittemore R. (2015). Weight status, gender, and race/ethnicity: Are there differences in meeting recommended health behavior guidelines for adolescents? The Journal of School Nursing. 31(2):135-45. doi: 10.1177/1059840514554089. PMCID:PMC4363285

Whittemore R, Liberti LS, Jeon S, Chao A, Minges KE, Murphy K, and Grey M. (2015). Efficacy and implementation of an internet psychoeducational program for teens with type 1 diabetes. Pediatric Diabetes. doi: 10.1111/pedi.12338. PMCID:PMC4882266

Desai NR, Parzynski CS, Krumholz HK, Minges KE, Messenger J, Nallamothu BK, Curtis JP. (2015). Patterns of institutional review of PCI appropriateness and the impact on quality of care and clinical outcomes: an analysis from the TOP PCI Study. JAMA Internal Medicine. 175(12):1988-90. doi:10.1001/jamainternmed.2015.6217.

Fiorilli PN, Minges KE, Herrin J, Messenger J, Ting H, Nallamothu B, Lipner R, Holmboe E, Brennan J, and Curtis JP. (2015). Association of interventional cardiology board certification and in-hospital outcomes of patients undergoing percutaneous coronary intervention. Circulation. 132(19):1816-24. doi: 10.1161/CIRCULATIONAHA.115.017523.

Whittemore R., Chao A, Jang M, Minges KE, and Park C. (2014). Methods for knowledge synthesis: An overview. Heart & Lung, 43(5), 453-461. doi: 10.1016/j.hrtlng.2014.05.014.

Lipska KJ, Ross JS, Wang Y, Inzucchi SE, Minges KE, Karter AJ, Huang ES, Desai MM., Gill TM & Krumholz HK (2014). National trends in admissions for hyperglycemia and hypoglycemia among Medicare beneficiaries, 1999-2011. JAMA Internal Medicine, 174(7), 1116-1124. doi: 10.1001/jamainternmed.2014.1824.

Minges KE and Curtis JP. (2014). Living in the readmission era. Circulation: Cardiovascular Interventions, 7(1), 9-10. doi: 10.1161/circinterventions.114.001174.

Chao A., Whittemore R., Minges KE, Murphy KM, & Grey M. (2014). Self-management in early adolescence and differences by age at diagnosis and duration of type 1 diabetes. The Diabetes Educator, 40(2), 167-177. doi: 10.1177/0145721713520567.

Minges KE, Whittemore R., and Grey M. (2013). Overweight and obesity in youth with type 1 diabetes. Annual Review of Nursing Research, 31, 47-69. doi: 10.1891/0739-6686.31.47. PMCID: PMC4159079

Minges KE, Magliano DJ, Owen N, Daly RM, Salmon J, Shaw JE, Zimmet PZ, and Dunstan DW. Associations of strength training with impaired glucose metabolism: the AusDiab Study. (2013). Medicine and Science in Sports and Exercise, 45(2), 299-303.

Minges KE, Zimmet P, Magliano DJ, Dunstan DW, Brown A, and Shaw JE. Diabetes prevalence and determinants in Indigenous Australian populations: A systematic review. (2011). Diabetes Research and Clinical Practice, 93(2), 139-149.

Minges KE, Cormick G, Unglik E, and Dunstan DW. Evaluation of a resistance training program for adults with or at risk of developing diabetes: an effectiveness study in a community setting. (2011). International Journal of Behavior, Nutrition and Physical Activity, 8(50). doi: 10.1186/1479-5868-8-50.

Courses Taught
  • HCAD 6606 Statistics in Healthcare Administration
  • HLTH 2200 Introduction to US Healthcare Systems
  • HLTH 4450 Health Sciences Capstone
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