A career focused on bedside clarity and patient safety
Dr. Mirarchi has spent years studying how written directives are interpreted in real-world clinical settings and how confusion can create risk for patients, families, and care teams during his time as Medical Director of the UPMC Hamot Emergency Department in Erie, Pennsylvania, the Chief of Emergency Services for UPMC’s Northern Tier of Emergency Services, Chairman of the UPMC Hamot Physician Network Governance Council, as well as the Chair of Medical Ethics.
That clinical experience in a busy emergency department is central to his leadership of MIDEO.
TRIAD Research Series: advancing realistic interpretation of advance directives
Dr. Mirarchi is the Principal Investigator of the TRIAD Research Series (The Realistic Interpretation of Advance Directives). TRIAD research has been featured in national outlets, including The New York Times, The Washington Post, and the Boston Herald, and has contributed to broader awareness of patient-safety risks tied to confusion surrounding living wills, DNR orders, and POLST forms.
This body of work helped set the foundation for the development and utilization of MIDEO.
Leadership, national committee service, and editorial roles
Dr. Mirarchi holds leadership responsibilities within USACS. He has also recently been appointed to the Chairman position of the National Palliative Care Committee for USACS.
He serves as a reviewer for peer-reviewed scientific journals, including CHEST and JAGS, and is an Editorial Board Member for Patient Safety Magazine.
Author and educator
Dr. Mirarchi is the author of Understanding Your Living Will: What You Need to Know Before a Medical Emergency, published by Addicus Books. His work bridges the gap between what patients think documents say and how those documents can be interpreted during real clinical emergencies.
Connect with Dr. Mirarchi and the MIDEO team
If you are a clinician, medical director, health plan leader, or organization evaluating advance care planning solutions, MIDEO can help you reduce ambiguity and improve how patient intent is captured and accessed. For speaking requests, media inquiries, or clinical partnership discussions, contact the MIDEO team to coordinate next steps.