2021
Shifts in inpatient psychiatry utilization patterns at a U.S. Academic Medical Center during the COVID-19 pandemic
Kulp W, Mitchell TO, Pittman B, Li L. Shifts in inpatient psychiatry utilization patterns at a U.S. Academic Medical Center during the COVID-19 pandemic. Psychiatry Research 2021, 308: 114376. PMID: 34999295, PMCID: PMC8733685, DOI: 10.1016/j.psychres.2021.114376.Peer-Reviewed Original ResearchConceptsInpatient psychiatry serviceU.S. academic medical centersSubstance use disordersAcademic medical centerCOVID-19 pandemicRetrospective cohortInpatient admissionsMedical CenterPsychiatry servicesPsychiatric patientsUse disordersInpatient psychiatryUtilization patternsModest decreasePatientsSignificant changesDiagnostic dataCorresponding monthsEarlier findingsEpidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center
Li L, Roberts SC, Kulp W, Wing A, Barnes T, Colandrea N, Klink B, Fortunati F, Martinello R. Epidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center. Psychiatry Research 2021, 298: 113776. PMID: 33571800, PMCID: PMC7987366, DOI: 10.1016/j.psychres.2021.113776.Peer-Reviewed Original ResearchConceptsInpatient psychiatric unitLarge academic medical centerAcademic medical centerPsychiatric unitMedical CenterCOVID-19Retrospective cohort analysisEmergency room visitsInpatient psychiatric facilityLow patientsClinical outcomesRoom visitsHospitalized individualsInfection preventionStudy populationCohort analysisPrevention strategiesAdmission statusTriage protocolDiverse patientsInfection rateMental illnessPsychiatric facilitiesDemographic dataPatientsRacial and Ethnic Differences in Psychiatry Resident Prescribing: a Quality Improvement Education Intervention to Address Health Equity
Cerdeña I, Holloway T, Cerdeña JP, Wing A, Wasser T, Fortunati F, Rohrbaugh R, Li L. Racial and Ethnic Differences in Psychiatry Resident Prescribing: a Quality Improvement Education Intervention to Address Health Equity. Academic Psychiatry 2021, 45: 13-22. PMID: 33495966, PMCID: PMC9942699, DOI: 10.1007/s40596-021-01397-z.Peer-Reviewed Original ResearchConceptsWhite patientsRace/ethnicityPrescriber profilesLatinx patientsEthnic differencesUnique patient encountersPrescription of antipsychoticsElectronic medical recordsAntidepressant prescriptionsAntipsychotic prescribingAntidepressant prescribingHigher diagnosisPrimary diagnosisMedical recordsDepression diagnosisMedication ordersClinical careLower oddsPatientsPsychotic disordersPatient encountersHealth disparitiesPrescribingConclusionsOur findingsEducation intervention
2020
Association of a Prior Psychiatric Diagnosis With Mortality Among Hospitalized Patients With Coronavirus Disease 2019 (COVID-19) Infection
Li L, Li F, Fortunati F, Krystal JH. Association of a Prior Psychiatric Diagnosis With Mortality Among Hospitalized Patients With Coronavirus Disease 2019 (COVID-19) Infection. JAMA Network Open 2020, 3: e2023282. PMID: 32997123, PMCID: PMC7527869, DOI: 10.1001/jamanetworkopen.2020.23282.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overBetacoronavirusCerebrovascular DisordersCohort StudiesComorbidityCoronavirus InfectionsCOVID-19Diabetes MellitusFemaleHeart FailureHIV InfectionsHospitalizationHumansKaplan-Meier EstimateKidney DiseasesLiver DiseasesMaleMental DisordersMiddle AgedMyocardial InfarctionNeoplasmsPandemicsPneumonia, ViralProportional Hazards ModelsRisk FactorsSARS-CoV-2United StatesEmergency conversion to telehealth in hospital-based psychiatric outpatient services: Strategy and early observations
Childs AW, Klingensmith K, Bacon SM, Li L. Emergency conversion to telehealth in hospital-based psychiatric outpatient services: Strategy and early observations. Psychiatry Research 2020, 293: 113425. PMID: 32862066, PMCID: PMC7443337, DOI: 10.1016/j.psychres.2020.113425.Peer-Reviewed Original ResearchConceptsIntensive outpatientAmbulatory servicesComplex patient populationPsychiatric outpatient servicesMental health servicesCritical mental health servicesMental health needsPatient populationEmergency conversionOutpatient servicesPhysical distancing guidelinesClinical protocolsHealth servicesHealth needsClinical settingInfectious spreadGroup-based servicesTelehealthCOVID-19Earlier observationsHelpful toolOutpatientsPatientsWorkforce trainingAction stepsCOVID-19 psychiatric patients: Impact of variability in testing on length of hospital stay and disposition back to congregate care settings
Millard H, Wilson C, Fortunati F, Li L. COVID-19 psychiatric patients: Impact of variability in testing on length of hospital stay and disposition back to congregate care settings. Psychiatry Research 2020, 292: 113324. PMID: 32736265, PMCID: PMC7380225, DOI: 10.1016/j.psychres.2020.113324.Peer-Reviewed Original ResearchChallenges and Priorities in Responding to COVID-19 in Inpatient Psychiatry
Li L. Challenges and Priorities in Responding to COVID-19 in Inpatient Psychiatry. Psychiatric Services 2020, 71: 624-626. PMID: 32321388, DOI: 10.1176/appi.ps.202000166.Peer-Reviewed Original Research
2019
Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study
Weerahandi H, Li L, Bao H, Herrin J, Dharmarajan K, Ross JS, Kim KL, Jones S, Horwitz LI. Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study. Journal Of The American Medical Directors Association 2019, 20: 432-437. PMID: 30954133, PMCID: PMC6486375, DOI: 10.1016/j.jamda.2019.01.135.Peer-Reviewed Original ResearchConceptsSkilled nursing facilitiesSNF dischargeRetrospective cohort studySNF lengthHeart failureHF hospitalizationComposite outcomeCohort studyNursing facilitiesService beneficiaries 65Heart failure hospitalizationRisk of readmissionHazard rate ratiosFailure hospitalizationUnplanned readmissionHF diagnosisHospital dischargePostdischarge outcomesSNF stayMedicare patientsMedicare feeHome transitionPatientsReadmissionDay 3
2018
Review of Use of Asynchronous Technologies Incorporated in Mental Health Care
Chan S, Li L, Torous J, Gratzer D, Yellowlees PM. Review of Use of Asynchronous Technologies Incorporated in Mental Health Care. Current Psychiatry Reports 2018, 20: 85. PMID: 30155593, DOI: 10.1007/s11920-018-0954-3.Peer-Reviewed Original Research