2024
Integrating Board-Certified Psychiatric Pharmacists in a Certified Community Behavioral Health Clinic.
Li L, Cooper HR, Parmentier BL, Williamson M, Crouch M, Muzquiz-Drummond S, Babin A. Integrating Board-Certified Psychiatric Pharmacists in a Certified Community Behavioral Health Clinic. Psychiatr Serv 2024, 75: 1056-1059. PMID: 38595116, DOI: 10.1176/appi.ps.20230521.Peer-Reviewed Original ResearchUnveiling Clinician Mindsets on Suicide Care.
Bittner T, Li L. Unveiling Clinician Mindsets on Suicide Care. Psychiatr Serv 2024, 75: 513. PMID: 38823023, DOI: 10.1176/appi.ps.24075009.Commentaries, Editorials and Letters
2023
Addressing Critical Pandemic Psychiatric Staffing Shortages Through Advanced Practice Provider Training and Resources.
Li L, Gates J. Addressing Critical Pandemic Psychiatric Staffing Shortages Through Advanced Practice Provider Training and Resources. Psychiatr Serv 2023, 74: 770-772. PMID: 36748236, DOI: 10.1176/appi.ps.20220390.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsLack of Access to Health Insurance for Latinx Communities Even After Medicaid Expansion.
Flores MW, Li L. Lack of Access to Health Insurance for Latinx Communities Even After Medicaid Expansion. Psychiatr Serv 2023, 74: 563. PMID: 37259588, DOI: 10.1176/appi.ps.23074010.Commentaries, Editorials and LettersA Collaborative Approach in Prescribing Psychotropics for Persons Experiencing Homelessness.
Zisman-Ilani Y, Li L, Swartz MS. A Collaborative Approach in Prescribing Psychotropics for Persons Experiencing Homelessness. Psychiatr Serv 2023, 74: 221. PMID: 36855894, DOI: 10.1176/appi.ps.23074005.Commentaries, Editorials and LettersA Novel Approach to Delivering Evidence-based, High-quality Care in Psychiatry Through an Electronic Integrated Care Pathway (eICP) Pilot
Li L, Kruger M, Kim N, Ong S, Riley S, Cameron K, Koslosky K, Rhodes D. A Novel Approach to Delivering Evidence-based, High-quality Care in Psychiatry Through an Electronic Integrated Care Pathway (eICP) Pilot. Psychiatric Quarterly 2023, 94: 103-111. PMID: 36840898, PMCID: PMC9959944, DOI: 10.1007/s11126-023-10016-z.Peer-Reviewed Original ResearchConceptsElectronic health recordsUser-friendly experienceEvidence-based decision support toolUsage trackingDecision support toolSupport toolHealth recordsIntegrated care pathwayNovel approachService areaTeam structureImplementationEarly adoptionAdoptionTechnology columnHealth service areasAcademic medical centerQuality of careHigh-quality careTrackingAdoption resultsCare pathwayFuture directionsMedical CenterTechnology
2022
Implementation of simulation-based health systems science modules for resident physicians
Li L, Ray JM, Bathgate M, Kulp W, Cron J, Huot SJ, Wong AH. Implementation of simulation-based health systems science modules for resident physicians. BMC Medical Education 2022, 22: 584. PMID: 35906583, PMCID: PMC9338604, DOI: 10.1186/s12909-022-03627-w.Peer-Reviewed Original ResearchConceptsResident physiciansImpact care qualityPost-session surveysSimulation-based scenariosCross-cutting domainsResidency training programsMultiple stakeholder perspectivesCare qualityCare deliveryImplementation scienceHealth careEmotional reactionsHands-on practiceEducational moduleIn-personTraining programResidency programsResidency trainingRole-play formatPhysiciansStakeholder perspectivesMedical simulationClinical practiceCareParticipantsThe Stress and Resilience Town Hall: A systems response to support the health workforce during COVID-19 and beyond
Tebes JK, Awad MN, Connors EH, Fineberg SK, Gordon DM, Jordan A, Kravitz R, Li L, Ponce AN, Prabhu M, Rubman S, Silva MA, Steinfeld M, Tate DC, Xu K, Krystal JH. The Stress and Resilience Town Hall: A systems response to support the health workforce during COVID-19 and beyond. General Hospital Psychiatry 2022, 77: 80-87. PMID: 35569322, PMCID: PMC9033303, DOI: 10.1016/j.genhosppsych.2022.04.009.Peer-Reviewed Original ResearchConceptsHealthcare workersHealth systemHealth workforceCOVID-19 pandemicHealth workforce needsMean attendancePost-traumatic stressCOVID-19Traumatic stressorsTypes of stressorsSustainable interventionsRigorous qualitative methodsInterventionPandemicSpecific stressorsStressorsWorkforce needsHospitalWorkersCOVID-19-Related Impacts on Youth Mental Health.
Li L, Swartz MS. COVID-19-Related Impacts on Youth Mental Health. Psychiatric Services (Washington, D.C.) 2022, 73: 365. PMID: 35360937, DOI: 10.1176/appi.ps.22073002.Commentaries, Editorials and LettersAn Initiative to Improve Performance on a National Transition of Care Measure and to Reduce Readmissions in an Academic Psychiatric Hospital
Li L, Kulp W, Krieg H, Aptaker D, Klink B, Knox D, Pincus HA. An Initiative to Improve Performance on a National Transition of Care Measure and to Reduce Readmissions in an Academic Psychiatric Hospital. The Joint Commission Journal On Quality And Patient Safety 2022, 48: 205-213. PMID: 35193810, DOI: 10.1016/j.jcjq.2022.01.002.Peer-Reviewed Original ResearchConceptsQuality improvement projectReadmission ratesPsychiatric hospitalCompliance rateCause readmission rateDecrease hospital readmissionsClinical decision support toolAcademic psychiatric hospitalAdverse patient outcomesImprovement projectClinical diagnosis dataHospital readmissionPreintervention periodCare measuresPatient outcomesCDS toolProvider complianceReadmissionCDS toolsHospitalOutcome metricsPrimary measureYear 2Year 3Diagnosis dataClinical Redesign: An Innovative Approach to Leading Change at an Academic Healthcare System.
Li L, Davis M, Kim N, Lipka S, Branson B, Amport S, Schwartz I, Sussman S. Clinical Redesign: An Innovative Approach to Leading Change at an Academic Healthcare System. Journal Of Healthcare Management / American College Of Healthcare Executives 2022, 67: 13-24. PMID: 34982746, DOI: 10.1097/JHM-D-20-00299.Peer-Reviewed Original Research
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 findingsOvercoming the Barriers to Resident Engagement in Quality Improvement Initiatives in Psychiatry.
Mitchell TO, Li L. Overcoming the Barriers to Resident Engagement in Quality Improvement Initiatives in Psychiatry. Academic Psychiatry : The Journal Of The American Association Of Directors Of Psychiatric Residency Training And The Association For Academic Psychiatry 2021, 45: 481-486. PMID: 33184714, DOI: 10.1007/s40596-020-01363-1.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsUsing a Patient Safety/Quality Improvement Model to Assess Telehealth for Psychiatry and Behavioral Health Services Among Special Populations During COVID-19 and Beyond
Li L, Childs AW. Using a Patient Safety/Quality Improvement Model to Assess Telehealth for Psychiatry and Behavioral Health Services Among Special Populations During COVID-19 and Beyond. Journal Of Psychiatric Practice 2021, 27: 245-253. PMID: 34398574, PMCID: PMC8318385, DOI: 10.1097/pra.0000000000000555.Peer-Reviewed Original ResearchConceptsBehavioral health servicesHealth servicesSpecial populationsPsychiatric care needsMental health needsCoronavirus 2019 (COVID-19) pandemicSustainability of telehealthCritical mental health needsCare needsHealth care landscapeHealth needsTelehealth servicesQuality improvement modelHealth care organizationsTelehealthCare organizationsCOVID-19Care landscapePopulationPandemicYouth populationCareShowing Up Is Half the Battle: The Impact of Telehealth on Psychiatric Appointment Attendance for Hospital-Based Intensive Outpatient Services During COVID-19
Childs AW, Bacon SM, Klingensmith K, Li L, Unger A, Wing AM, Fortunati F. Showing Up Is Half the Battle: The Impact of Telehealth on Psychiatric Appointment Attendance for Hospital-Based Intensive Outpatient Services During COVID-19. Telemedicine Journal And E-Health 2021, 27: 835-842. PMID: 33999738, DOI: 10.1089/tmj.2021.0028.Peer-Reviewed Original ResearchConceptsHigh-risk individualsAppointment attendanceIntensive outpatient programNon-Hispanic white youthRace/ethnicityPsychiatric servicesTreatment programIntensive outpatient servicesOutpatient psychiatric settingsImpact of telehealthHigher clinical acuityChi-square testClinical treatment programsWarrants further investigationNon-Hispanic Black youthAdult patientsIOP groupInsurance typeOutpatient programOutpatient servicesClinical acuityPsychiatric settingsCommercial insuranceClinical programsTelehealth servicesA Visual Dashboard to Monitor Restraint Use in Hospitalized Psychiatry Patients.
Li L, Barnes T. A Visual Dashboard to Monitor Restraint Use in Hospitalized Psychiatry Patients. Joint Commission Journal On Quality And Patient Safety / Joint Commission Resources 2021, 47: 282-287. PMID: 33648859, DOI: 10.1016/j.jcjq.2021.01.004.Peer-Reviewed Original ResearchCOVID vaccine use in inpatient psychiatry units—The need is here and now
Li L, Kulp W, Goldman ML, Sernyak M, Petrakis I, Runnels P. COVID vaccine use in inpatient psychiatry units—The need is here and now. General Hospital Psychiatry 2021, 71: 132-133. PMID: 33814221, PMCID: PMC8006511, DOI: 10.1016/j.genhosppsych.2021.03.011.Commentaries, Editorials and LettersMental Health Staff Perceptions of Improvement Opportunities around COVID-19: A Mixed-Methods Analysis
Bommersbach T, Dube L, Li L. Mental Health Staff Perceptions of Improvement Opportunities around COVID-19: A Mixed-Methods Analysis. Psychiatric Quarterly 2021, 92: 1079-1092. PMID: 33575954, PMCID: PMC7877505, DOI: 10.1007/s11126-021-09890-2.Peer-Reviewed Original ResearchConceptsCOVID-19Mental Health Staff PerceptionsLarge tertiary medical centerHealth staff perceptionsTertiary medical centerBehavioral health servicesBenefits of telehealthHigh community spreadFocus group dataMedical CenterFocus groupsMixed-methods findingsHealth servicesCommunity spreadQualitative focus groupsGroup dataCare transformationHeightened stressStaff perceptionsConvenience surveyService linesTelehealthSurvey responsesMixed-methods analysisThematic analysisEpidemiology, 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