2021
Using 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 servicesMental 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 analysis
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 States
2019
Changes in Hospital Referral Patterns to Skilled Nursing Facilities Under the Hospital Readmissions Reduction Program
Kim KL, Li L, Kuang M, Horwitz LI, Desai SM. Changes in Hospital Referral Patterns to Skilled Nursing Facilities Under the Hospital Readmissions Reduction Program. Medical Care 2019, 57: 695-701. PMID: 31335756, PMCID: PMC6944285, DOI: 10.1097/mlr.0000000000001169.Peer-Reviewed Original ResearchConceptsHospital Readmissions Reduction ProgramSkilled nursing facilitiesHospital referral patternsReadmissions Reduction ProgramReferral patternsReadmission ratesReferral ratesNursing facilitiesMedicare FFS patientsHigher readmission ratesProportion of referralsAcute myocardial infarctionPercentage of referralsReduction programsHRRP announcementSNF patientsFFS patientsHeart failureDifferential increaseService patientsMyocardial infarctionPostacute careReadmission reductionSD increaseMedicare feeSubstance Use Disorders in Later Life: A Review and Synthesis of the Literature of an Emerging Public Health Concern
Yarnell S, Li L, MacGrory B, Trevisan L, Kirwin P. Substance Use Disorders in Later Life: A Review and Synthesis of the Literature of an Emerging Public Health Concern. American Journal Of Geriatric Psychiatry 2019, 28: 226-236. PMID: 31340887, DOI: 10.1016/j.jagp.2019.06.005.Peer-Reviewed Original ResearchConceptsSubstance use disordersPublic health concernOlder individualsUse disordersDrug useOlder personsHealth concernGeriatric psychiatryComprehensive care modelLater lifeIllicit drugsField of geriatricsTreatment modalitiesGeriatric cohortCurrent treatment modelsCare modelMeeting criteriaHealth problemsPsychiatric conditionsSubstance abuseDrug dependencyIllicit substancesDrug abuseDrug habitsPrevious cohortRisk 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