2021
Showing 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 ResearchMeSH KeywordsAdolescentAdultAgedAmbulatory CareCOVID-19HospitalsHumansMedicarePandemicsSARS-CoV-2TelemedicineUnited StatesConceptsHigh-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 servicesRacial 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 ResearchMeSH KeywordsBlack or African AmericanEthnicityHealth EquityHealthcare DisparitiesHumansPsychiatryQuality ImprovementUnited StatesConceptsWhite 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 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 feePatterns and Costs of 90-Day Readmission for Surgical and Medical Complications Following Total Hip and Knee Arthroplasty
Schwarzkopf R, Behery OA, Yu H, Suter LG, Li L, Horwitz LI. Patterns and Costs of 90-Day Readmission for Surgical and Medical Complications Following Total Hip and Knee Arthroplasty. The Journal Of Arthroplasty 2019, 34: 2304-2307. PMID: 31279598, PMCID: PMC7011860, DOI: 10.1016/j.arth.2019.05.046.Peer-Reviewed Original ResearchMeSH KeywordsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCenters for Medicare and Medicaid Services, U.S.Elective Surgical ProceduresHospitalsHumansMedicarePatient DischargePatient ReadmissionPostoperative ComplicationsQuality ImprovementRetrospective StudiesTime FactorsUnited StatesConceptsDays of dischargeSurgical complicationsUnplanned readmissionTKA patientsTotal hipKnee arthroplastyPrimary THA/TKAElective total hipTHA/TKAReadmission categoriesDays postdischargeIndex hospitalQuality improvement targetsIndex surgeryMedical complicationsIndex procedureSuch complicationsMedicare patientsReadmissionRetrospective analysisComplicationsPatientsMedicaid ServicesHospitalTHARisk 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 3Trends in Hospital Readmission of Medicare-Covered Patients With Heart Failure
Blecker S, Herrin J, Li L, Yu H, Grady JN, Horwitz LI. Trends in Hospital Readmission of Medicare-Covered Patients With Heart Failure. Journal Of The American College Of Cardiology 2019, 73: 1004-1012. PMID: 30846093, PMCID: PMC7011858, DOI: 10.1016/j.jacc.2018.12.040.Peer-Reviewed Original ResearchConceptsHospital Readmissions Reduction ProgramSecondary heart failureReadmission ratesHeart failureReadmissions Reduction ProgramHF hospitalizationAffordable Care ActMedicare's Hospital Readmissions Reduction ProgramRisk-adjusted readmission ratesCause readmission rateHigher readmission ratesAcute myocardial infarctionCare ActReduction programsLinear spline regression modelsPneumonia hospitalizationsHospital readmissionMedicare hospitalizationsRetrospective studySecondary diagnosisMyocardial infarctionPrincipal diagnosisHospitalizationSpline regression modelsPatients