Kathleen Li, MD MS

@NIH Is there a complementary plan to allow NIH budgets to account for the administrative costs (IRB, compliance, IT, office space) not directly related to the research proposal? The research is not possible without the supporting infrastructure.

Last year, $9B of the $35B that the National Institutes of Health (NIH) granted for research was used for administrative overhead, what is known as “indirect costs.” Today, NIH lowered the maximum indirect cost rate research institutions can charge the government to 15%, above what many major foundations allow and much lower than the 60%+ that some institutions charge the government today. This change will save more than $4B a year effective immediately.

@SenBillCassidy Disappointed that a physician colleague would consent to give someone like RFK the platform to spew and act on fringe conspiracy theories and misinformation. Shame on you.

I’ve had very intense conversations with Bobby and the White House over the weekend and even this morning. I want to thank VP JD specifically for his honest counsel. With the serious commitments I’ve received from the administration and the opportunity to make progress on the issues we agree on like healthy foods and a pro-American agenda, I will vote yes.

I ran @USAID health programs for the last 3 years. Trump’s 90 day Stop Work Order on foreign assistance does serious damage to the world and the US. Examples:🧵

Medicaid is not perfect but those under 150% of the federal poverty level pay no premiums so this is blatantly false. Source: medicaid.gov/medicaid/cost-…

Hello. Yes, I would like to report a murder.

I don’t believe the “40% of med students don’t plan to practice” stat…but even if I did, here’s some more relevant stats. - the government has cut RVU reimbursement year over year, while inflation has only increased…in the past few years alone we took a double digit pay cut because of government @MedicareGov reimbursement when adjusted for inflation - private equity has taken over healthcare, fairly unchecked. This results in bad patient care, unstable healthcare markets and poor working conditions for physicians… -healthcare administrators have grown 3800% versus physician #s growing 200% since the 70s. This represents declining physician autonomy and an overwhelming administrative burden…much of which is created by government programs like CMS “Quality Measures” which are less about care quality and more about gamesmanship and documentation burden - insurance companies have a chokehold on the finances of healthcare…and their lobby dollars fund the congressmen who help keep them in power and allow them to continue to squeeze physicians and patients both How ‘bout you work on some of those issues, Congressman…and get back to the med students after you do?

I attended Trump’s inauguration yesterday. Here are my thoughts:

The unmeasured costs are real too - I had an elderly patient last month who said she delayed going to the ER because the last time she ended up getting transferred and it was a traumatic experience for her. She was afraid it would happen again.

New pub 📈: 1 in 9 interfacility transfers of Medicare beneficiaries were identified as potentially avoidable. We can do better to (when safe) decrease burden of transfers for patient and families and minimize costs 💵 to the broader healthcare system

Took a moment with @alexandracooper to see if we could think of any law that gives the government the power to make a decision about a man’s body. The answer? No.

first article together with @KathyLiMD! get your COVID vaccines 💉 seattletimes.com/opinion/why-na…

Excited to measure the value that tele-emergency care offers to Veterans and more. Thank you @TheEMFoundation for the opportunity!

@SiqianShen Congrats! Hope things are good in AA :)

I am extremely grateful for all the support over the past 12 years since the beginning of this journey. I am so lucky to have the like-friend like-family colleagues, staff & students at IOE & UM. Special thanks go to my family & especially the cute kids keeping us entertained :)

Here’s the dirty secret of emergency medicine: We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED. But here’s why we care about prior auth anyways: B/c not a shift goes by where a patient doesn’t land in the ER as a last resort when #priorauth denied or delayed them the outpatient care they needed.

Congratulations and so well deserved @kekocher

A study from @kathylimd, @kekocher provides evidence for #emergency care #telemedicine: new study finds pilot program for Veterans cut ED visits in half, ↓ costs and admissions. Read @ buff.ly/3KDKZAq. #AEM #EM #Veterans @DeptVetAffairs

@gettylenol @kpcvem If you do, would love to collaborate on an evaluation!

We gotta try it with kaiser patient.. @kpcvem

Calling all residents and future policy wonks/ evidence seekers/ change agents! Check out the @ncspMICHIGAN / NCSP programs for unparalleled training, superb mentorship, and interdisciplinary cohorts to set up your next steps into policy/ research worlds!

Thank you to @kekocher Paul Kim John Barkham @VAAnnArbor Edwin Wong @VAPugetSound and @JoshuaThariath for helping with this analysis!

Our findings also suggest that video is better than phone-only visits, but phone was surprisingly effective (>80% of tele-EC visits during the pilot were by phone).

Tele-emergency care (phone OR video visit with an ER doc) decreased ED visits by nearly half (35%->18%) among Veterans calling nurse triage and recommended to be seen within 24 hours.