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photo of Natalie Leland, PhD, OTR/L, BCG

Natalie Leland, PhD, OTR/L

Assistant Professor

Division of Occupational Science and Occupational Therapy
University of Southern California


Phone: (323) 442-1307

Lead Mentor

F. Clark, PhD, OTR/L, FAOTA

Research Areas

Understanding and improving post-acute care quality for older adults with a particular interest in how occupational therapy can contribute to fall prevention.

  • 2000 University of New Hampshire Occupational Therapy BS
  • 2006 University of Massachusetts Gerontology MS
  • 2009 University of Massachusetts Philosophy in Gerontology PhD


Research Funding

Agency for Healthcare Research and Quality Leland(PI) 04/01/15-03/3018 Identifying Patient-Centered Fall Prevention Care Processes in Hip Fracture Rehabilitation. The research objective of this three-year mentored career development award is to address the occurrence of fall rates among post-acute care patients by defining gaps in rehabilitation documentation and practice, developing patient-centered evidence based quality measures of rehabilitation services in the area of fall prevention and better informing opportunities for improving quality of rehabilitation services.

National Institute on Aging Sood (PI) 09/01/14 - 08/30/17 Vertical Integration and Care Coordination in Post-Acute Care Markets. This study will seek to understand how health outcomes and costs of Medicare beneficiaries are influenced by the level of integration between the acute care hospital and PAC provider. We will also examine the potential effects of proposed Medicare reforms aimed at improving care coordination between acute care hospitals and PAC providers. Role: Co-Investigator

State of California Saliba (PI) 09/01/15-06/31/16 Phase II: Pre-Pilot Phase California Universal Assessment Tool Development. This study will refine the universal assessment item bank in preparation for cognitive and reliability testing for California's Medicaid Home- and Community-Based Services programs. Role: Co-Investigator

Publications (past 5 years)

Tyler D, Leland N, Lepore M, Miller S. (2011). Does increased hospice volume reduce CNA staffing in nursing homes? The Journal of Palliative Medicine, 14, 1236-9.

Leland N, Elliott S, O'Malley L, Murphy SL. (2012). Occupational therapy interventions to decrease fall risk: A scoping review. The American Journal of Occupational Therapy, 66, 149–160.

Leland N, Elliott S (2012). From the desk of the guest editors. A special issue on productive aging: Evidence and opportunities for occupational therapy practitioners. The American Journal of Occupational Therapy, 66, 263-265

Leland N, Gozalo PL, Teno J, Mor V. (2012). Falls among Newly Admitted Nursing Home Residents: A National Study. Journal of the American Geriatric Society, 60(5), 939-945.

Leland N, Teno J, Gozalo PL, Bynum J, Mor V. (2012). Decision making and outcomes of Hospice patients with a hip fracture. The Journal of Pain and Symptom Management, 44(3), 458-465.

Teno JM, Gozalo PL, Bynum JW, Leland NE, Miller SC, Morden NE, Scupp T, Goodman D, & Mor V. (2013). Change in end-of-life care for Medicare beneficiaries: Site of death, place of care, and health care transitions in 2000, 2005, and 2009. Journal of the American Medical Association, 309, 470-47.

Tyler DA, Feng Z, Leland NE, Gozalo P, Intrator O, Mor V. (2013). Trends in post-acute care and staffing in US nursing homes, 2001-2010. Journal of the American Medical Directors Association, 14 (11), 817-820.

Leland NE, Marcione N, Schepens Niemiec SL, Kelkar K, & Folgelberg D. (2014). What is Occupational Therapy's Role in addressing sleep problems among older adults? OTJR: Occupation, Participation and Health, 34(3), 141-149 doi: 10.3928/15394492-20140513-01. PMCID: PMC4115019

Leland NE, Crum K, Phipps K, Roberts P, Gage B. (2015). Advancing the value of occupational therapy in health service delivery. American Journal of Occupational Therapy, 69 (1), 1-7.

Mallinson TR, Leland NE. (2015). The need for uniform quality reporting across post-acute care rehabilitation settings: An examination of accidental falls. J Am Geriatr Soc, 63(1): p. 195-7.

Leland NE, Gozalo PL, Bynum J, Mor V, Teno J. (2015). What happens to the patient when they fracture their hip during SNF care? Journal of the American Medical Directors Association, 19(9):767-74. doi: 10.1016/j.jamda.2015.03.026.

Leland NE, Gozalo P, Bynum J, Mor V, Wetle T, Teno JM. (2015). An examination of the first 30 days after patients are discharged to the community from hip fracture postacute care. Medical Care, 53(10):879-87.

Mroz T, Pitonyak J, Fogelberg D, Leland NE. (2015). Client-centeredness and Health Reform: Key Issues for Occupational Therapy. American Journal of Occupational Therapy, Sep-Oct;69(5):1-8 doi: 10.5014/ajot.2015.695001

Gozalo PL, Leland NE, Christian TJ, Teno J, Mor V. (2015). Volume matters: Returning home after hip fracture. The Journal of the American Geriatric Society,63(10):2043-51. doi: 10.1111/jgs.13677.

Lepore M., Leland NE. (2015). Nursing Homes That Increased The Proportion Of Medicare Days Saw Gains In Quality Outcomes For Long-Stay Residents. Health Affairs, 34(12):2121-8. doi: 10.1377/hlthaff.2015.0303.

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