Centralized, interdisciplinary help desk interface drawing from Stanford Hospital’s Social Work and Case Management Department, Stanford Law School, Stanford University School of Medicine and the undergraduate college, providing brief interventions in the ED and working with community partners to provide patients with community resources, public benefits and legal assistance.
STANFORD ED MEDICAL LEGAL PARTNERSHIP:
In conjunction with San Mateo Legal Aid, we will provide targeted screening, legal and public benefit assistance for poor families and the elderly who come through the ED.
ED-BASED SCREENING FOR HEPATITIS C AND HIV:
In collaboration with Highland Hospital in Oakland, California, we are evaluating an ED-based HIV and hepatitis C virus screening program. In addition to the yield of screening, we are evaluating longitudinal outcomes, barriers to care and the impact of screening on ED operations.
ACUTE PSYCHIATRIC CARE ACCESS:
This project aims to look at populations data to dissect the impact of prolonged ED length of stay from the influence of patient characteristics such as age, sex, insurance status, homelessness, particular psychiatric diagnoses, substance abuse and medical co-morbidities on a patient's risk of being placed on an involuntary psychiatric hold, risk of recurrent ED visits and risk of mortality. This project seeks to fill the current gap in knowledge of the personal and financial impact of increasingly long ED LOS on high-risk psychiatric patients and on the volume of ED presentations for psychiatric illness.