The COVID-19 Pandemic as an Opportunity for Operational Innovation at 2 Student-Run Free Clinics

• Main Authors: Gabriela D.M. Ruiz Colón, Bianca Mulaney, Ruby E. Reed, Sierra K. Ha, Victoria Yuan, Xichong Liu, Siqi Cao, Vardhaan S. Ambati, Belinda Hernandez, Wendy Cáceres, Mina Charon, Baldeep Singh
• Format: Article
• Language: English
• Published: SAGE Publishing 2021-02-01
• Series: Journal of Primary Care & Community Health
• Online Access: https://doi.org/10.1177/2150132721993631

The onset of the COVID-19 pandemic and subsequent county shelter-in-place order forced the Cardinal Free Clinics (CFCs), Stanford University’s 2 student-run free clinics, to close in March 2020. As student-run free clinics adhering to university-guided COVID policies, we have not been able to see patients in person since March of 2020. However, the closure of our in-person operations provided our student management team with an opportunity to innovate. In consultation with Stanford’s Telehealth team and educators, we rapidly developed a telehealth clinic model for our patients. We adapted available telehealth guidelines to meet our patient care needs and educational objectives, which manifested in 3 key innovations: reconfigured clinic operations, an evidence-based social needs screen to more effectively assess and address social needs alongside medical needs, and a new telehealth training module for student volunteers. After 6 months of piloting our telehealth services, we believe that these changes have made our services and operations more robust and provided benefit to both our patients and volunteers. Despite an uncertain and evolving public health landscape, we are confident that these developments will strengthen the future operations of the CFCs.