![]() It is a Level 1 trauma center and has served as a safety net for the. No commercial use is permitted unless otherwise expressly granted. Highland Hospital is part of the Alameda Health System and is located in Oakland, CA. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. Our help desk is one possible model for addressing social needs.Īccess to Care Emergency Department Utilization Law Medico-Legal Patient Support. Health-related social needs are common in this US safety net ED. ![]() No difference was found in ED utilisation, primary need resolution or self-reported health status. At 6 months, 75% of subjects felt HHA was helpful and more subjects in the HHA group had a doctor (93% v 69%). Although given its location just south of Interstate 580, its. At 1 month, 185 (40%) subjects were reached for follow-up, with more HHA subjects linked to a resource (59% vs 37%) and a medical home (92% vs 76%). Highland Park is a small community that, for the most part, is centered around Highland Hospital. At baseline, 32% reported the ED as their medical home, with the intervention cohort having higher ED utilisation (>1 ED visit in the prior month: 49% vs 24%). Housing (41%), employment (23%) and inability to pay bills (22%) were participants' top identified needs. We enrolled 459 subjects (intervention=154, control=305). Other outcomes at 6 months included whether a patient (1) felt helped 2) had a decreased number of ED visits (3) had the primary identified need met (4) had a primary doctor and (5) had a change in self-reported health status. Primary outcomes were linkages for the primary identified need and to a medical home within 1 month. We collected a baseline social needs evaluation, with follow-up assessments at 1 and 6 months. We aimed to determine the social needs of the patients who presented to our ED and the potential impact of the programme in resolving those needs and connecting them to a 'medical home' (defined as a consistent, primary source of medical care such as a primary care doctor or clinic).ĮD patients at a US safety net hospital were enrolled in a 1:2 ratio in a quasi-experiment comparing those who received intervention from the HHA during a limited access rollout with controls who received usual care on days with no help desk. We were able to provide these services in English and Spanish. To address this, we created the Highland Health Advocates (HHA), an ED-based help desk and medical-legal partnership using undergraduate volunteers to help patients navigate public resources and provide onsite legal and social work referrals. Highland Hospital: Since well before the coronavirus outbreak, the public hospital that serves Oakland and much of Alameda County was underfunded and overcrowded. He has been in practice between 1020 years. Patients commonly come to the emergency department (ED) with social needs. Erik Anderson is an emergency medicine physician in Oakland, CA, and is affiliated with multiple hospitals including Highland Hospital.
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