COVID-19 Projects

Telemedicine Cross-Project Data Collection (ESU Team & Clinical Partners)
Overall Goal: Evaluating the rapid shift to telemedicine visits after the start of the COVID-19 pandemic in various settings.
Projects that are part of this investigation include:

ICDP Inpatient Telemedicine

o Description of the rapid deployment of inpatient telemedicine across three institutions including Stanford Health Care, Stanford Children's, and County of Santa Clara Health System
o Quantitative evaluation to understand the impact of telemedicine on infection control through clinician movement in the Emergency Department
o Mixed methods evaluation to understand the impact of inpatient telemedicine on patient care, provider satisfaction, and infection control in the inpatient setting

ICDP Neurology Telemedicine Visits
o Rapid implementation of video visits in a neurology ambulatory clinic
o Resident experience of neurology video visits
o Qualitative data collection via patient, caregiver, and provider interviews
o Quantitative data via provider surveys and scheduling data

ICDP Surgery Telemedicine Visits

o Pre or post-surgery video visits for plastic and gallbladder surgical cases
o Qualitative data collection via patient, caregiver, and provider interviews

• Culture change with respect to acceptability of video visits across specialties
• Outcomes: implementation outcomes primarily in short term (<3 months) and longer term effectiveness based on measures of QOC, development of clinical guidelines for appropriate clinical scenarios for video visits

ICDP Deterioration Model (L Holdsworth, R Li, Hsieh)
• Evaluating the implementation of an Epic-built deterioration model in the hospital to prevent uncontrolled ventilations

Occupational Health (M Skhiri, J Shaw, S Kling, SM Asch, S Chang)
• Division seed grant to study the symptoms of Stanford healthcare workers who test positive for COVID-19
• Comparison between Stanford healthcare COVID-19 cases and community-based COVID-19 cases wrt signs, symptoms, severity

COVID-19 Testing and cases identified: the Stanford Experience (L Vaughan)
• Division seed grant to describe all positive COVID-19 cases tested at Stanford wrt demographic and clinical characteristics in Mar/Apr
• Will also conduct a matched case:control study for patients tested via primary care and express care clinics only to assess how/if signs symptoms differ between patients who tested positive vs negative.

Group Mental Health Primary Care Video Visits (M Juarez-Reyes)
• Implementation of video visits for a mental health support group
• Data collection through focus group

CUT Hypertension Barbershop Survey (NK Taylor, C Brown Johnson, J Shaw, L Goldman Rosas, SM Asch)
• Leveraging a network of community barbers to evaluate the stresses and needs faced by African American barbers and their communities during COVID  

Telemedicine Presence 5
• Adaptation of Presence 5 for telemedicine

The impact of COVID-19 on Palliative Care in the Bay Area
• Qualitative study using interviews, observations, and document review to explore challenges and gaps, and innovative solutions to providing palliative care during the epidemic.

Home-Based Senior Care Evaluation (M Yefimova)
• Exploration of effect of COVID-19 on current implementation of home-based senior care program

Senior Self-Help (Tiny Habits) (N Morioka-Douglas)
• Evaluation of the implementation of group video intervention for depressed patients 65-75
• Survey data collection

Effect of COVID-19 on Current ESU Projects (L Holdsworth)
• Examination of how COVID-19 has impacted the implementation of health service programs and their evaluations including ongoing ESU national, regional, and Stanford-only projects
• Data collection will be through formal interviews and observations, opportunistic physical data, research diaries by ESU staff, and retrospective interviews with implementation key informants from each project

Home Monitoring for COVID-19 Patients (S Vilendrer, L Vaughan, S Singer, M Artandi, L Barman, M Winget)

• Evaluation of a home monitoring protocol incorporating pulse oximetry to improve outpatient COVID-19 care

Supporting Essential Workers Through a Smartphone Application During COVID-19 (S Vilendrer, N Safaeinili, S Asch, M Mahoney)
• Evaluation of smartphone application for essential workers to find and schedule COVID-19 testing