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Abstract

Student-run free clinics (SRFC) are a subset of free and charitable clinics, which aim to provide healthcare services and resources to local underserved populations. Oregon Health and Science University (OHSU) joined a multi-institutional collaborative effort to establish Oregon's first SRFC. On October 7th, 2017, Bridges Collaborative Care Clinic (BCCC) was launched to provide low-barrier access to free healthcare and social services for vulnerable populations in the Portland metro area. BCCC is led by a volunteer base of inter-professional students who seek to develop skills in the healthcare arena while providing a much-needed service for the community, while under the supervision of faculty. Paper-based documentation has been used since the clinic's inception to record the provision of care, and they are attempting to implement an electronic health record (EHR) system in order to fully realize the documented benefits, such as continuity and coordination of care. Through online research and field research including observations, meetings, and interviews with OHSU and BCCC stakeholders, the nature of SRFCs are described, as well as BCCC and its history. This information was used to discern the clinic's unique constraints, considerations, and requirements for an EHR. At the time of writing, BCCC is pursuing full autonomy from OHSU, thus limiting the ability to create a full evaluation and selection matrix, but a preliminary exploration of vendor options is discussed. OHSU's Epic and athenahealth are currently being considered as EHR options since they entail charitable resources and meet BCCC?s requirements. BCCC will need to decide their long-term route, so a complete needs assessment and vendor analysis can be performed to fully evaluate EHR options.

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