~472 spots leftby Nov 2025

Next Day Clinic for Patient Care

(NDC Trial)

Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of California, Los Angeles
Disqualifiers: Pregnant, Hospice, Cancer, others
No Placebo Group
Approved in 1 Jurisdiction

Trial Summary

What is the purpose of this trial?

The Next Day Clinic (NDC) is a quality improvement initiative that will be launched and operated by UCLA Health starting July 22, 2024. Its goals are to improve patient care and safety and to maximize cost effectiveness. The way it does this is by identifying patients in the ED who would normally be admitted for low-acuity conditions, and diverting them to a high-acuity clinic the following day called the NDC. This will help decompress the ED and the hospital, and allow for overall higher quality care. The Health System has partnered with UCLA's Healthcare Value Analytics and Solutions \[UVAS\] group which specializes in these types of program evaluations. The analysis conducted by the study team will be used to directly inform NDC operations, scaling, and future plans.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to consult with the trial coordinators or your healthcare provider for guidance.

What data supports the effectiveness of the treatment Next Day Clinic?

Research shows that nurse-led clinics can improve outpatient care by reducing waiting times, which suggests that similar approaches like the Next Day Clinic could enhance patient care efficiency.12345

How does the Next Day Clinic for Patient Care treatment differ from other treatments?

The Next Day Clinic for Patient Care treatment is unique because it allows patients to undergo elective surgeries and be discharged within 24 hours, avoiding unnecessary hospital stays while maintaining high-quality care and patient satisfaction. This approach is designed to improve access and efficiency in surgical care delivery, making it a convenient and cost-effective option compared to traditional inpatient surgeries.35678

Research Team

Eligibility Criteria

The UCLA Next Day Clinic trial is for patients who visit the emergency department with conditions like diabetic foot, osteomyelitis, cellulitis, kidney issues, heart failure, pneumonia or fainting. These should be low-acuity cases that normally would require hospital admission.

Inclusion Criteria

I was identified as at risk for hospitalization during an emergency visit.
Insurance that authorizes the patient to follow-up at UCLA Health, or self-pay
I am 18 years old or older.
See 2 more

Exclusion Criteria

I am being evaluated for an organ transplant.
I have a lung condition like pulmonary fibrosis.
I have had a heart or lung transplant and there are concerns about how well it is working.
See 9 more

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Next Day Clinic Treatment

Participants with even birthdays who meet inclusion criteria receive care in the Next Day Clinic to avoid hospitalization

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

30 days

Evaluation and Analysis

Analysis of patient outcomes, cost effectiveness, and hospital bed-days saved

12 months

Treatment Details

Interventions

  • Next Day Clinic (Procedure)
Trial OverviewThis study tests a new approach where instead of admitting certain patients to the hospital from the ED, they are sent home and return to a high-acuity clinic called NDC the next day. The goal is to improve care quality and cost-effectiveness.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Next Day ClinicExperimental Treatment1 Intervention
Patients with even birthdays who meet inclusion criteria will be given the option to receive care in the Next Day Clinic to avoid hospitalization.
Group II: ED-initiated hospitalizationActive Control1 Intervention
Patients with odd birthdays will be routed to standard-of-care ED-initiated hospitalization pathways.

Find a Clinic Near You

Research Locations NearbySelect from list below to view details:
Ronald Reagan UCLA Medical CenterLos Angeles, CA
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Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials
1594
Patients Recruited
10,430,000+

Findings from Research

Empowering advanced practitioners to set up nurse led clinics for improved outpatient care.Lane, L., Minns, S.[2022]
Reducing patient wait times in a head and neck cancer outpatient clinic: A pilot study.Silver, N., Weber, RS., Lozano, M., et al.[2020]
Clinic-day surgery for children: a patient and staff perspective.Criss, CN., Brown, J., Gish, JS., et al.[2018]
Utilizing process improvement strategies to generate clinic templates and improve patient flow in pediatric otolaryngology.Kubala, M., Gardner, JR., Criddle, J., et al.[2021]
[Ambulatory surgery clinic in a public general hospital. Organization and results].Scheidegger, A., Biaggi, J.[2019]
Same-Day Surgery Clinic: A model for improving access to care at academic medical centers.Adams, U., Buckio, J., Schreiber, E., et al.[2023]
Day-case laparoscopic cholecystectomy: a prospective evaluation of a 6-year experience.Ammori, BJ., Davides, D., Vezakis, A., et al.[2004]
Relevance of day care laparoscopic cholecystectomy in a developing nation.Kaman, L., Verma, GR., Sanyal, S., et al.[2015]

References

Empowering advanced practitioners to set up nurse led clinics for improved outpatient care. [2022]
Reducing patient wait times in a head and neck cancer outpatient clinic: A pilot study. [2020]
Clinic-day surgery for children: a patient and staff perspective. [2018]
Utilizing process improvement strategies to generate clinic templates and improve patient flow in pediatric otolaryngology. [2021]
[Ambulatory surgery clinic in a public general hospital. Organization and results]. [2019]
Same-Day Surgery Clinic: A model for improving access to care at academic medical centers. [2023]
Day-case laparoscopic cholecystectomy: a prospective evaluation of a 6-year experience. [2004]
Relevance of day care laparoscopic cholecystectomy in a developing nation. [2015]