1080 Participants Needed

Next Day Clinic for Patient Care

(NDC Trial)

DS
RL
Overseen ByRichard Leuchter, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, Los Angeles
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

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.

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.12345

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.12678

Are You a Good Fit for This Trial?

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 being admitted or have been admitted for a specific diagnosis listed in the study.
See 1 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

Timeline for a Trial Participant

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

What Are the Treatments Tested in This Trial?

Interventions

  • Next Day Clinic
Trial Overview This 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.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Next Day ClinicExperimental Treatment1 Intervention
Group II: ED-initiated hospitalizationActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials
1,594
Recruited
10,430,000+

Published Research Related to This Trial

Nurse-led clinics in a hospital urology department have been effective in improving outpatient care efficiency and reducing patient waiting times.
The article outlines the training and development audit results for these clinics, highlighting the role of advanced nurse practitioners in enhancing the patient care pathway.
Empowering advanced practitioners to set up nurse led clinics for improved outpatient care.Lane, L., Minns, S.[2022]
In a study at a high-volume outpatient cancer clinic, baseline patient wait times averaged 71 minutes, with factors like over-scheduling contributing to delays.
Implementing quality improvement strategies, such as standardizing scheduling and load-leveling, led to significant reductions in wait times, with one physician reducing their average wait from 122 minutes to 52 minutes (a 57% decrease).
Reducing patient wait times in a head and neck cancer outpatient clinic: A pilot study.Silver, N., Weber, RS., Lozano, M., et al.[2020]
The implementation of a same clinic-day surgery (CDS) program led to high patient satisfaction, with 79% of parents reporting decreased stress and anxiety, and 95% expressing willingness to use the program again.
Despite positive feedback from patients, faculty and staff identified challenges such as low enrollment and issues with continuity of care due to different surgeons evaluating and operating on patients.
Clinic-day surgery for children: a patient and staff perspective.Criss, CN., Brown, J., Gish, JS., et al.[2018]

Citations

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]
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