Status:
RECRUITING
Quasi-Randomized Evaluation of the UCLA Next Day Clinic (NDC)
Lead Sponsor:
University of California, Los Angeles
Conditions:
Pneumonia
Syncope
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
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...
Detailed Description
NDC is a hospital avoidance model with the potential to simultaneously improve the quality and safety of acute care, reduce costs, and address hospital/ED overcrowding. This novel hospital avoidance p...
Eligibility Criteria
Inclusion
- 18 years of age or older
- About to be admitted through the ED for one of the NDC diagnoses or a synonym (per Study Protocol document), defined by the presence of a Plan to Admit order or Bed Request order, OR recently admitted under observation or inpatient status for one of the NDC diagnoses.
- Identified as at-risk for an avoidable hospitalization in the ED based on a pre-determined set of lab and vital parameters.
- Insurance that authorizes the patient to follow-up at UCLA Health, or self-pay
- Admitted or being admitted to an internal medicine service
Exclusion
- Heart or lung transplant recipient with concern for graft dysfunction
- Pregnant
- Enrolled in hospice
- Admitted to a critical care service
- ED deems discharge unsafe due to complex social or medical factors
- Active malignant cancer (per Council of State and Territorial Epidemiologists value set)
- Pulmonary arterial hypertension (per Joint Commission value set)
- Undergoing workup for solid organ transplant
- Interstitial lung disease (including pulmonary fibrosis) (per Higher Level 7 value set)
- Requiring inpatient procedure or surgery defined by the presence of an anesthesia event or operating room encounter.
- The ED deems discharge unsafe due to complex social or medical factors.
- Transferred to an ineligible hospital
- Note:
- The Health System plans to limit the volume of referrals to the NDC by only referring patients who have an even birth date (this is more equitable than first-come-first-serve, because wage workers are more likely to come to the ED later in the day; even/odd birth date theoretically keeps more spots open for patients presenting to the ED later).
Key Trial Info
Start Date :
July 22 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
February 28 2026
Estimated Enrollment :
1080 Patients enrolled
Trial Details
Trial ID
NCT06526884
Start Date
July 22 2024
End Date
February 28 2026
Last Update
November 5 2025
Active Locations (1)
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1
Ronald Reagan UCLA Medical Center
Los Angeles, California, United States, 90024