Developed in collaboration with Ontario Health, the Ontario Hospital Association, Provincial Geriatrics Leadership Ontario (PGLO), the Rehabilitation Care Alliance and other partners, the Alternate Level of Care (ALC) Leading Practices Guide: Preventing Hospitalization and Extended Stays for Older Adults (the Guide) aims to improve the delivery of acute care to older adults in hospitals and other settings.
The new Guide revises earlier work dating back to 2017 and integrates current thinking in senior friendly and integrated care for older adults. PGLO and its network members provided in-depth subject matter expertise to support the creation of this comprehensive Guide, bringing clinical knowledge to update practice expectations.
The Guide focuses on older adult experiences, although the recommendations are suitable for other age groups as well. Older adults over 65 comprise 80% of patients who currently face lengthy hospital stays for a variety of reasons, resulting in their designation as requiring an alternate level of care (ALC). ALC is defined by the Canadian Institute for Health Information as a description used in hospitals to refer to patients who occupy a bed but do not require the intensity of services provided in that care setting
The Guide includes a self-assessment tool for healthcare organizations or Ontario Health Teams to identify strengths and opportunities to support improved patient, provider and system outcomes across the continuum of care. The Guide supports organizations in preventing hospitalization and extended stays for older adults.
For more information, or to obtain a copy of the Alternate Level of Care (ALC) Leading Practices Guide: Preventing Hospitalization and Extended Stays for Older Adults and related tools, contact email@example.com