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ALC Prevention in the Community

Ontario Health Teams (OHTs) have been advised that their collaborative Quality Improvement Plans (cQIP) are required to focus on improving overall access to care in the most appropriate setting (Ontario Health, August 2021). This includes an expectation that OHTs will implement services and supports for their attributed population to influence the indicator “Alternate Level of Care (ALC) Days”.


OHTs have requested support to operationalize activities that can assist them in their efforts to help individuals at risk for protracted hospital stays (e.g., ALC designation). Many such individuals may be older adults living with multiple, complex health conditions. In concert with colleagues leading Senior Friendly Care initiatives across Ontario, Provincial Geriatrics Leadership Ontario has developed the attached information to support OHTs.


With a focus on activities that can occur in community settings, the information can assist OHTs to pursue the following goals:

  1. Facilitate proactive identification and promote practices in care and self-management that prevent, slow or reverse declines in the physical and mental capacities of older adults

  2. Care Plan Development & Ongoing Re-Assessment

  3. Delivery of Interventions/Senior Friendly Care

  4. Proactive Transitions


Click below to access:

ALC Leading Practices – Community Self-Assessment

Related Resources

Related Resources

2026 Age-Well Annual Conference Presentation: Evaluating a Centralized Data Reporting and Visualization System for a Regional Geriatric Program

AFHTO 2026 Presentation: Designing a Regional Cognition Referral Pathway: Integrating Primary Care, Specialist, and Community Supports for Older Adults

Community Paramedicine Frailty Pathway

Canadian Association on Gerontology (CAG) 2026 Presentation: Integrated Care for Vulnerably Housed Older Adults: Barriers and Enablers to Implementation and Sustainability

HPCO 2026 Presentation: Understanding barriers and facilitators to goal-setting and shared decision-
making with persons with dementia in specialized geriatric services

ICIC 2026 Presentations: Building Ontario's Workforce Capacity for Integrated Geriatric Services: Findings from a Provincial Training Needs Assessment

Canadian Association on Gerontology (CAG) 2026 Presentation: Optimizing Regional Cognition Referral Pathways: Evaluating Standardized Referral Redistribution Criteria Across Specialized Geriatric Services (SGS)

Central East Cognition Referral Pathway Guidance Document

ICIC 2026 Presentations: Frailty Pathways: A Population Health Management Strategy for Older Adults

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