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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

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Falls Prevention and Management in the Community

Frailty Screening & Management in Emergency Department

Integrating Frailty into Chronic Disease Management: Enhancing Care for Complex Older Adults

Understanding Frailty Management - Communication with Older Adults

Frailty Screening & Management in Primary Care

Preventing Hospitalization and Extended Stays for Older Adults (ALC Leading Practices Guide)

Enhancing Comprehensive Geriatric Assessments (CGAs) in Ontario and Canada

Frailty Screening & Management in the Community

Caregiver Needs Assessment & Support in Community Specialized Geriatric Services Guidance Document

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