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

With 80% of Ontario’s ALC designations being attributed to older adults (65+), ensuring that older adults receive evidence-based care that meets their needs is a key factor in improving health outcomes and, in turn, improving flow by reducing length of stay (LOS) and ALC. These efforts are viewed as part of an approach to integrated patient care across the continuum where the right care is provided in the right place at the right time.


This guide was developed by the Ontario ALC Leading Practices Working Group and identifies evidence-based leading practices for the care and proactive management of hospitalized older adults at risk of delayed transition to an appropriate setting that can be implemented in the emergency department, acute care and post-acute care settings. While the focus of this guide is on ALC prevention and management in hospitalized older adults, many of these leading practices can be applied to other patient populations.


Click below to access:

Self-Assessment Tool: Alternate Level of Care (ALC) Leading Practices to Prevent Hospitalization and Extended Stays for Older Adults


Related Resources

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

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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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