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

Ontario Health Team

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


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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Frailty Screening & Management in Primary Care

ALC Prevention in the Community

Frailty Screening and Management in Primary Care Poster

Frailty Screening & Management in the Community

Caregiver Needs Assessment and Support

SfCare Framework

Integrated Clinical Pathways: Support Older Adults

Frailty Screening and Management in Community Poster

Designing Integrated Care for Older Adults 

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