Alternate Level of Care


The Alternate Level of Care (ALC) initiative helps us understand obstacles within the healthcare system that affect when patients are discharged from hospital.

Information collected is used to improve patient flow, reduce emergency room wait times, and inform decisions about the distribution of resources for hospitals and communities.

Alternate Level of Care is the designation given by a physician to a patient who is occupying a bed in a hospital while not requiring the intensity of resources or services provided in that particular care setting.

What we do

We are responsible for collecting the high-quality data that will help manage wait lists and improve access to healthcare services.

As of January, 2014, 183 acute care and post-acute care facilities in Ontario reporting Alternate Level of Care information using the Wait Times Information System (WTIS).

This initiative began in 2008/09, as part of the Emergency Room and Alternate Level of Care Information Strategy. A standardized Provincial ALC definition was created in 2009. The Wait Times Information System was then expanded in 2011 to include capture of Alternate Level of Care information in near real-time in both acute and post-acute care.

Access to Care

Success Stories

Patient Flow Navigators

Providence Healthcare is a Toronto healthcare facility specializing in rehabilitation for stroke, orthopaedic surgery and lower limb amputation.
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Transitioning ALC Patients

The Toronto Central Local Health Integration Network is responsible for funding, planning, and managing healthcare services in central Toronto for approximately 1.14 million people.
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Do you have examples of how your organization has effectively used ATC data to drive performance improvement approaches? If so, tell us all about them.