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The Emergency Room (ER)/Alternate-Level-of-Care (ALC) issue remains a critical challenge for Ontario hospitals. The OHA has been working with the Ministry of Health and Long-Term Care (MOHLTC) and its other system partners to find and develop innovative solutions that address the ER/ALC issue. These efforts are aimed at alleviating the health system pressures related to ER/ALC, and thus improve wait times and enhance overall access to care.

This online resource provides Members with a province-wide analysis of ER/ALC rates and up-to-date information on current initiatives underway. This resource will provide the most recent data analysis and OHA events (a list of events respecting ER/ALC).


Data Analysis:


ALC Update: December 2014 Data

Ontario ALC and ER Wait Times by LHIN (Q2 FY 11/12 to Q1 FY 14/15) - December 2014



Upcoming Conferences and Webcasts:


Managing Transitions: A Guidance Document

  • Event Date:  2014/11/21
  • Location:  Webcast Event: 12:00-1:30pm (EST)
  • Registration Deadline: November 20, 2014 (noon)
  • Registration Fee: N/A -- Open to OHA/OACCAC Members and LHIN Staff Only - To register, please click here.

Join the OHA and the Ontario Association of Community Care Access Centres (OACCAC) for the webcast on Managing Transitions: A Guidance Document.

The document is a reference and resource designed to promote a consistent approach and understanding of the information required to support and manage transitions in care. Written by legal counsel who regularly assist health care providers with difficult discharge issues, the document helps to ensure compliance with the legislative and regulatory requirements, while recognizing the patient’s rights and responsibilities. The document will be released prior to this webcast.




2014 - Roundtable Discussion: Alternate Level of Care (ALC) Capacity Challenges - Long-Term Placement: Using Data to Drive Patient-Centred Care for Alternate Level of Care (ALC) Patients with Mental Health, Addiction and Behavioural Requirements in Ontario: This report is a Summary of Proceedings from the January 24, 2014 Roundtable that was hosted by the OHA’s Mental Health and Addiction Provincial Leadership Council and attended by over 35 participants from across the care continuum.   It provides a snapshot of the key issues and solutions identified at the Roundtable which will inform future OHA advocacy efforts on this important issue. 


Alternate Level of Care (ALC) Capacity challenges and Long-Term Care Placement - A Roundtable Discussion: Key Messages and Suggested Actions (OHA and OACCAC paper): This report summarizes the discussions that emerged from a Roundtable, held in May 2012, to uncover the key issues impacting the interpretation of the legislation governing long-term care (LTC) placement, and offer potential systemic solutions to improve the transitioning of ALC patients waiting for LTC placement. The OACCAC and the OHA hope that the key messages and actions outlined in this report can contribute to future policy and planning discussions regarding ALC capacity challenges.


Archived Webcasts:


May 29, 2014 - ER and ALC: Moving Forward (Conference and Webcast)


This year’s conference specifically focused on ALC “longest waiters”, particularly those patients with mental health, addictions and specialized behavioural needs and how to transition them to more appropriate settings. With regard to ER issues, the conference also addressed how to improve the care transitions between police and emergency departments. To allow for greater accessibility, this event was offered as both an in-person conference and online webcast.  To access this webcast along with our other On Demand Broadcasts, please visit the following site:


2012-13 Special Webcast Series - ALC - Managing the Transitions to Care


The OHA and the Ontario Association of Community Care Access Centres (OACCAC) developed a four-part webcast series addressing Alternate Level of Care (ALC) challenges and the different stages of the transition to care. To access these webcasts along with our other On Demand Broadcasts, please visit the following site:


  • Series #1: The Legislative Framework (June 28, 2012)
  • Series #2: How Legislation and Placement Are Related (September 28, 2012)
  • Series #3: Communication and Partnership in the Context of Legislation (November 16, 2012)
  • Series #4: Ethical Issues and Regulatory Myths (February 8, 2013)

2010 - Managing Transitions: Long-Term Care Homes Act Requirements (Dec 14, 2010)

This webcast includes an overview of requirements in the Long-Term Care Homes Act and its regulations related to the admissions process. Click here to access the archived webcast. Click here to download a copy of the slide deck.



 For further information on the webcasts, please contact:
Candace Simas
Coordinator, Online Learning at 416-205-1355

For more information on ER-ALC issues, please contact:

Enza Ferro

Policy Advisor at 416-205-1319


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