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Review of Alberta Health Services' Continuing care wait list, first available appropriate living option policy /

27 Mar 2014

OVERVIEW 12 Objective To meet the Terms of Reference for this review, as shown in Appendix I and II, the HQCA conducted a review and made recommendations on the quality and safety implications of the AHS Continuing Care Waitlist: First Available Appropriate Living Option policy.1 The process of the review included but was not limited to: FAALO policies in the legacy health regions in Alberta C [...] Since the release of the February 2012 Ombudsperson’s report in British Columbia, some health authorities in that province are giving more consideration to the appropriateness of the bed being offered, and are taking into account such factors as the distance from the person’s family and friends, location of a spouse in another facility, and suitability from a clinical perspective. [...] Rather, the growing INTRODUCTION TO CONTINUING CARE WAIT LIST MANAGEMENT 17 number of ALC patients reflects a failure of the healthcare system to meet the needs of older adults with complex and declining health”.12(p 34) The use of acute care beds by patients who no longer require acute care services contributes to the shortage of acute care capacity, thus reducing the bed availability for emergen [...] A caveat to this priority placement was that “the individual had to be willing to accept the first available bed in the region, and the individual requires and agrees to accept care in a facility immediately.”2 Other factors that were to be considered in determining an appropriate placement for someone included assessed needs, choice of facility, family situation, and the distance of the facility [...] The exact shape of the curve in Figure 3 depends on many factors but the relationship between average queue length and percent service utilization (occupancy) holds, and it is related to the variability in the timing that people begin waiting for the service and the variability of when there is capacity to provide the service.
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Pages
174
Published in
Calgary, Alberta

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