Discharge from Hospital to Long-Term Care in the Wake of Bill 7: Important

This means that the person is in hospital and the attending clinician is of the opinion that the person no longer requires the intensity of resources or services provided in the hospital care setting.9 To determine eligibility and the ALC patient’s care requirements, the HCCSS placement co-ordinator will require that the following assessments be completed for the patient: i) physical and mental he. [...] If a patient in hospital has already applied for LTCH admission while in the community, the HCCSS may be required to update the patient’s LTCH application to ensure that the most up-to-date information is available.25 A new evaluation of capacity may be required if it appears the patient’s capacity to make the decision has changed.26 b. [...] 7 Once the ALC patient is determined to be eligible for admission to a LTCH, the HCCSS placement co-ordinator will provide the patient/SDM with information about the approximate length of waiting lists in relevant LTCHs, vacancies in relevant LTCHs, and how to obtain information (including inspection reports) from the Ministry of Long-Term Care.32 At that point, if the patient/SDM refuses to apply. [...] Again, it is the obligation of the HCCSS placement co- ordinator to ensure that where consent for admission to LTC is given, the consent is valid, meaning it complies with the FLTCA and the HCCA. [...] Issues with Hospital “ALC Co-payments” The chronic care co-payment (sometimes referred to as the “Alternate Level of Care” or “ALC” co-payment) is a fee that hospital may charge ALC patients for the cost of meals and accommodation in certain circumstances while in hospital pursuant to section 10 of the regulations to the Health Insurance Act.68 It is the same maximum amount that residents in basic.