Winchester District Memorial Hospital has maintained near-zero alternative level of care census days for three consecutive years by focusing on partnerships, staff/physician engagement, and maintaining a circle of care with patients and families. The strategies and challenges faced revisiting internal discharge processes and linking directly to their local community through change management techniques are discussed.
CostaAPHirdesJP. Clinical characteristics and services needs of ALC patients waiting for long-term care in Ontario hospitals. Healthcare Policy. 2010;6(1):32–46.