The end of hallway medicine?

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  1. Walt White

    Surprised you didn’t raise the issue of patients designated as ALC – requiring an alternate level of care – which is often considered a major contributor to hallway medicine. As of November 2018, there were approximately 4,665 patients designated as requiring an ALC according to the first interim report from the Premier’s Council on Improving Healthcare and Ending Hallway Medicine with ALC numbers hitting a peak in September 2019 of 5,372 accounting for 17% of all hospital beds according to the OHA. I think these patients have also been referred to as “bed blockers”. One of the obstacles to moving them out was lack of alternative spaces, such as long term care beds. Not to sound callous, but with over 1600 Covid-19 deaths in Ontario’s long term care institutions, there are now some open spaces. Unless these places get cleaned up and properly regulated so people actually feel safe becoming residents, then, even with open spots, patients and their families will resist moving. Solve the LTC crisis and you go a long way to solving hallway medicine. Watch Premier Ford likely try to take credit for Covid-19’s contribution to reducing hallway medicine next election campaign.

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