Alternate Level of Care (ALC)

When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex Continuing Care, Mental Health or Rehabilitation ), the patient must be designated Alternate Level of Care (ALC) at that time by the physician or her/his delegate. The term alternate level of care (ALC) is a clinical designation that identifies patients who no longer require the intensity of resources or services provided in their current settings and who are waiting for ALC.

At MSH, a patient of ALC status is often identified through a collaborative interdisciplinary approach (e.g., during interdisciplinary rounds).
The ALC program at MSH provides care to patients who are medically stable. Some physiotherapy, occupational therapy and recreational therapy are available in an effort to maintain patients’ conditioning.

The unit staff consists of registered nurses, registered practical nurses and patient support attendants. A Hospital Care Coordinator with the Central LHIN Community Care Access and the hospital Patient Flow Coordinator are available to support discharge planning.

Discharge/transfer destinations may include, but are not limited to:

  • Home (with/without services/programs)
  • Rehabilitation (facility/bed, internal or external), complex continuing care (facility/bed, internal or external),
  • Transitional care bed (internal or external)
  • Long term care home
  • Group home
  • Convalescent care beds
  • Palliative care beds
  • Retirement home
  • Shelter
  • Supportive housing

MSH operates two ALC units. One is located at the Markham site and the other at the RCC site. 
As many of the patients on 2C have various types of dementia the unit is locked so as to limit the risk of confused patients wandering off.