Healthcare Policy

Healthcare Policy 17(1) August 2021 : 91-103.doi:10.12927/hcpol.2021.26575
Research Paper

Personal Support Homes: An Innovative Approach to Reduce the Alternative Level of Care Population in Ontario Hospitals

Eric Nauenberg


Objective: This study investigates the viability of personal support homes – a policy concept that reduces alternative level of care (ALC) days in Ontario hospitals. It allows people to leverage their empty bedrooms to temporarily house patients awaiting hospital discharge.

Method: Data from the Municipal Property Assessment Corporation are used to map geographic supply of empty bedrooms, and Ontario Ministry of Health administrative data are used to assess potential demand.

Results: By remunerating certified homeowners $120–150/day, this concept could help decrease ALC patient days by 20% and save the province $1.13–1.95 billion in foregone hospital construction along with relieving current system pressures.

Conclusion: As part of a multifaceted policy solution to ALC, this concept is particularly suited for rural/remote locations where excess bedroom supply per capita is the highest.



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