Alternate Level of Care (ALC)

ALC patients are those whose discharge is delayed because services in the community are not available in a timely fashion. This is one reason why patients are in hospital after their Transfer Ready DtTm tmp entry, ie reasons for Transfer Delay.

ALC (Alternate Level of Care) may appear as a service when a patient is admitted under medicine. It really isn't a service but rather a designation which is given when a patient is waiting for discharge, for various reasons. The patient remains under their admitting service in addition to having an ALC designation. eg. HSC ALC medicine/ CIVP means they are waiting on CIVP (community IV program), HSC ALC medicine / Panel Appr PCH means they are waiting placement in a PCH. ALC is not specific to medicine, the above list of ALC services shows that it can be rehab, surgery, psych, etc

• ALC Forms - appears to be using ICD10 codes to track these
  • File:GRA ALC Form.pdf
  • File:HSC ALC Form.pdf
• File:Alternate Level of Care EPR Sub-service Designations.pdf - list of codes used as extensions in Cognos2 Services table
• HSC and GRA ALC Medicine Service - shows up as a service among the options as a Service tmp entry in Cognos2 Services table in the Cognos EPR Report;