Burr Elaine, Dickau Sandra
Proven healthcare leader with extensive experience working in the field of Emergency Nursing and in formal leadership roles across the world. Elaine joined the Toronto Central Community Care Access Centre (CCAC) in July 2013 in a newly created role in which she focused on identifying and capturing leading practices that supported patients getting to the right place of care, and ways to create system capacity for clients whose care needs didn't fit any of the available options. More recently, she has moved into a new role with the North East LHIN, focusing on reducing patient flow challenges in northern Ontario.
Has been the director of Complex Continuing Care, In-Patient Rehabilitation, Family and Community Medicine at Michael Garron Hospital (formerly Toronto East General Hospital) since 2011. As the hospital lead for ALC quality improvement, she has implemented a number of key tactics to improve throughput for this patient population.
Healthc Q. 2017;20(2):44-47. doi: 10.12927/hcq.2017.25227.
Providers across the healthcare system want to provide the right care, in the right place, in a timely manner. Patients listed as alternate level of care (ALC) are often not in the right place to receive the necessary care. In 2014, using a standardized approach, the Toronto Central Community Care Access Centre (CCAC), now Toronto Central Local Health Integration Network (LHIN), set out to reduce the number of ALC beds in hospitals to ensure that more people received the most appropriate level and type of care. Case studies cited in this article will highlight the successes that CCAC and its various partners have realized in developing and implementing strategies.
整个医疗系统的医护人员都希望在合适的地点及时提供恰当的护理。被列为替代护理级别（ALC）的患者往往不在能够接受必要护理的合适地点。2014年，多伦多中央社区护理接入中心（CCAC，现更名为多伦多中央地方卫生整合网络[LHIN]）采用标准化方法，着手减少医院中ALC床位的数量，以确保更多人能获得最适当的护理级别和类型。本文引用的案例研究将突出CCAC及其众多合作伙伴在制定和实施策略方面所取得的成功。
