Regulation - LGIC

Proposed Amendments to Ontario Regulation 79/10 under the Long-Term Care Homes Act, 2007 related to High Acuity Priority Access Beds.

Regulation Number(s):
Ontario Regulation 79/10
Bill or Act:
Long-Term Care Homes Act, 2007
Summary of Proposal:
If approved, the proposed amendments would allow the designation of High Acuity Priority Access Beds in long-term care homes. Applicants meeting the eligibility criteria would be placed on a separate waiting list for a High Acuity Priority Access Bed. Applicants to long-term care homes from hospital and the community, as well as existing long-term care home residents would be eligible for placement in High Acuity Priority Access Beds. To be eligible for placement in these beds, applicants would need to require and likely benefit from the following:
• ongoing nursing and other personal care given by or under the supervision of a registered nurse who has relevant expertise whether as the result of experience or training, or
• ongoing technology-based care that requires the support of a member of a college as defined under the Regulated Health Professions Act, 1991.

Among themselves, applicants meeting the eligibility criteria would be prioritized in a similar way under the Regulation as applicants are currently for specialized units. High Acuity Priority Access Beds would be private accommodation, designated basic for the purpose of the co-payment rate and rate reduction.

It is proposed that residents of High Acuity Priority Access Beds would undergo an interdisciplinary reassessment every three months or sooner if there is a change in the residents' condition or circumstances. If the interdisciplinary reassessment indicates that the resident no longer requires and benefits from the care in a High Acuity Priority Access Bed, the long-term care home must discharge the resident, provided that alternative arrangements have been made. Under the proposal, a licensee may transfer a resident who is being discharged from a High Acuity Priority Access Bed to another bed in the home.
Analysis of Regulatory Impact:
The Ministry anticipates the proposed amendments would have minimum regulatory impact on long-term care home operators. The Regulatory Impact Analysis includes start-up and ongoing annual training costs associated with supporting a broad range of complex care needs.

If regulatory amendments to allow the designation of High Acuity Priority Access Beds are approved, these costs would be offset by additional provincial funding to support homes in enhancing their capacity to care for residents with complex care needs.
Further Information:
Proposal Number:
19-HLTC005
Posting Date:
April 23, 2019
Comments Due Date:
May 22, 2019
Contact Address:
Ministry of Health and Long-Term Care
Long-Term Care Homes Division
1075 Bay Street, 11th Floor, Suite 1100
Toronto, ON M5S 2B1