Building a Comprehensive System of Services to Support Adults Living with Long-Term Mechanical Ventilation
Table 1
Selected program characteristics.
South West LHIN
(i) Approximately 200 health service providers, including 20 hospital corporations across 33 sites
(ii) Area from Lake Erie to the Bruce Peninsula and home to ~ one million people
(iii) 8 hospital sites with Level 3 ICUs totaling 97 ventilator care beds (68% in London)
(iv) Regional programs for Neuromuscular and Motor Neuron Diseases in London
Prolonged Mechanical Ventilation, MSICU, University Hospital-LHSC
PMV (≥21 days on a ventilator) represents 4.6% of MSICU admissions but 38% of total ICU patient days
Alternate Level of Care (ALC) is defined as a ventilated patient occupying an ICU bed but not requiring the intensity of resources/services provided in this care setting. Patients declared ALC in the MSICU has decreased over the past 3 years
Date
Number of ALC Days
Number of patients declared ALC
2012-13
588
6
2013-14
108
3
2014-15
187
2
LTMV, Institutional Care
Parkwood Institute Complex Continuing Care, as of April 2015
6 beds (100% occupancy; median LOS 1053 days with range of 136–1983 days).
