Regional Placement Protocol

Home / Physicians News / Regional Placement Protocol

Regional Placement Protocol

25-Jan-2017

A "patient first" focus means providing the right service, to the right patient at the right time, and in the right environment. Maximizing the use of long term care beds supports the appropriate use of acute care beds, improves access to appropriate service, and supports the principle of equal access to the resources for all patients in the Region.

Since July 1, 2015, by implementing the Regional Placement Protocol, the region has been maximizing the use of long term care beds across the region, by expanding the “first available bed” option to include all facilities within:

  • a driving distance of no greater than 150 kilometers from Regina General Hospital for urban patients
  • a driving distance of no greater than 150 kilometers from the patient’s home hospital for rural patients

Options for patients, who have been approved for placement, and wish to remain in community while waiting for admission to their facility of preference, include:

  • Patients can remain at home with Home Care services, and supplement, as needed, with their own resources.
  • Patients can choose to access a Personal Care Home, where they may have to supplement the services.
  • If these options are not desirable or viable, patients will be placed into a “first available bed” in any facility in RQHR, within the designated driving distance of no greater than 150 kilometers. 

The “first available bed” options, in the region, have been expanded to include: 

Parkside Extendicare in Regina
Pioneer Village in Regina
Golden Prairie Home in Indian Head
Balcarres Integrated Care Center in Balcarres
Long Lake Valley in Imperial
Lumsden and District Heritage Home in Lumsden 

Sunset Extendicare in Regina
Echo Lodge in Fort Qu’Appelle
Montmartre Health Center in Montmartre
Silver Heights Special Care Home in Raymore
 Lakeside Home at Wolseley
Cupar and District Nursing Home in Cupar

In the RQHR, there is a well-established Chronological Transfer Protocol whereby clients can transfer to their facility of preference. Clients/families are able to identify up to three facilities of their preference, and the date the client was approved for placement is the date that determines their status on the Wait List.

Data for July 1, 2015 – January 3, 2017 indicated that 75% of urban clients who were admitted to a “first available” bed in rural RQGR did not request a chronological transfer back to the city.

Urban clients admitted to Rural LTCFs

Return not requested

Returned in one month

Returned in two months

Returned in four months

Returned in five months

Returned in six months

Returned in nine months

48 clients

36

7

1

1

1

1

1

  

Rural clients admitted to Urban LTCFs

Return not requested

Returned in one month

Returned in three months

8

2

4

2


Patients who require institutional care are encouraged to focus on the most important aspect of the Regional Placement Protocol, i.e: that they will receive the right care, at the right time, in the right (long term care) environment, and that the system has well-established processes whereby they will be able to relocate to their preferred location, in chronological order.