Date of Conferral



Doctor of Healthcare Administration (D.H.A.)


Public Policy and Administration


Matt Frederiksen-England


A problem exists within the Canadian healthcare system as many patients experience longer lengths of stay (LOS) in acute care (AC) and complex care (CC) beds within hospitals because of a lack of long term care (LTC) facilities. The purpose of this study was to evaluate the extra days patients wait for placement and assess the benefits of increasing the number of LTC beds. The theoretical framework used was the four-level model of the health care system. Research questions involved 2017-2019 data for the number of LTC beds required to eliminate waits and evaluate beds needed in the future. This study involved using a retrospective quantitative study using hospital-acquired deidentified data from Ontario. Data were input into a forecasting model to assess the number of LTC beds required and forecast the number of beds needed to address future demand. Data demonstrated both a seasonal and periodic increase and indicated the problem would continue to escalate into 2027. In 2019, an average of 120 patients were waiting in hospital for an end destination LTC, and by 2027, if nothing changes, data showed that the number of patients waiting will increase to 509. Results showed that 12 of the 25 medical complexities patients had on their profile predicted extended waits in the hospital for a LTC bed. This study can impact positive social change by advocating for an increase in LTC beds, allowing patients who wait to discharge to appropriate settings timely and better allocation of healthcare dollars in Ontario.