One Number Protocol

The Regional One Number Protocol is a response to patient access challenges experienced in the South West Local Health Integration Network (SW LHIN), largely as a result of large volumes of Alternate Level of Care (ALC) patients, large Emergency Department (ED) visit volumes, and human resource shortages. These conditions led to overcrowding in hospital EDs, long lengths of stay, service delays, and cancellations of surgeries. 

We recognized that one major contributing factor was the lack of a uniform protocol among the hospitals to govern appropriate and timely access to beds and transfers between organizations. The Regional One Number Protocol is a standardized protocol for hospitals in the SW LHIN to facilitate decision making to ensure patients receive the correct level of care in a timely manner, as close to the patient’s own home and supports as possible.

Important tools

Algorithm – Patients Requiring Consultation or Transfer – Critically Ill or Emergent

This algorithm helps physicians make decisions regarding patient care and transport through the One Number Protocol and outlines responsibilities for transport, specific to Critically Ill or Emergent Patients.

Algorithm – Patients Requiring Consultation or Transfer – Urgent

This algorithm helps physicians make decisions regarding patient care and transport through the One Number Protocol and outlines responsibilities for transport, specific to Urgent Patients.

Algorithm – Patients Requiring Consultation or Transfer – Repatriation

This algorithm helps physicians make decisions regarding patient care and transport through the One Number Protocol and outlines responsibilities for transport, specific to Repatriations.

Form – Repatriation and Transfer Request Form

This is a standardized form for hospitals to provide patient information for decision making by the receiving hospital regarding a repatriation or transfer request.  This form is used with the Provincial Hospital Resource System (PHRS).

Form – Interfacility Patient Transfer Checklist

This is a standardized form for hospitals to ensure all pertinent documentation and information is provided to the Receiving Hospital for any interfacility transfer.

One Number Protocol Troubleshooting and Escalation Guide – Staff

Outlines the process for troubleshooting issues related to the One Number Protocol and how to escalate issues within the individual organization and regionally.

Regional One Number Contact List

A list of the One Number / Patient Access Offices at each of the SW LHIN hospitals.

One Number Flow Chart

Provides a visual representation of the One Number Protocol process.

Accessing the Regional One Number Protocol – User’s Guide

Provides instructions on how the One Number Protocol can be accessed for critically ill or emergent, urgent or non-urgent patients, and repatriations.

Information Sheet – Regional One Number Protocol

Provides the background, purpose, guiding principles, key outcomes and key messages about the Regional One Number Protocol.

Information Sheet – Provincial Life or Limb Policy

Provides the background, purpose, guiding principles, key outcomes and key messages about the Provincial Life or Limb Policy.

Information Sheet – Adult Extramural Critical Care Response Team (ExACCRT)

Provides the background, purpose, guiding principles, key outcomes and key messages about the ExACCRT.

Information Sheet – Accessing the Regional One Number Protocol

Provides information about how the One Number Protocol can be accessed for critically ill or emergent, urgent or non-urgent patients as well as repatriations.