Waiting lists and ranking high acuity priority access beds
 230. (1) Sections 186 to 193, 195 to 199 and subsection 200 (1) do not apply to an applicant seeking admission to a high acuity priority access bed within a long-term care home. O. Reg. 246/22, s. 230 (1). (2) The appropriate placement co-ordinator for a long-term care home shall keep a separate waiting list for admission to the high acuity priority access beds designated within the home in accordance with this Regulation that is in addition to and separate from any waiting list that is required to be kept under section 182. O. Reg. 246/22, s. 230 (2). (3) The appropriate placement co-ordinator shall place a person on a waiting list for admission to a high acuity priority access bed in a long-term care home if, (a)  the person, (i)  is at significant risk of avoidable admission to a hospital under the Public Hospitals Act or a private hospital licensed under the Private Hospitals Act
or to a psychiatric facility within the meaning of the Mental Health Act that is required to provide in-patient services in accordance with that Act, (ii)  occupies a bed in a hospital under the Public Hospitals Act or a private hospital licensed under the Private Hospitals Act or a psychiatric facility within the meaning of the Mental Health Act that is required to provide in-patient services in accordance with that Act and requires an alternate level of care, or (iii)  is a long-stay resident in a long-term care home; (b)  the person is determined by the placement co-ordinator to be eligible for long-term care home admission as a long-stay resident under section 172; (c)  subject to subsection (4), the placement co-ordinator is satisfied, based on the assessment and information provided, that the person requires and is likely to benefit from, (i)  ongoing nursing and other personal care given by or under the supervision of a registered nurse or registered practical nurse who has relevant expertise, whether as the result of experience or training, or (ii)  ongoing technology-based care that requires the support of a member of a college as defined under the Regulated Health Professions Act, 1991 or of an exempted out of province health professional; (d)  the person applies, in accordance with this Regulation, for authorization of their admission to a high acuity priority access bed; (e)  the licensee of the long-term care home approves the person’s admission to the high acuity priority access bed; and (f)  placing the person on the waiting list will not result in the total number of long-stay program waiting lists, of all types, on which the person is placed exceeding five, unless the person meets the requirements for placement in category 1 on the waiting list under section 188. O. Reg. 246/22, s. 230 (3); O. Reg. 202/23, s. 7. (4) A person shall not be placed on the waiting list for a high acuity priority access bed if the only reason that the person meets the criteria under clause (3) (c) is that the person demonstrates responsive behaviours. O. Reg. 246/22, s. 230 (4). (5) For the purposes of clause (3) (f), where a person will be placed on the waiting list for a high acuity priority access bed in a long-term care home, and will also be placed on the waiting list for the home other than for a high acuity priority access bed, all of the waiting lists for that home shall be counted as one list. O. Reg. 246/22, s. 230 (5). (6) An applicant shall be placed in the exchange category on the waiting list for a high acuity priority access bed in the home if either of the following circumstances exist: 1.  The applicant meets the requirements set out in clauses 194 (1) (a) and (b), and the result of the exchange will be that the applicant will become a resident of a high acuity priority access bed in the long-term care home to which the applicant seeks admission and a resident in a high acuity priority access bed in the home will be discharged. 2.  The placement co-ordinator becomes aware of the opportunity to exchange a resident in one high acuity priority access bed of a long-term care home who seeks admission to a second long-term care home and a resident of the second high acuity priority access bed in a long-term care home who seeks admission to the first. In this circumstance, each resident shall be placed in the exchange category of the appropriate waiting list. O. Reg. 246/22, s. 230 (6). (7) A person who was discharged from a high acuity priority access bed because they were absent on a medical or psychiatric absence for a longer time than permitted under section 150, and is applying for admission to a high acuity priority access bed, shall be placed in the re-admission category on the waiting list for a high acuity priority access bed. O. Reg. 246/22, s. 230 (7). (8) Applicants on a waiting list for a high acuity priority access bed in a long-term care home shall be ranked for admission in the following order of priority: 1.  The highest priority shall be given to an applicant who is in the exchange category on the waiting list for the high acuity priority access bed. As among themselves, these applicants shall be ranked according to the following order of priority: i.  The highest priority shall be given to an applicant who was discharged from a high acuity priority access bed because they were absent on a medical or psychiatric absence for a longer time than permitted under section 150, and is applying for admission to the high acuity priority access bed. As among themselves, these applicants shall be ranked according to the date of their original admission to the high acuity priority access bed. ii.  The next highest priority shall be given to an applicant who meets the requirements for placement in category 1 on the waiting list for a long-term care home under section 188. As among themselves, these applicants shall be ranked according to the urgency of their need for admission. iii.  All other applicants shall be ranked on the waiting list according to the time at which they applied for authorization of their admission to the high acuity priority access bed. 2.  The next highest priority shall be given to an applicant who is in the re-admission category on the waiting list for the high acuity priority access bed. As among themselves, these applicants shall be ranked according to the date of their original admission to the high acuity priority access bed. 3.  The next highest priority shall be given to an applicant who meets the requirements for placement in category 1 on the waiting list for a long-term care home under section 188. As among themselves, these applicants shall be ranked according to the urgency of their need for admission. 4.  All other applicants shall be ranked on the waiting list according to the time at which they applied for authorization of their admission to the high acuity priority access bed. O. Reg. 246/22, s. 230 (8). (9) In this section, “technology-based care” means care requiring any specialized medical device, instrument, apparatus, appliance, software application, implant or other article intended by the manufacturer to be used, alone or in combination, for the prevention, monitoring, treatment or alleviation of complex disease, disability, injury or disorder. O. Reg. 246/22, s. 230 (9).