Long Term Ventilator Strategy

London Health Sciences is working with the Ministry of Health and several other hospitals on a three-year pilot to improve the quality of life for patients who require ventilation.

The Pilot will:

  • Help keep ICU beds available for those who need them the most.
  • Improve the quality of life for people requiring long-term ventilation by allowing these individuals to receive specialized care closer to home.
  • Reduce unnecessary emergency department visits.
  • Coordinate long-term vent expertise from across the province and make it available for all Ontarians closer to where they live.
  • Coordinate existing resources from across the province to support better patient care.

The pilot builds on the expertise of four hospitals that specialize in the support and care of people requiring long-term ventilation and those with complex respiratory needs. These hospitals will support specialized providers that exist within their geographies to form three hub and spoke structures. A hub and spoke model works like a wheel, with the hub being the central point, in this case a hospital leading the pilot project regionally, and the spokes, being the community hospitals delivering the services. This structure will enable patients who previously required ventilation support in a hospital to safely transition to an alternate care setting within their community.

London Health Sciences acts as a West hub to support a hub and spoke model for patients in our surrounding areas. We have effectively partnered with organizations in our region to develop a system of care for adults requiring long term ventilation (LTV), and those “at risk” of requiring LTV. Our vision since 2013 has been to support a coordinated and responsive system of interprofessional care, with defined roles and processes that extend outside the walls of our intensive care units and hospital, providing timely identification and transition of patients back to their communities and homes, with continued access to quality ventilator associated care.

Below are a list of hospitals currently linked to a hub site. Additional hospitals will be added as the strategy expands.


WEST HUB | London Health Sciences Centre

Spokes Region
Alexandra Hospital West
Alexandra Marine and General Hospital West
Cambridge Memorial Hospital West
Grey Bruce Health Services – Owen Sound Site West
Guelph General Hospital West
London Health Sciences Centre – University Hospital West
London Health Sciences Centre – Victoria Hospital West
North Bay Regional Health Centre – North Bay Site North
St. Thomas-Elgin General Hospital West
Stratford General Hospital West
Strathroy Middlesex General Hospital West
Tillsonburg District Memorial Hospital West
Windsor Regional Hospital – Metropolitan Campus West
Windsor Regional Hospital – Ouellette Campus West
Woodstock General Hospital West


CENTRAL HUB | West Park Healthcare Centre & Michael Garron Hospital

Spokes Region
Grand River Hospital Corporation – Kitchener Waterloo Hospital West
Hamilton Health Sciences Corporation – West Lincoln Memorial Hospital West
Hamilton Health Sciences Corporation – General Hospital West
Hamilton Health Sciences Corporation – Juravinski Hospital and Cancer Centre West
Hamilton Health Sciences Corporation – McMaster University Medical Centre West
Humber River Hospital – Wilson Site Central
Lakeridge Health – Bowmanville East
Lakeridge Health – Oshawa East
Lakeridge Health – Ajax East
Mackenzie Health – Mackenzie Richmond Hill Hospital Central
Mackenzie Health – Cortellucci Vaughan Hospital Central
North York General Hospital – General Site Central
Oak Valley Health – Markham Stouffville Site Central
Scarborough Health Network – Centenary Site East
Scarborough Health Network – Birchmount Site East
Sinai Health System – Mount Sinai Hospital Toronto
Southlake Regional Health Centre Central
Thunder Bay Regional Health Sciences Centre North
Trillium Health Partners – Credit Valley Hospital Central
Trillium Health Partners – Mississauga Hospital Central
William Osler Health System – Brampton Civic Hospital Central
William Osler Health System – Etobicoke General Central


EAST HUB | The Ottawa Hospital

Spokes Region
Blanche River Health – Kirkland North
Brockville General Hospital – Charles St. Site East
Hawkesbury and District General Hospital East
Hospital Montfort East
Kingston Health Sciences Centre – Kingston General East
Lennox and Addington County General Hospital East
Pembroke Regional Hospital East
Queensway – Carleton Hospital East
Quinte Healthcare Corporation – Belleville East
St. Joseph’s General Hospital North
The Ottawa Hospital – Civic Site East