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Dear Sudeep: Thank you for a very thoughtful response. I agree with each of your points. The readmission issue is very complex (worthy of its own blog). We are hoping to enhance rapid response clinics to see recently discharged complex patients in a timely manner to reduce readmission. However, t timely access to CCAC resources and family medicine is also crucial to prevent readmission. In theory Health Links should have helped with this...Im not sure it is having the intended impact. I also appreciate your point that ALC issues are not unique to KGH-they apply elsewhere, like PC. You remind us that its hard to apply a medical model to a sociological problem. As a society we need to commit resources to help older Canadians live well as they age.

Stephen Archer
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