Patient hospital discharge to LTC called for discharge planners to forward paper-based fax referrals to a LTC coordination team. However being unable to capture admission criteria, bed availability, wait times, waitlist length or referral status - this process required time consuming and repeated telephone follow up between the ward and the care coordination team. Lost or delayed referrals within this manual process delayed hospital discharges, contributing to increased Alternate Level of Care (ALC) rates; negatively impacting hospital spending and performance. The LTC coordination team also reported Background: Located in Canada’s most populous urban region, one Ontario LHIN serves a population of 1.2M Prior to intelligent EReferral implementation, long term care (L

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