Dr. Douglas McKim is Professor of Medicine, University of Ottawa, Medical Director of CANVent Respiratory Services, Complex Respiratory Care, Co-Medical Director Ottawa Hospital Sleep Centre. He has provided home ventilation since 1990. Lead/Senior author, authoritative 2011 Canadian HMV/2019 ALS Respiratory Guidelines. Co-author recent ACCP Guidelines Neuromuscular Respiratory Care. Presentation: "Optimising home-based ventilation in ALS" will discuss evidence for benefit of NIV, indications/initiation, airway management/challenges, home monitoring, interprofessional team care including home respiratory therapy, mouthpiece ventilation, ICU extubation, integrated palliative services and invasive ventilation. The participant will understand our efforts to optimise ALS home ventilation in the Canadian context.