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Emergency Information 
Orthopedic Centralized Access - Facilitated Access to Specialized Treatment (FAST)   at
Edmonton Zone and Area
Central Access Healthcare Service
Specialty: Orthopaedic Surgery
Connect Care Department: EDMONTON ZONE SHOULDER CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Edmonton area
CENTRAL ACCESS SERVICES
Referrals for Orthopedic surgery in the Edmonton Zone are accepted through this Facilitated Access to Specialized Treatment (FAST) central access and intake program. Referring providers can choose a next-available surgeon with the shortest waitlist; a specific surgeon, clinic, or site; or an out-of-zone provider. FAST receives the surgical referrals, reviews them for completeness and duplication, and then sends them to appropriate surgeons for triage and booking.
Referrals for Orthopedic surgery in the Edmonton Zone are accepted through this Facilitated Access to Specialized Treatment (FAST) central access and intake program. Referring providers can choose a next-available surgeon with the shortest waitlist; a specific surgeon, clinic, or site; or an out-of-zone provider. FAST receives the surgical referrals, reviews them for completeness and duplication, and then sends them to appropriate surgeons for triage and booking.
ELIGIBILITY REQUIREMENTS
Review reasons for referral table below for eligibility requirements.
Review reasons for referral table below for eligibility requirements.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
  1. Add FAST to your Electronic Medical Record (EMR) system.
  2. Prepare your referral using a detailed referral letter or referral form:
    • Identify referral reason listed in the Referral Pathway.
    • Include all required information in the Referral Pathway.
    • Use the QuRE checklist to ensure completeness.
  3. Select a referral destination: next available specialist, a named provider or to an out-of-zone provider (Reason why patient should be seen out of zone is required).
  4. Fax completed referral to Edmonton Zone FAST at:
    • 780-643-1235 - Elbow, Hand & Wrist.
    • 780-670-3221 - Other Orthopedic Referrals
  5. Track your referral status in Alberta Netcare eReferral.
A referral requires confirmation your patient does not qualify for expedited surgery through Workers’
Compensation Board (WCB). 
For spine assessments, send referral to specialist as per local zone processes.
  1. Add FAST to your Electronic Medical Record (EMR) system.
  2. Prepare your referral using a detailed referral letter or referral form:
    • Identify referral reason listed in the Referral Pathway.
    • Include all required information in the Referral Pathway.
    • Use the QuRE checklist to ensure completeness.
  3. Select a referral destination: next available specialist, a named provider or to an out-of-zone provider (Reason why patient should be seen out of zone is required).
  4. Fax completed referral to Edmonton Zone FAST at:
    • 780-643-1235 - Elbow, Hand & Wrist.
    • 780-670-3221 - Other Orthopedic Referrals
  5. Track your referral status in Alberta Netcare eReferral.
A referral requires confirmation your patient does not qualify for expedited surgery through Workers’
Compensation Board (WCB). 
For spine assessments, send referral to specialist as per local zone processes.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Orthopaedic Surgery, type EDMONTON ZONE SHOULDER CAT in the "To Department" section and complete order.

A referral requires confirmation your patient does not qualify for expedited surgery through Workers’
Compensation Board (WCB). 
For spine assessments, send referral to specialist as per local zone processes.
Send an Internal Referral using the Ambulatory Referral Order to Orthopaedic Surgery, type EDMONTON ZONE SHOULDER CAT in the "To Department" section and complete order.

A referral requires confirmation your patient does not qualify for expedited surgery through Workers’
Compensation Board (WCB). 
For spine assessments, send referral to specialist as per local zone processes.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
ADDITIONAL SERVICE DETAILS
Urgent referral: Patient may need to be seen immediately. Patients with conditions that require same day intervention and/or diagnostics but not hospitalizations and not life threatening.
Call surgeon-on-call via RAAPID North at 1-800-282-9911 for:
  • Acute fractures including all fractures within 4 weeks of injury
  • Acute tendon ruptures and torn ligaments
  • Dislocation
  • Metastatic bone tumors including impending pathologic fractures,
  • Acute pathologic fractures.
  • For suspected primary or locally aggressive bone tumors, refer to Orthopedic Oncology.
If the patient is already under the care of an orthopedic surgeon for this injury, please contact them. Please refer to specific process for acute injuries below.

For emergent referral: Patient needs to be seen immediately.
Patient needs to be seen immediately.
Call RAAPID North at 1-800-282-9911 or send to Emergency Department via 911 as appropriate for:
  • Open fractures and / or fractures potentially requiring acute operative treatment (bimalleolar ankle #, markedly displaced wrist #, hip #, long bone #s, comminuted proximal humerus #, etc.);
  • Suspected septic joints and Orthopedic infections;
  • Irreducible acute joint dislocations;
  • Compartment syndrome (acute);
  • Cauda equina or progressive neurologic deficit after injury.
Learn more about FAST at ahs.ca/FAST
Urgent referral: Patient may need to be seen immediately. Patients with conditions that require same day intervention and/or diagnostics but not hospitalizations and not life threatening.
Call surgeon-on-call via RAAPID North at 1-800-282-9911 for:
  • Acute fractures including all fractures within 4 weeks of injury
  • Acute tendon ruptures and torn ligaments
  • Dislocation
  • Metastatic bone tumors including impending pathologic fractures,
  • Acute pathologic fractures.
  • For suspected primary or locally aggressive bone tumors, refer to Orthopedic Oncology.
If the patient is already under the care of an orthopedic surgeon for this injury, please contact them. Please refer to specific process for acute injuries below.

For emergent referral: Patient needs to be seen immediately.
Patient needs to be seen immediately.
Call RAAPID North at 1-800-282-9911 or send to Emergency Department via 911 as appropriate for:
  • Open fractures and / or fractures potentially requiring acute operative treatment (bimalleolar ankle #, markedly displaced wrist #, hip #, long bone #s, comminuted proximal humerus #, etc.);
  • Suspected septic joints and Orthopedic infections;
  • Irreducible acute joint dislocations;
  • Compartment syndrome (acute);
  • Cauda equina or progressive neurologic deficit after injury.
Learn more about FAST at ahs.ca/FAST
 
CENTRAL ACCESS REFERRAL PHONE
833-553-3278 ext 2
CENTRAL ACCESS REFERRAL FAX
780-643-1235 Elbow, Hand & Wrist Referrals
780-670-3221 Other Orthopedic Referrals
REFERRAL FORMS
PATHWAYS
CENTRAL ACCESS LINKED SERVICES
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
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Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
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Ankle instability
Click for Referral Guidelines:
 
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Arthritis of elbow
Click for Referral Guidelines:
 
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Arthritis of hand
Click for Referral Guidelines:
 
.
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Arthritis of hip
Click for Referral Guidelines:
 
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Arthritis of knee
Click for Referral Guidelines:
 
.
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Arthritis of wrist
Click for Referral Guidelines:
 
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Avascular necrosis of hip
Click for Referral Guidelines:
 
.
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Back pain
Click for Referral Guidelines:
 
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Bone deformity of hip
Click for Referral Guidelines:
 
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Carpal tunnel syndrome
Click for Referral Guidelines:
 
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Chronic pain of soft tissue of elbow region
Click for Referral Guidelines:
 
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Congenital hip dysplasia
Click for Referral Guidelines:
 
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Cyst
Click for Referral Guidelines:
 
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Deformity of foot
Click for Referral Guidelines:
 
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Deformity of wrist and/or hand
Click for Referral Guidelines:
 
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Disorder of meninges
Click for Referral Guidelines:
 
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Dupuytren's disease of palm
Click for Referral Guidelines:
 
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Elbow mass
Click for Referral Guidelines:
 
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Entrapment neuropathy of elbow
Click for Referral Guidelines:
 
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Femoral acetabular impingement
Click for Referral Guidelines:
 
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Fracture
Click for Referral Guidelines:
 
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Hand pain
Click for Referral Guidelines:
 
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Hip pain
Click for Referral Guidelines:
 
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Instability of knee
Click for Referral Guidelines:
 
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Knee pain
Click for Referral Guidelines:
 
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Lesion of bone
Click for Referral Guidelines:
 
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Ligament pathology of hand and/or wrist
Click for Referral Guidelines:
 
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Ligament pathology of wrist
Click for Referral Guidelines:
 
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Mass of wrist and/or hand
Click for Referral Guidelines:
 
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Mechanical symptom of knee
Click for Referral Guidelines:
 
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Median nerve entrapment
Click for Referral Guidelines:
 
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Myelopathy
Click for Referral Guidelines:
 
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Neck pain
Click for Referral Guidelines:
 
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Neurogenic claudication
Click for Referral Guidelines:
 
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Non-degenerative elbow joint pathology
Click for Referral Guidelines:
 
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Olecranon bursitis
Click for Referral Guidelines:
 
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Pain of joint of ankle and/or foot
Click for Referral Guidelines:
 
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Primary malignant neoplasm of hand
Click for Referral Guidelines:
 
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Radial nerve entrapment
Click for Referral Guidelines:
 
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Radiculopathy
Click for Referral Guidelines:
 
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Residual childhood hip disorder
Click for Referral Guidelines:
 
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Retained orthopedic hardware in hip
Click for Referral Guidelines:
 
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Retained orthopedic hardware in knee
Click for Referral Guidelines:
 
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Retained orthopedic hardware in shoulder
Click for Referral Guidelines:
 
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Rheumatoid hand deformity
Click for Referral Guidelines:
 
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Shoulder joint instability
Click for Referral Guidelines:
 
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Shoulder joint stiffness
Click for Referral Guidelines:
 
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Shoulder pain
Click for Referral Guidelines:
 
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Soft tissue mass
Click for Referral Guidelines:
 
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Spinal deformity
Click for Referral Guidelines:
 
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Suspected tendon rupture
Click for Referral Guidelines:
 
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Swelling of ankle and/or foot
Click for Referral Guidelines:
 
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Symptomatic following hip arthroplasty
Click for Referral Guidelines:
 
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Synovial disorder of hip joint
Click for Referral Guidelines:
 
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Synovial mass
Click for Referral Guidelines:
 
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Tendon pathology of hand and/or wrist
Click for Referral Guidelines:
 
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Trigger finger
Click for Referral Guidelines:
 
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Ulcer of foot
Click for Referral Guidelines:
 
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Ulnar nerve entrapment
Click for Referral Guidelines:
 
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Wrist pain
Click for Referral Guidelines:
 
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Urgent Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
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Dislocation of joint
Click for Referral Guidelines:
 
.
+-
Fracture
Click for Referral Guidelines:
 
.
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Impending pathologic fracture
Click for Referral Guidelines:
 
.


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Ligament pathology of hand and/or wrist
Click for Referral Guidelines:
 
.
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Suspected tendon rupture
Click for Referral Guidelines:
 
.

The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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