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Adult Stroke Program - Inpatient   at
Glenrose Rehabilitation Hospital
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
The Stroke Rehabilitation Program provides treatment for adults who have recently had a stroke.The Adult Stroke Inpatient Program supports patients and families in adjusting to the changes caused by a stroke. The goal of the program is to help patients develop the highest level of independence possible. Along with our patients and their families, we work on communication skills, physical abilities, and social and emotional well-being. This inpatient program includes:
  • education about the causes of a stroke and what happens afterward
  • offering patients referrals to other services.
The goal of the program is for the client to return to their community and live independently. The average length of stay is between 2 to 5 weeks.
The Stroke Rehabilitation Program provides treatment for adults who have recently had a stroke.The Adult Stroke Inpatient Program supports patients and families in adjusting to the changes caused by a stroke. The goal of the program is to help patients develop the highest level of independence possible. Along with our patients and their families, we work on communication skills, physical abilities, and social and emotional well-being. This inpatient program includes:
  • education about the causes of a stroke and what happens afterward
  • offering patients referrals to other services.
The goal of the program is for the client to return to their community and live independently. The average length of stay is between 2 to 5 weeks.
ROUTINE REFERRAL PROCESS
A Physiatry Consult is required for Inpatient Admissions. 
Note:  Physiatrist consultation in acute care provides an assessment of the patient addressing both the medical and functional status and this information is used to determine appropriateness for the inpatient program; if the patient is not appropriate, alternate suggestions are provided re: ongoing patient management.
A Physiatry Consult is required for Inpatient Admissions. 
Note:  Physiatrist consultation in acute care provides an assessment of the patient addressing both the medical and functional status and this information is used to determine appropriateness for the inpatient program; if the patient is not appropriate, alternate suggestions are provided re: ongoing patient management.
URGENT REFERRAL PROCESS
All urgent inquiries to refer a patient should be directed via EDM.GlenroseReferrals@ahs.ca.
All urgent inquiries to refer a patient should be directed via EDM.GlenroseReferrals@ahs.ca.
EMERGENCY REFERRAL PROCESS
Please direct patients to the nearest Emergency Department or Urgent Care facility.
Please direct patients to the nearest Emergency Department or Urgent Care facility.
ELIGIBILITY REQUIREMENTS
Patients aged 18 or over with a:
  • stroke diagnosis considered the proximate cause for the rehabilitation referral:
  • moderately severe focal or multi-focal stroke due to infarction and/or hemorrhage regardless of stroke mechanism.  "Moderately severe" reflects those patients typically with a projected rehabilitation admission FIM score between 40 and 80, and who predictably respond robustly to tertiary interdisciplinary stroke rehabilitation with a good likelihood of discharge to the community,with or without community supports.  PLEASE NOTE:  Projected rehabilitation admission FIM scores ("alpha FIM scores") are not solely used to define "moderately severe", but are one item if available along with rehabilitation physical and cognitive screening assessments and physical exam findings that contribute to identifying the patient as "moderately severe".
  • Patient is able to follow at least 1-step commands.
  • Patient has sufficient awareness, attention, and recall to meaningfully participate in rehabilitation to learn how to perform self-care activities and gait training.
  • Patient can transfer acquired knowledge from day to day.
  • Patient's emotional status is stable.
Other Considerations:
  • Stroke patients <55 years of age with a severe impairment (e.g., projected rehabilitation admission FIM score of <40 can serve as a guide, if score available)
  • Patients with co-morbid injury resulting in partial or non-weight bearing status are considered on a case by case basis.
  • Anoxic brain injury or subarachnoid hemorrhage (SAH) patients without behavioural problems. Those patients with anoxic brain injury or SAH with behavioural problems may be appropriate for Brain Injury Rehabilitation Program.
Patients aged 18 or over with a:
  • stroke diagnosis considered the proximate cause for the rehabilitation referral:
  • moderately severe focal or multi-focal stroke due to infarction and/or hemorrhage regardless of stroke mechanism.  "Moderately severe" reflects those patients typically with a projected rehabilitation admission FIM score between 40 and 80, and who predictably respond robustly to tertiary interdisciplinary stroke rehabilitation with a good likelihood of discharge to the community,with or without community supports.  PLEASE NOTE:  Projected rehabilitation admission FIM scores ("alpha FIM scores") are not solely used to define "moderately severe", but are one item if available along with rehabilitation physical and cognitive screening assessments and physical exam findings that contribute to identifying the patient as "moderately severe".
  • Patient is able to follow at least 1-step commands.
  • Patient has sufficient awareness, attention, and recall to meaningfully participate in rehabilitation to learn how to perform self-care activities and gait training.
  • Patient can transfer acquired knowledge from day to day.
  • Patient's emotional status is stable.
Other Considerations:
  • Stroke patients <55 years of age with a severe impairment (e.g., projected rehabilitation admission FIM score of <40 can serve as a guide, if score available)
  • Patients with co-morbid injury resulting in partial or non-weight bearing status are considered on a case by case basis.
  • Anoxic brain injury or subarachnoid hemorrhage (SAH) patients without behavioural problems. Those patients with anoxic brain injury or SAH with behavioural problems may be appropriate for Brain Injury Rehabilitation Program.
ADDITIONAL SERVICE DETAILS
The Adult Stroke Rehabilitation Program will support patients and families in adjusting to the changes caused by a stroke.  The goal of the program is to help patients develop the highest level of independence possible.  With our patients and their families, we work on communication skills, physical abilities, social and emotional well-being.
The Adult Stroke Rehabilitation Program will support patients and families in adjusting to the changes caused by a stroke.  The goal of the program is to help patients develop the highest level of independence possible.  With our patients and their families, we work on communication skills, physical abilities, social and emotional well-being.
COMMUNICATION PROCESS
  • Communication of referral receipt to referral source will occur within 7 calendar days.
  • Communication of appointment details or wait list status to patient and referral source will occur within 14 calendar days.
  • Communication of initial appointment outcomes to referral source will occur within 30 calendar days.
 
PHONE
780-735-8281 (Intake)
780-991-8923 (Intake)
780-991-3190 (Discharge)
780-735-8272 (Discharge)
REFERRAL PHONE
780-735-8281
REFERRAL FORM
All inquiries to refer a patient are centralized via EDM.GlenroseReferrals@ahs.ca.
Please indicate Glenrose target program in the subject line i.e. Adult Inpatient Stroke Program and indicate whether for physiatrist consult or referral.  In the body of the email, please provide patient name and ULI# and a reason for inquiry.
All inquiries to refer a patient are centralized via EDM.GlenroseReferrals@ahs.ca.
Please indicate Glenrose target program in the subject line i.e. Adult Inpatient Stroke Program and indicate whether for physiatrist consult or referral.  In the body of the email, please provide patient name and ULI# and a reason for inquiry.
CLICK + TO VIEW REFERRAL GUIDELINES
+-
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
Timing
Additional Details
+-
Rehabilitation therapy
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Referral needed
 
Complete Referral Form
Previous investigations, x-rays, MRI-brain scan, lab results, surgical reports, discharge summaries, FIM Scores, etc
 
Within 1 month
+-
Stroke rehabilitation
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Referral needed
 
Complete Referral Form
Previous investigations, x-rays, MRI-brain scan, lab results, surgical reports, discharge summaries, FIM scores etc
 
Within 1 month
+-
Subarachnoid hemorrhage
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Referral needed
 
Complete Referral Form
Previous investigations, x-rays, MRI-brain scan, lab results, surgical reports, discharge summaries, FIM scores etc
 
Within 1 month
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
 
HOURS OF OPERATION
Operates 24/7:
 
ADDRESS
Unit 3A
10230 111 Avenue NW
Edmonton Alberta
T5G 0B7
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Please report to the Glenrose Rehabilitation Hospital Main Entrance, just off of 111 Avenue (10230 - 111 Avenue) and check in with the Front Desk/Admitting.
Please report to the Glenrose Rehabilitation Hospital Main Entrance, just off of 111 Avenue (10230 - 111 Avenue) and check in with the Front Desk/Admitting.
 
PHONE
780-735-8281 (Intake)
780-991-8923 (Intake)
780-991-3190 (Discharge)
780-735-8272 (Discharge)
 
PARKING INSTRUCTIONS
Disabled and public parking is available in the underground parkade and at designated surface stalls.
Disabled and public parking is available in the underground parkade and at designated surface stalls.
 
EMAIL
EDM.GlenroseReferrals@ahs.ca
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
 
WHEELCHAIR ACCESSIBILITY
Yes

Designated surface and underground parking stalls. Ramps and wheelchair accessible washrooms.


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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