Brain Injury Rehabilitation Clinic   at
Foothills Medical Centre
Connect Care Specialty: Physical Medicine and Rehabilitation Connect Care Department: CGY FMC BRAIN INJURY CL
Alberta Health Services - Calgary Zone





Estimated time to routine appointment: Within 9 months
SERVICE DESCRIPTION
This is a physical medicine and rehabilitation specialist service that offers assessment and recommendations for the care of people with acquired brain injuries who require rehabilitation.
Typical concerns include memory and cognitive changes, speech changes, emotional changes, and physical sequelae.
EMERGENCY REFERRAL PROCESS
For all emergencies, refer directly to Emergency Department.  

Acute injuries with concerns regarding neurologic status should be directed to the Emergency Department, Neurology, or Neurosurgery. 
For all emergencies, refer directly to Emergency Department.  

Acute injuries with concerns regarding neurologic status should be directed to the Emergency Department, Neurology, or Neurosurgery. 
URGENT 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.
ROUTINE REFERRAL PROCESS
Referrals are accepted through the Calgary Brain Injury Program by either one of the following methods:
  • Referral letter 
  • Calgary Brain Injury Program referral form 
Date of injury and contact information must accompany the referral, in order to prevent any delays in processing the referral.

Patients under the age of 18 should be referred to the Alberta Children's Hospital - Neurosciences Program.

Referrals are accepted through the Calgary Brain Injury Program by either one of the following methods:
  • Referral letter 
  • Calgary Brain Injury Program referral form 
Date of injury and contact information must accompany the referral, in order to prevent any delays in processing the referral.

Patients under the age of 18 should be referred to the Alberta Children's Hospital - Neurosciences Program.

ELIGIBILITY REQUIREMENTS
Adults (18 years or older) with acquired brain injury (ABI)
Adults (18 years or older) with acquired brain injury (ABI)
REFERRAL PHONE
403-944-8571
REFERRAL FAX
403-944-8578
PHONE
403-944-4224
FAX
403-283-2526
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
Moderate to severe brain injury
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Relevant co-morbidity: *previous brain injury *history of substance or alcohol abuse *mental health diagnosis *seizures
| Current or Previous (relevant)

CT/MRI/Imaging results (if available)
| Current or Previous (relevant)

Discharge summary (if available)
| Current or Previous (relevant)

Neuropsychologic assessment (if available)
| Current or Previous (relevant)

Therapist or consultant assessments (if available)
| Current or Previous (relevant)
Moderate to Severe only
ADDITIONAL SERVICE DETAILS
Acquired Brain Injury (ABI) Inclusion Criteria:
  • Moderate and severe traumatic brain injuries from an external force such as collision, fall, assault or sports injury with GCS less than or equal to 12 and positive CT/MRI findings
  • Non-traumatic damage to the brain i.e. anoxia, metabolic encephalopathy, aneurysm, vascular malformation, low-grade or non-aggressive brain tumours, encephalitis/meningitis
Acquired Brain Injury (ABI) Exclusion Criteria:
  • Concussion
  • Congenital/developmental disability e.g. cerebral palsy
  • Progressive diseases or processes e.g. Alzheimer's disease or other dementia, MS, Parkinson's disease, Huntington's disease

Individuals who have had a concussion are not assessed at this clinic. Guidelines for concussion can be found on the Ontario Neurotrauma Foundation Website. Please click here for more information on concussion resources.

Please review the following recommendations, as some reasons for referral should be seen by other providers. We have listed some information to assist you with determining the most appropriate provider for your patient, based on the primary reason for referral;
  • Dizziness - please refer your patient to a community vestibular therapist.  This information can be found here.
  • Headache/Migraines - If headache management is the primary concern, in the absence of other pain then please consider a referral to Neurology Central Access and Triage (NCAT).  If overall pain management is the main concern then a direct referral to the Chronic Pain Clinic could be considered. The referral process can be obtained through the Alberta Referral Directory.
  • Mental health - please refer to Access Mental Health for more information
Our service does not complete investigations to diagnose Chronic Traumatic Encephalopathy (CTE)
COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within 7 calendar days.
 
Communication of initial appointment outcomes to referral
source will occur within 30 calendar days.
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance to re-schedule.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance to re-schedule.
DIRECTIONS
Located at the intersection of 16 Avenue NW and 29 Street NW.

Transit:
Public transportation is available to this facility.
Located at the intersection of 16 Avenue NW and 29 Street NW.

Transit:
Public transportation is available to this facility.
PARKING INSTRUCTIONS
Due to ongoing construction at the Foothills Medical Centre please allow for additional time for parking and making your way to your appointment.                                                                                                                                                    Parking payment due in advance. Any pay station can be used to pay for any lot.
Pay stations are located in all parking areas and most building entrances.
Parking pay stations accept coin and all major credit cards. Accessible parking is available in all public parking lots and secondary surface lots.
Parking rates apply 24 hours per day, and are in effect for all public parkers including those with provincially issued placards for persons with disabilities.


Foothills Medical Centre parking map
Due to ongoing construction at the Foothills Medical Centre please allow for additional time for parking and making your way to your appointment.                                                                                                                                                    Parking payment due in advance. Any pay station can be used to pay for any lot.
Pay stations are located in all parking areas and most building entrances.
Parking pay stations accept coin and all major credit cards. Accessible parking is available in all public parking lots and secondary surface lots.
Parking rates apply 24 hours per day, and are in effect for all public parkers including those with provincially issued placards for persons with disabilities.


Foothills Medical Centre parking map
ADDRESS
Special Services Building - Main Floor
1403 29 Street NW
Calgary Alberta
T2N 2T9
HOURS OF OPERATION
Monday: 8:00 am - 4:00 pm
Tuesday: 8:00 am - 4:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 8:00 am - 4:00 pm
Friday: 8:00 am - 4:00 pm
   
WHEELCHAIR ACCESSIBILITY
Yes

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

The locations listed have 3 background colors:
  • Green means the service@location has referral information attached to it.
  • Brown means the service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the service@location's status to something other than Current
    • It was deleted if it is an ARD service@location.
Green  and Brown are always at the top of the list. These are the Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the 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 Service@Locations to ones that are current.

Common Scenario:
A Service moves from one location to another. In this case the IA Service@Location record will be made defunct (non-current) and a new 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 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 Service@Location to a current service@location.

Individual referral process
  1. Click on a non-current (Red) 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 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 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 Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Service@Location to the current one.
  6. Repeat these steps for each Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Service@Location with common referral info is with current status for this service; One or more Service@Locations where replaced by new one.
  1. Click on any current Service@Location whether it has referral info (Green) or not (Brown).
  2. The 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 Service@Locations for a 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 service locations.
Generally we want to replicate current common referral info to new or replaced 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 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 Service@Location to another.

 

V4.12