Rheumatology Central Access & Triage   at
Calgary Zone and Area
Connect Care Specialty: Connect Care Department: CALGARY ZONE RHEUMATOLOGY CAT
Alberta Health Services - Calgary Zone





Estimated time to routine appointment: Within 18 months
SERVICE DESCRIPTION
A referral service for people who need to see a Rheumatologist in the Calgary Zone.
Provides a referral service for doctors, emergency departments, and urgent care centres that need to refer people to see a Rheumatologist in the Calgary Zone.
EMERGENCY REFERRAL PROCESS
You MUST PAGE the Outpatient Rheumatologist ON-CALL to discuss. EMERGENT REFERRALS WILL NOT BE ACCEPTED IN TRIAGE. 

The following conditions are deemed EMERGENT (please PAGE the Rheumatologist on call at 403-944-1110 - the patient should be seen within 24 hours):
  • Temporal Arteritis (Giant Cell Arteritis)
  • Organ-threatening Vasculitis or Connective Tissue Disease
  • SLE Flare with organ damage
  • Urgent ED follow-up to facilitate discharge
Septic Joint - DIRECT PATIENT TO NEAREST EMERGENCY DEPARTMENT
You MUST PAGE the Outpatient Rheumatologist ON-CALL to discuss. EMERGENT REFERRALS WILL NOT BE ACCEPTED IN TRIAGE. 

The following conditions are deemed EMERGENT (please PAGE the Rheumatologist on call at 403-944-1110 - the patient should be seen within 24 hours):
  • Temporal Arteritis (Giant Cell Arteritis)
  • Organ-threatening Vasculitis or Connective Tissue Disease
  • SLE Flare with organ damage
  • Urgent ED follow-up to facilitate discharge
Septic Joint - DIRECT PATIENT TO NEAREST EMERGENCY DEPARTMENT
URGENT REFERRAL PROCESS
Please fax referral to Central Access & Triage. Page Rheumatologist on call through FMC Switchboard at 403-944-1110 for URGENT advice or appointment.
The following conditions are deemed URGENT;
  • Early Inflammatory Arthritis WITH joint swelling
  • Active Vasculitis or Connective Tissue Disease that is NOT organ threatening
  • Myositis
The following conditions are deemed SEMI-URGENT;
  • Inflammatory Arthritis with NO swelling
  • Polymyalgia Rheumatica (Please call Specialist LINK to discuss)
  • Stable Myopathy
  • Crystal Arthropathy (use Gout Pathway while waiting)
If uncertain about time frame or urgency, please page the Outpatient Rheumatologist on-call through Calgary Regional Paging System on ROCA or through FMC at 403-944-1110 to discuss.


Please fax referral to Central Access & Triage. Page Rheumatologist on call through FMC Switchboard at 403-944-1110 for URGENT advice or appointment.
The following conditions are deemed URGENT;
  • Early Inflammatory Arthritis WITH joint swelling
  • Active Vasculitis or Connective Tissue Disease that is NOT organ threatening
  • Myositis
The following conditions are deemed SEMI-URGENT;
  • Inflammatory Arthritis with NO swelling
  • Polymyalgia Rheumatica (Please call Specialist LINK to discuss)
  • Stable Myopathy
  • Crystal Arthropathy (use Gout Pathway while waiting)
If uncertain about time frame or urgency, please page the Outpatient Rheumatologist on-call through Calgary Regional Paging System on ROCA or through FMC at 403-944-1110 to discuss.


ROUTINE REFERRAL PROCESS
Please fax referral to Central Access & Triage. Consults will booked via phone call, Zoom assessment or in-person clinic appointment depending on physician preference and urgency.

Please fax referral to Central Access & Triage. Consults will booked via phone call, Zoom assessment or in-person clinic appointment depending on physician preference and urgency.

ELIGIBILITY REQUIREMENTS
As per referral guidelines
As per referral guidelines
REFERRAL GUIDELINES
Emergent Reason for Referral
Additional Details
+-
Connective tissue disease
Aggressive organ-threatening Connective Tissue Disease
Page the Rheumatologist on call at 403-944-1110  (patient should be seen within 24 hours).

+-
Systemic lupus erythematosus
SLE Flare with Organ Damage
Page the Rheumatologist on call at 403-944-1110 (patient should be seen within 24 hrs).

+-
Systemic vasculitis
Organ-threatening Vasculitis
Page the Rheumatologist on call at 403-944-1110 (patient should be seen within 24 hours).

+-
Temporal arteritis
Temporal Arteritis (Giant Cell Arteritis)
Page the Rheumatologist on call at 403-944-1110 (patient should be seen within 24 hours).

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
Timing
Additional Details
Arthritis
Physical Exam to support the Referral
| Within 1 month

If patient previously seen by another Rheumatologist or other specialist, please include the name and consultation notes
| If applicable

Reason for Referral
| Within 1 month

Describe symptoms; description of joints involved, swelling, pain, morning stiffness, duration
| If applicable

CBC, CRP, Cr, ALT, ALP and Albumin
| Within 3 months

Detailed History to support the Referral
| Within 1 month

Describe previous treatments and responses; specifically with Prednisone
| If applicable

Medication List (Dose, Frequency, Route)
| Within 3 months

RF, and Anti-CCP
| Within 3 months
Inflammatory Arthritis WITH joint swelling

Connective tissue disease
Physical Exam to support the Referral
| Within 1 month

If patient previously seen by another Rheumatologist or other specialist, please include the name and consultation notes
| If applicable

Reason for Referral
| Within 1 month

Describe symptoms; description of joints involved, swelling, pain, morning stiffness, duration
| If applicable

CBC, CRP, Cr, ALT, ALP and Albumin
| Within 3 months

Detailed History to support the Referral
| Within 1 month

Describe previous treatments and responses; specifically with Prednisone
| If applicable

Medication List (Dose, Frequency, Route)
| Within 3 months

ANA, C3, C4, and Urinalysis
| Within 3 months
CTD that is NOT organ threatening

Myositis
Physical Exam to support the Referral
| Within 1 month

If patient previously seen by another Rheumatologist or other specialist, please include the name and consultation notes
| If applicable

Reason for Referral
| Within 1 month

Describe symptoms; description of joints involved, swelling, pain, morning stiffness, duration
| If applicable

CBC, CRP, Cr, ALT, ALP and Albumin
| Within 3 months

Detailed History to support the Referral
| Within 1 month

Describe previous treatments and responses; specifically with Prednisone
| If applicable

Medication List (Dose, Frequency, Route)
| Within 3 months

CK
| Within 3 months

Vasculitis
Physical Exam to support the Referral
| Within 1 month

If patient previously seen by another Rheumatologist or other specialist, please include the name and consultation notes
| If applicable

Reason for Referral
| Within 1 month

Describe symptoms; description of joints involved, swelling, pain, morning stiffness, duration
| If applicable

CBC, CRP, Cr, ALT, ALP and Albumin
| Within 3 months

Detailed History to support the Referral
| Within 1 month

Describe previous treatments and responses; specifically with Prednisone
| If applicable

Medication List (Dose, Frequency, Route)
| Within 3 months

ANA, Urinalysis and ANCA
| Within 3 months
Active Vasculitis that is NOT organ threatening

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
Autoimmune
Reason for Referral
| Within 1 month

Detailed History to support the Referral
| Within 1 month

Physical Exam to support the Referral
| Within 1 month

Medication List (Dose, Frequency, Route)
| Within 3 months

Describe symptoms; description of joints involved, swelling, pain, morning stiffness, duration
| If applicable

Describe previous treatments and responses; specifically with Prednisone
| If applicable

CBC, CRP, Cr, ALT, ALP, Albumin
| Within 3 months

If patient previously seen by another Rheumatologist or other specialist, please include the name and consultation notes
| If applicable

ANA, C3, C4, and Urinalysis
| Within 3 months

Inflammatory disorder
Reason for Referral
| Within 1 month

Detailed History to support the Referral
| Within 1 month

Physical Exam to support the Referral
| Within 1 month

Medication List (Dose, Frequency, Route)
| Within 3 months

Describe symptoms; description of joints involved, swelling, pain, morning stiffness, duration
| If applicable

Describe previous treatments and responses; specifically with Prednisone
| If applicable

CBC, CRP, Cr, ALT, ALP, Albumin
| Within 3 months

If patient previously seen by another Rheumatologist or other specialist, please include the name and consultation notes
| If applicable

RF and Anti CCP
| Within 3 months

Uric acid
| Within 3 months

X-Ray of SI Joints if Ankylosing Spondylitis is suspected
| Within 3 months
Gout - Provide Urate and CRP in addition to required baseline blood work
AS - Provide X-Ray SI joints in addition to required baseline blood work
ADDITIONAL SERVICE DETAILS
All routine, semi-urgent and urgent consults are managed through Rheumatology Central Access & Triage via fax at 403-955-8199. Referrals will be triaged and waitlisted accordingly.

Rheumatology CAT manages referrals for a number of different rheumatology clinics in the Calgary Zone;

  • Rheumatology Outpatient Clinic at Richmond Road Diagnostic and Treatment Centre
  • Rheumatology Outpatient Clinic at South Health Campus
  • Private Practices
Enhanced Gout Pathway
Simplified Gout Pathway

If you feel the patient needs to be seen urgently or their condition worsens, please page the Rheumatologist On Call at 403-944-1110
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.
 
MISSED APPOINTMENT GUIDELINES

Missed appointments are minimized by requiring a re-referral after two missed appointments.

Missed appointments are minimized by requiring a re-referral after two missed appointments.

DIRECTIONS
Directions will be provided to the patient at the time of appointment scheduling by the relevant Rheumatology Clinic.
Directions will be provided to the patient at the time of appointment scheduling by the relevant Rheumatology Clinic.
PARKING INSTRUCTIONS

Parking instructions will be provided to the patient at the time of appointment scheduling by the relevant Rheumatology Clinic.

Parking instructions will be provided to the patient at the time of appointment scheduling by the relevant Rheumatology Clinic.

PARKING MAP
As this site is a central access and triage service, there is no parking map available as patients will be seen at the relevant Rheumatology Clinic provided in the appoitnment details.
As this site is a central access and triage service, there is no parking map available as patients will be seen at the relevant Rheumatology Clinic provided in the appoitnment details.
ADDRESS

Calgary
Alberta
T2P 2M5
HOURS OF OPERATION
Monday: 7:00 am - 3:00 pm
Tuesday: 7:00 am - 3:00 pm
Wednesday: 7:00 am - 3:00 pm
Thursday: 7:00 am - 3:00 pm
Friday: 7:00 am - 3:00 pm
   
WHEELCHAIR ACCESSIBILITY
N/A

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