Wound Clinic - Integrated Home Care Program   at
Sheldon M. Chumir Health Centre

Alberta Health Services - Calgary Zone



Estimated time to routine appointment: Within 1 week
SERVICE DESCRIPTION
A Division of Integrated Home Care, this specialty wound clinic provides consultation for wound care management for acute and complex chronic wounds.
Services are provided for the following:
  • diabetes (diabetic) - acute wound management with follow-up
  • care planning with consultation for chronic complex diabetic wounds
  • gait and footwear for clients who experience a wound as a result of neuropathy and walking
  • gait assessment for clients with associated plantar foot wounds
  • biomechanical assessment to determine pressure sources for wound
  • referral with assessment for custom made footwear according to Alberta Aids to Daily Living (AADL) guidelines for those clients with associated wounds
  • wound care and prevention
  • multi-disciplinary team - assess, manages and treats acute and complex chronic wounds
  • assume care for client with acute and/or complex chronic wounds in partnership with physicians and surgeons or on a consultative basis
  • Adjunctive Therapies such as Negative Pressure Wound Therapy (NPWT), Ultrasound, E-Stim and Total Contact Casting (TCC) for the alternative means of treating wounds
  • provide drop-in wound care support for homeless and / or marginalized clients
EMERGENCY REFERRAL PROCESS
This service does not have an emergency referral process. Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. Patients with potentially life threatening conditions should immediately phone 9-1-1.
This service does not have an emergency referral process. Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. Patients with potentially life threatening conditions should immediately phone 9-1-1.
URGENT REFERRAL PROCESS
All referrals are screened and processed for clinical urgency.
All referrals are screened and processed for clinical urgency.
ROUTINE REFERRAL PROCESS
  1. All clients who have diabetes with neuropathy must be seen at Sheldon Chumir. Once a care plan is in place, client may receive service at one of four satellite clinics.
  2. Clients without a diagnosis must be seen at Sheldon Chumir.
  3. Clients who do not have a family physician cannot be seen at Sheldon Chumir. The client can be seen at one of the Community Wound Clinics.
  4. Sheldon Chumir is a consultative service only, clients must be existing Home Care client with a case manager.
All Wound Care clinic referrals are received and processed through Community Care Access.

New referrals are processed based on urgency.
Low - within 7 days
Medium - within 3 days
High - within 24 hours
  1. All clients who have diabetes with neuropathy must be seen at Sheldon Chumir. Once a care plan is in place, client may receive service at one of four satellite clinics.
  2. Clients without a diagnosis must be seen at Sheldon Chumir.
  3. Clients who do not have a family physician cannot be seen at Sheldon Chumir. The client can be seen at one of the Community Wound Clinics.
  4. Sheldon Chumir is a consultative service only, clients must be existing Home Care client with a case manager.
All Wound Care clinic referrals are received and processed through Community Care Access.

New referrals are processed based on urgency.
Low - within 7 days
Medium - within 3 days
High - within 24 hours
ELIGIBILITY REQUIREMENTS
Clients receiving Home Care services in the Calgary zone with complex chronic wounds.
Clients receiving Home Care services in the Calgary zone with complex chronic wounds.
REFERRAL FORM
All Wound Care clinic referrals are received and processed through Community Care Access.

Integrated Home Care Physician Referral Form
All Wound Care clinic referrals are received and processed through Community Care Access.

Integrated Home Care Physician Referral Form
PHONE
403-943-1920 (Community Care Access)
FAX
403-943-1602 (Fax referrals to)
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
Chronic venous insufficiency
Past medical history
| Within 1 month

Diabetic foot ulcer
Past medical history
| Within 1 month

Diabetic neuropathy
Past medical history
| Within 1 month

Donor graft
Past medical history
| Within 1 month

Peripheral vascular disease
Past medical history
| Within 1 month

Pressure ulcer
Past medical history
| Within 1 month
ADDITIONAL SERVICE DETAILS
The Process for Referral to Integrated Home Care for Skin and Wound Conditions
(Please review Routine Referral Process)
  • Examples of secondary assessments: WCP, ICCP, BWAT, Braden
  • Sheldon Chumir is a consultative clinic only.
  • Community Wound Clinics are consultative & capacity for IHC.
  • Examples of admission documentation: comprehensive assessment, medication reconciliation, programs of care, chart location, etc.
  • In Rural, the CCA may be a secretary or Care Manager. 
Fees
Clients have to pay for dressing supplies. If client eligible for the shoe program or compression hosiery through AADL, the client cost share is 25% of the total amount.

COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within 2 calendar days.
 
Communication of appointment details or wait list status to patient and 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.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
DIRECTIONS
Sheldon M. Chumir Health Centre is located in downtown Calgary at the intersection of 12 Avenue SW and 4 Street SW.
Sheldon M. Chumir Health Centre is located in downtown Calgary at the intersection of 12 Avenue SW and 4 Street SW.
PARKING INSTRUCTIONS
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially  issued placards for persons with disabilities.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially  issued placards for persons with disabilities.
ADDRESS
4th Floor
1213 4 Street SW
Calgary Alberta
T2R 0X7
HOURS OF OPERATION
Monday: 8:00 am - 4:15 pm
Tuesday: 8:00 am - 4:15 pm
Wednesday: 8:00 am - 4:15 pm
Thursday: 8:00 am - 4:15 pm
Friday: 8:00 am - 4:15 pm
Saturday: 8:00 am - 4:15 pm
Sunday: 8:00 am - 4:15 pm
   
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible and has an elevator on site.


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.

 

V4.13