Community Accessible Rehabilitation (CAR) - Neurological Rehabilitation   at
Sheldon M. Chumir Health Centre
Connect Care Specialty: Rehabilitation
Connect Care Department: CGY SMCC COMM ACCESS REHAB
Estimated time to routine appointment: Within 3 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
CAR Neuro is a specialized rehabilitation service for people with complex neurological conditions or injuries.Short term rehabilitation program for adults who recently experienced a neurological event or who have a neurological condition, who would benefit from an active rehabilitation program with an interdisciplinary team. Rehabilitation focus is to support clients in addressing their goals to improve function and independence or return to meaningful activity / roles. This may include:
  • one-on-one and/or group interventions
  • education
  • exercise
  • self-management strategies
  • where appropriate, connection with community resources
CAR Neuro is a specialized rehabilitation service for people with complex neurological conditions or injuries.Short term rehabilitation program for adults who recently experienced a neurological event or who have a neurological condition, who would benefit from an active rehabilitation program with an interdisciplinary team. Rehabilitation focus is to support clients in addressing their goals to improve function and independence or return to meaningful activity / roles. This may include:
  • one-on-one and/or group interventions
  • education
  • exercise
  • self-management strategies
  • where appropriate, connection with community resources
ROUTINE REFERRAL PROCESS
Clients must meet the eligibility criteria for Community Accessible Rehabilitation (CAR) Neurological Rehabilitation (see below) and be referred by a healthcare provider currently involved in their care.
Access Community Accessible Rehabilitation (CAR) - Central Access and Triage  on Alberta Referral Directory or use the link below to the referral form.
Connect Care providers, see below for referral process.
Clients must meet the eligibility criteria for Community Accessible Rehabilitation (CAR) Neurological Rehabilitation (see below) and be referred by a healthcare provider currently involved in their care.
Access Community Accessible Rehabilitation (CAR) - Central Access and Triage  on Alberta Referral Directory or use the link below to the referral form.
Connect Care providers, see below for referral process.
URGENT REFERRAL PROCESS
All referrals will be triaged to determine level of urgency.
All referrals will be triaged to determine level of urgency.
EMERGENCY REFERRAL PROCESS
Community Accessible Rehabilitation does not provide services on an emergency basis.  Direct patients to the nearest Emergency Department or Urgent Care Facility.
Community Accessible Rehabilitation does not provide services on an emergency basis.  Direct patients to the nearest Emergency Department or Urgent Care Facility.
ELIGIBILITY REQUIREMENTS
Clients who are being referred to CAR for Neuro Rehabilitation must meet the following criteria:
  • ≥18 years of age
  • The client has identified functional goals that are appropriate for a time limited outpatient rehabilitation program that cannot be addressed through other public resources
  • Requires individualized specialty interventions
  • Requires at least one of: Occupational Therapy (OT), Physiotherapy (PT) or Speech-Language Pathology (SLP)
  • Demonstrates “rehab readiness”:
    • Medically stable
    • Physically and cognitively able to participate in an active rehabilitation program
      • Safe to participate in light to moderate intensity exercise
      • Cognitive capacity to actively participate in a rehabilitation program, e.g., able to demonstrate carryover of new skills between sessions
    • Demonstrates appropriate behaviours and motivation to achieve rehabilitation goals
Referrals that do not meet the above criteria will be considered on a case by case basis.

Exclusion Criteria (not eligible for CAR Neuro Rehab):
  • Clients who require longer term, slow stream rehab or maintenance
  • Previously completed treatment at CAR and:
    • has no change in level of function since discharge from CAR, or
    • has no recent change in medical status supporting re-referral for active rehabilitation, or
    • no longer meets CAR Neuro Eligibility Criteria
  • Stand-alone referrals for
    • Social Work, Psychology or Recreation Therapy
    • completion of forms for social support
    • dysphagia
    • cognitive assessment/reassessment
  • Diagnosis of:
    • dementia
    • development delay
    • dystonia
    • Functional Neurological Disorder (primary)
  • Individuals who require 24/7 personal care support
    • Includes residents of LTC or SL3/4 facilities      
    • Exception: specialized upper extremity splinting
  • Referrals for:
    • Functional Capacity Evaluation (FCE)
    • Future Cost of Care assessment
    • Assessment to live independently (ADLs/Home safety)
    • Home based treatment, in home assessments/equipment assessment
  • Client rehabilitation needs can be more appropriately met through other AHS programs or private service providers.  For example:
    • Followed by the Palliative Care team
    • Calgary Voice Program
    • Seating Clinic
    • Private services funded by Section B
For inquiries or to discuss referral appropriateness, contact CAR Central Access and Triage (telephone:  403-943-0279).
Clients who are being referred to CAR for Neuro Rehabilitation must meet the following criteria:
  • ≥18 years of age
  • The client has identified functional goals that are appropriate for a time limited outpatient rehabilitation program that cannot be addressed through other public resources
  • Requires individualized specialty interventions
  • Requires at least one of: Occupational Therapy (OT), Physiotherapy (PT) or Speech-Language Pathology (SLP)
  • Demonstrates “rehab readiness”:
    • Medically stable
    • Physically and cognitively able to participate in an active rehabilitation program
      • Safe to participate in light to moderate intensity exercise
      • Cognitive capacity to actively participate in a rehabilitation program, e.g., able to demonstrate carryover of new skills between sessions
    • Demonstrates appropriate behaviours and motivation to achieve rehabilitation goals
Referrals that do not meet the above criteria will be considered on a case by case basis.

Exclusion Criteria (not eligible for CAR Neuro Rehab):
  • Clients who require longer term, slow stream rehab or maintenance
  • Previously completed treatment at CAR and:
    • has no change in level of function since discharge from CAR, or
    • has no recent change in medical status supporting re-referral for active rehabilitation, or
    • no longer meets CAR Neuro Eligibility Criteria
  • Stand-alone referrals for
    • Social Work, Psychology or Recreation Therapy
    • completion of forms for social support
    • dysphagia
    • cognitive assessment/reassessment
  • Diagnosis of:
    • dementia
    • development delay
    • dystonia
    • Functional Neurological Disorder (primary)
  • Individuals who require 24/7 personal care support
    • Includes residents of LTC or SL3/4 facilities      
    • Exception: specialized upper extremity splinting
  • Referrals for:
    • Functional Capacity Evaluation (FCE)
    • Future Cost of Care assessment
    • Assessment to live independently (ADLs/Home safety)
    • Home based treatment, in home assessments/equipment assessment
  • Client rehabilitation needs can be more appropriately met through other AHS programs or private service providers.  For example:
    • Followed by the Palliative Care team
    • Calgary Voice Program
    • Seating Clinic
    • Private services funded by Section B
For inquiries or to discuss referral appropriateness, contact CAR Central Access and Triage (telephone:  403-943-0279).
ADDITIONAL SERVICE DETAILS
  • Clients must arrange their own transportation to appointments.
  • Clients requiring a support person must attend with the support person.
  • Language line (translation) services are available.
    If you require a new splint, note that the average cost is $30-50 which is not covered by Alberta Health.  The therapist will discuss it with you at the time. You will receive a bill in the mail and will not have to pay at the appointment. If you already have a splint, please bring this or any other splint that you wear, to the appointment with you.
  • Clients must arrange their own transportation to appointments.
  • Clients requiring a support person must attend with the support person.
  • Language line (translation) services are available.
    If you require a new splint, note that the average cost is $30-50 which is not covered by Alberta Health.  The therapist will discuss it with you at the time. You will receive a bill in the mail and will not have to pay at the appointment. If you already have a splint, please bring this or any other splint that you wear, to the appointment with you.
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 10 calendar days.
 
PHONE
403-943-0279 (Central Intake)
FAX
403-943-0578
REFERRAL FAX
403-943-0578
REFERRAL FORM
Community Accessible Rehabilitation Neuro Referral form faxed to 403-943-0578
Steps to send a referral to CAR in Connect Care:
(To request tip sheet with screen shots call 403-943-0279)
  1. Select +Add Order at the bottom left of your Encounter.
  2. Type in “Rehabilitation” or the quick code “REF141” in the “+ add order” box and press enter.
  3. Select “Ambulatory Referral to Rehabilitation” under the “after visit procedures” heading and click “Accept”.
  4. Complete the CAR referral by filling in the necessary fields:
    1. By Provider: name of referring provider
    2. To Dept Spec: keep as ‘Rehabilitation’
    3. To Dept: enter CALGARY ZONE COM ACC REHAB CAT (or 102110)
    4. To Provider: leave blank
    5. Reason: Neurological Rehabilitation (for CAR referrals DO NOT enter diagnosis)
    6. Priority: leave as ‘routine’
    7. Type: leave as ‘consultation’
    8. Select the functional problems the client is experiencing
    9. Indicate whether or not the client is aware of the referral and able to participate
    10. Patient’s current status: select as appropriate
    11. Referred on date: enter date
    12. Is the referral for a new problem: select as appropriate
    13. Comments: enter smartphrase .carneuroreferral (Add this to your smartphrases:  SmartPhrase Manager → SmartPhrase Lookup, type carneuroreferral → Accept → + Add Me)
Tip:  Click on the magnify glass or press F3 to enlarge the comment box.
  1. Accept and Sign the order
  2. Complete ordering information as per your clinic workflow
Community Accessible Rehabilitation Neuro Referral form faxed to 403-943-0578
Steps to send a referral to CAR in Connect Care:
(To request tip sheet with screen shots call 403-943-0279)
  1. Select +Add Order at the bottom left of your Encounter.
  2. Type in “Rehabilitation” or the quick code “REF141” in the “+ add order” box and press enter.
  3. Select “Ambulatory Referral to Rehabilitation” under the “after visit procedures” heading and click “Accept”.
  4. Complete the CAR referral by filling in the necessary fields:
    1. By Provider: name of referring provider
    2. To Dept Spec: keep as ‘Rehabilitation’
    3. To Dept: enter CALGARY ZONE COM ACC REHAB CAT (or 102110)
    4. To Provider: leave blank
    5. Reason: Neurological Rehabilitation (for CAR referrals DO NOT enter diagnosis)
    6. Priority: leave as ‘routine’
    7. Type: leave as ‘consultation’
    8. Select the functional problems the client is experiencing
    9. Indicate whether or not the client is aware of the referral and able to participate
    10. Patient’s current status: select as appropriate
    11. Referred on date: enter date
    12. Is the referral for a new problem: select as appropriate
    13. Comments: enter smartphrase .carneuroreferral (Add this to your smartphrases:  SmartPhrase Manager → SmartPhrase Lookup, type carneuroreferral → Accept → + Add Me)
Tip:  Click on the magnify glass or press F3 to enlarge the comment box.
  1. Accept and Sign the order
  2. Complete ordering information as per your clinic workflow
LINKED SPECIALISTS
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
+-
Neurological injury
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Functional limitations
 
current
Medical discharge report
 
current
Rehab discharge report
 
current
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
  • CAR requires 48 hours notification in order to reschedule a cancelled appointment.
  • Clients who do not show for their initial appointment and do not call within 48h to re-book will require a new referral.
  • Clients who miss two or more appointments will need a new referral
  • CAR requires 48 hours notification in order to reschedule a cancelled appointment.
  • Clients who do not show for their initial appointment and do not call within 48h to re-book will require a new referral.
  • Clients who miss two or more appointments will need a new referral
 
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
Description:
Cloased Statutory holidays.
   
 
ADDRESS
1213 4 Street SW
Calgary Alberta
T2R 0X7
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS

The building is located on the corner of 4th Street and 12thAvenue, across from Central Memorial Park. Underground parking is available onthe west side of the building, to the right of the Urgent Care entrance, and there is also paid street parking. Take the main elevators up to the 4th floor. When you get off the elevator, turn towards the large windows and you will see theRegistration desk.

The building is located on the corner of 4th Street and 12thAvenue, across from Central Memorial Park. Underground parking is available onthe west side of the building, to the right of the Urgent Care entrance, and there is also paid street parking. Take the main elevators up to the 4th floor. When you get off the elevator, turn towards the large windows and you will see theRegistration desk.

 
PHONE
403-943-0279 (Central Intake)
 
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.
Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
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 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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