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Palliative Community Consult Team   at
Edmonton Zone and Area
Connect Care Specialty: Palliative Medicine
Connect Care Department: EDM SSP PEOLC CONSULT COMM
Estimated time to routine appointment: Within 1 week
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
The Edmonton Zone Palliative Community Consult Team (EZPCCT) offers specialized palliative care consultation for adults diagnosed with a life limiting illness.EZPCCT is a team of consultants that consist of palliative care physicians, nurse practitioners, and registered nurses. The EZPCCT consultants assess persons in their homes, supportive and facility living settings and in other community-based facilities. The palliative care consultants collaborate with the person's current medical providers to manage symptoms and to assist the person on their illness journey. The person's Primary Health Care Provider remains the Most Responsible Provider.

Once a referral is received, the EZPCCT consultants contact the person / caregiver(s) to set up an appointment; usually between 1-3 business days.
Consults may be requested by physicians or nurse practitioners. Examples of services include:
  • complex symptom assessment and management advice (e.g., pain, nausea, anxiety, shortness of breath, psychosocial and emotional distress)
  • conversations to help clarify conflicting wishes and future and end of life care planning
  • hospice assessments and information about hospice admission
  • palliative care consultants also assist when a person needs to be admitted to an Edmonton Zone hospice from another part of Alberta
The Edmonton Zone Palliative Community Consult Team (EZPCCT) offers specialized palliative care consultation for adults diagnosed with a life limiting illness.EZPCCT is a team of consultants that consist of palliative care physicians, nurse practitioners, and registered nurses. The EZPCCT consultants assess persons in their homes, supportive and facility living settings and in other community-based facilities. The palliative care consultants collaborate with the person's current medical providers to manage symptoms and to assist the person on their illness journey. The person's Primary Health Care Provider remains the Most Responsible Provider.

Once a referral is received, the EZPCCT consultants contact the person / caregiver(s) to set up an appointment; usually between 1-3 business days.
Consults may be requested by physicians or nurse practitioners. Examples of services include:
  • complex symptom assessment and management advice (e.g., pain, nausea, anxiety, shortness of breath, psychosocial and emotional distress)
  • conversations to help clarify conflicting wishes and future and end of life care planning
  • hospice assessments and information about hospice admission
  • palliative care consultants also assist when a person needs to be admitted to an Edmonton Zone hospice from another part of Alberta
ROUTINE REFERRAL PROCESS
The physician or nurse practitioner completes the attached referral form and faxes the form to Continuing Care Access at 780-496-8438 or calls Continuing Care Access at 780-496-1300 requesting a referral to the palliative community consult team.  A consultant will follow up with the referring clinician in writing or by phone.

EZPCCT clinicians will contact the person/caregiver(s) in accordance with the level of urgency and availability (e.g. 24-72 hours).
The physician or nurse practitioner completes the attached referral form and faxes the form to Continuing Care Access at 780-496-8438 or calls Continuing Care Access at 780-496-1300 requesting a referral to the palliative community consult team.  A consultant will follow up with the referring clinician in writing or by phone.

EZPCCT clinicians will contact the person/caregiver(s) in accordance with the level of urgency and availability (e.g. 24-72 hours).
URGENT REFERRAL PROCESS
  • During regular hours of operations (Monday to Friday 0800-1615) call EZPCCT at 780-613-7000 and ask to speak to the palliative triage physician for an urgent referral.

  • After hours and Statutory Holidays: To obtain advice from an on call palliative care physician after regular business hours, call RAPPID North at 780-735-0811 or 1-800-282-9911, or EZ Continuing Care Access at 780 496-1300 and ask to speak with the palliative care physician on call.
  • During regular hours of operations (Monday to Friday 0800-1615) call EZPCCT at 780-613-7000 and ask to speak to the palliative triage physician for an urgent referral.

  • After hours and Statutory Holidays: To obtain advice from an on call palliative care physician after regular business hours, call RAPPID North at 780-735-0811 or 1-800-282-9911, or EZ Continuing Care Access at 780 496-1300 and ask to speak with the palliative care physician on call.
EMERGENCY REFERRAL PROCESS
Direct clients to the nearest Emergency Department if they are experiencing a serious illness or injury.
Direct clients to the nearest Emergency Department if they are experiencing a serious illness or injury.
ELIGIBILITY REQUIREMENTS
  • Adult clients 18 years or older
  • Have a life limiting illness that could include but is not limited to cancer, neurological disorders, dementia, COPD, CHF, liver disease, end stage organ failure.
  • Clients no longer receiving treatment at the Cross Cancer Institute (CCI) (documented as no further recall).
    • Clients who continue to receive treatment or active surveillance at the Cross Cancer Institute will continue to be followed by the CCI palliative consult team.
  • Adult clients 18 years or older
  • Have a life limiting illness that could include but is not limited to cancer, neurological disorders, dementia, COPD, CHF, liver disease, end stage organ failure.
  • Clients no longer receiving treatment at the Cross Cancer Institute (CCI) (documented as no further recall).
    • Clients who continue to receive treatment or active surveillance at the Cross Cancer Institute will continue to be followed by the CCI palliative consult team.
COMMUNICATION PROCESS
 
PHONE
780-613-7000
REFERRAL RESOURCES
Connect MD
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
+-
Admission assessment
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Admission assessment for Hospice
  • Admission assessment for Tertiary Palliative Care Unit
+-
Symptom control
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Symptom assessment and provide recomendations for management.
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
The EZPCCT will reschedule missed appointments with the person/caregiver.
The EZPCCT will reschedule missed appointments with the person/caregiver.
 
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
Description:
The Palliative Community Consult Nurses work Monday through Friday from 8:00 AM - 4:15 PM
The CCEZ Palliative Community Consult physicians vary in hours during the weekdays.

Palliative consult physicians across acute / community rotate evenings and weekends.
   
 
ADDRESS

Edmonton
Alberta
T5B 0C2
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Not applicable to this service. The EZPCCT is a community based service. Patients/clients are assessed in their current setting.
Not applicable to this service. The EZPCCT is a community based service. Patients/clients are assessed in their current setting.
 
PHONE
780-613-7000
 
PARKING INSTRUCTIONS
Not applicable to this service. The EZPCCT is a community based service. Patients/clients are assessed in their current setting.
Not applicable to this service. The EZPCCT is a community based service. Patients/clients are assessed in their current setting.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
Not applicable to this service. The EZPCCT is a community based service. Patients/clients are assessed in their current setting.
Not applicable to this service. The EZPCCT is a community based service. Patients/clients are assessed in their current setting.
 
WHEELCHAIR ACCESSIBILITY
N/A

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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