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This healthcare service has 1 current healthcare service locations.
Upper Limb (Hand Wrist Elbow) Centralized Access - Facilitated Access to Specialized Treatment (FAST)   at
Edmonton Zone and Area
Central Access Healthcare Service
Specialty: Hand Surgery
Connect Care Department: EDMONTON ZONE HAND WRI ELB CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Edmonton Zone
CENTRAL ACCESS SERVICES
Referrals for Upper Limb (Hand, Wrist, Elbow) Surgery in the Edmonton Zone are accepted through the Facilitated Access to Specialized Treatment (FAST) centralized access program. The program improves patient access to specialty care by centralizing referral intake, ensuring referrals are complete, and distributing referrals to specialists. Referring providers can choose a next-available surgeon with the shortest waitlist; a specific surgeon, clinic, or site; or an out-of-zone provider. FAST receives the surgical referrals, reviews them for completeness and duplication, and then sends them to appropriate surgeons for triage and booking.
Referrals for Upper Limb (Hand, Wrist, Elbow) Surgery in the Edmonton Zone are accepted through the Facilitated Access to Specialized Treatment (FAST) centralized access program. The program improves patient access to specialty care by centralizing referral intake, ensuring referrals are complete, and distributing referrals to specialists. Referring providers can choose a next-available surgeon with the shortest waitlist; a specific surgeon, clinic, or site; or an out-of-zone provider. FAST receives the surgical referrals, reviews them for completeness and duplication, and then sends them to appropriate surgeons for triage and booking.
ELIGIBILITY REQUIREMENTS
Review reasons for referral table below for eligibility requirements.
Review reasons for referral table below for eligibility requirements.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form or letter and fax it to the service using the contact information in this profile.  Please follow the QuRE checklist.  Please include the mandatory and extra information listed in the Provincial Adult Orthopedic & Spine Referral Pathway.
OR
Submit referral via Alberta Netcare eReferral – see Quick Reference Guide for details.
Complete the referral form or letter and fax it to the service using the contact information in this profile.  Please follow the QuRE checklist.  Please include the mandatory and extra information listed in the Provincial Adult Orthopedic & Spine Referral Pathway.
OR
Submit referral via Alberta Netcare eReferral – see Quick Reference Guide for details.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Hand Surgery, type EDMONTON ZONE HAND WRI ELB CAT in the “To Department” section and complete order. 
Send an Internal Referral using the Ambulatory Referral Order to Hand Surgery, type EDMONTON ZONE HAND WRI ELB CAT in the “To Department” section and complete order. 
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
ADDITIONAL SERVICE DETAILS
Learn more about FAST at ahs.ca/FAST
Learn more about FAST at ahs.ca/FAST
 
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
Investigation Timing
Additional Details
Arthritis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Arthritis of elbow
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Arthritis - Elbow

Arthritis of hand
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Specific to Thumb or Finger Arthritis

Arthritis of wrist
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Boutonnière deformity
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Carpal tunnel syndrome
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Chronic pain of soft tissue of elbow region
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Chronic soft tissue pain - Elbow
Includes: Lateral and medial epicondylosis

Compression neuropathy of upper limb
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Deformity of hand due to rheumatoid arthritis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Dislocation
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Date of Injury
 
Relevant

Dislocation
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Dupuytren's contracture
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Elbow joint instability
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Entrapment with compression of peripheral nerve at wrist and/or hand
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Entrapment Neuropathy of Upper Limb (Hand Numbness)
Includes: Carpal tunnel syndrome, ulnar neuropathy, Radial neuropathy

Finger joint stiff
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Fracture
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Date of Injury
 
Relevant
Injuries <4 weeks should be referred to the on-call surgeon (Plastics at UAH/RAH or Orthopedics at Sturgeon/WULF)

Fracture malunion - upper arm
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Kienböck's disease
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Lesion of bone
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

  • Plain radiographs of entire bone
  • Aggressive lesion & age ≥ 40 requires metastatic disease work-up:
    • CT Chest/abdomen/pelvis
    • Bone scan
    • Bloodwork: Serum Protein Electrophoresis (SPEP), Prostate specific antigen (PSA) for males only.
    • if above investigations show that there is only a solitary lesion, then urgent MRI results required.
  • Aggressive lesion & age <40 requires urgent CT or MRI
 
N/A
LESION OF BONE
  • Send referral to Zone FAST Team
  • Urgent MRI should be accompanied by a phone call to radiology to help expedite

Ligament injury
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Loose body in elbow joint
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Loose body in joint of upper arm
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Lunotriquetral ligament
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Mallet finger
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Malunion of fracture
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Date of Injury
 
Relevant

Mass of elbow region
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Mass (Tumor or Lump) - Elbow

Mass of hand
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Mass of upper limb
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Mass of wrist
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Median neuropathy
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Nondegenerative disorder of elbow joint
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Non-degenerative Joint Pathology (Non-arthritic) - Elbow

Nonunion of fracture
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Olecranon bursitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Olecranon Bursitis
Includes: Gouty tophi

Orthopedic hardware of shoulder region in situ
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Retained Orthopaedic Hardware - Shoulder

Osteoarthritis of elbow
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Pain in wrist
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Specifically undiagnosed

Radial neuropathy
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Rupture of biceps tendon
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Date of Injury
 
Relevant

Rupture triceps tendon
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Date of Injury
 
Relevant

Scapholunate ligament
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Shoulder joint instability
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Instability - Shoulder

Shoulder pain
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Pain - Shoulder

Shoulder stiff
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant
Stiffness - Shoulder

Soft tissue mass
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

  • Small (<1cm) & superficial
    • Biopsy (incisional/excisional) or selective MRI based on clinical concern
  • Deep, large (> 1 cm) or rapid growth
    • urgent MRI results
 
N/A
SOFT TISSUE MASS
(Suspected/Confirmed malignancy)
  • Send referral to Zone FAST Team.
  • Urgent MRI should be accompanied by a phone call to radiology to help expedite.

Stiffness
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Synovial mass
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

MRI results
 
N/A
SYNOVIAL MASS
Includes: Pigmented villonodular synovitis (PVNS), osteochondromatosis

Send referral to Zone FAST Team

Tendinitis of elbow or forearm
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Tendinitis of wrist
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Tendon laceration
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Date of Injury
 
Relevant

Tenosynovitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Trigger finger
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Tumor of upper limb
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Duration
 
Relevant

Ulnar neuropathy
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant

Indicate associated elbow stiffness/arthritis
 
Relevant
Note: peripheral nerve injuries should be referred to the Glenrose Peripheral Nerve Injury Clinic (Tel 780-735-8811, Fax 780-735-8873)

Wrist joint instability
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Location
 
Relevant


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.

 

V6.6