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Facilitated Access to Specialized Treatment (FAST) Program - Urology   at
Alberta Wide
Estimated time to routine appointment: Not Available
Alberta Health Services - Provincial Health Services
SERVICE DESCRIPTION
This program is a provincial central access and intake program for surgical referrals.When referring to FAST, 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.

FAST is being implemented in phases, with all surgical specialties being added to all Zones over time.

For more information about FAST, go to ahs.ca/FAST.
This program is a provincial central access and intake program for surgical referrals.When referring to FAST, 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.

FAST is being implemented in phases, with all surgical specialties being added to all Zones over time.

For more information about FAST, go to ahs.ca/FAST.
ROUTINE REFERRAL PROCESS
Professional referral required. Please review the Provincial Adult Urology Referral Pathway for instructions and any labs and diagnostic imaging required with your referral.
Professional referral required. Please review the Provincial Adult Urology Referral Pathway for instructions and any labs and diagnostic imaging required with your referral.
URGENT REFERRAL PROCESS
Urgent Advice - Patient may need to be seen immediately. Patients with conditions that require same day intervention and/or diagnostics but not hospitalizations and not life threatening.
  • North Zone: Call RAAPID North: 1-800-282-9911.
  • Edmonton Zone: Call RAAPID North: 1-800-282-9911.
  • Central Zone: For patients North of Red Deer, call RAAPID North: 1-800-282-9911. For patients in and South of Red Deer, call RAAPID South: 1-800-661-1700.
  • Calgary Zone: RAAPID 1-800-661-1700
  • South Zone: Call RAAPID 1-800-661-1700 or Surgeon on Call.
Urgent Advice - Patient may need to be seen immediately. Patients with conditions that require same day intervention and/or diagnostics but not hospitalizations and not life threatening.
  • North Zone: Call RAAPID North: 1-800-282-9911.
  • Edmonton Zone: Call RAAPID North: 1-800-282-9911.
  • Central Zone: For patients North of Red Deer, call RAAPID North: 1-800-282-9911. For patients in and South of Red Deer, call RAAPID South: 1-800-661-1700.
  • Calgary Zone: RAAPID 1-800-661-1700
  • South Zone: Call RAAPID 1-800-661-1700 or Surgeon on Call.
EMERGENCY REFERRAL PROCESS
Emergency Consultation - Patient NEEDS to be seen immediately.
Send to emergency for: Acute Scrotal Pain, Testicular Torsion, Acute Renal Colic with FEVER, Genitourinary Trauma, Genitourinary Tract Foreign Body.
  • North Zone: Call RAAPID or send to Emergency Department as appropriate.
  • Edmonton Zone: Call RAAPID or send to Emergency Department as appropriate.
  • Central Zone: Call RAAPID or send to Emergency Department as appropriate.
  • Calgary Zone: Call RAAPID or send to Emergency Department as appropriate.
  • South Zone: Call RAAPID or send to Emergency Department as appropriate.
Emergency Consultation - Patient NEEDS to be seen immediately.
Send to emergency for: Acute Scrotal Pain, Testicular Torsion, Acute Renal Colic with FEVER, Genitourinary Trauma, Genitourinary Tract Foreign Body.
  • North Zone: Call RAAPID or send to Emergency Department as appropriate.
  • Edmonton Zone: Call RAAPID or send to Emergency Department as appropriate.
  • Central Zone: Call RAAPID or send to Emergency Department as appropriate.
  • Calgary Zone: Call RAAPID or send to Emergency Department as appropriate.
  • South Zone: Call RAAPID or send to Emergency Department as appropriate.
ELIGIBILITY REQUIREMENTS
  1. Review clinical pathways for your patient’s condition if available.
  2. Submit referral:
    • North/South/Central/Calgary Zones: 
      • If a referral is appropriate AND you will submit via FAST:
        1. Review the Provincial Adult Urology Referral Pathway.
        2. Include the new FAST urology referral form completing both pages or completing pg. 1 and attaching a referral letter. In your letter, specify if you want a next available provider with the shortest wait time, or a named provider, clinic, site, or an out of zone provider.
        3. Attach all labs and diagnostic imaging from above listed the Referral Pathway.
        4. Submit Referrals by:
          • Fax, or
          • Alberta Netcare eReferral, or
          • Connect Care - Use Outgoing Referral process. Refer to this document for interim state instructions on how to refer to FAST using Connect Care.
    • Edmonton Zone: Edmonton Zone urology is NOT on FAST.
      1. Review the Provincial Adult Urology Referral Pathway.
      2. Complete the form within eReferral or Connect Care.
      3. Attach all labs and diagnostic imaging from the above listed Referral Pathway.
      4. Submit referral by:
        • Alberta Netcare eReferral, or
        • Connect Care - Use Internal Referral process. Refer to this document for interim state instructions on how to refer to FAST using Connect Care.
  1. View the patient’s referral in Alberta Netcare.
  1. Review clinical pathways for your patient’s condition if available.
  2. Submit referral:
    • North/South/Central/Calgary Zones: 
      • If a referral is appropriate AND you will submit via FAST:
        1. Review the Provincial Adult Urology Referral Pathway.
        2. Include the new FAST urology referral form completing both pages or completing pg. 1 and attaching a referral letter. In your letter, specify if you want a next available provider with the shortest wait time, or a named provider, clinic, site, or an out of zone provider.
        3. Attach all labs and diagnostic imaging from above listed the Referral Pathway.
        4. Submit Referrals by:
          • Fax, or
          • Alberta Netcare eReferral, or
          • Connect Care - Use Outgoing Referral process. Refer to this document for interim state instructions on how to refer to FAST using Connect Care.
    • Edmonton Zone: Edmonton Zone urology is NOT on FAST.
      1. Review the Provincial Adult Urology Referral Pathway.
      2. Complete the form within eReferral or Connect Care.
      3. Attach all labs and diagnostic imaging from the above listed Referral Pathway.
      4. Submit referral by:
        • Alberta Netcare eReferral, or
        • Connect Care - Use Internal Referral process. Refer to this document for interim state instructions on how to refer to FAST using Connect Care.
  1. View the patient’s referral in Alberta Netcare.
COMMUNICATION PROCESS
  • Communication of referral receipt to referral source will occur within 7 calendar days.
 
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
Abnormal DRE
< 4 Weeks
  • Abnormal DRE – (new diagnosis)

Adrenal mass
< 4 Weeks

Bladder diverticulum

Bladder fistula
< 1 Month
  •  Bladder Fistula Documented

Bladder mass
< 2 Weeks

Bladder stone
< 3 Months

Dysfunctional voiding of urine
< 6 Months
  • Female Voiding Dysfunction

Elevated PSA with no previous cancer
< 4 Weeks

Elevated PSA with previous cancer
< 4 Weeks

Epididymal cyst
< 6 Months
  • Epididymal Cyst Symptomatic > 1 cm Spermatocele

Erectile dysfunction
< 6 Months

Female urinary-genital tract fistula
< 3 Months

Foreskin problem
< 3 Months

Hematospermia
< 6 Months

Hematuria - gross
< 2 Weeks

Hematuria - microscopic
< 2 Weeks
  • Hematuria Microscopic (3 or greater rbc/hpf)

Hydrocele of testis
< 6 Months

Hydronephrosis
< 4 Weeks

Hypospadias

LUTS - Lower urinary tract symptoms
< 2 Weeks
  • Includes BPH, Urethral Strictures, Prostatitis, Male Chronic Pelvic Pain

Male infertility
< 3 Months

Male sexual dysfunction
< 6 Months
  • Includes Low testosterone, Hypogonadism, Ejaculatory dysfunction, Rapid ejaculation

Neurogenic bladder
< 6 Months

Non-obstructive kidney stone
< 3 Months
Kidney stone - Non-obstructive

Overactive bladder
< 6 Months

Penile mass
< 2 Weeks
  • Penile Mass Cancer Concern

Persistent testicular pain
< 6 Months
  • Testicular Pain Chronic (Non-STD) for STD related pain refer to zonal STD clinic

Peyronie's disease
< 6 Months

Recurrent urinary tract infection
< 6 Months
  • Recurrent Urinary Tract Infections (UTI)

Renal cyst
< 2 Weeks

Renal mass greater than 4 cm
< 2 Weeks

Renal mass less than 4 cm
< 8 Weeks

Testicular mass
< 1 Week

Testicular microlithiasis
< 6 Months

Undescended testicle
  • Undescended Testicle with Negative BHCG and AFP

Urachal cyst

Ureteric stone
< 2 Weeks
Kidney Stone (Acute/Ureteric)

Urethral syndrome
  • Urethral disorder (female)

Urinary incontinence
< 6 Months

Urinary retention - acute
< 2 Weeks
  • Urinary Retention Acute (with indwelling catheter)

Vaginal wall prolapse
< 6 Months

Varicocele
< 6 Months
  • Varicocele must be symptomatic and clinically detectable on physical exam

Vasectomy
< 6 Months

Vasectomy reversal
< 6 Months
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
 
HOURS OF OPERATION
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Description:
Operating from Monday to Friday

North Zone: 8:00 AM - 4:30 PM

Central Zone: 8:00 AM - 4:15 PM

Calgary Zone: 7:00 AM - 3:15 PM

South Zone: 7:30 AM - 3:45 PM
   
 
ADDRESS

Alberta
T5K 2B6
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Details will be provided once the appointment is scheduled.
Details will be provided once the appointment is scheduled.
 
PHONE
TOLL FREE PHONE
1-833-553-3278
 
PARKING INSTRUCTIONS
Details will be provided once the appointment is scheduled.
Details will be provided once the appointment is scheduled.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
Details will be provided once the appointment is scheduled.
Details will be provided once the appointment is scheduled.
 
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.

 

V5.0