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This healthcare service has 1 current healthcare service locations.
Early Pregnancy Assessment - Central Access and Triage   at
Calgary Zone and Area
Central Access Healthcare Service
Connect Care Specialty: Obstetrics and Gynecology
Connect Care Department: CALGARY ZONE EPA CAT
Alberta Health Services - Calgary Zone
CENTRAL ACCESS SERVICES
The Early Pregnancy Assessment (EPA) Central Access and Triage service provides a single point of contact to triage and process incoming referrals to EPA clinics within the Calgary zone.
Offers assessment and management of confirmed or suspected loss of pregnancy less than 12 weeks gestational age as diagnosed by ultrasound. Once triaged, referrals are allocated to EPA resources in the zone. Services are offered at Foothills Medical Centre and South Health Campus.
The Early Pregnancy Assessment (EPA) Central Access and Triage service provides a single point of contact to triage and process incoming referrals to EPA clinics within the Calgary zone.
Offers assessment and management of confirmed or suspected loss of pregnancy less than 12 weeks gestational age as diagnosed by ultrasound. Once triaged, referrals are allocated to EPA resources in the zone. Services are offered at Foothills Medical Centre and South Health Campus.
ROUTINE REFERRAL PROCESS
Review eligibility requirements and referral guidelines below before making a referral to this service.
Referral can be submitted through:
  • Fax: Non-Connect Care users complete the referral form and fax it using the number on this profile
  • Connect Care: Use the Ambulatory Referral Order to the respective specialty in Connect Care.

Please include current patient contact information, date of birth, health care number and printed name of referring doctor with PRACID #.
 
The clinic staff will contact patient to book appointment.  Patients are assessed during this appointment and are offered conservative, medical, or surgical management.  We do not arrange for surgical management prior to assessment in our clinic.
 
Pregnancy & Infant Loss Support:
We offer individual, couple, and group counselling.  Memorial and Remembrance service events are held throughout the year.  Self-referrals are accepted.  Phone: 403-944-2274  Website: Pregnancy & Infant Loss - Grief Support Women's Health Ambulatory Care, Foothills Medical Centre
Review eligibility requirements and referral guidelines below before making a referral to this service.
Referral can be submitted through:
  • Fax: Non-Connect Care users complete the referral form and fax it using the number on this profile
  • Connect Care: Use the Ambulatory Referral Order to the respective specialty in Connect Care.

Please include current patient contact information, date of birth, health care number and printed name of referring doctor with PRACID #.
 
The clinic staff will contact patient to book appointment.  Patients are assessed during this appointment and are offered conservative, medical, or surgical management.  We do not arrange for surgical management prior to assessment in our clinic.
 
Pregnancy & Infant Loss Support:
We offer individual, couple, and group counselling.  Memorial and Remembrance service events are held throughout the year.  Self-referrals are accepted.  Phone: 403-944-2274  Website: Pregnancy & Infant Loss - Grief Support Women's Health Ambulatory Care, Foothills Medical Centre
URGENT REFERRAL PROCESS
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
EMERGENCY REFERRAL PROCESS
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
ELIGIBILITY REQUIREMENTS
Inclusion criteria:
  1. Nonviable intrauterine pregnancy:
    • fetal pole CRL >7mm with no fetal heart activity
    • >25 mm MSD with no yolk sac or fetus
  2. Intrauterine pregnancy of uncertain viability
  3. Retained products of conception (RPOC) < 20weeks who have not already been seen at a tertiary center for pregnancy loss
  4. Confirmed loss <12 weeks
Referral rejection/exclusion criteria:
  • Pregnancy of unknown location or confirmed ectopic pregnancy
  • Patients with confirmed or suspected loss of pregnancy greater than 12 weeks gestational age by ultrasound
  • Molar Pregnancies
These patients will be managed by existing site specific processes in either Emergency or by Gynaecologist on call as appropriate.
Inclusion criteria:
  1. Nonviable intrauterine pregnancy:
    • fetal pole CRL >7mm with no fetal heart activity
    • >25 mm MSD with no yolk sac or fetus
  2. Intrauterine pregnancy of uncertain viability
  3. Retained products of conception (RPOC) < 20weeks who have not already been seen at a tertiary center for pregnancy loss
  4. Confirmed loss <12 weeks
Referral rejection/exclusion criteria:
  • Pregnancy of unknown location or confirmed ectopic pregnancy
  • Patients with confirmed or suspected loss of pregnancy greater than 12 weeks gestational age by ultrasound
  • Molar Pregnancies
These patients will be managed by existing site specific processes in either Emergency or by Gynaecologist on call as appropriate.
COMMUNICATION PROCESS
  • Communication of referral receipt to referral source will occur within 7 calendar days.
  • Communication of appointment details or wait list status to patient and referral source will occur within 14 calendar days.
  • Communication of initial appointment outcomes to referral source will occur within 30 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
Fetal demise from miscarriage
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Blood type and Rh and antibody screening
 
Current

Language barriers
 
Current

Parity, LMP
 
Current

Rhogam - please indicate status whether given or not, if given, indicate date
 
Current

Suspected or confirmed fetal demise from miscarriage
 
Current

Trans Vaginal Ultrasound (all scans);*Fetal pole with Crown Rump Length (CRL) of >7mm without fetal heart activity*Mean Gestational Sac Diameter (MSD) >25mm without yolk sac or fetus
 
Current


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