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Complex Pediatric Rehabilitation Team   at
Alberta Children's Hospital
Specialty: Rehabilitation
Connect Care Department: CGY ACH COMPLEX PED REHAB
Estimated time to routine appointment: Within 2 weeks
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
The Complex Pediatric Rehabilitation Team provides on-site (ACH) and outreach rehabilitation intervention for children, youth and families who have complex needs that prevent them from being able to access outpatient services at Alberta Children's Hospital. This service provides short-term, goal-oriented episodes of rehabilitation care to support families in getting to a place where they can successfully access and participate in outpatient services.When a significant change in function or health status occurs, some families have difficulty accessing healthcare services for their child due to unstable or unpredictable medical, psychosocial, sensory or engagement factors.

Our services include:
  • collaborative goal-setting
  • comprehensive assessment and recommendations
  • intensive patient / family-driven rehabilitation intervention
  • care planning support
  • link to other specialty resources
  • staff education and coaching
  • support for transition between care settings
The Complex Pediatric Rehabilitation Team provides on-site (ACH) and outreach rehabilitation intervention for children, youth and families who have complex needs that prevent them from being able to access outpatient services at Alberta Children's Hospital. This service provides short-term, goal-oriented episodes of rehabilitation care to support families in getting to a place where they can successfully access and participate in outpatient services.When a significant change in function or health status occurs, some families have difficulty accessing healthcare services for their child due to unstable or unpredictable medical, psychosocial, sensory or engagement factors.

Our services include:
  • collaborative goal-setting
  • comprehensive assessment and recommendations
  • intensive patient / family-driven rehabilitation intervention
  • care planning support
  • link to other specialty resources
  • staff education and coaching
  • support for transition between care settings
ELIGIBILITY REQUIREMENTS
Referrals are accepted from:
  • Pediatricians
  • Family Physicians
  • Allied Healthcare Professionals
  • Nurses
It is recommended that a physician/most responsible provider is identified and consents and is prepared to manage emerging medical needs, order diagnostic procedures for the purpose of assessment, and follow throgh with medical care. Primary care must be retained by the physician. This is not a physician-led clinic.
Children and families with an acute change of status leading to complex (re)habilitation [OT, PT, SLP] intervention needs AND unable to access existing programs/services AND are experiencing one or more of the following:
Medical instability AND/OR
  • Palliation AND/OR
  • Difficulties with sensory regulation and/or availability of specialty sensory supports in outpatient context AND/OR
  • Limited activity tolerance/fatigue AND/OR
  • Safety concerns re: transport/support for attendance at onsite appts AND/OR
  • Inability to transfer or simulate therapeutic activities in clinic/hospital environment AND/OR
  • Difficulty coordinating between multiple clinics/support at ACH and in the community AND/OR
  • Challenges with health literacy AND/OR
  • Complex cultural factors AND/OR
  • Complex social factors (e.g., unstable housing) AND/OR
  • High risk of missing therapy sessions in the context of need for intensive intervention
Child must meet the following three criteria plus one or more of the others below prior to be considered for treatment with the CPRT.
Please mark a check next to the criteria that apply.
MUST meet ALL THREE:
[ ]  Acute change in status
[ ]  Complex rehabilitation intervention needs
[ ]  Unable to access existing programs/services
**If NO to one of the above, the child does not meet CPRT referral criteria.  Please refer to programs already in place to address rehabilitation needs for the child.**
AND one or more of the following:
[ ]  Medical instability
[ ]  Palliation
[ ]  Difficulties with sensory regulation and/or availability of specialty sensory supports in outpatient context
[ ]  Limited activity tolerance/fatigue
[ ]  Safety concerns re: transport/support for attendance at onsite appointments
[ ]  Inability to transfer or simulate therapeutic activities in clinic/hospital environment
[ ]  Difficulty coordinating between multiple clinics/support at ACH and in the community
[ ]  Challenges with health literacy
[ ]  Complex cultural factors
[ ]  Unstable housing
[ ]  High risk of missing therapy sessions in the context of need for intensive intervention

**If NO to ALL items above, please refer to programs already in place to address rehabilitation needs for the child.**
Disciplines being referred to: PT/OT/SLP
Reason for referral (For each criteria marked above, describe why the criterion is met): ***
Client Active Problem List: 
Client previous level of function: ***
Family functional goals discussed.  Goals are: ***
Previous/current therapies (if any): ***
Referrals are accepted from:
  • Pediatricians
  • Family Physicians
  • Allied Healthcare Professionals
  • Nurses
It is recommended that a physician/most responsible provider is identified and consents and is prepared to manage emerging medical needs, order diagnostic procedures for the purpose of assessment, and follow throgh with medical care. Primary care must be retained by the physician. This is not a physician-led clinic.
Children and families with an acute change of status leading to complex (re)habilitation [OT, PT, SLP] intervention needs AND unable to access existing programs/services AND are experiencing one or more of the following:
Medical instability AND/OR
  • Palliation AND/OR
  • Difficulties with sensory regulation and/or availability of specialty sensory supports in outpatient context AND/OR
  • Limited activity tolerance/fatigue AND/OR
  • Safety concerns re: transport/support for attendance at onsite appts AND/OR
  • Inability to transfer or simulate therapeutic activities in clinic/hospital environment AND/OR
  • Difficulty coordinating between multiple clinics/support at ACH and in the community AND/OR
  • Challenges with health literacy AND/OR
  • Complex cultural factors AND/OR
  • Complex social factors (e.g., unstable housing) AND/OR
  • High risk of missing therapy sessions in the context of need for intensive intervention
Child must meet the following three criteria plus one or more of the others below prior to be considered for treatment with the CPRT.
Please mark a check next to the criteria that apply.
MUST meet ALL THREE:
[ ]  Acute change in status
[ ]  Complex rehabilitation intervention needs
[ ]  Unable to access existing programs/services
**If NO to one of the above, the child does not meet CPRT referral criteria.  Please refer to programs already in place to address rehabilitation needs for the child.**
AND one or more of the following:
[ ]  Medical instability
[ ]  Palliation
[ ]  Difficulties with sensory regulation and/or availability of specialty sensory supports in outpatient context
[ ]  Limited activity tolerance/fatigue
[ ]  Safety concerns re: transport/support for attendance at onsite appointments
[ ]  Inability to transfer or simulate therapeutic activities in clinic/hospital environment
[ ]  Difficulty coordinating between multiple clinics/support at ACH and in the community
[ ]  Challenges with health literacy
[ ]  Complex cultural factors
[ ]  Unstable housing
[ ]  High risk of missing therapy sessions in the context of need for intensive intervention

**If NO to ALL items above, please refer to programs already in place to address rehabilitation needs for the child.**
Disciplines being referred to: PT/OT/SLP
Reason for referral (For each criteria marked above, describe why the criterion is met): ***
Client Active Problem List: 
Client previous level of function: ***
Family functional goals discussed.  Goals are: ***
Previous/current therapies (if any): ***
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
Please call service to have a referral form emailed to you. Complete the referral form and fax it to the service using the contact information in this profile.
Please indicate on the referral if it is URGENT and provide a reason. 
Please call service to have a referral form emailed to you. Complete the referral form and fax it to the service using the contact information in this profile.
Please indicate on the referral if it is URGENT and provide a reason. 
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Rehabilitation, type CGY ACH COMPLEX PED REHAB in the “To Department” section and complete order.  Use [.CPRTREFERRAL] SmartPhrase.
Send an Internal Referral using the Ambulatory Referral Order to Rehabilitation, type CGY ACH COMPLEX PED REHAB in the “To Department” section and complete order.  Use [.CPRTREFERRAL] SmartPhrase.
ADDITIONAL SERVICE DETAILS
The Complex Pediatric Rehabilitation Team provides on-site (ACH) & outreach rehabilitation intervention for children, youth and families who have complex needs that prevent them from being able to access outpatient services at ACH. We provide short-term, goal-oriented episodes of rehabilitation care to support families in transitioning to outpatient programs and services.
The Complex Pediatric Rehabilitation Team provides on-site (ACH) & outreach rehabilitation intervention for children, youth and families who have complex needs that prevent them from being able to access outpatient services at ACH. We provide short-term, goal-oriented episodes of rehabilitation care to support families in transitioning to outpatient programs and services.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
403-955-8854
FAX
403-476-7756
REFERRAL PHONE
403-955-8854
REFERRAL FAX
403-476-7756
REFERRAL FORM
ACH Complex Pediatric Rehabilitation Team (CPRT) Referral

(Connect Care Users: Use the Ambulatory Referral Order to 'CGY Complex Ped Rehab'. In the Comments section, please use [.CPRTREFERRAL] SmartPhrase to complete the relevant information.)

External Referrers: Referrals can be faxed to 403-476-7756. 
Please copy and submit responses to the following fields/questions in your referral, or call 403-955-8854 to have a copy of the referral form emailed to you.
ACH Complex Pediatric Rehabilitation Team (CPRT) Referral

(Connect Care Users: Use the Ambulatory Referral Order to 'CGY Complex Ped Rehab'. In the Comments section, please use [.CPRTREFERRAL] SmartPhrase to complete the relevant information.)

External Referrers: Referrals can be faxed to 403-476-7756. 
Please copy and submit responses to the following fields/questions in your referral, or call 403-955-8854 to have a copy of the referral form emailed to you.
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
Investigation Timing
Additional Details
+-
Rehabilitation therapy
< 4 Weeks
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
+-
Transition of care
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
+-
Urgent 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
+-
Rehabilitation therapy
< 2 Weeks
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Less Urgent
 
Within 2 weeks
Significant urgency - risk of admission to hospital if not seen within 3 business days
 
Within 3 business days
Urgent - risk of admission to hospital or significant decline if not seen within 1 week
 
Within 1 week
+-
Transition of care
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Please alert re: need for appointment rescheduling/cancellation at least 48 hours in advance by phone at 403-955-8854.
Please alert re: need for appointment rescheduling/cancellation at least 48 hours in advance by phone at 403-955-8854.
 
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
   
 
ADDRESS
28 Oki Drive NW
Calgary Alberta
T3B 6A8
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English.
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English.
 
DIRECTIONS
Please proceed to the Rehabilitation Desk in the ambulatory wing on the lower level of the Alberta Children's Hospital.

Alberta Children's Hospital is located on the corner of 24 Avenue NW and West Campus Drive NW.
Please proceed to the Rehabilitation Desk in the ambulatory wing on the lower level of the Alberta Children's Hospital.

Alberta Children's Hospital is located on the corner of 24 Avenue NW and West Campus Drive NW.
 
PHONE
403-955-8854
 
PARKING INSTRUCTIONS
Parking is paid at start of parking session - please refer to marked payment kiosks for detailed instructions.
Parking is paid at start of parking session - please refer to marked payment kiosks for detailed instructions.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
Virtual appointments are part of the service delivery model including assessment, intervention, parent education, consultation and also used to facilitate family and community partner collaboration. Patient Information for Virtual Care
Virtual appointments are part of the service delivery model including assessment, intervention, parent education, consultation and also used to facilitate family and community partner collaboration. Patient Information for Virtual Care
 
PARKING MAP
 
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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