Kidney Disease Prevention Clinic - Alberta Kidney Care - South   at
Blood Tribe Health Centre
Specialty: Nephrology
Estimated time to routine appointment: Within 24 Hours
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
The kidney disease prevention clinic provides management, education and resources to First Nations (Status and Non-Status), Métis and Inuit patients at risk for developing kidney disease.The clinic is led by a nurse practitioner who works in close collaboration with a nephrologist. Specifically, the role of the nurse practitioner will include providing independent assessments, diagnosis, management, evaluation and follow-up for patients who have diabetes, difficult to control hypertension and / or dyslipidemia. Difficult cases will be managed by consultation with a nephrologist.
The kidney disease prevention clinic provides management, education and resources to First Nations (Status and Non-Status), Métis and Inuit patients at risk for developing kidney disease.The clinic is led by a nurse practitioner who works in close collaboration with a nephrologist. Specifically, the role of the nurse practitioner will include providing independent assessments, diagnosis, management, evaluation and follow-up for patients who have diabetes, difficult to control hypertension and / or dyslipidemia. Difficult cases will be managed by consultation with a nephrologist.
ELIGIBILITY REQUIREMENTS
Any patient who meets the criteria below should be considered for Virtual Home Hospital care.
  • requires inpatient care or enhanced monitoring/clinical management to prevent emergency department visits, admissions or readmissions to a brick-and-mortar facility;
  • may be a current inpatient or current outpatient, and may come from primary care providers in the community;
  • is medically appropriate for Virtual Home Hospital (including consideration of expected clinical trajectory);
  • has care needs that cannot be met in the community by any available service(s);
  • is functionally able to be in their home (or other safe location where they choose to receive care) and/or has caregiver/homecare support in place, if needed;
  • can provide informed consent or has an alternate decision-maker, as per AHS policy; and
  • is engaged and willing to participate in their care, and/or has an engaged caregiver.
A patient who exhibits any of the following medical safety or environmental criteria should receive care in a conventional setting and would not be appropriate for Virtual Home Hospital care:

Medical Safety
  • Exhibits unmanageable behaviors (e.g., risk of harm to self/others).
  • Patient and/or caregiver is unable to follow instructions regarding treatment.
Environment
  • No fixed address or other safe (e.g., physical and/or emotional) place to receive care;
  • Patient and/or caregiver is unable to communicate through phone or computer and/or translation services are unavailable; and
  • Patient does not have access to the necessary in-home supports (e.g., caregiver, if required).
Any patient who meets the criteria below should be considered for Virtual Home Hospital care.
  • requires inpatient care or enhanced monitoring/clinical management to prevent emergency department visits, admissions or readmissions to a brick-and-mortar facility;
  • may be a current inpatient or current outpatient, and may come from primary care providers in the community;
  • is medically appropriate for Virtual Home Hospital (including consideration of expected clinical trajectory);
  • has care needs that cannot be met in the community by any available service(s);
  • is functionally able to be in their home (or other safe location where they choose to receive care) and/or has caregiver/homecare support in place, if needed;
  • can provide informed consent or has an alternate decision-maker, as per AHS policy; and
  • is engaged and willing to participate in their care, and/or has an engaged caregiver.
A patient who exhibits any of the following medical safety or environmental criteria should receive care in a conventional setting and would not be appropriate for Virtual Home Hospital care:

Medical Safety
  • Exhibits unmanageable behaviors (e.g., risk of harm to self/others).
  • Patient and/or caregiver is unable to follow instructions regarding treatment.
Environment
  • No fixed address or other safe (e.g., physical and/or emotional) place to receive care;
  • Patient and/or caregiver is unable to communicate through phone or computer and/or translation services are unavailable; and
  • Patient does not have access to the necessary in-home supports (e.g., caregiver, if required).
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 and email it to CGYVirtualHomeHospital.RGH@ahs.ca. 

*Please call us after placing a consult or referral using the referral contact number listed in this profile
Complete the referral form and email it to CGYVirtualHomeHospital.RGH@ahs.ca. 

*Please call us after placing a consult or referral using the referral contact number listed in this profile
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Virtual Home Hospital, type CGY RGH COMPLEX CARE HUB OP in the “To Department” section and complete order.

*Please call us after placing a consult or referral using the referral contact number listed in this profile
Send an Internal Referral using the Ambulatory Referral Order to Virtual Home Hospital, type CGY RGH COMPLEX CARE HUB OP in the “To Department” section and complete order.

*Please call us after placing a consult or referral using the referral contact number listed in this profile
ADDITIONAL SERVICE DETAILS
Programs currently offered at the Calgary Zone Virtual Home Hospital (Rockyview General Hospital) include:
  • Medicine
Programs currently offered at the Calgary Zone Virtual Home Hospital (Rockyview General Hospital) include:
  • Medicine
COMMUNICATION PROCESS
  • Referral receipt to referring source within 1 days.
  • Wait list status update every 1 days.
  • Appointment outcome to referral source within 1 days.
 
PHONE
403-737-8459
FAX
403-737-2160
REFERRAL PHONE
403-943-3344 ext 1
REFERRAL FORM
LINKED SPECIALISTS
Alberta Referral Directory - Application Error
  
Application Error
Alberta Referral Directory - Application Error


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V6.7

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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V6.7