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Community Rehabilitation Interdisciplinary Service - Central Access and Triage (CAT)   at
Edmonton Zone and Area
Central Access Healthcare Service
Specialty: Rehabilitation
Connect Care Department: EDM ZONE CRIS PROGRAM CAT
Estimated time to routine appointment: Within 24 Hours
Alberta Health Services - Edmonton Zone
CENTRAL ACCESS SERVICES
The Community Rehabilitation Interdisciplinary Service - Central Access and Triage (CRIS - CAT) serves as a central hub for all services at CRIS Program. CRIS offer client-centered, time-limited rehabilitation services to optimize function and support self-management.
  • CRIS Interdisciplinary Rehabilitation Program provides assessment and treatment for clients with complex medical conditions requiring short-term, active rehabilitation program.
  • CRIS Edema Program offers specialized services for individuals with complex non-cancer-related lymphedema.
The Community Rehabilitation Interdisciplinary Service - Central Access and Triage (CRIS - CAT) serves as a central hub for all services at CRIS Program. CRIS offer client-centered, time-limited rehabilitation services to optimize function and support self-management.
  • CRIS Interdisciplinary Rehabilitation Program provides assessment and treatment for clients with complex medical conditions requiring short-term, active rehabilitation program.
  • CRIS Edema Program offers specialized services for individuals with complex non-cancer-related lymphedema.
ELIGIBILITY REQUIREMENTS
Clients who are being referred to CRIS for rehabilitation must meet the following criteria:

CRIS Interdisciplinary Rehabilitation Program Inclusion Criteria:
Client is 18+ years of age residing in the Edmonton and Surrounding Area Only
  • Client has a functional need(s) which is appropriate for a community, time limited, ambulatory active rehabilitation program and cannot be addressed through other public resources.
  • Client requires either OT or SLP service involvement to qualify for CRIS. Clients may require a multidisciplinary team approach or have specific goals requiring only occupational therapy (OT) or speech-language pathology/therapy (SLP).
  • Client demonstrates readiness for active rehabilitation by being:
  • medically, psychologically, and cognitively appropriate, ready and safe to attend and participate in a light to moderate intensity active rehabilitation program.
  • motivated to identify functional goal(s) and prioritize rehabilitation.
  • Client is independent (or accompanied by someone who can assist) with medical management, bowel/bladder management, mobilizing physically in and out of the clinic spaces with or without a mobility device, and arrange/provide own transportation and associated costs.
CRIS Interdisciplinary Rehabilitation Program Exclusion Criteria:
  • Clients whose neurodevelopmental needs require long-term or ongoing therapy beyond the short-term rehab model offered by CRIS.
  • Clients whose main functional needs are related to an active or eligible WCB claim or a Motor Vehicle Accident claim.
  • Clients living in Continuing Care Homes (Type A, Type B, or Type B secure).
  • Clients who only need a single service (PT, Social Work, or Recreation Therapy)
  • Clients who need specialized or tertiary-level services not provided by this program
  • Clients who no longer meet the program’s inclusion criteria.
CRIS Lymphedema Program Inclusion Criteria:
  • Client is residing in the Edmonton and Surrounding Area Only
  • Requires a referral from a physician or nurse practitioner, along with:
    • A confirmed diagnosis of primary or secondary non-cancer-related lymphedema.
    • Medical stability and physician clearance for compression treatment.
    • Commitment to long-term management, including daily use of compression garments.
  • Referrals documenting cellulitis or wounds will be screened for priority.
CRIS Lymphedema Program Exclusion Criteria:
  • Client’s whose lymphedema is related to a Worker’s Compensation Board injury claim or related Motor Vehicle Accident.
  • Those who are best serviced by an alternate program.
For inquiries or to discuss referral appropriateness, contact the CRIS Clinic and speak with a Clinical Supervisor 780-735-2413.
Clients who are being referred to CRIS for rehabilitation must meet the following criteria:

CRIS Interdisciplinary Rehabilitation Program Inclusion Criteria:
Client is 18+ years of age residing in the Edmonton and Surrounding Area Only
  • Client has a functional need(s) which is appropriate for a community, time limited, ambulatory active rehabilitation program and cannot be addressed through other public resources.
  • Client requires either OT or SLP service involvement to qualify for CRIS. Clients may require a multidisciplinary team approach or have specific goals requiring only occupational therapy (OT) or speech-language pathology/therapy (SLP).
  • Client demonstrates readiness for active rehabilitation by being:
  • medically, psychologically, and cognitively appropriate, ready and safe to attend and participate in a light to moderate intensity active rehabilitation program.
  • motivated to identify functional goal(s) and prioritize rehabilitation.
  • Client is independent (or accompanied by someone who can assist) with medical management, bowel/bladder management, mobilizing physically in and out of the clinic spaces with or without a mobility device, and arrange/provide own transportation and associated costs.
CRIS Interdisciplinary Rehabilitation Program Exclusion Criteria:
  • Clients whose neurodevelopmental needs require long-term or ongoing therapy beyond the short-term rehab model offered by CRIS.
  • Clients whose main functional needs are related to an active or eligible WCB claim or a Motor Vehicle Accident claim.
  • Clients living in Continuing Care Homes (Type A, Type B, or Type B secure).
  • Clients who only need a single service (PT, Social Work, or Recreation Therapy)
  • Clients who need specialized or tertiary-level services not provided by this program
  • Clients who no longer meet the program’s inclusion criteria.
CRIS Lymphedema Program Inclusion Criteria:
  • Client is residing in the Edmonton and Surrounding Area Only
  • Requires a referral from a physician or nurse practitioner, along with:
    • A confirmed diagnosis of primary or secondary non-cancer-related lymphedema.
    • Medical stability and physician clearance for compression treatment.
    • Commitment to long-term management, including daily use of compression garments.
  • Referrals documenting cellulitis or wounds will be screened for priority.
CRIS Lymphedema Program Exclusion Criteria:
  • Client’s whose lymphedema is related to a Worker’s Compensation Board injury claim or related Motor Vehicle Accident.
  • Those who are best serviced by an alternate program.
For inquiries or to discuss referral appropriateness, contact the CRIS Clinic and speak with a Clinical Supervisor 780-735-2413.
REFERRAL SUBMISSION INSTRUCTIONS
Follow these steps before sending a referral. Incomplete referrals may be returned or declined.
  1. Review the Service Description, Eligibility Requirements, Pathways and Advice options to ensure your patient is appropriate for this service.
  2. Click the (+) icon in the Referral Guidelines table to view the required information and investigations that must accompany the referral.
  3. Follow the applicable Referral Process and submit referral.
Dickinsfield Mall Office is only for limited lymphedema appointments.
Follow these steps before sending a referral. Incomplete referrals may be returned or declined.
  1. Review the Service Description, Eligibility Requirements, Pathways and Advice options to ensure your patient is appropriate for this service.
  2. Click the (+) icon in the Referral Guidelines table to view the required information and investigations that must accompany the referral.
  3. Follow the applicable Referral Process and submit referral.
Dickinsfield Mall Office is only for limited lymphedema appointments.
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 fax it to the service using the contact information in this profile.
Complete the referral form and fax it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Rehabilitation, type EDM ZONE CRIS PROGRAM CAT in the “To Department” section and complete order.
Clients can also be referred directly to some group-based sessions available for Energy Maximization for Multiple Sclerosis, Fibromyalgia Education, Swallowing Education, and Voice Care Education. If clients require follow-up or interventions, a full CRIS referral would be required. Use Smartphrase (.CRISREFERRALGROUPS) or call (780-735-2413).
Connect Care Providers:
Steps to sending a referral to CRIS Interdisciplinary Program:
1. Select +Add Order at the bottom left of the Encounter.
2. Type "Rehabilitation" or quick code "REF141" in the order box and press enter.
3. Select "Ambulatory Referral to Rehabilitation" and click Accept.
4. Complete the referral:
o Provider: Use provider name or name of ordering physician
o To Dept Spec: Rehabilitation
o To Dept: EDM MCH CRIS CL / EDM UAH KEC CRIS / SWP SCCH CRIS CL
(If unsure, enter ‘EDM MCH CRIS CL’ and we will verify with your patient during our triage process.)
o Reason: Include the most relevant diagnosis (e.g. Parkinson’s Disease, Multiple Sclerosis, Stroke, etc.)
o Priority: Routine
o Type: Consultation
o Patient Status: Select as appropriate
o New Problem: Always select "Yes."
o Comments: enter smartphrase (Add this to your smartphrases: SmartPhrase ManagerSmartPhrase Lookup, type ‘.CRISREFERRALCONNECTCARE' → Accept → + Add Me)5. Accept and Sign the order.
6. Complete clinic workflow requirements.
7. Sign Encounter.

Steps to sending a referral to CRIS Lymphedema Program:
1. Select +Add Order at the bottom left of the Encounter.
2. Type "Rehabilitation" or quick code "REF141" in the order box and press enter.
3. Select "Ambulatory Referral to Rehabilitation" and click Accept.
4. Complete the referral:
  • Provider: Referring physician or NP
  • To Dept Spec: Rehabilitation
  • To Dept: EDM MCH CRIS CL (Clients may be offered Northgate location if appropriate.)
  • Reason: Lymphedema
  • Priority: Routine (Clients with wounds/cellulitis will be prioritized.)
  • Type: Consultation
  • Patient Status: Select as appropriate
  • New Problem: Always select "Yes."
  • Comments: Enter SmartPhrase .CRISLYMPHREFERRAL (found in "SmartPhrase Lookup"—add yourself as a user.)
5. Accept and Sign the order.
6. Complete clinic workflow requirements.
7. Sign Encounter.
If you need support, call 780-735-2413 and request a CRIS Referral Connect Care Tip Sheet.
Send an Internal Referral using the Ambulatory Referral Order to Rehabilitation, type EDM ZONE CRIS PROGRAM CAT in the “To Department” section and complete order.
Clients can also be referred directly to some group-based sessions available for Energy Maximization for Multiple Sclerosis, Fibromyalgia Education, Swallowing Education, and Voice Care Education. If clients require follow-up or interventions, a full CRIS referral would be required. Use Smartphrase (.CRISREFERRALGROUPS) or call (780-735-2413).
Connect Care Providers:
Steps to sending a referral to CRIS Interdisciplinary Program:
1. Select +Add Order at the bottom left of the Encounter.
2. Type "Rehabilitation" or quick code "REF141" in the order box and press enter.
3. Select "Ambulatory Referral to Rehabilitation" and click Accept.
4. Complete the referral:
o Provider: Use provider name or name of ordering physician
o To Dept Spec: Rehabilitation
o To Dept: EDM MCH CRIS CL / EDM UAH KEC CRIS / SWP SCCH CRIS CL
(If unsure, enter ‘EDM MCH CRIS CL’ and we will verify with your patient during our triage process.)
o Reason: Include the most relevant diagnosis (e.g. Parkinson’s Disease, Multiple Sclerosis, Stroke, etc.)
o Priority: Routine
o Type: Consultation
o Patient Status: Select as appropriate
o New Problem: Always select "Yes."
o Comments: enter smartphrase (Add this to your smartphrases: SmartPhrase ManagerSmartPhrase Lookup, type ‘.CRISREFERRALCONNECTCARE' → Accept → + Add Me)5. Accept and Sign the order.
6. Complete clinic workflow requirements.
7. Sign Encounter.

Steps to sending a referral to CRIS Lymphedema Program:
1. Select +Add Order at the bottom left of the Encounter.
2. Type "Rehabilitation" or quick code "REF141" in the order box and press enter.
3. Select "Ambulatory Referral to Rehabilitation" and click Accept.
4. Complete the referral:
  • Provider: Referring physician or NP
  • To Dept Spec: Rehabilitation
  • To Dept: EDM MCH CRIS CL (Clients may be offered Northgate location if appropriate.)
  • Reason: Lymphedema
  • Priority: Routine (Clients with wounds/cellulitis will be prioritized.)
  • Type: Consultation
  • Patient Status: Select as appropriate
  • New Problem: Always select "Yes."
  • Comments: Enter SmartPhrase .CRISLYMPHREFERRAL (found in "SmartPhrase Lookup"—add yourself as a user.)
5. Accept and Sign the order.
6. Complete clinic workflow requirements.
7. Sign Encounter.
If you need support, call 780-735-2413 and request a CRIS Referral Connect Care Tip Sheet.
REFERRAL PROCESS - FOR SELF-REFERRAL
Call clinic directly to inquire about self-referrals.
Call clinic directly to inquire about self-referrals.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 14 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 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
Investigation Timing
Additional Details
Complex neuro-muscular functions
Direct concern statement
 
Current

Please indicate on referral if translation needed and specify language.
 
Current

Past medical history
 
Within 1 month

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

Lymphedema care
Direct concern statement
 
Current

Please indicate on referral if translation needed and specify language.
 
Current

Past medical history
 
Within 1 month

Medication List (dose, frequency, route)
 
Within 1 month
All Edema (Lymphedema) referrals will be directed to the Mother Rosalie location for triage and service planning. The Northgate location will serve as a satellite or overflow site, accommodating a limited number of Edema clients only when the Mother Rosalie site is unable to do so.


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