Long COVID Clinic - Respiratory   at
Kaye Edmonton Clinic

Alberta Health Services - Edmonton Zone



Estimated time to routine appointment: Within 3 months
SERVICE DESCRIPTION
Our clinic is a respiratory-led clinic providing support to patients experiencing persistent, predominantly respiratory symptoms caused by Covid-19 and are at least 12 weeks post the acute phase of the infection.


Long COVID is a range of symptoms that can last weeks or months after first being infected with the virus that causes COVID-19 or can appear weeks after infection. Long COVID can happen to anyone who has had COVID-19, even if the illness was mild, or they had no symptoms.


People with long COVID report experiencing different combinations of the following symptoms:
  • Tiredness or fatigue
  • Difficulty thinking or concentrating (sometimes referred to as “brain fog”)
  • Headache
  • Loss of smell or taste
  • Dizziness on standing
  • Fast-beating or pounding heart (also known as heart palpitations)
  • Chest pain
  • Difficulty breathing or shortness of breath
  • Cough
  • Joint or muscle pain
  • Depression or anxiety
  • Fever
  • Symptoms that get worse after physical or mental activities
More information can be found on the Centers for Disease Control and Prevention website.
EMERGENCY REFERRAL PROCESS
Direct patients to the nearest Emergency Department if they are experiencing serious repsiratory symptoms related to Long COVID. Patients with potentially life threatening conditions should immediately phone 9-1-1.

If an emergency consult is required, providers can call RAAPID NORTH (patients north of Red Deer) at 1-800-282-9911 or 780-735-0811.
Direct patients to the nearest Emergency Department if they are experiencing serious repsiratory symptoms related to Long COVID. Patients with potentially life threatening conditions should immediately phone 9-1-1.

If an emergency consult is required, providers can call RAAPID NORTH (patients north of Red Deer) at 1-800-282-9911 or 780-735-0811.
URGENT REFERRAL PROCESS
Semi-urgent referrals must meet inclusion criteria as defined in the eligibility requirements field below, including the presence of at least one of the following:
  • Past hospitalization requiring ICU &/or high flow oxygen
  • New or increased oxygen requirements post discharge from hospital
  • Difficulty with activities of daily living post diagnosis of COVID-19 for 12 or more weeks
  • Any new abnormality on Chest X-rays (e.g. opacities, interstitial changes, fibrosis)
  • Deterioration in Lung Function (e.g. reduction in FEV1 or FVC or TLC or DLCO)
Professional referrals are accepted from Physicians and Nurse Practitioners. All referrals are received through Connect Care or via fax.
Semi-urgent referrals must meet inclusion criteria as defined in the eligibility requirements field below, including the presence of at least one of the following:
  • Past hospitalization requiring ICU &/or high flow oxygen
  • New or increased oxygen requirements post discharge from hospital
  • Difficulty with activities of daily living post diagnosis of COVID-19 for 12 or more weeks
  • Any new abnormality on Chest X-rays (e.g. opacities, interstitial changes, fibrosis)
  • Deterioration in Lung Function (e.g. reduction in FEV1 or FVC or TLC or DLCO)
Professional referrals are accepted from Physicians and Nurse Practitioners. All referrals are received through Connect Care or via fax.
ROUTINE REFERRAL PROCESS
Routine referrals must meet inclusion criteria as defined in the eligibility requirements field below.

Professional referrals are accepted from Physicians and Nurse Practitioners. All referrals are received through Connect Care or via fax.
Routine referrals must meet inclusion criteria as defined in the eligibility requirements field below.

Professional referrals are accepted from Physicians and Nurse Practitioners. All referrals are received through Connect Care or via fax.
ELIGIBILITY REQUIREMENTS
This clinic accepts referrals for patients in the Edmonton Zone. Patients must meet criteria #1, OR criteria #2 & criteria#3.

Inclusion Criteria:

  • Criteria #1: Evidence of Infection (past or present) - Patients who have had a positive COVID-19 test or a positive serology test >12 weeks prior to referral date OR
  • Criteria #2: Lack of Evidence of Infection - Be deemed by two independent physicians/NP (referring physician/NP and Respirologist) to have had acute COVID-19 infection in the absence of any other obvious diagnosis and no molecular evidence of infection >12 weeks prior to referral date AND
  • Criteria #3: Pulmonary Symptoms - Persistent pulmonary symptoms, either new if no prior lung disease or above baseline if pre-existing lung disease (e.g. dyspnea, cough) for >12 weeks to a maximum of 12 months post original COVID-19 diagnosis date

Exclusion Criteria:
  • Patients < 18 years of age
  • Self referrals
  • Patients who do not meet the established inclusion criteria 
This clinic accepts referrals for patients in the Edmonton Zone. Patients must meet criteria #1, OR criteria #2 & criteria#3.

Inclusion Criteria:

  • Criteria #1: Evidence of Infection (past or present) - Patients who have had a positive COVID-19 test or a positive serology test >12 weeks prior to referral date OR
  • Criteria #2: Lack of Evidence of Infection - Be deemed by two independent physicians/NP (referring physician/NP and Respirologist) to have had acute COVID-19 infection in the absence of any other obvious diagnosis and no molecular evidence of infection >12 weeks prior to referral date AND
  • Criteria #3: Pulmonary Symptoms - Persistent pulmonary symptoms, either new if no prior lung disease or above baseline if pre-existing lung disease (e.g. dyspnea, cough) for >12 weeks to a maximum of 12 months post original COVID-19 diagnosis date

Exclusion Criteria:
  • Patients < 18 years of age
  • Self referrals
  • Patients who do not meet the established inclusion criteria 
REFERRAL FORM
Connect Care Referral Form

Include Date of Birth, Diagnosis, Referral Type, Clinic Stage, PHN, Postal code.

Connect Care Referral Form

Include Date of Birth, Diagnosis, Referral Type, Clinic Stage, PHN, Postal code.

REFERRAL FAX
780-492-4483
PHONE
780-407-5346
FAX
780-407-5710
REFERRAL GUIDELINES
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
Timing
Additional Details
Long COVID-19
21 Days
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

History of persistent pulmonary COVID-19 symptoms >12 weeks after onset
| Current

Active Problem List / Information
| Current

If Patient was hospitalized - Date of Discharge
| As relevant

Chest X-ray
| 8 weeks after having COVID-19

Lifestyle factors: Alcohol, BP, BMI, Smoking status
| Current

Allergies
| Current

Date of +COVID-19 test swab or +serology OR Date of COVID-19 like symptom onset
| Current
Semi-Urgent

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
Long COVID-19
42 Days
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Allergies
| Current

If Patient was hospitalized - Date of Discharge
| As relevant

Active Problem List / Information
| Current

Chest X-ray
| 8 weeks after having COVID-19

Date of +COVID-19 test swab or +serology OR Date of COVID-19 like symptom onset
| Current

History of persistent pulmonary COVID-19 symptoms >12 weeks after onset
| Current

Lifestyle factors: Alcohol, BP, BMI, Smoking status
| Current
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.
 
MISSED APPOINTMENT GUIDELINES
Clinic will attempt to reschedule with patient. If unsuccessful after 3 attempts, the referral will be closed. A re-referral will be required from the referral source.
Clinic will attempt to reschedule with patient. If unsuccessful after 3 attempts, the referral will be closed. A re-referral will be required from the referral source.
DIRECTIONS
Bus Route:
Bus stops at 114 Street & 82 Ave, 114 Street & 83 Ave; 114 Street & 85 Ave; 114 Street and 87 Ave;Bus # 4, 51, 654, 8

LRT Route:
LRT station is located NE of the Kaye Edmonton Clinic along 114 Street NW.
LRT stop - Health Sciences
Bus Route:
Bus stops at 114 Street & 82 Ave, 114 Street & 83 Ave; 114 Street & 85 Ave; 114 Street and 87 Ave;Bus # 4, 51, 654, 8

LRT Route:
LRT station is located NE of the Kaye Edmonton Clinic along 114 Street NW.
LRT stop - Health Sciences
PARKING INSTRUCTIONS
Pay parking located outside the entrance to the facility, with barrier-free parking available in parkade located on west side of Kaye Edmonton Clinic.

Designated disabled parking spaces underground (Level O)  level of the East parkade on 83 Avenue.
Pay parking located outside the entrance to the facility, with barrier-free parking available in parkade located on west side of Kaye Edmonton Clinic.

Designated disabled parking spaces underground (Level O)  level of the East parkade on 83 Avenue.
ADDRESS
3D.101 Medicine Clinic, 11400 University Ave, Edmonton, AB T6G 1Z1
Edmonton Alberta
T6G 1Z1
HOURS OF OPERATION
Monday: 08:00 am - 04:15 pm
Tuesday: 08:00 am - 04:15 pm
Wednesday: 08:00 am - 04:15 pm
Thursday: 08:00 am - 04:15 pm
Friday: 08:00 am - 04:15 pm
   
WHEELCHAIR ACCESSIBILITY
Yes

The primary purpose of the All Locations list is to let the user easily access any location of a service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the service@location has referral information attached to it.
  • Brown means the service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the service@location's status to something other than Current
    • It was deleted if it is an ARD service@location.
Green  and Brown are always at the top of the list. These are the Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the 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 Service@Locations to ones that are current.

Common Scenario:
A Service moves from one location to another. In this case the IA Service@Location record will be made defunct (non-current) and a new 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 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 Service@Location to a current service@location.

Individual referral process
  1. Click on a non-current (Red) 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 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 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 Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Service@Location to the current one.
  6. Repeat these steps for each Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Service@Location with common referral info is with current status for this service; One or more Service@Locations where replaced by new one.
  1. Click on any current Service@Location whether it has referral info (Green) or not (Brown).
  2. The 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 Service@Locations for a 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 service locations.
Generally we want to replicate current common referral info to new or replaced 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 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 Service@Location to another.

 

V4.12