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Transcatheter Aortic Valve Replacement (TAVR) - Edmonton Transcatheter Heart Valve Referral Program   at
Mazankowski Alberta Heart Institute
Specialty: Cardiology
Connect Care Department: EDM UAH MAZ TAVI
Estimated time to routine appointment: Within 3 months
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
Services offered include replacement of cardiac valves via a transcatheter technique. Specifically, the aortic and mitral valves.Services offered to patients who meet criteria for severe aortic or mitral valve disease with adequate vascular access to accommodate a transcatheter technique.
Services offered include replacement of cardiac valves via a transcatheter technique. Specifically, the aortic and mitral valves.Services offered to patients who meet criteria for severe aortic or mitral valve disease with adequate vascular access to accommodate a transcatheter technique.
ELIGIBILITY REQUIREMENTS
Services offered to adults who have been referred to and assessed by a cardiologist. If critieria is met for severe aortic or mitral valve disease, a referral should be initiated whether the patient is symptomatic or not.

All referrals need an up-to-date transthoracic echocardiogram (TTE). Please also include any other relevant testing such as a transesophageal echocardiogram (TEE), stress echocardiogram (DSE), cardiac catheterization, or a CT chest/abdomen/pelvis angiogram with TAVI protocol.

Services offered for aortic valve replacement include native or valve-in-valve treatment via the transfemoral, transcarotid, transsubclavian, or transapical approachs; services offered for mitral valve replacement include only valve-in-valve treatment via the transseptal, transfemoral approach.
Services offered to adults who have been referred to and assessed by a cardiologist. If critieria is met for severe aortic or mitral valve disease, a referral should be initiated whether the patient is symptomatic or not.

All referrals need an up-to-date transthoracic echocardiogram (TTE). Please also include any other relevant testing such as a transesophageal echocardiogram (TEE), stress echocardiogram (DSE), cardiac catheterization, or a CT chest/abdomen/pelvis angiogram with TAVI protocol.

Services offered for aortic valve replacement include native or valve-in-valve treatment via the transfemoral, transcarotid, transsubclavian, or transapical approachs; services offered for mitral valve replacement include only valve-in-valve treatment via the transseptal, transfemoral approach.
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
All patients will be assessed by a TAVI physician. If deemed appropriate by the physician, the case will be presented and reviewed at a formal TAVI Peer Review meeting. All case review will be done at the discretion of the TAVI physician. Please fax a TAVI referral form to 780-407-7834 or contact the nurse coordinator’s office at 780-407-8672 with any inquiries.
All patients will be assessed by a TAVI physician. If deemed appropriate by the physician, the case will be presented and reviewed at a formal TAVI Peer Review meeting. All case review will be done at the discretion of the TAVI physician. Please fax a TAVI referral form to 780-407-7834 or contact the nurse coordinator’s office at 780-407-8672 with any inquiries.
REFERRAL PROCESS - FOR CONNECT CARE USERS
All patients will be assessed by a TAVI physician. If deemed appropriate by the physician, the case will be presented and reviewed at a formal TAVI Peer Review meeting.
Please enter an internal referral by using the Ambulatory Referral Order to Cardiology and type “EDM UAH MAZ TAVI” into the “To Department” section to complete the order.
All patients will be assessed by a TAVI physician. If deemed appropriate by the physician, the case will be presented and reviewed at a formal TAVI Peer Review meeting.
Please enter an internal referral by using the Ambulatory Referral Order to Cardiology and type “EDM UAH MAZ TAVI” into the “To Department” section to complete the order.
ADDITIONAL SERVICE DETAILS
Urgent Referrals
Please contact or page the on-call TAVI physician.

Patients referred with a new or known diagnosis will be seen by the next available physician, unless previously consulted on by a specific operator.

The wait time for consultations vary based on the physician you are referred to. If you have questions about your initial or any subsequent consultations, or the wait time for these appointments, please contact your physician's office directly.
Urgent Referrals
Please contact or page the on-call TAVI physician.

Patients referred with a new or known diagnosis will be seen by the next available physician, unless previously consulted on by a specific operator.

The wait time for consultations vary based on the physician you are referred to. If you have questions about your initial or any subsequent consultations, or the wait time for these appointments, please contact your physician's office directly.
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 30 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 7 days.
 
PHONE
780-407-8672
FAX
780-407-7834
REFERRAL PHONE
780-407-8672
REFERRAL FAX
780-407-7834
REFERRAL FORM
TAVI Referral Form by Request

Referral Form

Please provide all referred Patients educational documents located in the Patient Resources below.
TAVI Referral Form by Request

Referral Form

Please provide all referred Patients educational documents located in the Patient Resources below.
REFERRAL ADVICE
eReferral eConsult
RAAPID
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
+-
Aortic valve insufficiency
Lab work
 
Within 3 months
TTE
 
Within 3 months
Symptoms
 
Within 3 months
+-
Aortic valve stenosis
Lab work
 
Within 3 months
TTE
 
Within 3 months
Symptoms
 
Within 3 months
+-
Mitral valve stenosis
Lab work
 
Within 3 months
TTE
 
Within 3 months
Symptoms
 
Within 3 months
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Appointment cancellation or rescheduling is done through the physician's office directly. The guidelines for missed appointments will be at the discretion of each physician's office respectively. Any fees associated with a missed appointment is also at the discretion of the physician's office.
Appointment cancellation or rescheduling is done through the physician's office directly. The guidelines for missed appointments will be at the discretion of each physician's office respectively. Any fees associated with a missed appointment is also at the discretion of the physician's office.
 
HOURS OF OPERATION
Monday: 7:00 am - 3:00 pm
Tuesday: 7:00 am - 3:00 pm
Wednesday: 7:00 am - 3:00 pm
Thursday: 7:00 am - 3:00 pm
Friday: 7:00 am - 3:00 pm
   
 
ADDRESS
2A7, Ambulatory Care Clinics and Diagnostics
11220 83 Avenue NW
Edmonton Alberta
T6G 2B7
PATIENT APPOINTMENT INSTRUCTIONS
  • Please contact your referred physician's office directly for any questions about upcoming appointments. A referral letter will be mailed to your home address with your physician's name and contact information attached.
  • If your appointment is at the Mazankowski Alberta Heart Institute, please present to the 2nd floor registration desks 15 minutes prior to your appointment with you AHC card and photo ID.
  • We recommend that one close family member or next of kin be present for any relevant appointments. If you are unable to communicate in English, please ensure you have someone with you who is able to translate.
  • Please contact your referred physician's office directly for any questions about upcoming appointments. A referral letter will be mailed to your home address with your physician's name and contact information attached.
  • If your appointment is at the Mazankowski Alberta Heart Institute, please present to the 2nd floor registration desks 15 minutes prior to your appointment with you AHC card and photo ID.
  • We recommend that one close family member or next of kin be present for any relevant appointments. If you are unable to communicate in English, please ensure you have someone with you who is able to translate.
 
DIRECTIONS
Mazankowski Alberta Heart Institute is located in NW Edmonton in the University Of Alberta Hospital grounds. The Entrance is off of 83 Ave NW.

Bus stops at 112 and 114 St
LRT Health Sciences station is located west across 114 St.
Mazankowski Alberta Heart Institute is located in NW Edmonton in the University Of Alberta Hospital grounds. The Entrance is off of 83 Ave NW.

Bus stops at 112 and 114 St
LRT Health Sciences station is located west across 114 St.
 
PHONE
780-407-8672
 
PARKING INSTRUCTIONS
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, MasterCard, American Express). Maximum 28 Canadian coins per transaction, no pennies.
Machines provide no change.Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, MasterCard, American Express). These machines will provide change.
Parking Office accepts payment by cash, credit card, debit or cheque.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, MasterCard, American Express). Maximum 28 Canadian coins per transaction, no pennies.
Machines provide no change.Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, MasterCard, American Express). These machines will provide change.
Parking Office accepts payment by cash, credit card, debit or cheque.
 
EMAIL
WEBSITE
http://www.albertaheart.ca
VIRTUAL APPOINTMENT INFORMATION
Some consultations may be done virtually. If it is difficult for you to come to the hospital or your physician's office for appointments, please speak to the physician's office directly for information on telephone or telehealth availability.
Some consultations may be done virtually. If it is difficult for you to come to the hospital or your physician's office for appointments, please speak to the physician's office directly for information on telephone or telehealth availability.
 
 
WHEELCHAIR ACCESSIBILITY
Yes

Parking stalls, ramps, elevators, and washrooms


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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