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Inflammatory Bowel Disease Clinic   at
University of Alberta Hospital
Specialty: Gastroenterology
Connect Care Department: EDM UAH ZLC GASTROENTEROLOGY
Estimated time to routine appointment: Within 18 months
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
Provides tertiary and quarternary care to adult and pediatric transition patients with IBD (inflammatory bowel disease, Crohn's disease and ulcerative colitis).Our multidisciplinary team of IBD-trained gastroenterologists in conjunction with pediatric gastroenterologists, colorectal surgeons, radiologists, pathologists, highly specialized nurses, stoma therapists and dieticians provides tertiary and quarternary care to adult and pediatric transition patients with inflammatory bowel diseases.

As a tertiary and quarternary referral center we do not only provide the full spectrum of all Health Canada approved tests and therapies, but are at the forefront of the evaluation of novel diagnostic and theraeputic therapies, the future of inflammtory bowel diseases care. Within the UAH Inflammatory Bowel Diseases Clinic we have expertise including, but not limited to the following areas:

Special patient populations
  • Pediatric transition
  • Family planning and pregnancy
  • Preventive care and elderly patients
  • Gut microflora-altering therapies (FMT, dietary interventions, prebiotics and probiotics)
Clinical challenges
  • Complications of immunosuppressive or biologic therapy
  • Complex surgeries
Advanced diagnostic testing
  • Small bowel imaging with MRI, CT, abdominal and gut ultrasound as wells as endoscopy (ileocolonoscopy, EGD, small bowel endoscopy (push enteroscopy, double balloon enteroscopy, chromo-endoscopy)
  • Advanced laboratory testing including therapeutic drug monitoring
Advanced and minimally invasive interventions
  • Small bowel stricture dilation
Provides tertiary and quarternary care to adult and pediatric transition patients with IBD (inflammatory bowel disease, Crohn's disease and ulcerative colitis).Our multidisciplinary team of IBD-trained gastroenterologists in conjunction with pediatric gastroenterologists, colorectal surgeons, radiologists, pathologists, highly specialized nurses, stoma therapists and dieticians provides tertiary and quarternary care to adult and pediatric transition patients with inflammatory bowel diseases.

As a tertiary and quarternary referral center we do not only provide the full spectrum of all Health Canada approved tests and therapies, but are at the forefront of the evaluation of novel diagnostic and theraeputic therapies, the future of inflammtory bowel diseases care. Within the UAH Inflammatory Bowel Diseases Clinic we have expertise including, but not limited to the following areas:

Special patient populations
  • Pediatric transition
  • Family planning and pregnancy
  • Preventive care and elderly patients
  • Gut microflora-altering therapies (FMT, dietary interventions, prebiotics and probiotics)
Clinical challenges
  • Complications of immunosuppressive or biologic therapy
  • Complex surgeries
Advanced diagnostic testing
  • Small bowel imaging with MRI, CT, abdominal and gut ultrasound as wells as endoscopy (ileocolonoscopy, EGD, small bowel endoscopy (push enteroscopy, double balloon enteroscopy, chromo-endoscopy)
  • Advanced laboratory testing including therapeutic drug monitoring
Advanced and minimally invasive interventions
  • Small bowel stricture dilation
ELIGIBILITY REQUIREMENTS
We provide tertiary / quaternary (academic care) to adult and pediatric transition patients with inflammatory bowel diseases (Crohn's disease and ulcerative colitis). 

Known History of IBD (Crohn's disease or ulcerative colitis)
- Stable known IBD requiring follow-up
- Pediatric transition
- Transition from outside Alberta
- Referral from another gastroenterologist requesting possible includion into a clinical trial or use of investigational therapes or 2nd opinion

Suspected IBD
Symptoms of IBD: diarrhea or abdo pain with normal bloodwork and fecal calprotectin < 100 but: positive family history of IBD or presence of extra-intestinal manifestations of IBD
Flare of known IBD (Crohn's disease or ulcerative colitis)
Bloody or non-bloody diarrhea and/or abdominal pain > 2 weeks with: CRP > 8 or FCP > 250 or abnormal imaging and negative stool cultures

Acute severe ulcerative colitis: greater 8 bowel movements per day, AND CRP>45; or Hb<105 or temperature >37.8°C

Crohn’s disease associated rectal abscess, patient unable to sit due to painful rectum AND temperature > 38°C

Crohn’s disease associated bowel obstruction, nausea, vomiting, no flatus or bowel movement

We provide tertiary / quaternary (academic care) to adult and pediatric transition patients with inflammatory bowel diseases (Crohn's disease and ulcerative colitis). 

Known History of IBD (Crohn's disease or ulcerative colitis)
- Stable known IBD requiring follow-up
- Pediatric transition
- Transition from outside Alberta
- Referral from another gastroenterologist requesting possible includion into a clinical trial or use of investigational therapes or 2nd opinion

Suspected IBD
Symptoms of IBD: diarrhea or abdo pain with normal bloodwork and fecal calprotectin < 100 but: positive family history of IBD or presence of extra-intestinal manifestations of IBD
Flare of known IBD (Crohn's disease or ulcerative colitis)
Bloody or non-bloody diarrhea and/or abdominal pain > 2 weeks with: CRP > 8 or FCP > 250 or abnormal imaging and negative stool cultures

Acute severe ulcerative colitis: greater 8 bowel movements per day, AND CRP>45; or Hb<105 or temperature >37.8°C

Crohn’s disease associated rectal abscess, patient unable to sit due to painful rectum AND temperature > 38°C

Crohn’s disease associated bowel obstruction, nausea, vomiting, no flatus or bowel movement

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
Referrals are managed through Gastroenterology (GI) Central Access and Triage
Complete the referral form and fax it to Central Access using the contact information in this profile.
Urgent Referrals should be directed to RAAPID North at 1-800-282-9911 or 780-735-0811.
Referrals are managed through Gastroenterology (GI) Central Access and Triage
Complete the referral form and fax it to Central Access using the contact information in this profile.
Urgent Referrals should be directed to RAAPID North at 1-800-282-9911 or 780-735-0811.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type EDMONTON ZONE GI CAT in the “To Department” section and complete order.
Urgent Referrals should be directed to RAAPID North at 1-800-282-9911 or 780-735-0811.
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type EDMONTON ZONE GI CAT in the “To Department” section and complete order.
Urgent Referrals should be directed to RAAPID North at 1-800-282-9911 or 780-735-0811.
ADDITIONAL SERVICE DETAILS
We provide a variety of patient resources here: http://www.ibdclinic.ca/resources/

Within the UAH Inflammatory Bowel Diseases Outpatient Clinic we have expertise including, but not limited to the following areas:

Special patient populations
  • Pediatric transition
  • Family planning and pregnancy
  • Preventive care and elderly patients
  • Gut microflora-altering therapies (FMT, dietary interventions, prebiotics and probiotics)
Advanced diagnostic testing
  • Small bowel imaging with MRI, CT, abdominal and gut ultrasound as wells as endoscopy (ileocolonoscopy, EGD, small bowel endoscopy (push enteroscopy, double balloon enteroscopy, chromo-endoscopy)
  • Advanced laboratory testing including therapeutic drug monitoring
Advanced and minimally invasive interventions
  • Small bowel stricture dilation
Availability of biologic and investigative tests and therapies
Please check our regularly updated list of clinical research projects and clinical trials. If you are interested in clinical research, please contact us.
We provide a variety of patient resources here: http://www.ibdclinic.ca/resources/

Within the UAH Inflammatory Bowel Diseases Outpatient Clinic we have expertise including, but not limited to the following areas:

Special patient populations
  • Pediatric transition
  • Family planning and pregnancy
  • Preventive care and elderly patients
  • Gut microflora-altering therapies (FMT, dietary interventions, prebiotics and probiotics)
Advanced diagnostic testing
  • Small bowel imaging with MRI, CT, abdominal and gut ultrasound as wells as endoscopy (ileocolonoscopy, EGD, small bowel endoscopy (push enteroscopy, double balloon enteroscopy, chromo-endoscopy)
  • Advanced laboratory testing including therapeutic drug monitoring
Advanced and minimally invasive interventions
  • Small bowel stricture dilation
Availability of biologic and investigative tests and therapies
Please check our regularly updated list of clinical research projects and clinical trials. If you are interested in clinical research, please contact us.
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.
 
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
Crohn's disease
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Alanine aminotransferase
 
Within 1 month

Albumin
 
Within 1 month

Aspartate aminotransferase
 
Within 1 month

C-reactive protein measurement
 
Within 1 month

Clostridium difficile assay
 
Within 1 month

Complete blood count with white cell differential, automated
 
Within 1 month

Creatinine measurement, serum
 
Within 1 month

Electrolytes measurement, serum
 
Within 1 month

Quantitative measurement of calprotectin in stool specimen
 
Within 1 month

Stool culture
 
Within 1 month

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

Past medical history
 
Within 1 month

Alanine aminotransferase
 
Within 1 month

Albumin
 
Within 1 month

Aspartate aminotransferase
 
Within 1 month

C-reactive protein measurement
 
Within 1 month

Clostridium difficile assay
 
Within 1 month

Complete blood count with white cell differential, automated
 
Within 1 month

Creatinine measurement, serum
 
Within 1 month

Electrolytes measurement, serum
 
Within 1 month

Quantitative measurement of calprotectin in stool specimen
 
Within 1 month

Stool culture
 
Within 1 month
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Missing or cancelling two (2) scheduled appointments associated with the same consult request will result in cancellation and return of the referral to the referring provider. A new referral is then required.
Missing or cancelling two (2) scheduled appointments associated with the same consult request will result in cancellation and return of the referral to the referring provider. A new referral is then required.
 
HOURS OF OPERATION
Monday: 8:00 am - 3:00 pm
Tuesday: 8:00 am - 3:00 pm
Wednesday: 8:00 am - 3:00 pm
Thursday: 8:00 am - 3:00 pm
Friday: 8:00 am - 3:00 pm
   
 
ADDRESS
2nd Floor
8440 112 Street NW
Edmonton Alberta
T6G 2B7
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.
  • Please note we are a scent free environment.
  • 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.
  • Please note we are a scent free environment.
 
DIRECTIONS
University of Alberta
Division of Gastroenterology
Zeidler Ledcor Centre
8540 112 Street NW
Edmonton Alberta
T6G 2L7

Bus stops are located on 112 and 114 Streets NW, and an LRT station is located just west across 114 Street NW.

The clinic is located on the third floor.
University of Alberta
Division of Gastroenterology
Zeidler Ledcor Centre
8540 112 Street NW
Edmonton Alberta
T6G 2L7

Bus stops are located on 112 and 114 Streets NW, and an LRT station is located just west across 114 Street NW.

The clinic is located on the third floor.
 
PHONE
780-492-8691
 
PARKING INSTRUCTIONS
Parking available in a number of parkades and parking lots in the University Hospital area.
Parking available in a number of parkades and parking lots in the University Hospital area.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
Based on medical condition and when appropriate, virtual appointments are available.
Based on medical condition and when appropriate, virtual appointments are available.
 
PARKING MAP
 
WHEELCHAIR ACCESSIBILITY
Yes

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.

 

V6.5