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This healthcare service has 1 current healthcare service locations.
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Obstetric Internal Medicine Central Access and Triage   at
Calgary Zone and Area
Central Access Healthcare Service
Specialty: Obstetric Medicine/OBIM
Connect Care Department: CALGARY ZONE OBS INT MED CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Calgary Zone
CENTRAL ACCESS SERVICES
This central access referral service provides a single point of entry for consultations focusing on the care of pregnant women with medical conditions.
This central access referral service provides a single point of entry for consultations focusing on the care of pregnant women with medical conditions.
ELIGIBILITY REQUIREMENTS
  • Women who are pregnant or planning to become pregnant with medical conditions
  • We do not provide routine prenatal care such as fetal ultrasound, prenatal diagnostic testing or referrals to obstetric care providers
  • We do not provide ongoing management of pre-existing medical conditions or diagnostic work up of undifferentiated symptoms or conditions outside pregnancy
  • We do not manage diabetes in pregnancy, please refer to Endocrinology
  • Women who are pregnant or planning to become pregnant with medical conditions
  • We do not provide routine prenatal care such as fetal ultrasound, prenatal diagnostic testing or referrals to obstetric care providers
  • We do not provide ongoing management of pre-existing medical conditions or diagnostic work up of undifferentiated symptoms or conditions outside pregnancy
  • We do not manage diabetes in pregnancy, please refer to Endocrinology
ROUTINE REFERRAL PROCESS
Please review the Eligibility requirements, Additional service details and Referral guidelines below before making a referral to this service.
Referrals can be submitted via:
  • Fax: Non-Connect Care users complete the referral form and send it to the service using the contact information in this profile.
  • Connect Care: Connect Care users use the Ambulatory Referral Order to the respective specialty in Connect Care.
Referrals for all sites are processed at the HSC OBIM Central Access and Triage and assigned to designated sites based on triage time, appointment availability and patient preference. Please include complete patient demographics including patient address.

Wait times for:
  • An urgent Obstetric Internal Medicine appointment for a pregnant patient is appointment is 1-2 weeks.
  • A semi-urgent Obstetric Internal Medicine appointment for a pregnant patient is 3-6 weeks
  • A routine Obstetric Internal Medicine appointment for a pregnant patient is 7 - 10 weeks.
  • A routine Preconception (patient is not pregnant) appointment is 2-6 months
Please review the Eligibility requirements, Additional service details and Referral guidelines below before making a referral to this service.
Referrals can be submitted via:
  • Fax: Non-Connect Care users complete the referral form and send it to the service using the contact information in this profile.
  • Connect Care: Connect Care users use the Ambulatory Referral Order to the respective specialty in Connect Care.
Referrals for all sites are processed at the HSC OBIM Central Access and Triage and assigned to designated sites based on triage time, appointment availability and patient preference. Please include complete patient demographics including patient address.

Wait times for:
  • An urgent Obstetric Internal Medicine appointment for a pregnant patient is appointment is 1-2 weeks.
  • A semi-urgent Obstetric Internal Medicine appointment for a pregnant patient is 3-6 weeks
  • A routine Obstetric Internal Medicine appointment for a pregnant patient is 7 - 10 weeks.
  • A routine Preconception (patient is not pregnant) appointment is 2-6 months
URGENT REFERRAL PROCESS
All urgent referrals should involve a physician consultation prior to faxing in a paper referral.
Please call the office at 403-220-6376 (option 1) or access ROCA in the Internal Medicine area in the service for OB Med to find the paging information for the OBIM physician on call (Monday to Friday 8AM-4PM) to discuss your urgent patient referral.

If you feel your patient needs to be seen on a more urgent basis than the wait time communicated to your office on a waitlist notification, or additional interim recommendation is required, please do not hesitate to contact our office at 403-220-6376 (option 1) or the Obstetrical Internal Medicine physician on-call via ROCA (Internal Medicine/OB Med Consults)
All urgent referrals should involve a physician consultation prior to faxing in a paper referral.
Please call the office at 403-220-6376 (option 1) or access ROCA in the Internal Medicine area in the service for OB Med to find the paging information for the OBIM physician on call (Monday to Friday 8AM-4PM) to discuss your urgent patient referral.

If you feel your patient needs to be seen on a more urgent basis than the wait time communicated to your office on a waitlist notification, or additional interim recommendation is required, please do not hesitate to contact our office at 403-220-6376 (option 1) or the Obstetrical Internal Medicine physician on-call via ROCA (Internal Medicine/OB Med Consults)
EMERGENCY REFERRAL PROCESS
Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. 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 or RAAPID SOUTH (patients in and south of Red Deer) at 1-800-661-1700 or 403-944-4486
Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. 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 or RAAPID SOUTH (patients in and south of Red Deer) at 1-800-661-1700 or 403-944-4486
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Wait list status update every 14 days.
  • Appointment outcome to referral source within 30 days.
ADDITIONAL SERVICE DETAILS
Provides consultations focusing on the care of pregnant women with medical conditions, preconception counselling, optimization of maternal health status, assessment of the safety of medication use during pregnancy and management of complications throughout pregnancy are all important aspects of the care of women with medical conditions.
Collaborating closely with obstetricians, maternal fetal medicine specialists, medical subspecialists and other allied health care staff to ensure those women with medical conditions have safe pregnancies.

Common/serious medical conditions in pregnancy we evaluate & treat include:
  • hypertensive disorders (essential and pregnancy related hypertension)
  • heart disease
  • venous thromboembolism
  • hematologic problems
  • renal disease
  • gastrointestinal disease
  • neurological problems
  • thyroid problems and more. 
We also offer preconception counseling for patients with medical problems who would like to discuss how to manage their condition prior to becoming pregnant and address concerns they may have about their condition during pregnancy. 

For interpretation of thyroid function in pregnancy refer to care pathway at Endocrinology - Thyroid Function In Pregnancy and refer to Endocrinology as necessary.
Provides consultations focusing on the care of pregnant women with medical conditions, preconception counselling, optimization of maternal health status, assessment of the safety of medication use during pregnancy and management of complications throughout pregnancy are all important aspects of the care of women with medical conditions.
Collaborating closely with obstetricians, maternal fetal medicine specialists, medical subspecialists and other allied health care staff to ensure those women with medical conditions have safe pregnancies.

Common/serious medical conditions in pregnancy we evaluate & treat include:
  • hypertensive disorders (essential and pregnancy related hypertension)
  • heart disease
  • venous thromboembolism
  • hematologic problems
  • renal disease
  • gastrointestinal disease
  • neurological problems
  • thyroid problems and more. 
We also offer preconception counseling for patients with medical problems who would like to discuss how to manage their condition prior to becoming pregnant and address concerns they may have about their condition during pregnancy. 

For interpretation of thyroid function in pregnancy refer to care pathway at Endocrinology - Thyroid Function In Pregnancy and refer to Endocrinology as necessary.
 
CENTRAL ACCESS REFERRAL PHONE
403-220-6376 ext 1
CENTRAL ACCESS REFERRAL FAX
403-283-6151
REFERRAL FORMS
REFERRAL ADVICE
Specialist LINK
CENTRAL ACCESS LINKED SERVICES
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
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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
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Disorder of pregnancy
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous investigations and consult letters related to reason for consultation
 
current
prenatal records
 
if available
We do not provide routine prenatal care such as fetal ultrasound, prenatal diagnostic testing or referrals to obstetrical care providers.
We do not manage diabetes in pregnancy. Please refer to Endocrinology. 


Please see Additional Service Details, located below this table for Common and serious medical conditions we evaluate and treat. 
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Gestational hypertension
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
ALT
 
Within 1 month
Albumin
 
Within 1 month
Bilrubin
 
Within 1 month
CBC
 
Within 1 month
Glucose
 
Within 1 month
INR
 
Within 1 month
LDH
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
PTT
 
Within 1 month
Past medical history
 
Within 1 month
Previous investigations and consult letters related to reason for consultation
 
current
Serum Creatinine
 
Within 1 month
Serum uric acid
 
Within 1 month
Spot random urinary protein: creatinine ratio
 
Within 1 month
Urinalysis, routine and microscopic
 
Within 1 month
prenatal records
 
if available
+-
Thrombocytopenia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
CBC
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous investigations and consult letters related to reason for consultation
 
Current
prenatal records
 
If available
CBC:
  • Biweekly if 32-36 weeks gestational age
  • Monthly if < 32 weeks gestational age
  • Weekly if > 36 weeks gestational age
In general, women with isolated thrombocytopenia (platelet <30) in the absence of bleeding and remote from delivery, do not require urgent therapy. Platelet count >50 is considered adequate for vaginal or operative delivery.
 
Please notify our office if the platelet count trends below 50 as we may expedite the appointment based upon the additional information.


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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