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Plastic Surgery Centralized Access - Facilitated Access to Specialized Treatment (FAST)   at
Edmonton Zone and Area
Central Access Healthcare Service
Specialty: Plastic Surgery
Connect Care Department: EDMONTON ZONE PLASTIC SURG CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Edmonton area
CENTRAL ACCESS SERVICES
Referrals for Plastic Surgery in the Edmonton Zone are accepted through the Facilitated Access to Specialized Treatment (FAST) centralized access program. The program improves patient access to specialty care by centralizing referral intake, ensuring referrals are complete, and distributing referrals to specialists. Referring providers can choose a next-available surgeon with the shortest waitlist; a specific surgeon, clinic, or site; or an out-of-zone provider. FAST receives the surgical referrals, reviews them for completeness and duplication, and then sends them to appropriate surgeons for triage and booking.
Referrals for Plastic Surgery in the Edmonton Zone are accepted through the Facilitated Access to Specialized Treatment (FAST) centralized access program. The program improves patient access to specialty care by centralizing referral intake, ensuring referrals are complete, and distributing referrals to specialists. Referring providers can choose a next-available surgeon with the shortest waitlist; a specific surgeon, clinic, or site; or an out-of-zone provider. FAST receives the surgical referrals, reviews them for completeness and duplication, and then sends them to appropriate surgeons for triage and booking.
ELIGIBILITY REQUIREMENTS
Review reasons for referral table below for eligibility requirements.
Review reasons for referral table below for eligibility requirements.
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
  1. Add FAST to your Electronic Medical Record (EMR) system.
  2. Prepare your referral using a detailed referral letter:
    • Identify referral reason listed in the Referral Pathway.
    • Include all required information in the Referral Pathway.
    • Use the QuRE checklist to ensure completeness.
  3. Select a referral destination: next available specialist, a named provider or to an out-of-zone provider (Reason why patient should be seen out of zone is required).
  4. Fax the referral to Edmonton Zone FAST (see fax numbers above).
  5. Track your referral status in Alberta Netcare eReferral.
  1. Add FAST to your Electronic Medical Record (EMR) system.
  2. Prepare your referral using a detailed referral letter:
    • Identify referral reason listed in the Referral Pathway.
    • Include all required information in the Referral Pathway.
    • Use the QuRE checklist to ensure completeness.
  3. Select a referral destination: next available specialist, a named provider or to an out-of-zone provider (Reason why patient should be seen out of zone is required).
  4. Fax the referral to Edmonton Zone FAST (see fax numbers above).
  5. Track your referral status in Alberta Netcare eReferral.
REFERRAL PROCESS - FOR CONNECT CARE USERS
An Outgoing Referral is required for this service.
Change the referral class to “Outgoing Referral” on the Ambulatory Order and complete order.
Outgoing orders are not sent electronically and require processing in work queue 5
An Outgoing Referral is required for this service.
Change the referral class to “Outgoing Referral” on the Ambulatory Order and complete order.
Outgoing orders are not sent electronically and require processing in work queue 5
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
ADDITIONAL SERVICE DETAILS
For urgent referral patient may need same day intervention and/or diagnostics without hospitalization; not life threatening. Call RAAPID North: 1-800-282-9911
Indications: Acute fractures including all fractures within 2 weeks of injury, acute tendon ruptures and torn ligaments within 2 weeks, dislocation within 2 weeks, metastatic bone tumors including impending pathologic fractures, acute pathologic fractures.

For emergent referral patient needs to be seen immediately.
Call RAAPID North at 1-800-282-9911 or send to Emergency Department via 911 as appropriate.
Examples include, but are not limited to:
• Avascular Digit
• High pressure injection injury
• Perilunate dislocation
• Any joint dislocation that is not reducible
• Numbness distal to a laceration (lacerated major nerve)
• Compartment syndrome
• Severe infection (e.g., suspected deep space hand infection, flexor
tenosynovitis, necrotizing infection)

Learn more about FAST at ahs.ca/FAST
For urgent referral patient may need same day intervention and/or diagnostics without hospitalization; not life threatening. Call RAAPID North: 1-800-282-9911
Indications: Acute fractures including all fractures within 2 weeks of injury, acute tendon ruptures and torn ligaments within 2 weeks, dislocation within 2 weeks, metastatic bone tumors including impending pathologic fractures, acute pathologic fractures.

For emergent referral patient needs to be seen immediately.
Call RAAPID North at 1-800-282-9911 or send to Emergency Department via 911 as appropriate.
Examples include, but are not limited to:
• Avascular Digit
• High pressure injection injury
• Perilunate dislocation
• Any joint dislocation that is not reducible
• Numbness distal to a laceration (lacerated major nerve)
• Compartment syndrome
• Severe infection (e.g., suspected deep space hand infection, flexor
tenosynovitis, necrotizing infection)

Learn more about FAST at ahs.ca/FAST
 
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
Arthritis of hand
 
.

Arthritis of wrist
Click for Referral Guidelines:
 
.

Asymmetrical breasts
Click for Referral Guidelines:
 
.

Bony orbit deformity
Click for Referral Guidelines:
 
.

Breast implant complication
Click for Referral Guidelines:
 
.

Breast reconstruction
Click for Referral Guidelines:
 
.

Breast reduction
Click for Referral Guidelines:
 
.

Carpal tunnel syndrome
Click for Referral Guidelines:
 
.

Chronic wound
Click for Referral Guidelines:
 
.

Congenital breast deformity
Click for Referral Guidelines:
 
.

Cosmetic surgery
Click for Referral Guidelines:
 
.

Craniofacial osseointegration consultation
 
.

Cyst of hand
Click for Referral Guidelines:
 
.

Deformity after injury
Click for Referral Guidelines:
 
.

Deformity of wrist and/or hand
Click for Referral Guidelines:
 
.

Diabetic foot ulcer
Click for Referral Guidelines:
 
.

Dupuytren's disease of palm

Ear deformity
Click for Referral Guidelines:
 
.

Excess abdominal skin
Click for Referral Guidelines:
 
.

Excess eyelid skin
Click for Referral Guidelines:
 
.

Eyelid deformity
Click for Referral Guidelines:
 
.

Eyelid ptosis
Click for Referral Guidelines:
 
.

Facial asymmetry
Click for Referral Guidelines:
 
N/A

Facial nerve paralysis
 
.

Fracture
Click for Referral Guidelines:
 
.

Gender affirming top surgery
Click for Referral Guidelines:
 
.

Gynecomastia
Click for Referral Guidelines:
 
.

Hand pain
Click for Referral Guidelines:
 
.

Hidradenitis suppurativa
Click for Referral Guidelines:
 
.

Hyperhidrosis
Click for Referral Guidelines:
 
.

Infection
Click for Referral Guidelines:
 
.

Keloid scar
Click for Referral Guidelines:
 
.

Ligament pathology of hand and/or wrist
Click for Referral Guidelines:
 
.

Ligament pathology of wrist
Click for Referral Guidelines:
 
.

Lymphedema
Click for Referral Guidelines:
 
.

Malignant neoplasm of soft tissue of wrist
Click for Referral Guidelines:
 
.

Mass of wrist and/or hand

Median nerve entrapment

Nasal deformity
Click for Referral Guidelines:
 
.

Plastic surgery consultation
Click for Referral Guidelines:
 
.

Post burn deformity
Click for Referral Guidelines:
 
.

Pressure ulcer
Click for Referral Guidelines:
 
.

Radial nerve entrapment
Click for Referral Guidelines:
 
.

Rheumatoid hand deformity
Click for Referral Guidelines:
 
.

Scar
Click for Referral Guidelines:
 
.

Skin cancer
Click for Referral Guidelines:
 
.

Skull deformity
Click for Referral Guidelines:
 
.

Suspected benign neoplasm of skin
Click for Referral Guidelines:
 
.

Suspected benign soft tissue mass
Click for Referral Guidelines:
 
.

Suspected skin cancer
Click for Referral Guidelines:
 
.

Suspected soft tissue cancer
Click for Referral Guidelines:
 
.

Suspected tendon rupture
Click for Referral Guidelines:
 
.

Tendon pathology of hand and/or wrist
Click for Referral Guidelines:
 
.

Ulnar nerve entrapment
Click for Referral Guidelines:
 
.

Wrist pain
Click for 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
Investigation Timing
Additional Details
Burn
Click for Referral Guidelines:
 
.

Dislocation of joint
Click for Referral Guidelines:
 
.

Fracture
Click for Referral Guidelines:
 
.

Infection
Click for Referral Guidelines:
 
.
 

Ligament pathology of hand and/or wrist
Click for Referral Guidelines:
 
.

Nerve injury
Click for Referral Guidelines:
 
.

Pathological fracture
Click for Referral Guidelines:
 
.

Suspected tendon rupture
Click for Referral Guidelines:
 
.

Vascular injury
Click for Referral Guidelines:
 
.
 

Wound
Click for Referral Guidelines:
 
N/A

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.

 

V7.2