Inventory of Referrals for Outpatient Cardiac Diagnostic ...

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Inventory of Referrals for Outpatient Cardiac Diagnostic ...

  1. 1. Inventory of Referrals for Outpatient Cardiac Diagnostic Testing & Other Services for Adults VIHA – South Island Original May 2009 Prepared by: Sonya Rinzema Manager, Cardiac & Respiratory Rehabilitation Heart Function Clinic, & Echocardiography VIHA Heart Health
  2. 2. Physicians Involved in Cardiac Care Service Name Service Provided & Location Referral by Referral tool Contact Cardiology at Western Provide adult outpatient medical assessment, diagnosis, treatment All Physicians Referral via letter at Western Cardiology, & follow-up for no history CAD, post event, such as Acute MI, all sites, except: • Phone: 250-595-1551 West Heart & RJH Heart Failure, chest pain, arrhythmia & other cardiac conditions • Western need to • Fax: 250-595-6793 or Cardiology use Consultation 250-595-1000 Drs accepting new cardiology referrals (uses 1st avail physician Request form West Heart Serves VIHA model): • Phone: 250-595-3111 • Western Cardiology: E. Fretz, P. Klinke, R. Leather, Morgan, • Fax: 250-595-4278 P. Novak, L. Sterns, R. Sochowski, A. Tang, M. Williams, K. Dr. Higginson Yvorchuck • Phone: 250-519-1916 • West Heart: A. Della-Siega, D. Hilton, D. Kinloch, R. • Fax: 250-519-1922 Mildenberger (not accepting: M. Mann) Dr. Swiggum • RJH: L. Higginson, E. Swiggum • Phone: 250-519-1601 • Fax: 250-370-8267 Electro-physiology Provide EP assessment diagnosis, treatment, management & All Physicians Referral via Western Phone: 250-595-1551 (EP) Services follow-up. Through referral to EP, the following additional services Cardiology with letter Fax: 250-595-6793 or 250- can be accessed: 595-1000 • Tilt table testing - RJH • Invasive EP testing & ablation - RJH Urgent EP Clinic - Western Cardiology / RJH EDS • Drs accepting referrals: Leather, Novak, Sterns, Tang Heart Function Clinic, Provide HF assessment diagnosis, treatment, management & All Physicians Referral via CR / HF Phone: 250-519-1601 RJH follow-up with a multidisciplinary team Clinic referral form Fax: 250-370-8267 Drs accepting referrals: RJH – Dr. E. Swiggum Rapid Access Internal Provides urgent medical assessment All Physicians Referral via letter Phone: 250-519-1829 Medicine Clinic (including ER) Fax: 250-370-8762 (RAICM), RJH Dr accepting new referrals: • RJH - Dr J. Spence Urgent Medical Provides urgent medical assessment All Physicians Referral via UMAC Phone: 250-727-4212 ext Assessment Clinic (including ER) form or letter 5107 (UMAC), VGH Drs accepting new referrals: Fax: 250-250-727-4083 VGH - Drs: D. Skinnider, D. McDonald (Farrell on mat leave) Cardiac Provide tertiary adult cardiac surgical assessment, diagnosis, All Physicians Referral via letter Phone: 250-595-1833 Surgeons treatment, intervention & follow-up for CABG & valve surgery, Fax: 250-595-1889 (Thoracic/ Vascular) pacemaker insertion, other cardio-thoracic procedures RJH Surgeons: Drs J. Bozinovski, L. Fedoruk, J. O’Fiesh, M. Perchinsky, Services VIHA D. Wong Diagnostic Services Procedure Location Access to Service Referral tool Contact ECG – Tracks electrical activity of RJH All Physicians RJH, VGH, SPH Heart RJH & VGH Fax: 250-727-4131 the heart VGH Health EDS Req SPH SPH Fax: LMH Western: own Test LMH Fax: Some VIHA and Life lab locations Rq form or any other (including Main & Pender Island) req Western Cardiology Western Fax: 250-595-6793
  3. 3. Procedure Location Access to Service Referral tool Contact Exercise Treadmill / Stress test RJH RJH, VGH, SPH, LMH Heart Health EDS RJH & VGH Fax: 250-727-4131 (ETT) – determines the heart’s VGH Specialist only Req at RJH, VGH, response to a measure degree of SPH SPH SPH Fax: activity LMH LMH Fax: Western Cardiology Western & West Western- own req Western fax: 250-595-6793 West Heart Cardiology Heart All Physicians West heart- own req West Heart fax: 250-595-4278 Holter Monitor –battery operated RJH All Physicians Heart Health EDS RJH & VGH Fax: 250-727-4131 ECG test (for 24 hour tests at all VGH Req at RJH, VGH, sites; 48 hour tests only at RJH & SPH SPH SPH fax: VGH) LMH LMH: Western Cardiology (outreach sites at Western – own req Western fax: 250-595-6793 GP office on Pender & in Mill Bay) West heart – own req West Heart fax: 250-595-4278 West Heart Cardiology VIHA labs on Main & Pender Islands NM EF – checks the pumping action VIHA Medical Imaging at: All Physicians Medical Imaging Req Fax: 250-370-8362 of the heart ventricles, particularly VGH #29-05-0153-0 the Lt ventricle RJH NM MIBI (exercise or persantine) – VIHA Medical Imaging at: All Physicians Medical Imaging Fax: 250-370-8362 to determine the heart’s response VGH Nuclear Medicine to a measured degree of activity RJH MIBI scan req Transthorasic Echo (TTE) – uses Echocardiography at: All Physicians VIHA Echo Req Fax: 250-370-8495 sound waves to examine the heart. RJH VGH Stress Echocardiogram – test for Echocardiography at: Cardiologists & VIHA Echo Req Fax: 250-370-8495 the Cardiologists’ adult patients & RJH Specialists only for non-ischemic patients to determine the heart’s response to a measured degree of activity. Transesophageal Echo (TEE) – is a Echocardiography at: Cardiologists & VIHA Echo Req Fax: 250-370-8495 method of examining the heart by RJH Specialists only use of an ultrasound probe placed in your esophagus. Event Monitoring RJH All Physicians Heart Health EDS Fax: 250-370-8658 Req Ambulatory 24-Hour BP monitoring VGH All Physicians VGH – Heart Health VGH Fax: 250-727-4131 West Heart EDS Req West Heart Fax: 250-595-4278 West Heart – own req LAB – BNP (two different tests) All Physicians VIHA lab req VIHA Phone: 250-370-8336; Fax: NT pro BNP NT pro BNP on at VIHA labs Or lifelab req site specific BNP BNP at lifelabs Lifelab: phone & fax site specific CT VIHA Medical Imaging at: All Physicians Medical Imaging Req Fax: 250-370-8110 VGH #29-05-0153-0 RJH SPH LMH US VIHA Medical Imaging at: All Physicians Medical Imaging Req General Fax: 250-381-8053 or VGH #29-05-0153-0 SPH fax: 250-652-7541 RJH SPH Island Ultrasound LMH Inventory of Referral for Cardiac Diagnostic Testing & Other Services in VIHA South Island Page 3 of 4
  4. 4. Procedure Location Access to Service Referral tool Contact X-ray VIHA Medical Imaging at: All Physicians Medical Imaging Req # VGH Fax: 250-727-4005 VGH 29-05-0152 RJH Fax: 250-370-8108 RJH SPH MRI RJH All Physicians MRI requisition Fax: 250-727-4448 VGH # 29-05-33657-0 Interventional Services (IP procedures) Procedure Location Access to Service Referral tool Contact Cardiac angio or intervention – adult Provide adult diagnostic and intervention Specialists only Booking card Referring MD office diagnostic test – coronary angiogram. RJH Angiogram Interventional test – coronary angioplasty RJH Angioplasty (stent laser/ radiation) (stent/laser/ radiation) Cardio-version (booked) Interventional electrical cardioversion at: Specialists only Booking card Referring MD office RJH SPH LMH Medical Imaging Angio or intervention (non VIHA Medical Imaging Specialists only Medical Imaging cardiac) Req #29-05-0153-0 Risk Reduction Services (not all services included) Service Name & Location Service Provided & Location Referral by Referral tool Contact Multi-site Cardiac Rehab / RJH - To help clients manage their cardiac condition to the All Physicians Referral via CR /HF Clinic Phone: 250-519-1601 Risk Reduction Clinic best of their ability by helping increasing clients & family referral form Fax: 250-370-8267 members understanding of heart disease & risk through providing Case Management Service, Medical Consultation, Take Heart Exercise (see below) & linking to affiliated services (such as Heart to Heart education, Diabetic Education Centre, Kidney Care Clinic, Chronic Disease Self Management, VIHA Nutritional Counseling & Quitnow.ca) Take Heart supervised Physician approved individualized monitored exercise All Physicians Referral via Physician RJH Phone: 250-519-1601 exercise program (A program with aerobic & strength-training components. For Recommendations for • Fax: 250-370-8267 Vancouver Island exercise people with cardiac or chronic conditions. Most sites have a exercise form except for SCP Phone: 250-475-7619 program developed in maintenance program available. Offered at: RJH referral which occur • Fax: 250-727-2649 partnership with Inter- • Royal Jubilee Hospital (RJH) - for complex or high risk via CR /HF Clinic referral YMCA-YWCA Phone: 250- municipal Recreation patients form 418-1843 Centres, the YM-YWCA of • Saanich Commonwealth Place (SCP) • Fax: 250-380-1933 Greater Victoria and VIHA) • YMCA-YWCA of Greater Victoria (YMCA-YWCA) PR Phone: 250-655-2184 • Panorama Rec Centre (PR) • Fax: 250-656-3360 • West Shore Parks & Rec (WS) WS Phone: 250-474-8694 • Fax: 250-474-8650 Lipid Clinic Provides assessment, education & management of adult • All Physicians Referral via Lipid Clinic Phone: 250-381-3830 or clients with complex lipid disorders. referral form 250-386-0023 Fax: 250-386-0025 Pacemaker / ICD Clinic RJH – provides follow-up for adults & some adolescents with • All Physicians Heart Health EDS Req Phone: 250-370-8670 implanted pacemakers, ICDs, arrhythmia devices, etc Fax: 250-370-8658 Inventory of Referral for Cardiac Diagnostic Testing & Other Services in VIHA South Island Page 4 of 4

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