What is the IMPACT Center?

The IMPACT (Internal Medicine Preoperative Assessment, Consultant and Treatment) Center is a clinic where important information about your health can be gathered before your surgery.

Your surgeon will use this information to make sure you are in the best physical condition possible to undergo surgery. Your anesthesiologist will use this information to plan for the type of anesthesia you will receive.

The overall goal of this visit is to minimize your risks of developing complications as a result of surgery or anesthesia.

What should I bring to my appointment at the IMPACT Center?

  • An updated list of your medications including the medication name and the dose in milligrams, the number of pills you take at a time and how often per day you take them. (If you prefer, you may bring in the original medication containers.)
  • The name and contact information for your primary physicians and any other specialists you see regularly.

Sometimes, incomplete information about ongoing or prior medical problems can prevent surgery from taking place as scheduled.

If you have had any evaluation outside of the Cleveland Clinic for a possible stroke, heart disease or lung disease, please bring the following documents directly to the IMPACT Center to avoid unnecessary delays in your surgery:

  • Carotid ultrasound reports (within the last 5 years)
  • Cardiac catheterization reports (within the last 10 years)
  • Stress test results (within the last 3 years)
  • Echocardiogram reports (within the last 5 years)
  • Electrocardiograms (a photocopy of the ECG tracing)-(within the last 5 years)
  • Pulmonary function test results (within the last 2 years)
  • Recent laboratory tests (within the last 3 months)
  • Pacemaker implantation and evaluation records (within the last year)
  • Discharge summaries from recent hospitalizations (within the last year)

If there are any other medical records that you feel would be important for documenting major medical evaluations you have had, please bring them. Since we will review in detail your past medical and surgical history, you may want to write this information down before your appointment.

If you choose to have your records faxed to us, please call to confirm their receipt.

What can I expect during my appointment at the IMPACT Center?

During your appointment at the IMPACT Center, a health care provider will:

  • Take your medical history
  • Perform a physical examination
  • Review pertinent tests ordered by your doctor
  • Discuss what medications you should or should not take before and immediately after your surgery
  • Order any additional tests that may be necessary to make sure it is safe to proceed with surgery
  • Discuss your planned surgery with your surgeon or anesthesiologist, as necessary

If I need additional testing, can this be done the same day as my visit to the IMPACT Center?

All blood testing can be done the same day. However, in some cases, patients require additional stress testing. If your activity level is extremely limited and you have a history of one of the following and you have not had a stress test in the past 2 to 3 years, it is likely you might need a stress test:

Will you have enough information to know if I am ready for surgery?

In most cases, if your medical records are complete and updated, your visit will provide your IMPACT Center provider with enough information to know if you are ready for surgery.

However, sometimes an underlying problem will be identified that needs to be addressed before surgery. When this occurs, arrangements will be made for more testing or medications will be prescribed as necessary.

Will my surgery be delayed for any reason?

In most cases, surgery will not be delayed. However, even a simple problem like a common cold can make surgery less safe. Other times, tests may show that an existing medical condition such as high blood pressure or diabetes is poorly controlled.

If you have a poorly controlled condition, your IMPACT Center provider may start treatment to improve your health and check you again in time for surgery. Or, you may be asked to return to your regular doctor for more treatment. The IMPACT Center will inform you and your surgeon about any conditions that require treatment before surgery.

What if my medical condition is very complicated or I am not ready for surgery?

Your IMPACT Center provider will recommend the treatment you should receive before and after your surgery. This information becomes part of your medical record and will be referred to throughout your care at the Cleveland Clinic.

If your IMPACT Center provider finds that you are not medically ready for surgery or your medical condition is very complicated, we will discuss your evaluation with your surgeon. Your surgeon can then decide whether surgery is right for you at this time.

Please Remember

If you have any questions or concerns, please call the IMPACT CENTER at 216.445.9438 or 800.223.2273 ext. 5-9438; Fax: 216.445.1767.

© Copyright 1995-2011 The Cleveland Clinic Foundation. All rights reserved.

This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. This document was last reviewed on: 1/4/2011...#5027