Complex Care Programs and Services
Intensive Post-Acute Rehabilitation
Individuals entering rehabilitation are always unique, but their primary objective is typically the same – a return to health, home and what’s important in life, as soon as possible. At Touchpoints Rehab, part of the iCare Health Network, we understand.
Our innovative, personalized program is designed to accelerate the recovery process, so that patients can Get Well, Live Well and Be Well, faster, better and with fewer challenges than any traditional rehabilitation program. These programs are designed to optimize therapy, promote recovery, and provide ongoing quality of life for patients experiencing chronic and high acuity medical conditions.
What is Complex Care?
Touchpoints Rehab is a leader in this field. The Complex Care program uses a team of healthcare providers including nursing, respiratory and other staff to closely monitor a patient’s health status and facilitate safe transitions from setting to setting. This team will guide care from the hospital to the skilled nursing facility and into the home ensuring a smooth transition from one to the next. You will often see the same nurse or team member in the hospital, in the facility and following up after discharge to ensure success and avoid readmission to the hospital.
The Complex Care team works with physician guidance and alongside APRNs, Physician’s Assistants and the entire staff of the skilled nursing facility. The team focuses additional focus and resources on patients with complicated medical conditions who are at risk for frequent hospital admission.
Complex Care Team
- Transitional Care - Heart Failure Nurse
- Regional Clinical Director
- Care Transitions Respiratory Therapist
- Multi-disciplinary clinical team
- Consulting physician specialists, pulmonologists, PAs and APRNs
Addressing Frequent Hospitalizations
The program also addresses repeat hospitalizations by applying frequent lab work and assessment, integrated specialty care including pulmonary/respiratory therapy and sleep medicine, specialist consultation, clinical partnerships and more.
For patients with multiple hospitalizations the team will address their general state of health and wellness and improve their daily functionality. This will get them back home where they want to be and slow the tide of re-hospitalizations.
Your caption text here
Complex Care Clinical Programs
- Congestive Heart Failure
- Chronic Obstructive Pumonary Disease (COPD) and other related pulmonary disease processes.
- Post open-heart surgery care.
- Affiliation or enrollment in Accountable Care Organization, Risk or Payment Bundle and/or at high risk for readmission.
Program Highlights
Some patients who have been hospitalized following these conditions may be encouraged to stay in a post-acute facility to regain their strength. Our network partnerships ensure that our patients receive rehabilitation services in close collaboration with their medical team within the hospital networks. The key features of this unique approach include:
- The Touchpoints Rehab team has been trained by the hospital network team. The clinical team follows their established protocols.
- Touchpoints Rehab has experienced physicians and physician extenders.
- The Touchpoints Rehab team includes a dedicated Transitional Care Nurse who follows caseload patients through the course of their care, including after discharge home and provides additional, continuous clinical over- sight and support.
- The hospital and Touchpoints Rehab teams remain in continuous communication, working together to ensure a smooth transition.
- The hospital team remains informed on the progress of patients’ post-acute stays on a daily basis and continuing through discharge home.
- Once discharged, patients are reconnected with their primary care provider.
- Touchpoints Rehab staff are skilled in the delivery of all IV treatments and modalities.
Program Benefits
- Consultations and daily communication with the hospital team ensure continuity of care and optimal treatment decisions.
- Careful oversight of progress and a quieter, more personal environment are highly conducive to rapid improvements.
- Individually paced rehab programming enables faster recovery, stabilization and restoration of strength.
- Ongoing specialty evaluations
- Diagnosis-specific education for you and your family
- Healthy menus tailored to your diagnosis.
- Weight monitoring
- Physical, occupational and speech therapies
- Customized care planning
- Home support and discharge planning
- Weekly rounds by hospital practitioners
- IV Lasix, Bumex, Dobutamine and Milrinone therapies
- Weekly lab value monitoring
- Touchpoints Rehab locations in Bloomfield, Manchester, East Windsor and Farmington.
For more information, please call (860) 812-0788, email moc.nheraci@ofni or visit us online at www.touchpointsrehab.com
News & Updates
Discover the latest from our blog
-
iCare Health Network Celebrates its Activities and Therapeutic Recreation Professionals, 2025
January 23, 2025
January 19-25 is National Activities Professional Week with a theme of “Shaping the Future” On this week we celebrate all of iCare Health Network’s Therapeutic Recreation, Life Enrichment and Activities Professionals as they bring fun, engagement, enrichment and fulfillment to our residents’ lives. At iCare, the Recreation Department provides residents with a wide range of opportunities, emphasizing the therapeutic benefits of each program. Yesterday, in honor of Activities Profe… -
Celebrating and Honoring Dr. Martin Luther King, Jr.
January 20, 2025
Today we honor, remember and celebrate the life and legacy of Dr. Martin Luther King, Jr. Martin Luther King Jr. was born January 15, 1929, in Atlanta. Among his many efforts, King headed the Southern Christian Leadership Conference. Through his nonviolent activism and inspirational speeches, he played a pivotal role in ending legal segregation of Black Americans as well as the creation of the Civil Rights Act of 1964 and the Voting Rights Act of 1965. King won the Nobel Peace Prize in 1… -
Construction has commenced on a brand-new, six-chair ‘dialysis den’ exclusively for residents at Westside Care Center in Manchester. This state-of-the-art addition will allow the care center to provide on-site hemodialysis services to up to 36 residents. The den and dialysis program will create an environment of convenience and integrated care. Residents will not longer need to travel in challenging weather or worry about the complications of transportation among other benefits. -
After celebrating iCare Health Network’s 25th Anniversary over this past year, I am writing to share an important update regarding the leadership of our organization. I will be moving from the position of Chief Executive Officer of iCare Health Network into a new role as the Chairman of the Board for iCare. After nearly 26 incredible years, this marks the beginning of a new era for iCare, and I’m excited about the opportunities ahead for all of us. Thank you for your trust and dedication t… -
iCare Health Network Christmas Lobby Contest Photo Gallery, 2024
December 12, 2024
On December 11 and 13, 2024 members of the iCare leadership team toured iCare Health Network care centers across three New England states to experience the Christmas joy on display in their respective lobbies as part of the annual Lobby Decorating Contest. This year’s theme was Christmas Movies, running the gamut from White Christmas to The Grinch to Die Hard. The care center teams came through as always with music, food, staff and resident involvement, skits (even a feature film!) and a… -
On November 21, 2024, MissionCare at Bennington and iCare Health Network were honored to welcome distinguished guests including Dr. Jill Bowen, Commissioner of the Vermont Department of Aging and Independent Living; Deputy Commissioner Megan Tierney-Ward; Vermont Department of Corrections Deputy Commissioner Kristin Calver in joining Chris Wright in a ceremonial ribbon cutting to mark the grand opening of the care center. -
Join the Better Breathers Club at Touchpoints at Bloomfield!
December 9, 2024
Struggling with a chronic lung condition? You’re not alone. Join our Better Breathers Club, a supportive group for individuals with chronic lung diseases like COPD, pulmonary fibrosis, and asthma. Led by trained facilitators, our club offers you the tools to manage your condition and improve your quality of life. Our first meeting of the year kicks off on a special date, Friday, January 10, at 11 AM! Don’t miss it. For more details and to express your interest, contact Maureen Orlan… -
Trinity Hill Care Center Celebrates iCare Health Network's 25th Anniversary by way of Oktoberfest
November 20, 2024
On November 14, 2024 the team at Trinity Hill Care Center celebrated iCare Health Network’s 25th Anniversary via Bavaria in the form of Oktoberfest! Residents and staff had an amazing day filled with fun and festivities. The day kicked off with a delicious German-inspired lunch featuring Bratwurst sausages, potatoes, and a decadent German chocolate cake for dessert. In the afternoon, Trinity Hill held a special award ceremony to honor their incredible staff members who have been with the c…
