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.
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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
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The Windsor Senior Center was filled with the warm aromas of sizzling bacon and fresh-baked scones as nearly 50 local seniors gathered for a special breakfast hosted by Touchpoints at Bloomfield. The event, held on Thursday morning, was a heartwarming opportunity for community connection, delicious food, and a few exciting surprises. Touchpoints at Bloomfield, a skilled nursing and rehabilitation center, was proud to sponsor and serve the breakfast as part of its ongoing commitment to supporting… -
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Touchpoints at Bloomfield's Marva Smith Inducted into the Certified Nursing Assistant Hall of Fame, 2025
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iCare Health Network is pleased to announce that Kelli Grzeika has joined the iCare team as the Director of Behavioral Programs. With a passion for helping others and a deep background in social work and healthcare administration, Kelli has spent more than a decade improving the lives of residents in short term rehab and long-term care. Kelli started her career in social services, working one-on-one with residents and families to navigate long-term care decisions, advocate for resident rig… -
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Meet Ashley Frame, Administrator at Westside Care Center. Ashley’s journey into long-term care administration began as a dietary aide, where she first discovered the profound impact even the smallest gestures can have on residents’ lives. Driven by a passion to be hands-on in patient care, she advanced to become a therapeutic recreation assistant, focusing on specialty programs and building lasting relationships with residents and their families. Ashley’s decision to become an administrato… -
Meet Yong Crandall, Administrator at Touchpoints at Chestnut. Balancing a demanding role with personal well-being is key to her leadership style. Yong makes time for long walks—either before or after work—to clear her mind and process the day’s ideas and challenges. This practice helps her maintain a positive outlook, which in turn influences the care she provides for both her staff and residents. Yong embraces the wisdom of Esther and Jerry Hicks, reminding herself that “The dominan…
