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 National Skilled Nursing Care Week 2025: Weaving the 'Tapesty of Life'
May 12, 2025
From May 11th to 17th, 2025, iCare Health Network proudly joins the nationwide observance of National Skilled Nursing Care Week (NSNCW aka Nursing Home Week), following the American Health Care Association’s theme, “Tapestry of Life.” This year’s theme emphasizes the “vibrant, diverse experiences of residents in skilled nursing facilities—each individual a unique thread contributing to a rich and interconnected community.” At iCare centers across New England, Nursing Home W… -
Fresh River Healthcare and iCare were proud to be Gold sponsors and walk in the Team Hope Walk at Chatfield State Park on May 4th. The walk was organized by the Connecticut Chapter of the Huntington’s Disease Society of America. According to their website, The Huntington’s Disease Society of America (HDSA) is the premier nonprofit organization dedicated to improving the lives of everyone affected by Huntington’s disease. From community services and education to advocacy and researc… -
A recent meeting of iCare Health Network’s Therapeutic Recreation Directors centered on impactful topics such as process (not outcome) driven programming, behavioral health in group settings, food centered activities, and storytelling strategies. The team also explored ways to incorporate community resource organizations into our calendars as “courses” to support resident independence and growth. -
National Nurses Day and Week is a time to recognize the extraordinary work of nurses across the country, celebrating the dedication, compassion, and professionalism that define the nursing profession — especially here at iCare Health Network. The American Nurses Association (ANA) chose “The Power of Nurses” as the theme for National Nurses Week 2025 to recognize the invaluable contributions of nurses worldwide. This theme celebrates nurses’ daily impact on healthcare, inno… -
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… -
Scot Haney and 'Good Day Connecticut' Highlight Parkville Care Center's Limb Loss Program
April 11, 2025
On April 10, 2025, WFSB premiered a segment on Good Day Connecticut with Scot Haney highlighting Parkville Care Center’s ‘All Phase Limb Loss Program’. The program entails four phases of the process for residents with new limb loss: Pre-Procedure, Post Procedure Wound Care/Pain Management, Pre-Prosthetic Training and finally Prosthetic Training. Those with existing limb loss will have all of the same critical services and supports available to them but in a long term mainte… -
Construction continues 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. Planned ope… -
Touchpoints at Bloomfield's Marva Smith Inducted into the Certified Nursing Assistant Hall of Fame, 2025
March 31, 2025
iCare Health Network is pleased to announce that the Connecticut Chapter of the American Association of Health Care Administrators 2025 inductees to the Connecticut Certified Nursing Assistant Hall of Fame included Touchpoints at Bloomfield’s Marva Smith. There are so many examples of why we believe Marva should be inducted into this year’s Hall of Fame but from the words of her fellow coworkers: She is humble and kind, self-motivated, never idle, always willing to help out anyone who …
