“Enriching
Lives”
Discover the iCare location
that meets your needs.
Find a Facility   Now Hiring!  
i

Transitional Care Programs and Services


Transitional 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 Transitional Care?

Touchpoints Rehab is a leader in this field. Transitional Care uses a team of healthcare providers including nursing, respiratory and other staff to closely monitor a patient’s health status 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 Care Transitions 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.

Care Transitions Team

  • Care Transitions Nurse Liaisons
  • Care Transitions Respiratory Therapist
  • Multi-disciplinary clinical team
  • Consulting physician specialists, 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

Care Transitions Clinical Programs

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 Director of Care Transitions 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. In addition, 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 or visit us online at www.touchpointsrehab.com

 

News & Updates

Discover the latest from our blog

  • During the week of June 19-25 the team at Parkville Care Center held a Spirit Week for residents and staff to kick off Summer ‘22. The week included five different themes; DIsney Day, Nerd Day, Wig Day, Styling Summer Dress Day and Wacky Socks Day.  Spirit Weeks are a great way to spice up the time between holidays and other events and engage residents in activities, therapeutic recreation and just plain fun. 
  • On June 20, 2022 Touchpoints at Home, the home health division of iCare Health Network, received an Official Citation from the General Assembly as congratulations for a deficiency free Department of Public Health Survey.  The citation reads in part, “it is rare that an agency would be free of deficiencies on a survey and the Touchpoints team should be proud of this accomplishment. Thank you for the difficult and essential work you do, especially during the challenging times of the COVID p…
  • Parkville Care Center in Hartford, part of the iCare Health Network, is excited to introduce a post-amputation, limb loss program. The program is designed to holistically treat the patient and their family through the pre and post stages of limb loss and amputation rehabilitation.  Services for residents with limb loss include Rehabilitation Services, Nursing, Social Services, and Nutrition Services and are supported by a consulting physician, mid level providers, wound care consultants and pr…
  • Today we celebrate Juneteenth, a day that commemorates a pivotal moment in our history that ended slavery in America. A day to reflect on our history, the fight for freedom and the work that still needs to be done today. A day to celebrate African American culture and celebrate our diverse communities.  Juneteenth commemorates the emancipation of enslaved African Americans by marking the anniversary of the announcement of General Order No. 3 by Union Army general Gordon Granger on Ju…
  •  iCare Health Network celebrates National Caeer Nursing Assistants Day which takes place today, June 16, 2022, the first day of Nursing Assistants Week. June 16th-23rd is the 45th annual National Nursing Assistants Week, with a theme of “Nursing Assistants: Kindness in Action.” The week celebrates the vital role Certified Nurses’ Aides (CNAs) play in the daily delivery of quality care and quality of life supports to our residents.
  • To all of our veterans Far and near. We thank you for your service For all those years. You sacrificed your time, And some gave your life. You preserved our freedom By willingly paying the price.
  • This past week Simba, a nine month old puppy, paid a visit to the staff and residents of Chelsea Place Care Center. Simba is truly an iCare dog, having been adopted by a staff member at Parkville Care Center before being deployed for pet therapy sessions at Chelsea Place.
  • According to the American Health Care Association (AHCA) website, skilled nursing care centers and their staff provide a​ steadfast commitment to providing high-level of care for their residents. This has never been more evident than the last two years during the pandemic. In addition to protecting and caring for their residents around the clock during a time of limited visitation and social distancing, staff stepped in and served ​as family members and friends to ensure that residents…