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Touchpoints at Bloomfield
140 Park Avenue
Bloomfield, CT 06002
860-243-9591 -
Touchpoints at Farmington
20 Scott Swamp Road
Farmington, CT 06032
860-677-7707 -
Touchpoints at Manchester
333 Bidwell Street
Manchester, CT 06040
860-533-3086 -
Touchpoints at Chestnut
171 Main Street
East Windsor, CT 06088
860-292-5394
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 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.
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Care Transitions 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 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 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 or visit us online at www.touchpointsrehab.com
News & Updates
Discover the latest from our blog
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Sarah Howroyd, Manchester native, licensed social worker, and honored change agent, was recently chosen to receive the 2020 GMCC Community Achievement Award. Each year the Community Achievement Award is given to a special individual as gratitude for all they do to help make Manchester a better place to live, work, and do business. This award, in its 25th year, is presented to an individual who exemplifies the true meaning of community; one who volunteers, who leads, who gives freely of themselve… -
The East Windsor Office of Massachusetts based NRX Logistics kindly and generously sent an ice cream truck to Fresh River Healthcare on Thursday. NRX’s Facility Manager, John Navin, shared that the company wanted to thank front line workers and share some fun. Administrator Jim Christofori and team were spotted ordering and enjoying cold treats. Thanks so much John Navin and the NRX team for thinking of Fresh River Healthcare and for your generosity! -
George Floyd was created in the image of God yet he was deprived of his unalienable rights, his life and his future. We condemn this senseless killing and pray that the Lord uses this tragedy and the others that have unfolded in recent weeks as a seminal event towards change. iCare supports the fight against racism in all its forms. As a company that wholeheartedly embraces diversity and celebrates its communities of color, we reject injustice, inequality, discrimination, violence and hate. … -
Abby's Helping Hand Delivers Gifts to Fresh River Healthcare and Touchpoints at Chestnut
May 29, 2020
Sarah and Stephanie Cota of Abby’s Helping Hand, presented 100 gift bags each to Touchpoints at Chestnut and Fresh River Healthcare leadership. The gifts were for the care center staff to express gratitude and support for all they do to provide care for their residents, especially in these challenging times. According to their website, the mission of Abby’s Helping Hand is to improve the quality of life for those afflicted with mitochondrial and other chronic diseases through support, educat… -
Connecticut nursing home employees are ‘family…where family can’t be.’ How do we know there will be a ‘Better Day”? Because these amazing caregivers are laser-focused on compassionate care and recovery. They are making it happen now. There will be a Better Day.
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Taking a moment to solemnly remember, celebrate and eternally thank those that gave their life in the service of the greater good, in the service of their country, and in the service of all of us. On behalf of a grateful nation. -
Parkville Care Center Celebrates National Nursing Home Week with Superhero Day and 'Words of Wisdom' Week
May 15, 2020
May 10-16, 2020 is National Nursing Home Week. What is usually a very festive week, full of Springtime activities like BBQs, picnics, Fairs and games for residents and staff has been much more muted due to the fight against COVID-19. However, there are still ways to celebrate the residents, staff and culture of long term care while remaining mindful of social distancing, infection control precautions and all of the challenges of life during a pandemic. -
Rotary Club of Manchester Sends Rein's to Healthcare Heroes at Touchpoints at Manchester and Westside Care Center
May 14, 2020
The Rotary Club of Manchester had dinners for Rein’s Deli in Vernon delivered to the staff at Touchpoints at Manchester and Westside Care Center. The service club, whose motto is Service Above Self, donated 80 meals for the second shift. The delicious food from the renowned deli was very much appreciated by the staff and came during the middle of National Nursing Home Week. Although this week’s events are muted given the current status of the COVID-19 pandemic, it remains a great t…
Visit one of our 4 locations to learn more
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Touchpoints at Bloomfield
140 Park Avenue
Bloomfield, CT 06002
860-243-9591 -
Touchpoints at Farmington
20 Scott Swamp Road
Farmington, CT 06032
860-677-7707 -
Touchpoints at Manchester
333 Bidwell Street
Manchester, CT 06040
860-533-3086 -
Touchpoints at Chestnut
171 Main Street
East Windsor, CT 06088
860-292-5394