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T.O.R.C.H. – Transitioning Onto Rehabilitation & Continuing Home

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To embrace challenges within the health care system and improve the quality of care for our patients and key stakeholders, Covenant Care has developed a comprehensive interdisciplinary process with emphasis on coordinated care throughout the care continuum. 

This process; T.O.R.C.H. addresses the continuum of care from the Transitioning from acute care/hospital, Onto Rehabilitation (skilled or post-acute care with an emphasis on therapy as appropriate), to Continuing Home (a lower/more independent level of care.

T.O.R.C.H. is... Transitioning Onto Rehabilitation and Continuing Home.

Key components of the program include a Transition Coach who works as a patient advocate, patient lead care planning which encourages self-directed and individualized goals, medication reconciliation, the use of teach back tools for patient and caregiver education, enhanced communication with our patient’s primary care physician, a “Discharge-to-In charge”© phase to promote successful transitions home or a lower level of care, and coordinated patient follow-up well beyond discharge.

This program and key processes have enabled us to reduce 30-day rehospitalization rate to below 16%, as well as improve our discharge to community rate above 57%, outcomes that well surpass national averages!

About Us

Covenant Care was founded in 1994 by healthcare professionals who wanted to create a company that would exceed customer expectations through quality care. We strive to provide complex, comprehensive and compassionate care in a safe and comfortable environment. Learn More >

Latest News

May 31, 2016

Covenant Care Announces 2015 Chairman's Award Winner Read More >

May 7, 2014

Covenant Care Rolls Out "Enhanced Dining" Read More >

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(800) 861-0086

27071 Aliso Creek Road, Suite 100
Aliso Viejo, California 92656

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