genesis physical medicine & rehabilitation annual report 2010 - 2011

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Physical Medicine and Rehabilitation Annual Report 2010-2011 Genesis Health System exists to provide compassionate, quality health service to all those in need.

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Genesis Physical Medicine & Rehabilitation Annual Report 2010 - 2011

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Physical Medicine and Rehabilitation Annual Report

2010-2011

Genesis Health System exists to provide

compassionate, quality health service

to all those in need.

Introduction

Inpatients Served

Inpatient Program Discharge Data

Celebrating 35 Years

Brain Injury Program-Inpatient

Rebounding After Brain Injury

Brain Injury Program-Outpatient

Technology for Brain Injury

Spinal Cord System of Care - Inpatient

Spinal Cord System of Care - Outpatient

Paralized Firefighter Story

GOPEDS-Pediatric Program

Outpatient Service Locations

Power Sports Performance

Community Outreach

New Programs

Awards/Certifications

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Table of Contents

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Introduction

The Genesis Physical Medicine and Rehabilitation Service Line continued to grow in size and scope during fiscal years 2010 and2011, remaining the largest Program in the State of Iowa. Referralsto the Inpatient Program increased 6.4% in FY 10 and another 6.3%in FY 11. A total of 1,098 inpatients were served coming from7states and 26 Iowa and Illinois counties during the two-year period.The amount of therapy services provided in our outpatient physicalrehabilitation clinics also increased. This growth testifies to the factthat our services are highly regarded by the physicians who refer patients to us and by the patients and families we have served.

Program achievements were many during these fiscal years. Highlights include the following.

Dr. Blaine Washington II joined Genesis bringing the number ofphysiatrists available at Genesis to five. Two additional outpatient rehabilitation clinics opened, giving patients the option of 13 convenient locations to chose from. In Iowa, sites are located in Bettendorf, Davenport, DeWitt, Eldridge, LeClaire and Iowa City.In Illinois, sites are in Moline and Silvis.

Safety became one of the Genesis core values, enhancing those ofIntegrity, Compassion, Accountability, Respect and Excellence. AllGenesis staff and physicians completed a 3-hour safety trainingcourse.

A community-based Fall Prevention Program was developed and isoffered to essentially healthy senior citizens who want to increasetheir strength, coordination and agility and thus decrease their risk of falling.

To increase efficiency and communication, scheduling monitors were installed on the nursing units and in all of the inpatient therapyclinics, similar to what is seen in an airport. This has lessened downtime and missed therapy sessions. Patient satisfaction scoreshave increased with this change. Ninety-seven percent of the patients contacted after discharge state they are satisfied to very satisfied with the rehabilitation services received.

In September 2010, the Genesis Physical Medicine and RehabilitationProgram received notification of the recent CARF accreditation surveyresults. CARF is a private, nonprofit organization whose mission is topromote the quality, value and optimal outcomes of services providedto persons with disabilities. The Genesis Program was awarded accreditation for seven specific programs. Genesis became the firstprogram in the State of Iowa to have an accredited Spinal Cord System of Care Program. Genesis also is the only Outpatient Brain Injury accredited program and is one of only two accredited InpatientBrain Injury Programs. Of special note is the fact that the CARF accredited programs were recognized as having 31 areas of strength.In addition, several initiatives were considered exemplary; the Gene-sis safety program, community outings, therapy dog program, andthe adaptive water ski program offered by the Therapeutic Recre-ation Department, the rehabilitation driving program, and the inter-nally developed computerized scheduling system.

The Genesis Rehabilitation Program continues to expand servicesand grow as the result of the talented and dedicated physicians andstaff. Our mission remains to provide compassionate, quality servicesthat will maximize independence and facilitate the achievement of individual goals of all those in need of physical medicine and rehabilitation. This would not be possible without the continued support of the Genesis Administrative Team and the Genesis HealthSystem Board.

Inpatients Served

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IowaCarroll 1Cedar 13Clinton 38Des Moines 1Dubuque 1Henry 1Jackson 8Johnson 1Keokuk 1Lee 2Louisa 2Muscatine 38Scott 332Van Buren 1Wapello 1Washington 1

IllinoisBureau 2Carroll 2Henry 14Jo Daviess 1Knox 2LaSalle 1Mercer 3Rock Island 57Warren 1Whiteside 7

OtherTennessee 1

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IowaBuchanan 1Butler 1Cedar 10Clinton 39Des Moines 2Dubuque 3Henry 1Jackson 17Johnson 4Linn 1Mahaska 1Muscatine 37Polk 1Scott 341Wapello 2Washington 1

IllinoisHenry 10Knox 2LaSalle 2Mercer 10Rock Island 62Sagamon 1Whiteside 9

OtherArizona 1Minnesota 1Missouri 2Tenessee 1

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Characteristics of patients 2010 2011Average age 68 66GenderMale 54% 55%Female 46% 45%

Satisfaction of services providedSatisfied to Very Satisfied 97% 95%

Average hours of therapy per day (5 of 7 days) 3+ hours 3+ hoursAverage length of stay 19.8 days 18.4 daysAchieving Predicted Outcomes

Goal Attainment 81% 81%Goals Achieved/Goals Written 1803/2217 1827/2268

Returned to Productive Activity 79% 71%

Number of patients discharged to the community as compared to national programs

2010 2011

Genesis Medical Center National* Genesis Medical Center National*Stroke 70% 66% 61% 67%Brain Injury 69% 69% 71% 72%Spinal Cord Injury 62% 72% 72% 72%Orthopedic 79% 80% 77% 81%Neurological 69% 75% 74% 74%General Rehab/Medical 73% 73% 70% 74%

Returned to Acute Care Unit 11% 14.5%Pediatric Inpatients Served 5 5

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InpatientDischarge Data

*Data from eRehab Data.A product of the American Medical Rehabilitation Providers Association

Celebrating 35 years of rehabilitation at Genesis

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2010 2011

Number of patients served 62 76Characteristics of patients

Average age 63 64GenderMale 77% 64%Female 23% 36%

Types of InjuriesTraumatic Brain Injury 24 28Non-Traumatic Brain Injury 36 44Multiple Trauma with Brain Injury 2 4

Satisfaction of services providedSatisfied to Very Satisfied 100% 96%

Achieving Predicted Outcomes 74% 80%Goals Achieved/Goals Written 187/251 256/322

Average hours of therapy per day (5 of 7 days) 3.92 hours 3.96 hours• Occupational Therapy• Physical Therapy• Speech Language Therapy• Therapeautic Recreation

Average length of stay 22 days 19.6 days

2010 2011

Disposition Genesis Medical Center National* Genesis Medical Center National*Discharged to Community 69% 69% 71% 72%Returned to Acute Care Unit 13% 15% 18% 11%

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*Data from eRehab Data.A product of the American Medical Rehabilitation Providers Association

Brain InjuryInpatient

Rebounding after brain injuryGenesis rehab programs helpput the pieces back together

Jerry Ward’s visible injuries havehealed since his motorcycle accident last summer.The bruised legs and hip, the

cracked ribs, broken clavicle and subdural hematoma have mended. He can walk again. In fact, he walks more than 2 miles a day now and has lost 92 pounds -- down from 320 pounds before his injury.Eight months after the accident,

some would say he looks healthier than he did before. Not as easily apparent, how-

ever, is the “hidden” injury to hisbrain. Brain injury has affectedhow he thinks, acts and feels. Ithas lingered after the physicalpain has healed.In reality, he lost the weight

because he no longer has asense of taste. It’s difficult for him to sit through an entiremovie or TV sitcom without losing focus. It’s easier for him to comprehend a face-to-faceconversation than talk on thetelephone.He remembers people he knew

in school yet can easily forget the name of someone he justmet. Large crowds and noisygatherings make him anxious; the multitude of voices becomestoo distracting.

The brain is selective, and whathe remembers doesn’t alwaysmake sense to him.“The biggest challenge is

memory,” says Ward, whoworked as the postmaster in Cordova, Ill., before the accidentand has traveled the world as ayouth counselor.

Giving patients a ‘lift’ Ward credits the Learning Independence For Tomorrow(LIFT) program at Genesis withhelping him return to an active,productive life. Recently, hebegan transitioning back to worka couple of hours a day -- the firsttime since the June 14, 2009, theday he swerved his motorcycle to avoid a car making an unexpected U-turn.He didn’t hit the car, but his

head hit the concrete hard.The closed head injury resulted

in a craniotomy to treat a subdural hematoma and a two-month stay on the GenesisPhysical Medicine and Rehabilita-tion Unit in Davenport, thelargest inpatient rehabilitationunit in Iowa. It’s the only QuadCities hospital with CARF-accredited brain injury programs.Ward also had aphasia, or

damage to the language areas of the brain.“I might want to say ‘I’m going

to the kitchen’ but instead say‘I’m going to the garage.’ I wasso confused,” he says. “I knew Ishould know the right answer,but I couldn’t say it. After his long inpatient stay,

Jerry Ward began the intensive,outpatient LIFT program, theonly one of its kind in the Quad Cities area. The program is at Genesis Medical Park,Maplecrest in Bettendorf.There, he learned strategies

to deal with losses in his concentration, attention spanand short-term memory. Histreatment plan included the help of experts in occupational,speech, physical and recreationtherapies and social work.“At first, I was very insecure

about coming to the LIFT program,” he says. “I would beintroduced to people and think ‘I don’t understand why I need to know this.’ But the more Iworked, the more I understood.” Like many brain injury patients,

Jerry Ward wasn’t fully aware ofhis limitations caused by the injuries to three of his five brainlobes. Not only does the LIFTprogram work on improving reasoning, problem-solving, attention and concentration skills, but it also makes patientsmore aware of their deficits.

Road to recoveryDepending on what area of the brain is damaged, peoplewith brain injury can have a variety of physical, cognitive, behavioral and emotional impairments. Challenges canrange from weakness and trouble with coordination toproblems with memory, organization, speaking or swallowing.

No brain injury is the same, andthe effects are complex and varygreatly from person to person.

Trips out into the community,such as to the shopping mall or a restaurant, help patients in the LIFT program build independence and confidenceand work on functional skills. Theprogram also acts as a liaison topatients as they return to work.

Last December, Lori Dryg, SLP,visited Jerry Ward’s workplace tobetter understand the skills hisjob entails -- from multi-taskingand helping customers to fillingout financial reports and meetingtime-sensitive deadlines for mail delivery. For the next threemonths, she and others helpedhim hone those skills.

{ }Jerry Ward builds his strength and endurance while listening to audiotapes at the Genesis Learning Independence for Tomorrow (LIFT) program, an outpatient-based program for brain injury rehabilitation.

“At first, I was very insecure about coming to the LIFT

program. I would be introduced topeople and think ‘I don’t understand

why I need to know this.’ But the more I worked, the more I understood.”

Jerry Ward

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2010 2011

Number of patients served 28 30Location of home

Iowa: Quad City area 46% 43%Iowa: outside Quad City area 21% 40%Illinois 32% 17%

Characteristics of patientsAverage age 55 49GenderMale 68% 53%Female 32% 47%

Types of InjuriesTraumatic Brain Injury 40% 46%Stroke 46% 27%Non-Traumatic Brain Injury (other) 14% 27%

Satisfaction of services providedSatisfied to Very Satisfied 100% 100%

Average number of visits 35 visits 36 visitsAchieving Predicted Outcomes

Individual Goal Attainment 86% 75%Goals Achieved/Goals Written 78/91 78/105

Returned to premorbid living arrangements 96% 83%Goals Achieved/Goals Written 27/28 25/30

Returned to work, school, leisure activities 75% 80%Goals Achieved/Goals Written 21/28 24/30

Returned to driving 61% 52%Goals Achieved/Goals Written 17/28 14/27

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*Data from eRehab Data.A product of the American Medical Rehabilitation Providers Association

Brain InjuryOutpatient

The electronic device on Sarah Barker’sleg is inconspicuous, but it provides one huge advantage: Now she can comfortably walk while talking with her friends.Barker, 31, suffered a traumatic brain

injury at the age of 17 when the vehiclein which she rode was “T-boned” by another auto, the driver of which had run a red light. The Bettendorf HighSchool student had been on her way to see the Patty Loveless country musicshow at the Mississippi Valley Fair.She was severely injured, resulting

in hospitalization for almost a year, including three months in a coma.But Barker has been fighting back

every day since, aided by the use of electronic devices, including the NessL300 Foot Drop System made by Bioness Inc. of Valencia, Calif.“It helps me considerably,” she said.

“I’m constantly improving.”Doctors and physical therapists at

Genesis Outpatient Rehabilitation in Bettendorf learned of the Ness L300about two years ago. Barker liked the device once she got a chance to try itout, but getting insurance to cover the $6,200 cost was a chore, physicaltherapist Patricia Darland said.“Like all new technology, it is pricey,”

added Darland, who has worked withBarker the past eight to nine years. “Insurance companies cover it on a case-by-case basis, if they cover it at all.”The Ness L300 supplies an artificial

electrical signal to the nerves that stimulate the muscles to work. It works

for a number of patients, including thosewho have had a brain injury, stroke orspinal cord injury.“If they have a nerve that’s capable of

working in their lower legs, it can work,”Darland said.It hurts sometimes, but only a little.

“I just have to walk it off,” Barker said.Before Barker used the device, she had

to think hard and concentrate on how she would walk, without drawing specialattention to herself. “It used to be veryhard for Sarah to walk and talk at thesame time, like she wants to do with herfriends,” Darland said.But the Ness L300 enables Barker to

move faster and more smoothly. Anothernice advantage is that it’s small and no special clothing is needed. The Bettendorf resident has tried a number of gadgets to help her over the years, including one that required special shoes.“That’s very problematic,” she said.Barker is preparing now for the fall

semester of college, her first at St. Ambrose University in Davenport,where she will be a junior.“I’ve scoped out the parking lot by

the building where my class is,” she said.“There are 16 parking places. I'll getthere early.”

QC TimesAugust 21, 2009

{ }“It helps me considerably. I’m constantly improving.”

Sarah Barker

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Technology for brain injury

2010 2011

Number of patients served 32 43Characteristics of patients

Average age 60 55GenderMale 72% 65%Female 28% 35%

Types of InjuriesTraumatic Injury 69% 40%Non-Traumatic Injury 31% 60%

Satisfaction of services providedSatisfied to Very Satisfied 100% 100%

Achieving Predicted Outcomes 77% 85%Goals Achieved/Goals Written 111/144 142/168

Average hours of therapy per day (5 of 7 days) 3.5 hours 3.75 hoursAverage length of stay 25 days 21 days

2010 2011

Disposition Genesis Medical Center National* Genesis Medical Center National*Discharged to Community: All 62% 72% 72% 72%Traumatic SCI 64% 71% 69% 70%Non-Traumatic SCI 60% 72% 73% 74%Return to Acute: All 16% 13% 11% 14%

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*Data from eRehab Data.A product of the American Medical Rehabilitation Providers Association

Spinal CordSystem of CareInpatient

Spinal CordSystem of Care

Outpatient

2010 2011

Number of patients served 4 7Location of home

Iowa: Quad City area 100% 57%Iowa: outside Quad City area 0% 0%Illinois 0% 43%

Characteristics of patientsAverage age 71 41GenderMale 50% 71%Female 50% 29%

Types of InjuriesTraumatic SC Injury 50% 57%Non-Traumatic SC Injury (other) 50% 43%

Satisfaction of services providedSatisfied to Very Satisfied 100% 100%

Average number of visits 23 visits 53 visitsAchieving Predicted Outcomes

Individual Goal Attainment No data available 65%Goals Achieved/Goals Written 15/23

Returned to premorbid living arrangements 75% 100%Goals Achieved/Goals Written 3/4 7/7

Returned to work, school, leisure activities 50% 71%Goals Achieved/Goals Written 2/4 5/7

Returned to driving 75% 100%Goals Achieved/Goals Written 3/4 7/7

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*Data from eRehab Data.A product of the American Medical Rehabilitation Providers Association

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Injured Davenport Fire Department Capt. Bob Juarezcompetes in the Quad-CityTimes Bix 7.

Injured Davenport Fire DepartmentCapt. Bob Juarez competes in theQuad-City Times Bix7.

Cheers of support, burning handsand lots of help were all part ofDavenport firefighter Bob Juarez’sfirst Quad-City Times Bix 7 experience since being paralyzedfrom the waist down last year.

Juarez, injured after falling from aladder while fighting a downtownDavenport fire, was in the hospitalduring last year’s Bix 7. This year,using a wheelchair and accompa-nied by about 15 firefighters, relatives and friends, he finishedthe race in about 1 hour, 19 minutes.

“It was pretty easy, although I had a lot of help from a bunch of youngfirefighters,” the Davenport firecaptain said after the race. “Nextyear, I want to do more work.”

The race, which starts with its trademark uphill run and ends with a street party, is a combinationof intensity and whimsy. With a race-time temperature of 67 degrees and 81 percent humidity, conditions were amongthe best of the event’s 35 years.

Along with friends and family,Juarez was accompanied up BradyStreet hill by Abel Vazquez of Davenport, who is also wheelchair-bound after a construction accidentabout a year-and-a-half ago.Vazquez faded from Juarez’s pace,but finished under 90 minutes.Vazquez had met Juarez in the hospital.

“I was glad to have all the supportof all the firefighters,” Vazquez said.Juarez appreciated the support hereceived on the course, calling itthe best part of the race.

“It was nice, with all the peoplecheering my name,” he said.

The Brady Street hill was the worstpart, Juarez said. It was difficultgoing up, and his gloved handsburned as he came down.

The veteran runner of more than 15 Bix 7 races vowed to do betternext year.

“I’m going to try and do a lotmore,” he said. “I’ll be in bettershape.”

QC Times July 25th, 2009{ }“It was pretty easy, although I had a lot of help from a

bunch of young firefighters. Nextyear, I want to do more.”

Bob Juarez on competing in the Quad City Times Bix 7

Paralyzed firefighter’sefforts make for a special Bix 7 race

Youngsters at the Genesis Outpatient Pediatric Therapy Center in Bettendorfhave been busy over the summer performing dance and theater as part of their therapy. The kids, who have cognitive or physical delays, showed off their hard work during two recitals.

(at right) Boys in the Special Needs Theatre Group performed the play“When I Grow Up” at Assumption HighSchool, in conjunction with Curtain Box Theater. The play was written and directed by Kim Furness. In the photo,“Firefighter Fred,” played by Genesis occupational therapist Lindsay

Schlicksup, high fives “Bob the BaseballPlayer,” played by Tyler Smith as “Danthe Doctor” David Whitmore looks on.

(below) The “Chance to Dance” specialneeds dance program was performed to“High School Musical”. The dance stepshelp the children improve their strength,balance, and coordination. Pediatricphysical therapist Katie Snyder workswith one of the dance performers.

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GoPeds summer program

2010 2011

Number of therapy visits 8514 9329Occupational Therapy, Physical TherapySpeech/Language Pathology

FY11 represents a 43% increase since FY09.

Outpatient locationsDAVENPORT VALLEY FAIR2720 W. Locust Street, Suite 8B Phone: (563) 421-3495

LOMBARD1414 West Lombard Street Phone: (563) 421-9560

BETTENDORFMAPLECREST2535 Maplecrest Road, Suite 8 Phone: (563) 421-3460

PEDIATRIC THERAPY CENTER2535 Maplecrest Road, Suite 23Phone: (563) 421-3497

CROW VALLEY2300 53rd Avenue, Suite LL02 Phone: (563) 332-4422

POWER SPORTS PERFORMANCE3800 Tanglefoot LanePhone: (563) 349-7661

SILVISGENESIS MEDICAL CENTER - ILLINI1455 Hospital Road Phone: (309) 281-4740

MOLINETWO RIVERS YMCA 2040 53rd StreetPhone: (309) 281-2280

KING PLAZA3650 Avenue of the CitiesPhone: (309) 281-2500

LECLAIRE 1003 Canal Shore Drive, Suite 2 Phone: (563) 289-2100

CORALVILLE PEDIATRIC THERAPY CENTER 2451 Coral Court #1 Phone: (319) 853-0596

ELDRIDGE170 S. 4th Avenue Phone: (563) 285-9410

DEWITT1118 11th StreetPhone: (563) 659-4265

Genesis Outpatient Therapy offers services at thirteen convenient locations. Traditional occupational therapy and physical therapy are available at nearly all outpatient sites.Speech/language pathology services are alsoavailable at most sites. Therapists work with awide variety of orthopedic and neurological,work and sports related diagnoses for all agegroups. Patients receive treatment in spaciousand bright environments. Each location offersprivate treatment areas, as well as therapy gyms, including weight training stations, freeweights and cardio vascular training equipment.A wide variety of specialty therapies are offeredat various locations.

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Pre- and post-training

At Genesis Sports Performance, everyathlete participates in an extensive evaluation to identify improvement opportunities. Measurements in power,agility, strength and muscular enduranceare taken during pre- and post-training togive athletes feedback on their progress.The program provides a unique servicefor athletes in a structured, positive waythat will bring them results. Groups aresmall enough that each can still receiveindividualized attention. This allows athletes to receive more attention andtailor a program specific to their needs.

Star athletes can do this type of program,but it’s also for the youngsters who arelooking to get more playing time or to make the team. When athletes experience improved results, their overallself confidence also improves.

Other Programs

Back in the Game – Specifically designed for athletes recovering from a recent sports injury. A physician orphysical therapist’s recommendation isneeded.

Speed School – Learn how to run faster;develop explosive starting speed; accelerate quicker; and, change directionbetter. Develop usable core strength forimproved performance. Ages 9-24.

Power for Her – Designed to fit theneeds of the female athlete and herunique training and injury-preventionneeds. Ages 9-24.

Group training and team camps –Group discounts are available for groupsof five or more.

Adult fitness program – One-on-onetraining with group and couple’s ratesavailable.

Adult Boot Camps – Classes at a varietyof times and locations, these classes areintended to offer a high intensity sportconditioning class in a motivational environment.

Sports Nutrition Consulting – Designedto help athletes or the general publicmaximize their body compositionthrough dietary changes to dominatetheir sport or life.

Personal Training – Adults looking to decrease body weight and increase fatloss, increase sport performance, or to increase general fitness levels.

{ }“Star athletes do this type of program, but it’s also for the

youngster who are looking to getmore playing time or to

make the team.”

Power Sports Performance

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Bringing physician specialists closer to home

Conway Chin, D.O., knows hisphysical medicine and rehabilitationpatients often have limited mobilityand rely on family to bring them todoctors’ appointments and therapy.

That’s why, once a month, he bringshis clinic closer to the home of hisDeWitt area patients, where hesees them on the campus of Genesis Medical Center, DeWitt.

“I already had quite a few patientsin this area. This prompted me todevote some time coming here so people wouldn’t be missing appointments because of distanceor lack of transportation,” says Dr. Chin. “It has been more efficient for my own practice.”

Many of Dr. Chin’s patients, such as those who have had a stroke orundergone an amputation, first methim when they spent time in the inpatient Rehabilitation Unit atGenesis Medical Center, WestCampus. Now as they undergoGenesis outpatient therapy in DeWitt, they benefit from a coordinated system of care.

Fitness in the Park

Genesis Power Sports Performance,or PSP, offered free “Fitness in thePark” instruction every Saturday fora month at the new Genesis HealthBeat equipment located on BenButterworth Parkway in Moline, IL.A variety of stations are available

for aerobic and anaerobic exercise.

The equipment was donated to the city of Moline and recently installed. Genesis Health Systemalso donated similar equipment to Davenport, IA; Aledo, IL; andDeWitt, IA.

Physical Medicine & Rehabilitation Departmentsponsors Amputee PeerVisitor Training

The Amputee Coalition of America,or ACA, and Genesis Physical Medicine and Rehabilitation program hosted a peer visitor training seminar at the GenesisMedical Center West Campus September 12th.

Individuals who had experienced limb loss and are living full and productive lives attended, in addition to family members andhealth-care professionals. Certification was awarded to those with limb loss and familymembers who completed the class. Professionals received a certificateof attendance.

Participants learned how to be an effective peer visitor, how to recognize elements of recovery,how to respond during differentphases of emotional adjustment, effective communication skills andhow to create a referral network.

Community Outreach

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{ }Benefitting from a coordinated

system of care.

Sewing dresses for Haiti

They came together one Sunday on the Genesis Physical Medicine and Rehabilitation Unit to sew “pillowcase”dresses for little girls living in earthquake-ravaged Haiti.

In the Occupational Therapy office atGenesis, seasoned seamstresses and volunteers who had never sewn unitedfor one common goal: To create a littlejoy for youngsters living in a countryhard-hit by natural disaster.

At least 170 dresses were sewn by about 30 volunteers. The dresses were delivered to orphanages in Haiti by Genesis rehab nurse Deb Stockdale,R.N., who has made a medical missiontrip annually to the country for the past10 years.

The outpouring is far more than unit secretary Laurie Peiffer ever expectedwhen she first learned about a ministrycalled “Little dresses for Africa.”

About the same time, earthquake devastation in Haiti dominated the news.She recruited occupational therapistGretchen Cluff to helpher organize a similareffort for Haiti.

“We started talking toothers on the Rehabfloor. People began donating cash, material,notions, bias tape andelastic, and it just kindof spiraled,” Gretchensays.

She remembers that special Sunday atGenesis when volunteers came togetherto sew. “We started the day with 40-50already-completed dresses,” she says. “A couple of customers from HancockFabrics brought in about 25. By the end of the day, we had 136 dresses completed.”

“We’re taking new T-shirts for the boys,so they’ll have something new to wear aswell,” says Stockdale, who also collectsdonations of sundry items and medicalsupplies from Genesis employees.

Because Haiti is a very conservative country, the girls won’t be able to wearthe dresses to church. “But most of theireveryday clothes are very worn, and they don’t get new things to wear foreveryday,” she says, adding that needs have grown in the wake of the earthquake. “The clothes will be very much appreciated.”

{ }“We started talking to others on the Rehab floor. People began

donating cash, material, notions, bias tape and elastic, and it

just kind of spiraled.”Gretchen Cluff

International Outreach

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New programsGenesis Medical Center now offers physical rehabilitation servicesto those patients undergoing or preparing to undergo chemotherapyor radiation. Our therapists are certified in Lymphedema treatmentmanagement and are available, as part of the Cancer Care Instituteto provide quality care resulting in improved potential for survivorshipand quality of life. Patients experiencing issues in the followingareas can benefit from therapy in the following ways:

n Strengthening exercise programs for arm/leg weakness

n Balance and coordination assessment and training to address falls/balance problems

n Gait training for unsteady gait or difficulty walking

n Wound care by Certified Wound Therapist and clinic for skin and wound care issues

n Lymphedema assessment and treatment by certified specialists for swelling of the leg or arm

n Speech and Audiology assessment and treatment for problems with speech or swallowing

We are seeing an increase in cancer incidence, but also an increasein survival rates and number of persons living with cancer. The Genesis Oncology Rehabilitation Program provides multiple rehabilitation needs under one roof. “One Stop Shopping” makes access to care simpler and less fatiguing for the patient who’s activity tolerance may already be comprised as a result of other treatments he/she may be receiving. Utilizing a team approach, we are able to offer, in addition to physical, occupationaland speech therapy; audiology services, massage, acupuncture and nutritional consultation.

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Certificates Awards Physical Medicine and Rehabilitation Service Line

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Jan King, Director

Brenda Chacon, RN, BSN: Certified Rehabilitation Registered Nurse

Rochelle Collins, RN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist

Janet King, RN, BASS, MBA: Certified Rehabilitation Registered Nurse

Kerry Miller, RN, BSN: Certified Rehabilitation Registered Nurse

Jennifer Stender, RN, BSN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist

Rehabilitation Nursing - Wanda Haack, Manager

Brenda Chacon, RN, BSN: Certified Rehabilitation Registered Nurse

Karen Cumming, RN, MSN: Certified Medical Surgical Nurse

Diane Delashmutt, RN: Certified Rehabilitation Registered Nurse

Brenda Frazier, RN, BSN: Certified Rehabilitation Registered Nurse

Wanda Haack, RN, MSN: Certified Rehabilitation Registered Nurse

Shani Marland, RN: Certified Brain Injury Specialist

Nicole Matthys, RN, BSN: Certified Rehabilitation Registered Nurse

Lori Meierotto, RN: Certified Rehabilitation Registered Nurse

Cheryl Osborn, RN: Certified Rehabilitation Registered Nurse

Patty Schulz, RN: Certified Rehabilitation Registered Nurse

Ann Sterling, RN: Certified Rehabilitation Registered Nurse

Deborah Stockdale, RN, BAN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist

Heather Smith, RN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist, Certified Provider CPR/First Aid

Kimberly Teel, RN: Certified Rehabilitation Registered Nurse

Occupational Therapy - Ron Bear, Manager

Tanya Braet, MOT, OTR/L, CTL: Certified Lymphedema Therapist

Nancy Goppelt-Burney, OTR/L: Certified Brain Injury Specialist

Gretchen Cluff, OTR/L, CDRS: Certified Driver Rehab Specialist, Driving Safety Instructor for AARP, CarFit Event Coordinator Certified, Drive Well Trained CarFit State Coordinator, CarFit/WNTT

Claudeen Nellis-Engler, OTR/L: Certified Brain Injury Specialist, CAPT Advanced Certification

Tiffany Guge, OTR/L: Bioness Certification

Tara Henry, OTR, CLT: Lymphedema Certification

Tami Jaenel, COTA/L, LMSW: Certified Brain Injury Specialist

Kathy Lee, OTR/L: Certified Kinesiotape, Bioness Certification Practitioner

Julie Losasso, OTR/L: Certified Brain Injury Specialist, Bioness Certification

Molly Muhl, OTR/L: Certified Brain Injury Specialist

Michelle Owens, OTR/L: Certified Brain Injury Specialist

Barb Petri, OTR/L, LMT: Massage Certification, Advanced Certification in Massage Therapy

Jeniffer Ross, MOT, OTR/L: Certified Brain Injury Specialist, Bioness Certification

Caitlin Skrzyniarz, OTR, CLT: Lymphedema Certification

Lorri Swarney, COTA/L, LMT: Massage Certification

Physical Therapy - Carol Rehder, Manager

Jodi Airgood, PTA: APTA Credentialed Clinical Instructor, Bioness Certified

Lori Anderson, MPT: APTA Credentialed Clinical Instructor

Sarah Anderson, MPT: APTA Credentialed Clinical Instructor, Bioness Certified

Christine Beuthin, PT: APTA Credentialed Clinical Instructor, Geriatric Clinical Specialist, Certified Lymphdema Therapist

Susan Bode, MPT: Advanced APTA Credentialed Clinical Instructor, NDT Certified, Certified Brain Injury Specialist, Bioness Certified

Amanda Brummel, DPT: Bioness Certified

Karen Collins, DPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified

Karrie Crawford, MPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified

Lisa Davis, PTA: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified

Carolee DeGan, PTA: APTA Credentialed Clinical Instructor

Karen Einfeldt, PTA: APTA Credentialed Clinical Instructor

Melissa Farren, MPT: APTA Credentialed Clinical Instructor

Kasey Fellner, MPT: APTA Credentialed Clinical Instructor, Certified Lymphedema Therapist, Bioness Certified

Lynn Fitzpatrick, MPT: APTA Credentialed Clinical Instructor

Lynn Frank, MPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Neuro Clinical Specialist, Bioness Certified

Pam Glasgow, PTA:APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist

Nancy Greenwood, PTA: Multi-disciplinary Geriatrics, Certified Pool Operator

Sarah Hichborn, MPT: APTA Credentialed Clinical Instructor, Geriatric Clinical Specialist, Bioness Certified

Deanna Kieliszek, PTA: APTA Credentialed Clinical Instructor

Melissa Farren, MPT: APTA Credentialed Clinical Instructor

Edward D. Mayne, PT: APTA Credentialed Clinical Instructor

Gail McGaughy, MPT: NDT Certified, Certified Lymphedema Therapist, Bioness Certified

Sarah Mullins, PTA: Credentialed Clinical Instructor, Certified Lymphedema Therapist

Karen Muntz, DPT: APTA Credentialed Clinical Instructor

Chelsea Schroeder, DPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified

Wendy Petersen, MPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, advanced to Level 3 career ladder

Teresa Richard, PTA: APTA Credentialed Clinical Instructor

Sue Schinckel, MPT: APTA Credentialed Clinical Instructor

Julie Simmer, DPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, NDT Certified, Bioness Certified

Janel Stout, MPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Assistive Technology Practitioner, Bioness Certified

Jessica Weber, DPT: APTA Credentialed Clinical Instructor

Jennifer Wilshusen, MPT: APTA Credentialed Clinical Instructor, Assistive Technology Practitioner, Bioness Certified

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Certificates Awards (continued)

21

Speech and Hearing - Ron Bear, Manager

Darci Becker, Ph.D., CCC/SLP/L: Certified Vital Stim Provider, Board Recognized Specialist in Swallowing and Swallowing Disorders

Jeanette Cruz, MS, CCC/SLP/L: Neurofeedback, Advanced Training

Missey Heinrichs, MS, CCC/SLP/L: Neurofeedback, Advanced Training

Thomas Quesnell, MS, CCC/A, FAAA: Fellow American Academy of Audiology

Jodi Robinson, MS, CCC/SLP/L: Certified Vital Stim Provider

Angie Spalding, MS, CCC/SLP/L: Certified Vital Stim Provider, Certified Brain Injury Specialist

Lisa Tews, MA, CCC/SLP/L: Certified Brain Injury Specialist

Kathryn Vanderbeke MS, CCC/SLP/L: Certified Vital Stim Provider

Barb VanderLinden, MS, CCC/SLP/L: Certified Brain Injury Specialist, LSVT Certification, LOUD Certified

Therapeutic Recreation - Kelly Sigler, Supervisor

Megann Beck, CTRS: Certified Brain Injury Specialist

Diane Dittmer-Johnson, CTRS: Certified Brain Injury Specialist, Certified in Matter of Balance

Kara Grafft, CTRS: Certified Brain Injury Specialist, Certified Adaptive Water Ski Instructor

Jennifer Hovey, CTRS: Certified Brain Injury Specialist, Certified in Matter of Balance, Past Pres. of Iowa Therapeutic Recreation Assn.

Glen Sancken, CTRS: Certified Adaptive Water Ski Instructor

Kelly Sigler, CTRS: Certified Provider CPR/First Aid

Outpatient Rehabilitation - Doug Boleyn, Manager

Rebecca Amundson, PT, MPT: Pediatric Certified Specialist

Mary Baker, PT: Secretary Iowa Physical Therapy Association

Ashley Binks, OTR/L: Early Intervention Credentialed, Interactive Metronome, Certified in Therapeutic Listening

Susan Clemens, OTR/L: Certified Brain Injury Specialist

Tammy Conner, OTR/L: Certified Lymphedema Specialist

Tara DeWolfe, PT: Early Intervention Credentialed, Advanced to Level 3 Career Ladder

Maria Teresa Ferrer, DPT: Certified Brain Injury Specialist, Early Intervention Credentialed, Serial Casting, TheraSuit, Sand Therapy, Bobat Technique, Brachial Plexus

Deborah Crooks, MA, CCC/SLP: Certified Brain Injury Specialist

Ben Devaney, LAT: Certified Strength and Conditioning Specialist

Lori Devore Dryg, MA, CCC/SLP: Certified Brain Injury Specialist

Kathryn Ellsworth, PT, MPT: Orthopedic Certified Specialist

Kristy Fuller, OTR/L: The Early Feeding Skills (EFS) Assessment Training, Neonatal Oral Motor Assessment Scale (NOMAS), Level 1 NIDCAP, NDT (for children), Advanced Pediatric Oral Pharyngeal Motility

Emily Glynn, PT, DPT: Orthopedic Certified Specialist

Kristin Hawley, DPT: Certified Brain Injury Specialist

Suzanne Hawkinson, MS, CCC/SLP: Certified Brain Injury Specialist

Erica Jansen, MOT, OTR/L: Certified Brain Injury Specialist, Early Intervention Credentialed, Sensory Integration Praxis Test Certification, Advanced to Level 3 career ladder

Chris Hunter, PT, MPT: Orthopedic Certified Specialist

Brenda Johnson, OTR/L: Certified Brain Injury Specialist

Christy Klemish, PT, MPT: Orthopedic Certified Specialist

Kristen Mandle, OT/R, Interactive Metronome

Suzanne McLane, MS, CCC/SLP: Early Intervention Credentialed, Hannen: It Takes Two To Talk Certification

Linda McNeill, MS, CCC/SLP: Certified Brain Injury Specialist

Kimberly Nielson, DPT: Interactive Metronome, Clinical Instructor Credentialed

Karen Pohlmann, MS, CCC/SLP: Certified Brain Injury Specialist

Jay Richard, PT, MPT: Orthopedic Certified Specialist

Lindsay Schlicksup, OTR/L: Certified Brain Injury Specialist, Sensory Integration Praxis Test Certification

Katie Snyder, PT, DPT: Early Intervention Credentialed, Clinical Instructor Credentialed

Cindy Sortillo, CTRS: Certified Brain Injury Specialist

Karen Steidler, MPT: NDT Certified

Allison Thompson, OTR/L: Certified Brain Injury Specialist

Kirsten Treiber, MPT : Certified Brain Injury Specialist

Power Sports Performance

Molly Hermiston, Exercise Specialist, Certified Strength and Conditioning Specialist

Blaine Parkenton, Exercise Specialist, Certified Strength and Conditioning Specialist

Grant McCaulley, Exercise Specialist, Certified Strength and Conditioning Specialist

1401 West Central Park I Davenport, Iowa 52804 I www.genesishealth.com

Genesis Health System will not exclude, deny benefits, or otherwise discriminate against any person on the grounds of race, color, creed, national origin, sex, lifestyle, social status, age, disability, ability to pay, source of payment,

or existence of an advance directive in admission to, participation in, or receipt of the services and benefits of any of its programs and activities.

Interpreter services, auxiliary aids and communication tools are available in our patient care areas at no cost to patients and families with limited English skills or hearing and sensory impairments.

MISSION STATEMENT

To provide compassionate, quality services which will maximize independence and facilitate the achievement

of individual goals for all those in need of medical rehabilitation.