Physical Medicine and Rehabilitation Annual Report
2010-2011
Genesis Health System exists to provide compassionate, quality health service to all those in need.
Table of Contents
Introduction
3
Inpatients Served
4
Inpatient Program Discharge Data
5
Celebrating 35 Years
6
Brain Injury Program-Inpatient
7
Rebounding After Brain Injury
8
Brain Injury Program-Outpatient
9
Technology for Brain Injury
10
Spinal Cord System of Care - Inpatient
11
Spinal Cord System of Care - Outpatient
12
Paralized Firefighter Story
13
GOPEDS-Pediatric Program
14
Outpatient Service Locations
15
Power Sports Performance
16
Community Outreach
17
New Programs
19
Awards/Certifications
20
2
The Genesis Physical Medicine and Rehabilitation Service Line continued to grow in size and scope during fiscal years 2010 and 2011, remaining the largest Program in the State of Iowa. Referrals to 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 from 7states and 26 Iowa and Illinois counties during the two-year period. The amount of therapy services provided in our outpatient physical rehabilitation clinics also increased. This growth testifies to the fact that 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 of physiatrists 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 of Integrity, Compassion, Accountability, Respect and Excellence. All Genesis staff and physicians completed a 3-hour safety training course.
Introduction
A community-based Fall Prevention Program was developed and is offered to essentially healthy senior citizens who want to increase their 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 therapy clinics, similar to what is seen in an airport. This has lessened downtime and missed therapy sessions. Patient satisfaction scores have 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 Rehabilitation Program received notification of the recent CARF accreditation survey results. CARF is a private, nonprofit organization whose mission is to promote the quality, value and optimal outcomes of services provided to persons with disabilities. The Genesis Program was awarded accreditation for seven specific programs. Genesis became the first program 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 Inpatient Brain 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 Genesis safety program, community outings, therapy dog program, and the adaptive water ski program offered by the Therapeutic Recreation Department, the rehabilitation driving program, and the internally developed computerized scheduling system. The Genesis Rehabilitation Program continues to expand services and grow as the result of the talented and dedicated physicians and staff. Our mission remains to provide compassionate, quality services that 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 Health System Board.
3
2010
Iowa Carroll Cedar Clinton Des Moines Dubuque Henry Jackson Johnson Keokuk Lee Louisa Muscatine Scott Van Buren Wapello Washington
Illinois 1 13 38 1 1 1 8 1 1 2 2 38 332 1 1 1
Bureau Carroll Henry Jo Daviess Knox LaSalle Mercer Rock Island Warren Whiteside
2 2 14 1 2 1 3 57 1 7
Inpatients Served
Other Tennessee
1
2011
Iowa Buchanan Butler Cedar Clinton Des Moines Dubuque Henry Jackson Johnson Linn Mahaska Muscatine Polk Scott Wapello Washington
Illinois 1 1 10 39 2 3 1 17 4 1 1 37 1 341 2 1
Henry Knox LaSalle Mercer Rock Island Sagamon Whiteside
10 2 2 10 62 1 9
Other Arizona Minnesota Missouri Tenessee
1 1 2 1
4
Inpatient Discharge Data
Characteristics of patients Average age Gender Male Female Satisfaction of services provided Satisfied to Very Satisfied Average hours of therapy per day (5 of 7 days) Average length of stay Achieving Predicted Outcomes Goal Attainment Goals Achieved/Goals Written Returned to Productive Activity
2010 68
2011 66
54% 46%
55% 45%
97% 3+ hours 19.8 days
95% 3+ hours 18.4 days
81%
81%
1803/2217
1827/2268
79%
71%
Number of patients discharged to the community as compared to national programs 2010 Stroke Brain Injury Spinal Cord Injury Orthopedic Neurological General Rehab/Medical
2011
Genesis Medical Center 70% 69% 62% 79% 69% 73%
Returned to Acute Care Unit Pediatric Inpatients Served
11% 5
National* 66% 69% 72% 80% 75% 73%
Genesis Medical Center 61% 71% 72% 77% 74% 70%
National* 67% 72% 72% 81% 74% 74%
14.5% 5 *Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association
5
Celebrating 35 years of rehabilitation at Genesis
6
Brain Injury Inpatient
Number of patients served Characteristics of patients Average age Gender Male Female Types of Injuries Traumatic Brain Injury Non-Traumatic Brain Injury Multiple Trauma with Brain Injury Satisfaction of services provided Satisfied to Very Satisfied Achieving Predicted Outcomes Goals Achieved/Goals Written
Average hours of therapy per day (5 of 7 days) • Occupational Therapy • Physical Therapy • Speech Language Therapy • Therapeautic Recreation Average length of stay
2010
2011
62
76
63
64
77% 23%
64% 36%
24 36 2
28 44 4
100% 74%
96% 80%
187/251
256/322
3.92 hours
3.96 hours
22 days
19.6 days
2010 Disposition Genesis Medical Center Discharged to Community 69% Returned to Acute Care Unit 13%
National* 69% 15%
2011 Genesis Medical Center 71% 18%
National* 72% 11%
*Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association
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Rebounding after brain injury Genesis rehab programs help put the pieces back together Jerry Ward’s visible injuries have healed 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, however, is the “hidden” injury to his brain. Brain injury has affected how he thinks, acts and feels. It has lingered after the physical pain has healed. In reality, he lost the weight because he no longer has a sense of taste. It’s difficult for him to sit through an entire movie or TV sitcom without losing focus. It’s easier for him to comprehend a face-to-face conversation than talk on the telephone. He remembers people he knew in school yet can easily forget the name of someone he just met. Large crowds and noisy gatherings make him anxious; the multitude of voices becomes too distracting.
The brain is selective, and what he remembers doesn’t always make sense to him. “The biggest challenge is memory,” says Ward, who worked as the postmaster in Cordova, Ill., before the accident and has traveled the world as a youth counselor.
Giving patients a ‘lift’ Ward credits the Learning Independence For Tomorrow (LIFT) program at Genesis with helping him return to an active, productive life. Recently, he began transitioning back to work a couple of hours a day -- the first time since the June 14, 2009, the day 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 Genesis Physical Medicine and Rehabilitation Unit in Davenport, the largest inpatient rehabilitation unit in Iowa. It’s the only Quad Cities hospital with CARFaccredited 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 was so confused,” he says. “I knew I should know the right answer, but I couldn’t say it. After his long inpatient stay, Jerry Ward began the intensive, outpatient LIFT program, the only 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 span and short-term memory. His treatment plan included the help of experts in occupational, speech, physical and recreation therapies and social work. “At first, I was very insecure about coming to the LIFT program,” he says. “I would be introduced to people and think ‘I don’t understand why I need to know this.’ But the more I worked, the more I understood.” Like many brain injury patients, Jerry Ward wasn’t fully aware of his limitations caused by the injuries to three of his five brain lobes. Not only does the LIFT program work on improving reasoning, problem-solving, attention and concentration skills, but it also makes patients more aware of their deficits.
Road to recovery Depending on what area of the brain is damaged, people with brain injury can have a variety of physical, cognitive, behavioral and emotional impairments. Challenges can range from weakness and trouble with coordination to problems with memory, organization, speaking or swallowing. No brain injury is the same, and the effects are complex and vary greatly 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 confidence and work on functional skills. The program also acts as a liaison to patients as they return to work. Last December, Lori Dryg, SLP, visited Jerry Ward’s workplace to better understand the skills his job entails -- from multi-tasking and helping customers to filling out financial reports and meeting time-sensitive deadlines for mail delivery. For the next three months, she and others helped him hone those skills.
{ } “At first, I was very insecure about coming to the LIFT program. I would be introduced to people and think ‘I don’t understand why I need to know this.’ But the more I worked, the more I understood.” Jerry Ward
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.
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Brain Injury Outpatient
Number of patients served Location of home Iowa: Quad City area Iowa: outside Quad City area Illinois Characteristics of patients Average age Gender Male Female Types of Injuries Traumatic Brain Injury Stroke Non-Traumatic Brain Injury (other) Satisfaction of services provided Satisfied to Very Satisfied Average number of visits Achieving Predicted Outcomes Individual Goal Attainment Goals Achieved/Goals Written Returned to premorbid living arrangements Goals Achieved/Goals Written Returned to work, school, leisure activities Goals Achieved/Goals Written Returned to driving Goals Achieved/Goals Written
9
2010
2011
28
30
46% 21% 32%
43% 40% 17%
55
49
68% 32%
53% 47%
40% 46% 14%
46% 27% 27%
100% 35 visits
100% 36 visits
86%
75%
78/91
78/105
96%
83%
27/28
25/30
75%
80%
21/28
24/30
61%
52%
17/28
14/27
*Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association
Technology for brain injury The electronic device on Sarah Barker’s leg 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 vehicle in which she rode was “T-boned” by another auto, the driver of which had run a red light. The Bettendorf High School student had been on her way to see the Patty Loveless country music show 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 Ness L300 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 L300 about two years ago. Barker liked the device once she got a chance to try it out, but getting insurance to cover the $6,200 cost was a chore, physical therapist Patricia Darland said. “Like all new technology, it is pricey,” added Darland, who has worked with Barker 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 those who have had a brain injury, stroke or spinal 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 special attention to herself. “It used to be very hard for Sarah to walk and talk at the same time, like she wants to do with her friends,” Darland said. But the Ness L300 enables Barker to move faster and more smoothly. Another nice 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 get there early.”
{ } “It helps me considerably. I’m constantly improving.” Sarah Barker
QC Times August 21, 2009
10
Spinal Cord System of Care Inpatient
Number of patients served Characteristics of patients Average age Gender Male Female Types of Injuries Traumatic Injury Non-Traumatic Injury Satisfaction of services provided Satisfied to Very Satisfied Achieving Predicted Outcomes Goals Achieved/Goals Written Average hours of therapy per day (5 of 7 days) Average length of stay
2010
2011
32
43
60
55
72% 28%
65% 35%
69% 31%
40% 60%
100% 77%
100% 85%
111/144
142/168
3.5 hours 25 days
3.75 hours 21 days
2010 Disposition Genesis Medical Center Discharged to Community: All 62% Traumatic SCI 64% Non-Traumatic SCI 60% Return to Acute: All 16%
2011 National* 72% 71% 72% 13%
Genesis Medical Center 72% 69% 73% 11%
National* 72% 70% 74% 14%
*Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association
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Spinal Cord System of Care Outpatient
2010 Number of patients served 4 Location of home Iowa: Quad City area 100% Iowa: outside Quad City area 0% Illinois 0% Characteristics of patients Average age 71 Gender Male 50% Female 50% Types of Injuries Traumatic SC Injury 50% Non-Traumatic SC Injury (other) 50% Satisfaction of services provided Satisfied to Very Satisfied 100% Average number of visits 23 visits Achieving Predicted Outcomes Individual Goal Attainment No data available Goals Achieved/Goals Written Returned to premorbid living arrangements 75% 3/4 Goals Achieved/Goals Written Returned to work, school, leisure activities 50% 2/4 Goals Achieved/Goals Written Returned to driving 75% 3/4 Goals Achieved/Goals Written
2011 7 57% 0% 43% 41 71% 29% 57% 43% 100% 53 visits 65% 15/23
100% 7/7
71% 5/7
100% 7/7
*Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association
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Paralyzed firefighter’s efforts make for a special Bix 7 race
{ } “It was pretty easy, although I had a lot of help from a bunch of young firefighters. Next year, I want to do more.” Bob Juarez on competing in the Quad City Times Bix 7
Injured Davenport Fire Department Capt. Bob Juarez competes in the Quad-City Times Bix 7.
“I was glad to have all the support of all the firefighters,” Vazquez said. Juarez appreciated the support he received on the course, calling it the best part of the race.
Injured Davenport Fire Department Capt. Bob Juarez competes in the Quad-City Times Bix7.
“It was nice, with all the people cheering my name,” he said.
Cheers of support, burning hands and lots of help were all part of Davenport firefighter Bob Juarez’s first Quad-City Times Bix 7 experience since being paralyzed from the waist down last year. Juarez, injured after falling from a ladder while fighting a downtown Davenport fire, was in the hospital during last year’s Bix 7. This year, using a wheelchair and accompanied by about 15 firefighters, relatives and friends, he finished the race in about 1 hour, 19 minutes. “It was pretty easy, although I had a lot of help from a bunch of young firefighters,” the Davenport fire captain said after the race. “Next year, I want to do more work.” The race, which starts with its trademark uphill run and ends with a street party, is a combination of intensity and whimsy. With a race-time temperature of 67 degrees and 81 percent humidity, conditions were among the best of the event’s 35 years. Along with friends and family, Juarez was accompanied up Brady Street hill by Abel Vazquez of Davenport, who is also wheelchairbound after a construction accident about a year-and-a-half ago. Vazquez faded from Juarez’s pace, but finished under 90 minutes. Vazquez had met Juarez in the hospital.
13
The Brady Street hill was the worst part, Juarez said. It was difficult going up, and his gloved hands burned as he came down. The veteran runner of more than 15 Bix 7 races vowed to do better next year. “I’m going to try and do a lot more,” he said. “I’ll be in better shape.” QC Times July 25th, 2009
GoPeds summer program Youngsters at the Genesis Outpatient Pediatric Therapy Center in Bettendorf have 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 High School, 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
Number of therapy visits Occupational Therapy, Physical Therapy Speech/Language Pathology
Schlicksup, high fives “Bob the Baseball Player,” played by Tyler Smith as “Dan the Doctor” David Whitmore looks on. (below) The “Chance to Dance” special needs dance program was performed to “High School Musical”. The dance steps help the children improve their strength, balance, and coordination. Pediatric physical therapist Katie Snyder works with one of the dance performers.
2010
2011
8514
9329
FY11 represents a 43% increase since FY09.
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Outpatient locations 1
2
3
4
DAVENPORT VALLEY FAIR 2720 W. Locust Street, Suite 8B Phone: (563) 421-3495 LOMBARD 1414 West Lombard Street Phone: (563) 421-9560
BETTENDORF MAPLECREST 2535 Maplecrest Road, Suite 8 Phone: (563) 421-3460 PEDIATRIC THERAPY CENTER 2535 Maplecrest Road, Suite 23 Phone: (563) 421-3497
5
CROW VALLEY 2300 53rd Avenue, Suite LL02 Phone: (563) 332-4422
6
POWER SPORTS PERFORMANCE 3800 Tanglefoot Lane Phone: (563) 349-7661
7
8
9
CORALVILLE 11 PEDIATRIC THERAPY CENTER
2451 Coral Court #1 Phone: (319) 853-0596
MOLINE TWO RIVERS YMCA 2040 53rd Street Phone: (309) 281-2280
12 ELDRIDGE
KING PLAZA 3650 Avenue of the Cities Phone: (309) 281-2500
13 DEWITT
10 LECLAIRE
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 also available at most sites. Therapists work with a wide variety of orthopedic and neurological, work and sports related diagnoses for all age groups. Patients receive treatment in spacious and bright environments. Each location offers private treatment areas, as well as therapy gyms, including weight training stations, free weights and cardio vascular training equipment. A wide variety of specialty therapies are offered at various locations.
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SILVIS GENESIS MEDICAL CENTER - ILLINI 1455 Hospital Road Phone: (309) 281-4740
1003 Canal Shore Drive, Suite 2 Phone: (563) 289-2100
170 S. 4th Avenue Phone: (563) 285-9410
1118 11th Street Phone: (563) 659-4265
Power Sports Performance Pre- and post-training At Genesis Sports Performance, every athlete participates in an extensive evaluation to identify improvement opportunities. Measurements in power, agility, strength and muscular endurance are taken during pre- and post-training to give athletes feedback on their progress. The program provides a unique service for athletes in a structured, positive way that will bring them results. Groups are small enough that each can still receive individualized attention. This allows athletes to receive more attention and tailor a program specific to their needs. Star athletes can do this type of program, but it’s also for the youngsters who are looking to get more playing time or to make the team. When athletes experience improved results, their overall self confidence also improves.
Power for Her – Designed to fit the needs of the female athlete and her unique training and injury-prevention needs. Ages 9-24. Group training and team camps – Group discounts are available for groups of five or more. Adult fitness program – One-on-one training with group and couple’s rates available.
{ } “Star athletes do this type of program, but it’s also for the youngster who are looking to get more playing time or to make the team.”
Adult Boot Camps – Classes at a variety of times and locations, these classes are intended to offer a high intensity sport conditioning class in a motivational environment.
Other Programs
Sports Nutrition Consulting – Designed to help athletes or the general public maximize their body composition through dietary changes to dominate their sport or life.
Back in the Game – Specifically designed for athletes recovering from a recent sports injury. A physician or physical therapist’s recommendation is needed.
Personal Training – Adults looking to decrease body weight and increase fat loss, increase sport performance, or to increase general fitness levels.
Speed School – Learn how to run faster; develop explosive starting speed; accelerate quicker; and, change direction better. Develop usable core strength for improved performance. Ages 9-24.
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Community Outreach Bringing physician specialists closer to home Conway Chin, D.O., knows his physical medicine and rehabilitation patients often have limited mobility and rely on family to bring them to doctors’ appointments and therapy.
{ } Benefitting from a coordinated system of care.
17
for aerobic and anaerobic exercise. The equipment was donated to the city of Moline and recently installed. Genesis Health System also donated similar equipment to Davenport, IA; Aledo, IL; and DeWitt, IA.
That’s why, once a month, he brings his clinic closer to the home of his DeWitt area patients, where he sees them on the campus of Genesis Medical Center, DeWitt.
Physical Medicine & Rehabilitation Department sponsors Amputee Peer Visitor Training
“I already had quite a few patients in this area. This prompted me to devote some time coming here so people wouldn’t be missing appointments because of distance or lack of transportation,” says Dr. Chin. “It has been more efficient for my own practice.”
The Amputee Coalition of America, or ACA, and Genesis Physical Medicine and Rehabilitation program hosted a peer visitor training seminar at the Genesis Medical Center West Campus September 12th.
Many of Dr. Chin’s patients, such as those who have had a stroke or undergone an amputation, first met him when they spent time in the inpatient Rehabilitation Unit at Genesis Medical Center, West Campus. Now as they undergo Genesis 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 the Park” instruction every Saturday for a month at the new Genesis Health Beat equipment located on Ben Butterworth Parkway in Moline, IL. A variety of stations are available
Individuals who had experienced limb loss and are living full and productive lives attended, in addition to family members and health-care professionals. Certification was awarded to those with limb loss and family members who completed the class. Professionals received a certificate of attendance. Participants learned how to be an effective peer visitor, how to recognize elements of recovery, how to respond during different phases of emotional adjustment, effective communication skills and how to create a referral network.
International Outreach 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 at Genesis, seasoned seamstresses and volunteers who had never sewn united for one common goal: To create a little joy for youngsters living in a country hard-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 mission trip annually to the country for the past 10 years. The outpouring is far more than unit secretary Laurie Peiffer ever expected when she first learned about a ministry called “Little dresses for Africa.”
She remembers that special Sunday at Genesis when volunteers came together to sew. “We started the day with 40-50 already-completed dresses,” she says. “A couple of customers from Hancock Fabrics 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 as well,” says Stockdale, who also collects donations of sundry items and medical supplies from Genesis employees.
{ } “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
Because Haiti is a very conservative country, the girls won’t be able to wear the dresses to church. “But most of their everyday clothes are very worn, and they don’t get new things to wear for everyday,” she says, adding that needs have grown in the wake of the earthquake. “The clothes will be very much appreciated.”
About the same time, earthquake devastation in Haiti dominated the news. She recruited occupational therapist Gretchen Cluff to help her organize a similar effort for Haiti. “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 says.
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New programs Genesis Medical Center now offers physical rehabilitation services to those patients undergoing or preparing to undergo chemotherapy or radiation. Our therapists are certified in Lymphedema treatment management and are available, as part of the Cancer Care Institute to provide quality care resulting in improved potential for survivorship and quality of life. Patients experiencing issues in the following areas 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
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We are seeing an increase in cancer incidence, but also an increase in 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, occupational and speech therapy; audiology services, massage, acupuncture and nutritional consultation.
Certificates Awards
Physical Medicine and Rehabilitation Service Line
Jan King, Director
Physical Therapy - Carol Rehder, Manager
Brenda Chacon, RN, BSN: Certified Rehabilitation Registered Nurse
Jodi Airgood, PTA: APTA Credentialed Clinical Instructor, Bioness Certified
Rochelle Collins, RN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist
Lori Anderson, MPT: APTA Credentialed Clinical Instructor
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
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
Rehabilitation Nursing - Wanda Haack, Manager
Karen Collins, DPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified
Brenda Chacon, RN, BSN: Certified Rehabilitation Registered Nurse
Karrie Crawford, MPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified
Karen Cumming, RN, MSN: Certified Medical Surgical Nurse Diane Delashmutt, RN: Certified Rehabilitation Registered Nurse
Lisa Davis, PTA: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified
Brenda Frazier, RN, BSN: Certified Rehabilitation Registered Nurse
Carolee DeGan, PTA: APTA Credentialed Clinical Instructor
Wanda Haack, RN, MSN: Certified Rehabilitation Registered Nurse
Karen Einfeldt, PTA: APTA Credentialed Clinical Instructor
Shani Marland, RN: Certified Brain Injury Specialist
Melissa Farren, MPT: APTA Credentialed Clinical Instructor
Nicole Matthys, RN, BSN: Certified Rehabilitation Registered Nurse Lori Meierotto, RN: Certified Rehabilitation Registered Nurse
Kasey Fellner, MPT: APTA Credentialed Clinical Instructor, Certified Lymphedema Therapist, Bioness Certified
Cheryl Osborn, RN: Certified Rehabilitation Registered Nurse
Lynn Fitzpatrick, MPT: APTA Credentialed Clinical Instructor
Patty Schulz, RN: Certified Rehabilitation Registered Nurse Ann Sterling, RN: Certified Rehabilitation Registered Nurse
Lynn Frank, MPT: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Neuro Clinical Specialist, Bioness Certified
Deborah Stockdale, RN, BAN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist
Pam Glasgow, PTA:APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist
Heather Smith, RN: Certified Rehabilitation Registered Nurse, Certified Brain Injury Specialist, Certified Provider CPR/First Aid
Nancy Greenwood, PTA: Multi-disciplinary Geriatrics, Certified Pool Operator
Kimberly Teel, RN: Certified Rehabilitation Registered Nurse
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
Occupational Therapy - Ron Bear, Manager
Edward D. Mayne, PT: APTA Credentialed Clinical Instructor
Tanya Braet, MOT, OTR/L, CTL: Certified Lymphedema Therapist
Gail McGaughy, MPT: NDT Certified, Certified Lymphedema Therapist, Bioness Certified
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
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 (continued on next page)
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Certificates Awards
(continued)
Speech and Hearing - Ron Bear, Manager
Suzanne Hawkinson, MS, CCC/SLP: Certified Brain Injury Specialist
Darci Becker, Ph.D., CCC/SLP/L: Certified Vital Stim Provider, Board Recognized Specialist in Swallowing and Swallowing Disorders
Erica Jansen, MOT, OTR/L: Certified Brain Injury Specialist, Early Intervention Credentialed, Sensory Integration Praxis Test Certification, Advanced to Level 3 career ladder
Jeanette Cruz, MS, CCC/SLP/L: Neurofeedback, Advanced Training
Chris Hunter, PT, MPT: Orthopedic Certified Specialist
Missey Heinrichs, MS, CCC/SLP/L: Neurofeedback, Advanced Training
Brenda Johnson, OTR/L: Certified Brain Injury Specialist
Thomas Quesnell, MS, CCC/A, FAAA: Fellow American Academy of Audiology
Christy Klemish, PT, MPT: Orthopedic Certified Specialist
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
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
Kathryn Vanderbeke MS, CCC/SLP/L: Certified Vital Stim Provider
Kimberly Nielson, DPT: Interactive Metronome, Clinical Instructor Credentialed
Barb VanderLinden, MS, CCC/SLP/L: Certified Brain Injury Specialist, LSVT Certification, LOUD Certified
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
Therapeutic Recreation - Kelly Sigler, Supervisor
Katie Snyder, PT, DPT: Early Intervention Credentialed, Clinical Instructor Credentialed
Megann Beck, CTRS: Certified Brain Injury Specialist
Cindy Sortillo, CTRS: Certified Brain Injury Specialist
Diane Dittmer-Johnson, CTRS: Certified Brain Injury Specialist, Certified in Matter of Balance
Karen Steidler, MPT: NDT Certified
Kara Grafft, CTRS: Certified Brain Injury Specialist, Certified Adaptive Water Ski Instructor
Kirsten Treiber, MPT: Certified Brain Injury Specialist
Allison Thompson, OTR/L: Certified Brain Injury Specialist
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
Power Sports Performance Molly Hermiston, Exercise Specialist, Certified Strength and Conditioning Specialist
Outpatient Rehabilitation - Doug Boleyn, Manager
Blaine Parkenton, Exercise Specialist, Certified Strength and Conditioning Specialist
Rebecca Amundson, PT, MPT: Pediatric Certified Specialist
Grant McCaulley, Exercise Specialist, Certified Strength and Conditioning 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
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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.
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.