Physical Medicine and Rehabilitation Annual Report 2012
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 Day Rehabilitation 6 Brain Injury Program-Inpatient 7 Earning Recognition for Brain Injury Programs 8 Brain Injury Program-Outpatient 9 Constraint Induced Movement Therapy 10 Spinal Cord System of Care - Inpatient 11 Spinal Cord System of Care - Outpatient 12 Professional Development Program 13 GOPEDS-Pediatric Program 14 Outpatient Service Locations 15 Power Sports Performance 16 Medical Services 17 New Program - Concussion Management 18 New Program - Wheelchair Clinic 19 Awards/Certifications 20
2 Introduction
The Genesis Physical Medicine and Rehabilitation Service Line continues to offer the largest and most complete inpatient rehabilitation program in the State of Iowa. The only CARF accredited Outpatient Brain Injury Program and Spinal Cord System of Care Program is offered at Genesis. In addition, the Inpatient Brain Injury Program is one of only two CARF accredited programs in the State to offer services to adult, adolescent and pediatric patients who have experienced a brain injury. During FY 2012, referrals to the inpatient program increased by nearly seven percent with the majority of the increase coming from outside referral sources such as the University of Iowa. Our Outpatient Pediatric Program, “Go Peds”, saw a 32% increase as compared to the previous year. These continued increases year after year, attest to the fact that the Genesis physical medicine and rehabilitation programs are highly valued. Reflecting back on FY 2012 we see many improvements to our programs. Following is a list of key accomplishments.
• The establishment of the Genesis Day Rehabilitation Program which was designed to allow patients to leave the hospital sooner but still receive a full complement of therapy services, as well as access to a certified rehabilitation registered nurse and a physician, who is specialized in physical medicine and rehabilitation, known as a physiatrist.
• Development and expansion of a wheelchair clinic to include Iowa and Illinois sites.
Introduction • The addition of a fifth physiatrist, Dr. Joseph Brooks, allowing for expanded physician clinic services.
• Development and implementation of a concussion management program geared toward brain injury prevention in the young athlete.
• Implementation of a Professional Development Program for clinical rehabilitation therapists as a means to recognize and reward direct care providers for expert knowledge and skill.
• Implementation of Constraint Induced Movement Therapy (CIMT) aimed to improve function of a person’s weaker limb after experiencing a stroke, brain injury, or similar illness.
• Addition of new equipment such as the Solo Step and Vital Stim used to aid the recovery of functional loss following a catastrophic illness or injury.
A special honor bestowed on the Genesis Physical Medicine and Rehabilitation Program in 2012 was being recognized as the “Organization of the Year” by the Brain Injury Association of Iowa. The Genesis program was recognized specifically for ‘its physicians, nursing staff, therapists and other team members for providing compassionate and technically excellent care’. While the Genesis inpatient rehabilitation program remains relatively stable amid reimbursement changes, the outpatient programs continue to expand in both size and service. We are Conway Chin, DO Janet M. King proud of our talented and dedicated physicians and staff. Our Medical Director MBA RN CRRN, mission remains to provide compassionate, quality services that will Director maximize independence and facilitate the achievement of individual goals of all those in need of physical medicine and rehabilitation serv - ices. This would not be possible without the continued support of the Genesis Administrative Team and the Genesis Health System Board.
3 2012 Illinois Iowa Carroll 1 Adams 1 Hancock 1 Cedar 13 Henderson 1 Clinton 34 Henry 7 Delaware 1 Lee 2 Des Moines 3 Mercer 5 Inpatients Jackson 10 Rock Island 44 Served Johnson 3 Whiteside 21 2012 Jones 1 Lee 1 Louisa 3 Other States Muscatine 39 Kansas 1 Polk 1 Ohio 1 Scott 346 Oklahoma 1 Warren 1 Texas 1 Washington 1
Total 544
4 Inpatient Discharge Data 2012
Characteristics of Patients Average age 67 Gender Male 55% Female 45% Satisfaction of Services Provided Satisfied to Very Satisfied 97% Average Hours of Therapy per Day (5 of 7 days) 3+ hours Average Length of Stay 15.7 days Achieving Predicted Outcomes Goal Attainment 83% Goals Achieved/Goals Written 1279/1543 Returned to Productive Activity 84%
Percentage of Patients Discharged to the Community as Compared to National Programs Genesis Medical Center National* Stroke 68% 68% Brain Injury 65% 71% Spinal Cord Injury 63% 72% Orthopedic 80% 80% Neurological 74% 75% General Rehab/Medical 69% 74% Returned to Acute Care Unit 12% 10%
Number of Pediatric Patients Served 8
*Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association 5 Day Rehabilitation Program The first in Iowa
Gary Castel almost died twice after he had a The program That’s when Gary began to make some stroke last May. He survived huge odds, only progress, she says, and a home health to face a new and frustrating fight in his The Day Rehabilitation Program at Genesis fills therapist told her about the opening of the recovery. a much-needed gap between inpatient and new Genesis Day Rehabilitation Program. He needed intensive physical rehabilitation, traditional outpatient rehabilitation services. “Gary has made excellent gains,” Bode but insurance would not cover his stay at an Located in a newly renovated area on the West says. “When he came here, he wasn’t walking inpatient rehabilitation unit. He had already Campus hospital’s second floor, the program at all with a walker. Currently, he’s using a left spent two months in a North Dakota hospital has a sunlit open gym area, exam rooms for platform rolling walker and progressing to a after suffering a hemorrhagic stroke last May nursing and physician care, a kitchen to learn quad cane. The goal is for him to be able to while working on the railroad. activities of daily living and a courtyard for walk in his home with just the assistance of his “I wanted him in Genesis Rehab because I outdoor therapy. wife. had always heard such wonderful things,” says “The program is for people who can live at Bode adds, “Mary has been a great his wife, Mary Castel. “But when we finally flew home but still need the intensive therapies of advocate for him. Another aspect of the Day him home in late summer, insurance denied more than one discipline and also require Rehabilitation Program is to train and educate our request for inpatient rehabilitation.” nursing care and the oversight of a physician,” the family with skills that they can carry over Her 58-year-old husband, who couldn’t says physical therapist Susan Bode, who helps at home. Mary is very eager to learn and to walk, talk or eat on his own, was deemed lead the program. encourage him to do as much as he can.” “bedridden” -- a label that seemed defeating “Patients tend to be happier if they can for the once strong and independent man she stay at home, and their rehabilitation process QC Times had married. She had faith he would no longer tends to go better. Plus, there’s a substantial December 16, 2011 be bedridden, if only he had therapy. cost-savings to the hospital and payers.” “I believed in Gary. My family believed in Patients with neurological diagnoses, such him. It felt like the rest of the world had given as brain injury, stroke, spinal cord injury, tumor up on him,” Mary says. resections and multiple sclerosis, comprise The solution came in November with the about 57 percent of the patients served by opening of the new Day Rehabilitation Genesis Physical Medicine and Rehabilitation. Program at Genesis Medical Center, West These are the same patients best served by Central Park, in Davenport. day rehabilitation programs. The program, the first in Iowa and the only Once patients like Gary no longer need this one in the Quad Cities region, serves as a intensity of rehabilitation services, they will bridge for patients who no longer require transition to a traditional outpatient clinic. hospitalization but still need intensive, regular “We call it ‘Going to Class,’” Mary Castel rehabilitation after a serious illness or injury. says of her husband’s trips to day rehabilitation. Patients continue the necessary level of ther - “Now, Gary has a future. Instead of wasting apy during the day, and then return home at away in bed, he’s up and moving. He’s going night and to daily life. places. He’s getting the intensive treatment he The program would fit Gary Castel’s needs. would have had with the inpatient program, And best of all, insurance would cover it. but he gets to go home at night. Thanks to his therapies and the nursing care he receives, we A transformation can also accomplish more while he’s at home.” Gary, who is tired but optimistic after three In just several weeks at the Genesis Day hours of intense therapy, agrees: “I like the Rehabilitation Program, Gary has undergone program. It will help me get back on my feet.” a dramatic transformation after months of “wasting away in bed,” his wife says. Renewed hope For three hours a day, several days a week, he receives physical therapy, occupational With emotion, Mary Castel describes the utter therapy, speech therapy and therapeutic hopelessness she felt when her husband recreation, in addition to nursing care and the returned to Davenport after two months in oversight of a physician who specializes in the North Dakota hospital. With no other physical medicine and rehabilitation. alternative, she put him in a nursing home His wife also receives education about his despite knowing it was not equipped to give care and moral support from a rehab team him the level of rehabilitation he needed. who understands how to help. Over the months since his stroke, he had “The amazing people at Genesis believed deteriorated. His head drooped more. He in Gary and gave him the chance he needed,” became depressed. Mary says. “Now, he believes in himself. When insurance ran out on his nursing home Before, he would say ‘I can’t.’ Now he comes stay, she tried again to have him go to the home and says, ‘Guess what I did today!’ We inpatient rehabilitation unit at Genesis -- only have a long way to go, but I know we’re going to be denied coverage a second time. Scared to get there.” to death to care for him alone, Mary took him home and enlisted the services of a home health agency for his nursing care and therapy. 6 Brain Injury Inpatient Discharge Data 2012
Number of Patients Served 87 Characteristics of patients Average age 61 Gender Male 65% Female 35% Types of Injuries Traumatic Brain Injury 40 Non-Traumatic Brain Injury 43 Multiple Trauma with Brain Injury 4 Satisfaction of Services Provided Satisfied to Very Satisfied 97% Average Hours of Therapy per Day (5 of 7 days) 4 hours Average Length of Stay 19 days Achieving Predicted Outcomes 80% Goals Achieved/Goals Written 203/253 Returned to Productive Activity 75%
Genesis Medical Center National* Discharged to Community 65% 71% Returned to Acute Care Unit 8% 13%
Number of Pediatric Patients Served 3
*Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association 7 Earning recognition for brain injury programs
From accredited brain injury We know it’s so important to • About 60 employees have • A new Day Rehabilitation programs to a day rehabilitation provide support for brain injury achieved brain injury specialist Program at Genesis fills a program and stroke recovery patients and their families as they certification. much-needed gap between center, Genesis Regional recover and learn compensation inpatient and traditional Rehabilitation Program has strategies to deal with not only • The LIFT program, or Learning outpatient rehabilitation many options to help patients any physical challenges but the Independence for Tomorrow, is services for people recovering recovering from brain injury. cognitive, behavioral and an outpatient-based program from brain injury. This is for For its “clear and consistent emotional impairments, as well.” for brain injury rehabilitation. those who can live at home but commitment to excellence” and Accepting the award for Patients learn skills to return to still need intensive therapies “extensive support to brain injury Genesis was Jennifer Stender RN, work, school and recreational and require nursing care and patients,” Genesis recently BSN, CRRN, CBIS, one of several activities. the oversight of a physician. earned the “Organization of from Genesis attending the the Year” award from the Brain conference. She leads the brain • Genesis offers state-of-the-art • Genesis has many community Injury Association of Iowa at the injury program and serves as one technology to speed recovery. outreach services, ranging from association’s recent annual of the Genesis Rehabilitation Bioness for upper and lower fall prevention classes, adaptive meeting in Des Moines. Program Liaisons. extremity retraining uses water-ski clinics and the Stroke “Their physicians, nursing staff, No two brain injuries are the electrical stimulation during Prevention and Recovery therapists and other team same, and the effects are complex functional activities and Center to a Think First program members provide compassionate and vary greatly from person to repetitive exercise to help that teaches youngsters how to and technically excellent care,” person. According to the Centers strengthen muscles and protect their brain and spinal the nomination said. for Disease Control, more than maximize neuromuscular cord from injury. Genesis also “This recognition was 50,000 people die as a result of re-education. Vital Stim, a provides support to the Brain unexpected and very much an brain injury and 90,000 suffer a neuromuscular electrical Injury Association of Iowa Quad honor. It’s affirmation that the permanent lifelong disability stimulation program, enhances Cities Chapter and Support treatment and support programs each year. the return of swallowing Group. we have developed for our brain function. SmartBalanceMaster injury patients over the years is Support services offers assessment and training Visit www.genesishealth.com/rehab making an impact,” said Jan King, Genesis has many support for balance disorders related to to learn more about brain injury Director of Genesis Physical services for brain injury patients: concussion, other brain injuries programs. Medicine/Rehabilitation and and vestibular dysfunction. Neuroscience. • Genesis is the only SoloStep and LiteGait devices QC Times She added, “More than CARF-accredited outpatient safely improve standing and March 23, 2012 1.4 million Americans suffer a brain injury program for adults walking with supported partial Traumatic Brain Injury each year in Iowa and is one of two in weight-bearing in the beginning in the U.S. Often, the hidden Iowa to have inpatient brain stages and then patients injury to the brain lingers after injury programs for adults, progress as they are able to the physical pain has healed. children and adolescents. tolerate.
“This recognition was unexpected and very much an honor. It’s affirmation that the treatment and support programs we have developed for our brain injury patients over the years is making an impact.”
Jan King, Director of Genesis Physical Medicine/Rehabilitation { and Neuroscience }
The Genesis Learning Independence for Tomorrow (LIFT) program has helped brain injury patients like Jerry Ward transition back to work.
8 Brain Injury Outpatient Discharge Data 2012
Number of Patients Served 33 patient Location of Home Iowa: Quad City area 33% comments Iowa: outside Quad City area 39% “I had no idea what LIFT was like. I Illinois 27% felt very apprehensive about being in Characteristics of Patients a room with a bunch of people with Average age 45 brain injuries. But, it was the best Gender thing for me!” Male 70% Female 30% “In the beginning, I felt like a fish out of water, but, their patience and Types of Injuries understanding soon put a 69-year-old Traumatic Brain Injury 15 at ease.” Stroke 11 Non-Traumatic Brain Injury 7 “I often found trying to do things Satisfaction of Services Provided the first time very difficult, but the Satisfied to Very Satisfied 100% therapist’s patience and attention helped me achieve a better and Average Number of Visits 34 more normal level of understanding Achieving Predicted Outcomes and success.” Individual Goal Attainment 90% Goals Achieved/Goals Written 93/103 “When I just came to LIFT, I didn't Returned to Pre-morbid Living Arrangements 100% think I needed to be there, but, I Returned to Work, School, Leisure Activities 87% soon realized that I did!” Returned to Driving 69% “The staff in LIFT were extremely understanding.”
9 CIMT Constraint Induced CIMT An intensive and Movement Therapy innovative form of occupational and Genesis Outpatient Rehabilitation now Who qualifies for CIMT? physical therapy offers a new rehabilitation program aimed treatment, involves at improving the function of a person’s Individuals must meet certain forced use of the weaker weaker limb following a stroke, brain injury, requirements for the treatment to be limb to improve brain tumor, or similar illness. beneficial. Comprehensive evaluation function. Constraint Induced Movement Therapy with a licensed therapist will be has gained popularity as a method to completed to determine strengths, promote increased motion and strength weaknesses, and appropriateness for the following paralysis of a limb. Genesis is the program. Some active shoulder, elbow, first in the Quad Cities to offer the program and finger movement must be present. for adults. The therapy also is available to Participants must have the ability to follow pediatric therapy patients. directions and not have any significant Modified Constraint Induced memory problems. Significant pain or Movement Therapy (CIMT), an intensive severe hearing or visual deficits may and innovative form of occupational and limit participation, as well. physical therapy treatment, involves forced The Genesis program offers intensive use of the weaker limb to improve function. group outpatient therapy five days per Modified CIMT is based on Constraint week, three hours daily for six weeks. Induced Movement Therapy developed Participants wear a constraint on their by Dr. Edward Taub, a behavioral stronger extremity at least six hours daily neuroscientist who completed extensive to force use of the weaker extremity. research on the brain's ability to “rewire” Home exercise and journal activities are itself after illness or injury to the brain. required. Genesis Outpatient Rehabilitation How does CIMT treatment work? offers CIMT treatment at the Maplecrest and Valley Fair locations. For more When a person is unable to use the information, call the Bettendorf location affected limb successfully, “learned at (563) 421-3460 or the Davenport nonuse” occurs. It's only natural for the location at (563) 421-3495. person to favor the unaffected limb. Restriction of the unaffected limb QC Times overcomes learned non-use. Using the March 2, 2012 affected limb during functional activities, increases nerve activity to the brain called “cortical reorganization." Sustained and repetitive practice of functional movement can lead to recruitment of new areas of the brain to aid in control of motor function called “neuroplasticity”.
What benefits are gained from CIMT? Participants gain improved awareness, movement, coordination, and functional use of their weaker limb. They also may notice improvements with balance, core strength, and functional mobility.
10 Spinal Cord System of Care Inpatient Discharge Data 2012
Number of Patients Served 43 Characteristics of Patients Average age 60 Gender Male 72% Female 28% Types of Injuries Traumatic Injury 7 Non-Traumatic Injury 36 Satisfaction of Services Provided Satisfied to Very Satisfied 94% Average Hours of Therapy per Day (5 of 7 days) 3.5 hours Average Length of Stay 15 days Achieving Predicted Outcomes 75% Goals Achieved/Goals Written 120/159 Returned to Productive Activity 77%
Genesis Medical Center National* Discharged to Community: All 63% 72% Traumatic Injury 71% 67% Non-Traumatic Injury 61% 73% Returned to Acute Care Unit 28% 14% Traumatic Injury 14% 15% Non-Traumatic Injury 30% 13%
(No children were served in the Spinal Cord System of Care Inpatient Program) *Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association
11 Spinal Cord System of Care Outpatient Discharge Data 2012
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 58 Gender Male 75% Female 25% Types of Injuries Traumatic Spinal Cord Injury 2 Non-Traumatic Spinal Cord Injury 2 Satisfaction of Services Provided Satisfied to Very Satisfied 100% Average Number of Visits 57 Achieving Predicted Outcomes Individual Goal Attainment 83% Goals Achieved/Goals Written 6/5 Returned to Pre-morbid Living Arrangements 100% Returned to Work, School, Leisure Activities 50% Returned to Driving 100%
12 Professional Development Program
For several years the Genesis Health After considerable effort a System has offered a Professional Professional Development Program Development Program for registered specifically for Genesis Health nurses. The program is designed to System therapists has been recognize, strengthen, promote and developed and implemented. The retain the bedside nurses through purpose is two-fold. First, to create growth in several areas. These include a structured and measurable means expert practice, professionalism, role through which employees of the model/leadership, evidence-based Genesis Physical Medicine and practice, and education. Rehabilitation Service Line can attain and demonstrate advanced clinical In addition to nurses, there are other skills in an area of expertise. Second, clinical providers who play a critical to have a mechanism whereby role in the care and recovery of employees are provided an patients who have experienced a opportunity to improve outcomes, serious illness or injury. These include patient satisfaction, and safety. All occupational therapists, physical of these factors contribute to being therapists, speech/language a preferred provider while providing pathologists, and recreational best practice and retaining staff. therapists, to name a few. The Recognition is in the form of Genesis rehabilitation therapists did advancement in a designated not have a professional development Levels system. Monetary reward The program is designed program. Keeping the clinical expert is attached to each level of at the bedside providing direct advancement. to recognize, patient care was proving to be a strengthen, promote challenge. Through FY 12, the following therapists have promoted to and retain the An interdisciplinary team comprised Level III: bedside nurses through of both inpatient and outpatient Darci Becker, Ph.D.,CCC/SLP/L therapists from Occupational growth in several areas. Therapy, Physical Therapy, Speech Cherie Blackwell, OTR/L and Hearing, and Recreational Gretchen Cluff, OTR/L, CDRS Therapy, in collaboration with } Casey Creger, PT { representatives from the Genesis Learning and Development and Erica Jansen MOT, OTR/L Human Resource departments, Molly Muhl OTR/L, CBIS met to discuss the feasibility of Wendy Petersen, MPT, CBIS developing a professional development program for the Janel Stout MPT, CBIS, therapists. A literature search was RESNA certified conducted and known programs reviewed.
13 Cheering For Success At Go Peds Outpatient Pediatric Genesis Pediatric Therapy Rehabilitation Program 2012 Six-year-olds Madi Ramirez and Lynsey Like the other girls Stevenson have new motivation to jump in the therapeutic pool and build their balance Cheerleading has enhanced her daughter’s and leg strength during therapy sessions life. It means a lot to Madi to be able to go Number of Therapy Visits 12,321 at Genesis Pediatric Therapy. They’re to cheer practice with her two older sisters. Occupational Therapy cheerleaders. They have pompoms to wave, “Madi’s mobility is limited. She can walk Physical Therapy letters to spell with their arms, and human short distances but she also has a pyramids to top. wheelchair,” her mother says. “When they Speech/Language Pathology Despite their physical disabilities, Madi and put her in a stunt, she waves and smiles Lynsey are among several Genesis Pediatric and thinks she’s a star. They help move her Fiscal Year 2012 volumes represent a arms; carry her around the floor; and, move Therapy Center patients who are part of 32% increase since Fiscal Year 2011. Integrated Cheer Experience, or ICE. her from spot to spot. When they do In its first year, the program pairs students jumps, they lift her up because Madi can’t who have cognitive and physical disabilities jump.” but it’s so important to her. She can’t do it on with competitive cheerleaders from Eastern Madi’s mother adds, “Every little girl Iowa All-Stars Cheerleading. With the help wants to be a cheerleader. She gets to of their older partners, girls with special needs come and have fun and forget about her participate in feats they never expected they disability for a little while. No one is judging could do. Genesis Pediatric Therapy Center her. She smiles and has a good time.” is a team sponsor. Lynsey’s mom, Tammy Stevenson of Recently, the ICE team cheered during LeClaire, recalls her daughter’s excitement half-time of the Harlem Globetrotters game at at getting to perform at the Harlem the i wireless Center. This Saturday, they will Globetrotters event. “Lynsey has wanted to cheer in a competition at Pleasant Valley High perform at the i wireless Center since she School. was 2 years old,” she says. “The fact she The experience has been a confidence and the cheer team performed at builder for Madi, who has a progressive half-time was a big deal for her. She neuromuscular disease called spinal muscular thought she was the main event.” atrophy, and Lynsey, who was born with She adds, “Lynsey talks about being the spina bifida, a birth defect that involves the only one at school with spina bifida. When incomplete development of the spinal cord she’s with other girls with special needs, or its coverings. she can be herself. She doesn’t have to be Each is paired with an Eastern Iowa self-conscious that she’s ‘the only one who All-Stars cheerleader, who helps them can’t do it.’” accomplish moves their bodies can’t and Both mothers can’t say enough about showcase the ones they can. the progress their daughters have made When the girls aren’t at practice, physical at Genesis Pediatric Therapy. They therapist Katie Snyder guides them through appreciate the center’s therapists for physical therapy that will help them be more their hope and positive attitudes. Physical therapist Katie Snyder is helping them successful when they cheer. Instead of the predicted slow decline with balance and leg strength skills they need as “Both girls work to improve their balance in her condition, Megan Ramirez has seen members of the Integrated Cheer Experience, an and lower-extremity strength,” Snyder says. weekly evidence that Madi’s gaining initiative of Eastern Iowa All-Stars Cheerleading. “Madi can stand independently but is not strength and mastering more. She and able to squat. Lynsey is working on balance her husband, Tom, weren’t given much land yet, but it makes her happy to do it in the and would love to be able to jump. Improving hope when they learned Madi’s awkward water. She’s doing things we never thought their balance helps when the cheer team uses crawl at age 2 stemmed from spinal muscle she would be able to do.” them as fliers to top a pyramid, for example.” atrophy. At the time, doctors told them The Genesis Pediatric Therapy Center offers Madi’s mother, Megan Ramirez of LeClaire, Madi would never walk. care in a newly re-designed and remodeled is a coach and co-owner of Eastern Iowa Lynsey has been going to the center for 6,000-square foot facility at Genesis Medical All-Stars. The ICE team formed at the request four years. Therapy is so much fun, “she Park, Maplecrest Road in Bettendorf. The of high school girls on the All-Stars’ highest thinks she’s going to Genesis to play,” her center and its team specialize in programs competitive team. The All-Star youth plan mother says. that meet the needs of children requiring practices, contact parents, and create “She’s always wanted to jump and is thrilled physical, occupational and speech therapies. routines. to climb a footstool in the pool and jump off For information, call (563) 421-3497. it. She also is working on standing on one foot at a time. It may sound trivial to anybody else, QC Times February 24, 2012
14 Outpatient locations
DAVENPORT SILVIS CORALVILLE
1 VALLEY FAIR 7 GENESIS MEDICAL CENTER - ILLINI 10 PEDIATRIC THERAPY CENTER 2720 W. Locust Street, Suite 8B 1455 Hospital Road 2451 Coral Court #1 Phone: (563) 421-3495 Phone: (309) 281-4740 Phone: (319) 853-0596 Fax: (563) 421-3499 Fax: (309) 281-4749 Fax: (319) 853-0983
2 LOMBARD 1414 West Lombard Street MOLINE ELDRIDGE Phone: (563) 421-9560 Fax: (563) 421-9569 8 KING PLAZA 11 170 S. 4th Avenue 3650 Avenue of the Cities Phone: (563) 285-9400 3 53RD STREET Phone: (309) 281-2500 Fax: (563) 285-9410 1702 East 53rd Street Fax: (309) 281-2509 Phone: (563) 421-9660 Fax: (563) 421-9679 DEWITT LECLAIRE 12 1118 11th Street BETTENDORF 9 1003 Canal Shore Drive, Suite 2 Phone: (563) 659-4265 Phone: (563) 289-2100 Fax: (563) 659-4266 4 MAPLECREST Fax: (563) 289-2101 2535 Maplecrest Road, Suite 8 Phone: (563) 421-3460 Fax: (563) 421-3461
5 PEDIATRIC THERAPY CENTER 2535 Maplecrest Road, Suite 23 Phone: (563) 421-3497 Fax: (563) 421-3699
6 POWER SPORTS PERFORMANCE Bettendorf YMCA 3800 Tanglefoot Lane Phone: (563) 349-7661
Genesis Outpatient Therapy offers services at twelve 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.
15 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 “Star athletes do this get more playing time or to make the team. When athletes experience improved results, their type of program, but it’s overall self confidence also improves. also for the youngsters who are looking to get Other Programs more playing time or Back in the Game – Specifically designed for athletes recovering from a recent sports injury. to make the team.” A physician or physical therapist’s recommendation is needed. 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. 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. 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. Sports Nutrition Consulting – Designed to help athletes or the general public maximize their body composition through dietary changes to dominate their sport or life. Personal Training – Adults looking to decrease body weight and increase fat loss, increase sport performance, or to increase general fitness levels.
16 Dr. Joseph Brooks, DO, MHA
The Genesis Physical Medicine and Rehabilitation Service Line is pleased to announce the addition of Dr. Joseph Brooks, DO, MHA, to its program. Dr. Brooks joins Dr. Conway Chin, medical director, Dr. Fareeduddin Ahmed, Dr. Arthur Searle, and Dr. Blaine Washington II in providing medical services to patients of the inpatient and outpatient rehabilitation programs.
ABOUT DR. BROOKS Dr. Brooks moved back to the Quad Cities with his wife and four children after completion of his residency training at the University of Missouri. His interests include Inpatient Neurorehabilitation and Outpatient Musculoskeletal Medicine.
EDUCATION AND TRAINING Dr. Brooks received a Bachelor of Science in Biology from Truman State University, graduating Magna Cum Laude. He then earned his Master in Health Administration and Doctor of Osteopathic Medicine in a dual-degree program from A.T. Still University-Kirksville College of Providing Osteopathic Medicine. He completed his Residency in Physical Medicine highly-specialized, and Rehabilitation at the University of Missouri. Dr. Brooks is Board non-operative treatment Certified by the American Board of Physical Medicine and Rehabilitation. for patient’s pain and discomfort. AREAS OF INTEREST • Musculoskeletal, spine, and sports { } • Interventional Musculoskeletal Ultrasound • Electrodiagnostic Medicine: Electromyography (EMG) and Nerve Conduction Studies (NCS) • Osteopathic Manipulative Medicine (OMM) • Regenerative Medicine: platelet rich plasma (PRP) • Botox treatments for spasticity, cervical dystania, and chronic daily migraines.
17 Keeping Athletes Safe Genesis Concussion Management
In all his years playing football, Garrett Miner A concussion can show up right after the technology developed by NASA to measure had never suffered a head injury despite injury, or may not appear or be noticed an individual’s balance. routine helmet-to-helmet contact. until days or weeks after the injury. The athlete stands on a platform that When he went to Genesis Concussion “Athletes who return to play before the measures balance as both the platform Management for a baseline screening in brain has time to heal are at risk of more and walls move. October, the Moline High School quarterback serious injury and causing permanent Concussion Vital Signs ® is a web-based figured it was an unnecessary precaution. damage,” Owens explains. assessment used to establish an individual’s He went at his parents’ urging. “normal” neurocognitive baseline so health “I thought, ‘This is probably a waste of Time to heal professionals have a reference point they can time. It’s my senior year. I’ve never had a use to measure an athlete’s skills at solving After consulting with his doctor, Garrett took concussion before. It’s never going to happen problems, decision-making, learning, a break from football practice and received to me,’“ Garrett, 17, says. “Then a week later, remembering and concentrating after injury. guidelines on how to rest his brain. He still I got hit hard in the last game of the regular did homework, but he had to limit his TV season.” Learn more time and avoid listening to music with Sitting in the bleachers at the time, his headphones over the next two days. For more information, call the Silvis location parents, Stefani and Danny Miner, saw the “His doctor, his coach, Genesis Concussion at (309) 281-4740, or the Davenport opposing team player break through the line Management...everyone worked together,” location at (563) 421-1470. and knock their son down flat. “You could see Garrett’s mother says. “No one wanted that Garrett got hit hard. You could hear the Garrett to play if he was injured. Once you gasp of the crowd. He didn’t get up right learn more about concussions, there’s really away,” his mother says. no other decision to make. It’s his brain.” Garrett was immediately removed from His parents took Garrett to Genesis play. He returned in the second half, only Concussion Management for a baseline when traditional testing on the sidelines screening after a teammate had to stop determined him fit to play. playing contact sports because of lingering “From all appearances, Garrett was fine,” symptoms from a couple of concussions Stefani Miner says. “He had no nausea or received during his high school football dizziness. He wasn’t experiencing any of the career. That awakened them to the outward traditional symptoms of concussion.” seriousness of concussions. Concussion support With a play-off game looming that Saturday, Garrett tested a second time at The next day, however, Garrett’s parents Genesis Concussion Management. His brain decided to make sure there wasn’t any function results had significantly improved, hidden injury. They talked to neighbor and it was decided he could play. Mike Owens, a speech pathologist at Genesis “I think athletes should definitely get a Concussion Management, and arranged for baseline screening,” says Garrett. “I never their son to be tested again. thought a concussion would happen to me.” The new tests would be compared with His mother agrees: “You don’t mess Garrett’s pre-injury tests to determine if around with a brain injury. If Garrett hadn’t his balance and cognitive function had had a baseline screening, we wouldn’t decreased from the blow to the head. have had a reference point to know that Garrett, thinking he felt good a couple of his brain was injured and needed time to days after the game, was surprised to learn heal. It’s important for everyone who plays the tests seemed a little harder the second sports to protect themselves.” time around. He excels in school and is Genesis Concussion Management has ranked 9th in his class. a team of physical therapists, speech “We tested Garrett again after his injury, and therapists, primary care physicians and the tests showed he still had delayed reaction physiatrists to work with athletes, school times. Overall, he was cognitively 15 percent athletic trainers, coaches and parents to below what he was before,” Owens says. provide the best diagnostic tools and “His psychomotor speed, executive function, treatment plans. simple reaction time and simple choice Located on the Genesis, Illini Campus reaction time were impaired. His balance, in Silvis and on the Genesis, West Central however, was in the normal range.” Park campus in Davenport, Genesis Uncovering even subtle differences in brain Concussion Management follows the function is extremely important. The brain current best practice recommendations needs time to heal from a concussion, even for the NCAA and NATA utilizing a a mild one. combination of three elements: symptom A concussion is a brain injury caused by review, cognitive processing and objective a blow to the head or body that causes balance assessments. the brain to move rapidly inside the skull. The NeuroCom® Balance Master uses 18 Wheelchair Clinic Offered by Genesis Physical Medicine and Rehabilitation Services
Many patients served by the Genesis Physical Medicine and The wheelchair clinics are offered four times a month; twice at the Rehabilitation programs require the use of a wheelchair to achieve GMC Davenport Day Rehab Clinic and twice a month at the GMC functional mobility. With the advent of new technology, the types Illini Outpatient Rehabilitation Clinic. and features of wheelchairs available have increased greatly and can be overwhelming for an individual who has not had a previous A team including certified therapists, durable medical equipment wheelchair experience. A wheelchair can be more than a chair with providers, and a physiatrist assist patients in selecting the most wheels but rather a very sophisticated seating system providing the effective seating system to maintain good skin integrity and user with a safe mobility device that supports proper posture, skin maximize functional independence. A computer-based pressure integrity, and functionality. With this high degree of specificity, mapping system is utilized to insure the seat cushion is designed there is a need to have experts available to insure the wheelchair for ideal weight distribution. user has the best fit possible. Patients and families have commented how much they appreciate A community need for a comprehensive wheelchair clinic was being able to see the physician, therapists and wheelchair vendor identified. Under the direction of Dr. Conway Chin, medical all with one visit. director of the Genesis Physical Medicine and Rehabilitation Service Line, two wheelchair clinics have been established; one in Davenport, Iowa, and another in Silvis, Illinois. To provide the best service possible, two Genesis physical therapists, Janel Stout, MPT, and Jennifer Wilshusen, MPT, completed training offered by the Rehabilitative Engineering and Assistive Technology Society of North America. Both therapists are now certified RESNA specialists.
19 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, Lori Anderson, MPT: APTA Credentialed Clinical Instructor Certified Brain Injury Specialist Sarah Anderson, MPT: APTA Advanced Credentialed Clinical Instructor, Janet King, RN, BASS, MBA: Certified Rehabilitation Registered Nurse Bioness Certified, Geriatric Clinical Specialist Kerry Miller, RN, BSN: Certified Rehabilitation Registered Nurse Christine Beuthin, PT: APTA Credentialed Clinical Instructor, Jennifer Stender, RN, BSN: Certified Rehabilitation Registered Nurse, Geriatric Clinical Specialist, Certified Lymphdema Therapist Certified Brain Injury Specialist Karen Bevins, DPT: Advanced APTA Credentialed Clinical Instructor Susan Bode, MPT: Advanced APTA Credentialed Clinical Instructor, Rehabilitation Nursing - Heidi Bradly, Manager NDT Certified, Certified Brain Injury Specialist, Bioness Certified Amanda Brummel, DPT: Bioness Certified Brenda Chacon, RN, BSN: Certified Rehabilitation Registered Nurse Karen Collins, DPT: APTA Credentialed Clinical Instructor, Karen Cumming, RN, MSN: Certified Medical Surgical Nurse Certified Brain Injury Specialist, Bioness Certified Diane Delashmutt, RN: Certified Rehabilitation Registered Nurse Karrie Crawford, MPT: APTA Credentialed Clinical Instructor, Brenda Frazier, RN, BSN: Certified Rehabilitation Registered Nurse Certified Brain Injury Specialist, Bioness Certified Shani Marland, RN: Certified Brain Injury Specialist Lisa Davis, PTA: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Bioness Certified Nicole Matthys, RN, BSN: Certified Rehabilitation Registered Nurse Carolee DeGan, PTA: APTA Credentialed Clinical Instructor Lori Meierotto, RN: Certified Rehabilitation Registered Nurse Karen Einfeldt, PTA: APTA Credentialed Clinical Instructor Cheryl Osborn, RN: Certified Rehabilitation Registered Nurse Melissa Farren, MPT: APTA Credentialed Clinical Instructor Patty Schulz, RN: Certified Rehabilitation Registered Nurse Lynn Fitzpatrick, MPT: APTA Advanced Credentialed Clinical Instructor, Ann Sterling, RN: Certified Rehabilitation Registered Nurse Geriatric Clinical Specialist Deborah Stockdale, RN, BAN: Certified Rehabilitation Registered Nurse , Lynn Frank, MPT: APTA Advanced Credentialed Clinical Instructor, Certified Brain Injury Specialist Certified Brain Injury Specialist, Neuro Clinical Specialist, Bioness Certified Heather Smith, RN: Certified Rehabilitation Registered Nurse, Pam Glasgow, PTA: APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Certified Provider CPR/First Aid Certified Brain Injury Specialist Kimberly Teel, RN: Certified Rehabilitation Registered Nurse Deanna Kieliszek, PTA: APTA Credentialed Clinical Instructor Sarah Mullins, PTA: Credentialed Clinical Instructor, Occupational Therapy - Ron Bear, Manager Certified Lymphedema Therapist Wendy Petersen, MPT: APTA Credentialed Clinical Instructor, Nancy Goppelt-Burney, OTR/L: Certified Brain Injury Specialist Certified Brain Injury Specialist, advanced to Level 3 career ladder Gretchen Cluff, OTR/L, CDRS: Certified Driver Rehab Specialist, Teresa Richard, PTA: APTA Credentialed Clinical Instructor Driving Safety Instructor for AARP, CarFit Event Coordinator Certified, Drive Well Trained CarFit State Coordinator, CarFit/WNTT Melissa Ryan, MPT: Advanced APTA Credentialed Clinical Instructor NDT Certified, Advanced to Level 3 career ladder Amy Scales, DPT: APTA Credentialed Clinical Instructor Claudeen Nellis-Engler, OTR/L: Certified Brain Injury Specialist, Chelsea Schroeder, DPT: APTA Credentialed Clinical Instructor, CAPT Advanced Certification Certified Brain Injury Specialist, Bioness Certified, NDT Certified Tara Henry, MOT, OTR/L CLT: Certified Lymphedema Therapist Julie Simmer, DPT: Advanced APTA Credentialed Clinical Instructor, Tami Jaenel, COTA/L, LMSW: Certified Brain Injury Specialist Certified Brain Injury Specialist, NDT Certified, Bioness Certified Kathy Lee, OTR/L: Certified Kinesiotape, Bioness Certification Practitioner Janel Stout, MPT: Advanced APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Assistive Technology Practitioner, Julie Losasso, OTR/L: NDT Certified Bioness Certified, Advanced to Level 3 career ladder Molly Muhl, OTR/L: Certified Brain Injury Specialist, Jessica Weber, DPT: APTA Credentialed Clinical Instructor Advanced to Level 3 career ladder Jennifer Wilshusen, MPT: Advanced APTA Credentialed Clinical Michelle Owens, OTR/L: Certified Brain Injury Specialist Instructor, Assistive Technology Practitioner, Bioness Certified, Barb Petri, OTR/L, LMT: Massage Certification, Advanced Certification NDT Certified in Massage Therapy Caitlin Skrzyniarz, OTR, CLT: Lymphedema Certification (continued on next page)
20 Certificates Awards (continued)
Speech and Hearing - Ron Bear, Manager Outpatient Rehabilitation - Doug Boleyn, Manager
Darci Becker, Ph.D., CCC/SLP/L: Certified Vital Stim Provider, Board Rebecca Amundson, PT, MPT: Pediatric Certified Specialist Recognized Specialist in Swallowing and Swallowing Disorders Mary Baker, PT: Secretary Iowa Physical Therapy Association Advanced to Level 3 career ladder Ashley Binks, OTR/L: Early Intervention Credentialed, Jeanette Cruz, MS, CCC/SLP/L: Neurofeedback, Advanced Training Interactive Metronome, Certified in Therapeutic Listening Missey Heinrichs, MS, CCC/SLP/L: Neurofeedback, Advanced Training Cherie Blackwell, OTR/L: Orthopedic Certified Specialist Thomas Quesnell, MS, CCC/A, FAAA: Fellow American Academy of Advanced to Level 3 Career Ladder Audiology Susan Clemens, OTR/L: Certified Brain Injury Specialist, Jodi Robinson, MS, CCC/SLP/L: Certified Vital Stim Provider Tammy Conner, OTR/L: Certified Lymphedema Specialist Kristin Schriefer, MS, CCC/SLP/L: Advanced Training with TEP Placement Deborah Crooks, MA, CCC/SLP: Certified Brain Injury Specialist Angie Spalding, MS, CCC/SLP/L: Certified Vital Stim Provider, Ben Devaney, LAT: Certified Strength and Conditioning Specialist Certified Brain Injury Specialist Lori Devore Dryg, MA, CCC/SLP: Certified Brain Injury Specialist Lisa Tews, MA, CCC/SLP/L: Certified Brain Injury Specialist Kathryn Ellsworth, PT, MPT: Orthopedic Certified Specialist Kathryn Vanderbeke MS, CCC/SLP/L: Certified Vital Stim Provider Maria Teresa Ferrer, DPT: Certified Brain Injury Specialist, Barb VanderLinden, MS, CCC/SLP/L: Certified Brain Injury Specialist, Early Intervention Credentialed, Serial Casting, TheraSuit, LSVT Certification, LOUD Certified Sand Therapy, Bobat Technique, Brachial Plexus Kristy Fuller, OTR/L: The Early Feeding Skills (EFS) Assessment Training, Therapeutic Recreation - Kelly Sigler, Supervisor Neonatal Oral Motor Assessment Scale (NOMAS), Level 1 NIDCAP, NDT (for children), Advanced Pediatric Oral Pharyngeal Motility Megann Beck, CTRS: Certified Brain Injury Specialist Nancy Greenwood, PTA: Multi-disciplinary Geriatrics, Diane Dittmer-Johnson, CTRS: Certified Brain Injury Specialist, Certified Pool Operator, APTA Credentialed Clinical Instructor Certified in Matter of Balance Suzanne Hawkinson, MS, CCC/SLP: Certified Brain Injury Specialist Jennifer Hovey, CTRS: Certified Brain Injury Specialist, Certified in Kristin Hawley, DPT: Certified Brain Injury Specialist Matter of Balance, Past Pres. of Iowa Therapeutic Recreation Assn. Chris Hunter, PT, MPT: Orthopedic Certified Specialist Glen Sancken, CTRS: Certified Adaptive Water Ski Instructor, Heart Math Certified Erica Jansen, MOT, OTR/L: Certified Brain Injury Specialist, Early Intervention Credentialed, Sensory Integration Praxis Kelly Sigler, CTRS: Certified Provider CPR/First Aid Test Certification, Advanced to Level 3 career ladder Amy Weaver, CTRS: Heart Math Certified 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 Emily Pierson, PT, DPT: Orthopedic Certified Specialist 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
21 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.