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Physical Medicine and Rehabilitation Annual Reports

2013 2014

Genesis Health System exists to provide

compassionate, quality health services

to all those in need.

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Introduction

Inpatients Served

Inpatient Program Discharge Data

Brain Injury Program-Inpatient

Retraining the brain with Dynavision

Brain Injury Program-Outpatient

Spinal Cord System of Care - Inpatient

Neuroscience Institute Helps Man to Walk Again

Spinal Cord System of Care - Outpatient

A Walking Miracle

Parkinson’s Disease - LSVT Program

Outpatient Service Locations

Awards/Certifications

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Table of Contents

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IntroductionThe Genesis Physical Medicine and Rehabilitation Service Line continuesto offer the largest and most complete hospital-based inpatient rehabilita-tion program in the State of Iowa. The Spinal Cord System of Care Pro-gram is the only CARF accredited program in the State. In addition, theInpatient Brain Injury Program is one of only two hospital-based CARF ac-credited programs in the State to offer services to adult, adolescent, andpediatric patients. The Interdisciplinary Outpatient Medical RehabilitationBrain Injury Program is one of two CARF programs in Iowa to serve adultpatients.

Referrals to the inpatient and outpatient programs have come from abroad range of providers. An increase has been seen from outside referralsources such as the University of Iowa. Patients are normally admitted tothe inpatient rehabilitation program from the referring facility within 24hours from the time they are deemed medically ready to begin therehabilitation process.

One of the major accomplishments during this time period was thesatisfactory completion of the CARF accreditation survey process. CARFInternational is an independent, non-profit accreditor of health and humanservices with a focus on quality results. Seven of the GenesisRehabilitation Programs sought and received three-year accreditations.These include:

• Inpatient Rehabilitation Programs – Hospital (Adults)• Inpatient Rehabilitation Programs – Hospital (Children and Adolescents)• Inpatient Rehabilitation Programs – Hospital: Brain Injury Specialty Program (Adults)

• Inpatient Rehabilitation Programs – Hospital: Brain Injury Specialty Program (Children and Adolescents)

• Inpatient Rehabilitation Programs – Hospital: Spinal Cord System of Care(Adults)

• Interdisciplinary Outpatient Medical Rehabilitation Programs: Brain InjurySpecialty Program (Adults)

• Interdisciplinary Outpatient Medical Rehabilitation Programs: Spinal Cord System of Care (Adults)

Twenty-seven program strengths were identified by the 4-member surveyteam. Such an accomplishment can only be achieved when the entirerehabilitation team demonstrates the expertise, dedication andcommitment to improve the quality of the lives of the persons served.

Another special accomplishment was initiation of the Genesis PromiseCare Stroke Rehabilitation Initiative. The largest patient population servedby the Genesis Rehabilitation program is patients who have experienced acerebrovascular accident, also known as a stroke. The intent of theinitiative was to decrease the variation of patient care that can lead toinconsistent outcomes. Four goals were selected for focus includingimplementation of consistent best practice, improvement in qualityoutcomes, reduction in length of stay, and an increase in the number ofpatients discharged to home. The reports to date are positive. Patientsatisfaction scores have met or exceeded targets. When comparing datafrom the previous fiscal year, the length of stay has decreased by 3.6 daysand the number of patients discharged to home has increased by 13.8%

We are proud of our talented and dedicated physicians and staff. Ourmission remains to provide compassionate, quality services that willmaximize independence and facilitate the achievement of individual goalsof all those in need of physical medicine and rehabilitation services. Thiswould not be possible without the continued support of the GenesisAdministrative Team and the Genesis Health System Board.

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Conway Chin, DOMedical Director

Inpatients Served

2013

IowaCedar 11Clinton 41Davis 1Dubuque 1Jackson 12Johnson 4Muscatine 27Polk 1Scott 302Washington 1Wayne 1

IllinoisCarroll 3Henry 11Mercer 7Rock Island 45Stephenson 1Whiteside 15

OtherMissouri 2New Mexico 1North Carolina 1Pennsylvania 1

2014

IowaBlackhawk 1Cedar 12Clinton 35Des Moines 1Henry 1Jackson 9Johnson 2Louisa 4Muscatine 23Poweshiek 1Scott 336

IllinoisCarroll 1Henry 8Jo Daviess 1Knox 2Mercer 5Rock Island 42Whiteside 9

OtherMichigan 1

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2013 2014Number of patients served 494 490

Characteristics of patientsAverage age 67 68GenderMale 51% 57%Female 49% 43%

Satisfaction of services providedSatisfied to Very Satisfied 99% 97%

Average hours of therapy per day (5 of 7 days) 3+ hours 3+ hoursAverage length of stay 16.4 days 13.7 daysAchieving Predicted Outcomes

Goal Attainment 83% 85%Returned to Productive Activity 79% 87%

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

2013 2014

Genesis Medical Center National* Genesis Medical Center National*Stroke 60% 68% 71% 67%Brain Injury 76% 71% 79% 71%Spinal Cord Injury 55% 72% 64% 72%Orthopedic 77% 80% 71% 79%Neurological 75% 75% 54% 74%General Rehab/Medical 68% 74% 75% 74%

Returned to Acute Care Unit 11% 9%Pediatric Inpatients Served 2 5

InpatientDischarge Data

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

2013 2014

Number of patients served 78 77Characteristics of patients

Average age 62 64GenderMale 62% 62%Female 38% 38%

Types of InjuriesTraumatic Brain Injury 25 28Non-Traumatic Brain Injury 50 49Multiple Trauma with Brain Injury 3 0

Satisfaction of services providedSatisfied to Very Satisfied 100% 95%

Average hours of therapy per day (5 of 7 days) 3.82 hours 3.45 hoursAverage length of stay 17 days 12.4 daysAchieving Predicted Outcomes

Goals Attainment 83% 86%Returned to Productive Activity 75% 92%

2013 2014

Disposition Genesis Medical Center National* Genesis Medical Center National*Discharged to Community 76% 71% 79% 71%Returned to Acute Care Unit 18% 13% 9% 13%

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

Brain InjuryInpatient

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Re-training the Brain with DynavisionReturning to independencewith Genesis LIFT program

When Roger Whitney began theGenesis LIFT program, he wasrecovering from a head injury andcouldn't walk without staggeringbecause of double vision anddizziness.

He experienced debilitatingmigraines. He had difficultymoving his head to look around;whenever he did, the roomseemed to swirl. Light triggeredhis headaches, so he wore hissunglasses indoors and often hadto sit in the dark.

He came to the Genesis LIFTProgram for help. LIFT, orLearning Independence forTomorrow, is an outpatientprogram for brain injuryrehabilitation.

“I had severe headaches, anxiety,nausea…things were alwaysspinning,” Whitney of Davenportsays. “If I was sitting and lay backtoo fast, the room would spin andI'd feel like I had to reach out andgrab hold of something.”It all began last New Year's Eve,when he slipped on the ice whileclimbing into an 18-wheeler truckwhile at his job. He was knockedout for a while, lying on his back indangerously cold temperatures ina deserted parking lot. Fading inand out of consciousness, he hitredial on his phone and alerted adispatcher who was able to findhim help nearby.

Whitney suffered a severe

concussion that, 10 months later,still gives him occasionalmigraines and vertigo. He hasmade great strides, however, andis driving his personal car againwith the help of physical andoccupational therapies and aunique technology at Genesiscalled Dynavision.

On The MendOn a recent day duringoccupational therapy, RogerWhitney stands in front ofDynavision, a light-trainingreaction device that looks morelike a large video game than atherapy tool.

Dynavision has multiple buttonson a large board that can light upin different quadrants. One settingwill flash numbers or letters in thecenter of the board forparticipants to call out at the sametime other buttons flash for themto press. This exercise helpsimprove hand-eye coordination,reaction time, peripheral visionand visual awareness.

Originally developed to improvethe visual motor skills of athletescompeting in sports like hockey,basketball, baseball, football andtennis, Dynavision programs havebeen adapted to provide thesame training benefits to peoplewhose visual and motor functionhas been compromised byneurological injuries or diseases.

Dynavision can help patients likeWhitney improve hand-eyecoordination; improve reactiontimes; and, increase the speed,accuracy and efficiency with which

they are able to absorb visualinformation. It has been usedsuccessfully for people withmultiple sclerosis, Parkinson'sdisease, attention deficithyperactivity disorder, traumaticbrain injuries and concussions -- toname a few.

“When he first came to the LIFTprogram orientation, Roger was atotally different person than theone you see today. He was in awheelchair; his head was down; hewore sunglasses; and, he couldn'thandle any movement withoutbecoming severely dizzy andnauseous,” says occupationaltherapist Sue Clemens.

She recalls his first few weeks oftherapy had to be conducted in aquiet room, with low lighting. Hecouldn't focus for very long orcomplete some of the initialtesting because of his visualissues.

“If Roger would get up from achair and stretch, he would almostfall over,” Clemens says. “Whenhe walked, his steps weretentative in terms of his balance.We couldn't have him 'look here,look there' without him swooning.He's still getting physical therapyfor the vertigo, but it hasimproved tremendously.

“Functionally, he is now able tohandle enough movement to goback to driving his personal car.”

Dynavision’s computer trackspatients' results so their progresscan be followed. “I think of it like avideo game, where the faster you

go, the more points you get,”Whitney says. “Once you get to acertain level, you get to advanceto the next. I try to go as fast as Ican and hit as many flashing lightbuttons as I can to get a higherscore.”

Dynavision is a great therapy toolfor his vertigo because he has tomove his head, depending onwhere the lights flash. It helpsvision, processing, speed,attention and focus, and hisphysical and mental reactiontimes, Clemens says.

“When you're driving, you'realways multi-tasking,” Clemenssays. “You use your central visionand your peripheral vision. Youhave to focus on who's in front ofyou, who is passing you or if, forexample, there's a ball coming outinto the street. Dynavision hasbeen very instrumental in gettingRoger back driving his personalcar again.”

In his current condition, advancingfrom driving a car with four wheelsto a semitractor trailer truck with18 wheels is an insurmountablechallenge, Whitney says. “Fornow, I'm just glad to be driving myown car again.”

Roger Whitney, who suffered a severe concussion earlierthis year, works to improve his vision, hand-eye coordination, speed, attention and focus using Dynavision.He is assisted by Genesis occupational therapist Sue Clemens.

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2013 2014

Number of patients served 31 33Location of home

Iowa: Quad City area 58% 58%Iowa: outside Quad City area 19% 21%Illinois 23% 21%

Characteristics of patientsAverage age 49 49GenderMale 48% 64%Female 52% 36%

Types of InjuriesTraumatic Brain Injury 52% 63%Stroke 31% 27%Non-Traumatic Brain Injury (other) 17% 9%

Satisfaction of services providedSatisfied to Very Satisfied 100% 100%

Average number of visits 29 visits 40 visitsAchieving Predicted Outcomes

Individual Goal Attainment 70% 82%Returned to premorbid living arrangements 81% 91%Returned to work, school, leisure activities 77% 82%Returned to driving 55% 91%

Brain InjuryOutpatient

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2013 2014Number of patients served 47 50Characteristics of patients

Average age 56 65GenderMale 55% 70%Female 45% 30%

Types of InjuriesTraumatic Injury 32% 28%Non-Traumatic Injury 68% 72%

Satisfaction of services providedSatisfied to Very Satisfied 100% 100%

Average hours of therapy per day (5 of 7 days) 3.8 hours 3.1 hoursAverage length of stay 22 days 21 daysAchieving Predicted Outcomes

Goal Attainment 87% 85%Returned to Productive Activity 70% 78%

2013 2014

Disposition Genesis Medical Center National* Genesis Medical Center National*Discharged to Community: All 55% 72% 64% 72%Traumatic SCI 67% 67% 50% 68%Non-Traumatic SCI 50% 73% 69% 74%Return to Acute: All 17% 13% 16% 13%

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

Spinal CordSystem of CareInpatient

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When 25-year-old Russell Evans arrived at Genesis MedicalCenter two months ago, he was motionless, lying in a hospitalbed.

That's a sharp contrast to the Evans who showed up all smilesWednesday, walking down a corridor at Genesis Medical Center-West Central Park Avenue in Davenport.

Russell EvansIt's one example of what to expect from the new NeuroscienceInstitute at Genesis in a partnership with University of IowaHospitals and Clinics that was announced Wednesday.

Evans was involved in a one-vehicle accident in late July. He wasriding in a truck that rolled on a gravel road, throwing him fromthe vehicle and injuring his spine in the neck and lower backareas.

He was treated at University Hospitals. Shortly after arriving inthe emergency department, his parents were asked to enroll himin a neurological research study on a new drug that helps tostabilize the spinal cord after a traumatic injury.

The drug is safer than an alternative treatment that involves theuse of stem cells, said Dr. Conway Chin, who oversees theproject at Genesis.

The study involves Genesis as well as the University of Iowa.

Chin also supervises Evans' care in Davenport, which involvesnurses and therapists who work especially to help Evans regainmovement on his right side.

That Evans has recovered so much from a traumatic spinal injuryis unusual, Chin said.

The rehabilitation unit at Genesis that is helping Evans is anexample of how the hospital is working with specialists from theUniversity of Iowa. That relationship is taking a step ahead with

the Neuroscience Institute, officials said.Going forward, Genesis will offer the services of twoneurosurgeons to the Quad-Cities, including Dr. Todd Ridenour,who has practiced in Davenport since the 1990s, and Dr. BrianWalsh, who previously worked at the University of Iowa and willmove his practice to Davenport.

Jordan Voigt, administrator of Genesis Medical Center,explained that there are three components of the institute,including expanded neurological services for epilepsy, dementiaand stroke patients.

For his part, Walsh characterized the partnership as "exciting"and said that local care will be provided in a more timely manner.

Ridenour called the Genesis rehabilitation unit "the best in theMidwest" and said he expects the care services to evolve overthe next few months.

"This is an exciting time for us," he added.

The new institute comes eight years after the hospital formedthe Genesis Cancer Care Institute, also located at the WestCentral Park Avenue location.

Genesis currently partners with the University of Iowa on itsneonatal intensive-care unit, which is located at its hospital onEast Rusholme Street in Davenport. It also is partnering onpediatric specialty services, said Ken Croken, the vice presidentof corporate communications at Genesis.

Croken hailed the relationship between the two health providersand also pointed out the benefits to people such as Evans, wholives in Bloomfield, Iowa, near the Missouri border.

"He's now walking because of these available services," Crokenadded.

Neuroscience Institute Helps Man to Walk Again

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Spinal CordSystem of Care

Outpatient

2013 2014

Number of patients served 3 4Location of home

Iowa: Quad City area 0% 75%Iowa: outside Quad City area 67% 0%Illinois 33% 25%

Characteristics of patientsAverage age 48 63GenderMale 33% 100%Female 67% 0%

Types of InjuriesTraumatic SC Injury 33% 50%Non-Traumatic SC Injury (other) 67% 50%

Satisfaction of services providedSatisfied to Very Satisfied 100% No data available

Average number of visits 46 visits 35 visitsAchieving Predicted Outcomes

Individual Goal Attainment 83% 79%Returned to premorbid living arrangements 100% 100%Returned to work, school, leisure activities 33% 75%Returned to driving 0% 75%

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After he was severely injured in a car accident a year ago, doctorsoffered little hope that Andrew Gambleton would ever walk again.His parents prepared for this new reality by readying their home toaccommodate his disability, including building a ramp into theirhouse.

The ramp was never really needed.

After three months of intensive therapy on the Genesis InpatientRehabilitation Unit in Davenport, 17-year-old Andrew walked outthe hospital with the help of only a cane and to the applause of hisnurses, therapists and physicians.“All along, Andrew’s attitude was that he was going to walk out ofhere,” says his occupational therapist Kathy Lee. “That’s exactlywhat he did.”

Andrew’s parents Mary and Silas Gambleton of Delmar, Iowabelieve their son’s will to achieve, the support of family and friends,and, the expertise and encouragement of his Genesis caregivershelped him defy his doctor’s predictions.

“It was incredible to see him walk out of the hospital,” Andrew’sfather said. “When he came in to the rehab unit, we had ourdoubts. But today, he can do most anything the other kids do.”

The AccidentIt was a year ago, Sept.23, 2013, when Andrew was driving homefrom school with his girlfriend. A tire blew out just as he wasrounding a corner at a high speed. The car flipped over, Andrewwas thrown into a bean field and suffered massive injuries. Hisgirlfriend escaped serious injury.

He was airlifted to University of Iowa Hospitals with a badly brokenarm, thumb, wrist and shoulder, severe head trauma, and a spinalcord injury at the C5 and C6 vertebrates in his neck.

“The doctors said he would be paralyzed from the shouldersdown. I was devastated,” recalls his mother, Mary Gambleton, aretired nurse. “He had always been a super active kid -- the kindthat climbs trees and never sat around the house playing videogames. His brain injury, combined with a spinal cord injury, was adouble-whammy.”

”Doctors in Iowa City would give him all kinds of tests. We were inshock mode when they said, ‘We’re cautiously hopeful he’ll beable to breathe again on his own.’ Andrew had an ‘incomplete’spinal cord injury, so there was the possibility of it repairing itself.Three doctors came to see him one day, and only one left with anyhope of him being able to walk again.”

Accredited careMeanwhile, the Gambletons learned that the largest physicalmedicine and rehabilitation program in Iowa just happened to beclose to home at Genesis West Central Park in Davenport. Betteryet, the Genesis program had CARF-accredited inpatient andoutpatient spinal cord and brain injury programs to help their son.Soon, they would experience why the unit has consistently highpatient satisfaction scores.

After 10 days in Iowa City, Andrew was transferred Oct. 6, 2013 tothe Genesis Inpatient Rehabilitation Unit. With little hope ofAndrew being able to walk again, the power wheelchair wasordered and construction began on a ramp leading from thegarage into Andrew’s house. “We were making the bathrooms

handicapped accessible and getting a lift in the home fortransfers,” his father says.

For the next month, Andrew would undergo intensive physical,occupational therapy and speech therapy in hopes of regainingsome of his skills. Because of the brain injury, his speech andmemory were affected. The left side of his body, with the injuredarm, hand and leg, was out of commission.

“When Andrew first came to Genesis, he couldn’t feed himself. Hecouldn’t use either of his hands. He couldn’t roll over. He was inrehab a minimum of three hours a day,” said Lee, his occupationaltherapist.

“Youth was on Andrew’s side, however. He was in good physicalshape before the accident. And the younger you are, the betteryou heal. He was quite lucky his injury healed the way it did. Buteven with the healing, we can only steer patients in the rightdirection. They still have to be committed and willing to do thework, and Andrew certainly was.”

Andrew remembers going through some days of depression,fearing he wouldn’t be able to drive again or lead the active life ofa teenager. “At first I remember thinking, ‘If I have to live like this,then what’s the point?’ Always, I felt impatient and wanted therehab to go faster and to see more progress.”

At first, he had to be persuaded to try the assistive devices thatwould help him to move with more independence. “But once hewould try a device, he would work very hard to progress to thepoint he didn’t have to use it,” Lee says.

MilestonesAndrew’s mother recalls the many milestones during Andrew’s stayat Genesis. Her son went from a two-person harness transfer to apower wheelchair and then to a manual wheelchair, where hecould use his one good arm and the railing to help push himselfalong. Other strides included being able to use the bathroom onhis own again and sliding from the hospital bed to his wheelchair.Then, in his final three weeks in the hospital, standing upright withthe help of a lift…walking between the parallel bars…graduatingto a walker… and finally to using a cane. Before he left Genesis, hewas given a driver’s test and was OK’d to drive.

“The nurses and therapists at Genesis were unbelievable. Theykept his spirits up…they laughed with him…they really thought ofhim as family. He absolutely loved them, and they were fabulous…so encouraging,” his mother recalls. “His rehab doctor, Dr.Conway Chin, was wonderful…always honest yet diplomatic aboutmy son’s condition. My son always felt he could talk to Dr. Chin.”

There would be months of Genesis outpatient rehabilitation inDeWitt, Iowa, to follow, particularly to improve the dexterity in hisinjured hand. But the day he walked out of the Genesis InpatientRehabilitation Unit was a day Andrew and his family will neverforget.

“The nurses were nearly in tears,” his mother recalls. “He liked tokid them back and forth, and they had a really good rapport. Theydidn’t treat him like he was fragile; they treated him like one oftheir own kids.”

A Walking MiracleTeen walks again after month in Genesis Inpatient Rehabilitation

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The ravages of Parkinson’s disease are described as making aperson seem smaller.

The individual, probably an older man, grows hunched,speaks softly, and has difficulty walking and doing regulardaily activities.

Identified in 1817 by British Dr. James Parkinson, the disorderhas been studied for almost two full centuries. However, newtherapies have been introduced because it is one of the mostcommon neurological conditions in aging adults.

Parkinson’s is confirmed in about 1 million people each year,and the majority of them are male. The cause has beentraced to low levels of the organic chemical dopamine in thebrain, but it is not fully understood. There is no cure, andmost patients are diagnosed after they turn 50 years old.

All of these realities help explain the excitement of GenesisMedical Center therapists involved in the LSVT outpatientprogram, which stands for Lee Silverman Voice Treatment.There are voice, occupational and physical therapistsinvolved in the program, originally developed during the1980s and named after an Arizona woman.

Genesis offers two aspects of LSVT: One is called “Loud” forthe voice therapy aspect and one is called “Big” for thephysical therapy.

A highly successful program“With Parkinson’s disease, the people start to get small,”explained Barb Vanderlinden, a speech therapist. She thendrew a picture of how the disease affects an individual. “Theirspeech gets small, they hunch over and look small, and theywalk small. Every motion is decreased.”

Physical therapist Pat Glasgow agreed. “Often, as theybecome smaller and smaller, they still see themselves asnormal. And what looks normal to us looks to them as huge,”she said.

The LSVT therapists try to teach — and preach — theconcept of living big. They aim for patients to feel that “big”is a new normal level of life.

A month-long series of repeated exercises has paid off withvisible success for every patient in the program, the fourtherapists agreed.

“I’ve never, ever really seen this program not work,” Glasgowsaid. “That’s exciting to me. We, and patients and theirfamilies, see improvements. It ranges from fairly good todramatic changes in mobility.”

Dr. Ergun Uc, a neurologist, warns that treatments such asLSVT generally require a strong commitment, andcompliance, from patients and caregivers and may not suit allwho have Parkinson's disease. "For example, those would

Parkinson’s patients live large in a new program

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be the frail patients and those who have dementia," he said. Ucis a specialist in Parkinson's disease at the University of Iowa.He also works at the Veterans Administration Medical Center inIowa City.

Patient says it works, tooAs a young man, Ed Stolley of Bettendorf fought in the VietnamWar and was exposed to Agent Orange, a herbicide used toclear foliage in the jungles of Vietnam and later linked toseveral health issues in veterans of the Asian war. Stolley, 69,explained that his exposure led to a Parkinson’s diseasediagnosis six years ago.

“It affects me quite a bit,” he said. For one thing, familymembers and friends have noticed that he speaks too softly.

But Stolley’s daughter is a nurse who learned about the LSVTprogram at Genesis and urged him to get involved.

He found it difficult to complete the therapy exercises, but he’svery thankful that he did. Stolley participated in two types oftherapy at the same time, working on both on his voice and hismovement. The regimen was complicated by recovery from aruptured appendix and the mix of prescription medicines thathe takes.

“I didn’t think I could make it. It can be a difficult program,” hesaid.

Improved approach from pastPast therapies for Parkinson’s were to treat patients where therewere deficits, said Mickey Owens, an occupational therapistwith the LSVT program. “It was kind of like one and done,” sheadded.

Owens works with patients on their daily activities such asbathing, dressing and living in the home.

The program has specific protocols and exercises, and it’s alifelong process, said Susan Bode, a physical therapist.

“It’s unique because of the intensity and frequency. Both aremodeled to change the movement patterns,” she said.

The therapists agreed that traditional programs ended in less-successful recovery rates. That led to their professionalfrustration and is why they sought out a programming change.

“We’ve had great success with this,” Bode said.

Stolley, the Parkinson’s patient, agreed.

“I’m glad I stuck it out. It was the best thing I’ve done,” he said,adding, “I would recommend this program to any person withParkinson’s. I’m that happy about it.”

Robert Bassler of Davenport works with physical therapistSusan Bode in a new therapy program at Genesis Medical Center-West Central Park Avenue, Davenport. Bassler, whohas Parkinson’s disease, said he’s seen improvement in his ability to perform normal daily activities such as getting upfrom a chair without help. The program is named Lee Silverman Voice Treatment, or LSVT, and it providesvoice, occupational and physical therapies.

DAVENPORT, IOWAVALLEY FAIR2720 W. Locust Street, Suite 8B Phone: (563) 421-3495

GENESIS DAY REHABILITATION1401 West Central ParkPhone: (563) 421-4540

GENESIS PHYSICAL THERAPY ANDSPORTS MEDICINE1702 East 53rd StreetPhone: (563) 421-9660

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

BETTENDORF, IOWAMAPLECREST2535 Maplecrest Road, Suite 8 Phone: (563) 421-3460

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

SILVIS, ILLINOISGENESIS MEDICAL CENTER - ILLINI1455 Hospital Road Phone: (309) 281-4740

MOLINE, ILLINOISMOLINE HEALTHPLEX3900 28th Avenue DrivePhone: (309) 281-2500

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

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

ELDRIDGE, IOWA170 S. 4th Avenue Phone: (563) 285-9410

DEWITT, IOWA1118 11th StreetPhone: (563) 659-4265

ALEDO, ILLINOIS409 NW 9th AvenuePhone: (309) 582-9190

Outpatient locations

Genesis Outpatient Therapy offers services at thirteenconvenient locations. Traditional occupational therapyand physical therapy are available at nearly all outpatientsites. Speech/language pathology services are alsoavailable at most sites. Therapists work with a widevariety of orthopedic and neurological, work and sportsrelated diagnoses for all age groups. Patients receivetreatment in spacious and bright environments. Eachlocation offers private treatment areas, as well as therapygyms, including weight training stations, free weightsand cardio vascular training equipment. A wide variety ofspecialty therapies are offered at various locations.

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Certificates Awards Physical Medicine and Rehabilitation Service Line

Rehabilitation Nursing - Virginia Koontz, Manager

Virginia Koontz, MSHA, RN: Certified Nurse Executive

Nicole Matthys, RN, BSN: Certified Rehabilitation Registered Nurse

Lori Meierotto, RN: Certified Rehabilitation Registered Nurse

Anita Nobel, RN: Certified Rehabilitation Registered Nurse

Cheryl Osborn, RN: Certified Rehabilitation Registered Nurse

Patty Schulz, RN: Certified Rehabilitation Registered Nurse

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

Ann Sterling, RN: Certified Rehabilitation Registered Nurse

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

Courtney Stringham, RN: Certified Medical Surgical Nurse

Kimberly Teel, RN: Certified Rehabilitation Registered Nurse

Occupational Therapy - Ron Bear, Manager

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/WNTTNDT Certified, Advanced to Level 3 career ladder

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

Tara Henry, MOT, OTR/L CLT: Certified Lymphedema Therapist

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

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

Julie Losasso, OTR/L: NDT Certified

Molly Muhl, OTR/L: Certified Brain Injury Specialist, Advanced to Level 3 career ladder

Michelle Owens, OTR/L: Certified Brain Injury Specialist, LSVT Certified

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

Physical Therapy - Carol Rehder, Manager

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

Lori Anderson, MPT: APTA Credentialed Clinical Instructor

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

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

Karen Bevins, DPT: Advanced APTA Credentialed Clinical Instructor

Susan Bode, MPT: Advanced APTA Credentialed Clinical Instructor, NDT Certified, Bioness Certified, LSVT Certified

Amanda Brummel, DPT: Bioness Certified, Advanced APTA CredentialedClinical Instructor

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

Carolee DeGan, PTA: APTA Credentialed Clinical Instructor

Karen Einfeldt, PTA: APTA Credentialed Clinical Instructor

Michelle Engstrom, DPT: APTA Credentialed Clinical Instructor

Melissa Farren, MPT: APTA Credentialed Clinical Instructor

Lynn Fitzpatrick, MPT: APTA Advanced Credentialed Clinical Instructor, Geriatric Clinical Specialist

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

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

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

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

Teresa Richard, PTA: APTA Credentialed Clinical Instructor

Melissa Ryan, MPT: Advanced APTA Credentialed Clinical Instructor

Amy Scales, DPT: APTA Credentialed Clinical Instructor

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

Janel Stout, MPT: Advanced APTA Credentialed Clinical Instructor, Certified Brain Injury Specialist, Assistive Technology Practitioner, Bioness Certified, Advanced to Level 3 career ladder

Jessica Weber, DPT: APTA Credentialed Clinical Instructor

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

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Certificates Awards (continued)Speech and Hearing - Ron Bear, Manager

Darci Becker, Ph.D., CCC/SLP/L: Certified Vital Stim Provider, Board Recognized Specialist in Swallowing and Swallowing DisordersAdvanced to Level 3 career ladder

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

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

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

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

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

Kristin Schriefer, MS, CCC/SLP/L: Advanced Training with TEP Placement

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

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

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

Therapeutic Recreation - Kelly Sigler, Supervisor/Carol Rehder, Manager

Megann Beck, CTRS: Certified Brain Injury Specialist

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

Jennifer Hovey, CTRS: Certified Brain Injury Specialist, Certified in Matter of Balance

Glen Sancken, CTRS: Certified Adaptive Water Ski Instructor, Heart Math Certified

Kelly Sigler, CTRS: Certified Provider CPR/First Aid

Amy Weaver, CTRS: Heart Math Certified

Regional Rehabilitation Administrative Office - Dennis Harker, Director

Brenda Chacon, RN, BSN: Certified Rehabilitation Registered Nurse

Brenda Frazier, RN, BSN: Certified Rehabilitation Registered Nurse

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

Shani Marland, RN: Certified Brain Injury Specialist

Kerry Miller, RN, BSN: Certified Rehabilitation Registered Nurse

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

Outpatient Rehabilitation - Doug Boleyn, Director

Rebecca Amundson, PT, MPT: Pediatric Certified Specialist

Cherie Blackwell, OTR/L: Orthopedic Certified SpecialistAdvanced to Level 3 Career Ladder, Certified Hand Therapist

Susan Clemens, OTR/L: Certified Brain Injury Specialist,

Tammy Conner, OTR/L: Certified Lymphedema Specialist

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

Patricia Darland, MSPT: NDT Certified

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

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

Nancy Greenwood, PTA: Multi-disciplinary Geriatrics, Certified Pool Operator, APTA Credentialed Clinical Instructor

Kristin Hawley, DPT: Certified Brain Injury Specialist, NDT Certified

Chris Hunter, PT, MPT: Orthopedic Certified Specialist

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

Brenda Johnson, OTR/L: Certified Brain Injury Specialist

Christy Klemish, PT, MPT: Orthopedic Certified Specialist

Kristen Mandle, OT/R, Interactive Metronome

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

Kimberly Nielson, DPT: Interactive Metronome, Clinical Instructor Credentialed, Pediatric Certified Specialist

Jennifer Petersen, OTR/L: Sensory Integration Praxis Test Certification,NDT Certified

Emily Pierson, PT, DPT: Orthopedic Certified Specialist

Katie Powers, PT, DPT: Early Intervention Credentialed, Clinical Instructor Credentialed, Pediatric Certified Therapist

Jay Richard, PT, MPT: Orthopedic Certified Specialist

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

Cindy Sortillo, CTRS: Certified Brain Injury Specialist

Karen Steidler, MPT: NDT Certified

Kirsten Treiber, MPT : Certified Brain Injury Specialist

Karen White, MS, CCC/SLP: Certified Brain Injury Specialist, LSVT Certified

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

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

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

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

MISSION STATEMENT

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

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