Headway - On With Life
headwaySPRING 2020WatchMe.ON WITH LIFEINTRODUCESNEW BRAND2019 YEARIN REVIEWPEOPLE MAKINGA DIFFERENCEFOUNDATIONFEATURESP. 4P. 12P. 16
ON WITH LIFE, INC.headway magazine715 SW Ankeny RoadAnkeny, IA E.ORGLetter from the CEOFORWARDTOGETHERABOUT THE COVER:Evie McLeish, person served, andGina Beecher, outpatient physicaltherapist, enjoy On With Life’snew therapy grounds.BOARD OF DIRECTORSON WITH LIFE, INC.Thomas J. Friedman, ChairTracy Bolin, CPA, CMA, Vice Chair/TreasurerKate Benson Larson, MA, CRC, CDMS, CLCP, SecretaryGail Boliver, JD, MBA, MAMark Dearden, DO, FAAFPArthur Filean, MBAMarc Harding, JD, DOCarl Harris, FSA, MAAA, FCASara Johnston, PhD, CRCMeredith Lamberti, JDVilia M. Tarvydas, Ph.D., CRCDonna Walter, MBAEli J. Wirtz, JDON WITH LIFE, LTD.Eli J. Wirtz, JD, PresidentSybil Finken, BA, Vice PresidentJean Shelton, MBA, FACHE, SecretaryLarry Kruse, TreasurerDiana Hoogestraat, MSW, LISWKate Benson Larson, MA, CRC, CDMS, CLCPJohn Snyder, AIAON WITH LIFE SUPPORTIVEHOUSING, CORP.Arthur Filean, MBA, PresidentJean Shelton, MBA, FACHE, Vice PresidentDonna Walter, MBA, Secretary/TreasurerMeredith Lamberti, JDON WITH LIFE FOUNDATIONJeffrey Lamberti, JD, PresidentGail Boliver, JD, MBA, MS, Vice PresidentArthur Filean, MBA, SecretaryThomas J. Friedman, TreasurerLibby CrimmingsCarl Harris, FSA, MAAA, FCAJean Shelton, MBA, FACHESteve Van OortDouglas A. West, CFPAndrea WoodardHeadway Magazine is published bi-yearly byOn With Life, a not-for-profit organization and aMidwest leader in brain injury rehabilitation.Email change of address information or requestto be removed from our mailing list toheadway@onwithlife.org.2 ONWITHLIFE.ORGYou’ve no doubt noticed the newlook and feel of our magazine. Thisis part of our rebranding campaign thatlaunched in June. While we are busyupdating our logo and materials, manythings have – and will – stay the same:our mission and vision, our strongbelief that together more is possible,our person-centered approach and theopportunity to be extraordinary.The Coronavirus/COVID-19 pandemichas brought many opportunities for us tobe extraordinary – many more than weever imagined. Now, more than ever, wehave had to look to our mission to guideus during this difficult time. For thesafety of our persons served, we have hadto adhere to guidelines that go againstall we know about what makes us a greatbrain injury rehabilitation center. Halls,while pristine and sanitized, are empty.Our cafeteria, usually bristling withactivity, is empty. Families, who havebeen at the heart of many of our services,are absent. Yet we persist.Our team has stepped up in a multitudeof ways. There are countless examplesof ways our team thought outside of thebox to continue to engage our personsserved. I hope you follow us on Facebookand Instagram to see the ways ourteam collaborated to make their rehabexperience meaningful and memorableduring this incredibly difficult time. Weare grateful, too, for the support of ourcommunity. We have had hundreds ofhomemade masks donated, cards mailedto our persons served, food delivered forour staff and notes of encouragement toour team. Together, more is possible.Sincerely,Jean Shelton, CEO
Spring2020210412514615716817LETTER FROMOUR CEO2019 YEARIN REVIEWINNOVATIONCENTERSHAPPENINGSON WITH LIFEHELMET CAMPAIGNREPORTS FROMTHE COMMUNITYWATCH MEPEOPLE MAKINGA DIFFERENCEQ&ABIG IDEAS,BIG SOLUTIONSFOUNDATIONFEATURESCELEBRATE LIFE2019Our long-term program incorporates the passions of our personsserved, and for Harold (pictured above), that meant gettingback into his kayak. To make this happen, Harold worked withhis therapy team to plan the outing, and our teams collaboratedtogether to help Harold spend time on the lake.headway magazine 3
2019 YEAR IN REVIEWIn fiscal year 2019 (July 1, 2018-June 30, 2019), On With Life's continuum served 807 individuals. The following is asnapshot of On With Life's outcomes; visit onwithlife.org/outcomes to see a complete overview of outcomes achieved.POST-ACUTE INPATIENT NEURO REHABILITATIONPERSONS SERVEDWERE FROM40IOWACOUNTIES82%4.4OF PERSONSSERVEDDISCHARGEDTO HOMEHOURS3STATESAVERAGE THERAPYPER DAYOF THE INDIVIDUALSSERVED IN OUROUTPATIENT PROGRAMRECEIVED MORETHAN ONE THERAPY97%PER PERSON1physical2occupational3speech5.8ONE OF THERATED ON WITH LIFEEXCELLENT OR GOODIN SATISFACTION SURVEYSHOURSPROVIDED TO 41 INDIVIDUALSOF GOALS WERE MET INONWITHLIFE.ORGNURSING HOURSPER DAY17,6194 DAYSNETPROMOTERSCOREA MEASURE OF CUSTOMERLOYALTY AND REPRESENTS THEPERCENTAGE OF CUSTOMERSWHO PROMOTE ON WITH LIFE.HEALTHCARE AVERAGE 49103LONG-TERM SKILLED CARETHERAPIES:SUPPORTED COMMUNITY LIVING89%8683PERSONS SERVEDOUTPATIENT NEURO REHABILITATION57%AverageLengthof StayFY19HIGHEST SKILLEDNURSING FACILITYNURSING RATIOSIN THE STATE100%OF PERSONSSERVEDMAINTAINED ORIMPROVED THEIRRANGE OF MOTION,THE MEASUREMENTOF THE AMOUNTOF MOVEMENTAROUND ASPECIFIC JOINTOR BODY PART.NEUROPSYCHOLOGICAL SERVICES79%OF PERSONS SERVED AREBETWEEN THE AGES OF 11-70Total Persons Served 13498.57%SATISFACTION RATE OF PERSONSSERVED AND FAMILIES
Care.Fully craftedaround you.Our experts areknown in Iowa andthroughout theMidwest as theleaders in braininjury, stroke andneuro rehabilitation.Our expertise,combined with theenvironment andtechnology availableto our team, hascreated a world-classprogram with fivespecialty innovationcenters.OUR INNOVATION CENTERSOur extensive neurological services,combined with specialized expertisein brain injury rehabilitation, offer youthe optimal opportunity to achieve yourgoals and get your life back on track.We deliver a comprehensive program ofmedical, nursing and therapy care thatsuccessfully addresses the individualneeds of each person served. Our trainedstaff and state-of-the-art facility will helprestore physical and cognitive function.Our specialized programs and team ofneuro-rehabilitation experts focus onslowing the progression of Parkinson’sdisease, preventing falls and helping youget the most out of each day.Our transdisciplinary team of cliniciansspecializes in treating concussions withevidence-based approaches that will getyou on the fastest road to recovery. Thetreatment at the outpatient concussionclinic relies on scientifically provenresearch designed to focus on yourunique injury.There are a wide variety of neurologicaldiseases affecting the brain and nervoussystem. Diagnosing and detecting thespecific issues you or your loved one isdealing with is where we shine. We havea dedicated team of neuro rehabilitationexperts who are here to give you the bestpath to living the best life possible. To learn more about each of theinnovation centers, including thelevels of care, visit our website:ONWITHLIFE.ORG/PROGRAMS-SERVICES.headway magazine 5
HappeningsGREAT IOWA NURSESCORALVILLE CAMPUS OPENSCongratulations to two of our nurses,LeAnne Bradley and Thao NguyenHuyn, who were recognized at the 2019100 Great Iowa Nurses Celebration!Nurses Thao and LeAnne (center)were both recognized for their courage,competence and commitment to theirprofession and those they serve.Few can do what we do, and our expertiseis now in Eastern Iowa! On With Lifehas opened an outpatient location inCoralville to serve those in the Iowa Cityand surrounding areas. The clinic openedJanuary 15, 2020. Call 319-259-6224 formore information on this program.NEW ACCREDITATIONOn With Life is now accreditedby CARF as a stroke rehabilitationcenter! With that accomplishment,On With Life is now the only freestanding skilled inpatient rehabilitationprogram in the world accredited bythe Commission on Accreditationof Rehabilitation Facilities as acomprehensive integrated inpatientrehabilitation program for adults andchildren for both brain injury andstroke specialty.6 ONWITHLIFE.ORGTOP WORKPLACE AWARDOn With Life was named a Top Workplacefor the seventh time! We’re proud of ourstaff and their compassion and expertise.Read the top seven reasons we thinkOn With Life is a top workplace on ourwebsite: onwithlife.org/topworkplace.
HELMETSSAVELIVESTOGETHERWE ADVOCATEWe encourage Iowans to havehelmet hair – from their bikehelmets! Last summer, On With Liferaised awareness for Iowa’s absenthelmet laws by partnering withthe Ankeny Police Departmentto hand out free helmets and icecream to kids riding their bikes orscooters. In addition, On With Lifehanded out 1,000 helmets at theIowa State Fair and had customdesigned t-shirts sold by Raygunto raise funds for helmet awarenessinitiatives coming next spring.#HelmetHairDon’tCareheadway magazine 7
Reports fromthe CommunityEmbracingthe ChallengePOST-ACUTE INPATIENT REHABILITATIONETHANMILLERAdmit: 10/22/18Discharge: 2/11/19OUTPATIENT NEURO REHABILITATIONAdmit: 1/7/20Ethan Miller didn’t know that a strokeat the age of 26 could change hislife – for the better. But after spendingfour months at On With Life following hisstroke in September of 2017, he knowswholeheartedly that On With Life was theright place for him to be.“They go above and beyond in everydepartment,” said Ethan. “The therapists arenot only the most knowledgeable, but thehardest working in the industry.”On With Life staff pushed Ethan out of hiscomfort zone, balancing the challenging andintensive rehabilitation with outings thatpeaked his interests, like adaptive skiing andescape rooms. And he didn’t let anything getin the way of accomplishing his goals.“I told my hometown outpatient therapist Iwanted to run, and he started telling me thereasons I wouldn’t be able to,” said Ethan.“My On With Life physical therapist, whoweighs much less than me, literally threwher arms around me and carried me whilerunning, forcing my legs to try and keep up.It was quite the scene at Target, but thattruly is the On With Life difference.”To learn more aboutOn With Life’s strokerehabilitation programs, visitONWITHLIFE.ORG/STROKE.He continues to push himself to accomplishthe goals he set for himself at On WithLife – like returning to school. Since hisdischarge, he’s returned to communitycollege, earned straight As his first semesterand has transferred to Iowa State University.“I attribute so much to On With Life; theyhelped build a solid foundation that iscarrying me through this next phase in mylife.” 8 ONWITHLIFE.ORG
To learn more about OnWith Life’s Disorders ofConsciousness program, visitKYLEGRAVENONWITHLIFE.ORG/DOC.No Better PlaceI am without the experts at On With Life. There is no better place.”Admit: February 2002And he’s sharing that message weekly with On With Life’sWellness Group in the post-acute inpatient program, somethinghe’s volunteered to do for the past six years.POST-ACUTE INPATIENT REHABILITATIONDischarge: December 2003Kyle Graven’s mom wasn’t sure if she’d ever hear her son speakagain after a horrific car accident nearly took the 20-yearold’s life. After Kyle spent more than seven months in On WithLife’s Disorders of Consciousness (DoC) program, a specializedprogram for individuals in low levels of consciousness, he said hisfirst word - Mom. The importance of On With Life’s DoC programis not lost on Kyle.“I’m thankful there was a facility like On With Life when I neededit. They are truly my second family,” said Kyle. “I’d never be where“If I can help make someone’s journey easier – sharing resources,sharing my experience – I want to do that,” said Kyle. “I get a lotout of it too. The fact that I might be helping means a lot to me.”While he enjoys coming to On With Life each week to participatein group sessions, he’s looking forward to even more this fall.“Before my accident, I was an avid outdoorsman,” said Kyle.“Adaptive hunting equipment allows me to still pursue my passionfor hunting. I’ll be in the timber this year and I can’t wait.” “I’m Back”OUTPATIENT NEURO REHABILITATIONAdmit: December 2016Discharge: April 2017LLORIABENDROTHTo learn more aboutOn With Life’s complexconcussion programs, visitONWITHLIFE.ORG/CONCUSSION.ori Abendroth led a busy life. Shewas a project manager at Iowa State,which involved overseeing a team of 140individuals spread out over 10 states, andwas also working towards her PhD inCrop Physiology. But Lori’s busy life cameto a halt when she sustained a concussionin July 2016 while playing tag with somechildren from her church.“I went through the typical timelinewhere I thought I would be back to workin a couple of weeks,” said Lori. “I triedbut then eventually had to take medicalleave from the University that fall andstart back very slowly in the spring.”It was during that time when Lorifound herself at On With Life for post-concussion syndrome. For four monthsLori worked with On With Life therapists,who she says used their gifts and skillsto help her work through exercises andtherapy sessions. It was a difficult andconfusing time for Lori and she struggledboth mentally and emotionally, but it washer team of therapists that kept her going.“It was slow progress but having theirexpertise and perspective helped me feellike I was doing everything I could to getbetter,” said Lori.And she did get better. Not only has Lorireturned to work, she recently finishedher PhD and walked through graduation.She hopes to find a faculty position inCrop Physiology so she can contribute toscience, support farmers, and mentor thenext generations of scientists.“I am now ‘back’ and feel like myselfagain!” said Lori. headway magazine 9
WatchMe.ON WITH LIFEINTRODUCES NEW BRANDWHEN YOU ASK SOMEONE WHO HAS EXPERIENCEDTHE REHABILITATION JOURNEY AT ON WITH LIFE,YOU HEAR A COMMON THEME OVER AND OVER:“They gave me hope.They said nothing wasimpossible.”THE NEW ON WITH LIFE BRAND, LAUNCHEDIN JUNE 2019, HIGHLIGHTS THIS THEME.10 ONWITHLIFE.ORG“Our brand is truly a reflection of the experiencefamilies have with us and will always include ourunique approach to rehabilitation and a philosophy of care thatsolidifies our person-centered approach,” said Jean Shelton,CEO. “We believe in the powerful impact of every interaction,and our persons served and their families will always be first.”The new brand re-focuses and highlights the organization’scommitment to innovation and technology while keeping theperson-centered approach at the core. The brand identity, withnew messaging and a redesigned website, logo and tagline,elevates On With Life and highlights our expertise, innovationand research as well.
In addition to the personcentered approach, thebrand highlights storiesof individuals who maderemarkable recoveries withthe support and expertiseof the On With Life team ina new branding campaigncalled, “Watch Me.” Thefollowing highlights justthree of many inspirationalstories which show thattogether, more is possible.YOU FIRST. WE INSIST.Evie McLeish was diagnosedwith a brain tumor atthe young age of 8. Sheunderwent brain surgeryand radiation, which left herunable to walk, among manyother things. The outpatienttherapy team began usingage-appropriate activitieslike the scooter, trampoline,and swimming to work onprogressing Evie’s movement.“Evie comes to therapy aftera long day at school. Becauseof that it is important tomake it fun for her to get themaximal effort possible outof her sessions,” said GinaBeecher, physical therapistat On With Life. “I was aswimming lesson teacherin high school and am ableto use my skills to do someadapted swimming lessonsin our therapeutic pool withEvie. Swimming not onlyhelps her to become strongerand more coordinated butalso to be safe in the poolwhen spending time withfamily and friends.”“They have great resourceshere, like the pool, theequipment and the outdoortherapy grounds,” saidEric and Ali McLeish,Evie’s parents. “But moreimportantly, they have anamazing staff. Evie has gainedstrength and determinationthrough lots of hard workfrom both Evie and hertherapists.”“We work with Evie to helpher to move as independentlyas possible so that she canparticipate and interact withher peers at school and takecare of herself at home,” saidGina. “Recently she mixedup a batch of cookies and Iwas able to help her to bakethem. During our sessionwe worked on standingendurance and balance whiledropping the cookies on thecookie sheet. The best partfor me, however, was to seeEvie’s face of pride when herdad and sister came to pickher up.”“They said I may never walkor ride my scooter again,and I said, ‘Watch me.’ I beatbrain cancer and I learned towalk again,” said Evie. “OnWith Life is awesome.”BY FAMILIES,FOR FAMILIESJoseph Hanson suffered anaortic dissection and seriesof strokes at just 46 yearsold. His family had madethe difficult decision toend life support and beganpacking up his house. But ina miraculous turn of events,Joseph became medicallystable. He then spent 30 daysin On With Life’s post-acuteinpatient program and threemonths in the outpatientprogram, where his primarygoal was to teach his daughterto ride a bike.“Our founders ingrainedthe importance of familyengagement, and thatcarries through ourrehabilitation today,” saidSarah Jeffries, physicaltherapy assistant. “Joseph’srehabilitation focused onhis daughter, and she wasan important part of hisrehabilitation.”The team worked withJoseph on running, thenpushing a therapist on a bike,riding with his daughter ona tandem bike, and finallyrunning with her as she rodeher bike around On WithLife’s therapy grounds.Z spent many hours in theaquatic therapy pool aspart of his inpatient andoutpatient rehabilitation atOn With Life. As he gainedstrength and movement inhis left side, he also found anew passion in swimming.This year, Z joined the highschool swim team, and theentire gym cheered him as hefinished his first race.“After my injury, they didn’tthink I’d ever be able to movemy arm, and I said ‘Watchme,’” said Z. “I swam the100-meter freestyle at my lastswim meet and had my besttime yet.”“They said I may never walkagain. I said, ‘Watch me.’”“They said I may never walkagain. I said, ‘Watch me.’ TheOn With Life staff helpedme regain my ability to runand be a dad again, and thatmeans the world to me,”said Joseph. “I’m runningalongside my daughter,teaching her to ride her bike.This is a dream come true.”WE EMPOWER HOPEWhen Zuhayr “Z” Ghaffarsuffered a stroke at the ageof 13 that paralyzed his leftside, intense inpatientrehabilitation wasn’t howhe envisioned spendinghis summer break.“I came to On WithLife, and I couldn’t evensit up on my own,” saidZ. “I didn’t know if I’dever get to play sportsever again – that wasreally tough for me.”But Z’s mom, Shamir, knowsthis couldn’t have happenedwithout the On With Lifeteam walking this journeyalong with them and showingZ what was possible.“They helped us overcomethe social, mental andphysical concerns that followa brain injury,” said Shamir.“But they did more thanthat – they brought us backtogether as family.” The new On With Life brandhighlights our expertise andfocuses on the things that makeus unique. Learn more and watchour special brand commercials atONWITHLIFE.ORG/WATCHME.headway magazine 11
PeopleMaking aDifferenceJEFF LAMBERTIThe On With Life Foundation has supported many exciting projects in thelast twenty years, including the development of our therapy grounds, theexpansion of our inpatient program, the addition of cutting-edge equipmentand the growth of our outpatient program. Key to this support was ourfoundation board president, Jeff Lamberti.WHAT MAKES ONWITH LIFE SO SPECIALAND UNIQUE?The people who work at OnWith Life are what makes thisorganization so special. Theyare highly skilled but, moreimportantly, they care deeplyabout the people they serve.WHAT DREW YOUTO SUPPORT THE ONWITH LIFE MISSIONAND WHAT INSPIRESYOU TO CONTINUEDOING SO?My parents were some of theearly supporters of On WithLife. As such, On With Lifehas been a part of my lifefor many, many years. It isnot hard to remain inspired“I want to see the On WithLife Foundation continue togrow and to be in a positionto better support all aspectsand services of On With Life.”12 ONWITHLIFE.ORGabout being a part of OnWith Life, as it continues toimprove lives on a
headway magazine 715 SW Ankeny Road Ankeny, IA 50023 1-800-728-0645 headway@onwithlife.org ONWITHLIFE.ORG ABOUT THE COVER: Evie McLeish, person served, and Gina Beecher, outpatient physical therapist, enjoy On With Life’s new therapy grounds. BOARD OF DIRECTORS ON WITH LIFE, INC. Thomas
TIME HEADWAY (HEADWAY) Time headway (h): is the difference between the time the front of a vehicle arrives at a point on the highway and the time the front of the next vehicle arrives at that same point. Time headway is usually expressed in seconds The microscopic character related to volume is the time headway
A BRIEF ANNUAL MEETING OF HEADWAY OF WNY WILL START THE EVENING. The presentation is FREE for Headway members, 15 for nonmembers. Seating is limited. RSVP by phone at 408-3100 or by mailing in the form below by Nov. 13. Please tear off and return to Headway of
New Headway Upper-Intermediate Tests orkbook with further onsolidation exercises and writing tasks, a traditional methods of language teaching and more recent communicative approaches. Headstart , along with Headway taught and explained thoroughly, and all four language skills are developed systematically. The Headway series combines
New Headway Intermediate Tests orkbook with further onsolidation exercises and writing tasks, a traditional methods of language teaching and more recent communicative approaches. Headstart , along with Headway taught and explained thoroughly, and all four language skills are developed systematically. The Headway series combines
ment, if the second headway is 2 min too long, the third must be 2 min too shorl, and so on. In a statistical sense, successive headways are perfectly correlated, so that knowledge of one headway implies knowledge of the entire set. For this case, headway control will have maximum benefits. If we de
22 headway and the time since the start of green interval. In his model, the minimum queue discharge 23 headway is considered to happen at the end of the queue, where the discharge speed is the highest. 24 25 Headway Elongation
Aug 13, 2019 · CHAIN HEADWAY, we keep on pursuing to surpass the goals of speed of new item cycle, speed Speed of quality inspection, speed of delivery and speed of service. This is the value that CHAIN HEADWAY persists in most and the competitive edge that CHAIN HEADWAY most treas
Headway is an important flow characteristic and headway distribution has applications in capacity estimation, driver behavior studies and safety analysis (May, 1990). The distribution of headway determines the requirement and the opportunity for passing, merging, and crossing (May, 1990). The headway distribution under capacity-flow
