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NOSMALLVICTORIESST.JOHN’S REHAB HOSPITAL2009/2010 ANNUAL REPORT

FC2 ST. JOHN’S REHAB HOSPITAL

NO SMALL VICTORIES

OUR MISSION:To rebuild the lives of adults recovering from life-changing illness or injury byinvolving them in individualized rehabilitation programs focused on the whole person.As an academic organization, we contribute to the advancement of rehabilitationscience through research and the professional development of our staff and futurerehabilitation care providers.

OUR VALUES:Together with our founders, the Sisters of St. John the Divine, we are committedto providing care in a multi-faith, multi-cultural environment. We value:

> A community of support built on trust, mutual respect, integrity, teamworkand partnerships;

> Compassionate caring centred on empathy and responsiveness;

> Personal and corporate accountability for all our actions;

> A spirit of learning that contributes new knowledge and skills to continuouslyimprove practice and service; and

> Communication that is interactive, informative, open, honest and respectful.

“TOUGH SITUATIONS DON’TLAST, TOUGH PEOPLE DO.”

ENNIO’S VICTORY:WALKING AGAIN, TO HELP THOSE WHO CAN’T

AGE: 72AMBULANCE DRIVER ANDRETIRED TRANSIT MANAGERBROKEN ANKLE FROM A FALL OFF A ROOFOUTPATIENT FROM JUNE 2009 TO MARCH 2010

2009/2010 ANNUAL REPORT 1

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NEXT STEPS: THE PATH TO OUR VISIONWith our support, people return to their lives. Rehabilitationhelps the healthcare system meet the challenges of increasinginjuries, complex chronic diseases and an aging population. As people survive more conditions than ever, rehab helps themreturn home in better health and thrive in their communities.

Since 2005, St. John’s Rehab Hospital has moved towards theforefront of specialized rehabilitation care. To advance people’srecovery, we have developed our patient care programs,strengthened healthcare partnerships, developed electronichealth records and began modernizing our building. We teachand learn rehab science and develop tomorrow’s techniques to help people rebuild their lives – everywhere.

This year, St. John’s Rehab Hospital sought the opinions of ourhealthcare partners, our staff and our patients to learn how wecould continue on this path towards our vision. The result isNext Steps – our new five-year strategic plan.

STRATEGIC DIRECTIONS 2009–2014

NEXT STEPS TO PATIENT CARE EXCELLENCE

> Rehabilitation capacity

> Specialty programs

> Chronic disease management

> Right care, right place, right time

> Patient safety

> Quality improvement

NEXT STEPS TO A HEALTHY ORGANIZATION

> Healthy organization and workplace culture

NEXT STEPS TO ACADEMIC LEADERSHIP

> Teaching

> Research

Building the strength to sit up, stand and then walk. Gaining the energy to do household chores. Enjoying leisure activities. Going to work again.Finding the hope to return to family, friends and the community.

For our patients, these are no small victories.

People who survive life-threatening injuries, illnesses and surgeries arrive at St. John’s Rehab Hospital with different hopes and needs. But, they all have the same goal: rebuilding their lives.

2 ST. JOHN’S REHAB HOSPITAL

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“WHEN I STARTED REHAB, I NEEDED TWO PEOPLEJUST TO HELP ME MOVE. I’M WALKING NOW WITHTWO DIFFERENT HELPERS – MY CANES.”Father Johnwith Karima Ratansi, Occupational Therapist (left) and Lena Sim, Physiotherapist

FATHER JOHN’S VICTORY:THE BACKBONE TO MOVE ON HIS OWN

AGE: 74RELIGIOUS LEADER FOR MORE THAN 50 YEARSDEGENERATIVE DISC DISEASE AND SPINAL STENOSISINPATIENT AND OUTPATIENTSINCE MARCH 2010


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When you’re in hospital for a long timewith a complex medical condition, yourenergy decreases and your musclesweaken. Your ability to move and functiondeclines dramatically. St. John’s RehabHospital’s expert rehabilitation team hasdeveloped a new program to help people,like Father John, who need to regain theirstrength. Through a regimen of exercise,energy conservation and emotionalsupport, Father John returned confidentlyto his family, his life and his community.

PATIENT CARE EXCELLENCE:SEEING PATIENTS’ STARPOTENTIALFather John benefited from our uniqueShort-Term Active Reconditioning (STAR)program, which is specifically focused onproviding rehabilitation for people whohave undergone general surgery or have amedical condition that results in a lengthyacute care hospital stay.

The program started in the spring of 2009 out of a partnership with North YorkGeneral Hospital. The previous year, the two hospitals integrated our inpatientrehabilitation services into a specializedprogram at St. John’s Rehab. Our goalwas to return people to their lives whilerelieving pressure on the healthcaresystem as it cares for an aging, growing population.

After acute care treatments are complete,patients are often forced to wait inhospital until there is space available foranother, more appropriate level of care.By creating capacity in a specializedrehabilitation facility, beds can be freed up in an acute care hospital for otherpatients waiting in the emergency room.Working together, hospitals can all dowhat they do best – save lives in acutecare, and rebuild lives in rehabilitation.

WEEKEND THERAPY: RIGHT CARE,RIGHT PLACE, RIGHT TIMEIn just three weeks, Father John wentfrom being bedridden to walking out ourdoors on his own. His progress was quick because he had the opportunity toparticipate in therapy throughout the week.

Thanks to $4 million in annual fundingfrom the Central Local Health IntegrationNetwork (LHIN), St. John’s Rehab becameone of the first rehab hospitals in Torontoto extend all of its inpatient rehabilitationprograms to seven days per week. We now admit and discharge patients on theweekends to assist with their recoveryfrom many life-changing illnesses andinjuries. Outpatient service hours havealso been extended, eliminating ourwaiting list for care. This is another waythat St. John’s Rehab is helping to free upspace in the healthcare system.

RESEARCH: THE FREEDOM OFWORKING ON THE WEEKENDOur researchers have studied thisinnovative weekend service model andmade important discoveries. FromFebruary to September 2009, St. John’sRehab returned nearly three per centmore patients back to their lives with thesame excellent outcomes as compared to those same months in 2008. We alsohelped people reduce the length of their stay at the hospital – our patientsreturned to their homes and families an average of nearly two days earlier.

A recent survey of patients participating inweekend therapy showed that 90.6 per centwere satisfied with the overall quality oftheir care. Patients appreciate that they can get the care they need sooner andspend less time in the hospital and moretime in their communities.

IMPROVING CARE WITH LEAN THINKINGAs we look to continuously improve the waywe deliver care and improve our patients’satisfaction with their care, St. John’s Rehab has adopted the Lean Thinkingprocess improvement philosophy.

Used by companies and health organizationsworldwide, Lean Thinking helps make the rehabilitation experience better for our patients and our staff, while ensuringthat we use our resources as efficiently as possible.

During the past year, Lean Thinking hashelped us make several improvements,including:

> A standard approach to admitting patientsto the STAR program;

> A single assessment checklist thatreduces the information patients need torepeat to multiple healthcare workers;

> Delivering medications to patient unitsmore frequently and standardizing theprocess for checking patient medicationson admission and discharge. This reducesthe chance of medication errors andimproves patient safety;

> A more efficient discharge planningprocess; and

> A centralized registration and schedulingprocess for our outpatient Back on Trackprogram to reduce wait times.

FUNDING EDUCATION FOR THE FUTURE: NURSING SKILLS DEVELOPMENTWe are also improving the way we delivercare by maximizing the abilities of ourdedicated team of nurses. This year, we embarked on a project to enhance the scope of care our nurses deliver. A training program for Registered Nursesand Registered Practical Nurses will allowthem to develop the skills they need toprovide optimum care, be involved in moreleadership opportunities and increase theirknowledge of their professional practice.

The second year of this ambitiouseducational program will be funded by St. John’s Rehab Foundation through our generous community of donors. Theinvestment in education will allow our team to maximize the care we deliver topatients, and help us to recruit valuable,expert nurses.

In one harrowing month, Father John fell down 11 times. A spinal condition is causing the discsbetween his vertebrae to deteriorate and his spinal canal to narrow, compressing his spinal cord and his nerves. For years, he has suffered from chronic pain. More recently, a weaknesspenetrated his legs. He couldn’t stand, let alone walk. St. John’s Rehab Hospital helped Father John renew his faith – in himself.


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“AFTER A YEAR AND COUNTLESS HOURS OF THERAPY, I WALKED OUT THE HOSPITAL DOORS ON MY OWN. NOW, MY GOAL IS TO RUN AGAIN.”

MARY JANE’SVICTORY: A MARATHONRECOVERY

AGE: 54MOTHER, ELEMENTARY SCHOOL PRINCIPAL AND MARATHON RUNNERSTROKE TOOK AWAY HERABILITY TO WALKINPATIENT AND OUTPATIENTFROM NOVEMBER 2008 TO AUGUST 2009


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Rehabilitation is an important part ofhealing. After suffering traumatic illnesses,such as strokes, patients must often re-learnsimple everyday activities. At St. John’sRehab, survivors, such as Mary Jane, havea chance to regain their independence,mobility and endurance. Patients undergointense, customized rehab treatment andreceive extensive education on medicationand nutrition in order to promote safety and optimal health.

QUALITY AND SAFE CARE THROUGH ACCREDITATIONAs evidence of our continual commitmentto excellent and safe patient care, a healthy organization and academicleadership, St. John’s Rehab has receiveda three-year accreditation award fromAccreditation Canada.

Accreditation is an external peer reviewprocess that uses nationally recognizedstandards to evaluate and continuouslyimprove the quality of healthcare services.Accreditation strongly promotes involvingpatients in their care, and employingprocesses to ensure that patients receivesafe care.

During a three-day on-site survey inOctober 2009, we were recognized for ourcommitment to developing individuallycustomized inpatient and outpatient rehab services. The Accreditation Canadasurveyors expressed that they wereimpressed with the strengths of theorganization, including the hospital’s“patient-focused approach, holistic care,”“interprofessional integration,” “strongteam work” and “evidence-basedpractice,” calling us an “organization that lives its values.” Their report alsohighlighted our strengths in leadership,communications and relationships with the community.

INTEGRATING INFORMATION TO REBUILD LIVESElectronic information systems support the hospital in evaluating our services,providing safe care and helping people likeMary Jane move smoothly between providers.

St. John’s Rehab is one of seven hospitalsand community care organizations thatmake up Shared Information ManagementServices (SIMS). This technologypartnership improves patient care byrealizing efficiencies and making accuratepatient information available throughoutthe continuum of care. St. John’s Rehab,our SIMS partners and 10 other healthorganizations are also part of anassociation known as the Greater TorontoArea Health Information Collaborative.

Working with SIMS, St. John’s Rehab’spharmacists, clinicians and managementhave implemented a modern pharmacyinformation system. Today, patients’medication information is computerized,making it easily available to their doctors,nurses and pharmacists. Our pharmacistsspend less time ordering inventory,processing patient refills and printingprescriptions. Doctors save time orderingmedications. And, instead of spendinglarge amounts of time manually checkingthe accuracy of medication information,all clinicians can focus on working withpatients to improve their health in hospitaland as they return home.

Most importantly, the system providesvital information on dosages andproactively raises flags about possibleallergies and drug interactions. Thesystem reduces the chances of medicationerrors. For stroke survivors on bloodthinners, transplant recipients on anti-rejection medications and patients whoneed pain medication for their injuries,accurate pharmacy information can meansignificant improvements to safety.

INVESTING IN OUR RESEARCH GOALSAdvancements in rehabilitation researchare another way to enhance patient safety,monitor the quality of health services andimprove people’s lives. Our researchprogram develops and evaluates newtreatment methods by combininginnovative studies with direct patient care.Along with the other research discussed inthis report, new studies this year included:

> The use of Nintendo® Wii™ in rehabilitationfollowing total knee-replacement surgery;

> How rehab clinicians can use theCanadian Occupational PerformanceMeasure in decision-making and care;

> The physical and psychologicaldifferences between types of burns;

> The use of evidence to optimizerehabilitation for stroke survivors; and

> The use of strength training to improvethe walking ability of diabetic patientswith a single above-knee amputation.

During the next five years, we will partnerwith academic organizations to invest our energies in studying rehabilitationtechniques for survivors of strokes, organtransplants, cancer, burns, traumaticinjuries and orthopaedic conditions.

These innovations and advancements will be a direct result of the investmentsdonors make in rehabilitation research.Your support of St. John’s RehabFoundation is essential to improving carefor people like Mary Jane. Thanks to yoursupport, we are evaluating and developingnew beneficial treatments to open uppossibilities at our hospital and aroundthe world. Our findings are helping peopleeverywhere return home sooner and inbetter health.

Together, we are helping patients reachtheir ultimate goal – rebuilding their lives.

Immobilized by a sudden stroke in the fall of 2008, Mary Jane’s training for a half-marathon inToronto came to an unexpected halt. Her neurologist told her the grim prognosis – she would neverwalk again. Distraught, but not defeated, Mary Jane worked with St. John’s Rehab Hospital’s teamof expert rehab professionals on her road to recovery. One year later, she returned to an active life,including a thrilling, once-in-a-lifetime opportunity – she was part of the Olympic Torch relay.


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“I ALWAYS DID A LOT OF THINGSWHILE I COULD. THANKS TO ST. JOHN’S REHAB, I REALIZETHAT I STILL CAN.”

RENE’S VICTORY: GETTING A CHARGE OUT OF LIFE

AGE: 34EXTREME SPORTS AND TRAVEL ENTHUSIASTCAR ACCIDENT RESULTED IN ELECTRICAL INJURY, BURN AND RIGHT-ARMAMPUTATIONOUTPATIENT SINCESEPTEMBER 2008


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Rene lost part of his right arm and burned nearly 20 per cent of his body. His electrical injuries are severe andvisible. But sometimes electrical injuriescan’t be seen or understood. Survivorsoften deal with tremendous pain and a long recovery filled with self-doubt. Our research has found that there areoften unseen psychological, neurologicaland musculoskeletal after-effects thatcan have a devastating long-term impact.

RESEARCHING ELECTRICALINJURIESSt. John’s Rehab is the only specializedrehabilitation hospital in Canada workingclinically and publishing research on the effects and treatment of electricalinjuries. Combining patient care withresearch, we evaluate and develop new,practical treatments to help patientsmanage the complexity of their conditions.

Our researchers have also found thatelectrical injury survivors’ levels of pain,and their use of pain medication,noticeably decreased after participating in rehabilitation. The patients were alsoable to move beyond depression andinsomnia. Recently published in theJournal of Burn Care and Research, this study confirms the importance of specialized rehabilitation in helpingpeople return to leisure, family and, in some cases, work.

St. John’s Rehab researchers haveworked alongside our acute care partner,Sunnybrook Health Sciences Centre, on five different studies over the past five years. The discoveries will provideelectrical injury survivors with theexpertise and care required to meet their complex needs.

PATIENT CARE EXCELLENCE: GETTING PATIENTS BACK ON TRACKRene benefited from the expertise of ourBack on Track outpatient rehabilitationprogram, which focuses specifically onrecovery from motor vehicle and work-related accidents. Our interprofessionalteam of specialists treats clients who

have sustained traumatic amputations,burns and electrical injuries, as well ascomplex orthopaedic and mild tomoderate acquired brain injuries.

We provide high-quality, cost-effective,evidence-based care for clients of motorvehicle insurance and the WorkplaceSafety and Insurance Board. The programhelps patients progress towards their pre-accident levels of function in their work,leisure activities and daily lives.

BUILDING OUR FUTUREWhile the Back on Track program and all of our outpatient services deliverexcellent results for survivors of injuriesand illnesses, our team is hampered by an aging infrastructure that is up to 75 years old.

After years of anticipation, planning andfundraising, the hospital has embarked on its first major redevelopment since 1973. Construction crews have rebuilt ourparking lots, loading dock and site services.In the spring of 2010, we began constructionto bring all of the hospital’s outpatientservices into the modern, 49,000-square-foot John C. and Sally Horsfall Eaton Centrefor Ambulatory Care.

Upon completion in 2011, the new centrewill feature expanded interprofessionaltreatment areas, a fully accessible mainhospital entrance, a state-of-the-arttherapy pool and space for more specializedtreatment equipment. In 2011/2012, we will also renovate our inpatient wing and expand treatment space by moving 160 beds from four floors to five.

Our redevelopment is possible thanks tothe Government of Ontario, our staff, ourSisters, our volunteers, our community andour generous donors to the $15 millionRebuilding Lives campaign.

INVESTING IN REBUILDING LIVESFour years ago, St. John’s RehabFoundation embarked on the first publicfundraising campaign in support of St. John’s Rehab Hospital since ouropening in 1937. The ambitious campaignsupports our major facility redevelopmentproject, the hospital’s first-ever researchfund, leading-edge treatment equipment,and education programs that advancerehab care. Thanks to the incrediblesupport of our donors, we reached ourcampaign goal in September 2009.

The Sisterhood of St. John the Divine,through the Ashforth Trust, has provided$5 million to lead the generous donors to the campaign. Long-time supportersJohn Craig Eaton and Sally Horsfall Eatonhave also provided a visionary contributionof $2 million – the largest private donationto the campaign.

Our most recent major supporters are theCarpenters’ Union, Central Ontario RegionalCouncil; the Interior Systems ContractorsAssociation of Ontario; and the UniversalWorkers Union Local 183 Toronto. Throughtheir combined commitment of $1 million,these unions are investing in rebuildingpeople’s lives after devastating injuries inthe workplace.

While we have reached the goal for thiscampaign, our patients continue to need the latest rehab techniques and specializedequipment. The fulfilment of this need willdepend on our loyal, generous community.Please continue to join us in rebuildingpeople’s lives.

Rene is adventurous, daring and determined. From skydiving to swimming with sharks, he seizeseach day. In April 2008, a car accident put his life on hold. Determined to get to safety, Rene crawledout of his vehicle and to the road. He accidentally grabbed a downed hydro wire, sending thousandsof volts of electricity surging through his body. With the help of St. John’s Rehab Hospital, Rene’sdetermination stayed intact. Just 10 months later, he was in Mexico, scuba diving more thana dozen times in a single week.


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NEXT STEPS TAKEN IN 2009/2010

NEXT STEPS TO PATIENT CARE EXCELLENCE> Group therapy program provides additional peer support for

outpatients with musculoskeletal conditions. This approach willeventually be expanded to include most outpatient conditions.

> Hospital increases our capacity to provide inpatient care forpeople recovering from strokes, neuro-spinal conditions andneuro-oncology. As part of the program, we now have certifiedpharmacists to care for people with cancer, cardiovascularconditions and diabetes.

> St. John’s Rehab Hospital and the Ross Tilley Burn Centre at Sunnybrook Health Sciences Centre hold monthly sessions to improve clinical knowledge and a continuum of care forburn survivors.

> Individual assessment program prevents patients from fallingand sustaining serious injuries at the hospital.

NEXT STEPS TO A HEALTHY ORGANIZATION> A single Outpatient Services department is formalized, bringing

together publicly funded care and care for clients of motorvehicle insurance, workplace insurance and extended health benefits.

> Hospital expands our employee awards program to recognizeexcellence, aspiring leadership, and engagement of volunteers(see page 11 for a list of this year’s winners).

> Training program provides staff with information they need totake care of themselves, their families and their patients duringan influenza pandemic.

> New quarterly Round Tables forum provides channel forfeedback and two-way communication between staff and management.

“MY TEAM IS HELPING ME GETSTRONGER SO THAT I CAN GETBACK TO MY PASSIONS IN LIFE.”VARUN, 20BUSINESS STUDENTMOTOR VEHICLE COLLISION RESULTING IN SEVERE BURNSGOAL: BOXING AND DRIVING AGAIN

“I HAVE SO MUCH IN LIFE TO LOOKFORWARD TO. I WON’T LET THIS GET IN MY WAY.”KITTY, 29ADMINISTRATIVE ASSISTANT LEFT-LEG AMPUTATION AS A RESULT OF CANCERGOAL: GETTING BACK TO A NORMAL LIFE ANDRETURNING TO WORK

LEFT: VarunABOVE: Kittywith Elaine Chan, Occupational Therapist

NEXT STEPS TO ACADEMIC LEADERSHIP> Board of Directors establishes our first-ever Research

Ethics Board – a body charged with the ethical assessment and approval of all research projects at the hospital.

> McMaster University recognizes hospital for mentoringparticipants in an examination program for internationallyeducated occupational therapists.

> St. John’s Rehab clinicians share their expertise in burnrehabilitation in an education session for clinicians from The Ottawa Hospital.

> St. John’s Rehab researchers receive the GTA Rehab Network’sPeople’s Choice Award for their study on the effectiveness ofseven-day-per-week admissions and rehab therapy.

> Education sessions improve our nurses’ skills in managingserious wounds, administering intravenous pumps andsupporting patients with diabetes.

ENABLING THE NEXT STEPS> Canadian Forces recognizes hospital for providing care to injured

soldiers returning from duty overseas, and for educating militarymedical personnel on specialized rehab techniques for treatingtraumatic injuries, burns and amputations.

> St. John’s Rehab Foundation’s 12th Annual Rehab Golf Classic inJune 2009 raises more than $90,000 in support of ongoingpatient care needs.

> Team of 67 patients, staff and supporters wheel, walk and runwith the St. John’s Rehab Team to raise $37,000 at the AchillesCanada 5K run/walk in March 2010. Proceeds support specializedtreatment equipment and our expert team.

> St. John’s Rehab Hospital Auxiliary (now known as the VolunteerAssociation) donates $70,295 to support the hospital.

> St. John’s Rehab Hospital works with the Central Local HealthIntegration Network (LHIN), other Toronto-area LHINs andhospital partners to begin implementing an electronic resourcematching and referral system. This system will give patientsspeedier access to available inpatient beds at rehab hospitalsthroughout the Greater Toronto Area.


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“ST. JOHN’S REHAB GAVE ME MY LIFEBACK. THANKS TO MY TREATMENT, I WAS ABLE TO CLIMB THE SYDNEYHARBOUR BRIDGE.” JEFF, 34USHERFRACTURED HIP FROM FALL VICTORY: TRAVELLING AGAIN

RIGHT: Jeffwith Jack Fraser, Physiotherapist Assistant


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MESSAGE FROM THE CHAIR OF THE BOARD OF DIRECTORSAND THE PRESIDENT AND CEOAfter surviving serious injuries and illnesses, our patients take the next steps in theirlives. They work hard and they persevere. They concentrate on achieving their goals.

The team at St. John’s Rehab Hospital takes a cue from these remarkable men andwomen. We have now embarked on our own Next Steps – a five-year strategy that ismoving us to the forefront of specialized rehabilitation care. This strategy is already drivingus to make an important and positive impact on patients and the healthcare system.

In 2009, we were one of Ontario’s first rehab hospitals to introduce a full range of serviceson the weekends. Our team now works every day of the week to admit patients, providetherapy and return our patients home. Instead of waiting in their acute care hospital,people can get started on their recovery sooner. The impact: this year, we treated 200additional patients – helping even more people get back to their homes, jobs and families.

To improve care today and tomorrow, we have renewed our focus on researching patientcare techniques and teaching future rehabilitation professionals. We are applying ourspecialized knowledge to areas where there’s a shortage of published research,including recovery techniques for burns and electrical injuries. Through researchinquiry, student placement supervision and classroom teaching, our clinicians willcontinue to improve patient outcomes throughout Canada and around the world.

We’re also achieving our goals to continuously improve our care and create a safeenvironment for patients. We are very proud that Accreditation Canada hasacknowledged our efforts by awarding St. John’s Rehab Hospital with another three-year accreditation.

Ontario’s population is aging and growing. Medical science allows people to live withmore conditions than ever before. A new goal has emerged – ensuring thatrehabilitation is there to improve people’s health and reduce their dependence on otherlevels of the healthcare system. With construction beginning on our state-of-the-artoutpatient wing, and with a new strategic plan, St. John’s Rehab Hospital will be there to meet these challenges and to return people to a high quality of life.

Whether it’s learning to walk again, participating in sports, returning to work orrecapturing independence, our patients know that it’s no small victory to regain thesimple things in life. As we look to the future, the Board of Directors anticipates manybig victories ahead for St. John’s Rehab Hospital and the inspiring people that we serve.

JOYCE BAILEY,Chair, Board of Directors

MALCOLM MOFFAT,President and CEO

ST. JOHN’S REHAB HOSPITAL BOARD OF DIRECTORS 2009/2010

ChairJoyce Bailey

Vice ChairStephen Beatty

Chief Executive Officer/SecretaryMalcolm Moffat

TreasurerStephen Wall

DirectorsPeter Barbetta Katherine BergThomas D. Curzon Dennis DarbySister Elizabeth Ann Eckert, SSJDDr. Joel FishJoanne FlintSister Brenda Jenner, SSJDJames Kennedy Patricia McGeeCaroline PintoHilary ShortDavid TaylorDavid TomDr. Morris TushinskiGary Williams

Honourary DirectorsArnold H. AgnewDr. Thomas L. BrownT. Richard DaviesSally Horsfall EatonLorne McCubbin

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7TH ANNUAL AWARDSPROGRAM WINNERS With a focus on excellence in rebuildingpeople’s lives, our team of expert clinicaland support staff made this year’s victories possible. Our award winners have gone above and beyond to help us be at the forefront of specializedrehabilitation care. Recipients arenominated by their colleagues.

AWARD OF EXCELLENCEThe hospital’s highest recognition ofremarkable employee achievement.

Achievement: Initiated an amputee peervisitor program for Ontario.

Recipients:Shirlene Campbell Dianne Cirone

Achievement: Implemented an electronicpharmacy system with enhanced report-writing features.

Recipients:Karen JohnstonWendy LamLyn TenerifeRachel Woods-Hannivan

Achievement: Developed a weekend model of care for stroke patients.

Recipients:Pollinna FongSue GalGina LamSherley LeeBluma Wagner

ASPIRING LEADER AWARDAward winners have risen to thechallenge of a leadership role throughskill development, service delivery andrelationship building.

Recipients:Siobhan DonaghyKrista Richards

LEADERSHIP IN VOLUNTEERENGAGEMENT AWARDAward winner has provided significantsupport that allowed a volunteer to reachtheir full potential.

Recipient:Maria Lung

EDUCATION PROGRAMS

St. John’s Rehab Hospital creates an environment of continuous learningby supporting staff in their pursuit ofhigher education.

We also provide an important victory for the rehab professionals of tomorrow –the chance to learn and apply patient care techniques in an outstandinginterprofessional environment.

A community affiliated hospital of theUniversity of Toronto, St. John’s Rehabtrains clinical and administrative health professionals from across Canada. We welcome students frominstitutions such as:

> Canadian Memorial Chiropractic College > Centennial College> Durham College> Fleming College> George Brown College> Hong Kong Polytechnic University> Humber College> McMaster University> Michener Institute of Applied

Health Sciences> Ryerson University> Seneca College > University of Toronto > York University

We offer supervised placements and learningopportunities in professions including:

> Physiotherapy/physiotherapist assistant> Occupational therapy/occupational

therapist assistant > Nursing> Medicine> Social work> Speech-language pathology> Clinical dietetics > Pharmacy> Spiritual care> Psychology> Massage therapy> Chiropractic> Chiropody> Health administration> Patient safety and quality (through the

Canadian Patient Safety Institute) > Corporate communications> Human resources

TD GRANTS IN REHABILITATION EXCELLENCETD Bank Financial Group generously supports St. John’s Rehab’s quest to leadrehabilitation care. A five-year, $250,000 grant allows our clinical staff to pursuedegree programs and attend educational courses and conferences.

This year’s recipients:

Billie Alagas, Masters in Rehabilitation ScienceRosalie Chan, Neuro-Developmental Treatment Association Approved Advanced Gait CourseDianne Cirone, Masters in Rehabilitation ScienceMerav Cohen, Neuro-Developmental Treatment Association Approved Advanced Gait CourseVera Fung, 42nd Meeting of the American Burn AssociationDr. Paula Gardner, 42nd Meeting of the American Burn AssociationLisa Giardino, Canadian College of Osteopathy CertificateVida Hofmann, Rotman Leadership Program Marva McCalla, Masters of Science in NursingLinda Nasturzio, Rotman Leadership ProgramJennifer Shaffer, Masters in Rehabilitation ScienceDr. Morris Tushinski, Chronic Pain Refresher CourseElizabeth Villar-Guerrero, Masters in Nursing/EducationRachel Woods-Hannivan, Pharmacy Technician Regulation


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FINANCIAL PERFORMANCE 2009/2010

REVENUES

74.4% Provincial

9.4% Patient

3.7% Other revenue

10.5% Marketed services

2.0% Amortization of deferred property, plant and equipment contributions

EXPENSES

70.2% Direct patient care

15.5% Direct supports and general administration

3.1% Amortization of property, plant and equipment

9.6% Environmental services

1.6% Education and research

PATIENT SAFETY

OUR PERFORMANCE APRIL 1, 2009 – MARCH 31, 2010

HOSPITAL ACCOUNTABILITY AGREEMENTIn 2009/2010, St. John’s Rehab signed a hospital accountability agreement for financial performance andclinical utilization with the Central Local Health Integration Network (LHIN). With an ongoing commitment to responsible use of financial and healthcare resources, we met the required accountability indicatorthresholds for the 2009/2010 fiscal year.

HAND HYGIENE BY OUR HEALTHCARE WORKERSBefore initial patient/patient environment contact

APRIL 2008 – MARCH 2009: APRIL 2009 – MARCH 2010:

48.64% 85.71%After patient/patient environment contact

APRIL 2008 – MARCH 2009: APRIL 2009 – MARCH 2010:

53.53% 73.54%Visit www.stjohnsrehab.com to learn more about our infectionrates and our performance in patient safety.

ACCOUNTABILITY INDICATOR: CURRENT RATIORatio of current assets to current liabilities

REQUIRED: ACHIEVED:

0.8–2.0:1 1.03:1

ACCOUNTABILITY INDICATOR: GROSS MARGINRevenue minus expenses

REQUIRED: ACHIEVED:

No deficit Balanced budget(excluding building-related net expenses) (excluding building-related net expenses)

Infections can happen anywhere – at home, in the community,or in a hospital. St. John’s Rehab recognizes that, as ourpatients heal and recover, they can be vulnerable to infection.

Over the past year, we have educated our staff andextensively promoted hand hygiene among patients, visitorsand healthcare workers as the most effective way to preventthe spread of infection. We are proud that our rates of handhygiene have improved dramatically, yet we recognize thatwe can do more to achieve our target rate of 100%.

Audited financial statements available on request by contacting 416-226-6780, ext. 7297.


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CLINICAL UTILIZATION 2009/2010

PATIENTDISCHARGES

BY HOMEAREA

36.0% Rest of GTA (949)

57.7% Toronto (1,524)

6.0% Rest of Ontario (159)

0.3% Other (8)

PATIENTDISCHARGES

BY LOCAL HEALTH INTEGRATION

NETWORK

10.1% Other (267)

5.4% Central West (142)

Toronto Central (444) 16.8%

Central (1,377) 52.2%

15.5% Central East (410)

CLIENT PERSPECTIVES 2008/2009

INPATIENT SATISFACTION SURVEY

92.3%

OVERALLQUALITYOF CARE/SERVICES

90.8%

WOULDRECOMMEND

HOSPITAL

87.6%

WEREHELPED BYTHEIR CARE

50

100

OUTPATIENT SATISFACTION SURVEY

100%

OVERALLQUALITYOF CARE/SERVICES

100%

WOULDRECOMMEND

HOSPITAL

100%

WEREHELPED BYTHEIR CARE

50

100

160INPATIENT BEDS

2,640INPATIENT DISCHARGES

40,616OUTPATIENT VISITS

19.5 daysAVERAGE LENGTH OF STAY

ACCOUNTABILITY INDICATOR: AMBULATORY CARE NURSING VISITSTotal patient visits to publicly funded outpatient nursing clinics

REQUIRED: ACHIEVED:

1,881 2,022

ACCOUNTABILITY INDICATOR: FULL-TIME NURSING RATIOFull-time nursing staff hours as a percentageof total nursing staff hours

REQUIRED: ACHIEVED:

67% 75%

ACCOUNTABILITY INDICATOR: INPATIENT CARE DAYSTotal days of care provided to all inpatients

REQUIRED: ACHIEVED:

51,053 51,347

Patient satisfaction data for 2009/2010 will be available in fall 2010.


NO SMALL VICTORIES

THE SISTERHOOD OF ST. JOHN THE DIVINE

AN UNWAVERING COMMITMENT TO HOLISTIC PATIENT CAREThe Sisterhood of St. John the Divine has been leading the way inhealthcare for more than 125 years.

In the 1930s, the Sisters established St. John’s Rehab Hospital to respond to a growing need in the Toronto area. From thateffort, the North America College of Physicians and Surgeonslooked to the Sisters to set the standard for rehabilitation care.Ever since, the hospital has proudly cared for every patient byfocusing on the science of rehab and the whole person – body,mind and spirit.

The Sisters make up the only indigenous Anglican women’sreligious order in Canada. They play an important role asspiritual care providers on patient care teams, and by connectingindividual patients with their respective faith communities – an important need during recovery. This inter-faith approachencourages our patients to participate in their care and focus on the positives that rehabilitation can bring.

Throughout our history, the Sisters’ role at the hospital hasevolved to meet the needs of patients. The Sisters administeredthe hospital until 1996, when they refocused specifically on thehospital’s spiritual care services and our unique mission of rebuilding lives. In 2009, the Sisters again refocused theirenergies. To ensure that they can continually provide support to our patients, four of the Sisters now serve the hospital as full-time spiritual care providers.

With a continued presence on the Boards of Directors of both thehospital and the foundation, the Sisters will remain invaluableresources for hospital staff. They will continue to lift our patientsup with vital spiritual and emotional support so that they canachieve their goals.

VOLUNTEERS

MAKING A DIFFERENCE FOR 50 YEARSFor 50 years, the St. John’s Rehab Hospital VolunteerAssociation has upheld their motto, Together – We Will Make aDifference. The group, formerly known as the St. John’s RehabHospital Auxiliary, is a self-governing, non-profit organizationthat supports St. John’s Rehab Hospital in rebuilding lives.

The more than 250 volunteers at St. John’s Rehab contributemore than 22,000 hours of their time each year. Throughconstant nurturing and hard work, these gracious individualsfoster a community among the staff and patients of St. John’sRehab Hospital.

Patients arrive at St. John’s Rehab with shaken nerves, fears and questions after experiencing life-altering illnesses orinjuries. In the form of reassuring smiles, encouragement andhours dedicated to providing patient services, our volunteershelp patients feel comfortable as they embark on their journeysback to life, health and hope.

The Volunteer Association is also an active source of fundraising.Among its many victories over the past 50 years, the group hasraised $1.6 million for St. John’s Rehab Hospital. In the 1960s,the Auxiliary helped fund multiple hospital developments,including the original therapy pool. Most recently, the volunteerspledged $750,000 to the Rebuilding Lives campaign. To meet thiscommitment, the volunteers run our gift shop and coffee cart, alottery program and very successful community sales and events.

St. John’s Rehab Hospital’s reputation as a caring place forrecovery is thanks in part to the dedicated efforts of ourvolunteers who lend their support, a hand, a few kind words, and a smile to our patients.

If you’d like to help patients achieve big wins in their lives,consider becoming a volunteer. We offer many greatopportunities for students and adults. To join us, or for moreinformation, please call 416-226-6780, ext. 7013.

LEFT (left to right):Sister Brenda Jenner,Sister Jessica Kennedy,Sister Dorothy Handrigan, andSister Beryl Stone

RIGHT (left to right):Lorne McCubbin, St. John’s RehabHospital Volunteer Association President,Sharja Pabon, Student Volunteer, andElaine Kowalchuk, celebrating 30 years as a volunteer


NO SMALL VICTORIES

MESSAGE FROM THE CHAIR OF THE BOARD OF DIRECTORSAND THE PRESIDENT OF ST. JOHN’S REHAB FOUNDATIONYour investment in rehab matters. It makes the difference between beingimmobilized due to a stroke and walking again, or losing an arm from a traumaticcar accident and returning to an active life. Each year, our donors help 2,600 patientsachieve important victories in their recovery.

With your commitment, St. John’s Rehab is helping patients reach goals likereturning to their communities, friends, families and places of work. You make itpossible for our patients to feel whole again.

You support St. John’s Rehab researchers to evaluate and develop leading-edgerehab treatments and techniques so patients can recover sooner. As our researchersidentify new opportunities, your continued commitment helps us develop resourcesand infrastructure to sustain research over the long term.

You contribute to the education of our clinical teams. Your investment createsgranting programs that keep the team’s skills current – ensuring continued high-quality patient care.

You stand by our patients as they enter the treatment gyms. By helping us purchasespecialized rehab equipment, you give patients the tools they need to take the nextsteps in their lives. With your support, patients are learning the skills they need toreturn to work, overcome barriers in the community and gain the confidence to returnto their families and friends.

You have helped us with a major victory this year – achieving our $15 million goal for the Rebuilding Lives campaign. Shovels are now in the ground for the new John C.and Sally Horsfall Eaton Centre for Ambulatory Care. Soon, patients with life-changingillnesses and injuries will have even better access to rehab care.

Every day, we see the tremendous impact that your generous gifts have on people’slives. The patients at St. John’s Rehab offer their most sincere thanks for yourgenerosity, vision and invaluable support.

With your help, we will continue to support the hospital as it propels forward to meetits goals of excellent patient care, a healthy organization and academic leadership.

BILL ARVANITISChair, Board of Directors

TONY DI COSMOPresident, St. John’s Rehab Foundation

Vice-President, Development,St. John’s Rehab Hospital

2009/2010FOUNDATIONGRANTS TO

ST. JOHN’S REHABHOSPITAL$3,197,125

7.7% Research initiatives ($247,748)

12.2% Equipment and programs ($389,569)

4.1% Staff education and quality of work life ($129,808)

76.0% Building and redevelopment ($2,430,000)

ST. JOHN’S REHAB FOUNDATIONBOARD OF DIRECTORS 2009/2010

ChairBill Arvanitis

TreasurerDavid Hayter

President/SecretaryTony di Cosmo

DirectorsMichael AlfieriThomas D. CurzonSister Brenda Jenner, SSJDLorne McCubbinMalcolm MoffatDale ScottLiz SeokSister Margaret Mary Watson, SSJDDavid Zimmer, MPP

Honourary MembersSarah Agnew Paul GodfreyRobert Korthals

REBUILDING LIVESCAMPAIGN CABINET

Honourary PatronsSally Horsfall EatonFormer Mayor Mel Lastman

CabinetThe Honourable Art Eggleton, ChairChristopher BrattyMark BrattyThomas D. CurzonJoanne FlintCharles HarnickMalcolm MoffatDeena PantaloneChandu PatelPaul PellegriniWilliam RickardMoshe RonenDavid TaylorDr. Sloane WaitzerDavid Zimmer, MPP


NO SMALL VICTORIES

THANK YOU TO OUR DONORS – 2009

To our donors: We thank you for your generous support. Your belief in our mission and ongoingsupport allow St. John’s Rehab Foundation to provide resources needed to rebuild people’s lives.

THIS LIST OF DONORS ACKNOWLEDGES ALL GIFTS TOTALLING $250 OR MORE MADE DURING 2009.

$250,000+Carpenters’ Union,Central Ontario RegionalCouncilThe John C. and Sally Horsfall EatonFoundation

$100,000+Interior SystemsContractors Associationof OntarioStephan and Sophie LewarUniversal Workers UnionLocal 183 Toronto

$50,000+The John and Myrna Daniels Charitable FoundationRBC FoundationSt. John’s RehabHospital VolunteerAssociationTD Bank Financial Group

$25,000+The Rudolph P. BrattyFamily FoundationCIBCInternationalBrotherhood of ElectricalWorkers Local 258

$10,000+407 ETRArvan Rehab Group Inc.The Bridle BashFoundationThe Dominion of CanadaGeneral InsuranceCompany The Foster HewittFoundationYasmin and Fatehally Khoja inmemory of late Count and Countess E. K. KhojaLen and Elaine ParryChandu and Sharmi PatelThe Royal CanadianLegion – OntarioCommand Branches andLadies AuxiliariesCharitable FoundationScotiabank Group

$5,000+Mollie AdamsonARAMARK Canada Ltd.Canadian ForcesPersonnel SupportAgencyCunnington ProjectManagement LimitedStacey S. Curtis andMarissa RichmondThe Dan FamilyT. Richard DaviesDeloitte & Touche LLPGluckstein & AssociatesPersonal Injury Lawyers

Audrey HarperPatrick and Barbara KeenanKPMG FoundationLiving Life RetirementResidences –Laren/PantaloneFamiliesLofranco ChagparCorriero Personal InjuryLawyers Markham DistrictVeterans’ AssociationMalcolm R. K. MoffatF. K. Morrow FoundationPegasus Group ofRestaurantsPercon ConstructionThe Royal CanadianRegiment AssociationThe WB FamilyFoundation

$2,500+Joyce BaileyPeter BarbettaTony di Cosmo andMurray MannDUCA Financial ServicesCredit Union Ltd.Empire LifeDoris HansenIndustrial AllianceInsurance and FinancialServices Inc.Caroline PintoR. S. Kane Funeral HomeDale W. ScottHilary and David ShortThe Torrie Family

$1,000+Barrick Heart of Gold FundClifford G. Beatty EstateBondfield ConstructionBogoroch & AssociatesBreakthrough Horizons Ltd.Breckles InsuranceBrokers LimitedBristol SalesJohn CattoCAW Local 252ClaimSecure Inc.Thomas CurzonDennis DarbyMarget Gunness DavisThe Donnée GroupDonway Place David W. DunlopEdwards CharitableFoundationArt EggletonFidelity InvestmentsMargaret E. FlemingGibson AirThe Gibson RetirementResidence

Glynnwood RetirementResidence Michael D. HarrisDavid HayterDalit Dell HumeInternationalBrotherhood of ElectricalWorkers L.U. 353InternationalBrotherhood of ElectricalWorkers Local 636John Near Annuity & Insurance AgencyLimitedK-Bro Linen Systems Inc.Paul KocherRobert KorthalsSabrina LeeLombard Canada Ltd.Andrew LovricsM.A.M. GroupIncorporatedPaul and Elizabeth MartinPatricia McGeeRose McIntyreFrank and Anne MoirNeinstein & AssociatesPersonal Injury LawyersNorthern Lights CanadaPaul PalmerRocco PantaloneMassimo PerriconeDan PoyntzIrene E. ReedRevision EyewearIncorporatedThe Rotary Club of East YorkRoyal Canadian LegionBranch 258 – LadiesAuxiliaryRoyal Canadian LegionBranch 286Dr. Perry RushGodyne N. SibaySam SnidermanSt. John’s Rehab MedicalStaff AssociationStrategy Works Inc.TD Waterhouse Canada Inc.Thomson, RogersBarristers and SolicitorsL. Mary ThurstonMary Lou ToopToronto PoliceAssociationGeorge W. VariJames VigmondStephen WallThe Honourable Mr. George Walsh andMrs. Mary WalshKaren WernhamWinberg Foundation

$500+ Ace INA InsuranceAurigen ReinsuranceCompanyEdna M. BamptonBob BeecroftEstate of Sidney BeubeGabrielle BochynekMarie C. CalderoneNadine CarsonWalter CasselsCAW Local 114Charles Downer & Co. Ltd.Clifford DresnerF. Wallace Clancy & Son LimitedRalph FenikRhonda GalbraithDean GooderhamGreat-West LifeHealthtech ConsultantsHimelfarb, Proszanski,LLPHenry HoColette HoosonJane HunterIndustrial Alliance PacificInsurance and FinancialServicesJudith Hull & AssociatesKelly, Greenway, BruceKTL TransportIncorporatedLife-SpringFrank LoganDoris H. LowJames MarleyTodd McCarthyMcCarthy Tétrault LLPLorne and Carol Ann McCubbinMediSolutionPeter and Lynn MillsNational HomesIan PearceG.B. PearsonAli RadeckiDeborah Randall-WoodA. A. RobertsonDorothy and Gordon RogersMuriel & Effie RossRené Roy Royal Canadian LegionBranch 426Schindler ElevatorShirley B. SellenRobert P. SingerMargaret SisleyShirley SommersMarcus and Honey StavissStructured SettlementsGroup Inc.John Thompson

David TomToronto Police AmateurAthletic AssociationAndrew TylmanVancouver ContainerTruckers AssociationBruno VatriPaul VorstadtThe Waitzer FamilyIn memory of Owen WattWilfred and Terri WilhelmWillowdale PentecostalChurchSamantha Yau

$250+John AbrahamRussell BannockPeter BennettKitty BerneyB. J. BowdenNelia CabralCAW Local 195CAW Local 755CAW Local 3007CAW Local 4209Lolita Choo-SonJack ClarkeNorman S. CrossNoel CroxonSusan M. DalyDr. Colin Nisbet MedicalProfessional CorporationEdwin and Esperanza D’SouzaJohn DuffyThe Etherington FamilyMarsha FaubertLawrence FergusDolores FordMarion U. FrankRobert GilchristJames A. GriersonIsobel T. HallLynda HarveyF. M. HedgesKathleen HullWilliam D. HydeHerb KellyJohn P. KerrGordon KirkeGerhard A. KnopfElaine KowalchukNigel LeesMichael L. LesterBud and Margaret LongSam LuuHelen E. LyonJames MacIntyreJohn MacLeodMr. and Mrs. G. L. MansfieldGeorge and Leta McClearyJohn McNie

Susan MerryDoug MitchellHemi MiticDavid MordecaiAlice MoultonDaniel B. MurphyElizabeth G. NashGwen OakdenMurray PeartNora PownallDonald R. PrestonCathy PupoLeslie QuackenbushWalter RothlisbergerRoyal Regiment ofCanada CommandingOfficers FundStanley and Isabel SchnappWilliam SelbyJeoff ShiekhDavid W. SimeAlex SmithCampbell SnowdonBarb and Matt StoreyUelo TamreKeith ThompsonToronto CommunityFoundationJoan TruemnerMarguerite TynkalukLeonila Van HoornMadeline WeltonWilliam WilsonJames H. Wright

THE REBUILDINGLIVES LEGACYSOCIETYCommitted donors whohave planned a future giftto the hospital throughtheir estate.Joyce BaileyB. J. BowdenNorman W. BuschNadine Carson in memory of Maria AlexopoulosDouglas and Barbara CroweDalit Dell HumeJohn Near Annuity &Insurance AgencyLimitedMaria LungSeli MasegosaJohn H. Pavey & Denise MarshallDr. and Mrs. A. C. RitchieLisa Sykes

For information about St. John’s RehabFoundation, please call416-224-6945 or visitwww.stjohnsrehab.com/foundation

“I JUST WANTED MYINDEPENDENCE BACK.”

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Historically, cancer survivors were sent home directly followingacute care and expected to cope with the life-changing effects ofcancer on their own. For patients like Francesca, the oncologyrehabilitation program at St. John’s Rehab Hospital meets theunique needs of cancer recovery. We match patients with teams of expert rehabilitation professionals to develop customizedtreatment plans. We provide coaching and support to help peopleovercome both the fear and the physical energy loss that cancerbrings. This focused, short-stay program provides cancer survivorswith the care and confidence needed to get back to their lives.

With the help of her highly skilled team that included aphysiotherapist, an occupational therapist, nurses, physicians and a spiritual care provider, Francesca’s rehabilitation was asuccess. Only three weeks into her time at St. John’s Rehab, shetook her first unassisted step. The determined grandmother offour never lost hope and is elated with her quick recovery.

At one time, Francesca wondered if her life would ever feel normal again. Today, she’s busy getting back to the things thatmatter to her the most.

Between family gatherings, gardening andinvolvement in her parish, Francesca led a busylife. When doctors discovered that a tumour wascausing dangerous swelling and pressure on her brain, she underwent surgery to remove thegrowth. Though successful, the operation leftFrancesca very weak on the right side of her body.No longer able to walk or perform previouslysimple tasks, Francesca came to the one-of-a-kindoncology rehabilitation program at St. John’sRehab Hospital.

FRANCESCA’SVICTORY: REGAINING HER FREEDOM

AGE: 78RETIRED BOOKKEEPERBRAIN TUMOUR SURVIVORINPATIENT FROM MARCH TO MAY 2010

285 CUMMER AVENUE, TORONTO, ON M2M 2G1TEL: 416-226-6780, FAX: 416-226-6265

[email protected]

WWW.STJOHNSREHAB.COM

FOLLOW US ON TWITTER! WWW.TWITTER.COM/STJOHNSREHAB

A community affiliated teaching site of the University of Toronto

Whether it’s running a marathon or picking up a pencil, there’sno such thing as a small victory for our patients. St. John’sRehab is Ontario’s only hospital solely dedicated to specializedrehabilitation. We help people take back the things they oncetook for granted.

Home to Canada’s only organ transplant rehabilitationprogram, and the only burn rehab program in Ontario, we alsodevelop individually customized rehab care for people withother complex, life-changing illnesses and injuries, such asamputations, cancer, cardiovascular conditions, orthopaedicconditions, strokes, neurological conditions, traumatic injuriesand complex medical conditions.

St. John’s Rehab is moving to the forefront of specializedrehabilitation with innovative research, learning and teaching.With a unique focus on the whole person – body, mind and spirit –St. John’s Rehab Hospital is rebuilding people’s lives.

Cert no. XX-XXX-XXX

XX%FPO

Aaron depends on his hands to make a living. He also needs his hands to play hockey. He neverimagined that he would be overjoyed just to open a bottle of pop again.

“MY TEAM IS TEACHINGME SPECIFIC EXERCISESSO I CAN DO SIMPLETHINGS.”

AARON’S VICTORY:EVERYDAY LIVING

AGE: 29ENGINEERWORKPLACE ACCIDENTRESULTING IN ELECTRICALFLASH BURNS TO HIS FACEAND ARMSBACK ON TRACKPROGRAMPATIENT SINCE MARCH 2009

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