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Mobility Action Group: Using Quality Improvement Methods to Create a Culture of Hospital Mobility
Author(s) -
Lorgunpai Songprod Jonathan,
Finke Bruce,
Burrows Isaac,
Brown Cynthia J.,
Rubin Fred H.,
Wierman Heidi R.,
Heisey Susan J.,
Gartaganis Sarah,
Ling Shari M.,
Press Matthew,
Inouye Sharon K.
Publication year - 2020
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.16699
Subject(s) - medicine , psychological intervention , quality management , medical education , nursing , operations management , management system , economics
Background/Objectives To describe the Mobility Action Group (MACT), an innovative process to enhance implementation of hospital mobility programs and create a culture of mobility in acute care. Design Continuous quality improvement intervention with episodic data review. Setting Inpatient units including medical, surgical, and intensive care settings. Participants A total of 42 hospitals of varying sizes across the United States. Interventions The MACT and Change Package were developed to provide a conceptual framework, road map, and step‐by‐step guide to enable mobility teams to implement mobility programs successfully and meet their mobilization goals. Participants were encouraged to select two to three change tactics to pursue during the first action cycle and select and implement additional tactics in subsequent cycles. Nine learning sessions were held via webinar from April 27, 2017, to October 5, 2017, during which faculty provided brief presentations, facilitation, and group discussion. Measurements Implementation of programs, walks per day, use of bed and chair alarms, and participant satisfaction. Results Successful implementation of mobility programs was achieved at most (76%) sites. The proportion of patients who received at least three walks per day increased from 9% to 19%. The proportion of patients who were placed on a bed or chair alarm decreased from 36% to 20%. On average, 69% of participants reported they were “strongly satisfied” with the learning sessions. Most participants found the Change Package (58%) and Toolkit (63%) “very helpful.” Since the conclusion of the active initiative, the Change Package has been downloaded 1,200 times. Of those who downloaded it, 48% utilized it to establish a mobility program, and 58% used it at their organization at least once a month. Conclusion The MACT and Change Package provides an innovative approach emphasizing systemwide change that can help catalyze a culture of mobility in hospitals across the nation, improving the quality of care for hospitalized older adults. J Am Geriatr Soc 68:2373–2381, 2020.