SHM Converge Scientific Abstract ePoster Gallery-MOBILE: MOBILIZING OLDER ADULTS USING BMAT, INTERPROFESSIONAL LEADERSHIP AND EDUCATION<br /><br />and ITS OUTCOMES IN AN ACUTE CARE FOR THE ELDERLY (ACE) UNIT

MOBILE: MOBILIZING OLDER ADULTS USING BMAT, INTERPROFESSIONAL LEADERSHIP AND EDUCATION

and ITS OUTCOMES IN AN ACUTE CARE FOR THE ELDERLY (ACE) UNIT

Back to course

Pdf Summary

The MOBILE quality improvement project evaluated implementation of the Banner Mobility Assessment Tool (BMAT) in a 13-bed Acute Care for the Elderly unit at a community teaching hospital. The initiative used education, training, and workflow integration to improve mobility assessment and reduce functional decline among hospitalized adults age 65 and older.<br /><br />A total of 415 patients were included: 192 pre-implementation and 223 post-implementation. Patient characteristics were similar between groups, including age, sex, Braden score, and baseline living situation.<br /><br />After BMAT implementation, the unit showed higher rates of BMAT assessment and more activity orders being placed. However, the intervention did not improve most clinical outcomes. Length of stay, hospital-acquired pressure injury, falls, and concordance between prior and discharge function were not significantly different between groups.<br /><br />The primary functional outcome was mixed. In unadjusted analysis, post-BMAT patients had lower odds of discharge functional decline compared with pre-BMAT patients. But after adjusting for age, sex, BMI, comorbidity burden, and Braden score, this association was no longer statistically significant, especially when activity orders were included in the model.<br /><br />Overall, MOBILE suggests that BMAT implementation can improve documentation and ordering behavior, but these process improvements did not clearly translate into better patient outcomes. The authors note that this may reflect incomplete adoption, limited fidelity, or a weak link between orders and actual mobilization behavior.

Asset Subtitle

Ruby Marr

Meta Tag

Author List David Paje, Linda Wang, Ruby Marr, Sachita Shrestha, Shuo Tian, Stephanie Taylor, Tehilah Meged-Book, Trevor Denton

Category Research

Concept MOBILI Quality Improvement Intervention

Concept BMAT

Concept Mobility Assessment

Concept BMAT Assessment Rate

Concept Discharge Function

Distinguished Non-Finalist

Presenter Organization University of Michigan Medical School

Presenting Author Ruby Marr

Track Quality Improvement

Keywords

BMAT

mobility assessment

functional decline

acute care for the elderly

hospitalized older adults

quality improvement

patient mobility

activity orders

length of stay

pressure injury

MOBILI Quality Improvement Intervention

BMAT

Mobility Assessment

BMAT Assessment Rate

Discharge Function