SHM Converge Scientific Abstract ePoster Gallery-Mobile: Mobilizing Older Adults Using Bmat, Interprofessional Leadership and Education

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The MOBILE (Mobilizing Older Adults using BMAT, Interprofessional Leadership, and Education) quality improvement project was developed and piloted at a 537-bed community teaching hospital to increase mobility among hospitalized older adults. Its goal is to equip bedside nurses with the knowledge and tools to perform early, timely mobility assessments that inform physician activity orders and nursing care plans.<br /><br />The intervention was piloted on a 13-bed Acute Care for Elders unit in October 2022. Nurses received education on the importance of mobility in older inpatients and one-on-one training on the Bedside Mobility Assessment Tool (BMAT). BMAT assessments were intended to be completed on admission, every shift, and whenever a significant clinical change occurred. Mobility findings were then shared during interprofessional rounds so the team could create individualized mobility plans.<br /><br />Initial results from December 2022 showed that 43 of 80 eligible admissions (53%) received BMAT assessments. Most assessed patients were level 3 (54%) or level 4 (28%), with levels 1 and 2 each accounting for 9%. Shift-to-shift compliance was low at 16%.<br /><br />Key barriers included lack of integration of BMAT into standard electronic medical record documentation, the need to use a separate flowsheet, time and staffing constraints, concerns about falls, competing clinical demands, staff turnover, and lower compliance when float nurses covered the unit. Despite these challenges, nurses reported that BMAT improved their confidence in promoting early mobility while supporting patient and staff safety.<br /><br />The project is continuing to collect data on outcomes such as length of stay, pressure injuries, falls, PT/OT consults, and post-acute care use. Future efforts will focus on adoption, fidelity, sustainability, and improving compliance.

Asset Subtitle

Ruby Marr

Meta Tag

Author List Casidhe Harte, David Paje, Linda Wang, Madiha Siddiqui, Melissa Villerot, Ruby Marr, Sachita Shrestha, Stephanie Taylor, Trevor Denton

Category Innovations

Concept MOBILI Quality Improvement Intervention

Concept BMAT

Concept Inpatient Mobility

Concept Length of Stay

Concept Pressure

Distinguished Non-Finalist

Presenter Organization University of Michigan Department of Internal Medicine

Presenting Author Ruby Marr

Track Geriatrics

Keywords

older adults

hospital mobility

BMAT

nursing assessment

interprofessional rounds

early mobility

acute care for elders

quality improvement

electronic medical record

patient safety

MOBILI Quality Improvement Intervention

BMAT

Inpatient Mobility

Length of Stay

Pressure