SHM Converge Scientific Abstract ePoster Gallery-Movement Is Medicine: Creating an Electronic Dashboard to Build a Culture of Mobility

Pdf Summary

This quality improvement project at the Medical University of South Carolina (MUSC) aimed to build a culture of inpatient mobility using an electronic dashboard to track mobility-related key performance indicators (KPIs). The team noted that hospitalized patients spend most of the day in bed, which increases risks such as venous thromboembolism and hospital-acquired pneumonia, and that only 3.8% of inpatient days at MUSC included documented ambulation.<br /><br />To improve mobility, the hospital implemented the AMPAC (Activity Measure for Post Acute Care), a nurse-driven mobility assessment tool, and linked it to a Johns Hopkins Highest Level of Mobility (JH-HLM) goal. A dashboard was created to monitor three main KPIs: AMPAC accuracy (agreement between RN and PT assessments), AMPAC timeliness (assessment within 8 hours of admission), and mobility goal attainment.<br /><br />The intervention included simplifying documentation, aligning incentives through a system-wide mobility “pillar” goal, educating staff, providing real-time unit-based feedback, and engaging patients through digital platforms. The project also incorporated mobility education into new-hire and ongoing staff training.<br /><br />Results showed stable nursing AMPAC accuracy at 74–77%, improved timeliness of first AMPAC assessment from 65% to 78%, and a major increase in mobility goal attainment from 17% to 48% over eight months after go-live.<br /><br />The authors concluded that a multi-pronged strategy combining education, streamlined documentation, real-time feedback, and incentive alignment can improve inpatient mobility and may be reproducible at other hospitals.

Asset Subtitle

Leonidas N. Walthall IV

Meta Tag

Author List Caroline Raburn, Danielle B. Scheurer, Kristine Harper, Leonidas N. Walthall IV, Meghan K. Thomas

Category Innovations

Concept Electronic Mobility Dashboard

Concept AM-PAC Mobility Score

Concept Mobility Goal Attainment

Concept Inpatient Mobility

Concept Mobility Capacity

Distinguished Non-Finalist

Presenter Organization Medical University of South Carolina

Presenting Author Leonidas N. Walthall IV

Track Quality Improvement

Keywords

inpatient mobility

quality improvement

electronic dashboard

AMPAC assessment

JH-HLM goal

hospital-acquired pneumonia

venous thromboembolism

mobility KPIs

nurse-driven assessment

real-time feedback

Electronic Mobility Dashboard

AM-PAC Mobility Score

Mobility Goal Attainment

Inpatient Mobility

Mobility Capacity