SHM Converge Scientific Abstract ePoster Gallery-Patient-Centered Early Mobility Protocol for Hospitalized Patients

Pdf Summary

This project describes a new inpatient mobility protocol designed to improve patient movement while avoiding unnecessary PT/OT consults.

<strong>Background:</strong> Better hospital mobility is associated with improved outcomes, but prior mobility initiatives have sometimes led to overuse of physical and occupational therapy services.  

<strong>Aim:</strong> The team set a goal of increasing mobility compliance on selected adult medicine pilot units to <strong>75% by December 2023</strong>.

<strong>Intervention:</strong> They implemented the <strong>Admission Mobility Physician Approved Protocol (AMPAP)</strong>, which included:
- <strong>Three mobility occurrences every 24 hours</strong> for all patients without bedrest orders
- Automatic PT/OT consult option for patients with <strong>“6-Clicks” scores between 10 and 17</strong>
- Addition of the <strong>AMPAC “6-Clicks” tool</strong> to the physician admission order set

<strong>Results and conclusion:</strong> The protocol increased inpatient mobility and reduced inappropriate PT/OT consults. Overall mobility compliance reached <strong>75.07%</strong>, meeting the project aim. In particular, inappropriate PT/OT consults in the emergency department dropped substantially, while overall PT/OT caseloads stayed stable.  

In summary, the AMPAP improved compliance with mobility expectations and helped reserve PT/OT resources for patients who were most likely to benefit.

Asset Subtitle

Kiran Lukose

Meta Tag

Author List Courtney Bowen, Ethan F. Kramer, Jazan Neeley, Kathryn Zepperi, Kiran Lukose, Martyne Hofle, Nila Radhakrishnan, Patricia deBear, Thomas Barrett, Zachary Pollard

Category Innovations

Concept Mobility protocol

Concept Admission Mobility Physician Approved Protocol

Concept AM-PAC 6-Clicks

Concept Protocol Compliance

Concept Inappropriate Consultation

Distinguished Non-Finalist

Presenter Organization University of Florida

Presenting Author Kiran Lukose

Track Value in Hospital Medicine

Keywords

inpatient mobility

hospital mobility protocol

AMPAP

PT OT consults

mobility compliance

adult medicine units

AMPAC 6-Clicks

patient movement

physical therapy

occupational therapy

Mobility protocol

Admission Mobility Physician Approved Protocol

AM-PAC 6-Clicks

Protocol Compliance

Inappropriate Consultation