PMID- 32757219 OWN - NLM STAT- MEDLINE DCOM- 20210310 LR - 20221005 IS - 1532-5415 (Electronic) IS - 0002-8614 (Print) IS - 0002-8614 (Linking) VI - 68 IP - 10 DP - 2020 Oct TI - Mobility Action Group: Using Quality Improvement Methods to Create a Culture of Hospital Mobility. PG - 2373-2381 LID - 10.1111/jgs.16699 [doi] AB - 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. CI - (c) 2020 The American Geriatrics Society. FAU - Lorgunpai, Songprod Jonathan AU - Lorgunpai SJ AD - Division of Geriatric Medicine, Mount Auburn Hospital, Cambridge, Massachusetts, USA. AD - Division of Gerontology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. AD - Harvard Medical School, Boston, Massachusetts, USA. FAU - Finke, Bruce AU - Finke B AD - Department of Health and Human Services, Centers for Medicare & Medicaid Services, Baltimore, Maryland, USA. FAU - Burrows, Isaac AU - Burrows I AD - Department of Health and Human Services, Centers for Medicare & Medicaid Services, Baltimore, Maryland, USA. AD - Cigna Health and Life Insurance Company, Bloomfield, Connecticut, USA. FAU - Brown, Cynthia J AU - Brown CJ AUID- ORCID: 0000-0002-1629-5507 AD - Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA. AD - Birmingham/Atlanta Geriatric Research, Education, and Clinical Care Center, Veterans Affairs, Birmingham, Alabama, USA. FAU - Rubin, Fred H AU - Rubin FH AD - Division of Geriatric Medicine, University of Pittsburgh Medical Center Shadyside, Pittsburgh, Pennsylvania, USA. FAU - Wierman, Heidi R AU - Wierman HR AD - Division of Geriatric Medicine, Maine Medical Center, Portland, Maine, USA. AD - Tufts University School of Medicine, Boston, Massachusetts, USA. FAU - Heisey, Susan J AU - Heisey SJ AD - Inova Health System, Falls Church, Virginia, USA. FAU - Gartaganis, Sarah AU - Gartaganis S AD - Aging Brain Center, Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA. FAU - Ling, Shari M AU - Ling SM AD - Department of Health and Human Services, Centers for Medicare & Medicaid Services, Baltimore, Maryland, USA. FAU - Press, Matthew AU - Press M AD - University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA. FAU - Inouye, Sharon K AU - Inouye SK AD - Division of Gerontology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. AD - Harvard Medical School, Boston, Massachusetts, USA. AD - Aging Brain Center, Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA. LA - eng GR - K07 AG041835/AG/NIA NIH HHS/United States GR - R24 AG054259/AG/NIA NIH HHS/United States GR - K07AG041835/AG/NIA NIH HHS/United States GR - R24AG054259/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200805 PL - United States TA - J Am Geriatr Soc JT - Journal of the American Geriatrics Society JID - 7503062 SB - IM CIN - J Am Geriatr Soc. 2020 Oct;68(10):2202-2204. PMID: 32757213 MH - Aged MH - Aged, 80 and over MH - Episode of Care MH - Female MH - Health Plan Implementation MH - Hospital Administration/*methods MH - Hospitals/*standards MH - Humans MH - Male MH - *Mobility Limitation MH - *Organizational Culture MH - *Quality Improvement MH - United States PMC - PMC7718401 MID - NIHMS1619504 OTO - NOTNLM OT - fall prevention OT - hospital OT - mobility OT - older adults OT - quality improvement COIS- Conflict of Interest: Burrows and Press were previously employed by CMS. Press currently serves on the scientific advisory board of VAL health. There are no other conflicts to disclose. [Table: see text] EDAT- 2020/08/07 06:00 MHDA- 2021/03/11 06:00 PMCR- 2021/10/01 CRDT- 2020/08/07 06:00 PHST- 2019/12/20 00:00 [received] PHST- 2020/04/20 00:00 [revised] PHST- 2020/04/25 00:00 [accepted] PHST- 2020/08/07 06:00 [pubmed] PHST- 2021/03/11 06:00 [medline] PHST- 2020/08/07 06:00 [entrez] PHST- 2021/10/01 00:00 [pmc-release] AID - 10.1111/jgs.16699 [doi] PST - ppublish SO - J Am Geriatr Soc. 2020 Oct;68(10):2373-2381. doi: 10.1111/jgs.16699. Epub 2020 Aug 5.