PROGRAM OVERVIEW
PEI COHORT VI
Establishing a culture where patient mobility is EVERYONE’S responsibility
ABOUT UR ON THE MOVE
UR on the Move (UROTM) is a hospital wide mobility program focused on establishing a culture where patient mobility is everyone’s responsibility in order to create a sustainable solution to patient mobility.
The program consists of 5 different elements which contribute to integrating mobility into the tasks that team members are already doing and supporting an interdisciplinary team understanding of why mobility is important and how to safely mobilize patients.
Importantly, UR on the Move highlights that mobility is more than just walking – it is everything our patients do to keep moving throughout the day
WHY IT’S IMPORTANT
Regular patient mobility has been shown to improve numerous patient outcomes. In addition, a lack of patient mobility contributes to increased frailty, falls (with injury), morbidities and mortality, and a loss of independence. By keeping our patients moving throughout their hospitalization we have the opportunity to reduce the impact of immobility and support our patients achieving positive outcomes!
UROTM CAN HELP:
Align Current Programs
Create a common language for mobility
Identify mobility deficits earlier
Improve patient outcomes
Increase patient and staff satisfaction
VALUE PROPOSITION
Physical Outcomes
Decreased Pain
Decreased Delirium
Decrease Pressure Ulcers
Decrease DVT
Decrease Pneumonia
Decreased Vent Days
Improved Physical Function
Study 2
Psychological Effects
Study 3
Organizational Outcomes
Decrease Depression
Decrease Anxiety
Decrease symptoms of distress
Increased Satisfaction
Improved Quality of Life
Improved Readmission Rates
Reduced # falls
Decreased Length of Stay
Decrease Mortality
Decrease Cost
PROGRAM ELEMENTS
Standard mobility program
Utilizing the BMAT assessment, patients are assigned to one of four program levels – bed, seated, standing, or walking. We've identified activities for each level to seamlessly incorporate mobility into existing patient care tasks.
Safe patient mobility training Patient education
Access standardized resources including videos and MyPath trainings tailored to your unit's needs, ensuring safe patient mobilization by interdisciplinary teams.
Data Tracking Tools
PMR Mobility Team
Equipping patients and families with resources highlighting the importance of mobility during hospitalization, empowering them to stay active.
Monitor progress through comprehensive dashboards, tracking process and outcome metrics to gauge the impact of mobility initiatives on patient outcomes.
Support from the PMR team of Therapists, Providers, and Rehabilitation Mobility Specialists to reduce barriers to mobility, progress patients with mobility deficits, and support the more time consuming elements of mobility.
KEY TEAM MEMBERS
ROLE EXPECTATIONS
Leadership Dyad
Attends PEI, reports out on project status to leadership, communicates initiative to team, participates in UPP meetings, helps hold team accountable, leads by example Communicates expectations to other providers, educates patients on initiative, models moving the patient during rounding
Nurse Champion
Encourages and recognizes nurses participating in initiative, models movement with patients, celebrates successes, communicates necessity to patients and staff
Provider Champion Unit Therapists (PT/OT/Other)
Help educate staff on safe patient mobility, act as the mobility expert and resource for staff and patients, removing barriers to mobility
Additional Mobility Champions
Models proper documentation, works with patients on more time consuming mobility tasks, cheers others on, reminds colleagues and patients of the importance of mobility, helps decorate the unit with visual reminders
Mobility
UROTM is about re-defining mobility.
Below are examples of mobility depending on patient’s functional level. The BMAT is used to determine this:
Bed Level
Move the patient to chair for meds
Have patient roll to listen to heart/lungs
Sit patient upright for grooming
Seated
Coordinate times for out of bed sitting
Practice laying down to sitting up
Sit in chair to eat
Standing
Have patient walk to bathroom
Patient dress themselves as able
Patient wash themselves as able
Walking
Have patient walk to chair for rounds
Have patient walk to bathroom to brush teeth
Walking rounds with patient
Exercise Programs by Level
ROLL-OUT UNIT SPECIFIC DECISIONS
1.
Communication of Mobility Level for Patients
How will you display this so all staff know upon entering the room?
2.
Data Tracking
What’s your initial goal? How will check metrics? What outcome measure do you want to focus on?
3.
Safe Patient Mobility Education Training
When will barriers survey be sent? What are your training needs? How will you ensure training is complete?
4.
Kick off Activities
What communication venues will you use? How will you promote the project?
5.
Patient Education
What signs would be helpful on unit? Who will create the signs? Who will give handout to patient and when?
SAMPLE A3
SAMPLE QI TOOLS
Who Else is Participating?
LIVE UROTM UNITS
4-3400 5-3400 6-1600 6-3600 WCC7 WCC6
COHORT VI PEI UNITS
4-1600 4-3400 4-2800 4-3600 6-3600
GCH Surgical Center
GCH Infusion Center WCC5 7-1400 7-3400
FINDING DATA
Click to Access Clinical Mobility Dashboard
