Problem: For over 135 years, it has been demonstrated that mobility in a hospital setting is important to support positive patient outcomes. However, implementing patient mobility intervention has been challenging, leading to negative outcomes and acquired hospital debility.
Solution: the JH-AMP framework provides tools and resources to help healthcare professionals establish a collaborative culture of mobility, successfully integrating mobility as an essential component of hospital operations, quality improvement and patient safety efforts.
Our framework details 8 distinct steps to successfully implement and sustain a culture of mobility.
Organizational Prioritization
Educate c-suite level leaders on the current problem (patient immobility) and the proposed solution (JH-AMP). Show how JH-AMP can have a positive impact not only on patient mobility, but also on safety and quality initiatives and strategic cost-reduction.
Systematic Measurement & Daily Mobility Goal
Each patient should have a mobility goal that is set every day. We have developed metrics for assessing and quantifying patients' capacity for physical function and measuring their performance of mobility. Learn more about our free common language guide and toolkit.
Barrier Mitigation
Use a barrier survey to assess your team’s knowledge, attitudes and behaviors related to keeping patients active and mobile in the hospital. Create a barrier mitigation plan and project-manage its completion. For more information read the survey.
Interprofessional Roles
Create a multidisciplinary mobility team that includes nurse managers, nurse educators, frontline nursing staff, rehabilitation therapists and physicians. This team works together by championing patient mobility efforts and by providing training and rehabilitation consultations.
Education and Training
Educate mobility advocates as well as frontline clinicians and staff in functional assessment tools, techniques and equipment to help engage patients in mobility activities safely, and how to address patient refusal. Learn more about our education and implementation services.
Workflow Integration
Build JH-AMP into the daily electronic and human workflows. This helps ensure that all team members know a patient's mobility goal, their progress and help address barriers to reaching their goal.
Data Feedback
Measure and communicate progress through key performance indicators discussed during unit meetings to help monitor JH-AMP implementation and identify barriers.
Promotion & Awareness
Keep mobility top of mind among clinicians and patients through target messaging materials that focuses on evidence that supports the benefits of mobility and harms of immobility, why mobility is essential to recovery and specific activities that can help patient's achieve mobility goals.
