Abstract
Hospitalized patients often experience unnecessary immobility and inactivity leading
to direct harms and poor outcomes. Despite growing evidence that early and regular
mobility and activity are safe and helpful for patients in the hospital, there remains
substantial room for improvement in clinical practice. Key to improvement is establishing
an interdisciplinary approach to measurement and communication using a common language
of function. Here we provide a framework for systematic functional measurement in
the hospital. We also provide 3 specific examples of how this framework has been used
to improve care: (1) targeting specialized rehabilitation providers to the patients
most likely to need their services, (2) generating a daily mobility goal for all patients,
and (3) identifying patients early who are likely to require postacute care.
Keywords
List of abbreviations:
AM-PAC (Activity Measure for Post-Acute Care), EMR (electronic medical record), JH-HLM (Johns Hopkins Highest Level of Mobility)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 26, 2020
Footnotes
Disclosures: none.
This paper is part of a supplement from the American Congress of Rehabilitation Medicine.
Identification
Copyright
© 2020 by the American Congress of Rehabilitation Medicine
