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The Johns Hopkins Activity and Mobility Promotion Program: A Framework to Increase Activity and Mobility Among
Kevin H McLaughlin1, Michael Friedman, Erik H Hoyer
1Johns Hopkins School of Medicine, Baltimore, Maryland (Drs McLaughlin, Hoyer, Kudchadkar, and Schechter, Mr Friedman, and Mss Daley and Lavezza); Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland (Dr Flanagan and Ms Klein); and School of Physical Therapy, University of Nevada Las Vegas, Las Vegas (Dr Young).
Background:
Greater mobility and activity among hospitalized patients has been linked to key outcomes, including decreased length of stay, increased odds of home discharge, and fewer hospital-acquired morbidities. Systematic approaches to increasing patient mobility and activity are needed to improve patient outcomes during and following hospitalization.
Problem:
While studies have found the Johns Hopkins Activity and Mobility Promotion (JH-AMP) program improves patient mobility and associated outcomes, program details and implementation methods are not published.
Approach:
JH-AMP is a systematic approach that includes 8 steps, described in this article: (1) organizational prioritization; (2) systematic measurement and daily mobility goal; (3) barrier mitigation; (4) local interdisciplinary roles; (5) sustainable education and training; (6) workflow integration; (7) data feedback; and (8) promotion and awareness.
Conclusions:
Hospitals and health care systems can use this information to guide implementation of JH-AMP at their institutions.
