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Improving Discharge Rates to Home With the Help of Mobility Technicians: A Step in the Right Direction.

Swapnil V Patel1, Steven Imburgio1, Anmol S Johal1

  • 1Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.

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Summary

Implementing mobility technicians (MTs) increased patient discharge rates and reduced hospital stays. This quality improvement initiative proved cost-effective, improving hospital capacity and patient outcomes.

Keywords:
ambulationcostdischargemobility techniciansquality improvement

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Area of Science:

  • Healthcare Management
  • Patient Mobility
  • Quality Improvement

Background:

  • Early ambulation in hospitals improves patient outcomes but is limited by staff time.
  • Mobility technicians (MTs) offer specialized support for patient ambulation.
  • Addressing time constraints is crucial for effective inpatient mobility programs.

Purpose of the Study:

  • To evaluate the impact of MTs on clinical and financial outcomes.
  • To assess the effect of MTs on patient discharge rates and length of stay.
  • To determine the cost-effectiveness of an MT program in a tertiary care setting.

Main Methods:

  • A prospective, single-institution quality improvement project.
  • Inclusion of patients from two medical floors, comparing an MT group with a control group.
  • Primary endpoint: proportion of patients discharged home; secondary endpoints: length of stay and financial impact.

Main Results:

  • The MT group showed a higher discharge-to-home rate (79.7% vs. 66.1%, p=0.002).
  • MTs reduced the average length of hospital stay by 2.4 days (7.8 vs. 10.2 days, p=0.007).
  • The intervention yielded an estimated $148,500 in net savings and freed up 2.9 hospital beds daily.

Conclusions:

  • MT programs significantly improve discharge-to-home rates and reduce hospital length of stay.
  • MT implementation is a cost-effective strategy for enhancing hospital capacity.
  • This intervention supports institutions in managing patient flow and resource allocation.