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Related Concept Videos

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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Implementation of a Systematic Patient Mobility Program Across 5 Hospitals.

Daniel L Young1, Kevin McLaughlin2, Alison E Turnbull3

  • 1Department of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, NV, USA; Johns Hopkins School of Medicine, Baltimore, MD, USA.

Journal of the American Medical Directors Association
|April 17, 2026
PubMed
Summary
This summary is machine-generated.

Implementing the Johns Hopkins Activity and Mobility Promotion (JH-AMP) framework is feasible in diverse hospitals. Consistent daily mobility goal achievement significantly increases the likelihood of hospital discharge home.

Keywords:
Patient mobilityelectronic health recordsexercisehealth careoutcome assessmentquality improvement

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Area of Science:

  • Healthcare Management
  • Patient Outcomes
  • Implementation Science

Background:

  • Hospital mobility promotion programs are crucial for patient recovery.
  • The Johns Hopkins Activity and Mobility Promotion (JH-AMP) framework offers a structured approach.
  • Evaluating the JH-AMP framework's feasibility and impact in varied hospital settings is essential.

Purpose of the Study:

  • To assess the implementation feasibility of the JH-AMP framework across diverse US hospitals.
  • To determine the association between achieving daily mobility goals and patient discharge destination.
  • To identify factors influencing successful implementation and patient outcomes.

Main Methods:

  • A prospective, multicenter, hybrid implementation study involving 5 US hospitals and over 15,000 patient admissions.
  • Intervention components included implementation manuals, e-learning, and virtual mentoring.
  • Outcomes measured: implementation fidelity (documentation compliance) and mobility goal achievement; logistic regression analyzed discharge home association.

Main Results:

  • Implementation fidelity varied, with documentation compliance ranging from 30% to 98%.
  • Daily mobility goal achievement rates differed by site (42%-80%).
  • Each 1% increase in daily goal achievement days correlated with a 1% higher odds of discharge home (OR, 1.01; P < .001).

Conclusions:

  • The JH-AMP framework can be feasibly implemented without additional staff in various hospital settings.
  • Consistent daily mobility goal attainment is a key predictor of functional recovery and home discharge.
  • Standardized mobility measurement should be integrated into nursing workflows to improve patient-centered outcomes and reduce post-acute care reliance.