The Johns Hopkins Activity and Mobility Promotion Program: A Framework to Increase Activity and Mobility Among Hospitalized Patients

J Nurs Care Qual. 2023 Apr-Jun;38(2):164-170. doi: 10.1097/NCQ.0000000000000678. Epub 2022 Dec 3.

Abstract

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.

MeSH terms

  • Hospitalization*
  • Hospitals
  • Humans
  • Mobility Limitation*
  • Patient Discharge
  • Patients