Physical Therapists Know Function: An Opinion on Mobility and Level of Activity During Hospitalization for Adult Inpatients

Audrey M. Johnson, Janice Kuperstein, Dana Howell, Esther E. Dupont-Versteegden

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Negative consequences of immobility during hospitalization are widely known and remain undisputed. Evidence of low mobility for general medicine adult inpatients persists. Patients who experience hospital acquired functional decline due to low mobility require costly post-acute care services. The impact of immobility on post-acute care physical function and quality of life is directly at odds with value-based care. New Medicare payment models emphasize value-based care to promote care improvement and better patient outcomes. Quality improvement projects show promise in changing clinical practice using clinical champions, interprofessional collaboration, and teamwork. Physical therapists have a distinct expertise acutely focused on mobility and physical activity during hospitalization. Patients need acute care team members to develop sustainable clinical practice changes and to accept collective responsibility for a culture of mobility. Partnering with physical therapists and using their expertise to direct mobility, executed by the appropriate support personnel, can achieve the Quadruple Aim.

Original languageEnglish (US)
Pages (from-to)61-68
Number of pages8
JournalHospital Topics
Volume96
Issue number2
DOIs
StatePublished - Apr 1 2018
Externally publishedYes

Keywords

  • Healthcare collaboration
  • interprofessional teamwork
  • narrative review
  • quality improvement

ASJC Scopus subject areas

  • Medicine(all)

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