Common Queries and Questions

  1. How do I start an Early Mobility Program at my facility?
    • Best way is to use systematic program approach (roadmap)
      1. Decide why you want to do it (evidence)
      2. Establish a multidisciplinary team with key stakeholders
      3. Decide what your program goals will be
      4. Develop protocols and assign responsibilities
      5. Set mile markers and timelines
      6. Educate staff
      7. Implement your plan
      8. Track progress with PDSA process
      9. Gather outcomes data
      10. Celebrate successes
      11. Report successes
      12. Troubleshoot as needed
  2. I don’t have time to do all the literature search and apply the evidence. Is there a way to get that information that takes less time?
    • That is one of the reasons that exists – to help busy clinicians get the tools and resources they need to be able to successfully implement their programs
  3. What do I do if I cannot get certain team members on board?
    • Each discipline has a different focus and different goals related to the care of the patient. It is important to do your research about the level of information that will gain their interest. The key question you need to answer is “Why should they care?” This may seem obvious, but will need to be presented in a way that makes sense. The “ask the expert” function is designed to help with this task. There are also sample powerpoint templates that are designed for each focus, that may be a helpful starting point for you.
  4. How do I get my facility to support the staff needed for EM program?
    • There are many different ways to approach EM. Some facilities have dedicated Therapy staff in their ICU. Dr Dale Needham and colleagues at John’s Hopkins University hospital have published a financial model that can be applied to any facility to show expected cost savings depending on certain variables within your facility. It is important to show how your EM program can affect the bottom line of the facility. Research shows consistent decreases in length of stay associated with EM programs. Along with improved patient outcomes, and improved patient satisfaction, these factors are associated with reimbursement and dollar savings. This is the information needed for your administrators.
  5. How do we make EM a priority when it seems that no-one has time?
    1. The evidence is clear. Early Mobility is best practice care and the deleterious effects of bed rest cannot be overlooked. EM touches all quality indicators, and cannot be ignored. If quality is important to your facility, then EM is important! If reducing pressure ulcers is important, then EM is important! If reducing LOS is important, then EM is important! If reducing falls is important, then EM is important! If reducing vent time is important then EM is important…………….etc.
    2. We need to phrase the necessity of EM in the context of Strategic initiatives that are already a high priority for the facility.