Benefits of an Early Mobility Program for Hospitalized Patients with Cancer

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Mark Liu, Director, Strategic Initiatives, Oncology Service Line, Mount Sinai Health System & Tisch Cancer Institute

This inpatient oncology unit used Activity Measure for Post-Acute Care scores to quantify mobility and then develop team-based, multidisciplinary plans of care in collaboration with physical therapy, nursing, and a mobility aide—a medical assistant with rehabilitation training. Patients were mobilized twice per day, seven days per week. Staff evaluated the effects of the mobility aide program on quality of care and healthcare utilization and observed significant improvement in both. Outcomes across nearly 1,000 patients include: a 6% reduction in excess days; a reduction of readmission rates from 25% to 19%; three-quarters of patients (76%) maintained or improved their mobility score; and improved patient satisfaction—patient willingness to recommend the hospital increased from 63% to 91%.