{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:13:48Z","timestamp":1789834428451,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T00:00:00Z","timestamp":1596585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K07AG041835"],"award-info":[{"award-number":["K07AG041835"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R24AG054259"],"award-info":[{"award-number":["R24AG054259"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>To describe the Mobility Action Group (MACT), an innovative process to enhance implementation of hospital mobility programs and create a culture of mobility in acute care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Continuous quality improvement intervention with episodic data review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Inpatient units including medical, surgical, and intensive care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 42 hospitals of varying sizes across the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>The MACT and Change Package were developed to provide a conceptual framework, road map, and step\u2010by\u2010step guide to enable mobility teams to implement mobility programs successfully and meet their mobilization goals. Participants were encouraged to select two to three change tactics to pursue during the first action cycle and select and implement additional tactics in subsequent cycles. Nine learning sessions were held via webinar from April 27, 2017, to October 5, 2017, during which faculty provided brief presentations, facilitation, and group discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Implementation of programs, walks per day, use of bed and chair alarms, and participant satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Successful implementation of mobility programs was achieved at most (76%) sites. The proportion of patients who received at least three walks per day increased from 9% to 19%. The proportion of patients who were placed on a bed or chair alarm decreased from 36% to 20%. On average, 69% of participants reported they were \u201cstrongly satisfied\u201d with the learning sessions. Most participants found the Change Package (58%) and Toolkit (63%) \u201cvery helpful.\u201d Since the conclusion of the active initiative, the Change Package has been downloaded 1,200 times. Of those who downloaded it, 48% utilized it to establish a mobility program, and 58% used it at their organization at least once a month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The MACT and Change Package provides an innovative approach emphasizing systemwide change that can help catalyze a culture of mobility in hospitals across the nation, improving the quality of care for hospitalized older adults. J Am Geriatr Soc 68:2373\u20132381, 2020.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16699","type":"journal-article","created":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T09:17:47Z","timestamp":1596619067000},"page":"2373-2381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Mobility Action Group: Using Quality Improvement Methods to Create a Culture of Hospital Mobility"],"prefix":"10.1111","volume":"68","author":[{"given":"Songprod Jonathan","family":"Lorgunpai","sequence":"first","affiliation":[{"name":"Division of Geriatric Medicine Mount Auburn Hospital  Cambridge Massachusetts USA"},{"name":"Division of Gerontology Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Finke","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Centers for Medicare &amp; Medicaid Services  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Burrows","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Centers for Medicare &amp; Medicaid Services  Baltimore Maryland USA"},{"name":"Cigna Health and Life Insurance Company  Bloomfield Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-5507","authenticated-orcid":false,"given":"Cynthia J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Gerontology, Geriatrics, and Palliative Care University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Birmingham\/Atlanta Geriatric Research, Education, and Clinical Care Center, Veterans Affairs  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred H.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine University of Pittsburgh Medical Center Shadyside  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi R.","family":"Wierman","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine Maine Medical Center  Portland Maine USA"},{"name":"Tufts University School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan J.","family":"Heisey","sequence":"additional","affiliation":[{"name":"Inova Health System  Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gartaganis","sequence":"additional","affiliation":[{"name":"Aging Brain Center, Marcus Institute for Aging Research, Hebrew SeniorLife  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari M.","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Centers for Medicare &amp; 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