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Financial Implications of Starting a Mobility Protocol in a Surgical Intensive Care Unit

Knoblauch, Diane J. JD, MSN, RN; Bettis, Mary Ann MS, CNML, RN; Lundy, Francene BSN, MSA; Meldrum, Craig BBA

doi: 10.1097/CNQ.0b013e3182753725
Original Articles

A review of the literature revealed that there was a dearth of information regarding the financial impact of implementing a mobility program in an intensive care unit. The purpose of this article was to identify and quantify costs and cost-benefit from implementing a mobility protocol. Factors to be considered when implementing a mobility program in an intensive care unit are identified and discussed. The increased acuity and lengths of stay associated with this population and the unavoidable increase in the incidence of hospital-acquired pressure ulcers make it difficult to extrapolate the economic benefits of the mobility program at this time.

Surgical Intensive Care Unit (Mss Knoblauch, Bettis, and Lundy), Rapid Response Nursing Team (Ms Bettis), Patient Care Services (Ms Lundy), and Clinical Information Systems (Mr Meldrum), University of Michigan, Ann Arbor, Michigan; University of Toledo at Medical College of Ohio, Toledo (Ms Knoblauch); and University of Michigan School of Nursing, Ann Arbor, Michigan (Ms Lundy).

Correspondence: Diane J. Knoblauch, JD, MSN, RN, University of Michigan Surgical Intensive Care/Rapid Response, University of Michigan Hospital and Health Centers, Box 0076, 1500 E Medical Center Dr, Ann Arbor, MI 48176 (

The authors thank Dan LaGrou and Sharon Dickinson for their assistance in gathering the data for evaluating the Mobility Protocol. They also thank all of the staff of the SICU who have made the Mobility Protocol initiative safe and effective for their patients.

The authors have no conflicts of interest and no source of funding.

© 2013 Lippincott Williams & Wilkins, Inc.