Peer-Reviewed Publication
NEJM Catal Innov Care Deliv2026;7(8):CAT250425.August 1, 2026Journal Article
Patient-Specific Mobilization: A Structured, Systemwide Model of Mobility Care.
Isabelle Hack1, Bing Ying Poon2, Chiwide Wong3,4, Ivan Cheng5, Veronica Clarkson6, William Doyle7, Ryan Elliott8, Pearl Paras9, Patricia Kipnis10, Vincent Liu11,12, Joeffrey Hatton13, Megan Mira14, Rajeev Ranga15, Elizabeth Scruth16, Hemali Sudhalkar17,18
1Managerial Consultant, The Permanente Medical Group, Pleasanton, CA, USA.
2Analytic Consultant, The Permanente Medical Group, Pleasanton, CA, USA.
3Former Analytic Consultant, The Permanente Medical Group, Pleasanton, CA, USA.
4Senior Analytics Engineer, Nayya, New York, NY, USA.
5Medical Director, Critical Care Medicine, The Permanente Medical Group, Pleasanton, CA, USA.
6Consulting Manager, The Permanente Medical Group, Pleasanton, CA, USA.
7Assistant Director, Inpatient Rehab Services, The Permanente Medical Group, Pleasanton, CA, USA.
8Director of Rehabilitation Services, The Permanente Medical Group, Pleasanton, CA, USA.
9Senior Clinical Practice Nurse Leader, Regional Adult Patient Care Services, Kaiser Foundation Health Plan and Hospitals, Pleasanton, CA, USA.
10Principal Statistician, Division of Research, The Permanente Medical Group, Pleasanton, CA, USA.
11Chief Data Officer, The Permanente Medical Group, Pleasanton, CA, USA.
12Research Scientist, KP Division of Research, Pulmonary/Critical Care, KP Santa Clara Medical Center, Santa Clara, CA, USA.
13Associate Regional Administrative Officer, Alternatives to Hospital Care, The Permanente Medical Group, Pleasanton, CA, USA.
14Senior Regional Director, Patient Care Services, Adult Services and Respiratory Therapy, Kaiser Foundation Health Plan and Hospitals, Pleasanton, CA, USA.
15Regional Medical Director, Hospital Quality & Adult Medical Service Lines, The Permanente Medical Group, Pleasanton, CA, USA.
16Executive Director Clinical Quality Programs, NCAL Safety, Quality and Regulatory Services, Kaiser Foundation Health Plan and Hospitals, Pleasanton, CA, USA.
17Regional Medical Director, Hospital Strategic Initiatives, The Permanente Medical Group, Pleasanton, CA, USA.
18National Medical Director of Strategy, KP Care at Home, The Permanente Federation, Pleasanton, CA, USA.
Abstract
Hospital-associated functional decline resulting from immobility and prolonged bed rest is a widespread yet underrecognized complication in acute care. Despite strong evidence linking immobility directly to severe in-hospital complications and significant postdischarge impairments - including reduced independence, diminished quality of life, and impaired ability to perform activities of daily livi…
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