,,iv  #aah? ,,congress  #a/ ,session    
,h4 ,,res4 #eej  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,june #bc1 #bjbc,mrs4 
,h\*9 7= h]self1 ,ms4 ,sewell1 & ,mr4   
,p5ce7 submitt$ ! foll[+ resolution2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,,resolution  ,express+ ! s5se
 ( ! ,h\se ( ,repres5tatives reg>d+ !   
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices     
develop+ a mobility metric to guide     
provid]s 9 prev5t+ mobility loss among  
hospitaliz$ old] adults4  ,:]eas m ?an  
#ed million ,am]icans today are #fe ye>s
 old or old]1 & because #aj1jjj baby    
boom]s are turn+ #fe ye>s old ea* day1 !
 ov]all numb] ( old] adults is expect$  
to increase to m ?an #gj million by     
#bjcj2 ,:]eas1 ev5 be=e ! onset ( !     
,,covid-#ai p&emic1 "o-?ird ( all       
hospitaliz$ pati5ts 9 ! ,unit$ ,/ates 7 
at lea/ #fe ye>s old2 ,:]eas hospitaliz$
 old] pati5ts are mo/ly immobile dur+ _!
 admittance1 sp5d+ less ?an #dc m9utes  
ea* day walk+ ev5 if !y 7 ambulatory :5 
admitt$ to ! hospital2 ,:]eas           

hospitaliz$ old] pati5ts t d n receive  
suffici5t mobility are at ! greate/ risk
 ( exp]i5c+ negative heal? outcomes1 su*
 z su/a9+ muscle loss & weakness t c\ld 
be long la/+1 & ev5 high] rates ( dea?2 
,:]eas re/or+ mobility is a goal = _m1 n
 necess>ily all1 hospitaliz$ pati5ts2   
,:]eas m ?an "o-?ird ( adults ag$ #gj   
ye>s old & old] are dis*>g$ f a hospital
 ) a major1 new functional disability n 
pres5t on admission to ! hospital2      
,:]eas "o ye> aft] dis*>ge f a hospital1
 few] ?an "o-?ird ( old] adults :o      
develop$ a hospital-acquir$ functional  
disability h recov]$ to _!              
pre-hospitalization function /atus2     
,:]eas adults ) a hospital-associat$    
disability are ?ree times m likely to be
 admitt$ to a nurs+ home2 ,:]eas regul> 
physical mobility dur+ hospitalization  
is critical to prev5t+ functional decl9e
 & frailty2 ,:]eas mobility initiatives 
decrease hospital l5g? ( /ay & ov]all   
co/ ( c>e1 su* z a #cf-p]c5t r$uction 9 
int5sive c>e unit l5g? ( /ay1 a         

#cc-p]c5t r$uction 9 ov]all hospital    
l5g? ( /ay1 a #df-p]c5t r$uction 9 !    
numb] ( days on a v5tilator1 & a        
#cj-p]c5t r$uction 9 ov]all hospital    
co/s2 ,:]eas mobility programs 9 acute  
c>e sett+s improve ! likelihood t       
pati5ts are dis*>g$ directly to _! homes
 & bypass a skill$ nurs+ facility2      
,:]eas hospitals1 physicians1 & nurses  
are committ$ to deliv]+ ! be/ c>e =     
pati5ts1 b !re are n curr5t /&>diz$     
me?ods ( assess+ or track+ pati5t       
mobility )9 hospitals1 nor are !re      
/&>diz$ sy/ems to measure adh]5ce to    
individual hospital mobility protocols2 
,:]eas curr5t hospital reimbursem5t     
inc5tives design$ to prev5t pati5t falls
 un9t5tionally dis9c5tive hospitals f   
mobiliz+ pati5ts2 ,:]eas prolong$ p]iods
 ( b$ re/ = old] adults c cause loss (  
skeletal muscle1 kn[n z s>cop5ia1 r$uc+ 
a p]son's ability to c>ry out activities
 ( daily liv+2 & ,:]eas ! ,am]ican      
,g]iatrics ,society made a s]ies (      
mobility recomm5dations develop$ by     

g]iatric lead]s1 physicians1 &          
cl9icians1 su* z t ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices %\ld develop cons5sus 
on /&>d me?ods to assess mobility & t ! 
,f$]al ,gov]nm5t %\ld prioritize        
translational rese>* 9 mobility         
assessm5t1 quality measurem5t1 &        
implem5tation programs l$ by ! ,ag5cy = 
,heal?c>e ,rese>* & ,quality1 !         
,national ,in/itutes ( ,heal? &         
,national ,in/itute on ,ag+1 ! ,c5t]s = 
,disease ,control & ,prev5tion1 & !     
,adm9i/ration on ,ag+3 ,n[1 !re=e1 be x 
,t x is ! s5se ( ! ,h\se (              
,repres5tatives t ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices %\ld-- 7#a7 promote ! 
developm5t ( /akehold] cons5sus on a    
mobility assessm5t t is validat$ &      
cl9ically mean+ful to provid]s &        
pati5ts2  7#b7 develop a mobility       
quality measure t inc5tives hospitals1  
/aff1 & provid]s to actively int]v5e to 
prev5t mobility loss among hospitaliz$  
pati5ts2 &  7#c7 develop a mobility     
quality measure t focuses on ! mo/      

effective improvem5ts 9 pati5t outcomes 
& takes into consid]ation avoid+        
additional on]\s burd5s on provid]s4