SESSION TITLE: Practice Management and Administration SESSION TYPE: Original Investigation Posters PRESENTED ON: 10/10/2018 01:00 PM - 02:00 PM PURPOSE: Several studies have suggested that ambulation among mechanically ventilated patient is safe and effective. Mobility among patients on mechanical ventilation has been a significant challenge while they are on mechanical ventilation or after being liberated from the mechanical ventilation. The studies have shown the beneficial effect of early ambulation. No one has studied the role of early ambulation among patients in long term acute care facility (LTAC). A unique mobility scoring system was designed to have an objective assessment of mobility and serve as motivation source for patient and therapist. We studied if the percent of successful therapy days improved after introduction of the numerical scoring system. METHODS: Every patient on mechanical ventilation chronic disease program were enrolled for early ambulation program. The activities were divided into four phases. Bed mobility/ROM, sitting, static and locomotion. Each were further divided into different task. Each task was assign the scoring points. RESULTS: We evaluated 39 patients, with 16 patients before the scoring system implementation and 23 patients after the scoring system implementations. Average age of patients was 66.74 +/-14.7. The age of patients before scoring system implementation was 66.81+/- 15.3 and after implementation was 66.69 +/-14.7 and p value of .477. The average successful day of mobility participation was 78.23 +/-22.65 before implementation of mobility system and 91.93 +/-14.13 with a p value of 0.03. Average change in the mobility points was 8.75 +/- 13.3. 65% of the patient had improvement in the mobility score, 30% of patients had no improvement in mobility score from admission to discharge, 5% of patient had decline in the mobility score. CONCLUSIONS: The numerical scoring system for mobility has shown to serve as a motivational factor for both therapist and patients in helping to improve the mobility among patients who have been on or after being liberated from the chronic mechanical ventilation. CLINICAL IMPLICATIONS: Numerical system for mobility can help in improving the patient mobility. DISCLOSURES: No relevant relationships by Hector Bernal, source=Web Response No relevant relationships by Mihir Buch, source=Web Response No relevant relationships by Chinthaka Bulathsinghala, source=Web Response No relevant relationships by Kevin Middagh, source=Web Response No relevant relationships by Nolan Pounds, source=Web Response Speaker/Speaker's Bureau relationship with astra zeneca Please note: $5001 - $20000 Added 11/02/2017 by Shyamsunder Subramanian, source=Web Response, value=Consulting fee Speaker/Speaker's Bureau relationship with boehringer ingelheim Please note: $5001 - $20000 Added 11/02/2017 by Shyamsunder Subramanian, source=Web Response, value=Consulting fee Speaker/Speaker's Bureau relationship with genentech Please note: $5001 - $20000 Added 11/02/2017 by Shyamsunder Subramanian, source=Web Response, value=Consulting fee Speaker/Speaker's Bureau relationship with teva Please note: $5001 - $20000 Added 03/02/2018 by Shyamsunder Subramanian, source=Web Response, value=Consulting fee Speaker/Speaker's Bureau relationship with sunovion Please note: $1001 - $5000 Added 03/02/2018 by Shyamsunder Subramanian, source=Web Response, value=Consulting fee Speaker/Speaker's Bureau relationship with Sunovian Please note: $5001 - $20000 Added 11/20/2017 by Salim Surani, source=Web Response, value=Honoraria Advisory Committee Member relationship with Astra Zeneca Please note: $5001 - $20000 Added 11/20/2017 by Salim Surani, source=Web Response, value=Consulting fee no disclosure on file for Abhay Vakil