The risks of bed rest and decreased activity during hospitalization are substantial. Immobility is a significant cause for delay of discharge, suboptimal care and can contribute to poor patient outcomes. An interdisciplinary team approach was implemented to change an organization culture on early patient mobility. The program goals were to focus physical and occupational therapy services for patients who would benefit from their skilled expertise, and to develop nursing protocols, physician order sets, expectations, and education to promote movement of all patients according to their needs and abilities.