Frontloading and Intensity of Skilled Home Health Visits: A State of the Science

Melissa O'Connor, Kathryn H. Bowles, Penny H. Feldman, Mary St. Pierre, Olga Jarrín, Shivani Shah, Christopher M. Murtaugh

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Frontloading of skilled nursing visits is one way home health providers have attempted to reduce hospital readmissions among skilled home health patients. Upon review of the frontloading evidence, visit intensity emerged as being closely related. This state of the science presents a critique and synthesis of the published empirical evidence related to frontloading and visit intensity. OVID/Medline, PubMed, and Scopus were searched. Seven studies were eligible for inclusion. Further research is required to define frontloading and visit intensity, identify patients most likely to benefit, and to provide a better understanding of how home health agencies can best implement these strategies.

Original languageEnglish (US)
Pages (from-to)159-175
Number of pages17
JournalHome Health Care Services Quarterly
Issue number3
StatePublished - Jul 2014

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Community and Home Care
  • Public Health, Environmental and Occupational Health


  • frontloading
  • rehospitalization
  • skilled home health
  • visit intensity


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