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The Effect of Frontloading Visits on Patient Outcomes

Rogers, Joanne MA, BSN, RN; Perlic, Mary ND, RN; Madigan, Elizabeth A. PhD, RN, FAAN

Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional: February 2007 - Volume 25 - Issue 2 - p 103–109

Frontloading, providing 60% of planned visits in the first 2 weeks of the home healthcare episode, was tested in two groups of patients: insulin-dependent patients with diabetes and patients with a primary diagnosis of heart failure. Frontloading was effective for patients with heart failure, decreasing rehospitalization by more than half (39.4–16%), with fewer visits (15.5 vs. 9.5) and equal clinical outcomes and patient satisfaction. There were no significant differences in outcomes for patients with diabetes.

Joanne Rogers, MA, BSN, RN, is Director of Coordinated Care, University Hospitals Home Care, Cleveland, Ohio.

Mary Perlic, ND, RN, is Performance Improvement RN, University Hospitals Home Care, Cleveland, Ohio.

Elizabeth A. Madigan, PhD, RN, FAAN, is Associate Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.

Address for correspondence: Joanne Rogers, MA, BSN, RN, University Hospitals Home Care, Cleveland, Ohio (

© 2007 Lippincott Williams & Wilkins, Inc.