1. ©2011 Walgreen Co. All rights reserved. Georgia Hospital Association Reducing Readmission Learning Collaborative November 7, 2012

2. 2 ©2011 Walgreen Co. All rights reserved. Preventable hospital readmissions cost the American healthcare system $25 billion annually 1 About 40 percent of readmissions, or nearly 1 million, are avoidable 2 One in five elderly patients is readmitted to the hospital 30 days after discharge 3 Discharge Challenges Facing Health Systems Today

3. $100 billion – cost of avoidable hospitalizations linked to non-adherence 24% of hospitals reported medication adherence as one of the greatest barriers in reducing readmission rates Average cost of each readmission is $7,400 About 40% of total readmissions – nearly 1 million are avoidable 13% of Medicare readmissions are potentially avoidable Medication Adherence Challenges

4. Reasons for Medication Non-adherence

5. Pharmacy consultation offered to patient Caregiver included when appropriate Immediate start to therapy Convenient service for patient and family Bedside Medication Delivery

6. 6 ©2011 Walgreen Co. All rights reserved. PARTNERING TO IMPROVE PATIENT OUTCOMES

7. 7©2012 Walgreen Co. All rights reserved. HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems. Reduce penalties for avoidable readmissions Improve HCAHPS scores and Joint Commission accreditation Improve patient outcomes WellTransitions SM : Address 3 key hospital system needs with a single, integrated program

8. ©2012 Walgreen Co. All rights reserved.8 Walgreens and Surescripts ® : To improve the coordination of care Collection and Validation of medication history at admission, to facillitate: Medication alignment and prescription therapy planning Bedside medication delivery and consultation Postdischarge patient follow-up 48- and 72-hour call-backs Community pharmacy transition Day 9 and day 25 call-backs Joint outcomes reporting Collection and Validation of medication history at admission, to facillitate: Medication alignment and prescription therapy planning Bedside medication delivery and consultation Postdischarge patient follow-up 48- and 72-hour call-backs Community pharmacy transition Day 9 and day 25 call-backs Joint outcomes reporting WellTransitions SM takes patients from health system to home

9. HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems. ©2012 Walgreen Co. All rights reserved.9 Monthly joint outcome reports enable health system to assess program metrics Reduction in cost to verify medication reconciliation Reduction in avoidable readmissions due to medication misadventures and lifestyle factors Improve HCAHPS scores Monthly joint outcome reports enable health system to assess program metrics Reduction in cost to verify medication reconciliation Reduction in avoidable readmissions due to medication misadventures and lifestyle factors Improve HCAHPS scores Joint outcomes reporting quantifies the value of Walgreens WellTransitions SM

10. Start of the Program WellTransitions and How it Works Medication Reconciliation Patient Welcome Medication Validation Therapy Planning Bedside Delivery Therapy Review Community Integration ©2012 Walgreen Co. All rights reserved.10

11. Home Infusion Services and the Benefits The Benefits of Home infusion includes the fact that patient have an increase risk of contracting additional infections the longer the are hospitalize. Being at home is added protection against the risk of serious nosocomial infections. Pathogens common in the hospital are more resistant to antibiotics than those found in the home There is a 82% lower line infection rate for patient receiving infusion at home. ©2012 Walgreen Co. All rights reserved.11

12. Home Infusion Services and the Benefits COST The average cost per day of home infusion is 150.00$-200.00$ The average cost per day for hospitalization is 1500.00-2500.00$ ©2012 Walgreen Co. All rights reserved.12

13. The Role of a Clinical Liaison Introduction to Walgreens Home Infusion and the relationship with Walgreens Retail Pharmacy. Bedside education and assisting the patients and family members with understanding discharge instructions as it relates to home IV medications. Providing patients with the needed contact and information as it relates to 24 hour 7 days a week access. This includes 24/7 access to specially trained nurses, dietitians, and infusion pharmacists. The bridge between the hospital, the patient and the Walgreens Home infusion local branch. ©2012 Walgreen Co. All rights reserved.13

14. Home Infusion Services and the Benefits Personalized Patient Care Reviewing the patient discharge instructions, discharge medication, ordering physicians information, primary care physicians information and any specialty physician that is involved in patient care. ©2012 Walgreen Co. All rights reserved.14

15. Home Infusion Services and the Benefits Walgreens provided support beyond the infusion services. 24/7 English/Spanish Bilingual Support Comorbidity Management on the infusion and Retail level and they include -Hepatitis C -HIV -Heart Failure -Nutritional Support -Anti-Infective Therapy ©2012 Walgreen Co. All rights reserved.15

16. Home Infusion Services and the Benefits Proven Partner in the fight against serious infection -Cellulitis -Osteomyelitis Bacteremia -Complicated Respiratory Infections -Postoperative Infections -Complicated urinary tract infections ©2012 Walgreen Co. All rights reserved.16

17. Home Infusion Services and the Benefits 98% Overall Patient Satisfaction Brandi Pinckney RN MSN Account Manager ©2012 Walgreen Co. All rights reserved.17