WellTransitions ® Reducing Preventable Readmissions

MISSION To be the most trusted, convenient multichannel provider/advisor of innovative pharmacy, health and wellness solutions, and consumer goods and services in communities across America… A destination where health and happiness come together to help people get well, stay well, and live well. MISSION To be the most trusted, convenient multichannel provider/advisor of innovative pharmacy, health and wellness solutions, and consumer goods and services in communities across America… A destination where health and happiness come together to help people get well, stay well, and live well. VISION To be “My Walgreens” for everyone in America, the first choice for health and daily living VISION To be “My Walgreens” for everyone in America, the first choice for health and daily living Walgreens Mission and Vision

A premier provider of healthcare and wellness services 75,000 healthcare providers deliver high-quality healthcare services –Retail and specialty pharmacists –RNs, LPNs, NPs, PAs –Physicians and dentists –Medical, dental, and radiology technicians and assistants –Dietitians –Health and wellness coaches –Health and fitness trainers –Case managers and referral coordinators A premier provider of healthcare and wellness services 75,000 healthcare providers deliver high-quality healthcare services –Retail and specialty pharmacists –RNs, LPNs, NPs, PAs –Physicians and dentists –Medical, dental, and radiology technicians and assistants –Dietitians –Health and wellness coaches –Health and fitness trainers –Case managers and referral coordinators [photo TK] Transforming Community Pharmacy – Integrated Healthcare Delivery System

100+ locations Planned expansion to 196 locations in 2013 Premier locations include: –Teaching hospitals –Hospital networks –Children’s hospitals –Community hospitals Staffed by PharmDs and pharmacists Locations include HIV/AIDS Centers of Excellence 100+ locations Planned expansion to 196 locations in 2013 Premier locations include: –Teaching hospitals –Hospital networks –Children’s hospitals –Community hospitals Staffed by PharmDs and pharmacists Locations include HIV/AIDS Centers of Excellence Health System Pharmacies – Reflecting Growing Access and Addressing Service Needs

On-site outpatient pharmacies Employee access to 30d/90d Rx WellTransitions TM Specialty Pharmacy Home Infusion Services 340B solutions Community-based Take Care Clinics ® Walgreens integrates outpatient pharmacy into the healthcare continuum Improves access to specialty and limited-distribution therapies Improves MPR and patient adherence Reduce penalty for avoidable readmission Access to 340B solutions Coordinates post-discharge care through the nation’s largest network of retail pharmacies Comprehensive Portfolio of Health Systems Management Solutions

Rate of Medication Drop Off – Nearly 1 in 3 Patients Don’t Fill Brought to Pharmacy Picked upAre Taken Properly Are Refilled 50% - 70%48% - 60% 15% - 20% 100% 25% - 30% Prescriptions Source: IMS

WellTransitions Strategic Vision Assisting health systems with avoiding readmission penalties Bridging the care gap Redefining role of the pharmacist Intervention based care model Collaboration efforts with interdisciplinary healthcare teams Increasing access and extending care through 8,000 community locations Assisting health systems with avoiding readmission penalties Bridging the care gap Redefining role of the pharmacist Intervention based care model Collaboration efforts with interdisciplinary healthcare teams Increasing access and extending care through 8,000 community locations

Hospital Treatment Interventions 1-4 Patient identified, enrolled in program Generate medication history Fill, alignment and reconciliation of discharge medications Bedside delivery of medication and patient consultation Post-discharge Care Interventions 5-7 Pharmacist education follow up initiated hours after discharge Pharmacist clinical therapy review approximately 10 days post-discharge Community integration provided by pharmacist at day 25 post- discharge Outcomes Reporting Final Intervention Comprehensive reporting capabilities Advanced data analytics Measure clinical outcomes and economic effectiveness Real-time access through secure web portal Aligned with health system core measures Focused on reducing preventable readmissions Coordinated effort to drive HCAHPS scores Coordinated care with community providers Integrates data points – EMR, ADT, alerts Aligned with health system core measures Focused on reducing preventable readmissions Coordinated effort to drive HCAHPS scores Coordinated care with community providers Integrates data points – EMR, ADT, alerts WellTransitions – Three Phased Approach

Pharmacist Driven Program to Increase Medication Adherence Range of pharmacist-mediated interventions utilizing evidence based guidelines Ability to monitor adherence through comprehensive analytics One-on-one pharmacy/patient medication education and review sessions Accurate patient profile and comprehensive medication history Complement to other intervention initiatives and activities

Determines patient eligibility based on pre-select health criteria Collects and maintains data points (medical and pharmacy) Pushes tasks and communications based on role/responsibility and severity Integrates data points – EMR, ADT, alerts Loopback Analytics Medication history provided at admission, medication review, alignment Ease of transition, follows patient in own environment, reviews medication instructions Documents any change in therapy, alerts health system and community provider to any issues Offered as part of patient care services If necessary, identifies and targets high risk patients Integrated into daily workflow Provides feedback and is an advocate of benefits Integrated into care continuum with two-way communications Educated on health status of patient Enhances patient/provider relationship with full view of medication history Health System Walgreens Community Health Providers Bridging the Gap, Coordinating Care

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DeKalb Medical Center – Early Version of WellTransitions Program initiated January 2011 with DeKalb Medical (Main) and is based on their process of improving core measure goals Patients in the care transition program had a lower 30-day readmissions rate (5.6 percent compared to 10.6 percent) than patients in the same hospital in the year prior to program initiation Unadjusted readmission rates Duncan, I. DeKalb’s Comprehensive Medication Compliance Approach Cuts Readmissions. Healthcare Financial Management Association (HFMA) Leadership e-Bulletin: February 2013 Issue.

Patient Satisfaction (HCAHPS Scores) was a significant driver of the decision to implement WellTransitions/bedside delivery. 50% at first percentile 63% at 65th percentile From the first percentile to the 65th percentile. ACHIEVED IN THE FIRST 90 DAYS There was a dramatic improvement in HCAHPS “Communication about medicines” domain scores 1 1. Stemphiak M., Bedside Delivery-an Easier Pill to Swallow. HHN (p2-3), August % relative increase in HCAHPS domain score Patient Satisfaction Results from DeKalb Medical