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 everyonein America, the first choice for health and daily living

VISION

To be “My Walgreens” for everyonein America, the first choice for health and daily living

Walgreens Mission and Vision

A premier provider of healthcareand 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 healthcareand 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

WellTransitionsTM

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 avoidablereadmission

•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 toPharmacy

Brought toPharmacy

Picked upPicked up Are TakenProperly

Are TakenProperly

Are RefilledAre Refilled

50% - 70%50% - 70% 48% - 60%48% - 60% 15% - 20%15% - 20%100%100% 25% - 30%25% - 30%

PrescriptionsPrescriptions

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

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

©2012 Walgreen Co. All rights reserved

External Dashboard - Example

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. http://www.hfma.org/

Patient Satisfaction (HCAHPS Scores) was a significant driver of the decision to implement WellTransitions/bedside delivery.

50%50%at first at first

percentilepercentile

63% 63% at at 65th 65th

percentilepercentile

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 scores1

1. Stemphiak M., Bedside Delivery-an Easier Pill to Swallow. HHN (p2-3), August 2012

26% relative increase in HCAHPS domain score

Patient Satisfaction Results from DeKalb Medical