©2011 Walgreen Co. All rights reserved. Georgia Hospital Association Reducing Readmission Learning...

©2011 Walgreen Co. All rights reserved.

Georgia Hospital Association

Reducing Readmission Learning

Collaborative November 7, 2012

2©2011 Walgreen Co. All rights reserved.

• Preventable hospital readmissions cost the American healthcare system $25 billion annually1

• About 40 percent of readmissions, or nearly 1 million, are avoidable2

• One in five elderly patients is readmitted to the hospital 30 days after discharge3

Discharge Challenges Facing Health Systems Today

• $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

24%

20%

17%14%

10%

10%15%

Forgetfulness

Side Effects

Cost

Beliefs about medications

Complexity of Regimen

Lack of access

Other

Reasons for Medication Non-adherence

• Pharmacy consultation offered

to patient

• Caregiver included when

appropriate

• Immediate start to therapy

• Convenient service for patient

and family

Bedside Medication Delivery

6©2011 Walgreen Co. All rights reserved.

FOR IMMEDIATE RELEASE http://news.walgreens.com

DeKalb Medical and Walgreens Join Forces to Improve Outcomes and Enhance Hospital

Patient Experience

Bedside medication delivery and discharged patient follow-up services drive significant

HCAHPS score improvements

Decatur, Ga. -- (Nov. 14, 2011) – DeKalb Medical has teamed up with Walgreens pharmacists to help patients understand and comply with medication therapies following treatment at the hospital - a collaborative relationship that has improved patient care and satisfaction just three months after implementation. DeKalb Medical improved its Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) top box scores pertaining to patient communications on medication from 50 percent to 63 percent over the 90-day period following the program’s launch.

PARTNERING TO IMPROVE PATIENT OUTCOMES

7 ©2012 Walgreen Co. All rights reserved.

HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems.

Reduce penaltiesfor avoidablereadmissions

Improve HCAHPS scores and Joint Commission accreditation

Improve patient outcomes

WellTransitionsSM: Address 3 key hospital system needs with a single, integrated program

©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

WellTransitionsSM takes patients from health system to home

HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems.


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 WellTransitionsSM

Start of the Program

WellTransitions and How it Works

Medication ReconciliationPatient WelcomeMedication ValidationTherapy PlanningBedside DeliveryTherapy ReviewCommunity Integration


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.



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$


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.



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.



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



Proven Partner in the fight against serious infection

-Cellulitis

-Osteomyelitis Bacteremia

-Complicated Respiratory Infections

-Postoperative Infections

-Complicated urinary tract infections



98% Overall Patient Satisfaction

Brandi Pinckney RN MSNAccount Manager


©2011 Walgreen Co. All rights reserved. Georgia Hospital Association Reducing Readmission Learning...

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