WellTransitions ® Reducing Preventable Readmissions.
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Transcript of WellTransitions ® Reducing Preventable Readmissions.
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