For more information on the Group Health reducing readmissions and innovations like this, please go to www.ghinnovates.org.

1. Kate Brostoff, MD, medical director, APPLE (Acute, Post-acute, Pharmacy, Laboratory, Emergency) Patient Resources & Options, Group Health Physicians Brenda Bruns, MD, executive medical director, Health Plan Services, Group Health Physicians Barbara Trehearne, PhD, RN, vice president of Clinical Excellence, Quality, and Nursing Practice, Group Health Barbie Wood, RN, MBA, director, Care Management Services, Group Health Emergency Department and Hospital Inpatient Initiative

4. PATIENT EXPERIENCE PATIENT EXPERIENCE

6. PATIENT EXPERIENCE PRE-ADMISSION ASSESSMENT | Emergency Patient Resources and Options (EPRO)

8. PATIENT EXPERIENCE PLACEMENT

9. PATIENT EXPERIENCE ADMISSION

10. PATIENT EXPERIENCE THE METHOD | The Four Pillars Teach Medication Self- management Teach a patient about their condition and use of a personal health record Provide knowledge of warning symptoms and how to respond Have a patient set up follow-up care with their doctor

16. PATIENT EXPERIENCE POST-DISCHARGE

19. GOALS AND MEASUREMENT OBJECTIVES • Reduce inpatient costs and readmit rates by providing consistent and reliable post-acute care transitions • Optimize post-acute care processes • Reduce unnecessary Emergency Department (ED) utilization and costs $51 million total savings for 2010 METRICS • Readmit rate • IP admit rates • Hospital length of stay (LOS) • SNF admits/1,000 • SNF LOS • ED visits/1,000

20. $ 51 m HOSPITAL COST SAVINGS

21. RESULTS

22. Medicare patient readmission: NATIONALLY: 19.6 % WASHINGTON: 16.4 % GROUP HEALTH: 15%