Treatment of Pharyngitis and Upper Respiratory Infections in Take Care Clinics at Select Walgreens Exceeds National Quality Benchmarks

Take Care Health Systems, a wholly-owned subsidiary of Walgreens (NYSE, NASDAQ: WAG) and the nation's largest and most comprehensive manager of convenient care clinics and worksite health and wellness centers, today announced that an analysis of de-identified data collected through the company's electronic medical record (EMR) system by the Jefferson School of Population Health showed that the quality of care delivered in Take Care Clinics for treatment of pharyngitis (inflammation of the throat) and upper respiratory infections (URI) meets or exceeds the quality of the care delivered in other settings. The results of this analysis were recently published in the American Journal of Medical Quality.

The analysis specifically focused on the treatment of two of the most common acute illness in children: pharyngitis and upper respiratory infections. Treatment of these conditions at Take Care Clinics was measured against National Center for Quality Assurance Health Effectiveness Data and Information Set (HEDIS) guidelines. These guidelines are used by more than 90 percent of America's health plans to measure performance on care and service.

Researchers found that Take Care Health professionals treating children met HEDIS guidelines in nearly 93 percent of pharyngitis visits and over 88 percent of URI visits. This can be compared to the average rates for guideline adherence in the overarching health care community of 74.7 percent for pharyngitis and 83.5 percent for URIs. Researchers also noted that Take Care Health professionals demonstrated a patient-centric focus on quality exhibited by patient follow-up protocols which is rare in standard medical practice. All patients who have a sick visit to a Take Care Clinic receive a follow-up call from a Take Care Health professional within 48 hours of their clinic visit.

"Walgreens is continuing to build, develop and invest in models of care that have the ability to increase health care access for patients while lowering costs," said Hal F. Rosenbluth, senior vice president at Walgreens and president of the Walgreens Health and Wellness division. "Continued evidence that innovations like retail clinics can truly create the best possible outcomes while mitigating upward trends in health care spending encourages ongoing collaboration with the health care community, further evolving the way patients in this country seek and receive health care services."

Clinical protocol for pharyngitis and URIs specifically note that health care professionals should not prescribe or dispense an antibiotic as part of a treatment plan unless clear indications of a bacterial infection are present. The study published in the American Journal of Medical Quality, in conjunction with previously published research, continues to statistically demonstrate that providers at clinics located inside or near retail pharmacies prescribe antibiotics meeting and exceeding national benchmarks. According to the Centers for Disease Control and Prevention (CDC), inappropriate antibiotic use is the primary cause of increases in drug-resistant bacteria, with children having the highest rates of antibiotics use. Increased antibiotic resistance can have numerous costly results on the system, including additional doctor visits, extended hospital stays or the need for more expensive and potentially dangerous medications. The CDC notes that some resistant infections can even cause death.

Data for the quality analysis was collected between October 1, 2006 and September 30, 2008. During this time period Take Care Health Systems opened more than 200 Take Care Clinics across the United States. Company officials credit the proprietary EMR system utilized in Take Care Clinics as being a key enabler of the exceptional and scalable quality scores.

"During a time of rapid growth for Take Care Clinics, we were able to easily and consistently monitor quality metrics on micro and macro levels," said Sandra Festa Ryan, RN, MSN, FAANP, chief nurse practitioner officer for Take Care Health Systems. "Our EMR system allows clinical and training teams to quickly analyze specific provider information as well as company-wide information. Real time trend analysis and rapid identification of best practices across a nationwide network of hundreds of care facilities has always been engrained in our clinical practice."

Previous studies of the retail clinic industry by the RAND Corporation have shown that retail medical clinics located in pharmacies and other stores can provide care for routine illnesses at a lower cost and similar quality as offered in physician offices, urgent care centers or emergency department.

"At this point in the ongoing evolution of medicine it is imperative that the health care community quickly studies and adopts advances in health care access and treatment in order to confront the significant challenges which stand in the way of a healthier population," said David B. Nash, founding dean, Jefferson School of Population Health. "Retail clinics like Take Care Health, provide an unprecedented opportunity for health care access and ongoing analysis continues to show tremendous results with regards to quality and cost - three key factors in improving the way patients access health care in the United States."

Take Care Clinics are professional walk-in health care centers open seven days a week, with extended evening and weekend hours, giving patients the option to access high-quality health care services when it's convenient for them. Take Care Health providers treat patients 18 months and older and can also administer appropriate vaccinations for school-aged children, such as Tdap (tetanus, diphtheria, pertussis), Menactra (meningitis), Varicella (chicken pox), MMR (measles, mumps, rubella) and GARDASIL (HPV).

About Take Care Health Systems

Take Care Health Systems (http://www.takecarehealthsystem.com), a wholly owned subsidiary of Walgreens (NYSE, NASDAQ: WAG) and part of Walgreens Health and Wellness division, is the largest and most comprehensive manager of worksite health and wellness centers and convenient care clinics in the country. TCHS is comprised of Take Care Consumer Solutions (www.takecarehealth.com) and Take Care Health Employer Solutions (www.takecareemployersolutions.com). Take Care Consumer Solutions manages Take Care Clinics at select Walgreens drugstores throughout the country. Patient care at each of the Take Care Clinics is provided by Take Care Health Services, an independently owned state professional corporation established in each market. Take Care Health Employer Solutions manages primary care, health and wellness, occupational health, pharmacy and fitness centers at large employer campuses. Combined, Take Care Health Systems manages more than 700 worksite and retail health care centers.

About Walgreens

Walgreens (www.walgreens.com) is the nation's largest drugstore chain with fiscal 2010 sales of $67 billion. The company operates 7,561 drugstores in all 50 states, the District of Columbia and Puerto Rico. Each day, Walgreens provides nearly 6 million customers the most convenient, multichannel access to consumer goods and services and trusted, cost-effective pharmacy, health and wellness services and advice in communities across America. Walgreens scope of pharmacy services includes retail, specialty, infusion, medical facility, long- term care and mail service, along with pharmacy benefit solutions and respiratory services. These services improve health outcomes and lower costs for payers including employers, managed care organizations, health systems, pharmacy benefit managers and the public sector. Walgreens Take Care Health Systems subsidiary is the largest and most comprehensive manager of worksite health centers and in-store convenient care clinics, with more than 700 locations throughout the country.