1. A Pharmacy Perspective onWorksite and Community Wellness Rebecca Sterling Sterling Health and Wellness, Inc. MTM Compounding Pharmacy healthsterling.com

2. $1.1 Trillion Lost Productivity$2.77 Billion Treatment Cost

3. $4.2 Trillion 2023 $1.3 Trillion 2003Increasing Cost of Chronic Disease Source: Center for Healthcare Economics at The Milken Institute

4. 15%of employees used on-site wellness. Source: The Innovators Prescription

5. 75% of US Healthcare Costsstem from chronic conditions. Source: US Department of Health and Human Services

6. 3.5 Billionprescriptions written annually in US.Source: Agency for Healthcare Research and Quality

7. 80%treatments include a prescription.Source: Pharmaceutical Care Practice: The Clinicians Guide

8. Reach the85%who do notparticipate.

9. Our GoalsCreate Value for Our Customers Reduce Total Healthcare System Costs Decrease Hospitalization and Re-Hospitalization Rates Return on InvestmentIncrease Adherence Decrease Total CostUse of in-home medical technology and telecommunication devices,integrates home monitoring and reporting/notification with motivationalinterviewing to achieve desired adherence outcomes.Achieve Optimal OutcomesThrough real-time intervention achieving higher adherence and healthierpatient choices through a process of education, intervention, andmotivational interviewing for patients with Congestive Heart Failure (CHF),Diabetes, Hyperlipidemia, and Hypertension.

10. Other than dispensing pills, what can a pharmacy do?1. Biometric Health Screenings2. Comprehensive Medication Therapy Management Services3. Community Resources and Individual Education

11. Medication Review

12. Primun non nocere. First do no harm.

13. 50 65 % medication adherence rate.Source: Michael C. Sokol, MD, MS, Kimberly A. McGuigan, PhD, Robert R. Verbrugge, PhD,and Robert S.Epstein, MD, MS, Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost, Medical Care

14. Result: Symptoms and Complications Worsen Utilization of Inpatient Medical Services Increases Total Healthcare Costs IncreaseSource: Michael C. Sokol, MD, MS, Kimberly A. McGuigan, PhD, Robert R. Verbrugge, PhD,and Robert S.Epstein, MD, MS, Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost, Medical Care

15. Individualized.

16. Follow UpYour health, your way

17. Self-Management: Education Tools Resources

18. Make Education Interesting

19. Pharmacy is Expensive. Is it worth it?

20. Clinical Management Strategy and Clinical Value Customer Value Improved Adherence = ROI Optimal Clinical Outcomes Care Planning and Real Time Monitoring Patient Coaching and Motivational Interviewing Medication Adherence Condition Adherence Medication Therapy Management Reduced Costs from Complications Reduced Hospital Admissions or Readmissions Facilitating a Comprehensive Continuum of Care

21. Happy, Healthy, Productive Employees

22. Happy, Healthy, Productive Employees 15% 85% 75% Empower

23. Employers and Plans Outcomes: Safe, effective drugs Higher productivity Decreased costs Healthier employees

24. Its more complex than justcheaper drug costs.

25. 3.5 Billion 75.4% Healthcare costscontinue to spiral.

26. Happy, Healthy, Productive Employees Right medication. Right dose. Right time.

27. Asheville, NC

28. Average benefit of $4 to $8.48 in reduced healthcare costs per dollar spent. Source: The Asheville Project

29. $1,200 Decreased Diabetes cost per patient. $18,000Increase in productivity per employee. Source: The Asheville Project

30. Chronic Disease Cost to Alabama 2003: $4.7 B 2023: $12.1 Billion Source: GE

31. Healthy CultureHealthy Huntsville, Sterling Health and Wellness

32. Healthy Huntsville 100 free events Free iPhone App Crowd-sourced Gamified

33. 100 free events | Free iPhone App | Crowd-sourced | Gamified

34. Take action.Make progress. Get rewards.

35. Alabamas Largest Yoga ClassHealthy Huntsville, Sterling Health and Wellness

36. Engage Community. Empower Citizens. Change Lives.

37. Other than dispensing pills, what can a pharmacy do?1. Biometric Health Screenings2. Comprehensive Medication Therapy Management Services3. Community Resources and Individual Education

38. Healthy Communities Healthy Employees Better Lives

39. Live Well. Be Happy. Life is fun!www.healthsterling.com Rebecca Sterling rebecca@healthsterling.com MTM Compounding Pharmacy