VOLTAMAC HOME HEALTH SERVICES: OVERVIEW Simply Reliable

VHHS CARE TRANSITION PROGRAM This is where Voltamac comes in to help! Our Care Transitions Program emulates the Coleman’s CTI Model & Naylor’s Transition Care Model Private Pay Care Transition Services: Flat Fee of $250”: Transportation home; transportation to follow-up appointment; home safety inspection; medication management (pickup and filling pills box), etc. Telehealth Services – Remote Patient Monitoring via biometric capturing devices Remote Monitoring via Automated Phone Calls and Video Consultations Online Referral via our website: www.voltamachomehealth.com Successful at taking the burden off the hospital to avoid readmission penalties VHHS- YOUR VALUE-ADDED PARTNER IN REDUCING ER VISITS & READMISSION

HOSPITAL READMISSION PROGRAM Medicare spends about $26 billion on readmissions within 30 days per year on AVOIDABLE READMISSIONS. Started in 2013 to encourage hospitals to manage care transitions and avoid readmission. Percentage of Medicare’s Revenue: Maximum Penalty of $250/readmission -1% Year 1 (2,217 hospitals at $218 million) -Year 3 (2015): 3% ( at $428 million). Shift to Bundled Payment where hospitals lose revenue on readmissions Hospitals can benefit from LOW READMISSIONS which impacts their Start Ratings that reward hospitals with LOW READMISSIONS. The RESPONSE is Coordinated CARE TRANSITIONS PROGRAMS

HOSPITAL READMISSION ROULETTE 90% Re-hospitalizations within 30 days are unplanned 75% of Readmissions preventable equating to $12 Billion a year to Medicare spending 68.9% of patients discharged with a medical condition, were re- hospitalized or died within one year of discharge 53% re-hospitalization of Discharges after a surgical procedure 50% of re-admissions within 30 days had no bill for a physician visit 70% surgical patients were admitted for a medical condition such as pneumonia 19% of Medicare discharges are followed by an adverse advent with 30 days: 2/3 Adverse Drug Events that are preventable

HOSPITAL READMISSION PROGRAM Five most common Medical condition for Readmission: Congestive Heart Failure (CHF) COPD/Pneumonia Acute Myocardial Infarction (Heart Attack) Psychoses GI problems Five most common surgical procedures: Cardiac stent placement Major hip or knee surgery Vascular surgery Major bowel surgery Other hip or femur surgery

WHY DO RE-ADMISSIONS HAPPEN? Discharge from Hospital is critical and requires adequate planning and preparations to avoid Medication errors Lack of follow-up visits following discharge Poor discharge planning Inadequate arrangements by family members Poor communication Adverse events

WHY HOSPITALS PARTNER WITH VHHS VHHS can help hospitals: reduce readmission rates reduce penalties Avoid negative perception and publicity Increase revenue Improve or Maintain Star Ratings Maintain accreditation status

CONTACT INFORMATION Voltamac Home Health Services The State Street Building, 354 State Street, Suite 102 Hackensack, NJ 07601 Tel: 201-428-9090 or (Cell) 917-612-6447 Fax: 888-721-0888 Email: inquiries@vhhscare.com Website: www.vhhscare.com