A healthier Eastman   continuing the journey
Contents Eastman Chemical Company Overview Wellness History & Goals Health Risk Assessment (HRA) Data Programs Path F...
Eastman Chemical Company - overview Global manufacturer of chemicals, plastics and fibers  headquartered in Kingsport, TN...
Wellness history1991:    Began Eastman Health & Wellness Program2003:    Employee health identified as critical business i...
Eastman’s integrated health goals• Healthier and more productive  workforce                                    • Opportuni...
Building a culture of health                          At Eastman          Behavior Change                Incentives       ...
Incentive timeline and HRA participation      30%                         92%                         87%                 ...
Custom 14 risk factors                       Risk Factor                                Risk Definition                   ...
Multiple risk factor summaryAll Employees – T1/T2/T3/T4/T5/T6*(n=5,544)                         Average Number of Risks** ...
Multiple risk factor summaryComparison of T1-T6 Participants and New Participants          T1-T6 Participants Average Age ...
Improvement in risk factors for employee population Lack of Physical Activity (<4/week)                                   ...
Risk factors for spouse populationLack of Physical Activity (<4/week)                                                     ...
What we offer today
Incentive programs                 Maintain          • HealthE Living                  Health           • BodE Mass       ...
Health coaching On-site, face-to-face health coaching Enrollment topics include BMI, blood pressure, lipids,  blood gluc...
Health coaching graduates2003-11 (N= 7,312)                                % of High-Risk Graduates    Category           ...
Weight management                Program designed to help                employees and spouses lose                weight ...
BodE Mass project comparison        2010 - 2011                                                              Average      ...
Physical activity programs                        On-site Fitness                               Centers          Boot Camp...
Physical activity programming                                                                      Fitness Center Visits  ...
High risk diabetes management programIndividuals choosing this program must meet the followingeligibility criteria:    Em...
Stress Less Living   Overview     Educate and improve quality of life     Program includes:         Pre and Post asses...
Stress Less Living results - 2011 94 Participants (Kingsport and Texas) Integrated Effort   • Eastman Medical / Eastman ...
Health promotion programsProgram / Service                                Participation                                   ...
Health promotion satisfaction                                 % Positive and  Program Area                                ...
2011 divisional programs Three Site Wellness Steering Teams • Tennessee                                               12 D...
Focus in 2012
The vision                           Improve the health of Eastman’s                           employees and families     ...
Our focus        Weight &       Medical        Physical     Innovation        Activity     Technology              Employe...
Nutrition programs implemented $4 Healthy Meals $3 Healthy Vegetable Meals Red, Yellow, Green Serving Utensils         ...
Changing the trend Prior to Healthy Meal Initiative the baseline healthy  entrée sales were approximately 10% After 12 w...
Physical activity projects & programs       implemented                                        Kingsport: fitness center r...
MISSION POSSIBLE   HDA Program began May 14   1836 employees/spouses registered   218 of those enrolling children      ...
“Families for a Healthier Eastman” team Chosen ambassadors from communities  where our employees live Officially started...
Medical program implemented Hypertension Program – those who choose        Medical  to participate will:                 ...
Summary
2012 focus areas
Opportunities and new challenges  Fitness Center Renovations   New HRA  Group Fitness Renovations    New Website          ...
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Koop Award Winner: HealthE Connections - Eastman Chemical Company with Diane Reed

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Koop Award Winner: HealthE Connections - Eastman Chemical Company with Diane Reed

  1. 1. A healthier Eastman continuing the journey
  2. 2. Contents Eastman Chemical Company Overview Wellness History & Goals Health Risk Assessment (HRA) Data Programs Path Forward
  3. 3. Eastman Chemical Company - overview Global manufacturer of chemicals, plastics and fibers headquartered in Kingsport, TN 2011 sales of $7.2 billion 16 manufacturing sites in eight countries Over 1200 products More than 10,000 employees worldwide (~8,600 domestic) Five U.S. sites, primarily non-union Approximately 6,800 employees located at one site in Tennessee
  4. 4. Wellness history1991: Began Eastman Health & Wellness Program2003: Employee health identified as critical business issue  Direct health care and productivity cost the biggest issue  Established cross-functional strategic team to develop new model2004-05: Implemented integrated model & established Eastman Integrated Health (EIH)2008: Created overarching brand identity (HealthE Connections) that incorporates everything health-related at Eastman2009: Progress in our integrated model  Single Third Party Administrator  Dedicated team for care management  Incentive programs (HealthE Dividends)
  5. 5. Eastman’s integrated health goals• Healthier and more productive workforce • Opportunity to improve health• Greater responsibility for one’s • Opportunity to impact health status Eastman’s financial• More cost-effective purchase performance: of medical care Results • Containing direct health• Lower rate of increase in care spend overall cost of medical, • Reducing indirect cost of disability and related expenses poor health (absenteeism• Improved quality of health and productivity) care delivered “Building a Culture of Health”
  6. 6. Building a culture of health At Eastman Behavior Change Incentives (Outcomes) Management Support Opportunites Partner (Programming) Support
  7. 7. Incentive timeline and HRA participation 30% 92% 87% 86%No incentive offered $600 lower health care $600 lower health care $600 lower health care contributions for employees contributions for contributions for completing HRA, one health employees and spouses employees and spouses management program completing HRA completing HRA 2005 2006 2007 2008 2009 2010 2011 94% 88% 86% $600 lower health care $600 lower health care $600 lower health care contributions for contributions for employees contributions for employees completing and spouses completing HRA employees and spouses HRA and employee participating in completing HRA one health management program
  8. 8. Custom 14 risk factors Risk Factor Risk Definition Total Cholesterol > 200mg/dl or HDL < 40mg/dl or LDL > 100 Cholesterol mg/dl or Triglycerides > 150mg/dl BMI > 25.0Primary Risks (% at Risk) Blood Pressure > 140/90 Little interest or pleasure in doing things AND felt down, Depression depressed, or hopeless Fitness Moderate level activity < 4 days /week Glucose > 100mg/dl Stress Often stressed and trouble coping at times or greater Tobacco Any tobacco use (cigarettes, pipes, cigars, snuff)Secondary Risks Fruits & Veg Eating less than 5 servings of fruits and vegetables a day (% at Risk) Seat Belt < 90% of the times Job Satisfaction Very dissatisfied Life Satisfaction Very dissatisfied Alcohol Females > 7 drinks per week, Males > 14 drinks per week Perception of Health Poor
  9. 9. Multiple risk factor summaryAll Employees – T1/T2/T3/T4/T5/T6*(n=5,544) Average Number of Risks** 4.20 4.09 4.10 4.01 4.00 3.89 3.90 3.82 3.80 3.77 3.73 3.70 3.60 3.50 Time 1 Time 2 Time 3 Time 4 Time 5 Time 6 * Represents each condition year (Sept. 1 – Aug 31) **T1/T6 & T5/T6 changes were Statistically Significant using paired samples t-test Eastman Chemical Company Custom 14 Risk Factors
  10. 10. Multiple risk factor summaryComparison of T1-T6 Participants and New Participants T1-T6 Participants Average Age 49 26.5% Female / 73.5% Male New Participants Average Age 40 25.4% Female / 74.6% Male T1-T6 Participants New Participants 80% 70% 60% 50% 68.8% 68.5% 40% 30% 27.3% 26.2% 20% 4.2% 5.0% 10% 0% 0 to 4 Risks 5 to 6 Risks 7+ Risks Average Number of Risks: T1-T6 Participants 3.73 New Participants 3.80 Eastman Chemical Company Custom 14 Risk Factors
  11. 11. Improvement in risk factors for employee population Lack of Physical Activity (<4/week) Lowering Percent At Risk Over Six Years: Tobacco Use Overweight Cholesterol: 31.0% Risk Factors (BMI 25-29.9) Obese Hypertension: 30.5% (BMI 30+) Pre-Diabetes Good Tobacco Use: 22.9% Blood Glucose >100 Diabetes Blood Glucose >140 Diabetes: 18.5% Cholesterol (200+) Pre-Diabetes: 15.6% Hypertension/High Blood Pressure (140+ or 90+) Lack of Phys. Act.: 12.2% 0% 10% 20% 30% 40% 50% 60% 70% Overweight/Obese: 1.1% 2011 2010 2009 2008 2007 2006December 2011
  12. 12. Risk factors for spouse populationLack of Physical Activity (<4/week) Lowering Percent At Risk Over Four Years: Tobacco Use Overweight Cholesterol: 11.2% Risk Factors (BMI 25-29.9) Obese Hypertension: 20.8% (BMI 30+) Pre-Diabetes Good Tobacco Use: 12.6% Blood Glucose >100 Diabetes Blood Glucose >140 Diabetes: 0.0% Cholesterol (200+) Pre-Diabetes: 10.5%Hypertension/High Blood Pressure (140+ or 90+) Lack of Phys. Act.: 3.7% 0% 10% 20% 30% 40% 50% 60% 70% Overweight/Obese: -1.25% 2011 2010 2009 2008 December 2011
  13. 13. What we offer today
  14. 14. Incentive programs Maintain • HealthE Living Health • BodE Mass Chronic • Diabetes Conditions • Hypertension • Stress Less Life Style Living Management • BodE Mass • Back to Basics
  15. 15. Health coaching On-site, face-to-face health coaching Enrollment topics include BMI, blood pressure, lipids, blood glucose, physical inactivity and tobacco Multidisciplinary team consisting of RNs, RDs, exercise physiology, health educators/coaches Health coaching since 1991
  16. 16. Health coaching graduates2003-11 (N= 7,312) % of High-Risk Graduates Category Who Eliminated Risk Physical activity 72.5% Blood pressure 71.4% Total cholesterol 70.8% Glucose 59.4% Triglycerides 54.2% 45.58% of graduates lost weight (average weight loss = 8.15 lbs)
  17. 17. Weight management Program designed to help employees and spouses lose weight or maintain current weight Weight Watchers at Work
  18. 18. BodE Mass project comparison 2010 - 2011 Average Total Weight Average Average BMI Average BMI Total Met their Year Registered Weight Lost Weight Ending Beginning Ending Year End Goal Beginning 2010 979 2,233 lbs 190.05 lbs 187.05 29.03 28.57 199 2011 1627 5,405.8 lbs. 182.71 lbs. 178.31 lbs. 27.65 27 644 Category 2010 2011 2010 2011 % That Lost Weight % That Lost Weight % That Met Goal % That Met Goal Normal 47.1% 63.3% 90.1% 96.6% Overweight 58.7% 78.4% 19.8% 34.7% Obese 64.1% 75.5% 9.9% 17.6% Total 58.1% 72.5% 32.3% 51.1%Noteworthy (2010): Noteworthy (2011):• 8.6% of those registered reduced their risk for BMI • 13.8% of those registered reduced their risk for BMI• 23% of those registered had a beginning BMI less than 25 • 28% of those registered had a beginning BMI less than 25• 30.8 % of those registered had an ending BMI less than 25 • 36.8% of those registered had an ending BMI less than 25 Eliminated Risk for BMI 2010 2011 5.4% 7.7%
  19. 19. Physical activity programs On-site Fitness Centers Boot Camp On-site Group Fitness Programs Triathlon JOBFIT Walk This Way
  20. 20. Physical activity programming Fitness Center Visits 140000 120000 100000 80000 60000 40000 20000 0 2004 2005 2006 2007 2008 2009 2010 2011 Group Fitness Visits (Instructor Led Activities) 25000 20000 15000 10000 5000 0 2004 2005 2006 2007 2008 2009 2010 2011
  21. 21. High risk diabetes management programIndividuals choosing this program must meet the followingeligibility criteria:  Employees  Spouses covered under Eastman health insurance  Diagnosis of diabetes along with any one of the following:  Prior MI, Stroke, Heart Failure, Angina or TIA  HbA1c greater than 8  LDL greater than 130  BP greater than 140/90  Microalbuminuria or GFR under 60At the end of the first year:  Approximately 80% of those engaged had made progress in at least one category (decrease in HbA1c or FBS, decrease in LDL or decrease in BP)
  22. 22. Stress Less Living Overview  Educate and improve quality of life  Program includes:  Pre and Post assessments  Six group classes • Don’t Believe Everything You Think • What Color is Your Mood Ring? • A Change Will Do You Good • Listen to What I Mean, Not What I Say • Time Matters • Shifting Gears  Individual follow-up session with life coach
  23. 23. Stress Less Living results - 2011 94 Participants (Kingsport and Texas) Integrated Effort • Eastman Medical / Eastman Integrated Health • Eastman Employee Assistance Program (EAP) • HealthFitness Increased awareness of EAP services Raised awareness of individual stress levels, coping skills, and relaxation techniques
  24. 24. Health promotion programsProgram / Service Participation Employees & SpousesFlu Vaccinations 2785Health Education Seminars 85920 Year Celebration / Employee Appreciation 811Resolution Solutions 395Onsite Mobile Screenings 245HealthE Connections Center Open House 125
  25. 25. Health promotion satisfaction % Positive and Program Area Very Positive Mobile Mammography Screening 97% Stress Less Living 95% Bone Density Screening 95% Mind Your Health Seminars 94% Diabetes Jeopardy 93% Health Education Seminars 90%
  26. 26. 2011 divisional programs Three Site Wellness Steering Teams • Tennessee 12 Division Wellness Teams • CM&S Walk Across TN • Texas • CM&S Weight No More • Pennsylvania • OSSD Olympiad • CE&SP Health U • CE&SP Jingle Bell Challenge • Technology Race to Fitness • Technology Healthy Recipe Cookoff HR • Utilities Shiftwork Pilot CM&S IT Program OSSD CE&SP Utilities WWE&C Technology TEPO TX OCD TX OSD TX EM&S Engaging in Wellness for the people they serve
  27. 27. Focus in 2012
  28. 28. The vision Improve the health of Eastman’s employees and families Inspire families to eat healthier and get activeCollaborate with local physician partnerships
  29. 29. Our focus Weight & Medical Physical Innovation Activity Technology Employees Families Community
  30. 30. Nutrition programs implemented $4 Healthy Meals $3 Healthy Vegetable Meals Red, Yellow, Green Serving Utensils  Vending Machines – Healthy choices labeled  Catering – Healthy choices noted on websiteWeight &PhysicalActivity
  31. 31. Changing the trend Prior to Healthy Meal Initiative the baseline healthy entrée sales were approximately 10% After 12 weeks of $4 Healthy Meal Initiative, between 30-35% of meals sold are healthy options Cafeterias have received requests for $4 Healthy Meals for catering
  32. 32. Physical activity projects & programs implemented Kingsport: fitness center renovations Texas City: fitness center grand opening in July Weight & Physical Jefferson: fitness center under construction ActivityNew HDA programs• On-site Fitness Center/Group Fitness Usage• Off-Site Fitness Center/Group Fitness Usage• MISSION POSSIBLE program: • “Walk the Walk” with Senior Leaders at each plant site
  33. 33. MISSION POSSIBLE  HDA Program began May 14  1836 employees/spouses registered  218 of those enrolling children Begin and establish a regular exerciseMission #1: program Discover your potential by advancingMission #2 your current exercise program Maintain your health with a long termMission #3 physical activity plan
  34. 34. “Families for a Healthier Eastman” team Chosen ambassadors from communities where our employees live Officially started on January 30, 2012  Objectives:  Improve the health of Eastman’s employees and families  Inspire families to eat healthier and get active  Focus Areas:  Food/Nutrition  Physical Activity Employees  Education/Motivation Families  Medical/Prevention Community
  35. 35. Medical program implemented Hypertension Program – those who choose Medical to participate will: Innovation Technology  Receive free blood pressure monitors  High risk participants are eligible for telemonitor device
  36. 36. Summary
  37. 37. 2012 focus areas
  38. 38. Opportunities and new challenges Fitness Center Renovations New HRA Group Fitness Renovations New Website Expand Program Mission Possible Individualized Coaching Triage with Company Growth (Physical Activity) ROI "I will value my health a"I will value my health as I value the health of my loved ones.“ - Dr. Pamela Peeke
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