This document summarizes the wellness initiatives and health risk assessment data of Eastman Chemical Company. It provides an overview of the company and its history of wellness programs dating back to 1991. Key data is presented on employee health risks over time from health risk assessments, and programs offered to support weight management, physical activity, diabetes management and stress reduction. The path forward emphasizes a continued focus on weight and physical activity through nutrition programs, fitness initiatives and community partnerships.
2. Contents
Eastman Chemical Company Overview
Wellness History & Goals
Health Risk Assessment (HRA) Data
Programs
Path Forward
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. Wellness history
1991: Began Eastman Health & Wellness Program
2003: Employee health identified as critical business issue
Direct health care and productivity cost the biggest issue
Established cross-functional strategic team to develop
new model
2004-05: Implemented integrated model & established
Eastman Integrated Health (EIH)
2008: Created overarching brand identity (HealthE Connections)
that incorporates everything health-related at Eastman
2009: Progress in our integrated model
Single Third Party Administrator
Dedicated team for care management
Incentive programs (HealthE Dividends)
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. Building a culture of health
At Eastman
Behavior Change Incentives
(Outcomes)
Management
Support
Opportunites
Partner
(Programming)
Support
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. 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 > 25.0
Primary 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. Multiple risk factor summary
All 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. Multiple risk factor summary
Comparison 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. 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 2006
December 2011
12. Risk factors for spouse population
Lack 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
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. 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. Health coaching graduates
2003-11 (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. Weight management
Program designed to help
employees and spouses lose
weight or maintain current weight
Weight Watchers at Work
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. Physical activity programs
On-site Fitness
Centers
Boot Camp
On-site Group
Fitness Programs
Triathlon
JOBFIT
Walk This Way
21. High risk diabetes management program
Individuals choosing this program must meet the following
eligibility 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 60
At 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. 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. 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. Health promotion programs
Program / Service Participation
Employees & Spouses
Flu Vaccinations 2785
Health Education Seminars 859
20 Year Celebration / Employee Appreciation 811
Resolution Solutions 395
Onsite Mobile Screenings 245
HealthE Connections Center Open House 125
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. 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
28. The vision
Improve the health of Eastman’s
employees and families
Inspire families to eat
healthier and get active
Collaborate with local physician partnerships
29. Our focus
Weight & Medical
Physical Innovation
Activity Technology
Employees
Families
Community
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. Physical activity projects & programs
implemented
Kingsport: fitness center renovations
Texas City: fitness center grand opening in July
Weight &
Physical Jefferson: fitness center under construction
Activity
New 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. MISSION POSSIBLE
HDA Program began May 14
1836 employees/spouses registered
218 of those enrolling children
Begin and establish a regular exercise
Mission #1:
program
Discover your potential by advancing
Mission #2
your current exercise program
Maintain your health with a long term
Mission #3
physical activity plan
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. 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
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