A healthier Eastman
continuing the journey
Contents
Eastman Chemical Company Overview
Wellness History & Goals
Health Risk Assessment (HRA) Data
Programs
Path Forward
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
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)
Eastman’s integrated health goals
• Healthier and more productive
workforce
• Greater responsibility for one’s
health status
• More cost-effective purchase
of medical care
• Lower rate of increase in
overall cost of medical,
disability and related expenses
• Improved quality of health
care delivered
• Opportunity to improve health
• Opportunity to impact
Eastman’s financial
performance:
• Containing direct health
care spend
• Reducing indirect cost of
poor health (absenteeism
and productivity)
“Building a Culture of Health”
Results
At Eastman
Building a culture of health
Management
Support
Behavior Change
(Outcomes) Incentives
Opportunites
(Programming) Partner
Support
$600 lower health care
contributions for
employees and spouses
completing HRA
$600 lower health care
contributions for employees
and spouses completing HRA
and employee participating in
one health management
program
$600 lower health care
contributions for employees
completing HRA, one health
management program
2007 2008 2006 2005 2009
30%
No incentive offered
$600 lower health care
contributions for
employees completing
HRA
Incentive timeline and HRA participation
94%
2010
92%
88%
87%
$600 lower health care
contributions for
employees and spouses
completing HRA
86%
86%
$600 lower health care
contributions for
employees and spouses
completing HRA
2011
Risk Factor Risk Definition
Pri
mary
Ris
ks
(% a
t R
isk)
Cholesterol Total Cholesterol > 200mg/dl or HDL < 40mg/dl or LDL > 100
mg/dl or Triglycerides > 150mg/dl
BMI > 25.0
Blood Pressure > 140/90
Depression Little interest or pleasure in doing things AND felt down,
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)
Seco
nd
ary
Ris
ks
(% a
t R
isk)
Fruits & Veg Eating less than 5 servings of fruits and vegetables a day
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
Custom 14 risk factors
Multiple risk factor summary
4.09
4.01
3.89
3.82
3.77 3.73
3.50
3.60
3.70
3.80
3.90
4.00
4.10
4.20
Time 1 Time 2 Time 3 Time 4 Time 5 Time 6
Average Number of Risks**
* Represents each condition year (Sept. 1 – Aug 31)
**T1/T6 & T5/T6 changes were Statistically Significant using paired samples t-test
All Employees – T1/T2/T3/T4/T5/T6*
(n=5,544)
Eastman Chemical Company Custom 14 Risk Factors
Multiple risk factor summary
68
.5%
27
.3%
4.2
%
68
.8%
26
.2%
5.0
%
0%
10%
20%
30%
40%
50%
60%
70%
80%
0 to 4 Risks 5 to 6 Risks 7+ Risks
T1-T6 Participants New Participants
Average Number of Risks:
T1-T6 Participants 3.73
New Participants 3.80
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
Eastman Chemical Company Custom 14 Risk Factors
Improvement in risk factors for employee population
December 2011
0% 10% 20% 30% 40% 50% 60% 70%
Hypertension/High Blood Pressure (140+ or 90+)
Cholesterol (200+)
Diabetes Blood Glucose >140
Pre-Diabetes Blood Glucose >100
Obese (BMI 30+)
Overweight (BMI 25-29.9)
Tobacco Use
Lack of Physical Activity (<4/week)
2011 2010 2009 2008 2007 2006
Lowering Percent At
Risk Over Six Years:
Cholesterol: 31.0%
Hypertension: 30.5%
Tobacco Use: 22.9%
Diabetes: 18.5%
Pre-Diabetes: 15.6%
Lack of Phys. Act.: 12.2%
Overweight/Obese: 1.1%
Ris
k F
acto
rs
Good
December 2011
0% 10% 20% 30% 40% 50% 60% 70%
Hypertension/High Blood Pressure (140+ or 90+)
Cholesterol (200+)
Diabetes Blood Glucose >140
Pre-Diabetes Blood Glucose >100
Obese (BMI 30+)
Overweight (BMI 25-29.9)
Tobacco Use
Lack of Physical Activity (<4/week)
2011 2010 2009 2008
Risk factors for spouse population
Lowering Percent At
Risk Over Four Years:
Cholesterol: 11.2%
Hypertension: 20.8%
Tobacco Use: 12.6%
Diabetes: 0.0%
Pre-Diabetes: 10.5%
Lack of Phys. Act.: 3.7%
Overweight/Obese: -1.25%
Ris
k F
acto
rs
Good
What we offer today
Incentive programs
Maintain
Health
• HealthE Living
• BodE Mass
Chronic
Conditions
• Diabetes
• Hypertension
Life Style
Management
• Stress Less Living
• BodE Mass
• Back to Basics
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
Health coaching graduates 2003-11 (N= 7,312)
45.58% of graduates lost weight (average weight loss = 8.15 lbs)
Category % of High-Risk Graduates
Who Eliminated Risk
Physical activity 72.5%
Blood pressure 71.4%
Total cholesterol 70.8%
Glucose 59.4%
Triglycerides 54.2%
Weight management
Program designed to help
employees and spouses lose
weight or maintain current weight
Weight Watchers at Work
BodE Mass project comparison 2010 - 2011
Year Registered Total Weight
Lost
Average
Weight
Beginning
Average
Weight Ending
Average BMI
Beginning
Average BMI
Ending
Total Met their
Year End Goal
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
Eliminated Risk for BMI
2010 2011
5.4% 7.7%
Noteworthy (2010):
• 8.6% of those registered reduced their risk for BMI
• 23% of those registered had a beginning BMI less than 25
• 30.8 % of those registered had an ending BMI less than 25
Noteworthy (2011):
• 13.8% of those registered reduced their risk for BMI
• 28% of those registered had a beginning BMI less than 25
• 36.8% of those registered had an ending BMI less than 25
Category 2010
% That Lost Weight
2011
% That Lost Weight
2010
% That Met Goal
2011
% 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%
Physical activity programs
On-site Fitness
Centers
JOBFIT
Walk This Way
Boot Camp
Triathlon
On-site Group
Fitness Programs
Physical activity programming
0
20000
40000
60000
80000
100000
120000
140000
2004 2005 2006 2007 2008 2009 2010 2011
Fitness Center Visits
0
5000
10000
15000
20000
25000
2004 2005 2006 2007 2008 2009 2010 2011
Group Fitness Visits (Instructor Led Activities)
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)
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
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
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
Health promotion satisfaction
Program Area % Positive and
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%
CE&SP
HR CM&S IT
OSSD
TEPO Technology WWE&C Utilities
TX OCD TX OSD TX EM&S
12 Division Wellness Teams
• CM&S Walk Across TN
• CM&S Weight No More
• OSSD Olympiad
• CE&SP Health U
• CE&SP Jingle Bell
Challenge
• Technology Race to
Fitness
• Technology Healthy Recipe
Cookoff
• Utilities Shiftwork Pilot
Program
Three Site Wellness Steering Teams
• Tennessee
• Texas
• Pennsylvania
2011 divisional programs
Engaging in Wellness for the people they serve
Focus in 2012
Inspire families to eat
healthier and get active
Collaborate with local physician partnerships
Improve the health of Eastman’s
employees and families
The vision
Our focus
Medical
Innovation
Technology
Weight &
Physical
Activity
Employees
Families
Community
Nutrition programs implemented
Weight &
Physical
Activity
$4 Healthy Meals
$3 Healthy Vegetable Meals
Red, Yellow, Green Serving Utensils
Vending Machines – Healthy choices labeled
Catering – Healthy choices noted on website
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
Physical activity projects & programs
implemented
Weight &
Physical
Activity
Kingsport: fitness center renovations
Texas City: fitness center grand opening in July
Jefferson: fitness center under construction
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
MISSION POSSIBLE
HDA Program began May 14
1836 employees/spouses registered
218 of those enrolling children
Mission #1: Begin and establish a regular exercise
program
Mission #2 Discover your potential by advancing
your current exercise program
Mission #3 Maintain your health with a long term
physical activity plan
“Families for a Healthier Eastman” team
Chosen ambassadors from communities
where our employees live
Officially started on January 30, 2012
Employees
Families
Community
Objectives: Improve the health of Eastman’s employees
and families
Inspire families to eat healthier and get active
Focus Areas: Food/Nutrition
Physical Activity
Education/Motivation
Medical/Prevention
Medical program implemented
Hypertension Program – those who choose
to participate will:
Receive free blood pressure monitors
High risk participants are eligible for
telemonitor device
Medical
Innovation
Technology
Summary
2012 focus areas
Expand Program
with Company Growth
New HRA
New Website
Individualized Coaching Triage
ROI
Fitness Center Renovations
Group Fitness Renovations
Mission Possible
(Physical Activity)
Opportunities and new challenges
"I will value my health
a"I will value my
health as I value the health of my loved
ones.“ - Dr. Pamela Peeke