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Hero Forum on Employee Health Solutions Hyatt Regency – Chicago September 18-20, 2006

Hero Forum on Employee Health Solutions Hyatt Regency – Chicago September 18-20, 2006. Global Health Promotion: As easy as 5-10-25. David S. Pratt, M.D. Director, Health Services and Medical Operations GE Energy. GE Energy … A Truly Global Business.

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Hero Forum on Employee Health Solutions Hyatt Regency – Chicago September 18-20, 2006

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  1. Hero Forum on Employee Health Solutions Hyatt Regency – Chicago September 18-20, 2006 Global Health Promotion: As easy as 5-10-25 David S. Pratt, M.D. Director, Health Services and Medical Operations GE Energy

  2. GE Energy … A Truly Global Business • Currently operating in more than 100 countries … 100+ years • Over 38,000 employees … ~500 locations • $19BN (est.) 2006 revenue

  3. Global Problems of Global Prosperity Excess fat calories and/or too little fruit and vegetable intake > 50% Too little exercise > 80% Excess weight > 60%

  4. Poor Diet

  5. Source: Behavioral Risk Factor Surveillance System (BRFSS)

  6. GE Energy Fruit and Vegetable Intake 0-<1 1-<3 >5 3-<5 Poorer intake than the BRFSS data for all Americans

  7. Lack of Exercise

  8. U.S. Physical Activity Statistics: 1986–2002 No Leisure-Time Physical Activity Trend Chart

  9. The Benefits of Physical Activity • Itcan reduce your risk ofdyingprematurely. • Most specifically, it can reduce your risk of dying prematurely from heart disease. • It can reduce your risk of developing diabetes • It can reduce your risk developing highblood pressure. • It will help to control your weight. • It will help you to build and maintain healthy bones, muscles, and joints. • If you are an older adult, it can help you to become stronger and better able to move about without falling.

  10. If exercise was a drug and GE had the patent we wouldn’t need to sell much else……..

  11. Overweight and Obesity

  12. ?

  13. Increasing US Obesity

  14. 2004 BMI > 30, or ~ 30 lbs. overweight for 5'4" person

  15. Increasing Global Obesity Problem 130% 50% 48% 26% 18%

  16. Increasing Global Obesity Problem

  17. Number (in Millions) of Persons with Diagnosed Diabetes, United States, 1980–2004

  18. The Opportunity for Large Employers Develop a strategy for improving the health of your workforce in a highly efficient way Encourage better diets, more exercise and weight control Make it simple, easy to understand, and culturally compatible, keep it personal Use the web, push it to them, give feedback plus prizes, encourage competition, and celebrate “heroes”

  19. GE Energy’s Response to the “Opportunity” We built a web-based application that allows e-enabled employees to set goals and track their health behaviors on a monthly basis Push e-mails and “ads “ on the Energy homepage invite participation Enrollment entails entering age, height, weight, current intake of vegetable and fruit and usual exercise activity in terms of steps Each month the application queries the participants about their past month trends and provides immediate feedback

  20. Challenge Summary for 2004 Program Nuts and Bolts………. • May 1 – December 31, 2004 • Employees enter data once each month • Weight loss/weight maintenance goals evaluated by current BMI • Maximum of 20 points each month for attaining goals: • Average daily servings of fruits and vegetables eaten • Average daily exercise • Pounds/Kilograms lost or maintained that month • Monthly newsletter, web resources • Online nutrition, fitness, and behavioral coaches • Raffles • Team competition • End of Challenge Team Prize and Challenge Participant Hall of Fame

  21. Home page “ad” for 0-5-10-25 Challenge

  22. Challenge Screens for 2004 Program Registration

  23. Challenge Screens for 2004 Program Sample Weight Goal Selection for employee with BMI>30

  24. Challenge Screens for 2004 Program Sample 6 month Maximum Weight Goals*

  25. Challenge Screens for 2004 Program Monthly Newsletter

  26. Fitness Coaching Page

  27. Web support for Weight Control

  28. Changes in Intake of Fruits and Vegetables 2002-2005* * All differences statistically significant at the p < 0.05 level

  29. Changes in Exercise Behavior 2002-2005* * All differences statistically significant at the p < 0.05 level

  30. Mean Changes in Weight for Unique Participants 2002-2005* * All differences statistically significant at the p < 0.05 level

  31. Health Heroes David Parker, Cramlington, UK Ryan Allred, Salt Lake City, UT USA

  32. The 5-10-25 Challenge Observational Study Conclusions 2002-2005 • Participants significantlyincreased their fruit and vegetable intake from beginning to end of each year’s program (p<.05) • Participants significantlyincreased their exercise level from beginning to end of each year’s program (p<.05) • Participants significantlydemonstrated a weight change from beginning to end of each year’s program (p<.05)

  33. Health by NumbersLooking forward:Looking back:

  34. C R A

  35. Fasting Triglycerides Elevated triglycerides are an independent cardiovascular disease risk factor. Factors that may contribute to elevated triglycerides include obesity and overweight, physical inactivity, cigarette smoking, excess alcohol intake and a diet very high in simple sugars (>60% carbohydrates). Certain diseases (diabetes and kidney disease) and some medications (corticosteroids, estrogens, retinoids, higher doses of beta-blockers) increase triglyceride levels. Test Your Result Standard Values Comments Triglyceride 199 mg/dL Less than 150 mg/dL Normal Emphasis is normally placed on weight reduction and increased physical activity to reduce triglycerides. 150 to 199 mg/dL Borderline 200 to 499mg/dL High 500 mg/dL or more Very High 0 Live tobacco free. 5 Evaluate your diet. Focus on portion control and eating the right type of fat. Avoid extremes by avoiding a diet that is very high in fat or very high in carbohydrates. 10 Walk 10,000 steps a day. Avoid inactivity. 25 Maintain a healthy weight. Follow the recommendations in the BMI section of this report.  Evaluate your alcohol use. More than one drink a day can harm your health. Alcohol can cause an increase in triglycerides.  Review your medications with your doctor or pharmacist. Keep your triglycerides low with 051025

  36. Participant’ s Feedback on CRA Quality

  37. CRA Results at GE Energy

  38. Key Lessons Learned From Our Efforts • The Challenge is associated with favorable trends • The results met our objectives of broad reach, low touch, • digitized, efficient, global and deep • Developing the application and testing is tedious • The program interaction is fast (< 1 minute/ month) • The program is popular - business units compete • Heroes are helpful • No early evidence of claims impact ( sample size, time) • Decide what you want to learn from the results at the • before launch • Integrate programs so that the mantra is repeated again and again and again……

  39. Live Tobacco Free • Eat 5 or more servings of fruits and vegetables each day • Walk 10,000 Steps A Day or engage in 30+ minutes of moderate intensity exercise • Strive for a Body Mass Index (BMI) of less than 25

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