Hero Forum on Employee Health Solutions

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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
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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

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Global Problems of Global Prosperity
Excess fat calories and/or too little fruit and
vegetable intake gt 50 Too little exercise gt
80 Excess weight gt 60
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Poor Diet
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GE Energy Fruit and Vegetable Intake
gt5
0-lt1
1-lt3
3-lt5
Poorer intake than the BRFSS data for all
Americans
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Lack of Exercise
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The Benefits of Physical Activity

• It can reduce your risk of dying prematurely.
• 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 high blood
  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.

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If exercise was a drug and GE had the patent we
wouldnt need to sell much else..
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Overweight and Obesity
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?
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Increasing US Obesity
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2004
BMI gt 30, or 30 lbs. overweight for 5'4"
person
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Increasing Global Obesity Problem
130
50
48
26
18
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Increasing Global Obesity Problem
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Number (in Millions) of Persons with Diagnosed
Diabetes, United States, 19802004
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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
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GE Energys 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
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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

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Home page ad for 0-5-10-25 Challenge
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Challenge Screens for 2004 Program
Registration
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Challenge Screens for 2004 Program
Sample Weight Goal Selection for employee with
BMIgt30
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Challenge Screens for 2004 Program
Sample 6 month Maximum Weight Goals
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Challenge Screens for 2004 Program
Monthly Newsletter
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Fitness Coaching Page
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Web support for Weight Control
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Changes in Intake of Fruits and
Vegetables 2002-2005
All differences statistically significant at
the p lt 0.05 level
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Changes in Exercise Behavior 2002-2005
All differences statistically significant at
the p lt 0.05 level
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Mean Changes in Weight for Unique
Participants 2002-2005
All differences statistically significant at
the p lt 0.05 level
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Health Heroes
David Parker, Cramlington, UK
Ryan Allred, Salt Lake City, UT USA
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The 5-10-25 Challenge Observational Study
Conclusions 2002-2005

• Participants significantly increased their fruit
  and vegetable intake from beginning to end of
  each years program (plt.05)
• Participants significantly increased their
  exercise level from beginning to end of each
  years program (plt.05)
• Participants significantly demonstrated a weight
  change from beginning to end of each years
  program (plt.05)

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Health by Numbers Looking forward
Looking back
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C R A
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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 (gt60 carbohydrates). Certain diseases
(diabetes and kidney disease) and some
medications (corticosteroids, estrogens,
retinoids, higher doses of beta-blockers)
increase triglyceride levels.
Keep your triglycerides low with 0 5 10 25
 
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Participant s Feedback on CRA Quality
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CRA Results at GE Energy
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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 (lt 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

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