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Monique Butler, MD
Internist
Medical Director
Corporate Health Promotions
Harper University Hospital
Detroit Medical Center
Worksite Wellness For
the Busy Professional
Objectives
• Importance of Annual Physicals
• Details of physicals based on age, gender
• How to be your own health care advocate
• How the Detroit Medical Center can help
Annual Physicals
• Routine care in healthy patients
• Screening for asymptomatic diseases
• Assess potential risk factors that contribute to
disease
• Cancer screening
• Lifestyle screening
• Screening for heart disease, diabetes mellitus
Routine Physical Exam
• BMI
• Vital Signs- blood pressure, heart rate, temperature, respiratory rate, oxygen saturation
• Head, eyes, ear, nose, throat
• Heart exam
• Lung exam
• Abdominal exam
• Skin, hair, nails
• Neurologic
• Musculoskeletal
Annual Physicals
Age-Appropriate ScreeningsOver 20 years
• BMI
• Blood pressure
• Fasting lipid profile
• Urinalysis
• Kidney Function
• Cell counts- white, red, platelets
• Electrolytes
• Fasting glucose
• Depression
Age-Appropriate Screening
• Diet and exercise counseling
• Colorectal screening ≥ 50 years
• Vision and hearing screening ≥ 65 years
• Unplanned pregnancy and STD prevention
• Injury prevention
• Dental Health
• Chemoprevention- aspirin, herbs
Stats WomenBreast Cancer - 90% of all breast cancers can be cured if they are detected early
Cervical cancer - 75% of all cervical cancers are preventable with annual PAP
Osteoporosis - 1.5 million people will have fractures annually due to osteoporosis.
-Early detection and treatment can decrease risk of fractures
-Bone scans should be performed as part of annual physical on
patients older than 65
Colon Cancer – 27,259 women die each year from colon cancer. If detected early, colon cancer is one of the most treatable cancers there is. It is recommended that you have a screening colonoscopy at age 50.
Stroke – 55,000 more women than men have strokes each year
Gender-Appropriate Screening
Females
• Papanicolaou test
• Mammogram and clinical
breast exam
• Bone Mineral Density test
women age ≥ 65
• Chemoprevention-
multivitamin with folic acid for
pregnancy planning
• Adequate calcium and
Vitamin D intake
Stats Men
Prostate cancer and PSA – 27,360 men die from prostate cancer year which accounts for 10% of Cancer related deaths in men. It can be treated successfully when detected early
Heart Disease/Stroke – of the men who died in 2009, 26% died from heart disease
Annual Physicals – 35% of men do not get regular checkups a benefit most company insurance plans cover
Be an active participant
• Each visit is an expert meeting of the minds
• Communication is crucial
• Play a very active role
• Patient attribution
• Establish relationship
• Prevention and awareness is key
Detroit Medical Center
• Corporate Health Promotions
• Worksite Wellness Program
• Friends and Family
• Physician Office at Campus Martius
• Fitness Center at RIM
MISSION
The DMC is the leading regional healthcare system
with a mission of excellence in clinical care, research
and medical education.
Top Achievements
• Nationally Ranked Hospitals – DMC hospitals are recognized as among
“America’s Best Hospitals”. 2009 Children’s Hospital of Michigan –
U.S.News & World Report America’s Best Children’s Hospitals (Cancer, Heart
& Heart Surgery, Neurology & Neurosurgery and Urology.) 2009 DMC Harper
University Hospital and DMC Sinai-Grace Hospital - U.S.News & World
Report (Neurology and Neurosurgery), Sinai-Grace Hospital
(Gastroenterology);
• The Detroit Medical Center again joins a select group of hospitals designated
as a Top Hospital for quality and safety practices in the 2009 “Leapfrog Top
Hospitals” (Detroit Receiving Hospital and Harper University Hospital).
The Leapfrog rankings are based on a survey conducted at 1,206 hospitals
across the country and is considered the most complete and current
assessment of hospital quality and safety available. This is the third
consecutive year that Harper and the second consecutive year that Detroit
Receiving were selected as Leapfrog Top Hospitals based on their quality and
safety scores.
• Every DMC Hospital has successfully received full 2008 accreditation
from the Joint Commission on Accreditation of Healthcare Organizations
(JCAHO).
Worksite Wellness ServicesA concierge program designed for the busy work
professional
• A unique program providing medical assessments and consultations
• Provides quick and easy access to healthcare services
How Worksite Wellness Works
DMC representatives will
come to your worksite and
provide an initial clinical
consultation using age
based criteria.
How Worksite Wellness Works
At your initial on-site clinical
consultation, you will be offered
on-site lab testing; given an
extensive health history
assessment; scheduled for a
physical examination and signed
up for DMC’s exclusive Friends
& Family program.
How Worksite Wellness Works
On the day of your scheduled
exam, you will be picked up at
your work site by DMC
transportation and taken to our
conveniently located Health and
Wellness Center office located at
Campus Martius.
At the end of your visit, DMC
Transportation will return you
back to work.
DMC Health and Wellness Center
The DMC Health and Wellness
Center offers a complete range
of health services appropriate
for your age and gender
• Routine and urgent medical care for adults and children
• Women’s health care
• Chronic disease management
• Immunizations
• EKG and pulmonary function testing
• On-site lab tests
• Return to work evaluations
How Worksite Wellness Works
Once at the Center, we will
verify your registration and
escort you to your
physician evaluation.
How Worksite Wellness Works
All examinations are
performed by board certified
Internal Medicine and Family
Medicine physicians.
How Worksite Wellness Works
During your examination, your
physician will share your lab
results with you and will help you
create your individual and
personalized health plan.
How Worksite Wellness Works
If additional diagnostic testing is
required, our friendly office staff
will arrange any necessary testing
appointments at one of our
conveniently located DMC
facilities through the Friends &
Family program.
Benefits of DMC
Friends & Family Program
As a part of the Work Site
Wellness Program, you will
automatically be enrolled into
DMC’s Friends & Family
program.
DMC friends and Family
program is designed to provide
accelerated scheduling and
access to the experts at the DMC:
Benefits of DMC
Friends & Family Program
Streamlined paperwork – All of your
paperwork is handled faster for a hassle
free check-in
Faster service – for appointments,
referrals, and second opinions
Personalized service – members are
greeted at the door by personal assistants
24/7 Service – the dedicated phone line is
available 24/7 for members (877) 362-5222