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

Gender-Appropriate Screening

Males

• Prostate specific antigen

• Testicular exam

• Heart Disease

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

Worksite

Wellness Services

MISSION

The DMC is the leading regional healthcare system

with a mission of excellence in clinical care, research

and medical education.

Detroit Medical CenterAccess to nine hospitals and multiple outpatient centers.

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

Questions?

Thank YouDMC Worksite Wellness Services