Comprehensive Health Assessment

Spend a day with the Duke Executive Health Program’s caring, competent, and efficient staff and we will provide you with the knowledge and tools to promote a healthy and productive lifestyle.

The Duke Executive Health Program’s Comprehensive Health Assessment includes all the tests and procedures you need to get a detailed view of your overall health. But we believe that this is just the first step to keeping you healthy and active.

In the same day, we incorporate your test results into a personalized nutrition, fitness, and stress management assessment, all designed to provide you with the information and tools necessary to promote a healthy lifestyle.

Duke’s team of responsive and knowledgeable health care professionals will work with you throughout your day. From the friendly greeting you’ll receive when you arrive, to the personal attention from each specialist you see, to the personal driver dedicated to transporting you to and from offsite appointments, the Duke Executive Health Program staff is dedicated to making your visit as relaxing and efficient as possible.

Assessments and Evaluations

The following are standard in the Comprehensive Health Assessment:

  • Comprehensive medical history and physical exam. You’ll receive a thorough head-to-toe physical exam, which includes a review of your medical history, a complete physical exam, priority consultations with Duke specialists (additional fee) if needed, and a summary conference with your Duke Executive Health physician. You will receive a written summary of your results.
  • Comprehensive lab assessments. Diagnostic tests as part of this include:
    • Urinalysis — To detect kidney disease, prostate problems, and infection
    • ABC with differential — To detect anemia, blood diseases, and infection
    • OP-16 chemistry — Complete chemistry panel to detect kidney disease, diabetes, and liver disease
    • Lipid panel — Complete profile of blood cholesterol levels
    • Thyroid stimulating hormone — To detect an under- or overactive thyroid
    • C-reactive protein — To detect an inflammatory marker that may signify risk for coronary artery disease
    • Prostate-specific antigen (PSA) — To detect prostate cancer or prostate enlargement. For males over the age of 40
    • Chest x-ray — To screen for lung cancer, infection, and other lung diseases
    • EKG — To screen for a number of potential problems, including irregular heart rhythms, damage to the heart muscle, enlargement of the heart’s chambers, mineral imbalances in the blood, and detection of a heart attack

    Other lab assessments may be added, as determined by your Duke Executive Health physician.

  • Body fat assessment by DexaScan. Higher levels of body fat are associated with numerous health risks, including diabetes, heart disease, and higher cholesterol levels. Measurements are taken to estimate your current overall body fat. Body mass index (BMI) is calculated to further define a suggested healthy weight.
  • Exercise tolerance test (ETT). Cardiac problems are the leading cause of death for adults in the United States. Also known as a stress test, this diagnostic tool is used to uncover cardiac problems (such as coronary blockage and abnormal heart rhythms) and to screen fitness level before starting an exercise program.
  • Nutrition assessment with a registered dietitian. You will review the three-day food journal you completed prior to your appointment. This includes:
    • Comparative analysis to scientifically-based nutrition recommendations, tailored to your individual needs
    • Review of supplements
    • Review of alcohol intake history
    • Taking into account your overall assessment, medical history, and personal goals, the dietitian will help you identify ways to improve your dietary patterns to achieve optimal health and disease prevention
  • Fitness assessment with an exercise physiologist. An exercise physiologist will create a detailed exercise prescription to fit your lifestyle. Your customized plan incorporates a total program of cardiovascular, strength, and flexibility training — with the goal of increasing your quality of life. Short-term and long-term goals are included.Your fitness assessment includes a personal follow-up in one month to assess goals and support your success.
  • Stress management evaluation with a health psychologist. Overwhelming levels of stress can lead to increased physical health risks. This evaluation screens for those risk factors shown to lead to heart disease and early death from all causes:
    • Perceived stress
    • Anger, hostility, and cynicism
    • Depression and anxiety
    • Social support
    • The health psychologist will provide personalized recommendations based on your psychological profile, medical history, and goals. Follow-up appointments, recommendations, or referrals will be given, if needed.
  • Exit interview with physician. At the end of your visit, you will have a summary consultation with your Duke Executive Health Program physician. The physician will review:
    • All labs and study results
    • Risk assessment tool findings
    • Your personalized health plan, focusing on disease management, prevention, and health maintenance

    During your exit interview, the physician remains available for additional advice and counseling

Learn about additional assessment options beyond the basic package.


Physicians offering this service include:


Earth Day 2010 is also about Better Health and Quality of Life

Earth Day 2010 is not just about recycling or climate change – it’s about better health. Regardless of whether you subscribe to the notion of global warming, cleaning up our planet by getting involved in an Earth Day event can provide the impetus needed for our lawmakers to listen to needed changes that can have a positive impact on global health. This year, Earth Day is April 22, and is the 40th anniversary of the event.

The effect of pollution and respiratory disease, heart disease, and cancer is well documented. Unfriendly chemicals that include BPA, toxins in cosmetics, and environmental pesticides that find their way into our food sources and environment have a negative impact on global health that many choose to ignore. Over time, the culmination of environmental influences combined with genetic predisposition to disease takes a toll on health and on a global scale. Earth Day 2010 offers an opportunity to become involved in changing the status quo.

Particularly important for human health is the impact of even low level pollution that has been found to increase asthma risk for children, lead to inflammation in the blood vessels that can produce heart disease, and increase the risk of recurring heart attack. Air pollution affects unborn babies and can lower IQ levels. This year, during Earth Day 2010 you can make a difference by joining other like minded individuals that clean living can reduce healthcare costs, improve quality of life, and lead to better heath.

Harmful particulate matter in the environment was found in a 2009 study to damage genes in just three days, in research designed to measure lung cancer risk among foundry workers. Earth Day 2010 has launched a rally to be held in Washington to urge lawmakers to enact climate and clean energy legislation this year.

Earth Day 2010 is not just about politics and personal opinions. It is about global health, and the impact of living on a less toxic planet. Health concerns are real.There is no longer a question that an environmental movement is necessary to protect individual and planetary health, evidenced by soaring rates of asthma, allergies, heart disease, cancer and birth defects – all of which are linked to interactions with genes and our environment that also affects pollution levels in our homes. Indoor pollution has also been linked to heart disease risk, but little has been done while money flows to produce medications to lower the risk of heart attack.

Join the Earth Day 2010 movement and make a statement about your individual right to a healthier planet that will in turn decrease the incidence of a wide array of diseases, lead to sustainable and healthier food and energy options and help us all live longer and better quality lives. Earth Day 2010 is one way to get involved and make a loud statement to let lawmakers know you care about your own health and well being. We are all literally sick from the status quo. Join in an activity that can promote better health and improve quality of life verus spending money on developing more drugs and healthcare visits.

State Children’s Health Insurance Program (SCHIP)

When President Obama signed the Children’s Health Insurance Reauthorization Act of 2009 on February 4, 2009, he expanded the existing State Children’s Health Insurance Program (SCHIP) to include an additional 4 million children and pregnant women, and abolished the waiting period for legal immigrant children to participate in the program.

The State Children’s Health Insurance Program, which was created in 1997, was sponsored by Senator Ted Kennedy (D-Mass), who urged that it be funded by an increase in the cigarette tax. Kennedy was joined by Senator Orrin Hatch (R-Utah), and their initiative was supported by Hillary Rodham Clinton. The legislation also had the support of many groups, including health insurance companies, organized labor, and the March of Dimes.

SCHIP is administered by the United States Department of Health and Human Services, which provides matching funds to states to extend health insurance to uninsured children in families with incomes that are low but too high to qualify for Medicaid. According to the original legislation, this amount was defined as twice the federal poverty level, and most states use this limit. Some, however, choose a higher or lower maximum allowable income. In New Jersey, for example, the limit is 185 percent of the federal poverty level.

Although SCHIP is financed jointly by federal and state governments, each state administers its own program under guidelines established by the Centers for Medicare and Medicaid Services. States have leeway to determine program organization, eligibility criteria, benefits packages, administrative and operating procedures, and payment levels. States also can determine what to name their programs. The Arizona program, for example, is called “Kidscare,” while Connecticut has coined the phrase “Husky Healthcare” and California chose the name “Healthy Families.”

With the signing of the Reauthorization Act, the number of uninsured children in the United States was slated to be reduced by about 50 percent over the next four and one-half years, eventually raising the number of children covered by health insurance under SCHIP to 11 million. An additional estimated 30 million of the nation’s poorest children receive health insurance coverage through Medicaid.

Some Maryland Residents Did Not Have Health Insurance In 2006-2007

Between 2006 and 2007, 15.4% of Maryland’s non-elderly residents — or about 760,000 people ages 65 and younger — did not have health insurance coverage, according to a report released on Thursday by the Maryland Health Care Commission, the Annapolis Capital reports.

According to the commission’s report, the rate was similar to the 14.9% rate for the 2004-2005 period and remains below the national uninsurance average of 17.5%.

The MHCC study, which also found that the uninsured rate had increased by more than 3% from 2000 to 2001 and 1% from 2002 to 2003, included data based on several demographics, such as age, race and marital status. According to the study, 30% of state residents ages 19 to 29 were uninsured, making it the age group with the highest uninsured rate. In comparison, 8% of residents ages 55 to 64 were uninsured, the lowest rate of uninsurance.

Married adults were most likely to be insured, with 85% having had some type of private coverage plan and 4% having been covered by Medicaid. Among single adults, single women were more likely to be insured than single men, the study found. At least 67% of single women had private coverage, compared with 60% of single men, according to the study (Woodards, Annapolis Capital, 1/15).

Reprinted with permission from You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at . The Kaiser Daily Health Policy Report is published for, a free service of The Henry J. Kaiser Family Foundation. © 2007 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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