Transcript Judy Monroe Speaker Presentation

Judy Monroe, MD
Indiana State Health Commissioner
June 19, 2009
Primary Prevention - means it never occurs
Secondary Prevention – detect and prevent
progression of conditions before they are
symptomatic
Tertiary Prevention - prevent the progression
and complications of disease and symptoms
already occurring
Primary Prevention – largely the domain of
public health (community prevention – aimed
at the population)
Secondary Prevention – largely the domain of
primary care (clinical practice – aimed at the
individual)
Tertiary Prevention – largely the domain of
subspecialists
Primary Prevention - $
 immunizations
 weight control and exercise to prevent type 2
diabetes
 folic acid to prevent neural tube defects in
newborns
Secondary Prevention - $$
 control hypertension – prevent stroke
 control cholesterol – prevent heart disease
 mammograms
Tertiary Prevention - $$$$$$$
 intensive care treatment for complications of
pneumococcal pneumonia to prevent death
 intensive treatment of diabetes to prevent an
amputation
 surgery to prevent complications of a neural
tube defect
Tertiary Prevention - $$$$$$$
 rehabilitation of a stroke victim to prevent
being wheel chair bound
 management after a myocardial infarction to
prevent another infarction
 treatment of later stage breast cancer after
delayed diagnosis
Program
Savings for Every $1 Spent
Chronic disease
$5.60
Immunizations
$27
Smoking Cessation for Pregnant
Women
$6
Tuberculosis screening and
Isoniazid
$1.20
Water Fluoridation
$38
Women, Infants, and Children
$1.92 - $4.21
Healthy workforce benefits business
 more productive workers
 less absenteeism
 less injuries
Healthcare is the most expensive benefit paid
by U.S. employers
INShape Indiana

nutrition, physical activity, and tobacco control
Indiana Workplace Wellness Partnership
Indiana Hospital Association
State Employee Wellness – One Care Street
Healthy Indiana Plan
Wellness Tax Credit
Lactation Support in the Workplace (IC-22.2-14.1)