'Hearts' Focus Includes Action Planning

November 12, 2015

By Geoff Kimmerly
Second Half editor

As most of Michigan’s high school athletes move inside this month for the start of winter sports, many will take part in a program introduced to Michigan High School Athletic Association member schools this fall that assists coaches and students in preparing for the possibility of a health emergency during their after-school practices and events.

Prior to the start of this 2015-16 school year, the MHSAA sent every member school the “Anyone Can Save a Life” emergency action plan authored by the Minnesota State High School League and the Medtronic Foundation. The program instructs schools to assemble teams made up of coaches and their students that will act in the event someone suffers sudden cardiac arrest or another emergency medical situation.

“Anyone Can Save a Life” suggests a game plan that establishes four teams on every level of every sport in a school – a 911 Team, CPR (cardiopulmonary resuscitation) Team, AED (automated external defibrillator) Team and Heat Stroke Team. The groups are made up of coaches and their students who will be in close proximity to all after-school activities.

It’s another valuable tool as the MHSAA begins work on the fourth piece of its eight-year “4 H’s” health and safety emphasis. The next two school years focus on Hearts to go with efforts over the last six years centered on Health Histories, Heads and Heat issues faced by MHSAA athletes. This fall, for the first time, all varsity head coaches at MHSAA member schools were required to have CPR certification – another means by which athletic personnel can work to counter the random, unpredictable nature of sudden cardiac arrest.

“There is something we can do. We can be prepared. We can develop emergency plans, display AEDs and deliver CPR. And, like any good sports teams, we need to practice our preparations,” MHSAA Executive Director John E. “Jack” Roberts said. “’Anyone Can Save a Life’ can help schools revise or revitalize their existing emergency plans in ways that engage team members in planning, practice and execution. This could help save lives now and also convey important lifelong life-saving lessons to students involved on these teams.”

Students are a vital component to having a successful emergency action plan. They will be put in position to call 911, meet the ambulance at a pre-determined access point, locate the nearest AED, make sure immersion tubs are filled for hot-weather practices, and for those who are trained, to assist with CPR.  Coaches identify students at the beginning of the season and prior to an emergency taking place, and provide them with the details of the job they are assigned so they will be ready to assist in the event of an emergency. 

The “Anyone Can Save a Life” plan was sent to schools nationwide with assistance from the National Federation of State High School Associations and the NFHS Foundation. Click for information on "Anyone Can Save a Life."

“The ‘Anyone Can Save a Life’ initiative promotes the need to have and to practice planning for different kinds of emergencies,” Roberts said. “The result can be a fresh, comprehensive emphasis on preparing for emergencies well before they occur and then responding with more confidence when those emergencies inevitably happen. It is the perfect link between the last two years when we focused on heat illness and the next two years when we focus on sudden cardiac arrest.”

This fall’s focus on “Hearts” began in the wake of 122 Michigan schools receiving recognition this spring as HEARTSafe by the Michigan Department of Health and Human Services, Michigan Department of Education, American Heart Association, Michigan Alliance for Prevention of Sudden Cardiac Death of the Young and the MHSAA.

Public Act 12 of 2014 requires all schools (grades kindergarten to 12) to have a cardiac emergency response plan in place. This MI HEARTSafe School designation recognizes 122 schools that have taken steps above and beyond to prepare to respond in the event of a cardiac emergency, and is awarded for a period of three years.

In order for a school to receive MI HEARTSafe designation, it must perform at least one cardiac emergency response drill per year, have a written medical emergency response plan and team, have current CPR/AED certification of at least 10 percent of staff, have accessible, properly maintained and inspected AEDs with signs identifying their location, and ensure pre-participation sports screening of all student-athletes using the current physical and history form endorsed by the MHSAA.

Schools that meet all requirements are able to apply for the MI HEARTSafe School designation each year. Click for information and for a list of designated schools.

Working Through Transfer Trends

December 2, 2015

By Jack Roberts
MHSAA Executive Director

One of the responsibilities that schools have asked organizations like the MHSAA to execute is the management of transfer student eligibility. Historically, many associations have linked eligibility to residence ... thus, for some the regulation has been called the “Residency Rule” or “Transfer/Residency Rule,” not merely the “Transfer Rule.”

Over the years, as society became more mobile and families less stable, these rules became more and more complicated; and now, for most state high school associations, this is the regulation that consumes the most (or second) most pages of their handbooks. Over the years, this has also been the regulation most frequently challenged in court.

Over the years, some states have relaxed their transfer rule and others have refined their transfer rule. In either case, the transfer rule remains an imperfect rule, an imperfect net. Sometimes this net snags students who should not be made ineligible, and for those situations all associations have arranged some kind of waiver or appeal process.

And sometimes, and much less easily solved, the net fails to catch the situations it really should ... the transfers that are not hardship related or the result of some very compelling educational need, but those that are obviously for athletic reasons. It is those that we have been most focused on in Michigan.

Our first effort to get at the most problematic transfers was the adoption for the 1997-98 school year of what we called the “Athletic-MOTIVATED Transfer Rule” ... Regulation I, Section 9(E). Examples of an athletic-motivated transfer are included in the rule. The rule only applies to transfer students who do NOT meet any of the stated exceptions for immediate eligibility and are ineligible for one semester under our basic transfer rule. They become ineligible for 180 scheduled school days if there is a finding that the transfer was more for athletics than any other compelling reason.

This effort has not been successful enough because it requires a school that loses a student to another school to promptly allege to the MHSAA office, with supporting documentation, that the transfer was more for athletic reasons than any other compelling reason. The receiving school then must respond to those allegations. Then the executive director makes the decision. The unfortunate result of applying this rule is that it usually causes hard feelings between the schools, and hard feelings toward the executive director by the school decided against. In 17 years, schools have invoked this rule only 45 times. 

Our more recent effort to address the most egregious athletic transfers resulted from requests from the coaches associations for wrestling and basketball, which were watching too many students change schools for athletic reasons, usually related to an out-of-season coaching relationship. The new rule – the “Athletic-RELATED Transfer Rule” – is Regulation I, Section 9(F). The difference between Section 9(E) and the newer Section 9(F) is that in 9(F) one school does not have to make and document allegations before staff can act. If MHSAA staff discover or are informed of any of the circumstances listed in 9(F), we can act. Again, the rule only applies to those transfer students whose circumstances do NOT meet one of the automatic exceptions. It applies only to students who are ineligible for a semester under the basic transfer rule. If there is a finding that one of the athletic related “links” exists (usually an out-of-season coaching relationship), then this transfer student who would be ineligible for one semester is made ineligible for 180 scheduled school days.

So far, it appears that 9(F) may be a better deterrent than 9(E). It has been referenced when students are rumored to be transferring, and it has stopped many of those transfers before they occur. We expect 9(F) to be an even better deterrent in 2015-16 because the rule has been broadened to apply to administrators and parents (not just coaches) and to address directing and coordinating athletic activities (not just coaching).

We have said that if this latest effort does not succeed in slowing athletic transfers, then the next step is 180 days of ineligibility – at least in any sport the student played in high school previously – for all transfer students who do not qualify for an exception that permits immediate play. I fear that would catch far too many students who should not be withheld so long from competition and could lead to a period like the early 1980s when the MHSAA, at the request of the state principals association, adopted the core of the transfer rule we have today and which resulted in a period of busiest litigation for the MHSAA when, at one time, the association had more than a dozen cases in court simultaneously on transfer matters. We’ve got to make the current rules work – with tweaks, perhaps; but not with radical revision.