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Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.
We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.
This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.
The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.
But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.

Leadership Impressions - #1 (The Double Win)

June 8, 2018

I have tried to treat the staff I’ve hired at the Michigan High School Athletic Association the way I wanted to be treated as a staff member before I came to the MHSAA as executive director. I wanted to be given a job and be allowed to run with it, without interference.

This dislike I have for micromanagement turned out to be a double win. Staff have enjoyed their freedom, and I’ve enjoyed mine. By not spending time overseeing and second-guessing staff, the executive director has had time to work on other matters.

Those other matters have sometimes turned out to be unique and defining features of the MHSAA. For example:

  • The only state high school association to publish an issued-focused magazine, benchmarks.

  • The only state high school association to conduct a face-to-face, multi-level coaches education program anytime, anywhere across the state, the Coaches Advancement Program.

  • The only state high school association to conduct the true sport of girls competitive cheer.

  • The only state high school association to mandate reporting of all suspected concussions in practices or competition for all sports by all member high schools.

  • The only state high school association to pay for concussion care “gap” insurance for all students in grades 6 through 12, at no cost to schools or families.

  • The only state high school association with a Task Force on Multi-Sport Participation.

But at least as often, this time for reflection has helped the association identify areas of weakness that could be turned into strengths. For example:

  • It allowed us to be among the nation’s earliest adopters of concussion protocols, and then to see the need to appoint a task force to address contact/collision exposure during football practice.

  • It allowed us to be among the earliest adopters of regular-season recommendations and postseason requirements for managing high heat and humidity.

  • It allowed us to move from the back of the room to nearly head of the class in terms of state high school association health and safety training requirements for coaches.

It was only because the MHSAA operated with a talented and empowered staff that the executive director could devote time to the NFHS Network during the past five years, serving as the Network board chairman during its first five years of operation. This forward-looking initiative is arguably the most effective platform the National Federation of State High School Associations has ever had for promoting school-based sports and the values of educational athletics.

A hands-off, lead-by-example leadership style unlocks the time leaders need to look down the road and around the corner, to try to separate trendy fad from fundamental trend.

Sports is a slave to defined season and contest starting and stopping points that promote routine. But in today’s world, school sports requires anything but routine thinking. And breaking from routine thinking demands that high school athletic association leaders leave their staff alone and replace as many supervisory hours as possible with opportunities to learn from people in other places working in other disciplines ... and then to disrupt our routines with some of those ideas.