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Medical Mystery

September 4, 2015

Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.

That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.

During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.

  • Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?

  • Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?

  • Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?

I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports. 

While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.

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.