Staying Alive

June 9, 2015

It has been said by others more clever with a phrase than I am, “Travel has its dangers, but routine can be deadly.” 
World travel is something I'm passionate about and it has added adventure and perspective that have enriched my existence; but I do not dare pontificate on how other people choose to live their personal lives. That's each person's personal business and none of mine.  
However, at this stage in my career, I do feel comfortable suggesting that this travel metaphor is a healthy way to think about one's professional life, and a productive way to nurture the life of organizations. Many executives and their boards may get too comfortable with routine, emphasizing risk management more than innovation, reducing the chances of failure and criticism rather than seeking the adventure of new ways of thinking and acting that could lead to new ways of serving.  
I say, with massive respect for the traditional core values of school sports, that fear of doing big, untested things – risky adventures – has caused school sports organizations to miss opportunities for so many years that they have become close to irrelevant in the youth sports experience of this country. We have failed to travel, or taken such safe trips that we are dying rather than thriving on behalf of students, their schools and our society.
For the past half-dozen years, and especially in 2015-16, the MHSAA is in a traveling mode. In doing so, we add some danger to our lives, but at least we stay alive. In fact, we may never, ever have been as vibrant as we are right now.

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.