Making (Health) Histories Every Year

July 23, 2015

By Rob Kaminski
MHSAA benchmarks editor

Tom Minter, recently retired from the MHSAA as assistant director, wore many hats while serving the Association and donned official’s gear in numerous sports outside of business hours.

But one of his finest refereeing efforts might have come during the 2009-10 and 2010-11 school years when he guided approximately 60 individuals representing 25 medical and professional organizations through an arduous process to upgrade the antiquated Physical Form to what is the standard today: the Pre-participation Physical Examination/Health History Form.

The form highlighted Stage 1 of the MHSAA’s 4 Hs of Health and Safety – Health Histories – and the current form is much more comprehensive, answering questions previously not asked during the quicker, more brief, evaluations.

Sudden cardiac death claims the lives of more than 300 Michigan children and young adults between the ages of 1-39 years annually. Yet, many of these deaths could be prevented through screening, detection, and treatment. One such way to detect high risk conditions that predispose to SCDY is through pre-participation sports screening of student-athletes, and the current physical form provides a mechanism.

While much more detailed, schools report that parents are more than willing to take the extra time and effort to complete the lengthier version.

“When the expanded form came out, people kiddingly made comments about its length; yet in today's day and age everyone understands we need all the information we can cultivate regarding health histories of our student athletes,” said Mark Mattson, athletic director at Traverse City Central.

Down state, feelings have been similar. “We don’t have a problem at all here,” said Anna Devitt, athletic secretary at Hartland High School. “Our parents take care of it, and haven’t balked at the length at all.”

Both agree, and are joined by many others across the state, that  the next logical step is for the form to be converted to a fillable, online document so that records can be accessed by those in need via mobile, laptop or desktop.

Thus, in the “No H left behind” mantra that the MHSAA has assumed, an electronic option of the Health History form is in the early planning stages.

“As an increasing number of our schools strive to be ‘paper-free,’ or at least as much so as possible, it is time to re-invent the delivery method for perhaps our most downloaded or distributed document,” MHSAA Executive Director Jack Roberts said. “Once again, as we move forward with our ‘Heart’ initiative for the coming school year, we are also intent on bringing other projects up to speed.”

The masses are certainly enthused.

“That would be heavenly. An online version that would prevent people from submitting the forms until all the required information was in place would be fantastic,” said Mattson, who has had to turn back, or hold out students while waiting for completed forms, whether at Marquette, Maple City Glen Lake, or his current post in Traverse City. “It’s always been the same; people move too quickly and overlook required fields. It would prevent two things: one, having to hold kids out while waiting for a signature, and two, prevent parents from having to drive in to the athletic office to sign or fill in that last field. We’d know we were getting a completed form.”

At Hartland, where athletic director Jason Reck created an online emergency contact form, a system is in place which allows coaches, administrators and trainers to share necessary data for all student-athletes in addition to the MHSAA forms.

“Our parents love the online emergency contact form, and we require them to fill it out every season, not just once a year,” Devitt said. “Sometimes an athlete gets injured during one season and the next season's coach wants to know about it.”

The information on the form is populated into an Excel spreadsheet which Reck, Devitt, the school trainer and all coaches can access. They can tailor the data by sport and pull it to their mobile devices.

“We’re trying to go completely paperless, and the MHSAA physical form would be another step,” Devitt said. “Our parents and doctor’s offices would love it.”

'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.