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.”
Schools Continue to Manage the Heat
July 16, 2015
By Rob Kaminski
MHSAA benchmarks editor
It certainly was not the MHSAA’s intent to spur the most historically frigid back-to-back winters the state has seen. Nor did the Association wish for one of the mildest summers in recent memory during 2014.
Seemingly, it’s just Mother Nature’s way of reading into MHSAA efforts for managing heat and humidity and acclimatizing student-athletes for warm-weather activities.
Since guidelines were put in place (recommended for regular-season sessions and required for postseason tournaments) before the 2013-14 school year, there have been relatively few days during which psychrometers have had to be implemented.
“The key is, we’ve got plans in place for when the climate returns to normal trends for return-to-school practices and contests in August and September, as well as early June events,” said MHSAA Executive Director Jack Roberts. “It is a bit ironic that there have been relatively few days since the guidelines were established that they’ve actually come into play.”
In a nutshell, the guidelines provide instruction for four ranges of heat index: below 95 degrees; 95-99 degrees; 99-104 degrees, and heat indexes above 104 degrees, with increasing precautions in place as heat indexes rise. An index above 104 calls for all activity to cease.
Certified athletic trainers Gretchen Mohney and James Lioy agree that recent requirements in heat and hydration guidelines are a step in the right direction and encourage that – when possible – an athletic trainer oversee the implementation. Simply taking a reading from just outside the AD’s office or at home does not simulate on-site conditions.
“This doesn’t take into account the radiant heat at the site, which can drastically affect the conditions that athlete plays in. It is essential that all parties involved in making decisions to play collaborate with one another,” Mohney said.
Heat-related deaths in athletics rank only behind cardiac disorders and head and neck injuries, but such fatalities might lead the way in frustration for families and communities of the victims. The reason? Heat-related illness is totally preventable.
Another source of mild frustration is the lack of recording within the state for those practice and game situations which warrant heat protocols.
When the Representative Council was formulating the Heat and Humidity Policy, it was also mindful of ways in which the MHSAA could assist schools in putting the plan into practice. Coaches, athletic directors and trainers needed a method to record information for athletic directors to view and for the MHSAA to track. The MHSAA developed interactive web pages on MHSAA.com which allow registered personnel to record weather conditions as practices and contests are taking place, using psychrometers.
Additionally, discounted Heat and Humidity Monitors and Precision Heat Index Instruments are offered to schools through a partnership between the MHSAA and School Health.
Yet, since the availability of such tools came to fruition two years back, fewer than 1,000 entries have been recorded, and many are multiple entries from the same schools.
Of the 772 entries, only 15 took place when the heat index was in excess of 104, while just 21 indicated an index of greater than 100. Cooler temperatures could be playing a factor in the overall number of participation, particularly in the northern areas of the state.
Nearly all of the responses came during fall practices, with a few isolated cases coming during the spring.
As Mohney pointed out, all resources must be properly used in concert with one another to achieve desired results.
Reminders of the tools available to schools are disseminated throughout the state each summer.