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.”

Athletes: Prepare to Beat the Heat

August 4, 2014

By Geoff Kimmerly
Second Half editor

Despite unseasonably cool temperatures this summer in Michigan, high school athletes should prepare for the heat that usually accompanies August and the beginning of Michigan High School Athletic Association fall practices as they kick off next week.

Each year, the MHSAA provides information to its member schools to help them prepare for hot weather practice and game conditions in the late summer and early fall. Football practice can begin August 11, followed by first practices for all other fall sports August 13.

The topic of heat-related injuries receives a lot of attention at this time of year, especially when deaths at the professional, collegiate and interscholastic levels of sport occur, and especially since they are preventable in most cases with the proper precautions. In football, data from the National Federation of State High School Associations shows that nationally 41 high school players died from heat stroke between 1995 and 2013.

Many MHSAA schools this fall are expected to again follow the MHSAA’s Model Policy for Managing Heat & Humidity that directs schools to monitor heat index prior to and during activity and recommends actions based on those readings.

Also this school year, for the first time, the MHSAA is requiring all assistant and subvarsity coaches at the high school level to complete the same rules and risk minimization meeting requirement as high school varsity head coaches, or, in the alternative, one of several online courses designated for this purpose on MHSAA.com.

“It’s not an accident that causes severe heat illness and death. It’s a lack of attention to what should’ve been taking place, a lack of preparation,” said John E. “Jack” Roberts, executive director of the MHSAA. “We’re trying to communicate to our constituents that if we make the precautions that we should, plan as we should, we will have none of these tragedies in school sports.”

The MHSAA Representative Council adopted in 2013 the Model Policy for Managing Heat & Humidity that, while not mandated for member schools, has been adopted by many at the local level. The plan directs schools to begin monitoring the heat index at the activity site once the air temperature reaches 80 degrees and provides recommendations when the heat index reaches certain points, including ceasing activities when it rises above 104 degrees.

The model policy is outlined in a number of places, including the publication Heat Ways, which is available for download from the MHSAA Website. Heat Ways not only provides the model policy, but addresses the need for proper acclimatization in hot weather.

Heat, hydration and acclimatization also are again focuses of the MHSAA’s required preseason rules meetings for coaches and officials. The online presentation discusses the need for good hydration in sports, regardless of the activity or time of year.

The Health & Safety Resources page of the MHSAA Website has a number of links to different publications and information and a free online presentation from the National Federation of State High School Associations. Visit MHSAA.com, click on “Schools” and then on “Health & Safety Resources” to find the information.

Roberts said the first days of formal practices in hot weather should be more for heat acclimatization than the conditioning of athletes, and that practices in such conditions need planning to become longer and more strenuous over a gradual progression of time.

He added schools also must consider moving practices to different times of day, different locations, or change practice plans to include different activities depending on the conditions. 

“I think all schools need to prepare themselves in these ways,” Roberts said. “They need to educate participants, parents and coaches about proper hydration and the dangers of practicing and competing when the heat and humidity are too high.”