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Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.

We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.

This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.

The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.

But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.

The Goldilocks Solution

December 2, 2014

Somewhere I read that there’s little to gain by trying to bring simplicity to what’s complex or sanity to what’s crazy. But we keep trying.

Last month we compiled results of a survey through which 513 MHSAA member high school athletic directors provided information about the out-of-season activities of their students and coaches and offered opinions regarding ideas to modify the rules that control those who want to do so much that it would force others to do more than they believe is sane for school-sponsored, student-centered competitive athletic programs.

A nearly equal number of schools from each classification were included in the 513 schools that responded to this opportunity to add more information and insight to this year-long look at MHSAA out-of-season coaching rules.

Some preliminary number crunching reveals (without surprise) that there are differences between large schools vs. small and more populated areas vs. less – differences both in the amount of organized out-of-season sports activity in which students engage and in the openness of their athletic directors to new ideas for regulating out-of-season activities by students with their school coaches. Generally, larger schools and/or schools in more populous areas see students participating in more organized out-of-season athletic activities, and they are more open to changing how those activities are regulated.

And so it continues ... finding that sweet spot that fits the perspectives and problems of a very diverse membership that supervises a wide variety of sports. The “Goldilocks” solution that doesn’t do too much, or too little.

The results that I’ll be looking for as we continue to gather information and facilitate discussions is no specific set of rule changes, but rather, to move MHSAA policies and procedures toward these two goals:

  • Rules simpler to understand, follow and enforce. Even good rules are bad if they are too cumbersome.
  • Rules that do not add pressure on students or coaches to focus on a single sport year-round. There is plenty of data that informs us that parents do too much of that already.