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Health Histories

September 4, 2012

Eighteen months ago we completed two new preparticipation physical examination forms:  (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.

Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation.  Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.

At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use.  But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.

The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.

Making an Impact

September 11, 2012

Here’s a provocative statement by David Gergen, professor of public policy and director of the Center for Public Policy at Harvard’s Kennedy School of Government, and a frequent political analyst for CNN:  “The nonprofits making the greatest impacts these days are entrepreneurial, adaptive, outward-looking, and sometimes a little messy.”

I like that, and I think using these four features or criteria to evaluate the MHSAA now and in the mid-range future would be good for those we serve.

  • Are we entrepreneurial?  How could we be more so?

  • Are we adaptive?  Are we flexible in how we do things?

  • Are we outward-looking?  Are we impacting school sports broadly and deeply?  Does the impact have staying power?  Are schools better because of what we do?  Are communities stronger for our doing it?

  • Are we sometimes a little messy?

I suspect that if we are the first three – entrepreneurial, adaptive and outward-looking – then messiness is a natural byproduct.  There will be starts and stops, failures before successes, changes.  There will be disagreements and compromises.

I suspect that we will have to tolerate a little more messiness if we are to move forward, even faster than we have, and if we are to have impact, even greater than we have.