Leadership Road
May 22, 2015
Earlier this month, the small portion of Michigan voters who bothered to vote at all resoundingly rejected the so-called road fix – Proposal One. It was no surprise, and provides at least these two leadership lessons.
First, people expect their designated leaders to lead. From everything I’ve read, heard and felt personally, voters were upset that their elected officials could not or would not fix our state’s crumbling roads and bridges. They punted; and the voters punted the ball right back to the people they expect to have the wisdom and will to craft and compromise their way to workable solutions to tough problems.
The second lesson is that people expect straightforward solutions. Again, there is every indication that Proposal One was too complicated and a far more comprehensive package than people could comprehend. By trying to do more than fix roads and bridges, the proposal wasn’t able to get the support needed to do anything at all.
The creativity and courage to prepare and promote the most direct remedy for road repair is a top issue for the State of Michigan. Taxpayers of the state want their elected officials to run an offense to move the ball across the goal line, with little razzle-dazzle and no punts.
That’s the preferred and probably necessary approach for addressing the major problems of any enterprise, including ours.
Medical Mystery
September 4, 2015
Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.
That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.
During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.
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Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?
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Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?
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Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?
I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports.
While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.