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.
Making Matters Worse
March 17, 2017
For many years there have been complaints that the MHSAA Football Playoffs make it difficult for some teams to schedule regular season football games. Teams that are too good are avoided because opponents fear losses, and teams that are too small are avoided by larger schools because they do not generate enough playoff point value for wins.
Recently the MHSAA has learned, only indirectly, that some among the state’s football coaches association are recycling an old plan that would make matters worse. It’s called the “Enhanced Strength of Schedule Playoff System.”
Among its features is doubling the number of different point value classifications from four (80 for Class A down to 32 for Class D) to eight (88 for Division 1 down to 32 for Division 8).
What this does is make the art of scheduling regular season games even more difficult; for the greater variety of values you assign to schools, the more difficult it is to align with like-sized schools.
The “Enhanced Strength of Schedule Playoff System” makes matters even worse by creating eight different multipliers depending on the size of opposing schools. Imagine having to consider all this when building a regular season football schedule.
When this proposal was discussed previously statewide in 2012, it was revealed that it would have caused 15 teams with six regular season wins to miss the playoffs that year, while two teams with losing records would have qualified. How do you explain that to people? It was also demonstrated in 2012 that larger schools in more isolated areas would have to travel far and wide across the state, week after week, to build a schedule with potential point value to match similar sized schools located in more heavily populated parts of our state and have many scheduling options nearby. How is that fair?
The proposal is seriously flawed, and by circumventing the MHSAA Football Committee, its proponents assure it is fatally flawed.