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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.

  • 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?

  • 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?

  • 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.

Fit to Fly

February 3, 2017

I suppose I’ve flown more than a half million miles on commercial or chartered aircraft. Nevertheless, it still amazes me to witness a large passenger jet lift off the earth and take to the sky.

Sometimes it has occurred to me that, with enough thrust, almost anything can be made to fly. Of course, the more aerodynamic the object, the less power is needed to send the object into the sky and keep it there.

The metaphor is obvious.

If there is enough force behind it, almost any idea can take flight. However, the best ideas take flight with little effort ... they have been fitted for the intended purpose and the environment ... while bad initiatives require extraordinary effort to get up and keep going.

This doesn't suggest that leaders should always take the path of least resistance. But it does mean leadership should count the costs. Is the amount of effort required to launch an initiative worth the collateral damage? Is the amount of energy required to maintain an initiative worth the results?

The image some people have of the current proposal to seed Boys and Girls District and Regional Basketball Tournaments is of an ungainly object being thrust into the air. It can be done, but should it be done? Will the result be worth it?

The proponents want the Michigan High School Athletic Association to adopt and modify a system used to seed the NCAA Division I Men's Basketball Tournament. That's a tournament limited to just 68 of 350 universities that sponsor Division I men's basketball programs. One person collects the scores of all the games involving those teams and enters the data to compute the strength of each team’s record and schedule.

But the MHSAA tournament involves 750 varsity teams for boys and nearly the same number of varsity teams for girls which together play approximately 27,500 games in a single season. There are often more than 350 high school varsity basketball games on a single evening. One person is NOT going to be physically able to collect all those scores and enter all that data. And the MHSAA would be foolish to think that it could be accomplished, and irresponsible to have the basketball tournament experience depend on such a scheme.

Well-intentioned people have unrealistic expectations about this. They don't appreciate the amount of resources the MHSAA would have to put into making this thing fly. We could do it by mandating that every school use the same schedule and score software and conditioning a school’s tournament participation on 100 percent compliance with score reporting.

But even if we launch it and apply even more force to keep it in the air, we have to wonder about the fairness and outcome of easing the path in the MHSAA Basketball Tournaments for teams which had the best regular-season records, at least up to some point before the end of that season when the number crunching would have to stop and pairings and sites would need to be announced.

Three of the four state high school associations that border Michigan have seeding for their high school basketball tournaments (basketball crazy Indiana does not). But those three state associations seed only the first round of the tournament, and those three use no fancy formula ... they have the coaches of the teams assigned by geography to the tournament site meet to separate the better teams in the earliest games.

If there is to be seeding in MHSAA Basketball Tournaments – and that’s a big if – our neighboring states’ approach is more practical and better fitted for an all-comers tournament at the high school level. That might fly, and stay in the air without excessive force.