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.
Cooperative Spirit
May 13, 2016
The 2016-17 school year will be the 29th since “cooperative programs” were first approved for MHSAA member high schools; and in that first year, it was but a modest step: two or more MHSAA member high schools whose combined enrollment did not exceed the maximum for a Class D school (then 297) could jointly sponsor a team. The intent, of course, was to help our very smallest member schools generate enough participants to have a viable program in one or more sports that was of interest to some of their students.
Over the years, the cooperative program concept has expanded to member schools of larger enrollment and to member junior high/middle schools. As of April 7, 2016, there were 260 cooperative programs at the high school level involving 450 teams, as well as 88 cooperative programs at the junior high/middle school level for 331 teams.
During the 2016-17 school year, there will be two new opportunities for MHSAA member schools to consider with respect to cooperative programs.
First, cooperative programs will be an explicitly stated option at the subvarsity level in any sport.
Second, maximum enrollments have been eliminated to help public multi-high-school districts start and complete competitive seasons in communities that have struggled to sustain programs in baseball, bowling, girls competitive cheer, cross country, golf, soccer, girls softball, tennis and wrestling. This is a three-year experiment.
It is declining enrollment more than a desire to save money that the MHSAA Executive Committee looks for when approving cooperative programs. Combining enrollments to create new or preserve existing programs is the intent; co-oping to reduce expenditures is not.