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.
Heartfelt Efforts
May 15, 2015
- A written medical emergency response plan (ERP), reviewed at least annually with staff.
- A medical emergency response team (MERT) with current CPR/AED certification, sufficient to respond to an emergency during school hours AND during organized after-school activities and sports.
- At least 10% of staff, 50% of coaches and 50% of PE staff with current CPR/AED certification.
- The sufficient number of accessible, properly maintained and inspected AEDs, ready to use, with signs identifying AED locations. Sufficient number is estimated by time to scene, in place, and analyzing within a target goal of 3 minutes.
- The performance of at least one cardiac emergency response drill per year, including recognizing signs of sudden cardiac arrest and using the American Heart Association’s Chain of Survival: calling 9-1-1 and use of bystander CPR and AED until EMS arrive to provide advanced life support.
- All athletic preparticipation screening completed with the Michigan High School Athletic Association (MHSAA) form (updated in 2010).
MI HEARTSafe School designation is awarded for a period of three school years.