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.

Membership Mentality

September 16, 2014

The Michigan High School Athletic Association is a membership organization – an association of schools, not individuals – that usually doesn’t think of itself as such. Most member-based organizations work hard to recruit and retain members because member dues are an important revenue source.

That’s not true for the MHSAA which charges no membership dues, no sport sponsorship assessments and no tournament entry fees. The MHSAA is free to join and its tournaments are free to enter.

But that doesn’t mean we shouldn’t think like a member-based organization or that none of the dynamics of membership-based organizations apply here.

For example, we are in the business of recruiting and retaining contest officials; and while we registered approximately 10,600 officials last year, that number is significantly lower than six years ago, and the average age is increasing. So, like any other member-based organization, we need strategies for attracting and holding new, young officials.

A new tactic launched this fall is the “Be The Referee” feature (Click Here) on a Lansing-based sports talk daily radio show and weekly television show. Our staff explains rules and points of emphasis, and then we make a pitch for new officials.

But the most fundamental strategy for recruiting and retaining officials is consistent, ceaseless efforts to improve officials’ working environment. This means improving the assigner-official relationship before events and the sportsmanship at events.

Ultimately, if assigners treat new officials unprofessionally and spectators treat them abusively, we have no chance to increase the numbers and decrease the age of MHSAA registered officials.