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.
One-Case Causes
August 27, 2013
One of the characteristics I look for in leaders is the ability and courage to ignore certain problems. To not get worked up about every little thing and even some bigger things. To stay focused on long-term goals and objectives in the midst of fad and frenzy. To distinguish the merely hot topics from the much more important topics.
“One-care causes” – projects or campaigns launched to address an isolated incident, even of high profile – can drain the resources and distract an organization from the larger and longer lasting issues that demand even more attention than we may be devoting to them.
We must not confuse one incident with a trend. We shouldn’t assume that an isolated situation demands an immediate solution, or that every single problem needs a top-down, systemic remedy.
Sometimes a problem – ineligibility, forfeit, unsportsmanlike act – really is limited to a particular student or school, or confined to a single coach, contest or community. And in those situations, leadership means leaving them alone and letting the matter be handled by people closer to those situations.