Logo

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.

Playoff Proposal Pauses

May 10, 2013

During the MHSAA Football Finals at Ford Field last November, I was approached by representatives of the Michigan High School Football Coaches Association with a request to have the MHSAA’s computing capabilities crunch the numbers for a concept that a couple of the coaches association’s members had for revising the MHSAA Football Playoff point system.

Within a few weeks the MHSAA hosted a meeting that brought together the coaches who introduced the concept with our numbers crunchers; and within a few days our staff had outlined the principles, revised the point system and retrofitted it to show how the system would have affected the 2012 playoffs.

There was initial excitement that we might be onto something, but that brief infatuation began to wane as we dug deeper and discussed the plan more widely.

The key ingredients of the proposal are (1) that a school would gain playoff points for every game its opponent wins, whether or not that school defeated that opponent, and (2) that the number of automatic qualifiers would be reduced in favor of a larger group of additional qualifiers based on a revised playoff points system that would favor schools which schedule larger and more successful opponents.

In spite of our staff’s helpfulness in bringing this proposal forward, we’ve lost optimism that it will accomplish what is hoped.  Rather than making regular-season scheduling easier, it could make it harder as the “six-wins-and-in” mindset is replaced by the even worse “seven-wins-and-in” mindset.  And any system that ignores a minimum number of wins and relies entirely on playoff points is even less fair than the current system to schools in the less densely populated areas of Michigan.

From our retrofitting of the proposed concept to the 2012 season, we know that teams with 6-3 records would be displaced in the playoffs by teams with 4-5 records, which is certain to go down badly and be difficult to explain to those communities.  The revised point system would make it even more difficult than the current system for schools in less populated areas to find opponents of the size and strength to generate high playoff point averages without these schools driving 100, 200, 300 or more miles, one way, several times each season.  For individual schools and some entire leagues, this will make football scheduling tougher, not easier.  It is likely to add stress to those league affiliations, and to football scheduling generally.

In any event, there is no need to rush to 2013 or 2014 a proposal that’s called “Enhanced Strength of Schedule System” because schedules are 99 percent set for 2013 and nearly so for 2014.  Even if adopted today, few schedules would be impacted before 2015.  If a change like this one is to be implemented, schools must have ample notice, and our technology department must have enough time to program the new point system and then test it through an entire season.

The Representative Council acted wisely on May 6 when it paused the progress of this proposal.  Some elements of it may be discussed at the MHSAA’s scheduled meetings this summer and fall.