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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.

Classification Comparisons

January 27, 2012

One of the ways statewide high school organizations evaluate their operations is to compare their policies and  procedures with similar organizations.  We do so cautiously, however, because there are so many variables – like population and number of schools, as well as the size, shape and location of the state.

We find that the most useful comparisons are with states of the upper Midwest and Great Plains and, even more so, with the statewide organizations of that region with a number of schools closest to our approximately 765 member high schools in Michigan.

By these criteria, Illinois, with about 780 high schools, and Ohio, with about 820 high schools, are most valuable to observe, while neighbors like Indiana and Wisconsin with about 400 and 500 high schools, respectively, are less valid measures for our work here.

Recently, to help the MHSAA Classification Committee have a larger view of tournament classification systems, we provided the Volleyball, Football and Basketball Tournament classifications of Illinois and Ohio, as well as our own:

  • All three states have four classifications in both volleyball and basketball, and only Ohio equalizes the number of schools in each class/division (as Michigan does in all sports except volleyball and basketball).
  • The enrollment ranges between the largest and smallest schools in the classification for the largest schools and the classification for the smallest schools (Classes A and D in Michigan) are much smaller in Michigan than in either Illinois or Ohio in volleyball and basketball.
  • In football, Ohio’s playoffs accommodate 192 football schools in six divisions determined prior to the regular season, while both Illinois and Michigan’s 11-player playoffs accommodate 256 schools in eight divisions determined at the end of the regular season.