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Moving Forward

December 28, 2012

Coaches will often convey to their teams a variation of this theme:  “If we’re not moving forward, we’re falling behind.”  And with such immediate feedback – the next contest – coaches can measure their team’s progress quite easily. Progress is harder to measure for the organizations that serve and support coaches and athletes.

If we are doing our jobs well, we will have both an “inside game” and an “outside game.”  We will create our own opportunities to improve our services and we will be alert to opportunities to improve ourselves when they are handed to us or forced upon us from outside sources.  Both types of change can be positive.

  • Change from inside has the benefit of institutional knowledge.  This change can be informed, measured and careful to avoid unintended consequences that hurt more than help customers.
  • Change from outside can be less rational but also less restrained by history and culture.  It can be more disruptive in a positive sense, perhaps more innovative in origin and more expansive in impact.

It’s my sense that, as the calendar turns from 2012 to 2013, the MHSAA is at the merging of two lanes of traffic – an inside lane of change combining with an outside lane change – which will modify some services and move them forward at unprecedented speeds during the new year and the next.

  • This has been obvious as we have partnered with ArbiterSports to prepare the ArbiterGame scheduling software for our member schools.  Hard work internally that’s about to show results to schools and their publics.
  • This may become obvious as we expand our schedule of inexpensive camps for inexperienced officials.  This could be an antecedent to additional training requirements for MHSAA tournament officials.  The public expects better, and we can do better.
  • This may also become obvious as we expand offerings and then add requirements for coaching education focused on maximizing good health and minimizing risk.  There is a gathering parade of experts and evidence advocating for much more training for many more coaches; and we must find our way to the head of that column.

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.