Small Steps
November 3, 2015
“You can’t cross a chasm in two small jumps.” I believe it was former British Prime Minister David Lloyd George who said this when advocating for a big leap forward for his country during the early 20th century.
Indeed, taking two small jumps when one giant leap is necessary is an ill-fated strategy.
However, I have found that a series of smaller steps to solve large problems is very often the most practical and politically-expedient approach.
For example, as we have enhanced coaching requirements, especially related to health and safety, we didn’t insist that all of the changes occur simultaneously, or immediately. One thing at a time, phased in over several years, made these changes possible.
My MHSAA colleague Rob Kaminski, our webmaster and publications coordinator who is also an MHSAA registered football and basketball official, once remarked, “Not all football plays are designed to score touchdowns; some are just intended to move the ball forward or to set up a bigger play later.”
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.