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Who’s Listening?

August 1, 2014

In an organization as diverse as this one, including that some schools are located more than a 10-hour drive from others and some schools are 100 times larger than others, differences of opinion about policies, procedures and programs are inevitable – and so are complaints about the decisions the organization makes.

One of the criticisms that decision-makers can count on from constituents is that they don’t listen well to or consult adequately with those affected by their decisions. Generally, such criticism comes from those who favored a different decision. They complain about the process when it’s really the result of the process that bothers them.

From where I sit, sometimes the target of such criticism, I often wonder if the pot is calling the kettle black. I wonder if the critics are listening attentively or at all to their own constituents. For example: 

  • While a significant minority of school administrators complain of the burdens of the MHSAA’s increasing requirements for coaches education focused on health and safety, nearly 100 percent of their parents want even more than the MHSAA is mandating – they want what we’re requiring sooner than we are requiring it, and they want even more required.
  • While it’s only slightly more than half of school administrators who want the MHSAA’s role and authority to begin before the 7th grade and want schools running those younger grade level sports programs, nearly 100 percent of students and their parents want these things to happen, and they have for a long time.

When I bring these two topics up to students or speak to local parent groups or county school board associations, I can count on getting an earful of impatient suggestions.

So while some school administrators might complain that the MHSAA isn’t listening well enough to them, I wonder if those critics are listening well enough to their own constituents.

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.