Chapter 2 health care administration in athletic training
Download
1 / 56

Chapter 2: Health Care Administration in Athletic Training - PowerPoint PPT Presentation


  • 126 Views
  • Uploaded on

Chapter 2: Health Care Administration in Athletic Training. System of Healthcare Management. Strategic Plan Development Determine why there is need for such a program Determine function of program within scope of athletic program

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Chapter 2: Health Care Administration in Athletic Training' - wirt


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

System of healthcare management l.jpg
System of Healthcare Management

  • Strategic Plan Development

    • Determine why there is need for such a program

    • Determine function of program within scope of athletic program

    • Decision of administrators will determine extent of health care program

    • Develop written mission statement to focus direction of program


Slide3 l.jpg

  • Strategic Plan Development (cont.)

    • Strategic plan development must include administrators, student-athletes, coaches, physicians, athletic trainers, parents and community health leaders

    • Ongoing process that reviews strengths and weaknesses of program


Slide4 l.jpg

  • Policy and Procedure Development

    • Creation of policies and procedures for all involved in health care of athletes necessary

    • Policies = clear written out statements of basic rules

    • Procedures = describe the process

    • To be covered throughout presentation

    • Abbreviated version of policies and procedures should be provided to athletes and parents (if financially feasible)


Athletic training program operations l.jpg
Athletic Training Program Operations

  • Scope of Program

    • Who will be served by program?

    • Athlete: to what extent and what services will be rendered (systemic illness, musculoskeletal injuries)

    • Institution: who else can be served medically and educationally and what are the legalities

    • Community: outside group and community organizations with legalities again being an issue


Slide6 l.jpg

  • Clinical, Corporate/Industrial Settings: patient care outside high school and collegiate athletes, with a broader scope of practice that could include:

    • Pediatric work

    • Work hardening

    • Orthopedic and neurological patients

  • Athletic trainers should be sure to work within their scope (physically active)

  • Fitness programming may also become an ATC’s responsibility in this setting


Providing coverage l.jpg
Providing Coverage outside high school and collegiate athletes, with a broader scope of practice that could include:

  • Facility Personnel Coverage

    • Appropriate coverage of facility and sports

    • Setup of treatments, rehabilitation, game and practice coverage vary

  • Sports Coverage

    • Certified athletic trainer or at least a student should attend all practices and games

    • Different institutions have different levels of coverage based on personnel and risks involved with sports


Hygiene and sanitation l.jpg
Hygiene and Sanitation outside high school and collegiate athletes, with a broader scope of practice that could include:

  • Athletic Training Facility

    • Rules concerning room cleanliness and sanitation must be set and made known to population using facility

    • Examples

      • No equipment/cleats in training room

      • Shoes off treatment tables

      • Shower prior to treatment

      • No roughhousing or profanity

      • No food or smokeless tobacco


Slide9 l.jpg

  • Cleaning responsibilities are divided between athletic training staff and maintenance personnel

  • Division of responsibilities

  • Maintenance crew

    • Sweep floors daily, clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets

  • Athletic Training staff

    • Clean treatment tables, disinfect hydrotherapy modalities daily, clean equipment regularly


Slide10 l.jpg

  • Gymnasium (general issues concerning facility and equipment cleanliness)

    • Facility

      • Cleaning of gymnasium floors

      • Drinking fountain and shower/locker facility disinfecting

      • Mats cleaned daily (wrestling)

    • Equipment and clothing

      • Proper fitting equipment

      • Frequent clothing and equipment laundering

      • Appropriate equipment for weather conditions

      • Use of clean dry towels and equipment daily


Slide11 l.jpg

  • Athlete cleanliness)

    • Promotion of good health and hygiene is critical

      • Athlete clearance to participate

      • Athlete insurance

      • Prompt injury and illness reporting

      • Follow good living habits

      • Avoid sharing clothes and towels

      • Exhibit good hygiene practices

      • Avoid common drinking sources


Emergency telephones l.jpg
Emergency Telephones cleanliness)

  • Accessibility to phones in all major areas of activity is a must

  • Should be able to contact outside emergency help and be able to call for additional athletic training assistance

  • Radios, cell and digital phones provide a great deal of flexibility


Budgetary concerns l.jpg
Budgetary Concerns cleanliness)

  • Size of budget??

  • Different settings = different size budgets and space allocations

  • Equipment needs and supplies vary depending on the setting (college vs. high school)

  • Continuous planning and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals


Slide14 l.jpg

  • Supplies cleanliness)

    • Expendable (supplies that cannot be reused- first aid and injury prevention supplies)

    • Non-expendable (re-useable supplies -ace wraps, scissors…etc)

    • Yearly inventory and records must be maintained in both areas


Slide15 l.jpg

  • Equipment cleanliness)

    • Items that can be used for a number of years

    • Capital (remain in the training room- ice machine, tables)

    • Non-consumable capital (crutches, coolers, training kits)


Slide16 l.jpg

  • Purchasing Systems cleanliness)

    • Direct buy vs. competitive bidding

    • Lease alternative

  • Additional Budget Considerations

    • Telephone and postage expenses

    • Utilities – heating/cooling, electricity

    • Contracts for outside services

    • Purchases relative to liability insurance and professional development


Developing a risk management plan l.jpg
Developing a Risk Management Plan cleanliness)

  • Security Issues

    • Accessibility to training room (staff, physicians, student athletic trainers)

    • Supervision issues

  • Fire Safety

    • Post evacuation plan in case of fire

    • Smoke detectors/alarm system and fire extinguisher should be tested and in place


Slide18 l.jpg

  • Electrical and Equipment Safety cleanliness)

    • Major concern

    • Be aware of power distribution system to avoid accidents

  • Emergency Action Plan

    • Accessing emergency personnel outside setting in the event of emergency

    • Include transportation of athletes to emergency facilities

    • Meeting with outside personnel is necessary to determine roles and rules regarding athlete and equipment care


Accessing community based health services l.jpg
Accessing Community Based Health Services cleanliness)

  • Must have knowledge of local and community health services and agencies in the event of referrals

  • Referrals should be made with assistance from a physician

  • Parental involvement is necessary when dealing with psychological and sociological events


Human resources and personnel issues l.jpg
Human Resources and Personnel Issues cleanliness)

  • The sports medicine team is only as good as the individuals in the group

  • Recruitment, hiring and retaining qualified personnel is necessary to be effective

  • Specific policies are established relative to hiring, firing, performance evaluations and promotions

    • Must adhere to these principles


Slide21 l.jpg

  • Roles and responsibilities must be established cleanliness)

    • Job descriptions - job specifications, accountability, code of conduct, and scope

  • Head athletic trainer must serve as a supervisor and work to enhance professional development of staff

  • Performance evaluations should take place routinely


Facility design l.jpg
Facility Design cleanliness)

  • Design will vary drastically based on number of athletes, teams, and various needs of the program

  • Size

    • Varies between settings

    • Must take advantage and manage space effectively

    • Interact with architect relative to needs of program and athletes


Slide23 l.jpg

  • Location cleanliness)

    • Outside entrance (limits doors that must be accessed when transporting injured athletes)

    • Double door entrances and ramps are ideal

    • Proximity to locker rooms and toilet facilities

    • Light, heat and water source should be independent from rest of facility


Slide24 l.jpg

  • Illumination cleanliness)

    • Well lighted throughout

    • Reflective ceilings and walls will aid in process

    • Natural lighting is a plus


Slide25 l.jpg

  • Special Service Areas cleanliness)

    • Treatment Area: area that accommodates 4-6 adjustable treatment tables, 3-4 stools, and hydrocollator and ice machine accessibility

    • Electrotherapy Area: area that houses ultrasound, diathermy, electrical stim units, storage units, grounded outlets, treatment tables and wooden chairs, under constant supervision


Slide26 l.jpg

  • Hydrotherapy Area: cleanliness) area with centrally located sloping floor to drain, equipped with 2-3 whirlpools, shelving and storage space and outlets 5 feet above the floor

  • Exercise Rehabilitation Area: area that provides adequate space and equipment to perform reconditioning of injuries

  • Taping, Bandaging & Orthotics Area: 3-4 taping tables and storage cabinets to treat athletes with proximity to a sink


Slide27 l.jpg

  • Physician’s Exam Room: cleanliness) space for physician to work which may hold exam table, lockable storage, sink, telephone, refrigerator

  • Records Area: space devoted to record keeping which may include filing system or computer based database, that allows access only to medical personnel


Slide28 l.jpg

  • Storage Facilities cleanliness)

    • Training rooms often lack ample storage space

    • Storage in training room that holds general supplies and special equipment

    • Large walk-in storage cabinet for bulk supplies

    • Refrigerator for equipment, ice cups, medicine and additional supplies


Slide29 l.jpg

  • Athletic Trainer’s Office cleanliness)

    • Space at least 10x12 feet is ample

    • All areas of training room should be supervised without leaving office space (glass partitions)

    • Equipment should include, desk, chair, tack board, telephone, computer (if necessary) and independent locking system


Slide30 l.jpg

  • Additional Areas cleanliness)

    • Pharmacy Area: separate room that can be secured for storing and administrating medications (records must be maintained concerning administration)

    • Rehabilitation Pool: if space permits, must be accessible to individuals with various injuries, with graduated depth and non-slip surface

    • X-Ray Room: separate room with lead shielding in walls, large enough to house necessary equipment


Record keeping l.jpg
Record Keeping cleanliness)

  • Major responsibility

  • The rule not the exception - accurate and up-to-date

  • Medical records, injury reports, insurance information, injury evaluations, progress notes, equipment inventories, annual reports


Maintaining confidentiality in record keeping l.jpg
Maintaining Confidentiality in Record Keeping cleanliness)

  • Health Insurance Portability and Accountability Act (HIPAA)

    • Regulates dissemination of personal history information (PHI) by coaches, ATC’s, physicians or other members of sports medicine team

    • Guarantees athlete access to information and control over disclosure

    • Athlete may provide written authorization for release of information


Slide35 l.jpg

  • HIPAA Authorization cleanliness)

    • Description of information to be disclosed

    • Identification of parties authorized to provide and make use of PHI

    • Description of each purpose of the use or disclosure

    • Expiration date or event

    • Individual’s signature

    • Description of his/her authority to act for the individual if signed by personal representative


Slide36 l.jpg

  • Family Educational Rights and Privacy Act cleanliness)

    • FERPA = law protecting privacy of student education records

    • Provides parents with certain rights with respect to child’s educational records

    • When child turns 18 rights are transferred to student

    • School must have written permission prior to releasing information


Administering pre participation examinations l.jpg
Administering Pre-participation Examinations cleanliness)

  • Initial pre-participation exam prior to start of practice is critical

  • Purpose it to identify athlete that may be at risk

  • Should include

    • Medical history, physical exam, orthopedic screening, wellness screening

  • Establishes a baseline

  • Satisfies insurance and liability issue


Slide38 l.jpg

  • Examination by Personal Physician cleanliness)

    • Yields an in-depth history and ideal physician-patient relationship

    • May not result in detection of factors that predispose the athlete to injury

  • Station Examination

    • Provides athlete with detailed exam in little time

    • Team of nine is ideal (2 physicians, 2 non-physicians and 5 managers/student athletic trainers)


Slide39 l.jpg

  • Medical History cleanliness)

    • Complete prior to exam to identify past and existing medical conditions

    • Update yearly and closely review by medical personnel

    • Collect medical release and insurance info at the same time

  • Physical Examination

    • Should include assessment of height, weight, body composition, blood pressure, pulse, vision, skin, dental, ear, nose, throat, heart, lungs, abdomen, lymphatic, genitalia, maturation index, urinalysis and blood work


Slide40 l.jpg

  • Maturity Assessment cleanliness)

    • Means to protect young physically active athletes

    • Methods

      • Circumpubertal (sexual maturity)

      • Skeletal

      • Dental

    • Tanner’s five stage assessment is most expedient

  • Orthopedic Screening

    • Part of physical exam or separate

    • Various degrees of detail concerning exam


Slide41 l.jpg

  • Wellness Screening cleanliness)

    • Purpose is to determine if athlete is engaged in a healthy lifestyle

  • Sport Disqualification

    • Certain injuries and illnesses warrant special concern when dealing with sports

    • Recommendations can be made

    • American with Disabilities Act (1990)

      • Dictates that athlete makes the final decision

    • Potential disqualifying factors should be determined during the pre-participation exam


Injury reports and injury disposition l.jpg
Injury Reports and Injury Disposition cleanliness)

  • Injury reports serve as future references

  • Reports can shed light on events that may be hazy following an incident

  • Necessary in case of litigation

  • All reports should be filed in the athletic training room


Treatment log l.jpg
Treatment Log cleanliness)

  • Sign-in to keep track of services

  • Daily treatments can be recorded

  • Can be used as legal documentation in instances of litigation

    Personal Information Card

  • Contains contact information for family, personal physician, and insurance information


Injury evaluation and progress notes l.jpg
Injury Evaluation and Progress Notes cleanliness)

  • Injuries and progress should be monitored by athletic trainer and recorded

  • SOAP note format

    • S: Subjective (history of injury/illness)

    • O: Objective (information gathered during evaluation)

    • A: Assessment (opinion of injury based on information gained during evaluation)

    • P: Plan (short and long term goals of rehab)


Supplies and equipment inventory l.jpg
Supplies and Equipment Inventory cleanliness)

  • Managing budget and equipment/supplies is critically important

  • Inventory must be taken yearly in order to effectively replenish supplies


Slide46 l.jpg

Annual Report cleanliness)

  • Summary of athletic training room functions

  • Can be used to evaluate recommend potential changes for program

  • Includes number and types of injuries seen/treated


Slide47 l.jpg

Release of Medical Records cleanliness)

  • Written consent is required

  • Waiver must be signed for any release (include specifics of information to be released and to whom)


Computer as tool for athletic trainer l.jpg
Computer as Tool for Athletic Trainer cleanliness)

  • Indispensable tool

  • Can make the job more efficient with appropriate software

  • Must maintain security

  • Must determine for what computer will be used


Slide49 l.jpg

  • Should consult experts in order to determine what systems are appropriate for specific use

  • Factors to consider

    • Access to mainframe and internet

    • Hardware (desktop, laptop, personal digital assistants)

    • Software – various programs for multiple uses

      • Record keeping needs

      • Word processing, budget maintenance

      • Educational software

    • World Wide Web and access to email


Collecting injury data l.jpg
Collecting Injury Data are appropriate for specific use

  • Accident - unplanned event resulting in loss of time, property damage, injury or death

  • Injury- damage to the body restricting activity

  • Case study- looks at specific incident of injury


Slide51 l.jpg


Slide52 l.jpg

  • Catastrophic Injuries are appropriate for specific use

    • 98% of injuries requiring hospital emergencies are treat and release relative to sport

    • Sports deaths (struck with object, heat stroke)

    • Catastrophic injuries also include spinal cord trauma, cardiorespiratory injuries/problems

    • Most injuries are related to appendages

      • Strains, sprains, contusions, fractures, abrasions


Slide53 l.jpg

  • Current National Injury Data-Gathering Systems are appropriate for specific use

    • State of the art injury surveillance is still developing

    • Ideal situation

      • Epidemiological approach that studies relationship of various factors that influence frequency and distribution of injury in sport

      • Extrinsic factors (activity, exposure, equipment)

      • Intrinsic factors (age, gender, neuromuscular aspects, structural aspects….etc)

    • Number of different surveillance systems in place


Slide54 l.jpg

  • Surveillance Systems are appropriate for specific use

    • National Safety Council

      • General sports injury data

    • Annual Survey of Football Injury Research

      • Public school, college, professional, sandlot football injury data

    • National Center of Catastrophic Sport Injury Research

      • Tracks catastrophic injuries in all levels of sports


Slide55 l.jpg

  • NCAA Injury Surveillance System are appropriate for specific use

    • Data collected on most major sports- ATC data collection

    • Converted to web-based data collection system

  • National Electronic Injury Surveillance System

    • Monitor injuries relative to different products --consumer safety, determine if products are hazardous or defective


Using injury data l.jpg
Using Injury Data are appropriate for specific use

  • Valid and reliable data can be utilized to decrease injuries

  • May allow for:

    • Rule modification

    • Assist coaches and players in understanding risks

    • Help manufacturers

    • Educate parents, athletes and the public on inherent risks associated with sport


ad