chapter 2 health care administration in athletic training l.
Skip this Video
Loading SlideShow in 5 Seconds..
Chapter 2: Health Care Administration in Athletic Training PowerPoint Presentation
Download Presentation
Chapter 2: Health Care Administration in Athletic Training

Loading in 2 Seconds...

play fullscreen
1 / 56

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

  • 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

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
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
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
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
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
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
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
Providing Coverage
  • 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
Hygiene and Sanitation
  • 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
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
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
    • 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
Emergency Telephones
  • 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
Budgetary Concerns
  • 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
    • 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
    • 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)
Purchasing Systems
    • 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
Developing a Risk Management Plan
  • 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
Electrical and Equipment Safety
    • 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
Accessing Community Based Health Services
  • 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
Human Resources and Personnel Issues
  • 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
Roles and responsibilities must be established
    • 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
Facility Design
  • 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
    • 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
    • Well lighted throughout
    • Reflective ceilings and walls will aid in process
    • Natural lighting is a plus
Special Service Areas
    • 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
Hydrotherapy Area: 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
Physician’s Exam Room: 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
Storage Facilities
    • 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
Athletic Trainer’s Office
    • 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
Additional Areas
    • 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
Record Keeping
  • 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
Maintaining Confidentiality in Record Keeping
  • 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
HIPAA Authorization
    • 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
Family Educational Rights and Privacy Act
    • 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
Administering Pre-participation Examinations
  • 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
Examination by Personal Physician
    • 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)
Medical History
    • 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
Maturity Assessment
    • 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
Wellness Screening
    • 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
Injury Reports and Injury Disposition
  • 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
Treatment Log
  • 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
Injury Evaluation and Progress Notes
  • 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
Supplies and Equipment Inventory
  • Managing budget and equipment/supplies is critically important
  • Inventory must be taken yearly in order to effectively replenish supplies
Annual Report
  • Summary of athletic training room functions
  • Can be used to evaluate recommend potential changes for program
  • Includes number and types of injuries seen/treated
Release of Medical Records
  • 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
Computer as Tool for Athletic Trainer
  • Indispensable tool
  • Can make the job more efficient with appropriate software
  • Must maintain security
  • Must determine for what computer will be used
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
Collecting Injury Data
  • 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
Epidemiologic studies may assess various areas
    • Age or gender
    • Body part
    • Occurrence in different sports
    • Contact, non-contact, limited contact, collision sports
Catastrophic Injuries
    • 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
Current National Injury Data-Gathering Systems
    • 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
Surveillance Systems
    • 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
NCAA Injury Surveillance System
    • 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
Using Injury Data
  • 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