Administrative Aspects of Athletic Training

1
Administrative Aspects of Athletic Training

• Unit Two

2
Rules of Operation

• Providing coverage
• Keeping facilities clean
• Prevent disease transmission
• Reducing legal liability
• Safety sanity

3
Hosting an Event

• Before the event
• Are your facilities adequate?
• Prepare your supplies
• On the day of the event
• Introduction orientation of visitors!
• Be find-able

4
Hosting an Event

• After the event
• Clean-up
• Follow-up phone calls and paperwork
• Changes for next time?

5
Record Keeping

• Pre-participation health exams
• Injury evaluations
• Accident/Injury reports
• Treatment log
• Supply Equipment Inventory
• CONFIDENTIALITY

6
HIPAA

• Health Insurance Portability Accountability Act
  of 1996
• Enforced by Privacy Rule of 2000
• National standards for protection of certain
  health info

7
HIPAA

• Transaction Rule standardize procedures, etc.
• Security Rule secure personally identifiable
  info
• Privacy Rule protect info and give patients
  increased access

8
What does HIPAA mean to ATCs?

• Details of medical information can only be
  discussed with your authorization

9
Other Legal Issues

• Liability
• Assumption of risk
• Informed vs. implied consent
• Negligence vs. gross negligence
• Standard of reasonable care
• Acts of omission commission
• Statute of limitations

10
Scenario 1

• You are an ATC enter the locked athletic
  training room after school to find an
  unconscious, unresponsive student on a treatment
  table. Do you have permission to check the
  students airway and begin CPR if necessary?

11
Scenario 1 (continued)

• It turns out that the student started to feel ill
  during PE class and the PE teacher let him into
  the AT room to rest and wait for your evaluation.
  If the students parents were to sue the coach,
  what would they have to prove in order to win
  their suit?

12
Scenario 2

• You are working as a student athletic trainer at
  a volleyball game when an athlete dislocates his
  shoulder. What type of legal wrong have you just
  committed?

13
Scenario 3

• You are a student athletic trainer working a
  football game when an athlete takes a hard hit to
  the hit and staggers off of the field. The
  athlete really wants to go back into the game and
  asks you to not tell anyone that he is dizzy, off
  balance, and has a severe headache.

14
Scenario 3 (continued)

• You agree and the athlete returns to the game
  without ever being evaluated. During the next
  play, he is hit again and suffers permanent brain
  damage. Who would be the likely parties included
  in the familys lawsuit?

15
Scenario 4

• You are an ATC working a wrestling match when an
  athlete lands hard on his elbow, hearing and
  feeling a pop. After approximately 10 minutes,
  there is noticeable swelling and deformity as
  well as significant pain. You assure the athlete
  that its just a sprain and tell him that youll
  see him the next day. What legal infraction
  could you be found guilty of committing?

16
Insurance for the Athlete

• General Health Insurance
• HMOs, PPOs, POS
• Third party reimbursement
• Accident Insurance
• Catastrophic Insurance

17
Insurance for the ATCs

• General liability insurance
• Thru the school
• Thru coaching organizations
• Personal liability insurance