Chapter 2: Health Care Administration in Athletic Training

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Chapter 2 Health Care Administration in Athletic
Training

• Jennifer L. Doherty, MS, LAT, ATC
• Academic Program Director, Entry-Level ATEP
• Florida International University
• Acute Care and Injury Prevention

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Policies and Procedures Manual

• Policies clear, written-out statements of basic
  rules
• Procedures describe the process
• To be covered throughout presentation
• Abbreviated version
• Should be provided to athletes and parents (if
  financially feasible)

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Components of a PP Manual

• Scope of the AT program
• Who will it serve?
• Use of equipment and supplies
• Budgetary concerns
• Facility use and maintenance
• Design, access, etc
• Risk management plans
• Job descriptions
• Chains of command and supervision

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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/digital phones provide a great deal
  of flexibility

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Budgetary Concerns

• Different settings
• Different size budgets 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

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Budgetary Concerns Supplies

• Expendable Supplies
• Cannot be reused
• First aid and injury prevention supplies
• Non-expendable Supplies
• Re-useable supplies
• Ace wraps, scissors, etc
• Yearly inventory and records must be maintained
  in both areas

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Budgetary Concerns Equipment

• Equipment items that can be used for a number
  of years
• Capital Equipment
• Remain in the training room
• Ice machine, tables, etc
• Non-consumable Capital Equipment
• Crutches, coolers, training kits, etc

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Budget Considerations

• 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

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Developing a Risk Management Plan

• 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

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Human Resources and Personnel Issues

• Specific policies are established relative to
  hiring, firing, performance evaluations and
  promotions
• Roles and responsibilities must be established
• Job descriptions - job specifications,
  accountability, code of conduct, and scope

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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

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• Location
• Outside entrance
• Limits doors that must be accessed when
  transporting injured athletes
• Proximity to locker rooms and toilet facilities
• Illumination
• Well lighted throughout
• Natural lighting is a plus

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• Storage Facilities
• 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

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• Office Space
• All areas of athletic training room should be
  supervised without having to leave the office
  space (glass partitions)
• Equipment should include, desk, chair, tack
  board, telephone, computer (if necessary) and
  independent locking system

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Pre-participation Examinations

• Purpose identify at risk athletes
• Should include
• Medical history, physical exam, orthopedic
  screening, wellness screening
• Establishes a baseline
• Satisfies insurance and liability issues

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• 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

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• Maturity Assessment
• Means to protect young physically active athletes
• 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

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• 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

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Injury Reports

• 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

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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

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• 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

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• 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)

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Computer as Tool for Athletic Trainer

• Indispensable tool
• Can make the job more efficient with appropriate
  software
• Must maintain security and confidentiality

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Components of a PP Manual

• Scope of the AT program
• Who will it serve?
• Use of equipment and supplies
• Budgetary concerns
• Facility use and maintenance
• Design, access, etc
• Risk management plans
• Job descriptions
• Chains of command and supervision