Health Care Organization and Administration

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Health Care Organization and Administration

• Chapter 2

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Strategic Planning

• Why a program is needed and its goals
• Depth of decision-makers commitment
• Mission statement is guiding force
• Planning process should include all stakeholders
• Develop a Policies and Procedures manual

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College/university facility issues

• Scope who, when, what
• Coverage determined by need/risk
• Hygiene and sanitation
• Athletic training clinic
• Gymnasium
• Athlete themselves
• Human resource and personnel issues
• Emergency telephone

• Budget concerns
• Supplies
• Equipment
• Purchasing systems
• Hidden costs
• Risk management plan
• Security
• Fire safety
• Electrical safety
• Emergency action plan
• Using community services

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TR Facility planning

• Maximum use of space, supplies, and equipment is
  goal
• Size and layout depends on the program
• Size and number of teams
• 1200sqft minimum (40 x 30)
• Organization of space
• Near locker rooms, outside entrance, ramp
• Areas for taping, injury treatment, rehab, wet
  things, storage, administration

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Clinic/Hospital facility issues

• Wider range of patients
• Wider range of responsibilities
• Scope of practice
• 3rd party reimbursement

• Potential duties
• Ergonomic assessment
• Work conditioning
• Work hardening
• Wellness programs
• Outreach and marketing
• Fitness programs
• Drug testing

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Record keeping

• Never ending paper trail to prevent/counter
  lawsuits
• Major responsibility
• Legal documents
• Medical records
• Injury reports
• Treatment logs
• Personal info cards
• Progress notes
• Inventories
• Annual reports

• Must maintain confidentiality
• PPEs
• Determine risk
• Baseline readings
• Reveals dangerous conditions
• Satisfy insurance companies
• Administration
• Personal MD
• Station format

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Record keeping

• Medical history
• Identify past existing problems
• Updated yearly
• Physical exam
• Physical condition
• Orthopedic screening
• Bloodwork, urinalysis, maturity index
• Orthopedic screening
• Exam to assess strength, ROM, joint stability

• Maturity index
• Protect young athletes
• Grades 7-12 must be matched by maturity (NOT age)
• Tanners assessment
• 5 stages measure sexual maturity
• Stage one no puberty
• Stage three crucial stage in contact sports
• Fastest bone growth growth plates weak
• Stage five full puberty

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Sport disqualification

• Most disqualifying conditions found during the
  PPE
• The Americans with Disabilities Act (ADA)
  prohibits disqualification based on pre-existing
  conditions
• Can only recommend that they volunteer not to
  participate
• Lost one of a paired organ
• One testicle or undescended testicle(s)

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Injury paperwork

• Injury report
• Record for future reference
• Intra-staff communication
• Treatment log
• Serve as legal documents
• Personal info card
• Means of contacting family, personal MD,
  insurance company in emergency
• Medical record release
• Can only release info with the patients consent
• Specific as to which info and to whom

• SOAP notes
• Subjective what the athlete describes
• Objective what the ATC can see and test
• Assessment opinion of the injury
• Plan short and long term management
• HOPS
• History, observation, palpation, special test

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Injury data

• Computer programs to track
• Must use password for HIPAA
• Catastropic injuries
• Chest/truck
• Heatstroke
• Cervical spine
• Legs and arms at highest risk for injury

• Data used for rule/product modification
  knowledge