1. © 2011 McGraw-Hill Higher Education. All rights reserved. Chapter 2: Health Care Organization and Administration in Athletic Training

2. © 2011 McGraw-Hill Higher Education. All rights reserved. System of Healthcare Management Strategic Plan Development –Determine why there is need for such a program –Determine _____________ and what the goals should be –Decision of _________ will determine _________________________________ __________ –Develop written ______ _________ to focus direction of program

3. © 2011 McGraw-Hill Higher Education. All rights reserved. Contact information: Willis Athletic Training Room 1201 FM 830 Willis, Texas 77378 (936) 856-1269 office (936) 890-1185 fax Willis Athletic Training Program is run under the direction of: Head Athletic Trainer- Charley Weaver, ATC, LAT- cweaver@willisisd.org cweaver@willisisd.org Mission Statement for the Willis Athletic Training Program: It is the mission of the Willis Athletic Training Program to provide medical assistance to the student athletes of Willis ISD by aiding in the prevention, recognition, treatment, and rehabilitation of athletic injuries. Furthermore, our secondary goal is to educate our student athletic trainers by experiences learned on the field as well as in the training room. These experiences will help the student athletic trainer gain a better understanding of the sports medicine field.

4. © 2011 McGraw-Hill Higher Education. All rights reserved. Strategic Plan Development (cont.) –Strategic plan development must include _________, ________, ________, ______, _________, _________, _______, and community health leaders –Ongoing process that reviews strengths and weaknesses of program

5. © 2011 McGraw-Hill Higher Education. All rights reserved. Development of Policy & Procedures Manual –Creation of policies and procedures for all involved in health care –Policies = _____ ______ ___statements of basic rules Critical element for operation of athletic training clinic –Procedures = _______ _____ __________

6. © 2011 McGraw-Hill Higher Education. All rights reserved. Issues Specific to Athletic Training Program Operations Scope of Program –Who will be served by program? Athlete: to what extent and what services will be provided (_________ _________ _________ & _____________________) School Staff? Community?

7. © 2011 McGraw-Hill Higher Education. All rights reserved. Providing Coverage Facility Personnel Coverage –Appropriate coverage of facility and sports –Setup of __________, __________, game, and practice coverage vary Sports Coverage –Certified athletic trainer should attend all __________ and ____________ –Different institutions have different levels of coverage based on personnel and risks involved with sports

8. © 2011 McGraw-Hill Higher Education. All rights reserved. Hygiene and Sanitation Athletic Training Clinic –Rules concerning room cleanliness and sanitation must be set and made known to population using facility –Operation should abide by policies set forth by _______ –Examples

9. © 2011 McGraw-Hill Higher Education. All rights reserved. –Cleaning responsibilities should be addressed appropriately by athletic training staff and custodial staff –Division of responsibilities –Maintenance crew Sweep, clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets –Athletic Training staff Clean _________ ________, disinfect _____ ___, clean modalities daily, clean equipment regularly, _________

10. © 2011 McGraw-Hill Higher Education. All rights reserved. –Equipment and clothing Proper fitting ___________ Frequent clothing and equipment ____________ ___________ equipment for weather conditions Use of ______ ____ _______ and equipment daily

11. © 2011 McGraw-Hill Higher Education. All rights reserved. Athlete –Promotion of good health and hygiene is ___________ Prompt injury and illness reporting Follow ______ _______ __________ _________ after practice _______ share clothes and towels Exhibit good hygiene practices Avoid common drinking sources Avoid contact with athletes with ____________ _________ or __________

12. © 2011 McGraw-Hill Higher Education. All rights reserved. Emergency Telephones Accessibility to phones in all ______ _____ of _______ is a must Should be able to contact outside emergency help and be able to call for additional athletic training assistance ________, and ___________ provide a great deal of flexibility

13. © 2011 McGraw-Hill Higher Education. All rights reserved. Budgetary Concerns Size of budget Equipment needs and supplies vary depending on the setting (________ vs. _____ ________) Consistently planning for the _______ of the _________ and it’s _______

14. © 2011 McGraw-Hill Higher Education. All rights reserved. Supplies –Expendable Involves supplies that ______________- first aid and injury prevention supplies –Non-expendable ___________ supplies - ace wraps, scissors…etc) –Yearly inventory and records must be maintained in both areas

15. © 2011 McGraw-Hill Higher Education. All rights reserved. Equipment –Items that can be used for a number of years –_______ (remain in the athletic training facility including ice machine, tables) –______________ capital (crutches, coolers, athletic training kits)

16. © 2011 McGraw-Hill Higher Education. All rights reserved. Purchasing Systems –Direct buy vs. _________ ___________ –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

17. © 2011 McGraw-Hill Higher Education. All rights reserved. Developing a Risk Management Plan Security Issues –Accessibility to athletic training clinic (staff, physicians, athletic training students) –Athletic training students ______ ___ ____________when in the clinical setting –_________ may have access in secondary school settings Fire Safety –Post __________ ______ in case of fire –Smoke detectors/alarm system and fire extinguisher should be tested and in place

18. © 2011 McGraw-Hill Higher Education. All rights reserved. Electrical and Equipment Safety –Major concern –Be aware of power distribution system to avoid accidents Emergency Action Plan –Accessing ________ ________ outside setting in the event of emergency –Include ___________ of athletes to emergency facilities –Meeting with outside personnel is necessary to determine roles and rules regarding athlete and equipment care

19. © 2011 McGraw-Hill Higher Education. All rights reserved. Accessing Community Based Health Services Must have knowledge of ______ and ________ ________ ______and agencies in the event of referrals Referrals should be made with assistance from a __________ Parental involvement is necessary when dealing with ______________ and ____________ events

20. © 2011 McGraw-Hill Higher Education. All rights reserved. Human Resources and Personnel Issues Assembling appropriate personnel to achieve program goals and objectives is critical to success. Recruitment, _______ and retaining ________ personnel is necessary to be effective Specific policies are established relative to hiring, firing, performance evaluations and promotions –Must adhere to these principles

21. © 2011 McGraw-Hill Higher Education. All rights reserved. Roles and responsibilities must be established –_____ ____________- 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

22. © 2011 McGraw-Hill Higher Education. All rights reserved. Athletic Training Facility Design Design will vary drastically based on number of athletes, teams, and various needs of the program –Size –Location –Lights –Special Service Areas –Storage –Office

23. © 2011 McGraw-Hill Higher Education. All rights reserved. Figure 2-1

24. © 2011 McGraw-Hill Higher Education. All rights reserved. Figure 2-2

25. © 2011 McGraw-Hill Higher Education. All rights reserved. Drug Testing Programs –Athletic trainers may be asked to oversee ____ ________________ –Program may act as a deterrent to employees(_________) coming in unfit for duty –May be necessitated by federal guidelines or pre-employment screenings –Legal defensibility is the most important aspect of any drug-testing program –The corporation should use federally certified testing laboratories with all positive tests results confirmed via a medical review department

26. © 2011 McGraw-Hill Higher Education. All rights reserved. Record Keeping _______________ The rule not the exception - accurate and up-to-date Medical records, ______ ________, insurance information, _______ ________, progress notes, equipment inventories, annual reports

27. © 2011 McGraw-Hill Higher Education. All rights reserved. Maintaining Confidentiality in Record Keeping Release of Medical Records –_________________________________ –Waiver must be signed for any release (include specifics of information to be released and to whom)

28. © 2011 McGraw-Hill Higher Education. All rights reserved. Health Insurance Portability and Accountability Act (_______) –Regulates dissemination of personal history information (PHI) by coaches, AT’s, physicians or other members of sports medicine team –Guarantees _______ _______to information and control over disclosure –Athlete may provide written authorization for ________________________

29. © 2011 McGraw-Hill Higher Education. All rights reserved. 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

30. © 2011 McGraw-Hill Higher Education. All rights reserved. Family Educational Rights and Privacy Act –________ = law protecting privacy of student education records –Provides parents with certain rights with respect to child’s _____________________ –When child turns 18 rights are transferred to student –School must have _______________ prior to releasing information

31. © 2011 McGraw-Hill Higher Education. All rights reserved. Administering Pre-participation Examinations Initial pre-participation exam prior to start of practice is _________ Purpose is to _________________________ Should include –_____________, physical exam, _______________, wellness screening Establishes a baseline Satisfies insurance and liability issue

32. © 2011 McGraw-Hill Higher Education. All rights reserved. Pre-Participation Physicals cont. Examination by Personal Physician –__________________________________ Station Examination –__________________________________

33. © 2011 McGraw-Hill Higher Education. All rights reserved.

34. What’s in a Physical Packet Personal Information Card _____________________ ____________ Other Documents required by the school or place of employment Disqualified or “Uncleared” Athletes? –_______________________________

35. © 2011 McGraw-Hill Higher Education. All rights reserved.

36. Injury & Treatment Log Important for record keeping –________________ –Injury log and progress notes

37. © 2011 McGraw-Hill Higher Education. All rights reserved. Injury Evaluation and Progress Notes Injuries and progress should be monitored by athletic trainer and recorded SOAP note format –S: _________ (history of injury/illness) –O: _________ (information gathered during evaluation) –A: ___________ (opinion of injury based on information gained during evaluation) –P: ________ (short and long term goals of rehab)

38. © 2011 McGraw-Hill Higher Education. All rights reserved. Supplies and Equipment Inventory Managing budget and equipment/supplies is critically important Inventory must be taken yearly in order to effectively replenish supplies

39. © 2011 McGraw-Hill Higher Education. All rights reserved. Annual/Seasonal Report Summary of athletic training program functions Can be used to evaluate recommend potential changes for program Includes number of patients and types of injuries seen/treated