Transcript Health Care Organization and Administration in Athletic Training

Health Care Organization and
Administration in Athletic
Training
System of Healthcare
Management
• Strategic Plan Development
– Determine why there is need for such a program
– Determine function of program and what the goals
should be
– Decision of administrators will determine extent of
health care program in athletic training
– Develop written mission statement to focus
direction of program
• Strategic Plan Development (cont.)
– Strategic plan development must include
administrators, other allied healthcare providers,
student-athletes, coaches, physicians, athletic
trainers, parents and community health leaders
• Development of Policy & Procedures Manual
– Creation of policies and procedures for all
involved in health care
– Policies = clear written out statements of basic
rules
• Critical element for operation of athletic training clinic
– Procedures = describe the process
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
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
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 should attend all
practices and games
– Different institutions have different levels of
coverage based on personnel and risks involved
with sports
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
OSHA
– Examples
•
•
•
•
•
No equipment/cleats in the athletic training room
Shoes off treatment tables
Shower prior to treatment
No roughhousing or profanity
No food or smokeless tobacco
– Cleaning responsibilities should be addressed
appropriately by athletic training staff and
custodial staff
– 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
• Athlete
– Promotion of good health and hygiene is critical
Prompt injury and illness reporting
Follow good living habits
Showering after practice
Avoid sharing clothes and towels
Exhibit good hygiene practices
Avoid common drinking sources
Avoid contact with athletes with contagious disease or
infection
• Understand the role exercise can play in maintaining a
healthy lifestyle
•
•
•
•
•
•
•
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
• Size of budget
• Different settings = different size budgets
and space allocations
• Equipment needs and supplies vary
depending on the setting (college vs.
secondary school)
• Continuous planning and prioritizing is
necessary to effectively manage monetary
allocations to meet programmatic goals
• Supplies
– Expendable
• Involves 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
• Equipment
– Items that can be used for a number of years
– Capital (remain in the athletic training facility
including ice machine, tables)
– Non-consumable capital (crutches, coolers,
athletic 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
• Security Issues
– Accessibility to athletic training clinic (staff,
physicians, athletic training students)
– Athletic training students must be supervised
when in the clinical setting
– Coaches may have access in secondary
school settings
• 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
• 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
• Assembling appropriate personnel to achieve
program goals and objectives is critical to
success.
• 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
Athletic Training 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
• Location
– 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
• Illumination
– 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
– 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
– Athletic training facilities often lack ample
storage space
– Storage in athletic 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
– Space should be designated for storage of
patient belongings
• Athletic Trainer’s Office
– Space at least 10x12 feet is ample
– All areas of athletic training facility should be
able to be supervised without leaving office
space (glass partitions)
– Equipment should include, desk, chair, tack
board, telephone, computer 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
– Restrooms: Should be at least one available
within the facility