1. Chapter 2: Health Care Administration in Athletic Training

2. System of Healthcare Management
Strategic Plan Development
Determine why there is need for such a program
Determine function of program within scope of athletic program
Decision of administrators will determine extent of health care program
Develop written mission statement to focus direction of program

3. Strategic Plan Development (cont.)
Strategic plan development must include administrators, student-athletes, coaches, physicians, athletic trainers, parents and community health leaders
Ongoing process that reviews strengths and weaknesses of program

4. Policy and Procedure Development
Creation of policies and procedures for all involved in health care of athletes necessary
To be covered throughout presentation
Abbreviated version of policies and procedures should be provided to athletes and parents (if financially feasible)

5. 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

6. Location Illumination
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

7. 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 sloping floor to drain, equipped with 2-3 whirlpools, shelving and storage space and outlets 5 feet above the floor

8. Exercise Rehabilitation Area: area that provides adequate space and equipment to perform reconditioning of injuries
Taping, Bandaging & Orthotic 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, refrigerator
Records Area: space devoted to record keeping which may include filing system or computer based database, that allows access only to medical personnel

9. Athletic Trainer’s Office
Storage Facilities
Training rooms 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
Athletic Trainer’s Office
Space at least 10x12 feet is ample
All areas of training room should be supervised without leaving office space (glass partitions)
Equipment should include, desk, chair, tack board, telephone, computer (if necessary) and independent locking system

10. 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
X-Ray Room: separate room with lead shielding in walls, large enough to house necessary equipment

12. University of Oregon Facility Tour

13. Clinical and Industrial Settings: patient care outside high school and collegiate athletes, with a broader scope of practice that could include:
Pediatric work
Work hardening
Orthopedic and neurological patients
Athletic trainers should be sure to work within their scope (physically active)
Fitness programming may also become an ATC’s responsibility in this setting

14. Providing Coverage Facility Personnel Coverage Sports Coverage
Appropriate coverage of facility and sports
Setup of treatments, rehabilitation, game and practice coverage vary
Sports Coverage
Certified athletic trainer or at least a student should attend all practices and games (home and away)
Different institutions (including high schools) have different levels of coverage based on personnel and risks involved with sports

15. Hygiene and Sanitation
Athletic Training Facility
Rules concerning room cleanliness and sanitation must be set and made known to population using facility
Examples
No equipment/cleats in training room
Shoes off treatment tables
Shower prior to treatment
No roughhousing or profanity
No food or smokeless tobacco

16. Cleaning responsibilities are divided between athletic training staff and maintenance personnel
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

17. Gymnasium (general issues concerning facility and equipment cleanliness)
Cleaning of gymnasium floors
Drinking fountain and shower/locker facility disinfecting
Matted service cleaning (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

18. Athlete Promotion of good health and hygiene is critical
Athlete clearance to participate
Athlete insurance
Prompt injury and illness reporting
Follow good living habits
Avoid sharing clothes and towels
Exhibit good hygiene practices
Avoid common drinking sources

19. 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