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You are Worth it! Tools and Resources for the College/University Athletic Trainer 67 th Annual Eastern Athletic Trainers Association Meeting and Clinical Symposium, January 2015 John Davis The College/University Value Model Quantifying


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You are Worth it! Tools and Resources for the College/University Athletic Trainer

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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The College/University Value Model

Quantifying Your Worth Within Your Athletic Department

John Davis, MS, ATC Coordinator or Athletic Training and Sports Medicine Service Montclair State University Past President of the EATA Former Member CUATC

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Disclosure

 I did not create the material in this presentation. The

College Value Model is a product of the Committee on Revenue with the College/University Athletic Trainers’ Committee and in particular the College Value Model Workgroup.

 I am not an expert on this topic, just the guy that

showed up with some slides.

 Kenny Boyd, MS, ATC, LAT

, - University of North Carolina - CATS Spring Symposium for Athletic Trainers & Team Physicians, May 15-17, 2014

 Hopefully it will make you think differently about

your value every day.

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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CVM Work Group

Amanda Thoens Boston University, Athletic Trainer

Kenny Boyd University of North Carolina, Athletic Trainer

Ernest Eugene Marquette University, Athletic Trainer

Paul Higgs Georgia College & State University, Head Athletic Trainer

David Stuckey Hardin-Simmons University (Abilene, TX), Director of Athletic Training Education

Allen Shelley Mars-Hill College, Head Athletic Trainer

Melinda Larson Whitworth University, Head Athletic Trainer,

  • Assoc. Professor

John Davis Montclair State University, Head Athletic Trainer

Linda Mazzoli Committee on Revenue, Chair

Matthew Lyden Regional Sports Medicine (Spartanburg, SC), Athletic Training Services Director (Former member)

Janet Panek Holy Family University (Philadelphia, PA), Head Athletic Trainer (Former member)

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Overview

Terms of Value Review the College/University Value Model (CVM) www.nata.org/revenue-models Application of the value model

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Terminology

VALUE

The extent to which a service’s worth is

PERCEIVED WORTH

The MONETARY value of a service

provided

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Terminology

REVENUE

COMPENSATIONS associated either directly

  • r indirectly with providing athletic training

services REIMBURSEMENT

PAYMENT for providing an athletic training

service

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Terminology

Metrics

…measurement by which efficiency, performance,

progress…can be assessed

Encounters

…meeting with a health care provider…

Documentation

Substantiating the occurrence…by making written

  • r photographic records.

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Evidence to Quantify/Qualify Value

Job Satisfaction Job Retention Life-Work Balance - “Quality of Life” Sustainability

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Evidence for Work-Life Balance.

 Bernard, Kathleen. “Factors Influencing Retention of Male

Athletic Trainers in the NCAA Division 1 Setting.” IJATT 18.5 (2013)

 Eberman, L.E., & Kahanov, L. (2013). Athletic Trainer

Perceptions of Life-Work Balance and Parenting Concerns. Journal of Ahtletic Training, 48(3), 416-423.

 “Sources of Work Family Conflict (WFC) and burnout sited as

inflexible work schedules, inadequate staffing”

Mazerolle SM, Bruening JE, Casa DJ, Burton LJ. Work-Family Conflict, Part II. J of Athl Train. 2008 Sept-Oct; 43 (5): 513-522

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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College/University Value Model:

PURPOSE

 Resource for value assessment for Athletic Trainers in

college/university setting

 Unique global revenue strategy  Presentation template for education of non-members

 Collection of resources to assist the C/U AT to address

“opportunities to improve” at their institution

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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College/University Value Model:

OVERVIEW

5 “Buckets” of information “Applying Value” Resources/Reference Project Team Members/Mentors

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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HOW ARE YOU PERCEIVED AND HOW ARE YOU VALUED?

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Andre Agassi rule – Perception is Everything

 Do you work in an Athletic Training Room or do you work

in an Athletic Training Facility ?

 Do you answer the phone “Training Room”?  Charlie Thompson’s pet peeve –

Do you provide “coverage” or Health Care?

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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 More than basic emergency care  Encompasses other health care services for ongoing daily health care, may include:

 PPE  Prevention  Evaluation  Rehabilitation  Psychosocial  Administration  Professional Development  Other

DEFINITION OF APPROPRIATE MEDICAL CARE

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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VALUE BUCKETS

  • 1. MEDICAL SERVICES
  • 2. RISK MINIMIZATION
  • 3. ORGANIZATIONAL/ADMINISTRATIVE VALUE
  • 4. COST CONTAINMENT
  • 5. AT INFLUENCE ON ACADEMIC SUCCESS

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Community & Professional Involvement

 What volunteer positions do you hold/have you held within the Athletic

Training profession?

 What volunteer positions do you hold/have you held within the community?  What on campus committees do you serve on?  How does your reputation and work reflect on the University?  Are you an asset in a PR sense?  Is the AT Facility a stop on recruiting tours?

College Athletic Trainers Society Spring Symposium for Athletic Trainers and Team Physicians May 15-17, 2014 Kenny Boyd, MS, ATC, LAT

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MEDICAL SERVICES

 Injury Evaluation and Treatment  Injury Rehabilitation and Reconditioning  After hours/On-call consultation and injury/illness

management

 Outside Medical Provider Services  Team Physician Services  Diagnostic Testing  Injury prevention programs  Ancillary medical services

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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METRICS on MEDICAL SERVICES

 Encounters

 Active Student-Athlete (S-A)  In-Active S-A (graduated/expired eligibility/medical

scholarship)

 Faculty/Staff Member  Coaches and their family

 OUTCOMES

 Annual/Season vs. Conference vs. National

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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College Athletic Trainers Society Spring Symposium for Athletic Trainers and Team Physicians May 15-17, 2014 Kenny Boyd, MS, ATC, LAT

Daily ATR Visits Treatment New Modalities Manual Therapy Ancillary Provider Contracted Rates Billing Recurrent Rehab Post- surgical FT Staff PT Staff Billing Short Term Physician Visit Labs Billing Contracted Rates Diagnostic Imaging

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Trainer Porn

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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RISK MINIMIZATION

Patient Care Professional Credentialing Facilities – (rent facilities/rent AT?) Equipment Travel Emergency Planning

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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METRICS on RISK MINIMIZATION

 Comprehensive Medical Screening  Movement Screening  Preventative Programs

 ACL  Dental Protection  Ankle/Knee Bracing

 Body Comp Testing

 Skin Caliper v. BodPod v. Dexa

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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ADMINISTRATIVE VALUE

 Injury records  Insurance  Athletic Department Committees/Initiatives  Sports Medicine Team coordination  Drug Testing  Education (Students/Staff/Coaches)  Credential maintenance  Emergency Action Plans (EAPs)  Risk Management

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Pre and Post 18% Rehab 15% Education 4% Travel 6% Event Coverage 22% Administration 30% Other 5%

STAFF HOURS (ALL SCHOOLS)

2012-13 Event Coverage and Staff Hours Project: Institute for Collegiate Sports Medicine

Pre and Post Rehab Education Travel Event Coverage Administration Other

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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METRICS on ADMINISTRATIVE VALUE

 Pre-participation exam

 Scheduling MD’s, other medical providers, S&C Coaches, Academic Staff  Coordinating Team Rosters  Scheduling Teams  Sending out AND Receiving paperwork  Patient education  PPE Review: Patient/Parent(s), Medical Staff, Coaches

 Documenting:

 Procedures  Time spent to coordinate and implement  Metrics: Successes v. Opportunities to Improve

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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COST CONTAINMENT

Insurance Premiums Staffing and Workload Management Medical Services Budget Management Fund Raising Contracts

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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METRICS on COST CONTAINMENT

 Advise athletic administrators, business office or other

university staff on issues related to appropriate athletics insurance coverage

 Monitor utilization of athletic department insurance benefits  Keep accurate records to assure insurance coverage and

payment

 Assist with creation of discount arrangements with outside

medical/allied health services providers, and sometimes pro bono care

(Ex.) negotiate MRI cash price down by $200 determine average 50 cash MRI’s per year true savings $10K

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Monetary Value

2012-13

 457 athletes; 5,355 treatments; 98 off campus referrals  15 surgical procedures and rehab  In-house rehab @ $250/visit = $1,338,750  In House rehab @ $450/visit = $2,677,500  14 MSU ATEP students passed BOC

2013-14

 519 athletes; 4,870 treatments; 105 off campus referrals  20 surgical procedures and rehab  In-house rehab @ $250/visit = $1,217,500  In House rehab @ $450/visit = $2,435,000  10 MSU ATEP students passed BOC

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015

John Davis

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INFLUENCE ON ACADEMIC SUCCESS

Academic Progress Rate (APR)

Student Retention

Life Skills Mental Health Counseling Bridge between Academics and Physicians

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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METRICS on ACADEMIC SUCCESS: Student Retention/APR

 Recognition of potential problems and issues inhibiting

student-athlete retention

 Trouble in classes  Issues with professors  Determination of Major

 Liaison and referral to campus services: career center,

learning center, student life, academic advisors

 Impartial observer whose jobs are not based on win/loss

  • records. Student-athletes seek AT’s out for advice beyond

injury management

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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Concussion Expert

 NATA has used this issue to position us as “experts” on campus.  Is there anybody better on a campus? In an ER? In the Hospital?  NCAA Guidelines/Protocols  State Laws  Rehab? Who ever thought we would be rehabing concussions?  Who is the best at getting the athlete to “trust the process”?  Disability Services/Special Needs Staff at Colleges have different experiences

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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METRICS on ACADEMIC SUCCESS: Life Skills

Recognition of potential problems and issues related to life skills

Communication issues ( Dating, roommates, family, friends, team dynamics)

Conflict resolution issues

 Dating/relationship problems 

Career decisions

Job/financial issues

General Healthcare and well being

Life Balance

Time management

Stress management

Life challenges/tragedies

Homesickness

Mentoring as a role model and instructor in healthy lifestyle choices

Liaison to campus services IE: career center, student life

Treatment or assistance with care of non- sport related conditions that can affect play and continued academic engagement:

Depression

Eating disorders

Self-mutilation

Self-disclosed use/abuse issues

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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COLLEGE/UNIVERSITY VALUE MODEL: “HOW DOES THIS APPLY TO ME?”

 Working Document: Ideas for YOU to implement  Customize to YOUR institution based on YOUR needs  Educate Administrators/Coaches: Find out what THEY value…Speak

THEIR language

 Educate Medical Staff: Initiate discussions of new opportunities to

improve

 Educate Student-Athletes/Parents: Do THEY truly know YOUR value  Educate the FUTURE: “…what they don’t teach you in class”  Identify numbers to what we do….and REPORT IT!

USE IT!

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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RESOURCES FOR SUPPORT

NATA College/University Athletic Trainer’s Committee:

 www.nata.org/cuatc  www.nata.org/athletic-training/job-settings/colleges-universities-setting  College/University Value Model

www.nata.org/revenue-models

 Appropriate Medical Coverage of Intercollegiate Athletics (AMCIA):

www.nata.org/appropriate-medical-coverage-intercollegiate-athletics

 www.nata.org/access-read/member/10-10-presentations

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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 The AMCIA document will help evaluate an institution’s ability to deliver

health care to its student/athletes.

 Use of this document demonstrates that an institution has done due

diligence with self-evaluation of the medical delivery system and that all stakeholders (AD, risk manager, CEO, athletic trainers, coaches and physicians) are on the same page and in agreement with the system in place.

 It is not meant to be a stand-alone document but to work in concert with

each institution’s needs.

APPROPRIATE MEDICAL COVERAGE FOR INTERCOLLEGIATE ATHLETICS

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RESOURCES FOR SUPPORT

 NCAA Sports Science Institute: www.ncaa.org/wps/wcm/connect/public/ncaa.ssi  Board of Certification for Athletic Trainers

Facility Standards Self Assessment Toolkit: www.bocatc.org www.bocatc.org/images/stories/resources/boc_facility_safety_1404af.pdf

 NATA Salary Survey 2011: www.nata.org/nata-salary-survey

67th Annual Eastern Athletic Trainers’ Association Meeting and Clinical Symposium, January 2015 John Davis

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FACILITY AND PATIENT CARE STANDARDS

FOLLOWING STATE AND FEDERAL REGULATIONS FOR HEALTH CARE FACILITIES

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You are Worth it!

Don’t Count the Days, Make the Days Count! Thank you for attending! Thank you to all those that have influenced my thinking!