Radford University Sports Medicine Program Overview University Overview Southwest Virginia Public Institution with 9300 students Division I, Non BCS (Mid Major) 300 student-athletes (+40 Cheer/Dance) 19 sports (no football) 1
Men s Baseball Basketball Cross Country Soccer Tennis Track and Field Golf Sports Women s Basketball Cross Country Golf Soccer Softball Swimming and Diving Tennis Track and Field Volleyball Sports Medicine Staffing 5 full time ATC s 3 part time ATC s (29 hrs/week, 36 wks/yr) Head Team Physician-(part time contract through VCOM) Sports Medicine Fellows Associate Team Physician (volunteer) Orthopedic Team Physician (referral) Chiropractor (volunteer) Physical Therapist (part time wage) Nutritionist (very part time wage) Referrals to other specialists (cardiology, internal medicine, ent, etc.) 2
Other staff Athletic Training Students Student Workers- first aiders ATC Sport Coverage and Areas of Responsibility Sport Assignment Staff/GA Fall Winter Spring Areas of Responsibility Director MBB, (Cheer)(Swim) MBB, (Cheer)(Swim) MWG, MBB FT Assistant 1 MSC(Bb) Bb (MSC) Administration of Program, Insurance Cart(s), Board, Biohazard, Students FT Assistant 2 WSC, (SB) SB(WSC) Insurance Coordinator, Clothes FT Assistant 3 FH, (CC, TR/F) T&F (indoor) T&F(outdoor), (FH) Drug Testing FT Assistant 4 WBB, TN, (VB) WBB, (CH) WBB, VB, TN Ordering/Inventory Part Time 1 VB TR/F Physician's Area, Inventory Injury & Referral Tracking, Ortho Part Time 2 Fall Bb, S/D MSC Appts Part Time 3 Fall SB, CC WSC Rehab folders, Dedmon Stocking 3
Facility 1: Facility and Staff Hours 6:00a-11:30a, 1p-5:30p or last practice Open when whenweight room is open or while practice is going on that does not have an ATC onsite Facility 2: Open as needed for practice and events Staff Expectations Staff Staff Meeting Monday each week 1 early shift each week (6-10a) Alternate late coverage needs 1 morning off each week Encouraged to take teams day off Cover all games and practices for assigned sport (in season) Staff is there for all student-athletes 4
Athletic Training Facilities Facility 1 Small and outdated Main hub for activity due to proximity to most locker rooms and weight room 3 treatment tables (2 combo units) 2 taping tables Hydro Area (2 tubs, hydroc, ice machine, fridge) Basketballs, Volleyball, Baseball, Softball, Tennis, Golf, Swim/Dive Facility 1 5
Facility 2 Athletic Training Facilities Slightly larger but no air conditioning 4 treatment tables 1 taping table and taping counter Hydro Area (2 tubs, fridge, ice machine) Men s and Women s Soccer, Track and Field, Cross Country, Field Hockey Medical Provider Clinics Head Team Physician(trade contract) Tues/Thurs 9a-12p in Athletic Arena Home Men s Basketball Games Sports Medicine Fellows cover home MSC/WSC games Associate Team Physician (volunteer) Thursday 4p-6p Home Women s Basketball Games Health Center M-F 8:30a-5p give expedited scheduling and walk-ins Orthopedic Physician Every other Week as needed, preference in office 6
Medical Provider Clinics Physical Therapist Two days per week 6:30a-8:30a Chiropractor One day per week for 2 hours Nutritionist Scheduled as needed for individual consults, bulletin boards, team talks, meal planning, etc. Facility 1 15 miles away Hospitals Sports Medicine Orthopedic Surgeon Expedited scheduling for diagnostic imaging Assistance with insurance pre-authorizations 55% discount for our excess insurer $37,400 trade agreement (advertising for writeoffs after discount) 7
Facility 2 5 miles away Hospitals Expedited scheduling for diagnostic imaging No current discounts or write-offs (but working towards this) Operating Budget $64,000 Supplies and Equipment ($40,000) Office supplies ($800) Staff Clothing, licensures, continuing education ($6000) Drug Testing ($5-6000) Electronic Medical Records ($3180) Telephone and Printing Services ($1250) Medical Services (screening labs, ekg s, etc.) ($2000) Wages for Nutritionist ($2000) Miscellaneous Expenditures ($2500) 8
Aggregate Deductible Excess Insurance Fixed Premium and Administrative Costs Direct COB between provider, primary and excess plan Payment within 7-10 days of receipt of bills and eob s Excess Insurance 2010-11 $95,000 Attachment Point $35,000 Premium/Admin $171,013 Paid in Claims (2 months remaining) 2011-12 $100,000 Attachment Point $35,000 Premium/Admin $114,673 Paid in Claims (14 months remaining) 2012-13 $150,000 Attachment Point $42,500 Premium/Admin $40,000 Paid in Claims (26 months remaining) 9
2013-14 Numbers Excess Insurance $175,000 Attachment Point $47,500 Premium/Admin *$37,400 Trade Agreement with Hospital 1 just went into place on January 1, 2013. *Should begin to see benefit over next couple of years Un/Underinsured Student Athletes International We carry about 30 Int l SA s Required by University to have Health Insurance RU purchases Short Term Plan (use SAOF) $800 per year $10K Athletic Accident Benefit Does not cover preexisting injuries Utilize Hospital discount and write-off after plan pays 10
Un/Underinsured Student Athletes Domestic Medicaid Get referrals from home physician if needed Tricare Prime Switch to standard or send base for advanced diagnostics and/or surgeries Kaiser Permanente Obtain referrals and/or send home for diagnostics Uninsured $5K per incident accident only plan (No deductible) Utilize Hospital discount and write-off from dollar 1 Strengths Staff (competency) Support from Administration (theoretical v. fiscal?) Relationships with coaches Rapport with student athletes Diversity of Sports Medicine Staff Relationship with VCOM Volunteer group (physicians and chiro) In house PT Relationships with campus resources (health center, SAVES, Counseling, EMS) Expanding Specialist Physician referral network 11
Weaknesses Number of full-time staff positions (5) Staff salaries below national average No opportunity for staff raises without other job offers Size of Athletic Training Facilities Outdated Athletic Training Facilities Very small number of donations to foundation account Minimal amount of money in annual budget for capital purchases Athletic meals planning Opportunities Strengthening relationships with local hospital systems Gifting from Gifting from former Athletes Rotation of staff sport coverage assignments to prevent burnout and improve experience Utilizing community resources such as the Women s Resource Center, Health Department, Police Office 12
Threats Staff burnout and Turnover Staff covering multiple sports All insurance administrative duties handled by clinical staff Increasing coverage demands due to year round nature Increasing cost of medical supplies Increasing cost of healthcare and insurance Increasing number of students with high deductible, HMO or no insurance Trend of primary insurance policies not covering athletic injuries and leaving that burden up to the school s insurance policy Small and outdated facilities 13