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ACE Urges Congress to Focus on Prevention

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Recently, the American Council on Exercise (ACE) submitted a letter to Congress, urging the governmental body to redefine the U.S.’s approach to healthcare. Rather than focus on treating people who are ill, our healthcare system should emphasize illness prevention, ACE argued, while also empowering sufferers of chronic disease to manage their discomfort. As the letter put it: “[O]ur healthcare system needs to shift from one almost solely focused on responding to people who are ill to investing in preventing people from getting sick in the first place and empowering those with chronic conditions to helping themselves when they can.”

Among the intriguing policies that ACE enjoined Congress to adopt is this one: “Allow for financial incentives through tax policies to encourage increased participation through physical activity to reduce the chances of incurring preventable chronic diseases.” What this amounts to in plain English: “Reimburse people who pay to work out!”

In addition to benefitting large swathes of the population, ACE’s proposed financial-incentives plan could, of course, have beneficial effects for the fitness industry. The plan is ingenious. If individuals are reimbursed through tax policies for payments they make to gyms, sports centres, and other fitness facilities, then those individuals will have the opportunity to work toward better health at a lower cost. The facilities they sign up with will enjoy the benefits of a growing membership along with, ideally, built-in incentives for members to stay on-board. And, as citizens become healthier, managing their chronic illnesses and preventing the onset of new disease, the government, over the long term, will begin to see the overall cost of healthcare fall. Everybody wins.

Other proposals in ACE’s letter are equally hopeful. “Make science-based, interdisciplinary coaching, counseling, and support for sustainable behavioral change a functional, integral component of the nation’s healthcare system.” Elsewhere in the letter, ACE describes its members as “advocates for extending the clinic into the community with science-based preventative services delivered by well-qualified professionals not necessarily thought of as healthcare providers.” Put these two together, and you have a movement to enable greater health and healthier decision-making through the involvement of a population of workers not as overburdened as doctors and other medical professionals but qualified to provide health-related guidance — that is, personal trainers, nutritionists, physical therapists, masseuses, and others who make the fitness industry their home.

Another policy ACE pitched to Congress articulates this even more directly: “Extend the healthcare team into the community by tapping well-qualified health and fitness professionals to deliver preventative services and programs focused on behavior change directly in the community, reimbursable by health insurance.” A side benefit of a policy like this one is that health and fitness professionals could be held in greater esteem by the population at large, their knowledge and their services valued for the truly life-transforming elements they are.

All in all, ACE’s letter to Congress is one to read, promote, and actively support. As one of those health and fitness professionals who stands to benefit so much, call your local Congressperson and make your feelings about the letter known. Echo ACE’s words: “The single most effective path to manage rising healthcare costs is to reduce the cost of managing choric disease.” Then explain how your work has proven to you over and over again the truth of this statement.

Keeping Your Facility Germ-Free-- And Your Members Happy

Keeping Your Facility Germ-Free—and Your Members Happy

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In 2008, IHRSA published the Guide to Health Cleanliness, which highlighted the startling results of a survey: More than 90 percent of survey participants said they were more apt to renew their membership with a health club facility if the facility was clean. That might not be so surprising, but here’s the shocking part: Only slightly more than half said they would renew if the facility was not clean.

Keep in mind that this was six years ago, before the Ebola scare, before enterovirus D68, before super-strong strains of the flu were floating around. With these threats around us, and with media hype that frequently blows such threats out of proportion, it’s little wonder that health club and sports facility users are even more cautious than they used to be. Add to that the fact that we’re smack in the middle of cold season, and you’ve got potentially a lot of skittish members on your hands who want assurance that their health is protected when they’re using your facility.

What can you do to reassure them? First of all, make sure you’ve got a plan for keeping your place as clean as possible. Review your cleanliness policies and procedures. Are they up to date? Do they follow best practices? Are they generally in keeping with standards set by the Centres for Disease Controls (for example, wash hands with soap and water for 20 seconds or rub an alcohol-based sanitizer on hands for 15 seconds before and after workouts; shower after workouts; avoid walking barefoot across exercise floors and locker rooms)?

After you’ve polished up your policies, start thinking about your staff. Do they know the policies? Do they know what to do if they’re sick (best practices say they should stay home)? Do they know what tasks they should take responsibility for in order to help maintain the highest standard of cleanliness possible? Organize a mandatory staff meeting solely around these issues and make sure everyone is on board. Do frequent walkthroughs with a cleanliness checklist to make sure rules are being adhered to.

Finally, communicate directly and explicitly with your members about cleanliness in your facility. Send out an email explaining your concerns during the season, highlighting the steps your club is taking to stay as germ-free as possible, and asking members to remain aware of ways in which they can help contribute to a cleaner club environment. List specific tips, like the Centres for Disease Control standards shown above. A post on IHRSA’s blog describes an email Newtown Athletic Club recently sent to its members. Linda Mitchell, Newtown Athletic’s director of PR and Marketing, devised a letter with the subject line “Healthy Facilities Initiative.” She and her team carefully worded the letter, avoiding making any promises but being sure to explain procedures. They assured members that maintaining a clean facility is a top priority. Then they described new procedures being implemented and outlined member responsibilities. Mitchell told IHRSA that the email had an unheard-of 35 percent open rate—to her a clear indication that members were hungry for information about facility cleanliness.

Ultimately, you want to make your members feel secure, and you want them to know you welcome their questions and can answer them satisfactorily. Over and above that, you want to keep your facility as germ-free as possible — for your members’ sake, but also for your own and your staff’s. Provide a safe environment, clearly communicate the details about how you’ve done so, and keep everyone feeling strong and healthy all winter long.

Planning for Emergencies

Planning for Emergencies

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My son is eight years old, the age at which curiosity, acquired knowledge, and a total fascination with disaster scenarios come together beautifully and lead to all kinds of thought-provoking (and sometimes horrifying) what-if questions. What if the house blew up just as we were about to step inside of it? What if a tornado ripped through town unexpectedly while summer camp was in session? What if we went to watch a baseball game at Yankee Stadium and an earthquake happened in the first inning?
That last one gave me pause. What if an earthquake did happen during a baseball game? What if you run a sports facility or a recreation complex or, for that matter, a gym, health club, or fitness center and you’re faced with a major emergency? How do you prepare yourself? How do you even begin to think of something as massive, and as potentially devastating, as an earthquake?
Kevin Bryant, a senior facility manager for the Gordon Faber Recreation Complex in Hillsboro, Oregon (which boasts a 3,700-seat baseball stadium, a 7,200-seat football/soccer stadium, and six softball fields) addressed such questions in a recent article for Sports Venue Safety, a supplement to Athletic Business. Bryant has encountered a number of extraordinary situations at his facility: a drunk and belligerent spectator, drug-use by a semi-professional sports team in the locker room, lights going out during a stormy, night-time, high-school football game. None of these are on the scale of an earthquake, but they got him thinking about the importance of being ready should a major emergency occur.
In order to frame out a coherent emergency plan, including an evacuation strategy, Bryant and his team—full-time and part-time staff—engaged in a months-long effort. Starting with the simple plan they already had (and you no doubt have at least a simple one of your own), they called upon the expertise of police and fire first-responders, city staff, and school district personnel. They researched actual emergencies that had happened at other facilities, used virtual reality software, and good, old-fashioned brainstorming to imagine potential situations. At the end of the process, they produced a carefully crafted, solidly tested, emergency and evacuation plan.
Bryant offers some useful advice. The first step, he says, was getting practical training for all full-time staff so that, at the very least, everyone knows how to administer basic first-aid and everyone has some AED and CPR training. Whether you run a sports facility or a gym or health club, you’ve probably prepared key staff members for simple emergencies in similar ways. But it’s worth asking yourself whether you’ve trained enough staff and whether new employees need training. Do you have a plan for yearly refresher sessions?
After training, Bryant and his team made a list of the exact types of emergencies they might encounter at their facility and then researched preferred ways of dealing with those emergencies. They looked into bomb threats, critical operations shutdowns, fires in and outside the stadium, extreme weather situations (including, yes, earthquakes), medical emergencies, and even nuclear fallout. They outlined, among other things, what the immediate reaction to each type of emergency would be, who would be responsible for what, and how the city and first-responders would be involved. The take-away here is that different kinds of disasters require different kinds of responses. At your facility, you must have a specific plan for each kind, and all the players must be clear on their roles.
Once you’ve got your written plan, you need to start another round of training—this time stepping through the actual plan as if an emergency had occurred. Bryant’s staff went through a fire drill. On a day when there was no event, they pulled the fire-alarm, role-played responses, and then discussed how it all went. The exercise revealed the importance of communication in the midst of chaos, noise, and stress, and showed Bryant that, while a written plan is crucial, realistic training is the only way to get all players on board with how to manage an actual situation.
Another great thing about eight-year-olds is that they’re convinced they can overcome any disaster scenario they might have to face; when my son explains how he’s going to deal with the tornado-at-summer-camp, or any other similar situation, he always describes his own deeds of daring and his phenomenal, heroic triumphs. I love his confidence and optimism, but I always try to remind him that he has a good chance of succeeding as long as he has a carefully thought-through plan.

Risk Management

Don’t Forget Risk Management

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Don’t Forget Risk Management y son calls me a scaredy-cat because I’m constantly throwing warnings out at him: “Don’t run on the ice, you could fall and hurt yourself!” “Be careful on those rocks; they look slippery.” “Please don’t climb any higher up that fence; if you fall and crack your head open, you’ll be sorry!” I’m not a scaredy-cat, I tell him; I just have to give the warning because if something actually happens, I’ll feel even worse about it if I failed to alert him to the danger beforehand. The better tactic, I know, would be to remove the ice, the rocks, and the fence before he can even test them, but out in the world that’s just not possible.
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