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February 25, 2010 Team Health ReportsPittsburgh Pirates
The Summary: The 2008 Dick Martin Award winners didn't repeat, but they've established themselves as one of the most consistent medical staffs around despite little notice from anyone outside Baseball Prospectus. The Bucs had a few more injuries here and there, like traumatic injuries to Ryan Doumit and Jack Wilson, while getting piled on by injury cases like Craig Hansen and Tyler Yates. Where the real issue shows up is in someone who didn't even hit the DL last year: Matt Capps. The staff kept him healthy and relatively productive, only to see him non-tendered at the end of '09. The Pirates haven't used the medical staff for leverage, staying away from some cheap but risky players who could, perhaps, help push Pittsburgh toward .500 again. Then again, Dan Fox wouldn't say for certain at BP's September event at PNC Park, but there's a health component to his MITT system.
The Facts The Cost: The Pirates were at it again in 2009, keeping their injury cost low at $4.9 million. The last three years, Pittsburgh has a combined injury cost of just $11.2 million, or about $3 million less than the league average for just 2009. A lot of that has to do with the low salaries of Pirate players, as Pittsburgh has consistently one of the lower payrolls in baseball. In 2009, Doumit, Wilson, and Yates made up nearly half of the Pirates injury cost at $2.4 million. The Pirates spent about $6 million to bring in free agents the likes of Ryan Church, Bobby Crosby (both injury risks), and Octavio Dotel. The Pirates also made the trade for Akinori Iwamura, uncharacteristically assuming his $4.85-million contract. Those additions seemingly take up the $10 million the Pirates saved compared to the rest of the league, making them one of few teams that actually seem to use their advantage. The Big Risk: The Pirates brought in Dotel for confidence. There's a school of thought that younger pitchers benefit more from an experienced closer. When it works, they lock down the wins, which in turn helps the starters' confidence. On the other side, if the experienced guy blows it, the younger pitcher doesn't take as much heat. The Pirates rotation isn't as young as it once was and may not have the same upside as it did a couple years back, but having someone like Dotel instead of Capps only works if he is healthy. Dotel had Tommy John surgery and a number of pre- and post-surgical arm issues, but he was healthy over the last couple years. Was that the work of Herm Schneider and his White Sox miracle workers or a pattern? Moving from one good medical staff to another is something Dotel probably doesn't even know, but if he's successful, it's because they kept him healthy. The Comeback: The best medical staff in the world can't help when a player decides he's not going to tell them about a problem. It's a bigger issue that you'd think. Paul Maholm pitched much of last season with a knee issue that likely affected his mechanics and overstressed his pitching arm. It took to nearly the end of the season before Joe Kerrigan and the medical staff sussed out the root problem. Maholm's reticience could have been a lot worse. Things look like they're back in line this season, and a healthy Maholm might not be the ace that pushes the Pirates back to respectability, but he's a lot better than he showed last season. The Trend: The Pirates may not do much else that gets them noticed, but in the training room at PNC Park, there's a team that's as solid and consistent as any in baseball. Over the last five years, the Pirates have been in the top 10 of teams in almost every injury stat, taking home the trophy in 2008. Part of that is the low accepted risk that the team has, but a bigger part is the work they do that has them ranking highly in prevention, return time, and maintenance. Most teams have one thing they do really well, like the White Sox with rehab. The Pirates do everything well, keeping the talent they do have on the field. In fact, it's safe to say that Brad Henderson might be the best signing Dave Littlefield made during his time as general manager. The Ratings
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The injury cost might have been low, but then again, so was the financial base. It would have been durn near impossible for the Pirates to have an injury cost as high as that of the Mets (to name one), because their whole TEAM doesn't cost much more than that. Will, a suggestion for out years (too late for this year): in addition to estimating the injury cost in dollars, also do it as a fraction of the total payroll. That might be more instructive in showing just how effective the team's medical people are, although the value-lost part is still valuable as a metric of how severely their less-than-100% effectiveness handicapped the team.