2013-28258 Reso RESOLUTION NO., 2013-28258
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF
THE CITY OF MIAMI BEACH, FLORIDA, ACCEPTING THE
RECOMMENDATION OF THE FINANCE AND CITYWIDE
PROJECTS COMMITTEE AND AUTHORIZING THE MAYOR TO
ENTER INTO AN AGREEMENT, ACCEPTABLE TO THE CITY
ATTORNEY AND THE CITY MANAGER, WITH THE MIAMI
BEACH CHAMBER OF COMMERCE, THE CHILDREN'S
TRUST, NORTH BAY VILLAGE, THE TOWN OF BAY HARBOR
ISLANDS, THE TOWN OF SURFSIDE, AND BAL HARBOUR
VILLAGE TO IMPLEMENT THE NURSE INITIATIVE FOR THE
2013-2014 SCHOOL YEAR WITH PREVIOUSLY
APPROPRIATED FUNDING IN THE AMOUNT OF $30,500
FROM THE MIAMI BEACH EDUCATION COMPACT FUND FOR
FY 2012/13 FOR THE CITY OF MIAMI BEACH'S
PROPORTIONATE SHARE OF FUNDING FOR THE NURSE
INITIATIVE.
WHEREAS, in January 2008, the City of Miami Beach entered into an Education
Compact with the Miami-Dade County Public Schools to Enhance Learning Opportunities for
Youth; and
WHEREAS, the Education Compact reflects the desire of the Miami Beach community
to support excellence in the City's public schools and enhance the health and well-being of our
City's youth; and
WHEREAS, as a result of the City's Education Compact with Miami-Dade County Public
Schools, all public schools in Miami Beach offer the International Baccalaureate program which
is internationally recognized as a benchmark for education excellence and also fosters student
participation in community service; and
WHEREAS, five of the eight school in our educational feeder pattern already have
Health Connect in Our Schools (HCIOS) suites which are supported by The Children's Trust
and which provides a full-time Medical Assistant and a shared Registered Nurse on campus;
and
WHEREAS, for students who do not require routine medications, the HCIOS suites are
used for nursing assessments, administration of first aid, and other purposes such as consulting
with parents and caregivers; and
WHEREAS, the schools participating in the Nurse Initiative will have an HCIOS team of
professionals including a shared Registered Nurse, a full-time Medical Assistant, and a social
worker which is already funded by Miami-Dade County Public Schools; and
WHEREAS, the benefits of HCIOS health teams include: a coordinated level of school-
based healthcare, expanded health screenings, and assessments with access to follow-up care,
mental and behavioral health services to identify and solve student health and educational
issues, nutrition and health counseling, heath services for uninsured students with no other
option for access to health care, emergency first aid/CPR, and chronic disease management;
and
WHEREAS, the disposition of every HCIOS visit will be tracked to assess the outcome
for the students who utilize the services and the measure of whether or not the intervention the
student received was effective is the rate at which the students are returned to class; it is
expected pursuant to the Nurse Initiative agreement that 85% of the students who receive
HCIOS services will return to class; and
WHEREAS, during its December 2012 meeting, the City's Finance and Citywide
Projects Committee met to discuss motions made by the Quality of Education Committee
regarding a Nurse Initiative for the funding of a Registered Nurse at underserved public schools
in the feeder pattern; and
WHEREAS, the Finance and Citywide Projects Committee recommended funding the
City's proportionate share of the estimated $62,000 for a full-time Registered Nurse with
benefits, subject to the other neighboring municipalities also contributing their proportionate
share of the Nurse's Initiative for the three underserved schools in the feeder pattern,
specifically North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay
Harbor K-8 Center; and
WHEREAS, Dr. Leslie Rosenfeld coordinated this effort between the City of Miami
Beach, North Bay Village, Town of Surfside, Town of Bay Harbor Islands, and Bal Harbour
Village, to converge efforts to secure the funding needed for the shared full-time Registered
Nurse for the Nurse Initiative; and
WHEREAS, the City's proportionate share for the Nurse Initiative is approximately
$30,500 for the 2013-14 school year; and
WHEREAS, the funds for the City's proportionate share of the Nurse Initiative were
appropriated for FY 2012/13 from the Education Compact Fund as provided in Resolution 2012-
28018, but were initially anticipated to be used for teacher development programs and fees to
the International Baccalaureate Organization; and
WHEREAS, the funds were redirected at the May 8, 2013 Commission meeting per
Resolution 2013-28219 to support the Nurse Initiative; and
WHEREAS, the Miami Beach Chamber of Commerce and The Children's Trust have
committed funding in the amount of $95,000 and $98,767 respectfully for the Nurse Initiative;
and
WHEREAS, the municipal funding would allow for a shared Registered Nurse to visit the
three underserved schools, North Beach Elementary, Treasure Island Elementary, and Ruth K.
Broad Bay Harbor K-8 Center, at least 1-2 times each week during the 2013-2014 school year;
and
WHEREAS, these three schools currently do not have any on-site medical care for the
children; and
WHEREAS, the Miami Beach Chamber of Commerce and The Children's Trust funding
would allow for a full-time Medical Assistant at each of the three schools for the 2013-2014
school year; and
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WHEREAS, the shared Registered Nurse will rotate between each of the
aforementioned schools (or as per Children's Trust recommendation) so that accessibility is
equal amongst all three schools; and
WHEREAS, as of May 2013, each of the neighboring municipalities has committed
approximate funding for the Registered Nurse for the Nurse Initiative for the 2013-2014 school
year as follows: Town of Surfside $7,222, Town of Bay Harbor Islands $7,222, Bal Harbour
Village $7,222, and North Bay Village $12,999; and
WHEREAS, the Miami Beach Chamber of Commerce will serve as the fiscal agent to
collect the funds from the participating neighboring municipalities and the City of Miami Beach
and will disperse the funds to The Children's Trust; and
WHEREAS, an agreement, acceptable to the City Attorney and the City Manager,
should be entered into between the Miami Beach Chamber of Commerce, The Children's Trust,
North Bay Village, the Town of Surfside, the Town of Bay Harbor Islands, Bal Harbour Village,
and the City of Miami Beach, subject to all of the participating municipalities contributing their
proportionate share of the costs Nurse Initiative in order to implement the program.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND THE CITY
COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA that the Mayor and City
Commission hereby accept the recommendation of the Finance and Citywide Projects
Committee at its December 20, 2012 meeting to authorize the City of Miami Beach's
proportionate share of funding in the amount of $30,500 from the FY 2012/13 Miami Beach
Education Compact Fund, and further authorize the Mayor to enter into an agreement,
acceptable to the City Attorney and the City Manager, with the Miami Beach Chamber of
Commerce, The Children's Trust, North Bay Village, the Town of Bay Harbor Islands, the Town
of Surfside, and Bal Harbour Village to implement the Nurse Initiative for the 2013-2014 school
year.
PASSED AND ADOPTED this 17A day of July, 2013.
ATTEST:
-
,...•••• G" errera Bower
Rafael Grafnado
City lerk
y APPROVED AS TO
� FORM & LANGUAGE
TAAGENDA\2013\July 17\Nurse Initiative & FOR TION
TORNEY..,� ATE
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COMMISSION ITEM SUMMARY
Condensed Title:
A Resolution Of The Mayor And City Commission Of The City Of Miami Beach, Florida, Accepting The
Recommendation Of The Finance And Citywide Projects Committee And Authorizing The Mayor To Enter
Into An Agreement, Acceptable To The City Attorney and the City Manager, With The Miami Beach
Chamber Of Commerce, The Children's Trust, North Bay Village, The Town Of Bay Harbor Islands,The
Town Of Surfside,And Bal Harbour Village To Implement The Nurse Initiative For The 2013-2014 School
Year With Previously Appropriated Funding In The Amount Of$30,500 From The Miami Beach Education
Compact Fund For FY 2012/13 For The City Of Miami Beach's Proportionate Share Of Funding For The
Nurse Initiative.
Key Intended Outcome Supported:
Enhance Learning Opportunities for Youth
Supporting Data(Surveys, Environmental Scan, etc.):
The 2012 Community Satisfaction Survey shows that 91%of residents with children are very satisfied
or satisfied with our City's public schools compared to 51% in 2007. In 2011-12, there were 12,798
visits to MB schools with HCIOS, 93.78% non-routine visits and 81.09% returning to class.
Item Summa /Recommendation:
During the December 2012 Finance and Citywide Projects Committee meeting, motions made by the
Quality Education Committee regarding the funding of a registered nurse at underserved public schools in
the feeder pattern were discussed. The Finance Committee recommended funding the City's
proportionate share, estimated $62,000 for a full-time registered nurse with benefits subject to the other
neighboring municipalities also contributing their proportionate share of the nurse for the three underserved
schools in the feeder pattern. The City's proportionate share is approximately$30,500 for the 2013-14
school year, appropriated for FY 2012/13 in the Education Compact Fund by resolution 2012-28018 for
teacher development programs and fees to the International Baccalaureate Organization redirected at the
May 8, 2013 Commission meeting per Resolution 2013-28219 to support the Nurse Initiative. Dr. Leslie
Rosenfeld coordinated this effort between the City of Miami Beach, North Bay Village, Town of Surfside,
Town of Bay Harbor Islands,and Bal Harbour Village,to converge efforts to secure the funding needed for
the full-time registered nurse. As of May 2013, Town of Surfside $7,222, Town of Bay Harbor Islands
$7,222, Bal Harbour Village $7,222, and North Bay Village $12,999. The Miami Beach Chamber of
Commerce will serve as the fiscal agent to collect the funds from the participating neighboring
municipalities and the City of Miami Beach and will disperse the funds to The Children's Trust. Funding
would allow a registered nurse to visit North Beach Elem.,Treasure Island Elem., and Ruth K. Broad K-8
Center,at least 1-2 times each week. HCIOS team of professionals including a shared Registered Nurse,a
full-time Medical Assistant, and a social worker will be available. The MB Chamber of Commerce and
Children's Trust have committed funding in the amount of$95,000 and$98,767 respectfully for the Nurse
Initiative. Each school will have a full-time medical assistant at their site. The Administration recommends
the approval of this Resolution. An agreement, acceptable to the City Attorney and the City Manager,
should be entered into between the Miami Beach Chamber of Commerce,The Children's Trust,North Bay
Village,the Town of Surfside,,the Town of Bay Harbor Islands, Bal Harbour Village,and the City of Miami
Beach,subject to all of the participating municipalities contributing their proportionate share of the costs for
the Nurse.
Advisory Board Recommendation:
Finance and Citywide Projects Committee supports Nurse Initiative. Resolution 2013-28219 May 8,2013
a roved funding.
Financial Information:
Source of Amount Account
Funds: $30,500 199-9967-000367
OBPI Total $30,500
Financial Impact Summary:
City Clerk's Office Legislative Tracking:
Dr. Leslie Rosenfeld
Sign-Offs.
ep rt Director Assistant C' Manager City Manager
KGB JLM
AGENDA ITEM C'71V
MIAMIBEACH
DATE 7
MIAMI BEACH
City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
COMMISSION MEMORANDUM
TO: Mayor Matti Herrera Bower and Me bers of th City Commission
FROM Jimmy L. Morales, City Manager
DATE: July 17, 2013
SUBJECT: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, ACCEPTING THE RECOMMENDATION OF THE
FINANCE AND CITYWIDE PROJECTS COMMITTEE AND AUTHORIZING THE
MAYOR TO ENTER INTO AN AGREEMENT, ACCEPTABLE TO THE CITY
ATTORNEY AND THE CITY MANAGER,WITH THE MIAMI BEACH CHAMBER
OF COMMERCE, THE CHILDREN'S TRUST, NORTH BAY VILLAGE, THE
TOWN OF BAY HARBOR ISLANDS, THE TOWN OF SURFSIDE, AND BAL
HARBOUR VILLAGE TO IMPLEMENT THE NURSE INITIATIVE FOR THE 2013-
2014 SCHOOL YEAR WITH PREVIOUSLY APPROPRIATED FUNDING IN THE
AMOUNT OF $30,500 FROM THE MIAMI BEACH EDUCATION COMPACT
FUND FOR FY 2012/13 FOR THE CITY OF MIAMI BEACH'S PROPORTIONATE
SHARE OF FUNDING FOR THE NURSE INITIATIVE.
ADMINISTRATION RECOMMENDATION
Approve the Resolution.
BACKGROUND
On October 24, 2012, Commissioner Libbin requested the motion made by the Committee for
Quality Education regarding health care in feeder pattern public schools be referred to the Finance
and Citywide Projects Committee to discuss consideration of the request to strengthen Education
Compact activities as they relate to health and well-being. The Committee for Quality Education
made the following motion at the September 24, 2012, meeting regarding health care in our public
schools:
The health and well-being of our children are of paramount importance and should be
considered a community priority and responsibility. Therefore, the Committee for Quality
Education recommends the Mayor and City Commission review the Health and Well-being
activities in the Education Compact to strengthen them and consider funding support.
The Education Compact with Miami-Dade County Public Schools (M-DCPS), established on
January 16, 2008, includes the outcome to increase the health and well-being of students in Miami
Beach public schools. The activities included in the Compact agreement to support this outcome
include the following:
• The school District will maintain health clinics(nurse practitioners and/or registered
nurses) at Fienberg-Fisher, Biscayne, Nautilus, and Miami Beach Senior High,
subject to continued available funding, and will work with all Miami Beach schools to
coordinate visits from the Health Connect on Wheels service(as available)or similar
service to,schools and/or Miami Beach recreation centers;
• The District and the City will collaborate to deliver information regarding health and
wellness education, prevention and intervention strategies regarding nutrition,
physical activity levels, and health maintenance in accordance with the District's
Wellness Initiative;
• The City will explore the development of a middle school-level after-school program.
The District will collaborate with the City by assisting with the recruitment of students,
including providing space within District-owned facilities as needed, and exploring
expanded transportation options for participating students; and,
• District wil[explore the expansion of full-time nurse practitioners and/or registered
nurses at schools without health clinics, subject to available funding.
Of the eight Miami Dade County Public Schools that fall within the City of Miami Beach feeder
pattern, there is Health Connect in Our Schools (HCIOS) Suites in five of them: Biscayne
Elementary, outh Point Elementary, Fienber -Fisher K-8 Center Nautilus Middle School and
ry, ry, 9 ,
Miami Beach Senior High School. For students that do not require routine medications,the HCIOS
is used for nursing assessments, administration of first aide,consulting with parents and caregivers,
etc. These are considered Non-Routine Medication visits and they account for over 90% of all the
services provided amongst the HCIOS health suites.
Each of the schools above with health services has one medical assistant(health aide)on site full-
time to provide the day-to-day services in the health suites. The equivalent of two full time higher-
level nurses provides services to all five schools. Additionally, a social worker serves each school;
however, M-DCPS provides this portion at Biscayne Elementary, South Pointe Elementary, and
Miami Beach Senior High School. The remaining schools have HCIOS social workers.
The Children's Trust contracts with nine providers to deliver health services via school based health
suites to approximately 5,793 students at five schools in Miami Beach currently receiving services.
The three remaining schools in the Miami Beach feeder pattern that do not have full-time onsite
services are North Beach Elementary(1,024 students),Treasure Island(683 students),and Ruth K.
Broad Bay Harbor Elementary(1,265 students), of which approximately 1,297 reside within City of
Miami Beach limits and attend either North Beach Elementary or Treasure Island Elementary.
Currently, the three schools above are considered "Satellite" schools. Satellite (Basic) Schools
Health Services was implemented to ensure that some level of basic health services are provided in
all Miami-Dade County Public Schools by a registered professional nurse. Nurses are available to
address on-call requests and consultations in Satellite(Basic)schools. These schools also receive
the following health services from the Miami Dade County Health Department(per Pamela Toomer,
Assistant Community Health Nursing Director):
• School site visits throughout the year
• School needs assessments with principal input
• Tracking of students opting out of health services
• Monitor immunization compliance
• Monitor documented Temporary Medical Exemptions/Immunization Records
• Consultation with school staff as needed
• Consultation with parent/guardians as needed
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• Individual (Student) Health Care Plans
• Provide child specific trainings
Additionally, per Wilma Steiner, Director Comprehensive Health Service MDCPS, mandated school
health services for every-public school include preventive dental programs, vision
screenings, hearing screenings, scoliosis screenings, growth and development screening/BMI,
health counseling, referral and follow up of suspected or confirmed health problems, medication
administration, prevention of communicable diseases,and health education curriculum. Complete
optometric exams and lenses are offered to low income students through the Miami- Lighthouse,
Children's Vision Program, available at the school site.
During the December 2012 Finance and Citywide Projects Committee meeting, motions made by
the Quality Education Committee regarding the funding of a registered nurse at underserved public
schools in the feeder pattern were discussed. The Finance and Citywide Projects Committee
recommended funding the City's proportionate share of the estimated $62,000 for a full-time
registered nurse with benefits subject to the other neighboring municipalities also contributing their
proportionate share of the nurse for the three underserved schools in the feeder pattern. The City's
proportionate share is approximately $30,500 for the 2013-14 school year. These funds were
appropriated for FY 2012/13 in the Education Compact Fund adopted by Resolution 2012-28018
anticipated to be used for teacher development programs and fees to the International
Baccalaureate Organization redirected at the May 8, 2013 Commission meeting per Resolution
2013-28219 to support the Nurse Initiative.
Dr. Leslie Rosenfeld coordinated this effort between the City of Miami Beach, North Bay Village,
Town of Surfside, Town of Bay Harbor Islands, and Bal Harbour Village, to converge efforts to
secure the funding needed for the full-time registered nurse. The shared funding would allow a
registered nurse to visit the three underserved schools: North Beach Elementary, Treasure Island
Elementary, and Ruth K. Broad Bay Harbor K-8 Center, at least 1-2 times each week.
The schools participating in the Nurse Initiative will have an HCIOS team of professionals including
a shared Registered Nurse, a full-time Medical Assistant, and a social worker which is already
funded by Miami-Dade County Public Schools The Miami Beach Chamber of Commerce and The
Children's Trust have committed funding in the amount of$95,000 and$98,767 respectfully for the
Nurse Initiative.The registered nurse will rotate between each of the aforementioned schools(or as
per Children's Trust recommendation)so that accessibility is equal amongst all three schools. Each
school will have a full-time medical assistant at its site.
The benefits of HCIOS health teams include: a coordinated level of school-based healthcare,
expanded health screenings,and assessments with access to follow-up care, mental and behavioral
health services to identify and solve student health and educational issues, nutrition and health
counseling, heath services for uninsured students with no other option for access to health care,
emergency first aid/CPR, and chronic disease management. The disposition of every HCIOS visit
will be tracked to assess the outcome for the students who utilize the services and the measure of
whether or not the intervention the student received was effective is the rate at which the students
are returned to class; it is expected pursuant to the Nurse Initiative agreement that 85% of the
students who receive HCIOS services will return to class.
As of May 2013, each of the neighboring municipalities has committed approximate funding for the
registered nurse as follows: Town of Surfside $7,222, Town of Bay Harbor Islands $7,222, Bal
Harbour Village$7,222, and North Bay Village$12,999. The Miami Beach Chamber of Commerce
will serve as the fiscal agent to collect the funds from the participating neighboring municipalities
3
and the City of Miami Beach and will disperse the funds to The Children's Trust.
The City of Miami Beach, along with our neighboring municipalities, the Miami Beach Chamber of
Commerce, and The Children's Trust,will enter into an interlocal agreement,which will include, but
not be limited to the following: .
• Description of Services to be provided by Trust selected and approved provider
• Detailed schedule for registered nurse
• Monthly report of services provided to youth by school
• Monthly/annual percent of youth returning to class after nurse visit(target=85%)
CONCLUSION
The Administration recommends the approval of this Resolution. An agreement, acceptable to the
City Attorney and the City Manager, should be entered into between the Miami Beach Chamber of
Commerce,The Children's Trust, North Bay Village,the Town of Surfside,the Town of Bay Harbor
Islands, Bal Harbour Village, and the City of Miami Beach, subject to all of the participating
municipalities contributing their proportionate share of the costs for the Nurse Initiative in order to
implement the program. This approval will assist the Department in accomplishing its measurable
objectives linked to the City's Key Intended Outcome of Enhancing Learning Opportunities for
Youth.
KGB/LDR
TAAGENDA\2013\July 17\Nurse Initiative Commission Memo(2).doc
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