LTC 433-2013 City of Miami Beach Nurse Initiative History and Status MIAMIBEACH
OFFICE OF THE CITY MANAGER_
NO. LTC # 433-2013 LETTER TO COMMISSION
TO: Mayor Philip Levine and Members o the City Co mission �?
FROM: Jimmy L. Morales, City Manager a� F
f " C--) ,
8
DATE: December 5, 2013
SUBJECT City of Miami Beach Nurse Initiative istory and Status _X M
T
The purpose of this Letter to Commission is to update the Mayor and Commission_one
status of the City's Nurse Initiative, and the most recent additional commitment by the
Children's Trust of approximately $98,767 to continue to sustain and enhance the City's
Nurse Initiative in the 2014-15 school year to provide a complete Health Connect in our
Schools (HCIOS) suite to North Beach Elementary, Treasure Island Elementary, and
Ruth K. Broad Bay Harbor K-8 Center.
At the December 2012 Finance and Citywide Projects Committee meeting, the funding
of the City's proportionate share for a full-time nurse, approximately $30,500, for the
2013-14 school year for underserved public schools in the feeder pattern was accepted.
In May 2013, each neighboring municipality committed proportionate funding for the full-
time 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. Additionally, the
Miami Beach Chamber of Commerce committed funds to support this effort through an
award of $30,000 from AETNA and a South Florida Health Foundation grant match
based on municipal commitments of $65,000 and .the,,-Children's Trust expressed an
interest in joining the effort and committed an additional match of $98,767 for the 2013-
14 school year.
Resolution 2013-28258 approved in July 2013 (Attachment A) authorized the Mayor to
enter into an agreement with the Miami Beach Chamber of Commerce, The Children's
Trust, North Bay Village, Town of Bay Harbor Islands, Town of Surfside, and Bal
Harbour Village to implement the Nurse Initiative for the 2013-14 school year. The City's
Nurse Initiative provides a complete Health Connect in Our Schools suite; each
participating school has a medical assistant on-site full-time and the municipal funded
shared registered nurse rotates to each of the three schools.
In August 2013, a Memorandum of Understanding (Attachment B) between the City of
Miami Beach, North Bay Village, The Town of Bay Harbor"Islands, Town of Surfside, Bal
Harbour Village, and the Miami Beach Chamber Education Foundation was executed,
which provides for funding and implementation of the Nurse Initiative, with the Miami
Beach Chamber Education Foundation serving as the fiscal agent.
On August 19 2013 each of the three schools began receiving services from the
9 9 9
HCIOS. The Utilization Summary and Success Stories (Attachment C) provide
information on the total number of unduplicated services for 582 children between
August 19, 2013 and September 30, 2013. Of the children receiving services at the
HCIOS, approximately 63 percent returned to class. Additional information on the Miami
Beach Nurse Initiative (Attachment D) includes program goals, future expectations, and
anticipated results.
Dr. Peter Gorski, Chief Health and Child Development Officer, has indicated that the
Children's Trust expects to continue the present form of Health Connect for another year
in 2014-15. As such, the Children's Trust would continue to provide services to the
three Miami Beach feeder schools contingent on continuing the current funding
partnership per the Memorandum of Understanding and pending board approval at the
Children's Trust March board meeting.
As a result of the City's Education Compact with Miami-Dade County Public Schools,
established in January 2008, the 2012 Community Satisfaction Survey indicated that
91% of residents who have children in public schools are very satisfied or satisfied with
Miami Beach public schools compared to 51% of residents with children in public
schools in 2007. The City of Miami Beach has made a significant impact throughout the
entire county as the Compact between the City and the School Board is a model of how
a City can strengthen the relationship between schools and community.
Through our Education Compact, we will continue to support our strategic outcome to
Enhance Learning Opportunities for Youth.
If you a any questions, or need additional information, please feel free to contact me.
JLM/ /
Attachments
c: Executive Staff
Dr. Leslie Rosenfeld
Attachment A
RESOLUTION NO.. 2013-28258
i
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
2
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 2 01 3-2014 school
year.
PASSED AND ADOPTED this 17A day of July, 2013.
ATTEST:
1007 OZf
ff 9_ "4604
. B..
t errera Bower
Rafael Gr nado INCOR? ORATED:
City Clerk
�f APPROVED AS TO
�� FORM &LANGUAGE
TAAGENDAA2OMuly 17ANurse Initiative �d c � & FOR TION
ORNEY ATE
3
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
approved 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:
,Req,frtnj9I Director Assistant C' Manager City Manager
KGB JLM
AGENDA ITEM C'71V
MIIBEAM
ACH DATE 'I—17 r
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
COMMISSION MEMORANDUM
TO: Mayor Matti Herrera Bower and Me bens of IthCity 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-
20'14 SCHOOL YEAR WITH PREVIOUSLY APPROPRIATED FUNDING IN THE
AMOUNT OF $30,500 FROM THE MIAMI BEACH EDUCATION COMPACT
FUND FOR FY.2012113 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 will-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, South Point Elementary, Fienberg-Fisher K-8 Center, Nautilus Middle School, and
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
2
• 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\20131Ju1y 17Wurse Initiative Commission Memo(2).doc
4
Attachment B
MEMORANDUM OF UNDERSTANDING
BETWEEN
THE CITY OF MIAMI BEACH, NORTH BAY VILLAGE, THE TOWN OF BAY HARBOR
ISLANDS, THE TOWN OF SURFSIDE, BAL HARBOUR VILLAGE, AND
THE MIAMI BEACH CHAMBER EDUCATION FOUNDATION TO IMPLEMENT A
NURSE INITIATIVE FOR SCHOOL YEAR 2013-2014
This is a Memorandum of Understanding ("MOU") made and entered into thisl 9
day of AU:5u-57 , 2013, by and between the City of Miami Beach ("CMB"),
North Bay Vi lage ("NBV"), the Town of Bay Harbor Islands ('7131-11"), the Town of
Surfside ("TS"), Bal Harbour Village ("BHV"), and the Miami Beach Chamber
Education Foundation, Inc. ("MBCEF") (collectively, the "Parties"), to provide for
funding and for the implementation of a Nurse Initiative as provided herein, and as to be
provided in an agreement between MBCEF and The Children's Trust ("TCT").
WITNESSETH
WHEREAS, the Parties have determined that a program to provide healthcare
services to students attending underserviced public schools is in the best interests of
the health and public welfare of the City of Miami Beach, North Bay Village, the Town of
Bay Harbor Islands, the Town of Surfside, and Bal Harbour Village (the "Participating
Municipalities"); and
WHEREAS, the Parties have determined that students at North Beach
Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center
(the "Participating Schools") do not have full-time, on-site healthcare services and are,
thus, underserved as compared to other public schools in the feeder pattern that falls
within the City of Miami Beach; and
WHEREAS, a Nurse Initiative program should be established at the Participating
Schools as herein provided and pursuant to a separate agreement to be entered into
between MBCEF and TCT.
NOW, THEREFORE, in consideration of the mutual terms, conditions, promises,
covenants, and payments hereinafter set forth, the Parties agree to provide for a Nurse
Initiative program as follows:
1. MBCEF shall enter into an agreement with TCT whereby TCT shall provide
funding in the amount of $98,767.00 for the Nurse Initiative and whereby TCT
shall provide all salaries, fringe benefits, and costs of operations for a Health
Connect in Our Schools ("HCIOS") Suite which will provide on-site healthcare
services during the 2013-2014 school year at the Participating Schools ("Nurse
Initiative") and shall provide certain schedules and reports as follows:
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a) A full-time shared Registered Nurse who shall rotate between the three
Participating Schools so that accessibility is equal amongst them pursuant
to a detailed schedule that shall be provided to all of the Participating
Municipalities on a weekly basis during the 2013-2014 school year;
b) A full-time on-site Medical Assistant at each of the Participating Schools;
c) A Social Worker already funded by Miami-Dade County Public Schools at
each of the Participating Schools;
d) A monthly report of services provided at each of the Participating Schools
shall be provided to the Participating Schools and to MBCEF; and
e) A monthly and an annual report shall be provided to the Participating
Municipalities and to MBCEF documenting the percent of students
returning to class after all nurse visits at the Participating Schools.
2. On or before August 15, 2013, MBCEF shall provide funding for the Nurse
Initiative from the Health Foundation of South Florida Grant (School Healthcare
Initiative) ($62,000.00) and the Aetna Voices of Health Award ($30,000.00).
3. On or before August 15, 2013, the Participating Municipalities shall provide
their proportionate share of funds for the Nurse Initiative to MBCEF, which funds
MBCEF shall hold in escrow pending the execution of its agreement with TCT
referenced in paragraph 1. The Participating Municipalities' proportionate
share of funding shall be in the following amounts:
i) CMB shall provide funding in the amount of$30,500.00;
ii) NBV shall provide funding in the amount of$12,999.00;
iii) TBHI shall provide funding in the amount of$7,222.00;
iv) TS shall provide funding in the amount of$7,222.00; and
v) BHV shall provide funding in the amount of$7,222.00;
except that NBV shall be permitted to provide its payment of $12,999.00 as
follows: $1,749.86 before August 15, 2013 and $11,249.14 on October 2, 2013;
and BHV shall be permitted to provide its payment of $7,222.00 as follows:
$972.19 before August 15, 2013 and $6,249.81 on October 2, 2013. The funding
provided by the Participating Municipalities and MBCEF shall be made by
checks made payable to Miami Beach Chamber Education Foundation, Inc.
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4. MBCEF shall serve as the fiscal agent to collect the funds required to be paid in
paragraph 3 above and shall disperse such funds to TCT immediately upon
MBCEF entering into the agreement with TCT referenced in paragraph 1.
5. MBCEF shall indemnify and hold harmless the Participating Municipalities and
their respective officers employees, agents and instrumentalities from any and all
liability, losses or damages including attorneys' fees and costs of defense, which
the Participating Municipalities or their officers, employees, agents or
instrumentalities may incur as a result of claims, demands, suits, causes of
actions or proceedings of any kind or nature arising out of, relating to or resulting
from the performance of this MOU by MBCEF or its employees, agents servants,
partners, principals or subcontractors. MBCEF shall pay claims and losses in
connection therewith and shall investigate and defend all claims suits or actions
of any kind or nature in the name of the Participating Municipalities where
applicable, including appellate proceedings, and shall pay all costs, judgments,
and attorney's fees which may issue thereon.
6. In the event that any of the provisions in this MOU are not performed, or if the
Nurse Initiative is terminated after funds have been dispersed to MBCEF as
provided in paragraphs 3 and 4, then MBCEF shall promptly reimburse each of
the Participating Municipalities their proportionate share of unused funds.
IN WITNESS THEREOF, the Parties hereto have executed by their respective
and duly authorized officers the day and year first above written.
a y y
y
ATTEST: CITY OF MIAMI BEACH, a Municipal
Corporation of The State of Florida
By: 'S K .I By:
alph Granado, City Clerk Edward L. Tobin
Vice-Mayor
Approved as to form and
Language for execution �P''' C
INCORP ORATED'
y 26
3of5
A-NTTEST: NORTH BAY VILLAGE, a Municipal
Corporation of The State of Florida
B By:
/9
Village Cler c Village Manager
Approved as to form and
Legal sufficiency
ATTEST: TOWN OF BAY HARBOR ISLANDS, a Municipal
Corporation of the State of Florida
By: By:
Tot CI ayor/To anager
Approved as to form and
Legal sufficiency
ATTEST: TOWN OF SURF SIDE, A Municipal
Corporation of the State of Florida
By: By:
To n ler Ma r/Town Manager
Appr ved . s to for In and
Leg I ufficienc
4of5
ATTEST: BAL HARBOUR VILLAGE, a Municipal
Corporation of the State of Florida
Bye By:
Village Cler May^Plage Manager
Approved as to form and
Legal sufficiency
ATTEST: MIAMI BEACH CHAMBER EDUCATION
FOUNDATI
By:
By: '
Approved as to form and
Legal sufficiency
F:WTTO\TURNIAGREEMNT\INTERLOCAL MOU WITH MBCEF RE-NURSE INITIATIVE-Final Version 2-August 8 2013.docx
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Attachment C
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HCIOS- MIAMI BEACH NURSE INITIATIVE SUCCESS STORIES
TREASURE ISLAND ELEMENTARY
On October 11 , a third grade student was sent to the clinic for redness, swelling
and pain of the left inner elbow after sustaining a dog bite the night before. The
mother was called immediately and she expressed concern about receiving
medical treatment and possibly having to relinquish her dog. We consulted with
Miami Dade County Public Health Department-Rabies specialist, and we were
advised since the dog had required vaccinations she could simply obtain
treatment via a Pediatrician.
When we offered referral to Borinquen Medical Center, the mother reported she
had gone to that clinic in the past. We immediately facilitated an appointment
for her child/students the same day and mother took student to Borinquen's
clinic on 36th St.
On Monday October 14, the student was called to the health suite for follow up
and the area was healing very well without complications. The student reported
that the dog had bitten others in the past. Her parents had surrendered the dog
to No Kill Animal Shelter to avoid any further injuries in the home. We continue to
follow the student closely for any medical complications and she also had
individual Safety /Accident Prevention educational sessions by our health suite
team of Treasure Island Elementary.
NORTH BEACH ELEMENTARY
One day a student visited the Health Connect Clinic complaining of coughing
and congestion in the chest. Staff took his vitals sign and listened to his lungs.
There was slight wheezing in auscultation. Immediately the clinic staff contacted
the mother of the child and explained why her son was in the clinic. She
responded that her son suffers from Asthma. We requested if she could bring the
Albuterol treatment to the school for her son. We also suggested that with
proper documentation we can administer Albuterol treatment as needed. Upon
receiving the medication and proper documentation, the students' symptoms
subsided and he started feeling better immediately. His mother was thrilled that
the Health Connect team was part of the North Beach Elementary school staff.
RUTH K BROAD K-8
On October 7th a student came to the school clinic complaining of pain in the
right middle arm after falling down while playing basketball in the school athletic
field. Health suite staff assessed the arm and it was not swollen. Staff asked the
student to try to move the arm and he did, but he was complaining of feeling
pain. Staff applied a cold compress to avoid any swelling that could arise,
called the student's mother and explained that the students' arm was not
swelling or bruised, and that the student was able to move his arm. Staff also
advised the mother to take the student to the doctor and have an X-Ray done
to make sure that students' arm was had no complications.
The mother arrived to the school clinic a half hour later and observed the
students' arm, and she stated that the arm looked okay to her, but the health
suite staff kindly suggested that the mother take the student to the doctor and
have an X-Ray done, and she agreed.
The next day, October 8th, 2013 the students' mother came back to the school
clinic and she expressed the staff how happy and grateful she was with the
advice she received, because she took her son to the doctor and the caregiver
diagnosed a fracture of the forearm, specifically the radius, and the student has
to wear a cast for four weeks.
The mother noted that she was really happy with the services provided, and she
actually came with her husband who is a Registered Nurse to say thank you and
to express their happiness.
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