2014-28552 Reso RESOLUTION NO. 2014-28552
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF
THE CITY OF MIAMI BEACH, FLORIDA, AUTHORIZING THE
MAYOR AND CITY CLERK TO EXECUTE THE MEMORANDUM
OF UNDERSTANDING (MOU), ATTACHED HERETO AND
INCORPORATED HEREIN, BETWEEN THE CITY OF MIAMI
BEACH, THE MIAMI BEACH CHAMBER OF COMMERCE,
NORTH BAY VILLAGE, THE TOWN OF BAY HARBOR
ISLANDS, THE TOWN OF SURFSIDE, AND BAL HARBOUR
VILLAGE TO IMPLEMENT THE NURSE INITIATIVE FOR THE
2014-2015 SCHOOL YEAR AND AUTHORIZING THE
APPROPRIATION OF $15,400 FROM THE MIAMI BEACH
EDUCATION COMPACT FUND FOR. THE CITY OF MIAMI
BEACH'S PROPORTIONATE SHARE OF FUNDING FOR THE
NURSE INITIATIVE SUBJECT TO APPROVAL IN THE FY
2014/15 ANNUAL BUDGET.
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, in the 2012-13 School Year, five of the eight schools in our educational
feeder pattern had Health Connect in Our Schools (HCIOS) suites which are supported by The
Children's Trust and which provide 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
used for nursing assessments, administration of first aid, and other purposes such as consulting
with parents and caregivers; and
WHEREAS, the City of Miami Beach, North Bay Village, the Town of Bay Harbor
Islands, the Town of Surfside, and Bal Harbour Village ("Participating Municipalities")
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 youth; and
WHEREAS, in the 2013-14 School Year, a municipal Nurse Initiative was implemented
pursuant to a Memorandum of Understanding between the Participating Municipalities to
provide a 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
for the 2013-14 school year; 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 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, following the determination that students at North Beach Elementary,
Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center("Participating Schools")
did not have full-time, on-site healthcare services and were, thus, underserved as compared to
other public schools in the feeder pattern that falls within the City of Miami Beach, the
Participating Municipalities entered into a Memorandum of Understanding on August 19, 2013
for a Nurse Initiative ("2013-2014 Nurse Initiative MOU") to provide healthcare services to the
Participating Schools during the 2013-2014 School Year; and
WHEREAS, due to the success of the Nurse Initiative during the 2013-2014 School
Year, the municipalities wish to implement another Nurse Initiative for the 2014-2015 School
Year for the Participating Schools; and
WHEREAS, the City's proportionate share for the Nurse Initiative is approximately
$15,400 for the 2014-15 School Year and will not be due to be paid until October 31, 2014; and
WHEREAS, the funds for the City's proportionate share will be subject to approval at the
in the FY 2014/15 Annual Budget; and
WHEREAS, the The Children's Trust has committed funding in the amount of$ 126,549
for the 2014-2015 Nurse Initiative; and,
WHEREAS, the Miami Beach Chamber Education Foundation (MBCEF) shall provide
funding for the 2014-2015 Nurse Initiative from the unused funds provided by the municipalities
pursuant to the 2013-2014 Nurse Initiative MOU ($32,000), which shall be carried over for use
during the 2014-2015 School Year, and from the Aetna Voices of Health Award ($30,000.00);
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 2014-2015 School Year;
and
2
r
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 2014-2015
School Year; and
WHEREAS, the shared Registered Nurse will rotate between each of the participating
schools (or as per Children's Trust recommendation) so that accessibility is equal amongst all
three schools; and
WHEREAS, as of March 2014, each of the Participating Municipalities has committed
approximate funding for the Nurse Initiative for the 2014-2015 school year as follows: City of
Miami Beach $15,400, Town of Surfside $3,667, Town of Bay Harbor Islands $3,667, Bal
Harbour Village $3,667, and North Bay Village $6,600; and
WHEREAS, the Miami Beach- Chamber of Commerce will serve as the fiscal agent to
collect the funds from the Participating Municipalities and will disperse the funds to The
Children's Trust; and
WHEREAS, on or before October 31, 2014, the Participating Municipalities shall provide
their proportionate share of funds for the 2014-2015 Nurse Initiative to MBCEF, which funds
MBCEF shall hold in escrow pending the execution of its agreement with The Children's Trust;
and,
WHEREAS, the attached Memorandum of Understanding should be entered into
between the City of Miami Beach, the Miami Beach Chamber of Commerce, The Children's
Trust, North Bay Village, the Town of Surfside, the Town of Bay Harbor Islands, and Bal
Harbour Village, subject to all of the Participating Municipalities contributing their proportionate
share of the costs of the Nurse Initiative, in order to implement the Nurse Initiative program for
the 2014-2015 School Year.
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 authorize the -Mayor and City Clerk to execute the Memorandum of
Understanding, attached hereto and incorporated herein, between the City of Miami Beach, the
Miami Beach Chamber of Commerce, North Bay Village, the Town of Bay Harbor Islands, the
Town of Surfside, and Bal Harbour Village to implement the Nurse Initiative for the 2014-2015
School Year, and authorizing the appropriation of $15,400 from the Miami Beach Education
Compact Fund for the City of Miami Beach's proportionate share of funding for the Nurse
Initiative subject to approval in the FY 2014/15 Annual Budget.
PASSED AND ADOPTED this. day of April, 2014.
ATTEST:
Philip Levin ,
APPROVED AS TO
Raf el Granado, City Clerk FORM&LANGUAGE
&FOR EXECUTION
omey ,,� e
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 2014-2015
This is a Memorandum of Understanding ("MOU") made and entered into this
day of A pry I , 2014, by and between the City of Miami Beach ("CMB"),
North Bay Village ("NBV"), the Town of Bay Harbor Islands ('TBHI"), 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, following the Parties' determination that students at North Beach
Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center
(the "Participating Schools") did not have full-time, on-site healthcare services and were,
thus, underserved as compared to other public schools in the feeder pattern that falls
within the City of Miami Beach, the . Parties entered into a Memorandum of
Understanding on August 19, 2013 for a Nurse Initiative ("2013-2014 Nurse Initiative
MOU") to provide healthcare services to the Participating Schools during the 2013-2014
School Year; and
WHEREAS, due to the success of the Nurse Initiative during the 2013-2014
School Year, the Parties wish to implement another Nurse Initiative for the 2014-2015
School Year for the Participating Schools; and
WHEREAS, a Nurse Initiative program should be established at the Participating
Schools for School Year 2014-2015 as herein provided and pursuant to a separate
agreement to be entered into between MBCEF and TCT.
1of2
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 for the Participating Schools during the 2014-2015 school year as follows:
1. MBCEF shall enter into an agreement with TCT whereby TCT shall provide
funding in the approximate amount of $126,549. 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 2014-2015 School Year at the Participating
Schools ("2014-2015 Nurse Initiative") and shall provide certain schedules and
reports as follows:
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 2014-2015 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 September 1, 2014, MBCEF shall provide funding for the 2014-
2015 Nurse Initiative from: (a) the unused funds provided by the Parties pursuant
to the 2013-2014 Nurse Initiative MOU ($32,000.), which shall be carried over for
use during the 2014-2015 School Year, and (b) the Aetna Voices of Health
Award ($30,000.).
3. On or before October 31, 2014, the Participating Municipalities shall provide
their proportionate share of funds for the 2014-2015 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 for the 2014-2015 School Year, in addition to the
carried over funds specified in paragraph 2, shall be paid by October 31, 2014 in
the following amounts:
2 of 2
i) CMB shall provide funding in the amount of$15,400.;
ii) NBV shall provide funding in the amount of$6,600.;
iii) TBHI shall provide funding in the amount of$3,667.;
iv) TS shall provide funding in the amount of$3,667.; and
v) BHV shall provide funding in the amount of$3,667.;
except that BHV shall provide its payment of $3,667. by September 30, 2014.
The funding provided by the Participating Municipalities and MBCEF shall be
made by checks made payable to Miami Beach Chamber Education Foundation,
Inc.
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 after entering into the
agreement with TCT referenced in paragraph 1 and upon receipt of invoices from
TCT.
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
2014-2015 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. If any funds remain unused at the end of the 2014-2015 School
Year, and if all of Participating Municipalities agree to implement a Nurse
Initiative for the 2015-2016 School Year, then MBCEF may, as directed by the
Participating Municipalities, hold such unused funds in escrow to be applied
toward the 2015-2016 Nurse Initiative and credited toward each of the
Participating Municipalities' proportionate share of the 2015-2016 Nurse
Initiative.
3 of 3
IN WITNESS THEREOF, the Parties hereto have executed by their respective
and duly authorized officers the day and year first above written.
ATTEST: CITY OF MIAMI BEACH, a ipal
Corporation of The State rida
By; ...
Ra aeI E. Gran if C r Philip Levine
ved as to for andINCQRP ORATED=
Lan uage exec -
r
A TEST:. NORTH BAY VILLAGE, a Municipal
-� Corporation of the State of Florida
y: By:
- Village-Cie-rk` Village Manager
Approved as fo f rm and
Legal sufficienc
ATTEST: TOWN OF BAY HARBOR ISLANDS, a Municipal
Corporatio f the State of Florida
V: By.
T n C rdirl C M yor/To nager
Approved as to form and
Legal suffi ' nc
C-,
4of4
ATTEST: TOWN OF SURFSIDE, A Municipal
Corporation of the State of Florida
By: By: _�1� (-�X�
Town r Mayor own Manager
Approved s to form and
Le al suffici
.ATTEST: BAL HARBOUR VILLAGE, a Municipal
Corporation of the State of Florida
By� By: ) -oo—� —
Village Clerk ayor a e M ag ly
Approved as to form and
Legal sufficiency
ATTEST: MIAMI BEACH CHAMBER EDUCATION
FOU TION
By: 7
By:
Approved as to form and
Legal sufficiency
F:\ATTO\TURN\AGREEMNT\INTERLOCAL MOU WITH MBCEF RE-NURSE INITIATIVE -2014-2015 School Year-Final 4-2-14.docx
5 of 5
COMMISSION ITEM SUMMARY
Condensed Title:
A Resolution authorizing an agreement 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 2014-2015 School Year in the amount of$15,400 from the
Miami Beach Education Compact Fund For The City Of Miami Beach's Proportionate Share Of Funding
For The Nurse Initiative Subject To Approval In The Fiscal Year 2014/15 Annual Budget.
Key Intended Outcome Supported:
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 2013-14, the Miami Beach
funded HCIOS Nurse Initiative provided through Feb. 28, 2014, 2,178 unduplicated students, an
average of 72% of the total school populations visiting the Miami Beach funded HCIOS, and an
average of 66% of students 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 was approximately$30,500 for the 2013-14
school ear, appropriated for FY 2012/13 in the Education Compact Fund b resolution 2012-28018
Y � P Y
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 Nurse Initiative for 2013-14 has been received well
and all partners have indicated interest in continuing this initiative for the 14-15 school year. As of March
2014,funds committed for 14-15 school year are as follows: Town of Surfside$3,667,Town of Bay Harbor
Islands$3,667, Bal Harbour Village$3,667,and North Bay Village$6,600. The Miami Beach Chamber of
Commerce will continue to serve as the fiscal agent to collect the funds from the participating neighboring
municipalities. 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 $30,000 and
$126,549 respectfully for the Nurse Initiative,with unused 13-14 funds of 32,000 being rolled over for the
14-15 initiative. 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:
F inance and Citywide Projects Committee supports Nurse Initiative. Resolution 2013-28219 May 8,2013
roved funding and Commission requested Miami Beach portion in the FY 2014/15 annual budget.
Financial Information:
Source of Amount Account
Funds: $15,400 177-6881-000343 (Subject to appropriation in
the FY 2014/15 operating budget
OB Total $15,400
Financial Impact Summary:
City Clerk's Office Legislative Tracking:
Dr. Leslie Rosenfeld
Sign-Offs.
Depa nt irector Assistant City Manager &City Manager
KGB JLM
AGENDA ITEM C q
MIAMIBEACH
DATE q-943-/ q
MIAMI BEACH
City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
COMMISSION MEMORANDUM
TO: Mayor Philip Levine and Members f the City C mmission
FROM: Jimmy L. Morales, City Manager
DATE: April 23, 2014
SUBJECT: A RESOLUTION OF THE MAYOR ND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, AUTH IZING 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 2014-2015 SCHOOL YEAR IN
THE AMOUNT OF$15,400 FROM THE MIAMI BEACH EDUCATION COMPACT
FUND FOR THE CITY OF MIAMI BEACH'S PROPORTIONATE SHARE OF
FUNDING FOR THE NURSE INITIATIVE SUBJECT TO APPROVAL IN THE FY
2014/15 ANNUAL BUDGET.
ADMINISTRATION RECOMMENDATION
Approve the Resolution.
BACKGROUND
On December 11, 2013, the Commission discussed (Item R9K) the continuation of the Nurse
Initiative for the 2014-15 school year,approved on July 17,2013, per Resolution#2013-28258(Item
C7N) funding the Nurse Initiative for the 2013-14 school year. On October 24, 2012, the
Commission 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
Commission Memorandum
April 23, 2014
Nurse Initiative
Page 2 of 4
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, asocial 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
Commission Memorandum
April 23, 2014
Nurse Initiative
Page 3 of 4
• Monitor documented Temporary Medical Exemptions/Immunization Records
• Consultation with school staff as needed
• Consultation with parent/guardians as needed
• 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 for the 2013-14 school year 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 was 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 Nurse Initiative has been in place as of August 2013. The schools participating in the Nurse
Initiative have an HCIOS team of professionals including a shared Registered Nurse, a full-time
Medical Assistant,and a social worker which already funded by Miami-Dade County Public Schools
For the 2014-15 school year, the Miami Beach Chamber of Commerce and The Children's Trust
have committed funding in the amount of$30,000 and $126,549 respectfully for the Nurse Initiative,
an increase of 28% from the 2-13-14 school year commitment. Additionally, the receipt of the
Health Foundation of South Florida matching grant to the Miami Beach Chamber Education
Foundation for the Nurse Initiative n 2013-14,will allow a carryover of unused funds of$32,000 for
the 14-15 school year. The registered nurse rotates between each of the aforementioned schools
(or as per Children's Trust recommendation)so that accessibility is equal amongst all three schools.
Each school now has a full-time medical assistant at its site. In 2013-14, the HCIOS provided by
the Nurse Initiative through Feb. 28, 2014, served 2,178 unduplicated students, an average of 72%
of the total school populations visiting the Miami Beach funded HCIOS, with an average of 66% of
students returning to class.
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
i
Commission Memorandum
April 23, 2014
Nurse Initiative
Page 4 of 4
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 March 2014,each of the neighboring municipalities has committed approximate funding for the
registered nurse for the 2014-15 school year as follows: Town of Surfside $3,667, Town of Bay
Harbor Islands $3,667, Bal Harbour Village $3,667, and North Bay Village $6,600. The Miami
Beach Chamber of Commerce will continue to 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.
The City of Miami Beach, along with our neighboring municipalities,and the Miami Beach Chamber
of Commerce Education Foundation,will enter into a memo of understanding,which will include,but
not be limited to the following:
• Description of Services to be provided by Tr ust selected a n d app rove d 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%)
The Miami Beach Chamber Education Foundation, as the fiscal agent for the Nurse Initiative, will
enter into an agreement with The Children's Trust to disperse the municipal collected funds.
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 he program. This approval will assist the Department in accomplishing its measurable
ectiv and approval in the FY2014/15 Annual Budget.
IKBILW
0 BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Mayor Connie Leon-Kreps
North Bay Village
1666 Kennedy Causeway, 3rd Floor
North Bay Village, FL 33141
Dear Mayor Leon-Kreps,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North -Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Ra ME. nado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
F:\CLER\$ALL\KAT\Transmittal Letters\nurses.docx
We ore committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
1
IM
�V NV . C .:
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Mayor Robert Yaffe
Bay Harbor Islands
9665 Bay Harbor Terrace
Bay Harbor Islands, FL 33154
Dear Mayor Yaffe,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Ra ael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
FACLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
OU I A NA I H
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Mayor Jean Rosenfield
Bal Harbour
655-96th Street
Bal Harbour, FL 33154
Dear Mayor Rosenfield,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surlside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Fund_ ing For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
FACLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical, historic community.
�AAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Mayor Daniel Dietch
Surfside
9293 Harding Avenue
Surfside, FL 33154
Dear Mayor Dietch,
Attached please find ;copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously P assed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
F:\CLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
AA- I ANA I B EAC H
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Dr. Martin Karp
Miami-Dade County Public Schools
1450 NE 2nd Avenue, Suite 700
Miami, FL 33132
Dear Dr. Karp,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
F:\CLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
EJJ VdAMMEACH
City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Alberto Carvalho, Superintendent
Miami-Dade County Public Schools
1450 NE 2nd Avenue, Suite 900
Miami, FL 33132
Dear Mr. Carvalho,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The .City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For T he City O
f Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
F:\CLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
MIANAIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Iraida R. Mendez-Cartaya, Assistant Superintendent
Miami-Dade County Public Schools
1450 NE 2nd Avenue, Suite 912
Miami , FL 33132
Dear Ms. Mendez-Cartaya,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
FACLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
°— M A M C
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax:786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Vivian M. Santiesteban-Pardo, North Region Superintendent
Miami-Dade County Public Schools
733 E. 57th Street
Hialeah, FL 33013
Dear Ms. Santiesteban-Pardo,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
FACLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
/V
I E A 1F
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Jerry Libbin, President & CEO
Miami Beach Chamber of Commerce
1920 Meridian Avenue
Miami Beach, FL 33139
Dear Mr. Libbin,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Raf el ranado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
F:\CLERULL\KATUransmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
NVIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Ceci Velasco, Vice President & Chief Operating Officer
MB Chamber of Commerce
1920 Meridian Avenue
Miami Beach, FL 33139
Dear Ms. Velasco,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding (MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surlside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
FACLER\$ALL\KAT\Transmittal Letters\nurses.docx
We ore committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
/\AIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov
Office of the City Clerk
Rafael E. Granado
Tel: 305-673-7411 Fax: 786-394-4127 Email: CityClerk @miamibeachfl.gov
May 6, 2014
Dr. Peter Gorski
Children's Trust
3150 SW 3rd Avenue
Miami, FL 33129
Dear Dr. Gorski,
Attached please find copy of Resolution No. 2014-28552 and the corresponding
Memorandum of Understanding:
A Resolution Of The Mayor And City Commission Of The City Of Miami
Beach, Florida, Authorizing The Mayor And City Clerk To Execute The
Memorandum Of Understanding -(MOU), Attached Hereto And
Incorporated Herein, Between The City Of Miami Beach, The Miami
Beach Chamber Of Commerce, North Bay Village, The Town Of Bay
Harbor Islands, The Town Of Surfside, And Bal Harbour Village To
Implement The Nurse Initiative For The 2014-2015 School Year And
Authorizing The Appropriation Of $15,400 From The Miami Beach
Education Compact Fund For The City Of Miami Beach's Proportionate
Share Of Funding For The Nurse Initiative Subject To Approval In The FY
2014/15 Annual Budget.
This Resolution was unanimously passed and adopted by the Mayor and City
Commission of the City of Miami Beach on April 23, 2014.
If you need additional information, please do not hesitate to call.
Respectfully,
Rafael E. Granado
City Clerk
c: Leslie Rosenfeld, Chief Learning and Development Officer
F:\CLER\$ALL\KAT\Transmittal Letters\nurses.docx
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.