97-22493 RESO
RESOLUTION NO.
97-22493
A RESOLUTION OF THE MAYOR AND CITY COMMISSION
OF THE CITY OF MIAMI BEACH, FLORIDA, URGING THE
STATE OF FLORIDA DEPARTMENT OF HEALTH AND
METROPOLITAN DADE COUNTY TO SUPPORT AND
CONTINUE THE OPERATION OF THE PREVENTION,
EDUCATION AND TREATMENT (PET) CENTER AT 615
COLLINS AVENUE, MIAMI BEACH, WHICH PROVIDES
NECESSARY HEALTH SERVICES TO THE COMMUNITY.
WHEREAS, the Prevention, Education and Treatment (PET) Center located at 615 Colli! s
Avenue, Miami Beach, Florida provides health services to approximately 600 patients; and
WHEREAS, the services of the PET Center include, among other things, treatment for1T I
disease, tuberculosis, and sexually transmitted diseases, psychiatric counselling, anonymous testins
for HIV, and childhood immunizations; and
WHEREAS, the clinical services provided at the PET Center are consistently highly rIte j
in terms of patient satisfaction; and
WHEREAS, with regard to HIV, the State of Florida is the third most heavily impacted ntali e
in the nation, Metropolitan Dade County is the most heavily impacted county in the State of Florid;, 1,
and the City of Miami Beach is one of the most impacted areas in Dade County; and
WHEREAS, the services provided by the PET Center are necessary and crucial for th ~
protection of the public health of the community.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CIT"l
COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA that the State of Florid 1
Department of Health and Metropolitan Dade County are hereby urged to support and continue t )
operate the PET Center at its current level of health services in the City of Miami Beach.
PASSED and ADOPTED this ~ day of
A1)TEST: "
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APPROVED AS TO
FORM & lANGUAGE
& FOR EXECUTION
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CITY OF MIAMI BEACH
MEMORANDUM
TO: JOSE GARCIA-PEDROSA
"', CITY MANAGER
FROM: NANCY LIEBMAN ~
COMMISSIONER
DATE: JUNE 27, 1997
RE: PET CENTER
I wish to discuss this on the July Agenda where we could resolve that unless the county stays a1
their current location, it should off-set the funds of the South Shore Hospital and Stanley Meye:'s
programs.
The County seems to be dumping their patients in order to sell their valuable property at 7th
Street and Collins.
NL/ml
Attached
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Agenda Item R <} S
Date 7- J~-(I 1
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IMMEDIATE RELEASE. July 9, 1997
Contact:
Bill Skeen, MDMPH
Director of Public Policy
Florida AIDS Action Council (FLAAC)
(305) 891-3666
(305) 895-2960 fax
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On July 7, Ira Clark, President of the Public Health Trust, announced to the-Health
A.l.
Committee o~e Metro-Dade Commissioners that the Public Health 'Trust would
guararlt~e the continuation of services provided by the Prevention Education and
Treatment (PET) Center at 615 Collins Avenue on South Beach. He further stated that
the Trust and the Health Department would prepare a plan to maintain the long term
stability of the PET Center services.
Previously, the Dade County Health Department had announced that in order to cope
with an $8 million budget shortfall, it would close the PET Center on South Beach. This
clinic provides care and treatment for people living with mv / AIDS, treatment for TB and
Sexually Transmitted Diseases (SID's), childhood immunizations, dental care, psychiatric
care, counseling and other services. The PET center is the Health Department's only
anonymous mv testing site and only HIV primary care clinic on South Beach.
Community activists applaud Clark's pledge to maintain the PET Center services. Dr. BilI
Skeen, Director of Public Policy for Florida AIDS Action Council (FLAAC), a statewide
HIV advocacy organization, stated, "The community wants to be sure that a permanent
solution for maintaining the clinic is put into place, not merely a 'quick fix' that will
collapse again next year. It is imperative that the clinic be wen m~aged, weI1 funded and
provide quality services in a caring environment." Gary Knight, a member of South
Beach's AIDS Prevention Task Force added, "The Health Department stated at their
Dade Health Summit in May that combating HIV/AIDS is their highest priority.
MaintcUning the PET Center services on South Beach would seem to be the minimum
commitment necessary toward achieving that goal."
Community representatives are looking forward to a scheduled meeting with Annie
Neasman, Chief Administrator of the Dade County Health Department, and a
representative from the Public Health Trust. Neasrnan and the Trust representative will be
asked to establish a public/private community advisory board for the PET Center. It win
be Proposed that this board assist in the development and implementation of a plan of
action to restore the PET Center's funding for 1997-98, oversee the Center's
administrative operations, and develop a long term action plan to ensure that the PET
Center's services remain available to the South Beach community.
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12491) (\;E ~l" .\venue. Suite ::14. ~onh ~ami, FL .33161 . (305) 891-3666 . F.\..'C; (305) 895.:%0
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OVERVIEW
The Miami Beach Center opened in October of 1964. The land was donated to
the City of Miami. Beach which in turn deeded it to Dade County to build a Public
Health Clinic (see attached deed for stipulations on property).
The Center started out as a clinic where the elderly received check-ups. Othe..
services, such as pediatrics, obstetrics, family planning, TB chest x-rays and
VORL's (blood tests for syphilis) were added in 1965. No charges were levied fol'
'> these services-both rich and poor enjoyed preventative care at this site.
In 1990 the focus of the Miami Beach clinic changed in response to the nation-
wide HIV/AIDS epidemic. Maternity and Pediatric services were discontinued as
the Center began providing primary care for persons who tested positive for HIV
infection. The "Early Intervention Project", as it was first called, aimed its
services towards persons newly diagnosed with HIV.
The Center, now known as the Miami Beach P.E.T. (Prevention, Education and
Treatment) Center has treated more than 2000 HIV-infected persons.
SERVICES - DEMOGRAPHICS - STATISTICS
Primary Care
Currently, the patient population is 562 patients who receive high quality
compassionate, comprehensive, "one stop" care. This number of primary care
patients represents close to the maximum number the P.E.T. Center is willing to
absorb because of the complexity of HIV care. Expansion much beyond this
number would seriously compromise the quality of care received by our patients.
Medical services are provided by 3 physician FTE's and two FTE registered
nurses all of whom are highly qualified and experienced in the treatment of HIV
disease.
This Center exercised an aggressive approach to support programs for protease
inhibitors. The majority of its patients, for whom Center physicians prescribed
protease inhibitors, were already receiving these medications before they
became available through ADAP.
Primary Care averages 450 visits per month including an average of 67 walk-ins
per month.
. petcenterrep. 07. 97page2
Dental Care
Services have been provided since 1991, with a satellite at the Downtown Publi::
Health Unit (1350 N.W. 14th Street). The P.E.T. Center is the only provider cf
Ryan White dental services on Miami Beach. Dental services provide an
average of 186 visits per month: approximately 230 patients access thi:;
program. Most dental patients also access primary care: 'eighty-eight patients
receive dental services only. These services are available to any patient in Dade
County.
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Nutritional Services
Nutritional services have always been a part of the Center's treatment plan and
were provided before they were mandated by Ryan White. A registered dietician
is provided one day a week through a contract with the Area Health Education
Center (AHEC). This service is part of the P.E.T. Center's intake process for
new patients since good nutrition is such an integral part of health maintenance
for HIV patients. This service averages 24 visits per month.
Case Management
The P.ET. Center has 4.5 case management positions including a nurse case
manager for high acuity and medically complex clients. Case managers average
a minimum of 10 face to face contacts each per day. Collateral contacts for each
patient seen average 3 per individual.
PSYChiatry
No support service was more needed for our patients than psychiatry. Moderate
to severe psycho-pathology is frequent. Community Mental Health Centers are
overburdened and clients with HIV Spectrum Disease have been placed on long
waiting lists. Often a client can be medically improved but psychologically
decompensated. In the last year other providers have collaborated with the PET
Center in referring their clients for psychiatric care. This service averages 64
visits per month and experiences more demand than can be accomodated.
HIV Counseling and Testing
The P.E.T. Center is the only anonymous testing center on Miami Beach and
currently averages 335 visits per month. This service is expected to experience
an increase in demand with the implementation of HIV name reporting.
DEMOGRAPHICS
The demographics of the PET Center are 50% Hispanic, 30% Black-non
Hispanic, 15% white non-Hispanic, and 5% other. The community of South
Beach has changed over the years from a mainly elderly population to one
which includes young, movie and modeling aspirants, immigrants from Central
and South America, and seasonal snowbirds from all around the world.
pe/cen/errep. 0 7. 97page3
PUBLIC HEALTH SERVICES
The Miami Beach P.E.T. Center continues to offer traditional Department of
Health services, namely: STD, Pap smears, Immunizations and TB for all who
need them. These services are also part of the medical managment of HIV/AIDS
clients. In addition, other HIV/AIDS related services are given: Anonymous
Testing (identification by number only) and Confidential Testing (identification by
name).
Sexually Transmitted Diseases (STD'S)
.........
The PET Center's STD clinic has a long and successful history of service.
Clients from all over Dade utilize this clinic for treatment rather than being treated
in their neighborhood. STD's treated at the PET Center include non-specific
urethritis, syphilis, gonorrhea, herpes, and venereal warts. During STD
examinations physicians have often detected symptoms suggesting that a
particular client be tested for HIV. The conjunction of this service with HIV-
primary care facilitates the provision of early intervention and treatment.
The physician providing STD care at this Clinic has been providing these
services for more than 20 years. She is an expert clinician who keeps up to date
in this specialty. This service averages 129 visits per month.
PAP Tests
The American Cancer Society has referred women for PAP smears since 1972.
This service is done without charge.
Immunizations
Immunizations have been given at the PET Center since its inception. Parents
who were immunized here frequently return with their children for
immunizations. Because of the diversity of the Miami Beach population,
immunization records must be deciphered from 40 different countries. This
service is available at no charge. Average visits per month are 385.
Tuberculosis
TB services, including chest X-rays, are very important to Miami Beach as a high
percentage of residents from other countries carry high exposure rates.
Prophylactic treatment is the primary T8 service provided. This requires a
treatment of medication and monitoringed which may last from 6 months to a
year. There is a minimal charge for these services, but as with all health care
provided here, no patient is refused treatment because of inability to pay.
pe~enre"e~O~97page4
TB services are provided on Monday and Thursday afternoons and average 1 DC
visits per month. The conjunction of this service with HIV-primary care facilitates
the provision of early intervention and treatment.
The 1997-98 P.E.T. Center budget by program is as follows:
........
STD
HIV/AIDS
Dental
Total:
$273,462
$874,462
$195.663
$1,343,587
TB and Immunization budgets are part of the DCPHU general budget.
The Miami Beach PET Center has earned a reputation for providing high quality,
and culturally sensitive primary care to the community, as well as general care to
the entire county.
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'DADE::COONTY, a pOlitica.l subdivision of the.'state of Florida ':"::':~J:
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P4l't Y of th~ $frond part llIIitn~etb.-
TJrattM said parr)' oi tlu ftnt part. for and in ccr:siJrl'atiorc of tlu nm of
ONE DOLIAR and other good and valuable considerations
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to it in Iran a paid by tlr~ said ~I't y of t~ suana pal't, th~ runfit a.'hrr~f is Ir~r~by ac.t-
ffomldgt"d has rra~t.cd. barrawd .",d sold to tn~ said part y of tlu ~(014d pll?t. its
:Successors ir:Da,and assigns iOl'r:-~r, thr ioJlorring d(saib~d lad .sitll4tc, lyinr
tZnd .?ci'li: Ur tn", Cont). o{ Dade and State: 0; Florida, to-:::it:
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Lots 10 and 11; ::Block 11, OCEAN BEACH ADDITION NO.1, according to
.the plat there'or, recorded in Plat Book 3, page 11 of the public
records of Dade County, Florida.
This conveyance is made subject to the zoning ordinances of the
city of l'liami Beach, Florida.
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This ,conveyance is made in order that Dade County may construct ;Jnd
thereafter maintain and operate a med~cal clinic on said land hereby
conveyed and should Dade County fail to construct such clinic within
one year from the date hereof or should Dade COW"\ty at any time
cease to use said land for said purpose, or use the same for a~y
purpose other than as a medical clinic and for the parking of auto-
mobiles in connection therewith, then .and in any of such events, all
right, title and interest in and to the demised premises shall revert
to and become the property of the. City of Miami Beach and the legal
title thereto shall immediately be re-vested in the City of Miami
Beach.
The land hereby conveyed shall not be sol.d, l.eased or otherwi15e
disposed of by the grari'tee herein without first having obtained the
written authorization by the City of Miami Beach to make such sale,
lease or other disposal.
.-Iud tJr,' said part.'. n; f}u first par: do" Jr,'r,-I.)" .tull)" ::'arrar.t .h<" .itl" (n said ["nd. and
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