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C7D-Urge Support School-Based Health Centers In Miami Beach Public Schools -Steg MtAMtBEAcH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov COMMISSION MEMORANDUM TO: Mayor Philip Levine and Members of the City Commission Jimmy L. Morales, City Manager FROM: RaulAguila, City Attorney QN DATE: October 22,2014 SUBJECT: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE Clry OF MIAMI BEACH, FLORIDA, TO URGE THE CHILDREN'S TRUST AND THE MIAMI. DADE COUNry SCHOOL BOARD TO SUPPORT AND FINANCE COMPREHENSIVE SCHOOL.BASED HEALTH GENTERS IN MIAMI BEACH PUBLIC SCHOOLS; PARTICULARLY, BY PLACING A CENTER lN THE Clw OF MIAMI BEACH AT A MIAMI BEACH PUBLIC SCHOOL; AND SUSTAIN THE REGISTERED NURSE HEALTH SUITES WITHIN MIAMI BEACH PUBLIC SCHOOLS AND FEEDER SCHOOLS. BACKGROUND Pursuant to the request of Commissioner Micky Steinberg, a resolution was prepared urging the Children's Trust and the Miami-Dade County School Board to support and finance the Comprehensive School-Based Health Centers process; particularly, by placing a Center in the City of Miami Beach at a Miami Beach public school; and sustain the registered nurse health suites within Miami Beach public schools or feeder schools. 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: o The school District will maintain health clinics (nurse practitioners and/or registered nurses) at Fienberg-Fisher K-8 Center, Biscayne Elementary, Nautilus Middle, 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 In our Schools service (HCIOS) (as available) or similar service to schools and/or Miami Beach recreation centers; r 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 lnitiative; r 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 Agenda Item (7 D oate h'22-lV74 Commission Memorandum October 22, 2014 Chi I dren's Tru st Resol ution Page 2 of 2 oThe District will explore the expansion of fulltime nurse practitioners and/or registered nurses at schools without health clinics, subject to available funding. The schools participating in the municipal Nurse lnitiative have an HCIOS team of professionals including a shared registered nurse, a fulltime medical assistant, and a social worker. 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, health services for uninsured students with no other option for access to health care, emergency first aid/CPR, and chronic disease management. On September 15, 2014, Dr. Peter Gorski, Chief Health and Child Development Officer The Children's Trust, provided additional information regarding changes to the HCIOS program beginning in the 2015-16 school year, which changes include, but are not limited to, the following: oRegistered Nurse-staffed Health Suites (RNHS) will provide enhanced basic school health services that include physical, oral, and behavioral health) new model. The shift from the current HCIOS model to the RNHS model will result in an estimated decrease of 27 HCIOS across Miami-Dade County from 160 to 133, but allow for the creation of Comprehensive School-Based Health Centers. oComprehensive School-Based Health Centers (SBHC) will results in a scaled back number of health suites initially in order to initiate the SBHC model linked to community pediatric practices to provide primary care to underserved children and families. Approximately 5 or 6 will be created. These centers will provide comprehensive primary care, oral health, and behavioral health services and be strategically located within Miami-Dade County in areas with high rates of Medicaid eligibility and child poverty. On September 23,2014, the Committee for Quality Education passed a motion requesting the Mayor and Commission to sustain health clinic suites in all Miami Beach feeder public schools with a registered nurse and encourage the Children's Trust and Miami-Dade County Public Schools to place a Comprehensive School-Based Health Center on Miami Beach. The City already provides funding to Treasure lsland Elementary and North Beach Elementary to fund a nurse position for both 201-2014 and the 2014-2015 school years. Based upon the foregoing, to urge the Children's Trust and the Miami-Dade County School Board to support and finance the Comprehensive School-Based Health Centers process; particularly, by placing a Center in the City of Miami Beach at a Miami Beach public school; and/or sustain the registered nurse health suites within Miami Beach public schools or feeder schools. Gonclusion The Administration recommends that the Mayor and City Commission urge the Children's Trust and the Miami-Dade County School Board to support and finance the Comprehensive School- Based Health Centers process; particularly, by placing a Center in the City of Miami Beach at a Miami Beach public school; and sustain the registered nurse health suites within Miami Beach public schools or feeder schools. Wearecontrnitledloprovidingexceiienl publicserviceondsot'e\bali whohve,work ondptayinourvibrant lropicoi.historiccammunil,/ 75 g MIAMI BEACH OFFICE OF THE MAYOR AND COMMISSION MEMORANDUM TO: Jimmy Morales, City Manager FROM: MickySteinberg,Commissioner DATE: October 15,2014 SUBJECT: Agenda item for the October 22,2014 Commission Meeting Please add to the October 22, 2014 Commission Agenda a Resolution urging the Children's Trust and the Miami-Dade County School Board to support and finance comprehensive school-based health centers in Miami Beach Public Schools; particularly, by placing a center in the City of Miami Beach at a Miami Beach Public School; and sustain the registered nurse health suites within Miami Beach Public Schools and feeder schools. Please see the attached. lf you have any questions please do not hesitate to call our office. Thank you. Tathiane Trofino On behalf of Commissioner Micky Steinberg MIAMIBEAG* Com mi ssi oner M icky Stei n berg OFFICE OF MAYOR AND COMMISSION 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7 103 I Fax: 305-673-7096 / www.miamibeachfl .gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. We ore commilted to providing excellent public service ond sofery lo oll who live, work, ond ploy in our vibront', tropicol, histonc community' 76 RESOLUTION NO. A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CIry OF MIAMI BEACH, FLORIDA, TO URGE THE CHILDREN'S TRUST AND THE MIAMI.DADE COUNTY SCHOOL BOARD TO SUPPORT AND FINANCE COMPREHENSIVE SCHOOL.BASED HEALTH CENTERS IN MIAMI BEACH PUBLIC SCHOOLS; PARTICULARLY, BY PLACING A CENTER !N THE CITY OF MIAMI BEACH AT A MIAMI BEACH PUBLIC SGHOOL; AND SUSTAIN THE REGISTERED NURSE HEALTH SUITES WITHIN MIAMI BEACH PUBLIC SCHOOLS AND FEEDER SCHOOLS. WHEREAS, 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; and WHEREAS, the activities included in the Compact agreement to support this outcome include the following: o The school District will maintain health clinics (nurse practitioners and/or registered nurses) at Fienberg-Fisher K-8 Center, Biscayne Elementary, Nautilus Middle, 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 ln our Schools service (HCIOS) (as available) or similar service to schools and/or Miami Beach recreation centers; o 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 lnitiative; o 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 oThe District will explore the expansion of full-time nurse practitioners and/or registered nurses at schools without health clinics, subject to available funding. The schools participating in the municipal Nurse lnitiative have an HCIOS team of professionals including a shared registered nurse, a fulltime medical assistant, and a social worker. 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, health services for uninsured students with no other option for access to health care, emergency first aid/CPR, and chronic disease management; and WHEREAS, on September 15, 2014, Dr. Peter Gorski, Chief Health and Child 77 Development Officer The Children's Trust, provided additional information regarding changes to the HCIOS program beginning in the 2015-16 school year, which changes include, but are not limited to, the following: oRegistered Nurse-staffed Health Suites (RNHS) will provide enhanced basic school health services that include physical, oral, and behavioral health) new model. The shift from the current HCIOS model to the RNHS model will result in an estimated decrease of 27 HCIOS across Miami-Dade County from 160 to 133, but allow for the creation of Comprehensive School-Based Health Centers. rComprehensive School-Based Health Centers (SBHC) will results in a scaled back number of health suites initially in order to initiate the SBHC model linked to community pediatric practices to provide primary care to underserved children and families. Approximately 5 or 6 will be created. These centers will provide comprehensive primary care, oral health, and behavioral health services and be strategically located within Miami-Dade County in areas with high rates of Medicaid eligibility and child poverty; and WHEREAS, on September 23, 2014, the Committee for Quality Education passed a motion requesting the Mayor and Commission to sustain health clinic suites in all Miami Beach feeder public schools with a registered nurse and encourage the Children's Trust and Miami- Dade County Public Schools to place a Comprehensive School-Based Health Center on Miami Beach; and WHEREAS, the City already provides funding to Treasure lsland Elementary and North Beach Elementary to fund a nurse position for both 2013-2014 and 2014-2015 school years, which program has been tremendously successful; and, WHEREAS, the City Commission urges the Children's Trust and Miami-Dade County Public Schools to support the Comprehensive School Based Health Center process; particularly, by placing a Center in the City of Miami Beach at a Miami Beach public school; and sustain the registered nurse health suites within the Miami Beach public schools. NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, to urge the Children's Trust and the Miami-Dade County School Board to support and finance the Comprehensive School-Based Health Centers process; particularly, by placing a Center in the City of Miami Beach at a Miami Beach public school; and sustain the registered nurse health suites within Miami Beach public schools or feeder schools. PASSED AND ADOPTED this _ day of ATTEST: 2014. APPROVED AS TO FORM & LANGUAGE & FOR EXECUTION tils)p --,Dote Rafael E. Granado, City Clerk Philip Levine, Mayor 78 THIS PAGE INTENTIONALLY LEFT BLANK 79