C7C-Enter Into MOU Support -Enhance The Nurse Initiative For 2015-16 School YearCondensed Title:
A Resolution Authorizing The Mayor And City Clerk To Execute The Memorandum Of Understanding
Attached Hereto Between The City Of Miami Beach, The Miami Beach Chamber Of Commerce, North Bay
Village, The Town Of Bay Harbor lslands, The Town Of Surfside, And Bal Harbour Village To Support And
Enhance The Nurse lnitiative For The 2015-2016 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 Enhancement lnitiative Subject To Approval ln The City's FY 2015116
Annual
COMMISSION ITEM SUMMARY
Item ndation:
Motions made by the Quality Education Committee regarding the funding of a registered nurse at
underserved public schools in the feeder pattern were discussed in 2012. The Finance Committee
recommended funding. The City's proportionate share was $30,500 for the 2013-14 school year,
appropriated for FY 2012113 in the Education Compact Fund by Resolution2012-28018 redirected at the
May 8, 2013 Commission meeting per Resolution 20'13-28219 to support the Nurse lnitiative. The effort to
support the Nurse lnitiative included the Cityof Miami Beach, North BayVillage, Town of Surfside, Town of
Bay Harbor lslands, and Bal Harbour Village, to converge efforts to secure the funding needed for the full-
time registered nurse. The Nurse lnitiative was continuedin2Ol4-15. Byapproval of Resolution201542
on February 9,2015, The Children's Trust Board of Directors approved the release of RFP 2015-17 School
Health Programs to fund improved access to quality health care through providers delivering
comprehensive services in the public schools to 145 pre-selected schools for SchoolYears 2015-16, 2016-
17 , and 2017-18; the programs which are the subject of the RFP include all three (3) Miami Beach schools
in the City's original Nurse lnitiative. Due to the success of the Nurse lnitiative during the 2013-2014 and
2014-15 School Years, the City of Miami Beach and the other Participating Municipalities wish to support
an enhanced Nurse Enhancement lnitiative for the 2015-2016 School Year as the underlying nurse
initiative will now be provided by The Children's Trust via School Health Programs. The funding provided
by the Participating Municipalities will enhance The Children's Trust School Health Programs for the
schools, to include, but not be limited to, services such as behavioralhealth and/ortelehealth/telemedicine
during the 2015-2016 School Year. As of April 2015, funds committed for 2015-16 school year are as
follows: Town of Surfside $3,667, Town of Bay Harbor lslands $3,667, Bal Harbour Village $3,667, and
North Bay Village $6,600, Miami Beach Chamber $7,000. An agreement, acceptable to the City Attorney
and the City Manager, should be entered into between the MBCC, The Children's Trust, North BayVillage,
the Town of Surfside, the Town of Bay Harbor lslands, Bal Harbour Village, and the City, with the
exoectation that all of the participating municipalities will contribute to the Nurse Enhancement lnitiative.
c7L- s-647
Kev lntended Outcome Supoorted:
Supporting Data (Surveys, Environmental Scan, etc.):
The2012and2O14 CommunitySatisfaction showed that91% and75o/o respectivelyof residentswith
children are very satisfied or satisfied with our City's public schools compared to 51o/o in 2007. ln the
2013-14 and 2014-15 school year, the City of Miami Beach in partnership with neighboring
municipalities funded a Nurse lnitiative providing service to over 4,000 children/visits, an average of
80% of the total school populations visiting the Miami Beach funded HCIOS in2013-14and2014-15,
and maioritv of students to class.
Finance and Citywide Projects Committee supports Nurse lnitiative. Resolution 2013-28219 May8, 2013
MiamiBeach portion in the FY 2015fi6 annual
Financia! lnformation:
177-6881-000343 (Subject to appropriation in the FY
Financial lmpact Summary:
MIAMIBTAf,H DATE152
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City of Miomi Beoch, I700 Convention Cenler Drive, Miomi Beoch, Florido 33139, www.miomibeochfl.gov
COMMI MEMORANDUM
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FROM:
DATE:
SUBJECT:
t9'$ . 20;i
Mayor Philip Levine and Members
Jimmy L. Morales, City Manager
May 6,2015
A RESOLUTION OF THE MAYOR
mrssron
D CITY GOMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA,THE MAYOR AND CITY GLERK TO
EXECUTE THE MEMORANDUM OF UNDERSTANDING (MOU), ATTACHED
HERETO AND INCORPORATED HEREIN, BETWEEN THE CITY OF MIAMI
BEACH, THE MTAMI BEACH CHAMBER OF COMMERCE, NORTH BAY
VILLAGE, THE TOWN OF BAY HARBOR ISLANDS, THE TOWN OF SURFSIDE,
AND BAL HARBOUR VILLAGE TO SUPPORT AND ENHANCE THE NURSE
INITIATTVE FOR THE 2015.2016 SCHOOL YEAR AND AUTHORIZING THE
APPROPRIATION OF $15,400 FROM THE MIAMI BEACH EDUGATION
COMPACT FUND FOR THE CITY OF MIAMI BEACH'S PROPORTIONATE
SHARE OF FUNDING FOR THE NURSE ENHANCEMENT INITIATIVE SUBJECT
TO APPROVAL IN THE CITY'S FY 2015/16 ANNUAL BUDGET
ADMINISTRATION RECOMMENDATION
Approve the Resolution.
BACKGROUND
On December 11 , 2013, the Commission discussed (ltem R9K) the continuation of the Nurse
lnitiative forthe 2014-15 school year, approved on July 17,2013, per Resolution#2013'28258 (ltem
C7N) funding the Nurse lnitiative 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 heatth and wetl-being of our children are of paramount importance and should be
considered a community priority and responsibility. Therefore, the Committee for Quality
Education recommends fhe Mayor and City Commission reviewthe 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
153
Commission Memorandum
May 8, 2015
Nurse Enhancement lnitiative
Page 2 of 4
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, 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) orsimilar
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;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,
o District will explore the expansion of fulltime 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 SeniorHigh School. Forstudents thatdo 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{o-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 socialworkers.
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 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 2012113 in the Education Compact Fund adopted by
Resolution 2012-28018 anticipated to be used for teacher development programs and fees to the
lnternational Baccalaureate Organization redirected at the May 8,2013 Commission meeting per
Resolution 2013-28219 to support the Nurse lnitiative.
ln the 2013-14 School Year, a municipal Nurse lnitiative 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 the 2014-15 SchootYear. The registered nurse rotates between each of the aforementioned
154
Commission Memorandum
May 8, 2015
Nurse Enhancement lnitiative
Page 3 of 4
schools (or as per Children's Trust recommendation) so that accessibility is equal amongst all three
schools. Utilization of the HCIOS have remained high throughout the 201 4-1 5 school year, with 52
percent of the 3,044 unduplicated students utilizing the services from Augustz914 through February
2015, an average of eleven visits per day per school resulting in 3,836 visits this school year
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
By approval of Resolution 201 5-42 on February 9,2015, The Children's Trust Board of Directors
approved the release of RFP 2015-17: School Health Programs to fund improved access to quality
health care through providers delivering comprehensive services in the public schools to 145 pre-
selected schools for School Years 2015-16,2016-17, and 2017-18; the programs which are the
subject of the RFP include all three (3) Miami Beach schools in the City's original Nurse lnitiative
Due to the success of the Nurse lnitiative during the2013-2014 and 2014-15 SchoolYears, the City
of Miami Beach and the other Participating Municipalities wish to support an enhanced Nurse
Enhancement lnitiative for the 2015-2016 School Year, as the underlying nurse initiative will now be
provided by The Children's Trust via the School Health Programs.
As of April 2O15,each of the neighboring municipalities has committed approximate funding forthe
Nurse Enhancement tnitiative for the 2015-16 school year as follows: Town of Surfside $3,667,
Town of Bay Harbor lslands $3,667, Bal Harbour Village $3,667, and North Bay Village $6,600. The
Miami Beach Chamber Education Foundation (MBCEF) shall provide funding for the 2015-2016
Nurse Enhancement lnitiative from the unused funds ($21,000) provided by the Aetna Voices of
health prize funds pursuant to the 2013-2014 Nurse lnitiative Memorandum of Understanding, which
unused funds shall be carried over for use during the 2015-2016 School Year at $7,000 per year
and which may be carried over for an additional two years at $7,000 per year through the 2017-18
School Year.
The funding provided by the Participating Municipalities will enhance The Children's Trust School
Health Programs for North Beach Elementary, Treasure lsland Elementary, and Ruth K. Broad Bay
Harbor K-8 Center, to include, but not be limited to, services such as behavioral health and/or tele
health/telemedicine during the 201 5-2016 School Yearateach of the Schools. The Children's Trust
funding will provide for a full-time registered nurse and/or licensed practical nurse at each of the
Schools for the 2015-2016,2016-17, and 2017-18 School Years.
It is anticipated that the Memorandum of Understanding will be entered into between the City of
Miami Beach, the Miami Beach Chamberof Commerce, The Children'sTrust, North BayVillage, the
Town of Surfside, the Town of Bay Harbor lslands, and Bal Harbour Village, with the Participating
Municipalities contributing to support the Nurse Enhancement !nitiative program for the 2015-2016
School Year
155
Commission Memorandum
May 8, 2015
Nurse Enhancement lnitiative
Page 4 of 4
CONCLUSION
The Administration recommends the approvalof this Resolution. An agreement, acceptable to the
City Attorney and the City Manager, should be entered into between the Miami Beach Chamber of
Commerce, North Bay Village, the Town of Surfside, the Town of Bay Harbor lslands, Bal Harbour
Village, and the City of Miami Beach, subject to all of the participating municipalities contributing to
assist
201511 Budget.
in accomplishing its measurable objectives and approval in the City's FY
156
RESOLUTION NO.
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF
THE CITY OF MIAM! BEACH, FLORIDA, AUTHORIZING THE
MAYOR AND CITY CLERK TO ENTER INTO A MEMORANDUM
oF UNDERSTANDTNG (MOU), ACCEPTABLE TO THE CITY
ATTORNEY AND THE CITY MANAGER, BETWEEN THE CIryOF MIAMI BEACH, THE MIAMI BEACH CHAMBER
EDUCATION FOUNDATION, INC., NORTH BAY VILLAGE, THE
TOWN OF BAY HARBOR ISLANDS, THE TOWN OF
SURFSIDE, AND BAL HARBOUR VILLAGE TO SUPPORT
AND ENHANCE THE NURSE INITIATIVE FOR THE 2015.2016
SCHOOL YEAR AND AUTHORIZING THE APPROPRIATION
OF $15,400 FROM THE MIAMI BEAGH EDUGATION COMPACT
FUND FOR THE CITY OF M!AM! BEACH'S PROPORTIONATE
SHARE OF FUNDING FOR THE NURSE ENHANCEMENT
INITIATIVE SUBJECT TO APPROVAL IN THE CITY'S FY
2015116 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 lnternational 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 MedicalAssistant 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
lslands, 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 lnitiative 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 fulltime Medical
Assistant, and a social worker which is already funded by Miami-Dade County Public Schools
forthe 2013-14 School Year and the2014-15 School Year; and
157
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, utilization of the HCIOS have remained high throughout the 2014-15 school
year, with 52 percent of the 3,044 unduplicated students utilizing the services from August 2014
through February 2015, an average of eleven visits per day per school resulting in 3,836 visits
this schoolyear; and
WHEREAS, by approval of Resolution 2015-42 on February 9, 2015, The Children's
Trust Board of Directors approved the release of RFP 2015-17. School Health Programs to
fund improved access to quality health care through providers delivering comprehensive
services in the public schools to 145 pre-selected schools for School Years 2015-16,2016-17,
and 2017-18; the programs which are the subject of the RFP include all three (3) Miami Beach
schools in the City's original Nurse lnitiative; and
WHEREAS, due to the success of the Nurse lnitiative during the 2013-2014 School Year
and the 2014-15 School Year, the City of Miami Beach and the other Participating Municipalities
wish to support an enhanced nurse initiative ("Nurse Enhancement lnitiative") for the 2015-
2016 School Year because the basic healthcare services previously funded in the prior Nurse
lnitiative by the Participating Municipalities, the Miami Beach Chamber Education Foundation,
lnc. (MBCEF), and The Children's Trust will now be provided by The Children's Trust via the
School Health Programs; and
WHEREAS, the City's proportionate share for the Nurse Enhancement lnitiative is
approximately $15,400 for the 2015-16 School Year and will not be due to be paid until October
31,2015; and
WHEREAS, the funds for the City's proportionate share will be subject to approval in the
City's FY 2015/16 Annual Budget; and
WHEREAS, The Children's Trust has committed to fund the School Health Programs at
all Miami Beach feeder schools through the end of the 2017-18 School Year; and
WHEREAS, the MBCEF shall provide funding for the 2015-2016 Nurse Enhancement
lnitiative from unused funds ($21,000) provided by the Aetna Voices Health award pursuant to
the 2013-2014 Nurse lnitiative Memorandum of Understanding, such funds shall be carried over
for use during the 2015-2016 School Year at $7,000 per year and may be carried over for an
additional two years at $7,000 per year through the 2017-18 School Year; and
WHEREAS, the funding provided by the Participating Municipalities will enhance The
Children's Trust School Health Programs for North Beach Elementary, Treasure lsland
Elementary, and Ruth K. Broad Bay Harbor K-8 Center (the "Schools"), to include, but not be
limited to, services such as behavioral health and/or tele health/telemedicine each week during
the 2015-2016 School Year at each of the Schools; and
158
WHEREAS, The Children's Trust funding will provide for a full-time registered nurse
and/or licensed practical nurse at each of the Schools for the 2015-2016 School Year; and
WHEREAS, as of April 2015, each of the Participating Municipalities has committed
approximate funding for the Nurse Enhancement lnitiative for the 2015-2016 School Year,
subject to their respective budget approvals, as follows: City of Miami Beach $15,400, Town of
Surfside $3,667, Town of Bay Harbor lslands $3,667, Bal Harbour Village $3,667, and North
Bay Village $6,600; and
WHEREAS, the MBCEF 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 31,2015, the Participating Municipalities shall provide
their proportionate share of funds for the 2015-2016 Nurse Enhancement lnitiative to MBCEF,
which funds MBCEF shall hold in escrow pending the execution of its agreement with The
Children's Trust; and
WHEREAS, it is anticipated that a Memorandum of Understanding ("MOU") will be
entered into between the City of Miami Beach, the Miami Beach Chamber Education
Foundation, lnc., The Children's Trust, North Bay Village, the Town of Surfside, the Town of Bay
Harbor lslands, and Bal Harbour Village, with the Participating Municipalities contributing their
proportionate share of the costs to support the Nurse Enhancement lnitiative program for the
2015-2016 School Year; and
WHEREAS, the MOU may be extended for up to two additional School Years in 2016-
2017 andlor 2017-2018, pending available funding from the Participating Municipalities.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND THE CITY
COMMISSION OF THE CITY OF MIAMI BEAGH, FLORIDA that the Mayor and City
Commission hereby authorize the Mayor and City Clerk to enter into a Memorandum of
Understanding, acceptable to the City Attorney and the City Manager, between the City of
Miami Beach, the Miami Beach Chamber Education Foundation, lnc., North Bay Village, the
Town of Bay Harbor lslands, the Town of Surfside, and Bal Harbour Village to support the Nurse
Enhancement lnitiative for the 2015-2016 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 Enhancement lnitiative, subject to approval in the
City's FY 2015/16 Annual Budget.
PASSED AND ADOPTED this _ day of May, 2015.
ATTEST:
Philip Levine, Mayor
Rafael Granado, City Clerk
F:\ATTO\TURN\RESOS\Nurse Enhancement lnitiative Resolution.docx
APPROVED AS TO
FORM & IANGUAGE
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