LTC 157-2016 Nurse Enhancement Initiative Aggregate Summary Reports MIAMI BE
OFFICE OF THE CITY MANAGE R
NO. LTC# LETTER TO COMMISSION
157-2016
7
TO: Mayor Philip Levine and Members •.1'i the City Co c I ission
FROM: Jimmy L. Morales, City Manager I
DATE: April 12, 2016
SUBJECT: Nurse Enhancement Initiative Aggr: •ate Summary Reports
Please find attached aggregate summary reports for the municipal funded Nurse
Enhancement Initiative from August 24, 2015 through March 31, 2016 for North Beach
Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center.
For the 2016-17 school years, the municipal funded initiative was enhanced to include
behavioral health services (mental health services).
The enhanced behavioral services include on-site access to a licensed clinical social
worker to provide services including, but not limited to, the following:
• Psychosocial interventions
o Academic Issues
o AggressionNiolence
o Anger Management
o Anxiety
o Attention Issues
o Disruptive Behavior
o Depression •
o Stress Management
• Family(Group)Therapy
• Systematic Therapy
• Play Therapy •
• Cognitive-Behavioral Therapy
Please contact me with any questions. Updates will be provided as information
becomes available.
/
JLM/KGB/L!%
Attachments
C: Executive Staff
! Aggregate Summary Report — North Beach '�,iI HCN
i 0 H E E R"� Elementary Nea1M Choice N7[=9
Encounters From: 8/24/2015 through 3/31/2016
Run Date: 4/11/2016 11:22:01 AM
Primary,Secondary Interventions
LPN Interventions LPN Activities
LPN Encounter 0 Consult with Parent/Caregiver 0
Complex Medical Procedure 0 Consult with School Staff 0
Consult with Parent/Caregiver 0 Total 0
First Aid Administration 6 RN Activities
Immunization Administered 0 Consult with Parent/Caregiver 7
Total 6 Consult with School Staff 0
Medication Doses Administered OTC 0 Care Plan Development 0
Medication Doses Administered Rx 0 Care Plan FTTY 0
RN Interventions Consult with MD/Other Provider 0
Complex Medical Procedure 0 ESE Staffing/Screening 0
Consult with Parent/Caregiver 1 Home Visit Attempted-Complete 0
First Aid Administration 59 Home Visit Attempted-Incomplete 0
Immunization Administered 0 Immunization Follow-Up 0
Nursing Assessment and Counseling 2 Record Review 0
Obesity Intervention 0: Total 7
I
Encounters Summary Post Partum Nursing Assessment 0' ARNP Activities
Total Visits Pregnancy Test 0 Consult with School Staff 0
1Male Non-Routine Medication Visits 846 TB Test Given 0 Care Plan Development 0
Female Non-Routine Medication Visits 985 Total 62 Care Plan FTTY 0
Male Routine Medication Visits 15 Medication Doses Administered OTC 0 Consult with MD/Other Provider 0
Female Routine Medication Visits 87 Medication Doses Administered Rx 0 ESE Staffing/Screening 0
Medication doses by HCIOS Staff 103 ARNP Interventions Home Visit Attempted-Complete 0
Total Routine Medication Visits 1933 Complex Medical Procedure 0 Home Visit Attempted-Incomplete 0
Source of Referral Consult with Parent/Caregiver 0 Immunization Follow-Up 0
Administration/Office 2 First Aid Administration 0 Record Review 0
1 Family Member/Parent 14 Immunization Administered 0 Total 0
_
Peer 1 Nursing Assessment and Counseling 0 SW Activities
School Health Staff 0 Obesity Intervention 0: Behavior Assessments 0
Self 248 Post Partum Nursing Assessment 0. Consult with External Mental Health 0
Student Services Staff 8 Pregnancy Test _ 0 Consult with MD/Other Provider 0
Teacher 1552 Prescribing Medications 0 Consult with Parent/Caregiver 4
Other 6 School Health Exam 0 Consult with School Staff 1
Total 1831 Sport Physical 0 Home Visit Attempted-Complete 0
Reason for Visit: System/Health Problem TB Test Given 0 Home Visit Attempted-Incomplete 0
Page 1 of 3 Run Date:4/11/2016 11:22:01 AM
4-HEER' Aggregate Summary Report — North Beach �� -lb-, B .a9�� H�WIm C oice Netwo�4 S Elementary
Encounters From: 8/24/2015 through 3/31/2016
Run Date: 4/11/2016 11:22:01 AM
(Cardiovascular 2 Well Child Visit 0 Parent Letter 0
Communicable/Reportable Diseases 0 Total 0 Social History 0
Dental 32 Medication Doses Administered OTC 0 Student Services Intervention Plan 0
i
Dermatological 325 Medication Doses Administered Rx 0 Truancy Screening 0
i SW Interventions Total 5
y
t— __
Disorder rom h sica g ents
Endocrine 1 Counseling—Student/Individual 59 Outcome Disposition
Eye/Ears/Nose/Throat 351 Counseling—Crisis 01 ,Ambulance/911/Emergency Called 9
-- -- — 1
Gastrointestinal 371 Parent/Caregiver Consultation 01 Emergency Room 3
Genitourinary 5 Total 59 Returned to Class 1443
Gynecological/Obstetrical 0 Injury Location for First Aid Sent Home 376
Immune System(allergies) 5 Athletic Field 9 Total 1831
Muscular/Skeletal 360 Auditorium 1 Psychosocial Problem
,Neurological 293 Bus 0 Academic Issues 9
I
Nutrition/Metabolic 1 Cafeteria 0 AggressionNiolence 1
iOther 0 Corridor/Stairs 5 Alcohol Usage 0
Parasites/Infections 0 Classroom 4 Anger management 8
Psychosocial 60 Dressing Room/Shower 0 Anxiety 9
Respiratory 18 Gymnasium I 0 Attendance/Truancy 0
School Physical 0 Home Economic/Shop 0 Attention Issues 7
Sport Physical 0 Laboratory 0 Bereavement issues 0
Wellness Visit 1 Lockers 0 Bullying/Harrassment 0
Total 1886 Off Campus 1 Chronic Medical Problems 0
Referred To Other 0 Crisis Intervention 0
Abuse Registry 0 Pool 0 Dating Issues 0
i Crisis Stabilization 0 Restroom 0 Depression 0
[Dental Care 0 School Grounds 5 Disruptive Behavior 19
_
Domestic Violence 0 Total 25 Domestic Violence 0
Established Medical Provider 4 Injury Classification for First Aid Eating Disorder 0
Guidance Counselor 0 Intentional 1 Economic Issues/Basic Needs 0
I
Healthy Start 0 Unintentional 1 23' Family Issues 0
Homelessness Assistance 0 Unknown I 1 Growth&Development 1
Kidcare 0 Total 25 Healthy Lifestyle 0
MDCPS/Regional Office 0 Identity Issues 0
Medical Care/Nursing Care 0 Neglect 0
Mental Health Counseling 0 Peer Issues 0
1 KNew Medical Provider-Internal/External 0 Personal Hygiene 0
Primary Care Physician 0 Physical Abuse 0
Page 2 of 3 Run Date:4/11/2016 11:22:01 AM
• j
Aggregate Summary Report — North Beach LTA&HHCNeNo
..HEE1r Elementary ' x '°"`�a
Encounters From: 8/24/2015 through 3/31/2016
Run Date: 4/11/2016 11:22:01 AM
No Referral Needed 443 Safety 0
Nursing Assessment 4 Self Esteem 2
Other 1 Sexual Abuse 0
'School Psychologist 1 Sexual Activity/Teen Pregnancy 0
School Speech Pathologist 0 Sleep Disorder 0
Social Work Services 0 Somatic 0
(Substance Abuse Counseling 0 Stress Management 0
TRUST Specialist 0 ,Substance Abuse 0
Vision 0 Suicidal Ideation 1
Total 453 Tobacco 0
Total 57
Page 3 of 3 Run Date:4/11/2016 11:22:01 AM
0 ' Aggregate Summary Report - Treasure Island
On HCNst�, .a9
`� M¢alth Choice Network
' I.HEER. Elementary
Encounters From: 8/24/2015 through 3/31/2016
Run Date: 4/11/2016 12:15:06 PM
Primary,Secondary Interventions
PN Interventions , LPN Activities s
LPN Encounter 8 Consult with Parent/Caregiver 3
Complex Medical Procedure 0� Consult with School Staff 1
I
} Consult with Parent/Caregiver 668 Total 4
„
- First Aid Administration 806 RN Activities
Immunization Administered 0 Consult with Parent/Caregiver 0
Total 1482 Consult with School Staff 01
Medication Doses Administered OTC 1 Care Plan Development 0
Medication Doses Administered Rx 0 Care Plan FTTY 0
RN Interventions [Consult with MD/Other Provider 0
6 Complex Medical Procedure 0 'ESE Staffing/Screening 0
Consult with Parent/Caregiver 0 Home Visit Attempted-Complete 0
--� __
First Aid Administration 4 Home Visit Attempted-Incomplete 0
Immunization Administered 0 Immunization Follow-Up 0
Nursing Assessment and Counseling 1 Record Review I 0
Obesity Intervention { 11 Total 0
Encounters Summary Post Partum Nursing Assessment 0' ARNP Activities
Total Visits Pregnancy Test i 0 Consult with School Staff 0
Male Non-Routine Medication Visits 5391 TB Test Given 0 Care Plan Development 0
Female Non-Routine Medication Visits 489 Total 5 Care Plan FTTY 0
Male Routine Medication Visits 146 Medication Doses Administered OTC 0 Consult with MD/Other Provider 0
Female Routine Medication Visits 8 Medication Doses Administered Rx OW rESE Staffing/Screening 0
Medication doses by HCIOS Staff 1541 RNP Interventions Home Visit Attempted-Complete 0
Total Routine Medication Visits 1182 Complex Medical Procedure 0 Home Visit Attempted-Incomplete 0
Source of Referral !Consult with Parent/Caregiver 0 Immunization Follow-Up 0
i
Administration/Office 8. First Aid Administration I 0 I Record Review 0
Family Member/Parentr 66 Immunization Administered 0 Total 0
Peer 3 Nursing Assessment and Counseling 01 SW Activities
School Health Staff 0 Obesity Intervention 0 Behavior Assessments 0
Self 157 Post Partum Nursing Assessment 1 0 rConsult with External Mental Health 0
Student Services Staff 9 Pregnancy Test 0 Consult with MD/Other Provider 0
1
Teacher 779 Prescribing Medications 0 Consult with Parent/Caregiver 3
Othe r 6,i i Ex School Health Exam 0 Consult with School Staff 1
Total 1028 Sport Physical 0 Home Visit Attempted-Complete 0
Reason for Visit: System/Health Problem TB Test Given 0 Home Visit Attempted-Incomplete 0
,_ 2 _
Page 1 of 3 Run Date:4/11/2016 12:15:06 PM
Aggregate Summary Report — Treasure Island ?i P,HCNst, -a9
1 ��,�Health t:ho ice Network
Elementary r
Encounters From: 8/24/2015 through 3/31/2016
Run Date:4/11/2016 12:15:06 PM
Cardiovascular 1 3' Well Child Visit 0 Parent Letter 0
Communicable/Reportable Diseases 0 Total 0 Social History 0,
Dental 21 Medication Doses Administered OTC 0 Student Services Intervention Plan 0
Dermatological 354 Medication Doses Administered Rx 0 Truancy Screening + 0
Disorder from Physical Agents 1 55 SW Interventions Total 4
Endocrine 1' •Counseling-Student/individual 28 Outcome Disposition
Eye/Ears/Nose/Throat 1521 'Counseling-Crisis 0; Ambulance/911/Emergency Called 5
Gastrointestinal i 205 Parent/Caregiver Consultation 0 Emergency Room 0
Genitourinary 6 Total 28 Returned to Class 829
Gynecological/Obstetrical , 0 Injury Location for First Aid Sent Home 194
Immune System(allergies) 54 Athletic Field 18 Total 1028
Muscular/Skeletal 248 Auditorium 0 Psychosocial Problem
Neurological i 205 Bus �Academic Issues 6
Nutrition/Metabolic 4 Cafeteria 231 tAggressionNiolence 0
Other 0 Corridor/Stairs 4; Alcohol Usage 0
Parasites/Infections 1 0 !Classroom -1---72 Anger management 8
Psychosocial 1 28 Dressing Room/Shower 0 Anxiety 3
Respiratory 16, ;Gymnasium 26 Attendance/Truancy 0
School Physical 0 Home Economic/Shop 0 Attention Issues 3
■
Sport Physical 0 Laboratory 0 Bereavement issues 4
Wellness Visit . 73! Lockers 01 (Bullying/Harrassment 0
Total 1425 Off Campus 4' Chronic Medical Problems 0
Referred To Other 1 I Crisis Intervention 0
— -- - ._ i
Abuse Registry 1 Pool 0 ,Dating Issues 0
Crisis Stabilization 0 Restroom _�� 5 Depression 0
Dental Care 0 School Grounds ; 84; ;Disruptive Behavior 2
Domestic Violence 0 "Total 237 Domestic Violence 0
Established Medical Provider 1 Injury Classification for First Aid Eating Disorder 0
Guidance Counselor 9 Intentional 5 ,Economic Issues/Basic Needs 0
� � 1 .
Healthy Start 0� Unintentional 215 'Family Issues 0
i
Homelessness Assistance 0 Unknown 17. 1Growth&Development 0
Kidcare 0 Total 237 ,Healthy Lifestyle 0
MDCPS/Regional Office 0 - 'Identity Issues 0
Medical Care/Nursing Care + 11 j Neglect 0
I � V
Mental Health Counseling 0� Peer Issues 2
New Medical Provider-Internal/External 1
0] i Personal Hygiene 0
Primary Care Physician 10 I Physical Abuse 0
Page 2 of 3 Run Date:4/11/2016 12:15:06 PM
®� _t Aggregate Summary Report — Treasure Island iTts HCNWO
SHEER Elementary 'tl."�"c :" "
Encounters From: 8/24/2015 through 3/31/2016
Run Date: 4/11/2016 12:15:06 PM
No Referral Needed 886 Safety 0
Nursing Assessment 19 I 'Self Esteem 0
i
Other 0 Sexual Abuse 0
. ,School Psychologist 0 Sexual Activity/Teen Pregnancy 0
School Speech Pathologist 0 Sleep Disorder 0
Social Work Services 0 j j Somatic 0
Substance Abuse Counseling 0 Stress Management 0
TRUST Specialist 0 Substance Abuse 0
(Vision 0 Suicidal Ideation 0
Total 927 Tobacco 0
Total 28
Page 3 of 3 Run Date:4/11/2016 12:15:06 PM
Aggregate Summary Report —Ruth K. Broad K-8 ' �1'
0).1-1EER •,� �HCNB�,-.o,Health Choie Ner+ � Encounters From: 8/24/2015 through 3/31/2016 "
Run Date: 4/11/2016 12:10:02 PM
IIIIIIIIIIIIIIIIIIIIIIII Primary, Secondary Interventions
LPN Interventions LPN Activities
LPN Encounter 0 Consult with Parent/Caregiver 0
Complex Medical Procedure 0 Consult with School Staff 0
Consult with Parent/Caregiver 1 Total 0
First Aid Administration 2 RN Activities
Immunization Administered 0 Consult with Parent/Caregiver 1
Total 3 Consult with School Staff 4
Medication Doses Administered OTC 0 Care Plan Development 0
Medication Doses Administered Rx 0 Care Plan FTTY 0
RN Interventions Consult with MD/Other Provider 0
Complex Medical Procedure 0 ESE Staffing/Screening 0
Consult with Parent/Caregiver 1 Home Visit Attempted-Complete 0
First Aid Administration 56 Home Visit Attempted-Incomplete 0
Immunization Administered 0 Immunization Follow-Up 0
Nursing Assessment and Counseling 3 Record Review 0
Obesity Intervention 0 Total 5
Encounters Summary Post Partum Nursing Assessment 0 ARNP Activities
Total Visits Pregnancy Test 0 Consult with School Staff 0
Male Non-Routine Medication Visits 773 TB Test Given 0 Care Plan Development 0
Female Non-Routine Medication Visits 664 Total 60 Care Plan FTTY 0
Male Routine Medication Visits 8 Medication Doses Administered OTC 1 Consult with MD/Other Provider 0
Female Routine Medication Visits 47 Medication Doses Administered Rx 4 ESE Staffing/Screening 0
Medication doses by HCIOS Staff 63 ARNP Interventions Home Visit Attempted-Complete 0
Total Routine Medication Visits 1492 ;Complex Medical Procedure 0 Home Visit Attempted-Incomplete 0
Source of Referral Consult with Parent/Caregiver 0 Immunization Follow-Up 0
Administration/Office 0 First Aid Administration 0 Record Review 0
Family Member/Parent 2 Immunization Administered 0I Total 0
Peer 1 Nursing Assessment and Counseling 0 SW Activities
(School Health Staff 0 Obesity Intervention 0 Behavior Assessments 0
Self 63 Post Partum Nursing Assessment 0 Consult with External Mental Health 0
Student Services Staff 8 Pregnancy Test 0' Consult with MD/Other Provider 0
Teacher 1356 Prescribing Medications 0 Consult with Parent/Caregiver 0
Other 7 School Health Exam 0 Consult with School Staff 3
Total 1437 Sport Physical 0 Home Visit Attempted-Complete 0
Reason for Visit: System/Health Problem TB Test Given 0 Home Visit Attempted-Incomplete 0
Cardiovascular 3 Well Child Visit 0 Parent Letter 0
Page 1 of 3 Run Date:4/11/2016 12:10:02 PM
V t
�. ' Aggregate Summary Report —Ruth K. Broad K-8 ;,���HCNeo
v H E E Encounters From: 8/24/2015 through 3/31/2016 �' RK'"`h"""°"w,"
Run Date: 4/11/2016 12:10:02 PM
Communicable/Reportable Diseases 7 Total 0 Social History 0
!Dental 9 Medication Doses Administered OTC 0 Student Services Intervention Plan 0
Dermatological 132 Medication Doses Administered Rx 0 Truancy Screening 0
Disorder from Physical Agents 7 SW Interventions Total 3
Endocrine 12 Counseling—Student/Individual 47 Outcome Disposition
/Eye/Ears/Nose/Throat 220 Counseling—Crisis 0 Ambulance/911/Emergency Called 9
Gastrointestinal 521 Parent/Caregiver Consultation 0 Emergency Room 0
Genitourinary 2 Total 47 Returned to Class 943
Gynecological/Obstetrical 1 Injury Location for First Aid Sent Home 485
Immune System(allergies) 7 Athletic Field 6 Total 1437
'Muscular/Skeletal 147 Auditorium 0 Psychosocial Problem
'Neurological 153 Bus 0 Academic Issues 8
Nutrition/Metabolic 0 Cafeteria 3 AggressionNiolence 0
Other 0 Corridor/Stairs 4 Alcohol Usage 0
Parasites/Infections 0 Classroom 15 Anger management 15
Psychosocial 51 Dressing Room/Shower 0 Anxiety 5
Respiratory 27 Gymnasium 0 Attendance/Truancy 0
School Physical 0 Home Economic/Shop 0 Attention Issues 12
Sport Physical 0 Laboratory 0 Bereavement issues 0
Wellness Visit 0 Lockers 0 Bullying/Harrassment 0
Total 1299 Off Campus 2 Chronic Medical Problems 0
Referred To Other 3 Crisis Intervention 0
Abuse Registry 0 Pool 0 Dating Issues 0
Crisis Stabilization 0 Restroom 0 Depression 0
i Dental Care 0 School Grounds 17 Disruptive Behavior 7
'Domestic Violence 0 Total 50 Domestic Violence 0
Established Medical Provider 0 Injury Classification for First Aid Eating Disorder 0
Guidance Counselor 0 Intentional 01 Economic Issues/Basic Needs 0 t
Healthy Start 0 Unintentional 50 Family Issues 1
Homelessness Assistance 0 Unknown 0, •Growth&Development 0
Kidcare 0 Total 50 Healthy Lifestyle 0
MDCPS/Regional Office 0 Identity Issues 0
Medical Care/Nursing Care 0 Neglect 0
Mental Health Counseling 0 Peer Issues 2
New Medical Provider-Internal/External 0 Personal Hygiene 0
Primary Care Physician 0 Physical Abuse 0
1 i No Referral Needed 35 Safety 0
Page 2 of 3 Run Date:4/11/2016 12:10:02 PM
Ne .�
O
Aggregate Summary Report —Ruth K. Broad K-8 ��
� „earth Choice Network
vHEE Encounters From: 8/24/2015 through 3/31/2016 HC
Run Date: 4/11/2016 12:10:02 PM
I Nursing Assessment 2 Self Esteem 0
(Other 0 Sexual Abuse 0
School Psychologist 0 + !Sexual Activity/Teen Pregnancy 0
School Speech Pathologist 0 Sleep Disorder 0
Social Work Services 0 Somatic 0
Substance Abuse Counseling 0 Stress Management 0
TRUST Specialist 0 Substance Abuse 0
Vision 0 Suicidal Ideation 0
Total 37 Tobacco 0
Total 50
Page 3 of 3 Run Date:4/11/2016 12:10:02 PM