Legislative Matter

Miami-Dade Legislative Item
File Number: 100483

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Clerk's Official Copy

File Number: 100483

File Type: Resolution

Status: Adopted

Version: 0

Reference: R-383-10

Control: Board of County Commissioners

File Name: REALLOCATING FUNDING TO BORINQUEN HEALTH CARE CENTER, INC.

Introduced: 2/24/2010

Requester: NONE

Cost:

Final Action: 4/6/2010

Agenda Date: 4/6/2010

Agenda Item Number: 11A2

Notes:

Title:

RESOLUTION AMENDING RESOLUTION NO. R-855-08 TO CANCEL $500,000 ALLOCATION FROM BUILDING BETTER COMMUNITIES GENERAL OBLIGATION BOND PROGRAM PROJECT NO. 305 – ''PRIMARY HEALTH CARE FACILITIES'' TO A SITE IN NORTH MIAMI AND APPROVING REALLOCATION OF SUCH FUNDS TO BORINQUEN HEALTH CARE CENTER, INC.’S MAIN CLINIC SITE

Indexes:

GENERAL OBLIGATION BOND PROGRAM

Sponsors:

Audrey M. Edmonson, Prime Sponsor

Sunset Provision: No

Effective Date:

Expiration Date:

Registered Lobbyist:

None Listed

Legislative History
Acting Body	Date	Agenda Item	Action	Sent To	Due Date	Returned	Pass/Fail

Board of County Commissioners	4/6/2010	11A2	Adopted				P

Commission Auditor	3/25/2010		Legislative notes attached

Transit, Infrastructure & Roads Committee	3/10/2010	2A	Forwarded to BCC without a recommendation				P
REPORT:	Assistant County Attorney Bruce Libhaber read the foregoing proposed resolution into the record. It was moved by Commissioner Seijas that the foregoing resolution be forwarded to the County Commission with a favorable recommendation. This motion was seconded by Commissioner Gimenez, followed by a discussion. Commissioner Rolle noted his concern with Jackson Health Systems (JHS) closing a clinic in North Miami, and threatening to close Jackson North Hospital. He asked if the original allocation of $500,000 dollars to establish a clinic in North Miami should remain in North Miami for other projects rather than be reallocated to the Borinquen Health Care Center, Inc., for use at the Main Clinic on 36 Street. Ms. Janet Perkins, Executive Director, Office of the Countywide Healthcare Planning, noted the GOB designation was not part of the original allocation. She noted Commissioner Edmonson previously questioned whether the clinic would be located in District 2 or 3. Ms. Perkins named the clinics currently existing in District 3, and noted staff needed more time to do an analysis to determine the service needs of the area and whether a clinic should be established in District 2 or District 3. Commissioner Rolle noted he was not concerned with the Districts, but with the service capacity in the North Miami area. He said he wanted to know if these funds should remain allocated for projects in the North Miami area, or whether other locations in the area could be designated for erecting a health center. Ms. Perkins noted establishing a new community health center was challenging because the original $25 million allocation only went so far, and a number of factors needed to be complied with, primarily for getting federal approval of a territory designated for a new community health center before a commitment was made to place one in any area regardless of the District. She noted more information was needed. Commissioner Sorenson noted it might be prudent to defer this resolution for a month pending the status of JMH issues, including whether Jackson intends to close the north center or proposes to open other centers. She moved a motion to defer this item, and Commissioner Rolle seconded the motion. Commissioner Seijas noted she was not supportive of a deferral because whatever happened with Jackson needed to happen soon. She suggested this item be moved forward without a recommendation to allow the sponsor to withdraw it. She noted the Committee had enough time to find out the status of JMH before this item was considered by the full Commission. She suggested having the Assistant County Attorney explain the Committee’s position to the sponsor of this item. Commissioner Rolle asked the Office of Countywide Health Care Planning (OCHP) Executive Director to provide him with a report reflecting the capacity of Juanita Mann Clinic in Northside as well as the clinic in North Miami before it was closed by Jackson health Systems (JHS). He noted he had no issues with the districts, but wanted to ensure North Miami had service capacity since dollars were being taken from the area. Commissioner Sorenson withdrew her motion to defer, and Commissioner Rolle withdrew his second. Hearing no further comments or questions, the Committee proceeded to vote on a motion to forward the foregoing proposed resolution as presented, without a recommendation.

County Attorney	2/24/2010		Referred	Transit, Infrastructure & Roads Committee	3/9/2010

County Attorney	2/24/2010		Assigned	Geri Bonzon-Keenan	3/2/2010

Legislative Text

TITLE
RESOLUTION AMENDING RESOLUTION NO. R-855-08 TO CANCEL $500,000 ALLOCATION FROM BUILDING BETTER COMMUNITIES GENERAL OBLIGATION BOND PROGRAM PROJECT NO. 305 � �PRIMARY HEALTH CARE FACILITIES� TO A SITE IN NORTH MIAMI AND APPROVING REALLOCATION OF SUCH FUNDS TO BORINQUEN HEALTH CARE CENTER, INC.�S MAIN CLINIC SITE

BODY
WHEREAS, pursuant to Resolution No. R-916-04 (the �Healthcare Facility Resolution�), the voters approved the issuance of general obligation bonds in a principal amount not to exceed $171,281,000 to construct and improve, among other things, emergency healthcare facilities to promote accessibility to quality healthcare services; and
WHEREAS, Appendix A to the Healthcare Facility Resolution lists projects eligible for funding from the Building Better Communities General Obligation Bond Program (the �BBC Program�) by project number, municipal project location, BCC district, project name, project description, street address and project funding allocation; and
WHEREAS, one of the projects listed in Appendix A to the Healthcare Facility Resolution and approved by the voters for funding is Project No. 305 � �Primary Health Care Facilities� (�Project No. 305�) with an original allocation equal to $25 million and a project description that states: �[i]ncrease the number of health care facilities in our community�; and
WHEREAS, pursuant to Resolution No. R-855-08 this Board previously allocated $500,000 to Borinquen Health Care Center, Inc. (�BHCC�) to be used to construct a facility in the North Miami area; and
WHEREAS, BHCC�s main clinic facility located at 3601 Federal Highway in Miami (the �Main Clinic�), which was constructed in 1985 and renovated in 1995, is in need of further renovations; and
WHEREAS, because the Main Clinic�s present layout, including specifically the Adult Medicine and Pediatric floors, provides a low ratio of exam rooms to providers, patient processing is inefficient thereby limiting BHCC�s ability to serve an increasing number of patients; and
WHEREAS, this Board wishes to amend Resolution No. R-855-08 to cancel the $500,000 allocation from Project No. 305 for use at a site in North Miami and to reallocate such funds to BHCC for use at the Main Clinic to remodel and renovate the Adult Medicine and Pediatric floors to expand the number of exam rooms make the nursing and waiting areas more efficient; and
WHEREAS, if these renovations are completed it is anticipated that BHCC will be able to increase the number of exam rooms by eight to twenty-two and add one and one-half physicians, eleven medical support staff, and one other staff member with a goal to increase patient visits by 12,344 or 39% and reduce the time per patient visit to the clinic to less than one hour,
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MIAMI-DADE COUNTY, FLORIDA, that:
Section 1. The foregoing recitals are incorporated in this resolution and are approved.
Section 2. This Board hereby amends Resolution No. R-855-08 to cancel the $500,000 allocation from Project No. 305 for use at a site in North Miami and approves an allocation from such funds to BHCC for use at the Main Clinic in an amount equal to $500,000 for the purpose of increasing health care facilities in our community as set forth above.