School_Board_Agenda_-_20155A-RFP_Supplemental_Nursing_Services.pdf

Agenda Item Details

Meeting Apr 16, 2024 - Regular School Board Meeting

Category C. Discussion Agenda

Subject 3.02 Increase in Expenditures for Request for Proposal (RFP) #20155A-DST-KJ Supplemental Nursing Services (Student Support and Federal Programs)

Type Action (Consent), Discussion

Recommended Action

Approve the Increase in Expenditures for Multiple Vendors – RFP #20155A-DST-KJ Supplemental Nursing Staff Services

DESCRIPTION:

On Tuesday, December 15, 2020, the Board approved RFP #20155A-DST-KJ for Supplemental Nursing Staff Services with multiple vendors. Subsequently, on April 19, 2022, the Board approved an increase in expenditures. This agreement is with staffing firms experienced in supplying nursing personnel to perform highly skilled specialized nursing services and school nursing related services for students in a variety of settings, including district school sites and field trips.

GAP ANALYSIS:

Due to the overwhelming number of community partners that employ nurses at almost double Hillsborough County Public Schools (HCPS) pay rate, the significant increase in nursing vacancies and the sharp rise in the health acuities and needs of our students, this has resulted in the need to contract with more nursing agencies. Those nursing agencies' cost per nurse, and rates continue to increase (see chart below).

HCPS continues to explore options to recruit, retain and train qualified nurses to meet the health needs of our students. The following chart illustrates the current number of nursing vacancies, the breakdown of nurses along with pay rates with the contracted nursing agencies as of March 22, 2024.

Job Description

District Filled

Positions

Vacant Positions

Maxim Agency

Sunbelt Agency

ProHealth Agency

Clinical Staffing Agency

Medical Staffing

Career Staffing

CSI

Staffing

Total Coverage from Agency Nurses

School Registered

Nurses 135 33 12 6 4 9 0 0 0 31/33

Licensed Practical Nurses

237 125 86 3 7 13 2 1 0 112/125

Total 372 158 98 9 11 22 2 1 0 143/158

HCPS and contracted nursing agency cost for RNs and LPNs:

Nursing Cost HCPS Maxim Agency

Sunbelt Agency

ProHealth Staffing

Clinical Staffing

Medical Staffing

Career Staffing

CSI

Staffing

School Registered

Nurse Cost Per Nurse*

$36.23 $54.00 $55.00 $43.00 $56.70 $40.00 $43.75 $41.00

Licensed Practical Nurse

Cost Per Nurse*

$25.41 $39.00 $39.00 $32.00 $40.95 $36.00 $37.00 $29.00

*Total cost per hour to district (including fringe).

PREVIOUS OUTCOMES:

Supplemental nursing staff services have been successfully used to temporarily fill school Registered Nurses (RN) and Licensed Practical Nurses (LPN) openings at district sites, while the sites go through the hiring process to fill the opening permanently.

EXPECTED OUTCOMES:

HCPS will continue to provide the highest level of supplemental nursing services for our students. This additional expenditure will allow HCPS to maintain our current health services and support the increased need for supplemental Nurses across the district as Nurses retire and/or leave for higher paying positions in the private health care sector.

RECOMMENDATION:

Approve the Increase in Expenditures for Multiple Vendors – RFP #20155A-DST-KJ Supplemental Nursing Staff Services.

CONTACT:

Dr. Maria Russ, Supervisor, School Health Services, maria.russ@hcps.net (813) 273-7020

FINANCIAL HISTORIC IMPACT:

Financial Historic Impact If Financial Impact is greater than 10% from prior year, explain why.

2024-25 Financial Impact Proposed Cost $10,500,000

2023-24 Financial Impact Proposed Cost $10,500,000

2022-23 Financial Impact Former Cost $6,589,638

2021-22 Financial Impact Former Cost $3,715,900

FINANCIAL IMPACT:

Revenue Source: General Operating Fund Expense Account: 101-9365-5702-610-310 Amount: $10,500,000 annually

REVIEW COMMENTS:

Contract administration and evaluation is performed by the Project Manager (the "End User") and the Procurement Officer, who function as a team, by utilizing an online vendor performance report or via in-person reviews. The evaluation consists of an assessment of the vendor-provided goods and services, deliverables, and compliance with contractual requirements. The resulting data will support renewal decisions and/or alterations to a new agreement.

SUBMITTED BY:

Tracye H. Brown, Chief of Student Support and Federal Programs

Nursing Attachments.pdf (803 KB)

Our adopted rules of Parliamentary Procedure, Roberts Rules, provide for a consent agenda listing several items for approval of the Board by a single motion. Most of the items listed under the consent agenda have gone through Board subcommittee review and recommendation. Documentation concerning these items has been provided to all board members and the public in advance to assure an extensive and thorough review. Items may be removed from the consent agenda at the request of any board member. Notice: If a person decides to appeal any decision made by the School Board of Hillsborough County, Florida, with respect to any matter considered at a meeting or hearing, he/she will need a record of the proceedings, and for such purpose, he/she may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based. (Pursuant to Florida Statute 286.0105) Failure to file a protest within the time prescribed in section 120.57(3), Florida Statutes, or failure to post the bond or other security required by law within the time allowed for filing a bond shall constitute a waiver of proceedings under chapter 120, Florida Statutes. Article IX of the Florida Constitution states in part, "The education of children is a fundamental value of the people of the State of Florida. It is, therefore, a paramount duty of the state to make adequate provision for the education of all children residing within its orders. "The Article also states that the educational system must be https://go.boarddocs.com/fl/sdhc/Board.nsf/files/D3LK434F7453/$file/Nursing%20Attachments.pdf

"uniform, efficient, safe, secure, and high-quality," and class size limits must be imposed. Prekindergarten learning opportunities must be made available. There must be a state university system.