To: Charles Winfrey, Human Services Committee Chairperson
From: Michelle Estell, RS, MSA Interim Health Officer
title
RE: Nurse Practitioner Contract for Family Planning Services
recommendation
BOARD ACTION REQUESTED:
Approval of contract with Jillian Koterba, MSN, FNP-BC, to provide Nurse Practitioner services for the GCHD Family Planning program.
BACKGROUND:
The Family Planning program at GCHD provides high quality reproductive health care to women, men, and teens at low or no-cost. Family Planning is a public health service that helps individuals and families to plan for their desired family size and spacing of children or to prevent an undesired pregnancy. A mid-level provider, such as a Nurse Practitioner, is required by the Family Program to provide the core Family Planning services. These include a broad range of acceptable and effective medically approved family planning methods and services (including pregnancy testing and counseling; assistance to achieve pregnancy; basic infertility services; STI services; preconception health services; and adolescent-friendly health services); and related preventive health services, such as breast and cervical cancer screening.
DISCUSSION:
Since December 2023, the absence of a Family Planning Nurse Practitioner has compelled our program to reduce the amount of services offered, necessitating the referral of patients in need of Nurse Practitioner services to external agencies. This vacancy persists primarily due to the current salary for the position, which has proven inadequate in attracting qualified candidates. By engaging a contracted Nurse Practitioner, we aim to temporarily bridge this gap, ensuring the continuation of essential mid-level provider services.
IMPACT ON HUMAN RESOURCES:
Onboarding, to the extent provided to contractors, will be requested of Human Resources.
IMPACT ON BUDGET:
Costs for this are budgeted from the account 2210-611.01-801.000, not to exceed $51,000. No additional county appropriate is needed.
IMPACT ON FACILITIES:
There is no expected impact on facilities.
IMPACT ON TECHNOLOGY:
Basic staff technology needs (phone, laptop, email/network access) with be requested of IT.
CONFORMITY TO COUNTY PRIORITIES:
Nurse practitioners in a Family Planning clinic significantly contribute to promoting public health by creating safer and healthier residents through the provision of comprehensive reproductive health services, including STI testing and treatment, contraception counseling, and preventative screenings. Their work inherently supports the principles of diversity, equity, and inclusion by offering accessible, culturally competent care to individuals regardless of their socio-economic status, ensuring that diverse populations receive equitable healthcare services. Furthermore, by utilizing data-based decision-making in patient care and actively engaging in community outreach to communicate available resources and services, nurse practitioners help expand the role of the County as a convener, fostering relationships that enhance community health and growth.
.esolution
TO THE HONORABLE CHAIRPERSON AND MEMBERS OF THE GENESEE COUNTY BOARD OF COMMISSIONERS, GENESEE COUNTY, MICHIGAN
LADIES AND GENTLEMEN:
BE IT RESOLVED, by this Board of County Commissioners of Genesee County, Michigan, that the request by the Interim Health Officer to authorize entering into a Professional Services Agreement between Genesee County and Jillian Rae Koterba, MSN, FNP-BC, for Nurse Practitioner services related to the operation of the Genesee County Health Department Family Planning program, for the period commencing May 1, 2024, through September 30, 2024, at a cost not to exceed $51,000 to be paid from account 2210-611.01-801.000, with no additional county appropriation required, is approved (a copy of the memorandum request and supporting documents being on file with the official records of April 17, 2024 meeting of the Human Services Committee of this Board), and the Chairperson of this Board is authorized to execute the agreement on behalf of Genesee County.