To: Board of County Commissioners
From: Michelle Estell, RS, MA Health Officer
title
RE: Approval of an agreement between Genesee County and Jillian Koterbato, in an amount not to exceed $115,000.00, to provide Nurse Practitioner services at Genesee County's Health Department; the cost of this agreement will be paid from account 2210-611.01-801.000
recommendation
BOARD ACTION REQUESTED:
Approval to amend the contract with Jillian Koterba and extend the contract to provide Nurse Practitioner services for the GCHD Family Planning program.
BACKGROUND:
Since June 2024, Jillian Koterba has provided high quality reproductive care at low or no-cost to women, men and teens for the GCHD Family Planning program. 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:
This contract is to partner with Jillian Koterba to maintain essential mid-level provider services in GCHD’s Family Planning program. This contract is already budgeted for in the next fiscal year. No additional county appropriation is needed.
IMPACT ON HUMAN RESOURCES:
There is no expected impact on Human Resources.
IMPACT ON BUDGET:
Costs for this contract are budgeted from the account 2210-611.01-801.000 and are not to exceed $115,000. No additional county appropriation is needed.
IMPACT ON FACILITIES:
There is no expected impact on Facilities.
IMPACT ON TECHNOLOGY:
Standard forms of communication (email, phone, virtual meetings) technology will be utilized for communication. Laptop and email/network access provided upon the start of original contract.
CONFORMITY TO COUNTY PRIORITIES:
Healthy, Livable & Safe Communities: 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.
resolution
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 Health Officer to authorize amending the Professional Services Agreement for Nurse Practitioner services related to the operation of the Genesee County Health Department Family Planning program between Genesee County and Jillian Rae Koterba, MSN, FNP-BC, said amendment being necessary to extend the contract for an additional 12-month period commencing October 1, 2024, through September 30, 2025, at a cost not to exceed $115,000.00 to be paid from account 2210-611.01-801.000, is approved (a copy of the memorandum request and supporting documents being on file with the official records of the September 11, 2024 meeting of the Human Services Committee of this Board), and the Chairperson of this Board is authorized to execute the contract extension on behalf of Genesee County.