To: Charles Winfrey, Human Services Committee Chairperson
From: Michelle Estell, RS, MSA-Health Officer
title
RE: Subrecipient Contract for Reverence Home Health and Hospice DBA Ascension at Home
recommendation
BOARD ACTION REQUESTED:
Approval of Subrecipient Contract Amendment between the Genesee County Health Department (GCHD) and Reverence Home Health and Hospice DBA Ascension at Home. Subrecipient will be paid $150,000.00 per year to provide services for the Healthy Start Initiative. Contract would be valid from May 1, 2024, through March 31, 2029 to be paid from Funding Account- 2211-607.01-801.001, Funding Source Health Resources and Services Administration (HRSA).
BACKGROUND:
HRSA requires all Healthy Start grantees to provide case management/care coordination services to all program participants. Due to staffing capacity and specialization of maternal child health home visiting services, two local hospitals have provided case management/care coordination services for the Genesee County Healthy Start Initiative since 2001. Case management and care coordination services are provided by a multidisciplinary team of certified nurses, social workers, and dieticians. Services provided by the team function to decrease maternal and infant mortality rates in Genesee County.
DISCUSSION:
Health Start is an infant mortality reduction program that uses a multidisciplinary approach to provide home visiting services to families in the Genesee County community. During home visits, participants are provided with case management services, health education, and referrals for current needs. On average participants will receive one to two home visits per month but can receive up to four depending on their risk assessment. Genesee County Healthy Start received continued federal funding for funding cycle May 1, 2024, through March 31, 2029. No county appropriation is needed.
IMPACT ON HUMAN RESOURCES:
There is no expected impact on Human Resources.
IMPACT ON BUDGET:
All 2024 Healthy Start grantees received funding from federal funder HRSA carryout infant mortality reduction services related to the goals of the initiative.
IMPACT ON FACILITIES:
There is no expected impact on facilities.
IMPACT ON TECHNOLOGY:
There is no expected impact on technology.
CONFORMITY TO COUNTY PRIORITIES:
Genesee County Healthy Start continues to support a Healthy, Livable, and Safe Community through the utilization of community resources. Home visiting services provided through the Healthy Start Initiative are shown to decrease maternal and infant mortality, therefore contributing to full term pregnancies and healthy infants.
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 entering into a subrecipient agreement between Genesee County and Reverence Home Health and Hospice DBA Ascension at Home to provide case management/care coordination services for the Healthy Start Initiative, at a total cost not to exceed $150,000.00 per year commencing May 1, 2024, through March 31, 2029, to be paid from account 2211-607.01-801.001 with no county appropriation required, is approved (a copy of the memorandum request and supporting documents being on file with the official records of the August 14, 2024 meeting of the Human Services Committee of this Board), and the Chairperson of this Board is authorized to execute the subrecipient agreement on behalf of Genesee County.