To: Charles Winfrey, Human Services Committee Chairperson
From: Pamela B. Hackert, MD, JD, MPH, Medical Health Officer
title
RE: Ascension at Home / Reverence Home and Hospice Contract Amendment
recommendation
BOARD ACTION REQUESTED:
Approval of Contract Amendment between the Genesee County Health Department (GCHD) and Ascension at Home to add an additional $25,000 to the current Professional Services Contract valid from April 1, 2023, through March 31, 2024, from Funding Account- 2211-607.01-801.000, 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. Two local hospitals have provided case management/care coordination services to Healthy Start participants 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 was approved to utilize carryover funding to increase home visits for program participants through March 31, 2024.
IMPACT ON HUMAN RESOURCES:
There is no expected impact on Human Resources. Ascension at home provides contractual services for the Healthy Start Initiative.
IMPACT ON BUDGET:
GCHD received approval to utilize carryover funds from fiscal year 2023 to increase the number of home visiting services provided to Healthy Start participants. A budget amendment is included in a separate request.
IMPACT ON FACILITIES:
There is no expected impact on facilities. Ascension at home provides contractual services for the Healthy Start Initiative and are not housed within any county buildings.
IMPACT ON TECHNOLOGY:
There is no expected impact on facilities. Ascension at home provides contractual services for the Healthy Start Initiative and will not be utilizing any technology provided by Genesee County. GCHD staff will utilizes encryption capabilities on outlook 365 to receive client information for data management.
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 Medical Health Officer to authorize Amendment #4 to the contract between Genesee County and Reverence Home Health and Hospice, LLC, dba Ascension at Home, whereby the contractor provides services to the Healthy Start program, said amendment being necessary to increase the budget for the current contract year by $25,000.00 for a total amount of $224,299.40, said funding to be paid from account 2211-607.01-801.000 with no county appropriation required, is approved (a copy of the memorandum request and supporting documents dated February 7, 2024, being on file with the official records of the February 7, 2024 meeting of the Human Services Committee of this Board), and the Chairperson of this Board is authorized to execute the contract amendment on behalf of Genesee County.