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 appropri...
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