December 10, 2015 - Minutes

Members Present

Mr. Ian Peer (Chair)
Mr. Jesse Helmer (Vice Chair)
Ms. Trish Fulton
Dr. Trevor Hunter
Mr. Marcel Meyer
Ms. Nancy Poole
Mr. Kurtis Smith
Mr. Mark Studenny
Mr. Stephen Turner
Regrets:
Ms. Viola Poletes Montgomery
Ms. Joanne Vanderheyden

Others Present:

Dr. Christopher Mackie, Medical Officer of Health & CEO (Secretary Treasurer of the Board)
Ms. Elizabeth Milne, Executive Assistant to the Board of Health & Communications (Recorder)
Mr. Wally Adams, Director, Environmental Health and Chronic Disease Prevention Services
Mr. Jordan Banninga, Manager, Strategic Projects
Ms. Shaya Dhinsa, Manager, Sexual Health Services
Ms. Laura Di Cesare, Director, Human Resources and Corporate Strategy
Mr. Dan Flaherty, Manager, Communications
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Ms. Heather Lokko, Associate Director, Oral Health, Communicable Disease & Sexual Health Services
Ms. Brenda Marchuk, Acting Chief Nursing Officer
Mr. John Millson, Director, Finance and Operations
Mr. Alex Tyml, Online Communications Coordinator
Ms. Suzanne Vandervoort, Acting Director, Family Health Services

Media Outlets

None

Board of Health Chair, Mr. Ian Peer, called the meeting to order at 6:00 p.m.

Dr. Christopher Mackie, Medical Officer of Health & CEO welcomed all in attendance and introduced Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications.

Disclosures of Conflict(S) Of Interest

Mr. Peer inquired if there were any disclosures of conflict of interest to be declared. None were declared.

Approval of Agenda

It was moved by, Mr. Meyer, seconded by Mr. Studenny that the AGENDA for the December 10, 2015 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by, Ms. Fulton, seconded by Dr. Hunter that the MINUTES of the October 15, 2015 Board of Health meeting be approved. Carried

Delegations and Committee Reports

Finance and Facilities Committee Meeting – November and December (Report 67-15)

Chair of the Finance and Facilities Committee, Ms. Trish Fulton, reported on the outcomes of the November and December Finance and Facilities Committee meetings.

Recommendations arising from November meeting:

November

Draft Factual Certificate (No. 25-15FFC)

It was moved by Ms. Fulton, seconded by Mr. Turner that the Board of Health:
1) Approve the draft Factual Certificate template as appended to Report No. 25-15FFC ; and
2) Approve the process outlined in Report No. 25-15FFC. Carried

Third Quarter Financial Update (No. 26-15FFC) – FFC received for information

Proposed Resource Reallocation for the 2016 Budget (No. 27-15FFC) – FFC received for information

Funding for Panorama Implementation (No. 28-15FFC)

It was moved by Ms. Fulton, seconded by Mr. Helmer that the Board of Health accept the terms and conditions to receive $203,900 in one-time Panorama funding as detailed in the funding letter appended to Report No. 028-15FFC. Carried

December

2016 Budget – PBMA Proposals (No. 31-15FFC)

The Finance and Facilities Committee reviewed the 2016 PBMA proposals for new one-time investments and disinvestments in the amounts that are listed below. It was noted that the committee had substantial discussions about the relevant proposals.

It was moved by Ms. Fulton, seconded by Mr. Helmer that the Board of Health:
1) Approve in principle PBMA investments totaling $527,289 as identified in Appendix A to Report No. 31-15FFC, and further
2) Approve in principle PBMA one-time investments totaling $206,953 as identified in Appendix B to Report No. 31-15FFC, and
3) Approve in principle PBMA disinvestments totaling $281,597 as identified in Appendix C to Report No. 31 – 15FFC.
Carried

It was moved by Ms. Fulton, seconded by Mr. Meyer that the minutes of the November 5, 2015 Finance and Facilities Committee meeting be received. Carried

It was moved by Ms. Fulton, seconded by Mr. Helmer that the draft minutes of the December 3, 2015 Finance and Facilities Committee meeting be received.

Mr. Helmer noted that his first name was missing in the draft December minutes and asked that this be addressed before these minutes go to FFC for approval. Carried

Recommendation Reports

Middlesex-London Health Unit Organizational Structure (Report 68-15)

Ms. Laura Di Cesare, Director, Human Resources and Corporate Strategy presented a summary of the process and comprehensive assessment that was conducted by the Organizational Structure and Location Committee to inform the findings and structural change recommendations outlined in this report.

Dr. Mackie outlined the recommended changes to the current organizational structure and noted that staff feedback was vital in helping to shape the new organizational structure. Dr. Mackie identified the importance of divisional collaboration and the improved alignment of services that will allow programs to have a greater impact on clients.

Mr. Helmer inquired about Part 3 of the Report’s recommendation to delegate decision-making for organizational structure to the Medical Officer of Health and CEO, and direct the MOH and CEO to keep the Board of Health informed about the organizational structure of the Health Unit. Discussion ensued about the delegation of decision making for organizational structure to the Medical Officer of Health and CEO.

Ms. Di Cesare explained that other Board structures were reviewed and considered through the Organizational Restructuring process and that such delegation is standard for this and other industries.

Dr. Mackie explained that any changes to the core programs of the Health Unit would be put through the normal budget process, going to the Board for approval and formalized at that time. Dr. Mackie committed to revising program-related policies to reflect existing practice whereby substantive service-level changes are approved by the Board of Health. The Board of Health acknowledged their confidence in Dr. Mackie, Medical Officer of Health & CEO.

It was moved by Mr. Meyer, seconded by Ms. Poole that the Board of Health:

1) Receive Report No. 68-15 re Middlesex-Health Unit Organizational Structure; and further

2) Approve revisions to the Middlesex-London Health Unit organizational structure; and further

3) Delegate decision-making for organizational structure to the Medical Officer of Health and CEO, and direct the MOH and CEO to keep the Board of Health informed about the organizational structure of the Health Unit.
Carried

Middlesex London Health Unit and Ontario Nurses’ Association (ONA) Pay Equity Plan (Report 73-15)

Ms. Di Cesare, Director, Human Resources and Corporate Strategy advised that no pay equity adjustments were required and that the Ontario Nurses’ Association (ONA) Pay Equity Plan had been ratified by ONA members.

It was moved by, Ms. Fulton, seconded by Mr. Helmer that the Board of Health:

1) Receive Report No. 73-15 re Middlesex-London Health Unit Ontario and Ontario Nurses’ Association (ONA) Pay Equity Plan; and further

2) Approve the ONA MLHU Pay Equity Plan.
Carried

Information Reports

Sexual Health Services Review (Report 69-15)

This report was provided as information on the enhanced services for Sexual Health Services.

It was moved by Mr. Helmer seconded Mr. Smith by that Report No. 69-15 re Sexual Health Services Review be received for information. Carried

Summary Information Report for December (Report 70-15)

It was moved by, Mr. Helmer, Mr. Turner seconded by that Report No. 70-15 re Summary Information Report for December be received for information. Carried

Medical Officer of Health Activity Report – December (Report 71-15)

Dr. Mackie provided some context to his activity report. Dr. Mackie presented the Pillar Nonprofit Network Community Collaboration award that was received on November 25th for the Middlesex-London Health Unit’s collaboration of the Naloxone program with the Regional HIV/AIDS Connection (RHAC), the London Intercommunity Health Centre (LIHC) and the London Area Network of Substance Users (LANSU). Dr. Mackie outlined the benefits of the Naloxone program and thanked the Board for their support in playing a crucial role to bring the Naloxone program to Middlesex-London.

It was moved by Mr. Helmer, seconded by Mr. Turner, that Report 71-15 re Medical Officer of Health Activity Report – December be received for information.
Carried

Confidential

At 7:01p.m. it was moved by Mr. Studenny, seconded by Dr. Hunter that the Board of Health move in camera to discuss matters concerning an identifiable individual. Carried

All visitors and Mr. Mark Studenny left the room.

At 7:21 p.m. it was moved by Mr. Meyer, seconded by Mr. Helmer that the Board of Health rise and return to public session to report that progress was made in matters concerning an identifiable individual. Carried

Mr. Mark Studenny returned.

It was requested by Mr. Turner that the Board of Health review the remaining term appointments at the next Governance Committee meeting. It was requested that correspondence be prepared for a future meeting to discuss these items.

Correspondence

It was moved by, Mr. Helmer, seconded by Mr. Turner, that correspondence items a) through g) and i) through n) be received for information. Carried

It was moved by Mr. Helmer, seconded by Mr. Turner that the Board of Health endorse item h) – a copy of correspondence from Mr. Lorne Coe, President, Association of Local Public Health Agencies, to the Honourable Eric Hoskins, Minister of Health and Long-Term Care re the Public Health Funding Model. Carried

Other Business

Upcoming Meetings:

• Next Finance and Facilities Committee Meeting: Thursday, January 14, 2016 @ 9:00 a.m.
• Next Governance Committee Meeting: Thursday, January 21, 2016 @ 6:00 p.m.
• Next Board of Health Meeting: Thursday, January 21, 2016 @ 7:00 p.m.

Mr. Helmer noted a conflict with the Board of Health meeting scheduled for Thursday January 21st @ 7:00pm. This meeting conflicts with the City’s Strategic Priorities and Policy – Budget meeting being held the same night.

It was requested that the 2016 Proposed Board of Health Meeting dates be recirculated to the Board members at the next meeting.

Adjournment

At 7:24 p.m., it was moved by Mr. Meyer seconded by Mr. Helmer that the meeting be adjourned. Carried

IAN PEER
Chair

CHRISTOPHER MACKIE
Secretary-Treasurer