January 18, 2018 - Board of Health Meeting Minutes

Members Present:

Ms. Maureen Cassidy 
Ms. Patricia Fulton (Vice-Chair)
Mr. Jesse Helmer 
Mr. Trevor Hunter
Mr. Marcel Meyer
Mr. Ian Peer
Mr. Kurtis Smith
Ms. Joanne Vanderheyden (Chair)
Ms. Tino Kasi
Mr. Michael Clarke

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications (Recorder)
Ms. Mary Lou Albanese, Manager, Infectious Disease Control
Mr. Jordan Banninga, Manager, Strategic Projects
Ms. Laura Di Cesare, Director, Corporate Services
Mr. Dan Flaherty, Communications Manager
Mr. Brian Glasspoole, Manager, Finance
Ms. Marlene Haines, Nursing Student
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Ms. Linna Li, Medical Resident
Ms. Heather Lokko, Director, Healthy Start
Mr. Alex Tyml, Online Communications Coordinator
Ms. Meena Umme, Health Promoter
Ms. Suzanne Vandervoort, Director, Healthy Living
Ms. Shaya Dhinsa, Manager, Sexual Health

Meeting Procedures

Dr. Mackie called the meeting to order at 7:00 p.m.

Dr. Mackie began the meeting by acknowledging the traditional Indigenous peoples and territory, including the longstanding treaty relationships between Indigenous Nations and Canada, and those in our community whom we serve in public health.

1) Election of 2018 Board of Health Executive and Other Procedures (Report No. 001-18)

Dr. Mackie opened the floor for nominations for the position of Chair of the Board of Health for 2018.

It was moved by Mr. Meyer, seconded by Ms. Cassidy, that Ms. Joanne Vanderheyden be nominated for Chair of the Board of Health for 2018. Carried

Ms. Vanderheyden accepted the nomination.

Dr. Mackie invited nominations three more times. Hearing none, it was moved by Mr. Meyer, seconded by Ms. Cassidy, that:

1) Nominations for the position of Chair be closed; and
2) Ms. Joanne Vanderheyden be elected as Chair of the Board of Health for 2018.
Carried

Ms. Vanderheyden took over as Chair, and thanked Mr. Helmer for his great work as Chair over the past two years.

Chair Vanderheyden opened the floor for nominations for the position of Vice-Chair of the Board of Health for 2018.

It was moved by Mr. Helmer, seconded by Mr. Meyer, that Ms. Patricia Fulton be nominated for Vice-Chair of the Board of Health for 2018.

Ms. Fulton accepted the nomination.

Chair Vanderheyden invited nominations three more times. Hearing none, it was moved by Mr. Helmer, seconded by Mr. Meyer, that:
1) Nominations for the position of Vice-Chair be closed; and
2) Ms. Patricia Fulton be elected as Vice-Chair of the Board of Health for 2018.
Carried

Chair Vanderheyden opened the floor for nominations for the position of Secretary-Treasurer of the Board of Health for 2018.

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that Dr. Christopher Mackie be nominated for Secretary-Treasurer of the Board of Health for 2018. Carried

Dr. Mackie accepted the nomination.

Chair Vanderheyden invited nominations three more times. Hearing no further discussion or nominations, it was moved by Mr. Helmer, seconded by Ms. Cassidy, that Dr. Christopher Mackie be elected as Secretary-Treasurer by majority vote. Carried

2) Establishment of 2018 Standing Committees

It was moved by Ms. Cassidy, seconded by Mr. Peer, that the Board of Health establish two standing committees, the Governance Committee and the Finance & Facilities Committee, for 2018. Carried

Chair Vanderheyden invited nominations for members of the Finance & Facilities Committee for 2018, and reviewed the Committee’s Terms of Reference and composition.

It was moved by Mr. Helmer, seconded by Ms. Fulton, that Ms. Kasi be nominated for the Finance & Facilities Committee for 2018.

Ms. Kasi agreed to let her name stand.

It was remarked that as Vice-Chair, Ms. Fulton sits on the Finance & Facilities Committee automatically.

It was moved by Ms. Cassidy, seconded by Mr. Meyer, that Mr. Helmer be nominated for the Finance & Facilities Committee for 2018.

Mr. Helmer agreed to let his name stand.

It was moved by Mr. Peer, seconded by Mr. Hunter, that Mr. Meyer be nominated for the Finance & Facilities Committee for 2018.

Mr. Meyer agreed to let his name stand.

Chair Vanderheyden invited nominations three more times. Hearing none, it was moved that nominations be closed and that Ms Kasi, Mr. Meyer, and Mr. Helmer be appointed to the Finance and Facilities Commitee. Carried

Therefore, the Finance & Facilities Committee for 2018 shall consist of the following Board of Health members:
1) Ms. Vanderheyden, (Chair and County representative)
2) Ms. Fulton (Vice-Chair and Provincial representative)
3) Ms. Kasi (Provincial representative)
4) Mr. Helmer (City representative)
5) Mr. Meyer (County representative)

Chair Vanderheyden invited nominations for members of the Governance Committee for 2018, and reviewed the Committee’s Terms of Reference and composition.

It was moved by Mr. Peer, seconded by Mr. Clarke, that Mr. Hunter be nominated for the Governance Committee for 2018.

Mr. Hunter agreed to let his name stand.

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that Mr. Peer be nominated for the Governance Committee for 2018.

Mr. Peer agreed to let his name stand.

It was moved by Mr. Peer, seconded by Mr. Hunter, that Mr. Smith be nominated for the Governance Committee for 2018.

Mr. Smith agreed to let his name stand.

Chair Vanderheyden invited nominations three more times. Hearing none, it was moved that nominations be closed, and that Mr. Peer, Mr. Hunter, and Mr Smith be appointed to the Governance Committee. Carried

Therefore, the Governance Committee for 2018 shall consist of the following Board of Health members:
1) Ms. Vanderheyden (Chair and County representative)
2) Ms. Fulton (Vice-Chair and Provincial representative)
3) Mr. Peer (Provincial representative)
4) Mr. Hunter (City representative)
5) Mr. Smith (County representative)

Chair Vanderheyden reviewed the next meeting dates for the Board of Health and its standing committees.

It was moved by Mr. Peer, seconded by Mr. Helmer, that the Board of Health approve the proposed meeting schedule for 2018.
Carried

Disclosures of Conflict(s) of Interest

Chair Vanderheyden inquired if there were any disclosures of conflict of interest to be declared. None were declared.

Approval of Agenda

It was moved by Mr. Hunter, seconded by Mr. Helmer, that the AGENDA for the January 18, 2018 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by Mr. Hunter, seconded by Mr. Peer, that the MINUTES of the December 14, 2017 Board of Health meeting be approved. Carried

It was moved by Ms. Fulton, seconded by Mr. Peer, that the MINUTES of the December 7, Finance & Facilities Committee be received. Carried

It was moved by Mr. Hunter, seconded by Mr. Peer, that the MINUTES of the November 30, 2017 Special Meeting of the Board of Health be approved. Carried

It was moved by Ms. Fulton, seconded by Mr. Peer, that the MINUTES of the November 27, 2017 Special Meeting of the Finance & Facilities Committee be received. Carried

Delegations and Committee Reports

Mr. Hunter provided a verbal update and summary of the January 18, 2018 Governance Committee meeting.

Terms of Reference and Reporting Calendar (Report No. 001-18GC)

It was moved by Mr. Hunter, seconded by Mr. Helmer, that the Board of Health:
1) Approve the Governance Committee Terms of Reference (Appendix A); and
2) Approve the 2018 Governance Committee Reporting Calendar and Meeting Dates (Appendix B).
Carried

2018 Board of Health Self-Assessment (Report No. 002-18GC)

Mr. Hunter provided context for this report and its appendices. A question was raised about the Reporting Calendar and the Q4 report to be delivered as a part of it.

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health:
1) Approve the Self-Assessment Tool (Appendix A); and
2) Approve initiation of the Board of Health Self-Assessment Process for 2018.
Carried

2018 Board of Health Annual Declarations (Report No. 003-18GC)

Mr. Hunter provided context for this report, and advised that these documents will be prepared for signature at the next Board meeting, should the Board approve initiation of the annual declarations process.

It was moved by Mr. Hunter, seconded by Mr. Peer, that the Board of Health approve initiation of the Board of Health Declarations Process for 2018. Carried

Mr. Hunter noted that the next Governance Committee meeting will be Thursday, March 15, 2018, at 6:00 p.m.

Presentation on Community Consultations for Supervised Consumption Facilities

Ms. Shaya Dhinsa, Manager, Sexual Health, gave a presentation and update on the status of Supervised Consumption Facilities, which included findings from the report on the community consultation process and its recommendations.

Ms. Dhinsa answered questions, and discussion ensued on the following items:
• How clients will engage with wraparound services, and how to ensure that partner organizations follow up and provide the services necessary.
• How clients who do not require supervised injection services will use the services offered at the Overdose Prevention Site.
• How the Health Unit’s partner agencies might manage the additional work of providing services.
• What criteria for success in the project’s initial phase might look like.
• Strategically engaging recovered clients to assist in staffing the facility.

Correspondence

It was moved by Ms. Fulton, seconded by Mr. Helmer, that the Board of Health receive correspondence items a) through e). Carried

Information Reports

Health Equity Indicator Prioritization for 2018 (Report No. 002-18)

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 002-18 re: “Health Equity Indicator Prioritization for 2018” for information. Carried

Medical Officer of Health / CEO Activity Report, January 2018 (Report No. 003-18)

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 003-18 re: “Medical Officer of Health/CEO Activity Report for January 2018” for information. Carried

Other Business

Chair Vanderheyden reviewed the next meeting dates:
• Next Governance Committee meeting: March 15 @ 6:00 p.m.
• Next Board of Health meeting: February 15 @ 7:00 p.m.
• Next Finance & Facilities Committee meeting: February 1 @ 9:00 a.m.

Dr. Mackie noted that this was Dr. Hovhannisyan’s last Board meeting, as she will be moving over to City of Hamilton Public Health Services in February. Dr. Mackie thanked Dr. Hovhannisyan for her dedicated work over the past few years, and wished her the best. The Board echoed this sentiment.

Dr. Mackie also introduced Ms. Linna Li, a medical resident who will be working on her communicable diseases rotation with the Middlesex-London Health Unit until March 2018.

Dr. Mackie also invited Board members to the news conference on Friday at 11:00 a.m. to announce the location for the Temporary Overdose Prevention Site.

Confidential

At 7:58 p.m., it was moved by Mr. Hunter, seconded by Mr. Smith, that the Board of Health move in-camera to consider matters regarding potential litigation affecting the Middlesex-London Health Unit, a proposed or pending acquisition of land by the Middlesex-London Board of Health, and to consider confidential minutes from the December 7, 2017 Finance & Facilities Committee meeting and the December 14, 2017 Board of Health meeting. Carried

All guests in attendance except the Board of Health, Dr. Mackie, Ms. Milne, Ms. Di Cesare, Ms. Lokko, Ms. Vandervoort, Dr. Hovhannisyan, and Ms. Albanese left the meeting.

At 9:02 p.m., it was moved by Mr. Hunter, seconded by Mr. Meyer, that the Board of Health rise and return to public session. Carried

At 9:02 p.m., the Board of Health returned to public session.

It was moved by Mr. Clarke, seconded by Mr. Meyer, that the Board of Health conduct a review of public health services in the County of Middlesex. Carried

Adjournment

At 9:03 p.m., it was moved by Ms. Kasi, seconded by Ms. Cassidy, that the meeting be adjourned. Carried

Joanne Vanderheyden
Chair

Christopher Mackie
Secretary-Treasurer