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May 16, 2013 – Minutes

Members Present:

Mr. David Bolton
Ms. Denise Brown (Vice-Chair)
Mr. Al Edmondson
Ms. Trish Fulton
Mr. Marcel Meyer (Chair)
Mr. Stephen Orser
Mr. Ian Peer
Ms. Nancy Poole

Regrets:

Ms. Viola Poletes Montgomery
Mr. Mark Studenny

Absent:

Ms. Sandy White

Others Present:

Mr. Wally Adams, Director, Environmental Health and Chronic Disease Prevention Services
Ms. Marylou Albanese, Manager, Healthy Communities and Injury Prevention Team
Mr. Dan Flaherty, Manager, Communications
Mr. Ross Graham, Manager, Special Projects
Ms. Kim Leacy, Registered Dietitian
Ms. Heather Lokko, Manager, Reproductive Health Team
Dr. Christopher Mackie, Medical Officer of Health & CEO
Mr. John Millson, Director, Finance and Operations
Ms. Sherri Sanders, Executive Assistant to the Board of Health (Recorder)
Ms. Pat Simone, Manager, Emergency Preparedness
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control Team
Ms. Louise Tyler, Director, Human Resources and Labour Relations Services
Mr. Alex Tyml, Online Communications Coordinator
Dr. Bryna Warshawsky, Associate Medical Officer of Health and
Director, Oral Health, Communicable Disease & Sexual Health Services

Media Outlets:

Mr. Craig Gilbert, London Community News

Board of Health Chair, Mr. Marcel Meyer, called the meeting to order at 7:00 p.m.

Disclosures of Conflict(s) of Interest

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

Approval of Agenda

It was moved by, Mr. Peer, seconded by Mr. Orser that the AGENDA for the May 16, 2013 Board of Health meeting be approved with the addition of Report No. 063-13 re” PricewaterhouseCoopers Interim Report” that was deferred from the May 9, 2013 Board of Health meeting. Report No. 063-13 will be discussed after the three scheduled appointments. Carried

Approval of Minutes

It was moved by Ms. Brown, seconded by Ms. Fulton that the Board of Health MINUTES for the April 18, 2013 Board of Health meeting be approved. Carried

It was moved by Mr. Bolton, seconded by Mr. Peer that the Board of Health MINUTES for the May 9, 2103 Board of Health meeting be approved. Carried

On behalf of the Board of Health, Chair Meyer recognized Dr. Bryna Warshawsky, Acting Medical Officer of Health & CEO and Director, Oral Health, Communicable Disease & Sexual Health Services for her contributions and commitment to the Health Unit over her tenure as Acting Medical Officer of Health and Chief Executive Officer from October 1, 2012 to April 20, 2013.

Appointments

1)    Report No. 067-13 re “Draft Reserve/Reserve Fund Policy”    

Mr. John Millson, Director, Finance & Operations, assisted Board members with their understanding of this report using a PowerPoint presentation. A copy of the presentation is filed with the minutes.  

Under the POLICY section of Appendix B to Report No 067-13), it was recommended that the statement be edited as follows: “The maximum cumulative reserves shall be 10% of gross revenues found on the annual statement of operations of the audited financial statements”.

It was suggested that the last statement be removed from the policy. It was also suggested that a Finance Committee be considered that could use the statement as an overall guiding philosophy for the Health Unit.

In response to a question about contingency funds, Mr. Millson replied that there is no contingency amount that the Health Unit sets aside each year.

In response to a question about the Memorandum of Agreement (Appendix C to Report 067-13), Dr. Christopher Mackie, Medical Officer of Health and CEO, clarified that only the money returned to the City and the County has to be returned according to the apportionment agreement. Money put into a reserve fund does not have to be spent according to the apportionment arrangement. It was recommended to strike out the sentence that states the actual apportionment percentages from the Memorandum of Agreement.

Dr. Mackie clarified that the 10% recommended to be set aside in reserves would be a ceiling – not a goal; If a Finance Committee were developed, it could set such a goal.

It was moved by Mr. Bolton, seconded by Ms. Fulton that the Board of Health endorse Appendix B – Draft Reserve/Reserve Fund Policy and direct staff to engage the City of London and Middlesex County regarding the related Memorandum of Understanding in Appendix C to Report No. 067-13. Carried

2)    Report No. 064-13 re “Accountability Agreements: 2012 Performance and 2013 Targets”

Mr. Ross Graham, Manager, Special Projects, and Dr. Mackie, assisted Board members with their understanding of this report.   Mr. Graham announced that the Health Unit met or exceeded performance targets on seven out of nine indicators measured in 2012.    Dr. Mackie outlined the proposed targets for 2013.

It was moved by Ms. Brown, seconded by Mr. Peer that Board of Health members receive the 2012 Accountability Agreement Performance Indicators for information, and approve the 2013 targets. Carried

3)    Report No 065-13 re “Harvest Bucks: A Farmers’ Market Vegetable and Fruit Program” Mr. Wally Adams, Director, Environmental Health and Chronic Disease Prevention Services,  introduced Ms. Kim Leacy, Registered Dietitian, who assisted Board members with their understanding of  this report.  A copy of Ms. Leacy’s PowerPoint presentation is filed with the minutes.

The Health Unit will be posting more information about the Harvest Bucks program on www.healthunit.com. It was suggested that more of data collected about the use and success of the program should be reported as the data definitely show encouraging impacts.

It was moved by Mr. Orser, seconded by Ms. Brown that Report No. 065-13 re “Harvest Bucks: A Farmers’ Market Vegetable and Fruit Program” be received for information. Carried

Report Deferred from May 9, 2013 Meeting

Report 063-13 re “PricewaterhouseCoopers Interim Report – May 9, 2013”

It was discussed that Health Unit staff members should move forward on recommendations to implement cost savings where possible. Dr. Mackie suggested that the Senior Management Team meet with PWC to discuss areas on which staff could focus. It was also suggested that staff prepare a Report for the June Board of Health meeting that contains ideas for a Finance Committee.

It was moved by Ms. Brown, seconded by Mr. Orser:

  1. That Health Unit staff meet with PricewaterhouseCoopers (PWC) to discuss the next steps and report back to the Board of Health in September; and further
  2. That the Board of Health supports staff identifying opportunities to move forward, and beginning implementation of the PricewaterhouseCoopers recommendations in the interim, including using PwC as consultants where appropriate.

Carried

Reports

4)    Report No. 066-13 re “Community Resources for Newcomers with No Health Insurance”

Dr. Mackie assisted Board members with their understanding of this report. He clarified that the resource materials (Booklet and Resource Map) are for use by primary care givers and those engaging the clients who require the assistance.

It was moved by Mr. Bolton, seconded by Mr. Peer, that Report No. 066-13 re “Community Resources for Newcomers with No Health Insurance” be received for information.Carried

5)    Report No. 068-13 re “Identifying Priority Populations for Reproductive Health”

6)    Report No. 069-13 re “Baby-Friendly Initiative”

7)    Report No. 070-13 re “Smart Start for Babies: Improving Outcomes”

8)    Report No. 071-13 re “Creating Healthier Nutrition Environments in Local Group Homes”

9)    Report No. 072-13 re “Drug Awareness Events – Child Health Team”

10) Report No. 073-13 re “Stepping Out Safely: Healthy Aging 2012”

11) Report No. 074-13 re “H7N9 Influenza and Novel Coronavirus – Emerging Infections and the Health Unit’s Role”

12) Report No. 075-14 re “Medical Officer of Health Activity Report – May”

It was moved by Mr. Orser, seconded by Mr. Bolton that Items #5 through #12 be received for information.  Carried

Correspondence

There were no questions about the correspondence. 

Other Business

Next scheduled Board of Health Meeting: Thursday, June 20, 2013 at 7:00 p.m.

Please note: the taking of the Board of Health photo has been tentatively scheduled for Thursday, June 20, prior to the June Board meeting. Please advise the Executive Assistant to the Board of Health if you cannot make it on June 20th at 6:30 p.m.

Adjournment

At 8:45 p.m., it was moved by Mr. Edmondson, seconded by Ms. Fulton that the meeting be adjourned. Carried

 

MARCEL MEYER
Chair

CHRISTOPHER MACKIE

Secretary-Treasurer