November 17, 2016 - Board of Health Agenda

Complete Agenda Package (PDF 4.3MB)

Thursday, November 17, 2016 - 7:00 p.m.
399 Ridout Street North
Side Entrance, (Recessed Door)
Board of Health Boardroom

Disclosure of Conflicts Of Interest

Approval of Agenda

Approval of Minutes

October 27, 2016 Board of Health meeting

Delegations

7:05 – 7:15 p.m.
Ms. Trish Fulton, Chair, Finance and Facilities Committee (FFC) re: Item #1 - Finance and Facilities Committee Meeting November 3, 2016 (Report No. 061-16).

Receive: November 3, 2016 Finance and Facilities Committee draft meeting minutes

7:15 – 7:25 p.m.
Mr. Trevor Hunter, Chair, Governance Committee (GC) re: Item #2 – Governance Committee Meeting Novmber 17, 2016 (Verbal Update)

Receive: July 21, 2016 Governance Committee meeting minutes

Other Business

Next meetings:

• Next Finance and Facilities Committee Meeting: Thursday December 1 2016 @ 9:00 a.m.
• Next Governance Committee Meeting: To Be Determined
• Next Board of Health Meeting: Thursday December 8, 2016 @ 6:00 p.m.

Correspondence

a) Date: 30 August 2016 (Received 23 June 2016)
Topic: Standards Modernization: Accountability Committee
From: Practice and Accountability Branch, Ministry of Health and Long-Term Care
To: All Health Units

Background:
The Accountability Committee held its third meeting on July 8th. Discussion focused on the lack of data provided by the Ministry limits the ability to demonstrate the full scope of program delivery and value for money. Also discussed were accountability practices to inform boards of health and municipalities. These include: program level dashboards, locally developed indicators, aligning achievements with the strategic plan, health status reports to identify local priorities, use of local data to understand value for money and developing and maintaining relationships with municipalities.

Recommendation:
Receive

b) Date: 13 September 2016
Topic: Standards Modernization: Practice and Evidence Program Standards
From: Practice and Evidence Program Standards Advisory Committee for the Standards Modernization, Practice and Accountability Branch, Ministry of Health and Long-Term Care
To: All Health Units

Background:
The Practice and Evidence Program Standards Advisory Committee for the Standards Modernization (the “PEPSAC”) has met several time and formed program-specific sub-groups. Additional discussions were held regarding opportunities to address the needs of indigenous communities and the role of public health in mental health promotion. PEPSAC will discuss the recommended set of standards once work of the sub-groups has been completed.

Recommendation:
Receive

c) Date: 13 September 2016
Topic: Standards Modernization: Executive Steering Committee
From: Executive Steering Committee for Standards Modernization, Practice and Accountability Branch, Ministry of Health and Long-Term Care
To: All Health Units

Background:
The Executive Steering Committee for Standards Modernization has the goal of strengthening and enhancing accountability and transparency within the public health system. They are looking at opportunities for systems integration, emerging public health issues, revisions to the Ontario Public Health Standards, and opportunities to address local needs. Recommendations from PEPSAC will be discussed at future meetings along with consultations strategies, value-for-money and transparency.

Recommendation:
Receive.

d) Date: 20 September 2016
Topic: Lyme Disease
From: Scott McDonald, Chair, Board of Health, Peterborough Public Health
To: The Honourable Jane Philpott, The Honourable Eric Hoskins
Background:
Lyme disease is an emerging public health issues in Ontario and Peterborough County and City. Current resource allocation for research, treatment, surveillance and education for Lyme disease is inadequate and the Board of Health is requesting increased funding for this issue.

Recommendation:
Receive.

e) Date: 22 September 2016 (Received 13 July 2016)
Topic: Basic Income Guarantee
From: Mark Lovshin, Chair, Board of Health for Haliburton, Kawartha, Pine Ridge District Health Unit
To: The Honourable Jean-Yves Duclos, Minister of Families, Children and Social Development

Background:
The Board of Health for Haliburton, Kawartha, Pine Ridge District has endorsed a position statement supporting the concept of a basic income guarantee and requests that the Government of Canada work with the Government of Ontario in developing and implementing poverty reduction strategies.

The Board of Health considered a report at the September 2015 meeting and approved that the Board: 1) Send a letter to the Prime Minister of Canada, the Premier of Ontario and the Ontario Minister Responsible for the Poverty Reduction Strategy requesting they prioritize consideration and investigation into a joint federal-provincial basic income guarantee; 2) Send a letter to the Premier of Ontario requesting the province increase social assistance rates to reflect the rising cost of nutritious food & safe housing; 3) Send a letter to all London and Middlesex County federal election candidates requesting they take Food Secure Canada’s Eat Think Vote candidate pledge; and 4) Forward Report No. 50-15 re 2015 Nutritious Food Basket Survey Results and Implications for Government Public Policy to the City of London, Middlesex County & appropriate community agencies.

Recommendation:
Receive.

f) Date: 28 September 2016
Topic: Highlights from the August 31, 2016 Accountability Committee Meeting for Standards Modernization
From: Accountability Committee for Standards Modernization, Practice and Accountability Branch, Ministry of Health and Long-Term Care
To: All Health Units

Background:
The Accountability Committee received a presentation from Dr. Mackie regarding Program Budgeting Marginal Analysis (PBMA). There was also discussion of the substantial variation in the way health units track program expenditures in relation to outputs and outcomes. They also discussed a draft logic model of the Accountability Framework and a narrative to support its dissemination.

Recommendation:
Receive.

g) Date: 30 September 2016
Topic: Universal Hot Meal Program
From: Scott McDonald, Chair, Board of Health, Peterborough Public Health
To: The Honourable Jane Philpott, MP, The Honourable Scott Brison, MP, The Honourable Jean-Yves Duclos, MP, The Honourable Bill Morneau, MP, The Honourable Amarjeet Sohi, MP, The Honourable Mitzie Hunter, MPP, The Honourable Helena Jaczek, MPP, The Honourable Michael Coteau, MPP,

Background:
The Board of Health for the Thunder Bay District Health Unit endorsed a position paper that a universal hot meal program should be implemented in Ontario elementary and secondary schools to address food insecurity.

Recommendation:
Receive

h) Date: 10 October 2016 (Received 21 July 2016)
Topic: Changes to the HPV Immunization Programs
From: Scott McDonald, Chair, Board of Health, Peterborough Public Health
To: The Honourable Dr. Eric Hoskins

Background:
Human papillomavirus (HPV) is one of the most common sexually transmitted infections in the world. There are several types of HPV, some of which can cause cervical cancer and genital warts. The province currently offers the HPV vaccine free of charge to girls in Grade 8 at Ontario schools. This will be expanded to all student and begin to be offered in the 2016-2017 school year.

The Board of Peterborough Public Health urges the Ministry of Health and Long-Term Care to increase the annual funding for the Vaccine Preventable Disease Program in order to meet this mandate.

Recommendation:
Receive.

i) Date: 4 October 2016 (Received 10 October 2016)
Topic: Commitment to reintroduction of Patients First Bill
From: Dr. Eric Hoskins, Minister of Health and Long-Term Care
To: Health Systems Partner

Background:
Patients First Act, 2016 was introduced in the Ontario Legislature in June 2016. Due to the Legislature being prorogued, all bills will need to be reintroduced. The government is committed to the reintroduction to continue debate on this matter as soon as possible.

Recommendation:
Receive.

j) Date: 27 September 2016 (Received 17 October 2016)
Topic: Food Security in the District of Thunder Bay
From: Joe Faas, Chair, Chatham-Kent Board of Health
To: The Honourable Kathleen Wynne, The Honourable Chris Ballard, Chairs, Boards of Health

Background:
See item (g) above.

Recommendation:
Receive

k) Date: 27 September 2016 (Received 20 October 2016)
Topic: Bill 5 – Greater Access to Hepatitis C Treatment Act, 2016
From: Sylvia Jones, MPP Dufferin-Caledon
To: Chair Jesse Helmer and Members of the Board

Background:
Sylvia Jones, MPP from Dufferin-Caledon has introduced Bill 5, Greater Access to Hepatitis C to the Ontario Legislature. This legislation would provide treatment earlier than the current clinical criteria that demand and individual’s liver is halfway to cirrhosis. The Bill passed first reading on September 13, 2016. The Member of Provincial Parliament encourages Boards of Health to write a letter of support to the Minister of Health and Long-Term Care to urge the adoption of this legislation.

Recommendation:
Receive.

l) Date: 31 October 2016
Topic: Cora AIT Strategy (Slide deck and notice to inform about lobbying of local councils)
From: Michael Perley, Ontario Campaign for Action on Tobacco (OCAT)
To: Chairs, Boards of Health, Medical Officers of Health

Background:
The Canadian tobacco industry actively lobbies against the taxation of tobacco as a way to curtail contraband tobacco. Michael Perley from Ontario Campaign for Action on Tobacco, a public health advocacy group, encourages Board of Health and municipal leaders to prevent these industry inspired lobby campaigns from coming forward at the municipal level.

Recommendation:
Receive.

m) Date: 21 October 2016 (Received 07 November 2016)
Topic: Release of Chief Public Health Officer’s Report on the State of Public Health in Canada
From: Gregory Taylor, BSc, MD, CCFP, FRCPC, Chief Public Health Officer, Public Health Agency of Canada
To: Medical Officers of Health

Background:
This report explores why family violence is an important public health issue for Canadians in regards to the prevalence rates, the different types of family violence and the associated health impacts. The report also discusses the potential remedies for preventing family violence in Canada.

Recommendation:
Endorse.

n) Date: 04 November 2016 (Received 07 November 2016)
Topic: South West Local Health Integration Network governance education opportunities for health system partners: Governing for the Future, Rising to the Challenge of Collaboration
From: Marilyn Robbins, South West LHIN
To: Medical Officers of Health

Background:
This workshop discusses the foundations of good governance including: the role of the board, factors that make a high performing board, as well as partner collaboration, and guiding organizations to be more impactful in the community.

These sessions, being held by the LHIN on November 23, 26, and 30 are open to board members across the health sector.

Recommendation:
Receive.

Copies of all correspondence are available for perusal from the Secretary-Treasurer.

Confidential

The Board of Health will move in camera to discuss matters regarding a proposed or pending acquisition of land by the Middlesex-London Board of Health and consider confidential minutes from its October 27 Board of Health and November 3 Finance and Facilities Committee meetings.

 Adjournment