October 19, 2017 - Meeting Minutes - Board of Health

Members Present:

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

Regrets:

Mr. Michael Clarke

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Nicole Patterson, Human Resources Coordinator (Recorder)
Ms. Laura Di Cesare, Director, Corporate Services
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Mr. Stephen Turner, Director, Environmental Health and Infectious Disease
Ms. Suzanne Vandervoort, Director, Healthy Living
Mr. Dan Flaherty, Communications Manager
Mr. Alex Tyml, Online Communications Coordinator

Chair Helmer called the meeting to order at 7:00 p.m.

Disclosures of Conflict(S) of Interest

Chair Helmer inquired if there were any disclosures of conflicts of interest. None were declared.

Approval of Agenda

It was moved by Ms. Vanderheyden, seconded by Mr. Meyer, that the AGENDA for the October 19, 2017 Board of Health meeting be approved.
Carried

Approval of Minutes

It was moved by Mr. Peer, seconded by Mr. Hunter, that the MINUTES of the September 21, 2017 Board of Health meeting be approved.
Carried

Committee Reports

Governance Committee meeting, September 21, 2017 - Verbal Update

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health receive the September 21, 2017 Governance Committee meeting minutes.
Carried

2017 Mid-year Strategic Plan Update (Report No. 007-17GC)

It was updated that the Balanced Scorecard is either on track or up-to-date and any areas not on track have been explained by staff.

It was moved by Mr. Hunter, seconded by Mr. Smith that the Board of Health receive Report No. 007-17GC re: 2017 Mid-Year Strategic Plan Update for information.
Carried

2016 Year-end Performance on Accountability Indicators (Report No. 008-17GC)

It was moved by Mr. Hunter, seconded by Ms. Cassidy that the Board of Health receive Report No. 008-17 re: 2016 Year-End Performance on Accountability Indicators for information.
Carried

MOH/CEO Performance Review (Report No. 009-17GC)

It was noted that there is a plan to revise the MOH/CEO performance evaluation procedure which requires the approval of the Board of Health.

It was moved by Mr. Hunter, seconded by Mr. Peer that the Board of Health Report 009-17GC and approve the modified 2016 performance appraisal process for the Medical Officer of Health / Chief Executive Officer.
Carried

Policy Review (Continued)

G-380 Conflicts of Interest and Declaration

It was noted that the paragraph under the ‘Special Role of the Board of Health Chair’ be deleted and a heading be added above the ‘Financial Endorsements’ section.

G-040 MOH CEO Selection and Succession Planning

It was noted that there were no changes to this policy since Committee materials were circulated.

It was moved by Mr. Hunter, seconded by Mr. Smith that the Board of Health approve policies as recommended by the Governance Committee.
Carried

Delegations and Recommendation Reports

2018 Board of Health Budget – Financial Parameters (Report No. 052-17)

Discussion ensued around the following items:

• Funding will need to be provided for work related to the opioid crisis.
• A PBMA draft report will be brought forward to the November 2nd Finance and Facilities Committee.
• Open meetings have been held with staff on proposed disinvestments and investments.
• Importance of PBMA process when working with a zero based budget.

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

1. An increase of 0% in provincial funding for Mandatory Programs;
2. An increase of 0% in municipal funding for Mandatory Programs; and
3. A grant increase of 0% for all other programs.

Carried

Expert Panel on Public Health: Proposed Response and Process (Report No. 053-17)

Dr. Mackie provided context around the outcome of the report and will look to the Board for guidance and approval of the Health Unit’s proposed response as more information is released.

Discussion ensued on the following items:

• The three organizations’ separate responses to the Expert Panel.
• The planned collaboration on responses strengthens them.

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

1. Receive Report No. 053-17;
2. Approve Appendix A: Response to the Minister’s Expert Panel on Public Health; and
3. Direct staff to work with representatives of the City of London and the County of Middlesex to submit a joint cover letter that introduces the three organizations’ separate responses to the Expert Panel and highlights common concerns.

Carried

Information Reports

Incident Management System (IMS) Activated to Enhance Response to Community Drug Crisis (Report No. 054-17)

Dr. Mackie provided an overview of the Incident Management System (IMS) and the details around why and how the system was activated.

Discussion ensued around the following items:

• When the public consultations will occur.
• The harm reduction team and the status of the initiatives in which they have been involved.
• Frequency of meetings, which will be evaluated on an ongoing basis.
• That the focus of Health Unit efforts will need to shift along the way.
• Whether the partners the Health Unit are working with are receptive to enhancing treatment of addictions in the community and where the treatments are coming from.

It was moved by Mr. Hunter, seconded by Mr. Meyer, that the Board of Health receive Report No. 054-17 re: Incident Management System (IMS) to Enhance Response to Community Drug Crisis for information.
Carried

Summary Information Report, October 2017 (Report No. 055-17)

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health receive Report No. 055-17 re: Summary Information Report, October 2017 for information.
Carried

Medical Officer of Health / CEO Activity Report, October 2017 (Report No. 056-17)

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health receive Report No. 056-17 re: Medical Officer of Health Activity Report, October 2017 for information.
Carried

Verbal Update

Mr. Stephen Turner provided a verbal update on the cold chain incident that happened on October 6th and discussion ensued around the following items:

• Failure to maintain appropriate temperature in the refrigerator resulted in the loss of flu vaccines.
• Failure of alarm system to notify staff in the appropriate amount of time, as per protocol.
• Vaccine was replaced in a rush order and a report was required to be submitted to the province.
• Financial expense will not be incurred by the Health Unit.
• The other refrigerators have different alarm systems based on the vintage of the unit and are tested twice annually. Additional testing was completed after the incident.

It was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board receive the verbal update from Mr. Stephen Turner regarding the cold chain incident.
Carried

Other Business

Chair Helmer reviewed the next meeting dates for the Board of Health and its sub-committees:

• Next Finance & Facilities Committee meeting: November 2, 2017 @ 9:00 a.m.
• Next Board of Health meeting: November 16, 2017 @ 7:00 p.m.
• Next Governance Committee meeting: December 14, 2017 @ 6:00 p.m.

Correspondence

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

Confidential

At 7:45 p.m., it was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board of Health move in-camera to discuss matters regarding identifiable individuals, and to consider confidential minutes of the September 21 Board of Health meeting.
Carried

All staff in attendance except the Board of Health and Dr. Mackie left the meeting.

At 8:19 p.m., it was moved by Ms. Cassidy, seconded by Mr. Meyer, that the Board of Health rise and return to public session.
Carried

At 8:19 p.m., the Board of Health returned to public session.

Adjournment

At 8:19 p.m., it was moved by Mr. Smith, seconded by Ms. Cassidy, that the meeting be adjourned.
Carried

Jesse Helmer
Chair

Christopher Mackie
Secretary-Treasurer