Report No. 054-12

TO: Chair and Members of the Board of Health
FROM:  Graham L. Pollett, MD, FRCPC, Medical Officer of Health
DATE:     2012 April 19

Accountability Agreement Performance Indicator Targets

Recommendation

It is recommended that the Board of Health endorse the proposed response to the Ministry of Health and Long-Term Care Accountability Agreement performance indicator targets, as attached as Appendix A1(PDF 40.8KB)and Appendix A2(PDF 28.9KB) to Report No. 054-12.

Background

Board of Health members will recall that it endorsed the terms and conditions of a Public Health Accountability Agreement (AA) with the Ministry of Health and Long Term Care on September 15, 2011 (Report No. 080-11). Schedule D of the AA requires that the Ministry and Board jointly establish targets for the 14 performance indicators specified within the AA.

On January 16, 2012, the Ministry held a webinar to announce the target development process and propose targets for each of the indicators attached (Appendix A1(PDF 40.8KB), Appendix A2(PDF 28.9KB)). The Board of Health now has the opportunity to accept or reject each of the Ministry’s targets, propose different targets, and provide comment/rationale for any proposed targets. The Ministry has not set a clear deadline for the negotiation process.

Appendix A1(PDF 40.8KB) and Appendix A2(PDF 28.9KB) include comments from Health Unit staff, as well as proposed recommendations to the Board of Health as to whether each target should be accepted or rejected. Rejected targets include a proposed new target:

1.   High risk food premises inspections (ACCEPT)

2.   Pool and public spa inspections (ACCEPT)

3.   High-risk small drinking water systems inspections (ACCEPT)

4.   Gonorrhea follow-up (REJECT for 2012, REJECT for 2013)

5.   Invasive Group A Streptococcal disease (iGAS) follow-up (ACCEPT)

6.   High risk personal services setting inspections (DEFERRED by Ministry – No Target)

7.   Vaccine wastage

a.   HPV (ACCEPT)

b.   Influenza (ACCEPT)

8.   Healthcare provider vaccine wastage (DEFERRED by Ministry – No Target)

9.   Immunization

a.   Hepatitis B (ACCEPT for 2012, REJECT for 2013)

b.   HPV (ACCEPT for 2012, REJECT for 2013)

c.   Meningococcus (ACCEPT)

10.   Youth smoking (ACCEPT)

11.   Tobacco vendor compliance (ACCEPT)

12.   Fall-related emergency visits (ACCEPT for 2012, REJECT for 2013)

13.   Low risk drinking guidelines (ACCEPT)

14.   Baby friendly initiative status (ACCEPT)

Monitoring and Reporting Performance

Once the targets have been established, the Ministry will inform the Board of Health of its performance reporting obligations. The Ministry also announced that it will not use performance corridors (i.e., acceptable ranges of variance in performance) for the targets. Health Unit leads for each indicator have been identified, who (with support from the Manager, Special Projects) will ensure all reporting obligations are met.

This report was prepared by Mr. Ross Graham, Manager, Special Projects. 

Graham L. Pollett, MD, FRCPC

Medical Officer of Health

This report addresses the Public Health Accountability Agreement at the Middlesex-London Health Unit.