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Explore the roles and structures of local public health units, boards of health, and medical officers of health in Ontario. The Association of Local Public Health Agencies (alPHa) advocates for public health policies and services, focusing on professional development and system issues. Learn about the functions of alPHa's Board of Directors and its affiliates. Discover the responsibilities of boards of health and health units under the Health Protection and Promotion Act. Find information on the Ontario Public Health Standards and how they guide public health programs and services in the province.
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Association of Local Public Health Agencies February 10, 2011 Board of Health orientation session
alPHa – Your Association • Local Public Health Units • Boards of Health • Medical Officers of Health • Senior Management • A collective voice • Focus on professional development, advocacy and public health system issues
alPHa’s Mission Statement • alPHa, through a strong and unified voice, advocates for public health policies, programs and services on behalf of member health units in Ontario
alPHa’s Board of Directors • 21 Directors • 7 Board of Health Members • Board of Health Section • 7 Medical Officers of Health • Council of Ontario Medical Officers of Health • 7 Affiliate Representatives • Affiliates
alPHa’s Affiliates • ANDSOOHA • Public Health Nursing Management • AOPHBA • Association of Ontario PH Business Administrators • APHEO • Association of PH Epidemiologists • ASPHIO • Association of Supervisors of PH Inspectors of Ontario • OAPHD • Ontario Association of PH Dentistry • HPO • Health Promotion Ontario • OSNPPH • Ontario Society of Nutrition Professionals in PH
alPHa’s Board of Directors • Meets 5 times per year • Advocacy Committee • Professional Development Steering Committee • 1 year term for President • President alternates annually between BOH and MOH representative • Current President, Valerie Sterling, Toronto Board of Health • Vice President, Dr. Lynn Noseworthy, (HKPR) Haliburton-Kawartha-Pine Ridge Public Health
Board of Health Section – YOU! • All Board of Health Members in Ontario • Meet face-to-face 3 times per year • February • June • November • Networking and information sharing • Listserve • Executive Committee member communication
BOH Section Executive • 7 Members • 5 Meetings per year • Election in June • 2 year term • Represent BOHs on alPHa’s Board of Directors • Policies and Procedures
Current BOH Executive • Mary Johnson, Chair (Eastern Ontario) • Maria Harding (Thunder Bay) • Valerie Sterling (Toronto) • Joseph Matko (Porcupine) • Colleen Jordan (Durham Region) • Vacancy – South West Region • Vacancy – Central West Region
Executive Committee Vacancy South West Region CHATHAM-KENT ELGIN ST THOMAS Term to June 2011 GREY BRUCE HURON LAMBTON MIDDLESEX LONDON OXFORD PERTH WINDSOR-ESSEX
Executive Committee Vacancy Central West Region BRANT HALDIMAND Term to June 2012 HALTON HAMILTON NIAGARA WATERLOO WELLINGTON DUFFERIN
What IS a Board of Health? • Autonomous 22 • Autonomous/Integrated 3 • Regional 7 • Single-Tier 3 • Semi-Autonomous 1 • Total 36
Autonomous • Separate from any municipal organization • Multi-municipal representation (including citizen representatives appointed by municipalities) • May have Provincial Appointees • 22 – majority of health units
Autonomous/Integrated • Only one municipality appoints representatives (including citizen representatives) • May have provincial appointees • Operates within municipal administrative structure • 3 – Chatham-Kent / Huron / Lambton
Regional • Boards are Councils of Regional Government (federations of local municipalities) • No citizen representatives • No provincial appointees • 7 – Oxford / Niagara / Durham / Halton / Peel / Waterloo / York
Single-Tier • Board is Council of a Single Tier Municipality (area with only one level of municipal government) • No citizen representatives • No provincial appointees • 3 – Haldimand-Norfolk / Hamilton / Ottawa
Municipal - Semi-Autonomous • Single-tier Council appoints members to a separate "board of health" (including citizen representatives) • Council approves budget and staffing • No provincial appointees • 1 - Toronto
What is a Health Unit? • Different names • Health Unit • Health Department • Toronto Public Health • Eastern Ontario Health Unit • All governed by a Board of Health
Public Health • Public health is concerned with threats to the overall health of a community • Programs and services focus on the community, not the individual • Focus on what makes and keeps people healthy
Public Health • Protection • Inspections, reducing environmental hazards • Promotion • Health education, healthy public policy • Prevention • Immunization, screening, injury prevention
Health Protection and Promotion Act (HPPA) • Defines boards of health and who sits on them • Defines duties and responsibilities of BOHs • For MOHs, provides authority to inspect, enforce, and issue orders • Gives Minister of Health right to investigate • Gives BOH responsibility to ensure the delivery of the Ontario Public Health Standards • http://www.e-laws.gov.on.ca/index.html
Ontario Public Health Standards (OPHS) • Program Standards • Protocols • Guidance documents • http://www.health.gov.on.ca/english/providers/program/pubhealth/oph_standards/ophs/index.html
OPHS - PRINCIPLES • Boards of Health shall be guided by the following principles: • Need • Impact • Capacity • Partnership and Collaboration
OPHS – FOUNDATIONAL STANDARD • Evidence as foundation for PH practice • Population health assessment • Includes social determinants of health and health inequities
OPHS – PROGRAM STANDARDS • Chronic Diseases and Injuries • Family Health • Infectious Diseases • Environmental Health • Emergency Preparedness
Boards of Health • Oversight Role for: • priority setting • planning and evaluation of OPHS • fiscal accountability • labour relations • Accountable to the community • Hire the Medical Officer of Health and any Associate Medical Officers of Health
Key Players • Medical Officers of Health • Directs the overall provision of programs and services • Directs staff of the HU • Reports to the BOH on program and service issues • Accountable to the BOH for day-to-day operations • Associate Medical Officers of Health • Under direction of MOH • Assists in performing duties of MOH • Empowered to act as MOH when MOH is absent
Key Players Chief Medical Officer of Health • Independent advocate for public health • Hired by the 3 political parties • Reports annually to the legislature in the independent role • Works closely with government • Can act anywhere in Ontario with the powers of an MOH • Dr. Arlene King
Key Players Assistant Deputy Minister, Public Health • Administrative lead for the Public Health Division in the Ministry of Health and Long-term Care • Responsible for funding decisions • Responsible for accountability agreements • Allison Stuart
Key Players FUNDERS • Municipalities • Ministry of Health and Long-term Care • Ministry of Health Promotion • Ministry of Children and Youth Services
Key Players • OAHPP • Ontario Agency for Health Protection and Promotion • AMO • Association of Municipalities of Ontario • OCCHA • Ontario Council on Community Health Accreditation • OPHA • Ontario Public Health Association
Questions? Linda Stewart linda@alphaweb.org 416-595-0006 x 22