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Board of Health orientation session

Association of Local Public Health Agencies February 10, 2011. Board of Health orientation session. al PH a – Your Association. Local Public Health Units Boards of Health Medical Officers of Health Senior Management A collective voice

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Board of Health orientation session

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  1. Association of Local Public Health Agencies February 10, 2011 Board of Health orientation session

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. Board of Health Section You!

  8. 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

  9. 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

  10. 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

  11. 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

  12. Executive Committee Vacancy Central West Region BRANT HALDIMAND Term to June 2012 HALTON HAMILTON NIAGARA WATERLOO WELLINGTON DUFFERIN

  13. What IS a Board of Health?

  14. What IS a Board of Health? • Autonomous 22 • Autonomous/Integrated 3 • Regional 7 • Single-Tier 3 • Semi-Autonomous 1 • Total 36

  15. Autonomous • Separate from any municipal organization • Multi-municipal representation (including citizen representatives appointed by municipalities) • May have Provincial Appointees • 22 – majority of health units

  16. Autonomous/Integrated • Only one municipality appoints representatives (including citizen representatives) • May have provincial appointees • Operates within municipal administrative structure • 3 – Chatham-Kent / Huron / Lambton

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. Public Health • Protection • Inspections, reducing environmental hazards • Promotion • Health education, healthy public policy • Prevention • Immunization, screening, injury prevention

  23. 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

  24. 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

  25. OPHS - PRINCIPLES • Boards of Health shall be guided by the following principles: • Need • Impact • Capacity • Partnership and Collaboration

  26. OPHS – FOUNDATIONAL STANDARD • Evidence as foundation for PH practice • Population health assessment • Includes social determinants of health and health inequities

  27. OPHS – PROGRAM STANDARDS • Chronic Diseases and Injuries • Family Health • Infectious Diseases • Environmental Health • Emergency Preparedness

  28. 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

  29. Key Players and Their Roles

  30. 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

  31. 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

  32. 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

  33. Key Players FUNDERS • Municipalities • Ministry of Health and Long-term Care • Ministry of Health Promotion • Ministry of Children and Youth Services

  34. 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

  35. Questions? Linda Stewart linda@alphaweb.org 416-595-0006 x 22

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