Transcript Association of Local Public Health Agencies February 10, 2011 BOARD OF HEALTH ORIENTATION SESSION.

Association of Local Public Health Agencies
February 10, 2011
BOARD OF HEALTH
ORIENTATION SESSION
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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
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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
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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
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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
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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
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Board of Health Section
You!
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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
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BOH Section Executive
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7 Members
5 Meetings per year
Election in June
2 year term
Represent BOHs on alPHa’s Board of Directors
Policies and Procedures
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Current BOH Executive
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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
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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
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Executive Committee Vacancy
Central West Region
BRANT
HALDIMAND
Term to June 2012
HALTON
HAMILTON
NIAGARA
WATERLOO
WELLINGTON DUFFERIN
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What IS a Board of Health?
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What IS a Board of Health?
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Autonomous
Autonomous/Integrated
Regional
Single-Tier
Semi-Autonomous
 Total
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Autonomous
 Separate from any municipal organization
 Multi-municipal representation (including citizen
representatives appointed by municipalities)
 May have Provincial Appointees
 22 – majority of health units
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Autonomous/Integrated
 Only one municipality appoints representatives
(including citizen representatives)
 May have provincial appointees
 Operates within municipal administrative
structure
 3 – Chatham-Kent / Huron / Lambton
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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
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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
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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
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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
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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
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Public Health
 Protection
– Inspections, reducing environmental hazards
 Promotion
– Health education, healthy public policy
 Prevention
– Immunization, screening, injury prevention
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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
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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
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OPHS - PRINCIPLES
 Boards of Health shall be guided by the
following principles:
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Need
Impact
Capacity
Partnership and Collaboration
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OPHS – FOUNDATIONAL
STANDARD
 Evidence as foundation for PH practice
 Population health assessment
– Includes social determinants of health and health
inequities
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OPHS – PROGRAM STANDARDS
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Chronic Diseases and Injuries
Family Health
Infectious Diseases
Environmental Health
Emergency Preparedness
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Boards of Health
 Oversight Role for:
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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
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Key Players and Their Roles
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Key Players
 Medical Officers of Health
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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
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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
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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
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Key Players
FUNDERS
 Municipalities
 Ministry of Health and Long-term Care
 Ministry of Health Promotion
 Ministry of Children and Youth Services
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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
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Questions?
Linda Stewart
[email protected]
416-595-0006 x 22
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