1. Board of Health (BOH) Governance Working together to improve the public’s health January 2014

2. Recap Survey and Interviews to:  Build awareness of BOH responsibilities  Inform upcoming strategic planning  Support ongoing efforts to meet accreditation  Identify opportunities to improve support, resources and tools for governance activities What is our current state?

3. Survey Results

4. Key Findings Satisfaction and DissatisfactionRoles and ExpectationsInformed Decision MakingOpportunities for DialogueStrategic Planning and Policy DevelopmentBOH Meetings

5. Satisfaction & Dissatisfaction Improvement Strategies:  Formalize adoption of governance responsibilities  On-going education  Link work of BOH back to responsibilities

6. Roles & Expectation Improvement Strategies:  Facilitated discussion to reach agreement on expectations  Raise the profile of BOH membership locally

7. Informed Decision Making Improvement Strategies:  Establish decision agenda calendar  Information and dialogue in advance of decisions  Clearly link to health implications  Evaluate opportunities to increase community input

8. Opportunities for Dialogue Improvement Strategies:  Explore options for dialogue outside BOH meetings

9. Strategic Planning & Policy Development Improvement Strategies:  Engage Board in strategic planning process  Link actions of the Board to the strategic plan  Clarify BOH policy role  Establish annual policy agenda  Increase staff support of policy role

10. BOH Meetings Improvement Strategies:  Implement action-based agendas  Rearrange room layout  Address BOH Chair selection process

11. NEXT STEPS  Convene subcommittee of the Board to review findings, prioritize issues and identify strategies  Immediate actions for committee to consider  Initiate work on strategic planning and policy improvements