1. 1 OPHS FOUNDATIONAL STANDARD BOH Section Meeting February 11, 2011

2. 2 Ontario Public Health Standards (OPHS) Foundational Standard Program Standards Protocols Guidance documents http://www.health.gov.on.ca/english/providers/ program/pubhealth/oph_standards/ophs/index. html http://www.health.gov.on.ca/english/providers/ program/pubhealth/oph_standards/ophs/index. html

3. 3 FOUNDATIONAL STANDARD GUIDING PRINCIPLES Boards of Health shall be guided by the following principles: –Need –Impact –Capacity –Partnership and Collaboration

4. 4 Guiding Principles 1. NEED Importance of data and information to inform decision-making at the local level Need is established by assessing the distribution of determinants of health, health status and incidence of disease and injury Highlights minimizing barriers to accessing services and to fostering partnerships

5. 5 Guiding Principles 2. IMPACT Assessment, planning, delivery and management of public health programs must consider: Evidence of the effectiveness of the intervention Whether interventions are compatible with the scope of programming for boards of health Barriers to accessing maximum health potential and narrowing inequities in health Performance measures to assess the impact and effectiveness of programs and services Need to further assess unintended consequences to improve understanding of program and services or the context

6. 6 Guiding Principles 3. CAPACITY Concept of organizational structures and processes; workforce planning, development and maintenance; information and knowledge systems; and financial resources Highlights workforce issues related to: –Required staffing per regulation and types of background of staff for interdisciplinary public health practice –Building human resource capacity via ongoing staff development, skill building, lifelong learning and future health professionals

7. 7 Guiding Principles 4. PARTNERSHIP & COLLABORATION Partnerships across health sector and with other sectors Foster the creation of supportive environments for health via community and citizen engagement

9. 9 Foundational Standard GOAL Public health practice responds effectively to current and evolving conditions, and contributes to the public's health and well-being.

10. 10 Foundational Standard SOCIETAL OUTCOMES 1.Population health needs are anticipated, identified, addressed, and evaluated. 2.Emerging threats to the public’s health are prevented or mitigated. 3.Community-based planning and delivery of public health programs and services incorporate new public health knowledge.

12. 12 Requirements under the Foundational Standard POPULATION HEALTH ASSESSMENT Requirement #1: The board of health shall assess current health status, health behaviours, preventive health practices, health care utilization relevant to public health, and demographic indicators in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current). Requirement #2: The board of health shall assess trends and changes in local population health in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

13. 13 Requirements under the Foundational Standard POPULATION HEALTH ASSESSMENT Requirement #3: The board of health shall use population health, determinants of health and health inequities information to assess the needs of the local population, including the identification of populations at risk, to determine those groups that would benefit most from public health programs and services (i.e., priority populations). Requirement #4: The board of health shall tailor public health programs and services to meet local population health needs, including those of priority populations, to the extent possible based on available resources.

14. 14 Requirements under the Foundational Standard POPULATION HEALTH ASSESSMENT Requirement #5: The board of health shall provide population health information including determinants of health and health inequities to the public, community partners, and health care providers, in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current). Requirement #6: The board of health shall conduct surveillance, including the ongoing collection, collation, analysis, and periodic reporting of population health indicators, as required by the Health Protection and Promotion Act and in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

15. 15 OPHS Social Determinants of Health Income and social status Social support networks Education and literacy Employment/working conditions Social and physical environments Personal health practices and coping skills Healthy child development Biology and genetic endowment Health services Gender Culture Language

16. 16 Requirements under the Foundational Standard SURVEILLANCE Requirement #6: The board of health shall conduct surveillance, including the ongoing collection, collation, analysis, and periodic reporting of population health indicators, as required by the Health Protection and Promotion Act and in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

17. 17 Requirements under the Foundational Standard SURVEILLANCE Requirement #7: The board of health shall interpret and use surveillance data to communicate information on risks to relevant audiences in accordance with the Identification, Investigation and Management of Health Hazards Protocol, 2008 (or as current); the Infectious Diseases Protocol, 2008 (or as current); the Population Health Assessment and Surveillance Protocol, 2008 (or as current); the Public Health Emergency Preparedness Protocol, 2008 (or as current); and the Risk Assessment and Inspection of Facilities Protocol, 2008 (or as current).

18. 18 Requirements under the Foundational Standard RESEARCH & KNOWLEDGE EXCHANGE Requirement #8: The board of health shall engage in knowledge exchange activities with public health practitioners, policy-makers, community partners, health care providers, and the public regarding factors that determine the health of the population and support effective public health practice gained through population health assessment, surveillance, research, and program evaluation. Requirement #9: The board of health shall foster relationships with community researchers, academic partners, and other appropriate organizations to support public health research and knowledge exchange.

19. 19 Requirements under the Foundational Standard RESEARCH & KNOWLEDGE EXCHANGE Requirement #10: The board of health shall engage in public health research activities, which may include those conducted by the board of health alone or in partnership or collaboration with other organizations.

20. 20 Requirements under the Foundational Standard PROGRAM EVALUATION Requirement #11: The board of health shall routinely monitor program activities and outcomes to assess and improve the implementation and effectiveness of programs and services, including collection, analysis, and periodic reporting of indicators related to inputs, resources, implementation processes, reach, outputs, and outcomes.

21. 21 Requirements under the Foundational Standard PROGRAM EVALUATION Requirement #12: The board of health shall conduct program evaluations when new interventions are developed or implemented, or when there is evidence of unexpected operational issues or program results, to understand the linkages between inputs, activities, outputs, and outcomes. Requirement #13: The board of health shall use a range of methods to facilitate public health practitioners’ and policymakers’ awareness of the factors that contribute to program effectiveness.

22. 22 Foundational Standard BOH OUTCOMES 1.Public health programs and services are planned and implemented to address local population health needs. 2.The public, community partners, and health care providers are aware of relevant and current population health information. 3.The board of health identifies public health priorities, including identification of emerging public health issues.

23. 23 Foundational Standard BOH OUTCOMES 4.The board of health allocates resources to reflect public health priorities and reallocates resources, as feasible, to reflect emergent public health priorities. 5.Relevant audiences have available information that is necessary for taking appropriate action. 6.Public health practitioners, policy-makers, community partners, health care providers, and the public are aware of the best available research regarding the factors that determine the health of the population and support effective public health practice.

24. 24 Foundational Standard BOH OUTCOMES 7.The board of health has effective partnerships with community researchers, academic partners, and other appropriate organizations to support public health research and knowledge exchange. 8.The board of health identifies program implementation issues in a timely and effective manner. 9.Public health practitioners and policy-makers are aware of the effectiveness of existing programs and services, as well as factors contributing to their outcomes.

25. 25 Questions? Linda Stewart linda@alphaweb.org 416-595-0006 x 22