1. 1 BOARD OF HEALTH ORIENTATION SESSION Association of Local Public Health Agencies February 10, 2011

2. 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. 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. 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. 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. 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. 7 Board of Health Section You!

8. 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. 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. 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. 11 Executive Committee Vacancy South West RegionCHATHAM-KENT ELGIN ST THOMAS Term to June 2011GREY BRUCE HURON LAMBTON MIDDLESEX LONDON OXFORD PERTH WINDSOR-ESSEX

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

13. 13 What IS a Board of Health?

14. 14 What IS a Board of Health? Autonomous 22 Autonomous/Integrated 3 Regional 7 Single-Tier 3 Semi-Autonomous 1 Total36

15. 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. 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. 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. 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. 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. 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. 21

22. 22 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

23. 23 Public Health Protection –Inspections, reducing environmental hazards Promotion –Health education, healthy public policy Prevention –Immunization, screening, injury prevention

24. 24 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

25. 25 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 http://www.health.gov.on.ca/english/providers/ program/pubhealth/oph_standards/ophs/index. html

26. 26 OPHS - PRINCIPLES Boards of Health shall be guided by the following principles: –Need –Impact –Capacity –Partnership and Collaboration

27. 27 OPHS – FOUNDATIONAL STANDARD Evidence as foundation for PH practice Population health assessment –Includes social determinants of health and health inequities

28. 28 OPHS – PROGRAM STANDARDS Chronic Diseases and Injuries Family Health Infectious Diseases Environmental Health Emergency Preparedness

29. 29 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

30. 30 Key Players and Their Roles

31. 31 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

32. 32 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

33. 33 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

34. 34 Key Players FUNDERS Municipalities Ministry of Health and Long-term Care Ministry of Health Promotion Ministry of Children and Youth Services

35. 35 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

36. 36 Questions? Linda Stewart linda@alphaweb.org 416-595-0006 x 22