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BOARD OF HEALTH ORIENTATION SESSION

Association of Local Public Health AgenciesFebruary 10, 2011

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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 RepresentativesAffiliates

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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 yearAdvocacy CommitteeProfessional Development Steering Committee1 year term for PresidentPresident alternates annually between BOH and

MOH representativeCurrent President, Valerie Sterling, Toronto

Board of HealthVice 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 OntarioMeet face-to-face 3 times per year

– February– June– November

Networking and information sharingListserveExecutive Committee member communication

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BOH Section Executive

7 Members5 Meetings per yearElection in June2 year termRepresent BOHs on alPHa’s Board of DirectorsPolicies and Procedures

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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 RegionVacancy – 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?

Autonomous 22Autonomous/Integrated 3 Regional 7Single-Tier 3Semi-Autonomous 1

Total 36

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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 appointeesOperates 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 representativesNo 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 representativesNo 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 staffingNo 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 themDefines duties and responsibilities of BOHsFor MOHs, provides authority to inspect,

enforce, and issue ordersGives Minister of Health right to investigateGives BOH responsibility to ensure the delivery

of the Ontario Public Health Standardshttp://www.e-laws.gov.on.ca/index.html

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Ontario Public Health Standards (OPHS)

Program StandardsProtocolsGuidance 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:

– 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

Chronic Diseases and Injuries Family Health Infectious DiseasesEnvironmental HealthEmergency Preparedness

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Boards of Health

Oversight Role for:– priority setting– planning and evaluation of OPHS– fiscal accountability– labour relations

Accountable to the communityHire 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– 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 healthHired by the 3 political partiesReports annually to the legislature in the

independent roleWorks closely with government Can act anywhere in Ontario with the powers of

an MOHDr. Arlene King

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Key Players

Assistant Deputy Minister, Public HealthAdministrative lead for the Public Health

Division in the Ministry of Health and Long-term Care

Responsible for funding decisionsResponsible for accountability agreementsAllison Stuart

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Key Players

FUNDERSMunicipalitiesMinistry of Health and Long-term CareMinistry of Health PromotionMinistry 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 Stewartlinda@alphaweb.org416-595-0006 x 22