Minutes - February 6, 2020 - Finance & Facilities Committee Meeting

Members Present:

Ms. Kelly Elliott (Chair)
Ms. Aina DeViet
Ms. Tino Kasi
Mr. Ian Peer

Regrets:
Ms. Maureen Cassidy

Others Present:

Mr. Bob Parker, Board of Health Member
Dr. Christopher Mackie, Secretary-Treasurer
Ms. Lynn Guy, Executive Assistant to the Medical Officer of Health (Recorder)
Ms. Laura Di Cesare, Director, Corporate Services
Mr. Brian Glasspoole, Manager, Finance
Mr. Joe Belancic, Manager, Procurement and Operations
Mr. Jordan Banninga, Manager, Program Planning and Evaluation
Ms. Cynthia Bos, Manager, Human Resources
Ms. Kendra Ramer, Manager, Strategic Projects
Ms. Nicole Gauthier, Manager, Privacy, Risk and Governance
Ms. Rhonda Brittan, Manager, Healthy Communities and Injury Prevention
Mr. Jeff Cameron, Manager, IT
Dr. Alex Summers, Associate Medical Officer of Health
Ms. Heather Lokko, Director, Healthy Start

At 9:00 a.m., Dr. Mackie called the meeting to order and opened the floor to nominations for Chair of the Finance & Facilities Committee for 2020.

It was moved by Ms. DeViet, seconded by Mr. Peer, that Ms. Elliott be nominated for Chair of the Finance & Facilities Committee for 2020. Carried
Ms. Elliott accepted the nomination.

Dr. Mackie called three times for further nominations. None were forthcoming.

It was moved by Ms. DeViet, seconded by Mr. Peer, that Ms. Elliott be acclaimed as Chair of the Finance & Facilities Committee for 2020. Carried

Chair Elliott reviewed the Committee’s membership to ensure quorum.

Disclosures of Conflict(s) of Interest

Chair Elliott inquired if there were any disclosures of conflict of interest. None were declared.

Approval of Agenda

It was moved by Ms. DeViet, seconded by Mr. Peer, that the AGENDA for the February 6, 2020 Finance & Facilities Committee meeting be approved. Carried

Approval of Minutes

It was moved by Mr. Peer, seconded by Ms. DeViet, that the MINUTES of the December 5, 2019 Finance & Facilities Committee meeting be approved. Carried

New Business

2020 Terms of Reference and Annual Reporting Calendar (Report No. 001-20FFC)

The Terms of Reference and Reporting Calendar were attached to this report to help guide Committee members throughout the year.

It was moved by Mr. Peer, seconded by Ms. Kasi, that the Finance & Facilities Committee approve Report No. 001-20FFC re: “Terms of Reference and Reporting Calendar.” Carried

2020 Proposed Budget (Report No. 002-20FFC)

Dr. Mackie noted that the Annual Service Plan (ASP) is the tool that the Health Unit uses to report its budget to the Ministry of Health.

Dr. Mackie provided a Program Budget Marginal Analysis (PBMA) overview. Recognizing that all programs and activities are valuable, the PBMA process asks staff to consider opportunities for investment and/or disinvestment in their programs to provide the best possible delivery of programs and services to clients while ensuring the least negative impact.

Mr. Glasspoole provided an overview of the 2020 budget considerations, including inflationary pressures related to cost-of-living increases for staff; incremental premises cost in connection to the relocation to Citi Plaza, and PBMA-related disinvestments of $493,388.

Mr. Glasspoole provided a three-year (2018–20) budget overview. He noted that the overall proposed budget for 2020 shows an increase of $707,034 over last year. Components of this increase include: an increase of $2,561,400 for the 100%-funded Ontario Seniors Dental Care Program, an increase of $166,846 from the City of London to support local cannabis enforcement and education, and a decrease of $2,096,759 from MCCSS for children’s screening programs.

There was discussion in regard to projecting how the municipalities’ contributions may change. Mr. Glasspoole said he didn’t feel that it would be a double-digit increase. Dr. Mackie noted that the City and the County have not put increased amounts in their budgets, but are reporting it as unknown.

Mr. Banninga reviewed the Divisions, including the teams and their respective programs. He explained the grouping of public health interventions into programs as related to specific diseases, topics, or populations. These interventions assist the program in achieving the desired outcomes. He noted that today the Finance & Facilities Committee would be looking at programs and interventions.

Mr. Peer mentioned the great amount of work that has gone into developing the ASP document. As most attendees had not had time to read through the entire document, Dr. Mackie asked that the focus today be on changes to the FTE count and budget. Staff will speak to each of these topics as required.

Dr. Mackie discussed the changes in Emergency Management, under the Emergency Management Standard, and noted that the reduction in one FTE resulted from not replacing an exiting Program Assistant. The remaining duties will now be performed by the Administrative Assistant to the Director.

The Communications Program, which falls under the Effective Public Health Practice Standard, experienced no significant changes. Discussion ensued on how to measure outcomes for this program and the increase in social media use, especially Instagram.

Program Planning and Evaluation (PPE) also falls under the Effective Public Health Practice Standard. Mr. Banninga reviewed the PPE Program. He noted that there were no significant changes to report.

The Quality and Transparency Program also reported no significant changes.

Mr. Banninga noted that the Research and Knowledge Exchange Program had seen a significant budget increase due to amalgamation of two programs. There was no change to service delivery.

Under the Health Equity Standard, Ms. Lokko provided the review for the Health Equity and Indigenous Public Health Practice programs. There was a question in regard to the first indicator as to teams consulting with HEART. Ms. Lokko said she would check the data provided to ensure accuracy.

Under the Population Health Assessment Standard, Dr. Summers provided the Population Health Assessment and Surveillance Program update. He reported no major changes and advised that the program remains stable and consistent.

Ms. Brittan provided updates for the Chronic Disease Prevention and Well-Being Team’s programs, reportable under the Chronic Disease Prevention and Well-Being Standard. These programs include: Healthy Eating Behaviours; Oral Health; Physical Activity and Sedentary Behaviours; Mental Health Promotion; and Ultraviolet Radiation and Sun Safety.

There was discussion in regard to Oral Health indicators. When the indictor numbers are available for 2019, they will be brought to the Board. Ms. Brittan advised that she would contact the program manager to obtain the data.

Dr. Summers reviewed the Food Safety Program, which is within the the Food Safety and Healthy Environments Team and reportable under the Food Safety Standard. Also reviewed, from this team, was the Health Hazard Response Program and the Healthy Environments and Climate Change Program.

Under the Healthy Growth and Development Standard, Ms. Lokko reviewed several programs in the Healthy Start Division: Breastfeeding and Infant Feeding; Growth and Development; Healthy Pregnancies; Mental Health Promotion; and Preconception Health.

Under the Healthy Growth and Development Standard, Dr. Summers reviewed the Healthy Sexuality Program in the EHID Division. Committee members requested more information on performance/service level indicators. Dr. Summers will ask why the 2020 target for youth accessing Birth Control Clinic services (3,000) is lower than for the previous year.

At 10:50 a.m., Chair Elliott asked for a motion to take a five-minute break.

It was moved by Ms. DeViet, seconded by Ms. Kasi, that the FFC take a five-minute break.

At 10:55 a.m., Chair Elliott called the meeting to order.

It was moved by Mr. Peer, seconded by Ms. DeViet, that the meeting proceed.

Dr. Summers updated the Committee on the programs reportable under the Infectious and Communicable Diseases Prevention and Control Standard, beginning with the Infection Prevention and Control (IPAC) Program and continuing with the other programs: Rabies and Zoonotic Disease; Respiratory, Enteric, and Other Infectious Disease; Sexually Transmitted and Blood-Borne Disease; Tuberculosis; and Vector-Borne Disease.

Dr. Summers continued his update for the EHID Division, under the Immunization Standard. The Division’s programs include: Adverse Vaccine Events and Safety; Vaccine Inventory Management; and Vaccine Preventable Disease.

Ms. Brittan introduced the School Health Standard, and reviewed the Comprehensive School Health, Oral Health, and Vision programs. There was discussion in regard to mental health services available in schools, which are provided via the Comprehensive School Health Program.

The Immunization Program, also reportable under the School Health Standard, is in the EHID Division. This update was given by Dr. Summers. A Board Member asked if mandatory indicators could be highlighted in the document? Dr. Mackie noted that the mandatory indicators are not current and will shift as Public Health Modernization proceeds.

Ms. Brittan provided the update for the Substance Use and Injury Prevention Standard, beginning with the Alcohol and Cannabis Program in the Health Living Division.

Chair Elliott noted that due to limited time, the ASP review will continue at the February 13, 2020 FFC meeting. Carried

Staff Reimbursement – Mileage (Report No. 003-19FFC)

Mr. Glasspoole noted that the mileage reimbursement rates have not been adjusted since 2014.

It was moved by Ms. DeViet, seconded by Mr. Peer, that the Finance & Facilities Committee make recommendation to the Board of Health to approve increases to employee mileage reimbursement rates, effective January 1, 2020, to $0.55/km for the first 5,000 km and $0.50/km thereafter. Carried

Other Business

Next meeting: February 13, 2020.

Confidential

At 11:30 a.m., it was moved by Ms. Kasi, seconded by Mr. Peer, that the Finance & Facilities Committee move in-camera to consider matters regarding a trade secret or financial information, supplied in confidence to the local board, which if disclosed, could reasonably be expected to prejudice significantly the competitive position, or interfere significantly with contractual or other negotiations, of a person, group of persons, or organization, and a trade secret or financial information that belongs to the municipality or local board and has monetary value.
Carried

At 11:53 a.m., it was moved by Mr. Peer, seconded by Ms. Kasi, that the Finance & Facilities Committee return to public session. Carried

At 11:54 a.m., the Finance & Facilities Committee returned to public session.

Adjournment

At 11:55 a.m., it was moved by Mr. Peer, seconded by Ms. DeViet, that the meeting be adjourned. Carried

At 11:56 a.m., Chair Elliott adjourned the meeting.

KELLY ELLIOTT
Chair

CHRISTOPHER MACKIE
Secretary-Treasurer