Minutes - February 21, 2019 - Board of Health Meeting

Members Present:

Ms. Trish Fulton (Chair)
Ms. Maureen Cassidy (Vice-Chair)
Ms. Aina DeViet
Mr. Ian Peer
Ms. Elizabeth Peloza
Mr. Matt Reid
Mr. John Brennan
Ms. Kelly Elliott

Regrets:
Mr. Michael Clarke
Ms. Tino Kasi

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications Coordinator (Recorder)
Mr. Jordan Banninga, Manager, Program Planning and Evaluation
Mr. Joe Belancic, Manager, Procurement and Operations
Ms. Rhonda Brittan, Manager, Healthy Communities & Injury Prevention
Ms. Laura Di Cesare, Director, Healthy Organization
Mr. Jeff Cameron, Stronghold Services
Mr. Dan Flaherty, Communications Manager
Ms. Donna Kosmack, Manager, Southwest Tobacco Control Area Network
Ms. Heather Lokko, Director, Healthy Start
Ms. Ronda Manning, Manager, Early Years
Mr. David Pavletic, Manager, Food Safety and Healthy Communities
Mr. Endri Poletti, Architect
Ms. Kendra Ramer, Manager, Strategic Projects
Ms. Dawn Rawsenburg, BES Construction Consultants
Ms. Maureen Rowlands, Director, Healthy Living
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control
Mr. Alex Tyml, Online Communications Coordinator
Mr. Stephen Turner, Director, Environmental Health and Infectious Disease

Chair Fulton called the meeting to order at 7:16 p.m.

Chair Fulton introduced and welcomed Ms. Aina DeViet to the Board of Health.

Disclosures of Conflict(s) of Interest

Chair Fulton inquired if there were any disclosures of conflicts of interest. None were declared.

Approval of Agenda

It was moved by Mr. Peer, seconded by Mr. Reid, that the AGENDA for the February 21, 2019 Board of Health meeting be approved. Carried

Minutes

It was moved by Ms. Elliott, seconded by Mr. Reid, that the MINUTES of the January 24, 2019 Board of Health meeting be approved. Carried

It was moved by Mr. Peer, seconded by Ms. Elliott, that the MINUTES of the February 5, 2019 Relocation Advisory Committee meeting be received. Carried

It was moved by Mr. Peer, seconded by Ms. Elliott, that the MINUTES of the February 7, 2019 Finance & Facilities Committee meeting be received. Carried

It was moved by Mr. Peer, seconded by Ms. Elliott, that the MINUTES of the February 14, 2019 Finance & Facilities Committee meeting be received. Carried

Delegations and Committee Reports

Mr. Ian Peer, Chair, Relocation Advisory Committee, reviewed Report No. 009-19 summarizing the February 5, 2019 Relocation Advisory Committee meeting.

Floor Plan – Final Draft (Report No. 002-19RAC)

It was moved by Mr. Peer, seconded by Ms. DeViet, that the Board of Health receive Report No. 002-19RAC re: “Floor Plan – Final Draft” for information. Carried

Mr. Peer advised that the consultation process with staff has been quite extensive.

Dr. Mackie noted that this report, the floor plans, and Report No. 011-19 re: “Location Project – Finance and Budget Update” would be discussed in public session in further detail after a confidential report is considered by the Board of Health.

Location Project – Demolition Update January 2019 (Report No. 001-19RAC)

It was moved by Mr. Brennan, seconded by Ms. Elliott, that the Board of Health receive Report No. 001-19RAC re: “Location Project – Demolition Update January 2019” for information. Carried

Mr. Peer provided context for this report and reviewed some of the details of the demolition to date, including certain costs that the new landlord will cover and costs of some additional demolition projects.

Mr. Matt Reid, Chair, Finance & Facilities Committee (FFC), reviewed Reports Nos. 010-19 and 010A-19, from the February 7 and 14 FFC Meetings, as well as the reports included for the Board of Health’s consideration:

Finance & Facilities Committee – Terms of Reference (Report No. 001-19FFC)
It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health Receive Report No. 001-19FFC re: “Finance & Facilities Committee – Terms of Reference” for information. Carried

Finance & Facilities Committee – 2019 Reporting Calendar (Report No. 002-19FFC)
It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health receive Report No. 002-19FFC re: “Finance & Facilities Committee – 2019 Reporting Calendar” for information. Carried

Health Unit General Insurance Policy Renewal (Report No. 003-19FFC)
It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health approve the renewal of the Health Unit’s insurance as outlined in Report No. 003-19FFC re: “Health Unit General Insurance Policy Renewal.” Carried

Technology and Infrastructure Reserve Funds (Report No. 004-19FFC)
It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health approve the use of up to $1,500,000 in Technology and Infrastructure Reserve Fund monies to fund, in part, the cost of leasehold improvements in connection with the Health Unit’s relocation of premises to Citi Plaza. Carried

IT Status Report – Q1 2019 (Report No. 005-19FFC)
It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health receive Report No. 005-19FFC re: “Information Technology Status Report – Q1 2019” for information. Carried

Verbal Update – PBMA Process: Overview, Results, and Considerations
It was moved by Mr. Reid, seconded by Ms. Elliott that the Board of Health receive the verbal update re: PBMA Process: Overview, Results, and Considerations for information. Carried

Reports from the February 14 Board of Health meeting:

Funding Requests to Ministry of Health (Report No. 006-19FFC)

It was moved by Mr. Reid, seconded by Mr. Peer, that the Board of Health:
1) Approve Appendix A, outlining Base Funding Requests totalling $328,469;
2) Approve Appendix B, outlining One-Time Funding Requests totalling $534,994; and
3) Direct staff to submit these funding requests in the 2019 Annual Service Plan to the Ministry.
Carried

2019 Proposed Budget (Report No. 007-19FFC)

Discussion ensued on the following items:
• That this budget has a 0% increase in funding requests from both the City and the County.
• MLHU has not asked for a funding increase from the City or the County in over ten years.
• What the anticipated funding from the Province will be when they deliver their budget in March.
• How a change in funding from the Province might be handled.

It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health:
1) Approve the 2019 Proposed Budget in the gross amount of $34,601,981 as appended to Report No. 007-19FFC re: “2019 Proposed Budget”;
2) Direct staff to bring forward for approval via the quarterly variance process priorities from the list of “2019 PBMA Proposals to be Considered for Variance Funding or Other Alternatives” in Appendix A;
3) Forward Report No. 007-19FFC to the City of London and the County of Middlesex for information; and
4) Direct staff to submit the 2019 Proposed Budget in the various formats required by the different funding agencies.
Carried

Southwest Tobacco Control Area Network (SW TCAN) Single Source Vendor (Report No. 008-19FFC)

It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health award a single-source vendor contract to Rescue: The Behavior Change Agency in an amount up to $127,003.53 as identified in Report No. 008-19FFC re: “Southwest Tobacco Control Area Network (SW TCAN) Single Source Vendor.” Carried

Southwest Tobacco Control Area Network Contract Extension (Report No. 009-19FFC)

It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health award a single-source vendor contract to Cinnamon Toast in an amount up to $29,800 as identified in Report No. 009-19FFC re: “Southwest Tobacco Control Area Network Contract Extension.” Carried

Delegations and Information Reports

Ms. Heather Lokko, Chief Nursing Officer, provided an update on the programs within the Office of the Chief Nursing Officer and reviewed the two reports before the Board from the Office of the Chief Nursing Officer.

Health Equity Indicator Assessment and Recommendation Report: 2018 Update and Looking Forward to 2019 (Report No. 013-19)

It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health receive Report No. 013-19 re: “Health Equity Indicator Assessment and Recommendation Report: 2018 Update and Looking Forward to 2019” for information. Carried

Report on Health Equity Staff Capacity Building Activities (Report No. 014-19)

It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health receive Report No. 014-19 re: “Report on Health Equity Staff Capacity Building Activities” for information. Carried

Mr. Jeff Cameron, Manager, Information Technology, and CEO, Stronghold Services, provided an update on the Information Technology Team, which included a review of all major projects, initiatives, and improvements Stronghold has made while working with MLHU; and the upcoming projects planned for 2019, including cyber insurance, telecommunications, electronic client records, IT service delivery, and issues tracking.

Ms. Cassidy and Ms. Peloza arrived at 7:48 p.m.

Discussion ensued on the following items:
• That Stronghold is also working with Southwest Public Health.
• That Board members recalled when the decision was made to contract IT services—a unique decision at the time, but one in which MLHU seems to be taking a leadership role. The Board recognized the great work that Stronghold has done at MLHU so far.

It was moved by Ms. Elliott, seconded by Ms. DeViet, that the Board of Health receive the Information Technology program update.
Carried

Ms. Ronda Manning, Manager, Early Years Team, provided an overview of her team’s activities, including its work in regard to growth and development, breastfeeding, and mental health promotion.

Update on Implementation of Breastfeeding Planning Recommendations (Report No. 012-19)

Discussion ensued on the topic of breastfeeding mothers who received calls 24 to 48 hours after leaving the hospital; the number of babies born in Middlesex London; and a clarification of the number of mothers that receive a phone call or other follow-up from the Early Years Team after giving birth.

It was moved by Ms. Elliott, seconded by Ms. Cassidy, that the Board of Health receive Report No. 012-19 re: “Update on Implementation of Breastfeeding Program Recommendations” for information. Carried

Ms. Linda Stobo, Manager, Chronic Disease Prevention & Tobacco Control introduced the variety of staff and programs within the Chronic Disease Prevention & Tobacco Control Team and summarized the work of the team with regard to policy development and work in the community to improve and promote healthy choices, behaviours, and health outcomes.

Discussion ensued on the increased uptake of vaping among young people and what the team has been seeing with regard to uptake and vaping rates in youth populations.

Ms. Rhonda Brittan, Manager, Healthy Communities & Injury Prevention (HCIP), provided a summary of the work undertaken by the HCIP Team, both together with MLHU teams and staff, and within the community.

Update on the Legalization of Cannabis in Canada (Report No. 015-19)

Ms. Stobo provided context for this report in order to ensure that Board members were apprised of information and ongoing activity in regard to the legalization of cannabis.

Discussion ensued on the topics of retail outlets and their locations throughout the City; applications that have been received so far; the timeline for the opening of retail outlets; the timeline of funding for preventive activities; and when such funding might come through to the health units.

It was moved by Ms. Elliott, seconded by Ms. Peloza, that the Board of Health receive Report No. 015-19 re: “An Update on the Legalization of Cannabis in Canada” for information. Carried

Vulnerable Occupancy Inspection Work and Public Health Interventions (Report No. 016-19)

Mr. Turner introduced this report and provided context regarding the work currently being done to address concerns about vulnerable occupancies in London and Middlesex County. This work dovetails with some of the significant health inequities at play in vulnerable occupancies of the under-housed.

It was moved by Ms. Cassidy, seconded by Mr. Peer, that the Board of Health receive Report No. 016-19 re: “Vulnerable Occupancy Inspection Work and Public Health Interventions” for information. Carried

Summary Information Report for February (Report No. 017-19)
It was moved by Mr. Peer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 017-19 re: “Summary Information Report – February 2019” for information. Carried

Medical Officer of Health/Chief Executive Officer Activity Report for February (Report No. 018-19)
It was moved by Ms. Cassidy, seconded by Ms. Elliott, that the Board of Health receive Report No. 018-19 re: “Medical Officer of Health Activity Report for February” for information. Carried

Correspondence

It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health receive items a), through d). Carried

It was moved by Mr. Brennan, seconded by Ms. Cassidy, that the Board of Health endorse item e). Carried

It was moved by Ms. Cassidy, seconded by Mr. Reid, that the Board of Health endorse item f). Carried

Other Business

Chair Fulton reviewed the next meeting dates:
• Next Finance & Facilities Committee meeting: Thursday, March 7, 2019 @ 9:00 a.m.
• Next Board of Health meeting: Thursday, March 21, 2019 @ 7:00 p.m.
• Next Governance Committee meeting: March 21, 2019 @ 6:00 p.m.

Confidential

At 8:25 p.m., it was moved by Ms. Cassidy, seconded by Ms. Elliott, that the Board of Health move in-camera to consider matters regarding employee negotiations, potential litigation, identifiable individuals, and information (technical, commercial, or financial) that belongs to the Board and has monetary value. Carried

At 8:54 p.m., it was moved by Ms. Cassidy, seconded by Ms. Elliott, that the Board of Health rise and return to public session. Carried

Recommendation Reports

Location Project – Finance and Budget Update (Report No. 011-19)

Mr. Peer clarified the recommendation in the report.

It was moved by Mr. Peer, seconded by Ms. Cassidy, that the Board of Health:
1) Receive Report No. 011-19 re: “Location Project – Finance and Budget Update” for information; and
2) Consider further staff recommendations that will come forward when build costing is available.
Carried

Adjournment

At 8:57 p.m., it was moved by Ms. Cassidy, seconded by Ms. Elliott, that the meeting be adjourned. Carried

TRISH FULTON
Chair

CHRISTOPHER MACKIE
Secretary-Tresurer