Minutes - July 18, 2019 - Board of Health Meeting

Members Present:

Ms. Trish Fulton (Chair)
Ms. Aina DeViet
Mr. Ian Peer
Mr. Matt Reid
Mr. John Brennan
Ms. Kelly Elliott
Mr. Michael Clarke
Ms. Maureen Cassidy

Regrets:

Ms. Elizabeth Peloza
Ms. Tino Kasi

Media:

Mr. Dan Brown

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications Coordinator (Recorder)
Ms. Laura Di Cesare, Director, Healthy Organization
Mr. Jordan Banninga, Manager, Program Planning and Evaluation
Mr. Joe Belancic, Manager, Procurement and Operations
Ms. Misty Golding, Manager, Oral Health
Mr. Brian Glasspoole, Manager, Finance
Ms. Heather Lokko, Director, Healthy Start
Ms. Maureen Rowlands, Director, Healthy Living
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control
Mr. Alex Tyml, Online Communications Coordinator
Ms. Adrina Zhong, Medical Student

Chair Fulton called the meeting to order at 7:00 p.m.

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 Ms. Cassidy, seconded by Mr. Peer, that the AGENDA for the July 18, 2019 Board of Health meeting be approved.

Carried

Minutes

It was moved by Mr. Brennan, seconded by Ms. Elliott, that the MINUTES of the June 20, 2019 Board of Health meeting be approved as amended.

Carried

It was moved by Ms. De Viet, seconded by Mr. Peer, that the MINUTES of the June 26, 2019 Special Meeting of the Board of Health meeting be approved.

Carried

It was moved by Mr. Brennan, seconded by Mr. Clarke, that the draft MINUTES of the June 26, 2019 Relocation Advisory Committee meeting be received.

Carried

It was moved by Ms. Elliott, seconded by Ms. Cassidy, that the draft MINUTES of the July 4, 2019 Finance & Facilities Committee meeting be received.

Carried

There was a question and some discussion with regard to the impact on service delivery anticipated due to the proposed 2020–21 budget process.

Delegations and Reports

July 4, 2019 Finance & Facilities Committee Meeting Update (Report No. 051-19)

Mr. Reid provided an update on the July 4, 2019 FFC meeting and reviewed the following reports for the Board’s consideration:

Multifunction Printers Contract Award (Report No. 025-19FFC)

Mr. Reid outlined the cost savings (approximately $56,000 per year) expected under this new contract.

It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health approve entering into a contractual agreement with Xerox Canada for the provision of office and production multi-function devices.

Carried

Proposed 2020–21 Budget Process, Criteria and Weighting (Report No. 026-19FFC)

Mr. Reid introduced and summarized the report, as recommended by the Finance & Facilities Committee.

Dr. Mackie provided an update on the most recent provincial policy file with regard to what the fiscal year might look like upon restructuring in 2020, and recommended that the Board add more flexibility in the third recommendation so that staff can have the option to develop a two-part budget if need be.

Discussion ensued on the cost-of-living increase, and how it is to be accounted for and calculated.

It was moved by Mr. Reid, seconded by Ms. De Viet, that the Board of Health:

1. Approve the PBMA criteria and weighting that is proposed in Appendix A to Report No. 026-19FFC;
2. Approve requesting the full amount of the provincial cost-sharing reductions, but not cost-of-living pressures, from the municipal funders; and
3. Approve the option of the development of a two-part budget representing the first quarter of 2020 and, separately, the 12 months from April 2020 to March 2021.

Carried

Mr. Reid noted that the next FFC meeting will be in September.

Child Visual Health and Vision Screening Protocol (Report No. 052-19)

Ms. Golding answered questions and Dr. Mackie clarified when this protocol was introduced.

Discussion ensued on the following items:

• If staff are confident that the Ministry will grant a waiver of this standard.
• How other health units can afford to do screening if they have no additional staff or funding.
• If the Protocol is part of the Ontario Public Health Standards.

It was moved by Ms. Elliott, seconded by Mr. Peer, that the Board of Health:

1. Receive Report No. 052-19 re: “Child Visual Health and Vision Screening Protocol” for information; and
2. Endorse staff communicating with the Ministry of Health and Long-Term Care to request that the vision screening requirements of the Child Visual Health and Vision Screening Protocol (2018) be waived for MLHU.

Carried

Generative Conversation: Public Health Unit Amalgamation (Verbal)

Chair Fulton introduced this discussion topic. Dr. Mackie provided the most recent information on amalgamation plans and the consultation process planned for the summer.

Dr. Mackie recounted some of the conversations that had taken place at the staff level and at the recent South West Medical Officers of Health / CEOs meeting. He noted that some very good early relationship building and other productive conversations have been happening around timelines for dissolving Boards of Health in 2020.

Dr. Mackie added that this discussion will provide insight into what is important about public health work and needs to continue, what input the Board of Health wishes to have, and how the Board aims to be involved in amalgamation planning.

Dr. Mackie introduced two exercises to help inform the conversation and the Board’s mission:

Exercise #1:
A one-minute, personal essay about what each member would like to contribute to the world to make it a better place.

Exercise #2:
A partner exercise to discuss MLHU’s current mission to “protect and promote the health of our community.” Does this mission still apply in the context of amalgamation? Is there anything that ought to be adjusted as we look toward a new regional public health entity?

Discussion ensued on the following items:

• Building on the mission rather than changing it entirely.
• Addressing local needs within a much larger, more diverse catchment area, and how to maintain a local focus in an expanded geographic area.
• What defines a community; and the fact that “community” as it currently exists in our mission is singular in character, but with regionalization the new public health entity will be a collection of many diverse communities.
• Locally accountable governance structure, and what governance models within such a structure might look like.
• How to maintain local relationships tailored to local needs.
• The consultation process for this summer, its timelines, and how it is likely to be structured.

Essential Components for Local Public Health (Report No. 053-19)

Ms. Fulton noted that she would like to write a cover letter for this report and appendix that summarizes the Health Unit’s discussions on this topic.

Dr. Mackie noted that Board Chairs are likely to be included in the next South West Medical Officers of Health / CEOs gathering to discussion amalgamation.

It was moved by Mr. Clarke, seconded by Mr. Peer, that that the Board of Health:

1. Receive Report No. 053-19 re: “Essential Components for Strong Local Public Health” for information; and
2. Direct staff to forward the Report in Appendix A to the Minister of Health, other boards of health, and relevant stakeholders.

Carried

Shared Funding for Consumption and Treatment Services (Report No. 054-19)

Dr. Mackie introduced the report. Mr. Glasspoole provided context.

The Board noted that this report accurately reflects the Health Unit’s position, commended MLHU and RHAC for their leadership in supervised consumption, and recognized all the work they have done to date to address the local opioid crisis.

It was moved by Mr. Clarke, seconded by Ms. Cassidy, that the Board of Health:

1. Receive Report No. 054-19 re: Shared Funding for Consumption and Treatment Services (CTS) Site for information and
2. Approve declining $53,158 of funding for program staff that were already funded through the MLHU budget in 2018 in order to partially ease funding pressures faced by the Regional HIV/AIDS Connection (RHAC) in operating the CTS.

Carried

Summary Information Report for July (Report No. 055-19)

Ms. Stobo introduced the report and provided context.

Discussion ensued on the following items:

• Targeting future campaigns toward vaping.
• Marketing of vapour products to youth.
• That nicotine levels in vapour products are so high that youth are becoming highly addicted.

It was moved by Mr. Reid, seconded by Ms. Cassidy, that the Board of Health receive Report No. 055-19 re: “Summary Information Report for July” for information.

Carried

Medical Officer of Health/CEO Activity Report for July (Report No. 056-19)

It was moved by Mr. Peer, seconded by Mr. Reid, that the Board of Health receive Report No. 056-19 re: “Medical Officer of Health Activity Report for July” for information.

Carried

Correspondence

It was moved by Ms. De Viet, seconded by Ms. Elliott, that the Board of Health receive correspondence items a) through v).

Carried

Other Business

Cancellation of August 15, 2019 Board of Health Meeting

It was moved by Ms. Elliott, seconded by Mr. Peer, that the Board of Health cancel the August 15, 2019 Board of Health meeting.

Carried

Chair Fulton reviewed the next meeting dates:

• Finance & Facilities Committee: Thursday, September 5, 2019 @ 9:00 a.m.
• Board of Health: Thursday, September 19, 2019 @ 7:00 p.m.
• Governance Committee: Thursday, September 19, 2019 @ 6:00 p.m.

Confidential

At 8:28 p.m., it was moved by Ms. Cassidy, seconded by Ms. De Viet, that the Board of Health move in camera to consider matters regarding identifiable individuals and confidential minutes from the July 4, 2019 Finance & Facilities Committee meeting and the June 26, 2019 Relocation Advisory Committee meeting and Special Meeting of the Board of Health.

Carried

At 9:22 p.m., it was moved by Ms. Elliott, seconded by Ms. De Viet, that the Board of Health rise and return to public session.

Carried

At 9:22 p.m., the Board of Health returned to public session.

Adjournment

At 9:22 p.m., it was moved by Mr. Reid, seconded by Ms. Elliott, that the meeting be adjourned.

Carried

Trish Fulton
Chair

Christopher Mackie
Secretary-Treasurer