Minutes - March 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
Regrets:
Ms. Tino Kasi
Ms. Kelly Elliott
Mr. Michael Clarke

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. Cynthia Bos, HR Manager
Ms. Laura Di Cesare, Director, Healthy Organization
Mr. Dan Flaherty, Communications Manager
Ms. Nicole Gauthier, Manager, Privacy, Risk and Governance
Ms. Donna Kosmack, Manager, Southwest Tobacco Control Area Network
Ms. Melissa Knowler, Public Health Nurse
Ms. Ellen Lakusiak, Dietitian
Ms. Heather Lokko, Director, Healthy Start
Ms. Kendra Ramer, Manager, Strategic Projects
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 Diseases

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. Peloza, seconded by Mr. Peer, that the AGENDA for the March 21, 2019 Board of Health meeting be approved. Carried

Minutes

It was moved by Ms. DeViet, seconded by Mr. Reid, that the MINUTES of the February 21, 2019 Special Meeting of the Board of Health be approved. Carried

It was moved by Ms. DeViet, seconded by Mr. Reid, that the MINUTES of the February 21, 2019 Board of Health be approved. Carried

It was moved by Mr. Peer, seconded by Ms. Peloza, that the MINUTES of the November 15, 2018 Governance Committee meeting be received. Carried

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

Ms. Rowlands and Mr. Turner arrived at 7:03 p.m.

Delegations and Reports

March 7, 2019 Finance & Facilities Committee (FFC) Meeting Update (Report No. 020-19)

Mr. Matt Reid, Chair, Finance & Facilities Committee, introduced and reviewed the reports considered at the March 7 FFC meeting.

2018 Board of Health Remuneration (Report No. 010-19FFC)

It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health receive Report No. 010-19FFC re: “2018 Board of Health Remuneration” for information. Carried
By-Law and Policy Review (Report No. 011-19FFC)

Mr. Reid reported that the report had been received by the Finance & Facilities Committee for information.

Q4 Financial Update and Factual Certificate (Report No. 012-19FFC)

It was moved by Mr. Reid, seconded by Ms. Peloza, that the Board of Health approve Report No. 012-19FFC re: “Q4 Financial Update and Factual Certificate.” Carried

2018 Vendor/Visa Payments (Report No. 013-19FFC)

Mr. Reid reported that the report had been received by the Finance & Facilities Committee for information.

Public Sector Salary Disclosure Act – 2018 Record of Employees’ Salaries and Benefits (Report No. 014-19FFC)

Mr. Reid noted this has already been sent to the Ministry before coming to the board due to deadlines.

It was moved by Mr. Reid, seconded by Mr. Peer, that the Board of Health receive Report No. 014-19FFC re: “Public Sector Salary Disclosure Act – 2018 Record of Employee’s Salaries and Benefits” for information. Carried

Mr. Reid noted that the April 4, 2019 Finance & Facilities committee meeting will be cancelled. Dr. Mackie advised that the next meeting will be held on May 2.

Chair Fulton welcomed Ms. DeViet as the new Chair of the Governance Committee for 2019.

March 21, 2019 Governance Committee meeting – Verbal Update

Ms. DeViet introduced the following reports reviewed at the Governance Committee meeting at 6:00 p.m.

Q1 2019 Activity Report – Strategic Projects (Report No. 001-19GC)

It was moved by Ms. DeViet, seconded by Mr. Reid, that the Board of Health receive Report No. 001-19GC re: “Q1 2019 Activity Report – Strategic Projects” for information. Carried
2017 Year-end Performance on Accountability Indicators (Report No. 002-19GC)

It was moved by Ms. DeViet, seconded by Ms. Peloza, that the Board of Health receive Report No. 002-19GC re: “2017 Year-end Performance on Accountability Indicators” for information. Carried
Governance Policy Review and Development (Report No. 003-19GC)

Ms. DeViet noted the amount of work by staff that went into reviewing these policies. She also outlined the plan for policy review going forward, considering that policies are required to be reviewed every two years per the requirements of the Ontario Public Health Standards.

It was moved by Ms. DeViet, seconded by Mr. Reid, that the Board of Health:
1) Approve the governance by-laws and policies appended to this report; and
2) Approve development of the new governance policies outlined within this report.
Carried

Governance Committee Reporting Calendar (Report No. 004-19GC)

It was moved by Ms. DeViet, seconded by Ms. Cassidy, that the Board of Health approve the 2019 Governance Committee Reporting Calendar. Carried

2019 Board Development (Report No. 005-19GC)

Ms. DeViet noted that there is a plan to carry out board development activities in June, which will be scheduled based on Board members’ availabilities.

It was moved by Ms. DeViet, seconded by Ms. Peloza, that the Board of Health approve the “Leading Through Transition/Change Management” session delivered by Your Latitude as a 2019 Board development opportunity. Carried

Board of Health Self-Assessment (Report No. 006-19GC)

It was moved by Ms. DeViet, seconded by Ms. Peloza, that the Board of Health:
1) Approve the Board of Health Self-Assessment Tool appended to this report; and
2) Approve initiation of the Board of Health self-assessment process for 2019.
Carried

Ms. DeViet noted that the next Governance Committee meeting will be held on June 20.

Chair Fulton introduced the program updates for the evening and provided context for the program update process (which aligns with the Annual Service Plan) to give board members an overview of the comprehensive work that takes place at MLHU.

Program Update: Privacy, Risk, and Governance

Ms. Di Cesare introduced Ms. Gauthier and the Privacy, Risk, and Governance program within the Healthy Organization Division.

Ms. Gauthier provided a summary of key initiatives and focus of work, which include employee education and policy development for the privacy, risk, and governance portfolio.

Program Update: Human Resources

Ms. Bos introduced and provided an overview of the Human Resources program within the Healthy Organization Division and some of the highlights and initiatives planned for 2019, which include outsourcing of payroll services, the Diversity and Inclusion Project, and implementation of a new Enterprise Resource Planning tool.

Program Update: Strategic Projects

Ms. Ramer introduced the Strategic Projects team within the Healthy Organization Division and reviewed some of the main functions of this team, which provides internal support for project lifecycles within the organization.

Program Update: Oral Health

Ms. Rowlands introduced Ms. Golding, Manager, Oral Health, Healthy Living Division. Ms. Golding provided an overview of the Oral Health program, which includes school dental screenings, clinical services, and the fluoride varnish program, which is applied after the dental screening takes place in schools.

Discussion ensued on the following items:
• The fluoride varnish program in schools and the criteria upon which the program is based.
• How schools are categorized for the fluoride varnish program.
• The percentage of kids that are being missed under the program criteria.
• The percentage of families enrolled in the Healthy Smiles Program versus those that actually access services once enrolled.

London Community Dental Alliance Update (Report No. 021-19)

It was moved by Ms. Cassidy, seconded by Ms. DeViet, that the Board of Health receive Report No. 021-19 re: “London Community Dental Alliance Update” for information. Carried

Board of Health Representation on the Food Policy Council (Report No. 022-19)

Chair Fulton reviewed the requirements and responsibilities of the voting position on the Middlesex-London Food Policy Council as outlined in the report.

Chair Fulton advised the Board that Mr. John Brennan has agreed to let his name stand should the Board wish to nominate him for the position on the Food Policy Council.

It was moved by Ms. Peloza, seconded by Mr. Brennan, that the Board of Health receive Report No. 022-19 re: “Board of Health Representation on the Food Policy Council” for information. Carried

It was moved by Mr. Reid, seconded by Ms. Cassidy, that the Board of Health appoint Mr. John Brennan to the Middlesex-London Food Policy Council as a voting member. Carried

Chair Fulton thanked Mr. Brennan for agreeing to put his name forward and participate on the Middlesex-London Food Policy Council.

Association of Local Public Health Agencies (alPHa) Resolution: Preventing Mental Illness Through Early Childhood Development Programming (Report No. 023-19)

Dr. Mackie introduced the report and provided context for the alPHa Resolution process.

Ms. Lokko provided context for this report and advised the Board that three additional health units will be co-sponsoring this resolution.

It was moved by Ms. DeViet, seconded by Mr. Peer, that the Board of Health:
1) Receive Report No. 023-19 re: “Association of Local Public Health Agencies (alPHa) Resolution: Preventing Mental Illness Through Early Childhood Development Programming” for information; and
2) Co-sponsor the proposed resolution for the 2019 alPHa Annual General Meeting.
Carried

Summary Information Report for March (Report No. 024-19)

It was moved by Ms. Cassidy, seconded by Ms. DeViet, that the Board of Health receive Report No. 024-19 re: “Summary Information Report – March 2019” for information. Carried

Medical Officer of Health/CEO Activity Report for March (Report No. 025-19)

It was moved by Mr. Peer, seconded by Ms. DeViet, that the Board of Health receive Report No. 025-19 re: “Medical Officer of Health Activity Report for March” for information. Carried

Health Canada Seeking Feedback on Measures to Limit Vaping Product Advertising (Report No. 026-19)

Discussion ensued on the prevalence of vaping advertising.

It was moved by Mr. Peer, seconded by Mr. Reid, that the Board of Health:
1) Receive Report No. 026-19 re: “Health Canada Seeking Feedback on Measures to Limit Vaping Product Advertising”;
2) Submit a letter to the Tobacco Control Directorate of Health Canada, attached as Appendix A, expressing its support and recommendations for strengthened measures to limit vapour product advertising; and
3) Endorse and submit the letter, attached as Appendix B, that was prepared by the Southwest Tobacco Control Area Network on behalf of the eight public health units in southwestern Ontario, for its submission to Tobacco Control Directorate of Health Canada.
Carried

Ms. Rowlands recognized Ms. Stobo for her work in this area.

Correspondence

It was moved by Mr. Peer, seconded by Ms. Cassidy, that the Board of Health receive correspondence items a), through o). Carried

Dr. Mackie introduced and provided context for correspondence item p), which came via The Council of Medical Officers of Health (COMOH), and which seeks to ensure that science drives policy rather than an enforcement approach that can drive persons with HIV underground and discourage testing. This resolution brings a message of respect and inclusion, which, if communicated this way, can help to increase testing rates and decrease transmission rates.

It was moved by Ms. Cassidy, seconded by Ms. Peloza, that the Board of Health endorse item p) re: Undetectable=Untransmittable.
Carried

Other Business

Chair Fulton reviewed the next meeting dates:
• The next Finance & Facilities Committee meeting on Thursday, April 4, has been cancelled.
• The next Board of Health meeting is scheduled for Thursday, April 18 @ 7:00 p.m.
• The next Governance Committee meeting is scheduled for Thursday, June 20 @ 6:00 p.m.

Confidential

At 7:59 p.m., it was moved by Ms. DeViet, seconded by Mr. Reid, that the Board of Health move in-camera to consider matters regarding identifiable individuals and approve Confidential minutes from its November 15, 2018 Governance Committee meeting and February 21, 2019 Board of Health meeting. Carried

At 7:59 p.m., everyone left the meeting except the Board of Health, Dr. Mackie, Ms. Milne, Ms. Di Cesare, Ms. Rowlands, Ms. Lokko, and Mr. Turner.

At 8:27 p.m., it was moved by Ms. DeViet, seconded by Mr. Reid, that the Board of Health rise and return to public session. Carried

Adjournment

At 8:27 p.m., it was moved by Mr. Reid, seconded by Ms. Peloza, that the meeting be adjourned. Carried

TRISH FULTON
Chair

CHRISTOPHER MACKIE
Secretary-Tresurer