Windsor-Essex County Board of Health Meeting Minutes
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1 Windsor-Essex County Board of Health Meeting Minutes 2014 September 4 p.m. 360 Fairview Avenue West, Essex, Ontario, Room C Board Members Present: Mr. Ken Blanchette (@ 4:39 pm) Mr. Mark Carrick Ms. Eleanor Groh (via telephone) Mr. Irek Kusmierczyk Mr. Gary McNamara, Chair Mr. Richard Meloche Mr. Rob Modestino Ms. Michelle Watters Board Member Regrets: Mr. Hilary Payne Ms. Tamara Stomp Board Members Absent: Mr. Ron Jones Mr. Ed Sleiman Administration Present: Dr. Wajid Ahmed Ms. Nicole Dupuis Ms. Julie Fraser Dr. G. Allen Heimann Dr. Gary Kirk, Board Secretary Ms. Sharon Kelly Ms. Theresa Marentette Ms. Rosanne St. Denis (Recorder) Administration Regrets: Mr. Dan Sibley 1.0 Call to Order The Chair called the meeting to order at 4:18 p.m. 2.0 Moment of Reflection A moment of silence was not taken. 3.0 Agenda Approval that the agenda be approved with the addition of 14.1 Healthy Kids Community Challenge. 4.0 Announcements of Conflict of Interest None declared.
2 Board of Health Meeting-2014 September 18 Page Adoption of Minutes 5.1 Regular Board Meeting: 2014 June Joint Board Extension Committee (JBEC) Meetings: 2014 June July August 13 that the Regular Board Meeting minutes of 2014 June 19 and the Joint Board Extension Committee minutes of 2014 June 11, July 9, and August 13 be approved Financial Statements (100% Programs) Meeting: 2014 July 9 that the 2013 Financial Statements Meeting minutes of 2014 July 9 be approved. 6.0 Presentations: (a) Introduction of Dr. Wajid Ahmed, Public Health Advisor Dr. Kirk highlighted Dr. Ahmed s background advising that upon Dr. Kirk s movement to Dr. Heimann s vacated position of Medical Officer of Health, Dr. Ahmed will move into the position of Associate Medical Officer of Health. (b) City of Windsor Outsourced Internal Audit Process (Ms. Helga Riedel, CAO, City of Windsor) Ms. Riedel s attendance is a result of the City s invite to participate in the outsourced internal audit process. Ms. Riedel discussed the audit model and the process for participation. Mr. Carrick requested a report from Administration to take back to County Council. that Administration come back with a report outlining the benefits of a third audit. [City outsourced internal audit] Discussion ensued. Ms. Kelly, in acknowledging the benefits of a risk analysis, suggested accreditation as a priority given the Ministry of Health and Long-Term s recommendation to health units. that the City presentation be received.
3 Board of Health Meeting-2014 September 18 Page Consent Agenda that the reports listed on the Consent Agenda for 2014 September 18 as items 7a) to 7h) be received. 8.0 Reports and Questions Dr. Heimann was asked to provide an update on confirmed cases of Enterovirus D Business Arising 9.1 Board Bylaws: Part IV Management of Operations, section 8-Signing of Documents This bylaw sets out the process and authority for signing of Health Unit documents Part IV Management of Operations, section 10-Information Management This bylaw addresses the Health Unit s management of data Part V-Roles and Interrelationships, section 1-Roles This bylaw outlines the roles of the Board, CEO, MOH, and other Health Unit representatives. that the Bylaws listed in to be accepted. [in principle and subject to final approval of the Bylaw package as a whole] Borrowing Bylaw Administration requested Board endorsement of the bylaw to be able to increase the Health Unit s line of credit to $750,000 to meet payroll needs when there are three pay periods in one month/for other contingencies. This provides Administration with some comfort during unexpected/uncontrollable events; e.g. sudden outbreaks where the Health Unit needs to act without confirmation whether the Ministry will pick up the cost. It was explained that using the increased line of credit would be a temporary measure with the funds replenished upon receipt of Ministry/municipal flow of funds. that the Borrowing bylaw listed as be accepted. IN FAVOUR: 6 OPPOSED: 1
4 Board of Health Meeting-2014 September 18 Page Information Requested by the City of Windsor Administration provided an update on the presentation to City Council, notably the City s vote in support of releasing obligated funds to the Health Unit as well as the motion to include the Health Unit, City and County Administration to work together to move the funding issue forward to the Province. The Chair congratulated the Senior Management Team for their Council presentation and passion in getting the resources it needs to serve the residents of Windsor-Essex. The Chair also thanked his colleagues and the Board for their patience and vigilance Media Coverage- Circulated Board Correspondence--Circulated Other Health Unit Resolutions for Endorsement None received New Business 13.1 Board Retreat Deliverables Administration discussed the process undergone this summer focussed on how to work best with the Province to convey this Health Unit s deep concerns about the health of the community and the lack of adequate funding to address the needs. Administration referred to page 91 of the board meeting information package, a listing of deliverables developed from the final board strategic planning session on August 21, Administration will bring a similar document forward in January 2015 once the new Board has been confirmed Presentation to MOHLTC Representatives (August 18, 2014) Administration referred to page 92 of the Board meeting information package, a PowerPoint presentation provided to political representatives to the Minister of Health and Long-Term Care. The Chair emphasized the need for adequate and equitable distribution of Ministry funding amongst health units/a different funding model that would increase this Health Unit s per capita funding/ability to address local health indicators. The next step will be to invite the Minister of Health and Long-Term Care to Windsor to discuss possible solutions that could occur in the interim CEO Performance Appraisal Process Administration discussed the annual process. The process is being brought forward in response to a lack of knowledge about the process identified in the last Board survey.
5 Board of Health Meeting-2014 September 18 Page Provincial Appointments to the Board There are now three vacant positions on the board of health. Administration requested the Board forward the Appointment Secretariat link to individuals who may be interested. Administration requested interested individuals provide his/her biography to Administration so that the Chair can draft a letter of endorsement. Administration will resend the link for forwarding to potential candidates Oral Health Preventative Service 14.0 Other Business Administration discussed the proposed resolution outlining the need to maintain clinical preventive oral health services in the Ontario Public Health Standards under current eligibility criteria. that the resolution as provided be supported. [THAT the Ministry of Health and Long-Term Care (MOHLTC) maintain clinical preventive oral health services in the OPHS under current eligibility criteria.] It was further recommended that a copy be sent to Ms. Monica Turner, Director of Policy, at AMO [the Association of Municipalities of Ontario] as well as to City and County Councils for support Healthy Kids Community Challenge Windsor is one of 40+ successful communities that will receive Ministry funds for the Healthy Kid s Community Challenge. The City is taking the lead as the applicant agency. Ms. N. Dupuis will take the lead on behalf of the Health Unit, assisting in working through the details with the City. Ms. J. Fraser will assist with the evaluation portion as needed. Appreciation and congratulations were extended to the Chair and Administration. It was queried whether there was a response planned to Minister Hoskins re: the WECHU [Health Care ] Funding article. The Joint Board Executive Committee will audit the article to address the real numbers and provide a response. S. Kelly circulated a draft summary of funding received in 2013 and Committee of the Whole (CLOSED SESSION) that the Board move into Committee of the Whole at 5:42 p.m.
6 Board of Health Meeting-2014 September 18 Page 6 that the Board move out of Committee of the Whole at 5:42 p.m Next Meeting: At the Call of the Chair or 2014 October 16 (Windsor) Adjournment The meeting adjourned at 5:43 p.m. RECORDING SECRETARY: SUBMITTED BY: Associate Medical Officer of Health and CEO Board Secretary APPROVED BY: Chairperson
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