2013 Annual Report TBDHU.COM A Word from the Medical Officer of Health 2013 BOARD OF HEALTH Change is inevitable, anticipating programming and delivery systems Maria Harding, Chair change is critical, and implementing to accommodate and adapt to change effectively and efficiently is arising needs. Municipality of Shuniah essential. Evaluating the impacts of In 2013, the TBDHU experienced John MacEachern, Vice Chair change and the long term outcomes fiscal challenges from both internal Town of Manitouwadge of system changes requires time and and external circumstance and an persistence and is often forgotten extensive changeover in our senior during the haste to move onto the and middle management teams. It Connie Bryson next phase. was the first full year that I worked Towns of Terrace Bay with an Associate Medical Officer The past year was the second full and Schreiber of Health – Dr. Janet DeMille – and year of my return as the Medical the first time in over two years Officer of Health. It has been a Jay Daiter that the organization worked with privilege to be back to tour all of our Municipality of Greenstone a full complement of senior and branch office communities and to program managers. Equipping the network with community members, Terry Fox organization with new, qualified physicians and municipal leaders Town of Marathon management teams is an important to ascertain their assessment of investment in the future of public the changes and issues in their Norm Gale health. Building on the valued work respective jurisdictions. I have Provincial Appointee of those who have led before while learned how the issues facing the integrating the skills, knowledge Gwen Garbutt District of Thunder Bay, its organized and experience of new managers, I municipalities, unorganized territories Townships of Conmee believe we have prepared TBDHU’s and First Nation communities have and O’Connor leadership to take public health into and are continuing to change over the next decade. Bernie Kamphof time. As our communities continue Municipality of Oliver Paipoonge to change and face new economical Looking forward, we know the and public health challenges, we provincial public health landscape Jack Masters will strive to respond is changing. Sector-wide strategic Provincial Appointee with planning, the ongoing evolution and maturation of Public Health Beatrice Metzler Ontario, and the investment and City of Thunder Bay implementation of new information technology seeks to enable the Darquise Robinson public health system to move Townships of Dorion, ahead and meet the challenges of Nipigon and Red Rock dealing with climate change, the built environment, health disparity, Aldo Ruberto environmental health, an ageing City of Thunder Bay population and emerging diseases in a global community. Linda Turk Although 2014 will present more Municipality of Neebing, changes with municipal and Township of Gillies provincial elections this year, I believe the Thunder Bay District Joe Virdiramo Health Unit is well-positioned to City of Thunder Bay adapt strategically to change and continue to effectively and efficiently protect and promote the population health of the Thunder Bay District. 02 | TBDHU Annual Report – 2013 Dr. David Williams, Medical Officer of Health Maria Harding, Board of Health Chair A Word from the Board of Health Chair At the end of 2013, I completed my consistent medical leadership was most recent four-year tenure as the of prime importance to the Board. Chair of the Board of Health and With the addition of the AMOH, I my 23rd year as a member of the feel the Board of Health has achieved Thunder Bay District Board of Health. its critical objective of stabilizing the The past four years have been both medical leadership of the Thunder challenging and rewarding as the Bay District Health Unit for many organization faced a number of years to come. human resource and fiscal issues. The Health Unit has also been Stepping down as Chair, I feel the Thunder Of key importance for the Board was successful in the recruitment and Bay District Health Unit is equipped the return of Dr. David Williams as hiring of many excellent program with a solid financial platform and our Medical Officer of Health (MOH) and professional staff to replace a the professional expertise and which occurred in the latter half of significant number of long-serving leadership necessary for the Board 2011. This initiative was accompanied employees who have retired over to meet ongoing challenges and by the successful recruitment of an the past few years. During these health system changes, and fulfill its Associate Medical Officer of Health periods of staff fluctuation, ongoing mandate in protecting and promoting (AMOH) who in time will be able to quality leadership of the CEO Doug the health of the citizens of the ensure continuity in MOH leadership Heath has been paramount to the Thunder Bay District. for the District of Thunder Bay. TBDHU. Under his direction, the organization has remained fiscally Over the previous five years during sound and responsive to local Dr. Williams’ secondment to the financial constraints while undergoing Ministry of Health and Long-Term extensive staffing changes in senior Care (MOHLTC), the MOH position and middle management teams. could only be filled intermittently yet Connie Bryson Announces Resignation in December 2013 Inspirational, passionate, and a the organization received several strong advocate for public health. awards and recognitions during her That’s how long-time TBDHU term, including the distinction of Board member Connie Bryson will being the first community health be remembered. From her first service in Ontario to receive the appointment in 1991 and her terms Baby Friendly Community Health as Chair from 2004 to 2007, Connie Service designation from the World put so much effort into her roles on Health Organization/United Nations the Board of Health. Perhaps her Children’s Fund. Her level of interest, greatest achievement was providing support, sense of humour, and most strong leadership in the absence of all her spirit will be dearly missed of a permanent Medical Office of at the Board table. Health, ensuring MOH coverage over an extended recruitment period and strategically building internal capacity to sustain the organization. Connie also led the development of a five-year strategic plan and Connie displaying her retirement gift TBDHU Annual Report – 2013 | 03 Our Finances VISION EXPENDITURES 2013 To be leaders in creating 0.9% Mandated 12,665,573 71.6% healthy communities and Programs 1.0% 0.7% 2.6% healthy environments. Healthy Babies 3.3% 1,271,533 7. 2% Healthy Children MISSION Healthy Child 3.6% 884,320 5.0% Development 4.1% TBDHU is committed to Programs Smoke-Free 5.0% meeting the public health 722,245 4.1% needs of our citizens by Ontario 7.2% delivering accessible Infectious Disease 632,991 3.6% programming of the highest Programs standards in protection, prevention and health Genetics 581,260 3.3% 71.6% Land promotion. 176,844 1.0% Development CORE VALUES PHN Initiative 162,803 0.9% Healthy Smiles 127,765 0.7% Dedicated Ontario Responsive Other 100% Trustworthy Funded 463,184 2.6% Healthy Programs Supportive Total Expenditures $17,688,518 Fun REVENUES 2013 Sources of Funding: Province of 6.8% 13,779,052 77.6% Ontario 15.6% Municipal 2,762,181 15.6% Generated/ 1,204,864 6.8% Other Revenue Total Sources of Funding $17,746,097 77.6% For a complete review of our 2013 Audited Financial Statements, please visit our website at: bit.ly/TBDHU_Finance 04 | TBDHU Annual Report – 2013 New Position Supports Our Performance Evidence-Based Practices Indicators Since 2011, TBDHU has been reporting to the MOHLTC on several key performance indicators. The indicators Jamie DiCasmirro were developed to monitor and report on public health Professional Practice Lead programming, to support continuous quality improvement initiatives, and to ensure accountability and transparency to the public. The table summarizes our results for 2013. New indicators have been introduced for 2014-2016. TBDHU continues to work with the MOHLTC to determine appropriate indicators and targets for all of its programs and services. 2013 PERFORMANCE INDICATORS 2013 TARGET PERFORMANCE % of high-risk food premises inspected once every 4 months 100% 99.5% The TBDHU is building a culture of evidence- while in operation based best practices in health promotion and % of pools and public spas protection. To that end, Jamie DiCasmirro joined by class inspected while in 100% 100% the Foundational Standards team in 2013 as our operation. new Professional Practice Lead (PPL), taking on a dual % high-risk small drinking water role. systems inspections completed for those that are due for re- 100% 100% Primarily, the PPL position supports the Chief inspection Nursing Officer as the principal lead and resource % of confirmed gonorrhoea cases for nursing practice and professional issues in the where initiation of follow-up 100% 96.2% district. This role focuses on nursing leadership occurred within 2 business days initiatives supporting organizational effectiveness, % of confirmed invasive group and developing and implementing processes to A streptococcal disease cases where initiation of follow-up manage quality assurance and continuous quality occurred on the same day as 100% 100% improvement activities. receipt of lab confirmation of a positive case. The PPL role at TBDHU will also involve coordinating % of HPV vaccine wasted that is the Registered Nurses Association of Ontario (RNAO) stored and/or administered by 3.7% 10.3% Best Practice Spotlight Organization (BPSO) initiative. the TBDHU Following a successful three-year candidacy period, % of influenza vaccine the TBDHU was awarded the status of a BPSO in wasted that is stored and/or 5% 6.5% 2012. As of 2013, six RNAO Best Practice Guidelines administered by the TBDHU have been introduced into practice: breastfeeding, % of school aged children who childhood obesity, client-centred care, enhancing have completed immunizations 93.2% 91.8% adolescent development, smoking cessation, and for meningococcus woman abuse prevention.