The Corporation of the City of Sault Ste. Marie Council Correspondence
October 11, 2019
Pages
1. Level III Withdrawal Management Facility in Sault Ste Marie 2 - 10
● Correspondence from Mayor Provenzano to Chief Jason Gauthier, Missanabie Cree First Nation
● Correspondence from Mayor Provenzano to Wendy Hansson, President & CEO Sault Area Hospital and Asima Vezina, President Algoma University
2. Algoma Ontario Health Team 11 - 18
3. Sault Ste. Marie Region Conservation Authority 19 - 19 October 15, 2019 Agenda
4. Correspondence 20 - 20 Roger Heron (ship building)
5. City of Hamilton 21 - 22 Re: City of Kitchener resolution regarding consumer packaging on single-use wipes
6. Association of Municipalities of Ontario 23 - 27
● Board highlights and policy items
● Report to Attorney General Page 2 of 27 Page 3 of 27 Page 4 of 27 Page 5 of 27 Page 6 of 27 Page 7 of 27 Page 8 of 27 Page 9 of 27 Page 10 of 27 ALGOMA ONTARIO HEALTH TEAM
Page 11 of 27 ALGOMA ONTARIO HEALTH TEAM
The Algoma District Medical Group is a corporation of physicians who practice at the Group Health Centre in Sault Ste. Marie. We are a multidisciplinary group having over 70 physicians including primary care and many specialists. Our goal is to balance quality of life, professional satisfaction and appropriate remuneration to our physicians
Algoma Family Services is a provider of specialized services for children, youth, adults and families in the Algoma District. Our services are evidence-based, client-centered, family-focused and delivered by a team of skilled professionals. Our work is focused in the following key areas: Child and youth mental health services Specialized programs for youth substance use, young offenders and family violence. Community Partnerships, as a lead sponsor for a number of programs with local collateral agencies.
The Algoma Nurse Practitioner-Led Clinic is a non-profit agency that provides primary care to residents of Sault Ste. Marie and surrounding area who are currently unattached to a primary care provider (Nurse Practitioner/ Physician). The clinic provides accessible comprehensive, patient-focused care to patients across the lifespan, including health promotion, disease prevention, chronic health, and mental health management. Members of the clinic will be registered to a nurse practitioner and will have access to the clinic's multidisciplinary team which includes a registered nurse, registered practical nurses, social worker, pharmacist and administrative staff. The team works collaboratively to aid patients in navigating the health system to coordinate integrated care within established community partnerships
Page 12 of 27 ALGOMA ONTARIO HEALTH TEAM
Algoma Public Health (APH) is a public health agency committed to improving health and reducing social inequities in health through evidence-informed practice. We work with individuals, families and community partners to promote and protect health and to prevent disease at the community level. APH is one of 35 non-profit public health agencies in Ontario funded by local and provincial governments. We have 200 employees who deliver provincially legislated public health services and community programs. We are governed by an autonomous Board of Health and have strong community partnerships throughout the Algoma district. APH has a main office in Sault Ste. Marie and three offices in the Algoma district: Blind River, Elliot Lake and Wawa.
ARCH Hospice provides quality, compassionate care through end-of- life to Algoma District families at no cost. The emotional, spiritual, and physical comfort of our residents and their loved ones is our highest priority. The Hospice offers a home-away-from-home during one of life’s most important moments: the end-of-life journey. In addition to residential hospice care (including bariatric and paediatric hospice care), ARCH offers community programs including outreach services, palliative patient advocacy, supportive care, grief counselling, children’s grief services, and support group programs. ARCH Hospice does not charge for services, however is only partially government funded, requiring $750,000 annually in community support as well as the generosity of over 140 volunteers to provide services to the community.
Since 1985, the Alzheimer Society of Sault Ste. Marie and Algoma District has been dedicated to improving the quality of life for people living with Alzheimer's disease and other dementias and to provide support to their caregivers as well as investing in research to find a cure. The Alzheimer Society will accomplish this through cores values such as respect, compassion, integrity, accountability, partnerships and person-centred care.
Cedarwood Lodge Inc. is a 50 - bed (Interim) Long Term Care facility located in Sault Ste. Marie. Our Mission is that we are committed to maximizing the health and dignity of each resident by adopting a holistic approach to care, body, mind and spirit.
Page 13 of 27 ALGOMA ONTARIO HEALTH TEAM
Caring Environments for Everyday Living. The F.J. Davey Home, is a three level 374 bed long-term care nursing home located in Sault Ste. Marie. The Home is designed to care for its residents in a homelike environment within 12 Resident Home Areas (RHA’s). When you enter through the "front door" you find yourself in the living room with the dining room and dedicated activity room adjacent. The resident’s bedrooms are found down two corridors with access to the Spa area from either hallway. The Charting Centre found on each RHA provides easy access to nursing staff by residents and their families. The Centre Court of the building houses staff offices and service areas on four levels. The other three levels are accessible to residents and visitors and contain management and administration offices as well as group activity areas such as the Celebration Room, Chapel, Tuck Shop and family dining rooms - Maple Court and Pine Court. Staff dedicated areas including their dining room and classroom are found on Level 3. The F. J. Davey Home staff provide quality and compassionate care with a resident centered approach. Families are welcomed and encouraged to actively participate in the lives of our residents and activities in our Home.
Group Health Centre was founded in 1963 as one of the first union- sponsored community health centres in Canada. Founded by thousands of Sault Ste. Marie steelworkers, Group Health Centre promised its members primary and preventative care with no out-of -pocket cost at a time before provincial health insurance existed. Since opening the doors over 50 years ago, the Centre has been a leader in medical innovation and the site of countless pilot projects and studies on a provincial, national, and international level. Some of the most notable successes include being the site for a World Health Organization study on preventative care in the 60s, being one of the first sites in Canada to employ “non-traditional nurses” (now known as Nurse Practitioners) in the 70s, and being one of the first sites in Canada to move to electronic medical records in the 90s. Group Health Centre has won National Best Practice Awards, was featured in Maclean’s Magazine as one of Canada’s top ten models of healthcare, and was once referred to as “Canada’s best kept health care secret” by Commissioner for the Future of Health Care in Canada, Roy Romanow.
Page 14 of 27 ALGOMA ONTARIO HEALTH TEAM
Midwives of Algoma provide primary care to women throughout their pregnancy, labor and birth, including delivery aftercare to both mother and baby during the first six weeks following the birth. Midwives attend clients in hospitals, birthing centres or their own homes. Across Ontario midwives care for thousands of low-risk pregnancies — about 15 per cent of the total birthing population — sometimes helping with births in homes or birthing centres. They are primary care providers trained to work independently and in conjunction with other healthcare providers to provide care to low- risk pregnant women during pregnancy, birth, and for six weeks post-partum.
The North Channel Nurse Practitioner-Led Clinic (NC NPLC) is a not- for-profit organization that provides primary health care to residents from Echo Bay to Iron Bridge, Ontario. North Channel Nurse Practitioner-Led Clinic provides a full range of health care services to individuals, families and communities in a variety of settings including hospitals and community-based clinics in cities and smaller towns in Ontario. We work in partnership with physicians, nurses and other health care professionals such as social workers, midwives, mental health professionals and pharmacists to keep you, your family and your community well. The clinic offers community-based programs such as Chronic Disease Self-Management, Diabetes Self-Management, Chronic Pain Self-Management and Cancer Thriving and Surviving (Living Healthy – Health Sciences North), and phlebotomy services. The NC NPLC provides mental health and addiction services with a full-time Social Worker on staff. We partner with other agencies to offer additional programs such as Smoking Cessation in collaboration with Algoma Public Health, a biannual Geriatric Assessment Clinic and a Pacemaker Clinic in collaboration with Sault Area Hospital. The North Channel NPLC has two locations, with the primary clinic at 135 Dawson Street, Thessalon, Ontario (across from the North Shore Health Network Hospital) plus a secondary location at 3223 Hwy 17B, Echo Bay.
Page 15 of 27 ALGOMA ONTARIO HEALTH TEAM
The North East LHIN is one of 14 LHINs in Ontario. We plan, fund and integrate health care as well as deliver home and community care to people across Northeastern Ontario. With offices in 20 communities, we are a provincial crown corporation working to ensure the local health care system works well so Northerners get the right care, at the right time, and in the right place. What We Do: The NE LHIN manages $1.5 billion dollars in health care services, resulting in over 200 programs and services aimed at improving the health and wellness of Northerners. About 64% of our budget flows to 25 hospitals, 15% to 40 long-term care homes,14% to 70 home and community care providers, 6% to 44 community mental health and addiction providers, and1% to 6 community health centres We hold accountability agreements with about 150 health service providers, managing the regional health care system and bringing health care partners together. Likewise, the LHIN has an accountability agreement with the Ministry of Health and Long- Term Care and works in partnership to advance 14 health system
indicators as outlined in our Agreement. Serving a catchment population of approximately 115,000 SAH provides primary, secondary and select tertiary services to residents in Sault Ste. Marie and the District of Algoma. In addition to providing core services in Emergency and Critical Care; Medicine; Surgery; Obstetrics, Maternity and Pediatrics; Mental Health and Addictions; Complex Continuing Care; and Rehabilitation, Cardiac Care Services including coronary angioplasty through a partnership with St. Michael’s Hospital, SAH is also home to the Algoma Regional Renal Program and the Algoma District Cancer Program including radiation therapy services. SAH is extremely proud of our entire team of over 1700 dedicated
staff, 365 physicians and 535 volunteers. A Family Health Team (FHT) is an approach to primary health care that brings together different health care providers to co-ordinate the highest possible quality of care for you - the patient. Designed to give doctors support from other complementary professionals, most Family Health Teams will consist of doctors, nurses, nurse practitioners and other health care professionals who work collaboratively, each utilizing their experience and skills so that you receive the very best care, when you need it, as close to home as possible. Superior FHT's affiliated physician group is the Sault Family
Health Organization.
Page 16 of 27 Algoma Ontario Health Team Agencies that Informed the Algoma OHT Self-Assessment
Algoma District Medical Group Algoma Family Services Algoma Manor Algoma Nurse Practitioner Led Clinic Algoma Public Health Alzheimer’s Society Sault Ste. Marie Batchewana First Nation Breton House Canadian Mental Health Association Cedarwood Lodge Counselling Centre of East Algoma Dr. Trefry Centre - St. Joseph Township FJ Davey Home Group Health Centre Huron Lodge Lady Dunn Health Centre Maamwesying North Shore Community Health Services Inc. North Channel Nurse Practitioner Led Clinic North East LHIN North Shore Community Support Services, Inc. North Shore Health Network Ontario Finnish Rest Home Red Cross Reseau du Mieux-etre Francophone Sault Area Hospital Superior Family Health Team
Page 17 of 27 Algoma Ontario Health Team Letters of Support
CBI Health Group Canadian Mental Health Association – Sault Ste. Marie Branch CarePartners Home Instead Senior Care Maamwesying North Shore Community Health Services Inc. Medigas – Praxair Canada Inc. Reseau du Mieux-etre Francophone Sault Ste. Marie Innovation Centre
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1100 Fifth Line East Sault Ste. Marie, ON P6A 5K7 Tel: (705) 946-8530 Fax: (705) 946-8533 Email: [email protected] www.ssmrca.ca
SAULT STE. MARIE REGION CONSERVATION AUTHORITY Regular Meeting Agenda Tuesday, October 15, 2019 Conservation Authority Office
• Declaration of Conflict of Interest
• Finance and Administration ▪ September 17, 2019 Meeting Minutes ▪ Accounts Payable ▪ Health and Safety Meeting Minutes ▪ Budget Update
• Water and Related Land Management ▪ Development, Interference with Wetlands and Alterations to Shorelines and Watercourses ▪ Application Approvals
• New Business / Other ▪ Algoma Forest & Nature School – Becky Hodgson ▪ Upcoming meeting with Minister Yurek ▪ Property Inquiries – 2019 3rd quarter statistics
• In Camera
• Adjournment
Page 19 of 27 Rachel Tyczinski
Subject: FW: Another suggest
From: roger heron Sent: Friday, October 4, 2019 12:50 PM To: Rachel Tyczinski
This email originated outside of the Corporation of the City of Sault Ste. Marie. Do not open attachments or click links unless you verify the sender and know the content is safe.
With the water and steel plant at the door step the city should try and get a federal party to provide funding for ship building facilites and possible a contract to go with it the opportunity will only last til the election and then it will be another 4 year wait for any nation building to resume. if one party signs on to the investment the other parties may follow. A ship building facility would allow hundreds of people to be hired and lower the chronic high unemployment in the city from Roger heron
1 Page 20 of 27 Page 21 of 27 Page 22 of 27 Rachel Tyczinski
Subject: FW: AMO Board Highlights and Policy Items You Need To Know
September 27, 2019 AMO Board Highlights and Policy Items You Need To Know
September 27th AMO Board Highlights
To keep members informed, AMO provides updates on important issues considered at AMO Board of Directors’ meetings. Highlights of today’s meeting include:
AMO President Jamie McGarvey created a video overview of today’s AMO Board meeting.
Joint and Several Liability Reform Submission
The Board considered and approved a submission to the Attorney General which includes key recommendations which address municipal impacts related to joint and several liability. Next week the AMO paper will be distributed to all municipal councils for consideration and endorsement.
Paramedic Services: New Models of Patient Care
AMO will respond to Ontario’s regulatory posting on implementing new models of care for select low acuity 9-1-1 patients. If enacted, the regulations under the Ambulance Act will provide more flexibility for paramedics to treat patients in other ways than taking them to an emergency department. AMO will emphasize the need to improve dispatch before the new models’ implementation. Municipal governments and District Social Service Administration Boards can respond to the regulatory posting by October 6th.
Blue Box Program
1 Page 23 of 27 Blue Box is transitioning to full producer responsibility. Municipal councils will need to make big decisions on how this will occur in your community. Watch for regional workshops, webinars and update bulletins from AMO this fall.
Conservation Authorities (CAs)
The Board has identified some transition considerations for Bill 108 conservation authority-related changes. Additional information is needed from the Ministry regarding what activities, to what level of detail, are required to support the mandated roles of CAs. AMO is working with Conservation Ontario on a template for the creation of MOUs between CAs and municipal governments. The template is a sample and municipal governments are free to negotiate items. Finally, there are local considerations that will require some coordination.
Provincial Policy Statement (PPS)
The AMO Board is largely supportive of the changes to the PPS. Many clarifications and increased flexibility are welcomed. Some councils may encounter tension between this increased flexibility and the requirements for environmental protections. Additional guidance for low growth, rural and northern use of the PPS, similar to that provided in 2014, is requested. Prior to implementing the PPS, a number of provincial guidance documents are needed. It is important that appropriate guidance on Indigenous engagement not download the Crown’s Duty to Consult but rather demonstrates how municipal governments can be helpful in supporting this Crown responsibility. Consultation ends October 21st.
Social Assistance Reform Update
AMO staff provided the AMO Board with an update on social assistance reform and sought direction on AMO’s advocacy approach on the elimination of Transitional Child Benefit and changes to the definition of ‘disability.’ If the Transitional Child Benefit is eliminated municipal governments may be left to fill in the gap to keep low-income families, particularly refugee claimants, housed. This will negatively impact families and will create fiscal challenges for municipal governments. AMO will advocate for the decision to eliminate this benefit to be reversed. On the proposed change to the definition of disability, AMO will seek assurances from the province that the change will not add costs to municipal governments. Changes to the definition may lead to increases in the Ontario Works caseload with potential impacts on municipal service delivery costs.
E-Scooter Pilot Framework
The AMO Board approved sending a letter to the Minister of Transportation highlighting municipal concerns with the provincial government’s proposed e-scooter pilot framework. Of great concern are the proposed timeframe for the pilot launch, the proposed speed limit, data collection requirements, municipal liability protections and the need to ensure a municipal say in regulating e-scooters locally.
Provincial Data Strategy
2 Page 24 of 27 The provincial government has released a second discussion paper towards the development of an Ontario Data Strategy. Comments are due October 9th. The AMO board approved responding positively to the discussion paper, emphasizing the need to ensure access to fast reliable broadband across Ontario and the need for provincial supports to enable widespread municipal data sharing with businesses and the public. AMO staff will continue to work with the province to respond to future discussion papers of municipal interest.
Municipal Policy items you need to know
AMO Fall Policy Forum – October 24/25
AMO is hosting a two-day Policy Forum in London, Ontario on October 24 & 25, 2019. The Forum is open to municipal elected officials and senior municipal staff. In this time of constant change, it is an event not to be missed. For more information and to register, click here or email [email protected].
Long-Term Care Funding Extension
Earlier in 2019, the province changed the funding model for long-term care. While there was a 1.7% overall increase in the funding envelope, the funding model changes resulted in significant in-year reductions for municipal homes. AMO, municipal governments and AdvantAge Ontario, a staff association representing municipal homes, asked for a reconsideration of the changes. It is therefore welcome news to hear that the Minister of Long-Term Care is extending the funding change implementation timeline while exploring alternatives. The ministry will be consulting on a new small capital program and developing a long-term care staffing strategy. AMO thanks the government for its responsiveness and looks forward to working with the ministry on the design of new funding programs + the staffing strategy.
Aggregates Consultation
MNRF has announced a consultation on changes to the Aggregates Resources Act which ends November 4th. Key elements under consideration are the proposal to require a new application rather than an amendment if a producer wants to extract below water level, clarification around the limits to zoning, and preventing the LPAT imposition of haul route agreements.
Broadband Strategy Released
On July 23, 2019, the Government released “Up to Speed: Ontario’s Broadband and Cellular Action Plan.” The Strategy includes a commitment to launch a $150 million provincial broadband and cellular infrastructure program beginning in 2020-2021. AMO will provide updates as further details become available.
Prompt Payment & Adjudication in Force October 1st
As of October 1st, the Construction Act is now in full force and effect. This will have significant impacts to municipal procurement practices, both as an owner of
3 Page 25 of 27 infrastructure projects, and as individual homeowners. For more information, click here.
Building Services Transformation
The provincial government has announced a consultation on the transformation of building code services. A discussion paper has been posted online and is open for municipal input until November 25th. Regional information sessions will also be held in Chatham-Kent, Belleville, North Bay and Vaughan. Notably, the province is proposing to create a new delegated administrative authority to provide services to the building sector and streamline the building code process. AMO will analyze the discussion paper and report back to the AMO board.
For more information on any of these items, contact AMO’s Policy team at [email protected].
*Disclaimer: The Association of Municipalities of Ontario (AMO) is unable to provide any warranty regarding the accuracy or completeness of third-party submissions. Distribution of these items does not imply an endorsement of the views, information or services mentioned.
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4 Page 26 of 27 Rachel Tyczinski
Subject: FW: AMO submits report to Attorney General on liability and insurance cost reforms
October 1, 2019 AMO submits report to Attorney General on liability and insurance cost reforms
On September 27, the AMO Board approved a submission on joint and several liability entitled, “A Reasonable Balance: Addressing growing municipal liability and insurance costs.” Earlier today, AMO President Jamie McGarvey forwarded the report to the Attorney General, The Honourable Doug Downey for consideration.
Municipal councils are encouraged to endorse the report and its recommendations. The Ministry of the Attorney General has agreed to accept municipal resolutions up until November 1, 2019. Resolutions can be sent to the Attorney General at [email protected] and [email protected] or by writing to:
The Honourable Doug Downey Attorney General of Ontario McMurtry-Scott Building, 720 Bay St, 11th Floor, Toronto, ON M7A 2S9
The report includes seven key recommendations on actions which the government could take to reduce the negative impact of joint and several liability. It builds on previous reports and resolutions submitted in 2010, 2011, and 2014. Please see the report for more details.
AMO thanks those municipalities that have contributed to the government’s consultation to date. If you have not already done so, please provide a copy of your submission to the AMO President at [email protected].
For questions related to the report, please contact AMO Senior Advisor Matthew Wilson at [email protected] or at 416-971-9856 ext. 323.
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