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alPHa Board of Health Orientation Session

alPHa Board of Health Orientation Session. Association of Local Public Health Agencies Andrew Papadopoulos January 29, 2004. al PH a - Your Association. the Association that represents Boards of Health, Medical Officers of Health and Senior Management

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alPHa Board of Health Orientation Session

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  1. alPHa Board of Health Orientation Session Association of Local Public Health Agencies Andrew Papadopoulos January 29, 2004

  2. alPHa - Your Association • the Association that represents Boards of Health, Medical Officers of Health and Senior Management • traditionally, the collective voice of public health units in Ontario

  3. alPHa’s Mission Statement • alPHa, through a strong and unified voice, advocates for public health policies, programs and services on behalf of member health units in Ontario

  4. Operations of the Association • Board of Directors composed of 7 Board of Health members, 7 Medical Officers of Health and 7 Affiliate representatives • meets 5 times per year • committees include Advocacy Committee and ad hoc Committees on key public health issues

  5. Partner Organizations • AMO - representing Ontario’s Municipalities • OPHA - representing public health issues • OCCHA – accrediting Ontario’s Health Units • OHPA - representing Ontario’s health care system

  6. alPHa’s Main Purpose • focus on policy and public health system issues • help health departments do their job

  7. The Health Protection and Promotion Act • sets out the duties and responsibilities of a Board of Health In Ontario • ensure public health services are delivered within the Health Unit • must ensure the delivery of the Mandatory Health Programs and Services Guidelines

  8. Mandatory Health Programsand Services Guidelines • outline the minimum level of public health services that must be delivered • the programs listed are the floor, not the ceiling • it is expected Boards of Health would enhance services based on local health needs

  9. Mandatory Health Programsand Services Guidelines (continued) • divided into General and Program Standards • Program Standards are further divided into three groups • Chronic Diseases and Prevention • Family Health • Infectious Disease

  10. Population Health,not Primary Care • locus of responsibility is local community, not individual • focus on determinants of health • concentration not on services that improve an individual’s health, but where it impacts on the community’s health

  11. Board of Health’s Responsibilities • primary functions include oversight of: • priority setting, planning and evaluation of mandated programs and services • fiscal accountability • labour relations • be accountable to the community • hire the Medical Officer of Health

  12. Medical Officer of Health’s Responsibilities • directs staff in the implementation of Board’s policies and procedures • reports to the Board on program issues • directs the overall provisions of services • accountable to the Board for day-to-day operations

  13. Funding • budget set by the Board of Health • receive payment from its municipalities for the provision of public health services • Board must provide written estimate in advance

  14. Ministry of Healthand Long-Term Care • Public Health Division • responsibility to aid Boards of Health • link interprovincially and federally • Chief Medical Officer of Health • act anywhere in Ontario with the powers of a Medical Officer of Health • ensure provision of required public health services

  15. Problems in the System • lack of a clear public health system • funding relationship can be complex • poor understanding of the Mandatory Programs • all issues are public health issues

  16. The Most Important Public Service? • one issue affects everyone in the community • unique position of a Board of Health • service provider but more importantly, public advocate • Medical Officer of Health responsible to their community through the development and delivery of services

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