Transcript Future Directions for Public Health in Ontario, Dr

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Future Directions for
Public Health in Ontario
Association of Nursing Directors and Supervisors in
Official Health Agencies in Ontario (ANDSOOHA)
October 5, 2005
Dr. Sheela Basrur
Chief Medical Officer of Health and Assistant Deputy Minister, Public
Health Division
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Context for Change
Rebuilding Public Health Capacity
The Plan to Rebuild Ontario’s
Public Health Division
Today
1. Constructing the foundation – a new senior
management structure
2. Roughing in the rooms – clarifying the branches and
key areas of responsibility
Tomorrow
3. Finishing the rooms – structure, processes, culture
Rebuilding Public Health Capacity
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Public Health Senior Management
Structure
Deputy Minister
MOHLTC
Deputy Minister
MHP
ADM
Health Services
CMOH / ADM
Transitional
Director
Emergency
Management
Executive Director
Public Health
Director
Operational
Effectiveness
Executive Lead
PH System
Transformation
Director
Strategic Planning &
Implementation
Director
Capacity Review &
Implementation
Director
Controllership &
Resources Mgmt
Director
Public Health
Standards
ACMOH/Director
Infectious Diseases
Director
Environmental Health
Executive Lead
PH Info and
IT Strategy
Rebuilding Public Health Capacity
Director
Chronic Disease Prev
& Health Promotion
Project Director
Smoke-Free Ontario
Medical Director
Public Health
Laboratories
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Emergency Management Branch
• Provides provincial leadership for the development, implementation
and management of emergencies with a PH component:
– Specialized public health emergency preparedness plans (e.g. pandemic
influenza / avian flu, bioterrorism, smallpox, nuclear…)
– Centralized advice and direction to Public Health Units on the development
of emergency preparedness and contingency plans
• Leads the Ministry’s operational response to an emergency and
aligns provincial health response with local, federal, broader
provincial public sector responses:
– Establishes and manages MOU between MOHLTC and Public Health Units
for effective deployment of staff during public health emergencies
– Manages divisional emergency services including Public Health Call Centre
and surge capacity
– Contingency and business continuity plans for the Ministry of Health
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Infectious Diseases Branch
• Provides provincial leadership and oversight in the prevention and control of
infectious disease in Ontario through surveillance, policy and legislation,
technical expertise, programs, outbreak management, evaluation and
research.
• Enhances the capacity of local public health system and health service
providers to prevent and control infectious diseases through:
– Surveillance and epidemiology services
– Expert advice on prevention, surveillance and control measures (PIDAC)
– Clearinghouse for program-specific information and research
– Centralized development of plans, policies and program materials
– Centralized program management in specific program areas (e.g. UIIP)
– Program consultants who share expertise with Public Health Units
– Provincial coordination and management of cross-jurisdictional infectious
disease outbreaks
– Collaboration and coordination with other jurisdictions across Canada
and across the U.S. border
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Environmental Health Branch
• Provides provincial leadership from a human health perspective on
environmental policy and related issues (air quality/climate change, drinking
water protection, land use and sprawl management, cleaner energy sources,
etc.) including:
– A long-term environmental surveillance program with short-term
initiatives
– Partnerships with key federal, provincial and municipal government
agencies
– Clearinghouse for program-specific information and research
– Centralized development of plans, policies and program materials
including risk assessment and toxicology frameworks
– Centralized program management in specified program areas
• Enhances the capacity of local public health system to carry out the legal
duties of PHI’s and MOH’s to investigate, prevent, eliminate and reduce the
human health impacts arising from environmental hazards
Chronic Disease Prevention &
Health Promotion Branch
• Provides provincial leadership and oversight in the prevention of chronic
disease and injuries through surveillance, policy and legislation, technical
expertise, programs, and evaluation and research.
• Enhances the capacity of local public health and health service providers to
prevent disease and promote health, including:
– Tobacco use prevention & cessation
– Promotion of healthy weights through better nutrition and greater physical
activity (esp. Active 2010 strategy)
– Mental health and addictions, including problem gambling
– Injury prevention
• Further development of the mandate and key areas of responsibility for is
Branch will be guided by the strategic objectives and mandate of the new
Ministry of Health Promotion.
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Capacity Review &
Implementation Branch
• Contributes to Public Health Renewal through:
– Support to the Capacity Review Committee (following transition planning)
– Strategic management of CRC recommendations, including:
• Amendments to the Health Protection and Promotion Act and
Regulations
• Public health human resources strategy
• Public health accountability
• Good governance by Boards of Health
• Provincial approach to funding
• Strategic research, policy and planning support for implementation of the
Capacity Review Committee recommendations
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Public Health Standards Branch
• Contributes to the renewal of public health by framing a strategic direction
for public health programs and services in Ontario which:
– is future-oriented
– is reflected in evidence-based, results-driven program standards
– forms the basis of our accountability relationship with public health
service providers.
• Strategic research, policy and planning support for Review of Mandatory
Health Programs and Services Guidelines, in consultation with internal and
external specialists, including:
– Strategic management of Review recommendations
– Development of standards and their implementation, including policy and
legislative reform, and communication with stakeholders
– Divisional lead for continuous improvement of program standards
Strategic Planning &
Implementation Branch
• Divisional lead for:
– looking ahead strategically
– achieving alignment with stakeholder goals and priorities, government
policy commitments and corporate directions.
• Provides leadership to development and implementation of key
strategic initiatives, including:
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Agency Implementation Task Force (AITF)
Annual Ontario Public Health Performance Report
Divisional planning and priority setting
Divisional research, policy and planning support
Advice and counsel on divisional policy initiatives and submissions
Policy support to PH-related F/P/T and Aboriginal health initiatives
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PHIIT Strategy Office
• Ensures that Ontario’s public health system has the information systems
required to support programs and services, with communication, collaborative
decision-making and systematic data-sharing wherever required
• Aligns Information and Information Technology governance with local,
provincial and pan-Canadian goals:
– strategic planning
– integration and rationalization of policies, architectures, business models, best
practices, quality assurance, standards and access control
• Provides strategic and secretariat support for the Public Health e-Health
Council (PHeHC), with linkages to Ontario e-Health Office and initiatives
• Develops and implements new I&IT development projects from a program
perspective:
– iPHIS (Integrated Public Health Information System)
– Public health portal (for knowledge management and timely communication with
internal and external stakeholders)
– Immunization system
– Inspection system
• Provides leadership on business process improvement
Controllership & Resources
Management Branch
• Establishes overarching performance management framework and services to
drive continuous improvement within division and public health system.
• Measurement of public health program performance
• Assessment of compliance with standards
• Facilitates effective and accessible communication and knowledge transfer
with key internal and external stakeholders to ensure effective partnerships.
• Ensures consistently applied operations and financial practices, processes and
controls to manage our resources responsibly.
• Operational support policy, services and oversight: procurement, records,
assets, facility, human resources, freedom of information
• Support to internal and external stakeholders, including issues management
and communications
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Recent Improvements
• Tools
– Enhanced access to scientific resources and research expertise
– Electronic and print journals available to all staff
• More functional work environments
– Hardware/softgrades upgrades
– Improved records management
• Compensation review underway…
• Recruitment +++, now & into the future!
Rebuilding Public Health Capacity
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Challenges / Opportunities
•Ministry of Health Promotion
•Health Protection & Promotion Agency
•Independent Reports of the Chief MOH
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Ministry Program components being transferred
to the Ministry of Health Promotion
Mandatory Programs*
Child Health (includes Children in Need of Treatment -- a dental health
treatment and referral program for high risk schools and high risk children)
– Chronic Disease Prevention
– Injury Prevention, including Substance Abuse Prevention
– Reproductive Health
Health Promotion and Disease Prevention
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Smoke Free Ontario Strategy
Healthy Weights Strategy
Ontario Heart Health Program
Ontario Stroke Strategy (Public Awareness Program)
Alcohol Education/Prevention (FOCUS)
Ontario Health Promotion Resource System
Effective Drug Use by Seniors
Osteoporosis Strategy (Public awareness program)
Low Birth Weight
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Ministry Program components being transferred
to the Ministry of Health Promotion
Community and Mental Health Addiction
• Problem Gambling Prevention
Communciations
• Health Promotion/Prevention Communications Services
Injury Prevention
Healthy Living
• These programs all support the new ministry's mandate to coordinate
programs that contribute to healthy living and wellness.
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What’s in Store….
“Issue du jour”
Creating
MHP
Stakeholder
Pressure
First Annual CMOH
Report to the Legislature
Commitment
to
Rebuild
Public Health
Election
2007
Fiscal Restraint
And Economic Prosperity
LHIN’s and
FHT’s
Rebuilding Public Health Capacity
Aboriginal Health
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Conclusion
“While we stop to think, we often miss our
opportunity.”
- Publilius Syrus (1st century B.C.)
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Let’s work together to rebuild
Public Health!
Thank you.