Message from the Medical Officer of Health

Over the past year, we have continued efforts to promote healthy living and provide health protection services within our communities. Within this report, you will find a summary of these activities for the year ending December 31, 2015 – including how our performance has measured against the Ministry of Health and Long Term Care (MOHLTC)’s Accountability Indicators. I continue to be pleased with the delivery of services at Hastings Prince Edward Public Health (HPEPH), and am confident that our efforts are making a positive contribution to the wellbeing of our community.

In 2015, HPEPH contributed to several provincial Public Health initiatives underway in Ontario:

We have continued our efforts to encourage the practice of breastfeeding through the provincial Baby Friendly Initiative, which aims to increase the rates of mothers who begin and continue to breastfeed and ensure all parents receive accurate information to make informed decisions about infant feeding, while providing support to all families regardless of their feeding methods.

In 2015, a Breastfeeding in Public Places campaign was designed to promote the social acceptance of breastfeeding in all public places and HPEPH staff participated in a Baby Friendly Initiative workshop to learn more about knowledge and skills and practical strategies to support breastfeeding mothers, infants and children. In an effort to expand the reach of this initiative within our catchment area, we have plans in place to offer this same workshop to community partners in 2016.

We also participated in Ontario’s first Falls Prevention Month in an effort to help the community understand their role in preventing falls in older adults, with a shared goal of minimizing these preventable injuries and deaths and associated costs to the system.

We have also continued several local campaigns and initiatives that support the needs of our community while aligning with provincial goals and direction, as well as launched others in order to address identified community needs.

In 2015, we launched a Backyard Pool Safety Campaign with a goal of increasing public awareness about the potential dangers of backyard pools. As part of this campaign, significant engagement and promotion occurred within the community, and we continue to encourage municipalities to review and update their pool fencing by-laws. With drowning being the second leading cause of injury related deaths to Canadian children, it is imperative that we continue our efforts to minimize this preventable cause of deaths.

As community and stakeholder engagement is a key component of our role, we have continued to cultivate our relationship with other health service providers and community partners in several innovative ways, which are outlined in the Community Partnerships section of this report.

In addition to the abovementioned activities, we have continued our regular operations through the successful delivery of our Health Promotion and Protection programs, which include Child Health, Healthy Smiles Ontario, Healthy Babies Healthy Children, Chronic Disease and Injury Prevention, Environmental Health, Sexual Health, Reproductive Health, Communicable Disease Control, Vaccine Preventable Disease, and Tobacco and Food Safety Programs. In addition, our Department of Administration has enhanced our delivery of administrative services which has strengthened our organizational capacity by improving the efficiency and effectiveness of our operations.

Over the past year, we successfully managed our budget despite receiving no funding increase for the majority of our programs as a result of implementation of the MOHLTC’s new funding formula, which resulted in a zero percent increase in funding for most of our programs. We continue to express our concerns about this funding formula, as our priority is maintaining our long term ability to deliver essential public health services to the community. I would like to express my thanks to the dedicated staff and volunteers of Hastings Prince Edward Public Health, who have continued to work tirelessly to provide exceptional services to our communities during this year of transition and change. These staff are the face of Public Health within our communities, and they continue to make exceptional contributions both to, and on behalf of our organization.

Message from the Chair of the Board of Health

In 2015, Hastings Prince Edward Public Health (HPEPH) has continued efforts to better serve the community with services and outreach that support and enable health protection and promotion in our local communities.

In March 2015 we moved into our new head office in Belleville, and are pleased that most outstanding deficiencies of the build are in the process of being addressed, enabling staff to remain focused on the delivery of the superior level of Public Health services that the public has come to expect and appreciate.

When the construction of this building was initiated, we envisioned the office to be a bright, open hub of community activities that supported our mission of enabling the people of Hastings and Prince Edward Counties to achieve and maintain optimal health. The Board of Health continues to hear positive feedback from our staff – and most importantly, our clients and partners, regarding the benefits of this new building and the way it has allowed us to improve both the way we work together and deliver services to the community.

In 2014 and 2015, staff undertook a review of service delivery at our branch offices as part of our commitment to evidence-informed practices, excellence in service delivery, and strengthening organizational capacity. As a result of this review, our Picton office relocated to the Prince Edward Family Health team in late 2015. In addition, 2015 was the first full year that follwed the reorganization of the way services are delivered in Centre Hastings. These changes were implemented to ensure organizational efficiencies, largely in response to the constraints of today's fiscal environment and the need to ensure maximum value is achieved for every public dollar.

Relocating our Picton office to the same building as the Prince Edward Family Health Team has resulted in significant financial savings of over $100,000 a year with no reduction in service. This relocation has also resulted in some additional benefits such as improved coordination of our oral health screening program. Our commitment to ensuring the accessibility and availability of public health services in our rural communities remained steadfast in 2015. Community partnerships, innovative approaches to outreach and promotion, and improved collaboration with other health care providers and advocates have enabled superior provision of public health services in these communities.

Over the past year, we have also continued efforts to implement our 2015/16 Corporate Priorities. I am pleased at the success achieved to date, with the proven results of our work identified through the statistics included within the body of this report. In addition, the Accountability Indicators included within this report demonstrate the performance of HPEPH against provincial targets, which are set by the Ministry of Health and Long Term Care. I recognize and commend all employees of HPEPH for their contributions which have led to our exceptional performance in response to these indicators. Looking ahead, plans are in place to update our Corporate Priorities in 2016 in order to guide our long term vision over the next several years.

It has been my pleasure to represent the interests of our community as Chair of Hastings Prince Edward Public Health in 2015. On behalf of the Board of Health, I invite you to review this report to learn more about our role in the community, and the work underway by our dedicated staff.

Mission Statement

It is the mission of HPEPH to enable the people in our catchment area to achieve and maintain optimal health through excellent provision of health protection and health promotion programs.

This will be accomplished by:

  • Enforcement of public health legislation;
  • Providing the programs required by the Ontario Public Health Standards (OPHS);
  • Providing additional programs and services to promote health, prevent disease and injury, and support healthy environments.

2015/16 CORPORATE PRIORITIES

Our organizational priorities for the two-year period ending December 31, 2016 are as follows:

Promote evidence-informed practices & excellence in service delivery.

With leadership from the Chief Nursing Officer, HPEPH continues to review policies and procedures, provide professional development opportunities, promote evidence-informed practice and incorporate evaluation techniques to assess the effectiveness of public health programs. These efforts are undertaken with an end goal of ensuring excellence in service delivery and the efficient, effective and accountable management of public health resources.

Increase community engagement and responsiveness.

Work is currently underway through the Hastings Prince Edward Public Health Community Engagement Work Group to identify, review, and expand community partnerships in order to maximize opportunities for collaboration as well as generate appropriate venues to provide feedback that will ensure effective delivery of our services. The work group is currently evaluating the level of engagement that is taking place with our stakeholders, identifying opportunities to enhance these relationships, and identifying other supporting engagement activities that could enhance the work of Hastings Prince Edward Public Health.

More about the results of these ongoing efforts is included in the Community Partnerships section of this report.

Ensure compliance with legislative and provincial standards.

HPEPH continues ongoing efforts to meet the Ontario Public Health Standards and Organizational Standards, which include the implementation of our corporate priorities, the development of our privacy and security program, and the implementation of our multi-year accessibility plan which will ensure compliance with the Accessibility for Ontarians with Disabilities Act. HPEPH performance against provincial indicators is included in the performance section of this report.

Strengthen organizational capacity.

Several changes to facilities were implemented in 2015 to consolidate the physical properties of the organization as well as optimize human resources. Work continued to address health and safety and privacy legislation as well as the public health organizational requirements.

Enhance staff development and leadership opportunities.

Efforts continued to enhance staff development and leadership opportunities, along with coordinating the provision of internal and external training opportunities for all staff in order to support optimal delivery of HPEPH services.

COMMUNITY PARTNERSHIPS

A partnership was established with the Belleville Ontario Early Years Centre (BOEYC) to provide a quiet, private space to conduct their appointments for Newborn Hearing Screening. This provided BOEYC with a space suitable to conduct their services, as well as allowed several new mothers to receive breastfeeding consultation support on site at the time of their visit.

HPEPH is an active partner in the Baby-Friendly Initiative (BFI) Community Network, which involves over 15 other local organizations. This organized and unified group works together to promote the BFI within our communities.

HPEPH acted as lead agency of 5 public health partners for the Eastern Ontario Physical Activity Network (EOPAN) project, which was funded by the Heart & Stroke Foundation's Spark Grant. The project aimed to better understand the barriers to achieving optimal health, and identify opportunities to increase activity and reduce sedentary behaviour for rural youth.

Partnerships with school boards have continued to enable us to deliver health protection and promotion services through delivery of our sexual health program at certain local schools, and provision of immunization and school screening services across our catchment area.

Hosting a Bicycle-Friendly Communities Workshop for municipal and stakeholders in Belleville and Quinte West allowed HPEPH to facilitate the development of a shared vision and actionable strategies for each community to build community environments that encourage people to bicycle more often.

HPEPH hosted the first Health Works Breakfast Meeting, which provided an overview of the link between the promotion and encouragement of physical activity and corresponding reduction of sedentary behaviour in the workplace, and benefits to company profits. These breakfast meetings offer education and networking opportunities for healthy workplace champions in Hastings Prince Edward.

A continued partnership with Quinte Health Care enabled HPEPH to promote the health of local infants and children by holding an education session for health care providers to discuss ways to ensure more children are screened and referred to the services they need, early in their development.

HPEPH continues to be an active partner in the Quinte Region Traffic Coalition (QRTC), a long standing road safety coalition whose membership includes HPEPH and nine local police services. The QRTC works to improve road safety in our community by concentrating on the issues that are the major contributors to injury and death on our roads.

A new relationship was initiated with the Prince Edward Family Health Team (PEFHT) through the relocation of our Picton office and the establishment of space sharing arrangement at the PEFHT site.

HPEPH introduced a series of cooking classes for residents with limited food skills who are experiencing food insecurity. Plans are being developed to continue these classes, as well as to work with community partners to advocate for healthy eating in local communities.

HPEPH Performance vs. Provincial Standards (Accountability Indicators)

HPEPH is committed to monitoring local performance against provincial standards to demonstrate the effective use of public funds, identify movement and progress on provincial priorities, demonstrate compliance with the Ontario Public Health Standards and Organizational Standards, and address Health Unit specific performance issues.

Performance Indicators:

100%

Percentage of high-risk Small Drinking Water Systems (SDWS) inspections completed for those that are due for re-inspection

Provincial Target: 100%

100%

Percentage of suspected rabies exposures reported with investigation initiated within one day of public health unit notification

Provincial Target: 100%

85%

Percentage of salmonellosis cases where one or more risk factor(s) other than “Unknown” was entered into iPHIS

Provincial Target: 90%

4.5%

Percentage of influenza vaccine wasted that is stored/administered by the public health unit

Provincial Target: 4.5%

99.2%

Percentage of refrigerators storing publicly funded vaccines that have received a completed routine annual cold chain inspection

Provincial Target: 100%

96%

Percentage of tobacco vendors in compliance with youth access legislation at the time of last inspection

Provincial Target: >90%

98.21%

Oral Health Assessment and Surveillance of JK, SK and Grade 2 students - percentage of facilities screened

Provincial Target: 100%

90.83%

Oral Health Assessment and Surveillance of JK, SK and Grade 2 students - percentage of students screened in all publicly funded schools

Provincial Target: 100%

99.3%

Percentage of seasonal tobacco retailers inspected twice per year for compliance with Section 3 of the Smoke-Free Ontario Act

Provincial Target: 100%

100%

Percentage of non-seasonal tobacco retailers inspected twice per year for compliance with Section 3 of the Smoke-Free Ontario Act

Provincial Target: 100%

Implementation status of NutriSTEP® Preschool Screen.

2015 Status: Intermediate

Provincial Target: Intermediate

Baby-Friendly Initiative (BFI)

Status: Maintenance of BFI Designation

Provincial Target: Maintenance of BFI Designation

The percentage of the population that exceeds the Low-Risk Alcohol Drinking Guidelines and the number of fall related emergency visits in older adults aged 65+ are indicators that are currently being monitored in HPEPH to demonstrate the long term impact of public health work on societal outcomes. Tracking these indicators over a long period of time will allow for a better assessment of change.

FINANCIAL STATEMENTS

Revenue

Revenue for 2014-2015
Legend Area Amount($)
Provincial Funding $11 668 129
Municipal Levies $3 228 232
Federal Funding $114 675
County of Hastings Funding $8 966
Rental Revenue $14 165
Expenditures Recoveries $398 761
TOTAL: 15 432 928

Expenditures

Expendtirues for 2014-2015
Legend Area Amount($)
Salaries $9 359 247
Benefits $2 535 699
Staff Training $136 085
Travel $203 920
Building Occupancy $732 205
Office Expense & Administration $990 877
Program Supplies $601 726
Professional & Purchased Services $865 113
Amortization Expense $297 022
TOTAL: 15 539 894