BOARD OF HEALTH

A G E N D A

Date of Meeting:Monday, October 18, 1999Enquiry:Trudy Perrin

100 Queen Street Westclerk@city.toronto.

Toronto City Hallon.ca

DECLARATIONS OF INTEREST PURSUANT TO THE MUNICIPAL CONFLICT OF INTEREST ACT

CONFIRMATION OF MINUTES:September 21, 1999

DEPUTATIONS:List to be distributed at meeting.

COMMUNICATIONS/REPORTS

1.RESOURCES REQUIRED FOR TRANSFER OF THE

YOUTH MENTORING PROGRAM TO TORONTO

PUBLIC HEALTH.

Medical Officer of Health

(October 6, 1999)

Respecting the implementation of the transfer of the Youth Mentoring Program from the Healthy City Office to Toronto Public Health and the expansion of the program City-wide; and recommending that:

(1)the Board of Health support the addition of $43,745.00 for 2000 and $82,490.00 for 2001, to cover one FTE staff position for the One on One Mentoring Program and that these monies be added to the base operating budget of Public Health; and

(2)this report be forwarded to the Children and Youth Action Committee for their information and endorsement.

2.CHIEF ADMINISTRATIVE OFFICER REVIEW OF PUBLIC HEALTH

PROGRAMS AND SERVICES, CITY OF TORONTO.

Medical Officer of Health

(September 30, 1999)

Forwarding the Terms of Reference for the Review of Public Health Programs and Services to be undertaken by the Chief Administrative Officer; and recommending that the Board of Health receive this report for information.

3.REPORT OF THE STAFF TASK FORCE ON PUBLIC HEALTH

DENTAL SERVICES.

Medical Officer of Health and

Commissioner of Community and Neighbourhood Services

(September 29, 1999)

Responding to the directive from Council to examine methods of providing a harmonized program of municipally funded, non-mandatory dental treatment services for the City of Toronto in the year 2000; and recommending that:

(1)delivery of the municipally funded, non-mandatory dental treatment program be through a "mixed model", which maximizes the City's investment in the ten city-operated dental clinics and the preventive and school-based clinics, augmented, as required, through agreements with fee-for-service dental practitioners and non-profit organizations to provide coverage for residents in the former municipalities that did not offer these services;

(2)Public Health be responsible for determining client eligibility and for preauthorizing and predetermining the services to be rendered to individual clients under the municipally funded, non-mandatory dental treatment program;

(3)Public Health audit a proportion of cases served through fee-for-service to ensure that all needs were treated and the services claimed were provided;

(4)clients of the municipally funded, non-mandatory dental treatment program be provided with the option of obtaining dental and oral health services from any fee-for-service dental practitioner or organization that enters into an agreement with Public Health to provide services under the program;

(5)as only four of the former municipalities offered non-mandatory dental treatment and each program was different in terms of the target groups served and the coverage provided, the Medical Officer of Health take steps to implement appropriate information and operating systems and mechanisms across the whole City, which will:

(i)monitor the effectiveness of the program amalgamation;

(ii)maximize the efficiency and productivity from the use of scarce resources; and

(iii)accurately capture cost and other information that will reasonably identify cost per unit of services, and facilitate a meaningful comparison with other service delivery methods and models; and

(6)approval of the mixed model of service delivery recommended in this report be subject to Budget Committee consideration of service harmonization as part of the year 2000 budget review process.

4.DENTAL MANAGEMENT STRUCTURE.

Report will be available at the meeting.

5.HOT WEATHER RESPONSE PLAN UPDATE.

Report will be available at the meeting.

6.STATUS REPORT: PROGRESS OF THE TORONTO CANCER

PREVENTION COALITION.

Medical Officer of Health

(October 5, 1999)

Respecting the progress of the Toronto Cancer Prevention Coalition since March 1999 and its proposed direction into the year 2000; and recommending that the Board of Health receive this report for information.

7.PUBLIC HEALTH 2000 BUDGET.

Report will be available at the meeting.

7a.Chair, Board of Health Budget Subcommittee

(October 7, 1999)

Advising, for the information of the Board of Health, that the Budget Subcommittee of the Board of Health at its meeting on September 30, 1999:

(1)directed Public Health staff to present the capital and operating budget requests for the Public Health Division to the Board for consideration at its October 18, 1999, meeting;

(2)deemed capital and operating budget request for information technology resources to be a high priority; and

(3)requested Public Health staff to explore the possibility of obtaining cost savings from within the department, and from raising revenue through personal service delivery and the inspection of licensing facilities by the Public Health Division.

8.APPOINTMENT OF ASSOCIATE MEDICAL OFFICER OF HEALTH.

Medical Officer of Health

(October 5, 1999)

Recommending that:

(1)Council appoint Dr. Lori Kiefer as Associate Medical Officer of Health for the City of Toronto Health Unit as outlined in this report, such appointment to be subject to approval by the provincial Minister of Health and Long Term Care; and

(2)authority be granted to introduce the necessary bill in Council to give effect to the above recommendation.

ANY OTHER MATTERS.