1. Agency for Health Protection and Promotion Core Indicators and Ontario’s Agency for Health Protection and Promotion Dr Natasha S. Crowcroft Director, Surveillance and Epidemiology

3. Agency for Health Protection and Promotion Mandate, Vision, Mission Mandate To provide scientific and technical advice for those working to protect and promote the health of Ontarians. Vision We will be an internationally recognised centre of expertise dedicated to the protection and promotion of the health of all Ontarians through the application and advancement of science and knowledge. Mission We are accountable to support health care providers, the public health system and partner Ministries in making informed decisions and taking informed action to improve the health and security of all Ontarians through the transparent and timely provision of credible scientific advice and practical tools

4. Agency for Health Protection and Promotion Ontario Agency for Health Protection and Promotion The Ontario Agency for Health Protection and Promotion Act received Royal Assent and came into force on June 4, 2007. Agency’s purpose: Serve as a hub, linking researchers, practitioners and front-line workers to the best scientific intelligence from around the world. Provide specialized scientific and technical advice and support to government, front-line health care workers and public health units. Provide scientific and technical support during emergency situations ranging from localized outbreaks to provincial emergencies. Serve as a model for bridging the two solitudes of infection control and worker safety.

5. Agency for Health Protection and Promotion 5 Local, Provincial, National and Global Public Health Agencies Universities and Research Institutes Health Services Organizations and Providers The Agency Nexus

6. Agency for Health Protection and Promotion 6 AREAS OF SPECIALISATION CLIENTS FUNCTIONS Key Directions Public Health Units Health Care Providers Partner Ministries Surveillance and epidemiology Research Knowledge exchange Laboratory services Professional development Communication Infectious disease and infection prevention and control Health promotion, chronic disease and injury prevention Environmental health Emergency and Exigent Circumstances Support in AGENCY

7. Agency for Health Protection and Promotion At maturity Collecting, analysing and disseminating comprehensive readily comparable data with the aim of: –Better informing actions and interventions required in the field –Identify emerging trends and threats –Allow for richer retrospective analysis –Better inform the process of setting goals for Ontario’s public health system –Advanced planning

8. Agency for Health Protection and Promotion Partners… just for starters The people of Ontario Public Health Units All health care providers, including long-term care facilities Networks, organizations and Agencies with public health mandates – ICES, RICNs, LHINs, CCO, OHSF, OQHC, APHEO alPHa, OPHA… MOHLTC and other Ministries – including Environment Universities and research institutes Federal Agencies - PHAC StatsCan, CIHI… Other Canadian institutions – NACI, CIHR, networks of centres of excellence…. Private sector – laboratories and industry Professional organisations Any other organisation with a public health impact – schools, police…

9. Agency for Health Protection and Promotion Initial focus for surveillance All existing legal reporting to the Ministry remains in place Surveillance activities should focus on known gaps and needs in Ontario, including responding to a range of infectious diseases which are; –currently not reportable –of increasing impact –for which existing surveillance is limited

10. Agency for Health Protection and Promotion Key imperatives Need to have clear objectives and deliverables for the first year Need to build a strong team Need to build confidence of stakeholders and strong links with them Need to develop clarity and definition about the role of the Agency Need to prioritise –Initial activities will focus on gaps, on areas of need, and on building relationships –Start with small and achievable projects

11. Agency for Health Protection and Promotion Core indicators: Possible Agency roles Analytic support for small health units Broader health system considerations: e.g. LHINs Align the Public Health Standards with Core indicators –Access to new data –Improve existing data (e.g. RRFSS) –Lobby for improved timeliness (mortality) Specific expertise: disease content expertise or methodological; epidemiology, geospatial, modelling, biostatistics Support for APHEO Involvement/help of new stakeholders

12. Agency for Health Protection and Promotion What can you reasonably expect? Responsiveness Relevance Credibility Collaboration Innovation Balance