1. Agency for Health Protection and Promotion Presentation for: ALPHA June 10, 2008 Ontario Agency for Health Protection and Promotion Update on Agency Implementation

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3. 3 Creation of the Ontario Agency for Health Protection and Promotion Numerous external reports recommended the creation of a public health agency for Ontario including: –Naylor Report (Oct’03), Walker Interim Report (Dec ’03), Campbell Reports (Apr.’04, Dec ‘04), Walker SARS Expert Panel Report (Apr ’04), Haines Report (Jul ’04), Walker Legionnaire’s Report (Dec ’05), CMOH 2005 Annual Report. Common to all reports was the need to establish arm’s-length body with focus on provision of scientific and technical support to: –Government; –Public Health Units; and –Front-line Care Workers.

4. Agency for Health Protection and Promotion 4 Agency Implementation Task Force MANDATE “To provide scientific and technical advice for those working to protect and promote the health of Ontarians” VISION “We will be an internationally recognized centre of expertise dedicated to protecting and promoting 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.”

5. Agency for Health Protection and Promotion 5 Legislated Objects of the Agency To provide scientific and technical advice and support to the health care system and the Ontario Government. To develop, disseminate and advance public health knowledge, best practices and research. To inform and contribute to policy development. To develop, collect, use, analyse and disclose data. To undertake, promote and co-ordinate public health research. To provide education and professional development. To establish, operate and maintain laboratory centers. To serve as a model for bridging infection control and occupational health and safety. To undertake research related to evaluation modes of transmission of febrile respiratory illness and the risk to health workers. As directed by the CMOH, to provide advice and support in emergencies.

6. Agency for Health Protection and Promotion 6 AITF – Approach to Validation of Core Model Commissioned Research Roundtables and targeted sessions Approaches Lessons learned from other jurisdictions Enablers & Infrastructure Governance Legislation Partnerships Human Resources Communications IT Role definition & MOUs Validated Areas Infectious Diseases Health Promotion, Chronic Diseases & Injury Prevention Environmental Health Emergency Management Support Validated Functions Surveillance and Epidemiology Knowledge Exchange Research Specialized Laboratory Diagnostics Professional Development Communication Multi stakeholder Reference Panel

7. Agency for Health Protection and Promotion 7 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

8. Agency for Health Protection and Promotion 8 Local, Provincial, National and Global Public Health Agencies Universities and Research Institutes Health Services Organizations and Providers The Agency Nexus

9. Agency for Health Protection and Promotion 9 Board Update Founding Board appointed in the summer of 2007: –Dr. David Walker – Chair; Dr. Terry Sullivan – Vice-chair; –Dr. Michael Christian; Judith Tompkins; –Dr. Richard Massé, and; Dr. Liana Nolan; The selection process for the remaining seats on the Board commenced in January 2008. Recommendations forwarded to the Minister in March 2008. The Board has been regularly since September 2007. The start-up phase is focused on governance (i.e. MOU, conflict of interest guidelines, first by-laws) and labs transfer. Board participated in its first strategic planning session in November 2007. A second strategic planning session focused on labs occurred in January 2008. A retreat to start development of the Agency’s first strategic plan is planned for later this month.

10. Agency for Health Protection and Promotion 10 Agency Strategic Plan Development Agency Strategic Planning Committee - reviews input from Ministry Committees - recommends Strategic Plan for Board Approval Agency Board of Directors - approves Strategic Plan Agency Strategic Plan Approved - provided to MOHLTC through an annual business plan - implemented by Agency Intra-Ministry Committee - identifies MOHLTC priorities for Agency consideration Field Input through surveys, regular for a and needs analysis: - Public Health Units - Organisations - RICNs - Etc. Inter-Ministry Committee - identifies Ministries priorities for Agency consideration Task Force recommended approach for the Agency to develop their Strategic Plan

11. Agency for Health Protection and Promotion 11 Strategic Plan Will build on previous consultations –Start with broad range of draft objectives –Ensure opportunity for further input Realistic expectations Pace of activity to match resources Engagement with new CMOH Key issues to consider in the strategic plan –Broader agency objectives vs laboratory –Academic/research vs government/field –Infectious disease vs chronic disease –Balance between local and regional priorities and emerging provincial priorities

12. Agency for Health Protection and Promotion 12 Staffing Vivek Goel announced as the Agency’s inaugural President and CEO on March 4, 2008. Official start date is July 1, 2008. Working a few days a month on behalf of the Agency until July. Kathryn Bouey appointed as Transition Lead and Chief Negotiator representing Agency interests in the transfer of the Ontario Public Health Laboratories to the Agency. Transition Expertise has been retained for facilities, IT/KM, HR/ Change Management, Policies/MOU, and Legal. The Agency has retained Knightsbridge Executive Search as a partner in the recruitment of the Agency’s senior management team. The Agency is currently recruiting Senior Administrative Leaders: –Vice-President and Chief Administrative Officer and 3 direct reports Chief Financial Officer Chief Human Resources Officer Chief Information Officer First recruitment ad appeared in the Globe and Mail on April 25 th Ad copy will also appear in the Longwoods e-Letter, CCHSE, and the Ontario Health Promotion E-Bulletin Careers tab on the Agency website: www.oahpp.cawww.oahpp.ca

13. Agency for Health Protection and Promotion 13 Top Level Staffing Model President and CEO VP- Administration CAO Finance Human Resources Information Technology Real Estate VP Strategy & External Relations VP & Chief Scientific Officer Surveillance & Epidemiology Infectious Disease & Infection Prevention and Control Research Health Promotion, Chronic Disease & Injury Prevention Laboratories Environmental Health VP Knowledge Exchange & Communications Director Office of the President Director Emergency Management Support

14. Agency for Health Protection and Promotion 14 Transition and Start up Activities A Transition Team has been established to assist with implementation of several key initiatives, including the continued development of the Agency's governance, accountability and administrative structures and policies. Its current focus is working with the Ministry of Health and Long-Term Care on plans and agreements necessary for the proposed transfer of the Ontario Public Health Laboratories to the Agency later this year involving over 600 staff and 12 locations. (Fall 2008) It is also addressing longer-term initiatives such as lab reform, information management and technology, and facilities planning. Temporary project space at 415 Yonge Street, 16 th floor Moving to interim head office at 480 University Avenue in the Fall Negotiations are proceeding between ORC and Alexandria Real Estate Equities, Inc (the MaRS developer for Phase II) for a permanent home for the Agency and Central Public Health Laboratory

15. Agency for Health Protection and Promotion 15 Implementation – Key Milestones Board and CEO in place (focus on start-up operations) Agency in operation in key areas – providing scientific and technical expertise in all areas of specialization Year 1 (07/08) Year 2 (08/09) Senior leadership in place and staff recruitment underway; capacity for resources in infectious diseases and response in emergency and exigent circumstances; OPHL transfer anticipated Year 3 (09/10)

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