public health services - hamilton, ontario · • public health services supports the ......

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Public Health Services

General Issues Committee

February 10, 2015

2015 TAX OPERATING BUDGET

Item 7.1

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• Public Health Services supports the following programs and related services:

SERVICE DELIVERY PROFILES

Public Health Services 2015 Budget

Public Health

- Foundation Standards

- Chronic Disease & Injury Prevention

- Environmental Health

- Infectious Diseases

- Emergency Preparedness

- Family Health

Corporate Services

-Public Health Departmental Support

Services

Organizational Standards

Finance and Administration

Information Services

Human Resources

3

Prosperous and Healthy Community

• PHS Consolidation in Downtown Core

- Phase 1 move to Robert Thompson completed

- Implemented face to face reception area

- Centralized inventory management

- Successfully introduced hoteling and telecommuting

2014 HIGHLIGHTS


• 200 PHS jobs coming downtown

• 5,000 dental clinic visits

• 4,600 sexual health clinic visits

• 450 McMaster jobs downtown

• 54,000 McMaster clinic visits

4


• Neighbourhood Action Plans

- Participation in 214 (47%) of neighbourhood actions

Examples:

- Canada Learning Bond

- Lead awareness project

- Community Food Advisors’ healthy eating sessions

- Glendale photovoice – infrastructure issues

- Community Points

- VAN needle pick up and sweeps

- Private property, education

- School Health Action Team

links to action plans

2014 HIGHLIGHTS


5


• Hamilton Overdose & Prevention Education (HOPE)

• Coordinated Needle Pick Up across City

• Downtown Dental Clinic

• Health System Navigators (Bed Bugs, McQuesten)

• “Epipen initiative” in Jackson Square (Epinephrine Auto-Injector Pilot Project)

2014 HIGHLIGHTS


6


• Mental Health & Addictions Services

- Developed mental health framework to inform future

initiatives and approach

- Conducted provincial research project to determine best practices for

child and youth mental health promotion

- Implemented youth alcohol harm reduction campaign

• Health Links Collaboratives

– Mental Health & Addictions

– Frail & Elderly

2014 HIGHLIGHTS


7


• Environmental Health Issues

- Air Quality Task Force recommendations to be implemented

- Climate Change Action Plan

- Community

- Corporate

• Healthy Built Environment

- Improving Health by Design report

2014 HIGHLIGHTS


8

Valuable & Sustainable Services

• Continuous service improvement

- E-Health Initiatives (OSCAR, Panorama)

- Performance Measurement System

- Program Evaluations

• Waterdown Sexual Health Clinic

• School Immunization Program

• Good to Go Food Box

• HOPE

2014 HIGHLIGHTS


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Valuable & Sustainable Services

• Engaging and informing citizens and stakeholders

- Food Premise Inspection Disclosure Card System

- Food Summit

- Healthy Birth Weight

- Community Points Needle Pick Up

- Foundation for Cleaner Air/Upwind

Downwind Conference

-”Let’s Talk About Weather” Community Climate Change Action Plan

2014 HIGHLIGHTS


10

Leadership & Governance

• Moving toward Culture of Accountability and

Engagement

– Denison Employee Culture Survey completed

– Employee Culture Action Plan completed

1) Communicated Denison Survey results to all PHS staff

2) Performance and Accountability Development (PAD)

implemented across leadership team

3) Gained understanding of baseline Denison results

• Led the Pan Am 2015 City of Hamilton Emergency

Management Plan

• Board of Health Self Evaluation

2014 HIGHLIGHTS


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Departmental Operational Work Plan Approach

2015 INITIATIVES


12

External Departmental Operational Work Plan

Priorities

• Hamilton Healthy Kids Strategy - Community Challenge

• Food Strategy

• Mental Well-being and Resiliency

• Healthy Birth Weight Strategy

• Health System Integration

2015 INITIATIVES


13

Internal Departmental Operational

Workplan Priorities

• Culture Plan – Workplace of Choice

• Privacy, records and information

management system

• Program administrative support

2015 INITIATIVES


14

Other Emerging Priorities and Service Demands

• New requirements in Ontario Public Health Standards

(OPHS)

• Menu labelling promotion and enforcement • Public transparency in investigations and inspections

• Smoke Free Ontario expanded enforcement • Revised food safety standards

• Mental health promotion • Revised program indicators

• Review of public health standards • Safe water program protocol

• Bed bugs, rat infestations

• Low Income Integrated Dental Program

• Increased inspections for Influenza Vaccine providers;

reach of vaccination for vulnerable groups for cervical

cancer and meningitis

2015 INITIATIVES


15

Other Emerging Priorities and Service Demands

• Pan Am games

• McMaster Health Campus – phase 2 move

• Keep programs and services relevant using social media,

information technology, and support increasingly mobile

work force

• Performance measurement for all programs by 2016 with

the development of a performance dashboard

• Implement new performance appraisal tool (PAD -

Performance Accountability and Development) for all staff in

department

2015 INITIATIVES


16

2015 Preliminary

Tax Operating Budget


17

OVERVIEW

Complement

(FTE)

Management Other Total Staff to Mgt

Ratio

2014 37.50 368.40 405.90 9.82:1

2015 37.50 367.80 405.30 9.81:1

Change 0.00 (0.60) (0.60)


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2015 GROSS - NET DEPARTMENTAL BUDGET

2015 Budget


2014 2014 2015

Restated Projected PreliminaryBudget Actual Budget $ %

EMPLOYEE RELATED COSTS 39,451,460 39,145,080 40,026,050 574,590 1.5%

MATERIAL AND SUPPLY 2,100,050 1,932,680 2,017,510 (82,540) (3.9)%

VEHICLE EXPENSES 33,890 36,160 35,540 1,650 4.9%

BUILDING AND GROUND 1,900,590 1,914,020 1,818,850 (81,740) (4.3)%

CONSULTING 470 25,500 0 (470) (100.0)%

CONTRACTUAL 1,783,710 2,087,790 1,792,900 9,190 0.5%

AGENCIES and SUPPORT PAYMENTS 122,690 111,810 96,450 (26,240) (21.4)%

RESERVES / RECOVERIES 361,890 392,820 338,240 (23,650) (6.5)%

COST ALLOCATIONS 2,211,530 2,187,770 2,230,820 19,290 0.9%

FINANCIAL 2,006,010 1,885,990 1,844,900 (161,110) (8.0)%

CAPITAL FINANCING 0 0 533,780 533,780 100.0%

TOTAL EXPENDITURES 49,972,290 49,719,630 50,735,040 762,750 1.5%

FEES AND GENERAL (1,639,780) (1,738,690) (1,678,930) (39,150) (2.4)%

GRANTS AND SUBSIDIES (37,399,710) (37,078,160) (37,881,210) (481,500) (1.3)%

RESERVES (237,610) (230,460) (206,810) 30,800 13.0%

RECOVERIES FROM CAPITAL 0 800 0 0 0.0%

TOTAL REVENUES (39,277,100) (39,046,500) (39,766,960) (489,860) (1.2)%

NET LEVY 10,695,190 10,673,130 10,968,080 272,890 2.6%

2015 Preliminary vs.

2014 Restated


19

2015 Gross Expenditures $50,735,040

2015 Budget

20

2015 Revenue Sources $50,735,040


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Gross/Net Budget by Funding Source


Program Details

2015

Gross

($000s)

2015

Net

($000s)

Net % of

Gross

PH Mandatory Programs $34,380 $9,045 26.3%

100% Funded Programs 13,881 420 3.0%

Locally Mandated Programs 1,258 1,198 95.3%

Small Drinking Water Systems 55 14 25.1%

CINOT Expansion 204 51 25.0%

Vector Borne Disease 958 240 25.0%

TOTAL $50,735 $10,968 21.6%

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2015 NET OPERATING BUDGET BY DIVISION

2015 Budget


2014 2014 2015

Restated Projected Preliminary

Budget Actual Budget $ %

Medical Officer of Health 5,320,960 5,448,030 5,691,800 370,840 7.0%

Clinical & Preventive Services 6,506,020 6,862,170 6,500,180 (5,840) (0.1)%

Family Health 3,986,570 4,297,010 4,197,490 210,920 5.3%

Health Protection 6,700,660 7,093,150 6,736,760 36,100 0.5%

Healthy Living 6,891,070 7,250,170 7,023,320 132,240 1.9%

Planning & Business Improvement 4,746,720 3,179,410 4,744,480 (2,240) (0.0)%

Mandatory Public Health Subsidy (23,456,810) (23,456,810) (23,925,940) (469,130) (2.0)%

NET LEVY 10,695,190 10,673,130 10,968,080 272,890 2.6%

2014 Restated


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2015 MAJOR COST DRIVERS


net

Employee related increases $ 702,730

Provincial cost shared subsidy (469,130)

Rent/Facilities/Clinic (227,990)

Debt Charge 533,780

Efficiencies (171,010)

Program Admin Review (85,690)


Additional Information

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2015 Budget

25

Low Income Dental Integration Plan

• Integration of 6 oral health programs for low income

children/youth into 1 dental program

• Administration and eligibility determination will be

centralized and contracted out

• Preventive services will only be available to those children

who meet financial eligibility rather than need

• Local health units will continue with school screening and

refer families to the new program if eligible

2015 CHALLENGES


CPS FHD

HLD HPD

PBI

PH

S P

rog

ram

Ad

min

istr

ati

ve

S

up

po

rt

CPS

FHD

HLD

HPD

PBI


PROGRAM ADMINISTRATIVE SUPPORT REVIEW

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PROGRAM ADMINISTRATIVE SUPPORT REVIEW


Program Administrative Support benefits:

• Better client services

• Better program support

• Better work environment

• Save money

28

Accommodations Impact (BOH11026) $476,450

Mitigation:

• 2014 Efficiencies ($77,050)

• 2014 Program Secretary (32,700)

• 2015 Efficiencies (124,800)

• 2015 Clinic Rent (110,000)

• 2015 Facilities Project Manager (46,210)

• 2015 Program Admin review (85,690)

($476,450)

ACCOMMODATIONS


29

FTE COMPLEMENT BY FUNDING SOURCE


30

PERMANENT VACANCIES


Division Vacant FTE at

December 31, 2014

Clinical & Preventive Services 1.80

Healthy Living 3.00

Planning & Business Improvement 2.00

Public Health Services Total 6.80

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2015 Budget by Division

32

Medical Officer of Health


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2015 GROSS - NET DIVISIONAL BUDGET

2015 Budget

Medical Officer of Health

2014 2014 2015


EMPLOYEE RELATED COSTS 2,617,360 2,467,370 2,549,340 (68,020) (2.6)%

MATERIAL AND SUPPLY 16,980 42,730 16,240 (740) (4.4)%

BUILDING AND GROUND 1,460,520 1,479,500 1,368,430 (92,090) (6.3)%

CONSULTING 0 25,500 0 0 0.0%

CONTRACTUAL 12,850 193,570 12,850 0 0.0%


COST ALLOCATIONS 1,659,070 1,659,070 1,675,660 16,590 1.0%

FINANCIAL 87,810 112,430 63,830 (23,980) (27.3)%

CAPITAL FINANCING 0 0 533,780 533,780 100.0%


FEES AND GENERAL (42,510) (73,250) (42,510) 0 0.0%

GRANTS AND SUBSIDIES (366,320) (348,140) (382,950) (16,630) (4.5)%

RESERVES (237,610) (228,480) (206,810) 30,800 13.0%

TOTAL REVENUES (646,440) (649,870) (632,270) 14,170 2.2%

NET LEVY 5,320,960 5,448,030 5,691,800 370,840 7.0%


2014 Restated

34

Clinical & Preventive

Services


35

Clinical & Preventive Services 2015 Budget

PERFORMANCE METRICS / SERVICE LEVELS

2014 Accountability Agreement

Performance Indicators Target Actual

% confirmed gonorrhea cases where follow-up started within 2

business days

100% 100%

% of HPV vaccine wasted that is stored/administered by the

public health unit (2013/14 school year)

0.5% 0.7%

% of influenza vaccine wasted that is stored/administered by the

public health unit (2013/14 season) 2.3% 2.4%

% of refrigerators storing publicly funded vaccines that have

received a completed routine annual cold chain inspection 100% 99.3%

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% of eligible school-aged children who have completed

immunizations for Hepatitis B No ministry

performance

targets set for

2013/14 school

year

80%


immunizations for HPV 59.38%


immunizations for meningococcus 84.7%

% of all JK, SK and Grade 2 students who received oral health

screening in all publicly funded schools 100% 100%

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Service Highlights 2014 Target Actual

Number of clients served through the Community Mental

Health Promotion Program 1,344-1,642 1,192

Number of unique individuals served through Off the Street

Into Shelter (OSIS) 1,270 1,510

Number of individual contacts who received case

management services relating to substance use 2,349 2,139

Number of individual contacts who received case

management services related to gambling 700 624

Number of clients served through Dental Clinic and Bus 5000 4638

Number of client contacts made through the Needle

Syringe program 7500 8614

Harm reduction supplies (needles)

600,000 732,559

38

OVERVIEW

Complement

(FTE)


Ratio

2014 8.00 83.55 91.55 10.44:1

2015 8.00 82.75 90.75 10.34:1

Change 0.00 (0.80) (0.80)


Director

Glenda McArthur

Manager

Dental Clinic

Services

(11.9)

Manager

Sexual Health &

Harm Reduction

(11.1)

Manager

Mental Health and

Street Outreach

(5.0)

Manager

Community Dental

Services

(10.0)***

Manager

Vaccine

Preventable

Diseases

(14.0)

Manager

Alcohol, Drug &

Gambling Services

(14.35)

Manager

Clinic Services

(15.5)

Outreach Staff

Community

Agencies

(6.2)*

Outreach Staff

Community

Agencies

(2.0)*

Administrative Assistant II

(1.0)

Project Manager, Mental

Health & Addictions Strategy

(1.0)**

Dental Claims Payment

(5.9)

* Does not include

Outreach staff

** Budget in OMOH

*** Includes 1.0 FTE 100%

funded program

secretary position that

report to Business

Operations Manager

39

2015 NET OPERATING BUDGET BY SECTION

2015 Budget

Clinical & Preventive Services

2014 2014 2015



Administration - Clinical & Preventive Services 264,880 315,600 269,490 4,610 1.7%

Vaccine Preventable Disease Program 1,840,590 2,017,180 1,872,560 31,970 1.7%

Dental Services 2,141,030 2,172,970 2,165,220 24,190 1.1%

Mental Health & Addictions 15,000 15,000 15,000 0 0.0%

Sexual Health & Harm Reduction 2,244,520 2,341,420 2,177,910 (66,610) (3.0)%

NET LEVY 6,506,020 6,862,170 6,500,180 (5,840) (0.1)%

2014 Restated


40


2015 Budget

Clinical & Preventive Services

2014 2014 2015



MATERIAL AND SUPPLY 701,010 665,800 679,090 (21,920) (3.1)%

VEHICLE EXPENSES 33,890 30,420 35,540 1,650 4.9%

BUILDING AND GROUND 153,200 154,840 157,640 4,440 2.9%

CONTRACTUAL 633,660 685,050 635,990 2,330 0.4%

AGENCIES and SUPPORT PAYMENTS 250 250 250 0 0.0%

RESERVES / RECOVERIES (92,750) (79,230) (77,490) 15,260 16.5%

COST ALLOCATIONS 136,890 136,890 136,900 10 0.0%

FINANCIAL 1,617,490 1,446,230 1,494,010 (123,480) (7.6)%

TOTAL EXPENDITURES 11,061,230 11,246,250 11,046,330 (14,900) (0.1)%

FEES AND GENERAL (562,800) (560,530) (562,800) 0 0.0%

GRANTS AND SUBSIDIES (3,992,410) (3,823,550) (3,983,350) 9,060 0.2%

TOTAL REVENUES (4,555,210) (4,384,080) (4,546,150) 9,060 0.2%

NET LEVY 6,506,020 6,862,170 6,500,180 (5,840) (0.1)%


2014 Restated

41

Family Health


42

2015 Budget


Family Health


Performance Indicators 2013 2014

Baby Friendly Initiative (BFI)

Intermediate

status

On track for

designation in

2015

Service Highlights 2014 2013 2014

Health Connections 6,527 calls 6,300 calls

Healthy Babies Healthy Children 8,000 home

visits

8,000 home

visits

Nurse-Family Partnership 1,985 home

visits

1,878 home

visits

Car Seat Installation/Education 284 car seats 320 car seats

43

2015 Budget


Family Health


Breastfeeding Clinic 1,041 visits 638 visits

Welcome Baby (Canadian Prenatal Nutrition Program) 5,383 visits 5,528 visits

“Check It Out” 210 families 181 families

Prenatal Group Education (face to face, on line)

650 adult

parents

57 young

parents

686 adult

parents

100 young

parents

Quit Smoking Clinic Services

(pregnant/breastfeeding parents of young children)

22

individuals

92 contacts

51

individuals

208 contacts

Child and Adolescent Services 751 new

clients

784 new

clients

44

OVERVIEW

Complement

(FTE)


Ratio

2014 8.00 83.31 91.31 10.41:1

2015 8.00 83.31 91.31 10.41:1

Change 0.00 0.00 0.00

Family Health 2015 Budget

Manager

Healthy Babies

Healthy Children,

Hamilton Family

Health Team

Secondment

(11.5)**

Family Home

Visitors

(11.0)*

FHV Supervisor

(1.0)*

Manager

Child Health

Positive Parenting,

Child Safety,

Health

Connections

(14.0)

Manager

Reproductive

Health and Early

Identification

(9.8)

Manager

Child and

Adolescent

Services

(19.8)

Manager

Child Health

Nutrition,

Canadian Prenatal

Nutrition Program,

Breastfeeding

(11.8)

Manager

Healthy Babies

Healthy Children,

Health

Connections

(12.4)**

Manager

Nurse-Family

Partnership,

Postpartum Mood

Disorder

(10.0)**


(1.0)

Director

Dorothy Barr

* Does not include: 11.0

FTE FHV; 1.0 FTE FHV

Supervisor

** Includes 3.4 FTE 100%

funded program

secretary positions that

report to Business

Operations Manager

45


2015 Budget

Family Health

2014 2014 2015



Child & Reproductive Health 3,504,400 3,738,860 3,596,330 91,930 2.6%

Administration - Family Health 273,890 275,740 277,520 3,630 1.3%

Child Health - HBHC 208,280 282,410 323,640 115,360 55.4%

NET LEVY 3,986,570 4,297,010 4,197,490 210,920 5.3%

2014 Restated


46


2015 Budget

Family Health

2014 2014 2015





CONTRACTUAL 853,130 865,850 862,140 9,010 1.1%

AGENCIES and SUPPORT PAYMENTS 290 290 0 (290) (100.0)%

RESERVES / RECOVERIES 36,840 40,240 43,580 6,740 18.3%

COST ALLOCATIONS 283,050 259,290 284,900 1,850 0.7%

FINANCIAL 55,210 82,110 51,780 (3,430) (6.2)%


FEES AND GENERAL (423,160) (412,530) (423,680) (520) (0.1)%

GRANTS AND SUBSIDIES (6,189,450) (6,181,300) (6,189,450) 0 0.0%

TOTAL REVENUES (6,612,610) (6,593,830) (6,613,130) (520) 0.0%

NET LEVY 3,986,570 4,297,010 4,197,490 210,920 5.3%


2014 Restated

47

Health Protection



Performance Indicators Target Actuals

% of high - risk food premises inspected once every four

months while in operation

98.4% 98.8%

% of moderate - risk food premises inspected once every six

months while in operation 93% 95.1%

% of Class A pools inspected while in operation 98% 100%

% of high - risk Small Drinking Water System inspections

completed for those that are due for re-inspection TBD 100%

48

Health Protection 2015 Budget



Performance Indicators Target Actuals

% of public spas inspected while in operation TBD 100%

% of personal service setting inspected annually 95% 99.9%

% of suspected rabies exposures reported with investigations

initiated within one day of PHU notification TBD 100%

% of confirmed invasive Group A Streptococcal Disease cases

where initiation of follow-up occurred on the same day as

receipt of lab confirmation of a positive case

100% 100%

49



50




Community and institutional outbreak investigations 133 123

Health hazard/Pest control complaint investigations 1347 1324

Tuberculosis and Infectious Disease Investigations 1905 2062

Emerging Trends

Infectious Diseases

-MERS CoV, Ebola, Enterovirus D-68

Vector Borne Investigations

-Mosquitoes for Eastern Equine Encephalitis and Chikungunya

Diseases, Ticks for Lyme Disease

51

OVERVIEW

Complement

(FTE)


Ratio

2014 7.00 62.66 69.66 8.95:1

2015 7.00 62.66 69.66 8.95:1

Change 0.00 0.00 0.00


Director

Robert Hall


(1.0)

Quality Assurance

Advisor

(1.0)

Manager

Infectious

Disease & TB

Program

(10.4)

Manager

Infectious

Disease/Infection

Control Program

(13.5)

Manager

Vector Borne

Disease

Program

(13.35)*

Manager

Safe Water

Program

(7.85)

Manager

Food Safety

Program

(12.56)

Manager

Health

Hazards

Program

(9.0)

* Includes 0.6 FTE other

funded program

secretary position that

reports to Business

Operations Manager

52


2015 Budget

Health Protection

2014 2014 2015



Administration - Health Protection 578,910 628,230 586,560 7,650 1.3%

Environmental Health 4,633,140 4,966,790 4,674,580 41,440 0.9%

TB/Infectious Disease Control 1,018,630 1,065,010 1,038,410 19,780 1.9%

Residential Care Facilities 219,140 220,940 197,570 (21,570) (9.8)%

Vector-Borne Diseases 250,840 212,180 239,630 (11,210) (4.5)%

NET LEVY 6,700,660 7,093,150 6,736,760 36,100 0.5%

2014 Restated


53


2015 Budget

Health Protection

2014 2014 2015



MATERIAL AND SUPPLY 267,110 217,170 270,830 3,720 1.4%

BUILDING AND GROUND 23,810 25,850 24,510 700 2.9%

CONSULTING 470 0 0 (470) (100.0)%

CONTRACTUAL 250,520 274,070 247,440 (3,080) (1.2)%

AGENCIES and SUPPORT PAYMENTS 81,000 80,950 81,000 0 0.0%



FINANCIAL 81,480 92,000 76,480 (5,000) (6.1)%


FEES AND GENERAL (437,460) (450,880) (446,210) (8,750) (2.0)%

GRANTS AND SUBSIDIES (990,630) (868,010) (995,430) (4,800) (0.5)%

TOTAL REVENUES (1,428,090) (1,318,890) (1,441,640) (13,550) (0.9)%

NET LEVY 6,700,660 7,093,150 6,736,760 36,100 0.5%


2014 Restated

54

Healthy Living


55

Healthy Living 2015 Budget




% of youth (ages 12-18) who have never smoked a whole

cigarette (2013) 88.3% 94.7%

% of tobacco vendors in compliance with youth access

legislation at last inspection 90% 95%

% of secondary schools inspected once per year for

compliance with Section (10) of the Smoke-Free Ontario Act

% tobacco retailers inspected for compliance with Section

(3) of the Smoke-Free Ontario Act

% tobacco retailers inspected once per year for compliance

with display, handling and promotion Sections of the Smoke-

Free Ontario Act

100%

100%

100%

100%

100%

100%

56





Number of fall-related emergency visits in adults aged 65+

(rate per 100,000 per year)

Maintain or

improve

current rate

5409


Hamilton Helmet Initiative:

• # of helmets purchased through elementary schools 4481 3749

• # of free helmets provided to residents in need 696 1427


YouTube video hits re underage drinking in response to

Skinner inquest 863 hits 2305 hits

Cancer prevention for hard to reach clients - 11,292

individuals

Registered tanning salons, Skin Cancer Prevention Act New in 2014 41 (100%) salons

Tobacco Workplace Cessation Project 8,796 employees

Number of tobacco inspections and enforcement checks

(SFO, By-law 11-080) 1,851 1,821

Youth engagement:

• Youth healthy living programming reach

• Health Action Teams, Health Promoting

Partnership Schools

32,706

79 schools

36,768

79 schools

Food Strategy:

• Food Charter

• 2015 community engagement plan

• Community 2014 Food Forum

New in 2014

Endorsed

Developed

>100 participants

57



58

OVERVIEW

Complement

(FTE)


Ratio

2014 7.00 67.28 74.28 9.61:1

2015 7.00 67.58 74.58 9.65:1

Change 0.00 0.30 0.30


Manager

Elementary School

Program

(12.3)

Manager

Secondary School

Program

(11.5)

Manager

Chronic Disease

Prevention, Healthy

Food Systems

Workplace Health

(11.5)

Manager

Injury Prevention

(10.5)

Manager

Chronic Disease

Prevention

Cancer Prevention &

Screening, Activity

Friendly Communities

(13.7)

Manager

Tobacco Control

and Prevention

(13.07)*


(1.0)

Director

Ellen Pezzetta

* Includes 1.5 FTE 100%

funded program

secretary positions that

report to Business

Operations Manager

59


2015 Budget

Healthy Living

2014 2014 2015



Administration - Healthy Living 384,130 373,870 395,080 10,950 2.9%

Chronic Disease Prevention 2,530,030 2,717,590 2,601,460 71,430 2.8%

Injury Prevention 1,000,920 1,059,020 1,020,600 19,680 2.0%

Child Health - School Health 2,472,330 2,596,050 2,489,220 16,890 0.7%

Tobacco Programs 503,660 503,640 516,950 13,290 2.6%

NET LEVY 6,891,070 7,250,170 7,023,320 132,240 1.9%

2014 Restated


60


2015 Budget

Healthy Living

2014 2014 2015





CONTRACTUAL 27,630 45,010 27,630 0 0.0%

AGENCIES and SUPPORT PAYMENTS 200 320 200 0 0.0%



FINANCIAL 137,970 132,360 133,640 (4,330) (3.1)%


FEES AND GENERAL (173,850) (242,680) (203,730) (29,880) (17.2)%


TOTAL REVENUES (1,286,340) (1,354,970) (1,316,220) (29,880) (2.3)%

NET LEVY 6,891,070 7,250,170 7,023,320 132,240 1.9%


2014 Restated

61

Planning & Business

Improvement


62

Planning and Business Improvement 2015 Budget



Canada Learning Bond RESP’s established for low income

families New 2014 207 children

Performance measurement and continuous quality

improvement

- fully operational

- pilot testing of indicators

- in development

- to be initiated in 2015

New 2014

6 programs

8 programs

17 programs

10 programs

Evaluations 4 4 complete

1 in progress

Downtown office consolidation project

~ 400 staff

moved

Student placements facilitated 73 students 56 students

63

OVERVIEW

Complement

(FTE)


Ratio

2014 5.00 59.10 64.10 11.82:1

2015 5.00 59.00 64.00 11.80:1

Change 0.00 (0.10) (0.10)

Planning & Business Improvement 2015 Budget

Health Safety & Wellness Specialist

Organizational Development Specialist

(2.0)

Manager

Applied Research &

Evaluation

(13.0)

Manager

Strategic Projects

and Services

(9.5)

Manager

Business

Operations

(25.5)


(1.0)

Director

Michelle Baird (A)

Manager

Surveillance Unit

(12.0)

100% Funded

Program

Secretaries

(6.5)*

* Additional 6.5 FTE

program secretaries

funded through other

programs report to

Business Operations

Manager

64


2015 Budget

Planning & Business Improvement

2014 2014 2015



Administration - Planning & Business Improvement2,319,400 679,470 2,253,110 (66,290) (2.9)%

Foundational Standards 1,244,550 1,316,210 1,284,090 39,540 3.2%

Organizational Standards 1,023,450 1,029,350 1,045,420 21,970 2.1%

Social Determinants of Health 159,320 154,380 161,860 2,540 1.6%

NET LEVY 4,746,720 3,179,410 4,744,480 (2,240) 0.0%

2014 Restated


65


2015 Budget

Planning & Business Improvement

2014 2014 2015





CONTRACTUAL 5,920 24,240 6,850 930 15.7%

AGENCIES and SUPPORT PAYMENTS 40,950 30,000 15,000 (25,950) (63.4)%

RESERVES / RECOVERIES 21,460 23,270 25,010 3,550 16.5%


FINANCIAL 26,050 20,860 25,160 (890) (3.4)%

TOTAL EXPENDITURES 6,038,320 4,467,470 6,036,080 (2,240) 0.0%


TOTAL REVENUES (1,291,600) (1,288,060) (1,291,600) 0 0.0%

NET LEVY 4,746,720 3,179,410 4,744,480 (2,240) 0.0%


2014 Restated


Thank-you

66

2015 Budget

67

MANDATORY PUBLIC HEALTH


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