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The land of which we are gathered is here today's special territory for reinforce nations, signatory to the Robinson Treaty of 1850, and the broader health unit also includes private treaty three.

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This is a home item, the Snobby, who have prepared for it since immemorial. I also, I also know as a history of countries in the Meat, he have had three of this area.

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Okay, so what happens? I'm going to call it the sheet here in this sub people online

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and some people want to so we know

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Grat Arnold,

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can't see her

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Cindy's here, Casey's here. Jim Moffitt is commenting the board microphone is on mute

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All is here,

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Jim is here. Jim Moffitt is on

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Yep, okay

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I'm going to pick up

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I don't necessarily

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want to dismiss this here. Mark T. Barrett. I'm here.

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Okay, thank you.

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Christine Thompson is here. Todd Wheeler is here. I think that's it.

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If you do need declarations with a conflict interest,

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but Mr. McPherson is taken by just Thompson,

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the gender be approved,

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where the regular gender for the Board of Health

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many meeting, we held a membership thing be approved.

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Any opposed?

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We're going to go that one again, that was something that we decided on before, it's just

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too long in Colorado and individually, so we're just asking everybody opposed to the

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resolution.

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That way.

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Okay, saying that.

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Okay, we don't have an information session today.

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Okay, move by Christine.

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Second, when Mr. McPherson, the reminisce of the previous meeting,

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I was done.

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Fairfax, sorry, February 15.

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With the regular report.

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You approve?

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Any opposed?

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Question for today.

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The decisions are the Board.

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I think we're going

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to need to 23, based on your request.

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I'm going to review the resolution.

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Maybe we'd better go ahead and speak with them.

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I believe Mr.

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I don't have a strategy to see the results.

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Okay, so we should...

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Okay, so what we're going to do then is we have a request for base money increase and we recommend a 5% increase and we're going to be spending amount to be approved and submitted to the Ministry of Health as far as the 2023 annual service budget.

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Submission for a thundity district health unit and Mr. Dill has a presentation.

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I do thank you. So through the chair.

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I'm going to walk to a presentation here.

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Okay, so this presentation is really just intended to give you a general overview of our annual service funding budget submission to the Ministry of Health for 2023.

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Some of this will be a refresher from the orientation session in January.

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I'll walk through the process and then we discuss the request that administration is currently recommending the included.

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So our annual service plan and budget submissions, so this is quite an extensive document that's required to be submitted to the Ministry, no later than April 3rd, 2023 this year.

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Usually it's due March 1st if it due to timing of the Ministry providing the templates they've given us a month's extension.

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This document is one of the key elements of the accountability framework that it falls under the organizational requirements of the Ontario Public Health Standards.

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So the purpose of this document is normally to describe the complete picture of programs and services being delivered by the Health Unit.

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It demonstrates that programs and services align with the priorities of our communities and it demonstrates accountability for planning and use of the funding by a program.

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So for the actual contents, this slide just gives you the sections and the components that we are that are required.

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So we do have to do a community assessment, which includes local population health issues, priority populations.

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Program plans including summary details on community needs and priorities, key partners,

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stakeholders, programs and services that the Board of Health plans to deliver under each standard and public health interventions within each program.

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And then of course the budget submission for each program is included in here.

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We do have the opportunity to ask for one time funding request, and we provide information on the Board of Health Membership of Fortunatelyment of Costs in a Certification Section.

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So our annual service funded budget submission for programming is directly linked to the budget that we present to the Board in November of every year.

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But in addition to the base budget, there is also an opportunity to request additional funding from the Ministry.

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So, when we're considering the request that we bring forward here, we always look at, as

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administration, we look at the program pressures that we are currently facing, where we

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feel additional funding with assist us in meeting the updated standards, while continuing

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to fit within the guidelines provided by the Ministry.

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So, to date, the Ministry has not given us guidance on based funding requests.

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In the past, they provided specific instructions that we were allowed to ask for five requests.

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Some years, it was made clear that there would be no base funding available, and other years

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they've told us that we were going to get a 1%.

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So we're still waiting for that.

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We have, however, been told verbally, that the province does intend to reinvest the Ontario

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Senior's dental care, previous capital allotments, into the operating budget.

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So we do know that there will be potential for some increases in that area.

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The funding direction that we've been given, again, the change to cost sharing arrangements

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still remains in place, and they have guaranteed the mitigation funding for this year.

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So I do always like to highlight that to you.

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So for these funding, again, they haven't given us the guidance on the base funding increase.

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In past years, we have put in specific increases, like we'll put in a request to a directly address

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major increases. We've done programming requests for a street outreach

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positions. The smoke free Ontario act legislation changes and some funding we had

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asked for around the vision program. This year what we are recommending is putting

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in a 5% base funding increase. Now that amount is consistent with the

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increase to the municipal levy so there will not be an additional impact to the

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municipalities at this point, we would be asking the province to match what the municipalities

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have contributed as a percentage wise, so that would amount to $481,000, and that would

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bring our total base budget, potentially, to $10,115,000 approximately.

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I will note that, obviously, we're going to put this forward, we don't have any approval

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from the Ministry for this, our budget that we presented to the board was without this request.

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We have identified cost-saving measures, we have identified efficiencies to make up for that,

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but if we were to get the 5% from the ministry, we would then bring information back to the board

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on how we would use that money and how it would be applied in our budget.

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The Ontario Seniors Dental Care Program, so this is the program that provides comprehensive dental care

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to eligible low income seniors to help reduce unnecessary trips to the hospital,

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Product chronic disease and increase quality of life for seniors, this is another 100%

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provincially funded program, so any increase to this budget does not impact the municipal

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levee. I already noted that we do know that they plan to re-embeve and have pulled dollars

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into operating, so there is opportunity here, and I would note that our health unit in particular

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is anticipating high demand for this program. We've also noted through discussions with other health

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units and that the original operating budget we had wouldn't be sufficient just given the increased

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rates from dentists along with some specialty services including denture provision.

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So we are looking at the request in this one is actually for 494 or 500 and we can there's

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a memo that's associated with that but it is really to support the dentists fees and avoid

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putting people on weight less for that program.

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Our one-time funding request, so this year, the Ministry has applied a limit of eight one-time funding requests, and they have provided specific categories.

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So the categories that they provided that are listed on this screen, we have the COVID-19 extraordinary costs, our COVID-19 vaccine program.

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They have a capital bucket that is up to a million dollar capital projects, and they have other requirements that must be completed before March 31,

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of 2024 and it has to extend the life or improve the capital assets.

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We've got the needle serene program, vaccine refrigerators, the PHI practice come and then there is one called extraordinary cost,

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which is anything over and above our approved budget.

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So a lot of what health units put in outside of the very specific defined ones fall under extraordinary cost.

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We've used that for outbreaks, as an example in the past.

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And then category for smoke free Ontario enforcement tablets,

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we will not be asking for that, but I do list it on the slide for you.

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So, and just to note that everything that we put in this one time funding request

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are 100% funded by the Ministry.

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And with the exception of COVID and COVID-19 vaccine programs,

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These are all April 1st, 2023 to March 31st, 2024 programs that would be going on, so we do have time depending on when we get the approval to spend some of that money.

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So I'll now go through each one of our requests and you will have a report associated with each of that.

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And then once I'm done now, we can go back to the regular agenda, walk through each report, and we have a lot of members of management here and senior leadership to answer any questions you have.

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So the first point I want to talk about is the roof and flashing repairs.

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This is a report to, we're requesting that this be submitted to replace the shingles

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and replace the flashing around the skylights.

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The estimate of this time is $320,000.

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So in 2022, we did a significant project for the Windows Insiding

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and the contractors and subsequent we had architects and engineers here looking

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at it to determine that this project should also be completed.

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It's a significant capital project, but it is one that's deemed necessary to us from

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a risk and financial perspective.

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We have reported this to the previous board through the facility reports for several years,

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noting that it would be that it wasn't upcoming need.

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So with this report, we are also requesting this as a little bit different than the other reports

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that we move to the tender process immediately, so this project is required to do to the nature

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of work and the timing, it needs to be completed before winter. So we are asking the board

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to approve that we go to tender. Once we received the tender back, we would then come back

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to the board to discuss next steps on that. But it is administration's intention at this time

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to carry forward with this project, depending on the results of the tender, in advance

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of the ministry funding because we don't know when the ministry announcement will come for us.

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So just slide the COVID-19 extraordinary and COVID vaccine budgets are once again a significant

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portion of our annual request, provincial direction, along with the local situation, because

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significantly changed the budgets that would be required.

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The estimated amounts on this slide are what we know right now and are planning to be prepared

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in the event that a surge occurs and we need to mobilize more staff.

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But these are specifically extraordinary costs over and above the Board of Health's existing funding for January 1st to December 31st.

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It's associated with monitoring detecting and containing COVID-19 and then on the vaccine side obviously delivering the vaccine program for the province.

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We do know that these costs are an estimate and are subject to change. It does kind of assume steady state and no new major variants at this time.

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Similar to the previous three years with the Ministry, if additional funding is required over and above this, it would be expected that the province would continue to provide 100% funding.

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We cover this, and we follow the ministry directives in both of these areas for what the goal of the health unit is.

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The next one will talk about is the needle insurance program, this one is a bit smaller, so the $25,000.

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So this is 100% funding to augment the superior point harm reduction program ability to deliver this program.

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Superior Appoints is generally experienced a steady yield distribution rate over time,

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with an average of 869,000 needles distributed per year between 2019 and 2021.

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It's also estimated that 80% of these needles are returned to the program through collection and disposal.

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So, this money would help supplement that program and allow us to continue

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We're running the program to the current need.

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We also have a request for Indigenous engagement.

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So this is funding to support the enhancement of our Indigenous Engagement activities within

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the TBDHU Catchment Area.

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So this enhanced funding is a further step in the commitment TBDHU has made to meaningful engagement

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with Indigenous partners and advancing opportunities from crew of health outcomes of

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Indigenous people in the TBDHU attachment area.

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In the fall of 2019, we did an Indigenous engagement planner that worked to identify and expand

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partnerships that TBHU has developed over the years with many Indigenous people, organizations

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and communities.

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And this funding would actually help us enhance those relationships at maybe a more senior level

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and really strengthen the existing relationships that we have in a strategic way.

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So it would be used to increase our capacity.

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This funding is being submitted as a one-time request,

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but we will also be completing advocacy with the Ministry

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because this is an important area for TBDHU,

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and we would like to see this move over to base funding.

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But we will be asking the Ministry for one-time funding as well.

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And then we are also putting in a request for vaccine forage.

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So this is three purpose-built vaccine bridges to replace the current ones that we have actually these ones are located in this underbed office.

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There have been several coaching incidents over the past few years that resulted in some issues with the bridges.

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So we are going to request three new ones. District vaccine bridges were actually all replaced through this funding in the 2020 report.

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We have a request for infectious disease, this last street outreach of just over, just under, so 815,000, so this proposal would really add staff to address the higher burden of infectious diseases, that disproportionately affect adverse populations.

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So this is going to provide a much more comprehensive community-wide approach to addressing public health issues within that population.

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While this is being submitted as a one-time request, administration has advocated and will continue to advocate that annual based funding is essential for this program based on the need in our area.

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This was also addressed by Dr. Demil at last month's board meeting and the advocacy request that came through.

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So this is the support of that as well.

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And then finally, we have the PHI student practice

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to come program.

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So the Ministry has provided us this funding since 2012.

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It helps health units to provide paid practice

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and positions as part of a human resource

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strategy to ensure the availability of certified public health

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inspectors.

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So we will be asking for that again.

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So at this point, I think we'll go back to the full agenda

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and walk through the resolutions.

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And again, provide you the opportunity for discussion and questions about what we put forward.

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Thank you.

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Do you have any questions now before you move forward?

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Thank you for that.

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Practicality of some of that company.

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With the longevity of some of these bridges and stuff like that,

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is there a term that we have to replace you by standard or by what they can change.

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So I'll actually pass that over to Diana Gallamon.

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That was kind of, I would say approximately 10 issues.

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Oh, okay, so I'll move it.

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It's not like there's a government change in mind, so you're going to use it.

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Oh, no, they're the same type of bridge.

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They just, they just need updating.

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For the question?

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I don't know if you'll have the answers for this,

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but just with respect to the indigenous engagement,

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funding request, what are we currently,

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like within the health unit right now,

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What does that look like?

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And are we partnering with all of the other indigenous communities

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and with the resources that are already out there?

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Because I do recognize this as a based funding request.

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So I'm just wondering, where are we with that?

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With this portfolio.

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Thank you, sir.

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Thank you, sir, the chair.

219
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I think Dr. DeVille will start sharing with us that.

220
00:20:46,340 --> 00:20:53,400
It's pretty clear, can we give this resolution, that comes along

221
00:20:53,400 --> 00:20:56,620
in a separate resolution, don't part of it, can we deal with it as we...

222
00:20:56,620 --> 00:21:00,140
Yeah, I was just asking questions on the presentation.

223
00:21:01,760 --> 00:21:06,140
Yeah, but some of them are, that was individually on the ones for the presentation.

224
00:21:08,160 --> 00:21:11,940
Yeah, I knew that, I was just, I thought this was a question period.

225
00:21:12,360 --> 00:21:15,260
Shall I hold that until we get to that?

226
00:21:16,240 --> 00:21:28,240
up to you guys, whatever you come through with is on the floor, so yeah, I thought we were still on the questions of the presentation

227
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It's kind of misleading the questions at the bottom there.

228
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I was going to say the same, I mean, I was like, but I'm going to ask them as we.

229
00:21:39,700 --> 00:21:40,180
Okay.

230
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I just, I realize how this was perhaps a little confusing.

231
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This is what was originally a presentation

232
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on the annual service plan in budget submission

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and getting an overview of that submission

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that we are currently preparing.

235
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And I do recognize that there's a lot more information

236
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that can be provided on each and every item,

237
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but that's a good idea.

238
00:22:03,980 --> 00:22:05,260
Okay, so we'll go with you over here,

239
00:22:05,740 --> 00:22:08,100
so I'll move by Paul II and wait on,

240
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I would recommend the five-year increase to the eventual phase funding amount of

241
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the approved submitted to the Ministry.

242
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This part of the 2023 annual service plan by this mission.

243
00:22:19,380 --> 00:22:20,220
We're going to be at two notes.

244
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Any opposed?

245
00:22:22,100 --> 00:22:22,280
Yes.

246
00:22:22,280 --> 00:22:22,760
That's a question.

247
00:22:23,200 --> 00:22:23,980
Any questions?

248
00:22:24,220 --> 00:22:25,020
I'll be just a high question.

249
00:22:25,340 --> 00:22:25,780
Sorry, no.

250
00:22:25,840 --> 00:22:26,260
I don't know.

251
00:22:26,400 --> 00:22:27,040
I can do this one.

252
00:22:27,340 --> 00:22:27,360
Yeah.

253
00:22:28,340 --> 00:22:29,300
Specifically to this one.

254
00:22:29,320 --> 00:22:29,560
Okay.

255
00:22:30,440 --> 00:22:32,260
Do we think five percent is enough?

256
00:22:33,140 --> 00:22:37,640
I mean, with inflation, I'm just concerned, are we aiming a little too low?

257
00:22:39,590 --> 00:22:44,450
All your supplies, inflation to that, inflation to, you know what I mean?

258
00:22:45,110 --> 00:22:50,250
We're projecting inflation this year to be substantially higher than that.

259
00:22:51,070 --> 00:22:58,770
So, through the chair of the reason that we did go with 5% is because that didn't match what we asked the municipalities to contribute for this budget.

260
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I would know, as I'm sure, would the rest of the public health staff, if we were to be able to get more money from the ministry,

261
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we would find a way to use it effectively to address the issues with in our communities.

262
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At this time, we thought that 5% was a reasonable request to the Ministry

263
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that would still provide us great benefit and allow us to also advocate for some of the other

264
00:23:25,320 --> 00:23:32,640
issues like the infectious disease treatment that we discussed. So I don't know if anybody also

265
00:23:32,640 --> 00:23:35,140
to jump in feel free.

266
00:23:35,480 --> 00:23:42,760
I'll just acknowledge, I do think we absolutely need more funding for the kind of pressures

267
00:23:42,760 --> 00:23:48,720
that we experience here. And I think that Alpha has noted some of that, like, those that

268
00:23:50,040 --> 00:23:56,740
Alpha has done some work around half her funding for health units. We do consider a lot of the stuff

269
00:23:56,740 --> 00:24:02,440
that you mentioned when we bring the budget to the board in November. And certainly that we went through that

270
00:24:02,440 --> 00:24:09,620
process in the board get a free not budget, which with, you know, recognizing we're trying

271
00:24:09,620 --> 00:24:13,560
to find the right balance and of course it ended up with a 5% increase in this

272
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value. So we're, you know, always trying to balance putting something reasonable forward

273
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to the board, to the ministry while at the same time, advocating for more funding for

274
00:24:26,170 --> 00:24:34,150
And just to comment on some of the history of it, when we looked up to the orientation but

275
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where we were funded, compared to some of the other boards, we're down at the bottom.

276
00:24:38,490 --> 00:24:43,050
And so we can't offer to the same extent services that other health units are offering.

277
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And we are continuing trying to lobby to increase that funding.

278
00:24:47,150 --> 00:24:49,910
So here's our opportunity, says we haven't been told no to anything.

279
00:24:50,290 --> 00:24:51,490
Well that's us for something.

280
00:24:51,590 --> 00:24:54,590
And we're asking for a consistent number to what we do with the municipalities.

281
00:24:55,050 --> 00:24:59,850
If not, the budget that was set last fall is what we've got a little with, and this will be tent.

282
00:25:00,230 --> 00:25:01,730
You're at the point where it's meeting tent.

283
00:25:02,670 --> 00:25:07,710
So through the church's clarification then, if you go, I mean, I'll be kind of silly.

284
00:25:08,050 --> 00:25:13,190
But if you were to go to ministry and say, eight percent, could they, would they just say,

285
00:25:13,650 --> 00:25:16,970
you know, or would they say, we won't give you equal, we'll give you five.

286
00:25:17,090 --> 00:25:18,310
Like is it an all or nothing?

287
00:25:19,250 --> 00:25:19,690
Good question.

288
00:25:19,690 --> 00:25:25,710
So, through the chair, they haven't provided us any guidance, but it doesn't mean that it's an all or nothing.

289
00:25:26,050 --> 00:25:30,750
So, we've submitted things in the past and received a reduced number.

290
00:25:31,430 --> 00:25:34,450
We have submitted one time request that they have moved over to base.

291
00:25:34,770 --> 00:25:37,850
So, we don't know the actual direction yet, but it is not an all or nothing.

292
00:25:38,110 --> 00:25:43,730
We could go in 5% and they can come back and say, across the board, everybody's getting 2%.

293
00:25:43,730 --> 00:25:47,410
So, no, we don't know that, but it is not an all or nothing.

294
00:25:47,410 --> 00:25:53,430
Okay. And then through the chair one more question, sorry. Do we know what the other health units

295
00:25:53,430 --> 00:25:57,730
are we around the same number or higher or lower than them at this time?

296
00:25:58,130 --> 00:26:05,130
Yes. So, through the chair, and then I'll pass over Dr. Damell may know from her side some more.

297
00:26:06,370 --> 00:26:11,870
Every health unit is different. Every health unit has done different things over the years. Last year,

298
00:26:11,870 --> 00:26:14,270
we were told a 1% based funding increase,

299
00:26:14,410 --> 00:26:16,810
a lot of health units went in with 10% asks,

300
00:26:17,370 --> 00:26:19,050
and ended up getting the 1%.

301
00:26:20,490 --> 00:26:23,270
This year, I think a lot of health units are doing exactly

302
00:26:23,270 --> 00:26:26,350
what we're doing here today discussing what their recommendations

303
00:26:27,450 --> 00:26:32,010
are, and most from what I have heard from my colleagues across the

304
00:26:32,010 --> 00:26:34,010
province, that they are trying to stay in line with their

305
00:26:34,010 --> 00:26:39,050
municipal increase, because any increase above, the municipal

306
00:26:39,050 --> 00:26:43,470
increase could also impact the municipal lab they going forward. So they're trying to keep them

307
00:26:43,470 --> 00:26:49,130
the same. However, they will be advocating again as Dr. Dino noted through alpha through

308
00:26:49,130 --> 00:26:55,850
everything additional opportunities for these funding. I just want to make sure that we're not

309
00:26:55,850 --> 00:27:01,190
shorting ourselves at all. Thank you. Thank you. Thank you, Mr. Armstrong.

310
00:27:05,880 --> 00:27:06,770
I think you're on mute there.

311
00:27:12,050 --> 00:27:12,590
You're muted.

312
00:27:25,140 --> 00:27:28,180
We lost you there for the second round to try and find you again.

313
00:27:37,070 --> 00:27:44,790
Okay, thank you, through the chair, apologize for coming on late, but technical difficulties

314
00:27:45,150 --> 00:27:47,050
down here.

315
00:27:47,570 --> 00:27:57,290
But it comes to mind that since the COVID, the three year average percent increase was

316
00:27:57,290 --> 00:28:00,430
6.7% according to some scales.

317
00:28:01,410 --> 00:28:06,930
So I think we're sure to keep that in mind when we go forward to the government for funding.

318
00:28:08,930 --> 00:28:09,490
Thank you.

319
00:28:12,720 --> 00:28:13,720
Thank you for the questions.

320
00:28:15,560 --> 00:28:16,000
All right.

321
00:28:16,120 --> 00:28:17,640
We'll move on.

322
00:28:17,800 --> 00:28:18,460
The opposed.

323
00:28:22,410 --> 00:28:22,650
It's very.

324
00:28:27,400 --> 00:28:27,900
Okay, move.

325
00:28:28,020 --> 00:28:28,960
Mr. McPherson.

326
00:28:29,360 --> 00:28:29,560
Second.

327
00:28:29,880 --> 00:28:31,540
Mr. Malotrisky.

328
00:28:32,640 --> 00:28:32,860
The.

329
00:28:32,860 --> 00:28:32,980
The.

330
00:28:33,540 --> 00:28:35,260
I'll tell you a senior's dental.

331
00:28:35,780 --> 00:28:36,860
Here program.

332
00:28:37,840 --> 00:28:44,860
by the increase that we recommend to 140 or 494,500 increase to the 100th to the 100th.

333
00:28:45,580 --> 00:28:49,520
Provisual dental care program, a monthly approved and submitted to the Ministry of Health

334
00:28:49,520 --> 00:28:54,840
as far as the 2023 annual service plan and a budget submission for the fund readers to tell.

335
00:28:59,620 --> 00:29:05,380
So the chair, we've not been operating for a year or a half, almost two years.

336
00:29:05,380 --> 00:29:10,840
We feel we're getting close to what we understand the actual cost might be.

337
00:29:13,080 --> 00:29:14,960
Yeah, through the chair, I think.

338
00:29:15,060 --> 00:29:16,800
I think we are getting closer now.

339
00:29:17,200 --> 00:29:21,640
So, for actually representatives, real full implementation of service delivery,

340
00:29:22,280 --> 00:29:25,720
and we use that to help estimate the cost through this report.

341
00:29:26,820 --> 00:29:30,900
Through the chair, I'll also I'd guarantee the program manager on the call.

342
00:29:31,040 --> 00:29:33,020
Is there any specific questions about the grant?

343
00:29:33,220 --> 00:29:34,500
Actually, I have a question too.

344
00:29:34,500 --> 00:29:48,040
So what is our, I mean, I don't know how you measure the UC by the number of patients or, you know, how busy you are during the daily, what is the uptake on it as far as the number of people taking advantage of the service.

345
00:29:48,620 --> 00:29:49,440
I'll let you alone.

346
00:29:52,470 --> 00:29:52,830
Thank you.

347
00:29:53,930 --> 00:29:54,410
Hi.

348
00:29:55,610 --> 00:29:59,890
But we actually have about 450 people on our, um,

349
00:30:00,000 --> 00:30:24,640
Okay, so we're right now, and we anticipate that we is very difficult to know the uptake on going. We do know that the costs are increasing as far as some of the dentures. We have a 2% increase from the dentures. In this particular year, we haven't functioned as a clinic at the health unit for a full year at this point in time that have used community dental providers.

350
00:30:24,640 --> 00:30:32,680
So at this point in time, we know we have about 55 people without standing costs, like anticipated costs,

351
00:30:32,700 --> 00:30:37,900
because we've made referrals to a dentist and an approximate cost of $2,000 per person.

352
00:30:38,560 --> 00:30:45,560
So already before the end of the third quarter, we have an exceptional amount of money for dentures.

353
00:30:45,640 --> 00:30:53,440
And that's about at this point, about $30,000 more than we expense last year in the first quarter of the year.

354
00:30:53,440 --> 00:31:03,100
We also had no specialist costs last year, but more denture dentures than including at our clinic are referring to specialists like oral surgeons.

355
00:31:03,960 --> 00:31:18,920
We had none of those last year, and we have up to 18 people waiting at this point in time, and the average cost of that has been for us about $3,000 when people are referred to an oral surgeon.

356
00:31:18,920 --> 00:31:28,500
And we continue to have people coming into the program right now we may have about 15 people waiting to come into the actual program.

357
00:31:29,560 --> 00:31:34,260
So we also anticipate we're still seeking other providers in district communities.

358
00:31:34,800 --> 00:31:37,980
We lowered the amount for providers for district communities.

359
00:31:38,340 --> 00:31:42,380
The share is doing many of the people on the program.

360
00:31:42,380 --> 00:31:46,860
have already been on it, but if we get additional providers, we would need additional funding

361
00:31:46,860 --> 00:31:53,820
for them, and dental provider costs are going up. We've stayed the same over two years paying

362
00:31:53,820 --> 00:32:03,400
the same rates to people, but they have started to question and ask for additional, ask for

363
00:32:03,400 --> 00:32:11,680
increases and what repaying we haven't done that in this particular year coming up. So last year,

364
00:32:11,680 --> 00:32:19,660
We spent over $350,000 on community dental expenses, and we didn't have a clinic running.

365
00:32:22,060 --> 00:32:26,940
So we anticipate we'll spend a significant more amount of money in this particular year,

366
00:32:27,220 --> 00:32:34,860
just an external cost as well as some arm clinic that is now running.

367
00:32:34,860 --> 00:33:02,820
Can I just have a fall off to that place, are these things, I mean, I know that you're dealing with professionals, so tendering doesn't really fit into their vocabulary, but do we have any type of policy to basically tenders to get the best rates for the dentures or the dentists or that sort of thing? Or is it just strictly, we set a fee for their services and that's it?

368
00:33:03,560 --> 00:33:09,720
We're dependent on trying to seek people who wish to work with the senior's dental care program.

369
00:33:10,360 --> 00:33:11,780
We tried to set separate rates.

370
00:33:11,880 --> 00:33:13,200
We negotiate with them.

371
00:33:13,340 --> 00:33:17,940
We only have one community denturist so far who has been willing to work with the program

372
00:33:17,940 --> 00:33:20,060
because we pay them less money.

373
00:33:20,200 --> 00:33:25,460
We pay them approximately 30% less than what they would actually get if they had someone going directly to them

374
00:33:25,460 --> 00:33:27,620
or if they were willing to an insurance company.

375
00:33:27,620 --> 00:33:35,260
So we have an agreement with them to accept less payment to work with our program and they've

376
00:33:35,260 --> 00:33:36,120
agreed to do that.

377
00:33:36,240 --> 00:33:37,300
So we do set rates.

378
00:33:37,440 --> 00:33:39,660
There are no provincial rates through the program.

379
00:33:39,680 --> 00:33:44,900
We have to negotiate to try to ensure services within our communities.

380
00:33:45,640 --> 00:33:51,580
None of the specialist service providers like oral surgeons are willing to accept negotiation

381
00:33:51,580 --> 00:33:56,140
with us, but we still have to ensure people get service through the program.

382
00:33:56,140 --> 00:34:02,200
So at this point in time, we would be paying four rates when it was deemed necessary to send them.

383
00:34:02,360 --> 00:34:09,700
We do have providers with our own clinic that do their best to try to serve them within our program at a more cost-effective way.

384
00:34:10,160 --> 00:34:13,100
But when that's not possible, we need to send people out.

385
00:34:13,160 --> 00:34:18,360
And we have a vulnerable population who are medically compromised in many ways.

386
00:34:18,600 --> 00:34:25,780
And so we have to triage their needs appropriately and send them out to specialists when that is appropriate.

387
00:34:26,740 --> 00:34:32,860
The reason I asked that is because I worked for years in the optical business, and we used to

388
00:34:32,860 --> 00:34:39,900
have contracts with the city and the government provided contracts for examinations as

389
00:34:39,900 --> 00:34:46,080
well as for eyeglasses, and they were set rates that people could pay over and above

390
00:34:46,080 --> 00:34:50,700
they had the means, but this was the rate that we were giving, so that was the reason that I asked

391
00:34:50,700 --> 00:34:55,560
It was only sort of a place, but I appreciate your answers, thank you.

392
00:34:56,220 --> 00:34:56,460
Interesting.

393
00:34:57,420 --> 00:34:57,520
Yes.

394
00:34:57,840 --> 00:34:59,580
So through you, the chair.

395
00:34:59,940 --> 00:35:02,060
A question, actually, about the provincial funding.

396
00:35:02,240 --> 00:35:05,220
And obviously, this is a recognized program with the province.

397
00:35:06,340 --> 00:35:10,120
But it seems like they haven't gotten to the next step yet, which is negotiating

398
00:35:11,300 --> 00:35:17,440
you rate and access to, for this program, for the population of Ontario.

399
00:35:17,440 --> 00:35:25,720
So I don't see an issue with this actual particular motion and request for funding, but I'd

400
00:35:25,720 --> 00:35:31,320
like to ask, what are we doing to further get ourselves in a position where this is going

401
00:35:31,320 --> 00:35:33,980
to be a very supported and enhanced program in Ontario?

402
00:35:34,720 --> 00:35:41,600
Are you guys working with your colleagues across the province to leverage what you have to

403
00:35:41,600 --> 00:35:47,600
offer and get access in some of these private dentist's office and denture's office.

404
00:35:48,280 --> 00:35:53,140
We're going with the future of this because I can just see prices going up and up and up

405
00:35:53,140 --> 00:35:58,400
and if we're not going to sort of set a proper program into place we could be looking at funding

406
00:35:58,400 --> 00:35:59,940
increases year over year.

407
00:36:02,020 --> 00:36:06,780
So the Ontario Association of Public Health Dentistry and that's where the public

408
00:36:06,780 --> 00:36:15,940
The public dental providers come together to discuss challenges and issues and practices and that's discussed quite often at that level.

409
00:36:16,760 --> 00:36:26,720
There's advocacy and feedback to the ministry on a regular basis through the leadership through the executive at that particular association.

410
00:36:28,020 --> 00:36:34,100
And also through off other places as well, I think the government right now is concentrating

411
00:36:34,100 --> 00:36:41,800
on that Canada, dental benefit at peace as well, but we have not yet, you know, there's been

412
00:36:41,800 --> 00:36:47,420
very little communication from a dental perspective with the ministry over the past couple

413
00:36:47,420 --> 00:36:48,400
of years.

414
00:36:48,800 --> 00:36:54,280
Health units at this point in time are still in a position to have to negotiate and try

415
00:36:54,280 --> 00:37:01,000
do what they can with providers and seek providers for our own clinics or within the community.

416
00:37:02,180 --> 00:37:05,020
This is another publicly funded dental program.

417
00:37:05,200 --> 00:37:12,140
We know healthy smiles Ontario is another one where community dental providers are paid potentially

418
00:37:12,140 --> 00:37:17,760
55% of what they would normally be paid and that's been ongoing for many, many years.

419
00:37:17,760 --> 00:37:21,420
and from a private practice perspective,

420
00:37:21,720 --> 00:37:26,480
they're challenged with that and they're not very happy with that.

421
00:37:26,820 --> 00:37:29,100
So additional programs where you're asking them

422
00:37:29,100 --> 00:37:33,160
to accept less when they have over has become very difficult.

423
00:37:33,320 --> 00:37:36,100
And it depends where you live, what the uptake is for people

424
00:37:36,100 --> 00:37:39,800
wishing to work with you, Toronto seems to have more providers

425
00:37:39,800 --> 00:37:44,400
who are willing to do collaboratively or at a lesser rate

426
00:37:44,400 --> 00:37:47,600
or to seek staff dentists,

427
00:37:47,740 --> 00:37:49,300
where in the north it's a little more challenging.

428
00:37:49,300 --> 00:37:51,100
And we do meet in the north regularly

429
00:37:51,100 --> 00:37:53,120
to look at some of those challenges

430
00:37:53,120 --> 00:37:55,360
and try to make sure from a northern perspective

431
00:37:55,360 --> 00:37:58,540
or looking at same rates or same strategies

432
00:37:58,540 --> 00:38:04,160
so that there's fairness within our particular regions.

433
00:38:04,500 --> 00:38:06,280
But it is a very challenging program

434
00:38:06,280 --> 00:38:10,160
when we are required to set all the parameters

435
00:38:10,160 --> 00:38:13,300
for the program and seek people to work with us

436
00:38:13,300 --> 00:38:20,240
try to establish particularly and do at the mercy sometimes of the providers and whether they need

437
00:38:20,240 --> 00:38:25,920
to really participate or work to give some of them want to do that type of work and are passionate

438
00:38:25,920 --> 00:38:34,100
about that but others not so much. So kind of where we're at at this point in time and I don't

439
00:38:34,100 --> 00:38:39,880
see anything in the very near future where anything is established to set particular rates and

440
00:38:39,880 --> 00:38:42,960
I'm glad you're recording me.

441
00:38:45,040 --> 00:38:48,400
Yeah, Carol, I may ask you a follow-up question just with respect to your response.

442
00:38:49,360 --> 00:38:55,000
The Indigenous population in the north are at a significant disadvantage when it comes to dental care.

443
00:38:55,520 --> 00:39:04,430
Is there a way to tap into more money for this population that you guys may be servicing through another opportunity fund or whatever it may be?

444
00:39:04,430 --> 00:39:20,260
So, we, of course, we've also been sideline by COVID for some time, so we're ramping up when we're looking at all of our issues and our advocacy and our research and, you know, focused on particularly what's happening within our region.

445
00:39:20,260 --> 00:39:27,260
There are other plans where benefits are covered from a dental perspective for indigenous people.

446
00:39:28,220 --> 00:39:34,280
Of course there will be indigenous people that are not having access to those particular programs.

447
00:39:35,000 --> 00:39:45,420
But we're trying to establish information as far as doing situational assessment for our particular district and what the needs are.

448
00:39:45,420 --> 00:39:53,700
but we have found that there are avenues for some of our Indigenous population seniors to

449
00:39:53,700 --> 00:40:01,000
access funds for service. Many children Indigenous they come through are help these files on

450
00:40:01,000 --> 00:40:05,460
material program as well and we're very, very well aware of that through that particular program,

451
00:40:06,120 --> 00:40:11,800
though. Excellent. Thank you. Do you wish? Yes. Through the chair, just a quick question about

452
00:40:11,800 --> 00:40:16,560
those partnerships with some of the private dentists have some of the partnerships

453
00:40:16,560 --> 00:40:22,360
that we also reached out to the schools because I can see the school system would be

454
00:40:23,460 --> 00:40:27,500
not in the form of dentists but in our community I don't believe we have a dental school

455
00:40:27,500 --> 00:40:33,360
but we do have a hygienist school so in that area of cleaning teeth and stuff like that as

456
00:40:33,360 --> 00:40:40,480
well we might be able to tap in there because they do or they use do anyways have like an

457
00:40:40,480 --> 00:40:45,820
and session for people to come and get their teeth cleaned and they usually apply to students

458
00:40:46,380 --> 00:40:50,700
to get it done cheaper. So I just want to make sure that we really recognize whatever partnerships

459
00:40:50,700 --> 00:40:55,180
we can in our community and they don't necessarily have to be those dentists.

460
00:40:56,740 --> 00:41:01,840
No, we thank you. We had a partnership actually with St. Joe's,

461
00:41:01,840 --> 00:41:05,620
the high-genus from there. For some time working collaboratively with them,

462
00:41:05,720 --> 00:41:08,880
they actually don't have their dental program running at this point in time.

463
00:41:08,880 --> 00:41:15,180
We do let people know about the college and the opportunity to attend their, I believe,

464
00:41:15,860 --> 00:41:19,580
for cleaning for seniors, for others, it's sometimes $25.

465
00:41:20,660 --> 00:41:24,080
That's something that they can access where the students are learning.

466
00:41:24,660 --> 00:41:31,560
The cleaning is done by students and normally takes, it could take an hour and a half to two hours.

467
00:41:31,620 --> 00:41:34,860
So we're happy because it's an opportunity for students to learn.

468
00:41:34,860 --> 00:41:46,060
We do talk with the college regularly, what we have high-geness, and I don't think people are lacking the ability to access that service because you're able to access it from us.

469
00:41:46,340 --> 00:41:51,120
And in district communities, we do engage them so that people do not have to travel unless necessary.

470
00:41:53,200 --> 00:41:59,160
But for my dentist perspective, they don't have dental opportunity at the college.

471
00:42:00,780 --> 00:42:07,500
So that's where the challenges lie that people can't go there to get dental from a dentist dental work done.

472
00:42:07,500 --> 00:42:07,680
Yeah.

473
00:42:08,520 --> 00:42:09,180
Thank you.

474
00:42:09,200 --> 00:42:10,660
One quick follow up to that.

475
00:42:10,900 --> 00:42:11,960
Very quick promise.

476
00:42:13,560 --> 00:42:16,120
Do you know very much because I don't have a dental program?

477
00:42:16,440 --> 00:42:19,020
Could there be an opportunity for them to do?

478
00:42:19,140 --> 00:42:24,160
Like U of T has a dental program to do their residency to do something like that here to be able to.

479
00:42:24,940 --> 00:42:26,480
Like do you know anything about that?

480
00:42:26,480 --> 00:42:31,060
I'm just trying to expand that group that you're having an opportunity to partner with,

481
00:42:31,280 --> 00:42:38,260
and we might not think of, for example, U of T, because I know with my program, we

482
00:42:38,880 --> 00:42:44,800
radiation therapy, we go out past that community that we're actually being schooled in to do some

483
00:42:44,800 --> 00:42:48,200
of our residency, and I'm just wondering if there's possibly an opportunity there.

484
00:42:50,500 --> 00:42:57,740
It's possible. There are a lot of low-come opportunities in the North, where they do have

485
00:42:57,740 --> 00:43:02,160
tend to just coming and going and we are set up with some of those dental providers as well

486
00:43:02,160 --> 00:43:06,600
that almost on a yearly basis we're reading a contract because the dentist has left and there's

487
00:43:06,600 --> 00:43:13,180
only one coming or that they're corporately owned dental offices, particularly throughout our

488
00:43:13,180 --> 00:43:18,500
rural communities and locally we work with some of those schools, dental schools.

489
00:43:19,160 --> 00:43:24,140
We haven't gotten to the point of talking with the local Thunder Bay dental association or

490
00:43:24,140 --> 00:43:29,860
are looking within our clinic because we have just been establishing providers within our clinic

491
00:43:29,860 --> 00:43:34,960
and learning to work together and setting up what days they can work and getting established.

492
00:43:34,960 --> 00:43:40,160
We started in September and we just had a new dentist start.

493
00:43:40,160 --> 00:43:47,080
An additional one start this month so we are kind of in our infancy of, you know, making sure

494
00:43:47,080 --> 00:43:54,120
of our practices and looking at things appropriately for sure that does not preclude us being able

495
00:43:54,120 --> 00:44:02,560
to collect one more looking at other opportunities to ensure that we have capacity. They would

496
00:44:02,560 --> 00:44:09,460
have to be guided though where somebody's mentoring and supervising and we would have to have

497
00:44:09,460 --> 00:44:14,980
people here on a full-time basis to be able to provide that opportunity to them.

498
00:44:15,620 --> 00:44:18,340
Thank you. Thank you.

499
00:44:20,640 --> 00:44:31,980
I was just wondering if I'm new person to the board, just wondering how a person applies or qualifies for the senior dental program.

500
00:44:34,250 --> 00:44:38,710
It's a very low income eligibility criteria.

501
00:44:39,890 --> 00:44:48,330
It is on the Ministry of the Ontario Ministry website, as far as seniors dental, the Ontario senior dental care program.

502
00:44:48,330 --> 00:44:53,110
We normally, we have it on our website and we, during advertising, people contact us.

503
00:44:53,410 --> 00:44:56,830
We do a lot of signing people up for the program.

504
00:44:57,410 --> 00:44:59,970
A lot of seniors take advantage of them.

505
00:45:00,000 --> 00:45:18,800
Connecting with us and having like Kathleen within our program spends an exorbitant amount of time helping people sign up for the program. Someone can call and she's on the phone for half an hour, helping them work through, signing up and establishing connection with the program.

506
00:45:18,800 --> 00:45:30,880
All they have to, they fill out their application form and it's reviewed and they receive a card in the mail and they connect back with us and we help them navigate to access all the services that they need.

507
00:45:31,900 --> 00:45:45,820
But we do that for them. We're actually looking at now a plan and places to how to connect with organizations that serve seniors, places seniors go to see if we can have them also assist seniors to be able to navigate and sign up for the program.

508
00:45:45,820 --> 00:45:52,200
So we're at that point where we're reaching out and trying to get other service providers

509
00:45:52,200 --> 00:45:56,440
to partner with us to help people sign up.

510
00:45:56,500 --> 00:46:02,100
Also, promotional activities we're looking at doing this month, we're going to the 55

511
00:46:02,100 --> 00:46:02,920
plus center.

512
00:46:03,020 --> 00:46:05,780
We're going to go to the mall to try to help people sign up.

513
00:46:05,840 --> 00:46:11,080
We're going to other organizations to be accessible and available for people to approach

514
00:46:11,080 --> 00:46:19,980
to be able to access, but we do get many, many, many phone calls, where we help people register.

515
00:46:22,120 --> 00:46:23,440
Unfortunately, it's all online.

516
00:46:26,440 --> 00:46:27,400
Okay, thank you.

517
00:46:27,400 --> 00:46:28,540
So, again, back to the resolution.

518
00:46:28,980 --> 00:46:30,880
I'm going to read it again because it's been a while.

519
00:46:32,020 --> 00:46:39,020
So, we recommend a 490-4500 increase to the 100% until you're seeing your

520
00:46:39,020 --> 00:46:40,600
through and submit it to the Ministry of Health,

521
00:46:40,660 --> 00:46:43,560
it's part of the 2020 Internal Service Plan,

522
00:46:43,780 --> 00:46:45,620
but it's a mission for that health in it.

523
00:46:45,620 --> 00:46:46,200
Any opposed?

524
00:46:47,920 --> 00:46:48,360
Okay,

525
00:46:52,290 --> 00:46:53,970
we got a bunch of these to go through,

526
00:46:54,210 --> 00:46:56,190
so we'll move along to the next one here,

527
00:46:56,290 --> 00:46:58,730
which is, thank you.

528
00:47:01,460 --> 00:47:03,280
You'll be in the 2.2 second bay,

529
00:47:04,100 --> 00:47:04,100
Paul,

530
00:47:07,370 --> 00:47:10,170
with respect to the one-time final request

531
00:47:10,170 --> 00:47:11,650
extraordinary cost.

532
00:47:12,170 --> 00:47:13,330
There were three-spec to number,

533
00:47:13,330 --> 00:47:20,210
to report number 12-2023, we recommend that the application for one-time 100% funding to

534
00:47:20,210 --> 00:47:26,070
over $864,300 for a extraordinary cost associated with monitoring, detecting, and managed

535
00:47:26,070 --> 00:47:32,070
COVID-19 in the Thunderreed District Health Unit, just to be approved for submission to the

536
00:47:32,070 --> 00:47:36,490
Ministry of Health through the annual service plan by the submissions and the Director

537
00:47:36,490 --> 00:47:41,350
purposes, and I as your Prime Minister, you have the right to complete any administration requirements

538
00:47:41,350 --> 00:47:45,170
of the budget and a personal process required.

539
00:47:46,070 --> 00:47:46,470
Questions?

540
00:47:49,880 --> 00:47:50,380
Opposed?

541
00:48:03,920 --> 00:48:04,180
Okay.

542
00:48:05,980 --> 00:48:06,020
Next.

543
00:48:06,600 --> 00:48:14,160
We'll by Ms. Brown, say Ms. McPherson, did a one-time funding request go with 19 vaccine program

544
00:48:14,160 --> 00:48:20,720
extraordinary costs with respect to report number 13, that's when 23, we recommend that

545
00:48:20,720 --> 00:48:26,940
application for one thing, 100% funding flow, totaling 1 million, 618,000 per share in

546
00:48:26,940 --> 00:48:28,600
every cost associated with the hon.

547
00:48:28,820 --> 00:48:32,000
The organizing, overseeing the full of 19 vaccine program.

548
00:48:32,560 --> 00:48:35,520
And the thought of a district health, going to be approved for submission to the Ministry

549
00:48:35,520 --> 00:48:36,300
Health.

550
00:48:36,660 --> 00:48:40,720
Through the annual service plan, but dismissions process and the Director of Corporate Services

551
00:48:40,720 --> 00:48:45,620
and Manager Finance be authorized to complete and any administration requirements

552
00:48:45,620 --> 00:48:50,060
to the budget process as required questions?

553
00:48:50,460 --> 00:48:51,420
Just a correction.

554
00:48:51,600 --> 00:48:52,980
It's 1.6 million.

555
00:48:53,120 --> 00:48:54,140
I think you said thousand.

556
00:48:54,840 --> 00:48:55,700
Well, I know million.

557
00:48:55,860 --> 00:48:56,680
I've read million.

558
00:48:58,100 --> 00:48:58,900
That's right.

559
00:48:59,300 --> 00:48:59,780
Good catch.

560
00:49:02,280 --> 00:49:02,920
Any comments?

561
00:49:03,360 --> 00:49:04,180
Any other questions?

562
00:49:05,920 --> 00:49:06,060
Sorry.

563
00:49:06,440 --> 00:49:07,020
Through the chair.

564
00:49:07,640 --> 00:49:10,000
Are we still the vaccine clinics?

565
00:49:10,180 --> 00:49:11,640
Are they still let the call see them?

566
00:49:12,320 --> 00:49:12,960
Through the chair.

567
00:49:13,140 --> 00:49:15,280
They are currently at the call of seeing them two days a week.

568
00:49:15,280 --> 00:49:20,020
and we also do other clinics throughout the community community based clinics.

569
00:49:20,820 --> 00:49:24,760
So are we looking like I don't know just because of this amount of money?

570
00:49:25,420 --> 00:49:29,320
Are we looking at getting to a smaller space, rental space instead of the policy?

571
00:49:29,360 --> 00:49:33,340
I don't know what they are charging us through the route or you sign to one year lease.

572
00:49:35,200 --> 00:49:37,680
So I can speak, I can touch on that.

573
00:49:38,020 --> 00:49:38,860
So through the chair.

574
00:49:39,600 --> 00:49:45,080
The Coliseum has been very accommodating to us over the year with the rates.

575
00:49:45,660 --> 00:49:50,520
We have now changed it so that we can be in and out within a day so that they don't.

576
00:49:50,760 --> 00:49:53,600
We're not there for more than we need to be there.

577
00:49:55,160 --> 00:50:02,760
So the other part is that we also rent space through the district community so that we can host our clinics there.

578
00:50:02,760 --> 00:50:06,880
So, we will ramp up as needed.

579
00:50:07,680 --> 00:50:13,360
This current plan here is a more full-sum spring and fall campaign,

580
00:50:13,580 --> 00:50:15,360
which we would require the space for,

581
00:50:15,640 --> 00:50:17,060
but I do think we've negotiated rates

582
00:50:17,060 --> 00:50:20,720
and most of the community partners have been very, very accommodating to us.

583
00:50:20,900 --> 00:50:21,680
Thank you.

584
00:50:22,440 --> 00:50:22,600
Thank you.

585
00:50:23,260 --> 00:50:26,700
Is there going to be an annual requirement for the coupons?

586
00:50:27,980 --> 00:50:29,820
So, I'll pass that to them.

587
00:50:30,840 --> 00:50:32,360
Well, why is everybody laughing at me?

588
00:50:33,320 --> 00:50:35,400
I don't know the answer, that one.

589
00:50:37,630 --> 00:50:38,690
I'm asking the accountant.

590
00:50:40,870 --> 00:50:41,830
He's saying I'm not touching.

591
00:50:44,130 --> 00:50:56,730
That's still to be determined, but it does look like the projections are potentially an annual fall booster for the general population,

592
00:50:56,730 --> 00:51:02,510
who has potentially those at higher risk, having it per twice a year, but it's still

593
00:51:02,510 --> 00:51:08,330
that's just an uncertainty of the program going forward given the uncertainties that I don't think.

594
00:51:08,790 --> 00:51:09,250
Thank you.

595
00:51:09,570 --> 00:51:09,970
Good questions.

596
00:51:11,110 --> 00:51:11,750
Opposed?

597
00:51:13,090 --> 00:51:13,270
Okay.

598
00:51:25,210 --> 00:51:25,610
Okay.

599
00:51:25,670 --> 00:51:26,110
Move way.

600
00:51:26,970 --> 00:51:37,970
Ms. Dawson, second by Mr. McPherson, rearing a one-time funding request for the

601
00:51:37,970 --> 00:51:46,030
We recommend the application for one-time 100% funding for $120,000 dollars for repairs

602
00:51:46,030 --> 00:51:50,250
that are building roof and polishing for the main office building to be approved for submission

603
00:51:50,250 --> 00:51:54,510
to the Ministry of Health through the annual service planning budget submissions process.

604
00:51:55,210 --> 00:51:59,290
And that the roof and polishing repairs be endorsed by the Board of Health and the Administration

605
00:51:59,290 --> 00:52:02,550
be directed to receive a deterrence process without line.

606
00:52:02,550 --> 00:52:11,710
And then the Director Corporate Services, and as we were fine as to be authorized to complete any administrative requirements of submission for submission as required.

607
00:52:12,730 --> 00:52:13,250
Questions?

608
00:52:14,970 --> 00:52:16,750
I have one, two, but here's.

609
00:52:17,110 --> 00:52:17,690
To the chair.

610
00:52:18,210 --> 00:52:19,070
Back to some history.

611
00:52:19,630 --> 00:52:22,870
We, a number of years ago, put in a large capital request to the Ministry.

612
00:52:23,370 --> 00:52:25,050
We've really never ever heard back.

613
00:52:25,750 --> 00:52:28,870
And we have been working our way through all the different projects.

614
00:52:28,870 --> 00:52:43,490
So, two-part question, do we know, do you know what is left now on that magic list, and the second part is, if they don't fund it, do we still have enough left and the cow will reserve, we have to cover this work so we can get it done this year.

615
00:52:44,290 --> 00:52:47,730
So, through the chair, we'll also adjust this in the facilities report later in the meeting.

616
00:52:47,930 --> 00:52:52,630
We do have a list of upcoming projects and upcoming needs from a capital perspective.

617
00:52:52,630 --> 00:52:58,230
I would note that the original design and large submission that we made to the ministry.

618
00:52:58,870 --> 00:53:03,510
We have made significant advancements on that over the last several years.

619
00:53:05,210 --> 00:53:12,990
The guiding principles, I guess, around that larger renovation have been taken into account in all of the smaller renovations that we've done.

620
00:53:13,250 --> 00:53:15,510
We have not heard back on whether that money is available.

621
00:53:16,130 --> 00:53:21,570
But the ministry has given us a significant amount of capital funding over the last few years for the smaller projects we've done.

622
00:53:22,530 --> 00:53:38,150
With what we see on our look ahead from the capital perspective, we do have the capital reserve of $2 million and we do feel at this time that that is sufficient for what we need, but of course we will always continue to ask the ministry to provide us the funding if available.

623
00:53:38,150 --> 00:53:45,470
I can't really question if I made Mr. Drill, the value of the 320,000 is that a concrete

624
00:53:45,470 --> 00:53:49,530
number is that an estimated number when you get that estimate or is it allowed to be

625
00:53:49,530 --> 00:53:52,850
up in today's market as opposed to when you got it?

626
00:53:53,270 --> 00:53:59,210
So through the chair, we actually received that number very similar to that last year while we were

627
00:53:59,210 --> 00:54:05,670
doing the exterior of the building, we looked at potentially trying to do it at that time,

628
00:54:05,670 --> 00:54:12,770
But the issue that the contractor identified was that the price would be elevated because it was a tight turnaround

629
00:54:12,770 --> 00:54:23,650
There were less contractors available. So this actually this price is an estimate based on discussion with our engineers and architects of a reasonable process

630
00:54:23,650 --> 00:54:30,670
Provided we put the tender out now and have enough time to plan and get enough contractors to be at on the project

631
00:54:30,670 --> 00:54:32,670
Thank you very much for that.

632
00:54:33,050 --> 00:54:33,670
Any other questions?

633
00:54:34,950 --> 00:54:35,290
Opposed?

634
00:54:54,080 --> 00:54:56,200
We will, again, motion.

635
00:54:57,620 --> 00:54:58,220
You write the resolution.

636
00:54:58,540 --> 00:54:59,340
Move by the Christine.

637
00:54:59,860 --> 00:55:01,140
Second by Mr. Weiler.

638
00:55:02,200 --> 00:55:04,380
The one-time funding request needed in syringe program.

639
00:55:05,180 --> 00:55:08,400
With respect to report 14-2023 harm reduction.

640
00:55:09,040 --> 00:55:13,540
We recommend the application for the one-time 100% funding for the $25,000.

641
00:55:13,540 --> 00:55:35,520
for costs associated with delivering the needle syringe program to be approved for submission to the Ministry of Health through the annual service plan and the budget submission process and that the direct appropriate services and manager finance be authorized to complete the any administration and administration requirements of the budget budget submission process as required questions.

642
00:55:37,630 --> 00:55:44,210
Right through the chair. I'm surprised this isn't in our base funding. Is this a like are we expecting

643
00:55:44,210 --> 00:55:48,550
the harms prevention group to take this on after or?

644
00:55:50,310 --> 00:55:56,430
So through the chair, I'll answer that and then I'll quickly pass it over to Kansas Belonjay who is the manager in this area to also comment

645
00:55:56,430 --> 00:56:01,470
We do have an amount in our base budget related to this program. This

646
00:56:02,950 --> 00:56:07,910
funding has been provided by the ministry because they suddenly need over and above the

647
00:56:07,910 --> 00:56:12,470
base funding allocations that we have previously allocated. So that is why it's here.

648
00:56:12,670 --> 00:56:17,430
But it is we do have a component in our base budget. This is just additional funding that the

649
00:56:17,430 --> 00:56:20,690
ministry provided to us last year and we will again request this year.

650
00:56:25,430 --> 00:56:26,490
Yeah, I'm just looking at Candice

651
00:56:26,490 --> 00:56:34,230
if I missed anything there. No, there have been some increases in cost of needles as well as

652
00:56:34,230 --> 00:56:40,030
cost of disposal. So this would also support. Thank you. Any further questions?

653
00:56:50,450 --> 00:56:56,830
Okay, move late to our second by Cindy. We're getting a one-time funder request or indigenous

654
00:56:56,830 --> 00:57:02,830
engagement that we're the respect to report number 15-2023. We recommend that the application

655
00:57:02,830 --> 00:57:10,230
for one-time 100% the lending to a $3,000,000, $3,000 for the enhancement of indigenous engagement

656
00:57:10,230 --> 00:57:15,210
activities within the Fundatory District Health, given it be a progress submission to the ministry,

657
00:57:15,210 --> 00:57:20,390
help through the annual service plan and budget submission process in the direction of rapid

658
00:57:20,390 --> 00:57:25,450
services and manager finance be authorized to complete an even administrative requirements

659
00:57:25,450 --> 00:57:29,370
of the budget submission process as required. Questions?

660
00:57:35,940 --> 00:57:42,580
Yeah, we'll just go back to my question through the chair previously. With respect to this program,

661
00:57:42,580 --> 00:57:45,880
I'm recognizing it isn't a high need for base funding.

662
00:57:46,900 --> 00:57:50,980
I'm just wondering if now's the time to have that conversation or do we just want to go

663
00:57:50,980 --> 00:57:58,440
and try to access funding and look at further developing this as one of our core core needs.

664
00:57:59,340 --> 00:58:02,320
And I question that because in other communities where

665
00:58:02,320 --> 00:58:06,560
and other districts where health units have other higher population of ethnicities

666
00:58:06,560 --> 00:58:11,900
in the Toronto area, specifically I'm thinking they may be looking at other ways to do engagement

667
00:58:12,540 --> 00:58:20,900
with those populations. So I don't see any differently that they may be doing the same thing and I just want to recognize that what we can be doing we should be doing.

668
00:58:31,480 --> 00:58:36,860
We actually do a lot of Indigenous engagement at different levels.

669
00:58:37,220 --> 00:58:40,320
Like given the word that I do when this is a look at First Nations on the 30.

670
00:58:40,320 --> 00:58:44,600
that was at the previous board would be more aware of,

671
00:58:45,700 --> 00:58:47,200
but even at the program level,

672
00:58:48,060 --> 00:58:50,780
we are working directly with many first nation communities

673
00:58:50,780 --> 00:58:51,920
or first native partners.

674
00:58:53,100 --> 00:58:54,980
And we certainly are looking more strategically

675
00:58:54,980 --> 00:59:00,020
at how to move that forward and COVID the pandemic sort

676
00:59:00,020 --> 00:59:02,320
of altered the kind of work that we're doing,

677
00:59:02,440 --> 00:59:05,380
but we're certainly looking at it once again

678
00:59:05,380 --> 00:59:07,240
more concretely going forward.

679
00:59:08,140 --> 00:59:15,580
This actually is an item that I was going to bring back to the board for ongoing orientation

680
00:59:15,580 --> 00:59:21,060
in terms of looking at what we're already doing, and I think it's because it's fairly

681
00:59:21,560 --> 00:59:25,080
broad across the organization, what we do and where we want to go with this.

682
00:59:25,260 --> 00:59:29,240
So I think that your question does actually sort of remind me that I should move ahead.

683
00:59:30,680 --> 00:59:30,880
Okay.

684
00:59:31,640 --> 00:59:31,900
Thank you.

685
00:59:32,540 --> 00:59:34,760
And I think it was more exactly what you are.

686
00:59:35,820 --> 00:59:38,520
because when I read this through Chairsory,

687
00:59:38,960 --> 00:59:40,580
when I read this, I'm thinking this is another,

688
00:59:40,820 --> 00:59:42,740
this is adding an employee.

689
00:59:43,920 --> 00:59:46,100
When I read the breakdown of it,

690
00:59:46,100 --> 00:59:48,840
and I'm going, so I've had the impression

691
00:59:48,840 --> 00:59:50,980
that it was being broadly done

692
00:59:50,980 --> 00:59:53,080
and maybe now it's going to be more focused

693
00:59:53,080 --> 00:59:53,760
as an individual.

694
00:59:56,100 --> 00:59:56,860
Is that kind of right?

695
00:59:57,780 --> 00:59:59,100
Yeah, through the Chairs again,

696
00:59:59,260 --> 00:59:59,980
there are,

697
01:00:00,000 --> 01:00:14,000
You know, we've identified the need to have more, you know, at least another individual, very just focused on that, at the more of the senior level in our organization, which is what this ask is story.

698
01:00:14,120 --> 01:00:27,760
Again, we're really wanting it based funded, but looking at sort of an indicted to do this liaison, for example, I mean, many other organizations would have sort of a position specific to that, and I think that would be beneficial for us here.

699
01:00:27,760 --> 01:00:31,200
to be able to help and be more strategic and regional.

700
01:00:35,160 --> 01:00:35,420
Okay.

701
01:00:36,740 --> 01:00:36,840
Okay.

702
01:00:36,840 --> 01:00:37,700
If we're the questions,

703
01:00:39,040 --> 01:00:40,160
Mayor, I'm sorry to post.

704
01:00:41,640 --> 01:00:42,520
Thank you.

705
01:00:51,740 --> 01:00:51,940
Okay.

706
01:00:53,140 --> 01:00:55,600
We have a resolution with a specific person.

707
01:00:56,740 --> 01:00:57,860
Second man is Thompson.

708
01:00:59,000 --> 01:01:02,140
We're going to have one time funding requests for vaccine refrigerators

709
01:01:02,700 --> 01:01:06,420
to respect to report number 11-2023.

710
01:01:07,020 --> 01:01:09,700
We recommend that the application for one-time hundred percent

711
01:01:09,700 --> 01:01:13,840
funding for the paid $80,000 or $3 purpose-bulf tax-saving

712
01:01:13,840 --> 01:01:16,860
criteria is to be approved for submission to the Ministry of Health

713
01:01:16,860 --> 01:01:19,860
to the end of service planning by the submission process and the

714
01:01:19,860 --> 01:01:21,840
Director of Corporate Services Management Planets

715
01:01:21,840 --> 01:01:25,160
to be authorized to complete any administration requirements

716
01:01:25,160 --> 01:01:26,920
at the budget submission process.

717
01:01:27,680 --> 01:01:27,980
Questions?

718
01:01:28,720 --> 01:01:30,640
I can be dealt with this a little bit earlier on.

719
01:01:31,220 --> 01:01:31,980
Any opposed?

720
01:01:33,260 --> 01:01:33,840
Thank you.

721
01:01:47,700 --> 01:01:48,000
Okay.

722
01:01:48,000 --> 01:01:51,440
moved by the stompsing, second by Mr. Wheeler,

723
01:01:53,540 --> 01:01:56,200
a resolution, recurring one-time

724
01:01:56,200 --> 01:02:00,440
funding request for infectious disease and three-year-old reach funding.

725
01:02:00,940 --> 01:02:05,020
There were, despite the report, number 16 to 2021, three infectious disease, three-year-old

726
01:02:05,020 --> 01:02:05,360
reach.

727
01:02:05,580 --> 01:02:13,060
We recommend the application for one-time 100% funding flow of 814,700 dollars for the cost

728
01:02:13,060 --> 01:02:18,960
associated with identifying and addressing increased rates of disease as public health

729
01:02:18,960 --> 01:02:22,840
significance in the infectious disease and street outreach programs and it's not to

730
01:02:22,840 --> 01:02:26,600
be district health team to be approved for submission to the Ministry of Health through

731
01:02:26,600 --> 01:02:30,420
the Anna Service Fund budget process emissions and to direct your corporate services

732
01:02:30,420 --> 01:02:35,480
and monitor the finance, be authorized to complete any administration requirements

733
01:02:35,480 --> 01:02:38,840
out if I did submission process required questions.

734
01:02:41,430 --> 01:02:46,070
Through the chair, just again, this isn't in base funding, or it is because when I look

735
01:02:46,070 --> 01:02:51,950
again at salaries and benefits, I'm looking at a substantial number of people, not

736
01:02:51,950 --> 01:02:58,970
single individual, so are we growing that program? And this is how we're doing that,

737
01:02:59,190 --> 01:03:01,030
if we're taking it out of the base funding?

738
01:03:02,310 --> 01:03:07,330
So through the chair, I will note that we do have our infectious disease program in our

739
01:03:07,330 --> 01:03:14,770
reach program key in our base budget. These are enhancements to further the work that's needed in those areas.

740
01:03:21,870 --> 01:03:24,190
You've heard a question? What was it any?

741
01:03:28,970 --> 01:03:30,590
Yes, good question. On that topic.

742
01:03:31,030 --> 01:03:33,190
Did we ever receive anything back on your letter?

743
01:03:33,390 --> 01:03:34,090
You wrote to anister?

744
01:03:35,590 --> 01:03:36,490
Or is that normal?

745
01:03:36,710 --> 01:03:40,030
Because being me, I'm not even sure if we send those kind of letters forward.

746
01:03:40,050 --> 01:03:41,750
Do we ever get feedback?

747
01:03:43,470 --> 01:03:56,650
So, through the chair, this is very much a work in progress, so I brought forward to the board last month, my concerns about what was happening, particularly here in Thunder Bay, fairly vulnerable, grave for rounded infectious diseases.

748
01:03:58,330 --> 01:04:11,070
And we've worked with that work to define what the need would be, what are asked with the, in terms of what resources we need to be able to do this, which is reflected in that report.

749
01:04:11,070 --> 01:04:16,230
perhaps that better answer through questions, and we are putting in this one time funding

750
01:04:16,230 --> 01:04:22,670
but advocating it for base funding. I've also been separately connecting to the province

751
01:04:22,670 --> 01:04:26,910
around us. I do have a meeting actually this afternoon, specifically related to this.

752
01:04:27,410 --> 01:04:33,570
And I've also drafted that letter. It hasn't been sent off yet, pending us working through the details

753
01:04:33,570 --> 01:04:38,590
and some communication from green. My part with the ministry to be able to position it properly,

754
01:04:38,590 --> 01:04:41,230
So it's all kind of coming together,

755
01:04:44,350 --> 01:04:47,690
and I do expect we would hear something back.

756
01:04:48,530 --> 01:04:52,650
Often formally letter acknowledging, not necessarily saying that.

757
01:04:53,050 --> 01:05:00,490
But I think it's more that gives me the leverage to how those conversations and I can often get more informal communication.

758
01:05:00,950 --> 01:05:01,890
That's great.

759
01:05:01,890 --> 01:05:02,890
Thank you.

760
01:05:03,830 --> 01:05:07,830
And for the questions, we already did this one.

761
01:05:08,030 --> 01:05:08,730
Yeah, sorry.

762
01:05:08,730 --> 01:05:09,290
Sorry, it was a question.

763
01:05:10,430 --> 01:05:11,270
I'm not a bullet.

764
01:05:11,490 --> 01:05:11,610
Sorry.

765
01:05:12,070 --> 01:05:12,970
That's okay.

766
01:05:13,010 --> 01:05:13,610
I'm not a bullet.

767
01:05:14,310 --> 01:05:15,070
I'm not a bullet.

768
01:05:15,070 --> 01:05:15,950
I'm not a bullet.

769
01:05:16,090 --> 01:05:16,670
I'm not a bullet.

770
01:05:16,930 --> 01:05:19,370
Okay, we have a most hell of solution.

771
01:05:19,850 --> 01:05:21,870
We'll go by Christine's second-limit, Mr. McPherson.

772
01:05:22,890 --> 01:05:24,690
That a one-time primary question for a PhD.

773
01:05:27,230 --> 01:05:28,110
Practical from.

774
01:05:28,110 --> 01:05:30,330
And for the respect that we're going to be doing.

775
01:05:30,630 --> 01:05:36,210
9, that's 2023, we recommend we have cases for 1,000, that's about 20,000 dollars,

776
01:05:36,330 --> 01:05:38,990
with two public health inspectors students.

777
01:05:39,870 --> 01:05:42,950
Students, finally, we approved for submission to the Ministry Health,

778
01:05:42,950 --> 01:05:45,870
the annual service plan and budget submissions process.

779
01:05:46,330 --> 01:05:48,490
In the director's corporate services and manager finance,

780
01:05:48,490 --> 01:05:50,090
we have the rest to complete the implementation.

781
01:05:51,370 --> 01:05:55,150
Requirements of the budget submission process as required.

782
01:05:56,070 --> 01:05:56,790
questions.

783
01:06:01,520 --> 01:06:01,820
I post,

784
01:06:15,040 --> 01:06:21,400
on here, again, we'll be twisting, second by the grant, that we have a resolution

785
01:06:21,400 --> 01:06:28,800
that we're going to help kids program funding extension, the Respect Report 70-2023 Finance.

786
01:06:28,800 --> 01:06:33,580
We recommend that at one time funding from the public health agency at Canada for the program

787
01:06:33,580 --> 01:06:35,920
title, Healthy Kids Home.

788
01:06:35,920 --> 01:06:39,540
And Brock, it's helped on a new correct equity.

789
01:06:39,860 --> 01:06:41,220
There's this program.

790
01:06:41,740 --> 01:06:48,240
Currently, $1,150,600 and 78 dollars.

791
01:06:48,420 --> 01:06:48,840
I've got the million.

792
01:06:50,600 --> 01:06:54,800
There's a period of August 21 to May 2021,

793
01:06:55,040 --> 01:06:57,700
to May 2024 be amended and approved for extensive

794
01:06:57,700 --> 01:07:01,160
for the funding period until March 2025,

795
01:07:01,460 --> 01:07:04,400
and approved additional funding for an $30,000

796
01:07:04,400 --> 01:07:11,760
and $53 dollars for a total funding of $1,580,700,000, $31,000, and director of corporate

797
01:07:11,760 --> 01:07:17,220
services and manager finance, we authorized to complete in a missed any administrative requirements

798
01:07:17,220 --> 01:07:18,540
of the budget submission.

799
01:07:18,700 --> 01:07:21,440
The process has required and questions.

800
01:07:24,040 --> 01:07:28,740
Through the chair, can some of the information from this program be transferred from the city

801
01:07:28,740 --> 01:07:29,480
to the district?

802
01:07:30,920 --> 01:07:34,380
So through the chair, I'll pass that over to Joanna, who is the manager of the program.

803
01:07:35,660 --> 01:07:50,620
Through the chair, thank you for that question. Part of the Healthy Kids Home Program runs a four week program in communities that can definitely be translated to the district throughout the pandemic.

804
01:07:50,920 --> 01:08:02,180
We had to switch up programming from in person to a virtual program and it was shown to be just as effective when we delivered the programming virtually as in person.

805
01:08:02,180 --> 01:08:08,220
So that is something that we're looking at how can we expand this program to the district in the future.

806
01:08:08,560 --> 01:08:10,340
Thank you.

807
01:08:10,340 --> 01:08:17,160
To the chair, the extra 430,000 being requested. It looks like the majority of that through salaries.

808
01:08:17,840 --> 01:08:23,160
Would that be because of some contract negotiations or something that was am I reading it wrong?

809
01:08:23,160 --> 01:08:36,180
So, through the chair, this is actually an remaining agreement for the 400 and very to extend to the program, beyond the current date, so this would be extending the contracts that are in place and all of the, I'm excited to go with that.

810
01:08:36,440 --> 01:08:47,240
This program in particular does have a lot of incline donations from our partners as well, so there's a significant benefit to the extension of this program because we do have that as well.

811
01:08:51,660 --> 01:08:54,240
Any further questions? What was the name?

812
01:09:19,100 --> 01:09:20,460
Let's be close. Secondary.

813
01:09:21,320 --> 01:09:25,080
It was ran with employee benefit.

814
01:09:25,800 --> 01:09:29,040
The resolution that employee benefit can renew.

815
01:09:30,400 --> 01:09:34,000
With respect to the report number of 15-2023,

816
01:09:34,940 --> 01:09:37,980
we recommend that the renewal of the employee group kind of a family

817
01:09:37,980 --> 01:09:39,140
with green shield Canada.

818
01:09:39,740 --> 01:09:44,160
Health and control for the Association of the Public Health Agency's offer.

819
01:09:44,160 --> 01:09:53,660
Employee Group Benefit Consortium Plan has presented for the policy term people first, 2023 to March 31, 2024.

820
01:09:54,120 --> 01:10:01,760
The Director Corporate Service as a manager finance be authorized to complete any administrative requirements of the removal.

821
01:10:03,260 --> 01:10:03,400
Questions?

822
01:10:07,220 --> 01:10:07,720
So, sorry.

823
01:10:08,160 --> 01:10:13,740
Through the chair, I just, when I was looking at the benefit plan that's noted here, I didn't see anything.

824
01:10:13,740 --> 01:10:21,680
Like a lot of groups now when they're negotiating that if it's through GreenShield, they're looking at a mental health portion.

825
01:10:21,760 --> 01:10:25,400
I didn't see anything in there for a police or mental health.

826
01:10:25,860 --> 01:10:27,260
But is there something in that?

827
01:10:29,700 --> 01:10:35,100
Through the chair, we do have significant plans in place here.

828
01:10:35,380 --> 01:10:39,040
We do have an EFAP program that would deal specifically with that.

829
01:10:39,320 --> 01:10:42,200
That is actually renewed separately outside of this.

830
01:10:42,200 --> 01:10:57,960
And so that will also come to the Board when it comes up for renewal, but we do have what I would consider a fairly substantial plan in that area, and we also do a lot of work through our health promotion division in the community area of that, and we try to apply that internally as well.

831
01:10:57,960 --> 01:10:58,700
Thank you.

832
01:10:58,700 --> 01:10:59,740
Just a few minutes.

833
01:11:00,560 --> 01:11:00,940
Thank you.

834
01:11:00,940 --> 01:11:01,200
Thank you.

835
01:11:01,220 --> 01:11:01,640
Any questions?

836
01:11:02,600 --> 01:11:03,240
Follow the name?

837
01:11:04,460 --> 01:11:04,500
Okay.

838
01:11:15,230 --> 01:11:15,410
Okay.

839
01:11:15,550 --> 01:11:16,650
Move by Mr. McPherson.

840
01:11:17,090 --> 01:11:18,630
Second way of the speak-off.

841
01:11:18,970 --> 01:11:19,670
The resolution.

842
01:11:20,250 --> 01:11:23,650
We are in the shared public library services program that we respect to report

843
01:11:23,650 --> 01:11:24,390
2023.

844
01:11:24,710 --> 01:11:25,090
Monitions.

845
01:11:25,430 --> 01:11:37,650
Kind of do recommend the approval of $130,000, $700,000, $1,000, $1,000, $1,000, $1,000, $1,000, $1,000, $1,000, $1,000.

846
01:11:37,650 --> 01:11:44,220
membership at the Fundabee District Health Unit for the period of April 1st, 2020, to be

847
01:11:44,220 --> 01:11:48,540
the March 1st, 2020, for the Director for the Service as a Manager of Finance, be

848
01:11:48,540 --> 01:11:52,720
authorized to complete any administrative requirements of the Fundabee process as required.

849
01:11:53,620 --> 01:11:53,920
Questions?

850
01:11:58,420 --> 01:11:59,820
You'd more than welcome that, questions?

851
01:12:00,500 --> 01:12:00,960
I know.

852
01:12:03,750 --> 01:12:04,670
No questions?

853
01:12:05,590 --> 01:12:06,270
What was the money?

854
01:12:07,770 --> 01:12:08,750
We got

855
01:12:12,980 --> 01:12:13,860
through them.

856
01:12:17,960 --> 01:12:19,980
So if you're in a communications information,

857
01:12:20,100 --> 01:12:21,380
we need to get the resolution.

858
01:12:22,720 --> 01:12:24,380
So these update, Mr. Dill.

859
01:12:24,980 --> 01:12:25,700
Thank you, Mr. Dill.

860
01:12:25,960 --> 01:12:28,840
I'll just give it a brief overview of this report for you.

861
01:12:29,180 --> 01:12:32,740
So this is an annual report that's required by the Board of Health by law

862
01:12:32,740 --> 01:12:34,960
regarding the inadequacy of our facilities.

863
01:12:35,540 --> 01:12:39,340
So it provides detail around the main office and all of our district offices.

864
01:12:40,520 --> 01:12:44,440
So this annual facility review links to our risk management program

865
01:12:44,440 --> 01:12:46,520
and all recommendations for projects,

866
01:12:46,520 --> 01:12:50,960
cap over requests, and general work we do throughout the year are really focused on areas that

867
01:12:50,960 --> 01:12:52,960
are considered higher risk to the organization.

868
01:12:54,220 --> 01:12:58,180
As I noted earlier, we've done some significant work and been successful in getting funding

869
01:12:58,180 --> 01:13:01,920
from the Ministry for some minutes, pretty significant projects.

870
01:13:02,580 --> 01:13:07,960
We replaced the building towers, so repairs made, and those were all reclated due to some

871
01:13:07,960 --> 01:13:09,160
water dishes we were having.

872
01:13:09,600 --> 01:13:13,520
We've replaced in the last few years the air handling units and the boilers.

873
01:13:13,520 --> 01:13:24,300
We were, we were, we don't want to carry a single dental capital suite was another significant project we've done and then last year as you can see outside we just finished the windows and building on below project.

874
01:13:24,980 --> 01:13:30,920
We do still have some projects to move forward on, one of them being the shingles and flashing that we discussed earlier.

875
01:13:31,580 --> 01:13:40,760
We are looking at the tile flooring and what it would cost to replace that going forward because there are some potential health and safety issues that will be coming there.

876
01:13:40,760 --> 01:13:49,620
We do have an elevator, we'll feed them this building at the other end that will require some improvements and then there's a generator system and some backups that are needed.

877
01:13:51,120 --> 01:14:01,000
So again, we do have the capital reserve that will assist us with that, but we do always ask the Ministry for capital funding you're over here to try to get that.

878
01:14:02,980 --> 01:14:07,900
within the report you'll notice that we do have four branch offices and in 2020 both the

879
01:14:07,900 --> 01:14:13,680
Marathon Interest Bay offices did move to new facilities and at our current assessment of

880
01:14:13,680 --> 01:14:19,140
space in the district does appear adequate at this time. So that's just a brief overview.

881
01:14:20,140 --> 01:14:26,240
Have you had any questions and I have our manager out of your information systems and facilities on the line as well?

882
01:14:26,240 --> 01:14:27,660
Do you have any questions here?

883
01:14:28,240 --> 01:14:28,860
On to the chair.

884
01:14:29,200 --> 01:14:30,180
A comment to hydro.

885
01:14:30,960 --> 01:14:31,980
We have a nice reduction.

886
01:14:32,720 --> 01:14:34,200
Yes, we can talk to about getting adoption.

887
01:14:34,700 --> 01:14:35,620
Yes, this is it.

888
01:14:35,740 --> 01:14:36,720
Yes, we do.

889
01:14:37,920 --> 01:14:42,480
So through the chair, you can see we've done some significant work with our handling units, our

890
01:14:42,480 --> 01:14:43,040
boilers.

891
01:14:43,640 --> 01:14:47,520
So the building is becoming much more efficient as we do some of these projects.

892
01:14:47,720 --> 01:14:50,780
We are hopeful that there will be another reduction next year.

893
01:14:51,020 --> 01:14:52,400
Now that we have the new windows.

894
01:14:52,400 --> 01:14:59,260
So we were quite pleased at the trend that that's going even light of increasing hydro reads.

895
01:15:00,000 --> 01:15:02,000
What's the first to find why we did it since then?

896
01:15:02,780 --> 01:15:03,200
Any questions?

897
01:15:04,360 --> 01:15:10,200
In the report, there's a comment about generators in case there's an extended dollar failure.

898
01:15:12,880 --> 01:15:18,940
I'm just asking, if there's an extended power failure, the generators, basically, would just have to support the fridges.

899
01:15:19,480 --> 01:15:22,400
But everybody else would pretty much be sent home, right?

900
01:15:22,820 --> 01:15:26,960
So through the chair, we have a generator system that supports the critical areas of the building.

901
01:15:27,160 --> 01:15:29,460
And yes, we would evacuate the building and have people come home.

902
01:15:29,460 --> 01:15:31,540
but there are critical components,

903
01:15:32,060 --> 01:15:34,300
including our server room, our vaccine fridges,

904
01:15:34,360 --> 01:15:35,460
that require that.

905
01:15:35,740 --> 01:15:38,700
So we would also be looking at implementing a backup system

906
01:15:38,700 --> 01:15:40,300
for our backup system.

907
01:15:40,780 --> 01:15:42,580
Right there, there, there, there, there.

908
01:15:42,580 --> 01:15:43,440
That's it, the backup system.

909
01:15:44,040 --> 01:15:45,120
Thank you for your questions.

910
01:15:46,140 --> 01:15:46,400
Good morning.

911
01:15:46,600 --> 01:15:48,360
Moving on to the output when you're conference.

912
01:15:49,760 --> 01:15:52,060
The report, regarding this symposium,

913
01:15:52,400 --> 01:15:58,300
that is held for the citizenship center report.

914
01:15:58,300 --> 01:16:02,670
And I saw, I attacked onto his base of the U.S.

915
01:16:03,120 --> 01:16:05,260
He was a pretty sterile guy when it comes to doing that stuff.

916
01:16:07,220 --> 01:16:11,940
Well, I found one of the best parts of the program was creating new board members that

917
01:16:11,940 --> 01:16:13,200
I felt was some learning sessions.

918
01:16:13,780 --> 01:16:17,500
I thought it was a pretty good orientation and learning session in the session.

919
01:16:18,100 --> 01:16:21,860
And the afters did not take away from the afternoon session, but I found a learning session

920
01:16:21,860 --> 01:16:26,140
really, really, really for bringing new board members on this field.

921
01:16:26,540 --> 01:16:31,080
I don't know if anybody else who was on wants to add to the had or not, I mean, there was

922
01:16:31,080 --> 01:16:39,740
a really new board, but if not, I mean, it was a good session, and I'm so glad I came to

923
01:16:39,740 --> 01:16:39,760
that.

924
01:16:40,540 --> 01:16:48,240
And I thank Mr. President for his remarks, and I'll take on that kind of thing.

925
01:16:48,240 --> 01:16:50,580
You always tend to do things that a lot.

926
01:16:50,900 --> 01:16:52,300
Kelly's nothing for us.

927
01:16:55,720 --> 01:16:56,240
Okay.

928
01:16:56,240 --> 01:16:56,260
Sure.

929
01:16:58,180 --> 01:16:58,580
Oh, sorry.

930
01:16:59,320 --> 01:16:59,840
Okay,

931
01:17:02,760 --> 01:17:03,120
thank you.

932
01:17:03,640 --> 01:17:06,140
It's a new word number on it.

933
01:17:06,520 --> 01:17:09,760
I got a lot of good information out of it.

934
01:17:09,760 --> 01:17:11,940
Which really worked well.

935
01:17:12,400 --> 01:17:12,560
Thank you.

936
01:17:13,000 --> 01:17:14,020
Thank you for attending that.

937
01:17:14,160 --> 01:17:14,820
Thank you for the comment.

938
01:17:21,250 --> 01:17:21,770
Okay.

939
01:17:22,410 --> 01:17:26,050
I just have a couple of brief updates for you.

940
01:17:26,570 --> 01:17:27,330
I'll provide certainly.

941
01:17:27,590 --> 01:17:29,430
I wanted to let you know about some changes

942
01:17:29,430 --> 01:17:31,410
in the senior leadership team here.

943
01:17:31,650 --> 01:17:32,270
I'm a great speaker.

944
01:17:33,230 --> 01:17:37,210
First of all, I am a gown lock over in the quarter.

945
01:17:38,150 --> 01:17:40,930
It's officially down the director of health protection

946
01:17:40,930 --> 01:17:42,010
and chief nurse check-off.

947
01:17:42,310 --> 01:17:49,250
She has been acting in this role for the past year,

948
01:17:49,250 --> 01:17:56,170
So, please, and I'm very pleased when she applied to take on this permanently in our recent recruitment process.

949
01:17:57,650 --> 01:18:04,710
So, and Diana prior to taking on this role was actually the manager for infectious disease program and IPAC.

950
01:18:04,970 --> 01:18:09,270
So, it's great to have her join us officially at the senior leadership table.

951
01:18:10,110 --> 01:18:18,250
On the other side, though, I am sad to note that Mr. Lance still will be leaving after setting five years

952
01:18:18,250 --> 01:18:20,550
with us as a director of corporate services.

953
01:18:21,490 --> 01:18:24,310
And in fact, this is the last week in the last award

954
01:18:24,310 --> 01:18:24,770
evening.

955
01:18:26,090 --> 01:18:29,230
And I just want to acknowledge this significant contribution

956
01:18:29,230 --> 01:18:32,430
to the pandemic to Kelvin at over the time he spent here.

957
01:18:32,610 --> 01:18:36,270
I think all this experience, I'll perhaps get out of here,

958
01:18:36,510 --> 01:18:39,250
helped him get his next position,

959
01:18:40,070 --> 01:18:41,830
but I wish him all the best in the future.

960
01:18:43,750 --> 01:18:46,730
And the recruitment process for his replacement

961
01:18:46,730 --> 01:18:53,110
is currently in progress and I will certainly provide an update to the chair and to the board

962
01:18:53,110 --> 01:19:00,570
when that is completed. The second item I wanted to mention and Mr. Smith started off the meeting

963
01:19:00,570 --> 01:19:07,910
with the land acknowledgement today and that came up at the last meeting. Internally we are currently

964
01:19:07,910 --> 01:19:15,330
updating our guidelines for land development for our staff and our programs and we will be

965
01:19:15,330 --> 01:19:23,210
proposing, looking at the land acknowledgement for the Board of Health as well, so we will

966
01:19:23,210 --> 01:19:31,410
be bringing something back for your consideration in terms of your land acknowledgement

967
01:19:31,410 --> 01:19:32,450
for board meetings.

968
01:19:33,770 --> 01:19:37,590
And the final update I wanted to provide, I believe I've already spoken to, which just

969
01:19:37,590 --> 01:19:45,310
to follow up on the infectious disease and the advocacy that you endorsed at the last, at

970
01:19:45,310 --> 01:20:00,270
We provide most of the answer to a question earlier on that funding, so I will continue to work with the chair regarding the letter and the board's communication to the ministry and we'll be updating with you with the outcomes of that.

971
01:20:00,530 --> 01:20:02,570
That's my update, and I'd be happy to take it.

972
01:20:03,170 --> 01:20:07,350
I would just like if I could, I would like to just piggyback on your comment.

973
01:20:07,350 --> 01:20:13,430
Mr. Dill, in the five years it, I went on the board for years and the last, since last

974
01:20:13,430 --> 01:20:18,870
is joined this group, it's been a very, very positive work and it's moved out that's moved

975
01:20:18,870 --> 01:20:24,790
along very, very well and there's any any questions where you know, readily answered and this

976
01:20:24,790 --> 01:20:29,430
appreciate everything you've done for us last, and we should know you had a lesson with your new

977
01:20:29,430 --> 01:20:30,250
move.

978
01:20:34,630 --> 01:20:42,190
Okay, next meeting. Let's say April the 19th on 2023. There is a word of

979
01:20:42,190 --> 01:20:48,710
second meeting on the 19th. We do the 22nd year in finance, so the other year is

980
01:20:48,710 --> 01:20:50,590
which is always really enjoyable.

981
01:20:53,570 --> 01:20:54,350
Enjoyable. Hi.

982
01:20:57,800 --> 01:21:00,000
These are the ways we might need to do your

983
01:21:00,000 --> 01:21:03,820
drop dates, as far as the Board of Education evaluations.

984
01:21:05,260 --> 01:21:06,040
And with that,

985
01:21:09,560 --> 01:21:11,740
we'll buy a Christmas in a lot of boolean.

986
01:21:12,780 --> 01:21:14,500
It's just a few hours for us to hear.

987
01:21:15,320 --> 01:21:16,580
I'll refrain for a second.

988
01:21:18,020 --> 01:21:26,520
Second advice on the word helping on held on March 15, 2023,

989
01:21:26,900 --> 01:21:30,840
be adjourned at 25.

990
01:21:31,600 --> 01:21:32,320
Thank you very much.

991
01:21:32,320 --> 01:21:42,820
We went through a lot of stuff and everybody, I really appreciate the input, I appreciate the questions and appreciate patients with me some of your millions and thousands of stuff.

992
01:21:44,480 --> 01:21:45,520
You know, any post?

993
01:21:48,640 --> 01:21:49,480
We're good afternoon everybody.

994
01:21:49,820 --> 01:21:50,280
Can you say it?

995
01:21:52,830 --> 01:21:53,330
Good luck.

996
01:21:54,930 --> 01:21:55,290
All right.

997
01:21:56,150 --> 01:21:56,650
Thank you everybody.

998
01:21:57,650 --> 01:21:57,750
Bye.

999
01:22:04,480 --> 01:22:05,300
I'd like to Florida.