Finance Committee Report BH.04.NOV1716.R16
November 17, 2016
Report to: Finance Committee, Board of Health
Submitted by: Elizabeth Bowden, Interim Director of Administrative Services
Subject: 2016 THIRD QUARTER FINANCIALS
Recommendations
(a) That the Finance Committee makes recommendation to the Board of Health to receive the 2016 Third Quarter Financials, as presented, for information.
Background
Wellington-Dufferin-Guelph Public Health’s (WDGPH) annual budget consists of several subbudgets based on different funders and funding structures. The sub-budgets have been numbered and these numbers have been used consistently throughout this report. The main budget of the organization consists of the sub-budgets numbered (1) through (7) below. In addition to the main budget, WDGPH receives several community grants for projects which are aligned with and build upon the work of Public Health in the community. These community grants are numbered (8) through (12) below.
| No. | Program/Budget Name | Funder(s) | Year-end |
|---|---|---|---|
| 1 | Cost-shared Mandatory Programs | Ministry of Health and Long-Term Care (MOHLTC); City of Guelph; County of Wellington; County of Dufferin | December 31st |
| 2 | Cost-shared Related Programs | MOHLTC; City of Guelph; County of Wellington; County of Dufferin |
December 31st |
| 3 | 100% MOHLTC Funded Programs | MOHLTC | December 31st |
| 4 | Healthy Babies Healthy Children | Ministry of Children and Youth Services (MCYS) | December 31st |
| 5 | Preschool Speech and Language | MCYS | March 31st |
| 6 | Wee-Talk | County of Wellington | December 31st |
| 7 | Canadian Prenatal Nutrition Program (CPNP) | Public Health Agency of Canada (PHAC) |
March 31st |
| 8 | Poverty Elimination Task Force (PETF) | City of Guelph, County of Wellington, United Way Wellington-Dufferin-Guelph | December 31st |
| 9 | Children’s Report Card | County of Wellington, Dufferin Coalition for Kids (DuCK), Dufferin Child & Family Services (DCAF) | December 31st |
| 10 | Nurturing Neighbourhoods | Family and Children’s Services Guelph-Wellington | December 31st |
| 11 | My Health e-Snapshot: A Preconception Health Research Study | Women’s College Hospital | December 31st |
| 12 | System of Care | County of Wellington, KidsAbility, Canadian Mental Health Association (CMHA) Waterloo-Wellington | December 31st |
| 13 | 2016 One-Time Grants | MOHLTC | March 31st |
The 2016 budget approved by the Board of Health on October 7, 2015 only included sub-budgets (1), (2), and (3) above. These sub-budgets were submitted to the MOHLTC via the Program Based Grants (PBG) submission on March 1, 2016.
On September 23, 2016 WDGPH received the Provincial Funding Approval, as outlined in Finance Committee Report BH.04.OCT1316.R13.
The budget figures in the attached Appendices reflect the approved Provincial funding per the September 23, 2016 Provincial funding approval.
Public Health and/or Financial Implications
Appendix 1: Cost-shared Mandatory Programs (1)
Cost-shared Mandatory Programs are the public health programs and services that boards of health are required provide to the communities they serve in accordance with the Health Protection and Promotion Act (HPPA), Ontario Public Health Standards (OPHS) and Protocols and the Organizational Standards. MOHLTC funding for mandatory programs is provided on a global basis (as opposed to a line by line basis), and boards of health are responsible for allocating the funding to meet the requirements of the HPPA, OPHS, and Organizational Standards according to local needs and priorities.
Current Net Position:
Appendix “1” represents the statement of revenue and expenditures for the nine months ended September 30, 2016, for the Cost-shared Mandatory programs. As reported on the attached statement, there was a positive variance totalling $849,995 for the first nine months of the year. This is a decrease from the positive variance reported in the second quarter, and inance Committee Report BH.04.NOV1716.R16 will substantially decrease by year-end as projects that have been underway in the third and fourth quarters of the year wrap up. The forecast to the end of the year based on projects currently underway in the fourth quarter is a year-end surplus in the range of $50,000 to $100,000. This preliminary estimate is subject to fluctuation if some ongoing projects are unable to be completed by year-end. Projects currently underway include:
- Fergus office renovations;
- IT Systems Assessment
- IT Security Assessment
- Phone System Assessment
- ERP Systems Assessment
- Chancellors Way parking lot security installation
Budget to actual variances of greater than $100,000 are explained below:
Salary and benefits expenses had a positive variance of $798,092 for the first nine months as a result of two vacant Director positions (one of which has subsequently been filled), one vacant management position (subsequently filled), maternity leaves, a leave of absence, and temporary and casual staff who have a two week payroll lag.
Appendix 2: All Other Programs (2 – 12)
Appendix Two presents the Funding and Expenditures for the first nine months of the year for the Cost-Shared Related (Small Drinking Water Systems and Vector-Borne Diseases) and 100% funded programs.
MOHLTC Cost-shared Related Programs
Vector Borne Diseases – funding provided for this program must be used for the ongoing surveillance, public education, prevention and control of all reportable and communicable vector-borne diseases and outbreaks of vector-borne disease, which include, but are not limited to, West Nile Virus and Lyme Disease.1
Small Drinking Water Systems – this funding is provided to support the ongoing assessments and monitoring of small drinking water systems. Under this program, public health inspectors are required to conduct new and ongoing site-specific risk assessments of all small drinking water systems within the oversight of the Board of Health; ensure system compliance with the regulation governing the small drinking water systems; and, ensure the provision of education and outreach to the owners/operators of small drinking water systems.1
MOHLTC 100% Funded Related Programs
Needle Exchange – this funding is provided for the purchase of needles and syringes, and their associated disposal costs, for the Board of Health’s Needle Exchange Program.1 In 2015, there was $9,994 more spent than was provided in provincial funding. Municipal funding was used to cover the shortfall. In 2016, provincial funding of $50,000 was requested and received.
Enhanced Food Safety – this initiative was established to augment the Board of Health’s capacity to deliver the Food Safety Program.1 This funding pays for less than 0.5 of a FTE Public Health Inspector, and some program supplies costs and training.
Healthy Smiles Ontario – this program provides prevention and basic treatment services for children and youth, from low-income families, who are 17 years of age or under, and who do not have access to any form of dental coverage.1 This program has been merged with the CINOT and CINOT Expansion programs effective January 2016, with the merged program currently being referred to as HSO II by the Ministry. Infectious Diseases Control Initiative – this funding pays for 2.0 FTE Public Health Nurses and 1.0 FTE Epidemiologist, as well as some travel and equipment costs. The funding is provided for the sole purpose of monitoring and controlling infectious diseases and enhancing the Board of Health’s ability to handle and coordinate increased activities related to outbreak management.1
Smoke Free Ontario – this funding is provided in support of the government’s Healthy Change Strategy and Action Plan. The Smoke-Free Ontario Strategy is a multi-level comprehensive tobacco control strategy aiming to eliminate tobacco-related illness and death by preventing experimentation and escalation of tobacco use among children, youth and young adults; increasing and supporting cessation by motivating and assisting people to quit tobacco use; and protecting the health of Ontarians by eliminating involuntary exposure to second-hand smoke.1
Electronic Cigarettes Act – this funding was provided to prepare for the implementation and enforcement of the Electronic Cigarettes Act (ECA), which was effective January 1, 2016.
Enhanced Safe Water – the purpose of this initiative is to increase the Board of Health’s capacity to meet the requirements of the Safe Water Program Standard under the OPHS.1 This funding pays for less than 0.2 of a FTE Public Health Inspector, as well as some program supplies and training.
Chief Nursing Officer – funding provided for the Chief Nursing Officer position at the Health Unit. The purpose of the Chief Nursing Officer in the Board of Health is to enhance the health outcomes of the community at individual, group, and population levels, through contributions to organizational strategic planning and decision making; by facilitating recruitment and retention of qualified, competent public health nursing staff, and by enabling quality public health nursing practice.1
Infection Prevention and Control Nurse – this funding pays for 1.0 FTE Public Health Nurse. The majority of the Infection Prevention and Control Nurse’s time must be spent on infection prevention and control activities.1
Social Determinants of Health Nurses Initiative – this funding pays for 2.0 FTE Public Health Nurses. With this funding, public health nurses with specific knowledge and expertise on social determinants of health and health inequities issues will provide enhanced supports internally and externally to the Board of Health to address the needs of priority populations impacted most negatively by the social determinants of health in the Board of Health area.1
MOH Compensation Initiative – funding provided by the Province to subsidize the salary/benefits/stipends for the Medical Officer of Health to ensure compensation falls within the salary ranges outlined in the 2012 Physician Services Agreement and subsequent addendums to that agreement. 1
MCYS Funded Programs
Healthy Babies Healthy Children – under this program Public Health Nurses, Family Home Visitors, a Data Entry Clerk, and a Program Assistant are funded to help children get a healthy start in life. The program does this by helping infants and children up to age six and their families through: screening and assessments, supports for new parents, and help in finding community programs and resources.2
Preschool Speech and Language – this funding pays for Speech Language Pathologists and a part-time Wee Talk Administrator employed by WDGPH, as well as Speech Language Pathologists employed by Groves Memorial Hospital in Fergus (serving Wellington and Dufferin Counties), and St. Joseph’s Healthcare in Guelph (serving the City of Guelph). Together with the three hospitals, WDGPH coordinates the provision of speech pathology services in the Counties of Wellington and Dufferin, and the City of Guelph. This funding has a fiscal year of April to March.
County of Wellington Wee Talk this funding is provided by the County of Wellington to integrate with the speech pathology services available in Wellington County funded by the MCYS under the Preschool Speech and Language program.
Canadian Prenatal Nutrition Program - this funding is provided by the PHAC on an April to March fiscal year, to deliver a comprehensive program to promote and support optimal nutrition and health in pregnant and early postpartum women who live in difficult life situations. 3
Other Community Grants - various other community grants are provided by the three municipalities served by WDGPH, and other community partners (Family and Children’s Services and United Way). The work undertaken with this funding falls within the mandate of WDGPH under the HPPA, OPHS, and Organizational Standards. This funding provides additional resources to WDPGH to augment the work of the Agency.
Appendices
Appendix “1” – Statement of Revenue & Expenditures for the nine months ended September 30, 2016 – Cost Shared Mandatory Programs
Appendix “2” – Q3 Financial Report 2016: All Other Programs
Appendix “3” – Q3 Financial Report 2016: 2016 One-Time Grants
References
1. Ontario. Ministry of Health and Long-Term Care. Financial Planning, Accountability and User Guide for Program-Based Grants for Mandatory and Related Public Health Programs and Services; 2015.
2. Ministry of Children and Youth Services [homepage on the Internet]. Available from: http://www.children.gov.on.ca/htdocs/English/topics/earlychildhood/healt….
3. Canada. Public Health Agency of Canada. Canada Prenatal Nutrition Program Contribution Agreement; October 2013.
Prepared by: Prepared by: Shanna O’Dwyer Manager, Finance
Reviewed by: Reviewed by: Elizabeth Bowden, Interim Director, Administrative Services
Approved by: Approved by: Dr. Nicola Mercer, Medical Officer of Health & CEO
