Report to Rapport au: Ottawa Board of Health Conseil de santé d Ottawa. September 15, septembre 2014

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1 Report to Rapport au: Ottawa Board of Health Conseil de santé d Ottawa September 15, septembre 2014 Submitted by Soumis par: Dr./ D r Isra Levy, Medical Officer of Health/Médecin chef en santé publique Contact Person Personne ressource: Lou Flaborea, Account Manager / Gestionnaire Financial Services Unit / Unité des services financiers Deputy City Treasurer Controller Branch - Service des finances / Direction du trésorier municipal adjoint Contrôleur Finance Department , ext./poste 21728, Lou.Flaborea@ottawa.ca Ward: CITY WIDE / À L'ÉCHELLE DE LA VILLE File Number: ACS2014-OPH-IQS-0012 SUBJECT: 2014 Operating Budget Q2 Board of Health for the City of Ottawa Health Unit Status Report OBJET: Budget de fonctionnement 2014 au deuxième trimestre rapport d étape du Conseil de santé de la circonscription sanitaire de la ville d Ottawa REPORT RECOMMENDATIONS That the Board of Health for the City of Ottawa Health Unit receive this report for information. RECOMMANDATIONS DU RAPPORT Que le Conseil de santé de la circonscription sanitaire de la ville d Ottawa prenne connaissance du présent rapport à titre d information.

2 BACKGROUND The purpose of this report is to present to the Board the second quarter operating results for Public Health Programs. Ottawa Public Health (OPH) management actively reviews their quarterly results to ensure that their respective spending and revenue results are not indicative of any underlying issues needing to be highlighted or addressed. The 2014 operating budget second quarter results present actual year-to-date revenues and expenditures against the amounts budgeted for the corresponding period. DISCUSSION Document 1 provides operating budget details on second quarter results for the various Ontario Public Health Standards. Financial information is presented by funding type, which includes cost-shared (75% province and 25% city); city funded (100% municipal); and provincial or federal funded (100% provincial or federal) along with a breakdown by specific program. Document 2 provides compensation information showing the actual salary, benefits and overtime costs incurred by OPH during the corresponding period. Q2 Operating Results Based on the results to June 30, 2014, OPH is projecting a balanced financial position for the current fiscal year. Table 1 outlines the annual expenditures and revenues by funding source, the year-to-date budget status and the forecast for 2014 year end. Table 1 - Summary of Q Results 2014 Q2 Status Report Expenditures Provincial Revenue Municipal Revenue YTD Net Surplus / (Deficit) Ontario Public Health Standards (Cost Shared Programs) Public Health City Funded Programs 42,152 30,349 11, , ,000 2

3 Provincial/Federal Funded Programs 9,791 9, Ottawa Public Health 52,943 40,140 12,803 1 Q2 Compensation Results Document 2 shows the operating status for OPH compensation expenditures up to June 30, The current financial information shows OPH has spent 51% of its total compensation budget during the first half of 2014 operations. Provincial Funding Update Funding for cost-shared programs was reflected in the 2014 budget with a projected 2.0% increase from the province. OPH is awaiting confirmation of the 2014 funding from the province. Approval is anticipated in mid to late September. As part of the annual provincial funding application, OPH submitted one-time funding requests totalling $1,475K. The one-time initiatives included: Healthy Smiles Clinic for Wabano ($366K), Integrating New Models of Post-Partum Care ($250K), Seniors Care Collaboration Initiative ($160K), Xpress Sexually Transmitted Infection Testing ($100K), Quality Improvement Plan for Infection Prevention and Control at Personal Service Settings ($100K), Engaging Peers in SITE Program Delivery ($60K), Noise Attenuation for Vaccine Distribution Centre ($60K), Immunize Ottawa Initiative ($60K), Language and Literacy Promotion ($53K), Vector-Borne Disease Prevention ($50K), Mobile Market ($50K), Experience of Breastfeeding Support ($50K), Low Risk Drinking Guidelines Promotion ($35K), Nicotine Replacement Therapy for Smoking Cessation Project ($30K), Private Well Water Testing Community Outreach and Health Promotion ($26K), Aboriginal Cultural Competence for Clinical Services ($25K). Ministry approval is pending. As noted in the 2014 Operating Budget Q1 Status Report, OPH will also be submitting a one-time funding request for reimbursement of unplanned expenditures resulting from the measles outbreak earlier this year. Operating Budget Adjustments and Transfers A summary of the budget adjustments and transfers made, either through the delegated authority given to the Medical Officer of Health or through Board and Council approved reports, is included in the quarterly operating status reports.

4 Table 2 identifies the only budget adjustment made during Q2 of The City reviews Insurance Claims activity on an annual basis. OPH has been claims free for the past three years therefore the budget for Insurance Claims is being eliminated. Table 2 Summary of Q2 Operating Budget Adjustments Increase / Increase / (Decrease) (Decrease) Description Expenditures Revenue Increase / (Decrease) Net Budget Insurance Claims Adjustment Total Budget Planning Process With 2014 being a municipal election year, a Council report that outlines direction on taxation targets or funding envelopes by departments is expected to be considered by the new Council in December. Based on the last election, it is anticipated that the draft 2015 OPH budget will be tabled in January. OPH has begun to identify operational pressures for 2015 that are service critical, which will help inform the Board of Health s 2015 budget. OPH has a number of budget pressures to be considered for example personal service settings, food safety, mental health promotion, and annual compensation provision pressures. The full impact of compensation related changes is not yet known but will be incorporated into future budgets. RURAL IMPLICATIONS There are no rural implications to this information report. CONSULTATION The purpose of this report is administrative in nature and therefore no public consultation is required. LEGAL IMPLICATIONS There are no legal impediments to receiving the information in this report.

5 RISK MANAGEMENT IMPLICATIONS There are no risk management implications associated with this information report. FINANCIAL IMPLICATIONS As outlined in the report. ACCESSIBILITY IMPACTS There are no accessibility implications associated with this report. TECHNOLOGY IMPLICATIONS There are no technology implications associated with this report. BOARD OF HEALTH STRATEGIC PRIORITIES The recommendations in this report support the Board of Health Strategic Priority E3: Measure and report publicly on progress. TERM OF COUNCIL PRIORITIES There are no term of council priorities associated with this report. SUPPORTING DOCUMENTATION Document 1: Ottawa Public Health nd Quarter Operating Status Report Document 2: Ottawa Public Health nd Quarter Compensation Status Report DISPOSITION This report is provided for information.