On November 16, 2017, the Ministry of Health and Long-Term Care (MOHLTC) released Ontario`s Public Health Standards: Requirements for Programs, Services and Accounting. This document contains a framework of accountability outlining the parameters and requirements for health boards to report on their work. Our goal is to make better mistakes. We don`t expect “perfect” from us. I don`t expect “perfect” from our employees. I want our mistakes to happen — I do not mean more spectacular, I mean they are more sophisticated, that the mistakes we make are mistakes that come from processes that have improved because of the mistakes we made before them. That everything improves over time. That`s what we`re learning. That we were learning the lessons and putting them into practice, and that we had simply improved. I think that is what we are really trying to do. Do it for the public. In 2009, these guidelines were replaced by Ontario Public Health Standards (OPHS).
The OPHS is an evolving document with many identical or similar requirements of the previous program mandates and service guidelines, which have been updated with the inclusion of basic standards for population health, surveillance, research and knowledge exchange and program evaluation (MOHLTC 2008). Ontario`s public health standards are published by MOHLTC under the supervision of Section 7 of the Health Protection and Promotion Act. There are also 26 program-specific protocols and themes that are incorporated into these standards. The program`s standards cover areas such as chronic disease, injury prevention and emergency prevention and include general goals, social outcomes, health outcomes and program requirements. (8) The Health Board ensures that spending forecasts are as accurate as possible. 13. The Health Council complies with the 2001 Municipal Act, which requires public health services to ensure that the administration takes action on the purchase of goods and services. All purchases of goods and services should normally go through an open and competitive process. 10. The Health Council must comply with the financial requirements of the Health Protection and Promotion Act (for example. (b) compensation, information from municipalities on financial obligations, the adoption of laws, etc.) and all other applicable legal and regulatory provisions.
The Province of Ontario has used several approaches to hold the public health system to account. Between 1997 and 2009, guidelines on mandatory health programs and services were the main platform for accountability; it stated that it expected health committees and the reporting mechanisms that accompany them. The implementation of this policy intervention has been strongly criticized from top to bottom and widely for the use of indicators that do not reflect the contribution of public health activities to public health outcomes; Insufficient consideration of the diversity of health needs and capacities of local phus; Irregular reporting and the inefficient use of public health performance management data at the provincial level (PHRED 2002).