WELCOME C CH
BIENVENUE
2018 Annual General Meeting Assemblée générale annuelle 2018 September 28, 2018 Victoria Cool Aid Society Victoria, BC
1.0
Welcome Nicole Chammartin & Irene Clarence Board Co-Chairs
2.0
Approval of Agenda Nicole Chammartin & Irene Clarence Board Co-Chairs
2018 AGM Agenda 1.0 WELCOME / OPENING REMARKS 2.0 APPROVAL OF AGENDA 3.0 APPROVAL OF 2017 AGM MINUTES 4.0 FINANCIAL REPORT 5.0 BOARD NOMINATIONS REPORT & NOMINEES 6.0 2017-2018 YEAR IN REVIEW / UPDATES 7.0 CHC DATA WORKING GROUP
MOTION
2.1 Approval of 2018 AGM Agenda APPROVED
MOTION: “BE IT RESOLVED that the membership approve the 2018 AGM Agenda as presented to the Annual General Meeting.”
3.0
Approval of 2017 AGM Minutes 2017 AGM - Calgary
Nicole Chammartin & Irene Clarence Board Co-Chairs 2017 AGM Minutes: https://www.cachc.ca/wp-conten t/uploads/2018/08/CACHC-2017-A GM-MINUTES.pdf
MOTION
3.1 Approval of 2017 AGM Minutes APPROVED
MOTION: “BE IT RESOLVED that the membership approve the Minutes of the 2017 CACHC AGM as presented to the Annual General Meeting.”
4.0
Financial Report Rick MacDonald Board Treasurer 2017-18 Financial Statements: https://www.cachc.ca/wp-content/ uploads/2018/08/CACHC-2017-18-Fi nancial-Statements.pdf
2012 - 2017 Finances +$17,244
$400,000
$350,000
-$62,224
$300,000
+$52,027
$250,000
$200,000
+$31,132 +$25,595
-$44,265
$150,000
$100,000
$50,000
$-
2012-13
2013-14
2014-15 Revenue
2015-16 Expenses
2016-17
2017-18
Financial Outlook •
Thanks to careful management of limited resources, CACHC recorded its fourth consecutive annual surplus. Being added to CACHC’s operating reserves.
•
CACHC has reached capacity limits with current staffing levels (2 staff: Executive Director = 0.8 FTE, Admin Coordinator = 0.6 FTE).
•
The CACHC Board has agreed to draw from operating reserves to fund important policy/advocacy work for CHCs in 2018-19, focused on our core priority areas, and in lead up to federal election.
•
Sustaining and growing membership is essential to our capacity and potential achievements with/for CHCs and communities we serve over the coming years, especially heading into critical federal election year.
•
We continue to search for revenue diversification opportunities, but strongly appeal to CHCs that are not yet members to join CACHC and become part of the national and international CHC movements.
MOTIONS
4.1 Adoption of Financial Review APPROVED
MOTION: “BE IT RESOLVED that the membership adopt the Financial Review for the year that ended March 31st, 2018 as presented to the Annual General Meeting.”
4.2 Appointment of Accountants APPROVED
MOTION: “BE IT RESOLVED that Loftus Allen & Co. be appointed as the accountants for CACHC for the fiscal year 2018-19.”
5.0
Board Nominations Report and CACHC 2018-19 Board Slate Nicole Chammartin Board Co-Chair
Thank you!
•
After serving two years as Board Co-Chair, Irene Clarence (Executive Director, Mid-Main CHC - Vancouver) is stepping down from the Board Executive as of the 2018 AGM. The Board of Directors sincerely thanks Irene not only for her years of service to CACHC and our membership but also her added time and leadership in the Co-Chair role.
•
After serving on the CACHC Board since 2013, Simone Thibault (Executive Director, Centretown CHC – Ottawa) completes her term on the Board as of the 2018 AGM. Simone has served as French-language Services Constituency Rep and as a Director At-Large. She has been a tireless advocate for CHCs and the work of CACHC, across Canada and globally. The Board of Directors sincerely thanks Simone for her years of service and leadership.
2018-19 BOARD SLATE: Nominees Alberta Constituency Cecilia Blasetti - Executive Director, Boyle McCauley Health Centre (Edmonton, AB) French-language Constituency Jocelyne Maxwell - Executive Director, Centre de santĂŠ communautaire du TĂŠmiskaming (New Liskeard, ON) Manitoba Constituency Mike Kelly - Executive Director, MFL Occupational Health Centre (Winnipeg, MB) Nova Scotia Constituency Lorraine Burch - General Manager, Our Health Centre (Chester, NS) Saskatchewan Constituency Karen Cederwall - Executive Director, Student Wellness Initiative for
MOTION
Adoption of Board Slate APPROVED
MOTION: “BE IT RESOLVED that the membership approve the 2018-19 slate of directors as presented.”
Welcome to CACHC’s 2018-19 Board of Directors Connect with CACHC Board: https://www.cachc.ca/board-and-staf
Alberta
Nova Scotia
Cecilia Blasetti (Edmonton, AB)
Lorraine Burch (Chester, NS)
British Columbia
Ontario
Irene Clarence (Vancouver, BC) Rick MacDonald (Madeira Park, BC)
Nicole Chammartin (Winnipeg, MB) Michael Kelly (Winnipeg, MB)
Kim Cook (Scarborough, ON) Bill Davidson (Cambridge, ON) Jan Martin (London, ON) Jocelyne Maxwell (New Liskeard, ON) Lynne Raskin (Toronto, ON) Jeannie Taylor-Page (Ottawa, ON)
New Brunswick
Saskatchewan
Lorri Amos (Doaktown, NB)
Karen Cederwall (Saskatoon, SK)
Manitoba
BOARD EXECUTIVE NOTE: At a Board Meeting immediately following the 2018 CACHC AGM, the Board unanimously elected its new executive for 2018-19. CHAIR: Nicole Chammartin - Executive Director, Klinic Community Health and SERC (Winnipeg, MB)
VICE CHAIR: Bill Davidson - Executive Director, Langs Community Health Wellness (Cambridge ON)
TREASURER: Rick MacDonald - Executive Administrator, Pender Harbour and District Community Health Centre (Madeira Park, BC)
6.0
Year in Review & Updates Scott Wolfe Executive Director & Members of CACHC Advisory Groups
Membership / Engagement See Current Members: https://www.cachc.ca/ourmembers •
When the Canadian Association of Community Health Centres was launched in 2012, the CHC movement across Canada had become quite fragmented, with a large proportion of CHCs in different provinces working in isolation.
•
Single greatest area of focus for CACHC from 2012 to 2017 has been on reengaging CHCs and building a more connected and collaborative CHC movement across the country. This is an essential precondition to evolve our work in the areas of knowledge-exchange, research/evaluation, policy and advocacy across Canada.
•
The consistent growth and diversification of CACHC’s membership from 2012- to 2017 is an encouraging sign of our collective development as a Canadian CHC movement.
Growth in CACHC Membership 120 100
78
80 60 40
86
92
98
59 41
20 0
2012-13
2013-14
2014-15
2015-16
2016-17
2017-18
Further Diversification of CACHC Membership 2017
46%
54%
2016
58%
42%
2015
67%
33%
2014
69%
31%
2013
76%
24%
2012
83%
17%
0%
10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Rest of Canada Ontario
CACHC Membership Growth Outside Ontario 16
2017 2016
10
2015
8
5 5 4
4 4
2014
5
3 3
2013
5
3 2 32013; 1 014
20122012; 112012; 20 3 0 0
4
8
10
10 8 2 3
5
3
7
8
48
39
N S N B M B SK A B BC
28
2 4
24
7 10
20
30
40
50
60
2017-18 Key Highlights Strengthened CACHC as an Association •
Implemented governance and operational strategies related to key priorities identified by CHCs in CACHC’s 2017 Strategic Priorities Survey (described and discussed at 2017 CACHC AGM). https://www.cachc.ca/wp-content/uploads/2018/10/2017-CACHC-AGM-Strategic-Priorities.pdf
•
Board restructured its work. Two new Board committees: 1) Governance 2) Policy/Advocacy. All Board members sit on one committee and provide leadership on key decisions and support to CACHC staff.
•
Developed first CACHC Board & Staff Manual. Strengthens process and adds rigour to operations. Supports Board member orientation and leadership as ambassadors for CHC movement.
•
Continued growth and diversification of membership across provinces.
2017-18 Key Highlights Strengthened Direct Services/Supports for Members • Launched new Value in Purchasing (VIP) Program for members. In Year1, 22 member CHCs enrolled in VIP Program to start taking advantage of savings on services, supplies and other benefits. https://www.cachc.ca/vip
• Launched regular e-Bulletin for CHCs to provide key updates on policy, advocacy, membership and other news. https://www.cachc.ca/category/cachc-bulletins
• Grew and expanded “CHC Careers Directory” service (free) for CACHC members. https://www.cachc.ca/chcopportunities
2017-18 Key Highlights Strengthened Federal/Provincial Coordination and Capacity • •
• • • •
ALBERTA: Helped establish new AACHC. Used 2017 CACHC Conference in Calgary to raise awareness of CHCs with provincial government. BRITISH COLUMBIA: Supported establishment of new BCACHC and developed 2017 provincial election platform. Provided post-election advocacy support to BCACHC Board to pursue commitments made by incoming government. Implemented joint CACHC/BCACHC membership structure for B.C. CHCs. MANITOBA: Worked with Manitoba rep on CACHC Board and CACHC Co-Chair from Manitoba to align work on priority areas for both associations. NOVA SCOTIA: Supported re-establishment of NSACHC and first AGM, including bylaws and reengagement of existing and emerging CHCs. Implemented joint CACHC/NSACHC membership structure for N.S. CHCs. ONTARIO: Agreed to co-host 2019 federal conference in Ottawa. Welcomed Alliance for Healthier Communities staff on three national CACHC Advisory Committees (pharmacare, dental care, newcomer health). OTHER: Established new National CHC Data Working Group with links to provincial associations.
2017-18 Key Highlights Strengthened IFCHC and Global CHC Movement • First full year of IFCHC Secretariat hosted and managed by CACHC: http://www.ifchc.org • CACHC represented on IFCHC Directing Council by CACHC Board member, Lynne Raskin – CEO, South Riverdale CHC (Toronto ON) • IFCHC undertook first ever global survey of CHCs. Results helping to clarify and guide areas of activity: http://www.ifchc.org/research/2017survey • Established new relationships with CHCs in Democratic Republic of Congo, Eritrea, France, Guinea, Haiti, Kenya, Portugal, Rwanda, Senegal, Thailand, Togo, Tunisia, United Kingdom – broadening global knowledge-exchange • Initiated planning for 2018 Canada – U.S. CHCs Summit
2017-18 Key Highlights Pivoted Toward Increased Policy and Advocacy Work • First five years of CACHC (since 2012) dedicated largely to reengaging CHCs across Canada and nurturing sense of collective belonging and impact via CACHC • Shift back toward CACHC’s federal policy and advocacy role in 2017-18 to reflect importance of this work as priority to CHCs
• Built structure and content for policy/advocacy work through CACHC Board committees, National Advisory Groups, and stronger federal partnerships
Federal Policy/Advocacy Priorities Building on top priority areas identified by CHCs across Canada via CACHC’s 2017 Strategic Priorities Survey, CACHC advanced action on five policy/advocacy priorities in 2017-18. 1. 2. 3. 4. 5.
Investment in Community Health Centres Universal, single-payer National Pharmacare Investment in public dental care Investment in affordable housing + support for homeless Improving health and opportunity for refugees
Other Areas (based on available time and resources) • Harm reduction & opioid crisis – 2015 CACHC Members Resolution • CHCs and democratic engagement – 2014 CACHC Members Resolution
Updates on Policy and Advocacy Priorities Presentations by Members of National Advisory Groups Presentations: https://www.cachc.ca/wp-content/uploads/2018/10/CACHC-2018-AGM-Policy-Advocacy-Updates.pdf
Investment in Community Health Centres
- Michael Kelly - Executive Director, MFL Occupational Health Centre (Winnipeg MB)
National Pharmacare
- Colleen Fuller – Board Vice-President, REACH CHC(Vancouver BC)
Dental Care
- Jeannie Villanueva - Dental Office Administrator, Mid-Main CHC (Vancouver BC)
Housing and Homelessness
- Kathy Stinson – Executive Director, Victoria Cool Aid Society (Victoria BC)
Newcomer Health
- Kim Cook – Vice President Community Health and Chief Professional Practice, Scarborough Centre for Healthy Communities (Scarborough ON)
7.0
CHC Data Working Group Jennifer Rayner Director of Research & Evaluation, Alliance for Healthier Communities on behalf of the National CHC Data Working Group
Members of National CHC Data Working Group
Kim Cook - VP for Community Health and Chief Professional Practice, Scarborough Centre for Healthy Communities (Scarborough ON) Merrill Cooper - Director of Research and Evaluation, The Alex Community Health Centre (Calgary AB) Nancy Heinrichs - Executive Director, NorWest Coop Community Health Centre (Winnipeg MB)
Marie-France LeBlanc - Executive Director, North End Community Health Centre (Halifax NS) Jennifer Rayner - Director of Research and Evaluation, Alliance for Healthier Communities (Toronto ON) Adrianna Tetley (Co-Chair) - Chief Executive Officer, Alliance for Healthier Communities (Toronto ON) Scott Wolfe - Executive Director, Canadian Association of Community Health Centres (Toronto ON)
Esther Hsieh (Co-Chair) - Executive Director, Umbrella Multicultural Health Cooperative (New Karen Vogel - Director of Operations, Regina Westminster BC) Community Clinic (Regina SK)
National CHC Data Working Group
CH C
CURRENT FOCUS/PRIORITIES • Develop a national report that demonstrates the CHC model through cumulative evidence – Call for CHC evidence from across Canada was distributed in July-Aug 2018
• Develop a subset of data standards that all CHCs in Canada will use
National CHC Report: due Spring 2019 • Sections based on CHC Definition (2016) and additional key attributes • CHCs vary based on local needs & priorities, but all characterized by 5 attributes of CHC definition: 1. Team-based, interprofessional primary care 2. Integrated primary care with services / programs in health promo & community dev 3. Community centred 4. Actively address SDOH 5. Committed to health equity and social justice
Additional Lens: Ontario Model of Health & Wellbeing
• Evidence-informed • Values & attributes that provide a road map for CHCs in Ontario
Delivering Primary Care as Envisioned https://www.emeraldinsight.com/doi/full/10.1108/JICA-02-2018-0014
Team-based Primary Health Care • 100% of the CHCs provide teambased PHC (2018 CACHC survey) • Superior cancer screening (Ont) • Lower than expected ED visits (Ont) • Superior chronic disease management (Ont) • UMHC (BC) – 2016 Many Faces of Diabetes
Integrate Primary Care with HP & CD • 100% of CHCs integrate PC with HP & CD (2016 CACHC survey) • 86% provide group programs related to health and wellbeing • 79% of CHCs delivery services and programs in 5 or more sectors (eg. Housing, seniors, education, immigration) (2016 CACHC survey) • Social Prescribing (2018 Ont) • Ethiopian Community Training (MFLOHC) • MFLOHC – 2016 Cross Cultural Community Development Program Focus Group Report 2016 • Hans Kai (NorWest Coop, 2018) • Saskatoon 2018 – Understanding Best Practices for HP and Group Programming - Evaluation of Group Programming at the Saskatoon Community Clinic
Community-Centred • Ontario Community governance study (2018 – submitted for publication) • OHC - 2017 Community Consultation Health Dreams: Communities Designing Their Own Health Supports • Engagement Examples (Klinic - Teen Talk Youth Substance Use Prevention Initaitve, Trans Health, 2016) • Citizen Participation (Church 2006) • Lavoie: Equity-Informed PHC (2018, https://www.ncbi.nlm.nih.gov/pmc/artic les/PMC6131743 )
Address SDOH • 100% of CHCs address the determinants of health in some way (2018 CACHC survey) • Ont populations (ICES 2012, 2015 papers) • First Step to Employment (Klinic) • Support for Action Group (MFLOHC) • NorWest Coop – Remote Dwelling 2018 • CUPs – housing data (16/17) • Pathways to Housing (CFHI Report BMHC)
Committed to Health Equity & Social Justice • Trans Health (Klinic) – 2013 and 2016 • SERC – 2018 Knowledge into Action Year 1 (KiA) • Sociodemographic data collection (Ont)
Additional Themes/Attributes • High quality services • Responsive and nimble – SARs, H1N1, Syrian refugees
• Mental health & addictions • Systemic/Economic Impact • Others?
National CHC Evaluation Framework • Working towards a set of data standards that all CHCs could endorse & routinely collect • Align data to a logic model that is reflective of the common CHC definition • Explore opportunity to align with CIHI’s new primary health care standards
Next Steps Meeting of National CHC Data Working Group Sept 28 in Victoria, BC – Review proposed themes for national CHCs report; Identify gaps and potential available evidence; Discuss final report layout and design – Discuss results based logic model and data standards for all CHCs in Canada – Discuss current research underway
Discussion
8.0
Adjournment Join us in 2019 Start Planning!
Our joint conference will bring together over 600 community health and partner delegates from across Canada. We have secured special rates at two hotels attached directly to conference venue: Courtyard Marriott: $179/night Hampton Inn: $155/night www.cachc.ca/2019conference