Performance & Accountability

Public health is a unique part of the health care system. Instead of focusing on treatment for the sick and injured, the goal of public health units is to help people in a community stay healthy by preventing disease and health hazards, protecting health, and promoting healthy behaviours.

To do this, all health units follow the Ministry of Health and Long-Term Care’s Ontario Public Health Standards (OPHS). The OPHS outlines the minimum services that each health unit in Ontario must offer to the public and the expected public health improvements that each program should achieve.

With the government’s emphasized commitment to prevention of disease and illness, the work of public health and its outcomes from following the OPHS are a large part of a strategy to make Ontarians healthier.

As a starting point for the strategy, the province put “accountability agreements” in place in 2011 to help public health units stay on track towards meeting public health goals.

The agreement outlines each health unit’s obligation to measure, monitor, report on and improve its performance of 16 public health activities. The measures are related to key areas of public health:

  • public health inspection
  • infectious disease prevention and control
  • injury prevention
  • substance misuse prevention
  • tobacco prevention and control
  • child and reproductive health.

 

Current Performance Indicators

Accountability Agreement Indicators 2015 Target 2015 Performance

PERFORMANCE INDICATORS

 
% of tobacco vendors in compliance with youth access legislation at the time of last inspection ≥90% 97.1% (135/139)

% of secondary schools inspected once per year for compliance with section 10 of the Smoke-Free Ontario Act (SFOA)

100%

100% (15/15)

% tobacco retailers inspected for compliance with section 3 of the Smoke-Free Ontario Act (SFOA) :    
  • Non-seasonal retailers

  • retailers

100%

 

100%

97% (130/134)

 

85.7% (6/7)

% tobacco retailers inspected for compliance with display, handling and promotion sections of the Smoke-Free Ontario act (SFOA) 100% 100% (150/150)
Oral Health Assessment and Surveillance :    
  • % of schools screened
  • % of all JK, SK, and Grade 2 students screened all publicly funded schools

100%

 

100%

98.5%

 

98.7%

Implementation status of NutriSTEP ® Preschool screen

INTERMEDIATE ADVANCED
Baby-Friendly Initiative (BFI) Status DESIGNATED DESIGNATED

% of Class A pools inspected while in operation (includes seasonal and non-seasonal)

100% 100% (13/13)
% of high-risk Small Drinking Water Systems (SDWS) inspected of those due for re-inspection 100% 100% (5/5)

% of suspected rabies exposures reported with investigation initiated within one day of public health notification

100% 100% (231/231)
% of salmonellosis cases where one or more risk factor(s) other than “Unknown” was entered into iPHIS 82% 84% (21/25)

% of HPV vaccine wasted that is stored/administered by the public health unit

5% 4.7% (67/1418)
% of influenza vaccine wasted that is stored/administered by the public health unit 5% 4.6% (271/5890)
% of refrigerators storing publicly funded vaccines that have received a completed routine annual cold chain inspection 100% 99.3% (146/147)

MONITORING INDICATORS

   
% of high-risk food premises inspected once every 4 months while in operation - 98.5% (131/133)
% of moderate risk food premises inspected once every 6 months while in operation - 95.3% (324/340)
% of public spas inspected while in operation - 100% (16/16)
% of personal services settings inspected annually - 86.7% (169/195)
% of confirmed gonorrhea cases where initiation of follow-up occurred within 2 business days - 100% (77/77)
% of confirmed invasive Group A Streptococcal Disease (iGAS) cases where initiation of follow-up occurred on the same day as receipt of lab confirmation of a positive case - 100% (38/38)
% of school-aged children who have completed immunizations for hepatitis B - 63.1%  (867/1373)
% of school-aged children who have completed immunizations for HPV - 46.9% (135/288)
% of school-aged children who have completed immunizations for meningococcus - 78.4% (1075/1373)

 

Archived Performance Indicators

Last Updated: 02/05/2017