Association of Ontario Health Centres

Annual Report2012-2013

VISION

The best possible health and wellbeing for everyone living in Ontario:

• Afuturewithoutsystemicbarriersthatpreventpeoplefromreachingtheirfullhealthpotential,afutureinwhicheveryonecanmakethechoicesthatallowthemtoliveafulfillinglife.

• Afutureinwhichindividuals,familiesandcommunitiesareservedby,andareabletoactivelyparticipantin,trustedhealthcaresystemsthatrespondtopeople’sandcommunities’needsincoordinatedandcomprehensiveways.

• Afutureinwhichpeopleshareresponsibilitywiththeirhealthprovidersfortheirhealthandwellbeing.

MISSION

As the voice of community-governed primary healthcare in Ontario, AOHC works:

• topromotepublicpolicythatsupportshealthandwellbeingandthatemphasizeshealthpromotionandillnesspreventionthroughastrongfocusonthesocialdeterminantsofhealth.

• toadvocateforeliminatingsystemicbarrierstohealthandtochampionhealthequity.

• topromotepeople—andcommunity-centredinnovationsintheprimaryhealthcaresystemthatimprovehealthandwellbeingandsupporthealthcaresustainability.

• tosupportourmembercentrestocontinuouslyimprovethequalityandefficiencyoftheirservicesandtoadvocatefortheresourcestheyneedtodeliverhigh-qualitycare.

• toadvocatefortheprotectionandimprovementofmedicare,ensuringthatreformstoourpubliclyfundedsystemfocusonkeepingpeoplewellandbenefiteveryone.

1 Message from the President

2 Strategic Plan

3 Health Equity, Healthy Public Policy and the Elimination of Systemic Barriers

5 Promoting Quality Primary Healthcare

6 Comprehensive, Integrated, Coordinated Services

6 Supporting Member Centres

9 Community Primary Healthcare Research and Evaluation

10 A Strengthened AOHC

11 Financial Overview

12 AOHC Board of Directors

Association of Ontario Health Centres Report 12-13T A B L E O F C O N T E N T S

This report is also available in French upon request.

President’s Message: Strengthening our core, extending our reach

LastyeartheAssociationofOntarioHealthCentres(AOHC)developedanewvisionstatement:thebestpossiblehealthandwellbeingfor everyone.ThisbolddeclarationsignalledAOHC’sintentiontosignificantlyextendourreachandtoadvocateinthebestinterestofeveryone livinginOntario,notjustonbehalfofourmembercentresandthosetheyserve.Ourcommitmenttothisvisionholdsespeciallytrueinsupportingthosewhofacebarriersaccessingservicesorwhoarevulnerabletopoorhealth.

Tomoveclosertothisvisionwebuiltathreeyearplanwithsixstrategicdirections.Asyoureviewthisreportonthefirstfoundationalyearofthisplan,you’llseewe’vemadesignificantprogress.Weareadvocatingforhealthierpublicpoliciesandastrongerandmoreconnectedprimaryhealthcaresystem.

Wehavebeenatthepolicytablewiththeprovincialgovernment,theLHINsandanarrayofstakeholders.Wearegatheringmomentumonawiderangeofadvocacyinitiatives,capacitybuilding,researchandevaluation,andinformationmanagementsystemstobetterequip,continuouslyextendthereachofourmembersandimprovethequalityofservicestheydeliver.Wehavealsobeenbuildingrelationshipstostrengthenthesupportwecangivetoourmembers.

Majorachievementsinthisareainclude:

• GivingthousandsmorepeopleaccesstoCommunityHealthCentres(CHCs)andAboriginalHealthAccessCentres(AHACs)throughthebiggestcapitalinvestmentmadebytheprovincialgovernmentatanyonetime

• MoreequitablefundingforAHACs• DeploymentofasinglesharedElectronic

MedicalRecord• PlayingaleadershiproleattheOntario

PrimaryCareCouncil–acollaborationofprimarycareassociationsinOntario

Drivingoursuccessisthestrongunityofpurposethatwesharewithourmembercentres.Weshareastrongbeliefthatthehighestattainablestandardofhealthisafundamentalhumanright.Healthisnotjustsomethingyouaccessatamedicalclinic;itisacompletestateofphysical,mental,socialandspiritualwellbeing.Thesevalueslieatourcore.

Astrongcorecan’tbetakenforgranted.TofortifyitwelaidoutourprinciplesinanewHealthEquityCharterandanewModelofHealthandWellbeing.Theseremindusthatcommunityiscentraltoeverythingwedo.Theyguideourworkandaffirmthatwearepartofalargerstruggleforequity,socialjusticeandafuturewhereeveryonecanaccesstheservicestheyneedforcompletehealthandwellbeing.

Inclosing,letmeoffermanythankstoallthestaffandboardmembersatourmembercentreswhohavecontributedtheirideas,energyandenthusiasmtooursharedendeavorthisyear.ThanksalsotothededicatedstaffatAOHC.Readontolearnmoreabouttheactionpackedjourneywe’vebeenonthisyearandwhereweintendtotravelincomingmonths.

JocelyneMaxwellAOHCPresident

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Advocate for the elimination of systemic barriers to health through the development of healthy public policy.

1. HEALTH EQUITY, HEALTHY PUBLIC POLICY AND THE ELIMINATION OF SYSTEMIC BARRIERS TO HEALTH

Champion equitable people— and community-centred primary healthcare that fulfills its mandate as the foundation of the healthcare system.

Promote comprehensive, integrated, coordinated health and social services.

Support member centres to build capacity to continuously improve the quality and efficiency of their services.

Lead and participate in data-driven, evidenced-informed research and evaluation initiatives to document and assess the impact of community-governed primary care.

AOHC will ensure it is sufficiently resourced, aligned with partners and positioned in the larger health and political environment to be an effective leader in community-governed primary healthcare in Ontario.

Strategic Plan for 2012/2013AOHC’sStrategicPlanfor2012-2013identifiedsixkeygoals,listedinthefollowingtable.

2. QUALITY PRIMARY HEALTHCARE

3. COMPREHENSIVE, INTEGRATED, COORDINATED SERVICES

4. SUPPORTING MEMBER CENTRES

5. COMMUNITY PRIMARY HEALTHCARE RESEARCH AND EVALUATION

6. A STRENGTHENED AOHC

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Advancing Health Equity, Healthy Public Policy and the Elimination of Systemic Barriers to Health

A new Health Equity Charter

ThedrivetoadvancehealthequityisoneAOHC’smostimportantcrosscuttingvalues.Itshapeseverythingwesayanddo.WiththeadoptionofanewHealthEquityCharteratourJune2012AnnualGeneralMeeting,AOHCanditsmembercentreshavesignaledanintenttoadoptahighlyproactiveandassertiveapproachinimprovingequalaccesstohealth.Thecharterisanchoredintheunderstandingthatmanyhealthproblemsarenotjustmedicalorbiological;theyarecausedbysocialconditionsthataffectaccesstoresourcesandpower.Accesstoresourcesandpowerareoftenconstrainedbypoverty,racism,sexism,homophobia,transphobia,ageism,ableism,andotherformsofexclusionthatareinterconnected.

Inourownpractices,theChartercommitsustoidentify,nameandconfrontinequitythroughawiderangeofpractices,principlesandpolicies.Andinourworkwithinthebroadercommunityitalsomapsoutarangeofactivitiestoensurethepromotionofhealthequityisdeeplyembeddedinhealthsystemtransformationandpublicpolicyinitiatives.

Achievements 2012-13

Reducing health disparities

Thisyearwelaidthegroundworktoadvancingthehealthandwellbeingforspecificpopulationswhofacebarriersaccessingtheservicestheyneed.

Workingwithlike-mindedorganizationsweadvocatedforthereversalofdetrimentalfederalcutstohealthcareforrefugeesandcontinuedtocallforanendtothethree-monthwaitperiodforOHIPcoveragefornewimmigrants.TheseeffortshelpedanumberofCHCssecureincreasedfundingtomeetthehealthneedsofnon-insuredpeopleintheircommunities.

Sinceincomestatusisoneofthecentraldeterminantsofhealthwealsoputaspecialfocusonbreakingdownbarrierstogoodhealthforindividualsandfamilieswithlow-incomes.WorkingwithOntario’santi-povertymovement,AOHCcalledonthe

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Provincetoallowlowincomepeopleto“earnmore,keepmore,andhavebenefitsrestored”throughanincreasetotheminimumwageandsocialassistancerates,rulechangesforpeopleonsocialassistance,andanincreasetotheOntarioChildBenefit.

Oralhealthalsoplaysacriticalroleinphysicalhealthandsoalargeportionofouradvocacyworkthisyearwasfocusedonraisingawarenessabouttheneedtoimprovepublicdentalprogramsforchildrenandexpandaccesstooralhealthservicesforlowincomeadults.InpartnershipwiththeOntarioOralHealthAlliance,ourcampaignresultedinover50,000Ontarianssigningoralhealthpostcards,dozensofmeetingswithMPPs,andprovince-widemedia.

Overthelongerterm,AOHCbelievesoneofthebestwaystoadvancehealthequityandbreakdownbarrierstogoodhealthistotransformOntario’sfragmentedsicknesscaresystemintoaCommunityHealthandWellbeingsystem.Throughout2012-2013webeganlayingthefoundationforamulti-pronged,multi-yearapproachtoachievethisshift.Consultationsareunderwaywithawiderangeofpotentialpartnerswhoshareourvision.And,thankstoasubstantialgrantfromtheOntarioTrilliumFoundation(OTF),wepartneredwiththeCanadianIndexofWellbeing(CIW)whichholdsgreatpromisetoprovidetheconceptualframeworkfortheshiftweenvision.

TheCIWhasbeenunderdevelopmentforoveradecadeandhasbecomeoneoftheworld’sleadinginitiativestomeasuresocietalprogress.Byanalyzingeightdomains,theindexgoesbeyondeconomicindicatorsandmeasures

qualityofliferelativetowhatreallymatterstoCanadians:CommunityVitality,DemocraticEngagement,Education,theEnvironment,HealthyPopulations,LeisureandCulture,LivingStandardsandTimeUse.

TheOTFgrantwillenableAOHCandmembercentrestoexploreanddemonstratehowtheCIWcanbeusedinprogramandservicedevelopment,accountability,publiccommunicationsandlocalpartnershipdevelopment;andtofurtherpromotetheCIWasameasurementforprogressincommunityhealthandwellbeingandbuildingresilientcommunities.

Setting the stage for Community Health and Wellbeing systems

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Promoting Quality Primary HealthCare

Recommendations and commitments to drive positive change

Allexpertsagreeaneffectivehealthcaresystemisbuiltonthefoundationofahighperformingprimarycaresystem.Thispastyearhighlightedmuchdiscussionanddebateonhowtoimproveprimarycare.AOHCofferedasignificantcontributiontothedialoguewiththereleaseofadiscussionpapercalled:An Emerging Primary Care Strategy for Ontario.ThepaperproposedtenprinciplestoguideaprimarycarestrategyforOntario.Inparticular,itcommittedAOHCmembercentrestomoveforwardwithinitiativesthatwillincreaseandimproveaccess,

AgrowingbodyofevidencedemonstratesthatexpandingaccesstoCHCsandAHACsimprovespopulationhealthandadvanceshealthequity.However,asthingsnowstand,onlyaverysmallproportionoftheprovinces’populationcanaccesstheseservices.

TosupporttheLHINsandtheMOHLTCinmakingdecisionsaboutwheretoinvestinincreasedaccess,AOHCreleasedademographicstudythatidentifieswhichpartsoftheprovincehavethemostsignificantservicegaps.FundedbytheMOHLTCagencyECHO,andconductedbyStepstoEquity,thestudyfoundthatmanycommunitieswithlargepopulationsandmultiplebarrierstoprimaryhealthcarehavelittleornoaccesstoCHCsandAHACs.Thestudywentontopinpointareasofgreatest

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maximizetheeffectivenessofinterprofessionalteamsandforgebetterconnectionstootherpartsofthehealthandsocialservicesystem.Bothourrecommendationsforprimarycaretransformation,aswellasthecommitmentswe’vemadetosupportprimarycaretransformation,werepresentedtotheMinistryofHealthandLong-termCare(MOHLTC)andtheLocalHealthIntegrationNetwork(LHIN)strategycouncil.

need.ThiscomingyearAOHCwillbeusingthestudyinmultipleforumstoidentifywheretoprioritizeexpandingaccesstoCHCsandAHACs.

Identifying where expanded access to CHCs and AHACs is most urgently needed

MinisterDebMatthewsmeetsclientsfromvariousCHCsatQueen’sParkduringCommunityHealthWeek

Supporting Member Centres

As our membership grows, we continue to help bring primary healthcare, health promotion and a community development approach to communities all over Ontario. The AOHC membership currently is made up of a total of 75 CHCs, 7 Nurse Practioner Led Clinics (NPLCs), 15 Community Family Health Teams (CFHTs) and 10 AHACs.

Comprehensive, Integrated, Coordinated Services

Community Health Ontario

Increatingamorecomprehensive,integratedandcoordinatedhealthsystem,AOHCintendstoleadbyexample.ForthisreasonwehelpedformCommunityHealthOntario,astrategicpartnershipthatalsoincludestheOntarioCommunitySupportAssociation(OCSA)andtheOntarioFederationofCommunityMentalHealthandAddictionsPrograms/AddictionsOntario(OFCMHAP/AO).ThispastyearthepartnershipismovingforwardwithHealthyCommunityCollaborations(HCC),aprojectfundedbytheOntarioTrilliumFoundation.Theprojectaimstosupportthecommunityhealthsectorsintheirintegrationinitiativeswhilestayingtruetoourvalues.

Supporting Member Centres

Asourmembershipgrows,wecontinuetohelpbringprimaryhealthcare,healthpromotionandacommunitydevelopmentapproachtocommunitiesalloverOntario.TheAOHCmembershipcurrentlyismadeupofatotalof75CHCs,7NursePractitionerLedClinics(NPLCs),15CommunityFamilyHealthTeams(CFHTs)and10AHACs.

Hospital report manager

Thedeliveryofcomprehensive,coordinatedservicesdependsonmembercentresbeingelectronicallyconnectedwithotherpartsofthehealthsystem.ForthisreasonAOHChasbeendevelopinghospitalreportingsystems.

ChigamikCHCwasselectedasthepilotsitefortheprovincialHospitalReportManager.Theorganizationwillsoonbenefitbybeingabletoreceivepatienthospitalreportselectronically.Inaddition,AOHChasbeenworkingtoimplementotherregionalhospitalreportintegrationsintheNorthEastandNorthWestLHINs.ThePhysicianOfficeIntegration(POI)

solutionisbeingsuccessfullypilotedattheShkagamik-KweAHACandtheCentralEastLHINandtheTimelyDischargeInformationSystem(TDIS)hasbeensuccessfullyimplementedformostoftheCHCsinthatLHIN.

TheSouthwestPhysicianOfficeInterfacetoRegionalEMR(SPIRE)System,designedtogivecommunityphysicianselectronicaccesstohospitalelectronicpatientrecordreports,wascompletedforWestElginandSouthEastGreyCHCs.Othersiteswillbeaddedtotheseregionalsolutionsovertheupcomingyear.

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Capital funding for CHCs and AHACs

ThousandsmorepeoplethroughoutOntariowillgainaccesstocommunity-governedprimaryhealthcareasaresultoftheprovincialgovernmentannouncinginearlyAprilthatitwillinvestin17newcapitalprojects,involving12CHCsand4AHACsthroughouttheprovince.Thiswasthelargestcapitalannouncementeverforoursector.

More equitable AHAC funding

Formanyyears,AOHChasbeenadvocatingforequalizationoffundingforAHACswiththeirsisterCHCs.InOctober2012weachievedpartialsuccess.MOHLTCwillnowfundphysicianandnursepractitionerpositionsatthesamerateasinCHCs.Theministryalsomovedforwardwithanincreaseinbasefundingby1.5percent.ThisfundingincreaserepresentsasmallsuccessfortheAHACs.Wecontinuetoadvocateforequalizationoffunding.

AHAC health promotion planning & evaluation project

AOHCreceivedfundingtohelpsupportthedevelopmentandimplementationofaplanningandevaluationframeworkforhealthpromotionprogrammingforthe10AHACs.Theevaluationframeworkwillcoverthreeprograms:Smoke-FreeOntario,HealthEatingActiveLivingandDiabetesPrevention.

Health equity

Thisyear,preliminaryworkbegantomakethecaseforanOntarioCentreforExcellenceinEnvironmentalHealthBusiness.Thisprojectwillassessthemodelandgapsinservicesinordertosupportthosewithchronic,environment-linkedillnessesacrosstheprovince.

TheAOHCLGBTAdvisoryGroupalsocompletedtheirfirstcross-membersurveyrelatedtolesbian,gay,bisexual,andtransgender(LGBT)communityprogramsandservicesandlookedatpoliciesofmembercentres.TheresultswillinformthedevelopmentofacomingstrategytofurtherLGBThealthacrossourmembership.

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MinisterDebMatthewswithseniorsfromRexdaleCHCduringacapitalprojectannouncementinAprilattheRexdaleCommunityHub

Quality Improvement initiatives

Thispastyearsawatimeofgreatchangeinthehealthsystemwithprimarycareleadingmuchofthehealthsystemtransformation.Person-centredqualityimprovementbecamethefocus,drivenbyOntario’sActionPlanforHealthCareandtheExcellentCareforAllActpassedin2010.QualityImprovementPlans(QIPs),asetofcommitmentsandactionsthatassisteachorganizationtomeetitsqualityobjective,becamemandatoryforallprimarycaremodelsincluding:CHCs,AHACs,NPLCs,CFHTsandFHTs.

SomeofthehighlightsofAOHCsQualityImprovementactivitiesin2012include:• AQualityImprovementMaturityAssessmentofallAOHCmember-centres• AQualityImprovementPlanningProfessionalLearningEvent(heldinpartnershipwith

HealthQualityOntario)astheQualityImprovementPlanningTemplateswerereleasedbytheMOHLTC.

• SupporttocentreswiththeirQualityImprovementPlanningprovidedbyAOHC• 100percentofmembercentrescompletingQualityImprovementPlans• 48CHCs,9AHACs,7NPLCsand13CFHTsattendedtheEffectiveGovernanceforQualityin

primarycaretraining

TheElectronicMedicalRecord(EMR)projecthastransitioned26sitestoNightingaleonDemand(NOD)andconnectedfoursitestotheOntarioLabInformationSystem(OLIS).Overthenexttwoyears,86memberorganizationswillalsotransitiontoNOD.Thiswillfacilitatehigher-qualitycarebyimprovinghealthcareproviders’accesstocomprehensiveclientrecords.Itwillalsoenableknowledgeandinformationsharingthatwillhelpidentifytrendsandimproveplanningateachcentreandacrossthesector.AnewdedicatedversionoftheEMRwassetuptoensurethatthesystem’sperformanceremainsresponsiveandcansupporttheentirecomplementofusers.Aswell,asaresultofdeployingaprovinciallycertifiedEMR,neithertheHospitalReportManager(HRM)norOLISintegrationcamewithanyadditionalfeesforourmembers.

OthersystemintegrationsincludereceivinghospitalreportselectronicallythroughregionaleHealthsystemssuchastheSouthwestPhysicianOfficeInterfacetoRegionalEMR(SPIRE)System,theTimelyDischargeInformationSystem(TDIS),andthePhysicianOfficeIntegration(POI).TheInformationManagementSystem(IMS)teamalsocompletedtheDrugProfileViewer(DVP)pilotwhere20siteswereprovidedaccesstothesystem.Inaddition,theOntarioHealthcareReportingStandards/ManagementInformationSystemwascompleted.ThisprojectdevelopedreportingstandardsforCommunityHealthCentrestoensureconsistentandaccuratefinancialandstatisticalreportingtotheprovince.

EMR deployment and other IMS achievements

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Education and capacity work

2012wasthefirstyearofourlarge-scaleInformationManagementSystems(IMS)Strategyandthatplacedagreatemphasisonchangemanagementinordertotransitionteamstothenewsystem.Thisalsohighlightedtheneedtobuildawarenessandownershipinthesector.

Tostrengthen our knowledge-sharing communities of practice(sharingessentialskillsandgoodpracticeswithourcolleagues)anumberofprofessionaldevelopmentsessionsweredesignedanddelivered.Theseincluded:

• KnowledgeManagement–MeetingandExceedingOurChallenges

• LeadershipandOrganizationalCulture• HealthPromotionandCommunityDevelopment–ShiftingtheFocusofCommunity

InitiativesandPersonalDevelopmentGroups:MovingfromActivitiestoImpact• Accessibility…BeyondDisabilityProject:AccessibilityforOntarianswithDisabilities(AODA)

trainingontheCustomerServiceStandardsandtheNewIntegratedStandardsRegulation.• ChangestotheNot-For-ProfitIncorporationsAct• PresentingaTrans-HealthwebinarincollaborationwithRainbowHealthOntario

Research and evaluation

TheCommunityInitiativesTool(CITool)hasbeenrefinedandstabilized.Thistoolallowscentrestocreate,monitorandsharecommunityinitiativesacrossthesector.Itissuccessfullycapturingcommunitydevelopmentprogramsandhelpingtosharethoseacrossthemembership.TheCIToolhelpstoaddvisibilitytothisimportantwork.

Asecond-generationversionoftheCIToolisunderactivedevelopmentandwillincludemorerobustreportingandaddedfunctionality.

Community Primary Healthcare Research and Evaluation

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RodneyBurns,ChiefInformationOfficer,speakswithdatamanagementanddecisionsupportstaffduringKnowledgeManagementprofessionaldevelopmentsession.

Our new model of Health and Wellbeing

Understandinghowimportantitisforourmembercentrestoconstantlyevolveandimprove,AOHCfacilitatedaprocesstostrengthenandrefreshthelanguageoftheCHCmodelofcarefirstdevelopedin2008.ThemodelrefreshprocessstartedwithgatheringclientstoriesinordertofullyunderstandhowCHCsandAHACspositivelyinfluencepeople’slives.

Thesestoriesrevealedthesharedvaluesandbeliefsthatarecontributingtobetterhealthoutcomesforpeopleandcommunities.

The main changes are:

1.AboriginalHealthAccessCentresandCommunityHealthCentresworkedtogethertodevelopasharedModelofHealthandWellbeing2.Asetofcross-cuttingvalueswereidentifiedandnamedbelow:

•PeopleandCommunity-Centred•ImprovedQuality•HealthEquityandSocialJustice•CommunityVitalityandBelonging3.Anti-oppressionandculturalsafetywasmademoreexplicit4.EfficiencyandAccountabilitywasmademoreexplicit5.PopulationsNeeds-BasedPlanningwasmademoreexplicit

A Strengthened AOHC

ThisyearAOHCandtheOntarioFederationofCommunityMentalHealthandAddictionPrograms/AddictionsOntario(OFCMHAP/AO)mergedtheirtworespectivegroupbenefitsplanstocreatethelargestandmostaffordableofitskindintheprovince.Themergerensuresbettercoverageforallemployeesandenhancedaffordability.Theplanisopentoanynot-for-profitorganizationthatisofferinghealthservices,mentalhealthandaddictionsprogramsorcommunitysupports.Additionally,asofApril1st,2013AOHCisnowprovidingHealthcareofOntarioPensionPlan(HOOPP)foritsstaff.

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Financial report 2012-13

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AOHChasasolidfinancialpicture,withtotalrevenuein2012-13of$10.2million.Revenuewasearnedfrommembershipfeesandfeesforlearningeventsincludingourannualconference,programlearninggroups,meetingregistrationsandeducationalworkshops.WealsoreceivedprojectfundingfromtheMinistryofHealthPromotionandtheMinistryofHealthandLong-TermCarethatenabledkeyworktomoveforwardontheExcellentCareforallActGovernanceTrainingandAccessibilityforOntarianswithDisabilitiesprojects.AdditionalprojectsincludedSupportingAHACsinplanningandevaluationandtheOntarioCentreforExcellenceinEnvironmentalHealth.

ContinuingthisyearasahighlightwasourleadershipoftheElectronicMedicalRecords(EMR)anddevelopmentprojects,whichreceivedatotalof$7.4millionfromtheLocalHealthIntegrationNetworksandeHealthOntariotosupporttheCHC-AHACinformationmanagementstrategy.TheEMRprojectwillsupportourmembersinimplementinghigh-qualitycareandanambitiousquality-improvementagenda.

In2012-13,AOHC’ssurplustotaled$29,000;thiswasaresultofour2012conference.WehavetransferredthesefundstoourReservefund,whichnowhasabalanceof$104,383andisallocatedtoourMarch2018reservetarget,whichissetat$250,000.

In2012-13,93%ofourcorebudgetwasallocatedtomeetingAOHC’ssixstrategicprioritieswhile7%wenttowardsgovernance,includingboard,committeeandconstituencymeetings;theaudit;theannualreport;governance-relatedtransition;boarddevelopmentandtheannualgeneralmeeting.

AOHCoperatesonaprincipleoffiscaltransparencythroughtheleadershipofourMemberorganizations.AOHCisgratefulforthisparticipationandforthetrustofourmembers.Thankyou!

Audited statements are available upon request.

AOHC BOARD OF DIRECTORS2012-13

PresidentJocelyne Maxwell, Francophone Constituency Representative

Vice PresidentCate Melito, South and West Constituency Representative

SecretaryJanet Bowes, Eastern Constituency Representative

TreasurerPeter Szota, South Central Constituency Representative

Aboriginal Constituency RepresentativeAngela Recollet

Central ConstituencyStacey PapernickSarah Hobbs-Blyth

Central East Constituency RepresentativeMarina Hodson

Community Family Health Team Constituency RepresentativeMark Ferrari

Eastern Constituency RepresentativeRobert Fletcher

Members at LargeArlington DungyAdam AwadAlmaz Reda

Northern Constituency RepresentativeDenis Constantineau

South Central Constituency RepresentativeRichard Gerson

South West Constituency RepresentativeCarole Cleave

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