March 2024 Board of Health Meeting - 2023 Annual Service Plan Year in Review & Q4 Status Report Information Report

Summary

In 2023 the WECHU completed 72% of planned external work that went towards contributing to the effort of improving the overall health of the community in accordance with the Ontario Public Health Standards. Several factors required adjustments and affected completion rates of the plan, including the requirement to operate a local COVID-19 vaccination clinic, changes to the co-location partnership with the University of Windsor, and the revised Provincial funding formula that led to significant staffing and resource limitations during the 4^th Quarter of 2023.

The remainder of this report provides a status summary for Intervention Work Plans (IWP) in the 2023 Annual Service Plan that were in active and in progress during Q4 (October 1 through December 31).

The project lead for each active IWP was asked to provide a progress report on their work. The status updates consisted of the following categories for Q4:

• On Target (the intervention is progressing at the planned pace)
• Complete (the intervention has been completed)
• Deferred (current work on the intervention has been stopped – with potential to continue next year)
• Cancelled (the intervention will no longer occur)

If the intervention was identified as ‘Deferred’, or ‘Cancelled’, a reason was provided. In these cases, the most relevant reason was selected from the following list:

• Adjusted Program Priorities (program priority alterations resulted in changes to the IWP)
• Human Resource Issue (staffing circumstances resulted in changes to the IWP)
• Partnership Limitations (external partner(s) did not to meet their obligations)
• Public Health Emergency (a significant emergency resulted in changes to the IWP)
• Internal Resource Limitation (financial, material, or internal support limitations resulted in changes to the IWP)
• External Resource Limitation (External financial, material, or internal support limitations occurred with partnerships, collaborations, funding, or regulations)

It is important to note that reporting reflects a snapshot summary of progress made on interventions based on the predetermined milestones for the intervention for this quarter. This does not necessarily represent the amount or scope of work captured under each program. 

Part 1: External Community Facing Programs

In the 4^th Quarter of 2023, there were 124 active Intervention Work Plans (IWP). Of these plans, 104 (84%) were marked as Completed. 18 of the workplans were Deferred, and 2 were Cancelled. 

Figure 2 displays the status of the active work plans (in percentage). 

Of the 124 interventions in progress in Q4, 20 (18%) experienced a deviation from their target. Figure 3 provides a summary of the reasons for the deviations. 

Of the active interventions that were deferred or cancelled, the most common reasons given were the adjustment of program priorities and internal resource limitations.

Program Quarterly Status Summary

All interventions are directly tied to programs and program objectives. Figure 4 displays a summary of the status updates for each WECHU program based on the number of interventions that were on target, varied from target, were completed, or were cancelled. 

There were 38 interventions in progress in Q4 2023.

Figure 5 displays the percentage of interventions that were complete or deferred.

Of the 38 internal interventions in progress, 14 (37%) were deferred. Figure 6 provides a summary of the reasons for the deferrals. 

Of the interventions that have a deferral, the most common reason given was the availability of human resources (36%).

Program Quarterly Status Summary

All interventions are directly tied to programs and program objectives; Figure 7 displays a summary of the status updates for each WECHU program based on the number of interventions that were on target, varied from target, were completed, or were cancelled during this quarter.