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Expression of Interest: Resource Allocation in the Leeds, Grenville and Lanark District Health Unit

Brockville, Ontario
Deadline May 18, 2010


  • The Leeds, Grenville and Lanark District Health Unit (LGLDHU) is a local public health organization, covering a 6,329 square km area in Eastern Ontario, with a population density of 25.7 people per km. The southern part of our area borders the St. Lawrence River between Kingston and Cornwall, extending north into the Ottawa Valley. The population of Leeds, Grenville and Lanark is 170,205 people, the majority of whom live in a rural environment (58%).
  • Strategic direction and provincial priorities are established by the provincial government for all local public health organizations in Ontario, whose legislative mandate comes from the Health Protection and Promotion Act. The guiding purpose of the HPPA is to “provide for the organization and delivery of public health programs and services, the prevention of the spread of disease and the promotion and protection of the health of the people of Ontario.”
  • The Ontario Public Health Standards (OPHS) are published by the Minister of Health and Long-Term Care under his/her authority in Section 7 of the HPPA and specify the minimum mandatory programs and services with which all Boards of Health must comply. Local public health organizations must deliver this core set of services according to the OPHS, but are also required to tailor local service delivery based on the four foundational principles contained in the OPHS, namely: need, impact, capacity and partnerships/collaboration.

Project Context: Organization Program Review

  • The Ontario Public Health Standards (OPHS) were released in October 2008, and were an update of the former Mandatory Public Health Programs and Services Guidelines.
  • The Health Unit was unable to achieve full compliance to the former Mandatory Health Programs and Services with available levels of financial and human resources. The OPHS were released by the province with additional program requirements and protocols, but without any corresponding increase in provincial funding.
  • The new OPHS requires the modification, to varying degrees, of existing local programs and services and in certain cases, the development of new programs and services.
  • Therefore, the LGLDHU has initiated the program review process: a sound decision making and priority-setting method, based on multiple sources of evidence and proper documentation, in order to ensure that program and resource allocation decisions made have a strong and documented rationale and resources are allocated in the most effective and efficient manner.
  • The ultimate goal of the program review process is the effective and efficient delivery of programs and services to meet requirements in the new OPHS.
  • The objectives are:
  1. To meet the Board of Health’s requirements for a comprehensive programs and services review.
  2. To systematically assess OPHS requirements based on need, impact, capacity and partnerships/ collaboration.
  3. To set priorities for delivery of OPHS requirements based on need and impact.
  4. To determine the levels and types of human and other resources required for OPHS implementation.
  5. To allocate current human and financial resources to OPHS requirements.
  • The program review is an evidence-based planning and prioritization process which consists of the following 7 steps:
  1. Define level of review
  2. Situational assessment
  3. Set priorities
  4. Allocate resources
  5. Develop budgets and operational plans
  6. Implement
  7. Monitor and evaluate

Purpose and Scope of Project

  • We have currently completed up to the third step (set priorities) of our program review process. We are looking for a consultant to develop a resource allocation methodology for the fourth step of the program review process. This step involves the allocation of our current human and financial resources to the ranked list of OPHS priorities established in step 3, as well as additional OPHS requirements that were not included in the prioritization process.
  • The successful consultant will be working with an internal resource allocation committee which consists of the organization’s CEO/Medical Officer of Health, Directors and Managers. The resource allocation methods developed by the consultant will be implemented by the committee in the early fall and must be feasible for completion by October 2010.
  • If you are interested in submitting an expression of interest for this project, please go to for a full description of the project and guidelines for an expression of interest.
  • Please direct questions and submit letters of interest to:

Shani Gates
Director, Quality Improvement Department
The Leeds, Grenville and Lanark District Health Unit
458 Laurier Blvd. Brockville, ON K6V 7A3
Phone: (613) 345-5685
Fax: (613) 345-498-1096