Health Transformation Hub

Key Messages

Public Health works with their partners and communities to:

  • Understand the health of the population
  • Act together to improve the health of the population

Public Health provides support and empowers partnerships, people, communities, governments and organizations to work together to address the barriers within the social, economic and physical environments that strongly negatively influence the health of Nova Scotians. Addressing long-standing barriers, including inequities related to food security, housing, racism, discrimination, financial, and education, will improve the health and quality of life for all Nova Scotians. Over time, this will reduce the burden on all government funded systems and contribute to health system sustainability.

Together, Department of Health and Wellness (DHW) Public Health Branch and Nova Scotia Health Public Health are working to strengthen the health system by ensuring we are focused on core public health priorities in an effective, efficient and optimized way.

Opportunities

  • Improve population health assessments, surveillance infrastructure and capabilities to act as an early warning system, identifying emerging threats, monitoring community needs and aid in supporting systems planning.
  • Strengthen partnerships with health system and community partners to better understand the needs of communities and focus efforts on people with the greatest need. 
  • Step into new ways of collaboratively working with system partners to improve shared population health outcomes through integrated service planning and delivery. 

Our focus

How Public Health will help improve health and wellness for the people of Nova Scotia

Actions to improve the health of our communities will be focused on interventions with the highest level of impact for populations who are most in need.

Understanding Population Needs and Emerging Health Threats

Building robust data systems to support population health assessments, improve surveillance capabilities and inform policy, health system planning and partnerships.

Creating Healthier, More Resilient Communities

Embedding strong promotion and prevention policy, programming and strategies in communities; improving access, environments and enabling individuals to make healthier choices.

Preventative Interventions with Partners

Collaborating meaningfully with health system and community-based partners to deliver targeted interventions.

Improving Access and Expanding Public Health Services within Priority Populations

Reducing barriers to oral health and immunizations services within identified populations. Expanding Nurse Family Partnership across Nova Scotia to support new families experiencing overlapping social and health challenges related to income insecurity, educational obtainment, mental health, no primary care provider, and housing insecure.

Priorities

  • Strengthen public health foundations to support transformation
    • Update Public Health Foundational Documents - Standards and Protocols
    • Update and modernize Health Protection Act
    • Develop Public Health HHR Action Plan
  • Strengthen population health assessment and surveillance
    • Develop a roadmap that will define how Public Health will work with partners and develop its population health assessment and surveillance capabilities to support its transformation ambitions
  • Strengthen collaboration on prevention work to keep people well and out of the health system
    • Expand accessible immunization services 
    • Expand pharmacies providing publicly funded vaccination services 
    • Expand seniors immunization program 
    • Co-launch social prescribing model 
    • Launch Integrated Prevention Planning Table
    • Expand oral varnish program 
    • Expand Early Years Public Health Nurse scope  
    • Expand Nurse Family Partnership Program 
    • Establish Emergency Preparedness scope and priorities
    • Launch Public Health Mobile Unit community response model
       

Current Year Focus

  • Launch of community health profiles
  • Expansion of Nurse Family Partnership Program to other zones starting in Fall 2024
  • Expansion of access to immunization, including seniors and persons who are unattached
  • Expansion of our Public Health Emergency Preparedness program
  • Launch of a Public Health Mobile Unit community response and outreach model
  • Further expansion of the Oral Health Fluoride Varnish program
  • Establishment of an integrated prevention planning table
  • Update of Nova Scotia Public Health Protocols and Standards

Progress Updates

June 2024

Public Health launched the Nurse Family Partnership program in Eastern Zone, supporting new parents who are experiencing overlapping social and health challenges. Since the launch in March 2024, Public Health has increased the number of referrals and support for the families. 154 prenatal referrals have been screened and contacted by an Early Years Public Health Nurse and offered appropriate support/referrals. Learn more:

In 2023-24, Public Health Dental Hygienists transitioned to deliver a targeted fluoride varnish school-based program, increasing access to preventative oral health care. The program offers applications of fluoride varnish to pre-primary and elementary-aged children in identified communities throughout the province. The program has expanded to reach 112 schools and 11,965 students have received a fluoride varnish application. 

Public Health surveillance system enhancements have been identified and work is underway to plan the next population health assessment report.

A current state assessment of health promotion and primary prevention efforts is underway to inform the development of a health system Integrated Prevention Partnership Table.

COVID-19 vaccine program wrapped up May 31, 2024. Feedback sessions were conducted in the spring to gather information from providers on how to improve the COVID-19 and Influenza vaccination program to ensure access to vaccine by Nova Scotians.

Sponsors and Leads

Leads

  • Tara Walsh, Executive Director, Public Health Branch, Department of Health and Wellness
  • Dr. Shelley Deeks, Deputy, Chief Medical Officer of Health
  • Marcia DeSantis, Senior Director, Population and Public Health
  • Dr. Ryan Sommers, Senior Medical Director, Population and Public Health, and Senior Regional Medical Officer of Health

Executive Sponsors

  • Colin Stephenson, Associate Deputy Minister, Department of Health and Wellness
  • Dr. Robert Strang, Chief Medical Officer of Health
  • Brett MacDougall, VP of Operations, Eastern Zone and Public Health, Nova Scotia Health