External Expert Review of the Canadian Task Force on Preventive Health Care: Meetings

Meetings are closed to the public, but summary of discussions are provided below for each meeting.

October 4, 2024

Agenda item

Summary

Land acknowledgement, welcome and introduction

For information

The Executive Secretary of the External Expert Review (EER), Dr. Howard Njoo, welcomed members to the inaugural meeting and provided context on the creation of the EER.

Welcome remarks

For information

The Chair of the Review Panel, Dr. Vivek Goel, welcomed members to the meeting and prompted members to declare any new or previously undisclosed conflicts of interest. Dr. Goel introduced the key principles underpinning the review, shared preferences regarding meeting management and provided expectations for outcomes and outputs for today's meeting.

Decision: The agenda was approved without changes.

Overview of roles and responsibilities

For approval

Members of the EER reviewed the terms of reference as stipulated in the Public Health Agency of Canada's Policy on External Advisory Bodies.

Decision: The terms of reference was approved by EER with no changes.

External communications briefing

For information

Members received a presentation from the Communications and Public Affairs Branch on roles and responsibilities related to public communications regarding the EER.

Briefing from the Canadian Task Force on Preventive Health Care ("the Task Force")

For information

The EER received a presentation of the Canadian Task Force on Preventive Health Care (Task Force) from Dr. Guylène Thériault, current Chair of the Task Force. The presentation provided members with a brief overview on the Task Force, including the mandate, governance, guideline development method and process, as well as a perspective on challenges and recent innovations of the Task Force.

Presentation of the proposed line of enquiry framework for the EER

For information and discussion

The EER Secretariat shared a proposed evergreen Lines of Inquiry Framework that outlines elements that could be considered by the Panel during its review.

Discussion about the lines of inquiry 1: Scope and purpose

For information and discussion

The Review Panel identified and discussed main elements of the scope and mandate of the Task Force of the Future and proposed edits to the EER Lines of Enquiry Framework to adjust its structure and terminology.

Secretariat actions: The Secretariat will revise the Lines of Enquiry framework to reflect direction from the Panel.

Secretariat updates

The Secretariat delivered administrative information and welcomed any input from members on suggested presenters or recommended reading.

Secretariat actions: The Secretariat will follow up with members to confirm their availability for upcoming meetings of the EER; including an in-person meeting.

The Secretariat will share a list of proposed readings.

Closing statements and next steps

Dr. Vivek Goel delivered closing statement.

November 1, 2024

Agenda item

Summary

Land acknowledgement, introduction and declaration of interests

For information and decision

The Chair of the EER welcomed participants to the meeting, presented and received consent on the meeting's agenda and invited any new declarations of interest from members.

Decision: No new conflicts of interest were declared, and the agenda was approved without changes.

Interest-holder engagement for guideline development

For discussion

Members of the EER received presentations:

  • Dr. Matthew Tunis, Executive Secretary to the National Advisory Committee on Immunization
  • Dr. Jennifer Petkovic, Affiliate Investigator and Research Associate, Ottawa Centre for Health Equity at the Bruyère Health Research Institute
  • Dr. Jeremy Grimshaw, Senior Scientist, Ottawa Hospital Research Institute and Professor, University of Ottawa

Presenters highlighted various best practices and considerations regarding interest holder engagement in guideline development.

PHAC's scientific framework for guidance development

For information

Members of the EER members received a presentation:

  • Dr. Sarah Viehbeck, Chief Science Officer for the Public Health Agency of Canada

The presentation provided information PHAC's new scientific framework for guidance development.

Lines of inquiry: Interest-holder engagement

For discussion

Members of the EER discussion relating to effective interest holder engagement.

Amendment resolution on terms of reference

For decision

Members of the EER considered a proposal to amend Section 2.1.5 of the terms of reference to reflect updated information.

Decision: Amendment approved. Terms of Reference will be modified to reflect this change.

Closing statement and next steps

For discussion

The Chair of the EER summarized the discussions and shared information on next steps.

November 22, 2024

Agenda item Summary

Land acknowledgement, introduction and declaration of interests

For information and decision

The Chair of the EER welcomed participants to the meeting, presented and received consent on the meeting's agenda and invited any new declarations of interest from members.

Decision: No new conflicts of interest were declared, and the agenda was approved without changes.

Optimising guideline development and dissemination

For information

Members of the EER received a presentation from Dr. Sharon Strauss, Executive Vice-President, Clinical, and Chief Medical Officer, Unity Health Toronto, Ontario (Canada). The presenter shared various ideas for improving the process of developing guidelines so that they are inclusive and reflect the diversity of the Canadian population.

Comparative perspectives on strengths, challenges and opportunities related to the guideline development process

For information

Members of the EER members received presentations from experts national and international:

  • Dr. Alfonso Iorio, Professor, Department of Health Research Methods, Evidence, and Impact, McMaster University, Canada
  • Dr. Gillian Leng, Chief Executive, National Institute for Health and Care Excellence (NICE), England
  • Dr. Julian Elliot, Chair, Australian Living Evidence Consortium (Cochrane Australia) - Monash University's School of Public Health and Preventive Medicine, Australia
  • Dr. Lisa Askie, Scientist and Methods Lead, Quality Norms and Standards Dept., Science Division, World Health Organization, Switzerland
  • Dr. Per Olav Vandvik, Co-founder and CEO, MAGIC Evidence Ecosystem Foundation, Norway
  • Ms. Lena Salach, CEO, Centre for Effective Practice, University of Toronto, Canada
  • Dr. Doris Grinspun, CEO, Registered Nurses' Association of Ontario, Canada
  • Dr. Robert Reid, Co-lead, Rapid Improvement and Support Exchange (RISE) (Trillium Health Partners' Institute for Better Health), Canada

The presenters shared information on various guideline development models while highlighting best practices, strengths and challenges.

Lines of inquiry: guideline development and dissemination

For information and discussion

EER Members discussed national and international best practices in guideline development and dissemination, and discussed key considerations linked to implementation in the Canadian context.

Secretariat update

For information

The Secretariat delivered administrative information.

Secretariat actions: The Secretariat will follow up with members to confirm their availability for upcoming meetings of the EER in 2025; including an in-person meeting.

Closing statement and next steps

For discussion

The Chair of the EER summarized the discussions and shared information on next steps.

December 13, 2024

Agenda item Summary

Welcome and introduction, land acknowledgement, and declaration of interests

For information and decision

The EER Chair welcomed participants to the meeting and invited any new declarations of interest from members. The meeting agenda was reviewed.

Decision: No new conflicts of interest were declared, and the agenda was approved without changes.

Ethical considerations in guideline development

For information and discussion

Members of the EER received 2 presentations from experts:

  • Dr. Ross Upshur, Head, Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto; Associate Director, Collaborative Center for Climate Health
  • Dr. Elie Akl, Department of Internal Medicine, American University of Beirut; Department of Health Research Methods, Evidence, and Impact, McMaster University

The presenters provided an overview of ethical aspects of public health decision-making in practice, and key principles and best practices for the management of conflicts of interest.

Following the presentation, meeting participants were invited to ask questions to the presenters.

Lines of inquiry on ethics and independence

For information and discussion

EER Members discussed the importance of values, perspectives and interests when developing guidelines; as well as considerations for the management of conflicts of interest in the Canadian context.

In-camera discussion

For discussion

As the evidence-gathering phase of the mandate draws to a close, EER members discussed next steps.

Key takeaways from the evidence gathering phase

For discussion

EER Members identified lessons learned and best practices from national and international expert presentations that could help modernize the development of preventive health care guidelines in Canada.

Secretariat update

For information

The Secretariat delivered administrative information.

Secretariat actions: The Secretariat will ensure that all written submissions received as part of the EER open consultation to help modernize the development of preventive health care guidelines in Canada are summarized and shared.

Closing statements and next steps

For information and discussion

The Chair of the EER summarized the discussions and shared information on the next steps.

January 31, 2025

Agenda item Summary

Welcome, land acknowledgement, and declaration of interests

For information and decision

The Chair of the EER welcomed participants to the meeting, presented and received consent on the meeting's agenda and invited any new declarations of interest from members.

Decision: No new conflicts of interest were declared; the agenda was approved without changes.

What we heard: 4 Follow-up roundtables

For discussion

Members shared key insights gathered from the EER open consultation process, including discussions from 4 follow-up roundtables. Members highlighted the wide range of perspectives that were shared on the strengths and limitations of the Task Force.

Discussion on recommendations for the Task Force of the future

For discussion

Members reviewed findings from the evidence-gathering phase and discussed options for recommendations.

Secretariat update

For information

The Secretariat provided an administrative update on the upcoming EER meeting in February and outlined the process to coordinate members' input to write the initial draft report and the approval process for the final report.

Closing statement

For discussion

The Chair of the EER summarized the discussions and shared information on next steps.

February 28, 2025

Agenda item Summary

Welcome land acknowledgement and introduction

For information and decision

The chair of the EER welcomed participants to the meeting and acknowledged the traditional lands on which it was held. Members were invited to declare any new conflict of interest. The meeting agenda was reviewed.

Decision: No new declarations of conflicts of interest and the agenda was approved without changes.

Designated period for technical advisors

For information and discussion

Technical advisors to the EER were invited to comment on the draft report's narrative and the Review Panel's forward-looking vision. This discussion emphasized the importance of integrating diverse perspectives and addressing health equity in preventive care.

Exploring a forward-looking vision

For discussion

The Review Panel examined the draft report, focusing on their recommendations for modernizing the Task Force. They reached a consensus on key points and the overall direction of the recommendations.

Word of thanks from the Public Health Agency of Canada

For information

Nancy Hamzawi, Executive Vice President of the Public Health Agency of Canada, expressed her appreciation on behalf of the President to the Review Panel for their dedication and work to date, highlighting the importance of the report and recommendations that is expected to be received by the President by the end of March.

Secretariat update

For information

The EER Secretariat presented a timetable outlining the next administrative steps, including deadlines for feedback and the timeline to release the report.

Closing statement

For information and discussion

The chair of the EER concluded the meeting by summarizing the key discussions and providing an overview of the next steps.

April 4, 2025

Agenda item Summary

Welcome, land acknowledgement, and introduction

For information and decision

The chair of the External Expert Review (EER) welcomed participants to the meeting and delivered a land acknowledgement. Members were invited to declare any new conflict of interest. The meeting agenda was reviewed.

Decision: No new conflicts of interest were declared and the agenda was approved without changes.

Review of recommendations and comments submitted by members

For discussion

Members reviewed and discussed feedback on the draft recommendations. Key areas of input included the governance framework, organizational structure and administrative functions, as well as the scientific review process of the Task Force.

Action: Consensus-based revisions will be incorporated by the Secretariat.

Secretariat update

For information

The EER Secretariat provided a final update on progress toward completing the report, including the integration of member feedback and final formatting steps. Key milestones and timelines leading to submission were reviewed.

Closing statement

For information and discussion

The chair thanked members for their contributions and collaboration throughout the review. The meeting was adjourned.

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2025-06-13