Board & Governance

The WWLHIN is governed by a Board of up to nine directors who are selected by the Lieutenant Governor in Council and appointed through Order in Council. The Board is bound by agreements with the Ministry of Health and Long-Term Care, is responsible for the management and control of the affairs of the WWLHIN, and is the key point of interaction with the Ministry.

The Board is skills-based, drawing on local individuals with a variety of experiences and expertise. Board members are required to deal transparently with complex and sometimes controversial issues and to be constantly engaging the community in ongoing conversations. 

WWLHIN Board meetings are open to the public and take place at locations throughout the Waterloo Wellington area. The schedule is posted on the Calendar of Events page.

There are three standing committees of the Board: Governance, Finance and Audit, and the Nominating Committee.

Board of Directors Biographies

Joan Fisk

Joan Fisk - Chair

Joan Fisk has held leadership positions within the business community, including President and CEO, Tiger Brand Knitting Company Ltd, and most recently serving as President and CEO of the Greater Kitchener Waterloo Chamber of Commerce from 2008 - 2010. Her extensive leadership experience focused on working with local, national and international business leaders, including marketing, governance development and operational effectiveness. Ms. Fisk has demonstrated her continued commitment to community service and is involved with many community organizations, currently serving on the Board of Governors at Wilfrid Laurier University (WLU); Board of Directors, Gore Mutual Insurance Company; Board of Directors, Canada’s Technology Triangle; and the Dean’s Advisory Council, School of Business and Economics (WLU). She has also volunteered significant time with local arts and culture organizations and committees that address women’s issues. Ms. Fisk was a member of the WWLHIN’s Nomination Committee, from 2007 – 2010.


Michael Delisle

Michael Delisle is the president and CEO of The Registrar Company Inc. and has also held the same position at consulting firm McCormick Delisle and Thompson Inc. as well as executive positions at KPMG, General Electric and ABB.  In his various roles, Michael has provided leadership, general and financial management, strategic planning, systems and operations integration and performance management. Michael began his career in Human Resources Management GE Canada in 1980 and has since held a variety of progressive positions within the private sector.  He is the past board chair of the Waterloo Wellington Community Care Access Centre, an organization that provides community home care, and advice and services that are covered by OHIP, the founder of the Guelph Quality Awards through the Guelph Chamber of Commerce and was a member of the Guelph Minor Hockey Board of Directors. Michael holds a Master of Business Administration and Bachelor of Arts from Wilfrid Laurier University.

Bryan Larkin

Bryan Larkin

Bryan Larkin is the Chief of Waterloo Regional Police Services and is responsible for providing executive leadership to Waterloo Regional Police Service and facilitates the administrative and operational delivery of policing services to Waterloo Region while fostering relationships with community stakeholders, partners and all citizens. Bryan began his career as a front-line Constable in 1991 and has since held a variety of progressive positions within policing. A strong believer in supporting our community through volunteering, Bryan supports many organizations including United Way, Ontario Special Olympics and the Provincial Police Joint Health and Safety Committee. In addition, Bryan currently sits on the Board of Directors for the Ontario Association of Chiefs of Police. He is committed to enhancing the effectiveness of operational policing services while developing long-term strategies to build a strong, vibrant and healthy Waterloo Region. Bryan holds Hold a Bachelor of Applied Arts (Justice Studies) from University of Guelph as well as a Diploma in Police Leadership and Police Foundations from Humber College.

Jeff Nesbitt

Jeff Nesbitt

Jeff Nesbitt is the Vice President for the Canadian Men’s Health Foundation (CMHF) working with a national team to help men and their families live healthier lives. Jeff's role is to drive and deepen national engagement with stakeholders, government, corporations, health care associates and non-profit organizations. Jeff has spent 20 years helping organizations with strategy, technology and innovation to enable growth in a wide variety of organizations spanning many sectors from NFP entities to Fortune 500 companies. Jeff has a management certificate from Conestoga College, an H.BA from the University of Waterloo in Economics and Computer Science, an MBA from Wilfrid Laurier University and a Professional Certificate in Innovation & Entrepreneurship from Stanford University.

Murray O'Brien

Murray O’Brien

Murray O’Brien is a Certified Human Resources Professional. He retired from Schneider Foods in Kitchener after 28 years of service where he held senior leadership positions in human resources. He started his own Strategic Leadership consulting company in 2005. He has extensive experience in developing and implementing programs in strategic leadership, training and development, performance management, compensation system, pensions, benefits and health & safety. Mr. O’Brien has volunteered extensively since his retirement including as an investment committee member of the Kitchener Waterloo Community Foundation, a director on the Board of Grand River Hospital, and as President of the Board of Directors for the Friends of Killarney Park.

Karen Scian 

Karen Scian is currently the Founder and Principal for The TALENT Business Solutions and Professor for the Small Business Ventures Program, Centre for Entrepreneurship, at Conestoga College, School of Business. Prior to her roles at TALENT Business Solutions and Conestoga College, Ms. Scian was a City Councillor for the City of Waterloo for 8 years. While on Waterloo Council, she served as Finance Chair, responsible for the delivery of the city’s budget, and acted as Council Liaise for the Protective Services Department, working with the City of Waterloo’s Fire and Bylaw department to successfully deliver emergency services in Waterloo.  Ms. Scian holds an Honours Bachelor of Science from University of Waterloo and a Bachelor of Education from Western. She holds a Master of Arts Degree from Royal Roads University and is currently enrolled in the Conflict Management certificate program at Conrad Grebel University in Waterloo.  Ms. Scian has over a decade of governance experience serving as both a Chair and Committee member with the City of Waterloo, Waterloo Public Library, Rotary Waterloo, St. Mary’s General Hospital, Fire Safe Ontario and the Waterloo Community Arts Centre.  


Jan Varner

Jan Varner, a well-known community leader with more than 30 years of governance experience, is currently the Chief Executive Officer of the United Way Kitchener Waterloo & Area. Prior to her role at United Way, Ms. Varner was the Director of The Laurier Institute at Wilfrid Laurier University (WLU). She has also served as faculty at Conestoga College, WLU, and the University of Guelph in non-profit management, business management, social work, and strategic human resources. Ms. Varner holds an MBA from WLU focusing on human resource management and organization development & change and is a past doctoral candidate in the Education Administration Doctoral Program at the Ontario Institute for Studies in Education. She also has an Honours Bachelor Business Administration Degree from WLU and is a certified training and development professional from the Canadian Society of Training and Development. She has served on dozens of boards and councils locally, provincially, and nationally, including: Sustainable Waterloo Region, Immigrant Partnership Council, Region of Waterloo Poverty Reduction Strategy, United Ways of Ontario Council, and the ChangeIt Philanthropic Advisory Board.

Decision Making Framework Toolkit

Local Health Integration Networks (LHINs) are mandated to plan, integrate and fund health services in Ontario across the continuum of care while engaging communities in setting local health service priorities. In addressing this mandate, LHINs are faced with setting priorities and making decisions about how best to meet community health needs in the context of competing system goals, multiple stakeholder interests and limited resources. In order to do this, all LHINs apply frameworks to support priority setting and decision making in a variety of contexts, such as approving health programs and services, allocating or reallocating funding to health service providers (HSPs), and setting planning priorities.

This priority setting and decision making framework toolkit addresses the identified system need by describing a consistent framework with clear, understandable criteria that all LHINs should use to support all priority setting and decision making.