ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
ONTARIOMD STAKEHOLDER REPORT:
                                                      Products and Services by LHIN for
                                                                 April 2021

CAUTION: This Stakeholder Report (the “Report”) from OntarioMD Inc. (“OntarioMD”) is being made
available to its Stakeholders. No representa on, warranty or covenant of any kind is made in favour of any
Stakeholders or any third party respec ng the contents of the Report. By reviewing this Report, the reader
acknowledges and confirms the foregoing. The Stakeholder must rely on its own independent inves ga on
and analysis in connec on with the ma ers addressed in the Report.

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
Table of Contents
1. EXECUTIVE NOTES                                                             3
2. INTRODUCTION                                                                6
3. ONTARIOMD, ONTARIO HEALTH AND ONTARIO HEALTH TEAMS                          6
4. ONTARIOMD PRODUCTS AND SERVICES                                             6
5. QUARTERLY GROWTH BY PRODUCT/SERVICE                                         7
6. PRODUCTS AND SERVICES BY VENDOR AND LHIN VIEW                               8
 FIGURE 1: EMR ADOPTION BY PHYSICIAN TYPE AND CERTIFIED EMR VENDOR             8
 FIGURE 2: EMR ADOPTION BY PHYSICIAN TYPE AND LHIN                             9
 FIGURE 3: PHYSICIANS PARTICIPATING IN PROVINCIAL PRODUCTS/SERVICES BY LHIN   10
 FIGURE 4: PHYSICIANS LIVE ON HRM BY LHIN                                     11
 FIGURE 5: PHYSICIANS LIVE ON OLIS BY LHIN                                    12
 FIGURE 6: CLINICIANS WITH ONE ID                                             13
 FIGURE 7: PHYSICIANS USING ENOTIFICATIONS BY VENDOR                          14
 FIGURE 8: PHYSICIANS USING ENOTIFICATIONS BY LHIN                            15
 FIGURE 9: ONTARIO ECONSULT PENETRATION BY INDICATOR                          16
 FIGURE 10: ONTARIO ECONSULT PENETRATION BY LHIN                              17
 FIGURE 11: ECONSULTS SENT                                                    18
 FIGURE 12: PHYSICIANS LIVE ON DASHBOARD BY LHIN                              19
 FIGURE 13: ONTARIOMD PRIVACY AND SECURITY TRAINING COMPLETED BY LHIN         20
 FIGURE 14: ACTIVE CLINICAL VIEWER USERS BY LHIN                              21
7. APPENDICES                                                                 22
 1.1 APPENDIX A: LHIN 1 – ERIE ST. CLAIR                                      22
 1.2 APPENDIX B: LHIN 2 – SOUTH WEST                                          24
 1.3 APPENDIX C: LHIN 3 – WATERLOO WELLINGTON                                 26
 1.4 APPENDIX D: LHIN 4 – HAMILTON NIAGARA                                    28
 1.5 APPENDIX E: LHIN 5 – CENTRAL WEST                                        30
 1.6 APPENDIX F: LHIN 6 – MISSISSAUGA HALTON                                  32
 1.7 APPENDIX G: LHIN 7 – TORONTO CENTRAL                                     34
 1.8 APPENDIX H: LHIN 8 – CENTRAL                                             36
 1.9 APPENDIX I: LHIN 9 – CENTRAL EAST                                        38
 1.10 APPENDIX J: LHIN 10 – SOUTH EAST                                        40
 1.11 APPENDIX K: LHIN 11 – CHAMPLAIN                                         42
 1.12 APPENDIX L: LHIN 12 – NORTH SIMCOE MUSKOKA                              44
 1.13 APPENDIX M: LHIN 13 – NORTH EAST                                        46
 1.14 APPENDIX N: LHIN 14 – NORTH WEST                                        48
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
1. Execu ve Notes for March
OMD welcomed its new Chief Medical Officer, Dr. Chandi Chandrasena. Dr. Chandrasena brings to OMD her 20 years of experience as a family physician practicing in Ottawa and was a former OMD Physician Peer Leader who has mentored many of her
colleagues to use EMRs and digital health tools effectively to enhance patient care. As CMO, she is providing clinical advice at provincial and national tables and clinician advisory groups and is instrumental in forging system-level partnerships.

Client Service & Engagement Teams – Support and Onboarding
OntarioMD (OMD) continues to raise awareness of digital health and virtual care tools and offers learning opportunities to physicians and their staff on using these tools effectively during COVID-19 and beyond. More than 30,000 clinicians,
practice staff and diverse stakeholders have used at least one OMD product or service. Demand for education remains steady as more physicians are onboarded to digital health tools for daily use and shift to virtual care tools when appropriate.
OMD has continued to see high demand for digital health tools such as HRM®, OLIS and the ConnectingOntario ClinicalViewer that specifically assist clinicians in supporting their patients with COVID-19 assessment results.

COVaxON Training for Clinicians
OMD was asked by the Ministry of Health (MOH) to participate in the pilot to roll out the AstraZeneca COVID-19/COVISHIELD vaccine to Ontarians 60 to 64 years of age in primary care settings in six Public Health Units (PHUs). The pilot was
subsequently expanded to include all 34 PHUs and additional age ranges as well as vaccine types. OMD’s role is to assist primary care practices to onboard and use the provincial COVaxON vaccine management tool, which is a mandatory
requirement for those administering COVID-19 vaccinations. OMD is providing its expertise in virtual learning for primary care providers by offering a series of webinars to train them on COVaxON. The webinars are role-based; with one session
focussed on the clinical workflow and a second session on complete end-to-end training of the COVaxON tool for clinic managers, IT leads or clinician leads. As at the end of April, OMD has held 36 training sessions with more than 1,500
attendees.

OMD continues to add more training webinars and resources for primary care clinicians and their staff in all PHUs. Clinicians and staff can register for the training sessions, access resources such as Job Aids, view previous recordings of the
sessions, and contact OMD for support by email at COVaxON.Support@ontariomd.com. The website is updated weekly with new training sessions.

OntarioMD has also developed a number of EMR specific toolkits to assist primary care practices with identification of eligible patients for vaccinations and to assist with recording vaccinations in the EMR.

Digital Health and Virtual Care Curriculum for Clinicians
OMD regularly contributes its thought leadership on diverse digital health and virtual care topics from the clinician perspective. Clinicians and practice staff can register for our webinars on OntarioMD.ca. The webinars are accredited for
family physicians and specialists.

Registration is now open for OMD Educates: Digital Health and Virtual Care Day on September 30, 2021. Planning is underway to offer attendees another exciting program of valuable and relevant sessions.

Communications to Clinicians
The April 2021 Digital Health eTips newsletter was sent to clinicians and included a variety of practical information to inform clinician practices and promote the use of digital and virtual tools.

OMD and the OMA coordinated communications to physicians about the retirement of the ONE® Mail Direct secure provider-to-provider email service. We shared Ontario Health’s FAQ and developed a supplementary FAQ to help physicians
who have a ONE Mail Direct account to understand their options, including the good value provided by TeraMach, the third-party vendor selected by Ontario Health.

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
1. Execu ve Notes for March Con nued
OMD Privacy and Security Training Module and Resources
Physicians, as health information custodians (HICs) under the Personal Health Information Protection Act (PHIPA), need to be kept up to date on this privacy legislation and educate themselves and their staff on how to fulfill their obligations to
protect Personal Health information (PHI) on an ongoing basis. OMD’s online Privacy and Security Training Module meets this need by offering education on key topics such as safeguarding PHI from breaches and security incidents, and how to
comply with PHIPA obligations. The training is more important than ever as clinicians use additional virtual care tools. Family physicians earn 2 Mainpro+ credits for completing the training. Specialists can claim 2 credits/hour under the Royal
College Maintenance of Certification (MOC) Program as a Section 2: Personal Learning Project. OMD recommends that clinicians and their staff refresh their privacy and security knowledge by completing the training annually.

Close to 4,000 clinicians and their practice staff have completed the training, which is available in both French and English at OntarioMD.ca. The module is updated with the latest information and can be accessed from any internet-
connected device. OMD continues to develop new collateral that covers important privacy and security topics. The availability of new resources is shared with clinicians through the Digital Health eTips newsletters. The latest resource is Tips
for Data Protection.

Virtual Care Resources
OMD continues to add virtual care resources for clinicians on OntarioMD.VC and OntarioMD.ca from partners and vendors. Up-to-date guidance on policy and billing for virtual for physicians is available on the OMA website.

Ontario Virtual Care Clinic
OMD and the OMA continue to support the Ontario Health’s (OTN) Ontario Virtual Care Clinic (OVCC) at seethedoctor.ca to serve patients who cannot access their family physician or do not have a family physician. To date, the OVCC has
provided service to over 30,000 patients. OMD provides support to OVCC physicians, monitors referral volumes and adjusts the schedule of physicians (using MetricAid scheduler) on shift to meet patient demand. The service has seen a recent
and growing uptick in activity resulting in recruitment of additional physicians to support the ongoing service.

Health Report Manager: Contributing to Timely Care During COVID-19

COVID-19 Vaccine Notifications - HRM® enables hospitals to deliver medical notes related to vaccine distribution to primary care clinicians. A few hospitals are sending notes related to vaccines to primary care EMRs with their existing HRM
integration.OMD is also working with the Ministry of Health (MOH) to enable integration of the COVaxON COVID-19 Vaccination Management System with HRM for the purpose of sharing the patient’s vaccination report with primary care. The
integration is anticipated for May 2021. Any point of care utilizing MOH’s COVaxON system will have the capability to notify the patient’s primary care provider of their vaccination. Primary care providers who were identified by the patient at the
time of vaccine administration in COVaxON will receive the COVID-19 vaccination report through HRM. OntarioMD, Ontario Health and the Ministry of Health are also looking at alternative options such as integrating with CAPE (Client Agency
Program Enrolment) (based on Ministry enrollment data) to be available in the near future.

COVID-19 Test Result Notifications - HRM® is delivering notifications to primary care providers’ EMRs to notify them that positive COVID-19 test results are available for their patients in the Ontario Laboratories Information System (OLIS). OMD
worked with Ontario Health to implement this valuable sharing of patient information. To date, more than 3.9 million COVID-19 test result notifications have been delivered to clinicians.

COVID-19 Discharge Reports - HRM® is delivering discharge information to EMRs from hospitals that are COVID-19 assessment centres. This is in addition to the patient information in the more than 2 million reports per month HRM delivers
from more than 500 hospital and specialty clinic sites across Ontario to the EMRs of more than 12,000 clinicians.

HRM® Sending Facilities and Report Types - To look up hospitals and specialty clinics using HRM and the Report Types they send, please visit the HRM Sending Facilities page.

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
1. Execu ve Notes for March Con nued
Physician Office Integration (POI) Transition to HRM® – Clinicians in the North East LHIN were notified that they will begin receiving diagnostic imaging and medical record reports in their EMRs from HRM as of April 5, 2021. North Bay
Regional Health Centre, Sault Area Hospital, and West Parry Sound Health Centre are sending eNotifications through HRM. North Bay Regional Health Centre, Sault Area Hospital, and West Parry Sound Health Centre will be going live with
medical records and diagnostic imaging reports through HRM in late 2021.

HIS Changes - The HRM® team is monitoring HRM feeds for upcoming HIS upgrades to ensure report delivery to clinicians is not disrupted and are working as clinicians expect. The team is also monitoring impact on clinicians resulting from
changes to medical record report formats.

Insights4Care Program
OntarioMD is initiating a pilot, beginning this fiscal year, to establish a centrally managed i4C Dashboard (Common Dashboard) that can integrate with all certified EMR vendor offerings. Planning for the first phase of the pilot is underway, including
discussions with an EMR vendor and external solution provider to confirm participation in the pilot. The i4C Program continues to recruit more clinician users for adoption of the current i4C Dashboard available within four EMR offerings – TELUS
PSS, YMS, QHR Accuro®, and AwareMD. The i4C Advisory Service is looking to continue support for Remote Care Monitoring by leveraging EMR-based tools to help primary care practitioners identify and refer patients with chronic diseases (COPD,
CHR, Diabetes) into the provincial Telehomecare program for remote care and monitoring. The i4C Program is exploring opportunities to continue support for the Ontario Health – North (OHN) pilot that took place last year in addition to
expanding support to additional OHTs and health care practices through new initiatives.

EMR-integrated Digital Forms Platform
In collaboration with Ontario Health and the Ontario Ministry of Transportation (MTO), OntarioMD is developing an EMR-integrated digital forms platform to present and exchange health forms from clinicians. MTO’s Driver Medical Review forms will be
the first available through the system with a target for the first clinician user live by June 30, 2021. The platform will be flexible to support a wide variety of health-related forms, as well as integration with HRM for direct filing of form submissions into the
patient’s chart within the EMR. OMD is exploring partners beyond MTO to leverage this functionality.

Dynacare Lab eOrdering Pilot: OMD is working with Dynacare on an eOrdering pilot that will see development of eOrdering integration with up to three OMD-certified EMR offerings and Dynacare, piloting eOrdering services at Dynacare Collection
Centres and evaluation of the results against Key Performance Indicators (KPI). Dynacare and OMD will work to explore provincial scalability and expansion to other EMR vendor products and additional provinces.

Infoway and OMA: OMD is supporting Infoway and the OMA on virtual care and privacy & security education for clinicians through regular virtual care webinars and other tooling. In April, OMD conducted one of four webinars on virtual care and privacy &
security to an audience of 150 attendees. For more information, please visit OMD Educates.

Kingston General Asthma Unit: Through a grant opportunity, OMD and The Asthma Research Unit (ARU), based out of the Department of Medicine at Queen’s University, partnered to research asthma tools and indicators. The ARU’s area of focus is centred
around asthma symptom perception and lung mechanics, cough variant asthma, asthma epidemiology, asthma guidelines, and knowledge translation, as well as asthma management.

Ministry of the Solicitor General: OMD is supporting the Ministry of the Solicitor General in its exploration around EMRs to improve patient care in correctional facilities across Ontario.

OMD Certification Program
OMD Certification Program and the Government of New Brunswick EMR Program continue to work together in finalizing the operational governance and activities. The monthly EMR Vendor Session for April 2021 provided EMR vendors visibility
to the EMR Integration roadmap for 2021.

Two NB Certification - Stage 1 engagements were conducted in collaboration with Government of New Brunswick, OMD, and the respective vendors (Alpha Global, TELUS Health).

Note: The Microsoft Power BI interactive version of this report features a colour palette for improved visual accessibility for users.                                                                                                                                     5
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
2. Introduc on
The purpose of this report is to provide a monthly update on the provincial view of community-based family physicians’ and community specialists’ adop on and op mized use of cer fied EMRs and digital health tools and
services integrated with cer fied EMRs. Except where indicated, this report does not include informa on about adop on of the referenced digital health applica ons by nurse prac oners or other health care service providers.

By helping physicians become increasingly proficient EMR users, OntarioMD assists physician prac ces in realizing more clinical value and the full poten al of digital health tools and services to enhance pa ent care. These tools
and services are also improving Ontarians’ access to care and improving clinical outcomes in an increasingly integrated and coordinated health care system.

3. OntarioMD, Ontario Health and Ontario Health Teams
OntarioMD is focused on the delivery of digital health products and services that translate into clinical value for physicians and their pa ents. OntarioMD has the infrastructure, rela onships and experience to deliver cost-
effec vely the full spectrum of high-quality digital health programs and services for clinicians and Ontario Health Teams across the province in alignment with Ontario’s Digital First Strategy. It works closely, and in partnership,
with health care organiza ons across Ontario.

OntarioMD staff take a holis c approach to working with physician prac ces, bundling products and change management services on behalf of our stakeholders for efficient visits to prac ces regionally and locally. This reduces
mul ple touchpoints to the physician office and streamlines training and onboarding, so physicians can spend less me on administra on and more me on pa ent care.

What We Do
 · Connect clinician prac ces to OntarioMD’s digital health tools that improve access to care, clinical outcomes and decision-making, such as Health Report Manager (HRM), eNo fica ons and the i4C Dashboard.
 · Connect clinician prac ces to eConsult on behalf of the Ontario eConsult Program; eVisits (Enhanced Access to Primary Care) on behalf of OTN; eNo fica ons in collabora on with Ontario Health’s Shared Services (formerly
   HSSO); the DHDR and DHIR (when ready for deployment) on behalf of the Ministry; and deploy the Ontario Laboratories Informa on System (OLIS), Connec ngOntario ClinicalViewer, ONE®ID and ONE Mail on behalf of
   Ontario Health’s Digital Services (formerly eHealth Ontario).
 · Provide physicians with trusted advice, guidance and onboarding support from OntarioMD staff, located across Ontario, to op mize EMR and digital health use.
 · Provide in-depth, hands-on support for physicians’ quality improvement and popula on health management goals through our i4C Advisory Service’s experienced staff.
 · Mentor physician prac ces with prac cal EMR ps from physician, nurse and clinic manager Peer Leaders who understand how physicians prac ce and share their exper se with the same EMR.
 · Advise public and private sector partners on how to develop and advance digital health tools and services for clinicians leveraging our OntarioMD Clinician Advisors for focus groups, and product feedback.
 · Deliver the OntarioMD Vendor Management Program and associated Cer fica on Program to provide assurance to physicians that their EMRs are con nuing to evolve with health system priori es and meet ongoing clinical
   requirements and func onality; assess and monitor EMR offerings for alignment with the Ontario EMR Specifica ons and broader provincial priori es.

4. OntarioMD Products and Services
OntarioMD products and services are provincial digital health assets for clinicians and centred around pa ents. Enabling the flow of pa ent informa on directly to OntarioMD-cer fied EMRs supports:
     ▪ Access to care, services and health informa on
     ▪ Enhances the efficiency of the health system
     ▪ Strengthens quality, effec veness and accountability
     ▪ S mulates innova on and growth

OntarioMD receives funding from the Ministry of Health (MOH), with a mandate to support connec vity, interoperability, and integra on of EMRs with the digital health delivery system more broadly and to work with clinicians to
op mize the clinical value of their cer fied EMRs to provide enhanced care to their pa ents.

For an overview of all OntarioMD products and services, please read our Products & Services brochure.

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
5. Quarterly Growth by Product/Service

                                                                                   Quarterly Growth by OMD Product or Service
   Total Physicians (March 31, 2021)      Total Physicians (April 30, 2021)   Quarterly growth

                                                                                                                                                                  27,426 27,426
                                                                                                                                      6.5%
                                                                                                                                                                                                       6%

 25,000

                                                                                                                                                                                                       5%

 20,000
                                                             18,536 18,578
                  17,227 17,269                                                                                                                                                                        4%
                                                                                                                                                  15,965 16,060
 15,000

                                                                                                  12,327 12,456                                                                                        3%
                                                                                                                  11,216 11,416

 10,000
                                                                                                                      1.8%                                                                             2%

                                                                                                      1.0%
  5,000
                                                                                                                                                                                        0.7%           1%
                                                                                                                                                      0.6%
                                          2,433   2,433
                                                                                  1,947   1,956
                        0.2%                                      0.2%                                                            1,233   1,313                                     993     1,000
                                              0.0%                                    0.5%                                                                            0.0%
       0                                                                                                                                                                                               0%
                   Cer fied EMR          Connec ng               eConsult            eConsult      eNo fica ons         HRM         i4C Dashboard       OLIS           ONE ID*      Privacy & Security
                                       Ontario Clinical        Reques ng           Specialists                                                                                         Training
                                          Viewer                Providers          Registered

*Source of the data is eHealth Ontario.                                                                                                                                                                 7
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021
6. Products and Services by Vendor and LHIN View
Figure 1: EMR Adop on by Physician Type and Cer fied EMR Vendor

                                                                                  EMR Adop on by Physician Type and Cer fied EMR Vendor
 Physician type     General Prac     oner       Not Specified         Specialist

              6,328                                                                                                                           Vendor                       General Prac    oner Not Specified Specialist
                                                                                                                                              

 6,000                                                                                                                                        ABELMED                                       189                           222
                                                                                                                                              Alpha Global iT Inc.                           36                            16
                                                                                                                                              Avaros                                         44                2           17
                                                                                                                                              AwareMD                                                                     127
 5,000                                                                                                                                        Canada Health Systems Inc.                     293                          128
                                                                                                                                              InputHealth Systems Inc                         46               2           57
                                                                                                                                              P & P Data Systems Inc.                        348               1           62
                                                                                                                                              QHR Technologies Inc.                        2,335               8        2,489
 4,000                                                                                                                                        Telus Health Solu ons                        6,328              19        1,464
                                                                                                                                              WELL EMR Group Inc.                          2,062              16          796
                                                                                                                                              YES Medical System                              23                           44
                                                                                                                                              YMS                                             21               1           73
 3,000
                                                2,489
                                   2,335
                                                        2,062
 2,000
                           1,464

 1,000                                                                796

                                                                              293                         348
                                                                                       128    189   222                       127
                      19                    8                   16                                              1   62              46   2   57    21    1    73   23         44    44      2      17    36        16
     0
                  Telus Health          QHR               WELL EMR            Canada Health    ABELMED     P & P Data    AwareMD    InputHealth         YMS        YES Medical            Avaros        Alpha Global iT
                   Solu ons         Technologies          Group Inc.           Systems Inc.               Systems Inc.              Systems Inc                      System                                  Inc.
                                        Inc.

*Source of the data is OntarioMD’s CRM system.                                                                                                                                                                                  8
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 2: EMR Adop on by Physician Type and LHIN
                                                                                                                                                                                                                  LHIN                         General   Not Specified       Specialist
                                                                       EMR Adop on by Physician Type and LHIN                                                                                                                                  Prac oner
                                                                                                                                                                                                                  
 Physician type          General Prac              oner        Not Specified                   Specialist                                                                                                          Erie St. Clair                     244                1         171
                                                                                                                                                                                                                  South West                         792                3         259
                                                                                                                                                                                                    1,645
                                                                                                                                                                                                                  Waterloo Wellington                573                1         225
                                                                                                                                                                                                                  Hamilton Niagara Haldimand         959                3         543
 1,500                                                                                                                                                                                                            Brant
                                                                                                                                                                                                                  Central West                        614               3         274
                                                                                                         1,334                                         1,322
                                                                                                                                                                                                                  Mississauga Halton                  814               6         349
                                                                                                                                                                                                                  Toronto Central                   1,334               4         866
                                                                                                                                                                                                                  Central                           1,057                         596
                                                                                                                   1,057                                                                                          Central East                        912               2         432
 1,000                                                       959                                                                                                                                                  South East                          448                         113
                                                                                                                                 912
                                                                                                                 866                                                                                              Champlain                         1,322               3         508
                             792                                                             814                                                                                                            812   North Simcoe Muskoka                391                         164
                                                                                                                                                                                                                  North-East                          388                          81
                                                                             614                                                                                                                                  North-West                          232                         102
                                             573                                                                           596
                                                                       543                                                                                                                                        Not Specified                      1,645           23            812
                                                                                                                                                               508
   500                                                                                                                                     432 448
                                                                                                                                                                     391         388
                                                                                                       349
             244                       259                                             274
                                                       225                                                                                                                                  232
                       171                                                                                                                                                 164
                                                                                                                                                     113                                          102
                                                                                                                                                                                       81
                   1               3               1               3               3               6         4                         2                   3                                            23
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*Source of the data is OntarioMD’s CRM system.                                                                                                                                                                                                                                      9
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 3: Physicians Par cipa ng in Provincial Products/Services by LHIN
                                                                                                                                                                                                             LHIN                               General   Not      Specialist
                                        Physicians Par cipa ng in Provincial Products/Services by LHIN                                                                                                                                          Prac oner Specified
                                                                                                                                                                                                             
 Physician type         General Prac              oner      Not Specified          Specialist                                                                                                                 Erie St. Clair                            425        2       301
                                                                                                                                                                                                             South West                                932        7       625
                                                                                                 2,486                                                                                                       Waterloo Wellington                       720        7       398
 2,500
                                                                                                                                                                                                             Hamilton Niagara Haldimand Brant        1,217       17     1,180
                                                                                                                                                                                                             Central West                              704        8       387
                                                                                                                                                                                                             Mississauga Halton                        984        7       685
 2,000                                                                                                                                                                                                       Toronto Central                         1,763       74     2,486
                                                                                                                                                                                                             Central                                 1,487       13     1,075
                                                                                             1,763
                                                                                                                                                                                                             Central East                            1,179        8       769
                                                                                                                                                                                                             South East                                520        6       388
                                                                                                       1,487                                  1,522
 1,500                                                                                                                                                                                                       Champlain                               1,522       11     1,091
                                                                                                                                                                                               1,315         North Simcoe Muskoka                      476                275
                                                        1,217                                                     1,179                                                                                      North East                                586        2       221
                                                                                                              1,075                               1,091                                                      North West                                321        2       156
                                                                                 984                                                                                                                         Not Specified                            1,315        6       321
 1,000                      932
                                                                                                                            769
                                            720                  704                       685
                                      625                                                                                                                          586
                                                                                                                                  520                  476
  500       425                                       398                  387                                                              388
                      301                                                                                                                                    275                   321                 321
                                                                                                                                                                             221
                                                                                                                                                                                             156
                                                                                                 74
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                    milto
                Ha

                                                                                                                                                                                                                                                                            10
                                                                                                                                                                                                                                                                                /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 4: Physicians Live on HRM by LHIN

                                                                                               Physicians Live on HRM by LHIN
 Specialty Type     General Prac   oner    NP     Specialist     % of physicians with HRM that are OLIS users
 2,000
                                                                          84.4%                                             84.7%
                                                                                                     86.3%                                                                                                   85%
                                                                                                                85.3%
                                                           82.7%                                                                                     82.5%
                                                                                        83.5%
                                            79.8%
 1,500                        78.7%                                                                                                                              78.6%                                       80%

                                                                                                      412        491                     78.0%
                                                                                                                             379
                                                                                                                                                                                                             75%
                  75.7%
 1,000                                                         335                                                                                    259                                          72.6%
                                                                                                                              92
                               132                                                       290                                                                                           70.6%
                                                                                                                                                       92
                               125                                                                                                                                                                           70%
                                             187

                  162                        89                            201
   500                                                                                                982        1006                                            134
                                                                                                                             871
                  104                                          756                                                                        88          775         93        151
                               641                                                       660                                                                                                                 65%
                                             504
                                                                           412
                  335                                                                                                                     337                    349        306
                                                                                                                                                                           60.7%                    126
                                                                                                                                                                                        105
     0
            Erie St. Clair South West     Waterloo       Hamilton         Central    Mississauga    Toronto     Central   Central East South East   Champlain    North    North-East North-West     Not
                                          Wellington      Niagara          West        Halton       Central                                                     Simcoe                            Specified
                                                        Haldimand                                                                                               Muskoka
                                                           Brant

*Source of the data is OntarioMD’s CRM system.                                                                                                                                                                11
                                                                                                                                                                                                               /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 5: Physicians Live on OLIS by LHIN

                                                                                    Physicians Live on OLIS by LHIN
 3,000

                                                                                            2,575
 2,500

 2,000                                                                                                                                        1,889
                                                                                                      1,781

                                                         1,563
 1,500                                                                                                             1,446
                               1,320

                                                                                 1,138

 1,000
                                                                      782
                                             726                                                                                  699
                  582                                                                                                                                                599
                                                                                                                                                         504
   500
                                                                                                                                                                                  333
                                                                                                                                                                                              212

      0
              Erie St. Clair South West   Waterloo      Hamilton Central West Mississauga   Toronto   Central   Central East   South East   Champlain    North    North East   North West     Not
                                          Wellington     Niagara                Halton      Central                                                     Simcoe                              Specified
                                                       Haldimand                                                                                        Muskoka
                                                          Brant

*Source of the data is eHealth Ontario.                                                                                                                                                                12
                                                                                                                                                                                                       /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 6: Clinicians with ONE ID®
                                                                                                                                                                                                                      LHIN Name            Nurse    Physician
                                                                                    Clinicians With ONE ID
                                                                                                                                                                                                                      Central               1,442      2,513
 Clinician Type      Nurse      Physician
                                                                                                                                                                                                                      Central East          1,947      1,830
                                                                                                                                                                                                                      Central West            713        777
                                                                                                                                                10,607
                                                                                                                                                                                                                      Champlain             1,188      2,408
 10,000                                                                                                                                                                                                               Erie St. Clair          540        642
                                                                                                                                                                                                                      Hamilton Niagara      1,003      2,337
                                                                                                                                                                                                                      Mississauga Halton    1,172      1,572
                                                                                                                                                                                                                      North East            1,175        848
                                                                                                                                                                                                                      North Simcoe Muskoka    703        759
  8,000
                                                                                                                                                                                                                      North West              704        432
                                                                                                                                                                                                                      Not Specified         10,607      2,980
                                                                                                                                                                                             6,711
                                                                                                                                                                                                                      South East              639      1,069
                                                                                                                                                                                                                      South West              638      1,540
  6,000                                                                                                                                                                                                               Toronto Central       2,537      6,711
                                                                                                                                                                                                                      Waterloo Wellington     414      1,008

  4,000
                                                                                                                                                      2,980
                  2,513                                   2,408                                                                                                                         2,537
                                                                                    2,337
                          1,947
  2,000                                                                                         1,572                                                                           1,540
             1,442
                                                    1,188                                   1,172     1,175                                                       1,069                                       1,008
                                                                               1,003                       848 703 759 704
                                        713 777                    540 642                                                                                     639      638
                                                                                                                                          432                                                         414
       0
                 l                                                                                                                                                                           l
             ntra          East       Wes
                                         t
                                               plai
                                                   n
                                                                Clai
                                                                     r
                                                                                  g  ara         l ton        E ast         kok
                                                                                                                               a
                                                                                                                                        Wes
                                                                                                                                           t
                                                                                                                                                    i fied        East       Wes
                                                                                                                                                                               t
                                                                                                                                                                                        ntra           gton
           Ce            l                                    .                 a               a          th             s                        c                                  e              in
                     ntr
                        a
                                 tra
                                    l
                                            ha
                                              m
                                                        i e St             n Ni              gaH        or              Mu        o rth         Sp
                                                                                                                                                  e
                                                                                                                                                           o uth        uth        toC           ell
                    e           n          C           r                 o                  u          N              e          N            t           S           So          n             W
                   C          Ce                     E
                                                                  mi
                                                                       lt
                                                                                       iss
                                                                                           a                       co                      No                                 oro             o
                                                               H a               i s s                        Si m                                                           T         te rlo
                                                                             M                            rth                                                                        Wa
                                                                                                       No

*Source of the data is eHealth Ontario.                                                                                                                                                                                                                         13
                                                                                                                                                                                                                                                                /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 7: Physicians Using eNo fica ons by Vendor

                                                                           Physicians Using eNo fica ons by Vendor
 7,000
                                                                                                                                          6,506

 6,000

 5,000

 4,000

 3,000
                                                                                                                           2,645

                                                                                                                                                        2,064
 2,000

 1,000

                                                                               250
                    140               57                           79                                        145
                                                        43                                     14                                                                      22        45
      0
                 ABELMED        Alpha Global iT       Avaros     AwareMD   Canada Health   InputHealth    P & P Data        QHR        Telus Health   WELL EMR     YES Medical   YMS
                                     Inc.                                   Systems Inc.   Systems Inc   Systems Inc.   Technologies    Solu ons      Group Inc.     System
                                                                                                                            Inc.

*Source of the data is internal files for tracking eNo fica ons.                                                                                                                         14
                                                                                                                                                                                       /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 8: Physicians Using eNo fica ons by LHIN

                                                                                Physicians Using eNo fica ons by LHIN
                                                                                                       1,507
 1,500
                                                                                             1,423

                                                                                                                    1,289

                                                                                                                                               1,183

                                                           1,024
 1,000

                                                                                   862
                                796

                                              693
                                                                                                                                                                                               627
                                                                       598
                  516                                                                                                              494
   500                                                                                                                                                    459
                                                                                                                                                                      396

                                                                                                                                                                                   143

      0
              Erie St. Clair South West   Waterloo       Hamilton Central West Mississauga   Toronto   Central   Central East   South East   Champlain    North    North-East   North-West     Not
                                          Wellington      Niagara                Halton      Central                                                     Simcoe                              Specified
                                                        Haldimand                                                                                        Muskoka
                                                           Brant

*Source of the data is internal files for tracking eNo fica ons.                                                                                                                                          15
                                                                                                                                                                                                        /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 9: Ontario eConsult Program Penetra on

                                                                                                   Ontario eConsult Program Penetra on
    Number of registered users         Number of ac ve users          % of registered users that are ac ve users

                                                                                                                    11,909
 12,000                                                       41.6%                                                                                                              40%

                                                                                                                                                                                 35%
 10,000

                                                                                                                                                                                 30%
   8,000
                                                                                                                                   25.5%
                                                                                                                                                        6,532                    25%

   6,000

                                                                                                                                                                                 20%

   4,000
                                                                                                                                               3,038                             15%

                                                2,093
   2,000
                                                                                                                                                                                 10%
                                                                           870
                                                                                                                                                                           329
                                                                                                                                                                  5.0%
        0
                                                  Champlain eConsult BASE™                                              Ontario eConsult Service           OTN Teledermatology

*Source of the data is the Ontario eConsult Centre of Excellence, Ontario Telemedicine Network (Ontario Health) and Champlain eConsult BASE™ Service.
**Includes PCPs & Specialists.
                                                                                                                                                                                  16
                                                                                                                                                                                  /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 10: eConsult Penetra on by LHIN

                                                                                                             eConsult Penetra on by LHIN
    Number of registered users         Number of ac ve users          % of registered users that are ac ve users

                                                                                                                       1,992                                                                                                          50%
 2,000                                                                                                                                                                               50.98%
                                                                                                                                                                        46.43%

                                                     43.24%                                                                                                                                                                           45%

                                                                                                                                                                                    1,538
 1,500
                                                                                                                                                                                                                                      40%
                                                                                                                                        1,337

                                                                    1,187
                                                                      33.61%                                                                                                                                                          35%

 1,000                                                                                                                                                   915
                                   886
                                    29.23%
                                                                                                                                                                                            784                                       30%
                                                    740                                                708               27.56%                                        700                                   673
                                                                                                                               549                                                                550
                  469                                                                                                                                                                                                                 25%
    500                                                                               429                                                                                                                    22.73%
                                                                            399
                                                                                       21.45%                                                                                325                                         354
                                                          320                                                                                             20.87%
                                         259                                                                                                  240
                   21.75%                                                                                                                                      191                                                                    20%
                                                                                                              121                         17.95%                                                                   153
                       102                                                                   92                                                                                                         99
                                                                                                                                                                                              18.00%                           57
                                                                                                                17.09%                                                                                                    16.10%
       0
                Erie St. Clair    South West       Waterloo          Hamilton       Central West Mississauga             Toronto          Central       Central East   South East   Champlain North Simcoe North-East    North-West
                                                   Wellington         Niagara                      Halton                Central                                                                Muskoka
                                                                    Haldimand
                                                                       Brant
*Source of the data is the Ontario eConsult Centre of Excellence, Ontario Telemedicine Network (Ontario Health) and Champlain eConsult BASE™ Service.
**Champlain LHIN numbers represent Champlain eConsult BASE™ Service users. All other numbers represent Ontario eConsult Service users.
***Includes PCPs and Specialists.                                                                                                                                                                                                      17
                                                                                                                                                                                                                                       /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 11: eConsults Sent

                                                                                                                       eConsults Sent
   April 2021     May 2020 to April 2021         Rate per 1000

                                                                                                                                                                                          21,347                                             16

 20,000
                                                                                                                                                                          13.6                                                               14

                                                        12.0
                                                                                                                                                                                                                                             12
 15,000

                                                                                                                                                                                                                   9.8
                                                                                                                                                                                                                                             10

                                                                                                                              10,005
 10,000                                                   9,349
                                                                                                                                                                                                                                             8

                                                                           7,397                                            7.8
                                                                                                                                                                              6,785
                                                                                                                                                                                                                       5,486      6.5        6
                                         4,983                           5.1                                                                                                                         4.9
  5,000                                                                                                                                         4,349          4,116
                                       5.1                                                                    2,987
                                                                                                                                                                                      2,352              2,393                               4
                        2,109                                                               1,925
                                                                                                                                                                                                                                     1,543
                                                    979              835                                               1,168
                                   566                                                                                                   618             509            709                                      591
                  216                                                                 275              360                                                        2.6                              236                         183
                                                                                                                 2.4                               2.3
       0
                 Erie St. Clair   South West        Waterloo          Hamilton       Central West Mississauga             Toronto          Central       Central East   South East    Champlain North Simcoe North-East        North-West
                                                    Wellington         Niagara                      Halton                Central                                                                 Muskoka
                                                                     Haldimand
                                                                        Brant
 *Source of the data is the Ontario eConsult Centre of Excellence, Ontario Telemedicine Network (Ontario Health) and Champlain eConsult BASE™ Service.
 **Includes eConsults sent through Ontario eConsult Service, Champlain BASE™, Teledermatology and Teleophthalmology                                                                                                                          18
                                                                                                                                                                                                                                             /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 12: Physicians Live on Dashboard by LHIN

                                                                      Number of Physicians Live on Dashboard by LHIN
                                                        178

                                                                                                157

 150                                                                                                      148
                                                                                                                                                 144

                                                                                                                       124

                                                                                                                                                                             103
                               100
 100

                                                                                     82

                                            68
                                                                                                                                     61

                                                                      49
  50

                                                                                                                                                                                          30
                25
                                                                                                                                                               22

   0
           Erie St. Clair   South West   Waterloo      Hamilton   Central West   Mississauga   Toronto   Central   Central East   South East   Champlain   North Simcoe   North-East   North-West
                                         Wellington     Niagara                    Halton      Central                                                       Muskoka
                                                      Haldimand
                                                         Brant

*Source of the data is OntarioMD's CRM system                                                                                                                                                       19
                                                                                                                                                                                                    /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 13: OntarioMD Privacy and Security Training Completed by LHIN

                                                                     OntarioMD Privacy & Security Training Completed by LHIN
   Number of physicians      Number of sponsored users

                                                                                                                                                            437

 400

 300                                                                                       287

                                                                             239
                                                                                                   227
                                                                                                         215
 200                                                                                                                195
                                                                                                                                                      175                              174
                                                 162

                                                                                                                                 132
                                                                                                                          109                                                                       108
                                                                                                               97                              101
 100                                                                                  84
                                                                                                                                         68                              72      73

                                                         42    44
                                    36                                 33                                                                                                                      30
                              17           23                                                                                                                       20
              2      0
   0
            Erie St. Clair   South West    Waterloo       Hamilton    Central West   Mississauga   Toronto     Central    Central East   South East   Champlain   North Simcoe   North-East   North-West
                                           Wellington      Niagara                     Halton      Central                                                          Muskoka
                                                         Haldimand
                                                            Brant

*Source of the data is OntarioMD’s CRM system.                                                                                                                                                             20
                                                                                                                                                                                                           /
ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2021

Figure 14: Ac ve Clinical Viewer Users by LHIN

                                                                                       Ac ve Clinical Viewer Users by LHIN
    Number of clinicians live1      Number of others live2

                                                               560

  500
                                                                                467

  400                                                                                                                        381

  300
                                                                                               269

                                                                                                                                   205
  200                                       180
                                                                                                                                                        163
                    141                               135                                                     130                                              124

  100                                                                   90              86                                               82
                                                                                                                     76                                                     78
                                                                                                        64                                                           60
                                                                                                                                                 39
                               27

     0
                    Central West         Mississauga Halton   Toronto Central     Central      Central East   South East     Champlain   North Simcoe   North-East   North-West
                                                                                                                                           Muskoka

1. Clinicians include physicians and nurse practitioners
2. Others include staff and allied health professionals                                                                                                                           21
                                                                                                                                                                                  /
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