ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for

 
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
11/25/2020                                                                                                   Title Page

                                         ONTARIOMD STAKEHOLDER REPORT:
                                                       Products and Services by LHIN for
                                                                  April 2020

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
11/25/2020                                                                  Table of Contents

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for March 2020
Table of Contents
1. EXECUTIVE NOTES                                                                                 3
2. INTRODUCTION                                                                                    4
3. ONTARIOMD, ONTARIO HEALTH AND ONTARIO HEALTH TEAMS                                              4
4. ONTARIOMD PRODUCTS AND SERVICES                                                                 4
5. QUARTERLY GROWTH BY PRODUCT/SERVICE                                                             5
6. PRODUCTS AND SERVICES BY VENDOR AND LHIN VIEW                                                   6
 FIGURE 1: EMR ADOPTION BY PHYSICIAN TYPE AND CERTIFIED EMR VENDOR                                 6
 FIGURE 2: EMR ADOPTION BY PHYSICIAN TYPE AND LHIN                                                 7
 FIGURE 3: PHYSICIANS PARTICIPATING IN PROVINCIAL PRODUCTS/SERVICES BY LHIN                        8
 FIGURE 4: PHYSICIANS LIVE ON HRM BY LHIN                                                          9
 FIGURE 5: PHYSICIANS LIVE ON OLIS BY LHIN                                                        10
 FIGURE 6: CLINICIANS WITH ONE ID                                                                 11
 FIGURE 7: PHYSICIANS USING ENOTIFICATIONS BY VENDOR                                              12
 FIGURE 8: PHYSICIANS USING ENOTIFICATIONS BY LHIN                                                13
 FIGURE 9: ONTARIO ECONSULT PENETRATION BY INDICATOR                                              14
 FIGURE 10: ONTARIO ECONSULT PENETRATION BY LHIN                                                  15
 FIGURE 11: ECONSULTS SENT                                                                        16
 FIGURE 12: PHYSICIANS LIVE ON DASHBOARD BY LHIN                                                  17
 FIGURE 13: ONTARIOMD PRIVACY AND SECURITY TRAINING COMPLETED BY LHIN                             18
7. APPENDICES                                                                                     19
 1.1 APPENDIX A: LHIN 1 – ERIE ST. CLAIR                                                          19
 1.2 APPENDIX B: LHIN 2 – SOUTH WEST                                                              21
 1.3 APPENDIX C: LHIN 3 – WATERLOO WELLINGTON                                                     23
 1.4 APPENDIX D: LHIN 4 – HAMILTON NIAGARA                                                        25
 1.5 APPENDIX E: LHIN 5 – CENTRAL WEST                                                            27
 1.6 APPENDIX F: LHIN 6 – MISSISSAUGA HALTON                                                      29
 1.7 APPENDIX G: LHIN 7 – TORONTO CENTRAL                                                         31
 1.8 APPENDIX H: LHIN 8 – CENTRAL                                                                 33
 1.9 APPENDIX I: LHIN 9 – CENTRAL EAST                                                            36
 1.10 APPENDIX J: LHIN 10 – SOUTH EAST                                                            37
 1.11 APPENDIX K: LHIN 11 – CHAMPLAIN                                                             39
 1.12 APPENDIX L: LHIN 12 – NORTH SIMCOE MUSKOKA                                                  41
 1.13 APPENDIX M: LHIN 13 – NORTH EAST                                                            43
 1.14 APPENDIX N: LHIN 14 – NORTH WEST                                                            45
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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
11/25/2020                                                                                                                          Executive Notes p.3

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

1. Execu ve Notes for April
On April 1, 2020 OntarioMD entered into a new Transfer Payment Agreement with Ontario Health to con nue to assist and support clinical users, including physicians and OHTs, in the adop on and enhanced use of EMRs and other web-based and virtual digital health tools
and services on behalf of our provincial partners.

OntarioMD will con nue to deploy these services using our streamlined and bundled approach to meet new targets for this fiscal year, as well as con nue to support EMR maturity with our change management approaches used by staff and Peer Leaders. We will also
con nue to manage the EMR Cer fica on Program and Specifica ons to ensure that EMRs meet the func onal and clinical requirements required for func onal consistency across cer fied EMRs and in alignment with provincial integra on priori es, as well as help Ontario
Health and the Province advance new virtual care standards.

Suppor ng Clinicians and Pa ents During COVID-19
Clinician Engagement & Training on Virtual Care Tools
OntarioMD con nues to raise awareness on virtual care tools to support physician prac ces during COVID-19. Soon a er the onset of COVID-19, OntarioMD hosted weekly webinars presented by our Chief Medical Officer and Peer Leaders to educate and train physicians on
the use of virtual tools in their prac ces. The webinars were a ended by more than 800 physicians and the recordings are available for ongoing reference. A new series of webinars are planned to cover addi onal topics related to virtual care as well as new webinars for
clinicians joining OHTs to become more familiar with the digital health tools cited in the Digital Health Playbook and deployed by OntarioMD.

OntarioMD staff are con nuing to engage with physicians to ensure prac ces are well-supported and trained in their use of digital health tools and services to care for pa ents in person and virtually. The proven efficiency and effec veness of digital tools such as HRM,
OLIS, provincial viewers, i4C Dashboard and eConsult con nues to generate demand for these services.

In collabora on with the OMA, OntarioMD also regularly sends communica ons directly to physicians across the province about virtual care developments, and new educa onal resources.

Virtual Care Resources and Billing Advice
OntarioMD con nues to develop virtual care resources for physicians on OntarioMD.News and OntarioMD.ca adds relevant informa on from partners and vendors. While OntarioMD does not specifically endorse any of the tools listed, physicians are finding the curated list
valuable to help them select tools that are right for their prac ces and their pa ents. Prac ces are encouraged to contact vendors directly for product-specific ques ons.

Physicians are also directed to the OMA for guidance on policy and billing and to Ministry InfoBulle ns for the latest direc ves.

Ontario Virtual Care Clinic
OntarioMD and the OMA con nue to support the Ontario Telemedicine Network’s Ontario Virtual Care Clinic (OVCC) at seethedoctor.ca to serve pa ents who cannot access their family physician. The OVCC was launched on April 3 with the goal of reducing the wait for
pa ents who were accessing Telehealth Ontario services. Ini ally, demand was modest. On April 15, the OVCC was launched directly to the public and Telehealth Ontario and Health Care Connect implemented changes to simplify the referral process to the OVCC.
OntarioMD provides support to OVCC physicians; is monitoring referral volumes and adjusts the schedule of physicians (using MetricAid scheduler) on shi to meet pa ent demand.

Health Report Manager: Contribu ng to Timely Care During COVID-19
OntarioMD collaborated with Ontario Health to implement HRM delivery of no fica ons to physicians’ EMRs to tell them that COVID-19 test results are available in the Ontario Laboratories Informa on System (OLIS). HRM also delivers discharge informa on to EMRs from
hospitals that are COVID-19 assessment centres. This is in addi on to the pa ent informa on in the 2 million other reports per month HRM delivers from more than 500 hospital and specialty clinic sites across Ontario to EMRs. Reports that are COVID-19 related are clearly
iden fied to get physicians’ a en on.

HRM has also begun delivering consulta on reports for referrals generated through the Ocean eReferral Network, developed by CognisantMD, to community-based physicians’ EMRs. Physicians no longer have to rely on fax to receive these reports and know what the next
steps are in their pa ents’ treatment. While HRM makes regular enhancements to increase the electronic delivery of pa ent informa on into EMRs, the value of this integra on is especially important during the current pandemic.

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
11/25/2020                                                                                                                        Executive Notes Cont.

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

1. Execu ve Notes for April Con nued
Other Digital Health Products & Services
Connec ngOntario ClinicalViewer Bundle – OntarioMD has now connected over 1,500 community-based, primary care clinicians provincially to obtain a ONE® ID, ONE Mail and the Connec ngOntario ClinicalViewer.

OntarioMD Privacy and Security Training Module – Physicians are health informa on custodians (HICs) under the Personal Health
Informa on Protec on Act (PHIPA) and need to be kept up-to-date on this privacy legisla on and educate themselves and their staff on how to fulfill their obliga ons to protect Personal Health Informa on (PHI) on an ongoing basis. OntarioMD’s online Privacy
and Security Training Module meets this need by offering educa on on key topics such as safeguarding PHI from breaches and security incidents, and how to comply with PHIPA obliga ons. The training is more important than ever as clinicians move to quickly adopt new
virtual care tools.

More than 2,500 clinicians and their prac ce staff have completed the training, which is available at OntarioMD.ca. The module is frequently updated with the latest informa on and can be accessed from any internet-connected device.

OntarioMD Cer fied EMR Update
The transi on of OSCAR 19 EMR cer fica on from OSCAR EMR to the WELL EMR Group was completed on April 30,
2020, and moving forward, OSCAR clients will be supported by WELL EMR Group.

EMR Communi es of Prac ce
Four EMR Communi es of Prac ce (CoPs) were successfully transi oned from the Associa on of Family Health Teams of Ontario (AFHTO) to OntarioMD. The CoPs bring together clinicians, prac ce staff, advisers and vendors to collaborate and leverage their collec ve
wisdom to improve access to, and use of, EMRs and other digital health tools. The four EMR CoPs are: PS Suite EMR (TELUS Health), Accuro® EMR (QHR Technologies), OSCAR and Clinic Informa on System (P&P Data Systems). OntarioMD is excited to host and par cipate in
the CoPs s on a regular basis to facilitate the sharing of informa on and knowledge.

OntarioMD Conference
OntarioMD will be taking its EMR: Every Step Conference virtual in the Fall of 2020 offering the same relevant virtual care content and its popular Peer Leader-led EMR roundtables for which physicians would receive con nuing medical educa on credits. Our objec ve is
to provide an excellent learning and networking experience for all prac ce staff to match the in-person EMR: Every Step Conference, which recently won a gold Hermes Crea ve Award for Print Media, Integrated Marke ng Materials. Well done team!

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ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for
11/25/2020                                                                                                                  Introduction p.4

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

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
11/25/2020                                                                                                      Quarterly Growth p.5

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020
 5. Quarterly Growth by Product/Service

                                                                                      Quarterly Growth by OMD Product or Service
      Total Physicians (December 31, 2019)        Total Physicians (March 31, 2020)    Quarterly growth
                                                                                                                                                                                                        10%
                                                                                                                                                                     26034 26034
                                                                                      10.2%
                                                9.2%
   25000

                                                            22633                                                                                                                                       5%

                                                                                                      1.6%                                                1.8%                           1.9%
                                                                                                                                           1.2%
   20000                                                                                                                                                                                                0%
                        0.9%                                                                                               0.5%
                                                                                                                                                                        0.0%
                   16674 16824                                      16918

                                                                                                                                                                                                        -5%
   15000
                                                                                                                                                       13852 14096

                                                                                                                                                                                                        -10%
                                                                                                  10117 10276       10186 10241
   10000

                                                                                                                                                                                                        -15%

     5000
                                                                                                                                                                                                        -20%

                                         1578      1723                         1531     1687
                                                                -25.3%                                                                  931    942                                    894    911
                                                                                                                                                                                                        -25%
         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

 Note. Source of the data is eHealth Ontario.
                                                                                                                                                                                                                     5
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11/25/2020                                                                                                               Figure 1 p.6

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020
   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    Specialist    Not Specified

                                                                                                                                                                                6,133
      6,000

      5,000

      4,000

      3,000

                                                                                                                                                              2,219

      2,000                                                                                                                                                       2,264

                                                                                                                                                                                    1,462
                                                                                                                            1,293

      1,000
                                                                                                         605                        614
                                                                                         325                                                   383
                        196 262                                                                131             140                                                        151               125
                                  5     53    20    1   13     3      1   1    98   1                6               13                   16         80   3                                       38   4   1   17   45   2   26   72 2
          0
                         ABELMED       Alpha Global          Avaros       AwareMD       Canada Health Indivica Inc.          OSCAR EMR          P & P Data        QHR           Telus Health      WELL EMR     YES Medical        YMS
                                          iT Inc.                                        Systems Inc.                                          Systems Inc.   Technologies       Solu ons         Group Inc.     System
                                                                                                                                                                  Inc.

   *Source of the data is OntarioMD’s CRM system.

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11/25/2020                                                                                                                   Figure 2 p.7

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

    Figure 2: EMR Adop on by Physician Type and LHIN

                                                                                         EMR Adop on by Physician Type and LHIN
      Physician type     General Prac    oner     Specialist    Not Specified

                                                                                                                                                                    1,390
      1,400                                                                                            1,366

      1,200
                                                                                                                      1,103

                                                             1,011
      1,000                                                                                                                              956
                                                                                                           901
                                 862                                                                                                                                                                                         855
                                                                                         805
        800

                                                                           614                                            608
        600                                   582
                                                                 559
                                                                                                                                                                        530
                                                                                                                                             448        450
                                                                                                                                                                                               426
                                                                                                                                                                                   397                                         395
        400
                                                                                            325
                  286              280                                         268
                                                   236
                       187                                                                                                                                                                                    199                  194
        200                                                                                                                                                                          164
                                                                                                                                                          127
                                                                                                                                                                                                     88             79
                                                                                                                 17               34                                          13
                             5           7               7             7             4            9                                                11           4                          4              7              4
              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
    *Source of the data is OntarioMD’s CRM system.                Brant
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11/25/2020                                                                                                                          Figure 3 p.8

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

   Figure 3: Physicians Par cipa ng in Provincial Products/Services by LHIN

                                                                                     Physicians Par cipa ng in Provincial Products/Services by LHIN
     Physician type    General Prac          oner    Specialist       Not Specified
     1,600
                                                                                                                      1,540

                                                                                                                                                                                   1,427
     1,400
                                                                                                                                   1,305
                                                                                                                         1,276

     1,200
                                                                     1,107                                                                                                                                                                          1,119
                                                                                                                                                    1,067

     1,000

                                 873                                                                 888
                                                                                                                                       819
       800

                                                                         683                                                                                                           663
                                                    647
                                                                                    610
       600
                                                                                                                                                        585
                                                                                                                                                                   507                                             515
                                                                                                           424                                                                                    435
                396                    376
       400
                                                                                          326                                                                                                                                                           334
                                                          298                                                                                                                                                                       282                       284
                      264                                                                                                                                                241
                                                                                                                                                                                                        207
       200                                                                                                                                                                                                               149
                                                                                                                                                                                                                                          110
                                                                                                                              76              57
                                             22                 20             22               12               15                                           21                             22               12               35
                            11                                                                                                                                                 7                                                                7
          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                                                                                                                                                                                            8
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11/25/2020                                                                                                          Figure 4 p.9

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

   Figure 4: Physicians Live on HRM by LHIN

                                                                                                 Physicians Live on HRM by LHIN
        Number of physicians with HRM          % of physicians with HRM that are OLIS users
     1,400

                                                                                                               1,364                                                   92.4%
                                    89.7%                                                            1,266                                                                          89.6%
                                                                                                                                                                                                                            90%

     1,200                                                                                                                     1,151                                                                           87.2%
                                                                                                                                                         86.9%
                                                                                                                               85.9%
                                                                                                     85.2%
                                                 84.5%
                                                                                                                                                          991                                                               85%
     1,000                                                                                                                                  85.4%
                                                              933
                    83.3%                                                                 841
                                                                                                               82.6%
                                                             82.1%
       800                                                                               81.2%                                                                                                                              80%
                                                                          80.1%
                                    677          659

       600                                                                 563
                                                                                                                                                                                                                            75%
                     449                                                                                                                                               449
                                                                                                                                             398
       400

                                                                                                                                                                                     270                                    70%

       200
                                                                                                                                                                                                   108          117

                                                                                                                                                                                                  63.9%                     65%
             0
                 Erie St. Clair   South West   Waterloo      Hamilton   Central West   Mississauga   Toronto   Central      Central East   South East   Champlain   North Simcoe   North-East   North-West   Not Specified
                                               Wellington     Niagara                    Halton      Central                                                          Muskoka
                                                            Haldimand
                                                               Brant

   *Source of the data is OntarioMD’s CRM system.
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11/25/2020                                                                                                      Figure 5 p.10

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

  Figure 5: Physicians Live on OLIS by LHIN

                                                                                              Physicians Live on OLIS by LHIN

                                                                                                    2,237

    2,000

                                                                                                                                                         1,720

                                                                                                              1,543
    1,500
                                                            1,349
                                                                                                                                1,272
                                  1,184

    1,000                                                                               969

                                                648                       685
                                                                                                                                             593
                                                                                                                                                                                     548
                   499
      500                                                                                                                                                              455

                                                                                                                                                                                                  267
                                                                                                                                                                                                                178

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

  *Source of the data is eHealth Ontario.
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11/25/2020                                                                                                           Figure 6 p.11

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

    Figure 6: Clinicians with ONE ID®

                                                                                                    Clinicians With ONE ID
      Clinician Type    Nurse     Physician

                                                                                                                  6,345

      6,000

      5,000

      4,000

      3,000
                                                                                                                                  2,448
                                                                     2,190                                                                                                    2,268

      2,000                                                                                                                               1,745 1,729
                                          1,445                                                   1,540
                                                                                                          1,428
                                                                                          1,069                           1,061                                       1,049                       1,035
                                                        951    896                                                                                             924
      1,000                                                                         794                                                                                                                   780
                                                                                                                                                                                            733                 656
                           627      591                                       602                                                                                                     588
                    491                                                                                                                                  516
                                                                                                                                                                                                                      414
                                                  311

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

    *Source of the data is eHealth Ontario.
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11/25/2020                                                                                                       Figure 7 p.12

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

     Figure 7: Physicians Using eNo fica ons by Vendor

                                                                                    Physicians Using eNo fica ons by Vendor
       6,000

                                                                                                                                                               5,481

       5,000

       4,000

       3,000

                                                                                                                                                  2,028
       2,000

                                                                                                                 1,121
       1,000
                                                                                                   560
                                                                                    232
                          94              50                            45                                                           134                                      45
                                                            7                                                                                                                               16        30
              0
                      ABELMED        Alpha Global        Avaros       AwareMD     Canada       Indivica Inc.   OSCAR EMR           P & P Data      QHR      Telus Health   WELL EMR     YES Medical   YMS
                                        iT Inc.                                    Health                                         Systems Inc. Technologies  Solu ons      Group Inc.     System
                                                                                Systems Inc.                                                       Inc.

     *Source of the data is internal files for tracking eNo fica ons.

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11/25/2020                                                                                                    Figure 8 p.13

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

     Figure 8: Physicians Using eNo fica ons by LHIN

                                                                                        Physicians Using eNo fica ons by LHIN
       1,400

                                                                                                    1,229     1,245
       1,200

                                                                                                                               1,065
                                                                                                                                                       1,037
       1,000

                                                                      840
         800
                                                                                         713

                                      629
                                                    605
         600
                                                                             491
                        446                                                                                                                429
                                                                                                                                                                  402
         400
                                                                                                                                                                                                     344
                                                                                                                                                                             268

         200
                                                                                                                                                                                         100

              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 internal files for tracking eNo fica ons.
                                                                                                                                                                                                                13
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11/25/2020                                                                                                                Figure 9 p.14

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

    Figure 9: Ontario eConsult Penetra on by Indicator

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

                                                           38.5%                                         10,098
      10,000
                                                                                                                                                                     35%

        8,000                                                                                                                                                        30%

                                                                                                                                          6,388
                                                                                                                                                                     25%
        6,000

                                                                                                                      21.0%

                                                                                                                                                                     20%

        4,000

                                                                                                                                                                     15%

                                              2,119                                                                               2,116
        2,000
                                                                                                                                                                     10%
                                                                        815
                                                                                                                                                               339
                                                                                                                                                    5.3%
             0
                                                       Champlain BASE   ®                                         Ontario eConsult            OTN Teledermatology

    *Source of the data is the Ontario eConsult Centre of Excellence.

                                                                                                                                                                             14
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11/25/2020                                                                                                              Figure 10 p.15

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020
 Figure 10: Ontario eConsult Penetra on by LHIN

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

                                                                                                            1,697
                                                                                                                                                           39.18%
                                                 36.41%
   1,600
                                                                                                                                                                                                                       35%

   1,400

                                                                                                                                                                                                                       30%
   1,200

                                                               1,066                                                      1,082
                                  25.92%
   1,000                                                            27.30%
                                                                                                                                                                                                                       25%
                                                                                                              22.75%
                                 787
     800                                                                                                                                    755
                                                                                                                                                                       710
                                                640                                                                                                       638
     600                                                                         18.80%       572                                                                                            586                       20%

                  17.57%
                                                                                                                                                                                   470
                                                                                                                                                                                              18.77%
                 387                                                                                                386                                                             15.96%
     400                                                                        351                                                          14.97%
                                                                       291                                                                                                                                305          15%
                                                      233                                                                                                       250
                                       204                                                                                                                                                                 15.08%
     200
                                                                                                                                 139
                                                                                                                                                  113                                              110
                        68                                                            66            64                       12.85%                                          68         75
                                                                                                                                                                                                                46
        0                                                                                      11.19%                                                                   9.58%                                          10%

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

*Source of the data is the Ontario eConsult Centre of Excellence.
                                                                                                                                                                                                                             15
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11/25/2020                                                                                                             Figure 11 p.16

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

     Figure 11: Ontario eConsults Sent

                                                                                                     Ontario eConsults Sent
          April 2020    May 2019 to April 2020      Rate per 1000
       18000
                                                                                                                                                                            17242

                                                                                                                                                                                                                           12
       16000

       14000                                                                                                                                              10.0
                                                                                                                                                                                                                           10

       12000
                                                                                                                                                                                                    8.8

                                                                                                                                                                                                                           8
       10000                                           7.3

         8000
                                                                                                                                                                                                                 6.8
                                                                                                                                                                                                                           6
                                                                                                                 6166
         6000                                            5747
                                                                          4728                                                                                5001                                     4942
                                                                                                             4.8
                                                                                                                                                                                                                           4
         4000                             3523                           3.2
                                                                                                                                                                                      3.9
                                       3.6                                                                                        2465
                                                                                                   1858                                         2085                                      1888
         2000                                                                         1484                                                                           1394                                           1597
                             1157
                                                   566            564               1.6                    675                                                                                                             2
                       123          374                                          127         226                           269            217           399                         171          295          104
              0                                                                                      1.5
                   Erie St. Clair South West      Waterloo        Hamilton Central West Mississauga        Toronto          Central      Central East   South East   Champlain       North       North-East   North-West
                                                  Wellington       Niagara                Halton           Central                                                                  Simcoe
                                                                 Haldimand                                                                                                          Muskoka
                                                                    Brant

     *Source of the data is the Ontario eConsult Centre of Excellence.
                                                                                                                                                                                                                                  16
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11/25/2020                                                                                                    Figure 12 p.17

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

      Figure 12: Physicians Live on Dashboard by LHIN

                                                                                 Number of Physicians Live on Dashboard by LHIN
                                                                     152

        140

        120
                                                                                                       110
                                                                                                                                                               107

        100                                                                                                                          98

                                      80
         80
                                                                                                                         70
                                                                                            67

         60                                           56
                                                                                                                                                                                      50
                                                                                                                                                   47
                                                                                39
         40

                                                                                                                                                                                                   25
                       21
         20                                                                                                                                                                14

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

     *Source of the data is internal files for tracking dashboard par cipa on.
                                                                                                                                                                                                               17
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11/25/2020                                                                                                 Figure 13 p.18

ONTARIOMD STAKEHOLDER REPORT: Products and Services by LHIN for April 2020

      Figure 13: OntarioMD Privacy and Security Training Completed by LHIN

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

                                                                                                                                                                 299
        300

        250
                                                                             234
                                                                                                 217
                                                                                          207
        200
                                                                                                       184
                                                                                                                                                                                      168
                                                                                                                                                           160
        150                                           139

                                                                                                                         111
        100                                                                                                                     93                  92                                              97
                                                                                                                 86
                                                                                     73                                               73                                         71
                                                                                                                                              63                            64
         50
                                                            37          33
                                       26       21                                                                                                                                             23
                                                                                                                                                                       19
                                 13
                   2                                              6
                         0
          0
                 Erie St. Clair South West     Waterloo      Hamilton Central West Mississauga   Toronto          Central      Central East   South East   Champlain    North    North-East   North-West
                                               Wellington     Niagara                Halton      Central                                                               Simcoe
                                                            Haldimand                                                                                                  Muskoka
                                                               Brant

     *Source of the data is OntarioMD’s CRM system.                                                                                                                                                          18
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