1. OntarioMD’s EMR Maturity Model Advancing Optimization and Use Ontario College of Family Practice Annual Scientific Assembly Presented By: Darren Larsen, MD, CCFP, MPLc November 29. 2013

2. Faculty/Presenter Disclosure Faculty: Dr Darren Larsen Program: 51 st Annual Scientific Assembly Relationships with commercial interests: Receive consultant fees from OntarioMD Inc. and the Canadian Medical Association and salary from Ontario Medical Association

3. Disclosure of Commercial Support This program has received financial support from OntarioMD in the form of development and implementation funding. This program has received no in-kind support from Potential for conflict(s) of interest: Dr. Darren Larsen has received payment OntarioMD Inc which developed a product that will be discussed in this program, the EMR Progress Reporting Tool

4. MITIGATING POTENTIAL BIAS [Explain how potential sources of bias identified in slides 1 and 2 have been mitigated]. Refer to “Quick Tips” document

5. EMM PROGRESSION AT EHEALTH ©2012 OntarioMD Inc. Confidential, not to be reproduced without permission5 2011 Concept 2012 Model 2013 Production

6. ALIGNMENT TO QUALITY AGENDA ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission6 QUALITY IS… SAFEEFFECTIVEEFFICIENT PATIENT CENTRED ACCESSIBLE SUSTAINABLE EQUITABLE

7. SUPPORTS MOHLTC OBJECTIVES ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission7 Innovations in care QBPQIPs Health Links

8. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission8 EMR MATURITY MODEL Innovative and useful tool for assessing EMR adoption in community care practices Detailed maturity roadmap of potential EMR capabilities Six levels of maturity starting with basic functions first, then moving towards advanced and complementary functions Developed with direct input from OntarioMD’s Physician and Office Manager Peer Leaders Aligns with COACH’s national tool for broader comparisons of system performance

9. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission9 FEATURES Online Self-Assessment Benchmarking Reports Gap Analysis/ Potentials for advanced EMR use Online Resources, Tools and Useful Links

10. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission10 BENEFITS TO PRACTICES Opportunities to advance EMR use and experience in enhancing patient care Real-time access to measure of own performance vs. colleagues Customized and personalized goal setting Support from a network of peer leaders with advance EMR experience at no cost. Accelerated learning and access shared best practices/knowledge from experienced physicians & field staff Earn Mainpro-C Credits by completing one or more Linking Learning to Practice exercises

11. ONTARIO’S EMR MATURITY MODEL ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission11

12. EMR MATURITY LEVELS ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission12 Strengthen Integrated Care Transform Practice Efficiency

13. EMR ADOPTION PROGRESS TODAY ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission13 Respondents: N=62

14. HOW TO GET STARTED ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission14 7 Steps to Achieve the full benefits of an EMR Become aware of the EMR maturity benefits 1 Assess your current EMR use 2 Identify gaps & opportunities for change 3 Implement improvement projects 5 Evaluate Impact 6 Set personalized goals 4 Review and Move to Next Assessment Phase 7

15. EMR PROGRESS REPORTING ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission15 Launch App Here

16. EMR PROGRESS REPORTING ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission16

17. EMR PROGRESS ASSESSMENT ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission17

18. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission18

19. INTERACTIVE CHART ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission19

20. Individual Performance vs. Colleagues ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission20 Also available by Sole Practice 0r Primary Care Group

21. ONLINE RESOURCES, TOOLS AND LINKS ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission21

22. Pilot Site PROFILE SUMMARY OF RESPONDENTS 15 persons completed the EMR progress survey 13 Family Physicians 2 Healthcare Providers 7 groups participated Years in Use ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission22

23. PILOT PRACTICE TODAY ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission23

24. CURRENT STATE: PERFORMING WELL ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission24 Practice Administration Communication & Coordination Patient Education Chronic Disease Management Laboratory Results Management Medication Management Nomenclature Consistency Level 2 Established Clinical Documentation Level 3 Advance Disease Support Management Clinical Encounter Documentation Patient Assessment Tools Preventive Care/Follow-Up

25. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission25 7 Steps to Achieve the full benefits of an EMR Become aware of the EMR maturity benefits 1 Assess your current EMR use 2 Identify gaps & opportunities for change 3 Implement improvement projects 5 Evaluate Impact 6 Set personalized goals 4 Review and Move to Next Assessment Phase 7

26. AREAS TO IMPROVE ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission26

27. AREAS WE NEED TO IMPROVE

28. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission28 7 Steps to Achieve the full benefits of an EMR Become aware of the EMR maturity benefits 1 Assess your current EMR use 2 Identify gaps & opportunities for change 3 Implement improvement projects 5 Evaluate Impact 6 Set personalized goals 4 Review and Move to Next Assessment Phase 7

29. READY TO ADVANCE ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission29 Chronic Disease Management Reporting Capabilities Data Quality Management Moving beyond Basic Record Keeping Self-Care/Co-Management (Improving patient engagement) Privacy & Security (Knowledge Gap) Business Continuity Planning (Awareness) Advancing to Higher Functions

30. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission30 7 Steps to Achieve the full benefits of an EMR Become aware of the EMR maturity benefits 1 Assess your current EMR use 2 Identify gaps & opportunities for change 3 Implement improvement projects 5 Evaluate Impact 6 Set personalized goals 4 Review and Move to Next Assessment Phase 7

31. CONTACT INFORMATION ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission31 Find out how you can participate today!!!! 150 Bloor Street West, Suite 900 Toronto, Ontario, M5S 3C1 Support: 1 866 744 8668 Fax: 416 623 1240 Email: info@ontariomd.cominfo@ontariomd.com Contact Us

32. THANK YOU! ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission32 darren.larsen@ontariomd.com Questions?