1. OntarioMD’s EMR Maturity Model & Reporting Advancing Optimization and Use e-Health 2013 Accelerating Change Conference Presented By: Darren Larsen, MD, CCFP, MPLc Michael Pray, MD, CCFP Plumaletta Berry, MHI May 28, 2013

2. Faculty/Presenter Disclosure Faculty: Dr. Michael Pray, Dr. Darren Larsen Relationships with commercial interests: Dr Michael Pray Contracted by OntarioMD Inc., Peer Leader funding from Canada Health Infoway Dr. Darren Larsen Contracted by OntarioMD Inc., Peer Leader funding from Canada Health Infoway Employee of Ontario Medical Association

3. Disclosure of Commercial Support This program has received financial support from eHealth Ontario via OntarioMD Inc., in the form of funding for development Potential for conflict(s) of interest: Darren Larsen and Dr. Michael Pray have received payment from OntarioMD Inc.

4. EMR MATURITY MODEL & REPORTING EVOLUTION ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission4 2011 Concept 2012 Model 2013 Production

5. ALIGNMENT TO QUALITY AGENDA ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission5 QUALITY IS… SAFEEFFECTIVEEFFICIENT PATIENT CENTRED ACCESSIBLE SUSTAINABLE EQUITABLE

6. SUPPORTS MOHLTC OBJECTIVES ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission6 Innovations in care QBPQIPs Health Links

7. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission7 EMR MATURITY MODEL Innovative and useful model for assessing EMR adoption in community care practices Detailed maturity roadmap of existing and potential EMR capabilities Five levels of EMR 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

8. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission8 KEY FEATURES Online Self-Assessment Benchmarking Gap Analysis/ Potentials for advanced EMR use Online Resources & Tools Access to Peer Leaders

9. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission9 BENEFITS TO PRACTICES Opportunities to advance EMR use and experience in enhancing patient care Measure of own performance vs. colleagues Customized and personalized goal setting Support from a network of peer leaders with advance EMR experience. 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

10. ONTARIO’S EMR MATURITY MODEL ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission10

11. EMR MATURITY LEVELS ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission11 Strengthen Integrated Care Transform Practice Efficiency

12. EMR ADOPTION PROGRESS TODAY ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission12 Respondents: N=62

13. HOW TO GET STARTED ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission13 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

14. EMR PROGRESS REPORTING ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission14

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

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

17. INTERACTIVE CHART ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission17

18. ONLINE RESOURCES AND TOOLS ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission18

19. HAMILTON FAMILY HEALTH TEAM 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 permission19

20. WHERE WE ARE TODAY ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission20

21. CURRENT STATE: PERFORMING WELL ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission21 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

22. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission22 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

23. AREAS WE NEED TO IMPROVE ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission23

24. AREAS WE NEED TO IMPROVE

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. READY TO ADVANCE ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission26 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

27. ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission27 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

28. CONTACT INFORMATION ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission28 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

29. THANK YOU! ©2013 OntarioMD Inc. Confidential, not to be reproduced without permission29 darren.larsen@ontariomd.com Questions? michael.pray@ontariomd.com plumaletta.berry@ontariomd.com