Ontario clinic pilot — 2026

Same inbox.
Less mental load.

AI-assisted triage for community-based clinics. FlowMD reads incoming messages and suggests routing, urgency, and missing information — so your team stops sorting and starts caring.

Built for Ontario clinics. Designed around OMD-certified EMRs.
Suggestions only — your team always decides.

Inbox illustration showing messages pre-sorted by urgency and role
The challenge

Every day starts with the same challenge

Community clinics receive a constant stream of prescription renewals, referrals, lab reports, portal messages, and administrative forms. Most EMRs are passive repositories — every message has to be read, categorised, and routed before any care decision begins. The cost isn't the volume. It's the constant interruption.

Mixed messages

All types of communications arrive in a single inbox without clear differentiation.

Hidden urgency

Urgent and routine requests look identical at first glance.

Manual sorting

Staff must read and categorise every message before real work begins.

Misaligned effort

Highly trained clinical staff spend valuable time triaging instead of helping patients.

The solution

What if messages arrived pre-sorted?

FlowMD reads each incoming message and adds four pieces of context — before your team opens it.

Suggested role

System indicates whether the message is best handled by physician, nurse, or administrative staff.

Suggested urgency

Messages receive a suggested priority level based on content and clinical context.

Clear reasoning

Each suggestion includes a brief explanation of why it was classified that way.

Staff control

Team members review suggestions and make final routing decisions, with full override capability.

Important: FlowMD operates in assistive mode only. It never routes, replies, or acts on its own. Every decision stays with your team.
EMR inbox screen with FlowMD suggestion panel showing role, urgency, and reasoning chips beside each message
No new tools

No new tools. No new workflow.

FlowMD layers on top of your existing inbox. Your team sees the same messages they see today — with a small panel of suggestions next to each one.

TodayWith FlowMD
Single inbox with mixed contentSame inbox, enhanced with suggestions
No visible urgency indicatorsSuggested role and urgency level
Manual triage requiredBrief explanation for each suggestion
Staff determines routing independentlyStaff reviews and decides final action
Side-by-side inbox comparison: plain inbox on the left, same inbox with FlowMD suggestion chips on the right
Integration

No new workflow to learn

FlowMD connects to your existing channels. Your team's day doesn't change — it just starts with more context.

1. Message arrives

Communications continue to arrive through your existing channels without disruption.

2. Review suggestion

Staff see suggested routing and urgency alongside the message content.

3. One-click decision

Accept the suggestion, or override with your own judgment. One click either way.

4. Audit trail

Clear documentation of every decision, for quality assurance and ongoing learning.

Horizontal flow diagram: Message arrives → Review suggestion → One-click decision → Audit trail
Deployment

Built around clinical safety. Rolled out in phases.

01 Proof of value

Phase 1 — Proof of value

We test FlowMD's accuracy against representative inbound data from your clinic. No live workflow changes.

Clinic lead + FlowMD team

02 Controlled pilot

Phase 2 — Controlled pilot

FlowMD runs alongside your current process. Every suggestion requires human confirmation. We measure accuracy and time saved.

Triage staff, with weekly check-ins

03 Integration

Phase 3 — Workflow integration

FlowMD integrates with your OMD-certified EMR. The team uses it daily, with full override and audit visibility.

Whole clinic

The goal is workflow optimisation, not diagnostic automation. We move to the next phase only when your team is ready.

Measurement

If we can't measure it, we don't claim it.

90–95%

Triage accuracy

How often FlowMD's suggestion matches what your team would have chosen. Preliminary experiments: 90–95%.

Human agreement rate

Human agreement rate

How often staff accept a suggestion without override. The gap is where we improve.

Before vs. after

Inbox processing time

Average minutes from message arrival to routed action, measured before and after FlowMD.

Baseline → end

Staff satisfaction

Surveyed at baseline, mid-pilot, and end. Both clinical and administrative staff.

Estimated impact: ~1 minute saved per inbound message, ~12.5 hours per week for a clinic of five physicians. To be validated in your pilot.
Privacy & security

Built for PHIPA. Designed for clinical control.

PHIPA-aligned by design

FlowMD is built to operate within Ontario's Personal Health Information Protection Act (PHIPA) framework. Data handling, retention, and access logging follow PHIPA principles. Hosting on Canadian infrastructure with no cross-border data transfer in default configuration.

Clinician-in-the-loop, always

FlowMD never sends, replies, files, or routes on its own. Every action requires a human decision. The system is assistive — it does not practise medicine, does not make diagnostic determinations, and does not replace clinical judgment.

Full audit trail

Every suggestion FlowMD makes, every override, and every accepted decision is logged. Your clinic owns the data. You can export, review, and delete at any time.

FlowMD is designed to integrate with OMD-certified EMRs. Certification work is in progress; we'll publish status as it advances.

Is it right for you?

Designed for community-based clinics

FlowMD is built for the daily reality of family medicine and community practice in Ontario. If any of these sound like your clinic, the pilot is for you.

  • 3 to 15 physicians, mixed with nursing and administrative staff
  • Shared inbox handling 100+ messages per day across renewals, referrals, labs, and portal communications
  • Currently using an OMD-certified EMR (OSCAR, Accuro, Telus PS Suite, or similar)
  • Looking to reduce administrative burden without changing core workflows
  • Willing to spend 30 minutes a week reviewing measurement results during the pilot
Not a great fit for: hospitals, specialist clinics with highly bespoke triage rules, or practices that prefer to defer all messages to a single nurse triage role today.
Illustration of a community clinic team — physician, nurse, and admin — reviewing an organised inbox together
FAQ

Questions clinic managers ask us

Will FlowMD make decisions on its own?
No. FlowMD only suggests. Every routing decision, urgency assignment, and action is made by your staff. There is no auto-routing, no auto-reply, no auto-anything.
Does FlowMD replace our nurse triage?
No. It removes the part of triage that's pure sorting — so the nurse triage that requires clinical judgment gets your team's full attention.
What EMRs does FlowMD work with?
We're designed for OMD-certified EMRs. Initial integrations target OSCAR, Accuro, and Telus PS Suite. If you use a different OMD-certified EMR, tell us in the pilot application.
Where is patient data stored?
On Canadian infrastructure. PHIPA-aligned. No cross-border transfer in default configuration. We can share the technical architecture document under NDA before you commit.
What if FlowMD gets a suggestion wrong?
Your staff overrides it with one click. Every override is logged and feeds back into accuracy measurement. We expect overrides — that's how the system improves and stays honest.
How long is the pilot?
Phase 1 takes 2–4 weeks. Phase 2 typically runs 8–12 weeks. Phase 3 is ongoing once your team is comfortable.
What does the pilot cost?
The pilot is structured to be low-risk for the clinic. We discuss commercial terms after the initial walkthrough — terms depend on clinic size and pilot scope.
Who at the clinic needs to be involved?
A clinic manager or operations lead, one physician champion, and one person from triage staff. About 30 minutes per week during the pilot.
What happens to our data if we end the pilot?
You can export and delete all FlowMD data at any time. Nothing is retained beyond what your clinic chooses.
Is FlowMD a medical device?
No. FlowMD is an administrative workflow tool. It does not make diagnostic or treatment recommendations. It classifies and routes communications — the clinical decisions stay where they belong.
Pilot programme

Apply for the FlowMD pilot

We're working with a small group of Ontario clinics through 2026. If you're interested in being part of the pilot cohort, tell us a little about your practice and we'll be in touch within two business days.

Canadian infrastructure

Data stays in Canada. PHIPA-aligned from day one.

30 minutes a week

That's all we ask of your team during the pilot.

Exit any time

Export your data and leave whenever you choose. No lock-in.

Prefer a conversation first? Email us at hello@flowmd.ca
or book a 20-minute walkthrough.