Table 2. Jurisdiction Characteristics .

	Year eConsult Started	Volume of eConsults (2020)	Average Population Served/Million Inhabitants (2020)	Summary of eConsult Scale-Up Progression
Ontario	2009	65 672	14.7	Province-wide scale-up began in 2018 Service managed through the Ontario eConsult Centre of Excellence, which was created in 2018 Provincial pro-rated fee for specialists (2009) and fee-for-service tariff for PCPs (2012)
Quebec	2017	2446	8.6	Pilot project in three regions ran from 2017 to 2021 Province-wide service launched in May 2021 Provincial fee-for-service tariff approved for specialists and PCPs (June 2021) Service integration with regional dispatch centers for referrals to specialists was underway as of August 2021
Manitoba	2017	1926	1.4	Pilot project ran from 2017 to 2021 SharePoint platform set up for pilot project used during the transition period (beginning April 2021) Specialists paid (pro-rated fee) through transitional funds from government Spread put on hold in April 2020 Onboarding, support, and training managed through provincial infrastructure as of April 2021
Newfoundland & Labrador	2016	3074	0.5	Developmental project ran from 2016 to 2020 Provincial service integrated into provincial EMR launched in 2020 Fee-for-service tariff approved for specialists in May 2020 Ongoing scale-up of the service province-wide

Abbreviations: EMR, electronic medical record; PCPs, primary care professionals.