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The Ottawa T2-OFF is known for its focus on evaluating and improving the efficiency of offloading patients from ambulances to emergency departments. It aims to reduce delays in transferring care from paramedics to hospital staff, ultimately enhancing patient care and operational efficiency in the emergency medical services system. This initiative involves collaboration between multiple stakeholders, such as paramedics, hospitals, and policymakers, to streamline processes and improve outcomes for patients and healthcare providers alike.