ESO https://www.eso.com/ Fri, 20 Jun 2025 19:27:49 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.1 Coming in 2026: A New, Easier Way to Submit TQIP Data https://www.eso.com/blog/coming-in-2026-a-new-easier-way-to-submit-tqip-data/ https://www.eso.com/blog/coming-in-2026-a-new-easier-way-to-submit-tqip-data/#respond Fri, 20 Jun 2025 19:27:49 +0000 https://www.eso.com/?p=25951 Big changes are on the horizon for trauma centers participating in the American College of Surgeons (ACS) Trauma Quality Programs (TQP). Starting in January 2026, a new data submission process...

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Big changes are on the horizon for trauma centers participating in the American College of Surgeons (ACS) Trauma Quality Programs (TQP). Starting in January 2026, a new data submission process will be implemented, making it easier and faster to submit your trauma data. 

What’s changing? 

Instead of manually uploading files, healthcare facilities will be able to submit data directly from their trauma registry software to the TQIP Data Center. This new process is designed to: 

  • Improve data quality and timeliness  
  • Reduce administrative workload   
  • Streamline your workflow   

ESO is ready and here to help. 

We’ve been working closely with the ACS to prepare for this transition. Our team already has the technical requirements and is actively developing the necessary updates to support the new process in 2026. 

What does this mean for you? 

Here are answers to some common questions: 

  • Which ESO products will support the new submission process? 

Only ESO Patient Registry will be updated to support the new TQIP submission process in 2026. Legacy patient registry products (CDM, DI, and Lancet by ESO) will not be updated to support this new process for 2026 submissions. 

  • Can I still use my legacy registry for TQIP submissions in 2026? 

Yes. You will be able to continue submitting TQIP data using your current legacy product in 2026. We have confirmed with the ACS that the existing submission portal will remain available, so your current manual process will not change. The ACS is aware that we are not updating the legacy registry products. 

The ACS recently communicated that although the current manual process will continue to be an acceptable data submission method, they cannot guarantee that the option will be available beyond 2026. Please be assured ESO will continue collaborating closely with the ACS throughout this transition to ensure our legacy patient registry customers are represented in future decisions.  

  • Do I need to do anything now? 

No immediate action is required. But if you’re interested in upgrading to ESO Patient Registry to take advantage of the new streamlined process, fill out this form and a member of our team will reach out to you. 

Stay in the loop 

We’ll keep you updated throughout the year with everything you need to know. Check your inbox for more details as we move closer to launch. 

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Introducing the OneDose and ESO EHR integration https://www.eso.com/blog/introducing-the-onedose-and-eso-ehr-integration/ https://www.eso.com/blog/introducing-the-onedose-and-eso-ehr-integration/#respond Wed, 11 Jun 2025 13:00:22 +0000 https://www.eso.com/?p=25916 Great news for EMS agencies: ESO EHR and Hinckley Medical’s OneDose are now fully integrated, streamlining the dosing and documentation process for pre-hospital providers across the country. Through streamlined data...

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Great news for EMS agencies: ESO EHR and Hinckley Medical’s OneDose are now fully integrated, streamlining the dosing and documentation process for pre-hospital providers across the country. Through streamlined data transfer between the two apps that eliminates tedious reentry, this easier workflow will reduce risk of error while improving overall efficiency and patient outcomes.  

Both Hinckley Medical and ESO Solutions are committed to using data and technology to empower EMS agencies to provide the best possible outcomes for patients in their community, which makes this integration a natural next step for both companies. 

By integrating with OneDose, clinicians using EHR will now be able to dose and document all patient treatments, interventions, and protocol adherence directly into ESO. This will allow critical NEMSIS (National EMS Information System) data – such as patient weight, medications, and treatment – to automatically sync, eliminating duplicate documentation and ensuring precision.

OneDose is designed to eliminate the cognitive load of having to calculate dosing in high stress situations by providing all medication and equipment necessary in just a click, along with timestamped treatments for more accurate record keeping.  

In addition to real-time documentation, customizable protocols, and in-app notifications, here are some key OneDose benefits coming to ESO EHR 

  • Instant calculation of necessary medications, equipment, and more 
  • Comparison of pre-scene estimates with point-of-care actual weights 
  • Full access to your organization’s protocol 
  • Comparison of estimated versus actual weights of medication dosages  
  • Automatic patient interaction history tracking 
  • One-stop-shop for management of medication calculations, equipment sizes, and provider guidelines 
  • Updated push protocols to team members with receipt verifications 

These new benefits combined with ESO EHR’s concise documentation, easy-to-read dashboards, and quickly accessible patient records will allow providers to keep their focus on their patient while accessing vital patient information and specialty forms that inform care in real time.

To learn more about the benefits of this powerful integration, check out the full press release from OneDose.  

To learn more about ESO EHR and how it can improve critical data capture for your team, check out the product page.

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Why Whole Blood Is Gaining Ground in Trauma Care  https://www.eso.com/blog/why-whole-blood-is-gaining-ground-in-trauma-care/ https://www.eso.com/blog/why-whole-blood-is-gaining-ground-in-trauma-care/#respond Thu, 22 May 2025 19:59:52 +0000 https://www.eso.com/?p=25843 Hemorrhage is the leading cause of death within the first hour of trauma care. According to the American College of Surgeons and Joint Trauma System, uncontrolled bleeding causes about 30%...

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Hemorrhage is the leading cause of death within the first hour of trauma care. According to the American College of Surgeons and Joint Trauma System, uncontrolled bleeding causes about 30% of trauma-related deaths in the U.S., making it the most common preventable cause of death in trauma.  

As trauma teams push to improve survival, one intervention is gaining renewed attention: whole blood.

The U.S. military started using whole blood in World War I, but it fell out of favor with blood component availability. Military air evacuations revived whole blood use in the early 2000s, and by 2016, most civilian air medical services carried it. Since then, whole blood use has steadily grown, especially in high-volume and Level I trauma centers.

The 2024 ESO Trauma Index offers a detailed analysis of current trends and benchmarks in trauma care, setting a new standard for improvement and allowing healthcare professionals to get a closer look at the data, understand its impact, and explore best practices for enhancing patient outcomes. Pulling data from the world’s largest de-identified trauma registry data program, the Index’s insights reflect over 975,433 trauma patient records that took place between January 1 and December 31, 2023. One of the key metrics covered in the Trauma Index is whole blood usage.

Key Findings

The 2024 ESO Trauma Index, for the first time, looked at all patients who received blood/blood products. Some of the key findings include:

  • Among the almost 70,000 trauma patients who received a blood transfusion, 5% received whole blood only, 87% received packed red blood cells (PRBCs), and 8% received both whole blood and PRBCs. 
  • The median time to whole blood delivery among all patients who received whole blood was 13 minutes. That’s good news.  
  • For patients who met the Early Blood Transfusion Needs Score (EBTNS), a score of greater than five and received whole blood, 98% received whole blood within four hours, the goal. 
  • The median time to transfusion for trauma patients who received PRBCs was 12 hours. Considering that 87% of transfusion recipients receive PRBCs, 12 hours is concerning.

Are PRBCs Enough? 

PRBCs remain a mainstay of trauma care. They help stabilize patients and support volume replacement during hemorrhage. But PRBCs alone can lead to over-resuscitation, clotting problems, or metabolic disturbances. The 2024 ESO Trauma Index shows that more than 50% of trauma patients arrive hypocalcemic. 

The increase in EMS agencies and trauma centers administering whole blood is driven by military and civilian research showing that early whole blood transfusion can significantly improve outcomes for patients in hemorrhagic shock.

Key Recommendations from the 2024 ESO Trauma Index 

Hospital trauma centers looking to strengthen transfusion practices should consider these best practices: 

  • Track and review all transfusions administered within three hours of injury. 
  • Monitor calcium levels during transfusion and provide supplementation. 
  • Implement or refine massive transfusion protocols.  
  • Administer TXA early, ideally within three hours of injury. 
  • Use point-of-care coagulation testing (e.g., TEG, ROTEM) to guide treatment. 
  • Develop rapid-access systems for blood products, even in non-critical scenarios. 

Yet, for all its good, whole blood remains expensive and challenging to manage. For trauma centers committed to incorporating whole blood, hospitals and EMS partners should: 

  • Set clear protocols for blood handling, transfusion, and storage. 
  • Coordinate closely with trauma centers and blood banks to manage supply. 
  • Support community blood drives to maintain availability. 
  • Provide ongoing training to EMS professionals administering blood products. 

Whole blood isn’t new, but its return is evidence-backed and outcome-driven. For trauma centers committed to faster intervention and better survival, it may be one of the most powerful tools available.

Want more whole blood benchmarks and guidance? Download the full 2024 ESO Trauma Index for the complete picture. 

 

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ESO Auto-Generated Narratives: Tech that follows your lead https://www.eso.com/blog/eso-auto-generated-narratives-tech-that-follows-your-lead/ https://www.eso.com/blog/eso-auto-generated-narratives-tech-that-follows-your-lead/#respond Mon, 19 May 2025 20:12:23 +0000 https://www.eso.com/?p=25838 Cut documentation time up to 80% and stay in control “At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together.”...

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Cut documentation time up to 80% and stay in control

“At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together.”

– Dr. Brent Myers, Chief Medical Officer at ESO

Filling out patient care reports has always been an important, yet time-consuming, part of an EMS provider’s shift. Every field filled in. Every note written. And then, the narrative – summarizing the whole event in a readable, detailed story.  

With ESO, that story writes itself (when you ask it to). 

This month, ESO released the much-anticipated Auto-Generated Narrative feature to ESO Electronic Health Record (EHR) customers, transforming documentation in first response as we know it. By drawing directly from structured data already entered in the record, ESO’s Auto-Generated Narrative writes a full narrative summary ready for review.

EMS organizations have the power to opt into this new feature, helping their crew complete reports faster – without compromising accuracy or control.  

“The efficiency improvement we’ve seen with the ESO Auto-Generated Narrative has been significant, saving about 20 minutes per report. From a quality management perspective, it simplified the administrative function. From the crew’s side, it’s obvious it shortened their documentation time. They’re still reviewing every narrative, and so far, I don’t think we’ve had one that hasn’t been touched. This feature is a game changer that paints an accurate picture of the care they provided.”

– Jeff Sadtler, Chief of EMS and Fire Services at West County EMS and Fire Protection District

It’s already saving time and making an impact. 

ESO’s Auto-Generated Narrative was beta tested by about 50 EMS organizations across the country. In testing, this feature reduced total documentation time by up to 80%. On average, crews also saw a 30% drop in time to lock a patient record. 

This capability, which is intentionally optional, can now be enabled organization-wide for EHR customers at no additional cost. Once activated, providers complete the chart as usual, click a button to generate the narrative, and finalize it after making any needed edits.

If you’re already an ESO EHR customer, check out our quick-start guide for instructions on how to activate Auto-Generated Narrative.

Embracing AI with intention

Still in its infancy, AI has already proved itself to be a powerful, efficient tool innovating various industries. At ESO, we are focused on applying it thoughtfully, in ways that help those on the front lines. That’s why Auto-Generated Narrative is designed with transparency, reliability, and provider control in mind.  

The automated narrative draft is created based only on what has been captured discretely into the chart. Providers retain full control of the narrative throughout the process. 

Auto-Generated Narrative is not just automation for the sake of it – it’s a direct response to how our customers work and what they need: more time for patient care, fewer hours spent documenting it, and confidence that records are complete, consistent, and accurate. 

What you should know about ESO Auto-Generated Narrative 

  • Available now for all ESO EHR customers at no additional cost 
  • Accessible in EHR iOS, EHR Windows mobile and EHR Web
  • Activated by your organization’s admin in settings 
  • Includes an inline prompt for providers to review and edit the draft before finalizing 

Ready to auto-generate your patient care narratives?

Auto-Generated Narrative is just one of ESO EHR’s new innovative features aimed at empowering first responders in better caring for their communities. New features such as Critical Care workflows and the recently released Longitudinal Record feature support EMS organizations in alternative forms of care they provide to their communities along with giving an overall more holistic patient overview.  You can learn more about the new and improved Electronic Health Record, now including Auto-Generated Narratives, here 

See how ESO Auto-Generated Narrative can transform documentation for your team by signing up for a demo to see the benefits live.  


See it in action

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Wave 2025 Recap: Top 5 Topics in Hospital and Trauma Care https://www.eso.com/blog/wave-2025-recap-top-5-topics-in-hospital-and-trauma-care/ https://www.eso.com/blog/wave-2025-recap-top-5-topics-in-hospital-and-trauma-care/#respond Fri, 09 May 2025 15:45:16 +0000 https://www.eso.com/?p=25806 ESO’s annual WAVE conference brings together hospitals, fire departments, and EMS agencies for four days of sharing and practical learning. The event emphasizes using data and technology to improve patient...

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ESO’s annual WAVE conference brings together hospitals, fire departments, and EMS agencies for four days of sharing and practical learning. The event emphasizes using data and technology to improve patient outcomes and advance the health of communities. WAVE 2025 in Austin, Texas, was no exception. It highlighted some of the most urgent issues and forward-looking solutions for changemakers in hospital and trauma care, and five major themes emerged.

1. Good data is the foundation 

Providing consistent, high-quality care isn’t a one-person job; it’s a system-wide effort. At Wave 2025, speakers emphasized the value of collecting accurate data, sharing benchmarks, building feedback loops, and supporting providers with the information and education they need to act.  

It’s been said that there are three kinds of falsehoods: a fib, a downright lie, and statistics. Dr. Remle Crowe and Ali Treichel from ESO want to ensure no one falls prey to the third one in session, Dogs and Data: A Cautionary Tail.  They shared how to gauge the quality of study results, what statistical jargon means, and the importance of staying curious about results.   

For fans of the show “Ted Lasso,”  TowerDIRECT’s Jason Drinkwater, Paramedic V – Quality Coordinator, led a familiar-sounding session: Be Curious, Not Furious: A Data-Driven Approach to Change. Before jumping to fix a perceived problem, it’s imperative to ask questions of the right people. Always include frontline workers for valuable insight and buy-in. Otherwise, you know what happens when you assume. 

2. Stay in step with change 

Trauma care is a lifelong profession for many. Presenters shared experiences, best practices, and evidence-based research to spotlight ways to stay in step with trends and technology.  

First responders – and indeed, all healthcare providers – must demonstrate their value to taxpayers, patients, employers, payers, city council, and more. In From Data to Impact: Proving the Value of the Services You Deliver, Matt Zavadsky, EMS/Mobile Healthcare Consultant at PWW Advisory Group, shared which types of data resonate with stakeholders and how to tailor information to satisfy each. The practical takeaway: “Value is based on who is writing the check.” 

Leveraging the ESO Patient Registry During an American College of Surgeons Site Survey, presented by Matthew Derkrikorian, Trauma Program Manager at Rady Children’s Hospital, offered a look at how Rady Children’s Hospital prepared for and completed the first ACS Site Survey using ESO’s updated registry.

Next, for trauma centers wondering how their performance compares nationally, ESO’s Dr. Tony Fernandez shared findings from the 2024 ESO Trauma Index in Benchmarking Care for Quality Improvement. Download the report for new insights and best practices. It’s a valuable tool to spark quality improvement conversations.  

In Sepsis Treatment: Good for the Patient and the Payor, Erik Axene, CEO and Founder of Axene Continuing Education, updated attendees on trends and evidence, including artificial intelligence (AI) and machine learning solutions, trying to get ahead of this deadly issue.  

Building Resilience: The Power of Standardization in Navigating Change showed how CommonSpirit Mountain Region approached a trauma registry upgrade by centralizing and standardizing operations. Melissa Sorensen, RN Trauma Registry Manager, shared how the process built collaboration and positioned the team to adapt effectively.

3. Culture that supports improvement 

Many sessions acknowledged a hard truth: data alone isn’t enough. Change happens when organizations build a culture that embraces reflection, transparency, and learning. 

Brooke Burton, Quality Improvement Manager at Unified Fire Authority, led Mistake or Murder: What Can EMS and Hospitals Learn from the Vanderbilt Case? The in-depth examination showed how hospital culture contributes to patient and worker trust.  

Scott Bourn from ESO led a practical session, Strategies for Influencing Change Using Data, reminding us that how you use data and information matters. If statistics were enough, no one would smoke! Knowing how to influence without judgment is crucial for improving internal hospital culture and providing supportive patient care. 

A Call to Action: Amplifying the Roles of the Level III and Level IV Trauma Centers, led by Kelli Vaughn, Trauma Program Manager at John D. Archbold Memorial Hospital, detailed how Georgia’s smaller trauma centers, long excluded from larger system initiatives, created a standing committee to shape care across all levels of trauma care. .

Finally, Michael Kaduce, Director at The Falck Health Institute, addressed the challenge of how to start a quality improvement project. Once your hospital team has data in hand and leadership on board, pick something low-cost and high-impact. He provided ideas, examples, and tools in Bringing Research to Frontline Providers: Supporting Your Quality Management Program. 

4. EMS-hospital collaboration improves outcomes 

Multiple sessions focused on the continuum of care. Hospitals that make real-time data accessible to EMS agencies and close the loop on outcomes see stronger relationships, better documentation, and improved patient care. 

In the session From the Roadside to the Bedside to the Hospital Boardroom, Jonathan Sague, Regional Chief Operating Officer, shared how University Hospitals (UH) are redefining EMS-hospital collaboration. By treating EMS as partners and sharing timely data and feedback, UH improved care transitions, documentation quality, and frontline morale. As a bonus, stronger EMS relationships can increase patient volume, which leads to financial gains and hospital growth. 

Next, Justin Nelson, EMS Liason at VHC Health, shared their experiences with ESO Health Data Exchange (HDE) in The Bridge to Better Patient Outcomes. Instead of three separate interfaces plus encrypted email to communicate with EMS agencies, VCH only uses HDE. Stronger EMS relationships translated into a 7% increase in volume, and 91% of patient records match – up from 18%.  

In A Healthcare Shift: How Virtual Nursing and Hospital at Home Programs Are Changing The Landscape of Patient Care, Lisa Meyer from ESO examined how virtual care is reshaping patient interaction models – and what that means for EMS and hospital alignment moving forward.

5. Challenge precedent 

In a conference centered on using data, multiple sessions tackled common beliefs and techniques that no longer serve trauma care.

In the popular Hot Topics in Trauma Care, experts Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, Dr. Samir Fakhry, VP for Center for Trauma and Acute Care Surgery at HCA, and ESO’s Dr. Brent Myers examined evidence on trending issues in trauma care. High points included:

  • Delaying surgery to ‘tune up’ patients doesn’t help, as COPD won’t be cured in three days.
  • Blame pickleball for the increase in geriatric falls.
  • There is enough data to support whole blood use in trauma. But haven’t solved delivery or replenishment.
  • Not all traumas require a full trauma activation.
  • Prepare for increased pediatric behavioral health and pediatric gun violence.

Next, in Ketamine Therapy for the Wounded Helper, Dr. Alexandra Jabr, Educator at Emergency Resilience, shared research and personal experiences with Ketamine as part of a holistic approach to PTSD. She presented evidence and distinguished medical versus recreational use, while addressing its limited FDA approval and credibility.

Taking aim at hospital-wide issues like overcrowding, burnout, and boarding in It’s Everyone’s Problem: The Ongoing Challenge of Patient Flow and Capacity Constraints, Lisa Meyer from ESO shared tactics hospitals are deploying to reduce adverse events and improve patient movement.

Configuring Your Trauma Registry for Successful Reporting and Performance Improvement featured Lee Ann Wurster, Trauma and Burn Program Manager at Nationwide Children’s Hospital, who detailed how intentional registry setup and onboarding helped maintain real-time abstraction and continuous reporting.

Stay ahead of what’s trending in the industry

Our data experts at ESO compiled a few resources to help you keep up with a shifting industry while using aggregated data to ensure your organization stays at the top of its game. Check out the 2024 ESO Trauma Index to see where your organization stands against national benchmarks in important metrics. 

It’s not too early to start thinking about Wave 2026! 

Mark your calendars for April 7-10, 2026, to join us in Austin, TX, for four days of thought leadership, networking, and learning. If you’re interested in being the first to get the inside scoop on what data-driven advancements and technologies are trending industry-wide, mark your calendars and stay tuned to register.  

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Wave 2025 Recap: Top 5 Topics in EMS and Fire   https://www.eso.com/blog/wave-2025-recap-top-5-topics-in-ems-and-fire/ https://www.eso.com/blog/wave-2025-recap-top-5-topics-in-ems-and-fire/#respond Tue, 06 May 2025 20:18:41 +0000 https://www.eso.com/?p=25781 Every April, first responders and data enthusiasts alike gather in Austin, Texas, for the annual leading EMS, fire, and hospital industry conference. For four days, top thought leaders from these...

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Every April, first responders and data enthusiasts alike gather in Austin, Texas, for the annual leading EMS, fire, and hospital industry conference. For four days, top thought leaders from these industries meet to hear the latest trends, innovations, and research reshaping the industry, learn how to better support their teams to get ahead of the tide, and network with other data-driven leaders.

Held from April 22-25, Wave 2025 covered a variety of impressive topics throughout the week. Here are the five themes that were at the forefront of discussions in fire and EMS:

1. Artificial Intelligence   

 

Front and center on the world stage, AI is an incredible new technology that we’re only skimming the surface of what it can bring to the industry. Despite the fact that we need to proceed cautiously and responsibly, we’re excited to see how its role will continue to evolve in the years to come.  

At Wave, the air was abuzz with talks surrounding AI. Chief Innovation Officer of Cincinnati Children’s Hospital, Todd Ponsky, used his session Global Education Moonshot: Using AI and Media to Transform Medical Knowledge Access to shed light on the new technology’s role in fighting global disparities in patient care.  

Cincinnati Fire Department’s program manager, Robert Hug then shared how his department is transforming their documentation and analyses of their data through the integration of AI into Snowflake in Beyond ChatGPT: Unlocking the Power of AI in Snowflake.  

Finally, we learned how ESO will be tackling AI from ESO Senior VP of Engineering Russell Beggs, Senior VP of Product Reinhard Ekl, and Chief Innovation Officer Brandon Martinez in their session Artificial Intelligence in ESO Products: Efficiency Gains You Can Trust. They discussed the responsible approach ESO is using to harness the new technology to improve the efficiency and accuracy of documentation through our new auto-generated narrative feature. 

 

2. Mobile Integrated Healthcare 

EMS is on the front lines of providing medical care for their communities, treating the most vulnerable of society, oftentimes on a repeated basis. More than ever before, data and strategic partnerships are being used as tools for empowering first responders to get to the root of patients’ issues through Mobile Integrated Healthcare/Community Paramedicine programs. These programs can be incredibly impactful for both the agencies and the patients they treat.  

Kicking off the discussion, Associate Chief Medical Officer of Global Medical Response, Gerad Troutman, explored the power of these alternate care models in redirecting non-life-threatening cases away from the ER while providing proactive care for repeat callers in his talk From Sirens to Solutions: How EMS Data is Driving Smarter Healthcare, 

Then, in Unifying Community Paramedicine (CP) and Mobile Integrated Health (MIH) Data: A NEMSIS Initiative, NEMSIS Technical Assistance Center Program Director Kevin Nicholes discussed how impactful data unification can be for MIH/CP programs in improving everything from patient outcomes to billing practices.  

Continuing to drill down into the importance of partnerships to MIH/CP programs, we learned how agencies across the city of Tulsa combined forces to leverage their different strengths and skills in order to get to the root of their patients’ problems thanks to Aligning Community Data for the Common Good by Tulsa Fire Department Chief of EMS, Justin Lemery.  

Finally, even though MIH/CP is an impactful tool for providing care for your community, you need the right funding to make it happen. Asbel Montes from Solutions Group Services gave us the rundown on what not to do when seeking a bigger budget in his talk, The Top 5 Costly Mistakes to Avoid When Seeking Additional Funding for MIH/CP. Then EMS/MIH Consultant Matt Zavadsky of PWW Advisory Group dove into the importance of using data to prove the value of the services you provide in From Data to Impact: Demonstrating Your Agency’s Value to the Community.  

 

3. Data-driven innovations 

Every day, organizations use ESO data to do incredible things, but without the framework to define, measure, and reduce errors in data, you can’t pull quality insights from the information gleaned. This was emphasized in Reducing Errors, What Percentage of Plane Crashes Would Be Okay?, where Cox Health EMS Medical Director Matthew Brandt shared strategies for using data to improve care, foster accountability, and ensure adaptation, along with in Be Curious not Furious: A Data-Driven Approach to Change by TowerDIRECT Paramedic Jason Drinkwater, where we learned how to measure what matters.  

Then, in Conducting Qualitative Research with Your Team: A Crash Course of Meaningful Outcomes, Fire Chief Dr. Brett Ellis from the City of Webster Grove took it a step further, teaching us it’s not just data quality that needs to be considered but who’s benefiting from the data that it pays to use qualitative research that reflects the personalities and passions of your team.  

We also learned that although data and technological advancements are doing incredible things for first response, organizations need to decide what’s best for them. In Assessing Your Technology Needs: A Practical Roadmap for Smarter Solutions, a session by Principle of Acceleration Strategies, Robert Edson, gave insights into how to determine which innovative tools are necessary for your organization without overspending or underutilizing resources. 

We also drilled down into what we should be measuring as an industry. Recently, data has shown that response times aren’t a reliable indicator for measuring outcomes, as they rarely reflect the quality of care provided. Chief Medical Officer of the Forth Worth Office of the Medical Director, Jeffrey Jarvis, is well versed on the topic and used his talk, Improving Clinical Care Using National EMS Quality Alliance (NEMSQA) Benchmarks, to share what your organization should be measuring instead. 

Using EMS Data to Drive Safety: Resources, Lights, and Sirens by UNC Department of Emergency Medicine’s EMS Chief Medical Officer Joseph Grover and Beyond Response Time Standards, the Evolution of Contract Compliance by Global Medical Response Clinical Quality Managers Brad Cramer and Jake Shores, both also dove into response but focused more on best practices for minimizing lights and sirens usage without sacrificing standard of care.  

We also learned how data is helping us build a better offense in our efforts to keep our communities safe. In Why Risk Reduction Planning Zones are Essential, AP Triton Senior Associate Frank Blackley discussed how the right insights can help agencies more effectively visualize and reduce risks. In the FSRI Fire Dynamics Research Update, UL-FSRI Director of Research Craig Weinschenk gave us the latest learnings related to WUI fires, electrical fires, and search and rescue. 

Cary Fire Department’s Fire and Emergency Services Analyst Blake Boyd raised another good point regarding measuring outcomes in Outliers: An Inclusive Conversation. He led a discussion on how traditional data analysis methods hinder fire departments’ ability to identify and manage outliers and what best practices could be taken instead.  

There are many uses for data. It doesn’t just push us towards better patient outcomes or help us get paid, as discussed by Systems Design West Education Direction Alissa Christenbury in Data-driven insights: improving ambulance billing through documentation analysis, but it is also a tool for keeping our teams safe. In The Power of Reporting: Using Data to Foster Trust and Prevent Violence, Commander Mandy Johnston of Peel Regional Paramedic Services spoke to the violence paramedics face on the job, along with the role data reporting can play in supporting prevention efforts. Then, in PPE Exposure to Energy Storage Fires, Texas A&M Division Director Chris Angerer discussed the data-driven best practices for protecting your department from the devastating impacts of exposure.  

SCEMSA Executive Director Henry Lewis really hit home the importance of data and how, when we work together in a unified front to utilize our collective insights and talents, we can do incredible things. His talk Leveraging Data for EMS Funding: the SCEMSA Story shared how the South Carolina EMS Association has overcome both a hiring and funding deficit by doing just that. 

This leads us to create the right culture around your data – from using insights to transform your leadership, as discussed by Dare County EMS Deputy Chief Terence Sheehy in Transformative Leadership: Don’t Give Up the Ships, to the importance of promoting the creation and use of data at your own organization as touted by the President/CEO of International Public Safety Data Institute, John Oates, in his talk What is Your Data Culture?, we were taught a lot about making your agency a hub for fostering excellence and growth.  

 

4. Prehospital and hospital interoperability  

Day in and day out, EMS providers make critical decisions with lives weighing in the balance. Today, data and technology are instrumental in closing the feedback loop and ensuring they have the necessary information to make the right call the moment they need it.  

In ESO Health Data Exchange (HDE): The Bridge to Better Patient Outcomes, VHC Health EMS Liaison Justin Nelson discussed how his team used ESO HDE to better facilitate communication with their partners, increasing feedback loop closures from 11% to 94% and increasing overall EMS transports by 7%, which ultimately transformed both the quality and quantity of the care they were able to provide.  

In Precision Under Pressure: How Technology Is Transforming Prehospital Dosing and Clinical Support, Hinkley Medical CEO Tristen Hazlett and Physician Abraham Campos gave us a run down on how powerful data-driven decision-making can be in shaping the future of prehospital care while Gaining “Insight” into Patient Acuity: Enhancing Response Plans by Linking Emergency Medical Dispatch (EMD) Codes to Patient Care Interventions by Wake County EMS Deputy Medical Director Jefferson Williams explained how insights can improve patient-based response planning and prioritization today. 

As the role of fire and EMS continues to rapidly change beyond first response, data is helping them to become a bigger part of the patient care continuum than ever before. In The Evolving Role of Fire and EMS in Healthcare, Axene Continuing Education CEO & Founder Eric Axene, MD, FACEP, discussed how data-driven partnerships are transforming the relationship between prehospital and hospital care.  

The more we understand the entire continuum of care, the clearer we can see EMS’s full range of capabilities for treating patients and the impact they make. In To Transfuse or Not to Transfuse: Using ESO Data to Evaluate the Utility of Implementing a Prehospital Blood Product Program, Medical Director of Cincinnati Fire Department, Dustin Calhoun, dove into the current state of prehospital 911 blood product administration and our learnings thus far.  

 

5. NERIS 

The nervous excitement around NERIS was palpable at Wave, and crowds were out the door for sessions surrounding the new system. UL-FSRI Director of Research Craig Weinschenk led a session called National Emergency Response Information System (NERIS): Changing the Future of Fire Departments, where he gave a highly anticipated update on what’s currently happening with the project and how NERIS is set to transform the industry.  

In NERIS is Near Us, ESO product experts Jennifer Billingsley and Katie Heins gave a demo on the brand new NERIS-compliant Fire Incidents and answered a wide range of questions regarding the new response system. If you missed it, have no fear. You can check out our NERIS FAQs here, and if you don’t find an answer to your questions, submit them here, and we’ll be happy to assist you.  

Stay ahead of what’s trending in the industry

Our data experts at ESO compiled a few resources to help you keep up with a shifting industry while using aggregated data to ensure your organization stays at the top of its game. Check out the 2025 ESO EMS and Fire Services Indices to see where your organization stands against national benchmarks in important metrics. Pulling from the ESO Data Collective, the Indices help your team see where you’re on top of your game and areas that are ripe for improvement, along with sharing best practices that promote growth. 

Read the 2025 ESO Fire Service Index

Read the 2025 ESO EMS Index

It’s not too early to start thinking about Wave 2026! 

Mark your calendars for April 7-10, 2026, to join us in Austin, TX, for four days of thought leadership, networking, and learning. If you’re interested in being the first to get the inside scoop on what data-driven advancements and technologies are trending industry-wide, mark your calendars and stay tuned to register.  

 

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(Q1/2025) ESO Updates: Quarterly Product Enhancements https://www.eso.com/blog/q1-2025-eso-updates-quarterly-product-enhancements/ https://www.eso.com/blog/q1-2025-eso-updates-quarterly-product-enhancements/#respond Tue, 29 Apr 2025 23:10:34 +0000 https://www.eso.com/?p=25740 Welcome back to another edition of ESO quarterly product updates. Here, you’ll find the latest changes from Q1 2025 and the exciting updates to come in Q2. With our new...

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Welcome back to another edition of ESO quarterly product updates. Here, you’ll find the latest changes from Q1 2025 and the exciting updates to come in Q2. With our new and improved Ideas Portal, providing feedback and suggestions to our team is easier than ever, ensuring our customers’ voices are present throughout every update, enhancement, and new capability. If you haven’t visited the Ideas Portal yet, be sure to check it out soon!  

Content applicability by product 

Building Blocks  EMS  Fire  Hospital  State 
ESO Suite | Login Update  X  X  X  X 
Fire Incidents | NERIS Beta    X     
EHR | iOS General Availability  X       
EHR | Stryker LIFEPAK 35 General Availability  X       
Logis Dispatch / EHR | Integrations for MIH  X       
Patient Registry | Bulk Procedure Entry      X   
Patient Registry | FHIR Integration for Cerner      X   
PM | Compensation (Payroll) Update    X     
Assets | Preventive Maintenance Foundations  X  X     
ODL | Content Development and GenAI  X  X  X  X 
Data Platform | Sisense upgrade  X  X  X  X 
Data | Direct shares  X  X  X  X 
Insights | Global dashboards  X      X 

ESO Suite Login Update 

We are excited to unveil the latest update to the ESO Suite Login. This enhancement streamlines the login process, offering you a more intuitive and secure experience. With improved authentication methods and faster access, you can now effortlessly log in to the ESO Suite, ensuring less time spent on administrative tasks and more time providing quality care.
This update reflects our ongoing commitment to optimizing user experience and enhancing the efficiency of healthcare operations. Stay tuned for more updates as we continue to innovate and improve our product offerings to better serve the healthcare community. 

 

Fire Incidents | ESO NERIS Beta Program 

NERIS Fire Incidents Beta Program 

In early March, we launched our closed beta program, which allows a select group of agencies to access, train, and experience the brand new NERIS-compliant Fire Incidents. In turn, the agencies in the beta program are providing valuable feedback to help us refine and improve the application further. The beta program includes features such as progressive disclosure, rich text editing for narratives, and GIS integration for address fields. We have encouraged the agencies involved to include both administrators and field responders in the testing process to gather diverse feedback and ensure the application meets the needs of all users in their transition to NERIS.
 



NERIS Data Exchange Compatibility Badge  

We are proud to announce that ESO has officially received our NERIS Data Exchange Compatibility Badge, signifying that ESO Fire Incidents meets all new NERIS compliance requirements while maintaining ease of use, data accuracy, and intuitive reporting.  

This badge signifies that you can feel confident in trusting ESO Fire Incidents to provide everything you need to smoothly transition to NERIS and stay ahead of the biggest change in fire reporting in the past 50 years. Moving forward, ESO will continuously enhance Fire Incidents while further integrating it with other applications within the ESO suite to ensure a comprehensive solution that continues to support the new NERIS standard while enhancing application capabilities and user experience.  

EHR | iOS General Availability 

EHR for iOS is now available to all, marking a major step forward for ESO.  Designed to provide you with the proper tools to enhance patient care and quickly enter quality data, this latest release introduces Longitudinal Record (LR), Siri Integration, and Mobile to Mobile (M2M). 

Built with the needs of first responders in mind, EHR for iOS offers a user-friendly interface, seamless integration with EHR Web and Windows Mobile, and robust security features to ensure patient data is protected.  

 

Here are some key features to look out for: 

  • CAD & Cardiac Monitor Integration: The application supports integration with cardiac monitors and CAD systems, enhancing your ability to swiftly monitor and respond to patient needs. Supported cloud monitor integrations include Zoll Online (X Series), LIFENET System (LP 12, 15, and 35), and Philips IntelliSpace Corsium (Tempus ALS). 
  • Robust Security: EHR for iOS supports multi-factor authentication (MFA), Single Sign-On (SSO), and 6-digit Numeric PINs to support multiple crew members. 
  • Mobile Device Management: Agencies leveraging Mobile Device Management (MDM) to manage iOS devices in the field can now do so with a few additional steps. 
  • Medication Scanning: By using the device camera, patients’ medications can be added to their Medication list by scanning the prescription labels or lists of medications, saving your team precious time.  
  • Mobile to Mobile (M2M): Just like M2M is available with our Windows Mobile application, the EHR for iOS application supports the ability to send or receive data to and from a Windows Mobile or iOS device. 
  • Longitudinal Record (LR): Similarly to EHR for Web, EHR for iOS leverages our new Longitudinal Record feature to quickly look up and match patient information. 
  • Siri Integration: Activate Siri for hands-free entry of incident times and vital signs, as well as document flowchart treatments. It’s as simple as saying, “Hey Siri, capture pulse rate in EHR.” 

 

Now available in the App Store, EHR for iOS has undergone rigorous testing and validation to ensure it meets the highest standards of performance and security, saving your team precious time in the field.  

EHR | Stryker LIFEPAK 35 General Availability 

Our latest integration with the Stryker LIFEPAK 35 monitor/defibrillator is now available for all and is designed to provide an enhanced user experience, boosted productivity, and access to the latest technologies. Thank you to the beta agencies who helped us ensure that this integration was ready for prime time.
 

Key Features of the LIFEPAK 35 Integration with EHR: 

  1. Seamless Connectivity: Enjoy a user-friendly interface that makes it easy to connect Stryker LP 35 with ESO EHR. Experience improved performance that ensures smooth, uninterrupted data flow, allowing you to complete tasks more efficiently. 
  1. Improved Patient Care: Focus on delivery of care with the ability to import data from the monitor to EHR, reduce documentation time, and improve your data’s accuracy. 
  1. Dependability of Data: Use the strength of two trusted and dependable platforms in one high-quality solution. 

Why Choose the LP 35 Integration? 

Our integration with the Stryker LP 35 is designed to meet the needs of professionals who require reliable and efficient tools to manage their workflow. Whether you’re a responder in the field, an administrator, or a researcher, this integration offers you the functionality you need to be successful. 

Patient Registry | Bulk Procedure Entry 

 



Through customer feedback and collaboration, ESO determined that enhancing bulk procedure entry was critical to the Patient Registry user experience. This update will significantly streamline daily operations by allowing your team to more efficiently manage and execute large volumes of procedures, reducing the administrative burden while improving workflow efficiency.  

By automating routine tasks and enabling bulk processing, healthcare facilities can focus more on patient-centric activities, ensuring timely and accurate delivery of care. So far, we’ve already seen a 15% reduction in time on tasks and an 81% reduction in clicks to complete tasks. We hope that you find that this enhancement not only optimizes your resource utilization but also contributes to overall better patient outcomes and product satisfaction. 

 

Patient Registry | FHIR Integration for Cerner 




Building upon Patient Registry’s FHIR data integration with Epic, we extended the integration with Cerner to not only streamline your workflows but also enhance the overall efficiency and quality of your data. An ESO Admin page has also been launched that will allow facilities to self-configure their FHIR URLs and custom MRN identifiers. 



Stay tuned for more exciting updates on how the FHIR integrations will evolve and transform your Patent Registry experience! 

Patient Registry | “No Bloods Given” Button 



The new “No Blood” button feature on the “Blood” Flowchart section allows your team to directly interact with the “Blood Summary” modal without manually entering data field by field. This new update takes a process that originally took over 20 clicks down to just 2, saving your team vital time.  

This feature was highly requested by Registry users who need to capture data for total blood and blood within 4 hours and has already been incredibly popular with users.  

PM | Compensation (Payroll) Update 

Development of the Compensation module is in full swing. This new module will cover payroll for volunteer, combination, and pay-per-call departments and can be used in conjunction with the Pay Rates feature. By enabling the Compensation module, organizations can integrate Fire Incidents into PM, along with creating and editing compensation definitions, adding and editing rules, managing employees, and exploring the pay period history page.  



More exciting news: after our next release, your organization will be able to see live data on the pay period history page, view employees within the pay period, and dive into the calculation details, which means you can complete the entire cycle for rules based on Fire Incidents, right up to the export and finalization process. Stay tuned for more updates.  

Assets | Preventative Maintenance Foundations 

Asset Management has gone through several foundation updates to deliver a brand new end-to-end preventative maintenance functionality. Here are the updates that happened in Q1: 

  1. Meter Readings in Equipment Profiles: Similar to what’s available in vehicle profiles, meter reading fields were added to the equipment profile to capture various readings. 
  2. Maintenance Requests: When closing a maintenance request, you can now add current meter readings to the ticket, which will update the asset’s profile. 
  3. Asset Spreadsheet Upload: Meter reading fields have been added to the upload spreadsheets to support importing current meter readings when onboarding to Assets.  

These updates will allow you to enter meter readings in four different ways: by checklist submissions, maintenance requests, spreadsheet uploads, or direct edits to the asset profile. 

The Maintenance Overview page has also been updated to support end-to-end preventive maintenance workflows. With the addition of Status, Complete Date, and Request Type columns, you can now quickly reference existing open requests and see whether a request was manually created or auto-generated. 

Keep an eye out for the release of Maintenance Schedules, which will allow you to set recurring maintenance schedules based on odometer, engine hours, calendar, and more! 

 

 

Data | Snowflake Direct Shares 

ESO has released its latest data reporting and access capability – Snowflake Direct Shares. This new capability will allow you to seamlessly integrate ESO Suite reporting data into your own existing Snowflake account, as well as give you the capability to create customized queries and exports and combine ESO data with internal sources using your own data reporting tools. Eliminating the need for intermediary ETL tools, APIs, or other reporting platforms simplifies the data reporting ecosystem and reduces the management of additional credentials and access points. 

Insights | Global Dashboards 

A number of Global Dashboards were updated and released throughout Q1, but there are two groups of Dashboards we are particularly excited about: 

EHR | WEMSIS Demographic Information Reporting Dashboards 

A series of seven dashboards, the WEMIS Demographic Information Reporting Dashboards, are aimed at supporting WA customers who are required to report annual demographic data to WEMSIS. More information on the measures and submission can be found here. 

State Repo NEMSIS 3.5 | California Core Test Measures 

Five Global dashboard templates were released to support customers in CA regions and agencies by more accurately reflecting the specifications for the 5 CA core test measures for 2024 data (AIR-1, AIR-2, AIR-3, PED-4, & TRA-3). You can get more information here. 

Cross-Product/ESO Suite | In-App Enhancements

In Q1, our UX and Personnel Management team launched our Pilot Ideas Portal in Personnel Management to make it even easier for our community to share feedback and gain insights into current product roadmap ideas. This portal is designed to enhance the collaboration process and make it easier for our product team to understand and solve our customers’ pain points. The pilot was a huge success with high adoption and engagement along with positive feedback. Last quarter alone, ESO received 2198 enhancement suggestions from our community, which is an increase of 33.4% from Q4!  

Thank you for your continued hard work and dedication in helping us create tools to better support your team. We will continue to email you updates when viable ideas progress into the discovery, design, and development stages. 
 


Stay turned for further rollout in the ESO Suite!
 

What to expect next 

Here are a few more exciting enhancements currently in the works. Please stay tuned for release notes, but here’s a sneak preview of a few updates and enhancements we have planned: 

EMS 

  • AI Generated Narrative for non-transport dispositions 
  • Additional availability in Windows mobile 
  • Our new iOS application 
  • Optional use of either SOAP or DCHARTE format 
  • NEMSIS critical patch for gender to maintain compliance with NEMSIS and presidential executive order 
  • New EHR Partner API 
  • Agency custom forms for beta 

Fire 

  • NERIS  
  • GIS/Mapping for Properties Grid 
  • Inspections print and email updates 
  • Update to Hydrants for bulk actions 

Shared Apps 

  • Preventative maintenance schedules 
  • General availability of compensation  

Hospital 

  • Patient Registry has some exciting new features planned for Q2 (and beyond), including: 
    • An encounter dashboard for real-time reporting and operational workflow management. 
    • Patient summary export for generating templated reports for offline consumption. 
    • Integration with ACS to facilitate real-time encounter submissions. 

State

  • In Q2, we embark on a journey to transform the way State customers manage their providers, agencies, vehicles, and education with a new regulatory application. Leveraging the power of AI and development tools, we are poised to accelerate delivery, ensuring that our solutions not only meet but exceed your expectations. 

Cross-Product / ESO Suite 

  • Dashboard will be mobile responsive 
  • The first release of our new Query Builder 
  • An Ideas Portal launch in all product resource centers 

About Product Management at ESO  

The ESO Product Management team creates the Product Roadmap, informing the products, features, and functionality we will build next. Through daily collaboration with support, sales, customer success, industry experts, and most importantly, customers like you, our team works hard to create the best apps possible for advancing our mission of improving community health and safety through the power of data.    

Over the past year, we’ve invested in world-class tools that allow us to capture customer product feedback at scale and, in turn, make more informed roadmap decisions. These tools enable us to quickly test ideas in order to deliver features that are most valuable to you. We value your input and hope you continue to engage with us through our continuously expanding in-app capabilities. 

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Close the Gaps: Smarter EMS Information for Hospitals https://www.eso.com/blog/close-the-gaps-smarter-ems-information-for-hospitals/ https://www.eso.com/blog/close-the-gaps-smarter-ems-information-for-hospitals/#respond Mon, 28 Apr 2025 17:12:52 +0000 https://www.eso.com/?p=25681 A typical hospital produces about 137 terabytes of data per day, more than twice the data housed in the Library of Congress. Yet, up to 97% of hospital data are...

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A typical hospital produces about 137 terabytes of data per day, more than twice the data housed in the Library of Congress. Yet, up to 97% of hospital data are unused. But what if all that data helped you improve patient outcomes, streamline operations, and support performance initiatives? What could you achieve if you had a patient’s prearrival care information in hand when they arrived at the emergency department (ED)? What would change if you could see timely EMS input?  

Critical connections during emergencies 

ESO Health Data Exchange (HDE) is the critical connection between the field and the hospital, giving emergency department (ED) clinicians near real-time access to prehospital care information during time-sensitive emergencies.  

Just as your hospital evaluates and improves over time, ESO evolves its solutions to meet your changing needs. Read on to find the latest ESO HDE enhancements that provide hospitals with actionable insights into EMS activity and collaboration.  

What’s new: Enterprise Master Patient Index (EMPI)

Benefit: Automated patient match rates of over 90% in under two minutes 

Accurately matching patients with their prearrival care information is critical to patient safety, community health, and hospital business success. Poor patient-matching capabilities are both inefficient and costly. Repeated medical care because of duplicate records costs over $1,700 per ED visit, while denied claims from patient misidentification cost the average hospital $2.5 million 

ESO HDE now includes automated matching of hospital records to EMS encounters, thanks to Enterprise Master Patient Index (EMPI). This technology: 

  • Eliminates the need for paper runsheets 
  • Eliminates the need for wristband scans 
  • Greatly reduces time spent on manual searches 
  • Reduces care wait times while reconciling missing EMS records  

Hundreds of hospitals now enjoy match rates of over 90%, which automatically occur in less than 120 seconds. 

What’s new: EMPI matching for all responding units

Benefit: Shared patient outcomes and improved billing 

In addition to patient identification, ESO HDE EMPI matching allows all units and agencies responding to an incident to qualify for an EMPI match.  Without this enhancement, only the transporting EMS unit links to the patient, risking the loss of other agencies’ critical contributions because of unmatched records.  

With the ESO HDE EMPI match: 

  • All responding agencies receive patient outcome information.  
  • All responding units can learn, update training if needed, and ultimately improve patient care.  
  • All services provided can be documented and billed, reducing missed revenue. 
  • All responding units automatically process through the ESO EMPI system, which is particularly crucial for high-utilization regions. 
  • Hospitals save time by no longer having to manually share outcomes with multiple responding agencies.
     

EMPI matching for responding agencies closes a critical gap in EMS data systems – ensuring every touchpoint during a response is captured, linked, and actionable.    

What’s new: Integrated with ESO Insights  

Benefit: Operational and clinical information in easy-to-understand reports 

ESO HDE now includes ESO Insights, an integrated reporting platform that offers clear, easy-to-understand reports and visuals. Hospital leaders can embrace their data while using it to identify areas for performance improvement. ESO Insights is built with users in mind, offering point-and-click functions.  

With all the data integrated into a single data platform, pre-built dashboards for both operational and clinical views are available. For example, operational dashboards include: 

  • EMS transport summary – View EMS transport data in different ways – including the top transporting agencies, reason for transport, and why patients are choosing your facility, etc. 
  • Ambulance Patient Offload Time (APOT) by facility and EMS agency – Previously accessible only through research, this data is now available at your fingertips. 

Existing clinical dashboards include specific measures for stroke and STEMI. This offers a deep dive into understanding progress toward meeting standards

What’s new: ESO Suite enhancements 

Benefit: Improved experience
 

You asked, and we answered! Three fresh enhancements to the ESO Suite include

  1. A federated single sign-on (SSO) – Enjoy a single password for all ESO applications. Plus, your designated IT administrators can create and disable users centrally and easily. 
  1. Submit direct product feedback – When you share feedback in the suite, the product team triages it and keeps you informed about progress.    
  1. Data Exporter tool The ESO Data Exporter tool allows users to manage and export large amounts of data, simplifying data management. You can build, schedule, download, and email data exports directly.  

 

Request a demo to see how ESO HDE can help your hospital enhance patient outcomes, streamline operations, and support performance initiatives throughout the emergency services journey.
 

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Understanding Trauma Registry Annual Compliance Updates https://www.eso.com/blog/understanding-trauma-registry-annual-compliance-updates/ https://www.eso.com/blog/understanding-trauma-registry-annual-compliance-updates/#respond Tue, 18 Mar 2025 22:50:56 +0000 https://www.eso.com/?p=25560 Imagine you’re an architect tasked with designing a 10-story building. Each floor houses a different business, and each business has its own unique set of regulations and requirements to meet...

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Imagine you’re an architect tasked with designing a 10-story building. Each floor houses a different business, and each business has its own unique set of regulations and requirements to meet before it can open. 

For example, the bakery needs food safety permits. The research lab needs special ventilation for hazardous materials. The kickboxing studio needs extra soundproofing to avoid disturbing the yoga studio below. And the doctor’s office on the ground floor must follow strict medical facility guidelines. 

This building can be completed only by knowing the requirements and following a specific order during construction. It starts with a strong foundation, then gradually adds each floor; the top floor can’t open before the first floor is built. Success depends on the architect’s master knowledge, collaboration from outside agencies, and a healthy dose of patience. 

This metaphor perfectly explains how patient registry compliance works and why it’s worth waiting to get the details just right.

At ESO, we are partnering with our hospitals and regulatory organizations to ensure that we are improving community health and safety through the power of data. As your vendor, we are working diligently with regulatory organizations to which you must submit your data. These organizations can update their data annually. We are collectively working together to ensure that hospitals can accurately collect data on time to allow for successful submissions of trauma records. Compliance is a team effort internally and externally to ensure the data to be collected is the correct data being sent. We are all essential key players in data quality and integrity.

– Julie Hollan, MSN, RN, Product Manager – Registry Compliance, ESO  

Laying the foundation: National standards first 

Annual compliance includes coding updates from national, state, regional, and other entities that together, create the annual compliance customization updates. 

Before your trauma registry software can be updated with the annual trauma standards, ESO must receive the foundational data standards from the American College of Surgeons (ACS) first. This toolkit includes:  

  • Technical Specifications A document that outlines the requirements for your software to work as expected. As your vendor, ESO is responsible for ensuring your software can to accurately, efficiently, and seamlessly collect and submit trauma records. 
  • The Software Development Kit (SDK) The technical toolkit for software developers to begin coding updates. 
  • The Data Dictionary This is the guiding documentation hospitals use to abstract trauma records. It details every data point your registry must collect, the values each field can hold, and how data must be formatted. The ACS provides the National Trauma Data Standard 2025 Data Dictionary. 

The ACS typically releases these essential components mid-year, setting off the national compliance update process. Without these files, the process cannot begin, delaying foundation construction.

Creating the structure: State and regional steps 

Once the ACS national requirements are in place, state and regional trauma systems release their own data dictionaries with specific requirements. These vary widely and can include new data elements, menu values, validation rules, and additional information for data abstraction. Most notably, data dictionaries detail the formats in which the data must be reported to your state or regional regulatory organizations.

ESO partners with each state and region to identify their changes and conduct a compliance review. Importantly, ESO cannot proceed with registry updates until each state, regional trauma system, or state trauma vendor formally approves their annual compliance update requirements. 

Finishing each floor: Customization 

With national, state, and regional compliance updates available, ESO develops specific updates based on compliance needs. Whether your trauma center is accredited, designated, and/or verified, your data submission must meet the requirements of the entities your facility is accountable to, like the ACS, American Burn Association, the state, region, and/or other regulatory organizations. 

The Centers for Medicare & Medicaid (CMS) is also involved in registry compliance software updates. CMS releases new ICD-10 coding sets (PCS & CM) twice a year. ESO ensures that these coding updates are added to your registry product.  

Abbreviated Injury Scale (AIS) is connected with registry compliance software updates too. AIS2015 was released on January 1, 2025, as the coding standard starting with 2025 admissions for the National Trauma Data Standard (NTDS) and Trauma Quality Improvement Program (TQIP). 

Grand opening: Deployment

Once these updates are reviewed, revised, and ready, ESO deploys updates to each product with the capability for data collection and submissions. ESO Patient Registry is deployed into production, and hospital administrator users can configure their system accordingly. The ability to self-serve with a few clicks reduces downtime. Facilities may still need to handle some installation steps for legacy products such as ESO-DI, ESO-Lancet, and ESO-CDM. If you need assistance with these installs, reserve a time with ESO Support using the support scheduling link provided in your deployment email.

A key takeaway for those on the registry compliance journey is that each step depends on the one before it. Each building phase requires attention to detail, analysis, and collective approval of changes. If updates are delayed in one area, all areas risk delay. As your vendor, we partner with regulatory organizations to ensure data quality and integrity. Collectively, we can improve community health and safety through the power of data.

Why compliance matters

The annual compliance update process is critical to ensuring your facility’s data submissions meet standards established by national, state, and regional regulatory organizations. While the process includes many dependencies, every step is essential to ensuring your facility can submit the highest quality trauma data possible.

Trauma program leaders can focus on benchmarking and quality improvement initiatives with confidence while hospitals address accreditation and verification initiatives, all while collectively improving trauma care. 

Visualize the compliance process

Here’s a simplified look at the full compliance lifecycle for facilities in states where ESO is the state vendor.

The following table outlines each step in more detail: 

Estimated Timing*   Order  Compliance Process Activities  Who’s Involved 
June – Sept  Step 1  ACS releases the national toolkit for the next calendar year  ACS 
Step 2  ESO analyzes the national files, develops software updates  ESO 
Step 2.1  States and regions begin analyzing national files to inform their compliance changes  State/Regional Trauma Office 
Oct – Dec  Step 3  States and regions submit their finalized data dictionary changes to ESO  State/Regional Trauma Office 
Step 4  ESO begins analysis of state and regional changes to data dictionaries and technical files (XSD) 

Note, when ESO is not the State Trauma Office’s repository vendor, ESO must wait for receipt of the technical file (XSD) from the state vendor. 

ESO 
Step 5  ESO deploys national updates  ESO 
Step 6  Facilities install national updates (legacy) or receive automatic updates (ESO Patient Registry)  Facilities 
Dec – Feb  Step 7  ESO completes analysis of state and regional changes and sends changes to state and regional contacts for approval  ESO 
Step 8  State and/or region reviews and formally approves changes  State/Regional Trauma Office 
Step 9  ESO develops state and regional software updates
 
ESO 
Step 10  ESO deploys state updates and ESO deploys regional updates  ESO 
Step 11  Facilities install state and regional updates (legacy) or receive automatic updates (ESO Patient Registry)  Facilities 
Jan – June  Step 12  Facilities submit fully compliant data
 
Facility/State/Region/ACS 
Step 13  Facilities celebrate success, then pull data and reports to inform benchmarking and performance improvement   Facilities 
Step 14  Everyone prepares for the next annual registry compliance cycle   ACS, Facilities, ESO, state/ regional offices, partners, vendors, registrars…. 

*Estimated timelines are subject to change. ESO commits to providing transparent and timely updates to our state, regional, and facility partners as timelines evolve.  

Less hassle for you

Keeping your trauma registry compliant means keeping up with changes across national, state, and regional standards — a process ESO manages with you. Whether you use a legacy registry product or already upgraded to ESO Patient Registry, ESO collaborates with partners to offer technical assistance and resources to ensure your registry stays in lockstep with evolving standards.  

Every trauma registry vendor shares this responsibility, but ESO reduces the burden with ESO Patient Registry by applying updates automatically and keeping your registry up to date with minimal effort.  

That means your hospital only has one requirement: Activate your compliance updates with the click of a button once your national, state, and regional updates are available. 

Ready to upgrade?

Are ready to move away from manual updates? Visit the ESO Patient Registry page and fill out the Start My Upgrade form today.
 

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Five Reasons to Start Your ESO Patient Registry Upgrade https://www.eso.com/blog/five-reasons-to-start-your-eso-patient-registry-upgrade/ https://www.eso.com/blog/five-reasons-to-start-your-eso-patient-registry-upgrade/#respond Fri, 14 Mar 2025 18:59:48 +0000 https://www.eso.com/?p=25556 Designed for trauma professionals by trauma professionals, ESO Patient Registry is an incredibly intuitive tool made to simplify patient data collection. Currently a year into its rollout, ESO Patient Registry...

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Designed for trauma professionals by trauma professionals, ESO Patient Registry is an incredibly intuitive tool made to simplify patient data collection. Currently a year into its rollout, ESO Patient Registry is not only built by those with industry know-how, it is continuously being improved upon. By applying what we learned over the last year, the ESO team has worked tirelessly to improve the product itself, along with the onboarding process and product support.

Despite its benefits, many customers are hesitant to make the switch from their legacy ESO registry to this upgraded version, waiting instead for an event like a product end-of-life announcement. While ESO plans on announcing end-of-life dates for our legacy products over the next few years (with 12–18 months’ notice, of course), there’s no need to delay your upgrade. In fact, there are multiple reasons why you should make the switch today. Here are the top five reasons to upgrade to ESO Patient Registry:  

1. Future-proofing your registry 

Get ahead of any and all industry changes by establishing a foundation that promotes both future development and innovation. Even in its short life, ESO Patient Registry has gone through updates and iterations to ensure your team has the best possible product, setting the tone for the years to come.

2. Automating your data exchange

ESO Patient Registry now connects hospital data through FHIR for both EPIC and Cerner Millennium Electronic Health Records (EHRs), along with data from EMS partners through the ESO Health Data Exchange (HDE). This not only ensures a smoother transition of patient care but also that no data gets lost in the process, while creating some workflow efficiencies with data collection. Additionally, it automatically deploys updates for everything from bi-annual ICD-10 codes to helping maintain compliance without the unnecessary workload or downtime.

3. Controlling your transition timeline 

Transitioning to a new product isn’t without its growing pains, which is why it’s best to do so when you’re not in a time crunch. To ensure that all departments within your organization have time to get a new product approved and to account for any unexpected competing priorities that may slow down onboarding, it’s best to build in some additional time.

4. Building the registry your organization needs

By starting the upgrade process before it becomes a necessity, your team will feel less pressure and can focus instead on configuring the Patient Registry to your organization’s exact needs, which can be a time-consuming yet incredibly beneficial undertaking.   

If you’re worried about feeling overwhelmed, it’s important to know that the ESO team has developed a self-paced onboarding process to empower your team to build the registry that works best for your needs. You will also be supported by an ESO onboarding specialist, who will be with you every step of the way to guide your team through the onboarding process.  

5. Giving your team time to train 

ESO Patient Registry is an incredibly powerful tool with a ton of intuitive features designed to make your team’s job easier, and training is key to making the most of them. Although intimidating, training and education on the product will lead to a successful launch and allow your team to feel more confident in adopting ESO Patient Registry organization-wide. From advice to site visits to questions, our subject matter experts will work with you to devise an onboarding process that works best for your needs and timeline.  

Don’t delay – start your upgrade today 

Interested in seeing the benefits of ESO Patient Registry firsthand?  

By requesting a demo, you’ll learn how transformative upgrading your data collection and processing capabilities can be for your organization.  

You can also get any questions answered by an ESO account representative by submitting this form to let us know you are ready to start talking about your upgrade.

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