ESO Patient Registry Onboarding Reimagined: A Faster, Smarter Start 

Audience: Customers who have not started or have just started the onboarding process will benefit most from this webinar, but all customers are welcome 

We’ve upgraded our onboarding for ESO Patient Registry – and we’re ready to show you how. Join the ESO Customer Onboarding Team for a tour of the new ESO Patient Registry onboarding journey. We’ll review how we evaluated customer feedback and applied enhancements, and what to expect when starting the onboarding process. 

When: Wednesday, July 9, 2025 from 12-1 p.m. CT 

Where: Virtual 

What’s New In ESO Patient Registry 

Audience: Any hospital leaders, trauma program leaders, and trauma registry professionals who use ESO Patient Registry or a legacy CDM, DI, or Lancet by ESO patient registry product 

Join ESO Director of Product Management, Steve McComb, and Executive Director – Hospital, Karla Jones, MSN, RN, TCRN, for an in-depth look at the ESO Patient Registry product roadmap. During the webinar, you’ll learn about recently released features, what features are in development now, and what’s coming in both the short-term and long-term. You’ll also have an opportunity to get your questions about the product roadmap answered. 

When: Wednesday, August 13, 2025 from 12-1 p.m. CT 

Where: Virtual 

Leveraging FHIR to Enhance Data Interoperability in ESO Patient Registry 

Audience: Any hospital leaders, trauma program leaders, and trauma registry professionals who use ESO Patient Registry or a legacy CDM, DI, or Lancet by ESO patient registry product 

Join our ESO subject matter experts for an in-depth look at how FHIR (Fast Healthcare Interoperability Resources) is revolutionizing trauma data management. Whether your organization is already enabled with FHIR in ESO Patient Registry or you haven’t started your upgrade, you’ll benefit from learning more about the current state and where we’re heading next. 

When: Wednesday, September 10, 2025 from 12-1 p.m. CT 

Where: Virtual 

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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.  

The post Wave 2025 Recap: Top 5 Topics in Hospital and Trauma Care appeared first on ESO.

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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Content applicability by product 

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. 

The post (Q1/2025) ESO Updates: Quarterly Product Enhancements appeared first on ESO.

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.
 

The post Close the Gaps: Smarter EMS Information for Hospitals appeared first on ESO.

If you missed it, don’t worry – we’ve got you covered. Here’s a recap of the major updates and what they mean for your department. 

NFIRS Retirement and the Hybrid Reporting  

Any new skill requires practice, whether it’s figuring out a new rescue tool, gaining confidence in ladder operations, or entering data in a new system. With NFIRS officially retiring on January 1, 2026, fire departments are preparing for onboarding and learning what NERIS will bring to their daily operations.  

The webinar mentioned that fire departments will be able to transition to NERIS in 2025 based on their local needs and readiness. It’s important that you work with ESO, or your RMS vendor, to establish timelines. The goal of this reporting year is to ensure that departments can onboard in a way that minimizes disruption.  

What does this mean for ESO customers?  

For ESO customers, as your RMS vendor, we can work with you to access the NFIRS system for historical data once you complete the update. 

What’s New? NERIS Features and System Improvements 

The webinar highlighted several key changes in NERIS, designed to provide more accurate data, better risk analysis, and improved operational insights. 

NERIS ID 

Say goodbye to your old FDID. A major change is the transition from FDID to a unique, alphanumeric NERIS ID. Unlike FDIDs, which were only unique within a state, NERIS IDs are geospatially based and unique across the country. It is composed of your NERIS entity type, state and county FIPS codes, and random trailing characters.  Each fire department will require their own NERIS ID to report for that agency.    

This new identifier helps standardize reporting and ensures that data can be analyzed consistently across local, regional, and national levels. However, departments can still use their FDID locally while transitioning to the new system. 

Multiple Incident Types 

NERIS introduces multi-incident type reporting, allowing departments to log up to three incident types per call instead of being limited to just one. 

For example, a single response might include: 

• A vehicle fire 

• A hazardous materials spill 

• An entrapment requiring technical rescue 

Being able to report multiple incident types gives a clearer picture of what firefighters encounter on scene and provides more detailed data for leadership and policymakers.  Departments will need to work on policies to help drive their department to how they want to list incident types.  

Improved Mutual Aid Tracking 

Mutual aid data will be more precise, capturing not only whether aid was given or received but also the specific role that outside units played. The system distinguishes between: 

• Aid given in support of another department 

• Aid given in lieu of the primary department responding 

• Aid provided under contract or acting as another agency 

This structured approach helps departments track true call volume in their jurisdictions and better understand their mutual aid relationships. 

Expanded Tactical Reporting 

From suppression techniques to ventilation efforts, the new system captures detailed tactical data for smarter decision-making. 

Fire departments can now document: 

• Ventilation tactics (e.g., vertical, horizontal, hydraulic) 

• Water application times 

• Primary search status and completion times 

• Rescues and victim outcomes 

This level of detail wasn’t possible in NFIRS and will give departments better insight into the effectiveness of their actions on scene. 

Geospatial Incident Mapping 

NERIS integrates GIS data to provide real-time incident mapping and a clearer view of response patterns. 

Departments will be able to analyze: 

• Designated response areas 

• Call density and geographic trends 

• Mutual aid coverage and gaps 

This data can support station placement decisions, resource allocation, and community risk reduction efforts. 

Real-Time Data Quality Checks 

To improve reporting accuracy, NERIS includes near real-time data validation at the point of entry for minimal rules. This helps reduce errors, missing data, and inconsistent reporting by flagging issues before a report is submitted.   

Fire departments will no longer need to rely on manual reviews or wait weeks to identify reporting errors – the system provides immediate feedback to ensure high-quality data from the start. 

The system will not capture responders and other related information. For these items, refer to your RMS vendor. 

A Phased Approach to Rollout 

Onboarding is happening in phases to ensure departments have the support they need. The transition plan includes: 

• State Fire Marshal coordination to assist with training and outreach 

• Early onboarding for small and large metro departments 

• Regional onboarding based on FEMA regions, allowing departments within the same area to transition together 

Collaboration with RMS vendors to ensure smooth data exchange for departments using third-party reporting systems.                                                                             

Next Steps for Fire Departments 

Here’s how your fire department can start preparing: 

1. Confirm Your Onboarding Timeline: Reach out to your state fire marshal or RMS vendor for your schedule. 
2. Initiate Training: Beginning in May 2025, FEMA regions will begin formally leading the onboarding process. Work with your vendor to understand the training process and when it will be available. 
3. Review Workflows: Analyze your current reporting processes and adjust them to align with NERIS standards. 
4. Stay Informed: Keep an eye on upcoming training resources, webinars, and updates to ensure you’re fully prepared. For more information on how to prepare, visit the official NERIS website. 
    

How ESO is Supporting Your Transition 

For more than a year, ESO has worked closely with FSRI to ensure we’re prepared to help you migrate to NERIS. From onboarding to data collection for reporting, our team is ready to support your transition. We’re ensuring that:   

• Your NERIS account is set up with minimal disruption 

• You receive hands-on, practical training  

• Your transition to NERIS reporting is smooth and timely 

Do you have questions about NERIS or do you need guidance on how ESO can help with your transition to the new system?  

Visit our NERIS FAQs to learn more

The post Get Ready: NERIS National Rollout and Onboarding appeared first on ESO.

Delays from communication breakdowns, logistical issues, or procedural bottlenecks can make the difference between life and death. Specifically, traumatic brain injury, complex orthopedic injuries, and hemodynamic instability issues like hemorrhage all require rapid, specialized surgical intervention at higher-level trauma centers.

Key Findings: How Fast Are Trauma Patients Moving? 

In this first exploration of time to transfer data, ESO considered time to transfer for emergency department patients, time to transfer for inpatient patients, and if trauma center level mattered. Data from the ESO Data Collaborative, which includes nearly 1 million anonymized patient records, show: 

Emergency Department Transfers 

• The median time to transfer was 78 minutes (Range: 63–84 minutes) 
• Time to transfer varied by trauma center level but not significantly  

Inpatient Transfers 

• The median time to transfer was 141 minutes, nearly 2.5 hours (Range: 132–152 minutes)  
• There was no clear trend between trauma center levels and inpatient transfer time  

These findings challenge the assumption that higher trauma center levels always transfer patients more quickly. They also show that the proverbial ‘golden hour’ is rarely met, especially with inpatient transfers. There is room for improvement. 

A Successful Reduction in Time to Transfer

The Oregon Health and Science University conducted a three-year quality improvement project on patient transfers. Measurable improvements include:  

• Decreased the number of transfers that arrived with incomplete (or missing) medical records from more than 17% to just over 1%  
• Decreased arrival-to-procedure time for patients being transferred for a procedure from 51 hours to 35 hours  
• Decreased unnecessary transfers from 15% to 3%  
• Increased case mix index by one-third, corresponding to about a 60% jump in reimbursement 
  

How Can Trauma Centers Reduce Transfer Delays? 

Trauma leaders, including the American College of Surgeons (ACS), emphasize the importance of rapid – and accurate – injury identification, established transfer protocols, and seamless communication between referring and receiving facilities. 

Best practices for improving time to transfer include: 

• Quickly identify trauma patients requiring transfer – ideally within 30 minutes of arrival 
• Establish clear criteria for transfer, prioritizing patients needing specialized surgical care 
• Create predefined agreements with higher-level trauma centers to streamline transfers 
• Facilitate direct physician-to-physician communication for quicker acceptance 
• Appoint a dedicated transfer coordinator to reduce logistical delays
• Focus on stabilization without unnecessary imaging or procedures that slow down the process 
• Set and track a decision to transfer time as part of your trauma performance improvement program
• Regularly review transfer times with staff and provide feedback on identified delays 
• Ensure compliance with state and regional trauma guidelines, some of which mandate specific transfer timeframes  

The Bottom Line: Faster is Better 

The data is clear: time to transfer can be improved, and hospital systems and trauma centers that optimize transfer times can improve patient survival and recovery. 

Want to see how your facility compares to national benchmarks?

Download the full 2024 ESO Trauma Index to learn how your trauma center could improve patient outcomes and community health. 

The post The Clock Is Ticking on Trauma Center Time to Transfer  appeared first on ESO.

Content Applicability by Product 

EHR | Shock Index

As part of our 2024 initiative to make Critical Care documentation more robust in ESO EHR, we’ve added Shock Index to Vitals in both Blood Pressure and Pulse Tiles. You can now automatically calculate Shock Index based off of the values you enter for Pulse and Systolic Blood Pressure. 

EHR | iOS Beta Release 

We’re excited to announce an early adopter preview release of our much-anticipated ESO EHR iOS application! This release will allow you to complete and sync all record fields to the web for validation and lock, while a second release happening later this month will let you do so in-app prior to syncing. 
Stay tuned. We’re making the jump to general availability (GA) and adding new features such as CAD and Cardiac Monitor integrations, Longitudinal Record (LR), and Mobile-to-Mobile functionality.

EHR | Stryker LP35 Beta 

In Q4, we started beta testing the LIFEPAK 35, a brand-new ESO EHR cardiac monitor integration that receives transmissions through Stryker’s LIFENET API. The ability to import data from the monitor to ESO EHR reduces documentation time while improving the accuracy of your data, allowing you to better focus on the delivery of care. This new integration is now available to all ESO EHR users. 

As technology modernizes in the field, ESO EHR will continue to advance its integrations to better support your needs, including the upcoming capability of importing 15-lead ECG waveform images.

EHR | MIH / Community Paramedicine Run Type 

Mobile Integrated Health (MIH)/Community Paramedicine has been added to ESO EHR to better support the unique workflow requirements of agencies that document MIH/CP visits. This run type and its required fields will streamline state submissions by removing many of the configurable validation requirements while giving you the tools necessary to manage your MIH/Community Paramedicine program’s unique documentation and reporting needs. 

EHR | FLACC Pain Scale 

The FLACC Pain Scale was part of our Critical Care initiative in 2024 and will be available in the Pain section within Vitals in ESO EHR. You can use it to directly document and upload FLACC Pain Scores and final score data for non-verbal patients into ESO Insights for easier reporting. 

EHR | GenAI Narrative Web Beta Release 

Currently in beta, the new GenAI Narrative Web feature for ESO EHR allows you to request an auto-generated Narrative on a PCR, streamlining data entry while improving focus on care. The first phase of our Auto-Generated Narrative uses the DCHARTE format, which allows you to request AI-generated narratives for Transport records with a “transport by this EMS unit” disposition. 

Our beta period will extend through the beginning of February. So far, customer feedback has been promising, and we will continue to collect and incorporate feedback throughout this period. This feature will be available to all customers on ESO EHR before Wave 2025. 

Logis Dispatch | Voice Platform 

A complete rewrite of the Logis Voice platform has been finalized and is now live with the first customer! The rewrite features a complete architectural makeover, client-side experience, and full ESO Chat functionality. Support for various phone systems will also be included in an upcoming phase. 

Logis Dispatch | AVL Subscription API 

The Logis Dispatch IDS API now includes the ability to subscribe to Automatic Vehicle Location (AVL) feeds. This enables you to perform live updates through webhooks in any system integrated into Logis Dispatch.

Logis Billing | Automation and Integrations 

The ESO team was hard at work adding more automation and logic to the Billing solution, including: 

1. A new Payor Matrix feature that acts as a payor decision tree will further reduce the headache of incorrect payor denials. New integrations were added to enable bi-directional interactions with WayStar for insurance verification and discovery and Artiva for third-party patient invoice management. You can also now streamline frequent tasks by assigning hotkeys to your ten most-used functions.
   
   
2. New configurations allow you to assign and report on workers’ claims for the Office of Worker’s Compensation (OWCP), assign provider numbers (Taxonomy) to service types to help reduce backend denials related to the services provided, and automate narrative generation and emergency statement form assignments based on payor rules and regulations through newly added narrative templates.
   
   
3. Lastly, you’ll find updated logic that helps you identify and accept exceptions presented on manual 835 flat file imports, enhanced task views that assist with queue management and follow-up project preparation, updated contractual adjustments related to bundles and denials, and an automatic printing of ePCRs with paper CMS 1500 (HCFA) forms.
   

Fire Incidents | NERIS Update 

Since late 2023, ESO has been actively working with FEMA and their contractor, UL (FSRI), to help you prepare for the transition to the National Emergency Response Information System (NERIS). In Q4 2024, FEMA delivered the final v.1 of the Phase 1 schema and a draft of the validation rules for incident reporting, which allowed us to validate some assumptions in our planning and adjust for future expansions of the rules. Our development team has been hard at work implementing our solution for NERIS with the goal of having a basic NERIS-compliant version of Fire Incidents ready for beta testing by the end of Q1 2025.

This basic version will not include auto-import configuration and integrations with CAD and EHR will not be added until upcoming releases in 2025. For more information, visit our FAQs About NERIS. 

Hydrants | External API 

Your Fire Data API subscription now includes a new external, bidirectional Hydrants API! This API provides direct, real-time access to hydrant data and allows for third-party integrations that make it easier to share your ESRI account with your water department and display shared hydrant and hydrant task data.  

Hydrant records, including location, status, inspection and maintenance history, task scheduling, etc., can now be updated using the available API endpoints. To learn how to use the Hydrants API, head to the ESO API Developer portal.

Permits | External API 

A new external, bi-directional Permits API is now included in your Fire Data API Subscription. This API provides direct, real-time access to permit data, including type, status, fee, applicant, etc., which you can then update through available API endpoints. Head to the ESO API Developer portal to learn how to use your Permits API.

Public APIs allow us to incorporate the third-party services that improve your current ESO offerings and, in turn, improve your day-to-day workflows. 

HDE | EMPI Matches 

We have enhanced HDE EMPI matching to ensure that all units responding to an incident now qualify for an EMPI match rather than just a singular EMS record, which is what was previously eligible. This update guarantees that each of your responding units will be processed through our EMPI system, which is particularly crucial in regions with high first responder EHR utilization, such as Napa Valley and Monterey County in California and Providence Healthcare in Washington. 

PM | Pay Rates 

You can now track individual pay rate history on both PM Basic and purchased PM by heading to team members’ personnel records located in the Pay Rate section of the new Work Performance tab. You can also manage the complete list of hourly and flat rate pay rates by heading to PM > Settings. To enable this functionality, visit PM > Settings > Enable Add-Ons.  

Pay Rates are available for any customer and are a prerequisite for the upcoming Compensation module. This new module will allow payroll calculations for volunteer and combination departments, as well as departments who have a pay-per-call model where personnel are paid by response.  

PM | New Classes Insights Dashboards 

Two new dashboards are available in Insights for PM! “Training Sessions and Duration by Personnel” is a global dashboard for customers who do not use credit hours and points for training classes and would prefer to calculate and record time based on session length.

The second dashboard, “PM – Classes – Quality Control,” will allow you to identify sessions with missing information (such as credits, instructors, or attendees) through a new quick selector bar graph and summary tables.  

Activities | Edit Operational Tasks 

This long-awaited Activities improvement will allow users with the appropriate security permissions to edit the fields of any completed operational task, including status. An audit trail located in the record will capture all changes made. 

Checklists | New Meter Reading Fields 

Based on your feedback, two additional meter reading fields have been added to Checklists: Aerial Hours and Generator Hours. These new options are now included in the editing process and, if enabled, will be available to your crew during checklist submissions. 

Assets | Maintenance & Asset Profile Updates 

Several Asset updates were made in Q4, setting the stage for new Preventive Maintenance features coming in early 2025. Vehicle and equipment profile pages will now feature meter reading fields that can either be manually updated or automatically updated through Checklist submissions. We’ve also improved data storage to better support your Preventive Maintenance reminders and overall reporting experience.  

Meter reading fields have also been added to the Maintenance Request, along with view-only Created By and Created Date/Time fields, and the ability to set a vehicle back as in-service after the request is completed.  

Scheduling | Comp Time Enhancements 

Based on your feedback, administrators can now disable Schedule Conflicts for the Comp Time and Accrued Comp Time item types. This will allow schedulers to reflect the comp time used or accrued by employees while having a standard paid shift on the schedule. 

ODL – New PM and Assets Courses 

Keep an eye out for two new On-Demand Learning (ODL) courses. “Personnel Management – Basic Setup and Use” is a refresh to the PM Basic course and is broken down into 14 short video modules designed to help you quickly find any information you need while making content more accessible.  “Assets – Location Management” gets admin users up to speed on new Location Management features while also teaching them how to create, manage, archive, and organize locations and sublocations in Assets.  

Insights | Dashboards 

Our designers have been very busy this quarter building 48 new dashboards across the entire ESO Suite! Here’s a quick breakdown by product: 

Cross-Product / ESO Suite | In-App Enhancements

In Q4, ESO received 1,646 enhancement suggestions from our community, and we have triaged and replied to 80.9% of those suggestions. We will continue to email you updates when viable ideas progress into the discovery, design, and development stages.

Our team worked on the next evolution of improving feedback throughout our software design and development process to ensure we are building exactly what your teams need. Our new Ideas Portal will be under tabs and mirror our Roadmap’s design and development stages: 

• Now = Newly released features and updates 

• Next = Works in progress with a delivery timeline  

• Later = Ideas that are committed to the roadmap, but the timeline remains unknown 

• Under Consideration = Ideas being actively investigated for feasibility 

Look out for our pilot launch in Personnel Management early in Q1.  

What to expect in Q1/25? 

We have a few more exciting improvements in the works for Q1 2025. Please stay tuned for release notes and the next product blog, but here’s a sneak preview of upcoming updates and enhancements: 

EMS 

• EHR iOS GA 

• Physio LP35 Integration GA 

• Longitudinal Records for iOS and Windows Mobile 

• EHR Web AI Generative Narrative – 1st Release 

Fire 

• GIS/Mapping (Properties Grid) 

• Hydrants Bulk Actions 

Shared Apps 

• Scheduling – Shift Swap Refresh 

• Assets – Preventive Maintenance Foundations 

• PM – Compensation (Payroll for Vol/Combo) Phase 1 

Hospital 

• Compliance Matrix Tooling enhancements 

• Cerner FHIR Integration 

Cross-Product / ESO Suite 

• A brand-new login screen and features 

• Launching in early Q1, the Resource Center for Personnel Management will feature an ‘Ideas Portal’ pilot that will share ideas currently in various stages of design and development. To access it, click on the red notification in the Personnel Management Resource Center, which you can locate by clicking on the blue question mark in the bottom right-hand corner.  

• If the ‘Ideas Portal’ pilot is a successful means of gaining more valuable feedback, we plan to launch a portal for each of our Resource Centers by the end of Q1. Please check it out and give us feedback on the value of the ideas presented.
   

About Product Management at ESO  

The ESO Product Management is responsible for creating the Product Roadmap, which outlines what products, features, and functionalities 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 to advance 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 to deliver the most valuable features to you. We value your input and hope you continue to engage with us through our continuously expanding in-app capabilities
Want to look at the progress made on the ESO Product Roadmap in 2024? Check out the three previous ESO Updates Quarterly Product Enhancements blog posts below.

• Q3/2024 ESO Updates
• Q2/2024 ESO Updates
• Q1/2024 ESO Updates

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