The ESO community is the driving force behind our mission to transform health and safety through the power of data. They actively shape product innovations, contribute to industry-leading research through the ESO Data Collaborative, and use ESO tools every day to create meaningful change in their communities.
What ESO customers achieved in 2025 is extraordinary. From pioneering AI, NERIS, and Mobile Integrated Healthcare to improving outcomes across the care continuum and streamlining outdated processes, they have redefined what’s possible in healthcare and emergency response.
Here are a few of the ways they embraced new technologies and data-driven advancements in 2025:
Innovating with AI
AI is transforming emergency response, pushing the limits of what’s possible and reshaping how we protect and care for communities. As this technology evolves, it’s critical to harness its power responsibly from the start. ESO is committed to building trustworthy, purpose-driven AI tools that empower our community. It’s been inspiring to see how quickly our customers have embraced these advancements and used them to achieve remarkable results in a short time.
Lincoln County Ambulance District’s AI Strategy for Consistent and Efficient EMS Documentation
Lincoln County Ambulance District leveraged AI to automate patient narratives, saving crews an average of 20 minutes of documentation per run and eliminating the need to create reports on the road. They can now complete EPCRs in a fraction of the time while reducing reporting errors.
How West County Fire and EMS Saves 20 Minutes Per Report
Another early adopter of Auto-Generated Narratives, West County Fire and EMS has fully embraced the AI-driven technology’s ability to summarize their patient data into thorough, consistent narratives that are ready to review. It cuts down on both documentation and QA time, which allows them to shift their focus back to providing the best care possible for their patients.
Connecting the Care Continuum
True data interoperability between hospitals and EMS partners has a profound impact on patient outcomes – both immediately and in future cases. Near real-time sharing of patient records ensures vital information is available without delays or the errors of manual processes. This enables hospitals to make informed decisions while maintaining accurate, compliant records. It also gives EMS providers quicker access to patient outcomes, offering invaluable insight into the effectiveness of their care and opportunities for improvement.
How Tower Health improved community care and EMS partnerships
As one of the busiest departments in Pennsylvania, Tower Health understands the importance of efficiency – both within their team and with pre-hospital partners. By upgrading their health data exchange, they automated the previously tedious process of hand-matching 11-digit trip sheets – a major improvement when handling more than 100 ambulances per day. This not only boosted match rates and streamlined workflows but also enabled them to provide EMS partners with invaluable feedback and billing information – a win-win for all.
VHC Health: Better outcomes through better documentation
For VHC, improving care starts with improving provider and patient satisfaction. By automating their data exchange with their 30+ EMS partners, they were able to accomplish both, all while streamlining and reducing errors in their overall documentation process.
Preparing for NERIS
By offering near-time data collection, smarter reporting, and deeper analytics, the new National Emergency Response Information System (NERIS) will bring the fire industry into the modern era. This platform will empower departments to make data-informed decisions on resource allocation, strategic planning, training, and risk reduction, significantly improving safety outcomes and operational efficiency. Here’s how the ESO Community is embracing the new system:
Cary Fire Department: Using NERIS as a platform for growth
By prioritizing outcome-based performance measurements over output-based, Cary Fire Department uses NERIS to strategically assess mission success and improve decision-making on and off the scene. They see this as an opportunity to drive change in an industry that has historically been hesitant to do so.
Long before their move to NERIS, Cary FD’s obsession with data has helped them create a culture of excellence in their department. See how that has helped them better serve their community.
Mobile Integrated Healthcare
Mobile Integrated Healthcare (MIH) has transformed pre-hospital care, enabling agencies to shift from a reactionary, transport-based model to a proactive, patient-centered approach. This not only eases the strain on crowded EMS rooms and reduces high-utilizer calls; it also connects patients with primary care, mental health services, and social resources they need – all while lowering overall system costs. Here are a few ESO customers leading the way in MIH:
Using Data to Drive Change: Tulsa Fire Department
Tulsa Fire Department reduced its high-utilizer call rate by an impressive 70% by partnering closely with the community through its newly integrated MIH program. This not only eased a significant time burden for responders – it also allowed them to address the root causes of their patients’ needs.
Driving improvement through data
When agencies and departments understand the power of their data and how it can serve as the foundation for continuous growth, they can extract actionable insights to drive improvement across every facet of their organization. This leads to better care, fewer errors, and improved outcomes – from patient care and provider performance to resource utilization, staffing, and risk reduction. Here’s how ESO customers are putting their insights to work:
Pflugerville Fire Department’s Tech Revolution
Proudly serving over 165,000 residents, the Pflugerville Fire Department understands that operating efficiently is key, which is why they are constantly investing in up-and-coming technologies to streamline clunky systems for their team. They are equally committed to protecting their crew as they are their community, so they also are heavily invested in their data as a tool to measure everything from patient outcomes to critical incidents.
Ohio Health Case Study
By moving all of their trauma centers to a singular registry, Ohio Health created a standardized database that allows them to compare outcomes organization-wide and identify areas where they can help each other improve.
Looking Ahead
As 2026 begins, we’re looking forward to a fresh start filled with exciting research projects, innovative tools, and continued collaboration with the ESO community.
To explore the product innovations and industry-leading research that defined 2025, check out the blog posts below.
[2025’s Top Product Innovations] [2025’s Top EMS Research]
[2025’s Top Hospital Research]
