ESO Electronic Health Record (EHR) is a web-based patient care documentation and reference system for emergency medical responders and firefighters. It's designed to provide easy access to information about patients' medications, allergies, history, etc. from a tablet while in the field, and allow healthcare providers to document patient encounters quickly.
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Practice Fusion
Score 2.5 out of 10
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$149
per month per provider with a required annual commitment
For most EMS providers, ESO EHR is an ideal solution: It meets 95% of the needs for the typical EMS provider, provides an unparalleled ease of use for field personnel documenting patient care, and is easy to implement and administer. Large EMS systems should carefully consider the limitations of the underdeveloped quality management modules for QA/QI programs. Large or progressive EMS systems with an advanced data analytics/data science capability should be aware of the significant challenges and limitations ESO EHR poses for data use outside of the standard analytics reports.
I think this is a great tool for a smaller practice, and I really like that it is not practice-specific. It seems like any type of doctor could use the site. I also think this is really great for remote workers because you are able to log on via the internet. I think that this tool would not be good for those looking to have a specific practice software. I've worked for other doctors alongside the one I used practice fusion for, and the other doctors used specialty specific software because of the customization to their job and charting.
The biggest gap is that doing QA/QI is not scalable or streamlined for a large provider. Managing an effective QA/QI program takes an incredible amount of labor and extra work.
The lack of customization and custom fields heavily limits use of ESO EHR to capture new data points for internal quality improvement or research projects.
One of the biggest frustrations is that PF only imports PDFs of lab results, but does nothing to allow manipulation of the numbers within these PDFs. I can pull up lab results but can't look at a graph, for example, of trends in serum sodium or hematocrit.
Like EPIC, it would be nice to have an option like scrolling to all the "***"s using F2, which I always try to do on PF until I realize it does not work.
I wish PF had more dot phrases to pull in things like lab results, etc., into the note. Since I cannot copy and paste lab results (which are stored in PDF) or blow them in with a dot phrase, I have to manually re-write them, which leaves our notes more vulnerable to human error. If this feature DOES exist, it isn't obvious to me or anyone in our clinic.
It would be really nice to hear from PF support to see if we had any unmet needs in the clinic so that they could educate us on how to better use this EMR to support those needs.
We always get a return call within the time stated. There are many available topics on the forum and it is often easy to find the issue you are seeking more information on. When we have tried the live chat feature we have been satisfied with the timeliness and response.
ESO EHR won out due to ease of use for providers and for administration. Other vendors had greater ability to do data analysis, quality management, and customization but ultimately were significantly more difficult to learn, use, and administer.
The only other EMR I have used is EPIC. I worked as a scribe for PAMF, where I spent 50 hours a week in front of EPIC. I got to know it really well, and have used PF much less, so it is difficult to make a comparison. EPIC came with so many more options to view test results, visits to other health facilities, and past notes. It also had so many more ways you could format your notes, blow in data, and statistically analyze data. While EPIC is a much more comprehensive and well-supported EMR, it also would be too heavy and unnecessary for the small scale clinic work I do at a community clinic. I feel that each EMR has the environment they are well-suited for, and I am glad to be using PF now.
