Steve Wyatt — 18 years as a paramedic, flight medic, EMS informatics and quality manager, and Mobile Integrated Healthcare program manager. Now consulting on the technology transitions, quality programs, and projects that can't afford to go wrong.
Dispatch doesn't stop for a go-live. Compliance deadlines don't pause. When the consultant has never run a shift, implementations stall at exactly the wrong moment.
"Your data will transfer" is not a migration plan. Agencies lose years of quality records and fail state audits because nobody validated the field mapping.
The best ePCR on the market becomes a liability if crews document around it. Change management isn't an add-on — it's the project.
Product ownership, requirements, data migration, UAT, and go-live — with someone who knows what crews actually document.
Failover testing, CAD-to-ePCR integration, dispatch workflow mapping, and cutover coordination.
State-compliant reporting pipelines that survive vendor transitions — built in SQL, Python, Tableau, and Power BI.
Crew adoption strategy and role-based training — the work that determines whether your investment pays off.
Data-driven QA/QI programs run on the Plan-Do-Study-Act cycle — aligned with NEMSQA national measures and built to survive a system transition.
PMP-trained project leadership for POCUS rollouts, MIH launches, accreditation, and grant-funded work — scope, schedule, budget, and risk.
I know what crews will and won't document at 2 a.m. after a difficult call. That context shapes every training program, data field, and go-live plan I build.
User stories, acceptance testing, vendor coordination, go-live. I know where these projects break down because I've navigated those breakdowns firsthand.
I help write the national quality measures your agency is evaluated against — so I know what's coming before it reaches your door.
My recommendations are based solely on what I've seen work and fail in real EMS operations. When you hire me, I represent your agency's interests — not a vendor's.
You need a consultant who understands operational risk, can represent your agency directly with the vendor, and delivers without constant oversight.
NEMSIS submissions survive the transition. QA visibility continues through go-live. Documentation maps correctly on the other side.
A project manager who understands shift work and crew behavior — and builds adoption strategy before day one, not after.
The best time to bring in outside expertise is before you've signed the vendor contract — when you still have leverage. The second-best time is right now.