Aiva Nurse Assistant is a smartphone app that serves as a personal assistant for hospital nurses, reducing their administrative burden while improving efficiency and wellbeing.  

Clients include Cedars-Sinai Medical Center and BayCare Health. As reported in Becker's Hospital Review, pilot ROI metrics include reduced overtime expense, faster & more complete documentation and increased HCAHPS.  

The app allows nurses to use conversational voice or text to document to flowsheets, set reminders and interact with other systems, including dietary, patient experience, interpreter services, room controls, patient education and policies & procedures.  

Today, documentation takes up to 41% of a nurse's shift, detracting from direct patient interaction, increasing stress and contributing to burnout. The hassle of manual documentation contributes to incomplete charting, leading to uninformed care decisions and potential fines (e.g., for HAPIs when there's no documentation of patient repositioning).

Aiva Nurse Assistant provides the most natural voice charting experience -- tailored to nurses, not physicians. One Assistant client projected up to an 80% time savings for a high-frequency charting task like patient repositioning.  

Aiva also goes beyond charting to save nurses time across all of the systems they use day-in and day-out -- whether they're in the patient room or on the go.  

Conversational control should give nurses back at least an hour per shift away from workstations and multiple app interfaces -- improving their efficiency but also their wellbeing and job satisfaction.

Aiva is the virtual assistant for healthcare, using conversational control of 25+ inpatient systems to reduce nursing workload and improve patient experience.  

Our clients include Cedars-Sinai Medical Center, BayCare Health, Houston Methodist Hospital, Boston Children's Hospital, Jefferson Health and Moffitt Cancer Center.

Aiva Smart Room lets patients control lights, blinds, thermostats and TVs by giving voice commands to enterprise-managed Alexa devices. Making patients more independent improves satisfaction while freeing up nurses to focus on higher-value bedside care.

Aiva Assistant allows nurses and pharmacists to read and write to the EHR, set reminders, access policies & protocols and control patient room environments from anywhere in the hospital. Aiva's mission is to cut by 50% the time staff spend stuck in front of a computer screen.

Nesa: The Virtual Care Operating System That Disappears Into Epic Workflow

NESA provides the only Epic Toolbox-listed virtual care infrastructure that elegantly integrates into existing clinical workflows. Unlike traditional point solutions that add vendor complexity, NESA's ONE platform replaces 3-7 separate contracts with a single, unified system that scales across unlimited use cases—from virtual nursing and telesitting to tele-stroke, NICU, ED triage, and specialist consults.

One Platform. One Integration. Unlimited Workflows.

Built on NVIDIA edge-based AI, NESA Vision One combines computer vision (17+ body joints, object detection, room context) and natural language processing in a single device that sees patient movement, listens to care conversations, and acts instantly—all while maintaining complete data sovereignty within your hospital network. Every camera operates as its own computer, enabling distributed processing that optimizes power consumption while running multiple applications simultaneously.

Clinical-Grade Infrastructure

• 4K high-resolution optics with 360° awareness and 25× optical PTZ
• Real-time AI processing with zero cloud latency—all data stays on-premise
• Direct Epic flowsheet write-back, ADT feeds, and native ECAL/CAL integration
• HIPAA-compliant, NDAA-compliant hardware with built-in redundancy
• Whisper AI for crystal-clear audio capture even in noisy clinical environments

Measurable Impact

Trusted by health systems including Duke, Baylor Scott & White, and UT Health San Antonio:

• Zero-Latency Performance: Real-time fall detection and clinical event monitoring that works even if the hospital network goes down.
• Automated Documentation: AI that captures clinical events and pre-populates notes directly into Epic Hyperspace.
• 4K Dual Verification: A 30% reduction in medication errors by allowing a remote nurse to verify high-risk meds via high-definition video.
• Efficiency Gains: 73.9% of discharge orders are now completed by 10am, compared to a 46.2% baseline.
• Clinical Safety: A 37.5% reduction in falls with injury and an 80% reduction in severe hospital-acquired pressure injuries (HAPI).
• High Adoption: 100% nurse technology adoption rates, with patients reuqesting rooms fitted with Nesa ONE. 

Designed by Clinicians, for Clinicians

Nesa is recognized by Joint Commission surveyors as "the standard that should exist in patient care across all hospitals" and partners with Magnet-designated organizations. The platform is certified to NHS clinical risk management standards (DCB 0129) for international deployment.

Scale your best clinicians across your entire system—without extending vendor contracts, security reviews, or integration backlogs.

Industry leading, Epic Toolbox 2025 and 2026 for Inpatient Virtual Care platform combining edge AI, computer vision, and native workflow integration.

• Control over non-EHR systems, including dietary, patient experience, patient education, room controls, interpreter services, clinical care & collaboration and policies & procedures.
• Reminders about nursing tasks.
• No need to return to the application to complete documentation.
• Short-form conversational input tailored to nurses' -- as opposed to physicians' -- needs.

Same as for EHR competition: 

• Control over non-EHR systems, including dietary, patient experience, patient education, room controls, interpreter services, clinical care & collaboration and policies & procedures.
• Reminders about nursing tasks.
• No need to return to the application to complete documentation.
• Short-form conversational input tailored to nurses' -- as opposed to physicians' -- needs.

Nesa is not an EHR replacement but the virtual care operating system that disappears inside Epic workflow. As the only inpatient virtual care platform listed in Epic Toolbox, Nesa meets Epic's recommended integration practices with native ECAL/CAL integration, direct flowsheet write-back, and ADT feeds—eliminating middleware and enabling clinicians to deliver virtual care without ever leaving Epic.

• Epic-Native Architecture
• Only virtual care platform in Epic Toolbox with recommended integration standards
• Direct Epic integration—no middleware, no separate logins, no PHI transmission outside Epic
• Native flowsheet documentation, ADT integration, and MyChart Bedside connectivity
• Clinicians work entirely within Epic Monitor, ASAP, and OpTime—never toggling between systems
• One Platform Replaces 3-7 Vendor Contracts
• Single infrastructure supporting unlimited workflows: virtual nursing, telesitting, tele-stroke, NICU, ED triage, OR documentation, specialist consults
• Eliminates vendor sprawl—one security review, one integration, one support relationship
• Deploy once, activate new workflows without additional vendor contracts or integration projects
• Edge-Based AI Infrastructure
• NVIDIA-powered edge computing where each camera operates as its own computer
• Computer vision (17+ body joints, object detection, room context) + natural language processing on the same device
• Real-time AI processing with zero cloud latency—all data stays on-premise within hospital network
• Ambient intelligence that sees patient movement, listens to care conversations, and acts instantly
• Complete Data Sovereignty
• 100% on-premise processing—no cloud transmission of PHI
• HIPAA compliance by design with all AI processing within hospital network
• Built-in redundancy with native downtime mode during Epic maintenance
• Clinical-grade security with NDAA-compliant hardware
• Clinical-Grade Hardware
• 4K high-resolution optics with 360° awareness and 25× optical PTZ
• Reads IV bags, wristbands, surgical device labels from across the room
• Low-light IR + HDR/WDR for dimmed NICU rooms and overnight conditions
• Whisper AI captures patient voices even in noisy clinical environments with 20 kHz speech quality
• Distributed edge architecture optimizes power consumption while running multiple applications simultaneously
• Proven Clinical Impact
• $674K annual value per 12-bed deployment with <12-month payback
• <15-second response time from alert to clinical intervention
• Falls prevented within 24 hours of deployment
• Zero customer churn across 14+ health system customers
• Joint Commission recognition as "the standard that should exist in patient care across all hospitals"
• Enterprise Partnership Model
• Epic Toolbox for Inpatient Virrtual Care with deep Epic ecosystem expertise
• Magnet health system partnerships recognized for nursing excellence
• NHS-certified clinical risk management (DCB 0129) for international deployment
• Team of clinical, IT, and operational experts ensuring customer success
• Purpose-built by clinicians and healthcare operators, not technology vendors
• Futureproof Infrastructure
• Modular hardware design enables upgrades without platform replacement
• Vision One program supports hardware evolution while maintaining software compatibility
• Scalable from single unit pilots to 32-hospital enterprise deployments
• Lower TCO through consolidated vendor relationships and reduced integration complexity