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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details
COHESION.OS
COHESION.OS

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Categories

Solutions

Description

Product Description:
COHESION.OS is a Connected Health System which seamlessly connects citizens over their lifetime to health services and life sciences. The system comprises a Global Citizen Life Wallet and Sensor Suite to enable real-world, real-time SDoH data capture using mobile-to-cloud technology, an Integrated Services Platform to provide collaborative data environments, a Data Insights Generator to perform real-time big data analytics, and the COHDEX® Data Exchange to synchronise data communications. Using COHESION.OS, citizens become more empowered, services more efficient, and sciences more innovative by accelerating the advancement of their research understanding and the rate of successful discovery and development of new therapeutics. Health becomes proactive and predictive by utilising COHESION’s AI-driven analytics systems and in the long-term readmission rates are reduced, delivery costs are lowered and perceived value for the patient increases. COHESION presents the Global Health System; a highly modular, flexible and scalable global platform that can be regionalized, localized and individualized through system self-service configurations for specific health and life sciences requirements. The COHESION system is underpinned by the computational principles, data models and dynamic architectures of Complex Systems Theory, and delivers technology innovations in Mobile/Cloud Computing, Artificial Intelligence, Neural Networks, Machine Learning and Ethical Data Blockchains.
About COHESION Medical:
COHESION Medical is a Connected Citizen Health company building the safest, smartest and most streamlined health system in the world, improving global population health and wellness. COHESION.OS is making citizens more empowered with de-centralized data control, services more efficient through workflow automation and sciences more innovative by accelerating novel therapeutics discovery.
Product Description:

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.

About Nesa:

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

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Fixed room displays with intuitive patient/family-facing UI showing care team info, patient education, and visit schedules in easy-to-read format

Fully configurable unit-specific displays with health system branding, customizable layouts for different care settings (ICU, Med-Surg, Behavioral Health), and role-based information presentation

Epic Toolbox 2025 and 2026, Epic-native integration providing real-time EHR updates, automated alerts for patient conditions, and seamless device connectivity through existing hospital infrastructure

AI-powered patient monitoring with continuous video analytics detecting falls, mobility changes, and safety events; predictive algorithms enabling proactive intervention

Enterprise-grade platform with 99.9% uptime, HIPAA-compliant security, redundant systems, and precise data transmission with clinical-grade accuracy for virtual care delivery

Platform is clinician-focused for virtual nursing/telesitting; patient environmental controls (lights, temperature) are being released in 2026

Native Epic integration enabling automated clinical workflow alignment, vitals synchronization, and coordination across hospital systems without custom interfaces. See Epic Toolbox Blueprint for 2025 and 2026 to understand integration depth.

Edge computing architecture with NVIDIA chips enables distributed processing where each camera operates as its own computer, running multiple applications simultaneously while optimizing power consumption and reducing centralized data center load

Bi-directional audio/video communication between patients and remote care teams, with one-touch calling through in-room displays and mobile devices

Virtual care teams access real-time Epic patient context, care team assignments, and clinical summaries at point of care; facilitates collaboration between bedside and remote clinicians through integrated communication

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:
Citizens, clinicians, researchers
Description:

Nesa is is the ONE platform for any use case from admission to transition and provides Epic-native virtual care infrastructure with AI-powered clinical intelligence, enabling health systems to scale clinical capacity across unlimited workflows through a single platform and integration.

Core Capabilities:

Virtual Nursing

Deploy hub-and-spoke models where virtual clinicians monitor 12-16 patients with AI-powered alerts, provide admission/discharge support, medication verification, and documentation assistance—all within Epic workflow.

AI-Powered Safety Monitoring

Continuous computer vision analytics detect fall risks, monitor patient positioning, and track behavioral changes, writing data directly to Epic flowsheets with <15-second alert-to-intervention times.

Specialist Consults

Connect neurologists, neonatologists, and intensivists to multiple facilities via Epic Monitor for stroke assessment, NICU resuscitation, ICU backup, and tele-specialty services.

ED Virtual Triage

Conduct intake via Epic ASAP, expedite orders, reduce LWBS rates, streamline bed assignment, and reduce boarding times through virtual physician assessment.

Hospitalist Coverage

Enable after-hours and multi-site coverage where hospitalists admit from multiple EDs simultaneously, provide backup coverage, and eliminate admission delays.

Admission, Discharge & Transfer (ADT)

Streamline ADT workflows virtually through Epic integration, reducing patient wait times and improving care coordination across transitions.

Ambient Clinical Documentation

Capture care conversations and automatically document in Epic through ambient voice intelligence, reducing documentation burden without leaving workflow.

Surgical/OR Support

Virtual nurses document procedures in Epic OpTime while surgical teams stay focused on patient care, capturing supplies and interventions in real-time.

Care Coordination

Conduct home assessments, coordinate post-acute transitions, and enable family participation via MyChart Bedside TV integration.

Behavioral Health Monitoring

Remotely monitor patient behavior with AI-powered detection to ensure real-time patient and staff safety, particularly in psychiatric and detox settings.

Pediatric use cases:

Pediatric & Family Support

  • eNICU and ePICU: Enhance NICU and PICU care quality with specialist access and family engagement, PICU or NICU to ED support, delivery room support
  • Mother-Baby Monitoring: Support postpartum care, lactation support, and mothers undergoing detoxification
  • Newborn Observation: Manage respiratory decompensations with continuous AI-powered monitoring
  • Patient & Family Education: Reduce bedside time pressure while improving care experience
  • Virtual Family Check-ins: Provide family-centered care through MyChart Bedside
Users:

Virtual nurses, bedside nurses, hospitalists, specialists (neurologists, neonatologists, intensivists), ED physicians, OR teams, care coordinators, administrators, patients, and family members

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, ADT, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Client Types

None provided

Awards

No awards image
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Differentiators

Differentiators vs EHR Functionality:
Safe – COHESION.OS delivers Quality Management System (QMS) compliance. COHESION adheres to more stringent GDPR quality standards than the UK’s NHS. It is ISO 27001:2017 and ISO 9001:2015 certified and compliant with ISO 13485:2016, ready for Medical Device Regulation (MDR) enforcement in the EU. Smart – our AI-ready system allows for improved quality and lower delivery costs for health care. AI components have been built-in from the outset, meaning all data inputs are ready to be fed through algorithms for machine learning. Deep domain expertise in the fields of Artificial Intelligence/Machine Learning and Biological Systems Engineering in healthcare. Streamlined – frictionless communications across stakeholder groups as well as longitudinally throughout an individual’s life. The system is condition and service agnostic, meaning any individual can benefit from the software irrespective of which stage of life they begin to use the COHESION system and what services they are using.
Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

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.

Differentiators vs Competitors:
  • 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

Health Equity

Keywords

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NESA Virtual Care Overview

Downloads

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NESA Virtual Care eBook

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Company Details

Founded in 2012

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