Cadence is a pioneering health technology company helping national health systems deliver world-class care outside of the four walls of the hospital. Our Care in Sync™ platform couples powerful new technology with clinical excellence, providing patients with a precise and personal level of care through remote patient monitoring. At Cadence, we aim to exceed the expectations of our patients, clinicians, and partners every day. Our team values trust and autonomy, and we empower one another to make decisions, solve problems and build something better. We give clear, candid feedback with the utmost honesty and encouragement. We're currently looking for people to join our Care Delivery, Design, and Product teams and help transform the future of healthcare. If you’re interested in joining us, explore opportunities at www.cadence.care. *Note that in all Cadence videos posted on this page, testimonials are those of real Cadence patients who have not been compensated and voluntarily provided their statements and opinions. Patient results and experiences with Cadence may vary and are unique and individual to each patient.

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.

Cadence is capable of two-way integration with Cerner, Epic, Athena, and other EMRs. Patient vitals and symptoms data captured by Cadence will be accessible via dashboards, notes, and reports in the Cadence platform and in our partners' physicians' EMRs.

Cadence solves the three major challenges that have plagued RPM historically for our health system partners:

1. RPM creates too much work for overburdened clinicians
2. Narrow point solutions create the need for too many vendors
3. Financial model lacks a clear return on investment

Cadence’s solution includes:

1. Embedded Clinical Team. Cadence’s remote patient monitoring and responsive virtual care program is supported by an NP-led, embedded clinical team capable of administering care to their partners’ patients in accordance with disease state-specific protocols approved by each partner’s clinicians as part of the implementation process. These clinical protocols help PCPs intervene as necessary so that together, the Cadence Care team and the patient’s PCP, can make adjustments to the care plan for their chronic illness as needed. This results in more proactive, preventive patient care and a reduction in clinicians’ workload. Historically, the Cadence Care team has been able to resolve 99% of patient interactions without the need for escalation to the partner clinician. 
2. Flexible, End-to-End Technology. Cadence is built on top of a flexible technology infrastructure that adapts to support our partners’ remote monitoring and virtual care needs, including the ability to integrate directly into a partner’s EMR and incorporate new devices, use cases, levels of acuity, and care pathways. Cadence’s seamless technology and patient-centric user experience is driving industry-leading engagement today, with over 88% of patients sharing vitals at least 16 days per month.
3. Low-Risk Financial Model. Cadence offers a low-risk financial model with fees tied to performance and actual patient utilization. Cadence makes the upfront capital investment to support the implementation of the remote monitoring program, including approved devices, deployment configuration, enrollment staff, clinical staff, technical support staff, and logistics. In both fee-for-service and value-based arrangements, Cadence only invoices partners for services rendered to the patients.

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