We offer inpatient telehealth workflows that integrate with Epic and provide a holistic approach to digital health. Our software, services, and devices come together into one seamless, comprehensive telehealth ecosystem to:

• Strengthen the continuum of care by providing a seamless integration with Epic for a consistent patient and care team experience
• Enhance patient outcomes by leveraging technology and solutions customized for your use cases, workflows and needs
• Operationalize at scale leveraging high-touch support and digital health transformation

Extended Care LLC offers today's most clinically-integrated, configurable, and personalized telehealth experience, serving leading-edge health systems worldwide. 

• Our ExtendedCare Telehealth™ solution offers a faster, more efficient delivery of care. Better patient outcomes. Healthier financials despite the pressures from the shortages of nurses and other providers.
• Our powerful, easy-to-use telehealth platform optimizes value for all participants in the care journey, regardless of the type or level of care delivered. We ease the transition to better virtual care by providing seamless clinical integrations, unmatched configurability, and a smooth, personalized care experience.
• At-Home Video Visits - We go beyond the basic video visits provided by vendors like Zoom or Microsoft Teams - We have more healthcare specific features than any other solution.
• From Carts to Clinics - From enterprise quality sophisticated endpoints to "bring your own cart". It doesn't matter if the patient is in your hospital, a community health center, a school nurse's office or even an ambulance. We bring everyone together!
• Bedside Integration - We can integrate with your existing bedside patient experience platform (like Getwell) to provide for remote rounding or family-centered visits.
• Telesitter - Available in both Epic Monitor or standalone, keeping an eye on patients has never been easier.
• Extend Your Reach - Supporting community health centers, or providing your services to outside organizations? It doesn't matter if they work out of your EMR or their own, we make it all work together.

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.

Extended Care's solution offers these factors over any EHR's functionality:

• Better health outcomes
• Streamlined clinical workflows
• Increased patient and physician engagement
• Fewer hospitalizations and readmissions
• Reduced patient risk
• Cost savings

We solved what our Competitors haven't. They have:

• Standalone solutions/workflows not integrated into the EMR leading to a disjointed and high friction end user experience.
• Point solutions that address only a single use case or clinical setting causing a proliferation of a myriad of solutions across the enterprise.
• Minimum or lack of customizability resulting in a one size fits all approach to end user experience.
• Operational inefficiencies and challenges in maintaining, managing and supporting multiple applications.
• Inflexible licensing models causing enterprises to overbuy leading to increased budgetary allocations and resource underutilization.

Extended Care offers a better solution that goes beyond all of their limitations, with...

• Seamless integration with Epic* patient and provider applications resulting in a frictionless end user experience.
• Ability to meet the requirements of any telehealth use case across the entire continuum of care in any clinical setting – acute, ambulatory or in-home.
• Hyper-customizability that’s lends itself to creating a fully personalized and unique end user experience for patients and providers.
• Delivering a consistent end user experience across the enterprise enabling organizations to leverage economies of scale to support multiple programs.
• Highly flexible concurrency-based licensing model with unlimited bursting allowing organizations to scale as their programs grow.

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