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.

AvaSure is a leader in virtual care services, leveraging over 15 years of experience and a proven track record of successful implementations in more than 1,100 healthcare facilities. The company offers the AvaSure Intelligent Virtual Care Platform, which integrates AI-powered solutions like virtual sitting, virtual nursing, and virtual visits. AvaSure’s expertise includes:

• Future-Proof Platform: The Intelligent Virtual Care Platform combines clinical grade in-room devices with AI-enabled solutions for continuous patient observation and virtual visits, helping to enable proactive interventions, improved patient outcomes and optimized staffing. 
• Scalable Infrastructure: AvaSure’s platform is built on a scalable, enterprise-grade infrastructure that supports integration with electronic health records (EHRs) like Epic, nurse call systems, and other healthcare technologies. Boasting a 99.9% uptime, our system is built with the high-reliability necessary for a patient care environment. 
• Analytics and Benchmarking: AvaSure Analytics offers actionable insights and nationwide benchmarking, helping organizations measure performance and optimize their virtual care programs.
• Open Ecosystem: AvaSure’s platform features a PartnerAPI that allows our in-room device to be the gateway to patient care, sending audio/video from the room to any third-party applications or systems, supporting limitless use cases.
• Clinical and Technical Expertise: With a team comprising of 15% nurses, AvaSure provides tailored clinical strategies and ongoing support to ensure measurable outcomes. Based on our experience from over 5,000 virtual care deployments, AvaSure provides end-to-end implementation services, including project management, clinical program development, and technical deployment. A dedicated team of clinical and technical experts ensures seamless integration and adoption.

Intelligent Virtual Care Platform

Over 1,100 hospitals use AvaSure to engage with patients, optimize staffing and seamlessly blend remote and in-person treatment at scale. Drive measurable outcomes and empower clinicians with an AI-powered virtual care platform that integrates seamlessly into your care workflows. AvaSure offers modern virtual care solutions supported by an open architecture that can help lead your organization into a future where cutting-edge technology and compassionate care converge.

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

Safer patients, happier nursing teams, and a dedicated clinical support team by your side through it all. AvaSure is the only virtual care platform with proven ROI in over a thousand hospitals.