The Inpatient Unit Operating System
Every hospital is, in practice, a collection of self-contained operating units. Not one of the enterprise systems built over the past two decades actually runs those units.
Nexus Bedside is the missing infrastructure layer. A managed operating system for inpatient care — installed like infrastructure, operated with embedded accountability, and measured against contractual performance thresholds.
The Clinical Care Transformation Engine.
What Operating System Performance Looks Like
When role clarity, standardized workflows, and continuous performance management are in place:
Virtual nursing teams absorb up to 90% of admission documentation, medication reconciliation, and family communication — freeing bedside nurses to focus on direct clinical care.
Patients are 17 times more likely to engage their virtual nurse than use a call button — a direct indicator of care model adoption and patient trust.
Onsite nurses can accept up to three times the typical number of floor transfers.
Floor transfers from ED are expedited by up to 90 minutes.
Documented Financial Performance
Nexus deployments operate under a hybrid fixed-plus-performance commercial model. The fixed infrastructure fee covers platform deployment, embedded operations, and 24/7 support. The performance-based component is tied to contractually defined outcome thresholds.
Impact From Live Deployments
+ Guaranteed 10%+ reduction in total nursing care cost
+ $3M – $6M annual financial impact per 30-bed unit
+ $200,000+ contribution margin per bed-year
+ 250% annualized ROI
Three Deployment Paths. One Operating Standard.
Regardless of deployment model, Nexus installs the same operating infrastructure: standard work, role governance, centralized coordination, continuous performance management, and embedded accountability. The model adapts to your workforce structure. The operating standard does not vary.
Embedded Full-Service Model
Nexus Clinical Teams + Embedded Operating Infrastructure
Nexus provides both the clinical workforce and the operating infrastructure. This model is appropriate for units with significant premium labor dependency or where workforce restructuring is the primary objective.
Embedded Co-Managed Model
Your Workforce + Nexus Operating Infrastructure
Nexus installs workflows, governance, and performance management systems within units staffed by your clinical teams. This model delivers full operating system performance while preserving existing workforce relationships.
Flexible Capacity Model
Flexible Clinical Capacity
Nexus expands capacity during peak demand or transition periods through flexible bedside and virtual clinical support — operating within the same standard work framework as permanent deployments.
Embedded Models, Measurable Results
Traditional Nursing Spend vs. Embedded Nexus Models
- CLIENT AVG. COST – $11,089,891 100%
- NEXUS EMBEDDED CO-MANAGED MODEL – Estimated Annual Savings: $2,921,752 73.95%
- NEXUS EMBEDDED FULL SERVICE MODEL – Estimated Annual Savings: $5,966,784 46.31%
*Data based on 60 med-surg beds — Wages + Travel RN + Excess LOS + Turnover + Sitting + Safety Events
The savings documented above reflect the cost of operating without an operating system. Health systems currently absorbing these costs are not facing a budget problem. They are facing an operating model problem — one that compounds quarterly.
How the Nexus Operating Model Distributes Work
The Co-Caring Model is not a staffing arrangement. It is a governance structure for inpatient care delivery. Responsibilities are assigned to roles with clear decision rights. Standard work defines how each role executes. Embedded coordination ensures the roles function as a system, not as parallel independent actors.
VIRTUAL NURSING RESPONSIBILITIES
Within the Co-Caring Model, the virtual nursing teams absorb high-frequency workflow tasks such as:
- Patient and Family Communication
- EMR Admission Socumentation
- Medication Reconciliation
- Chart Audits
- Discharge Planning & Education
- Calling New Consults
- Telemetry Signoff
- Patient Rounding & Education
- Pain Reassessment
- Order Clarification
- First Response to Call Lights
BEDSIDE NURSING RESPONSIBILITIES
Bedside nurses remain focused on direct clinical care, including:
- Physical Assessment
- Medication Administration
- Hands-on Bedside Care
- Direct Bedside Intervention
SHARED CLINICAL RESPONSIBILITEIS
Shared responsibilities remain coordinated across both roles, including:
- Support Rapid Response Team
- Dual-Signoff Processes
- Interdisciplinary Rounds
- Admission Workflow Completion
- Care Plan Updates
- Completing Procedure Checklists
How Technology Supports the Operating Model
Technology at Nexus exists to strengthen safety, accelerate workflows, and support earlier intervention within a redesigned care model.
Powered by VisionAI, Nexus uses computer vision to surface clinical risk, detect changes in patient behavior, and support earlier response without adding alarm burden to frontline teams.
Family Care Connect extends secure virtual access to families during key care moments, improving communication during discharge planning, transitions, and critical decisions.
Remote nursing teams use secure video engagement, clinical workflows, and AI-supported visibility to answer questions, reinforce care plans, and support bedside teams in real time.
Schedule a Demo
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