Topic: Technology

The 5 stages of adopting intelligent virtual care: AvaSure Adoption Model

By Lisbeth Votruba, MSN, RN

Over the past year, there have been numerous publications, pilots, and discussions on virtual care. Many organizations are planning for a future where virtual team members are seamlessly integrated into care teams, where a device exists in every room enabling episodic and continuous video visits and where technology helps to augment nursing staff. However, amongst these conversations there is little clarity or direction on how to get there. Throughout AvaSure’s 5,000+ deployments at over 1,100 customer sites, we have collected best practices on implementing virtual care programs that deliver real results and outcomes. We employ clinicians at all levels of our organization who are engaged in forums across the country, led by AONL, AMSN, ATA, and others, on the creation of these virtual teams. Based on our work with early adopters and these industry experts, we have designed a prescriptive path to achieving the future of a fully integrated virtual care facility.

AvaSure’s Intelligent Virtual Care Adoption Model

Defining the 5 stages

The AvaSure Intelligent Virtual Care Adoption Model consists of five progressive stages, each of which builds on the foundation of the prior stage to financially fuel the next step, generating real patient outcomes at every stage.

Stage 1: Implement virtual sitting

The virtual care adoption model begins with implementing virtual sitters, who are trained, unlicensed personnel who use video and audio connections to watch over patients aiming to improve overall safety. The primary goals of this stage are to enhance patient safety while replacing up to 75% of one-to-one sitters for at-risk patients with virtual sitters. The clinical evidence demonstrating virtual sitting is superior to in-person sitters for preventing falls is irrefutable. The return on investment is robust, stemming from increased staffing efficiency at a ratio of 1-to-12 instead of 1-to-1, along with substantial cost savings resulting from reduced falls. These savings can be directed towards improving the hospital’s bottom line or reinvested to support subsequent phases of the adoption model.

Stage 2: Optimize virtual sitting

In the second stage, hospitals can look to optimize their virtual sitting program through expansion to other use cases and care units. Beyond falls, other established use cases include elopement, substance use withdrawal, low/moderate suicide risk, pediatrics, workplace violence prevention, and more. The staffing efficiency of virtual sitting allows hospitals to expand the reach of monitoring from what is feasible to cover with 1-to-1 staffing and cover additional use cases covering up to 20% and 25% of patient beds.

Upon recognizing the success and cost savings of virtual sitting, many organizations choose to centralize their monitoring across the health system leading to further efficiencies of scale. For example, Trinity Health implemented AvaSure system-wide, covering 25 states in just nine months. Patient monitoring is conducted from two central “super hub” locations. At this scale, the health system was able to provide 1.8 million hours of virtual sitting at 85% less cost ($24 million) in 2021.

Finally, integrating artificial intelligence (AI) to supplement virtual staff assists in alleviating the cognitive burden on virtual care staff. This improvement not only automatically alerts staff to potential risks of adverse events but also contributes to better outcomes.

Stage 3: Launch virtual nursing with return-on-investment from virtual sitting

Upon realizing substantial labor savings and cost avoidance through enhanced patient safety, these funds can be employed to initiate a virtual nursing program utilizing the same devices and platform.

A fundamental goal of any virtual nursing program is to allow nurses to work at the top of their license. This is not possible when there is a shortage of unlicensed personnel. Having freed up personnel from 1-to-1 sitting tasks, they are better able to support bedside RNs in a model of care that virtual nursing can also support. Many facilities choose to start with admission and discharge support, where a virtual nurse helps with the documentation and administrative tasks, supporting the bedside RN. However, based on organizational goals – there are a multitude of use cases virtual nursing can pilot with.

Holzer Health System, a two-hospital system in Ohio, is currently in stage 3 with an inpatient virtual care program. The health system implemented the program to address challenges associated with patient safety as well as issues with patient access to specialty care. The hospital installed a total of 16 monitoring devices, providing both virtual sitting and virtual specialty care from a central hub. “I am the only certified wound and ostomy nurse for inpatient facilities at Gallipolis and Jackson.This has provided a way for me to do video consults with the Jackson facility, which saves precious time as well as mileage,” said Natalie Gardner, BSN, RN, CWON, CFCS.  

Stage 4: Optimize virtual nursing

After a virtual nursing pilot demonstrates its efficacy in enhancing specific areas such as nurse satisfaction and retention, expediting patient flow, or reducing adverse events, then it’s time to scale up.

One example of an AvaSure customer that has optimized its virtual nursing program is UCHealth, a nonprofit healthcare organization based in Colorado that consists of 13 hospitals and 2,000 inpatient beds across the state.

Three years following the success of its virtual sitting program in enhancing patient care, UCHealth broadened its virtual care capabilities by including a virtual nursing program. This program, facilitated by experienced nurses, assists clinicians in promptly identifying hospitalized patients exhibiting signs of deterioration. This early detection enables clinicians to administer timely treatment, ultimately leading to improved patient outcomes.

UCHealth has 693 AvaSure devices (both mobile and fixed room devices) installed across the health system. Senior, expert nurses at the Virtual Health Center can visualize ICU patients across the health system as well as patients outside ICU who have a rapid response call activated. The health system utilizes AI deterioration algorithms to proactively intervene. This has led to improved sepsis detection, and decreased code blues, but most importantly, Dr. Hemali Patel, Associate Chief Medical Officer, explained the virtual care team has helped save the lives of 786 patients together with the frontline staff.

Stage 5: System-wide adoption

The culmination of intelligent virtual care adoption will include a device in every room and have virtual team members seamlessly integrated into every care team. Technology is being used to provide exceptional experiences for both the patient and caregivers, helping to continuously improve outcomes, fully optimize the labor force, keep labor costs manageable, and bring joy back to caregiving.  

The Key to Success: The AvaSure Advantage

Faced with high labor costs and a dwindling supply of workers, many hospitals across the nation are in various stages of virtual nursing adoption – a number that is sure to rise as health systems’ operating challenges persist. As they do, the primary use case for virtual nursing today – rounding, admissions and discharge, patient education, documentation support – will be joined by other applications of this emerging technology. However, success may seem unattainable without a coherent business case, buy in of clinical and IT teams, and achievable KPIs. 

AvaSure has the expertise to guide hospitals through their virtual care adoption journeys. We have a platform with the necessary technology to support a multitude of use cases, but more importantly we have the clinical expertise to help develop your program from the ground up. From policy and procedure development, workflow design and change management support, our people will be the difference in making your program a success. Backed with data and insights, we can help hospitals stair step your way to the deployment of an intelligent virtual care platform, helping you step into a future where cutting-edge technology and compassionate care converge.

AI powered enhancements for your virtual care workflow

AvaSure has developed and integrated AI enhancements to our pioneering TeleSitter® solution that identify patients at risk, reduce cognitive burden on virtual staff and help prevent adverse events

We are creating a future where cutting edge technology and compassionate care converge. AI is essential in that future, but it must be deployed thoughtfully with the clinician and patient in mind. We set high standards for safety and alert fatigue in developing our AI enhancements, choosing to partner with leading vendors where best-in-class capabilities already exist and developing others with internal expertise.

Download the latest guide to learn more about our TeleSitter solution AI enhancements.

The many forms of AI that are enabling virtual care featuring Jacob Hansen, Chief Product Officer

Artificial intelligence (AI) as a term has become generalized to the point of being meaningless, even within the technology industry. But there are multiple types of AI, each producing their own particular outcomes. Below are some of the specific forms of AI, how and what they learn, and the best use cases for each in virtual care.

Read the full article on

AvaSure and Ouva Partner to Integrate AI-powered Virtual Sitting Solution

Collaboration of industry leaders to deliver improved patient monitoring and care optimization services amid time of widespread healthcare staffing shortages

AvaSure and Ouva Partnership

BELMONT, Mich., and SAN FRANCISCO, Calif.– Sept. 7, 2023 – AvaSure, the market leader in acute virtual sitting and virtual nursing solutions and Ouva, a technology leader in AI-powered patient observation, have announced the integration of Ouva’s comprehensive AI capabilities with the AvaSure TeleSitter® solution, delivering unparalleled patient monitoring and care optimization. The partnership represents another example of how AvaSure, the most widely deployed virtual care system, continues to bring innovative solutions to customers.

The collaboration introduces a fusion of technologies in which Ouva’s AI platform-in-the-cloud observes bedside activity via AvaSure’s virtual care and safety devices, offering real-time insights and alerts without requiring additional hardware installations at the bedside. This innovation enables rapid deployment of AI capabilities, presenting healthcare providers with a more streamlined and efficient observation process to reduce patient falls and elopements.

The combined solution offers critical benefits to U.S. hospitals facing staff shortages:

  • Guides observers: With Ouva’s integration, the AvaSure TeleSitter® solution generates additional insights. Ouva’s AI-driven alerts are delivered directly within the AvaSure platform, guiding observer attention precisely where it’s most needed.
  • An ecosystem on AvaSure’s widely deployed platform: This is yet another AI-powered offering from AvaSure, providing customers an open ecosystem of integrations among them fall risk decisions support and fall and elopement detection.
  • Extended coverage: For hospitals facing a shortage of sitters, resulting in patients being placed on observation waitlists, the power of Ouva’s AI extends the monitoring capabilities, ensuring no patient in need goes unmonitored.

“AvaSure is excited to partner with Ouva to enable AI-powered patient observation,” said Adam McMullin, CEO, AvaSure. “Our partnership signifies another bold step towards leveraging AI, redefining how we ensure the well-being of those under our care. Through this collaboration, we are not only embracing cutting-edge technology but also reaffirming our commitment to enhancing patient outcomes and experiences with AvaSure’s open ecosystem. Together, AvaSure and Ouva are pioneering a new era of healthcare, where precision meets compassion, and where the virtual realm becomes an extension of our unwavering dedication to the health and safety of every individual.”

“We are incredibly excited about this partnership with AvaSure, which represents a significant leap forward in virtual patient care,” said Dogan Demir, CEO of Ouva. “Integrating Ouva’s AI solutions with AvaSure’s TeleSitter® is more than just technological synergy—it’s a testament to our shared vision of redefining patient monitoring. With this collaboration, we’re bringing forward a solution that’s seamless, intelligent, and, most importantly, eases the stress put on the healthcare system due to staffing shortages.”

About AvaSure

AvaSure provides the leading hospital virtual care platform to systems with nursing and staffing shortages that are challenged to significantly reduce labor costs without sacrificing patient health outcomes. Recognized by KLAS Research as the leader in reducing the cost of patient care, AvaSure is the pioneer in providing best-in-class, video-based AvaSure TeleSitter® and TeleNurse™ solutions. As a trusted partner of more than 1,000 hospitals, AvaSure combines remote patient monitors, virtual nurses and other providers on a single platform to enhance clinical care without placing any additional burdens on existing staff. To learn more about AvaSure visit

About Ouva

Ouva offers an AI-powered platform tailored for the virtual care era, delivering 24/7 access to live patient data, safety predictions, and insights for workforce efficiency. Ouva’s AI platform aids in eliminating redundant observations, prioritizing patients in need, and improving overall workforce efficiency. Developed over multiple years of peer-reviewed clinical collaborations, Ouva offers the most comprehensive and enterprise-ready platform in the cloud for seamless deployment of AI at scale. To learn more about Ouva, visit

Media contacts:

For AvaSure: Marcia Rhodes,

For Ouva:

Virtual Classroom Series Session 6: Starting and Scaling Your Virtual Nurse Program

Join us for a transformative session as we conclude the captivating journey through our virtual nursing 101 classroom series. In this final installment, Lisbeth Votruba, MSN, RN, Chief Clinical Officer, will distill the invaluable insights and profound wisdom garnered over the past six months of sessions from pioneering virtual nursing programs.

In this webinar, Lisbeth will uncover:

  • The essential considerations surrounding traditional care paradigms
  • How to embark on an exploration of the dynamic co-caring model
  • How this paradigm shift can effectively address the pressing challenges of care quality, patient experience, and cost containment

Don’t miss this unparalleled opportunity to learn from the forefront of nursing innovation. Join us for an engaging session that promises to empower you with the knowledge and strategies to not only initiate change but to shape the future of nursing care. Secure your spot today and be a part of this transformative experience as we uncover the pathway to redefining healthcare through virtual nursing excellence.

Virtual Classroom Series Session 5: Selecting the Right Technology Partner for Virtual Nursing

Once you’ve sold your teams on virtual nursing, picking the right partner is essential.

In this session, you’ll learn:

  • Criteria to use to select the right partner for program success & what requirements should guide your decision
  • How technology will impact your program and details around emerging trends towards AI/Machine Learning, camera-in-every-room, and more

This free, six-part series will take place the last Thursday of each month featuring Lisbeth along with special guests and experts. Lisbeth will cover key topics, lessons learned from ongoing programs, and audience questions. 

Virtual Classroom Series Session 4: Introducing the Expert Oversight TeleNurse™ Model

This model of virtual nursing focuses on retaining an experienced nurse to oversee a cohort of complex patients, monitoring for early signs of adverse patient events, mentoring novice nurses and providing support to bedside care teams.

Hear from Lisbeth Votruba, RN, MSN, CCO of AvaSure and the team from UCHealth, Amy Hassell, RN, MSN, Director of Patient Services and Dr. Hemali Patel, ACMO of Inpatient Services. Amy and Dr. Patel work in the innovative Virtual Care Center at UCHealth which helps to support monitoring for patient deterioration, post rapid-response monitoring and more using the Expert Oversight model of Virtual Nursing. Hear about how their program started, outcomes they’ve experienced over the past year and roadblocks they’ve faced in scaling their virtual nursing efforts.

In this session, you’ll learn:

  • What’s driving the need for this nursing model, areas of focus and hear best practices from those who’ve already piloted.
  • Early outcomes from those already using this model to help detect adverse events sooner and drive satisfaction in nursing staff, especially novice team members.
  • Tips on staffing and scaling your virtual nursing program


Amy Hassell
 RN, MSN, Senior Director of Patient Services, UCHealth Virtual Health Center
Dr. Hemali Patel, MD, ACMO, Inpatient Services, UCHealth

This free, six-part series will take place the last Thursday of each month featuring Lisbeth along with special guests and experts. Lisbeth will cover key topics, lessons learned from ongoing programs, and audience questions. 

AvaSure Announces New AI Capabilities for Its Industry-Leading Virtual Care Platform

BELMONT, Mich., May 31, 2023 — AvaSure, the inventor of the TeleSitter® solution and the market leader in acute virtual care and remote safety monitoring, announced today that it is launching artificial intelligence (AI) enhancements to its industry-leading virtual care platform. AI augmentation will enable health system partners to enhance efficiency and time-savings while also improving the quality of care they deliver.

AvaSure unveils computer-vision augmented alerts for patient falls and elopement

Initial applications will build on the already strong ROI delivered via the AvaSure TeleSitter solution by amplifying a virtual safety attendant’s capacity for reducing elopement and preventing falls. Safety attendants will remain the “human in the loop” with support from AI, which will alert virtual safety attendants when an at-risk patient tries to stand up or attempts to leave their room. Virtual team members can then intervene before an adverse event occurs.

“AvaSure is the most trusted video-based partner in healthcare because of our well-earned reputation for providing only human-validated alarms with response times measured in seconds,” said Adam McMullin, CEO, AvaSure. ”Accuracy is our goal, and AvaSure will use AI technology in a meaningful way to support that goal.”

AvaSure is working toward AI augmented implementations with several health system clients and is now seeking a set number of additional collaborators for a limited release.

Kinometrix partnership adds predictive fall risk identification

In addition, AvaSure is excited to partner with Kinometrix to better identify patients at risk of falling who would benefit from participation in AvaSure’s TeleSitter program. Kinometrix expertly employs predictive analytics, machine learning, and artificial intelligence with Electronic Health Records – effectively mining data related to potential inpatient falls. These AI-driven enhancements will improve the accuracy of identifying patients at risk of falling and alleviate the nursing workload associated with fall risk assessments. Opportunities to pilot this solution are now available to all health system clients.

AvaSure’s virtual care platform enables virtual team care by combining remote patient sitters, virtual nurses, and other providers in a single enterprise technology solution to enhance clinical care without placing any additional burdens on existing staff.

About AvaSure

AvaSure provides the leading hospital virtual care platform to systems with nursing and staffing shortages that are challenged to significantly reduce labor costs without sacrificing patient health outcomes. Recently recognized by KLAS Research as the leader in reducing the cost of patient care, AvaSure is the pioneer in providing best-in-class, video-based AvaSure TeleSitter® and TeleNurse™ solutions. As a trusted partner of more than 1,000 hospitals, AvaSure combines remote patient monitors, virtual nurses and other providers on a single platform to enhance clinical care without placing any additional burdens on existing staff. To learn more about AvaSure visit

Media Contact:

Marcia Rhodes

Amendola Communications

See the press release on PR Newswire

Investing in Nurse Retention: How Refreshing your Hardware can Help

Are you looking at your virtual care strategy? The easiest place to start is refreshing the systems you already have. Learn from AvaSure experts how to incorporate the latest technologies into your virtual care program. You won’t want to miss this session discussing how you can protect patient safety, manage costs effectively, and why leveraging available resources, like AvaSure’s nurse experts, is more critical than ever.

In this webinar, you’ll learn:

  • Key considerations and tips when planning your virtual care strategy
  • How AvaSure’s devices and software can support your program goals
  • Trade in options to help you save while taking advantage of the latest technology
  • How refreshing your program drives nurse satisfaction and patient safety


Jennifer Williams – Clinical Program Specialist

Justin Kuipers – Technical Sales Engineer

Chris DeYoung – Product Manager 

How Jefferson Health turned a capacity crisis into an opportunity with virtual nursing

There’s no telling what type of illness surges hospitals will see this year: Take lessons from Jefferson Health’s nurse-led virtual nursing pilot program here.

A surge in respiratory viruses over the fall and winter months placed immense capacity and resource strain on hospitals. This year, they can’t afford to wait and see what the next respiratory virus reason might bring.

In this session, leaders from Philadelphia-based Jefferson Health will share how a nurse-led approach helped the organization meet staffing demands during this past pediatric surge in respiratory syncytial virus cases. Colleen Mallozzi, RN, senior vice president and chief nursing informatics officer at Jefferson Health, and Laura Gartner, DNP, RN, clinical informatics director at the health system, will share how the team quickly expanded an existing virtual sitting program into a virtual nursing pilot to meet patient care and staffing demands.

Learning points:

  • The timely implementation of a systemwide virtual nursing pilot
  • The CNIO’s pivotal role in ensuring the clinical practice leads the technology and not the other way around
  • Critical steps to structure the program including the right setting, staffing, and outcome measurements


Colleen Mallozzi, MBA RN, SVP, Chief Nursing Informatics Officer, Jefferson Health

Laura Gartner DNP, MS, RN, NEA-BC, Division Director Clinical Informatics, Jefferson Health

Lisbeth Votruba, MSN, RN, Chief Clinical Officer, AvaSure