PHI will coordinate a pilot and evaluation of the use of telehealth technology by home care aides working with three home care agencies—Jewish Home Lifecare, HHC Health and Home Care, and Independence Care System. The agencies will each pilot a unique telehealth device, which aides will use to share information on selected patients to help identify when changes in the care plan might be appropriate. The pilot will assess the clinical and financial value of each system and the ability of home care aides to observe and report data on a regular basis.