During the year-long study 200 high-risk patients over the age of 60 with chronic conditions, such as diabetes, heart failure, lung disease, will use a medical monitoring device to take their vitals: blood pressure, weight, sugar levels and peak air flow. This information is collected in a central database at the Mayo Clinic where the patient’s primary medical team will have secure web access. Clinicians will also be able to use the videoconferencing system to observe and communicate with their patients.