This study presents a healthcare monitoring architecture coupled with wearable sensor systems and an environmental sensor network for monitoring elderly or chronic patients in their residence. The wearable sensor system, built into a fabric belt, consists of various medical sensors that collect a timely set of physiological health indicators transmitted via low energy wireless communication to mobile computing devices. Three application scenarios are implemented using the proposed network architecture. The group-based data collection and data transmission using the ad hoc mode promote outpatient healthcare services for only one medical staff member assigned to a set of patients. Adaptive security issues for data transmission are performed based on different wireless capabilities. This study also presents a monitoring application prototype for capturing sensor data from wireless sensor nodes. The implemented schemes were verified as performing efficiently and rapidly in the proposed network architecture.