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Home health care is facing many challenges as it attempts to provide high quality care for a growing population within a limited budget. We used telemedicine in home care to show that low-cost, standards-based videoconferencing and Internet access can provide home care without compromising outcome, quality of care and patient satisfaction. This study showed that fewer patients were discharged to a hospital or a nursing home when they had received telehome care. In addition, study patients using home monitoring equipment were more satisfied with the health care they received.