a system and method for observing patients in geographically dispersed health care locations . a patient is assigned to a health care location comprising a patient visual monitoring system , a patient audio receiver , and a patient controller . the visual monitoring system is responsive tri - axially to command signals received via a patient controller connected to the network . the patient controller sends patient imaging data and patient audio data to a remote command center via the network . a computerized patient care management system comprising the remote command center monitors patient data , patient imaging data , and patient audio data determines from the patient data , the patient imaging data , and the patient audio data if intervention with the selected patient is warranted .