The objective of this study is to evaluate effectiveness, usability and clinical utility of the remote patient monitoring (RPM) "fit" score when choosing patients to enter the RPM Program.

Inclusion Criteria:

• The study participants will be nurses who are part of the RPM care team that cares for adult patients ≥18 years.
• A patient's data will be included in the analysis if the patient is ≥18 years old and receives care from a participating nurse.
• Patient data will only be collected if permitted (based on the use of the Minnesota Research Authorization Retrieval Tool).
• Patients who will be considered for this study will be assessed based on standard RPM program inclusion and exclusion criteria for the any of the chronic disease RPM programs (congestive heart failure, coronary artery disease, hypertension, type 2 diabetes, COPD, and general complex care).

Exclusion Criteria:

- < 18 years old.