National Taiwan University Hospital (NTUH) set up the heart failure center in August 1993 and started bi-directional communications between case managers and patients. According to a research done in our heart failure center, this communication modality significantly reduced duration and frequency of hospitalization due to heart failure. In 2009, NTUH has also built up the Telecare center and started the innovative distant care system for cardiovascular diseases. The Telecare center provides an around-the-clock system of healthcare that is accessible from home to reduce complications in patients with heart failure. This system emphasizes comprehensive medical recording through home sensors with immediately feedback on sudden events. This system reduces also psychological insecurities of patients. Patients are able to upload their physiological parameters such as heart rate, blood pressure, blood sugar, electrocardiogram (ECG) daily as guided by their needs. In addition to case managers, physicians are able to access this information and to handle with sudden events. Patients can consult their case managers via telecommunication for data of blood sampling and the detailed knowledge of diseases and drugs.