VNA of Cleveland is one of the largest and most respected home health agencies in the United States and chose TouchPointCare as a cost effective and clinically valuable alternative to more expensive equipment based telemonitoring.  Their decision to implement TouchPointCare came after years of using telemonitoring equipment without believing they were receiving a positive return on their investment (ROI).  After reviewing literature from CMS and other research indicating that phone monitoring provides similar clinical benefits at lower costs, VNA chose TouchPointCare and began using the system in June, 2008.