This photo taken Jan. 30, 2013 shows adult nurse practitioner Jayne Mitchell watching at right as patient Marlena Bechtel-Rysdam, from Elgin, Ore., practices using an electronic monitor

 

              This photo taken Jan. 30, 2013 shows adult nurse practitioner Jayne Mitchell watching at right as patient Marlena Bechtel-Rysdam, from Elgin, Ore., practices using an electronic monitor
This photo taken Jan. 30, 2013 shows adult nurse practitioner Jayne Mitchell watching at right as patient Marlena Bechtel-Rysdam, from Elgin, Ore., practices using an electronic monitoring device called a Health Buddy, at Oregon Health Sciences University in Portland, Ore. Hospitals are under new pressure from Medicare to slow a pricey revolving door _ the number of people who are rehospitalized only weeks after they left for problems that could have been prevented. In Mitchell's program, patients with heart failure get extra education before they're discharged and some are tracked at home with special telemedicine monitors. (AP Photo/Don Ryan)