Inclusion Criteria:  Adults (over 18 years of age) Undergoing one of the following inpatient elective surgery procedures: abdominal wall reconstruction, bariatrics, hepatectomy, pancreatectomy, aortic surgery, lower extremity bypass, esophagectomy and colectomy at Mayo Clinic Rochester. Must be willing to actively work with RPM nurses with vital sign capturing.  Exclusion Criteria:  Have uncontrolled mental illness and/or drug or alcohol abuse Reside in a long-term care facility Are being actively followed by dialysis or transplant services Pregnant Are being actively treated for cancer, receiving chemo or radiation therapy during the remote monitoring Are identified as end-of-life by provider Have dementia, cognitive impairment, or physical condition that limits ability to use home remote monitoring equipment independently or interact with remote patient monitoring staff (unless a caregiver commits to assisting daily).