A system used by a local health care facility to communicate with a remote health care facility via a data communication network. A controller at the local health care facility controls communication on the data communication network, including data communicated between the local health care facility and the remote health care facility. One or more devices located at the local health care facility transmit data to the remote health care facility via the data communication network. Additionally, the one or more devices receive control data via the data communication network and perform one or more functions in response to the received control data.