OBJECTIVE: To assess the feasibility and patient acceptance of a Tai Chi Home Automated Telemanagement (HAT) system in patients with chronic diseases. We will explore the magnitude of effect of the Tai Chi HAT system on over all quality of life, psycho-cognitive factors related to exercise and physical performance. METHODS: We used the existing HAT system as a prototype for development of multi-component support for patients to practice Tai Chi at home. It consists of a Home Unit (HU), HAT server, and clinician unit (CU). The HU, a laptop supporting a patient-tailored Tai Chi exercise plan, will be used by the patient at home. The HU sends patient data to the HAT server. Any web-enabled device can serve as a CU to review patient results. Patients report exercise information using an HU. The HAT system is able to automatically monitor patient compliance and analyzes self-testing results according to the practice guidelines in real-time. Therefore, the system assists patients in carrying out their individual exercise plans. In instances of patient non-compliance or failure to follow their exercise plans, the system gives feedback to the patient to motivate better compliance, and notifies a case manager who contacts the patients when necessary. RESULTS: The Tai Chi HAT system may be able to help patients engage in a regular exercise and manage their symptoms of chronic disease, therefore, improve their quality of life. CONCLUSIONS: The advantages of the Tai Chi HAT system are: 1) the system has the potential to assess compliance to the exercise program and support adjustments in the individualized exercise program that may be needed; 2) patients will be able to observe the progress being achieved with the exercise 3) the system is able to provide patient education, verbal encouragement, and social support.