Health information communications systems and methods are disclosed. In one embodiment, the system includes one or more medical sensors providing one or more health information data types. The system further includes a patient communications device coupled to at least one medical sensor over a communications network. Particularly, the patient communications device includes a patient quality of service (QoS) manager that dynamically specifies a set of data quality management parameters for transporting at least some of the health information and modifies at least some of the health information into value factored health information. Additionally, the system includes a specialist communications device communicatively coupled to the patient communication device over the communications network. The specialist communications device includes a specialist QoS manager that provides measured channel characteristics to the patient communications device. The patient QoS manager dynamically specifies the set of data quality management parameters based at least in part on the measured channel characteristics of the specialist communications device.