Abstract: A system for remote user monitoring includes a user monitoring device and a controller. The controller receives sensor data from the user monitoring device and updates stored user data accordingly. Upon confirmation of an emergency associated with a particular user, the controller generates an emergency event code, associates the code with the particular user, and sends the code to a monitoring operator to provide to emergency dispatch. When receiving a user data access request including the emergency event code from an emergency dispatcher, the controller only provides user data associated with the particular user when determining that the emergency event code received from the emergency dispatcher is active. The user monitoring device may store an on-shift configuration specifying which information to send to the controller during an on-shift mode and an off-shift configuration specifying which information to send during an off-shift mode, and may dynamically change modes at different times.