The vision for telehealth is relatively straightforward. Developing and implementing a pilot telehealth program and then transitioning it into a small-scale service, is a complex undertaking. However, the real prize, and opportunity for health care transformation, is through increasing access, reducing cost and raising quality in programs at a serious level of scale. This presentation provides attendees with the systems approach needed to achieve such scale, and details the clinical, technology, business and organizational processes underpinning success; and which put the patient at the center of innovative new care delivery processes that are safe, effective, cost-effective and sustainable. Dr. Darkins is a widely acclaimed international expert in telehealth, who had built very large scale telehealth networks nationally and internationally. He offers unique insights that bring together the pieces of the “telehealth puzzle” into a coherent and robust picture.