In this time of war there exists a heightened awareness of doing more with less, and the Veterans Administration (VA) has transformed itself and taken the lead in delivering value-added healthcare utilizing technology solutions in ways that promote patient empowerment, build relationships with providers and ultimately improve clinical care outcomes through telemedicine initiatives. The research proposed here is in the form of a longitudinal case study (i.e., research duration spanning pre and post implementation) examining the home telehealth care project as directed by a northeast VA medical facility that seeks to do the following: (1) during pre and post implementation, chronicle the socio-technical aspects (e.g., degree of task-technology fit, healthcare provider expectations and satisfaction, training, and resistance to change issues), (2) during post implementation, provide empirical analysis for the relationship between use of technologies facilitating home telehealth care for eligible veterans, healthcare provider productivity, cost of service, and patient satisfaction.