INTRODUCTION According to the Centers for Medicare & Medicaid Services (CMS), growth projections for U.S. health spending is estimated at 5.8% from 2012-2022. Healthcare costs continue to rise, and is projected to grow 1% faster than the Gross Domestic Product (GDP) (CMS, 2012; National Research Council, 2010). This has resulted in healthcare access disparity with nearly 48 million Americans without health insurance in 2012 (DeNavas-Walt, Proctor, & Smith, 2013). There are numerous factors that are driving healthcare cost changes, including the aging population and longer life expectancy. LITERATURE?REVIEW Most of the U.S. senior population is reported to suffer from multiple chronic conditions, i.e., hypertension, coronary hypertension, coronary, heart disease, stroke, diabetes, cancer, arthritis, hepatitis, weak or failing kidneys, chronic obstructive pulmonary disease, or current asthma (Ward & Schiller, 2013). Other factors include the shift from acute care to chronic care (Nahm & Mack, 2013). However, Today, the system is largely impersonal and reactive; we typically visit a doctor when an illness or accident has already occurred. In the years to come, healthcare will become far more personalized, and will focus more on prevention (Castaldo, 2011). Use of telehealth technology has been shown to be very effective for monitoring large numbers of patients with chronic disease conditions with personalized care plans (Polisena, Coyle, Coyle, & McGill, 2009). Telehealth provides a comprehensive array of interventions based on the regular gathering of data points, conceivably inspiring healthy diet and exercise (Bashshur et al., 2009). The telehealth is one of many growing healthcare service delivery market. In this case study, Vital Care was established when it became evident there was a need to implement cost-effective solutions for health and wellness care delivery that would be personalized to individual needs in their own living settings. The company's solutions ensure that patients stay healthy, follow their designed care plans, and avoid costly hospital readmissions and emergency room (ER) visits. Using advanced, portable, consumer friendly telehealth technology, healthcare providers can interact with their remote-location patients as often as necessary, and implement a customizable regimen to match each patient's individual needs. The innovative telehealth software running on commercial tablets is simple to operate for patients with no prior computer experience. These Wi-Fi or 4G enabled cellular tablets relay vital sign measurements, personalized daily questions, medication reminders, and clinical advice immediately through encrypted and Health Insurance Portability and Accountability Act (HIPAA) compliant messaging from secure servers (Affordable Health Care, 2013). The patient can be connected anywhere and at any time to a healthcare provider. BACKGROUND As part of a service-learning course, Intergenerational Computing, students choose a term project, primarily based on current needs of community partners. Vital Care Services was one of many community partners offering projects to the class. Vital Care wanted to explore older adult usability with their telehealth products by launching their first pre-pilot. Some objectives of the research included the acceptance of technology by the older adults, as well as their ability to learn the procedures for the vital sign readings. Students voluntarily selected this community partner for their project. Students in the intergenerational computing class choose a community partner from a variety of nursing homes, assisted living, independent living, adult day care, and senior centers to conduct weekly-customized computer literacy training sessions with the self-selected paired older adults. For this telehealth project, the choice dwelling arrangement was assisted living because of convenience and economically feasibility. …