A major strength of our study was the low start-up costs and minimal resources needed to develop and implement a telehealth program. We used existing institutional computer equipment, Internet connections, teleconferencing software, and office space, including a well-established videoconferencing system, Vidyo© (22), as well as Internet access readily available to each participant. This substantially reduced the costs of initiation. While Vidyo© is provided free-of-charge at our institution, other videoconferencing software programs, such as Skype, have basic software packages that are easily accessible, free, and have been used by other e-learning programs (15, 17). Our team also had access and support from the Telehealth Department at our institution, providing infrastructure, technical expertise, and connection troubleshooting, all of which are critical elements to any e-learning programs. In general, Internet connectivity was strong during our study with few failed connections or technical difficulties experienced. Additionally, our educational sessions were all scheduled during protected academic time for our faculty and regular working hours for our CHNs, adding no further salary costs.