Given in July 2011 to the Arizona TeleMedicine Program,this presentation goes through opportunities to leverage cloud services (requiring only a browser) for care. This solutions require only a laptop, desktop or PDA to participate, but provide workflow emulating a full clinic with e-prescribing, scheduling, etc. Care can be one to one or one to many for a coordinated, virtual medical home . This also offers something beyond brick and mortar. The digital world allows aggregation, outcomes around large populations for value based (ACO type) care.