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I found this article, Health System Approach to Implementing Technology-Facilitated Care to resonate with our challenges. My company is over ten years old and not a product of the pandemic. We have seen the challenges outlined in the article and made some gains in overcoming the patient-facing technology challenges. But what I see is those patients that are sicker have far less tolerance for learning technology. They often “shut down” and will disenroll from the program due to another overwhelming task of managing their health needs. I’m more than willing to share the steps we have taken to overcome the challenges- such as purchasing pulse oximeters with different color results, one color for the pulse and another for O2. I also found blood pressure cuffs with larger buttons for easy use in the older population or those with physical limitations. Consideration of the patients’ technology experience is crucial to launching a successful VN program.