The business of treating patients via telehealth in the United States will dramatically increase to nearly $2 billion in revenue within five years from the current $240 million; $2 billion in revenue is an annual growth rate of 56 percent. The increase is due to a confluence of events in the health care industry, education, lack of access to quality health care, workforce shortages, and provider payment changes. The data shows that evolving technological advancements are restructuring the way practitioners perform health care activities and apply new technology. Using this semi-structured, grounded theory qualitative focus group research data, themes were identified that corresponded to aspects of community-based telehealth practitioner guidance. These findings will be used to develop a best practice, which can lead to the development of standard operating procedures for a community-based telehealth program at Maxim Health Care Professionals (MHCP), a medium sized telehealth organization based out of Virginia.