Transferring concepts of value for many health information technologies (HIT) into strategic, sustainable programs for health care organizations can be a challenge. The objective of this study is to explore organizational strategy for deploying HIT programs to provide a foundation for strategic guidelines and archetype models in the health care domain. Telemedicine (medical video conferencing) serves as our instantiation of an HIT. We use a multi-case study approach that employs quantitative and qualitative methods.