As the population of the United States has continued to age, there has been an increase in usage and Hospital Length of Stay (LOS) costs of Intensive Care Unit (ICU) beds. In the early 2000s, it was determined there would be a shortage of all ICU providers within the next decade due to the increased need for critical care for the aging generation. Around this time, the Leapfrog Group was formed to demand that hospitals improve quality and decrease cost. Utilization of telehealth in the ICU was a possible alternative, which had a positive impact on both clinical and financial areas in the hospitals that utilized these programs in their ICUs. Although mortality rates and LOS were decreased and savings realized by the hospitals and Medicare, one barrier to increased implementation was the significant initial outlay. Further study could lessen this apprehension by revealing considerable Return on Investment (ROI).