Beyond being guided by the projects objectives and research questions, one of our first key activities was to review and synthesize previous systematic reviews and meta-syntheses in the area of home based telehealth. When the project began there were 12 such published articles that focused on 11 different reviews over the previous five-year period (2004-2009). Most reviews (n=5) were published in 2007 with 3 published in 2008, 2 in 2009 and 1 in each of 2004 and 2006. As the current project was nearing completion, we updated our literature search and found 7 additional reviews (5 published in 2011 and 2 published in 2012). These reviews were not systematically analyzed but information from them is included here only when it adds to the previous reviews.