Small and mid-size organizations are encountering a transition in their businesses, and they must react to the new way of working to stay competitive in an increasingly global and virtual marketplace. While supporting this type of virtual and global workforce offers significant advantages, it also poses significant challenges. Primary among them is keeping employees and the people they work with and support connected to one another without incurring additional travel costs or time away from the job. And they don't just need to communicate - they need to collaborate. This paper will detail the benefits of video conferencing for small and mid-size organizations; highlight use cases for specific industries and personnel; discuss the relative merits of premises-based systems and hosted and managed services; and identify the key elements to look for in a business-grade video conferencing provider.