Vimal Mishra, MD, MMCi, Medical Director Office of Telemedicine, Division of Hospital Medicine, ABPM Diplomate in Clinical Informatics, and David Collins, MHA, CPHIMS, FHIMSS, Practice Administrator Telemedicine, VCU Health. Traditional face-to-face patient visits require multiple accommodations, including travel, parking, navigating to a clinic, and spending time in waiting rooms, all of which often take far more time than the actual time spent within the patient to provider clinical interaction. Value opportunities of telehealth drive strategy for developing new care redesign to improve access to care, enhance patient experience, improve productivity, and positively impact operational, clinical, and financial effectiveness. VCU Health shares their strategic approach to a telehealth quality framework supported by four primary pillars.