As video visits become more ubiquitous, providers must focus on how they gauge the return on investment. The National Quality Forum recommends measuring the quality of telehealth in four broad categories: patient access to care, patient and clinician experience, financial impact to patients and their care teams, and effectiveness of clinical and operational systems.As with all care, virtually delivered care should be system-effective that is, facets of the system should be coordinated to minimize unnecessary testing and touchpoints. To understand if a telehealth solution is system-effective, one must have a transparent view of the entire journey the patient takes through the healthcare system, not just, for instance, a video visit or a store-and-forward teledermatology session.

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