This paper outlines the opportunities and challenges associated with the use of telemedicine in current healthcare practice and provides a set of recommendations to drive the necessary local regional and national adoption to meet the needs of the changing U.S. healthcare ecosystem. The information contained within grew out of a state-wide Arizona telemedicine forum, “Got telemedicine? Driving healthcare improvement in Arizona,” held in Phoenix, AZ on October 11, 2013. Organized by Don Graf of UnitedHealthcare and Robert K. Smoldt of the Healthcare Delivery and Policy Program at Arizona State University, the meeting featured presentations by and discussions with operational, technical, and medical leaders involved in testing and implementing telemedicine programs across the state. Participating organizations included: UnitedHealthcare, Banner Health, Carondelet Health Network, Dignity Health, Flagstaff Medical Center, Mayo Clinic, North Country Healthcare, and the University of Arizona.

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