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In 2017 MUSC was one of two academic health systems recognized by the federal government as a Telehealth Center of Excellence. The Health Resources and Services Administration gave MUSC this designation in recognition of MUSC’s expansive breadth and depth of telehealth services, most of which are in medically underserved areas of South Carolina, a state with a high burden of chronic disease and health disparities. This panel presentation will include three key leaders of MUSC’s telehealth program and focus on practical strategies organizations can deploy to successfully develop and implement telehealth services. The panel will share the structured, guiding framework MUSC applies to telehealth service development which includes strategy, development, implementation, and continuous quality improvement. Additionally, MUSC will share a value proposition framework for telehealth services, recognizing that financial performance is integral to sustaining and scaling telehealth services. Finally, the session will conclude with MUSC’s aspirational vision for the future of digital discovery and telehealth delivery, offering the potential to transform healthcare.