The traction gained by telehealth during the pandemic has raised a number of policy questions. One of the most frequent issues raised revolves around telehealth’s impact on quality of care, but even more so, how to measure quality of care delivered via telehealth. With funding from the Department of Health and Human Services, the National Quality Forum (NQF) convened a stakeholder group between January and October 2021 to create a framework for assessing telehealth impacts on the healthcare system and health outcomes, specifically during emergencies in rural areas. Released in November 2021, the Final Report, Rural Telehealth and Healthcare System Readiness Measurement Framework, recommends primary areas for measurement, such as access and equity, existing measurements that can also be applied, as well as concepts to continue developing and prioritizing moving forward.