This document discusses developing a national telemedicine network in New Zealand to improve access to specialist healthcare for remote and rural regions. It describes the New Zealand TelePaediatrics Service (NZTPS) network that was established, connecting over 120 sites across the country. The NZTPS network is now used for various clinical, educational, and administrative purposes, facilitating specialist care, training, and collaboration. Principles of effective telemedicine emphasize overcoming barriers through communities of interest, clinical leadership, and integrating telemedicine into existing healthcare services.