The German Telemedicine Portal lists a total of 169 telemedicine projects in the country. The range of items covered point to the areas where telemedicine is helping improve health care delivery and close gaps in the healthcare sector. However, many projects fail to develop beyond the pilot phase to become part of standard care. Indeed, Germany currently features a patchwork quilt of telemedicine. Last year, we took a closer look at four pioneering projects, examining the key factors driving their success. In the coming weeks, individual representatives of these pioneering projects will be invited to offer their thoughts here in this blog.