In the early stages of an emerging technology, such as telemedicine, there is no single universal model of service. Benchmarking the use of telemedicine within a country, a region or in a variety of locations is valuable as usage is guided by local conditions. Benchmarked results can be used to establish commonalities of practice, to improve the monitoring and evaluation of individual practices, to reduce risk, and to improve system sustainability. The key to measuring actionable information is the development of appropriate metrics. This chapter proposes a set of metrics that can be used in benchmarking the analytics so they can be used to build a sustainable telemedicine system measured in improved patient outcomes.