Telehealth innovatively incorporates technology into healthcare to improve access of patients to clinical professionals. This research presents the planning and implementation of an obstetric telehealth project. Fetal monitoring is an integral part of maternal follow-up in high risk pregnancies. Sharing of an obstetric information technology platform between a tertiary care urban hospital and regional partner health establishments allows electronic capture of fetal non stress tests and their asynchronous interpretation and reporting to distantly monitor maternal and fetal health. With the launch of this program future mothers will be able to remain in their home communities while receiving optimal prenatal care. Change management strategies are introduced as an integral component of the telehealth team approach to the development of new services. The focus of the paper is the development and delivery of the instructional package to the clinicians adding this service to their practice. The purpose of this thesis equivalence study is to examine the dual roles of telehealth clinical coordinator and instructional designer of the candidate.