This document is an assessment based on Petrobras work on improving healthcare services offshore by introducing a new telemedicine practice through a pilot project in Santos Basin. Our data was mainly collected in a visit to Petrobras installations in Santos, Brazil in August 2014. Also, other meetings and workshops contributed to the definition of the used methods and approach. The report applies the capabilities approach, which introduces a generic perspective on organizational change, together with perspectives from safety and resilience issues, relevant to the new telemedicine pilot. By combining the perspectives of capabilities and resilience the report aims specifically to support Petrobras in implementing and evaluating the telemedicine prototype in Santos Basin in order to improve overall quality and achieve a better, safer and more efficient offshore healthcare service. The report identifies current telemedicine practices in Petrobras, drivers for change and the main differences between the “old” and the “new” setup. The report also suggests how to evaluate the pilot by highlighting possible measurable items. The report ends with a general conclusion and recommendations. Our overall conclusion is that the changes put forth by the telemedicine pilot in Santos Basin most l