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Abstract
Local initiative is the key for improved health care in any community, large or small. In a rural area in Washington, staff members of a small hospital became involved in plans to improve health care in their community. They presented their needs to the Washington-Alaska Regional Medical Program. The Regional Advisory Group and the National Advisory Council approved the requests and granted support for postgraduate preceptorships, a coronary care unit, an educational program for laboratory technicians, and a medical television series for physicians.