Rural Health Futures, Inc. worked with five rural facilities (Community Hospital Onaga and Clinic, Geary Community Hospital, Holton Community Hospital, Horton Community Hospital, Nemaha Valley Hospital) and St. Francis Hospital and Medical Center in Topeka, Kansas to prepare and submit a grant application to the Office of Rural Health Policy. Their application proposed a process for the implementation of their Telemedicine network, KAWNet and a research design for a physician advisory group to study the outcomes related to the use of Telemedicine. The equipment for this network was obtained through the grant funds of the Rural Electrification Administration program in November 1993. This application, for the Office of Rural Health Policy, laid out the responsibilities of each of the facilities and described the three phase approach to install and utilize the network. For this application, KAWNet was extended out to another facility, Geary Community Hospital and its service area.