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West Virginia Medical Institute (WVMI) is the longest-standing member of the corporate family (established in 1973) and founder of the Quality Insights affiliates. WVMI provides quality improvement and assurance services to an array of federal, state and private customers. This includes the Centers for Medicare & Medicaid Services (WVMI is the federally designated Medicare Quality Improvement Organization (QIO) for West Virginia), the US Department of Veterans Affairs, the American College of Cardiology, and the West Virginia Bureau for Medical Services. WVMI is also the administrative hub of the Quality Insights family and home of all corporate leadership. For nearly 40 years, they have been committed to assuring that patients get the best health care in the right setting, assisting health care providers in improving quality and safety, developing innovative solutions that assure the quality and necessity of health care services, delivering high-quality service to their customers, every day, every way. WVU realizes that its commitment to service will not succeed, and will not endure, unless it is an essential part of daily life as an institution. Community and rural service is a part of every students curriculum. They have found that this not only strengthens the ties to the communities they serve, but exposes students to opportunities they may never have considered. The School of Medicines efforts are coordinated with similar initiatives in the Universitys other health professions programs. The statewide Rural Health Education Program provides an infrastructure that allows service projects to be initiated in any part of the state, and for us to gather feedback on their effectiveness.