The Aroostook County Telecommunications System is a slow-scan television network connecting five health institutions in the county with the Central Maine Interactive Telecommunications System (CMITS). The Aroostook system allows both audio conferencing and still-image videoconferencing among the Aroostook participants, and provides for an interface with the CMITS, which is a two-way broadband microwave television system connecting participating health institutions in four towns. The entire system is connected using dedicated voice-grade telephone circuits and a telephone company bridging device. Merging the slow-scan and broadband systems demonstrates an economical method for improving educational offerings and medical care, while saving travel and energy in remote areas. This report on the system describes the efforts of Medical Care Development, a non-profit health systems development and implementation organization, in initiating the project. The narrative section of the report covers the project start-up, trial operation, demonstration, and operation phases. Additional sections address project benefits, demonstrable gains, expected benefits, barriers to implementation and utilization, and strategies for institutionalization and dissemination. An extensive collection of study-related materials is appended. (LMM)