The Aomori Prefectural Federation of Democratic Medical Institutions holds regular meetings with hospital administrators and physicians twice a month, but there have been many concerns. First, travelling to the meeting site imposed a safety risk. In Aomori Prefecture, major urban areas are scattered, so some people had to drive about two and half hours to the meeting site. Driving on roads that are thickly covered with snow in winter is especially dangerous, thus raising the concern for driving safety. Driving also increases fatigue. Since board meetings often lasted from early evening until late at night on a weekday, many hours of driving could affect the work of the participants on the following day. Thus, many people requested improvements in the way the meetings were held. Although the head office of the Federation paid compensation and travelling expenses to people attending the meeting, reducing expenses by improving operations was a priority issue. In view of this, the Federation began considering the installation of an HD Visual Communications System in order to efficiently hold meetings without requiring people to travel to distant locations.
The Federation of Democratic Medical Institutions is one of Japan's leading organisations of medical institutions and has about 20 member institutions in Aomori Prefecture. It is devoted to helping physicians and nurses achieve non-discriminating, integrated medical services so that everyone can receive safe and reliable medical treatment and nursing care at anytime, anywhere. To prevent the collapse of regional medical services, the Federation focuses on increasing the number of doctors and nurses, with the cooperation of many medical professionals and local residents. The Federation is presently planning to increase the number of connected bases from the current three in order to hold meetings more efficiently in the future.