 The Institute of Translational Health Sciences, ITHS, has developed a collaborative regional clinical research network called the Northwest Participant and Clinical Interactions Network, Northwest PCI. This network consists of 12 diverse clinical health systems and academic institutions from Washington, Wyoming, Alaska, Montana, and Idaho, WAMI. These sites have been involved in over 1,240 open studies involving over 6,700 patients in 2016. The Northwest PCI is interested in expanding its reach to include more grant-funded research. Additionally, the Northwest PCI has facilitated 34 new grant and contract applications across diverse topics since its inception in 2013. This article was authored by Laura May Baldwin, Lori Hassel, Cindy Lorx, and others.