1 00:00:05,080 --> 00:00:07,120 >>WELCOME 2 00:00:07,120 --> 00:00:09,080 TO THE BOARD MEETING FOR THE 3 00:00:09,080 --> 00:00:10,280 16TH OF JUNE OF 2023. 4 00:00:10,280 --> 00:00:12,320 I'D LIKE TO FIRST THANK YOU ALL 5 00:00:12,320 --> 00:00:14,320 FOR ACCOMMODATING OUR DELAYED 6 00:00:14,320 --> 00:00:15,840 START TIME FOR THIS MEETING TO 7 00:00:15,840 --> 00:00:17,240 ALLOW FOR THE TOUR OF THE 8 00:00:17,240 --> 00:00:18,680 CLINICAL CENTER, AND FOR OUR 9 00:00:18,680 --> 00:00:20,760 MEMBERS WHO HAVE NOT DONE SO 10 00:00:20,760 --> 00:00:22,520 PREVIOUSLY, I'VE HEARD FROM THE 11 00:00:22,520 --> 00:00:24,160 PARTICIPANTS THAT THE TOUR WAS A 12 00:00:24,160 --> 00:00:26,200 BIG SUCCESS. 13 00:00:26,200 --> 00:00:29,280 SPECIAL THANKS TO THE CC ACTING 14 00:00:29,280 --> 00:00:30,280 DEPUTY EXECUTIVE OFFICER WHO 15 00:00:30,280 --> 00:00:32,600 CONDUCTED THE TOUR ON BEHALF OF 16 00:00:32,600 --> 00:00:33,640 DR. GILMAN, AND JIM, IF YOU WANT 17 00:00:33,640 --> 00:00:34,880 TO MAKE A QUICK COMMENT, I'LL 18 00:00:34,880 --> 00:00:37,520 TURN IT OVER TO YOU. 19 00:00:37,520 --> 00:00:40,000 >>WELCOME, EVERYBODY. 20 00:00:40,000 --> 00:00:42,640 I APOLOGIZE FOR NOT BEING THERE 21 00:00:42,640 --> 00:00:47,120 WITH YOU. 22 00:00:47,120 --> 00:00:48,880 I CAME BACK FROM TWO WEEKS OF 23 00:00:48,880 --> 00:00:53,040 ANNUAL LEAVE WITH THE NEXT ROUND 24 00:00:53,040 --> 00:00:57,280 OF CORONAVIRUS, AND SO I'M DOING 25 00:00:57,280 --> 00:00:59,120 THIS REMOTELY. 26 00:00:59,120 --> 00:01:01,440 I ACTUALLY, PER CDC GUIDELINES, 27 00:01:01,440 --> 00:01:04,280 I COULD HAVE ENTERED THE PUBLIC, 28 00:01:04,280 --> 00:01:07,600 I COULD HAVE LEFT QUARANTINE 29 00:01:07,600 --> 00:01:08,440 THIS MORNING. 30 00:01:08,440 --> 00:01:11,840 I CONSULTED WITH TWO PEOPLE AND 31 00:01:11,840 --> 00:01:14,280 IT TURNS OUT THAT I CONSULTED 32 00:01:14,280 --> 00:01:15,760 WITH THE TWO PEOPLE I WOULD 33 00:01:15,760 --> 00:01:18,840 PROBABLY BE SITTING NEXT TO 34 00:01:18,840 --> 00:01:21,240 DURING THE MEETING. 35 00:01:21,240 --> 00:01:23,960 THEY GENERALLY ADVISED THAT THEY 36 00:01:23,960 --> 00:01:25,720 WERE VERY HAPPY TO HAVE ME TO 37 00:01:25,720 --> 00:01:28,360 PARTICIPATE REMOTELY TODAY. 38 00:01:28,360 --> 00:01:32,200 AND SO I AM -- I DO NOT FEEL TOO 39 00:01:32,200 --> 00:01:32,520 BADLY. 40 00:01:32,520 --> 00:01:34,400 THIS IS MY SECOND ROUND. 41 00:01:34,400 --> 00:01:36,440 THE FIRST ONE WAS LAST MAY. 42 00:01:36,440 --> 00:01:38,440 I DID HAVE A GREAT TIME WHEN I 43 00:01:38,440 --> 00:01:41,160 WAS AWAY WITH FAMILY, AND BEGAN 44 00:01:41,160 --> 00:01:43,120 FEELING A LITTLE ILL ON MY WAY 45 00:01:43,120 --> 00:01:46,960 BACK. 46 00:01:46,960 --> 00:01:49,680 SO NOW THE BIG -- MY BIG ANXIETY 47 00:01:49,680 --> 00:01:51,320 IS ABOUT WHETHER I'LL BE A 48 00:01:51,320 --> 00:01:54,720 VICTIM OF PAXLOVID REBOUND, IN 49 00:01:54,720 --> 00:01:55,880 WHICH CASE IT WILL KEEP ME OUT 50 00:01:55,880 --> 00:01:58,080 OF THE OFFICE A LITTLE LONGER, 51 00:01:58,080 --> 00:01:59,400 BUT IF NOT, I'LL BE BACK NEXT 52 00:01:59,400 --> 00:02:00,280 WEEK. 53 00:02:00,280 --> 00:02:00,960 BUT THREE WEEKS OUT OF THE 54 00:02:00,960 --> 00:02:03,440 OFFICE IS A VERY LONG TIME FOR 55 00:02:03,440 --> 00:02:05,880 ME, AND SO -- BUT THANK YOU ALL 56 00:02:05,880 --> 00:02:08,720 FOR BEING THERE AND I'M SURE 57 00:02:08,720 --> 00:02:11,680 THAT DR. FREISCHLAG AND 58 00:02:11,680 --> 00:02:14,640 ANTOINETTE GOT A GREAT TOUR FROM 59 00:02:14,640 --> 00:02:19,080 THE TOAST MASTER OF THE CLINICAL 60 00:02:19,080 --> 00:02:22,080 CENTER, DAVID SAGER. 61 00:02:22,080 --> 00:02:22,280 THANKS. 62 00:02:22,280 --> 00:02:23,600 >>THANKS SO MUCH, JIM. 63 00:02:23,600 --> 00:02:24,480 REALLY APPRECIATE THAT. 64 00:02:24,480 --> 00:02:25,440 GET WELL SOON, CERTAINLY. 65 00:02:25,440 --> 00:02:27,240 SO WE ARE ALL AWARE OF THE 66 00:02:27,240 --> 00:02:28,360 COMPLEXITIES OF THE ONBOARDING 67 00:02:28,360 --> 00:02:29,720 PROCESS TO BECOME OFFICIAL 68 00:02:29,720 --> 00:02:32,680 MEMBERS OF THE CCRHB, AND SO I'M 69 00:02:32,680 --> 00:02:34,200 PLEASED TO REPORT THAT BOTH 70 00:02:34,200 --> 00:02:36,920 MR. JACK LESLIE AND DR. SHERIN 71 00:02:36,920 --> 00:02:38,360 DEVASKAR ARE NOW FULL BOARD 72 00:02:38,360 --> 00:02:38,600 MEMBERS. 73 00:02:38,600 --> 00:02:39,800 SO THIS BRINGS OUR MEMBERSHIP TO 74 00:02:39,800 --> 00:02:42,960 11, WHICH IS OUR USUAL MEMBER 75 00:02:42,960 --> 00:02:46,800 NUMBER, AND PER OUR CHARTER, WE 76 00:02:46,800 --> 00:02:48,640 HAVE UP TO 14 MEMBERS ON OUR 77 00:02:48,640 --> 00:02:48,880 ROSTER. 78 00:02:48,880 --> 00:02:50,400 SO WE WELCOME BOARD MEMBERS 79 00:02:50,400 --> 00:02:52,360 TODAY ATTENDING IN PERSON FOR 80 00:02:52,360 --> 00:02:54,320 OUR FIRST POST-PANDEMIC MEETING. 81 00:02:54,320 --> 00:02:56,280 JOINING IN PERSON ARE MR. DAVID 82 00:02:56,280 --> 00:02:59,320 BAUM, DR. DAVID CHIN, DR. JULIAN 83 00:02:59,320 --> 00:03:00,720 FREISCHLAG, MS. ANTOINETTE 84 00:03:00,720 --> 00:03:01,920 ROYSTER AND ALSO JOINING US IN 85 00:03:01,920 --> 00:03:05,600 PERSON HERE IN THE ROOM IS PIUS, 86 00:03:05,600 --> 00:03:07,240 THE CLINICAL CENTER CHIEF 87 00:03:07,240 --> 00:03:09,280 OPERATING OFFICER. 88 00:03:09,280 --> 00:03:10,640 PARTICIPATING VIA ZOOM ARE 89 00:03:10,640 --> 00:03:13,000 MS. STEPHANIE REEL, DR. REGINA 90 00:03:13,000 --> 00:03:15,000 CUNNINGHAM, DR. SHERIN DEVASKAR, 91 00:03:15,000 --> 00:03:18,160 MR. STEVEN GOLDSTEIN, DR. CRAIG 92 00:03:18,160 --> 00:03:20,040 SAMITT, AND MR. JACK LESLIE. 93 00:03:20,040 --> 00:03:21,440 AND I'D ALSO LIKE TO WELCOME ALL 94 00:03:21,440 --> 00:03:25,080 OF OUR NIH LEADERS, ALSO JOINING 95 00:03:25,080 --> 00:03:26,320 US ON ZOOM AND TO THE MEMBERS OF 96 00:03:26,320 --> 00:03:27,640 THE PUBLIC AND THE NIH COMMUNITY 97 00:03:27,640 --> 00:03:29,680 WHO ARE JOINING US LIVE IN THE 98 00:03:29,680 --> 00:03:32,520 VIDEOCAST SESSION. 99 00:03:32,520 --> 00:03:33,800 SO ON BEHALF OF THE BOARD, I 100 00:03:33,800 --> 00:03:37,320 SENT A LETTER AND A COPY OF THE 101 00:03:37,320 --> 00:03:39,160 CCRHB PEDIATRIC WORKING GROUP 102 00:03:39,160 --> 00:03:41,680 REPORT TO DRS. TABAK AND 103 00:03:41,680 --> 00:03:42,560 SCHWETZ, FOLLOWING THE MEETING 104 00:03:42,560 --> 00:03:45,200 THAT WE HAD BACK IN FEBRUARY. 105 00:03:45,200 --> 00:03:46,800 THE LETTER INCLUDED THE 106 00:03:46,800 --> 00:03:50,640 DELIBERATIONS RELATED TO THE 107 00:03:50,640 --> 00:03:51,640 REPORT FINDINGS AND THE 108 00:03:51,640 --> 00:03:53,040 NOTIFICATION THAT THE BOARD 109 00:03:53,040 --> 00:03:55,440 VOTED UNANIMOUSLY TO ACCEPT THE 110 00:03:55,440 --> 00:03:57,320 FINDINGS AND RECOMMENDATIONS AS 111 00:03:57,320 --> 00:04:00,280 DESCRAIBED IN DESCRIBED IN THEI. 112 00:04:00,280 --> 00:04:02,880 WE ALL APPRECIATE THE EFFORTS OF 113 00:04:02,880 --> 00:04:04,440 THE PEDIATRICS WORKING GROUP AND 114 00:04:04,440 --> 00:04:07,080 WE LOOK FORWARD TO HEARING FROM 115 00:04:07,080 --> 00:04:10,760 DR. GILMAN IN CONSIDERING THE 116 00:04:10,760 --> 00:04:11,560 WORKING GROUP REPORT'S 117 00:04:11,560 --> 00:04:12,160 RECOMMENDATIONS. 118 00:04:12,160 --> 00:04:13,080 I'D LIKE TO JUMP INTO THE 119 00:04:13,080 --> 00:04:13,400 MEETING. 120 00:04:13,400 --> 00:04:15,280 FIRST UP WILL BE DR. TABAK. 121 00:04:15,280 --> 00:04:16,600 WELCOME, DR. TABAK, AND THANK 122 00:04:16,600 --> 00:04:17,560 YOU FOR BEING WITH US ONCE 123 00:04:17,560 --> 00:04:17,880 AGAIN. 124 00:04:17,880 --> 00:04:19,080 WE'LL BEGIN WITH YOUR SLIDES AS 125 00:04:19,080 --> 00:04:21,920 WE LOOK FORWARD TO YOUR NIH 126 00:04:21,920 --> 00:04:22,160 UPDATES. 127 00:04:22,160 --> 00:04:24,520 >>THANK YOU SO MUCH AND GOOD 128 00:04:24,520 --> 00:04:24,960 MORNING, EVERYBODY. 129 00:04:24,960 --> 00:04:26,040 IT'S REALLY A PLEASURE TO BE 130 00:04:26,040 --> 00:04:27,400 HERE AND SEE SOME OF YOU IN 131 00:04:27,400 --> 00:04:28,120 PERSON, UP CLOSE. 132 00:04:28,120 --> 00:04:28,800 THAT'S WONDERFUL. 133 00:04:28,800 --> 00:04:33,920 AND AGAIN, THAT CAN THOSE OF YOU 134 00:04:33,920 --> 00:04:35,680 TO ZOOM, FOR JOINING US BY ZOOM. 135 00:04:35,680 --> 00:04:39,120 IF I CAN HAVE THE NEXT SLIDE, 136 00:04:39,120 --> 00:04:43,120 PLEASE. 137 00:04:43,120 --> 00:04:45,640 SO I'D WHRIEK TO COVER THESE 138 00:04:45,640 --> 00:04:48,280 TOPICS, AND THEY'RE BRIEF SO I 139 00:04:48,280 --> 00:04:49,560 WON'T BE SPENDING TOO MUCH TIME 140 00:04:49,560 --> 00:04:51,560 ON THIS, BUT I WANT TO TALK 141 00:04:51,560 --> 00:04:53,600 ABOUT LEADERSHIP CHANGES, GIVE 142 00:04:53,600 --> 00:04:55,400 YOU SOME UPDATES ABOUT THE 143 00:04:55,400 --> 00:04:59,320 BUDGET AS FAR AS WE TELL, 144 00:04:59,320 --> 00:05:00,720 BRAG A LITTLE BIT ABOUT SOME OF 145 00:05:00,720 --> 00:05:05,320 OUR NIH STAFF WHO ARE UP FOR 146 00:05:05,320 --> 00:05:07,160 SOME PRESTIGIOUS AWARDS, JUST 147 00:05:07,160 --> 00:05:09,600 TOUCH UPON THE VISIT THAT THE 148 00:05:09,600 --> 00:05:10,800 DEPUTY SECRETARY OF HEALTH AND 149 00:05:10,800 --> 00:05:12,520 HUMAN SERVICES PLAYED TO THE 150 00:05:12,520 --> 00:05:14,920 CLINICAL CENTER, MENTIONED THE 151 00:05:14,920 --> 00:05:16,120 70TH ANNIVERSARY OF THE CLINICAL 152 00:05:16,120 --> 00:05:17,480 CENTER WHICH IS COMING UP, AND 153 00:05:17,480 --> 00:05:21,840 FINALLY END WITH SOME UPDATES 154 00:05:21,840 --> 00:05:22,800 ABOUT COVID. 155 00:05:22,800 --> 00:05:24,480 SOMEBODY SAID, YOU KNOW, WE'RE 156 00:05:24,480 --> 00:05:27,000 DONE WITH COVID BUT COVID MAY 157 00:05:27,000 --> 00:05:29,760 NOT BE DONE WITH US, SO APROPOS, 158 00:05:29,760 --> 00:05:32,800 WE'LL GIVE YOU A FEW ADDITIONAL 159 00:05:32,800 --> 00:05:33,040 UPDATES. 160 00:05:33,040 --> 00:05:34,520 SO IF I CAN HAVE THE NEXT SLIDE, 161 00:05:34,520 --> 00:05:35,080 PLEASE. 162 00:05:35,080 --> 00:05:36,400 SO I WANT TO BEGIN WITH 163 00:05:36,400 --> 00:05:40,280 LEADERSHIP CHANGES. 164 00:05:40,280 --> 00:05:41,960 OR AT LEAST IN SOME INSTANCES 165 00:05:41,960 --> 00:05:42,640 PROPOSED LEADERSHIP CHANGES. 166 00:05:42,640 --> 00:05:44,480 SO WE HAVE THE NEXT SLIDE. 167 00:05:44,480 --> 00:05:46,320 SO AS I'M SURE YOU ALL KNOW, THE 168 00:05:46,320 --> 00:05:49,720 PRESIDENT HAS NOMINATED 169 00:05:49,720 --> 00:05:51,800 DR. MONICA BERTAGNOLLI, WHO IS 170 00:05:51,800 --> 00:05:53,400 THE DIRECTOR OF THE NATIONAL 171 00:05:53,400 --> 00:05:54,360 CANCER INSTITUTE, AND I BELIEVE 172 00:05:54,360 --> 00:05:56,160 MONICA IS ON THE CALL IN HER 173 00:05:56,160 --> 00:05:59,400 CAPACITY AS THE CHAIR OF THE 174 00:05:59,400 --> 00:05:59,600 CCRHB. 175 00:05:59,600 --> 00:06:02,960 AND SO WELCOME, MONICA. 176 00:06:02,960 --> 00:06:05,480 SO FOR THOSE OF YOU NOT FAMILIAR 177 00:06:05,480 --> 00:06:09,400 WITH THE INSIDE THE BELTWAY 178 00:06:09,400 --> 00:06:11,280 RULES, THE PRESIDENT MAKES THE 179 00:06:11,280 --> 00:06:12,600 NOMINATION, THE SENATE MUST 180 00:06:12,600 --> 00:06:15,240 CONFIRM THE NOMINATION BEFORE 181 00:06:15,240 --> 00:06:17,640 DR. BERTAGNOLLI CAN ASSUME 182 00:06:17,640 --> 00:06:25,960 LEADERSHIP OF THE NIH. 183 00:06:25,960 --> 00:06:28,120 PRECEDING THE CONFIRMATION ARE A 184 00:06:28,120 --> 00:06:29,560 SERIES OF MEETINGS 185 00:06:29,560 --> 00:06:30,400 DR. BERTAGNOLLI WILL HAVE TO 186 00:06:30,400 --> 00:06:31,640 HAVE WITH MEMBERS OF THE SENATE, 187 00:06:31,640 --> 00:06:33,720 THERE'S A CO CONFIRMATION HEARIG 188 00:06:33,720 --> 00:06:35,000 BY THE SENATE HEALTH COMMITTEE 189 00:06:35,000 --> 00:06:36,640 WHICH AUTHORIZES NIH AND IS 190 00:06:36,640 --> 00:06:37,640 OVERSEEING THESE TYPES OF 191 00:06:37,640 --> 00:06:38,960 PROCEEDINGS, AND THEN FINALLY A 192 00:06:38,960 --> 00:06:40,160 FULL SENATE VOTE. 193 00:06:40,160 --> 00:06:42,800 AND OF COURSE, WE ARE ALL 194 00:06:42,800 --> 00:06:45,400 ANXIOUSLY AWAITING THAT, AND 195 00:06:45,400 --> 00:06:47,040 LOOK FORWARD TO THE TIME WHEN 196 00:06:47,040 --> 00:06:52,200 SHE ASSUMES LEADERSHIP OF THE 197 00:06:52,200 --> 00:06:53,640 AGENCY. 198 00:06:53,640 --> 00:06:55,040 UNTIL THEN, DR. BERTAGNOLLI IS 199 00:06:55,040 --> 00:06:56,120 DIRECTOR OF THE NCI AND I WILL 200 00:06:56,120 --> 00:06:57,240 CONTINUE IN MY CURRENT ACTING 201 00:06:57,240 --> 00:06:58,200 ROLE. 202 00:06:58,200 --> 00:07:00,840 IF I CAN HAVE THE NEXT SLIDE, 203 00:07:00,840 --> 00:07:02,240 PLEASE. 204 00:07:02,240 --> 00:07:03,920 WE HAVE AN ACTING ASSOCIATE 205 00:07:03,920 --> 00:07:05,560 DIRECTOR FOR LEGISLATIVE POLICY 206 00:07:05,560 --> 00:07:07,600 AND ANALYSIS. 207 00:07:07,600 --> 00:07:09,040 MS. LAUREN HIGGINS. 208 00:07:09,040 --> 00:07:13,840 LAUREN IS A LONG-TIME MEMBER OF 209 00:07:13,840 --> 00:07:14,240 OPA. 210 00:07:14,240 --> 00:07:18,240 SHE STEPPED IN WHEN THE FORMER 211 00:07:18,240 --> 00:07:20,880 DIRECTOR, ADRIENNE HALLETT, 212 00:07:20,880 --> 00:07:22,280 DEPARTED GOVERNMENT SERVICE FOR 213 00:07:22,280 --> 00:07:27,640 AN OPPORTUNITY IN BIOTECH. 214 00:07:27,640 --> 00:07:29,080 AND WE ARE REALLY GRATEFUL TO 215 00:07:29,080 --> 00:07:30,280 LAUREN FOR STEPPING IN, 216 00:07:30,280 --> 00:07:31,480 PARTICULARLY AT A TIME WHEN 217 00:07:31,480 --> 00:07:32,960 THERE'S QUITE A BIT OF ACTIVITY 218 00:07:32,960 --> 00:07:34,560 ON THE HILL, WHICH I'LL SHARE A 219 00:07:34,560 --> 00:07:37,920 LITTLE BIT WITH YOU, AND AN 220 00:07:37,920 --> 00:07:40,760 ACTIVE SEARCH IS ONGOING FOR THE 221 00:07:40,760 --> 00:07:41,520 PERMANENT DIRECTOR OF THAT 222 00:07:41,520 --> 00:07:47,320 CRUCIAL OFFICE. 223 00:07:47,320 --> 00:07:48,960 ALSO WE HAVE AN ACTING ASSOCIATE 224 00:07:48,960 --> 00:07:53,560 DIRECTOR FOR AIDS RESEARCH, 225 00:07:53,560 --> 00:07:55,440 DR. KA POGIANNIS. 226 00:07:55,440 --> 00:07:58,600 BILL STEPPED IN LATE MARCH WHEN 227 00:07:58,600 --> 00:08:02,000 DR. MAUREEN GOODENOW STEPPED 228 00:08:02,000 --> 00:08:03,960 DOWN AS THE DIRECTOR OF OAR. 229 00:08:03,960 --> 00:08:05,720 SHE HAD DONE THAT FOR ALMOST 230 00:08:05,720 --> 00:08:07,560 SEVEN YEARS AND WE'RE VERY 231 00:08:07,560 --> 00:08:09,760 GRATEFUL TO HER FOR THAT 232 00:08:09,760 --> 00:08:10,320 SERVICE. 233 00:08:10,320 --> 00:08:12,600 AND AGAIN, WE ARE IN THE MIDST 234 00:08:12,600 --> 00:08:14,200 OF A NATIONWIDE SEARCH TO FIND 235 00:08:14,200 --> 00:08:17,200 THE PERMANENT DIRECTOR OF THIS 236 00:08:17,200 --> 00:08:22,760 VERY IMPORTANT OFFICE. 237 00:08:22,760 --> 00:08:24,280 LEST YOU THINK THAT EVERYBODY AT 238 00:08:24,280 --> 00:08:26,200 NIH IS IN AN ACTING CAPACITY, 239 00:08:26,200 --> 00:08:29,880 I'M PLEASED TO SHARE WITH YOU 240 00:08:29,880 --> 00:08:33,440 DR. STEFAN PASIAKOS WHO IS NOW 241 00:08:33,440 --> 00:08:34,560 THE NEW DIRECTOR OF THE OFFICE 242 00:08:34,560 --> 00:08:36,960 OF DIETARY SUPPLEMENTS. 243 00:08:36,960 --> 00:08:39,800 HE'LL BEGIN IN MID JULY. 244 00:08:39,800 --> 00:08:41,800 HE IS CURRENTLY A PHYSIOLOGIST 245 00:08:41,800 --> 00:08:43,440 AT THE ARMY RESEARCH INSTITUTE 246 00:08:43,440 --> 00:08:45,720 OF ENVIRONMENTAL MEDICINE, WHERE 247 00:08:45,720 --> 00:08:48,360 HE LEADS A RESEARCH PROGRAM TO 248 00:08:48,360 --> 00:08:49,880 DEVELOP EVIDENCE-BASED SOLUTIONS 249 00:08:49,880 --> 00:08:52,520 TO LIMIT MUSCULOSKELETAL 250 00:08:52,520 --> 00:08:54,040 INJURIES, AND ACCELERATE RETURN 251 00:08:54,040 --> 00:08:57,000 TO DUTY AND TO OPTIMIZE PHYSICAL 252 00:08:57,000 --> 00:08:59,400 AND BEHAVIORAL PERFORMANCE IN 253 00:08:59,400 --> 00:09:01,480 MILITARY TRAINING AND OTHER 254 00:09:01,480 --> 00:09:02,040 OPERATIONAL ENVIRONMENTS. 255 00:09:02,040 --> 00:09:04,080 I WANT TO THANK DR. DAVID 256 00:09:04,080 --> 00:09:06,520 MURRAY, WHO SERVED AS THE ACTING 257 00:09:06,520 --> 00:09:08,120 DIRECTOR DURING THE PERIOD OF 258 00:09:08,120 --> 00:09:08,720 THE SEARCH. 259 00:09:08,720 --> 00:09:13,960 WE ARE DELIGHTED TO HAVE 260 00:09:13,960 --> 00:09:19,080 DR. PASIAKOS JOIN US SHORTLY. 261 00:09:19,080 --> 00:09:20,960 DR. WENDY SMITH IS CURRENTLY THE 262 00:09:20,960 --> 00:09:23,360 ACTING ASSOCIATE DIRECTOR FOR 263 00:09:23,360 --> 00:09:25,240 THE BEHAVIORAL AND SOCIAL 264 00:09:25,240 --> 00:09:26,080 SCIENCES RESEARCH. 265 00:09:26,080 --> 00:09:28,000 SHE FOLLOWS DR. CHRISTINE HUNTER 266 00:09:28,000 --> 00:09:29,160 IN THAT ACTING ROLE. 267 00:09:29,160 --> 00:09:30,680 WE ARE GRATEFUL FOR HER TO TAKE 268 00:09:30,680 --> 00:09:32,080 ON THIS ROLE. 269 00:09:32,080 --> 00:09:37,280 WE ARE IN THE END MOMENTS OF THE 270 00:09:37,280 --> 00:09:38,440 SEARCH TO BRING A PERMANENT 271 00:09:38,440 --> 00:09:39,320 DIRECTOR ON BOARD AND SHOULD BE 272 00:09:39,320 --> 00:09:41,840 ABLE TO MAKE AN ANNOUNCEMENT 273 00:09:41,840 --> 00:09:42,840 SHORTLY. 274 00:09:42,840 --> 00:09:44,560 SO AGAIN WE'RE VERY GRATEFUL TO 275 00:09:44,560 --> 00:09:46,360 DR. SMITH, WHO'S ACTUALLY BEEN 276 00:09:46,360 --> 00:09:49,520 AT OBSSR SINCE 2013, AND SHE HAS 277 00:09:49,520 --> 00:09:51,600 HELD SEVERAL LEADERSHIP 278 00:09:51,600 --> 00:09:53,320 APPOINTMENTS PRIOR TO ASSUMING 279 00:09:53,320 --> 00:09:54,600 THIS IMPORTANT ROLE. 280 00:09:54,600 --> 00:09:56,280 SO THANK YOU TO HER. 281 00:09:56,280 --> 00:09:57,640 THEN FINALLY, IF I CAN HAVE THE 282 00:09:57,640 --> 00:10:00,560 NEXT SLIDE, PLEASE. 283 00:10:00,560 --> 00:10:02,960 WE ARE REALLY PLEASED TO 284 00:10:02,960 --> 00:10:05,120 ANNOUNCE THE APPOINTMENT OF 285 00:10:05,120 --> 00:10:06,360 DR. KARINA WALTERS AS THE 286 00:10:06,360 --> 00:10:07,560 DIRECTOR OF THE NIH TRIBAL 287 00:10:07,560 --> 00:10:11,040 HEALTH RESEARCH OFFICE. 288 00:10:11,040 --> 00:10:13,120 DR. WALTERS IS AN ENROLLED 289 00:10:13,120 --> 00:10:15,640 MEMBER OF THE CHOCTAW NATION OF 290 00:10:15,640 --> 00:10:16,720 OKLAHOMA AND SHE BRINGS A WEALTH 291 00:10:16,720 --> 00:10:20,000 OF EXPERIENCE AND A VERY DEEP 292 00:10:20,000 --> 00:10:21,760 COMMITMENT TO ENGAGING TRIBAL 293 00:10:21,760 --> 00:10:22,760 LEADERSHIP IN HEALTH RESEARCH 294 00:10:22,760 --> 00:10:23,080 EFFORTS. 295 00:10:23,080 --> 00:10:24,400 AS YOU KNOW, WHEN YOU'RE DEALING 296 00:10:24,400 --> 00:10:26,600 WITH AMERICAN INDIAN AND ALASKA 297 00:10:26,600 --> 00:10:27,800 NATIVE COMMUNITIES, YOU ARE 298 00:10:27,800 --> 00:10:29,240 DEALING WITH SOVEREIGN NATIONS, 299 00:10:29,240 --> 00:10:33,880 AND SO IT IS A VERY, VERY 300 00:10:33,880 --> 00:10:35,320 COMPLEX AND IMPORTANT 301 00:10:35,320 --> 00:10:37,640 RELATIONSHIP THAT YOU HAVE TO DO 302 00:10:37,640 --> 00:10:39,480 CORRECTLY, AND YOU NEED 303 00:10:39,480 --> 00:10:41,680 EXPERTISE TO NAVIGATE THAT AND 304 00:10:41,680 --> 00:10:44,840 DR. WALTERS CERTAINLY FILLS THAT 305 00:10:44,840 --> 00:10:45,320 BILL. 306 00:10:45,320 --> 00:10:46,920 SHE'S PREVIOUSLY A TENURED 307 00:10:46,920 --> 00:10:48,440 PROFESSOR AT THE UNIVERSITY OF 308 00:10:48,440 --> 00:10:49,000 WASHINGTON SCHOOL OF SOCIAL 309 00:10:49,000 --> 00:10:51,560 WORK, WHERE SHE SUSTAINED 310 00:10:51,560 --> 00:10:54,680 COLLABORATIONS WITH A NUMBER OF 311 00:10:54,680 --> 00:10:56,200 NATIVE COMMUNITIES AND ACTUALLY 312 00:10:56,200 --> 00:10:59,600 CONDUCTED SUCCESSFUL CLINICAL 313 00:10:59,600 --> 00:11:01,040 TRIALS, AMONG AND WITH TRIBAL 314 00:11:01,040 --> 00:11:01,680 COMMUNITIES. 315 00:11:01,680 --> 00:11:04,400 AND SO WE ARE DELIGHTED TO HAVE 316 00:11:04,400 --> 00:11:09,560 DR. WALTERS HERE WITH US. 317 00:11:09,560 --> 00:11:12,880 SO LET'S TALK A BIT ABOUT THE 318 00:11:12,880 --> 00:11:16,080 BUDGET, WHICH AS YOU KNOW IS IN 319 00:11:16,080 --> 00:11:18,080 A VERY FLUID STATE. 320 00:11:18,080 --> 00:11:20,840 BUT LET ME SHARE WITH YOU WHAT I 321 00:11:20,840 --> 00:11:26,400 CAN. 322 00:11:26,400 --> 00:11:28,520 SO THE 23 APPROPRIATION ACTION 323 00:11:28,520 --> 00:11:30,000 BECAME LAW ON DECEMBER 29TH, 324 00:11:30,000 --> 00:11:31,880 AFTER THREE CONTINUING 325 00:11:31,880 --> 00:11:32,360 RESOLUTIONS. 326 00:11:32,360 --> 00:11:35,400 IT DID PROVIDE NIH WITH A FULL 327 00:11:35,400 --> 00:11:36,600 YEAR DISCRETIONARY 328 00:11:36,600 --> 00:11:36,920 APPROPRIATION. 329 00:11:36,920 --> 00:11:41,400 IT ALSO AUTHORIZED THE ADVANCED 330 00:11:41,400 --> 00:11:43,360 RESEARCH AGENCY FOR HEALTH, 331 00:11:43,360 --> 00:11:45,440 ARPA-H, AS AN INDEPENDENT ENTITY 332 00:11:45,440 --> 00:11:47,080 WITHIN THE NIH, AND I BELIEVE 333 00:11:47,080 --> 00:11:48,720 YOU'RE HAVING A PRESENTATION 334 00:11:48,720 --> 00:11:51,000 LATER IN THE DAY FROM 335 00:11:51,000 --> 00:11:52,440 DR. ROBERTS FROM ARPA-H AND WE 336 00:11:52,440 --> 00:11:54,320 WILL LEARN MORE ABOUT THAT 337 00:11:54,320 --> 00:11:59,360 ORGANIZATION AT THAT TIME. 338 00:11:59,360 --> 00:12:00,120 UNFORTUNATELY CONGRESS DID NOT 339 00:12:00,120 --> 00:12:02,040 PASS THE ADMINISTRATION'S 340 00:12:02,040 --> 00:12:05,120 PANDEMIC PREPAREDNESS PROPOSAL 341 00:12:05,120 --> 00:12:06,560 WITH MANDATORY FUNDING NOR DID 342 00:12:06,560 --> 00:12:08,280 THEY PROVIDE ADDITIONAL COVID 343 00:12:08,280 --> 00:12:09,400 SUPPLEMENTAL FUNDS, SO WE 344 00:12:09,400 --> 00:12:14,080 OBVIOUSLY HAVE TO PRIORITIZE TO 345 00:12:14,080 --> 00:12:15,280 ENSURE THAT THE MOST IMPORTANT 346 00:12:15,280 --> 00:12:19,360 WORK PROCEEDS, BUT INDEED, THAT 347 00:12:19,360 --> 00:12:24,080 IS WHAT WE ARE DOING. 348 00:12:24,080 --> 00:12:27,320 SO THE NUMBERS FOR '23 ARE 349 00:12:27,320 --> 00:12:31,360 SUMMARIZED IN THIS TABLE. 350 00:12:31,360 --> 00:12:36,080 THE CHANGE FROM FISCAL YEAR 351 00:12:36,080 --> 00:12:41,560 '22 TO '23 IS $3 BILLION, WHICH 352 00:12:41,560 --> 00:12:45,160 REPRESENTS A 6.5% CHANGE. 353 00:12:45,160 --> 00:12:51,840 OF THAT, $1.5 BILLION GOES TO 354 00:12:51,840 --> 00:12:54,200 ARPA -- $.5 BILLION GOES TO 355 00:12:54,200 --> 00:12:56,760 ARPA-H, WHICH REPRESENTS A 50% 356 00:12:56,760 --> 00:13:00,800 INCREASE IN THEIR BUDGET. 357 00:13:00,800 --> 00:13:03,440 AND SO IT REFLECTS THE 358 00:13:03,440 --> 00:13:04,520 ADMINISTRATION PRIORITY IN 359 00:13:04,520 --> 00:13:09,280 BUILDING OUT ARPA-H TO ITS FULL 360 00:13:09,280 --> 00:13:14,480 DEPLOYMENT. 361 00:13:14,480 --> 00:13:16,000 JUST SOME HIGHLIGHTS OF THE 362 00:13:16,000 --> 00:13:17,000 '23 BUDGET. 363 00:13:17,000 --> 00:13:18,720 THE LARGEST TARGETED INCREASES 364 00:13:18,720 --> 00:13:23,640 ARE LISTED HERE BY SIZE. 365 00:13:23,640 --> 00:13:24,880 ALZHEIMER'S DISEASE RESEARCH 366 00:13:24,880 --> 00:13:29,480 RECEIVED THE LARGEST INCREMENT, 367 00:13:29,480 --> 00:13:30,880 A SUPPLEMENT TO THE NATIONAL 368 00:13:30,880 --> 00:13:33,520 CANCER INSTITUTE TO HELP ENHANCE 369 00:13:33,520 --> 00:13:38,960 THEIR SUCCESS RATE WAS THE 370 00:13:38,960 --> 00:13:39,960 SECOND LARGEST. 371 00:13:39,960 --> 00:13:41,920 AIDS RESEARCH, BUILDING & 372 00:13:41,920 --> 00:13:43,760 FACILITIES ARE NEXT, THE COMMON 373 00:13:43,760 --> 00:13:46,600 FUND, WHICH IS LOCATED IN THE 374 00:13:46,600 --> 00:13:51,240 OFFICE OF THE DIRECTOR, WHERE WE 375 00:13:51,240 --> 00:13:52,640 SUPPORT, IN MY MIND, AT LEAST, 376 00:13:52,640 --> 00:13:54,720 YOU KNOW, SOME OF OUR CUTTING 377 00:13:54,720 --> 00:13:57,440 EDGE RESEARCH IN THE AGENCY. 378 00:13:57,440 --> 00:14:01,160 THE BRAIN INITIATIVE, ALSO VERY, 379 00:14:01,160 --> 00:14:05,440 VERY CREATIVE EFFORT. 380 00:14:05,440 --> 00:14:06,720 IMPORTANTLY, ADDITIONAL 381 00:14:06,720 --> 00:14:08,720 RESOURCES FOR HEALTH DISPARITIES 382 00:14:08,720 --> 00:14:09,200 RESEARCH. 383 00:14:09,200 --> 00:14:10,320 SPREAD TO SOME OF THE INSTITUTES 384 00:14:10,320 --> 00:14:11,920 AND CENTERS THAT HERETOFORE DID 385 00:14:11,920 --> 00:14:13,960 NOT HAVE SPECIFIC APPROPRIATIONS 386 00:14:13,960 --> 00:14:14,400 FOR THAT. 387 00:14:14,400 --> 00:14:18,240 SO WE ARE EXPANDING THE 388 00:14:18,240 --> 00:14:19,760 FOOTPRINT OF HEALTH DISPARITIES 389 00:14:19,760 --> 00:14:22,280 RESEARCH AT THE AGENCY, WHICH IS 390 00:14:22,280 --> 00:14:26,640 INCREDIBLY IMPORTANT. 391 00:14:26,640 --> 00:14:30,760 AND A PROGRAM FOR ALS, SO CALLED 392 00:14:30,760 --> 00:14:33,000 LOU GEHRIG'S DISEASE AND FINALLY 393 00:14:33,000 --> 00:14:34,080 ADDITIONAL SUPPORT FOR OPIOID 394 00:14:34,080 --> 00:14:37,000 USE DISORDER AND PAIN RESEARCH. 395 00:14:37,000 --> 00:14:40,440 ALL OF THESE ARE, OF COURSE, IN 396 00:14:40,440 --> 00:14:41,880 IMPORTANT AREAS OF SCIENCE, AND 397 00:14:41,880 --> 00:14:44,280 WE ARE VERY GRATEFUL TO THE 398 00:14:44,280 --> 00:14:46,440 CONGRESS FOR PROVIDING US THAT 399 00:14:46,440 --> 00:14:55,080 ADDITIONAL SET OF RESOURCES. 400 00:14:55,080 --> 00:14:57,520 SO WE CONTINUE CRITICAL COVID 401 00:14:57,520 --> 00:15:00,680 RESEARCH, AND WE HAVE USED SOME 402 00:15:00,680 --> 00:15:02,240 REMAINING RESOURCES FROM 403 00:15:02,240 --> 00:15:04,720 SUPPLEMENTAL APPROPRIATIONS. 404 00:15:04,720 --> 00:15:06,280 AS WELL AS AMOUNTS THAT WERE 405 00:15:06,280 --> 00:15:08,000 PROVIDED BY HHS THAT ARE 406 00:15:08,000 --> 00:15:10,720 ADMINISTERED UNDER DELEGATED 407 00:15:10,720 --> 00:15:11,720 AUTHORITY. 408 00:15:11,720 --> 00:15:14,240 IMPORTANTLY, THIS INCLUDES THE 409 00:15:14,240 --> 00:15:18,040 SO CALLED PROJECT NEXTGEN, WHICH 410 00:15:18,040 --> 00:15:20,040 IS A COLLABORATION BETWEEN THE 411 00:15:20,040 --> 00:15:21,240 BIOMEDICAL ADVANCED RESEARCH AND 412 00:15:21,240 --> 00:15:22,120 DEVELOPMENT AUTHORITY OR BARDA, 413 00:15:22,120 --> 00:15:24,840 WHICH IS LOCATED WITHIN THE 414 00:15:24,840 --> 00:15:28,360 DEPARTMENT, AND NIH, PRINCIPALLY 415 00:15:28,360 --> 00:15:31,200 NIAID, THAT WILL ACCELERATE AND 416 00:15:31,200 --> 00:15:32,200 STREAMLINE DEVELOPMENT OF THE 417 00:15:32,200 --> 00:15:34,480 NEXT GENERATION OF COVID-19 418 00:15:34,480 --> 00:15:38,080 VACCINES AND TREATMENTS. 419 00:15:38,080 --> 00:15:39,400 IF I COULD HAVE THE NEXT SLIDE, 420 00:15:39,400 --> 00:15:41,120 PLEASE. 421 00:15:41,120 --> 00:15:45,080 NOW, IF ALL OF THAT WAS NOT 422 00:15:45,080 --> 00:15:46,400 DIZZYING ENOUGH, WE OF COURSE 423 00:15:46,400 --> 00:15:48,480 HAD THE PRESIDENT'S BUDGET 424 00:15:48,480 --> 00:15:49,920 RELEASE FOR '24 BUT THEN 425 00:15:49,920 --> 00:15:51,120 SUBSEQUENTLY THE FISCAL 426 00:15:51,120 --> 00:15:52,760 RESPONSIBILITY ACT OF '23 WAS 427 00:15:52,760 --> 00:15:55,560 PASSED. 428 00:15:55,560 --> 00:15:59,280 SO WHAT THIS ENCOMPASSES IS, 429 00:15:59,280 --> 00:16:01,920 FIRST, A DEBT LIMIT SUSPENSION 430 00:16:01,920 --> 00:16:05,200 FOR TWO YEARS, AND CONCOMITANT 431 00:16:05,200 --> 00:16:08,920 WITH THAT IS A TWO-YEAR BUDGET 432 00:16:08,920 --> 00:16:10,680 HOLD, WHICH WOULD RESULT IN 433 00:16:10,680 --> 00:16:11,920 HOLDING NON-DEFENSE SPENDING, 434 00:16:11,920 --> 00:16:15,400 WHICH OBVIOUSLY IS WHERE NIH 435 00:16:15,400 --> 00:16:19,320 SITS IN THE BUDGET PICTURE IN 436 00:16:19,320 --> 00:16:20,920 '24, AND THEN THEY ARE ABLE TO 437 00:16:20,920 --> 00:16:23,360 INCREASE THE BUDGET BY 1%, THAT 438 00:16:23,360 --> 00:16:26,400 IS, OF COURSE, THE ENTIRE BUDGET 439 00:16:26,400 --> 00:16:30,040 IN '25. 440 00:16:30,040 --> 00:16:32,680 AN ADDITIONAL ELEMENT TO THIS IS 441 00:16:32,680 --> 00:16:34,520 THAT IF ALL 12 APPROPRIATION 442 00:16:34,520 --> 00:16:36,000 BILLS ARE NOT ENACTED INTO LAW 443 00:16:36,000 --> 00:16:38,040 BY THE END OF THE CALENDAR YEAR 444 00:16:38,040 --> 00:16:42,720 OF '23, THE STATUTORY CAPS WOULD 445 00:16:42,720 --> 00:16:45,240 RESET 1% BELOW '23 LEVELS. 446 00:16:45,240 --> 00:16:48,840 SO WHAT THIS IS IS AN INCENTIVE 447 00:16:48,840 --> 00:16:52,120 FOR THE MEMBERS TO GET THE BILLS 448 00:16:52,120 --> 00:16:55,200 PASSED IN A MANNER JUST BEFORE 449 00:16:55,200 --> 00:16:57,160 THE END OF THE CALENDAR YEAR, 450 00:16:57,160 --> 00:16:58,800 AND IF THEY DON'T, THEN THEY 451 00:16:58,800 --> 00:17:01,000 WILL LOSE SOME OF THEIR DEGREES 452 00:17:01,000 --> 00:17:02,160 OF FREEDOM. 453 00:17:02,160 --> 00:17:05,400 SO THEY PUT A DELIMITER ON 454 00:17:05,400 --> 00:17:07,760 THEMSELVES, IF YOU WILL. 455 00:17:07,760 --> 00:17:10,600 THERE WAS RESCISSION OF CERTAIN 456 00:17:10,600 --> 00:17:11,400 COVID SUPPLEMENTAL 457 00:17:11,400 --> 00:17:13,560 APPROPRIATIONS THAT WERE NOT YET 458 00:17:13,560 --> 00:17:14,640 OBLIGATED. 459 00:17:14,640 --> 00:17:16,080 THERE WERE SOME EXEMPTIONS FOR 460 00:17:16,080 --> 00:17:18,160 SPECIFIC AMOUNTS BY STATUTORY 461 00:17:18,160 --> 00:17:18,600 SOURCES. 462 00:17:18,600 --> 00:17:23,520 I WILL TELL YOU THAT NIH STAFF 463 00:17:23,520 --> 00:17:25,600 WORKED EXTREMELY HARD TO WORK 464 00:17:25,600 --> 00:17:28,680 THROUGH THIS SO THAT WE SPENT 465 00:17:28,680 --> 00:17:30,960 RESOURCES THAT COULD BE SPENT IN 466 00:17:30,960 --> 00:17:35,840 THE MOST APPROPRIATE AND, YOU 467 00:17:35,840 --> 00:17:37,520 KNOW, IMPORTANT WAY, BUT THERE 468 00:17:37,520 --> 00:17:38,800 WERE OTHER THINGS THAT WE WERE 469 00:17:38,800 --> 00:17:41,520 NOT ABLE TO DO THAT FOR, SO THE 470 00:17:41,520 --> 00:17:45,280 MONEYS WERE RESCINDED. 471 00:17:45,280 --> 00:17:50,840 SO THE PRESIDENT'S BUDGET OF '2O 472 00:17:50,840 --> 00:17:52,920 COMPORT WITH THIS FISCAL 473 00:17:52,920 --> 00:17:56,240 RESPONSIBILITY ACT OF '23, SO 474 00:17:56,240 --> 00:17:59,920 YOU KNOW, WE'LL PROBABLY BE 475 00:17:59,920 --> 00:18:02,680 ROUGHLY FLAT UNLESS THE 476 00:18:02,680 --> 00:18:03,960 APPROPRIATION BILLS AREN'T 477 00:18:03,960 --> 00:18:06,080 ENACTED BY THE END OF '23, IN 478 00:18:06,080 --> 00:18:09,360 WHICH CASE WE'LL BE ROUGHLY 1% 479 00:18:09,360 --> 00:18:13,040 LOWER, AND AGAIN, THESE ARE 480 00:18:13,040 --> 00:18:15,240 GUESSES BECAUSE THE NUMBERS 481 00:18:15,240 --> 00:18:18,000 REPRESENT THE OVERALL AVERAGE 482 00:18:18,000 --> 00:18:19,480 ACROSS THE ENTIRE GOVERNMENT, 483 00:18:19,480 --> 00:18:21,600 AND NO DOUBT, THERE WILL BE SOME 484 00:18:21,600 --> 00:18:23,240 THINGS THAT WILL DO A LITTLE BIT 485 00:18:23,240 --> 00:18:24,440 BETTER AND SOME THINGS THAT DO A 486 00:18:24,440 --> 00:18:27,480 LITTLE WORSE, AND IT REMAINS TO 487 00:18:27,480 --> 00:18:29,280 BE SEEN WHERE NIH FALLS. 488 00:18:29,280 --> 00:18:32,000 OBVIOUSLY WE ARE WORKING VERY, 489 00:18:32,000 --> 00:18:35,400 VERY HARD TO MAKE THE CASE FOR 490 00:18:35,400 --> 00:18:36,800 WHY BIOMEDICAL RESEARCH 491 00:18:36,800 --> 00:18:39,000 CONTINUES TO BE SO CRITICALLY 492 00:18:39,000 --> 00:18:41,160 IMPORTANT FOR SO MANY, MANY 493 00:18:41,160 --> 00:18:43,040 PEOPLE, BOTH IN THIS NATION AND 494 00:18:43,040 --> 00:18:50,680 AROUND THE WORLD. 495 00:18:50,680 --> 00:18:51,000 OKAY. 496 00:18:51,000 --> 00:18:52,040 SO THIS IS BRAGGING TIME. 497 00:18:52,040 --> 00:18:53,520 IF I CAN HAVE THE NEXT SLIDE, 498 00:18:53,520 --> 00:18:55,040 PLEASE. 499 00:18:55,040 --> 00:18:58,800 WE HAVE TWO GROUPS, IF YOU WILL, 500 00:18:58,800 --> 00:19:00,760 OR ONE INDIVIDUAL, ONE GROUP, 501 00:19:00,760 --> 00:19:04,000 THAT MADE TO THE FINALIST ROUND 502 00:19:04,000 --> 00:19:07,120 OF THE SERVICE TO AMERICA AWA 503 00:19:07,120 --> 00:19:07,760 AWARDS. 504 00:19:07,760 --> 00:19:11,680 THIS GROUP FROM THE GENOME 505 00:19:11,680 --> 00:19:16,520 INSTITUTE WERE THE LEADS IN THE 506 00:19:16,520 --> 00:19:17,160 TELOMERE-TO-TELOMERE EFFORT, 507 00:19:17,160 --> 00:19:19,200 WHICH BASICALLY COMPLETED THE 508 00:19:19,200 --> 00:19:21,760 SEQUENCING OF THE HUMAN GENOME. 509 00:19:21,760 --> 00:19:23,520 NOW YOU'RE THINKING WELL, WAIT A 510 00:19:23,520 --> 00:19:24,600 MINUTE, DIDN'T THAT HAPPEN OVER 511 00:19:24,600 --> 00:19:25,480 20 YEARS AGO? 512 00:19:25,480 --> 00:19:26,760 WELL, IT DID, BUT IT WAS SORT OF 513 00:19:26,760 --> 00:19:29,840 A REALLY GOOD DRAFT. 514 00:19:29,840 --> 00:19:33,320 AND WHAT WAS REMAINING WAS THE 515 00:19:33,320 --> 00:19:34,760 SORT OF ENDS OF THE CHROMOSOMES, 516 00:19:34,760 --> 00:19:37,840 THE TELOMERES, WHICH TEND TO BE 517 00:19:37,840 --> 00:19:39,160 INTRACTABLE FOR A NUMBER OF 518 00:19:39,160 --> 00:19:41,760 TECHNICAL REASONS. 519 00:19:41,760 --> 00:19:43,960 WHAT'S FASCINATING ABOUT THIS 520 00:19:43,960 --> 00:19:48,440 TEAM IS THEY ARE SORT OF CODERS 521 00:19:48,440 --> 00:19:50,920 FIRST AND BIOMEDICAL RESEARCHERS 522 00:19:50,920 --> 00:19:51,160 SECOND. 523 00:19:51,160 --> 00:19:54,240 IN OTHER WORDS, A LOT OF 524 00:19:54,240 --> 00:19:57,680 COMPUTATIONAL POWER WAS REQUIRED 525 00:19:57,680 --> 00:19:59,720 TO PULL THIS OFF. 526 00:19:59,720 --> 00:20:05,400 AND WE NOW HAVE TRULY A COMPLETE 527 00:20:05,400 --> 00:20:06,920 GENOME AS A RESULT OF THEIR 528 00:20:06,920 --> 00:20:08,560 EFFORTS, AND MANY, MANY, MANY 529 00:20:08,560 --> 00:20:10,080 COLLEAGUES ALL AROUND THE WORLD. 530 00:20:10,080 --> 00:20:13,520 AND SO THEY ARE IN THE FINALIST 531 00:20:13,520 --> 00:20:18,520 CATEGORY FOR THE SO-CALLED 532 00:20:18,520 --> 00:20:20,480 SAMIs. 533 00:20:20,480 --> 00:20:25,040 AND THEN DR. FEUER FROM THE 534 00:20:25,040 --> 00:20:26,200 NATIONAL CANCER INSTITUTE WAS A 535 00:20:26,200 --> 00:20:30,680 FINALIST FOR THE PAUL A. VOLCKER 536 00:20:30,680 --> 00:20:31,400 ACHIEVEMENT AWARD. 537 00:20:31,400 --> 00:20:34,400 HE HAS USED DATA AND STATISTICAL 538 00:20:34,400 --> 00:20:36,800 ANALYSIS OVER THE COURSE OF HIS 539 00:20:36,800 --> 00:20:40,080 CAREER TO REALLY HELP ALL 540 00:20:40,080 --> 00:20:41,280 STAKEHOLDERS UNDERSTAND THE 541 00:20:41,280 --> 00:20:43,680 IMPACT OF CANCER TO THE 542 00:20:43,680 --> 00:20:44,920 POPULATION. 543 00:20:44,920 --> 00:20:46,760 HE'S USED THESE DATA TO 544 00:20:46,760 --> 00:20:49,360 DEMONSTRATE HOW NEW PREVENTION, 545 00:20:49,360 --> 00:20:50,920 SCREENING AND TREATMENT OPTIONS 546 00:20:50,920 --> 00:20:53,040 MIGHT REDUCE CANCER RATES, AND 547 00:20:53,040 --> 00:20:56,560 IN THE CONTEXT OF THE CANCER 548 00:20:56,560 --> 00:20:57,760 MOONSHOT, THESE TYPES OF 549 00:20:57,760 --> 00:21:01,280 ANALYSES ARE PARTICULARLY 550 00:21:01,280 --> 00:21:02,320 IMPORTANT, AS DR. BERTAGNOLLI 551 00:21:02,320 --> 00:21:03,920 AND HER TEAM ACROSS THE AGENCY, 552 00:21:03,920 --> 00:21:06,000 NOT JUST LIMITED TO THE NCI, ARE 553 00:21:06,000 --> 00:21:07,640 TRYING TO FIGURE OUT THE BEST 554 00:21:07,640 --> 00:21:09,920 WAYS OF ACHIEVING THE GOALS THAT 555 00:21:09,920 --> 00:21:12,360 THE PRESIDENT HAS SET. 556 00:21:12,360 --> 00:21:13,120 FOR THE 557 00:21:13,120 --> 00:21:19,760 CANCER MOONSHOT. 558 00:21:19,760 --> 00:21:20,920 JUST A VERY BRIEF MENTION, WE 559 00:21:20,920 --> 00:21:23,520 WERE REALLY HONORED TO HAVE THE 560 00:21:23,520 --> 00:21:25,760 DEPUTY SECRETARY FOR HEALTH AND 561 00:21:25,760 --> 00:21:28,960 HUMAN SERVICES, ANDREA PALM, WHO 562 00:21:28,960 --> 00:21:32,240 IS IN THE MIDDLE ON YOUR LEFT, 563 00:21:32,240 --> 00:21:38,040 DIRECTLY OPPOSITE ME, AND SHE 564 00:21:38,040 --> 00:21:39,360 WAS HERE BOTH TO ATTEND THE 565 00:21:39,360 --> 00:21:42,080 GROUND BREAKING CEREMONY FOR THE 566 00:21:42,080 --> 00:21:43,200 SURGERY, RADIOLOGY AND LAB 567 00:21:43,200 --> 00:21:44,720 MEDICINE WING, WHICH I KNOW JIM 568 00:21:44,720 --> 00:21:47,480 WILL TALK ABOUT DURING HIS 569 00:21:47,480 --> 00:21:51,200 COMMENTS, BUT SHE WAS ALSO HERE 570 00:21:51,200 --> 00:21:52,520 TO LEARN MORE ABOUT SOME OF OUR 571 00:21:52,520 --> 00:21:55,760 EFFORTS IN MENTAL HEALTH, AND 572 00:21:55,760 --> 00:21:59,480 MET WITH A MEMBER OF NIMH WHO 573 00:21:59,480 --> 00:22:02,000 PRESENTED A PATIENT TO HER, AND 574 00:22:02,000 --> 00:22:05,520 I THINK THAT WAS A VERY 575 00:22:05,520 --> 00:22:07,040 MEANINGFUL PART OF HER VISIT. 576 00:22:07,040 --> 00:22:09,320 AN INDIVIDUAL WHO HAD SUFFERED 577 00:22:09,320 --> 00:22:12,960 THEIR ENTIRE LIVES FROM 578 00:22:12,960 --> 00:22:15,560 DEPRESSION, WHO, THROUGH NEW 579 00:22:15,560 --> 00:22:17,000 TREATMENTS, SEEMS TO BE DOING 580 00:22:17,000 --> 00:22:18,280 FAR, FAR BETTER. 581 00:22:18,280 --> 00:22:20,280 AND SHE ALSO HAD THE OPPORTUNITY 582 00:22:20,280 --> 00:22:22,800 TO SPEAK WITH DR. SCHWETZ, WHO'S 583 00:22:22,800 --> 00:22:25,720 TO MY RIGHT IN THE FIGURE, 584 00:22:25,720 --> 00:22:27,160 DR. VOLKOW, WHO IS ON THE FAR 585 00:22:27,160 --> 00:22:29,360 RIGHT, AND I BELIEVE THAT'S 586 00:22:29,360 --> 00:22:31,560 DR. BIANCHI WHO IS TO MY LEFT. 587 00:22:31,560 --> 00:22:33,600 I DON'T REMEMBER WHO WAS TO THE 588 00:22:33,600 --> 00:22:35,560 LEFT OF DR. BIANCHI. 589 00:22:35,560 --> 00:22:37,440 BUT ANYWAY, WE HAD A REALLY 590 00:22:37,440 --> 00:22:38,320 GOOD -- SORRY? 591 00:22:38,320 --> 00:22:39,200 OH, DR. RODGERS. 592 00:22:39,200 --> 00:22:39,400 OKAY. 593 00:22:39,400 --> 00:22:41,400 THANK YOU. 594 00:22:41,400 --> 00:22:44,200 DR. GRIFF RODGERS FROM NIDDK. 595 00:22:44,200 --> 00:22:45,960 AND SO WE REALLY HAD A GREAT 596 00:22:45,960 --> 00:22:48,480 MEETING WITH HER AND IT'S ALWAYS 597 00:22:48,480 --> 00:22:51,240 WONDERFUL TO HOST LEADERSHIP 598 00:22:51,240 --> 00:22:58,000 HERE AT NIH. 599 00:22:58,000 --> 00:22:58,920 I GUESS THIS IS THE 600 00:22:58,920 --> 00:23:01,320 ADVERTISEMENT PART OF MY 601 00:23:01,320 --> 00:23:03,280 COMMENTS. 602 00:23:03,280 --> 00:23:05,240 TO JUST TELL YOU ABOUT THE 70TH 603 00:23:05,240 --> 00:23:08,600 ANNIVERSARY OF THE COMPLIN CLINL 604 00:23:08,600 --> 00:23:08,960 CENTER. 605 00:23:08,960 --> 00:23:10,560 SO IN JULY, THERE WILL BE A 606 00:23:10,560 --> 00:23:12,200 CELEBRATION IN LIPSETT. 607 00:23:12,200 --> 00:23:14,000 THERE ARE A SERIES OF OTHER 608 00:23:14,000 --> 00:23:16,800 EVENTS IN THE SUMMER. 609 00:23:16,800 --> 00:23:19,120 LATER THIS MONTH, THERE WILL BE 610 00:23:19,120 --> 00:23:20,760 AN ANNIVERSARY GRAND ROUNDS 611 00:23:20,760 --> 00:23:25,680 LECTURE BY FRANCIS, AND 612 00:23:25,680 --> 00:23:26,960 APPARENTLY ADDITIONAL 613 00:23:26,960 --> 00:23:27,680 EXHIBITIONS THROUGHOUT THE 614 00:23:27,680 --> 00:23:29,400 SUMMER AND AGAIN, I SUSPECT JIM 615 00:23:29,400 --> 00:23:30,800 WILL SPEAK TO THIS IN A LITTLE 616 00:23:30,800 --> 00:23:32,000 MORE DETAIL. 617 00:23:32,000 --> 00:23:34,960 BUT I DID WANT TO CALL THIS TO 618 00:23:34,960 --> 00:23:40,440 YOUR ATTENTION. 619 00:23:40,440 --> 00:23:46,440 SO JUST TO SOME COVID UPDATES. 620 00:23:46,440 --> 00:23:48,440 SO MUCH OF OUR ATTENTION AT THE 621 00:23:48,440 --> 00:23:52,240 AGENCY HAS TURNED TOWARDS 622 00:23:52,240 --> 00:23:57,280 SO-CALLED LONG COVID, AND WHILST 623 00:23:57,280 --> 00:23:59,040 WE ARE DOING A NUMBER OF THINGS, 624 00:23:59,040 --> 00:24:00,880 A SORT OF CENTRAL PLATFORM FOR 625 00:24:00,880 --> 00:24:03,520 THIS IS THE RECOVER INITIATIVE. 626 00:24:03,520 --> 00:24:07,800 AND THIS JUST TRIES TO CAPTURE 627 00:24:07,800 --> 00:24:09,960 THE APPROACH THAT WE ARE TAKING 628 00:24:09,960 --> 00:24:15,120 WITH WHAT IS AN UNPRECEDENTED 629 00:24:15,120 --> 00:24:19,600 INITIATIVE TO UNDERSTAND WHAT IS 630 00:24:19,600 --> 00:24:22,880 THE POST SEQUELAE OF A VIRUS 631 00:24:22,880 --> 00:24:23,840 INFECTION, AND AS SOME OF YOU 632 00:24:23,840 --> 00:24:26,720 KNOW, THERE ARE MANY EXAMPLES OF 633 00:24:26,720 --> 00:24:30,200 VIRAL INFECTIONS THAT BEGET, YOU 634 00:24:30,200 --> 00:24:32,840 KNOW, SEQUELAE AFTER THE FACT. 635 00:24:32,840 --> 00:24:34,600 WE HAVE ONE ADVANTAGE HERE AS WE 636 00:24:34,600 --> 00:24:39,400 KNOW EXACTLY WHICH VIRUS IT WAS, 637 00:24:39,400 --> 00:24:41,520 BUT THE VIRUS HAS BEEN, AS YOU 638 00:24:41,520 --> 00:24:44,120 KNOW, TRICKY AND CONTINUES TO 639 00:24:44,120 --> 00:24:47,520 EVOLVE, AND THE ANCESTRAL STRAIN 640 00:24:47,520 --> 00:24:50,240 OF SARS-COV-2 IS DECIDEDLY 641 00:24:50,240 --> 00:24:52,080 DIFFERENT FROM THE OMICRON 642 00:24:52,080 --> 00:24:54,720 VARIANTS THAT WE HAVE NOW. 643 00:24:54,720 --> 00:24:57,560 AND SO PART OF THE CHALLENGE OF 644 00:24:57,560 --> 00:24:59,200 THIS EFFORT IS WE'RE DEALING NOT 645 00:24:59,200 --> 00:25:03,680 WITH ONE VIRUS BUT MANY VIRUSES. 646 00:25:03,680 --> 00:25:06,400 AND SO FAR, THE AVAILABLE 647 00:25:06,400 --> 00:25:09,600 INFORMATION SUGGESTS THAT THE 648 00:25:09,600 --> 00:25:12,240 ANCESTRAL STRAIN IS MOST LIKELY 649 00:25:12,240 --> 00:25:15,920 TO YIELD THE MOST COMPLICATED 650 00:25:15,920 --> 00:25:18,200 POST SEQUELAE WITH THE MORE 651 00:25:18,200 --> 00:25:20,560 RECENT VARIANTS LESS SO, BUT 652 00:25:20,560 --> 00:25:22,800 THERE IS STILL MORE TO BE 653 00:25:22,800 --> 00:25:24,480 LEARNED ABOUT THIS. 654 00:25:24,480 --> 00:25:26,760 SO THIS IS ONGOING WORK. 655 00:25:26,760 --> 00:25:30,400 THE FIGURE ON YOUR LEFT, I HOPE 656 00:25:30,400 --> 00:25:34,760 CAPTURES FOR YOU OUR GOAL IN 657 00:25:34,760 --> 00:25:37,040 THIS PATIENT-CENTERED EFFORT 658 00:25:37,040 --> 00:25:41,080 THAT THIS IS AN INTEGRATED 659 00:25:41,080 --> 00:25:41,400 APPROACH. 660 00:25:41,400 --> 00:25:43,840 WE WANT TO PREDICT, WE WANT TO 661 00:25:43,840 --> 00:25:45,520 TREAT AND WE WANT TO PREVENT 662 00:25:45,520 --> 00:25:46,240 LONG COVID. 663 00:25:46,240 --> 00:25:49,400 AND TO DO THIS, THE AIMS ARE 664 00:25:49,400 --> 00:25:51,280 ARTICULATED ON THE RIGHT OF THE 665 00:25:51,280 --> 00:25:52,000 SLIDE. 666 00:25:52,000 --> 00:25:53,360 FIRST TO UNDERSTAND THE RANGE OF 667 00:25:53,360 --> 00:25:54,640 RECOVERY AND CHANGES IN OUR 668 00:25:54,640 --> 00:25:57,480 BODIES OVER TIME. 669 00:25:57,480 --> 00:25:59,160 REMARKABLY, JUST ABOUT EVERY 670 00:25:59,160 --> 00:26:01,320 ORGAN SYSTEM IN THE BODY IS 671 00:26:01,320 --> 00:26:02,400 AFFECTED IN ONE PERSON OR 672 00:26:02,400 --> 00:26:03,720 ANOTHER. 673 00:26:03,720 --> 00:26:05,040 IT'S UNPRECEDENTED. 674 00:26:05,040 --> 00:26:06,440 IT REALLY IS. 675 00:26:06,440 --> 00:26:08,640 WE WANTED TO FIND RISK FACTORS, 676 00:26:08,640 --> 00:26:10,240 NUMBER OF PEOPLE GETTING LONG 677 00:26:10,240 --> 00:26:12,360 COVID, AND IF, INDEED, IF THERE 678 00:26:12,360 --> 00:26:14,880 ARE SPECIFIC DIFFERENT TYPES OF 679 00:26:14,880 --> 00:26:16,840 LONG COVID, AND AGAIN, AVAILABLE 680 00:26:16,840 --> 00:26:19,920 EVIDENCE SUGGESTS THERE MIGHT 681 00:26:19,920 --> 00:26:20,480 BE. 682 00:26:20,480 --> 00:26:22,760 SOME WHERE THERE'S MORE 683 00:26:22,760 --> 00:26:24,080 NEUROLOGICAL SEQUELAE, OTHERS 684 00:26:24,080 --> 00:26:26,920 WHERE THERE ARE MORE 685 00:26:26,920 --> 00:26:29,200 NEUROMUSCULAR, OTHERS WHERE 686 00:26:29,200 --> 00:26:30,560 CARDIAC IMPACT IS SEEN. 687 00:26:30,560 --> 00:26:32,600 WE NEED TO KNOW HOW LONG COVID 688 00:26:32,600 --> 00:26:35,560 PROGRESSES OVER TIME, AND DOES 689 00:26:35,560 --> 00:26:37,000 IT RELATE TO OTHER ILLNESSES. 690 00:26:37,000 --> 00:26:41,360 FOR EXAMPLE, MSCFS, PERHAPS 691 00:26:41,360 --> 00:26:42,560 OTHERS KNOW IT AS CHRONIC 692 00:26:42,560 --> 00:26:43,000 FATIGUE. 693 00:26:43,000 --> 00:26:44,960 THERE ARE SOME SIMILARITIES. 694 00:26:44,960 --> 00:26:48,360 WHAT INSIGHTS WILL WE GET FROM 695 00:26:48,360 --> 00:26:51,280 STUDYING COVID, LONG COVID, INTO 696 00:26:51,280 --> 00:26:53,080 THAT DISEASE AND CONDITION? 697 00:26:53,080 --> 00:26:54,800 AND THEN FINALLY, YOU KNOW, TO 698 00:26:54,800 --> 00:26:57,320 IDENTIFY TREATMENTS, WHICH, OF 699 00:26:57,320 --> 00:27:00,280 COURSE, EVERYBODY IS WAITING F 700 00:27:00,280 --> 00:27:00,960 FOR. 701 00:27:00,960 --> 00:27:03,240 THERE'S BEEN A LOT OF WORK AT 702 00:27:03,240 --> 00:27:06,400 THIS. 703 00:27:06,400 --> 00:27:08,160 THIS JUST SUMMARIZES SOME OF 704 00:27:08,160 --> 00:27:12,320 WHAT HAS BEEN DONE SO FAR. 705 00:27:12,320 --> 00:27:13,640 FIRST AND VERY, VERY 706 00:27:13,640 --> 00:27:15,640 IMPORTANTLY, WE HAVE ASSEMBLED 707 00:27:15,640 --> 00:27:18,760 THE LARGEST MOST DIVERSE DEEPLY 708 00:27:18,760 --> 00:27:23,280 CHARACTERIZED CLINICAL COHORT OF 709 00:27:23,280 --> 00:27:25,640 PASC PATIENTS IN THE WORLD. 710 00:27:25,640 --> 00:27:27,520 UNFORTUNATELY, AND NOT 711 00:27:27,520 --> 00:27:30,480 SURPRISINGLY, THERE ARE 712 00:27:30,480 --> 00:27:31,640 SIGNIFICANT DISPARITIES AMONG 713 00:27:31,640 --> 00:27:34,960 DIFFERENT POPULATIONS IN TERMS 714 00:27:34,960 --> 00:27:38,440 OF LONG COVID. 715 00:27:38,440 --> 00:27:40,400 AND SO OUR COHORT THAT WE'RE 716 00:27:40,400 --> 00:27:43,240 GOING TO USE TO STUDY THIS HAS 717 00:27:43,240 --> 00:27:47,640 TO REFLECT THE BURDEN OF THE 718 00:27:47,640 --> 00:27:48,720 DISEASE. 719 00:27:48,720 --> 00:27:49,720 SO FOR EXAMPLE, HISPANIC 720 00:27:49,720 --> 00:27:52,240 INDIVIDUALS ARE, RELATIVE TO 721 00:27:52,240 --> 00:27:54,640 THEIR CENSUS IN THE POPULATION, 722 00:27:54,640 --> 00:27:55,960 ARE OVERREPRESENTED IN THIS 723 00:27:55,960 --> 00:27:59,000 COHORT BECAUSE OF THE 724 00:27:59,000 --> 00:28:00,520 UNFORTUNATE PREDILECTION IN THIS 725 00:28:00,520 --> 00:28:02,720 GROUP FOR THIS DISEASE. 726 00:28:02,720 --> 00:28:04,560 SIMILARLY, BLACK AND AFRICAN 727 00:28:04,560 --> 00:28:08,560 AMERICANS HAVE A SEVERE 728 00:28:08,560 --> 00:28:09,560 OVERREPRESENTATION, AND SO WE'RE 729 00:28:09,560 --> 00:28:11,480 TRYING TO BALANCE THAT COHORT IN 730 00:28:11,480 --> 00:28:15,200 A MANNER THAT REALLY REFLECTS 731 00:28:15,200 --> 00:28:20,040 THE DISEASE ITSELF. 732 00:28:20,040 --> 00:28:23,840 WE HAVE ALSO TAKEN ADVANTAGE OF 733 00:28:23,840 --> 00:28:26,360 EXISTING COHORTS WHERE PEOPLE 734 00:28:26,360 --> 00:28:28,520 HAVE BEEN FOLLOWED FOR MANY, 735 00:28:28,520 --> 00:28:30,480 MANY YEARS, IN SOME CASES 736 00:28:30,480 --> 00:28:32,920 DECADES, SO THAT WE CAN TAKE 737 00:28:32,920 --> 00:28:36,520 ADVANTAGE OF THAT VERY RICH AND 738 00:28:36,520 --> 00:28:39,560 COMPLETE ANTECEDENT WORK TO HELP 739 00:28:39,560 --> 00:28:41,000 US CHARACTERIZE THOSE PEOPLE IN 740 00:28:41,000 --> 00:28:42,960 THOSE COHORTS THAT TURNED OUT TO 741 00:28:42,960 --> 00:28:44,520 SUFFER FROM LONG COVID. 742 00:28:44,520 --> 00:28:47,040 THERE HAVE BEEN OVER 40 743 00:28:47,040 --> 00:28:48,000 PATHOBIOLOGY STUDIES THAT ARE 744 00:28:48,000 --> 00:28:50,480 LOOKING AT THE PATHOPHYSICIANPHY 745 00:28:50,480 --> 00:28:51,040 OF THIS. 746 00:28:51,040 --> 00:28:54,440 WE ARE STARTING THIS NEXT 747 00:28:54,440 --> 00:28:57,080 QUARTER, STARTING IN JULY, A 748 00:28:57,080 --> 00:29:02,320 SERIES OF MASTER PROTOCOLS OR 749 00:29:02,320 --> 00:29:03,560 PLATFORM CLINICAL TRIALS. 750 00:29:03,560 --> 00:29:05,080 THREE OR FOUR WILL BEGIN, 751 00:29:05,080 --> 00:29:09,240 BEGINNING IN JULY, WITH ONE OR 752 00:29:09,240 --> 00:29:10,520 TWO, DEPENDING UPON HOW THE 753 00:29:10,520 --> 00:29:12,760 THIRD OF THAT GROUP -- FOURTH IN 754 00:29:12,760 --> 00:29:15,640 THAT GROUP PANS OUT BY THE 755 00:29:15,640 --> 00:29:17,760 FOURTH QUARTER. 756 00:29:17,760 --> 00:29:19,080 AGAIN, WE'VE USED ELECTRONIC 757 00:29:19,080 --> 00:29:20,600 HEALTH RECORDS TO LOOK AT 758 00:29:20,600 --> 00:29:22,360 PREVALENCE RISK FACTORS IMPACT 759 00:29:22,360 --> 00:29:24,560 AND THE DISPARITIES. 760 00:29:24,560 --> 00:29:26,840 TO DO THAT, WE'VE ANALYZED OVER 761 00:29:26,840 --> 00:29:29,800 60 MILLION RECORDS THAT INCLUDE 762 00:29:29,800 --> 00:29:33,640 OVER 7 MILLION COVID TESTS, 763 00:29:33,640 --> 00:29:34,720 CASES, BIOMARKER RESULTS ARE 764 00:29:34,720 --> 00:29:35,480 UNDERWAY. 765 00:29:35,480 --> 00:29:36,800 WE'RE USING ALL SORTS OF MOBILE 766 00:29:36,800 --> 00:29:40,160 HEALTH PLATFORMS, LOTS OF 767 00:29:40,160 --> 00:29:40,920 COMMUNITY ENGAGEMENT. 768 00:29:40,920 --> 00:29:42,360 CAN'T DO THIS UNLESS YOU GO TO 769 00:29:42,360 --> 00:29:45,560 WHERE THE PEOPLE ARE. 770 00:29:45,560 --> 00:29:46,840 SO THERE'S A TREMENDOUS AMOUNT 771 00:29:46,840 --> 00:29:48,480 OF COMMUNITY ENGAGEMENT. 772 00:29:48,480 --> 00:29:50,680 FINALLY, AND I ALLUDED TO THIS, 773 00:29:50,680 --> 00:29:52,280 WE'RE TRYING TO CHARACTERIZE THE 774 00:29:52,280 --> 00:29:56,600 IMPACT OF THE DIFFERENT VARIANTS 775 00:29:56,600 --> 00:30:00,320 ON VAITI -- ON VACCINATION AND E 776 00:30:00,320 --> 00:30:02,280 VARIANTS ON THE COURSE OF THIS 777 00:30:02,280 --> 00:30:06,440 DISEASE. 778 00:30:06,440 --> 00:30:08,840 BUT THERE ARE STILL ELEMENTS TO 779 00:30:08,840 --> 00:30:10,280 THE THERAPEUTIC INTERVENTIONS 780 00:30:10,280 --> 00:30:11,560 FOR THE ACUTE INFECTION THAT ARE 781 00:30:11,560 --> 00:30:12,120 ONGOING. 782 00:30:12,120 --> 00:30:15,400 THEY'RE LISTED HERE. 783 00:30:15,400 --> 00:30:18,680 AND SO WE EXPECT READOUTS 784 00:30:18,680 --> 00:30:22,320 THROUGHOUT THIS YEAR AND NEXT. 785 00:30:22,320 --> 00:30:25,360 A NUMBER OF REPURPOSED DRUGS, 786 00:30:25,360 --> 00:30:28,400 FOR EXAMPLE, ORAL MONTELUKAST, 787 00:30:28,400 --> 00:30:29,600 AND INDEED THERE IS SOME 788 00:30:29,600 --> 00:30:30,400 ADDITIONAL THOUGHT BEING GIVEN 789 00:30:30,400 --> 00:30:32,240 TO USING ADDITIONAL REPURPOSED 790 00:30:32,240 --> 00:30:36,120 DRUGS, FOR EXAMPLE, METFORMIN IS 791 00:30:36,120 --> 00:30:39,120 ONE THAT HAS COME UP, AND WE 792 00:30:39,120 --> 00:30:41,440 WILL SEE IF WE ARE ABLE TO 793 00:30:41,440 --> 00:30:43,920 LAUNCH THAT ONE IN THE NOT TOO 794 00:30:43,920 --> 00:30:51,280 DISTANT FUTURE. 795 00:30:51,280 --> 00:30:52,800 SO MANY SUCCESSES FROM THE 796 00:30:52,800 --> 00:30:55,560 ACTIVE PARTNERSHIP BETWEEN 797 00:30:55,560 --> 00:30:56,560 INDUSTRY, NIH AND OTHER 798 00:30:56,560 --> 00:31:00,000 GOVERNMENT AGENCIES, NOT FOR 799 00:31:00,000 --> 00:31:02,880 PROFITS, WE ENROLLED OVER 23,000 800 00:31:02,880 --> 00:31:04,400 PATIENTS, OVER 300 SITES, DID 801 00:31:04,400 --> 00:31:05,960 THE ENROLLING. 802 00:31:05,960 --> 00:31:07,680 AS YOU MIGHT IMAGINE, MANY 803 00:31:07,680 --> 00:31:09,560 PUBLICATIONS THAT WERE READ 804 00:31:09,560 --> 00:31:12,280 WIDELY. 805 00:31:12,280 --> 00:31:16,120 WE REVIEWED OVER 800 AGENTS. 806 00:31:16,120 --> 00:31:19,560 OF THE 800 THAT WERE REVIEWED, 807 00:31:19,560 --> 00:31:22,000 34 WERE TESTED, AND SIX 808 00:31:22,000 --> 00:31:24,640 INITIALLY PROVED EFFICACIOUS. 809 00:31:24,640 --> 00:31:27,040 NOT ALL REMAINED EFFICACIOUS 810 00:31:27,040 --> 00:31:28,920 BECAUSE THE VIRUS EVOLVED, AND 811 00:31:28,920 --> 00:31:35,120 SOME WERE NO LONGER USEFUL. 812 00:31:35,120 --> 00:31:36,360 NOW, PEOPLE LOOK AT THAT AND 813 00:31:36,360 --> 00:31:39,400 SAY, WOW, YOU ONLY CAME UP WITH 814 00:31:39,400 --> 00:31:41,680 SIX AGENTS THAT ARE EFFICACIOUS. 815 00:31:41,680 --> 00:31:46,080 I REMIND YOU THAT WE ALSO RULED 816 00:31:46,080 --> 00:31:48,160 OUT THE 794 THAT WERE NOT 817 00:31:48,160 --> 00:31:49,800 USEFUL. 818 00:31:49,800 --> 00:31:52,360 AND THAT WAS EQUALLY IMPORTANT 819 00:31:52,360 --> 00:31:57,960 TO DETERMINING WHAT WAS USEFUL. 820 00:31:57,960 --> 00:32:00,400 NEVERTHELESS, A NUMBER OF 821 00:32:00,400 --> 00:32:04,560 ACHIEVEMENTS. 822 00:32:04,560 --> 00:32:08,600 AND SO WITH THAT, AND I 823 00:32:08,600 --> 00:32:10,160 APOLOGIZE FOR BEING TWO MINUTES 824 00:32:10,160 --> 00:32:12,240 OVER, I'LL STOP AND I WILL TURN 825 00:32:12,240 --> 00:32:14,880 IT BACK TO THE CHAIR. 826 00:32:14,880 --> 00:32:16,360 >>THANKS SO VERY MUCH, 827 00:32:16,360 --> 00:32:16,680 DR. TABAK. 828 00:32:16,680 --> 00:32:18,440 ARE THERE ANY QUESTIONS OR 829 00:32:18,440 --> 00:32:19,440 COMMENTS IN REFERENCE TO THE 830 00:32:19,440 --> 00:32:20,280 PRESENTATION? 831 00:32:20,280 --> 00:32:21,240 I'D LIKE TO THANK YOU VERY MUCH 832 00:32:21,240 --> 00:32:21,480 FOR THAT. 833 00:32:21,480 --> 00:32:24,040 YOU KNOW, AND I'M ALWAYS GLAD TO 834 00:32:24,040 --> 00:32:26,720 SEE THE RESEARCH THAT'S GOING ON 835 00:32:26,720 --> 00:32:28,400 THAT CONTINUES DOWN THE COVID 836 00:32:28,400 --> 00:32:30,200 LINES, PARTICULARLY WITH THE 837 00:32:30,200 --> 00:32:31,920 LONG COVID, AND SO THIS IS NOW A 838 00:32:31,920 --> 00:32:33,440 BODY OF EVIDENCE THAT CONFIRMS 839 00:32:33,440 --> 00:32:35,760 KIND OF ANECDOTALLY WHAT WE SAW 840 00:32:35,760 --> 00:32:37,680 IN OUR OWN STAFF, THAT THOSE WHO 841 00:32:37,680 --> 00:32:39,360 HAD COVID IN WAVE ONE, 842 00:32:39,360 --> 00:32:40,320 ESPECIALLY BEFORE WE HAD 843 00:32:40,320 --> 00:32:43,200 VACCINES, ARE STILL SUFFERING 844 00:32:43,200 --> 00:32:44,240 FROM LONG COVID, CHRONIC 845 00:32:44,240 --> 00:32:45,360 RECURRENT RASHES, THINGS LIKE 846 00:32:45,360 --> 00:32:48,760 THAT, BUT IN SUBSEQUENT WAVES 847 00:32:48,760 --> 00:32:53,680 AND ESPECIALLY OMICRON -- THANK 848 00:32:53,680 --> 00:32:54,360 YOU, THIS IS GREAT. 849 00:32:54,360 --> 00:32:57,920 THANK YOU SO MEC MUCH, DR. TABA. 850 00:32:57,920 --> 00:33:00,760 NEXT WE'VE GOT THE CEO UPDATE BY 851 00:33:00,760 --> 00:33:01,200 DR. GILMAN. 852 00:33:01,200 --> 00:33:03,200 I THINK, JIM, YOU'VE ALSO GOT 853 00:33:03,200 --> 00:33:05,280 BACK TO BACK PRESENTATIONS ON 854 00:33:05,280 --> 00:33:06,040 STRATEGIC THOUGHTS IN 855 00:33:06,040 --> 00:33:07,880 PREPARATION FOR THE NEXT 856 00:33:07,880 --> 00:33:09,320 STRATEGIC PLAN FOR THE CLINICAL 857 00:33:09,320 --> 00:33:09,560 CENTER. 858 00:33:09,560 --> 00:33:10,760 SO I'LL GO AHEAD AND TURN IT 859 00:33:10,760 --> 00:33:11,960 OVER TO YOU. 860 00:33:11,960 --> 00:33:19,160 >>THANKS. 861 00:33:19,160 --> 00:33:20,240 THERE'S BEEN A LOT OF STUFF 862 00:33:20,240 --> 00:33:21,880 GOING ON IN THE LAST FEW MONTHS, 863 00:33:21,880 --> 00:33:29,240 AS DR. TABAK SORT OF INDICATED. 864 00:33:29,240 --> 00:33:30,880 OKAY. 865 00:33:30,880 --> 00:33:35,240 SO GO AHEAD TO THE NEXT SLIDE, 866 00:33:35,240 --> 00:33:41,120 CARLY. 867 00:33:41,120 --> 00:33:43,160 SO AS DR. TABAK INDICATED, THIS 868 00:33:43,160 --> 00:33:44,880 IS THE 70TH ANNIVERSARY OF THE 869 00:33:44,880 --> 00:33:46,040 CLINICAL CENTER, AND WE HAVE A 870 00:33:46,040 --> 00:33:48,240 NUMBER OF ACTIVITIES THAT ARE IN 871 00:33:48,240 --> 00:33:50,800 PLACE AND ONGOING AND PLANNED 872 00:33:50,800 --> 00:33:54,040 AND THIS IS THE LOGO FOR THE 873 00:33:54,040 --> 00:33:56,560 70TH ANNIVERSARY THAT WAS PUT 874 00:33:56,560 --> 00:33:57,760 TOGETHER BY -- OR DEVELOPED BY 875 00:33:57,760 --> 00:33:59,720 THE OFFICE OF COMMUNICATIONS AND 876 00:33:59,720 --> 00:34:01,360 MEDIA RELATIONS, AND THEY'VE 877 00:34:01,360 --> 00:34:03,040 BEEN THE PIVOT POINT FOR MOST OF 878 00:34:03,040 --> 00:34:05,280 THE ACTIVITIES RELATED TO THE 879 00:34:05,280 --> 00:34:10,920 70TH ANNIVERSARY. 880 00:34:10,920 --> 00:34:14,960 WE DO HAVE DR. COLLINS FOR 881 00:34:14,960 --> 00:34:16,800 CLINICAL CENTER GRAND ROUNDS ON 882 00:34:16,800 --> 00:34:19,200 JUNE 28TH, AND HE'S PROMISED NOT 883 00:34:19,200 --> 00:34:22,280 ONLY TO TALK ABOUT THE 70 YEARS 884 00:34:22,280 --> 00:34:23,480 OF HISTORY OF THE CLINICAL 885 00:34:23,480 --> 00:34:25,360 CENTER BUT ALSO OF THE -- OF 886 00:34:25,360 --> 00:34:27,240 WHAT HE SEES WITH RESPECT TO THE 887 00:34:27,240 --> 00:34:31,680 FUTURE OF THE CLINICAL CENTER, 888 00:34:31,680 --> 00:34:33,760 AND THAT'S SOMETHING THAT WE'RE 889 00:34:33,760 --> 00:34:36,920 LOOKING FORWARD TO VERY MUCH. 890 00:34:36,920 --> 00:34:40,320 THE 70 YEARS OF FIRSTS EVENT MAY 891 00:34:40,320 --> 00:34:42,720 ACTUALLY GET PUSHED BACK A 892 00:34:42,720 --> 00:34:43,840 LITTLE BIT. 893 00:34:43,840 --> 00:34:49,000 WHEN I LOOKED AT THIS EVENT 894 00:34:49,000 --> 00:34:49,960 PLANNING SOME TIME BACK, I 895 00:34:49,960 --> 00:34:52,040 THOUGHT THAT IT NEEDED A LITTLE 896 00:34:52,040 --> 00:34:53,920 MORE WORK, BUT SOMETIME DURING 897 00:34:53,920 --> 00:34:57,400 THIS YEAR, WE HOPE TO HAVE THIS 898 00:34:57,400 --> 00:35:00,680 70 YEARS OF FIRSTS EVENT. 899 00:35:00,680 --> 00:35:02,760 WE HAVE DEVELOPED THE 900 00:35:02,760 --> 00:35:03,760 BACKGROUND, THE VIRTUAL 901 00:35:03,760 --> 00:35:07,480 BACKGROUND FOR THE ZOOM AND MS 902 00:35:07,480 --> 00:35:12,840 TEAMS CONFERENCE CALLS AND WE 903 00:35:12,840 --> 00:35:14,560 ACTUALLY -- DR. COOTS WILL 904 00:35:14,560 --> 00:35:15,760 APPRECIATE THE FACT THAT WE HAVE 905 00:35:15,760 --> 00:35:19,520 A 70TH ANNIVERSARY CHALLENGE 906 00:35:19,520 --> 00:35:23,120 COIN THAT HAS ACTUALLY BEEN 907 00:35:23,120 --> 00:35:28,240 COMPLETED AND IS DOWN IN OUR 908 00:35:28,240 --> 00:35:29,240 BOOKSTORE. 909 00:35:29,240 --> 00:35:31,320 WHEN I CAN LEAVE QUARANTINE, 910 00:35:31,320 --> 00:35:33,280 I'LL GO DOWN AND PICK THEM UP 911 00:35:33,280 --> 00:35:35,040 AND I LOOK FORWARD TO ACTUALLY 912 00:35:35,040 --> 00:35:36,880 SEEING HOW THE COIN TURNED OUT. 913 00:35:36,880 --> 00:35:38,520 YOU CAN SEE THE ARTIST RENDITION 914 00:35:38,520 --> 00:35:48,640 THERE. 915 00:35:48,880 --> 00:35:49,920 DR. FREISCHLAG GOT A CHANCE, I 916 00:35:49,920 --> 00:35:54,320 THINK, TO SEE OUR ORANGE STATUES 917 00:35:54,320 --> 00:35:57,000 IN THE CLINICAL CENTER. 918 00:35:57,000 --> 00:35:59,520 THIS IS PART OF OUR 70TH 919 00:35:59,520 --> 00:36:02,280 ANNIVERSARY AND PART OF OUR 920 00:36:02,280 --> 00:36:05,120 FOCUS ON DIVERSITY, EQUITY, 921 00:36:05,120 --> 00:36:06,320 INCLUSION AND ACCESSIBILITY. 922 00:36:06,320 --> 00:36:13,440 AND IF OTHERS ARE FAMILIAR WITH 923 00:36:13,440 --> 00:36:16,480 THIS EXHIBIT, THEN I WON'T 924 00:36:16,480 --> 00:36:20,360 BELABOR IT A LOT. 925 00:36:20,360 --> 00:36:26,480 BUT I WOULD -- IT IS A VERY, 926 00:36:26,480 --> 00:36:28,680 VERY INTERESTING EXHIBIT. 927 00:36:28,680 --> 00:36:32,160 120 STATUES OF WOMEN CONNECTED 928 00:36:32,160 --> 00:36:33,040 WITH STEM FIELDS. 929 00:36:33,040 --> 00:36:35,560 NOT ALL ARE CONNECTED TO 930 00:36:35,560 --> 00:36:41,920 MEDICINE OR BIOLOGICAL SCIENCE. 931 00:36:41,920 --> 00:36:45,080 MANY, MANY FIELDS OF SCIENCE, 932 00:36:45,080 --> 00:36:48,360 TECHNOLOGY, ENGINEERING AND MATH 933 00:36:48,360 --> 00:36:51,640 ARE REPRESENTED. 934 00:36:51,640 --> 00:36:53,320 THERE'S A LONG BACKGROUND HERE 935 00:36:53,320 --> 00:36:57,880 THAT I THINK THE PRINCIPAL 936 00:36:57,880 --> 00:37:02,160 COLLABORATION WAS WITH THE LYDA 937 00:37:02,160 --> 00:37:03,440 HILL FOUNDATION AND THE AMERICAN 938 00:37:03,440 --> 00:37:05,960 ACADEMY FOR THE ADVANCEMENT OF 939 00:37:05,960 --> 00:37:06,200 SCIENCE. 940 00:37:06,200 --> 00:37:08,480 120 WOMEN CHOSEN TO BE 941 00:37:08,480 --> 00:37:12,560 AMBASSADORS AND ROLE MODELS IN 942 00:37:12,560 --> 00:37:16,160 STEM FIELDS. 943 00:37:16,160 --> 00:37:17,880 WE HAVE ON DISPLAY ABOUT 10 OF 944 00:37:17,880 --> 00:37:20,960 THE STATUES. 945 00:37:20,960 --> 00:37:24,120 EACH ONE OF THE STATUES CONTAIN 946 00:37:24,120 --> 00:37:25,680 THE -- THE DISPLAY INCLUDES A QR 947 00:37:25,680 --> 00:37:26,880 CODE SO YOU CAN FIND OUT A 948 00:37:26,880 --> 00:37:28,320 LITTLE BIT MORE ABOUT THEM, AND 949 00:37:28,320 --> 00:37:30,120 THEN YOU SEE AT THE BOTTOM OF 950 00:37:30,120 --> 00:37:36,600 THE SLIDE, THE PICTURE OF THE 951 00:37:36,600 --> 00:37:39,000 SCIENTIFIC REVIEW OFFICER, 952 00:37:39,000 --> 00:37:40,160 DR. JONES, FROM THE NATIONAL 953 00:37:40,160 --> 00:37:41,200 INSTITUTE FOR NEUROLOGIC 954 00:37:41,200 --> 00:37:45,360 DISEASES AND STROKE TO LOOK AT 955 00:37:45,360 --> 00:37:48,440 HER STATUE WITH SOME OF HER OUT 956 00:37:48,440 --> 00:37:53,000 OF TOWN FRIENDS. 957 00:37:53,000 --> 00:37:53,880 IF YOU DON'T KNOW VERY MUCH 958 00:37:53,880 --> 00:37:56,160 ABOUT THIS, WE CAN SEND YOU 959 00:37:56,160 --> 00:38:00,000 INFORMATION OR YOU SEE THE WEB 960 00:38:00,000 --> 00:38:05,040 LINK AT THE BOTTOM, BUT IT BEARS 961 00:38:05,040 --> 00:38:06,240 LEARNING ABOUT -- THE GROUP 962 00:38:06,240 --> 00:38:08,200 BEGAN WITH A SURVEY OF 963 00:38:08,200 --> 00:38:09,520 AMERICA'S -- OR THE UNITED 964 00:38:09,520 --> 00:38:13,800 STATES' LARGEST CITIES TO FIND 965 00:38:13,800 --> 00:38:17,280 STATUES OF WOMEN, AND THEY'VE 966 00:38:17,280 --> 00:38:18,920 BASICALLY FOUND ONLY ENOUGH 967 00:38:18,920 --> 00:38:21,320 STATUES OF WOMEN THAT YOU COULD 968 00:38:21,320 --> 00:38:28,240 COUNT THEM ALL ON TWO HANDS, AND 969 00:38:28,240 --> 00:38:30,520 SO THAT'S SORT OF LED THEM DOWN 970 00:38:30,520 --> 00:38:31,160 THIS PATH. 971 00:38:31,160 --> 00:38:36,640 THE HILL FOUNDATION IS DEDICATED 972 00:38:36,640 --> 00:38:39,960 TO TECHNOLOGY AND -- SCIENCE AND 973 00:38:39,960 --> 00:38:40,800 TECHNOLOGY ENHANCEMENT AND HAS 974 00:38:40,800 --> 00:38:44,320 MADE A NUMBER OF LARGE GRANTS TO 975 00:38:44,320 --> 00:38:46,600 ORGANIZATIONS THROUGHOUT THE 976 00:38:46,600 --> 00:38:48,560 U.S., BUT WE'RE VERY GRATEFUL 977 00:38:48,560 --> 00:38:51,960 FOR THE DISPLAY AND THE LOAN OF 978 00:38:51,960 --> 00:38:53,760 10 OF THE STATUES FOR A PERIOD 979 00:38:53,760 --> 00:38:55,160 OF TIME. 980 00:38:55,160 --> 00:38:59,080 THANKS. 981 00:38:59,080 --> 00:39:01,080 SO WE HAD A GROUNDBREAKING EVENT 982 00:39:01,080 --> 00:39:03,160 ON TUESDAY, MAY 16TH FOR THE 983 00:39:03,160 --> 00:39:03,880 SURGERY, RADIOLOGY AND 984 00:39:03,880 --> 00:39:05,000 LABORATORY MEDICINE WING. 985 00:39:05,000 --> 00:39:07,320 WE DO HAVE A PICTURE FROM THIS 986 00:39:07,320 --> 00:39:10,560 EVENT THAT WE WILL GET TO ALL OF 987 00:39:10,560 --> 00:39:12,000 THE BOARD MEMBERS AND ALL OF THE 988 00:39:12,000 --> 00:39:17,240 PAST BOARD MEMBERS AS WELL. 989 00:39:17,240 --> 00:39:19,560 IT IS -- YOU CAN SEE WHAT THE 990 00:39:19,560 --> 00:39:22,280 BUILDING WILL HOUSE. 991 00:39:22,280 --> 00:39:23,720 IT WILL NOT BE COMPLETED FOR 992 00:39:23,720 --> 00:39:27,000 SEVERAL YEARS AND WE WILL DEAL 993 00:39:27,000 --> 00:39:28,840 WITH THE DUST, THE NOISE AND THE 994 00:39:28,840 --> 00:39:30,840 TRAFFIC INTERRUPTIONS ASSOCIATED 995 00:39:30,840 --> 00:39:33,880 WITH THIS CONSTRUCTION, BUT YOU 996 00:39:33,880 --> 00:39:39,920 CAN SEE HOW IMPORTANT IT IS AND 997 00:39:39,920 --> 00:39:41,680 IF IN SOME PAST TOURS THE 998 00:39:41,680 --> 00:39:42,880 CLINICAL CENTER, I WOULD SPEND A 999 00:39:42,880 --> 00:39:46,600 LOT OF TIME TALKING ABOUT THE 1000 00:39:46,600 --> 00:39:47,920 VAGARIES OF A PORTION OF THE 1001 00:39:47,920 --> 00:39:50,080 BUILDING THAT CAUSED SO MUCH 1002 00:39:50,080 --> 00:39:51,840 DIFFICULTY WITH THEIR 1003 00:39:51,840 --> 00:39:55,440 OPERATIONS, AND THIS BUILDING, 1004 00:39:55,440 --> 00:39:56,200 SURGERY, RADIOLOGY AND 1005 00:39:56,200 --> 00:39:59,640 LABORATORY MEDICINE WING, IS AT 1006 00:39:59,640 --> 00:40:01,600 LEAST A BIG STEP TOWARDS SOLVING 1007 00:40:01,600 --> 00:40:06,520 ALL THOSE ISSUES. 1008 00:40:06,520 --> 00:40:11,080 THESE ARE PICTURES OF THE 1009 00:40:11,080 --> 00:40:14,720 SPEAKERS AT THE GROUND BREAKING. 1010 00:40:14,720 --> 00:40:15,480 SPEECHES WERE SHORT SINCE THERE 1011 00:40:15,480 --> 00:40:17,240 WERE A NUMBER OF THEM. 1012 00:40:17,240 --> 00:40:20,080 DR. TABAK AND ANDREA PALM, THE 1013 00:40:20,080 --> 00:40:26,600 DEPUTY SECRETARY OF HHS THAT DR, 1014 00:40:26,600 --> 00:40:27,800 WERE THE KEY NOTES AND THEN THE 1015 00:40:27,800 --> 00:40:31,760 DEPUTY DIRECTOR FOR MANAGEMENT, 1016 00:40:31,760 --> 00:40:34,600 DR. JOHNSON. 1017 00:40:34,600 --> 00:40:35,800 THE CHIEF -- THE ASSOCIATE 1018 00:40:35,800 --> 00:40:38,000 DIRECTOR FOR RESEARCH 1019 00:40:38,000 --> 00:40:42,320 FACILITIES, DAN WHELAN, AND THEN 1020 00:40:42,320 --> 00:40:45,280 DR. SCHOR WHO'S ON THIS ZOOM 1021 00:40:45,280 --> 00:40:45,520 CALL. 1022 00:40:45,520 --> 00:40:47,720 I HAD A FEW THINGS TO SAY AND 1023 00:40:47,720 --> 00:40:49,040 THEN STEVE ROSENBERG REPRESENTED 1024 00:40:49,040 --> 00:40:55,200 THE INVESTIGATORS OF THE NIH AND 1025 00:40:55,200 --> 00:40:58,160 GAVE ROW MARKS AS WELL. 1026 00:40:58,160 --> 00:41:01,000 THIS IS THE PICTURE THAT YOU ALL 1027 00:41:01,000 --> 00:41:02,360 SHOULD RECEIVE, AND WE 1028 00:41:02,360 --> 00:41:04,080 APPRECIATE THE HELP OF BOTH 1029 00:41:04,080 --> 00:41:05,280 CURRENT AND PAST BOARD MEMBERS 1030 00:41:05,280 --> 00:41:09,440 IN HELPING US GET TO THIS POINT. 1031 00:41:09,440 --> 00:41:11,280 AND WE WANT TO MAKE SURE YOU 1032 00:41:11,280 --> 00:41:19,480 HAVE SOME MOMENTO RELATED TO IT. 1033 00:41:19,480 --> 00:41:22,400 ALONG WITH STARTING THE PROJECT, 1034 00:41:22,400 --> 00:41:26,560 WE BROUGHT ON BOARD SOMEBODY 1035 00:41:26,560 --> 00:41:31,360 THAT WE HAVE SOME BACKGROUND 1036 00:41:31,360 --> 00:41:36,280 WITH AS SORT OF THE CLINICAL 1037 00:41:36,280 --> 00:41:39,560 CENTER'S PROJECT LEAD TO 1038 00:41:39,560 --> 00:41:42,640 CONSOLIDATE ALL CLINICAL CENTER 1039 00:41:42,640 --> 00:41:43,640 ISSUES RELATED TO CONSTRUCTION 1040 00:41:43,640 --> 00:41:48,880 AND OTHER ASPECTS OF THIS 1041 00:41:48,880 --> 00:41:49,520 UNDERTAKING. 1042 00:41:49,520 --> 00:41:50,920 RICK BOND RAN THE HEALTH 1043 00:41:50,920 --> 00:41:55,000 FACILITIES PLANNING AGENCY FOR 1044 00:41:55,000 --> 00:41:55,880 THE UNITED STATES ARMY FOR A 1045 00:41:55,880 --> 00:41:56,880 NUMBER OF YEARS AND THEN 1046 00:41:56,880 --> 00:41:59,280 PROVIDED A SIMILAR FUNCTION AT 1047 00:41:59,280 --> 00:42:03,680 THE V.A. 1048 00:42:03,680 --> 00:42:05,200 RICK WILL SPLIT HIS DUTIES 1049 00:42:05,200 --> 00:42:06,960 BETWEEN US AND THE UNIFORMED 1050 00:42:06,960 --> 00:42:11,120 SERVICES UNIVERSITY ACROSS THE 1051 00:42:11,120 --> 00:42:13,200 STREET, BUT HE HAS FORMAL 1052 00:42:13,200 --> 00:42:15,600 TRAINING IN ARCHITECTURE AND 1053 00:42:15,600 --> 00:42:17,760 CONSTRUCTION MANAGEMENT, AS WELL 1054 00:42:17,760 --> 00:42:20,840 AS A MASTER'S IN BUSINESS 1055 00:42:20,840 --> 00:42:22,960 ADMINISTRATION FROM WHARTON, AND 1056 00:42:22,960 --> 00:42:25,880 IT IS GREAT TO HAVE SOMEBODY 1057 00:42:25,880 --> 00:42:27,920 WITH HIS EXPERIENCE AND 1058 00:42:27,920 --> 00:42:31,120 BACKGROUND WHO WILL SERVE AS THE 1059 00:42:31,120 --> 00:42:33,120 INTEGRATOR FOR ALL OF THE ISSUES 1060 00:42:33,120 --> 00:42:37,560 THAT CROP UP WITHIN THE CLINICAL 1061 00:42:37,560 --> 00:42:38,440 CENTER TO WORK WITH THE OFFICE 1062 00:42:38,440 --> 00:42:41,080 OF RESEARCH FACILITIES, THE 1063 00:42:41,080 --> 00:42:47,640 CONTRACTORS, AND THE ARCHITECTS. 1064 00:42:47,640 --> 00:42:49,200 WE HAVE MADE SOME PROGRESS IN 1065 00:42:49,200 --> 00:42:50,640 FILLING SOME OF OUR KEY 1066 00:42:50,640 --> 00:42:51,160 VACANCIES. 1067 00:42:51,160 --> 00:42:53,560 I THINK DR. TABAK'S PRESENTATION 1068 00:42:53,560 --> 00:42:57,400 HIGHLIGHTED SOME OF THE -- SOME 1069 00:42:57,400 --> 00:43:01,120 OF THE OPENINGS AND SOME OF THE 1070 00:43:01,120 --> 00:43:06,160 ACTIVITY AT THE NIH LEVEL. 1071 00:43:06,160 --> 00:43:07,480 AND THIS IS ALWAYS PART OF OUR 1072 00:43:07,480 --> 00:43:07,960 UPDATE. 1073 00:43:07,960 --> 00:43:10,560 ON THE RIGHT-HAND SIDE, WE DO 1074 00:43:10,560 --> 00:43:13,000 HAVE A CHIEF HOSPITAL E 1075 00:43:13,000 --> 00:43:13,840 EPIDEMIOLOGIST NOW, AND THE 1076 00:43:13,840 --> 00:43:15,160 CHIEF OF THE HOSPITAL 1077 00:43:15,160 --> 00:43:18,200 EPIDEMIOLOGY SERVICE, DR. ALISON 1078 00:43:18,200 --> 00:43:20,280 HAN CAME OVER FROM THE NATIONAL 1079 00:43:20,280 --> 00:43:21,440 INSTITUTE FOR ALLERGY AND 1080 00:43:21,440 --> 00:43:23,400 INFECTIOUS DISEASES, AND HAS 1081 00:43:23,400 --> 00:43:24,920 BEEN DOING A REALLY GREAT JOB OF 1082 00:43:24,920 --> 00:43:27,240 WORKING WITH OUR HOSPITAL 1083 00:43:27,240 --> 00:43:29,720 EPIDEMIOLOGY SERVICE AND STAFF, 1084 00:43:29,720 --> 00:43:33,560 AND HAS HELPED US TRANSITION 1085 00:43:33,560 --> 00:43:35,880 FROM MASKS EVERYWHERE TO MASKS 1086 00:43:35,880 --> 00:43:38,040 WHERE THEY'RE NEEDED MOST WITH 1087 00:43:38,040 --> 00:43:43,080 MASK OPTIONAL IN OTHER AREAS. 1088 00:43:43,080 --> 00:43:45,520 TOM BURKLOW HAS BEEN WITH US FOR 1089 00:43:45,520 --> 00:43:47,920 A LITTLE OVER THE LAST FIVE 1090 00:43:47,920 --> 00:43:49,560 YEARS, AND HAS BEEN THE LEAD FOR 1091 00:43:49,560 --> 00:43:51,520 THE MEDICAL RESEARCH SCHOLARS 1092 00:43:51,520 --> 00:43:52,000 PROGRAM. 1093 00:43:52,000 --> 00:43:53,680 TOM WAS ELEVATED TO THE CHIEF OF 1094 00:43:53,680 --> 00:43:55,160 THE OFFICE OF CLINICAL RESEARCH 1095 00:43:55,160 --> 00:44:01,200 TRAINING AND MEDICAL EDUCATION. 1096 00:44:01,200 --> 00:44:08,160 AND DAN RY REINHOLTZ RETIRED FRM 1097 00:44:08,160 --> 00:44:09,720 THE NIH A YEAR AND A HALF AGO 1098 00:44:09,720 --> 00:44:13,240 AND HIS REPLACEMENT IS THE CHIEF 1099 00:44:13,240 --> 00:44:19,240 OF THE OFFICE OF FINANCIAL -- AD 1100 00:44:19,240 --> 00:44:23,600 RESOURCE MANAGEMENT, JURIS 1101 00:44:23,600 --> 00:44:26,240 MOHSENI IS ON BOARD. 1102 00:44:26,240 --> 00:44:28,040 JURIS IS A VERY INTERESTING 1103 00:44:28,040 --> 00:44:29,080 FELLOW AND HAS BEEN VERY 1104 00:44:29,080 --> 00:44:30,320 IMPRESSIVE IN HIS EARLY EFFORTS 1105 00:44:30,320 --> 00:44:35,680 IN FILLING A BIG JOB. 1106 00:44:35,680 --> 00:44:40,600 WE ARE VERY CLOSE TO BEING ABLE 1107 00:44:40,600 --> 00:44:43,680 TO ADVERTISE THE NAME OF OUR 1108 00:44:43,680 --> 00:44:44,920 NEXT CHIEF NURSE. 1109 00:44:44,920 --> 00:44:47,760 WE'RE GETTING PRETTY CLOSE, 1110 00:44:47,760 --> 00:44:48,840 MAYBE BY OCTOBER WE'LL BE ABLE 1111 00:44:48,840 --> 00:44:50,360 TO TALK ABOUT THE PERMANENT 1112 00:44:50,360 --> 00:44:54,880 CHIEF OF THE PHARMACY, BUT WE DO 1113 00:44:54,880 --> 00:44:56,960 HAVE TWO IMPORTANT SEARCHES THAT 1114 00:44:56,960 --> 00:44:58,240 ARE JUST GETTING UNDERWAY. 1115 00:44:58,240 --> 00:44:59,840 ONE IS FOR THE CHIEF OF THE 1116 00:44:59,840 --> 00:45:01,760 DEPARTMENT OF TRANSFUSION 1117 00:45:01,760 --> 00:45:03,040 MEDICINE, AND THE EXECUTIVE 1118 00:45:03,040 --> 00:45:04,720 OFFICER SEARCH MAY NOT START 1119 00:45:04,720 --> 00:45:06,360 RIGHT AWAY FOR REASONS THAT WE 1120 00:45:06,360 --> 00:45:09,000 DON'T NEED TO GO INTO, BUT IT 1121 00:45:09,000 --> 00:45:13,520 HAS TO DO WITH PERHAPS CHANGING 1122 00:45:13,520 --> 00:45:14,040 THAT POSITION. 1123 00:45:14,040 --> 00:45:16,440 WE'VE ACTUALLY REQUESTED TO HAVE 1124 00:45:16,440 --> 00:45:22,040 THAT POSITION ELEVATED TO SES 1125 00:45:22,040 --> 00:45:23,960 STATUS, AND THERE'S A PROCESS 1126 00:45:23,960 --> 00:45:26,080 AND IT'S NOT A SHORT ONE THAT 1127 00:45:26,080 --> 00:45:27,600 ONE GOES THROUGH. 1128 00:45:27,600 --> 00:45:29,480 WE HAVE NO IDEA HOW THAT'S GOING 1129 00:45:29,480 --> 00:45:33,960 TO TURN OUT YET, BUT IT WOULD 1130 00:45:33,960 --> 00:45:35,840 NOT BE FAIR TO SELECT SOMEBODY 1131 00:45:35,840 --> 00:45:38,440 FOR THAT POSITION PERMANENTLY, 1132 00:45:38,440 --> 00:45:40,000 AND THEN HAVE THEM HAVE TO TURN 1133 00:45:40,000 --> 00:45:40,880 AROUND AND COMPETE FOR THE 1134 00:45:40,880 --> 00:45:44,160 POSITION A SECOND TIME. 1135 00:45:44,160 --> 00:45:48,000 SO WE MAY HOLD OFF ON THAT A 1136 00:45:48,000 --> 00:45:48,640 LITTLE BIT. 1137 00:45:48,640 --> 00:45:49,960 FORTUNATELY WE HAVE SOME 1138 00:45:49,960 --> 00:45:51,320 TALENTED ADMINISTRATIVE OFFICERS 1139 00:45:51,320 --> 00:45:52,520 THAT WILL BE ABLE TO FILL IN FOR 1140 00:45:52,520 --> 00:45:58,280 THE NEXT FEW MONTHS. 1141 00:45:58,280 --> 00:46:03,360 SO THIS IS OUR DEPARTURE OF DAN 1142 00:46:03,360 --> 00:46:08,240 LONNERDAL. 1143 00:46:08,240 --> 00:46:10,640 HE IS REMAINING IN THE 1144 00:46:10,640 --> 00:46:11,440 DEPARTMENT OF HEALTH AND HUMAN 1145 00:46:11,440 --> 00:46:13,880 SERVICES, BUT IS LEAVING -- HAS 1146 00:46:13,880 --> 00:46:17,280 LEFT US TO MOVE OVER TO THE 1147 00:46:17,280 --> 00:46:19,840 AGENCY FOR SUBSTANCE ABUSE AND 1148 00:46:19,840 --> 00:46:21,920 MENTAL HEALTH SERVICES, SAMHSA. 1149 00:46:21,920 --> 00:46:24,360 HE'S NOT VERY FAR AWAY. 1150 00:46:24,360 --> 00:46:30,160 HE WAS SELECTED FOR THE SENIOR 1151 00:46:30,160 --> 00:46:33,360 EXECUTIVE SERVICE POSITION 1152 00:46:33,360 --> 00:46:34,200 THERE. 1153 00:46:34,200 --> 00:46:37,280 IT IS A PROMOTION FOR DAN. 1154 00:46:37,280 --> 00:46:39,600 DAN, I THINK, HAS AN 1155 00:46:39,600 --> 00:46:42,240 EXTRAORDINARY REPUTATION WITH 1156 00:46:42,240 --> 00:46:43,640 OUR ADMINISTRATIVE STAFF FOR 1157 00:46:43,640 --> 00:46:45,720 BEING A GREAT SUPPORTIVE LEADER 1158 00:46:45,720 --> 00:46:48,240 AND ALSO ONE WHO FOCUSES ON 1159 00:46:48,240 --> 00:46:51,640 PERSONNEL DEVELOPMENT, AND 1160 00:46:51,640 --> 00:46:57,000 SUPPORT FOR EFFORTS OF OUR STAFF 1161 00:46:57,000 --> 00:47:00,760 TO GROW AND TO BE BETTER. 1162 00:47:00,760 --> 00:47:04,200 SO WE WILL MISS DAN'S LEADERSHIP 1163 00:47:04,200 --> 00:47:05,960 VERY MUCH. 1164 00:47:05,960 --> 00:47:08,520 BUT BECAUSE WE'VE HAD HIM IN THE 1165 00:47:08,520 --> 00:47:11,400 CLINICAL CENTER FOR A WHILE, I 1166 00:47:11,400 --> 00:47:13,560 THINK THE YOUNGER LEADERS OR THE 1167 00:47:13,560 --> 00:47:16,280 NEWER LEADERS THAT HE'S BEEN 1168 00:47:16,280 --> 00:47:18,920 IMPORTANT IN THEIR DEVELOPMENT 1169 00:47:18,920 --> 00:47:23,120 WILL SERVICE IN GOOD STEAD. 1170 00:47:23,120 --> 00:47:25,600 ILA FLANN IGA N IS THE DEPUTY 1171 00:47:25,600 --> 00:47:26,840 WHO HAS BEEN DAN'S DEPUTY FOR A 1172 00:47:26,840 --> 00:47:28,560 WHILE, WILL BE ACTING AS THE 1173 00:47:28,560 --> 00:47:32,840 EXECUTIVE OFFICER, AND HER 1174 00:47:32,840 --> 00:47:37,200 DEPUTY WILL BE DR. -- NOT 1175 00:47:37,200 --> 00:47:44,560 DR. BUT DAVID SAEGER WHO HAS 1176 00:47:44,560 --> 00:47:45,680 BEEN CHIEF OF THE OFFICE OF 1177 00:47:45,680 --> 00:47:47,000 HOSPITAL ADMINISTRATIVE SUPPORT. 1178 00:47:47,000 --> 00:47:48,960 WE DID FILL ONE OF OUR OTHER KEY 1179 00:47:48,960 --> 00:47:50,840 LEADERSHIP POSITIONS. 1180 00:47:50,840 --> 00:47:56,080 ACTUALLY SUNIL VASUDEVAN WILL 1181 00:47:56,080 --> 00:47:58,280 BEGIN NEXT WEEK AS THE CHIEF 1182 00:47:58,280 --> 00:48:00,120 FINANCIAL OFFICER. 1183 00:48:00,120 --> 00:48:05,080 THIS IS ABOUT AN 18-MONTH-LONG 1184 00:48:05,080 --> 00:48:08,560 PROCESS TO FILL THE VACANCY LEFT 1185 00:48:08,560 --> 00:48:12,840 BY MARIA JOYCE WHEN SHE RETIRED. 1186 00:48:12,840 --> 00:48:14,800 HE'S COMING ACROSS THE STREET AS 1187 00:48:14,800 --> 00:48:15,600 THE SENIOR DIRECTOR, WHERE HE 1188 00:48:15,600 --> 00:48:18,560 WAS THE SENIOR DIRECTOR OF 1189 00:48:18,560 --> 00:48:20,280 FINANCE AT SUBURBAN HOSPITAL, 1190 00:48:20,280 --> 00:48:24,040 AND HAD THESE OTHER ROLES, MAYBE 1191 00:48:24,040 --> 00:48:25,440 WELL-KNOWN TO STEPHANIE REEL, 1192 00:48:25,440 --> 00:48:29,640 WHO'S ON THIS CALL AS WELL. 1193 00:48:29,640 --> 00:48:33,520 >>VERY -- LOVELY, LOVELY MAN. 1194 00:48:33,520 --> 00:48:35,520 >>THANK YOU, STEPHANIE. 1195 00:48:35,520 --> 00:48:39,480 I HAD A CHANCE TO INTERVIEW 1196 00:48:39,480 --> 00:48:40,920 SUNIL, AND WE'RE VERY EXCITED 1197 00:48:40,920 --> 00:48:43,200 ABOUT HAVING HIM ON BOARD. 1198 00:48:43,200 --> 00:48:50,400 HE WILL BE COMMISSIONED AS A 1199 00:48:50,400 --> 00:48:51,720 MEMBER OF THE SENIOR EXECUTIVE 1200 00:48:51,720 --> 00:48:57,080 SERVICE ON THE 27TH OF JUNE BY 1201 00:48:57,080 --> 00:49:00,280 ALFRED JOHNSON, THE NIH'S 1202 00:49:00,280 --> 00:49:02,560 DIRECTOR -- DEPUTY DIRECTOR FOR 1203 00:49:02,560 --> 00:49:05,560 MANAGEMENT. 1204 00:49:05,560 --> 00:49:08,960 IN FEBRUARY, WE TALKED ABOUT OUR 1205 00:49:08,960 --> 00:49:12,480 EFFORTS TO HONOR DR. GALLIN, AS 1206 00:49:12,480 --> 00:49:15,680 HE RETIRED FROM THE NIH, AND WE 1207 00:49:15,680 --> 00:49:20,280 DID THAT WITH A VERY NICE 1208 00:49:20,280 --> 00:49:24,000 PROGRAM AND RECEPTION IN APRIL 1209 00:49:24,000 --> 00:49:28,440 THAT DR. GALLIN'S FAMILY, ALL 1210 00:49:28,440 --> 00:49:30,240 EXCEPT FOR ONE GRANDSON, WERE 1211 00:49:30,240 --> 00:49:31,640 EITHER PRESENT IN THE ROOM OR 1212 00:49:31,640 --> 00:49:36,720 PRESENT VIRTUALLY, AND 1213 00:49:36,720 --> 00:49:37,680 DR. LEIGHTON CHAN, WHO HAS BEEN 1214 00:49:37,680 --> 00:49:39,560 THE CHIEF OF REHAB MEDICINE FOR 1215 00:49:39,560 --> 00:49:44,280 THE CLINICAL CENTER, FOR A 1216 00:49:44,280 --> 00:49:46,040 NUMBER OF YEARS, HAS BEEN 1217 00:49:46,040 --> 00:49:48,320 ELEVATED TO AN ACTING CHIEF 1218 00:49:48,320 --> 00:49:49,640 SCIENTIFIC OFFICER. 1219 00:49:49,640 --> 00:49:54,240 I'VE WORKED -- THIS OFFICE HAS 1220 00:49:54,240 --> 00:49:55,920 RESPONSIBILITIES TO BOTH THE 1221 00:49:55,920 --> 00:49:57,320 CLINICAL CENTER BUT ALSO TO THE 1222 00:49:57,320 --> 00:49:59,960 DEPUTY DIRECTOR FOR INTRAMURAL 1223 00:49:59,960 --> 00:50:03,040 RESEARCH. 1224 00:50:03,040 --> 00:50:04,440 DR. SCHOR AND I HAVE GONE BACK 1225 00:50:04,440 --> 00:50:05,840 AND FORTH A COUPLE OF TIMES TO 1226 00:50:05,840 --> 00:50:08,840 MAKE SURE THAT WE HAVE A 1227 00:50:08,840 --> 00:50:10,480 POSITION DESCRIPTION THAT WILL 1228 00:50:10,480 --> 00:50:11,920 FULFILL ALL OF THE IMPORTANT 1229 00:50:11,920 --> 00:50:13,240 ROLES, AND I THINK WE'RE 1230 00:50:13,240 --> 00:50:15,200 SATISFIED WITH THAT. 1231 00:50:15,200 --> 00:50:19,040 WE ALREADY HAVE THE MEMBERSHIP 1232 00:50:19,040 --> 00:50:20,240 FOR A VERY GOOD SEARCH 1233 00:50:20,240 --> 00:50:21,560 COMMITTEE, AND THAT SEARCH WILL 1234 00:50:21,560 --> 00:50:30,640 GET KICKED OFF VERY SOON. 1235 00:50:30,640 --> 00:50:33,840 WE ANNOUNCED THE CEO AWARDS IN A 1236 00:50:33,840 --> 00:50:35,360 VIRTUAL CEREMONY LAST DECEMBER, 1237 00:50:35,360 --> 00:50:38,880 AND THEN WE SCHEDULED SORT OF AN 1238 00:50:38,880 --> 00:50:39,760 IN-PERSON EVENT BECAUSE I HADN'T 1239 00:50:39,760 --> 00:50:43,360 HAD MY PICTURE TAKEN ENOUGH 1240 00:50:43,360 --> 00:50:45,640 LATELY, AND WE DID THAT ON THE 1241 00:50:45,640 --> 00:50:48,960 SECOND OF MAY, AND PRESENTED THE 1242 00:50:48,960 --> 00:50:50,720 AWARDS TO A NUMBER OF THE 1243 00:50:50,720 --> 00:50:52,280 AWARDEES. 1244 00:50:52,280 --> 00:50:54,920 WE HAD LIGHT REFRESHMENTS, LOTS 1245 00:50:54,920 --> 00:50:56,880 OF PHOTOS, MUSIC, AND IT PROVED 1246 00:50:56,880 --> 00:50:59,480 TO BE A SUCCESS, AND MANY 1247 00:50:59,480 --> 00:50:59,720 THANKS. 1248 00:50:59,720 --> 00:51:02,800 ONE OF THE REASONS WHY WE HAD TO 1249 00:51:02,800 --> 00:51:05,120 WAIT SO LONG WAS BECAUSE WE HAD 1250 00:51:05,120 --> 00:51:07,440 TO HAVE ALL OF THE MEDALLIONS 1251 00:51:07,440 --> 00:51:09,600 REPRINTED THIS YEAR. 1252 00:51:09,600 --> 00:51:11,040 THE CONTRACTOR DIDN'T DO A VERY 1253 00:51:11,040 --> 00:51:16,080 GOOD JOB THE FIRST TIME, AND SO 1254 00:51:16,080 --> 00:51:20,240 WE GAVE THEM THE TIME NEEDED IN 1255 00:51:20,240 --> 00:51:21,440 ORDER TO DO IT ACCORDING TO THE 1256 00:51:21,440 --> 00:51:23,800 WAY THAT WE TOLD THEM TO DO IT 1257 00:51:23,800 --> 00:51:27,280 FIRST TIME, AND WE FINALLY HAVE 1258 00:51:27,280 --> 00:51:29,440 THOSE DISTRIBUTED. 1259 00:51:29,440 --> 00:51:34,160 THANKS TO PAT PIERINGER, NATASHA 1260 00:51:34,160 --> 00:51:36,120 POINTER AND LOTS AND LOTS OF 1261 00:51:36,120 --> 00:51:39,400 OTHER PEOPLE FOR THEIR HELP. 1262 00:51:39,400 --> 00:51:44,240 WE'RE VERY PROUD, DR. YUKIKO 1263 00:51:44,240 --> 00:51:47,200 ASADA WAS ACCEPTED INTO A TENURE 1264 00:51:47,200 --> 00:51:49,280 TRACK POSITION IN THE DEPARTMENT 1265 00:51:49,280 --> 00:51:53,200 OF BIOETHICS, PROBABLY ABOUT A 1266 00:51:53,200 --> 00:51:56,520 YEAR AGO. 1267 00:51:56,520 --> 00:52:01,320 AND THIS TENURE TRACK POSITION 1268 00:52:01,320 --> 00:52:03,640 IS FOCUSED ON THE BIOETHICAL 1269 00:52:03,640 --> 00:52:08,680 ISSUES IN RESEARCH INTO HEALTH 1270 00:52:08,680 --> 00:52:10,760 DISPARITIES. 1271 00:52:10,760 --> 00:52:17,320 THEN RECENTLY, WE FOUND OUT THAT 1272 00:52:17,320 --> 00:52:19,520 DR. ASADA HAS BEEN ACCEPTED IN 1273 00:52:19,520 --> 00:52:21,280 TO THE NIH'S DISTINGUISHED 1274 00:52:21,280 --> 00:52:22,480 SCHOLARS PROGRAM. 1275 00:52:22,480 --> 00:52:24,440 AND THAT'S A GREAT THING FOR HER 1276 00:52:24,440 --> 00:52:31,440 IN TERMS OF GREATER, MORE 1277 00:52:31,440 --> 00:52:32,880 RESOURCES TO FOCUS ON HER 1278 00:52:32,880 --> 00:52:34,760 RESEARCH, AND IT'S A GREAT 1279 00:52:34,760 --> 00:52:35,640 FEATHER IN THE CAP OF THE 1280 00:52:35,640 --> 00:52:37,600 CLINICAL CENTER, AND 1281 00:52:37,600 --> 00:52:40,560 PARTICULARLY TO THE BIOETHICS 1282 00:52:40,560 --> 00:52:41,120 DEPARTMENT. 1283 00:52:41,120 --> 00:52:44,320 THAT DEPARTMENT IS LED BY 1284 00:52:44,320 --> 00:52:47,680 DR. CHRISTINE GRADY. 1285 00:52:47,680 --> 00:52:49,560 THE DISTINGUISHED SCHOLARS 1286 00:52:49,560 --> 00:52:54,680 PROGRAM FOCUSES ON -- IT 1287 00:52:54,680 --> 00:53:01,720 PRIORITIZES OR PROVIDES THOSE 1288 00:53:01,720 --> 00:53:03,800 SCHOLARS SEEKING RESOURCES WHO 1289 00:53:03,800 --> 00:53:09,360 HAVE DEMONSTRATED ACTIVITIES IN 1290 00:53:09,360 --> 00:53:11,720 TERMS OF DIVERSITY, EQUITY, 1291 00:53:11,720 --> 00:53:12,720 INCLUSION, HEALTH DISPARITIES, 1292 00:53:12,720 --> 00:53:13,360 ET CETERA. 1293 00:53:13,360 --> 00:53:18,720 AND SO THIS IS A GREAT FEATHER 1294 00:53:18,720 --> 00:53:20,040 IN THE CAP OF THE CLINICAL 1295 00:53:20,040 --> 00:53:25,520 CENTER AS I INDICATED. 1296 00:53:25,520 --> 00:53:29,680 WE DO WANT TO -- WE'RE RAPIDLY 1297 00:53:29,680 --> 00:53:34,160 APPROACHING COMBINED FEDERAL 1298 00:53:34,160 --> 00:53:37,480 CAMPAIGN SEASON AGAIN, AND WE 1299 00:53:37,480 --> 00:53:39,960 DID WIN ACROSS THE NATIONAL 1300 00:53:39,960 --> 00:53:41,960 CAPITAL REGION FOR THE BEST 1301 00:53:41,960 --> 00:53:43,520 DIGITAL MEDIA CATEGORY FOR LAST 1302 00:53:43,520 --> 00:53:45,360 YEAR'S CAMPAIGN, AND IT'S THE 1303 00:53:45,360 --> 00:53:47,560 CLINICAL CENTER GINGERBREAD 1304 00:53:47,560 --> 00:53:51,720 HOUSE TRADITION. 1305 00:53:51,720 --> 00:53:55,360 AND DR. DAVID LANGE, DR. BARBARA 1306 00:53:55,360 --> 00:53:59,080 JORDAN AND DAN LONNERDAL WERE 1307 00:53:59,080 --> 00:54:00,640 THE PERFORMERS, ALONG WITH 1308 00:54:00,640 --> 00:54:01,920 MICHAEL ALEXANDER, WHO WAS A 1309 00:54:01,920 --> 00:54:03,800 FIXTURE AT OUR FRONT DESK FOR 1310 00:54:03,800 --> 00:54:04,480 MANY YEARS. 1311 00:54:04,480 --> 00:54:06,320 AND YOU CAN SEE THE RESULTS OF 1312 00:54:06,320 --> 00:54:08,960 OUR CFC CAMPAIGN. 1313 00:54:08,960 --> 00:54:16,960 AND MUCH THANKS TO JANICE DURAN 1314 00:54:16,960 --> 00:54:19,360 AND DAN SILBER IN THE OFFICE OF 1315 00:54:19,360 --> 00:54:21,040 COMMUNICATIONS AND MEDIA 1316 00:54:21,040 --> 00:54:22,160 RELATIONS FOR ACCOMPLISHING 1317 00:54:22,160 --> 00:54:22,560 THAT. 1318 00:54:22,560 --> 00:54:24,240 SO I THINK THIS BRINGS TO 1319 00:54:24,240 --> 00:54:27,840 CONCLUSION MY BRAGS FOR THIS 1320 00:54:27,840 --> 00:54:30,480 CCRHB. 1321 00:54:30,480 --> 00:54:33,560 THIS IS WHAT OUR CENSUS LOOKS 1322 00:54:33,560 --> 00:54:36,480 LIKE, AND OTHER THAN AVOIDING 1323 00:54:36,480 --> 00:54:39,320 THE JANUARY, 2022 DIP THAT WAS 1324 00:54:39,320 --> 00:54:41,520 ASSOCIATED WITH SORT OF THE 1325 00:54:41,520 --> 00:54:44,960 OMICRON VARIANT, THINGS LOOK A 1326 00:54:44,960 --> 00:54:47,160 LOT LIKE THEY DID LAST YEAR ON 1327 00:54:47,160 --> 00:54:48,800 THE INPATIENT SIDE, ON THE 1328 00:54:48,800 --> 00:54:55,440 INPATIENT CENSUS. 1329 00:54:55,440 --> 00:54:56,280 OUTPATIENTS ARE A LITTLE 1330 00:54:56,280 --> 00:54:56,800 DIFFERENT. 1331 00:54:56,800 --> 00:54:59,200 THE INPATIENT CENSUS MAY NOT BE 1332 00:54:59,200 --> 00:55:00,320 CHANGING MUCH BUT ADMISSIONS 1333 00:55:00,320 --> 00:55:01,600 HAVE GONE UP 12%. 1334 00:55:01,600 --> 00:55:03,320 PEOPLE AREN'T STAYING QUITE AS 1335 00:55:03,320 --> 00:55:04,400 LONG. 1336 00:55:04,400 --> 00:55:06,120 OUR INPATIENT DAYS IS THE SAME 1337 00:55:06,120 --> 00:55:07,680 AS YOU WOULD EXPECT FROM THE 1338 00:55:07,680 --> 00:55:08,440 FACT THAT THE CENSUS IS THE 1339 00:55:08,440 --> 00:55:11,320 SAME. 1340 00:55:11,320 --> 00:55:15,280 BUT OUR OUTPATIENT VISITS REMAIN 1341 00:55:15,280 --> 00:55:19,040 UP AND AT 11% MORE THAN LAST 1342 00:55:19,040 --> 00:55:22,520 YEAR, AND OUR NEW PATIENTS ARE 1343 00:55:22,520 --> 00:55:29,720 UP 12% AS WELL. 1344 00:55:29,720 --> 00:55:32,800 THIS SHOWS OUR TELEHEALTH VIS 1345 00:55:32,800 --> 00:55:33,360 VISITS. 1346 00:55:33,360 --> 00:55:34,600 THE BEST WAY -- THE WAY I THINK 1347 00:55:34,600 --> 00:55:36,640 ABOUT THIS IS THE NUMBER OF 1348 00:55:36,640 --> 00:55:41,800 TELEHEALTH VISITS PER MONTH IS 1349 00:55:41,800 --> 00:55:43,040 ROUGHLY EQUAL TO ABOUT TWO DAYS 1350 00:55:43,040 --> 00:55:44,880 OF OUTPATIENT VISITS IN OUR 1351 00:55:44,880 --> 00:55:47,200 CLINICAL CENTER, AND YOU KNOW, 1352 00:55:47,200 --> 00:55:50,720 IN AN AVERAGE MONTH, THERE ARE 1353 00:55:50,720 --> 00:55:54,160 ABOUT 20 WEEKDAYS IN THE MONTH, 1354 00:55:54,160 --> 00:55:56,120 SO TWO DAYS' WORTH OF BUSINESS 1355 00:55:56,120 --> 00:55:57,440 IN 20 DAYS IS ABOUT 10%. 1356 00:55:57,440 --> 00:55:58,560 SO THAT'S ABOUT WHAT WE'RE 1357 00:55:58,560 --> 00:55:59,120 SEEING. 1358 00:55:59,120 --> 00:56:01,240 IT'S BEEN FAIRLY STABLE OVER 1359 00:56:01,240 --> 00:56:01,800 TIME. 1360 00:56:01,800 --> 00:56:03,120 IT ALWAYS LOOKS LIKE IT'S 1361 00:56:03,120 --> 00:56:04,800 DROPPING OFF BUT IT USUALLY 1362 00:56:04,800 --> 00:56:06,880 COMES BACK BECAUSE TELEHEALTH 1363 00:56:06,880 --> 00:56:08,440 VISITS CLOSE OUT MORE SLOWLY 1364 00:56:08,440 --> 00:56:15,200 THAN REGULAR VISITS. 1365 00:56:15,200 --> 00:56:18,920 WE REMAIN VERY FOCUSED ON 1366 00:56:18,920 --> 00:56:20,560 DIVERSITY, EQUITY AND INCLUSION 1367 00:56:20,560 --> 00:56:21,040 AND ACCESSIBILITY. 1368 00:56:21,040 --> 00:56:22,960 THE NIH RELEASED ITS STRATEGIC 1369 00:56:22,960 --> 00:56:28,160 PLAN FOR DEIA 2023-2027 EARLIER. 1370 00:56:28,160 --> 00:56:31,120 THE CLINICAL CENTER DIVERSITY, 1371 00:56:31,120 --> 00:56:31,640 EQUITY AND INCLUSION 1372 00:56:31,640 --> 00:56:33,800 ACCESSIBILITY ADVISORY COMMITTEE 1373 00:56:33,800 --> 00:56:36,200 WAS STOOD UP EARLIER THIS YEAR 1374 00:56:36,200 --> 00:56:39,120 AND SUBGROUPS WERE ESTABLISHED 1375 00:56:39,120 --> 00:56:42,520 IN MARCH. 1376 00:56:42,520 --> 00:56:44,720 WE ARE FOCUSED ON RECOGNIZING 1377 00:56:44,720 --> 00:56:47,560 THOSE PEOPLE WHO PARTICIPATE IN 1378 00:56:47,560 --> 00:56:50,200 PROGRAMS THAT ARE DESIGNED TO 1379 00:56:50,200 --> 00:56:55,520 ENHANCE UNDERSTANDING AND TO 1380 00:56:55,520 --> 00:56:56,240 LEARN ABOUT GROUPS OTHER THAN 1381 00:56:56,240 --> 00:57:04,240 THE GROUP THEY BELONG TO. 1382 00:57:04,240 --> 00:57:06,640 WE DID COMPLETE THE FOCUS 1383 00:57:06,640 --> 00:57:08,880 ASSESSMENT REVIEW OF OUR RACIAL 1384 00:57:08,880 --> 00:57:10,400 AND ETHNIC EQUITY PLAN IN 1385 00:57:10,400 --> 00:57:14,760 FEBRUARY OF THIS YEAR, AND WE 1386 00:57:14,760 --> 00:57:17,000 LAUNCHED OUR PROGRAMS IN MARCH 1387 00:57:17,000 --> 00:57:19,040 CH THIS YEAR. 1388 00:57:19,040 --> 00:57:20,480 THE NEXT SLIDE OUTLINES THOSE 1389 00:57:20,480 --> 00:57:25,840 PROGRAMS. 1390 00:57:25,840 --> 00:57:26,880 SO THESE ARE THE THREE THAT 1391 00:57:26,880 --> 00:57:27,520 WE'VE HELD SO FAR. 1392 00:57:27,520 --> 00:57:29,080 THE LAST ONE WAS JUST EARLIER 1393 00:57:29,080 --> 00:57:35,160 THIS WEEK. 1394 00:57:35,160 --> 00:57:36,600 BECAUSE OF THINGS THAT HAPPENED 1395 00:57:36,600 --> 00:57:40,240 IN MEMPHIS IN JANUARY, WE DID 1396 00:57:40,240 --> 00:57:46,480 THINK THAT TALKING ABOUT 1397 00:57:46,480 --> 00:57:51,640 DISPARITIES AND POLICE VIOLENCE 1398 00:57:51,640 --> 00:57:52,600 WAS SOMETHING THAT WAS OF 1399 00:57:52,600 --> 00:57:53,880 INTEREST TO OUR STAFF. 1400 00:57:53,880 --> 00:57:54,840 AS A MATTER OF FACT, THEY TOLD 1401 00:57:54,840 --> 00:57:57,680 US IT WAS OF INTEREST TO THEM. 1402 00:57:57,680 --> 00:58:00,680 AND SO WE HAD A FACILITATED 1403 00:58:00,680 --> 00:58:01,760 DISCUSSION, BUT THEY INCLUDED 1404 00:58:01,760 --> 00:58:04,520 THE ACTING CHIEF OF THE NIH 1405 00:58:04,520 --> 00:58:07,200 POLICE, AND A NUMBER OF 1406 00:58:07,200 --> 00:58:08,960 PARTICIPANTS FROM THE POLICE 1407 00:58:08,960 --> 00:58:10,600 DEPARTMENT AS WELL AS THE NIH 1408 00:58:10,600 --> 00:58:12,520 OFFICE OF EQUITY, DIVERSITY AND 1409 00:58:12,520 --> 00:58:14,600 INCLUSION. 1410 00:58:14,600 --> 00:58:16,560 WE RAN OUT OF TIME. 1411 00:58:16,560 --> 00:58:18,440 WE DIDN'T HAVE A CHANCE TO TALK 1412 00:58:18,440 --> 00:58:21,560 ENOUGH, SO WE CAME BACK IN APRIL 1413 00:58:21,560 --> 00:58:26,760 AND WE HAD THE SECOND EVENT 1414 00:58:26,760 --> 00:58:31,080 FOCUSED ON THE SAME TOPIC. 1415 00:58:31,080 --> 00:58:34,760 THOSE SESSIONS WERE WELL 1416 00:58:34,760 --> 00:58:38,720 ATTENDED IN PERSON, AND MANY 1417 00:58:38,720 --> 00:58:43,760 PEOPLE WATCHING THEM THROUGH 1418 00:58:43,760 --> 00:58:44,360 WEBCAST. 1419 00:58:44,360 --> 00:58:47,200 THEN THIS WEEK, WE HAD -- IN 1420 00:58:47,200 --> 00:58:49,800 RECOGNITION OF PRIDE MONTH, WE 1421 00:58:49,800 --> 00:58:53,200 HAD A PROGRAM ON SEX, GENDER, 1422 00:58:53,200 --> 00:58:53,880 PRONOUNS AND MORE. 1423 00:58:53,880 --> 00:58:58,040 IT WAS ALSO NIH VIDEOCAST. 1424 00:58:58,040 --> 00:59:01,000 BETWEEN THE PEOPLE WHO ATTENDED 1425 00:59:01,000 --> 00:59:04,520 IN PERSON, THE ONES WHO WATCHED 1426 00:59:04,520 --> 00:59:07,640 IT ON VIDEO, WHEN IT HAPPENED, 1427 00:59:07,640 --> 00:59:11,120 AND THOSE THAT HAVE WATCHED THE 1428 00:59:11,120 --> 00:59:13,320 RECORDING, I THINK WERE 1429 00:59:13,320 --> 00:59:17,680 SOMEPLACE BETWEEN 350 AND 400 1430 00:59:17,680 --> 00:59:19,120 PEOPLE PARTICIPATED IN THOSE 1431 00:59:19,120 --> 00:59:20,360 EVENTS -- IN THAT EVENT, WHICH I 1432 00:59:20,360 --> 00:59:22,280 THINK IS REALLY PRETTY 1433 00:59:22,280 --> 00:59:22,720 REMARKABLE. 1434 00:59:22,720 --> 00:59:24,640 AND IT'S A CREDIT TO THE AMOUNT 1435 00:59:24,640 --> 00:59:28,840 OF WORK THAT C.C. HENRY, OUR 1436 00:59:28,840 --> 00:59:29,880 SCIENTIFIC DIVERSITY ADVISOR, 1437 00:59:29,880 --> 00:59:30,920 HAS BEEN PUTTING IN TO THAT 1438 00:59:30,920 --> 00:59:34,080 EFFORT. 1439 00:59:34,080 --> 00:59:36,760 SO THE NEXT THINGS, WE'RE STILL 1440 00:59:36,760 --> 00:59:39,960 WORKING ON OPERATIONALIZING OUR 1441 00:59:39,960 --> 00:59:40,320 SUBGROUPS. 1442 00:59:40,320 --> 00:59:41,800 THE AWARDS AND RECOGNITION 1443 00:59:41,800 --> 00:59:43,080 PROGRAM, I'M ACTUALLY GOING TO 1444 00:59:43,080 --> 00:59:45,920 HAVE A CHANCE TO TALK TO THE 1445 00:59:45,920 --> 00:59:48,560 ADVISORY COMMITTEE IN A WEEK OR 1446 00:59:48,560 --> 00:59:50,960 SO, AND WE CONTINUE TO FOCUS ON 1447 00:59:50,960 --> 00:59:52,600 THE INITIATIVES OUTLINED IN OUR 1448 00:59:52,600 --> 00:59:55,600 RACIAL AND ETHNIC EQUITY PLAN, 1449 00:59:55,600 --> 00:59:58,240 AND THERE'S BEEN A SEVENTH 1450 00:59:58,240 --> 01:00:01,760 INITIATIVE THAT C.C. HAS 1451 01:00:01,760 --> 01:00:03,160 IDENTIFIED THAT WE'LL 1452 01:00:03,160 --> 01:00:03,880 INCORPORATE IN THAT PLAN. 1453 01:00:03,880 --> 01:00:06,720 YOU CAN SEE THE NATIONAL 1454 01:00:06,720 --> 01:00:08,120 COMMEMORATIONS THAT ARE TAKING 1455 01:00:08,120 --> 01:00:15,040 PLACE THIS MONTH. 1456 01:00:15,040 --> 01:00:20,120 NOW, WE'RE STILL SORT OF FORMING 1457 01:00:20,120 --> 01:00:22,320 HOW WE'RE GOING TO ADDRESS 1458 01:00:22,320 --> 01:00:25,680 HEALTH DISPARITIES EFFORT IN THE 1459 01:00:25,680 --> 01:00:26,640 WAY THAT THE JOINT COMMISSION 1460 01:00:26,640 --> 01:00:28,320 HAS ASKED HOSPITALS TO ADDRESS 1461 01:00:28,320 --> 01:00:28,600 IT. 1462 01:00:28,600 --> 01:00:31,640 IT'S A LITTLE BIT MORE NUANCED 1463 01:00:31,640 --> 01:00:36,880 IN OUR SETTING THAN IT IS IN THE 1464 01:00:36,880 --> 01:00:40,720 HOSPITAL WHERE THERE'S PUBLIC 1465 01:00:40,720 --> 01:00:43,800 ACCESS OR IN A CLINICAL RESEARCH 1466 01:00:43,800 --> 01:00:44,080 ENVIRONMENT. 1467 01:00:44,080 --> 01:00:45,120 IT GETS A LITTLE MORE 1468 01:00:45,120 --> 01:00:46,000 CHALLENGING TO FIGURE OUT 1469 01:00:46,000 --> 01:00:48,120 EXACTLY HOW TO MEET THE MARK, 1470 01:00:48,120 --> 01:00:49,760 AND WE'VE FRANKLY STRUGGLED WITH 1471 01:00:49,760 --> 01:00:50,960 THIS A LITTLE BIT, BUT WE'RE 1472 01:00:50,960 --> 01:00:54,040 STILL WORKING ON IT. 1473 01:00:54,040 --> 01:00:56,720 AND WE'LL NEED TO HAVE AN 1474 01:00:56,720 --> 01:00:59,000 EXECUTIVE GROUP MEETING TO 1475 01:00:59,000 --> 01:01:00,840 FINALIZE HOW WE'RE GOING TO 1476 01:01:00,840 --> 01:01:04,200 ADDRESS THE JOINT COMMISSION'S 1477 01:01:04,200 --> 01:01:09,640 IMPERATIVES VERY SOON. 1478 01:01:09,640 --> 01:01:13,240 WE HAVE GRADUALLY RELAXED 1479 01:01:13,240 --> 01:01:16,600 COVID-19 RESTRICTIONS, AS LARRY 1480 01:01:16,600 --> 01:01:17,880 SAID, WE WANT TO BE DONE WITH 1481 01:01:17,880 --> 01:01:19,640 THE VIRUS BUT THE VIRUS IS NOT 1482 01:01:19,640 --> 01:01:20,840 DONE WITH US. 1483 01:01:20,840 --> 01:01:23,400 WE HAVE STOPPED DOING AT-WILL 1484 01:01:23,400 --> 01:01:24,920 TESTING, WHICH MEANS THAT ANY 1485 01:01:24,920 --> 01:01:26,040 STAFF MEMBER IN THE CLINICAL 1486 01:01:26,040 --> 01:01:27,520 CENTER WHO WANTED TO BE TESTED 1487 01:01:27,520 --> 01:01:32,840 COULD BE TESTED JUST BY ASKING. 1488 01:01:32,840 --> 01:01:34,400 TESTING NOW REQUIRES GOING 1489 01:01:34,400 --> 01:01:35,840 THROUGH EITHER THE OCCUPATIONAL 1490 01:01:35,840 --> 01:01:38,440 MEDICINE SERVICE OR THE HOSPITAL 1491 01:01:38,440 --> 01:01:41,760 EPIDEMIOLOGY SERVICE, WITH A 1492 01:01:41,760 --> 01:01:43,840 STAFF THAT WERE DEDICATED TO AT 1493 01:01:43,840 --> 01:01:46,400 WILL TESTING HAVE NOW BEEN SENT 1494 01:01:46,400 --> 01:01:49,320 BACK TO DO WHAT THEY WERE DOING 1495 01:01:49,320 --> 01:01:49,760 BEFORE. 1496 01:01:49,760 --> 01:01:53,520 WE DO HAVE A NEW MASK POLICY, 1497 01:01:53,520 --> 01:01:54,960 AND IT BASICALLY SAYS -- IT 1498 01:01:54,960 --> 01:01:56,600 REQUIRES US TO MASK IN PATIENT 1499 01:01:56,600 --> 01:01:59,880 CARE AREAS AND MAKES MASKS 1500 01:01:59,880 --> 01:02:01,360 OPTIONAL IN NON-PATIENT CARE 1501 01:02:01,360 --> 01:02:01,880 AREAS. 1502 01:02:01,880 --> 01:02:06,160 AS YOU ALL ARE PROBABLY AWARE, 1503 01:02:06,160 --> 01:02:07,720 MAKING THOSE TRANSITIONS IS NOT 1504 01:02:07,720 --> 01:02:11,560 AN EASY THING, AND PEOPLE GET 1505 01:02:11,560 --> 01:02:17,120 IDEAS THAT AREN'T PARTICULARLY 1506 01:02:17,120 --> 01:02:18,000 APPLICABLE, AND SO WE'RE STILL 1507 01:02:18,000 --> 01:02:21,120 KIND OF WORKING THROUGH THAT, 1508 01:02:21,120 --> 01:02:22,440 BUT MUCH OF WORKING THROUGH THAT 1509 01:02:22,440 --> 01:02:24,920 TOOK PLACE WHILE I WAS AWAY ON 1510 01:02:24,920 --> 01:02:25,600 ANNUAL LEAVE. 1511 01:02:25,600 --> 01:02:27,080 I WAS GLAD TO BE GONE DURING 1512 01:02:27,080 --> 01:02:27,720 SOME OF THAT. 1513 01:02:27,720 --> 01:02:29,120 BUT I THINK IT'S WORKING OUT 1514 01:02:29,120 --> 01:02:31,240 PRETTY WELL. 1515 01:02:31,240 --> 01:02:33,440 BUT WE DO UNDERSTAND OUR MASK 1516 01:02:33,440 --> 01:02:40,360 REQUIREMENTS MAY CHANGE, 1517 01:02:40,360 --> 01:02:42,320 DEPENDING ON WHAT THE VIRUS 1518 01:02:42,320 --> 01:02:43,120 DOES. 1519 01:02:43,120 --> 01:02:45,400 WE STILL HAVE VARIOUS ENTRY 1520 01:02:45,400 --> 01:02:47,200 POINTS TO THE CLINICAL CENTER, 1521 01:02:47,200 --> 01:02:48,480 IN TERMS OF SORT OF STAFF 1522 01:02:48,480 --> 01:02:49,760 SATISFACTION, WE MUST CONTINUE 1523 01:02:49,760 --> 01:02:52,160 TO LOOK AT WHEN WE CAN OPEN UP A 1524 01:02:52,160 --> 01:02:58,480 LITTLE BIT MORE. 1525 01:02:58,480 --> 01:03:01,680 THIS IS PART OF OUR JOINT 1526 01:03:01,680 --> 01:03:08,000 COMMISSION SURVEY PREPARATION. 1527 01:03:08,000 --> 01:03:11,560 WE HAD TWO MOCK SURVEYS, WE HAD 1528 01:03:11,560 --> 01:03:14,960 ONE SORT OF MORE OF THE 1529 01:03:14,960 --> 01:03:16,240 TRADITIONAL CLINICAL SERVICES BY 1530 01:03:16,240 --> 01:03:20,120 A CONSULTANT ORGANIZATION IN 1531 01:03:20,120 --> 01:03:24,960 JANUARY, AND THEN WE HAD OUR 1532 01:03:24,960 --> 01:03:26,360 ENVIRONMENT OF CARE SAFETY -- 1533 01:03:26,360 --> 01:03:29,200 COME THROUGH A MONTH OR SO 1534 01:03:29,200 --> 01:03:32,960 LATER, AND THAT'S THE WAY OUR 1535 01:03:32,960 --> 01:03:35,600 LEADERSHIP ROUNDS ARE FOCUSED. 1536 01:03:35,600 --> 01:03:39,320 IN THE PAST, WE MADE REGULAR 1537 01:03:39,320 --> 01:03:40,760 PATIENT SAFETY OR LEADERSHIP 1538 01:03:40,760 --> 01:03:42,440 ROUNDS FOCUSED ON PATIENT 1539 01:03:42,440 --> 01:03:44,160 SAFETY, BUT THEY WERE RELATIVELY 1540 01:03:44,160 --> 01:03:44,680 UNFOCUSED. 1541 01:03:44,680 --> 01:03:45,880 WE'RE DOING A LITTLE BIT BETTER 1542 01:03:45,880 --> 01:03:47,840 JOB OF FOCUSING IN ON THOSE 1543 01:03:47,840 --> 01:03:49,160 THINGS THAT WE HAD A PROBLEM 1544 01:03:49,160 --> 01:03:50,800 WITH DURING THE LAST SURVEY, 1545 01:03:50,800 --> 01:03:52,080 THINGS THAT WERE IDENTIFIED BY 1546 01:03:52,080 --> 01:03:57,280 THE MOCK SURVEYOR, AND OTHER 1547 01:03:57,280 --> 01:04:01,280 PERENNIAL PROBLEM AREAS THAT YOU 1548 01:04:01,280 --> 01:04:03,280 MIGHT -- MANY OF YOU ARE 1549 01:04:03,280 --> 01:04:09,440 PROBABLY AWARE. 1550 01:04:09,440 --> 01:04:11,320 WE ALSO HAVE MOCK TRACERS DONE 1551 01:04:11,320 --> 01:04:12,560 EVERY COUPLE OF WEEKS THAT 1552 01:04:12,560 --> 01:04:13,920 INVOLVE THE OFFICE OF PATIENT 1553 01:04:13,920 --> 01:04:15,760 SAFETY AND CLINICAL QUALITY IN 1554 01:04:15,760 --> 01:04:19,400 THE CLINICAL CENTER NURSING 1555 01:04:19,400 --> 01:04:21,720 DEPARTMENT, AND THERE'S ONE 1556 01:04:21,720 --> 01:04:23,520 TOPIC OR AREA FOCUSED TRACER 1557 01:04:23,520 --> 01:04:25,680 THAT INCORPORATES CLINICAL AREAS 1558 01:04:25,680 --> 01:04:27,680 AND CLINICAL CENTER DEPARTMENTS. 1559 01:04:27,680 --> 01:04:32,200 AND IT FOCUSES ON THE SPECIFIC 1560 01:04:32,200 --> 01:04:33,400 ISSUES IDENTIFIED IN THE JOINT 1561 01:04:33,400 --> 01:04:37,880 COMMISSION RESOURCES DOCUMENTS, 1562 01:04:37,880 --> 01:04:39,680 AND IT GETS VERY DETAILED INTO 1563 01:04:39,680 --> 01:04:42,960 THE JOINT COMMISSION ELEMENTS OF 1564 01:04:42,960 --> 01:04:46,120 PERFORMANCE. 1565 01:04:46,120 --> 01:04:48,440 WE'LL BE WORKING WITH THE 1566 01:04:48,440 --> 01:04:51,200 LEADERSHIP ROUNDS AND THE MOCK 1567 01:04:51,200 --> 01:04:52,600 TRACERS AS WE EXPECT THE NEXT 1568 01:04:52,600 --> 01:04:53,800 VISIT FROM THE JOINT COMMISSION 1569 01:04:53,800 --> 01:05:00,360 IN ABOUT A YEAR. 1570 01:05:00,360 --> 01:05:01,800 YOU ALL HAVE RECEIVED THE 1571 01:05:01,800 --> 01:05:04,720 PATIENT SAFETY QUARTERLY METRICS 1572 01:05:04,720 --> 01:05:08,280 FROM DR. LANG, AND IF THERE ARE 1573 01:05:08,280 --> 01:05:10,360 ANY QUESTIONS ABOUT THOSE, THEY 1574 01:05:10,360 --> 01:05:12,480 ARE ALSO POSTED ON THE CLINICAL 1575 01:05:12,480 --> 01:05:15,440 CENTER WEBSITE FOR PUBLIC 1576 01:05:15,440 --> 01:05:15,840 VIEWING. 1577 01:05:15,840 --> 01:05:17,000 IF YOU HAVE ANY QUESTIONS, I'LL 1578 01:05:17,000 --> 01:05:21,280 TRY TO ANSWER THEM, ALTHOUGH I'M 1579 01:05:21,280 --> 01:05:27,640 PROBABLY BEHIND TIME ALREADY. 1580 01:05:27,640 --> 01:05:31,200 THIS IS THE AGENDA FOR TODAY. 1581 01:05:31,200 --> 01:05:32,400 YOU'VE ALREADY HEARD DR. TABAK 1582 01:05:32,400 --> 01:05:34,080 AND THE FIRST OF MY TWO TALKS. 1583 01:05:34,080 --> 01:05:38,040 AFTER I FINISH THE SECOND TALK, 1584 01:05:38,040 --> 01:05:38,880 DR. WALLEN, WHO WAS THE CHIEF 1585 01:05:38,880 --> 01:05:43,680 NURSE IN THE CLINICAL CENTER FOR 1586 01:05:43,680 --> 01:05:48,040 A NUMBER OF YEARS, AND NOW HEADS 1587 01:05:48,040 --> 01:05:50,120 THE TRANSFORMATIONAL 1588 01:05:50,120 --> 01:05:52,080 BIOBEHAVIORAL AND HEALTH 1589 01:05:52,080 --> 01:05:54,640 DISPARITIES BRANCH AT THE 1590 01:05:54,640 --> 01:05:57,560 CLINICAL CENTER IS GOING TO TALK 1591 01:05:57,560 --> 01:06:00,560 ABOUT THEIR RESEARCH PORTFOLIO. 1592 01:06:00,560 --> 01:06:02,960 AFTER A SMALL BREAK, A SHORT 1593 01:06:02,960 --> 01:06:04,560 BREAK, PROBABLY SHORTER THAN YOU 1594 01:06:04,560 --> 01:06:09,360 WOULD WANT, WE'LL HAVE -- I 1595 01:06:09,360 --> 01:06:12,080 THINK DR. CUNNINGHAM AT THE LAST 1596 01:06:12,080 --> 01:06:12,600 CLINICAL CENTER RESEARCH 1597 01:06:12,600 --> 01:06:14,000 HOSPITAL BOARD ASKED ABOUT SOME 1598 01:06:14,000 --> 01:06:16,720 OF OUR IN-HOUSE TRAINING AND 1599 01:06:16,720 --> 01:06:19,040 DEVELOPMENT PROGRAMS, AND THE 1600 01:06:19,040 --> 01:06:20,680 CHIEF OF THE OFFICE OF WORKFORCE 1601 01:06:20,680 --> 01:06:23,120 MANAGEMENT AND DEVELOPMENT, 1602 01:06:23,120 --> 01:06:24,440 CHARLOTTE PAK, WILL GIVE THAT 1603 01:06:24,440 --> 01:06:27,720 PRESENTATION. 1604 01:06:27,720 --> 01:06:30,680 AND FOLLOWING CHARLOTTE'S 1605 01:06:30,680 --> 01:06:34,120 PRESENTATION, THEN, THERE WERE A 1606 01:06:34,120 --> 01:06:35,760 FEW QUESTIONS AT THE LAST 1607 01:06:35,760 --> 01:06:36,680 CLINICAL CENTER RESEARCH 1608 01:06:36,680 --> 01:06:37,920 HOSPITAL BOARD THAT HAD TO DO 1609 01:06:37,920 --> 01:06:41,480 WITH ARPA-H, AND SO JENNIFER 1610 01:06:41,480 --> 01:06:43,440 ROBERTS, THE DIRECTOR OF 1611 01:06:43,440 --> 01:06:45,960 RESILIENT SYSTEMS AT ARPA-H, 1612 01:06:45,960 --> 01:06:51,360 WILL GIVE A -- HAS 45 MINUTES 1613 01:06:51,360 --> 01:06:52,680 FOR PRESENTATION. 1614 01:06:52,680 --> 01:07:01,880 SO I THINK WE CAN GO TO THE -- 1615 01:07:01,880 --> 01:07:04,680 WE CAN GET OUT OF THOSE SLIDES 1616 01:07:04,680 --> 01:07:07,840 AND DR. CUNNINGHAM, I SAW YOUR 1617 01:07:07,840 --> 01:07:09,240 QUESTION WHEN IT POPPED UP. 1618 01:07:09,240 --> 01:07:12,040 I'LL GET YOU AN ANSWER FOR THAT. 1619 01:07:12,040 --> 01:07:14,240 I BELIEVE THAT THAT CAN BE 1620 01:07:14,240 --> 01:07:16,240 VIEWED OUTSIDE OF THE NIH, BUT 1621 01:07:16,240 --> 01:07:19,640 I'M NOT 100% SURE, AND SO I'LL 1622 01:07:19,640 --> 01:07:21,680 TRY TO GET YOU AN ANSWER. 1623 01:07:21,680 --> 01:07:22,200 >>OKAY. 1624 01:07:22,200 --> 01:07:23,720 THANK YOU VERY MUCH. 1625 01:07:23,720 --> 01:07:26,600 >>ARE THERE ANY OTHER QUESTIONS 1626 01:07:26,600 --> 01:07:30,160 BEFORE I GO ON TO THE NEXT TOP 1627 01:07:30,160 --> 01:07:32,320 TOPIC? 1628 01:07:32,320 --> 01:07:34,560 >>DR. GILMAN, JUST FOR MY 1629 01:07:34,560 --> 01:07:35,840 KNOWLEDGE, HOW DO YOU PLAN TO 1630 01:07:35,840 --> 01:07:43,040 SET UP THE HEALTH DISPARITIES 1631 01:07:43,040 --> 01:07:43,240 WORK? 1632 01:07:43,240 --> 01:07:52,280 >>SO WHAT I'M FIRST -- WHAT WE 1633 01:07:52,280 --> 01:07:54,160 FIRST HAVE TO DO IS FIGURE OUT 1634 01:07:54,160 --> 01:07:56,800 WHO'S GOING TO BE THE PERSON 1635 01:07:56,800 --> 01:07:57,120 RESPONSIBLE. 1636 01:07:57,120 --> 01:07:59,440 WHEN THE JOINT COMMISSION ASKED 1637 01:07:59,440 --> 01:07:59,880 ME. 1638 01:07:59,880 --> 01:08:01,680 AND FRANKLY, WE'RE STILL -- I'M 1639 01:08:01,680 --> 01:08:02,520 STILL STRUGGLING WITH THAT JUST 1640 01:08:02,520 --> 01:08:06,040 A LITTLE BIT. 1641 01:08:06,040 --> 01:08:07,800 AND WE HAVE DONE -- AND I THINK 1642 01:08:07,800 --> 01:08:10,160 WE MAY EVEN HAVE PRESENTED TO 1643 01:08:10,160 --> 01:08:10,480 THIS GROUP. 1644 01:08:10,480 --> 01:08:14,640 IF NOT, WE'VE PRESENTED AT THE 1645 01:08:14,640 --> 01:08:14,800 NIH. 1646 01:08:14,800 --> 01:08:16,480 FOR INSTANCE, WE'VE LOOKED AT 1647 01:08:16,480 --> 01:08:24,000 OUR PATIENT SATISFACTION SURVEY, 1648 01:08:24,000 --> 01:08:26,400 OUR PRESSGRAY KNEE RESULTS, AND 1649 01:08:26,400 --> 01:08:30,280 WE HAVE ANALYZED THAT DATA BY 1650 01:08:30,280 --> 01:08:36,880 THE LIMITED AMOUNT OF 1651 01:08:36,880 --> 01:08:39,120 CATEGORIZATION WE HAVE WITH 1652 01:08:39,120 --> 01:08:45,800 RESPECT TO ETHNICITY. 1653 01:08:45,800 --> 01:08:46,560 AND RACE. 1654 01:08:46,560 --> 01:08:48,200 AND IT GENERALLY DOESN'T SHOW A 1655 01:08:48,200 --> 01:08:48,720 CHANGE. 1656 01:08:48,720 --> 01:08:55,400 THE PROBLEM, OF COURSE, IS -- I 1657 01:08:55,400 --> 01:08:58,320 THINK WHAT PEOPLE HAVE IN MIND, 1658 01:08:58,320 --> 01:08:59,480 WHAT THEY'RE TALKING ABOUT IS 1659 01:08:59,480 --> 01:09:01,120 HEALTH OUTCOMES, AND THE KIND OF 1660 01:09:01,120 --> 01:09:02,680 RESEARCH WE DO, WHICH IS A LOT 1661 01:09:02,680 --> 01:09:08,640 OF FAIRLY SMALL TRIALS, IT'S 1662 01:09:08,640 --> 01:09:12,120 KIND OF HARD SOMETIMES TO BE 1663 01:09:12,120 --> 01:09:16,400 ABLE TO DO COMPARISONS, TO HAVE 1664 01:09:16,400 --> 01:09:19,960 ENOUGH DATA TO DO COMPARISONS. 1665 01:09:19,960 --> 01:09:22,000 DR. HAD IGA N TURNED ON HER 1666 01:09:22,000 --> 01:09:23,000 CAMERA SO SHE MIGHT HAVE 1667 01:09:23,000 --> 01:09:25,000 SOMETHING SHE WOULD LIKE TO ADD. 1668 01:09:25,000 --> 01:09:26,000 >>I'M HERE TO ADD ANYTHING THAT 1669 01:09:26,000 --> 01:09:27,080 PEOPLE MAY HAVE QUESTIONS FOR, 1670 01:09:27,080 --> 01:09:28,840 BUT I THINK DR. GILMAN 1671 01:09:28,840 --> 01:09:32,640 SUMMARIZED IT WELL. 1672 01:09:32,640 --> 01:09:33,360 WE'RE CURRENTLY AT THE STAGE 1673 01:09:33,360 --> 01:09:34,480 WHERE WE'RE LOOKING AT WHAT ARE 1674 01:09:34,480 --> 01:09:35,680 THE DEMOGRAPHIC CHARACTERISTICS 1675 01:09:35,680 --> 01:09:37,280 THAT WE HAVE SYSTEMATICALLY 1676 01:09:37,280 --> 01:09:39,240 COLLECTED AND HOW WE MIGHT 1677 01:09:39,240 --> 01:09:39,880 DEFINE WHAT IT IS THAT WE'RE 1678 01:09:39,880 --> 01:09:41,840 GOING TO LOOK AT. 1679 01:09:41,840 --> 01:09:43,160 IN THE PRELIMINARY DISCUSSIONS, 1680 01:09:43,160 --> 01:09:47,120 THERE ARE THINGS THAT WE COULD 1681 01:09:47,120 --> 01:09:48,880 USE THAT GO ACROSS INSTITUTIONS, 1682 01:09:48,880 --> 01:09:49,960 ACROSS DISEASE PROCESS THAT MAY 1683 01:09:49,960 --> 01:09:54,760 BE WORTH LOOKING AT, LIKE 1684 01:09:54,760 --> 01:09:56,480 RELATED TO ACCESS, LANGUAGE. 1685 01:09:56,480 --> 01:09:59,880 WE DON'T HAVE GOOD MARKERS FOR 1686 01:09:59,880 --> 01:10:01,040 SOCIOECONOMIC STATUS. 1687 01:10:01,040 --> 01:10:01,600 >>OH, I SEE. 1688 01:10:01,600 --> 01:10:03,160 >>BUT THAT'S NOT A REQUIREMENT. 1689 01:10:03,160 --> 01:10:04,240 WHEN YOU LOOK AT THE JOINT 1690 01:10:04,240 --> 01:10:05,240 COMMISSION REQUIREMENTS, WE CAN 1691 01:10:05,240 --> 01:10:07,240 DO IT BY AGE, WE CAN DO IT BY 1692 01:10:07,240 --> 01:10:08,880 SEX, WE CAN DO IT BY RACE, YOU 1693 01:10:08,880 --> 01:10:10,280 KNOW, WE CAN DO IT BY REGION OF 1694 01:10:10,280 --> 01:10:12,680 THE COUNTRY. 1695 01:10:12,680 --> 01:10:13,880 BUT ONE OF THE AREAS THAT WE 1696 01:10:13,880 --> 01:10:14,880 THINK WOULD BE INTERESTING TO 1697 01:10:14,880 --> 01:10:16,000 LOOK AT PARTICULARLY AS IT 1698 01:10:16,000 --> 01:10:17,680 PERTAINS TO RESEARCH IS LANGUAGE 1699 01:10:17,680 --> 01:10:19,600 AND LITERACY. 1700 01:10:19,600 --> 01:10:21,560 SO THAT MIGHT BE AN AREA 1701 01:10:21,560 --> 01:10:22,760 WHERE -- ONE OF OUR FIRST DEEP 1702 01:10:22,760 --> 01:10:24,360 DIVES IN KIND OF PULLING SOME 1703 01:10:24,360 --> 01:10:25,560 DATA AND SEE WHAT WE HAVE. 1704 01:10:25,560 --> 01:10:26,760 >>THANK YOU. 1705 01:10:26,760 --> 01:10:31,360 >>WHEN YOU DON'T DEAL WITH 1706 01:10:31,360 --> 01:10:32,760 COVERED LIVES IN POPULATION 1707 01:10:32,760 --> 01:10:33,960 HEALTH, IT BECOMES A LITTLE 1708 01:10:33,960 --> 01:10:36,640 HARDER TO ACTUALLY DO THE KINDS 1709 01:10:36,640 --> 01:10:39,840 OF QUANTITATIVE ANALYSES THAT I 1710 01:10:39,840 --> 01:10:43,440 THINK WOULD REALLY BE BENEFI 1711 01:10:43,440 --> 01:10:44,960 BENEFICIAL. 1712 01:10:44,960 --> 01:10:45,160 OKAY? 1713 01:10:45,160 --> 01:10:46,680 >>DR. GILMAN? 1714 01:10:46,680 --> 01:10:47,400 >>YEAH. 1715 01:10:47,400 --> 01:10:49,200 >>SINCE WE'RE NOT A PUBLIC 1716 01:10:49,200 --> 01:10:51,720 HOSPITAL WITH PUBLIC ACCESS, AND 1717 01:10:51,720 --> 01:10:54,400 EVERYBODY HAS TO BE INVITED, 1718 01:10:54,400 --> 01:10:56,920 WOULDN'T -- WOULD THE JOINT 1719 01:10:56,920 --> 01:10:58,440 COMMISSION'S DIRECTIVES OR THE 1720 01:10:58,440 --> 01:10:59,840 INFORMATION THEY'RE SEEKING ALSO 1721 01:10:59,840 --> 01:11:03,000 HAVE TO INVOLVE THE PROCESS OF 1722 01:11:03,000 --> 01:11:04,080 SCREENING PATIENTS FOR ADMISSION 1723 01:11:04,080 --> 01:11:06,600 TO PROTOCOLS? 1724 01:11:06,600 --> 01:11:15,320 >>WE CAN -- THE ANSWER IS, I 1725 01:11:15,320 --> 01:11:19,000 THINK, YES, BUT SCREENING IS 1726 01:11:19,000 --> 01:11:23,080 DONE WHERE THE PATIENTS START IN 1727 01:11:23,080 --> 01:11:25,480 MANY INSTANCES, AND IT'S DONE 1728 01:11:25,480 --> 01:11:29,120 WITH A PHONE CALL, IT NOT DONE 1729 01:11:29,120 --> 01:11:30,120 WITH A RECORD. 1730 01:11:30,120 --> 01:11:32,760 YOU KNOW, WE HAVE -- WE HAVE 1731 01:11:32,760 --> 01:11:36,520 DATA ON WHO -- WE HAVE SOME DATA 1732 01:11:36,520 --> 01:11:38,040 ON WHO ACTUALLY CONTACTS OUR 1733 01:11:38,040 --> 01:11:40,240 CALL CENTER, WHO ACTUALLY 1734 01:11:40,240 --> 01:11:42,000 CONTACTS US, AND WE ACTUALLY -- 1735 01:11:42,000 --> 01:11:43,680 WE HAVE TAKEN A FAIR -- WE'VE 1736 01:11:43,680 --> 01:11:45,240 TAKEN A PRETTY GOOD LOOK AT THAT 1737 01:11:45,240 --> 01:11:46,440 AS WELL. 1738 01:11:46,440 --> 01:11:50,880 BUT I THINK IN TERMS OF TRYING 1739 01:11:50,880 --> 01:11:58,720 TO SAY THAT PATIENTS -- THE 1740 01:11:58,720 --> 01:11:59,560 INCLUSION/EXCLUSION CRITERIA 1741 01:11:59,560 --> 01:12:02,480 COME FROM THE INVESTIGATORS, AND 1742 01:12:02,480 --> 01:12:05,040 MANY OF THEM ARE 1743 01:12:05,040 --> 01:12:06,520 DISEASE-FOCUSED. 1744 01:12:06,520 --> 01:12:09,840 AND THEY'RE NOT BIG STUDIES FOR 1745 01:12:09,840 --> 01:12:13,440 THE MOST PART. 1746 01:12:13,440 --> 01:12:16,040 AND THEY'RE UNUSUAL IN RARE 1747 01:12:16,040 --> 01:12:19,120 DISEASES OR REFRACTORY DISEASES, 1748 01:12:19,120 --> 01:12:26,440 AND SO HOW WE GET SOME REALLY 1749 01:12:26,440 --> 01:12:27,680 GOOD COMPARATORS IS GOING TO BE 1750 01:12:27,680 --> 01:12:30,120 A STRUGGLE, BUT THE JOINT 1751 01:12:30,120 --> 01:12:30,880 COMMISSION MOSTLY WANTS TO MAKE 1752 01:12:30,880 --> 01:12:33,400 SURE THAT WE HAVE SOMEBODY WHO'S 1753 01:12:33,400 --> 01:12:35,760 TRYING TO DO THIS. 1754 01:12:35,760 --> 01:12:38,000 THAT'S WHAT THEY WANT RIGHT NOW. 1755 01:12:38,000 --> 01:12:39,240 >>THANK YOU. 1756 01:12:39,240 --> 01:12:40,800 >>ONE MORE QUESTION. 1757 01:12:40,800 --> 01:12:41,640 >>YEP. 1758 01:12:41,640 --> 01:12:48,280 >>DR. GILMAN, THE DEIA FORUM, 1759 01:12:48,280 --> 01:12:49,720 IS THAT ACCESSIBLE TO THE PUBLIC 1760 01:12:49,720 --> 01:12:56,160 OR THAT'S JUST SOMETHING THAT IS 1761 01:12:56,160 --> 01:12:57,800 ONLY FOR NIH EMPLOYEES OR -- 1762 01:12:57,800 --> 01:12:59,720 >>IT'S FOCUSED ON NIH STAFF 1763 01:12:59,720 --> 01:13:01,320 MEMBERS. 1764 01:13:01,320 --> 01:13:03,320 I DON'T BELIEVE WE BROADCAST 1765 01:13:03,320 --> 01:13:05,120 THOSE OUTSIDE, BUT C.C. IS ON 1766 01:13:05,120 --> 01:13:09,640 THE CALL AND SHE CAN TELL ME. 1767 01:13:09,640 --> 01:13:11,040 >>HI, EVERYONE. 1768 01:13:11,040 --> 01:13:11,680 YES, THAT IS CORRECT. 1769 01:13:11,680 --> 01:13:15,400 THE DEIA FORMS ARE FOR NIH STAFF 1770 01:13:15,400 --> 01:13:20,000 ONLY, INTERNAL WORKFORCE. 1771 01:13:20,000 --> 01:13:21,840 THE FORUMS ARE TARGETED TO WHAT 1772 01:13:21,840 --> 01:13:23,440 THEIR ASSESSED NEEDS ARE, SO IT 1773 01:13:23,440 --> 01:13:26,280 IS TARGETED TO OUR INTERNAL 1774 01:13:26,280 --> 01:13:27,160 WORKFORCE. 1775 01:13:27,160 --> 01:13:27,920 >>OKAY. 1776 01:13:27,920 --> 01:13:32,040 I THINK WE NEED TO MOVE ON, AND 1777 01:13:32,040 --> 01:13:33,680 SO IF WE CAN HAVE THE NEXT SET 1778 01:13:33,680 --> 01:13:41,200 OF SLIDES UP, CARLY. 1779 01:13:41,200 --> 01:13:42,360 I'LL TRY TO GO THROUGH THIS A 1780 01:13:42,360 --> 01:13:48,280 LITTLE MORE QUICKLY, AND SO IT'S 1781 01:13:48,280 --> 01:13:49,920 TIME FOR US TO GO TO WORK ON OUR 1782 01:13:49,920 --> 01:13:54,880 NEXT STRATEGIC PLAN FOR THE NEXT 1783 01:13:54,880 --> 01:14:02,920 THREE TO FIVE YEARS. 1784 01:14:02,920 --> 01:14:04,320 JUST BY WAY OF BACKGROUND, I 1785 01:14:04,320 --> 01:14:06,280 BELIEVE THE DOCUMENT WE PRODUCED 1786 01:14:06,280 --> 01:14:07,480 IN 2019 WAS KIND OF THE FIRST OF 1787 01:14:07,480 --> 01:14:11,240 ITS KIND FOR THE CLINICAL 1788 01:14:11,240 --> 01:14:13,040 CENTER, AND IT WAS -- IN TRYING 1789 01:14:13,040 --> 01:14:15,880 TO PLAN FOR HEALTHCARE 1790 01:14:15,880 --> 01:14:16,880 OPERATIONS MORE THAN A FEW YEARS 1791 01:14:16,880 --> 01:14:22,880 DOWN THE ROAD IS, I THINK -- IT 1792 01:14:22,880 --> 01:14:25,240 IS A FIELD OF DREAMS, IF WE'RE 1793 01:14:25,240 --> 01:14:26,880 NOT CAREFUL. 1794 01:14:26,880 --> 01:14:28,760 AND SO THIS IS SORT OF THE 1795 01:14:28,760 --> 01:14:31,840 PLANNING TIME FRAME THAT WE 1796 01:14:31,840 --> 01:14:34,640 FOCUS ON. 1797 01:14:34,640 --> 01:14:35,720 I REVIEWED THE PROGRESS ON THIS 1798 01:14:35,720 --> 01:14:43,840 PLAN FOR THE CLI A YEAR AGO. 1799 01:14:43,840 --> 01:14:45,520 BEFORE THE PANDEMIC HIT, WE WERE 1800 01:14:45,520 --> 01:14:47,520 MEETING MOST OF THE MILESTONES. 1801 01:14:47,520 --> 01:14:49,000 SO IF YOU LIVE WITH THE 1802 01:14:49,000 --> 01:14:52,600 FIVE-YEAR RULE, THEN OUR NEXT 1803 01:14:52,600 --> 01:14:54,800 PLAN IS DUE IN 2024, AND IT'S 1804 01:14:54,800 --> 01:14:55,880 TIME TO START THE PLANNING 1805 01:14:55,880 --> 01:14:58,080 CYCLE. 1806 01:14:58,080 --> 01:15:02,080 AS I INDICATED, THE ONE IN 2019, 1807 01:15:02,080 --> 01:15:02,960 WE DEVELOPED FROM WHOLE CLOTH. 1808 01:15:02,960 --> 01:15:03,960 WE DIDN'T HAVE ANYTHING TO START 1809 01:15:03,960 --> 01:15:06,040 OFF WITH. 1810 01:15:06,040 --> 01:15:08,840 FORTUNATELY FOR 2024, WE HAVE 1811 01:15:08,840 --> 01:15:10,800 THE 2019 PLAN TO BEGIN WITH. 1812 01:15:10,800 --> 01:15:12,920 THIS IS EARLY DAYS, BUT TODAY 1813 01:15:12,920 --> 01:15:15,040 OFFICIALLY INITIATES THE 1814 01:15:15,040 --> 01:15:16,120 LEARNING AND LISTENING PROCESS 1815 01:15:16,120 --> 01:15:18,360 AS WE START WORKING ON THE PLAN 1816 01:15:18,360 --> 01:15:23,600 FOR 2024. 1817 01:15:23,600 --> 01:15:24,920 SO WE'RE PRETTY HAPPY WITH THIS 1818 01:15:24,920 --> 01:15:25,680 MISSION STATEMENT. 1819 01:15:25,680 --> 01:15:27,320 WE DON'T THINK THAT THAT SHOULD 1820 01:15:27,320 --> 01:15:31,200 CHANGE VERY MUCH. 1821 01:15:31,200 --> 01:15:34,400 THE DOCUMENT ALSO OUTLINES SEVEN 1822 01:15:34,400 --> 01:15:37,800 GUIDING PRINCIPLES, AND I'LL 1823 01:15:37,800 --> 01:15:40,280 TALK ABOUT EARLY THOUGHTS THAT I 1824 01:15:40,280 --> 01:15:43,280 HAVE ABOUT THREE OF THOSE. 1825 01:15:43,280 --> 01:15:46,680 I THINK THE OTHER FOUR PROBABLY 1826 01:15:46,680 --> 01:15:48,680 DON'T NEED ANY ADJUSTMENT, BUT I 1827 01:15:48,680 --> 01:15:51,240 DO THINK THAT THERE ARE THREE 1828 01:15:51,240 --> 01:15:52,680 HERE THAT BEAR SOME ADDITIONAL 1829 01:15:52,680 --> 01:15:57,040 THOUGHT. 1830 01:15:57,040 --> 01:15:58,760 SO PASSION FOR OUR PATIENTS, 1831 01:15:58,760 --> 01:16:00,520 THEIR FAMILIES AND ONE ANOTHER. 1832 01:16:00,520 --> 01:16:02,600 I FINISHED A COURSE ON 1833 01:16:02,600 --> 01:16:06,400 COMPASSIONATE LEADERSHIP WITH 1834 01:16:06,400 --> 01:16:08,800 MHEI, A TWO-DAY COURSE, AND ONE 1835 01:16:08,800 --> 01:16:10,720 OF THE ASPECTS OF COMPASSION 1836 01:16:10,720 --> 01:16:12,640 THAT I HAD NOT GIVEN MUCH 1837 01:16:12,640 --> 01:16:16,200 THOUGHT ABOUT WAS EMPHASIZED 1838 01:16:16,200 --> 01:16:17,160 THERE WAS WE NEEDED TO START 1839 01:16:17,160 --> 01:16:18,360 BEING A LITTLE EASIER ON 1840 01:16:18,360 --> 01:16:22,040 OURSELVES. 1841 01:16:22,040 --> 01:16:24,960 AND SO I THINK WE'LL NEED TO 1842 01:16:24,960 --> 01:16:27,400 FIGURE OUT A WAY TO INCORPORATE 1843 01:16:27,400 --> 01:16:29,920 THAT INTO THAT GUIDING PRINCIPLE 1844 01:16:29,920 --> 01:16:33,240 THE NEXT TIME AROUND. 1845 01:16:33,240 --> 01:16:34,160 DIVERSITY AND INCLUSION OF 1846 01:16:34,160 --> 01:16:36,720 PEOPLE AND IDEAS. 1847 01:16:36,720 --> 01:16:42,400 WE DID LIST THAT IN 2019, BEFORE 1848 01:16:42,400 --> 01:16:43,920 GEORGE FLOYD, BEFORE ANY OF THE 1849 01:16:43,920 --> 01:16:46,280 OTHER THINGS THAT HAVE HAPPENED, 1850 01:16:46,280 --> 01:16:48,800 BEFORE BLACK LIVES MATTER, 1851 01:16:48,800 --> 01:16:50,120 BEFORE ME TOO, BEFORE LOTS AND 1852 01:16:50,120 --> 01:16:53,480 LOTS OF THINGS THAT HAVE 1853 01:16:53,480 --> 01:16:59,040 DOMINATED THE ENVIRONMENT IN THE 1854 01:16:59,040 --> 01:17:00,120 LAST FEW YEARS. 1855 01:17:00,120 --> 01:17:02,360 BUT WE DIDN'T INCLUDE 1856 01:17:02,360 --> 01:17:03,440 ACCESSIBILITY, AND I THINK 1857 01:17:03,440 --> 01:17:06,680 THAT'S NOW IMPORTANT, AND 1858 01:17:06,680 --> 01:17:07,560 ESPECIALLY AS A HEALTHCARE 1859 01:17:07,560 --> 01:17:09,400 ORGANIZATION, I THINK WE NEED TO 1860 01:17:09,400 --> 01:17:11,000 INCORPORATE THAT SOMEHOW. 1861 01:17:11,000 --> 01:17:14,480 AND OBVIOUSLY, THE FOCUS ON 1862 01:17:14,480 --> 01:17:19,200 DIVERSITY AND INCLUSION, EQUITY 1863 01:17:19,200 --> 01:17:21,680 AND ACCESSIBILITY HAS RECEIVED 1864 01:17:21,680 --> 01:17:24,880 MUCH GREATER EMPHASIS AT THE NIH 1865 01:17:24,880 --> 01:17:26,040 DURING THE LAST FEW YEARS, AND 1866 01:17:26,040 --> 01:17:28,480 IN MANY AREAS OF THE COUNTRY. 1867 01:17:28,480 --> 01:17:29,880 I THINK THAT MEANS THAT WE'LL 1868 01:17:29,880 --> 01:17:31,160 HAVE TO GO BACK AND TAKE A LOOK 1869 01:17:31,160 --> 01:17:32,680 AT THIS GUIDING PRINCIPLE AND 1870 01:17:32,680 --> 01:17:34,440 DECIDE HOW WE WANT TO -- WHAT 1871 01:17:34,440 --> 01:17:37,600 WE'RE GOING TO DO WITH IT. 1872 01:17:37,600 --> 01:17:38,920 YOU'RE GOING TO HEAR MORE ABOUT 1873 01:17:38,920 --> 01:17:40,200 OUR COMMITMENT TO PROFESSIONAL 1874 01:17:40,200 --> 01:17:43,200 GROWTH AND DEVELOPMENT, AND I 1875 01:17:43,200 --> 01:17:45,360 THINK YOU'LL SEE THAT WE'VE MADE 1876 01:17:45,360 --> 01:17:47,840 GOOD PROGRESS BUT WE'RE ALWAYS 1877 01:17:47,840 --> 01:17:53,000 INTERESTED IN OTHER IDEAS ABOUT 1878 01:17:53,000 --> 01:17:56,080 HOW TO DO MORE FOR OUR STAFF IN 1879 01:17:56,080 --> 01:18:00,080 THAT AREA. 1880 01:18:00,080 --> 01:18:04,520 THE PLAN IN 2019 HAD FOUR BROAD 1881 01:18:04,520 --> 01:18:06,320 AIMS LEADING THE WORLD, 1882 01:18:06,320 --> 01:18:08,640 CONTINUING TO LEAD THE WORLD AND 1883 01:18:08,640 --> 01:18:09,560 CONDUCTING FIRST IN HUMAN 1884 01:18:09,560 --> 01:18:10,600 CLINICAL RESEARCH WITH A FOCUS 1885 01:18:10,600 --> 01:18:12,600 ON RARE AND REFRACTORY DISEASE. 1886 01:18:12,600 --> 01:18:13,960 I THINK THAT THAT'S A KEEPER. 1887 01:18:13,960 --> 01:18:17,600 I DON'T THINK WE'LL CHANGE THAT. 1888 01:18:17,600 --> 01:18:19,120 INCREASING THE USE OF THE 1889 01:18:19,120 --> 01:18:20,400 CLINICAL CENTER BY THE 1890 01:18:20,400 --> 01:18:23,440 INTRAMURAL RESEARCH PROGRAM 1891 01:18:23,440 --> 01:18:25,440 WHILE ACCELERATING THE CLINICAL 1892 01:18:25,440 --> 01:18:26,440 CENTER'S STATUS AS A NATIONAL 1893 01:18:26,440 --> 01:18:27,440 RESOURCE FOR THE EXTRAMURAL 1894 01:18:27,440 --> 01:18:27,960 COMMUNITY. 1895 01:18:27,960 --> 01:18:31,080 THIS WAS THE AIM THAT WE 1896 01:18:31,080 --> 01:18:34,600 GRADED -- WE GAVE OURSELVES BA 1897 01:18:34,600 --> 01:18:37,320 BARELY ACCEPTABLE MARKS ON A 1898 01:18:37,320 --> 01:18:37,840 YEAR AGO. 1899 01:18:37,840 --> 01:18:40,320 MUCH OF THAT WAS DUE TO THE 1900 01:18:40,320 --> 01:18:41,440 PANDEMIC AND CIRCUMSTANCES 1901 01:18:41,440 --> 01:18:43,320 BEYOND OUR CONTROL, BUT WE 1902 01:18:43,320 --> 01:18:46,760 ALWAYS HAVE TO BE THINKING ABOUT 1903 01:18:46,760 --> 01:18:50,720 THE CHANGES THAT ARE TAKING 1904 01:18:50,720 --> 01:18:52,000 PLACE AND THE KINDS OF RESEARCH 1905 01:18:52,000 --> 01:18:53,600 THAT NIH INVESTIGATORS WANT TO 1906 01:18:53,600 --> 01:18:55,480 DO, AND MAKING SURE THAT WE DO 1907 01:18:55,480 --> 01:18:58,840 WHAT WE CAN TO ESTABLISH THE 1908 01:18:58,840 --> 01:19:01,240 CAPABILITIES TO SUPPORT THAT 1909 01:19:01,240 --> 01:19:04,240 RESEARCH. 1910 01:19:04,240 --> 01:19:07,960 I THINK THE THIRD AIM IS 1911 01:19:07,960 --> 01:19:08,920 SELF-EVIDENT AND I DON'T SEE 1912 01:19:08,920 --> 01:19:11,320 THAT CHANGING VERY MUCH. 1913 01:19:11,320 --> 01:19:13,840 AND THEN THE FOURTH ONE, AND WE 1914 01:19:13,840 --> 01:19:15,800 RECOGNIZED IT WAS GOING TO BE A 1915 01:19:15,800 --> 01:19:17,960 CHALLENGING ENVIRONMENT BASED ON 1916 01:19:17,960 --> 01:19:22,360 THE SENIORITY OF MANY OF THE 1917 01:19:22,360 --> 01:19:25,880 STAFF AT THE CLINICAL CENTER IN 1918 01:19:25,880 --> 01:19:27,920 2019. 1919 01:19:27,920 --> 01:19:29,960 BUT THE NEXT SLIDE SORT OF 1920 01:19:29,960 --> 01:19:32,600 OUTLINES WHAT THIS IS, HOW I 1921 01:19:32,600 --> 01:19:34,240 THINK THIS IS AN EVEN BIGGER 1922 01:19:34,240 --> 01:19:36,000 CHALLENGE THAN WE PROBABLY 1923 01:19:36,000 --> 01:19:41,440 ANTICIPATED FIVE YEARS AGO. 1924 01:19:41,440 --> 01:19:42,640 SO RECRUIT, DEVELOP AND RETAIN 1925 01:19:42,640 --> 01:19:44,600 THE NEXT GENERATION OF GREAT NIH 1926 01:19:44,600 --> 01:19:45,680 CLINICAL RESEARCHERS. 1927 01:19:45,680 --> 01:19:46,760 SO THIS IS EVEN MORE IMPORTANT 1928 01:19:46,760 --> 01:19:48,720 TODAY THAN IT WAS IN 2019. 1929 01:19:48,720 --> 01:19:51,000 AND IT'S EVEN HARDER TODAY THAN 1930 01:19:51,000 --> 01:19:55,600 IT WAS IN 2019. 1931 01:19:55,600 --> 01:19:58,200 IT'S ONE THING TO TALK ABOUT 1932 01:19:58,200 --> 01:19:59,200 RECRUITING, DEVELOPING AND 1933 01:19:59,200 --> 01:20:01,160 RETAINING THE NEXT GENERATION OF 1934 01:20:01,160 --> 01:20:02,680 GREAT NIH CLINICAL RESEARCHERS. 1935 01:20:02,680 --> 01:20:04,840 THAT'S CHALLENGING ENOUGH. 1936 01:20:04,840 --> 01:20:06,640 BUT WHEN YOU'RE TROYING TO DO IT 1937 01:20:06,640 --> 01:20:11,920 WHILE ALSO MAKING THE NIH 1938 01:20:11,920 --> 01:20:17,080 CLINICAL CENTER MORE REFLECTIVE 1939 01:20:17,080 --> 01:20:22,560 OF THE -- OF THE POPULATION THAT 1940 01:20:22,560 --> 01:20:25,840 WE SERVE, IT MAKES IT EVEN MORE 1941 01:20:25,840 --> 01:20:26,560 DIFFICULT. 1942 01:20:26,560 --> 01:20:29,200 AND I THINK MANY OF YOU IN 1943 01:20:29,200 --> 01:20:30,400 HEALTHCARE LEADERSHIP ARE TRYING 1944 01:20:30,400 --> 01:20:33,520 TO DEAL WITH THIS, BUT IT ADDS A 1945 01:20:33,520 --> 01:20:34,200 LAYER OF COMPLEXITY. 1946 01:20:34,200 --> 01:20:36,920 WE'RE KIND OF COMFORTABLE WITH 1947 01:20:36,920 --> 01:20:42,600 COMPLEXITY AT THE NIH, SO I'M 1948 01:20:42,600 --> 01:20:44,080 NOT SAYING THIS PUTS THIS IN THE 1949 01:20:44,080 --> 01:20:46,520 TOO HARD TO DO CA CATEGORY, AND 1950 01:20:46,520 --> 01:20:48,920 THINK IN OUR RACIAL AND ETHNIC 1951 01:20:48,920 --> 01:20:51,120 EQUITY PLAN AND WITH OUR DEIA 1952 01:20:51,120 --> 01:20:53,080 ADVISORY COUNCIL AND WITH THE 1953 01:20:53,080 --> 01:20:54,920 LEADERSHIP OF CECE HENRY, I 1954 01:20:54,920 --> 01:20:56,440 THINK WE'LL BE ABLE TO MAKE 1955 01:20:56,440 --> 01:20:57,000 STRIDES. 1956 01:20:57,000 --> 01:20:59,160 I THINK WE HAVE MADE STRIDES IN 1957 01:20:59,160 --> 01:21:03,000 THE LAST FIVE YEARS. 1958 01:21:03,000 --> 01:21:05,200 BUT IT WAS -- IT IS, THERE'S NO 1959 01:21:05,200 --> 01:21:07,320 DOUBT ABOUT THE FACT THAT IT'S A 1960 01:21:07,320 --> 01:21:09,080 CHALLENGE. 1961 01:21:09,080 --> 01:21:12,240 AND WHETHER THE DIVERSITY, 1962 01:21:12,240 --> 01:21:13,880 EQUITY AND INCLUSION AND 1963 01:21:13,880 --> 01:21:17,480 ACCESSIBILITY FOCUS BECOMES A 1964 01:21:17,480 --> 01:21:18,360 SEPARATE STRATEGIC AIM OR 1965 01:21:18,360 --> 01:21:21,720 WHETHER IT REMAINS INCORPORATED 1966 01:21:21,720 --> 01:21:23,160 WITH THE SORT OF RECRUIT, 1967 01:21:23,160 --> 01:21:24,320 DEVELOP AND RETAIN AIM IS 1968 01:21:24,320 --> 01:21:26,000 SOMETHING THAT WE'VE STARTED TO 1969 01:21:26,000 --> 01:21:27,120 HAVE SOME DISCUSSIONS ABOUT. 1970 01:21:27,120 --> 01:21:28,440 NOT SURE WE'VE REACHED AGREEMENT 1971 01:21:28,440 --> 01:21:32,000 YET. 1972 01:21:32,000 --> 01:21:35,040 SO I DO THINK THAT WE WILL HAVE 1973 01:21:35,040 --> 01:21:37,760 A NEW STRATEGIC AIM IN THIS ONE, 1974 01:21:37,760 --> 01:21:41,600 AND IT BASICALLY RELATES TO OUR 1975 01:21:41,600 --> 01:21:43,240 ABILITY TO ACCESS AND USE 1976 01:21:43,240 --> 01:21:44,640 INFORMATION OF ALL TYPES. 1977 01:21:44,640 --> 01:21:46,040 EVEN IN THE ADMINISTRATIVE 1978 01:21:46,040 --> 01:21:47,360 AREAS, THERE'S TOO MUCH FOR 1979 01:21:47,360 --> 01:21:50,400 ANYONE TO REMEMBER OR KNOW, AND 1980 01:21:50,400 --> 01:21:52,280 IS IT ALL NECESSARY OR CAN SOME 1981 01:21:52,280 --> 01:21:57,720 OF IT BE PUT INTO BACKGROUND. 1982 01:21:57,720 --> 01:21:59,240 RIGHT NOW IT'S NOT ALWAYS EASY 1983 01:21:59,240 --> 01:22:01,200 FOR ANYONE TO FIND, SO IS IT 1984 01:22:01,200 --> 01:22:03,040 ORGANIZED AS WELL AS IT COULD 1985 01:22:03,040 --> 01:22:05,120 BE? 1986 01:22:05,120 --> 01:22:07,160 OUR CURRENT WEB PRESENCE HAS A 1987 01:22:07,160 --> 01:22:08,400 POOR SEARCH FUNCTION, AND I 1988 01:22:08,400 --> 01:22:10,160 THINK WE'RE ALREADY COMMITTED, 1989 01:22:10,160 --> 01:22:11,440 AT LEAST I'VE ALREADY COMMITTED 1990 01:22:11,440 --> 01:22:14,040 AND I THINK WE'VE IDENTIFIED THE 1991 01:22:14,040 --> 01:22:16,440 RESOURCES TO CREATE A NEW 1992 01:22:16,440 --> 01:22:19,600 WEBSITE FOR THE CLINICAL CENTER. 1993 01:22:19,600 --> 01:22:21,040 AND THEN SOMEBODY THAT I'VE 1994 01:22:21,040 --> 01:22:27,040 TALKED ABOUT WITH STEPHANIE REEL 1995 01:22:27,040 --> 01:22:28,920 OFFLINE, OUTSIDE OF THESE 1996 01:22:28,920 --> 01:22:30,560 MEETINGS, IS WE ALSO ARE AT THE 1997 01:22:30,560 --> 01:22:35,320 POINT WHERE WE NEED TO PROCURE A 1998 01:22:35,320 --> 01:22:36,400 NEW ELECTRONIC HEALTH RECORD. 1999 01:22:36,400 --> 01:22:37,920 AND IF WE'RE NOT ABLE TO DO 2000 01:22:37,920 --> 01:22:39,440 THAT, THEN WE HAVE TO MAKE A 2001 01:22:39,440 --> 01:22:41,320 VERY SIGNIFICANT INVESTMENT IN 2002 01:22:41,320 --> 01:22:43,400 OUR CURRENT ELECTRONIC HEALTH 2003 01:22:43,400 --> 01:22:45,640 RECORD IN ORDER TO MAKE IT MORE 2004 01:22:45,640 --> 01:22:47,800 USEFUL, NOT JUST FOR US BUT FOR 2005 01:22:47,800 --> 01:22:53,840 THE NIH AT LARGE COMMUNITY. 2006 01:22:53,840 --> 01:22:56,320 WE TALKED ABOUT PEDIATRICS, AND 2007 01:22:56,320 --> 01:23:00,840 I'VE COMMUNICATED WITH 2008 01:23:00,840 --> 01:23:02,040 DR. DEVASKAR AHEAD OF THIS 2009 01:23:02,040 --> 01:23:03,480 MEETING, AND SHE KNOWS WHAT I'M 2010 01:23:03,480 --> 01:23:07,560 GOING TO SAY, AND AS INDICATED, 2011 01:23:07,560 --> 01:23:18,360 WE HAVE THE RESULTS OF T HER GR, 2012 01:23:19,440 --> 01:23:22,200 AND I PROVIDED THAT TO THE 2013 01:23:22,200 --> 01:23:25,160 PEDIATRIC PLANNING GROUP, THAT 2014 01:23:25,160 --> 01:23:27,760 THEY ARE NOT FANS OF THE 2015 01:23:27,760 --> 01:23:29,640 ALTERNATIVE APPROACH. 2016 01:23:29,640 --> 01:23:31,120 FRANKLY, IF THEY WERE FANS OF 2017 01:23:31,120 --> 01:23:33,960 THE ALTERNATIVE APPROACH OF 2018 01:23:33,960 --> 01:23:35,160 DOING MORE OF THE WORK THAT THEY 2019 01:23:35,160 --> 01:23:36,760 WANT TO DO IN THE EXTRAMURAL 2020 01:23:36,760 --> 01:23:38,480 COMMUNITY, WE PROBABLY WOULDN'T 2021 01:23:38,480 --> 01:23:41,080 HAVE LAUNCHED THIS EFFORT TWO 2022 01:23:41,080 --> 01:23:41,720 YEARS AGO. 2023 01:23:41,720 --> 01:23:45,280 BUT IT'S VERY CLEAR THAT WE HAVE 2024 01:23:45,280 --> 01:23:47,480 SOME MAJOR STEPS THAT HAVE TO BE 2025 01:23:47,480 --> 01:23:50,400 TAKEN IF WE'RE GOING TO DO MORE 2026 01:23:50,400 --> 01:23:54,040 RESEARCH IN SMALLER AND YOUNGER 2027 01:23:54,040 --> 01:23:55,120 CHILDREN AT THE NIH CLINICAL 2028 01:23:55,120 --> 01:23:55,360 CENTER. 2029 01:23:55,360 --> 01:23:58,960 AND WE WON'T GET A LOT MORE OF 2030 01:23:58,960 --> 01:24:02,880 THAT DONE THIS YEAR. 2031 01:24:02,880 --> 01:24:04,400 SO THESE ARE THE THINGS I THINK 2032 01:24:04,400 --> 01:24:12,040 WE CAN CONTINUE TO DO. 2033 01:24:12,040 --> 01:24:14,120 WE CONTINUE TO FORMALIZE THE 2034 01:24:14,120 --> 01:24:16,080 ORGANIZATION OF A DEPARTMENT OF 2035 01:24:16,080 --> 01:24:16,600 PEDIATRICS. 2036 01:24:16,600 --> 01:24:18,920 BY THE WAY, DR. TABAK TALKED 2037 01:24:18,920 --> 01:24:23,120 ABOUT ROCKY FEUER IS A FINALIST 2038 01:24:23,120 --> 01:24:26,000 FOR A SAMMY AWARD. 2039 01:24:26,000 --> 01:24:28,400 HER WIFE IS OUR CHIEF OF THE 2040 01:24:28,400 --> 01:24:33,040 PEDIATRICS DEPARTMENT, SO IF DRE 2041 01:24:33,040 --> 01:24:35,480 GOING TO CLAIM PART OF IT. 2042 01:24:35,480 --> 01:24:37,680 SO WE WILL CONTINUE TO ADVANCE 2043 01:24:37,680 --> 01:24:39,840 THE MODEL OF CARE FOR PEDIATRIC 2044 01:24:39,840 --> 01:24:43,320 PATIENTS SO THAT ALL ARE CARED 2045 01:24:43,320 --> 01:24:45,920 FOR BY DOCTORS AND NURSES WITH 2046 01:24:45,920 --> 01:24:46,920 AGE-SPECIFIC COMPETENCIES AND 2047 01:24:46,920 --> 01:24:48,000 WE'RE VERY CLOSE TO 2048 01:24:48,000 --> 01:24:51,760 ACCOMPLISHING THAT ALREADY. 2049 01:24:51,760 --> 01:24:53,600 THAT'S BEEN REALLY A MAJOR 2050 01:24:53,600 --> 01:24:56,320 ACHIEVEMENT ATTRIBUTABLE TO MANY 2051 01:24:56,320 --> 01:24:58,920 STAFF. 2052 01:24:58,920 --> 01:25:00,640 RIGHT NOW WE DON'T ADMIT 2053 01:25:00,640 --> 01:25:02,240 PATIENTS YOUNGER THAN THE AGE OF 2054 01:25:02,240 --> 01:25:02,800 3. 2055 01:25:02,800 --> 01:25:04,280 WE ARE CAREFULLY ASSESSING OUR 2056 01:25:04,280 --> 01:25:08,840 ABILITY TO CARE FOR PATIENTS 2057 01:25:08,840 --> 01:25:10,200 DOWN TO THE AGE OF 2 WITHOUT 2058 01:25:10,200 --> 01:25:12,880 ADDING THE PEDIATRIC ICU. 2059 01:25:12,880 --> 01:25:18,000 I DON'T THINK IN VIEW OF THE 2060 01:25:18,000 --> 01:25:19,120 RESOURCE ENVIRONMENT FOR THE NIH 2061 01:25:19,120 --> 01:25:21,960 AND THE NIH CLINICAL CENTER FOR 2062 01:25:21,960 --> 01:25:23,680 2024, I DON'T THINK IT'S 2063 01:25:23,680 --> 01:25:25,560 REALISTIC TO TACKLE THE 2064 01:25:25,560 --> 01:25:30,000 PEDIATRIC ICU FOR 2024 AND THERE 2065 01:25:30,000 --> 01:25:31,120 WILL BE NO BUDGET REQUEST FOR 2066 01:25:31,120 --> 01:25:32,200 THOSE RESOURCES. 2067 01:25:32,200 --> 01:25:34,280 I DO THINK THAT WE CAN FIND THE 2068 01:25:34,280 --> 01:25:38,200 RESOURCES TO ADD CHILD LIFE 2069 01:25:38,200 --> 01:25:41,240 SPECIALISTS TO THE CARE OF 2070 01:25:41,240 --> 01:25:41,840 CHILDREN. 2071 01:25:41,840 --> 01:25:43,000 WE'VE HAD A FAIR NUMBER OF 2072 01:25:43,000 --> 01:25:45,160 DISCUSSIONS ABOUT THIS, AND WE 2073 01:25:45,160 --> 01:25:46,840 MAY NOT HAVE DECIDED EXACTLY HOW 2074 01:25:46,840 --> 01:25:48,120 THEY'RE GOING TO BE ALIGNED, BUT 2075 01:25:48,120 --> 01:25:50,320 WE HAVE DECIDED -- WE MADE A 2076 01:25:50,320 --> 01:25:51,600 COUPLE OF DECISIONS ABOUT WHERE 2077 01:25:51,600 --> 01:25:53,920 THEY'RE NOT GOING TO BE ALIGNED. 2078 01:25:53,920 --> 01:25:56,560 BUT I DO BELIEVE THAT THIS WILL 2079 01:25:56,560 --> 01:25:58,600 ENHANCE OUR ABILITY TO PROVIDE 2080 01:25:58,600 --> 01:26:00,720 CARE, GOOD CARE, FOR THE 2081 01:26:00,720 --> 01:26:03,760 CHILDREN WE CURRENTLY CARE FOR 2082 01:26:03,760 --> 01:26:05,040 GOING FORWARD. 2083 01:26:05,040 --> 01:26:07,320 SO PEDIATRICS WILL STILL 2084 01:26:07,320 --> 01:26:10,280 CONTINUE TO GET A LOT OF FOCUS. 2085 01:26:10,280 --> 01:26:11,600 ALTHOUGH AT ONE POINT, I THINK 2086 01:26:11,600 --> 01:26:13,560 WE HAD HOPED TO TAKE THE NEXT 2087 01:26:13,560 --> 01:26:14,880 BIG STEP AND I JUST DON'T 2088 01:26:14,880 --> 01:26:15,960 BELIEVE THAT THIS IS THE YEAR TO 2089 01:26:15,960 --> 01:26:22,320 DO IT. 2090 01:26:22,320 --> 01:26:24,800 WE'RE VERY CLOSE TO FINISHING 2091 01:26:24,800 --> 01:26:30,280 THE LAST MAJOR PHARMACY 2092 01:26:30,280 --> 01:26:31,040 CONSTRUCTION PROJECT, AND THAT 2093 01:26:31,040 --> 01:26:34,160 IS FINISHING THE PERMANENT 2094 01:26:34,160 --> 01:26:35,520 INTRAVENOUS ADMIXTURE UNIT. 2095 01:26:35,520 --> 01:26:38,000 AS SOME OF YOU ARE AWARE, THESE 2096 01:26:38,000 --> 01:26:39,320 FACILITIES ARE EXTREMELY 2097 01:26:39,320 --> 01:26:40,640 DEMANDING, AND THE DEVIL IS VERY 2098 01:26:40,640 --> 01:26:46,080 MUCH IN THE DETAILS, AND THERE'S 2099 01:26:46,080 --> 01:26:47,320 ALWAYS A PROBLEM OR TWO THAT 2100 01:26:47,320 --> 01:26:51,000 COMES UP NEAR THE FINISH LINE, 2101 01:26:51,000 --> 01:26:53,480 AND BECAUSE THE FACILITIES HAVE 2102 01:26:53,480 --> 01:26:57,760 TO OPERATE WITH GREAT EXACTNESS, 2103 01:26:57,760 --> 01:27:00,160 IT DOESN'T TAKE VERY MUCH OF A 2104 01:27:00,160 --> 01:27:03,120 PROBLEM TO PROLONG THE LENGTH OF 2105 01:27:03,120 --> 01:27:05,960 TIME. 2106 01:27:05,960 --> 01:27:09,240 SO IN THE RED TEAM REPORT AND IN 2107 01:27:09,240 --> 01:27:11,560 THE INSPECTION OF THE PHARMACY, 2108 01:27:11,560 --> 01:27:13,400 THE PHARMACODEVELOPMENT SERVICE 2109 01:27:13,400 --> 01:27:15,880 WAS A SOURCE OF GREAT CONCERN, 2110 01:27:15,880 --> 01:27:18,520 AND WAS PERMANENTLY CLOSED. 2111 01:27:18,520 --> 01:27:20,240 AND IT'S VERY CLEAR, AND IT'S 2112 01:27:20,240 --> 01:27:22,120 BEEN VERY CLEAR SINCE I ARRIVED 2113 01:27:22,120 --> 01:27:24,640 OVER SIX YEARS AGO, THAT THE 2114 01:27:24,640 --> 01:27:25,400 PHARMACODEVELOPMENT SERVICE THAT 2115 01:27:25,400 --> 01:27:27,320 HOUSED A NUMBER OF CAPABILITIES 2116 01:27:27,320 --> 01:27:30,720 THAT INVESTIGATORS MISS, AND SO 2117 01:27:30,720 --> 01:27:33,120 WE ARE IN THE PROCESS OF LOOKING 2118 01:27:33,120 --> 01:27:37,720 AT SOME VERY BASIC FUNCTIONS, 2119 01:27:37,720 --> 01:27:39,680 THAT THE PDS PROVIDED, TO SEE 2120 01:27:39,680 --> 01:27:40,680 WHETHER IT'S POSSIBLE TO BRING 2121 01:27:40,680 --> 01:27:45,120 ANY OF THOSE BACK. 2122 01:27:45,120 --> 01:27:46,400 NOW, IF DR. TABAK IS STILL IN 2123 01:27:46,400 --> 01:27:47,840 THE MEETING, I KNOW HE'LL BE 2124 01:27:47,840 --> 01:27:51,120 VERY CONCERNED ABOUT WHAT I'M 2125 01:27:51,120 --> 01:27:51,640 SAYING. 2126 01:27:51,640 --> 01:27:53,560 I DO WANT TO MAKE SURE THAT IT'S 2127 01:27:53,560 --> 01:27:54,760 VERY CLEAR. 2128 01:27:54,760 --> 01:27:57,680 WE ARE NOT TALKING ABOUT -- 2129 01:27:57,680 --> 01:28:00,440 WE'RE NOT TALKING ABOUT A VERY, 2130 01:28:00,440 --> 01:28:02,920 VERY EXPENSIVE CONTRACTING 2131 01:28:02,920 --> 01:28:03,520 MANUFACTURING ORGANIZATION. 2132 01:28:03,520 --> 01:28:05,160 WE'RE TALKING ABOUT IMPROVING 2133 01:28:05,160 --> 01:28:07,320 OUR ABILITY TO DO COMPOUNDING. 2134 01:28:07,320 --> 01:28:09,440 AND IT'S NOT JUST OUR ABILITY TO 2135 01:28:09,440 --> 01:28:10,240 DO IT. 2136 01:28:10,240 --> 01:28:13,080 WE'RE TALKING ABOUT IMPROVING 2137 01:28:13,080 --> 01:28:17,160 OUR ABILITY TO OUTSOURCE BATCH 2138 01:28:17,160 --> 01:28:18,200 PROCESSING IN TERMS OF 2139 01:28:18,200 --> 01:28:22,480 COMPOUNDING. 2140 01:28:22,480 --> 01:28:24,040 AND WE'RE NOT GOING TO RESUME 2141 01:28:24,040 --> 01:28:24,720 MANUFACTURING THAT WAS DONE IN 2142 01:28:24,720 --> 01:28:27,200 THE PDS IN ANY FORESEEABLE 2143 01:28:27,200 --> 01:28:28,640 FUTURE OR MY LIFETIME, AND 2144 01:28:28,640 --> 01:28:31,640 EVERYTHING WE DO WILL BE DONE 2145 01:28:31,640 --> 01:28:35,360 WITH SAFETY AND COMPLIANCE. 2146 01:28:35,360 --> 01:28:36,560 THE CLINICAL CENTER GOVERNING 2147 01:28:36,560 --> 01:28:38,640 BOARD HAS DEALT WITH THE 2148 01:28:38,640 --> 01:28:40,920 PHARMACY AND NON-STERILE 2149 01:28:40,920 --> 01:28:42,920 COMPOUNDING ISSUES IN A COUPLE 2150 01:28:42,920 --> 01:28:46,080 OF MEETINGS THIS YEAR, THERE 2151 01:28:46,080 --> 01:28:47,600 ACTUALLY WAS SUPPOSED TO BE A 2152 01:28:47,600 --> 01:28:48,920 CLINICAL CENTER GOVERNING BOARD 2153 01:28:48,920 --> 01:28:51,320 MEETING YESTERDAY THAT HAD TO BE 2154 01:28:51,320 --> 01:28:53,840 CANCELED, AND THAT MEETING ALSO 2155 01:28:53,840 --> 01:28:56,000 WILL HAVE NON-STERILE 2156 01:28:56,000 --> 01:28:56,280 COMPOUNDING. 2157 01:28:56,280 --> 01:28:58,840 BUT I THINK WE HAVE A WAY AHEAD 2158 01:28:58,840 --> 01:29:06,600 THAT WILL BE ACCESSIBLE TO 2159 01:29:06,600 --> 01:29:08,800 INVESTIGATORS THAT REALLY NEED 2160 01:29:08,800 --> 01:29:11,640 NON-STERILE COMPOUNDING IN 2161 01:29:11,640 --> 01:29:14,720 BATCHES BUT WILL MOSTLY INVOLVE 2162 01:29:14,720 --> 01:29:19,080 OUTSOURCING THIS EFFORT. 2163 01:29:19,080 --> 01:29:20,360 SO WHAT HAPPENS NOW IS I NEED TO 2164 01:29:20,360 --> 01:29:21,720 TALK WITH LOTS AND LOTS AND LOTS 2165 01:29:21,720 --> 01:29:23,000 OF OTHER PEOPLE, AND I NEED TO 2166 01:29:23,000 --> 01:29:24,400 SPEND A LOT OF TIME NOT JUST 2167 01:29:24,400 --> 01:29:27,200 TALKING BUT LISTENING. 2168 01:29:27,200 --> 01:29:29,800 THOSE INCLUDE THE EXTERNAL 2169 01:29:29,800 --> 01:29:31,840 STAKEHOLDERS OF THE NIH CLINICAL 2170 01:29:31,840 --> 01:29:32,960 CENTER, AS WELL AS ALL THE 2171 01:29:32,960 --> 01:29:35,240 PEOPLE INSIDE THE CLINICAL 2172 01:29:35,240 --> 01:29:36,280 CENTER. 2173 01:29:36,280 --> 01:29:39,280 AND MY HOPE IS THAT BY THE END 2174 01:29:39,280 --> 01:29:43,760 OF THIS YEAR, THAT WE'VE DONE 2175 01:29:43,760 --> 01:29:45,200 OUR TALKING AND LISTENING AND 2176 01:29:45,200 --> 01:29:46,520 WE'LL BE ABLE TO SIT DOWN AND 2177 01:29:46,520 --> 01:29:48,120 ACTUALLY BEGIN WORKING ON A REAL 2178 01:29:48,120 --> 01:29:49,160 PLAN, SOMETHING THAT LOOKS LIKE 2179 01:29:49,160 --> 01:29:50,960 A REAL PLAN, WHY THE IDEA THAT 2180 01:29:50,960 --> 01:29:55,600 IT WOULD BE OUT IN 2024. 2181 01:29:55,600 --> 01:29:58,880 I THINK THAT'S MY LAST SLIDE. 2182 01:29:58,880 --> 01:30:00,200 IT LOOKS LIKE I DID MAKE UP A 2183 01:30:00,200 --> 01:30:02,680 LITTLE BIT OF TIME, AND SO IF 2184 01:30:02,680 --> 01:30:04,440 THE SLIDES CAN COME DOWN, I'LL 2185 01:30:04,440 --> 01:30:06,440 BE HAPPY TO ANSWER QUESTIONS, 2186 01:30:06,440 --> 01:30:10,360 BUT MORE THAN ANYTHING, NOT JUST 2187 01:30:10,360 --> 01:30:14,840 NOW, BUT WITH ANY TIME, I HOPE 2188 01:30:14,840 --> 01:30:16,160 YOU HAVE THOUGHTS ABOUT THIS 2189 01:30:16,160 --> 01:30:19,880 PLAN AND YOU HAVE IDEAS, AND YOU 2190 01:30:19,880 --> 01:30:21,400 CAN -- YOU'LL SEND THEM TO US SO 2191 01:30:21,400 --> 01:30:22,840 THAT WE HAVE A CHANCE TO TAKE A 2192 01:30:22,840 --> 01:30:25,120 LOOK AT THEM AND SEE WHAT YOU 2193 01:30:25,120 --> 01:30:29,280 THINK. 2194 01:30:29,280 --> 01:30:31,040 >>ARE THERE ANY QUESTIONS FOR 2195 01:30:31,040 --> 01:30:34,960 DR. GILMAN OR ANY DISCUSSION? 2196 01:30:34,960 --> 01:30:36,160 DAVID. 2197 01:30:36,160 --> 01:30:37,240 >>ONLY ONE QUESTION. 2198 01:30:37,240 --> 01:30:39,440 I DIDN'T SEE PATIENTS IN THE 2199 01:30:39,440 --> 01:30:41,040 EXTERNAL CONSTITUENTS FOR 2200 01:30:41,040 --> 01:30:44,160 CONSULTATION. 2201 01:30:44,160 --> 01:30:47,520 >>YEAH, THAT'S A GOOD POINT. 2202 01:30:47,520 --> 01:30:49,920 WE CAN CERTAINLY TALK ABOUT THIS 2203 01:30:49,920 --> 01:30:51,600 AT THE FALL CLINICAL CENTER 2204 01:30:51,600 --> 01:30:57,960 PATIENT ADVISORY GROUP. 2205 01:30:57,960 --> 01:31:01,120 >>THANK YOU. 2206 01:31:01,120 --> 01:31:01,320 DAVID. 2207 01:31:01,320 --> 01:31:03,720 >>TWO QUESTIONS. 2208 01:31:03,720 --> 01:31:07,560 DOES THE CLINICAL CENTER HOUSE 2209 01:31:07,560 --> 01:31:11,040 THE I.T. INFRASTRUCTURE FOR THE 2210 01:31:11,040 --> 01:31:12,440 REST OF THE INSTITUTE? 2211 01:31:12,440 --> 01:31:16,280 I MEAN, IN TERMS OF THE EHR AND 2212 01:31:16,280 --> 01:31:17,680 ALSO AROUND TELEHEALTH? 2213 01:31:17,680 --> 01:31:19,360 I MEAN, IT LOOKS LIKE TELEHEALTH 2214 01:31:19,360 --> 01:31:20,960 IS GOING TO BE A PERMANENT 2215 01:31:20,960 --> 01:31:22,840 FEATURE OF MEDICINE, AND I KNOW 2216 01:31:22,840 --> 01:31:26,200 THERE'S A LOT OF VARIATION AMONG 2217 01:31:26,200 --> 01:31:27,200 CLINICAL DEPARTMENTS AS TO WHICH 2218 01:31:27,200 --> 01:31:28,360 ONES USE MORE TELEHEALTH THAN 2219 01:31:28,360 --> 01:31:28,640 OTHERS. 2220 01:31:28,640 --> 01:31:30,320 I WAS JUST WONDERING, WHERE IS 2221 01:31:30,320 --> 01:31:31,960 THAT IN THE STRATEGIC PLAN? 2222 01:31:31,960 --> 01:31:42,520 >>SO THE VARIATION, DAVID, HAS 2223 01:31:43,640 --> 01:31:45,440 MORE TO DO WITH THE SIZE OF THE 2224 01:31:45,440 --> 01:31:48,200 INSTITUTE AND THE SIZE OF THEIR 2225 01:31:48,200 --> 01:31:53,240 CLINICAL PROGRAMS THAN IT DOES 2226 01:31:53,240 --> 01:31:57,360 WITH THEIR ACCEPTANCE. 2227 01:31:57,360 --> 01:31:58,360 OF 2228 01:31:58,360 --> 01:31:58,680 TELEHEALTH. 2229 01:31:58,680 --> 01:32:02,640 SO I THINK THAT IT IS -- SO THE 2230 01:32:02,640 --> 01:32:06,040 CLINICAL CENTER HOUSES THE 2231 01:32:06,040 --> 01:32:06,920 INFRASTRUCTURE OF TELEHEALTH. 2232 01:32:06,920 --> 01:32:08,560 IT IS AVAILABLE, EQUALLY 2233 01:32:08,560 --> 01:32:12,240 AVAILABLE TO ALL OF THE ICs. 2234 01:32:12,240 --> 01:32:13,600 ALL OF THE INSTITUTES AND 2235 01:32:13,600 --> 01:32:16,440 CENTERS. 2236 01:32:16,440 --> 01:32:17,960 NCI LEADS THE LIST BECAUSE THEY 2237 01:32:17,960 --> 01:32:22,080 ARE FAR AND AWAY THE LARGEST 2238 01:32:22,080 --> 01:32:22,400 I.C. 2239 01:32:22,400 --> 01:32:25,080 THEY HAVE MORE PATIENTS, MORE 2240 01:32:25,080 --> 01:32:27,880 PROVIDERS, MORE RESOURCES. 2241 01:32:27,880 --> 01:32:35,000 SO I THINK -- BUT THE TELEHEALTH 2242 01:32:35,000 --> 01:32:36,040 INFRASTRUCTURE IS ALL PROVIDED 2243 01:32:36,040 --> 01:32:41,120 BY THE CLINICAL CENTER, AND IT'S 2244 01:32:41,120 --> 01:32:45,040 EQUALLY ACCESSIBLE TO ALL 2245 01:32:45,040 --> 01:32:48,760 I.C.s. 2246 01:32:48,760 --> 01:32:49,680 DID THAT ANSWER YOUR QUESTION? 2247 01:32:49,680 --> 01:32:50,640 >>YES, IT DID. 2248 01:32:50,640 --> 01:32:51,840 I THINK THE ONLY COMMENT IS THAT 2249 01:32:51,840 --> 01:32:53,680 AMONG THE CLINICAL DEPARTMENTS, 2250 01:32:53,680 --> 01:32:57,960 REGARDLESS OF SIZE, THERE'S 2251 01:32:57,960 --> 01:32:59,040 DIFFERENT PERCEPTIONS OF 2252 01:32:59,040 --> 01:33:01,760 TELEHEALTH VISITS VERSUS 2253 01:33:01,760 --> 01:33:04,520 IN-PERSON VISITS. 2254 01:33:04,520 --> 01:33:05,520 SO -- ASSOCIATED WITH THAT AS 2255 01:33:05,520 --> 01:33:06,480 WELL. 2256 01:33:06,480 --> 01:33:07,800 GINA AND STEPHANIE PROBABLY -- 2257 01:33:07,800 --> 01:33:09,000 AND STEVE PROBABLY KNOW MORE 2258 01:33:09,000 --> 01:33:12,200 ABOUT THIS THAN I DO. 2259 01:33:12,200 --> 01:33:19,800 >>AND I THINK -- I'M PRE I APPE 2260 01:33:19,800 --> 01:33:20,920 YOU POINTING THAT OUT. 2261 01:33:20,920 --> 01:33:22,000 WE CAN TAKE A LOOK AT THAT. 2262 01:33:22,000 --> 01:33:23,240 FOR THE MOST PART, THE CLINICAL 2263 01:33:23,240 --> 01:33:25,280 CENTER IS NOT INVOLVED IN 2264 01:33:25,280 --> 01:33:26,840 TELLING THE PROVIDERS AND 2265 01:33:26,840 --> 01:33:28,000 INSTITUTES HOW TO TAKE CARE OF 2266 01:33:28,000 --> 01:33:32,720 THEIR PATIENTS. 2267 01:33:32,720 --> 01:33:34,040 IF WE LOOK AT WHAT WE'VE LEARNED 2268 01:33:34,040 --> 01:33:38,160 IN OUR TELEHEALTH JOURNEY AND WE 2269 01:33:38,160 --> 01:33:43,000 CAN IDENTIFY CAPABILITIES THAT 2270 01:33:43,000 --> 01:33:44,760 AN INSTITUTE SAYS THAT WOULD 2271 01:33:44,760 --> 01:33:48,160 ENABLE THEM TO DO MORE BY 2272 01:33:48,160 --> 01:33:49,120 TELEHEALTH, WE CAN CERTAINLY 2273 01:33:49,120 --> 01:33:55,040 HAVE A LOOK AT THAT. 2274 01:33:55,040 --> 01:34:00,200 >>DR. GILMAN, IN REFERENCE TO 2275 01:34:00,200 --> 01:34:03,880 TELEHEALTH, WHAT ABOUT THE 2276 01:34:03,880 --> 01:34:05,320 PATIENTS THAT LIVE FAR AWAY AND 2277 01:34:05,320 --> 01:34:07,080 WE HAVE TO GET BLOOD WORK DONE, 2278 01:34:07,080 --> 01:34:10,120 WILL WE BE ABLE TO GET OUR BLOOD 2279 01:34:10,120 --> 01:34:12,960 WORK DONE AT ONE OF OUR LOCAL 2280 01:34:12,960 --> 01:34:15,280 FACILITIES, AND THEN THEY 2281 01:34:15,280 --> 01:34:17,720 WILL -- LIKE THEY DO LIKE -- 2282 01:34:17,720 --> 01:34:26,520 >>SO ANTOINETTE, LET ME -- THAT 2283 01:34:26,520 --> 01:34:29,720 IS A -- THAT WAS A CONTRACTING 2284 01:34:29,720 --> 01:34:31,360 ISSUE AND IT WAS AN INITIATIVE 2285 01:34:31,360 --> 01:34:33,840 THAT WE WORKED ON IN THE 2286 01:34:33,840 --> 01:34:36,680 CLINICAL CENTER FOR A LONG 2287 01:34:36,680 --> 01:34:38,480 PERIOD OF TIME, AND I HAVEN'T 2288 01:34:38,480 --> 01:34:42,160 HEARD ANYTHING ABOUT IT IN A 2289 01:34:42,160 --> 01:34:42,600 WHILE. 2290 01:34:42,600 --> 01:34:44,120 BUT I CAN CHECK ON THAT AND 2291 01:34:44,120 --> 01:34:47,640 WE'LL GET YOU AN ANSWER. 2292 01:34:47,640 --> 01:34:50,280 >>THANKS. 2293 01:34:50,280 --> 01:34:51,920 >>OKAY, THANK YOU VERY MUCH, 2294 01:34:51,920 --> 01:34:52,520 JIM. 2295 01:34:52,520 --> 01:34:53,320 REALLY APPRECIATE IT. 2296 01:34:53,320 --> 01:34:54,320 WE LOOK FORWARD TO HEARING 2297 01:34:54,320 --> 01:34:55,960 UPDATES ON THE PLAN, MAYBE AT 2298 01:34:55,960 --> 01:34:57,600 THE NEXT BOARD MEETING. 2299 01:34:57,600 --> 01:34:59,000 CERTAINLY I DON'T KNOW HOW MANY 2300 01:34:59,000 --> 01:35:02,280 ORGANIZATIONS CAN HAVE LEAD THE 2301 01:35:02,280 --> 01:35:03,720 WORLD AS THEIR NUMBER ONE GOAL 2302 01:35:03,720 --> 01:35:11,600 WITHOUT IT BEING CONSIDERED HIGH 2303 01:35:11,600 --> 01:35:18,720 HYPERBOLE OR -- SO NEXT UP, 2304 01:35:18,720 --> 01:35:22,320 DR. GWEN WALLEN, CHIEF OF THE 2305 01:35:22,320 --> 01:35:23,040 TRANSLATIONAL BIOBEHAVIORAL AND 2306 01:35:23,040 --> 01:35:24,800 HEALTH DISPARITIES BRANCH. 2307 01:35:24,800 --> 01:35:26,240 THIS IS A TREAT TO HAVE 2308 01:35:26,240 --> 01:35:27,760 DR. WALLEN PRESENTING AS SHE HAS 2309 01:35:27,760 --> 01:35:28,960 SPENT RECENT YEARS INTERACTING 2310 01:35:28,960 --> 01:35:30,600 FREQUENTLY WITH THE BOARD IN HER 2311 01:35:30,600 --> 01:35:31,720 PRIOR POSITION AS THE CHIEF 2312 01:35:31,720 --> 01:35:32,920 NURSING OFFICER HERE AT THE 2313 01:35:32,920 --> 01:35:33,600 CLINICAL CENTER. 2314 01:35:33,600 --> 01:35:36,080 SO GWEN IS NOW PE PURSUING HER 2315 01:35:36,080 --> 01:35:37,200 PASSION FOR NURSING RESEARCH AND 2316 01:35:37,200 --> 01:35:38,840 WE LOOK FORWARD TO HEARING OF 2317 01:35:38,840 --> 01:35:41,040 HER CURRENT EFFORTS. 2318 01:35:41,040 --> 01:35:42,560 SO GWEN, I'LL TURN IT OVER TO 2319 01:35:42,560 --> 01:35:42,720 YOU. 2320 01:35:42,720 --> 01:35:44,120 >>THANK YOU, GOOD MORNING. 2321 01:35:44,120 --> 01:35:45,640 FIRST OF ALL, THANK YOU FOR 2322 01:35:45,640 --> 01:35:47,120 HAVING ME HERE IN THIS NEW ROLE, 2323 01:35:47,120 --> 01:35:48,680 AND I'M REALLY EXCITED TO TALK 2324 01:35:48,680 --> 01:35:50,160 TO YOU ABOUT OUR NEW BRANCH AND 2325 01:35:50,160 --> 01:35:52,080 I KNOW IT'S A MOUTHFUL, BUT 2326 01:35:52,080 --> 01:35:54,800 WE'RE KNOWN AS TBHD NOW AROUND 2327 01:35:54,800 --> 01:35:56,000 THE BUILDING, AND NEXT MONTH 2328 01:35:56,000 --> 01:35:57,640 WILL BE OUR TWO-YEAR 2329 01:35:57,640 --> 01:35:58,560 ANNIVERSARY. 2330 01:35:58,560 --> 01:36:02,040 THIS WAS THE BRAIN CHILD OF BOTH 2331 01:36:02,040 --> 01:36:03,000 DR. GALLIN AND WITH THE SUPPORT 2332 01:36:03,000 --> 01:36:07,920 OF DR. GILMAN OF DEVELOPING THIS 2333 01:36:07,920 --> 01:36:09,000 STANDALONE BRANCH AT THE 2334 01:36:09,000 --> 01:36:11,240 CLINICAL CENTER THAT WOULD FOCUS 2335 01:36:11,240 --> 01:36:12,920 ON INTERDISCIPLINARY RESEARCH AS 2336 01:36:12,920 --> 01:36:14,280 WELL AS FOCUS ON HEALTH 2337 01:36:14,280 --> 01:36:17,320 DISPARITIES AND BIOBEHAVIORAL 2338 01:36:17,320 --> 01:36:21,080 RESEARCH. 2339 01:36:21,080 --> 01:36:22,640 CAN I ADVANCE THEM MYSELF OR 2340 01:36:22,640 --> 01:36:23,240 WILL YOU? 2341 01:36:23,240 --> 01:36:24,240 OKAY. 2342 01:36:24,240 --> 01:36:27,520 SO I APOLOGIZE FOR THE SMALL 2343 01:36:27,520 --> 01:36:27,920 LETTERING. 2344 01:36:27,920 --> 01:36:30,360 I TOOK A DEEP GULP BECAUSE I 2345 01:36:30,360 --> 01:36:31,880 HEARD DAVID THIS MORNING GO, I 2346 01:36:31,880 --> 01:36:33,320 REALLY HATE WHEN PEOPLE HAVE 2347 01:36:33,320 --> 01:36:35,600 TINY, TINY WORDS ON THE SLIDES. 2348 01:36:35,600 --> 01:36:39,200 BUT THIS IS A SCHEMA OF THE 2349 01:36:39,200 --> 01:36:42,040 MISSION AND VISION AND GOALS WE 2350 01:36:42,040 --> 01:36:43,160 DEVELOPED FOR OUR BRANCH DURING 2351 01:36:43,160 --> 01:36:44,680 THE PAST YEAR, WORKING WITH THE 2352 01:36:44,680 --> 01:36:46,320 OFFICE OF STRATEGIC PLANNING AND 2353 01:36:46,320 --> 01:36:48,440 MANAGEMENT OPERATIONS IN THE 2354 01:36:48,440 --> 01:36:50,920 OFFICE OF THE DIRECTOR. 2355 01:36:50,920 --> 01:36:51,840 AND I'M EXCITED ABOUT IT BECAUSE 2356 01:36:51,840 --> 01:36:53,400 IT REALLY WAS AN EFFORT FROM 2357 01:36:53,400 --> 01:36:56,920 EACH OF OUR INVESTIGATORS. 2358 01:36:56,920 --> 01:36:58,680 WE CAME TOGETHER OVER A 2359 01:36:58,680 --> 01:37:00,440 SIX-MONTH PERIOD WHICH I THOUGHT 2360 01:37:00,440 --> 01:37:01,960 THAT'S SUCH A LONG AMOUNT OF 2361 01:37:01,960 --> 01:37:03,160 TIME TO DO THIS BUT IT REALLY 2362 01:37:03,160 --> 01:37:03,840 CAME TOGETHER WELL. 2363 01:37:03,840 --> 01:37:06,760 SO OUR MISSION IS TO ADVANCE 2364 01:37:06,760 --> 01:37:07,640 INTERDISCIPLINARY TRANSLATIONAL 2365 01:37:07,640 --> 01:37:10,200 SCIENCE FOCUSED ON 2366 01:37:10,200 --> 01:37:10,960 BIOBEHAVIORAL, CLINICAL AND 2367 01:37:10,960 --> 01:37:12,440 COMMUNITY STUDIES TO IMPROVE 2368 01:37:12,440 --> 01:37:13,880 WHOLE PERSON HEALTH. 2369 01:37:13,880 --> 01:37:15,320 AND I'LL TALK AS WE GO ALONG 2370 01:37:15,320 --> 01:37:16,960 ABOUT WHERE THAT FITS IN WITH 2371 01:37:16,960 --> 01:37:17,520 OUR PORTFOLIO. 2372 01:37:17,520 --> 01:37:18,720 I'M JUST GOING TO TOUCH ON SOME 2373 01:37:18,720 --> 01:37:20,040 OF THE THINGS WE'RE DOING JUST 2374 01:37:20,040 --> 01:37:22,080 BECAUSE I HAVE THE HALF AN HOUR 2375 01:37:22,080 --> 01:37:24,080 OF TIME. 2376 01:37:24,080 --> 01:37:27,560 AND THEN OUR VISION IS A BIG 2377 01:37:27,560 --> 01:37:30,720 VISION, BUT IT'S WORLD WHERE 2378 01:37:30,720 --> 01:37:32,600 SUSTAINABLE HEALTH PROMOTING 2379 01:37:32,600 --> 01:37:33,560 BEHAVIORS IMPROVE THE HEALTH OF 2380 01:37:33,560 --> 01:37:34,840 ALL LOCAL AND GLOBAL COMMUNITIES 2381 01:37:34,840 --> 01:37:36,960 THROUGH A NETWORK OF 2382 01:37:36,960 --> 01:37:39,360 INSTITUTIONAL, SCIENTIFIC, AND 2383 01:37:39,360 --> 01:37:40,760 COMMUNITY-ENGAGED PARTNERSHIPS 2384 01:37:40,760 --> 01:37:42,200 LEADING BIOBEHAVIORAL RESEARCH. 2385 01:37:42,200 --> 01:37:44,960 AND FOR OUR GROUP, THE COMMUNITY 2386 01:37:44,960 --> 01:37:46,040 ENGAGED PARTNERSHIPS IS A BIG 2387 01:37:46,040 --> 01:37:48,440 PART OF EVERYTHING THAT WE DO. 2388 01:37:48,440 --> 01:37:52,480 AND OUR FIRST GOAL IS TO ADVANCE 2389 01:37:52,480 --> 01:37:54,120 KEY BIOBEHAVIORAL RESEARCH. 2390 01:37:54,120 --> 01:37:55,040 ABOUT EIGHT YEARS AGO, WHEN WE 2391 01:37:55,040 --> 01:37:56,920 HAD OUR FIRST BOARD OF 2392 01:37:56,920 --> 01:37:58,280 SCIENTIFIC COUNSELORS, WHICH IS 2393 01:37:58,280 --> 01:38:01,680 WHEN EXTRAMURAL SCIENTISTS COME 2394 01:38:01,680 --> 01:38:03,360 IN TO EVALUATE OUR PROGRAM 2395 01:38:03,360 --> 01:38:05,120 BEFORE WE WERE ACTUALLY THIS 2396 01:38:05,120 --> 01:38:07,840 BRANCH AND WE WERE PART OF THE 2397 01:38:07,840 --> 01:38:08,920 NURSING DEPARTMENT, ONE OF THE 2398 01:38:08,920 --> 01:38:10,560 THINGS THAT THEY SAID WAS YOU DO 2399 01:38:10,560 --> 01:38:12,120 A LOT OF REALLY GOOD WORK IN 2400 01:38:12,120 --> 01:38:14,200 HEALTH DISPARITIES AND BEHAVIOR, 2401 01:38:14,200 --> 01:38:16,400 BUT WHERE'S THE BIO SIDE OF THE 2402 01:38:16,400 --> 01:38:16,800 BEHAVIOR? 2403 01:38:16,800 --> 01:38:18,600 SO THAT'S HOW WE STARTED 2404 01:38:18,600 --> 01:38:20,200 FOCUSING ON THE BIOBEHAVIORAL 2405 01:38:20,200 --> 01:38:23,040 SIDE OF THINGS. 2406 01:38:23,040 --> 01:38:25,160 AND THEN AT FIRST IT REALLY WAS 2407 01:38:25,160 --> 01:38:26,240 FOCUSED INWARD, SO TRYING TO GET 2408 01:38:26,240 --> 01:38:27,880 OUR INVESTIGATORS TO TARGET 2409 01:38:27,880 --> 01:38:29,720 FIRST DOING SIX PAPERS A YEAR, 2410 01:38:29,720 --> 01:38:32,280 AND THEN 10 PAPERS A YEAR, AND 2411 01:38:32,280 --> 01:38:37,600 ALSO PUTTING DOWN STANDARD 2412 01:38:37,600 --> 01:38:38,800 OPERATING PROCEDURES IN A NEW 2413 01:38:38,800 --> 01:38:39,760 LABORATORY WE HAVE THAT'S PART 2414 01:38:39,760 --> 01:38:40,920 OF THE NATIONAL INSTITUTE OF 2415 01:38:40,920 --> 01:38:42,760 NURSING RESEARCH. 2416 01:38:42,760 --> 01:38:44,280 THROUGH A MEMORANDUM OF 2417 01:38:44,280 --> 01:38:45,600 UNDERSTANDING, THEY'VE GIVEN US 2418 01:38:45,600 --> 01:38:47,160 BENCH SPACE WITHIN THEIR 2419 01:38:47,160 --> 01:38:48,440 INTRAMURAL PROGRAM. 2420 01:38:48,440 --> 01:38:50,560 AND THEN STANDARDIZING OUR 2421 01:38:50,560 --> 01:38:51,960 WORKFLOW SINCE THE BENCH AREA 2422 01:38:51,960 --> 01:38:53,400 WAS NEW FOR US. 2423 01:38:53,400 --> 01:38:56,680 WE'RE REALLY EXCITED AND IT'S 2424 01:38:56,680 --> 01:38:58,560 BEEN ACCELERATING QUITE QUICKLY. 2425 01:38:58,560 --> 01:39:00,840 THE SECOND GOAL, DEVELOPING 2426 01:39:00,840 --> 01:39:01,840 INNOVATIVE TRAINING APPROACHES. 2427 01:39:01,840 --> 01:39:04,760 WE'RE GETTING READY TO -- PART 2428 01:39:04,760 --> 01:39:06,680 OF THIS IS TO RECRUIT AND 2429 01:39:06,680 --> 01:39:07,640 IDENTIFY DIVERSE PEOPLE AND IT 2430 01:39:07,640 --> 01:39:09,160 GOES ALONG WITH THE FOURTH GOAL, 2431 01:39:09,160 --> 01:39:11,840 WHICH IS DEIA AT THE NIH LEVEL. 2432 01:39:11,840 --> 01:39:13,680 BUT REALLY DOING THIS THROUGH 2433 01:39:13,680 --> 01:39:16,440 DEVELOPING PARTNERSHIPS BOTH 2434 01:39:16,440 --> 01:39:19,520 INTERNALLY, NATIONALLY, AND 2435 01:39:19,520 --> 01:39:21,480 GLOBALLY, AND BEGINNING NEXT 2436 01:39:21,480 --> 01:39:25,080 MONTH, WE WILL HAVE THE FIRST 2437 01:39:25,080 --> 01:39:26,520 COHORT OF STUDENTS FOR THE 2438 01:39:26,520 --> 01:39:31,320 PATHWAY TO PH.D. FOR UNDERSERVED 2439 01:39:31,320 --> 01:39:33,040 STUDENTS IN THE SCHOOL OF 2440 01:39:33,040 --> 01:39:34,240 NURSING AT JOHNS HOPKINS 2441 01:39:34,240 --> 01:39:34,560 UNIVERSITY. 2442 01:39:34,560 --> 01:39:35,640 THEY'LL BE COMING HERE FOR AN 2443 01:39:35,640 --> 01:39:37,200 EXPERIENCE WITH US OVER SEVERAL 2444 01:39:37,200 --> 01:39:39,160 DAYS AND THEY'LL BE DOING THAT 2445 01:39:39,160 --> 01:39:40,480 OVER -- THEY'LL HAVE DIFFERENT 2446 01:39:40,480 --> 01:39:42,880 COHORT OVER FIVE YEARS. 2447 01:39:42,880 --> 01:39:46,920 SO POSTBACCALAUREATE STUDENTS 2448 01:39:46,920 --> 01:39:48,320 WHO ARE ABLE TO SEE THE 2449 01:39:48,320 --> 01:39:51,520 POTENTIAL FOR GOING INTO 2450 01:39:51,520 --> 01:39:53,480 PH.D.s, SO REALLY STARTING 2451 01:39:53,480 --> 01:39:54,760 EARLY ON. 2452 01:39:54,760 --> 01:39:55,720 ALSO STARTING WITH HIGH SCHOOL 2453 01:39:55,720 --> 01:39:57,800 STUDENTS IN BIOINFORMATICS, AND 2454 01:39:57,800 --> 01:40:00,280 THEN WE'RE DOING -- WE'RE 2455 01:40:00,280 --> 01:40:02,840 GETTING READY IN SEPTEMBER TO 2456 01:40:02,840 --> 01:40:04,240 WELCOME TWO STUDENTS IN THE 2457 01:40:04,240 --> 01:40:05,640 BIOSCIENCES FROM THE UNIVERSITY 2458 01:40:05,640 --> 01:40:09,880 OF CALEDONIA IN SCOTLAND. 2459 01:40:09,880 --> 01:40:11,920 AND THEN BUILDING THESE 2460 01:40:11,920 --> 01:40:14,080 COLLABORATIONS FROM BOTH 2461 01:40:14,080 --> 01:40:16,560 INTERNAL BRANCHES AND EXTERNAL 2462 01:40:16,560 --> 01:40:18,080 AND THEN GOING AND SPEAKING IN 2463 01:40:18,080 --> 01:40:19,360 CONFERENCES, WE'RE DOING A LOT 2464 01:40:19,360 --> 01:40:21,920 OF WORK CURRENTLY WITH THE 2465 01:40:21,920 --> 01:40:23,120 NATIONAL INSTITUTE OF ALCOHOL 2466 01:40:23,120 --> 01:40:24,760 ABUSE AND ALCOHOLISM, AS WELL AS 2467 01:40:24,760 --> 01:40:26,480 THE NATIONAL INSTITUTE OF DENTAL 2468 01:40:26,480 --> 01:40:29,880 AND CRANIOFACIAL RESEARCH, AND 2469 01:40:29,880 --> 01:40:32,200 NATIONAL HEART, LUNG AND BLOOD 2470 01:40:32,200 --> 01:40:32,760 INSTITUTE. 2471 01:40:32,760 --> 01:40:34,800 WE'VE ALSO RECEIVED SOME 2472 01:40:34,800 --> 01:40:37,000 INTRAMURAL FUNDING SUPPORT FROM 2473 01:40:37,000 --> 01:40:40,480 DR. SMITH, WHO YOU SAW IN ONE OF 2474 01:40:40,480 --> 01:40:42,240 THE EARLIER SLIDES, THE ACTING 2475 01:40:42,240 --> 01:40:44,760 DIRECTOR FOR OBSSR, WHICH IS 2476 01:40:44,760 --> 01:40:46,440 HELPING US A LOT AS WE'RE 2477 01:40:46,440 --> 01:40:49,720 GROWING. 2478 01:40:49,720 --> 01:40:52,120 SO THIS IS HOW WE DO OUR 2479 01:40:52,120 --> 01:40:52,680 TRANSLATION PIECE. 2480 01:40:52,680 --> 01:40:56,600 IT REALLY ISN'T ABOUT BENCH TO 2481 01:40:56,600 --> 01:40:57,720 BEDSIDE, IT REALLY IS ABOUT 2482 01:40:57,720 --> 01:40:59,160 GOING INTO THE COMMUNITY AND 2483 01:40:59,160 --> 01:41:02,160 THEN COMING BACK TO THE BENCH, 2484 01:41:02,160 --> 01:41:04,800 BEDSIDE, OUTPATIENT, AND NOT 2485 01:41:04,800 --> 01:41:06,680 JUST STARTING IN THE LAB AND 2486 01:41:06,680 --> 01:41:08,120 GOING OUT BUT REALLY BRINGING 2487 01:41:08,120 --> 01:41:08,560 THINGS BACK. 2488 01:41:08,560 --> 01:41:11,040 SO THESE ARE SOME OF OUR 2489 01:41:11,040 --> 01:41:11,960 INVESTIGATORS, AND I'LL TALK 2490 01:41:11,960 --> 01:41:13,680 ABOUT EACH OF THEM IN A BIT MORE 2491 01:41:13,680 --> 01:41:17,520 DETAIL. 2492 01:41:17,520 --> 01:41:19,080 SO OUR PROGRAM FOCUSES AROUND 2493 01:41:19,080 --> 01:41:21,560 WHAT WE CALL THREE PILLARS OF 2494 01:41:21,560 --> 01:41:22,920 HEALTH, AND THE THREE BEHAVIORS 2495 01:41:22,920 --> 01:41:24,320 THAT OUR PROGRAM IS FOCUSING 2496 01:41:24,320 --> 01:41:25,640 AROUND, WHICH IS EXERCISE, SLEEP 2497 01:41:25,640 --> 01:41:28,480 AND NUTRITION. 2498 01:41:28,480 --> 01:41:31,000 AND WE USE THE HEALTHY PEOPLE 2499 01:41:31,000 --> 01:41:31,960 2030 SOCIAL DETERMINANTS OF 2500 01:41:31,960 --> 01:41:32,240 HEALTH. 2501 01:41:32,240 --> 01:41:35,960 SO LOOKING AT HEALTHCARE ACCESS, 2502 01:41:35,960 --> 01:41:37,280 NEIGHBORHOOD AND BUILT 2503 01:41:37,280 --> 01:41:39,000 ENVIRONMENT, SOCIAL AND 2504 01:41:39,000 --> 01:41:40,440 COMMUNITY CONTEXT, ECONOMIC 2505 01:41:40,440 --> 01:41:42,000 STABILITY, AND THEN EDUCATION 2506 01:41:42,000 --> 01:41:43,640 ACCESS AND QUALITY. 2507 01:41:43,640 --> 01:41:45,480 AND WITHIN THOSE, WE HAVE 2508 01:41:45,480 --> 01:41:48,320 SPECIFIC VARIABLES THAT WE'RE 2509 01:41:48,320 --> 01:41:52,080 LOOKING AND FOCUSING ON. 2510 01:41:52,080 --> 01:41:53,680 THIS IS ONE OF OUR FIRST 2511 01:41:53,680 --> 01:41:54,480 INVESTIGATORS THAT I'M GOING TO 2512 01:41:54,480 --> 01:41:57,440 TALK ABOUT. 2513 01:41:57,440 --> 01:42:02,320 DR. LENA LE IS TRAINE -- LEE ISD 2514 01:42:02,320 --> 01:42:04,360 CLINICALLY AS A NURSE. 2515 01:42:04,360 --> 01:42:06,760 SHE RUNS OUR BIOBEHAVIORAL 2516 01:42:06,760 --> 01:42:08,360 OUTCOMES IN CANCER AND 2517 01:42:08,360 --> 01:42:09,160 CAREGIVING UNIT. 2518 01:42:09,160 --> 01:42:11,480 HER LAY TEST STUDY JUST GOT 2519 01:42:11,480 --> 01:42:13,120 APPROVED BY THE IRB, WORKING 2520 01:42:13,120 --> 01:42:18,160 WITH CAREGIVERS OF PATIENTS 2521 01:42:18,160 --> 01:42:20,040 RECEIVING STEM CELL TRANSPLANT. 2522 01:42:20,040 --> 01:42:21,840 BASED ON A PREVIOUS STUDY DONE 2523 01:42:21,840 --> 01:42:27,040 BY HER GROUP THAT USED 2524 01:42:27,040 --> 01:42:30,880 YOGA-BASED INTERVENTIONS, WE'VE 2525 01:42:30,880 --> 01:42:33,800 DEVELOPED THIS VIRTUAL REALITY 2526 01:42:33,800 --> 01:42:35,320 TECHNOLOGY FOR OUR PATIENTS. 2527 01:42:35,320 --> 01:42:39,840 SO THEY'LL BE RECEIVING VIRTUAL 2528 01:42:39,840 --> 01:42:41,160 REALITY BASED ON SOME OF THE 2529 01:42:41,160 --> 01:42:42,360 INPUTS THAT THEY GAVE US FROM 2530 01:42:42,360 --> 01:42:43,440 PREVIOUS WORK THAT WE WERE 2531 01:42:43,440 --> 01:42:44,240 DOING. 2532 01:42:44,240 --> 01:42:45,760 SUCH AS IT'S HARD TO GET A PLACE 2533 01:42:45,760 --> 01:42:47,760 TO DO IT, IT'S HARD TO GET 2534 01:42:47,760 --> 01:42:50,240 IMMERSED IN A PRACTICE OF YOGA 2535 01:42:50,240 --> 01:42:52,360 AND MINDFULNESS, AND WITH THIS 2536 01:42:52,360 --> 01:42:56,640 ONE, WE ARE ADDING A BIO SIDE OF 2537 01:42:56,640 --> 01:42:58,640 THE BIOBEHAVIORAL AND DOING SOME 2538 01:42:58,640 --> 01:42:59,480 SALIVARY MARKERS. 2539 01:42:59,480 --> 01:43:01,240 ONE OF THE REASONS WE'RE DOING 2540 01:43:01,240 --> 01:43:03,440 THAT IS TO TRY TO DECREASE THE 2541 01:43:03,440 --> 01:43:05,400 BURDEN ON OUR CAREGIVER 2542 01:43:05,400 --> 01:43:06,720 PARTICIPANTS WHO ARE HAVING 2543 01:43:06,720 --> 01:43:08,560 BLOOD DRAWN BUT ACTUALLY BE ABLE 2544 01:43:08,560 --> 01:43:11,760 TO DO SOME SALIVARY MARKERS BY 2545 01:43:11,760 --> 01:43:13,280 TEACHING THEM HOW TO COLLECT THE 2546 01:43:13,280 --> 01:43:15,040 ISALIVA AT HOME, STORE IT AND 2547 01:43:15,040 --> 01:43:18,360 BRING IT IN FOR US, THAT WAY 2548 01:43:18,360 --> 01:43:19,600 NEGATING HAVING TO HAVE THEIR 2549 01:43:19,600 --> 01:43:20,240 BLOOD DRAWN. 2550 01:43:20,240 --> 01:43:23,880 THIS IS ONE OF OUR PHYSICIAN 2551 01:43:23,880 --> 01:43:25,000 INVESTIGATORS WHO'S CURRENTLY A 2552 01:43:25,000 --> 01:43:27,480 STAFF SCIENTIST, DR. NICOLE 2553 01:43:27,480 --> 01:43:27,720 FARMER. 2554 01:43:27,720 --> 01:43:32,640 SHE HEADS UP THE SECTION ON DIET 2555 01:43:32,640 --> 01:43:34,920 AND BIOPSYCHOSOCIAL HEALTH. 2556 01:43:34,920 --> 01:43:36,800 AND HER AREA OF EXPERTISE HAS 2557 01:43:36,800 --> 01:43:41,520 BEEN WORKING WITH SICKLE CELL 2558 01:43:41,520 --> 01:43:43,280 PATIENTS AND NUTRITION, AND RUNS 2559 01:43:43,280 --> 01:43:45,000 A STUDY RIGHT NOW AND THIS GETS 2560 01:43:45,000 --> 01:43:48,960 A LITTLE BIT TO YOUR COMMENT, 2561 01:43:48,960 --> 01:43:53,360 ANTOINETTE, IN THAT IN THE STUDY 2562 01:43:53,360 --> 01:43:54,760 THAT THEY'RE DOING CURRENTLY 2563 01:43:54,760 --> 01:43:57,040 OUTPATIENT, WE'RE ALSO DOING -- 2564 01:43:57,040 --> 01:43:58,720 GETTING PATIENTS OFF SITE AND IN 2565 01:43:58,720 --> 01:44:00,880 RURAL AREAS, LARGE NUMBERS OF 2566 01:44:00,880 --> 01:44:03,320 PATIENTS CALLING AND WANTING TO 2567 01:44:03,320 --> 01:44:04,360 PARTICIPATE, AND SO WE'VE BEEN 2568 01:44:04,360 --> 01:44:07,080 ABLE, THROUGH SOME FUNDING FROM 2569 01:44:07,080 --> 01:44:08,520 THE NATIONAL HUMAN GENOME 2570 01:44:08,520 --> 01:44:10,920 RESEARCH INSTITUTE, WE'VE BEEN 2571 01:44:10,920 --> 01:44:13,240 ABLE TO PAY A CONTRACT FOR 2572 01:44:13,240 --> 01:44:14,960 HAVING THEM HAVE THEIR BLOOD 2573 01:44:14,960 --> 01:44:18,920 DRAWN OUTSIDE AND THEN COME IN 2574 01:44:18,920 --> 01:44:20,960 OR HAVE TELEHEALTH VISIT. 2575 01:44:20,960 --> 01:44:22,640 SO IT'S BEEN A WAY FOR THEM TO 2576 01:44:22,640 --> 01:44:23,840 CONNECT WITH US WITHOUT HAVING 2577 01:44:23,840 --> 01:44:25,440 TO NECESSARILY COME IN, AND WE 2578 01:44:25,440 --> 01:44:27,160 REALIZE THE INTEREST IS BIG, 2579 01:44:27,160 --> 01:44:28,120 BECAUSE WE ORIGINALLY THOUGHT 2580 01:44:28,120 --> 01:44:29,880 THAT IT WOULD BE ONLY A SMALL 2581 01:44:29,880 --> 01:44:30,840 PERCENTAGE THAT WOULD TAKE US UP 2582 01:44:30,840 --> 01:44:32,280 AND NOW WE HAVE A LARGER 2583 01:44:32,280 --> 01:44:34,040 PERCENTAGE OF PEOPLE THAT ARE 2584 01:44:34,040 --> 01:44:36,560 ACTUALLY USING THE ABILITY TO DO 2585 01:44:36,560 --> 01:44:40,280 IT OFF SITE AND THEN GET THE 2586 01:44:40,280 --> 01:44:42,480 RESULTS SENT IN TO US. 2587 01:44:42,480 --> 01:44:48,840 BUT DR. FARMER IS HOPING TO GO 2588 01:44:48,840 --> 01:44:50,760 INTO A TENURE TRACK POSITION IN 2589 01:44:50,760 --> 01:44:54,000 THE NEAR FUTURE. 2590 01:44:54,000 --> 01:44:56,120 I KNOW THAT SHE HAS APPLIED FOR 2591 01:44:56,120 --> 01:44:57,480 ONE OF THE TENURE TRACK 2592 01:44:57,480 --> 01:45:00,880 POSITIONS THAT WE HAVE POSTED 2593 01:45:00,880 --> 01:45:03,960 AND DR. GRADY HAS RECEIVED NINE 2594 01:45:03,960 --> 01:45:05,840 APPLICATIONS FOR THAT POSITION. 2595 01:45:05,840 --> 01:45:06,880 SHE'S RUNNING THE SEARCH FOR 2596 01:45:06,880 --> 01:45:07,240 THAT. 2597 01:45:07,240 --> 01:45:08,560 SO WE SHOULD KNOW ABOUT THAT IN 2598 01:45:08,560 --> 01:45:13,600 A FEW MONTHS FROM NOW. 2599 01:45:13,600 --> 01:45:14,600 DR. FARMER IS ALSO DOING A 2600 01:45:14,600 --> 01:45:15,360 COMMUNITY STUDY. 2601 01:45:15,360 --> 01:45:17,760 WE'RE GETTING READY. 2602 01:45:17,760 --> 01:45:19,200 IT'S CHALLENGING TO DO COMMUNITY 2603 01:45:19,200 --> 01:45:22,080 STUDIES TOO AS AN INTRAMURAL 2604 01:45:22,080 --> 01:45:25,360 PROGRAM, WE ARE TRYING TO 2605 01:45:25,360 --> 01:45:26,560 FINALIZE A CONTRACT WITH 2606 01:45:26,560 --> 01:45:27,880 MARTHA'S KITCHEN IN D.C. , 2607 01:45:27,880 --> 01:45:28,760 BECAUSE THAT IS WHERE WE WANT 2608 01:45:28,760 --> 01:45:31,200 OUR PARTICIPANTS TO BE ABLE TO 2609 01:45:31,200 --> 01:45:33,160 DO THE INTERVENTION, THEY'LL BE 2610 01:45:33,160 --> 01:45:36,320 DOING A COOKING STUDY LOOKING AT 2611 01:45:36,320 --> 01:45:37,960 COOKING THE MEDITERRANEAN DIET 2612 01:45:37,960 --> 01:45:39,160 AND WHETHER LEARNING HOW TO COOK 2613 01:45:39,160 --> 01:45:40,640 AND BE A PART OF THAT INCREASES 2614 01:45:40,640 --> 01:45:45,480 THEIR SELF-EFFICACY FOR BEING 2615 01:45:45,480 --> 01:45:47,720 ABLE TO COVER AND ADHERE TO A 2616 01:45:47,720 --> 01:45:49,760 DIET. 2617 01:45:49,760 --> 01:45:56,520 THIS IS KATHERINE MAKI, SHE RUNS 2618 01:45:56,520 --> 01:45:58,640 THE BIOBEHAVIORAL AND INTEGRATED 2619 01:45:58,640 --> 01:46:03,040 META GENOMICS OR OUR BIOM UNIT. 2620 01:46:03,040 --> 01:46:04,480 KATHERINE IS CURRENTLY ON LEAVE. 2621 01:46:04,480 --> 01:46:07,880 THE NEWEST PERSON IN OUR GROUP 2622 01:46:07,880 --> 01:46:10,280 HAS A BRAND NEW BABY GIRL SO 2623 01:46:10,280 --> 01:46:13,360 WE'RE EXCITED ABOUT THAT, BUT 2624 01:46:13,360 --> 01:46:14,600 KATHERINE HAS BROUGHT A LOT OF 2625 01:46:14,600 --> 01:46:16,440 ENERGY AROUND OUR ALCOHOL USE 2626 01:46:16,440 --> 01:46:19,280 DISORDER WORK, LOOKING AT THE 2627 01:46:19,280 --> 01:46:22,040 GUT-BRAIN ACCESS, AND HOW THAT 2628 01:46:22,040 --> 01:46:25,360 PLAYS OUT IN THESE PATIENTS, 2629 01:46:25,360 --> 01:46:26,680 THESE REALLY COMPLEX PATIENTS 2630 01:46:26,680 --> 01:46:27,960 WITH ALCOHOL USE DISORDER THAT 2631 01:46:27,960 --> 01:46:32,440 WE ADMIT TO OUR 1 SOUTHEAST UNIT 2632 01:46:32,440 --> 01:46:34,240 INPATIENT. 2633 01:46:34,240 --> 01:46:35,680 I'VE DONE YEARS OF WORK IN SLEEP 2634 01:46:35,680 --> 01:46:38,520 IN THIS AREA, BUT WE REALLY 2635 01:46:38,520 --> 01:46:41,800 NEEDED TO DEVELOP FURTHER OUR 2636 01:46:41,800 --> 01:46:43,360 MICROBIOME SECTION, AND WE HAVE 2637 01:46:43,360 --> 01:46:46,640 BEEN SEEING SOME INTERESTING 2638 01:46:46,640 --> 01:46:48,480 RESULTS AND WE'LL SOON BE 2639 01:46:48,480 --> 01:46:50,840 PUBLISHING SOME PAPERS ON A 2640 01:46:50,840 --> 01:46:53,240 COLLABORATION WITH NIAA LOOKING 2641 01:46:53,240 --> 01:46:59,480 AT MRIs AS WELL AS FECAL 2642 01:46:59,480 --> 01:47:03,560 MICROBIOME IN ORDER TO SEE THE 2643 01:47:03,560 --> 01:47:06,800 BRAIN-GUT ACCESS. 2644 01:47:06,800 --> 01:47:10,880 THIS IS JENNIFER BARB, DATA 2645 01:47:10,880 --> 01:47:12,760 ANALYST IN THE TRANSLATIONAL 2646 01:47:12,760 --> 01:47:13,400 SCIENCE UNIT. 2647 01:47:13,400 --> 01:47:18,840 AND JEN CAME TO US FROM THE 2648 01:47:18,840 --> 01:47:21,640 COMPUTER INFORMATION TECHNOLOGY 2649 01:47:21,640 --> 01:47:24,560 GROUP, AND HAS BEEN AT THE NIH 2650 01:47:24,560 --> 01:47:27,880 ABOUT 20 YEARS, AND IS A 2651 01:47:27,880 --> 01:47:28,880 FABULOUS BIOINFORMATACIST WHO 2652 01:47:28,880 --> 01:47:30,840 STARTED OFF IN GENETICS BUT HAS 2653 01:47:30,840 --> 01:47:33,680 NOW MOVED VERY QUICKLY INTO THE 2654 01:47:33,680 --> 01:47:35,120 MICROBIOME AND HAS BROUGHT A LOT 2655 01:47:35,120 --> 01:47:38,160 OF ENERGY TO OUR GROUP AND 2656 01:47:38,160 --> 01:47:40,160 TEACHING ALSO STUDENTS COMING IN 2657 01:47:40,160 --> 01:47:43,680 ABOUT BIOINFORMATICS AND HOW WE 2658 01:47:43,680 --> 01:47:45,000 CAN LEVERAGE LARGE DATASETS THAT 2659 01:47:45,000 --> 01:47:51,480 ARE AVAILABLE TO ALL OF US. 2660 01:47:51,480 --> 01:47:52,560 I BROUGHT THIS ONE JUST BECAUSE 2661 01:47:52,560 --> 01:47:53,800 I THINK IT'S AN INTERESTING PART 2662 01:47:53,800 --> 01:47:57,200 OF OUR WORK. 2663 01:47:57,200 --> 01:48:00,560 AND THIS WAS INTERDISCIPLINARY 2664 01:48:00,560 --> 01:48:03,160 AND ALSO INTRAINSTITUTE, AND 2665 01:48:03,160 --> 01:48:04,960 IT'S THE GEOGRAPHIC SOCIAL 2666 01:48:04,960 --> 01:48:07,280 VULNERABILITY AND HUMAN 2667 01:48:07,280 --> 01:48:09,000 MICROBIOME DIVERSITY PROJECT 2668 01:48:09,000 --> 01:48:12,400 THAT WE DID WITH MEMBERS OF OUR 2669 01:48:12,400 --> 01:48:15,600 TEAM AS WELL AS FOLKS FROM NHLBI 2670 01:48:15,600 --> 01:48:16,800 AND NATIONAL INSTITUTE OF 2671 01:48:16,800 --> 01:48:19,560 MINORITY AND HEALTH DISPARITIES. 2672 01:48:19,560 --> 01:48:22,640 AND WHAT WE DID WAS, WE TOOK THE 2673 01:48:22,640 --> 01:48:25,400 PHASE 1 OF THE HUMAN MICROBIOME 2674 01:48:25,400 --> 01:48:29,080 PROJECT DATA AND LOOKED AT THE 2675 01:48:29,080 --> 01:48:30,680 SOCIAL VULNERABILITY INDEX 2676 01:48:30,680 --> 01:48:33,840 THAT'S CALCULATED, THAT'S ONE 2677 01:48:33,840 --> 01:48:34,920 THAT HAD ORIGINALLY BEEN 2678 01:48:34,920 --> 01:48:36,720 DEVELOPED BY THE CDC TO SEE IF 2679 01:48:36,720 --> 01:48:40,200 THERE WAS ANY RELATION BETWEEN 2680 01:48:40,200 --> 01:48:42,280 THOSE WHO SCORED HIGH ON THE 2681 01:48:42,280 --> 01:48:45,560 SOCIAL VULNERABILITY INDEX AND 2682 01:48:45,560 --> 01:48:48,760 THE ALPHA DIVERSITY OF ORAL SKIN 2683 01:48:48,760 --> 01:48:50,200 AIRWAYS AND UROGENITAL SITES, 2684 01:48:50,200 --> 01:48:53,000 AND WE DID FIND THAT THERE WAS A 2685 01:48:53,000 --> 01:48:55,560 SIGNIFICANT RELATIONSHIP BETWEEN 2686 01:48:55,560 --> 01:48:57,760 THE GEOGRAPHIC SOCIAL 2687 01:48:57,760 --> 01:49:00,080 VULNERABILITY AND THE DIVERSITY 2688 01:49:00,080 --> 01:49:02,440 OF THE ORAL SKIN AIRWAY AND 2689 01:49:02,440 --> 01:49:02,920 UROGENITAL. 2690 01:49:02,920 --> 01:49:04,280 AND YOU CAN SEE AT THE BOTTOM 2691 01:49:04,280 --> 01:49:07,520 RIGHT OF THIS SLIDE THAT WE ALSO 2692 01:49:07,520 --> 01:49:09,920 FOUND THAT IT WAS A SIGNIFICANT 2693 01:49:09,920 --> 01:49:13,560 MEDIATOR FOR RACIAL AND ETHNIC 2694 01:49:13,560 --> 01:49:16,640 DIFFERENCES IN UROGENITAL 2695 01:49:16,640 --> 01:49:17,960 MICROBIOME DIVERSITY FOR 2696 01:49:17,960 --> 01:49:19,600 PARTICULARLY HISPANIC, LATINX 2697 01:49:19,600 --> 01:49:20,960 AND WOMEN WHO IDENTIFIED 2698 01:49:20,960 --> 01:49:21,920 THEMSELVES AS OTHER. 2699 01:49:21,920 --> 01:49:26,400 AND THIS TO ME WAS THE PERFECT 2700 01:49:26,400 --> 01:49:27,840 EXAMPLE OF RESEARCHERS COMING 2701 01:49:27,840 --> 01:49:29,800 TOGETHER FROM DIFFERENT 2702 01:49:29,800 --> 01:49:33,640 DISCIPLINES AND THEN USING WHAT 2703 01:49:33,640 --> 01:49:34,440 IS ALREADY AVAILABLE TO US IN 2704 01:49:34,440 --> 01:49:36,240 ORDER TO GENERATE NEW HYPOTHESES 2705 01:49:36,240 --> 01:49:37,720 THAT WE CAN DO AT THE CLINICAL 2706 01:49:37,720 --> 01:49:39,480 CENTER WITH OUR PATIENT. 2707 01:49:39,480 --> 01:49:43,520 AND SO WE'RE GOING TO BE MOVING 2708 01:49:43,520 --> 01:49:45,400 FORWARD WITH A COUPLE OF NEW 2709 01:49:45,400 --> 01:49:49,240 BIOMARKER STUDIES IN THE 2710 01:49:49,240 --> 01:49:51,400 COMMUNITY AS WELL AS A STUDY IN 2711 01:49:51,400 --> 01:49:54,800 ORAL HEALTH THAT WI WE'LL BE DOG 2712 01:49:54,800 --> 01:49:57,000 WITH SEVERAL OF OUR COLLEAGUES 2713 01:49:57,000 --> 01:50:00,520 FROM VARIOUS INSTITUTES. 2714 01:50:00,520 --> 01:50:02,400 SO ANOTHER EXCITING PART ABOUT 2715 01:50:02,400 --> 01:50:05,040 OUR BRANCH IS THAT WE ARE ABLE, 2716 01:50:05,040 --> 01:50:06,440 THROUGH SOME OF OUR 2717 01:50:06,440 --> 01:50:08,640 INFRASTRUCTURE LIKE HAVING A 2718 01:50:08,640 --> 01:50:11,280 BIOINFORMATACIST AND A 2719 01:50:11,280 --> 01:50:14,680 STATISTICIAN, TO BE ABLE TO HAVE 2720 01:50:14,680 --> 01:50:16,520 INTERDISCIPLINARY TEAM SCIENCE 2721 01:50:16,520 --> 01:50:19,400 STRATEGIES WITH OUR CLINICAL 2722 01:50:19,400 --> 01:50:21,520 DEPARTMENT, SO WE ARE WORKING 2723 01:50:21,520 --> 01:50:23,040 WITH DR. FRANK, THE DIRECTOR OF 2724 01:50:23,040 --> 01:50:25,640 LABORATORY MEDICINE, ON HER 2725 01:50:25,640 --> 01:50:29,040 CLEAN MED STUDY BECAUSE SHE 2726 01:50:29,040 --> 01:50:30,600 NEEDED SOME SPECIALTY IN THE 2727 01:50:30,600 --> 01:50:32,680 MICROBIOME AREA WITH HER GROUP, 2728 01:50:32,680 --> 01:50:35,560 AND THEN IN RADIOLOGY AND 2729 01:50:35,560 --> 01:50:36,760 IMAGING SCIENCES, WE'RE WORKING 2730 01:50:36,760 --> 01:50:38,400 WITH ONE OF THEIR STAFF 2731 01:50:38,400 --> 01:50:41,040 SCIENTISTS WHO'S HELPING US WITH 2732 01:50:41,040 --> 01:50:44,120 OUR MRI WORK ON THE GUT-BRAIN -- 2733 01:50:44,120 --> 01:50:47,280 OR THE -- EXCUSE ME -- YES, THE 2734 01:50:47,280 --> 01:50:49,680 GUT-BRAIN MICROBIOME STUDY. 2735 01:50:49,680 --> 01:50:51,040 IN REHAB MEDICINE, WE ARE 2736 01:50:51,040 --> 01:50:55,080 WORKING WITH THE OCCUPATIONAL 2737 01:50:55,080 --> 01:50:58,040 HEALTH GROUP, REHAB HEALTH 2738 01:50:58,040 --> 01:51:02,000 GROUP, IN ORDER TO LOOK AT HOW 2739 01:51:02,000 --> 01:51:03,400 PEOPLE COGNITIVE -- WHAT THE 2740 01:51:03,400 --> 01:51:05,280 COGNITIVE LOAD IS ON THOSE WHO 2741 01:51:05,280 --> 01:51:07,840 ARE DOING COOKING AND HOW THAT 2742 01:51:07,840 --> 01:51:09,160 AFFECTS THEIR OUTCOMES AND I'LL 2743 01:51:09,160 --> 01:51:11,440 SHOW YOU A SLIDE IN A MINUTE. 2744 01:51:11,440 --> 01:51:13,880 AND THEN STILL CONTINUE VERY 2745 01:51:13,880 --> 01:51:14,800 CLOSELY ALIGNED WITH THE 2746 01:51:14,800 --> 01:51:16,080 CLINICAL CENTER NURSING 2747 01:51:16,080 --> 01:51:19,280 DEPARTMENT AS THEY ARE ON THEIR 2748 01:51:19,280 --> 01:51:20,640 MAGNET JOURNEY, SO WORKING 2749 01:51:20,640 --> 01:51:21,800 DIRECTLY WITH THEIR NURSES WHO 2750 01:51:21,800 --> 01:51:23,360 ARE DOING EVIDENCE-BASED 2751 01:51:23,360 --> 01:51:25,120 PRACTICE INITIATIVES ON THEIR 2752 01:51:25,120 --> 01:51:27,920 UNITS. 2753 01:51:27,920 --> 01:51:31,360 AND LAST, WHAT ARE WE UP TO NE 2754 01:51:31,360 --> 01:51:32,000 NEXT? 2755 01:51:32,000 --> 01:51:35,160 OUR DREAM IS TO BUILD THIS 2756 01:51:35,160 --> 01:51:38,040 MICROBIOME SALIVARY SCIENCE 2757 01:51:38,040 --> 01:51:39,040 CAPABILITY THAT WE WOULD ALSO BE 2758 01:51:39,040 --> 01:51:42,000 ABLE TO OFFER TO OUR COLLEAGUES 2759 01:51:42,000 --> 01:51:44,400 AT NINR AND OTHERS, AND OUR 2760 01:51:44,400 --> 01:51:46,200 STAFF WERE TRAINED AT UNIVERSITY 2761 01:51:46,200 --> 01:51:49,040 OF CALIFORNIA IRVINE IN THEIR 2762 01:51:49,040 --> 01:51:51,680 SALIVARY SCIENCE PROGRAM, SO 2763 01:51:51,680 --> 01:51:52,520 DEVELOPING THAT AND THROUGH SOME 2764 01:51:52,520 --> 01:51:53,800 OF THE FUNDING THAT WE'RE 2765 01:51:53,800 --> 01:51:56,080 RECEIVING FROM OBSSR, BEING ABLE 2766 01:51:56,080 --> 01:52:00,480 TO BRING IN ANOTHER LAB TECH AND 2767 01:52:00,480 --> 01:52:03,920 THEN HIRE SOMEONE TO ASSIST US 2768 01:52:03,920 --> 01:52:05,200 IN LEADING SOME OF THESE 2769 01:52:05,200 --> 01:52:06,400 PROJECTS AND GETTING SOME 2770 01:52:06,400 --> 01:52:07,960 POSTDOCS IN HERE THAT ARE MORE 2771 01:52:07,960 --> 01:52:11,040 ON THE MICROBIOLOGY SIDE. 2772 01:52:11,040 --> 01:52:12,840 AND THEN THIS NEW CONTRAPTION ON 2773 01:52:12,840 --> 01:52:15,000 THE RIGHT OF THE SLIDE IS A 2774 01:52:15,000 --> 01:52:17,560 MOBILE EEG, AND THIS IS ONE OF 2775 01:52:17,560 --> 01:52:21,040 OUR STUDENTS WHO VOLUNTEERED TO 2776 01:52:21,040 --> 01:52:23,840 USE IT, SO IT'S REALLY MEASURING 2777 01:52:23,840 --> 01:52:24,720 THE COGNITIVE WORKLOAD BUT IT'S 2778 01:52:24,720 --> 01:52:27,360 ALSO MEASURING HEART RATE 2779 01:52:27,360 --> 01:52:28,240 VARIABILITY AND MANY OTHER 2780 01:52:28,240 --> 01:52:30,880 THINGS WHILE SHE WAS DOING HER 2781 01:52:30,880 --> 01:52:32,120 COOKING ASSIGNMENT, AND WE WILL 2782 01:52:32,120 --> 01:52:36,920 BE USING THAT IN OUR PATIENTS, 2783 01:52:36,920 --> 01:52:38,000 EVENTUALLY OUR PARTICIPANTS THAT 2784 01:52:38,000 --> 01:52:39,720 WILL BE OUT IN THE COMMUNITY TO 2785 01:52:39,720 --> 01:52:41,760 SEE HOW THEY ARE REACTING TO 2786 01:52:41,760 --> 01:52:43,960 WHAT THEY'RE DOING WHILE THEY'RE 2787 01:52:43,960 --> 01:52:44,600 COOKING. 2788 01:52:44,600 --> 01:52:45,960 WE HAD AN INTERESTING FEEDBACK 2789 01:52:45,960 --> 01:52:50,880 FROM DAVID EISENBERG AT HARVARD 2790 01:52:50,880 --> 01:52:52,440 WHEN HE SAID WILL YOU BE ABLE TO 2791 01:52:52,440 --> 01:52:53,520 CAPTURE JOY WHEN YOU'RE DOING 2792 01:52:53,520 --> 01:52:53,680 IT. 2793 01:52:53,680 --> 01:52:55,520 SO THAT'S THE TEASE FOR US IS, 2794 01:52:55,520 --> 01:52:57,360 AS WE'RE LOOKING AT COGNITIVE 2795 01:52:57,360 --> 01:52:58,640 WORKLOAD, WILL WE BE ABLE TO SEE 2796 01:52:58,640 --> 01:52:59,480 WHETHER THEY'RE STRESSED OR 2797 01:52:59,480 --> 01:53:00,880 WHETHER THEY HAVE JOY, AND WE'LL 2798 01:53:00,880 --> 01:53:03,080 BE DOING SALIVARY SCIENCE WITH 2799 01:53:03,080 --> 01:53:07,520 THAT PIECE TOO. 2800 01:53:07,520 --> 01:53:08,800 THIS IS JUST A THANK YOU FROM 2801 01:53:08,800 --> 01:53:09,680 OUR TEAM. 2802 01:53:09,680 --> 01:53:10,760 WE'RE JUST REALLY HAPPY TO BE 2803 01:53:10,760 --> 01:53:12,160 HERE AND TALK TO YOU ALL ABOUT 2804 01:53:12,160 --> 01:53:14,640 OUR NEW ENDEAVORS, AND JUST 2805 01:53:14,640 --> 01:53:18,800 REALLY THANK ALL OF THE NIH 2806 01:53:18,800 --> 01:53:20,120 COMMUNITY AND OUTSIDE FOR 2807 01:53:20,120 --> 01:53:21,600 SUPPORTING US AS WE ARE THIS NEW 2808 01:53:21,600 --> 01:53:22,000 BRANCH. 2809 01:53:22,000 --> 01:53:26,960 SO THANK YOU. 2810 01:53:26,960 --> 01:53:29,240 >>THIS IS ABSOLUTELY FABULOUS, 2811 01:53:29,240 --> 01:53:30,240 GREAT PRESENTATION. 2812 01:53:30,240 --> 01:53:31,360 ANY QUESTIONS OR ANY COMMENTS 2813 01:53:31,360 --> 01:53:32,360 FOR GWEN? 2814 01:53:32,360 --> 01:53:35,960 I HAVE ONE. 2815 01:53:35,960 --> 01:53:37,920 AND ACTUALLY AS I WAS LISTENING 2816 01:53:37,920 --> 01:53:43,680 AND LOCKING LOOKING AT DR. LEE'N 2817 01:53:43,680 --> 01:53:44,920 V.R. AND WHAT YOU JUST SHOWED 2818 01:53:44,920 --> 01:53:45,960 ABOUT COGNITIVE WORKLOAD, IS 2819 01:53:45,960 --> 01:53:47,440 THERE A FIREWALL BETWEEN THE NIH 2820 01:53:47,440 --> 01:53:49,040 AND THE V.A. ON SOME OF THIS? 2821 01:53:49,040 --> 01:53:51,640 BECAUSE I SIT ON THE VETERANS' 2822 01:53:51,640 --> 01:53:52,400 ADMINISTRATION'S EXECUTIVE 2823 01:53:52,400 --> 01:53:54,560 ROUNDTABLE ON A.R. AND V.R., SO 2824 01:53:54,560 --> 01:53:55,640 BIG MULTICENTER TRIALS ACROSS 2825 01:53:55,640 --> 01:54:00,040 THE V.A. RIGHT NOW USING VIRTUAL 2826 01:54:00,040 --> 01:54:01,040 REALITY FOR A NUMBER OF 2827 01:54:01,040 --> 01:54:02,480 DIFFERENT THINGS, NOT ONLY 2828 01:54:02,480 --> 01:54:03,880 DISEASES BUT -- IN STRESS 2829 01:54:03,880 --> 01:54:05,440 MANAGEMENT, BUT ALSO ISOLATION. 2830 01:54:05,440 --> 01:54:07,880 I DON'T KNOW THAT WE HAVE REALLY 2831 01:54:07,880 --> 01:54:09,080 LOOKED AT THE CAREGIVER PIECE OF 2832 01:54:09,080 --> 01:54:10,840 IT THAT YOU'RE LOOKING AT. 2833 01:54:10,840 --> 01:54:12,080 AND THEN THERE'S A SUBGROUP OF 2834 01:54:12,080 --> 01:54:13,400 THIS LOOKING AT THE INTERFACE 2835 01:54:13,400 --> 01:54:15,560 BETWEEN VIRTUAL REALITY, 2836 01:54:15,560 --> 01:54:16,600 AUGMENTED REALITY AND COGNITIVE 2837 01:54:16,600 --> 01:54:17,160 LOAD. 2838 01:54:17,160 --> 01:54:19,920 SO I SEE -- I MEAN, SO THERE ARE 2839 01:54:19,920 --> 01:54:21,320 CROSSOVERS HERE, AND I THINK IT 2840 01:54:21,320 --> 01:54:23,200 WOULD BE GREAT IF YOUR TEAM 2841 01:54:23,200 --> 01:54:26,400 ACTUALLY INTERFACED WITH THE 2842 01:54:26,400 --> 01:54:27,800 ROUNDTABLE, THE WORKING GROUP 2843 01:54:27,800 --> 01:54:29,760 THAT WE'VE GOT IN THE V.A. AS 2844 01:54:29,760 --> 01:54:29,960 WELL. 2845 01:54:29,960 --> 01:54:32,000 >>WE WOULD LOVE TO, AND I DON'T 2846 01:54:32,000 --> 01:54:32,760 KNOW, SOMETIMES IT'S NOT EVEN 2847 01:54:32,760 --> 01:54:34,200 ABOUT A FIREWALL, IT'S ABOUT 2848 01:54:34,200 --> 01:54:35,640 CONNECTING THE PEOPLE, BECAUSE 2849 01:54:35,640 --> 01:54:37,720 WE'RE WORKING CLOSELY NOW WITH 2850 01:54:37,720 --> 01:54:42,120 WALTER REED'S RESEARCH GROUP, 2851 01:54:42,120 --> 01:54:43,080 AND ABLE TO DO THAT. 2852 01:54:43,080 --> 01:54:45,880 SO I DO THINK -- AND EVEN WHEN 2853 01:54:45,880 --> 01:54:47,080 WE WERE DOING A PREVIOUS WORK, 2854 01:54:47,080 --> 01:54:50,120 SOME OF MY WORK WITH SHUT EYE 2855 01:54:50,120 --> 01:54:51,840 WITH COGNITIVE BEHAVIORAL 2856 01:54:51,840 --> 01:54:53,800 THERAPY FOR INSOMNIA, WE GOT A 2857 01:54:53,800 --> 01:54:55,200 LOT OF FEEDBACK FROM PEOPLE AT 2858 01:54:55,200 --> 01:54:57,640 THE V.A., BUT IT WAS MORE AN 2859 01:54:57,640 --> 01:54:58,880 INFORMAL KIND OF WE CALL YOU AND 2860 01:54:58,880 --> 01:55:00,240 YOU CALL US, SO I THINK THERE'S 2861 01:55:00,240 --> 01:55:02,400 A LOT THAT COULD BE DONE THAT 2862 01:55:02,400 --> 01:55:05,800 WAY TOO. 2863 01:55:05,800 --> 01:55:08,080 >>IF YOU'D LIKE ME TO MAKE THE 2864 01:55:08,080 --> 01:55:09,400 FORMAL INTRODUCTIONS, I WOULD BE 2865 01:55:09,400 --> 01:55:09,880 HAPPY TO DO IT. 2866 01:55:09,880 --> 01:55:11,120 >>I WOULD LOVE IT. 2867 01:55:11,120 --> 01:55:12,640 I KNOW OUR TEAM WOULD LOVE IT 2868 01:55:12,640 --> 01:55:12,800 TOO. 2869 01:55:12,800 --> 01:55:15,720 >>I THINK THIS IS REALLY 2870 01:55:15,720 --> 01:55:16,480 SYMBIOTIC HERE SO I THINK THIS 2871 01:55:16,480 --> 01:55:17,520 WOULD BE GREAT. 2872 01:55:17,520 --> 01:55:18,960 >>IT WOULD BE OUR PLEASURE. 2873 01:55:18,960 --> 01:55:19,680 >>THANK YOU. 2874 01:55:19,680 --> 01:55:19,880 DAVID. 2875 01:55:19,880 --> 01:55:21,480 >>A QUESTION THAT I WAS CURIOUS 2876 01:55:21,480 --> 01:55:25,160 ABOUT, HAVE WE LOOKED AT THE 2877 01:55:25,160 --> 01:55:27,520 V.R. AND THE AUGMENTED REALITY 2878 01:55:27,520 --> 01:55:31,560 IN THE PARKINSON'S CLINIC AT A 2879 01:55:31,560 --> 01:55:31,720 ALL? 2880 01:55:31,720 --> 01:55:33,120 >>I DON'T KNOW IF THE 2881 01:55:33,120 --> 01:55:35,840 PARKINSON'S GROUP HAS DONE THAT. 2882 01:55:35,840 --> 01:55:40,040 I KNOW THAT OUR DIRECTOR OF THE 2883 01:55:40,040 --> 01:55:41,360 NATIONAL LIBRARY OF MEDICINE, 2884 01:55:41,360 --> 01:55:42,760 PATRICIA BRENNAN, DOES A LOT OF 2885 01:55:42,760 --> 01:55:44,360 WORK IN VIRTUAL REALITY AND WE 2886 01:55:44,360 --> 01:55:46,080 HAVE SOME OTHER COLLEAGUES, BUT 2887 01:55:46,080 --> 01:55:48,640 I'M NOT SURE ABOUT THE 2888 01:55:48,640 --> 01:55:50,200 PARKINSON'S ONE. 2889 01:55:50,200 --> 01:55:52,120 BUT I CAN LOOK INTO THAT. 2890 01:55:52,120 --> 01:55:53,360 >>WE HAVE PARKINSON'S -- I 2891 01:55:53,360 --> 01:55:55,520 MEAN, I'M ON THE BOARD OF A 2892 01:55:55,520 --> 01:55:56,960 PARKINSON'S CHARITY AND WE HAD 2893 01:55:56,960 --> 01:56:03,360 THE HIV C NIH COME IN, MEMBERS M 2894 01:56:03,360 --> 01:56:04,040 SEVERAL DIFFERENT ORGANIZATIONS 2895 01:56:04,040 --> 01:56:05,400 COME IN AND TALK TO US ABOUT NOT 2896 01:56:05,400 --> 01:56:07,240 ONLY THE PARKINSONIANS, PEOPLE 2897 01:56:07,240 --> 01:56:08,800 WITH PARKINSONS, BUT THE 2898 01:56:08,800 --> 01:56:11,040 CAREGIVERS AND THE NEED TO 2899 01:56:11,040 --> 01:56:13,520 ADDRESS STRESS AND COGNITIVE 2900 01:56:13,520 --> 01:56:15,200 CHANGES DURING THE COURSE OF THE 2901 01:56:15,200 --> 01:56:15,920 DAILY INTERACTION. 2902 01:56:15,920 --> 01:56:17,400 >>AND I THINK THAT'S WHAT WE'RE 2903 01:56:17,400 --> 01:56:18,920 LOOKING FOR, IS TO TRY TO FIGURE 2904 01:56:18,920 --> 01:56:20,680 OUT OTHER PATIENT POPULATIONS 2905 01:56:20,680 --> 01:56:22,040 TOO, BECAUSE WE ARE SEEING THAT 2906 01:56:22,040 --> 01:56:24,040 WITH MORE AND MORE CAREGIVERS, 2907 01:56:24,040 --> 01:56:27,640 AND PEOPLE STAYING AT HOME AS 2908 01:56:27,640 --> 01:56:29,160 THEY'RE BEING CARED FOR, WE ARE 2909 01:56:29,160 --> 01:56:30,960 SEEING ESPECIALLY HIGH RISK 2910 01:56:30,960 --> 01:56:32,960 ARE -- WELL, THE HIGHEST RISK 2911 01:56:32,960 --> 01:56:36,320 ARE WOMEN OVER 65, TAKING CARE 2912 01:56:36,320 --> 01:56:38,160 OF A FAMILY MEMBER THAT'S NOT 2913 01:56:38,160 --> 01:56:39,480 THEIR SPOUSE. 2914 01:56:39,480 --> 01:56:43,000 SO LIKE THEIR MOTHER OR, YOU 2915 01:56:43,000 --> 01:56:45,440 KNOW, OR A FATHER, BUT WITH THE 2916 01:56:45,440 --> 01:56:46,960 SPOUSE, IT'S A LITTLE LESS -- 2917 01:56:46,960 --> 01:56:48,600 AND I GUESS THAT'S THE 2918 01:56:48,600 --> 01:56:49,680 RELATIONSHIP, I'M NOT GOING TO 2919 01:56:49,680 --> 01:56:51,040 SPECULATE ABOUT THAT, BUT I 2920 01:56:51,040 --> 01:56:53,240 THINK TRYING DIFFERENT -- I 2921 01:56:53,240 --> 01:56:55,960 THINK TRYING DIFFERENT 2922 01:56:55,960 --> 01:56:58,880 POPULATIONS IS A GOOD -- AND I 2923 01:56:58,880 --> 01:56:59,960 CAN IMAGINE THE CAREGIVERS IN 2924 01:56:59,960 --> 01:57:00,920 THAT POPULATION WOULD BE AN 2925 01:57:00,920 --> 01:57:01,520 IMPORTANT PIECE. 2926 01:57:01,520 --> 01:57:04,800 >>THAT'S A FAIRLY LARGE 2927 01:57:04,800 --> 01:57:05,120 POPULATION. 2928 01:57:05,120 --> 01:57:06,800 >>YEAH, YEAH. 2929 01:57:06,800 --> 01:57:07,560 THANK YOU. 2930 01:57:07,560 --> 01:57:08,960 >>OKAY, THANK YOU VERY MUCH. 2931 01:57:08,960 --> 01:57:09,920 APPRECIATE THAT. 2932 01:57:09,920 --> 01:57:12,200 SO WE ARE PERFECTLY -- I'M 2933 01:57:12,200 --> 01:57:13,400 SORRY, TONY, DID YOU HAVE A 2934 01:57:13,400 --> 01:57:15,400 QUESTION? 2935 01:57:15,400 --> 01:57:20,160 >>JUST VERY QUICKLY, THE 2936 01:57:20,160 --> 01:57:22,240 PORTABLE EKG MACHINE, ARE THEY 2937 01:57:22,240 --> 01:57:26,040 VERY EFFECTIVE. 2938 01:57:26,040 --> 01:57:28,840 >>SO THE TECHNOLOGY IS STILL 2939 01:57:28,840 --> 01:57:30,080 NEW, AND ONE OF THE THINGS THAT 2940 01:57:30,080 --> 01:57:33,040 WE'RE DOING IS THERE'S A NEW 2941 01:57:33,040 --> 01:57:35,520 COMPANY THAT HAS A -- IT'S LIKE 2942 01:57:35,520 --> 01:57:37,680 64 LEADS, SO THAT'S WHAT WE'RE 2943 01:57:37,680 --> 01:57:39,880 GOING TO BE TESTING, ARE THEY 2944 01:57:39,880 --> 01:57:41,880 REALLY -- ARE THEY ACCURATE OR 2945 01:57:41,880 --> 01:57:43,320 NOT, AND LIKE WHAT PARTS OF THE 2946 01:57:43,320 --> 01:57:46,040 BODY, LIKE, ARE WE ABLE TO MOVE 2947 01:57:46,040 --> 01:57:47,400 THEM, SO WE'RE GOING TO ACTUALLY 2948 01:57:47,400 --> 01:57:49,400 DO A PILOT FIRST TO SEE THAT. 2949 01:57:49,400 --> 01:57:50,920 BUT IT'S BEEN SHOWN IN OTHER 2950 01:57:50,920 --> 01:57:53,440 STUDIES THAT YOU CAN ACTUALLY 2951 01:57:53,440 --> 01:57:58,200 CAPTURE A LOT THIS WAY. 2952 01:57:58,200 --> 01:57:59,400 WHY WE'RE DOING THIS CAP THE WAY 2953 01:57:59,400 --> 01:58:00,640 WE ARE TOO IS THAT SOME OF THE 2954 01:58:00,640 --> 01:58:03,480 PATIENTS THAT WE'LL BE WORKING 2955 01:58:03,480 --> 01:58:04,520 WITH INTO THE COMMUNITY AND SOME 2956 01:58:04,520 --> 01:58:05,720 MEMBERS OF OUR TEAM SAID, WE 2957 01:58:05,720 --> 01:58:07,760 DON'T WANT A BUNCH OF GLUE ON 2958 01:58:07,760 --> 01:58:09,040 OUR HAIR AND, YOU KNOW, ALL 2959 01:58:09,040 --> 01:58:10,560 THAT, SO WE WANT SOMETHING 2960 01:58:10,560 --> 01:58:11,760 THAT'S REALLY EASY TO PUT ON 2961 01:58:11,760 --> 01:58:13,560 THAT DOESN'T TAKE FOREVER AND 2962 01:58:13,560 --> 01:58:14,920 ISN'T GOING TO RUIN EVERYTHING 2963 01:58:14,920 --> 01:58:17,200 WHEN WE PULL IT OFF. 2964 01:58:17,200 --> 01:58:18,920 BUT MORE TO COME ON HOW ACCURATE 2965 01:58:18,920 --> 01:58:21,160 IT IS. 2966 01:58:21,160 --> 01:58:24,160 >>THANK YOU. 2967 01:58:24,160 --> 01:58:26,040 >>OKAY, AND WE ARE RIGHT ON 2968 01:58:26,040 --> 01:58:29,840 TIME AND ON SCHEDULE, SO BEFORE 2969 01:58:29,840 --> 01:58:31,640 WE GO ON BREAK, BECAUSE OF THE 2970 01:58:31,640 --> 01:58:32,760 SPECIAL NATURE OF THIS BOARD, WE 2971 01:58:32,760 --> 01:58:34,360 ARE SOMEWHAT OF A FAMILY AND SO 2972 01:58:34,360 --> 01:58:36,920 IN THE SPIRIT OF FAMILY, TODAY 2973 01:58:36,920 --> 01:58:38,880 IS DR. CHIN'S BIRTHDAY. 2974 01:58:38,880 --> 01:58:40,080 AND SO WE WOULD JUST LIKE TO 2975 01:58:40,080 --> 01:58:41,720 WISH YOU A VERY HAPPY BIRTHDAY 2976 01:58:41,720 --> 01:58:43,120 BEFORE WE GO TO BREAK. 2977 01:58:43,120 --> 01:58:44,240 HAPPY BIRTHDAY. 2978 01:58:44,240 --> 01:58:46,160 >>THANK YOU. 2979 01:58:46,160 --> 01:58:47,360 >>NO SECRETS IN THE FAMILY 2980 01:58:47,360 --> 01:58:48,360 HERE. 2981 01:58:48,360 --> 01:58:48,680 ALL RIGHT. 2982 01:58:48,680 --> 01:58:49,640 THANK YOU, EVERYONE. 2983 01:58:49,640 --> 01:58:51,600 WE WILL GO AHEAD AND WE'LL TAKE 2984 01:58:51,600 --> 01:58:53,560 A 10-MINUTE BREAK. 2985 01:58:53,560 --> 01:58:53,840 AND RESUME. 2986 01:58:53,840 --> 01:58:55,000 THANK YOU. 2987 01:58:55,000 --> 01:58:59,080 OUR NEXT PRESENTER IS MS 2988 01:58:59,080 --> 01:59:00,160 MS. CHARLOTTE PAK, SHE'LL GIVE 2989 01:59:00,160 --> 01:59:01,960 US AN OVERVIEW OF TRAINING 2990 01:59:01,960 --> 01:59:02,800 OPPORTUNITIES FOR CLINICAL 2991 01:59:02,800 --> 01:59:06,040 CENTER LEADERS. 2992 01:59:06,040 --> 01:59:06,800 CHARLOTTE, TAKE IT AWAY. 2993 01:59:06,800 --> 01:59:08,360 >>THANK YOU SO MUCH. 2994 01:59:08,360 --> 01:59:09,240 GOOD MORNING, EVERYONE. 2995 01:59:09,240 --> 01:59:10,360 THANK YOU FOR HAVING ME. 2996 01:59:10,360 --> 01:59:12,680 I'M EXCITED TO BE HERE AND 2997 01:59:12,680 --> 01:59:13,760 PRESENT A LITTLE ABOUT 2998 01:59:13,760 --> 01:59:14,760 LEADERSHIP DEVELOPMENT PROGRAMS 2999 01:59:14,760 --> 01:59:16,400 AND COURSES AT THE CLINICAL 3000 01:59:16,400 --> 01:59:16,840 CENTER. 3001 01:59:16,840 --> 01:59:18,600 AGAIN MY NAME IS CHARLOTTE PAK, 3002 01:59:18,600 --> 01:59:20,920 I'M THE CHIEF OF THE OFFICE OF 3003 01:59:20,920 --> 01:59:23,240 WORKFORCE MANAGEMENT DEVELOPMENT 3004 01:59:23,240 --> 01:59:24,560 AND I'VE BEEN AT THE CLINICAL 3005 01:59:24,560 --> 01:59:26,760 CENTER SINCE 2010. 3006 01:59:26,760 --> 01:59:28,400 I BECAME FIRST ACTING AS WE LIKE 3007 01:59:28,400 --> 01:59:31,640 TO DO AT THE NIH, ACTING CHIEF 3008 01:59:31,640 --> 01:59:35,360 AND THEN CHIEF STARTING IN 2019. 3009 01:59:35,360 --> 01:59:36,680 A LITTLE BIT OF OUR OFFICE FOR 3010 01:59:36,680 --> 01:59:38,360 THOSE WHO MIGHT NOT BE FAMILIAR 3011 01:59:38,360 --> 01:59:39,720 WITH US, I'D LIKE TO SAY WE'RE 3012 01:59:39,720 --> 01:59:41,120 SMALL BUT MIGHTY BUT WE ARE 3013 01:59:41,120 --> 01:59:42,280 ACTUALLY EXPANDING AND 3014 01:59:42,280 --> 01:59:43,160 RECRUITING A COUPLE MORE MEMBERS 3015 01:59:43,160 --> 01:59:45,240 SO THAT IS VERY EXCITING. 3016 01:59:45,240 --> 01:59:46,720 WE'VE RESTRUCTURED INTO TWO 3017 01:59:46,720 --> 01:59:46,960 BRANCHES. 3018 01:59:46,960 --> 01:59:50,000 THE WORKFORCE MANAGEMENT SIDE 3019 01:59:50,000 --> 01:59:51,840 HANDLES THINGS LIKE PERFORMANCE 3020 01:59:51,840 --> 01:59:54,400 MANAGEMENT, EMPLOYEE ENGAGEMENT, 3021 01:59:54,400 --> 01:59:55,760 RETENTION, AWARDS, I BELIEVE 3022 01:59:55,760 --> 01:59:59,560 YOU'VE HEARD SOME ABOUT OUR FEVS 3023 01:59:59,560 --> 02:00:00,840 SURVEY OR THE AWARDS THAT COME 3024 02:00:00,840 --> 02:00:02,080 OUT OF OUR OFFICE AND THEN THE 3025 02:00:02,080 --> 02:00:03,680 OTHER BRANCH IS AROUND LEARNING 3026 02:00:03,680 --> 02:00:05,480 AND DEVELOPMENT WHICH IS WHAT I 3027 02:00:05,480 --> 02:00:15,800 WILL FOCUS ON TODAY. 3028 02:00:18,000 --> 02:00:19,040 THANK YOU. 3029 02:00:19,040 --> 02:00:19,520 OKAY. 3030 02:00:19,520 --> 02:00:21,440 SO MY GOAL TODAY IS TO SHARE A 3031 02:00:21,440 --> 02:00:23,400 LITTLE BIT ABOUT HOW LEADERSHIP 3032 02:00:23,400 --> 02:00:25,360 DEVELOPMENT HAS EVOLVED OVER THE 3033 02:00:25,360 --> 02:00:25,800 YEARS. 3034 02:00:25,800 --> 02:00:27,400 A LITTLE BIT ABOUT HISTORY OF 3035 02:00:27,400 --> 02:00:29,120 OUR PROGRAMS, WHERE WE ARE TODAY 3036 02:00:29,120 --> 02:00:32,440 AND WHERE WE'RE HOPING TO GO. 3037 02:00:32,440 --> 02:00:33,920 I WOULD LIKE TO THANK 3038 02:00:33,920 --> 02:00:35,440 DR. CUNNINGHAM FOR HER QUESTION 3039 02:00:35,440 --> 02:00:36,520 LAST SESSION OR ELSE I WOULD NOT 3040 02:00:36,520 --> 02:00:37,920 BE HERE TODAY BUT THE QUESTION 3041 02:00:37,920 --> 02:00:39,800 AGAIN WAS AROUND EXISTING 3042 02:00:39,800 --> 02:00:42,160 PROGRAMS WE HAVE TO HELP DEVELOP 3043 02:00:42,160 --> 02:00:43,120 TALENT INTERNALLY FOR SOME OF 3044 02:00:43,120 --> 02:00:44,760 THOSE LEADERSHIP VACANCIES WE'VE 3045 02:00:44,760 --> 02:00:47,120 HAD. 3046 02:00:47,120 --> 02:00:48,520 SO I'M GOING TO TELL YOU A BIT 3047 02:00:48,520 --> 02:00:49,760 ABOUT THOSE PROGRAMS WE HAVE 3048 02:00:49,760 --> 02:00:51,400 INTERNALLY AND EXTERNALLY AND 3049 02:00:51,400 --> 02:00:52,720 HOW THAT PARTICIPATION HAS 3050 02:00:52,720 --> 02:00:53,600 REALLY GROWN IN THE LAST FEW 3051 02:00:53,600 --> 02:00:53,960 YEARS. 3052 02:00:53,960 --> 02:00:57,800 I BELIEVE THAT THAT GROWTH IN 3053 02:00:57,800 --> 02:00:59,200 PARTICIPATION IS NOT JUST OUT OF 3054 02:00:59,200 --> 02:01:00,400 INCREASED INTEREST BUT WE'VE 3055 02:01:00,400 --> 02:01:03,120 REALLY DONE A DELIBERATE JOB 3056 02:01:03,120 --> 02:01:05,000 TRYING TO COMMUNICATE AND BUILD 3057 02:01:05,000 --> 02:01:07,480 MORE AWARENESS AROUND THOSE 3058 02:01:07,480 --> 02:01:10,040 PROGRAMS. 3059 02:01:10,040 --> 02:01:12,080 SINCE I'VE BECOME CHIEF MY GOAL 3060 02:01:12,080 --> 02:01:12,600 IS TO OFFER AS MANY 3061 02:01:12,600 --> 02:01:13,680 OPPORTUNITIES FOR LEADERSHIP 3062 02:01:13,680 --> 02:01:14,680 DEVELOPMENT FOR ALL OUR STAFF, 3063 02:01:14,680 --> 02:01:16,480 NOT JUST LEADERS, AND WE'RE 3064 02:01:16,480 --> 02:01:17,560 REALLY THANKFUL TO HAVE THAT 3065 02:01:17,560 --> 02:01:19,640 SUPPORT FROM OUR CLINICAL CENTER 3066 02:01:19,640 --> 02:01:20,960 LEADERSHIP, NOT JUST DR. GILMAN 3067 02:01:20,960 --> 02:01:22,680 BUT THE WHOLE TEAM, AS IT REALLY 3068 02:01:22,680 --> 02:01:26,680 IS PART OF OUR CULTURE. 3069 02:01:26,680 --> 02:01:28,160 DR. GILMAN MENTIONED THE SEVEN 3070 02:01:28,160 --> 02:01:29,520 GUIDING PRINCIPLES AS PART OF 3071 02:01:29,520 --> 02:01:30,960 HIS STRATEGIC PLAN THAT ONE IS 3072 02:01:30,960 --> 02:01:31,920 AROUND COMMITMENT TO 3073 02:01:31,920 --> 02:01:32,600 PROFESSIONAL GROWTH AND 3074 02:01:32,600 --> 02:01:34,920 DEVELOPMENT AND THAT'S REALLY 3075 02:01:34,920 --> 02:01:36,440 OUTLINED TO OUR EMPLOYEES AS 3076 02:01:36,440 --> 02:01:38,520 SOON AS THEY COME ON BOARD. 3077 02:01:38,520 --> 02:01:39,960 NEW MORE EE ORIENTATION, WE 3078 02:01:39,960 --> 02:01:41,000 ALREADY MENTIONED THAT WE HAVE 3079 02:01:41,000 --> 02:01:41,960 INDIVIDUAL DEVELOPMENT PLANS 3080 02:01:41,960 --> 02:01:46,240 WHICH I'LL GO OVER, AND AGAIN 3081 02:01:46,240 --> 02:01:47,680 IT'S REALLY PART OF OUR CULTURE 3082 02:01:47,680 --> 02:01:52,160 AT THE CLINICAL CENTER. 3083 02:01:52,160 --> 02:01:56,880 SO I'LL GO OVER SOME INTERNAL 3084 02:01:56,880 --> 02:01:59,080 PROGRAMS MANAGED AT OUR OFFICE 3085 02:01:59,080 --> 02:02:02,320 AS WELL AS NIH, A LITTLE ABOUT 3086 02:02:02,320 --> 02:02:03,840 EXTERNAL PROGRAMS AND THAT 3087 02:02:03,840 --> 02:02:04,800 CULTURE OF LEARNING AND 3088 02:02:04,800 --> 02:02:05,680 INVESTMENT IN OUR STAFF. 3089 02:02:05,680 --> 02:02:07,040 I'LL START OFF WITH OUR 3090 02:02:07,040 --> 02:02:09,120 FUNDAMENTALS OF SUPERVISION 3091 02:02:09,120 --> 02:02:11,320 PROGRAM 3092 02:02:11,320 --> 02:02:12,840 WE'VE HAD SUPERVISORY OR 3093 02:02:12,840 --> 02:02:14,240 LEADERSHIP TRAINING AT THE 3094 02:02:14,240 --> 02:02:15,000 CLINICAL CENTER SINCE EVEN 3095 02:02:15,000 --> 02:02:17,200 BEFORE MY TIME, I'D SAY AROUND 3096 02:02:17,200 --> 02:02:19,600 2005, AND IN 2011, WE 3097 02:02:19,600 --> 02:02:20,640 ESTABLISHED THE FUNDAMENTALS OF 3098 02:02:20,640 --> 02:02:24,480 SUPERVISION PROGRAM. 3099 02:02:24,480 --> 02:02:25,920 IT STARTED OUT AS A FULL YEAR 3100 02:02:25,920 --> 02:02:26,800 PROGRAM AND I DON'T KNOW HOW 3101 02:02:26,800 --> 02:02:30,000 MANY OF YOU ARE FAMILIAR WITH 3102 02:02:30,000 --> 02:02:31,120 OPM SUPERVISORY MANDATE, OFFICE 3103 02:02:31,120 --> 02:02:32,600 OF PERSONNEL MANAGEMENT, WHO HAS 3104 02:02:32,600 --> 02:02:35,640 A NUMBER OF TOPICS AND HOURS 3105 02:02:35,640 --> 02:02:38,800 REQUIRED FOR SUPERVISORS TO 3106 02:02:38,800 --> 02:02:40,400 COMPLETE, BOTH WITHIN THEIR 3107 02:02:40,400 --> 02:02:42,720 FIRST YEAR AND A REFRESHER EVERY 3108 02:02:42,720 --> 02:02:43,840 THREE YEARS, AND THIS PROGRAM 3109 02:02:43,840 --> 02:02:46,200 MORE THAN EXCEEDS ALL THOSE 3110 02:02:46,200 --> 02:02:46,640 REQUIREMENTS. 3111 02:02:46,640 --> 02:02:47,840 WHEN IT WAS A FULL YEAR BUT EVEN 3112 02:02:47,840 --> 02:02:50,440 WHEN WE REDUCED IT A LITTLE BIT 3113 02:02:50,440 --> 02:02:53,040 IN TIME IN 2019, IT'S STILL WELL 3114 02:02:53,040 --> 02:02:54,480 BEYOND ALL THOSE REQUIREMENTS. 3115 02:02:54,480 --> 02:02:57,600 SO IN 2019, IT WAS SHORTENED A 3116 02:02:57,600 --> 02:02:59,120 LITTLE BIT WITH THE CREATION OF 3117 02:02:59,120 --> 02:03:00,640 OUR FUNDAMENTALS IN LEADERSHIP 3118 02:03:00,640 --> 02:03:01,800 PROGRAM, WHICH I WILL GO OVER 3119 02:03:01,800 --> 02:03:02,560 NEXT. 3120 02:03:02,560 --> 02:03:03,880 AND THAT KIND OF TOOK OUT SOME 3121 02:03:03,880 --> 02:03:05,800 OF THE LEADERSHIP DEVELOPMENT 3122 02:03:05,800 --> 02:03:07,920 OUT OF THIS PROGRAM, ALTHOUGH OF 3123 02:03:07,920 --> 02:03:08,680 COURSE YOU CAN'T HAVE 3124 02:03:08,680 --> 02:03:09,520 SUPERVISION WITHOUT LEADERSHIP 3125 02:03:09,520 --> 02:03:11,520 SO THERE IS SOME OVERLAP, BUT 3126 02:03:11,520 --> 02:03:15,280 THIS PROGRAM IS REALLY FOCUSED 3127 02:03:15,280 --> 02:03:16,600 ON THE KNOWLEDGE AND SKILLS THAT 3128 02:03:16,600 --> 02:03:17,920 SUPERVISORS NEED TO BE A 3129 02:03:17,920 --> 02:03:18,800 SUPERVISOR IN THE FEDERAL 3130 02:03:18,800 --> 02:03:21,040 WORKFORCE. 3131 02:03:21,040 --> 02:03:23,120 WE'VE HAD 242 SUPERVISORS 3132 02:03:23,120 --> 02:03:24,000 COMPLETE THIS PROGRAM. 3133 02:03:24,000 --> 02:03:27,160 WE ARE ABOUT TO FINISH THE 15TH 3134 02:03:27,160 --> 02:03:28,720 COHORT NEXT THURSDAY ACTUALLY, 3135 02:03:28,720 --> 02:03:31,160 SO 20 MORE WILL GRADUATE VERY 3136 02:03:31,160 --> 02:03:33,920 SOON, AND WE LIKE TO KEEP IT 3137 02:03:33,920 --> 02:03:38,200 AROUND 20 TO 25 SUPERVISORS, 3138 02:03:38,200 --> 02:03:40,200 LITERATURE SHOWS THAT'S A GOOD 3139 02:03:40,200 --> 02:03:41,480 NUMBER TO KEEP IT INTERACTIVE 3140 02:03:41,480 --> 02:03:42,560 AND REALLY BUILD THAT COHORT IN 3141 02:03:42,560 --> 02:03:43,160 THE TRAINING. 3142 02:03:43,160 --> 02:03:47,920 THIS TRAINING IS NOW FULLY 3143 02:03:47,920 --> 02:03:48,440 ONLINE. 3144 02:03:48,440 --> 02:03:50,000 SINCE THE PANDEMIC WE MOVED ALL 3145 02:03:50,000 --> 02:03:52,040 OUR TECHNICAL TRAININGS AND NEW 3146 02:03:52,040 --> 02:03:53,120 EMPLOYEE ORIENTATION TO AN 3147 02:03:53,120 --> 02:03:54,560 ONLINE PLATFORM BUT EVALUATIONS 3148 02:03:54,560 --> 02:03:56,560 HAVE BEEN JUST AS POSITIVE POST 3149 02:03:56,560 --> 02:03:57,640 GOING ONLANE AS IT WAS WHEN IT 3150 02:03:57,640 --> 02:03:59,880 WAS IN PERSON. 3151 02:03:59,880 --> 02:04:01,480 AND AGAIN EVERY YEAR, WE TWEAK 3152 02:04:01,480 --> 02:04:03,640 TO EVOLVE ACCORDING TO THE 3153 02:04:03,640 --> 02:04:04,840 CHANGING NEEDS AND GUIDANCE 3154 02:04:04,840 --> 02:04:08,440 AROUND SUPERVISION. 3155 02:04:08,440 --> 02:04:10,440 I WON'T GO OVER THIS IN DETAIL 3156 02:04:10,440 --> 02:04:11,680 BUT I JUST WANTED TO OFFER YOU 3157 02:04:11,680 --> 02:04:12,160 AN OVERVIEW. 3158 02:04:12,160 --> 02:04:14,120 THIS IS OUR LATEST COHORT THAT'S 3159 02:04:14,120 --> 02:04:14,640 ENDING NEXT THURSDAY. 3160 02:04:14,640 --> 02:04:16,360 YOU WILL SEE PERFORMANCE 3161 02:04:16,360 --> 02:04:17,880 MANAGEMENT HIRING AND IT STILL 3162 02:04:17,880 --> 02:04:20,280 HAS SOME OF THOSE SOFT SKILLS 3163 02:04:20,280 --> 02:04:21,640 LIKE BUILDING AND LEADING 3164 02:04:21,640 --> 02:04:22,440 COLLABORATIVE TEAMS, AND THAT 3165 02:04:22,440 --> 02:04:24,640 COLOR CODING IS AROUND SOME OF 3166 02:04:24,640 --> 02:04:26,600 THE COMPETENCIES FOR FEDERAL 3167 02:04:26,600 --> 02:04:30,680 MANAGEMENT AND LEADERSHIP IN THE 3168 02:04:30,680 --> 02:04:31,360 GOVERNMENT. 3169 02:04:31,360 --> 02:04:33,320 SO NOW ON TO OUR FUNDAMENTALS IN 3170 02:04:33,320 --> 02:04:33,760 LEADERSHIP PROGRAM. 3171 02:04:33,760 --> 02:04:35,320 SO AS MENTIONED THAT WAS 3172 02:04:35,320 --> 02:04:36,240 ESTABLISHED IN 2019. 3173 02:04:36,240 --> 02:04:39,840 THIS WAS REALLY A VISION FROM 3174 02:04:39,840 --> 02:04:41,360 DR. GILMAN, WHO WORKED CLOSELY 3175 02:04:41,360 --> 02:04:42,640 WITH MAUREEN MCDONALD FROM OUR 3176 02:04:42,640 --> 02:04:43,520 OFFICE. 3177 02:04:43,520 --> 02:04:45,360 AND WE DID A LOT OF RESEARCH 3178 02:04:45,360 --> 02:04:47,000 GOING INTO ESTABLISHING THIS 3179 02:04:47,000 --> 02:04:47,240 PROGRAM. 3180 02:04:47,240 --> 02:04:51,560 WE LOOKED AT OTHER HOSPITALS, 3181 02:04:51,560 --> 02:04:52,200 UNIVERSITIES, INDUSTRY, 3182 02:04:52,200 --> 02:04:55,720 MILITARY, REALLY LOOKING AT WHAT 3183 02:04:55,720 --> 02:04:57,240 WE WANT PARTICIPANTS TO GET OUT 3184 02:04:57,240 --> 02:04:59,200 OF THIS PROGRAM AND WE DID SOME 3185 02:04:59,200 --> 02:05:00,640 FOCUS GROUPS AS WELL WITH 3186 02:05:00,640 --> 02:05:02,160 INTERNAL LEADERS WITHIN THE 3187 02:05:02,160 --> 02:05:03,680 CLINICAL CENTER TO GET THEIR 3188 02:05:03,680 --> 02:05:04,640 PERSPECTIVE ON WHAT THEY THOUGHT 3189 02:05:04,640 --> 02:05:05,920 A LEADERSHIP DEVELOPMENT PROGRAM 3190 02:05:05,920 --> 02:05:07,080 SHOULD HAVE AT THE CLINICAL 3191 02:05:07,080 --> 02:05:10,520 CENTER. 3192 02:05:10,520 --> 02:05:12,920 OUR ENVIRONMENT IS VERY COMPLEX, 3193 02:05:12,920 --> 02:05:14,000 IT'S A HOSPITAL, IT'S ALSO 3194 02:05:14,000 --> 02:05:16,840 RESEARCH AND IT'S ALSO THE 3195 02:05:16,840 --> 02:05:18,120 FEDERAL GOVERNMENT SO WE REALLY 3196 02:05:18,120 --> 02:05:19,520 WANTED TO INCLUDE THAT, AND OUR 3197 02:05:19,520 --> 02:05:21,360 GOAL IS FOR SUPERVISORS TO 3198 02:05:21,360 --> 02:05:23,000 REALLY DEEPEN THE CONNECTION AS 3199 02:05:23,000 --> 02:05:25,200 TO WHO THEY ARE. 3200 02:05:25,200 --> 02:05:27,800 SELF-AWARENESS IS A REALLY BIG 3201 02:05:27,800 --> 02:05:29,240 PART OF THIS PROGRAM, AS IT'S 3202 02:05:29,240 --> 02:05:31,480 ESSENTIAL FOR ANY LEADERSHIP 3203 02:05:31,480 --> 02:05:32,840 PROGRAM, AND IT'S WOVEN 3204 02:05:32,840 --> 02:05:33,560 THROUGHOUT THE ENTIRE PROGRAM. 3205 02:05:33,560 --> 02:05:35,840 SO WE WANT TO LOOK AT -- WE HOPE 3206 02:05:35,840 --> 02:05:37,600 THAT THEY GET OUT OF IT HOW THEY 3207 02:05:37,600 --> 02:05:39,000 LEAD THEMSELVES, HOW THEY LEAD 3208 02:05:39,000 --> 02:05:41,640 OTHERS IN THIS COMPLEX 3209 02:05:41,640 --> 02:05:43,600 ENVIRONMENT, AND COLLABORATE 3210 02:05:43,600 --> 02:05:45,000 WITH EACH OTHER IN THIS COHORT. 3211 02:05:45,000 --> 02:05:46,520 SO I WON'T GO THROUGH ALL THE 3212 02:05:46,520 --> 02:05:49,760 DETAILS BUT THERE'S A LOT OF 3213 02:05:49,760 --> 02:05:50,440 SELF-ASSESSMENTS, THERE'S A LOT 3214 02:05:50,440 --> 02:05:51,760 OF ASSIGNMENTS, READING. 3215 02:05:51,760 --> 02:05:52,720 IT'S PRETTY INTENSE. 3216 02:05:52,720 --> 02:05:54,880 IT'S THREE MONTHS, BUT IT'S 3217 02:05:54,880 --> 02:05:56,040 EVERY TWO WEEKS WITH SIX 3218 02:05:56,040 --> 02:05:58,280 SESSIONS, SO YOU CAN IMAGINE 3219 02:05:58,280 --> 02:05:59,600 THEY'RE SPENDING A WHOLE DAY 3220 02:05:59,600 --> 02:06:00,920 ONCE EVERY TWO WEEKS OUT OF THE 3221 02:06:00,920 --> 02:06:03,200 OFFICE AND STILL DOING 3222 02:06:03,200 --> 02:06:04,400 ASSIGNMENTS AND READINGS BETWEEN 3223 02:06:04,400 --> 02:06:07,560 EACH SESSION. 3224 02:06:07,560 --> 02:06:09,080 AGAIN AROUND 20 TO KEEP THAT 3225 02:06:09,080 --> 02:06:10,320 COHORT, AND THIS ONE IS NOT -- 3226 02:06:10,320 --> 02:06:11,680 YOU DO NOT HAVE TO BE AN 3227 02:06:11,680 --> 02:06:12,320 OFFICIAL SUPERVISOR TO BE IN 3228 02:06:12,320 --> 02:06:13,760 THIS COHORT. 3229 02:06:13,760 --> 02:06:16,000 SO THESE ARE ALSO FOR INFORMAL 3230 02:06:16,000 --> 02:06:18,400 LEADERS WHO MIGHT BE TEAM LEADS 3231 02:06:18,400 --> 02:06:20,920 OR LEAD A SPECIAL INITIATIVE IN 3232 02:06:20,920 --> 02:06:22,960 THEIR DEPARTMENT, LEAD FROM 3233 02:06:22,960 --> 02:06:23,440 WHERE THEY ARE. 3234 02:06:23,440 --> 02:06:25,280 ACTUALLY MANY HAVE BEEN PROMOTED 3235 02:06:25,280 --> 02:06:26,360 SINCE THEY'VE BEEN IN THIS 3236 02:06:26,360 --> 02:06:27,240 PROGRAM, WHICH IS GREAT. 3237 02:06:27,240 --> 02:06:28,600 LAST, I DO WANT TO MENTION 3238 02:06:28,600 --> 02:06:30,600 SOMETHING VERY UNIQUE ABOUT THIS 3239 02:06:30,600 --> 02:06:32,240 PROGRAM IS, ALTHOUGH MAUREEN 3240 02:06:32,240 --> 02:06:34,000 FROM OUR OFFICE FACILITATES THE 3241 02:06:34,000 --> 02:06:35,840 ENTIRE PROGRAM, EACH DAY WE HAVE 3242 02:06:35,840 --> 02:06:38,040 AN EXECUTIVE LEADER COME IN AND 3243 02:06:38,040 --> 02:06:42,160 SHARE A BIT ABOUT THEIR STORY. 3244 02:06:42,160 --> 02:06:44,320 AND DR. WALLEN ACTUALLY AS THE 3245 02:06:44,320 --> 02:06:45,760 CHIEF NURSING OFFICER, SHE CAME 3246 02:06:45,760 --> 02:06:46,480 IN ONE DAY. 3247 02:06:46,480 --> 02:06:49,880 THESE LEADERS, STARTING WITH DR, 3248 02:06:49,880 --> 02:06:51,280 SHARE A BIT ABOUT THEIR JOURNEY 3249 02:06:51,280 --> 02:06:55,080 IN LEADERSHIP, AND THEY PICK A 3250 02:06:55,080 --> 02:06:56,160 TOPIC THAT'S ALIGNED WITH WHAT 3251 02:06:56,160 --> 02:06:57,720 THEY WANT TO DISCUSSED AND GET 3252 02:06:57,720 --> 02:06:59,960 KIND OF VULNERABLE AND SHARE 3253 02:06:59,960 --> 02:07:01,600 THEIR LEADERSHIP PHILOSOPHY AND 3254 02:07:01,600 --> 02:07:03,080 THAT IS REALLY AN INTEGRAL PART 3255 02:07:03,080 --> 02:07:09,040 OF THE VALUE OF THIS PROGRAM. 3256 02:07:09,040 --> 02:07:10,120 SO AGAIN HERE'S THE OVERVIEW. 3257 02:07:10,120 --> 02:07:11,520 I JUST WANT TO SHOW YOU HOW 3258 02:07:11,520 --> 02:07:15,480 THOSE FIRST TWO DAYS ARE FULLY 3259 02:07:15,480 --> 02:07:16,760 FOCUSED ON SELF-AWARENESS, 3260 02:07:16,760 --> 02:07:17,520 LEADING SELF. 3261 02:07:17,520 --> 02:07:19,440 WE HAVE DR. GILMAN COMING IN THE 3262 02:07:19,440 --> 02:07:21,040 FIRST DAY, AGAIN, AN EXECUTIVE 3263 02:07:21,040 --> 02:07:22,520 LEADER COMES TO VISIT, AND WE GO 3264 02:07:22,520 --> 02:07:27,520 OVER A NUMBER OF TOPICS. 3265 02:07:27,520 --> 02:07:29,040 NOT ONLY SELF-AWARENESS BUT A 3266 02:07:29,040 --> 02:07:30,560 LOT AROUND RESILIENCY THROUGHOUT 3267 02:07:30,560 --> 02:07:31,880 THIS PROGRAM. 3268 02:07:31,880 --> 02:07:36,000 OH, I MEANT TO MENTION, THIS WAS 3269 02:07:36,000 --> 02:07:37,840 NOT PUSHED ONLINE BECAUSE BOTH 3270 02:07:37,840 --> 02:07:41,600 PARTICIPANTS AND LEADERS ALL 3271 02:07:41,600 --> 02:07:43,960 AGREED THAT THE DISCUSSION, THE 3272 02:07:43,960 --> 02:07:45,480 CONNECTIONS, THE BRAINSTORMING, 3273 02:07:45,480 --> 02:07:48,080 REALLY WOULDN'T BE AS VALUABLE 3274 02:07:48,080 --> 02:07:49,480 ONLINE, AND IT WAS WORTH WAITING 3275 02:07:49,480 --> 02:07:50,920 UNTIL IT WAS SAFE TO DO SO 3276 02:07:50,920 --> 02:07:51,240 AGAIN. 3277 02:07:51,240 --> 02:07:52,760 SO WE'RE REALLY EXCITED TO BE 3278 02:07:52,760 --> 02:07:54,920 BRINGING IT BACK THIS FALL, 3279 02:07:54,920 --> 02:07:59,320 AGAIN WITH AN IN-PERSON COHORT. 3280 02:07:59,320 --> 02:08:00,920 SO WITH THIS BEING ONE OF OUR 3281 02:08:00,920 --> 02:08:03,000 NEWER PROGRAMS, WE'VE DONE A LOT 3282 02:08:03,000 --> 02:08:04,640 OF EVALUATION, MANY, MANY 3283 02:08:04,640 --> 02:08:07,360 SURVEYS, AND FOCUS GROUPS, AND 3284 02:08:07,360 --> 02:08:09,840 AGAIN, WE'VE SHOWN THE 3285 02:08:09,840 --> 02:08:11,040 EVALUATIONS HAVE BEEN EXTREMELY 3286 02:08:11,040 --> 02:08:11,600 POSITIVE. 3287 02:08:11,600 --> 02:08:14,000 THE PARTICIPANTS REALLY FELT 3288 02:08:14,000 --> 02:08:15,280 THAT THEIR INDIVIDUAL 3289 02:08:15,280 --> 02:08:16,480 DEVELOPMENT HAS GROWN FROM BEING 3290 02:08:16,480 --> 02:08:20,840 IN THIS COURSE, BUT ALSO FELT AN 3291 02:08:20,840 --> 02:08:22,280 INCREASED ENGAGEMENT WITH THE 3292 02:08:22,280 --> 02:08:23,680 INTERACTION WITH THE EXECUTIVES 3293 02:08:23,680 --> 02:08:25,080 AND ALSO JUST FEELING MORE 3294 02:08:25,080 --> 02:08:26,440 ENGAGED WITH THE MISSION OF THE 3295 02:08:26,440 --> 02:08:28,480 CLINICAL CENTER. 3296 02:08:28,480 --> 02:08:30,000 ONE OF THE BIGGEST FEEDBACK WE 3297 02:08:30,000 --> 02:08:30,880 RECEIVED WAS THAT THEY DID NOT 3298 02:08:30,880 --> 02:08:34,120 WANT THIS TO END, SO IT'S THREE 3299 02:08:34,120 --> 02:08:36,320 MONTHS AND EVERY TWO WEEKS, AND 3300 02:08:36,320 --> 02:08:37,600 YOU'D THINK THAT'S A LOT, BUT IT 3301 02:08:37,600 --> 02:08:39,480 REALLY CREATED A BOND FROM BEING 3302 02:08:39,480 --> 02:08:42,440 WITH EACH OTHER THAT OFTEN, AND 3303 02:08:42,440 --> 02:08:43,480 THE LAST DAY WAS ACTUALLY KIND 3304 02:08:43,480 --> 02:08:47,920 OF A SAD DAY, BECAUSE NO ONE 3305 02:08:47,920 --> 02:08:48,760 WANTED TO END. 3306 02:08:48,760 --> 02:08:49,520 I KNOW THIS BECAUSE I WAS 3307 02:08:49,520 --> 02:08:50,640 ACTUALLY IN THE FIRST COHORT. 3308 02:08:50,640 --> 02:08:52,240 THIS WAS BEFORE I BECAME CHIEF 3309 02:08:52,240 --> 02:08:56,760 OF THE OFFICE, AND I REALLY 3310 02:08:56,760 --> 02:08:58,040 BENEFITED FROM ONE OF THE MOST 3311 02:08:58,040 --> 02:08:58,680 REWARDING EXPERIENCES FROM BEING 3312 02:08:58,680 --> 02:08:59,560 IN THIS COHORT. 3313 02:08:59,560 --> 02:09:01,160 AGAIN, NOT JUST THE INTERACTION 3314 02:09:01,160 --> 02:09:02,280 AND HEARING FROM THE LEADERS, 3315 02:09:02,280 --> 02:09:04,320 BUT BUILDING THAT NETWORK. 3316 02:09:04,320 --> 02:09:05,520 YOU CAN SEE HERE, THIS IS A 3317 02:09:05,520 --> 02:09:08,040 PICTURE FROM OUR FIRST COHORT, 3318 02:09:08,040 --> 02:09:12,400 AND I'M THE LITTLE FACE WITH THE 3319 02:09:12,400 --> 02:09:13,960 GREEN SHIRT IN THE BACK THERE. 3320 02:09:13,960 --> 02:09:15,640 WE WERE ALL SMILES BECAUSE IT 3321 02:09:15,640 --> 02:09:17,080 WAS A BITTERSWEET BUT HAPPY DAY 3322 02:09:17,080 --> 02:09:17,960 ON THAT LAST DAY. 3323 02:09:17,960 --> 02:09:19,360 PART OF WHAT WE WANT TO KEEP 3324 02:09:19,360 --> 02:09:21,080 DOING IS BUILDING THAT NETWORK, 3325 02:09:21,080 --> 02:09:23,400 SO ALTHOUGH WE'VE ONLY HAD TWO 3326 02:09:23,400 --> 02:09:25,040 COHORTS, WE'VE INVITED BOTH 3327 02:09:25,040 --> 02:09:26,440 COHORTS BACK FOR ADDITIONAL 3328 02:09:26,440 --> 02:09:27,280 DEVELOPMENT OPPORTUNITIES, AND 3329 02:09:27,280 --> 02:09:28,200 WE'RE LOOKING FORWARD TO DOING 3330 02:09:28,200 --> 02:09:30,680 THAT WITH FUTURE COHORTS AS 3331 02:09:30,680 --> 02:09:33,440 WELL. 3332 02:09:33,440 --> 02:09:35,160 SO THOSE ARE OUR TWO MAIN 3333 02:09:35,160 --> 02:09:36,280 PROGRAM, BUT I ALSO WANT TO 3334 02:09:36,280 --> 02:09:39,200 MENTION THAT WE DO, I THINK, A 3335 02:09:39,200 --> 02:09:40,600 GOOD JOB IN TRYING TO DO MORE 3336 02:09:40,600 --> 02:09:42,480 AND MORE -- OFFER MORE AND MORE 3337 02:09:42,480 --> 02:09:45,400 LEADERSHIP COURSES TO NOT JUST 3338 02:09:45,400 --> 02:09:46,960 LEADERS BUT ALL OF OUR STAFF. 3339 02:09:46,960 --> 02:09:48,160 SO THESE ARE JUST SOME EXAMPLES 3340 02:09:48,160 --> 02:09:50,280 OF SOME OF THE TRAININGS WE'VE 3341 02:09:50,280 --> 02:09:50,880 BROUGHT IN HOUSE, AND THIS IS 3342 02:09:50,880 --> 02:09:53,240 SOMETHING WE PAY FOR FROM OUR 3343 02:09:53,240 --> 02:09:56,520 OFFICE SO THAT STAFF CAN COME IN 3344 02:09:56,520 --> 02:09:57,400 WITHOUT THE BURDEN OF THE COST 3345 02:09:57,400 --> 02:09:59,360 TO THEIR DEPARTMENT. 3346 02:09:59,360 --> 02:10:01,960 WE JUST DO COURAGEOUS 3347 02:10:01,960 --> 02:10:02,960 CONVERSATIONS, WEDNESDAY, 3348 02:10:02,960 --> 02:10:08,280 ACTUALLY, AND COR TRAINING, WE 3349 02:10:08,280 --> 02:10:10,920 SOMETIMES HELP SOME OF THE DEIA 3350 02:10:10,920 --> 02:10:12,440 TRAININGS AND AGAIN WE'VE SEEN 3351 02:10:12,440 --> 02:10:13,720 POSITIVE FEEDBACK FROM FRONT 3352 02:10:13,720 --> 02:10:14,840 LINE STAFF WHO DOESN'T ALWAYS 3353 02:10:14,840 --> 02:10:15,640 HAVE THE OPPORTUNITY TO ATTEND 3354 02:10:15,640 --> 02:10:17,120 THIS KIND OF TRAINING AND 3355 02:10:17,120 --> 02:10:18,760 REALLY -- THEY ALWAYS FILL UP 3356 02:10:18,760 --> 02:10:20,360 REALLY FAST WHEN THEY COME UP. 3357 02:10:20,360 --> 02:10:23,200 I ALSO WANTED TO MENTION THIS 3358 02:10:23,200 --> 02:10:25,000 NEW SUPERVISORS' ADMINISTRATIVE 3359 02:10:25,000 --> 02:10:25,200 FORUM. 3360 02:10:25,200 --> 02:10:26,600 A FEW OF US ADMINISTRATIVE 3361 02:10:26,600 --> 02:10:28,200 LEADERS HAVE STARTED THIS IN 3362 02:10:28,200 --> 02:10:28,920 JANUARY. 3363 02:10:28,920 --> 02:10:30,080 IT'S ONCE A MONTH FOR AN HOUR 3364 02:10:30,080 --> 02:10:32,280 AND WE HAVE DIFFERENT SUBJECT 3365 02:10:32,280 --> 02:10:33,680 MATTER EXPERTS COME IN AND 3366 02:10:33,680 --> 02:10:34,320 PRESENT SOME OF THE MATERIALS 3367 02:10:34,320 --> 02:10:37,280 THAT YOU MIGHT SEE IN FOS 3368 02:10:37,280 --> 02:10:40,680 ACTUALLY, TO HELP SUPERVISORS 3369 02:10:40,680 --> 02:10:41,880 LEARN MORE OR ASK QUESTIONS 3370 02:10:41,880 --> 02:10:45,720 ABOUT ANY GUIDANCE OR MO POLICI. 3371 02:10:45,720 --> 02:10:48,400 AND AGAIN NETWORK, WE HAVE 250 3372 02:10:48,400 --> 02:10:50,000 SUPERVISORS, AND THERE'S A LOT 3373 02:10:50,000 --> 02:10:51,040 OF GUIDELINES OUT THERE IN THE 3374 02:10:51,040 --> 02:10:52,680 FEDERAL GOVERNMENT, SO IT'S 3375 02:10:52,680 --> 02:10:53,960 HELPFUL FOR THEM TO HAVE A FORUM 3376 02:10:53,960 --> 02:10:55,520 TO ASK QUESTIONS AND SHARE BEST 3377 02:10:55,520 --> 02:11:01,960 PRACTICES WITH EACH OTHER. 3378 02:11:01,960 --> 02:11:03,680 SO THOSE ARE CLINICAL CENTER, 3379 02:11:03,680 --> 02:11:04,640 NOW THE NIH. 3380 02:11:04,640 --> 02:11:05,880 IN THE INTEREST OF TIME I WON'T 3381 02:11:05,880 --> 02:11:07,520 GO THROUGH ALL OF THESE BUT 3382 02:11:07,520 --> 02:11:09,240 THEY'RE PRETTY SELF EXPLANATORY. 3383 02:11:09,240 --> 02:11:10,480 WE HAVE THE MID LEVEL, SENIOR 3384 02:11:10,480 --> 02:11:11,480 AND EXECUTIVE LEADERSHIP 3385 02:11:11,480 --> 02:11:11,880 PROGRAM. 3386 02:11:11,880 --> 02:11:15,280 THESE DO HAVE A COST THAT COMES 3387 02:11:15,280 --> 02:11:18,680 WITH ATTENDING, SO WE SEND OUR 3388 02:11:18,680 --> 02:11:21,840 LEADERS TO THESE TRAININGS 3389 02:11:21,840 --> 02:11:22,560 ENTHUSIASTICALLY AND THEY ARE 3390 02:11:22,560 --> 02:11:24,760 VERY WELL RECEIVED AS WELL. 3391 02:11:24,760 --> 02:11:26,120 DEPENDING ON THE LEVEL OBVIOUSLY 3392 02:11:26,120 --> 02:11:30,120 WE HAVE THE GS12, 13, 14 FOR MID 3393 02:11:30,120 --> 02:11:31,040 LEVEL, MORE OF OUR DEPARTMENT 3394 02:11:31,040 --> 02:11:32,520 HEAD TYPES GO TO SENIOR LEVEL 3395 02:11:32,520 --> 02:11:34,240 AND THEN EXECUTIVE IS MORE TOP 3396 02:11:34,240 --> 02:11:35,880 FIVE, TOP SIX LEADERS. 3397 02:11:35,880 --> 02:11:37,520 AND THE PARTICIPATION IN THESE 3398 02:11:37,520 --> 02:11:40,480 PROGRAMS HAS REALLY GROWN THE 3399 02:11:40,480 --> 02:11:42,240 LAST COUPLE YEARS. 3400 02:11:42,240 --> 02:11:43,960 WHICH I WILL SHOW YOU NOW WITH 3401 02:11:43,960 --> 02:11:44,400 SOME DATA. 3402 02:11:44,400 --> 02:11:48,880 SO THIS IS OUR PARTICIPATION FOR 3403 02:11:48,880 --> 02:11:50,760 BOTH MLP AND SLP. 3404 02:11:50,760 --> 02:11:52,600 THE BLUE ARE THOSE WHO 3405 02:11:52,600 --> 02:11:53,360 PARTICIPATE IN THE PROGRAM AND 3406 02:11:53,360 --> 02:11:56,200 THE ORANGE WERE WAIT LISTED. 3407 02:11:56,200 --> 02:11:57,960 USUALLY WHEN YOU'RE WAIT LISTED 3408 02:11:57,960 --> 02:11:59,240 YOU GO THE NEXT YEAR, SO IT'S 3409 02:11:59,240 --> 02:12:00,640 NOT THAT THEY DON'T GET TO GO 3410 02:12:00,640 --> 02:12:02,360 BUT THEY JUST HAVE TO WAIT A 3411 02:12:02,360 --> 02:12:02,680 LITTLE BIT. 3412 02:12:02,680 --> 02:12:07,480 YOU CAN SEE IN AGAIN 2020, STAA 3413 02:12:07,480 --> 02:12:09,360 BIG JUMP FOR MLP. 3414 02:12:09,360 --> 02:12:10,560 TRAINING CENTER HAS WORKED TO 3415 02:12:10,560 --> 02:12:13,680 ADD MORE AND MORE COHORTS WITH 3416 02:12:13,680 --> 02:12:14,800 INCREASED DEMAND, SO THIS YEAR 3417 02:12:14,800 --> 02:12:17,520 WE HAD THE LUXURY OF HAVING 35 3418 02:12:17,520 --> 02:12:19,680 GO TO THE MLP, WHICH IS GREAT. 3419 02:12:19,680 --> 02:12:21,120 FOR SLP, YOU CAN SEE THE 3420 02:12:21,120 --> 02:12:21,520 INCREASE THERE. 3421 02:12:21,520 --> 02:12:22,760 IT'S A SMALLER COHORT BECAUSE 3422 02:12:22,760 --> 02:12:24,080 IT'S A SMALLER POOL OF LEADERS 3423 02:12:24,080 --> 02:12:26,120 WHO ARE ELIGIBLE, BUT THERE IS 3424 02:12:26,120 --> 02:12:27,520 DEFINITELY AN INCREASE IN 3425 02:12:27,520 --> 02:12:30,560 INTEREST THERE AS WELL. 3426 02:12:30,560 --> 02:12:34,840 FOR SLP, WE'VE HAD DR. HADIGA N 3427 02:12:34,840 --> 02:12:36,440 JUST PARTICIPATED IN THAT THIS 3428 02:12:36,440 --> 02:12:39,640 YEAR, OUR CHIEF MEDICAL OFFICER, 3429 02:12:39,640 --> 02:12:43,800 AND DAN LONNERDALE WAS IN 2020. 3430 02:12:43,800 --> 02:12:45,440 ONE THING WE'RE LOOKING AT IS 3431 02:12:45,440 --> 02:12:46,640 LOOKING AT WHO WE'RE SENDING TO 3432 02:12:46,640 --> 02:12:48,880 THESE TRAININGS AND WORKING WITH 3433 02:12:48,880 --> 02:12:52,160 THE OFFICE OF EDI TO GET SOME 3434 02:12:52,160 --> 02:12:53,360 MORE DEMOGRAPHICS AROUND THOSE 3435 02:12:53,360 --> 02:12:57,080 WHO ARE GOING AND MAKING SURE IT 3436 02:12:57,080 --> 02:12:58,280 REPRESENTS THE DIVERSITY OF OUR 3437 02:12:58,280 --> 02:13:01,000 WORKFORCE. 3438 02:13:01,000 --> 02:13:02,320 THERE'S A NUMBER OF OTHER 3439 02:13:02,320 --> 02:13:03,880 PROGRAMS THAT THE NIH TRAINING 3440 02:13:03,880 --> 02:13:04,560 CENTER OFFERS. 3441 02:13:04,560 --> 02:13:06,240 MSS, THE MANAGEMENT SEMINAR 3442 02:13:06,240 --> 02:13:07,880 SERIES, IS MORE FOR THE 3443 02:13:07,880 --> 02:13:08,560 NON-SUPERVISORY STAFF. 3444 02:13:08,560 --> 02:13:11,200 WE SEND ABOUT 30 OR 40 OF OUR 3445 02:13:11,200 --> 02:13:12,720 EMPLOYEES TO THAT EACH YEAR, AND 3446 02:13:12,720 --> 02:13:16,000 ALSO VERY WELL RECEIVED. 3447 02:13:16,000 --> 02:13:19,680 DDM SERIES IS A GREAT QUARTERLY 3448 02:13:19,680 --> 02:13:21,240 PRESENTATIONS FROM SPEAKERS FROM 3449 02:13:21,240 --> 02:13:22,680 ALL OVER THE COUNTRY THAT COME 3450 02:13:22,680 --> 02:13:24,160 IN AND THOSE ARE FREE, OPEN TO 3451 02:13:24,160 --> 02:13:27,240 ALL STAFF, AND WE JUST HAD ONE 3452 02:13:27,240 --> 02:13:29,000 LAST WEEK, ON ZOOM FATIGUE, 3453 02:13:29,000 --> 02:13:29,960 WHICH WAS GREAT. 3454 02:13:29,960 --> 02:13:32,480 AND THEN THESE ARE SOME EXAMPLES 3455 02:13:32,480 --> 02:13:33,760 OF OTHER CLASSES THAT ARE 3456 02:13:33,760 --> 02:13:35,200 OFFERED AT THE TRAINING CENTER 3457 02:13:35,200 --> 02:13:36,520 THAT, AGAIN, COME WITH A COST, 3458 02:13:36,520 --> 02:13:38,040 BUT A LOT OF TIMES OUR OFFICE 3459 02:13:38,040 --> 02:13:40,760 TRIES TO TAKE ONE AND BRING IT 3460 02:13:40,760 --> 02:13:42,800 IN HOUSE SUCH AS THAT MANAGING 3461 02:13:42,800 --> 02:13:44,040 CONFLICT AND CHALLENGING 3462 02:13:44,040 --> 02:13:45,360 CONVERSATIONS, WE WILL PAY FOR, 3463 02:13:45,360 --> 02:13:47,520 AND HAVE A COUPLE SERIES THAT 3464 02:13:47,520 --> 02:13:50,440 CLINICAL CENTER STAFF CAN ATT 3465 02:13:50,440 --> 02:13:52,560 ATTEND. 3466 02:13:52,560 --> 02:13:53,760 SO THAT WAS CLINICAL CENTER AND 3467 02:13:53,760 --> 02:13:54,520 NIH PROGRAMS. 3468 02:13:54,520 --> 02:14:00,400 WE DO OFFER IN SOME CASES EITHER 3469 02:14:00,400 --> 02:14:02,080 FUNDING OR PARTIAL FUNDING FOR 3470 02:14:02,080 --> 02:14:03,760 SOME GRADUATE OR 3471 02:14:03,760 --> 02:14:06,440 POSTGRADUATE DEGREES. 3472 02:14:06,440 --> 02:14:09,120 WE DO REFUND -- REIMBURSE, 3473 02:14:09,120 --> 02:14:10,720 SORRY, LICENSES FOR SOME 3474 02:14:10,720 --> 02:14:12,080 PROFESSIONAL SOCIETIES AND 3475 02:14:12,080 --> 02:14:12,960 FELLOWSHIPS, WE HAVE A LOT OF 3476 02:14:12,960 --> 02:14:14,400 STAFF THAT ARE IN THE AMERICAN 3477 02:14:14,400 --> 02:14:19,000 COLLEGE OF HEALTHCARE EXECUTIVES 3478 02:14:19,000 --> 02:14:21,240 AND WE'VE HAD A FEW LEADERS GET 3479 02:14:21,240 --> 02:14:25,000 MBAs OR OTHER MASTERS. 3480 02:14:25,000 --> 02:14:26,640 DR. FRANK PARTICIPATED IN THE 3481 02:14:26,640 --> 02:14:28,280 EXECUTIVE LEADERSHIP IN ACADEMIC 3482 02:14:28,280 --> 02:14:29,040 MEDICINE AT DREXEL. 3483 02:14:29,040 --> 02:14:33,480 WE'VE HAD A FEW IN AU'S KEY 3484 02:14:33,480 --> 02:14:34,080 EXECUTIVE LEADERSHIP PROGRAM. 3485 02:14:34,080 --> 02:14:35,360 THESE ARE FOR LEADERS WHO MAY 3486 02:14:35,360 --> 02:14:36,720 HAVE ALREADY GONE THROUGH THOSE 3487 02:14:36,720 --> 02:14:38,400 OTHER PROGRAMS I MENTIONED AND 3488 02:14:38,400 --> 02:14:40,160 ARE LOOKING FOR ADDITIONAL 3489 02:14:40,160 --> 02:14:43,200 OPPORTUNITIES. 3490 02:14:43,200 --> 02:14:45,960 I ALSO WANTED TO MENTION MAUREEN 3491 02:14:45,960 --> 02:14:47,480 MCDONALD WHO IS ONE PERSON BUT 3492 02:14:47,480 --> 02:14:48,000 WEARS MANY HATS. 3493 02:14:48,000 --> 02:14:51,760 SHE NOT ONLY DOES OUR PROGRAMS 3494 02:14:51,760 --> 02:14:53,480 IN IN-HOUSE BUT SHE IS ALSO AN 3495 02:14:53,480 --> 02:14:55,560 ORGANIZATIONAL DEVELOPMENT 3496 02:14:55,560 --> 02:14:57,320 CONSULTANT AND A STRENGTHS COACH 3497 02:14:57,320 --> 02:14:58,640 AND SHE HAS BEEN AT THE CLINICAL 3498 02:14:58,640 --> 02:15:00,400 CENTER FOR LONGER THAN I HAVE. 3499 02:15:00,400 --> 02:15:01,040 OVER 15 YEARS. 3500 02:15:01,040 --> 02:15:02,800 AND IS VERY WELL-KNOWN 3501 02:15:02,800 --> 02:15:04,000 THROUGHOUT THE ORGANIZATION. 3502 02:15:04,000 --> 02:15:08,120 AND LEADERS OFTEN REACH OUT TO 3503 02:15:08,120 --> 02:15:10,440 HER FOR REQUESTS OR 3504 02:15:10,440 --> 02:15:11,200 CONSULTATIONS, WHETHER IT'S A 3505 02:15:11,200 --> 02:15:12,520 TEAM BUILDING WITH THEIR TEAM OR 3506 02:15:12,520 --> 02:15:15,440 SOME ASSESSMENTS, CUSTOMIZED 3507 02:15:15,440 --> 02:15:17,520 TRAINING, AND SHE MAY DO A 3508 02:15:17,520 --> 02:15:18,600 DIRECT INTERVENTION BUT SHE IS 3509 02:15:18,600 --> 02:15:20,440 ONLY ONE PERSON SO OFTENTIMES 3510 02:15:20,440 --> 02:15:21,880 SHE ALSO WORKS WITH EXTERNAL 3511 02:15:21,880 --> 02:15:22,960 RESOURCES, MIGHT COLLABORATE 3512 02:15:22,960 --> 02:15:25,480 WITH SOME NIH RESOURCES SUCH AS 3513 02:15:25,480 --> 02:15:27,880 OUR OFFICE OF OMBUDSMAN, OR 3514 02:15:27,880 --> 02:15:29,200 EXTERNAL CONSULTS WHENEVER 3515 02:15:29,200 --> 02:15:31,480 APPROPRIATE. 3516 02:15:31,480 --> 02:15:33,440 WE DO HAVE ALSO SOME LEADERSHIP 3517 02:15:33,440 --> 02:15:35,440 COACHING, BOTH THE MLP AND THE 3518 02:15:35,440 --> 02:15:38,360 SLP HAVE LEADERSHIP COACHING AS 3519 02:15:38,360 --> 02:15:39,480 PART OF THE PROGRAM, A CERTAIN 3520 02:15:39,480 --> 02:15:40,560 NUMBER OF HOURS WHERE THEY GET 3521 02:15:40,560 --> 02:15:42,080 TO WORK WITH A COACH, BUT WE 3522 02:15:42,080 --> 02:15:43,720 ALSO HAVE A FEW EMPLOYEES WHO 3523 02:15:43,720 --> 02:15:46,480 HAVE ONE ON ONE LEADERSHIP 3524 02:15:46,480 --> 02:15:47,320 COACHING THAT IS EITHER FUNDED 3525 02:15:47,320 --> 02:15:49,280 BY THEIR DEPARTMENT OR THE 3526 02:15:49,280 --> 02:15:53,760 CLINICAL CENTER AS A WHOLE. 3527 02:15:53,760 --> 02:15:55,040 LASTLY MORE ABOUT THAT CULTURE 3528 02:15:55,040 --> 02:15:57,600 OF LEARNING THAT WE HAVE SO AS 3529 02:15:57,600 --> 02:16:00,520 PART OF THE 2019 STRATEGIC PLAN, 3530 02:16:00,520 --> 02:16:04,120 OUR OFFICE REALLY WORKED HARD TO 3531 02:16:04,120 --> 02:16:06,520 GATHER AND LAUNCH INDIVIDUAL 3532 02:16:06,520 --> 02:16:09,760 DEVELOPMENT PLANS THROUGHOUT THE 3533 02:16:09,760 --> 02:16:10,120 CLINICAL CENTER. 3534 02:16:10,120 --> 02:16:10,880 SO THESE ARE REQUIRED FOR 3535 02:16:10,880 --> 02:16:11,880 FEDERAL EMPLOYEES, AND WE 3536 02:16:11,880 --> 02:16:13,080 BELIEVE THAT THEY ARE A GREAT 3537 02:16:13,080 --> 02:16:16,040 TOOL TO SUPPORT AND PLAN 3538 02:16:16,040 --> 02:16:17,920 EMPLOYEES' PROFESSIONAL GROWTH. 3539 02:16:17,920 --> 02:16:19,640 THE MAIN FOCUS, THOUGH, THAT WE 3540 02:16:19,640 --> 02:16:21,080 HAVE, IT'S NOT JUST ON FILLING 3541 02:16:21,080 --> 02:16:24,760 OUT JUST ANOTHER EXERCISE, IT'S 3542 02:16:24,760 --> 02:16:25,600 AROUND THE CONVERSATION BETWEEN 3543 02:16:25,600 --> 02:16:27,160 THE SUPERVISOR AND THE EMPLOYEE, 3544 02:16:27,160 --> 02:16:30,120 AND WE REALLY BELIEVE THAT IT'S 3545 02:16:30,120 --> 02:16:32,520 PART OF -- IT FOSTERS EMPLOYEE 3546 02:16:32,520 --> 02:16:33,600 ENGAGEMENT AND IT ANOTHER 3547 02:16:33,600 --> 02:16:34,720 OPPORTUNITY FOR SUPERVISORS TO 3548 02:16:34,720 --> 02:16:36,000 GET TO KNOW THEIR STAFF, TO GET 3549 02:16:36,000 --> 02:16:37,640 TO KNOW THEIR GOALS. 3550 02:16:37,640 --> 02:16:41,240 THIS IS LED BY THE EMPLOYEE, NOT 3551 02:16:41,240 --> 02:16:41,800 BY THE SUPERVISOR, BUT THE 3552 02:16:41,800 --> 02:16:43,760 SUPERVISOR IS THERE TO SHOW 3553 02:16:43,760 --> 02:16:44,320 SUPPORT. 3554 02:16:44,320 --> 02:16:45,720 SO WE LIKE TO JOKE THAT IT COULD 3555 02:16:45,720 --> 02:16:47,880 BE WRITTEN ON A POST-IT, FOR ALL 3556 02:16:47,880 --> 02:16:49,560 WE CARE, WE JUST REALLY WANT 3557 02:16:49,560 --> 02:16:52,720 THAT CONVERSATION TO HAPPEN AND 3558 02:16:52,720 --> 02:16:56,440 THE ENGAGEMENT HA HAPPEN BETWEEN 3559 02:16:56,440 --> 02:16:57,640 THE EMPLOYEE AND THE SUPERVISOR, 3560 02:16:57,640 --> 02:16:59,200 AND AGAIN TO SHOW SUPPORT FOR 3561 02:16:59,200 --> 02:17:00,720 THEIR CAREER GOALS, WHETHER IT'S 3562 02:17:00,720 --> 02:17:04,640 WITHIN THAT SAME POSITION OR 3563 02:17:04,640 --> 02:17:06,600 OUTSIDE, AND OFFER ADVICE ON 3564 02:17:06,600 --> 02:17:08,680 SOME GROWTH OPPORTUNITIES. 3565 02:17:08,680 --> 02:17:10,320 WE USUALLY TEND TO WAIT UNTIL -- 3566 02:17:10,320 --> 02:17:11,840 OR WE RECOMMEND WAITING UNTIL 3567 02:17:11,840 --> 02:17:12,720 AFTER SIX MONTHS ON BOARD TO 3568 02:17:12,720 --> 02:17:14,120 GIVE THEM TIME TO GET SETTLED 3569 02:17:14,120 --> 02:17:16,320 INTO THEIR POSITION, AND OUR BIG 3570 02:17:16,320 --> 02:17:18,080 EMPHASIS IS THIS IS OUTSIDE OF 3571 02:17:18,080 --> 02:17:19,120 PERFORMANCE MANAGEMENT. 3572 02:17:19,120 --> 02:17:21,120 THIS SHOULD NOT BE IN THE SAME 3573 02:17:21,120 --> 02:17:22,000 MEETINGS WITH PERFORMANCE 3574 02:17:22,000 --> 02:17:22,280 MANAGEMENT. 3575 02:17:22,280 --> 02:17:24,160 WE TYPICALLY DO IT MORE IN THE 3576 02:17:24,160 --> 02:17:25,360 SPRING, BETWEEN PERFORMANCE 3577 02:17:25,360 --> 02:17:29,520 MANAGEMENT CYCLES, TO REALLY 3578 02:17:29,520 --> 02:17:30,600 EMPHASIZE GROWTH AND NOT 3579 02:17:30,600 --> 02:17:30,920 PERFORMANCE. 3580 02:17:30,920 --> 02:17:33,120 AND WE HAVE A TON OF TRAININGS 3581 02:17:33,120 --> 02:17:34,320 WORKSHOPS AND TEMPLATES AND 3582 02:17:34,320 --> 02:17:38,920 GUIDES ON OUR WEBSITE FOR STAFF. 3583 02:17:38,920 --> 02:17:41,000 SO JUST TO SUMMARIZE, THE 3584 02:17:41,000 --> 02:17:43,400 CLINICAL CENTER REALLY IS COMMIT 3585 02:17:43,400 --> 02:17:45,040 TODAY A CULTURE OF LEARNING AND 3586 02:17:45,040 --> 02:17:46,320 INVESTMENT NOT JUST FOR LEADERS, 3587 02:17:46,320 --> 02:17:49,320 FOR EMPLOYEES IN ALL LEVELS OF 3588 02:17:49,320 --> 02:17:50,280 OUR ORGANIZATION. 3589 02:17:50,280 --> 02:17:52,000 WE HAVE A LOT OF LEADERS THAT 3590 02:17:52,000 --> 02:17:54,880 ARE NOT YOUR TYPICAL GS14s, 3591 02:17:54,880 --> 02:17:55,840 15s, AS WE SAY IN THE 3592 02:17:55,840 --> 02:17:57,120 GOVERNMENT, BUT WHO MAY NOT EVEN 3593 02:17:57,120 --> 02:17:58,720 BE SUPERVISORS BUT WHO LEAD FROM 3594 02:17:58,720 --> 02:18:00,320 WHERE THEY ARE AND/OR LEAD 3595 02:18:00,320 --> 02:18:01,120 INITIATIVES IN THEIR 3596 02:18:01,120 --> 02:18:01,440 DEPARTMENTS. 3597 02:18:01,440 --> 02:18:03,600 AND WE AT THE CLINICAL CENTER, 3598 02:18:03,600 --> 02:18:06,360 WITH THE GREAT SUPPORT FROM 3599 02:18:06,360 --> 02:18:08,640 DR. GILMAN AND CC LEADERSHIP, WE 3600 02:18:08,640 --> 02:18:11,160 TRY AS MUCH AS WE CAN IN OUR 3601 02:18:11,160 --> 02:18:12,640 OFFICE TO SUPPORT BUT WE REALLY 3602 02:18:12,640 --> 02:18:14,400 EMPHASIZE A CULTURE WHERE WE 3603 02:18:14,400 --> 02:18:16,720 SUPPORT THE EMPLOYEES' GROWTH, 3604 02:18:16,720 --> 02:18:19,440 LISTEN TO THEIR GOALS, AND 3605 02:18:19,440 --> 02:18:20,440 SUPPORT THEIR LEADERSHIP 3606 02:18:20,440 --> 02:18:24,040 DEVELOPMENT. 3607 02:18:24,040 --> 02:18:25,120 SO THAT'S ALL I HAVE. 3608 02:18:25,120 --> 02:18:26,880 I'VE INCLUDED MY EMAIL AND PHONE 3609 02:18:26,880 --> 02:18:27,320 NUMBER. 3610 02:18:27,320 --> 02:18:28,320 PLEASE FEEL FREE TO REACH OUT. 3611 02:18:28,320 --> 02:18:31,520 THIS IS MAUREEN, WHO'S OUR GURU 3612 02:18:31,520 --> 02:18:32,720 IN LEADERSHIP DEVELOPMENT IN OUR 3613 02:18:32,720 --> 02:18:34,120 OFFICE, AND WE HAVE A NUMBER OF 3614 02:18:34,120 --> 02:18:35,520 RESOURCES ON OUR WEBSITE TOO. 3615 02:18:35,520 --> 02:18:36,840 I'M HAPPY TO SHARE ANYTHING FROM 3616 02:18:36,840 --> 02:18:38,480 WHAT I'VE DISCUSSED TODAY OR 3617 02:18:38,480 --> 02:18:42,000 ANSWER ANY QUESTIONS. 3618 02:18:42,000 --> 02:18:43,000 >>DAVID, PLEASE. 3619 02:18:43,000 --> 02:18:44,840 >>FIRST OFF, THANK YOU FOR A 3620 02:18:44,840 --> 02:18:45,480 TERRIFIC PRESENTATION. 3621 02:18:45,480 --> 02:18:46,120 >>THANK YOU. 3622 02:18:46,120 --> 02:18:48,120 >>AND KUDOS TO JIM FOR MAKING 3623 02:18:48,120 --> 02:18:52,920 THIS INVESTMENT IN STAFF. 3624 02:18:52,920 --> 02:18:54,320 IT'S A SIGNIFICANT INTERNAL 3625 02:18:54,320 --> 02:18:57,400 INVESTMENT, SO WONDERFUL. 3626 02:18:57,400 --> 02:18:59,120 THE ONLY COMMENT I HAVE, IT MAY 3627 02:18:59,120 --> 02:19:00,560 BE EMBEDDED ALREADY IN THE 3628 02:19:00,560 --> 02:19:02,080 CURRICULUM, IS THAT PARTICULARLY 3629 02:19:02,080 --> 02:19:03,800 FOR CLINICAL STAFF OR LEADERS, 3630 02:19:03,800 --> 02:19:06,560 ONE AREA THAT YOU DON'T GET IN 3631 02:19:06,560 --> 02:19:08,000 MEDICAL SCHOOL AT ALL IS AROUND 3632 02:19:08,000 --> 02:19:08,720 NEGOTIATION. 3633 02:19:08,720 --> 02:19:10,840 I'M WONDERING IN THIS VERY 3634 02:19:10,840 --> 02:19:12,160 COMPLEX ENVIRONMENT, 3635 02:19:12,160 --> 02:19:13,000 ENVIRONMENTS, I SHOULD SAY, 3636 02:19:13,000 --> 02:19:14,680 WHETHER OR NOT SOME MORE 3637 02:19:14,680 --> 02:19:16,640 TRAINING AND NEGOTIATION MIGHT 3638 02:19:16,640 --> 02:19:17,320 BE HELPFUL. 3639 02:19:17,320 --> 02:19:21,600 I SEE IT IMPLIED IN SOME OF THE 3640 02:19:21,600 --> 02:19:22,800 MODULES SO MAYBE IT'S ALREADY IN 3641 02:19:22,800 --> 02:19:23,000 THERE. 3642 02:19:23,000 --> 02:19:25,200 >>IT COULD BE ENHANCED MORE. 3643 02:19:25,200 --> 02:19:26,960 WE'RE DEFINITELY -- LIKE I SAID, 3644 02:19:26,960 --> 02:19:28,800 WE'RE TWEAKING IT FOR THE NEXT 3645 02:19:28,800 --> 02:19:29,040 ITERATION. 3646 02:19:29,040 --> 02:19:30,320 I FORGOT TO MENTION, YOU KNOW, 3647 02:19:30,320 --> 02:19:33,160 THE LAST TWO WERE IN 2019-2020, 3648 02:19:33,160 --> 02:19:35,480 SO A LOT HAS CHANGED SINCE THEN, 3649 02:19:35,480 --> 02:19:37,560 SO WE'RE WORKING ON KIND OF 3650 02:19:37,560 --> 02:19:40,520 REDESIGNING AND ADDING AROUND -- 3651 02:19:40,520 --> 02:19:41,720 LESSONS WE'VE LEARNED THROUGH 3652 02:19:41,720 --> 02:19:43,240 THE PANDEMIC, A LOT MORE FOCUS 3653 02:19:43,240 --> 02:19:46,840 ON DEIA, BUT WE WILL CERTAINLY 3654 02:19:46,840 --> 02:19:48,240 KEEP THAT IN MIND AND I THINK 3655 02:19:48,240 --> 02:19:49,240 THAT'S A GREAT IDEA TO KEEP IN 3656 02:19:49,240 --> 02:19:49,720 OUR PROGRAM. 3657 02:19:49,720 --> 02:19:54,960 SO THANK YOU. 3658 02:19:54,960 --> 02:19:57,120 >>GREAT PRESENTATION AND 3659 02:19:57,120 --> 02:19:58,760 WONDERFUL ACTIVITIES. 3660 02:19:58,760 --> 02:20:00,440 THE ONE THING I'VE BEEN PART PA 3661 02:20:00,440 --> 02:20:03,800 TRI IN ELAM FOR -- I WAS LIKE IN 3662 02:20:03,800 --> 02:20:05,200 THE SECOND YEAR CLASS MANY YEARS 3663 02:20:05,200 --> 02:20:05,360 AGO. 3664 02:20:05,360 --> 02:20:08,280 THEY TAKE THOSE COHORT NOW AND 3665 02:20:08,280 --> 02:20:12,200 ACTUALLY THEY CONTINUE TO MEET 3666 02:20:12,200 --> 02:20:13,400 WITH EACH OTHER VIRTUALLY OR I 3667 02:20:13,400 --> 02:20:14,400 GUESS HERE, THEY CAN EVEN SEE 3668 02:20:14,400 --> 02:20:15,400 EACH OTHER. 3669 02:20:15,400 --> 02:20:17,000 THE WOMEN I'VE SENT TO THIS 3670 02:20:17,000 --> 02:20:18,360 PROGRAM HAS FOUND THE PROGRAM TO 3671 02:20:18,360 --> 02:20:19,840 BE AMAZING, BUT THEY REALLY LIKE 3672 02:20:19,840 --> 02:20:21,080 THE COHORT BECAUSE WE DIDN'T 3673 02:20:21,080 --> 02:20:22,360 HAVE THAT BACK WHEN I HAD THAT, 3674 02:20:22,360 --> 02:20:23,600 WHERE YOU HAVE THIS GROUP THAT 3675 02:20:23,600 --> 02:20:27,000 YOU CAN CALL TO TALK ABOUT 3676 02:20:27,000 --> 02:20:27,600 NEGOTIATION, TO TALK ABOUT 3677 02:20:27,600 --> 02:20:28,400 WHATEVER. 3678 02:20:28,400 --> 02:20:29,480 SO HAVE YOU THOUGHT ABOUT 3679 02:20:29,480 --> 02:20:30,920 KEEPING THOSE COHORTS, TELLING 3680 02:20:30,920 --> 02:20:32,240 THEM THEY SHOULD STAY CONNECTED 3681 02:20:32,240 --> 02:20:33,960 OR JUST LETTING THAT BE 3682 02:20:33,960 --> 02:20:35,120 SOMETHING THAT HAPPENS NATURALLY 3683 02:20:35,120 --> 02:20:36,560 WITH THEM? 3684 02:20:36,560 --> 02:20:39,440 >>DO YOU MEAN THE ELAN 3685 02:20:39,440 --> 02:20:39,880 SPECIFICALLY OR -- 3686 02:20:39,880 --> 02:20:40,800 >>ALL THE COHORTS. 3687 02:20:40,800 --> 02:20:42,520 >>YES, WE DO DO THAT. 3688 02:20:42,520 --> 02:20:43,840 WE'VE ONLY HAD TWO FOR 3689 02:20:43,840 --> 02:20:44,920 FUNDAMENTALS IN LEADERSHIP, BUT 3690 02:20:44,920 --> 02:20:46,080 WE'VE HAD A COUPLE ACTIVITIES 3691 02:20:46,080 --> 02:20:48,120 WHERE ONLY ALUMNI WERE IB 3692 02:20:48,120 --> 02:20:49,880 VITALLED SO IT WAS A GREAT 3693 02:20:49,880 --> 02:20:50,880 CHANCE TO SEE EACH OTHER. 3694 02:20:50,880 --> 02:20:52,160 OF COURSE THE PANDEMIC KIND OF 3695 02:20:52,160 --> 02:20:53,240 PUT A PAUSE ON THESE THINGS BUT 3696 02:20:53,240 --> 02:20:55,120 THAT IS OUR GOAL AS WE ADD MORE 3697 02:20:55,120 --> 02:20:59,200 AND MORE COHORTS. 3698 02:20:59,200 --> 02:21:00,400 I HAVE TO SAY THAT WAS THE MOST 3699 02:21:00,400 --> 02:21:01,600 REWARDING PART OF ME BEING IN 3700 02:21:01,600 --> 02:21:02,800 THERE, IS I STILL KEEP IN TOUCH 3701 02:21:02,800 --> 02:21:04,240 WITH AT LEAST HALF OF THAT 3702 02:21:04,240 --> 02:21:05,640 CLASS, AND IT INVALUABLE. 3703 02:21:05,640 --> 02:21:06,960 >>BECAUSE US LEADERS THINK 3704 02:21:06,960 --> 02:21:08,280 WE'RE REALLY IMPORTANT BUT 3705 02:21:08,280 --> 02:21:10,360 REALLY THE BEST PERSON THEY MET 3706 02:21:10,360 --> 02:21:11,360 ARE THOSE IN THEIR CLASS. 3707 02:21:11,360 --> 02:21:12,440 >>YES, YES, YES. 3708 02:21:12,440 --> 02:21:15,080 TO BE ABLE TO REACH OUT AND 3709 02:21:15,080 --> 02:21:16,160 SHARE. 3710 02:21:16,160 --> 02:21:19,880 >>I HAVE A QUESTION OR TWO. 3711 02:21:19,880 --> 02:21:22,600 NUMBER ONE, THIS PARTICULAR -- 3712 02:21:22,600 --> 02:21:24,240 YOUR PARTICULAR OFFICE'S 3713 02:21:24,240 --> 02:21:25,880 RESPONSIBILITY IS FOCUSED ON 3714 02:21:25,880 --> 02:21:26,600 FULL TIME EMPLOYEES. 3715 02:21:26,600 --> 02:21:27,080 >>YES. 3716 02:21:27,080 --> 02:21:30,720 >>DOES ANYBODY DO ANYTHING WITH 3717 02:21:30,720 --> 02:21:33,000 SGEs OR WITH FELLOWS, LIKE 3718 02:21:33,000 --> 02:21:35,720 SKILLS OF COMMUNICATION AND 3719 02:21:35,720 --> 02:21:37,480 INTERACTIONTION AND CONFLICT 3720 02:21:37,480 --> 02:21:37,800 RESOLUTION? 3721 02:21:37,800 --> 02:21:42,320 >>I BELIEVE THEY HAVE THE -- 3722 02:21:42,320 --> 02:21:47,800 WHY AM I BLANKING ON THE NAME? 3723 02:21:47,800 --> 02:21:48,480 OITE, THERE YOU GO. 3724 02:21:48,480 --> 02:21:50,120 SO THEY HAVE A LOT OF TRAINING 3725 02:21:50,120 --> 02:21:51,400 THROUGH THEM FOR THE FELLOWS IN 3726 02:21:51,400 --> 02:21:52,600 PARTICULAR. 3727 02:21:52,600 --> 02:21:54,280 >>AND WHAT ABOUT VOLUNTEERS? 3728 02:21:54,280 --> 02:21:55,440 >>VOLUNTEERS? 3729 02:21:55,440 --> 02:21:56,440 >>WE HAVE A LOT OF THEM. 3730 02:21:56,440 --> 02:21:58,440 >>WE DO HAVE A LOT OF THEM. 3731 02:21:58,440 --> 02:22:00,120 AND I MEAN, I'D BE FINE WITH 3732 02:22:00,120 --> 02:22:02,160 THEM COMING TO SOME OF THESE 3733 02:22:02,160 --> 02:22:03,160 CLASSES, SO WE COULD CERTAINLY 3734 02:22:03,160 --> 02:22:03,800 LOOK INTO THAT. 3735 02:22:03,800 --> 02:22:05,120 >>BUT THERE'S NO PROGRAM TO -- 3736 02:22:05,120 --> 02:22:06,400 >>THERE'S NO PROGRAM SPECIFIC 3737 02:22:06,400 --> 02:22:07,400 FOR VOLUNTEERS. 3738 02:22:07,400 --> 02:22:07,920 >>THAT YOU KNOW ABOUT. 3739 02:22:07,920 --> 02:22:08,200 >>YEAH. 3740 02:22:08,200 --> 02:22:10,440 I MEAN, I DON'T KNOW IF THEY'RE 3741 02:22:10,440 --> 02:22:11,880 ON -- WE SEND A LOT OF 3742 02:22:11,880 --> 02:22:14,240 COMMUNICATION OUT TO C.C. STAFF, 3743 02:22:14,240 --> 02:22:15,640 WHICH -- AND WE CAN LOOK INTO 3744 02:22:15,640 --> 02:22:18,080 WHO'S ON THAT -- 3745 02:22:18,080 --> 02:22:21,120 >>I'M AWARE OF SOME OF THEM, 3746 02:22:21,120 --> 02:22:23,880 BUT LIKE THE OFFICE OF VOLUNTEER 3747 02:22:23,880 --> 02:22:25,200 COORDINATION, IF IT STILL 3748 02:22:25,200 --> 02:22:26,520 EXISTS, I DON'T KNOW IF THEY 3749 02:22:26,520 --> 02:22:28,800 TELL PEOPLE ABOUT THESE PROGRAMS 3750 02:22:28,800 --> 02:22:31,320 OR IF IT WOULD CREATE AN UNDUE 3751 02:22:31,320 --> 02:22:32,960 FINANCIAL BURDEN ON YOUR OFFICE. 3752 02:22:32,960 --> 02:22:35,280 IF ALL OF A SUDDEN YOU STARTED 3753 02:22:35,280 --> 02:22:35,560 GETTING -- 3754 02:22:35,560 --> 02:22:36,600 >>RIGHT, RIGHT. 3755 02:22:36,600 --> 02:22:37,800 WE COULD CERTAINLY LOOK INTO 3756 02:22:37,800 --> 02:22:38,200 THAT. 3757 02:22:38,200 --> 02:22:40,320 THE BEAUTY OF SOME OF THESE 3758 02:22:40,320 --> 02:22:41,720 ONLINE TRAININGS, YOU KNOW, IF 3759 02:22:41,720 --> 02:22:44,440 YOU HAVE FIVE MORE OR NOT -- IT 3760 02:22:44,440 --> 02:22:45,720 DEPENDS ON HOW INTERACTIVE THE 3761 02:22:45,720 --> 02:22:47,000 TRAINING IS, BUT WE COULD 3762 02:22:47,000 --> 02:22:47,640 CERTAINLY LOOK INTO THAT. 3763 02:22:47,640 --> 02:22:48,000 THANK YOU. 3764 02:22:48,000 --> 02:22:51,480 >>AND THE OTHER THING WAS, I 3765 02:22:51,480 --> 02:22:54,000 FOUND FROM PROFESSIONAL 3766 02:22:54,000 --> 02:22:57,520 MANAGEMENT AND TECHNICAL 3767 02:22:57,520 --> 02:22:58,360 TRAINING, WHAT I'VE TAKEN 3768 02:22:58,360 --> 02:23:01,120 THROUGH THE YEARS, THAT AN 3769 02:23:01,120 --> 02:23:03,200 ORGANIZED MESSAGE BOARD, BUT NOW 3770 02:23:03,200 --> 02:23:05,800 IT COULD BE ONLINE 3771 02:23:05,800 --> 02:23:06,560 COLLABORATION, HELPS TO 3772 02:23:06,560 --> 02:23:10,080 FACILITATE THE COHORT MEMBERS 3773 02:23:10,080 --> 02:23:12,720 KEEPING IN TOUCH AND BEING ABLE 3774 02:23:12,720 --> 02:23:16,200 TO TALK WITH EACH OTHER ABOUT A 3775 02:23:16,200 --> 02:23:17,440 PARTICULAR SCENARIO TO SEEK 3776 02:23:17,440 --> 02:23:18,200 ADVICE FROM THEIR PEERS. 3777 02:23:18,200 --> 02:23:19,640 >>YEAH, THAT'S A GREAT IDEA AS 3778 02:23:19,640 --> 02:23:20,040 WELL. 3779 02:23:20,040 --> 02:23:21,240 AND THAT'S KIND OF WHAT THAT 3780 02:23:21,240 --> 02:23:22,840 FORUM THAT CAME, YOU KNOW, ONCE 3781 02:23:22,840 --> 02:23:25,000 A MONTH, THERE'S A LOT OF 3782 02:23:25,000 --> 02:23:26,640 INTERACTION WITHIN THAT FORUM AS 3783 02:23:26,640 --> 02:23:28,720 WELL, BUT LIKE I SAID, WE ARE 3784 02:23:28,720 --> 02:23:29,840 HIRING MORE, AND WITH THAT, 3785 02:23:29,840 --> 02:23:32,240 WE'LL HAVE MORE RESOURCES TO DO 3786 02:23:32,240 --> 02:23:32,480 MORE -- 3787 02:23:32,480 --> 02:23:32,880 >>THANK YOU. 3788 02:23:32,880 --> 02:23:33,920 IT WAS A VERY USEFUL 3789 02:23:33,920 --> 02:23:34,240 PRESENTATION. 3790 02:23:34,240 --> 02:23:37,600 >>THANK YOU SO MUCH. 3791 02:23:37,600 --> 02:23:38,360 >>THANK YOU VERY MUCH, 3792 02:23:38,360 --> 02:23:39,160 CHARLOTTE. 3793 02:23:39,160 --> 02:23:39,640 REALLY APPRECIATE THAT. 3794 02:23:39,640 --> 02:23:41,440 THANKS. 3795 02:23:41,440 --> 02:23:42,120 ALL RIGHT. 3796 02:23:42,120 --> 02:23:43,200 NOW WE'RE GOING TO TRANSITION TO 3797 02:23:43,200 --> 02:23:44,920 THE LAST PRESENTATION FOR THE 3798 02:23:44,920 --> 02:23:45,840 BOARD MEETING TODAY. 3799 02:23:45,840 --> 02:23:47,720 WE HAVE WITH US DR. JENNIFER 3800 02:23:47,720 --> 02:23:51,120 ROBERTS, WHO'S THE DIRECTOR OF 3801 02:23:51,120 --> 02:23:52,840 RESILIENT SYSTEMS AT ARPA HATCH, 3802 02:23:52,840 --> 02:23:54,840 THE ADVANCED RESEARCH PROJECTS 3803 02:23:54,840 --> 02:23:55,920 AGENCIES FOR HEALTH. 3804 02:23:55,920 --> 02:23:57,160 ARPA-H IS A RESEARCH FUNDING 3805 02:23:57,160 --> 02:23:58,680 AGENCY THAT SUPPORTS 3806 02:23:58,680 --> 02:23:59,680 TRANSFORMATIVE BIOMEDICAL AND 3807 02:23:59,680 --> 02:24:00,760 HEALTH BREAKTHROUGHS RANGING 3808 02:24:00,760 --> 02:24:02,400 FROM THE MOLECULAR TO THE 3809 02:24:02,400 --> 02:24:03,520 SOCIETAL TO PROVIDE HEALTH 3810 02:24:03,520 --> 02:24:05,320 SOLUTIONS FOR ALL. 3811 02:24:05,320 --> 02:24:06,560 DR. JENNIFER ROBERT JOINED 3812 02:24:06,560 --> 02:24:08,680 ARPA-H IN FEBRUARY OF '23 FROM 3813 02:24:08,680 --> 02:24:11,320 THE WHITE HOUSE OFFICE OF 3814 02:24:11,320 --> 02:24:11,960 SCIENCE AND TECHNOLOGY POLICY 3815 02:24:11,960 --> 02:24:13,360 WHERE SHE WAS ASSISTANT DIRECTOR 3816 02:24:13,360 --> 02:24:14,560 OF HEALTH TECHNOLOGIES. 3817 02:24:14,560 --> 02:24:15,640 SPECIAL THANKS TO YOU, 3818 02:24:15,640 --> 02:24:17,600 DR. ROBERTS, FOR BEING WITH US 3819 02:24:17,600 --> 02:24:18,920 TODAY, IN PERSON, AND WE ARE 3820 02:24:18,920 --> 02:24:20,680 VERY EXCITED TO HEAR MORE ABOUT 3821 02:24:20,680 --> 02:24:22,120 ARPA-H AND TO LEARN HOW THE 3822 02:24:22,120 --> 02:24:25,120 CLINICAL CENTER CAN SUPPORT THE 3823 02:24:25,120 --> 02:24:26,680 WORK THAT YOU'RE DOING AND BE 3824 02:24:26,680 --> 02:24:27,360 INVOLVED IN THIS NEW 3825 02:24:27,360 --> 02:24:27,880 ORGANIZATION. 3826 02:24:27,880 --> 02:24:28,320 SO THANK YOU. 3827 02:24:28,320 --> 02:24:28,800 >>GREAT. 3828 02:24:28,800 --> 02:24:32,480 VERY HAPPY TO BE HERE. 3829 02:24:32,480 --> 02:24:34,040 SO TODAY I WANTED TO PROVIDE AN 3830 02:24:34,040 --> 02:24:35,680 OVERVIEW OF ARPA-H AND WHERE 3831 02:24:35,680 --> 02:24:37,440 WE'RE GOING, AND I WELCOME 3832 02:24:37,440 --> 02:24:39,080 QUESTIONS ALONG THE WAY IF YOU 3833 02:24:39,080 --> 02:24:42,720 GUYS WOULD LIKE TO LEARN MORE 3834 02:24:42,720 --> 02:24:44,000 ABOUT ANY PARTICULAR PART OF THE 3835 02:24:44,000 --> 02:24:51,400 AGENCY. 3836 02:24:51,400 --> 02:24:53,520 SO ARPA-H WAS STOOD UP VERY 3837 02:24:53,520 --> 02:24:55,600 RECENTLY IN ORDER TO PURSUE 3838 02:24:55,600 --> 02:24:56,920 IDEAS THAT BREAK THE MOLD ON HOW 3839 02:24:56,920 --> 02:24:59,200 WE NORMALLY SUPPORT FUNDAMENTAL 3840 02:24:59,200 --> 02:25:03,800 RESEARCH IN COMMERCIAL PRODUCTS. 3841 02:25:03,800 --> 02:25:05,000 THE PARTS I LIKE ABOUT THIS 3842 02:25:05,000 --> 02:25:06,640 QUOTE IS THAT IT'S TALKING ABOUT 3843 02:25:06,640 --> 02:25:08,840 THE DISTINCTION BETWEEN WHERE 3844 02:25:08,840 --> 02:25:10,920 ARPA-H SITS IN THE ECOSYSTEM, SO 3845 02:25:10,920 --> 02:25:12,240 IF THERE'S SOMETHING THAT'S 3846 02:25:12,240 --> 02:25:15,160 ALREADY REALLY WORKING WELL FROM 3847 02:25:15,160 --> 02:25:18,040 THE FUNDAMENTAL RESEARCH SIDE 3848 02:25:18,040 --> 02:25:19,760 THROUGH THE VERY IMPORTANT 3849 02:25:19,760 --> 02:25:23,280 INSTITUTES AND CENTERS AT NIH, 3850 02:25:23,280 --> 02:25:25,480 THAT'S SOMETHING THAT'S 3851 02:25:25,480 --> 02:25:26,360 COMPLEMENTARY TO WHAT WE'RE 3852 02:25:26,360 --> 02:25:27,400 DOING, AND IF THERE'S SOMETHING 3853 02:25:27,400 --> 02:25:28,640 THAT'S WORKING WELL IN THE 3854 02:25:28,640 --> 02:25:30,720 VENTURE CAPITAL COMMUNITY OR IN 3855 02:25:30,720 --> 02:25:32,920 THE COMMERCIAL SECTOR, ALSO 3856 02:25:32,920 --> 02:25:33,680 COMPLEMENTARY TO WHAT WE'RE 3857 02:25:33,680 --> 02:25:34,440 DOING. 3858 02:25:34,440 --> 02:25:36,320 WHAT WE'RE TRYING TO DO IS 3859 02:25:36,320 --> 02:25:38,640 IDENTIFY AREAS WHERE TECHNICAL 3860 02:25:38,640 --> 02:25:40,680 BREAKTHROUGHS AND NEW APPROACHES 3861 02:25:40,680 --> 02:25:44,520 CAN COMPLEMENT AND ADDRESS GAPS. 3862 02:25:44,520 --> 02:25:51,440 IN THE EXISTING SYSTEMS. 3863 02:25:51,440 --> 02:25:53,160 SO OUR MISSION IS TO ACCELERATE 3864 02:25:53,160 --> 02:25:54,480 THE IMPROVEMENT OF HEALTH 3865 02:25:54,480 --> 02:25:55,360 OUTCOMES FOR EVERYONE. 3866 02:25:55,360 --> 02:25:56,280 THERE'S A COUPLE IMPORTANT PARTS 3867 02:25:56,280 --> 02:25:57,000 OF THAT. 3868 02:25:57,000 --> 02:25:58,880 SO THE ACCELERATION THAT SPEAKS 3869 02:25:58,880 --> 02:26:02,400 TO THE EMPHASIS ON NEW 3870 02:26:02,400 --> 02:26:04,480 BREAKTHROUGHS AND ADVANCED 3871 02:26:04,480 --> 02:26:07,240 RESEARCH THAT FALLS UNDERNEATH 3872 02:26:07,240 --> 02:26:07,840 OUR MISSION. 3873 02:26:07,840 --> 02:26:09,960 THE BETTER HEALTH OUTCOMES 3874 02:26:09,960 --> 02:26:12,480 EMPHASIZES THE FACT THAT WE ARE 3875 02:26:12,480 --> 02:26:14,040 VERY INTERESTED IN MOVING THINGS 3876 02:26:14,040 --> 02:26:15,440 FROM LABS INTO REAL WORLD 3877 02:26:15,440 --> 02:26:16,080 CONTEXTS SO AT THE END OF THE 3878 02:26:16,080 --> 02:26:18,160 DAY, WE WANT TO KNOW THAT THE 3879 02:26:18,160 --> 02:26:19,280 TECHNICAL BREAKTHROUGHS THAT WE 3880 02:26:19,280 --> 02:26:21,240 ARE DEVELOPING ARE HELPING THE 3881 02:26:21,240 --> 02:26:23,200 PATIENT POPULATIONS. 3882 02:26:23,200 --> 02:26:27,800 AND THEN FOR EVERYONE, WE CARE A 3883 02:26:27,800 --> 02:26:30,880 LOT ABOUT THINGS LIKE ACCESS AND 3884 02:26:30,880 --> 02:26:31,880 AFFORDABILITY AS WELL, SO HOW DO 3885 02:26:31,880 --> 02:26:33,400 WE THINK ABOUT MAKING IT SO THAT 3886 02:26:33,400 --> 02:26:35,280 THE INTERVENTIONS THAT WE HAVE 3887 02:26:35,280 --> 02:26:36,680 TODAY MEET THE PATIENT 3888 02:26:36,680 --> 02:26:38,880 POPULATIONS WHO NEED THEM THE 3889 02:26:38,880 --> 02:26:43,680 MOST. 3890 02:26:43,680 --> 02:26:45,480 SO ARPA-H IS AN INDEPENDENT 3891 02:26:45,480 --> 02:26:47,200 AGENCY INSIDE OF NIH. 3892 02:26:47,200 --> 02:26:52,240 IT'S KIND OF UNIQUE IN ITS 3893 02:26:52,240 --> 02:26:54,000 STRUCTURE IN THAT THE ARPA-H 3894 02:26:54,000 --> 02:26:55,520 DIRECTOR REPORTS DIRECTLY TO THE 3895 02:26:55,520 --> 02:26:59,720 HHS SECRETARY. 3896 02:26:59,720 --> 02:27:01,120 ADMINISTRATIVELY, WE ARE INSIDE 3897 02:27:01,120 --> 02:27:05,720 OF NIH, SO WE APPRECIATE A LOT 3898 02:27:05,720 --> 02:27:09,120 OF THE COMMUNITY INSIDE OF THE 3899 02:27:09,120 --> 02:27:11,000 NIH INSTITUTE AND CENTERS, AND 3900 02:27:11,000 --> 02:27:14,480 WE ALSO APPRECIATE SOME OF THE 3901 02:27:14,480 --> 02:27:15,040 ADMINISTRATIVE SUPPORT THAT 3902 02:27:15,040 --> 02:27:17,320 COMES FROM BEING PART OF THE NIH 3903 02:27:17,320 --> 02:27:20,480 COMMUNITY. 3904 02:27:20,480 --> 02:27:21,480 SO NONETHELESS, AS AN 3905 02:27:21,480 --> 02:27:23,360 INDEPENDENT AGENCY, WE ALSO HAVE 3906 02:27:23,360 --> 02:27:28,520 A DIFFERENT SET OF PROVISIONS, 3907 02:27:28,520 --> 02:27:30,640 POLICIES, AND DIFFERENT TYPE OF 3908 02:27:30,640 --> 02:27:33,960 AUTONOMY AND EMPHASIS, SO FOR 3909 02:27:33,960 --> 02:27:36,360 INSTANCE, OUR PROGRAMS TEND TO 3910 02:27:36,360 --> 02:27:38,160 HAVE VERY SPECIFIC GOALS 3911 02:27:38,160 --> 02:27:39,360 ASSOCIATED WITH THEM. 3912 02:27:39,360 --> 02:27:41,120 WE TEND TO EXECUTE IN TERMS OF 3913 02:27:41,120 --> 02:27:43,840 CONTRACTS TO MEET THOSE GOALS, 3914 02:27:43,840 --> 02:27:45,920 WITH MEASURABLE MILESTONES, AS 3915 02:27:45,920 --> 02:27:52,400 OPPOSED TO GRANTS. 3916 02:27:52,400 --> 02:27:54,480 SO IN TERMS OF SOME UNIQUE 3917 02:27:54,480 --> 02:27:56,720 FEATURES OF ARPA-H, ONE KEY ONE 3918 02:27:56,720 --> 02:27:58,400 IS THAT THE DECISION-MAKING IS 3919 02:27:58,400 --> 02:27:59,520 VERY BOTTOM-UP. 3920 02:27:59,520 --> 02:28:01,720 SO THE WAY THAT WE WORK IS WE 3921 02:28:01,720 --> 02:28:05,360 PULL IN A SERIES OF PROGRAM 3922 02:28:05,360 --> 02:28:07,160 MANAGERS THAT HAVE A DEEP 3923 02:28:07,160 --> 02:28:08,600 UNDERSTANDING OF A PARTICULAR 3924 02:28:08,600 --> 02:28:10,240 PROBLEM AREA, AND THEY HAVE AN 3925 02:28:10,240 --> 02:28:12,880 IDEA OF A REVOLUTIONARY NEW 3926 02:28:12,880 --> 02:28:13,760 APPROACH THAT COULD 3927 02:28:13,760 --> 02:28:14,960 FUNDAMENTALLY CHANGE WHAT'S 3928 02:28:14,960 --> 02:28:16,040 POSSIBLE IN THAT AREA. 3929 02:28:16,040 --> 02:28:19,880 AND WE PULL IN THESE FOLKS IN 3930 02:28:19,880 --> 02:28:20,800 ORDER TO GIVE THEM THE RESOURCES 3931 02:28:20,800 --> 02:28:25,480 TO TRY OUT THEIR REF LAWTIONARYY 3932 02:28:25,480 --> 02:28:26,920 NEW IDEA AND SEE IF IT WORKS. 3933 02:28:26,920 --> 02:28:28,240 SO AS OPPOSED TO ORGANIZATIONS 3934 02:28:28,240 --> 02:28:31,640 WHERE THE DIRECTOR MIGHT 3935 02:28:31,640 --> 02:28:33,080 STIPULATE WHAT THAT RESEARCH 3936 02:28:33,080 --> 02:28:34,320 PORTFOLIO LOOKS LIKE, INSTEAD, 3937 02:28:34,320 --> 02:28:37,680 WE'RE PULLING IN EXPERTS WHO 3938 02:28:37,680 --> 02:28:38,880 HAVE THESE BREAKTHROUGH IDEAS 3939 02:28:38,880 --> 02:28:40,560 AND WE ARE EMPOWERING THEM TO 3940 02:28:40,560 --> 02:28:43,720 TRY THEM OUT SO A LOT OF THE 3941 02:28:43,720 --> 02:28:44,720 IDEA GENERATION COMES FROM THE 3942 02:28:44,720 --> 02:28:47,000 BOTTOM UP. 3943 02:28:47,000 --> 02:28:49,080 WE ALSO HAVE ACCELERATED 3944 02:28:49,080 --> 02:28:49,840 MECHANISMS FOR CONTRACTING SO 3945 02:28:49,840 --> 02:28:51,720 THAT WE CAN MOVE QUICKLY. 3946 02:28:51,720 --> 02:28:55,440 AND AGAIN, WE'RE VERY INTERESTED 3947 02:28:55,440 --> 02:28:57,280 IN THINGS LIKE OTHER 3948 02:28:57,280 --> 02:28:58,400 TRANSACTIONS, COOPERATIVE 3949 02:28:58,400 --> 02:28:59,080 AGREEMENTS AND CONTRACTS SO 3950 02:28:59,080 --> 02:29:00,360 THERE'S A CLEAR GOAL AND 3951 02:29:00,360 --> 02:29:01,440 MEASUREMENTS TO US ACHIEVING 3952 02:29:01,440 --> 02:29:01,920 THAT GOAL. 3953 02:29:01,920 --> 02:29:03,000 OF COURSE IF THINGS AREN'T 3954 02:29:03,000 --> 02:29:04,200 WORKING, WE CAN PIVOT. 3955 02:29:04,200 --> 02:29:06,720 BUT WE WANT TO KEEP THE WORK 3956 02:29:06,720 --> 02:29:08,160 FOCUSED TOWARD THOSE 3957 02:29:08,160 --> 02:29:11,000 REVOLUTIONARY ADVANCES THAT ARE 3958 02:29:11,000 --> 02:29:14,680 THE MOTIVATION BEHIND OUR 3959 02:29:14,680 --> 02:29:15,720 PROGRAMS. 3960 02:29:15,720 --> 02:29:17,160 WE HAVE LEAN AND NIMBLE 3961 02:29:17,160 --> 02:29:18,000 MANAGEMENT STRUCTURE, SO FOR 3962 02:29:18,000 --> 02:29:19,880 INSTANCE, WHEN WE START A 3963 02:29:19,880 --> 02:29:22,000 PROGRAM, THERE'S ONLY TWO PEOPLE 3964 02:29:22,000 --> 02:29:23,080 THAT NEED TO SIGN OFF ON IT. 3965 02:29:23,080 --> 02:29:25,040 IF IT'S ONE OF MY PROGRAM 3966 02:29:25,040 --> 02:29:25,840 MANAGERS, THAT WOULD BE MYSELF 3967 02:29:25,840 --> 02:29:27,240 AND THE OFFICE DIRECTOR, WHICH 3968 02:29:27,240 --> 02:29:30,240 MAKES IT SO THAT WE CAN COLLECT, 3969 02:29:30,240 --> 02:29:31,880 AND WE DO COLLECT, A LOT OF 3970 02:29:31,880 --> 02:29:34,200 EXPERT OPINIONS ABOUT WHERE TO 3971 02:29:34,200 --> 02:29:35,480 EMPHASIZE, BUT AT THE END OF THE 3972 02:29:35,480 --> 02:29:37,240 DAY, WE DON'T NECESSARILY NEED 3973 02:29:37,240 --> 02:29:41,120 TO MOVE TOWARD A CONSENSUS FOR 3974 02:29:41,120 --> 02:29:41,640 WHERE WE'RE GOING. 3975 02:29:41,640 --> 02:29:43,520 WE CAN TRY THINGS THAT ARE MAYBE 3976 02:29:43,520 --> 02:29:45,160 A LITTLE BIT OUTSIDE THE BOX, 3977 02:29:45,160 --> 02:29:46,560 AND THEN COMPLEMENT THAT WITH 3978 02:29:46,560 --> 02:29:48,800 SOME VERY ACTIVE MANAGEMENT SO 3979 02:29:48,800 --> 02:29:52,600 THAT I IF IT TURNS OUT IT'S NOT 3980 02:29:52,600 --> 02:29:53,840 WORKING, WE REGROUP AND WE TRY 3981 02:29:53,840 --> 02:29:54,840 AGAIN WITH SOMETHING ELSE. 3982 02:29:54,840 --> 02:29:56,480 AND THEN WE ALSO HAVE SOME 3983 02:29:56,480 --> 02:29:57,600 FLEXIBILITY IN HIRING. 3984 02:29:57,600 --> 02:29:59,040 SO WE HAVE A SPECIAL HIRING 3985 02:29:59,040 --> 02:30:01,880 AUTHORITY THAT MAKES US MORE 3986 02:30:01,880 --> 02:30:07,240 COMPETITIVE WITH SALARIES IN 3987 02:30:07,240 --> 02:30:08,760 INDUSTRY AS OTHER PARTS OF THE 3988 02:30:08,760 --> 02:30:09,440 GOVERNMENT. 3989 02:30:09,440 --> 02:30:11,120 IN TERMS OF THE ECOSYSTEM, WE 3990 02:30:11,120 --> 02:30:13,920 ARE BUILDING PARTNERSHIPS WITH A 3991 02:30:13,920 --> 02:30:16,600 GREAT MANY FOLKS. 3992 02:30:16,600 --> 02:30:18,880 SO VERY IMPORTANT GROUP IS THE 3993 02:30:18,880 --> 02:30:19,360 CUSTOMERS. 3994 02:30:19,360 --> 02:30:20,600 SO THE PATIENTS, THE PROVIDER, 3995 02:30:20,600 --> 02:30:24,800 THE PUBLIC, THE FOLKS THAT WILL 3996 02:30:24,800 --> 02:30:26,200 HOPEFULLY USE THE TECHNOLOGY AND 3997 02:30:26,200 --> 02:30:28,320 BENEFIT FROM THE ADVANCES THAT 3998 02:30:28,320 --> 02:30:30,000 ARPA-H IS INVESTING IN. 3999 02:30:30,000 --> 02:30:33,440 AND THEN WE HAVE OUR PERFORMER 4000 02:30:33,440 --> 02:30:33,880 COMMUNITY. 4001 02:30:33,880 --> 02:30:35,440 THESE WOULD BE FOLKS FROM 4002 02:30:35,440 --> 02:30:38,000 UNIVERSITIES, FROM INDUSTRY, 4003 02:30:38,000 --> 02:30:40,280 NGOs, PRIVATE INVESTORS, SMALL 4004 02:30:40,280 --> 02:30:42,680 BUSINESSES, LARGE ONES, WHO CAN 4005 02:30:42,680 --> 02:30:46,880 WORK WITH US IN ORDER TO PURSUE 4006 02:30:46,880 --> 02:30:49,720 THESE VERY LARGE GOALS. 4007 02:30:49,720 --> 02:30:53,680 AND THEN WE ALSO PARTNER 4008 02:30:53,680 --> 02:30:56,160 REGULARLY WITH OTHER GOVERNMENT 4009 02:30:56,160 --> 02:30:57,120 AGENCIES. 4010 02:30:57,120 --> 02:30:58,760 THAT INCLUDES THE INSTITUTES AND 4011 02:30:58,760 --> 02:30:59,800 CENTERS INSIDE OF NIH AS WELL AS 4012 02:30:59,800 --> 02:31:01,600 A VARIETY OF DIFFERENT FEDERAL 4013 02:31:01,600 --> 02:31:02,360 PARTNERS IN ORDER TO MAKE IT SO 4014 02:31:02,360 --> 02:31:03,600 THAT AS WE'RE DEVELOPING NEW 4015 02:31:03,600 --> 02:31:05,080 TYPES OF TECHNOLOGIES, WE'RE 4016 02:31:05,080 --> 02:31:06,760 ALSO THINKING ABOUT THE 4017 02:31:06,760 --> 02:31:09,040 REGULATORY ASPECTS, THE ASPECTS 4018 02:31:09,040 --> 02:31:12,320 OF PAYMENT, SO THAT ONCE A NEW 4019 02:31:12,320 --> 02:31:14,440 TECHNOLOGY IS DEVELOPED, WE HAVE 4020 02:31:14,440 --> 02:31:16,840 A PATHWAY TO IT SURVIVING IN THE 4021 02:31:16,840 --> 02:31:20,680 REAL WORLD. 4022 02:31:20,680 --> 02:31:25,280 IN TERMS OF THE KIND OF UNIQUE 4023 02:31:25,280 --> 02:31:27,160 ATTRIBUTES OF ARPA-H, THE 4024 02:31:27,160 --> 02:31:28,560 PROGRAM MANAGERS ARE REALLY THE 4025 02:31:28,560 --> 02:31:29,680 NUCLEUS OF THE ORGANIZATION. 4026 02:31:29,680 --> 02:31:31,560 SO THESE ARE FOLKS THAT COME TO 4027 02:31:31,560 --> 02:31:36,000 THE AGENCY WITH EXPERTISE IN A 4028 02:31:36,000 --> 02:31:40,080 PARTICULAR AREA AND A GREAT 4029 02:31:40,080 --> 02:31:40,520 IDEA. 4030 02:31:40,520 --> 02:31:42,400 SO THIGHS PROGRAM MANAGERS, AS 4031 02:31:42,400 --> 02:31:45,880 THEY CAS -- THESE PROGRAM MANAGS 4032 02:31:45,880 --> 02:31:47,480 THEY COME IN. 4033 02:31:47,480 --> 02:31:48,120 , THEY ARE THE ONES 4034 02:31:48,120 --> 02:31:49,200 DRIVEN TO ACHIEVE THOSE GOALS 4035 02:31:49,200 --> 02:31:50,320 AND WE'RE PROVIDING THEM WITH 4036 02:31:50,320 --> 02:31:51,840 THE RESOURCES TO BE SUCCESSFUL 4037 02:31:51,840 --> 02:31:53,200 SO THEY REALLY ARE DERIVING A 4038 02:31:53,200 --> 02:31:54,920 LOT OF THE FORWARD PROGRESS OF 4039 02:31:54,920 --> 02:31:58,400 THE ORGANIZATION. 4040 02:31:58,400 --> 02:31:59,880 WE ARE VERY INTERESTED IN 4041 02:31:59,880 --> 02:32:01,600 RADICAL CHANGE, REVOLUTIONARY, 4042 02:32:01,600 --> 02:32:02,920 NOT INCREMENTAL OR EVOLUTIONARY. 4043 02:32:02,920 --> 02:32:05,160 SO WE WANT TO SAY, OKAY, IF 4044 02:32:05,160 --> 02:32:06,440 THERE IS A GOAL WE'RE TRYING TO 4045 02:32:06,440 --> 02:32:11,040 GET TO IN THE NEXT 10 YEARS, HOW 4046 02:32:11,040 --> 02:32:13,240 CAN WE DO THAT IN TWO OR THREE 4047 02:32:13,240 --> 02:32:13,440 YEARS? 4048 02:32:13,440 --> 02:32:14,120 IS THAT POSSIBLE? 4049 02:32:14,120 --> 02:32:15,840 IF THERE'S SOMETHING WHERE MAYBE 4050 02:32:15,840 --> 02:32:16,760 THERE'S AN EMERGING TECHNOLOGY 4051 02:32:16,760 --> 02:32:18,280 WHERE YOU COULD IMAGINE A NEW 4052 02:32:18,280 --> 02:32:21,200 APPLICATION, THAT COULD ALLOW US 4053 02:32:21,200 --> 02:32:22,480 TO TREAT PATIENTS IN A FUND 4054 02:32:22,480 --> 02:32:23,600 MENTALLY DIFFERENT WAY. 4055 02:32:23,600 --> 02:32:25,520 CAN WE MAKE THAT LEAP. 4056 02:32:25,520 --> 02:32:27,040 AND WHAT DO WE NEED TO DO TO DO 4057 02:32:27,040 --> 02:32:28,760 THAT QUICKLY. 4058 02:32:28,760 --> 02:32:30,440 THE PROGRAM MANAGERS ARE GIVEN A 4059 02:32:30,440 --> 02:32:33,160 LOT OF AUTONOMY TO PURSUE THE 4060 02:32:33,160 --> 02:32:36,560 DIRECTIONS THAT THEY THINK ARE 4061 02:32:36,560 --> 02:32:37,200 USEFUL. 4062 02:32:37,200 --> 02:32:39,200 WITH THE IDEA THAT ALONG THE 4063 02:32:39,200 --> 02:32:40,520 WAY, THEY'RE MEASURING PROGRESS, 4064 02:32:40,520 --> 02:32:42,600 AND THEY ARE TESTING AND 4065 02:32:42,600 --> 02:32:43,400 EVALUATING TO MAKE SURE THAT 4066 02:32:43,400 --> 02:32:45,200 THINGS ARE WORKING WELL. 4067 02:32:45,200 --> 02:32:47,600 AND THEN THE TERM LIMITS ARE 4068 02:32:47,600 --> 02:32:49,160 REALLY A UNIQUE ASPECT OF THE 4069 02:32:49,160 --> 02:32:50,240 ORGANIZATION THAT KEEPS US 4070 02:32:50,240 --> 02:32:52,520 AGILE. 4071 02:32:52,520 --> 02:32:55,600 SO PROGRAM MANAGERS STAY THREE 4072 02:32:55,600 --> 02:32:58,120 TO SIX YEARS, AND WHAT THAT 4073 02:32:58,120 --> 02:32:59,920 ALLOWS US TO DO IS IT ALLOWS US 4074 02:32:59,920 --> 02:33:01,720 TO CONSTANTLY PULL IN PEOPLE 4075 02:33:01,720 --> 02:33:07,120 WITH NEW IDEAS WHO ARE EXPERTS 4076 02:33:07,120 --> 02:33:09,520 IN EMERGING SCIENTIFIC AREAS. 4077 02:33:09,520 --> 02:33:15,120 SO AGAIN, THE ORGANIZATION IS 4078 02:33:15,120 --> 02:33:16,200 ORGANIZED AROUND THESE PROGRAMS, 4079 02:33:16,200 --> 02:33:17,240 RUN BY PROGRAM MANAGERS. 4080 02:33:17,240 --> 02:33:18,840 THE PROGRAMS ARE THESE AREAS 4081 02:33:18,840 --> 02:33:22,600 WHERE WE'RE PURSUING A SPECIFIC 4082 02:33:22,600 --> 02:33:23,600 REVOLUTIONARY IDEA AND THEY TEND 4083 02:33:23,600 --> 02:33:28,480 TO LAST TWO TO FOUR YEARS. 4084 02:33:28,480 --> 02:33:30,160 THE PROGRAM MANAGERS WHO COME IN 4085 02:33:30,160 --> 02:33:31,360 FOR THREE TO SIX YEARS TEND TO 4086 02:33:31,360 --> 02:33:33,160 START A FEW PROGRAMS WHILE 4087 02:33:33,160 --> 02:33:34,240 THEY'RE AT ARPA-H, SO THEY'LL 4088 02:33:34,240 --> 02:33:35,720 COME IN, THEY'LL START TWO TO 4089 02:33:35,720 --> 02:33:36,880 THREE PROGRAMS, AND THEN THEY 4090 02:33:36,880 --> 02:33:41,480 WILL LAUNCH THOSE AND WE WILL 4091 02:33:41,480 --> 02:33:42,520 CONTINUE PULLING IN EXPERTS IN 4092 02:33:42,520 --> 02:33:46,960 DIFFERENT AREAS TO THE PORTFOLIO 4093 02:33:46,960 --> 02:33:48,360 OF THE AGENCY FORWARD. 4094 02:33:48,360 --> 02:33:51,120 IN TERMS OF THE TYPES OF FOLKS 4095 02:33:51,120 --> 02:33:54,200 THAT WE LOOK FOR, WE LOOK FOR 4096 02:33:54,200 --> 02:33:56,400 FOLKS THAT HAVE A DRIVE TO 4097 02:33:56,400 --> 02:34:00,080 PURSUE A PARTICULAR CHALLENGE. 4098 02:34:00,080 --> 02:34:01,160 THIS IS OFTEN THE TYPE OF 4099 02:34:01,160 --> 02:34:02,000 INDIVIDUAL WHO SEES A DIFFERENT 4100 02:34:02,000 --> 02:34:05,400 TYPE OF APPROACH THAN WHAT'S 4101 02:34:05,400 --> 02:34:08,240 CONVENTIONAL AND IS JUST REALLY 4102 02:34:08,240 --> 02:34:09,800 DRIVEN TO TURN THAT INTO 4103 02:34:09,800 --> 02:34:12,960 FRUITION. 4104 02:34:12,960 --> 02:34:14,280 SO WE'RE LOOKING FOR FOLKS WITH 4105 02:34:14,280 --> 02:34:15,360 THAT DRIVE AS WELL AS A 4106 02:34:15,360 --> 02:34:17,440 CURIOSITY TO UNDERSTAND WHY SOME 4107 02:34:17,440 --> 02:34:19,360 THINGS ARE WORKING, WHY OTHER 4108 02:34:19,360 --> 02:34:23,720 THINGS AREN'T, AND NO FEAR OF 4109 02:34:23,720 --> 02:34:24,200 FAILURE. 4110 02:34:24,200 --> 02:34:25,360 SO THEY'RE TRYING THINGS BUT 4111 02:34:25,360 --> 02:34:27,120 THERE'S ALSO SOME TECHNICAL 4112 02:34:27,120 --> 02:34:28,360 HONESTY SO THAT IF THINGS FAIL, 4113 02:34:28,360 --> 02:34:29,720 THEY CAN PIVOT APPROPRIATELY AND 4114 02:34:29,720 --> 02:34:32,520 TRY SOMETHING ELSE. 4115 02:34:32,520 --> 02:34:34,920 AND WE DO GET FOLKS FROM ALL 4116 02:34:34,920 --> 02:34:36,360 DIFFERENT STAGES OF THEIR 4117 02:34:36,360 --> 02:34:37,920 CAREER, SO WE WILL GET FOLKS 4118 02:34:37,920 --> 02:34:40,000 THAT ARE VERY LATE CAREER WHERE 4119 02:34:40,000 --> 02:34:43,040 THIS IS A CAPSTONE ACTIVITY. 4120 02:34:43,040 --> 02:34:46,000 WE'LL GET FOLKS THAT ARE PERHAPS 4121 02:34:46,000 --> 02:34:48,160 RELATIVELY EARLY IN THEIR 4122 02:34:48,160 --> 02:34:49,760 CAREER, PERHAPS AN EXPERT IN AN 4123 02:34:49,760 --> 02:34:51,080 EMERGING AREA AND EVERYWHERE IN 4124 02:34:51,080 --> 02:34:56,080 BETWEEN. 4125 02:34:56,080 --> 02:34:58,280 IN TERMS OF THE WAY THAT WE 4126 02:34:58,280 --> 02:34:59,720 SHAPE THE PORTFOLIO, RIGHT, 4127 02:34:59,720 --> 02:35:01,240 BECAUSE WE WANT TO DO THESE 4128 02:35:01,240 --> 02:35:04,760 REVOLUTIONARY NEW IDEAS, WE ALSO 4129 02:35:04,760 --> 02:35:08,920 WANT TO HAVE A PRINCIPLED WAY TO 4130 02:35:08,920 --> 02:35:10,160 MAKE SURE WE'RE INVESTING IN 4131 02:35:10,160 --> 02:35:11,800 THINGS THAT ARE LIKELY TO BE 4132 02:35:11,800 --> 02:35:15,200 WORKING AND IF WE FIND THAT AN 4133 02:35:15,200 --> 02:35:17,320 IDEA SOUNDED GREAT BUT TURNS OUT 4134 02:35:17,320 --> 02:35:18,160 THERE'S A SCIENTIFIC LIMITATION 4135 02:35:18,160 --> 02:35:19,160 THAT WE DIDN'T KNOW ABOUT, WE 4136 02:35:19,160 --> 02:35:20,920 WANT TO BE ABLE TO CATCH THAT 4137 02:35:20,920 --> 02:35:22,800 VERY QUICKLY AND THEN PIVOT TO 4138 02:35:22,800 --> 02:35:26,000 INVEST IN SOMETHING ELSE. 4139 02:35:26,000 --> 02:35:30,840 SO THE HEILMEIER QUESTIONS ARE 4140 02:35:30,840 --> 02:35:32,440 SOMETHING ADOPTED FROM DARPA, SO 4141 02:35:32,440 --> 02:35:34,760 THEY CREATED THE INTERNET, GPS, 4142 02:35:34,760 --> 02:35:38,080 THEY DID SOME FOUNDATIONAL WORK 4143 02:35:38,080 --> 02:35:42,040 BETWEEN ANTIBODIES AND THE 4144 02:35:42,040 --> 02:35:43,760 MODERNA VACCINE IN THE PANDEMIC, 4145 02:35:43,760 --> 02:35:45,520 AND WE'RE TRYING TO TAKE THAT 4146 02:35:45,520 --> 02:35:50,680 MODEL AND APPLY TO HEALTH. 4147 02:35:50,680 --> 02:35:54,160 SO THE FIRST THREE ARE REALLY 4148 02:35:54,160 --> 02:35:55,160 KEY, FIRST THREE QUESTIONS HERE 4149 02:35:55,160 --> 02:35:58,160 ARE REALLY KEY TO DEFINING THE 4150 02:35:58,160 --> 02:36:00,000 TECHNICAL ASPECTS OF A 4151 02:36:00,000 --> 02:36:00,440 PARTICULAR PROBLEM. 4152 02:36:00,440 --> 02:36:02,680 SO WE WANT SOMEBODY WHO CAN 4153 02:36:02,680 --> 02:36:04,000 CLEARLY ARTICULATE WHAT PROBLEM 4154 02:36:04,000 --> 02:36:05,440 SPACE THEY WANT TO WORK WITH AND 4155 02:36:05,440 --> 02:36:10,040 WHY IT'S IMPORTANT. 4156 02:36:10,040 --> 02:36:11,480 NOT JUST LIKE, IT WOULD BE 4157 02:36:11,480 --> 02:36:13,000 USEFUL TO CURE CANCER, BUT 4158 02:36:13,000 --> 02:36:14,720 INSTEAD WHAT PART OF CANCER, HOW 4159 02:36:14,720 --> 02:36:16,840 MANY PATIENTS IS IT AFFECTING 4160 02:36:16,840 --> 02:36:20,560 AND HOW MUCH OF THAT OVERARCHING 4161 02:36:20,560 --> 02:36:21,480 PROBLEM DO YOU THINK YOU MIGHT 4162 02:36:21,480 --> 02:36:24,000 BE ABLE TO CARVE OFF AND HAVE AN 4163 02:36:24,000 --> 02:36:25,800 IMPACT ON VERY QUICKLY? 4164 02:36:25,800 --> 02:36:27,440 WE WANT SOMEBODY WHO CAN CLEARLY 4165 02:36:27,440 --> 02:36:28,760 ARTICULATE WHAT THE LIMITATIONS 4166 02:36:28,760 --> 02:36:30,920 ARE IN THE CURRENT STATE OF 4167 02:36:30,920 --> 02:36:32,800 PRACTICE, AND THEN EXPLAIN HOW 4168 02:36:32,800 --> 02:36:35,440 THEIR NEW REVOLUTIONARY APPROACH 4169 02:36:35,440 --> 02:36:38,040 MIGHT BRING SOME NEW CAPABILITY 4170 02:36:38,040 --> 02:36:40,160 OR NEW REVOLUTIONARY IDEA THAT 4171 02:36:40,160 --> 02:36:42,240 MIGHT HELP US OVERCOME BARRIERS 4172 02:36:42,240 --> 02:36:45,960 THAT WE'VE HAD IN THE PAST. 4173 02:36:45,960 --> 02:36:47,280 SO THOSE ARE THE THREE THAT HELP 4174 02:36:47,280 --> 02:36:48,440 DEFINE THE SCOPE OF THE PROGRAM, 4175 02:36:48,440 --> 02:36:49,960 AND THEN OTHER QUESTIONS HERE 4176 02:36:49,960 --> 02:36:54,320 HELP US EVALUATE PROGRESS. 4177 02:36:54,320 --> 02:36:55,920 AND ALSO THINK ABOUT THINGS LIKE 4178 02:36:55,920 --> 02:36:57,720 EQUITY TO MAKE SURE THAT, SAY 4179 02:36:57,720 --> 02:36:59,320 WE'RE HAVING CLINICAL TRIALS, 4180 02:36:59,320 --> 02:37:00,360 WE'RE REACHING THE PATIENT 4181 02:37:00,360 --> 02:37:01,760 POPULATIONS THAT ARE 4182 02:37:01,760 --> 02:37:03,720 REPRESENTATIVE, AND WE ARE ALSO 4183 02:37:03,720 --> 02:37:05,360 CONSIDERING THINGS LIKE THE WAY 4184 02:37:05,360 --> 02:37:06,640 IN WHICH THE TECHNOLOGY 4185 02:37:06,640 --> 02:37:08,240 DEVELOPMENT COULD BE 4186 02:37:08,240 --> 02:37:10,200 MISPERCEIVED SO THAT WE'RE 4187 02:37:10,200 --> 02:37:12,040 DEVELOPING A STRATEGY SO THAT 4188 02:37:12,040 --> 02:37:14,680 THERE'S CLEAR COMMUNICATION 4189 02:37:14,680 --> 02:37:16,160 ABOUT THE GOALS TO INCREASE THE 4190 02:37:16,160 --> 02:37:20,960 LIKELIHOOD OF ACCEPTANCE. 4191 02:37:20,960 --> 02:37:22,600 IN TERMS OF THE PROGRAM 4192 02:37:22,600 --> 02:37:24,160 FORMULATION, THE PROGRAM 4193 02:37:24,160 --> 02:37:26,600 MONITORS COME IN, AND THEY 4194 02:37:26,600 --> 02:37:28,240 DEVELOP THESE PROGRAM CONCEPTS 4195 02:37:28,240 --> 02:37:33,960 AS OUTLINED IN THE HALMEIER 4196 02:37:33,960 --> 02:37:35,280 QUESTIONS IN THE LAST SLIDE, AND 4197 02:37:35,280 --> 02:37:37,720 THEY'RE TRYING TO ADVANCE THESE 4198 02:37:37,720 --> 02:37:38,000 CHALLENGES. 4199 02:37:38,000 --> 02:37:41,160 THEY WILL PUT TOGETHER A BRIEF 4200 02:37:41,160 --> 02:37:42,640 AND DEVELOP BROAD AGENCY 4201 02:37:42,640 --> 02:37:45,960 ANNOUNCEMENT AND THEN SELECT 4202 02:37:45,960 --> 02:37:48,040 PERFORMERS AND LAUNCH THE TWO TO 4203 02:37:48,040 --> 02:37:48,640 FOUR-YEAR EFFORT IN ORDER TO 4204 02:37:48,640 --> 02:37:52,560 MAKE PROGRESS ON THAT PROBLEM 4205 02:37:52,560 --> 02:37:54,520 USING A DIVERSE SET OF 4206 02:37:54,520 --> 02:37:56,160 PERFORMERS. 4207 02:37:56,160 --> 02:37:58,080 SO OFTEN WHAT THIS ENTAILS IS 4208 02:37:58,080 --> 02:37:59,120 WE'RE DEFINING THESE CHALLENGES 4209 02:37:59,120 --> 02:38:00,680 SO THAT THERE MIGHT BE THREE OR 4210 02:38:00,680 --> 02:38:02,800 FOUR DIFFERENT APPROACHES THAT 4211 02:38:02,800 --> 02:38:03,240 COULD WORK. 4212 02:38:03,240 --> 02:38:04,920 WE DON'T KNOW WHICH ONES WILL, 4213 02:38:04,920 --> 02:38:08,360 SO WE'RE PULLING IN A NUMBER OF 4214 02:38:08,360 --> 02:38:09,600 DIFFERENT PERFORMER TEAMS IN 4215 02:38:09,600 --> 02:38:10,600 PARALLEL TO TRY OUT DIFFERENT 4216 02:38:10,600 --> 02:38:12,600 IDEAS OF HOW TO ACHIEVE THAT 4217 02:38:12,600 --> 02:38:13,440 GOAL IN PARALLEL. 4218 02:38:13,440 --> 02:38:15,680 SO WE CAN LEARN WHICH OF THOSE 4219 02:38:15,680 --> 02:38:21,240 APPROACHES WORK IN WHAT CONTE 4220 02:38:21,240 --> 02:38:21,520 CONTEXTS. 4221 02:38:21,520 --> 02:38:24,440 THEN THROUGHOUT THE WAY, WE ARE 4222 02:38:24,440 --> 02:38:26,880 DEVELOPING METRICS AND WE ARE 4223 02:38:26,880 --> 02:38:29,440 DOING EVALUATIONS TO SEE WHICH 4224 02:38:29,440 --> 02:38:30,720 OF THESE APPROACHES ARE REALLY 4225 02:38:30,720 --> 02:38:31,760 WORKING IN THE REAL WORLD. 4226 02:38:31,760 --> 02:38:32,960 AND SOMETIMES YOU END UP WITH A 4227 02:38:32,960 --> 02:38:34,400 CLEAR WINNER AND SOMETIMES YOU 4228 02:38:34,400 --> 02:38:36,560 END UP WITH SOMETHING THAT'S 4229 02:38:36,560 --> 02:38:37,840 MORE COMPLEX, WHERE SOME 4230 02:38:37,840 --> 02:38:41,560 APPROACHES WORK WELL IN CERTAIN 4231 02:38:41,560 --> 02:38:43,640 PARTS OF THE SPACE, MAYBE 4232 02:38:43,640 --> 02:38:44,520 CERTAIN SUBPOPULATIONS. 4233 02:38:44,520 --> 02:38:46,080 I TEND TO DO SOFTWARE. 4234 02:38:46,080 --> 02:38:47,800 MAYBE FOR CERTAIN TYPES OF LIKE 4235 02:38:47,800 --> 02:38:49,360 DATA CONDITIONS OR WHAT HAVE 4236 02:38:49,360 --> 02:38:50,200 YOU. 4237 02:38:50,200 --> 02:38:52,760 AND SOME THINGS WORK BETTER IN 4238 02:38:52,760 --> 02:38:53,000 OTHERS. 4239 02:38:53,000 --> 02:38:54,640 SO THEN YOU CAN USE THAT 4240 02:38:54,640 --> 02:38:55,840 SYSTEMICALLY TO DRIVE FORWARD 4241 02:38:55,840 --> 02:38:56,280 PROGRESS. 4242 02:38:56,280 --> 02:38:59,480 SO NONETHELESS, AS YOU GO 4243 02:38:59,480 --> 02:39:00,160 THROUGH THE PROGRAM, YOU'RE 4244 02:39:00,160 --> 02:39:01,280 IDENTIFYING WHICH OF THESE 4245 02:39:01,280 --> 02:39:03,760 APPROACHES ARE MOST PROMISING, 4246 02:39:03,760 --> 02:39:07,200 AND THEN ULTIMATELY, BECAUSE OUR 4247 02:39:07,200 --> 02:39:08,440 PROGRAMS LAST TWO TO FOUR YEARS, 4248 02:39:08,440 --> 02:39:09,520 WE'RE LOOKING FOR TRANSITION 4249 02:39:09,520 --> 02:39:10,000 PATHS. 4250 02:39:10,000 --> 02:39:11,920 SO THIS IS A PATH TO EAR HAVING 4251 02:39:11,920 --> 02:39:17,160 THE TECHNOLOGY GO TO A COMPANY 4252 02:39:17,160 --> 02:39:19,880 OR PERHAPS TO ANOTHER GOVERNMENT 4253 02:39:19,880 --> 02:39:20,760 ORGANIZATION IN ORDER TO MAKE IT 4254 02:39:20,760 --> 02:39:23,520 SO THAT IT USED IN THE REAL 4255 02:39:23,520 --> 02:39:26,480 WORLD. 4256 02:39:26,480 --> 02:39:28,040 WE ALSO HAVE AN OFFICE 4257 02:39:28,040 --> 02:39:28,800 SPECIFICALLY FOCUSED ON 4258 02:39:28,800 --> 02:39:29,560 TRANSITION THAT WILL WORK WITH 4259 02:39:29,560 --> 02:39:31,480 THE PROGRAM MANAGER AND THE 4260 02:39:31,480 --> 02:39:34,040 PERFORMER TEAM THROUGH THROUGHON 4261 02:39:34,040 --> 02:39:38,480 ORDER TO IDENTIFY PLACES WHERE 4262 02:39:38,480 --> 02:39:40,120 MAYBE WE CAN THINK ABOUT 4263 02:39:40,120 --> 02:39:40,720 ENTREPRENEURS IN RESIDENCE, 4264 02:39:40,720 --> 02:39:42,120 MAYBE WE CAN THINK ABOUT FOLKS 4265 02:39:42,120 --> 02:39:43,640 THAT CAN COACH THE NEW 4266 02:39:43,640 --> 02:39:45,160 TECHNOLOGY DEVELOPERS THROUGH 4267 02:39:45,160 --> 02:39:46,080 REGULATORY ASPECTS. 4268 02:39:46,080 --> 02:39:47,280 PERHAPS WE'RE PARTNERING WITH 4269 02:39:47,280 --> 02:39:49,040 THE FDA TO CREATE A NEW 4270 02:39:49,040 --> 02:39:51,560 REGULATORY PATHWAY FOR SOME TYPE 4271 02:39:51,560 --> 02:39:54,000 OF NEW TECHNOLOGY. 4272 02:39:54,000 --> 02:39:55,640 SO THEN ULTIMATELY, THERE'S A 4273 02:39:55,640 --> 02:39:57,720 PATH AGAIN TOWARD THAT 4274 02:39:57,720 --> 02:39:59,440 TECHNOLOGY SURVIVING IN THE 4275 02:39:59,440 --> 02:40:00,920 WILD. 4276 02:40:00,920 --> 02:40:03,880 AND THEN OUR OVERALL MISSION TO 4277 02:40:03,880 --> 02:40:06,520 ACCELERATE IMPROVEMENT IN HEALTH 4278 02:40:06,520 --> 02:40:08,080 OUTCOMES FOR EVERYONE IS REALLY 4279 02:40:08,080 --> 02:40:08,400 QUITE BROAD. 4280 02:40:08,400 --> 02:40:09,960 SO WE'VE BROKEN THAT DOWN INTO A 4281 02:40:09,960 --> 02:40:11,280 COUPLE DIFFERENT TECHNICAL 4282 02:40:11,280 --> 02:40:12,600 AREAS. 4283 02:40:12,600 --> 02:40:14,080 THE FIRST IS HEALTH SCIENCE 4284 02:40:14,080 --> 02:40:14,360 FUTURES. 4285 02:40:14,360 --> 02:40:18,280 AND THIS IS ABOUT CORE ADVANCES 4286 02:40:18,280 --> 02:40:20,520 IN THE BIOMEDICAL SCIENCES THAT 4287 02:40:20,520 --> 02:40:22,680 WILL FUNDAMENTALLY CHANGE OUR 4288 02:40:22,680 --> 02:40:26,480 PERCEPTION OF WHAT'S POSSIBLE. 4289 02:40:26,480 --> 02:40:27,880 THEN SCALABLE SOLUTIONS IS ABOUT 4290 02:40:27,880 --> 02:40:29,320 ACCESS AND AFFORDABILITY. 4291 02:40:29,320 --> 02:40:30,680 PERHAPS WE HAVE AN INTERVENTION 4292 02:40:30,680 --> 02:40:31,640 THAT'S AVAILABLE TODAY BUT IT'S 4293 02:40:31,640 --> 02:40:33,440 NOT REACHING THE POPULATION THAT 4294 02:40:33,440 --> 02:40:34,400 NEEDS IT. 4295 02:40:34,400 --> 02:40:36,840 MAYBE IT'S LIMITED TO JUST USE 4296 02:40:36,840 --> 02:40:38,680 IN AN ACADEMIC MEDICAL CENTER, 4297 02:40:38,680 --> 02:40:41,560 AND WE WOULD LIKE TO MINIATURIZE 4298 02:40:41,560 --> 02:40:43,040 DEVICES TO USE IT IN A HOME 4299 02:40:43,040 --> 02:40:44,320 HEALTHCARE SETTING, OR MAYBE WE 4300 02:40:44,320 --> 02:40:45,760 HAVE A THERAPY THAT COSTS A 4301 02:40:45,760 --> 02:40:47,000 MILLION DOLLARS PER DOSE AND WE 4302 02:40:47,000 --> 02:40:49,640 WANT TO FIGURE OUT A 4303 02:40:49,640 --> 02:40:50,400 MANUFACTURING INNOVATION THAT 4304 02:40:50,400 --> 02:40:53,360 COULD BRING THAT COST DOWN. 4305 02:40:53,360 --> 02:40:55,160 PROACTIVE HEALTH, SO LOOKING AT 4306 02:40:55,160 --> 02:40:57,040 HOW WE PROLONG PERIODS OF HEALTH 4307 02:40:57,040 --> 02:40:57,680 AND WELL-BEING. 4308 02:40:57,680 --> 02:41:01,480 SO THIS CAN GET INTO PREVENTIVE 4309 02:41:01,480 --> 02:41:02,800 APPROACHES, THIS CAN ALSO GET 4310 02:41:02,800 --> 02:41:04,840 INTO THINGS LIKE REGENERATIVE 4311 02:41:04,840 --> 02:41:06,600 APPROACHES, BUT EFFECTIVELY 4312 02:41:06,600 --> 02:41:08,440 TRYING TO CATCH EITHER THE RISK 4313 02:41:08,440 --> 02:41:11,600 OF OR THE EARLY ONSET OF DISEASE 4314 02:41:11,600 --> 02:41:13,680 EARLIER SO THAT PERHAPS WE CAN 4315 02:41:13,680 --> 02:41:17,400 REVERSE THINGS OR AT LEAST STALL 4316 02:41:17,400 --> 02:41:21,160 THE PROGRESSION. 4317 02:41:21,160 --> 02:41:23,240 AND THEN FILIALLY RESILIENT 4318 02:41:23,240 --> 02:41:24,000 HEALTH SYSTEMS. 4319 02:41:24,000 --> 02:41:25,640 SO HOW DO WE MAKE OUR HEALTH 4320 02:41:25,640 --> 02:41:27,360 SYSTEMS MORE RELIABLE, MORE 4321 02:41:27,360 --> 02:41:29,080 ROBUST, AND THIS CAN INCLUDE 4322 02:41:29,080 --> 02:41:33,160 ANYTHING FROM A BIOPHYSICAL 4323 02:41:33,160 --> 02:41:34,720 SYSTEM TO AN ELECTRONIC HEALTH 4324 02:41:34,720 --> 02:41:36,240 RECORD OR PUBLIC HEALTH DATA 4325 02:41:36,240 --> 02:41:38,880 SYSTEM SUPPLY CHAINS, OR SOME OF 4326 02:41:38,880 --> 02:41:42,160 THE TECHNOLOGIES THAT ASSIST 4327 02:41:42,160 --> 02:41:43,840 BETWEEN PATIENT AND CLINICIAN 4328 02:41:43,840 --> 02:41:45,680 COMMUNICATION TO MAKE THAT MORE 4329 02:41:45,680 --> 02:41:46,360 RESILIENT AS WELL. 4330 02:41:46,360 --> 02:41:47,880 SO GETTING INTO SOME OF THE 4331 02:41:47,880 --> 02:41:53,520 PEOPLE ASPECTS. 4332 02:41:53,520 --> 02:41:55,720 IN TERMS OF WAYS TO WORK WITH 4333 02:41:55,720 --> 02:41:58,440 US, WE CURRENTLY HAVE A BROAD 4334 02:41:58,440 --> 02:42:00,040 AGENCY ANNOUNCEMENT, AN OPEN 4335 02:42:00,040 --> 02:42:01,480 BROAD AGENCY ANNOUNCEMENT, SO 4336 02:42:01,480 --> 02:42:04,840 I'VE BEEN TALKING A BIT ABOUT 4337 02:42:04,840 --> 02:42:05,920 THE PROGRAMS THAT WE START. 4338 02:42:05,920 --> 02:42:08,400 THE OPEN BROAD AGENCY 4339 02:42:08,400 --> 02:42:10,680 ANNOUNCEMENT IS AN OPPORTUNITY 4340 02:42:10,680 --> 02:42:12,120 FOR INVESTIGATORS TO BRING IDEAS 4341 02:42:12,120 --> 02:42:15,560 TO US, THAT THEY THINK WOULD BE 4342 02:42:15,560 --> 02:42:16,320 REVOLUTIONARY AND FOLKS CAN 4343 02:42:16,320 --> 02:42:20,920 SUBMIT A PROPOSAL AND FOR A 4344 02:42:20,920 --> 02:42:23,600 SUBSET, WE'LL FUND THEM AND MOVE 4345 02:42:23,600 --> 02:42:24,400 FORWARD WITH THAT IDEA. 4346 02:42:24,400 --> 02:42:26,360 SO THAT'S REALLY TO CATCH 4347 02:42:26,360 --> 02:42:28,200 ANYTHING REVOLUTIONARY AND 4348 02:42:28,200 --> 02:42:30,120 EXCITING THAT MIGHT NOT HAVE AN 4349 02:42:30,120 --> 02:42:30,760 ACTIVE PROGRAM AROUND IT. 4350 02:42:30,760 --> 02:42:32,400 WE ALSO HAVE OUR FIRST PROGRAM 4351 02:42:32,400 --> 02:42:34,560 BROAD AGENCY ANNOUNCEMENT OUT, 4352 02:42:34,560 --> 02:42:38,120 NITRO. 4353 02:42:38,120 --> 02:42:39,280 THAT'S ON OSTEOARTHRITIS. 4354 02:42:39,280 --> 02:42:41,120 SO WE WANT TO MAKE IT SO THAT WE 4355 02:42:41,120 --> 02:42:43,960 ARE REDUCING THE NEED FOR KNEE 4356 02:42:43,960 --> 02:42:46,200 OR HIP SURGERY THROUGH 4357 02:42:46,200 --> 02:42:47,680 REGENERATIVE APPROACHES, 4358 02:42:47,680 --> 02:42:49,040 APPROACHS THAT REGENERATE BOTH 4359 02:42:49,040 --> 02:42:53,680 BONE AND CARTILAGE. 4360 02:42:53,680 --> 02:42:57,280 THEN WE ALSO HAVE AN RFI, SO AN 4361 02:42:57,280 --> 02:43:01,640 INTERESTING CONGRESSIONAL 4362 02:43:01,640 --> 02:43:03,080 SITUATION IS THAT WE ARE 4363 02:43:03,080 --> 02:43:05,520 REQUIRED BY STATUTE -- SORRY, I 4364 02:43:05,520 --> 02:43:06,840 SKIPPED ON TO THE SITE SELECTION 4365 02:43:06,840 --> 02:43:07,360 ON THERE. 4366 02:43:07,360 --> 02:43:09,160 WE'RE REQUIRED BY STATUTE TO 4367 02:43:09,160 --> 02:43:12,040 HAVE THREE DIFFERENT LOCATIONS. 4368 02:43:12,040 --> 02:43:13,440 THAT'S UNIQUE, I THINK, TO US, 4369 02:43:13,440 --> 02:43:14,880 SO WE HAVE ONE IN THE D.C. 4370 02:43:14,880 --> 02:43:16,360 AREA, BECAUSE IT'S NICE TO BE 4371 02:43:16,360 --> 02:43:19,520 CLOSE TO NIH AND FDA AND 4372 02:43:19,520 --> 02:43:22,680 CONGRESS AND CMS. 4373 02:43:22,680 --> 02:43:27,240 BUT WE WANT TO TAKE THIS MANDATE 4374 02:43:27,240 --> 02:43:28,640 TO HAVE THREE GEOGRAPHIC 4375 02:43:28,640 --> 02:43:29,680 LOCATIONS TO TAKE AN OPPORTUNITY 4376 02:43:29,680 --> 02:43:31,080 TO CREATE NETWORKS, REALLY, TO 4377 02:43:31,080 --> 02:43:34,400 BE ABLE TO REACH PATIENTS AND 4378 02:43:34,400 --> 02:43:36,040 CLINICIANS AND FOLKS THAT WILL 4379 02:43:36,040 --> 02:43:39,440 ALSO ULTIMATELY BENEFIT FROM 4380 02:43:39,440 --> 02:43:41,960 ARPA-H ADVANCES INTO THE 4381 02:43:41,960 --> 02:43:44,280 ECOSYSTEM. 4382 02:43:44,280 --> 02:43:45,400 SO WE ARE DOING THAT THROUGH A 4383 02:43:45,400 --> 02:43:47,120 HUB AND SPOKE STRATEGY, WE'RE 4384 02:43:47,120 --> 02:43:48,040 DEVELOPING TWO DIFFERENT 4385 02:43:48,040 --> 02:43:48,320 NETWORKS. 4386 02:43:48,320 --> 02:43:51,240 ONE IS OF HOSPITAL SYSTEMS AND 4387 02:43:51,240 --> 02:43:53,240 COMMUNITY HEALTH CENTERS, WHO 4388 02:43:53,240 --> 02:43:55,360 CAN ASSIST WITH TESTING OUT 4389 02:43:55,360 --> 02:43:56,800 TECHNOLOGIES AND RUNNING 4390 02:43:56,800 --> 02:43:57,880 CLINICAL TRIALS IN 4391 02:43:57,880 --> 02:43:59,440 REPRESENTATIVE POPULATIONS. 4392 02:43:59,440 --> 02:44:03,400 AND THEN ANOTHER ONE, CALL IT AN 4393 02:44:03,400 --> 02:44:04,240 INVESTOR CATALYST NETWORK, IN 4394 02:44:04,240 --> 02:44:07,120 ORDER TO ASSIST FOLKS WITH THE 4395 02:44:07,120 --> 02:44:08,000 COMMERCIALIZATION, THE 4396 02:44:08,000 --> 02:44:09,520 REGULATORY PROCESSES THAT ARE 4397 02:44:09,520 --> 02:44:11,560 NEEDED TO BRING A TECHNOLOGY 4398 02:44:11,560 --> 02:44:14,960 INTO USE. 4399 02:44:14,960 --> 02:44:18,040 AND THEN WE ALSO HAVE RFIs IN 4400 02:44:18,040 --> 02:44:19,560 ORDER TO COLLECT MORE 4401 02:44:19,560 --> 02:44:20,360 INFORMATION ABOUT WHAT FOLKS 4402 02:44:20,360 --> 02:44:23,120 WOULD LIKE TO SEE IN TERMS OF 4403 02:44:23,120 --> 02:44:28,600 ARPA-H AND FDA COLLABORATION. 4404 02:44:28,600 --> 02:44:30,000 SO A LITTLE BIT MORE ABOUT OUR 4405 02:44:30,000 --> 02:44:30,400 FIRST PROGRAM. 4406 02:44:30,400 --> 02:44:32,560 THIS IS THE ONE ON TISSUE 4407 02:44:32,560 --> 02:44:34,680 REGENERATION FOR OSTEOARTHRITIS. 4408 02:44:34,680 --> 02:44:39,200 WE JUST HAD THE PROPOSERS DAY 4409 02:44:39,200 --> 02:44:40,400 YESTERDAY, SO LOTS OF INTEREST 4410 02:44:40,400 --> 02:44:42,160 THERE, AND IF YOU OR ANY 4411 02:44:42,160 --> 02:44:43,240 COLLEAGUES ARE INTERESTED IN 4412 02:44:43,240 --> 02:44:44,760 APPLYING FOR THAT, THERE'S A 4413 02:44:44,760 --> 02:44:46,280 LINK TO THE BROAD AGENCY 4414 02:44:46,280 --> 02:44:49,640 ANNOUNCEMENT AND WE ARE LOOKING 4415 02:44:49,640 --> 02:44:52,120 FOR SOME REVOLUTIONARY IDEAS ON 4416 02:44:52,120 --> 02:44:53,320 HOW TO EXECUTE ON THE GOALS OF 4417 02:44:53,320 --> 02:44:56,960 THIS PROGRAM. 4418 02:44:56,960 --> 02:44:58,440 AND THEN FINALLY, I'D LIKE TO 4419 02:44:58,440 --> 02:45:00,480 END WITH THIS SLIDE. 4420 02:45:00,480 --> 02:45:04,760 IT'S AN ART INSTALLATION AT THE 4421 02:45:04,760 --> 02:45:07,080 RENWICK GALLERY ABOUT HOW THIS 4422 02:45:07,080 --> 02:45:09,720 PRESENT MOMENT USED TO BE THE 4423 02:45:09,720 --> 02:45:11,520 UNIMAGINABLE FUTURE, AND THAT'S 4424 02:45:11,520 --> 02:45:13,240 REALLY AS AN AGENCY THE CRUX OF 4425 02:45:13,240 --> 02:45:16,240 WHERE WE'RE TRYING TO GO, HOW DO 4426 02:45:16,240 --> 02:45:19,320 WE ACCELERATE PROGRESS TOWARDS 4427 02:45:19,320 --> 02:45:20,360 AN UNIMAGINABLE FUTURE. 4428 02:45:20,360 --> 02:45:21,600 WITH THAT, I'LL OPEN TO 4429 02:45:21,600 --> 02:45:25,800 QUESTIONS. 4430 02:45:25,800 --> 02:45:27,680 >>THANK YOU SO VERY MUCH. 4431 02:45:27,680 --> 02:45:28,600 FIRST QUESTION, DAVID. 4432 02:45:28,600 --> 02:45:31,080 >>ACTUALLY IT'S NOT AS MUCH A 4433 02:45:31,080 --> 02:45:31,600 QUESTION AS A COMMENT. 4434 02:45:31,600 --> 02:45:33,760 THANK YOU FOR A VERY INFORMATIVE 4435 02:45:33,760 --> 02:45:35,640 PRESENTATION THAT LAYS OUT 4436 02:45:35,640 --> 02:45:37,280 ARPA-H BETTER THAN ANY WAY I'VE 4437 02:45:37,280 --> 02:45:40,200 SEEN ANYBODY ELSE TRY TO EXPLAIN 4438 02:45:40,200 --> 02:45:40,400 IT. 4439 02:45:40,400 --> 02:45:42,600 IT SOUNDS TO ME LIKE IT'S A 4440 02:45:42,600 --> 02:45:45,760 CROSS BETWEEN AN AGILE PROGRAM 4441 02:45:45,760 --> 02:45:47,560 MANAGEMENT ORGANIZATION AND A 4442 02:45:47,560 --> 02:45:48,760 VENTURE CAPITAL ORGANIZATION 4443 02:45:48,760 --> 02:45:51,400 BECAUSE YOU'RE FOCUSED ON -- 4444 02:45:51,400 --> 02:45:55,440 WAYS OF GETTING TO SOLUTIONS AND 4445 02:45:55,440 --> 02:45:57,360 THE V.C.'S OBJECTIVE OF GETTING 4446 02:45:57,360 --> 02:45:59,000 OUT OF IT AND PASSING IT ON FOR 4447 02:45:59,000 --> 02:45:59,640 THE FUTURE TO GO. 4448 02:45:59,640 --> 02:46:03,040 I THINK IT'S A VERY INTERE 4449 02:46:03,040 --> 02:46:05,320 INTERESTING -- VERY INTERESTING 4450 02:46:05,320 --> 02:46:05,600 APPROACH. 4451 02:46:05,600 --> 02:46:06,200 >>YES, THANK YOU. 4452 02:46:06,200 --> 02:46:08,280 AND IT'S A YES WITH CAVEATS TO 4453 02:46:08,280 --> 02:46:08,720 THAT. 4454 02:46:08,720 --> 02:46:10,320 SO YES, YES AND. 4455 02:46:10,320 --> 02:46:14,680 AND I THINK THAT IN OTHER PLACE, 4456 02:46:14,680 --> 02:46:16,320 WE MIGHT HAVE A VENTURE CAPITAL 4457 02:46:16,320 --> 02:46:17,480 APPROACH SOMETIMES, BUT AT THE 4458 02:46:17,480 --> 02:46:18,560 END OF THE DAY, THE VENTURE 4459 02:46:18,560 --> 02:46:19,760 CAPITAL WORLD IS INTERESTED IN A 4460 02:46:19,760 --> 02:46:20,960 BUSINESS MODEL THAT WILL MAKE 4461 02:46:20,960 --> 02:46:22,080 THEM MONEY. 4462 02:46:22,080 --> 02:46:23,040 AND THERE ARE CERTAIN THINGS 4463 02:46:23,040 --> 02:46:25,560 THAT ARE VERY IMPORTANT TO 4464 02:46:25,560 --> 02:46:27,080 HAPPEN FOR PATIENTS THAT MIGHT 4465 02:46:27,080 --> 02:46:28,840 NOT MAKE ANYBODY MONEY FROM THE 4466 02:46:28,840 --> 02:46:29,240 OUTSET. 4467 02:46:29,240 --> 02:46:30,760 SO THAT'S REALLY A PLACE WHERE 4468 02:46:30,760 --> 02:46:32,520 WE TRY AND FOCUS TOO. 4469 02:46:32,520 --> 02:46:34,800 AND IN SOME CASE, WE MIGHT BE 4470 02:46:34,800 --> 02:46:36,120 DE-RISKING THE TECHNOLOGY ENOUGH 4471 02:46:36,120 --> 02:46:37,520 SO THAT THEN AT THE END, THERE'S 4472 02:46:37,520 --> 02:46:38,840 A BUSINESS MODEL. 4473 02:46:38,840 --> 02:46:40,440 IN OTHERS, WE MIGHT BE LOOKING 4474 02:46:40,440 --> 02:46:42,480 FOR DIFFERENT TYPES OF 4475 02:46:42,480 --> 02:46:43,920 NON-PROFIT WAYS FOR THESE 4476 02:46:43,920 --> 02:46:44,600 TECHNOLOGIES TO SURVIVE IN THE 4477 02:46:44,600 --> 02:46:45,680 WILD. 4478 02:46:45,680 --> 02:46:47,680 >>I USE THE TERM VENTURE 4479 02:46:47,680 --> 02:46:50,000 CAPITAL TO REFER TO THE EXIT 4480 02:46:50,000 --> 02:46:51,640 STRATEGY OBJECTIVE. 4481 02:46:51,640 --> 02:46:53,360 THESE PROGRAMS HAVE TO HAVE AN 4482 02:46:53,360 --> 02:46:55,960 EXIT STRATEGY OBJECTIVE TO BE 4483 02:46:55,960 --> 02:46:57,600 PICKED UP BY SOMEBODY ELSE, 4484 02:46:57,600 --> 02:46:58,960 WHETHER IT'S COMMERCIALLY, 4485 02:46:58,960 --> 02:47:00,400 WHETHER IT'S HOSPITAL, WHETHER 4486 02:47:00,400 --> 02:47:04,920 IT'S ANOTHER ORGANIZATION WITHIN 4487 02:47:04,920 --> 02:47:06,400 THE GOVERNMENT OR EXTERNAL -- 4488 02:47:06,400 --> 02:47:07,280 IT'S AN INTERESTING MIX. 4489 02:47:07,280 --> 02:47:10,480 >>THANK YOU. 4490 02:47:10,480 --> 02:47:12,280 >>ARE THERE ANY OTHER QUESTIONS 4491 02:47:12,280 --> 02:47:13,640 OR COMMENTS? 4492 02:47:13,640 --> 02:47:15,560 >>I'VE GOT ONE. 4493 02:47:15,560 --> 02:47:17,520 CRAIG SAMITT HERE ON THE SCREEN. 4494 02:47:17,520 --> 02:47:19,960 THANKS, DR. ROBERTS. 4495 02:47:19,960 --> 02:47:21,480 THIS WAS AN EXCEPTIONAL 4496 02:47:21,480 --> 02:47:22,880 PRESENTATION AND VERY EXCITING 4497 02:47:22,880 --> 02:47:23,640 WORK. 4498 02:47:23,640 --> 02:47:25,720 I ESPECIALLY LIKE THE NOTION 4499 02:47:25,720 --> 02:47:27,200 THAT EVOLUTIONARY PROPOSERS NEED 4500 02:47:27,200 --> 02:47:28,720 NOT APPLY. 4501 02:47:28,720 --> 02:47:31,720 I DON'T THINK WE HEAR ENOUGH OF 4502 02:47:31,720 --> 02:47:32,920 THAT POINT OF VIEW IN HEALTHCARE 4503 02:47:32,920 --> 02:47:35,720 TODAY, SO THANK YOU FOR DRIVING 4504 02:47:35,720 --> 02:47:38,360 THIS WONDERFUL WORK. 4505 02:47:38,360 --> 02:47:40,320 MY QUESTION RELATES TO THE 4506 02:47:40,320 --> 02:47:41,760 METHOD BY WHICH YOU AND YOUR 4507 02:47:41,760 --> 02:47:47,400 TEAM WILL DECIDE WHICH PROBLEMS 4508 02:47:47,400 --> 02:47:47,920 TO SOLVE FOR. 4509 02:47:47,920 --> 02:47:49,040 I WOULD IMAGINE THERE'S GOING TO 4510 02:47:49,040 --> 02:47:50,640 BE A LARGE UNIVERSE OF 4511 02:47:50,640 --> 02:47:53,680 POSSIBILITIES THAT YOU COULD 4512 02:47:53,680 --> 02:47:55,120 HEAR ABOUT, AND HOW ARE YOU 4513 02:47:55,120 --> 02:47:57,080 GOING TO DECIDE, IS THERE AN 4514 02:47:57,080 --> 02:47:58,920 ASSESSMENT PROCESS OR EVALUATION 4515 02:47:58,920 --> 02:48:00,240 CRITERIA TO DETERMINE WHICH ONES 4516 02:48:00,240 --> 02:48:02,200 WILL BE MOST IMPACTFUL OR 4517 02:48:02,200 --> 02:48:03,960 ATTRACTIVE? 4518 02:48:03,960 --> 02:48:05,480 >>THAT'S A GREAT QUESTION, AND 4519 02:48:05,480 --> 02:48:08,160 THAT GOES BACK TO THE HALMEIER 4520 02:48:08,160 --> 02:48:09,600 QUESTIONS THAT LOOK AT THE 4521 02:48:09,600 --> 02:48:11,320 ABILITY FOR SOMEONE TO 4522 02:48:11,320 --> 02:48:12,520 ARTICULATE BOTH THE POTENTIAL 4523 02:48:12,520 --> 02:48:14,400 IMPACT, THE LIMITATIONS OF THE 4524 02:48:14,400 --> 02:48:15,200 STATE OF THE ART, SO WHY WE'RE 4525 02:48:15,200 --> 02:48:17,520 NOT GOING TO GET THERE, AND ALSO 4526 02:48:17,520 --> 02:48:19,160 WITH THAT REVOLUTIONARY NEW 4527 02:48:19,160 --> 02:48:20,440 IDEAS, AND ALSO NOTE THAT WE'RE 4528 02:48:20,440 --> 02:48:23,400 TRYING TO -- WE ARE 4529 02:48:23,400 --> 02:48:25,120 ACCOMPLISHING THIS SO FAR, WE'RE 4530 02:48:25,120 --> 02:48:26,240 HIRING ONE TO TWO PROGRAM 4531 02:48:26,240 --> 02:48:28,640 MANAGERS PER MONTH FOR THE 4532 02:48:28,640 --> 02:48:29,480 INDEFINITE FUTURE. 4533 02:48:29,480 --> 02:48:30,760 SO AT THIS STAGE IN OUR 4534 02:48:30,760 --> 02:48:32,200 DEVELOPMENT, THERE'S A LOT OF 4535 02:48:32,200 --> 02:48:34,400 POTENTIAL TO PULL IN SOME GREAT 4536 02:48:34,400 --> 02:48:34,800 IDEAS. 4537 02:48:34,800 --> 02:48:37,720 AND THEN OVER TIME, WE'LL BE 4538 02:48:37,720 --> 02:48:40,920 LOOKING FOR RISK BALANCE 4539 02:48:40,920 --> 02:48:42,360 PORTFOLIO AND WE'LL BE BALANCING 4540 02:48:42,360 --> 02:48:43,880 THAT ACROSS A NUMBER OF 4541 02:48:43,880 --> 02:48:44,800 DIFFERENT DIMENSIONS, SO SOME 4542 02:48:44,800 --> 02:48:46,440 ASPECTS WILL BE ON THE 4543 02:48:46,440 --> 02:48:48,440 TECHNOLOGY SIDE TO MAKE SURE 4544 02:48:48,440 --> 02:48:50,200 THAT WE'RE BALANCING ACROSS 4545 02:48:50,200 --> 02:48:51,600 TECHNOLOGY AREAS, WE'LL ALSO BE 4546 02:48:51,600 --> 02:48:53,320 LOOKING FOR A BALANCE ACROSS 4547 02:48:53,320 --> 02:48:59,200 DISEASE AREAS, AND A MIX OF BOTH 4548 02:48:59,200 --> 02:49:00,640 DISEASES THAT AFFECT A LARGE 4549 02:49:00,640 --> 02:49:03,560 NUMBER OF PEOPLE, SO CANCER, 4550 02:49:03,560 --> 02:49:06,200 DIABETES, ET CETERA, AND ALSO 4551 02:49:06,200 --> 02:49:07,560 AREAS WHERE MAYBE WE DON'T HAVE 4552 02:49:07,560 --> 02:49:10,720 AN EXISTING INTERVENTION. 4553 02:49:10,720 --> 02:49:12,640 GETTING INTO RARE DISEASE OR 4554 02:49:12,640 --> 02:49:14,160 OTHER DISEASES THAT HAVE 4555 02:49:14,160 --> 02:49:15,800 TRADITIONALLY BEEN UNDERFUNDED. 4556 02:49:15,800 --> 02:49:18,520 >>SO DO YOU BELIEVE THAT YOU 4557 02:49:18,520 --> 02:49:21,200 WILL HAVE A LARGE VOLUME OF 4558 02:49:21,200 --> 02:49:26,760 RESPON DES TRESPONDEES TO THE RE 4559 02:49:26,760 --> 02:49:28,080 GOING TO NEED TO DO A 4560 02:49:28,080 --> 02:49:30,200 SIGNIFICANT SCREENING PROCESS OR 4561 02:49:30,200 --> 02:49:32,240 WILL THERE BE A GOOD SET OF 4562 02:49:32,240 --> 02:49:33,320 FIRST MORPHS AND YOU'LL BE ABLE 4563 02:49:33,320 --> 02:49:34,920 TO TAKE MANY AT THE OUTSET AND 4564 02:49:34,920 --> 02:49:36,040 THEN SORT OF NARROW THE FUNNEL 4565 02:49:36,040 --> 02:49:36,480 LATER? 4566 02:49:36,480 --> 02:49:37,720 >>GREAT QUESTION. 4567 02:49:37,720 --> 02:49:39,600 SO FOR RIGHT NOW, TWO PER MONTH 4568 02:49:39,600 --> 02:49:42,880 IS KIND OF FAST RAMP-UP. 4569 02:49:42,880 --> 02:49:45,160 AND THE INTERVIEW PROCESS 4570 02:49:45,160 --> 02:49:46,760 INVOLVES US WORKING ONE ON ONE 4571 02:49:46,760 --> 02:49:48,000 WITH CANDIDATES IN ORDER TO 4572 02:49:48,000 --> 02:49:48,760 REFINE THEIR IDEAS. 4573 02:49:48,760 --> 02:49:51,600 SO IT'S NOT UNUSUAL FOR US TO 4574 02:49:51,600 --> 02:49:54,000 INTERACT WITH A CANDIDATE FOR A 4575 02:49:54,000 --> 02:49:56,480 COUPLE MONTHS IN ADVANCE OF AN 4576 02:49:56,480 --> 02:49:58,560 IN-PERSON INTERVIEW IN ORDER TO 4577 02:49:58,560 --> 02:50:01,600 ENSURE THAT THERE'S SOME -- BOTH 4578 02:50:01,600 --> 02:50:03,560 RESPONSIVENESS TO THE TECHNICAL 4579 02:50:03,560 --> 02:50:05,640 FEEDBACK, SO NOT EVERYBODY COMES 4580 02:50:05,640 --> 02:50:07,360 IN WITH, SAY, CLEAR METRICS, 4581 02:50:07,360 --> 02:50:09,280 RIGHT? 4582 02:50:09,280 --> 02:50:10,680 SO WE WORK WITH THEM TO REFINE 4583 02:50:10,680 --> 02:50:13,080 AND THEN BY THE TIME WE'RE AT AN 4584 02:50:13,080 --> 02:50:14,200 INTERVIEW STAGE, WE HAVE A 4585 02:50:14,200 --> 02:50:15,200 PRETTY GOOD SENSE OF WHETHER 4586 02:50:15,200 --> 02:50:17,360 THERE'S A PROGRAM FORMULATION 4587 02:50:17,360 --> 02:50:20,080 THAT IS GOING TO BE LIKELY TO 4588 02:50:20,080 --> 02:50:22,520 SUCCEED IN THIS MODEL. 4589 02:50:22,520 --> 02:50:25,880 AND RIGHT NOW, WE TEND TO BE 4590 02:50:25,880 --> 02:50:30,200 INTERACTING AT SOME LEVEL WITH 4591 02:50:30,200 --> 02:50:31,200 ABOUT 50 POTENTIAL CANDIDATES AT 4592 02:50:31,200 --> 02:50:33,080 A TIME. 4593 02:50:33,080 --> 02:50:33,640 >>GREAT. 4594 02:50:33,640 --> 02:50:34,920 THANK YOU VERY MUCH. 4595 02:50:34,920 --> 02:50:38,440 >>DR. CUNNINGHAM? 4596 02:50:38,440 --> 02:50:39,320 >>THANK YOU. 4597 02:50:39,320 --> 02:50:40,480 THAT WAS AN EXCELLENT 4598 02:50:40,480 --> 02:50:40,840 PRESENTATION. 4599 02:50:40,840 --> 02:50:42,800 I'M SO APPRECIATIVE BECAUSE I 4600 02:50:42,800 --> 02:50:44,720 WAS NOT CLEAR ON THE ARPA-H AND, 4601 02:50:44,720 --> 02:50:46,480 YOU KNOW, AS WE HAD DISCUSSED IN 4602 02:50:46,480 --> 02:50:47,440 PREVIOUS MEETINGS. 4603 02:50:47,440 --> 02:50:48,800 MY QUESTION TO YOU IS ABOUT ONE 4604 02:50:48,800 --> 02:50:50,360 OF THE LATER COMMENTS THAT YOU 4605 02:50:50,360 --> 02:50:51,560 MADE ABOUT THE DEVELOPMENT OF A 4606 02:50:51,560 --> 02:50:53,760 NETWORK, AND I WANTED TO KNOW 4607 02:50:53,760 --> 02:50:55,840 HOW OR SORT OF ARE YOU TARGETING 4608 02:50:55,840 --> 02:50:58,880 PARTICULAR AREAS, GEOGRAPHIC, IS 4609 02:50:58,880 --> 02:51:01,280 IT AROUND TYPES OF INSTITUTIONS, 4610 02:51:01,280 --> 02:51:02,520 IS IT AROUND INDUSTRY, HOW ARE 4611 02:51:02,520 --> 02:51:03,520 YOU THINKING ABOUT DEVELOPING 4612 02:51:03,520 --> 02:51:04,560 THAT, IF YOU COULD GIVE A LITTLE 4613 02:51:04,560 --> 02:51:09,280 IP SITE INTO TINSIGHT INTO THATD 4614 02:51:09,280 --> 02:51:09,640 APPRECIATE IT. 4615 02:51:09,640 --> 02:51:11,280 >>YES, SO THAT'S AN ONGOING 4616 02:51:11,280 --> 02:51:12,760 SOURCE SELECTION RIGHT NOW, SO 4617 02:51:12,760 --> 02:51:14,520 IF YOU WANT MORE INFORMATION, IS 4618 02:51:14,520 --> 02:51:16,480 AN RCA, SO THERE'S A SITE 4619 02:51:16,480 --> 02:51:17,680 SELECTION SOLICITATION ON OUR 4620 02:51:17,680 --> 02:51:18,760 WEBSITE THAT GIVES A GOOD AMOUNT 4621 02:51:18,760 --> 02:51:19,480 OF CRITERIA. 4622 02:51:19,480 --> 02:51:19,960 >>OKAY. 4623 02:51:19,960 --> 02:51:22,880 >>AND YES, WE'RE LOOKING FOR 4624 02:51:22,880 --> 02:51:25,400 THAT GEOGRAPHIC DISTRIBUTION, 4625 02:51:25,400 --> 02:51:26,520 AND WE'RE ALSO LOOKING FOR 4626 02:51:26,520 --> 02:51:30,600 CONTRIBUDISTRIBUTION TO MEET PAT 4627 02:51:30,600 --> 02:51:31,160 POPULATIONS WHERE THEY ARE 4628 02:51:31,160 --> 02:51:32,160 ACROSS MANY DIFFERENT 4629 02:51:32,160 --> 02:51:32,920 DEMOGRAPHICS. 4630 02:51:32,920 --> 02:51:35,000 AND ULTIMATELY WHAT'S IMPORTANT 4631 02:51:35,000 --> 02:51:39,000 TO NOTE ABOUT THAT SOLICITATION 4632 02:51:39,000 --> 02:51:42,920 APPROACH IS, WE ARE SELECTING 4633 02:51:42,920 --> 02:51:45,680 TWO CONSORTIUM MAN MANAGEMENT 4634 02:51:45,680 --> 02:51:48,080 FIRMS TO SERVE AS THE NEXUS FOR 4635 02:51:48,080 --> 02:51:49,480 THOSE HUB AND SPOKE NETWORKS BUT 4636 02:51:49,480 --> 02:51:50,560 AT THE END OF THE DAY, ALL KINDS 4637 02:51:50,560 --> 02:51:52,960 OF ORGANIZATIONS CAN CONTINUE TO 4638 02:51:52,960 --> 02:51:56,120 ENTER THOSE AND TAKE PART IN 4639 02:51:56,120 --> 02:51:57,440 THOSE CONSORTIA, SO THAT AS WE 4640 02:51:57,440 --> 02:51:59,080 MOVE FORWARD, WE CAN CONTINUE TO 4641 02:51:59,080 --> 02:52:00,920 PULL IN THE TYPES OF 4642 02:52:00,920 --> 02:52:01,760 ORGANIZATIONS THAT WE NEED TO BE 4643 02:52:01,760 --> 02:52:02,120 EFFECTIVE. 4644 02:52:02,120 --> 02:52:02,360 >>GREAT. 4645 02:52:02,360 --> 02:52:03,280 THANK YOU SO MUCH. 4646 02:52:03,280 --> 02:52:06,840 >>MS. REEL? 4647 02:52:06,840 --> 02:52:08,200 >>THANK YOU. 4648 02:52:08,200 --> 02:52:09,320 MY QUESTION HAS BEEN ANSWERED 4649 02:52:09,320 --> 02:52:11,480 BUT I WANTED TO KEEP MY HAND UP 4650 02:52:11,480 --> 02:52:12,040 JUST TO SAY THANK YOU. 4651 02:52:12,040 --> 02:52:13,480 I THOUGHT THE PRESENTATION WAS 4652 02:52:13,480 --> 02:52:14,840 SO IMPRESSIVE, AND YOU JUST GIVE 4653 02:52:14,840 --> 02:52:16,720 ME ALL THIS SENSE OF OPTIMISM. 4654 02:52:16,720 --> 02:52:19,360 SO THANK YOU. 4655 02:52:19,360 --> 02:52:21,280 >>DR. DEVASKAR? 4656 02:52:21,280 --> 02:52:21,720 >>THANK YOU. 4657 02:52:21,720 --> 02:52:22,480 ME TOO. 4658 02:52:22,480 --> 02:52:23,880 I JUST WANTED TO SAY THAT THAT 4659 02:52:23,880 --> 02:52:26,200 WAS WONDERFUL, THANK YOU, 4660 02:52:26,200 --> 02:52:26,960 MS. ROBERTS. 4661 02:52:26,960 --> 02:52:29,000 MY QUESTION IS, YOU SAID THAT 4662 02:52:29,000 --> 02:52:34,080 YOU WOULD BE TARGETING AREAS 4663 02:52:34,080 --> 02:52:36,880 WHICH AFFECT LARGE POPULATIONS 4664 02:52:36,880 --> 02:52:37,760 AND YET RARE DISORDERS WAS ALSO 4665 02:52:37,760 --> 02:52:39,520 MENTIONED. 4666 02:52:39,520 --> 02:52:40,840 I GUESS MY QUESTION IS, THERE 4667 02:52:40,840 --> 02:52:42,680 ARE MANY DISORDERS WHERE 4668 02:52:42,680 --> 02:52:46,440 THERAPIES COULD BE VERY IMPA 4669 02:52:46,440 --> 02:52:47,200 IMPACTFUL, AND PARTICULARLY IN 4670 02:52:47,200 --> 02:52:48,600 THE CHILD OR CHILDREN 4671 02:52:48,600 --> 02:52:49,240 POPULATION. 4672 02:52:49,240 --> 02:52:51,320 AND I JUST WONDERED IF THERE IS 4673 02:52:51,320 --> 02:52:54,280 A FOCUS WITHIN YOUR ORGANIZATION 4674 02:52:54,280 --> 02:52:57,200 ON THAT WITH A PARTICULAR 4675 02:52:57,200 --> 02:52:59,840 PROGRAM MANAGER, OR IS IT JUST 4676 02:52:59,840 --> 02:53:02,320 EMBEDDED ACROSS THE WHOLE 4677 02:53:02,320 --> 02:53:03,720 ORGANIZATION? 4678 02:53:03,720 --> 02:53:04,160 THANK YOU. 4679 02:53:04,160 --> 02:53:05,400 >>YES, I THINK IT'S AN 4680 02:53:05,400 --> 02:53:06,520 IMPORTANT AREA, AND WE ARE 4681 02:53:06,520 --> 02:53:07,960 ACTIVELY HIRING IN THAT AREA, SO 4682 02:53:07,960 --> 02:53:09,840 IF YOU HAVE FOLKS THAT YOU CAN 4683 02:53:09,840 --> 02:53:10,640 RECOMMEND, WE OF COURSE WOULD 4684 02:53:10,640 --> 02:53:14,240 LIKE TO TALK MORE. 4685 02:53:14,240 --> 02:53:15,600 IT AN INTERESTING AREA BECAUSE 4686 02:53:15,600 --> 02:53:18,600 AS I UNDERSTAND IT, THERE ARE 4687 02:53:18,600 --> 02:53:22,080 SOME ISSUES RELATED TO 4688 02:53:22,080 --> 02:53:24,360 INCENTIVES AS WELL AS TECHNOLOGY 4689 02:53:24,360 --> 02:53:24,640 DEVELOPMENT. 4690 02:53:24,640 --> 02:53:26,320 SO WE ARE LOOKING AT THE 4691 02:53:26,320 --> 02:53:27,520 PEDIATRIC SPACE, BOTH IN TERMS 4692 02:53:27,520 --> 02:53:29,720 OF WHAT TYPES OF PERHAPS 4693 02:53:29,720 --> 02:53:31,480 NON-PROFIT ORGANIZATIONS OR 4694 02:53:31,480 --> 02:53:32,400 OTHER TYPES OF STRUCTURES NEED 4695 02:53:32,400 --> 02:53:34,280 TO BE SET UP ON THE TRANSITION 4696 02:53:34,280 --> 02:53:35,040 SIDE. 4697 02:53:35,040 --> 02:53:38,080 AND ALSO WHETHER THERE ARE 4698 02:53:38,080 --> 02:53:40,600 TECHNICAL ADVANCES, SAY, ONE 4699 02:53:40,600 --> 02:53:42,440 THING IS TO MAKE IT EASIER TO 4700 02:53:42,440 --> 02:53:44,800 COLLECT REAL WORLD EVIDENCE, OR 4701 02:53:44,800 --> 02:53:45,600 SOMETHING, TO ACCELERATE OUR 4702 02:53:45,600 --> 02:53:47,480 ABILITY TO MOVE THINGS INTO 4703 02:53:47,480 --> 02:53:52,960 PEDIATRIC POPULATIONS. 4704 02:53:52,960 --> 02:53:53,280 >>THANK YOU. 4705 02:53:53,280 --> 02:53:55,160 >>DR. GILMAN? 4706 02:53:55,160 --> 02:53:57,200 >>FIRST OF ALL, I WANT TO THANK 4707 02:53:57,200 --> 02:54:00,280 DR. ROBERTS FOR THE 4708 02:54:00,280 --> 02:54:01,040 PRESENTATION. 4709 02:54:01,040 --> 02:54:02,800 IN SOME WAY, SHAPE OR FORM, THE 4710 02:54:02,800 --> 02:54:04,880 OTHER PRESENTERS TODAY ALL WORK 4711 02:54:04,880 --> 02:54:07,040 FOR ME, SHE DOES NOT, AND I 4712 02:54:07,040 --> 02:54:09,200 APPRECIATE HER WILLINGNESS TO DO 4713 02:54:09,200 --> 02:54:12,600 THIS AND TO COME TO IT IN 4714 02:54:12,600 --> 02:54:12,920 PERSON. 4715 02:54:12,920 --> 02:54:14,760 AND SO I WANT TO THANK HER. 4716 02:54:14,760 --> 02:54:17,560 THE SECOND THING IS, DR. COOTS 4717 02:54:17,560 --> 02:54:19,000 SORT OF KICKED THIS THING OFF BY 4718 02:54:19,000 --> 02:54:22,200 SAYING HOW WOULD IT -- HOW WILL 4719 02:54:22,200 --> 02:54:23,400 ARPA-H INTERACT WITH THE 4720 02:54:23,400 --> 02:54:24,920 CLINICAL CENTER, AND I THINK 4721 02:54:24,920 --> 02:54:28,680 SOME OF THAT IS TO BE DETERM 4722 02:54:28,680 --> 02:54:29,040 DETERMINED. 4723 02:54:29,040 --> 02:54:30,200 BUT I CAN TELL YOU WHAT WE'RE 4724 02:54:30,200 --> 02:54:32,320 ALREADY DOING. 4725 02:54:32,320 --> 02:54:33,320 EACH ONE OF THE INSTITUTES AND 4726 02:54:33,320 --> 02:54:35,080 CENTERS, INCLUDING THE CLINICAL 4727 02:54:35,080 --> 02:54:38,480 CENTER AT THE NIH, IDENTIFIED 4728 02:54:38,480 --> 02:54:40,920 SORT OF A POINT OF CONTACT FOR 4729 02:54:40,920 --> 02:54:46,200 ARPA-H, AND SO WHEN THEY NEEDED 4730 02:54:46,200 --> 02:54:47,520 EXPERTISE FROM AN INSTITUTE BUT 4731 02:54:47,520 --> 02:54:51,640 THEY DIDN'T NECESSARILY KNOW WHO 4732 02:54:51,640 --> 02:54:53,280 TO GO ASK, THEY WOULD BE ABLE TO 4733 02:54:53,280 --> 02:54:54,800 REACH OUT TO THE POINT OF 4734 02:54:54,800 --> 02:54:58,600 CONTACT AND SAY, HEY, NATIONAL 4735 02:54:58,600 --> 02:55:01,120 HEART, LUNG AND BLOOD INSTITUTE, 4736 02:55:01,120 --> 02:55:02,640 WE THINK -- WE THINK YOU HAVE 4737 02:55:02,640 --> 02:55:04,440 SOMEBODY THAT KNOWS SOMETHING 4738 02:55:04,440 --> 02:55:06,680 ABOUT THIS, AND WE COULD REALLY 4739 02:55:06,680 --> 02:55:12,920 USE THEIR HELP IN TERMS OF 4740 02:55:12,920 --> 02:55:19,280 EVALUATING SOMEBODY'S BIG IDEA. 4741 02:55:19,280 --> 02:55:21,320 AND WE -- FOR THE CLINICAL 4742 02:55:21,320 --> 02:55:24,040 CENTER CURRENTLY, I SERVE THAT 4743 02:55:24,040 --> 02:55:25,240 FUNCTION, THEY'VE REACHED OUT TO 4744 02:55:25,240 --> 02:55:28,120 ME A COUPLE OF TIMES WITH 4745 02:55:28,120 --> 02:55:31,600 RESPECT TO THE STAFF AT THE 4746 02:55:31,600 --> 02:55:33,440 CLINICAL CENTER WHO THEY THINK 4747 02:55:33,440 --> 02:55:35,840 MAY HAVE EXPERTISE THAT'S 4748 02:55:35,840 --> 02:55:38,480 RELEVANT TO ONE OF THEIR IDEAS. 4749 02:55:38,480 --> 02:55:42,040 IT MAY NOT FIT INTO A NICE 4750 02:55:42,040 --> 02:55:46,200 CLINICAL BUCKET. 4751 02:55:46,200 --> 02:55:47,640 THE PARTICULAR PERSON INSIDE THE 4752 02:55:47,640 --> 02:55:50,120 CLINICAL CENTER, THEY WANTED TO 4753 02:55:50,120 --> 02:55:52,080 TALK ABOUT, REALLY HAS MUCH MORE 4754 02:55:52,080 --> 02:55:57,680 TO DO WITH SORT OF THIS USE OF 4755 02:55:57,680 --> 02:56:02,160 GPS LOCATION AND IMAGING IN 4756 02:56:02,160 --> 02:56:04,400 TERMS OF LOCATION, AND IT 4757 02:56:04,400 --> 02:56:05,280 WOULDN'T BE SOMEBODY THAT YOU 4758 02:56:05,280 --> 02:56:09,440 WOULD THINK THAT KNEW VERY MUCH 4759 02:56:09,440 --> 02:56:10,960 ABOUT OSTEOARTHRITIS, BUT THEY 4760 02:56:10,960 --> 02:56:11,600 KNOW A LOT ABOUT SOMETHING ELSE 4761 02:56:11,600 --> 02:56:12,480 THAT MAY BE RELEVANT TO THE 4762 02:56:12,480 --> 02:56:14,880 PROGRAM. 4763 02:56:14,880 --> 02:56:20,360 AND SO OF COURSE WE WILL PROVIDE 4764 02:56:20,360 --> 02:56:24,600 THEM ACCESS OR WE'LL AUTHORIZE 4765 02:56:24,600 --> 02:56:26,160 THEIR ACCESS TO THAT KIND OF 4766 02:56:26,160 --> 02:56:28,000 SUBJECT MATTER EXPERTISE. 4767 02:56:28,000 --> 02:56:30,960 AND OCCASIONALLY, THERE MAY BE 4768 02:56:30,960 --> 02:56:32,720 SOMETHING ABOUT THE NIH THAT THE 4769 02:56:32,720 --> 02:56:35,560 FOLKS AT ARPA-H DON'T KNOW YET. 4770 02:56:35,560 --> 02:56:38,840 FOR INSTANCE, ONE OF THE THINGS 4771 02:56:38,840 --> 02:56:41,720 THAT MANY PEOPLE MAY NOT KNOW IS 4772 02:56:41,720 --> 02:56:45,040 THAT IN TERMS OF BONE AND 4773 02:56:45,040 --> 02:56:46,800 CARTILAGE, BASIC SCIENCE AND 4774 02:56:46,800 --> 02:56:48,360 BIOLOGY, THAT WHILE THE NATIONAL 4775 02:56:48,360 --> 02:56:50,360 INSTITUTE OF MUSCULOSKELETAL 4776 02:56:50,360 --> 02:56:54,200 DISEASES AND SKIN UNDOUBTEDLY 4777 02:56:54,200 --> 02:56:55,720 HAS SOME EXPERTS IN THAT AREA, 4778 02:56:55,720 --> 02:56:57,280 THE NATIONAL INSTITUTE OF DENTAL 4779 02:56:57,280 --> 02:56:59,880 AND CRANIOFACIAL RESEARCH ALSO 4780 02:56:59,880 --> 02:57:01,400 HAS A TREMENDOUS AMOUNT OF 4781 02:57:01,400 --> 02:57:03,160 EXPERTISE IN THAT AREA. 4782 02:57:03,160 --> 02:57:06,440 AND SO IN ADDITION TO PROVIDING 4783 02:57:06,440 --> 02:57:08,520 THEM ACCESS TO THE EXPERTISE OF 4784 02:57:08,520 --> 02:57:12,160 THE CLINICAL CENTER, I HAVE THE 4785 02:57:12,160 --> 02:57:13,520 OPPORTUNITY TO MAKE SUGGESTIONS 4786 02:57:13,520 --> 02:57:15,640 ABOUT OTHER PLACES WHERE THEY 4787 02:57:15,640 --> 02:57:17,680 MIGHT WANT TO LOOK FOR THE KIND 4788 02:57:17,680 --> 02:57:19,480 OF SUBJECT MATTER EXPERTISE 4789 02:57:19,480 --> 02:57:21,920 THEY'RE INTERESTED IN. 4790 02:57:21,920 --> 02:57:24,240 THAT'S THE WAY -- THAT'S THE 4791 02:57:24,240 --> 02:57:25,760 ONLY PARTICULAR INTERACTION THAT 4792 02:57:25,760 --> 02:57:27,120 WE'VE HAD THUS FAR. 4793 02:57:27,120 --> 02:57:29,520 I BELIEVE THAT THERE WILL BE 4794 02:57:29,520 --> 02:57:33,240 MUCH MORE THAT TAKES PLACE OVER 4795 02:57:33,240 --> 02:57:36,360 TIME, BUT THAT'S WHAT WE'RE 4796 02:57:36,360 --> 02:57:40,080 TRYING TO DO TO HELP THEM TAKE 4797 02:57:40,080 --> 02:57:42,440 OFF AND FLY VERY QUICKLY. 4798 02:57:42,440 --> 02:57:42,680 THANKS. 4799 02:57:42,680 --> 02:57:43,000 >>THANK YOU. 4800 02:57:43,000 --> 02:57:44,560 AND WE CAN ALREADY ATTEST TO THE 4801 02:57:44,560 --> 02:57:46,640 FACT THAT THOSE POINTS OF 4802 02:57:46,640 --> 02:57:47,920 CONTACT ARE VERY VALUABLE. 4803 02:57:47,920 --> 02:57:51,040 WE'VE BEEN USING A NUMBER OF 4804 02:57:51,040 --> 02:57:53,680 THEM ALREADY, AND WE REALLY 4805 02:57:53,680 --> 02:57:57,080 APPRECIATE THE GREAT CONNECTIONS 4806 02:57:57,080 --> 02:57:59,840 THAT WE'RE MAKING ACROSS NIH. 4807 02:57:59,840 --> 02:58:01,480 >>IF THERE ARE NO OTHER 4808 02:58:01,480 --> 02:58:02,760 QUESTIONS, DR. ROBERTS, THANK 4809 02:58:02,760 --> 02:58:03,760 YOU VERY MUCH FOR THE 4810 02:58:03,760 --> 02:58:04,280 PRESENTATION TODAY. 4811 02:58:04,280 --> 02:58:06,040 WE REALLY APPRECIATE IT. 4812 02:58:06,040 --> 02:58:07,800 IT'S ABSOLUTELY FASCINATING. 4813 02:58:07,800 --> 02:58:09,200 AND I WOULD HOPE THAT AS THIS 4814 02:58:09,200 --> 02:58:12,960 CONTINUES TO MASUR, MATURE, WE T 4815 02:58:12,960 --> 02:58:14,800 PERIODIC UPDATES ON SOME OF THE 4816 02:58:14,800 --> 02:58:15,640 FASCINATING WORK THAT'S GOING ON 4817 02:58:15,640 --> 02:58:17,200 AND SOME OF THE FUTURISTIC 4818 02:58:17,200 --> 02:58:18,800 THINGS THAT ARE HAPPENING, 4819 02:58:18,800 --> 02:58:19,680 ESPECIALLY IN INTERFACING WITH 4820 02:58:19,680 --> 02:58:21,120 THE DIFFERENT INSTITUTES HERE AT 4821 02:58:21,120 --> 02:58:22,320 NIH AND WITH THE CLINICAL 4822 02:58:22,320 --> 02:58:25,960 CENTER, SO THANK YOU VERY MUCH. 4823 02:58:25,960 --> 02:58:27,080 FOR BEING WITH US TODAY. 4824 02:58:27,080 --> 02:58:27,920 THANKS. 4825 02:58:27,920 --> 02:58:30,080 AND SO THIS BRINGS US TO THE END 4826 02:58:30,080 --> 02:58:31,160 OF THE MEETING. 4827 02:58:31,160 --> 02:58:34,720 WE HAVE A FEW MINUTES IF THERE'S 4828 02:58:34,720 --> 02:58:36,000 ANYTHING THAT ANY MEMBER OF THE 4829 02:58:36,000 --> 02:58:38,760 BOARD WOULD LIKE TO BRING UP IN 4830 02:58:38,760 --> 02:58:40,160 DISCUSSION, BASED ON ANY OF THE 4831 02:58:40,160 --> 02:58:44,160 PRESENTATIONS THAT WE HAD TODAY, 4832 02:58:44,160 --> 02:58:45,960 ANY AFTERTHOUGHTS OR SECOND 4833 02:58:45,960 --> 02:58:46,240 THOUGHTS? 4834 02:58:46,240 --> 02:58:47,160 DAVID. 4835 02:58:47,160 --> 02:58:50,720 >>I KNOW THIS MIGHT BE OUTSIDE 4836 02:58:50,720 --> 02:58:52,440 OF THE REALM OF THIS BOARD, BUT 4837 02:58:52,440 --> 02:58:54,640 IN THE COURSE OF THE 4838 02:58:54,640 --> 02:58:56,040 PRESENTATIONS TODAY AND 4839 02:58:56,040 --> 02:58:58,440 PREVIOUSLY, THERE'S BEEN A LOT 4840 02:58:58,440 --> 02:59:00,560 OF REFERENCE TO DEIA AND THE 4841 02:59:00,560 --> 02:59:01,760 VARIOUS PROGRAMS AND GOALS AND 4842 02:59:01,760 --> 02:59:03,480 SO FORTH. 4843 02:59:03,480 --> 02:59:06,120 AND I JUST WANTED TO SHARE THE 4844 02:59:06,120 --> 02:59:09,640 THOUGHT THAT COMES FROM YEARS IN 4845 02:59:09,640 --> 02:59:10,520 WORKING IN INDUSTRIES WHERE ALL 4846 02:59:10,520 --> 02:59:12,120 OF A SUDDEN, SUDDEN CHANGES HAD 4847 02:59:12,120 --> 02:59:13,760 TO BE MADE AND IMPLEMENTED, BUT 4848 02:59:13,760 --> 02:59:15,200 WE FOUND THAT THE BEST WAY TO DO 4849 02:59:15,200 --> 02:59:17,160 THIS WAS TO BAKE IT IN AND NOT 4850 02:59:17,160 --> 02:59:18,800 BOLT IT ON. 4851 02:59:18,800 --> 02:59:21,840 THE FOCUS ON INSTANTANEOUS 4852 02:59:21,840 --> 02:59:23,600 COMPLIANCE OR REPORTING HAS TO 4853 02:59:23,600 --> 02:59:25,520 BE DONE, NOT WITHSTANDING BASED 4854 02:59:25,520 --> 02:59:27,520 ON LEGISLATION. 4855 02:59:27,520 --> 02:59:28,160 OR REGULATION. 4856 02:59:28,160 --> 02:59:31,880 BUT THERE HAS TO BE AN EQUAL 4857 02:59:31,880 --> 02:59:33,480 EFFORT THAT'S PUT IN ON CULTURAL 4858 02:59:33,480 --> 02:59:35,680 CHANGE AND PROCESS -- IN 4859 02:59:35,680 --> 02:59:39,280 PARTICULAR, PROCESS CHANGE WHEN 4860 02:59:39,280 --> 02:59:40,600 ACTIVITIES ARE GOING ON THROUGH 4861 02:59:40,600 --> 02:59:42,800 THE NORMAL COURSE OF BUSINESS. 4862 02:59:42,800 --> 02:59:43,880 DEIA SHOULD BE A PART OF THE 4863 02:59:43,880 --> 02:59:44,960 NORMAL COURSE OF BUSINESS, NOT 4864 02:59:44,960 --> 02:59:49,200 AN END TO ITSELF. 4865 02:59:49,200 --> 02:59:51,960 JUST MY 2 CENTS. 4866 02:59:51,960 --> 02:59:56,200 >>LET ME RESPOND. 4867 02:59:56,200 --> 03:00:04,040 I THINK THAT AS WE PRESENT THE 4868 03:00:04,040 --> 03:00:05,600 INITIATIVES IN OUR RACIAL AND 4869 03:00:05,600 --> 03:00:09,280 ETHNIC EQUITY PLAN, I THINK THAT 4870 03:00:09,280 --> 03:00:13,080 WE ARE STARTING THE PROCESS OF 4871 03:00:13,080 --> 03:00:14,680 WHAT DAVID REFERS TO AS BAKING 4872 03:00:14,680 --> 03:00:19,160 IT IN, AND NOT BOLTING IT ON. 4873 03:00:19,160 --> 03:00:23,080 YOU HAVE TO START SOMEWHERE, AND 4874 03:00:23,080 --> 03:00:25,360 CERTAINLY SOME OF THAT LOOKS 4875 03:00:25,360 --> 03:00:29,960 LIKE IT'S BOLTED ON. 4876 03:00:29,960 --> 03:00:33,040 BUT I THINK WE ALSO CHOSE 4877 03:00:33,040 --> 03:00:35,280 INITIATIVES THAT REALLY GO 4878 03:00:35,280 --> 03:00:39,680 PRETTY DEEPLY INTO THE 4879 03:00:39,680 --> 03:00:45,120 ORGANIZATION, AND WILL RESULT IN 4880 03:00:45,120 --> 03:00:45,480 CHANGE. 4881 03:00:45,480 --> 03:00:47,320 IT WILL NOT BE FAST. 4882 03:00:47,320 --> 03:00:52,560 IT WILL NOT BE NEXT WEEK OR THE 4883 03:00:52,560 --> 03:00:53,120 WEEK AFTER. 4884 03:00:53,120 --> 03:00:54,560 AND WE UNDERSTOOD THAT WHEN WE 4885 03:00:54,560 --> 03:00:58,360 PUT THE PLAN TOGETHER. 4886 03:00:58,360 --> 03:01:00,000 BUT I THINK WE DO HAVE 4887 03:01:00,000 --> 03:01:03,280 INITIATIVES THAT WILL RESULT IN 4888 03:01:03,280 --> 03:01:07,640 SOME LASTING CHANGE. 4889 03:01:07,640 --> 03:01:08,960 >>THANK YOU VERY MUCH, JIM. 4890 03:01:08,960 --> 03:01:10,080 APPRECIATE THE ANSWER, AND 4891 03:01:10,080 --> 03:01:11,240 THANKS, DAVID, FOR THAT 4892 03:01:11,240 --> 03:01:11,720 QUESTION. 4893 03:01:11,720 --> 03:01:14,960 AND KIND OF LIKE DAVID CHIN 4894 03:01:14,960 --> 03:01:15,960 MENTIONED EARLIER, THERE ARE A 4895 03:01:15,960 --> 03:01:17,320 LOT OF THINGS THAT AREN'T TAUGHT 4896 03:01:17,320 --> 03:01:19,000 IN MEDICAL SCHOOL AND NURSING 4897 03:01:19,000 --> 03:01:21,080 SCHOOL, PROFESSIONAL SCHOOLS. 4898 03:01:21,080 --> 03:01:22,080 DEIA IS EARN ISLY NOT ONE OF 4899 03:01:22,080 --> 03:01:23,120 THEM. 4900 03:01:23,120 --> 03:01:24,240 MAYBE IT'S STARTING TO BE TAUGHT 4901 03:01:24,240 --> 03:01:25,520 NOW BUT ALL THOSE PIECES AND 4902 03:01:25,520 --> 03:01:27,760 PARTS OF IT FROM ANTI-RACISM, 4903 03:01:27,760 --> 03:01:29,920 ANTIBUY A CULTURAL HUMILITY AND 4904 03:01:29,920 --> 03:01:31,320 ULTIMATELY THOSE THINGS ALL LEAD 4905 03:01:31,320 --> 03:01:32,400 TO HEALTH EQUITY. 4906 03:01:32,400 --> 03:01:33,400 SO IT IS VERY IMPORTANT. 4907 03:01:33,400 --> 03:01:35,520 WE ARE AT A STARTING POINT, IT'S 4908 03:01:35,520 --> 03:01:37,040 A JOURNEY, SO WE LOOK FORWARD TO 4909 03:01:37,040 --> 03:01:41,200 CONTINUING TO SEE HOW THE DEIA 4910 03:01:41,200 --> 03:01:44,360 PROCESS DEVELOPS THROUGHOUT THE 4911 03:01:44,360 --> 03:01:46,080 CLINICAL CENTER, AT LEAST UNTIL 4912 03:01:46,080 --> 03:01:48,720 THERE'S ANOTHER ADMINISTRATION. 4913 03:01:48,720 --> 03:01:50,120 SO AT WHICH POINT, WE MAY BE 4914 03:01:50,120 --> 03:01:52,000 TURNING BACKWARDS, WHO KNOWS. 4915 03:01:52,000 --> 03:01:54,320 BUT AT ANY RATE, I'M TRYING TO 4916 03:01:54,320 --> 03:01:57,920 STAY APOLITICAL ON THIS ONE. 4917 03:01:57,920 --> 03:01:58,960 >>[INAUDIBLE] 4918 03:01:58,960 --> 03:01:59,520 >>THAT'S RIGHT. 4919 03:01:59,520 --> 03:02:01,280 SO IF THERE ARE NO OTHER ISSUES 4920 03:02:01,280 --> 03:02:02,480 OR ITEMS TO BE BROUGHT BEFORE 4921 03:02:02,480 --> 03:02:04,560 THE BOARD, I THINK WE HAVE RUN 4922 03:02:04,560 --> 03:02:05,840 ALL OF THE BUSINESS OF THE BOARD 4923 03:02:05,840 --> 03:02:06,280 TODAY. 4924 03:02:06,280 --> 03:02:07,720 I'D LIKE TO THANK YOU ALL FOR A 4925 03:02:07,720 --> 03:02:08,920 GREAT MEETING. 4926 03:02:08,920 --> 03:02:11,400 OUR NEXT MEETING IS OCTOBER THE 4927 03:02:11,400 --> 03:02:12,720 20TH, AND THAT WILL BE THE LAST 4928 03:02:12,720 --> 03:02:14,840 MEETING FOR 2023. 4929 03:02:14,840 --> 03:02:16,080 WE SHOULD BE GETTING THE MEETING 4930 03:02:16,080 --> 03:02:19,920 DATES FOR 2024 BEING SENT OUT AS 4931 03:02:19,920 --> 03:02:21,480 SOON AS THOSE ARE CONFIRMED, AND 4932 03:02:21,480 --> 03:02:23,880 SO WITH THAT, HAPPY FATHER'S 4933 03:02:23,880 --> 03:02:26,720 DAY, HAPPY JUNETEENTH, HAPPY 4934 03:02:26,720 --> 03:02:28,040 FOURTH OF JULY, HAPPY LABOR DAY. 4935 03:02:28,040 --> 03:02:29,680 I'D LIKE TO WISH EVERYONE A 4936 03:02:29,680 --> 03:02:31,000 SAFE, HEALTHY AND HAPPY SUMMER, 4937 03:02:31,000 --> 03:02:33,080 AND I LOOK FORWARD TO ALL OF US 4938 03:02:33,080 --> 03:02:34,160 GATHERING TOGETHER AGAIN AND 4939 03:02:34,160 --> 03:02:35,160 HOPEFULLY MORE OF US IN PERSON 4940 03:02:35,160 --> 03:02:37,200 THIS NEXT TIME, INCREASINGLY 4941 03:02:37,200 --> 03:02:38,280 OVER TIME TOO, WHEN WE SEE EACH 4942 03:02:38,280 --> 03:02:39,400 OTHER IN OCTOBER. 4943 03:02:39,400 --> 03:02:40,480 SO WITH THAT, THIS MEETING 4944 03:02:40,480 --> 00:00:00,000 STANDS ADJOURNED.