1 00:00:08,289 --> 00:00:10,425 >> VERY GOOD. WE WILL START 2 00:00:10,425 --> 00:00:13,928 RIGHT ON THE HOUR. WELCOME, 3 00:00:13,928 --> 00:00:16,431 EVERYONE. GOOD MORNING. I WILL 4 00:00:16,431 --> 00:00:19,701 CALL YOU. I HAVE THIS FORMAL 5 00:00:19,701 --> 00:00:20,902 GAVEL HERE BUT DON'T THINK I 6 00:00:20,902 --> 00:00:22,670 WILL USE IT THIS MORNING. WE 7 00:00:22,670 --> 00:00:26,541 ARE BACK. IT IS HARD TO 8 00:00:26,541 --> 00:00:30,578 BELIEVE. I THINK IT WAS LAST 9 00:00:30,578 --> 00:00:32,680 OCTOBER THAT WE ALL GOT TOGETHER 10 00:00:32,680 --> 00:00:35,717 AND WAS A BITTERSWEET MOMENT. 11 00:00:35,717 --> 00:00:37,819 YOU MIGHT REMEMBER WE SAID 12 00:00:37,819 --> 00:00:40,054 GOOD-BYE TO JIM GILLMAN WHO I'M 13 00:00:40,054 --> 00:00:42,356 HAPPY TO REPORT IS OUT 14 00:00:42,356 --> 00:00:43,725 INTERNATIONAL TRAVELING A LOT OF 15 00:00:43,725 --> 00:00:46,494 TIMES WITH HIS FAMILY AND 16 00:00:46,494 --> 00:00:48,329 PASSION IS GOLF AND PROBABLY 17 00:00:48,329 --> 00:00:49,797 VERY HAPPY HE DOESN'T HAVE TO 18 00:00:49,797 --> 00:00:51,699 DEAL WITH A LOT OF THINGS YOU 19 00:00:51,699 --> 00:00:53,601 HAVE ALL BEEN DEALING WITH OVER 20 00:00:53,601 --> 00:00:56,871 THE LAST FEW MONTHS. WE WISH 21 00:00:56,871 --> 00:00:59,674 JIM WELL. WE HAVE OUR NIH 22 00:00:59,674 --> 00:01:01,042 LEADERS HERE WHO YOU WILL HAIR 23 00:01:01,042 --> 00:01:04,812 FROM IN A MOMENT. NINA SCHO 24 00:01:04,812 --> 00:01:07,815 ARE, IS DEPUTY DIRECTOR FOR 25 00:01:07,815 --> 00:01:08,950 INTRAMURAL RESEARCH AND FIRST ON 26 00:01:08,950 --> 00:01:11,452 THE AGENDA TO TALK ABOUT 27 00:01:11,452 --> 00:01:14,255 TRANSITIONS AND CHANGES WE HAVE 28 00:01:14,255 --> 00:01:16,858 BEEN GOING THROUGH AND MY FRIEND 29 00:01:16,858 --> 00:01:19,227 PIUS WHO I HAVE TO SAY WE NOW 30 00:01:19,227 --> 00:01:22,096 HAVE KEPT IN TOUCH ON THE PHONE 31 00:01:22,096 --> 00:01:23,698 DURING MUCH OF THE LAST FEW 32 00:01:23,698 --> 00:01:26,434 MONTHS. I HAVE TO GIVE HIM AND 33 00:01:26,434 --> 00:01:28,102 HIS TEAM ENORMOUS CREDIT FOR ALL 34 00:01:28,102 --> 00:01:31,572 THEY HAVE DONE DURING A VERY 35 00:01:31,572 --> 00:01:33,341 UNSETTLED TIME KEEPING 36 00:01:33,341 --> 00:01:34,909 OPERATIONS MOVING FORWARD AND AT 37 00:01:34,909 --> 00:01:40,481 THEIR USUAL HIGH STANDARD OF 38 00:01:40,481 --> 00:01:42,016 EXCELLENCE. THANK YOU TO YOU 39 00:01:42,016 --> 00:01:44,218 AND TO YOUR TEAM. I WANT TO 40 00:01:44,218 --> 00:01:47,855 WELCOME THE BOARD MEMBERS. WE 41 00:01:47,855 --> 00:01:49,857 HAVE FOUR HERE. 42 00:01:49,857 --> 00:01:52,360 WE HAVE AT LEAST FIVE ONLINE AND 43 00:01:52,360 --> 00:01:54,529 LIKE TO TAKE -- IT TAKES A 44 00:01:54,529 --> 00:01:58,199 LITTLE EXTRA TIME AND WOULD LIKE 45 00:01:58,199 --> 00:01:59,901 TO TAKE A MOMENT SINCE IT HAS 46 00:01:59,901 --> 00:02:01,769 BEEN A WHILE TO SAY HELLO AND 47 00:02:01,769 --> 00:02:04,205 INTRODUCE YOURSELF. CAN WE DO 48 00:02:04,205 --> 00:02:06,707 THAT QUICKLY? NO LONG STORIES. 49 00:02:06,707 --> 00:02:09,110 NOT BUILT INTO THE AGENDA ABOUT 50 00:02:09,110 --> 00:02:12,914 YOU GOOD TO HEAR FROM EVERYONE. 51 00:02:12,914 --> 00:02:14,448 ANTOINETTE, MAYBE IT WOULD BE 52 00:02:14,448 --> 00:02:19,620 GOOD TO SAY HELLO TO YOU. SAY 53 00:02:19,620 --> 00:02:22,256 HELLO TO ALL OF US. 54 00:02:22,256 --> 00:02:26,327 >> HELLO, EVERYONE. I'M 55 00:02:26,327 --> 00:02:27,728 ANTOINETTE AND A PATIENT 56 00:02:27,728 --> 00:02:30,064 ADVOCATE. I HAVE BEEN A PATIENT 57 00:02:30,064 --> 00:02:32,333 FOR 26 YEARS. 58 00:02:32,333 --> 00:02:36,304 >> GOOD MORNING, DAVID CHEN FROM 59 00:02:36,304 --> 00:02:36,871 JOHNS HOPKINS. 60 00:02:36,871 --> 00:02:38,940 >> GOOD MORNING. REGINA. 61 00:02:38,940 --> 00:02:42,543 >> GOOD MORNING, EVERYONE. I'M 62 00:02:42,543 --> 00:02:46,414 REGINA CUNNINGHAM PART OF PENN 63 00:02:46,414 --> 00:02:49,517 MEDICINE IN THE PHILADELPHIA 64 00:02:49,517 --> 00:02:50,318 REGION. THANK YOU. 65 00:02:50,318 --> 00:02:54,555 >> ONLINE I SEE DAVID BAUM. I 66 00:02:54,555 --> 00:02:57,859 CAN'T READ THE NAMES WELL. MY 67 00:02:57,859 --> 00:02:59,560 EYESIGHT IS SO BAD. WANT TO SAY 68 00:02:59,560 --> 00:03:01,762 GOOD MORNING. 69 00:03:01,762 --> 00:03:03,798 >> GOOD MORNING. LIKE 70 00:03:03,798 --> 00:03:06,500 ANTOINETTE, I'M A PATIENT 71 00:03:06,500 --> 00:03:07,969 ADVOCATE AND BEEN A PATIENT AT 72 00:03:07,969 --> 00:03:10,037 THE HOSPITAL FOR LONGER THAN I 73 00:03:10,037 --> 00:03:11,138 CAN REMEMBER AND VOLUNTEER IN 74 00:03:11,138 --> 00:03:13,074 THE HOSPITAL IN THE OFFICE OF 75 00:03:13,074 --> 00:03:14,475 THE HOSPITAL CIO. 76 00:03:14,475 --> 00:03:18,746 >> THANK YOU, DAVID. I SEE 77 00:03:18,746 --> 00:03:21,048 STEVE GOLDSTEIN. GOOD MORNING. 78 00:03:21,048 --> 00:03:23,384 >> GOOD MORNING STEVE AND 79 00:03:23,384 --> 00:03:26,754 UNIVERSITY OF ROCHESTER AND CEO 80 00:03:26,754 --> 00:03:28,623 FOR 20 YEARS OF STRONG HOSPITAL 81 00:03:28,623 --> 00:03:31,726 AND NOW OF SYSTEM INTEGRATION 82 00:03:31,726 --> 00:03:34,462 BRINGING 8 HOSPITALS AND A BUNCH 83 00:03:34,462 --> 00:03:35,696 OF ORGANIZATIONS TOGETHER WITHIN 84 00:03:35,696 --> 00:03:36,697 A SYSTEM. 85 00:03:36,697 --> 00:03:40,501 >> MOVING ALONG SEEING SHARON 86 00:03:40,501 --> 00:03:42,770 D.. GOOD MORNING. 87 00:03:42,770 --> 00:03:43,804 >> GOOD MORNING. 88 00:03:43,804 --> 00:03:46,340 >> YOU HAVE TO TURN YOUR VOLUME 89 00:03:46,340 --> 00:03:46,908 UP A LITTLE BIT. 90 00:03:46,908 --> 00:03:50,878 >> CAN YOU HEAR ME? PROOF HOW 91 00:03:50,878 --> 00:03:52,613 ABOUT NOW? CAN YOU HEAR ME? 92 00:03:52,613 --> 00:03:53,814 >> THAT IS BETTER. 93 00:03:53,814 --> 00:03:56,550 >> THANK YOU. GOOD MORNING, 94 00:03:56,550 --> 00:04:02,723 EVERYBODY. I'M SHARON AND CHAIR 95 00:04:02,723 --> 00:04:04,458 AND ASSISTANT CHAIR OF TRIED 96 00:04:04,458 --> 00:04:06,928 HEALTH AT UCLA HEALTH AND 97 00:04:06,928 --> 00:04:09,397 CURRENTLY BEEN IN THE ROLE FOR 98 00:04:09,397 --> 00:04:10,064 FIFTEEN YEARS. 99 00:04:10,064 --> 00:04:12,566 >> JULIE YOU ARE RIGHT ABOVE 100 00:04:12,566 --> 00:04:12,900 SHARON. 101 00:04:12,900 --> 00:04:18,472 >> I'M JULIE AND THE CEO OF 102 00:04:18,472 --> 00:04:22,643 ATRIUM BAPTIST HEALTH IN THE CAO 103 00:04:22,643 --> 00:04:25,713 OF ADVOCATE HEALTH AND VP OF 104 00:04:25,713 --> 00:04:28,983 WAKE FOREST UNIVERSITY HEALTH 105 00:04:28,983 --> 00:04:29,417 AFFAIRS. 106 00:04:29,417 --> 00:04:31,786 >> THIS IS LIKE HOLLYWOOD 107 00:04:31,786 --> 00:04:35,156 SQUARES. MOVING TO STEPHANIE. 108 00:04:35,156 --> 00:04:38,793 >> HI, GOOD MORNING, EVERYONE. 109 00:04:38,793 --> 00:04:40,127 STEPHANIE AND SERVE AS VICE 110 00:04:40,127 --> 00:04:42,029 PRESIDENT AND VICE PROVOST FOR 111 00:04:42,029 --> 00:04:44,632 INFORMATION TECHNOLOGY FOR JOHNS 112 00:04:44,632 --> 00:04:45,800 HOPKINS FOR A LITTLE MORE THAN 113 00:04:45,800 --> 00:04:47,935 30 YEARS AND PLEASURE TO BE HERE 114 00:04:47,935 --> 00:04:49,070 TODAY. THANK YOU. 115 00:04:49,070 --> 00:04:50,438 >> THANK YOU, EVERYONE. AS I 116 00:04:50,438 --> 00:04:52,807 SAID IT IS GREAT. I DIDN'T MISS 117 00:04:52,807 --> 00:04:54,842 ANYONE, I HOPE. THAT IS MY LIST 118 00:04:54,842 --> 00:05:02,583 HERE ON THE BOARD. NO? WITH 119 00:05:02,583 --> 00:05:06,821 VERY 10 MINUTES ON THE AAGENDA I 120 00:05:06,821 --> 00:05:10,791 WILL TRY TO KEEP IT. TRAFFIC TO 121 00:05:10,791 --> 00:05:14,895 THE APORT IN THE AFTERNOON WILL 122 00:05:14,895 --> 00:05:17,665 BE HORRIBLE. PROMISE TO MOVE 123 00:05:17,665 --> 00:05:18,699 THIS ALONG AND MOVE QUICKLY 124 00:05:18,699 --> 00:05:20,901 THROUGH THE AGENDA. NOT 125 00:05:20,901 --> 00:05:23,137 ORDINARY TIMES AND ASKING 126 00:05:23,137 --> 00:05:25,539 INDULGENCE TO TAKE A COUPLE 127 00:05:25,539 --> 00:05:26,741 MINUTES UP FRONT TO GIVE YOU 128 00:05:26,741 --> 00:05:29,977 SOME OF MY THOUGHTS THAT REALLY 129 00:05:29,977 --> 00:05:31,412 ADDRESS THE BROADER ENVIRONMENT 130 00:05:31,412 --> 00:05:34,715 WE ARE OPERATING IN AND LOTS OF 131 00:05:34,715 --> 00:05:36,117 SERIOUS BUDGETARY CHALLENGES 132 00:05:36,117 --> 00:05:37,818 FACING NIH. 133 00:05:37,818 --> 00:05:40,788 THERE IS NO QUESTION THAT 134 00:05:40,788 --> 00:05:43,324 SIGNIFICANT REDUCTIONS AND NIH 135 00:05:43,324 --> 00:05:45,292 FUNDING WILL SLOW THE PACE OF 136 00:05:45,292 --> 00:05:48,462 BIOMEDICAL DISCOVERY NOT JUST 137 00:05:48,462 --> 00:05:50,931 HERE BUT AROUND THE WORLD. 138 00:05:50,931 --> 00:05:52,867 CLINICAL CENTER'S OPERATING 139 00:05:52,867 --> 00:05:54,902 BUDGET FORTUNATELY AND HEARING 140 00:05:54,902 --> 00:05:57,038 FROM PIUS ON THIS SEEING WHAT I 141 00:05:57,038 --> 00:06:00,207 GUESS MIGHT BE MANAGEABLE CUTS 142 00:06:00,207 --> 00:06:02,910 SO FAR. 143 00:06:02,910 --> 00:06:10,518 WE DON'T EXIST IN ISOLATION 144 00:06:10,518 --> 00:06:13,287 STRENGTH OF THE CLINICAL CENTER 145 00:06:13,287 --> 00:06:15,823 DEPENDS ON A VIBRANT AUTO 146 00:06:15,823 --> 00:06:18,859 ECOSYSTEM ACROSS NIH IF 147 00:06:18,859 --> 00:06:20,161 SCIENTISTS DELAY OR ABANDON 148 00:06:20,161 --> 00:06:22,363 PROMISE INQUIRY OF RESOURCES 149 00:06:22,363 --> 00:06:25,199 THERE IS GOING TO BE FEWER 150 00:06:25,199 --> 00:06:28,102 BREAKTHROUGHS AND THERAPIES AND 151 00:06:28,102 --> 00:06:31,238 ULTIMATELY FEWER LIVES SAVED AND 152 00:06:31,238 --> 00:06:33,407 MUST CONTINUE TO SPEAK CLEARLY 153 00:06:33,407 --> 00:06:34,575 AND FORCEFULLY ABOUT IMPORTANCE 154 00:06:34,575 --> 00:06:36,911 OF SUSTAINED INVESTMENT IN 155 00:06:36,911 --> 00:06:38,212 MEDICAL RESEARCH AND 156 00:06:38,212 --> 00:06:40,414 CONSEQUENCES IF THAT COMMITMENT 157 00:06:40,414 --> 00:06:43,250 FALTERS AND AS WE ASSESS THE 158 00:06:43,250 --> 00:06:45,653 CLINICAL CENTER'S ROLE TODAY I 159 00:06:45,653 --> 00:06:47,188 WANT TO KEEP IN MIND OUR PLACE 160 00:06:47,188 --> 00:06:49,356 AT THE HEART OF NIH'S MISSION 161 00:06:49,356 --> 00:06:52,960 AND AT NIH WE HAVE A BUDGET OR 162 00:06:52,960 --> 00:06:55,930 HAD ONE OF 49 BILLION DOLLARS 163 00:06:55,930 --> 00:06:57,431 REMAINING THE LARGEST RESEARCH 164 00:06:57,431 --> 00:06:59,867 PUBLIC FUNDER OF BIOMEDICAL 165 00:06:59,867 --> 00:07:04,939 RESEARCH IN THE WORLD SUPPORTING 166 00:07:04,939 --> 00:07:10,044 300,000 SCIENTISTS AT OVER 2,500 167 00:07:10,044 --> 00:07:12,379 INSTITUTIONS AT UNIVERSITIES 168 00:07:12,379 --> 00:07:13,848 MANY REPRESENTED HERE AND 169 00:07:13,848 --> 00:07:16,217 CUTTING EDGE MEDICAL CENTERS AND 170 00:07:16,217 --> 00:07:18,486 ALL 50 STATES AND BEYOND. NIH 171 00:07:18,486 --> 00:07:20,454 IS NOT JUST A FUNDER OF RESEARCH 172 00:07:20,454 --> 00:07:25,960 BUT VERY MUCH AN ENGINE OF 173 00:07:25,960 --> 00:07:26,293 PROGRESS. 174 00:07:26,293 --> 00:07:27,828 THINKING OF BREAKTHROUGHS JIM 175 00:07:27,828 --> 00:07:30,030 AND I TALKED ABOUT AND ALWAYS 176 00:07:30,030 --> 00:07:32,733 ASKED ABOUT MY DAD NOW 96 AND 177 00:07:32,733 --> 00:07:34,201 HAPPY TO REPORT IS QUITE HEALTHY 178 00:07:34,201 --> 00:07:36,570 AND WOULDN'T BE ALIVE IF WERE 179 00:07:36,570 --> 00:07:40,941 NOT FOR IMMUNOTHERAPY RIGHT NOW. 180 00:07:40,941 --> 00:07:42,910 CAR-T THERAPIES TESTED HERE 181 00:07:42,910 --> 00:07:46,914 OFFERING CURES TO PATIENT AND 182 00:07:46,914 --> 00:07:49,350 NIH THAT HIV/AIDS FAMILIAR WITH 183 00:07:49,350 --> 00:07:52,920 THREE YEARS I CHAIRS WITH THE 184 00:07:52,920 --> 00:07:57,291 BOARD AND DECADES OF NIH 185 00:07:57,291 --> 00:08:01,162 RESEARCH MADE THAT A MANAGEABLE 186 00:08:01,162 --> 00:08:02,897 CHRONIC CONDITION AND COVID-19 I 187 00:08:02,897 --> 00:08:04,965 DON'T HAVE TO TELL YOU 188 00:08:04,965 --> 00:08:06,133 INSTITUTION MOVED WITH 189 00:08:06,133 --> 00:08:08,135 PRECEDENTED SPEED AND 190 00:08:08,135 --> 00:08:10,037 DIAGNOSTICS AND TREATMENTS AND 191 00:08:10,037 --> 00:08:11,438 VACCINE PLATFORMS HELPING 192 00:08:11,438 --> 00:08:13,174 RESHAPE THE PANDEMIC. 193 00:08:13,174 --> 00:08:17,011 CONSTANTINE IF YOU CAN PUT UP A 194 00:08:17,011 --> 00:08:21,649 PICTURE FOR ME. YOU MAY ALL 195 00:08:21,649 --> 00:08:23,417 HAVE SEEN THIS. THEY SAID THEY 196 00:08:23,417 --> 00:08:25,085 WOULD HAVE IT UP RIGHT AWAY AND 197 00:08:25,085 --> 00:08:25,886 MAYBE NOT. 198 00:08:25,886 --> 00:08:28,122 THERE WE GO. HAVE YOU ALL SEEN 199 00:08:28,122 --> 00:08:28,989 THIS? 200 00:08:28,989 --> 00:08:34,662 DID YOU SEE KG MUL DOON LAST 201 00:08:34,662 --> 00:08:37,398 WEEK? WE LEARNED KG BECAME 202 00:08:37,398 --> 00:08:39,500 FIRST PERSON OF ANY AGE TO 203 00:08:39,500 --> 00:08:46,640 RECEIVE CRUST OWE M GENE IN 204 00:08:46,640 --> 00:08:48,442 FIRST WEEK. YOU SAW NEW YORK 205 00:08:48,442 --> 00:08:50,511 TIMES AND HAVE IT THERE. KJ IS 206 00:08:50,511 --> 00:08:53,881 NOW 9.5 MONTHS OLD AND TREATMENT 207 00:08:53,881 --> 00:08:56,083 WAS BUILT ON DECADES OF 208 00:08:56,083 --> 00:08:58,219 FEDERALLY FUNDED RESEARCH AND 209 00:08:58,219 --> 00:09:00,988 DOCTOR SAID THAT IN THAT ARTICLE 210 00:09:00,988 --> 00:09:02,723 REGINA I THINK YOU ARE HOLDING 211 00:09:02,723 --> 00:09:04,191 UP. HE SAID I DON'T THINK IT 212 00:09:04,191 --> 00:09:06,060 COULD HAVE HAPPENED IN ANY 213 00:09:06,060 --> 00:09:06,927 COUNTRY OTHER THAN THE UNITED 214 00:09:06,927 --> 00:09:07,361 STATES. 215 00:09:07,361 --> 00:09:10,164 I WANTED TO JUST PUT THE PICTURE 216 00:09:10,164 --> 00:09:13,133 UP TO REMIND US WHAT WE ARE ALL 217 00:09:13,133 --> 00:09:14,268 HERE FOR. 218 00:09:14,268 --> 00:09:18,005 KJ IS WHAT PROGRESS LOOKS LIKE. 219 00:09:18,005 --> 00:09:21,642 AT THE CENTER, BY THE WAY, OF SO 220 00:09:21,642 --> 00:09:24,478 MUCH LIFE-SAVING RESEARCH SPANS 221 00:09:24,478 --> 00:09:26,914 THIS CENTER, LARGEST HOSPITAL IN 222 00:09:26,914 --> 00:09:29,016 THE COUNTRY DEVOTED EXPLICITLY 223 00:09:29,016 --> 00:09:30,517 TO CLINICAL RESEARCH AND 224 00:09:30,517 --> 00:09:34,054 FOUNDING SINCE 1953 CARED FOR 225 00:09:34,054 --> 00:09:35,623 OVER HALF A MILLION PATIENTS 226 00:09:35,623 --> 00:09:38,025 VAST MAJORITY THAT ARE ENROLLED 227 00:09:38,025 --> 00:09:39,927 IN CUTTING EDGE CLINICAL TRIALS. 228 00:09:39,927 --> 00:09:41,662 YOU ALL KNOW THE MANY THINGS I 229 00:09:41,662 --> 00:09:43,831 WILL PUT INTO THE RECORD THAT 230 00:09:43,831 --> 00:09:46,900 HAD BEEN DISCOVERED BECAUSE OF 231 00:09:46,900 --> 00:09:53,140 THIS INSTITUTION. 232 00:09:53,140 --> 00:09:56,877 I HAVE SAID MY PEACE AND THOUGHT 233 00:09:56,877 --> 00:10:00,214 TO ESTABLISH IT ON THE RECORD 234 00:10:00,214 --> 00:10:02,516 AND AS BOARD CHAIRMAN SAY OUR 235 00:10:02,516 --> 00:10:04,985 MISSION AND WHY IT IS IMPORTANT 236 00:10:04,985 --> 00:10:06,086 TO BE FUNDED AND URGE YOU 237 00:10:06,086 --> 00:10:09,390 MEMBERS OF THE BOARD TO CONTINUE 238 00:10:09,390 --> 00:10:12,059 TO LEND YOUR VOICE AND EXPERTISE 239 00:10:12,059 --> 00:10:19,266 OF THE CAUSE. YOUR INSIGHT 240 00:10:19,266 --> 00:10:22,903 HELPS KEEP US STRONG AND THANKS 241 00:10:22,903 --> 00:10:26,640 FOR YOUR WISDOM AND UNWAVERING 242 00:10:26,640 --> 00:10:28,442 SUPPORT OF THIS EXTRAORDINARY 243 00:10:28,442 --> 00:10:28,776 INSTITUTION. 244 00:10:28,776 --> 00:10:31,545 WITH THAT UNLESS THERE ARE OTHER 245 00:10:31,545 --> 00:10:32,513 BOARD MEMBERS WITH OTHER 246 00:10:32,513 --> 00:10:40,354 COMMENTS I 247 00:10:40,354 --> 00:10:43,824 DR. SCH OWE, R TO GIVE OPENING 248 00:10:43,824 --> 00:10:44,091 REMARKS. 249 00:10:44,091 --> 00:10:45,592 >> THANK YOU VERY MUCH AND TO 250 00:10:45,592 --> 00:10:50,931 ALL OF YOU BOTH IN THE ROOM AND 251 00:10:50,931 --> 00:10:54,835 ONLINE 252 00:10:54,835 --> 00:10:56,670 I KNOW TIME IS PRECIOUS AND 253 00:10:56,670 --> 00:10:58,539 PROBABLY MORE THESE DAYS THAN 254 00:10:58,539 --> 00:10:59,673 EVER BEFORE AND REALLY 255 00:10:59,673 --> 00:11:03,010 APPRECIATE YOU HELPING US CARRY 256 00:11:03,010 --> 00:11:05,145 OUT OUR MISSION. 257 00:11:05,145 --> 00:11:08,148 YOU KNOW, IT IS NO SECRET. YOU 258 00:11:08,148 --> 00:11:10,351 HAVE HEARD VERY ELOQUENTLY THAT 259 00:11:10,351 --> 00:11:12,286 THESE ARE TIMES THAT ARE 260 00:11:12,286 --> 00:11:16,056 CHALLENGING IN SOME WAYS AND ARE 261 00:11:16,056 --> 00:11:22,062 TIMES WHERE CHANGE IS THE 262 00:11:22,062 --> 00:11:25,099 ROUTINE AND USUAL. AND THE 263 00:11:25,099 --> 00:11:27,334 DIRECTION OF THE CHANGES ARE 264 00:11:27,334 --> 00:11:30,003 VERY RAPIDLY AND VERY FREQUENTLY 265 00:11:30,003 --> 00:11:32,639 AND HAS BEEN A CHALLENGE I THINK 266 00:11:32,639 --> 00:11:34,274 FOR ALL OF US. 267 00:11:34,274 --> 00:11:35,509 WE ARE NO EXCEPTION AND THINK 268 00:11:35,509 --> 00:11:38,912 THAT THOSE OF US WHO ARE DRIVEN 269 00:11:38,912 --> 00:11:45,052 BY A MISSION AND VISION THAT IS 270 00:11:45,052 --> 00:11:45,986 COMPELLING AND THAT ACTUALLY 271 00:11:45,986 --> 00:11:49,790 BROUGHT US TO THE WORK THAT WE 272 00:11:49,790 --> 00:11:51,792 DO FIND IT PERHAPS A LITTLE BIT 273 00:11:51,792 --> 00:11:55,195 EASIER THAN IT OTHERWISE WOULD 274 00:11:55,195 --> 00:11:58,766 BE BECAUSE WITH ALL DAY-TO-DAY 275 00:11:58,766 --> 00:12:01,001 CHAOS WITH ALL OF THE JUMPING 276 00:12:01,001 --> 00:12:02,936 BACK AND FORTH IN THE MOMENT, 277 00:12:02,936 --> 00:12:04,371 THERE IS ALWAYS THAT NORTH STAR 278 00:12:04,371 --> 00:12:06,607 IN FRONT OF US. 279 00:12:06,607 --> 00:12:09,543 I THINK THAT THAT KEEPS US -- I 280 00:12:09,543 --> 00:12:14,181 OFTEN TELL PEOPLE THAT MY JOB 281 00:12:14,181 --> 00:12:16,817 HAS BECOME TWO THINGS, KEEPING 282 00:12:16,817 --> 00:12:21,522 PEOPLE FOCUSED AND INTENT ON 283 00:12:21,522 --> 00:12:22,823 THAT NORTH STAR. THE SECOND 284 00:12:22,823 --> 00:12:24,892 THING IS LOWERING THE 285 00:12:24,892 --> 00:12:28,028 TEMPERATURE IN EVERY ROOM INTO 286 00:12:28,028 --> 00:12:30,898 WHICH I WALK. 287 00:12:30,898 --> 00:12:37,504 I FEEL LIKE NO TIME HAS BEEN 288 00:12:37,504 --> 00:12:39,139 THAT MORE IMPORTANT THAN THE 289 00:12:39,139 --> 00:12:40,941 PRESENT. IF WE LOSE SIGHT WHY 290 00:12:40,941 --> 00:12:42,943 WE ARE HERE AND FOR WHOM WE DO 291 00:12:42,943 --> 00:12:45,679 WHAT WE DO, WE ARE IN TROUBLE 292 00:12:45,679 --> 00:12:48,682 FROM THE GET GO. WITH THAT I 293 00:12:48,682 --> 00:12:50,517 WILL SHOW YOU SOME -- SOME OF 294 00:12:50,517 --> 00:12:53,053 WHAT HAS GONE ON SINCE WE LAST 295 00:12:53,053 --> 00:12:53,987 MET. 296 00:12:53,987 --> 00:12:56,590 SO IF I COULD HAVE THE NEXT 297 00:12:56,590 --> 00:12:57,224 SLIDE. 298 00:12:57,224 --> 00:12:59,760 SO IT IS DEFINITELY NO SECRET 299 00:12:59,760 --> 00:13:05,265 THAT WE FINALLY HAVE A NEW 300 00:13:05,265 --> 00:13:10,003 DIRECTOR. JAY BHATTACHARYA IS 301 00:13:10,003 --> 00:13:12,606 IN THE SADDLE WHETHER HERE IN 302 00:13:12,606 --> 00:13:16,043 BETHESDA OR DOWNTOWN IN THE 303 00:13:16,043 --> 00:13:16,443 CONGRESS. 304 00:13:16,443 --> 00:13:20,914 HE IS A HEALTH ECONOMIST BY 305 00:13:20,914 --> 00:13:21,181 TRAINING. 306 00:13:21,181 --> 00:13:25,052 HE IS A PHYSICIAN. HE REALLY 307 00:13:25,052 --> 00:13:27,387 HAS BEEN VERY, VERY RAPIDLY 308 00:13:27,387 --> 00:13:29,356 BROUGHT UP TO SPEED ON WHAT IS 309 00:13:29,356 --> 00:13:32,926 GOING ON IN THE MEDICAL CENTER. 310 00:13:32,926 --> 00:13:38,365 THE NEXT SLIDE SHOWS YOU SOMEONE 311 00:13:38,365 --> 00:13:44,972 WHO IS -- AM I CONTROLLING THEM? 312 00:13:44,972 --> 00:13:46,440 OKAY. MATT IS NO STRANGER TO 313 00:13:46,440 --> 00:13:50,544 THE CLINICAL CENTER. 314 00:13:50,544 --> 00:13:54,515 HE IS A SENIOR CLINICIAN OF I 315 00:13:54,515 --> 00:13:57,918 THINK 20 YEARS DURATION HERE AT 316 00:13:57,918 --> 00:14:00,354 NIH. HE IS THE PRINCIPLE DEPUTY 317 00:14:00,354 --> 00:14:00,754 DIRECTOR. 318 00:14:00,754 --> 00:14:04,958 I THINK THAT THE PARTNERSHIP 319 00:14:04,958 --> 00:14:06,927 BETWEEN HIM AS A LONGSTANDING 320 00:14:06,927 --> 00:14:09,329 MEMBER OF THE CLINICAL COMMUNITY 321 00:14:09,329 --> 00:14:14,134 AT NIH. 322 00:14:14,134 --> 00:14:19,706 DR. BHATTACHARIA IN THE 323 00:14:19,706 --> 00:14:21,909 EXTRAMURAL SPACE FOR MANY YEARS 324 00:14:21,909 --> 00:14:24,278 COMES IN WITH NEW IDEAS AND HAS 325 00:14:24,278 --> 00:14:26,280 MATT AS SOMEONE WHO CAN BRIEF 326 00:14:26,280 --> 00:14:29,316 HIM ON CULTURE AND HISTORY HAS 327 00:14:29,316 --> 00:14:32,619 BEEN A PRETTY EFFECTIVE PAIRING 328 00:14:32,619 --> 00:14:36,023 AT THIS POINT. THE NEXT SLIDE 329 00:14:36,023 --> 00:14:37,491 THAT WE WILL GIVE YOU IS SOME -- 330 00:14:37,491 --> 00:14:40,694 IT IS THE BEGINNING OF SEVERAL 331 00:14:40,694 --> 00:14:44,531 SLIDES WITH PEOPLE IN ACTING 332 00:14:44,531 --> 00:14:44,831 CAPACITIES. 333 00:14:44,831 --> 00:14:47,267 AND ACTING HAS BEEN THE WORD OF 334 00:14:47,267 --> 00:14:48,535 THE DAY FOR A WHILE. 335 00:14:48,535 --> 00:14:51,772 WE ARE IN THE MIDST OF A HIRING 336 00:14:51,772 --> 00:14:52,005 FREEZE. 337 00:14:52,005 --> 00:14:57,678 PEOPLE CANNOT BE BROUGHT ON 338 00:14:57,678 --> 00:15:03,483 DENOVO IN ACTUAL POSITIONS AND 339 00:15:03,483 --> 00:15:06,853 MANY PEOPLE HERE HAVE ALREADY 340 00:15:06,853 --> 00:15:08,388 BEEN CALLED UPON TO ADD A JOB TO 341 00:15:08,388 --> 00:15:12,993 WHAT THEY DO OR TAKE A NEW JOB. 342 00:15:12,993 --> 00:15:15,796 THE VOLUME OF PEOPLE THAT HAVE 343 00:15:15,796 --> 00:15:17,431 BEEN EITHER LET GO OR HAVE 344 00:15:17,431 --> 00:15:20,867 DECIDED TO RETIRE AND ENCOURAGED 345 00:15:20,867 --> 00:15:23,003 TO RETIRE. I DON'T KNOW THE 346 00:15:23,003 --> 00:15:24,605 EUPHEMISM FOR IT. THEN THE 347 00:15:24,605 --> 00:15:26,873 PEOPLE THAT HAVE BEEN CALLED 348 00:15:26,873 --> 00:15:30,911 INTO SERVICE TO PERFORM THOSE 349 00:15:30,911 --> 00:15:32,279 FUNCTIONS OF THE -- THERE IS 350 00:15:32,279 --> 00:15:34,481 ALWAYS SOME OF THIS. 351 00:15:34,481 --> 00:15:36,950 I MEAN, ANY OF YOU HAVE BEEN IN 352 00:15:36,950 --> 00:15:38,919 INDUSTRY OR WHAT HAVE YOU. 353 00:15:38,919 --> 00:15:41,054 THERE IS ALWAYS FLUX. SOME IS 354 00:15:41,054 --> 00:15:43,690 HEALTHY TO BRING NEW IDEAS IN. 355 00:15:43,690 --> 00:15:46,627 WHAT IS DIFFERENT THIS TIME IS 356 00:15:46,627 --> 00:15:54,935 THE VOLUME AND THE 10 TENOR OF 357 00:15:54,935 --> 00:15:58,905 REQUEST OF PEOPLE THAT MOVE INTO 358 00:15:58,905 --> 00:16:04,277 ROLES AND DR. LORSCH NO STRANGER 359 00:16:04,277 --> 00:16:08,482 TO NIH RUNNING GENERAL INSTITUTE 360 00:16:08,482 --> 00:16:10,917 FOR MANY YEARS IS ACTING AS 361 00:16:10,917 --> 00:16:12,919 DEPUTY DIRECTOR FOR EXTRAMURAL 362 00:16:12,919 --> 00:16:13,553 RESEARCH. 363 00:16:13,553 --> 00:16:19,760 NEXT SLIDE SHOWS YOU NICOLE 364 00:16:19,760 --> 00:16:22,896 KLEINSTREUER WHO IS, AGAIN, A 365 00:16:22,896 --> 00:16:26,767 LONG-TIME NIH SCIENTIST AT NIEHS 366 00:16:26,767 --> 00:16:29,403 IN RESEARCH TRIANGLE PARK. 367 00:16:29,403 --> 00:16:34,408 SHE IS NOW HERE IN BETHESDA IN 368 00:16:34,408 --> 00:16:42,849 THE ROLE THAT TARA SCHWETZ 369 00:16:42,849 --> 00:16:45,886 PREVIOUSLY HELD. DEEP PEW KIP 370 00:16:45,886 --> 00:16:48,155 SEE IS A VERY COMPLEX PART OF 371 00:16:48,155 --> 00:16:51,658 NIH THAT CARIES OUT NIH-WIDE 372 00:16:51,658 --> 00:16:54,828 INITIATIVES ON BEHALF OF THE 373 00:16:54,828 --> 00:16:58,899 DIRECTOR. SO THINGS THAT REALLY 374 00:16:58,899 --> 00:17:01,968 TRANSCEND THE INDIVIDUAL 375 00:17:01,968 --> 00:17:02,302 INSTITUTES. 376 00:17:02,302 --> 00:17:03,770 THE NEXT SLIDE WILL GIVE YOU A 377 00:17:03,770 --> 00:17:06,907 SENSE OF SOME OF THE VOLUME. 378 00:17:06,907 --> 00:17:08,542 THESE ARE THE INDIVIDUALS SINCE 379 00:17:08,542 --> 00:17:12,612 JANUARY 1ST WHO HAVE MOVED INTO 380 00:17:12,612 --> 00:17:17,017 ACTING ROLES AS INSTITUTE AND 381 00:17:17,017 --> 00:17:18,585 CENTER DIRECTORS. 382 00:17:18,585 --> 00:17:22,055 YOU WILL PROBABLY RECOGNIZE MANY 383 00:17:22,055 --> 00:17:25,158 OR MOST OF THEM. 384 00:17:25,158 --> 00:17:26,860 THEY ARE PEOPLE THAT HAD OTHER 385 00:17:26,860 --> 00:17:31,765 DAY JOBS AT NIH BEFORE THEY WERE 386 00:17:31,765 --> 00:17:33,667 PULLED INTO SERVICE. 387 00:17:33,667 --> 00:17:34,935 WONDERFUL COLLEAGUES BUT 388 00:17:34,935 --> 00:17:38,205 LEARNING A NEW JOB VERY, VERY 389 00:17:38,205 --> 00:17:42,309 QUICKLY TO MOVE IN AT A TIME OF 390 00:17:42,309 --> 00:17:49,416 GREAT CHANGE AND CHALLENGE AND 391 00:17:49,416 --> 00:17:54,387 NEXT SLIDE WILL GIVE YOU A SENSE 392 00:17:54,387 --> 00:17:56,089 OF WHAT OUR -- WHAT IS CALLED 393 00:17:56,089 --> 00:17:57,924 OUR NEW AGENDA AND SHOWING YOU 394 00:17:57,924 --> 00:18:00,260 IN A MOMENT WHY NIH HAS BEEN 395 00:18:00,260 --> 00:18:02,529 DOING THIS FOR A VERY, VERY LONG 396 00:18:02,529 --> 00:18:04,097 TIME AND MAYBE HAS BEEN PACKAGED 397 00:18:04,097 --> 00:18:06,133 A LITTLE BIT DIFFERENTLY. 398 00:18:06,133 --> 00:18:07,934 MAYBE THAT WILL BRING NEW IDEAS 399 00:18:07,934 --> 00:18:11,571 TO US. WE REACH OUT TO 400 00:18:11,571 --> 00:18:16,710 DIFFERENT PEOPLE. BUT SECRETARY 401 00:18:16,710 --> 00:18:18,512 KENNEDY'S MAKE AMERICA HEALTHY 402 00:18:18,512 --> 00:18:21,114 AGENDA, I DON'T KNOW WHAT NIH'S 403 00:18:21,114 --> 00:18:22,682 MISSION AND VISION WERE 404 00:18:22,682 --> 00:18:26,620 PREVIOUSLY IF IT WASN'T TO MAKE 405 00:18:26,620 --> 00:18:28,989 AMERICA HEALTHY. 406 00:18:28,989 --> 00:18:32,659 IN ANY CASE, WHOLE NOTION IS TO 407 00:18:32,659 --> 00:18:34,294 COMBAT CHRONIC DISEASE AND 408 00:18:34,294 --> 00:18:35,195 PROLONG HEALTHY LIFE AND 409 00:18:35,195 --> 00:18:36,630 UNDERSTAND THE INTERACTION 410 00:18:36,630 --> 00:18:40,667 BETWEEN THE ENVIRONMENT AND 411 00:18:40,667 --> 00:18:41,568 BEHAVIORS AND DISABILITY AND 412 00:18:41,568 --> 00:18:42,669 ILLNESS 413 00:18:42,669 --> 00:18:46,673 THERE IS A PARTICULAR EMPHASIS 414 00:18:46,673 --> 00:18:50,911 ON OBESITY, AUTISM, ALZHEIMER'S 415 00:18:50,911 --> 00:18:52,145 AND PARKINSON'S DISEASE AND 416 00:18:52,145 --> 00:18:55,215 CLEARLY PUBLIC HEALTH ISSUES OF 417 00:18:55,215 --> 00:18:58,351 ENORMOUS MAGNITUDE. 418 00:18:58,351 --> 00:19:00,387 I THINK REGRETTABLY I SHOULDN'T 419 00:19:00,387 --> 00:19:02,022 SAY THAT PUBLICLY AND KNOW I'M 420 00:19:02,022 --> 00:19:06,059 NOT ALONE. ELIMINATION OF 421 00:19:06,059 --> 00:19:08,762 RESEARCH ON DIVERSITY, EQUITY 422 00:19:08,762 --> 00:19:10,096 INCLUSION AND GENDER AND WHAT 423 00:19:10,096 --> 00:19:16,002 HAS BEEN CALLED GENDER IDEOLOGY. 424 00:19:16,002 --> 00:19:18,205 I THINK IT IS A MISNOMER. 425 00:19:18,205 --> 00:19:20,607 IN ANY CASE, TO BE PERFECTLY 426 00:19:20,607 --> 00:19:22,175 HONEST, THERE IS PLENTY FOR US 427 00:19:22,175 --> 00:19:24,911 TO WORK ON. IT IS NOT LIKE WE 428 00:19:24,911 --> 00:19:26,079 ARE SITTING IDLE BECAUSE THIS 429 00:19:26,079 --> 00:19:34,187 PART OF OUR PORTFOLIO HAS BEEN 430 00:19:34,187 --> 00:19:37,157 ELIMINATED AND ARE VERY TOUGH 431 00:19:37,157 --> 00:19:39,226 PUBLIC HEALTH PROGRAMS THAT NIH 432 00:19:39,226 --> 00:19:43,763 IS STILL DEDICATING ITSELF TO. 433 00:19:43,763 --> 00:19:46,032 NEXT SLIDE WILL SHOW YOU WHAT WE 434 00:19:46,032 --> 00:19:47,601 HAVE BEEN DOING. 435 00:19:47,601 --> 00:19:52,505 IT IS NOT MEANT TO READ THE 436 00:19:52,505 --> 00:19:54,241 ABSESA OF THIS AND THIS IS A 437 00:19:54,241 --> 00:19:58,278 LIST NOT COMPLETED AT ALL OF 438 00:19:58,278 --> 00:19:59,212 CHRONIC DISEASES LABORATORIES 439 00:19:59,212 --> 00:20:01,681 AND CLINICS OF NIH HAVE BEEN 440 00:20:01,681 --> 00:20:04,951 WORKING FOR DECADES AND IS A 441 00:20:04,951 --> 00:20:05,652 CURRENT SNAPSHOT. 442 00:20:05,652 --> 00:20:07,554 YOU KNOW, MANY CONDITIONS COME 443 00:20:07,554 --> 00:20:11,658 CLOSE TO HAVING 100 DIFFERENT 444 00:20:11,658 --> 00:20:14,895 LABORATORIES WORKING ON THESE 445 00:20:14,895 --> 00:20:16,830 PARTICULAR DISORDERS AND SAY 446 00:20:16,830 --> 00:20:19,299 THIS IS NOT NEW AND IS WONDERFUL 447 00:20:19,299 --> 00:20:21,468 FOR US TO BE FOCUSED AS A 448 00:20:21,468 --> 00:20:22,235 COUNTRY ON THIS. 449 00:20:22,235 --> 00:20:23,904 I THINK THAT MANY OF THE PEOPLE 450 00:20:23,904 --> 00:20:29,209 WHO WORK FOR DECADES ON THIS -- 451 00:20:29,209 --> 00:20:32,612 THESE DISORDERS HAVE FELT LIKE 452 00:20:32,612 --> 00:20:34,447 PART OF THE UNITED STATES 453 00:20:34,447 --> 00:20:37,651 DOESN'T REALIZE THEY ARE DOING 454 00:20:37,651 --> 00:20:41,388 THIS WORK NOW A SPOTLIGHT HAS 455 00:20:41,388 --> 00:20:44,925 BEEN SHOWN ON IT AND NEXT SLIDE 456 00:20:44,925 --> 00:20:49,596 IS IMPORTANT AND GETS FORGOTTEN 457 00:20:49,596 --> 00:20:51,831 BY THOSE OF US WHO ARE 458 00:20:51,831 --> 00:20:52,132 CLINICIANS. 459 00:20:52,132 --> 00:20:54,134 MANY OTHER PEOPLE AT NIH ARE 460 00:20:54,134 --> 00:20:58,071 WORKING ON VERY BASIC SCIENCE 461 00:20:58,071 --> 00:21:01,107 THAT HAPPENS TO BE THE 462 00:21:01,107 --> 00:21:09,215 UNDERPINNING AND UNDERLIE 463 00:21:09,215 --> 00:21:10,884 REASON PEOPLE HAVE THESE 464 00:21:10,884 --> 00:21:13,353 CONDITIONS AND ENVIRONMENT LIKE 465 00:21:13,353 --> 00:21:15,155 NIH WITH ANALOG AROUND THE 466 00:21:15,155 --> 00:21:17,657 COUNTRY AND IN ACADEMIC 467 00:21:17,657 --> 00:21:20,260 INSTITUTION FOSTERING OF THE 468 00:21:20,260 --> 00:21:22,329 INTERACTION BETWEEN BASIC 469 00:21:22,329 --> 00:21:26,900 SCIENCE AND THE CLINICAL 470 00:21:26,900 --> 00:21:30,770 RESEA 471 00:21:30,770 --> 00:21:31,037 RESEARCH. 472 00:21:31,037 --> 00:21:32,839 THE NEXT SLIDE I COULDN'T RESIST 473 00:21:32,839 --> 00:21:38,912 TELLING YOU ABOUT SOME OTHER 474 00:21:38,912 --> 00:21:40,180 PRIORI 475 00:21:40,180 --> 00:21:40,480 PRIORITIES. 476 00:21:40,480 --> 00:21:42,248 NOT ALL ARE DIRECTLY CLINICAL 477 00:21:42,248 --> 00:21:44,484 BUT NOTION OF ALTERNATIVE OF 478 00:21:44,484 --> 00:21:46,953 FINDING NON-ANIMAL MODELS TO 479 00:21:46,953 --> 00:21:48,188 STUDY AND COMBAT DISEASE, SOME 480 00:21:48,188 --> 00:21:56,363 OF THIS IS TO MOVE AWAY FROM 481 00:21:56,363 --> 00:21:57,630 INVOLVING ANIMALS IN RESEARCH. 482 00:21:57,630 --> 00:21:59,666 LOTS OF THIS IS WE HAVE LEARNED 483 00:21:59,666 --> 00:22:01,134 A GREAT DEAL OVER THE YEARS 484 00:22:01,134 --> 00:22:05,672 ABOUT THE LIMITATIONS OF ANIMAL 485 00:22:05,672 --> 00:22:09,542 RESEARCH IN MIMICKING HUMAN 486 00:22:09,542 --> 00:22:14,314 CONDIT 487 00:22:14,314 --> 00:22:14,881 CONDITIONS. 488 00:22:14,881 --> 00:22:18,451 IF WE CAN DEVELOP MODELS FOR 489 00:22:18,451 --> 00:22:20,086 EXAMPLE WITH STEM CELLS FROM 490 00:22:20,086 --> 00:22:21,321 HUMANS WITH A PARTICULAR 491 00:22:21,321 --> 00:22:22,922 DISEASE, IT BRINGS US CLOSER TO 492 00:22:22,922 --> 00:22:26,893 THE HUMAN CONDITION. 493 00:22:26,893 --> 00:22:30,730 CLEARLY THERE ARE THINGS THAT 494 00:22:30,730 --> 00:22:33,333 CAN'T BE MIMICKED BY CELLS IN A 495 00:22:33,333 --> 00:22:33,533 DISH. 496 00:22:33,533 --> 00:22:36,803 I HAPPEN TO BE A NEUROSCIENTIST 497 00:22:36,803 --> 00:22:38,705 AND CAN'T IMAGINE STUDYING 498 00:22:38,705 --> 00:22:40,840 COGNITION FROM A STEM CELL IN A 499 00:22:40,840 --> 00:22:42,075 DISH P. 500 00:22:42,075 --> 00:22:45,712 DOING -- MAYBE I'M WRONG AND WE 501 00:22:45,712 --> 00:22:50,350 WILL FIGURE THAT OUT AND MAYBE 502 00:22:50,350 --> 00:22:53,653 AI IS THE ANSWER. 503 00:22:53,653 --> 00:22:57,757 I HAVEN'T BEEN CONVINCED YET. 504 00:22:57,757 --> 00:22:59,459 CLEARLY WE WILL DECREASE AND 505 00:22:59,459 --> 00:23:02,562 FRANKLY IN THE PAST IT ENYEARS 506 00:23:02,562 --> 00:23:04,164 NIH ITSELF VASTLY DECREASED 507 00:23:04,164 --> 00:23:06,266 NUMBER OF ANIMALS AND 508 00:23:06,266 --> 00:23:08,902 PHYLOGENETIC CLASS OF ANIMALS WE 509 00:23:08,902 --> 00:23:09,769 USE IN RESEARCH. 510 00:23:09,769 --> 00:23:11,671 SO THIS IS NOT NEW. 511 00:23:11,671 --> 00:23:15,175 AGAIN, IT IS SHOWING A SPOTLIGHT 512 00:23:15,175 --> 00:23:17,444 ON THIS. 513 00:23:17,444 --> 00:23:19,813 INCENTIVIZING PUBLIC ACCESS TO 514 00:23:19,813 --> 00:23:21,915 THERAPIES INCLUDING DRUGS AND 515 00:23:21,915 --> 00:23:25,085 DEVICES MAKING -- WE AS AN 516 00:23:25,085 --> 00:23:29,656 AGENCY DON'T SET PRICES FOR 517 00:23:29,656 --> 00:23:32,692 DRU 518 00:23:32,692 --> 00:23:32,926 DRUGS. 519 00:23:32,926 --> 00:23:34,527 DRUG DEVELOPMENT WE TEND TO DO 520 00:23:34,527 --> 00:23:38,264 IS EARLY IN THE PIPELINE OF DRUG 521 00:23:38,264 --> 00:23:38,598 DEVELOPMENT. 522 00:23:38,598 --> 00:23:40,934 TO GET COLLEAGUES IN 523 00:23:40,934 --> 00:23:41,901 PHARMATHINKING BEFORE WE LICENSE 524 00:23:41,901 --> 00:23:43,903 SOMETHING TO THEM AND THINKING 525 00:23:43,903 --> 00:23:50,743 ABOUT HOW ARE YOU GOING TO MAKE 526 00:23:50,743 --> 00:23:51,611 ACCESS REASONABLE FOR 527 00:23:51,611 --> 00:23:54,080 COMMUNITIES AROUND US IS A GOOD 528 00:23:54,080 --> 00:23:58,251 THING FOR US TO DO AND PUT OUR 529 00:23:58,251 --> 00:24:01,688 HEADS TOGETHER ON THAT. 530 00:24:01,688 --> 00:24:12,232 DR. BHATTACHARIA'S MISSION IS TO 531 00:24:14,434 --> 00:24:16,669 HAVE -- I THINK PEOPLE AT NIH 532 00:24:16,669 --> 00:24:19,506 HAVE A LOT OF AKDEMIC FREEDOM 533 00:24:19,506 --> 00:24:21,508 AND I THINK THAT IT IS GOOD TO 534 00:24:21,508 --> 00:24:22,909 TAKE A LOOK AT THIS EVERY 5 OR 535 00:24:22,909 --> 00:24:25,378 IT ENYEARS SAYING ARE WE DOING 536 00:24:25,378 --> 00:24:26,913 AS WELL AS WE CAN? 537 00:24:26,913 --> 00:24:33,620 THAT HAS BEEN VERY WELL COMED. 538 00:24:33,620 --> 00:24:36,990 NEXT SLIDE WILL GIVE A SENSE 539 00:24:36,990 --> 00:24:39,726 WHAT WE HAVE DONE ALREADY. 540 00:24:39,726 --> 00:24:44,230 I HAVE SPOKEN ABOUT EACH OF 541 00:24:44,230 --> 00:24:47,700 THESE. ADVISORY DIRECTOR WITH 542 00:24:47,700 --> 00:24:50,203 REGARD TO ALTERNATIVE MODELS 543 00:24:50,203 --> 00:24:50,937 MAKING RECOMMENDATIONS ALREADY. 544 00:24:50,937 --> 00:24:52,939 THERE IS AN EXISTING PLAN FOR 545 00:24:52,939 --> 00:24:55,308 ACCESS BEING REFINED AND 546 00:24:55,308 --> 00:24:58,912 REWRITTEN WITH THE NEW 547 00:24:58,912 --> 00:25:03,716 ADMINISTRATION AS I SAY, BATTA 548 00:25:03,716 --> 00:25:06,920 CHAR KWLA HAS BEEN WORKING HARD 549 00:25:06,920 --> 00:25:09,022 ON REASSESSING ACADEMIC FREEDOM 550 00:25:09,022 --> 00:25:11,658 AT NIH AND NEXT SLIDE GIVES A 551 00:25:11,658 --> 00:25:14,194 SENSE WHAT HAS BEEN THE ENORMOUS 552 00:25:14,194 --> 00:25:14,694 CHALLENGE. 553 00:25:14,694 --> 00:25:22,001 WE HAVE TAKEN ON ALL OF THE NEW 554 00:25:22,001 --> 00:25:24,604 INITIATIVES IN SETTING IN 555 00:25:24,604 --> 00:25:25,872 EFFORTS TO REDUCE SIZE OF 556 00:25:25,872 --> 00:25:27,807 FEDERAL WORKFORCE AND NOT UNIQUE 557 00:25:27,807 --> 00:25:30,610 TO NIH. NOBODY IS COMING SAYING 558 00:25:30,610 --> 00:25:34,747 LET'S CUT NIH. THIS IS FEDERAL 559 00:25:34,747 --> 00:25:35,114 GOVERNMENTWIDE. 560 00:25:35,114 --> 00:25:38,918 THERE HAVE BEEN INCENTIVIZED 561 00:25:38,918 --> 00:25:40,353 RETIREMENT OFFERINGS AND 562 00:25:40,353 --> 00:25:42,889 PROBATIONARY EMPLOYEE DISMISSALS 563 00:25:42,889 --> 00:25:45,425 AND NONRENEWALS OF TERM 564 00:25:45,425 --> 00:25:47,727 EMPLOYEES AND REDUCTIONS IN 565 00:25:47,727 --> 00:25:49,229 FORCE. 566 00:25:49,229 --> 00:25:53,032 CENTRALIZATION OF ADMINISTRATIVE 567 00:25:53,032 --> 00:25:53,566 FUNCTIONS. 568 00:25:53,566 --> 00:25:56,102 DISSOLUTION AND SHRINKING OF 569 00:25:56,102 --> 00:25:57,637 FACA COMMITTEES THAT WE HAVE 570 00:25:57,637 --> 00:26:00,807 TALKED ABOUT. 571 00:26:00,807 --> 00:26:03,576 TRUNKATION OF THE TERMS OF MANY 572 00:26:03,576 --> 00:26:08,481 SPECIAL GOVERNMENT EMPLOYEES. 573 00:26:08,481 --> 00:26:12,952 SO WHILE THERE ARE NEW 574 00:26:12,952 --> 00:26:15,688 INITIATIVES AND MANDATES, THERE 575 00:26:15,688 --> 00:26:18,992 ARE REDUCTIONS IN NUMBER OF 576 00:26:18,992 --> 00:26:23,363 PEOPLE AVAILABLE TO PERFORM NEW 577 00:26:23,363 --> 00:26:23,663 FUNCTIONS. 578 00:26:23,663 --> 00:26:27,500 IT HAS OFTEN BEEN DONE IN A WAY 579 00:26:27,500 --> 00:26:29,736 THAT IS VERY CHALLENGING FOR 580 00:26:29,736 --> 00:26:32,572 THOSE OF US ON THE INSIDE TO 581 00:26:32,572 --> 00:26:34,807 UNDERSTAND THE LOGIC. 582 00:26:34,807 --> 00:26:39,279 THERE HAVE BEEN THINGS LIKE 583 00:26:39,279 --> 00:26:44,183 ENCOURAGEMENT TO RETIRE AND 584 00:26:44,183 --> 00:26:45,952 REDUCTION IN FORCE INCLUDES 585 00:26:45,952 --> 00:26:49,122 DISMISSING PEOPLE IN HUMAN 586 00:26:49,122 --> 00:26:51,591 RESOURCES THAT DO BENEFITS AND 587 00:26:51,591 --> 00:26:53,760 HOW DO WE HANDLE THOSE PEOPLE 588 00:26:53,760 --> 00:26:56,663 THAT VOLUNTARILY SAID I WILL 589 00:26:56,663 --> 00:26:58,898 RETIRE AND I'M READY. 590 00:26:58,898 --> 00:27:00,933 THERE IS NO ONE TO TALK TO THEM 591 00:27:00,933 --> 00:27:03,469 ABOUT THEIR -- SO MANY OF THESE 592 00:27:03,469 --> 00:27:06,906 THINGS ARE BEING REMEDIED AS WE 593 00:27:06,906 --> 00:27:07,407 SPEAK. 594 00:27:07,407 --> 00:27:11,744 I HAVE TO SAY AS SOMEONE AS A 595 00:27:11,744 --> 00:27:14,881 NEUROLOGIST FAIRLY HEFTY PORTION 596 00:27:14,881 --> 00:27:19,786 OF WHOSE PORTFOLIO RELATES TO 597 00:27:19,786 --> 00:27:22,188 MENTAL HEALTH IT IS CHALLENGING 598 00:27:22,188 --> 00:27:26,459 TO HAVE A YO-YO OF BEING 599 00:27:26,459 --> 00:27:29,629 RELEASED AND BEING DERIFT AS 600 00:27:29,629 --> 00:27:32,699 PEOPLE CALL IT BEING BROUGHT 601 00:27:32,699 --> 00:27:39,672 BACK FROM REDUCTION IN FORCE. 602 00:27:39,672 --> 00:27:41,174 MANY PEOPLE HAVE UNDERGONE WHAT 603 00:27:41,174 --> 00:27:44,243 LOOKS TO ME LIKE PTSD AND WHAT 604 00:27:44,243 --> 00:27:47,747 LOOKS LIKE SURVIVOR GUILT WHO 605 00:27:47,747 --> 00:27:52,819 ARE STILL HERE BUT HAVE SEEN 606 00:27:52,819 --> 00:27:54,287 DOZENS OF COLLEAGUES DISAPPEAR. 607 00:27:54,287 --> 00:27:56,356 WE ARE IN THE PROCESS OF MOVING 608 00:27:56,356 --> 00:28:01,361 THE PENDULUM BACK. 609 00:28:01,361 --> 00:28:03,463 AND TRYING TO RIGHT-SIZE THINGS. 610 00:28:03,463 --> 00:28:05,298 I DON'T WANT TO GIVE THE 611 00:28:05,298 --> 00:28:08,935 IMPRESSION WE WERE PERFECT AND 612 00:28:08,935 --> 00:28:10,436 RENDERED IMPERFECT. IT IS NOT 613 00:28:10,436 --> 00:28:12,105 BAD TO TAKE ANOTHER LOOK. IT 614 00:28:12,105 --> 00:28:14,207 HAS BEEN A SORT OF BACK AND 615 00:28:14,207 --> 00:28:17,076 FORTH THAT HAS BEEN VERY 616 00:28:17,076 --> 00:28:18,444 CHALLENGING FOR US. 617 00:28:18,444 --> 00:28:20,713 DESPITE THIS, THE NEXT SLIDE 618 00:28:20,713 --> 00:28:22,915 GIVES YOU VERY -- WELL, THIS IS 619 00:28:22,915 --> 00:28:26,386 -- AGAIN, THIS IS MORE BAD NEWS. 620 00:28:26,386 --> 00:28:29,622 I DON'T NEED TO DWELL ON IT. 621 00:28:29,622 --> 00:28:32,291 MUCH OF THIS HAS BEEN REVERSED 622 00:28:32,291 --> 00:28:34,894 WITH DR. BHATTACHARYA'S ARRIVAL. 623 00:28:34,894 --> 00:28:37,730 WE HAD A BUNCH OF RESTRICTIONS 624 00:28:37,730 --> 00:28:42,201 PENDING THE ARRIVAL OF OUR NEW 625 00:28:42,201 --> 00:28:42,668 DIRECTOR. 626 00:28:42,668 --> 00:28:44,670 AND WHEN DR. BHATTACHARYA CAME, 627 00:28:44,670 --> 00:28:48,241 HE LOVES TO SAY HE HAS TURNED 628 00:28:48,241 --> 00:28:50,643 LIGHTS BACK ON AND TO SOME VERY 629 00:28:50,643 --> 00:28:51,978 REAL EXTENT, THAT IS TRUE. 630 00:28:51,978 --> 00:28:54,647 MANY THINGS WE WERE RESTRICTED 631 00:28:54,647 --> 00:28:58,451 FROM DOING THAT REALLY IMPEDED 632 00:28:58,451 --> 00:29:01,587 PROGRESS OF SCIENCE THAT HE HAS 633 00:29:01,587 --> 00:29:02,088 NOW REVERSED. 634 00:29:02,088 --> 00:29:06,426 THE NEXT SLIDE SHOWS YOU THAT 635 00:29:06,426 --> 00:29:10,363 DESPITE ALL OF THIS, MANY, MANY 636 00:29:10,363 --> 00:29:12,598 WONDERFUL THINGS HAVE HAPPENED 637 00:29:12,598 --> 00:29:14,534 SINCE JANUARY IN THE CLINICAL 638 00:29:14,534 --> 00:29:14,767 CENTER. 639 00:29:14,767 --> 00:29:17,570 MANY PEOPLE IN THIS ROOM HAVE 640 00:29:17,570 --> 00:29:18,905 CONTRIBUTED TO THAT. 641 00:29:18,905 --> 00:29:20,740 YOU WILL HEAR ABOUT SOME OF 642 00:29:20,740 --> 00:29:23,276 THESE CLINICAL CENTERS THAT WAS 643 00:29:23,276 --> 00:29:25,511 AWARDED NURSING MAGNET WITH 644 00:29:25,511 --> 00:29:27,380 DISTINCTION STATUS THAT IS QUITE 645 00:29:27,380 --> 00:29:30,917 AN ACHIEVEMENT AND 7NIH FACULTY 646 00:29:30,917 --> 00:29:34,587 WERE ELECTED TO NATIONAL ACADEMY 647 00:29:34,587 --> 00:29:37,056 OF MEDICINE AND FOUR TO NATIONAL 648 00:29:37,056 --> 00:29:38,191 ACADEMY OF SCIENCE AND THREE TO 649 00:29:38,191 --> 00:29:41,561 AMERICAN SOCIETY OF CLIN 650 00:29:41,561 --> 00:29:43,596 INVESTIGATION. TWO TO 651 00:29:43,596 --> 00:29:45,565 ASSOCIATION OF AMERICAN 652 00:29:45,565 --> 00:29:45,898 PHYSICIANS. 653 00:29:45,898 --> 00:29:47,733 THE ANIMAL CARE AND USE PROGRAMS 654 00:29:47,733 --> 00:29:50,436 WERE AWARDED AN UNCONDITIONAL 655 00:29:50,436 --> 00:29:58,911 THREE YEAR ALAC CERTIFICATION -- 656 00:29:58,911 --> 00:30:00,346 RECERTIFIC 657 00:30:00,346 --> 00:30:00,746 RECERTIFICATION. 658 00:30:00,746 --> 00:30:02,849 CLINICAL CENTER REALLY WONDERFUL 659 00:30:02,849 --> 00:30:05,184 ACHIEVEMENT YOU WILL HEAR ABOUT 660 00:30:05,184 --> 00:30:07,820 LATER AND PINNACLE OF EXCELLENCE 661 00:30:07,820 --> 00:30:11,224 AWARD FROM PRESS GANY. DESPITE 662 00:30:11,224 --> 00:30:13,226 ALL OF THE CHALLENGES, I THINK 663 00:30:13,226 --> 00:30:15,428 BECAUSE OF THE FOCUS ON THE 664 00:30:15,428 --> 00:30:18,531 MISSION AND VISION AND NEEDS OF 665 00:30:18,531 --> 00:30:20,867 THE COMMUNITY WE SERVE, WE HAVE 666 00:30:20,867 --> 00:30:22,902 BEEN ABLE TO REALLY ACHIEVE 667 00:30:22,902 --> 00:30:24,504 DESPITE THIS. I THINK THE 668 00:30:24,504 --> 00:30:28,441 FUTURE IS VERY, VERY POSITIVE. 669 00:30:28,441 --> 00:30:30,676 BECAUSE OF THIS DRIVE AND 670 00:30:30,676 --> 00:30:33,613 BECAUSE OF THIS COMMUNITY WE 671 00:30:33,613 --> 00:30:34,714 HAVE AROUND US. 672 00:30:34,714 --> 00:30:37,950 SO WITH THAT, I THANK YOU FOR 673 00:30:37,950 --> 00:30:38,451 YOUR ATTENTION. 674 00:30:38,451 --> 00:30:41,687 >> GREAT. THANK YOU VERY MUCH, 675 00:30:41,687 --> 00:30:41,888 NINA. 676 00:30:41,888 --> 00:30:43,489 ANY OTHER QUESTIONS FROM THE 677 00:30:43,489 --> 00:30:45,358 BOARD OR COMMENTS BEFORE WE GET 678 00:30:45,358 --> 00:30:54,967 THE CEOS UPDATE? 679 00:30:54,967 --> 00:30:55,334 ANTOINETTE? 680 00:30:55,334 --> 00:30:58,504 >> YOU HIT THE NAIL ON THE HEAD 681 00:30:58,504 --> 00:30:59,772 SAYING FOLKS STEP INTO ACTING 682 00:30:59,772 --> 00:31:02,909 ROLES AND KIND OF LIKE IT DOES 683 00:31:02,909 --> 00:31:05,745 SMOOTH OUT THE PROCESS A BIT. 684 00:31:05,745 --> 00:31:09,782 THANK YOU FOR DOING WHAT YOU ARE 685 00:31:09,782 --> 00:31:16,622 DOING WITH DR. PI. IN MARCH, I 686 00:31:16,622 --> 00:31:19,792 HAD MY DOCTOR'S APPOINTMENT. 687 00:31:19,792 --> 00:31:22,895 NIH, THE -- YOU KNOW, WHAT WAS 688 00:31:22,895 --> 00:31:26,365 GOING ON WITH THE HIRING FREEZE 689 00:31:26,365 --> 00:31:27,600 AND GOVERNMENT REDUCTIONS AND 690 00:31:27,600 --> 00:31:30,970 EVERYTHING, YOU CAN FEEL IT IN 691 00:31:30,970 --> 00:31:33,372 THE AIR. 692 00:31:33,372 --> 00:31:34,907 FROM DEPARTMENT TO DEPARTMENT, 693 00:31:34,907 --> 00:31:37,710 WENT TO MY CLINIC OR ANY OF THE 694 00:31:37,710 --> 00:31:41,847 OTHER. IT WAS IN THE AIR. 695 00:31:41,847 --> 00:31:45,985 I'M GLAD THAT THE MORE 696 00:31:45,985 --> 00:31:48,588 [INDISCERNIBLE] MIGHT HAVE BEEN 697 00:31:48,588 --> 00:31:49,889 RETERMED BASED ON ACTING PEOPLE 698 00:31:49,889 --> 00:31:53,726 YOU HAVE BEEN -- WHO HAVE BEEN 699 00:31:53,726 --> 00:32:00,333 STEPPING UP TO THE PLATE. 700 00:32:00,333 --> 00:32:02,902 IT IS TRUE THAT LOTS OF PEOPLE 701 00:32:02,902 --> 00:32:04,303 I'M RUNNING INTO ARE STILL 702 00:32:04,303 --> 00:32:05,304 FAMILIAR WITH THE GREAT WORK 703 00:32:05,304 --> 00:32:07,440 THAT NIH IS INVOLVED IN. I 704 00:32:07,440 --> 00:32:10,209 BROUGHT TO THE ATTENTION AT 705 00:32:10,209 --> 00:32:13,212 PREVIOUS MEETINGS THAT PBS IS A 706 00:32:13,212 --> 00:32:15,348 REAL GOOD MEDIUM TO, YOU KNOW, 707 00:32:15,348 --> 00:32:17,183 PUT THE WORD OUT THERE OF WHAT 708 00:32:17,183 --> 00:32:18,884 WE DO. 709 00:32:18,884 --> 00:32:21,821 IT WAS A COUPLE OF MEETINGS AGO 710 00:32:21,821 --> 00:32:26,892 THAT DR. GALIN GAVE AN A TO B 711 00:32:26,892 --> 00:32:30,763 HISTORY OF WHAT NIH DOES. IT 712 00:32:30,763 --> 00:32:32,531 WAS -- IT WAS -- I THOUGHT IT 713 00:32:32,531 --> 00:32:33,833 WAS A RECORDING AND COME TO 714 00:32:33,833 --> 00:32:38,471 THINK OF IT, HE DID IT AT ONE OF 715 00:32:38,471 --> 00:32:40,640 THE MEETINGS. 716 00:32:40,640 --> 00:32:43,142 IT -- IT WAS JUST WELL DONE AND 717 00:32:43,142 --> 00:32:44,677 PUTTING SOMETHING LIKE THAT SO 718 00:32:44,677 --> 00:32:47,947 THAT THE PUBLIC CAN ACTUALLY SEE 719 00:32:47,947 --> 00:32:50,916 WHAT NIH IS INVOLVED IN WILL GO 720 00:32:50,916 --> 00:32:51,384 A LONG WAYS. 721 00:32:51,384 --> 00:32:53,986 WE WILL HAVE REALLY SOME 722 00:32:53,986 --> 00:32:54,253 BACKING. 723 00:32:54,253 --> 00:32:57,523 >> THANK YOU SO MUCH FOR THAT. 724 00:32:57,523 --> 00:33:04,096 I HAVE NOT SEEN DR. GALLONS 725 00:33:04,096 --> 00:33:04,397 RENDITION. 726 00:33:04,397 --> 00:33:09,168 HE WAS SUCH A ROBUST 727 00:33:09,168 --> 00:33:10,302 SPOKESPERSON FOR THE WORK 728 00:33:10,302 --> 00:33:13,806 PARTICULARLY IN THE CLINICAL 729 00:33:13,806 --> 00:33:14,040 CENTER. 730 00:33:14,040 --> 00:33:16,676 YOU KNOW, IT IS INTERESTING. WE 731 00:33:16,676 --> 00:33:20,613 -- I THINK IF I HAD TO SAY WHAT 732 00:33:20,613 --> 00:33:24,917 DOES NIH NOT DO WELL, I THINK 733 00:33:24,917 --> 00:33:28,888 FROM WHERE I SIT, THE ANSWER IS 734 00:33:28,888 --> 00:33:30,890 BLOW ITS OWN HORN. 735 00:33:30,890 --> 00:33:33,559 I -- I REALLY -- AND I WAS TOLD 736 00:33:33,559 --> 00:33:36,362 WHEN I CAME HERE I WAS LIKE WHY 737 00:33:36,362 --> 00:33:38,631 ARE WE NOT ADVERTISING WHAT WE 738 00:33:38,631 --> 00:33:40,666 DO BETTER AND WHY ARE WE NOT 739 00:33:40,666 --> 00:33:42,902 GETTING THE WORD OUT BETTER? 740 00:33:42,902 --> 00:33:48,374 AND I WAS TOLD THAT THAT WAS 741 00:33:48,374 --> 00:33:53,446 VIEWED, YOU KNOW, REALLY NOT 742 00:33:53,446 --> 00:33:53,779 APPROPRIATE. 743 00:33:53,779 --> 00:33:54,113 >> CULTURAL. 744 00:33:54,113 --> 00:33:56,082 >> OF AGENCY. RIGHT. RIGHT. 745 00:33:56,082 --> 00:33:57,450 WE SHOULDN'T BE BRAGGING. 746 00:33:57,450 --> 00:33:58,284 >> RIGHT. 747 00:33:58,284 --> 00:33:59,652 >> OTHER PEOPLE SHOULD BRAG 748 00:33:59,652 --> 00:34:01,954 ABOUT US. I MEAN, HOW DID THEY 749 00:34:01,954 --> 00:34:04,156 BRAG ABOUT US IF THEY HAVE NO 750 00:34:04,156 --> 00:34:11,664 IDEA WHAT WE DO? 751 00:34:11,664 --> 00:34:15,367 I THINK THE SCIENTIFIC COMMUNITY 752 00:34:15,367 --> 00:34:17,903 HASN'T DONE AS GOOD A JOB AS IT 753 00:34:17,903 --> 00:34:19,839 PERHAPS COULD HAVE AND TO BE 754 00:34:19,839 --> 00:34:22,241 FAIR THERE ARE MANY IMPEDIMENTS 755 00:34:22,241 --> 00:34:26,112 IN OUR WAY AND EDUCATING THE 756 00:34:26,112 --> 00:34:30,049 PUBLIC ABOUT CHECKS AND BALANCES 757 00:34:30,049 --> 00:34:33,719 WE IMPOSE ON OURSELVES AND RIGOR 758 00:34:33,719 --> 00:34:36,822 WE DO IN STUDIES AND ARE NOW 759 00:34:36,822 --> 00:34:38,624 ALLEGATIONS THAT I THINK ARE 760 00:34:38,624 --> 00:34:40,259 BOUGHT BY THE PUBLIC. 761 00:34:40,259 --> 00:34:42,828 THEY HAVEN'T HEARD THE -- YOU 762 00:34:42,828 --> 00:34:44,663 KNOW, THE COUNTERARGUMENT THAT 763 00:34:44,663 --> 00:34:49,034 PROBABLY SHOULD HAVE STARTED IN 764 00:34:49,034 --> 00:34:54,206 ELEMENTARY SCHOOL SCIENCE. 765 00:34:54,206 --> 00:34:55,508 SO ONE MORE THING. 766 00:34:55,508 --> 00:34:59,979 NOT JUST, YOU KNOW, REGULAR 767 00:34:59,979 --> 00:35:03,482 PEOPLE THAT RUN INTO -- 768 00:35:03,482 --> 00:35:05,618 SOMETIMES IF I'M AT DOCTOR 769 00:35:05,618 --> 00:35:06,652 APPOINTMENTS OR ELSEWHERE, THEY 770 00:35:06,652 --> 00:35:08,954 ARE NOT FAMILIAR WITH WHAT NIH 771 00:35:08,954 --> 00:35:09,288 DOES. 772 00:35:09,288 --> 00:35:15,795 WHEN SAYING NIH, THEY THINK BRAT 773 00:35:15,795 --> 00:35:17,396 AND MONKEY IS DISPLAYING NO 774 00:35:17,396 --> 00:35:18,130 RESEARCH ON THEM. 775 00:35:18,130 --> 00:35:20,866 WE HAVE A LONG WAY TO GO WHEN 776 00:35:20,866 --> 00:35:24,136 COMING TO PUTTING THE WORD OUT. 777 00:35:24,136 --> 00:35:27,740 >> YEAH. WE DO. 778 00:35:27,740 --> 00:35:31,410 WE WILL HEAR FROM PIUS NOW. 779 00:35:31,410 --> 00:35:32,278 UNFORTUNATELY, I THINK THE 780 00:35:32,278 --> 00:35:33,612 COMMUNITY -- I DON'T KNOW IF YOU 781 00:35:33,612 --> 00:35:35,915 WILL GET INTO THIS LEVEL OF 782 00:35:35,915 --> 00:35:37,817 DETAIL BUT COMMUNICATION STAFF 783 00:35:37,817 --> 00:35:40,019 IS NO LONGER AT THE CLINICAL 784 00:35:40,019 --> 00:35:42,188 CENTER AND MAKES IT MORE 785 00:35:42,188 --> 00:35:42,488 DIFFICULT. 786 00:35:42,488 --> 00:35:48,160 IN ANY EVENT, PIUS, THE FLOOR IS 787 00:35:48,160 --> 00:35:51,764 YOU 788 00:35:51,764 --> 00:35:51,997 YOURS. 789 00:35:51,997 --> 00:35:53,566 >> MORNING, EVERYONE. 790 00:35:53,566 --> 00:35:57,069 >> MORN SGLG I HAVE AN ACTING 791 00:35:57,069 --> 00:35:58,304 COMMUNICATIONS RIGHT HERE AND 792 00:35:58,304 --> 00:36:03,542 WORKING VERY CLOSELY WITH ITS 793 00:36:03,542 --> 00:36:05,077 PREDECESSOR JUSTIN KOIN STEPPING 794 00:36:05,077 --> 00:36:07,346 UP TO THE PLATE HAVING AN 795 00:36:07,346 --> 00:36:09,315 OUTSTANDING JOB. THANKS. 796 00:36:09,315 --> 00:36:10,916 GOOD MORNING AND REALLY GLAD TO 797 00:36:10,916 --> 00:36:13,485 BE HERE THIS MORNING. 798 00:36:13,485 --> 00:36:15,387 BOARD MEMBERS, I CAN'T REALLY 799 00:36:15,387 --> 00:36:17,756 THANK YOU ENOUGH FOR YOUR 800 00:36:17,756 --> 00:36:18,891 CONTINUING SUPPORT AND INTEREST 801 00:36:18,891 --> 00:36:22,862 IN CLINICAL CENTERS AND 802 00:36:22,862 --> 00:36:24,964 DEFINITELY MADE MY JOB MUCH, 803 00:36:24,964 --> 00:36:25,431 MUCH EASIER. 804 00:36:25,431 --> 00:36:27,666 WE WERE SUPPOSED TO HAVE A 805 00:36:27,666 --> 00:36:30,135 MEETING IN FEBRUARY THAT WAS 806 00:36:30,135 --> 00:36:31,837 CANCELLED DUE TO TRANSITION 807 00:36:31,837 --> 00:36:33,672 CHANGES GOING ON AND I'M GLAD WE 808 00:36:33,672 --> 00:36:36,942 ARE HERE NOW AND LOOK FORWARD TO 809 00:36:36,942 --> 00:36:40,145 CONTINUING MEETINGS IN THE 810 00:36:40,145 --> 00:36:43,249 FUTURE AS WELL. 811 00:36:43,249 --> 00:36:46,886 I NEED TO CALL OUT JACK LESLIE. 812 00:36:46,886 --> 00:36:50,389 THE PAST FEW MONTHS HAS BEEN TO 813 00:36:50,389 --> 00:36:53,759 SAY THE LEAST A VERY REFLECTIVE 814 00:36:53,759 --> 00:36:57,429 OR REFLECTION PERIOD FOR US ON 815 00:36:57,429 --> 00:36:58,063 AN ORGANIZATION. 816 00:36:58,063 --> 00:37:01,700 AND EACH AND EVERY TIME I REACH 817 00:37:01,700 --> 00:37:12,278 OUT TO JACK WHOSE EXPERIENCE AND 818 00:37:12,278 --> 00:37:14,680 EXPERTISE HAS BEEN WONDERFUL 819 00:37:14,680 --> 00:37:17,483 NAVIGATING UNCHARTED WATERS AND 820 00:37:17,483 --> 00:37:19,184 APPRECIATE THAT. THE LAST FEW 821 00:37:19,184 --> 00:37:20,753 MONTHS HAS BEEN VERY CHALLENGING 822 00:37:20,753 --> 00:37:23,522 AND PERIOD FOR US TO ACTUALLY 823 00:37:23,522 --> 00:37:25,057 SELF-RESET AND IN A WAY 824 00:37:25,057 --> 00:37:26,558 OPPORTUNITY TO LOOK AT TWEAKING 825 00:37:26,558 --> 00:37:29,495 SOME THINGS AND ADJUSTING THINGS 826 00:37:29,495 --> 00:37:30,329 AND EVOLVING SOME THINGS. 827 00:37:30,329 --> 00:37:32,998 I HAVE TO TELL YOU I COULDN'T 828 00:37:32,998 --> 00:37:37,436 HAVE DONE IT WITHOUT FOLKS. 829 00:37:37,436 --> 00:37:40,806 FOR MY NAVY GUY AND DECK LEADS 830 00:37:40,806 --> 00:37:44,243 AND THOSE FOLKS ARE REPRESENTED 831 00:37:44,243 --> 00:37:46,912 HERE AND LEADERSHIP HERE SITTING 832 00:37:46,912 --> 00:37:48,380 IN THE BACK THERE. WOULD YOU 833 00:37:48,380 --> 00:37:53,552 PLEASE GET UP, FOLKS. 834 00:37:53,552 --> 00:38:00,125 I DON'T KNOW ABOUT YOU GUYS. 835 00:38:00,125 --> 00:38:03,028 >> MAKING MY JOB EASIER 836 00:38:03,028 --> 00:38:05,564 CONTINUING AGAIN TO EVOLVE AND 837 00:38:05,564 --> 00:38:07,666 DO WHAT IS BEST AND INVOLVING 838 00:38:07,666 --> 00:38:10,903 QUALITY CARE TO SPECIAL PARTNERS 839 00:38:10,903 --> 00:38:15,574 AND TRUSTED TO US AND I'M VERY 840 00:38:15,574 --> 00:38:17,443 THANKFUL FOR THAT AND CAME ON 841 00:38:17,443 --> 00:38:19,645 BOARD SEVERAL YEARS AGO AND 842 00:38:19,645 --> 00:38:22,915 SEVERAL MONTHS AS A 843 00:38:22,915 --> 00:38:23,615 [INDISCERNIBLE] COUNTER MYSELF 844 00:38:23,615 --> 00:38:25,751 AND CHIEF OPERATING CENTER 845 00:38:25,751 --> 00:38:30,522 WORKING CLOSE WITH JIM GILLMAN 846 00:38:30,522 --> 00:38:35,928 AND RETIRED 31ST OF JANUARY AND 847 00:38:35,928 --> 00:38:38,697 JOIN IN FLORIDA FISHING AND 848 00:38:38,697 --> 00:38:43,235 GOLFING AND DOING EVERYTHING. 849 00:38:43,235 --> 00:38:44,370 I'M SOMEWHAT KIND OF ENVIOUS OF 850 00:38:44,370 --> 00:38:46,772 HIM AND WE ARE HERE TODAY AND IT 851 00:38:46,772 --> 00:38:48,907 HAS BEEN QUITE A JOURNEY AND 852 00:38:48,907 --> 00:38:52,411 THEY TOOK OVER AS ACTING CEO ONE 853 00:38:52,411 --> 00:38:56,548 FEBRUARY AND HAS GONE BY FASTER. 854 00:38:56,548 --> 00:39:06,892 NEXT SLIDE, PLEASE. 855 00:39:07,659 --> 00:39:10,529 I KNOW DR. SCHOR ALREADY TALKED 856 00:39:10,529 --> 00:39:14,633 ABOUT A NEW DIRECTOR JAY BATTA 857 00:39:14,633 --> 00:39:16,568 CHURIA AND MET WITH HIM A COUPLE 858 00:39:16,568 --> 00:39:18,670 TIMES AND HE IS VERY MUCH 859 00:39:18,670 --> 00:39:21,240 SUPPORTIVE OF WHAT WE DO AT THE 860 00:39:21,240 --> 00:39:22,074 CLINICAL CENTER AND WILL GET 861 00:39:22,074 --> 00:39:26,345 INTO THE DATA LATER. 862 00:39:26,345 --> 00:39:28,180 CONFIRMED MARCH 2 FIRST AND 863 00:39:28,180 --> 00:39:30,582 APRIL 1ST RIGHT AFTER I CAME ON 864 00:39:30,582 --> 00:39:31,550 BOARD, ACTUALLY. 865 00:39:31,550 --> 00:39:33,552 HE WAS UNAVAILABLE TODAY. 866 00:39:33,552 --> 00:39:35,187 HIS SON IS GRADUATING FROM HIGH 867 00:39:35,187 --> 00:39:37,022 SCHOOL AND HE TOLD ME FUTURE 868 00:39:37,022 --> 00:39:39,691 MEETING THOUGH HE WILL 869 00:39:39,691 --> 00:39:40,893 DEFINITELY PLAN TO ATTEND AND 870 00:39:40,893 --> 00:39:45,164 REASON WHY HE IS NOT WITH US 871 00:39:45,164 --> 00:39:45,597 TODAY. 872 00:39:45,597 --> 00:39:55,941 NEXT SLIDE, PLEASE. 873 00:40:01,547 --> 00:40:02,881 IMPRESSED BY MISSION OF THE 874 00:40:02,881 --> 00:40:04,683 CLINICAL CENTER AND QUALITY CARE 875 00:40:04,683 --> 00:40:06,785 IN SUPPORT OF RESEARCH 876 00:40:06,785 --> 00:40:08,954 ACTIVITIES AND BEHIND HIM IS 877 00:40:08,954 --> 00:40:12,825 CHIEF OF STAFF, ERIC. TO THE 878 00:40:12,825 --> 00:40:15,060 RIGHT OF THAT DR. JOHNSON DEPUTY 879 00:40:15,060 --> 00:40:16,228 DIRECTOR OF ADMINISTRATION AND 880 00:40:16,228 --> 00:40:21,834 GOING TO THE LEFT OF THAT IS 881 00:40:21,834 --> 00:40:22,901 ACTUALLY [INDISCERNIBLE] WITH 882 00:40:22,901 --> 00:40:31,743 NEW CHIEF OF STAFF. AND TO MY 883 00:40:31,743 --> 00:40:34,913 LEFT CLINICAL CENTER WHO IS 884 00:40:34,913 --> 00:40:38,117 ACTING DIRECTOR OF DEFENSE AND 885 00:40:38,117 --> 00:40:39,751 ENJOY THAT AND GIVE HIM AN IDEA 886 00:40:39,751 --> 00:40:41,720 WHAT WE REALLY DO AT THE 887 00:40:41,720 --> 00:40:42,921 CLINICAL CENTER. 888 00:40:42,921 --> 00:40:44,256 NEXT SLIDE, PLEASE. 889 00:40:44,256 --> 00:40:46,859 JUST WANT TO KIND OF FLAG THIS 890 00:40:46,859 --> 00:40:47,493 FOR YOU. 891 00:40:47,493 --> 00:40:50,395 THESE ARE PRIORITIES COMING OUT 892 00:40:50,395 --> 00:40:54,700 OF A MESSAGE FROM DR. 893 00:40:54,700 --> 00:40:56,135 BHATTACHARYA IN APRIL AND FOCUS 894 00:40:56,135 --> 00:40:58,637 ON POPULATION HEALTH AND KNOW 895 00:40:58,637 --> 00:41:00,739 THAT I HAVE [INDISCERNIBLE] AND 896 00:41:00,739 --> 00:41:02,174 REGAL INNOVATION AND 897 00:41:02,174 --> 00:41:03,375 COLLABORATION AND RESEARCH 898 00:41:03,375 --> 00:41:04,810 SAFETY AND TRANSPARENCY. 899 00:41:04,810 --> 00:41:06,812 BOTTOM LINE THOUGH IF YOU LOOK 900 00:41:06,812 --> 00:41:08,680 AT CURRENT NOW STRATEGIC 901 00:41:08,680 --> 00:41:10,115 PLANNING GUIDANCE WE ARE VERY 902 00:41:10,115 --> 00:41:12,918 MUCH IN ALIGNMENT AND FULLY 903 00:41:12,918 --> 00:41:17,189 SUPPORT PRIORITIES AND ALSO MAKE 904 00:41:17,189 --> 00:41:20,292 AMERICA LTA AGENDA AND ALL ARE 905 00:41:20,292 --> 00:41:22,261 ON BOARD DOING WHAT WE DO BEST 906 00:41:22,261 --> 00:41:26,231 AT THE CLINICAL CENTER. 907 00:41:26,231 --> 00:41:27,599 NEXT SLIDE, PLEASE. 908 00:41:27,599 --> 00:41:30,903 FOR THE CLINICAL CENTER, WE HAVE 909 00:41:30,903 --> 00:41:34,239 A TEAM CONSISTENT OF SEVERAL 910 00:41:34,239 --> 00:41:36,108 EMPLOYEES AND CONTRACTOR 911 00:41:36,108 --> 00:41:37,809 EMPLOYEES AND ALSO VOLUNTEERS. 912 00:41:37,809 --> 00:41:42,648 WE ARE 80 VOLUNTEERS STRONG. 913 00:41:42,648 --> 00:41:45,217 AMOUNT OF THIS WAS WHEN WE 914 00:41:45,217 --> 00:41:47,686 ACTUALLY DEDICATE TODAY 915 00:41:47,686 --> 00:41:49,621 CELEBRATING AND IN PICTURE 916 00:41:49,621 --> 00:41:50,856 GRADUATE FROM UNIVERSITY AND 917 00:41:50,856 --> 00:41:51,990 [INDISCERNIBLE] AGAIN TO SUPPORT 918 00:41:51,990 --> 00:41:54,793 ALL EFFORTS AND THINGS WE DO AT 919 00:41:54,793 --> 00:41:57,563 THE CLINICAL CENTER. 920 00:41:57,563 --> 00:42:01,099 NEXT SLIDE, PLEASE. 921 00:42:01,099 --> 00:42:03,802 AND MAY 512TH WE CELEBRATED 922 00:42:03,802 --> 00:42:05,804 NURSE WEEK A VERY BUSY WEEK WITH 923 00:42:05,804 --> 00:42:07,773 A LOT OF STUFF GOING ON AND I'M 924 00:42:07,773 --> 00:42:09,508 SURE WE TALKED ABOUT THAT A 925 00:42:09,508 --> 00:42:11,376 LITTLE BIT HERE AND WAS REALLY A 926 00:42:11,376 --> 00:42:14,913 MOMENT TO REALLY BE ABLE TO 927 00:42:14,913 --> 00:42:18,517 ACKNOWLEDGE WHAT NURSES DO EVERY 928 00:42:18,517 --> 00:42:19,251 DAY. 600 STRONG. 929 00:42:19,251 --> 00:42:21,119 WITHOUT THEM, THERE WOULDN'T BE 930 00:42:21,119 --> 00:42:24,723 ANY CLINICAL CENTER AND TEAM 931 00:42:24,723 --> 00:42:25,857 THIS YEAR WAS [INDISCERNIBLE] 932 00:42:25,857 --> 00:42:27,392 AND EVERY DAY WAS EXCELLENCE AND 933 00:42:27,392 --> 00:42:29,261 CLINICAL CARE RESEARCH AND 934 00:42:29,261 --> 00:42:31,230 CUSTOMER SERVICE AND CREATION OF 935 00:42:31,230 --> 00:42:32,731 POSITIVE PRACTICE ENVIRONMENT 936 00:42:32,731 --> 00:42:34,633 THAT WAS DEFINITELY A GREAT WEEK 937 00:42:34,633 --> 00:42:38,203 AND EVERY DAY IS ACTUALLY A 938 00:42:38,203 --> 00:42:40,439 NURSE'S WEEK AS FAR AS I'M 939 00:42:40,439 --> 00:42:41,740 CONCERNED AND LOTS OF 940 00:42:41,740 --> 00:42:43,508 CELEBRATION ON THAT. BARBARA, 941 00:42:43,508 --> 00:42:46,878 ARE WE STILL CELEBRATING THAT? 942 00:42:46,878 --> 00:42:48,947 OKAY. NEXT SLIDE, PLEASE. 943 00:42:48,947 --> 00:42:52,684 NEXT ONE. 944 00:42:52,684 --> 00:42:55,787 OKAY. WE -- I KNOW DR. SHA 945 00:42:55,787 --> 00:42:58,390 TALKED ABOUT MOST RECENT 946 00:42:58,390 --> 00:43:02,227 PINNACLE OF EXCELLENCE AWARD. I 947 00:43:02,227 --> 00:43:04,396 CAN'T THANK ENOUGH WHO LED THIS 948 00:43:04,396 --> 00:43:06,265 EFFORT FROM THE GET GO IN TERMS 949 00:43:06,265 --> 00:43:09,835 OF US BEING ABLE TO GET TO WHERE 950 00:43:09,835 --> 00:43:13,238 WE ARE NOW. 951 00:43:13,238 --> 00:43:16,608 WE CONTINUE SERVICE IN 2021 AND 952 00:43:16,608 --> 00:43:23,448 PAST YEAR TWO SERVICES B2 953 00:43:23,448 --> 00:43:31,590 RADIATION ONCOLOGY AND DOW IING 954 00:43:31,590 --> 00:43:34,960 APHERESIS FROM PERIOD OF 2021 TO 955 00:43:34,960 --> 00:43:37,963 2024 BEING COMPARED BENCHMARK TO 956 00:43:37,963 --> 00:43:39,631 1,700 FACILITIES ACROSS THE 957 00:43:39,631 --> 00:43:40,032 NATION. 958 00:43:40,032 --> 00:43:48,440 THIS IS DEFINITE WILL I A -- 959 00:43:48,440 --> 00:43:49,241 DEFINITELY [INDISCERNIBLE] TO 960 00:43:49,241 --> 00:43:53,679 THOSE SERVICE LINES FOR THE 961 00:43:53,679 --> 00:43:57,215 AWARD. NEXT SLIDE, PLEASE. 962 00:43:57,215 --> 00:44:00,986 THIS IS ALWAYS TOUGH FOR ME 963 00:44:00,986 --> 00:44:03,255 THINKING ABOUT WHAT HAPPENED TO 964 00:44:03,255 --> 00:44:06,892 DR. NORVELL A FORMER CHAIR WHO 965 00:44:06,892 --> 00:44:10,395 DIED OBVIOUS WILL I LAST YEAR. 966 00:44:10,395 --> 00:44:12,664 POSTHUMOUSLY AN AWARD WAS GIVEN 967 00:44:12,664 --> 00:44:14,399 TO RECOGNIZE HIS EXCEPTIONAL 968 00:44:14,399 --> 00:44:16,168 CONTRIBUTION IN HEALTHCARE BASED 969 00:44:16,168 --> 00:44:21,206 ON THESE THREE CRITERIA. 970 00:44:21,206 --> 00:44:23,141 SUSTAINABILITY, QUALITY AND 971 00:44:23,141 --> 00:44:29,614 CUSTOMER SATISFACTION. 972 00:44:29,614 --> 00:44:30,015 [INDISCERNIBLE]. 973 00:44:30,015 --> 00:44:33,518 THIS IS STILL VERY, VERY 974 00:44:33,518 --> 00:44:33,819 REWARDING. 975 00:44:33,819 --> 00:44:37,856 GO ON. NEXT SLIDE, PLEASE. 976 00:44:37,856 --> 00:44:40,492 >> LENGTH OF SERVICE HONOREES 977 00:44:40,492 --> 00:44:43,428 CONTINUE TO HAVE ROUGHLY 70 TO 978 00:44:43,428 --> 00:44:45,630 80 EVERY QUARTER AND I'M A 979 00:44:45,630 --> 00:44:47,132 LITTLE BEHIND AND ABLE TO GET 980 00:44:47,132 --> 00:44:50,902 OUT THERE AND RECOGNIZE THESE 981 00:44:50,902 --> 00:44:51,136 IMAGES. 982 00:44:51,136 --> 00:44:56,274 THESE INDIVIDUALS ARE INSISTENT 983 00:44:56,274 --> 00:44:59,010 COMING UP TO FLAW AND I WANT TO 984 00:44:59,010 --> 00:45:01,747 COME UP STAIRS WITH YOU MEET 985 00:45:01,747 --> 00:45:04,916 WITH YOU AND TAKE A PHOTOGRAPH. 986 00:45:04,916 --> 00:45:08,420 DEPUTY CHIEF OF MANAGEMENT AND 987 00:45:08,420 --> 00:45:11,456 CHIEF OF [INDISCERNIBLE] 988 00:45:11,456 --> 00:45:14,326 MANAGEMENT. 989 00:45:14,326 --> 00:45:17,429 THAT IS, AGAIN, 3█5 YEARS OF 990 00:45:17,429 --> 00:45:19,431 DEDICATED SERVICE TO THE 991 00:45:19,431 --> 00:45:21,199 CLINICAL CENTER AND TELL YOU MY 992 00:45:21,199 --> 00:45:24,503 HATS OFF TO HIM. REALLY GLAD TO 993 00:45:24,503 --> 00:45:26,905 DO THAT. 994 00:45:26,905 --> 00:45:30,409 NEXT SLIDE, PLEASE. 995 00:45:30,409 --> 00:45:32,411 >> SINCE OUR LAST CLINICAL 996 00:45:32,411 --> 00:45:34,913 CENTER RESEARCH, THIS IS WHAT 997 00:45:34,913 --> 00:45:41,787 HAS HAPPENED AND KNOW DR. SHAW 998 00:45:41,787 --> 00:45:47,325 PAUSED IN COMMUNICATIONS AND WE 999 00:45:47,325 --> 00:45:49,628 COULDN'T DO A LOT AND MR. 1000 00:45:49,628 --> 00:45:51,863 GILLMAN RETIRED JANUARY 31ST AND 1001 00:45:51,863 --> 00:45:53,665 I TOOK OVER IN FEBRUARY OF THIS 1002 00:45:53,665 --> 00:45:55,500 YEAR AND HIRING FREEZE WAS 1003 00:45:55,500 --> 00:45:58,770 IMPLEMENTED ACROSS NIH AND 20TH 1004 00:45:58,770 --> 00:46:01,239 OF JANUARY TO 2025 AND THIS 1005 00:46:01,239 --> 00:46:03,742 FREEZE HAS BEEN EXTENDED TO JULY 1006 00:46:03,742 --> 00:46:04,209 15. 1007 00:46:04,209 --> 00:46:08,480 AGAIN, THIS APPLIES TO PENDING 1008 00:46:08,480 --> 00:46:10,849 CLINICAL CENTER RESEARCH MEMBERS 1009 00:46:10,849 --> 00:46:12,451 AND WE HAVE MEMBERS COMING ON 1010 00:46:12,451 --> 00:46:14,886 BOARD AND MANY THANKS TO JACKIE 1011 00:46:14,886 --> 00:46:20,592 AGAIN FOR HELPING US. WE HAVE 1012 00:46:20,592 --> 00:46:22,194 [INDISCERNIBLE] MEMBERS AND I'M 1013 00:46:22,194 --> 00:46:24,162 HOPEFUL WE WILL GET THROUGH 1014 00:46:24,162 --> 00:46:26,198 CHAIN OF COMMAND AND PIPELINE TO 1015 00:46:26,198 --> 00:46:28,400 GET HIM ON BOARD VERY SHORTLY. 1016 00:46:28,400 --> 00:46:31,536 LAST BUT NOT LEAST, FACULTY 1017 00:46:31,536 --> 00:46:34,239 COMMITTEE WAS CANCELLED TO APRIL 1018 00:46:34,239 --> 00:46:36,741 17TH AND ARE GLAD WE ARE BACK TO 1019 00:46:36,741 --> 00:46:38,743 IN TERMS OF GETTING MEETINGS 1020 00:46:38,743 --> 00:46:42,714 GOING ON PERIODIC BASIS NOW. 1021 00:46:42,714 --> 00:46:45,350 NEXT SLIDE, PLEASE. 1022 00:46:45,350 --> 00:46:49,120 THESE ARE 11 RECENT ASSISTANT 1023 00:46:49,120 --> 00:46:52,257 LEADERSHIP RETIREMENT AND 1024 00:46:52,257 --> 00:46:54,359 DEPARTURES AND DR. COHEN TALKED 1025 00:46:54,359 --> 00:46:57,529 ABOUT EARLY RETIREMENT AND ABOUT 1026 00:46:57,529 --> 00:46:58,897 STATISTICS AND [INDISCERNIBLE] 1027 00:46:58,897 --> 00:47:01,533 IN BIOETHICS AND [INDISCERNIBLE] 1028 00:47:01,533 --> 00:47:08,507 I'M SURE MOST OF YOU KNOW DR. 1029 00:47:08,507 --> 00:47:11,576 GWEN WALEN FORMERLY CHIEF OF 1030 00:47:11,576 --> 00:47:13,512 NURSING AND STEPPED DOWN TO 1031 00:47:13,512 --> 00:47:16,915 BECOME A PI FULL-TIME. 1032 00:47:16,915 --> 00:47:23,188 WE LOST URI FOR RESEARCH 1033 00:47:23,188 --> 00:47:25,524 MANAGEMENT UNEXPECTED DEATH A 1034 00:47:25,524 --> 00:47:27,092 FEW MONTHS AGO AND SAFETY 1035 00:47:27,092 --> 00:47:29,261 OFFICER MICHELE EVANS I'M SURE 1036 00:47:29,261 --> 00:47:31,396 YOU HEARD ARE PRESENTED AT THE 1037 00:47:31,396 --> 00:47:34,466 FORUM MULTIPLE TIMES AND ARE 1038 00:47:34,466 --> 00:47:37,536 RETIRED AND PATIENT RETIRED BUT 1039 00:47:37,536 --> 00:47:42,541 HERE TO TELL YOU CAPTAIN TUNY IS 1040 00:47:42,541 --> 00:47:44,709 BACK IN THE INTERIM TO CONTINUE 1041 00:47:44,709 --> 00:47:49,381 TO SUPPORT PATIENT ADVOCACY 1042 00:47:49,381 --> 00:47:50,615 PROGRAM. 1043 00:47:50,615 --> 00:47:51,616 [INDISCERNIBLE] RETIRED. LAST 1044 00:47:51,616 --> 00:47:55,353 BUT NOT LEAST, DAVID WU WHO 1045 00:47:55,353 --> 00:47:57,355 JOINED FROM JOHN HOPKINS SIX 1046 00:47:57,355 --> 00:47:58,890 MONTHS AGO AND DECIDED THAT YOU 1047 00:47:58,890 --> 00:48:01,960 KNOW HE IS GOING TO MOVE FORWARD 1048 00:48:01,960 --> 00:48:06,398 AND ON. HE ALSO LEFT US LAST 1049 00:48:06,398 --> 00:48:09,734 WEEK, I BELIEVE. 1050 00:48:09,734 --> 00:48:11,002 FULLY, FULLY GRATEFUL FOR 1051 00:48:11,002 --> 00:48:14,272 INDIVIDUALS THERE WHO HAVE TRULY 1052 00:48:14,272 --> 00:48:15,907 DONE EXCEPTIONAL JOB 1053 00:48:15,907 --> 00:48:17,809 CONTRIBUTING IMMENSELY TO THE 1054 00:48:17,809 --> 00:48:20,512 FUTURE OF CLINICAL CENTER AND WE 1055 00:48:20,512 --> 00:48:22,347 ARE SAD TO SEE HIM GO AND WILL 1056 00:48:22,347 --> 00:48:25,550 WISH HIM ALL OF THE BEST IN THE 1057 00:48:25,550 --> 00:48:34,492 FUTURE ENDEAVORS. 1058 00:48:34,492 --> 00:48:34,893 NEXT SLIDE. 1059 00:48:34,893 --> 00:48:36,528 YOU WILL HEAR MORE ABOUT THE 1060 00:48:36,528 --> 00:48:38,096 PROGRESS WE HAVE TAKEN WITH 1061 00:48:38,096 --> 00:48:40,865 RADIOLOGY AND MANY ED CIN THAT 1062 00:48:40,865 --> 00:48:42,901 CONTINUES TO TAKE SHAPE. LOOK A 1063 00:48:42,901 --> 00:48:46,037 YEAR AND A HALF AGO FEELS LIKE A 1064 00:48:46,037 --> 00:48:46,504 DUMP. 1065 00:48:46,504 --> 00:48:49,608 6 MONTHS AGO, LOOK WHAT IT IS 1066 00:48:49,608 --> 00:48:53,111 AND 1 MONTH AGO WE KEEP MARCHING 1067 00:48:53,111 --> 00:48:57,582 FORWARD AND ARE STILL LOOKING AT 1068 00:48:57,582 --> 00:48:58,883 2028 COMPLETION DATE AND BY 1069 00:48:58,883 --> 00:49:01,286 SOMEWHERE AROUND 2029 I WILL 1070 00:49:01,286 --> 00:49:03,755 LOOK TO MAKE IT FULLY 1071 00:49:03,755 --> 00:49:05,156 OPERATIONAL TO MOVE IN THERE AND 1072 00:49:05,156 --> 00:49:07,626 WE ARE HOPEFUL THAT WE WOULD BE 1073 00:49:07,626 --> 00:49:12,430 ABLE TO MOVE AROUND 2029 1074 00:49:12,430 --> 00:49:12,831 TIMEFRAME. 1075 00:49:12,831 --> 00:49:15,133 DAN IS GOING TO BE HERE LATER ON 1076 00:49:15,133 --> 00:49:17,969 TO PROVIDE MORE DETAILED 1077 00:49:17,969 --> 00:49:19,704 PROGRESS REPORT WHERE WE ARE. 1078 00:49:19,704 --> 00:49:23,842 NEXT SLIDE, PLEASE. 1079 00:49:23,842 --> 00:49:26,611 THIS CHART DOESN'T LOOK TOO 1080 00:49:26,611 --> 00:49:30,815 GOOD. IT IS AN AVERAGE DAILY 1081 00:49:30,815 --> 00:49:34,052 CENSUS AND THROUGH APRIL 28, 1082 00:49:34,052 --> 00:49:34,252 2025. 1083 00:49:34,252 --> 00:49:37,622 YOU CAN SEE THE GREEN LINE 1084 00:49:37,622 --> 00:49:39,624 THERE. FEBRUARY, MARCH, AND 1085 00:49:39,624 --> 00:49:42,260 APRIL IT IS DOWN. 1086 00:49:42,260 --> 00:49:46,798 IT IS DOWN ACTUALLY TO MULTIPLE 1087 00:49:46,798 --> 00:49:46,998 RNZ. 1088 00:49:46,998 --> 00:49:49,601 WE HAVE INVESTIGATORS LEAVING US 1089 00:49:49,601 --> 00:49:51,870 OR LEFT US NOW. FOR SOME REASON 1090 00:49:51,870 --> 00:49:54,639 OR THE OTHER AND RECRUITMENT IS 1091 00:49:54,639 --> 00:49:56,908 DOWN. PATIENT RECRUITMENT IS 1092 00:49:56,908 --> 00:50:00,045 DOWN. PERCEPTION IS THAT FOLKS 1093 00:50:00,045 --> 00:50:02,213 NOT SO MUCH REALLY EXCITED ABOUT 1094 00:50:02,213 --> 00:50:04,783 JOINING US TO PARTICIPATE IN 1095 00:50:04,783 --> 00:50:06,851 CLINICAL TRIALS AND THAT IS 1096 00:50:06,851 --> 00:50:08,219 SUSPECTED GIVEN TRANSITION 1097 00:50:08,219 --> 00:50:09,754 CHANGES AND WE EXPECT TO AND 1098 00:50:09,754 --> 00:50:11,990 HOPE TO GET NUMBERS UP. 1099 00:50:11,990 --> 00:50:14,025 SO IF YOU LOOK AT AVERAGE 2021 1100 00:50:14,025 --> 00:50:19,731 TO 2023, YOU HAVE 73.9 AND 74 1101 00:50:19,731 --> 00:50:22,267 ROUND IT UP AND AVERAGE OF 24 1102 00:50:22,267 --> 00:50:26,905 THAT WAS 74.7 AGAIN 75 AND TO 1103 00:50:26,905 --> 00:50:28,807 DATE COMING FOR COMFORTABLE 1104 00:50:28,807 --> 00:50:31,710 PERIOD NOW WE ARE AT 71 AND 1105 00:50:31,710 --> 00:50:36,715 TODAY A CENSUS IS 70. 1106 00:50:36,715 --> 00:50:40,085 DAILY -- TODAY'S SCHEDULE 1107 00:50:40,085 --> 00:50:42,587 OUTPATIENT VISIT IS TO INCLUDE 1108 00:50:42,587 --> 00:50:44,589 HOSPITALS NOW ABOUT AROUND 156 1109 00:50:44,589 --> 00:50:46,591 AND FRIDAY OBVIOUSLY PEOPLE TEND 1110 00:50:46,591 --> 00:50:51,529 TO WANT TO STAY AWAY OR CHECK 1111 00:50:51,529 --> 00:50:54,132 OUT ON A FRIDAY THROUGH SUNDAY 1112 00:50:54,132 --> 00:50:57,335 AND NUMBERS DON'T REALLY LOOK 1113 00:50:57,335 --> 00:50:57,936 TOO GOOD. 1114 00:50:57,936 --> 00:51:00,171 JAY BHATTACHARYA IS AWARE OF IT 1115 00:51:00,171 --> 00:51:02,073 AND LEADERSHIP AWARE OF IT AND 1116 00:51:02,073 --> 00:51:03,908 WE ARE DOING EVERYTHING WE CAN 1117 00:51:03,908 --> 00:51:07,011 TO GET THE NUMBERS UP. WE HAVE 1118 00:51:07,011 --> 00:51:11,750 CONSEQUENTLY DDIR AND DR. SCHOR 1119 00:51:11,750 --> 00:51:14,285 SAW CHARGE MULTIPLE COMMITTEES I 1120 00:51:14,285 --> 00:51:15,854 WON'T [INDISCERNIBLE], NINA, TO 1121 00:51:15,854 --> 00:51:17,589 LOOK AT STRATEGICALLY WHAT ARE 1122 00:51:17,589 --> 00:51:19,758 WE SUPPOSED TO DO FROM A 1123 00:51:19,758 --> 00:51:22,293 CLINICAL RESEARCH AND CLINICAL 1124 00:51:22,293 --> 00:51:23,161 SERVICES? 1125 00:51:23,161 --> 00:51:24,796 24, WHAT ARE CAPABILITIES WE 1126 00:51:24,796 --> 00:51:26,831 HAVE TO BRING TO BEAR WITHIN THE 1127 00:51:26,831 --> 00:51:30,034 NEXT FIVE YEARS? 1128 00:51:30,034 --> 00:51:32,470 TODAY'S GROUP OF TAVK INSTITUTED 1129 00:51:32,470 --> 00:51:34,205 UP TO HELP US DRIVE THAT THAT 1130 00:51:34,205 --> 00:51:36,174 WILL INFORM HOW TO GET OURSELVES 1131 00:51:36,174 --> 00:51:38,443 SET UP FUTUREWISE FIVE YEARS 1132 00:51:38,443 --> 00:51:40,211 FROM NOW FOR THE CLINICAL 1133 00:51:40,211 --> 00:51:40,445 CENTER. 1134 00:51:40,445 --> 00:51:42,881 THAT IS AN ONGOING EVOLUTION 1135 00:51:42,881 --> 00:51:44,582 NOW LOOKING FORWARD TO SEEING 1136 00:51:44,582 --> 00:51:46,851 RESULTS THAT WILL INFORM THE WAY 1137 00:51:46,851 --> 00:51:51,723 FORWARD FOR THE CLINICAL CENTER. 1138 00:51:51,723 --> 00:51:57,762 NEXT SLIDE, PLEASE. 1139 00:51:57,762 --> 00:52:01,866 THIS CAN PROVIDE IN-PATIENT 1140 00:52:01,866 --> 00:52:04,269 DETAIL AND IN-PATIENT MISSIONS 1141 00:52:04,269 --> 00:52:08,940 AND COMPARED TO FISCAL YEAR AND 1142 00:52:08,940 --> 00:52:10,742 9.8% DOWN AND SAYING THAT IT IS 1143 00:52:10,742 --> 00:52:12,110 UP AND BECAUSE OF THE COMPLEXITY 1144 00:52:12,110 --> 00:52:14,846 OF PATIENTS AND OBVIOUSLY WE 1145 00:52:14,846 --> 00:52:16,314 TAKE CARE OF HERE WE EXPECT IT 1146 00:52:16,314 --> 00:52:19,884 TO BE UP AND ESPECIALLY FOR 1147 00:52:19,884 --> 00:52:21,653 TRANSPLANT PATIENTS AND THE LIKE 1148 00:52:21,653 --> 00:52:24,823 AND IN-PATIENT TOTAL IS DOWN AND 1149 00:52:24,823 --> 00:52:26,891 DAILY SENSE IS DOWN AND TOTAL 1150 00:52:26,891 --> 00:52:29,694 VISITS DOWN, ALL THE WAY DOWN. 1151 00:52:29,694 --> 00:52:32,597 AGAIN, NEW PATIENTS HAVE BEEN 1152 00:52:32,597 --> 00:52:34,866 RECRUITED DOWN AS WELL AND NEW 1153 00:52:34,866 --> 00:52:36,434 PATIENTS WE CAN BRING ON BOARD 1154 00:52:36,434 --> 00:52:37,902 MORE WE CAN GET THEM ON BOARD 1155 00:52:37,902 --> 00:52:40,271 AND TAKE CARE OF THEM AND EASIER 1156 00:52:40,271 --> 00:52:42,907 IT WOULD BE FOR US TO SEE 1157 00:52:42,907 --> 00:52:46,110 CHANGES IN NUMBERS THERE. 1158 00:52:46,110 --> 00:52:48,313 NEXT SLIDE, PLEASE. 1159 00:52:48,313 --> 00:52:49,948 UPDATE ON MASK AND CLINICAL 1160 00:52:49,948 --> 00:52:51,416 CENTER AND BELIEVE IT WAS 1161 00:52:51,416 --> 00:52:54,018 OCTOBER OF LAST YEAR THAT DR. 1162 00:52:54,018 --> 00:52:57,622 ALISON CHAN ACTUALLY CAME UP AND 1163 00:52:57,622 --> 00:53:00,792 PRESENTED TO ALL OF YOU ABOUT 1164 00:53:00,792 --> 00:53:01,993 PRE, POST, AND WHAT WE ARE DOING 1165 00:53:01,993 --> 00:53:06,464 IN TERMS OF MANAGING INFECTIONS 1166 00:53:06,464 --> 00:53:10,335 IN THE CLINICAL CENTER. APRIL 1167 00:53:10,335 --> 00:53:13,972 2ND TO JUNE 4TH, 20203, 1168 00:53:13,972 --> 00:53:18,243 UNIVERSAL MASKING. JUNE TO MAY 1169 00:53:18,243 --> 00:53:21,212 19, 2024 MASKING PATIENT AREAS 1170 00:53:21,212 --> 00:53:22,881 INCLUDE ALL OF THOSE LISTED HERE 1171 00:53:22,881 --> 00:53:24,883 AND BOTTOM LINE FROM THIS THOUGH 1172 00:53:24,883 --> 00:53:28,653 IS IN APRIL OF 2025, WE ARE 1173 00:53:28,653 --> 00:53:29,621 MAKING MASKING OPTIONAL REQUEST 1174 00:53:29,621 --> 00:53:30,588 NOW. 1175 00:53:30,588 --> 00:53:33,925 THIS IS BASED ON INFORMATION 1176 00:53:33,925 --> 00:53:35,493 RECEIVED FROM THE STATE OF 1177 00:53:35,493 --> 00:53:36,928 AGENCY THAT REALLY DROVE THESE 1178 00:53:36,928 --> 00:53:37,929 NUMBERS NOW. 1179 00:53:37,929 --> 00:53:40,331 WE ARE COMFORTABLE NOW AND 1180 00:53:40,331 --> 00:53:42,901 MASKING BEING OPTIONAL. IT IS 1181 00:53:42,901 --> 00:53:44,702 ACTUALLY A GOOD THING TO DO. 1182 00:53:44,702 --> 00:53:49,607 HAVING SAID ALL THAT, PATIENTS 1183 00:53:49,607 --> 00:53:51,843 DESIRE OR REQUEST TO BE FOR 1184 00:53:51,843 --> 00:53:53,444 EMPLOYEES WITH CLINICAL OR 1185 00:53:53,444 --> 00:53:55,346 OTHERWISE TO WEAR MASKS AND ARE 1186 00:53:55,346 --> 00:53:57,148 REQUIRED TO WEAR MAFSHGS TO GET 1187 00:53:57,148 --> 00:53:58,917 INTO THE PATIENT'S ROOM. THIS 1188 00:53:58,917 --> 00:54:02,887 HAS BEEN REALLY SOMEWHAT OF A 1189 00:54:02,887 --> 00:54:04,822 MORALE BOOSTER AND PEOPLE LOOK 1190 00:54:04,822 --> 00:54:06,791 AT MASKING SAYING OH, MY 1191 00:54:06,791 --> 00:54:09,794 GOODNESS AND MOST PART THIS 1192 00:54:09,794 --> 00:54:12,664 SEEMS TO WORK VERY WELL. 1193 00:54:12,664 --> 00:54:16,267 OBVIOUS ON THAT. ALISON AND 1194 00:54:16,267 --> 00:54:17,302 REST AND DR. CHAN AND REST OF 1195 00:54:17,302 --> 00:54:19,737 THE GROUP IS DOING A FANTASTIC 1196 00:54:19,737 --> 00:54:21,873 JOB AND ABLE TO MANAGE THAT AND 1197 00:54:21,873 --> 00:54:25,977 REDUCE POTENTIAL FOR RESPIRATORY 1198 00:54:25,977 --> 00:54:28,579 INFECTION HOSPITALWIDE. WE ARE 1199 00:54:28,579 --> 00:54:30,114 VERY, VERY GLAD AND THANKFUL 1200 00:54:30,114 --> 00:54:32,650 THAT THEY ARE MANAGING OUR 1201 00:54:32,650 --> 00:54:36,854 PROCESS AND PROGRAM. 1202 00:54:36,854 --> 00:54:39,424 NEXT SLIDE, PLEASE. 1203 00:54:39,424 --> 00:54:40,658 GOING FORWARD WITH ALL 1204 00:54:40,658 --> 00:54:42,894 CHALLENGES AND UNPRECEDENTED IN 1205 00:54:42,894 --> 00:54:44,662 NATURE AND I WILL SAY OR 1206 00:54:44,662 --> 00:54:47,365 CONTINUE TO FOCUS ON WELLBEING 1207 00:54:47,365 --> 00:54:49,767 TO MAKE SURE MORALE IS SET AND 1208 00:54:49,767 --> 00:54:51,202 FOLKS ARE DOING A GREAT JOB 1209 00:54:51,202 --> 00:54:52,537 THERE AND WANT TO CONTINUE TO 1210 00:54:52,537 --> 00:54:53,638 MAKE SURE THAT WHATEVER WE CAN 1211 00:54:53,638 --> 00:55:00,211 DO TO ALO YOU FOR THAT SUSTAIN 1212 00:55:00,211 --> 00:55:01,546 MORALE AND WELLBEING IS ALL WE 1213 00:55:01,546 --> 00:55:02,880 ARE ABOUT AND ABLE TO CONTINUE 1214 00:55:02,880 --> 00:55:04,816 TO DO THAT AND ALONG WITH TAKING 1215 00:55:04,816 --> 00:55:07,986 CARE OF PAISHIENTS IS INCREASING 1216 00:55:07,986 --> 00:55:11,155 AND PATIENTS AND BUDGET STAFFING 1217 00:55:11,155 --> 00:55:13,691 AND I EXPECT WE WILL GET MORE 1218 00:55:13,691 --> 00:55:14,392 RETIREMENT. 1219 00:55:14,392 --> 00:55:16,327 FOLKS FOR THE MOST PART ARE 1220 00:55:16,327 --> 00:55:18,129 DOING VERY WELL. 1221 00:55:18,129 --> 00:55:19,330 ALSO, THERE IS INCENTIVE FOR 1222 00:55:19,330 --> 00:55:21,599 THEM TO SAY, OKAY. I HAVE HAD 1223 00:55:21,599 --> 00:55:23,735 ENOUGH OF WHAT IS GOING ON. DO 1224 00:55:23,735 --> 00:55:25,236 I HAVE TO PACK MY BAGS AND 1225 00:55:25,236 --> 00:55:26,004 LEAVE? 1226 00:55:26,004 --> 00:55:28,006 FOR THOSE THAT WANT TO STAY, WE 1227 00:55:28,006 --> 00:55:30,908 THINK WE CAN INCENTIVIZE THEM 1228 00:55:30,908 --> 00:55:32,877 AND SOME WAY, SHAPE OR FASHION 1229 00:55:32,877 --> 00:55:36,014 TO STAY AND EXPECT TO GET MORE 1230 00:55:36,014 --> 00:55:37,982 RETIREMENT VERY LIKELY BY THE 1231 00:55:37,982 --> 00:55:40,451 END OF THE YEAR. 1232 00:55:40,451 --> 00:55:43,688 FROM A PERSPECTIVE, FY25 HASN'T 1233 00:55:43,688 --> 00:55:45,423 BEEN A BAD YEAR FOR US AT ALL 1234 00:55:45,423 --> 00:55:48,659 AND THINK WE WILL BE OKAY 1235 00:55:48,659 --> 00:55:48,993 FUNDINGWISE. 1236 00:55:48,993 --> 00:55:51,829 FOR FY26 THOUGH, THERE IS A LOT 1237 00:55:51,829 --> 00:55:53,197 GOING ON. 1238 00:55:53,197 --> 00:55:58,002 I HAVE BEEN TOLD BY LEADERSHIP 1239 00:55:58,002 --> 00:56:00,338 THOUGH THAT IT IS -- WE ARE VERY 1240 00:56:00,338 --> 00:56:01,539 SUPPORTIVE OF OUR MISSION. 1241 00:56:01,539 --> 00:56:04,275 WE HAVE SOME IMPACT AND I WILL 1242 00:56:04,275 --> 00:56:06,878 EXPECT THERE WILL BE IMPACT AND 1243 00:56:06,878 --> 00:56:08,179 MANAGEMENT AND WAY THAT WILL 1244 00:56:08,179 --> 00:56:11,149 ALLOW US TO CONTINUE TO PROVIDE 1245 00:56:11,149 --> 00:56:13,885 SAFE QUALITY CARE TO PATIENT 1246 00:56:13,885 --> 00:56:15,853 PARTNERS AND TRUSTED. WE THINK 1247 00:56:15,853 --> 00:56:18,456 IT WILL BE A TOUGH YEAR AND 1248 00:56:18,456 --> 00:56:20,024 HOPEFUL WE WILL BE ABLE TO RIDE 1249 00:56:20,024 --> 00:56:21,192 THE STORM AND BE ABLE TO 1250 00:56:21,192 --> 00:56:25,897 CONTINUE TO DO WHAT WE DO BEST. 1251 00:56:25,897 --> 00:56:29,167 NEXT SLIDE. 1252 00:56:29,167 --> 00:56:33,137 SO A COUPLE PEOPLE TO THANK. 1253 00:56:33,137 --> 00:56:35,506 PAT, MY GOODNESS. 1254 00:56:35,506 --> 00:56:38,876 SHE HAS DONE A PREPONDERANCE AND 1255 00:56:38,876 --> 00:56:41,579 HEAVY LIFTING TO GET US WHERE WE 1256 00:56:41,579 --> 00:56:41,979 ARE NOW. 1257 00:56:41,979 --> 00:56:45,483 I CANNOT THANK, YOU KNOW, PAT 1258 00:56:45,483 --> 00:56:47,418 ENOUGH FOR WHAT YOU HAVE DONE TO 1259 00:56:47,418 --> 00:56:50,054 GET US WHERE WE ARE. 1260 00:56:50,054 --> 00:56:52,790 COORDINATING LOGISTICALLY AND 1261 00:56:52,790 --> 00:56:54,625 ALL THAT NOT STOPPING AND MAKING 1262 00:56:54,625 --> 00:56:55,927 SURE WE CHECK EVERYTHING BEFORE 1263 00:56:55,927 --> 00:56:58,696 THIS MEETING ACTUALLY HAPPENS. 1264 00:56:58,696 --> 00:57:01,766 SPECIAL THANKS TO JIM WHO IS 1265 00:57:01,766 --> 00:57:04,168 NEW CHIEF OF STAFF. 1266 00:57:04,168 --> 00:57:06,204 WU IS IN CHARGE OF COMMITTEE 1267 00:57:06,204 --> 00:57:08,973 MANAGEMENT NOW. HE HAS ALSO 1268 00:57:08,973 --> 00:57:10,441 BEEN SUPPORTIVE TO GET THE BALL 1269 00:57:10,441 --> 00:57:12,110 ROLLING FOR US. 1270 00:57:12,110 --> 00:57:18,316 WE STILL HAVE THOSE PENDING 1271 00:57:18,316 --> 00:57:20,118 APPOINTMENTS AND WE ARE HOPEFUL 1272 00:57:20,118 --> 00:57:21,853 WHAT MEMBERS ARE PENDING NOW 1273 00:57:21,853 --> 00:57:23,621 WILL BE ABLE TO JOIN US VERY 1274 00:57:23,621 --> 00:57:24,388 SOON. 1275 00:57:24,388 --> 00:57:25,857 I WOULD LIKE TO ACKNOWLEDGE 1276 00:57:25,857 --> 00:57:30,428 ACTING AND DEPUTY DIRECTOR 1277 00:57:30,428 --> 00:57:32,830 PATRICIA BRAND AND FOR COMMITTEE 1278 00:57:32,830 --> 00:57:34,932 POLICY AND MY ESTEEMED 1279 00:57:34,932 --> 00:57:37,702 COLLEAGUES FROM [INDISCERNIBLE] 1280 00:57:37,702 --> 00:57:40,738 WHO HAVE REALLY WORKED 1281 00:57:40,738 --> 00:57:41,973 EXTENSIVELY AND THANKS SO MUCH 1282 00:57:41,973 --> 00:57:46,544 FOR SUPPORTING THIS MEETING 1283 00:57:46,544 --> 00:57:46,878 TODAY. 1284 00:57:46,878 --> 00:57:48,813 NEXT SLIDE, PLEASE. 1285 00:57:48,813 --> 00:57:52,016 DR. LANG, OBVIOUSLY YOU HAVE 1286 00:57:52,016 --> 00:57:56,154 SEEN HIS REPORT. I DIDN'T SEE 1287 00:57:56,154 --> 00:57:57,655 ANYTHING. REALLY LIFE 1288 00:57:57,655 --> 00:57:59,824 SHATTERING TO BE POINTED OUT FOR 1289 00:57:59,824 --> 00:58:00,758 THIS MEETING THOUGH. 1290 00:58:00,758 --> 00:58:02,860 IF YOU HAVE QUESTIONS, BY ALL 1291 00:58:02,860 --> 00:58:06,631 MEANS, REACH OUT TO US. I CAN 1292 00:58:06,631 --> 00:58:09,167 PROVIDE THAT. IF YOU HAVE 1293 00:58:09,167 --> 00:58:10,935 QUESTIONS, WE ARE HAPPY TO 1294 00:58:10,935 --> 00:58:12,370 PROVIDE THEM TO YOU. 1295 00:58:12,370 --> 00:58:13,070 NEXT SLIDE. 1296 00:58:13,070 --> 00:58:15,940 AND THIS IS THE AGENDA. I AM 1297 00:58:15,940 --> 00:58:17,608 NOT GOING TO GO THROUGH THAT FOR 1298 00:58:17,608 --> 00:58:21,379 THE REST OF THE MEETING PERIOD. 1299 00:58:21,379 --> 00:58:24,215 READY FOR YOUR QUESTIONS. 1300 00:58:24,215 --> 00:58:25,449 >> THANK YOU. 1301 00:58:25,449 --> 00:58:29,320 >> THANK YOU, PIUS. I HAVE BEEN 1302 00:58:29,320 --> 00:58:32,256 SAYING PIUS SPENT 27 YEARS AS A 1303 00:58:32,256 --> 00:58:35,359 NAVAL OFFICER AND EXPERIENCED 1304 00:58:35,359 --> 00:58:37,495 NAVIGATING CHOPPY WATERS. YOU 1305 00:58:37,495 --> 00:58:39,530 HAVE SHOWN US THAT HERE. THANKS 1306 00:58:39,530 --> 00:58:41,165 VERY MUCH. 1307 00:58:41,165 --> 00:58:44,168 QUESTIONS OR THOUGHTS OF DAVID. 1308 00:58:44,168 --> 00:58:46,804 >> KUDOS TO YOU AND YOUR TEAM IN 1309 00:58:46,804 --> 00:58:49,106 TERMS OF NAVIGATING 1310 00:58:49,106 --> 00:58:50,141 UNPRECEDENTED TIMES AND 1311 00:58:50,141 --> 00:58:53,244 PRESENTATION DR. SCHOR AND YOUR 1312 00:58:53,244 --> 00:58:54,078 PRESENTATION HIGHLIGHTS NUMBER 1313 00:58:54,078 --> 00:58:56,314 OF ACTING ROLES THERE ARE ACROSS 1314 00:58:56,314 --> 00:58:58,482 THE INSTITUTION AND HAS TO BE 1315 00:58:58,482 --> 00:58:59,417 UNPRECEDENTED. TWO QUESTIONS 1316 00:58:59,417 --> 00:59:02,386 ABOUT THAT, WHAT LIMITATIONS IN 1317 00:59:02,386 --> 00:59:04,689 THE ACTING WORLD SHOULD WE 1318 00:59:04,689 --> 00:59:06,390 UNDERSTAND HAVING THAT ACTING 1319 00:59:06,390 --> 00:59:08,226 TITLE IN FRONT OF THE -- IN 1320 00:59:08,226 --> 00:59:09,894 TERMS OF DELIVERING THE MISSION 1321 00:59:09,894 --> 00:59:11,429 OF THE NIH? 1322 00:59:11,429 --> 00:59:13,531 >> I CAN SPEAK FROM MY ROLE AND 1323 00:59:13,531 --> 00:59:15,833 FULL AUTHORITY OF THE ACTING 1324 00:59:15,833 --> 00:59:19,470 ROLE AND OF THE CIO I DO HAVE. 1325 00:59:19,470 --> 00:59:20,972 THE POSITION WAS ACTUALLY 1326 00:59:20,972 --> 00:59:25,009 ADVERTIZED LATE DECEMBER 1327 00:59:25,009 --> 00:59:26,377 TIMEFRAME AND BECAUSE OF THE 1328 00:59:26,377 --> 00:59:29,247 HIRING FREEZE IT WAS CANCELLED. 1329 00:59:29,247 --> 00:59:32,183 I EXPECT WHAT I'M MIRRORING NOW, 1330 00:59:32,183 --> 00:59:39,056 ABOUT JULY 15TH, THE HIRING 1331 00:59:39,056 --> 00:59:42,660 FREEZE WILL BE LIFTED AND THE 1332 00:59:42,660 --> 00:59:43,561 RECRUITMENT WILL PROCEED AND 1333 00:59:43,561 --> 00:59:45,162 BACK TO YOUR QUESTION AND ACTING 1334 00:59:45,162 --> 00:59:46,931 FULL AUTHORITY TO BE ABLE TO DO 1335 00:59:46,931 --> 00:59:48,432 EVERYTHING OUR CEO DOES. 1336 00:59:48,432 --> 00:59:51,636 >> OKAY. YOU ANSWERED MY SECOND 1337 00:59:51,636 --> 00:59:53,904 QUESTION THAT IS I'M ASSUMING 1338 00:59:53,904 --> 00:59:55,906 EVERYONE ACTING HAS ALSO A DAY 1339 00:59:55,906 --> 00:59:56,240 JOB. 1340 00:59:56,240 --> 00:59:57,742 >> I'M STILL THE CHIEF OFFICER 1341 00:59:57,742 --> 01:00:00,778 ALONG WITH THE -- IT IS OKAY. I 1342 01:00:00,778 --> 01:00:02,546 HAVE SUPPORTING CAST OF VERY 1343 01:00:02,546 --> 01:00:05,683 SUPERB LEADERS TOO THAT KEEP ME 1344 01:00:05,683 --> 01:00:07,451 IN CHECK AND MAKE SURE FOLLOWING 1345 01:00:07,451 --> 01:00:10,888 UP AND SERIOUSLY, I THINK AGAIN 1346 01:00:10,888 --> 01:00:12,623 IT IS A TEAM EFFORT. 1347 01:00:12,623 --> 01:00:14,558 I HAVE BEEN ABLE TO STEP UP TO 1348 01:00:14,558 --> 01:00:16,661 THE PLATE TO SUPPORT WHEN I NEED 1349 01:00:16,661 --> 01:00:18,362 THEM AND I'M VERY GRATEFUL FOR 1350 01:00:18,362 --> 01:00:18,562 THAT. 1351 01:00:18,562 --> 01:00:20,931 >> WE ARE GRATEFUL AS WELL AND 1352 01:00:20,931 --> 01:00:24,969 HOPEFULLY JULY 15TH IS WHEN 1353 01:00:24,969 --> 01:00:25,536 POTENTIALLY ACTING -- 1354 01:00:25,536 --> 01:00:29,273 >> WE ARE VERY FULL. ONCE IT 1355 01:00:29,273 --> 01:00:35,980 HAPPENS. AGAIN, RECRUITMENT 1356 01:00:35,980 --> 01:00:37,581 PROCESS TAKES A LONG TIME. 1357 01:00:37,581 --> 01:00:42,386 WE WILL EXPECT 3 TO 6 MONTHS 1358 01:00:42,386 --> 01:00:44,021 BEFORE AS SOMEBODY IS SELECTED 1359 01:00:44,021 --> 01:00:46,157 AND BACKGROUND CHECKS AND ALL 1360 01:00:46,157 --> 01:00:47,224 THAT BEFORE ANYBODY WOULD BE 1361 01:00:47,224 --> 01:00:49,560 ABLE TO COME ON BOARD. YEAH. 1362 01:00:49,560 --> 01:00:50,328 >> THANK YOU. 1363 01:00:50,328 --> 01:00:51,462 >> YOU'RE WELCOME. 1364 01:00:51,462 --> 01:00:58,169 >> GO AHEAD, DAVID. 1365 01:00:58,169 --> 01:00:59,103 >> DAVID? 1366 01:00:59,103 --> 01:01:04,375 >> YOU ARE MUTED, DAVID. TECH 1367 01:01:04,375 --> 01:01:06,110 GUY SHOULD KNOW NOT TO MUTE 1368 01:01:06,110 --> 01:01:06,377 HIMSELF. 1369 01:01:06,377 --> 01:01:08,946 >> I WAS INSTRUCTED TO. 1370 01:01:08,946 --> 01:01:10,314 >> WHEN YOU SPEAK. 1371 01:01:10,314 --> 01:01:13,217 >> I HADN'T GOTTEN MY HAND OVER 1372 01:01:13,217 --> 01:01:14,085 THERE FAST ENOUGH. 1373 01:01:14,085 --> 01:01:18,155 THANK YOU FOR THE VERY HELPFUL 1374 01:01:18,155 --> 01:01:18,489 PRESENTATION. 1375 01:01:18,489 --> 01:01:21,959 I THINK, HOWEVER, THAT IN ORDER 1376 01:01:21,959 --> 01:01:26,597 FOR US TO UNDERSTAND THE IMPACT 1377 01:01:26,597 --> 01:01:29,667 OF THE STAFFING CHANGES AND 1378 01:01:29,667 --> 01:01:32,470 RETIREMENTS AND RI IF, FS SO ON 1379 01:01:32,470 --> 01:01:35,806 AND SO FORTH IT MIGHT BE HELPFUL 1380 01:01:35,806 --> 01:01:39,577 TO SEE ABOUT I DEPARTMENT WITHIN 1381 01:01:39,577 --> 01:01:42,680 THE CLINICAL CENTER WHAT NUMBERS 1382 01:01:42,680 --> 01:01:46,317 ARE IN TERMS OF AUTHORIZED 1383 01:01:46,317 --> 01:01:50,221 STAFFING AND CURRENT STAFFING 1384 01:01:50,221 --> 01:01:51,255 BASICALLY TO PRESENT A PICTURE 1385 01:01:51,255 --> 01:01:54,291 THAT COULD BE MEANINGFUL IN 1386 01:01:54,291 --> 01:01:56,560 TERMS OF UNDERSTANDING WHAT 1387 01:01:56,560 --> 01:02:01,031 MIGHT BE AT RISK IF THOSE -- IF 1388 01:02:01,031 --> 01:02:04,168 THOSE GAPS ARE NOT FILLED. 1389 01:02:04,168 --> 01:02:06,437 AND WITH RESPECT TO THE 1390 01:02:06,437 --> 01:02:08,606 COMMUNICATIONS ISSUES THAT HAVE 1391 01:02:08,606 --> 01:02:10,875 BEEN RAISED AND WHEN JUSTIN LEFT 1392 01:02:10,875 --> 01:02:14,445 HE HAD BOTH COMMUNICATIONS AND 1393 01:02:14,445 --> 01:02:17,148 PATIENT RECRUITMENT. 1394 01:02:17,148 --> 01:02:20,251 TWO AREAS WHICH CONTINUOUSLY 1395 01:02:20,251 --> 01:02:22,887 HAVE BEEN HIGHLIGHTED AS AREAS 1396 01:02:22,887 --> 01:02:29,760 WHERE FOCUS IS NEEDED AND 1397 01:02:29,760 --> 01:02:31,462 ESPECIALLY FROM COMMUNICATIONS 1398 01:02:31,462 --> 01:02:34,698 ISSUES YOU HAVE SHOWN AND 1399 01:02:34,698 --> 01:02:38,602 COMMUNICATION ISSUES THAT DR. 1400 01:02:38,602 --> 01:02:41,572 SCHOR HAS BROUGHT UP. WE ARE A 1401 01:02:41,572 --> 01:02:44,108 JEWEL NOT WELL-KNOWN INSIDE OF 1402 01:02:44,108 --> 01:02:46,877 THE BELTWAY FOR A VARIETY OF 1403 01:02:46,877 --> 01:02:47,144 REASONS. 1404 01:02:47,144 --> 01:02:51,916 EVEN THOUGH WE MIGHT NOT WANT TO 1405 01:02:51,916 --> 01:02:57,121 TOUT WHAT WE DO, THE PATIENTS 1406 01:02:57,121 --> 01:03:00,157 TOUT WHAT WE DO. I HAVE NEVER 1407 01:03:00,157 --> 01:03:02,893 IN ALL MY YEARS SEEN ANY EFFORT 1408 01:03:02,893 --> 01:03:05,830 DIRECTED AT TLIEING TO 1409 01:03:05,830 --> 01:03:08,632 COORDINATE PATIENTS TOUTING 1410 01:03:08,632 --> 01:03:12,036 THEIR EXPERIENCES WITH NIH AND 1411 01:03:12,036 --> 01:03:13,471 HOW IT HAS HAD A POZ INFLUENCE 1412 01:03:13,471 --> 01:03:15,372 ON THEIR LIVES AND WOULD LIKE TO 1413 01:03:15,372 --> 01:03:17,675 SUGGEST THAT WE INCLUDE THAT IN 1414 01:03:17,675 --> 01:03:20,244 PLANNING FOR IMPROVING OUR 1415 01:03:20,244 --> 01:03:23,347 COMMUNICATIONS AND HOPEFULLY OUR 1416 01:03:23,347 --> 01:03:26,650 PATIENT RECRUITMENT. 1417 01:03:26,650 --> 01:03:30,888 >> OKAY. LET ME -- AUTHORIZE 1418 01:03:30,888 --> 01:03:37,328 STAFFING ROUGHLY BY 18 TO 28 ON 1419 01:03:37,328 --> 01:03:39,463 BOARD NOW AND OF THOSE STAFF 1420 01:03:39,463 --> 01:03:42,900 MEMBERS ABOUT 4%. SO ABOUT 70 1421 01:03:42,900 --> 01:03:46,871 TOTAL STAFF WHETHER IT WAS 1422 01:03:46,871 --> 01:03:50,674 DEFERRED RESIGNATION PROGRAM OR 1423 01:03:50,674 --> 01:03:53,544 [INDISCERNIBLE] RETIREMENT OR 1424 01:03:53,544 --> 01:03:56,580 VIRA AND CAN SAY CATEGORICALLY 1425 01:03:56,580 --> 01:03:58,883 IT IMPACTED DELIVERY OF SAFE AND 1426 01:03:58,883 --> 01:04:05,856 CLINICAL CARE AND [PRAYPREPONDE 1427 01:04:05,856 --> 01:04:08,659 THOSE INDIVIDUALS -- OPERATION 1428 01:04:08,659 --> 01:04:17,034 AND FOR MOST PART DON'T SEE IT 1429 01:04:17,034 --> 01:04:20,671 IMPACTING AND DELIVER SAFE 1430 01:04:20,671 --> 01:04:22,706 QUALITY CARE. 1431 01:04:22,706 --> 01:04:25,743 NO. 2, GROUP AND DEPARTURE IS 1432 01:04:25,743 --> 01:04:27,545 REALLY NOT -- CAN'T BE 1433 01:04:27,545 --> 01:04:30,881 ATTRIBUTED TO THE ISSUE WITH 1434 01:04:30,881 --> 01:04:32,683 RECRUITMENT NUMBERS BEING DOWN. 1435 01:04:32,683 --> 01:04:33,884 THERE IS A COMBINATION OF LOTS 1436 01:04:33,884 --> 01:04:36,687 OF THINGS NO THE TO DO WITH 1437 01:04:36,687 --> 01:04:40,391 PERSONNEL AT ALL AND WE GET OUT 1438 01:04:40,391 --> 01:04:43,694 THERE TO INCENTIVIZE PATIENTS TO 1439 01:04:43,694 --> 01:04:46,397 COME IN ENRHOLE FOR PROTOCOL. 1440 01:04:46,397 --> 01:04:49,099 WE HAVE TO BE CAREFUL HOW WE 1441 01:04:49,099 --> 01:04:50,734 MARKET THE CC BRAND AND IT WILL 1442 01:04:50,734 --> 01:04:54,972 HAVE TO BE NIH EFFORT NOT CC IN 1443 01:04:54,972 --> 01:05:00,411 TERMS OF HOW WE GET OUT THERE. 1444 01:05:00,411 --> 01:05:03,914 AGAIN, DR. SHAH SPOKE ABOUT IT 1445 01:05:03,914 --> 01:05:05,115 BEFORE ELOQUENTLY BEFORE WE ARE 1446 01:05:05,115 --> 01:05:06,951 NOT IN BUSINESS OF MARKETING 1447 01:05:06,951 --> 01:05:07,952 OURSELVES BUT OF INDIVIDUALS 1448 01:05:07,952 --> 01:05:10,220 COMING TO US TO BE ABLE TO TALK 1449 01:05:10,220 --> 01:05:12,456 ABOUT US. WE HAVE WORK TO DO 1450 01:05:12,456 --> 01:05:16,760 AND IT WILL WORK OUT. 1451 01:05:16,760 --> 01:05:18,662 SO THERE WAS A THIRD QUESTION. 1452 01:05:18,662 --> 01:05:22,900 DID I ANSWER YOUR QUESTIONS, 1453 01:05:22,900 --> 01:05:23,167 DAVID? 1454 01:05:23,167 --> 01:05:26,103 >> YOU MIGHT HAVE MISUNDERSTOOD 1455 01:05:26,103 --> 01:05:29,106 MY QUESTIONS ABOUT JUSTIN NOT 1456 01:05:29,106 --> 01:05:30,541 REFERRING MOTIVATIONS OF HIS 1457 01:05:30,541 --> 01:05:32,443 DEPARTURE AND RETIREMENT BUT 1458 01:05:32,443 --> 01:05:34,078 FACT HE WORE TWO HATS AND BOTH 1459 01:05:34,078 --> 01:05:38,449 IN AREAS WITH A PROFOUND IMPACT 1460 01:05:38,449 --> 01:05:41,018 ON OUR NUMBERS THAT IT IS 1461 01:05:41,018 --> 01:05:43,354 CRITICAL WE FOCUS ON TWO AREAS. 1462 01:05:43,354 --> 01:05:44,855 >> SURE. 1463 01:05:44,855 --> 01:05:49,293 >> LAST COMMENT WE MADE IS WE 1464 01:05:49,293 --> 01:05:51,261 HAVE NEVER TO BEST OF MY 1465 01:05:51,261 --> 01:05:53,330 KNOWLEDGE IN YEARS BEING THERE 1466 01:05:53,330 --> 01:05:54,898 DONE ANYTHING IN COORDINATING 1467 01:05:54,898 --> 01:05:56,867 ACTUAL PATIENTS TOUTING CLINICAL 1468 01:05:56,867 --> 01:06:00,738 CENTER AND HOW IT POSITIVELY 1469 01:06:00,738 --> 01:06:08,879 IMPACTED THEIR LIVES. 1470 01:06:08,879 --> 01:06:10,381 >> NOTED. THANK YOU. 1471 01:06:10,381 --> 01:06:13,317 >> I DON'T SEE OTHER NAMES WITH 1472 01:06:13,317 --> 01:06:16,720 HANDS UP. THANK YOU, PIUS. 1473 01:06:16,720 --> 01:06:20,190 VERY SPECIAL PRESENTATION 1474 01:06:20,190 --> 01:06:21,625 STRONGLY RECOMMENDED BY DR. 1475 01:06:21,625 --> 01:06:24,995 GILLMAN BEFORE HIS RETIREMENT. 1476 01:06:24,995 --> 01:06:29,500 SUCCESS OF THIS GROUP EPITOMIZES 1477 01:06:29,500 --> 01:06:30,901 BRINGING THE GROUP TOGETHER IN 1478 01:06:30,901 --> 01:06:34,171 COLLABORATIVE WAYS AND PLEASED 1479 01:06:34,171 --> 01:06:37,474 TO WELCOME GROUP FROM NATIONAL 1480 01:06:37,474 --> 01:06:38,876 ALLIANCE GROUP. HE WILL TAKE A 1481 01:06:38,876 --> 01:06:41,812 FEW MINUTES UP FRONT AND 1482 01:06:41,812 --> 01:06:44,682 INTRODUCE COLLEAGUES TO TALK 1483 01:06:44,682 --> 01:06:50,621 FURTHER ABOUT YOUR WORK. 1484 01:06:50,621 --> 01:06:52,356 THANK YOU FOR JOINING US, DR. 1485 01:06:52,356 --> 01:06:52,589 LEIGH. 1486 01:06:52,589 --> 01:06:55,659 >> THANK YOU. I WILL TAKE A FEW 1487 01:06:55,659 --> 01:06:56,560 MOMENTS TO HELP US MOVE THROUGH 1488 01:06:56,560 --> 01:06:58,195 THE AGENDA AND GET ON WITH THE 1489 01:06:58,195 --> 01:06:59,697 PRESENTATION THAT WILL BE LED BY 1490 01:06:59,697 --> 01:07:00,531 MY COLLEAGUES. 1491 01:07:00,531 --> 01:07:02,499 WE ARE VERY PROUD TO BE ABLE TO 1492 01:07:02,499 --> 01:07:04,468 SHARE WITH YOU TODAY WHAT WE 1493 01:07:04,468 --> 01:07:07,471 THINK IS AN EXEMPLAR OF SORTS OF 1494 01:07:07,471 --> 01:07:08,906 TRANSLATIONAL AND TRANSFORMATIVE 1495 01:07:08,906 --> 01:07:11,675 RESEARCH THAT CAN BE CONDUCTED 1496 01:07:11,675 --> 01:07:13,944 ESPECIALLY WELL AND NOT 1497 01:07:13,944 --> 01:07:14,678 NECESSARILY UNIQUELY BUT 1498 01:07:14,678 --> 01:07:16,880 ESPECIALLY WELL IN THE 1499 01:07:16,880 --> 01:07:18,415 ENVIRONMENT AND INTRAMURAL 1500 01:07:18,415 --> 01:07:19,650 PROGRAM PARTICULARLY IN THE 1501 01:07:19,650 --> 01:07:21,285 CLINICAL CENTER AND EXAMPLE TO 1502 01:07:21,285 --> 01:07:23,721 SHARE IS FOR A LEADING CAUSE OF 1503 01:07:23,721 --> 01:07:25,089 BLINDNESS IN THE UNITED STATES 1504 01:07:25,089 --> 01:07:28,358 AND ACROSS THE WORLD. 1505 01:07:28,358 --> 01:07:34,765 I'M JOINED BY DR. PHARTI SENIOR 1506 01:07:34,765 --> 01:07:37,534 INVESTIGATOR WITH GENERAL 1507 01:07:37,534 --> 01:07:39,503 MEDICINE FOR EYE DISEASES AND 1508 01:07:39,503 --> 01:07:42,873 NATIONAL DIRECTOR OF NATIONAL 1509 01:07:42,873 --> 01:07:49,246 EYE INSTITUTE AND TER ESIA 1510 01:07:49,246 --> 01:07:52,416 MAGONE INVESTIGATOR LEADING 1511 01:07:52,416 --> 01:07:54,284 CLINICAL TRIAL PENDING. 1512 01:07:54,284 --> 01:07:56,220 [INDISCERNIBLE] WILL BE 1513 01:07:56,220 --> 01:08:00,157 DISCUSSING WE WILL HAVE DR. 1514 01:08:00,157 --> 01:08:02,493 STRONCEK IN THE ROOM WHO LEADS A 1515 01:08:02,493 --> 01:08:04,461 MANUFACTURING FACILITY AND I 1516 01:08:04,461 --> 01:08:07,664 WILL GO TO THE MEAT OF THE 1517 01:08:07,664 --> 01:08:09,800 PRESENTATION INVITING MY 1518 01:08:09,800 --> 01:08:12,903 COLLEAGUE DR. KAPIL BARTI TO THE 1519 01:08:12,903 --> 01:08:13,137 PODIUM. 1520 01:08:13,137 --> 01:08:15,873 >> THANK YOU FOR THE 1521 01:08:15,873 --> 01:08:17,407 INTRODUCTION, RICHARD AND BOARD 1522 01:08:17,407 --> 01:08:19,076 FOR INVITING US TO TALK AND CAN 1523 01:08:19,076 --> 01:08:22,880 I HAVE THE FIRST SLIDE, PLEASE. 1524 01:08:22,880 --> 01:08:26,150 CONTINUING TO THE NEXT SLIDE. 1525 01:08:26,150 --> 01:08:29,319 AS ELUDE TODAY WE HAVE BEEN 1526 01:08:29,319 --> 01:08:30,487 STUDYING CHRONIC DISEASES. 1527 01:08:30,487 --> 01:08:33,023 THIS IS ANOTHER EXAMPLE OF A 1528 01:08:33,023 --> 01:08:34,725 CHRONIC DISEASE THAT EFFECTS 1529 01:08:34,725 --> 01:08:38,128 ABOUT 20 MILLION PEOPLE IN THE 1530 01:08:38,128 --> 01:08:39,563 UNITED STATES WORLDWIDE AND 1531 01:08:39,563 --> 01:08:41,498 NUMBERS ARE STAGGERING HUNDREDS 1532 01:08:41,498 --> 01:08:43,233 OF MILLIONS OF PEOPLE EFFECTED 1533 01:08:43,233 --> 01:08:45,669 AND TIME PASSES AND PUBLISHING 1534 01:08:45,669 --> 01:08:47,938 OLDER IT WILL INCREASE AND 1535 01:08:47,938 --> 01:08:49,940 PEOPLE WITH LATE STAGE DISEASE 1536 01:08:49,940 --> 01:08:51,074 ADVANCES HAVE SIGNIFICANT VISION 1537 01:08:51,074 --> 01:08:53,143 LOSS AND OFTEN BLIND THANES IS 1538 01:08:53,143 --> 01:08:53,877 ALSO SIGNIFICANT IN THE UNITED 1539 01:08:53,877 --> 01:08:56,580 STATES AND 1.5 MILLION PEOPLE 1540 01:08:56,580 --> 01:08:57,781 ARE EFFECTED BY THIS CONDITION 1541 01:08:57,781 --> 01:08:59,583 FOR WHICH CURRENTLY THERE IS NO 1542 01:08:59,583 --> 01:09:01,351 TREATMENT TO RESTORE THAT VISION 1543 01:09:01,351 --> 01:09:04,154 AND CAN SEE IT IS A PROGRESSIVE 1544 01:09:04,154 --> 01:09:08,458 DISEASE AND 50% PATIENTS AMONG 1545 01:09:08,458 --> 01:09:09,426 THESE WILL LOSE VISION AVERAGE 1546 01:09:09,426 --> 01:09:15,299 OF EVERY TWO YEARS. NEXT SLIDE. 1547 01:09:15,299 --> 01:09:17,034 GOING TO NEXT SLIDE IN INTEREST 1548 01:09:17,034 --> 01:09:20,704 OF TIME. IF YOU START WITH THE 1549 01:09:20,704 --> 01:09:22,706 LOOKING AT NORMAL RETINA LOOKS 1550 01:09:22,706 --> 01:09:24,341 LIKE WHEN WE GO TO THE EYE 1551 01:09:24,341 --> 01:09:26,109 DOCTOR THEY SEE THIS IN BACK OF 1552 01:09:26,109 --> 01:09:28,979 EYE AND CENTRAL AREA 1553 01:09:28,979 --> 01:09:30,380 HIGHLIGHTING IN SQUARE IS KEY 1554 01:09:30,380 --> 01:09:32,216 POINT HERE FOR DISEASE AND DARK 1555 01:09:32,216 --> 01:09:34,151 AREA IS CENTRAL PART OF VISION 1556 01:09:34,151 --> 01:09:36,186 THAT IS RESPONSIBLE FOR MOST 1557 01:09:36,186 --> 01:09:37,287 VISION, DAYLIGHT AND COLOR 1558 01:09:37,287 --> 01:09:37,521 VISION. 1559 01:09:37,521 --> 01:09:38,555 NEXT SLIDE, PLEASE. 1560 01:09:38,555 --> 01:09:42,125 THIS IS AREA THAT GETS 1561 01:09:42,125 --> 01:09:44,094 DEGENERATED IN MAC LAR 1562 01:09:44,094 --> 01:09:45,963 DEGENERATION PATIENTS AND SEE 1563 01:09:45,963 --> 01:09:48,298 FOR EXAMPLE PATIENT ON TOP WITH 1564 01:09:48,298 --> 01:09:50,334 TWO DIFFERENT IMAGING MODALITIES 1565 01:09:50,334 --> 01:09:52,236 TOP AND BOTTOM THAT AREA IS 1566 01:09:52,236 --> 01:09:53,170 COMPLETELY GONE AND EFFECT OF 1567 01:09:53,170 --> 01:09:55,806 THAT IS STAGGERING FOR VISION OF 1568 01:09:55,806 --> 01:09:57,441 THE PATIENT AND IN CENTER YOU 1569 01:09:57,441 --> 01:10:01,378 CAN SEE THIS IS HOW PATIENT WITH 1570 01:10:01,378 --> 01:10:02,412 MAC LAR DEGENERATION WILL SEE 1571 01:10:02,412 --> 01:10:05,249 AND LOOKING IN CENTER PART OF 1572 01:10:05,249 --> 01:10:06,216 THAT WILL BECOME COMPLETELY 1573 01:10:06,216 --> 01:10:09,019 BLIND TO THAT AND YOU CAN SEE 1574 01:10:09,019 --> 01:10:11,922 HOW DEVASTATING AND DEBILITATING 1575 01:10:11,922 --> 01:10:13,657 THIS CONDITION IS FOR PATIENTS. 1576 01:10:13,657 --> 01:10:15,025 NEXT SLIDE. I WILL TAKE AND 1577 01:10:15,025 --> 01:10:18,896 STEP BACK AND SHOW YOU 1578 01:10:18,896 --> 01:10:20,564 ANATOMICAL SCHEMATIC SHOWING HOW 1579 01:10:20,564 --> 01:10:22,866 DISEASE HAPPENS AND WORK IS 1580 01:10:22,866 --> 01:10:24,601 FUNDED AND WORK DONE BY WORK 1581 01:10:24,601 --> 01:10:27,604 DONE BY NEI ITSELF AND THIS BY 1582 01:10:27,604 --> 01:10:29,273 NEI AND TO ORIENT YOU ALL THIS 1583 01:10:29,273 --> 01:10:32,376 IS HOW BACK OF THE EYE OR RETINA 1584 01:10:32,376 --> 01:10:34,912 LOOKS LIKE AND ON TOP ARE 1585 01:10:34,912 --> 01:10:37,347 RETINAL NEURONS IN YELLOW AND 1586 01:10:37,347 --> 01:10:39,016 RECEPTORS THAT WE KNOW ARE LIGHT 1587 01:10:39,016 --> 01:10:41,685 SENSING CELLS THAT PERCEIVE 1588 01:10:41,685 --> 01:10:46,189 LIGHT AND SEE IF THESE T-CELLS 1589 01:10:46,189 --> 01:10:49,726 DIE AND TISSUE GOES BLIND AND 1590 01:10:49,726 --> 01:10:50,928 THIS [INDISCERNIBLE] SANDWICHED 1591 01:10:50,928 --> 01:10:53,397 BETWEEN PHOTORECEPTORS AND BLOOD 1592 01:10:53,397 --> 01:10:55,899 SUPPLY OF THE RETINA AT BOTTOM 1593 01:10:55,899 --> 01:10:58,001 YOU SEE CONTROLLING HOW BLOOD 1594 01:10:58,001 --> 01:11:01,772 FLOW GOES TO RECEPTORS AND THE 1595 01:11:01,772 --> 01:11:03,040 BARRIER AND HAS SPECIAL 1596 01:11:03,040 --> 01:11:05,475 STRUCTURES WITH REALLY 1597 01:11:05,475 --> 01:11:07,144 INTERESTING FINGERLIKE 1598 01:11:07,144 --> 01:11:09,046 PROJECTIONS THAT HAVE SEGMENTS 1599 01:11:09,046 --> 01:11:12,582 OF PHOTORECEPTORS ALLOWING 1600 01:11:12,582 --> 01:11:14,885 TISSUES TO SUPPORT FOR LIFE 1601 01:11:14,885 --> 01:11:17,287 HEALTH AND FUNCTIONING OF 1602 01:11:17,287 --> 01:11:18,889 PHOTORECEPTORS AND NEXT SLIDE. 1603 01:11:18,889 --> 01:11:22,492 WHAT HAPPENS IN THIS ADVANCED 1604 01:11:22,492 --> 01:11:24,928 STAGE DISEASE IS THESE CELLS DIE 1605 01:11:24,928 --> 01:11:27,097 OFF AND HENCE SUPPORT 1606 01:11:27,097 --> 01:11:30,334 PHOTOSTRUCTURE RECEPTOR DIES 1607 01:11:30,334 --> 01:11:32,536 OFF. PATIENTS GO BLIND AND 1608 01:11:32,536 --> 01:11:34,871 CALLED ON RIGHT SIDE AT TROPHY 1609 01:11:34,871 --> 01:11:36,373 CENTER PART OF VISION THAT IS 1610 01:11:36,373 --> 01:11:38,175 COMPLETELY BLIND WALKING AWAY 1611 01:11:38,175 --> 01:11:40,410 FROM THAT THAT IS 5 MILLIMETER 1612 01:11:40,410 --> 01:11:43,246 FOR EYE THAT IS 22 MILLIMETER IN 1613 01:11:43,246 --> 01:11:45,082 DIAMETER AND WALKING AWAY FROM 1614 01:11:45,082 --> 01:11:46,883 THAT PART ZONE CALLED TRANSITION 1615 01:11:46,883 --> 01:11:48,785 ZONE WE HAVE IDENTIFIED AND 1616 01:11:48,785 --> 01:11:49,953 FIELD HAS IDENTIFIED WHERE YOU 1617 01:11:49,953 --> 01:11:52,522 SEE THAT THE RP LAYER IS MISSING 1618 01:11:52,522 --> 01:11:54,758 AND PHOTO RECEPTORS ARE STILL 1619 01:11:54,758 --> 01:11:57,394 HANGING IN THERE AND THESE 1620 01:11:57,394 --> 01:11:58,929 PHOTORECEPTORS ARE DESTINED TO 1621 01:11:58,929 --> 01:12:01,498 DIE AND MISSING HEALTH SUPPORT 1622 01:12:01,498 --> 01:12:04,935 FROM RP AND MOST PHOTORECEPTORS 1623 01:12:04,935 --> 01:12:06,570 ARE LIKELY NOT FUNCTIONING 1624 01:12:06,570 --> 01:12:07,871 PROPERLY AND THESE ARE 1625 01:12:07,871 --> 01:12:10,140 DEGENERATING AND RP CELLS 1626 01:12:10,140 --> 01:12:13,010 SUPPORT BOTH PHOTORECEPTORS AND 1627 01:12:13,010 --> 01:12:14,778 CAPILLARIES OF THE EYE AND NEXT 1628 01:12:14,778 --> 01:12:15,512 SLIDE, PLEASE. 1629 01:12:15,512 --> 01:12:18,015 IDEA THAT SURGEONS HAD FOR LONG 1630 01:12:18,015 --> 01:12:19,950 TIME PHYSICIANS HAD FOR A LONG 1631 01:12:19,950 --> 01:12:22,319 TIME IS IF IMPLANTING R P. P 1632 01:12:22,319 --> 01:12:24,554 PIECE HERE IN TRANSITIONS 1633 01:12:24,554 --> 01:12:26,490 HIGHLIGHTED BY PURPLE RP CELLS 1634 01:12:26,490 --> 01:12:30,260 COMING IN AND WOULD HAVE ALL OF 1635 01:12:30,260 --> 01:12:30,894 THE STRUCTURAL ANATOMICAL AND 1636 01:12:30,894 --> 01:12:32,796 FUNCTIONAL FEATURES TO HELP 1637 01:12:32,796 --> 01:12:35,465 SUPPORT PHOTORECEPTORS IN A 1638 01:12:35,465 --> 01:12:36,867 TRANSITION ZONE YOU CAN STOP 1639 01:12:36,867 --> 01:12:38,535 DISEASE FROM PROGRESSING FURTHER 1640 01:12:38,535 --> 01:12:40,270 AND IF YOU DO EARLY ENOUGH YOU 1641 01:12:40,270 --> 01:12:42,072 WOULD NOT HAVE THE DISEASE AND 1642 01:12:42,072 --> 01:12:43,707 THE COURSE OF DISEASE REGION 1643 01:12:43,707 --> 01:12:46,476 RATE AND PHOTORECEPTORS START TO 1644 01:12:46,476 --> 01:12:47,778 FUNCTION AGAIN AND RESTORE 1645 01:12:47,778 --> 01:12:49,913 VISION IN PATIENTS . 1646 01:12:49,913 --> 01:12:51,148 NEXT SLIDE, PLEASE 1647 01:12:51,148 --> 01:12:53,383 THAT IS TESTED PROOF OF CONCEPT 1648 01:12:53,383 --> 01:12:54,885 AND NEXT SLIDE AND SHOWING 1649 01:12:54,885 --> 01:12:56,586 EXAMPLE OF STUDY DONE MANY YEARS 1650 01:12:56,586 --> 01:12:58,889 AGO AND EXAMPLES OF SUCH STUDIES 1651 01:12:58,889 --> 01:13:01,258 AND IMAGINE THIS IS A WHOLE EYE 1652 01:13:01,258 --> 01:13:03,193 CUP AND MENTIONED THIS AREA IS 1653 01:13:03,193 --> 01:13:05,162 IN THE CENTER AND SURGEONS WOULD 1654 01:13:05,162 --> 01:13:07,397 CUT OUT PIECE OF RP FROM 1655 01:13:07,397 --> 01:13:09,900 [INDISCERNIBLE] OF SAME EYE AND 1656 01:13:09,900 --> 01:13:11,501 SURGICAL PROCEDURE TRANSPLANTING 1657 01:13:11,501 --> 01:13:13,103 THAT PIECE INTO THE MACULA AND 1658 01:13:13,103 --> 01:13:17,607 ON TOP IS A PATIENT WITH MACULAR 1659 01:13:17,607 --> 01:13:18,241 DEGENERATION VISION AND BLACK 1660 01:13:18,241 --> 01:13:23,080 PART OF WHOLE AREA OF ATROPHY 1661 01:13:23,080 --> 01:13:25,449 AND BOTTOM SAME PATIENT 1662 01:13:25,449 --> 01:13:27,684 [INDISCERNIBLE] CUT OUT FROM 1663 01:13:27,684 --> 01:13:29,519 SAME EYE. 1664 01:13:29,519 --> 01:13:34,691 PERSON GOES FROM 20/50 TO 20/30. 1665 01:13:34,691 --> 01:13:36,326 COMPLICATED PROCEDURE SURGICAL 1666 01:13:36,326 --> 01:13:38,895 PROCEDURE CUTTING OUT OF OLD 1667 01:13:38,895 --> 01:13:40,530 DEGENERATIVE TISSUE 1668 01:13:40,530 --> 01:13:42,132 TRANSPLANTING INTO CENTER AND 1669 01:13:42,132 --> 01:13:44,901 WHILE CUT OUT AND BLOOD SUPPLY 1670 01:13:44,901 --> 01:13:46,870 NEXT TO IT LOTS OF HEMORRHAGE 1671 01:13:46,870 --> 01:13:48,905 AND THIS PROCEDURE FAILED BUT 1672 01:13:48,905 --> 01:13:51,108 WHEN IT WORKS IT PROVIDES PROOF 1673 01:13:51,108 --> 01:13:54,878 OF CONCEPT IF WE CAN MAKE R P. 1674 01:13:54,878 --> 01:13:56,246 TRANSPLANT FOR PATIENTS IN 1675 01:13:56,246 --> 01:13:57,481 ADDITION AND BRING IT TO THEM 1676 01:13:57,481 --> 01:13:58,915 RIGHT PLACE AND RIGHT TIME WE 1677 01:13:58,915 --> 01:14:00,951 HAVE FIGHTING CHANCE STOPPING 1678 01:14:00,951 --> 01:14:02,185 DISEASE FROM HAPPENING FURTHER. 1679 01:14:02,185 --> 01:14:02,886 NEXT SLIDE, PLEASE. 1680 01:14:02,886 --> 01:14:06,256 THAT IS IDEA WE STARTED AT NEI. 1681 01:14:06,256 --> 01:14:09,159 WE START WITH PATIENTS OWN BLOOD 1682 01:14:09,159 --> 01:14:11,928 CELLS RE-PROGRAMMING THEM INTO 1683 01:14:11,928 --> 01:14:14,498 IPS CELLS AND INDUCE PLURIPOTENT 1684 01:14:14,498 --> 01:14:16,533 STEM CELLS MEANING CELLS HAVE 1685 01:14:16,533 --> 01:14:18,869 POTENTIAL TO MAKE ANY TISSUE OF 1686 01:14:18,869 --> 01:14:20,904 BODY AND 12 HUNDRED TISSUES OF 1687 01:14:20,904 --> 01:14:22,839 BODY WE MAKE FROM THEM RP CELLS 1688 01:14:22,839 --> 01:14:24,641 AND BRING THEM BACK TO PATIENTS 1689 01:14:24,641 --> 01:14:27,477 AFTER ALL THIS IS DONE AND I 1690 01:14:27,477 --> 01:14:30,247 MENTION PLURIPOTENT STEM CELLS 1691 01:14:30,247 --> 01:14:31,681 EXPANDING THAT TO PHOTO 1692 01:14:31,681 --> 01:14:33,550 RECEPTORS AND OTHER PARTS OF THE 1693 01:14:33,550 --> 01:14:35,785 EYE AND TO JACK AND NINA'S POINT 1694 01:14:35,785 --> 01:14:38,288 THIS SAY PLATFORM TECHNOLOGY AND 1695 01:14:38,288 --> 01:14:39,723 NINA MENTIONED YOU CAN USE 1696 01:14:39,723 --> 01:14:40,757 TECHNOLOGY TO MAKE DISEASE 1697 01:14:40,757 --> 01:14:44,594 TISSUE FROM PATIENTS STUDYING 1698 01:14:44,594 --> 01:14:48,832 DISEASE IN DISH AND GENE THERAPY 1699 01:14:48,832 --> 01:14:50,734 DISCOVERY AND CRISPR EDITS AND 1700 01:14:50,734 --> 01:14:53,703 COMBINE THESE CELLS AND CURATIVE 1701 01:14:53,703 --> 01:14:55,405 TISSUE EVERY PATIENT IN THE 1702 01:14:55,405 --> 01:14:57,174 WORLD AND THIS TECHNOLOGY HAS 1703 01:14:57,174 --> 01:14:58,875 HUGE POTENTIAL AND REASON IN 1704 01:14:58,875 --> 01:15:03,246 FIVE YEARS OF DISCOVERY GOT 1705 01:15:03,246 --> 01:15:05,382 NOEBEL PRIZE IN 2012. NEXT 1706 01:15:05,382 --> 01:15:06,416 SLIDE, PLEASE. 1707 01:15:06,416 --> 01:15:10,921 WE SET THIS OUT TO MAKE THIS 1708 01:15:10,921 --> 01:15:12,923 FROM PATIENTS AND RESTORATIVE 1709 01:15:12,923 --> 01:15:15,892 THERAPY AND REPLACING CELLS AND 1710 01:15:15,892 --> 01:15:18,862 THEY WILL STAY FOR REST OF THEIR 1711 01:15:18,862 --> 01:15:19,896 LIVES AND HUGE EXCEPTION AND 1712 01:15:19,896 --> 01:15:21,531 SEVERAL CHALLENGES FOR THIS AND 1713 01:15:21,531 --> 01:15:23,400 NO REAL WAY OF TRACKING CELLS 1714 01:15:23,400 --> 01:15:25,635 AND ABLE TO MITIGATE THAT BY -- 1715 01:15:25,635 --> 01:15:28,405 YOU CAN SEE EYE IS A BEAUTIFUL 1716 01:15:28,405 --> 01:15:30,707 SYSTEM OCULAR IMAGING AND 1717 01:15:30,707 --> 01:15:32,175 SHOWING EXAMPLES YOU CAN TRACK 1718 01:15:32,175 --> 01:15:33,944 TRANSPLANT WHEN IT IS 1719 01:15:33,944 --> 01:15:35,679 TRANSPLANTED AND OTHER CHALLENGE 1720 01:15:35,679 --> 01:15:37,581 IF CELLS SURVIVE FOREVER WHAT IF 1721 01:15:37,581 --> 01:15:40,283 MORE THAN ONE OF THE CELLS 1722 01:15:40,283 --> 01:15:41,518 BECOME [INDISCERNIBLE] AND 1723 01:15:41,518 --> 01:15:43,787 ESTIMATE FROM STEM CELLS AND 1724 01:15:43,787 --> 01:15:46,022 MITIGATED THAT BY ROBUST 1725 01:15:46,022 --> 01:15:47,657 MANUFACTURING AND IS DONE AND 1726 01:15:47,657 --> 01:15:50,227 SHOWN IN LAB AND OF COURSE 1727 01:15:50,227 --> 01:15:52,862 WHENEVER YOU TRANSPLANT YOUR 1728 01:15:52,862 --> 01:15:57,300 CONCERN IS SHORT AND LONG TIME 1729 01:15:57,300 --> 01:16:01,071 -- PATIENTS ON STEM CELLS AND 1730 01:16:01,071 --> 01:16:03,173 LAST BIT IS WILL THIS REPLACE 1731 01:16:03,173 --> 01:16:05,842 TISSUE AND MITIGATED BY MAKING 1732 01:16:05,842 --> 01:16:07,911 SURE TRANSPLANT IS TRULY 1733 01:16:07,911 --> 01:16:09,312 FUNCTIONAL WITH WHAT IS 1734 01:16:09,312 --> 01:16:11,948 TRANSPLANTED AND TO NINA'S POINT 1735 01:16:11,948 --> 01:16:13,350 NOT COMPROMISING SCIENCE IS GOAL 1736 01:16:13,350 --> 01:16:15,652 HERE NO MATTER HOW COMPLEX A 1737 01:16:15,652 --> 01:16:17,988 TISSUE WE ARE CREATING HERE. 1738 01:16:17,988 --> 01:16:19,656 NEXT SLIDE, PLEASE. 1739 01:16:19,656 --> 01:16:21,091 BRIEFLY GOING OVER PROCESS THIS 1740 01:16:21,091 --> 01:16:25,161 IS DONE HERE AND CENTER FOR 1741 01:16:25,161 --> 01:16:28,865 SDEFRNL LAB AND START PATIENT'S 1742 01:16:28,865 --> 01:16:30,567 BLOOD CELLS AND RE-PROGRAM THEM 1743 01:16:30,567 --> 01:16:35,038 INTO IPS CELLS THAT IN END ARE 1744 01:16:35,038 --> 01:16:37,207 QCED BY MECHANISM TYPING TO 1745 01:16:37,207 --> 01:16:40,644 ENSURE WE CAN REDO TYPING AT END 1746 01:16:40,644 --> 01:16:42,412 TO DO PATIENT MATCHING TO 1747 01:16:42,412 --> 01:16:43,713 TRANSPLANT MATCHING AND ENTIRE 1748 01:16:43,713 --> 01:16:45,982 PROCESS IS LONG AND TAKES 80 1749 01:16:45,982 --> 01:16:48,885 DAYS FOR US TO MAKE MINIBANK OF 1750 01:16:48,885 --> 01:16:50,086 STEM CELLS FOR PATIENT. 1751 01:16:50,086 --> 01:16:51,788 NEXT SLIDE, PLEASE. 1752 01:16:51,788 --> 01:16:53,590 FROM THAT BANK STEM CELLS 1753 01:16:53,590 --> 01:16:55,358 PROGRAMMING NOW DIFFERENTIATED 1754 01:16:55,358 --> 01:16:58,361 NO YOU INTO RP CELLS AND ENTIRE 1755 01:16:58,361 --> 01:17:02,866 PROCESS IS OPTIMIZED AT NEI 1756 01:17:02,866 --> 01:17:04,267 USING BIOLOGY APPROACH AND 1757 01:17:04,267 --> 01:17:06,870 MAKING SURE STEM CELLS BECOME RP 1758 01:17:06,870 --> 01:17:09,306 CELLS BY STEPWISE PROCESS AND 1759 01:17:09,306 --> 01:17:10,874 BECOMING TRULY FUNCTIONAL AT END 1760 01:17:10,874 --> 01:17:14,611 AND PROCESS TAKES 2.5 MONTHS AND 1761 01:17:14,611 --> 01:17:16,780 BUNCH OF QC STEPS HAPPENING AT 1762 01:17:16,780 --> 01:17:18,181 END BEFORE WE TRANSPLANT AND 1763 01:17:18,181 --> 01:17:19,683 SHOWING SOME OF THOSE AND IDEA 1764 01:17:19,683 --> 01:17:21,618 IS CELLS WILL BE PUT ON A 1765 01:17:21,618 --> 01:17:22,919 SCAFFOLD. IT WILL BE 1766 01:17:22,919 --> 01:17:25,088 TRANSPLANTED AS A TISSUE NOT 1767 01:17:25,088 --> 01:17:26,356 JUST CELLS IN SUSPENSION. 1768 01:17:26,356 --> 01:17:27,724 NEXT SLIDE, PLEASE. 1769 01:17:27,724 --> 01:17:30,360 SO JUST USING SOME OF THE DATA 1770 01:17:30,360 --> 01:17:34,097 COLLECTED AS PART OF THE I & E 1771 01:17:34,097 --> 01:17:35,598 ENABLING STUDIES CONTINUING TO 1772 01:17:35,598 --> 01:17:38,668 BE COLLECTED IN PHASE 1 AND 1773 01:17:38,668 --> 01:17:40,403 THREE PATIENTS ID IS ON THE LEFT 1774 01:17:40,403 --> 01:17:42,472 AND SHOWING CELLS ARE PURE AND 1775 01:17:42,472 --> 01:17:46,242 IMPORTANT POINT FOR US TO ENSURE 1776 01:17:46,242 --> 01:17:49,279 WE ARE NOT TRANSPLANTING IP 1777 01:17:49,279 --> 01:17:50,413 CELLS AND [INDISCERNIBLE] FOR 1778 01:17:50,413 --> 01:17:52,549 TRIAL 81 AND NONE ARE PRESENT 1779 01:17:52,549 --> 01:17:56,619 AND MIDDLE TWO MARKERS RPE 1780 01:17:56,619 --> 01:18:00,156 PURITY AND 100% PURE CELLS TO MY 1781 01:18:00,156 --> 01:18:02,492 KNOWLEDGE THIS IS PRODUCT SO FAR 1782 01:18:02,492 --> 01:18:05,562 MADE FROM PR CELLS THAT IS 1783 01:18:05,562 --> 01:18:08,298 TRANSPLANTED IN PATIENTS AND 1784 01:18:08,298 --> 01:18:11,801 BEST 21 MARKERS FOR MATURITY AND 1785 01:18:11,801 --> 01:18:13,403 ENSURING WE ARE TRANSPLANTING 1786 01:18:13,403 --> 01:18:15,939 MATURE CELLS AS WELL. NEXT 1787 01:18:15,939 --> 01:18:17,374 SLIDE, PLEASE. 1788 01:18:17,374 --> 01:18:20,643 THESE CELLS HAVE BEAUTIFUL 1789 01:18:20,643 --> 01:18:22,812 FEATURES HEXAGONAL AND PIGMENTED 1790 01:18:22,812 --> 01:18:24,981 AND SKIN MELANIN AND WE CAN LOOK 1791 01:18:24,981 --> 01:18:28,051 AT THEM SEEING WE MADE RIGHT 1792 01:18:28,051 --> 01:18:30,887 CELLS AND THIS INCREASES AND 1793 01:18:30,887 --> 01:18:33,356 THEY BECOME MORE HEX AGO ONNAL 1794 01:18:33,356 --> 01:18:35,492 AS THEY BECOME MORE MATURE AND 1795 01:18:35,492 --> 01:18:36,593 FUNCTIONAL AND WE CAN LOOK AT 1796 01:18:36,593 --> 01:18:38,661 THEM AND SAY WE MADE THE RIGHT 1797 01:18:38,661 --> 01:18:41,030 CELLS BUT DON'T JUST RELY ON OUR 1798 01:18:41,030 --> 01:18:42,866 EYES NEXT SLIDE, PLEASE. 1799 01:18:42,866 --> 01:18:45,301 WE SET UP TO DO TWO DIFFERENT 1800 01:18:45,301 --> 01:18:50,173 ASSAYS AND I WILL SHOW ENTIRE 1801 01:18:50,173 --> 01:18:54,878 TRANSPLANT BY ELECTRON MIKE 1802 01:18:54,878 --> 01:18:56,613 CROPSCOPY AND IT WILL DEGRADE IN 1803 01:18:56,613 --> 01:18:58,882 A FEW WEEKS WHEN TRANSPLANT IS 1804 01:18:58,882 --> 01:19:00,784 TRANSPLANTED AND TOP IS RP 1805 01:19:00,784 --> 01:19:02,886 MONOLAYER OF CELLS LOOKING AT IT 1806 01:19:02,886 --> 01:19:06,189 FROM SIDE VIEW AND NUCLEUS OF 1807 01:19:06,189 --> 01:19:09,759 THREE CELLS AND CYTOPLASM IN 1808 01:19:09,759 --> 01:19:12,295 BROWN AND GREEN TYPICAL HAIR 1809 01:19:12,295 --> 01:19:14,864 PROJECTIONS IN SCHEMATIC SHOWING 1810 01:19:14,864 --> 01:19:15,999 CELLS ARE POLARIZED AND READY TO 1811 01:19:15,999 --> 01:19:18,868 FUNCTION AS THEY TRANSPLANT. 1812 01:19:18,868 --> 01:19:21,337 NEXT SLIDE, PLEASE. 1813 01:19:21,337 --> 01:19:31,214 NEXT WE SET UP IS ARTIFICIAL -- 1814 01:19:31,214 --> 01:19:34,250 HEXONALITY -- AI-BASED ALGORITHM 1815 01:19:34,250 --> 01:19:36,019 AND SETTING THIS UP GIVING 1816 01:19:36,019 --> 01:19:38,054 VALUES OF EACH VALUE OF EACH 1817 01:19:38,054 --> 01:19:41,357 CELL AND NUMBER OF NEIGHBORS AND 1818 01:19:41,357 --> 01:19:43,960 HEXO GONAL FEATURES AND ALLOWING 1819 01:19:43,960 --> 01:19:45,328 THIS TRANSPLANTED YOU SEE IN THE 1820 01:19:45,328 --> 01:19:49,065 MIDDLE HERE AND 75,000 CELLS AND 1821 01:19:49,065 --> 01:19:51,968 DO 5 OF THESE AND GET VALUES OF 1822 01:19:51,968 --> 01:19:54,304 EACH CELL ON EACH TRANSPLANT 1823 01:19:54,304 --> 01:19:55,772 ALLOWING US TO KNOW IF THERE WAS 1824 01:19:55,772 --> 01:19:57,607 A ROGUE CELL THAT WOULD BE THERE 1825 01:19:57,607 --> 01:20:01,845 WE COULD PICK IT UP. NEXT 1826 01:20:01,845 --> 01:20:02,212 SLIDE, PLEASE. 1827 01:20:02,212 --> 01:20:04,881 THIS BECAME FIRST AIQC APPROVED 1828 01:20:04,881 --> 01:20:07,250 THERAPY BY FDA AND WILL SHOW A 1829 01:20:07,250 --> 01:20:09,285 QUICK VIDEO HOW THIS IS DONE IN 1830 01:20:09,285 --> 01:20:11,321 ANIMALS AND WE HAVE THIS EYE 1831 01:20:11,321 --> 01:20:13,656 THAT HAS BEEN PREPPED FOR 1832 01:20:13,656 --> 01:20:15,391 SURGERY AND SURGEON PLACING TOOL 1833 01:20:15,391 --> 01:20:16,926 WITH TRANSPLANT YOU SEE IN THE 1834 01:20:16,926 --> 01:20:19,062 MIDDLE HERE AND THIS TRANSPLANT 1835 01:20:19,062 --> 01:20:21,965 IS INSERTED UNDER THE RETINA 1836 01:20:21,965 --> 01:20:23,800 THAT IS FLAT AND TRANSPLANT 1837 01:20:23,800 --> 01:20:25,668 STAYS IN ONE PLACE AND GOING TO 1838 01:20:25,668 --> 01:20:28,371 THE NEXT SLIDE, PLEASE. 1839 01:20:28,371 --> 01:20:36,880 IN THE INTEREST OF TIME. 1840 01:20:36,880 --> 01:20:38,147 GOING TO THE NEXT SLIDE. 1841 01:20:38,147 --> 01:20:41,084 I MENTIONED EARLIER THE EYE 1842 01:20:41,084 --> 01:20:42,552 WORKING YOU CAN HAVE 1843 01:20:42,552 --> 01:20:44,387 NON-INVASIVE IMAGING FOLLOWING 1844 01:20:44,387 --> 01:20:46,089 TRANSPLANT SHOWING EXAMPLES HOW 1845 01:20:46,089 --> 01:20:49,559 THIS IS DONE IN PIGS AND ON TOP 1846 01:20:49,559 --> 01:20:49,993 OF THIS. 1847 01:20:49,993 --> 01:20:51,127 PIG EYE TRANSPLANTED AND IN 1848 01:20:51,127 --> 01:20:53,696 INTEREST OF SHOWING ARIGOR OF 1849 01:20:53,696 --> 01:20:57,400 STUDY PLGA IS EMPTY SCAFFOLD AND 1850 01:20:57,400 --> 01:21:01,838 THIS IS REAL TRANSPLANT AND 1851 01:21:01,838 --> 01:21:05,174 TRANSPLANT SIDE BY SIDE IN PIG 1852 01:21:05,174 --> 01:21:06,809 WHERE LASER OBLATION AND PIG RP 1853 01:21:06,809 --> 01:21:08,645 AND SEE IF HUMAN RP WOULD 1854 01:21:08,645 --> 01:21:10,513 FUNCTION IN THE PIG NOW AND DO 1855 01:21:10,513 --> 01:21:12,081 HERE AND DO CROSS-SECTION OF 1856 01:21:12,081 --> 01:21:14,884 THIS TO TECHNIQUE OCT OPTICAL 1857 01:21:14,884 --> 01:21:16,319 [INDISCERNIBLE] TOMOGRAPHY THAT 1858 01:21:16,319 --> 01:21:19,389 IS ALLOWING YOU TO SEE BACK OF 1859 01:21:19,389 --> 01:21:21,424 RETINA WITH DIFFERENT LAYERS AND 1860 01:21:21,424 --> 01:21:22,759 BOTTOM PANEL I WOULD LIKE YOU TO 1861 01:21:22,759 --> 01:21:25,962 FOCUS ON THAT SEEING IN BASELINE 1862 01:21:25,962 --> 01:21:27,897 DIFFERENT LAYERS OF RETINA IN 1863 01:21:27,897 --> 01:21:30,867 TACT AND LASERING RPE 1864 01:21:30,867 --> 01:21:32,535 DEGENERATION HAPPENING AND 1865 01:21:32,535 --> 01:21:34,437 DEGENERATED CELLS AND THESE DOTS 1866 01:21:34,437 --> 01:21:37,507 THAT IF YOU COMPARE THE P WILL. 1867 01:21:37,507 --> 01:21:40,343 GRP PANEL TO PRGA PANEL YOU SEE 1868 01:21:40,343 --> 01:21:42,879 THIS IS DIFFERENT OVER AREA OF 1869 01:21:42,879 --> 01:21:45,415 TRANSPLANT AND LITTLE PINK ARROW 1870 01:21:45,415 --> 01:21:47,684 HIGHLIGHTS TO AREA ON OCT THAT 1871 01:21:47,684 --> 01:21:50,920 EXPERTS WILL TELL YOU IS WHERE 1872 01:21:50,920 --> 01:21:53,790 RPE CELLS GO WITH OTHER SEGMENTS 1873 01:21:53,790 --> 01:21:55,525 OF PHOTORECEPTORS AND AREA IS 1874 01:21:55,525 --> 01:21:59,228 RESTORED AND HUMAN RP CELLS HAVE 1875 01:21:59,228 --> 01:22:00,730 REGENERATED OR STOP PIG 1876 01:22:00,730 --> 01:22:02,198 RECEPTORS FROM DYING AND NEXT 1877 01:22:02,198 --> 01:22:03,399 SLIDE, MR. EZ. 1878 01:22:03,399 --> 01:22:04,934 INTEREST OF FURTHER CONTINUING 1879 01:22:04,934 --> 01:22:06,869 MECHANISTIC STUDIES YOU CAN USE 1880 01:22:06,869 --> 01:22:13,409 SAME LASER TO LASER OBLATE THE 1881 01:22:13,409 --> 01:22:15,044 PIG CAPILLARIES IN BACK OF THE 1882 01:22:15,044 --> 01:22:16,646 EYE AND YOU SEE THESE 1883 01:22:16,646 --> 01:22:19,682 CAPILLARIES DEGENERATED IN THIS 1884 01:22:19,682 --> 01:22:21,284 AREA. NEXT SLIDE. TRANSPLANT 1885 01:22:21,284 --> 01:22:23,519 RP PATCH IN AREA HIGHLIGHTED BY 1886 01:22:23,519 --> 01:22:25,521 GREEN OVAL LOOKING AT OCT PANELS 1887 01:22:25,521 --> 01:22:27,423 AND THIS AREA THAT YOU ARE 1888 01:22:27,423 --> 01:22:29,392 LOOKING AT CAPILLARY PROFUSION 1889 01:22:29,392 --> 01:22:32,562 HAS REGENERATED JUST UNDERNEATH 1890 01:22:32,562 --> 01:22:33,129 THE TRANSPLANT. 1891 01:22:33,129 --> 01:22:34,497 NEXT SLIDE, PLEASE. 1892 01:22:34,497 --> 01:22:37,233 IT DOESN'T REGENERATE IF YOU PUT 1893 01:22:37,233 --> 01:22:38,868 EMPTY SCAFFOLD AND KNOW RP CELLS 1894 01:22:38,868 --> 01:22:41,104 NO THE ONLY PROTECT 1895 01:22:41,104 --> 01:22:43,039 PHOTORECEPTORS FROM DYING AND 1896 01:22:43,039 --> 01:22:45,441 REGENERATE THE CAPILLARIES AND 1897 01:22:45,441 --> 01:22:47,510 THINK CELLS GOING TO PATIENTS 1898 01:22:47,510 --> 01:22:50,647 HAVE FUNCTIONAL FEATURES AND 1899 01:22:50,647 --> 01:22:53,082 ANATOMICAL FEATURES TO START 1900 01:22:53,082 --> 01:22:53,883 PHOTORECEPTORS STOPPING VISION 1901 01:22:53,883 --> 01:22:54,884 FROM DYING. 1902 01:22:54,884 --> 01:22:56,719 NEXT SLIDE, PLEASE. 1903 01:22:56,719 --> 01:22:58,354 GOING THROUGH MANY OF THE QC 1904 01:22:58,354 --> 01:23:02,392 THAT IS DONE AND THIS IS A QC OR 1905 01:23:02,392 --> 01:23:03,626 COA OF FIRST TRANSPLANT 1906 01:23:03,626 --> 01:23:05,395 DELIVERED TO PATIENTS IN THE 1907 01:23:05,395 --> 01:23:06,663 CLINICAL CENTER AND WITH THAT I 1908 01:23:06,663 --> 01:23:08,765 WILL PASS IT ON TO MY COLLEAGUE 1909 01:23:08,765 --> 01:23:12,735 TO TALK ABOUT CLINICAL PROTOCOL. 1910 01:23:12,735 --> 01:23:14,037 THANK YOU VERY MUCH. 1911 01:23:14,037 --> 01:23:17,173 >> THANKS SO MUCH FOR THE 1912 01:23:17,173 --> 01:23:18,074 OPPORTUNITY TO SPEAK TODAY. 1913 01:23:18,074 --> 01:23:21,444 SO CURRENTLY THERE IS NO 1914 01:23:21,444 --> 01:23:24,047 TREATMENT THAT CAN RESTORE 1915 01:23:24,047 --> 01:23:26,883 VISION LOSS TO MAC LAR 1916 01:23:26,883 --> 01:23:29,619 DEGENERATION AND IN THE DRY KIND 1917 01:23:29,619 --> 01:23:32,855 ADVANCED [INDISCERNIBLE] KNOWN 1918 01:23:32,855 --> 01:23:36,325 AS GEOGRAPHIC@TROPHY AND 1919 01:23:36,325 --> 01:23:38,127 NUTRITIONAL SUPPLEMENTS AND 1920 01:23:38,127 --> 01:23:41,097 INJECTIONS AGAINST COMPLEMENT 1921 01:23:41,097 --> 01:23:42,899 FACTORS THAT MAY SLOW 1922 01:23:42,899 --> 01:23:45,935 PROGRESSION BUT NOT REVERSE 1923 01:23:45,935 --> 01:23:47,503 EXISTING VISION LOSS AND 1924 01:23:47,503 --> 01:23:49,906 APPROACH TO THIS PROBLEM UNMET 1925 01:23:49,906 --> 01:23:54,377 NEED IS A REGENERATIVE APPROACH 1926 01:23:54,377 --> 01:23:58,548 AS DR. MARTIN OUTLINED TO YOU. 1927 01:23:58,548 --> 01:24:02,218 WE TAKE THIS FRESH STEM CELL 1928 01:24:02,218 --> 01:24:05,488 DERIVED FROM PATIENT'S BLOOD OP 1929 01:24:05,488 --> 01:24:09,425 THOM OL GAUS STEM CELL ARRIVED 1930 01:24:09,425 --> 01:24:13,863 PRC CELLS IN PATCH IN AREA OF 1931 01:24:13,863 --> 01:24:17,533 GENERATED DISEASES AND THEN WE 1932 01:24:17,533 --> 01:24:23,740 HOPE TO GAIN VISUAL FUNCTION. 1933 01:24:23,740 --> 01:24:27,510 CLIN KALE CENTERS TRIAL OR 1934 01:24:27,510 --> 01:24:29,479 APPROACH IS TO REALLY SEE IF 1935 01:24:29,479 --> 01:24:31,981 THIS APPROACH IS SAFE IN HUMANS 1936 01:24:31,981 --> 01:24:33,649 AND WHETHER WE CAN RESTORE 1937 01:24:33,649 --> 01:24:33,883 VISION. 1938 01:24:33,883 --> 01:24:35,551 COULD YOU PLEASE GO TO THE NEXT 1939 01:24:35,551 --> 01:24:36,586 SLIDE? 1940 01:24:36,586 --> 01:24:38,921 THIS IS -- WE ARE CONDUCTING 1941 01:24:38,921 --> 01:24:41,891 CURRENTLY CLINICAL CENTER PHASE 1942 01:24:41,891 --> 01:24:45,161 12A TRIAL TO ASSESS FOR SAFETY 1943 01:24:45,161 --> 01:24:46,863 AND PRELIMINARY EFFICACY OF THIS 1944 01:24:46,863 --> 01:24:47,130 APPROACH. 1945 01:24:47,130 --> 01:24:49,632 THIS IS AN ONGOING TRIAL. I 1946 01:24:49,632 --> 01:24:52,235 CANNOT SHARE RESULTS WITH YOU OR 1947 01:24:52,235 --> 01:24:52,435 DATA. 1948 01:24:52,435 --> 01:24:55,471 BUT I WANT TO TAKE YOU FROM THIS 1949 01:24:55,471 --> 01:24:58,908 PRECLINICAL CONCEPT THAT DR. 1950 01:24:58,908 --> 01:25:01,210 BHATTACHARYA TALKED ABOUT AND 1951 01:25:01,210 --> 01:25:02,912 TRANSLATING IT INTO A CLINICAL 1952 01:25:02,912 --> 01:25:05,815 PROTOCOL AT NIH CLINICAL CENTER 1953 01:25:05,815 --> 01:25:08,518 WITH PATIENT SAFETY IN MIND AND 1954 01:25:08,518 --> 01:25:09,986 PRIORITIZE IT AT EVERY STEP. 1955 01:25:09,986 --> 01:25:12,688 NEXT SLIDE, PLEASE. 1956 01:25:12,688 --> 01:25:13,556 NEXT SLAD. 1957 01:25:13,556 --> 01:25:16,359 SO OUR QUESTIONS ARE BECAUSE IT 1958 01:25:16,359 --> 01:25:19,762 IS A FIRST IN-HUMAN TRIAL. CAN 1959 01:25:19,762 --> 01:25:23,533 SURGERY BE PERFORMED IN HUMANS 1960 01:25:23,533 --> 01:25:26,602 SAFELY? 1961 01:25:26,602 --> 01:25:27,870 IS THE GRAPH VIABLE AFTER 1962 01:25:27,870 --> 01:25:29,672 TRANSPLANTATION? WE WANT TO SEE 1963 01:25:29,672 --> 01:25:31,340 WHERE TREATMENT CAN RESTORE 1964 01:25:31,340 --> 01:25:31,574 VISION. 1965 01:25:31,574 --> 01:25:33,509 NEXT SLIDE. 1966 01:25:33,509 --> 01:25:36,746 SO A COUPLE OF DETAILS ABOUT 1967 01:25:36,746 --> 01:25:39,182 CLINICAL TRIAL. WE, AS I 1968 01:25:39,182 --> 01:25:41,117 MENTIONED, WE ARE EVALUATING FOR 1969 01:25:41,117 --> 01:25:43,786 SAFETY THAT IS DETERMINED BY 1970 01:25:43,786 --> 01:25:50,026 INCIDENTS OF ADVERSE EVENTS. 1971 01:25:50,026 --> 01:25:53,029 CHANGES IN VISUAL ACUITY 1972 01:25:53,029 --> 01:25:55,097 BASELINE 12 MONTHS AND LONGER 1973 01:25:55,097 --> 01:25:57,567 TERM EVENTS AND STRUCTURAL 1974 01:25:57,567 --> 01:26:02,905 CHANGES IN RETINA AND VISUAL 1975 01:26:02,905 --> 01:26:07,210 FIELD CHANGES AND ALSO VISUAL 1976 01:26:07,210 --> 01:26:11,781 FIXATION CHANGES COMPARED TO 1977 01:26:11,781 --> 01:26:14,917 BASELINE AND FIRST COHEN ROLLING 1978 01:26:14,917 --> 01:26:21,591 FIVE PATIENTS UP TO 7 ADDITIONAL 1979 01:26:21,591 --> 01:26:23,426 PATIENTS UNDERGOING SAFETY BY 1980 01:26:23,426 --> 01:26:25,428 DATA SAFETY MONITORING COMMITTEE 1981 01:26:25,428 --> 01:26:27,597 AND PATIENTS WILL BE FOLLOWED 1982 01:26:27,597 --> 01:26:30,766 FOR FIVE YEARS AFTER SURGERY. 1983 01:26:30,766 --> 01:26:34,904 NEXT SLIDE, PLEASE. 1984 01:26:34,904 --> 01:26:38,241 PATIENTS ENROLLING IN STUDY NEED 1985 01:26:38,241 --> 01:26:40,810 ADVANCED MAC LAR DEGENERATION 1986 01:26:40,810 --> 01:26:42,411 AND CERTAIN MINIMUM SIZE OF 1987 01:26:42,411 --> 01:26:45,081 DISEASE VISIBLE ON EXAM AND CAN 1988 01:26:45,081 --> 01:26:47,917 ALSO ONLY HAVE VISION BETWEEN 21 1989 01:26:47,917 --> 01:26:50,219 HUNDRED AND COUNT FINGERS AND 1990 01:26:50,219 --> 01:26:54,624 2,100 FOR CONTEXT THAT IS ONE 1991 01:26:54,624 --> 01:26:56,125 LINE ABOVE LEGAL BLINDNESS IN 1992 01:26:56,125 --> 01:27:00,196 THE US THAT IS 2,200 OR 1993 01:27:00,196 --> 01:27:01,430 EQUIVALENT TO BIG E ON CHART 1994 01:27:01,430 --> 01:27:04,767 THAT IS SHOWN HERE IN THIS 1995 01:27:04,767 --> 01:27:05,101 CHART. 1996 01:27:05,101 --> 01:27:06,903 NEXT SLIDE. 1997 01:27:06,903 --> 01:27:10,339 BECAUSE OUR PATIENTS ARE OLDER 1998 01:27:10,339 --> 01:27:13,075 AND HAVE MULTIPLE COMORBIDITIES, 1999 01:27:13,075 --> 01:27:15,611 WE HAVE IMPLEMENTED ENHANCED 2000 01:27:15,611 --> 01:27:17,647 MEDICAL MONITORING FOR THE 2001 01:27:17,647 --> 01:27:18,848 PATIENTS. 2002 01:27:18,848 --> 01:27:20,583 IN ADDITION, WE INVOLVE THE 2003 01:27:20,583 --> 01:27:22,385 CAREGIVERS AS PATIENTS HAVE 2004 01:27:22,385 --> 01:27:24,387 OFTEN LOST SOME DEGREE OF 2005 01:27:24,387 --> 01:27:28,491 INDEPENDENCE TO DO ADVANCED 2006 01:27:28,491 --> 01:27:31,761 VISION LOSS AND TRY TO ENGAGE 2007 01:27:31,761 --> 01:27:33,596 CAREGIVERS TO ENSURE SAFETY FOR 2008 01:27:33,596 --> 01:27:35,932 THE PATIENTS. 2009 01:27:35,932 --> 01:27:37,099 NEXT SLIDE. 2010 01:27:37,099 --> 01:27:39,335 SO THIS SLIDE SHOWS YOU AN 2011 01:27:39,335 --> 01:27:40,569 OVERVIEW OF THE CLINICAL TRIAL 2012 01:27:40,569 --> 01:27:42,905 THAT WE ARE CONDUCTING AND I 2013 01:27:42,905 --> 01:27:45,508 HOPE THAT IT HIGHLIGHTS HOW 2014 01:27:45,508 --> 01:27:48,911 CLOSELY PRECLINICAL AND CLINICAL 2015 01:27:48,911 --> 01:27:49,779 TEAMS WORK TOGETHER. 2016 01:27:49,779 --> 01:27:52,181 THEY ARE FULLY INTEGRATED FROM 2017 01:27:52,181 --> 01:27:54,550 THE MOMENT THAT WE ENROLLED THE 2018 01:27:54,550 --> 01:27:54,817 PATIENT. 2019 01:27:54,817 --> 01:28:00,489 I WILL SEE IF THIS WORKS. 2020 01:28:00,489 --> 01:28:02,792 FROM THE MOMENT WE ENROLL THE 2021 01:28:02,792 --> 01:28:04,927 PATIENT AND BLOOD AND DEPARTMENT 2022 01:28:04,927 --> 01:28:06,696 OF TRANSFUSION MEDICINE 2023 01:28:06,696 --> 01:28:09,031 ORGANIZES THE BLOOD DONATION AND 2024 01:28:09,031 --> 01:28:11,300 TRANSFERS THOSE CELLS TO THE 2025 01:28:11,300 --> 01:28:14,904 CELL CULTURE TEAM. CELL CULTURE 2026 01:28:14,904 --> 01:28:16,939 TEAM DELIVERING CELLS TO 2027 01:28:16,939 --> 01:28:18,908 OPERATING ROOM AND PRECLINICAL 2028 01:28:18,908 --> 01:28:21,610 TEAM BEING INVOLVED IN THE 2029 01:28:21,610 --> 01:28:23,279 SURGICAL TRAINING AND BEING WITH 2030 01:28:23,279 --> 01:28:25,648 US IN OPERATING ROOM TO HELP 2031 01:28:25,648 --> 01:28:27,616 LOAD THE CELLS AND AT EVERY 2032 01:28:27,616 --> 01:28:31,420 ASPECT IT IS A FULLY INTEGRATED 2033 01:28:31,420 --> 01:28:31,921 TEAM. 2034 01:28:31,921 --> 01:28:33,055 NEXT SLIDE. 2035 01:28:33,055 --> 01:28:37,760 I WILL TAKE YOU NOW THROUGH THIS 2036 01:28:37,760 --> 01:28:39,328 CLINICAL TRIAL FROM EVERY STEP I 2037 01:28:39,328 --> 01:28:44,633 SHOWED IN A PREVIOUS SLIDE. 2038 01:28:44,633 --> 01:28:46,102 SO PATIENTS PRESENTING 2039 01:28:46,102 --> 01:28:47,903 CANDIDATES PRESENTING FOR THIS 2040 01:28:47,903 --> 01:28:50,940 TRIAL TYPICALLY BETWEEN 65 AND 2041 01:28:50,940 --> 01:28:52,641 90 YEARS OLD AND BECAUSE OF 2042 01:28:52,641 --> 01:28:54,910 ADVANCED AGE WE HAVE TO ASSESS 2043 01:28:54,910 --> 01:28:56,212 FOR SURGICAL FITNESS. 2044 01:28:56,212 --> 01:28:59,949 WE HAVE TO ENSURE THAT ALL 2045 01:28:59,949 --> 01:29:01,617 COMORBIDITIES ARE 2046 01:29:01,617 --> 01:29:03,619 WELL-CONTROLLED AND MANAGED. 2047 01:29:03,619 --> 01:29:06,489 AND ALSO THAT PATIENTS CAN 2048 01:29:06,489 --> 01:29:08,924 UNDERGO IMMUNOSUPPRESSION THAT 2049 01:29:08,924 --> 01:29:10,993 WE APPLY FOR A LIMITED AMOUNT OF 2050 01:29:10,993 --> 01:29:14,897 TIME TO ENSURE THERE IS NO 2051 01:29:14,897 --> 01:29:16,565 INFORMATION AFTER SURGERY. 2052 01:29:16,565 --> 01:29:18,901 SO WE ARE NOT ONLY PARTNERING 2053 01:29:18,901 --> 01:29:21,437 WITH DAVE'S TEAM FOR THE 2054 01:29:21,437 --> 01:29:22,671 CELLULAR CULTURE BUT ALSO 2055 01:29:22,671 --> 01:29:24,707 PARTNER WITH THE INTERNAL 2056 01:29:24,707 --> 01:29:26,909 MEDICINE DEPARTMENT IN THE 2057 01:29:26,909 --> 01:29:27,476 CLINICAL CENTER. 2058 01:29:27,476 --> 01:29:31,047 LED BY DR. DEMING AND ANESTHESIA 2059 01:29:31,047 --> 01:29:33,649 DEPARTMENT LED BY DR. MANNERS TO 2060 01:29:33,649 --> 01:29:35,818 ENSURE THAT PATIENTS COULD BE 2061 01:29:35,818 --> 01:29:37,119 CLEARED FOR SURGERY AND SAFE FOR 2062 01:29:37,119 --> 01:29:39,321 THEM TO UNDERGO THIS PROCEDURE. 2063 01:29:39,321 --> 01:29:42,425 SO THEY HAVE THE BEST OUTCOME. 2064 01:29:42,425 --> 01:29:44,126 NEXT SLIDE. 2065 01:29:44,126 --> 01:29:48,297 SO IN THE INFORMED CONSENT 2066 01:29:48,297 --> 01:29:50,633 PROCESS WE EMPHASIZE IT IS NOT A 2067 01:29:50,633 --> 01:29:52,268 TREATMENT BUT INVESTIGATIONAL 2068 01:29:52,268 --> 01:29:54,904 TRIAL AND IS A COMMON 2069 01:29:54,904 --> 01:29:57,073 MISCONCEPTION AMONG 2070 01:29:57,073 --> 01:29:57,640 PARTICIPANTS, PROSPECTIVE 2071 01:29:57,640 --> 01:30:00,876 PARTICIPANTS THAT THEY THINK IS 2072 01:30:00,876 --> 01:30:02,144 A TREATMENT. 2073 01:30:02,144 --> 01:30:03,646 WE REALLY HAVE LONG DISCUSSIONS 2074 01:30:03,646 --> 01:30:09,652 WITH PATIENTS TO ENSURE THEY 2075 01:30:09,652 --> 01:30:10,619 UNDERS 2076 01:30:10,619 --> 01:30:10,920 UNDERSTAND. 2077 01:30:10,920 --> 01:30:12,755 VISION IS NOT GUARANTEED AND IN 2078 01:30:12,755 --> 01:30:15,891 ADDITION WE GO OVER ALL RISKS OF 2079 01:30:15,891 --> 01:30:17,827 SURGERY AND IMMUNOSUPPRESSION 2080 01:30:17,827 --> 01:30:20,129 AND NEED FOR A LONG FOLLOW UP 2081 01:30:20,129 --> 01:30:21,764 AND INVOLVEMENT IN THE STUDY. 2082 01:30:21,764 --> 01:30:24,900 NEXT SLIDE. 2083 01:30:24,900 --> 01:30:31,974 WHEN THE PATIENT IS ENROLLED 2084 01:30:31,974 --> 01:30:36,812 WILLING TO UNDERGOT PROCEDURE WE 2085 01:30:36,812 --> 01:30:40,916 GET BLOD AS SOON AS POSSIBLE FOR 2086 01:30:40,916 --> 01:30:41,684 CELLULAR MANUFACTURING. 2087 01:30:41,684 --> 01:30:45,154 NEXT SLIDE. WHEN BLOOD DONATION 2088 01:30:45,154 --> 01:30:49,892 IS DONE, THE TEAM LEADS THE 2089 01:30:49,892 --> 01:30:51,627 CELLULAR CULTURE TO GET THE 2090 01:30:51,627 --> 01:30:53,229 GRAFT READY. AFTER 6 MONTHS 2091 01:30:53,229 --> 01:30:54,497 THEY DELIVER THE CELLS TO THE 2092 01:30:54,497 --> 01:30:57,900 OPERATING ROOM. YOU CAN SEE A 2093 01:30:57,900 --> 01:31:05,608 SAMPLE VILE OF THE CELLS BEING 2094 01:31:05,608 --> 01:31:07,910 DELIVERED AND CELL CULTURE LED 2095 01:31:07,910 --> 01:31:09,745 HAS CLOSE PROXIMITY TO THE 2096 01:31:09,745 --> 01:31:11,147 OPERATING ROOM AND SEE THE TEAM 2097 01:31:11,147 --> 01:31:14,884 DELIVERING CELLS TO OPERATING 2098 01:31:14,884 --> 01:31:16,886 ROOM WHERE NURSE WAITS TO 2099 01:31:16,886 --> 01:31:18,220 CERTIFY THE CELLS AND IMPORTANT 2100 01:31:18,220 --> 01:31:21,724 ASPECT IS THAT THE CELLS EXPIRE 2101 01:31:21,724 --> 01:31:23,826 WITHIN TWO DAYS OF THE LAST 2102 01:31:23,826 --> 01:31:24,927 MANUFACTURING. 2103 01:31:24,927 --> 01:31:27,563 WE HAVE TO CLOSELY COORDINATE 2104 01:31:27,563 --> 01:31:30,299 WITH THE CLINICAL TEAM TO ENSURE 2105 01:31:30,299 --> 01:31:33,402 WE CAN PROCEED WITH THE SURGERY 2106 01:31:33,402 --> 01:31:35,271 WITHIN THAT TIME. 2107 01:31:35,271 --> 01:31:38,774 THE SURGICAL PREPARATIONS YOU 2108 01:31:38,774 --> 01:31:41,110 CAN IMAGINE IS IMPORTANT AS 2109 01:31:41,110 --> 01:31:46,515 CELLULAR PREPARATION AND SURGERY 2110 01:31:46,515 --> 01:31:46,916 M 2111 01:31:46,916 --> 01:31:49,552 MIMICS PRECLINICAL MODEL SHOWED 2112 01:31:49,552 --> 01:31:50,920 AND LIFTING RETINA AND PATCH 2113 01:31:50,920 --> 01:31:52,922 WITH RP CELLS. 2114 01:31:52,922 --> 01:31:54,890 WE PREPARE WHILE PARALLEL TO 2115 01:31:54,890 --> 01:31:59,328 THE CELL CULTURE, WE PREPARE 2116 01:31:59,328 --> 01:31:59,895 PATIENTS FOR SURGERY. 2117 01:31:59,895 --> 01:32:02,898 ONE IMPORTANT ASPECT IS 2118 01:32:02,898 --> 01:32:04,667 PREPARING PATIENT AND OF COURSE 2119 01:32:04,667 --> 01:32:06,302 PREPARING THE TEAM. 2120 01:32:06,302 --> 01:32:09,738 FOR PATIENT PREPARATION, WE NEED 2121 01:32:09,738 --> 01:32:12,541 TO OPTIMIZE ALL THEIR MEDICAL 2122 01:32:12,541 --> 01:32:15,277 ISSUES AND CLEAR THEM FOR 2123 01:32:15,277 --> 01:32:18,047 SURGERY AND ANESTHESIA. 2124 01:32:18,047 --> 01:32:21,150 WE ALSO START IMMUNOSUPPRESSION 2125 01:32:21,150 --> 01:32:23,385 ONE MONTH BEFORE THE SURGERY AND 2126 01:32:23,385 --> 01:32:25,721 TEACH THEM CERTAIN ASPECTS OF 2127 01:32:25,721 --> 01:32:28,057 POST-OP ITERATIVE CARE SUCH AS 2128 01:32:28,057 --> 01:32:29,158 FACE-DOWN POSITION THAT THEY 2129 01:32:29,158 --> 01:32:30,893 WILL HAVE FOR ABOUT A WEEK. 2130 01:32:30,893 --> 01:32:33,395 THEY WILL HAVE AN AIR BUBBLE TO 2131 01:32:33,395 --> 01:32:35,631 STABILIZE THE GRAFT INSIDE OF 2132 01:32:35,631 --> 01:32:36,565 THE EYE. 2133 01:32:36,565 --> 01:32:40,302 AS YOU CAN IMAGINE, THIS IS A 2134 01:32:40,302 --> 01:32:43,572 LOW -- VOLUME, HIGH RISK 2135 01:32:43,572 --> 01:32:45,741 PROCEDURE THAT IS A NEW NOVEL 2136 01:32:45,741 --> 01:32:47,076 SURGICAL PROCEDURE. 2137 01:32:47,076 --> 01:32:50,646 WE HAVE DEDICATED TRAINING TIME 2138 01:32:50,646 --> 01:32:52,715 WITH COMPLETE SURGICAL TEAM FROM 2139 01:32:52,715 --> 01:32:54,650 BOTH THE PRECLINICAL AND 2140 01:32:54,650 --> 01:32:56,852 CLINICAL TEAMS TO ENSURE THAT WE 2141 01:32:56,852 --> 01:33:00,289 HAVE SURGICAL READINESS. 2142 01:33:00,289 --> 01:33:05,027 THIS HAS HELPED US COORDINATE 2143 01:33:05,027 --> 01:33:09,632 TEAM COORDINATION EFFICIENCY IN 2144 01:33:09,632 --> 01:33:11,834 OR AND IMPROVED SAFETY. IT WILL 2145 01:33:11,834 --> 01:33:15,738 -- IT IMPROVES OPERATIVE TIME 2146 01:33:15,738 --> 01:33:18,340 AND ANESTHESIA TIME FOR THE 2147 01:33:18,340 --> 01:33:18,741 PATIENTS. 2148 01:33:18,741 --> 01:33:20,776 NEXT SLIDE. 2149 01:33:20,776 --> 01:33:26,248 CAN YOU GO BACK TO THIS SLIDE? 2150 01:33:26,248 --> 01:33:30,085 WANTING TO POINT OUT WE HAVE 2151 01:33:30,085 --> 01:33:33,722 THIS PHILOSOPHY THAT R THAT ANY 2152 01:33:33,722 --> 01:33:35,858 INPUT TO IMPROVE SAFETY OF 2153 01:33:35,858 --> 01:33:37,760 PATIENTS IN TRIAL OR IMPROVE 2154 01:33:37,760 --> 01:33:41,196 EFFICIENCY OR ASPECT OF TRIAL IS 2155 01:33:41,196 --> 01:33:41,463 WELCOME. 2156 01:33:41,463 --> 01:33:45,000 I WANT TO JUST SHOW THAT ONE OF 2157 01:33:45,000 --> 01:33:49,438 THE NURSES IN OUR OR WAS 2158 01:33:49,438 --> 01:33:50,973 STRUGGLING TO HAND CORRECT 2159 01:33:50,973 --> 01:33:53,142 INSTRUMENT TO SURGEON IN 2160 01:33:53,142 --> 01:33:56,945 DARKNESS AND OPHTHALMOLOGISTS 2161 01:33:56,945 --> 01:33:57,713 OPERATE IN DARK ROOMS. 2162 01:33:57,713 --> 01:34:00,983 SHE APPROACHED ME ABOUT THIS 2163 01:34:00,983 --> 01:34:02,885 VELCRO SYSTEM WHERE EACH 2164 01:34:02,885 --> 01:34:04,720 INSTRUMENT WOULD BE IN ITS PLACE 2165 01:34:04,720 --> 01:34:09,024 IN A HOME SIMILAR TO A MARIE 2166 01:34:09,024 --> 01:34:10,926 CONDO SYSTEM THAT IMPROVED 2167 01:34:10,926 --> 01:34:14,563 SAFETY AND EFFICIENCY IN THE 2168 01:34:14,563 --> 01:34:16,965 DARK ROOM TREMENDOUSLY. 2169 01:34:16,965 --> 01:34:22,104 WE NOW IMPLEMENT IT IN ALL 2170 01:34:22,104 --> 01:34:26,942 RETINAL SURGERIES. 2171 01:34:26,942 --> 01:34:30,045 NEXT SLIDE. 2172 01:34:30,045 --> 01:34:33,148 ONCE TRAINING SESSIONS OCCUR IN 2173 01:34:33,148 --> 01:34:36,285 MAIN OR AND ALSO IN THE ANIMAL 2174 01:34:36,285 --> 01:34:37,753 FACILITY AND REASON FOR THIS IS 2175 01:34:37,753 --> 01:34:39,922 THERE IS CERTAIN ASPECTS OF 2176 01:34:39,922 --> 01:34:42,925 SURGERY CAN'T BE LEARNED FROM 2177 01:34:42,925 --> 01:34:45,828 ARTIFICIAL EYES SUCH AS WOUND 2178 01:34:45,828 --> 01:34:47,463 LEAKS AND COMPLICATIONS THAT ARE 2179 01:34:47,463 --> 01:34:49,631 NOT EXPECTED LIKE BLEEDING AND 2180 01:34:49,631 --> 01:34:50,866 SO FORTH. 2181 01:34:50,866 --> 01:34:53,235 WHEN SURGERY -- THE CELLS ARE 2182 01:34:53,235 --> 01:34:56,705 CULTURED AND THEY ARE DELIVERED 2183 01:34:56,705 --> 01:35:01,477 TO THE OPERATING ROOM AND IN THE 2184 01:35:01,477 --> 01:35:02,911 PRECLINICAL TEAM THAT IS ALSO 2185 01:35:02,911 --> 01:35:06,815 WITH US IN THE OPERATING ROOM TO 2186 01:35:06,815 --> 01:35:09,752 HELP LOAD THE PATCH INTO THE 2187 01:35:09,752 --> 01:35:12,287 INJECTOR FOR THE SURGEON. 2188 01:35:12,287 --> 01:35:12,988 NEXT SLIDE. 2189 01:35:12,988 --> 01:35:16,658 THIS IS JUST A PHOTO OF TRAINING 2190 01:35:16,658 --> 01:35:18,193 SESSIONS THAT WE PERFORM IN THE 2191 01:35:18,193 --> 01:35:21,663 MAIN OR IN THE BOTTOM AND IN THE 2192 01:35:21,663 --> 01:35:23,065 ANIMAL FACILITY ON TOP AND 2193 01:35:23,065 --> 01:35:26,001 CLINICAL TEAM, NURSES FROM THE 2194 01:35:26,001 --> 01:35:27,302 CLINICAL CENTER COME WITH US TO 2195 01:35:27,302 --> 01:35:29,605 THE ANIMAL FACILITY AND 2196 01:35:29,605 --> 01:35:32,741 PRECLINICAL TEAM THAT IS PRESENT 2197 01:35:32,741 --> 01:35:38,914 DURING THE TRAINING IN THE MAIN 2198 01:35:39,381 --> 01:35:39,581 OR. 2199 01:35:39,581 --> 01:35:42,017 THIS SAY PHOTO FROM A RECENT 2200 01:35:42,017 --> 01:35:43,986 HUMAN SURGERY THAT YOU CAN SEE 2201 01:35:43,986 --> 01:35:46,922 ALL TEAMS WORKING TOGETHER. 2202 01:35:46,922 --> 01:35:48,791 HERE IN CORNER IS DR. 2203 01:35:48,791 --> 01:35:50,559 [INDISCERNIBLE] FROM PRECLINICAL 2204 01:35:50,559 --> 01:35:52,561 TEAM THAT IS LOADING THE GRAFT 2205 01:35:52,561 --> 01:35:54,930 INTO THE INJECTOR AND YOU CAN 2206 01:35:54,930 --> 01:35:57,533 SEE HERE THE GRAFT BEING PUNCHED 2207 01:35:57,533 --> 01:35:58,901 OUT FROM THE WELL. 2208 01:35:58,901 --> 01:36:05,307 CLINICAL CENTER NURSES ARE 2209 01:36:05,307 --> 01:36:08,076 SCRUB /*ED IN AND BEHIND 2210 01:36:08,076 --> 01:36:10,779 MICROSCOPE AND ANESTHESIA 2211 01:36:10,779 --> 01:36:12,414 ENSURING PATIENT IS SAFE 2212 01:36:12,414 --> 01:36:13,949 THROUGHOUT PROCEDURE AND POST-OP 2213 01:36:13,949 --> 01:36:15,818 ITERATIVE CARE AND IS A VERY 2214 01:36:15,818 --> 01:36:19,354 INVOLVED STUDY WITH ALL 2215 01:36:19,354 --> 01:36:21,457 COMPONENTS OF PRECLINICAL AND 2216 01:36:21,457 --> 01:36:23,859 CLINICAL CARE AND POST-OP 2217 01:36:23,859 --> 01:36:24,626 ITERATIVE CARE IS ALSO IMPORTANT 2218 01:36:24,626 --> 01:36:28,464 AS IMPORTANT AS I WOULD SAY AS 2219 01:36:28,464 --> 01:36:30,399 THE SURGERY. 2220 01:36:30,399 --> 01:36:33,769 WE KEEP A VERY CLOSE EYE ON THE 2221 01:36:33,769 --> 01:36:35,704 PATIENT WITH WEEKLY VISITS TO 2222 01:36:35,704 --> 01:36:38,407 ENSURE WE DETECT ANY ADVERSE 2223 01:36:38,407 --> 01:36:43,979 EVENTS MITIGATING COMPLICATIONS. 2224 01:36:43,979 --> 01:36:45,814 TAPERING OFF IMMUNOSUPPRESSION 2225 01:36:45,814 --> 01:36:48,951 AFTER THREE MONTHS WE SPREAD OUT 2226 01:36:48,951 --> 01:36:50,385 VISITS. YOU CAN SEE IN SECOND 2227 01:36:50,385 --> 01:36:53,055 YEAR THAT PATIENT COMES TWICE A 2228 01:36:53,055 --> 01:36:54,890 YEAR AND YEARLY THEREAFTER FOR 2229 01:36:54,890 --> 01:36:57,826 THE LAST THREE YEARS. 2230 01:36:57,826 --> 01:37:01,363 I HOPE THAT I HAVE SHOWN YOU 2231 01:37:01,363 --> 01:37:03,432 THAT THIS COMPLEX TRIAL FITS 2232 01:37:03,432 --> 01:37:06,902 WELL WITH THE NIH CLINICAL 2233 01:37:06,902 --> 01:37:10,906 CENTER WHERE WE HAVE BASIC 2234 01:37:10,906 --> 01:37:13,842 SCIENCE AND CLINICAL RESEARCH 2235 01:37:13,842 --> 01:37:15,844 AND EXCEPTIONAL PATIENT CARE. 2236 01:37:15,844 --> 01:37:20,782 THEY ALL -- IT ALL WORKS 2237 01:37:20,782 --> 01:37:21,483 SEAMLESSLY TOGETHER. 2238 01:37:21,483 --> 01:37:25,988 I WANT TO SLOWS CLOES WITH -- BY 2239 01:37:25,988 --> 01:37:27,789 SUMMARIZING THIS IS THE FIRST OT 2240 01:37:27,789 --> 01:37:33,395 OL GAUS INDUCED PLURIPOTENT STEM 2241 01:37:33,395 --> 01:37:36,665 CELL THERAPY PHASE 1 AND 2 TRIAL 2242 01:37:36,665 --> 01:37:37,299 RECEIVING INVESTIGATIONAL NEW 2243 01:37:37,299 --> 01:37:41,303 DRUG APPROVAL BY THE FDA. 2244 01:37:41,303 --> 01:37:43,071 IT ENABLED OTHER OT OL GAUS 2245 01:37:43,071 --> 01:37:47,509 PHASE 1IMDS IN NONOKULOUS SPACES 2246 01:37:47,509 --> 01:37:50,178 AND SO FAR HAVE TRANSPLANTED TWO 2247 01:37:50,178 --> 01:37:51,113 PATIENTS IN THE STUDY. 2248 01:37:51,113 --> 01:37:54,917 WE ARE LOOKING FORWARD TO MAKING 2249 01:37:54,917 --> 01:37:57,219 MORE PROGRESS. 2250 01:37:57,219 --> 01:38:06,194 AND AS DR. BHARTI MENTIONED 2251 01:38:06,194 --> 01:38:08,263 MACULAR DEGENERATION EFFECTS 20 2252 01:38:08,263 --> 01:38:09,865 MILLION AMERICANS AND HAS 2253 01:38:09,865 --> 01:38:13,869 ENORMOUS CLINICAL IMPACT ON 2254 01:38:13,869 --> 01:38:18,073 PATIENTS AND HAVING A TREATMENT 2255 01:38:18,073 --> 01:38:19,975 THAT CAN RESTORE VISION IN 2256 01:38:19,975 --> 01:38:21,910 PATIENTS WILL HAVE PROFOUND 2257 01:38:21,910 --> 01:38:25,380 CLINICAL AND ECONOMICAL IMPACT. 2258 01:38:25,380 --> 01:38:30,285 THANK YOU VERY MUCH FOR YOUR 2259 01:38:30,285 --> 01:38:30,886 ATTENT 2260 01:38:30,886 --> 01:38:31,186 ATTENTION. 2261 01:38:31,186 --> 01:38:33,689 >> THANK YOU. THAT WAS 2262 01:38:33,689 --> 01:38:35,123 ABSOLUTELY EXTRAORDINARY, 2263 01:38:35,123 --> 01:38:35,657 DOCTOR. 2264 01:38:35,657 --> 01:38:37,993 THANKS SO MUCH. I MENTIONED MY 2265 01:38:37,993 --> 01:38:40,362 96 YEAR OLD FATHER EARLIER THIS 2266 01:38:40,362 --> 01:38:42,297 YEAR WHO IS LEGALLY BLIND AND 2267 01:38:42,297 --> 01:38:45,033 ONE OF 20 MILLION AMERICANS THAT 2268 01:38:45,033 --> 01:38:47,603 IS LEGALLY BLIND NOW FROM MAC 2269 01:38:47,603 --> 01:38:51,239 LAR DEGENERATION AND FEEL IT NOW 2270 01:38:51,239 --> 01:38:54,910 IN OUR FAMILY. THANK YOU VERY 2271 01:38:54,910 --> 01:38:56,578 MUCH. QUESTIONS? YES, DAVID. 2272 01:38:56,578 --> 01:38:57,679 >> KUDOS. 2273 01:38:57,679 --> 01:38:59,648 TAKES A VIL ATH TO DO SOMETHING 2274 01:38:59,648 --> 01:39:01,917 LIKE THIS AND TREMENDOUS FETE TO 2275 01:39:01,917 --> 01:39:02,884 DO THIS. 2276 01:39:02,884 --> 01:39:06,755 QUESTION I HAD I'M NOT AN 2277 01:39:06,755 --> 01:39:10,626 OPHTHALMOLOGIST AND CURIOUS WHAT 2278 01:39:10,626 --> 01:39:15,464 CAUSES MACULAR DEGENERATION FOR 2279 01:39:15,464 --> 01:39:18,066 CELLS TO DIE AND HOW DOES THIS 2280 01:39:18,066 --> 01:39:19,401 CHANGE THAT AND IS THERE 2281 01:39:19,401 --> 01:39:24,339 ASSURANCE CELLS WILL UNDERGO 2282 01:39:24,339 --> 01:39:26,842 DEGENERATION THAT CAUSE MAC LAR 2283 01:39:26,842 --> 01:39:27,776 DEGENERATION IN THE FIRST PLACE. 2284 01:39:27,776 --> 01:39:29,344 >> VERY GOOD QUESTION. REASON 2285 01:39:29,344 --> 01:39:34,583 -- IT IS MULTI-FACTORIAL WHY 2286 01:39:34,583 --> 01:39:35,784 PATIENTS HAVE MACULAR 2287 01:39:35,784 --> 01:39:37,085 DEGENERATION THAT COULD BE 2288 01:39:37,085 --> 01:39:39,955 PARTIALLY GENETIC OR 2289 01:39:39,955 --> 01:39:40,922 ENVIRONMENTAL FACTORS AND 2290 01:39:40,922 --> 01:39:44,493 SMOKING IS HIGHLY ASSOCIATED 2291 01:39:44,493 --> 01:39:50,799 WITH IT. 2292 01:39:50,799 --> 01:39:55,737 DR. BHARTI MENTIONED AND YOU CAN 2293 01:39:55,737 --> 01:39:58,040 COME FORWARD WE LOST CORE 2294 01:39:58,040 --> 01:40:00,842 CAPILLARIES IN THAT AREA AND 2295 01:40:00,842 --> 01:40:03,045 CELLS DIE IN THE AREA. 2296 01:40:03,045 --> 01:40:09,918 CENTRAL MACULAES IS MOST 2297 01:40:09,918 --> 01:40:14,256 PROFUSED AREA IN THE AREA. IF 2298 01:40:14,256 --> 01:40:15,957 WE LOSE PROFUSION THAT IS WHY IT 2299 01:40:15,957 --> 01:40:18,894 IS PREDOMINANTLY IN THE CENTER 2300 01:40:18,894 --> 01:40:20,362 BECAUSE OF THAT. 2301 01:40:20,362 --> 01:40:22,798 SO THE -- WILL THE CELLS 2302 01:40:22,798 --> 01:40:23,198 SURVIVE; RIGHT? 2303 01:40:23,198 --> 01:40:24,666 THAT IS A QUESTION. 2304 01:40:24,666 --> 01:40:28,737 THAT IS WHAT THE TRIAL IS ABOUT. 2305 01:40:28,737 --> 01:40:30,205 IT IS TO THINK -- TO -- TO SEE 2306 01:40:30,205 --> 01:40:32,841 IF THEY CAN SURVIVE IN HUMANS. 2307 01:40:32,841 --> 01:40:34,910 WE HAVE DONE RESEARCH IN ANIMALS 2308 01:40:34,910 --> 01:40:38,780 AND PIGS AND WE HAVE NO 2309 01:40:38,780 --> 01:40:40,515 INDICATION TO ASSUME IT WILL NOT 2310 01:40:40,515 --> 01:40:42,050 SURVIVE AND WHY WE PROCEEDED TO 2311 01:40:42,050 --> 01:40:44,786 THE HUMAN STUDY. 2312 01:40:44,786 --> 01:40:47,889 BUT BILL, WANT TO ADD TO ANIMAL 2313 01:40:47,889 --> 01:40:48,356 SURVIVAL? 2314 01:40:48,356 --> 01:40:51,693 >> I WILL ADD THAT DISEASE 2315 01:40:51,693 --> 01:40:54,696 PROCESSES THOUGHT TO LEAD TO 2316 01:40:54,696 --> 01:40:56,598 DEGENERATIONAL CELLS IS WHAT WAS 2317 01:40:56,598 --> 01:40:59,101 POINTED OUT IN SLIDE 2318 01:40:59,101 --> 01:41:00,402 INFLAMMATION AND OXIDATIVE 2319 01:41:00,402 --> 01:41:02,170 STRESS AND AGING AND IN TIME 2320 01:41:02,170 --> 01:41:04,072 CELLS COME TO THIS PROCESS AND 2321 01:41:04,072 --> 01:41:05,474 DIE OFF AND FRESH AND YOUNG 2322 01:41:05,474 --> 01:41:08,243 CELLS THAT WE PUT IN IF THIS IS 2323 01:41:08,243 --> 01:41:09,745 COMING TO SAME PROCESSES WE HOPE 2324 01:41:09,745 --> 01:41:12,614 IT WILL TAKE ANOTHER 80 YEARS OF 2325 01:41:12,614 --> 01:41:13,915 PATIENTS LIFE AND IF THAT 2326 01:41:13,915 --> 01:41:16,017 HAPPENS IT IS A HOME RUN AND 2327 01:41:16,017 --> 01:41:18,887 REASON WHY WE CONTINUE TO DO 2328 01:41:18,887 --> 01:41:22,124 THIS MECHANISTIC STUDIES IN PIGS 2329 01:41:22,124 --> 01:41:24,593 TRYING TO KEEP CELLS LONGER AND 2330 01:41:24,593 --> 01:41:27,662 LONGER AND ARE THEY REGENERATING 2331 01:41:27,662 --> 01:41:30,232 THESE AND BRINGING FOOD TO 2332 01:41:30,232 --> 01:41:33,902 THEMSELF AND RETINA? SEEMS THAT 2333 01:41:33,902 --> 01:41:37,372 IS HAPPENING AND HOPE SAME THING 2334 01:41:37,372 --> 01:41:42,911 WILL HAPPEN IN PATIENTS AND 2335 01:41:42,911 --> 01:41:44,746 CELLS WILL CONTINUE TO LIVE. 2336 01:41:44,746 --> 01:41:48,350 >> QUESTIONS ONLINE AND DAVID 2337 01:41:48,350 --> 01:41:52,754 JUST PUT HIS HAND UP. 2338 01:41:52,754 --> 01:41:54,890 YOU ARE ON MUTE AGAIN. 2339 01:41:54,890 --> 01:41:58,627 >> VISUAL ACUITY CRITERIA YOU 2340 01:41:58,627 --> 01:42:00,629 MENTIONED IS THAT OU OR ONLY IN 2341 01:42:00,629 --> 01:42:03,365 THE EFFECTED EYE? 2342 01:42:03,365 --> 01:42:05,400 IS IT MEASURED PIN HOLE OR 2343 01:42:05,400 --> 01:42:06,568 MEASURE CORRECTED? 2344 01:42:06,568 --> 01:42:08,136 >> THANKS FOR THAT QUESTION. 2345 01:42:08,136 --> 01:42:10,906 I DIDN'T GO INTO DETAIL IN THE 2346 01:42:10,906 --> 01:42:12,107 INTEREST OF TIME. 2347 01:42:12,107 --> 01:42:14,910 IT IS IN THE STUDY EYE THAT IS 2348 01:42:14,910 --> 01:42:18,013 THE WORST EYE OF THE PATIENT. 2349 01:42:18,013 --> 01:42:20,382 IT IS BEST CORRECTED VISION 2350 01:42:20,382 --> 01:42:25,220 WITH, YOU KNOW, BEST EFFORT 2351 01:42:25,220 --> 01:42:25,487 GLASSES. 2352 01:42:25,487 --> 01:42:27,823 >> SECOND QUESTION IS IS THIS 2353 01:42:27,823 --> 01:42:28,690 TECHNIQUE SOMETHING THAT COULD 2354 01:42:28,690 --> 01:42:33,929 BE USED FOR CRS? 2355 01:42:33,929 --> 01:42:37,032 >> CRS? 2356 01:42:37,032 --> 01:42:44,973 >> KRCENTRAL RETINO PATHY? 2357 01:42:44,973 --> 01:42:48,009 >> NO. LET ME PUT IT THIS WAY. 2358 01:42:48,009 --> 01:42:51,880 IF WE SAW EVIDENCE ON OCULAR 2359 01:42:51,880 --> 01:42:56,151 EXAM AND ALSO SEE RETINAL 2360 01:42:56,151 --> 01:42:58,053 PIGMENTED EPITHELIAL CELLS WERE 2361 01:42:58,053 --> 01:43:00,388 GONE AND DYING, THEN YES. 2362 01:43:00,388 --> 01:43:03,692 IT WOULD BE AN APPROACH. 2363 01:43:03,692 --> 01:43:07,696 IN CSCR RETINAL PIGMENTED 2364 01:43:07,696 --> 01:43:09,764 EPITHILIUM IS DISFUNCTION ALE 2365 01:43:09,764 --> 01:43:11,566 AND PATIENTS CAN RECOVER. IT IS 2366 01:43:11,566 --> 01:43:13,668 NOT COMPLETELY DEGENERATED AND 2367 01:43:13,668 --> 01:43:17,205 IS A VERY SMALL AREA, OFTEN. 2368 01:43:17,205 --> 01:43:20,876 AND SO IT -- IN THEORY, YES. 2369 01:43:20,876 --> 01:43:24,846 YOU COULD REPLACE SMALL AREAS OF 2370 01:43:24,846 --> 01:43:26,348 CELLS AND IT IS THE DISEASE 2371 01:43:26,348 --> 01:43:28,183 PROCESS OR PROGRESS THAT IS A 2372 01:43:28,183 --> 01:43:30,485 LITTLE DIFFERENT FROM MACULAR 2373 01:43:30,485 --> 01:43:33,088 DEGENERATION WHERE CELLS ARE 2374 01:43:33,088 --> 01:43:33,922 DYING OR DIED. 2375 01:43:33,922 --> 01:43:37,926 AND THEY ARE ABSENT IN THAT 2376 01:43:37,926 --> 01:43:38,126 AREA. 2377 01:43:38,126 --> 01:43:38,526 >> FINALLY. 2378 01:43:38,526 --> 01:43:38,894 >> DR. 2379 01:43:38,894 --> 01:43:41,496 >> GO AHEAD, DAVID. 2380 01:43:41,496 --> 01:43:44,766 >> FINALLY, WHAT ABOUT USE OF 2381 01:43:44,766 --> 01:43:47,869 THIS TECHNOLOGY IN TREATMENT OF 2382 01:43:47,869 --> 01:43:50,939 VISION LOSS FROM 2383 01:43:50,939 --> 01:43:51,673 [INDISCERNIBLE]? 2384 01:43:51,673 --> 01:43:54,809 >> THAT IS IN FRONT OF THE EYE 2385 01:43:54,809 --> 01:43:57,045 AND IT IS IN THE CORNEA. IT IS 2386 01:43:57,045 --> 01:43:59,080 NOT THE SAME DISEASE. IT IS 2387 01:43:59,080 --> 01:43:59,848 COMPLETELY IN A DIFFERENT PART 2388 01:43:59,848 --> 01:44:01,650 OF THE EYE. 2389 01:44:01,650 --> 01:44:03,752 THERE IS TREATMENT. TREATMENTS 2390 01:44:03,752 --> 01:44:06,821 ARE AVAILABLE FOR IT. ONE OF 2391 01:44:06,821 --> 01:44:10,892 THEM BEING CROSS-LINKING AND THE 2392 01:44:10,892 --> 01:44:14,663 OTHER BEING TRANSPLANTS THAT ARE 2393 01:44:14,663 --> 01:44:16,231 CORNEAL TRANSPLANTS PRA THF IS A 2394 01:44:16,231 --> 01:44:17,565 COMPLETELY DIFFERENT DISEASE WE 2395 01:44:17,565 --> 01:44:18,266 ARE TALKING ABOUT. 2396 01:44:18,266 --> 01:44:20,902 >> IDEA OF TISSUE GROWTH WON'T 2397 01:44:20,902 --> 01:44:21,303 WORK? 2398 01:44:21,303 --> 01:44:23,505 >> YES. I DON'T THINK THAT THE 2399 01:44:23,505 --> 01:44:26,474 IDEA OF TISSUE GROWTH WILL WORK. 2400 01:44:26,474 --> 01:44:29,778 BASE -- UNDERLYING DISEASE IN 2401 01:44:29,778 --> 01:44:32,647 THIS IS WEAKNESS OF COLLAGEN 2402 01:44:32,647 --> 01:44:35,784 FIBERS NOT NECESSARILY THAT THE 2403 01:44:35,784 --> 01:44:38,653 CELLS ARE DISFUNCTION. 2404 01:44:38,653 --> 01:44:40,322 >> THANK YOU. 2405 01:44:40,322 --> 01:44:44,025 >> DR. DEVASCAR, I SEE YOU HAVE 2406 01:44:44,025 --> 01:44:44,592 YOUR HAND UP. 2407 01:44:44,592 --> 01:44:45,627 >> THANK YOU SO MUCH. 2408 01:44:45,627 --> 01:44:47,696 >> YOU HAVE TO TURN UP THAT 2409 01:44:47,696 --> 01:44:51,232 VOLUME AGAIN. WE ARE HAVING A 2410 01:44:51,232 --> 01:44:51,599 LITTLE TROUBLE. 2411 01:44:51,599 --> 01:44:55,337 >> IT IS AS HIGH AS IT GOES ON 2412 01:44:55,337 --> 01:44:55,537 MINE. 2413 01:44:55,537 --> 01:44:56,805 >> YOU ARE CLEAR NOW. 2414 01:44:56,805 --> 01:44:59,407 >> I WANTED TO COMMEND THE TEAM 2415 01:44:59,407 --> 01:45:01,576 OF ITS PHENOMENAL WORK. MY 2416 01:45:01,576 --> 01:45:03,645 QUESTIONS ARE TWO FOLD. 2417 01:45:03,645 --> 01:45:05,480 ONE, VISION. FIRST OF ALL, I 2418 01:45:05,480 --> 01:45:06,915 DON'T KNOW HOW YOU TEST VISION 2419 01:45:06,915 --> 01:45:09,751 IN PIGS AND WHETHER THERE IS 2420 01:45:09,751 --> 01:45:11,586 SIGNIFICANT IMPROVEMENT IN THE 2421 01:45:11,586 --> 01:45:12,153 HUMAN. 2422 01:45:12,153 --> 01:45:14,022 THEN THE SECOND QUESTION IS CAN 2423 01:45:14,022 --> 01:45:17,192 THIS BE UTILIZED IN OTHER 2424 01:45:17,192 --> 01:45:18,259 RETINAL DISORDERS? 2425 01:45:18,259 --> 01:45:22,063 BEING A PEDIATRICIAN, I ALWAYS 2426 01:45:22,063 --> 01:45:25,900 WORRY ABOUT POTENTIAL RETINAL 2427 01:45:25,900 --> 01:45:27,369 DETACHMENT DUE TO OXYGEN 2428 01:45:27,369 --> 01:45:28,870 TOXICITY AND OTHER THINGS AND 2429 01:45:28,870 --> 01:45:32,540 WONDER WHAT YOUR THOUGHTS WERE 2430 01:45:32,540 --> 01:45:33,341 ABOUT THAT. 2431 01:45:33,341 --> 01:45:36,277 >> SO EXCELLENT QUESTIONS. 2432 01:45:36,277 --> 01:45:38,246 NO. WE CANNOT MEASURE VISION IN 2433 01:45:38,246 --> 01:45:39,214 PIGS. 2434 01:45:39,214 --> 01:45:43,585 WE CAN SEE THAT THE CELLS ARE 2435 01:45:43,585 --> 01:45:44,052 RECOVERING. 2436 01:45:44,052 --> 01:45:46,888 AND THAT THE OVERLYING 2437 01:45:46,888 --> 01:45:49,157 PHOTORECEPTORS ARE SUPPORTED. 2438 01:45:49,157 --> 01:45:51,960 THROUGH OCT IMAGING AND SO FORTH 2439 01:45:51,960 --> 01:45:54,629 AS DR. BHARTI SHOWED. 2440 01:45:54,629 --> 01:45:57,532 WE ARE VERY EXCITED, YES. 2441 01:45:57,532 --> 01:45:59,801 IF THIS PHASE 1 TRIAL IS 2442 01:45:59,801 --> 01:46:02,570 SUCCESSFUL WE CAN IMPLEMENT THE 2443 01:46:02,570 --> 01:46:06,908 SAME PRINCIPLE OF REPLACING RPE 2444 01:46:06,908 --> 01:46:08,676 CELLS IN OTHER DEGENERATIVE 2445 01:46:08,676 --> 01:46:10,912 DISEASES AND MAYBE IN THE FUTURE 2446 01:46:10,912 --> 01:46:14,249 WE CAN REPLACE RETINAL -- FULL 2447 01:46:14,249 --> 01:46:17,185 RETINAL, YOU KNOW, PATCHES IN 2448 01:46:17,185 --> 01:46:17,652 PATIENTS. 2449 01:46:17,652 --> 01:46:20,088 THIS IS JUST A START. WE ARE 2450 01:46:20,088 --> 01:46:22,090 VERY EXCITED ABOUT THE PROSPECT 2451 01:46:22,090 --> 01:46:24,059 OF THIS NEW THERAPY. 2452 01:46:24,059 --> 01:46:25,293 >> THANK YOU. 2453 01:46:25,293 --> 01:46:27,796 >> WOW. REALLY EXTRAORDINARY. 2454 01:46:27,796 --> 01:46:30,498 THANK YOU ALL SO MUCH. 2455 01:46:30,498 --> 01:46:31,733 >> THANK YOU. 2456 01:46:31,733 --> 01:46:34,569 >> NEXT UP, ONE OF MY FAVORITE 2457 01:46:34,569 --> 01:46:37,672 PEOPLE, BARBARA JORDAN WILL TALK 2458 01:46:37,672 --> 01:46:40,108 ABOUT OUR MAGNET AWARD. YOU 2459 01:46:40,108 --> 01:46:42,210 KNOW SHE IS THE CHIEF NURSE 2460 01:46:42,210 --> 01:46:44,646 OFFICER HERE AT THE CLINICAL 2461 01:46:44,646 --> 01:46:44,979 CENTER. 2462 01:46:44,979 --> 01:46:46,981 >> THANK YOU VERY MUCH. 2463 01:46:46,981 --> 01:46:48,116 FASCINATING PRESENTATION. 2464 01:46:48,116 --> 01:46:50,251 I SEE THAT THEY HAVE TO GO. 2465 01:46:50,251 --> 01:46:54,289 I WANT TO SAY IT IS ALSO WHAT WE 2466 01:46:54,289 --> 01:46:56,925 JUST WITNESSED AND HEARD WAS A 2467 01:46:56,925 --> 01:47:00,161 TRUE EXAMPLE OF MAGNET. 2468 01:47:00,161 --> 01:47:02,430 INTERPROFESSIONAL COLLABORATION. 2469 01:47:02,430 --> 01:47:08,203 I REALLY APPRECIATE THAT TEAM 2470 01:47:08,203 --> 01:47:09,471 MEMBERS WERE HIGHLIGHTED WITH. 2471 01:47:09,471 --> 01:47:12,440 THIS THANK YOU. GOOD MORNING. 2472 01:47:12,440 --> 01:47:14,542 WONDERFUL TO SEE ALL OF YOU AND 2473 01:47:14,542 --> 01:47:16,945 PLEASED TO BE ABLE TO SHARE 2474 01:47:16,945 --> 01:47:18,847 UPDATES AND INTERVENTION WE 2475 01:47:18,847 --> 01:47:22,016 FINISHED CELEBRATING NURSES WEEK 2476 01:47:22,016 --> 01:47:23,418 AND I'M STILL RECOVERING AND 2477 01:47:23,418 --> 01:47:26,821 WANT TO -- WE HAVE A WONDERFUL 2478 01:47:26,821 --> 01:47:28,723 NURSING DEPARTMENT AND WELLNESS 2479 01:47:28,723 --> 01:47:30,158 RECOGNITION RETENTION COMMITTEE 2480 01:47:30,158 --> 01:47:32,927 MADE UP OF DIRECT CARE NURSES 2481 01:47:32,927 --> 01:47:36,698 LED BY CHAIRPERSON THIS YEAR IS 2482 01:47:36,698 --> 01:47:39,200 CORINA BRIDGES FROM PACU AND SHE 2483 01:47:39,200 --> 01:47:42,103 WOULD RECOVER PATIENTS WE JUST 2484 01:47:42,103 --> 01:47:45,406 SAW MELISSA WHO IS ONE OF THE 2485 01:47:45,406 --> 01:47:48,877 ICU NURSES THAT COORDINATED 2486 01:47:48,877 --> 01:47:51,279 ALONG WITH JENNIFER KRAMER OUR 2487 01:47:51,279 --> 01:47:53,581 SERVICE CHIEF OF NURSING 2488 01:47:53,581 --> 01:47:55,884 OPERATIONS AND FABULOUS WEEK WE 2489 01:47:55,884 --> 01:48:00,121 HAD AWARD CEREMONY THAT IS VERY 2490 01:48:00,121 --> 01:48:01,089 IMPORTANT TO RECOGNIZE 2491 01:48:01,089 --> 01:48:01,823 EXCELLENCE THAT WE HAVE. 2492 01:48:01,823 --> 01:48:07,262 >> IF I COULD HAVE MY SLIDES, 2493 01:48:07,262 --> 01:48:07,529 PLEASE. 2494 01:48:07,529 --> 01:48:10,765 WHEN I LAST SPOKE WITH YOU IN 2495 01:48:10,765 --> 01:48:15,837 OCTOBER, WE WERE AWAITING OUR 2496 01:48:15,837 --> 01:48:16,104 DECISION. 2497 01:48:16,104 --> 01:48:17,939 NEXT SLIDE. 2498 01:48:17,939 --> 01:48:22,610 SO IN NOVEMBER 25TH IS WHEN WE 2499 01:48:22,610 --> 01:48:25,647 GOT THE NEWS REGARDING OUR 2500 01:48:25,647 --> 01:48:25,914 DECISION. 2501 01:48:25,914 --> 01:48:27,182 I BROUGHT PROPS. IF YOU CAN GO 2502 01:48:27,182 --> 01:48:30,919 TO THE IN E SLIDE, PLEASE. 2503 01:48:30,919 --> 01:48:34,822 WE ACHIEVED MAGNET DESIGNATION 2504 01:48:34,822 --> 01:48:37,792 WITH DISTINCTION. 2505 01:48:37,792 --> 01:48:40,195 WITH DISTINCTION IS NEWER 2506 01:48:40,195 --> 01:48:42,530 DESIGNATION OF AMERICAN NURSES 2507 01:48:42,530 --> 01:48:44,265 CREDENTIAL CENTER THAT 2508 01:48:44,265 --> 01:48:44,899 RECOGNIZES ORGANIZATIONS THAT 2509 01:48:44,899 --> 01:48:49,871 NOT ONLY MEET 100 STANDARDS OF 2510 01:48:49,871 --> 01:48:52,807 MAGNET BUT EXCEED IN MORE THAN 2511 01:48:52,807 --> 01:48:55,643 10 CATEGORIES OF EXEMPLAR ANDLY 2512 01:48:55,643 --> 01:48:58,046 SHARE THAT. 2513 01:48:58,046 --> 01:49:01,149 PROPS I BROUGHT ARE CERTIFICATES 2514 01:49:01,149 --> 01:49:02,817 THAT WE HAVE. 2515 01:49:02,817 --> 01:49:06,888 EVEN BETTER IS THE AWARD ITSELF. 2516 01:49:06,888 --> 01:49:17,365 I WILL JUST SET IT ON THIS. 2517 01:49:26,808 --> 01:49:29,244 AWARD WILL BE HOUSED IN THE 2518 01:49:29,244 --> 01:49:32,013 DISPLAY CASE OUTSIDE OF THE 2519 01:49:32,013 --> 01:49:32,647 MEDICAL BOARD ROOM. 2520 01:49:32,647 --> 01:49:35,984 IT WAS THRILLING AND OTHER THING 2521 01:49:35,984 --> 01:49:36,918 ABOUT MAGNA WITH DISTINCTION IS 2522 01:49:36,918 --> 01:49:39,220 AS OF THIS WRITING ONLY 22 2523 01:49:39,220 --> 01:49:40,855 ORGANIZATIONS IN THE WORLD HOLD 2524 01:49:40,855 --> 01:49:44,359 THIS LEVEL OF RECOGNITION. NEXT 2525 01:49:44,359 --> 01:49:47,428 SLIDE, PLEASE. 2526 01:49:47,428 --> 01:49:49,664 APPRAISERS IDENTIFIED 10 2527 01:49:49,664 --> 01:49:51,266 EXEMPLARS AND WANT TO SHARE IT 2528 01:49:51,266 --> 01:49:52,834 GOES TO EXCELLENCE WE HAVE AT 2529 01:49:52,834 --> 01:49:56,638 THE CLINICAL CENTER IN THE 2530 01:49:56,638 --> 01:49:57,171 OPERATING ROOM. 2531 01:49:57,171 --> 01:50:02,910 WE HAVE 62% OF NURSES AT SITE 2532 01:50:02,910 --> 01:50:06,814 VISIT HOLD BOARD CERTIFICATION 2533 01:50:06,814 --> 01:50:10,918 THAT EXCEEDS THE BENCHMARK AND 2534 01:50:10,918 --> 01:50:13,288 MAGNET EXPECTS ORGANIZATIONS TO 2535 01:50:13,288 --> 01:50:17,125 HAVE 80% OR GREATER OF 2536 01:50:17,125 --> 01:50:19,460 REGISTERED NURSES HOLDING 2537 01:50:19,460 --> 01:50:21,796 BACCALAUREATE AT DEGREE OF 2538 01:50:21,796 --> 01:50:24,065 CLINICAL CENTER WHERE 91% OF 2539 01:50:24,065 --> 01:50:25,867 NURSES HOLD BACCALAUREATE OR 2540 01:50:25,867 --> 01:50:27,101 HIGHER AND FOR QUALITY 2541 01:50:27,101 --> 01:50:28,836 INDICATORS AND PATIENT 2542 01:50:28,836 --> 01:50:32,373 INDICATORS AND DATA THAT DAVID 2543 01:50:32,373 --> 01:50:35,877 SHARED WITH YOU, OUR DATA 2544 01:50:35,877 --> 01:50:38,379 REGARDING CATHETER ASSOCIATED 2545 01:50:38,379 --> 01:50:40,848 URINARY TRACT INFECTIONS 2546 01:50:40,848 --> 01:50:42,450 OUTPERFORM THE BENCHMARK THAT WE 2547 01:50:42,450 --> 01:50:45,453 REPORT TO NATIONAL DATABASE OF 2548 01:50:45,453 --> 01:50:48,756 NURSING QUALITY INDICATORS THAT 2549 01:50:48,756 --> 01:50:51,492 [INDISCERNIBLE] MANAGES THE DATA 2550 01:50:51,492 --> 01:50:52,860 BASE NOW. WE BENCHMARK AGAINST 2551 01:50:52,860 --> 01:50:55,430 ALL HOSPITALS IN THE DATA BASE 2552 01:50:55,430 --> 01:50:56,998 AND WE EXCEED THAT. 2553 01:50:56,998 --> 01:51:02,003 OUR PATIENT FALLS WITHIN INJURY 2554 01:51:02,003 --> 01:51:04,272 AND WE OUTPERFORM THE BENCHMARK 2555 01:51:04,272 --> 01:51:06,908 WITH A TEAM OF DEDICATED 2556 01:51:06,908 --> 01:51:09,477 INTERPROFESSIONALS WORKING ON 2557 01:51:09,477 --> 01:51:10,778 PREVENTING FALLS WITH INJURIES 2558 01:51:10,778 --> 01:51:12,714 WITH OUR PATIENTS. 2559 01:51:12,714 --> 01:51:14,482 WE HAD TO EXCEED FOR 8 QUARTERS 2560 01:51:14,482 --> 01:51:17,685 FOR ALL OF THE CATEGORIES IN 2561 01:51:17,685 --> 01:51:20,054 100% OF OUR NURSING UNITS THAT 2562 01:51:20,054 --> 01:51:22,457 ARE IN PATIENT CARE UNITS. 2563 01:51:22,457 --> 01:51:24,092 NEXT SLIDE, PLEASE. 2564 01:51:24,092 --> 01:51:26,527 WE ALSO MONITOR IF THERE IS ANY 2565 01:51:26,527 --> 01:51:29,530 BURNS IN THE PROCEDURAL AREAS 2566 01:51:29,530 --> 01:51:32,133 SUCH AS OPERATING ROOM FOR 2567 01:51:32,133 --> 01:51:33,101 PROCEDURE SERVICE. 2568 01:51:33,101 --> 01:51:34,369 AGAIN, WE DIDN'T HAVE ANY. 2569 01:51:34,369 --> 01:51:36,938 WE ALSO LOOK AT UNPLANNED 2570 01:51:36,938 --> 01:51:38,906 POST-OP ITERATIVE TRANSFERS AND 2571 01:51:38,906 --> 01:51:42,777 ADMISSION AND DO GREAT PLANNING 2572 01:51:42,777 --> 01:51:43,978 PREOPERATIVELY AND SOMETIMES 2573 01:51:43,978 --> 01:51:47,949 THINGS HAPPEN AND PATIENTS NEED 2574 01:51:47,949 --> 01:51:52,720 MORE MONITOR IING. 2575 01:51:52,720 --> 01:51:54,088 WE OUTPERFORMED THE NATIONAL 2576 01:51:54,088 --> 01:51:55,990 BENCHMARK AND EXPERIENCE DATA 2577 01:51:55,990 --> 01:51:59,994 AND SAW AFORESIS CLINIC AND 2578 01:51:59,994 --> 01:52:02,430 RADIATION ONCOLOGY CLINIC 2579 01:52:02,430 --> 01:52:05,767 RECEIVED PINNACLE AWARD FROM 2580 01:52:05,767 --> 01:52:09,270 PRESS GANY AND SAFE DATA LOOKED 2581 01:52:09,270 --> 01:52:13,074 AT PATIENT CENTERED CARE WE 2582 01:52:13,074 --> 01:52:15,476 OUTPERFORM THE BENCHMARK. 2583 01:52:15,476 --> 01:52:17,578 I SKIPPED COURTESY AND RESPECT 2584 01:52:17,578 --> 01:52:18,913 THAT ARE VERY IMPORTANT AND 2585 01:52:18,913 --> 01:52:23,885 MEASURES WE LOOKED AT AS WELL 2586 01:52:23,885 --> 01:52:25,887 GIVING INDICATIONS HOW OUR 2587 01:52:25,887 --> 01:52:28,322 STAFF, NURSES AND COLLEAGUES 2588 01:52:28,322 --> 01:52:30,191 PATIENT'S PERCEPTION OF 2589 01:52:30,191 --> 01:52:32,293 INTERACTIONS WITH THEM. 2590 01:52:32,293 --> 01:52:34,862 NEXT SLIDE. 2591 01:52:34,862 --> 01:52:36,664 FINALLY LAST TWO IS 2592 01:52:36,664 --> 01:52:38,900 RESPONSIVENESS AND QUICK WILL I 2593 01:52:38,900 --> 01:52:42,570 THAT PATIENTS RECEIVED THAT THEY 2594 01:52:42,570 --> 01:52:44,005 RESPOND TO REQUEST FOR 2595 01:52:44,005 --> 01:52:46,841 ASSISTANCE FOSH THEIR NEEDS AND 2596 01:52:46,841 --> 01:52:49,210 PATIENT EXPERIENCE IS HOW THEY 2597 01:52:49,210 --> 01:52:52,079 PROCEED SAFETY IN THE CLINICAL 2598 01:52:52,079 --> 01:52:53,314 SETTING AND WE ALSO EXCEEDED 2599 01:52:53,314 --> 01:52:54,916 THAT AS WELL. 2600 01:52:54,916 --> 01:52:59,921 THAT IS WHY WE ARE MAGNA WITH 2601 01:52:59,921 --> 01:53:00,254 DISTINCTION. 2602 01:53:00,254 --> 01:53:01,789 NEXT SLIDE, PLEASE. 2603 01:53:01,789 --> 01:53:03,925 NOW WE CAN'T REST ON OUR 2604 01:53:03,925 --> 01:53:06,060 LAURELS. WE ARE IN THE NEXT 2605 01:53:06,060 --> 01:53:06,861 FOUR-YEAR PERIOD. 2606 01:53:06,861 --> 01:53:09,397 FOR THIS YEAR WE DON'T HAVE 2607 01:53:09,397 --> 01:53:13,234 INTERIM REPORTS DUE BUT DO HAVE 2608 01:53:13,234 --> 01:53:14,836 TO DO ANOTHER GAAP ANALYSIS. WE 2609 01:53:14,836 --> 01:53:17,972 KNOW WE HAVE AREAS WE NEED TO 2610 01:53:17,972 --> 01:53:18,272 STRENGTHEN. 2611 01:53:18,272 --> 01:53:20,174 WE WILL BEGIN WRITING THE 2612 01:53:20,174 --> 01:53:22,743 DOCUMENT. AS YOU RECALL, IT IS 2613 01:53:22,743 --> 01:53:24,812 THOUSANDS OF PAGES AND TAKES A 2614 01:53:24,812 --> 01:53:26,447 BIT OF TIME TO DO THAT. 2615 01:53:26,447 --> 01:53:30,885 NEXT YEAR WE HAVE TO PROVIDE 2616 01:53:30,885 --> 01:53:31,752 INTERIM REPORTS. 2617 01:53:31,752 --> 01:53:35,857 THEN IN YEAR 3, WE HAVE TO APPLY 2618 01:53:35,857 --> 01:53:36,357 AGAIN. 2619 01:53:36,357 --> 01:53:40,361 AND IN THE YEAR 4, WE CAN SUBMIT 2620 01:53:40,361 --> 01:53:42,096 OUR DOCUMENT AND HAVE ANOTHER 2621 01:53:42,096 --> 01:53:42,597 SITE VISIT. 2622 01:53:42,597 --> 01:53:46,868 IT IS STILL A BUSY FOUR YEARS. 2623 01:53:46,868 --> 01:53:49,203 NEXT SLIDE, PLEASE. 2624 01:53:49,203 --> 01:53:51,639 SO SOME ACTION ITEMS WE HAVE, WE 2625 01:53:51,639 --> 01:53:56,410 WILL REFORM AT AND RECONVENE OUR 2626 01:53:56,410 --> 01:53:58,379 MAGNA DOCUMENT TEAM TO GET GOING 2627 01:53:58,379 --> 01:54:02,283 AND PREVIOUS STORY IS AN EXAMPLE 2628 01:54:02,283 --> 01:54:03,417 OF MAGNET. 2629 01:54:03,417 --> 01:54:06,153 WE HAVE MAGNET AMBASSADOR TEAMS 2630 01:54:06,153 --> 01:54:07,288 PEOPLE AT GROUND LEVEL THAT 2631 01:54:07,288 --> 01:54:10,024 SPREAD THE MESSAGE AND WE WILL 2632 01:54:10,024 --> 01:54:12,159 -- THEY ARE ANXIOUS TO MEET. 2633 01:54:12,159 --> 01:54:15,830 AGAIN, WE HAVE HAD A LITTLE 2634 01:54:15,830 --> 01:54:16,063 PAUSE. 2635 01:54:16,063 --> 01:54:20,234 WE WILL GET EVERYTHING RAMPED UP 2636 01:54:20,234 --> 01:54:21,802 IN THE MAGNET STEERING 2637 01:54:21,802 --> 01:54:23,571 COMMITTEE. WE WILL GET THAT 2638 01:54:23,571 --> 01:54:25,606 GOING AGAIN AND IDENTIFYING 2639 01:54:25,606 --> 01:54:27,575 EXAMPLES HOW WE MEET MAGNET. WE 2640 01:54:27,575 --> 01:54:29,010 HAVE HEARD IN PREVIOUS 2641 01:54:29,010 --> 01:54:30,545 PRESENTATIONS THAT WE HAD A 2642 01:54:30,545 --> 01:54:32,280 NUMBER OF PEOPLE LEAVE OUR 2643 01:54:32,280 --> 01:54:36,984 MAGNET PROGRAM DIRECTOR, RACHEL 2644 01:54:36,984 --> 01:54:38,152 COMEZ MADE THE DECISION TO 2645 01:54:38,152 --> 01:54:40,855 RETIRE AND FOCUS ON HER STUDIES. 2646 01:54:40,855 --> 01:54:42,890 SHE IS PURSUING A DOCTOR OF 2647 01:54:42,890 --> 01:54:45,293 NURSING PRACTICE THAT IS FOCUSED 2648 01:54:45,293 --> 01:54:46,861 IN HEALTH POLICY. 2649 01:54:46,861 --> 01:54:49,697 RACHEL RETIRED IN APRIL. I 2650 01:54:49,697 --> 01:54:51,899 THANK HER SO MUCH FOR EVERYTHING 2651 01:54:51,899 --> 01:54:54,869 SHE DID AND IN GETTING US TO 2652 01:54:54,869 --> 01:54:56,070 MAGNET WITH DISTINCTION. 2653 01:54:56,070 --> 01:55:00,174 I AM CURRENTLY SURFING AS MAGNET 2654 01:55:00,174 --> 01:55:01,676 PROGRAM DIRECTOR. 2655 01:55:01,676 --> 01:55:03,911 SO IT IS FINE AND HAPPY TO SERVE 2656 01:55:03,911 --> 01:55:04,879 IN THAT ROLE. 2657 01:55:04,879 --> 01:55:06,914 NEXT SLIDE. 2658 01:55:06,914 --> 01:55:09,850 AND I WANT TO THANK THE BOARD. 2659 01:55:09,850 --> 01:55:11,852 YOU PARTICIPATED IN OUR SITE 2660 01:55:11,852 --> 01:55:12,219 VISIT. 2661 01:55:12,219 --> 01:55:14,088 SOME OF YOU ALSO PARTICIPATED IN 2662 01:55:14,088 --> 01:55:15,790 THE COMMUNITY ENGAGEMENT. 2663 01:55:15,790 --> 01:55:19,694 AND YOU REALLY HELPED MAKE A 2664 01:55:19,694 --> 01:55:19,994 DIFFERENCE. 2665 01:55:19,994 --> 01:55:21,963 SHOWING THE APPRAISERS REALLY 2666 01:55:21,963 --> 01:55:23,698 HOW SPECIAL THE CLINICAL CENTER 2667 01:55:23,698 --> 01:55:24,131 IS. 2668 01:55:24,131 --> 01:55:25,499 I THANK YOU SO MUCH. 2669 01:55:25,499 --> 01:55:30,438 AND I AM OPEN FOR ANY QUESTIONS. 2670 01:55:30,438 --> 01:55:32,740 >> THANK YOU, REGINA. 2671 01:55:32,740 --> 01:55:35,676 >> THANK YOU VERY MUCH, BARBARA. 2672 01:55:35,676 --> 01:55:37,011 GREAT PRESENTATION AND 2673 01:55:37,011 --> 01:55:37,411 CONGRATULATIONS. 2674 01:55:37,411 --> 01:55:40,982 I THINK THAT IT IS AN INCREDIBLE 2675 01:55:40,982 --> 01:55:42,483 HONOR AND REFLECTION OF WORK YOU 2676 01:55:42,483 --> 01:55:42,917 HAVE DONE. 2677 01:55:42,917 --> 01:55:45,753 I WAS THINKING IN THE LAST 2678 01:55:45,753 --> 01:55:46,887 PRESENTATION ALSO THAT I WAS 2679 01:55:46,887 --> 01:55:48,422 REALLY IMPRESSED WHEN SHE TOLD 2680 01:55:48,422 --> 01:55:50,591 THE STORY ABOUT THE NURSE 2681 01:55:50,591 --> 01:55:51,459 IDENTIFYING THE SAFETY WHEN THEY 2682 01:55:51,459 --> 01:55:53,694 ARE OPERATING IN THE DARK AND 2683 01:55:53,694 --> 01:55:56,130 SHE PUT VELCRO THINGS AND THEY 2684 01:55:56,130 --> 01:55:57,365 CARRY THAT TO THE OTHER 2685 01:55:57,365 --> 01:55:58,899 SURGERIES AND SEEMS IT SHOULD BE 2686 01:55:58,899 --> 01:56:01,636 REALLY A STORY FOR YOUR NEXT 2687 01:56:01,636 --> 01:56:02,336 MAGNET APPLICATION. 2688 01:56:02,336 --> 01:56:05,406 ONE THING I DID WANT TO SAY WAS 2689 01:56:05,406 --> 01:56:08,442 I IMAGINE THAT THE 2690 01:56:08,442 --> 01:56:10,444 ACCOMPLISHMENT WAS REALLY 2691 01:56:10,444 --> 01:56:12,380 UPLIFTING FOR THE TEAMS. 2692 01:56:12,380 --> 01:56:14,649 ONE THING THAT I THINK IS REALLY 2693 01:56:14,649 --> 01:56:15,950 IMPRESSIVE IS THAT WE HAVE 2694 01:56:15,950 --> 01:56:18,653 LISTENED TO ALL OF THE REPORTS 2695 01:56:18,653 --> 01:56:21,922 TODAY. DR. SCHOR AND THE 2696 01:56:21,922 --> 01:56:22,256 OTHERS. 2697 01:56:22,256 --> 01:56:23,457 DESPITE ALL OF THE PRESSURES YOU 2698 01:56:23,457 --> 01:56:26,894 ARE UNDER, YOU ARE CONTINUING TO 2699 01:56:26,894 --> 01:56:28,062 PERSEVERE AND CONTINUING TO 2700 01:56:28,062 --> 01:56:28,329 RISE. 2701 01:56:28,329 --> 01:56:30,898 THAT IS REALLY AN INCREDIBLE 2702 01:56:30,898 --> 01:56:35,236 TRIBUTE TO ALL OF THE 2703 01:56:35,236 --> 01:56:36,170 LEADERSHIP. 2704 01:56:36,170 --> 01:56:38,139 IT IS PERVASIVE IN ALL OF THE 2705 01:56:38,139 --> 01:56:40,041 PRESENTATIONS AND I WANTED TO 2706 01:56:40,041 --> 01:56:41,776 SAY THAT IS REALLY COMMENDABLE 2707 01:56:41,776 --> 01:56:43,611 AND SOMETHING WE SHOULD BE 2708 01:56:43,611 --> 01:56:45,613 REALLY PROUD OF. THANKS. 2709 01:56:45,613 --> 01:56:47,648 >> WONDERFUL. DAVID, I SEE YOU 2710 01:56:47,648 --> 01:56:48,482 HAVE YOUR HAND UP. 2711 01:56:48,482 --> 01:56:52,953 >> THIS TIME I TOOK THE MUTE 2712 01:56:52,953 --> 01:56:53,788 OFF. 2713 01:56:53,788 --> 01:56:55,489 >> DR. JORDAN DO YOU OFF THE TOP 2714 01:56:55,489 --> 01:56:58,159 OF YOUR HEAD HAVE AN IDEA OF THE 2715 01:56:58,159 --> 01:56:59,694 TOTAL NUMBER OF NURSES THAT ARE 2716 01:56:59,694 --> 01:57:02,129 IN THE CLINICAL CENTER NOT 2717 01:57:02,129 --> 01:57:05,733 DIRECTLY ENGAGED IN PATIENT 2718 01:57:05,733 --> 01:57:06,167 CARE? 2719 01:57:06,167 --> 01:57:08,602 >> I CANNOT GIVE A NUMBER OFF 2720 01:57:08,602 --> 01:57:10,905 THE TOP OF MY HEAD. 2721 01:57:10,905 --> 01:57:14,475 WE HAVE, YOU KNOW, SOME IN THE 2722 01:57:14,475 --> 01:57:16,510 NURSING DEPARTMENT. WE -- 2723 01:57:16,510 --> 01:57:17,778 NURSES THROUGHOUT THE CLINICAL 2724 01:57:17,778 --> 01:57:20,281 CENTER WE HAVE NURSES WORKING IN 2725 01:57:20,281 --> 01:57:22,883 DCRI AND ALSO I DON'T -- I CAN'T 2726 01:57:22,883 --> 01:57:25,519 REALLY GIVE THE NUMBER OF -- 2727 01:57:25,519 --> 01:57:28,189 BECAUSE MOST IN ONE WAY OR 2728 01:57:28,189 --> 01:57:29,857 ANOTHER ARE INVOLVED IN DIRECT 2729 01:57:29,857 --> 01:57:32,293 PATIENT CARE AND SUPPORTING 2730 01:57:32,293 --> 01:57:32,927 PATIENT CARE. 2731 01:57:32,927 --> 01:57:34,195 >> THE REASON I ASK THAT 2732 01:57:34,195 --> 01:57:35,262 QUESTION IS I DON'T THINK LOTS 2733 01:57:35,262 --> 01:57:38,299 OF PEOPLE REALIZE THE EXTENT TO 2734 01:57:38,299 --> 01:57:40,468 WHICH PRESENCE OF NURSING -- OF 2735 01:57:40,468 --> 01:57:41,869 NURSES IN VARIOUS DEPARTMENTS 2736 01:57:41,869 --> 01:57:44,472 WITHIN THE CLINICAL CENTER 2737 01:57:44,472 --> 01:57:46,207 PROVIDES AN EXTRA LEVEL OF INPUT 2738 01:57:46,207 --> 01:57:47,241 THAT WOULDN'T OTHERWISE BE 2739 01:57:47,241 --> 01:57:47,508 PRESENT. 2740 01:57:47,508 --> 01:57:49,844 I KNOW I WORK WITH THEM AND WORK 2741 01:57:49,844 --> 01:57:53,447 WITH THEM IN DCRI AND BIOMEDICAL 2742 01:57:53,447 --> 01:57:56,684 AND OTHER AREAS. 2743 01:57:56,684 --> 01:58:00,187 THE MAGNET WITH DISTINCTION IS A 2744 01:58:00,187 --> 01:58:02,022 REAL TRIBUTE TO THE QUALITY OF 2745 01:58:02,022 --> 01:58:04,558 THE NURSING STAFF THROUGHOUT THE 2746 01:58:04,558 --> 01:58:06,427 CLINICAL CENTER AS WELL AS THEIR 2747 01:58:06,427 --> 01:58:08,596 ROLE IN MAKING THE PATIENT'S 2748 01:58:08,596 --> 01:58:10,531 LIVES BETTER NOT JUST THROUGH 2749 01:58:10,531 --> 01:58:11,999 PATIENT CARE BUT THROUGH THE 2750 01:58:11,999 --> 01:58:14,034 SYSTEMS THAT SUPPORT PATIENT 2751 01:58:14,034 --> 01:58:14,835 CARE. 2752 01:58:14,835 --> 01:58:17,338 >> ABSOLUTELY. THEY WERE 2753 01:58:17,338 --> 01:58:18,939 INCLUDED IN ANY OF THE 2754 01:58:18,939 --> 01:58:20,875 DENOMINATORS THAT WE HAVE. SO 2755 01:58:20,875 --> 01:58:23,477 THAT BSN OR HIGHER RATE, THAT 2756 01:58:23,477 --> 01:58:24,845 INCLUDES ALL OF THE NURSES IN 2757 01:58:24,845 --> 01:58:25,980 THE CLINICAL CENTER. 2758 01:58:25,980 --> 01:58:28,382 THAT WAS ONE OF THE THINGS THAT 2759 01:58:28,382 --> 01:58:30,818 WAS AN EVOLUTION OF OUR JOURNEY. 2760 01:58:30,818 --> 01:58:33,521 IT STARTED AS A NURSING 2761 01:58:33,521 --> 01:58:35,990 DEPARTMENT. IT BECAME A TRULY 2762 01:58:35,990 --> 01:58:37,525 CLINICAL CENTER INITIATIVE. 2763 01:58:37,525 --> 01:58:39,126 THIS DOES INCLUDE ALL OF THE 2764 01:58:39,126 --> 01:58:41,061 NURSES IN THE CLINICAL CENTER. 2765 01:58:41,061 --> 01:58:43,097 >> WELL I -- 2766 01:58:43,097 --> 01:58:45,232 >> IT IS NOT JUST 2767 01:58:45,232 --> 01:58:46,433 [INDISCERNIBLE] ENTIRE CLINICAL 2768 01:58:46,433 --> 01:58:46,901 CENTER TEAM. 2769 01:58:46,901 --> 01:58:47,835 >> YEAH. 2770 01:58:47,835 --> 01:58:48,102 >> YEAH. 2771 01:58:48,102 --> 01:58:48,903 >> OKAY. 2772 01:58:48,903 --> 01:58:49,870 >> WELL, THANK YOU. 2773 01:58:49,870 --> 01:58:54,909 >> THAT W POINT /* WAS MY POINT 2774 01:58:54,909 --> 01:58:58,913 >> YEAH. THANK YOU VERY MUCH, 2775 01:58:58,913 --> 01:58:59,713 BARBARA. 2776 01:58:59,713 --> 01:59:00,481 >> YEAH. 2777 01:59:00,481 --> 01:59:06,887 >> NEXT WE WILL HEAR FROM DR. 2778 01:59:06,887 --> 01:59:09,089 LEIGHTON CHAN, OUR CHIEF 2779 01:59:09,089 --> 01:59:10,291 SCIENTIFIC OFFICER FOR HIS 2780 01:59:10,291 --> 01:59:10,524 REPORT. 2781 01:59:10,524 --> 01:59:13,027 >> THANK YOU. CAN I HAVE THE 2782 01:59:13,027 --> 01:59:13,694 SLIDES, PLEASE? 2783 01:59:13,694 --> 01:59:15,529 IT IS AN HONOR TO PRESENT TO ALL 2784 01:59:15,529 --> 01:59:18,232 OF YOU. 2785 01:59:18,232 --> 01:59:22,903 NEXT SLIDE, PLEASE. 2786 01:59:22,903 --> 01:59:24,872 SO THIS IS MY FIRST OPPORTUNITY 2787 01:59:24,872 --> 01:59:25,706 TO COME BEFORE THE BOARD AND 2788 01:59:25,706 --> 01:59:27,508 THOUGHT I WOULD SPEND A COUPLE 2789 01:59:27,508 --> 01:59:29,243 MINUTES INTRODUCING MYSELF AND 2790 01:59:29,243 --> 01:59:31,612 WILL TAKE A MINUTE TO TALK ABOUT 2791 01:59:31,612 --> 01:59:34,081 MY VISION AND GOALS FOR 2792 01:59:34,081 --> 01:59:34,815 INTRAMURAL PROGRAM FUNDED 2793 01:59:34,815 --> 01:59:36,750 THROUGH THE CLINICAL CENTER AND 2794 01:59:36,750 --> 01:59:38,452 ORGANIZATION AND STAFFING AND 2795 01:59:38,452 --> 01:59:40,221 SOME METRICS OF SUCCESS. I WILL 2796 01:59:40,221 --> 01:59:42,890 TALK A LITTLE BIT ABOUT THE 2797 01:59:42,890 --> 01:59:46,160 RASCAL AWARDS TO INCENTIVIZE 2798 01:59:46,160 --> 01:59:47,094 RECRUITMENT AND RETENTION OF 2799 01:59:47,094 --> 01:59:48,596 STAFF CLINICIANS. I WILL GIVE 2800 01:59:48,596 --> 01:59:51,232 YOU THREE EXAMPLES OF EXCITING 2801 01:59:51,232 --> 01:59:52,967 SCIENCE THAT WE ARE PRESENTING 2802 01:59:52,967 --> 01:59:56,437 OR DOING. NEXT SLIDE, PLEASE. 2803 01:59:56,437 --> 01:59:58,472 I HAVE BEEN IN THE ROLE FOR A 2804 01:59:58,472 --> 02:00:01,475 COUPLE OF YEARS NOW AS CHIEF 2805 02:00:01,475 --> 02:00:02,910 SCIENCE OFFICER. YOU KNOW JOHN 2806 02:00:02,910 --> 02:00:05,579 WHEN HE RETIRED IN THAT POSITION 2807 02:00:05,579 --> 02:00:08,182 AND I WAS GIVEN THAT ACTING ROLE 2808 02:00:08,182 --> 02:00:09,950 THAT I DID FOR ABOUT A YEAR AND 2809 02:00:09,950 --> 02:00:12,887 A HALF AND BECAME THE FORMAL CSO 2810 02:00:12,887 --> 02:00:15,456 IN OCTOBER OF 2024. 2811 02:00:15,456 --> 02:00:17,892 >> IT IS SLIGHTLY A DIFFERENT 2812 02:00:17,892 --> 02:00:21,662 POSITION THAN A STANDARD IC 2813 02:00:21,662 --> 02:00:22,897 SCIENTIFIC DIRECTOR AND REPORT 2814 02:00:22,897 --> 02:00:28,669 TO PIUS AS A SCIENTIFIC DIRECTOR 2815 02:00:28,669 --> 02:00:30,237 SUPERVISING INVESTIGATORS STAFF 2816 02:00:30,237 --> 02:00:31,772 SCIENTISTS AND STUDENTS POST 2817 02:00:31,772 --> 02:00:34,909 BACKS AND POST DOCS AND REPORT 2818 02:00:34,909 --> 02:00:41,048 TO NINA SCHOR FOR ALL CLINICAL 2819 02:00:41,048 --> 02:00:42,483 PROTOCALS RELATED TO SCIENTIFIC 2820 02:00:42,483 --> 02:00:44,985 REVIEW AND ONGOING SCIENTIFIC 2821 02:00:44,985 --> 02:00:47,788 REVIEW IS PERFORMED ON TIME AND 2822 02:00:47,788 --> 02:00:50,591 APPROPRIATELY AND ALSO I HELP 2823 02:00:50,591 --> 02:00:51,825 MONITOR COMPLIANCE WITH 2824 02:00:51,825 --> 02:00:52,927 REPORTING RESULTS OF ALL 2825 02:00:52,927 --> 02:00:58,899 CLINICAL TRIALS INTO CLINICAL 2826 02:00:58,899 --> 02:01:09,076 TRIALS 2827 02:01:21,288 --> 02:01:21,655 TRIALS.GOV. 2828 02:01:21,655 --> 02:01:23,557 FACULTY IN SEATTLE ABOUT 10 2829 02:01:23,557 --> 02:01:25,392 YEARS BEFORE COMING HERE TO THE 2830 02:01:25,392 --> 02:01:28,796 CLINICAL CENTER I WAS RECRUITED 2831 02:01:28,796 --> 02:01:39,440 BY JOHN IN 2007 WHERE ITEST IS H 2832 02:01:44,945 --> 02:01:45,946 WHETHER IT'S CLINICAL TRIALS, 2833 02:01:45,946 --> 02:01:46,880 NATURAL HISTORY STUDIES ISSUES 2834 02:01:46,880 --> 02:01:48,716 LATELY WE'VE BEEN DOING A LOT OF 2835 02:01:48,716 --> 02:01:51,719 WORK ON NATURAL LANGUAGE 2836 02:01:51,719 --> 02:01:52,653 PROCESSING AND ARTIFICIAL 2837 02:01:52,653 --> 02:02:01,628 INTELLIGENCE IN LARGE DATABASES. 2838 02:02:01,628 --> 02:02:03,297 EXERCISE TRIALS IN PULMONARY 2839 02:02:03,297 --> 02:02:05,032 HYPERTENSION AND OTHER RARE 2840 02:02:05,032 --> 02:02:06,934 DISEASES LIKE IPF, WE ACTUALLY 2841 02:02:06,934 --> 02:02:09,636 HAVE FINISHING UP NOW A VERY 2842 02:02:09,636 --> 02:02:11,805 LARGE EXERCISE TRIAL IN LONG 2843 02:02:11,805 --> 02:02:12,339 COVID. 2844 02:02:12,339 --> 02:02:14,008 I ALSO HAVE AN INTEREST IN 2845 02:02:14,008 --> 02:02:16,310 TRAUMATIC BRAIN INJURY AND HAVE 2846 02:02:16,310 --> 02:02:19,847 1 OF THE LARGER AND MORE LONG 2847 02:02:19,847 --> 02:02:20,981 STANDING TRAUMATIC BRAIN INJURY 2848 02:02:20,981 --> 02:02:22,149 AND NATURAL HISTORY STUDIES AND 2849 02:02:22,149 --> 02:02:24,118 I'M PART OF A COLLABORATION, 1 2850 02:02:24,118 --> 02:02:28,622 OF THE LARGEST TRAUMATIC BRAIN 2851 02:02:28,622 --> 02:02:30,124 INJURY COLLABORATIONS THAT LINKS 2852 02:02:30,124 --> 02:02:31,458 THE DEPARTMENT OF DEFENSE AND 2853 02:02:31,458 --> 02:02:33,861 USU WITH THE NIH INTRAMURAL 2854 02:02:33,861 --> 02:02:34,094 PROGRAM. 2855 02:02:34,094 --> 02:02:36,830 I HAVE A COUPLE HUNDRED 2856 02:02:36,830 --> 02:02:38,098 PUBLICATIONS INCLUDING 11 IN THE 2857 02:02:38,098 --> 02:02:40,100 NEW ENGLAND JOURNAL AND JAMA AND 2858 02:02:40,100 --> 02:02:43,037 I WAS ELECTED TO THE ACADEMY -- 2859 02:02:43,037 --> 02:02:44,571 NATIONAL ACADEMY OF MEDICINE IN 2860 02:02:44,571 --> 02:02:47,975 2 THIS HAPPENED 2861 02:02:47,975 --> 02:02:48,442 2 -- 2007. 2862 02:02:48,442 --> 02:02:49,143 NEXT SLIDE ISSUE PLEASE. 2863 02:02:49,143 --> 02:02:54,548 IN EMERGING -- TERMS OF VISION, 2864 02:02:54,548 --> 02:02:58,152 YOU HEARD A LOT ABOUT THE NEW 2865 02:02:58,152 --> 02:03:00,387 NIH DIRECTOR AIMS AS WELL AS 2866 02:03:00,387 --> 02:03:02,022 PILE AND NINA AND I WILL ECHO 2867 02:03:02,022 --> 02:03:06,226 THOSE, I THINK WE FALL, OUR 2868 02:03:06,226 --> 02:03:08,328 RESEARCH FALLS SQUARELY IN THIS 2869 02:03:08,328 --> 02:03:10,364 AREA SO 1 BEING TO IMPROVE 2870 02:03:10,364 --> 02:03:12,332 POPULATION HEALTH BY FOCUSING ON 2871 02:03:12,332 --> 02:03:14,401 CHRONIC DISEASES, THE OTHER 2872 02:03:14,401 --> 02:03:17,237 THING IS SOMETHING THAT THE 2873 02:03:17,237 --> 02:03:21,608 DOCTOR SAID MONDAY, IN HIS TOWN 2874 02:03:21,608 --> 02:03:23,777 HALL WHICH IS BE AMBITIOUS AND 2875 02:03:23,777 --> 02:03:27,748 DON'T BE AFRAID TO FAIL. 2876 02:03:27,748 --> 02:03:32,553 MY OFFICE IS RIGHT NEXT DOOR TO 2877 02:03:32,553 --> 02:03:33,720 HARVEY ALTERS OFFICE AND HARVEY 2878 02:03:33,720 --> 02:03:35,989 AS YOU KNOW WON THE NOBEL PRIZE 2879 02:03:35,989 --> 02:03:38,125 FOR HIS WORK ON HEPATITIS JUST A 2880 02:03:38,125 --> 02:03:38,892 FEW YEARS AGO. 2881 02:03:38,892 --> 02:03:40,861 SO IT'S NOT HARD TO WALK DOWN 2882 02:03:40,861 --> 02:03:41,795 THAT HALL AND REALIZE WE HAVE 2883 02:03:41,795 --> 02:03:43,664 THE POSSIBILITY AND THE 2884 02:03:43,664 --> 02:03:44,731 OBLIGATION TO LITERALLY CHANGE 2885 02:03:44,731 --> 02:03:44,998 THE WORLD. 2886 02:03:44,998 --> 02:03:46,567 WE CAN DO THAT IF WE'RE 2887 02:03:46,567 --> 02:03:49,069 AMBITIOUS AND SO THAT'S 2888 02:03:49,069 --> 02:03:51,205 SOMETHING THAT FOR ME IS A REAL 2889 02:03:51,205 --> 02:03:55,309 SORT OF A NORTH STAR TO BE 2890 02:03:55,309 --> 02:03:56,110 AMBITIOUS. 2891 02:03:56,110 --> 02:03:57,244 MAINTAIN SAFETY AND TRANSPARENCY 2892 02:03:57,244 --> 02:04:02,116 AND EVERYTHING THAT WE DO, 2893 02:04:02,116 --> 02:04:05,953 REDUCE THE USE OF ANIMALS IN 2894 02:04:05,953 --> 02:04:07,554 RESEARCH, ENCOURAGE RELIABLE 2895 02:04:07,554 --> 02:04:08,722 RESULTINGS, INSURE ACADEMIC 2896 02:04:08,722 --> 02:04:10,357 FREEDOM, THESE ARE ALL EASY 2897 02:04:10,357 --> 02:04:11,291 CONCEPTS TO GET BEHIND. 2898 02:04:11,291 --> 02:04:13,127 I WOULD LIKE TO TAKE A STEP BACK 2899 02:04:13,127 --> 02:04:14,862 AND UNDERSTAND WHY IT IS THAT WE 2900 02:04:14,862 --> 02:04:16,296 ACTUALLY HAVE INDIVIDUAL FUNDED 2901 02:04:16,296 --> 02:04:18,365 RESEARCHERS WITHIN THE CONTEXT 2902 02:04:18,365 --> 02:04:18,799 OF THE HOSPITAL? 2903 02:04:18,799 --> 02:04:20,767 AS YOU KNOW THE CLINICAL CENTER 2904 02:04:20,767 --> 02:04:22,136 REALLY IS A LARGE SERVICE CENTER 2905 02:04:22,136 --> 02:04:25,239 FOR THE REST OF THE ICs, WE 2906 02:04:25,239 --> 02:04:26,373 PROVIDE THE CLINICAL ENVIRONMENT 2907 02:04:26,373 --> 02:04:28,008 WHERE PEOPLE CAN DO THEIR 2908 02:04:28,008 --> 02:04:30,611 RESEARCH, BUT TO RECRUIT AND 2909 02:04:30,611 --> 02:04:31,879 RETAIN THE PEOPLE THAT WE NEED 2910 02:04:31,879 --> 02:04:34,815 TO RUN A HIGH QUALITY HOSPITAL, 2911 02:04:34,815 --> 02:04:37,184 WE NEED TO INCENTIVIZE THEM, THE 2912 02:04:37,184 --> 02:04:38,685 SALARIES ARE MUCH LOWER THAN YOU 2913 02:04:38,685 --> 02:04:40,988 CAN GET ON THE OUTSIDE AND SO TO 2914 02:04:40,988 --> 02:04:43,857 BRING PEOPLE IN AND TO KEEP THEM 2915 02:04:43,857 --> 02:04:45,259 HERE, WE PROVIDE THEM RESEARCH 2916 02:04:45,259 --> 02:04:48,662 RESOURCES AND SO THAT'S REALLY 2917 02:04:48,662 --> 02:04:51,231 WHAT I FEEL MY GOAL S&P TO USE 2918 02:04:51,231 --> 02:04:53,534 THE RESEARCH RESOURCES THAT 2919 02:04:53,534 --> 02:04:54,701 WE'RE GIVEN TO ENHANCE 2920 02:04:54,701 --> 02:04:59,006 RECRUITMENT AND RETENTION OF 2921 02:04:59,006 --> 02:05:00,374 HIGH QUALITY CLINICIANS HAVING 2922 02:05:00,374 --> 02:05:02,476 SAID THAT, WE CAN'T DEMAND 2923 02:05:02,476 --> 02:05:03,977 EXCELLENCE, THERE'S NO REASON WE 2924 02:05:03,977 --> 02:05:06,146 CAN'T DEMAND THE SAME LEVEL OF 2925 02:05:06,146 --> 02:05:06,847 QUALITY AND IMPORTANCE OF THE 2926 02:05:06,847 --> 02:05:09,583 RESEARCH THAT WE DO AS YOU WOULD 2927 02:05:09,583 --> 02:05:11,785 IN ANY OTHER IC, MY GOAL, MY 2928 02:05:11,785 --> 02:05:13,520 PARTICULAR PET PEEVE IS TO GET 2929 02:05:13,520 --> 02:05:15,055 ACTUALLY OUR FINDINGS OUT INTO 2930 02:05:15,055 --> 02:05:16,857 THE COMMUNITY, SO REALLY TO 2931 02:05:16,857 --> 02:05:19,459 FORCE TRANSLATION AND TO GET OUR 2932 02:05:19,459 --> 02:05:21,795 FINDINGS OUT SO THAT THEY'RE 2933 02:05:21,795 --> 02:05:22,429 USED BY PEOPLE. 2934 02:05:22,429 --> 02:05:24,598 ALSO, WE NEED TO ENHANCE 2935 02:05:24,598 --> 02:05:25,532 UTILIZATION OF THE CLINICAL 2936 02:05:25,532 --> 02:05:26,600 CENTER, THAT'S A CONCEPT THAT 2937 02:05:26,600 --> 02:05:29,536 YOU ALL KNOW ABOUT. 2938 02:05:29,536 --> 02:05:35,142 WE DON'T HAVE A HUGE BUDGET, FOR 2939 02:05:35,142 --> 02:05:36,910 OBVIOUS REASONS WE KEEP THE 2940 02:05:36,910 --> 02:05:37,744 BUNLET RELATIVELY SMALL, IT'S 2941 02:05:37,744 --> 02:05:42,115 ALWAYS BEEN SORT OF LESS THAN 5% 2942 02:05:42,115 --> 02:05:43,617 OF THE ENTIRE CLINICAL CENTER 2943 02:05:43,617 --> 02:05:43,850 BUDGET. 2944 02:05:43,850 --> 02:05:45,953 I THINK WE'RE AT 4.3% NOW, AND 2945 02:05:45,953 --> 02:05:48,922 THEN MY LAST PIECE IS THAT WE 2946 02:05:48,922 --> 02:05:50,891 NEED TO RETAIN THE ABILITY OF 2947 02:05:50,891 --> 02:05:54,761 THE CLINICAL CENTER TO BE A TOP 2948 02:05:54,761 --> 02:05:56,029 TRAINING GROUND FOR STUDENTS AND 2949 02:05:56,029 --> 02:05:57,231 FOR CLINICIANS. 2950 02:05:57,231 --> 02:06:04,871 THERE'S A COUPLE OF CHALLENGES 2951 02:06:04,871 --> 02:06:06,773 NOW, OBVIOUSLY THE UNIONIZATION 2952 02:06:06,773 --> 02:06:11,211 OF THE STUDENTS HAS CAUSED SOME 2953 02:06:11,211 --> 02:06:12,713 CHALLENGES AS WELL AS CHALLENGES 2954 02:06:12,713 --> 02:06:13,914 WITH THE NEW ADMINISTRATION AND 2955 02:06:13,914 --> 02:06:16,783 THE NEW FOCUS BUT THE THINK THE 2956 02:06:16,783 --> 02:06:18,085 CORE THESIS THAT ARE REQUIRED TO 2957 02:06:18,085 --> 02:06:21,154 HAVE A FABULOUS TRAINING CENTER, 2958 02:06:21,154 --> 02:06:24,725 ACCESS TO PATIENT, ACCESS TO 2959 02:06:24,725 --> 02:06:25,559 MOTIVATED HIGH QUALITY MENTORS 2960 02:06:25,559 --> 02:06:28,895 AND SORT OF A THRIVING SET OF 2961 02:06:28,895 --> 02:06:30,597 LABS, THEY'RE ALL STILL HERE, 2962 02:06:30,597 --> 02:06:32,933 AND SO ONCE WE CAN GET THROUGH 2963 02:06:32,933 --> 02:06:37,704 SOME OF THIS STUFF, I THINK WE 2964 02:06:37,704 --> 02:06:39,206 WILL BE FINE. 2965 02:06:39,206 --> 02:06:39,906 NEXT SLIDE, PLEASE. 2966 02:06:39,906 --> 02:06:42,209 SO WHO ACTUALLY GETS RESEARCH 2967 02:06:42,209 --> 02:06:44,077 FUNDING IN THE CLINICAL 2968 02:06:44,077 --> 02:06:44,745 TRUSTEES? 2969 02:06:44,745 --> 02:06:45,879 WELL, THERE ARE 12 DEPARTMENTS 2970 02:06:45,879 --> 02:06:52,019 THAT GET RESEARCH FUNDING, 2971 02:06:52,019 --> 02:06:57,958 PEDIATRICS, EPIDEMIOLOGY, AND 2972 02:06:57,958 --> 02:06:58,659 BIOSTATISTICS, BIOETHICS, 2973 02:06:58,659 --> 02:07:00,127 PERIOPERATIVE MEDICINE, LAB 2974 02:07:00,127 --> 02:07:04,598 MEDICINE WITH KAREN FRANK, 2975 02:07:04,598 --> 02:07:07,000 KITICAL CARE MEDICINE THEY GET A 2976 02:07:07,000 --> 02:07:09,236 VERY LARGE BUDGET AND THEY'RE 2977 02:07:09,236 --> 02:07:10,637 VERY, VERY SUCCESSFUL. 2978 02:07:10,637 --> 02:07:11,471 MY OLD MEDICINE DEPARTMENT WHICH 2979 02:07:11,471 --> 02:07:12,973 WE WILL HEAR ABOUT WHEN WE TALK 2980 02:07:12,973 --> 02:07:16,343 ABOUT SOME OF THE SCIENCE, DAVE 2981 02:07:16,343 --> 02:07:18,545 STRONCHECK, YOU SAW HIS WORK AS 2982 02:07:18,545 --> 02:07:20,180 A COLLABORATOR WITH NEI BUT HE 2983 02:07:20,180 --> 02:07:22,149 HAS HIS OWN INDIVIDUAL RESEARCH 2984 02:07:22,149 --> 02:07:23,050 THAT HE DOES. 2985 02:07:23,050 --> 02:07:24,084 RADIOLOGY AND ACADEMIC SCIENCES 2986 02:07:24,084 --> 02:07:26,219 YOU WILL SEE A COUPLE OF THOSE 2987 02:07:26,219 --> 02:07:29,623 PROGGENTS, THEY HAVE A LARGE OR 2988 02:07:29,623 --> 02:07:30,991 LARGER BUDGET COMPARATIVELY. 2989 02:07:30,991 --> 02:07:32,092 THE TRANSLATIONAL BEHAVIORIAL 2990 02:07:32,092 --> 02:07:34,428 AND HEALTH PROMOTION BRANCH WAS 2991 02:07:34,428 --> 02:07:37,631 RUN BY GWEN WALLEN, SHE HAS 2992 02:07:37,631 --> 02:07:39,533 SINCE RETIRED AND GEN BARB IS 2993 02:07:39,533 --> 02:07:41,301 NOW RUNNING THAT. 2994 02:07:41,301 --> 02:07:43,704 THAT IS THE -- SORT OF THE 2995 02:07:43,704 --> 02:07:44,871 LEGACY RESEARCH BRANCH THAT USED 2996 02:07:44,871 --> 02:07:47,274 TO BE IN THE NURSING DEPARTMENT 2997 02:07:47,274 --> 02:07:50,711 AND THEY REPRESENT THE NURSING 2998 02:07:50,711 --> 02:07:56,717 RESEARCH FRANKLY THAT HELPS THE 2999 02:07:56,717 --> 02:07:57,684 NURSING DEPARTMENT GET HIS 3000 02:07:57,684 --> 02:07:59,186 MAGNET STATUS AND RETAIN IT. 3001 02:07:59,186 --> 02:08:00,487 SO IT'S AN IMPORTANT PROGRAM. 3002 02:08:00,487 --> 02:08:03,423 WE DID HAVE SOME ANIMAL STUDIES 3003 02:08:03,423 --> 02:08:05,726 WITHIN ALL OF THESE DEPARTMENTS, 3004 02:08:05,726 --> 02:08:07,994 WE HAVE AN ANIMAL PROGRAM AND 3005 02:08:07,994 --> 02:08:11,665 THEN FINALLY WE HAVE DOUG FEGIN 3006 02:08:11,665 --> 02:08:15,335 IN THE FARM LAB IN COLLABORATION 3007 02:08:15,335 --> 02:08:19,139 WITH NCI AND THAT IS SIMILAR TO 3008 02:08:19,139 --> 02:08:21,241 TDHP, SORT OF A LEGACY RESEARCH 3009 02:08:21,241 --> 02:08:22,976 GROUP FROM THE DEPARTMENT OF 3010 02:08:22,976 --> 02:08:25,779 PHARMACY, NEXT SLIDE, PLEASE. 3011 02:08:25,779 --> 02:08:28,882 SO HOW MANY INVESTIGATORS WE 3012 02:08:28,882 --> 02:08:31,585 HAVE, HOW BIG ARE WE? 3013 02:08:31,585 --> 02:08:33,053 WELL WE'RE RIGHT SMACK DAB SORT 3014 02:08:33,053 --> 02:08:35,255 OF IN THE MIDDLE. 3015 02:08:35,255 --> 02:08:37,424 WE'RE 16th OUT OF 26 ICs FOR 3016 02:08:37,424 --> 02:08:38,859 THE NUMBER OF INVESTIGATORS. 3017 02:08:38,859 --> 02:08:41,495 WE HAVE 21 SENIOR INVESTIGATORS, 3018 02:08:41,495 --> 02:08:42,863 THESE ARE INDIVIDUALS WHO HAVE 3019 02:08:42,863 --> 02:08:45,732 WHAT WE CALL TENURE AT NIH, WE 3020 02:08:45,732 --> 02:08:50,103 HAVE 9 SENIOR CLINICIANS, 1 3021 02:08:50,103 --> 02:08:51,338 SENIOR SCIENTIST, 3 TENURE 3022 02:08:51,338 --> 02:08:52,873 TRACKED INDIVIDUALS AND THEN 1 3023 02:08:52,873 --> 02:08:55,175 ACI, WHICH IS SORT OF A 3024 02:08:55,175 --> 02:08:57,344 PRETENURE STATUS FOR A TOTAL OF 3025 02:08:57,344 --> 02:08:58,178 ABOUT 35. 3026 02:08:58,178 --> 02:09:01,481 IF YOU LOOKED AT ALL THE 3027 02:09:01,481 --> 02:09:04,151 INSTITUTES AND CENTERS ACROSS 3028 02:09:04,151 --> 02:09:06,787 THE NIH, OF WHICH THERE ARE 26 3029 02:09:06,787 --> 02:09:09,289 THAT HAVE CLINICAL PROGRAMS, THE 3030 02:09:09,289 --> 02:09:11,124 MEDIAN NUMBER OF SENIOR 3031 02:09:11,124 --> 02:09:14,194 INVESTIGATORS IS ACTUALLY 19. 3032 02:09:14,194 --> 02:09:20,967 THE MEDIAN IS HUGE BECAUSE IT'S 3033 02:09:20,967 --> 02:09:22,235 QUITE SKEWED, NCI HAS SEVERAL 3034 02:09:22,235 --> 02:09:23,236 INVESTIGATORS SO IT'S A SKEWED 3035 02:09:23,236 --> 02:09:24,638 NUMBER AND THEN WE HAVE 3036 02:09:24,638 --> 02:09:25,639 OBVIOUSLY MORE SENIOR CLINICIANS 3037 02:09:25,639 --> 02:09:27,207 ABOUT THE SAME NUMBER, SENIOR 3038 02:09:27,207 --> 02:09:29,042 SCIENTISTS AND WE'RE LOWER IN 3039 02:09:29,042 --> 02:09:35,348 TERMS OF OUR TENURED FOLKS. 3040 02:09:35,348 --> 02:09:36,316 NEXT SLIDE, PLEASE. 3041 02:09:36,316 --> 02:09:39,486 THE RESEARCH OBVIOUSLY IS 3042 02:09:39,486 --> 02:09:41,221 PERFORMED BY MANY OTHER 3043 02:09:41,221 --> 02:09:42,956 INDIVIDUALS BEYOND JUST THE 3044 02:09:42,956 --> 02:09:43,323 PIs. 3045 02:09:43,323 --> 02:09:45,058 I MEAN EVERYBODY'S GOT A FULL 3046 02:09:45,058 --> 02:09:49,429 TEAM SO WE HAVE ABOUT 50 STAFF 3047 02:09:49,429 --> 02:09:51,832 SCIENTISTS SPREAD THROUGHOUT THE 3048 02:09:51,832 --> 02:09:54,267 CLINICAL CENTER, WE HAVE 3049 02:09:54,267 --> 02:09:56,169 ACTUALLY 74 SPHAF CLINICIANS BUT 3050 02:09:56,169 --> 02:09:59,005 IT'S IMPORTANT TO NOTE THAT ALL 3051 02:09:59,005 --> 02:10:00,307 THESE STAFF CLINICIANS AREN'T 3052 02:10:00,307 --> 02:10:01,808 NECESSARILY ASSIGNED TO A UNIQUE 3053 02:10:01,808 --> 02:10:04,110 PI IN THE CLINICAL CENTER, 3054 02:10:04,110 --> 02:10:05,745 THEY'RE SPREAD THROUGHOUT TO 3055 02:10:05,745 --> 02:10:06,313 PROVIDE CLINICAL CARE. 3056 02:10:06,313 --> 02:10:08,281 AND THEN WE HAVE ABOUT A HUNDRED 3057 02:10:08,281 --> 02:10:10,217 STUDENTS IN THE HOSPITAL AT ANY 3058 02:10:10,217 --> 02:10:12,419 1 TIME, 50% OF THOSE ARE POST 3059 02:10:12,419 --> 02:10:16,823 BACKS BUT WE ALSO HAVE DOCTORAL 3060 02:10:16,823 --> 02:10:18,825 STUDENTS, 27 POST DOC, CURRENTLY 3061 02:10:18,825 --> 02:10:19,993 AND ABOUT 18 VISITING FELLOWS 3062 02:10:19,993 --> 02:10:21,995 AND AS YOU MAY HAVE HEARD THE 3063 02:10:21,995 --> 02:10:24,531 VISITING FELLOWS PROGRAM IS NOW 3064 02:10:24,531 --> 02:10:25,465 UNDERGOING SOME SIGNIFICANT 3065 02:10:25,465 --> 02:10:27,501 CHANGE WITH CHANGES TO WHO WE 3066 02:10:27,501 --> 02:10:30,370 CAN AND CAN'T BRING IN UNDER 3067 02:10:30,370 --> 02:10:33,607 THAT STATUS. 3068 02:10:33,607 --> 02:10:34,407 NEXT SLIDE, PLEASE. 3069 02:10:34,407 --> 02:10:36,610 SO LET'S TALK ABOUT SOME OF OUR 3070 02:10:36,610 --> 02:10:37,210 METRIC SUCCESS. 3071 02:10:37,210 --> 02:10:39,846 HOW DO WE DO? 3072 02:10:39,846 --> 02:10:41,014 FRANKLY, I PUT THE QUALITY AND 3073 02:10:41,014 --> 02:10:43,416 THE QUANTITY OF RESEARCH THAT WE 3074 02:10:43,416 --> 02:10:46,152 PRODUCE IN THE CLINICAL CENTER, 3075 02:10:46,152 --> 02:10:48,355 AMONGST -- UP AGAINST ANY OTHER 3076 02:10:48,355 --> 02:10:48,522 IC. 3077 02:10:48,522 --> 02:10:53,527 WE GO THROUGH THE SAME BORDER 3078 02:10:53,527 --> 02:10:55,028 SCIENTIFIC COUNCILORS REVIEW FOR 3079 02:10:55,028 --> 02:10:57,297 RESEARCH AS EVERY OTHER PROGRAM, 3080 02:10:57,297 --> 02:10:59,366 THE VAST MAJORITY OF OUR 3081 02:10:59,366 --> 02:11:01,801 INDIVIDUALS WHO ARE JUDGED, ARE 3082 02:11:01,801 --> 02:11:02,602 RANKED AS OUTSTANDING WHICH IS 3083 02:11:02,602 --> 02:11:05,372 THE TOP LEVEL YOU CAN GET IN OUR 3084 02:11:05,372 --> 02:11:05,739 GRADING SYSTEM. 3085 02:11:05,739 --> 02:11:07,474 NOT EVERYBODY GETS THAT, 3086 02:11:07,474 --> 02:11:09,676 HOWEVER, AND IN THE PAST COUPLE 3087 02:11:09,676 --> 02:11:10,744 YEARS, THAT I'VE BEEN IN CHARGE 3088 02:11:10,744 --> 02:11:12,846 OF THE PROCESS, WE'VE HAD A 3089 02:11:12,846 --> 02:11:16,216 COUPLE INVESTIGATORS WHO WERE 3090 02:11:16,216 --> 02:11:17,517 RATED AS QUOTE-UNQUOTE GOOD AND 3091 02:11:17,517 --> 02:11:19,286 IN THE BSC SYSTEM, A GOOD GRADE 3092 02:11:19,286 --> 02:11:20,820 IS ACTUALLY NOT A GOOD GRADE AND 3093 02:11:20,820 --> 02:11:23,023 BOTH OF THESE LABS ARE IN THE 3094 02:11:23,023 --> 02:11:24,891 PROCESS OF BEING CLOSED. 3095 02:11:24,891 --> 02:11:29,062 SO THE BSC HAS CONSEQUENCES. 3096 02:11:29,062 --> 02:11:34,401 WE HAVE HAD 2 INDIVIDUALS GO UP 3097 02:11:34,401 --> 02:11:38,505 FOR TENURE, DAN CHURCHOW, WHERE 3098 02:11:38,505 --> 02:11:40,473 HE HAS LABS DOING EBOLA WORK AS 3099 02:11:40,473 --> 02:11:41,808 WELL AS HERE AT THE CLINICAL 3100 02:11:41,808 --> 02:11:48,982 CENTER, HE WAS PROMOTED IN 24. 3101 02:11:48,982 --> 02:11:51,484 KATHRYN CALVO, WHO IS THE 3102 02:11:51,484 --> 02:11:52,118 TYPICAL COLLABRATIVE SCIENTIST 3103 02:11:52,118 --> 02:11:54,588 IN THE DEPARTMENT OF LAB 3104 02:11:54,588 --> 02:11:57,824 MEDICINE RECEIVED TENURE JUST 3105 02:11:57,824 --> 02:11:58,692 THIS YEAR. 3106 02:11:58,692 --> 02:12:02,462 ASADA IS GOING UP IN JUNE AND SO 3107 02:12:02,462 --> 02:12:05,098 SHE WILL HAVE EVALUATION IN A 3108 02:12:05,098 --> 02:12:08,635 COUPLE OF WEEKS AND THEN KADRI, 3109 02:12:08,635 --> 02:12:11,638 WHO JUST THE DAY OR DAY BEFORE 3110 02:12:11,638 --> 02:12:17,010 WON AN INCREDIBLY IMPRESSIVE 3111 02:12:17,010 --> 02:12:20,180 IEE, AUDIENCE WARD, K ADRI, IS A 3112 02:12:20,180 --> 02:12:21,982 TENURED TRACK INDIVIDUAL, AND HE 3113 02:12:21,982 --> 02:12:27,020 JUST WON THE AVERY OSLLER AWARD 3114 02:12:27,020 --> 02:12:28,989 FROM THE AMERICAN OR THE 3115 02:12:28,989 --> 02:12:31,224 AMERICAN INFECTIOUS DISEASE 3116 02:12:31,224 --> 02:12:31,791 SOCIETY OF AMERICA. 3117 02:12:31,791 --> 02:12:36,229 PAST WINNERS OF THIS AWARD HAS 3118 02:12:36,229 --> 02:12:40,266 BEEN TONY FAUCI, JOHN GALLEN, 3119 02:12:40,266 --> 02:12:43,470 AND OTHERS HERE IS COMING UP FOR 3120 02:12:43,470 --> 02:12:44,237 TENURE, SOON. 3121 02:12:44,237 --> 02:12:45,238 HOW ABOUT PAPERS? 3122 02:12:45,238 --> 02:12:46,473 WE LOOKED RECENTLY AND THIS IS 3123 02:12:46,473 --> 02:12:48,708 ACTUALLY THE FIRST TIME THEY 3124 02:12:48,708 --> 02:12:49,909 KNOW ANYONE'S EVER DONE THIS IN 3125 02:12:49,909 --> 02:12:51,077 THE CLINICAL CENTER OVER THE 3126 02:12:51,077 --> 02:12:52,612 PAST COUPLE WEEKS TO FIGURE HOW 3127 02:12:52,612 --> 02:12:54,381 MANY PAPERS DID WE PUBLISH, IN 3128 02:12:54,381 --> 02:12:55,548 THE CLINICAL CENTER, WITH 3129 02:12:55,548 --> 02:12:57,517 CLINICAL CENTER AUTHORS AND THE 3130 02:12:57,517 --> 02:12:59,319 NUMBERS KIND OF ASTOUNDED ME, WE 3131 02:12:59,319 --> 02:13:03,256 PUBLISHED IN THE LAST 18 MONTHS, 3132 02:13:03,256 --> 02:13:07,727 ABOUT 800 PEER REVIEW PAPERS, 3133 02:13:07,727 --> 02:13:09,529 THATIA LITERALLY 1.2 PAPERS PER 3134 02:13:09,529 --> 02:13:11,965 DAY EVERY DAY OF THE YEAR WHICH 3135 02:13:11,965 --> 02:13:12,532 ASTOUNDED ME. 3136 02:13:12,532 --> 02:13:14,567 AND I KNEW WE WERE GOOD BUT I 3137 02:13:14,567 --> 02:13:17,404 DIDN'T KNOW WE WERE THAT GOOD 3138 02:13:17,404 --> 02:13:19,506 AND THE OTHER THING I WOULD SAY 3139 02:13:19,506 --> 02:13:24,244 IS THAT THE DIRECTOR ON MONDAY 3140 02:13:24,244 --> 02:13:26,780 ALSO REMINDED US THAT QUANTITY 3141 02:13:26,780 --> 02:13:28,148 OF PAPERS ISN'T NECESSARILY THE 3142 02:13:28,148 --> 02:13:30,984 ONLY METRIC YOU NEED TO LOOK AT, 3143 02:13:30,984 --> 02:13:32,485 RIGHT SOME I MEAN HE TALKED 3144 02:13:32,485 --> 02:13:34,354 ABOUT SOMETHING CALLED TD 3145 02:13:34,354 --> 02:13:35,588 MINIMAL PUBLISHABLE UNIT WHICH 3146 02:13:35,588 --> 02:13:38,058 IS CERTAINLY AN ISSUE RELATED TO 3147 02:13:38,058 --> 02:13:39,025 PUBLICATIONS, BUT I -- YOU KNOW 3148 02:13:39,025 --> 02:13:41,728 THE OTHER THING WE LOOKED AT IS 3149 02:13:41,728 --> 02:13:43,730 HOW MANY HIGH QUALITY TOP NOTCH 3150 02:13:43,730 --> 02:13:46,166 PAPERS HAVE WE PUBLISHED, 18, 1 3151 02:13:46,166 --> 02:13:48,735 A MONTH IN THE NEW ENGLAND 3152 02:13:48,735 --> 02:13:49,502 JOURNAL, JAMA ANDINATE AND YOU 3153 02:13:49,502 --> 02:13:50,870 ARE SCIENCE. 3154 02:13:50,870 --> 02:13:51,438 SO TOP 4 JOURNALS. 3155 02:13:51,438 --> 02:13:53,106 SO ONCE A MONTH WE'RE IN 1 OF 3156 02:13:53,106 --> 02:13:54,507 THOSE JOURNALS, SO I THINK THE 3157 02:13:54,507 --> 02:13:57,043 QUALITY OF THE STUFF WE DO IS 3158 02:13:57,043 --> 02:13:58,545 ABSOLUTELY FABULOUS, AND IT'S 3159 02:13:58,545 --> 02:14:00,847 BASED ON THE FACT THAT WE WORK 3160 02:14:00,847 --> 02:14:02,115 IN A VERY UNIQUE ENVIRONMENT 3161 02:14:02,115 --> 02:14:04,184 WHERE THAT'S ALL WE DO, WE FOCUS 3162 02:14:04,184 --> 02:14:05,819 AND WE KEEP OURSELVES, I THINK 3163 02:14:05,819 --> 02:14:08,722 TO A VERY HIGH STANDARD. 3164 02:14:08,722 --> 02:14:09,189 NEXT SLIDE, PLEASE. 3165 02:14:09,189 --> 02:14:10,557 SO I WANT TO TALK A LITTLE BIT 3166 02:14:10,557 --> 02:14:12,225 ABOUT SOMETHING WE DO UNIQUE IN 3167 02:14:12,225 --> 02:14:14,627 THE CLINICAL CENTERS CALLED THE 3168 02:14:14,627 --> 02:14:15,595 RASCAL AWARD SYSTEM AND THIS IS 3169 02:14:15,595 --> 02:14:18,031 HOW DO YOU RECRUIT AND RETAIN 3170 02:14:18,031 --> 02:14:22,202 STAFF CLINICIANS, RIGHT IN 3171 02:14:22,202 --> 02:14:24,871 IMPORTANT PIECE OF OUR 3172 02:14:24,871 --> 02:14:26,539 INFRASTRUCTURE WITH ESSENTIALLY 3173 02:14:26,539 --> 02:14:31,344 NIH'S QUOTE OF A LOW SALARY 3174 02:14:31,344 --> 02:14:32,579 STRUCTURE, IT'S LUNG CANCER BUT 3175 02:14:32,579 --> 02:14:34,080 IT'S LOWER THAN WHAT THEY COULD 3176 02:14:34,080 --> 02:14:36,382 GET ON THE OUTSIDE. 3177 02:14:36,382 --> 02:14:39,285 SO THIS WAS BRAIN CHILD OF JOHN 3178 02:14:39,285 --> 02:14:40,787 GALLEN, HE DEVELOPED THIS. 3179 02:14:40,787 --> 02:14:43,857 IT'S A WAY TO PROVIDE A STAFF 3180 02:14:43,857 --> 02:14:45,458 CLINICIAN FOR FUNDING FOR 3181 02:14:45,458 --> 02:14:47,560 ESSENTIALLY A 2 YEAR PROJECT. 3182 02:14:47,560 --> 02:14:49,162 THE DOLLAR FIGURE IS SOMEWHERE 3183 02:14:49,162 --> 02:14:51,598 AROUND 60 K TO A HUNDRED K A 3184 02:14:51,598 --> 02:14:52,899 YEAR, DEPENDING ON WHAT THEY 3185 02:14:52,899 --> 02:14:53,233 NEED. 3186 02:14:53,233 --> 02:14:54,934 IT'S A PROSPECTIVE LOAMACYY 3187 02:14:54,934 --> 02:14:56,169 REVIEWED GRANTING SYSTEM WHERE 3188 02:14:56,169 --> 02:14:59,038 WE HAVE A COMMITTEE OF RASCAL 3189 02:14:59,038 --> 02:15:00,640 EXPERTS WHO ARE SENIOR 3190 02:15:00,640 --> 02:15:01,574 INVESTIGATORS IN THE CLINICAL 3191 02:15:01,574 --> 02:15:05,678 TRUSTEES AND THEY SEE ALL THE 3192 02:15:05,678 --> 02:15:07,614 SUBMISSIONS, IT'S A PRETTY DARN 3193 02:15:07,614 --> 02:15:10,383 GOOD SUCCESS RATE, 30%, SO MUCH 3194 02:15:10,383 --> 02:15:12,352 BETTER THAN IF YOU WERE OUT 3195 02:15:12,352 --> 02:15:13,787 THERE IN THE EXTRAMURAL WHERE 3196 02:15:13,787 --> 02:15:17,724 THE PAY LINES ARE MUCH LESS, AND 3197 02:15:17,724 --> 02:15:19,726 WE FUND SOMEWHERE ABOUT 5-7 3198 02:15:19,726 --> 02:15:21,561 PROJECTS A YEAR, IT'S BEEN VERY 3199 02:15:21,561 --> 02:15:24,397 POPULAR, WE'VE HAD STAFF 3200 02:15:24,397 --> 02:15:31,070 CLINICIANS FROM CRITICAL CARE 3201 02:15:31,070 --> 02:15:35,141 MEDICINE, DTM, PAIN AND 3202 02:15:35,141 --> 02:15:36,643 PALLIATIVE CARE, RADIS, PEDS, 3203 02:15:36,643 --> 02:15:40,079 AND ALL OF THAT HAS BEEN 3204 02:15:40,079 --> 02:15:40,380 SUCCESSFUL. 3205 02:15:40,380 --> 02:15:41,481 NSLIDE, THIS IS THE EXCITING 3206 02:15:41,481 --> 02:15:43,149 PART, THIS WILL GET YOU UP ON 3207 02:15:43,149 --> 02:15:45,185 INTERESTING PROJECTS AND I HAVE 3208 02:15:45,185 --> 02:15:46,886 1 SLIDE AND HOPEFULLY I WON'T 3209 02:15:46,886 --> 02:15:48,955 TAKE TOO MUCH TIME SO WE WILL 3210 02:15:48,955 --> 02:15:49,622 STAY ON TIME. 3211 02:15:49,622 --> 02:15:54,360 THE FIRST TIME IS TOM BULEA WHO 3212 02:15:54,360 --> 02:15:55,762 WAS IN MY OLD DEPARTMENT OF 3213 02:15:55,762 --> 02:15:56,029 MEDICINE. 3214 02:15:56,029 --> 02:15:57,630 THE REASON I WANT TO FOCUS ON 3215 02:15:57,630 --> 02:15:59,299 THIS IS BECAUSE TOM, WHO WAS IN 3216 02:15:59,299 --> 02:16:04,137 THE TENURED TRACK AND DIANE HIS 3217 02:16:04,137 --> 02:16:06,239 MENTOR HAVE GONE FROM CONCEPT TO 3218 02:16:06,239 --> 02:16:08,308 EARLY TECHNOLOGY TO LATE PHASE 3219 02:16:08,308 --> 02:16:11,911 TECHNOLOGY, TO A COMMERCIALLY 3220 02:16:11,911 --> 02:16:13,646 AVAILABLE ROBOTIC SYSTEM IN WHAT 3221 02:16:13,646 --> 02:16:14,948 IS ESSENTIALLY 8 YEARS, SOUNDS 3222 02:16:14,948 --> 02:16:17,283 LIKE A LONG TIME BUT BASED ON 3223 02:16:17,283 --> 02:16:19,586 THE AMOUNT OF RESOURCES THAT 3224 02:16:19,586 --> 02:16:20,753 THEY HAVE, AND THE FACT THAT 3225 02:16:20,753 --> 02:16:22,856 THEY'VE GOT IT THERE, I THINK IS 3226 02:16:22,856 --> 02:16:23,790 JUST REMARKABLE, AND SOMETHING 3227 02:16:23,790 --> 02:16:24,858 I'M VERY PROUD OF AND THEY 3228 02:16:24,858 --> 02:16:27,160 SHOULD BE PROUD OF AS WELL. 3229 02:16:27,160 --> 02:16:32,398 THE CONCEPT IS ESSENTIALLY THIS, 3230 02:16:32,398 --> 02:16:35,034 CHILDREN WITH CEREBRAL PALSY AS 3231 02:16:35,034 --> 02:16:37,437 THEY GROW OLDER, THEY KROWCH 3232 02:16:37,437 --> 02:16:40,640 LOWER AND LOWER AND CLOAER, AND 3233 02:16:40,640 --> 02:16:42,041 THE FEEM URGROWS LONGER, THE 3234 02:16:42,041 --> 02:16:43,910 AGENT TO STAND UP STRAIGHT 3235 02:16:43,910 --> 02:16:44,744 DIMINISHED TO THE POINT WHERE 3236 02:16:44,744 --> 02:16:46,713 MOST OF THEM END UP IN 3237 02:16:46,713 --> 02:16:48,047 WHEELCHAIRS AS THEY GROW OLDER, 3238 02:16:48,047 --> 02:16:51,851 SO THE CONCEPT WAS IF YOU PUT AN 3239 02:16:51,851 --> 02:16:52,919 EXOSKELETON, APPROXIMATE YOU PUT 3240 02:16:52,919 --> 02:16:54,420 A MOTOR AT THAT KNEE AND PROP 3241 02:16:54,420 --> 02:16:59,459 THEM UP A LITTLE BIT CAN YOU 3242 02:16:59,459 --> 02:17:00,126 FORESTALL THAT TRANSITION? 3243 02:17:00,126 --> 02:17:02,729 SO THEY WORKED OVER A PERIOD OF 3244 02:17:02,729 --> 02:17:04,931 TIME TO DEVELOP THIS, IT'S GONE 3245 02:17:04,931 --> 02:17:06,099 THROUGH SEVERAL ITERATIONS WHERE 3246 02:17:06,099 --> 02:17:07,734 THEY REDUCE THE SIZE OF THE 3247 02:17:07,734 --> 02:17:10,503 POWER PACK, THEY REDUCE THE 3248 02:17:10,503 --> 02:17:13,473 SERVOSIZE, THEY MADE IT MORE 3249 02:17:13,473 --> 02:17:15,174 USER FRIENDLY AND ULTIMATELY 3250 02:17:15,174 --> 02:17:21,314 THAT I HAVE DEVELOPED THIS 3251 02:17:21,314 --> 02:17:22,081 COMMERCIALLY AVAILABLE 3252 02:17:22,081 --> 02:17:22,382 EXOSKELETON. 3253 02:17:22,382 --> 02:17:25,752 THIS IS 2 FIGURES HERE, 1 SHOWS 3254 02:17:25,752 --> 02:17:27,820 -- THEY BOTH SHOW THE GAIT 3255 02:17:27,820 --> 02:17:30,189 CYCLE, THIS IS SORT OF HEEL 3256 02:17:30,189 --> 02:17:31,391 STRIKE TO HEEL STRIKE FROM 1 3257 02:17:31,391 --> 02:17:33,059 POINT TO THE NEXT AND ON THE 3258 02:17:33,059 --> 02:17:35,628 Y-AXIS YOU HAVE THE FIRING OF 3259 02:17:35,628 --> 02:17:40,066 THE ANTERIOR MUSCLES, THE 3260 02:17:40,066 --> 02:17:40,366 QUADMUSCLES. 3261 02:17:40,366 --> 02:17:41,901 YOU SEE THE TYPICAL CHILD IN THE 3262 02:17:41,901 --> 02:17:43,770 BLUE HERE HAS A BRIEF FIRING OF 3263 02:17:43,770 --> 02:17:45,371 THE QUADMUSCLES AND THEN 3264 02:17:45,371 --> 02:17:46,906 RELAXATION, FOR A CHILD WITH CP, 3265 02:17:46,906 --> 02:17:48,341 YOU WILL HAVE A PROLONGED FIRING 3266 02:17:48,341 --> 02:17:51,477 AND A MUCH HIGHER FIRING AND 3267 02:17:51,477 --> 02:17:56,849 THAT IS TYPICAL OF THE CROUCH 3268 02:17:56,849 --> 02:17:57,050 GATE. 3269 02:17:57,050 --> 02:17:59,519 IF YOU PUT THE EXOSKELETON ON A 3270 02:17:59,519 --> 02:18:01,354 CHILD FOR A PERIOD OF TIME YOU 3271 02:18:01,354 --> 02:18:03,156 GET SOMETHING LIKE THIS IN THE 3272 02:18:03,156 --> 02:18:04,123 GREEN HERE. 3273 02:18:04,123 --> 02:18:05,191 IT'S NOT PERFECT, MUCH CLOSER TO 3274 02:18:05,191 --> 02:18:07,493 THIS BUT IT'S BETTER THAN IT 3275 02:18:07,493 --> 02:18:08,461 WAS, SO CHILDREN AND PEOPLE WILL 3276 02:18:08,461 --> 02:18:10,797 BE ABLE TO WALK IN A MUCH NORMAL 3277 02:18:10,797 --> 02:18:11,030 PATTERN. 3278 02:18:11,030 --> 02:18:14,200 CAN YOU ALSO TURN THIS TOOL INTO 3279 02:18:14,200 --> 02:18:15,969 A STRENGTHENING TOOL, NOT JUST 3280 02:18:15,969 --> 02:18:17,370 AN ASSISTED DEVICE BUT YOU CAN 3281 02:18:17,370 --> 02:18:19,405 ACTUALLY TURN IT INTO A TRAINING 3282 02:18:19,405 --> 02:18:22,241 DEVICE BY ACTUALLY ACTIVELY 3283 02:18:22,241 --> 02:18:23,176 RESISTING CERTAIN MOTIONS YOU 3284 02:18:23,176 --> 02:18:26,145 WHERE YOU CAN ACTUALLY GAIN 3285 02:18:26,145 --> 02:18:29,315 STRENGTH, SO THAT'S ANOTHER 3286 02:18:29,315 --> 02:18:30,917 TWEAK TO THIS TAKEN. 3287 02:18:30,917 --> 02:18:32,452 AND FINALLY HE TOOK THE WHOLE 3288 02:18:32,452 --> 02:18:33,419 THINGOT ROAD THROUGH INTERNET 3289 02:18:33,419 --> 02:18:35,254 AND BLUE TOOTH AND NOW HE'S GOT 3290 02:18:35,254 --> 02:18:36,756 PATIENTS HE'S FOLLOWING IN 3291 02:18:36,756 --> 02:18:38,191 CALIFORNIA AND AND ALL OVER THE 3292 02:18:38,191 --> 02:18:40,159 COUNTRY AND HE CAN IN REALTIME 3293 02:18:40,159 --> 02:18:43,229 MAKE CHANGES TO THE SOFTWARE, 3294 02:18:43,229 --> 02:18:47,934 AND MONITOR KIDS AS THEY UTILIZE 3295 02:18:47,934 --> 02:18:48,101 IT. 3296 02:18:48,101 --> 02:18:48,701 NEXT SLIDE. 3297 02:18:48,701 --> 02:18:53,673 SO THE NEXT PROJECT IS RADIOLOGY 3298 02:18:53,673 --> 02:18:59,178 AND I PICKED THIS 1 BECAUSE I 3299 02:18:59,178 --> 02:19:00,546 THINK THIS REPRESENTS THE HAIL 3300 02:19:00,546 --> 02:19:06,853 MARY TO A CERTAIN EXTENT. 3301 02:19:06,853 --> 02:19:09,188 I MEAN, DIMA WHEN SHE WAS 3302 02:19:09,188 --> 02:19:10,490 STARTING OUT ON HER TENURE TRACK 3303 02:19:10,490 --> 02:19:13,126 TO HAVE THIS IDEA AND I THINK 3304 02:19:13,126 --> 02:19:14,727 THE BFC WAS A LITTLE SKEPTICAL, 3305 02:19:14,727 --> 02:19:17,030 I THINK THEY'RE SUPPORTIVE BUT 3306 02:19:17,030 --> 02:19:18,097 THEY'RE SKEPTICAL AS TO WHETHER 3307 02:19:18,097 --> 02:19:19,132 OR NOT THEY THOUGHT IT WOULD 3308 02:19:19,132 --> 02:19:21,100 WORK AND IN THE END, IT MAY 3309 02:19:21,100 --> 02:19:23,169 CHANGE HOW WE MANAGE INDIVIDUALS 3310 02:19:23,169 --> 02:19:27,106 WITH FUNGAL INFECTIONS. 3311 02:19:27,106 --> 02:19:28,041 SO FUNGAL INFECTIONS OCCUR IN 3312 02:19:28,041 --> 02:19:30,877 INDIVIDUAL WHO IS ARE IMMUNO 3313 02:19:30,877 --> 02:19:32,111 COMPROMISED, WHO ARE VERY SICK, 3314 02:19:32,111 --> 02:19:35,815 OFTEN OCCUR IN THE ICU, THEY 3315 02:19:35,815 --> 02:19:37,884 CAUSE SOMETHING AROUND 75,000 3316 02:19:37,884 --> 02:19:38,684 HOSPITALIZATIONS AND 7000 DEATHS 3317 02:19:38,684 --> 02:19:41,788 EVERY YEAR IN THE UNITED STATES. 3318 02:19:41,788 --> 02:19:43,189 DELAYED DIAGNOSIS IS 1 OF THE 3319 02:19:43,189 --> 02:19:45,725 REASONS FOR THE HIGH MORTALITY 3320 02:19:45,725 --> 02:19:46,993 PARTLY BECAUSE EXISTS TESTING 3321 02:19:46,993 --> 02:19:48,628 FOR FUNGAL INFECTIONS ARE VERY 3322 02:19:48,628 --> 02:19:51,664 INVASIVE AND THEY ARE NOT 3323 02:19:51,664 --> 02:19:55,134 SPECIFIC AND THEY GET DELAYED. 3324 02:19:55,134 --> 02:19:58,137 PET SCANS ARE AN IMAGING TEST 3325 02:19:58,137 --> 02:19:59,205 THAT REVEAL METABOLIC FUNCTION 3326 02:19:59,205 --> 02:20:01,574 IN TISSUES BAYOUS OF RADIO 3327 02:20:01,574 --> 02:20:03,776 TRACER AND PET SCANS ARE 3328 02:20:03,776 --> 02:20:04,944 AVAILABLE EVERYWHERE, CERTAINLY 3329 02:20:04,944 --> 02:20:06,012 AVAILABLE HERE IN THE CLINICAL 3330 02:20:06,012 --> 02:20:09,082 CENTER, AND THEY CAN BE LINKED 3331 02:20:09,082 --> 02:20:13,152 TO CTs AND MRIs. 3332 02:20:13,152 --> 02:20:18,391 SO THE BEAUTY OF DIMA AND HER 3333 02:20:18,391 --> 02:20:20,927 COLLEAGUE, MR. SWENSEN, THEY 3334 02:20:20,927 --> 02:20:22,195 CRETED REALLY THE FIRST PET 3335 02:20:22,195 --> 02:20:28,201 TRACER THAT PROMISES TO ASSESS 3336 02:20:28,201 --> 02:20:29,368 FUNGAL ACTIVITY IN LIVING 3337 02:20:29,368 --> 02:20:29,702 TISSUE. 3338 02:20:29,702 --> 02:20:33,539 AND THEY DID THIS BY TAKING 2 3339 02:20:33,539 --> 02:20:35,041 PIECES OF GLUCOSE, 2 MOLECULES 3340 02:20:35,041 --> 02:20:43,483 OF MOLECULES 3341 02:20:43,483 --> 02:20:47,420 GLUCOSE AND ATTACHED THIS TO IT, 3342 02:20:47,420 --> 02:20:48,721 AND ONLY FUNGUS CAN CLEAVE IT, 3343 02:20:48,721 --> 02:20:50,923 NOTHING ELSE CAN CLEAVE IT. 3344 02:20:50,923 --> 02:20:52,358 ONCE IT'S CLEAVED AND YOU HAVE 3345 02:20:52,358 --> 02:20:54,760 THIS RADIO TRACER, THAT CAN BE 3346 02:20:54,760 --> 02:21:00,299 THEN PICKED UP BY THE PET 3347 02:21:00,299 --> 02:21:00,533 SCANNER. 3348 02:21:00,533 --> 02:21:02,401 WHEN YOU CREATE SOMETHING LIKE 3349 02:21:02,401 --> 02:21:05,271 THIS, THIS RADIAL LIGAND IT HAS 3350 02:21:05,271 --> 02:21:06,973 CERTAIN CHARACTERISTICS OR IT'S 3351 02:21:06,973 --> 02:21:07,940 NOT USEFUL FOR ANYBODY AND WHAT 3352 02:21:07,940 --> 02:21:10,276 THEY WERE ABLE TO DO IS CREATE A 3353 02:21:10,276 --> 02:21:11,444 MOLECULE THAT CAN BE SYNTHESIZED 3354 02:21:11,444 --> 02:21:15,114 IN AN HOUR AND A HALF, NOT OVER 3355 02:21:15,114 --> 02:21:17,783 DAYS, HAS A PURITY OF 99% AND 3356 02:21:17,783 --> 02:21:19,318 THEN STABLE UP TO 4 HOURS, 3357 02:21:19,318 --> 02:21:19,652 RIGHT? 3358 02:21:19,652 --> 02:21:20,520 SO THESE ARE THINGS THAT ARE 3359 02:21:20,520 --> 02:21:21,921 CREATED IN THE LAB AND THEN HAVE 3360 02:21:21,921 --> 02:21:23,122 TO BE MOVED TO A HOSPITAL, SO 3361 02:21:23,122 --> 02:21:26,125 YOU NEED ALL OF THESE 3362 02:21:26,125 --> 02:21:27,059 CHARACTERISTICS, OTHERWISE IT'S 3363 02:21:27,059 --> 02:21:27,994 CLINICALLY NOT PARTICULARLY 3364 02:21:27,994 --> 02:21:31,631 USEFUL SO THEY WERE ABLE TO DO 3365 02:21:31,631 --> 02:21:32,098 THAT. 3366 02:21:32,098 --> 02:21:37,937 AND HERE WE SEE SOME OF THE 3367 02:21:37,937 --> 02:21:40,039 SLIDES THAT SHOW, HOW THE RADIAL 3368 02:21:40,039 --> 02:21:43,743 LIGAND WORKS IN RATS, COMPARING, 3369 02:21:43,743 --> 02:21:45,444 LET'S SEE, I'LL DO THIS 1 RIGHT 3370 02:21:45,444 --> 02:21:47,547 HERE, THIS IS A LOWER LIMB 3371 02:21:47,547 --> 02:21:49,415 FUNGAL INFECTION, YOU CAN SEE 3372 02:21:49,415 --> 02:21:52,585 THE FUNGAL INFECTION LIGHTS UP, 3373 02:21:52,585 --> 02:21:53,986 THE GRAM NEGATIVE INFECTION DOES 3374 02:21:53,986 --> 02:21:56,155 NOT LIGHT UP AND THE GRAM 3375 02:21:56,155 --> 02:21:57,490 POSITIVE INFECTION DOESN'T LIGHT 3376 02:21:57,490 --> 02:21:59,192 UP, WE SEE CHANGES OVER TIME 3377 02:21:59,192 --> 02:22:02,895 WHEN A RAT IS TREATED FOR A 3378 02:22:02,895 --> 02:22:05,965 FUNGAL INFECTION AND GETS 3379 02:22:05,965 --> 02:22:06,199 BETTER. 3380 02:22:06,199 --> 02:22:10,403 SO THEY ARE DOING QUITE WELL, 3381 02:22:10,403 --> 02:22:13,172 THEY HAVE JUST SIGNED A CONTRACT 3382 02:22:13,172 --> 02:22:15,575 TO DO TOXICITY TESTING AND WE'RE 3383 02:22:15,575 --> 02:22:16,943 ANTICIPATING HUMAN TRIALS IN 3384 02:22:16,943 --> 02:22:17,176 2025. 3385 02:22:17,176 --> 02:22:20,079 AND IF I HAVE TIME FOR 1 MORE, 3386 02:22:20,079 --> 02:22:29,589 JACK, WHAT DO YOU THINK? 3387 02:22:29,589 --> 02:22:30,189 OKAY. 3388 02:22:30,189 --> 02:22:33,426 THIS IS RON SUMMERS, RON IS AN 3389 02:22:33,426 --> 02:22:39,165 EXPERT IN USING AI AND 3390 02:22:39,165 --> 02:22:41,133 AUTOMATIZING THE READING OF 3391 02:22:41,133 --> 02:22:43,970 RADIO LOGIC IMAGES AND HE HAS 3392 02:22:43,970 --> 02:22:50,376 COLLECTED A GROUP OF NEARLY 9000 3393 02:22:50,376 --> 02:22:51,744 NONCONTRAST ABDOMINAL CTs 3394 02:22:51,744 --> 02:22:53,846 COLLECTED OVER TIME BUT LINKED 3395 02:22:53,846 --> 02:22:57,516 WITH LOTS OF PHENOTYPIC AND 3396 02:22:57,516 --> 02:22:57,883 BIOLOGIC DATA. 3397 02:22:57,883 --> 02:23:02,688 SO, THOSE 2 THINGS ARE AN ACTUAL 3398 02:23:02,688 --> 02:23:03,055 CRITICAL PIECE. 3399 02:23:03,055 --> 02:23:04,690 THE TOPIC HE PICKED IS DIABETES 3400 02:23:04,690 --> 02:23:05,424 AND THAT'S THE REASON I'M 3401 02:23:05,424 --> 02:23:07,393 BRINGING IT UP HERE BECAUSE IT'S 3402 02:23:07,393 --> 02:23:08,227 CERTAINLY 1 OF THE CHRONIC 3403 02:23:08,227 --> 02:23:10,630 DISEASES THAT WE NEED TO BE 3404 02:23:10,630 --> 02:23:14,233 FOCUSING ON. 3405 02:23:14,233 --> 02:23:15,968 TYPE 2 DIABETES, AFFECTS MORE 3406 02:23:15,968 --> 02:23:18,804 THAN 40 MILLION IN THE U.S., 3407 02:23:18,804 --> 02:23:21,440 ABOUT 1 IN 4 OF INDIVIDUALS WITH 3408 02:23:21,440 --> 02:23:23,609 DIABETES ARE UNAWARE THAT THEY 3409 02:23:23,609 --> 02:23:24,744 HAVE IT. 3410 02:23:24,744 --> 02:23:26,345 A HUNDRED MILLION ADULT VS 3411 02:23:26,345 --> 02:23:28,180 PREDIABETES AND ONLY HALF OF 3412 02:23:28,180 --> 02:23:31,284 THEM ARE AWARE SO SOME FORM OF 3413 02:23:31,284 --> 02:23:32,451 SCREENING, EARLY SCREENING CAN 3414 02:23:32,451 --> 02:23:36,222 BE EFFECTIVE IN COMBATING THIS 3415 02:23:36,222 --> 02:23:41,260 AND RON'S IDEA WAS CAN WE 3416 02:23:41,260 --> 02:23:43,129 REPURPOSE THESE ABDOMINAL CTs, 3417 02:23:43,129 --> 02:23:45,131 LOOK AT THE PANCREAS, WHICH IS 3418 02:23:45,131 --> 02:23:48,501 THE ORGAN THAT'S INVOLVED IN 3419 02:23:48,501 --> 02:23:49,902 THIS DIABETES AND SEE WHETHER 3420 02:23:49,902 --> 02:23:52,204 THIS CAN GIVE US ANY EARLY SIGNS 3421 02:23:52,204 --> 02:23:55,107 THAT SOMEONE'S ON THE ROAD TO 3422 02:23:55,107 --> 02:23:56,375 DEVELOP DIABETES. 3423 02:23:56,375 --> 02:23:58,444 HERE WE HAVE IN THIS TOP MIDDLE 3424 02:23:58,444 --> 02:24:01,013 -- THIS IS A NORMAL LOOKING 3425 02:24:01,013 --> 02:24:01,981 PANCREAS, OKAY? 3426 02:24:01,981 --> 02:24:04,550 IT'S A NICE HORSE SHOE SHAPE, 3427 02:24:04,550 --> 02:24:05,551 IT'S FAIRLY UNIFORM, FAIRLY 3428 02:24:05,551 --> 02:24:05,851 DENSE. 3429 02:24:05,851 --> 02:24:08,921 THIS IS THE PANCREAS OF SOMEONE 3430 02:24:08,921 --> 02:24:11,090 WITH DIABETES, YOU SEE IT'S 3431 02:24:11,090 --> 02:24:15,861 LOBULATED, IT HAS THESE LITTLE 3432 02:24:15,861 --> 02:24:17,663 LOBULES, IT HAS FATTY 3433 02:24:17,663 --> 02:24:19,632 INFILTRATION AND OFTEN IT'S 3434 02:24:19,632 --> 02:24:20,566 ASSOCIATED WITH ABDOMINAL FAT 3435 02:24:20,566 --> 02:24:22,401 AND ALSO SORT OF THESE PLAQUES. 3436 02:24:22,401 --> 02:24:26,505 I WANT YOU TO FOCUS ON THIS, 3437 02:24:26,505 --> 02:24:29,642 THIS PARTICULAR GRAPH, HERE, SO, 3438 02:24:29,642 --> 02:24:35,348 ON THE Y-AXIS, WE HAVE SOMETHING 3439 02:24:35,348 --> 02:24:38,117 CALLED A HOUNDS FIELD UNIT, A 3440 02:24:38,117 --> 02:24:43,155 HOUNDS FIELD UNIT IS THE DENSITY 3441 02:24:43,155 --> 02:24:47,326 OF WHAT YOU'RE MEASURING ON 3442 02:24:47,326 --> 02:24:47,793 X-RAY, OKAY? 3443 02:24:47,793 --> 02:24:49,428 AIR, WHICH IS COMPLETELY NOT 3444 02:24:49,428 --> 02:24:51,831 DENSE AT ALL, HAS A HOUNDS FIELD 3445 02:24:51,831 --> 02:24:54,800 UNIT OF MINUS A THOUSAND, 3446 02:24:54,800 --> 02:24:56,102 CORTICALE BONE, THE BONE IN YOUR 3447 02:24:56,102 --> 02:24:57,837 BRAIN, THE BONE IN YOUR ARMS, 3448 02:24:57,837 --> 02:24:59,605 THE DENSEST THING WE HAVE IN OUR 3449 02:24:59,605 --> 02:25:02,908 BODY, HAS A HOUNDS FIELD UNIT OF 3450 02:25:02,908 --> 02:25:06,679 A THOUSAND, SO THAT'S THE RANGE, 3451 02:25:06,679 --> 02:25:07,680 OKAY? 3452 02:25:07,680 --> 02:25:10,483 A NORMAL PANCREAS HAS A HOUNDS 3453 02:25:10,483 --> 02:25:12,118 FIELD OF ABOUT 30, OKAY? 3454 02:25:12,118 --> 02:25:13,753 NOW THESE OTHER CATEGORIES, 3455 02:25:13,753 --> 02:25:15,788 THESE OTHER BARS HERE REPRESENT 3456 02:25:15,788 --> 02:25:16,822 PEOPLE WITH DIABETES BASED ON 3457 02:25:16,822 --> 02:25:19,725 WHEN THEY WERE DIAGNOSED WITH 3458 02:25:19,725 --> 02:25:23,062 THAT ILLNESS, OKAY, SO THIS 1 3459 02:25:23,062 --> 02:25:24,830 RIGHT HERE, SLIGHTLY LESS, IS 3460 02:25:24,830 --> 02:25:25,998 THAT RIGHT? 3461 02:25:25,998 --> 02:25:29,635 SLIGHTLY LESS DENSE GROUP, THESE 3462 02:25:29,635 --> 02:25:32,371 WERE INDIVIDUALS WHO WERE TESTED 3463 02:25:32,371 --> 02:25:36,242 ON CT, MORE THAN 7 YEARS BEFORE 3464 02:25:36,242 --> 02:25:39,145 THEY WERE DIAGNOSED WITH THE 3465 02:25:39,145 --> 02:25:39,378 DISEASE. 3466 02:25:39,378 --> 02:25:41,213 THIS NEXT GROUP OVER HERE IN THE 3467 02:25:41,213 --> 02:25:45,418 MIDDLE WAS A POPULATION WHO WERE 3468 02:25:45,418 --> 02:25:48,387 DIAGNOSED WITHIN 7 YEARS TO THE 3469 02:25:48,387 --> 02:25:52,425 TIME OF DIAGNOSIS, THE FOURTH 3470 02:25:52,425 --> 02:25:54,360 GROUP THE FOURTH GROUP IS 7 3471 02:25:54,360 --> 02:25:55,861 YEARS AFTER DIAGNOSIS AND THE 3472 02:25:55,861 --> 02:25:57,463 FIFTH GROUP HERE IS GREATER THAN 3473 02:25:57,463 --> 02:25:59,498 7 YEARS AFTER DIAGNOSIS. 3474 02:25:59,498 --> 02:26:02,168 SO BASICALLY IT TELLS YOU, MAN, 3475 02:26:02,168 --> 02:26:04,703 AS YOU GET WORSE AND WORSE IN 3476 02:26:04,703 --> 02:26:06,906 TERMS OF DIABETES, YOUR PANCREAS 3477 02:26:06,906 --> 02:26:07,840 BECOMES LESS AND LESS DENSE AND 3478 02:26:07,840 --> 02:26:11,844 YOU CAN SEE THAT IN AN AUTOMATED 3479 02:26:11,844 --> 02:26:16,382 AI GENERATED ASSESSMENT. 3480 02:26:16,382 --> 02:26:17,450 AND THE BIGGEST FINDING HERE TO 3481 02:26:17,450 --> 02:26:19,852 ME IS THAT YOU CAN SEE CHANGES 3482 02:26:19,852 --> 02:26:21,053 IN YOUR PANCREAS, MANY YEARS 3483 02:26:21,053 --> 02:26:23,923 BEFORE YOU GET DIAGNOSED 3484 02:26:23,923 --> 02:26:24,256 CLINICALLY. 3485 02:26:24,256 --> 02:26:29,762 SO IT'S A POSSIBILITY OF AT 3486 02:26:29,762 --> 02:26:31,397 LEAST IN THESE ABDOMINAL CTs 3487 02:26:31,397 --> 02:26:32,798 WHERE YOU GET FOR SOME OTHER 3488 02:26:32,798 --> 02:26:34,867 REASON WHERE YOU HAVE ABDOMINAL 3489 02:26:34,867 --> 02:26:37,136 PAIN OR SOMETHING, I WOULDN'T BE 3490 02:26:37,136 --> 02:26:38,571 SURPRISED IF A FEW YEARS FROM 3491 02:26:38,571 --> 02:26:41,240 NOW WE'RE RUNNING ALL OF THESE 3492 02:26:41,240 --> 02:26:47,012 CTs TO LOOK FOR THIS AS AN 3493 02:26:47,012 --> 02:26:48,247 INDICATOR OF EARLY DIABETIC 3494 02:26:48,247 --> 02:26:48,547 RISK. 3495 02:26:48,547 --> 02:26:49,482 I THINK THAT'S IT. 3496 02:26:49,482 --> 02:26:51,584 I HOPE I HAVEN'T GONE TOO LONG. 3497 02:26:51,584 --> 02:26:53,085 >> NO, THANK YOU SO MUCH. 3498 02:26:53,085 --> 02:26:54,153 THIS IS EXACTLY THE KIND OF 3499 02:26:54,153 --> 02:26:56,889 THING WE ALL LOVE TO -- RATHER 3500 02:26:56,889 --> 02:26:58,424 THAN JUST LOOK AT THE NUMBERS 3501 02:26:58,424 --> 02:26:59,892 BUT REALLY UNDERSTAND THE WORK 3502 02:26:59,892 --> 02:27:03,062 AND YOU'VE DONE A GREAT JOB OF 3503 02:27:03,062 --> 02:27:04,196 SHOWING US THAT. 3504 02:27:04,196 --> 02:27:07,066 ARE THERE ANY QUESTIONS OR 3505 02:27:07,066 --> 02:27:09,068 THOUGHTS? 3506 02:27:09,068 --> 02:27:10,402 , 3507 02:27:10,402 --> 02:27:11,804 OH, I'M SORRY, DAVID EMPLOY YOU 3508 02:27:11,804 --> 02:27:14,073 GOT IT RIGHT THERE AT THE END. 3509 02:27:14,073 --> 02:27:14,740 >> TERRIFIC PRESENTATION, THE 3510 02:27:14,740 --> 02:27:18,611 QUESTION I HAD WAS IS THE IH 3511 02:27:18,611 --> 02:27:19,912 AFFECTED ITS TRAINING, YOU 3512 02:27:19,912 --> 02:27:20,980 MENTIONED THE FELLOWS BUT THE 3513 02:27:20,980 --> 02:27:23,616 POST DOCS AND POST BACKS IN 3514 02:27:23,616 --> 02:27:25,150 TERMS OF RESTRICTIONS ON 3515 02:27:25,150 --> 02:27:27,386 INTERNATIONAL TRAINEES, THIS 3516 02:27:27,386 --> 02:27:29,722 SYRUPLY HAS AFFECTED PRIVATE 3517 02:27:29,722 --> 02:27:30,956 UNIVERSITIES FOR SURE. 3518 02:27:30,956 --> 02:27:32,458 >> YEAH, THAT'S PROBABLY 3519 02:27:32,458 --> 02:27:33,492 SOMETHING THAT NINA MIGHT BE 3520 02:27:33,492 --> 02:27:38,564 ABLE TO HELP WITH BUT I DO KNOW 3521 02:27:38,564 --> 02:27:40,566 THAT OVER TIME THE VISITING 3522 02:27:40,566 --> 02:27:44,169 FELLOWS, THERE ARE CERTAIN 3523 02:27:44,169 --> 02:27:47,339 COUNTRIES THAT ARE GOING TO BE 3524 02:27:47,339 --> 02:27:49,642 DIFFICULT TO US TO RECRUIT FROM. 3525 02:27:49,642 --> 02:27:52,678 SO I DON'T KNOW IF NINA YOU WANT 3526 02:27:52,678 --> 02:27:54,613 TO TAKE THAT? 3527 02:27:54,613 --> 02:27:55,981 >> YEAH, AT THE BEFEINBERGING 3528 02:27:55,981 --> 02:27:58,517 THERE WAS A HALT ON EVEN THOUGH 3529 02:27:58,517 --> 02:27:59,818 THEY'RE NOT FTE, REGULAR 3530 02:27:59,818 --> 02:28:01,253 EMPLOYEES OF NIH, THERE WAS A 3531 02:28:01,253 --> 02:28:08,527 COMPLETE RESTRICTION ON BRINGING 3532 02:28:08,527 --> 02:28:09,962 ON NEW FELLOWS, NEW STUDENTS 3533 02:28:09,962 --> 02:28:11,030 EXCEPT FOR CLINICAL TRAINEES 3534 02:28:11,030 --> 02:28:12,097 BECAUSE WE NEEDED THEM TO TAKE 3535 02:28:12,097 --> 02:28:15,267 CARE OF THE PATIENTS IN THE 3536 02:28:15,267 --> 02:28:15,868 HOSPITAL. 3537 02:28:15,868 --> 02:28:18,504 SO WE WERE ALLOWED TO HIRE -- 3538 02:28:18,504 --> 02:28:21,440 ALTHOUGH EVEN THAT CAME WITH A 3539 02:28:21,440 --> 02:28:23,509 DELAY AND A CHALLENGE WITH 3540 02:28:23,509 --> 02:28:25,644 GETTING THAT THROUGH HEART 3541 02:28:25,644 --> 02:28:27,279 ATTACK HS, THEY PERIODICALLY 3542 02:28:27,279 --> 02:28:32,217 FORGET THAT WE HAVE A HOSPITAL 3543 02:28:32,217 --> 02:28:33,619 ON OUR CAMPUS BUT WE WERE 3544 02:28:33,619 --> 02:28:36,355 ALLOWED TO BRING THEM ON AND 3545 02:28:36,355 --> 02:28:38,290 THAT'S A GOOD THING BECAUSE AS 3546 02:28:38,290 --> 02:28:39,592 YOU KNOW THEY GO THROUGH THE 3547 02:28:39,592 --> 02:28:42,227 MATCH AND WE SIGN A CONTRACT. 3548 02:28:42,227 --> 02:28:44,396 IT'S BREECH OF CONTRACT IF WE 3549 02:28:44,396 --> 02:28:46,131 DON'T THEN HIRE THEM SO WE WERE 3550 02:28:46,131 --> 02:28:48,567 ABLE TO BRING CLINICAL FELLOWS, 3551 02:28:48,567 --> 02:28:53,005 POST DOCS, POST BACKS, GRADUATE 3552 02:28:53,005 --> 02:28:57,376 STUDENTS IN PARTNERSHIP WITH 3553 02:28:57,376 --> 02:28:57,977 MANY INSTITUTIONS AROUND THE 3554 02:28:57,977 --> 02:28:59,845 WORLD FOR A LONG TIME WE WERE 3555 02:28:59,845 --> 02:29:05,117 NOT ALLOWED TO BRING IN AND NOW, 3556 02:29:05,117 --> 02:29:09,688 THERE'S STILL A RESTRICTIONS AS 3557 02:29:09,688 --> 02:29:11,056 LEIGHTON SAYS IN FOREIGN 3558 02:29:11,056 --> 02:29:14,526 INDIVIDUALS AND IN PARTICULAR 3559 02:29:14,526 --> 02:29:17,262 FOREIGN INDIVIDUALS EITHER FROM 3560 02:29:17,262 --> 02:29:19,531 COUNTRIES FROM CONCERN OR ON THE 3561 02:29:19,531 --> 02:29:22,468 WATCH LIST AS DEFINED BY THE 3562 02:29:22,468 --> 02:29:24,203 STATE DEPARTMENT. 3563 02:29:24,203 --> 02:29:25,704 AND ALSO, BY ANY INDIVIDUAL NO 3564 02:29:25,704 --> 02:29:29,008 MATTER WHERE THEY COME FROM, IF 3565 02:29:29,008 --> 02:29:31,176 THEY'RE FUNDED IN ANY WAY BY 3566 02:29:31,176 --> 02:29:36,148 THEIR COUNTRY, EVEN IF IT'S A 3567 02:29:36,148 --> 02:29:40,919 PRIVATE COMPANY, THAT SITS IN A 3568 02:29:40,919 --> 02:29:41,387 FOREIGN COUNTRY. 3569 02:29:41,387 --> 02:29:44,690 SO WE STILL HAVE A LOT OF 3570 02:29:44,690 --> 02:29:46,191 RESTRICTIONS AND AS YOU CAN 3571 02:29:46,191 --> 02:29:47,459 IMAGINE, THERE ARE FOREIGN 3572 02:29:47,459 --> 02:29:49,528 COUNTRIES FROM WHICH THE VAST 3573 02:29:49,528 --> 02:29:54,166 MAJORITY OF OUR POST DOCTORAL 3574 02:29:54,166 --> 02:29:56,035 FELLOWS COME AND IT HAS BEEN A 3575 02:29:56,035 --> 02:29:57,002 REAL CHALLENGE. 3576 02:29:57,002 --> 02:30:04,043 BUT ON THE OTHER HAND SINCE 3577 02:30:04,043 --> 02:30:05,344 DR. BHATTARYHA GOT HERE IT HAS 3578 02:30:05,344 --> 02:30:07,112 OPENED UP VASTLY FROM WHAT IT 3579 02:30:07,112 --> 02:30:09,248 WAS ORIGINALLY. 3580 02:30:09,248 --> 02:30:10,516 >> GOOD, THANK YOU. 3581 02:30:10,516 --> 02:30:14,219 ANTONIET IN.? 3582 02:30:14,219 --> 02:30:18,424 >> I HAVE A QUESTION THE 3583 02:30:18,424 --> 02:30:19,725 PANCREAS IS HAVE ARE CLEAR, I 3584 02:30:19,725 --> 02:30:21,593 WANT TO GET OFF SUBJECT JUST A 3585 02:30:21,593 --> 02:30:28,267 LITTLE BIT, WHY IS IT SO HARD TO 3586 02:30:28,267 --> 02:30:29,735 DIAGNOSE PANCREATIC CANCER? 3587 02:30:29,735 --> 02:30:30,035 >> OH WOW. 3588 02:30:30,035 --> 02:30:34,907 I DON'T KNOW THAT I'M THE EXPERT 3589 02:30:34,907 --> 02:30:39,411 TO ANSWER THAT QUESTION BUT I 3590 02:30:39,411 --> 02:30:40,679 THINK WE COULD PROBABLY FIND 3591 02:30:40,679 --> 02:30:42,347 SOMEONE FOR TO YOU CONNECT WITH 3592 02:30:42,347 --> 02:30:43,015 ON THAT 1. 3593 02:30:43,015 --> 02:30:44,883 MY UNDERSTANDING IS THAT THERE 3594 02:30:44,883 --> 02:30:46,719 ARE DIFFERENT TYPES OF 3595 02:30:46,719 --> 02:30:48,554 PANCREATIC CANCER, SOME ARE 3596 02:30:48,554 --> 02:30:50,389 QUITE AGGRESSIVE AND SOME ARE A 3597 02:30:50,389 --> 02:30:51,690 LITTLE BIT MORE AMENABLE TO 3598 02:30:51,690 --> 02:30:51,957 TREATMENT. 3599 02:30:51,957 --> 02:30:55,527 I THINK WE ALL KNOW PRESIDENT 3600 02:30:55,527 --> 02:30:58,097 CARTER AND HIS FAMILY HAD A TYPE 3601 02:30:58,097 --> 02:30:59,598 OF PANCREATIC CANCER THAT WAS 3602 02:30:59,598 --> 02:31:02,134 GENETIC BUT THEY DID QUITE WELL 3603 02:31:02,134 --> 02:31:03,635 WITH IT, BUT, LET ME SEE IF I 3604 02:31:03,635 --> 02:31:07,639 CAN'T PUT YOU IN TOUCH WITH 3605 02:31:07,639 --> 02:31:10,909 SOMEBODY. 3606 02:31:10,909 --> 02:31:11,210 >> THANKS. 3607 02:31:11,210 --> 02:31:12,244 THANKSVERY MUCH. 3608 02:31:12,244 --> 02:31:13,979 >> IF I COULD TAKE 1-SECOND AND 3609 02:31:13,979 --> 02:31:17,049 JUST TO THANK PIUS FOR HIS 3610 02:31:17,049 --> 02:31:19,284 LEADERSHIP AND ALSO NINA IN THIS 3611 02:31:19,284 --> 02:31:21,620 DIFFICULT TIME. 3612 02:31:21,620 --> 02:31:27,192 I THINK IF YOU'LL EXCUSE THE NFL 3613 02:31:27,192 --> 02:31:30,529 METAPHOR, NINA IS AS FAR FROM AN 3614 02:31:30,529 --> 02:31:31,730 NFL PULLING GUARD AS YOU CAN 3615 02:31:31,730 --> 02:31:42,107 GET, ON THE OTHER HAND 3616 02:31:42,541 --> 02:31:43,041 EMOTIONALLY, INTELLECTUALLY, 3617 02:31:43,041 --> 02:31:44,476 ETHICALLY SHE IS AS TOUGH AS 3618 02:31:44,476 --> 02:31:45,010 ANYONE I KNOW. 3619 02:31:45,010 --> 02:31:47,513 THANK YOU FOR SUPPORTING US 3620 02:31:47,513 --> 02:31:47,713 NINA? 3621 02:31:47,713 --> 02:31:52,084 I WILL SUGGEST WE FOREGO OUR 10 3622 02:31:52,084 --> 02:31:55,287 MINUTE BREAK AND ALLOW ANYONE -- 3623 02:31:55,287 --> 02:31:57,156 ONLY BECAUSE WE'RE BEHIND HERE, 3624 02:31:57,156 --> 02:31:58,223 ANYONE ONLINE, IF YOU NEED TO 3625 02:31:58,223 --> 02:31:59,758 TAKE A BREAK, AND I HATE TO DO 3626 02:31:59,758 --> 02:32:02,194 THAT TO SOME OF OUR NEXT 3627 02:32:02,194 --> 02:32:04,363 PRESENTERS IF A FEW OF HAVE TO 3628 02:32:04,363 --> 02:32:06,231 STEP OUT FOR A MOMENT BUT I 3629 02:32:06,231 --> 02:32:07,766 DON'T WANT TO SHORT CHANGE THE 3630 02:32:07,766 --> 02:32:09,201 PRESENTERS AS THEY COME UP, IS 3631 02:32:09,201 --> 02:32:11,236 THAT OKAY, IS THAT ALL RIGHT 3632 02:32:11,236 --> 02:32:15,941 WITH EVERYONE IN TRISHA COFFEY, 3633 02:32:15,941 --> 02:32:17,442 SHE IS THE CHIEF HEALTH AND 3634 02:32:17,442 --> 02:32:18,811 INFORMATION OFFICER AND WILL 3635 02:32:18,811 --> 02:32:28,153 TALK ABOUT TELEHEALTH AT THE 3636 02:32:28,153 --> 02:32:29,655 CLINICAL CENTER. 3637 02:32:29,655 --> 02:32:30,589 >> HELLO, EVERYBODY, THANK YOU 3638 02:32:30,589 --> 02:32:31,690 FOR HAVING ME HERE TODAY AND I 3639 02:32:31,690 --> 02:32:34,226 AM GOING TO GIVE YOU AN UPDATE 3640 02:32:34,226 --> 02:32:38,030 AND AN OVERVIEW OF OUR VIRTUAL 3641 02:32:38,030 --> 02:32:39,097 HEALTH PROGRAM THAT WE SUPPORT 3642 02:32:39,097 --> 02:32:49,575 HERE IN THE CLINICAL CENTER. 3643 02:32:51,376 --> 02:32:52,277 WHILE THEY'RE FINDING MY SLIDES 3644 02:32:52,277 --> 02:32:54,913 I WILL TELL YOU LIKE MANY 3645 02:32:54,913 --> 02:32:56,849 HEALTHCARE ORGANIZATIONS WE HAD 3646 02:32:56,849 --> 02:32:59,885 NO VIRTUAL HEALTH PROGRAM UNTIL 3647 02:32:59,885 --> 02:33:02,321 THE PANDEMIC HIT AND IN A 3648 02:33:02,321 --> 02:33:03,355 CLINICAL RESEARCH ORGANIZATION, 3649 02:33:03,355 --> 02:33:05,090 AND IN ANY HEALTHCARE 3650 02:33:05,090 --> 02:33:06,124 ORGANIZATION, IT WAS IMPORTANT 3651 02:33:06,124 --> 02:33:08,594 TO HAVE 1 SO WE QUICKLY PUT 1 3652 02:33:08,594 --> 02:33:11,663 TOGETHER, ESTABLISHED A POLICY, 3653 02:33:11,663 --> 02:33:14,299 REVIEWED THAT WITH OUR MEDICAL 3654 02:33:14,299 --> 02:33:15,701 EXECUTIVE COMMITTEE, GOT THAT 3655 02:33:15,701 --> 02:33:16,635 PASSED AND INITIALLY PROVIDED 3656 02:33:16,635 --> 02:33:18,170 OUR PROGRAM THROUGH A PLATFORM 3657 02:33:18,170 --> 02:33:21,506 THAT WE ALREADY HAD ACROSS THE 3658 02:33:21,506 --> 02:33:25,010 ORGANIZATION THROUGH MICROSOFT 3659 02:33:25,010 --> 02:33:25,244 TEAMS. 3660 02:33:25,244 --> 02:33:27,079 AND THEN TRANSITIONED INTO A 3661 02:33:27,079 --> 02:33:29,581 FULL ACTUAL TELEHEALTH PLATFORM. 3662 02:33:29,581 --> 02:33:31,583 YOU CAN GO TO THE NEXT SLIDE. 3663 02:33:31,583 --> 02:33:34,019 I AM TRISHA COFFEY, I AM CHIEF 3664 02:33:34,019 --> 02:33:35,087 OF OUR HEALTH MANAGEMENT 3665 02:33:35,087 --> 02:33:35,854 DIVISION IN THE CLINICAL CENTER 3666 02:33:35,854 --> 02:33:38,390 AND A PART OF OUR DEPARTMENT OF 3667 02:33:38,390 --> 02:33:41,460 CLINICAL RESEARCH INFORMATICS OR 3668 02:33:41,460 --> 02:33:42,594 CLINICAL IT COMPONENT OF THE 3669 02:33:42,594 --> 02:33:43,061 CLINICAL CENTER. 3670 02:33:43,061 --> 02:33:45,898 SO I WILL BE REVIEWING WITH YOU 3671 02:33:45,898 --> 02:33:47,499 THESE TOPICS, TALKING ABOUT WHY 3672 02:33:47,499 --> 02:33:48,867 IT'S IMPORTANT TO HAVE THIS 3673 02:33:48,867 --> 02:33:51,603 PROGRAM AT THE:ICAL CENTER. 3674 02:33:51,603 --> 02:33:53,572 I WILL GIVE YOU A QUICK OVERVIEW 3675 02:33:53,572 --> 02:33:56,375 OF ALL OF OUR PATIENT ENGAGEMENT 3676 02:33:56,375 --> 02:33:58,377 PLATFORMS AND THEN FOCUS A 3677 02:33:58,377 --> 02:34:01,380 LITTLE BIT ON OUR ANDOR HEALTH 3678 02:34:01,380 --> 02:34:04,016 PLATFORM WHICH IS OUR VIRTUAL 3679 02:34:04,016 --> 02:34:05,117 PLATFORM FOR PERFORMING 3680 02:34:05,117 --> 02:34:05,918 TELEHEALTH VISITS. 3681 02:34:05,918 --> 02:34:09,254 I WILL GO OVER KEY PERFORMANCE 3682 02:34:09,254 --> 02:34:10,422 INDICATORS AND THEN TALK ABOUT 3683 02:34:10,422 --> 02:34:11,757 PLANS FOR THE FUTURE. 3684 02:34:11,757 --> 02:34:12,090 NEXT SLIDE. 3685 02:34:12,090 --> 02:34:16,628 FOR MANY OF OUR, OR ALL OF OUR 3686 02:34:16,628 --> 02:34:18,597 LARGE CLINICAL IT PROJECTS AND 3687 02:34:18,597 --> 02:34:20,332 PROGRAMS WE HAVE TEABED WHAT WE 3688 02:34:20,332 --> 02:34:21,600 CALL A -- WE HAVE ESTABLISHED 3689 02:34:21,600 --> 02:34:23,268 WHAT WE CALL A WHY OR PURPOSE 3690 02:34:23,268 --> 02:34:24,636 STATEMENT AND THIS PROGRAM IS 1 3691 02:34:24,636 --> 02:34:26,738 OF THOSE AND SO YOU CAN SEE THAT 3692 02:34:26,738 --> 02:34:27,773 PURPOSE STATEMENT ON THE SLIDE 3693 02:34:27,773 --> 02:34:29,441 HERE FOR THE SAKE OF TIME, I'M 3694 02:34:29,441 --> 02:34:30,609 NOT GOING TO REVIEW IT. 3695 02:34:30,609 --> 02:34:33,912 BUT IT JUST HELPS US 3696 02:34:33,912 --> 02:34:35,247 PARTICULARLY IN IT REMAIN 3697 02:34:35,247 --> 02:34:37,649 ENGAGED AND CONNECTED TO THAT 3698 02:34:37,649 --> 02:34:38,817 CLINICAL IT COMPONENT THAT WE 3699 02:34:38,817 --> 02:34:40,652 SUPPORT IN THE CLINICAL CENTER 3700 02:34:40,652 --> 02:34:43,455 FOR ALL OF OUR IMPORTANT 3701 02:34:43,455 --> 02:34:45,490 CUSTOMERS, THE PATIENTS. 3702 02:34:45,490 --> 02:34:45,924 NEXT SLIDE. 3703 02:34:45,924 --> 02:34:49,428 SO WHY WAS IT IMPORTANT 3704 02:34:49,428 --> 02:34:50,262 STRATEGICALLY, THAT'S PROBABLY 3705 02:34:50,262 --> 02:34:52,364 OBVIOUS, OUR VISION IS LISTED 3706 02:34:52,364 --> 02:34:56,234 HERE ON THE SLIDE AS WELL, AND 3707 02:34:56,234 --> 02:34:58,503 IT WAS REALLY TO SUPPORT THOSE 3708 02:34:58,503 --> 02:35:00,138 CHALLENGES THAT SO MANY 3709 02:35:00,138 --> 02:35:05,177 ORGANIZATIONS WERE EXPERIENCING 3710 02:35:05,177 --> 02:35:06,979 IN HEALTHCARE KKLY IN OUR 3711 02:35:06,979 --> 02:35:07,913 RESEARCH ENVIRONMENT WHERE IT'S 3712 02:35:07,913 --> 02:35:09,915 IMPORTANT TO REMAIN ENGAGED WITH 3713 02:35:09,915 --> 02:35:10,649 OUR PATIENTS OR PARTNERS IN 3714 02:35:10,649 --> 02:35:12,684 RESEARCH THAT IS THEY MOVE 3715 02:35:12,684 --> 02:35:14,619 THROUGH THE CLINICAL RESEARCH 3716 02:35:14,619 --> 02:35:14,853 STUDY. 3717 02:35:14,853 --> 02:35:17,723 AND PATIENT ACCESS SOME OF THOSE 3718 02:35:17,723 --> 02:35:18,590 GEOGRAPHICAL BARRIERS WHERE 3719 02:35:18,590 --> 02:35:20,559 PATIENTS ARE LOCATED ACROSS THE 3720 02:35:20,559 --> 02:35:21,860 COUNTRY, IT'S OFTEN EXPENSIVE TO 3721 02:35:21,860 --> 02:35:23,462 TRAVEL SO WE PUT TOGETHER A 3722 02:35:23,462 --> 02:35:25,530 PROGRAM TO SUPPORT THEM, 3723 02:35:25,530 --> 02:35:26,932 VIRTUALLY, SO THAT IF THEY WERE 3724 02:35:26,932 --> 02:35:28,467 UNABLE TO TRAVEL, THEY COULD 3725 02:35:28,467 --> 02:35:30,268 STILL MAINTAIN COMPLIANCE WITH 3726 02:35:30,268 --> 02:35:33,538 THAT RESEARCH STUDY EMPLOY AND 3727 02:35:33,538 --> 02:35:35,640 THEN OF COURSE AND PREPAREDNESS 3728 02:35:35,640 --> 02:35:39,478 THROUGHOUT THE PANDEMIC AS I 3729 02:35:39,478 --> 02:35:39,978 MENTIONED. 3730 02:35:39,978 --> 02:35:41,913 SO THIS IS A KIND OF SLIDE THAT 3731 02:35:41,913 --> 02:35:47,119 SHOWS YOU ALL OF THE COMPONENTS 3732 02:35:47,119 --> 02:35:52,391 OF OUR VIRTUAL HEALTH PLATFORM, 3733 02:35:52,391 --> 02:35:54,793 THE THINK ANDOR PLATFORM AND THE 3734 02:35:54,793 --> 02:35:56,094 4 RECK TANGLES ON THE LEFT SIDE 3735 02:35:56,094 --> 02:35:57,963 OF THE SCREEN SHOW THE 3736 02:35:57,963 --> 02:35:59,364 COMPONENTS WE HAVE IMPLEMENTED 3737 02:35:59,364 --> 02:36:01,199 IN OUR ORGANIZATION, THE 3 ON 3738 02:36:01,199 --> 02:36:02,968 THE RIGHT, ARE THOSE THAT ARE -- 3739 02:36:02,968 --> 02:36:05,837 WE ARE HOPING TO BE ABLE TO 3740 02:36:05,837 --> 02:36:06,638 IMPLEMENT AS FUTURE 3741 02:36:06,638 --> 02:36:08,440 FUNCTIONALITY WITH 1 OF THEM 3742 02:36:08,440 --> 02:36:16,948 BEING IN A CURRENT EARLY ADOPTER 3743 02:36:16,948 --> 02:36:17,416 PHASE. 3744 02:36:17,416 --> 02:36:18,617 SO VIRTUAL VISITS, I WILL GO 3745 02:36:18,617 --> 02:36:19,451 OVER THE DATA ASSOCIATED WITH 3746 02:36:19,451 --> 02:36:21,420 THAT PROGRAM IN A BIT. 3747 02:36:21,420 --> 02:36:22,487 VIRTUAL ROUNDING REALLY SUPPORTS 3748 02:36:22,487 --> 02:36:25,791 THE ABILITY FOR PROGRAMS AND 3749 02:36:25,791 --> 02:36:27,359 TEAMS AND PATIENTS WHO ARE IN 3750 02:36:27,359 --> 02:36:37,836 OUR FACILITY TO CONNECT CAN 3751 02:36:46,545 --> 02:36:47,612 CONDUCT VIRTUAL ROUNDS. 3752 02:36:47,612 --> 02:36:48,547 BROADCASTING MESSAGES TO A 3753 02:36:48,547 --> 02:36:50,816 SPECIFIC POPULATION OF PATIENTS, 3754 02:36:50,816 --> 02:36:53,018 PERHAPS BASED ON A CLINICAL 3755 02:36:53,018 --> 02:36:54,986 STUDY, WE CAN DO THAT EASILY 3756 02:36:54,986 --> 02:36:56,855 BASED ON DATA FROM OUR EHR. 3757 02:36:56,855 --> 02:36:59,324 WE ALSO HAVE OUR IN-DEVELOPMENT 3758 02:36:59,324 --> 02:37:00,892 SCREENING QUESTIONNAIRES, SO 3759 02:37:00,892 --> 02:37:01,927 RIGHT NOW THE FIRST 1 WE'RE 3760 02:37:01,927 --> 02:37:03,328 WORKING ON WITH OUR NURSING 3761 02:37:03,328 --> 02:37:05,363 DEPARTMENT FOLK SYSTEM THE 3762 02:37:05,363 --> 02:37:06,998 DISTRESS SCREENING TOOL FOR OUR 3763 02:37:06,998 --> 02:37:08,366 ONCOLOGY PATIENTS WHERE THEY 3764 02:37:08,366 --> 02:37:10,569 WILL COMPLETE A QUESTIONNAIRE 3765 02:37:10,569 --> 02:37:11,837 UPON ARRIVAL IN THE CLINICAL 3766 02:37:11,837 --> 02:37:13,472 CENTER AND THEN THAT INFORMATION 3767 02:37:13,472 --> 02:37:15,907 WILL GET FED BACK TO OUR EHR TO 3768 02:37:15,907 --> 02:37:20,345 HELP DRIVE SOME OF THAT CLINICAL 3769 02:37:20,345 --> 02:37:21,580 DECISION SUPPORT. 3770 02:37:21,580 --> 02:37:23,415 REMOVE PATIENT MONITORING IN THE 3771 02:37:23,415 --> 02:37:24,783 TRADITIONAL SENSE IS WHERE 3772 02:37:24,783 --> 02:37:26,084 PATIENTS MAY HAVE DEVICES THAT 3773 02:37:26,084 --> 02:37:27,986 THEY USE AT HOME AND THEN DATA 3774 02:37:27,986 --> 02:37:30,455 GETS REPORTED BACK TO THE 3775 02:37:30,455 --> 02:37:31,656 ORGANIZATION AND THE CARE TEAM 3776 02:37:31,656 --> 02:37:33,358 TO,A ASSESSES AND REVIEW. 3777 02:37:33,358 --> 02:37:35,961 WE ARE USING IT WITH OUR EARLY 3778 02:37:35,961 --> 02:37:37,929 ADOPTER, DR. KAREN FRANK AND OUR 3779 02:37:37,929 --> 02:37:38,597 DEPARTMENT OF LABORATORY 3780 02:37:38,597 --> 02:37:40,765 MEDICINE TO SUPPORT HER CLINICAL 3781 02:37:40,765 --> 02:37:41,233 TRIAL. 3782 02:37:41,233 --> 02:37:43,335 SO SHE'S DOING A STUDY, WE ARE 3783 02:37:43,335 --> 02:37:45,804 ABLE TO DEVELOP A CARE PLAN 3784 02:37:45,804 --> 02:37:50,208 THROUGH THE REMOTE PATIENT 3785 02:37:50,208 --> 02:37:51,476 MONITORING COMPONENT TO INSURE 3786 02:37:51,476 --> 02:37:54,546 PATIENTS ARE ON TRACK AND ABLE 3787 02:37:54,546 --> 02:37:56,948 TO SUBMIT FOOD DIARIES AS 3788 02:37:56,948 --> 02:37:58,683 THEY'RE SUPPOSED TO, COMPLETE 3789 02:37:58,683 --> 02:37:59,951 QUESTIONNAIRES RELATED TO THE 3790 02:37:59,951 --> 02:38:01,686 STUDY AS NECESSARY AND THEN THAT 3791 02:38:01,686 --> 02:38:04,189 DATA ALL COMES BACK IN A 3792 02:38:04,189 --> 02:38:05,824 DISCREET MANNER SO SHE CAN 3793 02:38:05,824 --> 02:38:07,726 CONDUCT HER DATA ANALYSIS AS 3794 02:38:07,726 --> 02:38:11,563 NECESSARY TO SUPPORT HER TRIAL. 3795 02:38:11,563 --> 02:38:12,864 TELESITING IS SOMETHING THAT'S 3796 02:38:12,864 --> 02:38:14,900 AVAILABLE, WE HAVE LOOKED AT IT, 3797 02:38:14,900 --> 02:38:17,769 IT'S NOT SOMETHING THAT WE 3798 02:38:17,769 --> 02:38:18,570 CURRENTLY HAVE IMPLEMENTED BUT 3799 02:38:18,570 --> 02:38:20,705 IT IS THERE AS FUNCTIONALITY, TO 3800 02:38:20,705 --> 02:38:25,544 BE ABLE TO VIRTUALLY MONITOR 3801 02:38:25,544 --> 02:38:27,712 MAISHTS WHO MAY REQUIRE SOME 3802 02:38:27,712 --> 02:38:28,680 CLOSE MONITORING WHILE THEY'RE 3803 02:38:28,680 --> 02:38:31,383 IN OUR FACILITY AND THEN THOSE 3804 02:38:31,383 --> 02:38:32,817 AI AGENTS, 1 OF THE COMPONENTS 3805 02:38:32,817 --> 02:38:34,686 OF THAT IS AMBIENT DOCUMENTATION 3806 02:38:34,686 --> 02:38:35,854 WHERE THE PROGRAM'S LISTENING IN 3807 02:38:35,854 --> 02:38:38,456 THE BACKGROUND AND CREATING A 3808 02:38:38,456 --> 02:38:41,426 DRAFT OF THE DOCUMENTATION FOR 3809 02:38:41,426 --> 02:38:41,893 YOU. 3810 02:38:41,893 --> 02:38:42,727 SO HOPEFULLY FUTURE 3811 02:38:42,727 --> 02:38:44,095 FUNCTIONALITY THAT WILL BE ABLE 3812 02:38:44,095 --> 02:38:47,832 TO LEVERAGE IN THE CLINICAL 3813 02:38:47,832 --> 02:38:48,200 CENTER. 3814 02:38:48,200 --> 02:38:50,268 NEXT SLIDE, AND THEN THESE ARE 4 3815 02:38:50,268 --> 02:38:50,969 OTHER PATIENT ENGAGEMENT 3816 02:38:50,969 --> 02:38:52,037 SOLUTIONS THAT WE HAVE 3817 02:38:52,037 --> 02:38:54,339 IMPLEMENTED IN THE CLINICAL 3818 02:38:54,339 --> 02:38:57,542 CENTER, OUR EICU, SO WE HAVE THE 3819 02:38:57,542 --> 02:38:59,945 ABILITY TO CENTRALLY MONITOR AND 3820 02:38:59,945 --> 02:39:02,013 SURVEY A PRIDE SURVEILLANCE OF 3821 02:39:02,013 --> 02:39:04,249 PATIENTS IN OUR ICU, MAKES IT 3822 02:39:04,249 --> 02:39:06,985 EASIER FOR CLINICIANS WHO ARE 3823 02:39:06,985 --> 02:39:08,486 MONITORING MULTIPLE PATIENTS, 3824 02:39:08,486 --> 02:39:09,654 OUR FOLLOW MY HEALTH PATIENT 3825 02:39:09,654 --> 02:39:10,188 PORTAL. 3826 02:39:10,188 --> 02:39:13,425 WE DO HAVE A PLATFORM CALLED 3827 02:39:13,425 --> 02:39:15,527 IMED CONSENT THAT SUPPORTS 3828 02:39:15,527 --> 02:39:18,163 INFORMED CONSENT AND GATHERING 3829 02:39:18,163 --> 02:39:19,531 DIGITAL SIGNATURES FROM OUR 3830 02:39:19,531 --> 02:39:20,799 INVESTIGATORS AND RESEARCH 3831 02:39:20,799 --> 02:39:22,634 PARTICIPANTS AND THEN THAT DATA 3832 02:39:22,634 --> 02:39:23,802 AND INFORMATION AND CONSENT IS 3833 02:39:23,802 --> 02:39:28,273 FED BACK TO OUR EHR. 3834 02:39:28,273 --> 02:39:30,375 AND OUR PATIENT EXPERIENCE 3835 02:39:30,375 --> 02:39:31,810 PLATFORM REALLY SUPPORTS THE 3836 02:39:31,810 --> 02:39:33,211 PREREGISTRATION AND REGISTRATION 3837 02:39:33,211 --> 02:39:35,614 COMPONENTS OF PATIENTS IN OUR 3838 02:39:35,614 --> 02:39:37,482 FACILITY, AND WE WENT LIVE WITH 3839 02:39:37,482 --> 02:39:42,120 THIS ON TUESDAY AND ALL IS GOING 3840 02:39:42,120 --> 02:39:42,320 WELL. 3841 02:39:42,320 --> 02:39:43,021 NEXT SLIDE. 3842 02:39:43,021 --> 02:39:44,789 I WILL GIVE YOU A QUICK OVERVIEW 3843 02:39:44,789 --> 02:39:46,157 AND SHOW YOU SOME SCREEN SHOTS 3844 02:39:46,157 --> 02:39:47,459 OF THE ACTUAL PLATFORM SO YOU 3845 02:39:47,459 --> 02:39:53,131 GET A SENSE OF HOW THIS 3846 02:39:53,131 --> 02:39:54,099 OPERATES, NEXT SLIDE. 3847 02:39:54,099 --> 02:39:55,767 IT IS INTEGRATED INTO OUR EHR SO 3848 02:39:55,767 --> 02:39:59,304 WE'RE ABLE TO PASS DATA BACK AND 3849 02:39:59,304 --> 02:40:01,373 FORTH, WE CAN SHARE DATA ABOUT 3850 02:40:01,373 --> 02:40:05,677 PATIENTS, SOME OF THE ADT OR 3851 02:40:05,677 --> 02:40:07,412 ADMISSION DISCHARGE -- WHAT AM I 3852 02:40:07,412 --> 02:40:10,448 TRYING TO SAY, DON? 3853 02:40:10,448 --> 02:40:11,816 ADMISSION DISCHARGE TRANSFER 3854 02:40:11,816 --> 02:40:16,755 INFORMATION FOR PATIENTS BACK TO 3855 02:40:16,755 --> 02:40:18,323 OUR ANDOR PLATFORM AND THAT 3856 02:40:18,323 --> 02:40:20,325 HELPS WITH PATIENT LISTS SO IF 3857 02:40:20,325 --> 02:40:22,827 ANY TEAMS WANT TO CONDUCT 3858 02:40:22,827 --> 02:40:24,796 PATIENT ROUNDS WE SEE THAT LIST. 3859 02:40:24,796 --> 02:40:26,965 WE ALSO PROVIDE SIGN-ON STAFF 3860 02:40:26,965 --> 02:40:31,136 THAT MAKE ITS EASY WHYER TO 3861 02:40:31,136 --> 02:40:33,305 ACCESS THE SYSTEM FOR OUR 3862 02:40:33,305 --> 02:40:34,205 SUPPORT TEAM WITHIN OUR 3863 02:40:34,205 --> 02:40:35,640 DEPARTMENT TO JOIN A VIRTUAL 3864 02:40:35,640 --> 02:40:36,808 SESSION OR THE PROVIDER CAN 3865 02:40:36,808 --> 02:40:39,344 SELECT A BUTTON AND CALL IN 1 OF 3866 02:40:39,344 --> 02:40:41,246 OUR STAFF TO ASSIST. 3867 02:40:41,246 --> 02:40:42,781 WE ALSO HAVE INTEGRATION WITH 3868 02:40:42,781 --> 02:40:44,516 OUR PATIENT PORTAL FOR 3869 02:40:44,516 --> 02:40:47,052 APPOINTMENTS AND THERE'S NO 3870 02:40:47,052 --> 02:40:47,986 APPLICATION DOWNLOAD REQUIRED, 3871 02:40:47,986 --> 02:40:49,621 SO PATIENTS AND PROVIDERS ACCESS 3872 02:40:49,621 --> 02:40:53,291 THE PLATFORM THROUGH A WEB BASED 3873 02:40:53,291 --> 02:40:53,558 INTERFACE. 3874 02:40:53,558 --> 02:40:53,858 NEXT SLIDE. 3875 02:40:53,858 --> 02:41:00,298 AND THEN OF COURSE, WE ENSURE WE 3876 02:41:00,298 --> 02:41:04,169 ARE COMPLIANT WITH PRIVACY AND 3877 02:41:04,169 --> 02:41:06,471 SECURITY, AUDIO AND VIDEO ARE 3878 02:41:06,471 --> 02:41:07,839 ENCRYPTED, WE HAVE AN ASSESSMENT 3879 02:41:07,839 --> 02:41:08,973 IN PLACE TO SUPPORT OUR 3880 02:41:08,973 --> 02:41:10,942 PLATFORM, AND WE DO NOT PERMIT 3881 02:41:10,942 --> 02:41:17,349 ANY RECORDING OR SHARING OF 3882 02:41:17,349 --> 02:41:18,850 VISIT DATA FILES OR VIDEO. 3883 02:41:18,850 --> 02:41:21,619 WE HAVE A WHOLE HOST OF 3884 02:41:21,619 --> 02:41:22,454 REFERENCE RESOURCE MATERIALS 3885 02:41:22,454 --> 02:41:25,857 AVAILABLE FOR OUR PROVIDERS AND 3886 02:41:25,857 --> 02:41:27,058 PATIENTS TO ACCESS SHOULD THEY 3887 02:41:27,058 --> 02:41:27,926 NEED THEM. 3888 02:41:27,926 --> 02:41:28,426 NEXT SLIDE. 3889 02:41:28,426 --> 02:41:32,030 THIS IS A SAMPLE OF OUR DID SHE 3890 02:41:32,030 --> 02:41:34,632 BOARD SCREEN, SO OUR TELEHEALTH 3891 02:41:34,632 --> 02:41:38,103 SUPPORT TEAM, CAN MONITOR THIS 3892 02:41:38,103 --> 02:41:39,304 DASHBOARD AND SEE WHEN PATIENTS 3893 02:41:39,304 --> 02:41:42,507 ARE JOINED INTO A VISIT IF THE 3894 02:41:42,507 --> 02:41:43,708 PROVIDER HAS JOINED OR IF THE 3895 02:41:43,708 --> 02:41:46,211 VISIT HAS BEEN COMPLETED. 3896 02:41:46,211 --> 02:41:48,413 SO WE CAN MONITOR THIS AND 3897 02:41:48,413 --> 02:41:50,148 INSURE THAT PROVIDERS AND 3898 02:41:50,148 --> 02:41:51,416 PATIENTS ARE CONNECTING FOR 3899 02:41:51,416 --> 02:41:55,186 THEIR VISITS AS NECESSARY. 3900 02:41:55,186 --> 02:41:56,855 NEXT SLIDE. 3901 02:41:56,855 --> 02:41:58,523 SIMILARLY, OUR VIRTUAL ROUNDING 3902 02:41:58,523 --> 02:42:01,426 SCREEN, SO IF FOR EXAMPLE, 3903 02:42:01,426 --> 02:42:03,194 ENDOCRINE SURGERY TEEM FOR NCI 3904 02:42:03,194 --> 02:42:04,796 WANTED TO CONDUCT VIRTUAL 3905 02:42:04,796 --> 02:42:06,731 ROUNDS, THEY COULD ALL LOG INTO 3906 02:42:06,731 --> 02:42:10,502 THE ANDOR SYSTEM AND CONNECT TO 3907 02:42:10,502 --> 02:42:13,605 THIS ENDOCRINE SURGERY INSTANCE, 3908 02:42:13,605 --> 02:42:16,474 IDENTIFIED FOR THEIR SERVICE 3909 02:42:16,474 --> 02:42:18,376 TEAM AND OUR ROUNDING 3910 02:42:18,376 --> 02:42:18,676 APPLICATION. 3911 02:42:18,676 --> 02:42:21,713 AND THEN THIS IS A SAMPLE OF OUR 3912 02:42:21,713 --> 02:42:22,881 SCREENING QUESTIONNAIRE FOR 3913 02:42:22,881 --> 02:42:23,681 DISTRESSED SCREENING, YOU CAN 3914 02:42:23,681 --> 02:42:25,116 SEE HOW THOSE LOOK FOR OUR 3915 02:42:25,116 --> 02:42:26,818 PATIENTS WHO WILL BE COMPLOATING 3916 02:42:26,818 --> 02:42:29,154 THEM IN OUR ONCOLOGY CLINICS AND 3917 02:42:29,154 --> 02:42:31,589 AS I SAID THAT DATA GETS PASSED 3918 02:42:31,589 --> 02:42:34,626 BACK TO OUR EHR IN A DISCREET 3919 02:42:34,626 --> 02:42:34,893 MANNER. 3920 02:42:34,893 --> 02:42:36,528 NEXT SLIDE. 3921 02:42:36,528 --> 02:42:38,563 AND THEN THIS IS SOME SCREEN 3922 02:42:38,563 --> 02:42:40,765 SHOTS FROM DR. FRANKS CLINICAL 3923 02:42:40,765 --> 02:42:42,834 TRIAL, THAT SHOWS YOU HOW THE 3924 02:42:42,834 --> 02:42:47,739 DATA IS PRESENTED TO THE PATIENT 3925 02:42:47,739 --> 02:42:48,706 BACK TO THE RESEARCH TEAM AND 3926 02:42:48,706 --> 02:42:51,209 THEN HOW IT CAN BE MONITORED 3927 02:42:51,209 --> 02:42:55,980 THROUGH A SIMILAR DASHBOARD TO 3928 02:42:55,980 --> 02:42:56,548 OUR TELEHEALTH COMPONENT. 3929 02:42:56,548 --> 02:42:58,082 THESE ARE THE DEVICES WE USE 3930 02:42:58,082 --> 02:43:00,385 WITHIN THE CLINICAL CENTER, THEY 3931 02:43:00,385 --> 02:43:04,222 ARE iPADS THAT ARE ON MOBILE 3932 02:43:04,222 --> 02:43:07,091 PLATFORMS THAT CAN BE WHEELED 3933 02:43:07,091 --> 02:43:08,259 THROUGHOUT THE ORGANIZATION, 3934 02:43:08,259 --> 02:43:11,229 THEY'RE SUPPORTED BY AN 3935 02:43:11,229 --> 02:43:12,297 ADDITIONAL BATTERY AND 3936 02:43:12,297 --> 02:43:14,299 INSTRUCTIONAL CARD AND THEN A 3937 02:43:14,299 --> 02:43:18,570 BLUE TOOTH SPEAKER SO THAT ALL 3938 02:43:18,570 --> 02:43:20,572 CAN HERE WHAT'S BEING DISCUSSED 3939 02:43:20,572 --> 02:43:22,240 IN THE VISIT. 3940 02:43:22,240 --> 02:43:23,041 NEXT SLIDE. 3941 02:43:23,041 --> 02:43:28,346 ALL RIGHT, SOME OF OUR KPIs, 3942 02:43:28,346 --> 02:43:32,484 NEXT SLIDE, SO THIS SHOWS YOU ON 3943 02:43:32,484 --> 02:43:33,618 VIRTUAL OR TELEHEALTH VISITS 3944 02:43:33,618 --> 02:43:35,119 THAT WE'VE HAD SINCE WE BEGAN 3945 02:43:35,119 --> 02:43:38,323 THE PROGRAM IN APRIL OF 2020. 3946 02:43:38,323 --> 02:43:40,558 WHEN WE WERE INITIALLY USING 3947 02:43:40,558 --> 02:43:41,726 THAT MICROSOFT TEAMS PLATFORM 3948 02:43:41,726 --> 02:43:44,896 AND THEN, IN FEBRUARY OF 2023, 3949 02:43:44,896 --> 02:43:47,332 TRANSITION TO USING THE ANDOR 3950 02:43:47,332 --> 02:43:48,700 HEALTH PLATFORM. 3951 02:43:48,700 --> 02:43:52,403 SO WE REMAIN FAIRLY STEADY AND 3952 02:43:52,403 --> 02:43:55,240 HAVE HAD ABOUT A 6% INCREASE 3953 02:43:55,240 --> 02:43:59,344 YEAR OVER YEAR IN OUR TELEHEALTH 3954 02:43:59,344 --> 02:43:59,577 VISITS. 3955 02:43:59,577 --> 02:43:59,911 NEXT SLIDE. 3956 02:43:59,911 --> 02:44:02,146 THIS SHOWS YOU THE UNIQUE NUMBER 3957 02:44:02,146 --> 02:44:04,649 OF PATIENTS AND PROVIDERS WHO 3958 02:44:04,649 --> 02:44:05,817 HAVE HAD TELEHEALTH VISITS, 3959 02:44:05,817 --> 02:44:07,585 COMPARED TO THE NUMBER OF 3960 02:44:07,585 --> 02:44:10,722 TELEHEALTH VISITS ON THAT GREEN 3961 02:44:10,722 --> 02:44:13,591 LINE, THE BLUE BARS ARE THE 3962 02:44:13,591 --> 02:44:15,159 UNIQUE PATIENTS, THE ORANGE BARS 3963 02:44:15,159 --> 02:44:18,363 ARE THE UNIQUE PROVIDERS, SO 3964 02:44:18,363 --> 02:44:21,432 PROVIDERS REMAIN PRETTY STEADY, 3965 02:44:21,432 --> 02:44:22,267 PATIENTS, UNIQUE PATIENTS SEEM 3966 02:44:22,267 --> 02:44:23,568 TO FLUCTUATE A BIT AND ARE 3967 02:44:23,568 --> 02:44:25,403 ACTUALLY A BIT LOWER. 3968 02:44:25,403 --> 02:44:28,873 AND THAT MAY JUST BE BECAUSE OF 3969 02:44:28,873 --> 02:44:32,610 THE CLINICAL TRIALS THAT ARE 3970 02:44:32,610 --> 02:44:34,646 CURRENTLY SEEING PATIENTS. 3971 02:44:34,646 --> 02:44:35,246 NEXT SLIDE. 3972 02:44:35,246 --> 02:44:38,650 SO THE OTHER THING WE MONITOR, 3973 02:44:38,650 --> 02:44:41,219 IS THE SUCCESS RATE. 3974 02:44:41,219 --> 02:44:43,221 AND IT'S -- A SOMEWHAT 3975 02:44:43,221 --> 02:44:46,124 MEANINGFUL NUMBER BUT TELLS US 3976 02:44:46,124 --> 02:44:49,327 WHAT OUR PERCENTAGE OF 3977 02:44:49,327 --> 02:44:50,628 SUCCESSFUL COLLABORATIONS OR 3978 02:44:50,628 --> 02:44:52,664 VISITS OR CONNECTED VISITS ARE 3979 02:44:52,664 --> 02:44:56,534 BETWEEN OUR PATIENTS AND OUR 3980 02:44:56,534 --> 02:44:57,702 PROVIDERS, SO OUR SUCCESS RATE 3981 02:44:57,702 --> 02:45:02,040 RIGHT NOW IS ABOVE 95%, AND IS 3982 02:45:02,040 --> 02:45:02,974 PRETTY STEADY TRENDING UPWARD A 3983 02:45:02,974 --> 02:45:04,375 BIT BUT WE OBVIOUSLY WOULD LIKE 3984 02:45:04,375 --> 02:45:08,046 THAT TO BE A HUNDRED PERCENT SO 3985 02:45:08,046 --> 02:45:09,881 WE'RE DIGGING MORE INTO THIS 3986 02:45:09,881 --> 02:45:11,983 DATA TO IDENTIFY WHY SOME OF OUR 3987 02:45:11,983 --> 02:45:15,620 VISITS HAVE NOT BEEN SUCCESSFUL. 3988 02:45:15,620 --> 02:45:17,288 WAS IT DUE TO TECHNOLOGY? 3989 02:45:17,288 --> 02:45:19,324 WAS IT DUE TO A PROVIDER OR 3990 02:45:19,324 --> 02:45:20,625 PATIENT UNABLE TO JOIN? 3991 02:45:20,625 --> 02:45:21,626 NEXT SLIDE. 3992 02:45:21,626 --> 02:45:24,729 THESE ARE -- WE GATHER RATINGS 3993 02:45:24,729 --> 02:45:26,297 LIKE MANY SYSTEMS DO FROM BOTH 3994 02:45:26,297 --> 02:45:27,565 OUR PATIENTS AND PROVIDERS. 3995 02:45:27,565 --> 02:45:31,769 THESE ARE OUR PATIENT RATINGS 3996 02:45:31,769 --> 02:45:32,203 ABOUT OUR PLATFORM. 3997 02:45:32,203 --> 02:45:33,304 THE NUMBERS ABOVE THE BARS 3998 02:45:33,304 --> 02:45:34,973 REPRESENT THE NUMBER OF PATIENTS 3999 02:45:34,973 --> 02:45:37,575 WHO HAVE ACTUALLY RATED THE 4000 02:45:37,575 --> 02:45:38,509 PLATFORM FOLLOWING THEIR VISIT 4001 02:45:38,509 --> 02:45:42,547 THE BLUE BAR IS OUR AUDIO 4002 02:45:42,547 --> 02:45:44,616 RATING, OANCHL BAR IS OUR VIDEO 4003 02:45:44,616 --> 02:45:47,352 RATING, OUR GOAL IS ABOUT 4.75. 4004 02:45:47,352 --> 02:45:48,753 WE ARE GETTING CLOSER TO THAT 4005 02:45:48,753 --> 02:45:51,623 NUMBER BUT NOT QUITE THERE. 4006 02:45:51,623 --> 02:45:54,959 WE HAD SOME BUMPS IN THE ROAD IN 4007 02:45:54,959 --> 02:45:55,994 IMPLEMENTING OUR ANDOR PLATFORM 4008 02:45:55,994 --> 02:45:59,998 DUE TO SOME OF THE SECURITY 4009 02:45:59,998 --> 02:46:03,101 COMPLIANCE NEEDS AND WAYS 4010 02:46:03,101 --> 02:46:04,769 SECURITY IS MANAGED AT THE NIH, 4011 02:46:04,769 --> 02:46:06,270 SO WE'VE WORKED THROUGH THAT AND 4012 02:46:06,270 --> 02:46:09,974 OUR NUMBERS ARE TRENDING A BIT 4013 02:46:09,974 --> 02:46:10,875 HIGHER NOW. 4014 02:46:10,875 --> 02:46:11,609 NEXT SLIDE. 4015 02:46:11,609 --> 02:46:17,148 THE AVERAGE LENGTH OF VISIT, SO, 4016 02:46:17,148 --> 02:46:20,084 THIS NUMBER'S TRENDING DOWN. 4017 02:46:20,084 --> 02:46:22,020 IT AVERAGES NOW, AROUND 60 4018 02:46:22,020 --> 02:46:25,623 MINUTES OR 1 HOUR, WHICH SEEMS 4019 02:46:25,623 --> 02:46:27,358 LIKE A GOOD NUMBER IT MAY HAVE 4020 02:46:27,358 --> 02:46:29,427 BEEN TRENDING HIGHER INITIALLY 4021 02:46:29,427 --> 02:46:31,162 DUE TO SOME COMPLEXITIES WITH 4022 02:46:31,162 --> 02:46:32,330 THE PLATFORM BUT WE WILL 4023 02:46:32,330 --> 02:46:33,965 CONTINUE TO MONITOR THIS AND 4024 02:46:33,965 --> 02:46:35,133 INSURE THAT PATIENTS AND 4025 02:46:35,133 --> 02:46:36,768 PROVIDERS ARE HAVING MEANINGFUL 4026 02:46:36,768 --> 02:46:40,104 VISITS AND CONVERSATIONS DURING 4027 02:46:40,104 --> 02:46:41,572 THEIR VISITS. 4028 02:46:41,572 --> 02:46:43,074 NEXT SLIDE. 4029 02:46:43,074 --> 02:46:47,278 AND WAIT TIMES, SO THIS SLIDE 4030 02:46:47,278 --> 02:46:49,147 SHOWS THE AVERAGE WAIT TIME IN 4031 02:46:49,147 --> 02:46:52,050 MINUTES AND THE TREND OVER TIME 4032 02:46:52,050 --> 02:46:53,551 SINCE JANUARY OF 2024. 4033 02:46:53,551 --> 02:46:57,722 SO AVERAGE WAIT TIME IS PRETTY 4034 02:46:57,722 --> 02:46:59,757 GOOD, BETWEEN 5 AND 10 MINUTES 4035 02:46:59,757 --> 02:47:01,325 OVER THE PAST SEVERAL MONTHS. 4036 02:47:01,325 --> 02:47:03,294 IF YOU GO TO THE NEXT SLIDE, 4037 02:47:03,294 --> 02:47:04,796 HERE'S WHERE WE NEED TO DO SOME 4038 02:47:04,796 --> 02:47:07,765 MORE WORK, SO HERE YOU CAN SEE 4039 02:47:07,765 --> 02:47:09,367 WHERE PATIENTS ABOUT 40% OF OUR 4040 02:47:09,367 --> 02:47:13,004 PATIENTS HAVE NO WAIT TIME, AND 4041 02:47:13,004 --> 02:47:14,972 YET, YOU GO TO THE FAR RIGHT AND 4042 02:47:14,972 --> 02:47:16,274 WE HAVE A FAIR NUMBER OF 4043 02:47:16,274 --> 02:47:17,709 PERCENTAGE OF PATIENT WHO IS ARE 4044 02:47:17,709 --> 02:47:19,677 WAITING MORE THAN 30 MINUTES FOR 4045 02:47:19,677 --> 02:47:20,745 THEIR PROVIDER TO JOIN. 4046 02:47:20,745 --> 02:47:23,915 SO WE HAVE IMPLEMENTED IN OUR 4047 02:47:23,915 --> 02:47:26,551 SUPPORT CENTER, A PROCESS WHERE 4048 02:47:26,551 --> 02:47:27,852 WE'RE CAREFULLY MONITORING THAT 4049 02:47:27,852 --> 02:47:29,053 DASHBOARD TO INSURE THE 4050 02:47:29,053 --> 02:47:31,389 PROVOIDERS ARE THERE WITH THE 4051 02:47:31,389 --> 02:47:31,956 PATIENT. 4052 02:47:31,956 --> 02:47:33,624 IF THE PROVIDERS ARE NOT THERE 4053 02:47:33,624 --> 02:47:35,259 WITH AFTER 10 MINUTES WE ARE 4054 02:47:35,259 --> 02:47:38,096 REACHING OUT TO THEM TO FIND OUT 4055 02:47:38,096 --> 02:47:40,531 WHEN THEY'LL BE JOINING AND THEN 4056 02:47:40,531 --> 02:47:41,799 ADVISING THE PATIENTS ABOUT THE 4057 02:47:41,799 --> 02:47:44,936 STATUS OF THE VISIT. 4058 02:47:44,936 --> 02:47:46,471 SO WHERE ARE WE GOING IN THE 4059 02:47:46,471 --> 02:47:47,772 FUTURE AND WHAT ENHANCE WANTS 4060 02:47:47,772 --> 02:47:51,976 ARE WE LOOKING FOR, NEXT SLIDE. 4061 02:47:51,976 --> 02:47:53,911 SO WE'RE CURRENTLY IN THE 4062 02:47:53,911 --> 02:47:55,513 IMPLEMENTATION OF OUR MOBILE 4063 02:47:55,513 --> 02:47:56,948 PATIENT EXPERIENCE OR PATIENT 4064 02:47:56,948 --> 02:47:57,715 REGISTRATION PLATFORM. 4065 02:47:57,715 --> 02:47:58,683 WE WILL FULLY IMPLEMENT THAT 4066 02:47:58,683 --> 02:48:00,084 THROUGHOUT THE REST OF THIS 4067 02:48:00,084 --> 02:48:01,953 YEAR, WE HAVE 2 MORE PHASES 2 GO 4068 02:48:01,953 --> 02:48:05,389 LIVE, AND IN THE FALL AND WINTER 4069 02:48:05,389 --> 02:48:08,693 OF 2025, WE'RE GOING TO CONTINUE 4070 02:48:08,693 --> 02:48:13,030 WORKING ON,A DITIONAL 4071 02:48:13,030 --> 02:48:15,099 QUESTIONNAIRES, SO LIKE MRI 4072 02:48:15,099 --> 02:48:15,933 SCREENING QUESTIONNAIRES THAT 4073 02:48:15,933 --> 02:48:17,468 COULD BE COMPLETED PRIOR TO THE 4074 02:48:17,468 --> 02:48:18,770 PATIENT'S VISIT TO THE HOSPITAL 4075 02:48:18,770 --> 02:48:21,372 AND PUSHING THOSE OUT BASED ON 4076 02:48:21,372 --> 02:48:22,106 THEIR APPOINTMENT TYPES. 4077 02:48:22,106 --> 02:48:23,241 AND THEN WE WILL START DOING 4078 02:48:23,241 --> 02:48:24,909 ANALYSIS OF SOME OF THOSE 4079 02:48:24,909 --> 02:48:25,810 ADDITIONAL FUNCTIONALITIES THAT 4080 02:48:25,810 --> 02:48:28,112 ARE AVAILABLE THROUGH THE ANDOR 4081 02:48:28,112 --> 02:48:29,814 PLATFORM, MAY NOT IMPLEMENT, BUT 4082 02:48:29,814 --> 02:48:32,450 WOULD LOVE TO HAVE THAT READY, 4083 02:48:32,450 --> 02:48:34,719 SO THAT IF THE NEED ARISES WE 4084 02:48:34,719 --> 02:48:35,453 HAVE THEM. 4085 02:48:35,453 --> 02:48:37,321 SO THAT WOULD INCLUDE THE 4086 02:48:37,321 --> 02:48:39,257 AMBIENT LISTENING SO WE CAN 4087 02:48:39,257 --> 02:48:40,992 CREATE SOME DOCUMENTATION AND A 4088 02:48:40,992 --> 02:48:43,828 DRAFT FORM FOR PROVIDERS, 4089 02:48:43,828 --> 02:48:45,563 PERHAPS SOME REMOTE PATIENT 4090 02:48:45,563 --> 02:48:47,098 MONITORING DEPENDING ON TRIALS 4091 02:48:47,098 --> 02:48:49,734 OR PROTOCOLS THAT MAY NEED THAT 4092 02:48:49,734 --> 02:48:53,805 AND THEN JUST INSURING THAT OUR 4093 02:48:53,805 --> 02:48:55,239 USER INTERFACE IS USER FRIENDLY 4094 02:48:55,239 --> 02:48:58,476 AND SUPPORTS OUR PATIENT 4095 02:48:58,476 --> 02:48:58,776 POPULATION. 4096 02:48:58,776 --> 02:49:01,679 WE WILL CONTINUE TO WORK ON FULL 4097 02:49:01,679 --> 02:49:03,948 INTEGRATION WITH OUR EHR, SO 4098 02:49:03,948 --> 02:49:05,449 THAT THOSE SCREENING 4099 02:49:05,449 --> 02:49:06,617 QUESTIONNAIRES, IF WE BUILD THEM 4100 02:49:06,617 --> 02:49:08,352 ARE COMING BACK WITH DISCREET 4101 02:49:08,352 --> 02:49:10,321 DATA TO SUPPORT AND DRIVE 4102 02:49:10,321 --> 02:49:13,558 CLINICAL DECISION SUPPORT AS 4103 02:49:13,558 --> 02:49:13,825 NECESSARY. 4104 02:49:13,825 --> 02:49:17,962 AND THEN OF COURSE MONITORING 4105 02:49:17,962 --> 02:49:19,764 OUR PERFORMANCE METRICS, KPIs 4106 02:49:19,764 --> 02:49:21,165 AND DIGGING DEEPER INTO IN SOME 4107 02:49:21,165 --> 02:49:23,534 OF THOSE AREAS WHERE WE 4108 02:49:23,534 --> 02:49:25,269 IDENTIFIED SOME PERFORMANCE 4109 02:49:25,269 --> 02:49:27,705 IMPROVEMENT AS NEEDED. 4110 02:49:27,705 --> 02:49:30,708 ONE PIECE THAT WE ARE LOOKING AT 4111 02:49:30,708 --> 02:49:32,243 IN ADDITION, SOMEWHAT RELATED TO 4112 02:49:32,243 --> 02:49:37,081 THIS, IS A FULL E-CONSENT 4113 02:49:37,081 --> 02:49:39,383 PLATFORM, AND OUR TEAM AT ANDOR 4114 02:49:39,383 --> 02:49:41,319 CAN SUPPORT THAT THROUGH THEIR 4115 02:49:41,319 --> 02:49:43,521 CARE PLAN OR REMOTE PATIENT 4116 02:49:43,521 --> 02:49:44,455 MONITORING COMPONENT SO THEY ARE 4117 02:49:44,455 --> 02:49:45,990 1 OF THE ORGANIZATIONS WE WILL 4118 02:49:45,990 --> 02:49:48,426 BE LOOKING AT TO DO AN 4119 02:49:48,426 --> 02:49:52,296 ASSESSMENT OF THAT, OUR 4120 02:49:52,296 --> 02:49:53,130 COLLEAGUES IN NIAID ARE 4121 02:49:53,130 --> 02:49:54,932 INTERESTED IN DOING THIS FOR 4122 02:49:54,932 --> 02:49:55,766 SOME OF THEIR CLINICAL TRIALS 4123 02:49:55,766 --> 02:49:56,801 WHERE PATIENTS ARE NOT 4124 02:49:56,801 --> 02:49:58,069 PHYSICALLY COMING TO THE 4125 02:49:58,069 --> 02:49:59,270 CLINICAL CENTER BUT ARE HAVING 4126 02:49:59,270 --> 02:50:00,805 SPECIMENS SENT TO THE CLINICAL 4127 02:50:00,805 --> 02:50:02,473 CENTER FOR ANALYSIS. 4128 02:50:02,473 --> 02:50:04,108 SO, WE WILL BE LOOKING MORE INTO 4129 02:50:04,108 --> 02:50:08,813 THIS WITH THE COUPLE VENDORS AND 4130 02:50:08,813 --> 02:50:10,214 THEN INCORPORATING TELEHEALTH 4131 02:50:10,214 --> 02:50:11,849 RELATED OR VIRTUAL HEALTH 4132 02:50:11,849 --> 02:50:14,785 RELATED QUESTIONS INTO OUR 4133 02:50:14,785 --> 02:50:16,520 PATIENT SATISFACTION SURVEY 4134 02:50:16,520 --> 02:50:19,056 THROUGH PRESS GAINY. 4135 02:50:19,056 --> 02:50:19,690 AND THAT'S IT. 4136 02:50:19,690 --> 02:50:20,992 I TRIED TO GET YOU BA BEING ON 4137 02:50:20,992 --> 02:50:22,827 TRACK BUT I'M NOT SURE I DID. 4138 02:50:22,827 --> 02:50:25,763 >> YOU DID A GOOD JOB, ANY 4139 02:50:25,763 --> 02:50:26,163 QUESTIONS? 4140 02:50:26,163 --> 02:50:29,700 >> ANY QUESTIONS FOR TRISHA? 4141 02:50:29,700 --> 02:50:30,668 >> TERRIFIC PRESENTATION. 4142 02:50:30,668 --> 02:50:31,035 >> THANK YOU. 4143 02:50:31,035 --> 02:50:34,338 >> THE QUESTION I HAVE IS IT 4144 02:50:34,338 --> 02:50:35,640 BECAUSE THE NIH IS FEDERAL THAT 4145 02:50:35,640 --> 02:50:37,475 YOU HAVE TO WORRY ABOUT -- 4146 02:50:37,475 --> 02:50:38,676 >> I KNEW SOMEONE WAS GOING TO 4147 02:50:38,676 --> 02:50:41,012 ASK ME THAT, WHY ARE WE ALLOWED 4148 02:50:41,012 --> 02:50:42,013 TO PRACTICE MEDICINE ACROSS 4149 02:50:42,013 --> 02:50:42,813 STATE LINES. 4150 02:50:42,813 --> 02:50:44,382 YES, YOU ARE RIGHT. 4151 02:50:44,382 --> 02:50:45,316 BECAUSE WE'RE FEDERAL AND WE 4152 02:50:45,316 --> 02:50:47,418 DON'T HAVE TO COMPLY WITH STATE 4153 02:50:47,418 --> 02:50:47,985 LAW. 4154 02:50:47,985 --> 02:50:50,488 SO OUR PROVIDERS ARE 4155 02:50:50,488 --> 02:50:51,589 CREDENTIALED AND CAN PRACTICE 4156 02:50:51,589 --> 02:50:52,590 ACROSS THE COUNTRY. 4157 02:50:52,590 --> 02:50:54,659 WE DO NOT, CANNOT SUPPORT 4158 02:50:54,659 --> 02:50:55,426 INTERNATIONAL VISITS BECAUSE 4159 02:50:55,426 --> 02:50:58,062 THEN WE WOULD BE REQUIRED TO 4160 02:50:58,062 --> 02:51:00,464 COMPLY WITH THOSE OTHER 4161 02:51:00,464 --> 02:51:01,565 COUNTRY'S LAWS AND DON'T HAVE 4162 02:51:01,565 --> 02:51:04,068 THE RESOURCES TO DO THAT 4163 02:51:04,068 --> 02:51:05,503 ASSESSMENT WITH EACH COUNTRY SO 4164 02:51:05,503 --> 02:51:06,704 THAT'S UNFORTUNATE BUT WE CAN 4165 02:51:06,704 --> 02:51:17,148 SUPPORT OUR U.S. PATIENTS. 4166 02:51:25,589 --> 02:51:26,857 ANYTHING ELSE? 4167 02:51:26,857 --> 02:51:27,158 >> JULIE? 4168 02:51:27,158 --> 02:51:28,292 >> YES, WE WANT TO SAY THANK YOU 4169 02:51:28,292 --> 02:51:31,028 FOR DOING WHAT YOU CAN DO, WE 4170 02:51:31,028 --> 02:51:34,065 ARE LOOKING AT AT ACCESS TO 4171 02:51:34,065 --> 02:51:37,735 PATIENTS ACROSS 5 STATES, I SAW 4172 02:51:37,735 --> 02:51:40,972 SOME PATIENTS AT 8 AND 8:30 4173 02:51:40,972 --> 02:51:42,473 VIRTUALLY AND THEN I WILL GO TO 4174 02:51:42,473 --> 02:51:45,076 CLINIC THIS AFTERNOON, SO AS 4175 02:51:45,076 --> 02:51:46,477 SURGEON IT MAKES GREAT SENSE IF 4176 02:51:46,477 --> 02:51:49,981 THEY'RE DOING WELL TO DO THAT. 4177 02:51:49,981 --> 02:51:51,849 THE OTHER PIECE IF POSSIBLE, THE 4178 02:51:51,849 --> 02:51:53,217 HOME PIECE, NOT SOMETHING OF 4179 02:51:53,217 --> 02:51:55,186 URGENT NEED BUT IT'S HELPING OUR 4180 02:51:55,186 --> 02:51:56,020 ACUTE CARE HOSPITALS SO CAN YOU 4181 02:51:56,020 --> 02:51:57,788 GET PATIENTS HOME AND OPEN UP A 4182 02:51:57,788 --> 02:51:58,089 HOSPITAL. 4183 02:51:58,089 --> 02:51:59,991 WE LEARNED A LOT OF THAT DURING 4184 02:51:59,991 --> 02:52:02,059 COVID SO PEOPLE COULD GO HOME 4185 02:52:02,059 --> 02:52:03,594 WITH THAT REMOTE MONITORING, AND 4186 02:52:03,594 --> 02:52:06,764 WE FOUND THEY DO BETTER, IF 4187 02:52:06,764 --> 02:52:08,199 THEY'RE HOME VIRTDUAL VISITS, WE 4188 02:52:08,199 --> 02:52:09,367 HAVE A VIRTUAL COACH THAT COMES 4189 02:52:09,367 --> 02:52:11,135 IN TO GET THEM OUT OF BED 4190 02:52:11,135 --> 02:52:12,069 ESPECIALLY IF THEY HAVE SOMEONE 4191 02:52:12,069 --> 02:52:14,305 AT HOME TO HELP THEM DO THAT AND 4192 02:52:14,305 --> 02:52:15,473 PATIENTS REALLY ENJOY IT QUITE A 4193 02:52:15,473 --> 02:52:17,541 BIT AND WE JUST STARTED A 4194 02:52:17,541 --> 02:52:18,609 PEDIATRIC HOSPITAL AT HOME SO 4195 02:52:18,609 --> 02:52:20,578 THAT CHILDREN CAN GO HOME FASTER 4196 02:52:20,578 --> 02:52:22,279 AS WELL, TOO, SO I ALWAYS TALK 4197 02:52:22,279 --> 02:52:25,349 ABOUT WHAT IS COVID-19 DONE FOR 4198 02:52:25,349 --> 02:52:28,219 YOU LATELY AND MOST OF THE TIME 4199 02:52:28,219 --> 02:52:30,688 THAT LIST IS SHORT BUT IT'S ALSO 4200 02:52:30,688 --> 02:52:31,222 THE VIRTUAL PIECE. 4201 02:52:31,222 --> 02:52:32,423 BUT ALSO THE OTHER THING WE'RE 4202 02:52:32,423 --> 02:52:33,824 LOOKING AT IS THE COST OF ALL 4203 02:52:33,824 --> 02:52:35,026 THE THINGS WE DO AND HAVING THIS 4204 02:52:35,026 --> 02:52:37,228 SO MUCH MORE AFFORDABLE FOR 4205 02:52:37,228 --> 02:52:38,429 THEIR HOME, YOU GET BETTER 4206 02:52:38,429 --> 02:52:39,597 ACCESS FOR THESE PATIENTS AS 4207 02:52:39,597 --> 02:52:39,930 WELL. 4208 02:52:39,930 --> 02:52:41,499 WE HAVE HAD TO HAVE MULTIPLE 4209 02:52:41,499 --> 02:52:42,767 LICENSES FOR PEOPLE AND I DO 4210 02:52:42,767 --> 02:52:45,136 WORRY A BIT ABOUT THAT WITH 4211 02:52:45,136 --> 02:52:47,204 PEOPLE WITH LICENSES AND DURING 4212 02:52:47,204 --> 02:52:48,739 COVID THAT WAS TAKEN AWAY, THAT 4213 02:52:48,739 --> 02:52:52,243 YOU DIDN'T HAVE TO HAVE A 4214 02:52:52,243 --> 02:52:54,011 LICENSE IN EVERY STATE YOU WERE 4215 02:52:54,011 --> 02:52:56,180 PRACTICING IN AND I WAS SO 4216 02:52:56,180 --> 02:52:57,681 HOPEFUL THAT WITH LEGISLATION, 4217 02:52:57,681 --> 02:52:59,550 THAT WOULD COME BACK BUT THAT'S 4218 02:52:59,550 --> 02:53:00,618 NOT ON THE FRONT BURNER RIGHT 4219 02:53:00,618 --> 02:53:02,620 NOW BUT THAT WOULD MAKE IT 4220 02:53:02,620 --> 02:53:03,521 BETTER THAT ALSO PHYSICIANS 4221 02:53:03,521 --> 02:53:05,790 DON'T HAVE TO HAVE 4222 02:53:05,790 --> 02:53:06,824 MULTIPETRESSABLE LICENSES WHICH 4223 02:53:06,824 --> 02:53:11,862 WHEN YOU'RE AN 4224 02:53:11,862 --> 02:53:13,130 INTERVENTIONALLIST, THIS IS 4225 02:53:13,130 --> 02:53:13,330 GREAT. 4226 02:53:13,330 --> 02:53:16,033 WE HAVE 1 SYSTEM, WE HAVE 1 IRB 4227 02:53:16,033 --> 02:53:17,334 ACROSS 5 STATES AND OUR PLAN TO 4228 02:53:17,334 --> 02:53:19,537 PUT PEOPLE IN TRIAL IS ALL 4229 02:53:19,537 --> 02:53:20,905 VIRTUAL TO BRING THEM IN. 4230 02:53:20,905 --> 02:53:22,807 AND LAST THING, WE ARE USING 4231 02:53:22,807 --> 02:53:24,341 SOME TOOLS FOR DOCTORS TO CREATE 4232 02:53:24,341 --> 02:53:25,643 THEIR NOTES WITH AI AND THEY 4233 02:53:25,643 --> 02:53:26,944 ABSOLUTELY LOVE IT AS THEY SIT 4234 02:53:26,944 --> 02:53:28,112 THERE AND TALK AND CRAFT IT AND 4235 02:53:28,112 --> 02:53:30,581 NOW WHEN I DO AN OP NOTE I 4236 02:53:30,581 --> 02:53:32,817 BARELY CAN FINISH DICTATING AND 4237 02:53:32,817 --> 02:53:33,117 IT'S DONE. 4238 02:53:33,117 --> 02:53:34,552 BECAUSE THEY KNOW WHAT I DO AND 4239 02:53:34,552 --> 02:53:36,854 HOW I TALK, I REMEMBER WE USED 4240 02:53:36,854 --> 02:53:38,756 TO HAVE TO TYPE THEM AND DO THIS 4241 02:53:38,756 --> 02:53:40,825 SO IT'S ACTUALLY WONDERFUL TO 4242 02:53:40,825 --> 02:53:42,927 DECREASE THE EMR BURDEN FOR 4243 02:53:42,927 --> 02:53:44,228 PHYSICIANS AS WELL. 4244 02:53:44,228 --> 02:53:44,995 SO REALLY GREAT. 4245 02:53:44,995 --> 02:53:46,831 I'M SO GLAD YOU'RE LEADING THIS 4246 02:53:46,831 --> 02:53:48,933 AND IT'S REALLY SOINIZE FOR 4247 02:53:48,933 --> 02:53:52,636 PATIENTS FOR ACCESS TO YOUR 4248 02:53:52,636 --> 02:53:55,339 TRIAL. 4249 02:53:55,339 --> 02:53:57,508 >> THANK YOU JULIE. 4250 02:53:57,508 --> 02:54:00,344 >> VERY INFORMATIVE PRESENTATION 4251 02:54:00,344 --> 02:54:01,545 TOUCHING ON DIMENSIONS THAT HAVE 4252 02:54:01,545 --> 02:54:05,316 A GREAT POTENTIAL AS FAR AS 4253 02:54:05,316 --> 02:54:06,317 PATIENT TREATMENTS CONCERNED. 4254 02:54:06,317 --> 02:54:11,922 HAVE WE DONE ANY TRACKING OF THE 4255 02:54:11,922 --> 02:54:13,090 REASONS FOR WAIT TIME? 4256 02:54:13,090 --> 02:54:14,291 >> THAT'S 1 OF THE THINGS WE 4257 02:54:14,291 --> 02:54:15,693 NEED TO DIG IN AND FIGURE OUT 4258 02:54:15,693 --> 02:54:18,629 WHY WE HAVE SUCH A WIDE VARIETY 4259 02:54:18,629 --> 02:54:19,864 WITH A PRETTY DESCENT PERCENTAGE 4260 02:54:19,864 --> 02:54:21,565 DOWN AT THAT GREATER THAN 30 4261 02:54:21,565 --> 02:54:23,801 MINUTES, WE WILL BE LOOKING AT 4262 02:54:23,801 --> 02:54:25,302 THAT ACROSS INSTITUTES, ACROSS 4263 02:54:25,302 --> 02:54:26,670 PATIENT APPOINTMENT TYPES TO SEE 4264 02:54:26,670 --> 02:54:29,039 IF THERE'S ANY TRENDS THERE, BUT 4265 02:54:29,039 --> 02:54:29,340 ABSOLUTELY. 4266 02:54:29,340 --> 02:54:33,511 WE WILL GET TO THE BOTTOM OF IT, 4267 02:54:33,511 --> 02:54:37,581 IN THE OUTPATIENT CLINICS, THIS 4268 02:54:37,581 --> 02:54:41,886 YEAR, WE'VE EXPERIENCED NO SHOWS 4269 02:54:41,886 --> 02:54:43,754 THAT ARE ATTRIBUTABLE TO A 4270 02:54:43,754 --> 02:54:45,723 NUMBER OF MEDICAL AND POLITICAL 4271 02:54:45,723 --> 02:54:50,628 CAUSES, DO WE HAVE EXPERIENCE NO 4272 02:54:50,628 --> 02:54:51,695 SHOWS IN TELEHEALTH? 4273 02:54:51,695 --> 02:54:53,898 >> WE DO AND WE CAN PROBABLY GET 4274 02:54:53,898 --> 02:54:56,500 TO THOSE NUMBERS TO FIGURE THAT 4275 02:54:56,500 --> 02:54:58,369 OUT AS WELL, IT'S A LITTLE 4276 02:54:58,369 --> 02:55:00,204 HARDER, BUT, WE SHOULD BE ABLE 4277 02:55:00,204 --> 02:55:01,372 TO GET THAT NUMBER. 4278 02:55:01,372 --> 02:55:07,745 I'M SURE THAT WE DO HAVE NO 4279 02:55:07,745 --> 02:55:08,279 SHOWS. 4280 02:55:08,279 --> 02:55:08,646 >> THANK YOU. 4281 02:55:08,646 --> 02:55:10,247 >> THE OTHER THING YOU HAVE IS 4282 02:55:10,247 --> 02:55:12,082 WEIRD SHOW, THEY WILL BE IN 4283 02:55:12,082 --> 02:55:13,918 THEIR CAR OR GROCERY STORE SO 4284 02:55:13,918 --> 02:55:15,686 THEY'RE DOING THEIR APPOINTMENT 4285 02:55:15,686 --> 02:55:17,888 WITH YOU BUT THEY'RE SOMEWHERE 4286 02:55:17,888 --> 02:55:18,822 AMAZING, THAT MEANS THEY'RE 4287 02:55:18,822 --> 02:55:20,791 DOING WELL, BUT IN SOME PLACES 4288 02:55:20,791 --> 02:55:22,226 WHERE YOU FIND THEM ARE 4289 02:55:22,226 --> 02:55:23,894 INTRIGUING WHERE THEY DECIDE TO 4290 02:55:23,894 --> 02:55:26,030 HAVE THEIR APPOINTMENT. 4291 02:55:26,030 --> 02:55:29,033 >> AND DAVID WE HAVE THAT 1 KPI 4292 02:55:29,033 --> 02:55:34,138 THAT SHOWS THE SUCCESS RATE OF A 4293 02:55:34,138 --> 02:55:34,338 VISIT. 4294 02:55:34,338 --> 02:55:36,674 THE BELOW WHERE WE TRY TO HAVE A 4295 02:55:36,674 --> 02:55:39,543 HUNDRED PERCENT SUCCESS BUT 4296 02:55:39,543 --> 02:55:41,612 WE'RE LINGERING AROUND 95%, BUT 4297 02:55:41,612 --> 02:55:43,047 THAT 5% DIFFERENCE MAY BE OUR NO 4298 02:55:43,047 --> 02:55:44,448 SHOWS BUT I DON'T WANT TO SAY 4299 02:55:44,448 --> 02:55:48,519 THAT FOR CERTAIN YET THOUGH. 4300 02:55:48,519 --> 02:55:49,320 >> ANTWONET? 4301 02:55:49,320 --> 02:55:50,621 >> YOU MENTIONED LOOKING FOR 4302 02:55:50,621 --> 02:55:53,457 VENDORS TO DO THE LAB FOR THE 4303 02:55:53,457 --> 02:55:59,330 PATIENT THAT ARE DOING THE 4304 02:55:59,330 --> 02:56:00,698 TELEHEALTH, OKAY, I KNOW THERE'S 4305 02:56:00,698 --> 02:56:02,900 LAB CORPS AND ALL THAT, BUT WHAT 4306 02:56:02,900 --> 02:56:05,069 IF THERE ISN'T REALLY A LAB 4307 02:56:05,069 --> 02:56:11,108 CORPS IN A PERSON'S LOCATION, 4308 02:56:11,108 --> 02:56:13,043 WOULD A LOCAL HOSPITAL BE AN 4309 02:56:13,043 --> 02:56:15,045 OPTION THAT THEY COULD GO TO TO 4310 02:56:15,045 --> 02:56:15,512 GET THEIR LABS? 4311 02:56:15,512 --> 02:56:18,716 I LIVE IN A RURAL AREA, OKAY. 4312 02:56:18,716 --> 02:56:25,589 WE DO HAVE A LAB CORP, I'M JUST 4313 02:56:25,589 --> 02:56:25,990 ASKING. 4314 02:56:25,990 --> 02:56:27,157 >> SO OUR TELEHEALTH PLATFORM 4315 02:56:27,157 --> 02:56:29,093 CONNECTS THE PATIENT WITH THE 4316 02:56:29,093 --> 02:56:32,763 PROVIDER BUT WE ARE WORKING ON A 4317 02:56:32,763 --> 02:56:34,298 CONTRACT OF SORTS THAT MIGHT BE 4318 02:56:34,298 --> 02:56:38,569 ABLE TO CENTRALIZE SOME OF THOSE 4319 02:56:38,569 --> 02:56:39,270 OUTSIDE LABS. 4320 02:56:39,270 --> 02:56:42,273 WE'RE NOT THERE QUITE YET BUT 4321 02:56:42,273 --> 02:56:44,174 TELEHEALTH IS 1 OF THE GREAT 4322 02:56:44,174 --> 02:56:45,476 TECHNOLOGIES THAT HAVE CONNECTED 4323 02:56:45,476 --> 02:56:47,811 PEOPLE WHO ARE LOCATED IN RURAL 4324 02:56:47,811 --> 02:56:51,115 AREAS, WITH THEIR PROVIDERS, SO, 4325 02:56:51,115 --> 02:56:55,152 I'M FLAD GLAD THAT YOU HAVE THT 4326 02:56:55,152 --> 02:56:56,086 AVAILABLE TO YOU AND WE'RE 4327 02:56:56,086 --> 02:56:59,923 LOOKING FORWARD TO GROW BEING 4328 02:56:59,923 --> 02:57:00,090 -- 4329 02:57:00,090 --> 02:57:01,792 GROWING THE PROGRAM MORE. 4330 02:57:01,792 --> 02:57:06,130 >> THANK YOU TRISH, THANK YOU 4331 02:57:06,130 --> 02:57:06,830 VERY MUCH. 4332 02:57:06,830 --> 02:57:08,699 NEXT WE'RE GOING TO TALK ABOUT A 4333 02:57:08,699 --> 02:57:10,100 NEW CLINICAL CENTER ELECTRONIC 4334 02:57:10,100 --> 02:57:13,404 HEALTH RECORD, AND WE'VE GOT JON 4335 02:57:13,404 --> 02:57:14,772 Mc KEEBY, WHO'S THE CHIEF 4336 02:57:14,772 --> 02:57:17,441 INFORMATION OFFICER AND LESLIE 4337 02:57:17,441 --> 02:57:20,511 WEHRLEN WHO IS THE CHIEF OF THE 4338 02:57:20,511 --> 02:57:31,021 OFFICE OF RESEARCH SUPPORT AND 4339 02:57:33,724 --> 02:57:34,558 COMPLIANCE. 4340 02:57:34,558 --> 02:57:35,025 WELCOME. 4341 02:57:35,025 --> 02:57:36,293 >> MY SLIDES DEFINITELY LOOK 4342 02:57:36,293 --> 02:57:38,595 LIKE AN I.T. PERSON DID THEM, 4343 02:57:38,595 --> 02:57:42,800 LESLIES ARE A LITTLE BETTER. 4344 02:57:42,800 --> 02:57:47,504 SO WE CAN GO TO THE NEXT SLIDE. 4345 02:57:47,504 --> 02:57:50,574 WE PRESENTED HERE PRIOR, WE'RE 4346 02:57:50,574 --> 02:57:52,710 MAKING SMALL PROGRESSION IN 4347 02:57:52,710 --> 02:57:54,178 MOVING FORWARD WITH A LITTLE 4348 02:57:54,178 --> 02:57:56,814 BACKGROUND AND THEN LESLIE HAS 4349 02:57:56,814 --> 02:57:58,816 STATUS ON SOME OF THE THINGS 4350 02:57:58,816 --> 02:58:00,150 THAT WE'RE DOING. 4351 02:58:00,150 --> 02:58:02,486 WE DO HAVE A WHY STATEMENT, IT'S 4352 02:58:02,486 --> 02:58:04,021 PART OF LESLIE'S SLIDES ON THE 4353 02:58:04,021 --> 02:58:07,691 STEERING COMMITTEE FOR THE EHR 4354 02:58:07,691 --> 02:58:08,726 MODERNIZATION AND THEY REALLY 4355 02:58:08,726 --> 02:58:10,461 TELL THE WHY OF WHY WE NEED IT, 4356 02:58:10,461 --> 02:58:13,097 BUT I'LL GIVE YOU A LITTLE 4357 02:58:13,097 --> 02:58:19,803 BACKGROUND. 4358 02:58:19,803 --> 02:58:23,040 SO WE PURCHASED ECLIPSYS, AND 4359 02:58:23,040 --> 02:58:26,043 THEN IT WAS BOUGHT BY ALLCRYPTS 4360 02:58:26,043 --> 02:58:29,480 AND THEN ALTERRA AND THEN WE A 4361 02:58:29,480 --> 02:58:30,881 COMPLEX OF EHR BASED ON THAT 4362 02:58:30,881 --> 02:58:31,115 HISTORY. 4363 02:58:31,115 --> 02:58:33,884 WE CALL IT CHRIS, I THINK YOU 4364 02:58:33,884 --> 02:58:35,219 PROBABLY ALL HEARD THAT NAME AND 4365 02:58:35,219 --> 02:58:39,156 IT IS BASED ON ECLIPSES SUNRISE 4366 02:58:39,156 --> 02:58:43,894 CLINICAL MANAGER AND MULTIPARTS. 4367 02:58:43,894 --> 02:58:44,428 NEXT SLIDE. 4368 02:58:44,428 --> 02:58:46,830 SO IT IS DIFFICULT TO MANAGE, 4369 02:58:46,830 --> 02:58:49,133 MAINTAIN, IT IS VERY FRAGILE, 4370 02:58:49,133 --> 02:58:55,572 MOST OF THE COMPONENTS ARE ON 4371 02:58:55,572 --> 02:58:58,041 PRIM, AND THEY'RE ON PRIM ON 4372 02:58:58,041 --> 02:59:00,677 PURPOSE, WE HAVE 15 + CLINICAL 4373 02:59:00,677 --> 02:59:03,247 SYSTEMS, LAB SYSTEM, RADIOLOGY, 4374 02:59:03,247 --> 02:59:04,381 NUTRITION, SURGERY, PACS, WE 4375 02:59:04,381 --> 02:59:10,687 WERE BASED ON BEST OF 3, AND WE 4376 02:59:10,687 --> 02:59:12,689 HAVE ALL THESE SEPARATE SYSTEMS 4377 02:59:12,689 --> 02:59:14,491 VERSUS 1 SYSTEM. 4378 02:59:14,491 --> 02:59:16,460 WE HAVE OVER 280 INTERFACES THAT 4379 02:59:16,460 --> 02:59:17,895 KEEPS GROWING, I THINK THE 4380 02:59:17,895 --> 02:59:19,496 NUMBER IS OVER 300 AT THIS 4381 02:59:19,496 --> 02:59:20,764 POINT, SO EVERY TIME WE 4382 02:59:20,764 --> 02:59:25,769 IMPLEMENT A NEW SYSTEM, LIKE ODD 4383 02:59:25,769 --> 02:59:29,072 BASE FOR NIDCD, THERE'S 3 OR 4 4384 02:59:29,072 --> 02:59:30,808 INTERFACES RIGHT, FOR 4385 02:59:30,808 --> 02:59:31,875 DEMOGRAPHIC INFORMATION, FOR 4386 02:59:31,875 --> 02:59:34,411 ORDERS, AND FOR RESULTS AND FOR 4387 02:59:34,411 --> 02:59:35,712 REPORTS AND SO, EVERY TIME WE 4388 02:59:35,712 --> 02:59:38,849 ADD A NEW SYSTEM, WE'RE ADDING 4389 02:59:38,849 --> 02:59:39,817 MORE COMPLEXITY. 4390 02:59:39,817 --> 02:59:41,952 WE HAVE 3 DATA CENTERS, SO WE 4391 02:59:41,952 --> 02:59:47,724 HAVE 1 IN THE CRC, IT'S VERY 4392 02:59:47,724 --> 02:59:49,993 STATE-OF-THE-ART, VERY NICE, 4393 02:59:49,993 --> 02:59:54,198 VERY CLEAN, WE HAVE PART OF CIT, 4394 02:59:54,198 --> 02:59:55,699 PROVIDES US SPACE AND THEIR DATA 4395 02:59:55,699 --> 02:59:59,903 CENTER, AND THEN WE HAVE 1 IN 4396 02:59:59,903 --> 03:00:01,371 CULPEPPER VIRGINIA FOR DISASTER 4397 03:00:01,371 --> 03:00:01,638 RECOVERY. 4398 03:00:01,638 --> 03:00:04,708 SO ALL OF THEM ARE RUNNING, CRIS 4399 03:00:04,708 --> 03:00:06,577 ALL THE TIME SO WE HAVE PIECES 4400 03:00:06,577 --> 03:00:10,414 AND PARTS AND EACH 1 OF THOSE 4401 03:00:10,414 --> 03:00:12,483 AND WE CAN FAIL OVER TO WORK OUT 4402 03:00:12,483 --> 03:00:17,321 OF 1 DATA CENTER IF EVER NEEDED. 4403 03:00:17,321 --> 03:00:19,756 WE PROVIDE ACCESS THROUGH 4404 03:00:19,756 --> 03:00:21,725 CITRIX, SO USERS CAN USE THEIR 4405 03:00:21,725 --> 03:00:25,729 MAC, CAN USE THEIR PC, THEIR 4406 03:00:25,729 --> 03:00:27,931 LENNOX MACHINE, WHEREVER THEY 4407 03:00:27,931 --> 03:00:30,400 ARE REMOTELY, ONSITE, AND THEN 4408 03:00:30,400 --> 03:00:31,735 ACCESS CRIS. 4409 03:00:31,735 --> 03:00:33,704 WE DO HAVE WORK STATIONS ON 4410 03:00:33,704 --> 03:00:36,473 WHEELS SO WE HAVE OVER 550 WORK 4411 03:00:36,473 --> 03:00:40,110 STATIONS ON WHEELS AND 10 4412 03:00:40,110 --> 03:00:41,278 CLIENTS AS WELL, OUR WORK 4413 03:00:41,278 --> 03:00:45,449 STATION ON WHEELS HAVE A FULL 4414 03:00:45,449 --> 03:00:48,252 CLIENT, OUR THIN CLIENTS USE 4415 03:00:48,252 --> 03:00:49,786 CITRIX, THERE ARE USABILITY 4416 03:00:49,786 --> 03:00:50,954 CHALLENGES, WE HAVE MULTIPLE. 4417 03:00:50,954 --> 03:00:54,658 EVERY YEAR WE HAVE A 4418 03:00:54,658 --> 03:00:56,627 SATISFACTION SURVEY, AND IT'S IN 4419 03:00:56,627 --> 03:00:58,495 THE 50%, NOT IN THE 80S AND 90S 4420 03:00:58,495 --> 03:01:00,230 WHERE YOU WOULD WANT THEM AND 4421 03:01:00,230 --> 03:01:04,434 THEN WE HAVE A LOT OF TYPE-INS 4422 03:01:04,434 --> 03:01:06,270 AND DESCRIPTIONS OF WHAT 4423 03:01:06,270 --> 03:01:08,739 USABILITY CHALLENGES WE HAVE. 4424 03:01:08,739 --> 03:01:10,474 WE HAD DELOITTE DO A BUSINESS 4425 03:01:10,474 --> 03:01:12,242 CASE AND THEY HAD A LOT OF 4426 03:01:12,242 --> 03:01:18,815 INTERVIEWS WITH A LOT OF STAFF, 4427 03:01:18,815 --> 03:01:20,551 CLINICIANS, PROVIDERS, 4428 03:01:20,551 --> 03:01:22,853 TECHNICIANS AND IDENTIFIED MANY 4429 03:01:22,853 --> 03:01:24,688 USABILITY CHALLENGES, IN SOME 4430 03:01:24,688 --> 03:01:26,757 CASES THEY WILL CHALLENGES THAT 4431 03:01:26,757 --> 03:01:27,691 IDENTIFY AND WE ACTUALLY HAVE 4432 03:01:27,691 --> 03:01:29,560 THEM IN THE SYSTEM BECAUSE WE 4433 03:01:29,560 --> 03:01:30,827 KIND OF NEEDED 1 OF THE 4434 03:01:30,827 --> 03:01:33,664 RECOMMENDATIONS TO MAKE SURE OUR 4435 03:01:33,664 --> 03:01:37,467 TRAINING SHOWED ALL THOSE ITEMS. 4436 03:01:37,467 --> 03:01:39,770 AND THEN EFFICIENCIES AND BEST 4437 03:01:39,770 --> 03:01:42,506 PRACTICES ARE DEFINITELY THINGS 4438 03:01:42,506 --> 03:01:46,276 TO LOOK FOR AND DO NEXT SLIDE. 4439 03:01:46,276 --> 03:01:52,249 AND SO, OUR GOAL IS MONOLITHIC 4440 03:01:52,249 --> 03:01:53,383 INTEGRATED EHR, RIGHT? 4441 03:01:53,383 --> 03:01:56,887 AND SO, WHAT WE HAVE IS BEST OF 4442 03:01:56,887 --> 03:01:58,188 BREED, SO WE HAVE ALL THESE 4443 03:01:58,188 --> 03:02:02,826 SYSTEMS, SO IN THE TOP, HAVE YOU 4444 03:02:02,826 --> 03:02:06,463 OUR CURRENT STATE, ALL THE 4445 03:02:06,463 --> 03:02:09,199 YELLOWS ARE SYSTEMS WITHIN THE 4446 03:02:09,199 --> 03:02:14,871 CLINICAL DEPARTMENTS AND SOME 4447 03:02:14,871 --> 03:02:18,809 ADMIN DEPARTMENTS AND OUR MAUVE, 4448 03:02:18,809 --> 03:02:21,411 THOSE ARE INSTITUTE CLINICAL 4449 03:02:21,411 --> 03:02:23,814 SYSTEMS, WE HAVE MANY SYSTEMS 4450 03:02:23,814 --> 03:02:26,650 THAT ARE PROVIDED BY THE 4451 03:02:26,650 --> 03:02:29,686 INSTITUTES AND THEP WE DURING 4452 03:02:29,686 --> 03:02:31,989 COVID DID PROVIDE DATA TO THE 4453 03:02:31,989 --> 03:02:32,923 STATE. 4454 03:02:32,923 --> 03:02:37,861 WE ARE ALSO CONNECTED TO OUR OWN 4455 03:02:37,861 --> 03:02:38,996 SYSTEM, AND SO ANY OF THE CARE 4456 03:02:38,996 --> 03:02:41,231 IS DONE IN THE CLINICAL CENTER, 4457 03:02:41,231 --> 03:02:44,468 AND SO THOSE ORDERS NEED TO 4458 03:02:44,468 --> 03:02:47,571 START FROM CRIS, BUT WE WANT THE 4459 03:02:47,571 --> 03:02:50,440 RESULTS AND THE IMMUNIZATION 4460 03:02:50,440 --> 03:02:53,810 RECORDS TO BE IN THE OMS SYSTEM 4461 03:02:53,810 --> 03:02:54,177 FOR EMPLOYEES. 4462 03:02:54,177 --> 03:02:59,416 AND THEN WE HAVE OUR DATA 4463 03:02:59,416 --> 03:03:00,317 WAREHOUSE CALLED BTRIS, SO ALL 4464 03:03:00,317 --> 03:03:06,723 THE DATA IS FED FROM CRIS TO 4465 03:03:06,723 --> 03:03:08,392 NRGZ CLINICAL SYSTEMS INTO 4466 03:03:08,392 --> 03:03:10,560 BETRIS, AND THEN WE HAVE OUR 4467 03:03:10,560 --> 03:03:11,862 PATIENT PORTAL, OUR VIRTUAL 4468 03:03:11,862 --> 03:03:12,663 HEALTH CONNECTION AS WELL, BUT 4469 03:03:12,663 --> 03:03:14,364 WE HAVE A LOT OF YELLOWS THERE, 4470 03:03:14,364 --> 03:03:17,768 AND SO THE GOAL IS TO REDUCE AS 4471 03:03:17,768 --> 03:03:19,036 MANY YELLOWS AS POSSIBLE AND 4472 03:03:19,036 --> 03:03:21,204 HAVE THEM AS PART OF THE SYSTEM 4473 03:03:21,204 --> 03:03:22,739 AND HAVE AN INTEGRATED SYSTEM, 4474 03:03:22,739 --> 03:03:25,942 WE WANT THE LAB TO BE PART OF 4475 03:03:25,942 --> 03:03:29,312 THE EHR, SO THERE'S NO LOSS OF 4476 03:03:29,312 --> 03:03:32,749 INFORMATION, NO LOSS OF IDEAS OR 4477 03:03:32,749 --> 03:03:35,919 CONCEPTS AND EVERYTHING IS NOT 4478 03:03:35,919 --> 03:03:37,054 RELIANT ON INTERFACES BUT IS 4479 03:03:37,054 --> 03:03:40,691 PART OF THE SYSTEM AS ITSELF AND 4480 03:03:40,691 --> 03:03:43,260 SO, WE WANT OUR RADIOLOGY SYSTEM 4481 03:03:43,260 --> 03:03:45,429 AND LAB SYSTEM AND MANY OTHERS 4482 03:03:45,429 --> 03:03:50,233 TO BE PART OF THE INTEGRATED 4483 03:03:50,233 --> 03:03:50,434 EHR. 4484 03:03:50,434 --> 03:03:52,769 AND SO, THAT IS DEFINITELY A 4485 03:03:52,769 --> 03:03:54,738 GOAL OF OURS, AND WE ARE WORKING 4486 03:03:54,738 --> 03:03:59,576 TOWARDS THAT TO MAKE SURE WE 4487 03:03:59,576 --> 03:04:00,377 IDENTIFY ALL THE REQUIREMENTS OF 4488 03:04:00,377 --> 03:04:01,812 THE SYSTEM TO DO THAT. 4489 03:04:01,812 --> 03:04:02,713 NEXT SLIDE. 4490 03:04:02,713 --> 03:04:04,548 SO OUR GOALS, STREAMLINE PATIENT 4491 03:04:04,548 --> 03:04:06,416 TO THROUGH PUT IN CLINICAL WORK 4492 03:04:06,416 --> 03:04:09,553 FLOW TO PROVOID THE PATIENT 4493 03:04:09,553 --> 03:04:12,289 STORY AND A CONCISE MANNER. 4494 03:04:12,289 --> 03:04:13,623 THE PATIENT STORY IS SOMETIMES 4495 03:04:13,623 --> 03:04:14,858 WHAT'S LOST WHEN YOU HAVE THE 4496 03:04:14,858 --> 03:04:16,860 BEST OF BREED AND ALL THESE 4497 03:04:16,860 --> 03:04:17,461 DIFFERENT COMPONENTS, MAKING 4498 03:04:17,461 --> 03:04:19,229 SURE THE STORY IS CONCISE AND 4499 03:04:19,229 --> 03:04:20,063 CLEAR IS COMPLETE, RIGHT? 4500 03:04:20,063 --> 03:04:28,505 WE WANT TO MAKE SURE -- WE HAD A 4501 03:04:28,505 --> 03:04:30,974 PHYSICIAN TELL ME THAT IT'S 4502 03:04:30,974 --> 03:04:33,243 DIFFICULT TO TELL HOW THE 4503 03:04:33,243 --> 03:04:35,445 PATIENT IS IN CRIS, SO HE TAPS 4504 03:04:35,445 --> 03:04:37,681 THE FLOR AND SAYS HOW ARE YOU? 4505 03:04:37,681 --> 03:04:41,218 THAT'S NOT A GOOD METHOD. 4506 03:04:41,218 --> 03:04:42,152 IMPROVE PATIENT SAFETY AND 4507 03:04:42,152 --> 03:04:43,453 QUALITY OF CLINICAL CARE 4508 03:04:43,453 --> 03:04:45,188 DELIVERY, IMPROVE PATIENT 4509 03:04:45,188 --> 03:04:46,022 EXPERIENCE AND ENGAGEMENT, 4510 03:04:46,022 --> 03:04:47,524 IMPROVE DECISION MAKING AND 4511 03:04:47,524 --> 03:04:48,792 XIEWNICATION ACROSS CLINICAL 4512 03:04:48,792 --> 03:04:50,193 RESEARCH CARE ROLES, REDUCE 4513 03:04:50,193 --> 03:04:52,295 COMPLEXITY TO SUPPORT SYSTEMS 4514 03:04:52,295 --> 03:04:54,498 FROM SECURITY PATCHING, 4515 03:04:54,498 --> 03:04:54,931 CONFIGURURATION AND 4516 03:04:54,931 --> 03:04:56,466 CUSTOMIZATION, YOU SEE ALL THE 4517 03:04:56,466 --> 03:04:58,301 YELLOWS, EVERY MONTH WE HAVE TO 4518 03:04:58,301 --> 03:04:59,703 DO PATCHING ON THOSE SYSTEMS SO 4519 03:04:59,703 --> 03:05:03,874 EVERY MONTH WE HAVE TO TAKE DOWN 4520 03:05:03,874 --> 03:05:06,476 20 SYSTEMS OVER A PERIOD OF TIME 4521 03:05:06,476 --> 03:05:12,249 TO MAKE SURE THEY HAVE THE MOST 4522 03:05:12,249 --> 03:05:13,383 RECENT SECURITY PATCHES AND 4523 03:05:13,383 --> 03:05:20,157 WHENEVER THERE'S A CRITICAL 4524 03:05:20,157 --> 03:05:21,691 VULNERABILITY, WE HAVE TO TOUCH 4525 03:05:21,691 --> 03:05:23,093 ALL THOSE MACHINES SO IT'S VERY 4526 03:05:23,093 --> 03:05:25,462 DIFFICULT AT THE MOMENT AND WE 4527 03:05:25,462 --> 03:05:27,397 WANT TO DO THIS DURING 4528 03:05:27,397 --> 03:05:27,831 AVAILABILITY. 4529 03:05:27,831 --> 03:05:30,133 BASED ON PIECES AND PARTS, I AM 4530 03:05:30,133 --> 03:05:31,668 GET TO 3-9S, BUT NOW I'M TRYING 4531 03:05:31,668 --> 03:05:34,137 TO GET TO 5-9S, SO LESS THAN 5 4532 03:05:34,137 --> 03:05:36,640 MINUTE A YEAR BASED ON BECOME 4533 03:05:36,640 --> 03:05:38,074 DOWN FOR UNFORSEEN REASONS AND I 4534 03:05:38,074 --> 03:05:42,679 CAN GET TO 3-9s WITH SCHEDULE 4535 03:05:42,679 --> 03:05:43,246 AND UNSCHEDULED DOWNS. 4536 03:05:43,246 --> 03:05:45,248 WE JUST HAD AN UPGRADE AND WE 4537 03:05:45,248 --> 03:05:46,783 WERE DOWN FOR 10 HOURS, THAT IS 4538 03:05:46,783 --> 03:05:47,951 NOT SOMETHING WE WANT TO 4539 03:05:47,951 --> 03:05:48,218 CONTINUE. 4540 03:05:48,218 --> 03:05:49,920 THAT IS SOMETHING WE WANT THE 4541 03:05:49,920 --> 03:05:54,257 SYSTEM UP AT A HIGHER AMOUNT. 4542 03:05:54,257 --> 03:05:54,591 NEXT. 4543 03:05:54,591 --> 03:05:57,227 AND SO WHERE ARE WE? 4544 03:05:57,227 --> 03:05:59,396 SO WE'RE STILL WORKING ON 4545 03:05:59,396 --> 03:06:01,531 SECURING FUNDING IF ANYBODY HAS 4546 03:06:01,531 --> 03:06:02,899 $150 MILLION AND WANT TO DONATE, 4547 03:06:02,899 --> 03:06:04,768 I'M PRETTY SURE THE NIH 4548 03:06:04,768 --> 03:06:06,369 FOUNDATION WILL ACCEPT THAT AND 4549 03:06:06,369 --> 03:06:09,105 THEN TELL THEM FOR THE EHR 4550 03:06:09,105 --> 03:06:12,509 MODERNIZATION, I'M NOT LOOKING 4551 03:06:12,509 --> 03:06:14,311 AT MIKE BECAUSE HE MIGHT BE 4552 03:06:14,311 --> 03:06:14,878 STARING ME DOWN. 4553 03:06:14,878 --> 03:06:19,950 >> WE DID GO THROUGH OUR FEDERAL 4554 03:06:19,950 --> 03:06:21,151 ACQUISITION. 4555 03:06:21,151 --> 03:06:23,386 >> HANG ON. 4556 03:06:23,386 --> 03:06:24,087 >> PROCUREMENT SENSITIVE, 4557 03:06:24,087 --> 03:06:28,592 PLEASE, ALL RIGHT. 4558 03:06:28,592 --> 03:06:29,359 ALL RIGHT. 4559 03:06:29,359 --> 03:06:38,535 >> OH -- NOTHING ON HERE SO WE 4560 03:06:38,535 --> 03:06:40,303 WENT THROUGH THE RIGHT 4561 03:06:40,303 --> 03:06:43,473 APPROVALS, GOT THOSE DOCUMENTS, 4562 03:06:43,473 --> 03:06:47,744 WE ARE WORKING THROUGH DIFFERENT 4563 03:06:47,744 --> 03:06:51,915 TYPES OF REQUESTS AND WE ARE 4564 03:06:51,915 --> 03:06:53,316 WORKING WITH MITER, OUR 4565 03:06:53,316 --> 03:06:55,151 STATEMENT OF WORK, WE DIDN'T HIT 4566 03:06:55,151 --> 03:06:57,120 THE FEBRUARY DATE, A LOT OF 4567 03:06:57,120 --> 03:07:00,857 DIFFERENT PRIORITIES AND 4568 03:07:00,857 --> 03:07:01,558 DIFFERENT ITEMS WERE IN 4569 03:07:01,558 --> 03:07:04,527 STRUCTURE WITH EACH OTHER, OUR 4570 03:07:04,527 --> 03:07:06,129 GOAL IS TO GET THAT OUT AND 4571 03:07:06,129 --> 03:07:07,297 COMPLETE AS MUCH OF THE MARKET 4572 03:07:07,297 --> 03:07:13,236 RESEARCH BY END OF AUGUST. 4573 03:07:13,236 --> 03:07:14,738 WE HAVE 1400 REQUIREMENTS, IT 4574 03:07:14,738 --> 03:07:17,474 MIGHT BE CLOSER TO 1600 NOW, 4575 03:07:17,474 --> 03:07:27,951 BECAUSE WE WENT THROUGH OUR 4576 03:07:28,218 --> 03:07:29,252 FOCUS GROUPS THAT LIAISONSLY 4577 03:07:29,252 --> 03:07:31,521 WILL TALK ABOUT, AND WENT 4578 03:07:31,521 --> 03:07:32,689 THROUGH MORE MARKETS AND WE HOPE 4579 03:07:32,689 --> 03:07:36,626 TO HAVE FUTURE VENDOR DAYS. 4580 03:07:36,626 --> 03:07:37,460 NEXT SLIDE. 4581 03:07:37,460 --> 03:07:40,363 >> SO GOOD AFTERNOON, EVERYONE 4582 03:07:40,363 --> 03:07:42,365 SO I'M GOING TO TELL YOU ABOUT 4583 03:07:42,365 --> 03:07:44,567 THE EHR EXECUTIVE STEERING 4584 03:07:44,567 --> 03:07:44,834 COMMITTEE. 4585 03:07:44,834 --> 03:07:46,303 SO THIS ALL ORIGINATED ISSUES 4586 03:07:46,303 --> 03:07:47,804 THE GROUP WAS FORMED OR 4587 03:07:47,804 --> 03:07:50,974 BEGINNING TO BE FORMED LAST 4588 03:07:50,974 --> 03:07:51,241 FEBRUARY. 4589 03:07:51,241 --> 03:07:53,510 MEMBERS WERE NOMINATED AND THEN 4590 03:07:53,510 --> 03:07:55,245 WE FINALLY ARRANGED OR CONVENED 4591 03:07:55,245 --> 03:07:59,316 A COMMITTEE LAST MAY AND THEN 4592 03:07:59,316 --> 03:08:01,284 LAST SUMMER I SAID WE'VE BEEN 4593 03:08:01,284 --> 03:08:02,452 REALLY BUSY DOING OUR WORK BUT 4594 03:08:02,452 --> 03:08:04,187 OUR WORK HAS BEEN TO DEFINE WHAT 4595 03:08:04,187 --> 03:08:07,857 WE HAVE AND DEVELOP THE 4596 03:08:07,857 --> 03:08:09,292 REQUIREMENTS FOR HOPEFULLY THE 4597 03:08:09,292 --> 03:08:10,527 FUTURE PROPOSAL THAT WILL BE OUT 4598 03:08:10,527 --> 03:08:12,595 THERE FOR BID. 4599 03:08:12,595 --> 03:08:13,663 OUR MEMBERSHIP INCLUDES 22 4600 03:08:13,663 --> 03:08:15,365 MEMBERS THAT REPRESENT DIFFERENT 4601 03:08:15,365 --> 03:08:16,199 CLINICAL CENTER DEPARTMENTS, 4602 03:08:16,199 --> 03:08:17,500 SOME DIFFERENT IC AND 4603 03:08:17,500 --> 03:08:18,568 ADMINISTRATIVE AREAS AND WE TRY 4604 03:08:18,568 --> 03:08:19,970 TO HAVE PEOPLE REPRESENTING NOT 4605 03:08:19,970 --> 03:08:21,471 ONLY THE CLINICAL SIDE BUT ALSO 4606 03:08:21,471 --> 03:08:22,772 THE RESEARCH SIDE, NEXT SLIDE. 4607 03:08:22,772 --> 03:08:27,010 >> AND THE PATIENT SIDE. 4608 03:08:27,010 --> 03:08:27,777 >> I'M SORRY? 4609 03:08:27,777 --> 03:08:29,379 >> AND THE PATIENT SIDE. 4610 03:08:29,379 --> 03:08:30,947 >> YES, AND THE PATIENT SIDE, 4611 03:08:30,947 --> 03:08:33,350 YES, DAVID IS 1 OF OUR MEMBERS. 4612 03:08:33,350 --> 03:08:35,852 SO THIS IS OUR WHY STATEMENT, WE 4613 03:08:35,852 --> 03:08:37,287 CAME UP WITH THIS AND I WILL LET 4614 03:08:37,287 --> 03:08:47,831 YOU TAKE A MOMENT TO READ THAT. 4615 03:08:47,831 --> 03:08:49,165 >> THE 1 THING I DIDN'T MENTION 4616 03:08:49,165 --> 03:08:51,968 IS THAT THIS CAN'T BE AN I.T. 4617 03:08:51,968 --> 03:08:55,238 PROJECT, THIS CAN'T BE JOHN 4618 03:08:55,238 --> 03:08:56,272 Mc KEEBY'S PROGEC, THE FIRST 1 4619 03:08:56,272 --> 03:08:58,241 WAS 20 YEARS AGO, THIS 1 CAN'T 4620 03:08:58,241 --> 03:09:00,443 BE, SO THE STEERING COMMITTEE 4621 03:09:00,443 --> 03:09:04,180 AND LESLIE, AS THE CHAIR WHOSE 4622 03:09:04,180 --> 03:09:06,483 VERY CRITICAL, THE 4623 03:09:06,483 --> 03:09:07,884 PATIENT-CENTRIC PIECE IS 4624 03:09:07,884 --> 03:09:10,887 CRITICAL AS WELL. 4625 03:09:10,887 --> 03:09:13,423 AND SO HAVING DAVID AND OTHER 4626 03:09:13,423 --> 03:09:14,557 PATIENTS, DIFFERENT PIECES OF 4627 03:09:14,557 --> 03:09:15,925 DIFFERENT PART SYSTEM VERY 4628 03:09:15,925 --> 03:09:17,794 IMPORTANT, BUT THIS CANNOT BE AN 4629 03:09:17,794 --> 03:09:20,397 I.T. PROJECT IT'S AN 4630 03:09:20,397 --> 03:09:21,664 ORGANIZATIONAL PROGEC. 4631 03:09:21,664 --> 03:09:23,133 >> SO, WE'VE GOT A LOT OF WORK 4632 03:09:23,133 --> 03:09:25,869 TO DO, THE NEXT SLIDE. 4633 03:09:25,869 --> 03:09:27,604 SO WHAT WE'VE DONE IN THE LAST 4634 03:09:27,604 --> 03:09:29,372 YEAR OR ABOUT THE LAST YEAR IS 4635 03:09:29,372 --> 03:09:30,340 WE HAVE GATHERED WHAT THE 4636 03:09:30,340 --> 03:09:34,344 REQUIREMENTS ARE IN OUR CURRENT 4637 03:09:34,344 --> 03:09:36,012 SYSTEM, WE DOCUMENTED THOSE, WE 4638 03:09:36,012 --> 03:09:38,181 DID A CRIS USER REQUIREMENT 4639 03:09:38,181 --> 03:09:39,716 SURVEY ASK THEN WE'VE BEEN 4640 03:09:39,716 --> 03:09:42,619 ACTIVELY ENGAGED IN THE CLINICAL 4641 03:09:42,619 --> 03:09:43,053 MODELING WORK FLOW. 4642 03:09:43,053 --> 03:09:44,287 NEXT SLIDE. 4643 03:09:44,287 --> 03:09:47,791 SO THE FIRST WAS THAT CRIS USER 4644 03:09:47,791 --> 03:09:49,492 REQUIREMENT SURVEY AND THEN WE 4645 03:09:49,492 --> 03:09:51,895 LAUNCHED THIS LAST SEPTEMBER TO 4646 03:09:51,895 --> 03:09:53,296 ABOUT 3500 CRIS USERS AND WE 4647 03:09:53,296 --> 03:09:54,798 HEARD BACK FROM 10% OF THE STAFF 4648 03:09:54,798 --> 03:09:56,466 BUT WE COUNTED THAT AS A SUCCESS 4649 03:09:56,466 --> 03:09:58,068 BECAUSE THE SURVEY WE SENT OUT 4650 03:09:58,068 --> 03:10:01,504 OR THE TOOL WE HAD THEM GIVE US 4651 03:10:01,504 --> 03:10:04,040 FEEDBACK ON, HAD OVER 1400 4652 03:10:04,040 --> 03:10:04,374 ITEMS. 4653 03:10:04,374 --> 03:10:06,876 SO IT WAS QUITE BURDENSOME TO 4654 03:10:06,876 --> 03:10:07,844 GET THROUGH, AND THERE WERE A 4655 03:10:07,844 --> 03:10:10,046 LOT OF PEOPLE THAT DID THAT FOR 4656 03:10:10,046 --> 03:10:16,886 US, AND THEN THERE WERE 4657 03:10:16,886 --> 03:10:17,854 ADDITIONALLY ABOUT A HUNDRED 4658 03:10:17,854 --> 03:10:19,355 FOLKS THAT PROVIDED INFORMATION 4659 03:10:19,355 --> 03:10:19,956 TO CRIS. 4660 03:10:19,956 --> 03:10:21,224 NEXT SLIDE. 4661 03:10:21,224 --> 03:10:22,559 THE NEXT THING WE WERE 4662 03:10:22,559 --> 03:10:24,160 UNDERTAKING IN PARALLEL BUT 4663 03:10:24,160 --> 03:10:25,195 GAINED MOMENTUM TOWARDS THE END 4664 03:10:25,195 --> 03:10:27,430 OF THE YEAR WAS THE WORK FLOW 4665 03:10:27,430 --> 03:10:27,931 MODELING EFFORT. 4666 03:10:27,931 --> 03:10:29,332 SO WE HAD TO FIRST DEFINE WHAT 4667 03:10:29,332 --> 03:10:34,237 ARE ALL THE PROCESSES, OR WORK 4668 03:10:34,237 --> 03:10:36,806 FLOWS IN OUR CURRENT EHR AND THE 4669 03:10:36,806 --> 03:10:38,441 WAY WE ARRANGED OUR APPROACH WAS 4670 03:10:38,441 --> 03:10:40,643 TO FIRST SAY, OKAY, WE WENT BIG 4671 03:10:40,643 --> 03:10:43,179 BUCKETS, WHAT ARE THE GROUPS, 4672 03:10:43,179 --> 03:10:45,248 HOW ARE THEY ARRANGED IN OUR 4673 03:10:45,248 --> 03:10:47,383 SYSTEM BECAUSE WE CAME UP WITH 3 4674 03:10:47,383 --> 03:10:48,918 PILLARS SO WE CAME UP WITH 4675 03:10:48,918 --> 03:10:49,853 CLINICAL AND ADMEN 4676 03:10:49,853 --> 03:10:51,354 ADMINISTRATIVE RESEARCH AND THEN 4677 03:10:51,354 --> 03:10:52,522 WE FURTHER SUBDIVIDED THEM INTO 4678 03:10:52,522 --> 03:10:54,557 THE SERVICE LINE, SO IN YOU SEE 4679 03:10:54,557 --> 03:10:55,492 THE SMALLER BUCKET IS SURGERY 4680 03:10:55,492 --> 03:10:58,128 AND THE WORK FLOWS WITHIN THAT 4681 03:10:58,128 --> 03:11:00,396 ARE JUST SOME LISTS ON THE SLIDE 4682 03:11:00,396 --> 03:11:00,597 HERE. 4683 03:11:00,597 --> 03:11:01,164 NEXT 1. 4684 03:11:01,164 --> 03:11:04,033 SO LIKE I SAID WE HAVE 33 4685 03:11:04,033 --> 03:11:05,401 PILLARS IDENTIFY INDEED OUR 4686 03:11:05,401 --> 03:11:08,104 CURRENT EHR AND THEN WITHIN 4687 03:11:08,104 --> 03:11:17,514 THOSE THE WORK FLOWS WE WERE 4688 03:11:17,514 --> 03:11:19,782 CONTRACTED TO WORK WITH 4689 03:11:19,782 --> 03:11:21,684 FEDERALLY FUNDED WORK FLOWS, WE 4690 03:11:21,684 --> 03:11:22,852 ORIGINALLY HAD 50, THERE WERE 4691 03:11:22,852 --> 03:11:24,721 CHANGES TO OUR FUNDING AND OUR 4692 03:11:24,721 --> 03:11:25,855 ABILITY TO ACHIEVE 50 BUT WE 4693 03:11:25,855 --> 03:11:30,326 WERE ABLE TO COMPLETE 43. 4694 03:11:30,326 --> 03:11:34,063 SO NEXT SLIDE. 4695 03:11:34,063 --> 03:11:34,898 THIS REPRESENTS THE 43 WORK 4696 03:11:34,898 --> 03:11:36,533 FLOWS WE WERE ABLE TO MODEL SO 4697 03:11:36,533 --> 03:11:37,967 YOU CAN SEE GREEN ARE THE 1S 4698 03:11:37,967 --> 03:11:39,836 THAT ARE COMPLETE AND THEN FINAL 4699 03:11:39,836 --> 03:11:40,069 REVIEW. 4700 03:11:40,069 --> 03:11:45,041 SO THE NEXT STEPS IN THAT 4701 03:11:45,041 --> 03:11:46,209 PROCESS ARE DOING QUALITY 4702 03:11:46,209 --> 03:11:47,844 REVIEWS AND THEN GOING BACK TO 4703 03:11:47,844 --> 03:11:48,945 THE EXECUTIVE STEERING COMMITTEE 4704 03:11:48,945 --> 03:11:50,346 FOR FINAL REVIEW AND,A PROVAL 4705 03:11:50,346 --> 03:11:52,415 AND THEN THOSE WORK FLOWS REALLY 4706 03:11:52,415 --> 03:11:54,617 WILL DEFINE, WILL HELP THAT 4707 03:11:54,617 --> 03:11:56,352 COMPANY HA COMES IN WITH THAT 4708 03:11:56,352 --> 03:11:59,255 NEW EHR TO SAY THIS IS WHAT WE 4709 03:11:59,255 --> 03:12:01,157 NEED AND THIS IS HOW WE WOULD 4710 03:12:01,157 --> 03:12:01,925 LIKE IT BUILT. 4711 03:12:01,925 --> 03:12:04,961 JUST LATE BREAKING INFORMATION, 4712 03:12:04,961 --> 03:12:08,498 SO, WE HAVE HELD SINCE WE BEGAN 4713 03:12:08,498 --> 03:12:09,699 IN OCTOBER, 164 MODELING 4714 03:12:09,699 --> 03:12:12,669 SESSIONS WITH STAFF AND WE'VE 4715 03:12:12,669 --> 03:12:15,438 HAD REALLY SIGNIFICANT 4716 03:12:15,438 --> 03:12:17,307 ENGAGEMENT AND SUPPORT FOR THIS 4717 03:12:17,307 --> 03:12:18,575 INITIATIVE THROUGHOUT OUR 4718 03:12:18,575 --> 03:12:18,908 ORGANIZATION. 4719 03:12:18,908 --> 03:12:20,210 EVERY INSTITUTE HAS BEEN 4720 03:12:20,210 --> 03:12:23,112 REPRESENTED WITHIN THESE WORK 4721 03:12:23,112 --> 03:12:24,814 FLOW MODELING SESSIONS. 4722 03:12:24,814 --> 03:12:26,282 WE'VE HAD OVER 2700 JOIN SO 4723 03:12:26,282 --> 03:12:29,719 THESE ARE DONE VIRTUALLY WITH AN 4724 03:12:29,719 --> 03:12:31,721 AVERAGE OF ABOUT 25 TO 40 PEOPLE 4725 03:12:31,721 --> 03:12:32,388 JOINING EACH SESSION. 4726 03:12:32,388 --> 03:12:35,358 SO PEOPLE ARE REALLY INTERESTED, 4727 03:12:35,358 --> 03:12:36,292 VERY SUPPORTIVE AND REALLY WANT 4728 03:12:36,292 --> 03:12:40,830 TO MAKE OUR NEXT SYSTEM THE BEST 4729 03:12:40,830 --> 03:12:41,064 SYSTEM. 4730 03:12:41,064 --> 03:12:42,365 NEXT SLIDE, JUST WANT TO SHARE 4731 03:12:42,365 --> 03:12:43,633 AN EXAMPLE, SO I REALIZE THIS IS 4732 03:12:43,633 --> 03:12:45,401 VERY SMALL BUT THIS IS WHAT 1 OF 4733 03:12:45,401 --> 03:12:47,737 THE WORK FLOW MODELS THAT HAVE 4734 03:12:47,737 --> 03:12:49,339 BEEN COMPLETED LOOK LIKE, SO, 4735 03:12:49,339 --> 03:12:50,640 AND I WILL HIGHLIGHT IN THE NEXT 4736 03:12:50,640 --> 03:12:52,742 1, YOU SEE THAT THERE'S 4737 03:12:52,742 --> 03:12:54,210 DIFFERENT LANES, WE CALL THESE 4738 03:12:54,210 --> 03:12:55,745 SWIM LANES AND THEY REPRESENT 4739 03:12:55,745 --> 03:12:57,814 THE ROLES AND THEN WHAT THE 4740 03:12:57,814 --> 03:12:59,115 ACTIONS WERE OR STEPS OR 4741 03:12:59,115 --> 03:12:59,816 RESPONSIBILITIES THAT ARE 4742 03:12:59,816 --> 03:13:02,785 INCLUDED IN EACH OF THOSE 4743 03:13:02,785 --> 03:13:04,087 PERSONS ROLES. 4744 03:13:04,087 --> 03:13:04,921 SO NEXT SLIDE. 4745 03:13:04,921 --> 03:13:07,390 WE WILL JUST LOOK, SO IN THE 4746 03:13:07,390 --> 03:13:10,226 UPPER LEFT HAND CORNER, IS KIND 4747 03:13:10,226 --> 03:13:12,695 OF THE LEGEND FOR THE MODELS AND 4748 03:13:12,695 --> 03:13:14,197 THEN THERE'S ALSO A FUTURE 4749 03:13:14,197 --> 03:13:15,732 STATE, SO NOT ONLY ARE WE 4750 03:13:15,732 --> 03:13:17,033 CAPTURING WHAT IS INCLUDED IN 4751 03:13:17,033 --> 03:13:19,235 OUR CURRENT WORK FLOWS, WE ARE 4752 03:13:19,235 --> 03:13:20,970 ALSO CAPTURING WHAT WOULD HELP 4753 03:13:20,970 --> 03:13:22,705 OUR ORGANIZATION HAVE A BETTER 4754 03:13:22,705 --> 03:13:25,341 EHR TO SUPPORT OUR PATIENTS 4755 03:13:25,341 --> 03:13:27,143 CLINICAL CARE NEEDS AND RESEARCH 4756 03:13:27,143 --> 03:13:27,610 NEEDS. 4757 03:13:27,610 --> 03:13:28,511 NEXT 1. 4758 03:13:28,511 --> 03:13:31,547 THIS IS JUST A BLOWN UP VERSION 4759 03:13:31,547 --> 03:13:33,316 OF 1 OF THE LANES, THE SWIM 4760 03:13:33,316 --> 03:13:36,185 LANES SO CAN YOU SEE HERE THIS 4761 03:13:36,185 --> 03:13:37,253 IS THE LICENSED INDEPENDENT 4762 03:13:37,253 --> 03:13:40,223 PRACTITIONER AND THIS IS FOR THE 4763 03:13:40,223 --> 03:13:41,824 INTENSIVE CARE WORK FLOW MODEL. 4764 03:13:41,824 --> 03:13:43,259 NEXT 1 AND THEN IT WILL CONTINUE 4765 03:13:43,259 --> 03:13:45,328 ON, SO JUST TO GIVE YOU AN 4766 03:13:45,328 --> 03:13:47,964 EXAMPLE OF WHAT WE'VE BEEN 4767 03:13:47,964 --> 03:13:48,398 WORKING ON. 4768 03:13:48,398 --> 03:13:49,732 SO THE NEXT STEPS FOR US ARE 4769 03:13:49,732 --> 03:13:51,934 THAT WE WILL CONTINUE OUR 4770 03:13:51,934 --> 03:13:53,670 CLINICAL WORK FLOW MODELING, 4771 03:13:53,670 --> 03:13:56,005 LIKE DR. Mc KEEBY SAID WE HAVE 4772 03:13:56,005 --> 03:13:57,674 OVER A HUNDRED PROCESSES WORK 4773 03:13:57,674 --> 03:13:59,509 FLOWS THAT WERE IDENTIFIED IN 4774 03:13:59,509 --> 03:14:00,943 OUR CURRENT EHR AND WHILE WE 4775 03:14:00,943 --> 03:14:04,747 WERE FORTUNATE TO WORK WITH 4776 03:14:04,747 --> 03:14:06,316 MITRE, FOR 50 OF THOSE, THE WORK 4777 03:14:06,316 --> 03:14:08,184 WILL CONTINUE WITH A SMALL GROUP 4778 03:14:08,184 --> 03:14:08,484 INTERNALLY. 4779 03:14:08,484 --> 03:14:10,019 SO WE WILL ALSO BE CONTINUING 4780 03:14:10,019 --> 03:14:11,154 OUR QUALITY REVIEW MAKING SURE 4781 03:14:11,154 --> 03:14:15,458 THAT WHAT WE'VE CAPTURED SO FAR, 4782 03:14:15,458 --> 03:14:16,626 WILL CONTINUE AS ACCURATE AND 4783 03:14:16,626 --> 03:14:18,461 THEN THE NEXT STEPS ARE TRAINING 4784 03:14:18,461 --> 03:14:24,767 A SMALL TEAM TO DO THIS BUSINESS 4785 03:14:24,767 --> 03:14:25,368 PROCESS MODELING WORK. 4786 03:14:25,368 --> 03:14:30,740 AND THATIA Y -- THAT'S ALL I HA. 4787 03:14:30,740 --> 03:14:31,007 QUESTIONS? 4788 03:14:31,007 --> 03:14:31,374 >> WONDERFUL. 4789 03:14:31,374 --> 03:14:32,742 THANK YOU VERY MUCH. 4790 03:14:32,742 --> 03:14:33,910 QUESTIONS OR COMMENTS? 4791 03:14:33,910 --> 03:14:35,078 >> YEAH, THANK YOU. 4792 03:14:35,078 --> 03:14:35,678 TERRIFIC PRESENTATION, AND THE 4793 03:14:35,678 --> 03:14:37,313 QUESTION I HAD IS, I MAY HAVE 4794 03:14:37,313 --> 03:14:39,782 MISSED IT, IS THERE A FEATURE IN 4795 03:14:39,782 --> 03:14:44,320 THE NEW EHR FOR AMBIENT 4796 03:14:44,320 --> 03:14:46,489 RECORDING OF ENCOUNTERS BECAUSE 4797 03:14:46,489 --> 03:14:48,691 THAT'S BEEN A MAJOR SATISFIER 4798 03:14:48,691 --> 03:14:49,859 AND I THINK JUDY MENTIONED THAT 4799 03:14:49,859 --> 03:14:51,527 AS WELL, THAT IT MAKES A BIG 4800 03:14:51,527 --> 03:14:53,363 DIFFERENCE IN TERMS OF 4801 03:14:53,363 --> 03:14:55,665 COMMISSION REACTIONS TO EHR 4802 03:14:55,665 --> 03:14:56,165 IMPLEMENTATION. 4803 03:14:56,165 --> 03:14:58,634 >> SO, YES, THOSE ARE IN THE 4804 03:14:58,634 --> 03:15:01,137 REQUIREMENTS AND SO SOME OF THE 4805 03:15:01,137 --> 03:15:02,438 VIRTUAL HEALTH STUFF IS IN THERE 4806 03:15:02,438 --> 03:15:04,407 AS WELL, SO AI JUST TO LISTEN 4807 03:15:04,407 --> 03:15:08,811 AND CREATE A SUMMARY AND PROVIDE 4808 03:15:08,811 --> 03:15:11,681 THAT AND SO, BOTH ARE 4809 03:15:11,681 --> 03:15:14,117 RECORDINGS, MORE VIDEO, MORE 4810 03:15:14,117 --> 03:15:15,151 IMAGING IS DEFINITELY SOMETHING 4811 03:15:15,151 --> 03:15:23,559 WE'RE LOOKING FORWARD TO AS 4812 03:15:23,559 --> 03:15:27,363 WELL. 4813 03:15:27,363 --> 03:15:28,297 >> YES, DAVID? 4814 03:15:28,297 --> 03:15:29,165 YOU'RE MUTED. 4815 03:15:29,165 --> 03:15:30,733 >> YEAH, NO, I HAVE MORE OF A 4816 03:15:30,733 --> 03:15:33,469 COMMENT THAN A QUESTION. 4817 03:15:33,469 --> 03:15:38,207 JOHN -- JON AND I HAD VERY 4818 03:15:38,207 --> 03:15:39,809 LENGTHY DISCUSSIONS ABOUT THE 4819 03:15:39,809 --> 03:15:41,544 OVERALL PROCESS BEING LENGTHY 4820 03:15:41,544 --> 03:15:43,012 AND BEING A PROCESS ENGINEER 4821 03:15:43,012 --> 03:15:45,114 MYSELF, 1 WOULD NORMALLY 4822 03:15:45,114 --> 03:15:46,449 UNDERTAKE THE DESEEN REQUIREMENT 4823 03:15:46,449 --> 03:15:49,919 -- OR THE OPERATIONAL 4824 03:15:49,919 --> 03:15:50,987 REQUIREMENTS BY DOING AN 4825 03:15:50,987 --> 03:15:52,955 ANALYSIS OF THE WAY THE 4826 03:15:52,955 --> 03:15:53,656 ORGANIZATION CONDUCTS ITS 4827 03:15:53,656 --> 03:15:54,724 BUSINESS RATHER THAN NECESSARILY 4828 03:15:54,724 --> 03:15:58,895 THE WAY AN ORGANIZATION WANTS TO 4829 03:15:58,895 --> 03:16:01,898 DEVOLVE A CURRENT TOOL THAT IT'S 4830 03:16:01,898 --> 03:16:04,700 USING AND THE CONCERNS THAT I 4831 03:16:04,700 --> 03:16:06,335 HAD WERE MORE THAN WELL 4832 03:16:06,335 --> 03:16:08,271 ADDRESSED BY THE WAY LESLIE AND 4833 03:16:08,271 --> 03:16:10,573 THE TEAM HAD OUR OPEN 4834 03:16:10,573 --> 03:16:12,608 DISCUSSIONS WHERE I DO BELIEVE A 4835 03:16:12,608 --> 03:16:15,111 LOT OF PEOPLE IN THE VARIOUS 4836 03:16:15,111 --> 03:16:17,079 GROUPS REALIZE THAT THERE WERE 4837 03:16:17,079 --> 03:16:19,248 THINGS GOING ON IN THE HOSPITAL 4838 03:16:19,248 --> 03:16:21,417 IN MANNERS THAT THEY DIDN'T 4839 03:16:21,417 --> 03:16:24,487 QUITE UNDERSTAND AND PROVIDED 4840 03:16:24,487 --> 03:16:26,122 OPPORTUNITIES TO IMPROVE AND 4841 03:16:26,122 --> 03:16:27,523 INTEGRATE THOSE PROCESSES, AND 4842 03:16:27,523 --> 03:16:29,926 THOSE WERE PICKED UP BOTH IN THE 4843 03:16:29,926 --> 03:16:31,994 PROCESS MODELS THAT WERE DONE, 4844 03:16:31,994 --> 03:16:34,430 AS WELL AS THOSE BOX OF THINGS 4845 03:16:34,430 --> 03:16:41,003 TO BE CONSIDERED FOR THE FUTURE. 4846 03:16:41,003 --> 03:16:41,304 >> GREAT. 4847 03:16:41,304 --> 03:16:42,004 THANK YOU. 4848 03:16:42,004 --> 03:16:44,140 WELL, THANK YOU BOTH JON AND 4849 03:16:44,140 --> 03:16:45,308 LESLIE, ENORMOUS UNDERTAKING AND 4850 03:16:45,308 --> 03:16:48,811 WE REALLY, REALLY APPRECIATE IT 4851 03:16:48,811 --> 03:16:51,481 >> THANK YOU. 4852 03:16:51,481 --> 03:16:53,716 >> SO, GET TO END, I THINK 4853 03:16:53,716 --> 03:16:53,883 -- 4854 03:16:53,883 --> 03:16:57,353 MAYBE WE DID THIS LAST TIME, DAN 4855 03:16:57,353 --> 03:16:58,955 WHEELAND IS HERE TO TAKE US 4856 03:16:58,955 --> 03:17:00,656 THROUGH A FACILITIES 4857 03:17:00,656 --> 03:17:02,692 PRESENTATION, WHICH IS ALWAYS 4858 03:17:02,692 --> 03:17:06,162 THE HIGHLIGHT OF THE MEETING. 4859 03:17:06,162 --> 03:17:06,395 DAN? 4860 03:17:06,395 --> 03:17:07,597 >> THANKS FOR HAVING ME BACK. 4861 03:17:07,597 --> 03:17:11,968 IT'S A REAL HONOR. 4862 03:17:11,968 --> 03:17:13,369 JON USED THE TERM MAUVE, I 4863 03:17:13,369 --> 03:17:15,204 THOUGHT AT FIRST IT WAS AN 4864 03:17:15,204 --> 03:17:18,207 ACRONYM TO I HAD TO GOOGLE IS TO 4865 03:17:18,207 --> 03:17:21,277 KNOW IT'S A COLOR, NEXT TIME HE 4866 03:17:21,277 --> 03:17:22,278 WILL USE CHARTREUSE OR SOMETHING 4867 03:17:22,278 --> 03:17:24,046 LIKE THAT, I'M A PRIMARY COLORS 4868 03:17:24,046 --> 03:17:28,217 TYPE OF GUY, I TRY TO KEEP IT 4869 03:17:28,217 --> 03:17:28,584 SIMPLE. 4870 03:17:28,584 --> 03:17:30,186 AND AS EVIDENCED BY THE FACT 4871 03:17:30,186 --> 03:17:32,488 THAT I'M HAVING TROUBLE USING 4872 03:17:32,488 --> 03:17:34,590 THE KEYBOARD SO I WILL TRY TO 4873 03:17:34,590 --> 03:17:35,658 PROVIDE THE STATUS OF SOME OF 4874 03:17:35,658 --> 03:17:38,060 THE PROJECTS THAT ARE CURRENTLY 4875 03:17:38,060 --> 03:17:40,129 TAKING PLACE THAT HAVE A 4876 03:17:40,129 --> 03:17:42,265 DISTINCT BENEFIT FOR PATIENT 4877 03:17:42,265 --> 03:17:43,432 SAFETY AND PATIENT CARE. 4878 03:17:43,432 --> 03:17:47,436 ALL OF OUR PROJECTS HAVE UNIQUE 4879 03:17:47,436 --> 03:17:48,170 TRACKING NUMBERS THAT ENABLE US 4880 03:17:48,170 --> 03:17:50,673 TO MAKE SURE WE'RE ALL TALKING 4881 03:17:50,673 --> 03:17:53,442 ABOUT THE SAME PROJECT. 4882 03:17:53,442 --> 03:18:03,286 THIS PROJECT IS SORT OF A MEAT 4883 03:18:03,286 --> 03:18:04,787 AND POTATOES TYPE OF PROJECT 4884 03:18:04,787 --> 03:18:05,721 THAT WILL IMPROVE THE 4885 03:18:05,721 --> 03:18:09,692 ENVIRONMENT OF CARE BY TOTALLY 4886 03:18:09,692 --> 03:18:11,227 RENOVATING A NUMBER OF EXAM 4887 03:18:11,227 --> 03:18:12,628 ROOMS, YOU CAN SEE THE BEFORE 4888 03:18:12,628 --> 03:18:14,897 AND IN THE BOTTOM THE AFTER, ALL 4889 03:18:14,897 --> 03:18:17,433 OF THE FLOOR WALL AND CEILING 4890 03:18:17,433 --> 03:18:19,835 FINISHES ARE NEW AND INFECTION 4891 03:18:19,835 --> 03:18:22,572 CONTROL IS BUILT INTO THIS, SO 4892 03:18:22,572 --> 03:18:25,541 THAT THE SURFACES ARE RESISTANT 4893 03:18:25,541 --> 03:18:27,710 TO CLEANING AND THAT WE MINIMIZE 4894 03:18:27,710 --> 03:18:30,046 THE NUMBER OF OPENINGS AND GAPS 4895 03:18:30,046 --> 03:18:33,416 THAT WOULD POTENTIALLY HARBOR 4896 03:18:33,416 --> 03:18:37,386 BAD THINGS AND THIS NEXT SLIDE 4897 03:18:37,386 --> 03:18:39,021 JUST ILLUSTRATES THE SPECIFIC 4898 03:18:39,021 --> 03:18:41,190 FLOOR PLANS AND YOU CAN SEE IN 4899 03:18:41,190 --> 03:18:44,193 BLUE, THE ROOMS THAT HAVE BEEN 4900 03:18:44,193 --> 03:18:46,696 RENOVATED AND THE ROOMS IN RED 4901 03:18:46,696 --> 03:18:49,332 ARE THOSE THAT ARE CURRENTLY 4902 03:18:49,332 --> 03:18:50,266 UNDER CONSTRUCTION AND THE GREEN 4903 03:18:50,266 --> 03:18:54,270 ARE THOSE THAT ARE SCHEDULED IN 4904 03:18:54,270 --> 03:18:55,338 FUTURE PHASES, POSITIVE FEEDBACK 4905 03:18:55,338 --> 03:18:57,773 FROM ALL OF THE STAKEHOLDERS, A 4906 03:18:57,773 --> 03:18:58,841 LOT OF COORDINATION AS YOU CAN 4907 03:18:58,841 --> 03:19:02,912 IMAGINE TO TRY TO PRESERVE THE 4908 03:19:02,912 --> 03:19:05,214 ENVIRONMENT OF CARE, INFECTION 4909 03:19:05,214 --> 03:19:06,248 CONTROL, LIFE, SAFETY, ALL OF 4910 03:19:06,248 --> 03:19:10,353 THOSE THINGS THAT ARE CRITICAL 4911 03:19:10,353 --> 03:19:12,555 TO CONDUCTING RENOVATIONS AND 4912 03:19:12,555 --> 03:19:14,323 CLOSE PROXIMITY TO ONGOING 4913 03:19:14,323 --> 03:19:15,324 PATIENT CARE OPERATIONS. 4914 03:19:15,324 --> 03:19:16,993 THIS IS ANOTHER BASIC PROJECT. 4915 03:19:16,993 --> 03:19:19,795 WE FOUND THAT IN THE 2 4916 03:19:19,795 --> 03:19:22,064 COURTYARDS THAT ARE BETWEEN THE 4917 03:19:22,064 --> 03:19:27,003 PATIENT CARE WINGS, WE HAD A 4918 03:19:27,003 --> 03:19:29,105 PROBLEM IN INTENSE RAINFALL, THE 4919 03:19:29,105 --> 03:19:30,606 DRAIN LINES WERE UNDERSIZED AND 4920 03:19:30,606 --> 03:19:33,843 WE WERE CREATING FLOODING IN THE 4921 03:19:33,843 --> 03:19:35,578 ADJACENT AREAS SO WE TOTALLY 4922 03:19:35,578 --> 03:19:39,615 RIPPED OUT THE CONCRETE AND 4923 03:19:39,615 --> 03:19:41,317 WE'RE INSTALLING SIGNIFICANTLY 4924 03:19:41,317 --> 03:19:42,518 LARGER CAPACITY DRAIN LINES. 4925 03:19:42,518 --> 03:19:45,454 THIS SHOWS THE WORK ON THE EAST 4926 03:19:45,454 --> 03:19:47,056 COURTYARD AND THAT'S BASICALLY 4927 03:19:47,056 --> 03:19:48,924 WRAPPED UP CAN THEN WE WILL MOVE 4928 03:19:48,924 --> 03:19:52,561 TO THE WEST COURTYARD TO INSURE 4929 03:19:52,561 --> 03:19:53,596 THAT UNDERSIGNIFICANT RAINFALL 4930 03:19:53,596 --> 03:19:56,866 WE DON'T HAVE UNINTENDED ENTRY 4931 03:19:56,866 --> 03:19:57,733 OF WATER. 4932 03:19:57,733 --> 03:19:59,669 ANOTHER PROJECT THAT INVOLVED A 4933 03:19:59,669 --> 03:20:02,171 LOT OF COORDINATION WAS THE 4934 03:20:02,171 --> 03:20:05,908 RENOVATION OF THE PREAND POST 4935 03:20:05,908 --> 03:20:07,209 ANESTHESIA AREAS, YOU CAN SEE 4936 03:20:07,209 --> 03:20:11,013 THAT WE DIVIDED THAT INTO 4 4937 03:20:11,013 --> 03:20:13,616 PHASES TO MAKE SURE WE COULD 4938 03:20:13,616 --> 03:20:15,685 CARRY ON ONGOING OPERATIONS 4939 03:20:15,685 --> 03:20:18,387 WHILE WE WERE ADDING 6 NEW BEDS 4940 03:20:18,387 --> 03:20:19,822 AND ESSENTIALLY DOUBLED THE 4941 03:20:19,822 --> 03:20:24,193 CAPACITY FROM 6 TO 12 BEDS FOR 4942 03:20:24,193 --> 03:20:29,932 THE DEPARTMENT OF PERIOPERATIVE 4943 03:20:29,932 --> 03:20:30,299 MEDICINE. 4944 03:20:30,299 --> 03:20:34,704 ANOTHER IMPORTANT PROJECT IS TE 4945 03:20:34,704 --> 03:20:35,671 UPGRADE OF NURSE STATIONS AND 4946 03:20:35,671 --> 03:20:37,173 YOU CAN SEE THE AFTER 4947 03:20:37,173 --> 03:20:39,875 PHOTOGRAPHS HERE THAT ILLUSTRATE 4948 03:20:39,875 --> 03:20:42,378 SOME OF THE IMPORTANT FEATURES 4949 03:20:42,378 --> 03:20:45,114 THAT INSURE THAT OUR VALUED 4950 03:20:45,114 --> 03:20:48,517 NURSING COLLEAGUES ARE PROVIDED 4951 03:20:48,517 --> 03:20:50,386 WITH SPACE THAT'S ERGONOMICALLY 4952 03:20:50,386 --> 03:20:51,654 COMFORTABLE, COMPLIANT WITH THE 4953 03:20:51,654 --> 03:20:53,055 LIFE SAFETY REQUIREMENTS BY 4954 03:20:53,055 --> 03:20:54,990 INSURING THAT THE ELECTRICAL 4955 03:20:54,990 --> 03:20:56,592 WIRE SUGGEST PROPERLY INSTALLED, 4956 03:20:56,592 --> 03:20:59,028 OF THE RIGHT TYPE OF FIXTURES 4957 03:20:59,028 --> 03:21:01,764 AND THE WIRING THAT YOU CAN'T 4958 03:21:01,764 --> 03:21:04,700 SEE IS UNDERNEATH AND IS IN A 4959 03:21:04,700 --> 03:21:07,436 WAY THAT ISN'T A TRIP HAZARD. 4960 03:21:07,436 --> 03:21:09,105 WHEN WE A SURVEY A FEW YEARS 4961 03:21:09,105 --> 03:21:10,840 AGO, WE FOUND THEY HAD BEEN 4962 03:21:10,840 --> 03:21:12,975 USING FOR GOOD REASON, BECAUSE 4963 03:21:12,975 --> 03:21:17,847 THE SYSTEM WASN'T SET UP 4964 03:21:17,847 --> 03:21:20,216 OPTIMALLY, THERE WERE SURGE 4965 03:21:20,216 --> 03:21:24,386 ROUGH ATOM TECTORS AND EXTENSION 4966 03:21:24,386 --> 03:21:27,456 CORDS, WE'VE TAKEN CARE OF THAT, 4967 03:21:27,456 --> 03:21:29,558 ALL THE SURFACES ARE FULL DEPTH 4968 03:21:29,558 --> 03:21:31,660 AND FULLY CLEANABLE, NEW LED 4969 03:21:31,660 --> 03:21:33,028 LIGHTS JUST TO IMPROVE THE 4970 03:21:33,028 --> 03:21:35,297 ENVIRONMENT AND VISIBILITY TO 4971 03:21:35,297 --> 03:21:38,567 PROVIDE THESE IMPORTANT 4972 03:21:38,567 --> 03:21:39,268 STAKEHOLDERS A REALLY HIGH 4973 03:21:39,268 --> 03:21:44,507 QUALITY PLACE IN WHICH TO DO 4974 03:21:44,507 --> 03:21:45,708 THEIR WORK. 4975 03:21:45,708 --> 03:21:49,512 THE PHARMACY AND THE 4976 03:21:49,512 --> 03:21:53,449 SPECIFICALLY THE INTRA VENUS ADD 4977 03:21:53,449 --> 03:21:54,683 MIXTURE UNIT, CAN YOU SEE FROM 4978 03:21:54,683 --> 03:21:57,153 THE TIMELINE HERE IT'S BEEN A 4979 03:21:57,153 --> 03:21:58,287 MULTIYEAR PROJECT. 4980 03:21:58,287 --> 03:22:00,022 WHEN WE ORIGINALLY DEVELOPED 4981 03:22:00,022 --> 03:22:02,892 REQUIREMENTS FOR THIS, THE 4982 03:22:02,892 --> 03:22:03,926 HAZARDOUS DRUG ROOMS WERE 4983 03:22:03,926 --> 03:22:05,094 DESIGNED TO COMPLY WITH THE 4984 03:22:05,094 --> 03:22:07,496 CRITERIA IN PLACE AT THAT TIME 4985 03:22:07,496 --> 03:22:10,132 AND THERE HAS BEEN A CHANGE 4986 03:22:10,132 --> 03:22:14,069 WHEREBY THESE ROOMS HAVE TO 4987 03:22:14,069 --> 03:22:17,139 COMPLY WITH THE U.S. 4988 03:22:17,139 --> 03:22:18,574 PHARMACOLOGICAL CONVENTION 4989 03:22:18,574 --> 03:22:20,109 CHAPTER 800 CRITERIA WHICH 4990 03:22:20,109 --> 03:22:22,011 STIPULATES A DIFFERENT RANGE OF 4991 03:22:22,011 --> 03:22:23,712 DIFFERENTIAL PRESSURES, AND SO 4992 03:22:23,712 --> 03:22:28,350 WE RECENTLY CONFIRM THAD WE CAN 4993 03:22:28,350 --> 03:22:32,121 INDEED COMPLY WITH THAT SET OF 4994 03:22:32,121 --> 03:22:33,856 NEW CRITERIA, AND SO THAT'S GOOD 4995 03:22:33,856 --> 03:22:36,292 NEWS IN SOME RESPECTS BUT WE NOW 4996 03:22:36,292 --> 03:22:39,261 HAVE TO REDO THE DOCUMENTATION, 4997 03:22:39,261 --> 03:22:41,997 THE ALARM SETTINGS, FOR BOTH THE 4998 03:22:41,997 --> 03:22:43,966 FACILITY AND FOR OUR BILLING 4999 03:22:43,966 --> 03:22:44,567 AUTOMATION SYSTEM, SO WE'RE 5000 03:22:44,567 --> 03:22:46,802 GOING TO HAVE TO REVISE A LOT OF 5001 03:22:46,802 --> 03:22:47,970 THE DOCUMENTATION AND 5002 03:22:47,970 --> 03:22:49,338 COLLABORATION WITH THE PHARMACY, 5003 03:22:49,338 --> 03:22:51,974 AND THE OFFICE OF RESEARCH 5004 03:22:51,974 --> 03:22:52,908 SUPPORT AND COMPLIANCE, BUT THE 5005 03:22:52,908 --> 03:22:55,244 GOOD NEWS IS THAT WE HAVE PROVEN 5006 03:22:55,244 --> 03:23:04,520 THAT WE CAN COMPLY WITH THE 5007 03:23:04,520 --> 03:23:05,921 REQUISITE CRITERIA THE 5008 03:23:05,921 --> 03:23:07,723 AUGUST 2025 DATE IS LIKELY TO 5009 03:23:07,723 --> 03:23:08,791 SLIP BECAUSE OF THIS NEW 5010 03:23:08,791 --> 03:23:10,860 DEVELOPMENT AND THE NEW 5011 03:23:10,860 --> 03:23:11,794 DOCUMENTATION REQUIREMENTS AND I 5012 03:23:11,794 --> 03:23:14,964 LOOK FORWARD TO BRIEFING YOU 5013 03:23:14,964 --> 03:23:18,300 NEXT TIME REGARDING THAT 5014 03:23:18,300 --> 03:23:19,201 SPECIFIC DATE. 5015 03:23:19,201 --> 03:23:20,603 ANOTHER EXCITING PROJECT IS THE 5016 03:23:20,603 --> 03:23:22,605 RADIO PHARMACY AND CELL LABELING 5017 03:23:22,605 --> 03:23:25,908 FACILITY, IN ORDER TO PROPERLY 5018 03:23:25,908 --> 03:23:28,644 INSURE THAT THIS FACILITY HAS 5019 03:23:28,644 --> 03:23:29,945 THE SOURCE EQUIPMENT AND BY THAT 5020 03:23:29,945 --> 03:23:31,914 I'M REFERRING TO THE AIR 5021 03:23:31,914 --> 03:23:33,415 HANDLING UNITS FOR THE SUPPLY 5022 03:23:33,415 --> 03:23:35,851 ARIOLA AND THE EXHAUST FANS FOR 5023 03:23:35,851 --> 03:23:37,052 THE EXHAUST AIR, IN ORDER TO 5024 03:23:37,052 --> 03:23:40,222 INSURE THAT ALL OF THAT 5025 03:23:40,222 --> 03:23:44,159 EQUIPMENT IS DEDICATED TO THE 5026 03:23:44,159 --> 03:23:47,630 SPECIFIC FACILITY, WE REQUIRE -- 5027 03:23:47,630 --> 03:23:49,064 WE REQUIRE THE CONSTRUCTION OF A 5028 03:23:49,064 --> 03:23:51,166 NEW ADDITION TO THE ROOF AND 5029 03:23:51,166 --> 03:23:54,003 ESSENTIALLY WE'RE BUILDING A 5030 03:23:54,003 --> 03:23:55,871 MECHANICAL ROOM ON TOP OF THE 5031 03:23:55,871 --> 03:23:57,806 EXISTING FACILITY AND WE HAVE 5032 03:23:57,806 --> 03:23:59,875 HAD SOME CHALLENGES WITH RESPECT 5033 03:23:59,875 --> 03:24:04,780 TO RAIN WATER TRYING TO CREATE 5034 03:24:04,780 --> 03:24:06,515 THIS NEW FACIL IN DOING SO WE 5035 03:24:06,515 --> 03:24:08,717 HAD TO MAKE PENETRATIONS. 5036 03:24:08,717 --> 03:24:13,422 FORTUNATELY I THINK WE'RE OUT OF 5037 03:24:13,422 --> 03:24:15,524 THE WOODS NOW AND AND BY THE END 5038 03:24:15,524 --> 03:24:18,827 OF THIS MONTH, WE HOPE TO BE 5039 03:24:18,827 --> 03:24:20,663 STABILIZED AND WE'RE ENCLOSING 5040 03:24:20,663 --> 03:24:28,704 THIS NEW SKELETON YOU SEE AND 5041 03:24:28,704 --> 03:24:30,306 SHOULD BE AND INSURE THAT THE 5042 03:24:30,306 --> 03:24:32,975 RAIN WATER IS NO LONGER A 5043 03:24:32,975 --> 03:24:33,242 CHALLENGE. 5044 03:24:33,242 --> 03:24:35,044 THE NEXT FACILITY IS WHAT WE 5045 03:24:35,044 --> 03:24:37,212 CALL 12 E, WE USE THAT JUST 5046 03:24:37,212 --> 03:24:41,383 BECAUSE IT'S ON THE 12th FLOOR 5047 03:24:41,383 --> 03:24:43,786 OF THE E-WING AND THIS IS A 5048 03:24:43,786 --> 03:24:46,622 FACILITY WHERE THE TRUSTEES FOR 5049 03:24:46,622 --> 03:24:48,257 CELLULAR ENGINEERING WILL HAVE A 5050 03:24:48,257 --> 03:24:51,126 BRAND NEW FACILITY, WE'VE HAD 5051 03:24:51,126 --> 03:24:53,195 BRAND NEW CHALLENGES WITH 5052 03:24:53,195 --> 03:24:54,730 RESPECT TO MECHANICAL COMPONENTS 5053 03:24:54,730 --> 03:24:56,532 AND WE'RE ON THE VERGE OF 5054 03:24:56,532 --> 03:24:59,268 SOLVING THOSE AND ONCE HAVING 5055 03:24:59,268 --> 03:25:00,636 ADDRESSED THOSE, WE WILL MOVE ON 5056 03:25:00,636 --> 03:25:03,939 TO THE MISSION AND QUALIFICATION 5057 03:25:03,939 --> 03:25:07,443 VALIDATION PHASE, I KNOW THAT 5058 03:25:07,443 --> 03:25:08,410 ENGINEERING IS REALLY LOOKING 5059 03:25:08,410 --> 03:25:10,212 FORWARD TO GETTING INTO THE 5060 03:25:10,212 --> 03:25:12,514 SPACE THAT WILL DRAMATICALLY 5061 03:25:12,514 --> 03:25:14,149 IMPROVE BOTH THE QUANTITY AND 5062 03:25:14,149 --> 03:25:17,586 QUALITY OF SPACE DIVIDED TO THIS 5063 03:25:17,586 --> 03:25:18,821 IMPORTANT MISSION. 5064 03:25:18,821 --> 03:25:20,356 THE SURGERY RADIOLOGY AND 5065 03:25:20,356 --> 03:25:27,029 LABORATORY MEDICINE PROJECT IS 5066 03:25:27,029 --> 03:25:28,664 NO STRANGER TO THIS WITH THIS 5067 03:25:28,664 --> 03:25:30,966 LEVEL TO HIGHLIGHT THE 5068 03:25:30,966 --> 03:25:32,768 CRITICALITY OF THIS FACILITY AND 5069 03:25:32,768 --> 03:25:35,371 GAIN CONGRESSIONAL SUPPORT AND 5070 03:25:35,371 --> 03:25:36,138 FUNDING THE $630 MILLION THAT 5071 03:25:36,138 --> 03:25:41,577 WERE NECESSARY TO MOVE THIS INTO 5072 03:25:41,577 --> 03:25:43,946 A CONTRACT STAGE. 5073 03:25:43,946 --> 03:25:44,880 THE FACILITY INVOLVES BOTH IN 5074 03:25:44,880 --> 03:25:46,715 ADDITION TO THE EXISTING 5075 03:25:46,715 --> 03:25:48,917 FACILITY AS WELL AS RENOVATING 5076 03:25:48,917 --> 03:25:51,787 SOME OF THE EXISTING SPACE AND I 5077 03:25:51,787 --> 03:25:54,490 WILL JUST BREAK DOWN QUICKLY 5078 03:25:54,490 --> 03:25:57,126 THAT THERE ARE 5 PHASES, 5079 03:25:57,126 --> 03:25:58,327 CURRENTLY WE'RE IN WHAT WE CALL 5080 03:25:58,327 --> 03:25:59,261 PHASE 2 WHICH IS THE 5081 03:25:59,261 --> 03:26:02,431 CONSTRUCTION OF THE NEW 5082 03:26:02,431 --> 03:26:04,366 ADDITION, WHICH WE AIM TO 5083 03:26:04,366 --> 03:26:06,535 COMPLETE BY DECEMBER OF 2026, 5084 03:26:06,535 --> 03:26:09,304 AND THEN, UPON COMPLETION OF THE 5085 03:26:09,304 --> 03:26:10,172 ADDITION, NATIONAL CANCER 5086 03:26:10,172 --> 03:26:14,977 INSTITUTE WILL MOVE OUT OF INTO 5087 03:26:14,977 --> 03:26:16,378 THE UPPER FLORS OF THE ADDITION, 5088 03:26:16,378 --> 03:26:20,282 SO THAT WE CAN HAVE RADIOLOGY 5089 03:26:20,282 --> 03:26:25,220 AND IMAGING SCIENCES ON 5090 03:26:25,220 --> 03:26:28,624 CONTIGUOUS FLOOR SPACE ON THE 5091 03:26:28,624 --> 03:26:30,926 FIRST FLOR AND THAT THE 5092 03:26:30,926 --> 03:26:31,493 DEPARTMENT OF PERIOPERATIVE 5093 03:26:31,493 --> 03:26:32,761 MEDICINE CAN CONTINUE TO HAVE 5094 03:26:32,761 --> 03:26:33,829 SPACE ON THE THIRD FLOOR. 5095 03:26:33,829 --> 03:26:42,137 SO THIS IS A VERG THIS IS A 5096 03:26:42,137 --> 03:26:43,539 PHOTOGRAPH TAKEN BY A DRONE, I 5097 03:26:43,539 --> 03:26:45,040 WAS OFFERED TO DRIVE THE DRONE, 5098 03:26:45,040 --> 03:26:47,242 AND I WAS TOLD THAT ANYONE OVER 5099 03:26:47,242 --> 03:26:49,411 65 YEARS OF AGE WAS INELIGIBLE 5100 03:26:49,411 --> 03:26:51,814 TO DO THAT SO SOMEONE ELSE DROVE 5101 03:26:51,814 --> 03:26:53,148 IT AND TOOK PICTURES BUT YOU CAN 5102 03:26:53,148 --> 03:26:55,918 SEE A NUMBER OF FEATURES IN THE 5103 03:26:55,918 --> 03:26:57,786 FOREGROUND, YOU SEE THE ADDITION 5104 03:26:57,786 --> 03:27:05,060 WITH THE FACADE PANELS BEING 5105 03:27:05,060 --> 03:27:05,994 PLACED ON THE FACILITY. 5106 03:27:05,994 --> 03:27:08,097 YOU CAN SEE THE ROOFING HAS BEEN 5107 03:27:08,097 --> 03:27:09,164 STARTING FOR THE ADDITION, YOU 5108 03:27:09,164 --> 03:27:12,701 CAN ALSO SEE IN THE MIDDLE OF 5109 03:27:12,701 --> 03:27:14,336 THE PICTURE THE EXISTING 5110 03:27:14,336 --> 03:27:15,404 EMERGENCY GENERATORS THAT SERVE 5111 03:27:15,404 --> 03:27:17,473 THE CRC AND IN THE BACKGROUND 5112 03:27:17,473 --> 03:27:20,476 YOU SEE THIS BRAND NEW UTILITY 5113 03:27:20,476 --> 03:27:22,111 VAULT PROJECT THAT WILL HOWES 5114 03:27:22,111 --> 03:27:24,379 NEW GENERATORS THAT WILL SERVE 5115 03:27:24,379 --> 03:27:28,884 BOTH THE CRC AND THE S RLM, WE 5116 03:27:28,884 --> 03:27:30,953 ARE HEAVILY INVESTING IN THE 5117 03:27:30,953 --> 03:27:31,487 ELECTRICAL INFRASTRUCTURE 5118 03:27:31,487 --> 03:27:34,089 BECAUSE AS YOU ALL KNOW 5119 03:27:34,089 --> 03:27:36,125 ELECTRICAL INFRASTRUCTURE AND 5120 03:27:36,125 --> 03:27:37,659 ABSOLUTELY FOUNDATIONAL TO THE 5121 03:27:37,659 --> 03:27:43,765 SAFE CONDUCT OF BIOMEDICAL 5122 03:27:43,765 --> 03:27:44,032 RESEARCH. 5123 03:27:44,032 --> 03:27:45,267 THIS IS JUDGE UOF THE A 5124 03:27:45,267 --> 03:27:46,101 REFRESHER ABOUT HOW WE'RE GOING 5125 03:27:46,101 --> 03:27:49,438 ABOUT IT, THIS IS THE NORTH AND 5126 03:27:49,438 --> 03:27:50,706 SOUTH EXISTING FACILITY WHERE 5127 03:27:50,706 --> 03:27:54,109 YOU SEE NCI HAVING SPACE ON 5128 03:27:54,109 --> 03:27:56,278 FLOORS 1 THROUGH 4 AND THEN YOU 5129 03:27:56,278 --> 03:27:57,679 SEE WHEN WE CONSTRUCT THE 5130 03:27:57,679 --> 03:27:59,081 ADDITION TO THE RIGHT, CAN YOU 5131 03:27:59,081 --> 03:28:01,216 SEE THAT NCI IN GREEN MOVES TO 5132 03:28:01,216 --> 03:28:02,618 THE UPPER FLOORS AND THIS 5133 03:28:02,618 --> 03:28:05,754 ENABLES US TO PROVIDE THIS 5134 03:28:05,754 --> 03:28:07,589 CONTINUOUS SPACE FOR RADIOLOGY 5135 03:28:07,589 --> 03:28:11,693 AND IMAGING SCIENCES ON FLOOR 1, 5136 03:28:11,693 --> 03:28:13,729 AND THE CONTIGUOUS SPACE ON 5137 03:28:13,729 --> 03:28:17,332 FLOOR 3 FOR PERIOPERATIVE 5138 03:28:17,332 --> 03:28:17,733 MEDICINE. 5139 03:28:17,733 --> 03:28:19,201 HERE'S ANOTHER VIEW OF THE 5140 03:28:19,201 --> 03:28:20,802 CONSTRUCTION PROGRESS WHERE YOU 5141 03:28:20,802 --> 03:28:23,105 SEE LOOKING FROM THE SAME 5142 03:28:23,105 --> 03:28:24,273 VANTAGE POINT FROM NORTH TO 5143 03:28:24,273 --> 03:28:26,275 SOUTH WHERE YOU SEE THE ADDITION 5144 03:28:26,275 --> 03:28:29,211 ON THE RIGHT AND WE'VE TRIED TO 5145 03:28:29,211 --> 03:28:32,181 ILLUSTRATE THAT NHLBI WILL HAVE 5146 03:28:32,181 --> 03:28:35,484 ITS CATHETERIZATION LAB ON THE 5147 03:28:35,484 --> 03:28:37,319 BASEMENT LEVEL, B2 RADIOLOGY ON 5148 03:28:37,319 --> 03:28:40,289 LEVEL 1, SURGERY ON LEVEL 3, 5149 03:28:40,289 --> 03:28:40,923 LABORATORY MEDICINE WILL MOVE 5150 03:28:40,923 --> 03:28:46,628 OUT OF LEGACY SPACE INTO FLOOR 5 5151 03:28:46,628 --> 03:28:52,601 AND NCI ABOVE AND SO YOU CAN SEE 5152 03:28:52,601 --> 03:28:55,704 THAT THIS PROJECT IS LARGE, 5153 03:28:55,704 --> 03:28:57,105 COMPLEX AND INVOLVES A LOT OF 5154 03:28:57,105 --> 03:29:01,944 TEAM WORK AND COLLABORATION. 5155 03:29:01,944 --> 03:29:02,711 THIS IS ANOTHER PROGRESS PHOTO 5156 03:29:02,711 --> 03:29:08,183 WHERE YOU CAN SEE THE PRECAST 5157 03:29:08,183 --> 03:29:10,385 PANELS. 5158 03:29:10,385 --> 03:29:12,554 THE ADVANTAGE OF THE PRECAST 5159 03:29:12,554 --> 03:29:15,090 PANELS IS THAT YOU CAN CONDUCT 5160 03:29:15,090 --> 03:29:16,592 THESE ACTIVITIES OFF SITE WHERE 5161 03:29:16,592 --> 03:29:18,894 WE INSTALL THE MATERIALS 5162 03:29:18,894 --> 03:29:20,395 INCLUDING THE GLAZING IN A 5163 03:29:20,395 --> 03:29:21,196 HIGHLY CONTROLLED ENVIRONMENT 5164 03:29:21,196 --> 03:29:25,968 AND THEN BRING THESE PANELS TO 5165 03:29:25,968 --> 03:29:28,103 THE SITE ALREADY MANUFACTURED, 5166 03:29:28,103 --> 03:29:32,207 LIFT THEM INTO PLACE AND 5167 03:29:32,207 --> 03:29:34,610 PROPERLY INSTALL THEM THIS ALSO 5168 03:29:34,610 --> 03:29:38,480 REDUCES THE AMOUNT OF MAN POWER 5169 03:29:38,480 --> 03:29:39,748 ON SITE AT ANY GIVEN TIME. 5170 03:29:39,748 --> 03:29:42,317 AND WE AIM TO COMPLOAT THE 5171 03:29:42,317 --> 03:29:45,387 FACADE BY NEXT FALL, SO BY NEXT 5172 03:29:45,387 --> 03:29:47,122 WINTER, THE BUILDING WILL BE 5173 03:29:47,122 --> 03:29:48,390 ENTIRELY CLOSED AND WATERPROOF. 5174 03:29:48,390 --> 03:29:49,858 >> THIS IS A FEATURE I BRIEFED 5175 03:29:49,858 --> 03:29:54,730 THIS BODY ON, IT'S A MECHANICAL 5176 03:29:54,730 --> 03:29:55,664 TOWER, I'VE BECOME HYDROPHOBIC 5177 03:29:55,664 --> 03:29:57,165 IN MY POSITION HERE BECAUSE OF 5178 03:29:57,165 --> 03:29:58,700 THE NUMBER OF FLOODS AND LEAKS 5179 03:29:58,700 --> 03:30:00,335 WE SUFFER FROM SO WHAT WE'RE 5180 03:30:00,335 --> 03:30:03,739 DOING IS INSTALLING THE ARTERIES 5181 03:30:03,739 --> 03:30:06,241 OF THE MECHANICAL SYSTEMS 5182 03:30:06,241 --> 03:30:08,043 VERTICALLY IN THESE MECHANICAL 5183 03:30:08,043 --> 03:30:09,745 TOWERS SUCH THAT IN ANYTHING 5184 03:30:09,745 --> 03:30:13,415 SERIOUS HAPPENS, THE WATER WILL 5185 03:30:13,415 --> 03:30:14,483 FLOW DOWN INTO THIS -- THROUGH 5186 03:30:14,483 --> 03:30:16,118 THIS AREA BUT WILL NOT BE 5187 03:30:16,118 --> 03:30:18,253 LOCATED ON TOP OF SENSITIVE 5188 03:30:18,253 --> 03:30:24,259 AREAS LIKE SURGERY AND 5189 03:30:24,259 --> 03:30:24,526 RADIOLOGY. 5190 03:30:24,526 --> 03:30:26,895 AND IS HAD SHOWS THE SAME 5191 03:30:26,895 --> 03:30:29,331 VANTAGE POINT USING THE COMPUTER 5192 03:30:29,331 --> 03:30:30,532 AIDED DESIGN THAT GIVES YOU AN 5193 03:30:30,532 --> 03:30:32,734 IDEA OF WHAT IT WILL LOOK LIKE 5194 03:30:32,734 --> 03:30:33,769 UPON COMPLETION. 5195 03:30:33,769 --> 03:30:37,205 THIS PROVIDES A SNAPSHOT OF THE 5196 03:30:37,205 --> 03:30:40,375 CURTAIN WALL, THAT IS GOING TO 5197 03:30:40,375 --> 03:30:43,011 BE THE EXTERIOR SURFACE FOR SOME 5198 03:30:43,011 --> 03:30:45,414 OF THE OFFICES IN THE NORTHWEST 5199 03:30:45,414 --> 03:30:47,482 PORTION OF THE FACILITY AND THIS 5200 03:30:47,482 --> 03:30:50,352 JUST SHOWS YOU THE SAME VIEW OF 5201 03:30:50,352 --> 03:30:51,820 THE COMPLOATED CURTAIN WALL 5202 03:30:51,820 --> 03:30:54,923 WHICH PROVIDES AN ATTRACTIVE BUT 5203 03:30:54,923 --> 03:30:56,525 AFFORDABLE FINISH FOR A PORTION 5204 03:30:56,525 --> 03:31:00,962 OF THE BUILDING AND TO SORT OF 5205 03:31:00,962 --> 03:31:03,498 OFFSET WHAT COULD BE A HEAVY 5206 03:31:03,498 --> 03:31:05,567 BRICK APPEARANCE, JUST ADDS A 5207 03:31:05,567 --> 03:31:10,272 LOT OF NATURAL DAY LIGHT FOR 5208 03:31:10,272 --> 03:31:10,605 THOSE OFFICES. 5209 03:31:10,605 --> 03:31:13,041 THIS IS A PROJECT THAT IS 5210 03:31:13,041 --> 03:31:13,675 PROBABLY UNDERAPPRECIATED, WILL 5211 03:31:13,675 --> 03:31:19,181 NOT GET A LOT OF VISITS BUT IT'S 5212 03:31:19,181 --> 03:31:22,651 FOUNDATIONAL TO THE SAFE CONDUCT 5213 03:31:22,651 --> 03:31:25,320 OF SCIENCE AND HEALTHCARE 5214 03:31:25,320 --> 03:31:27,789 ENVIRONMENT AND ESSENTIALLY, 5215 03:31:27,789 --> 03:31:30,726 THIS PROJECT WILL HOWES BRAND 5216 03:31:30,726 --> 03:31:32,594 NEW GENERATORS, FUEL VAULT FOR 5217 03:31:32,594 --> 03:31:34,730 THOSE GENERATORS, THE NORMAL 5218 03:31:34,730 --> 03:31:37,766 SWITCH GEAR IN THE EMERGENCY 5219 03:31:37,766 --> 03:31:38,700 SWITCH GEAR. 5220 03:31:38,700 --> 03:31:41,670 WE'RE TAKING OUR ELECTRICAL 5221 03:31:41,670 --> 03:31:45,273 INFRASTRUCTURE AND SORT OF TO 5222 03:31:45,273 --> 03:31:47,075 USE AN ANALOGY OF AN ELECTRON 5223 03:31:47,075 --> 03:31:49,378 BEING BEAMED UP TO A HIGHER 5224 03:31:49,378 --> 03:31:52,247 ORBIT 5225 03:31:52,247 --> 03:31:55,450 ORBIT THIS WILL TAKE US UP TO A 5226 03:31:55,450 --> 03:31:56,718 MUCH HIGHER LEVEL OF ABILITY. 5227 03:31:56,718 --> 03:31:59,187 SO IN SUMMARY WE'RE INVESTING IN 5228 03:31:59,187 --> 03:32:00,222 FACILITIES PROJECTS THAT ADDRESS 5229 03:32:00,222 --> 03:32:03,158 THE BASIC ENVIRONMENT OF CARE 5230 03:32:03,158 --> 03:32:06,228 NEEDS, OUTPATIENT EXAM ROOMS, 5231 03:32:06,228 --> 03:32:07,863 NURSE STATIONS, BUILDING 5232 03:32:07,863 --> 03:32:08,764 DRAINAGE, ELECTRIC AT 5233 03:32:08,764 --> 03:32:09,965 INFRASTRUCTURE AND WE'RE ALSO 5234 03:32:09,965 --> 03:32:11,400 INVESTING HEAVILY IN AREAS THAT 5235 03:32:11,400 --> 03:32:14,569 ENABLE US TO BE A 5236 03:32:14,569 --> 03:32:15,470 STATE-OF-THE-ART RESEARCH 5237 03:32:15,470 --> 03:32:18,140 HOSPITAL TO DEVELOP NOVEL 5238 03:32:18,140 --> 03:32:19,174 DIAGNOSTICS THERAPEUTICS AND 5239 03:32:19,174 --> 03:32:21,910 CURES AS EVIDENCED BY OUR 5240 03:32:21,910 --> 03:32:23,712 INVESTMENT IN RADIO PHARMACY 5241 03:32:23,712 --> 03:32:26,481 SELLING GENE THERAPY AND SURGERY 5242 03:32:26,481 --> 03:32:30,419 RADIOLOGY AND LABORATORY, 5243 03:32:30,419 --> 03:32:31,019 MEDICINE FUNCTIONS. 5244 03:32:31,019 --> 03:32:32,954 SO WE'RE MAKING STRONG VISIBLE 5245 03:32:32,954 --> 03:32:35,056 PROGRESS SINCE WE LAST MET AND 5246 03:32:35,056 --> 03:32:38,794 AGAIN, WE WANT TO THANK YOU FOR 5247 03:32:38,794 --> 03:32:41,163 YOUR ROBUST SUPPORT IN ENABLING 5248 03:32:41,163 --> 03:32:44,032 US TO CONTINUE ON THIS IMPORTANT 5249 03:32:44,032 --> 03:32:45,500 JOURNEY, ESPECIALLY AS EVIDENCED 5250 03:32:45,500 --> 03:32:49,371 BY YOUR SUPPORT OF THE SRLM 5251 03:32:49,371 --> 03:32:49,604 PROJECT. 5252 03:32:49,604 --> 03:32:52,307 SUBJECT IT YOUR QUESTIONS, THIS 5253 03:32:52,307 --> 03:32:52,874 CONCLUDES THE PRESENTATION. 5254 03:32:52,874 --> 03:32:55,777 >> THANK YOU VERY MUCH, DAN. 5255 03:32:55,777 --> 03:33:01,450 ANY QUESTIONS OR COMMENTS FOR 5256 03:33:01,450 --> 03:33:01,883 DAN? 5257 03:33:01,883 --> 03:33:02,217 ANTWONET? 5258 03:33:02,217 --> 03:33:07,789 >> A COMMENT REGARDING THE EXAM 5259 03:33:07,789 --> 03:33:09,458 ROOM, IN MARCH WHEN I WAS HERE, 5260 03:33:09,458 --> 03:33:19,901 I WAS REALLY IMPRESSED HOW 5261 03:33:20,268 --> 03:33:21,102 BEAUTIFUL, REALLY, REALLY 5262 03:33:21,102 --> 03:33:21,369 BEAUTIFUL. 5263 03:33:21,369 --> 03:33:24,206 I THINK IT MAY HAVE BEEN PAGE 5, 5264 03:33:24,206 --> 03:33:27,409 I'M ACTUALLY NOT ABLE TO GO BACK 5265 03:33:27,409 --> 03:33:33,348 BUT THE NURSES STATION, ARE THEY 5266 03:33:33,348 --> 03:33:36,318 -- ON THE UNIT OR -- 5267 03:33:36,318 --> 03:33:36,651 >> YES, YES. 5268 03:33:36,651 --> 03:33:38,587 SO THESE ARE IN THE INPATIENT 5269 03:33:38,587 --> 03:33:41,189 AREAS AND IF WE CAN GO TO THAT 5270 03:33:41,189 --> 03:33:48,497 SLIDE, THERE ARE NOTES THAT 5271 03:33:48,497 --> 03:33:54,135 PROVIDE THE SPECIFIC UNITS THAT 5272 03:33:54,135 --> 03:33:54,436 THEY'RE ON. 5273 03:33:54,436 --> 03:33:59,307 >> THE REASON I BRING THAT 1 UP 5274 03:33:59,307 --> 03:34:04,446 IS I NOTICED THAT THERE'S THE 5275 03:34:04,446 --> 03:34:06,081 COUNTER -- THERE'S A LONG WALK 5276 03:34:06,081 --> 03:34:09,150 UP TO THE NURSES STATION, THERE 5277 03:34:09,150 --> 03:34:09,417 WE ARE. 5278 03:34:09,417 --> 03:34:09,885 >> THERE. 5279 03:34:09,885 --> 03:34:13,655 >> AND LIKE FOR ME, I'M IN RAY 5280 03:34:13,655 --> 03:34:15,590 WHEELCHAIR, SO WHEN I ACCESS IT 5281 03:34:15,590 --> 03:34:16,558 ON THE SIDE OR BECAUSE IT'S 5282 03:34:16,558 --> 03:34:18,627 GOING UP TO THE FRONT, IT'S A 5283 03:34:18,627 --> 03:34:20,662 LITTLE BIT TOO HIGH FOR ANYONE 5284 03:34:20,662 --> 03:34:23,331 TO SEE THAT THEY'RE THERE. 5285 03:34:23,331 --> 03:34:27,636 >> YEAH, THAT'S A GREAT POINT. 5286 03:34:27,636 --> 03:34:30,105 YEAH, GO AHEAD, DR. JORDAN. 5287 03:34:30,105 --> 03:34:31,940 >> I GET THE EASY QUESTIONS AND 5288 03:34:31,940 --> 03:34:36,044 DR. JORDAN GETS ALL THE HARD 5289 03:34:36,044 --> 03:34:36,444 QUESTIONS. 5290 03:34:36,444 --> 03:34:38,780 >> THANK YOU, WELL WE'VE HAD 5291 03:34:38,780 --> 03:34:40,248 NURSE LEADERS WHO ARE INVOLVED 5292 03:34:40,248 --> 03:34:41,449 IN THE DESIGN, THE PICTURE ON 5293 03:34:41,449 --> 03:34:44,553 THE LEFT, THAT'S THE INTENSIVE 5294 03:34:44,553 --> 03:34:48,590 CARE UNIT, SO, IN OUR NURSE 5295 03:34:48,590 --> 03:34:50,025 STATIONS IN OTHER PATIENT CARE 5296 03:34:50,025 --> 03:34:51,693 AREAS, RIGHT NOW ON THE THIRD 5297 03:34:51,693 --> 03:34:54,529 FLOOR IS FINISHED, WE DO HAVE 5298 03:34:54,529 --> 03:34:59,534 AREAS THAT ARE ADA, AND SO THAT 5299 03:34:59,534 --> 03:35:00,569 WOULD BE ACCESSIBLE, ESPECIALLY 5300 03:35:00,569 --> 03:35:04,539 WHERE OUR MEDICAL SUPPORT 5301 03:35:04,539 --> 03:35:07,475 ASSISTANTS SIT, THOSE ARE ADA 5302 03:35:07,475 --> 03:35:09,678 COMPLIANT. 5303 03:35:09,678 --> 03:35:13,481 >> GOOD. 5304 03:35:13,481 --> 03:35:14,082 >> ALL RIGHT. 5305 03:35:14,082 --> 03:35:22,390 >> THE BUILDING THAT HOUSES THE 5306 03:35:22,390 --> 03:35:24,225 ELECTRICAL, WILL THAT HAVE POWER 5307 03:35:24,225 --> 03:35:25,860 OR -- 5308 03:35:25,860 --> 03:35:28,897 >> GREAT QUESTION. 5309 03:35:28,897 --> 03:35:29,831 REGRETFULLY, THE SOLAR POWER 5310 03:35:29,831 --> 03:35:32,367 THAT WOULD BE NEEDED FOR THIS 5311 03:35:32,367 --> 03:35:33,668 WOULD EXCEED THE AMOUNT OF SPACE 5312 03:35:33,668 --> 03:35:37,072 THAT WE HAVE, SO, WHAT WE ARE 5313 03:35:37,072 --> 03:35:41,343 GOING TO BE RELYING UPON IS 5314 03:35:41,343 --> 03:35:43,578 COMMERCIAL POWER PROVIDED BY OUR 5315 03:35:43,578 --> 03:35:50,352 UTILITY COMPANY HERE, PEPC O, 5316 03:35:50,352 --> 03:35:54,623 THEY'RE THERE ARE EMERGENCY 5317 03:35:54,623 --> 03:35:56,591 GENERATOR, SHOULD WE LOSE, 1 OF 5318 03:35:56,591 --> 03:35:58,093 THE SUSTAINABILITY FEATURES THAT 5319 03:35:58,093 --> 03:36:00,395 WE WERE ABLE TO INCORPORATE INTO 5320 03:36:00,395 --> 03:36:02,564 THE FACILITY IS THAT WE ROUGH 5321 03:36:02,564 --> 03:36:09,504 ATOM VIEDED A GREEN ROOF THAT IS 5322 03:36:09,504 --> 03:36:12,440 ON TOP OF THE FUEL TANKS AND SO 5323 03:36:12,440 --> 03:36:14,843 IF YOU EVER WANT -- I WILL BE 5324 03:36:14,843 --> 03:36:17,412 DPLAD TO 5325 03:36:17,412 --> 03:36:18,947 DPLAD TO TAKE YOU OVER THERE AND 5326 03:36:18,947 --> 03:36:23,051 YOU CAN HAVE YOUR LUNCH ON THIS 5327 03:36:23,051 --> 03:36:24,085 BEAUTIFUL TERRACE, OVERLOOKING 5328 03:36:24,085 --> 03:36:25,787 ANOTHER BEAUTIFUL BUILDING THAT 5329 03:36:25,787 --> 03:36:29,424 WE'RE FINISHING UP THAT'S AN 5330 03:36:29,424 --> 03:36:30,825 EXTENSION OF OUR VACCINE 5331 03:36:30,825 --> 03:36:31,893 RESEARCH CENTER, SO WE WERE ABLE 5332 03:36:31,893 --> 03:36:35,196 TO TAKE AN AREA THAT WOULD HAVE 5333 03:36:35,196 --> 03:36:42,537 ORDERS ANDINARLY BEEN INDUSTRIAL 5334 03:36:42,537 --> 03:36:48,243 IN APPEARANCE. 5335 03:36:48,243 --> 03:36:50,311 AND UNLESS I TOLD YOU, THAT 5336 03:36:50,311 --> 03:36:59,220 YOU'RE SITTING ON TOP OF 5337 03:36:59,220 --> 03:37:01,623 EMERGENCY GENERATORS THAT WOULD 5338 03:37:01,623 --> 03:37:04,826 PROVIDE POWER, SO -- 5339 03:37:04,826 --> 03:37:06,361 >> BENEATH OUR TOES. 5340 03:37:06,361 --> 03:37:07,562 >> YEAH, AND SMOKING IS 5341 03:37:07,562 --> 03:37:09,097 PROHIBITED ON THE ENTIRE CAMPUS 5342 03:37:09,097 --> 03:37:10,165 SO THANKFULLY THAT'S NOT A 5343 03:37:10,165 --> 03:37:11,566 PROBLEM, BUT THANK YOU IF ARE 5344 03:37:11,566 --> 03:37:12,967 YOUR QUESTIONS, AS ALWAYS, YOU 5345 03:37:12,967 --> 03:37:14,736 KEEP ME ON MY TOES. 5346 03:37:14,736 --> 03:37:16,037 >> THANK YOU DAN, THANKS. 5347 03:37:16,037 --> 03:37:23,178 THANK YOU VERY MUCH. 5348 03:37:23,178 --> 03:37:25,714 SMRKS SO WE HAVE A FEW MINUTES, 5349 03:37:25,714 --> 03:37:27,215 A FEW MINUTES BEFORE WE CLOSE UP 5350 03:37:27,215 --> 03:37:31,619 FOR ANY KIND OF COMMENTS OR 5351 03:37:31,619 --> 03:37:41,896 QUESTIONS FROM THE BOARD. 5352 03:37:41,896 --> 03:37:43,298 >> THIS HAS BEEN PRETTY 5353 03:37:43,298 --> 03:37:44,466 REMARKABLE SO KUDOS TO YOU AND 5354 03:37:44,466 --> 03:37:45,500 YOUR TEAM. 5355 03:37:45,500 --> 03:37:48,269 >> YES, IT'S BEEN AN OPTIMISTIC 5356 03:37:48,269 --> 03:37:49,304 MEETING, RATHER THAN EVERY OTHER 5357 03:37:49,304 --> 03:37:51,439 MEETING I GO TO THESE DAYS SEEMS 5358 03:37:51,439 --> 03:37:52,741 TO BE PRETTY PESSIMISTIC SO 5359 03:37:52,741 --> 03:37:55,343 HAPPY TO BE HERE WITH THIS LEVEL 5360 03:37:55,343 --> 03:37:57,112 OF OPERATING GLOBALLYIMISM, GOOD 5361 03:37:57,112 --> 03:37:57,445 POINT. 5362 03:37:57,445 --> 03:37:58,613 >> WELL IF THERE'S NOTHING ELSE, 5363 03:37:58,613 --> 03:38:01,049 THANK YOU ALL VERY MUCH, HAPPY 5364 03:38:01,049 --> 03:38:01,983 HOLIDAY WEEKEND EMPLOY WE WILL 5365 03:38:01,983 --> 03:38:05,787 GET OUT BEFORE THE FRIDAY 5366 03:38:05,787 --> 03:38:06,121 TRAFFIC. 5367 03:38:06,121 --> 03:38:06,454 THANKFULLY. 5368 03:38:06,454 --> 03:38:08,623 AND TO ALL OF THOSE WHO 5369 03:38:08,623 --> 03:38:16,131 SUPPORTED US, THANK YOU FOR YOUR 5370 03:38:16,131 --> 03:38:17,665 GREAT SUPPORT TODAY, AGAIN I'M 5371 03:38:17,665 --> 03:38:19,300 LOOKING FRTD, WE'RE GETTING 5372 03:38:19,300 --> 03:38:20,935 BETTER AND BETTER EVERY DAY, 5373 03:38:20,935 --> 03:38:21,770 RIGHT CLASS? 5374 03:38:21,770 --> 03:38:32,247 THANKS EVERYBODY, TAKE CARE.