1 00:00:05,120 --> 00:00:10,080 THIS IS LAURA FORESE. 2 00:00:10,080 --> 00:00:12,960 I'VE HAD THE PRIVILEGE OF 3 00:00:12,960 --> 00:00:14,360 CHAIRING THIS GROUP FOR A NUMBER 4 00:00:14,360 --> 00:00:16,440 OF YEARS NOW. 5 00:00:16,440 --> 00:00:16,760 ACTUALLY SIX. 6 00:00:16,760 --> 00:00:19,040 AND JUST WANT TO SAY I'M SO 7 00:00:19,040 --> 00:00:24,200 DELIGHTED AS I'M GOING TO BE 8 00:00:24,200 --> 00:00:29,120 HANDING OFF THE VIRTUE GAVEL TO 9 00:00:29,120 --> 00:00:30,480 DR. VAN COOTS, WHAT A PRIVILEGE 10 00:00:30,480 --> 00:00:34,040 IT IS TO BE IN PERSON WITH SOME 11 00:00:34,040 --> 00:00:39,920 OF OUR NEW MEMBERS WHO COULD 12 00:00:39,920 --> 00:00:40,920 MAKE IT. 13 00:00:40,920 --> 00:00:48,040 THE CAMPUS LOOKS GORGEOUS TODAY. 14 00:00:48,040 --> 00:00:52,960 IT'S A PALPABLE SENSE OF THE 15 00:00:52,960 --> 00:00:54,520 GORGEOUS CAMPUS WHERE THINGS ARE 16 00:00:54,520 --> 00:00:54,760 GOING ON. 17 00:00:54,760 --> 00:00:56,480 FOR THOSE BOARD MEMBERS IN THIS 18 00:00:56,480 --> 00:01:01,000 ROOM IN THE PAST, CERTAINLY RICK 19 00:01:01,000 --> 00:01:02,960 AND STEPHANIE, MAYBE OTHERS, THE 20 00:01:02,960 --> 00:01:04,240 ROOM WAS COMPLETELY REDONE. 21 00:01:04,240 --> 00:01:09,200 IT'S JUST A TERRIFIC ROOM, IN 22 00:01:09,200 --> 00:01:11,040 ADDITION TO OBVIOUSLY GREAT AV. 23 00:01:11,040 --> 00:01:17,920 I WANT TO TAKE NOTE OF ALL OF 24 00:01:17,920 --> 00:01:19,560 THE BOARD MEMBERS, SOME LEAVING, 25 00:01:19,560 --> 00:01:21,920 NEW FOLKS JOINING. 26 00:01:21,920 --> 00:01:24,240 WE HAVE SOME PENDING MEMBERS. 27 00:01:24,240 --> 00:01:27,760 WE'RE GOING TO, AS PER NIH 28 00:01:27,760 --> 00:01:28,880 OBLIGATIONS AND REGS HERE, TAKE 29 00:01:28,880 --> 00:01:32,760 NOTE THAT THERE ARE SOME PEOPLE 30 00:01:32,760 --> 00:01:35,000 STILL TO BE CONFIRMED. 31 00:01:35,000 --> 00:01:39,440 SO, IN THE ROOM TODAY WE HAVE 32 00:01:39,440 --> 00:01:41,800 DAVID CHEN AND CRAIG SAMMUT, 33 00:01:41,800 --> 00:01:45,880 ALSO TWO PATIENT REPRESENTATIVE 34 00:01:45,880 --> 00:01:51,120 NOMINEES, MR. DAVID BAMU, 35 00:01:51,120 --> 00:01:52,120 MS. ANTOINETTE ROYSTER. 36 00:01:52,120 --> 00:01:54,560 WE DON'T SEE DR. CUNNINGHAM ON 37 00:01:54,560 --> 00:01:59,640 ON BUT SHE WILL BE JOINING FROM 38 00:01:59,640 --> 00:02:05,920 UNIVERSITY OF PENNSYLVANIA, AND 39 00:02:05,920 --> 00:02:07,560 DR. DEVAKSAR GETTING UP EARLY 40 00:02:07,560 --> 00:02:12,360 FROM UCLA AND JOINING US SO 41 00:02:12,360 --> 00:02:13,640 EARLY. 42 00:02:13,640 --> 00:02:16,480 I MENTIONED STEPHANIE REEL, DR. 43 00:02:16,480 --> 00:02:20,120 COOTS, CURRENT MEMBERS JOINING 44 00:02:20,120 --> 00:02:25,800 US ON ZOOM DR. JULIE AND RICHARD 45 00:02:25,800 --> 00:02:27,360 SHANNON, STEVE GOLDSTEIN, RUTH 46 00:02:27,360 --> 00:02:29,440 BRINKLEY WILLIAMS IS GOING TO 47 00:02:29,440 --> 00:02:31,400 JOINING US, SHE'S SPEAKING AT A 48 00:02:31,400 --> 00:02:32,520 CONFERENCE IN CHICAGO WHERE 49 00:02:32,520 --> 00:02:33,800 SHE'S BEING HONORED, HER LAST 50 00:02:33,800 --> 00:02:35,360 MEETING AS WELL AS MINE. 51 00:02:35,360 --> 00:02:37,000 IN TERMS OF COLLEAGUES IN THE 52 00:02:37,000 --> 00:02:40,040 ROOM, OF COURSE, DR. TABAK IS 53 00:02:40,040 --> 00:02:42,160 HERE, DR. GILMAN, DR. SCHWETZ. 54 00:02:42,160 --> 00:02:47,280 WE'RE HAPPY TO HAVE ALL OF THEM. 55 00:02:47,280 --> 00:02:49,800 DR. GALLIN IS ON ZOOM, SUBBING 56 00:02:49,800 --> 00:02:53,440 FOR DR. GOTTESMAN TODAY IS DR. 57 00:02:53,440 --> 00:02:55,320 RICHARD WYATT, WHO I SEE, YES, 58 00:02:55,320 --> 00:02:56,600 THERE YOU ARE, GREAT. 59 00:02:56,600 --> 00:02:59,680 THANK YOU FOR BEING WITH US. 60 00:02:59,680 --> 00:03:01,960 DR. DOUG LOWY WHO GETS SPECIAL 61 00:03:01,960 --> 00:03:03,520 RECOGNITION BECAUSE HE'S 62 00:03:03,520 --> 00:03:05,360 REJOINING US ONCE AGAIN, THANK 63 00:03:05,360 --> 00:03:11,280 YOU, DOUG, FOR BEING WITH US I 64 00:03:11,280 --> 00:03:12,680 THINK WE'VE GOT OTHER TEAM 65 00:03:12,680 --> 00:03:12,920 MEMBERS. 66 00:03:12,920 --> 00:03:14,920 YES, I SEE SEVERAL OTHER PEOPLE 67 00:03:14,920 --> 00:03:17,280 FROM THE NIH TEAM. 68 00:03:17,280 --> 00:03:20,440 THANK YOU ALL FOR BEING WITH US. 69 00:03:20,440 --> 00:03:21,560 JUST A COUPLE OTHER THINGS 70 00:03:21,560 --> 00:03:24,400 BEFORE I TURN IT OVER TO DR. 71 00:03:24,400 --> 00:03:24,960 TABAK. 72 00:03:24,960 --> 00:03:29,320 OUR CHARTER WAS FINALIZED A 73 00:03:29,320 --> 00:03:33,040 MONTH AGO, AND WILL GO THROUGH 74 00:03:33,040 --> 00:03:34,800 2024. 75 00:03:34,800 --> 00:03:35,840 IF YOU'LL PERMIT ME, I'LL MAKE 76 00:03:35,840 --> 00:03:38,320 COMMENTS AT THE END AS I HAND 77 00:03:38,320 --> 00:03:39,640 OFF THE CHAIR. 78 00:03:39,640 --> 00:03:40,960 WITH THAT, LARRY, LET ME TURN IT 79 00:03:40,960 --> 00:03:42,040 OVER TO YOU. 80 00:03:42,040 --> 00:03:42,760 >> GREAT. 81 00:03:42,760 --> 00:03:43,720 THANK YOU. 82 00:03:43,720 --> 00:03:45,400 GOOD MORNING, EVERYBODY. 83 00:03:45,400 --> 00:03:53,880 GOOD TO SEE SOME OF YOU HERE IN 84 00:03:53,880 --> 00:03:54,480 PERSON. 85 00:03:54,480 --> 00:03:55,480 THE REMAINDER VIA ZOOM, THANKS 86 00:03:55,480 --> 00:03:58,760 FOR JOINING US. 87 00:03:58,760 --> 00:04:02,960 REALLY THIS PART OF THE PROGRAM 88 00:04:02,960 --> 00:04:05,040 IS SHORT BUT IMPORTANT IN TERMS 89 00:04:05,040 --> 00:04:08,960 OF SIGNIFICANCE, BECAUSE IT 90 00:04:08,960 --> 00:04:12,560 REALLY DOES MARK THE OCCASION OF 91 00:04:12,560 --> 00:04:15,160 LAURA STEPPING DOWN AS THE CHAIR 92 00:04:15,160 --> 00:04:15,960 OF THIS GROUP. 93 00:04:15,960 --> 00:04:18,480 IT WAS NOT MEANT TO BE A LIFE 94 00:04:18,480 --> 00:04:21,040 SENTENCE BUT I'M SURE IT FELT 95 00:04:21,040 --> 00:04:22,840 THAT WAY, AT TIMES. 96 00:04:22,840 --> 00:04:27,560 HOPEFULLY NOT THE ENTIRE TIME. 97 00:04:27,560 --> 00:04:32,160 BUT REALLY WHEN YOU WORK FOR 98 00:04:32,160 --> 00:04:32,840 GOVERNMENT BOARDS, MOSTLY WHAT 99 00:04:32,840 --> 00:04:35,240 WE CAN GIVE YOU IS THANKS AND 100 00:04:35,240 --> 00:04:36,960 NOT MUCH ELSE. 101 00:04:36,960 --> 00:04:39,280 PROBABLY NOT QUITE THE SAME WHEN 102 00:04:39,280 --> 00:04:41,800 YOU'RE, YOU KNOW, ON CORPORATE 103 00:04:41,800 --> 00:04:46,760 BOARDS, BUT NEVERTHELESS THE 104 00:04:46,760 --> 00:04:47,720 SENTIMENT IS THERE. 105 00:04:47,720 --> 00:04:49,680 SO, WE REALLY JUST WANTED TO BE 106 00:04:49,680 --> 00:04:54,040 ABLE TO MARK THIS OCCASION WITH 107 00:04:54,040 --> 00:04:56,920 A SHORT PRESENTATION. 108 00:04:56,920 --> 00:04:59,880 JIM, DO YOU WANT TO SAY ANY 109 00:04:59,880 --> 00:05:00,080 WORDS? 110 00:05:00,080 --> 00:05:02,400 >> AFTER. 111 00:05:02,400 --> 00:05:03,040 >> AFTER? 112 00:05:03,040 --> 00:05:03,280 OKAY. 113 00:05:03,280 --> 00:05:04,800 >> WE'VE GOT SOMETHING -- AFTER 114 00:05:04,800 --> 00:05:06,520 YOU, BECAUSE WE HAVE SOME THINGS 115 00:05:06,520 --> 00:05:08,080 WE'D LIKE TO GIVE LAURA. 116 00:05:08,080 --> 00:05:08,320 >> OKAY. 117 00:05:08,320 --> 00:05:11,560 SO DID YOU WANT ME TO GO THROUGH 118 00:05:11,560 --> 00:05:13,200 MY DIRECTOR'S PRESENTATION AND 119 00:05:13,200 --> 00:05:15,080 THEN WE'LL DO THIS AT THE BACK 120 00:05:15,080 --> 00:05:15,480 END? 121 00:05:15,480 --> 00:05:16,840 I JUST DO WHAT'S ON THE LIST, 122 00:05:16,840 --> 00:05:19,120 AND IT DIDN'T SAY THAT. 123 00:05:19,120 --> 00:05:19,360 OKAY. 124 00:05:19,360 --> 00:05:23,560 IF WE COULD BRING UP MY SLIDES 125 00:05:23,560 --> 00:05:25,720 PLEASE, I HOPE. 126 00:05:25,720 --> 00:05:28,400 IS THAT POSSIBLE? 127 00:05:28,400 --> 00:05:32,040 YEAH, THAT'S -- DO YOU HAVE 128 00:05:32,040 --> 00:05:32,240 THEM? 129 00:05:32,240 --> 00:05:34,800 OR AM I SHARING MY SCREEN? 130 00:05:34,800 --> 00:05:40,720 I HOPE NOT. 131 00:05:40,720 --> 00:05:40,920 OKAY. 132 00:05:40,920 --> 00:05:48,880 [OFF MICROPHONE] 133 00:05:48,880 --> 00:05:49,480 OKAY. 134 00:05:49,480 --> 00:05:53,160 OR I WILL -- [OFF MICROPHONE] 135 00:05:53,160 --> 00:05:54,520 NO, I'LL JUST STAY RIGHT HERE IF 136 00:05:54,520 --> 00:05:56,440 THAT'S OKAY WITH YOU. 137 00:05:56,440 --> 00:05:59,800 IS THAT NOT POSSIBLE? 138 00:05:59,800 --> 00:06:00,000 OKAY. 139 00:06:00,000 --> 00:06:02,360 AND IF YOU WOULD BE SO KIND AS 140 00:06:02,360 --> 00:06:05,240 TO ADVANCE THEM, THAT WOULD BE 141 00:06:05,240 --> 00:06:15,440 FANTASTIC. 142 00:06:18,120 --> 00:06:19,760 OKAY, GREAT. 143 00:06:19,760 --> 00:06:20,440 THANK YOU. 144 00:06:20,440 --> 00:06:22,560 OKAY, SO THIS IS THE 25th 145 00:06:22,560 --> 00:06:27,560 MEETING OF THIS BOARD, 146 00:06:27,560 --> 00:06:28,640 REMARKABLY, AND IN SUCH A SHORT 147 00:06:28,640 --> 00:06:31,920 SPACE OF TIME. 148 00:06:31,920 --> 00:06:35,000 AS YOU'LL HEAR IN PART THIS SORT 149 00:06:35,000 --> 00:06:37,200 OF SHORT RETROSPECTIVE, THIS 150 00:06:37,200 --> 00:06:38,840 BOARD HAS BEEN EXTRAORDINARY IN 151 00:06:38,840 --> 00:06:43,960 THE IMPACT THAT IT'S HAD IN 152 00:06:43,960 --> 00:06:46,040 HELPING NIH WITH THE CLINICAL 153 00:06:46,040 --> 00:06:46,280 CENTER. 154 00:06:46,280 --> 00:06:48,080 IF I COULD HAVE THE NEXT SLIDE 155 00:06:48,080 --> 00:06:48,480 PLEASE. 156 00:06:48,480 --> 00:06:49,680 SO, I'M GOING TO TALK A LITTLE 157 00:06:49,680 --> 00:06:52,360 BIT ABOUT SOME OF THE DEPARTURES 158 00:06:52,360 --> 00:06:53,360 AND THE HISTORY BEHIND THE 159 00:06:53,360 --> 00:06:54,600 BOARD. 160 00:06:54,600 --> 00:06:56,480 MOSTLY FOR THE NEWER MEMBERS. 161 00:06:56,480 --> 00:06:58,200 TALK ABOUT SOME ARRIVALS AT NIH, 162 00:06:58,200 --> 00:06:59,520 THERE'S A COUPLE UPDATES WE 163 00:06:59,520 --> 00:07:01,600 WANTED TO SHARE WITH YOU. 164 00:07:01,600 --> 00:07:02,720 NEXT PLEASE. 165 00:07:02,720 --> 00:07:07,840 LET'S START WITH THE DEPARTURES. 166 00:07:07,840 --> 00:07:10,360 AS DR. FORESE SAID, RUTH 167 00:07:10,360 --> 00:07:11,680 WILLIAMS BRINKLY WILL BE LEAVING 168 00:07:11,680 --> 00:07:14,040 THE BOARD AFTER THIS MEETING. 169 00:07:14,040 --> 00:07:15,600 AND SHE WILL CERTAINLY BE 170 00:07:15,600 --> 00:07:16,360 MISSED. 171 00:07:16,360 --> 00:07:18,680 SHE'S BEING HONORED AS WE SPEAK, 172 00:07:18,680 --> 00:07:21,720 AND SO WE HOPE THAT YOU WILL BE 173 00:07:21,720 --> 00:07:23,040 JOINING US MOMENTARILY. 174 00:07:23,040 --> 00:07:26,320 IF WE HAVE THE NEXT SLIDE 175 00:07:26,320 --> 00:07:26,560 PLEASE. 176 00:07:26,560 --> 00:07:29,520 AND WE'RE GOING TO MAKE YOU 177 00:07:29,520 --> 00:07:30,600 UNCOMFORTABLE THROUGHOUT THIS 178 00:07:30,600 --> 00:07:31,200 ENTIRE MEETING. 179 00:07:31,200 --> 00:07:34,200 YOU'LL HAVE TO GET USED TO THIS. 180 00:07:34,200 --> 00:07:35,760 AND OBVIOUSLY, DR. FORESE WILL 181 00:07:35,760 --> 00:07:37,280 BE LEAVING THE BOARD AS WELL AT 182 00:07:37,280 --> 00:07:40,240 THE CONCLUSION OF THE MEETING. 183 00:07:40,240 --> 00:07:42,000 AND TO SAY THAT YOUR 184 00:07:42,000 --> 00:07:44,120 CONTRIBUTIONS HAVE BEEN PROFOUND 185 00:07:44,120 --> 00:07:46,240 IS A GROSS UNDERSTATEMENT. 186 00:07:46,240 --> 00:07:48,320 YOU HAVE PRESIDED OVER THIS 187 00:07:48,320 --> 00:07:55,080 BOARD EXACTLY SIX YEARS AGO 188 00:07:55,080 --> 00:07:58,920 TODAY, JULY 15, 2016. 189 00:07:58,920 --> 00:08:00,800 AND PRIOR TO THAT, SHOWING NO 190 00:08:00,800 --> 00:08:02,520 GOOD DEED GOES UNPUNISHED DR. 191 00:08:02,520 --> 00:08:04,160 FORESE WAS A MEMBER OF A TEAM 192 00:08:04,160 --> 00:08:06,720 THAT ACTUALLY LED TO THE 193 00:08:06,720 --> 00:08:09,560 CREATION OF WHAT WE NOW CALL THE 194 00:08:09,560 --> 00:08:12,040 CLINICAL CENTER RESEARCH 195 00:08:12,040 --> 00:08:13,040 HOSPITAL BOARD. 196 00:08:13,040 --> 00:08:15,400 SO, THANK YOU. 197 00:08:15,400 --> 00:08:18,280 THANK YOU AND THANK YOU. 198 00:08:18,280 --> 00:08:19,640 NEXT SLIDE PLEASE. 199 00:08:19,640 --> 00:08:23,120 SO, THIS IS THE ORIGINAL BOARD. 200 00:08:23,120 --> 00:08:24,960 I TEND TO BE CAMERA SHY SO YOU 201 00:08:24,960 --> 00:08:27,600 WILL NOT SEE ME IN ANY OF THESE 202 00:08:27,600 --> 00:08:28,800 PICTURES EVER. 203 00:08:28,800 --> 00:08:32,920 I WAS SUCCESSFUL IN NAVIGATING 204 00:08:32,920 --> 00:08:33,480 THAT. 205 00:08:33,480 --> 00:08:36,280 AND I THINK IT'S PROBABLY WORTH 206 00:08:36,280 --> 00:08:38,120 REVISITING HOW THIS INITIAL 207 00:08:38,120 --> 00:08:38,800 GROUP CAME TOGETHER. 208 00:08:38,800 --> 00:08:42,160 SO COULD I HAVE THE NEXT SLIDE 209 00:08:42,160 --> 00:08:42,520 PLEASE. 210 00:08:42,520 --> 00:08:49,400 SO, AS SOME OF YOU KNOW, WE HAD 211 00:08:49,400 --> 00:08:51,040 A REAL SOUL-SEARCHING PERIOD 212 00:08:51,040 --> 00:08:54,440 HERE AT NIH. 213 00:08:54,440 --> 00:08:57,400 THE SPRING OF 2015, AFTER IT 214 00:08:57,400 --> 00:08:59,520 BECAME KNOWN THROUGH A 215 00:08:59,520 --> 00:09:02,680 WHISTLEBLOWER COMPLAINT THAT 216 00:09:02,680 --> 00:09:04,920 THERE WERE UNSAFE PROCEDURES IN 217 00:09:04,920 --> 00:09:07,680 THE CLINICAL CENTER PHARMACY, 218 00:09:07,680 --> 00:09:11,000 RELATED TO THE USE OF STERILE 219 00:09:11,000 --> 00:09:12,200 INJECTABLES. 220 00:09:12,200 --> 00:09:14,360 AS THE -- YOU KNOW, WHEN I WAKE 221 00:09:14,360 --> 00:09:15,160 UP EVERY MORNING, THE FIRST 222 00:09:15,160 --> 00:09:19,000 THING I DO IS LOOK ABOVE THE 223 00:09:19,000 --> 00:09:20,000 FOLD AND NIH ISN'T THERE I 224 00:09:20,000 --> 00:09:21,800 FIGURE IT'S GOING TO BE A GOOD 225 00:09:21,800 --> 00:09:22,080 DAY. 226 00:09:22,080 --> 00:09:23,480 IF WE'RE NOT BELOW THE FOLD THEN 227 00:09:23,480 --> 00:09:25,320 I KNOW IT'S GOING TO BE A GOOD 228 00:09:25,320 --> 00:09:25,880 DAY. 229 00:09:25,880 --> 00:09:27,960 THIS ONE WAS ABOVE THE FOLD ON 230 00:09:27,960 --> 00:09:29,400 THE FRONT PAGE. 231 00:09:29,400 --> 00:09:32,080 AND FOR GOOD REASON, OF COURSE, 232 00:09:32,080 --> 00:09:35,080 BECAUSE THIS WAS VERY 233 00:09:35,080 --> 00:09:35,480 SIGNIFICANT. 234 00:09:35,480 --> 00:09:37,360 NEXT SLIDE PLEASE. 235 00:09:37,360 --> 00:09:40,440 SO, AFTER WE HAD A FORMAL 236 00:09:40,440 --> 00:09:43,600 INSPECTION BY THE FOOD AND DRUG 237 00:09:43,600 --> 00:09:44,480 ADMINISTRATION, WHO CONFIRMED 238 00:09:44,480 --> 00:09:48,520 THE PROBLEMS IN THE PHARMACY, WE 239 00:09:48,520 --> 00:09:54,840 TOOK STEPS TO SUSPEND ALL 240 00:09:54,840 --> 00:09:56,600 PROBLEMATIC OPERATIONS. 241 00:09:56,600 --> 00:09:57,920 AN INTERNAL TASK FORCE CAME 242 00:09:57,920 --> 00:09:59,240 TOGETHER TO REVIEW THE SITUATION 243 00:09:59,240 --> 00:10:01,560 AND THEN A FEW MONTHS LATER THE 244 00:10:01,560 --> 00:10:03,920 ADVISORY COMMITTEE TO THE NIH 245 00:10:03,920 --> 00:10:05,080 DIRECTOR ESTABLISHED A WORKING 246 00:10:05,080 --> 00:10:08,440 GROUP, KNOWN AS THE RED TEAM. 247 00:10:08,440 --> 00:10:13,040 AND THIS WAS A 248 00:10:13,040 --> 00:10:15,000 MULTI-DISCIPLINARY GROUP OF 249 00:10:15,000 --> 00:10:17,520 OUTSIDE EXPERTS, AND THEN 250 00:10:17,520 --> 00:10:18,720 DIRECTOR FRANCIS COLLINS ASKED 251 00:10:18,720 --> 00:10:21,760 THEM TO REVIEW HOW THE ENTIRE 252 00:10:21,760 --> 00:10:22,800 CLINICAL CENTER OPERATED, AND I 253 00:10:22,800 --> 00:10:27,120 HAVE TO SAY THE RED TEAM TOOK 254 00:10:27,120 --> 00:10:30,600 THEIR CHARGE VERY SERIOUSLY. 255 00:10:30,600 --> 00:10:32,440 THEY SUGARCOATED NOTHING. 256 00:10:32,440 --> 00:10:35,400 AND ON APRIL 21, THEY SUBMITTED 257 00:10:35,400 --> 00:10:37,480 THEIR REPORT TO THE ADVISORY 258 00:10:37,480 --> 00:10:40,880 COMMITTEE TO THE DIRECTOR. 259 00:10:40,880 --> 00:10:41,960 AMONG THE RECOMMENDATIONS THAT 260 00:10:41,960 --> 00:10:45,280 THEY CAME OUT WITH WAS TO 261 00:10:45,280 --> 00:10:46,320 ESTABLISH AN EXTERNAL BOARD 262 00:10:46,320 --> 00:10:49,400 ACTING LIKE THE BOARD OF ANY 263 00:10:49,400 --> 00:10:52,800 LOCAL HOSPITAL TO OVERSEE THE 264 00:10:52,800 --> 00:10:55,800 HOSPITAL'S MANAGEMENT IN TERMS 265 00:10:55,800 --> 00:10:58,840 OF ITS SAFETY AND QUALITY AND SO 266 00:10:58,840 --> 00:11:00,520 FORTH. 267 00:11:00,520 --> 00:11:04,680 AND SO, THIS BOARD, CCRHB, IS 268 00:11:04,680 --> 00:11:07,280 THE DIRECT RESULT OF THAT 269 00:11:07,280 --> 00:11:07,800 RECOMMENDATION. 270 00:11:07,800 --> 00:11:11,480 AND AS YOU CAN SEE FROM THE 271 00:11:11,480 --> 00:11:12,800 TIMELINE THAT IS DISPLAYED, THE 272 00:11:12,800 --> 00:11:15,960 FIRST OF THESE MEETINGS OCCURRED 273 00:11:15,960 --> 00:11:18,280 LITERALLY SIX YEARS AGO ON THE 274 00:11:18,280 --> 00:11:18,720 SAME DAY. 275 00:11:18,720 --> 00:11:25,560 SO, IF I COULD HAVE THE NEXT 276 00:11:25,560 --> 00:11:26,280 SLIDE PLEASE. 277 00:11:26,280 --> 00:11:28,120 SO, THE THEMES IN THE REPORT, 278 00:11:28,120 --> 00:11:29,880 AND THESE WILL PROBABLY COME AS 279 00:11:29,880 --> 00:11:35,600 NO SURPRISE TO ANY OF YOU, BUT 280 00:11:35,600 --> 00:11:39,320 THE TEAMS IN THE REPORT WAS THE 281 00:11:39,320 --> 00:11:41,200 NEED TO FORTIFY A CULTURE AND 282 00:11:41,200 --> 00:11:44,040 PRACTICE OF SAFETY AND QUALITY. 283 00:11:44,040 --> 00:11:45,880 MAINLY BY STRENGTHENING THE 284 00:11:45,880 --> 00:11:47,600 AUTHORITY OF THE LEADERSHIP. 285 00:11:47,600 --> 00:11:51,480 SO NIH IS A DECENTRALIZED 286 00:11:51,480 --> 00:11:51,800 ORGANIZATION. 287 00:11:51,800 --> 00:11:53,880 OUR INSTITUTES AND CENTERS 288 00:11:53,880 --> 00:11:55,080 RECEIVE THEIR OWN DIRECT 289 00:11:55,080 --> 00:11:56,520 APPROPRIATIONS FROM THE CONGRESS 290 00:11:56,520 --> 00:11:57,800 OF THE UNITED STATES. 291 00:11:57,800 --> 00:12:02,960 AND SO WE REALLY ARE A FEDERATED 292 00:12:02,960 --> 00:12:04,000 SYSTEM, BUT, YOU KNOW, A 293 00:12:04,000 --> 00:12:06,360 HOSPITAL IS A HOSPITAL. 294 00:12:06,360 --> 00:12:10,200 AND SO REGARDLESS OF SOME OF THE 295 00:12:10,200 --> 00:12:10,960 CHALLENGES THAT OUR FEDERATED 296 00:12:10,960 --> 00:12:11,840 ORGANIZATION PRESENTS, IT WAS 297 00:12:11,840 --> 00:12:16,240 THOUGHT THAT WE REALLY NEEDED TO 298 00:12:16,240 --> 00:12:18,560 STRENGTHEN THE OVERSIGHT. 299 00:12:18,560 --> 00:12:19,880 THE TEAM'S FINDINGS DETAILED A 300 00:12:19,880 --> 00:12:22,920 CULTURE OF OVERWORK IN THE 301 00:12:22,920 --> 00:12:23,200 PHARMACY. 302 00:12:23,200 --> 00:12:31,360 THE STAFF REALLY HAD STRUGGLED 303 00:12:31,360 --> 00:12:32,320 TO PLEASE INTRAMURAL 304 00:12:32,320 --> 00:12:33,160 RESEARCHERS, AND UNFORTUNATELY 305 00:12:33,160 --> 00:12:35,840 NONE REPORTED TO THEIR 306 00:12:35,840 --> 00:12:36,720 LEADERSHIP THEY WERE BEING 307 00:12:36,720 --> 00:12:41,360 PUSHED BEYOND WHAT WAS A 308 00:12:41,360 --> 00:12:43,480 REASONABLE SET OF EXPECTATIONS. 309 00:12:43,480 --> 00:12:44,800 THOSE COMPLAINTS, THOSE 310 00:12:44,800 --> 00:12:46,680 CONCERNS, JUST NEVER REACHED THE 311 00:12:46,680 --> 00:12:49,280 HIGHER LEVELS OF MANAGEMENT IN 312 00:12:49,280 --> 00:12:50,160 THE HOSPITAL. 313 00:12:50,160 --> 00:12:54,440 AND SO THE ACB UNANIMOUSLY 314 00:12:54,440 --> 00:13:00,880 ACCEPTED THE RED TEAM'S 11 315 00:13:00,880 --> 00:13:02,880 RECOMMENDATIONS, AND THE NEXT 316 00:13:02,880 --> 00:13:04,960 MORNING FRANCIS, THEN NIH 317 00:13:04,960 --> 00:13:09,440 DIRECTOR, THE CLINICAL CENTER 318 00:13:09,440 --> 00:13:11,000 DIRECTOR, JOHN GALLIN, AND I 319 00:13:11,000 --> 00:13:13,000 PRESENTED THE TEAM'S FINDING TO 320 00:13:13,000 --> 00:13:15,840 A TOWN HALL OF THE INTRAMURAL 321 00:13:15,840 --> 00:13:16,920 COMMUNITY. 322 00:13:16,920 --> 00:13:22,800 IF I CAN HAVE THE NEXT SLIDE 323 00:13:22,800 --> 00:13:26,640 PLEASE. 324 00:13:26,640 --> 00:13:30,800 SO, THE FIRST MEETING WAS 325 00:13:30,800 --> 00:13:34,920 CONVENED, AND FRANCIS APPOINTED 326 00:13:34,920 --> 00:13:35,920 DR. FORESE, WHO AT THE TIME HAD 327 00:13:35,920 --> 00:13:39,200 A LOT OF SPARE TIME ON YOUR 328 00:13:39,200 --> 00:13:41,400 HANDS, AT THE TIME SHE WAS 329 00:13:41,400 --> 00:13:42,800 ALREADY OVERSEEING SIX MAJOR 330 00:13:42,800 --> 00:13:44,920 HOSPITALS IN THE NEW YORK CITY 331 00:13:44,920 --> 00:13:45,320 AREA. 332 00:13:45,320 --> 00:13:52,120 AND I KNOW THOSE HOSPITALS. 333 00:13:52,120 --> 00:13:54,000 SHE COMMITTED TO LEAD THE BOARD 334 00:13:54,000 --> 00:13:55,840 AT QUARTERLY MEETINGS FOR TWO 335 00:13:55,840 --> 00:13:56,520 YEARS. 336 00:13:56,520 --> 00:13:58,920 THE RED TEAM IN 2016 AND ANY 337 00:13:58,920 --> 00:14:04,160 BOARD IN THE YEARS SINCE HAVE 338 00:14:04,160 --> 00:14:09,320 REALLY BEEN POPULATED WITH 339 00:14:09,320 --> 00:14:10,720 INDIVIDUALS WHO ARE ACCUSTOMED 340 00:14:10,720 --> 00:14:12,560 TO THINKING ABOUT CONTINUOUS 341 00:14:12,560 --> 00:14:13,920 IMPROVEMENT IN HOSPITAL 342 00:14:13,920 --> 00:14:14,760 OPERATIONS. 343 00:14:14,760 --> 00:14:17,840 AND I HAVE TO SAY, THE FIRST 344 00:14:17,840 --> 00:14:21,400 YEAR OR SO WHEN THE BOARD WAS 345 00:14:21,400 --> 00:14:24,360 CREATED, WE DID RECEIVE QUITE A 346 00:14:24,360 --> 00:14:26,520 BIT OF CRITICISM FROM SOME 347 00:14:26,520 --> 00:14:31,040 MEMBERS, NOT ALL, OF THE NIH 348 00:14:31,040 --> 00:14:32,560 COMMUNITY. 349 00:14:32,560 --> 00:14:35,360 BUT REGARDLESS OF THAT, IT WAS 350 00:14:35,360 --> 00:14:37,800 UNAMBIGUOUS TO EVERYBODY THAT 351 00:14:37,800 --> 00:14:41,720 THE OUTSIDE EXPERTS WERE ABLE TO 352 00:14:41,720 --> 00:14:43,120 PINPOINT REAL STRUCTURAL 353 00:14:43,120 --> 00:14:45,880 PROBLEMS IN OUR GOVERNANCE AND 354 00:14:45,880 --> 00:14:48,960 IN OUR FUNDING MODEL, THAT 355 00:14:48,960 --> 00:14:50,280 NEEDED TO BE ADDRESSED. 356 00:14:50,280 --> 00:14:52,840 NOW, IN ADDITION TO CHAIRING THE 357 00:14:52,840 --> 00:14:55,520 BOARD IN 2016, DR. FORESE LED 358 00:14:55,520 --> 00:15:00,880 THE EFFORT TO FILL A NEW 359 00:15:00,880 --> 00:15:02,360 POSITION, CLINICAL CENTER CEO. 360 00:15:02,360 --> 00:15:10,920 SO, IF I CAN HAVE THE NEXT SLIDE 361 00:15:10,920 --> 00:15:11,480 PLEASE. 362 00:15:11,480 --> 00:15:14,640 WELL, NOW, SOMEHOW FRANCIS 363 00:15:14,640 --> 00:15:17,240 CONVINCED YOU THAT TWO YEARS WAS 364 00:15:17,240 --> 00:15:21,560 JUST A STARTING POINT OF YOUR 365 00:15:21,560 --> 00:15:23,960 RELATIONSHIP WITH NIH, AND OF 366 00:15:23,960 --> 00:15:27,440 COURSE WE HAVE BENEFITED 367 00:15:27,440 --> 00:15:27,920 ENORMOUSLY. 368 00:15:27,920 --> 00:15:30,880 AND DR. FORESE HAS SKILLFULLY 369 00:15:30,880 --> 00:15:34,040 LED THIS BOARD UP TILL PRESENT 370 00:15:34,040 --> 00:15:37,760 DAY, AND HERE WE ARE AT A 371 00:15:37,760 --> 00:15:42,240 RIBBON-CUTTING CEREMONY FOR THE 372 00:15:42,240 --> 00:15:43,920 BRAND NEW STATE-OF-THE-ART 373 00:15:43,920 --> 00:15:44,520 RENOVATED PHARMACY. 374 00:15:44,520 --> 00:15:47,720 AND THIS REALLY WAS A WATERSHED 375 00:15:47,720 --> 00:15:48,120 MOMENT. 376 00:15:48,120 --> 00:15:50,480 THE PEOPLE AT KNOW I HATE DOING 377 00:15:50,480 --> 00:15:53,880 CEREMONIAL THINGS LIKE THIS. 378 00:15:53,880 --> 00:15:55,160 I AVOID THEM ALWAYS. 379 00:15:55,160 --> 00:15:57,000 BUT THIS ONE I WANTED TO BE PART 380 00:15:57,000 --> 00:15:57,240 OF. 381 00:15:57,240 --> 00:15:59,720 SO THAT'S WHY I'M SORT OF DEAD 382 00:15:59,720 --> 00:16:03,800 CENTER THERE. 383 00:16:03,800 --> 00:16:04,960 THIS IS IMPORTANT. 384 00:16:04,960 --> 00:16:06,720 AND SO, YOU KNOW, AGAIN, LAURA, 385 00:16:06,720 --> 00:16:09,240 THANK YOU ON BEHALF OF ALL OF 386 00:16:09,240 --> 00:16:11,280 NIH FOR YOUR DEDICATION TO THIS 387 00:16:11,280 --> 00:16:14,800 PLACE, AND FOR EVERYTHING THAT 388 00:16:14,800 --> 00:16:15,320 YOU BROUGHT. 389 00:16:15,320 --> 00:16:17,520 ALSO, I'D LIKE TO THANK RUTH 390 00:16:17,520 --> 00:16:19,320 WILLIAMS-BRINKLEY AGAIN, WHO 391 00:16:19,320 --> 00:16:21,920 ALSO SERVED FOR SIX YEARS. 392 00:16:21,920 --> 00:16:24,920 BOTH OF YOU WERE THERE FROM THE 393 00:16:24,920 --> 00:16:25,360 BEGINNING. 394 00:16:25,360 --> 00:16:27,520 SO THANK YOU. 395 00:16:27,520 --> 00:16:27,840 OKAY. 396 00:16:27,840 --> 00:16:30,120 NOW, LET'S GO ON TO THE NEXT 397 00:16:30,120 --> 00:16:30,920 SLIDE PLEASE. 398 00:16:30,920 --> 00:16:34,520 SO, OF COURSE, EVEN THOUGH WE 399 00:16:34,520 --> 00:16:35,720 HAVE TO SAY GOOD-BYE OF SOME 400 00:16:35,720 --> 00:16:37,720 FOUNDING MEMBERS IT'S GREAT TO 401 00:16:37,720 --> 00:16:41,200 PERSONALLY WELCOME NEW ARRIVALS. 402 00:16:41,200 --> 00:16:42,720 NEXT SLIDE PLEASE. 403 00:16:42,720 --> 00:16:47,000 DR. VAN COOTS WILL BE ASSUMING 404 00:16:47,000 --> 00:16:48,440 THE CHAIR OF THE BOARD. 405 00:16:48,440 --> 00:16:50,760 AS YOU SEE, HE'S THE PRESIDENT 406 00:16:50,760 --> 00:16:53,360 AND CEO OF HOLY CROSS HEALTH. 407 00:16:53,360 --> 00:16:54,920 HE HAS ATTENDED MEETINGS AS AN 408 00:16:54,920 --> 00:16:58,200 AD HOC MEMBER. 409 00:16:58,200 --> 00:17:01,920 THIS IS HIS FIRST OFFICIAL 410 00:17:01,920 --> 00:17:02,160 MEETING. 411 00:17:02,160 --> 00:17:04,320 WE'RE DELIGHTED YOU ARE HERE AND 412 00:17:04,320 --> 00:17:07,800 LOOK FORWARD TO YOUR WISDOM, 413 00:17:07,800 --> 00:17:11,320 GUIDANCE, AND WORKING TOGETHER. 414 00:17:11,320 --> 00:17:12,280 SO WELCOME. 415 00:17:12,280 --> 00:17:15,920 NEXT, I DON'T KNOW IF DR. 416 00:17:15,920 --> 00:17:19,440 CUNNINGHAM IS ON THE ZOOM CALL 417 00:17:19,440 --> 00:17:20,520 OR NOT. 418 00:17:20,520 --> 00:17:23,280 SHE IS THE CEO OF THE HOSPITAL 419 00:17:23,280 --> 00:17:25,280 OF THE UNIVERSITY OF 420 00:17:25,280 --> 00:17:26,720 PENNSYLVANIA, HIGHLY EXPERIENCED 421 00:17:26,720 --> 00:17:28,920 HEALTH CARE EXECUTIVE AND AS YOU 422 00:17:28,920 --> 00:17:39,480 SEE WITH A NURSING BACKGROUND. 423 00:17:40,280 --> 00:17:41,040 NEXT, DR. SHERIN DEVASKAR, 424 00:17:41,040 --> 00:17:49,200 CORRECT CORRECT ME IF I MANGLED 425 00:17:49,200 --> 00:17:49,760 THE PRONUNCIATION, EXECUTIVE 426 00:17:49,760 --> 00:17:51,360 CHAIR OF THE DEPARTMENT OF 427 00:17:51,360 --> 00:17:54,280 PEDIATRICS AT UCLA, PHYSICIAN IN 428 00:17:54,280 --> 00:17:56,880 CHIEF MATTEL HOSPITAL, ASSISTANT 429 00:17:56,880 --> 00:18:00,240 VICE CHANCELLOR UCLA HEALTH. 430 00:18:00,240 --> 00:18:03,120 DR. DEVASKAR'S PARTICIPATION ON 431 00:18:03,120 --> 00:18:05,280 THIS BOARD IS PARTICULARLY 432 00:18:05,280 --> 00:18:07,680 TIMELY, BECAUSE WE ARE IN THE 433 00:18:07,680 --> 00:18:10,400 MIDST OF EXPLORING WHETHER WE 434 00:18:10,400 --> 00:18:13,920 WISH TO CONDUCT MORE RESEARCH 435 00:18:13,920 --> 00:18:14,800 WITH YOUNGER PEDIATRIC PATIENTS. 436 00:18:14,800 --> 00:18:18,840 SO WE WILL NEED HER EXPERTISE 437 00:18:18,840 --> 00:18:22,880 CERTAINLY TO HELP INFORM THAT 438 00:18:22,880 --> 00:18:24,000 CONVERSATION. 439 00:18:24,000 --> 00:18:24,920 OKAY. 440 00:18:24,920 --> 00:18:25,480 NEXT PLEASE. 441 00:18:25,480 --> 00:18:28,480 SO, THIS IS WHERE I WAS SUPPOSED 442 00:18:28,480 --> 00:18:33,320 TO INTRODUCE TO YOU THE NEXT NIH 443 00:18:33,320 --> 00:18:34,600 DIRECTOR, BUT THAT DIDN'T 444 00:18:34,600 --> 00:18:35,120 HAPPEN. 445 00:18:35,120 --> 00:18:39,080 SO YOU STILL HAVE ME AS ACTING 446 00:18:39,080 --> 00:18:39,360 DIRECTOR. 447 00:18:39,360 --> 00:18:42,560 AND SO THE PROCESS FOR THOSE WHO 448 00:18:42,560 --> 00:18:46,000 ARE UNFAMILIAR, THE PRESIDENT 449 00:18:46,000 --> 00:18:46,680 NOMINATES AN INDIVIDUAL. 450 00:18:46,680 --> 00:18:52,880 IN A HAS NOT YET OCCURRED. 451 00:18:52,880 --> 00:18:55,520 ONCE NOMINATED, THE SENATE HAS 452 00:18:55,520 --> 00:18:57,200 TO CONFIRM THE APPOINTMENT OF 453 00:18:57,200 --> 00:18:58,160 THE INDIVIDUAL. 454 00:18:58,160 --> 00:19:00,680 AND THAT IS A PROCESS INVOLVING 455 00:19:00,680 --> 00:19:06,600 INTERVIEWS AND HEARINGS AND 456 00:19:06,600 --> 00:19:07,120 ULTIMATELY VOTES. 457 00:19:07,120 --> 00:19:10,960 AND SO WE LOOK FORWARD TO 458 00:19:10,960 --> 00:19:12,960 HEARING ABOUT THE NOMINEE IN THE 459 00:19:12,960 --> 00:19:16,440 NEW TOO DISTANT FUTURE AND HOPE 460 00:19:16,440 --> 00:19:18,200 FOR A TIMELY CONFIRMATION 461 00:19:18,200 --> 00:19:25,640 PROCESS WITHIN THE U.S. SENATE. 462 00:19:25,640 --> 00:19:26,600 IN TERMS OF BUDGET, INSTITUTE 463 00:19:26,600 --> 00:19:28,880 DIRECTORS AND I TESTIFIED AT THE 464 00:19:28,880 --> 00:19:30,000 CONGRESSIONAL APPROPRIATIONS 465 00:19:30,000 --> 00:19:32,280 HEARING IN MAY, BOTH HOUSE AND 466 00:19:32,280 --> 00:19:32,720 SENATE. 467 00:19:32,720 --> 00:19:37,320 AND WE ARE HOPEFUL WE WILL SEE A 468 00:19:37,320 --> 00:19:39,400 MODEST INCREASE IN BUDGET IN 23, 469 00:19:39,400 --> 00:19:43,800 AS WE HAVE ENJOYED IN THIS 470 00:19:43,800 --> 00:19:44,360 FISCAL YEAR, 2022. 471 00:19:44,360 --> 00:19:46,840 IF I COULD HAVE THE NEXT SLIDE 472 00:19:46,840 --> 00:19:48,040 PLEASE. 473 00:19:48,040 --> 00:19:51,000 NOW, I DO HAVE ONE ARRIVAL AND 474 00:19:51,000 --> 00:19:52,880 DEPARTURE TO NOTE THAT'S VERY 475 00:19:52,880 --> 00:19:55,440 IMPORTANT FOR NIH, WHICH 476 00:19:55,440 --> 00:19:56,600 ACTUALLY WAS ANNOUNCED 477 00:19:56,600 --> 00:19:57,040 YESTERDAY. 478 00:19:57,040 --> 00:20:00,320 AND THAT WAS THE APPOINTMENT OF 479 00:20:00,320 --> 00:20:03,280 DR. NINA SCHOR TO SERVE AS NIH 480 00:20:03,280 --> 00:20:07,960 ACTING DEPUTY DIRECTOR FOR 481 00:20:07,960 --> 00:20:09,880 INTRAMURAL RESEARCH, AND SHE 482 00:20:09,880 --> 00:20:13,800 WILL BE TAKING OVER THE REINS 483 00:20:13,800 --> 00:20:15,200 FROM DR. MICHAEL GOTTESMAN WHO 484 00:20:15,200 --> 00:20:18,480 SERVED AS THE DEPUTY DIRECTOR 485 00:20:18,480 --> 00:20:20,680 FOR INTRAMURAL RESEARCH FOR 29 486 00:20:20,680 --> 00:20:20,880 YEARS. 487 00:20:20,880 --> 00:20:23,400 AND HE ANNOUNCED HIS PLANS LAST 488 00:20:23,400 --> 00:20:24,600 YEAR TO STEP DOWN. 489 00:20:24,600 --> 00:20:26,800 HE WILL BE RETURNING FULL TIME 490 00:20:26,800 --> 00:20:28,360 TO HIS LABORATORY IN THE CENTER 491 00:20:28,360 --> 00:20:30,000 FOR CANCER RESEARCH AT THE NCI 492 00:20:30,000 --> 00:20:32,920 WHERE HE HAS BEEN THE CHIEF OF 493 00:20:32,920 --> 00:20:36,080 THE LABORATORY OF CELL BIOLOGY 494 00:20:36,080 --> 00:20:38,880 SINCE JOINING NIH. 495 00:20:38,880 --> 00:20:41,880 DR. SCHOR IS A PEDIATRIC 496 00:20:41,880 --> 00:20:43,880 NEUROLOGIST, AND SHE WILL BEGIN 497 00:20:43,880 --> 00:20:49,200 HER NEW ROLE ON AUGUST 1. 498 00:20:49,200 --> 00:20:51,960 AND SO NEEDLESS TO SAY WE'RE 499 00:20:51,960 --> 00:20:55,920 GRATEFUL FOR ALL MICHAEL HAS 500 00:20:55,920 --> 00:20:58,120 GIVEN IN HIS ROLE AND LOOK 501 00:20:58,120 --> 00:21:00,480 FORWARD GREATLY TO WORKING WITH 502 00:21:00,480 --> 00:21:02,000 DR. SCHOR GOING FORWARD. 503 00:21:02,000 --> 00:21:02,720 OKAY. 504 00:21:02,720 --> 00:21:04,000 NEXT PLEASE. 505 00:21:04,000 --> 00:21:06,440 SO, REMAINING FEW MOMENTS, I 506 00:21:06,440 --> 00:21:11,160 JUST WANT TO FOCUS ON NIH-WIDE 507 00:21:11,160 --> 00:21:12,400 DIVERSITY, EQUITY, INCLUSION, 508 00:21:12,400 --> 00:21:15,240 AND ACCESSIBILITY STRATEGIC 509 00:21:15,240 --> 00:21:15,480 PLANNING. 510 00:21:15,480 --> 00:21:17,640 THIS IS VERY, VERY IMPORTANT FOR 511 00:21:17,640 --> 00:21:19,920 US, AND I WANTED THIS BOARD TO 512 00:21:19,920 --> 00:21:21,960 BE AWARE OF WHAT WE'RE DOING 513 00:21:21,960 --> 00:21:32,360 SORT OF AT HIGH LEVEL, 514 00:21:32,880 --> 00:21:33,920 OVERARCING LEVEL. 515 00:21:33,920 --> 00:21:36,440 RESPONDS TO TWO MANDATES, WE 516 00:21:36,440 --> 00:21:37,560 RECEIVED LANGUAGE IN THE 2021 517 00:21:37,560 --> 00:21:38,840 BUDGET REQUIRING US TO DEVELOP A 518 00:21:38,840 --> 00:21:41,080 STRATEGIC PLAN IN WHICH WE'RE TO 519 00:21:41,080 --> 00:21:43,240 INCLUDE BOTH SHORT- AND 520 00:21:43,240 --> 00:21:45,640 LONG-TERM GOALS TO ADDRESS 521 00:21:45,640 --> 00:21:47,160 RACIAL, ETHNIC, GENDER 522 00:21:47,160 --> 00:21:50,040 DISPARITIES AT NIH, TO IDENTIFY 523 00:21:50,040 --> 00:21:51,920 AND ADDRESS BARRIERS AND ACCESS 524 00:21:51,920 --> 00:21:53,880 TO NIH FUNDING BY INVESTIGATORS 525 00:21:53,880 --> 00:21:55,920 WHO ARE RESEARCHING HEALTH 526 00:21:55,920 --> 00:21:56,480 DISPARITIES. 527 00:21:56,480 --> 00:22:02,600 AND THEN EXECUTIVE ORDER 14 035 528 00:22:02,600 --> 00:22:06,040 ALSO PROVIDED US WITH 529 00:22:06,040 --> 00:22:07,600 RESPONSIBILITY TO DEVELOP THIS 530 00:22:07,600 --> 00:22:08,400 PLAN. 531 00:22:08,400 --> 00:22:10,200 NEXT SLIDE PLEASE. 532 00:22:10,200 --> 00:22:14,880 SO, WHO IS DEVELOPING THIS PLAN? 533 00:22:14,880 --> 00:22:16,040 BECAUSE THIS AFFECTS EVERYTHING 534 00:22:16,040 --> 00:22:17,040 AT NIH. 535 00:22:17,040 --> 00:22:20,080 EVERYTHING THAT WE DO. 536 00:22:20,080 --> 00:22:20,680 INTERNALLY, EXTERNALLY. 537 00:22:20,680 --> 00:22:24,880 AND SO WE HAVE A WORKING GROUP 538 00:22:24,880 --> 00:22:27,480 OF ROUGHLY 100 INDIVIDUALS FROM 539 00:22:27,480 --> 00:22:28,760 ALL 27 INSTITUTES AND CENTERS 540 00:22:28,760 --> 00:22:30,320 AND MANY OF THE OFFICES WITHIN 541 00:22:30,320 --> 00:22:34,280 THE OFFICE OF THE DIRECTOR. 542 00:22:34,280 --> 00:22:39,560 THE EFFORT IS BEING LED BY CHIEF 543 00:22:39,560 --> 00:22:42,760 OFFICER FOR SCIENTIFIC WORKFORCE 544 00:22:42,760 --> 00:22:45,360 DIVERSITY, DR. MARIE BERNARD. 545 00:22:45,360 --> 00:22:50,800 ACTING DIRECTOR AT THE TIME, DR. 546 00:22:50,800 --> 00:22:52,520 SHELMA LITTLE, AND THE DIRECTOR 547 00:22:52,520 --> 00:22:57,040 OF THE OFFICE OF HUMAN RESOURCES 548 00:22:57,040 --> 00:22:59,960 JULIE BERKO. 549 00:22:59,960 --> 00:23:06,280 THE DPCPSI, OUR DIVISION THAT 550 00:23:06,280 --> 00:23:08,480 MANAGES NIH ACTIVITIES IS 551 00:23:08,480 --> 00:23:12,840 MANAGING THE OVERALL PROCESS, 552 00:23:12,840 --> 00:23:20,280 AND IN PARTICULAR MARINA VOLKOV 553 00:23:20,280 --> 00:23:23,360 AND HER STAFF IS TAKING THE 554 00:23:23,360 --> 00:23:25,240 LEADERSHIP ROLE. 555 00:23:25,240 --> 00:23:27,640 SO, THIS BEARS A STEERING 556 00:23:27,640 --> 00:23:30,040 COMMITTEE OF THE GROUP, THEY ARE 557 00:23:30,040 --> 00:23:32,000 RESPONSIBLE FOR LAYING OUT AND 558 00:23:32,000 --> 00:23:35,080 DEVELOPING BOTH THE PLAN AND ANY 559 00:23:35,080 --> 00:23:36,920 IMPLEMENTATION ACTION ITEMS. 560 00:23:36,920 --> 00:23:38,720 AND ALL OF NIH LEADERSHIP IS 561 00:23:38,720 --> 00:23:39,760 ENGAGED IN THIS. 562 00:23:39,760 --> 00:23:44,720 THIS HAS BEEN DISCUSSED WITH THE 563 00:23:44,720 --> 00:23:46,200 INSTITUTE CENTERS, INSTITUTE 564 00:23:46,200 --> 00:23:48,080 CENTER DIRECTOR, WITH SCIENTIFIC 565 00:23:48,080 --> 00:23:51,560 DIRECTOR, WITH THE EXECUTIVE 566 00:23:51,560 --> 00:23:52,440 OFFICERS, HEAD ADMINISTRATOR IN 567 00:23:52,440 --> 00:23:55,000 ALL OF THE ORGANIZATIONS. 568 00:23:55,000 --> 00:23:56,760 SO, THIS IS -- EVERYBODY IS 569 00:23:56,760 --> 00:23:57,360 ENGAGED IN THIS. 570 00:23:57,360 --> 00:23:59,800 IF I COULD HAVE THE NEXT SLIDE 571 00:23:59,800 --> 00:24:00,040 PLEASE. 572 00:24:00,040 --> 00:24:05,920 SO, WE BEGAN IN THE SUMMER OF 573 00:24:05,920 --> 00:24:06,480 2021. 574 00:24:06,480 --> 00:24:07,760 THE WORKING GROUP DEVELOPED A 575 00:24:07,760 --> 00:24:09,640 HIGH LEVEL FRAMEWORK WHICH WAS 576 00:24:09,640 --> 00:24:11,360 PRESENTED TO THE INSTITUTE AND 577 00:24:11,360 --> 00:24:12,840 CENTER DIRECTORS IN JANUARY, 578 00:24:12,840 --> 00:24:17,640 APPROVED BY THEM. 579 00:24:17,640 --> 00:24:19,480 WE THEN SOUGHT PUBLIC COMMENT 580 00:24:19,480 --> 00:24:21,600 BOTH EXTERNAL PUBLIC COMMENT BUT 581 00:24:21,600 --> 00:24:23,320 ALSO INTERNAL TO NIH, AND I'M 582 00:24:23,320 --> 00:24:25,520 SURE THIS WILL SURPRISE NONE OF 583 00:24:25,520 --> 00:24:28,520 YOU, OUR STAFF ARE NOT BASHFUL, 584 00:24:28,520 --> 00:24:29,640 AND THEY, YOU KNOW, CERTAINLY 585 00:24:29,640 --> 00:24:30,600 EXPRESSED THEIR VIEWS. 586 00:24:30,600 --> 00:24:33,440 AND THAT WAS VERY HELPFUL. 587 00:24:33,440 --> 00:24:36,160 WE'RE CURRENTLY AT PHASE 4 OF 588 00:24:36,160 --> 00:24:38,680 THIS. 589 00:24:38,680 --> 00:24:40,120 WE'RE REFINING THE FRAMEWORK 590 00:24:40,120 --> 00:24:44,160 INFORMED BY THE INPUT THAT WE 591 00:24:44,160 --> 00:24:46,000 RECEIVED DURING PHASE 3. 592 00:24:46,000 --> 00:24:51,200 AND THE WORKING GROUP IS NOW 593 00:24:51,200 --> 00:24:52,080 DRAFTING A PLAN. 594 00:24:52,080 --> 00:24:53,600 AND OUR GOAL IS TO HAVE THIS 595 00:24:53,600 --> 00:24:57,640 DONE BY THE END OF THE SUMMER. 596 00:24:57,640 --> 00:25:01,080 AND I THINK WE'RE ON TRACK AND 597 00:25:01,080 --> 00:25:04,040 WE SHOULD BE ABLE TO MAKE THAT. 598 00:25:04,040 --> 00:25:06,080 IF I COULD GO IN THE NEXT SLIDE 599 00:25:06,080 --> 00:25:06,880 PLEASE. 600 00:25:06,880 --> 00:25:08,640 JUST TO GIVE, AGAIN, A HIGH 601 00:25:08,640 --> 00:25:12,480 LEVEL SCOPE OF THE PLAN, IT 602 00:25:12,480 --> 00:25:15,080 REALLY WILL DELVE INTO THE STEPS 603 00:25:15,080 --> 00:25:17,920 THAT THE AGENCY CAN TAKE TO 604 00:25:17,920 --> 00:25:22,920 EMBRACE, TO INTEGRATE, AND TO 605 00:25:22,920 --> 00:25:23,520 STRENGTHEN DIVERSITY, EQUITY, 606 00:25:23,520 --> 00:25:25,600 INCLUSION, AND ACCESSIBILITY 607 00:25:25,600 --> 00:25:27,120 ACROSS ALL OF OUR ACTIVITIES IN 608 00:25:27,120 --> 00:25:30,560 SERVICE OF THE NIH MISSION. 609 00:25:30,560 --> 00:25:33,240 WE WANT NIH TO BE A 610 00:25:33,240 --> 00:25:34,640 PEOPLE-CENTERED ORGANIZATION. 611 00:25:34,640 --> 00:25:37,360 WE WANT NIH TO BE REPRESENTATIVE 612 00:25:37,360 --> 00:25:38,320 OF THE NATION'S DIVERSITY. 613 00:25:38,320 --> 00:25:41,840 WE WANT NIH TO BE A PLACE WHERE 614 00:25:41,840 --> 00:25:46,160 EVERYBODY HAS A SENSE OF 615 00:25:46,160 --> 00:25:46,440 BELONGING. 616 00:25:46,440 --> 00:25:49,120 AND SO, THE PLAN WILL CAPTURE 617 00:25:49,120 --> 00:25:50,960 THE MANY ACTIVITIES THAT WE HAVE 618 00:25:50,960 --> 00:25:55,480 ALREADY BEGUN AND WILL CONTINUE 619 00:25:55,480 --> 00:25:57,800 TO UNDERTAKE TO MAKE THE 620 00:25:57,800 --> 00:26:00,200 OVERARCING VISION OF THE PLAN, 621 00:26:00,200 --> 00:26:03,120 AND WE'VE HARMONIZED THIS 622 00:26:03,120 --> 00:26:05,240 FRAMEWORK WITH PRIORS ORGANIZED 623 00:26:05,240 --> 00:26:06,480 AROUND ACCOMPLISHMENTS, NEEDS, 624 00:26:06,480 --> 00:26:07,080 OPPORTUNITIES, AND CHALLENGES. 625 00:26:07,080 --> 00:26:10,880 IF I COULD HAVE THE NEXT SLIDE. 626 00:26:10,880 --> 00:26:14,280 SO, THE OBJECTIVES ARE 627 00:26:14,280 --> 00:26:16,600 ARTICULATED HERE, TO GROW AND 628 00:26:16,600 --> 00:26:19,960 SUSTAIN THESE EFFORTS TO 629 00:26:19,960 --> 00:26:27,120 STRUCTURAL AND CULTURAL CHANGE. 630 00:26:27,120 --> 00:26:28,560 IF THERE ARE STRUCTURAL 631 00:26:28,560 --> 00:26:29,400 BARRIERS, HARD WIRED, THAT GET 632 00:26:29,400 --> 00:26:30,960 IN THE WAY, YOU HAVE TO ADDRESS 633 00:26:30,960 --> 00:26:32,600 THOSE AS WELL. 634 00:26:32,600 --> 00:26:35,320 OBJECTIVE 2 TO IMPLEMENT 635 00:26:35,320 --> 00:26:36,200 ORGANIZATIONAL PRACTICES TO 636 00:26:36,200 --> 00:26:38,040 REALLY CENTER AND PRIORITIZE 637 00:26:38,040 --> 00:26:39,400 THIS IN THE WORKFORCE. 638 00:26:39,400 --> 00:26:41,880 IT CAN'T BE AN AFTERTHOUGHT, 639 00:26:41,880 --> 00:26:44,040 CAN'T BE THE THING YOU ADD ON. 640 00:26:44,040 --> 00:26:47,360 IT REALLY NEEDS TO BE INTEGRATED 641 00:26:47,360 --> 00:26:50,440 IN THE CORE OF EVERYTHING THAT 642 00:26:50,440 --> 00:26:52,720 WE DO. 643 00:26:52,720 --> 00:26:54,800 AND THEN FINALLY, WE'RE A 644 00:26:54,800 --> 00:26:56,440 RESEARCH ORGANIZATION. 645 00:26:56,440 --> 00:26:59,160 AND WE HAVE TO ADVANCE 646 00:26:59,160 --> 00:27:01,360 DIVERSITY, EQUITY, INCLUSION, 647 00:27:01,360 --> 00:27:02,680 AND ACCESSIBILITY THROUGH 648 00:27:02,680 --> 00:27:05,160 RESEARCH, BOTH THROUGH WORKFORCE 649 00:27:05,160 --> 00:27:07,080 RESEARCH AND HEALTH RESEARCH. 650 00:27:07,080 --> 00:27:10,800 AND WE FEEL THAT WE HAVE MADE A 651 00:27:10,800 --> 00:27:14,440 REASONABLE START ON THIS, AND WE 652 00:27:14,440 --> 00:27:16,240 WORK THROUGH HERE LOCALLY AT NIH 653 00:27:16,240 --> 00:27:17,680 BUT ALSO UP THROUGH THE 654 00:27:17,680 --> 00:27:18,520 DEPARTMENT AND UP UNTIL, YOU 655 00:27:18,520 --> 00:27:23,600 KNOW, THROUGH THE WHITE HOUSE. 656 00:27:23,600 --> 00:27:25,680 SO, THIS IS 657 00:27:25,680 --> 00:27:26,320 ACROSS-THE-GOVERNMENT ACTIVITY, 658 00:27:26,320 --> 00:27:27,880 AND WE'RE CERTAINLY WANTING TO 659 00:27:27,880 --> 00:27:35,680 DO MORE THAN OUR PART IN THIS 660 00:27:35,680 --> 00:27:35,960 EFFORT. 661 00:27:35,960 --> 00:27:36,720 LAST SLIDE PLEASE. 662 00:27:36,720 --> 00:27:37,800 I WANT TO THANK YOU. 663 00:27:37,800 --> 00:27:39,240 I APPRECIATE THE OPPORTUNITY FOR 664 00:27:39,240 --> 00:27:40,280 BRIEF OPPORTUNITIES. 665 00:27:40,280 --> 00:27:44,840 NOW I WILL TURN IT OVER TO DR. 666 00:27:44,840 --> 00:27:45,440 GILMAN. 667 00:27:45,440 --> 00:27:46,560 >> I WAS FORTUNATE 668 00:27:46,560 --> 00:27:47,680 ENOUGH TO BE SELECTED 669 00:27:47,680 --> 00:27:50,880 TO BE THE FIRST CEO OF THE NIH 670 00:27:50,880 --> 00:27:52,040 CLINICAL CENTER. I'VE 671 00:27:52,040 --> 00:27:54,240 BEEN VERY PRIVILEGED TO HAVE THE 672 00:27:54,240 --> 00:27:59,640 CHANCE TO WORK WITH LAURA AND 673 00:27:59,640 --> 00:28:01,440 THIS ENTIRE BOARD, AND BY THE 674 00:28:01,440 --> 00:28:04,720 WAY, VAN HEARD THAT YOU TOOK THE 675 00:28:04,720 --> 00:28:06,840 JOB FOR TWO AND HAVE BEEN HERE 676 00:28:06,840 --> 00:28:10,680 FOR SIX AND HE'S RETHINKING 677 00:28:10,680 --> 00:28:10,920 RIGHT NOW. 678 00:28:10,920 --> 00:28:13,720 [LAUGHTER] 679 00:28:13,720 --> 00:28:15,720 YOU DON'T WANT US TO DO THAT 680 00:28:15,720 --> 00:28:15,920 AGAIN. 681 00:28:15,920 --> 00:28:18,840 WE HAVE A LETTER SIGNED BY DR. 682 00:28:18,840 --> 00:28:20,760 TABAK AND DR. SCHWETZ. 683 00:28:20,760 --> 00:28:25,480 AND I'M SURE YOU HAVE PLENTY OF 684 00:28:25,480 --> 00:28:27,240 OTHER CERTIFICATES. 685 00:28:27,240 --> 00:28:30,520 THERE'S ONE. 686 00:28:30,520 --> 00:28:33,440 AND YOU MIGHT HAVE NOTICED THERE 687 00:28:33,440 --> 00:28:35,640 WAS SOMETHING MISSING AT YOUR 688 00:28:35,640 --> 00:28:36,440 SEAT WHEN YOU -- 689 00:28:36,440 --> 00:28:44,000 >> THIS MUST BE MY GAVEL! 690 00:28:44,000 --> 00:28:45,280 >> THERE YOU GO. 691 00:28:45,280 --> 00:28:46,920 >> THIS IS ALWAYS SO FUNNY, WHEN 692 00:28:46,920 --> 00:28:51,080 THE GAVEL WOULD BE HERE. 693 00:28:51,080 --> 00:28:55,920 IT FELT IMPORTANT TO BANG IT. 694 00:28:55,920 --> 00:29:01,160 AWESOME! 695 00:29:01,160 --> 00:29:02,160 THERE WE GO. 696 00:29:02,160 --> 00:29:03,040 THERE IT IS. 697 00:29:03,040 --> 00:29:06,600 IT'S GOT MY NAME ON IT. 698 00:29:06,600 --> 00:29:07,080 CONGRATULATIONS. 699 00:29:07,080 --> 00:29:07,520 SO THANK YOU. 700 00:29:07,520 --> 00:29:09,760 [APPLAUSE] 701 00:29:09,760 --> 00:29:15,600 WELCOME TO ALL OF THE NEW 702 00:29:15,600 --> 00:29:19,440 MEMBERS, AND MANY THANKS TO 703 00:29:19,440 --> 00:29:24,160 LAURA AND WE GET RICK SHANNON 704 00:29:24,160 --> 00:29:26,640 FOR ONE MORE, AND RUTH 705 00:29:26,640 --> 00:29:27,520 WILLIAMS-BRINKLEY FOR THEIR LONG 706 00:29:27,520 --> 00:29:32,760 PERIOD OF SERVICE TO THE BOARD, 707 00:29:32,760 --> 00:29:39,480 AND WELCOME TO DR. CUNNINGHAM 708 00:29:39,480 --> 00:29:43,280 AND TO DR. DEVASKAR FOR THEIR 709 00:29:43,280 --> 00:29:44,280 ARGUES AT THIS MEETING. 710 00:29:44,280 --> 00:29:46,800 AND SO I'LL HAVE A SHORT 711 00:29:46,800 --> 00:29:51,200 PRESENTATION, SHORTER THAN I 712 00:29:51,200 --> 00:29:57,720 USUALLY HAVE, BUT I'LL BE BACK 713 00:29:57,720 --> 00:29:58,560 TO GIVE FIVE-YEAR RUNNING 714 00:29:58,560 --> 00:30:05,280 SUMMARY OF THE THINGS WE'VE 715 00:30:05,280 --> 00:30:08,120 GOTTEN ACCOMPLISHED SINCE 2017. 716 00:30:08,120 --> 00:30:09,880 WELCOME TO THE BOARD MEMBERS. 717 00:30:09,880 --> 00:30:11,920 DAVID CHEN WANTED TO KNOW WHY HE 718 00:30:11,920 --> 00:30:13,840 WAS STILL PENDING. 719 00:30:13,840 --> 00:30:15,560 THINGS ARE HAPPENING. 720 00:30:15,560 --> 00:30:16,880 IT'S GOING ACCORDING TO THE WAY 721 00:30:16,880 --> 00:30:19,280 THINGS GO, IT'S JUST THE WAY IT 722 00:30:19,280 --> 00:30:19,720 IS. 723 00:30:19,720 --> 00:30:21,680 WE'RE VERY GLAD YOU'RE HERE. 724 00:30:21,680 --> 00:30:23,200 AND YOU KNOW THAT LAURA AND 725 00:30:23,200 --> 00:30:27,600 RUTH, THIS IS THEIR LAST 726 00:30:27,600 --> 00:30:27,840 MEETING. 727 00:30:27,840 --> 00:30:29,920 AND I'VE KNOWN VAN COOTS FOR 728 00:30:29,920 --> 00:30:31,840 ABOUT 20 YEARS AND HAVE A 729 00:30:31,840 --> 00:30:33,640 TREMENDOUS AMOUNT OF 730 00:30:33,640 --> 00:30:36,240 APPRECIATION FOR HIS WILLINGNESS 731 00:30:36,240 --> 00:30:38,440 TO STEP IN AND FILL I THINK A 732 00:30:38,440 --> 00:30:39,480 POSITION THAT'S ACTUALLY PRETTY 733 00:30:39,480 --> 00:30:41,160 DIFFICULT TO FILL. 734 00:30:41,160 --> 00:30:44,120 BUT I'VE KNOWN VAN NOT TO SHY 735 00:30:44,120 --> 00:30:47,400 AWAY FROM A CHALLENGE, AND HE 736 00:30:47,400 --> 00:30:49,680 IS -- HAS WILLINGLY ACCEPTED 737 00:30:49,680 --> 00:30:52,760 ANOTHER ONE. 738 00:30:52,760 --> 00:30:56,400 AND PAT ACTUALLY RESEARCH THE 739 00:30:56,400 --> 00:30:59,240 SOME OF THESE QUOTES FROM VAN 740 00:30:59,240 --> 00:31:04,960 ONLINE AND I'LL LET YOU READ 741 00:31:04,960 --> 00:31:07,280 THEM AT YOUR LEISURE. 742 00:31:07,280 --> 00:31:12,080 AND SO THE NIH CLINICAL CENTER 743 00:31:12,080 --> 00:31:20,120 DID WELL, SPRING HONOREES, KAREN 744 00:31:20,120 --> 00:31:21,920 FRANK RECEIVED THE SECRETARY'S 745 00:31:21,920 --> 00:31:23,680 AWARD FOR MERITORIOUS SERVICE, 746 00:31:23,680 --> 00:31:28,280 THIS WAS FOR SETTING UP AN 747 00:31:28,280 --> 00:31:32,080 ENTIRE SERIES OF ASSAYS TO DO 748 00:31:32,080 --> 00:31:33,720 COVID-19 BEFORE THOSE ASSAYS 749 00:31:33,720 --> 00:31:35,480 WERE WIDELY AVAILABLE, EVEN 750 00:31:35,480 --> 00:31:43,200 BEFORE THE CDC HAD DISTRIBUTED 751 00:31:43,200 --> 00:31:45,120 DISTRIBUTED WE WERE ABLE TO DO 752 00:31:45,120 --> 00:31:50,080 COVID-19 DIAGNOSTICS HERE. 753 00:31:50,080 --> 00:31:52,560 L EIGHTON CHAN RECEIVED THE HHS 754 00:31:52,560 --> 00:31:59,720 AWARD FOR EXCELLENCE IN 755 00:31:59,720 --> 00:32:00,280 MANAGEMENT. 756 00:32:00,280 --> 00:32:03,200 LEIGHTON IS THE NIH KING AT THE 757 00:32:03,200 --> 00:32:04,600 WORKING IN THE INTERAGENCY 758 00:32:04,600 --> 00:32:07,800 WORLD, DOES WORK WITH THE SOCIAL 759 00:32:07,800 --> 00:32:11,320 SECURITY ADMINISTRATION, AS WELL 760 00:32:11,320 --> 00:32:14,720 AS MOST RECENTLY WITH A NUMBER 761 00:32:14,720 --> 00:32:17,240 OF SECURITY AGENCIES, AND THEN 762 00:32:17,240 --> 00:32:22,120 LAST BUT NOT LEAST BOB 763 00:32:22,120 --> 00:32:24,520 DECHRISTOFORO RETIRED. 764 00:32:24,520 --> 00:32:34,880 WE HAD A NICE ONLINE RETIREMENT 765 00:32:34,880 --> 00:32:36,320 SOIREE FOR BOB, HONORED FOR 50 766 00:32:36,320 --> 00:32:39,440 YEARS OF GOVERNMENT SERVICE. 767 00:32:39,440 --> 00:32:41,760 SOME TEAM AWARDS, THE RADx 768 00:32:41,760 --> 00:32:46,840 DIAGNOSTICS INITIATIVE THAT LED 769 00:32:46,840 --> 00:32:49,000 TO FILLING MANY DRUG STORE AND 770 00:32:49,000 --> 00:32:50,600 PHARMACY SHELVES WITH HOME TESTS 771 00:32:50,600 --> 00:32:53,800 FOR COVID-19, AND THERE ARE A 772 00:32:53,800 --> 00:32:55,240 COUPLE OF FOLKS FROM NURSING WHO 773 00:32:55,240 --> 00:32:59,920 ARE PART OF THAT EFFORT. 774 00:32:59,920 --> 00:33:01,160 AND THEN THE DIVISION OF 775 00:33:01,160 --> 00:33:02,280 CLINICAL RESEARCH COVID-19 776 00:33:02,280 --> 00:33:04,560 RESPONSE TEAM ALEX ARCHER ALSO 777 00:33:04,560 --> 00:33:08,880 FROM CLINICAL CENTER NURSING 778 00:33:08,880 --> 00:33:09,400 DEPARTMENT. 779 00:33:09,400 --> 00:33:11,320 AND THEN HUBERT H HUMPHREY AWARD 780 00:33:11,320 --> 00:33:12,800 FOR SERVICE TO AMERICA WENT TO 781 00:33:12,800 --> 00:33:16,440 OFFICE OF REFUGEE AND 782 00:33:16,440 --> 00:33:17,320 RESETTLEMENT TEAM, AND 783 00:33:17,320 --> 00:33:19,480 ADMINISTRATION FOR CHILDREN AND 784 00:33:19,480 --> 00:33:20,600 FAMILIES. 785 00:33:20,600 --> 00:33:24,760 AND THERE ARE NUMEROUS CLINICAL 786 00:33:24,760 --> 00:33:25,720 CENTER VOLUNTEERS, A NUMBER OF 787 00:33:25,720 --> 00:33:27,520 WHOM WERE PART OF PUBLIC HEALTH 788 00:33:27,520 --> 00:33:29,240 SERVICE AND A NUMBER OF 789 00:33:29,240 --> 00:33:30,320 CIVILIANS WHO PARTICIPATED IN 790 00:33:30,320 --> 00:33:31,920 THAT ROLE, NOT JUST CLINICAL 791 00:33:31,920 --> 00:33:34,960 CENTER STAFF BUT ACROSS THE NIH. 792 00:33:34,960 --> 00:33:38,840 EVEN AT AN INSTITUTE DIRECTOR, 793 00:33:38,840 --> 00:33:39,680 JOSH GORDON FROM NATIONAL 794 00:33:39,680 --> 00:33:41,600 INSTITUTE OF MENTAL HEALTH, WENT 795 00:33:41,600 --> 00:33:45,560 TO TEXAS TO BE PART OF THAT 796 00:33:45,560 --> 00:33:46,000 EFFORT. 797 00:33:46,000 --> 00:33:47,760 IN TERMS OF KEY STAFF UPDATES, 798 00:33:47,760 --> 00:33:49,880 THIS IS SOMETHING THAT OCCUPIES 799 00:33:49,880 --> 00:33:50,920 A LOT OF OUR TIME. 800 00:33:50,920 --> 00:33:54,520 I WILL NOT GO INTO DETAIL HERE 801 00:33:54,520 --> 00:33:56,920 ABOUT THE PROCEDURES AND 802 00:33:56,920 --> 00:33:59,040 POLICIES AT THE NIH, JUST SORT 803 00:33:59,040 --> 00:34:00,560 OF YOU CAN EXTRAPOLATE FROM THE 804 00:34:00,560 --> 00:34:02,480 FACT OF HOW LONG IT TAKES TO GET 805 00:34:02,480 --> 00:34:04,600 YOU APPOINTED TO BE A MEMBER OF 806 00:34:04,600 --> 00:34:06,040 THIS GROUPO HOW IT TAKES 807 00:34:06,040 --> 00:34:09,200 TO FILL KEY POSITIONS OF THE 808 00:34:09,200 --> 00:34:09,800 NIH. 809 00:34:09,800 --> 00:34:11,760 WHEN I WAS HIRED AFTER REALLY A 810 00:34:11,760 --> 00:34:13,920 FIVE OR SIX-MONTH EFFORT I WAS 811 00:34:13,920 --> 00:34:16,560 TOLD THAT WAS WARP SPEED FOR THE 812 00:34:16,560 --> 00:34:16,880 NIH. 813 00:34:16,880 --> 00:34:19,280 I DIDN'T BELIEVE IT AT THE TIME. 814 00:34:19,280 --> 00:34:19,920 I DO NOW. 815 00:34:19,920 --> 00:34:22,760 AND SO WE'RE IN THE PROCESS, WE 816 00:34:22,760 --> 00:34:25,200 HAVE A VERY GOOD ACTING CHIEF 817 00:34:25,200 --> 00:34:26,840 NURSE OFFICER BUT WE'RE STILL IN 818 00:34:26,840 --> 00:34:29,320 THE PROCESS OF FILLING THAT 819 00:34:29,320 --> 00:34:30,560 POSITION PERMANENTLY. 820 00:34:30,560 --> 00:34:34,120 MARIA JOYCE RETIRED AT THE END 821 00:34:34,120 --> 00:34:35,560 OF 2021, SO WE'RE IN THE 822 00:34:35,560 --> 00:34:39,520 BUSINESS OF FINDING THE NEXT 823 00:34:39,520 --> 00:34:40,520 CHIEF FINANCIAL OFFICER, 824 00:34:40,520 --> 00:34:42,160 FORTUNATELY THE CHIEF OPERATING 825 00:34:42,160 --> 00:34:43,360 OFFICER OF THE CLINICAL CENTER 826 00:34:43,360 --> 00:34:45,280 COMES FROM A RESOURCE MANAGEMENT 827 00:34:45,280 --> 00:34:50,560 BACKGROUND IN THE MILITARY, AND 828 00:34:50,560 --> 00:34:52,880 PIUS AS FILLED IN WITH SOME 829 00:34:52,880 --> 00:34:55,480 YOUNGER STAFF IN THAT 830 00:34:55,480 --> 00:34:56,040 DEPARTMENT. 831 00:34:56,040 --> 00:34:56,920 WE'RE ABOUT HALFWAY THROUGH I 832 00:34:56,920 --> 00:34:58,640 THINK, MAYBE A LITTLE OVER 833 00:34:58,640 --> 00:34:59,440 HALFWAY THROUGH, FINDING THE 834 00:34:59,440 --> 00:35:02,920 NEXT CHIEF OF THE PHARMACY 835 00:35:02,920 --> 00:35:03,320 DEPARTMENT. 836 00:35:03,320 --> 00:35:06,000 AS LARRY INDICATED, IN HIS 837 00:35:06,000 --> 00:35:06,560 PRESENTATION, THE PHARMACY 838 00:35:06,560 --> 00:35:10,280 DEPARTMENT WAS SORT OF WHERE IT 839 00:35:10,280 --> 00:35:11,560 ALL BEGAN. 840 00:35:11,560 --> 00:35:15,840 AND WE NOW HAVE A BEAUTIFUL NEW 841 00:35:15,840 --> 00:35:18,040 PHARMACY FACILITY WHERE WE 842 00:35:18,040 --> 00:35:21,520 ALREADY MOVED THE UNIT DOSE OR 843 00:35:21,520 --> 00:35:22,200 INPATIENT PHARMACY AND 844 00:35:22,200 --> 00:35:23,400 OUTPATIENT PHARMACY IN, AND IT'S 845 00:35:23,400 --> 00:35:25,400 UP AND OPERATING AND WORKING 846 00:35:25,400 --> 00:35:26,000 WELL. 847 00:35:26,000 --> 00:35:34,120 WE HAVE NOT MOVED THE 848 00:35:34,120 --> 00:35:35,280 INTRAVENOUS ADMIXTURE UNIT. 849 00:35:35,280 --> 00:35:36,760 THERE'S A LOT OF COMMISSIONS AND 850 00:35:36,760 --> 00:35:37,960 TRAINING WORK THAT NEEDS TO GO 851 00:35:37,960 --> 00:35:40,280 ON IN THERE BEFORE THAT WILL 852 00:35:40,280 --> 00:35:40,800 HAPPEN. 853 00:35:40,800 --> 00:35:43,600 BUT WE ARE MAKING PROGRESS ON 854 00:35:43,600 --> 00:35:47,400 THAT ALL THE TIME. 855 00:35:47,400 --> 00:35:49,360 AND WE'RE ALMOST ALL BACK TO 856 00:35:49,360 --> 00:35:50,480 WORK, ALTHOUGH THERE'S A LOT 857 00:35:50,480 --> 00:35:53,200 MORE TELEWORK THAT GOES ON BUT 858 00:35:53,200 --> 00:35:58,000 IT'S MORE PART TIME THAN BEFORE. 859 00:35:58,000 --> 00:36:00,120 CENSUS HAS NOT COME BACK FROM 860 00:36:00,120 --> 00:36:03,240 THE START OF THE PANDEMIC, THE 861 00:36:03,240 --> 00:36:04,240 INPATIENT CENSUS HAS NOT COME 862 00:36:04,240 --> 00:36:05,680 BACK SINCE THE START OF THE 863 00:36:05,680 --> 00:36:07,000 PANDEMIC, AND I'M NOT SURE IF OR 864 00:36:07,000 --> 00:36:08,400 WHEN THAT IS GOING TO HAPPEN, 865 00:36:08,400 --> 00:36:10,280 BUT IT IS SOMETHING THAT WE 866 00:36:10,280 --> 00:36:11,520 WATCH VERY CLOSELY AND SOMETHING 867 00:36:11,520 --> 00:36:14,960 THAT CONCERNS US A LITTLE BIT. 868 00:36:14,960 --> 00:36:19,520 I'LL GET INTO THIS MORE IN THE 869 00:36:19,520 --> 00:36:20,320 NEXT PRESENTATION, BUT I THINK 870 00:36:20,320 --> 00:36:21,760 OVER THE COURSE OF THE NEXT 871 00:36:21,760 --> 00:36:24,640 COUPLE YEARS THERE WILL BE A 872 00:36:24,640 --> 00:36:26,000 REEXAMINATION OF WHAT RESEARCH 873 00:36:26,000 --> 00:36:29,320 AT THE NIH CLINICAL CENTER 874 00:36:29,320 --> 00:36:32,080 REALLY IS AND IS SUPPOSED TO BE 875 00:36:32,080 --> 00:36:34,240 IN THE VIRTUAL WORLD. 876 00:36:34,240 --> 00:36:37,520 I DON'T THINK THAT HAS REALLY 877 00:36:37,520 --> 00:36:38,400 HAPPENED. 878 00:36:38,400 --> 00:36:40,440 I WOULD SAY SORT OF THE 879 00:36:40,440 --> 00:36:43,000 TRADITION, THE HISTORY, THE 880 00:36:43,000 --> 00:36:44,720 DOGMA IS THE RESEARCH AT THE NIH 881 00:36:44,720 --> 00:36:46,480 CLINICAL CENTER SHOULD FOCUS ON 882 00:36:46,480 --> 00:36:48,480 THINGS THAT CAN'T BE DONE 883 00:36:48,480 --> 00:36:50,480 ANYTHING ELSE, AND WHEN YOU 884 00:36:50,480 --> 00:36:53,200 START WITH TELEHEALTH AND 885 00:36:53,200 --> 00:36:54,760 WORKING REMOTELY, YOU SORT OF 886 00:36:54,760 --> 00:36:57,160 HAVE TAKEN YOURSELF OUT OF THAT 887 00:36:57,160 --> 00:36:58,040 GAME. 888 00:36:58,040 --> 00:36:59,760 SO THERE'S ALWAYS BEEN A LOT OF 889 00:36:59,760 --> 00:37:02,400 WORK INVOLVED IN BEING PRESENT 890 00:37:02,400 --> 00:37:05,440 AT THE CLINICAL CENTER, AND WE 891 00:37:05,440 --> 00:37:06,600 INVEST SIGNIFICANTLY IN PATIENT 892 00:37:06,600 --> 00:37:08,080 TRAVEL AND OTHER KINDS OF 893 00:37:08,080 --> 00:37:08,560 THINGS. 894 00:37:08,560 --> 00:37:10,280 I THINK THAT'S ONE OF THE 895 00:37:10,280 --> 00:37:11,600 CONSTRUCTS THAT WILL NEED TO BE 896 00:37:11,600 --> 00:37:13,960 EXAMINED OVER THE NEXT TWO OR 897 00:37:13,960 --> 00:37:14,560 THREE YEARS. 898 00:37:14,560 --> 00:37:16,640 THE GOOD NEWS IS THAT OUR CLINIC 899 00:37:16,640 --> 00:37:17,640 VISITS ARE UP. 900 00:37:17,640 --> 00:37:21,000 WE'RE SEEING MORE PATIENTS THAN 901 00:37:21,000 --> 00:37:21,880 THE OUTPATIENT CLINIC, NEW 902 00:37:21,880 --> 00:37:24,280 PATIENT NUMBERS ARE UP FROM FY 903 00:37:24,280 --> 00:37:25,960 21 TO 22. 904 00:37:25,960 --> 00:37:27,960 THESE ARE NOT BACK TO 905 00:37:27,960 --> 00:37:28,960 PRE-PANDEMIC NUMBERS, BUT THEY 906 00:37:28,960 --> 00:37:32,720 ARE AT LEAST HEADED IN THE RIGHT 907 00:37:32,720 --> 00:37:32,960 DIRECTION. 908 00:37:32,960 --> 00:37:35,120 AND MOST DAYS THE CLINICS ARE 909 00:37:35,120 --> 00:37:36,000 PRETTY BUSY. 910 00:37:36,000 --> 00:37:38,320 AND THEN YOU ADD IN THE 911 00:37:38,320 --> 00:37:39,200 TELEHEALTH APPOINTMENTS. 912 00:37:39,200 --> 00:37:40,960 AGAIN, BEFORE THE PANDEMIC 913 00:37:40,960 --> 00:37:42,800 STARTED WE HAD NO TELEHEALTH 914 00:37:42,800 --> 00:37:43,280 PRESENCE. 915 00:37:43,280 --> 00:37:45,000 AND YOU CAN SEE THAT WE RELIED 916 00:37:45,000 --> 00:37:49,800 ON IT EVEN MORE HEAVILY BACK IN 917 00:37:49,800 --> 00:37:50,120 2021. 918 00:37:50,120 --> 00:37:52,480 BUT WE HAVE A STEADY BUSINESS 919 00:37:52,480 --> 00:37:59,440 AND IT SEEMS TO BE A SERVICE 920 00:37:59,440 --> 00:38:05,880 THAT IS ACCEPTED AND UTILIZED 921 00:38:05,880 --> 00:38:07,960 FAIRLY WELL, AND TRISH KOFFEY 922 00:38:07,960 --> 00:38:09,920 AND FOLKS IN INFORMATICS AND 923 00:38:09,920 --> 00:38:11,800 HEALTH INFORMATION MANAGEMENT 924 00:38:11,800 --> 00:38:15,760 DIVISION ARE ALWAYS TRYING TO 925 00:38:15,760 --> 00:38:18,360 CONTINUE TO IMPROVE IT. 926 00:38:18,360 --> 00:38:20,760 THERE'S NOT MUCH ON THIS 927 00:38:20,760 --> 00:38:22,520 SCHEDULE, ON THIS AGENDA TODAY 928 00:38:22,520 --> 00:38:24,200 THAT'S ABOUT COVID-19. 929 00:38:24,200 --> 00:38:29,760 WE GAVE CLIFF LANE THE DAY OFF. 930 00:38:29,760 --> 00:38:31,720 AND IT'S NOT -- AND IN PART IT'S 931 00:38:31,720 --> 00:38:33,280 BECAUSE WE'RE KIND OF DOING THE 932 00:38:33,280 --> 00:38:36,640 SAME THINGS WE'VE BEEN DOING FOR 933 00:38:36,640 --> 00:38:37,880 TWO YEARS. 934 00:38:37,880 --> 00:38:40,040 WE'VE BEEN MASKED IN THE 935 00:38:40,040 --> 00:38:43,320 BUILDING SINCE THE 2nd OF 936 00:38:43,320 --> 00:38:44,560 APRIL, WERE MASKED OUTSIDE UNTIL 937 00:38:44,560 --> 00:38:45,760 A FEW WEEKS AGO. 938 00:38:45,760 --> 00:38:47,400 WE REQUIRE THE USE OF FACE 939 00:38:47,400 --> 00:38:48,480 SHIELDS ON STAFF WHEN THEY ARE 940 00:38:48,480 --> 00:38:50,240 IN THE PATIENT ROOMS AND WE PUT 941 00:38:50,240 --> 00:38:52,440 MASKS ON PATIENTS WHEN WE GO IN 942 00:38:52,440 --> 00:38:54,040 THEIR ROOM. 943 00:38:54,040 --> 00:38:56,920 WE ARE STILL SOCIALLY 944 00:38:56,920 --> 00:39:03,400 DISTANCING, AND TRYING TO AVOID 945 00:39:03,400 --> 00:39:04,360 SOCIAL ISOLATION BUT EVERY ONCE 946 00:39:04,360 --> 00:39:06,520 IN A WHILE WE COME ACROSS 947 00:39:06,520 --> 00:39:08,560 SOMEBODY WHO IS STRUGGLING. 948 00:39:08,560 --> 00:39:09,520 THEY HAVE SOME DIFFICULTY 949 00:39:09,520 --> 00:39:11,280 BECAUSE THEY DON'T GET TO 950 00:39:11,280 --> 00:39:12,160 INTERACT WITH OTHER STAFF 951 00:39:12,160 --> 00:39:14,880 MEMBERS THE WAY THEY DID BEFORE 952 00:39:14,880 --> 00:39:15,640 THE PANDEMIC. 953 00:39:15,640 --> 00:39:19,040 ONE OF THE BIGGEST ISSUES TO 954 00:39:19,040 --> 00:39:21,520 DEAL WITH IS WHAT SOMEONE CALLED 955 00:39:21,520 --> 00:39:21,840 PRESENTEISM. 956 00:39:21,840 --> 00:39:24,240 PEOPLE WHO FEEL A LITTLE BIT BAD 957 00:39:24,240 --> 00:39:25,360 BUT NOT TERRIBLY BAD. 958 00:39:25,360 --> 00:39:27,240 SOMETIMES THEY EVEN DO A HOME 959 00:39:27,240 --> 00:39:30,280 ANTIGEN TEST AND TEST NEGATIVE, 960 00:39:30,280 --> 00:39:31,720 SO THEY THINK THAT THEY ARE SAFE 961 00:39:31,720 --> 00:39:35,960 TO GO OUT AND INTERACT WITH 962 00:39:35,960 --> 00:39:37,400 OTHER PEOPLE, AND, YOU KNOW, 963 00:39:37,400 --> 00:39:41,960 OFTEN WITH THE HOME ANTIGEN TEST 964 00:39:41,960 --> 00:39:44,640 IT'S DAY 2 OR DAY 3 OF DISEASE 965 00:39:44,640 --> 00:39:48,600 BEFORE THE TEST IS POSITIVE AND 966 00:39:48,600 --> 00:39:50,200 IN THE MEANTIME THEY HAVE 967 00:39:50,200 --> 00:39:51,640 INTERACTED WITH LOTS OF PEOPLE. 968 00:39:51,640 --> 00:39:54,240 WE'VE CUT BACK ON CONTACT 969 00:39:54,240 --> 00:39:55,240 TRACING BECAUSE IT BECAME -- 970 00:39:55,240 --> 00:39:58,960 BECAUSE OF THINGS I JUST TALKED 971 00:39:58,960 --> 00:40:02,040 ABOUT, IT BECAME ALMOST AN 972 00:40:02,040 --> 00:40:03,760 EXERCISE IN FUTILITY. 973 00:40:03,760 --> 00:40:05,720 AND WE HAVE EMPHASIZED HAND 974 00:40:05,720 --> 00:40:07,080 HYGIENE STARTING A YEAR AND A 975 00:40:07,080 --> 00:40:08,720 HALF BEFORE THE PANDEMIC, AND WE 976 00:40:08,720 --> 00:40:14,280 CONTINUE TO FOCUS ON THAT. 977 00:40:14,280 --> 00:40:16,800 LARRY TALKED ABOUT DEIA AT THE 978 00:40:16,800 --> 00:40:17,840 NIH LEVEL. 979 00:40:17,840 --> 00:40:20,400 THESE ARE OUR EFFORTS. 980 00:40:20,400 --> 00:40:23,800 WE HAVE A NEW DEIA WEBSITE WITH 981 00:40:23,800 --> 00:40:26,600 ROBUST RESOURCES AND CONSTANTLY 982 00:40:26,600 --> 00:40:27,400 UPGRADING ENHANCEMENT. 983 00:40:27,400 --> 00:40:32,640 WE HAVE CREATED A POSITION 984 00:40:32,640 --> 00:40:33,640 CALLED SCIENTIFIC DIVERSITY 985 00:40:33,640 --> 00:40:35,880 ADVISER, THAT POSITION HAS BEEN 986 00:40:35,880 --> 00:40:36,520 ADVERTISED. 987 00:40:36,520 --> 00:40:39,360 THERE ARE A NUMBER OF 988 00:40:39,360 --> 00:40:39,680 APPLICANTS. 989 00:40:39,680 --> 00:40:44,680 THE GROUP THAT'S GOING TO THE 990 00:40:44,680 --> 00:40:45,560 SELECTION, THE COMMITTEE, HAS 991 00:40:45,560 --> 00:40:46,920 BEEN SELECTED. 992 00:40:46,920 --> 00:40:49,680 THEY ARE WORKING OUT THE FINAL 993 00:40:49,680 --> 00:40:51,040 DETAILS ON THE QUESTIONS THAT 994 00:40:51,040 --> 00:40:55,560 CANDIDATES ARE GOING TO BE 995 00:40:55,560 --> 00:40:56,200 ASKED. 996 00:40:56,200 --> 00:40:57,400 AND THE QUESTIONS WILL FOCUS ON 997 00:40:57,400 --> 00:41:01,520 I WOULD SAY THE FULL BREADTH OF 998 00:41:01,520 --> 00:41:07,640 THE DEIA ISSUE RATHER THAN A 999 00:41:07,640 --> 00:41:09,880 PARTICULAR GROUP OR ISSUE. 1000 00:41:09,880 --> 00:41:13,480 WE ARE INVOLVED IN A CONTINUOUS 1001 00:41:13,480 --> 00:41:16,240 ASSESSMENT OF CLINICAL CENTER 1002 00:41:16,240 --> 00:41:19,120 WORKFORCE DEMOGRAPHICS, AND WE 1003 00:41:19,120 --> 00:41:22,760 ARE VERY DEPENDENT ON DATA FROM 1004 00:41:22,760 --> 00:41:23,520 NIH OFFICE OF DIVERSITY, EQUITY, 1005 00:41:23,520 --> 00:41:27,560 INCLUSION, AND ACCESSIBILITY. 1006 00:41:27,560 --> 00:41:32,120 WE DID A CLINICAL CENTER DEIA 1007 00:41:32,120 --> 00:41:38,160 SURVEY, THE RESULTS ARE POSTED 1008 00:41:38,160 --> 00:41:40,120 ONLINE, AVAILABLE INSIDE THE 1009 00:41:40,120 --> 00:41:41,080 NIH. 1010 00:41:41,080 --> 00:41:42,520 AND WE HAVE COMPLETED AND 1011 00:41:42,520 --> 00:41:46,400 SUBMITTED TO DR. TABAK AND DR. 1012 00:41:46,400 --> 00:41:53,560 SCHWETZ AND OGC AND EDI, OUR NIH 1013 00:41:53,560 --> 00:41:56,960 RACIAL AND ETHNIC EQUITY MAN. 1014 00:41:56,960 --> 00:41:58,040 WE'VE RECEIVED FEEDBACK, HAVE 1015 00:41:58,040 --> 00:42:01,680 PLACES TO TIGHTEN UP WORDING BUT 1016 00:42:01,680 --> 00:42:03,320 BY AND LARGE THE PEOPLE WHO PUT 1017 00:42:03,320 --> 00:42:06,600 TOGETHER THE PLAN DID A 1018 00:42:06,600 --> 00:42:08,040 WONDERFUL JOB. 1019 00:42:08,040 --> 00:42:09,560 WE HAVE INITIATIVES THAT WE 1020 00:42:09,560 --> 00:42:12,840 THINK WE CAN ACTUALLY DO. 1021 00:42:12,840 --> 00:42:19,560 SO, THESE ARE THE SIX THAT WE'VE 1022 00:42:19,560 --> 00:42:21,280 PUT ON OUR PLAN. 1023 00:42:21,280 --> 00:42:24,680 THE FIRST ONE IS WE WILL LEARN 1024 00:42:24,680 --> 00:42:27,320 TO LOOK AT EVERYTHING WE DO WITH 1025 00:42:27,320 --> 00:42:28,520 RESPECT TO RECOGNITION, 1026 00:42:28,520 --> 00:42:29,800 RETENTION, DEVELOPMENT PROGRAMS 1027 00:42:29,800 --> 00:42:30,920 AT THE NIH CLINICAL CENTER 1028 00:42:30,920 --> 00:42:32,720 THROUGH WHAT WE CALL THE RACIAL 1029 00:42:32,720 --> 00:42:34,720 AND ETHNIC EQUITY LENS. 1030 00:42:34,720 --> 00:42:37,400 WHEN I TOOK THIS JOB, WE APPLIED 1031 00:42:37,400 --> 00:42:39,240 THE PATIENT SAFETY LENS TO 1032 00:42:39,240 --> 00:42:44,840 EVERYTHING WE DID. 1033 00:42:44,840 --> 00:42:46,240 AND THIS AND THE REEL IS SAYING 1034 00:42:46,240 --> 00:42:48,120 YOU HAVE ANOTHER LENS TO MAKE 1035 00:42:48,120 --> 00:42:50,440 SURE IT'S EQUITABLE AND FAIR. 1036 00:42:50,440 --> 00:42:51,480 THE CLINICAL CENTER NURSING 1037 00:42:51,480 --> 00:42:53,600 DEPARTMENT IS LEADING THE WAY IN 1038 00:42:53,600 --> 00:42:55,400 CREATING A WRITTEN POLICY FOR 1039 00:42:55,400 --> 00:42:56,640 HIRING AND ADVANCEMENT IN THE 1040 00:42:56,640 --> 00:42:57,520 CLINICAL CENTER. 1041 00:42:57,520 --> 00:42:59,840 THE REST OF US WILL RIFF OFF 1042 00:42:59,840 --> 00:43:00,600 THEIR PLAN. 1043 00:43:00,600 --> 00:43:01,360 AGAIN, WE STARTED WITH THEM 1044 00:43:01,360 --> 00:43:03,720 BECAUSE THEY ARE THE LARGEST 1045 00:43:03,720 --> 00:43:07,800 DEPARTMENT IN THE HOSPITAL. 1046 00:43:07,800 --> 00:43:10,200 AND THE REST OF US WILL ADRAFT 1047 00:43:10,200 --> 00:43:13,280 THEIR PLAN FOR THE OTHER AREAS. 1048 00:43:13,280 --> 00:43:16,360 WE ARE TRYING TO ADDRESS HIRING 1049 00:43:16,360 --> 00:43:20,720 GAPS IN SENIOR POSITIONS BY 1050 00:43:20,720 --> 00:43:23,120 CHANGING SOME OF THE SELECTION 1051 00:43:23,120 --> 00:43:25,120 PARAMETERS AND LANGUAGE WE USE 1052 00:43:25,120 --> 00:43:30,280 IN ADVERTISING THE POSITIONS AND 1053 00:43:30,280 --> 00:43:31,440 PRIORITIZING PARTICIPATION AND 1054 00:43:31,440 --> 00:43:35,560 DOCUMENTED PARTICIPATION IN 1055 00:43:35,560 --> 00:43:36,120 EFFORTS TO IMPROVE EQUITY, 1056 00:43:36,120 --> 00:43:37,800 DIVERSITY, AND INCLUSION IN THE 1057 00:43:37,800 --> 00:43:38,760 SELECTION CRITERIA. 1058 00:43:38,760 --> 00:43:42,800 WE HAVE ALWAYS HAD A PRETTY GOOD 1059 00:43:42,800 --> 00:43:45,160 OUTREACH TO MINORITY-SERVING 1060 00:43:45,160 --> 00:43:45,480 INSTITUTIONS. 1061 00:43:45,480 --> 00:43:46,560 HOWEVER, WE HAVEN'T ALWAYS 1062 00:43:46,560 --> 00:43:48,160 MEASURED HOW WE -- WHETHER THAT 1063 00:43:48,160 --> 00:43:49,840 WAS PRODUCTIVE OR NOT. 1064 00:43:49,840 --> 00:43:56,200 AND SO WE HAVE TO BE MORE 1065 00:43:56,200 --> 00:43:57,280 INTENTIONAL ABOUT THAT. 1066 00:43:57,280 --> 00:43:59,000 WE-- IT WILL TAKE A WHILE TO 1067 00:43:59,000 --> 00:44:03,120 WORK OUT DETAILS OF THE AWARDS 1068 00:44:03,120 --> 00:44:04,320 AND RECOGNITION PROGRAM. 1069 00:44:04,320 --> 00:44:06,400 WE'VE ALWAYS HAD AWARDS AT THE 1070 00:44:06,400 --> 00:44:06,800 INDIVIDUAL LEVEL. 1071 00:44:06,800 --> 00:44:08,760 WHAT WE NEED ARE REALLY AWARDS 1072 00:44:08,760 --> 00:44:09,760 AT THE DEPARTMENTAL LEVEL. 1073 00:44:09,760 --> 00:44:12,160 IT WOULD TAKE TOO LONG TO 1074 00:44:12,160 --> 00:44:13,960 DESCRIBE OUR THOUGHTS ON THAT 1075 00:44:13,960 --> 00:44:16,160 AND OUR CONCEPTS BUT I THINK WE 1076 00:44:16,160 --> 00:44:17,680 ACTUALLY HAVE A PRETTY GOOD WAY 1077 00:44:17,680 --> 00:44:18,560 OF LOOKING AT IT. 1078 00:44:18,560 --> 00:44:21,600 THEN ONE OF THE THINGS WE FOUND 1079 00:44:21,600 --> 00:44:29,800 FROM OUR FOCUS GROUPS AND OUR 1080 00:44:29,800 --> 00:44:31,760 SURVEY WAS THAT ACCESSIBILITY OR 1081 00:44:31,760 --> 00:44:35,600 IN TERMS OF PHYSICAL AND MEDICAL 1082 00:44:35,600 --> 00:44:37,480 LIMITATIONS THAT THAT WAS 1083 00:44:37,480 --> 00:44:39,920 PROBABLY POORLY UNDERSTOOD BY A 1084 00:44:39,920 --> 00:44:43,520 NUMBER OF OUR STAFF. 1085 00:44:43,520 --> 00:44:46,120 AND SO WE HAVE AN IMPORTANT 1086 00:44:46,120 --> 00:44:47,240 TRAINING AND EDUCATION EFFORT 1087 00:44:47,240 --> 00:44:49,960 THAT WE HAVE TO UNDERTAKE IN 1088 00:44:49,960 --> 00:44:51,280 ORDER TO MAKE SOME PROGRESS 1089 00:44:51,280 --> 00:44:56,840 THERE ON THE A PART OF THE DEIA. 1090 00:44:56,840 --> 00:44:58,480 WE DO HAVE HERITAGE MONTH. 1091 00:44:58,480 --> 00:45:04,000 YOU CAN SEE THEM OUTLINED HERE. 1092 00:45:04,000 --> 00:45:06,280 AND WE JUST FINISHED PRIDE 1093 00:45:06,280 --> 00:45:06,720 MONTH. 1094 00:45:06,720 --> 00:45:12,520 AND WE HAD AS YOU'LL SEE, WE HAD 1095 00:45:12,520 --> 00:45:17,560 DR. RACHEL LEVINE, ADMIRAL 1096 00:45:17,560 --> 00:45:20,760 RACHEL LEVINE, HERE. 1097 00:45:20,760 --> 00:45:25,000 WE HAVE -- WE CONTINUE TO USE 1098 00:45:25,000 --> 00:45:26,640 THIS MESSAGING THAT WE DEVELOPED 1099 00:45:26,640 --> 00:45:29,840 FIVE YEARS AGO CALLED 3 MAIN 1100 00:45:29,840 --> 00:45:32,360 THINGS AND WE FOCUS ON THOSE 1101 00:45:32,360 --> 00:45:34,960 THINGS WHICH ARE MOST IMPORTANT 1102 00:45:34,960 --> 00:45:35,520 TO US. 1103 00:45:35,520 --> 00:45:38,920 AND THIS IS JUST A COPY OF ONE 1104 00:45:38,920 --> 00:45:39,880 OF THE MESSAGES. 1105 00:45:39,880 --> 00:45:41,880 AND WHERE WE INFORM THE STAFF 1106 00:45:41,880 --> 00:45:43,640 THAT WE WERE GOING TO POST THE 1107 00:45:43,640 --> 00:45:46,480 RESULTS OF THE SURVEY ON OUR 1108 00:45:46,480 --> 00:45:49,760 INTERNET SITE, FOR ALL TO SEE, 1109 00:45:49,760 --> 00:45:53,040 AND YOU CAN ALSO SEE WHAT WE'VE 1110 00:45:53,040 --> 00:45:56,560 SAID ABOUT THE SHOOTING IN 1111 00:45:56,560 --> 00:45:59,040 BUFFALO. 1112 00:45:59,040 --> 00:46:02,240 AND THIS WAS THE VISIT OF DR. 1113 00:46:02,240 --> 00:46:02,480 LEVINE. 1114 00:46:02,480 --> 00:46:05,080 YOU CAN SEE DR. TABAK AND HER 1115 00:46:05,080 --> 00:46:07,920 COMING IN, YOU CAN SEE ME WITH A 1116 00:46:07,920 --> 00:46:09,160 GROUP AT THE MODEL WHERE A FEW 1117 00:46:09,160 --> 00:46:12,280 OF YOU WILL BE ABLE TO SEE 1118 00:46:12,280 --> 00:46:12,680 LATER. 1119 00:46:12,680 --> 00:46:17,560 AND SHE PROVIDED THE OPENING 1120 00:46:17,560 --> 00:46:20,520 REMARKS AT THE NIH-HOSTED PANEL 1121 00:46:20,520 --> 00:46:22,160 DISCUSSION, HOW INTERSECTING 1122 00:46:22,160 --> 00:46:25,000 IDENTITIES IMPACT OUR NIH WORK. 1123 00:46:25,000 --> 00:46:29,040 SHE HAD A BRIEF TOUR OF THE 1124 00:46:29,040 --> 00:46:29,920 CLINICAL CENTER, ALTHOUGH SHE 1125 00:46:29,920 --> 00:46:31,360 NEEDS TO COME BACK AND GET THE 1126 00:46:31,360 --> 00:46:33,440 REAL TOUR YOU'RE GOING TO GET 1127 00:46:33,440 --> 00:46:33,800 THIS AFTERNOON. 1128 00:46:33,800 --> 00:46:37,840 LARRY TALKED ABOUT THE PHARMACY 1129 00:46:37,840 --> 00:46:41,440 RIBBON-CUTTING CEREMONY, YOU SEE 1130 00:46:41,440 --> 00:46:42,920 DR. TABAK, RICK DECEDARFIELD, 1131 00:46:42,920 --> 00:46:47,120 ACTING CHIEF FOR THREE YEARS, 1132 00:46:47,120 --> 00:46:49,360 AND MARILYN FRENREY, CHIEF OF 1133 00:46:49,360 --> 00:46:54,400 PHARMACY OPERATIONS, AND ME. 1134 00:46:54,400 --> 00:46:57,760 AND YOU SEE ELLEN BERTY IN THE 1135 00:46:57,760 --> 00:47:00,600 UPPER RIGHT. 1136 00:47:00,600 --> 00:47:04,200 ELLEN WAS DRESSED PRETTY CALMLY 1137 00:47:04,200 --> 00:47:08,240 AND UNIMAGINATIVELY FOR THE DAY. 1138 00:47:08,240 --> 00:47:11,720 WE HAVE PROVIDED TO YOU ONLINE 1139 00:47:11,720 --> 00:47:13,400 THE QUARTERLY REPORT OF OUR 1140 00:47:13,400 --> 00:47:18,280 PATIENT SAFETY AND STAFF SAFETY 1141 00:47:18,280 --> 00:47:18,680 METRICS. 1142 00:47:18,680 --> 00:47:20,000 AND QUALITY INDICATORS, DAVID 1143 00:47:20,000 --> 00:47:22,040 LANG HAS PROVIDED THAT. 1144 00:47:22,040 --> 00:47:24,200 DAVID HAS BRIEFED THE CLINICAL 1145 00:47:24,200 --> 00:47:24,880 CENTER RESEARCH HOSPITAL BOARD 1146 00:47:24,880 --> 00:47:29,720 TWO TIMES IN THE LAST COUPLE 1147 00:47:29,720 --> 00:47:31,560 MEETINGS ON THOSE METRICS. 1148 00:47:31,560 --> 00:47:32,520 DEPENDING ON WHAT DR. COOTS AND 1149 00:47:32,520 --> 00:47:34,360 THE REST OF YOU WANT, WE CAN 1150 00:47:34,360 --> 00:47:36,240 MAKE THAT A STANDING UPDATE TO 1151 00:47:36,240 --> 00:47:37,640 THE CLINICAL CENTER RESEARCH 1152 00:47:37,640 --> 00:47:41,040 HOSPITAL BOARD, BUT FOR THE MOST 1153 00:47:41,040 --> 00:47:42,600 PART, WE THINK THAT THERE'S NOT 1154 00:47:42,600 --> 00:47:44,640 TOO MUCH THERE THAT NEEDS TO BE 1155 00:47:44,640 --> 00:47:45,000 PRESENTED. 1156 00:47:45,000 --> 00:47:46,840 IF YOU HAVE ANY QUESTIONS OR YOU 1157 00:47:46,840 --> 00:47:49,480 WANT TO SEE THEM EVERY QUARTER, 1158 00:47:49,480 --> 00:47:53,960 THEN WE'LL BE HAPPY TO CHANGE 1159 00:47:53,960 --> 00:47:54,680 THAT. 1160 00:47:54,680 --> 00:47:56,560 IN TERMS OF TODAY'S AGENDA, 1161 00:47:56,560 --> 00:48:00,720 YOU'VE ALREADY HEARD FROM DR. 1162 00:48:00,720 --> 00:48:04,600 TABAK AND ME. 1163 00:48:04,600 --> 00:48:06,400 SOMEONE YOU'VE NOT HEARD FROM IN 1164 00:48:06,400 --> 00:48:08,320 FIVE YEARS HERE IS THE PATIENT 1165 00:48:08,320 --> 00:48:08,680 REPRESENTATIVE. 1166 00:48:08,680 --> 00:48:10,080 AND THAT'S CAPTAIN TONY JONES OF 1167 00:48:10,080 --> 00:48:14,000 THE UNITED STATES PUBLIC HEALTH 1168 00:48:14,000 --> 00:48:15,120 SERVICE COMMISSIONED CORPS. 1169 00:48:15,120 --> 00:48:16,840 HOSPITALS I'VE BEEN IN BEFORE 1170 00:48:16,840 --> 00:48:18,400 THIS OFTEN WAS AN OFFICE THAT 1171 00:48:18,400 --> 00:48:21,440 HAD SEVERAL PEOPLE IN IT. 1172 00:48:21,440 --> 00:48:22,520 TONY IS IT. 1173 00:48:22,520 --> 00:48:25,400 WE DO HAVE THE ABILITY TO COVER 1174 00:48:25,400 --> 00:48:28,960 FOR HER WHEN SHE'S GONE. 1175 00:48:28,960 --> 00:48:29,800 I THINK YOU'LL UNDERSTAND WHY 1176 00:48:29,800 --> 00:48:34,120 SHE PRETTY MUCH IS ABLE TO DO 1177 00:48:34,120 --> 00:48:35,560 THE JOB AND ASKING OTHER PEOPLE 1178 00:48:35,560 --> 00:48:37,120 TO HELP HER DO THE JOB WOULD 1179 00:48:37,120 --> 00:48:39,080 ONLY GET IN HER WAY. 1180 00:48:39,080 --> 00:48:41,800 BUT I THINK YOU NEED TO SEE THAT 1181 00:48:41,800 --> 00:48:44,960 WE DO HAVE THE ABILITY TO 1182 00:48:44,960 --> 00:48:48,600 RESPOND TO ISSUES RAISED BY 1183 00:48:48,600 --> 00:48:49,680 PATIENTS, WHETHER IT INVOLVES 1184 00:48:49,680 --> 00:48:50,560 SOMETHING RELATED TO THE 1185 00:48:50,560 --> 00:48:52,080 CLINICAL CENTER PER SE OR 1186 00:48:52,080 --> 00:48:53,480 SOMETHING RELATED TO THE 1187 00:48:53,480 --> 00:48:54,600 RESEARCH TEAM. 1188 00:48:54,600 --> 00:48:55,600 TONI IS EXTRAORDINARY AT DOING 1189 00:48:55,600 --> 00:48:55,920 THAT. 1190 00:48:55,920 --> 00:48:58,880 SHE'S ALSO BEEN THE ONE 1191 00:48:58,880 --> 00:48:59,880 OVERSEEING OUR VISITORS' POLICY 1192 00:48:59,880 --> 00:49:01,280 SINCE THE START OF THE PANDEMIC 1193 00:49:01,280 --> 00:49:03,480 AND HAS DONE A SPECTACULAR JOB. 1194 00:49:03,480 --> 00:49:05,360 ONE OF THE THINGS THAT WE HAVE 1195 00:49:05,360 --> 00:49:08,200 STRUGGLED WITH WHEN THE JOINT 1196 00:49:08,200 --> 00:49:09,840 COMMISSION OR WHEN THE 1197 00:49:09,840 --> 00:49:10,720 ACCREDITATION COUNCIL FOR 1198 00:49:10,720 --> 00:49:12,240 GRADUATE MEDICAL EDUCATION HAS 1199 00:49:12,240 --> 00:49:15,320 COME BY IS ANY DISCUSSION ABOUT 1200 00:49:15,320 --> 00:49:18,120 THE SOCIAL DETERMINANTS OF 1201 00:49:18,120 --> 00:49:19,400 HEALTH AND THEIR REQUEST. 1202 00:49:19,400 --> 00:49:21,000 WE TALKED ABOUT THIS A LITTLE 1203 00:49:21,000 --> 00:49:21,320 BIT. 1204 00:49:21,320 --> 00:49:25,120 WE HAVE SOME OTHER PLANS GOING 1205 00:49:25,120 --> 00:49:25,440 FORWARD. 1206 00:49:25,440 --> 00:49:26,960 BUT GWEN WALLEN SAID I THINK YOU 1207 00:49:26,960 --> 00:49:29,600 CAN USE THE PATIENT SURVEY DATA, 1208 00:49:29,600 --> 00:49:32,480 JIM, IN ORDER TO GET AT A LITTLE 1209 00:49:32,480 --> 00:49:35,640 BIT OF THIS INFORMATION. 1210 00:49:35,640 --> 00:49:37,600 DR. HADIGAN, CHIEF MEDICAL 1211 00:49:37,600 --> 00:49:39,120 CENTER, WILL LEAD THAT 1212 00:49:39,120 --> 00:49:39,840 DISCUSSION. 1213 00:49:39,840 --> 00:49:41,320 WE'LL HAVE A BREAK. 1214 00:49:41,320 --> 00:49:43,280 THEN IT'S TIME FOR A MAGNET 1215 00:49:43,280 --> 00:49:44,720 JOURNEY UPDATE. 1216 00:49:44,720 --> 00:49:47,040 DR. JORDAN, ACTING CHIEF NURSE, 1217 00:49:47,040 --> 00:49:48,760 WILL TAKE THAT ON. 1218 00:49:48,760 --> 00:49:51,600 AND THEN I'LL BE BACK TO TALK 1219 00:49:51,600 --> 00:49:52,880 ABOUT I THINK THE PROGRESS WE 1220 00:49:52,880 --> 00:49:54,640 MADE IN A NUMBER OF AREAS OVER 1221 00:49:54,640 --> 00:49:57,680 THE COURSE OF THE LAST SEVERAL 1222 00:49:57,680 --> 00:49:58,160 YEARS. 1223 00:49:58,160 --> 00:49:59,440 THAT ALIGNS I THINK PRETTY WELL 1224 00:49:59,440 --> 00:50:01,040 WITH THE STRATEGIC PLAN WE 1225 00:50:01,040 --> 00:50:02,880 PUBLISHED THREE YEARS AGO. 1226 00:50:02,880 --> 00:50:05,680 WE'LL GIVE DR. FORESE THE LAST 1227 00:50:05,680 --> 00:50:05,880 WORD. 1228 00:50:05,880 --> 00:50:07,800 SO, THANK YOU VERY MUCH FOR THE 1229 00:50:07,800 --> 00:50:09,320 CHANCE FOR THE UPDATE. 1230 00:50:09,320 --> 00:50:11,280 THANK YOU, AGAIN, FOR BEING 1231 00:50:11,280 --> 00:50:13,480 HERE, EITHER IN PERSON OR 1232 00:50:13,480 --> 00:50:13,800 VIRTUALLY. 1233 00:50:13,800 --> 00:50:17,200 AND I'LL TALK TO YOU AGAIN 1234 00:50:17,200 --> 00:50:19,960 LATER. 1235 00:50:19,960 --> 00:50:23,600 SO HERE'S CAPTAIN JONES. 1236 00:50:23,600 --> 00:50:31,600 1237 00:50:31,600 --> 00:50:38,760 1238 00:50:38,760 --> 00:50:39,560 >> GOOD MORNING. 1239 00:50:39,560 --> 00:50:42,760 JUST GIVE ME A MOMENT TO PULL UP 1240 00:50:42,760 --> 00:50:44,120 MY PRESENTATION. 1241 00:50:44,120 --> 00:50:46,640 I MIGHT NEED YOUR HELP, CARLY. 1242 00:50:46,640 --> 00:50:49,520 LET'S SEE. 1243 00:50:49,520 --> 00:50:52,200 1244 00:50:52,200 --> 00:50:53,320 OKAY, FANTASTIC. 1245 00:50:53,320 --> 00:50:55,520 GOOD MORNING, EVERYONE. 1246 00:50:55,520 --> 00:50:57,200 BOARD MEMBERS IN THE ROOM AND 1247 00:50:57,200 --> 00:50:58,360 FELLOW PRESENTERS AND ALL OF YOU 1248 00:50:58,360 --> 00:51:01,400 THAT ARE ON THE ZOOM CALL, I'M 1249 00:51:01,400 --> 00:51:03,600 TONI JONES, AS DR. GILMAN 1250 00:51:03,600 --> 00:51:04,360 MENTIONED, CLINICAL CENTER 1251 00:51:04,360 --> 00:51:05,560 PATIENT REPRESENTATIVE. 1252 00:51:05,560 --> 00:51:06,920 AND I AM ACTUALLY DELIGHTED TO 1253 00:51:06,920 --> 00:51:10,080 BRAG TO YOU A LITTLE BIT TODAY 1254 00:51:10,080 --> 00:51:11,480 ABOUT THE PATIENT REPRESENTATIVE 1255 00:51:11,480 --> 00:51:16,400 ROLE AND HOW IT HELPS TO AFFECT 1256 00:51:16,400 --> 00:51:18,240 THE PATIENT EXPERIENCE AT THE 1257 00:51:18,240 --> 00:51:19,800 CLINICAL CENTER. 1258 00:51:19,800 --> 00:51:22,880 HOSPITAL-BASED ADVOCACY HAS BEEN 1259 00:51:22,880 --> 00:51:23,760 AROUND SINCE THE '70s, STARTED 1260 00:51:23,760 --> 00:51:25,280 WITH ROOTS IN THE PATIENT RIGHTS 1261 00:51:25,280 --> 00:51:25,560 MOVEMENT. 1262 00:51:25,560 --> 00:51:27,160 I'M SURE YOU IN THE ROOM AND 1263 00:51:27,160 --> 00:51:30,400 MANY ON THE ZOOM RIGHT NOW KNOW 1264 00:51:30,400 --> 00:51:33,280 WHAT THIS ROLE LOOKS LIKE OF 1265 00:51:33,280 --> 00:51:36,040 YOU'VE EITHER WORKED WITH FOLKS 1266 00:51:36,040 --> 00:51:41,440 WHO DO THIS JOB, PATIENT 1267 00:51:41,440 --> 00:51:49,000 ADVOCATE, PATIENT AND 1268 00:51:49,000 --> 00:51:50,080 NAVIGATOR, LOTS OF WAYS IT'S 1269 00:51:50,080 --> 00:51:50,520 DESCRIBED. 1270 00:51:50,520 --> 00:51:53,520 AND THOSE TERMS ARE OFTEN USED 1271 00:51:53,520 --> 00:51:54,120 INTERCHANGEABLY. 1272 00:51:54,120 --> 00:51:56,120 BUT DEPENDING ON THE 1273 00:51:56,120 --> 00:51:58,280 ORGANIZATION, COULD SLIGHTLY 1274 00:51:58,280 --> 00:52:01,160 VARY IN FUNCTION. 1275 00:52:01,160 --> 00:52:02,480 IF YOU'RE JOINT COMMISSION 1276 00:52:02,480 --> 00:52:06,280 ACRESTED CREDITED YOU HAVE TO 1277 00:52:06,280 --> 00:52:07,680 SAY THIS ROLE. 1278 00:52:07,680 --> 00:52:09,360 EVERY HOSPITAL DOES NOT HAVE ONE 1279 00:52:09,360 --> 00:52:10,440 BUT WE DO. 1280 00:52:10,440 --> 00:52:11,880 NO MATTER THE TITLE WE ALL HAVE 1281 00:52:11,880 --> 00:52:13,040 ONE THING IN COMMON. 1282 00:52:13,040 --> 00:52:15,400 WE WANT TO MAKE CERTAIN ANY 1283 00:52:15,400 --> 00:52:16,680 CONCERN RAISED BY THE PATIENT IS 1284 00:52:16,680 --> 00:52:19,280 MET AND THE PATIENT HAS THE BEST 1285 00:52:19,280 --> 00:52:21,560 EXPERIENCE POSSIBLE. 1286 00:52:21,560 --> 00:52:26,560 THAT'S OUR GOAL. 1287 00:52:26,560 --> 00:52:35,480 I'M TRYING TO ADVANCE. 1288 00:52:35,480 --> 00:52:36,920 THERE WE GO. 1289 00:52:36,920 --> 00:52:37,840 THANK YOU. 1290 00:52:37,840 --> 00:52:39,440 SIMILARLY THE CLINICAL CENTER IS 1291 00:52:39,440 --> 00:52:40,760 THE PATIENT REPRESENTATIVE IS A 1292 00:52:40,760 --> 00:52:43,600 LINK BETWEEN THE PATIENT AND THE 1293 00:52:43,600 --> 00:52:44,800 HOSPITAL ORGANIZATION. 1294 00:52:44,800 --> 00:52:48,080 WHAT'S DIFFERENT ABOUT OUR 1295 00:52:48,080 --> 00:52:51,600 CENTER IS THE PATIENT, YOU KNOW, 1296 00:52:51,600 --> 00:52:53,120 THE PATIENT REPRESENTATIVE IS 1297 00:52:53,120 --> 00:52:54,280 THE LING BUT THERE'S THE 1298 00:52:54,280 --> 00:52:56,320 CLINICAL CENTER AND ALL THE 1299 00:52:56,320 --> 00:52:57,480 I.C.s SEEING PATIENTS IN OUR 1300 00:52:57,480 --> 00:52:57,720 HOSPITAL. 1301 00:52:57,720 --> 00:53:00,440 SO THE PATIENT ONLY SEES ONE 1302 00:53:00,440 --> 00:53:01,880 ORGANIZATION. 1303 00:53:01,880 --> 00:53:03,840 BUT IN FACT, THE REPRESENTATIVE 1304 00:53:03,840 --> 00:53:05,240 IS NAVIGATING 18 ORGANIZATIONS 1305 00:53:05,240 --> 00:53:06,560 BEHIND THE SCENES BECAUSE EVERY 1306 00:53:06,560 --> 00:53:08,160 I.C. HAS THEIR OWN WAY OF DOING 1307 00:53:08,160 --> 00:53:11,440 THINGS AND ALL OF THEM HAVE 1308 00:53:11,440 --> 00:53:17,920 PATIENTS -- 18 HAVE PATIENTS ON 1309 00:53:17,920 --> 00:53:19,640 STUDIES IN CLINICAL CENTER. 1310 00:53:19,640 --> 00:53:21,600 THE OTHER PIECE THAT'S UNIQUE IS 1311 00:53:21,600 --> 00:53:22,560 HOW THE CLINICAL CENTER 1312 00:53:22,560 --> 00:53:23,120 OPERATES. 1313 00:53:23,120 --> 00:53:24,920 IT'S NOT A REGULAR HOSPITAL. 1314 00:53:24,920 --> 00:53:27,080 YOU'VE HEARD THAT MANY TIMES. 1315 00:53:27,080 --> 00:53:28,920 PATIENTS COME HERE THOUGH WITH 1316 00:53:28,920 --> 00:53:30,120 EXPECTATIONS AROUND WHAT A 1317 00:53:30,120 --> 00:53:32,320 HOSPITAL CAN AND CANNOT OFFER. 1318 00:53:32,320 --> 00:53:34,400 SOMETIMES THEY ARE SURPRISED 1319 00:53:34,400 --> 00:53:35,120 WITH LIMITATIONS OR CONSTRAINTS 1320 00:53:35,120 --> 00:53:36,480 WE MIGHT HAVE THAT THEY DON'T 1321 00:53:36,480 --> 00:53:39,000 SEE IN A COMMUNITY HOSPITAL OR 1322 00:53:39,000 --> 00:53:40,560 ACADEMIC MEDICAL CENTER THEY 1323 00:53:40,560 --> 00:53:41,440 MIGHT HAVE EXPERIENCE WITH. 1324 00:53:41,440 --> 00:53:43,400 SO MY ROLE IS TO HELP THEM 1325 00:53:43,400 --> 00:53:44,720 UNDERSTAND THOSE DIFFERENCES AND 1326 00:53:44,720 --> 00:53:45,680 HOW WE OPERATE. 1327 00:53:45,680 --> 00:53:50,840 IT CAN BE CHALLENGING FOR THEM 1328 00:53:50,840 --> 00:53:53,040 TO UNDERSTAND THAT. 1329 00:53:53,040 --> 00:53:53,920 EVEN PATIENT RIGHTS LOOK 1330 00:53:53,920 --> 00:53:55,760 DIFFERENT IN A PLACE LIKE OURS. 1331 00:53:55,760 --> 00:53:59,080 FOR EXAMPLE, THE RIGHT TO REFUSE 1332 00:53:59,080 --> 00:54:00,120 CARE, THAT CAN HAVE SIGNIFICANT 1333 00:54:00,120 --> 00:54:01,680 IMPACT ON ABILITY TO BE ENROLLED 1334 00:54:01,680 --> 00:54:03,320 ON A STUDY SO IT'S NOT AS SIMPLE 1335 00:54:03,320 --> 00:54:05,320 AS IT IS IN A LOCAL HOSPITAL IF 1336 00:54:05,320 --> 00:54:07,040 THEY DECIDE THEY DON'T WANT TO 1337 00:54:07,040 --> 00:54:07,720 DO SOMETHING. 1338 00:54:07,720 --> 00:54:09,000 SOMETIMES THE WAY THAT SHOWS UP 1339 00:54:09,000 --> 00:54:11,760 IS A PATIENT WILL SAY TO ME, 1340 00:54:11,760 --> 00:54:13,600 SEEMS LIKE THE RESEARCH IS MORE 1341 00:54:13,600 --> 00:54:15,240 IMPORTANT THAN PATIENT NEEDS OR 1342 00:54:15,240 --> 00:54:15,600 DESIRES. 1343 00:54:15,600 --> 00:54:18,000 SO IT'S DIFFERENT IN OUR 1344 00:54:18,000 --> 00:54:18,960 SETTING, A DELICATE BALANCE I 1345 00:54:18,960 --> 00:54:19,600 HAVE TO STRIKE. 1346 00:54:19,600 --> 00:54:22,080 I THINK IT'S IMPORTANT TO 1347 00:54:22,080 --> 00:54:23,040 MENTION THAT PARTICIPATING ON A 1348 00:54:23,040 --> 00:54:24,840 CLINICAL TRIAL IS NOT EASY. 1349 00:54:24,840 --> 00:54:27,640 WE ASK A LOT OF OUR PATIENTS. 1350 00:54:27,640 --> 00:54:28,920 THERE ARE TIMES THOUGH THEY WANT 1351 00:54:28,920 --> 00:54:32,200 THE TREATMENT THAT WE HAVE TO 1352 00:54:32,200 --> 00:54:32,640 OFFER. 1353 00:54:32,640 --> 00:54:33,200 SOME REQUIREMENTS ARE 1354 00:54:33,200 --> 00:54:35,200 FRUSTRATING FOR THEM OR THEY 1355 00:54:35,200 --> 00:54:37,320 DON'T AGREE ALL THE TIME. 1356 00:54:37,320 --> 00:54:40,200 SO IT'S HARD TO MEET THOSE 1357 00:54:40,200 --> 00:54:41,840 REQUIREMENTS AND IMPOSES ON 1358 00:54:41,840 --> 00:54:43,520 THEIR LIVES. 1359 00:54:43,520 --> 00:54:44,760 WE RECOGNIZE THAT IT'S 1360 00:54:44,760 --> 00:54:45,360 CHALLENGING. 1361 00:54:45,360 --> 00:54:46,640 HOW DO PATIENTS LEARN ABOUT ME? 1362 00:54:46,640 --> 00:54:48,280 WHEN THEY ARE ADMITTED FOR THE 1363 00:54:48,280 --> 00:54:50,120 FIRST TIME, REGISTER FOR THE 1364 00:54:50,120 --> 00:54:51,640 FIRST OUTPATIENT OR INPATIENT 1365 00:54:51,640 --> 00:54:54,200 STAY, THEY GET A BRIEF 1366 00:54:54,200 --> 00:54:58,680 DESCRIPTION ABOUT THE ROLE OF 1367 00:54:58,680 --> 00:55:00,040 THE PATIENT REPRESENTATIVE. 1368 00:55:00,040 --> 00:55:01,560 THEY LEARN MORE ABOUT ME ON THE 1369 00:55:01,560 --> 00:55:01,760 UNIT. 1370 00:55:01,760 --> 00:55:03,240 I TRY TO GO TO INPATIENT UNITS 1371 00:55:03,240 --> 00:55:04,880 NOT ON THE FIRST DAY THEY ARE 1372 00:55:04,880 --> 00:55:05,880 ADMITTED BECAUSE ON YOUR FIRST 1373 00:55:05,880 --> 00:55:11,760 SOMEDAY YOU -- DAY YOU DON'T 1374 00:55:11,760 --> 00:55:13,600 KNOW WHAT'S HAPPENING BUT AFTER 1375 00:55:13,600 --> 00:55:15,800 A FEW DAYS TO REMIND THEM OF 1376 00:55:15,800 --> 00:55:16,680 RESOURCE, PATIENTS AND FAMILIES 1377 00:55:16,680 --> 00:55:17,880 TALK TO PATIENTS AND FAMILIES 1378 00:55:17,880 --> 00:55:20,440 AND LEARN ABOUT THE PATIENT 1379 00:55:20,440 --> 00:55:22,800 REPRESENTATIVE ROLE THAT WAY. 1380 00:55:22,800 --> 00:55:25,400 YOU NOTICE HERE THERE'S A POSTER 1381 00:55:25,400 --> 00:55:27,520 AND BROCHURE HOLDER. 1382 00:55:27,520 --> 00:55:30,560 THIS IS LOCATED IN 45 PLACES IN 1383 00:55:30,560 --> 00:55:32,320 THE CLINICAL CENTER IN AREAS 1384 00:55:32,320 --> 00:55:34,400 WHERE PATIENTS FREQUENT. 1385 00:55:34,400 --> 00:55:36,280 WHETHER CAFETERIA, INPATIENT 1386 00:55:36,280 --> 00:55:37,560 UNITS, CLINICS, DAY HOSPITALS, 1387 00:55:37,560 --> 00:55:38,240 ET CETERA. 1388 00:55:38,240 --> 00:55:42,320 IT'S ENGLISH AND SPANISH, 1389 00:55:42,320 --> 00:55:43,080 ANOTHER OPPORTUNITY FOR A 1390 00:55:43,080 --> 00:55:44,800 PATIENT TO GRAB A BROCHURE AND 1391 00:55:44,800 --> 00:55:48,520 REACH OUT TO ME WITH A QUESTION 1392 00:55:48,520 --> 00:55:49,320 OR CONCERN. 1393 00:55:49,320 --> 00:55:51,480 MY OFFICE, IMPORTANT TO NOTE, IS 1394 00:55:51,480 --> 00:55:53,360 ON THE FIRST FLOOR NEAR THE 1395 00:55:53,360 --> 00:55:55,640 OUTPATIENT PHARMACY, NEAR THE 1396 00:55:55,640 --> 00:55:57,680 TRAVEL OFFICE FOR PATIENTS, 1397 00:55:57,680 --> 00:55:59,800 ACROSS FROM ADMISSIONS OFFICE. 1398 00:55:59,800 --> 00:56:01,520 SMARTLY LOCATED SO PATIENTS CAN 1399 00:56:01,520 --> 00:56:03,040 FIND ME PRETTY EASILY. 1400 00:56:03,040 --> 00:56:04,760 I TRY TO A LITTLE BIT DURING THE 1401 00:56:04,760 --> 00:56:07,120 DAY HAVE MY DOOR OPEN AS AN 1402 00:56:07,120 --> 00:56:08,360 INVITATION TO COME IN IF YOU 1403 00:56:08,360 --> 00:56:10,240 NEED TO TALK WITH ME. 1404 00:56:10,240 --> 00:56:12,640 NOW, AS DR. GILMAN MENTIONED, 1405 00:56:12,640 --> 00:56:14,360 THERE'S ONLY ONE PHOTOGRAPH IN 1406 00:56:14,360 --> 00:56:16,120 THAT BROCHURE BECAUSE I'M THE 1407 00:56:16,120 --> 00:56:17,040 ONLY PATIENT REPRESENTATIVE. 1408 00:56:17,040 --> 00:56:21,280 THE ONLY ONE IN THE ROLE. 1409 00:56:21,280 --> 00:56:22,800 I SERVICE EVERY INPATIENT OR 1410 00:56:22,800 --> 00:56:25,120 OUTPATIENT WHETHER ON CLINICAL 1411 00:56:25,120 --> 00:56:26,320 TRIAL, NATURAL HISTORY STUDY, 1412 00:56:26,320 --> 00:56:27,760 HEALTHY VOLUNTEER, EVEN A BLOOD 1413 00:56:27,760 --> 00:56:28,360 DONOR. 1414 00:56:28,360 --> 00:56:32,680 IF YOU'VE GOT A MEDICAL RECORD 1415 00:56:32,680 --> 00:56:35,200 NUMBER AND ARE RECEIVING 1416 00:56:35,200 --> 00:56:36,840 CLINICAL CARE, I'M A RESOURCE 1417 00:56:36,840 --> 00:56:37,840 FOR YOU. 1418 00:56:37,840 --> 00:56:38,440 ADDITIONALLY CONTACT INFORMATION 1419 00:56:38,440 --> 00:56:40,640 FOR PATIENT REPRESENTATIVE IS ON 1420 00:56:40,640 --> 00:56:41,840 EVERY PROTOCOL CONSENT FORM. 1421 00:56:41,840 --> 00:56:43,880 ALL OF OUR CONSENT FORMS ARE 1422 00:56:43,880 --> 00:56:44,840 ONLINE. 1423 00:56:44,840 --> 00:56:46,480 I THINK THERE'S ABOUT 1600 1424 00:56:46,480 --> 00:56:48,000 ACTIVE STUDIES, I MAY BE OFF A 1425 00:56:48,000 --> 00:56:49,000 LITTLE BIT. 1426 00:56:49,000 --> 00:56:50,400 THE GENERAL PUBLIC ALSO REACHES 1427 00:56:50,400 --> 00:56:51,400 OUT TO ME. 1428 00:56:51,400 --> 00:56:53,440 IT'S DIFFERENT THAN WHAT YOU 1429 00:56:53,440 --> 00:56:55,000 FIND IN ANOTHER MEDICAL CENTER 1430 00:56:55,000 --> 00:56:56,440 BECAUSE THEY SEE OUR NUMBER 1431 00:56:56,440 --> 00:56:58,760 LISTED AND SO THEY REACH OUT. 1432 00:56:58,760 --> 00:57:01,480 NO MAN IS AN ISLAND, I DO HAVE 1433 00:57:01,480 --> 00:57:02,680 COVERAGE, MY POSITION IS UNDER 1434 00:57:02,680 --> 00:57:04,680 THE OFFICE OF PATIENT SAFETY AND 1435 00:57:04,680 --> 00:57:06,080 CLINICAL EQUAL AND THAT STAFF 1436 00:57:06,080 --> 00:57:07,760 COVERS FOR ME WHEN I HAVE TO 1437 00:57:07,760 --> 00:57:12,240 TAKE A DAY OF LEAVE. 1438 00:57:12,240 --> 00:57:13,640 THAT DIDN'T GO THE RIGHT WAY. 1439 00:57:13,640 --> 00:57:15,400 LET'S TRY THIS. 1440 00:57:15,400 --> 00:57:15,720 OKAY. 1441 00:57:15,720 --> 00:57:17,400 I DO BELIEVE THAT THOSE OF US IN 1442 00:57:17,400 --> 00:57:20,120 HEALTH CARE WHO HAVE THE 1443 00:57:20,120 --> 00:57:21,000 PRIVILEGE, DISTINCT PRIVILEGE 1444 00:57:21,000 --> 00:57:23,640 AND OPPORTUNITY TO WORK DIRECTLY 1445 00:57:23,640 --> 00:57:26,280 WITH PATIENTS, WE ALL DO 1446 00:57:26,280 --> 00:57:27,360 ADVOCACY ON SOME LEVEL. 1447 00:57:27,360 --> 00:57:28,720 THERE ARE LIKELY A NUMBER OF 1448 00:57:28,720 --> 00:57:31,800 POSITIONS THAT COULD DO THIS 1449 00:57:31,800 --> 00:57:33,240 WELL ACROSS THE PROFESSIONS BUT 1450 00:57:33,240 --> 00:57:35,320 I PUT THIS QUOTE IN THIS 1451 00:57:35,320 --> 00:57:39,360 PRESENTATION TO POINT OUT MY 1452 00:57:39,360 --> 00:57:39,600 BIAS. 1453 00:57:39,600 --> 00:57:40,600 I'LL ADMIT, AN ADVANTAGE TO 1454 00:57:40,600 --> 00:57:42,840 HAVING A NURSE IN THIS ROLE. 1455 00:57:42,840 --> 00:57:46,440 IF YOU'LL ALLOW ME, I'LL SHOW MY 1456 00:57:46,440 --> 00:57:47,560 OWN PROFESSIONAL JOURNEY AND 1457 00:57:47,560 --> 00:57:50,240 STORY TO PROVIDE CONTEXT FOR MY 1458 00:57:50,240 --> 00:57:50,520 BIAS. 1459 00:57:50,520 --> 00:57:53,480 I CAME TO THE CLINICAL CENTER AS 1460 00:57:53,480 --> 00:57:56,800 A NEW GRADUATE NURSE IN 1987. 1461 00:57:56,800 --> 00:57:59,160 I WAS A CANCER NURSE TRAINEE AT 1462 00:57:59,160 --> 00:57:59,920 THE TIME. 1463 00:57:59,920 --> 00:58:02,560 FOR 13 OR 14 YEARS, I WAS 1464 00:58:02,560 --> 00:58:05,400 DIRECTLY INVOLVED WITH CANCER 1465 00:58:05,400 --> 00:58:06,000 PATIENTS, GIVING CHEMOTHERAPY, 1466 00:58:06,000 --> 00:58:06,600 SUPPORTIVE CARE, WORKING WITH 1467 00:58:06,600 --> 00:58:06,960 THEM. 1468 00:58:06,960 --> 00:58:09,800 I WORKED IN THE INPATIENT SIDE, 1469 00:58:09,800 --> 00:58:10,880 OUTPATIENT SIDE, BEFORE THERE 1470 00:58:10,880 --> 00:58:13,280 WAS A DAY HOSPITAL I WAS IN THE 1471 00:58:13,280 --> 00:58:15,160 DAY HOSPITAL, BACK IN THOSE 1472 00:58:15,160 --> 00:58:15,480 DAYS. 1473 00:58:15,480 --> 00:58:19,440 I'VE BEEN A RESEARCH NURSE FOR 1474 00:58:19,440 --> 00:58:19,600 NCI. 1475 00:58:19,600 --> 00:58:24,400 SO I'VE BEEN A MANAGER, SEVEN OR 1476 00:58:24,400 --> 00:58:26,200 EIGHT YEARS WAS IN THE NURSING 1477 00:58:26,200 --> 00:58:27,480 DEPARTMENT AS NURSE LEADER SO I 1478 00:58:27,480 --> 00:58:28,680 UNDERSTAND THE PATIENT 1479 00:58:28,680 --> 00:58:31,320 EXPERIENCE FROM EVERY ASPECT 1480 00:58:31,320 --> 00:58:34,280 FROM ENROLLMENT TO CONSENT TO 1481 00:58:34,280 --> 00:58:36,200 TREATMENT TO DISCHARGE, TO 1482 00:58:36,200 --> 00:58:36,800 FOLLOW-UP. 1483 00:58:36,800 --> 00:58:38,440 I UNDERSTAND IT. 1484 00:58:38,440 --> 00:58:40,400 AND I'VE BEEN IN MANY COMMITTEES 1485 00:58:40,400 --> 00:58:42,720 AND WORKED IN THE CLINICAL 1486 00:58:42,720 --> 00:58:44,440 CENTER, ACROSS THE NIH, I'VE 1487 00:58:44,440 --> 00:58:45,200 ESTABLISHED LOTS OF 1488 00:58:45,200 --> 00:58:46,000 RELATIONSHIPS ACROSS NOT ONLY 1489 00:58:46,000 --> 00:58:49,160 THE HOSPITAL BUT IN THE OTHER 1490 00:58:49,160 --> 00:58:49,960 I.C.s. 1491 00:58:49,960 --> 00:58:51,360 MY GRADUATE WORK IS IN 1492 00:58:51,360 --> 00:58:52,360 ORGANIZATION DEVELOPMENT. 1493 00:58:52,360 --> 00:58:54,840 THOSE FAMILIAR, THAT'S ALL ABOUT 1494 00:58:54,840 --> 00:58:56,160 HUMANS IN THE ORGANIZATION, 1495 00:58:56,160 --> 00:58:57,880 MANAGING CHANGE, HOW THEY WORK 1496 00:58:57,880 --> 00:58:59,760 BETTER AS A TEAM, MANAGE 1497 00:58:59,760 --> 00:59:01,000 CONFLICT, ALL THOSE SORTS OF 1498 00:59:01,000 --> 00:59:01,240 THINGS. 1499 00:59:01,240 --> 00:59:02,960 SO I HAD ABOUT SEVEN YEARS IN 1500 00:59:02,960 --> 00:59:05,920 THE OFFICE OF WORKFORCE 1501 00:59:05,920 --> 00:59:07,320 MANAGEMENT USING THAT TRAINING 1502 00:59:07,320 --> 00:59:10,640 ACROSS DEPARTMENTS AND ACROSS 1503 00:59:10,640 --> 00:59:11,440 I.C.s. 1504 00:59:11,440 --> 00:59:12,720 SO, THAT HELPED TREMENDOUSLY. 1505 00:59:12,720 --> 00:59:15,240 I CAME TO THE ROLE OF THE 1506 00:59:15,240 --> 00:59:17,760 PATIENT REPRESENTATIVE IN JUNE 1507 00:59:17,760 --> 00:59:18,920 OF 2015. 1508 00:59:18,920 --> 00:59:21,080 THE PRIOR INCUMBENT HAD BEEN IN 1509 00:59:21,080 --> 00:59:23,080 THE ROLE FOR 16 YEARS, SHE 1510 00:59:23,080 --> 00:59:26,240 UNFORTUNATELY HAD TO LEAVE THE 1511 00:59:26,240 --> 00:59:27,800 ORGANIZATION IMMEDIATELY SO 1512 00:59:27,800 --> 00:59:30,320 THERE WAS NO OVERLAP TIME. 1513 00:59:30,320 --> 00:59:31,320 NO ORIENTATION. 1514 00:59:31,320 --> 00:59:34,360 THERE WASN'T EVEN AN OPERATIONS 1515 00:59:34,360 --> 00:59:35,600 MANUAL. 1516 00:59:35,600 --> 00:59:39,560 AND FOR PERSONAL REASONS, THERE 1517 00:59:39,560 --> 00:59:41,520 SIMPLY WASN'T ENOUGH TIME. 1518 00:59:41,520 --> 00:59:43,680 WITHIN THE FIRST FEW WEEKS, IT 1519 00:59:43,680 --> 00:59:47,360 BECAME CLEAR TO ME THAT MY 1520 00:59:47,360 --> 00:59:48,480 TRAINING, MY BACKGROUND, MY 1521 00:59:48,480 --> 00:59:50,240 EXPERIENCE SAVED ME IN THAT 1522 00:59:50,240 --> 00:59:50,600 ROLE. 1523 00:59:50,600 --> 00:59:52,760 I CAN ONLY IMAGINE THE 1524 00:59:52,760 --> 00:59:54,120 FRUSTRATION AND DISAPPOINTMENT 1525 00:59:54,120 --> 00:59:55,640 PATIENTS WOULD HAVE FELT BECAUSE 1526 00:59:55,640 --> 00:59:58,240 I WOULD HAVE BEEN SCRAMBLING 1527 00:59:58,240 --> 00:59:59,120 WITHOUT ANY ORIENTATION IF I 1528 00:59:59,120 --> 01:00:00,480 DIDN'T HAVE THE EXPERIENCE AND 1529 01:00:00,480 --> 01:00:01,840 THE TIME IN THE ORGANIZATION 1530 01:00:01,840 --> 01:00:02,960 THAT I HAD. 1531 01:00:02,960 --> 01:00:08,000 IT WAS A SIGH OF RELIEF FOR ME. 1532 01:00:08,000 --> 01:00:10,840 I WAS REALLY HAPPY TO BE ABLE TO 1533 01:00:10,840 --> 01:00:12,520 QUICKLY, WITH WHAT I HAD 1534 01:00:12,520 --> 01:00:13,360 EXPERIENCED IN THE ORGANIZATION, 1535 01:00:13,360 --> 01:00:15,760 STEP IN, UNDERSTAND THE NEEDS, 1536 01:00:15,760 --> 01:00:16,760 AND RESPOND. 1537 01:00:16,760 --> 01:00:18,920 SO I REALLY APPRECIATE THAT. 1538 01:00:18,920 --> 01:00:21,440 IT WAS QUITE A RELIEF. 1539 01:00:21,440 --> 01:00:23,080 ANOTHER IMPORTANT PIECE OF WHAT 1540 01:00:23,080 --> 01:00:25,160 I THINK HAS ENHANCED MY ABILITY 1541 01:00:25,160 --> 01:00:28,120 TO DO THIS ROLE IS IN 2020 1542 01:00:28,120 --> 01:00:30,440 UNFORTUNATELY FOR ME, I ACTUALLY 1543 01:00:30,440 --> 01:00:32,400 HAD MY OWN HEALTH CARE PROBLEM, 1544 01:00:32,400 --> 01:00:37,600 SITUATION, AND BECAME A PATIENT 1545 01:00:37,600 --> 01:00:39,080 IN A CLINICAL CENTER BED, 1546 01:00:39,080 --> 01:00:41,480 NOTHING LIKE WALKING IN THE 1547 01:00:41,480 --> 01:00:42,200 SHOES OF THE POPULATION YOU 1548 01:00:42,200 --> 01:00:45,680 SERVE TO GIVE A DEEPER 1549 01:00:45,680 --> 01:00:46,520 UNDERSTANDING OF FEARS, 1550 01:00:46,520 --> 01:00:47,400 CONCERNS, QUESTIONS THAT CAN 1551 01:00:47,400 --> 01:00:48,840 EMERGE WHEN YOU'RE ON THAT SIDE 1552 01:00:48,840 --> 01:00:51,120 OF THINGS. 1553 01:00:51,120 --> 01:00:53,120 THAT'S ALSO HELPED. 1554 01:00:53,120 --> 01:00:55,440 HOW DO I DO MY WORK? 1555 01:00:55,440 --> 01:00:57,400 HERE IS MY MISSION. 1556 01:00:57,400 --> 01:00:58,960 YOU'LL NOTICE I WROTE TIMELY AND 1557 01:00:58,960 --> 01:01:00,160 EFFECTIVE RESPONSE. 1558 01:01:00,160 --> 01:01:03,760 I PUT THAT IN BOLD SPECIFICALLY 1559 01:01:03,760 --> 01:01:06,280 BECAUSE THAT IS CRITICAL TO SHOW 1560 01:01:06,280 --> 01:01:07,600 RESPECT AND HONOR TO INDIVIDUALS 1561 01:01:07,600 --> 01:01:09,840 WHEN THEY BRING A CONCERN AND 1562 01:01:09,840 --> 01:01:11,320 THAT IT'S RESPONDED TO. 1563 01:01:11,320 --> 01:01:14,640 NOT JUST TIMELY BUT EFFECTIVE. 1564 01:01:14,640 --> 01:01:16,160 I HAVE HAD PATIENTS SAY TO ME 1565 01:01:16,160 --> 01:01:18,120 OVER AND OVER AGAIN, USUALLY A 1566 01:01:18,120 --> 01:01:20,400 FEW TIMES A WEEK, WOW, I'M 1567 01:01:20,400 --> 01:01:21,640 SURPRISED SOMEONE CALLED ME 1568 01:01:21,640 --> 01:01:22,520 BACK. 1569 01:01:22,520 --> 01:01:24,480 THANK YOU FOR LISTENING AND 1570 01:01:24,480 --> 01:01:25,640 TAKING THIS SERIOUSLY. 1571 01:01:25,640 --> 01:01:27,120 IT'S BEEN CONSISTENT OVER THE 1572 01:01:27,120 --> 01:01:30,080 LAST SIX OR SEVEN YEARS. 1573 01:01:30,080 --> 01:01:33,880 IT'S IMPORTANT TO THEM. 1574 01:01:33,880 --> 01:01:34,600 EXCUSE ME. 1575 01:01:34,600 --> 01:01:37,080 HERE'S MY VISION, MY HOPE, WHAT 1576 01:01:37,080 --> 01:01:37,920 ASPIRE TO DO. 1577 01:01:37,920 --> 01:01:39,240 THIS INCIDENT START WITH MY ROLE 1578 01:01:39,240 --> 01:01:40,600 AS A PATIENT REPRESENTATIVE. 1579 01:01:40,600 --> 01:01:42,880 AT THE BEDSIDE, IT WAS MY HOPE 1580 01:01:42,880 --> 01:01:44,600 THAT WHEN A PATIENT LEFT ME, 1581 01:01:44,600 --> 01:01:47,480 THEY FELT LIKE THEY HAD THE BEST 1582 01:01:47,480 --> 01:01:48,240 POSSIBLE EXPERIENCE. 1583 01:01:48,240 --> 01:01:50,880 IT MIGHT NOT HAVE BEEN FUN BUT 1584 01:01:50,880 --> 01:01:51,840 THEY WALKED AWAY FEELING VALUED 1585 01:01:51,840 --> 01:01:53,600 AND CARED FOR EVEN IF THEY 1586 01:01:53,600 --> 01:01:55,320 DIDN'T GET GOOD NEWS OR IF 1587 01:01:55,320 --> 01:01:58,120 THINGS WERE CHALLENGING FOR 1588 01:01:58,120 --> 01:01:58,560 THEM. 1589 01:01:58,560 --> 01:02:00,360 I'D LIKE TO SHARE A STORY WHEN I 1590 01:02:00,360 --> 01:02:01,920 WAS PREPARING FOR THIS, I 1591 01:02:01,920 --> 01:02:03,440 THOUGHT ABOUT A PATIENT THAT I 1592 01:02:03,440 --> 01:02:03,800 HAD. 1593 01:02:03,800 --> 01:02:06,200 I'VE HAD THOUSANDS OF THEM. 1594 01:02:06,200 --> 01:02:09,680 BUT BACK IN 1997, THERE WAS A 1595 01:02:09,680 --> 01:02:11,680 YOUNG WOMAN, LYMPHOMA PATIENT, 1596 01:02:11,680 --> 01:02:13,840 GIANNA CAME TO US IN 1997. 1597 01:02:13,840 --> 01:02:15,320 I WAS HER PRIMARY NURSE, GAVE 1598 01:02:15,320 --> 01:02:17,040 HER A LOT OF CHEMOTHERAPY, SPENT 1599 01:02:17,040 --> 01:02:18,880 A LOT OF TIME WITH HER. 1600 01:02:18,880 --> 01:02:20,760 THIS YOUNG WOMAN WROTE A BOOK. 1601 01:02:20,760 --> 01:02:23,080 THE BOOK IS "WELCOME TO MY 1602 01:02:23,080 --> 01:02:23,520 HEART." 1603 01:02:23,520 --> 01:02:25,320 A SELECTION OF STORIES ABOUT HER 1604 01:02:25,320 --> 01:02:26,000 EXPERIENCE WHEN SHE WAS 1605 01:02:26,000 --> 01:02:27,520 DIAGNOSED, BEFORE SHE CAME TO 1606 01:02:27,520 --> 01:02:29,960 THE NIH, AND THEN DURING HER 1607 01:02:29,960 --> 01:02:30,480 TIME AT NIH. 1608 01:02:30,480 --> 01:02:34,160 AND ONE OF THE CHAPTERS IN THIS 1609 01:02:34,160 --> 01:02:36,600 BOOK IS CALLED "BRIDGES." 1610 01:02:36,600 --> 01:02:39,640 THE FIRST SENTENCE IN THE 1611 01:02:39,640 --> 01:02:43,280 CHAPTER HAD SIX WORDS. 1612 01:02:43,280 --> 01:02:44,960 THE WORDS, I GET EMOTIONAL WHEN 1613 01:02:44,960 --> 01:02:47,440 I THINK ABOUT IT. 1614 01:02:47,440 --> 01:02:52,360 SHE SAYS, "I MET TONI ON A 1615 01:02:52,360 --> 01:02:52,720 THURSDAY." 1616 01:02:52,720 --> 01:02:54,320 LET THAT SINK IN. 1617 01:02:54,320 --> 01:02:56,680 I MET TONI ON A THURSDAY. 1618 01:02:56,680 --> 01:02:58,520 SHE WENT ON IN THAT CHAPTER TO 1619 01:02:58,520 --> 01:03:00,560 TALK ABOUT HOW I WAS A BRIDGE 1620 01:03:00,560 --> 01:03:02,680 FOR HER FROM ILLNESS TO 1621 01:03:02,680 --> 01:03:03,400 WELLNESS, THE INTERACTIONS WITH 1622 01:03:03,400 --> 01:03:05,720 ME, HOW I TOOK CARE OF HER, HOW 1623 01:03:05,720 --> 01:03:08,880 SHE WATCHED ME TAKE CARE OF 1624 01:03:08,880 --> 01:03:09,560 OTHERS. 1625 01:03:09,560 --> 01:03:11,120 AND IT REMINDED ME, I TELL YOU 1626 01:03:11,120 --> 01:03:12,840 THE STORY NOT TO GO WOW, YOU'RE 1627 01:03:12,840 --> 01:03:15,480 MENTIONED IN A BOOK, WHICH IS 1628 01:03:15,480 --> 01:03:17,240 FANTASTIC, BUT MORE IMPORTANTLY 1629 01:03:17,240 --> 01:03:18,600 I'VE TREATED THOUSANDS OF 1630 01:03:18,600 --> 01:03:19,640 PATIENTS WITH CHEMOTHERAPY OVER 1631 01:03:19,640 --> 01:03:22,160 THE YEARS, SO MANY I DON'T 1632 01:03:22,160 --> 01:03:23,160 REMEMBER THEIR NAMES, THEIR 1633 01:03:23,160 --> 01:03:25,880 STORIES, ALL OF THEM. 1634 01:03:25,880 --> 01:03:27,240 BUT THEY REMEMBER US. 1635 01:03:27,240 --> 01:03:29,480 I MET TONI ON A THURSDAY. 1636 01:03:29,480 --> 01:03:30,240 THEY REMEMBER US. 1637 01:03:30,240 --> 01:03:32,200 SO HOW DO I WANT TO BE 1638 01:03:32,200 --> 01:03:32,520 REMEMBERED? 1639 01:03:32,520 --> 01:03:35,160 HOW DO I WANT THIS RESOURCE TO 1640 01:03:35,160 --> 01:03:37,160 BE REMEMBERED? 1641 01:03:37,160 --> 01:03:38,760 THAT EVERY TIME A PATIENT 1642 01:03:38,760 --> 01:03:40,400 ENTERS, WHEN THEY LEAVE, THEY 1643 01:03:40,400 --> 01:03:45,000 FEEL VALUED AND CARED FOR. 1644 01:03:45,000 --> 01:03:47,280 I'M NOT GREAT WITH THIS 1645 01:03:47,280 --> 01:03:48,640 TECHNOLOGY, FORGIVE ME. 1646 01:03:48,640 --> 01:03:50,680 WHO ARE KEY PARTNERS? 1647 01:03:50,680 --> 01:03:52,000 I.C.s, I MENTIONED ALL THE 1648 01:03:52,000 --> 01:03:53,080 CLINICAL CENTER DEPARTMENTS AND 1649 01:03:53,080 --> 01:03:54,800 INDIVIDUALS THAT WORK WITHIN 1650 01:03:54,800 --> 01:03:55,280 THEM. 1651 01:03:55,280 --> 01:03:56,160 I.C. LEADERSHIP. 1652 01:03:56,160 --> 01:03:59,680 NOT ONLY AT THE TOP, WHETHER 1653 01:03:59,680 --> 01:04:01,960 RESEARCH NURSE OR WHETHER IT'S 1654 01:04:01,960 --> 01:04:04,000 PATIENT CARE COORDINATOR, LOTS 1655 01:04:04,000 --> 01:04:05,680 OF INTERACTIONS WITH THEM. 1656 01:04:05,680 --> 01:04:07,680 OFFICE OF HUMAN SUBJECTS 1657 01:04:07,680 --> 01:04:08,960 PROTECTION, WE PARTNER OFTEN TO 1658 01:04:08,960 --> 01:04:10,600 SORT OUT THE NATURE OF THE 1659 01:04:10,600 --> 01:04:11,840 COMPLAINT AND WHERE EXACTLY IT 1660 01:04:11,840 --> 01:04:14,840 SHOULD BE, IF IT'S A CLINICAL 1661 01:04:14,840 --> 01:04:17,520 CENTER ISSUE COMES TO ME, IF 1662 01:04:17,520 --> 01:04:19,160 RESEARCH FOCUSED I PARTNER WITH 1663 01:04:19,160 --> 01:04:24,720 THEM AND HAND THAT OVER. 1664 01:04:24,720 --> 01:04:25,520 OFFICE OF GENERAL COUNSEL, THEY 1665 01:04:25,520 --> 01:04:26,960 ARE A TELEPHONE CALL AWAY 1666 01:04:26,960 --> 01:04:31,880 DEPENDING ON THE NATURE OF THE 1667 01:04:31,880 --> 01:04:32,880 ISSUE, THEY ADVISE, LISTEN, 1668 01:04:32,880 --> 01:04:35,400 EXTREMELY A BIG HELP. 1669 01:04:35,400 --> 01:04:37,920 MY BIGGEST PARTNER I MUST SAY IS 1670 01:04:37,920 --> 01:04:39,120 CLINICAL CENTER EXECUTIVE 1671 01:04:39,120 --> 01:04:41,400 LEADERSHIP, PARTICULARLY DR. 1672 01:04:41,400 --> 01:04:42,280 GILMAN AND PIUS. 1673 01:04:42,280 --> 01:04:44,480 ONE THING I LEARNED IN MY 1674 01:04:44,480 --> 01:04:47,400 TRAINING, YOU CAN TELL ONE OF 1675 01:04:47,400 --> 01:04:48,520 THE WAYS YOU TELL WHAT'S 1676 01:04:48,520 --> 01:04:49,720 IMPORTANT TO AN ORGANIZATION 1677 01:04:49,720 --> 01:04:53,000 WHERE IT SPENDS TIME AND MONEY. 1678 01:04:53,000 --> 01:04:56,440 AND DR. GILMAN FROM DAY ONE 1679 01:04:56,440 --> 01:04:57,760 CARES ABOUT THE RESEARCH MISSION 1680 01:04:57,760 --> 01:04:59,440 WE'RE TRYING TO UPHOLD. 1681 01:04:59,440 --> 01:05:01,320 HE CARES ABOUT THE PATIENT 1682 01:05:01,320 --> 01:05:01,760 EXPERIENCE. 1683 01:05:01,760 --> 01:05:04,280 I KNOW THIS BECAUSE HE SPENDS 1684 01:05:04,280 --> 01:05:06,680 TIME WITH ME. 1685 01:05:06,680 --> 01:05:07,880 EVERY MONTH, WITHOUT FAIL, WE 1686 01:05:07,880 --> 01:05:09,880 SIT AND TALK ABOUT ALL THE 1687 01:05:09,880 --> 01:05:11,000 ENCOUNTERS THAT HAVE COME MY WAY 1688 01:05:11,000 --> 01:05:12,400 IN THE PREVIOUS MONTH. 1689 01:05:12,400 --> 01:05:14,240 HE HAS A SENSE OF WHAT THE 1690 01:05:14,240 --> 01:05:15,880 PATIENT CONCERNS ARE THAT COME 1691 01:05:15,880 --> 01:05:16,960 MY WAY. 1692 01:05:16,960 --> 01:05:20,160 AND I APPRECIATE THAT. 1693 01:05:20,160 --> 01:05:21,040 EVERY MONTH. 1694 01:05:21,040 --> 01:05:22,360 WHEN HE HIRED PIUS MY THOUGHT 1695 01:05:22,360 --> 01:05:25,080 WAS I'LL START TO DO THAT FOR 1696 01:05:25,080 --> 01:05:25,280 PIUS. 1697 01:05:25,280 --> 01:05:26,600 HE'S BUSY, DOESN'T HAVE TIME TO 1698 01:05:26,600 --> 01:05:28,480 LISTEN TO THIS. 1699 01:05:28,480 --> 01:05:29,360 HE CONTINUED. 1700 01:05:29,360 --> 01:05:30,440 PIUS ALSO CONTINUED. 1701 01:05:30,440 --> 01:05:32,840 NOW I MEET WITH BOTH MONTHLY TO 1702 01:05:32,840 --> 01:05:37,040 TALK ABOUT THE CONCERNS OF OUR 1703 01:05:37,040 --> 01:05:37,440 PATIENTS. 1704 01:05:37,440 --> 01:05:39,640 I CAN'T SAY ENOUGH ABOUT HOW 1705 01:05:39,640 --> 01:05:40,960 IMPORTANT THAT IS WITH THE 1706 01:05:40,960 --> 01:05:43,040 MESSAGE TO ME AND PATIENTS AND 1707 01:05:43,040 --> 01:05:48,440 FAMILIES AT THE TOP WANTS TO 1708 01:05:48,440 --> 01:05:49,720 KNOW WHAT CONCERNS THEM. 1709 01:05:49,720 --> 01:05:52,440 MY NOW DAVID LANG AND I TALK 1710 01:05:52,440 --> 01:05:53,400 ABOUT PATIENT CONCERNS ALL THE 1711 01:05:53,400 --> 01:05:53,640 TIME. 1712 01:05:53,640 --> 01:06:00,880 HE GETS INVOLVED AS WELL. 1713 01:06:00,880 --> 01:06:04,480 OUR PATIENTS HAVE A VOICE, JUST 1714 01:06:04,480 --> 01:06:05,480 TO ACKNOWLEDGE THAT. 1715 01:06:05,480 --> 01:06:07,000 IN A PLACE LIKE OURS IT CAN BE 1716 01:06:07,000 --> 01:06:09,080 CHALLENGING FOR A PATIENT TO 1717 01:06:09,080 --> 01:06:10,480 BRING A CONCERN. 1718 01:06:10,480 --> 01:06:11,080 THEIR FEARS ARE SLIGHTLY 1719 01:06:11,080 --> 01:06:12,440 DIFFERENT THAN WHAT YOU MIGHT 1720 01:06:12,440 --> 01:06:14,040 SEE IN OTHER HOSPITALS. 1721 01:06:14,040 --> 01:06:16,520 THEY WORRY THAT IF THEY SAY 1722 01:06:16,520 --> 01:06:17,840 SOMETHING, THAT THE PROTOCOL 1723 01:06:17,840 --> 01:06:19,840 WILL BE WITHDRAWN FROM THEM. 1724 01:06:19,840 --> 01:06:22,120 SO, IT'S IMPORTANT TO ME IN MY 1725 01:06:22,120 --> 01:06:24,520 ROLE WHEN THEY DO TAKE THE TIME 1726 01:06:24,520 --> 01:06:26,160 AND HAVE THE COURAGE TO STEP 1727 01:06:26,160 --> 01:06:28,240 FORWARD THAT I THANK THEM AND 1728 01:06:28,240 --> 01:06:29,640 ENCOURAGE THEM TO GIVE US 1729 01:06:29,640 --> 01:06:31,200 FEEDBACK, THAT THAT IS HOW WE 1730 01:06:31,200 --> 01:06:32,600 LEARN AND GROW. 1731 01:06:32,600 --> 01:06:34,480 BECAUSE I KNOW IT ISN'T EASY FOR 1732 01:06:34,480 --> 01:06:36,320 THEM BUT IT'S IMPORTANT FOR ME 1733 01:06:36,320 --> 01:06:37,760 TO EMPHASIZE THAT BECAUSE ONE 1734 01:06:37,760 --> 01:06:41,240 PATIENT WILL TELL ANOTHER 1735 01:06:41,240 --> 01:06:41,480 PATIENT. 1736 01:06:41,480 --> 01:06:44,000 IF THEY FEEL SAFE IN MY SPACE TO 1737 01:06:44,000 --> 01:06:45,480 SHARE, THEY CAN TELL SOMEONE 1738 01:06:45,480 --> 01:06:46,640 ELSE THE CLINICAL CENTER DOES 1739 01:06:46,640 --> 01:06:48,120 WANT TO HEAR YOUR FEEDBACK AND 1740 01:06:48,120 --> 01:06:50,600 DON'T BE AFRAID TO STEP UP. 1741 01:06:50,600 --> 01:06:52,640 WHAT ARE THE BENEFITS? 1742 01:06:52,640 --> 01:06:56,560 OBVIOUSLY WHEN YOU LISTEN AND 1743 01:06:56,560 --> 01:06:57,760 TAKE SOMEONE'S CONCERN TO HEART, 1744 01:06:57,760 --> 01:06:59,960 IT'S ALL ABOUT HUMANITY AND 1745 01:06:59,960 --> 01:07:02,240 PRESERVING DIGNITY OF HUMAN 1746 01:07:02,240 --> 01:07:03,120 BEINGS, HELPS ENSURE PATIENT 1747 01:07:03,120 --> 01:07:05,000 SAFETY WHEN WE'RE OPEN AND 1748 01:07:05,000 --> 01:07:06,160 AVAILABLE TO PATIENTS, AS WELL 1749 01:07:06,160 --> 01:07:08,040 AS MAINTAIN INTEGRITY OF THE 1750 01:07:08,040 --> 01:07:12,240 PROTOCOL AND HELPING THEM 1751 01:07:12,240 --> 01:07:12,560 COMPLY. 1752 01:07:12,560 --> 01:07:15,040 OVERALL PATIENT SATISFACTION IS 1753 01:07:15,040 --> 01:07:16,400 PROVED, AND PUBLIC PERCEPTION, 1754 01:07:16,400 --> 01:07:17,680 AGAIN, PEOPLE TALK. 1755 01:07:17,680 --> 01:07:19,320 IT'S IMPORTANT THEY TALK ABOUT 1756 01:07:19,320 --> 01:07:22,160 HOW THEY FEEL RESPECTED AND 1757 01:07:22,160 --> 01:07:23,760 CARED FOR AND WELCOME TO THE 1758 01:07:23,760 --> 01:07:24,080 FEEDBACK. 1759 01:07:24,080 --> 01:07:25,120 WHAT WE'RE LEARNING? 1760 01:07:25,120 --> 01:07:26,920 I WAS SO CURIOUS WHEN I APPLIED 1761 01:07:26,920 --> 01:07:28,840 FOR THE POSITION WHAT TYPES OF 1762 01:07:28,840 --> 01:07:30,560 THINGS DID PEOPLE GO TO LAURA 1763 01:07:30,560 --> 01:07:31,360 ABOUT IN THE ROLE? 1764 01:07:31,360 --> 01:07:33,240 HERE IS THE DATA I JUST WANTED 1765 01:07:33,240 --> 01:07:33,760 TO SHARE. 1766 01:07:33,760 --> 01:07:36,200 I THINK I'M DOING OKAY ON TIME. 1767 01:07:36,200 --> 01:07:39,800 THIS FIRST SLIDE IS A YEAR'S 1768 01:07:39,800 --> 01:07:42,320 WORTH OF DATA, TOTAL NUMBER OF 1769 01:07:42,320 --> 01:07:43,520 ENCOUNTERS, EACH TIME I ENGAGE 1770 01:07:43,520 --> 01:07:45,280 WITH A PATIENT AND FAMILY I 1771 01:07:45,280 --> 01:07:46,240 COUNT THAT AS AN ENCOUNTER. 1772 01:07:46,240 --> 01:07:48,240 THIS IS HOW THEY MAKE CONTACT. 1773 01:07:48,240 --> 01:07:52,680 THE MAJORITY OF THE TIME, AS YOU 1774 01:07:52,680 --> 01:07:53,680 SEE, 89%, STARTS WITH A 1775 01:07:53,680 --> 01:07:56,880 TELEPHONE CALL FROM THE PATIENT. 1776 01:07:56,880 --> 01:07:59,360 SMALLER NUMBER, VISITS IS THE 1777 01:07:59,360 --> 01:08:00,800 INITIAL CONTACT. 1778 01:08:00,800 --> 01:08:02,600 EVEN SMALLER, THEY WRITE OR 1779 01:08:02,600 --> 01:08:05,640 SOMETIMES SEND LETTERS THROUGH 1780 01:08:05,640 --> 01:08:06,720 THE MAIL OR E-MAIL. 1781 01:08:06,720 --> 01:08:10,400 THE NEXT SLIDE SHOWS THE COURSE 1782 01:08:10,400 --> 01:08:11,960 OF THE CONTACT, WHO IS 1783 01:08:11,960 --> 01:08:12,960 INITIATING THE CONNECTION WITH 1784 01:08:12,960 --> 01:08:13,400 ME. 1785 01:08:13,400 --> 01:08:15,560 IT CAN BE AN OUTSIDE FACILITY 1786 01:08:15,560 --> 01:08:17,000 WHERE WE MIGHT SHARE A PATIENT 1787 01:08:17,000 --> 01:08:18,440 WITH SOMEONE, THEY ARE REACHING 1788 01:08:18,440 --> 01:08:20,400 OUT TO GET INFORMATION. 1789 01:08:20,400 --> 01:08:22,240 COULD BE THE FAMILY MEMBER THAT 1790 01:08:22,240 --> 01:08:24,320 REACHES OUT ON THE PATIENT'S 1791 01:08:24,320 --> 01:08:24,680 BEHALF. 1792 01:08:24,680 --> 01:08:26,080 THE MENTIONED THE GENERAL 1793 01:08:26,080 --> 01:08:27,600 PUBLIC, OUR INFORMATION IS ON 1794 01:08:27,600 --> 01:08:28,520 EVERY PROTOCOL CONSENT. 1795 01:08:28,520 --> 01:08:30,120 NIH EMPLOYEES MIGHT REACH OUT ON 1796 01:08:30,120 --> 01:08:33,640 BEHALF OF A PATIENT UP FRONT. 1797 01:08:33,640 --> 01:08:34,600 A POTENTIAL RESEARCH VOLUNTEER, 1798 01:08:34,600 --> 01:08:36,160 SOMEONE LOOKING FOR A STUDY, NOT 1799 01:08:36,160 --> 01:08:38,000 A PATIENT YET BUT CALLING TO ASK 1800 01:08:38,000 --> 01:08:38,560 QUESTIONS. 1801 01:08:38,560 --> 01:08:42,360 AND THEN OF COURSE THE LARGER 1802 01:08:42,360 --> 01:08:44,200 MAJORITY OF THE CONTACT IS 1803 01:08:44,200 --> 01:08:45,240 PATIENTS THEMSELVES. 1804 01:08:45,240 --> 01:08:49,280 THIS NEXT SLIDE SHOWS THE 1805 01:08:49,280 --> 01:08:50,200 REASONS CATEGORIZED WHY FOLKS 1806 01:08:50,200 --> 01:08:50,920 REACH OUT. 1807 01:08:50,920 --> 01:08:53,680 THE MAJORITY IN THIS SET OF DATA 1808 01:08:53,680 --> 01:08:55,360 IS PROTOCOL CLARIFICATION. 1809 01:08:55,360 --> 01:08:56,680 THEY MIGHT CALL WITH QUESTIONS 1810 01:08:56,680 --> 01:08:58,920 ABOUT ANY ASPECT OF THE STUDY. 1811 01:08:58,920 --> 01:09:00,840 IT'S INTERESTING, IT COULD BE 1812 01:09:00,840 --> 01:09:01,880 INFORMATION THE PRIMARY TEAM HAS 1813 01:09:01,880 --> 01:09:03,120 ALREADY SHARED WITH THE PATIENT 1814 01:09:03,120 --> 01:09:05,320 BUT THEY DON'T WANT TO GO BACK 1815 01:09:05,320 --> 01:09:07,160 AND ASK AGAIN AND MIGHT COME TO 1816 01:09:07,160 --> 01:09:08,800 ME BECAUSE THEY FEEL SAFER OR 1817 01:09:08,800 --> 01:09:10,760 DON'T WANT TO FRUSTRATE OR 1818 01:09:10,760 --> 01:09:13,760 IRRITATE OR ANNOY THE FOLKS THAT 1819 01:09:13,760 --> 01:09:15,680 ALREADY EXPLAINED SOMETHING TO 1820 01:09:15,680 --> 01:09:16,400 THEM. 1821 01:09:16,400 --> 01:09:19,000 THERE'S CLINICAL CARE, CUSTOMER 1822 01:09:19,000 --> 01:09:20,480 SERVICE COMMUNICATION, HOSPITAL 1823 01:09:20,480 --> 01:09:22,040 OPERATIONS, MEDICAL RECORDS, 1824 01:09:22,040 --> 01:09:25,640 THERE'S ALWAYS AN "OTHER" 1825 01:09:25,640 --> 01:09:25,920 CATEGORY. 1826 01:09:25,920 --> 01:09:29,040 RECRUITMENT AND REIMBURSEMENT 1827 01:09:29,040 --> 01:09:31,400 FOR THOSE STUDIES, EITHER 1828 01:09:31,400 --> 01:09:33,440 PAYMENT OR REIMBURSEMENT BACK. 1829 01:09:33,440 --> 01:09:35,920 THIS NEXT SLIDE SHOWS MONTHLY 1830 01:09:35,920 --> 01:09:37,800 VOLUME, AS LOW IN THIS 1831 01:09:37,800 --> 01:09:40,200 PARTICULAR SET OF DATA, AS LOW 1832 01:09:40,200 --> 01:09:43,120 AS 50+ ENCOUNTERS OVER A MONTH, 1833 01:09:43,120 --> 01:09:44,240 AS HIGH AS 90. 1834 01:09:44,240 --> 01:09:46,920 PEOPLE SAY WHAT'S YOUR BUSY DAY, 1835 01:09:46,920 --> 01:09:48,280 IT JUST DEPENDS. 1836 01:09:48,280 --> 01:09:49,280 IT JUST DEPENDS. 1837 01:09:49,280 --> 01:09:54,000 AND THIS NEXT IS A DAILY 1838 01:09:54,000 --> 01:09:54,560 AVERAGE. 1839 01:09:54,560 --> 01:09:55,400 AGAIN, AVERAGE THREE ENCOUNTERS 1840 01:09:55,400 --> 01:09:59,040 A DAY, AS MANY AS FIVE, SOME 1841 01:09:59,040 --> 01:10:01,600 DAYS TEN, REALLY VARIES BASED ON 1842 01:10:01,600 --> 01:10:02,840 WHAT'S GOING ON AND WHEN 1843 01:10:02,840 --> 01:10:06,440 PATIENTS FEEL LIKE THEY WANT TO 1844 01:10:06,440 --> 01:10:08,320 STEP UP. 1845 01:10:08,320 --> 01:10:10,320 THIS SLIDE, I INCLUDE SIMPLY AS 1846 01:10:10,320 --> 01:10:13,240 A REFLECTION OF HOW I SEE ALL OF 1847 01:10:13,240 --> 01:10:16,560 US WHO PROVIDE CARE, THE 1848 01:10:16,560 --> 01:10:17,440 I.C.s, CLINICAL CENTER, 1849 01:10:17,440 --> 01:10:19,080 HOLDING THE NET DOING THIS FOR 1850 01:10:19,080 --> 01:10:21,320 PATIENTS AND FAMILIES WITH 1851 01:10:21,320 --> 01:10:23,160 COMPASSION AND CARE AND LOVE, 1852 01:10:23,160 --> 01:10:27,120 REALLY, IS HOW WE'RE ABLE TO DO 1853 01:10:27,120 --> 01:10:28,400 THIS WELL. 1854 01:10:28,400 --> 01:10:28,800 OKAY. 1855 01:10:28,800 --> 01:10:30,160 I STAYED WITHIN MY TIME. 1856 01:10:30,160 --> 01:10:32,440 THANK YOU SO MUCH FOR YOUR 1857 01:10:32,440 --> 01:10:32,840 ATTENTION. 1858 01:10:32,840 --> 01:10:34,560 I REALLY FEEL HONORED TO BE ABLE 1859 01:10:34,560 --> 01:10:37,480 TO DO THIS WORK. 1860 01:10:37,480 --> 01:10:38,720 AND I WELCOME ANY QUESTIONS YOU 1861 01:10:38,720 --> 01:10:40,560 MIGHT HAVE. 1862 01:10:40,560 --> 01:10:42,840 >> THANK YOU, CAPTAIN JONES. 1863 01:10:42,840 --> 01:10:43,160 TERRIFIC. 1864 01:10:43,160 --> 01:10:45,240 WE'LL PULL DOWN THE SLIDES, LET 1865 01:10:45,240 --> 01:10:47,720 ME SEE IF ANYBODY ON THE ZOOM 1866 01:10:47,720 --> 01:10:50,920 SCREEN WANTS TO ASK A QUESTION. 1867 01:10:50,920 --> 01:10:57,720 1868 01:10:57,720 --> 01:10:58,920 I'LL START. 1869 01:10:58,920 --> 01:11:02,640 FIRST OF ALL, IT'S AMAZING. 1870 01:11:02,640 --> 01:11:04,280 IT WAS SAID EARLIER, I CAN'T 1871 01:11:04,280 --> 01:11:06,680 BELIEVE THERE'S ONLY ONE OF YOU. 1872 01:11:06,680 --> 01:11:08,560 WHEN YOU TALKED ABOUT -- YOU 1873 01:11:08,560 --> 01:11:11,080 HAVE THE BROCHURE IN ENGLISH AND 1874 01:11:11,080 --> 01:11:12,840 SPANISH, IS SPANISH CONSIDERED 1875 01:11:12,840 --> 01:11:15,880 THE SECOND LANGUAGE HERE BESIDES 1876 01:11:15,880 --> 01:11:18,080 ENGLISH THAT WE USE FOR OTHER 1877 01:11:18,080 --> 01:11:19,320 INTERACTIONS WITH PATIENTS? 1878 01:11:19,320 --> 01:11:20,880 IS THAT A STANDARD -- 1879 01:11:20,880 --> 01:11:24,120 >> IT'S ON OUR SIGNAGE ACROSS 1880 01:11:24,120 --> 01:11:25,160 THE HOSPITAL, ENGLISH AND 1881 01:11:25,160 --> 01:11:25,560 SPANISH. 1882 01:11:25,560 --> 01:11:26,880 I DON'T KNOW THE EXACT NUMBERS. 1883 01:11:26,880 --> 01:11:31,640 I COULD EXACT NUMBERS, I COULD 1884 01:11:31,640 --> 01:11:33,040 CHECK WITH THE INTERPRETERS, BUT 1885 01:11:33,040 --> 01:11:34,720 IT'S ON OUR SIGNS AND WANTED TO 1886 01:11:34,720 --> 01:11:37,440 MAKE SURE WE HAD BROCHURES 1887 01:11:37,440 --> 01:11:38,640 ALREADY IN THAT LANGUAGE THEY 1888 01:11:38,640 --> 01:11:42,720 COULD GRAB. 1889 01:11:42,720 --> 01:11:44,680 >> IN TERMS OF THOSE WHO DO NOT 1890 01:11:44,680 --> 01:11:47,520 HAVE ENGLISH AS A LANGUAGE THEY 1891 01:11:47,520 --> 01:11:49,280 CAN COMMUNICATE WITH, WHAT'S THE 1892 01:11:49,280 --> 01:11:50,280 INTERPRETATION SERVICES THAT 1893 01:11:50,280 --> 01:11:50,920 YOU'RE USING? 1894 01:11:50,920 --> 01:11:52,880 HOW DO YOU MANAGE THAT HERE? 1895 01:11:52,880 --> 01:11:54,640 >> WE CAN PUT IN A REQUEST. 1896 01:11:54,640 --> 01:11:56,080 IN MY ROLE WHAT'S INTERESTING, 1897 01:11:56,080 --> 01:11:58,520 SOMETIMES A PERSON WILL CALL ME 1898 01:11:58,520 --> 01:12:00,000 AND SPEAKING IN A DIFFERENT 1899 01:12:00,000 --> 01:12:01,960 LANGUAGE, THE MESSAGE IS IN A 1900 01:12:01,960 --> 01:12:03,000 DIFFERENT LANGUAGE. 1901 01:12:03,000 --> 01:12:05,160 IF I CAN FIGURE OUT WHAT THE 1902 01:12:05,160 --> 01:12:06,800 LANGUAGE IS, WE HAVE -- EITHER 1903 01:12:06,800 --> 01:12:09,000 AN INTERPRETER TO LISTEN FOR ME 1904 01:12:09,000 --> 01:12:11,200 OR WE HAVE A SERVICE I CAN CALL 1905 01:12:11,200 --> 01:12:12,800 THEM BACK WITH AN INTERPRETER. 1906 01:12:12,800 --> 01:12:13,600 I DO THAT. 1907 01:12:13,600 --> 01:12:15,680 CALL THEM BACK WITH AN 1908 01:12:15,680 --> 01:12:16,480 INTERPRETER. 1909 01:12:16,480 --> 01:12:18,080 OR AS I MENTIONED, REACH OUT TO 1910 01:12:18,080 --> 01:12:19,960 ONE OF MY COLLEAGUES AND THE 1911 01:12:19,960 --> 01:12:21,040 INTERPRETER PROGRAM, CAN YOU 1912 01:12:21,040 --> 01:12:24,120 LISTEN FOR ME AND TELL ME, HELP 1913 01:12:24,120 --> 01:12:26,160 ME WALK THROUGH THIS. 1914 01:12:26,160 --> 01:12:26,720 >> ONE FOLLOW-UP. 1915 01:12:26,720 --> 01:12:28,600 HOW MUCH DO YOU HEAR FROM PEOPLE 1916 01:12:28,600 --> 01:12:31,320 BEFORE THEY ARE EVEN ARRIVING? 1917 01:12:31,320 --> 01:12:32,000 IS THAT COMMON? 1918 01:12:32,000 --> 01:12:34,600 >> YEAH, IT IS COMMON ACTUALLY. 1919 01:12:34,600 --> 01:12:38,000 PART OF THAT PROTOCOL 1920 01:12:38,000 --> 01:12:39,880 CLARIFICATION CATEGORY, 1921 01:12:39,880 --> 01:12:40,520 RECRUITMENT CATEGORY, PROTOCOL 1922 01:12:40,520 --> 01:12:41,280 CLARIFICATION CATEGORY IS 1923 01:12:41,280 --> 01:12:43,200 SOMEONE WHO HAS AN APPOINTMENT, 1924 01:12:43,200 --> 01:12:45,560 THEY HAVEN'T ARRIVED YET. 1925 01:12:45,560 --> 01:12:47,640 THEY HAVE -- WHETHER LOGISTICAL 1926 01:12:47,640 --> 01:12:48,840 QUESTIONS OR CONFUSION OR 1927 01:12:48,840 --> 01:12:49,680 CLARITY NEEDED AROUND WHAT THEY 1928 01:12:49,680 --> 01:12:51,560 ARE SUPPOSED TO DO OR WHAT THE 1929 01:12:51,560 --> 01:12:52,400 PROTOCOL IS OFFERING. 1930 01:12:52,400 --> 01:12:54,040 SO THERE'S A GOOD NUMBER OF 1931 01:12:54,040 --> 01:12:56,520 PEOPLE WHO JUST WANT TO MAKE 1932 01:12:56,520 --> 01:13:00,200 SURE THEY HAVE IT STRAIGHT. 1933 01:13:00,200 --> 01:13:01,120 LOGISTICAL PIECE, HOSPITAL 1934 01:13:01,120 --> 01:13:03,080 OPERATIONS QUESTIONS, WHERE I DO 1935 01:13:03,080 --> 01:13:05,160 SHOW UP, I GOT THIS LETTER, I 1936 01:13:05,160 --> 01:13:07,000 WANT TO UNDERSTAND, CAN I BRING 1937 01:13:07,000 --> 01:13:11,840 MY CAR, THOSE KINDS OF SIMPLE 1938 01:13:11,840 --> 01:13:12,200 THINGS. 1939 01:13:12,200 --> 01:13:13,360 >> RICK? 1940 01:13:13,360 --> 01:13:16,000 >> THANK YOU VERY MUCH. 1941 01:13:16,000 --> 01:13:21,040 IT'S REALLY GREAT TO HEAR OF 1942 01:13:21,040 --> 01:13:28,840 YOUR EXPERIENCES AND ONE-ON-ONE 1943 01:13:28,840 --> 01:13:29,520 ENGAGEMENT. 1944 01:13:29,520 --> 01:13:31,240 MY QUESTION, ACTUALLY DR. 1945 01:13:31,240 --> 01:13:33,120 DEVASKAR ASKED, I SHOULD KNOW 1946 01:13:33,120 --> 01:13:34,640 THIS AFTER SIX YEARS ON THE 1947 01:13:34,640 --> 01:13:38,800 BOARD, DO WE DO ROUTINE SURVEYS 1948 01:13:38,800 --> 01:13:42,760 LIKE ACAP SCORES OR OTHER -- USE 1949 01:13:42,760 --> 01:13:45,600 OTHER TOOLS THAT ARE PART OF THE 1950 01:13:45,600 --> 01:13:48,000 WAY WE ELICIT PATIENT FEEDBACK 1951 01:13:48,000 --> 01:13:49,760 IN THE HEALTH CARE DELIVERY 1952 01:13:49,760 --> 01:13:50,160 SYSTEM? 1953 01:13:50,160 --> 01:13:53,560 >> IS IT OKAY IF I ANSWER, DR. 1954 01:13:53,560 --> 01:13:53,800 GILMAN? 1955 01:13:53,800 --> 01:13:55,440 OKAY, YES. 1956 01:13:55,440 --> 01:13:57,600 PRESS GANEY IS OUR CONTRACT 1957 01:13:57,600 --> 01:13:59,920 SURVEY COMPANY, I SHOULD SAY. 1958 01:13:59,920 --> 01:14:01,120 WE DO COLLECT PATIENT SURVEY 1959 01:14:01,120 --> 01:14:01,320 DATA. 1960 01:14:01,320 --> 01:14:02,960 THERE'S A SMALL GROUP OF US AT 1961 01:14:02,960 --> 01:14:05,920 THE CLINICAL CENTER WHO WEEKLY 1962 01:14:05,920 --> 01:14:07,680 LOOK AT PATIENT COMMENTS, NOT 1963 01:14:07,680 --> 01:14:08,880 JUST NUMBERS BUT COMMENTS, AND 1964 01:14:08,880 --> 01:14:10,080 DECIDE IF THERE'S ACTION THAT 1965 01:14:10,080 --> 01:14:12,360 NEEDS TO BE TAKEN RIGHT AWAY 1966 01:14:12,360 --> 01:14:13,160 AROUND THOSE COMMENTS. 1967 01:14:13,160 --> 01:14:16,640 YES, THAT'S ANOTHER SORT OF 1968 01:14:16,640 --> 01:14:17,400 GETTING FEEDBACK. 1969 01:14:17,400 --> 01:14:19,320 SOMETIMES PATIENTS SHARE WHO 1970 01:14:19,320 --> 01:14:22,000 THEY ARE, SOMETIMES ANONYMOUS. 1971 01:14:22,000 --> 01:14:26,560 >> THESE ARE THE CONVENTIONAL 1972 01:14:26,560 --> 01:14:27,480 HCAP QUESTIONS? 1973 01:14:27,480 --> 01:14:31,520 I DON'T WANT TO STEAL DR. 1974 01:14:31,520 --> 01:14:33,000 HADIGAN'S THUNDER, SHE'S GOING 1975 01:14:33,000 --> 01:14:33,960 TO TALK ABOUT THAT. 1976 01:14:33,960 --> 01:14:34,400 >> OKAY. 1977 01:14:34,400 --> 01:14:38,120 >> I THINK WE'LL HEAR FROM DR. 1978 01:14:38,120 --> 01:14:39,240 HADIGAN SHORTLY. 1979 01:14:39,240 --> 01:14:39,600 STEPHANIE? 1980 01:14:39,600 --> 01:14:40,840 >> YEAH, QUICK QUESTION. 1981 01:14:40,840 --> 01:14:42,040 SOMEWHAT RELATED TO THE PREVIOUS 1982 01:14:42,040 --> 01:14:42,320 ONE. 1983 01:14:42,320 --> 01:14:49,520 AT THE POINT WHEN A PATIENT 1984 01:14:49,520 --> 01:14:51,680 REGISTERS, BEFORE OR AS THEY 1985 01:14:51,680 --> 01:14:53,200 ARRIVE, IS THERE AN OPPORTUNITY 1986 01:14:53,200 --> 01:14:54,400 TO IDENTIFY A PREFERRED 1987 01:14:54,400 --> 01:14:59,320 LANGUAGE, TO FOLLOW UP? 1988 01:14:59,320 --> 01:15:04,680 >> I BELIEVE THAT'S COLLECTED IN 1989 01:15:04,680 --> 01:15:05,320 REGISTRATION. 1990 01:15:05,320 --> 01:15:05,640 >> GREAT. 1991 01:15:05,640 --> 01:15:07,640 >> LAURA, I DIDN'T MISS THE 1992 01:15:07,640 --> 01:15:09,280 PRESENTATION THAT IS INTENDED TO 1993 01:15:09,280 --> 01:15:11,040 ANSWER MY QUESTION, THAT'S THE 1994 01:15:11,040 --> 01:15:12,240 GOOD NEWS. 1995 01:15:12,240 --> 01:15:12,920 >> THANKS, RICK. 1996 01:15:12,920 --> 01:15:18,440 JIM, DO YOU WANT TO ADD? 1997 01:15:18,440 --> 01:15:20,200 >> YEAH, I WANT -- A COUPLE 1998 01:15:20,200 --> 01:15:22,320 YEARS AGO, IF YOU REMEMBER, ONE 1999 01:15:22,320 --> 01:15:26,040 OF THE HOT TOPICS THAT WE TALKED 2000 01:15:26,040 --> 01:15:27,520 ABOUT IN THE CLINICAL RESEARCH 2001 01:15:27,520 --> 01:15:30,320 HOSPITAL BOARD HAD TO DO WITH 2002 01:15:30,320 --> 01:15:34,880 THE SORT OF SEQUELAE OF THE 2003 01:15:34,880 --> 01:15:36,440 #MeToo MOVEMENT, HARASSMENT. 2004 01:15:36,440 --> 01:15:38,640 IN ADDITION TO THE PATIENT 2005 01:15:38,640 --> 01:15:43,120 REPRESENTATIVE ROLE, TONI ALSO 2006 01:15:43,120 --> 01:15:47,160 IS OUR ANTI-HARASSMENT AND 2007 01:15:47,160 --> 01:15:48,360 RESPONSE TEAM LEAD. 2008 01:15:48,360 --> 01:15:51,840 WHEN WE HAD THOSE DISCUSSIONS 2009 01:15:51,840 --> 01:15:54,720 HERE, SOMEBODY, IT MAY HAVE BEEN 2010 01:15:54,720 --> 01:15:56,240 LAURA, TALKED ABOUT ESTABLISHING 2011 01:15:56,240 --> 01:15:58,200 A POSITION IN AN ORGANIZATION 2012 01:15:58,200 --> 01:16:00,560 CALLED THE CHIEF RESPECT 2013 01:16:00,560 --> 01:16:01,200 OFFICER. 2014 01:16:01,200 --> 01:16:03,440 IT WAS A NEW TITLE, I NEVER 2015 01:16:03,440 --> 01:16:04,800 HEARD THAT TITLE. 2016 01:16:04,800 --> 01:16:08,040 AND I WOULD JUST SAY THAT YOU 2017 01:16:08,040 --> 01:16:09,800 JUST HEARD FROM OUR CHIEF 2018 01:16:09,800 --> 01:16:10,680 RESPECT OFFICER. 2019 01:16:10,680 --> 01:16:13,960 I THINK YOU HAVE A GOOD IDEA NOW 2020 01:16:13,960 --> 01:16:15,080 WHY. 2021 01:16:15,080 --> 01:16:15,280 THANKS. 2022 01:16:15,280 --> 01:16:16,720 >> THAT WAS ME, I LOVE THAT 2023 01:16:16,720 --> 01:16:18,480 TITLE, WE HAVE A CHIEF RESPECT 2024 01:16:18,480 --> 01:16:19,320 OFFICER. 2025 01:16:19,320 --> 01:16:24,560 I RECOMMEND THAT TO EVERYONE. 2026 01:16:24,560 --> 01:16:26,360 IT SOUNDS, TONI LIKE YOU'VE GOT 2027 01:16:26,360 --> 01:16:27,880 THAT RESPONSE, NOW WE'LL ADD 2028 01:16:27,880 --> 01:16:30,080 THAT TITLE TO YOUR MANY OTHERS. 2029 01:16:30,080 --> 01:16:31,560 >> THANK YOU. 2030 01:16:31,560 --> 01:16:32,000 >> ANYONE ELSE? 2031 01:16:32,000 --> 01:16:33,800 >> I HAVE A QUESTION. 2032 01:16:33,800 --> 01:16:34,600 >> CRAIG AND VAN. 2033 01:16:34,600 --> 01:16:34,880 >> GREAT. 2034 01:16:34,880 --> 01:16:37,320 SORRY, I DON'T KNOW THE 2035 01:16:37,320 --> 01:16:38,120 PROTOCOL. 2036 01:16:38,120 --> 01:16:39,480 >> THIS IS OUR PROTOCOL. 2037 01:16:39,480 --> 01:16:40,800 IT'S BEEN SO LONG SINCE WE'VE 2038 01:16:40,800 --> 01:16:43,440 BEEN IN PERSON I FORGOT WHAT THE 2039 01:16:43,440 --> 01:16:45,520 HECK IT WAS. 2040 01:16:45,520 --> 01:16:46,600 >> WONDERFUL PRESENTATION. 2041 01:16:46,600 --> 01:16:47,880 TWO-PART QUESTION. 2042 01:16:47,880 --> 01:16:49,680 CAN YOU ELABORATE A LITTLE BIT 2043 01:16:49,680 --> 01:16:52,160 ON SOME OF THE CONCERNS THAT 2044 01:16:52,160 --> 01:16:56,320 HAVE COME IN IN THE CLINICAL 2045 01:16:56,320 --> 01:16:57,000 CARE AND CUSTOMER SERVICE 2046 01:16:57,000 --> 01:17:00,600 CATEGORY IN PARTICULAR AND THE 2047 01:17:00,600 --> 01:17:02,920 FOLLOW-ON, INTERRELATED, HAVE 2048 01:17:02,920 --> 01:17:05,320 YOU FOUND ANY THEMES IN THE 2049 01:17:05,320 --> 01:17:08,040 COMPLAINTS THAT LED TO ANY 2050 01:17:08,040 --> 01:17:08,920 PROCESS CHANGE OR IMPROVEMENTS 2051 01:17:08,920 --> 01:17:12,040 IN THE WAY WE WORK? 2052 01:17:12,040 --> 01:17:12,640 >> GREAT QUESTIONS. 2053 01:17:12,640 --> 01:17:17,160 I'LL START WITH THE FIRST ONE. 2054 01:17:17,160 --> 01:17:19,800 CLINICAL CARE, DID YOU WANT THE 2055 01:17:19,800 --> 01:17:22,160 SPECIFIC EXAMPLES OF THOSE 2056 01:17:22,160 --> 01:17:22,640 CATEGORIES? 2057 01:17:22,640 --> 01:17:25,600 I THOUGHT ABOUT INCLUDING A FEW 2058 01:17:25,600 --> 01:17:27,800 EXAMPLES, BUT PROBABLY UNLIKE -- 2059 01:17:27,800 --> 01:17:32,080 SIMILAR TO OTHER PLACES WHERE A 2060 01:17:32,080 --> 01:17:33,800 PATIENT PERCEIVES SOMETHING WAS 2061 01:17:33,800 --> 01:17:38,320 DONE INACCURATELY, A COMPETENCE 2062 01:17:38,320 --> 01:17:39,840 ISSUE OR WHERE A PATIENT SAW A 2063 01:17:39,840 --> 01:17:41,600 DIFFERENCE IN THE WAY CARE WAS 2064 01:17:41,600 --> 01:17:44,760 DELIVERED BY TWO DIFFERENT 2065 01:17:44,760 --> 01:17:46,520 PROVIDERS, AND SO SAID THIS 2066 01:17:46,520 --> 01:17:49,120 PERSON FORGOT TO DO X OR DIDN'T 2067 01:17:49,120 --> 01:17:51,080 DO Y OR EVEN SOMETHING AS SIMPLE 2068 01:17:51,080 --> 01:17:53,400 AS THE PERSON CAME IN MY ROOM 2069 01:17:53,400 --> 01:17:58,120 AND DIDN'T HAVE A MASK AND I'M 2070 01:17:58,120 --> 01:17:58,760 IMMUNOSUPPRESSED AND DIDN'T WANT 2071 01:17:58,760 --> 01:18:01,160 TO SAY ANYTHING, HOW DO WE 2072 01:18:01,160 --> 01:18:02,720 ADDRESS THOSE, ARE YOU CURIOUS 2073 01:18:02,720 --> 01:18:04,360 HOW I HANDLE THOSE OR DID YOU 2074 01:18:04,360 --> 01:18:05,560 WANT SPECIFICALLY TO KNOW THOSE 2075 01:18:05,560 --> 01:18:11,200 THINGS OF THINGS DO COME UP? 2076 01:18:11,200 --> 01:18:14,320 SO THAT'S -- WHEN I FIRST TOOK 2077 01:18:14,320 --> 01:18:15,760 THE ROLE I WONDERED IF THERE 2078 01:18:15,760 --> 01:18:17,080 WERE LOTS OF CLINICAL CONCERNS I 2079 01:18:17,080 --> 01:18:18,040 WOULD SAY. 2080 01:18:18,040 --> 01:18:20,200 I WAS SURPRISED OF THE LOW 2081 01:18:20,200 --> 01:18:21,840 NUMBER, MAYBE NOT KNOW 2082 01:18:21,840 --> 01:18:24,200 SURPRISED, REASSURED BECAUSE I 2083 01:18:24,200 --> 01:18:25,880 DO THINK THAT EVERYONE COMES TO 2084 01:18:25,880 --> 01:18:28,560 DO THEIR BEST WORK BUT THE NIH 2085 01:18:28,560 --> 01:18:30,120 PEOPLE FUNCTION AT A HIGH LEVEL. 2086 01:18:30,120 --> 01:18:32,160 I THINK THAT COMES ACROSS AND IT 2087 01:18:32,160 --> 01:18:34,400 DOES HAPPEN BUT THERE ARE TIMES 2088 01:18:34,400 --> 01:18:35,800 CERTAINLY WHETHER IT'S 2089 01:18:35,800 --> 01:18:37,160 PERCEPTION OR WHETHER SOMEONE 2090 01:18:37,160 --> 01:18:38,440 NEEDS TRAINING AROUND SOMETHING 2091 01:18:38,440 --> 01:18:41,400 THAT A PATIENT WILL RAISE AN 2092 01:18:41,400 --> 01:18:44,240 ISSUE AND WE QUICKLY AND KINDLY 2093 01:18:44,240 --> 01:18:46,240 BUT QUICKLY ADDRESS THAT CONCERN 2094 01:18:46,240 --> 01:18:49,040 WITH LEADERSHIP, WITH THAT 2095 01:18:49,040 --> 01:18:49,680 INDIVIDUAL. 2096 01:18:49,680 --> 01:18:50,840 CUSTOMER SERVICE IS -- EVEN 2097 01:18:50,840 --> 01:18:54,000 THOUGH NUMBERS AREN'T HUGE IT 2098 01:18:54,000 --> 01:18:56,200 HAS SUCH A HUGE IMPACT WHEN 2099 01:18:56,200 --> 01:18:58,480 SOMEONE FEELS DISRESPECTED OR 2100 01:18:58,480 --> 01:18:59,680 FEEL LIKE SOMEONE DIDN'T GIVE 2101 01:18:59,680 --> 01:19:02,400 THEM INFORMATION. 2102 01:19:02,400 --> 01:19:05,360 I REMEMBER RECENTLY A PARENT WAS 2103 01:19:05,360 --> 01:19:07,240 FRUSTRATED GETTING TWO PIECES OF 2104 01:19:07,240 --> 01:19:08,760 INFORMATION, SOMETHING IN 2105 01:19:08,760 --> 01:19:10,640 WRITTEN, THE PLACE SHE GOT TO 2106 01:19:10,640 --> 01:19:12,160 SAID SHE SHOULD HAVE DONE 2107 01:19:12,160 --> 01:19:13,600 SOMETHING DIFFERENT. 2108 01:19:13,600 --> 01:19:15,240 HER FEEDBACK, YOU GUYS NEED TO 2109 01:19:15,240 --> 01:19:16,760 GET IT TOGETHER, ALIGN. 2110 01:19:16,760 --> 01:19:19,040 HERE'S WHAT I HAVE, WHAT I WAS 2111 01:19:19,040 --> 01:19:20,600 TOLD, BUT I GET THERE AND THEY 2112 01:19:20,600 --> 01:19:22,200 TELL ME I DIDN'T DO THE RIGHT 2113 01:19:22,200 --> 01:19:23,320 THING, OPPORTUNITIES FOR U.S. AS 2114 01:19:23,320 --> 01:19:25,840 AN ORGANIZATION TO LOOK AT 2115 01:19:25,840 --> 01:19:28,680 COMMUNICATION BECAUSE IT REALLY 2116 01:19:28,680 --> 01:19:30,680 IS THE MOST SIGNIFICANT IMPACT, 2117 01:19:30,680 --> 01:19:31,880 HOW PEOPLE ARE WORKING TOGETHER 2118 01:19:31,880 --> 01:19:33,280 AND TALKING ABOUT THEIR WORK TO 2119 01:19:33,280 --> 01:19:35,480 ONE ANOTHER. 2120 01:19:35,480 --> 01:19:37,960 I THINK THAT'S ACROSS THE BOARD. 2121 01:19:37,960 --> 01:19:39,360 THE OTHER QUESTION, CAN YOU GIVE 2122 01:19:39,360 --> 01:19:41,040 ME THAT AGAIN? 2123 01:19:41,040 --> 01:19:44,320 >> SURE, WHETHER YOU'VE SEEN ANY 2124 01:19:44,320 --> 01:19:47,360 THEME THAT LED TO CHANGE IN 2125 01:19:47,360 --> 01:19:48,160 PROCESS OR PROTOCOL. 2126 01:19:48,160 --> 01:19:52,120 >> SO, FOR ME IN MY OWN SPECIFIC 2127 01:19:52,120 --> 01:19:53,720 ROLE, THERE'S BEEN A FEW TIMES. 2128 01:19:53,720 --> 01:19:56,480 COMMUNICATION IS A BIG ONE. 2129 01:19:56,480 --> 01:19:58,960 I REMEMBER THERE WAS A NUMBER OF 2130 01:19:58,960 --> 01:20:00,640 PATIENTS WHO DIDN'T KNOW EACH 2131 01:20:00,640 --> 01:20:02,680 OTHER, I DON'T THINK. 2132 01:20:02,680 --> 01:20:05,680 THEY REACHED OUT SEPARATELY 2133 01:20:05,680 --> 01:20:08,720 ABOUT A PARTICULAR COMMUNICATION 2134 01:20:08,720 --> 01:20:11,240 STYLE, A STAFF MEMBER ON THE 2135 01:20:11,240 --> 01:20:13,320 SAME STUDY, BUT DIDN'T KNOW EACH 2136 01:20:13,320 --> 01:20:15,120 OTHER, DIFFERENT TIME POINTS BUT 2137 01:20:15,120 --> 01:20:16,600 NAMED THE SAME PERSON. 2138 01:20:16,600 --> 01:20:18,720 THIS IS AN PERSON, NOT A 2139 01:20:18,720 --> 01:20:18,960 ONE-OFF. 2140 01:20:18,960 --> 01:20:21,440 I HAD A CONVERSATION WITH THE 2141 01:20:21,440 --> 01:20:22,480 I.C. LEADERSHIP ABOUT WHAT IS 2142 01:20:22,480 --> 01:20:24,720 HAPPENING THAT'S GETTING IN THE 2143 01:20:24,720 --> 01:20:28,920 WAY OF A PERSON'S PARTICIPATION 2144 01:20:28,920 --> 01:20:30,200 EASILY IN THE STUDY. 2145 01:20:30,200 --> 01:20:32,480 I POINT AT COLLEEN BUT WEEKLY 2146 01:20:32,480 --> 01:20:33,920 SURVEY NOW OF COMMENTS GIVES A 2147 01:20:33,920 --> 01:20:36,520 CHANCE TO LOOK AT WHAT ARE WE 2148 01:20:36,520 --> 01:20:37,640 SEEING ACROSS THE BOARD, NOT 2149 01:20:37,640 --> 01:20:39,800 ONLY IN THE COMMENTS BUT EVEN I 2150 01:20:39,800 --> 01:20:45,920 DO THAT LOOKING A T AT MY OWN 2151 01:20:45,920 --> 01:20:46,520 DATA. 2152 01:20:46,520 --> 01:20:52,160 I CAN SORT BY I.C., BY 2153 01:20:52,160 --> 01:20:53,560 DEPARTMENT, 1 NORTHWEST, 2154 01:20:53,560 --> 01:20:54,880 SOMETHING MIGHT BE HAPPENING, 2155 01:20:54,880 --> 01:20:56,600 I'M NOT PICKING ON THEM, THAT 2156 01:20:56,600 --> 01:20:57,680 CAME TO MY MIND. 2157 01:20:57,680 --> 01:21:00,080 IS THERE SOMETHING IN A UNIT, IN 2158 01:21:00,080 --> 01:21:01,800 A GROUP WITH A PARTICULAR STUDY 2159 01:21:01,800 --> 01:21:03,440 THAT MIGHT GIVE US A CHANCE TO 2160 01:21:03,440 --> 01:21:05,680 SAY IT'S NOT ONE PATIENT BUT 2161 01:21:05,680 --> 01:21:07,840 HAPPENING TO A FEW. 2162 01:21:07,840 --> 01:21:08,920 OVERALL NUMBERS, NUMBER OF 2163 01:21:08,920 --> 01:21:11,240 VISITS IN A CLINICAL CENTER, 2164 01:21:11,240 --> 01:21:12,680 PROBABLY QUITE SMALL. 2165 01:21:12,680 --> 01:21:13,880 BUT STILL, THERE'S OPPORTUNITY 2166 01:21:13,880 --> 01:21:17,360 TO MAKE CHANGE AND MAKE 2167 01:21:17,360 --> 01:21:18,280 IMPROVEMENTS. 2168 01:21:18,280 --> 01:21:18,960 >> THANK YOU. 2169 01:21:18,960 --> 01:21:20,440 COLLEEN, WE'RE GOING TO TAKE A 2170 01:21:20,440 --> 01:21:23,360 FEW MORE QUESTIONS IF IT'S OKAY 2171 01:21:23,360 --> 01:21:25,680 WITH YOU. 2172 01:21:25,680 --> 01:21:31,360 VAN AND MS. ROYSTER AND DAVID. 2173 01:21:31,360 --> 01:21:33,880 >> CAPTAIN JONES, HOO-AH ON THE 2174 01:21:33,880 --> 01:21:35,760 YEOMAN'S WORK YOU DO ALONE. 2175 01:21:35,760 --> 01:21:37,080 I APPRECIATE THE DISCUSSION, 2176 01:21:37,080 --> 01:21:40,800 ESPECIALLY THE LAST SET OF 2177 01:21:40,800 --> 01:21:41,880 QUESTIONS BECAUSE IT GOES TO 2178 01:21:41,880 --> 01:21:42,280 MINE. 2179 01:21:42,280 --> 01:21:44,000 YOU TALK ABOUT PEOPLE WITH 2180 01:21:44,000 --> 01:21:45,400 DIFFERENT LANGUAGES FROM ALL 2181 01:21:45,400 --> 01:21:46,920 OVER THE UNITED STATES, MAYBE 2182 01:21:46,920 --> 01:21:49,680 YOU SEE THE WORLD HERE REALLY AT 2183 01:21:49,680 --> 01:21:52,880 NIH, NOT KNOWING WHAT THE REGS 2184 01:21:52,880 --> 01:21:55,280 COVER IN DEIA HOW MUCH 2185 01:21:55,280 --> 01:21:57,000 UNCONSCIOUS BIAS OR IMPLICIT 2186 01:21:57,000 --> 01:21:59,760 BIAS OR CULTURAL COMPETENCY 2187 01:21:59,760 --> 01:22:03,800 TRAINING IS ACTUALLY DONE WITH 2188 01:22:03,800 --> 01:22:06,560 STAFF AND RESEARCHERS AS THEY 2189 01:22:06,560 --> 01:22:08,400 BETTER PREPARE TO INTERACT WITH 2190 01:22:08,400 --> 01:22:10,160 DIFFERENT CULTURES THAT COME IN, 2191 01:22:10,160 --> 01:22:13,040 IN THE PATIENTS THAT THEY SEE. 2192 01:22:13,040 --> 01:22:14,680 >> THAT'S A GREAT QUESTION, 2193 01:22:14,680 --> 01:22:16,200 ALTHOUGH I DON'T THINK I HAVE 2194 01:22:16,200 --> 01:22:20,680 THE ANSWER TO THAT IN TERMS OF 2195 01:22:20,680 --> 01:22:20,840 -- 2196 01:22:20,840 --> 01:22:25,080 >> WE ALL DO UNCONSCIOUS BIAS 2197 01:22:25,080 --> 01:22:26,120 TRAINING ANNUALLY. 2198 01:22:26,120 --> 01:22:29,440 AND IT'S SHRIEK A LOT OF 2199 01:22:29,440 --> 01:22:30,640 TRAINING, THE FIRST IT -- IT'S 2200 01:22:30,640 --> 01:22:32,400 LIKE A LOT OF TRAINING, THE 2201 01:22:32,400 --> 01:22:35,120 FIRST ITERATION WAS KIND OF 2202 01:22:35,120 --> 01:22:38,200 OKAY, AND IT'S PROGRESSED, WE 2203 01:22:38,200 --> 01:22:40,200 NOW HAVE VERY GOOD ONLINE 2204 01:22:40,200 --> 01:22:41,720 TRAINING THAT REQUIRES SOME 2205 01:22:41,720 --> 01:22:42,240 INTERACTION. 2206 01:22:42,240 --> 01:22:44,120 YOU CAN'T JUST FLIP THROUGH THE 2207 01:22:44,120 --> 01:22:48,400 SLIDES AND THEY GO THROUGH SOME 2208 01:22:48,400 --> 01:22:48,840 ACTUAL SCENARIOS. 2209 01:22:48,840 --> 01:22:51,440 I THINK THE NIH HAS DONE A 2210 01:22:51,440 --> 01:22:57,160 PRETTY GOOD JOB OF MAKING THAT 2211 01:22:57,160 --> 01:22:58,440 INVESTMENT. 2212 01:22:58,440 --> 01:23:00,400 IT WAS A BIG ITEM FOR THE LAST 2213 01:23:00,400 --> 01:23:02,600 CHIEF OF THE OFFICE OF 2214 01:23:02,600 --> 01:23:03,520 SCIENTIFIC WORK FORCE DIVERSITY, 2215 01:23:03,520 --> 01:23:06,360 IT IS A BIG ITEM FOR THE CURRENT 2216 01:23:06,360 --> 01:23:12,680 CHIEF OF THE OFFICE OF 2217 01:23:12,680 --> 01:23:14,760 SCIENTIFIC WORKFORCE DIVERSITY. 2218 01:23:14,760 --> 01:23:16,520 IT'S OBVIOUSLY A BIG DEAL FOR 2219 01:23:16,520 --> 01:23:18,040 NIH LEADERSHIP, AS YOU HEARD 2220 01:23:18,040 --> 01:23:20,160 FROM DR. TABAK AND CLINICAL 2221 01:23:20,160 --> 01:23:21,440 CENTER LEADERSHIP. 2222 01:23:21,440 --> 01:23:29,200 >> THANK YOU. 2223 01:23:29,200 --> 01:23:31,600 MS.ROYSTER? 2224 01:23:31,600 --> 01:23:31,840 2225 01:23:31,840 --> 01:23:33,560 >> SEEING SIGNS AND BUSINESSES, 2226 01:23:33,560 --> 01:23:37,160 IF WE SERVE YOU WELL, TELL YOUR 2227 01:23:37,160 --> 01:23:38,600 FRIENDS. 2228 01:23:38,600 --> 01:23:41,520 IF WE DID NOT, TELL US. 2229 01:23:41,520 --> 01:23:43,120 THERE ARE QUITE A FEW PATIENTS 2230 01:23:43,120 --> 01:23:47,160 WHEN I FIRST STARTED AT NIH, 2231 01:23:47,160 --> 01:23:50,000 WOULD ALWAYS TELL ME THEIR 2232 01:23:50,000 --> 01:23:53,040 ISSUES, I WOULD POINT TO THE 2233 01:23:53,040 --> 01:23:55,360 WALL, THAT'S THE PATIENT 2234 01:23:55,360 --> 01:23:56,240 REPRESENTATIVE RIGHT THERE. 2235 01:23:56,240 --> 01:23:59,200 AND YOU HAVE TAKEN PATIENT 2236 01:23:59,200 --> 01:24:00,680 REPRESENTATION TO THE NEXT 2237 01:24:00,680 --> 01:24:00,880 LEVEL. 2238 01:24:00,880 --> 01:24:06,320 I LOVE YOU SO MUCH. 2239 01:24:06,320 --> 01:24:08,720 YOU ARE TRULY THE CHIEF RESPECT 2240 01:24:08,720 --> 01:24:09,040 OFFICER. 2241 01:24:09,040 --> 01:24:12,720 THANK YOU, TONI, FOR ALL YOU DO. 2242 01:24:12,720 --> 01:24:13,960 >> MY PLEASURE. 2243 01:24:13,960 --> 01:24:16,440 >> THAT WAS BEAUTIFULLY STATED. 2244 01:24:16,440 --> 01:24:17,000 DAVID? 2245 01:24:17,000 --> 01:24:19,280 >> I WOULD ADD ONE COMMENT THAT 2246 01:24:19,280 --> 01:24:21,400 ACTUALLY PATIENTS NOW GET 2247 01:24:21,400 --> 01:24:22,800 INTRODUCED TO TONI, IF THEY GO 2248 01:24:22,800 --> 01:24:26,200 TO THE WEBSITE, WHERE SHE'S IN 2249 01:24:26,200 --> 01:24:27,880 THE VIDEO ABOUT COMING TO THE 2250 01:24:27,880 --> 01:24:29,240 NIH CAMPUS, THINGS TO BE 2251 01:24:29,240 --> 01:24:32,680 PREPARED FOR, THINGS NOT TO BE 2252 01:24:32,680 --> 01:24:35,280 PREPARED FOR, WHICH SHE 2253 01:24:35,280 --> 01:24:37,880 DILIGENTLY DID WITHIN 30 DAYS OF 2254 01:24:37,880 --> 01:24:40,720 IT BEING RAISED AT A PATIENT 2255 01:24:40,720 --> 01:24:41,400 ADVISORY COMMITTEE MEETING 2256 01:24:41,400 --> 01:24:42,520 MAKING A DIFFERENCE TO FAMILIES 2257 01:24:42,520 --> 01:24:44,160 AND PATIENTS BECAUSE WHEN YOU 2258 01:24:44,160 --> 01:24:46,640 COME UP TO THE GATES AND SEE 2259 01:24:46,640 --> 01:24:51,000 DOGS AND POLICE OFFICERS, IT'S 2260 01:24:51,000 --> 01:24:53,800 AN OVERWHELMING FEELING. 2261 01:24:53,800 --> 01:24:57,400 I HAVE TWO OTHER COMMENTS. 2262 01:24:57,400 --> 01:24:58,800 I INTERACT WITH TONI FREQUENTLY 2263 01:24:58,800 --> 01:25:02,720 BECAUSE OF FREQUENT VISITS TO 2264 01:25:02,720 --> 01:25:03,160 CAMPUS. 2265 01:25:03,160 --> 01:25:06,560 THE BREADTH OF HER BACKGROUND 2266 01:25:06,560 --> 01:25:11,400 CONTRIBUTES IN MY OPINION VERY 2267 01:25:11,400 --> 01:25:12,040 SIGNIFICANTLY TO EFFECTIVENESS 2268 01:25:12,040 --> 01:25:13,480 OF THE JOB. 2269 01:25:13,480 --> 01:25:16,600 I HOPE SOME DAYS THERE ARE FUNDS 2270 01:25:16,600 --> 01:25:18,600 TO HAVE ADDITIONAL HELP. 2271 01:25:18,600 --> 01:25:24,120 BUT I HAD THE PROBLEM THAT 2272 01:25:24,120 --> 01:25:29,400 RELATED TO EDUCATION LEVELS OF 2273 01:25:29,400 --> 01:25:31,000 FELLOWS WHO WERE PROVIDING 2274 01:25:31,000 --> 01:25:32,240 PARTICIPATION IN RESEARCH AND 2275 01:25:32,240 --> 01:25:34,200 PATIENT CARE IN THE HOSPITAL, IN 2276 01:25:34,200 --> 01:25:36,480 THE EARLY DAYS BEFORE TONI CAME 2277 01:25:36,480 --> 01:25:39,240 ON BOARD. 2278 01:25:39,240 --> 01:25:43,680 IT TOOK ME MONTHS OF TRACKING 2279 01:25:43,680 --> 01:25:44,800 DOWN THE PRIMARY INVESTIGATOR 2280 01:25:44,800 --> 01:25:47,720 BECAUSE I COULDN'T GET TO A 2281 01:25:47,720 --> 01:25:49,920 PATIENT REPRESENTATIVE TO HELP 2282 01:25:49,920 --> 01:25:52,200 ME WITH THAT PROBLEM. 2283 01:25:52,200 --> 01:25:53,880 THE PROBLEM WAS RESOLVED. 2284 01:25:53,880 --> 01:25:55,840 IT'S SOMETHING THAT A RESEARCH 2285 01:25:55,840 --> 01:25:57,520 HOSPITAL HAS TO BE COGNIZANT OF 2286 01:25:57,520 --> 01:25:58,880 AND IT IS NOW. 2287 01:25:58,880 --> 01:26:00,760 AND THAT IS RESEARCHERS 2288 01:26:00,760 --> 01:26:02,400 FREQUENTLY DON'T UNDERSTAND HOW 2289 01:26:02,400 --> 01:26:08,160 TO INTERACT WITH LIVE PATIENTS. 2290 01:26:08,160 --> 01:26:09,240 IT'S NOT TAUGHT UNFORTUNATELY. 2291 01:26:09,240 --> 01:26:11,600 WHEN I USED TO TEACH AT A 2292 01:26:11,600 --> 01:26:13,040 UNIVERSITY AS A GRADUATE STUDENT 2293 01:26:13,040 --> 01:26:14,320 OR DEAN OF ENGINEERING REQUIRED 2294 01:26:14,320 --> 01:26:16,960 US TO COME IN FOR A SUMMER 2295 01:26:16,960 --> 01:26:19,280 EDUCATION ON HOW TO BE A TEACHER 2296 01:26:19,280 --> 01:26:20,920 BECAUSE TOO MANY GRADUATE 2297 01:26:20,920 --> 01:26:23,400 STUDENTS DID NOT KNOW HOW TO 2298 01:26:23,400 --> 01:26:24,200 TEACH. 2299 01:26:24,200 --> 01:26:26,560 IT'S A PROBLEM THAT I THINK NIH 2300 01:26:26,560 --> 01:26:28,040 IS TRYING TO ADDRESS. 2301 01:26:28,040 --> 01:26:30,200 I KNOW THAT PARTICULAR FELLOW 2302 01:26:30,200 --> 01:26:31,880 GOT IT RIGHT BECAUSE HE WENT ON 2303 01:26:31,880 --> 01:26:34,640 TO BE A DEPARTMENT HEAD IN THE 2304 01:26:34,640 --> 01:26:38,440 JOHNS HOPKINS HOSPITAL IN THE 2305 01:26:38,440 --> 01:26:39,040 AREA. 2306 01:26:39,040 --> 01:26:41,640 SO, THE WHOLE RELATIONSHIP 2307 01:26:41,640 --> 01:26:43,480 BETWEEN PATIENTS AND THE 2308 01:26:43,480 --> 01:26:46,440 RESEARCH ASPECT OF THE CLINICAL 2309 01:26:46,440 --> 01:26:48,640 CENTER IS SOMETHING THAT IS 2310 01:26:48,640 --> 01:26:49,840 CONSTANTLY IMPROVING. 2311 01:26:49,840 --> 01:26:53,640 AND TONI IS A SIGNIFICANT 2312 01:26:53,640 --> 01:26:54,320 REASON. 2313 01:26:54,320 --> 01:26:56,080 >> WE'RE LUCKY TO HAVE HERE 2314 01:26:56,080 --> 01:26:56,800 CLEARLY. 2315 01:26:56,800 --> 01:26:58,960 THANK YOU BOTH FOR THE COMMENTS. 2316 01:26:58,960 --> 01:27:00,200 YOU SEE HOW IMPORTANT IT IS TO 2317 01:27:00,200 --> 01:27:03,560 HEAR FROM PEOPLE WHO HAVE ON THE 2318 01:27:03,560 --> 01:27:09,760 GROUND EXPERIENCE WITH THAT. 2319 01:27:09,760 --> 01:27:10,160 DAVID CHIN? 2320 01:27:10,160 --> 01:27:12,760 >> YOUR PASSION COMES THROUGH. 2321 01:27:12,760 --> 01:27:14,520 THANK YOU VERY MUCH. 2322 01:27:14,520 --> 01:27:17,040 MY QUESTION IS THAT GIVEN DR. 2323 01:27:17,040 --> 01:27:20,200 TABAK'S COMMENTS THAT THE NIH IS 2324 01:27:20,200 --> 01:27:21,320 A FEDERATED MODEL, HOW MUCH 2325 01:27:21,320 --> 01:27:22,960 VARIATION DO YOU SEE AMONG THE 2326 01:27:22,960 --> 01:27:29,520 INSTITUTES IN TERMS OF HOW THEY 2327 01:27:29,520 --> 01:27:39,960 INTERACT WITH PATIENTS. 2328 01:27:40,480 --> 01:27:41,920 THERE MIGHT BE VARIATION. 2329 01:27:41,920 --> 01:27:42,880 >> THE PATIENT SEES ONE 2330 01:27:42,880 --> 01:27:43,360 ORGANIZATION. 2331 01:27:43,360 --> 01:27:44,760 THEY TALK TO ONE ANOTHER. 2332 01:27:44,760 --> 01:27:46,640 THEY WOULD SAY THAT'S NOT WHAT 2333 01:27:46,640 --> 01:27:47,680 MY FOLKS OFFERED ME. 2334 01:27:47,680 --> 01:27:49,200 OR THAT'S NOT HOW THEY DO IT 2335 01:27:49,200 --> 01:27:51,760 WHERE I'M BEING SEEN. 2336 01:27:51,760 --> 01:27:54,360 AND SO, THEY DO ALL FUNCTION 2337 01:27:54,360 --> 01:27:54,680 DIFFERENTLY. 2338 01:27:54,680 --> 01:27:57,240 I DO CERTAINLY THINK THEY TRY TO 2339 01:27:57,240 --> 01:28:00,560 MAKE IT AS SMOOTH AS POSSIBLE 2340 01:28:00,560 --> 01:28:02,920 FOR PATIENTS BUT I THINK MY 2341 01:28:02,920 --> 01:28:05,040 ROLE, TO UNDERSTANDING THOSE 2342 01:28:05,040 --> 01:28:06,760 NUANCES, HELPING THE PATIENTS 2343 01:28:06,760 --> 01:28:08,200 UNDERSTAND THEM, BECAUSE FAIR 2344 01:28:08,200 --> 01:28:09,160 DOESN'T ALWAYS MEAN EQUAL, YOU 2345 01:28:09,160 --> 01:28:11,400 MAY BE ON A STUDY IN ONE I.C. 2346 01:28:11,400 --> 01:28:13,920 THAT HANDLES THINGS IN ONE WAY, 2347 01:28:13,920 --> 01:28:15,440 AND HAVING TO STRUGGLE WITH WHY 2348 01:28:15,440 --> 01:28:17,280 IT LOOKS DIFFERENT FOR THAT 2349 01:28:17,280 --> 01:28:18,720 FAMILY AND UNDERSTANDING THAT 2350 01:28:18,720 --> 01:28:20,560 THERE'S EACH I.C., HOW THEY 2351 01:28:20,560 --> 01:28:22,000 OPERATE, I THINK THAT IS 2352 01:28:22,000 --> 01:28:23,280 SOMETHING WE ALWAYS ARE GOING TO 2353 01:28:23,280 --> 01:28:25,920 HAVE TO DEAL WITH AND HAVE TO 2354 01:28:25,920 --> 01:28:27,480 MESSAGE AND SHEPHERD FOR THAT 2355 01:28:27,480 --> 01:28:30,400 PATIENT AND FAMILY AND HELP THEM 2356 01:28:30,400 --> 01:28:30,720 UNDERSTAND. 2357 01:28:30,720 --> 01:28:32,600 IT JUST DEPENDS ON THE I.C. AND 2358 01:28:32,600 --> 01:28:38,080 WHAT THE STUDY IS AND HOW THINGS 2359 01:28:38,080 --> 01:28:39,760 ARE ALLOCATED AND WHAT THEY CAN 2360 01:28:39,760 --> 01:28:40,080 ALLOW. 2361 01:28:40,080 --> 01:28:47,320 THERE'S A GOOD BIT OF VARIATION 2362 01:28:47,320 --> 01:28:48,800 DEPENDING ON WHICH VARIATION. 2363 01:28:48,800 --> 01:28:51,840 >> ARE THERE LESSONS OVER THE 2364 01:28:51,840 --> 01:28:54,600 YEARS THAT YOU STABLE A COMMON 2365 01:28:54,600 --> 01:28:57,160 PROTOCOL, SO THERE HAS TO BE 2366 01:28:57,160 --> 01:28:58,480 VARIATION BUT THERE ARE 2367 01:28:58,480 --> 01:29:00,000 OPPORTUNITIES TO STANDARDIZE SO 2368 01:29:00,000 --> 01:29:01,080 THE PATIENT DOESN'T EXPERIENCE 2369 01:29:01,080 --> 01:29:04,800 THE KIND OF VARIATION YOU 2370 01:29:04,800 --> 01:29:05,320 MENTIONED? 2371 01:29:05,320 --> 01:29:06,040 >> USUALLY, THE THINGS THAT ARE 2372 01:29:06,040 --> 01:29:09,240 OF CONCERN THAT COME TO ME ARE 2373 01:29:09,240 --> 01:29:10,760 USUALLY SO UNIQUE YOU CANNOT 2374 01:29:10,760 --> 01:29:11,440 STANDARDIZE. 2375 01:29:11,440 --> 01:29:12,960 THERE ARE SOME AROUND 2376 01:29:12,960 --> 01:29:13,360 COMMUNICATION. 2377 01:29:13,360 --> 01:29:15,240 DAVID MENTIONED JUST EVEN HOW TO 2378 01:29:15,240 --> 01:29:16,480 GET INTO THE HOSPITAL. 2379 01:29:16,480 --> 01:29:18,560 SOME I.C.s DO A REALLY GREAT 2380 01:29:18,560 --> 01:29:20,280 JOB OF MAPPING OUT FOR THAT 2381 01:29:20,280 --> 01:29:22,680 PATIENT AND FAMILY WHAT THEY CAN 2382 01:29:22,680 --> 01:29:22,920 EXPECT. 2383 01:29:22,920 --> 01:29:24,120 OTHERS, THE PATIENT WILL SAY I 2384 01:29:24,120 --> 01:29:25,640 WAS EXPECTING TO GET A CALENDAR 2385 01:29:25,640 --> 01:29:27,160 AND LIST AND SOME INFORMATION 2386 01:29:27,160 --> 01:29:28,360 AND I'M STILL WAITING FOR IT. 2387 01:29:28,360 --> 01:29:30,040 SO THOSE ARE THE KINDS OF THINGS 2388 01:29:30,040 --> 01:29:32,560 WE CAN SAY TO I.C.s. 2389 01:29:32,560 --> 01:29:34,320 WE HAVE A MONTHLY SECRETARIAT 2390 01:29:34,320 --> 01:29:37,920 MEETING WHERE A LOT OF I.C.s 2391 01:29:37,920 --> 01:29:39,000 ATTEND, TAKING THE OPPORTUNITY 2392 01:29:39,000 --> 01:29:40,320 TO REMIND THEM TO GET THE 2393 01:29:40,320 --> 01:29:41,320 MESSAGE OUT. 2394 01:29:41,320 --> 01:29:44,160 HERE THE THINGS WE'RE HEARING 2395 01:29:44,160 --> 01:29:46,440 ABOUT SOMETHING AS SIMPLE AS 2396 01:29:46,440 --> 01:29:47,440 BRINGING MARIJUANA ON THE 2397 01:29:47,440 --> 01:29:48,960 CAMPUS, THINGS THAT COME UP THAT 2398 01:29:48,960 --> 01:29:50,800 SOME PEOPLE KNOW AND SOME PEOPLE 2399 01:29:50,800 --> 01:29:51,040 DON'T. 2400 01:29:51,040 --> 01:29:53,000 YOU THINK, HOW CAN WE MAKE THAT 2401 01:29:53,000 --> 01:29:55,960 BETTER SO WHEN WE CAN ENGAGE 2402 01:29:55,960 --> 01:29:57,480 LARGE AUDIENCES THAT HAVE I.C. 2403 01:29:57,480 --> 01:29:58,840 PARTNERS WE GIVE THEM REMINDERS 2404 01:29:58,840 --> 01:30:00,800 BUT THOSE ARE THE KINDS OF SMALL 2405 01:30:00,800 --> 01:30:02,280 THINGS THEY SEE BUT THEY HAVE 2406 01:30:02,280 --> 01:30:03,200 BIG IMPACT. 2407 01:30:03,200 --> 01:30:04,600 WHEN YOU COME AND YOU'RE AT THE 2408 01:30:04,600 --> 01:30:06,360 GATE AND CAN'T GET IN BECAUSE 2409 01:30:06,360 --> 01:30:10,600 SOMEONE DIDN'T DO A SMALL THING 2410 01:30:10,600 --> 01:30:16,480 BECAUSE SOMETHING WOULD HAVE 2411 01:30:16,480 --> 01:30:18,280 MADE THE EXPERIENCE BETTER. 2412 01:30:18,280 --> 01:30:22,440 >> WE'LL LOOK FORWARD TO SEEING 2413 01:30:22,440 --> 01:30:25,520 HOW THINGS GO AND THEY WILL 2414 01:30:25,520 --> 01:30:26,480 CLONE YOU. 2415 01:30:26,480 --> 01:30:29,320 DR. HADIGAN IS COMING TO THE 2416 01:30:29,320 --> 01:30:29,640 PODIUM. 2417 01:30:29,640 --> 01:30:31,120 COLLEEN, WELCOME. 2418 01:30:31,120 --> 01:30:34,880 DR. CUNNINGHAM JOINED US. 2419 01:30:34,880 --> 01:30:35,760 REGINA, THANKS FOR BEING WITH 2420 01:30:35,760 --> 01:30:36,400 US. 2421 01:30:36,400 --> 01:30:38,640 FOR THOSE ON ZOOM, SOME PEOPLE 2422 01:30:38,640 --> 01:30:41,480 ARE CHATTING BUT WE DO NOT HAVE 2423 01:30:41,480 --> 01:30:43,320 GREAT WAYS TO SEE THAT. 2424 01:30:43,320 --> 01:30:46,080 I HOPE YOU'LL RAISE YOUR HAND 2425 01:30:46,080 --> 01:30:47,520 AND PARTICIPATE AND ASK A 2426 01:30:47,520 --> 01:30:47,760 QUESTION. 2427 01:30:47,760 --> 01:30:53,080 I'LL TRY TO BE VERY MINDFUL OF 2428 01:30:53,080 --> 01:30:53,840 THAT. 2429 01:30:53,840 --> 01:30:56,480 COLLEEN, THANK YOU FOR BEING 2430 01:30:56,480 --> 01:30:56,920 HERE. 2431 01:30:56,920 --> 01:30:59,400 >> OKAY. 2432 01:30:59,400 --> 01:31:02,200 SO THIS IS A PERFECT OPPORTUNITY 2433 01:31:02,200 --> 01:31:04,960 TO KIND OF EXPAND AND CONTINUE 2434 01:31:04,960 --> 01:31:06,760 IN THIS TOPIC OF PATIENT 2435 01:31:06,760 --> 01:31:07,880 SATISFACTION, PATIENT SURVEY. 2436 01:31:07,880 --> 01:31:09,720 I WANT TO FIRST THANK CAPTAIN 2437 01:31:09,720 --> 01:31:11,080 JONES FOR HER PRESENTATION AND 2438 01:31:11,080 --> 01:31:12,920 SAY THAT I KNOW SHE PUT METRICS 2439 01:31:12,920 --> 01:31:15,240 UP THERE TO SHOW WHAT SHE DOES 2440 01:31:15,240 --> 01:31:16,640 BUT LET'S BE HONEST, THERE'S NO 2441 01:31:16,640 --> 01:31:18,640 GRAPH THAT'S GOING TO CAPTURE 2442 01:31:18,640 --> 01:31:21,120 THE VALUE THAT WE HAVE IN HER 2443 01:31:21,120 --> 01:31:23,960 FOR PATIENTS AND FOR OUR STAFF. 2444 01:31:23,960 --> 01:31:25,400 I'M VERY APPRECIATIVE OF HER 2445 01:31:25,400 --> 01:31:26,840 WEEKLY MEETINGS WITH ME 2446 01:31:26,840 --> 01:31:27,960 REVIEWING SURVEY DATA AND 2447 01:31:27,960 --> 01:31:32,560 FOLLOW-UP SHE PROVIDES TO OUR 2448 01:31:32,560 --> 01:31:32,800 PATIENTS. 2449 01:31:32,800 --> 01:31:35,000 I'M GOING TO SPEND TIMESHARING 2450 01:31:35,000 --> 01:31:38,440 OUR PRESS GANEY RESULTS FROM THE 2451 01:31:38,440 --> 01:31:40,640 YEAR 2021 AND IN ADDITION 2452 01:31:40,640 --> 01:31:43,680 BREAKING IT OUT BY DIFFERENT 2453 01:31:43,680 --> 01:31:46,200 DEMOGRAPHICS TO SEE IF WE CAN 2454 01:31:46,200 --> 01:31:47,840 EVALUATE IF THERE'S ANY 2455 01:31:47,840 --> 01:31:50,600 DISPARITY IN PATIENT EXPERIENCE 2456 01:31:50,600 --> 01:31:51,800 BY THESE DIFFERENT DETERMINANTS. 2457 01:31:51,800 --> 01:31:58,560 SO, JUST AS A SIMPLE REMINDER 2458 01:31:58,560 --> 01:32:00,400 ABOUT HCAPS, AND DATA, PRESS 2459 01:32:00,400 --> 01:32:01,760 GANEY IS A LARGE ORGANIZATION 2460 01:32:01,760 --> 01:32:03,640 THAT COLLECTS DATA FOR MANY 2461 01:32:03,640 --> 01:32:05,920 HOSPITALS ACROSS THE COUNTRY. 2462 01:32:05,920 --> 01:32:08,960 AND IT PROVIDES PLATFORMS NOW TO 2463 01:32:08,960 --> 01:32:09,960 DO e-SURVEYING WITH 2464 01:32:09,960 --> 01:32:10,800 STANDARDIZED QUESTIONS THAT 2465 01:32:10,800 --> 01:32:12,680 ADDRESS MULTIPLE ASPECTS OF THE 2466 01:32:12,680 --> 01:32:15,320 HEALTH CARE ENCOUNTER THAT 2467 01:32:15,320 --> 01:32:17,400 OCCURS INCLUDING SPECIFICS 2468 01:32:17,400 --> 01:32:19,560 AROUND THE NURSING EXPERIENCE, 2469 01:32:19,560 --> 01:32:22,760 PHYSICIAN EXPERIENCE, ACCESS TO 2470 01:32:22,760 --> 01:32:24,920 CARE, MEALS, THE ROOM, OTHER 2471 01:32:24,920 --> 01:32:25,720 PERSONAL ISSUES. 2472 01:32:25,720 --> 01:32:29,880 I WANT TO SHARE SOME EXAMPLES. 2473 01:32:29,880 --> 01:32:31,760 OUR QUESTIONS ARE DESIGNED 2474 01:32:31,760 --> 01:32:35,920 THROUGH -- WE WORKED HARD WITH 2475 01:32:35,920 --> 01:32:39,960 PRESS GANEY TO INCLUDE HCAP TYPE 2476 01:32:39,960 --> 01:32:44,360 QUESTIONS, OR STANDARDIZE CMS 2477 01:32:44,360 --> 01:32:45,840 QUESTIONS TO BENCHMARK AGAINST 2478 01:32:45,840 --> 01:32:46,920 THE PARTICIPATING HOSPITALS. 2479 01:32:46,920 --> 01:32:48,080 I'LL GO THROUGH QUICKLY. 2480 01:32:48,080 --> 01:32:52,560 IF YOU WERE AN INPATIENT AND 2481 01:32:52,560 --> 01:32:59,040 RECEIVING A SURVEY, THE SECTION 2482 01:32:59,040 --> 01:33:02,880 RELATED TO NURSING HAS THESE 2483 01:33:02,880 --> 01:33:04,120 QUESTIONS, HOW WELL DID NURSES 2484 01:33:04,120 --> 01:33:05,520 KEEP YOU INFORMED, WHAT WAS THE 2485 01:33:05,520 --> 01:33:07,040 SKILL LEVEL OF THE NURSES CARING 2486 01:33:07,040 --> 01:33:07,760 FOR YOU? 2487 01:33:07,760 --> 01:33:11,640 AND THE DATA THAT I'M GOING TO 2488 01:33:11,640 --> 01:33:14,920 SHOW IS OUR TOP BOX AVERAGE. 2489 01:33:14,920 --> 01:33:16,560 THAT'S THE AVERAGE OF HOW MANY 2490 01:33:16,560 --> 01:33:18,560 QUESTIONS IN EACH CATEGORY WERE 2491 01:33:18,560 --> 01:33:20,840 RESPONDED WITH A CHECK-OFF OF 2492 01:33:20,840 --> 01:33:23,360 THE TOP BOX, A STANDARD WAY IN 2493 01:33:23,360 --> 01:33:28,280 WHICH THESE DATA ARE SUMMARIZED. 2494 01:33:28,280 --> 01:33:31,240 WE WENT LIVE IN APRIL OF 2021. 2495 01:33:31,240 --> 01:33:32,680 BECAUSE WE HAD WANTED A FULL 2496 01:33:32,680 --> 01:33:36,040 YEAR'S WORTH OF DATA, WE DID A 2497 01:33:36,040 --> 01:33:37,120 REACHBACK AND e-SURVEYED 2498 01:33:37,120 --> 01:33:38,440 EVERYONE WHO HAD AN ENCOUNTER IN 2499 01:33:38,440 --> 01:33:40,960 THE CLINICAL CENTER THAT WAS 2500 01:33:40,960 --> 01:33:44,440 ELIGIBLE FOR A SURVEY BEGINNING 2501 01:33:44,440 --> 01:33:45,360 IN JANUARY OF 2021. 2502 01:33:45,360 --> 01:33:47,520 THEN FORWARD WE DID IT IN REAL 2503 01:33:47,520 --> 01:33:49,520 TIME SURVEYING. 2504 01:33:49,520 --> 01:33:51,040 PATIENTS WOULD RECEIVE 2505 01:33:51,040 --> 01:33:53,560 e-SURVEY IMMEDIATELY AFTER 2506 01:33:53,560 --> 01:33:53,840 ENCOUNTER. 2507 01:33:53,840 --> 01:33:56,840 WE DO COLLECT DATA BASED ON BOTH 2508 01:33:56,840 --> 01:33:59,080 SEX, RACE, AND LANGUAGE IN WHICH 2509 01:33:59,080 --> 01:34:02,000 THE SURVEY IS COMPLETED. 2510 01:34:02,000 --> 01:34:03,840 IN 2022, WE'RE ALSO NOW 2511 01:34:03,840 --> 01:34:06,240 COLLECTING INFORMATION SO WE CAN 2512 01:34:06,240 --> 01:34:07,320 LINK TO ETHNICITY. 2513 01:34:07,320 --> 01:34:10,160 WE'RE USING THIS AS AN 2514 01:34:10,160 --> 01:34:11,720 OPPORTUNITY TO ASSESS PATIENT 2515 01:34:11,720 --> 01:34:13,680 EXPERIENCE, LINKED TO THIS 2516 01:34:13,680 --> 01:34:14,560 DEMOGRAPHIC INFORMATION. 2517 01:34:14,560 --> 01:34:16,320 WHAT I'M GOING TO DO IS SHOW 2518 01:34:16,320 --> 01:34:17,440 FIRST OUTPATIENT DATA WHICH IS 2519 01:34:17,440 --> 01:34:18,480 CALLED OUR MEDICAL PRACTICE. 2520 01:34:18,480 --> 01:34:20,160 AND THEN WE'LL SWITCH TO 2521 01:34:20,160 --> 01:34:21,000 INPATIENT BECAUSE THE 2522 01:34:21,000 --> 01:34:22,560 EXPERIENCES CAN BE DIFFERENT IN 2523 01:34:22,560 --> 01:34:23,760 THOSE SETTINGS. 2524 01:34:23,760 --> 01:34:26,840 I'LL POINT OUT I'M NOT CURRENTLY 2525 01:34:26,840 --> 01:34:27,840 INCLUDING OUR BEHAVIORAL HEALTH 2526 01:34:27,840 --> 01:34:29,120 UNITS BECAUSE WE'RE STILL DOING 2527 01:34:29,120 --> 01:34:31,520 A PEN AND PAPER SURVEY THAT'S 2528 01:34:31,520 --> 01:34:32,960 SLIGHTLY DIFFERENT AND NOT 2529 01:34:32,960 --> 01:34:34,240 EXACTLY COMPARABLE. 2530 01:34:34,240 --> 01:34:37,560 THIS INCLUDES OUTPATIENT MEDICAL 2531 01:34:37,560 --> 01:34:40,640 PRACTICES, IN ADULT CLINICS, AND 2532 01:34:40,640 --> 01:34:41,520 THE DAY HOSPITALS. 2533 01:34:41,520 --> 01:34:43,040 I'LL SPEND A LITTLE TIME WALKING 2534 01:34:43,040 --> 01:34:44,120 THROUGH THIS BECAUSE THIS MODEL 2535 01:34:44,120 --> 01:34:46,320 IS GOING TO BE REPEATED 2536 01:34:46,320 --> 01:34:48,640 THROUGHOUT THE REMAINDER OF THE 2537 01:34:48,640 --> 01:34:49,160 SLIDES. 2538 01:34:49,160 --> 01:34:51,800 THE FIRST THING TO POINT OUT IS 2539 01:34:51,800 --> 01:34:52,960 THE PRESS GANEY COMPARATOR GROUP 2540 01:34:52,960 --> 01:34:56,200 DOES NOT ALLOW US TO BREAK IT 2541 01:34:56,200 --> 01:34:59,440 DOWN INTO THE INDIVIDUAL DIRECT 2542 01:34:59,440 --> 01:35:01,520 COMPARATORS BY SEX OR RACE 2543 01:35:01,520 --> 01:35:03,920 BECAUSE DIFFERENT HOSPITALS DO 2544 01:35:03,920 --> 01:35:04,400 THEIR CATEGORIZATIONS 2545 01:35:04,400 --> 01:35:08,480 DIFFERENTLY ALPO AL -- ALTHOUGH 2546 01:35:08,480 --> 01:35:09,560 PRESS GANEY IS ALLOWING US TO 2547 01:35:09,560 --> 01:35:13,520 WORK TO DO THAT. 2548 01:35:13,520 --> 01:35:19,800 DARK SOLID BAR IS PRESS GANEY 2549 01:35:19,800 --> 01:35:20,360 COMPARATOR DATA. 2550 01:35:20,360 --> 01:35:23,560 IF YOU LOOK AT THE OVERALL 2551 01:35:23,560 --> 01:35:24,080 OUTPATIENT EXPERIENCE, 2552 01:35:24,080 --> 01:35:26,080 EXPERIENCE WITH NURSES IN THE 2553 01:35:26,080 --> 01:35:27,600 OUTPATIENT SETTING, WITH YOUR 2554 01:35:27,600 --> 01:35:30,440 CLINICIAN PROVIDER OR ACCESS TO 2555 01:35:30,440 --> 01:35:32,000 APPOINTMENT, ALL CATEGORIES, NIH 2556 01:35:32,000 --> 01:35:34,040 SCORED HIGHER THAN THE PRESS 2557 01:35:34,040 --> 01:35:36,280 GANEY AVERAGE, IN TERMS OF TOP 2558 01:35:36,280 --> 01:35:36,920 BOX SCORING. 2559 01:35:36,920 --> 01:35:39,560 WHEN WE BROKE IT OUT BY FEMALE 2560 01:35:39,560 --> 01:35:43,280 OR MALE, YOU SEE THERE IS NO 2561 01:35:43,280 --> 01:35:45,000 CLEAR OR SIGNIFICANT DIFFERENCE 2562 01:35:45,000 --> 01:35:47,320 BETWEEN SEXES, BASED ON THE 2563 01:35:47,320 --> 01:35:52,560 OUTPATIENT EXPERIENCE IN THOSE 2564 01:35:52,560 --> 01:35:53,480 DIFFERENT CATEGORIES. 2565 01:35:53,480 --> 01:35:56,120 NEXT IS THE SAME ORGANIZATION OF 2566 01:35:56,120 --> 01:36:01,360 THE DATA PG OVERALL, PRESS 2567 01:36:01,360 --> 01:36:02,680 GANEY, 17+ HUNDRED HOSPITALS, 2568 01:36:02,680 --> 01:36:04,440 NIH AVERAGE FOR OUTPATIENT 2569 01:36:04,440 --> 01:36:06,840 SETTING IN 2021, BROKEN OUT BY 2570 01:36:06,840 --> 01:36:11,120 WHETHER THE SURVEY WAS COMPLETED 2571 01:36:11,120 --> 01:36:14,720 IN ENGLISH OR SPANISH. 2572 01:36:14,720 --> 01:36:17,560 THE OVERWHELMING MAJORITY WERE 2573 01:36:17,560 --> 01:36:19,520 ENGLISH, A RELATIVELY SMALL 2574 01:36:19,520 --> 01:36:21,160 NUMBER CHOSE SPANISH BUT PRESS 2575 01:36:21,160 --> 01:36:27,880 GANEY DOES, WHEN e-SURVEY IS 2576 01:36:27,880 --> 01:36:29,560 HAVEN'T, ALLOW PARTICIPANTS TO 2577 01:36:29,560 --> 01:36:31,160 CHECK THE LANGUAGE. 2578 01:36:31,160 --> 01:36:33,800 WE DON'T SEE A SIGNIFICANT 2579 01:36:33,800 --> 01:36:35,560 CHANGE OR DIFFERENCE IN THE 2580 01:36:35,560 --> 01:36:36,800 PATIENT'S LIKELIHOOD TO RATE AS 2581 01:36:36,800 --> 01:36:37,640 TOP BOX EXPERIENCE BASED ON 2582 01:36:37,640 --> 01:36:38,840 WHETHER OR NOT THEY HAD 2583 01:36:38,840 --> 01:36:42,880 COMPLETED THE SURVEY IN ENGLISH 2584 01:36:42,880 --> 01:36:44,040 OR SPANISH. 2585 01:36:44,040 --> 01:36:46,920 THE NEXT IS THE SAME INFORMATION 2586 01:36:46,920 --> 01:36:49,880 NOW BROKEN OUT BY RACE 2587 01:36:49,880 --> 01:36:51,880 IDENTIFIED BY THE SURVEY 2588 01:36:51,880 --> 01:36:52,160 RESPONDENT. 2589 01:36:52,160 --> 01:36:55,680 AND NOW JUST TO MAKE IT LESS 2590 01:36:55,680 --> 01:36:57,960 BUSY I TOOK THE PG ALL OFF, LEFT 2591 01:36:57,960 --> 01:37:08,480 THE NIH ALL IN THE HASH BARS, 2592 01:37:10,400 --> 01:37:11,640 REPRESENTING ASIAN, 2593 01:37:11,640 --> 01:37:12,240 BLACK/AFRICAN AMERICAN, MIXED 2594 01:37:12,240 --> 01:37:14,240 RACE AND WHITE. 2595 01:37:14,240 --> 01:37:17,880 YOU SEE IN GENERAL, THERE IS NO 2596 01:37:17,880 --> 01:37:19,880 SIGNIFICANT ANDOUT RACIAL 2597 01:37:19,880 --> 01:37:21,240 GROUP THAT IS SCORING MARKEDLY 2598 01:37:21,240 --> 01:37:25,080 DIFFERENT IN TERMS OF OVERALL 2599 01:37:25,080 --> 01:37:26,160 SATISFACTION. 2600 01:37:26,160 --> 01:37:28,760 NOW I'M GOING TO WALK THROUGH 2601 01:37:28,760 --> 01:37:29,960 INPATIENT EXPERIENCE DATA. 2602 01:37:29,960 --> 01:37:33,240 AGAIN, THIS DOES NOT INCLUDE OUR 2603 01:37:33,240 --> 01:37:34,440 BEHAVIORAL HEALTH UNIT. 2604 01:37:34,440 --> 01:37:35,680 AND I'LL POINT OUT YOU'LL SEE 2605 01:37:35,680 --> 01:37:37,320 THE NUMBERS ARE LOWER BECAUSE 2606 01:37:37,320 --> 01:37:39,280 OUR CENSUS HAS BEEN LOWER AND ON 2607 01:37:39,280 --> 01:37:41,480 EVERYTHING JUST TO POINT OUT WE 2608 01:37:41,480 --> 01:37:44,640 HAVE ROUGHLY 20 TO 22% RESPONSE 2609 01:37:44,640 --> 01:37:48,240 RATE TO SURVEYS. 2610 01:37:48,240 --> 01:37:52,280 SO, AGAIN, HERE YOU SEE NIH 2611 01:37:52,280 --> 01:37:52,960 OVERALL IS SCORING SIGNIFICANTLY 2612 01:37:52,960 --> 01:37:55,960 HIGHER IN ALMOST ALL THE 2613 01:37:55,960 --> 01:37:57,200 CATEGORIES, 10 TO 20 PERCENTAGE 2614 01:37:57,200 --> 01:37:59,840 POINTS HIGHER FOR TOP BOX RATING 2615 01:37:59,840 --> 01:38:02,560 COMPARED TO PG DATA OVERALL. 2616 01:38:02,560 --> 01:38:04,520 AND THEN WHEN YOU LOOK BY 2617 01:38:04,520 --> 01:38:06,760 WHETHER THE RESPONDENT WAS MALE 2618 01:38:06,760 --> 01:38:08,360 OR FEMALE, AGAIN, YOU SEE THAT 2619 01:38:08,360 --> 01:38:10,360 THERE DOESN'T APPEAR TO BE A 2620 01:38:10,360 --> 01:38:11,720 SIGNIFICANT DIFFERENCE. 2621 01:38:11,720 --> 01:38:13,800 IF YOU LOOK CAREFULLY, YOU MIGHT 2622 01:38:13,800 --> 01:38:18,000 HAVE NOTED THAT IN THE 2623 01:38:18,000 --> 01:38:19,240 OUTPATIENT SETTING, WOMEN SCORED 2624 01:38:19,240 --> 01:38:20,560 LOWER, RATINGS WERE LOWER FROM 2625 01:38:20,560 --> 01:38:21,400 WOMEN THAN FROM MEN. 2626 01:38:21,400 --> 01:38:24,560 YOU CAN SEE ON THE INPATIENT 2627 01:38:24,560 --> 01:38:28,160 SETTING IT'S REVERSED, WOMEN 2628 01:38:28,160 --> 01:38:29,600 TENDED TO SCORE A LITTLE HIGHER 2629 01:38:29,600 --> 01:38:30,480 THAN MEN. 2630 01:38:30,480 --> 01:38:32,200 I CAN'T WRAP MY HEAD AROUND 2631 01:38:32,200 --> 01:38:33,880 UNDERSTANDING THAT. 2632 01:38:33,880 --> 01:38:37,040 I TALKED TO OUR PRESS GANEY 2633 01:38:37,040 --> 01:38:38,000 COLLEAGUES WHETHER OTHER 2634 01:38:38,000 --> 01:38:38,960 HOSPITALS SEE SIMILAR EXPERIENCE 2635 01:38:38,960 --> 01:38:39,640 IN RATINGS. 2636 01:38:39,640 --> 01:38:41,480 THEY SAID IN GENERAL WOMEN ARE 2637 01:38:41,480 --> 01:38:43,280 HARDER TO PLEASE, PRESS GANEY 2638 01:38:43,280 --> 01:38:47,360 OVERALL SAID THEY TEND TO SEE 2639 01:38:47,360 --> 01:38:48,960 LOWER RATINGS FROM WOMEN. 2640 01:38:48,960 --> 01:38:52,240 HERE IS THE INFORMATION SPLIT BY 2641 01:38:52,240 --> 01:38:53,920 LANGUAGE. 2642 01:38:53,920 --> 01:38:55,840 AGAIN, VERY SMALL NUMBER OF 2643 01:38:55,840 --> 01:38:57,360 RESPONDENTS COMPLETING THIS 2644 01:38:57,360 --> 01:39:02,960 SURVEY IN SPANISH, 12 VERSUS 351 2645 01:39:02,960 --> 01:39:03,720 IN ENGLISH. 2646 01:39:03,720 --> 01:39:05,720 THE TOP BOX RATINGS FOR THE FEW 2647 01:39:05,720 --> 01:39:07,800 FILLED OUT WERE AS HIGH OR 2648 01:39:07,800 --> 01:39:09,680 HIGHER FOR EACH OF THE DIFFERENT 2649 01:39:09,680 --> 01:39:13,520 CATEGORIES OF THE INPATIENT 2650 01:39:13,520 --> 01:39:14,160 EXPERIENCE. 2651 01:39:14,160 --> 01:39:16,480 AND THEN BROKEN OUT BY RACE FOR 2652 01:39:16,480 --> 01:39:18,560 THE INPATIENT EXPERIENCE AGAIN 2653 01:39:18,560 --> 01:39:20,400 SOME GROUP NUMBERS ARE SMALL, 2654 01:39:20,400 --> 01:39:24,600 FEWER THAN 20 FOR ASIAN AND 2655 01:39:24,600 --> 01:39:25,800 MIXED RACE CATEGORIES, WHICH 2656 01:39:25,800 --> 01:39:27,640 COULD POTENTIALLY ACCOUNT FOR 2657 01:39:27,640 --> 01:39:28,640 SOME VARIABILITY MAKING IT HARD 2658 01:39:28,640 --> 01:39:30,360 TO SAY WHETHER THESE ARE 2659 01:39:30,360 --> 01:39:31,480 SIGNIFICANT DIFFERENCES BUT THAT 2660 01:39:31,480 --> 01:39:34,000 IN GENERAL BUT WE DON'T SEE 2661 01:39:34,000 --> 01:39:36,400 CLEAR PATTERN OF ONE PARTICULAR 2662 01:39:36,400 --> 01:39:38,240 GROUP SCORING SIGNIFICANTLY 2663 01:39:38,240 --> 01:39:40,000 LOWER IN TERMS OF THEIR 2664 01:39:40,000 --> 01:39:41,200 EXPERIENCE WITHIN THE CLINICAL 2665 01:39:41,200 --> 01:39:45,920 CENTER AND IN PATIENT STAY. 2666 01:39:45,920 --> 01:39:48,120 AND SO, YOU KNOW, THIS PATIENT 2667 01:39:48,120 --> 01:39:50,360 SATISFACTION SURVEY DATA JUST 2668 01:39:50,360 --> 01:39:53,200 OFFERS ONE METRIC TO ASSESS 2669 01:39:53,200 --> 01:39:58,160 PATIENT EXPERIENCE, SORTING BY 2670 01:39:58,160 --> 01:39:59,800 SOCIODEMOGRAPHIC INDICES. 2671 01:39:59,800 --> 01:40:02,320 PRELIMINARY REVIEW DEMONSTRATES 2672 01:40:02,320 --> 01:40:04,400 LEVELS OF SATISFACTION BROKEN 2673 01:40:04,400 --> 01:40:06,040 DOWN BY CATEGORIES APPEAR TO BE 2674 01:40:06,040 --> 01:40:06,360 SIMILAR. 2675 01:40:06,360 --> 01:40:09,000 THERE ARE OBVIOUSLY SMALL SAMPLE 2676 01:40:09,000 --> 01:40:11,080 SIZES IN SOME SUBCATEGORIES, AND 2677 01:40:11,080 --> 01:40:12,920 THERE'S FUTURE WORK TO BE DONE 2678 01:40:12,920 --> 01:40:15,000 WHERE WE'RE NOW COLLECTING THE 2679 01:40:15,000 --> 01:40:16,320 ETHNICITY PIECE AS ANOTHER 2680 01:40:16,320 --> 01:40:17,160 SOCIAL DETERMINANT WE COULD LOOK 2681 01:40:17,160 --> 01:40:20,680 AT IN TERMS OF YOU WHO THAT 2682 01:40:20,680 --> 01:40:22,120 MIGHT RELATE TO PATIENT 2683 01:40:22,120 --> 01:40:23,520 EXPERIENCE AROUND CAN BREAK DOWN 2684 01:40:23,520 --> 01:40:28,600 BY AGE CATEGORIES TO SEE IF 2685 01:40:28,600 --> 01:40:29,560 DIFFERENT AGE GROUP HAVE 2686 01:40:29,560 --> 01:40:31,280 DIFFERENT EXPERIENCE AND HAVE 2687 01:40:31,280 --> 01:40:32,720 NOT TAKEN PART. 2688 01:40:32,720 --> 01:40:34,360 WITH THAT I'LL SEE IF PEOPLE 2689 01:40:34,360 --> 01:40:36,240 HAVE QUESTIONS OR WHAT TO SEE IF 2690 01:40:36,240 --> 01:40:37,680 PEOPLE WANT TO HEAR THINGS 2691 01:40:37,680 --> 01:40:39,720 RELATED TO SURVEY DATA. 2692 01:40:39,720 --> 01:40:40,080 >> TERRIFIC. 2693 01:40:40,080 --> 01:40:42,560 THANK YOU. 2694 01:40:42,560 --> 01:40:45,160 LET ME SEE, LOOK FOR COLLEAGUES 2695 01:40:45,160 --> 01:40:46,520 ON ZOOM. 2696 01:40:46,520 --> 01:40:47,000 REGINA? 2697 01:40:47,000 --> 01:40:48,920 >> THANKS, LAURA, VERY MUCH. 2698 01:40:48,920 --> 01:40:50,760 THANKS FOR THE PRESENTATION. 2699 01:40:50,760 --> 01:40:53,320 YOU MENTIONED THAT THE OVERALL 2700 01:40:53,320 --> 01:40:55,160 RESPONSE RATE WAS BETWEEN 20 TO 2701 01:40:55,160 --> 01:40:58,760 22%, IF I HEARD YOU CORRECTLY. 2702 01:40:58,760 --> 01:41:00,520 WHAT I WAS WONDERING IS WHETHER 2703 01:41:00,520 --> 01:41:02,480 OR NOT YOU HAVE LOOKED AT 2704 01:41:02,480 --> 01:41:08,320 RESPONSE RATE BY ANY OF THE 2705 01:41:08,320 --> 01:41:10,040 VARIABLES, RACE, OR GENDER. 2706 01:41:10,040 --> 01:41:11,120 WHAT MAKES ME ASK THE QUESTION 2707 01:41:11,120 --> 01:41:13,760 IN MY OWN FACILITY WHEN WE BREAK 2708 01:41:13,760 --> 01:41:17,680 DOWN THE DATA BY RACE WE FIND A 2709 01:41:17,680 --> 01:41:19,000 LOWER -- SIGNIFICANTLY LOWER 2710 01:41:19,000 --> 01:41:20,640 RESPONSE RATE AMONG OUR AFRICAN 2711 01:41:20,640 --> 01:41:23,520 AMERICAN POPULATION SO I'M JUST 2712 01:41:23,520 --> 01:41:25,280 WONDERING IF YOU HAVE THAT 2713 01:41:25,280 --> 01:41:27,080 INFORMATION OR ARE SEEING THAT 2714 01:41:27,080 --> 01:41:28,120 AS WELL. 2715 01:41:28,120 --> 01:41:28,360 THANKS. 2716 01:41:28,360 --> 01:41:30,600 >> YEAH, SO WE HAVE LOOKED AT IT 2717 01:41:30,600 --> 01:41:33,680 BY RACE AND SAW THERE WAS LOWER 2718 01:41:33,680 --> 01:41:36,080 RESPONSE RATES IN THE MIXED RACE 2719 01:41:36,080 --> 01:41:38,600 AND THE BLACK/AFRICAN AMERICAN 2720 01:41:38,600 --> 01:41:38,800 GROUP. 2721 01:41:38,800 --> 01:41:40,800 BUT IT WAS STILL LIKE 18%. 2722 01:41:40,800 --> 01:41:43,440 SO THE RANGE AT THE TOP OF THE 2723 01:41:43,440 --> 01:41:52,080 RANGE WAS LIKE 22% FOR 2724 01:41:52,080 --> 01:41:53,960 WHITE/CAUCASIAN, SO NOT TOO 2725 01:41:53,960 --> 01:41:54,240 DISPARATE. 2726 01:41:54,240 --> 01:41:55,720 >> THAT'S REALLY HELPFUL. 2727 01:41:55,720 --> 01:41:58,240 WHAT WE'VE NOTICED IS A 2728 01:41:58,240 --> 01:42:01,200 SIGNIFICANT DIFFERENCE, SO THANK 2729 01:42:01,200 --> 01:42:05,040 YOU FOR THAT CLARIFICATION. 2730 01:42:05,040 --> 01:42:05,400 >> RICK? 2731 01:42:05,400 --> 01:42:07,080 >> COLLEEN, THANKS. 2732 01:42:07,080 --> 01:42:08,280 IF I UNDERSTAND CORRECTLY, THIS 2733 01:42:08,280 --> 01:42:10,680 IS A PROCESS THAT'S JUST BEGUN 2734 01:42:10,680 --> 01:42:13,080 IN THE LAST YEAR, BEGINNING IN 2735 01:42:13,080 --> 01:42:13,640 2021. 2736 01:42:13,640 --> 01:42:14,320 IS THAT CORRECT? 2737 01:42:14,320 --> 01:42:16,160 >> YES, AND BEFORE THAT THERE 2738 01:42:16,160 --> 01:42:17,880 WAS A DIFFERENT SURVEY MECHANISM 2739 01:42:17,880 --> 01:42:19,320 BEING USED. 2740 01:42:19,320 --> 01:42:23,040 >> AND WHEN YOU SAY PRESS GANEY 2741 01:42:23,040 --> 01:42:27,720 e-SURVEY, THAT IMPLIES TO ME 2742 01:42:27,720 --> 01:42:30,360 RESPONSES THROUGH THE INTERNET 2743 01:42:30,360 --> 01:42:31,320 OR SOME FORM OF 2744 01:42:31,320 --> 01:42:35,800 e-COMMUNICATION, IS THAT 2745 01:42:35,800 --> 01:42:36,280 CORRECT? 2746 01:42:36,280 --> 01:42:37,560 NO MAIL-OUT SURVEYS? 2747 01:42:37,560 --> 01:42:37,920 >> CORRECT. 2748 01:42:37,920 --> 01:42:39,680 THE ONLY PAPER SURVEY THAT WE'RE 2749 01:42:39,680 --> 01:42:44,160 USING RIGHT NOW IS FOR THE 2750 01:42:44,160 --> 01:42:46,320 BEHAVIORAL HEALTH UNITS, BECAUSE 2751 01:42:46,320 --> 01:42:50,960 THERE IS SOME LONGSTANDING 2752 01:42:50,960 --> 01:42:52,360 TRADITIONAL RELUCTANCE TO 2753 01:42:52,360 --> 01:42:53,080 e-SURVEY BEHAVIORAL HEALTH 2754 01:42:53,080 --> 01:42:54,360 PATIENTS BECAUSE OF THE 2755 01:42:54,360 --> 01:42:56,880 SENSITIVITY OF THEIR DIAGNOSES 2756 01:42:56,880 --> 01:42:58,400 BUT WE'RE ACTUALLY MOVING 2757 01:42:58,400 --> 01:42:59,520 TOWARDS USING THE ELECTRONIC 2758 01:42:59,520 --> 01:43:02,320 SURVEYS FOR THEM AS WELL BECAUSE 2759 01:43:02,320 --> 01:43:03,760 THEY AND OUR INSTITUTE PARTNERS 2760 01:43:03,760 --> 01:43:05,160 ALL BELIEVE THEY GET MORE 2761 01:43:05,160 --> 01:43:07,280 SURVEYS BACK IF WE DID IT 2762 01:43:07,280 --> 01:43:08,040 ELECTRONICALLY BECAUSE IT'S 2763 01:43:08,040 --> 01:43:10,200 EASIER FOR EVERYONE TO DO. 2764 01:43:10,200 --> 01:43:12,800 >> AND ONE FINAL QUICK QUESTION, 2765 01:43:12,800 --> 01:43:15,960 THE 3100 RESPONSES YOU HAVE FROM 2766 01:43:15,960 --> 01:43:17,400 THE OUTPATIENT SURVEYS WHAT 2767 01:43:17,400 --> 01:43:19,720 PERCENT OF TOTAL OUTPATIENT 2768 01:43:19,720 --> 01:43:21,760 VOLUME IS THAT? 2769 01:43:21,760 --> 01:43:24,280 >> WELL, LET ME CLARIFY THAT 2770 01:43:24,280 --> 01:43:27,320 EVERY -- THERE'S NOT A SIMPLE 2771 01:43:27,320 --> 01:43:28,240 ANSWER BECAUSE OUTPATIENT VOLUME 2772 01:43:28,240 --> 01:43:30,480 WOULD BE TOTAL NUMBER OF VISITS 2773 01:43:30,480 --> 01:43:35,240 BUT THERE ARE RESTRICTIONS IN 2774 01:43:35,240 --> 01:43:37,520 HOW FREQUENTLY A PATIENT 2775 01:43:37,520 --> 01:43:45,320 RECEIVES A SURVEY. 2776 01:43:45,320 --> 01:43:47,200 WE DID A HIERARCHICAL STRATEGY 2777 01:43:47,200 --> 01:43:48,800 WHEN WE BUILT SURVEYS. 2778 01:43:48,800 --> 01:43:51,160 WE KNEW THERE WOULD BE FUTURER 2779 01:43:51,160 --> 01:43:53,760 LET'S SAY AMBULATORY SURGERY OR 2780 01:43:53,760 --> 01:43:55,640 INPATIENT VISITS, THAT WOULD 2781 01:43:55,640 --> 01:43:56,400 TAKE HIERARCHY OVER OUTPATIENT 2782 01:43:56,400 --> 01:43:58,120 VISIT SO IN A SET QUARTER FOR 2783 01:43:58,120 --> 01:44:01,280 INSTANCE IF AN INDIVIDUAL HAD AN 2784 01:44:01,280 --> 01:44:02,720 INPATIENT STAY THAT SURVEY WOULD 2785 01:44:02,720 --> 01:44:04,120 TAKE PRECEDENCE OVER A FOLLOW-UP 2786 01:44:04,120 --> 01:44:06,040 OUTPATIENT STAY AND WE DON'T 2787 01:44:06,040 --> 01:44:07,920 WANT TO OVERSURVEY SO I CAN'T 2788 01:44:07,920 --> 01:44:09,200 TELL HOW THAT NUMBER RELATES TO 2789 01:44:09,200 --> 01:44:13,360 THE ACTUAL NUMBER OF VISITS. 2790 01:44:13,360 --> 01:44:18,600 >> THANK YOU. 2791 01:44:18,600 --> 01:44:21,000 >> CRAIG AND THEN DAVID BAUM? 2792 01:44:21,000 --> 01:44:21,600 WELL DONE. 2793 01:44:21,600 --> 01:44:25,200 IT MIGHT BE TOO EARLY TO ASK THE 2794 01:44:25,200 --> 01:44:27,840 QUESTION BUT IN MY PRIOR LIVES 2795 01:44:27,840 --> 01:44:30,320 WHEN WE SAW STRONG RESULTS AND 2796 01:44:30,320 --> 01:44:31,880 CONSISTENT RESULTS LIKE THIS OUR 2797 01:44:31,880 --> 01:44:33,400 DESIRE WAS TO CONSTANTLY IMPROVE 2798 01:44:33,400 --> 01:44:35,680 WE WENT DIGGING FOR THINGS WE 2799 01:44:35,680 --> 01:44:36,880 COULDN'T SEE. 2800 01:44:36,880 --> 01:44:39,720 SO WE LOOKED AT ACTUALLY THE 2801 01:44:39,720 --> 01:44:41,280 BOTTOM BOX OR BOTTOM TWO BOX 2802 01:44:41,280 --> 01:44:43,240 RESULTS TO SEE IF THERE WAS 2803 01:44:43,240 --> 01:44:45,240 ANYTHING THERE OR LOOKED AT 2804 01:44:45,240 --> 01:44:46,640 COMMENTS, IF THAT'S POSSIBLE. 2805 01:44:46,640 --> 01:44:50,760 HAVE YOU DONE ANY OF THAT, GIVEN 2806 01:44:50,760 --> 01:44:52,000 HOW -- THEY ARE WONDERFUL 2807 01:44:52,000 --> 01:44:55,400 RESULTS BUT HAVE YOU DUG A BIT 2808 01:44:55,400 --> 01:44:56,200 DEEPER? 2809 01:44:56,200 --> 01:44:57,000 >> ABSOLUTELY. 2810 01:44:57,000 --> 01:45:00,640 I'M GIVING YOU LIKE THE 2811 01:45:00,640 --> 01:45:01,760 10,000-FOOT VIEW, BUT PRESS 2812 01:45:01,760 --> 01:45:03,720 GANEY HAS LOTS OF TOOLS TO ALLOW 2813 01:45:03,720 --> 01:45:06,040 YOU TO DIG DEEP TO LOOK FOR 2814 01:45:06,040 --> 01:45:07,480 THOSE THINGS. 2815 01:45:07,480 --> 01:45:11,400 WE'RE ACTIVELY AS CAPTAIN JONES 2816 01:45:11,400 --> 01:45:13,720 ALLUDED TO, EVERY WEEK PATIENT 2817 01:45:13,720 --> 01:45:14,760 SAFETY OFFICER, HEALTH 2818 01:45:14,760 --> 01:45:15,960 MANAGEMENT RECORDS OFFICER, 2819 01:45:15,960 --> 01:45:18,960 MYSELF AND CAPTAIN JONES REVIEWS 2820 01:45:18,960 --> 01:45:19,800 EVERY WRITTEN COMMENT BECAUSE 2821 01:45:19,800 --> 01:45:22,560 AFTER EVERY QUESTION THERE'S 2822 01:45:22,560 --> 01:45:24,160 ROOM FOR FREE TEXT FIELD. 2823 01:45:24,160 --> 01:45:26,240 WE READ THEM ALL, IDENTIFY AS 2824 01:45:26,240 --> 01:45:29,760 YOU ASKED DO YOU IDENTIFY 2825 01:45:29,760 --> 01:45:31,520 PATTERNS AND ACT, AN EXAMPLE, WE 2826 01:45:31,520 --> 01:45:34,160 HAD A MONTH WHERE WE WERE 2827 01:45:34,160 --> 01:45:36,480 GETTING REPEATED COMMENTS ABOUT 2828 01:45:36,480 --> 01:45:38,200 WAIT TIMES IN PHLEBOTOMY. 2829 01:45:38,200 --> 01:45:39,400 SO TOOK THOSE AGGREGATE 2830 01:45:39,400 --> 01:45:42,240 COMMENTS, WENT TO THE LEADERSHIP 2831 01:45:42,240 --> 01:45:43,440 IN THE PHLEBOTOMY AREA, PROVIDED 2832 01:45:43,440 --> 01:45:44,640 THEM WITH THIS INFORMATION AND 2833 01:45:44,640 --> 01:45:45,920 THEY DID SOME DIGGING AND 2834 01:45:45,920 --> 01:45:48,920 FEEDBACK TO FIND OUT WHAT WAS 2835 01:45:48,920 --> 01:45:49,680 GOING. 2836 01:45:49,680 --> 01:45:51,760 THERE WAS TWO CRITICAL STAFF 2837 01:45:51,760 --> 01:45:53,600 ILLNESSES THAT RESULTED IN 2838 01:45:53,600 --> 01:45:54,760 SLIGHTLY LOWER STAFFING BUT IT 2839 01:45:54,760 --> 01:45:56,920 GAVE AN OPPORTUNITY TO LOOK AT 2840 01:45:56,920 --> 01:45:57,920 PROCESS AND DETERMINE IF THERE 2841 01:45:57,920 --> 01:45:59,440 WERE OTHER THINGS WE NEEDED TO 2842 01:45:59,440 --> 01:46:00,840 DO TO IMPROVE IT. 2843 01:46:00,840 --> 01:46:03,120 THE OTHER GROUP THAT IS USING 2844 01:46:03,120 --> 01:46:05,320 THESE DATA IS OUR NURSING 2845 01:46:05,320 --> 01:46:05,640 DEPARTMENT. 2846 01:46:05,640 --> 01:46:08,400 AND THAT IS A BIG PART OF THE 2847 01:46:08,400 --> 01:46:10,800 MAGNET JOURNEY YOU'LL HEAR ABOUT 2848 01:46:10,800 --> 01:46:12,000 SHORTLY IN TERMS OF HAVING 2849 01:46:12,000 --> 01:46:14,880 ABILITY TO LOOK AT VERY SPECIFIC 2850 01:46:14,880 --> 01:46:16,360 AREAS FOR IMPROVEMENT AND 2851 01:46:16,360 --> 01:46:19,000 TRENDING OVER TIME TO SEE WHEN 2852 01:46:19,000 --> 01:46:20,040 WE'RE DIPPING, WHERE WE'RE 2853 01:46:20,040 --> 01:46:21,200 DIPPING. 2854 01:46:21,200 --> 01:46:23,520 I DID NOT GET INTO SOME OF THE 2855 01:46:23,520 --> 01:46:25,280 DETAILED STUFF BUT WE CAN LOOK 2856 01:46:25,280 --> 01:46:28,560 AT EXPERIENCE WITH NUTRITION AND 2857 01:46:28,560 --> 01:46:29,320 MEALS, INPATIENT SIDE, 2858 01:46:29,320 --> 01:46:30,680 CLEANLINESS AND COMFORT OF THE 2859 01:46:30,680 --> 01:46:33,040 ROOM, THINGS LIKE THAT. 2860 01:46:33,040 --> 01:46:34,600 THERE TEND TO BE LOW-HANGING 2861 01:46:34,600 --> 01:46:35,640 FRUIT WHERE YOU CAN MAKE 2862 01:46:35,640 --> 01:46:36,280 SIGNIFICANT IMPROVEMENT IN 2863 01:46:36,280 --> 01:46:37,080 PATIENT EXPERIENCE. 2864 01:46:37,080 --> 01:46:39,000 YEAH, WE HAVE A LOT OF ABILITY 2865 01:46:39,000 --> 01:46:42,720 TO DO THAT. 2866 01:46:42,720 --> 01:46:45,720 >> THANK YOU, DR. HADIGAN. 2867 01:46:45,720 --> 01:46:46,480 YOUR ANSWER TO GREG'S QUESTIONS 2868 01:46:46,480 --> 01:46:48,400 PICKED UP ON A QUESTION THAT I 2869 01:46:48,400 --> 01:46:52,080 HAD IN TERMS OF THE GRANULARITY 2870 01:46:52,080 --> 01:46:54,600 OF THE RESULTS. 2871 01:46:54,600 --> 01:46:58,880 2872 01:46:58,880 --> 01:46:59,920 2873 01:46:59,920 --> 01:47:00,640 >> WHO AM I MISSING? 2874 01:47:00,640 --> 01:47:04,360 STEVE, DO YOU HAVE YOUR HAND UP? 2875 01:47:04,360 --> 01:47:06,560 >> I THINK I CAN DO THAT. 2876 01:47:06,560 --> 01:47:10,600 I PUT MY HAND ON PEOPLE'S FACES. 2877 01:47:10,600 --> 01:47:12,160 [LAUGHTER] 2878 01:47:12,160 --> 01:47:13,600 IT WAS AN ERRANT -- 2879 01:47:13,600 --> 01:47:21,200 >> WE'RE STILL GETTING USED TO 2880 01:47:21,200 --> 01:47:21,440 THIS. 2881 01:47:21,440 --> 01:47:25,280 >> DR. HADIGAN, I KNOW THIS IS 2882 01:47:25,280 --> 01:47:28,560 ALL FAIRLY NEW. 2883 01:47:28,560 --> 01:47:29,680 THE e-SURVEY PROCESS. 2884 01:47:29,680 --> 01:47:31,840 BUT ARE YOU ALL PLANNING TO IN 2885 01:47:31,840 --> 01:47:35,360 THE FUTURE EXPAND IT SO THAT 2886 01:47:35,360 --> 01:47:41,200 THERE'S MORE THAN JUST ENGLISH 2887 01:47:41,200 --> 01:47:42,280 AND SPANISH LANGUAGES, AS FOLKS 2888 01:47:42,280 --> 01:47:47,960 COME TO THE NIH FOR SERVICES? 2889 01:47:47,960 --> 01:47:49,160 BECAUSE THERE ARE INTERPRETERS 2890 01:47:49,160 --> 01:47:51,240 THAT SOMETIMES ACCOMPANY FOLKS 2891 01:47:51,240 --> 01:47:51,440 AROUND. 2892 01:47:51,440 --> 01:47:54,760 WILL THIS BE EXPANDED TO OTHER 2893 01:47:54,760 --> 01:47:55,520 LANGUAGES? 2894 01:47:55,520 --> 01:47:57,280 >> SO, IT IS ACTUALLY AVAILABLE 2895 01:47:57,280 --> 01:47:58,920 IN ADDITIONAL LANGUAGES. 2896 01:47:58,920 --> 01:48:00,120 WE DON'T GET SIGNIFICANT NUMBERS 2897 01:48:00,120 --> 01:48:04,040 FOR ME TO SHOW IN AGGREGATE BUT 2898 01:48:04,040 --> 01:48:05,960 OUR CURRENT PLATFORM THAT IS 2899 01:48:05,960 --> 01:48:08,440 BEING OFFERED TO US THROUGH 2900 01:48:08,440 --> 01:48:09,160 PRESS GANEY REPRESENTS 2901 01:48:09,160 --> 01:48:11,320 AVAILABILITY FOR THEM TO DO IT 2902 01:48:11,320 --> 01:48:13,920 IN 60 -- NOT 60, SORRY. 2903 01:48:13,920 --> 01:48:15,440 20 DIFFERENT LANGUAGES AND EVEN 2904 01:48:15,440 --> 01:48:17,320 COMMENTS ARE TRANSLATED INTO 2905 01:48:17,320 --> 01:48:19,200 ENGLISH FOR US SO THAT PATIENTS 2906 01:48:19,200 --> 01:48:21,160 CAN WRITE COMMENTS IN ANOTHER 2907 01:48:21,160 --> 01:48:22,800 LANGUAGE AND THEN WE'LL GET THEM 2908 01:48:22,800 --> 01:48:23,400 TRANSLATED BACK SO THAT'S 2909 01:48:23,400 --> 01:48:26,400 ALREADY KIND OF BUILT INTO THE 2910 01:48:26,400 --> 01:48:26,880 SYSTEM. 2911 01:48:26,880 --> 01:48:28,280 WE DON'T -- BECAUSE OF THE 2912 01:48:28,280 --> 01:48:29,360 DESIRE FOR THE PATIENT TO BE 2913 01:48:29,360 --> 01:48:32,440 ABLE TO DO IT TRULY ANONYMOUS WE 2914 01:48:32,440 --> 01:48:37,560 DON'T ACTUALLY OBSERVE THEM 2915 01:48:37,560 --> 01:48:42,600 DOING THE SURVEYS OR OFFER 2916 01:48:42,600 --> 01:48:44,280 TRANSLATION BECAUSE THEY GET IT 2917 01:48:44,280 --> 01:48:46,160 AFTER THEY HAVE LEFT THE 2918 01:48:46,160 --> 01:48:48,880 HOSPITAL ON THEIR DEVICE OR 2919 01:48:48,880 --> 01:48:49,520 E-MAIL. 2920 01:48:49,520 --> 01:48:49,960 >> RICK? 2921 01:48:49,960 --> 01:48:51,160 >> COLLEEN, I KNOW YOU SHOWED 2922 01:48:51,160 --> 01:48:54,440 SOME OF THE DATA BENCHMARKED 2923 01:48:54,440 --> 01:48:58,480 AGAINST 1700 OTHER PRESS GANEY 2924 01:48:58,480 --> 01:48:58,880 HOSPITALS. 2925 01:48:58,880 --> 01:49:01,360 AND OBVIOUSLY, BENCHMARKING IS 2926 01:49:01,360 --> 01:49:03,000 ALWAYS A CHALLENGE FOR THE 2927 01:49:03,000 --> 01:49:04,040 CLINICAL CENTER. 2928 01:49:04,040 --> 01:49:06,400 I WOULD ENCOURAGE YOU TO PAY 2929 01:49:06,400 --> 01:49:08,720 LESS ATTENTION TO THAT AND MORE 2930 01:49:08,720 --> 01:49:12,960 ATTENTION TO YOUR PROGRESS OVER 2931 01:49:12,960 --> 01:49:15,720 TIME, YEAR OVER YEAR, WHAT'S 2932 01:49:15,720 --> 01:49:17,360 HAPPENING TO YOUR PERCENT TOP 2933 01:49:17,360 --> 01:49:18,560 BOX SCORES. 2934 01:49:18,560 --> 01:49:20,200 IF YOU WERE LOOKING FOR A 2935 01:49:20,200 --> 01:49:21,280 BENCHMARK, ONE I'M FAMILIAR WITH 2936 01:49:21,280 --> 01:49:24,360 THAT I THINK WOULD BE A 2937 01:49:24,360 --> 01:49:25,440 REASONABLE COMPARATOR WOULD BE 2938 01:49:25,440 --> 01:49:26,520 ST. JUDE'S HOSPITAL FOR CHILDREN 2939 01:49:26,520 --> 01:49:28,280 WHICH IS A RESEARCH HOSPITAL 2940 01:49:28,280 --> 01:49:30,360 OBVIOUSLY FOCUSED ON CANCER IN 2941 01:49:30,360 --> 01:49:34,440 KIDS, BUT HAS MANY OF THE 2942 01:49:34,440 --> 01:49:35,680 PHENOTYPES THAT WOULD AT LEAST 2943 01:49:35,680 --> 01:49:37,040 BE REFERABLE TO THE CLINICAL 2944 01:49:37,040 --> 01:49:39,680 CENTER, NOT A PERFECT MATCH BUT 2945 01:49:39,680 --> 01:49:42,920 THEY DON'T CHARGE PATIENTS, IT'S 2946 01:49:42,920 --> 01:49:46,960 A RESEARCH FACILITY, 75 BEDS. 2947 01:49:46,960 --> 01:49:48,120 OUTPATIENT VISITS, YOU KNOW, 2948 01:49:48,120 --> 01:49:50,200 NUMBERING PROBABLY SMALLER THAN 2949 01:49:50,200 --> 01:49:51,520 YOURS BUT I WOULD CAUTION 2950 01:49:51,520 --> 01:49:53,040 AGAINST PUTTING TOO MUCH INTO 2951 01:49:53,040 --> 01:49:56,360 THE HOW DO WE DO COMPARATOR 2952 01:49:56,360 --> 01:49:56,600 BENCHMARK. 2953 01:49:56,600 --> 01:49:59,000 >> I APPRECIATE THAT. 2954 01:49:59,000 --> 01:50:02,040 AND RECOGNIZE THAT WE CAN DRILL 2955 01:50:02,040 --> 01:50:06,840 DOWN A LITTLE BIT TO DIFFERENT 2956 01:50:06,840 --> 01:50:11,880 SUBGROUPS IN PRESS GANEY BUT 2957 01:50:11,880 --> 01:50:16,280 STRUGGLE TO KNOW THE CORRECT CAR 2958 01:50:16,280 --> 01:50:17,560 -- COMPARATOR AND I AGREE THE 2959 01:50:17,560 --> 01:50:19,640 MOST VALUABLE DATA IS 2960 01:50:19,640 --> 01:50:21,320 IDENTIFYING TRENDS IN AREAS FOR 2961 01:50:21,320 --> 01:50:22,480 IMPROVEMENT INTERNALLY AND 2962 01:50:22,480 --> 01:50:25,360 LOOKING OVER TIME. 2963 01:50:25,360 --> 01:50:25,640 >> GREAT. 2964 01:50:25,640 --> 01:50:27,000 THANK YOU. 2965 01:50:27,000 --> 01:50:28,600 THANK YOU FOR THE PRESENTATION 2966 01:50:28,600 --> 01:50:28,960 TODAY. 2967 01:50:28,960 --> 01:50:30,600 WE LOOK FORWARD I'M SURE, THE 2968 01:50:30,600 --> 01:50:31,600 BOARD WILL LOOK FORWARD TO HOW 2969 01:50:31,600 --> 01:50:34,640 THINGS ARE GOING IN THE FUTURE. 2970 01:50:34,640 --> 01:50:37,680 WE'RE GOING TO GO INTO A BREAK. 2971 01:50:37,680 --> 01:50:38,880 I'LL TAKE THE CHAIR'S 2972 01:50:38,880 --> 01:50:43,080 PREROGATIVE AND HAVE US COME 2973 01:50:43,080 --> 01:50:47,200 BACK NOT AT 11:10 BUT 11:15 AND 2974 01:50:47,200 --> 01:50:49,320 I ASSURE YOU WE'LL FINISH BEFORE 2975 01:50:49,320 --> 01:50:49,720 1:00. 2976 01:50:49,720 --> 01:50:50,680 BUT WE'LL BE BACK AT 11:15. 2977 01:50:50,680 --> 01:50:54,760 >>I THINK WE'RE GOING TO GET 2978 01:50:54,760 --> 01:50:55,080 STARTED. 2979 01:50:55,080 --> 01:50:57,400 THIS IS DR. BARBARA JORDAN 2980 01:50:57,400 --> 01:50:58,800 TALKING ABOUT THE MAGNET 2981 01:50:58,800 --> 01:51:00,160 JOURNEY. 2982 01:51:00,160 --> 01:51:01,680 THANK YOU FOR HAVING ME PRESENT. 2983 01:51:01,680 --> 01:51:03,480 I'M PLEASED TO SHARE THE UPDATES 2984 01:51:03,480 --> 01:51:09,600 ON THE MAGNET 2985 01:51:09,600 --> 01:51:12,360 ACCREDITATION JOURNEY. 2986 01:51:12,360 --> 01:51:14,520 SOME PEOPLE MAY NOT BE FAMILIAR 2987 01:51:14,520 --> 01:51:17,400 SO I'LL GIVE A BRIEF OVERVIEW. 2988 01:51:17,400 --> 01:51:21,240 IT IS A DESIGNATION THROUGH THE 2989 01:51:21,240 --> 01:51:24,840 AMERICAN NURSES CREDENTIALING 2990 01:51:24,840 --> 01:51:25,960 CENTER, RECOGNIZES ORGANIZATIONS 2991 01:51:25,960 --> 01:51:28,440 THAT HAVE EXCEEDED ALL STANDARDS 2992 01:51:28,440 --> 01:51:28,720 THEY HAVE. 2993 01:51:28,720 --> 01:51:31,360 THERE'S WELL OVER 100 STANDARDS 2994 01:51:31,360 --> 01:51:34,240 IN THE MAGNET MANUAL. 2995 01:51:34,240 --> 01:51:36,640 IT FOCUSES ON CLINICAL 2996 01:51:36,640 --> 01:51:40,080 EXCELLENCE AND IN EXCELLENT WORK 2997 01:51:40,080 --> 01:51:43,520 ENVIRONMENT, IN WHICH EMPLOYEES 2998 01:51:43,520 --> 01:51:45,880 THRIVE AND DO WELL. 2999 01:51:45,880 --> 01:51:47,440 IT IS AN ORGANIZATIONAL 3000 01:51:47,440 --> 01:51:47,920 DESIGNATION. 3001 01:51:47,920 --> 01:51:50,680 THERE'S A FOCUS ON NURSING, AS 3002 01:51:50,680 --> 01:51:53,560 YOU KNOW HOSPITAL IS A TEAM, SO 3003 01:51:53,560 --> 01:51:55,880 NO ONE WORKS INDEPENDENTLY TO 3004 01:51:55,880 --> 01:51:57,680 ACHIEVE THE MISSION OF THE 3005 01:51:57,680 --> 01:51:58,480 ORGANIZATION. 3006 01:51:58,480 --> 01:52:01,760 IT IS AN ORGANIZATIONAL 3007 01:52:01,760 --> 01:52:02,320 DESIGNATION. 3008 01:52:02,320 --> 01:52:04,280 ONLY 9% OF HOSPITALS IN THE 3009 01:52:04,280 --> 01:52:06,720 UNITED STATES HOLD MAGNET 3010 01:52:06,720 --> 01:52:07,000 DESIGNATION. 3011 01:52:07,000 --> 01:52:08,760 IT ALSO HELPS ATTRACT HIGHLY 3012 01:52:08,760 --> 01:52:10,760 QUALIFIED CANDIDATES TO COME AND 3013 01:52:10,760 --> 01:52:12,960 WORK IN ORGANIZATIONS, HENCE THE 3014 01:52:12,960 --> 01:52:14,920 TERM MAGNET, TO DRAW PEOPLE IN, 3015 01:52:14,920 --> 01:52:16,640 TO COME AND WORK THERE. 3016 01:52:16,640 --> 01:52:21,120 SO, WE'RE ON THE JOURNEY. 3017 01:52:21,120 --> 01:52:24,800 THERE ARE KEY ORGANIZATIONAL 3018 01:52:24,800 --> 01:52:26,600 DRIVERS FOR MAGNET DESIGNATION. 3019 01:52:26,600 --> 01:52:29,240 PATIENT SAFETY, HIGH QUALITY 3020 01:52:29,240 --> 01:52:30,880 CLINICAL OUTCOMES, CULTURE OF 3021 01:52:30,880 --> 01:52:32,480 EXCELLENCE, AND HAVING AN 3022 01:52:32,480 --> 01:52:36,880 EMPOWERED AND HIGHLY SKILLED 3023 01:52:36,880 --> 01:52:37,440 WORKFORCE. 3024 01:52:37,440 --> 01:52:42,680 SO, THERE IS AN INTEGRATIVE 3025 01:52:42,680 --> 01:52:43,360 SYSTEMATIC LITERATURE REVIEW, 3026 01:52:43,360 --> 01:52:46,080 AND LOOKED AT ARTICLES 3027 01:52:46,080 --> 01:52:47,920 THROUGHOUT HEALTHCARE LITERATURE 3028 01:52:47,920 --> 01:52:50,640 ON OUTCOMES RELATED TO MAGNET 3029 01:52:50,640 --> 01:52:51,360 ACCREDITATION. 3030 01:52:51,360 --> 01:52:54,840 AND THESE ARE JUST SOME OF THEM. 3031 01:52:54,840 --> 01:52:57,280 PATIENT OUTCOMES, HOSPITALS THAT 3032 01:52:57,280 --> 01:52:59,440 HAVE MAGNET ACCREDITATION TEND 3033 01:52:59,440 --> 01:53:04,400 TO HAVE LOWER MORTALITY RATES, 3034 01:53:04,400 --> 01:53:07,560 PATIENT FALLS, LOWER NOSOCOMIAL 3035 01:53:07,560 --> 01:53:09,320 INFECTION RATES, LOWER 3036 01:53:09,320 --> 01:53:10,520 HOSPITAL-ACQUIRED PRESSURE 3037 01:53:10,520 --> 01:53:12,040 INJURIES, LOWER CENTRAL 3038 01:53:12,040 --> 01:53:12,920 LINE-ASSOCIATED BLOODSTREAM 3039 01:53:12,920 --> 01:53:13,880 INFECTIONS. 3040 01:53:13,880 --> 01:53:15,360 THERE'S ALSO A LOWER OVERALL 3041 01:53:15,360 --> 01:53:16,560 MISSED NURSING CARE, AND THAT'S 3042 01:53:16,560 --> 01:53:18,960 WHERE CARE WAS NOT COMPLETED, 3043 01:53:18,960 --> 01:53:21,000 DURING THE SHIFT OR DURING A 3044 01:53:21,000 --> 01:53:21,360 DAY. 3045 01:53:21,360 --> 01:53:24,520 THERE'S HIGHER SUPPORT FOR 3046 01:53:24,520 --> 01:53:25,960 EVIDENCE-BASED PRACTICE 3047 01:53:25,960 --> 01:53:26,840 IMPLEMENTATION. 3048 01:53:26,840 --> 01:53:28,040 THERE'S ALSO HIGHER NURSE 3049 01:53:28,040 --> 01:53:29,800 PERCEIVED QUALITY OF CARE, 3050 01:53:29,800 --> 01:53:31,280 HIGHER PATIENT SATISFACTION 3051 01:53:31,280 --> 01:53:33,920 RATINGS, AND WE HAD OUR 3052 01:53:33,920 --> 01:53:36,680 PRESENTATION FROM DR. HADIGAN 3053 01:53:36,680 --> 01:53:37,240 PREVIOUSLY REGARDING PATIENT 3054 01:53:37,240 --> 01:53:37,640 SATISFACTION. 3055 01:53:37,640 --> 01:53:39,720 I WANT TO ADD ONE OF THE OTHER 3056 01:53:39,720 --> 01:53:41,800 THINGS THAT WE'RE DOING AT THE 3057 01:53:41,800 --> 01:53:43,240 CLINICAL CENTER IS PARTNERS WITH 3058 01:53:43,240 --> 01:53:45,560 PRESS GANEY. 3059 01:53:45,560 --> 01:53:46,840 THEY HAVE A NURSING EXCELLENCE 3060 01:53:46,840 --> 01:53:49,360 SOLUTION CENTER THAT WE'RE ALSO 3061 01:53:49,360 --> 01:53:50,800 JUST BEGINNING TO PARTICIPATE 3062 01:53:50,800 --> 01:53:53,400 WITH, THAT WE CAN LINK THE 3063 01:53:53,400 --> 01:53:56,040 PATIENT SATISFACTION DATA WITH 3064 01:53:56,040 --> 01:53:57,440 OUR CLINICAL QUALITY OUTCOMES, 3065 01:53:57,440 --> 01:54:01,720 AS WELL AS ANNUALLY WE 3066 01:54:01,720 --> 01:54:03,080 ADMINISTER AN R.N. SATISFACTION 3067 01:54:03,080 --> 01:54:04,800 SURVEY FOR OUR DIRECT CARE 3068 01:54:04,800 --> 01:54:05,040 NURSES. 3069 01:54:05,040 --> 01:54:09,360 WE'RE GOING TO BE ABLE TO LINK 3070 01:54:09,360 --> 01:54:11,720 THIS DATA AND LOOK AT WHERE WE 3071 01:54:11,720 --> 01:54:13,720 HAVE OPPORTUNITIES FOR 3072 01:54:13,720 --> 01:54:14,840 IMPROVEMENT. 3073 01:54:14,840 --> 01:54:16,720 MAGNET ORGANIZATIONS HAVE A 3074 01:54:16,720 --> 01:54:20,800 REDUCED INCIDENCE OF WORKPLACE 3075 01:54:20,800 --> 01:54:22,720 ACCIDENT RATES. 3076 01:54:22,720 --> 01:54:24,600 THERE ARE FINANCIAL IMPACTS 3077 01:54:24,600 --> 01:54:25,800 RELATED TO MAGNET DESIGNATION 3078 01:54:25,800 --> 01:54:28,520 SUCH AS LOWER LENGTH OF STAY, 3079 01:54:28,520 --> 01:54:31,240 COST SAVINGS, AND WHILE WE'RE AN 3080 01:54:31,240 --> 01:54:32,440 ORGANIZATION THAT DOESN'T BILL 3081 01:54:32,440 --> 01:54:34,680 OUR PATIENTS WE STILL CARE VERY 3082 01:54:34,680 --> 01:54:37,480 MUCH ABOUT OUR FISCAL 3083 01:54:37,480 --> 01:54:39,480 ACCOUNTABILITY AND 3084 01:54:39,480 --> 01:54:39,880 RESPONSIBILITIES. 3085 01:54:39,880 --> 01:54:43,440 IT ALSO LENDS TO A POSITIVE 3086 01:54:43,440 --> 01:54:45,560 WORKPLACE ENVIRONMENT. 3087 01:54:45,560 --> 01:54:48,640 IT HAS A PREVENTIVE EFFECT ON 3088 01:54:48,640 --> 01:54:50,600 BULLYING AND OTHER HOSTILE 3089 01:54:50,600 --> 01:54:52,760 BEHAVIORS, LOWER R.N. TURNOVER 3090 01:54:52,760 --> 01:54:55,320 RATE, HIGHER R.N. JOB 3091 01:54:55,320 --> 01:54:56,320 SATISFACTION RATE, REDUCED 3092 01:54:56,320 --> 01:54:56,800 BURNOUT. 3093 01:54:56,800 --> 01:54:59,040 SO, FOR OUR MAGNET JOURNEY, IT 3094 01:54:59,040 --> 01:55:01,000 IS A JOURNEY. 3095 01:55:01,000 --> 01:55:03,080 SOMETIMES IT MIGHT SEEM LIKE 3096 01:55:03,080 --> 01:55:04,640 WE'RE NOT PROGRESSING, WE ARE. 3097 01:55:04,640 --> 01:55:06,360 SOME OF THE KEY MILESTONES THAT 3098 01:55:06,360 --> 01:55:08,560 WE'RE GOING TO LOOK FOR IN A 3099 01:55:08,560 --> 01:55:11,720 MAGNET JOURNEY IS WE'RE PLANNING 3100 01:55:11,720 --> 01:55:14,280 TO SUBMIT OUR APPLICATION TO THE 3101 01:55:14,280 --> 01:55:16,320 AMERICAN NURSES CREDENTIALING 3102 01:55:16,320 --> 01:55:18,880 CENTER NEXT JANUARY. 3103 01:55:18,880 --> 01:55:21,280 AND WE ARE CURRENTLY -- WE HAVE 3104 01:55:21,280 --> 01:55:23,760 A RELATIONSHIP WITH ANCC THAT 3105 01:55:23,760 --> 01:55:25,680 WE'RE PRE-INTENT ORGANIZATION 3106 01:55:25,680 --> 01:55:27,560 MEANING WE HAVE SIGNED AN 3107 01:55:27,560 --> 01:55:29,040 AGREEMENT WE'RE INTENDING TO 3108 01:55:29,040 --> 01:55:33,000 PURSUE MAGNET DESIGNATION, THAT 3109 01:55:33,000 --> 01:55:35,160 ACCORDS US CERTAIN RIGHTS WE CAN 3110 01:55:35,160 --> 01:55:37,280 USE THE LOGO ON A JOURNEY TO 3111 01:55:37,280 --> 01:55:41,080 MAGNET BUT ALSO THAT WE HAVE THE 3112 01:55:41,080 --> 01:55:43,480 SERVICES OF A CONSULTANT FROM 3113 01:55:43,480 --> 01:55:44,840 ANCC TO HELP, YOU KNOW, ANSWER 3114 01:55:44,840 --> 01:55:48,800 QUESTIONS THAT WE MAY HAVE 3115 01:55:48,800 --> 01:55:51,120 REGARDING THE DIFFERENT 3116 01:55:51,120 --> 01:55:51,360 STANDARDS. 3117 01:55:51,360 --> 01:55:52,920 SOME OF THESE, WE HAVE DATES 3118 01:55:52,920 --> 01:55:54,400 ASSOCIATED WITH THEM, BUT IT'S 3119 01:55:54,400 --> 01:55:55,280 ALSO CONCURRENT. 3120 01:55:55,280 --> 01:55:57,520 WE'RE WORKING RIGHT NOW ON 3121 01:55:57,520 --> 01:55:58,880 DEVELOPING THE MAGNET DOCUMENT. 3122 01:55:58,880 --> 01:56:01,840 THAT IS THE BIGGEST PIECE OF 3123 01:56:01,840 --> 01:56:03,400 WORK ASIDE FROM ASSESSING ALL OF 3124 01:56:03,400 --> 01:56:05,440 THE STANDARDS MAKING SURE THAT 3125 01:56:05,440 --> 01:56:07,000 WE'RE MEETING EVERYTHING WITH 3126 01:56:07,000 --> 01:56:09,080 THE STANDARDS, WHERE WE HAVE 3127 01:56:09,080 --> 01:56:10,280 GAPS DEVELOPING ACTION PLANS 3128 01:56:10,280 --> 01:56:13,320 THAT WE MEET THOSE GAPS, AND 3129 01:56:13,320 --> 01:56:14,120 CLOSE THE GAPS. 3130 01:56:14,120 --> 01:56:19,880 ALSO WE HAVE TO WRITE OUR STORY. 3131 01:56:19,880 --> 01:56:25,520 APPRAISERS THROUGH THE NURSES 3132 01:56:25,520 --> 01:56:26,320 CREDENTIALING CENTER DON'T KNOW 3133 01:56:26,320 --> 01:56:28,760 US SO WE HAVE TO TELL OUR STORY 3134 01:56:28,760 --> 01:56:31,240 IN A FASHION THAT THEY 3135 01:56:31,240 --> 01:56:31,560 UNDERSTAND. 3136 01:56:31,560 --> 01:56:34,080 SUPPORTED WITH A LOT OF DATA AND 3137 01:56:34,080 --> 01:56:36,000 WITH DOCUMENTS. 3138 01:56:36,000 --> 01:56:39,200 SO THAT REALLY TAKES A LOT OF 3139 01:56:39,200 --> 01:56:39,760 TIME. 3140 01:56:39,760 --> 01:56:43,440 WE PLAN TO SUBMIT OUR MAGNET 3141 01:56:43,440 --> 01:56:46,560 DOCUMENT TO ANCC IN APRIL OF 3142 01:56:46,560 --> 01:56:48,320 2024, AND THAT MAY TO SOME SEEM 3143 01:56:48,320 --> 01:56:51,920 LIKE IT'S SO FAR AWAY, TIME 3144 01:56:51,920 --> 01:56:52,600 PASSES QUICKLY. 3145 01:56:52,600 --> 01:57:02,400 SO THIS WILL PASS QUICKLY TOO. 3146 01:57:02,400 --> 01:57:04,040 THEY REVIEW AND SCORE AND SAY 3147 01:57:04,040 --> 01:57:06,800 YOU'RE READY TO MOVE ON THE NEXT 3148 01:57:06,800 --> 01:57:09,200 PHASE IS A SITE VISIT. 3149 01:57:09,200 --> 01:57:12,600 THERE'S ALSO THEN PERIOD OF 3150 01:57:12,600 --> 01:57:14,880 PUBLIC COMMENT, SO THAT WE HAVE 3151 01:57:14,880 --> 01:57:17,840 TO POST AND INVITE PEOPLE TO 3152 01:57:17,840 --> 01:57:19,040 COMMENT, ANYTHING THEY CARE TO 3153 01:57:19,040 --> 01:57:22,760 SAY ABOUT THE CLINICAL CENTER. 3154 01:57:22,760 --> 01:57:27,680 THE SITE, THE APPRAISERS COME ON 3155 01:57:27,680 --> 01:57:28,120 SITE. 3156 01:57:28,120 --> 01:57:29,440 PEOPLE CAN WRITE PRETTY 3157 01:57:29,440 --> 01:57:32,720 DOCUMENTS BUT THEY NEED TO MAKE 3158 01:57:32,720 --> 01:57:33,760 SURE IT'S REAL, THAT WHAT WE 3159 01:57:33,760 --> 01:57:35,640 WRITE IS HAPPENING IN THE 3160 01:57:35,640 --> 01:57:37,960 CLINICAL CENTER, WHICH IT WILL 3161 01:57:37,960 --> 01:57:38,320 BE. 3162 01:57:38,320 --> 01:57:42,240 WE AWAIT A DECISION FROM THE 3163 01:57:42,240 --> 01:57:45,200 MAGNET COMMISSION. 3164 01:57:45,200 --> 01:57:46,280 THAT'S THE TIMELINE. 3165 01:57:46,280 --> 01:57:48,840 SOME OF THE PROGRESS THAT WE'VE 3166 01:57:48,840 --> 01:57:51,760 MADE, ON THE RIGHT HERE IS A 3167 01:57:51,760 --> 01:57:52,120 BANNER. 3168 01:57:52,120 --> 01:57:54,280 RACHEL IS OUR MAGNET PROGRAM 3169 01:57:54,280 --> 01:57:54,960 MANAGER. 3170 01:57:54,960 --> 01:57:58,040 AND SHE WORKED WITH OUR 3171 01:57:58,040 --> 01:57:59,320 COMMUNICATIONS OFFICE ON 3172 01:57:59,320 --> 01:58:00,880 DEVELOPING BANNERS. 3173 01:58:00,880 --> 01:58:03,840 NOW THIS BANNER IS -- WE SEE 3174 01:58:03,840 --> 01:58:05,360 THEM THROUGHOUT THE CLINICAL 3175 01:58:05,360 --> 01:58:07,000 CENTER, SPOT THEM, AND ENCOURAGE 3176 01:58:07,000 --> 01:58:10,960 PEOPLE TO TAKE PICTURES WITH 3177 01:58:10,960 --> 01:58:11,360 THEM. 3178 01:58:11,360 --> 01:58:13,680 ONE OF THE THINGS WE'VE DONE IS 3179 01:58:13,680 --> 01:58:15,040 UPDATED OUR MISSION STATEMENT 3180 01:58:15,040 --> 01:58:16,640 FOR THE NURSING DEPARTMENT. 3181 01:58:16,640 --> 01:58:20,920 PREVIOUS MISSION STATEMENT WAS 3182 01:58:20,920 --> 01:58:22,640 FOCUSED ON DEVELOPING THE 3183 01:58:22,640 --> 01:58:24,520 SPECIALTY OF CLINICAL RESEARCH 3184 01:58:24,520 --> 01:58:25,720 NURSING AND CLINICAL RESEARCH 3185 01:58:25,720 --> 01:58:27,080 NURSE MODEL OF CARE WHICH HAS 3186 01:58:27,080 --> 01:58:28,160 BEEN ACCOMPLISHED. 3187 01:58:28,160 --> 01:58:30,080 SO WE UPDATED OUR MISSION 3188 01:58:30,080 --> 01:58:30,360 STATEMENT. 3189 01:58:30,360 --> 01:58:34,480 AND WE WORKED VERY CLOSELY WITH 3190 01:58:34,480 --> 01:58:39,120 NIH OFFICE OF STRATEGIC 3191 01:58:39,120 --> 01:58:41,320 PLANNING, AS WELL AS US HAVERING 3192 01:58:41,320 --> 01:58:42,160 NURSING STRATEGIC PLAN WHICH 3193 01:58:42,160 --> 01:58:52,600 I'LL SHARE IN A MOMENT. 3194 01:58:53,400 --> 01:58:54,320 NEW MISSION STATEMENTS, WE 3195 01:58:54,320 --> 01:58:55,960 IMPROVE HUMAN HEALTH BY 3196 01:58:55,960 --> 01:58:58,880 SUPPORTING CUTTING EDGE CLINICAL 3197 01:58:58,880 --> 01:59:00,120 RESEARCH AND PROVIDING 3198 01:59:00,120 --> 01:59:01,000 COMPASSIONATE CARE TO DIVERSE 3199 01:59:01,000 --> 01:59:02,400 POPULATION OF PATIENTS AND 3200 01:59:02,400 --> 01:59:02,840 FAMILIES. 3201 01:59:02,840 --> 01:59:06,720 AS YOU HEARD PREVIOUSLY TODAY, 3202 01:59:06,720 --> 01:59:08,920 WE HAVE A DIVERSE PATIENT 3203 01:59:08,920 --> 01:59:09,480 POPULATION. 3204 01:59:09,480 --> 01:59:11,200 ONE OF THE QUESTIONS IN THE 3205 01:59:11,200 --> 01:59:17,960 CHAT, I WAS ABLE TO SEE IT ON MY 3206 01:59:17,960 --> 01:59:19,520 LAPTOP, WAS REGARDING 3207 01:59:19,520 --> 01:59:21,840 DEMOGRAPHIC INFORMATION THAT WE 3208 01:59:21,840 --> 01:59:23,200 COLLECT UPON ADMISSION. 3209 01:59:23,200 --> 01:59:27,200 PATIENTS DO PROVIDE THEIR 3210 01:59:27,200 --> 01:59:30,400 PREFERENCES FOR GENDER AND 3211 01:59:30,400 --> 01:59:32,480 LANGUAGE AND ETHNICITY, SO THAT 3212 01:59:32,480 --> 01:59:34,000 INFORMATION IS COLLECTED ON 3213 01:59:34,000 --> 01:59:39,040 MISSION, SO I JUST WANTED TO 3214 01:59:39,040 --> 01:59:39,680 ANSWER THAT. 3215 01:59:39,680 --> 01:59:41,480 SO, WE'VE FOLLOWED A PATH FOR 3216 01:59:41,480 --> 01:59:44,400 THE DEVELOPMENT OF THE NURSING 3217 01:59:44,400 --> 01:59:45,280 DEPARTMENT'S STRATEGIC PLAN. 3218 01:59:45,280 --> 01:59:50,560 I WANT TO QUALIFY SOMETIMES 3219 01:59:50,560 --> 01:59:52,320 WE'RE AMBITIOUS WITH THE GOALS 3220 01:59:52,320 --> 01:59:56,360 THAT WE SET, BUT WE'VE ALWAYS 3221 01:59:56,360 --> 01:59:59,760 DEVELOPED ANNUAL GOALS THAT WE 3222 01:59:59,760 --> 02:00:01,920 CREATE AND DEFINE WITH 3223 02:00:01,920 --> 02:00:02,640 PARTICIPATION AND INPUT. 3224 02:00:02,640 --> 02:00:04,720 WE THEN HAVE A NURSING STRATEGIC 3225 02:00:04,720 --> 02:00:06,760 PLAN, OF COURSE WE FOLLOW THE 3226 02:00:06,760 --> 02:00:09,880 CLINICAL CENTER STRATEGIC PLAN, 3227 02:00:09,880 --> 02:00:11,080 NIH STRATEGIC PLAN, HAVE A 3228 02:00:11,080 --> 02:00:11,800 NURSING DEPARTMENT STRATEGIC 3229 02:00:11,800 --> 02:00:12,760 PLAN. 3230 02:00:12,760 --> 02:00:15,360 SO AS I MENTIONED EARLIER, WE 3231 02:00:15,360 --> 02:00:17,040 WORKED, PARTNERED WITH OFFICE OF 3232 02:00:17,040 --> 02:00:19,240 STRATEGIC PLANNING AND THEY ARE 3233 02:00:19,240 --> 02:00:19,520 PHENOMENAL. 3234 02:00:19,520 --> 02:00:21,320 IT'S REALLY HELPFUL TO WORK WITH 3235 02:00:21,320 --> 02:00:23,520 PEOPLE THAT ARE OUTSIDE OF THE 3236 02:00:23,520 --> 02:00:26,440 DEPARTMENT TO PROVIDE AN 3237 02:00:26,440 --> 02:00:28,800 OBJECTIVE LENS THAT ALSO THEY 3238 02:00:28,800 --> 02:00:30,400 HAVE SUCH WONDERFUL SKILLS TO 3239 02:00:30,400 --> 02:00:31,720 HELP WITH CRAFTING OUR DOCUMENT 3240 02:00:31,720 --> 02:00:33,120 AND HELPING US HONE IN ON WHAT 3241 02:00:33,120 --> 02:00:35,440 IT IS WE WANT TO ACHIEVE. 3242 02:00:35,440 --> 02:00:37,280 SO WE STARTED WORKING WITH THEM 3243 02:00:37,280 --> 02:00:40,640 A YEAR AGO, ON REDEFINING OUR 3244 02:00:40,640 --> 02:00:41,560 MISSION AND VISION. 3245 02:00:41,560 --> 02:00:43,520 AND THEN WE LOOKED AT THE MAGNET 3246 02:00:43,520 --> 02:00:46,280 MANUAL BECAUSE WE HAD DONE A GAP 3247 02:00:46,280 --> 02:00:47,680 ANALYSIS, REGARDING ONE OF THE 3248 02:00:47,680 --> 02:00:49,120 THINGS WE NEED TO ACHIEVE, WHAT 3249 02:00:49,120 --> 02:00:50,640 DO WE NEED TO KEEP WORKING ON 3250 02:00:50,640 --> 02:00:52,240 AND WHAT DO WE NEED TO WORK 3251 02:00:52,240 --> 02:00:54,080 TOWARDS BECAUSE, AGAIN, WE CAN'T 3252 02:00:54,080 --> 02:00:56,200 DO EVERYTHING AT ONCE. 3253 02:00:56,200 --> 02:00:59,360 WE SOLICITED FEEDBACK FROM KEY 3254 02:00:59,360 --> 02:01:00,760 STAKEHOLDERS THROUGHOUT THE 3255 02:01:00,760 --> 02:01:02,360 NURSING DEPARTMENT, FROM OUR 3256 02:01:02,360 --> 02:01:05,000 MAGNET AMBASSADORS THAT ARE MADE 3257 02:01:05,000 --> 02:01:08,720 UP OF NURSING DEPARTMENT, 3258 02:01:08,720 --> 02:01:09,440 INSTITUTE, OTHER DEPARTMENTAL 3259 02:01:09,440 --> 02:01:10,680 REPRESENTATIVES JUST TO MAKE 3260 02:01:10,680 --> 02:01:11,840 SURE WE WEREN'T MISSING 3261 02:01:11,840 --> 02:01:12,760 ANYTHING. 3262 02:01:12,760 --> 02:01:14,760 AND THEN WE ALIGNED INITIATIVES 3263 02:01:14,760 --> 02:01:16,880 OVER THREE-YEAR PLAN. 3264 02:01:16,880 --> 02:01:18,240 SO WE CURRENTLY HAVE THE HIGH 3265 02:01:18,240 --> 02:01:19,960 LEVEL VERSION OF THE PLAN WHICH 3266 02:01:19,960 --> 02:01:21,280 I'LL SHARE NEXT. 3267 02:01:21,280 --> 02:01:22,520 AND THEN WE'RE COMPLETING THE 3268 02:01:22,520 --> 02:01:24,480 DETAILED PLAN THAT WE'LL BE 3269 02:01:24,480 --> 02:01:25,000 PUBLISHING. 3270 02:01:25,000 --> 02:01:27,400 BUT WE'VE ALREADY STARTED 3271 02:01:27,400 --> 02:01:28,400 COMMUNICATING THE STRATEGIC PLAN 3272 02:01:28,400 --> 02:01:30,680 OUT TO THE NURSING DEPARTMENT 3273 02:01:30,680 --> 02:01:34,160 AND SHARING WITH ALL OF YOU. 3274 02:01:34,160 --> 02:01:36,880 SO, IN OUR STRATEGIC PLAN WE USE 3275 02:01:36,880 --> 02:01:40,000 THE FOUR COMPONENTS OF THE 3276 02:01:40,000 --> 02:01:41,840 MAGNET MODEL JUST AS CHAPTERS OF 3277 02:01:41,840 --> 02:01:44,040 OUR PLAN, IF YOU WILL. 3278 02:01:44,040 --> 02:01:46,440 AND SO THE FIRST IS 3279 02:01:46,440 --> 02:01:47,440 TRANSFORMATIONAL LEADERSHIP. 3280 02:01:47,440 --> 02:01:49,080 THERE ARE MANY THINGS THAT FALL 3281 02:01:49,080 --> 02:01:50,200 UNDER HERE. 3282 02:01:50,200 --> 02:01:52,480 AND UNDER THE -- THESE ARE GOALS 3283 02:01:52,480 --> 02:01:55,000 UNDER EACH OF THESE COMPONENTS, 3284 02:01:55,000 --> 02:01:57,520 AND IN EACH WE HAVE FURTHER WORK 3285 02:01:57,520 --> 02:01:59,280 DEFINED, BUT WE DON'T HAVE -- IT 3286 02:01:59,280 --> 02:02:01,320 TOOK ME AN HOUR TO PRESENT THE 3287 02:02:01,320 --> 02:02:02,000 WHOLE PLAN. 3288 02:02:02,000 --> 02:02:04,160 AND I DON'T HAVE THAT TIME HERE. 3289 02:02:04,160 --> 02:02:07,160 BUT WE DO HAVE INITIATIVES UNDER 3290 02:02:07,160 --> 02:02:09,560 EACH OF THESE. 3291 02:02:09,560 --> 02:02:13,160 WE NEED TO PROVIDE LEARNING 3292 02:02:13,160 --> 02:02:14,080 EXPERIENTIAL OPPORTUNITIES FOR 3293 02:02:14,080 --> 02:02:14,600 LEADERSHIP DEVELOPMENT. 3294 02:02:14,600 --> 02:02:17,960 I MET WITH A DIRECT CARE NURSE 3295 02:02:17,960 --> 02:02:19,160 YESTERDAY INQUIRING ABOUT THIS 3296 02:02:19,160 --> 02:02:20,600 VERY THING, HE WAS PLEASED TO 3297 02:02:20,600 --> 02:02:22,560 HEAR THIS IS IN OUR STRATEGIC 3298 02:02:22,560 --> 02:02:22,960 PLAN. 3299 02:02:22,960 --> 02:02:25,960 WE HAVE TO PROVIDE LEARNING AND 3300 02:02:25,960 --> 02:02:27,120 DEVELOPMENTAL OPPORTUNITIES AT 3301 02:02:27,120 --> 02:02:32,200 ALL LEVELS OF THE DEPARTMENT. 3302 02:02:32,200 --> 02:02:34,160 IT'S ONE THING TO HAVE SOMETHING 3303 02:02:34,160 --> 02:02:35,160 WRITTEN ON PAPER, BUT YOU HAVE 3304 02:02:35,160 --> 02:02:37,360 TO LIVE IT. 3305 02:02:37,360 --> 02:02:41,960 WE HAVE TO DO THAT. 3306 02:02:41,960 --> 02:02:42,560 WE'RE EMBEDDING PRINCIPLES OF 3307 02:02:42,560 --> 02:02:43,320 DIVERSITY, EQUITY, AND INCLUSION 3308 02:02:43,320 --> 02:02:44,880 IN OUR NURSING PRACTICE AND IN 3309 02:02:44,880 --> 02:02:46,320 THE WORK ENVIRONMENT. 3310 02:02:46,320 --> 02:02:47,880 DR. GILMAN SHARED EARLIER THAT 3311 02:02:47,880 --> 02:02:54,080 WE HAVE THE HONOR OF WORKING ON 3312 02:02:54,080 --> 02:02:56,200 THE DEVELOPING OF A POLICY AND 3313 02:02:56,200 --> 02:02:58,480 PRACTICE GUIDELINE FOR INTERVIEW 3314 02:02:58,480 --> 02:02:59,560 SELECTION, HIRING, PROMOTION 3315 02:02:59,560 --> 02:02:59,840 PROCESSES. 3316 02:02:59,840 --> 02:03:01,120 VERY IMPORTANT. 3317 02:03:01,120 --> 02:03:04,360 WE'RE A LARGE DEPARTMENT. 3318 02:03:04,360 --> 02:03:07,000 AND SELECTING OFFICIALS AS WE'RE 3319 02:03:07,000 --> 02:03:08,200 CALLED IN HIRING, EVERYONE MAY 3320 02:03:08,200 --> 02:03:09,280 HAVE A LITTLE BIT DIFFERENT 3321 02:03:09,280 --> 02:03:09,680 PRACTICE. 3322 02:03:09,680 --> 02:03:12,760 WE HAVE TO MAKE SURE WE'RE 3323 02:03:12,760 --> 02:03:14,200 TRANSPARENT AND THAT WE'RE 3324 02:03:14,200 --> 02:03:17,120 EQUITABLE IN OUR HIRING AND 3325 02:03:17,120 --> 02:03:19,800 PROMOTING PRACTICES. 3326 02:03:19,800 --> 02:03:21,680 AND SO ONE OF OUR SERVICE CHIEFS 3327 02:03:21,680 --> 02:03:23,000 IN THE NURSING DEPARTMENT IS 3328 02:03:23,000 --> 02:03:26,600 LEADING THIS WORK ALONG WITH OUR 3329 02:03:26,600 --> 02:03:28,760 NURSING DEPARTMENT, DIVERSITY, 3330 02:03:28,760 --> 02:03:29,440 EQUITY, AND INCLUSION COUNCIL, 3331 02:03:29,440 --> 02:03:30,960 WE'RE PLEASED TO HAVE THIS 3332 02:03:30,960 --> 02:03:31,920 OPPORTUNITY. 3333 02:03:31,920 --> 02:03:34,120 WE ALSO HAVE TO PROVIDE FORUMS 3334 02:03:34,120 --> 02:03:35,360 FOR NURSING DEPARTMENT MEMBERS 3335 02:03:35,360 --> 02:03:38,320 TO SHARE IDEAS, AND WE DO THAT, 3336 02:03:38,320 --> 02:03:41,800 WE HAVE A ROBUST SHARED 3337 02:03:41,800 --> 02:03:43,000 GOVERNANCE STRUCTURE IN THE 3338 02:03:43,000 --> 02:03:45,120 DEPARTMENT. 3339 02:03:45,120 --> 02:03:47,920 WE HAVE TO OBTAIN MANAGEMENT 3340 02:03:47,920 --> 02:03:49,560 RESOURCES USING FISCALLY 3341 02:03:49,560 --> 02:03:51,200 RESPONSIBLE PRACTICES AND TO 3342 02:03:51,200 --> 02:03:53,000 ACHIEVE MAGNET DESIGNATION. 3343 02:03:53,000 --> 02:03:55,240 STRUCTURAL EMPOWERMENT IS TO 3344 02:03:55,240 --> 02:03:56,400 HAVE THOSE PROCESSES AND 3345 02:03:56,400 --> 02:03:58,360 PRACTICES IN PLACE IN ORDER TO 3346 02:03:58,360 --> 02:03:59,880 BE SUCCESSFUL. 3347 02:03:59,880 --> 02:04:01,960 WE SUPPORT OUR NURSING 3348 02:04:01,960 --> 02:04:03,840 DEPARTMENT MEMBERS AND THEIR 3349 02:04:03,840 --> 02:04:04,800 INDIVIDUAL PROFESSIONAL GROWTH 3350 02:04:04,800 --> 02:04:05,760 AND DEVELOPMENT. 3351 02:04:05,760 --> 02:04:07,520 WE HAVE THE COMPREHENSIVE 3352 02:04:07,520 --> 02:04:08,640 TRANSITION TO PRACTICE PROGRAM, 3353 02:04:08,640 --> 02:04:11,360 FOR NURSES MOVING INTO NEW 3354 02:04:11,360 --> 02:04:12,000 ROLES. 3355 02:04:12,000 --> 02:04:14,880 WE HAVE AN ACCREDITED WITH 3356 02:04:14,880 --> 02:04:16,160 DISTINCTION TRANSITION PRACTICE 3357 02:04:16,160 --> 02:04:21,640 PROGRAM FOR GRADUATE NURSES IN 3358 02:04:21,640 --> 02:04:23,200 OUR NURSE RESIDENCY PROGRAM AND 3359 02:04:23,200 --> 02:04:27,160 HAVE TO LOOK FOR NURSES MOVING 3360 02:04:27,160 --> 02:04:27,880 INTO OTHER ROLES IN THE 3361 02:04:27,880 --> 02:04:29,440 ORGANIZATION AS WELL. 3362 02:04:29,440 --> 02:04:31,800 I'LL NOT GO THROUGH ALL OF THESE 3363 02:04:31,800 --> 02:04:35,440 BUT WE ALSO WANT TO INCREASE 3364 02:04:35,440 --> 02:04:37,400 AWARENESS OF OUR RECOGNITION 3365 02:04:37,400 --> 02:04:39,360 PROGRAMS, AND ENCOURAGE 3366 02:04:39,360 --> 02:04:40,320 CONSISTENT UTILIZATION OF THOSE. 3367 02:04:40,320 --> 02:04:42,320 FIRST THING THIS MORNING AT 7:00 3368 02:04:42,320 --> 02:04:46,720 I WAS IN THE O.R. AS ONE OF OUR 3369 02:04:46,720 --> 02:04:47,800 O.R. NURSES WAS RECEIVING HOUSE 3370 02:04:47,800 --> 02:04:49,520 OF HOPE AWARD. 3371 02:04:49,520 --> 02:04:50,840 THAT'S A NURSING DEPARTMENT 3372 02:04:50,840 --> 02:04:53,000 AWARD AT THE UNIT LEVEL. 3373 02:04:53,000 --> 02:04:56,760 WHERE PEERS OR COLLEAGUES, 3374 02:04:56,760 --> 02:04:57,280 PHYSICIANS, PATIENTS, CAN 3375 02:04:57,280 --> 02:05:00,040 RECOGNIZE MEMBERS OF THE NURSING 3376 02:05:00,040 --> 02:05:01,640 DEPARTMENT FOR THEIR EXCELLENCE 3377 02:05:01,640 --> 02:05:05,800 AND IT'S SELECTED BY A COMMITTEE 3378 02:05:05,800 --> 02:05:10,680 OF PEERS TO RECOGNIZE. 3379 02:05:10,680 --> 02:05:13,280 AND THIS MIKEY ANDRES WAS THE 3380 02:05:13,280 --> 02:05:15,520 NURSE IN THE O.R. RECOGNIZED, 3381 02:05:15,520 --> 02:05:18,640 SHREWDLY -- ABSOLUTELY 3382 02:05:18,640 --> 02:05:20,120 WONDERFUL, WITH US TWO YEARS, IT 3383 02:05:20,120 --> 02:05:21,600 MAKES YOUR DAY WHEN YOU 3384 02:05:21,600 --> 02:05:23,560 RECOGNIZE PEOPLE FOR EXCELLENCE. 3385 02:05:23,560 --> 02:05:24,880 I ALREADY MENTIONED THE 3386 02:05:24,880 --> 02:05:26,480 STANDARDIZATION OF THE INTERVIEW 3387 02:05:26,480 --> 02:05:31,200 SELECTION PROCESS. 3388 02:05:31,200 --> 02:05:32,600 NEXT SELECTIONs IS EXEMPLARY 3389 02:05:32,600 --> 02:05:34,040 PROFESSIONAL PRACTICE THAT WE 3390 02:05:34,040 --> 02:05:40,000 PROMOTE THAT NURSES ARE 3391 02:05:40,000 --> 02:05:40,400 PARTICIPATING IN 3392 02:05:40,400 --> 02:05:41,920 INTERDISCIPLINARY TEAMS. 3393 02:05:41,920 --> 02:05:44,440 WE'RE TEAM FOCUSED. 3394 02:05:44,440 --> 02:05:48,760 AND A WORK THAT FEEDS INTO OUR 3395 02:05:48,760 --> 02:05:50,720 PRESS GANEY SCORES IS REGARDING 3396 02:05:50,720 --> 02:05:52,200 DISCHARGE PLANNING. 3397 02:05:52,200 --> 02:05:53,640 WE HAVE GREAT OPPORTUNITIES 3398 02:05:53,640 --> 02:05:56,560 THERE SINCE WE ARE DIFFERENT, WE 3399 02:05:56,560 --> 02:05:57,880 HAVE DIFFERENT RESOURCES OR 3400 02:05:57,880 --> 02:06:00,320 MIGHT NOT HAVE RESOURCES. 3401 02:06:00,320 --> 02:06:01,680 WE'RE LOOKING AT DURABLE MEDICAL 3402 02:06:01,680 --> 02:06:03,600 EQUIPMENT WHEN PATIENTS 3403 02:06:03,600 --> 02:06:06,160 DISCHARGE SO WE HAVE AN 3404 02:06:06,160 --> 02:06:08,000 INTERDISCIPLINARY GROUP BEING 3405 02:06:08,000 --> 02:06:11,720 LED BY JASMINE, ONE OF OUR 3406 02:06:11,720 --> 02:06:14,120 SUPERVISORY SOCIAL WORKERS, AND 3407 02:06:14,120 --> 02:06:15,240 HELEN MAYBERRY, NURSING PROGRAM 3408 02:06:15,240 --> 02:06:18,080 DIRECTOR FOR SAFETY AND QUALITY 3409 02:06:18,080 --> 02:06:21,640 LEADING A MULTI-DISCIPLINARY 3410 02:06:21,640 --> 02:06:24,880 GROUP ON DISCHARGE PLANNING AND 3411 02:06:24,880 --> 02:06:28,360 STANDARDIZING PROCESSES A CROSS 3412 02:06:28,360 --> 02:06:30,880 THE CLINICAL CENTER. 3413 02:06:30,880 --> 02:06:33,080 WE'RE FOCUSED ON WELL-BEING OF 3414 02:06:33,080 --> 02:06:34,360 THE STAFF. 3415 02:06:34,360 --> 02:06:35,800 FINALLY, NEW KNOWLEDGE 3416 02:06:35,800 --> 02:06:40,760 INNOVATION AND IMPROVEMENTS THAT 3417 02:06:40,760 --> 02:06:41,760 WE SUPPORT INNOVATIONS, 3418 02:06:41,760 --> 02:06:44,600 RESEARCH, PARTNER WITH DR. 3419 02:06:44,600 --> 02:06:48,640 WALLEN AND HER RESEARCH BRANCH, 3420 02:06:48,640 --> 02:06:51,880 AND WE ALSO IMPLEMENTED A 3421 02:06:51,880 --> 02:06:53,480 NURSING EVIDENCE-BASED PRACTICE 3422 02:06:53,480 --> 02:06:54,680 AND RESEARCH INNOVATIONS COUNCIL 3423 02:06:54,680 --> 02:06:56,920 THIS YEAR, AND THIS IS LED BY A 3424 02:06:56,920 --> 02:06:58,720 DIRECT CARE NURSE. 3425 02:06:58,720 --> 02:06:59,760 WE'RE VERY MUCH LOOKING FORWARD 3426 02:06:59,760 --> 02:07:01,120 TO THE WORK THIS COUNCIL IS 3427 02:07:01,120 --> 02:07:03,280 GOING TO BRING TO THE 3428 02:07:03,280 --> 02:07:03,600 DEPARTMENT. 3429 02:07:03,600 --> 02:07:05,800 WE UTILIZE TECHNOLOGY TO IMPROVE 3430 02:07:05,800 --> 02:07:08,560 WORK PRACTICES AND CLINICAL 3431 02:07:08,560 --> 02:07:10,080 CARE, EVERYTHING IS TECHNOLOGY 3432 02:07:10,080 --> 02:07:10,520 RELATED. 3433 02:07:10,520 --> 02:07:13,160 AND THEN WE PROVIDE AN 3434 02:07:13,160 --> 02:07:16,560 ENVIRONMENT WHERE 3435 02:07:16,560 --> 02:07:18,640 INQUISITIVENESS CAN FLOURISH. 3436 02:07:18,640 --> 02:07:20,840 WE'VE ALSO ALIGNED THE WORK 3437 02:07:20,840 --> 02:07:23,880 AROUND OUR MAGNET JOURNEY. 3438 02:07:23,880 --> 02:07:25,400 WE'VE CREATED CLINICAL CENTER 3439 02:07:25,400 --> 02:07:28,240 MAGNET STEERING COMMITTEE, IT'S 3440 02:07:28,240 --> 02:07:30,440 A MULTI-DISCIPLINARY COMMITTEE, 3441 02:07:30,440 --> 02:07:32,680 AND THE COMMITTEE MET ON JULY 6 3442 02:07:32,680 --> 02:07:34,720 FOR THE INAUGURAL MEETING. 3443 02:07:34,720 --> 02:07:36,040 AND IT WAS REALLY EXCELLENT. 3444 02:07:36,040 --> 02:07:37,360 THE PURPOSE OF THE STEERING 3445 02:07:37,360 --> 02:07:39,840 COMMITTEE IS TO PROVIDE 3446 02:07:39,840 --> 02:07:42,040 OVERSIGHT TO THE JOURNEY, AND TO 3447 02:07:42,040 --> 02:07:43,600 HOLD US ACCOUNTABLE FOR THE WORK 3448 02:07:43,600 --> 02:07:45,880 THAT WE'RE DOING BUT ALSO TO 3449 02:07:45,880 --> 02:07:47,640 MAKE SURE THAT WE'RE BEING 3450 02:07:47,640 --> 02:07:50,160 INCLUSIVE OF CLINICAL CENTER AND 3451 02:07:50,160 --> 02:07:52,040 OUR INSTITUTE PARTNERS. 3452 02:07:52,040 --> 02:07:53,640 IT'S ALSO -- WE WILL REPORT TO 3453 02:07:53,640 --> 02:07:56,640 THEM ON THE WORK THAT WE'RE 3454 02:07:56,640 --> 02:07:58,360 DOING, SO THAT WAS VERY -- IT 3455 02:07:58,360 --> 02:08:02,440 WAS A GREAT FIRST MEETING. 3456 02:08:02,440 --> 02:08:04,320 WE HAVE SUBGROUPS REPORTING TO 3457 02:08:04,320 --> 02:08:05,920 THE MAGNET STEERING COMMITTEE. 3458 02:08:05,920 --> 02:08:06,920 ONE IS MAGNET DOCUMENT TEAM. 3459 02:08:06,920 --> 02:08:09,560 THIS IS A GROUP OF PEOPLE WHO 3460 02:08:09,560 --> 02:08:12,600 ARE GOING TO BE -- OR WHO ARE 3461 02:08:12,600 --> 02:08:13,880 RESPONSIBLE FOR COLLECTING 3462 02:08:13,880 --> 02:08:15,600 NARRATIVES AND THE DATA TO TELL 3463 02:08:15,600 --> 02:08:17,120 OUR STORY. 3464 02:08:17,120 --> 02:08:19,600 WE HAVE OUR MAGNET AMBASSADOR 3465 02:08:19,600 --> 02:08:19,880 GROUP. 3466 02:08:19,880 --> 02:08:22,240 I MENTIONED THEM PREVIOUSLY. 3467 02:08:22,240 --> 02:08:24,520 IT'S A GREAT GROUP OF PEOPLE 3468 02:08:24,520 --> 02:08:26,040 FROM ACROSS THE CLINICAL CENTER 3469 02:08:26,040 --> 02:08:27,480 WHO ARE LEARNING ABOUT MAGNET, 3470 02:08:27,480 --> 02:08:30,000 ALSO THE ONES GOING OUT AND 3471 02:08:30,000 --> 02:08:32,760 SPREADING THE MESSAGE, BUT ALSO 3472 02:08:32,760 --> 02:08:34,480 BRINGING THE STORIES BACK. 3473 02:08:34,480 --> 02:08:35,400 WE HAVE MAGNET COMMUNICATIONS 3474 02:08:35,400 --> 02:08:39,640 BECAUSEES WE DO HAVE TO SHARE 3475 02:08:39,640 --> 02:08:40,760 THE INFORMATION. 3476 02:08:40,760 --> 02:08:44,440 WE PARTNER VERY CLOSELY WITH OUR 3477 02:08:44,440 --> 02:08:45,840 OFFICE OF COMMUNICATIONS AND 3478 02:08:45,840 --> 02:08:49,240 MEDIA RELATIONS IN THE CLINICAL 3479 02:08:49,240 --> 02:08:50,000 CENTER. 3480 02:08:50,000 --> 02:08:55,480 AND ON THE MAGNET AMBASSADOR 3481 02:08:55,480 --> 02:08:57,640 TEAM, STEERING COMMITTEE, 3482 02:08:57,640 --> 02:08:59,760 EXCELLENT PARTNERS. 3483 02:08:59,760 --> 02:09:02,840 WE ALSO ACQUIRED SERVICES OF 3484 02:09:02,840 --> 02:09:03,880 INDEPENDENT MAGNET CONSULTANT, 3485 02:09:03,880 --> 02:09:06,640 SHE'S BEEN INVALUABLE IN 3486 02:09:06,640 --> 02:09:07,480 PROVIDING GUIDANCE BECAUSE, 3487 02:09:07,480 --> 02:09:09,400 AGAIN, WE DON'T KNOW IT ALL. 3488 02:09:09,400 --> 02:09:10,720 WE DON'T PROFESS TO. 3489 02:09:10,720 --> 02:09:13,320 WE CAN CERTAINLY USE THE 3490 02:09:13,320 --> 02:09:15,840 ASSISTANCE AND GUIDANCE. 3491 02:09:15,840 --> 02:09:19,640 WE HELD SESSIONS WITH NURSE 3492 02:09:19,640 --> 02:09:21,760 LEADERS THIS PAST SPRING TO 3493 02:09:21,760 --> 02:09:22,600 BEGIN IDENTIFYING POTENTIAL 3494 02:09:22,600 --> 02:09:25,800 NARRATIVES THAT WE CAN USE FOR 3495 02:09:25,800 --> 02:09:27,000 OUR DOCUMENT SUBMISSION. 3496 02:09:27,000 --> 02:09:30,400 OUR QUALITY AND SAFETY DATA 3497 02:09:30,400 --> 02:09:32,800 TRACKING IS ONGOING, AND, AGAIN, 3498 02:09:32,800 --> 02:09:34,440 WE PARTNER WITH DR. DAVID LANG 3499 02:09:34,440 --> 02:09:36,080 AND THE OFFICE OF PATIENT SAFETY 3500 02:09:36,080 --> 02:09:39,480 AND CLINICAL QUALITY AS WELL AS 3501 02:09:39,480 --> 02:09:40,240 NURSING DEPARTMENT, PATIENT 3502 02:09:40,240 --> 02:09:42,200 SAFETY AND QUALITY OFFICE ON OUR 3503 02:09:42,200 --> 02:09:42,640 DATA. 3504 02:09:42,640 --> 02:09:46,120 BECAUSE THAT REALLY TELLS OUR 3505 02:09:46,120 --> 02:09:46,320 STORY. 3506 02:09:46,320 --> 02:09:47,600 PATIENT SATISFACTION DATA IS 3507 02:09:47,600 --> 02:09:49,440 PART OF THE REQUIREMENTS. 3508 02:09:49,440 --> 02:09:51,640 I'M PLEASED TO SAY THAT WE'RE 3509 02:09:51,640 --> 02:09:53,720 EXCEEDING THE TARGETS NEEDED TO 3510 02:09:53,720 --> 02:09:54,680 MEET MAGNET DESIGNATION SO WE 3511 02:09:54,680 --> 02:09:58,840 HAVE TO KEEP THAT GOING. 3512 02:09:58,840 --> 02:10:01,920 IT HAS TO BE CONTINUOUS. 3513 02:10:01,920 --> 02:10:05,640 AND THEN WE'VE -- RACHEL IS 3514 02:10:05,640 --> 02:10:08,120 COMPLETING AN OVERALL TIMELINE 3515 02:10:08,120 --> 02:10:09,040 FOR THE MAGNET DOCUMENT 3516 02:10:09,040 --> 02:10:13,440 COMPLETION SO WE STAY ON TRACK 3517 02:10:13,440 --> 02:10:16,120 BECAUSE TIME FLIES QUICKLY. 3518 02:10:16,120 --> 02:10:17,880 WE'VE ALSO BEGUN SOME CLINICAL 3519 02:10:17,880 --> 02:10:18,960 CENTER ENGAGEMENT. 3520 02:10:18,960 --> 02:10:21,040 WE HAVE A MAGNET INFORMATION 3521 02:10:21,040 --> 02:10:22,800 BOOTH AT THE NIH COMMUNITY 3522 02:10:22,800 --> 02:10:24,760 MARKET, SO RACHEL TAKES THE 3523 02:10:24,760 --> 02:10:26,520 BANNERS OUTSIDE AND HAS A TABLE 3524 02:10:26,520 --> 02:10:28,680 AND HAVE STARTED DOING THAT IN 3525 02:10:28,680 --> 02:10:30,880 THE NORTH LOBBY AND HAVE HAD 3526 02:10:30,880 --> 02:10:32,520 GREAT ENGAGEMENT WHEN WE'VE DONE 3527 02:10:32,520 --> 02:10:32,920 THAT. 3528 02:10:32,920 --> 02:10:34,720 PATIENTS WILL COME UP AND IT'S 3529 02:10:34,720 --> 02:10:36,840 LIKE, I'VE BEEN IN MAGNET 3530 02:10:36,840 --> 02:10:37,800 HOSPITALS, I'M SURPRISED YOU'RE 3531 02:10:37,800 --> 02:10:38,560 NOT MAGNET. 3532 02:10:38,560 --> 02:10:40,000 WELL, WE THINK WE ARE BUT NOW 3533 02:10:40,000 --> 02:10:43,800 WE'RE GOING TO GET THE 3534 02:10:43,800 --> 02:10:45,320 DESIGNATION BECAUSE WE DO A LOT 3535 02:10:45,320 --> 02:10:47,080 OF THINGS WELL AND WE'RE ABLE TO 3536 02:10:47,080 --> 02:10:48,440 ENGAGE WITH EVERYBODY THAT COMES 3537 02:10:48,440 --> 02:10:50,080 THROUGH IN THE NORTH ATRIUM, 3538 02:10:50,080 --> 02:10:52,800 WHERE WE HAVE A COFFEE SHOP 3539 02:10:52,800 --> 02:10:53,160 THERE. 3540 02:10:53,160 --> 02:10:55,320 CONCERTS ARE PLAYED THERE. 3541 02:10:55,320 --> 02:10:56,560 IT'S VERY BUSY AND VIBRANT 3542 02:10:56,560 --> 02:10:59,800 PLACE, A GREAT PLACE TO HAVE A 3543 02:10:59,800 --> 02:11:00,560 PRESENCE. 3544 02:11:00,560 --> 02:11:03,320 OUR MAGNET PROGRAM MANAGER, 3545 02:11:03,320 --> 02:11:05,400 RACHEL, PROVIDES UPDATES, GOES 3546 02:11:05,400 --> 02:11:07,480 TO CLINICAL CENTER DEPARTMENTS 3547 02:11:07,480 --> 02:11:09,760 AND INSTITUTE PARTNERS TO KEEP 3548 02:11:09,760 --> 02:11:12,640 THEM INFORMED AND ENGAGED AND 3549 02:11:12,640 --> 02:11:14,800 SOLICIT FEEDBACK. 3550 02:11:14,800 --> 02:11:16,560 AND AGAIN MAGNET AMBASSADORS ARE 3551 02:11:16,560 --> 02:11:20,680 A KEY COMPONENT OF CLINICAL 3552 02:11:20,680 --> 02:11:21,360 CENTER ENGAGEMENT. 3553 02:11:21,360 --> 02:11:22,600 AND THAT CONCLUDES MY 3554 02:11:22,600 --> 02:11:23,360 PRESENTATION. 3555 02:11:23,360 --> 02:11:26,160 THANK YOU. 3556 02:11:26,160 --> 02:11:26,920 >> THANK YOU, BARBARA. 3557 02:11:26,920 --> 02:11:30,360 LET ME OPEN UP FOR ANY QUESTIONS 3558 02:11:30,360 --> 02:11:34,960 OR COMMENTS. 3559 02:11:34,960 --> 02:11:36,120 DAVID? 3560 02:11:36,120 --> 02:11:37,560 >> TERRIFIC PRESENTATION. 3561 02:11:37,560 --> 02:11:39,400 CERTAINLY SUPPORT THE NIH 3562 02:11:39,400 --> 02:11:40,720 CLINICAL CENTER OBTAINING MAGNET 3563 02:11:40,720 --> 02:11:41,400 STATUS. 3564 02:11:41,400 --> 02:11:42,160 THAT'S WONDERFUL. 3565 02:11:42,160 --> 02:11:45,960 A QUESTION I HAD, IS IT A MATTER 3566 02:11:45,960 --> 02:11:47,160 OF REPACKAGING AND DOCUMENTING 3567 02:11:47,160 --> 02:11:49,960 THINGS THAT EXIST ALREADY OR IS 3568 02:11:49,960 --> 02:11:52,960 THERE SOME INVESTMENTS THAT ARE 3569 02:11:52,960 --> 02:11:53,720 REQUIRED GOING FORWARD, 3570 02:11:53,720 --> 02:11:55,800 STRUCTURAL CHANGES, IF YOU COULD 3571 02:11:55,800 --> 02:11:59,680 ELABORATE WHAT THEY MIGHT BE AND 3572 02:11:59,680 --> 02:12:01,520 MAGNITUDE OF INVESTMENT. 3573 02:12:01,520 --> 02:12:02,520 >> GREAT QUESTION. 3574 02:12:02,520 --> 02:12:04,800 SOME THINGS WE ALREADY HAVE IN 3575 02:12:04,800 --> 02:12:05,560 PLACE. 3576 02:12:05,560 --> 02:12:06,560 NURSING DEPARTMENTS SHARE 3577 02:12:06,560 --> 02:12:07,440 GOVERNANCE STRUCTURE, IT'S BEEN 3578 02:12:07,440 --> 02:12:08,760 IN PLACE FOR YEARS. 3579 02:12:08,760 --> 02:12:09,480 IT'S REALLY STRONG. 3580 02:12:09,480 --> 02:12:10,840 THAT'S GREAT. 3581 02:12:10,840 --> 02:12:12,800 WE CAN GET A LOT OF -- WE HAVE A 3582 02:12:12,800 --> 02:12:16,480 LOT OF EVIDENCE TO SHOW FOR 3583 02:12:16,480 --> 02:12:16,680 THAT. 3584 02:12:16,680 --> 02:12:18,600 ONE THING THAT WE DID NOT HAVE 3585 02:12:18,600 --> 02:12:20,640 IN PLACE IS A PEER REVIEW 3586 02:12:20,640 --> 02:12:21,000 PROCESS. 3587 02:12:21,000 --> 02:12:23,480 AND THIS IS SOMETHING THAT'S 3588 02:12:23,480 --> 02:12:24,280 EXPECTED, PROFESSIONALS PROVIDE 3589 02:12:24,280 --> 02:12:26,000 PEER REVIEW. 3590 02:12:26,000 --> 02:12:29,320 SO WE IMPLEMENTED THAT TWO YEARS 3591 02:12:29,320 --> 02:12:31,800 AGO IN THE NURSING DEPARTMENT 3592 02:12:31,800 --> 02:12:35,000 FOR ALL OF NURSING, DIRECT CARE 3593 02:12:35,000 --> 02:12:36,560 NURSES, NURSE LEADERS, SO 3594 02:12:36,560 --> 02:12:37,000 IMPLEMENTING. 3595 02:12:37,000 --> 02:12:38,720 THERE'S THINGS LIKE THAT. 3596 02:12:38,720 --> 02:12:41,960 ANOTHER AREA IS WE DON'T HAVE A 3597 02:12:41,960 --> 02:12:43,000 FORMAL MENTORSHIP PROGRAM. 3598 02:12:43,000 --> 02:12:45,800 WE HAVE TO LOOK AT HOW WE'RE 3599 02:12:45,800 --> 02:12:48,560 GOING TO MEET STANDARDS AROUND 3600 02:12:48,560 --> 02:12:48,880 MENTORSHIP. 3601 02:12:48,880 --> 02:12:51,400 IT'S BOTH IDENTIFYING WHAT WE 3602 02:12:51,400 --> 02:12:53,240 ALREADY DO WELL AND CAN SHOW 3603 02:12:53,240 --> 02:12:55,240 EVIDENCE OF, AND WHAT ARE THINGS 3604 02:12:55,240 --> 02:12:56,120 THAT WE HAVE GAPS. 3605 02:12:56,120 --> 02:12:59,200 THOSE ARE JUST A COUPLE GAPS 3606 02:12:59,200 --> 02:13:00,160 WE'VE IDENTIFIED, AND THEN 3607 02:13:00,160 --> 02:13:02,480 LOOKED TO SEE IF WE NEED 3608 02:13:02,480 --> 02:13:04,680 RESOURCE, SOMETHING WE HAVE TO 3609 02:13:04,680 --> 02:13:06,400 PLAN WITHIN OUR BUDGET, SOME 3610 02:13:06,400 --> 02:13:07,840 THINGS WE CAN DO OURSELVES, BUT 3611 02:13:07,840 --> 02:13:09,920 OTHERS WE NEED TO ACQUIRE THE 3612 02:13:09,920 --> 02:13:11,440 SERVICES OR PARTNER WITH OTHERS 3613 02:13:11,440 --> 02:13:13,160 TO SEE THAT IT'S DONE. 3614 02:13:13,160 --> 02:13:15,800 SO IT'S BOTH. 3615 02:13:15,800 --> 02:13:16,680 THANK YOU. 3616 02:13:16,680 --> 02:13:21,280 >> REGINA AND THEN BACK TO DAVID 3617 02:13:21,280 --> 02:13:21,840 BAUM. 3618 02:13:21,840 --> 02:13:22,640 >> THANK YOU. 3619 02:13:22,640 --> 02:13:23,800 WONDERFUL PRESENTATION. 3620 02:13:23,800 --> 02:13:25,280 A VERY THOROUGH OUTLINING OF 3621 02:13:25,280 --> 02:13:27,440 WHAT NEEDS TO HAPPEN. 3622 02:13:27,440 --> 02:13:29,520 I ACTUALLY WAS SURPRISED AS WELL 3623 02:13:29,520 --> 02:13:33,040 WHEN I HEARD THAT YOU WERE NOT 3624 02:13:33,040 --> 02:13:34,240 MAGNET YET. 3625 02:13:34,240 --> 02:13:35,240 BUT VERY NICE. 3626 02:13:35,240 --> 02:13:36,640 I HAVE A COUPLE QUESTIONS. 3627 02:13:36,640 --> 02:13:38,720 THE FIRST ONE IS WITH REGARD TO 3628 02:13:38,720 --> 02:13:41,040 THE STRATEGIC PLANNING WHICH IS 3629 02:13:41,040 --> 02:13:43,960 SUCH A CRITICAL ASPECT OF THIS. 3630 02:13:43,960 --> 02:13:46,560 WHAT WAS THE LEVEL OF 3631 02:13:46,560 --> 02:13:52,080 INVOLVEMENT OF STAFF NURSES IN 3632 02:13:52,080 --> 02:13:53,400 THE DEVELOPMENT OF THE STRATEGIC 3633 02:13:53,400 --> 02:13:53,720 PLAN. 3634 02:13:53,720 --> 02:13:54,960 YOU MENTION THE MAGNET CHAMPIONS 3635 02:13:54,960 --> 02:13:56,400 BUT I WAS WONDERING IF THEY WERE 3636 02:13:56,400 --> 02:13:58,240 INVOLVED IN THE DEVELOPMENT, IF 3637 02:13:58,240 --> 02:14:00,320 NOT, IN THE VETTING PROCESS. 3638 02:14:00,320 --> 02:14:02,680 LIKE HOW IS THEIR VOICE BEING 3639 02:14:02,680 --> 02:14:04,240 HEARD WITHIN THAT CONTEXT? 3640 02:14:04,240 --> 02:14:06,040 >> SO, IT WAS BOTH. 3641 02:14:06,040 --> 02:14:09,400 SO, WE HAD SEVERAL DIRECT CARE 3642 02:14:09,400 --> 02:14:11,120 NURSES ON THE WORK GROUP 3643 02:14:11,120 --> 02:14:12,560 DEVELOPING THIS STRATEGIC PLAN. 3644 02:14:12,560 --> 02:14:15,920 THEN ONCE WE HAD A DRAFT FORM, 3645 02:14:15,920 --> 02:14:20,160 WE SENT IT OUT TO THE MAGNET 3646 02:14:20,160 --> 02:14:21,480 AMBASSADORS TO OUR SHARE 3647 02:14:21,480 --> 02:14:24,000 GOVERNANCE SHARES, TO THE REST 3648 02:14:24,000 --> 02:14:26,200 OF NURSING LEADERSHIP AND 3649 02:14:26,200 --> 02:14:29,480 INVITED FEEDBACK. 3650 02:14:29,480 --> 02:14:31,440 AND THEN SINCE -- IN MAY I 3651 02:14:31,440 --> 02:14:33,760 PRESENTED IT AT OUR NURSE 3652 02:14:33,760 --> 02:14:37,040 PRACTICE COUNCIL WHICH IS DIRECT 3653 02:14:37,040 --> 02:14:39,800 CARE NURSE LED, PART OF OUR 3654 02:14:39,800 --> 02:14:41,280 SHARED GOVERNANCE, AND INVITED 3655 02:14:41,280 --> 02:14:43,720 FEEDBACK AND MADE SOME TWEAKS 3656 02:14:43,720 --> 02:14:45,400 BASED ON FEEDBACK THAT I'VE 3657 02:14:45,400 --> 02:14:45,920 RECEIVED. 3658 02:14:45,920 --> 02:14:47,520 THAT WE'VE RECEIVED. 3659 02:14:47,520 --> 02:14:51,120 SO WE TRIED TO GET -- IT'S HARD 3660 02:14:51,120 --> 02:14:52,680 TO GET EVERYBODY'S INPUT. 3661 02:14:52,680 --> 02:14:53,360 >> YES. 3662 02:14:53,360 --> 02:14:54,560 >> WE TRY. 3663 02:14:54,560 --> 02:14:57,200 AGAIN, I'M THE FIRST TO SAY I'M 3664 02:14:57,200 --> 02:14:58,800 NOT PROVIDING DIRECT CARE TO THE 3665 02:14:58,800 --> 02:14:59,080 PATIENTS. 3666 02:14:59,080 --> 02:15:01,800 I'M NOT THE ONE TO SPEAK TO THE 3667 02:15:01,800 --> 02:15:02,520 PRACTICE AT THE BEDSIDE. 3668 02:15:02,520 --> 02:15:05,400 IT HAS TO BE THE PEOPLE 3669 02:15:05,400 --> 02:15:07,400 PERFORMING THAT WORK AND THAT 3670 02:15:07,400 --> 02:15:07,840 SERVICE. 3671 02:15:07,840 --> 02:15:08,640 SO THANK YOU. 3672 02:15:08,640 --> 02:15:09,520 >> IT'S GREAT. 3673 02:15:09,520 --> 02:15:11,280 I MEAN, I'M GLAD TO HEAR THAT 3674 02:15:11,280 --> 02:15:12,720 BECAUSE I FEEL LIKE THAT'S 3675 02:15:12,720 --> 02:15:13,680 SOMETHING MAGNET WILL WANT TO 3676 02:15:13,680 --> 02:15:15,320 KNOW AND THEY WILL FOCUS ON WHEN 3677 02:15:15,320 --> 02:15:19,360 THEY COME FOR THE SITE VISIT FOR 3678 02:15:19,360 --> 02:15:20,640 SURE BECAUSE THEY KNOW THAT, YOU 3679 02:15:20,640 --> 02:15:22,880 KNOW, THEY WANT TO REALLY TALK 3680 02:15:22,880 --> 02:15:23,320 WITH STAFF. 3681 02:15:23,320 --> 02:15:25,160 THE OTHER BRIEF COMMENT I WANTED 3682 02:15:25,160 --> 02:15:26,560 TO MAKE, I THINK IT'S 3683 02:15:26,560 --> 02:15:30,560 COMMENDABLE YOU SET UP THE 3684 02:15:30,560 --> 02:15:31,120 MULTI-DISCIPLINARY STEERING 3685 02:15:31,120 --> 02:15:31,720 COMMITTEE BECAUSE, AGAIN, THE 3686 02:15:31,720 --> 02:15:33,800 SAME WAY THEY WANT TO TALK WITH 3687 02:15:33,800 --> 02:15:36,560 STAFF NURSES, THEY ALSO WANT TO 3688 02:15:36,560 --> 02:15:37,560 TALK WITH THE OTHER DISCIPLINES, 3689 02:15:37,560 --> 02:15:41,240 WANT TO MEET WITH PHYSICIANS AND 3690 02:15:41,240 --> 02:15:44,360 HEAR ABOUT THE ROLE AND WORK OF 3691 02:15:44,360 --> 02:15:46,080 NURSES WITHIN THE ORGANIZATION. 3692 02:15:46,080 --> 02:15:47,880 STRUCTURING IT THAT WAY WAS 3693 02:15:47,880 --> 02:15:50,240 ACTUALLY -- IT'S A GREAT SORT OF 3694 02:15:50,240 --> 02:15:52,080 PATHWAY, A RUNWAY TO WHEN YOU'RE 3695 02:15:52,080 --> 02:15:53,920 ACTUALLY PREPARING FOR THE SITE 3696 02:15:53,920 --> 02:15:54,280 VISIT. 3697 02:15:54,280 --> 02:15:56,000 SO JUST REALLY NICE WORK. 3698 02:15:56,000 --> 02:15:56,760 THANK YOU. 3699 02:15:56,760 --> 02:15:58,200 >> THANK YOU VERY MUCH. 3700 02:15:58,200 --> 02:15:59,800 I PREVIOUSLY -- I HAD THE 3701 02:15:59,800 --> 02:16:02,600 PRIVILEGE TO WORK AT A HOSPITAL 3702 02:16:02,600 --> 02:16:05,560 ON THE MAGNET JOURNEY IN 3703 02:16:05,560 --> 02:16:06,480 PITTSBURGH, AND THAT WAS WHAT I 3704 02:16:06,480 --> 02:16:10,040 THOUGHT WAS ONE OF THE GREATEST 3705 02:16:10,040 --> 02:16:12,240 SUCCESSES, WAS THE INVOLVEMENT 3706 02:16:12,240 --> 02:16:13,960 OF ALL OF THE DIFFERENT 3707 02:16:13,960 --> 02:16:15,160 DEPARTMENTS WITHIN THE HOSPITAL, 3708 02:16:15,160 --> 02:16:17,480 AND WHEN WE RECEIVED WORD THAT 3709 02:16:17,480 --> 02:16:20,000 WE ACHIEVED DESIGNATION, WE HAD 3710 02:16:20,000 --> 02:16:21,520 A ROOM ABOUT THE SIZE I'M 3711 02:16:21,520 --> 02:16:22,480 STANDING IN NOW FILLED WITH 3712 02:16:22,480 --> 02:16:24,560 PEOPLE FROM ALL THE DEPARTMENTS 3713 02:16:24,560 --> 02:16:25,920 AND EVERYONE CHEERED. 3714 02:16:25,920 --> 02:16:28,320 EVERYONE GOT A PIN. 3715 02:16:28,320 --> 02:16:29,760 AND THEY REALLY -- REALLY, IT IS 3716 02:16:29,760 --> 02:16:30,760 A TEAM EFFORT. 3717 02:16:30,760 --> 02:16:32,160 WE DON'T WORK IN ISOLATION. 3718 02:16:32,160 --> 02:16:38,320 SO THANK YOU FOR YOUR COMMENTS. 3719 02:16:38,320 --> 02:16:38,800 >> DAVID. 3720 02:16:38,800 --> 02:16:40,600 >> JUST A COUPLE QUICK 3721 02:16:40,600 --> 02:16:41,040 QUESTIONS. 3722 02:16:41,040 --> 02:16:43,040 DR. JORDAN, THANK YOU VERY MUCH 3723 02:16:43,040 --> 02:16:44,440 FOR YOUR PRESENTATION. 3724 02:16:44,440 --> 02:16:49,600 WHAT CAN THE PATIENT FAMILY 3725 02:16:49,600 --> 02:16:52,760 ADVISORY COUNCIL MEMBERS DO, IN 3726 02:16:52,760 --> 02:16:53,960 TERMS OF PROVIDING CONSTRUCTIVE 3727 02:16:53,960 --> 02:16:56,040 COMMENTS DURING THE PUBLIC 3728 02:16:56,040 --> 02:16:56,360 PERIOD? 3729 02:16:56,360 --> 02:16:58,680 ARE THEY EVEN ALLOWED TO? 3730 02:16:58,680 --> 02:17:01,000 >> OH, YES. 3731 02:17:01,000 --> 02:17:03,160 YES, IT'S FOR EVERYBODY. 3732 02:17:03,160 --> 02:17:05,920 AND -- BUT WHAT THE PATIENT 3733 02:17:05,920 --> 02:17:08,760 ADVISORY GROUP CAN DO BEFORE WE 3734 02:17:08,760 --> 02:17:12,160 GET THERE IS WE CAN HEAR YOUR 3735 02:17:12,160 --> 02:17:13,920 STORIES AND YOUR EXPERIENCES, 3736 02:17:13,920 --> 02:17:16,080 AND WE MAY INCLUDE -- WE COULD 3737 02:17:16,080 --> 02:17:18,720 POSSIBLY INCLUDE THOSE IN OUR 3738 02:17:18,720 --> 02:17:19,720 DOCUMENT SUBMISSION. 3739 02:17:19,720 --> 02:17:21,800 SO, IT'S PROBABLY SOMETHING TO 3740 02:17:21,800 --> 02:17:25,480 LOOK AT, AT A FUTURE MEETING 3741 02:17:25,480 --> 02:17:27,360 AGENDA, IF YOU WILL, TO TALK 3742 02:17:27,360 --> 02:17:31,320 ABOUT MAGNET BECAUSE IT'S REALLY 3743 02:17:31,320 --> 02:17:34,280 IMPORTANT BECAUSE WE DO THIS -- 3744 02:17:34,280 --> 02:17:36,680 I'M CONFIDENT WE'LL ACHIEVE 3745 02:17:36,680 --> 02:17:38,640 DESIGNATION, BUT BY ACHIEVING 3746 02:17:38,640 --> 02:17:41,160 DESIGNATION IT'S NOT JUST TO GET 3747 02:17:41,160 --> 02:17:44,120 THE PIN, IF YOU WILL. 3748 02:17:44,120 --> 02:17:47,400 BUT IT'S THAT WE'VE MET VERY 3749 02:17:47,400 --> 02:17:48,480 STRINGENT CRITERIA OF 3750 02:17:48,480 --> 02:17:49,600 EXCELLENCE, THAT REALLY BENEFITS 3751 02:17:49,600 --> 02:17:50,840 THE PATIENTS. 3752 02:17:50,840 --> 02:17:52,440 AND THE PATIENTS, YOU ARE ALL 3753 02:17:52,440 --> 02:17:52,840 OUR PARTNERS. 3754 02:17:52,840 --> 02:17:57,360 SO WE HAVE TO HEAR FROM YOU. 3755 02:17:57,360 --> 02:17:59,240 SO I THINK THERE'S A PUBLIC 3756 02:17:59,240 --> 02:18:00,960 COMMENT PERIOD BUT BEFORE THEN, 3757 02:18:00,960 --> 02:18:03,800 BEFORE WE HAVE OUR DOCUMENTS 3758 02:18:03,800 --> 02:18:04,040 WRITTEN. 3759 02:18:04,040 --> 02:18:05,560 >> SECONDLY, I UNDERSTAND THE 3760 02:18:05,560 --> 02:18:07,480 MAGNET ACCREDITATION AND ITS 3761 02:18:07,480 --> 02:18:10,360 RELATIONSHIP TO NURSES THAT ARE 3762 02:18:10,360 --> 02:18:11,560 INVOLVED IN DELIVERING PATIENT 3763 02:18:11,560 --> 02:18:11,760 CARE. 3764 02:18:11,760 --> 02:18:13,960 NIH HAS A LOT OF NURSES IN OTHER 3765 02:18:13,960 --> 02:18:14,280 ROLES. 3766 02:18:14,280 --> 02:18:17,680 DOES THE MAGNET PROGRAM HAVE ANY 3767 02:18:17,680 --> 02:18:19,240 EFFECT OR DOES THE USE OF NURSES 3768 02:18:19,240 --> 02:18:21,920 IN OTHER ROLES HAVE AN EFFECT ON 3769 02:18:21,920 --> 02:18:22,840 OUR APPLICATION? 3770 02:18:22,840 --> 02:18:23,240 >> ABSOLUTELY. 3771 02:18:23,240 --> 02:18:26,600 SO, ALL OF THE NURSES THAT WORK 3772 02:18:26,600 --> 02:18:28,000 IN THE CLINICAL CENTER ARE -- 3773 02:18:28,000 --> 02:18:31,360 THEY GO THROUGH A PRIVILEGING 3774 02:18:31,360 --> 02:18:32,880 PROCESS, AND SO THEY ARE 3775 02:18:32,880 --> 02:18:34,240 PRIVILEGED TO WORK IN THE 3776 02:18:34,240 --> 02:18:37,400 CLINICAL CENTER THROUGH THE 3777 02:18:37,400 --> 02:18:39,480 OFFICE OF THE CHIEF NURSE BUT WE 3778 02:18:39,480 --> 02:18:40,920 WORK CLOSELY WITH NURSES IN 3779 02:18:40,920 --> 02:18:42,000 OTHER DEPARTMENTS WITHIN THE 3780 02:18:42,000 --> 02:18:45,360 CLINICAL CENTER, BUT ALSO WITH 3781 02:18:45,360 --> 02:18:46,360 OUR INSTITUTE RESEARCH NURSES. 3782 02:18:46,360 --> 02:18:49,480 THEY COME TO OUR NURSE PRACTICE 3783 02:18:49,480 --> 02:18:50,800 COUNCIL MEETING. 3784 02:18:50,800 --> 02:18:52,720 THEY ARE ACTIVE PARTICIPANTS. 3785 02:18:52,720 --> 02:18:55,000 AND, AGAIN, THIS IS AN 3786 02:18:55,000 --> 02:18:56,080 ORGANIZATIONAL DESIGNATION. 3787 02:18:56,080 --> 02:18:57,640 THERE'S A FOCUS ON NURSING, IT 3788 02:18:57,640 --> 02:18:59,960 IS FOR THE ORGANIZATION. 3789 02:18:59,960 --> 02:19:01,720 BUT ABSOLUTELY, I THINK EVERYONE 3790 02:19:01,720 --> 02:19:04,480 WILL BE PROUD ONCE WE ACHIEVE 3791 02:19:04,480 --> 02:19:05,440 THIS DESIGNATION. 3792 02:19:05,440 --> 02:19:07,080 >> FINALLY, THE BEAUTIFUL CHART 3793 02:19:07,080 --> 02:19:10,120 THAT YOU SHOWED, THE TIMELINE OF 3794 02:19:10,120 --> 02:19:13,120 WHAT'S GOING ON, AND FURTHER TO 3795 02:19:13,120 --> 02:19:14,640 DR. CHEN'S QUESTION ABOUT WERE 3796 02:19:14,640 --> 02:19:17,840 WE MAKING CHANGES OR MERELY 3797 02:19:17,840 --> 02:19:19,360 DOCUMENTING EXISTING PROCESSES, 3798 02:19:19,360 --> 02:19:24,600 WHAT ARE ARE THE ONGOING 3799 02:19:24,600 --> 02:19:26,400 COMMITMENTS ONCE THE MAGNET 3800 02:19:26,400 --> 02:19:29,200 CERTIFICATION IS ACHIEVED IN 3801 02:19:29,200 --> 02:19:35,640 TERMS OF ONGOING RENEWALS AND 3802 02:19:35,640 --> 02:19:36,440 OTHER RESOURCE-ORIENTED. 3803 02:19:36,440 --> 02:19:37,960 >> I SEE SMILES FROM PEOPLE WHO 3804 02:19:37,960 --> 02:19:39,240 HAVE MAGNET EXPERIENCE. 3805 02:19:39,240 --> 02:19:42,560 IT GETS ACTUALLY A LITTLE 3806 02:19:42,560 --> 02:19:47,920 HARDER, ONCE YOU ACHIEVE, AND 3807 02:19:47,920 --> 02:19:49,720 "LITTLE" IS NOT THE CORRECT 3808 02:19:49,720 --> 02:19:50,160 DESCRIPTION. 3809 02:19:50,160 --> 02:19:52,160 YOU HAVE TO ACHIEVE IT, BUT YOU 3810 02:19:52,160 --> 02:19:53,640 HAVE TO MAINTAIN IT. 3811 02:19:53,640 --> 02:19:55,240 IT'S SUSTAINABILITY, SOMETHING 3812 02:19:55,240 --> 02:19:56,600 WE HAVE TO LOOK IN PRACTICE, 3813 02:19:56,600 --> 02:19:57,360 CHANGES WE MAKE. 3814 02:19:57,360 --> 02:19:58,600 IT'S NOT ONE AND DONE. 3815 02:19:58,600 --> 02:20:01,280 YOU HAVE TO SUSTAIN EFFORTS. 3816 02:20:01,280 --> 02:20:02,880 AND MAGNET, THEY KEEP RAISING 3817 02:20:02,880 --> 02:20:04,280 THE BAR. 3818 02:20:04,280 --> 02:20:06,040 THE STANDARDS GET HIGHER. 3819 02:20:06,040 --> 02:20:08,000 SO FROM THE PREVIOUS MANUAL, 3820 02:20:08,000 --> 02:20:10,400 WHEN WE LOOKED AT NURSE 3821 02:20:10,400 --> 02:20:12,000 SATISFACTION DATA, WE WERE 3822 02:20:12,000 --> 02:20:13,360 GREAT, SOLID. 3823 02:20:13,360 --> 02:20:15,400 ON THE 2023, WE HAVE SOME 3824 02:20:15,400 --> 02:20:17,960 OPPORTUNITY FOR IMPROVEMENT. 3825 02:20:17,960 --> 02:20:19,800 SO, IT'S A CONSTANT LOOKING AT 3826 02:20:19,800 --> 02:20:23,440 WHAT YOU DO, AND MAKING IT 3827 02:20:23,440 --> 02:20:23,680 BETTER. 3828 02:20:23,680 --> 02:20:25,280 SO GREAT, GREAT QUESTION AND 3829 02:20:25,280 --> 02:20:26,680 COMMENT. 3830 02:20:26,680 --> 02:20:28,560 THANK YOU. 3831 02:20:28,560 --> 02:20:29,560 >> JULIE? 3832 02:20:29,560 --> 02:20:31,520 >> YEAH, IT'S MORE DIFFICULT 3833 02:20:31,520 --> 02:20:34,480 ACTUALLY NOW AS WE -- I'M SURE 3834 02:20:34,480 --> 02:20:36,000 YOU'RE SEEING SUCH STAFFING 3835 02:20:36,000 --> 02:20:37,280 PROBLEMS ACROSS THE COUNTRY, 3836 02:20:37,280 --> 02:20:41,240 USING SO -- SEEING SO MANY 3837 02:20:41,240 --> 02:20:41,520 TRAVELERS. 3838 02:20:41,520 --> 02:20:45,720 YESTERDAY I HAD A PRESENTATION 3839 02:20:45,720 --> 02:20:47,280 OF OUR NURSING, 66% ARE FIVE 3840 02:20:47,280 --> 02:20:48,560 YEARS OR LESS WITH EXPERIENCE 3841 02:20:48,560 --> 02:20:50,680 BECAUSE SO MANY MORE SENIOR 3842 02:20:50,680 --> 02:20:53,160 NURSES HAVE LEFT. 3843 02:20:53,160 --> 02:20:58,200 AND ABOUT 2/3 ALSO REPORTED 3844 02:20:58,200 --> 02:21:00,640 EITHER SOME SORT OF TRAUMA OR 3845 02:21:00,640 --> 02:21:02,960 ATTACK BY PATIENTS. 3846 02:21:02,960 --> 02:21:04,240 THESE ARE VERBALLY OR 3847 02:21:04,240 --> 02:21:05,440 PHYSICALLY, OVER THE LAST YEAR 3848 02:21:05,440 --> 02:21:06,200 AS WELL. 3849 02:21:06,200 --> 02:21:11,120 I DID NOTE IN YOUR PRESENTATION 3850 02:21:11,120 --> 02:21:14,240 THAT MAGNET SAYS THAT ACTUALLY 3851 02:21:14,240 --> 02:21:15,840 HELPS DIMINISH THAT IN THE 3852 02:21:15,840 --> 02:21:16,080 HOSPITAL. 3853 02:21:16,080 --> 02:21:18,880 I GUESS MY QUESTION TO YOU, I'VE 3854 02:21:18,880 --> 02:21:21,000 BEEN MAGNET, I'VE LOST MAGNET, 3855 02:21:21,000 --> 02:21:22,280 I'VE NOT BEEN MAGNET, SO I'VE 3856 02:21:22,280 --> 02:21:24,520 BEEN ALL OF THAT A BIT. 3857 02:21:24,520 --> 02:21:26,000 WHAT SPECIFICALLY IS THAT? 3858 02:21:26,000 --> 02:21:27,880 IS IT MORE STAFFING THAT ALLOWS 3859 02:21:27,880 --> 02:21:30,520 THAT TO NOT HAPPEN TO NURSES 3860 02:21:30,520 --> 02:21:32,720 BECAUSE MAGNET REQUIRES A 3861 02:21:32,720 --> 02:21:35,760 CERTAIN STAFFING RATIO? 3862 02:21:35,760 --> 02:21:36,320 IS IT EDUCATION? 3863 02:21:36,320 --> 02:21:38,920 IS IT EXPERIENCE THAT DECREASES 3864 02:21:38,920 --> 02:21:41,560 THAT ABUSE OF NURSE AT THE 3865 02:21:41,560 --> 02:21:43,320 BEDSIDE, WHICH IS JUST SO 3866 02:21:43,320 --> 02:21:46,360 CONCERNING TO ALL OF US. 3867 02:21:46,360 --> 02:21:47,680 >> SO, I WOULD HAVE TO GO BACK 3868 02:21:47,680 --> 02:21:49,960 AND LOOK AT THE LITERATURE FOR 3869 02:21:49,960 --> 02:21:51,400 STATISTICS, BUT I REALLY THINK 3870 02:21:51,400 --> 02:21:53,720 IT'S THE CULTURE BUT IT'S THE 3871 02:21:53,720 --> 02:21:55,120 ORGANIZATIONAL COMMITMENT TO 3872 02:21:55,120 --> 02:21:55,440 SAFETY. 3873 02:21:55,440 --> 02:21:57,640 AND PROVIDING A SAFE 3874 02:21:57,640 --> 02:21:58,240 ENVIRONMENT. 3875 02:21:58,240 --> 02:22:00,480 WE'RE VERY FORTUNATE AT THE 3876 02:22:00,480 --> 02:22:02,520 CLINICAL CENTER, I THINK DAVID 3877 02:22:02,520 --> 02:22:06,480 MADE THE COMMENT EARLIER 3878 02:22:06,480 --> 02:22:08,000 REGARDING -- DAVID BAUM, 3879 02:22:08,000 --> 02:22:08,680 REGARDING WHEN PATIENTS COME, 3880 02:22:08,680 --> 02:22:10,200 YOU KNOW, BEING GREETED BY THE 3881 02:22:10,200 --> 02:22:12,040 GUARDS AND DOGS AND THINGS LIKE 3882 02:22:12,040 --> 02:22:12,720 THAT. 3883 02:22:12,720 --> 02:22:15,120 SO WE DO -- WE DON'T HAVE AN 3884 02:22:15,120 --> 02:22:16,320 EMERGENCY DEPARTMENT. 3885 02:22:16,320 --> 02:22:19,640 SO-- BUT WE STILL DO HAVE PEOPLE 3886 02:22:19,640 --> 02:22:21,880 THAT HAVE CLINICAL CONDITIONS, 3887 02:22:21,880 --> 02:22:30,040 THAT CAN LEAD TO IMPULSIVE 3888 02:22:30,040 --> 02:22:30,800 BEHAVIOR, FRUSTRATION, BEHAVIOR 3889 02:22:30,800 --> 02:22:31,040 ISSUES. 3890 02:22:31,040 --> 02:22:32,840 WE HAVE THINGS IN PLACE. 3891 02:22:32,840 --> 02:22:36,920 A COUPLE YEARS AGO IMPLEMENTED 3892 02:22:36,920 --> 02:22:38,320 CODE BERT, BEHAVIORAL EMERGENCY 3893 02:22:38,320 --> 02:22:40,960 RESPONSE TEAM STAFFED BY 3894 02:22:40,960 --> 02:22:42,680 BEHAVIORAL HEALTH, NEURO, AND 3895 02:22:42,680 --> 02:22:43,600 IMH CLINICIANS. 3896 02:22:43,600 --> 02:22:45,840 WHILE WE DON'T HAVE A LOT OF 3897 02:22:45,840 --> 02:22:47,520 THESE EMERGENCIES, IT'S USUALLY 3898 02:22:47,520 --> 02:22:50,720 BROUGHT ON BY A CLINICAL 3899 02:22:50,720 --> 02:22:51,560 CONDITION ONSET. 3900 02:22:51,560 --> 02:22:54,200 STILL HAVING THAT RESOURCE 3901 02:22:54,200 --> 02:22:57,640 AVAILABLE, THAT WAS A GASP -- 3902 02:22:57,640 --> 02:23:00,760 GAP IN THE DEPARTMENT. 3903 02:23:00,760 --> 02:23:02,880 AND THE COMPANY TONI JONES, OUR 3904 02:23:02,880 --> 02:23:06,120 CHIEF RESPECT OFFICER, I SEE A 3905 02:23:06,120 --> 02:23:08,520 TITLE CHANGE PERHAPS COMING, BUT 3906 02:23:08,520 --> 02:23:11,040 SHE ALSO LEADING THE 3907 02:23:11,040 --> 02:23:12,600 ANTI-HARASSMENT, THE NIH HAS 3908 02:23:12,600 --> 02:23:17,960 DONE A LOT OF WORK EDUCATING 3909 02:23:17,960 --> 02:23:19,480 STAFF ON PROPER BEHAVIOR, AND 3910 02:23:19,480 --> 02:23:21,800 WHEN THERE'S IMPROPER BEHAVIOR 3911 02:23:21,800 --> 02:23:22,640 IT'S ADDRESSED. 3912 02:23:22,640 --> 02:23:28,000 SO SETTING THE TONE AND CULTURE. 3913 02:23:28,000 --> 02:23:29,480 BUT WE ARE DIFFERENT FROM WHAT 3914 02:23:29,480 --> 02:23:30,960 HOSPITALS ARE SEEING IN THE 3915 02:23:30,960 --> 02:23:32,920 COMMUNITY WITH REGARDS TO 3916 02:23:32,920 --> 02:23:34,560 ESCALATING VIOLENCE AND WE JUST 3917 02:23:34,560 --> 02:23:36,640 SEE REPORTS EVERY DAY WHICH IS 3918 02:23:36,640 --> 02:23:37,840 SO, SO SAD. 3919 02:23:37,840 --> 02:23:41,240 BUT ALSO IF WE DO HAVE A PATIENT 3920 02:23:41,240 --> 02:23:42,960 OR FAMILY MEMBER WHO IS 3921 02:23:42,960 --> 02:23:46,800 POTENTIALLY ABUSING A STAFF 3922 02:23:46,800 --> 02:23:47,560 MEMBER, IT'S ADDRESSED RIGHT 3923 02:23:47,560 --> 02:23:50,400 AWAY, AGAIN WITH THE HELP OF 3924 02:23:50,400 --> 02:23:51,600 TONI JONES, WITH THE TEAM, 3925 02:23:51,600 --> 02:23:54,720 WHOEVER NEEDS TO BE INVOLVED TO 3926 02:23:54,720 --> 02:23:56,000 HELP DEESCALATE THE SITUATION 3927 02:23:56,000 --> 02:24:01,160 AND HAVE A RESPECTFUL PRACTICE 3928 02:24:01,160 --> 02:24:02,640 ENVIRONMENT, VERY IMPORTANT. 3929 02:24:02,640 --> 02:24:04,080 >> BARBARA, THANK YOU SO MUCH. 3930 02:24:04,080 --> 02:24:05,680 >> THANK YOU. 3931 02:24:05,680 --> 02:24:09,720 >> I SEE RUTH WILLIAMS-BRINKLEY 3932 02:24:09,720 --> 02:24:11,200 JOINED US. 3933 02:24:11,200 --> 02:24:11,600 WELCOME. 3934 02:24:11,600 --> 02:24:13,560 YOUR EARS WERE BURNING. 3935 02:24:13,560 --> 02:24:18,240 I DO WANT TO -- 3936 02:24:18,240 --> 02:24:18,440 >> HI. 3937 02:24:18,440 --> 02:24:19,960 >> AND I KNOW THAT JIM IS GOING 3938 02:24:19,960 --> 02:24:21,800 TO MAKE A FEW COMMENTS AND THANK 3939 02:24:21,800 --> 02:24:24,680 YOU ON BEHALF OF THE NIH. 3940 02:24:24,680 --> 02:24:27,840 BUT RUTH AND RICK AND I REMEMBER 3941 02:24:27,840 --> 02:24:30,920 THAT THE VERY FIRST YEAR THIS 3942 02:24:30,920 --> 02:24:35,480 BOARD EXISTED WE TALKED ABOUT 3943 02:24:35,480 --> 02:24:36,120 MAGNET. 3944 02:24:36,120 --> 02:24:37,920 SO JEANETTE IVES ERICKSON, ONE 3945 02:24:37,920 --> 02:24:40,320 OF OUR ADDITIONAL FOUNDING 3946 02:24:40,320 --> 02:24:45,880 MEMBERS, AND WHO WAS THE CNO 3947 02:24:45,880 --> 02:24:50,520 EMERITA AT MGA HAS BEEN ON THE 3948 02:24:50,520 --> 02:24:52,480 MAGNET COMMISSION FOREVER IS 3949 02:24:52,480 --> 02:24:53,560 SMILING NOW. 3950 02:24:53,560 --> 02:24:55,720 WHEN IT GOT RAISED, IT WAS CLEAR 3951 02:24:55,720 --> 02:24:58,080 THERE WERE THINGS MISSING. 3952 02:24:58,080 --> 02:24:59,800 THERE WERE SOME THINGS THAT 3953 02:24:59,800 --> 02:25:04,720 WOULD HAVE TO BE THOUGHT ABOUT 3954 02:25:04,720 --> 02:25:05,040 DIFFERENTLY. 3955 02:25:05,040 --> 02:25:08,320 THERE HASN'T BEEN TIME AND 3956 02:25:08,320 --> 02:25:10,480 EFFORT PUT INTO THAT SO IT'S 3957 02:25:10,480 --> 02:25:11,800 THRILLING TO SEE PROGRESS. 3958 02:25:11,800 --> 02:25:14,480 DAVID BAUM, YOU'RE GOING TO HEAR 3959 02:25:14,480 --> 02:25:16,800 MORE ABOUT HOW STRINGENT THIS IS 3960 02:25:16,800 --> 02:25:17,840 GOING FORWARD TO KEEP IT. 3961 02:25:17,840 --> 02:25:20,520 THIS IS GOING TO BE WONDERFUL. 3962 02:25:20,520 --> 02:25:22,280 SO CONGRATS TO YOU AND THE WHOLE 3963 02:25:22,280 --> 02:25:26,520 TEAM BECAUSE IT IS, AS YOU SAID, 3964 02:25:26,520 --> 02:25:34,080 NOT ABOUT NURSE, THIS IS ABOUT 3965 02:25:34,080 --> 02:25:34,360 EVERYONE. 3966 02:25:34,360 --> 02:25:36,840 OKAY, JIM, BACK TO YOU. 3967 02:25:36,840 --> 02:25:40,360 >> CARLY'S GOT IT. 3968 02:25:40,360 --> 02:25:46,120 THANK YOU, CARLY. 3969 02:25:46,120 --> 02:25:50,720 SO, FOR RICK AND FOR LAURA, AND 3970 02:25:50,720 --> 02:25:59,080 FOR RUTH, THIS IS KIND OF A 3971 02:25:59,080 --> 02:26:00,360 RECAP OF WHAT WE'VE DONE 3972 02:26:00,360 --> 02:26:00,720 TOGETHER. 3973 02:26:00,720 --> 02:26:03,560 FOR NEW AND NEWER MEMBERS OF THE 3974 02:26:03,560 --> 02:26:05,200 BOARD, IT'S A BIT OF A HISTORY 3975 02:26:05,200 --> 02:26:09,000 LESSON ABOUT HOW WE GOT TO WHERE 3976 02:26:09,000 --> 02:26:09,800 WE ARE. 3977 02:26:09,800 --> 02:26:13,240 AND I THINK THAT IT'S -- IT WILL 3978 02:26:13,240 --> 02:26:15,240 BE USEFUL, IT WILL BE MAYBE 3979 02:26:15,240 --> 02:26:16,680 ENJOYABLE FOR THE GROUP THAT'S 3980 02:26:16,680 --> 02:26:17,680 ROTATING OFF THE BOARD. 3981 02:26:17,680 --> 02:26:21,280 I THINK IT WILL VERY USEFUL FOR 3982 02:26:21,280 --> 02:26:22,800 THE NEW GROUP. 3983 02:26:22,800 --> 02:26:25,120 AND SO WITH THAT, WITHOUT 3984 02:26:25,120 --> 02:26:26,720 FURTHER ADO, AND I'M REALLY GLAD 3985 02:26:26,720 --> 02:26:28,720 THAT RUTH WAS ABLE TO JOIN US AT 3986 02:26:28,720 --> 02:26:31,120 LEAST FOR A PORTION OF THE 3987 02:26:31,120 --> 02:26:31,360 MEETING. 3988 02:26:31,360 --> 02:26:32,960 SO, THIS IS A LITTLE BIT OF A 3989 02:26:32,960 --> 02:26:35,280 RECAP OF WHAT LARRY ALREADY 3990 02:26:35,280 --> 02:26:37,480 TALKED ABOUT. 3991 02:26:37,480 --> 02:26:41,080 FDA INSPECTS THE PHARMACY, 2016 3992 02:26:41,080 --> 02:26:43,200 THE REPORT, I ARRIVED IN JANUARY 3993 02:26:43,200 --> 02:26:43,960 OF 2017. 3994 02:26:43,960 --> 02:26:48,440 FOR THE FIRST COUPLE YEARS, 3995 02:26:48,440 --> 02:26:51,760 EFFORTS WERE FOCUSED ON RESPONSE 3996 02:26:51,760 --> 02:26:53,280 TO READ TEAM REPORT. 3997 02:26:53,280 --> 02:26:55,520 WE FOCUSED ON THE RESPONSE BUT 3998 02:26:55,520 --> 02:26:57,320 ALMOST NEVER MENTIONED THE RED 3999 02:26:57,320 --> 02:26:58,520 TEAM REPORT. 4000 02:26:58,520 --> 02:27:01,720 AND THAT WAS BECAUSE FOR THE 4001 02:27:01,720 --> 02:27:04,000 STAFF IN CLINICAL CENTER READ 4002 02:27:04,000 --> 02:27:05,640 TEAM REPORT WAS A VERY DIFFICULT 4003 02:27:05,640 --> 02:27:06,960 THING TO THINK ABOUT AND DEAL 4004 02:27:06,960 --> 02:27:08,400 WITH AND TALK ABOUT. 4005 02:27:08,400 --> 02:27:09,720 THE QUICKEST WAY TO TAKE ALL THE 4006 02:27:09,720 --> 02:27:11,240 AIR OUT OF THE ROOM WAS TO 4007 02:27:11,240 --> 02:27:15,000 MENTION THE RED TEAM REPORT. 4008 02:27:15,000 --> 02:27:16,280 SO WE BASICALLY WENT TO WORK ON 4009 02:27:16,280 --> 02:27:19,080 THE THINGS WE ALL AGREED NEED TO 4010 02:27:19,080 --> 02:27:20,040 BE TAKEN CARE OF. 4011 02:27:20,040 --> 02:27:22,320 THAT'S WHAT WE DID FOR THE FIRST 4012 02:27:22,320 --> 02:27:23,440 TWO YEARS. 4013 02:27:23,440 --> 02:27:24,640 KIND OF STARTED WRITING A 4014 02:27:24,640 --> 02:27:25,920 STRATEGIC PLAN, ALMOST IN THE 4015 02:27:25,920 --> 02:27:27,800 FIRST YEAR, AND THEN I FIGURED 4016 02:27:27,800 --> 02:27:29,880 OUT I REALLY DIDN'T KNOW ENOUGH 4017 02:27:29,880 --> 02:27:32,040 ABOUT THE NIH YET TO DO THAT. 4018 02:27:32,040 --> 02:27:33,800 AND SO WE CAME BACK A YEAR LATER 4019 02:27:33,800 --> 02:27:37,080 AFTER I HAD BEEN HERE ABOUT 16, 4020 02:27:37,080 --> 02:27:38,800 18 MONTHS, AND HAD A CHIEF 4021 02:27:38,800 --> 02:27:40,920 OPERATING OFFICER SO I COULD 4022 02:27:40,920 --> 02:27:44,000 ACTUALLY FOCUS ON DOING THIS 4023 02:27:44,000 --> 02:27:44,800 STRATEGIC PLAN. 4024 02:27:44,800 --> 02:27:46,680 NUMBER TWO, I KNEW MORE ABOUT 4025 02:27:46,680 --> 02:27:50,800 THE NIH AND I THOUGHT MAYBE WE 4026 02:27:50,800 --> 02:27:51,360 COULD ACTUALLY CONSTRUCT THE 4027 02:27:51,360 --> 02:27:52,480 PLAN. 4028 02:27:52,480 --> 02:27:53,840 THEN WE'VE BEEN WORKING OUT THIS 4029 02:27:53,840 --> 02:27:56,320 PLAN FOR THE LAST THREE YEARS. 4030 02:27:56,320 --> 02:27:58,640 SO, TODAY WE SORT OF LOOK BACK 4031 02:27:58,640 --> 02:28:01,600 AND DECIDE ABOUT HOW WE'RE 4032 02:28:01,600 --> 02:28:01,920 DOING. 4033 02:28:01,920 --> 02:28:06,840 SO, THIS IS OUR CORPORATE 4034 02:28:06,840 --> 02:28:07,120 RHETORIC. 4035 02:28:07,120 --> 02:28:13,760 WE PROVIDE HOPE THROUGH 4036 02:28:13,760 --> 02:28:16,480 PIONEERING CLINICAL RESEARCH TO 4037 02:28:16,480 --> 02:28:18,000 IMPROVE HUMAN HEALTH. 4038 02:28:18,000 --> 02:28:19,880 MAYBE SEVEN IS A LOT. 4039 02:28:19,880 --> 02:28:22,000 WE GET GUIDED A LOT. 4040 02:28:22,000 --> 02:28:23,920 AND MAYBE THAT'S OKAY. 4041 02:28:23,920 --> 02:28:28,080 I UNDERLINED THE "AND" BECAUSE I 4042 02:28:28,080 --> 02:28:31,160 BELIEVE THE PATIENT SAFETY AND 4043 02:28:31,160 --> 02:28:33,120 HIGH RELIABILITY FOCUS IS REALLY 4044 02:28:33,120 --> 02:28:35,320 ALL ABOUT PREVENTING AS MANY 4045 02:28:35,320 --> 02:28:35,680 PROBLEMS. 4046 02:28:35,680 --> 02:28:38,920 THE NIH HAS NO SHORTAGE OF 4047 02:28:38,920 --> 02:28:39,720 PROBLEM SOLVERS. 4048 02:28:39,720 --> 02:28:42,880 AND THEY HAVE REALLY GREAT 4049 02:28:42,880 --> 02:28:45,080 PROBLEM PREVENTERS TOO. 4050 02:28:45,080 --> 02:28:47,480 BUT IT DOES TAKE AN EXTRA EFFORT 4051 02:28:47,480 --> 02:28:48,560 AND PUTTING SYSTEMS AND 4052 02:28:48,560 --> 02:28:54,360 PROCESSES IN PLACE TO TRY TO 4053 02:28:54,360 --> 02:28:55,600 ANTICIPATE AND ELIMINATE AS MANY 4054 02:28:55,600 --> 02:28:59,960 AS YOU CAN, EVEN BEFORE YOU 4055 02:28:59,960 --> 02:29:02,160 START SOMETHING NEW. 4056 02:29:02,160 --> 02:29:05,080 STRATEGIC PLAN WHICH IS ON OUR 4057 02:29:05,080 --> 02:29:06,400 WEBSITE IDENTIFIES FOUR 4058 02:29:06,400 --> 02:29:09,280 STRATEGIC AIMS AND CONTINUING TO 4059 02:29:09,280 --> 02:29:11,800 LEAD THE WORLD CONDUCTING SAFE 4060 02:29:11,800 --> 02:29:13,920 FIRST IN HUMAN CLINICAL RESEARCH 4061 02:29:13,920 --> 02:29:15,320 IN RARE AND REFRACTORY DISEASE. 4062 02:29:15,320 --> 02:29:17,080 THAT'S ALWAYS BEEN THE PRINCIPAL 4063 02:29:17,080 --> 02:29:19,840 MISSION OF THE NIH CLINICAL 4064 02:29:19,840 --> 02:29:20,600 CENTER. 4065 02:29:20,600 --> 02:29:21,920 WE WOULD LIKE TO INCREASE USE OF 4066 02:29:21,920 --> 02:29:24,320 THE CLINICAL CENTER BY THE NIH 4067 02:29:24,320 --> 02:29:25,400 INTRAMURAL RESEARCH PROGRAM, THE 4068 02:29:25,400 --> 02:29:27,600 PANDEMIC HAS SORT OF GOTTEN IN 4069 02:29:27,600 --> 02:29:28,600 OUR WAY THERE. 4070 02:29:28,600 --> 02:29:30,880 IT'S BEEN VERY HARD TO BRING A 4071 02:29:30,880 --> 02:29:32,200 LOT MORE PATIENTS TO THE 4072 02:29:32,200 --> 02:29:34,720 CLINICAL CENTER OR EVEN TO THE 4073 02:29:34,720 --> 02:29:36,440 AREA. 4074 02:29:36,440 --> 02:29:38,960 TRAVEL HAS BEEN DIFFICULT. 4075 02:29:38,960 --> 02:29:41,280 ABOUT THE TIME YOU THINK YOU'RE 4076 02:29:41,280 --> 02:29:43,360 OVER IT, WELL, THERE'S ANOTHER 4077 02:29:43,360 --> 02:29:46,200 WAVE AND IT GETS DIFFICULT 4078 02:29:46,200 --> 02:29:47,080 AGAIN. 4079 02:29:47,080 --> 02:29:48,720 THE RESPECT FOR OUR PATIENTS, 4080 02:29:48,720 --> 02:29:51,680 PARTNERS IN THE CLINICAL 4081 02:29:51,680 --> 02:29:53,200 RESEARCH ENTERPRISE, YOU SEE 4082 02:29:53,200 --> 02:29:55,960 DEMONSTRATED IN THE PRESENTATION 4083 02:29:55,960 --> 02:30:00,760 BY TONI JONES AND ALSO BY 4084 02:30:00,760 --> 02:30:01,960 COLLEEN HADIGAN. 4085 02:30:01,960 --> 02:30:03,920 AND THIS LAST ONE ACTUALLY 4086 02:30:03,920 --> 02:30:06,040 OCCUPIES A HUGE AMOUNT OF OUR 4087 02:30:06,040 --> 02:30:08,640 TIME, AND THAT IS PARTNERING 4088 02:30:08,640 --> 02:30:10,160 WITH THE INSTITUTES, OTHER 4089 02:30:10,160 --> 02:30:12,360 INSTITUTES AND CENTERS TO 4090 02:30:12,360 --> 02:30:13,760 RECRUIT, DEVELOP, RETAIN THE 4091 02:30:13,760 --> 02:30:15,640 NEXT GENERATION OF NIH CLINICAL 4092 02:30:15,640 --> 02:30:16,480 RESEARCHERS AND CLINICAL CENTER 4093 02:30:16,480 --> 02:30:23,560 STAFF THAT WILL SUPPORT THEIR 4094 02:30:23,560 --> 02:30:23,960 EFFORTS. 4095 02:30:23,960 --> 02:30:26,600 SO, THE STRATEGIC PLAN REALLY 4096 02:30:26,600 --> 02:30:28,640 CLASSIFIES EVERYTHING INTO ONE 4097 02:30:28,640 --> 02:30:32,600 OF THREE AREAS, PEOPLE, PLACES, 4098 02:30:32,600 --> 02:30:33,160 CAPABILITIES. 4099 02:30:33,160 --> 02:30:36,560 AND SO WE'LL START FIRST WITH 4100 02:30:36,560 --> 02:30:37,440 TALKING ABOUT PEOPLE. 4101 02:30:37,440 --> 02:30:41,360 AND THIS IS WHAT WE TRIED TO DO 4102 02:30:41,360 --> 02:30:45,320 SINCE I THINK JANUARY THE 9th, 4103 02:30:45,320 --> 02:30:48,320 2017, PROVIDE PERSONALIZED 4104 02:30:48,320 --> 02:30:49,680 INCLUSIVE HEALTH CARE 4105 02:30:49,680 --> 02:30:50,360 LEADERSHIP. 4106 02:30:50,360 --> 02:30:51,000 FIRST TOWN HALL, INTRODUCTORY 4107 02:30:51,000 --> 02:30:57,000 TOWN HALL MEETING I HELD WITH 4108 02:30:57,000 --> 02:30:58,200 CLINICAL CENTER STAFF I SAID I 4109 02:30:58,200 --> 02:31:00,960 SPENT A LONG TIME IN THE ARMY. 4110 02:31:00,960 --> 02:31:03,600 I TRY NOT TO ACT LIKE A GENERAL 4111 02:31:03,600 --> 02:31:04,040 VERY OFTEN. 4112 02:31:04,040 --> 02:31:05,480 BUT THIS IS ONE OF THOSE THINGS 4113 02:31:05,480 --> 02:31:08,080 THAT WE'RE GOING TO BRING TO THE 4114 02:31:08,080 --> 02:31:09,520 NIH CLINICAL CENTER, AND THAT IS 4115 02:31:09,520 --> 02:31:12,560 TAKING CARE OF THOSE ON THE 4116 02:31:12,560 --> 02:31:14,440 FRONT LINES. 4117 02:31:14,440 --> 02:31:15,760 HEALTH CARE LEADERSHIP IS 4118 02:31:15,760 --> 02:31:18,080 PERSONALIZED BY MAKING SURE THAT 4119 02:31:18,080 --> 02:31:19,920 STAFF MEMBERS HAVE ACCURATE 4120 02:31:19,920 --> 02:31:22,680 POSITION DESCRIPTIONS. 4121 02:31:22,680 --> 02:31:24,520 NOT INFLATED POSITION 4122 02:31:24,520 --> 02:31:25,000 DESCRIPTIONS, NOT 4123 02:31:25,000 --> 02:31:26,720 OVEREMPHASIZING WHAT THEY DO ON 4124 02:31:26,720 --> 02:31:28,720 THE MOST COMPLEX DAY, BUT AN 4125 02:31:28,720 --> 02:31:30,680 ACCURATE POSITION DESCRIPTION 4126 02:31:30,680 --> 02:31:34,160 FOR THEIR POSITION. 4127 02:31:34,160 --> 02:31:36,760 I FOUND OUT THAT, YOU KNOW, IN 4128 02:31:36,760 --> 02:31:38,560 ORDER TO ENSURE TIMELINESS OF 4129 02:31:38,560 --> 02:31:40,960 TIME CARDS THAT PEOPLE WERE 4130 02:31:40,960 --> 02:31:42,040 SOMETIMES ENCOURAGED TO SUBMIT 4131 02:31:42,040 --> 02:31:44,640 INACCURATE TIME CARDS AND GO 4132 02:31:44,640 --> 02:31:45,200 BACK AND CORRECT THEM 4133 02:31:45,200 --> 02:31:46,640 AFTERWARDS, AND ONE OF THE 4134 02:31:46,640 --> 02:31:48,600 THINGS I HATE DOING IS DOING 4135 02:31:48,600 --> 02:31:49,240 WORK TWICE. 4136 02:31:49,240 --> 02:31:51,880 SO I SAID, WE SHOULD STOP DOING 4137 02:31:51,880 --> 02:31:52,280 THAT. 4138 02:31:52,280 --> 02:31:53,600 WE SHOULD SUBMIT ACCURATE TIME 4139 02:31:53,600 --> 02:31:55,520 CARDS THE FIRST TIME. 4140 02:31:55,520 --> 02:31:59,800 AGAIN, YOUR TIME CARD IS 4141 02:31:59,800 --> 02:32:00,240 PERSONAL. 4142 02:32:00,240 --> 02:32:02,320 AND WE WANTED EVERYBODY TO BE 4143 02:32:02,320 --> 02:32:03,520 INCLUDED AND INVOLVED. 4144 02:32:03,520 --> 02:32:06,240 I HEARD A LOT OF STORIES ABOUT 4145 02:32:06,240 --> 02:32:08,680 ANNUAL LEAVE THAT WAS BEING 4146 02:32:08,680 --> 02:32:12,040 DONATED TO THE LEAVE BANK, AND 4147 02:32:12,040 --> 02:32:14,160 PEOPLE USING ANNUAL LEAVE AND 4148 02:32:14,160 --> 02:32:16,000 WITH DR. COOTS HERE AS MY 4149 02:32:16,000 --> 02:32:17,640 WITNESS THAT HAS ALWAYS BEEN A 4150 02:32:17,640 --> 02:32:18,640 PROBLEM FOR ME. 4151 02:32:18,640 --> 02:32:20,080 I ALWAYS THOUGHT THAT IT WAS 4152 02:32:20,080 --> 02:32:21,720 YOUR LEAVE, NOT SOMEBODY ELSE'S, 4153 02:32:21,720 --> 02:32:25,000 AND YOU SHOULD HAVE THE CHANCE 4154 02:32:25,000 --> 02:32:26,200 TO UTILIZE IT. 4155 02:32:26,200 --> 02:32:28,920 AND THAT IF YOU WANTED TO DONATE 4156 02:32:28,920 --> 02:32:30,440 YOUR LEAVE, YOUR ANNUAL LEAVE TO 4157 02:32:30,440 --> 02:32:31,560 THE LEAVE BANK, THAT WAS 4158 02:32:31,560 --> 02:32:32,320 PERFECTLY OKAY. 4159 02:32:32,320 --> 02:32:33,680 BY THE WAY, I TALKED TO THE 4160 02:32:33,680 --> 02:32:35,320 PEOPLE WHO RUNG THE LEAVE BANK. 4161 02:32:35,320 --> 02:32:37,240 THEY SAID THEY WERE IN GOOD 4162 02:32:37,240 --> 02:32:37,760 SHAPE. 4163 02:32:37,760 --> 02:32:39,680 THEY DIDN'T REALLY NEED PEOPLE 4164 02:32:39,680 --> 02:32:41,080 DONATING LEAVE BECAUSE THEY 4165 02:32:41,080 --> 02:32:44,480 WEREN'T GIVEN THE OPPORTUNITY TO 4166 02:32:44,480 --> 02:32:44,800 USE IT. 4167 02:32:44,800 --> 02:32:50,160 I ASKED -- I HAD A FEW 4168 02:32:50,160 --> 02:32:50,720 CONVERSATIONS WITH DIRECT 4169 02:32:50,720 --> 02:32:51,640 REPORTS ABOUT THOSE WHO GOT UP 4170 02:32:51,640 --> 02:32:54,600 TO THE END OF THE YEAR AND 4171 02:32:54,600 --> 02:32:57,080 HADN'T USED THEIR ALLOTMENT. 4172 02:32:57,080 --> 02:32:58,680 AND THEY PRESENTED A LEAVE PLAN 4173 02:32:58,680 --> 02:33:01,080 FOR ME FOR THE FOLLOWING YEAR TO 4174 02:33:01,080 --> 02:33:02,560 SHOW HOW THEY WERE NOT GOING TO 4175 02:33:02,560 --> 02:33:06,440 LET THAT HAPPEN AGAIN. 4176 02:33:06,440 --> 02:33:08,120 THE LATEST CHANGE HERE IS ALMOST 4177 02:33:08,120 --> 02:33:09,920 EVERYBODY IN THE CLINICAL CENTER 4178 02:33:09,920 --> 02:33:12,680 NOW HAS AN INDIVIDUAL 4179 02:33:12,680 --> 02:33:14,120 DEVELOPMENT PLAN, IT REQUIRES A 4180 02:33:14,120 --> 02:33:15,840 CONVERSATION BETWEEN THE 4181 02:33:15,840 --> 02:33:17,280 SUPERVISOR AND THEM, SOMETHING 4182 02:33:17,280 --> 02:33:19,240 SEPARATE FROM THEIR ANNUAL 4183 02:33:19,240 --> 02:33:20,480 PERFORMANCE APPRAISAL OR 4184 02:33:20,480 --> 02:33:22,640 ANYTHING RELATED TO PERFORMANCE 4185 02:33:22,640 --> 02:33:22,960 EVALUATION. 4186 02:33:22,960 --> 02:33:24,080 THIS IS NOT ABOUT WHAT YOU WANT 4187 02:33:24,080 --> 02:33:25,960 TO DO THIS WEEK AND NEXT WEEK OR 4188 02:33:25,960 --> 02:33:27,040 EVEN SIX MONTHS FROM NOW. 4189 02:33:27,040 --> 02:33:31,400 THIS IS WHERE YOU WANT TO GO. 4190 02:33:31,400 --> 02:33:35,480 IT IS MEANT TO BE ASPIRATIONAL. 4191 02:33:35,480 --> 02:33:37,160 AND AT LEAST -- NOT EVERYBODY 4192 02:33:37,160 --> 02:33:39,520 HAS GOTTEN THIS ON THE FIRST 4193 02:33:39,520 --> 02:33:42,360 GO-ROUND, BUT FOR THE MOST PART 4194 02:33:42,360 --> 02:33:43,960 I GET PRETTY POSITIVE FEEDBACK. 4195 02:33:43,960 --> 02:33:47,600 IT'S GREAT TO SIT DOWN AND TALK 4196 02:33:47,600 --> 02:33:48,760 WITH PEOPLE ABOUT SOMETHING 4197 02:33:48,760 --> 02:33:51,560 OTHER THAN WHAT THEY ARE DOING 4198 02:33:51,560 --> 02:33:52,640 TODAY OR TOMORROW. 4199 02:33:52,640 --> 02:33:56,680 I'M A BIG BELIEVER IN LEADERSHIP 4200 02:33:56,680 --> 02:33:57,400 TRAINING. 4201 02:33:57,400 --> 02:33:58,640 WE'VE INSTITUTED ADDITIONAL 4202 02:33:58,640 --> 02:34:00,880 TRAINING OPPORTUNITIES BESIDES 4203 02:34:00,880 --> 02:34:03,440 THOSE OFFERED BY NIH AND WE HAVE 4204 02:34:03,440 --> 02:34:05,200 A WONDERFUL STAFF IN OFFICE OF 4205 02:34:05,200 --> 02:34:06,280 WORKFORCE MANAGEMENT AND 4206 02:34:06,280 --> 02:34:10,120 DEVELOPMENT THAT HELPED US 4207 02:34:10,120 --> 02:34:10,800 DEVELOP THOSE. 4208 02:34:10,800 --> 02:34:13,440 I USE THE WORD ANCILLARY STAFF 4209 02:34:13,440 --> 02:34:15,280 ONE TIME IN THE LAST FIVE YEARS. 4210 02:34:15,280 --> 02:34:16,560 BECAUSE I TOLD EVERYBODY ELSE 4211 02:34:16,560 --> 02:34:19,200 NOT TO USE IT, THEY CALLED ME ON 4212 02:34:19,200 --> 02:34:24,600 IT AND I DON'T DO IT AGAIN. 4213 02:34:24,600 --> 02:34:26,360 WE-- AS HAS BEEN EMPHASIZED OVER 4214 02:34:26,360 --> 02:34:29,960 AND OVER AND OVER AGAIN, HEALTH 4215 02:34:29,960 --> 02:34:31,600 CARE, ESPECIALLY IN THE CLINICAL 4216 02:34:31,600 --> 02:34:33,560 RESEARCH ENVIRONMENT, IS A TEAM 4217 02:34:33,560 --> 02:34:33,760 SPORT. 4218 02:34:33,760 --> 02:34:36,080 AND THERE'S NO MEMBER OF THAT 4219 02:34:36,080 --> 02:34:37,720 TEAM THAT REALLY CAN BE -- THAT 4220 02:34:37,720 --> 02:34:42,520 YOU CAN DO WITHOUT AND HAVE A 4221 02:34:42,520 --> 02:34:42,880 BAD DAY. 4222 02:34:42,880 --> 02:34:45,480 SO, I THINK THIS IS THE KIND OF 4223 02:34:45,480 --> 02:34:47,880 LEADERSHIP WE TRY TO PROVIDE. 4224 02:34:47,880 --> 02:34:49,520 THERE'S ALWAYS BEEN A LOT OF 4225 02:34:49,520 --> 02:34:54,240 RECOGNITION ON THIS CAMPUS FOR 4226 02:34:54,240 --> 02:34:57,520 SCIENTIFIC ACHIEVEMENT. 4227 02:34:57,520 --> 02:35:01,880 BUT MAYBE NOT ENOUGH FOR KINDS 4228 02:35:01,880 --> 02:35:04,240 OF THINGS WHICH ENABLE THAT 4229 02:35:04,240 --> 02:35:11,080 SCIENTIFIC ACHIEVEMENT. 4230 02:35:11,080 --> 02:35:14,960 WE BEGAN WITH SOMETHING 4231 02:35:14,960 --> 02:35:15,360 NON-CONTROVERSIAL. 4232 02:35:15,360 --> 02:35:16,240 LENGTH OF SERVICE RECOGNITION. 4233 02:35:16,240 --> 02:35:17,880 YOU GET A CERTIFICATE, A PIN, 4234 02:35:17,880 --> 02:35:18,880 EVERY FIVE YEARS. 4235 02:35:18,880 --> 02:35:20,080 FIRST YEAR YOU ONLY GET A 4236 02:35:20,080 --> 02:35:20,360 CERTIFICATE. 4237 02:35:20,360 --> 02:35:21,960 AFTER TEN YEARS YOU GET A 4238 02:35:21,960 --> 02:35:28,360 CERTIFICATE AND PIN. 4239 02:35:28,360 --> 02:35:30,760 AND AFTER 20 YEARS WE PUT IT IN 4240 02:35:30,760 --> 02:35:39,360 A GRAHAM FOR YOU. 4241 02:35:39,360 --> 02:35:41,760 AND THE PROBLEM WITH STARTING AN 4242 02:35:41,760 --> 02:35:42,760 AWARDS PROGRAM, YOU PICK THINGS 4243 02:35:42,760 --> 02:35:43,960 THAT ARE -- I WANT TO PICK 4244 02:35:43,960 --> 02:35:45,280 THINGS THAT ARE IMPORTANT BUT 4245 02:35:45,280 --> 02:35:47,360 NEED TO PICK THINGS IMPORTANT TO 4246 02:35:47,360 --> 02:35:49,080 EVERYBODY ELSE, SO STARTING WITH 4247 02:35:49,080 --> 02:35:51,960 SIMPLE LENGTH OF SERVICE REGULAR 4248 02:35:51,960 --> 02:36:02,360 OF RECOGNITION, IT WAS 4249 02:36:05,960 --> 02:36:06,360 NON-RECOGNITION. 4250 02:36:06,360 --> 02:36:07,120 YOU SHOULDN'T BE HERE 25 YEARS 4251 02:36:07,120 --> 02:36:08,640 BEFORE THE CEO OF THE CLINICAL 4252 02:36:08,640 --> 02:36:16,080 CENTER, YOU GET TO MEET THEM. 4253 02:36:16,080 --> 02:36:17,960 THAT'S THE WAY I THINK. 4254 02:36:17,960 --> 02:36:20,280 FOR THE FIRST TWO YEARS WE WOULD 4255 02:36:20,280 --> 02:36:23,680 DO ALL OF THESE FOR THE PEOPLE 4256 02:36:23,680 --> 02:36:25,760 WHO WOULD COME AT OUR QUARTERLY 4257 02:36:25,760 --> 02:36:27,040 TOWN HALL MEETINGS, BUT SINCE 4258 02:36:27,040 --> 02:36:29,240 THE PANDEMIC WE CAN'T HAVE THESE 4259 02:36:29,240 --> 02:36:30,240 TOWN HALL MEETINGS WITH A LOT OF 4260 02:36:30,240 --> 02:36:31,000 PEOPLE IN PLACE. 4261 02:36:31,000 --> 02:36:35,160 WE HAD TO FIGURE OUT WHAT TO DO 4262 02:36:35,160 --> 02:36:35,360 THERE. 4263 02:36:35,360 --> 02:36:37,560 SO WHAT WE DO IS SIMPLE. 4264 02:36:37,560 --> 02:36:39,240 THEY GET AN E-MAIL FROM ME. 4265 02:36:39,240 --> 02:36:40,760 NOT FROM ANYBODY ELSE. 4266 02:36:40,760 --> 02:36:42,400 THEY GET AN E-MAIL FROM ME, I'VE 4267 02:36:42,400 --> 02:36:44,360 GOT YOUR CERTIFICATE AND PIN, 4268 02:36:44,360 --> 02:36:46,000 I'VE GOT YOUR FRAMED 4269 02:36:46,000 --> 02:36:46,960 CERTIFICATE, YOUR PIN, AND I 4270 02:36:46,960 --> 02:36:49,400 WANT TO HAND THIS TO YOU 4271 02:36:49,400 --> 02:36:51,880 PERSONALLY, IF WE CAN FIND AN 4272 02:36:51,880 --> 02:36:54,640 APPROPRIATE DATE, TIME, AND 4273 02:36:54,640 --> 02:36:54,880 PLACE. 4274 02:36:54,880 --> 02:36:56,600 AND SOMETIMES THEY ARE SURPRISED 4275 02:36:56,600 --> 02:36:58,680 TO BE GETTING AN E-MAIL FROM THE 4276 02:36:58,680 --> 02:37:01,320 CEO, BUT BY AND LARGE THIS IS 4277 02:37:01,320 --> 02:37:02,600 THE WAY WE'VE DONE THIS, SINCE 4278 02:37:02,600 --> 02:37:05,440 THE START OF THE PANDEMIC. 4279 02:37:05,440 --> 02:37:07,560 I DID HAVE A VERY BAD ACCIDENT 4280 02:37:07,560 --> 02:37:08,960 ABOUT A YEAR AND A HALF AGO, I 4281 02:37:08,960 --> 02:37:10,960 WAS OUT OF ACTION FOR ONE OF THE 4282 02:37:10,960 --> 02:37:12,440 QUARTERS, AND THE CHIEF 4283 02:37:12,440 --> 02:37:16,080 OPERATING OFFICER TOOK OVER THIS 4284 02:37:16,080 --> 02:37:17,720 FOR ME. 4285 02:37:17,720 --> 02:37:20,360 AND FRANKLY, I LIKE GIVING OUT 4286 02:37:20,360 --> 02:37:22,240 THE AWARDS THIS WAY BETTER THAN 4287 02:37:22,240 --> 02:37:23,960 I LIKED DOING IT ALL IN A GROUP. 4288 02:37:23,960 --> 02:37:25,400 FIRST OF ALL, THERE'S GREATER 4289 02:37:25,400 --> 02:37:25,720 PARTICIPATION. 4290 02:37:25,720 --> 02:37:28,760 I GET TO MEET MORE OF THE STAFF 4291 02:37:28,760 --> 02:37:29,000 MEMBERS. 4292 02:37:29,000 --> 02:37:30,240 SECONDLY, I ACTUALLY DO GET TO 4293 02:37:30,240 --> 02:37:32,360 TALK TO THEM A LITTLE BIT AND 4294 02:37:32,360 --> 02:37:34,000 LEARN TWO OR THREE THINGS ABOUT 4295 02:37:34,000 --> 02:37:34,440 THEM. 4296 02:37:34,440 --> 02:37:36,800 IT DOESN'T TAKE A VERY LONG 4297 02:37:36,800 --> 02:37:37,760 PERIOD OF TIME. 4298 02:37:37,760 --> 02:37:40,040 WE CAN STILL DO IT WITH PEERS, 4299 02:37:40,040 --> 02:37:45,480 WITH A LITTLE BIT OF 4300 02:37:45,480 --> 02:37:46,040 PREPARATION. 4301 02:37:46,040 --> 02:37:48,120 I'VE DONE THESE AT 4:00 ON A 4302 02:37:48,120 --> 02:37:51,320 SUNDAY MORNING FOR SOMEBODY WHO 4303 02:37:51,320 --> 02:37:52,480 ONLY WORKS WEEKENDS AND ONLY 4304 02:37:52,480 --> 02:37:54,040 WORKED PART TIME AND ON 4305 02:37:54,040 --> 02:37:54,360 WEEKENDS. 4306 02:37:54,360 --> 02:37:56,280 I DON'T DO THEM OFTEN THAT WAY 4307 02:37:56,280 --> 02:37:58,960 BUT I HAVE DONE SOME. 4308 02:37:58,960 --> 02:38:00,480 AND ESPECIALLY DURING THE 4309 02:38:00,480 --> 02:38:03,560 PANDEMIC, WHERE THERE'S SO MUCH 4310 02:38:03,560 --> 02:38:04,560 ISOLATION, SO MUCH SEPARATION, I 4311 02:38:04,560 --> 02:38:07,520 THINK THIS HAS BEEN A REALLY 4312 02:38:07,520 --> 02:38:08,720 IMPORTANT THING TO DO IT. 4313 02:38:08,720 --> 02:38:10,120 I'M NOT SURE I WANT TO GO BACK 4314 02:38:10,120 --> 02:38:14,840 AND DO THEN IN THE BIG GROUP 4315 02:38:14,840 --> 02:38:15,280 AGAIN. 4316 02:38:15,280 --> 02:38:18,920 WE DID INSTITUTE A PROGRAM FOR 4317 02:38:18,920 --> 02:38:20,160 CLINICIANS, AND THEN ADDED 4318 02:38:20,160 --> 02:38:21,120 ADMINISTRATORS IN THE SECOND 4319 02:38:21,120 --> 02:38:21,680 YEAR. 4320 02:38:21,680 --> 02:38:24,240 WE GIVE OUT A STAFF CLINICIAN 4321 02:38:24,240 --> 02:38:26,040 AND AN AWARD TO THE ADVANCEMENT 4322 02:38:26,040 --> 02:38:29,000 PRACTICE PROVIDERS. 4323 02:38:29,000 --> 02:38:30,880 THESE ARE NOT -- THEY DON'T HAVE 4324 02:38:30,880 --> 02:38:34,280 TO BE CLINICAL CENTER STAFF 4325 02:38:34,280 --> 02:38:40,240 CLINICIAN OR P.A. OR N P. 4326 02:38:40,240 --> 02:38:41,440 THIS INCLUDES INSTITUTES AND 4327 02:38:41,440 --> 02:38:42,120 CENTERS TOO. 4328 02:38:42,120 --> 02:38:44,240 THERE'S SOME CASH AND THERE'S A 4329 02:38:44,240 --> 02:38:45,640 NICE PLAQUE AND EVERYTHING THAT 4330 02:38:45,640 --> 02:38:46,760 GOES WITH IT. 4331 02:38:46,760 --> 02:38:50,160 THE CLINICAL CENTER NURSING 4332 02:38:50,160 --> 02:38:51,800 DEPARTMENT HAS AN EXTENSIVE 4333 02:38:51,800 --> 02:38:53,400 AWARD PROGRAM OF THEIR OWN, THE 4334 02:38:53,400 --> 02:38:56,800 OFFICE OF PATIENT SAFETY AND 4335 02:38:56,800 --> 02:38:59,440 CLINICAL QUALITY PRESENTS 4336 02:38:59,440 --> 02:39:01,640 PATIENT SAFETY AWARDS, 4337 02:39:01,640 --> 02:39:02,840 SUPERSTARS AWARDS, QUARTERLY. 4338 02:39:02,840 --> 02:39:04,120 ANOTHER THING ALMOST BY 4339 02:39:04,120 --> 02:39:06,240 ACCIDENT, DR. TABAK WAS A HUGE 4340 02:39:06,240 --> 02:39:07,840 HELP IN THIS. 4341 02:39:07,840 --> 02:39:10,040 I WAS TOLD STAFF CLINICIAN, WHEN 4342 02:39:10,040 --> 02:39:11,120 I ARRIVED, STAFF CLINICIANS TO 4343 02:39:11,120 --> 02:39:12,800 BE ON SEARCH COMMITTEES BUT 4344 02:39:12,800 --> 02:39:14,200 WEREN'T ALLOWED TO VOTE. 4345 02:39:14,200 --> 02:39:16,560 I FOUND OUT THAT THIS WAS URBAN 4346 02:39:16,560 --> 02:39:16,960 LEGEND. 4347 02:39:16,960 --> 02:39:22,200 IT WAS A MYTH. 4348 02:39:22,200 --> 02:39:23,720 AND I E-MAILED AND SAID CAN WE 4349 02:39:23,720 --> 02:39:25,040 GET THIS CHANGE? 4350 02:39:25,040 --> 02:39:26,520 HE E-MAILED ME BACK AND SAID 4351 02:39:26,520 --> 02:39:28,800 IT'S NOT A RULE. 4352 02:39:28,800 --> 02:39:30,400 SO WE STARTED ADDING STAFF 4353 02:39:30,400 --> 02:39:32,040 CLINICIANS, PEOPLE WHO TAKE CARE 4354 02:39:32,040 --> 02:39:33,160 OF PATIENTS, TO SEARCH 4355 02:39:33,160 --> 02:39:34,360 COMMITTEES BECAUSE IT DIDN'T 4356 02:39:34,360 --> 02:39:36,640 MAKE ANY SENSE TO ME WHY WE 4357 02:39:36,640 --> 02:39:38,240 WOULD ASK THE STAFF CLINICIANS 4358 02:39:38,240 --> 02:39:42,480 WHY THEY WERE LEAVING WHAT THEY 4359 02:39:42,480 --> 02:39:44,520 THOUGHT OF THEIR BOSSES IF WE 4360 02:39:44,520 --> 02:39:46,320 DIDN'T ALSO GIVE THEM AT LEAST A 4361 02:39:46,320 --> 02:39:52,840 LITTLE BIT OF A VOICE IN 4362 02:39:52,840 --> 02:39:53,280 SELECTION. 4363 02:39:53,280 --> 02:39:54,760 WE ACTUALLY ARE -- THREE SENIOR 4364 02:39:54,760 --> 02:39:56,160 LEADERS IN THE CLINICAL CENTER 4365 02:39:56,160 --> 02:39:58,880 NOW CAME OUT OF THE STAFF 4366 02:39:58,880 --> 02:39:59,800 CLINICIAN RANKS. 4367 02:39:59,800 --> 02:40:02,600 THEY CAME TO THEIR POSITIONS 4368 02:40:02,600 --> 02:40:04,680 BECAUSE THEY HAD A VERY LONG AND 4369 02:40:04,680 --> 02:40:07,760 DISTINGUISHED TRACK RECORD OF 4370 02:40:07,760 --> 02:40:12,360 PROVIDING PATIENT CARE, THEY 4371 02:40:12,360 --> 02:40:15,080 HAVE GREAT CVs AS WELL. 4372 02:40:15,080 --> 02:40:17,120 WE DID NOT SELECT THEM FOR THEIR 4373 02:40:17,120 --> 02:40:20,520 POSITIONS BASED JUST ON A CV. 4374 02:40:20,520 --> 02:40:22,400 AS I TALKED WITH THE FIRST ONE 4375 02:40:22,400 --> 02:40:25,480 OF THESE, WE DID WAS FOR 4376 02:40:25,480 --> 02:40:29,960 RADIOLOGY, AND IMAGING SCIENCES, 4377 02:40:29,960 --> 02:40:35,000 AND I ACTUALLY TALKED TO FOLKS 4378 02:40:35,000 --> 02:40:37,480 AROUND THE COUNTRY AND TALKED 4379 02:40:37,480 --> 02:40:38,720 ABOUT DIFFICULTIES WITH CHIEFS 4380 02:40:38,720 --> 02:40:43,440 SELECTED ON THE BASIS OF GREAT 4381 02:40:43,440 --> 02:40:45,400 C.V.s, AND I WAS TOLD THIS 4382 02:40:45,400 --> 02:40:47,080 HAPPENS ALL THE TIME, FOR PEOPLE 4383 02:40:47,080 --> 02:40:51,960 WHO ARE SELECTED ON THE BASIS OF 4384 02:40:51,960 --> 02:40:53,200 THEIR RESEARCH AND PUBLICATIONS, 4385 02:40:53,200 --> 02:40:55,480 BUT THEY DON'T HAVE MUCH SKILL 4386 02:40:55,480 --> 02:40:57,440 IN TERMS OF MANAGING A BIG GROUP 4387 02:40:57,440 --> 02:40:58,360 OF PEOPLE. 4388 02:40:58,360 --> 02:41:01,040 THEY DON'T RELATE TO TECHNICIANS 4389 02:41:01,040 --> 02:41:02,800 AND TECHNOLOGISTS. 4390 02:41:02,800 --> 02:41:04,160 THEY RELATE TO SCIENTISTS AND 4391 02:41:04,160 --> 02:41:05,560 PHYSICIANS WELL BUT DON'T RELATE 4392 02:41:05,560 --> 02:41:08,240 TO EVERYBODY IN THE DEPARTMENT. 4393 02:41:08,240 --> 02:41:09,400 WE'VE DONE QUARTERLY TOWN HALL 4394 02:41:09,400 --> 02:41:09,760 MEETINGS. 4395 02:41:09,760 --> 02:41:13,640 WE'VE EVEN HAD AN EXTRA ONE OR 4396 02:41:13,640 --> 02:41:14,840 TWO UNTIL THE PANDEMIC HIT, I 4397 02:41:14,840 --> 02:41:16,720 WOULD DO THREE, NOW WE DO ONE 4398 02:41:16,720 --> 02:41:20,280 AND RECORD IT AND LET PEOPLE 4399 02:41:20,280 --> 02:41:21,400 WATCH IT. 4400 02:41:21,400 --> 02:41:22,840 BUT GETTING TO THE PEOPLE ON 4401 02:41:22,840 --> 02:41:25,720 NIGHTS AND WEEKENDS WAS 4402 02:41:25,720 --> 02:41:26,120 IMPORTANT. 4403 02:41:26,120 --> 02:41:29,200 WE STUMBLED ON THIS WAY OF 4404 02:41:29,200 --> 02:41:30,000 COMMUNICATING WITH THE CLINICAL 4405 02:41:30,000 --> 02:41:32,280 CENTER STAFF FIVE YEARS AGO THAT 4406 02:41:32,280 --> 02:41:35,000 SEEMED TO CLICK. 4407 02:41:35,000 --> 02:41:38,760 SO, THE E-MAILS ARE ENTITLED 4408 02:41:38,760 --> 02:41:41,000 THREE MAIN THINGS, TAKE ONE 4409 02:41:41,000 --> 02:41:43,120 MINUTE OR LESS TO READ. 4410 02:41:43,120 --> 02:41:49,880 THERE'S AN OPPORTUNITY FOR 4411 02:41:49,880 --> 02:41:51,760 HUMOR, I'LL TAKE ADVANTAGE IT. 4412 02:41:51,760 --> 02:41:52,880 WE STARTED SEEING STAFF AND 4413 02:41:52,880 --> 02:41:55,840 FOUND OUT OTHER PEOPLE IN OUR 4414 02:41:55,840 --> 02:42:00,000 BUILDING, BUILDING 10, INCLUDING 4415 02:42:00,000 --> 02:42:00,920 RESEARCH STAFF, WANTED IT. 4416 02:42:00,920 --> 02:42:02,840 THEY ARE WRITTEN BY ME, NOT BY 4417 02:42:02,840 --> 02:42:03,600 SOMEBODY FOR ME. 4418 02:42:03,600 --> 02:42:06,560 THEY ARE WRITTEN BY ME. 4419 02:42:06,560 --> 02:42:10,760 AND I DO GET A LITTLE HELP FROM 4420 02:42:10,760 --> 02:42:13,000 NATASHA ONCE IN A WHILE IN 4421 02:42:13,000 --> 02:42:13,680 REWORDING THINGS. 4422 02:42:13,680 --> 02:42:15,120 SHE'LL SAY ARE YOU SURE YOU WANT 4423 02:42:15,120 --> 02:42:16,080 TO DO THAT? 4424 02:42:16,080 --> 02:42:18,560 AND MOST OF THE TIME, SHE TALKS 4425 02:42:18,560 --> 02:42:20,680 ME OUT OF IT. 4426 02:42:20,680 --> 02:42:23,000 THAT'S PROBABLY GOOD. 4427 02:42:23,000 --> 02:42:25,840 AND THEN I ESPECIALLY DURING THE 4428 02:42:25,840 --> 02:42:27,560 PANDEMIC WALK THE BUILDING 4429 02:42:27,560 --> 02:42:32,080 FREQUENTLY AND TALK TO PEOPLE. 4430 02:42:32,080 --> 02:42:33,480 THIS HAS BEEN MORE OF A PROBLEM, 4431 02:42:33,480 --> 02:42:35,680 TAKES A HUGE AMOUNT OF TIME. 4432 02:42:35,680 --> 02:42:37,400 AGAIN, THIS COMES DIRECTLY OUT 4433 02:42:37,400 --> 02:42:38,840 OF OUR STRATEGIC PLAN, 4434 02:42:38,840 --> 02:42:39,800 GENERATION OF CLINICAL 4435 02:42:39,800 --> 02:42:40,760 RESEARCHERS WHO BROUGHT THE 4436 02:42:40,760 --> 02:42:44,200 CLINICAL CENTER TO PROMINENCE 4437 02:42:44,200 --> 02:42:46,080 ARE THE IN THE PROCESS OF 4438 02:42:46,080 --> 02:42:46,920 RETIREMENT OR REDUCING 4439 02:42:46,920 --> 02:42:47,440 ACTIVITIES. 4440 02:42:47,440 --> 02:42:48,800 THEY WERE SUPPORTED BY CLINICAL 4441 02:42:48,800 --> 02:42:50,640 CENTER STAFF WHO SPENT ENTIRE 4442 02:42:50,640 --> 02:42:52,080 YEARS AFTER NIH FINDING AND 4443 02:42:52,080 --> 02:42:53,600 DEVELOPING THE NEXT GENERATION 4444 02:42:53,600 --> 02:42:54,800 OF GREAT CLINICAL INVESTIGATORS 4445 02:42:54,800 --> 02:42:57,240 AND STAFF MEMBERS WHO WILL 4446 02:42:57,240 --> 02:42:58,760 SUPPORT IN THIS CLINICAL CENTER 4447 02:42:58,760 --> 02:43:02,840 AS A FOCAL POINT OF THIS PLAN. 4448 02:43:02,840 --> 02:43:05,440 SO THIS GIVES A SENSE OF WHAT WE 4449 02:43:05,440 --> 02:43:08,400 HAVE DONE AND WHAT WE'RE DOING. 4450 02:43:08,400 --> 02:43:11,560 SO WE RECRUITED CHIEF OPERATING 4451 02:43:11,560 --> 02:43:13,320 OFFICER, CHIEF MEDICAL CENTER, 4452 02:43:13,320 --> 02:43:16,360 DAVID HENDERSON, THERE WAS A 4453 02:43:16,360 --> 02:43:18,920 TWO-YEAR GAP, OR 18-MONTH GAP 4454 02:43:18,920 --> 02:43:22,400 BETWEEN DAVID LEAVING AND DR. 4455 02:43:22,400 --> 02:43:23,080 HADIGAN ACCEPTING THE POSITION, 4456 02:43:23,080 --> 02:43:33,560 A LITTLE MORE THAN 18 MONTHS. 4457 02:43:33,560 --> 02:43:35,880 FIRST BIG RECRUIT WAS FOR CHIEF 4458 02:43:35,880 --> 02:43:36,480 NURSE OFFICER. 4459 02:43:36,480 --> 02:43:37,880 DR. WALLEN WAS IN AN ACTING ROLE 4460 02:43:37,880 --> 02:43:41,240 WHEN I CAME ON BOARD AND SHE 4461 02:43:41,240 --> 02:43:42,680 LEFT A YEAR AGO, AND NOW WE'RE 4462 02:43:42,680 --> 02:43:48,040 IN THE MIDDLE OF A NATIONAL 4463 02:43:48,040 --> 02:43:49,040 SEARCH. 4464 02:43:49,040 --> 02:43:50,160 CHIEF FINANCIAL OFFICER RETIRED 4465 02:43:50,160 --> 02:43:52,000 AT THE END OF 2021, WE'RE 4466 02:43:52,000 --> 02:43:55,400 INVOLVED IN THAT SEARCH. 4467 02:43:55,400 --> 02:43:57,680 WE HAVE BEEN THROUGH EXECUTIVE 4468 02:43:57,680 --> 02:43:59,760 OFFICER, ACTING EXECUTIVE 4469 02:43:59,760 --> 02:44:03,120 OFFICER, AND NOW WE HAVE DAN IN 4470 02:44:03,120 --> 02:44:06,200 THAT ROLE DOING A WONDERFUL JOB. 4471 02:44:06,200 --> 02:44:07,560 CHIEF OF RADIOLOGY I'VE REFERRED 4472 02:44:07,560 --> 02:44:09,920 TO AS I HAVE THE CHIEF OF THE 4473 02:44:09,920 --> 02:44:11,360 DEPARTMENT OF LABORATORY 4474 02:44:11,360 --> 02:44:14,960 MEDICINE, THOSE POSITIONS ARE 4475 02:44:14,960 --> 02:44:15,920 BOTH WELL FILLED. 4476 02:44:15,920 --> 02:44:18,440 MOST RECENT IS CHIEF OF THE 4477 02:44:18,440 --> 02:44:19,760 DEPARTMENT OF TRANSFUSION 4478 02:44:19,760 --> 02:44:21,760 MEDICINE, WITH CENTER FOR 4479 02:44:21,760 --> 02:44:24,040 CELLULAR ENGINEERING. 4480 02:44:24,040 --> 02:44:28,200 HARVEY KLEIN RETIRED, BARBARA 4481 02:44:28,200 --> 02:44:29,760 BRYANT IS THE INCUMBENT NOW. 4482 02:44:29,760 --> 02:44:30,960 WE'RE INVOLVED IN A NATIONAL 4483 02:44:30,960 --> 02:44:32,840 SEARCH FOR THE CHIEF OF THE 4484 02:44:32,840 --> 02:44:33,680 DEPARTMENT OF PHARMACY, AND THIS 4485 02:44:33,680 --> 02:44:36,640 IS A VERY IMPORTANT SEARCH. 4486 02:44:36,640 --> 02:44:39,360 IT'S VERY HARD TO OVEREMPHASIZE 4487 02:44:39,360 --> 02:44:41,440 HOW IMPORTANT THE PHARMACY IS TO 4488 02:44:41,440 --> 02:44:44,960 EVERYTHING WE DO. 4489 02:44:44,960 --> 02:44:51,400 AND THEN LAURA AND RICK AND RUTH 4490 02:44:51,400 --> 02:44:53,080 WILL REMEMBER WHEN LAURA LEE 4491 02:44:53,080 --> 02:44:56,640 LEFT TO GO TO MEDSTAR AND DAVID 4492 02:44:56,640 --> 02:44:58,080 LANG HAS APPLIED FOR AND HAS 4493 02:44:58,080 --> 02:45:00,160 BEEN DOING A GREAT JOB OF THE 4494 02:45:00,160 --> 02:45:03,480 CHIEF OF OFFICE OF PATIENT 4495 02:45:03,480 --> 02:45:06,640 SAFETY AND CLINICAL QUALITY. 4496 02:45:06,640 --> 02:45:09,440 IN TERMS OF TAKING CARE, YOU 4497 02:45:09,440 --> 02:45:11,560 HEARD CODE BERT REFERRED TO. 4498 02:45:11,560 --> 02:45:13,720 FIRST OF ALL, COMPARED TO OTHER 4499 02:45:13,720 --> 02:45:14,720 HOSPITAL ENVIRONMENTS, IT'S 4500 02:45:14,720 --> 02:45:16,280 PRETTY SAFE. 4501 02:45:16,280 --> 02:45:19,320 AGAIN, WE HAVE THIS CAMPUS 4502 02:45:19,320 --> 02:45:27,760 SURROUNDED BY GATES, GUARDS, 4503 02:45:27,760 --> 02:45:27,960 GUNS. 4504 02:45:27,960 --> 02:45:29,800 THERE STILL NEEDED TO BE THE 4505 02:45:29,800 --> 02:45:30,560 CAPABILITY IN THE CLINICAL 4506 02:45:30,560 --> 02:45:34,840 CENTER WHEN A PATIENT OR FAMILY 4507 02:45:34,840 --> 02:45:42,840 MEMBER OR STAFF MEMBER ACTED 4508 02:45:42,840 --> 02:45:46,680 OUT. 4509 02:45:46,680 --> 02:45:47,880 IT'S UTILIZED MORE OFTEN THAN I 4510 02:45:47,880 --> 02:45:50,080 THOUGHT IT WOULD BE AND PROVIDE 4511 02:45:50,080 --> 02:45:52,520 REASSURANCE AND SOME COMFORT TO 4512 02:45:52,520 --> 02:45:54,240 OUR STAFF WORKING IN THE 4513 02:45:54,240 --> 02:45:57,400 BUILDING, ESPECIALLY AT NIGHT 4514 02:45:57,400 --> 02:46:02,360 AND WEEKENDS. . 4515 02:46:02,360 --> 02:46:03,640 WE HAVE THE ANTI-HARASSMENT 4516 02:46:03,640 --> 02:46:05,320 RESPONSE TEAM, NOT AS ACTIVE AS 4517 02:46:05,320 --> 02:46:07,040 BEHAVIORAL RESPONSE TEAM BUT 4518 02:46:07,040 --> 02:46:09,680 WE'VE HAD TO HAVE SOME SERIOUS 4519 02:46:09,680 --> 02:46:10,760 DISCUSSIONS WITH PATIENTS ABOUT 4520 02:46:10,760 --> 02:46:17,040 THEIR ACTIONS AND THEIR 4521 02:46:17,040 --> 02:46:20,240 INTERACTIONS WITH OUR STAFF. 4522 02:46:20,240 --> 02:46:21,040 WHEN I ARRIVED SPIRITUAL CARE 4523 02:46:21,040 --> 02:46:23,320 WAS PUT IN A CORNER, THERE FOR 4524 02:46:23,320 --> 02:46:24,720 THE PATIENTS, NOT CLINICAL 4525 02:46:24,720 --> 02:46:27,520 CENTER STAFF. 4526 02:46:27,520 --> 02:46:31,120 WE'VE VERY CAREFULLY AND VERY 4527 02:46:31,120 --> 02:46:32,120 GENTLY CHANGED THAT. 4528 02:46:32,120 --> 02:46:38,000 AND NOW I BELIEVE THAT THEY ARE 4529 02:46:38,000 --> 02:46:39,200 MAKING A MEANINGFUL CONTRIBUTION 4530 02:46:39,200 --> 02:46:40,440 TO THE WELLNESS AND WELL-BEING 4531 02:46:40,440 --> 02:46:43,240 OF A NUMBER OF STAFF AS WELL. 4532 02:46:43,240 --> 02:46:48,080 AND WHEN THE PANDEMIC HIT, WE 4533 02:46:48,080 --> 02:46:48,840 VERY QUICKLY ESTABLISHED OUR 4534 02:46:48,840 --> 02:46:51,480 PRIORITIES AS THE SAFETY OF OUR 4535 02:46:51,480 --> 02:46:52,880 PATIENTS, SAFETY OF THE STAFF, 4536 02:46:52,880 --> 02:46:54,200 AND DID EVERYTHING WE COULD TO 4537 02:46:54,200 --> 02:46:58,120 TRY TO ENSURE THAT THAT WOULD 4538 02:46:58,120 --> 02:46:59,000 TAKE PLACE. 4539 02:46:59,000 --> 02:47:03,720 SO, HOW DO THE STAFF THINK THAT 4540 02:47:03,720 --> 02:47:06,160 WE'RE DOING? 4541 02:47:06,160 --> 02:47:07,680 THIS IS ONE MEASURE, FEDERAL 4542 02:47:07,680 --> 02:47:09,320 EMPLOYEE VIEWPOINT SURVEY IS A 4543 02:47:09,320 --> 02:47:13,240 MEASURE OF EMPLOYEE ENGAGEMENT. 4544 02:47:13,240 --> 02:47:19,440 IN THE MILITARY WE PROBABLY 4545 02:47:19,440 --> 02:47:21,360 CALLED IT A MORALE SURVEY. 4546 02:47:21,360 --> 02:47:27,360 WE DIDN'T DO A SURVEY IN 2021, 4547 02:47:27,360 --> 02:47:28,840 WHERE OUR SURVEY'S IN PROGRESS, 4548 02:47:28,840 --> 02:47:30,480 WE HAVE A PRETTY GOOD RESPONSE 4549 02:47:30,480 --> 02:47:31,560 WAIT, AS A MATTER OF FACT WE'RE 4550 02:47:31,560 --> 02:47:33,520 HIGHER THAN THE NIH RESPONSE 4551 02:47:33,520 --> 02:47:34,840 RATE RIGHT NOW. 4552 02:47:34,840 --> 02:47:39,200 IT WAS 48 OR 49% THIS MORNING. 4553 02:47:39,200 --> 02:47:40,240 WE'VE SHOWN CONSISTENT 4554 02:47:40,240 --> 02:47:44,160 IMPROVEMENT EACH YEAR. 4555 02:47:44,160 --> 02:47:46,760 WE HAVE -- AND I'LL SHOW YOU 4556 02:47:46,760 --> 02:47:47,800 COMPOSITE SCORES IN JUST A 4557 02:47:47,800 --> 02:47:48,080 MINUTE. 4558 02:47:48,080 --> 02:47:50,920 HERE IS THE EMPLOYEE ENGAGEMENT 4559 02:47:50,920 --> 02:47:51,240 INDICATOR. 4560 02:47:51,240 --> 02:47:54,560 AND THE LEVEL OF SATISFACTION 4561 02:47:54,560 --> 02:47:54,880 INDICATOR. 4562 02:47:54,880 --> 02:47:55,960 THESE ARE TWO COMPOSITE SCORES 4563 02:47:55,960 --> 02:47:57,280 WE GET. 4564 02:47:57,280 --> 02:48:02,600 THE EMPLOYEE ENGAGEMENT 4565 02:48:02,600 --> 02:48:05,640 INDICATOR IS INCREASED 12.4% IN 4566 02:48:05,640 --> 02:48:07,040 FOUR YEARS, GLOBAL SATISFACTION 4567 02:48:07,040 --> 02:48:10,240 INCREASED BY 12% IN THE LAST 4568 02:48:10,240 --> 02:48:11,680 FOUR YEARS. 4569 02:48:11,680 --> 02:48:13,120 FOR PLACES, WE SWITCHED FROM 4570 02:48:13,120 --> 02:48:15,040 PEOPLE TO PLACES NOW. 4571 02:48:15,040 --> 02:48:20,560 THE FIRST JOB WAS TO GET THE 4572 02:48:20,560 --> 02:48:22,600 SURGERY WING PROJECT MOVING, 4573 02:48:22,600 --> 02:48:23,360 PARTNERED WITH RESEARCH 4574 02:48:23,360 --> 02:48:24,800 FACILITY, CHIEFS OF THE 4575 02:48:24,800 --> 02:48:26,640 DEPARTMENT OF LABORATORY 4576 02:48:26,640 --> 02:48:27,280 MEDICINE, DEPARTMENT OF 4577 02:48:27,280 --> 02:48:28,080 PERIOPERATIVE MEDICINE AND 4578 02:48:28,080 --> 02:48:33,800 DEPARTMENT OF RADIOLOGY AND 4579 02:48:33,800 --> 02:48:35,080 IMAGING SCIENCES TO CREATE 4580 02:48:35,080 --> 02:48:36,400 NARRATIVES I THINK HAVE 4581 02:48:36,400 --> 02:48:38,800 CONTRIBUTED TO GETTING THIS 4582 02:48:38,800 --> 02:48:39,240 DONE. 4583 02:48:39,240 --> 02:48:42,760 WE MET WITH A STUDY GROUP FROM 4584 02:48:42,760 --> 02:48:45,600 NATIONAL ACADEMIES, IN ORDER TO 4585 02:48:45,600 --> 02:48:47,760 RELAY NARRATIVES AND WE HAD A 4586 02:48:47,760 --> 02:48:51,160 NUMBER OF MEETINGS WITH HHS AND 4587 02:48:51,160 --> 02:48:52,400 CONGRESSIONAL STAFF. 4588 02:48:52,400 --> 02:48:54,920 THIS GROUP PROVIDED A LETTER A 4589 02:48:54,920 --> 02:48:57,640 COUPLE YEARS AGO TO DR. COLLINS 4590 02:48:57,640 --> 02:48:58,960 TO ENCOURAGE THIS WORK. 4591 02:48:58,960 --> 02:49:01,560 WE TALKED TO ANYBODY WHO WOULD 4592 02:49:01,560 --> 02:49:01,800 LISTEN. 4593 02:49:01,800 --> 02:49:05,400 AND THE MONEY HAS BEEN 4594 02:49:05,400 --> 02:49:07,080 APPROPRIATED AND WE'LL HAVE 4595 02:49:07,080 --> 02:49:08,720 GROUNDBREAKING THIS SUMMER, 4596 02:49:08,720 --> 02:49:09,880 WON'T BE FINISHED UNTIL 2018. 4597 02:49:09,880 --> 02:49:12,240 ALONG THE WAY WE LEARNED THE 4598 02:49:12,240 --> 02:49:14,720 IMPORTANCE OF STRATEGIC 4599 02:49:14,720 --> 02:49:15,480 COMMUNICATION. 4600 02:49:15,480 --> 02:49:16,760 THAT WAS -- NO MATTER WHO WE 4601 02:49:16,760 --> 02:49:18,640 TALKED TO TRIED TO PRESENT THE 4602 02:49:18,640 --> 02:49:23,760 SAME MESSAGE, NO MATTER WHO WAS 4603 02:49:23,760 --> 02:49:27,720 TALKING, AND NO MATTER WHEN 4604 02:49:27,720 --> 02:49:28,920 TRIED TO MAINTAIN THE SAME 4605 02:49:28,920 --> 02:49:29,600 MESSAGE OVER TIME. 4606 02:49:29,600 --> 02:49:30,880 WE'VE MADE THAT. 4607 02:49:30,880 --> 02:49:32,640 WE'VE TALKED ABOUT THE PHARMACY 4608 02:49:32,640 --> 02:49:33,440 ALREADY TODAY. 4609 02:49:33,440 --> 02:49:34,960 AND WE HAD A DETAILED 4610 02:49:34,960 --> 02:49:38,120 PRESENTATION AT THE LAST BOARD 4611 02:49:38,120 --> 02:49:38,880 MEETING. 4612 02:49:38,880 --> 02:49:41,960 THIS IS A HUGE INVESTMENT BY THE 4613 02:49:41,960 --> 02:49:43,920 NIH OF $50 MILLION OVER ABOUT 4614 02:49:43,920 --> 02:49:47,200 THE LAST SIX YEARS, WE HAD TO 4615 02:49:47,200 --> 02:49:49,360 DEVELOP AND CONSTRUCT INTERIM 4616 02:49:49,360 --> 02:49:52,960 AND SWING SPACES, AND MOVE ALL 4617 02:49:52,960 --> 02:49:54,960 THE PHARMACY STAFF IN 2019 WITH 4618 02:49:54,960 --> 02:49:57,800 INTERIM READERSHIP IN PLACE, NOT 4619 02:49:57,800 --> 02:49:58,680 THE PERMANENT LEADERSHIP, AND 4620 02:49:58,680 --> 02:50:00,240 OPERATE OUT OF THOSE SPACES FOR 4621 02:50:00,240 --> 02:50:05,240 THE LAST THREE YEARS. 4622 02:50:05,240 --> 02:50:06,320 AGAIN, OUTPATIENT PHARMACY AND 4623 02:50:06,320 --> 02:50:08,960 UNIT DOSE ARE BACK IN POSITION 4624 02:50:08,960 --> 02:50:15,640 AND THIS WINTER WE'LL MOVE THE 4625 02:50:15,640 --> 02:50:17,480 IVAU AS WELL. 4626 02:50:17,480 --> 02:50:19,320 WE'VE MOVED THE COMMITTEE WITH 4627 02:50:19,320 --> 02:50:20,720 NEW LEADERSHIP MAKING A REAL 4628 02:50:20,720 --> 02:50:22,840 DIFFERENCE, ACTUALLY I THINK 4629 02:50:22,840 --> 02:50:26,680 WE'LL HAVE AN IMPACT ON FARM SIP 4630 02:50:26,680 --> 02:50:32,640 COSTS AS WELL AS SOME CHANGES IN 4631 02:50:32,640 --> 02:50:34,440 SUPPORTIVE PATIENT SAFETY. 4632 02:50:34,440 --> 02:50:36,120 RADIOPHARMACY IS STILL ON THE 4633 02:50:36,120 --> 02:50:37,080 DRAWING BOARD. 4634 02:50:37,080 --> 02:50:39,720 AND ON PAGE 15 OF OUR STRATEGIC 4635 02:50:39,720 --> 02:50:41,480 PLANNING DOCUMENT I THINK 4636 02:50:41,480 --> 02:50:43,120 THERE'S AN ACCURATE STATEMENT, 4637 02:50:43,120 --> 02:50:44,440 HISTORY OF THE RADIOPHARMACY HAS 4638 02:50:44,440 --> 02:50:46,520 BEEN FRAUGHT WITH COMPLEXITY AND 4639 02:50:46,520 --> 02:50:47,200 SETBACKS. 4640 02:50:47,200 --> 02:50:50,680 WE HAVE AN APPROVED PLAN, LATEST 4641 02:50:50,680 --> 02:50:52,520 SETBACK WAS SET BACK A YEAR TO 4642 02:50:52,520 --> 02:50:54,520 MAKE CERTAIN WE HAD ENOUGH FUNDS 4643 02:50:54,520 --> 02:50:56,120 FOR SURGERY, RADIOLOGY AND 4644 02:50:56,120 --> 02:50:57,080 LABORATORY MEDICINE WING, WE'LL 4645 02:50:57,080 --> 02:51:01,840 GET BACK TO THAT PLAN IN FY23. 4646 02:51:01,840 --> 02:51:03,240 CENTER FOR CELLULAR ENGINEERING, 4647 02:51:03,240 --> 02:51:04,240 YOU'VE HAD A COUPLE 4648 02:51:04,240 --> 02:51:06,160 PRESENTATIONS OVER THE LAST FEW 4649 02:51:06,160 --> 02:51:09,280 YEARS BY THE CENTER FOR CELLULAR 4650 02:51:09,280 --> 02:51:11,800 ENGINEERING, STARTED WITH A 4651 02:51:11,800 --> 02:51:14,840 SUITE IN OUR 3-T WING, AND AS 4652 02:51:14,840 --> 02:51:16,960 DR. KLEIN WOULD LOVE TO KLEIN IT 4653 02:51:16,960 --> 02:51:19,560 AS THE BEST 20th CENTURY 4654 02:51:19,560 --> 02:51:22,000 FACILITY MONEY COULD BUY, WAS 4655 02:51:22,000 --> 02:51:23,480 INADEQUATE FOR THE 21ST CENTURY, 4656 02:51:23,480 --> 02:51:25,280 AND SO THE NEXT FACILITY, THIS 4657 02:51:25,280 --> 02:51:27,000 WAS ALREADY BEING DEVELOPED 4658 02:51:27,000 --> 02:51:31,600 BEFORE I ARRIVED, WAS THE 2-J 4659 02:51:31,600 --> 02:51:34,120 FACILITY, 21ST CENTURY BUT STILL 4660 02:51:34,120 --> 02:51:36,320 EMBEDDED IN A POOR PART OF THE 4661 02:51:36,320 --> 02:51:38,040 20th CENTURY BUILDING. 4662 02:51:38,040 --> 02:51:40,600 WE STILL DEAL WITH THOSE 4663 02:51:40,600 --> 02:51:40,920 SHORTCOMINGS. 4664 02:51:40,920 --> 02:51:44,520 WE NOW ARE IN THE PROCESS OF 4665 02:51:44,520 --> 02:51:47,840 TRYING TO COMMISSION A TERRACE 4666 02:51:47,840 --> 02:51:51,000 MODULAR BUILDING, THE FIRST 21ST 4667 02:51:51,000 --> 02:51:56,800 CENTURY FACILITY IN 4668 02:51:56,800 --> 02:51:57,800 QUALIFICATION NOW, WHEN E-WING 4669 02:51:57,800 --> 02:51:59,320 RENOVATION IS COMPLETE WE HAVE A 4670 02:51:59,320 --> 02:52:01,120 LARGE SUITE ON THE 12th FLOOR. 4671 02:52:01,120 --> 02:52:04,120 WHAT MAKES THOSE TWO DIFFERENT 4672 02:52:04,120 --> 02:52:05,360 FROM THE OTHERS, THEY ARE NOT 4673 02:52:05,360 --> 02:52:07,000 LOCATED WITH A BUILDING AROUND 4674 02:52:07,000 --> 02:52:07,240 THEM. 4675 02:52:07,240 --> 02:52:09,160 SO EVERYTHING THAT GOES ON IN 4676 02:52:09,160 --> 02:52:13,360 THE BUILDING AROUND THESE VERY, 4677 02:52:13,360 --> 02:52:16,560 VERY DEMANDING STRUCTURES CAN 4678 02:52:16,560 --> 02:52:17,440 HAVE AN INFLUENCE. 4679 02:52:17,440 --> 02:52:20,200 AND SO A LITTLE WATER, A LITTLE 4680 02:52:20,200 --> 02:52:22,400 CHANGE IN AIR PRESSURE, A LITTLE 4681 02:52:22,400 --> 02:52:24,880 CHANGE IN VENTILATION, A LITTLE 4682 02:52:24,880 --> 02:52:29,920 CHANGE IN TEMPERATURE, AND 4683 02:52:29,920 --> 02:52:33,440 THESE, THE TERRACE MODULAR AND 4684 02:52:33,440 --> 02:52:35,720 12th FLOOR E WING ARE ISOLATED 4685 02:52:35,720 --> 02:52:39,360 AND HOPEFULLY WILL PROVIDE GREAT 4686 02:52:39,360 --> 02:52:39,640 OPPORTUNITY. 4687 02:52:39,640 --> 02:52:42,560 NOW, THE STRATEGIC PLAN TALKS 4688 02:52:42,560 --> 02:52:43,960 ABOUT ENHANCED SIMULATION 4689 02:52:43,960 --> 02:52:44,400 CENTER. 4690 02:52:44,400 --> 02:52:46,000 FRANKLY, I'M NOT SURE THAT 4691 02:52:46,000 --> 02:52:47,560 THAT'S NECESSARY AND I'LL GET 4692 02:52:47,560 --> 02:52:52,600 BACK TO THAT WHEN I TALK ABOUT 4693 02:52:52,600 --> 02:52:53,680 CAPABILITIES. 4694 02:52:53,680 --> 02:52:57,480 PEOPLE, PLACES, AND 4695 02:52:57,480 --> 02:52:59,280 CAPABILITIES, AND I -- WHEN I 4696 02:52:59,280 --> 02:53:01,080 APPLIED FOR THIS JOB, THIS HAD A 4697 02:53:01,080 --> 02:53:05,920 LOT TO DO WITH MY APPLICATION. 4698 02:53:05,920 --> 02:53:08,000 AND WE HAVE WONDERFUL SAFETY 4699 02:53:08,000 --> 02:53:10,160 TRACKING AND REPORTING SYSTEM 4700 02:53:10,160 --> 02:53:12,640 CALLED STARS, REPLACED A SYSTEM, 4701 02:53:12,640 --> 02:53:14,480 AND I'VE NEVER REPLACED A SYSTEM 4702 02:53:14,480 --> 02:53:17,200 LIKE THIS WITH ANOTHER SYSTEM, 4703 02:53:17,200 --> 02:53:19,800 AND SAW ABSOLUTELY NO DROP-OFF 4704 02:53:19,800 --> 02:53:22,480 IN ITS UTILIZATION. 4705 02:53:22,480 --> 02:53:25,760 I MEAN, WE HAVE ABOUT -- WE HAD 4706 02:53:25,760 --> 02:53:27,160 ABOUT 600 REPORTS PER MONTH 4707 02:53:27,160 --> 02:53:29,480 BEFORE WE PUT IN THE NEW SYSTEM 4708 02:53:29,480 --> 02:53:31,120 AND WE HAD 600 REPORTS THE FIRST 4709 02:53:31,120 --> 02:53:36,600 MONTH AFTER THE NEW SYSTEM WAS 4710 02:53:36,600 --> 02:53:36,760 IN. 4711 02:53:36,760 --> 02:53:39,000 WE SPEND A LOT OF TIME DOING 4712 02:53:39,000 --> 02:53:41,400 FAILURE EFFECT AND MODE 4713 02:53:41,400 --> 02:53:43,240 ANALYSIS, THIS IS WHERE OUR 4714 02:53:43,240 --> 02:53:44,240 ABILITY -- WE'VE DEVELOPED I 4715 02:53:44,240 --> 02:53:46,440 THINK THE ABILITY TO FOCUS ON 4716 02:53:46,440 --> 02:53:47,840 PROBLEM PREVENTION AND NOT JUST 4717 02:53:47,840 --> 02:53:49,960 PROBLEM SOLVING. 4718 02:53:49,960 --> 02:53:52,160 WE HAVE A VERY LOW THRESHOLD FOR 4719 02:53:52,160 --> 02:53:53,120 COMMUNICATION WITH JOINT 4720 02:53:53,120 --> 02:53:56,000 COMMISSION. 4721 02:53:56,000 --> 02:53:57,960 WE CALL THEM REGULARLY WITH 4722 02:53:57,960 --> 02:53:58,480 ADVERSE OUTCOMES. 4723 02:53:58,480 --> 02:54:03,040 THEY TELL US THIS DOESN'T QUITE 4724 02:54:03,040 --> 02:54:09,120 MEET SENTINEL EVENT BUT WE'RE 4725 02:54:09,120 --> 02:54:10,560 ADEPT USING ROOT CAUSE ANALOGY, 4726 02:54:10,560 --> 02:54:12,320 WHETHER THEY CALL IT THAT OR 4727 02:54:12,320 --> 02:54:12,520 NOT. 4728 02:54:12,520 --> 02:54:15,360 WE DID HAVE SOMETHING THAT I 4729 02:54:15,360 --> 02:54:17,800 THINK WILL COME BACK IN THE 4730 02:54:17,800 --> 02:54:19,560 OCTOBER HOSPITAL BOARD. 4731 02:54:19,560 --> 02:54:21,080 WE INVITED INSTITUTE FOR SAFETY 4732 02:54:21,080 --> 02:54:22,960 MEDICATION PRACTICE TO COME SEE 4733 02:54:22,960 --> 02:54:25,120 US SEVERAL YEARS AGO, ACTUALLY 4734 02:54:25,120 --> 02:54:26,120 NOW, PROBABLY 2018. 4735 02:54:26,120 --> 02:54:29,600 THEY PRODUCED A WHOLE BUNCH OF 4736 02:54:29,600 --> 02:54:33,320 RECOMMENDATIONS, AND MEDICATION 4737 02:54:33,320 --> 02:54:36,480 SAFETY IS CLEARLY CRITICAL TO 4738 02:54:36,480 --> 02:54:37,160 PATIENT OUTCOMES. 4739 02:54:37,160 --> 02:54:40,560 WE HAVE IN A VERY DISCIPLINED 4740 02:54:40,560 --> 02:54:41,720 WAY PRIORITIZED ALL THOSE 4741 02:54:41,720 --> 02:54:44,480 RECOMMENDATIONS AND WE'VE BEEN 4742 02:54:44,480 --> 02:54:46,600 IN A VERY CONCERTED FASHION 4743 02:54:46,600 --> 02:54:49,520 WORKING DOWN THAT LIST SINCE OUR 4744 02:54:49,520 --> 02:54:49,960 VISIT. 4745 02:54:49,960 --> 02:54:52,280 THE DAILY PATIENT SAFETY HUDDLE 4746 02:54:52,280 --> 02:54:54,240 IS STILL THE HIGH POINT OF OUR 4747 02:54:54,240 --> 02:54:54,560 DAY. 4748 02:54:54,560 --> 02:54:56,440 IT'S THE MOST IMPORTANT MEETING 4749 02:54:56,440 --> 02:54:57,080 WE HAVE. 4750 02:54:57,080 --> 02:55:00,680 AND I THINK WE'VE ALSO DEVELOPED 4751 02:55:00,680 --> 02:55:01,480 THE ABILITY, GREATER ABILITY TO 4752 02:55:01,480 --> 02:55:03,080 BRING IN PEOPLE FROM THE OUTSIDE 4753 02:55:03,080 --> 02:55:05,520 TO LOOK AT WHAT WE DO. 4754 02:55:05,520 --> 02:55:08,160 WE ARE DIFFERENT. 4755 02:55:08,160 --> 02:55:10,320 WE ARE SPECIAL. 4756 02:55:10,320 --> 02:55:12,160 BUT OUTSIDE EXPERTS VERY OFTEN 4757 02:55:12,160 --> 02:55:16,240 HAD INSIGHTS INTO OUR UNIQUE 4758 02:55:16,240 --> 02:55:17,960 ORGANIZATION THAT I THINK IN THE 4759 02:55:17,960 --> 02:55:19,320 PATH MAYBE WE THOUGHT THEY 4760 02:55:19,320 --> 02:55:20,240 WOULDN'T UNDERSTAND OUR 4761 02:55:20,240 --> 02:55:25,320 BUSINESS, AND I THINK THEY DO. 4762 02:55:25,320 --> 02:55:27,600 SINCE FY 18 CAPITAL INVESTMENT 4763 02:55:27,600 --> 02:55:29,040 FUND, WE CAN SPEND UP TO $50 4764 02:55:29,040 --> 02:55:30,640 MILLION A YEAR ALTHOUGH WE DON'T 4765 02:55:30,640 --> 02:55:35,040 USUALLY SPENT THAT MUCH. 4766 02:55:35,040 --> 02:55:37,240 IN OUR FACILITIES, WE RESIZE 9 4767 02:55:37,240 --> 02:55:39,760 MAIN WATER SUPPLY LINE TO REDUCE 4768 02:55:39,760 --> 02:55:42,480 SLUDGE AND BIOFILM AND WE 4769 02:55:42,480 --> 02:55:49,880 REPIPED PATIENT ROOMS USED BY 4770 02:55:49,880 --> 02:55:52,240 IMMUNOCOMPROMISED PATIENTS AFTER 4771 02:55:52,240 --> 02:55:54,880 A FEW WERE INFECTED WITHAN 4772 02:55:54,880 --> 02:55:55,320 SPHINGOMONAS ANOTHER 4773 02:55:55,320 --> 02:55:58,480 PRESENTATION TO THE BOARD ABOUT 4774 02:55:58,480 --> 02:56:09,000 ALL OF THAT WORK BY TARA PALMORE 4775 02:56:10,240 --> 02:56:11,000 AND ENGINEERS. 4776 02:56:11,000 --> 02:56:14,240 WE'RE NOW STARTING ON INPATIENT 4777 02:56:14,240 --> 02:56:15,640 NURSES STATIONS. 4778 02:56:15,640 --> 02:56:18,520 WE'VE PUT A CT SCANNER IN THE 4779 02:56:18,520 --> 02:56:24,880 UCU, HAVE A NEW PET M.R. 4780 02:56:24,880 --> 02:56:28,040 ADDED A THIRD SCAN, TO MAKE IT 4781 02:56:28,040 --> 02:56:32,760 POSSIBLE TO IMPROVE PATIENT 4782 02:56:32,760 --> 02:56:32,960 FLOW. 4783 02:56:32,960 --> 02:56:35,560 THE BIGGEST USE HAS BEEN IN OUR 4784 02:56:35,560 --> 02:56:37,200 INFORMATION TECHNOLOGY. 4785 02:56:37,200 --> 02:56:40,520 WE'VE HAD EXTENSIVE INVESTMENT 4786 02:56:40,520 --> 02:56:44,760 IN SECURITY, NETWORK REDESIGN, 4787 02:56:44,760 --> 02:56:48,480 WE HAD HAD COMPLETE OUTAGE, ONE 4788 02:56:48,480 --> 02:56:50,440 DARK DAY, ABOUT TWO YEARS AGO, 4789 02:56:50,440 --> 02:56:52,640 WE'VE DONE A NETWORK REDESIGN TO 4790 02:56:52,640 --> 02:56:54,080 ELIMINATE SINGLE POINTS OF 4791 02:56:54,080 --> 02:56:58,000 FAILURE AND WE'RE NOW IN THE 4792 02:56:58,000 --> 02:57:00,400 PROCESS OF MOVING TO 100G FROM 4793 02:57:00,400 --> 02:57:02,600 10G, THE NUMBER OF DEVICES ON 4794 02:57:02,600 --> 02:57:04,280 THE NETWORK JUST KEEPS GOING ON 4795 02:57:04,280 --> 02:57:08,640 UP AND UP AND UP. 4796 02:57:08,640 --> 02:57:12,800 AND IN ORDER TO INCREASE -- IN 4797 02:57:12,800 --> 02:57:14,640 ORDER TO MAINTAIN OUR -- KEEP 4798 02:57:14,640 --> 02:57:20,720 LATENCY TO A LOW LEVEL, WE THINK 4799 02:57:20,720 --> 02:57:22,240 THAT THIS IS NECESSARY. 4800 02:57:22,240 --> 02:57:23,320 I'VE ALREADY MENTIONED ALL OF 4801 02:57:23,320 --> 02:57:27,480 THESE THINGS. 4802 02:57:27,480 --> 02:57:29,680 SO I'LL NOT -- CAPABILITIES AS 4803 02:57:29,680 --> 02:57:30,040 WELL. 4804 02:57:30,040 --> 02:57:33,200 WE HAD A PRESENTATION BY THERESA 4805 02:57:33,200 --> 02:57:34,920 ON THE TRANSPLANTATION AND 4806 02:57:34,920 --> 02:57:39,880 CELLULAR THERAPY, B.I.D.CPT, 4807 02:57:39,880 --> 02:57:41,640 IT'S BASICALLY A TRANS-NIH 4808 02:57:41,640 --> 02:57:44,160 CLINICAL PROGRAM, AND FOR THOSE 4809 02:57:44,160 --> 02:57:45,800 THAT MIGHT BE -- THAT ARE 4810 02:57:45,800 --> 02:57:47,160 RELATIVELY NEW TO THE NIH, YOU 4811 02:57:47,160 --> 02:57:48,640 WOULD THINK THAT WOULD NOT BE A 4812 02:57:48,640 --> 02:57:50,600 HARD THING TO DO BUT QUITE 4813 02:57:50,600 --> 02:57:51,840 FRANKLY IT'S ONE OF THE HARDEST 4814 02:57:51,840 --> 02:57:54,120 THINGS TO DO AT THE NIH, TO HAVE 4815 02:57:54,120 --> 02:57:55,880 ALL THE INSTITUTES THAT ARE 4816 02:57:55,880 --> 02:58:00,360 INVOLVED IN SOME ASPECT OF CELL 4817 02:58:00,360 --> 02:58:01,880 THERAPY OR HEMATOPOIETIC STEM 4818 02:58:01,880 --> 02:58:03,680 CELL TRANSPLANTATION WORK 4819 02:58:03,680 --> 02:58:05,160 TOGETHER TO TRY TO FORM A 4820 02:58:05,160 --> 02:58:06,360 COHESIVE TEAM. 4821 02:58:06,360 --> 02:58:08,040 WE'VE BEEN AT THIS FOR A WHILE 4822 02:58:08,040 --> 02:58:08,320 NOW. 4823 02:58:08,320 --> 02:58:10,000 WE HAVE ONE MEDICAL DIRECTOR. 4824 02:58:10,000 --> 02:58:12,320 WE HAVE ONE OPERATIONS PROGRAM 4825 02:58:12,320 --> 02:58:14,480 MANAGER, ONE PROGRAM MANAGER FOR 4826 02:58:14,480 --> 02:58:17,560 DONOR SERVICES AND QUALITY 4827 02:58:17,560 --> 02:58:17,800 ASSURANCE. 4828 02:58:17,800 --> 02:58:19,000 WE HAVE DEDICATED INFECTIOUS 4829 02:58:19,000 --> 02:58:25,360 DISEASE CONSULTANTS FOR THIS 4830 02:58:25,360 --> 02:58:25,560 TEAM. 4831 02:58:25,560 --> 02:58:27,160 AND IT'S WORKING WELL BUT IT'S 4832 02:58:27,160 --> 02:58:33,280 ALWAYS A WORK IN PROGRESS. 4833 02:58:33,280 --> 02:58:35,280 DR. HADIGAN AND THE FOLKS IN THE 4834 02:58:35,280 --> 02:58:36,760 NATIONAL INSTITUTE FOR DEAFNESS 4835 02:58:36,760 --> 02:58:37,960 AND COMMUNICATION DISORDER, 4836 02:58:37,960 --> 02:58:41,320 WHICH IS WHERE THE ENT SURGEONS 4837 02:58:41,320 --> 02:58:44,120 ARE, AND DEPARTMENT OF 4838 02:58:44,120 --> 02:58:44,920 PERIOPERATIVE MEDICINE WHERE 4839 02:58:44,920 --> 02:58:45,760 ANESTHESIOLOGISTS ARE IN 4840 02:58:45,760 --> 02:58:47,960 RESPONSE TO A COUPLE OF ISSUES 4841 02:58:47,960 --> 02:58:49,960 THAT HAD VERY, VERY COMPLEX 4842 02:58:49,960 --> 02:58:52,600 PATIENTS WHO HAD AIRWAY ISSUES, 4843 02:58:52,600 --> 02:58:54,200 HAVE FORMED THE DIFFICULT AIRWAY 4844 02:58:54,200 --> 02:58:55,080 RESPONSE TEAM. 4845 02:58:55,080 --> 02:58:56,520 AND THAT WAS ONE OF THE -- THAT 4846 02:58:56,520 --> 02:58:59,360 WAS THE RESPONSE TO ONE OF OUR 4847 02:58:59,360 --> 02:59:02,080 SENTINEL EVENTS. 4848 02:59:02,080 --> 02:59:04,640 WE ARE ADDING -- WE'VE HAD SORT 4849 02:59:04,640 --> 02:59:07,080 OF PEDIATRIC HOSPITALS FOR A 4850 02:59:07,080 --> 02:59:10,960 WHILE BUT WE'RE ADDING -- WE'VE 4851 02:59:10,960 --> 02:59:12,160 HAD PEDIATRIC INTENSIVISTS AS 4852 02:59:12,160 --> 02:59:15,120 CONSULTANTS FOR A WHILE BUT 4853 02:59:15,120 --> 02:59:17,760 THESE ARE ACTUALLY HAVING A 4854 02:59:17,760 --> 02:59:21,640 GREATER PRESENCE AND THAT WILL 4855 02:59:21,640 --> 02:59:24,160 BE -- AS LARRY TALKED, LARRY 4856 02:59:24,160 --> 02:59:25,120 TABAK TALKED, THE DISCUSSIONS 4857 02:59:25,120 --> 02:59:29,080 ABOUT WHETHER TO DO MORE 4858 02:59:29,080 --> 02:59:30,160 RESEARCH INVOLVING PEDIATRIC 4859 02:59:30,160 --> 02:59:32,360 PATIENTS IS -- ARE ONGOING. 4860 02:59:32,360 --> 02:59:36,440 AND IT'S ONE OF THE REASONS 4861 02:59:36,440 --> 02:59:38,880 WE'RE VERY HAPPY DR. DEVASKAR 4862 02:59:38,880 --> 02:59:43,800 AGREED TO JOIN OUR GROUP. 4863 02:59:43,800 --> 02:59:44,520 WE'VE RECENTLY REORGANIZED 4864 02:59:44,520 --> 02:59:45,640 RESOURCES THAT WERE FOR 4865 02:59:45,640 --> 02:59:47,600 PEDIATRIC CARE TO FORM AN 4866 02:59:47,600 --> 02:59:50,440 ORGANIZATION THAT LOOKS MORE 4867 02:59:50,440 --> 02:59:51,880 LIKE A DEPARTMENT OF PEDIATRICS 4868 02:59:51,880 --> 02:59:53,560 THAN ACADEMIC MEDICAL CENTER AND 4869 02:59:53,560 --> 02:59:56,160 THOUGHT THAT WAS A NECESSARY 4870 02:59:56,160 --> 02:59:59,360 ENABLER FOR EVEN THINKING ABOUT 4871 02:59:59,360 --> 03:00:04,360 DOING MORE WITH PEDIATRICS. 4872 03:00:04,360 --> 03:00:14,880 WE HAD NO TELEHEALTH CAPABILITY 4873 03:00:16,000 --> 03:00:17,200 BEFORE COVID-19. 4874 03:00:17,200 --> 03:00:19,240 WE REPLACED MICROSOFT TEAMS WITH 4875 03:00:19,240 --> 03:00:22,080 SOMETHING THAT INTEGRATES WITH 4876 03:00:22,080 --> 03:00:24,920 THE HEALTH RECORDS AND ARE 4877 03:00:24,920 --> 03:00:26,360 REQUESTING MORE CAPABILITY. 4878 03:00:26,360 --> 03:00:28,120 AND WE DO BELIEVE THAT CLINICAL 4879 03:00:28,120 --> 03:00:29,960 CENTER IS TO BE A NATIONAL 4880 03:00:29,960 --> 03:00:33,920 RESOURCE MUST BE A MORE ROBUST 4881 03:00:33,920 --> 03:00:35,760 VIRTUAL RESOURCE, ALSO WHERE WE 4882 03:00:35,760 --> 03:00:38,040 GET TO THE QUESTION OF THE 4883 03:00:38,040 --> 03:00:38,800 CLINICAL CENTER'S HISTORICAL 4884 03:00:38,800 --> 03:00:40,800 MISSION WHICH WAS TO DO RESEARCH 4885 03:00:40,800 --> 03:00:41,840 THAT COULDN'T BE DONE ANYPLACE 4886 03:00:41,840 --> 03:00:44,320 ELSE AND SO WHEN YOU START DOING 4887 03:00:44,320 --> 03:00:47,440 TELEHEALTH AND START TALKING 4888 03:00:47,440 --> 03:00:50,280 ABOUT MOBILE TECHNOLOGIES AND 4889 03:00:50,280 --> 03:00:51,840 ALL THAT, THEN CLEARLY NOT ALL 4890 03:00:51,840 --> 03:00:54,120 THE RESEARCH HAS GONE ON AT THE 4891 03:00:54,120 --> 03:00:56,760 NIH CLINICAL CENTER BUT IT STILL 4892 03:00:56,760 --> 03:00:58,720 SHOULD BE RESEARCH THAT IS VERY, 4893 03:00:58,720 --> 03:01:00,560 VERY DIFFICULT TO DO ANYPLACE 4894 03:01:00,560 --> 03:01:00,880 ELSE. 4895 03:01:00,880 --> 03:01:04,760 BUT THIS IS -- THIS WILL I THINK 4896 03:01:04,760 --> 03:01:06,080 BE A DISCUSSION OVER AND OVER 4897 03:01:06,080 --> 03:01:08,880 AND OVER AGAIN AS WE MOVE 4898 03:01:08,880 --> 03:01:09,200 FORWARD. 4899 03:01:09,200 --> 03:01:11,080 I'M COMING BACK TO SIMULATION. 4900 03:01:11,080 --> 03:01:12,440 FIRST OF ALL WE'VE HAD 4901 03:01:12,440 --> 03:01:14,040 SIMULATION PROGRAM FOR A LONG 4902 03:01:14,040 --> 03:01:17,120 TIME, BUT IT WAS VERY -- PRETTY 4903 03:01:17,120 --> 03:01:22,800 NARROWLY FOCUSED, CRITICAL CARE 4904 03:01:22,800 --> 03:01:25,760 USED IT QUITE A BIT, AND THERE 4905 03:01:25,760 --> 03:01:28,080 WAS A SEPARATE LITTLE SECTION 4906 03:01:28,080 --> 03:01:30,280 DOWN IN THE CONFERENCE ROOM, 4907 03:01:30,280 --> 03:01:31,680 TRAINING ROOM, FOR CLINICAL 4908 03:01:31,680 --> 03:01:32,920 CENTER NURSING DEPARTMENT. 4909 03:01:32,920 --> 03:01:37,040 AND THEY BOTH USED SIMULATION. 4910 03:01:37,040 --> 03:01:39,680 WELL, I ALWAYS THOUGHT THAT WE 4911 03:01:39,680 --> 03:01:41,760 NEEDED TO DO MORE, AGAIN, THE 4912 03:01:41,760 --> 03:01:43,720 STATEMENT DOWN AT THE BOTTOM IS 4913 03:01:43,720 --> 03:01:46,800 MINE, AS AN INSTITUTION FOCUSED 4914 03:01:46,800 --> 03:01:48,760 ON RARE ISSUES, COMMITTED TO 4915 03:01:48,760 --> 03:01:50,640 PREVENTING LEAMSES AND ERRORS 4916 03:01:50,640 --> 03:01:52,920 IMPROVING OUR SIMULATION 4917 03:01:52,920 --> 03:01:55,880 CAPABILITIES IS OF HIGH 4918 03:01:55,880 --> 03:02:03,400 IMPORTANCE. 4919 03:02:03,400 --> 03:02:05,120 I ROW THAT. 4920 03:02:05,120 --> 03:02:07,000 WE DO COMPLEX WORK, SIMULATION 4921 03:02:07,000 --> 03:02:08,680 IS FIT FOR THOSE ENVIRONMENTS. 4922 03:02:08,680 --> 03:02:16,200 ONE DAY IN AN E-MAIL I GOT THIS 4923 03:02:16,200 --> 03:02:21,240 C.V. ABOUT THIS DOCTOR, IT'S 4924 03:02:21,240 --> 03:02:22,600 MABEL GOMEZ. 4925 03:02:22,600 --> 03:02:25,280 SHE'S A CARDIOLOGIST, I'M A 4926 03:02:25,280 --> 03:02:25,640 CARDIOLOGIST. 4927 03:02:25,640 --> 03:02:27,080 NATURALLY I LOOKED FURTHER. 4928 03:02:27,080 --> 03:02:30,240 I FOUND OUT SHE JUST COMPLETED A 4929 03:02:30,240 --> 03:02:32,840 MEDICAL SIMULATION FELLOWSHIP IN 4930 03:02:32,840 --> 03:02:33,320 BOSTON. 4931 03:02:33,320 --> 03:02:37,320 HAD HER COME IN FOR A NUMBER OF 4932 03:02:37,320 --> 03:02:37,640 INTERVIEWS. 4933 03:02:37,640 --> 03:02:40,400 WE ALL THOUGHT THAT MIGHT WORK 4934 03:02:40,400 --> 03:02:45,360 OUT PRETTY WELL, AND THEN WE 4935 03:02:45,360 --> 03:02:46,200 HIRED HER ON CONTRACT. 4936 03:02:46,200 --> 03:02:50,360 AND WE ASKED HER TO PUT TOGETHER 4937 03:02:50,360 --> 03:02:51,760 A SIMULATION STRATEGY. 4938 03:02:51,760 --> 03:02:53,040 AND THE STRATEGY SHE PRODUCED 4939 03:02:53,040 --> 03:02:57,040 WAS NOT WHAT I THOUGHT WE 4940 03:02:57,040 --> 03:02:57,280 NEEDED. 4941 03:02:57,280 --> 03:02:59,320 IT WAS MORE USE OF SIMULATION 4942 03:02:59,320 --> 03:03:00,640 WHERE YOU WERE ACTUALLY GOING TO 4943 03:03:00,640 --> 03:03:03,680 DO THE WORK. 4944 03:03:03,680 --> 03:03:07,720 IT WAS NOT FOR A BIG COMPLEX 4945 03:03:07,720 --> 03:03:09,160 HIGH TECH SIMULATION CENTER. 4946 03:03:09,160 --> 03:03:10,920 AND SO THAT'S WHAT WE'VE BEEN 4947 03:03:10,920 --> 03:03:11,280 DOING. 4948 03:03:11,280 --> 03:03:13,000 WE DID INVEST IN BETTER 4949 03:03:13,000 --> 03:03:14,000 EQUIPMENT, ESPECIALLY FOR 4950 03:03:14,000 --> 03:03:15,120 SIMULATION INVOLVING CHILDREN 4951 03:03:15,120 --> 03:03:19,280 AND INFANTS. 4952 03:03:19,280 --> 03:03:21,440 AND WE ALSO HIRED A FULL-TIME 4953 03:03:21,440 --> 03:03:21,680 TECH. 4954 03:03:21,680 --> 03:03:24,840 HAD A TRAIN THE TRAINER PROGRAM. 4955 03:03:24,840 --> 03:03:28,360 DR. GOMEZ NEEDED HIGH COVER AND 4956 03:03:28,360 --> 03:03:31,280 WE PROVIDED GREAT EXECUTIVE 4957 03:03:31,280 --> 03:03:33,480 SPONSORSHIP BY TOM BURKLOW, AND 4958 03:03:33,480 --> 03:03:38,400 DR. GOMEZ AND DR. BURKLOW HAVE 4959 03:03:38,400 --> 03:03:39,960 COMPUTED TAILORED PROGRAMS IN 4960 03:03:39,960 --> 03:03:40,960 AREAS WHERE SIMULATION WAS NOT 4961 03:03:40,960 --> 03:03:41,520 EMPLOYED BEFORE. 4962 03:03:41,520 --> 03:03:42,840 THEY PUT TOGETHER A PROGRAM FOR 4963 03:03:42,840 --> 03:03:46,640 THE FOLKS IN RADIOLOGY AND 4964 03:03:46,640 --> 03:03:47,960 IMAGING SCIENCES TO BETTER 4965 03:03:47,960 --> 03:03:51,160 PREPARE THEM FOR THE ABILITY TO 4966 03:03:51,160 --> 03:03:55,280 RESPOND TO SOMEBODY HAVING A 4967 03:03:55,280 --> 03:03:56,280 CONTRAST REACTION. 4968 03:03:56,280 --> 03:03:57,680 AGAIN, YOU DON'T WANT TO DO THAT 4969 03:03:57,680 --> 03:04:02,720 IN THE CENTER, YOU WANT TO DO IT 4970 03:04:02,720 --> 03:04:06,840 IN THE CT SUITE WHERE RADIOLOGY 4971 03:04:06,840 --> 03:04:07,440 IS DONE. 4972 03:04:07,440 --> 03:04:08,400 THAT'S AN EXAMPLE OF WHAT THEY 4973 03:04:08,400 --> 03:04:09,400 HAVE DONE. 4974 03:04:09,400 --> 03:04:12,800 I'LL TALK ABOUT OUR TWO 4975 03:04:12,800 --> 03:04:14,760 PEDIATRIC PATIENTS SOON BUT WE 4976 03:04:14,760 --> 03:04:17,520 REALLY ARE JUST GETTING STARTED 4977 03:04:17,520 --> 03:04:19,560 BUT I'M VERY ENCOURAGED BY WHAT 4978 03:04:19,560 --> 03:04:26,360 WE'VE BEEN ABLE TO DO WITH DR. 4979 03:04:26,360 --> 03:04:32,720 GOMEZ-MEJIA ON BOARD. 4980 03:04:32,720 --> 03:04:34,680 WE ESTABLISHED HOSPICE SUITES, 4981 03:04:34,680 --> 03:04:36,640 NONE PLANNED BEFORE I ARRIVED IT 4982 03:04:36,640 --> 03:04:37,320 THE CLINICAL CENTER. 4983 03:04:37,320 --> 03:04:39,080 THE THOUGHT HAD BEEN THE NIH 4984 03:04:39,080 --> 03:04:42,000 CLINICAL CENTER WAS NOT A PLACE 4985 03:04:42,000 --> 03:04:43,320 WHERE PEOPLE COME TO DIE. 4986 03:04:43,320 --> 03:04:44,760 I BELIEVE THAT'S TRUE, IT'S ALSO 4987 03:04:44,760 --> 03:04:46,520 TRUE MANY DO DIE HERE, A NUMBER 4988 03:04:46,520 --> 03:04:48,240 OF THEM DO DIE HERE. 4989 03:04:48,240 --> 03:04:50,000 WE HAD THE CHAMPIONS ON BOARD 4990 03:04:50,000 --> 03:04:52,760 WITH THE PAIN AND PALLIATIVE 4991 03:04:52,760 --> 03:04:55,160 CARE SERVICE, ANN BERGER IS THE 4992 03:04:55,160 --> 03:04:58,760 RED HEAD, OR LOOKS RED OR BROWN 4993 03:04:58,760 --> 03:05:00,800 HAIR THERE, IN THE PICTURE ON 4994 03:05:00,800 --> 03:05:02,200 THE RIGHT. 4995 03:05:02,200 --> 03:05:03,880 SUPPORTED BY THE SPIRITUAL CARE 4996 03:05:03,880 --> 03:05:04,720 DIVISION, CLINICAL CENTER 4997 03:05:04,720 --> 03:05:05,960 NURSING DEPARTMENT, MANY OTHERS. 4998 03:05:05,960 --> 03:05:08,400 WE DID THE RIBBON CUTTING IN 4999 03:05:08,400 --> 03:05:10,240 JULY OF 2018. 5000 03:05:10,240 --> 03:05:11,760 THIS ACTUALLY DOES SUPPORT SOME 5001 03:05:11,760 --> 03:05:13,200 IMPORTANT CLINICAL RESEARCH. 5002 03:05:13,200 --> 03:05:16,880 THERE ARE SOME PROTOCOLS 5003 03:05:16,880 --> 03:05:19,120 REQUIRING RAPID AUTOPSY AND 5004 03:05:19,120 --> 03:05:23,680 HOSPICE SUITE IS AVAILABLE FOR 5005 03:05:23,680 --> 03:05:23,880 THAT. 5006 03:05:23,880 --> 03:05:25,440 DR. BERGER REPORTED ON THE USE 5007 03:05:25,440 --> 03:05:30,160 AT THE OCTOBER HOSPITAL BOARD 5008 03:05:30,160 --> 03:05:30,360 MEETING. 5009 03:05:30,360 --> 03:05:34,720 SOME TIME AGO, WE KNOW STEPHANIE 5010 03:05:34,720 --> 03:05:38,120 REEL WAS INTERESTED, WE COMBINED 5011 03:05:38,120 --> 03:05:39,480 DEPARTMENT OF CLINICAL RESEARCH 5012 03:05:39,480 --> 03:05:40,760 INFORM EIGHT, WITH HEALTH 5013 03:05:40,760 --> 03:05:42,280 INFORMATION MANAGEMENT DIVISION 5014 03:05:42,280 --> 03:05:44,240 HEADED BY TRISH KOFFEY, THAT'S 5015 03:05:44,240 --> 03:05:45,680 ONE DEPARTMENT NOW. 5016 03:05:45,680 --> 03:05:47,480 WE MOVED THE ANIMAL PROGRAM FROM 5017 03:05:47,480 --> 03:05:50,280 UNDER THE CHIEF MEDICAL CENTER 5018 03:05:50,280 --> 03:05:52,720 AND REALIGNED WITH CHIEF 5019 03:05:52,720 --> 03:05:53,120 SCIENTIFIC OFFICER. 5020 03:05:53,120 --> 03:05:55,720 AND THOSE OF YOU THAT HEARD THE 5021 03:05:55,720 --> 03:05:57,280 BRIEF FOLLOWING OUR JOINT 5022 03:05:57,280 --> 03:06:00,760 COMMISSION SURVEY LAST SUMMER 5023 03:06:00,760 --> 03:06:04,600 KNOW THAT WE REEVALUATED WHERE 5024 03:06:04,600 --> 03:06:06,720 THE STERILE PROCESSING SERVICE 5025 03:06:06,720 --> 03:06:07,000 BELONGED. 5026 03:06:07,000 --> 03:06:10,080 AND WE REALIGNED TO THE CLINICAL 5027 03:06:10,080 --> 03:06:11,600 CENTER NURSING DEPARTMENT FROM 5028 03:06:11,600 --> 03:06:13,040 MATERIALS MANAGEMENT AND ALL 5029 03:06:13,040 --> 03:06:15,800 THOSE CHANGES HAVE ALREADY BEEN 5030 03:06:15,800 --> 03:06:16,560 MADE. 5031 03:06:16,560 --> 03:06:18,640 THERE ARE A FEW OTHER -- I 5032 03:06:18,640 --> 03:06:22,680 ALREADY MENTIONED WHAT WE'RE 5033 03:06:22,680 --> 03:06:25,520 DOING IN PEDIATRICS TO MAKE IT 5034 03:06:25,520 --> 03:06:28,320 LOOK MORE LIKE A DEPARTMENT OF 5035 03:06:28,320 --> 03:06:30,560 PEDIATRICS IN AN ACADEMIC 5036 03:06:30,560 --> 03:06:31,320 MEDICAL CENTER. 5037 03:06:31,320 --> 03:06:33,440 SO, YOU DEVELOP ALL THESE 5038 03:06:33,440 --> 03:06:36,560 CAPABILITIES, AND THEN YOU BRING 5039 03:06:36,560 --> 03:06:38,160 THEM TOGETHER AND YOU SEE HOW IT 5040 03:06:38,160 --> 03:06:38,920 FITS TOGETHER. 5041 03:06:38,920 --> 03:06:41,320 YOU TRY TO SEE HOW AS MUCH OF IT 5042 03:06:41,320 --> 03:06:43,600 AS POSSIBLE FITS TOGETHER. 5043 03:06:43,600 --> 03:06:45,600 AND IN THE MILITARY WE WOULD 5044 03:06:45,600 --> 03:06:48,000 CALL THIS A LIVE FIRE EXERCISE 5045 03:06:48,000 --> 03:06:49,840 BECAUSE IT INVOLVED REAL 5046 03:06:49,840 --> 03:06:50,120 PATIENTS. 5047 03:06:50,120 --> 03:06:54,040 IN SUMMER OF 2021 WE HAD -- WE 5048 03:06:54,040 --> 03:06:58,480 CARED FOR TWO INFANTS BETWEEN 6 5049 03:06:58,480 --> 03:07:07,360 AND 12 MONTHS OF AGE WITH GM 1 5050 03:07:07,360 --> 03:07:08,560 GANGLIOSIDOSIS, PARTNERED WITH 5051 03:07:08,560 --> 03:07:09,480 CHILDREN'S NATIONAL HOSPITAL, 5052 03:07:09,480 --> 03:07:11,400 SPONSORED BY AN OUTSIDE COMPANY, 5053 03:07:11,400 --> 03:07:14,880 WE HAD RESOURCES TO DO THAT. 5054 03:07:14,880 --> 03:07:16,800 THE PRINCIPAL INVESTIGATOR WAS 5055 03:07:16,800 --> 03:07:20,440 FROM THE NATIONAL HUMAN GENOME 5056 03:07:20,440 --> 03:07:21,840 RESEARCH INSTITUTE. 5057 03:07:21,840 --> 03:07:24,280 WE SPENT SIX MONTHS GETTING 5058 03:07:24,280 --> 03:07:27,480 READY TO DO THIS. 5059 03:07:27,480 --> 03:07:30,160 CLINICAL CENTER NURSING 5060 03:07:30,160 --> 03:07:31,880 DEPARTMENT, CRITICAL CARE, 5061 03:07:31,880 --> 03:07:32,680 PEDIATRICS, NUTRITION, PHARMACY, 5062 03:07:32,680 --> 03:07:35,520 I'M SURE THAT LIST IS 5063 03:07:35,520 --> 03:07:35,960 INCOMPLETE. 5064 03:07:35,960 --> 03:07:41,200 WE HAD AN ANALYSIS. 5065 03:07:41,200 --> 03:07:43,600 IN GOING THROUGH THE FAILURE 5066 03:07:43,600 --> 03:07:44,480 MODES AND EFFECTS ANALYSIS ONE 5067 03:07:44,480 --> 03:07:46,000 OF THE PEOPLE THAT WAS 5068 03:07:46,000 --> 03:07:47,640 INSTRUMENT YAM WITH THAT WAS DR. 5069 03:07:47,640 --> 03:07:50,880 SCHOR WHO YOU HEARD MENTIONED 5070 03:07:50,880 --> 03:07:52,800 EARLIER TODAY, AS NEW ACTING 5071 03:07:52,800 --> 03:08:00,000 DEPUTY DIRECTOR FOR INTRAMURAL 5072 03:08:00,000 --> 03:08:00,920 RESEARCH. 5073 03:08:00,920 --> 03:08:02,360 THIS IS A NEURODEGENERATIVE 5074 03:08:02,360 --> 03:08:02,760 CONDITION. 5075 03:08:02,760 --> 03:08:03,880 SHE'S VERY FAMILIAR. 5076 03:08:03,880 --> 03:08:08,760 NUMBER TWO, SHE RAN A PEDIATRIC 5077 03:08:08,760 --> 03:08:10,160 SPECIALTY HOSPITAL, HAVING HER 5078 03:08:10,160 --> 03:08:12,360 ON THE BOARD, ON THE GROUP THAT 5079 03:08:12,360 --> 03:08:16,200 WAS DOING THIS EVALUATION, WAS 5080 03:08:16,200 --> 03:08:17,560 EXTREMELY IMPORTANT. 5081 03:08:17,560 --> 03:08:19,800 AND WE DID A LOT OF TRAINING, A 5082 03:08:19,800 --> 03:08:25,080 LOT OF CLASSROOM TRAINING, 5083 03:08:25,080 --> 03:08:25,840 SIMULATION TRAINING, WHEN WE 5084 03:08:25,840 --> 03:08:27,920 TOOK CARE OF THE TWO LITTLE 5085 03:08:27,920 --> 03:08:34,480 GIRLS, ONE FROM POLAND, ONE FROM 5086 03:08:34,480 --> 03:08:36,760 CANADA, WE EXPERIENCED ALMOST 5087 03:08:36,760 --> 03:08:37,560 EVERY CONTINGENCY THAT WE 5088 03:08:37,560 --> 03:08:38,720 THOUGHT MIGHT HAVE HAPPENED AND 5089 03:08:38,720 --> 03:08:41,320 MANAGED TO COVER THEM AND GET 5090 03:08:41,320 --> 03:08:48,840 THEM BOTH THROUGH THE PROTOCOL 5091 03:08:48,840 --> 03:08:50,280 PRETTY WELL. 5092 03:08:50,280 --> 03:08:57,280 AND WE -- I THINK IT WAS A GREAT 5093 03:08:57,280 --> 03:08:57,680 EXERCISE, A GREAT 5094 03:08:57,680 --> 03:08:59,160 ACCOMPLISHMENT, SOMETHING WE 5095 03:08:59,160 --> 03:09:00,240 WERE PROUD OF, SOMETHING THAT 5096 03:09:00,240 --> 03:09:04,400 THOSE OF US IN THE CLINICAL 5097 03:09:04,400 --> 03:09:06,360 CENTER FEEL LIKE WE WANT TO DO 5098 03:09:06,360 --> 03:09:07,040 MORE OF. 5099 03:09:07,040 --> 03:09:08,880 BUT WE CAN ONLY DO THAT. 5100 03:09:08,880 --> 03:09:13,800 AND THIS IS ALSO COVERED IN THAT 5101 03:09:13,800 --> 03:09:15,120 STRATEGIC PLAN, CAN ONLY DO IT 5102 03:09:15,120 --> 03:09:17,680 IF WE CAN DO IT SAFELY. 5103 03:09:17,680 --> 03:09:18,680 THE PRESENCE OF PEDIATRIC 5104 03:09:18,680 --> 03:09:21,960 PATIENTS IN THE CLINICAL CENTER 5105 03:09:21,960 --> 03:09:24,440 HAS BEEN LIMITED, IN THE PAST, 5106 03:09:24,440 --> 03:09:26,200 FOR THE PAST SEVERAL YEARS HAVE 5107 03:09:26,200 --> 03:09:28,520 ONLY TAKEN CARE OF CHILDREN 5108 03:09:28,520 --> 03:09:31,800 OLDER THAN 3, LARGER THAT WERE 5109 03:09:31,800 --> 03:09:32,840 15 KILOS. 5110 03:09:32,840 --> 03:09:34,880 THIS SUGGESTS WE CAN DO MORE 5111 03:09:34,880 --> 03:09:37,640 WITH A GOOD PARTNER BUT ONLY IF 5112 03:09:37,640 --> 03:09:38,840 IT'S DONE SAFELY. 5113 03:09:38,840 --> 03:09:40,920 IT'S BEEN STUDIED BY ONE 5114 03:09:40,920 --> 03:09:42,640 INTRAMURAL WORKING GROUP, 5115 03:09:42,640 --> 03:09:43,360 ASSESSING NEAR-TERM 5116 03:09:43,360 --> 03:09:45,680 REQUIREMENTS, AND IT'S BEING 5117 03:09:45,680 --> 03:09:46,920 FURTHER EVALUATED BY SEPARATE 5118 03:09:46,920 --> 03:09:48,960 INTRAMURAL WORK GROUP THAT WILL 5119 03:09:48,960 --> 03:09:53,600 BE LED BY DR. DIANA BIANCHI, 5120 03:09:53,600 --> 03:09:55,600 DIRECTOR OF THE NATIONAL 5121 03:09:55,600 --> 03:09:57,400 INSTITUTE OF CHILD HEALTH AND 5122 03:09:57,400 --> 03:10:00,480 HUMAN DEVELOPMENT. 5123 03:10:00,480 --> 03:10:01,800 DR. DEVASKAR AGREED TO GROUP THE 5124 03:10:01,800 --> 03:10:04,760 GROUP TO EVALUATE THE GROUP OF 5125 03:10:04,760 --> 03:10:06,840 THE INTRAMURAL GROUPS, AND DR. 5126 03:10:06,840 --> 03:10:08,680 DEVASKAR WILL COME BACK TO THE 5127 03:10:08,680 --> 03:10:10,400 CLINICAL CENTER RESEARCH 5128 03:10:10,400 --> 03:10:12,320 HOSPITAL BOARD WITH RESULTS OF 5129 03:10:12,320 --> 03:10:16,160 THAT EFFORT. 5130 03:10:16,160 --> 03:10:17,560 WE CANNOT THANK HER ENOUGH FOR 5131 03:10:17,560 --> 03:10:24,040 HER WILLINGNESS TO DO THAT. 5132 03:10:24,040 --> 03:10:26,360 THIS IS WORK THAT LAURA LEE DID 5133 03:10:26,360 --> 03:10:29,520 RIGHT BEFORE SHE LEFT, AND IT 5134 03:10:29,520 --> 03:10:33,520 WAS A COMPARISON OF OUR 2017 5135 03:10:33,520 --> 03:10:35,320 CULTURE PATIENT SAFETY DATA. 5136 03:10:35,320 --> 03:10:37,400 AND SHE WALKED OUT OF HERE ABOUT 5137 03:10:37,400 --> 03:10:40,160 SIX INCHES OFF THE GROUND AFTER 5138 03:10:40,160 --> 03:10:41,040 LOOKING THROUGH THIS. 5139 03:10:41,040 --> 03:10:42,200 THE CLINICAL CENTER IMPROVED IN 5140 03:10:42,200 --> 03:10:44,960 EACH OF THE 12 DOMAINS. 5141 03:10:44,960 --> 03:10:46,840 WE EVEN SENT IT TO THE 5142 03:10:46,840 --> 03:10:47,800 STATISTICIANS AND THEY COULD 5143 03:10:47,800 --> 03:10:52,040 TELL US HOW MANY, WHERE THE 5144 03:10:52,040 --> 03:10:53,520 DIFFERENCES WERE STATISTICALLY 5145 03:10:53,520 --> 03:10:55,040 SIGNIFICANT. 5146 03:10:55,040 --> 03:10:57,240 YOU CAN SEE BETWEEN 2017 AND 5147 03:10:57,240 --> 03:11:01,600 2020 WE'LL PROBABLY DO THE 5148 03:11:01,600 --> 03:11:06,360 SURVEY AGAIN IN 2023, AND AHRQ 5149 03:11:06,360 --> 03:11:08,960 SORT OF COMPARATORS WERE ABOUT 5150 03:11:08,960 --> 03:11:13,040 THE SAME, BUT WE WENT UP 5151 03:11:13,040 --> 03:11:14,760 SIGNIFICANTLY, AND THESE ARE 5152 03:11:14,760 --> 03:11:20,040 JUST IN SOME OF THE AREAS. 5153 03:11:20,040 --> 03:11:21,760 IN 2020, GIVE AN OVERALL GRADE 5154 03:11:21,760 --> 03:11:22,400 ON PATIENT SAFETY. 5155 03:11:22,400 --> 03:11:30,440 YOU CAN SEE MOST OF US RATED 5156 03:11:30,440 --> 03:11:31,720 EXCELLENT OR VERY GOOD, AND YOU 5157 03:11:31,720 --> 03:11:38,240 CAN SEE THAT IT WAS BETTER THAN 5158 03:11:38,240 --> 03:11:39,120 IN 2017. 5159 03:11:39,120 --> 03:11:40,400 WE STARTED WITH FOUR STRATEGIC 5160 03:11:40,400 --> 03:11:41,200 AIMS. 5161 03:11:41,200 --> 03:11:42,400 HOW DID WE DO? 5162 03:11:42,400 --> 03:11:44,360 WE DID PRETTY WELL ON THE FIRST 5163 03:11:44,360 --> 03:11:49,040 ONE, THIS IS STILL THE PLACE TO 5164 03:11:49,040 --> 03:11:50,160 DO FIRST-IN-HUMAN CLINICAL 5165 03:11:50,160 --> 03:11:53,080 RESEARCH IN RARE AND REFRACTORY 5166 03:11:53,080 --> 03:11:53,880 DISEASES. 5167 03:11:53,880 --> 03:11:56,400 INCREASING USE OF THE CLINICAL 5168 03:11:56,400 --> 03:11:57,800 CENTER BY THE NIH INTRAMURAL 5169 03:11:57,800 --> 03:11:58,840 RESEARCH PROGRAM WE DIDN'T DO 5170 03:11:58,840 --> 03:11:59,480 THAT WELL. 5171 03:11:59,480 --> 03:12:03,840 I THINK THE PANDEMIC HAD TO LOT 5172 03:12:03,840 --> 03:12:05,720 TO DO WITH THAT BUT THERE ARE 5173 03:12:05,720 --> 03:12:07,200 STILL OTHER ISSUES INVOLVED AS 5174 03:12:07,200 --> 03:12:08,160 WELL. 5175 03:12:08,160 --> 03:12:10,840 WE'VE DONE PRETTY WELL IN TERMS 5176 03:12:10,840 --> 03:12:12,920 OF THE DEMONSTRATING THE 5177 03:12:12,920 --> 03:12:14,760 PROFOUND RESPECT FOR PATIENTS, 5178 03:12:14,760 --> 03:12:16,440 FOR PARTNERS IN CLINICAL 5179 03:12:16,440 --> 03:12:18,600 RESEARCH ENTERPRISE, THAT'S 5180 03:12:18,600 --> 03:12:19,120 GREEN. 5181 03:12:19,120 --> 03:12:22,320 AND THEN I GRADED THE LAST ONE 5182 03:12:22,320 --> 03:12:24,560 AMBER, TRYING TO FILL THE KEY 5183 03:12:24,560 --> 03:12:27,080 POSITIONS THAT REMAIN IN THE 5184 03:12:27,080 --> 03:12:28,880 CLINICAL CENTER. 5185 03:12:28,880 --> 03:12:31,280 I THINK THAT'S A FAIR INTERNAL 5186 03:12:31,280 --> 03:12:36,640 ASSESSMENT OF WHAT WE'VE BEEN 5187 03:12:36,640 --> 03:12:36,960 ABOUT. 5188 03:12:36,960 --> 03:12:41,360 I THINK WE'VE TRIED TO FOLLOW 5189 03:12:41,360 --> 03:12:42,320 THE PLAN. 5190 03:12:42,320 --> 03:12:43,960 AND I THINK THAT'S BEEN PRETTY 5191 03:12:43,960 --> 03:12:46,560 CHALLENGING FOR THE LAST TWO OR 5192 03:12:46,560 --> 03:12:47,440 THREE YEARS. 5193 03:12:47,440 --> 03:12:51,960 BUT I THINK WE'VE TRIED TO STAY 5194 03:12:51,960 --> 03:12:57,560 THE COURSE AND TO NOT JUST 5195 03:12:57,560 --> 03:13:00,320 MAINTAIN BUT ALSO TO DEVELOP THE 5196 03:13:00,320 --> 03:13:02,080 CLINICAL CENTER FOR WHAT I THINK 5197 03:13:02,080 --> 03:13:04,320 WILL NEED TO TAKE PLACE OVER THE 5198 03:13:04,320 --> 03:13:06,520 NEXT TEN YEARS AS WELL. 5199 03:13:06,520 --> 03:13:11,360 AND I THINK THAT'S MY LAST 5200 03:13:11,360 --> 03:13:11,920 SLIDE. 5201 03:13:11,920 --> 03:13:12,640 >> THANK YOU, JIM. 5202 03:13:12,640 --> 03:13:16,040 LET'S PULL THE SLIDES DOWN. 5203 03:13:16,040 --> 03:13:24,280 5204 03:13:24,280 --> 03:13:25,040 5205 03:13:25,040 --> 03:13:25,720 STEPHANIE? 5206 03:13:25,720 --> 03:13:28,520 >> HI, JIM. 5207 03:13:28,520 --> 03:13:31,200 HOW DID THE INFANTS DO? 5208 03:13:31,200 --> 03:13:33,320 >> THE GIRL FROM CANADA HAS 5209 03:13:33,320 --> 03:13:38,840 DIED, A BEAUTIFUL LITTLE GIRL, 5210 03:13:38,840 --> 03:13:40,480 HER NAME WAS LENNON, SPELLED 5211 03:13:40,480 --> 03:13:41,560 LIKE JOHN LENNON. 5212 03:13:41,560 --> 03:13:46,080 AND SHE WAS THE FIRST ONE WE 5213 03:13:46,080 --> 03:13:49,880 DID, AND IT DIDN'T -- THE GENE 5214 03:13:49,880 --> 03:13:53,840 THERAPY DID NOT SEEM TO WORK. 5215 03:13:53,840 --> 03:13:55,920 THE LITTLE GIRL FROM POLAND IS 5216 03:13:55,920 --> 03:13:58,000 EMMA. 5217 03:13:58,000 --> 03:14:00,720 EMMA SEEMS TO BE DOING BETTER. 5218 03:14:00,720 --> 03:14:02,480 EMMA HAD -- THERE WAS ANOTHER 5219 03:14:02,480 --> 03:14:11,800 CHILD IN THE FAMILY WHO HAD -- 5220 03:14:11,800 --> 03:14:18,160 EMMA IS -- WHO DIED WITH 5221 03:14:18,160 --> 03:14:19,480 GANGLIOSIDOSIS, AND EMMA 5222 03:14:19,480 --> 03:14:25,280 ACHIEVED MILESTONES HER OLDER 5223 03:14:25,280 --> 03:14:28,640 SISTER DID NOT. 5224 03:14:28,640 --> 03:14:30,640 AS YOU KNOW, IT'S HARD TO KNOW. 5225 03:14:30,640 --> 03:14:33,280 IF THEY HAD BOTH DONE GREAT WE 5226 03:14:33,280 --> 03:14:34,480 WOULD BE TALKING TO DISNEY ABOUT 5227 03:14:34,480 --> 03:14:39,200 THE MOVIE RIGHT NOW. 5228 03:14:39,200 --> 03:14:41,880 AND SO IT'S NOT -- AND I THINK 5229 03:14:41,880 --> 03:14:44,760 THAT WE'LL HAVE -- I THINK FOR 5230 03:14:44,760 --> 03:14:47,920 THE OCTOBER MEETING, WE'LL 5231 03:14:47,920 --> 03:14:52,080 PROBABLY HAVE A MORE DETAILED 5232 03:14:52,080 --> 03:14:54,320 DISCUSSION ABOUT EVERYTHING WE 5233 03:14:54,320 --> 03:14:55,920 DID TO GET READY TO TAKE CARE OF 5234 03:14:55,920 --> 03:14:58,240 THE TWO LITTLE GIRLS. 5235 03:14:58,240 --> 03:15:01,560 I THINK THAT OCTOBER MEETING 5236 03:15:01,560 --> 03:15:03,160 WILL ALSO INCLUDE MORE 5237 03:15:03,160 --> 03:15:04,800 DISCUSSION ABOUT RESEARCH IN THE 5238 03:15:04,800 --> 03:15:06,320 CLINICAL CENTER. 5239 03:15:06,320 --> 03:15:08,520 I'VE TALKED WITH DR. GALLIN, AND 5240 03:15:08,520 --> 03:15:10,160 HE'S -- SO YOU HAVE A PRETTY 5241 03:15:10,160 --> 03:15:12,280 GOOD IDEA NOW AFTER THIS MEETING 5242 03:15:12,280 --> 03:15:13,480 OF WHAT OPERATIONS IN THE 5243 03:15:13,480 --> 03:15:14,800 CLINICAL CENTER HAS BEEN ABOUT, 5244 03:15:14,800 --> 03:15:20,640 I THINK IT WOULD BE GOOD TO HAVE 5245 03:15:20,640 --> 03:15:24,160 THE PRESENTATION FROM THE 5246 03:15:24,160 --> 03:15:25,360 SCIENTIFIC DIRECTOR WHO CAN TALK 5247 03:15:25,360 --> 03:15:27,000 ABOUT EVERYTHING THAT'S GONE ON 5248 03:15:27,000 --> 03:15:28,960 HERE IN THE CLINICAL CENTER. 5249 03:15:28,960 --> 03:15:33,560 YOU'VE HAD SOME OF THIS IN THE 5250 03:15:33,560 --> 03:15:34,440 PAST. 5251 03:15:34,440 --> 03:15:36,080 YOU HAD MARSTON LINEHAN TALKING 5252 03:15:36,080 --> 03:15:40,480 ABOUT THE KIDNEY CANCER AND YOU 5253 03:15:40,480 --> 03:15:43,840 HAD THE NOBEL PRESENTATION BY 5254 03:15:43,840 --> 03:15:46,160 HARVEY ALTER, BUT THERE ARE A 5255 03:15:46,160 --> 03:15:49,320 NUMBER OF OTHER THINGS FIRSTS 5256 03:15:49,320 --> 03:15:53,480 THAT HAVE TAKEN PLACE IN THE 5257 03:15:53,480 --> 03:15:59,920 CLINTON CAT CENTER -- CLINICAL 5258 03:15:59,920 --> 03:16:00,480 CENTER. 5259 03:16:00,480 --> 03:16:02,680 >> DR. DEVASKAR? 5260 03:16:02,680 --> 03:16:04,440 >> THANK YOU, PHENOMENAL 5261 03:16:04,440 --> 03:16:05,320 OVERVIEW AND PRESENTATION. 5262 03:16:05,320 --> 03:16:07,480 I'M SURE THERE ARE LESSONS 5263 03:16:07,480 --> 03:16:10,000 LEARNED IN TAKING CARE OF THESE 5264 03:16:10,000 --> 03:16:10,880 CHILDREN, IT WOULD BE WONDERFUL 5265 03:16:10,880 --> 03:16:13,280 IF THEY ARE MADE AVAILABLE TO 5266 03:16:13,280 --> 03:16:13,680 US. 5267 03:16:13,680 --> 03:16:14,840 THAT'S ALL. 5268 03:16:14,840 --> 03:16:17,240 THAT'S MY COMMENT. 5269 03:16:17,240 --> 03:16:17,600 >> OKAY, YEAH. 5270 03:16:17,600 --> 03:16:19,200 >> DAVID BAUM AND THEN WE'LL GO 5271 03:16:19,200 --> 03:16:19,960 TO CRAIG. 5272 03:16:19,960 --> 03:16:21,080 >> I BELIEVE IN GIVING CREDIT 5273 03:16:21,080 --> 03:16:22,960 WHERE CREDIT IS DUE, AND DR. 5274 03:16:22,960 --> 03:16:24,600 GILMAN, YOU DIDN'T TAKE CREDIT 5275 03:16:24,600 --> 03:16:27,320 FOR THE RAPID RESPONSE TEAM IN 5276 03:16:27,320 --> 03:16:29,520 THE LIST OF ALL OF THE TEAMS 5277 03:16:29,520 --> 03:16:33,240 THAT HAVE BEEN CREATED WHICH HAD 5278 03:16:33,240 --> 03:16:34,560 A PROFOUND POSITIVE EFFECT ON 5279 03:16:34,560 --> 03:16:37,840 PATIENTS IN TERMS OF THEIR STAY. 5280 03:16:37,840 --> 03:16:41,680 >> THE RAPID RESPONSE TEAM 5281 03:16:41,680 --> 03:16:43,280 EXISTED BEFORE FIVE YEARS AGO. 5282 03:16:43,280 --> 03:16:49,440 THE THING THAT CHANGED WAS THAT 5283 03:16:49,440 --> 03:16:51,720 WE -- WAS THAT ACTUALLY FAMILY 5284 03:16:51,720 --> 03:16:53,240 MEMBERS CAN ACTIVATE RAPID 5285 03:16:53,240 --> 03:16:54,080 RESPONSE TEAM. 5286 03:16:54,080 --> 03:16:57,880 THAT'S WHAT CHANGED ABOUT IT. 5287 03:16:57,880 --> 03:16:59,080 THAT WAS FOLLOWING A DISCUSSION 5288 03:16:59,080 --> 03:17:00,520 WITH THIS GROUP THAT HAPPENED. 5289 03:17:00,520 --> 03:17:02,360 THE OTHER THING NOT ON THE SLIDE 5290 03:17:02,360 --> 03:17:08,800 THAT I THINK IS REALLY IMPORTANT 5291 03:17:08,800 --> 03:17:11,960 IS WE PROVIDE PATIENTS -- WE 5292 03:17:11,960 --> 03:17:14,800 HAVE OPEN NOTES NOW. 5293 03:17:14,800 --> 03:17:18,600 WE HAVE PATIENTS. 5294 03:17:18,600 --> 03:17:20,440 AND FRANKLY, I PUSHED THAT, 5295 03:17:20,440 --> 03:17:25,720 DAVID, AFTER I WENT DOWN TO NCQA 5296 03:17:25,720 --> 03:17:29,320 AND SAW THE PRESENTATION 5297 03:17:29,320 --> 03:17:31,520 DOWNTOWN IN THE REAGAN -- AND I 5298 03:17:31,520 --> 03:17:35,120 FORGET THE NAME OF THE WOMAN WHO 5299 03:17:35,120 --> 03:17:38,080 IS SUCH A TREMENDOUS AND 5300 03:17:38,080 --> 03:17:40,600 THOUGHTFUL AND ARTICULATE 5301 03:17:40,600 --> 03:17:43,160 ADVOCATE FOR OPEN NOTES, BUT I 5302 03:17:43,160 --> 03:17:46,640 MEAN IT WAS -- WE HAVE OPEN 5303 03:17:46,640 --> 03:17:48,520 NOTES NOW, PEOPLE CAN READ THEIR 5304 03:17:48,520 --> 03:17:51,800 OWN RECORDS, AND HAVE ACCESS TO 5305 03:17:51,800 --> 03:17:53,320 THEIR RECORDS. 5306 03:17:53,320 --> 03:17:55,280 AND I THINK THAT IT'S -- I THINK 5307 03:17:55,280 --> 03:17:57,440 THAT'S BEEN A REALLY GOOD THING 5308 03:17:57,440 --> 03:17:58,920 TOO, IT'S NOT INCLUDED ON THE 5309 03:17:58,920 --> 03:18:01,680 SLIDES BUT I'M GRATEFUL THAT WE 5310 03:18:01,680 --> 03:18:04,160 DID THAT. 5311 03:18:04,160 --> 03:18:05,000 >> CRAIG AND DAVID CHEN? 5312 03:18:05,000 --> 03:18:06,040 >> CAN I FINISH? 5313 03:18:06,040 --> 03:18:06,920 >> I'M SORRY, DAVID. 5314 03:18:06,920 --> 03:18:09,120 >> I DID WANT TO ADD TO THE 5315 03:18:09,120 --> 03:18:11,320 COMMENT THAT DR. GILMAN MADE 5316 03:18:11,320 --> 03:18:15,160 RELATIVE TO THE INCIDENT ON 5317 03:18:15,160 --> 03:18:18,360 JULY, IN 2019, TO GIVE CREDIT TO 5318 03:18:18,360 --> 03:18:21,360 DR. JORDAN'S STAFF TO THE -- 5319 03:18:21,360 --> 03:18:23,560 ACTUALLY TO THE WHOLE CLINICAL 5320 03:18:23,560 --> 03:18:24,560 CENTER STAFF, WHEN THE NETWORK 5321 03:18:24,560 --> 03:18:26,720 WAS DOWN THERE WAS NO ADVERSE 5322 03:18:26,720 --> 03:18:27,400 PATIENT IMPACT. 5323 03:18:27,400 --> 03:18:29,480 ALL THE MANUAL AND BACKUP 5324 03:18:29,480 --> 03:18:30,440 ALTERNATIVES THAT ARE DESIGNED 5325 03:18:30,440 --> 03:18:36,040 AND TESTED ON A REGULAR BASIS, 5326 03:18:36,040 --> 03:18:38,320 WHEN I CHAIRED THE ROOT CAUSE 5327 03:18:38,320 --> 03:18:39,960 ANALYSIS FROM THE TECHNOLOGICAL 5328 03:18:39,960 --> 03:18:42,080 PERSPECTIVE, WE COULDN'T FIND 5329 03:18:42,080 --> 03:18:43,920 ANY EVIDENCE OF ADVERSE PATIENT 5330 03:18:43,920 --> 03:18:44,200 REACTION. 5331 03:18:44,200 --> 03:18:46,720 AND THAT'S A GOOD PLUS I THINK 5332 03:18:46,720 --> 03:18:50,480 FOR NOTING IN THE EFFECTIVENESS 5333 03:18:50,480 --> 03:18:52,440 IN MAGNET TEAM DOCUMENTATION 5334 03:18:52,440 --> 03:18:55,800 THAT OUR BACKUP SYSTEMS ARE 5335 03:18:55,800 --> 03:18:57,600 TESTED AND ARE EFFECTIVE. 5336 03:18:57,600 --> 03:19:07,560 AND I HAVE ONE COMMENT BASED ON 5337 03:19:07,560 --> 03:19:12,520 ANECDOTAL I MADE, IN USING THE 5338 03:19:12,520 --> 03:19:14,160 CLINICAL CENTER, PROTOCOLS 5339 03:19:14,160 --> 03:19:18,240 DECREASED USE OF EXTENSIVE 5340 03:19:18,240 --> 03:19:20,040 TESTING REQUIRING IN-PERSON 5341 03:19:20,040 --> 03:19:21,360 LONG-TERM STAYS WHICH AFFECTS 5342 03:19:21,360 --> 03:19:22,120 THE CENSUS. 5343 03:19:22,120 --> 03:19:25,080 IT USED TO BE A LOT MORE TESTING 5344 03:19:25,080 --> 03:19:27,600 WAS WORKED INTO THE PROTOCOLS. 5345 03:19:27,600 --> 03:19:29,440 AND TO GET THE PATIENTS IN AND 5346 03:19:29,440 --> 03:19:31,360 HAVE THEM STAY LIKE I DID FOR A 5347 03:19:31,360 --> 03:19:33,480 WEEK OR TWO WEEKS AT A TIME, 5348 03:19:33,480 --> 03:19:34,720 THEY DON'T DO THAT ANYMORE IN 5349 03:19:34,720 --> 03:19:37,440 MOST OF THE PROTOCOLS THAT I'VE 5350 03:19:37,440 --> 03:19:40,200 READ, AS I KEEP READING THEM. 5351 03:19:40,200 --> 03:19:42,080 >> IT'S NOT THAT WE DON'T DO 5352 03:19:42,080 --> 03:19:42,560 THAT ANYMORE. 5353 03:19:42,560 --> 03:19:43,560 BUT IT IS LESS. 5354 03:19:43,560 --> 03:19:45,680 IF ALL YOU'RE IN THE HOSPITAL 5355 03:19:45,680 --> 03:19:48,400 FOR IS A BUNCH OF TESTS WE DON'T 5356 03:19:48,400 --> 03:19:49,800 DO THAT AS MUCH. 5357 03:19:49,800 --> 03:19:51,560 THAT PART IS ABSOLUTELY TRUE. 5358 03:19:51,560 --> 03:19:54,280 >> AND THERE IS ALSO THE FACT 5359 03:19:54,280 --> 03:19:57,360 THAT THE -- THERE ARE PEOPLE WHO 5360 03:19:57,360 --> 03:19:58,360 STILL BELIEVE THEIR PROTOCOLS, 5361 03:19:58,360 --> 03:20:00,120 THIS ISN'T TRUE, GET CHARGED 5362 03:20:00,120 --> 03:20:04,720 EVERY TIME THEY MAKE USE OF A 5363 03:20:04,720 --> 03:20:08,320 BED IN THE HOSPITAL ON AN 5364 03:20:08,320 --> 03:20:11,320 INPATIENT BASIS AND I THINK 5365 03:20:11,320 --> 03:20:12,720 THAT'S AN EDUCATION PROBLEM. 5366 03:20:12,720 --> 03:20:14,240 >> JIM, IT WAS A WONDERFUL 5367 03:20:14,240 --> 03:20:14,800 PRESENTATION. 5368 03:20:14,800 --> 03:20:16,680 I GET TO HEAR A LOT OF STRATEGIC 5369 03:20:16,680 --> 03:20:17,080 PLANNING UPDATES. 5370 03:20:17,080 --> 03:20:19,920 THIS IS ONE OF THE BEST I'VE 5371 03:20:19,920 --> 03:20:22,440 HEARD. 5372 03:20:22,440 --> 03:20:23,120 SO CONGRATULATIONS. 5373 03:20:23,120 --> 03:20:25,320 I SENSE YOU'RE A HARD GRADER 5374 03:20:25,320 --> 03:20:28,360 WHERE YOU GRADED AND SCORED THE 5375 03:20:28,360 --> 03:20:29,880 END BUT I SUSPECT YOU'VE DONE 5376 03:20:29,880 --> 03:20:31,560 FAR BETTER THAN YOU'RE GRADING. 5377 03:20:31,560 --> 03:20:34,160 MY QUESTION IS SORT OF TO ASK 5378 03:20:34,160 --> 03:20:38,400 ABOUT YOUR PHILOSOPHY ON HOW TO 5379 03:20:38,400 --> 03:20:40,400 STRIKE THE BALANCE BETWEEN 5380 03:20:40,400 --> 03:20:42,400 BRINGING IN OUTSIDE EXPERTISE 5381 03:20:42,400 --> 03:20:45,240 VERSUS INTERNAL DEVELOPMENT OF 5382 03:20:45,240 --> 03:20:45,640 TALENT. 5383 03:20:45,640 --> 03:20:48,400 ESPECIALLY FOR THE POSITIONS 5384 03:20:48,400 --> 03:20:50,680 THAT YOU'RE SEEKING NOW, WE'VE 5385 03:20:50,680 --> 03:20:52,320 SEEN SOME VERY EXCEPTIONAL 5386 03:20:52,320 --> 03:20:54,640 TALENT ON YOUR TEAM TODAY. 5387 03:20:54,640 --> 03:20:58,000 YOU BEGIN TO WONDER WHAT'S THE 5388 03:20:58,000 --> 03:20:59,920 JOB AFTER THIS JOB, BECAUSE THEY 5389 03:20:59,920 --> 03:21:00,400 ARE VERY SKILLED. 5390 03:21:00,400 --> 03:21:02,840 HOW DO YOU MAKE THE DECISION 5391 03:21:02,840 --> 03:21:04,400 WHEN YOU SHOULD PROMOTE FROM 5392 03:21:04,400 --> 03:21:14,960 WITHIN VERSUS SEEK TALENT FROM 5393 03:21:16,200 --> 03:21:16,360 OUTSIDE? 5394 03:21:16,360 --> 03:21:18,320 >> YEAH, IT'S -- I DON'T KNOW 5395 03:21:18,320 --> 03:21:21,600 THAT -- FIRST OF ALL, THERE'S NO 5396 03:21:21,600 --> 03:21:25,440 OPPORTUNITY TO -- THERE'S VERY 5397 03:21:25,440 --> 03:21:29,920 LITTLE OPPORTUNITY TO NOT ALLOW 5398 03:21:29,920 --> 03:21:31,240 APPLICANTS FROM WITHIN. 5399 03:21:31,240 --> 03:21:35,200 THERE'S-- I CAN'T THINK OF ANY 5400 03:21:35,200 --> 03:21:38,480 POSITION THAT WOULD BE 5401 03:21:38,480 --> 03:21:42,680 ADVERTISED, THAT YOU WOULD SHUT 5402 03:21:42,680 --> 03:21:50,360 OFF, YOU COULD EXCLUDE INTERNAL 5403 03:21:50,360 --> 03:21:50,640 APPLICANTS. 5404 03:21:50,640 --> 03:21:53,640 THERE'S -- AND THERE IS AN 5405 03:21:53,640 --> 03:21:56,160 INCREDIBLE AMOUNT OF TALENT 5406 03:21:56,160 --> 03:21:58,280 HERE. 5407 03:21:58,280 --> 03:22:03,240 AND IT'S -- BUT IT'S ALSO A VERY 5408 03:22:03,240 --> 03:22:06,000 INSULAR COMMUNITY. 5409 03:22:06,000 --> 03:22:09,760 AND SO IT TAKES WORK TO -- 5410 03:22:09,760 --> 03:22:11,360 THERE'S A VERY -- AGAIN, THIS IS 5411 03:22:11,360 --> 03:22:13,160 ONE OF THE REASONS WHY NATIONAL 5412 03:22:13,160 --> 03:22:17,960 SEARCHES AT THE NIH TAKE A LONG 5413 03:22:17,960 --> 03:22:19,160 TIME, IS BECAUSE THERE'S A LOT 5414 03:22:19,160 --> 03:22:21,160 OF BEATING THE BUSHES BEFORE THE 5415 03:22:21,160 --> 03:22:22,640 SEARCH ACTUALLY STARTS TO TRY TO 5416 03:22:22,640 --> 03:22:24,640 LET PEOPLE KNOW THAT A POSITION 5417 03:22:24,640 --> 03:22:25,760 IS AVAILABLE, IS GOING TO BECOME 5418 03:22:25,760 --> 03:22:28,480 AVAILABLE, THIS IS WHERE IT'S 5419 03:22:28,480 --> 03:22:32,280 GOING TO BE ANNOUNCED, AND IF 5420 03:22:32,280 --> 03:22:34,160 YOU NEED HELP APPLYING THROUGH 5421 03:22:34,160 --> 03:22:35,480 USA JOBS WE'LL TRY TO HELP, 5422 03:22:35,480 --> 03:22:39,880 WE'LL TRY TO DO THAT. 5423 03:22:39,880 --> 03:22:42,160 SO, THAT'S THE WAY -- AND THAT'S 5424 03:22:42,160 --> 03:22:44,560 ONE OF THE COMPONENTS TO WHY IT 5425 03:22:44,560 --> 03:22:51,240 TAKES QUITE A WHILE HERE. 5426 03:22:51,240 --> 03:22:53,000 BUT THEN WHEN YOU GET TO THE END 5427 03:22:53,000 --> 03:22:55,040 OF THE SEARCH PROCESS AND YOU 5428 03:22:55,040 --> 03:22:58,440 SORT OF ARE IN THE NEGOTIATION 5429 03:22:58,440 --> 03:23:00,680 PART OR, YOU KNOW, THEN SOME OF 5430 03:23:00,680 --> 03:23:01,960 THE QUIRKS OF THE NIH ARE 5431 03:23:01,960 --> 03:23:04,360 UNKNOWN TO THE PEOPLE ON THE 5432 03:23:04,360 --> 03:23:05,880 OUTSIDE, AND, YOU KNOW, THE 5433 03:23:05,880 --> 03:23:07,320 CHIEF MEDICAL CENTER THING, I 5434 03:23:07,320 --> 03:23:11,720 WAS ALL THE WAY DOWN TO, YOU 5435 03:23:11,720 --> 03:23:14,360 KNOW, HAVING SOMEBODY FOR THAT 5436 03:23:14,360 --> 03:23:16,160 POSITION WHEN IT FELL APART AND 5437 03:23:16,160 --> 03:23:20,280 WE STARTED ALL OVER AGAIN. 5438 03:23:20,280 --> 03:23:22,240 NOW, IT TURNED OUT GREAT. 5439 03:23:22,240 --> 03:23:23,520 YOU'VE SEEN DR. HADIGAN. 5440 03:23:23,520 --> 03:23:26,160 TURNED OUT GREAT. 5441 03:23:26,160 --> 03:23:28,040 BUT IT'S NOT -- WE HAVE TO 5442 03:23:28,040 --> 03:23:30,520 OPERATE UNDER THE RULES. 5443 03:23:30,520 --> 03:23:33,680 IT'S NOT OUR H.R. FOLKS' FAULT. 5444 03:23:33,680 --> 03:23:38,480 WE OPERATE UNDER OPM RULES, AND 5445 03:23:38,480 --> 03:23:42,560 YET IT'S AN INTERNAL COMMUNITY. 5446 03:23:42,560 --> 03:23:44,520 IT'S VERY EASY TO STAYSE 5447 03:23:44,520 --> 03:23:45,320 COMPLETELYT IS -- 5448 03:23:45,320 --> 03:23:50,320 YOU HAVE TO WORK HARDER FOR 5449 03:23:50,320 --> 03:23:51,240 THOSE OUTSIDE. 5450 03:23:51,240 --> 03:23:51,560 THAT'S TRUE. 5451 03:23:51,560 --> 03:23:54,160 I DON'T KNOW THAT I DID A GOOD 5452 03:23:54,160 --> 03:23:56,120 JOB ANSWERING YOUR QUESTION, 5453 03:23:56,120 --> 03:23:56,320 CRAIG. 5454 03:23:56,320 --> 03:23:57,320 IT'S ALSO WHY I THINK IT'S 5455 03:23:57,320 --> 03:24:01,040 REALLY IMPORTANT TO MAKE SURE 5456 03:24:01,040 --> 03:24:02,120 YOU'RE DEVELOPING THE TALENT 5457 03:24:02,120 --> 03:24:02,560 INSIDE. 5458 03:24:02,560 --> 03:24:06,280 THAT'S WHY I THINK THE 5459 03:24:06,280 --> 03:24:07,200 ADDITIONAL LEADERSHIP TRAINING 5460 03:24:07,200 --> 03:24:10,560 THAT WE ARE DOING, NOT JUST THE 5461 03:24:10,560 --> 03:24:14,080 COURSES WE DEVELOPED, BUT WE 5462 03:24:14,080 --> 03:24:15,840 HAVE INVESTED PROBABLY AS 5463 03:24:15,840 --> 03:24:17,680 HEAVILY IN THE EXISTING NIH 5464 03:24:17,680 --> 03:24:18,920 COURSES WHICH ARE REALLY GOOD, 5465 03:24:18,920 --> 03:24:25,240 AND THEY ARE NOT JUST NIH 5466 03:24:25,240 --> 03:24:26,240 FOCUSED, THEY ARE COURSES, WE 5467 03:24:26,240 --> 03:24:30,320 HAVE ONE PERSON IN RIGHT NOW 5468 03:24:30,320 --> 03:24:31,200 THROUGH AMERICAN UNIVERSITY, SO 5469 03:24:31,200 --> 03:24:33,000 I THINK IT'S REALLY IMPORTANT. 5470 03:24:33,000 --> 03:24:35,320 IT'S VERY EASY TO SORT OF GET 5471 03:24:35,320 --> 03:24:36,840 INTO A POSITION HERE AT THE NIH 5472 03:24:36,840 --> 03:24:39,040 AND STAY THERE FOR A VERY, VERY 5473 03:24:39,040 --> 03:24:41,360 LONG PERIOD OF TIME, AND WE 5474 03:24:41,360 --> 03:24:42,560 ARE -- WE HAVE WORKED HARD TO 5475 03:24:42,560 --> 03:24:45,080 TRY TO MAKE SURE THOSE PEOPLE WE 5476 03:24:45,080 --> 03:24:47,160 THINK WOULD BENEFIT AND REALLY 5477 03:24:47,160 --> 03:24:49,120 NEED SOME ADDITIONAL TRAINING TO 5478 03:24:49,120 --> 03:24:52,640 GET THEM TO TAKE SOME ADVANTAGE 5479 03:24:52,640 --> 03:24:56,280 AND WHERE NECESSARY TO GET 5480 03:24:56,280 --> 03:24:59,640 OUTSIDE OF THE NIH. 5481 03:24:59,640 --> 03:25:00,520 >> DAVID? 5482 03:25:00,520 --> 03:25:03,440 >> JIM, I WANT TO ECHO CRAIG'S 5483 03:25:03,440 --> 03:25:04,720 COMMENT, IMPRESSIVE PRESENTATION 5484 03:25:04,720 --> 03:25:06,000 ABOUT YOUR STRATEGIC UPDATE. 5485 03:25:06,000 --> 03:25:08,080 CONGRATULATIONS TO YOUR TEAM AND 5486 03:25:08,080 --> 03:25:08,280 YOU. 5487 03:25:08,280 --> 03:25:10,680 THAT TOOK A LOT OF WORK FOR 5488 03:25:10,680 --> 03:25:11,080 SURE. 5489 03:25:11,080 --> 03:25:12,880 I HAD TWO QUESTIONS. 5490 03:25:12,880 --> 03:25:16,280 ONE IS I SAW IN RED YOU WANTED 5491 03:25:16,280 --> 03:25:18,920 TO INCREASE AMOUNT OF INSTITUTE 5492 03:25:18,920 --> 03:25:20,720 USE OF THE CLINICAL CENTER. 5493 03:25:20,720 --> 03:25:21,000 >> YES. 5494 03:25:21,000 --> 03:25:22,760 >> IS IT BECAUSE THERE'S A 5495 03:25:22,760 --> 03:25:24,280 SECULAR CHANGE IN IT THE WAY 5496 03:25:24,280 --> 03:25:26,280 DAVID IS TALKING ABOUT OR IS 5497 03:25:26,280 --> 03:25:31,280 THERE SOME SORT OF FRICTION? 5498 03:25:31,280 --> 03:25:34,600 >> IT IS -- THERE'S A TENSION 5499 03:25:34,600 --> 03:25:37,200 THAT'S VERY PALPABLE BETWEEN THE 5500 03:25:37,200 --> 03:25:39,000 BASIC SCIENCE AND TRANSLATIONAL 5501 03:25:39,000 --> 03:25:41,160 RESEARCH AND CLINICAL RESEARCH. 5502 03:25:41,160 --> 03:25:43,000 CLINICAL RESEARCH IS MESSY, 5503 03:25:43,000 --> 03:25:43,440 MESSIER. 5504 03:25:43,440 --> 03:25:46,440 THERE'S WAY MORE OVERSIGHT AND 5505 03:25:46,440 --> 03:25:46,840 REGULATION. 5506 03:25:46,840 --> 03:25:48,360 IT'S MORE EXPENSIVE. 5507 03:25:48,360 --> 03:25:52,080 SO IF YOU'RE A YOUNG SCIENTIST, 5508 03:25:52,080 --> 03:25:53,720 MAYBE EVEN A PHYSICIAN-SCIENTIST 5509 03:25:53,720 --> 03:25:57,920 AT THE NIH, AND YOU'VE GOT -- 5510 03:25:57,920 --> 03:25:59,240 YOU'RE GETTING SUPPORTED IN YOUR 5511 03:25:59,240 --> 03:26:01,320 RESEARCH AND EVERYTHING ELSE. 5512 03:26:01,320 --> 03:26:02,720 BUT THERE'S A CLOCK TICKING. 5513 03:26:02,720 --> 03:26:06,160 AND YOU'RE GOING TO HAVE TO SHOW 5514 03:26:06,160 --> 03:26:08,200 SOME RESULTS. 5515 03:26:08,200 --> 03:26:11,120 AND SO THE -- YOU KNOW, IT'S 5516 03:26:11,120 --> 03:26:17,160 EASY TO SAY, YOU KNOW, I THINK I 5517 03:26:17,160 --> 03:26:20,040 CAN MAKE MY TEN-YEAR MILESTONES 5518 03:26:20,040 --> 03:26:21,880 IN THE LABORATORY. 5519 03:26:21,880 --> 03:26:24,480 AND I UNDERSTAND THAT 5520 03:26:24,480 --> 03:26:24,960 COMPLETELY. 5521 03:26:24,960 --> 03:26:27,560 AND ESPECIALLY, YOU KNOW, DURING 5522 03:26:27,560 --> 03:26:29,240 THE CIRCUMSTANCES LIKE A 5523 03:26:29,240 --> 03:26:31,320 PANDEMIC WHICH INFLUENCES, YOU 5524 03:26:31,320 --> 03:26:32,440 KNOW, HOW PATIENTS CAN MOVE 5525 03:26:32,440 --> 03:26:36,960 AROUND AND EVERYTHING ELSE. 5526 03:26:36,960 --> 03:26:40,040 SO, IT'S -- I MEAN, THE AMOUNT 5527 03:26:40,040 --> 03:26:42,880 OF MONEY FOR THE INTRAMURAL 5528 03:26:42,880 --> 03:26:46,520 PROGRAM IS KIND OF FIXED. 5529 03:26:46,520 --> 03:26:47,920 THERE'S, YOU KNOW, A LOT OF 5530 03:26:47,920 --> 03:26:49,120 PEOPLE WATCHING WHAT PERCENTAGE 5531 03:26:49,120 --> 03:26:52,840 OF THE NIH BUDGET STAYS HERE, 5532 03:26:52,840 --> 03:26:56,280 WHAT GOES OUT. 5533 03:26:56,280 --> 03:26:59,000 AND THE -- AND THEN WHAT STAYS 5534 03:26:59,000 --> 03:27:00,640 IN, YOU KNOW, SOME COMES FROM 5535 03:27:00,640 --> 03:27:01,720 THE CLINICAL CENTER, SOME OF THE 5536 03:27:01,720 --> 03:27:04,280 REST GOES TO THE LABORATORIES. 5537 03:27:04,280 --> 03:27:08,200 AND THEN IT IS HOW DO I MAKE MY 5538 03:27:08,200 --> 03:27:11,280 MARK, MY INDEPENDENT RESEARCH 5539 03:27:11,280 --> 03:27:14,120 PROGRAM, HAS TO BE MY IDEAS AND 5540 03:27:14,120 --> 03:27:15,480 HAS TO BE INDEPENDENT, I HAVE TO 5541 03:27:15,480 --> 03:27:16,840 MAKE PROGRESS AND I HAVE TO GET 5542 03:27:16,840 --> 03:27:23,240 INTO ENOUGH OF THE RIGHT 5543 03:27:23,240 --> 03:27:24,280 JOURNALS, THEN I UNDERSTAND. 5544 03:27:24,280 --> 03:27:28,400 IT IS A TOUGH THING. 5545 03:27:28,400 --> 03:27:29,360 >> JIM, THAT'S A HUGE QUESTION 5546 03:27:29,360 --> 03:27:32,880 THAT I THINK YOU'RE GOING TO 5547 03:27:32,880 --> 03:27:35,080 WANT TO PURSUE AT A FUTURE 5548 03:27:35,080 --> 03:27:35,400 MEETING. 5549 03:27:35,400 --> 03:27:38,200 DAVID, IF I COULD ASK YOU TO 5550 03:27:38,200 --> 03:27:39,160 HOLD THAT SECOND QUESTION. 5551 03:27:39,160 --> 03:27:39,440 >> OKAY. 5552 03:27:39,440 --> 03:27:41,880 >> BECAUSE I WANT TO GIVE RUTH A 5553 03:27:41,880 --> 03:27:46,280 CHANCE TO JUMP IN BEFORE WE 5554 03:27:46,280 --> 03:27:46,680 FINISH. 5555 03:27:46,680 --> 03:27:49,000 THIS IS PRECISELY THE ONGOING 5556 03:27:49,000 --> 03:27:52,840 CONVERSATION THAT THIS BOARD'S 5557 03:27:52,840 --> 03:27:54,400 BEEN HAVING WITH JIM, LARRY, AND 5558 03:27:54,400 --> 03:27:58,080 THE TEAM. 5559 03:27:58,080 --> 03:27:59,840 THAT'S GOING TO BE A REAL 5560 03:27:59,840 --> 03:28:00,640 OPPORTUNITY. 5561 03:28:00,640 --> 03:28:02,800 I'M GOING TO TAKE THAT 5562 03:28:02,800 --> 03:28:05,680 PRIVILEGE, JIM, TO GIVE RUTH A 5563 03:28:05,680 --> 03:28:06,880 CHANCE TO SAY SOMETHING. 5564 03:28:06,880 --> 03:28:08,480 RUTH, IT'S YOUR LAST MEETING AND 5565 03:28:08,480 --> 03:28:09,720 WE WANT TO THANK YOU AND I'LL 5566 03:28:09,720 --> 03:28:11,880 TAKE ONE MINUTE TO CLOSE. 5567 03:28:11,880 --> 03:28:12,520 RUTH? 5568 03:28:12,520 --> 03:28:15,160 >> THANK YOU, LAURA. 5569 03:28:15,160 --> 03:28:17,960 THANKS, EVER. 5570 03:28:17,960 --> 03:28:19,720 ROBUST DISCUSSION. 5571 03:28:19,720 --> 03:28:21,920 I MUST SAY THAT I'M A LITTLE 5572 03:28:21,920 --> 03:28:23,960 DISAPPOINTED I WON'T BE AROUND 5573 03:28:23,960 --> 03:28:27,160 TO LARRY THE SEQUELAE TO THAT. 5574 03:28:27,160 --> 03:28:30,520 HOWEVER, I'VE ENJOYED MY TIME ON 5575 03:28:30,520 --> 03:28:31,640 THE ADVISORY BOARD. 5576 03:28:31,640 --> 03:28:33,480 I'VE LEARNED SO MUCH. 5577 03:28:33,480 --> 03:28:36,880 AND I AM SO PROUD OF WHAT THIS 5578 03:28:36,880 --> 03:28:38,920 TEAM HAS ACCOMPLISHED OVER THESE 5579 03:28:38,920 --> 03:28:42,440 YEARS I'VE BEEN INVOLVED. 5580 03:28:42,440 --> 03:28:44,320 SO I KNOW THERE'S A BRIGHT 5581 03:28:44,320 --> 03:28:44,640 FUTURE. 5582 03:28:44,640 --> 03:28:48,240 I JUST WANT TO ENCOURAGE YOU AND 5583 03:28:48,240 --> 03:28:48,560 THANK YOU ALL. 5584 03:28:48,560 --> 03:28:49,120 THANK YOU. 5585 03:28:49,120 --> 03:28:50,880 IT'S BEEN A PLEASURE WORKING 5586 03:28:50,880 --> 03:28:54,800 WITH YOU, AND WITH THE TEAM. 5587 03:28:54,800 --> 03:28:57,800 >> THANK YOU, RUTH. 5588 03:28:57,800 --> 03:29:00,200 JIM, I'M GOING TO CLOSE NOW, IF 5589 03:29:00,200 --> 03:29:02,240 IT'S OKAY WITH YOU, AND LARRY. 5590 03:29:02,240 --> 03:29:05,520 BECAUSE I WANT TO BANG THAT 5591 03:29:05,520 --> 03:29:05,960 GAVEL. 5592 03:29:05,960 --> 03:29:09,280 SO, JUST A COUPLE OF CLOSING 5593 03:29:09,280 --> 03:29:09,560 COMMENTS. 5594 03:29:09,560 --> 03:29:12,280 I THINK RUTH JUST SAID IT. 5595 03:29:12,280 --> 03:29:15,200 I'M SO SAD NOT TO BE ABLE TO 5596 03:29:15,200 --> 03:29:16,720 HEAR THIS ONGOING CONVERSATION 5597 03:29:16,720 --> 03:29:18,280 BECAUSE IT HAS BEEN, SOMEBODY 5598 03:29:18,280 --> 03:29:20,760 ASKED ME BEFORE, WHY WAS THAT 5599 03:29:20,760 --> 03:29:22,760 THING CALLED THE RED TEAM? 5600 03:29:22,760 --> 03:29:25,160 SO IT'S A TERM I HAD NOT HEARD 5601 03:29:25,160 --> 03:29:26,960 OF IT BEFORE, APPARENTLY IN 5602 03:29:26,960 --> 03:29:33,400 INDUSTRY AND NOW I THINK OFTEN 5603 03:29:33,400 --> 03:29:34,920 IN SECURITY AND CYBERSECURITY, 5604 03:29:34,920 --> 03:29:37,240 YOU BRING OUTSIDE EXPERTS IN TO 5605 03:29:37,240 --> 03:29:37,800 DO SOME KIND OF ASSESSMENT. 5606 03:29:37,800 --> 03:29:41,640 I WANT TO GO BACK AND NOTE THAT 5607 03:29:41,640 --> 03:29:45,000 THERE WASN'T A SAFETY ISSUE THAT 5608 03:29:45,000 --> 03:29:46,320 HAD ACTUALLY HAPPENED, THAT 5609 03:29:46,320 --> 03:29:47,640 ORIGINAL REASON THAT FRANCIS 5610 03:29:47,640 --> 03:29:49,920 CALLED SOME PEOPLE FROM OUTSIDE 5611 03:29:49,920 --> 03:29:51,720 TOGETHER WAS NOT BECAUSE 5612 03:29:51,720 --> 03:29:53,320 SOMETHING BAD HAD HAPPENED. 5613 03:29:53,320 --> 03:29:55,000 BUT IT WAS THIS IDEA MAYBE 5614 03:29:55,000 --> 03:29:56,160 SOMETHING BAD COULD HAPPEN. 5615 03:29:56,160 --> 03:30:05,160 AND SO IT WAS A DIVERSE GROUP, 5616 03:30:05,160 --> 03:30:06,920 INCLUDING THE THEN-CEOS OF JOHNS 5617 03:30:06,920 --> 03:30:07,920 HOPKINS HEALTH SYSTEM, MAYO 5618 03:30:07,920 --> 03:30:10,320 CLINIC, A NUMBER OF FOLKS WHO 5619 03:30:10,320 --> 03:30:12,480 WORKED TO COME IN AND SEE IF WE 5620 03:30:12,480 --> 03:30:15,680 WERE ON SITE FOR A NUMBER OF 5621 03:30:15,680 --> 03:30:18,520 VISITS BUT WE WERE ON THE PHONE 5622 03:30:18,520 --> 03:30:22,600 SEVERAL TIMES TO COME UP WITH. 5623 03:30:22,600 --> 03:30:23,520 THAT WAS THE CONCLUSION. 5624 03:30:23,520 --> 03:30:25,520 BUT IN THE SAME WAY THAT NIH 5625 03:30:25,520 --> 03:30:27,840 LOOKED AT EVERYTHING THROUGH THE 5626 03:30:27,840 --> 03:30:29,720 LENS OF RESEARCH, IF IT WOULD 5627 03:30:29,720 --> 03:30:31,520 ALSO LOOK THROUGH EVERYTHING 5628 03:30:31,520 --> 03:30:33,520 THROUGH THE SENSE OF PATIENT 5629 03:30:33,520 --> 03:30:34,960 SAFETY AND QUALITY, THEN IT 5630 03:30:34,960 --> 03:30:37,120 WOULD BE ABLE TO PREVENT BAD 5631 03:30:37,120 --> 03:30:41,880 THINGS FROM HAPPENING, ALSO UP 5632 03:30:41,880 --> 03:30:43,560 ITS GAME. 5633 03:30:43,560 --> 03:30:46,440 THAT WAS AN UNBELIEVABLE TOUR DE 5634 03:30:46,440 --> 03:30:47,880 FORCE LAID OUT OVER THE LAST 5635 03:30:47,880 --> 03:30:50,240 FIVE YEARS, CLEARLY. 5636 03:30:50,240 --> 03:30:52,200 AND I'M GOING TO TALK ABOUT, AS 5637 03:30:52,200 --> 03:30:54,960 JIM SAID, WE DIDN'T TALK ABOUT 5638 03:30:54,960 --> 03:30:56,840 THE RED TEAM REPORT AFTER THAT 5639 03:30:56,840 --> 03:30:58,120 BECAUSE IT WAS DISTRESSING FOR 5640 03:30:58,120 --> 03:30:58,680 THE TEAM. 5641 03:30:58,680 --> 03:31:03,440 IN FACT ONE TIME I WAS IN THE 5642 03:31:03,440 --> 03:31:06,120 CAFETERIA HERE, AND I THINK I 5643 03:31:06,120 --> 03:31:08,400 WAS WIGGED OUT BY HOW DISTRESSED 5644 03:31:08,400 --> 03:31:09,280 EVERYONE WAS. 5645 03:31:09,280 --> 03:31:10,720 TONY FAUCI CAME UP TO ME AND 5646 03:31:10,720 --> 03:31:12,000 SAID DON'T WORRY, EVERYBODY WILL 5647 03:31:12,000 --> 03:31:14,040 GET OVER IT, BUT IT'S IMPORTANT 5648 03:31:14,040 --> 03:31:15,440 THAT THINGS KEEP MOVING. 5649 03:31:15,440 --> 03:31:17,840 ONE OF THE THINGS I HAD TO GET 5650 03:31:17,840 --> 03:31:20,240 MOVING WAS HIRING THE CEO. 5651 03:31:20,240 --> 03:31:22,520 AND NOW YOU CAN SEE, AGAIN, I DO 5652 03:31:22,520 --> 03:31:26,360 THINGS, DAVID, TO YOUR POINT, 5653 03:31:26,360 --> 03:31:28,560 THAT JIM'S BEING PRETTY MODEST 5654 03:31:28,560 --> 03:31:30,120 ABOUT SOME OF THIS, BUT IT'S 5655 03:31:30,120 --> 03:31:34,160 ALSO BEEN A GREAT TEAM. 5656 03:31:34,160 --> 03:31:37,440 AS I'M EXITING, A THANK YOU TO 5657 03:31:37,440 --> 03:31:39,280 THE BOARD MEMBERS AND EXCITED 5658 03:31:39,280 --> 03:31:41,240 FOR ALL OF YOU JUST JOINING AND 5659 03:31:41,240 --> 03:31:42,440 GOING ON TO MORE THINGS. 5660 03:31:42,440 --> 03:31:44,080 I DO HOPE YOU'LL BE ABLE TO COME 5661 03:31:44,080 --> 03:31:48,360 ON CAMPUS ON A VERY REGULAR 5662 03:31:48,360 --> 03:31:49,360 BASIS. 5663 03:31:49,360 --> 03:31:51,760 NOW THAT WE'VE GOTTEN USED TO 5664 03:31:51,760 --> 03:31:52,720 ZOOM, IT'S INCREDIBLY EFFICIENT, 5665 03:31:52,720 --> 03:31:54,240 BUT THERE'S SOMETHING ABOUT 5666 03:31:54,240 --> 03:31:55,160 BEING HERE, THE VIBRANCY, 5667 03:31:55,160 --> 03:31:56,120 MEETING THE PEOPLE. 5668 03:31:56,120 --> 03:31:58,240 THAT'S BEEN SO WONDERFUL TO GET 5669 03:31:58,240 --> 03:32:01,560 TO MEET THIS INCREDIBLY TALENTED 5670 03:32:01,560 --> 03:32:03,680 NIH TEAM WHICH HAS CHANGED OVER 5671 03:32:03,680 --> 03:32:05,520 TIME, AS JIM WAS JUST TALKING 5672 03:32:05,520 --> 03:32:08,760 ABOUT, AS WE'VE SEEN, BUT HAS 5673 03:32:08,760 --> 03:32:10,560 JUST BEEN WONDERFUL TO WORK 5674 03:32:10,560 --> 03:32:10,760 WITH. 5675 03:32:10,760 --> 03:32:13,560 SO I FEEL AFTER I COME BACK FROM 5676 03:32:13,560 --> 03:32:14,960 ONE OF THESE MEETINGS THAT I'VE 5677 03:32:14,960 --> 03:32:17,240 GOT MORE WORK TO DO IN MY DAY 5678 03:32:17,240 --> 03:32:21,960 JOB BUT I ALSO FEEL GREAT ABOUT 5679 03:32:21,960 --> 03:32:23,720 BEING SOMEONE IN SCIENCE AND 5680 03:32:23,720 --> 03:32:25,000 SOMEONE WHO KNOWS THAT WE'RE 5681 03:32:25,000 --> 03:32:28,880 LUCKY TO BE IN THE UNITED STATES 5682 03:32:28,880 --> 03:32:30,840 WHERE WE HAVE THIS INCREDIBLE 5683 03:32:30,840 --> 03:32:34,440 GEM OF AN ORGANIZATION, THE NIH. 5684 03:32:34,440 --> 03:32:38,080 SO SPECIAL THANKS TO YOU, LARRY, 5685 03:32:38,080 --> 03:32:42,480 AND FRANCIS, OF COURSE TO TARA 5686 03:32:42,480 --> 03:32:43,440 AND, JIM, ESPECIALLY TO YOU FOR 5687 03:32:43,440 --> 03:32:45,160 ALL OF THIS. 5688 03:32:45,160 --> 03:32:47,440 SO GOOD LUCK, EVERYONE. 5689 03:32:47,440 --> 03:32:50,080 AND WITH THAT, CLOSING THE 5690 03:32:50,080 --> 03:32:50,680 MEETING. 5691 03:32:50,680 --> 00:00:00,000 THANKS, EVERYONE.