1 00:00:05,038 --> 00:00:06,306 WELL, GOOD MORNING, EVERYONE. 2 00:00:06,373 --> 00:00:08,375 WELCOME TO THE FIFTH ANNUAL NIH 3 00:00:08,441 --> 00:00:09,476 HEAL INITIATIVE SCIENTIFIC 4 00:00:09,542 --> 00:00:11,544 MEETING. 5 00:00:11,611 --> 00:00:12,846 I'M TAMARA, A PROGRAM OFFICIAL 6 00:00:12,912 --> 00:00:14,914 AT NIDA, AND I'M GOING TO BE 7 00:00:14,981 --> 00:00:17,117 YOUR EMCEE FOR THE NEXT TWO 8 00:00:17,183 --> 00:00:18,885 DAYS, ALONGSIDE DR. ERIC THANK 9 00:00:18,952 --> 00:00:24,391 HUDAKIN THE DIVISION OF TRANSLAL 10 00:00:24,457 --> 00:00:25,458 RESEARCH AT THE NATIONAL 11 00:00:25,525 --> 00:00:28,228 INSTITUTE OF NEUROLOGICAL 12 00:00:28,294 --> 00:00:28,895 DISORDERS AND STROKE. 13 00:00:28,962 --> 00:00:31,398 SO WE ARE VERY EXCITED TO HAVE 14 00:00:31,464 --> 00:00:32,866 ATTENDEES THAT SPAN THE FULL 15 00:00:32,932 --> 00:00:35,034 HEAL COMMUNITY HERE, INCLUDING 16 00:00:35,101 --> 00:00:37,337 PRE-CLINICAL BASIC RESEARCHERS, 17 00:00:37,404 --> 00:00:38,872 IMPLEMENTATION SCIENTISTS, ALL 18 00:00:38,938 --> 00:00:40,473 WORKING TO ADDRESS THE OPIOID 19 00:00:40,540 --> 00:00:42,342 USE DISORDER AND PAIN CRISES. 20 00:00:42,409 --> 00:00:43,977 AND OF COURSE WE'RE ALSO JOINED 21 00:00:44,043 --> 00:00:46,746 BY NIH LEADERSHIP AND STAFF, AS 22 00:00:46,813 --> 00:00:47,914 WELL AS COMMUNITY PARTNERS THAT 23 00:00:47,981 --> 00:00:50,316 ARE ADVISING OUR HEAL PROJECTS 24 00:00:50,383 --> 00:00:51,518 AND THE HEAL INITIATIVE AS A 25 00:00:51,584 --> 00:00:51,985 WHOLE. 26 00:00:52,051 --> 00:00:53,820 MANY HAVE LIVED AND LIVING 27 00:00:53,887 --> 00:00:54,821 EXPERIENCE, AND WE'RE VERY 28 00:00:54,888 --> 00:00:56,790 HONORED TO HAVE SO MANY CRITICAL 29 00:00:56,856 --> 00:00:58,425 PERSPECTIVES AT THIS MEETING AND 30 00:00:58,491 --> 00:01:07,400 AN EAGERNESS TO COME TOGETHER. 31 00:01:07,467 --> 00:01:09,135 SO JUST A REMINDER, THIS IS A 32 00:01:09,202 --> 00:01:10,437 HYBRID MEETING. 33 00:01:10,503 --> 00:01:11,538 MOST SESSIONS WILL BE 34 00:01:11,604 --> 00:01:12,639 LIVESTREAMED TO VIRTUAL 35 00:01:12,705 --> 00:01:13,640 ATTENDEES SO THEY CAN ACCESS 36 00:01:13,706 --> 00:01:14,841 THEM IN THE VIRTUAL EVENT 37 00:01:14,908 --> 00:01:16,142 PLATFORM. 38 00:01:16,209 --> 00:01:18,311 AND BOTH THE VIRTUAL AND 39 00:01:18,378 --> 00:01:19,312 IN-PERSON ATTENDEES HAVE ACCESS 40 00:01:19,379 --> 00:01:20,180 TO THIS PLATFORM. 41 00:01:20,246 --> 00:01:22,382 YOU SHOULD HAVE RECEIVED AN 42 00:01:22,449 --> 00:01:24,684 EMAIL AND ACCESS LINK TO THIS 43 00:01:24,751 --> 00:01:25,752 EARLIER IN THE WEEK. 44 00:01:25,819 --> 00:01:27,854 THE PLATFORM INCLUDES ADDITIONAL 45 00:01:27,921 --> 00:01:29,155 RESOURCES INCLUDING ALL OF THE 46 00:01:29,222 --> 00:01:31,024 RESEARCH POSTERS, AS WELL AS 47 00:01:31,090 --> 00:01:33,193 THEIR ABSTRACTS, AND IF YOU ARE 48 00:01:33,259 --> 00:01:34,727 PRESENTING A POSTER, PLEASE BE 49 00:01:34,794 --> 00:01:37,363 SURE TO CHECK YOUR POSTER ON THE 50 00:01:37,430 --> 00:01:39,098 PLATFORM SINCE VIRTUAL ATTENDEES 51 00:01:39,165 --> 00:01:41,067 CAN LEAVE COMMENTS FOR YOU AND 52 00:01:41,134 --> 00:01:42,535 QUESTIONS AND YOU MIGHT WANT TO 53 00:01:42,602 --> 00:01:42,936 RESPOND. 54 00:01:43,002 --> 00:01:44,671 ALL MEETING SESSIONS ARE BEING 55 00:01:44,737 --> 00:01:45,839 RECORDED AND WILL BE AVAILABLE 56 00:01:45,905 --> 00:01:47,106 ON THE PLATFORM FOLLOWING THE 57 00:01:47,173 --> 00:01:48,675 MEETING. 58 00:01:48,741 --> 00:01:49,809 THE PLENARY SESSIONS IN THIS 59 00:01:49,876 --> 00:01:51,244 ROOM WILL ALSO BE LIVESTREAMED 60 00:01:51,311 --> 00:01:54,347 TO THE PUBLIC VIA NIH VIDEOCAST. 61 00:01:54,414 --> 00:01:55,949 AND RECORDINGS ARE GOING TO BE 62 00:01:56,015 --> 00:01:58,251 AVAILABLE ON THE HEAL WEBSITE. 63 00:01:58,318 --> 00:01:59,919 IN ADDITION TO ATTENDING THE 64 00:01:59,986 --> 00:02:01,187 SESSIONS, WE ENCOURAGE YOU TO 65 00:02:01,254 --> 00:02:03,189 PARTICIPATE IN THE Q & A AND THE 66 00:02:03,256 --> 00:02:04,724 DISCUSSIONS DURING THE SESSIONS. 67 00:02:04,791 --> 00:02:07,227 IN THIS ROOM, YOU'LL SEE SOME 68 00:02:07,293 --> 00:02:08,194 MICROPHONE STANDS THAT ARE 69 00:02:08,261 --> 00:02:09,796 AVAILABLE, SO PLEASE STEP UP TO 70 00:02:09,863 --> 00:02:11,097 THE MICROPHONE AND THE MODERATOR 71 00:02:11,164 --> 00:02:15,869 CAN CALL ON YOU FOR A QUESTION. 72 00:02:15,935 --> 00:02:17,070 THERE ARE ALSO GOING TO BE 73 00:02:17,136 --> 00:02:17,837 MICROPHONES IN THE BREAKOUT 74 00:02:17,904 --> 00:02:19,472 ROOMS, SO PLEASE USE THEM SO YOU 75 00:02:19,539 --> 00:02:20,573 CAN BE HEARD NOT ONLY IN THE 76 00:02:20,640 --> 00:02:22,208 ROOM BUT AGAIN ALSO BY THOSE 77 00:02:22,275 --> 00:02:23,977 VIRTUAL ATTENDEES, AND FOR 78 00:02:24,043 --> 00:02:25,144 VIRTUAL ATTENDEES, WE ASK THAT 79 00:02:25,211 --> 00:02:26,446 YOU USE YOUR CHAT FUNCTION TO 80 00:02:26,513 --> 00:02:27,780 ASK QUESTIONS. 81 00:02:27,847 --> 00:02:30,717 WE ARE GOING TO CO TO DO OUR BEN 82 00:02:30,783 --> 00:02:31,718 THE SESSIONS TO ADDRESS THE 83 00:02:31,784 --> 00:02:33,152 QUESTIONS DURING THE MEETING, 84 00:02:33,219 --> 00:02:34,454 BUT IF YOUR QUESTION IS NOT 85 00:02:34,521 --> 00:02:35,755 ANSWERED, WE WILL PROVIDE 86 00:02:35,822 --> 00:02:36,856 SESSION FACILITATORS A COPY OF 87 00:02:36,923 --> 00:02:38,491 ALL THE CHATS SO WE CAN FOLLOW 88 00:02:38,558 --> 00:02:40,126 UP AS NEEDED. 89 00:02:40,193 --> 00:02:41,895 THERE ARE SEVERAL PROGRAM BOOTHS 90 00:02:41,961 --> 00:02:43,429 THAT ARE SET UP IN THE FOYER 91 00:02:43,496 --> 00:02:44,864 OUTSIDE THIS ROOM. 92 00:02:44,931 --> 00:02:46,799 SO PLEASE BE SURE TO VISIT THE 93 00:02:46,866 --> 00:02:48,234 HEAL DATA ECOSYSTEM BOOTH SO 94 00:02:48,301 --> 00:02:49,669 THEY CAN ASSIST YOU IN 95 00:02:49,736 --> 00:02:52,272 COMPLETING KEY STEPS FOR MAKING 96 00:02:52,338 --> 00:02:54,307 YOUR DATA HEAL-COMPLIANT AS WELL 97 00:02:54,374 --> 00:02:56,342 AS PREPARING YOUR DATA FOR 98 00:02:56,409 --> 00:02:58,344 PUBLICATION AND DISSEMINATION. 99 00:02:58,411 --> 00:02:59,946 COMPLETING STUDY REGISTRATION 100 00:03:00,013 --> 00:03:02,448 AND THE CDER STUDY LEVEL 101 00:03:02,515 --> 00:03:04,083 METADATA FORM WILL AUTOMATICALLY 102 00:03:04,150 --> 00:03:05,752 ENTER YOU INTO A RAFFLE FOR THE 103 00:03:05,818 --> 00:03:07,120 CHANCE TO WIN PRIZES AND WE ALL 104 00:03:07,186 --> 00:03:08,922 KNOW WE LIKE PRIZES SO AT THE 105 00:03:08,988 --> 00:03:10,123 VERY LEAST, GO TO THE BOOTH SO 106 00:03:10,189 --> 00:03:11,524 YOU CAN HAVE A CHANCE TO WIN A 107 00:03:11,591 --> 00:03:13,159 PRIZE. 108 00:03:13,226 --> 00:03:15,028 HEAL CONNECTIONS ALSO HAS A 109 00:03:15,094 --> 00:03:15,361 BOOTH. 110 00:03:15,428 --> 00:03:16,563 HERE YOU CAN LEARN MORE ABOUT 111 00:03:16,629 --> 00:03:18,197 HOW THEY ARE CREATING PATHWAYS 112 00:03:18,264 --> 00:03:20,700 TO BUILD AND SUSTAIN COMMUNITY 113 00:03:20,767 --> 00:03:22,135 PARTNERSHIPS, AND SUPPORTING 114 00:03:22,201 --> 00:03:24,003 RESEARCHERS IN MEANINGFULLY 115 00:03:24,070 --> 00:03:26,105 ENGAGING AND SHARING RESULTS 116 00:03:26,172 --> 00:03:26,940 WITH PARTNERS. 117 00:03:27,006 --> 00:03:27,941 BECAUSE THEY, OF COURSE, WILL BE 118 00:03:28,007 --> 00:03:29,909 THE ONES WHO WILL BENEFIT MOST 119 00:03:29,976 --> 00:03:31,311 FROM THE RESEARCH FINDINGS. 120 00:03:31,377 --> 00:03:33,179 WE'LL ALSO HEAR FROM HEAL 121 00:03:33,246 --> 00:03:34,180 CONNECTIONS ABOUT THE COMMUNITY 122 00:03:34,247 --> 00:03:35,048 ENGAGEMENT WORK THAT THEY'RE 123 00:03:35,114 --> 00:03:38,117 DOING LATER THIS AFTERNOON. 124 00:03:38,184 --> 00:03:39,419 AND THE PURPOSE NETWORK IS 125 00:03:39,485 --> 00:03:40,420 AVAILABLE TO DISCUSS HOW THEY 126 00:03:40,486 --> 00:03:42,155 ARE CONNECTING PAIN RESEARCHERS 127 00:03:42,221 --> 00:03:43,890 ALONG THE CONTINUUM OF PAIN 128 00:03:43,957 --> 00:03:45,558 RESEARCH FROM ALL DISCIPLINES 129 00:03:45,625 --> 00:03:47,860 AND CAREER STAGES. 130 00:03:47,927 --> 00:03:49,028 ALSO WHILE YOU ARE AT THE 131 00:03:49,095 --> 00:03:50,563 CONFERENCE, YOU MIGHT WANT TO 132 00:03:50,630 --> 00:03:52,131 HAVE ACCESS TO WIFI. 133 00:03:52,198 --> 00:03:53,533 I JUST WANT TO REMIND YOU THAT 134 00:03:53,600 --> 00:03:55,501 THERE IS A PASSWORD TO ACCESS 135 00:03:55,568 --> 00:03:58,571 WIFI IF YOU HAVEN'T SEEN IT, 136 00:03:58,638 --> 00:04:03,810 IT'S JPGHEAL2024 IN ALL CAPS. 137 00:04:03,876 --> 00:04:06,980 SO AGAIN, JPGHEAL2024. 138 00:04:07,046 --> 00:04:08,848 AND FINALLY, I'D JUST LIKE TO 139 00:04:08,915 --> 00:04:10,149 THANK THIS YEAR'S PLANNING 140 00:04:10,216 --> 00:04:12,051 COMMITTEES, BOTH THE 141 00:04:12,118 --> 00:04:13,886 INVESTIGATORS AS WELL AS NIH 142 00:04:13,953 --> 00:04:14,988 SCIENTIFIC STAFF, FOR DEVELOPING 143 00:04:15,054 --> 00:04:16,289 A GREAT PROGRAM FOR US OVER THE 144 00:04:16,356 --> 00:04:18,591 NEXT COUPLE OF DAYS. 145 00:04:18,658 --> 00:04:20,126 SO TO BEGIN THE MEETING, IT'S 146 00:04:20,193 --> 00:04:22,195 NOW MY PLEASURE TO WELCOME THE 147 00:04:22,262 --> 00:04:23,496 DIRECTOR OF THE NATIONAL 148 00:04:23,563 --> 00:04:25,465 INSTITUTE ON DRUG ABUSE AND THE 149 00:04:25,531 --> 00:04:36,542 HEAL SCIENTIFIC CO-DIRECTOR, DR. 150 00:04:37,110 --> 00:04:38,211 GL 151 00:04:38,277 --> 00:04:40,613 >> GOOD MORNING, EVERYONE. 152 00:04:40,680 --> 00:04:42,782 WELCOME TO THE FIFTH MEETING OF 153 00:04:42,849 --> 00:04:44,083 THE HEAL SCIENCE MEETING WHICH 154 00:04:44,150 --> 00:04:46,719 BASICALLY WAS STARTED IN 2019, 155 00:04:46,786 --> 00:04:48,354 AFTER 2018, THE CONGRESS 156 00:04:48,421 --> 00:04:50,323 APPROPRIATED THE FUNDS TO 157 00:04:50,390 --> 00:04:51,324 ADDRESS ONE OF THE MOST 158 00:04:51,391 --> 00:04:52,291 CHALLENGING CRISES THAT WE HAVE 159 00:04:52,358 --> 00:04:54,260 SEEN IN OUR COUNTRY AS IT 160 00:04:54,327 --> 00:04:56,896 RELATES TO DRUGS. 161 00:04:56,963 --> 00:04:59,198 AT THAT TIME, WE BASICALLY WERE 162 00:04:59,265 --> 00:05:00,733 SEEING AN UNPRECEDENTED NUMBER 163 00:05:00,800 --> 00:05:02,035 OF PEOPLE DYING FROM OVERDOSES. 164 00:05:02,101 --> 00:05:04,103 THIS WAS A TRAGEDY THAT HAD 165 00:05:04,170 --> 00:05:05,872 HAPPENED AT LEAST TWO DECADES 166 00:05:05,938 --> 00:05:09,375 BEFORE THEN, AND VERY MUCH 167 00:05:09,442 --> 00:05:11,544 PUSHED BY THE OVERPRESCRIPTION 168 00:05:11,611 --> 00:05:13,513 AND DIVERSION OF PAIN 169 00:05:13,579 --> 00:05:14,180 MEDICATIONS. 170 00:05:14,247 --> 00:05:16,349 AND THAT ACTUALLY RESULTED IN 171 00:05:16,416 --> 00:05:17,984 PEOPLE BECOMING ADDICTED TO 172 00:05:18,051 --> 00:05:21,954 OPIOIDS AND ALSO DYING ON 173 00:05:22,021 --> 00:05:22,321 OVERDOSES. 174 00:05:22,388 --> 00:05:23,589 THIS COULD NOT BE IGNORED WHEN 175 00:05:23,656 --> 00:05:25,458 THE NUMBERS BECAME CLEAR WERE 176 00:05:25,525 --> 00:05:26,526 HIGHER THAN THE NUMBER OF PEOPLE 177 00:05:26,592 --> 00:05:29,796 THAT WERE DYING FROM CAR 178 00:05:29,862 --> 00:05:30,797 ACCIDENTS, AND THAT BROUGHT THE 179 00:05:30,863 --> 00:05:31,998 ATTENTION OF EVERYONE AND 180 00:05:32,065 --> 00:05:35,601 IMMEDIATELY THEY RECOGNIZED THAT 181 00:05:35,668 --> 00:05:37,370 WE NEEDED NOT TO JUST POINT 182 00:05:37,437 --> 00:05:39,105 FINGERS ABOUT THE IMPROPER 183 00:05:39,172 --> 00:05:40,640 PRACTICES OF MEDICINE IN 184 00:05:40,707 --> 00:05:42,508 MANAGING PAIN, BUT RECOGNIZING 185 00:05:42,575 --> 00:05:45,445 THAT THE FIELD OF PAIN HAD BEEN 186 00:05:45,511 --> 00:05:47,246 NEGLECTED, AND SO HAD BEEN THE 187 00:05:47,313 --> 00:05:49,082 FIELD OF SUBSTANCE USE DISORDER. 188 00:05:49,148 --> 00:05:51,150 SO THIS NEGLECT COLLIDED IN WHAT 189 00:05:51,217 --> 00:05:52,785 WE WOULD RIGHT NOW CALL THE 190 00:05:52,852 --> 00:05:54,220 OVERDOSE CRISIS. 191 00:05:54,287 --> 00:05:55,388 HOW BAD IS IT? 192 00:05:55,455 --> 00:05:56,723 WE HAVE NOT BEEN ABLE TO BRING 193 00:05:56,789 --> 00:05:57,256 IT DOWN. 194 00:05:57,323 --> 00:05:59,992 THE LATEST NUMBERS ARE 112,000. 195 00:06:00,059 --> 00:06:01,194 THAT'S APPROXIMATELY 1 PERSON 196 00:06:01,260 --> 00:06:02,962 DYING FROM AN OVERDOSE EVERY 197 00:06:03,029 --> 00:06:03,863 5 MINUTES. 198 00:06:03,930 --> 00:06:05,264 AND THIS IS WHY WE ARE HERE 199 00:06:05,331 --> 00:06:06,666 RIGHT NOW. 200 00:06:06,733 --> 00:06:10,169 BECAUSE IT IS OUR OPPORTUNITY 201 00:06:10,236 --> 00:06:11,370 THROUGH SCIENCE TO ADVANCE 202 00:06:11,437 --> 00:06:14,040 KNOWLEDGE THAT CAN PREVENT THOSE 203 00:06:14,107 --> 00:06:14,340 OVERDOSES. 204 00:06:14,407 --> 00:06:17,243 AND THAT'S WHY -- TAKE ADVANTAGE 205 00:06:17,310 --> 00:06:19,378 OF THE OPPORTUNITY OF BEING 206 00:06:19,445 --> 00:06:22,315 TOGETHER, FORM NETWORKS, 207 00:06:22,381 --> 00:06:23,449 COLLABORATIONS. I'M DELIGHTED 208 00:06:23,516 --> 00:06:24,383 TO SEE THAT THE COMMUNITY 209 00:06:24,450 --> 00:06:26,352 PARTNERS ARE HERE AND I WELCOME 210 00:06:26,419 --> 00:06:26,552 THEM. 211 00:06:26,619 --> 00:06:29,555 WE NEED TO OPEN THE DOORS BEYOND 212 00:06:29,622 --> 00:06:31,824 ACADEMIC CENTERS AND CREATE A 213 00:06:31,891 --> 00:06:32,925 DIVERSE WORKFORCE THAT WILL BE 214 00:06:32,992 --> 00:06:34,127 MUCH MORE AMENABLE TO ADDRESS 215 00:06:34,193 --> 00:06:35,461 THE REALITY OF THE PROBLEMS THAT 216 00:06:35,528 --> 00:06:37,964 WE ARE FACING. 217 00:06:38,030 --> 00:06:40,800 SO WITHIN THIS CONTEXT, IT'S A 218 00:06:40,867 --> 00:06:42,668 TRUE PLEASURE FOR ME TO 219 00:06:42,735 --> 00:06:44,203 INTRODUCE DR. LARRY TABAK, WHO 220 00:06:44,270 --> 00:06:46,506 IS THE PRINCIPAL DEPUTY DIRECTOR 221 00:06:46,572 --> 00:06:47,807 OF THE NIH, WHO'S GOING TO BE 222 00:06:47,874 --> 00:06:49,442 ACTUALLY OPENING THE MEETING 223 00:06:49,509 --> 00:06:51,410 WITH A SCIENTIFIC TALK. 224 00:06:51,477 --> 00:06:53,146 AND IT IS A PRIVILEGE FOR ME TO 225 00:06:53,212 --> 00:06:54,680 INTRODUCE YOU TO HIM NOT JUST 226 00:06:54,747 --> 00:06:56,215 BECAUSE HE HAS PLAYED AN 227 00:06:56,282 --> 00:06:57,683 EXTREMELY IMPORTANT ROLE IN THE 228 00:06:57,750 --> 00:06:59,285 LEADERSHIP OF THE NIH. 229 00:06:59,352 --> 00:07:01,754 HE WAS THE PRINCIPAL DEPUTY 230 00:07:01,821 --> 00:07:03,256 DIRECTOR UNDER FRANCIS COLLINS 231 00:07:03,322 --> 00:07:05,625 WHEN FRANCIS COLLINS STEPPED 232 00:07:05,691 --> 00:07:06,092 DOWN. 233 00:07:06,159 --> 00:07:07,927 HE WAS THE ACTING DIRECTOR OF 234 00:07:07,994 --> 00:07:09,529 THE NIH, AND NOW WITH A NEW 235 00:07:09,595 --> 00:07:12,064 DIRECTOR OF NIH, DR. MONICA 236 00:07:12,131 --> 00:07:13,933 BERTAGNOLLI, HE'S ALSO -- HE HAS 237 00:07:14,000 --> 00:07:15,902 BEEN APPOINTED THE PRINCIPAL 238 00:07:15,968 --> 00:07:18,104 DIRECTOR FOR THE NIH. 239 00:07:18,171 --> 00:07:19,972 AND SO HIS ROLE IS NOT JUST -- 240 00:07:20,039 --> 00:07:22,041 HAS BEEN INCREDIBLE IN TERMS OF 241 00:07:22,108 --> 00:07:24,377 LEADERSHIP, BUT I ALSO WANT TO 242 00:07:24,443 --> 00:07:25,645 RECOGNIZE HIS LEADERSHIP IN THE 243 00:07:25,711 --> 00:07:28,915 WHOLE FIELD OF PAIN. 244 00:07:28,981 --> 00:07:30,683 HE WAS DIRECTOR OF NIDCR, THE 245 00:07:30,750 --> 00:07:33,085 DENTAL AND CRANIOFACIAL 246 00:07:33,152 --> 00:07:35,588 INSTITUTE, FROM 2000 TO 2010. 247 00:07:35,655 --> 00:07:38,391 AND IN THAT ROLE, HE ACTUALLY 248 00:07:38,457 --> 00:07:39,525 WAS INSTRUMENTAL IN ADVANCING 249 00:07:39,592 --> 00:07:42,261 THE SCIENCE OF PAIN, AND FROM 250 00:07:42,328 --> 00:07:45,097 THEN WAS PLAYING A KEY ROLE IN 251 00:07:45,164 --> 00:07:47,733 DRIVING THE PAIN CONSORTIUM TO 252 00:07:47,800 --> 00:07:49,168 ADVANCE THE RELATIONSHIPS AND 253 00:07:49,235 --> 00:07:51,470 THE OPPORTUNITY OF INSTITUTES TO 254 00:07:51,537 --> 00:07:53,773 COME TOGETHER. 255 00:07:53,840 --> 00:07:56,008 IN 2016, I WAS ACTUALLY -- OR 256 00:07:56,075 --> 00:07:57,677 2016 MORE OR LESS, FRANCIS 257 00:07:57,743 --> 00:07:59,979 COLLINS CALLED ME IN AND LARRY 258 00:08:00,046 --> 00:08:02,048 WAS THERE AND HE SAYS, NORA, 259 00:08:02,114 --> 00:08:04,917 WHAT IS IT THAT -- WITH THIS 260 00:08:04,984 --> 00:08:06,152 OVERDOSE CRISIS, WHAT SHOULD WE 261 00:08:06,219 --> 00:08:06,452 DO? 262 00:08:06,519 --> 00:08:07,987 SO HE HAS BEEN THERE SINCE THE 263 00:08:08,054 --> 00:08:08,254 BEGINNING. 264 00:08:08,321 --> 00:08:10,523 IT WAS CLEAR THAT WE NEEDED TO 265 00:08:10,590 --> 00:08:12,558 ADDRESS OVERDOSES, SUBSTANCE USE 266 00:08:12,625 --> 00:08:13,759 DISORDER, BUT WE NEEDED TO 267 00:08:13,826 --> 00:08:14,627 ADDRESS PAIN. 268 00:08:14,694 --> 00:08:17,396 AND HE HAS BEEN ONE OF THE KEY 269 00:08:17,463 --> 00:08:19,465 LEADERS TO ENSURING THAT WE 270 00:08:19,532 --> 00:08:21,100 ADVANCE THE SCIENCE OF PAIN. 271 00:08:21,167 --> 00:08:23,836 HE HAS ALSO BEEN A KEY LEADER IN 272 00:08:23,903 --> 00:08:26,472 MAKING US ALL AWARE OF THE 273 00:08:26,539 --> 00:08:27,673 NEGLECT OF ADDICTION. 274 00:08:27,740 --> 00:08:30,376 AND IMPORTANTLY, I THINK HE HAS 275 00:08:30,443 --> 00:08:33,880 ALSO BEEN ONE OF THE STRONGEST 276 00:08:33,946 --> 00:08:35,281 DEFENDERS OF THE IMPORTANCE OF 277 00:08:35,348 --> 00:08:36,449 DIVERSITY AND EQUITY. 278 00:08:36,515 --> 00:08:39,919 SO IT'S A PLEASURE TO INTRODUCE 279 00:08:39,986 --> 00:08:41,454 DR. LARRY TABAK, WHICH BY THE 280 00:08:41,520 --> 00:08:42,989 WAY REQUIRES NO INTRODUCTION. 281 00:08:43,055 --> 00:08:53,299 LARRY, PLEASE. 282 00:08:53,833 --> 00:08:56,636 >> WELL, THANK YOU, NORA, FOR 283 00:08:56,702 --> 00:08:58,537 THAT OVERLY GENEROUS 284 00:08:58,604 --> 00:09:00,139 INTRODUCTION. 285 00:09:00,206 --> 00:09:01,908 UP UNTIL YESTERDAY, MONICA WAS 286 00:09:01,974 --> 00:09:03,743 GOING TO BE HERE, BUT THE FIRST 287 00:09:03,809 --> 00:09:06,178 LADY INVITED HER TO TRAVEL WITH 288 00:09:06,245 --> 00:09:08,915 HER TODAY, AND SO THAT WOULD 289 00:09:08,981 --> 00:09:10,149 HAVE BEEN ABOUT THE ONLY THING 290 00:09:10,216 --> 00:09:11,617 THAT WOULD HAVE TAKEN HER AWAY 291 00:09:11,684 --> 00:09:13,152 FROM THIS. 292 00:09:13,219 --> 00:09:15,388 SO WHAT I WAS ASKED TO STAND -- 293 00:09:15,454 --> 00:09:16,989 WHEN I WAS ASKED TO STAND IN FOR 294 00:09:17,056 --> 00:09:18,190 HER, AT FIRST I JUST THOUGHT I 295 00:09:18,257 --> 00:09:19,725 WOULD USE HER SLIDES. 296 00:09:19,792 --> 00:09:21,794 AND THEN I REALIZED THAT THE 297 00:09:21,861 --> 00:09:23,996 BEAUTIFUL PICTURE OF HER RANCH 298 00:09:24,063 --> 00:09:28,134 WHERE SHE GREW UP DIDN'T QUITE 299 00:09:28,200 --> 00:09:31,437 COMPORT TO THE APARTMENT HOUSE 300 00:09:31,504 --> 00:09:33,072 IN BROOKLYN THAT I GREW UP. 301 00:09:33,139 --> 00:09:35,908 SO I'VE CHANGED THEM A LITTLE 302 00:09:35,975 --> 00:09:38,544 BIT, BUT I DO BRING YOU 303 00:09:38,611 --> 00:09:42,181 GREETINGS FROM DR. BERTAGNOLLI 304 00:09:42,248 --> 00:09:44,450 AND WE'LL SHARE WITH YOU SOME OF 305 00:09:44,517 --> 00:09:46,719 THE THINGS THAT SHE HAS BEEN 306 00:09:46,786 --> 00:09:48,621 SHARING WITH THE INSTITUTE AND 307 00:09:48,688 --> 00:09:52,391 CENTER DIRECTORS AS SHE IS 308 00:09:52,458 --> 00:09:54,894 ALMOST AT HER 100TH DAY IN HER 309 00:09:54,961 --> 00:09:57,496 TENURE AS NIH DIRECTOR. 310 00:09:57,563 --> 00:09:59,231 SO THE GEOMETRY OF THIS ROOM IS 311 00:09:59,298 --> 00:10:04,303 REALLY INTERESTING. 312 00:10:04,370 --> 00:10:05,204 ALL RIGHT. 313 00:10:05,271 --> 00:10:06,172 GOOD LUCK TO THE NEXT 314 00:10:06,238 --> 00:10:07,273 PRESENTERS. 315 00:10:07,340 --> 00:10:08,607 ALL RIGHT. 316 00:10:08,674 --> 00:10:11,744 SO REALLY, I'M JUST GOING TO 317 00:10:11,811 --> 00:10:12,845 COVER TWO MAJOR POINTS. 318 00:10:12,912 --> 00:10:16,148 THE FIRST IS TO JUST SUMMARIZE 319 00:10:16,215 --> 00:10:18,918 FOR YOU THE VISION THAT THE NIH 320 00:10:18,985 --> 00:10:19,785 DIRECTOR HAS BEEN SHARING WITH 321 00:10:19,852 --> 00:10:24,223 US, BOTH THE CHALLENGES AND THE 322 00:10:24,290 --> 00:10:25,191 OPPORTUNITIES AND THEN JUST TO 323 00:10:25,257 --> 00:10:27,393 VERY QUICKLY REMIND YOU OF SOME 324 00:10:27,460 --> 00:10:28,361 OF THE HEAL PROGRESS. 325 00:10:28,427 --> 00:10:29,795 IT'S OKAY FOR NOW, BUT GET IT 326 00:10:29,862 --> 00:10:31,564 SET UP FOR THE SPEAKERS IN THE 327 00:10:31,630 --> 00:10:35,968 FUTURE. 328 00:10:36,035 --> 00:10:38,004 SO THIS IS ONE OF THE THINGS 329 00:10:38,070 --> 00:10:40,006 THAT DRIVES THE NIH DIRECTOR, 330 00:10:40,072 --> 00:10:44,410 THIS UNDERSTANDING THAT IF YOU 331 00:10:44,477 --> 00:10:50,616 LOOK AT OUR PEER NATIONS, WE 332 00:10:50,683 --> 00:10:52,284 RANK VERY, VERY LOW IN TERMS OF 333 00:10:52,351 --> 00:10:52,918 LIFE EXPECTANCY. 334 00:10:52,985 --> 00:10:54,987 THESE ARE DATA THAT I'M SURE ALL 335 00:10:55,054 --> 00:11:00,493 OF YOU ARE FAMILIAR WITH. 336 00:11:00,559 --> 00:11:02,995 AND IT REALLY -- IT REALLY 337 00:11:03,062 --> 00:11:08,901 CONCERNS ALL OF US. 338 00:11:08,968 --> 00:11:10,202 YOU CAN POINT TO CERTAIN 339 00:11:10,269 --> 00:11:12,638 FEATURES AS TO WHY THIS IS 340 00:11:12,705 --> 00:11:16,242 POSSIBLE, BUT IT REALLY DOES, 341 00:11:16,308 --> 00:11:19,178 YOU KNOW, CONCERN US ALL. 342 00:11:19,245 --> 00:11:21,814 AND THEN THIS JUST PILES ON. 343 00:11:21,881 --> 00:11:24,984 THIS IS THE LIFE EXPECTANCY 344 00:11:25,051 --> 00:11:29,855 VERSUS HEALTH EXPENDITURE. 345 00:11:29,922 --> 00:11:32,491 SO WE PAY MORE TO BE LESS 346 00:11:32,558 --> 00:11:34,026 HEALTHY THAN ANY NATION ON 347 00:11:34,093 --> 00:11:34,226 EARTH. 348 00:11:34,293 --> 00:11:35,027 THAT'S SO MUCH BETTER, THANK 349 00:11:35,094 --> 00:11:36,862 YOU. 350 00:11:36,929 --> 00:11:38,397 I'LL AGREE TO THE POLICIES IF WE 351 00:11:38,464 --> 00:11:42,368 CAN GET RID OF THAT BANNER. 352 00:11:42,435 --> 00:11:47,273 OKAY. 353 00:11:47,339 --> 00:11:47,740 THANKS VERY MUCH. 354 00:11:47,807 --> 00:11:49,241 SO WHEN YOU LOOK AT LIFE 355 00:11:49,308 --> 00:11:51,310 EXPECTANCY VERSUS HEALTH 356 00:11:51,377 --> 00:11:52,211 EXPENDITURES, OUR COUNTRY IS 357 00:11:52,278 --> 00:11:53,913 SUCH AN OUTLIER. 358 00:11:53,979 --> 00:11:56,248 AND THIS IS SOMETHING THAT 359 00:11:56,315 --> 00:11:57,883 SHOULD INFORM ALL OF OUR 360 00:11:57,950 --> 00:12:01,587 THINKING AS WE CONSIDER WHAT WE 361 00:12:01,654 --> 00:12:03,022 CAN DO TO IMPROVE HEALTH, BUT 362 00:12:03,089 --> 00:12:04,523 THIS IS SOMETHING THAT IS 363 00:12:04,590 --> 00:12:05,925 CENTRAL TO DR. BERTAGNOLLI'S 364 00:12:05,991 --> 00:12:10,663 THINKING. 365 00:12:10,729 --> 00:12:15,367 AND THIS IS A FACT THAT -- THIS 366 00:12:15,434 --> 00:12:19,205 WAS ONLY A TEASE. 367 00:12:19,271 --> 00:12:20,606 THIS IS A FACT THAT ALL OF YOU, 368 00:12:20,673 --> 00:12:23,242 I THINK, ARE FAMILIAR WITH, 369 00:12:23,309 --> 00:12:25,978 BECAUSE IT IS THE WORKING-AGE 370 00:12:26,045 --> 00:12:28,514 ADULTS WHO ARE DYING AT HIGHER 371 00:12:28,581 --> 00:12:32,151 RATES, AND THIS IS -- THE MAIN 372 00:12:32,218 --> 00:12:34,386 DRIVERS, OF COURSE, ARE 373 00:12:34,453 --> 00:12:36,922 SO-CALLED DRUG POISONING, 374 00:12:36,989 --> 00:12:39,058 ALCOHOL-INDUCED CAUSES, 375 00:12:39,125 --> 00:12:41,827 SUICIDES, AND THEN FINALLY, 376 00:12:41,894 --> 00:12:47,967 CARDIOMETABOLIC DISEASE. 377 00:12:48,033 --> 00:12:50,870 SO I THINK WITH THIS AS THE 378 00:12:50,936 --> 00:12:53,439 BACKDROP, DR. BERTAGNOLLI HAS 379 00:12:53,506 --> 00:12:55,841 ARTICULATED THESE GUIDING 380 00:12:55,908 --> 00:12:58,010 PRINCIPLES, AND I THINK THEY'RE 381 00:12:58,077 --> 00:13:00,813 IMPORTANT TO KEEP IN MIND AS THE 382 00:13:00,880 --> 00:13:04,817 HEAL EFFORT GOES FORWARD. 383 00:13:04,884 --> 00:13:06,452 SO THE FIRST IS OUR WORK IS NOT 384 00:13:06,519 --> 00:13:08,320 FINISHED WHEN WE DELIVER 385 00:13:08,387 --> 00:13:09,622 SCIENTIFIC DISCOVERIES. 386 00:13:09,688 --> 00:13:11,390 OUR WORK IS FINISHED WHEN ALL 387 00:13:11,457 --> 00:13:12,558 PEOPLE ARE LIVING LONG AND 388 00:13:12,625 --> 00:13:13,659 HEALTHY LIVES. 389 00:13:13,726 --> 00:13:16,996 NOW, ALL THE DEANS AND PROVOSTS 390 00:13:17,062 --> 00:13:20,232 AND CHAIRS OF DEPARTMENTS TAKE 391 00:13:20,299 --> 00:13:23,068 NOTE, IT'S NOT JUST A 392 00:13:23,135 --> 00:13:24,270 PUBLICATION NUMBER. 393 00:13:24,336 --> 00:13:26,372 AND WE ALL UNDERSTOOD THIS ALL 394 00:13:26,438 --> 00:13:31,644 ALONG, BUT YET OUR ALIGNMENT 395 00:13:31,710 --> 00:13:34,013 WITH THE REWARD SYSTEM IN 396 00:13:34,079 --> 00:13:39,151 ACADEMIA ISN'T REALLY SYNCED UP 397 00:13:39,218 --> 00:13:43,455 YET. 398 00:13:43,522 --> 00:13:44,890 THE SECOND GUIDING PRINCIPLE 399 00:13:44,957 --> 00:13:46,525 THAT SHE HAS ARTICULATED IS THAT 400 00:13:46,592 --> 00:13:47,960 RESEARCH IS NOT ONLY ABOUT THE 401 00:13:48,027 --> 00:13:49,595 LABORATORY, IT'S NOT ONLY ABOUT 402 00:13:49,662 --> 00:13:52,131 THE CLINIC, BUT IT ALSO ENGAGES 403 00:13:52,198 --> 00:13:53,832 THE COMMUNITY. 404 00:13:53,899 --> 00:13:56,468 AND I HAVE TO SAY, HEAL HAS BEEN 405 00:13:56,535 --> 00:13:57,703 AT THE FOREFRONT OF THIS AND HAS 406 00:13:57,770 --> 00:14:00,739 BEEN USED AS THE EXEMPLAR AS WE 407 00:14:00,806 --> 00:14:03,042 WERE DESCRIBING TO 408 00:14:03,108 --> 00:14:04,376 DR. BERTAGNOLLI SOME OF THE 409 00:14:04,443 --> 00:14:07,413 ONGOING WORK, AND SHE WAS 410 00:14:07,479 --> 00:14:08,614 DELIGHTED TO LEARN ABOUT THIS 411 00:14:08,681 --> 00:14:11,016 AND NO DOUBT WILL ENGAGE EVEN 412 00:14:11,083 --> 00:14:11,684 FURTHER. 413 00:14:11,750 --> 00:14:13,319 AND THEN FINALLY, AND AGAIN, 414 00:14:13,385 --> 00:14:17,389 THIS IS SOMETHING THAT HEAL 415 00:14:17,456 --> 00:14:19,892 UNDERSTANDS, PROGRESS IS 416 00:14:19,959 --> 00:14:21,093 ACCELERATED WHEN ADVANCED 417 00:14:21,160 --> 00:14:22,728 SCIENTIFIC METHODS SUCH AS DATA 418 00:14:22,795 --> 00:14:24,930 ANALYTICS ARE APPLIED TO DATA 419 00:14:24,997 --> 00:14:28,534 THAT INCLUDES EVERYONE, AND WHEN 420 00:14:28,601 --> 00:14:30,836 NEW DISCOVERIES ARE RAPIDLY AND 421 00:14:30,903 --> 00:14:31,904 EQUITABLY ADOPTED IN CLINICAL 422 00:14:31,971 --> 00:14:33,672 CARE. 423 00:14:33,739 --> 00:14:35,741 SO FIRST OF ALL, USE THE BEST 424 00:14:35,808 --> 00:14:38,377 ANALYTICAL METHODS. 425 00:14:38,444 --> 00:14:41,213 SECOND, MAKE SURE THAT THE DATA 426 00:14:41,280 --> 00:14:42,648 ARE REPRESENTATIVE OF ALL 427 00:14:42,715 --> 00:14:43,949 COMMUNITIES, AND THIRD, WHATEVER 428 00:14:44,016 --> 00:14:46,151 YOU DISCOVER AND TRANSLATE INTO 429 00:14:46,218 --> 00:14:47,786 TANGIBLES FOR OUR PATIENTS, MAKE 430 00:14:47,853 --> 00:14:50,956 SURE ALL OF OUR PATIENTS CAN 431 00:14:51,023 --> 00:14:51,523 BENEFIT. 432 00:14:51,590 --> 00:14:52,825 NOT JUST THOSE WHO HAVE 433 00:14:52,891 --> 00:14:58,530 RESOURCES. 434 00:14:58,597 --> 00:15:02,101 SO THE VISION THAT MONICA HAS 435 00:15:02,167 --> 00:15:05,271 ARTICULATED FOR THE NIH 436 00:15:05,337 --> 00:15:06,372 LEADERSHIP TEAM HAS BEEN THAT WE 437 00:15:06,438 --> 00:15:09,808 NEED TO CONNECT RESEARCH TO 438 00:15:09,875 --> 00:15:11,877 PRIMARY CARE TO OPTIMIZE 439 00:15:11,944 --> 00:15:15,848 OUTCOMES FOR ALL OUR PARENTS. 440 00:15:15,914 --> 00:15:17,483 IF YOU THINK ABOUT WHERE MOST OF 441 00:15:17,549 --> 00:15:20,953 US CAME FROM, ACADEMIC HEALTH 442 00:15:21,020 --> 00:15:23,489 CENTERS, PRIMARY CARE WAS NOT 443 00:15:23,555 --> 00:15:26,225 THE THING UPPER-MOST IN ONE'S 444 00:15:26,292 --> 00:15:27,526 MIND, BECAUSE MOST OF ACADEMIC 445 00:15:27,593 --> 00:15:29,161 HEALTH CENTERS ARE DRIVEN BY 446 00:15:29,228 --> 00:15:32,131 SPECIALTY CARE. 447 00:15:32,197 --> 00:15:34,533 OR SUPER SPECIALTY CARE. 448 00:15:34,600 --> 00:15:37,169 YOU GO TO A LEFT KIDNEY DOC, NOT 449 00:15:37,236 --> 00:15:39,772 A RIGHT KIDNEY DOC. 450 00:15:39,838 --> 00:15:42,841 AND SO THIS REALLY DOES HAVE A 451 00:15:42,908 --> 00:15:46,111 TRANSFORMATIVE POWER TO IT. 452 00:15:46,178 --> 00:15:47,513 CONNECT RESEARCH TO PRIMARY CARE 453 00:15:47,579 --> 00:15:48,747 TO OPTIMIZE OUTCOMES FOR 454 00:15:48,814 --> 00:15:49,782 PATIENTS. 455 00:15:49,848 --> 00:15:51,250 NOW, PRIMARY CARE DOCS ARE 456 00:15:51,317 --> 00:15:52,518 SITTING IN THE AUDIENCE GOING, 457 00:15:52,584 --> 00:15:53,319 WELL, I COULD HAVE TOLD YOU 458 00:15:53,385 --> 00:15:54,420 THAT. 459 00:15:54,486 --> 00:15:57,356 AND IT'S TRUE. 460 00:15:57,423 --> 00:15:59,224 SECONDLY, TO EXPAND BIOMEDICAL 461 00:15:59,291 --> 00:16:00,993 RESEARCH DATA USE TO INFORM NEW 462 00:16:01,060 --> 00:16:02,094 RESEARCH AND IMPROVE HEALTH 463 00:16:02,161 --> 00:16:02,528 OUTCOMES. 464 00:16:02,594 --> 00:16:04,263 SO THE IDEA IS TO COLLECT DATA 465 00:16:04,330 --> 00:16:06,999 ONCE AND THEN USE IT A LOT OF 466 00:16:07,066 --> 00:16:07,333 TIMES. 467 00:16:07,399 --> 00:16:09,935 AND INDEED, I THINK THAT IS AT 468 00:16:10,002 --> 00:16:12,037 THE CENTER OF WHAT THE HEAL 469 00:16:12,104 --> 00:16:17,710 ANALYTICS APPROACH HAS BEEN TO 470 00:16:17,776 --> 00:16:18,911 CONNECT WHAT HAD BEEN TWO 471 00:16:18,977 --> 00:16:20,012 COMMUNITIES THAT SORT OF VAGUELY 472 00:16:20,079 --> 00:16:21,580 KNEW THAT EACH OTHER EXISTED, 473 00:16:21,647 --> 00:16:23,115 THE OPIOID USE DISORDER 474 00:16:23,182 --> 00:16:25,184 COMMUNITY AND THE PAIN 475 00:16:25,250 --> 00:16:27,886 COMMUNITY, BUT NOW YOU'RE ALL 476 00:16:27,953 --> 00:16:31,423 TOGETHER IN ONE ROOM. 477 00:16:31,490 --> 00:16:32,624 YOU'RE IN THE POSTER ROOM 478 00:16:32,691 --> 00:16:33,726 CONVERSING WITH ONE ANOTHER. 479 00:16:33,792 --> 00:16:35,561 AND SO AGAIN, I THINK HEAL HAS 480 00:16:35,627 --> 00:16:39,298 BEEN THE EXEMPLAR FOR THIS TYPE 481 00:16:39,365 --> 00:16:41,600 OF THING, AND ALL WE CAN DO IS 482 00:16:41,667 --> 00:16:42,901 SAY KEEP GOING, KEEP GOING AT 483 00:16:42,968 --> 00:16:46,305 IT, BECAUSE IT'S SO IMPORTANT. 484 00:16:46,372 --> 00:16:46,605 OKAY. 485 00:16:46,672 --> 00:16:48,474 SO NOW JUST TO SHIFT GEARS, AND 486 00:16:48,540 --> 00:16:49,575 AGAIN, THESE WERE THINGS THAT 487 00:16:49,641 --> 00:16:51,977 MONICA WAS GOING TO SHARE WITH 488 00:16:52,044 --> 00:16:52,978 YOU, AND THESE ARE THINGS THAT 489 00:16:53,045 --> 00:16:57,349 MOST OF YOU ARE PAINFULLY AWARE. 490 00:16:57,416 --> 00:17:00,953 LAUNCHED IN 2018, AS NORA SHARED 491 00:17:01,019 --> 00:17:03,689 WITH YOU, AND THE GOAL WAS TO 492 00:17:03,756 --> 00:17:07,192 FIND SCIENTIFIC SOLUTIONS TO THE 493 00:17:07,259 --> 00:17:09,795 OPIOID PUBLIC HEALTH CRISIS. 494 00:17:09,862 --> 00:17:12,765 WHAT'S THE DRIVERS? 495 00:17:12,831 --> 00:17:16,268 AGAIN, THESE ARE DATA THAT YOU 496 00:17:16,335 --> 00:17:17,803 ALL KNOW TOO WELL. 497 00:17:17,870 --> 00:17:22,274 THE DRAMATIC EMERGENCE OF 498 00:17:22,341 --> 00:17:30,816 FENTANYL IN THE MID -- 2015, 499 00:17:30,883 --> 00:17:32,684 2016 ERA AND THE JUST INCREDIBLE 500 00:17:32,751 --> 00:17:34,386 RISE IN CASES OF REPORTED 501 00:17:34,453 --> 00:17:36,288 DEATHS. 502 00:17:36,355 --> 00:17:38,924 AND AS SCARY AND LAGGING ONLY 503 00:17:38,991 --> 00:17:40,125 SLIGHTLY BEHIND IS THE USE OF 504 00:17:40,192 --> 00:17:43,495 STIMULANTS NOW. 505 00:17:43,562 --> 00:17:48,734 THIS, TOO, IS VERY SCARY. 506 00:17:48,801 --> 00:17:56,742 AND THERE'S A SLIGHT VICTORY, 507 00:17:56,809 --> 00:17:59,678 IT'S JUST OVERWHELMED BY 508 00:17:59,745 --> 00:18:01,980 FENTANYL AND STIMULANT. 509 00:18:02,047 --> 00:18:06,251 AND IF YOU LOOK AT THESE DATA AS 510 00:18:06,318 --> 00:18:09,955 A FUNCTION OF RACE, IT IS 511 00:18:10,022 --> 00:18:11,957 AMERICAN INDIAN AND ALASKA 512 00:18:12,024 --> 00:18:15,127 NATIVES AND AFRICAN AMERICAN AND 513 00:18:15,194 --> 00:18:19,598 BLACK INDIVIDUALS WHO BEAR THE 514 00:18:19,665 --> 00:18:22,100 DISPROPORTIONATE BURDEN OF THIS. 515 00:18:22,167 --> 00:18:25,737 AND IT'S NOT THAT ANY GROUP IS 516 00:18:25,804 --> 00:18:28,774 HELD HARMLESS, BECAUSE SADLY 517 00:18:28,841 --> 00:18:30,442 EVERY RACIAL/ETHNIC GROUP IS 518 00:18:30,509 --> 00:18:33,712 AFFECTED, BUT CLEARLY, AFRICAN 519 00:18:33,779 --> 00:18:37,015 AMERICAN AND AMERICAN INDIAN AND 520 00:18:37,082 --> 00:18:39,284 ALASKA NATIVES ARE DISPLAYING 521 00:18:39,351 --> 00:18:43,622 DISPROPORTIONATE BURDEN HERE. 522 00:18:43,689 --> 00:18:45,424 WHEN YOU LOOK AT THE PUBLIC 523 00:18:45,491 --> 00:18:52,297 HEALTH CRISIS IN PAIN, TODAY, 524 00:18:52,364 --> 00:18:56,835 50 MILLION ADULTS REPORT CHRONIC 525 00:18:56,902 --> 00:18:59,738 PAIN, 25 MILLION OF THOSE ARE 526 00:18:59,805 --> 00:19:03,041 SEVERE, DAILY SEVERE PAIN. 527 00:19:03,108 --> 00:19:05,010 20 MILLION HAVE WHAT IS KNOWN AS 528 00:19:05,077 --> 00:19:05,744 HIGH IMPACT PAIN. 529 00:19:05,811 --> 00:19:08,146 THAT IS, IT LASTS MORE THAN 530 00:19:08,213 --> 00:19:09,248 THREE MONTHS AND IT INTERFERES 531 00:19:09,314 --> 00:19:12,751 WITH THEIR NORMAL LIFE. 532 00:19:12,818 --> 00:19:14,186 SCHOOL WORK, SOCIAL ACTIVITY, ET 533 00:19:14,253 --> 00:19:16,054 CETERA. 534 00:19:16,121 --> 00:19:20,759 AND WHAT IS QUITE INTERESTING IS 535 00:19:20,826 --> 00:19:23,028 THAT MORE RURAL THAN URBAN 536 00:19:23,095 --> 00:19:24,897 DWELLERS REPORT PAIN. 537 00:19:24,963 --> 00:19:27,833 28% OF RURAL VERSUS 16% OF URBAN 538 00:19:27,900 --> 00:19:33,105 RESIDENTS WITH CHRONIC PAIN. 539 00:19:33,171 --> 00:19:36,275 AND ANOTHER POINT THAT 540 00:19:36,341 --> 00:19:37,209 DR. BERTAGNOLLI IS MAKING IS 541 00:19:37,276 --> 00:19:41,079 THAT WE HAVE NOT ADDRESSED RURAL 542 00:19:41,146 --> 00:19:42,414 HEALTH NEEDS TO THE SAME EXTENT 543 00:19:42,481 --> 00:19:44,816 AS WE HAVE URBAN HEALTH NEEDS. 544 00:19:44,883 --> 00:19:46,251 AND I THINK DURING HER TENURE, 545 00:19:46,318 --> 00:19:48,287 THAT'S SOMETHING THAT SHE HOPES 546 00:19:48,353 --> 00:19:53,392 TO REDRESS AS WELL. 547 00:19:53,458 --> 00:19:54,660 SO HEAL BY THE NUMBERS. 548 00:19:54,726 --> 00:20:01,099 THESE ARE JUST AMAZING NUMBERS. 549 00:20:01,166 --> 00:20:03,068 SINCE 2018, 1800 RESEARCH 550 00:20:03,135 --> 00:20:05,804 PROJECTS, EVERY STATE, OVER 551 00:20:05,871 --> 00:20:09,308 $3 BILLION IN EXPENDITURES. 552 00:20:09,374 --> 00:20:11,376 THE NEXT POINT IS SO VERY, VERY, 553 00:20:11,443 --> 00:20:12,811 VERY IMPORTANT, AND I HAVE TO 554 00:20:12,878 --> 00:20:14,780 GIVE TREMENDOUS CREDIT TO NORA 555 00:20:14,846 --> 00:20:17,716 AND TO WALTER, WHO HAVE 556 00:20:17,783 --> 00:20:21,453 PARTNERED SO EFFECTIVELY WITH 18 557 00:20:21,520 --> 00:20:24,389 NIH INSTITUTES AND CENTERS. 558 00:20:24,456 --> 00:20:25,924 AND FOR THOSE OF YOU WHO THINK, 559 00:20:25,991 --> 00:20:28,327 WELL, WHAT'S THE BIG DEAL, IT'S 560 00:20:28,393 --> 00:20:29,861 A BIG DEAL, OKAY? 561 00:20:29,928 --> 00:20:31,496 BREAKING DOWN THE SILOS, MAKING 562 00:20:31,563 --> 00:20:33,899 SURE THAT EVERYBODY FEELS 563 00:20:33,966 --> 00:20:36,101 WELCOME, EVERY IS ENGAGED, AND 564 00:20:36,168 --> 00:20:37,803 EVERYBODY BRINGS TO THE TABLE 565 00:20:37,869 --> 00:20:42,541 THEIR UNIQUE EXPERTISE. 566 00:20:42,608 --> 00:20:44,843 OVER 40 FDA SUBMISSIONS FOR 567 00:20:44,910 --> 00:20:46,044 INVESTIGATIONAL NEW DRUGS OR 568 00:20:46,111 --> 00:20:48,680 DEVICES, OVER 300 CLINICAL 569 00:20:48,747 --> 00:20:51,083 TRIALS ONGOING. 570 00:20:51,149 --> 00:20:54,252 AND ACTIVE ONGOING PARTNERSHIPS 571 00:20:54,319 --> 00:20:56,054 WITH COMMUNITIES, FEDERAL, STATE 572 00:20:56,121 --> 00:20:59,491 AND LOCAL AGENCIES, THE PRIVATE 573 00:20:59,558 --> 00:21:00,692 SECTOR, AND, OF COURSE, 574 00:21:00,759 --> 00:21:04,329 ACADEMIA. 575 00:21:04,396 --> 00:21:05,931 SO HEAL IS NOT ANY ONE THING. 576 00:21:05,998 --> 00:21:08,934 HEAL IS THE SUMMATION OF ALL OF 577 00:21:09,001 --> 00:21:12,070 THE PARTS WHICH HAVE BEEN 578 00:21:12,137 --> 00:21:13,271 INTEGRATED AND MELDED TOGETHER 579 00:21:13,338 --> 00:21:14,272 TO CREATE THIS EXTRAORDINARY 580 00:21:14,339 --> 00:21:14,740 EFFORT. 581 00:21:14,806 --> 00:21:17,242 IT'S AN EFFORT THAT IS EMPOWERED 582 00:21:17,309 --> 00:21:19,845 BY EACH AND EVERY ONE OF YOU IN 583 00:21:19,911 --> 00:21:22,147 THIS ROOM, AND BY COUNTLESS 584 00:21:22,214 --> 00:21:23,682 NUMBERS OF YOUR COLLEAGUES BACK 585 00:21:23,749 --> 00:21:25,417 AT YOUR HOME INSTITUTIONS, AT 586 00:21:25,484 --> 00:21:29,588 YOUR HOME ORGANIZATIONS, IN YOUR 587 00:21:29,655 --> 00:21:30,522 COMMUNITIES. 588 00:21:30,589 --> 00:21:32,124 AND SO REALLY, YOU ARE HEAL,%ALL 589 00:21:32,190 --> 00:21:37,262 OF YOU, AND I REALLY APPLAUD 590 00:21:37,329 --> 00:21:39,464 EACH OF YOU. 591 00:21:39,531 --> 00:21:40,766 WE HAVE BEEN SETTING WITH HEAL 592 00:21:40,832 --> 00:21:44,903 AN EXAMPLE FOR OPEN SCIENCE. 593 00:21:44,970 --> 00:21:48,974 EARLY ON, WE REALIZED THAT IF WE 594 00:21:49,041 --> 00:21:50,375 DISCOVERED SOMETHING BUT ONLY 595 00:21:50,442 --> 00:21:53,879 TOLD PEOPLE WHO COULD AFFORD A 596 00:21:53,945 --> 00:21:56,081 SUBSCRIPTION TO ONE OF THE 597 00:21:56,148 --> 00:21:59,284 ONE-WORD JOURNALS, I WORRY ABOUT 598 00:21:59,351 --> 00:22:01,987 CNS DISEASE, JUST TO LET YOU 599 00:22:02,054 --> 00:22:02,954 KNOW. 600 00:22:03,021 --> 00:22:04,956 THAT WOULD NOT WORK. 601 00:22:05,023 --> 00:22:06,358 BECAUSE IT WAS IMPERATIVE TO GET 602 00:22:06,425 --> 00:22:07,559 THE WORD OUT AS QUICKLY AS 603 00:22:07,626 --> 00:22:09,728 POSSIBLE. 604 00:22:09,795 --> 00:22:12,164 AND SO OPEN SCIENCE AND MAXIMAL 605 00:22:12,230 --> 00:22:13,465 DATA SHARING ARE ABSOLUTELY 606 00:22:13,532 --> 00:22:17,502 CRITICAL, AND THE HEAL DATA 607 00:22:17,569 --> 00:22:19,271 ECOSYSTEM HAS BEEN DESIGNED AND 608 00:22:19,337 --> 00:22:22,441 IS CONFIGURED TO BE A 609 00:22:22,507 --> 00:22:26,378 USER-FRIENDLY INFRASTRUCTURE, 610 00:22:26,445 --> 00:22:27,679 CENTRALIZED DATA MANAGEMENT 611 00:22:27,746 --> 00:22:29,781 RESOURCES, WHICH TRANSLATES 612 00:22:29,848 --> 00:22:30,749 INDEPENDENT DISCONNECTED DATA 613 00:22:30,816 --> 00:22:36,688 INTO AN INTEGRATED WELL-ANNO 614 00:22:36,755 --> 00:22:37,222 WELL-ANNOTATED CORPUS OF 615 00:22:37,289 --> 00:22:37,856 INFORMATION THAT WILL PROVIDE 616 00:22:37,923 --> 00:22:38,857 INSIGHTS FOR EACH OF YOU. 617 00:22:38,924 --> 00:22:40,692 AND YOU'LL ALL LOOK AT IT IN A 618 00:22:40,759 --> 00:22:41,460 SLIGHTLY DIFFERENT WAY AND 619 00:22:41,526 --> 00:22:44,196 THAT'S THE WHOLE POINT. 620 00:22:44,262 --> 00:22:49,668 SO THERE IS AN ECOSYSTEM BOOTH, 621 00:22:49,735 --> 00:22:50,836 YES, JESS? 622 00:22:50,902 --> 00:22:53,171 THERE IS AN ECOSYSTEM BOOTH AND 623 00:22:53,238 --> 00:22:54,606 PEOPLE HAVE GREEN BUTTONS, FIND 624 00:22:54,673 --> 00:22:57,509 ONE OF THOSE GREEN BUTTONS AND 625 00:22:57,576 --> 00:23:02,981 SPEAK TO FOLKS ABOUT THIS. 626 00:23:03,048 --> 00:23:04,082 BECAUSE ALL OF YOUR EFFORTS ARE 627 00:23:04,149 --> 00:23:08,253 BEING COMPILED IN THIS MANNER. 628 00:23:08,320 --> 00:23:09,921 IT'S UNIQUE IN MANY WAYS, AND IT 629 00:23:09,988 --> 00:23:14,025 IS WHAT THE FUTURE LOOKS LIKE. 630 00:23:14,092 --> 00:23:15,794 WHERE DISPARATE DATASETS ARE PUT 631 00:23:15,861 --> 00:23:16,995 TOGETHER AND ALLOW ONE OF YOU, 632 00:23:17,062 --> 00:23:19,498 AND I DON'T KNOW WHO E IT'S GOIG 633 00:23:19,564 --> 00:23:21,032 TO BE, WHICH PERSON IT GOING TO 634 00:23:21,099 --> 00:23:22,234 BE, MAYBE THAT PERSON IN THE 635 00:23:22,300 --> 00:23:23,668 BACK WHO DOESN'T HAVE A SEAT? 636 00:23:23,735 --> 00:23:24,202 I DON'T KNOW. 637 00:23:24,269 --> 00:23:25,604 IT'S GOING TO BE, YOU KNOW, ONE 638 00:23:25,670 --> 00:23:27,038 OF YOU WHO FINDS THAT NEW 639 00:23:27,105 --> 00:23:32,844 INSIGHT. 640 00:23:32,911 --> 00:23:34,045 THE PROGRESS HAS BEEN STUNNING. 641 00:23:34,112 --> 00:23:35,680 FIRST IN HUMAN CLINICAL TRIAL OF 642 00:23:35,747 --> 00:23:37,983 AN ANTIBODY TO PREVENT FENTANYL 643 00:23:38,049 --> 00:23:39,417 OVERDOSE. 644 00:23:39,484 --> 00:23:40,619 IT CAN'T HAPPEN QUICKLY ENOUGH 645 00:23:40,685 --> 00:23:44,556 BUT WE'RE ON THAT ROAD. 646 00:23:44,623 --> 00:23:45,991 PHASE ONE CLINICAL TRIAL FOR 647 00:23:46,057 --> 00:23:49,594 NON-NNON-NARCOTIC SMALL MOLECULE 648 00:23:49,661 --> 00:23:50,695 ANALGESICS FOR ACUTE AND CHRONIC 649 00:23:50,762 --> 00:23:51,663 PAIN. 650 00:23:51,730 --> 00:23:52,531 FINALLY, REALTIME MEASUREMENT OF 651 00:23:52,597 --> 00:23:55,500 A CHRONIC PAIN SIGNATURE. 652 00:23:55,567 --> 00:23:56,802 BUPRENORPHINE TREATMENT IS SAFE 653 00:23:56,868 --> 00:23:58,136 AND EFFECTIVE. 654 00:23:58,203 --> 00:24:00,205 FOR PEOPLE WHO USE FENTANYL. 655 00:24:00,272 --> 00:24:02,941 THAT NEED TO BE DEMONSTRATED. 656 00:24:03,008 --> 00:24:04,576 PEOPLE NEEDED TO BE CONVINCED. 657 00:24:04,643 --> 00:24:07,078 COMMUNITIES NEEDED TO TAKE I ITP 658 00:24:07,145 --> 00:24:08,413 AS AN APPROACH. 659 00:24:08,480 --> 00:24:10,682 A NEW STANDARD OF CARE FOR 660 00:24:10,749 --> 00:24:13,018 INFANTS BORN DEPENDENT ON 661 00:24:13,084 --> 00:24:15,086 OPIOIDS, WHICH WAS PUBLISHED 662 00:24:15,153 --> 00:24:17,189 BACK IN APRIL IN THE NEW ENGLAND 663 00:24:17,255 --> 00:24:20,225 JOURNAL, IS ALREADY INFLUENCING 664 00:24:20,292 --> 00:24:21,960 STATE LEVEL PRACTICE GUIDELINES. 665 00:24:22,027 --> 00:24:23,695 THAT'S WHAT THIS RESEARCH IS ALL 666 00:24:23,762 --> 00:24:26,698 ABOUT. 667 00:24:26,765 --> 00:24:27,966 TO CHANGE THE WAY THINGS ARE 668 00:24:28,033 --> 00:24:29,100 PRACTICED AND TO CHANGE PEOPLE'S 669 00:24:29,167 --> 00:24:31,570 LIVES AND IN THIS CASE, THESE 670 00:24:31,636 --> 00:24:32,571 INFANTS' LIVES. 671 00:24:32,637 --> 00:24:35,807 HEAL IS INFORMING WORK OF OUR 672 00:24:35,874 --> 00:24:39,578 SISTER AGENCY SAMHSA TO 673 00:24:39,644 --> 00:24:41,313 DETERMINE NEEDS FOR NALOXONE AND 674 00:24:41,379 --> 00:24:42,747 TO CREATE THE COALITIONS AND 675 00:24:42,814 --> 00:24:43,715 COMMUNITIES THAT ARE SO 676 00:24:43,782 --> 00:24:46,451 CRITICAL. 677 00:24:46,518 --> 00:24:48,753 AND THEN THERE'S SOME NEW 678 00:24:48,820 --> 00:24:49,321 PROGRAMS. 679 00:24:49,387 --> 00:24:52,157 ONE WHICH I AM PARTICULARLY 680 00:24:52,224 --> 00:24:57,329 EXCITED ABOUT AND PROUD OF, AND 681 00:24:57,395 --> 00:25:01,266 I THANK THE LEADERSHIP, NORA. 682 00:25:01,333 --> 00:25:02,267 THE NATIVE COLLECTIVE RESEARCH 683 00:25:02,334 --> 00:25:03,501 EFFORT TO ENHANCE WELLNESS. 684 00:25:03,568 --> 00:25:04,736 THIS IS GOING TO FUND 685 00:25:04,803 --> 00:25:05,937 COMMUNITY-DRIVEN RESEARCH TO 686 00:25:06,004 --> 00:25:07,906 ADDRESS OVERDOSE SUBSTANCE USE 687 00:25:07,973 --> 00:25:09,207 AND MENTAL HEALTH AND PAIN, AND 688 00:25:09,274 --> 00:25:11,076 THEN THERE'S THE PREVENTION AND 689 00:25:11,142 --> 00:25:12,844 MANAGEMENT OF CHRONIC PAIN IN 690 00:25:12,911 --> 00:25:15,647 RURAL POPULATIONS, WHICH HAS 691 00:25:15,714 --> 00:25:17,182 JUST RECENTLY BEEN LAUNCHED. 692 00:25:17,249 --> 00:25:19,384 SO NO ONE IS STOPPING, NO ONE IS 693 00:25:19,451 --> 00:25:22,454 RESTING ON OUR, YOU KNOW, 694 00:25:22,520 --> 00:25:24,522 SUCCESSES THUS FAR. 695 00:25:24,589 --> 00:25:26,057 INDEED, WE ARE ENCOURAGED TO 696 00:25:26,124 --> 00:25:28,226 PUSH EVEN HARDER, MOVE EVEN 697 00:25:28,293 --> 00:25:30,996 FASTER, AND CONTINUE 698 00:25:31,062 --> 00:25:33,164 COLLECTIVELY DOWN THIS ROAD. 699 00:25:33,231 --> 00:25:34,466 SO WITH THAT, I WANT TO THANK 700 00:25:34,532 --> 00:25:36,968 YOU ALL FOR INDULGING ME. 701 00:25:37,035 --> 00:25:38,303 AGAIN, MONICA SENDS HER 702 00:25:38,370 --> 00:25:40,705 GREETINGS, AND I WISH YOU JUST A 703 00:25:40,772 --> 00:25:42,874 WONDERFUL, WONDERFUL CONFERENCE. 704 00:25:42,941 --> 00:25:53,251 THANK YOU SO MUCH. 705 00:25:54,319 --> 00:25:57,122 >> THANK YOU, DR. TABAK, FOR 706 00:25:57,188 --> 00:25:58,623 SHARING THE NIH PRIORITIES AND 707 00:25:58,690 --> 00:26:00,959 LEADERSHIP WITH US AND I 708 00:26:01,026 --> 00:26:02,260 DEFINITELY APPRECIATE THE FOCUS 709 00:26:02,327 --> 00:26:03,762 ON USING DATA TO IMPROVE HEALTH 710 00:26:03,828 --> 00:26:06,097 OUTCOMES. 711 00:26:06,164 --> 00:26:07,732 SO JUST ONE QUICK NOTE WHILE 712 00:26:07,799 --> 00:26:09,701 WE'RE TRANSITIONING HERE, IF YOU 713 00:26:09,768 --> 00:26:10,902 ARE PLANNING ON GOING TO THE 714 00:26:10,969 --> 00:26:12,871 LIVED AND LIVING EXPERIENCE 715 00:26:12,938 --> 00:26:14,306 COMMUNITY NETWORKING SESSION 716 00:26:14,372 --> 00:26:16,374 DURING LUNCH, AND IF YOU HAVE 717 00:26:16,441 --> 00:26:17,809 NOT YET ORDERED YOUR LUNCH, 718 00:26:17,876 --> 00:26:19,444 PLEASE STEP OUT AND VISIT THE 719 00:26:19,511 --> 00:26:21,846 TABLE OUTSIDE OF THE POSTER HALL 720 00:26:21,913 --> 00:26:22,948 BEFORE 10:45, SO WE CAN MAKE 721 00:26:23,014 --> 00:26:27,953 SURE THAT YOU HAVE LUNCH. 722 00:26:28,019 --> 00:26:29,387 SO NEXT WE ARE GOING TO HAVE A 723 00:26:29,454 --> 00:26:31,222 RESEARCH PROGRAM UPDATE FROM THE 724 00:26:31,289 --> 00:26:32,557 JUSTICE COMMUNITY OPIOID 725 00:26:32,624 --> 00:26:34,626 INNOVATION NETWORK, OR JCOIN. 726 00:26:34,693 --> 00:26:39,030 SO I WOULD LIKE TO INTRODUCE THE 727 00:26:39,097 --> 00:26:40,999 MODERATOR, DR. TISHA WILEY FROM 728 00:26:41,066 --> 00:26:41,633 THE NATIONAL INSTITUTE ON DRUG 729 00:26:41,700 --> 00:26:44,269 ABUSE AND THE JCOIN PRESENTERS. 730 00:26:44,336 --> 00:26:46,538 >> THANK YOU, TAMARA. 731 00:26:46,604 --> 00:26:48,306 WELL, THANK YOU ALL FOR THE 732 00:26:48,373 --> 00:26:49,741 OPPORTUNITY TO PRESENT TO YOU -- 733 00:26:49,808 --> 00:26:52,677 OR TO REALLY MODERATE THIS PANEL 734 00:26:52,744 --> 00:26:54,212 OF RESEARCHERS AND PARTNERS WHO 735 00:26:54,279 --> 00:26:56,715 ARE PART OF THE JCOIN NETWORK. 736 00:26:56,781 --> 00:26:59,684 AND BEFORE WE START, I JUST -- I 737 00:26:59,751 --> 00:27:01,653 THINK WE HAVE THE NAMES OF 738 00:27:01,720 --> 00:27:03,188 EVERYONE. 739 00:27:03,254 --> 00:27:04,589 I SENT OTHER SLIDES SO I THINK 740 00:27:04,656 --> 00:27:09,094 THERE'S ONE MORE SLIDE. 741 00:27:09,160 --> 00:27:10,595 OR NOT? 742 00:27:10,662 --> 00:27:11,963 DO I NEED TO ADVANCE SLIDES OVER 743 00:27:12,030 --> 00:27:19,471 HERE WITH THE CLICKER? 744 00:27:19,537 --> 00:27:21,673 I REALLY WANT TO THANK 745 00:27:21,740 --> 00:27:23,108 DR. VOLKOW, DR. TABAK, NIH 746 00:27:23,174 --> 00:27:24,042 LEADERSHIP FOR THE OPPORTUNITY 747 00:27:24,109 --> 00:27:25,076 TO DO JCOIN. 748 00:27:25,143 --> 00:27:27,912 JCOIN IS THE LARGEST INVESTMENT 749 00:27:27,979 --> 00:27:29,447 THAT NIH HAS EVER MADE IN 750 00:27:29,514 --> 00:27:31,416 JUSTICE SYSTEM WORK, AND I THINK 751 00:27:31,483 --> 00:27:33,818 IT'S A REALLY IMPORTANT 752 00:27:33,885 --> 00:27:35,887 INVESTMENT, AND I'M REALLY 753 00:27:35,954 --> 00:27:37,055 PRIVILEGED HERE TO HAVE WITH YOU 754 00:27:37,122 --> 00:27:38,289 TODAY SOME OF THE FOLKS THAT 755 00:27:38,356 --> 00:27:40,492 REALLY MAKE JCOIN A REALITY. 756 00:27:40,558 --> 00:27:41,793 AND I'M NOT GOING TO INTRODUCE 757 00:27:41,860 --> 00:27:42,894 THEM BECAUSE I'M GOING TO LET 758 00:27:42,961 --> 00:27:44,429 THEM EACH INTRODUCE THEMSELVES 759 00:27:44,496 --> 00:27:45,964 AND SHARE A LITTLE BIT ABOUT 760 00:27:46,031 --> 00:27:47,065 THEIR WORK AS WELL, BUT BEFORE 761 00:27:47,132 --> 00:27:48,666 WE DO THAT, I'M GOING TO GIVE 762 00:27:48,733 --> 00:27:50,101 YOU JUST A LITTLE BIT OF A BRIEF 763 00:27:50,168 --> 00:27:51,870 OVERVIEW OF WHAT WE DO WITHIN 764 00:27:51,936 --> 00:27:53,605 JCOIN. 765 00:27:53,671 --> 00:27:55,640 I DO WANT TO EMPHASIZE AT THE 766 00:27:55,707 --> 00:27:57,108 CORE OF WHAT WE DO, IT IS ABOUT 767 00:27:57,175 --> 00:27:58,810 THIS PARTNERSHIP BETWEEN 768 00:27:58,877 --> 00:28:00,879 RESEARCH AND PRACTICE, AND 769 00:28:00,945 --> 00:28:02,414 UNDERSTANDING THAT THAT 770 00:28:02,480 --> 00:28:03,515 PARTNERSHIP IN COMMUNITIES 771 00:28:03,581 --> 00:28:05,283 CROSSES SECTORS, SO IT'S BOTH 772 00:28:05,350 --> 00:28:06,451 THE JUSTICE SECTOR, AS WELL AS 773 00:28:06,518 --> 00:28:08,019 SERVICES THAT ARE DELIVERED IN 774 00:28:08,086 --> 00:28:09,287 COMMUNITY-BASED SETTINGS. 775 00:28:09,354 --> 00:28:11,289 AND THOSE PARTNERSHIPS DON'T 776 00:28:11,356 --> 00:28:13,024 JUST REACH THE COMMUNITIES, THEY 777 00:28:13,091 --> 00:28:13,792 SHOULD BE SUSTAINABLE. 778 00:28:13,858 --> 00:28:15,126 SO HOPEFULLY WHAT YOU'LL HEAR 779 00:28:15,193 --> 00:28:17,729 TODAY IS AN EXAMPLE OF HOW THESE 780 00:28:17,796 --> 00:28:19,030 PARTNERSHIPS ARE REAL, AND HOW 781 00:28:19,097 --> 00:28:20,131 THAT GIVES AN OPPORTUNITY FOR 782 00:28:20,198 --> 00:28:22,233 THAT TO BE SUSTAINED, AND BUILT 783 00:28:22,300 --> 00:28:23,501 UPON AND LEAD TO THE NEXT THING 784 00:28:23,568 --> 00:28:26,137 IN THE FUTURE. 785 00:28:26,204 --> 00:28:27,806 SO BEFORE WE START, I JUST WANT 786 00:28:27,872 --> 00:28:29,541 TO GIVE YOU ALL IF YOU'RE NOT 787 00:28:29,607 --> 00:28:31,176 FAMILIAR WITH JUSTICE -- THE 788 00:28:31,242 --> 00:28:33,711 JUSTICE SYSTEM AS A TARGET 789 00:28:33,778 --> 00:28:35,013 SETTING, I WANT TO MAKE THE CASE 790 00:28:35,080 --> 00:28:37,449 FOR WHY THIS IS AN IMPORTANT 791 00:28:37,515 --> 00:28:38,483 SETTING, WHY I THINK IT'S ONE OF 792 00:28:38,550 --> 00:28:40,051 THE HIGHEST LEVERAGE POINTS WE 793 00:28:40,118 --> 00:28:41,252 HAVE AS AN OPPORTUNITY TO 794 00:28:41,319 --> 00:28:43,421 ADDRESS THE OVERDOSE CRISIS. 795 00:28:43,488 --> 00:28:47,258 YOU'VE ALREADY HEARD COVERAGE OF 796 00:28:47,325 --> 00:28:49,661 REALLY THE GREAT LOSS OF LIVES 797 00:28:49,727 --> 00:28:51,096 THAT WE'RE SEEING AND IT IS 798 00:28:51,162 --> 00:28:52,397 CONTINUING UNABATED, SO WHY THE 799 00:28:52,464 --> 00:28:52,964 JUSTICE SYSTEM? 800 00:28:53,031 --> 00:28:54,165 THERE'S LOTS OF DIFFERENT 801 00:28:54,232 --> 00:28:55,800 STATISTICS THAT MAKE THIS CASE. 802 00:28:55,867 --> 00:28:57,535 WE'VE KNOWN FOR WELL OVER A 803 00:28:57,602 --> 00:28:59,971 DECADE THAT WHEN PEOPLE ARE 804 00:29:00,038 --> 00:29:02,474 LEAVING CARCERAL SETTINGS LIKE 805 00:29:02,540 --> 00:29:03,808 JAILS AND PRISONS AND RETURNING 806 00:29:03,875 --> 00:29:04,742 TO THEIR COMMUNITIES, THAT'S ONE 807 00:29:04,809 --> 00:29:06,177 OF THE HIGHEST PERIODS OF RISK 808 00:29:06,244 --> 00:29:07,612 FOR MORTALITY AS PEOPLE ARE 809 00:29:07,679 --> 00:29:09,814 MAKING THAT TRANSITION. 810 00:29:09,881 --> 00:29:12,217 THE DATA FROM OTHER SETTINGS, 811 00:29:12,283 --> 00:29:14,052 THERE'S MANY, MANY STATISTICS I 812 00:29:14,119 --> 00:29:15,487 COULD CITE THAT MAKE THIS CASE, 813 00:29:15,553 --> 00:29:16,788 FOR EXAMPLE, RECENTLY IN 814 00:29:16,855 --> 00:29:17,889 INDIANA, THEY LOOKED AT PEOPLE 815 00:29:17,956 --> 00:29:23,128 THAT HAVE LOST THEIR LIVES AND T 816 00:29:23,194 --> 00:29:24,429 THEIR LIVES TO AN OVERDOSE HAD 817 00:29:24,496 --> 00:29:26,064 TOUCHED THE JUSTICE SYSTEM IN 818 00:29:26,131 --> 00:29:30,335 THE PRECEDING YEAR. 819 00:29:30,401 --> 00:29:33,138 AND IN RHODE ISLAND, THEY ARE 820 00:29:33,204 --> 00:29:34,305 ONE OF THE INNOVATORS IN THIS 821 00:29:34,372 --> 00:29:34,839 FIELD. 822 00:29:34,906 --> 00:29:35,807 THEY WERE AMONG THE FIRST THAT 823 00:29:35,874 --> 00:29:37,442 WERE OFFERING ALL THREE FORMS OF 824 00:29:37,509 --> 00:29:39,511 MEDICATIONS FOR OPIOID USE 825 00:29:39,577 --> 00:29:40,178 DISORDER. 826 00:29:40,245 --> 00:29:42,914 MET DOAN, BUPRENORPHINE AND 827 00:29:42,981 --> 00:29:43,248 NALTREXONE. 828 00:29:43,314 --> 00:29:44,883 THEY'VE BEEN DOING THAT IN THEIR 829 00:29:44,949 --> 00:29:45,750 JAILS FOR A WHILE. 830 00:29:45,817 --> 00:29:46,751 BUILDING ON THAT WORK THEY WERE 831 00:29:46,818 --> 00:29:47,952 ABLE TO DO SOME MODELING THAT 832 00:29:48,019 --> 00:29:51,122 DEMONSTRATED THEY WOULD EXPECT A 833 00:29:51,189 --> 00:29:52,223 31% REDUCTION STATEWIDE IF THEY 834 00:29:52,290 --> 00:29:53,958 WERE TO OFFER THESE MEDICATIONS 835 00:29:54,025 --> 00:29:55,493 IN JAILS AND PRISONS ACROSS THE 836 00:29:55,560 --> 00:29:55,693 STATE. 837 00:29:55,760 --> 00:29:57,795 SO THAT'S THE BACKDROP ABOUT THE 838 00:29:57,862 --> 00:30:00,098 WHY WE DO THIS WORK. 839 00:30:00,165 --> 00:30:01,499 AND SO AS WE HAD THE OPPORTUNITY 840 00:30:01,566 --> 00:30:04,035 TO LAUNCH JCOIN, WE ALL CAME TO 841 00:30:04,102 --> 00:30:06,004 A SHARED VISION, THIS IS 842 00:30:06,070 --> 00:30:07,839 SOMETHING THAT WE DISCUSSED WHEN 843 00:30:07,906 --> 00:30:09,007 WE FIRST LAUNCHED THE NETWORK, 844 00:30:09,073 --> 00:30:13,645 AND IT'S A VERY SIMPLE IDEA, THE 845 00:30:13,711 --> 00:30:14,979 IDEA IS THAT EVERY PERSON WHO'S 846 00:30:15,046 --> 00:30:16,614 INVOLVED IN THE JUSTICE SYSTEM 847 00:30:16,681 --> 00:30:18,049 THAT HAS A SUBSTANCE USE 848 00:30:18,116 --> 00:30:19,217 DISORDER SHOULD HAVE ACCESS TO 849 00:30:19,284 --> 00:30:20,451 EFFECTIVE TREATMENT, WHETHER 850 00:30:20,518 --> 00:30:21,085 THEY'RE DETAINED OR IN THE 851 00:30:21,152 --> 00:30:22,053 COMMUNITY. 852 00:30:22,120 --> 00:30:23,821 AND AS WE LAUNCHED THE NETWORK, 853 00:30:23,888 --> 00:30:24,989 WE HAD SEVERAL PRINCIPLES ABOUT 854 00:30:25,056 --> 00:30:26,991 HOW WE WANTED TO APPROACH MAKING 855 00:30:27,058 --> 00:30:28,960 A CONTRIBUTION TO THAT FIRST AND 856 00:30:29,027 --> 00:30:30,061 FOREMOST THROUGH RESEARCH TO 857 00:30:30,128 --> 00:30:31,062 GENERATE NEW EVIDENCE ABOUT WHAT 858 00:30:31,129 --> 00:30:32,697 WORKS AND HOW TO GET THAT INTO 859 00:30:32,764 --> 00:30:33,932 PRACTICE, BUT ALSO REALLY 860 00:30:33,998 --> 00:30:35,400 BUILDING COLLABORATIONS ACROSS 861 00:30:35,466 --> 00:30:37,202 THESE SECTORS OF JUSTICE AND 862 00:30:37,268 --> 00:30:39,003 COMMUNITY PARTNERS AND RESEARCH, 863 00:30:39,070 --> 00:30:41,739 TAKING THAT TO THE FIELD RIGHT 864 00:30:41,806 --> 00:30:42,907 AWAY, BUILDING CAPACITY BOTH 865 00:30:42,974 --> 00:30:44,375 AMONG RESEARCHERS AND COMMUNITY 866 00:30:44,442 --> 00:30:46,244 PARTNERS TO USE AND APPLY 867 00:30:46,311 --> 00:30:47,645 RESEARCH, AND HOPEFULLY THIS IS 868 00:30:47,712 --> 00:30:50,248 A TOOL FOR SPEEDING SCIENCE TO 869 00:30:50,315 --> 00:30:50,648 SOLUTIONS. 870 00:30:50,715 --> 00:30:51,849 I DON'T WANT TO TALK TOO LONG 871 00:30:51,916 --> 00:30:53,718 BUT JUST TO GIVE YOU WHAT IS 872 00:30:53,785 --> 00:30:55,920 JCOIN, ULTIMATELY WE FUNDED 13 873 00:30:55,987 --> 00:30:56,788 RESEARCH HUBS. 874 00:30:56,854 --> 00:30:58,990 THOSE HUBS ARE EACH DOING LARGE 875 00:30:59,057 --> 00:31:01,492 SCALE MULTISITE CLINICAL TRIALS. 876 00:31:01,559 --> 00:31:04,095 WE'VE GOT LINKAGE FA TILL 877 00:31:04,162 --> 00:31:08,633 TAIFACILITATIONSTUDIES LOOKING Y 878 00:31:08,700 --> 00:31:09,601 WHAT HAPPENS WHEN PEOPLE RETURN 879 00:31:09,667 --> 00:31:10,902 TO THE COMMUNITY FROM A JAIL OR 880 00:31:10,969 --> 00:31:12,637 PRISON, ROLLOUT OF STATE 881 00:31:12,704 --> 00:31:14,172 POLICIES, COMPARING LONG-ACTING 882 00:31:14,239 --> 00:31:15,173 FORMULATIONINGS OF BUPRENORPHINE 883 00:31:15,240 --> 00:31:16,808 AND NALTREXONE, STUDIES LOOKING 884 00:31:16,874 --> 00:31:19,344 AT HOW WE APPROACH GETTING THE 885 00:31:19,410 --> 00:31:20,445 STUFF INTO PRACTICE. 886 00:31:20,511 --> 00:31:23,248 WE'VE MADE AN EFFORT TO MAKE 887 00:31:23,314 --> 00:31:24,682 THIS A NATIONAL STUDY SO WE'VE 888 00:31:24,749 --> 00:31:27,018 GOT A FOOTPRINT OF 140 COUNTIES, 889 00:31:27,085 --> 00:31:28,386 38 STATES, AND ACROSS ALL OF 890 00:31:28,453 --> 00:31:31,756 THESE STUDIES, WEAVER GOT DATA 891 00:31:31,823 --> 00:31:33,291 SO FAR FROM ALMOST 23,000 PEOPLE 892 00:31:33,358 --> 00:31:34,492 LOOKING AT THIS. 893 00:31:34,559 --> 00:31:36,094 AND BEYOND THAT, WE'VE GOT TWO 894 00:31:36,160 --> 00:31:38,229 SUPPORT CENTERS THAT DO A LOT 895 00:31:38,296 --> 00:31:39,430 AROUND SORT OF BUILDING DATA PRO 896 00:31:39,497 --> 00:31:43,701 TUCTSPRODUCTS AND TRANSLATING TT 897 00:31:43,768 --> 00:31:47,305 BACK OUT BUT ALSO THOSE SUPPORT 898 00:31:47,372 --> 00:31:50,341 CENTERS OR MAARC, GEORGE MASON 899 00:31:50,408 --> 00:31:52,644 UNIVERSITY, HAVE GENERATED MORE 900 00:31:52,710 --> 00:31:53,645 THAN 55 OTHER PROTOCOLS WITH 901 00:31:53,711 --> 00:31:55,280 LOTS OF DIFFERENT KINDS OF 902 00:31:55,346 --> 00:31:55,713 SCIENCE. 903 00:31:55,780 --> 00:31:58,116 I'M PRIVILEGED TODAY TO HAVE 904 00:31:58,182 --> 00:32:00,218 REPRESENTATIVES FROM TWO OF 905 00:32:00,285 --> 00:32:01,119 THOSE MULTISITE CLINICAL TRIALS 906 00:32:01,185 --> 00:32:01,419 HERE. 907 00:32:01,486 --> 00:32:02,954 ONE IS IN THE STATE POLICY 908 00:32:03,021 --> 00:32:04,389 ROLLOUT CATEGORY AND ONE IS A 909 00:32:04,455 --> 00:32:06,024 LINKAGE FACILITATION STUDY, AND 910 00:32:06,090 --> 00:32:07,425 I'LL LET THEM EACH DESCRIBE THAT 911 00:32:07,492 --> 00:32:09,761 FOR YOU BECAUSE WITH THAT, I'M 912 00:32:09,827 --> 00:32:11,195 GOING TO TURN AND LET YOU LISTEN 913 00:32:11,262 --> 00:32:12,797 TO THE MORE INTERESTING PEOPLE 914 00:32:12,864 --> 00:32:15,667 ON THIS PANEL, AND WE'LL TURN 915 00:32:15,733 --> 00:32:17,635 AND LET EACH OF THEM INTRODUCE 916 00:32:17,702 --> 00:32:18,836 THEMSELVES TO YOU IN TURN AND 917 00:32:18,903 --> 00:32:19,804 TALK A LITTLE BIT ABOUT THEIR 918 00:32:19,871 --> 00:32:21,673 WORK AND THEIR STUDIES, SO LET 919 00:32:21,739 --> 00:32:25,276 ME START WITH DR. MICHELE 920 00:32:25,343 --> 00:32:30,214 STATON. 921 00:32:30,281 --> 00:32:33,318 >> I'M MICHELE STATON, PROFESSOR 922 00:32:33,384 --> 00:32:34,752 IN THE UNIVERSITY OF KENTUCKY 923 00:32:34,819 --> 00:32:35,787 COLLEGE OF MEDICINE, DEPARTMENT 924 00:32:35,853 --> 00:32:37,221 OF BEHAVIORAL SCIENCE, CENTRAL 925 00:32:37,288 --> 00:32:37,989 DRUG AND ALCOHOL RESEARCH. 926 00:32:38,056 --> 00:32:39,390 AND I WANT TO START BY JUST 927 00:32:39,457 --> 00:32:42,627 THANKING NIDA, TISHA AND THE 928 00:32:42,694 --> 00:32:43,661 ENTIRE LEAD ARE SHIP TEAM FOR 929 00:32:43,728 --> 00:32:45,163 ALL THEIR SUPPORT OVER THE LAST 930 00:32:45,229 --> 00:32:45,530 FIVE YEARS. 931 00:32:45,596 --> 00:32:46,631 I THINK YOU CAN HEAR THE PASSION 932 00:32:46,698 --> 00:32:48,933 IN HER VOICE WHEN SHE TALKS 933 00:32:49,000 --> 00:32:50,034 ABOUT JCOIN AND THE NEED TO 934 00:32:50,101 --> 00:32:54,072 SERVE THE JUSTICE POPULATION. 935 00:32:54,138 --> 00:32:55,173 JCOIN IS LARGELY SUCCESSFUL 936 00:32:55,239 --> 00:32:56,374 BECAUSE OF THEM AND THEIR 937 00:32:56,441 --> 00:32:58,343 LEADERSHIP AND THEY'VE BEEN SO 938 00:32:58,409 --> 00:33:01,412 SUCCESSFUL AT THE HUBS DURING AN 939 00:33:01,479 --> 00:33:02,847 UNPRECEDENTED TIME FOR DOING 940 00:33:02,914 --> 00:33:05,483 RESEARCH IN CRIMINAL LEGAL 941 00:33:05,550 --> 00:33:06,451 SETTINGS, SO WE'RE JUST VERY, 942 00:33:06,517 --> 00:33:09,053 VERY GRATEFUL FOR THAT. 943 00:33:09,120 --> 00:33:10,288 OUR KENTUCKY HUB IS THE ONLY 944 00:33:10,355 --> 00:33:12,490 CLINICAL RESEARCH CENTER FUNDED 945 00:33:12,557 --> 00:33:14,859 NATIONALLY THAT FOCUSES 946 00:33:14,926 --> 00:33:16,761 EXCLUSIVELY ON WOMEN, AND WE'RE 947 00:33:16,828 --> 00:33:17,962 REALLY EXCITED TO BE ABLE TO DO 948 00:33:18,029 --> 00:33:20,465 THAT WORK. 949 00:33:20,531 --> 00:33:21,566 SO MUCH OF THE WORK FROM THE 950 00:33:21,632 --> 00:33:23,835 LEGAL SYSTEM HAS FOCUSED ON MEN, 951 00:33:23,901 --> 00:33:26,037 AND WOMEN HAVE SOME REALLY 952 00:33:26,104 --> 00:33:27,672 UNIQUE VULNERABILITIES WHEN IT 953 00:33:27,739 --> 00:33:30,308 COMES TO OPIOID USE AND THE 954 00:33:30,375 --> 00:33:32,510 PROGRESSION TO OPIOID USE 955 00:33:32,577 --> 00:33:34,145 DISORDER. 956 00:33:34,212 --> 00:33:35,680 SO WE'RE EXCITED TO BE ABLE TO 957 00:33:35,747 --> 00:33:37,115 CARRY OUT A STUDY WHICH IS IN 958 00:33:37,181 --> 00:33:38,750 THE LINKAGE FACILITATION 959 00:33:38,816 --> 00:33:40,518 CATEGORY WHERE WE CONNECT WOMEN 960 00:33:40,585 --> 00:33:42,286 WHILE THEY'RE INCARCERATED USING 961 00:33:42,353 --> 00:33:45,857 A TELEHEALTH PLATFORM TO DO AN 962 00:33:45,923 --> 00:33:46,958 INITIAL ASSESSMENT WITH 963 00:33:47,024 --> 00:33:47,725 PROVIDERS IN THE COMMUNITY AND 964 00:33:47,792 --> 00:33:50,328 THEN REALLY TRY TO CONNECT THEM 965 00:33:50,395 --> 00:33:51,796 TO THOSE PROVIDERS ONCE THEY 966 00:33:51,863 --> 00:33:53,431 LEAVE THE CARCERAL SETTING. 967 00:33:53,498 --> 00:33:55,600 AND THEN WE DO FOLLOW-UPS IN THE 968 00:33:55,666 --> 00:33:57,034 COMMUNITY USING PEER NAVIGATORS 969 00:33:57,101 --> 00:33:59,103 TO REALLY DO EVERYTHING THAT WE 970 00:33:59,170 --> 00:34:01,172 CAN DO TO REDUCE THE BARRIERS 971 00:34:01,239 --> 00:34:02,807 AND CHALLENGES OF UTILIZING 972 00:34:02,874 --> 00:34:03,841 SERVICES. 973 00:34:03,908 --> 00:34:06,744 AND WE WORK WITH A WONDERFUL 974 00:34:06,811 --> 00:34:08,279 TEAM OF PROVIDERS AND PEER 975 00:34:08,346 --> 00:34:09,714 NAVIGATORS WHO MAKE ALL OF THIS 976 00:34:09,781 --> 00:34:10,515 WORK POSSIBLE. 977 00:34:10,581 --> 00:34:11,716 AND I KNOW WE'RE GOING TO TALK A 978 00:34:11,783 --> 00:34:13,451 LOT ABOUT THE BROADER NETWORK 979 00:34:13,518 --> 00:34:15,553 TODAY, BUT I CANNOT EMPHASIZE 980 00:34:15,620 --> 00:34:16,854 ENOUGH THE IMPORTANCE OF THAT 981 00:34:16,921 --> 00:34:18,723 PARTNERSHIP BETWEEN OUR RESEARCH 982 00:34:18,790 --> 00:34:20,158 TEAM, OUR JUSTICE PARTNERS AND 983 00:34:20,224 --> 00:34:22,226 OUR TREATMENT PARTNERS TO REALLY 984 00:34:22,293 --> 00:34:23,661 BE ABLE TO CARRY OUT THIS WORK. 985 00:34:23,728 --> 00:34:25,196 SO THANKS FOR BEING ON THE PANEL 986 00:34:25,263 --> 00:34:26,164 TODAY, AND FOR BEING ABLE TO 987 00:34:26,230 --> 00:34:30,234 SHARE THIS WORK WITH YOU ALL. 988 00:34:30,301 --> 00:34:33,504 >> ALL RIGHT, HI, I'M KATY 989 00:34:33,571 --> 00:34:33,938 MARKS. 990 00:34:34,005 --> 00:34:35,573 I SERVE AS COMMISSIONER FOR 991 00:34:35,640 --> 00:34:38,109 KENTUCKY DEPARTMENT FOR BEHAVIOR 992 00:34:38,176 --> 00:34:42,280 HEALTH, DEVELOP ME. 993 00:34:42,346 --> 00:34:43,581 IT'S AN ABSOLUTE HONOR TO 994 00:34:43,648 --> 00:34:45,116 PRESENT AL WITH THIS TEAM TODAY 995 00:34:45,183 --> 00:34:46,651 AND TO HEAR THE REFLECTIONS 996 00:34:46,717 --> 00:34:47,985 EARLIER ABOUT THE VALUE OF 997 00:34:48,052 --> 00:34:49,754 PARTNERSHIPS WITH OUR STATE 998 00:34:49,821 --> 00:34:51,489 PARTNERS BECAUSE THAT HAS BEEN 999 00:34:51,556 --> 00:34:52,490 MY JOURNEY, AND THAT'S WHAT I 1000 00:34:52,557 --> 00:34:53,991 WANT TO SHARE WITH YOU TODAY, SO 1001 00:34:54,058 --> 00:34:56,294 I'M ORIGINALLY -- I WAS TRAINED 1002 00:34:56,360 --> 00:34:58,729 IN EXPERIMENTAL PSYCHOLOGY AND 1003 00:34:58,796 --> 00:34:59,397 ASSISTANT PROFESSOR AT THE 1004 00:34:59,464 --> 00:35:00,598 UNIVERSITY OF KENTUCKY, AND I 1005 00:35:00,665 --> 00:35:03,301 SAW AN OPPORTUNITY TO MOVE IN TO 1006 00:35:03,367 --> 00:35:04,635 STATE GOVERNMENT AND TO A 1007 00:35:04,702 --> 00:35:07,805 SERVICE ROLE, AND TO NOT JUST 1008 00:35:07,872 --> 00:35:15,246 LEAVE THE UNIVERSITY SYSTEM BUT 1009 00:35:15,313 --> 00:35:20,551 TO FACILITATE THAT RELATIONSHIP. 1010 00:35:20,618 --> 00:35:21,619 I MORE RECENTLY BECAME THE 1011 00:35:21,686 --> 00:35:22,253 COMMISSIONER OF THE DEPARTMENT 1012 00:35:22,320 --> 00:35:23,821 BUT WHAT THAT MEANS IS I HAVE 1013 00:35:23,888 --> 00:35:27,325 THE OPPORTUNITY TO FACILITATE 1014 00:35:27,391 --> 00:35:29,393 THE STATE UNIVERSITY PARTNERSHIP 1015 00:35:29,460 --> 00:35:32,363 VISION TO REMOVE BARRIERS TO 1016 00:35:32,430 --> 00:35:34,465 IMPLEMENTATION, TO SUPPORT 1017 00:35:34,532 --> 00:35:36,868 SUSTAINABILITY, TO BRING ALONG A 1018 00:35:36,934 --> 00:35:37,535 TEAM. 1019 00:35:37,602 --> 00:35:38,836 MY CABINET THAT I WORK IN 1020 00:35:38,903 --> 00:35:42,106 INCLUDES MEDICAID, PUBLIC HEA 1021 00:35:42,173 --> 00:35:43,441 HEALTH, OUR PRESCRIPTION DRUG 1022 00:35:43,508 --> 00:35:45,309 MONITORING PROGRAM, OUR CHILD 1023 00:35:45,376 --> 00:35:47,411 WELFARE AGENCY AND OBVIOUSLY 1024 00:35:47,478 --> 00:35:48,913 BEHAVIORAL HEALTH THAT DOES 1025 00:35:48,980 --> 00:35:50,481 LICENSURE AND PROVIDER QUALITY, 1026 00:35:50,548 --> 00:35:53,084 AND SO TO BE ABLE TO BRING THESE 1027 00:35:53,150 --> 00:35:55,920 RESOURCES AND ASSETS TO THE 1028 00:35:55,987 --> 00:35:57,788 RESEARCH PLATFORM AND ALSO TO 1029 00:35:57,855 --> 00:36:01,626 BRING RESEARCH QUESTIONS THAT 1030 00:36:01,692 --> 00:36:02,660 INFORM DAY-TO-DAY WORK OF THE 1031 00:36:02,727 --> 00:36:06,430 STATE DEPARTMENT IS INCREDIBLY 1032 00:36:06,497 --> 00:36:06,864 REINFORCING. 1033 00:36:06,931 --> 00:36:07,665 I'LL ALSO ACKNOWLEDGE THAT I 1034 00:36:07,732 --> 00:36:09,100 HAVE A TEAM MEMBER THAT'S NOT 1035 00:36:09,166 --> 00:36:09,967 HERE TODAY. 1036 00:36:10,034 --> 00:36:11,636 SARAH JOHNSON, THE DIRECTOR FOR 1037 00:36:11,702 --> 00:36:12,770 SUBSTANCE USE DISORDER SERVICES 1038 00:36:12,837 --> 00:36:14,372 ON THE DEPARTMENT OF CORRECTIONS 1039 00:36:14,438 --> 00:36:15,540 SIDE, SO THE THREE OF US HAVE 1040 00:36:15,606 --> 00:36:18,209 BEEN ABLE TO, I DON'T KNOW, MOVE 1041 00:36:18,276 --> 00:36:18,843 MOUNTAINS, MICHELE? 1042 00:36:18,910 --> 00:36:22,380 THANK YOU. 1043 00:36:22,446 --> 00:36:23,981 >> BEFORE LIZ JUMPS IN, I JUST 1044 00:36:24,048 --> 00:36:25,216 WANT TO MENTION, I THINK I SAID, 1045 00:36:25,283 --> 00:36:27,051 WE COULD HAVE INVITED ANY OF THE 1046 00:36:27,118 --> 00:36:29,587 RESEARCH TEAMS UP HERE TO SHARE. 1047 00:36:29,654 --> 00:36:31,355 WE HAVE REALLY A NUMBER OF 1048 00:36:31,422 --> 00:36:31,989 WONDERFUL TEAMS. 1049 00:36:32,056 --> 00:36:33,958 IN THE INTEREST OF TIME, WE 1050 00:36:34,025 --> 00:36:35,893 INVITED PAIRS OF TWO INSTEAD OF 1051 00:36:35,960 --> 00:36:37,161 THE WHOLE -- BUT EVERY 1052 00:36:37,228 --> 00:36:38,462 COMMUNITY, WE'VE GOT THREE 1053 00:36:38,529 --> 00:36:39,564 PARTNERS, BUT HERE YOU'RE 1054 00:36:39,630 --> 00:36:41,866 HEARING FROM PAIRS, SO JUST IN 1055 00:36:41,933 --> 00:36:46,604 THE INTEREST OF TIME. 1056 00:36:46,671 --> 00:36:47,438 >> GOOD MORNING. 1057 00:36:47,505 --> 00:36:49,206 SO IT'S GREAT TO SEE SO MANY 1058 00:36:49,273 --> 00:36:50,541 FRIENDLY FACES IN THE AUDIENCE. 1059 00:36:50,608 --> 00:36:56,981 MY NAME IS LIZ EVANS. 1060 00:36:57,048 --> 00:36:59,617 I'VE BEEN STUDYING OPIOID AND 1061 00:36:59,684 --> 00:37:00,718 OTHER SUBSTANCE USE DISORDERS 1062 00:37:00,785 --> 00:37:02,019 FOR MORE THAN 30 YEARS, I CAN'T 1063 00:37:02,086 --> 00:37:03,020 BELIEVE IT, AND I SHARE THAT 1064 00:37:03,087 --> 00:37:04,789 BECAUSE I STARTED MY CAREER 1065 00:37:04,855 --> 00:37:05,990 SETTING PEOPLE OVER THEIR LIFE 1066 00:37:06,057 --> 00:37:08,492 COURSE DOING LONGITUDAL 1067 00:37:08,559 --> 00:37:09,260 RESEARCH, TRYING TO UNDERSTAND 1068 00:37:09,327 --> 00:37:10,494 HOW DO PEOPLE DEVELOP ADDICTION, 1069 00:37:10,561 --> 00:37:11,462 HOW DO THEY CHANGE. 1070 00:37:11,529 --> 00:37:15,166 AND SO MUCH OF THAT WORK OUT OF 1071 00:37:15,232 --> 00:37:17,835 UCLA DEMONSTRATED HOW SO MUCH OF 1072 00:37:17,902 --> 00:37:19,036 PEOPLE'S TIME IS SPENT IN THE 1073 00:37:19,103 --> 00:37:20,438 CARCERAL LEGAL SYSTEM AND NOT IN 1074 00:37:20,504 --> 00:37:22,573 TREATMENT SETTINGS, AND YET 1075 00:37:22,640 --> 00:37:23,774 OFTEN THOSE ARE SETTINGS WHERE 1076 00:37:23,841 --> 00:37:25,710 PEOPLE CANNOT ACCESS 1077 00:37:25,776 --> 00:37:27,678 EVIDENCE-BASED TREATMENT FOR 1078 00:37:27,745 --> 00:37:29,580 OPIOID AND OTHER SUBSTANCE USE 1079 00:37:29,647 --> 00:37:30,214 DISORDERS. 1080 00:37:30,281 --> 00:37:31,649 SO I CAME TO MASSACHUSETTS A FEW 1081 00:37:31,716 --> 00:37:33,618 YEARS AGO AND WAS SO PLEASANTLY 1082 00:37:33,684 --> 00:37:36,020 SURPRISED TO HEAR THAT 1083 00:37:36,087 --> 00:37:37,588 MASSACHUSETTS WAS ON THE BRINK 1084 00:37:37,655 --> 00:37:41,092 OF LEGISLATING THAT JAILS IN 1085 00:37:41,158 --> 00:37:43,394 MASSACHUSETTS PILOT OFFERING ALL 1086 00:37:43,461 --> 00:37:45,262 THE MEDICATIONS TO TREAT OPIOID 1087 00:37:45,329 --> 00:37:46,797 USE DISORDER INSIDE THE JAILS. 1088 00:37:46,864 --> 00:37:49,433 AND SO THIS WAS A GREAT RESEARCH 1089 00:37:49,500 --> 00:37:49,967 OPPORTUNITY. 1090 00:37:50,034 --> 00:37:52,503 I ULTIMATELY PARTNERS WITH PETER 1091 00:37:52,570 --> 00:37:54,005 FRIEDMAN, A PHYSICIAN SCIENTIST, 1092 00:37:54,071 --> 00:37:56,207 IN MASSACHUSETTS, AND WE'RE NOW 1093 00:37:56,273 --> 00:37:57,875 MPIs OF THE MASSACHUSETTS 1094 00:37:57,942 --> 00:37:59,644 JCOIN HUB, WHERE WE PARTNER WITH 1095 00:37:59,710 --> 00:38:02,446 OUR JUSTICE PARTNERS WHO -- ONE 1096 00:38:02,513 --> 00:38:03,681 OF WHOM YOU'LL MEET JUST IN A 1097 00:38:03,748 --> 00:38:05,516 MOMENT AND THE DEPARTMENT OF 1098 00:38:05,583 --> 00:38:09,253 PUBLIC HEALTH TO UNDERSTAND THE 1099 00:38:09,320 --> 00:38:10,788 IMPLEMENTATION, OUTCOMES AND 1100 00:38:10,855 --> 00:38:12,256 COSTS OF PROVIDING MEDICATIONS 1101 00:38:12,323 --> 00:38:13,324 INSIDE OF JAILS IN 1102 00:38:13,391 --> 00:38:14,659 MASSACHUSETTS. 1103 00:38:14,725 --> 00:38:17,495 AND SO THIS HAS BEEN A WONDERFUL 1104 00:38:17,561 --> 00:38:18,062 COLLABORATIVE EXPERIENCE. 1105 00:38:18,129 --> 00:38:19,363 WE WANT TO SHARE MORE ABOUT SOME 1106 00:38:19,430 --> 00:38:21,465 OF OUR LESSONS LEARNED IN BEING 1107 00:38:21,532 --> 00:38:24,168 A PART OF THE JCOIN NETWORK, NOT 1108 00:38:24,235 --> 00:38:26,103 JUST IN MASSACHUSETTS BUT THE 1109 00:38:26,170 --> 00:38:30,207 NATIONAL NETWORK. 1110 00:38:30,274 --> 00:38:33,944 SO WE'LL SHARE MORE. 1111 00:38:34,011 --> 00:38:35,346 >> GOOD MORNING, EVERYONE. 1112 00:38:35,413 --> 00:38:38,282 MY NAME IS ED HAYES, I AM THE 1113 00:38:38,349 --> 00:38:39,984 DIRECTOR OF AN OPIOID TREATMENT 1114 00:38:40,051 --> 00:38:43,487 PROGRAM LOCATED IN THE JAIL IN 1115 00:38:43,554 --> 00:38:46,457 RURAL WESTERN MASSACHUSETTS. 1116 00:38:46,524 --> 00:38:48,559 AND WE WERE AN EARLY ADOPTER OF 1117 00:38:48,626 --> 00:38:52,063 HAVING MEDICATION FOR OPIOID USE 1118 00:38:52,129 --> 00:38:53,431 DISORDER AVAILABLE IN A CARCERAL 1119 00:38:53,497 --> 00:38:55,599 SETTING AND IT HAS BEEN A REAL 1120 00:38:55,666 --> 00:38:59,170 PRIVILEGE FOR US TO COLLABORATE 1121 00:38:59,236 --> 00:39:00,971 WITH JCOIN AND I WANT TO EXTEND 1122 00:39:01,038 --> 00:39:04,542 MY GRATITUDE TO TISHA AND 1123 00:39:04,608 --> 00:39:05,976 DR. VOLKOW AND NIDA LEADERSHIP 1124 00:39:06,043 --> 00:39:07,078 BECAUSE THIS HAS BEEN ONE OF THE 1125 00:39:07,144 --> 00:39:08,846 MOST AMAZING PROJECTS THAT I'VE 1126 00:39:08,913 --> 00:39:11,248 BEEN ABLE TO PARTICIPATE IN IN 1127 00:39:11,315 --> 00:39:12,683 MY CAREER. 1128 00:39:12,750 --> 00:39:14,151 IT HAS BEEN EXTREMELY 1129 00:39:14,218 --> 00:39:15,319 TRANSFORMATIVE FOR THE WORK THAT 1130 00:39:15,386 --> 00:39:16,954 WE DO. 1131 00:39:17,021 --> 00:39:18,355 AND WE'LL BE TALKING MORE ABOUT 1132 00:39:18,422 --> 00:39:20,758 THAT SPECIFICALLY. 1133 00:39:20,825 --> 00:39:21,992 IN A SECOND. 1134 00:39:22,059 --> 00:39:24,395 >> AND IN MASSACHUSETTS, CAN YOU 1135 00:39:24,462 --> 00:39:25,496 JUST ACKNOWLEDGE YOUR TREATMENT 1136 00:39:25,563 --> 00:39:27,598 PARTNER AS WELL? 1137 00:39:27,665 --> 00:39:32,069 >> YEAH, SO, WELL, I'M NOT SURE 1138 00:39:32,136 --> 00:39:34,271 IF -- WHO YOU'RE REFERRING TO. 1139 00:39:34,338 --> 00:39:36,040 >> DINA, BUT -- 1140 00:39:36,107 --> 00:39:38,242 >> YES, YES, WE HAVE AN AMAZING 1141 00:39:38,309 --> 00:39:39,376 COLLABORATOR IN THE DEPARTMENT 1142 00:39:39,443 --> 00:39:40,311 OF PUBLIC HEALTH IN 1143 00:39:40,377 --> 00:39:41,278 MASSACHUSETTS. 1144 00:39:41,345 --> 00:39:45,249 SO DINA BERNSON HEADS UP THEIR 1145 00:39:45,316 --> 00:39:46,917 DATA ANALYTICS OFFICE AND 1146 00:39:46,984 --> 00:39:47,985 MASSACHUSETTS HAS THIS RESOURCE 1147 00:39:48,052 --> 00:39:49,987 CALLED THE PUBLIC HEALTH DATA 1148 00:39:50,054 --> 00:39:51,522 WAREHOUSE WHERE IT LINKS 1149 00:39:51,589 --> 00:39:52,623 TOGETHER ADMINISTRATIVE DATA 1150 00:39:52,690 --> 00:39:54,592 COLLECTED BY INSTITUTIONS IN 1151 00:39:54,658 --> 00:39:55,926 MASSACHUSETTS ON MORE THAN 98% 1152 00:39:55,993 --> 00:39:57,194 OF THE POPULATION IN 1153 00:39:57,261 --> 00:39:58,529 MASSACHUSETTS. 1154 00:39:58,596 --> 00:39:59,997 SO THROUGH THIS COLLABORATION, 1155 00:40:00,064 --> 00:40:02,133 WE'RE ABLE TO ACCESS DATA ON 1156 00:40:02,199 --> 00:40:04,368 MOST PEOPLE IN MASSACHUSETTS, 1157 00:40:04,435 --> 00:40:05,569 INCLUDING INCARCERATED 1158 00:40:05,636 --> 00:40:07,071 POPULATION, TO UNDERSTAND THEIR 1159 00:40:07,138 --> 00:40:10,908 OUTCOMES OVER TIME, AS THEY 1160 00:40:10,975 --> 00:40:11,942 EXPERIENCE EVENTS AND IT'S 1161 00:40:12,009 --> 00:40:13,344 TRACKED IN THESE ADMINISTRATIVE 1162 00:40:13,410 --> 00:40:13,911 DATASETS. 1163 00:40:13,978 --> 00:40:15,780 SO WE'RE ABLE TO TRACK THINGS 1164 00:40:15,846 --> 00:40:19,717 LIKE OVERDOSE EVENTS, USE OF 1165 00:40:19,784 --> 00:40:21,352 HEALTHCARE EXPERIENCES WITH THE 1166 00:40:21,418 --> 00:40:22,286 JUSTICE SYSTEM, AND SOMETHING 1167 00:40:22,353 --> 00:40:23,888 THAT WE CREATED THROUGH JCOIN 1168 00:40:23,954 --> 00:40:26,857 WAS THE ABILITY TO HELP JAILS 1169 00:40:26,924 --> 00:40:28,592 CONTRIBUTE THEIR DATA TO THIS 1170 00:40:28,659 --> 00:40:32,997 AMAZING RESEARCH RESOURCE THAT 1171 00:40:33,063 --> 00:40:34,198 PREVIOUSLY WASN'T YET IN THAT 1172 00:40:34,265 --> 00:40:36,500 DATA SYSTEM. 1173 00:40:36,567 --> 00:40:37,935 SO ONE OF THE BENEFITS OF JCOIN 1174 00:40:38,002 --> 00:40:39,236 WAS HELPING THE JUSTICE SYSTEM 1175 00:40:39,303 --> 00:40:41,338 TO BE ABLE TO TAKE PART IN 1176 00:40:41,405 --> 00:40:43,440 RESEARCH BY GENERATING DATA THAT 1177 00:40:43,507 --> 00:40:45,075 COULD BE USED FOR RESEARCH 1178 00:40:45,142 --> 00:40:47,912 PURPOSES. 1179 00:40:47,978 --> 00:40:49,780 >> AND LIZ, I ACTUALLY LOVE THAT 1180 00:40:49,847 --> 00:40:51,215 YOU WERE LIKE, WHICH PARTNER? 1181 00:40:51,282 --> 00:40:52,516 BECAUSE I THINK THAT THAT'S 1182 00:40:52,583 --> 00:40:53,651 ACTUALLY -- IT'S SO INFUSED IN 1183 00:40:53,717 --> 00:40:55,152 WHAT WE DO, ONE OF THE 1184 00:40:55,219 --> 00:40:56,587 REQUIREMENTS IN JCOIN WAS NOT 1185 00:40:56,654 --> 00:40:58,355 ONLY DID THESE HAVE TO BE 1186 00:40:58,422 --> 00:41:00,424 MULTISITE STUDIES, BUT IN EACH 1187 00:41:00,491 --> 00:41:01,091 OF THE COMMUNITIES THEY WERE 1188 00:41:01,158 --> 00:41:02,760 WORKING IN, THEY HAD TO HAVE 1189 00:41:02,827 --> 00:41:04,061 PARTNERS IN ALL OF THOSE 1190 00:41:04,128 --> 00:41:04,628 COMMUNITIES. 1191 00:41:04,695 --> 00:41:06,597 I ACTUALLY REALLY LOVE THAT 1192 00:41:06,664 --> 00:41:08,132 QUESTION BECAUSE THAT SORT OF 1193 00:41:08,199 --> 00:41:10,100 SPEAKS TO HOW DEEP THE 1194 00:41:10,167 --> 00:41:11,335 PARTNERSHIPS ARE AND HOW 1195 00:41:11,402 --> 00:41:11,902 MULTILEVEL THEY ARE. 1196 00:41:11,969 --> 00:41:14,605 I JUST WANT TO START BY OPENING, 1197 00:41:14,672 --> 00:41:15,773 JCOIN IS A NETWORK SO WHAT DOES 1198 00:41:15,840 --> 00:41:16,307 THAT MEAN? 1199 00:41:16,373 --> 00:41:17,842 WHAT DOES IT MEAN FOR US TO HAVE 1200 00:41:17,908 --> 00:41:21,011 ASKED FOLKS TO JOIN US FOR 1201 00:41:21,078 --> 00:41:22,112 STEERING COMMITTEE MEETINGS, 1202 00:41:22,179 --> 00:41:23,981 COME HERE FOR ANNUAL MEETINGS, 1203 00:41:24,048 --> 00:41:25,516 PARTICIPATE IN PANELS LIKE THIS, 1204 00:41:25,583 --> 00:41:27,651 OTHER STUFF, SO I'M GOING TO 1205 00:41:27,718 --> 00:41:28,352 START WITH ED. 1206 00:41:28,419 --> 00:41:30,087 COULD YOU JUST SHARE SOME OF 1207 00:41:30,154 --> 00:41:32,056 YOUR THOUGHTS AND REFLECTIONS ON 1208 00:41:32,122 --> 00:41:33,557 WHAT IT'S MEANT TO YOU TO BE 1209 00:41:33,624 --> 00:41:34,525 PART OF THIS NETWORK? 1210 00:41:34,592 --> 00:41:36,660 >> YES, OF COURSE. 1211 00:41:36,727 --> 00:41:38,762 SO I THINK EACH OF US, IF WE 1212 00:41:38,829 --> 00:41:41,498 FIND OURSELVES IN A HOSPITAL, IN 1213 00:41:41,565 --> 00:41:44,001 THE CARE OF MEDICAL 1214 00:41:44,068 --> 00:41:45,870 PRACTITIONERS, WE HAVE THIS 1215 00:41:45,936 --> 00:41:51,141 EXPECTATION THAT THOSE MEDICAL 1216 00:41:51,208 --> 00:41:52,042 PRACTITIONERS, THAT HOSPITALS 1217 00:41:52,109 --> 00:41:53,677 CONNECTED TO RESEARCH THAT IS 1218 00:41:53,744 --> 00:41:55,246 GOING ON CURRENTLY, AND THAT IS 1219 00:41:55,312 --> 00:41:56,113 BECAUSE OVER THE PAST HUNDRED 1220 00:41:56,180 --> 00:41:59,083 YEARS OR MORE, THERE HAS BEEN AN 1221 00:41:59,149 --> 00:42:00,517 INFRASTRUCTURE BUILT UP TO 1222 00:42:00,584 --> 00:42:03,254 SUPPORT THE DISSEMINATION OF 1223 00:42:03,320 --> 00:42:04,655 KNOWLEDGE BETWEEN CUTTING EDGE 1224 00:42:04,722 --> 00:42:06,257 RESEARCHERS AND PRACTITIONERS IN 1225 00:42:06,323 --> 00:42:08,959 THE FIELD. 1226 00:42:09,026 --> 00:42:10,861 WORKING IN THE CRIMINAL JUSTICE 1227 00:42:10,928 --> 00:42:12,263 SYSTEM, I CAN SAY UNFORTUNATELY 1228 00:42:12,329 --> 00:42:13,330 THERE IS NO PARALLEL EXAMPLE. 1229 00:42:13,397 --> 00:42:14,665 THERE ARE EFFORTS TO DO THIS, 1230 00:42:14,732 --> 00:42:17,534 BUT THE CRIMINAL JUSTICE SYSTEM 1231 00:42:17,601 --> 00:42:18,168 HAS BEEN SEPARATE FROM THE WORLD 1232 00:42:18,235 --> 00:42:20,070 OF RESEARCH FOR TOO LONG AND 1233 00:42:20,137 --> 00:42:24,108 EVEN A CURSORY GLANCE AT THE 1234 00:42:24,174 --> 00:42:25,976 STATE OF THE CARCERAL SYSTEM IN 1235 00:42:26,043 --> 00:42:26,844 THE UNITED STATES, WE CAN SEE 1236 00:42:26,911 --> 00:42:28,746 THAT SO MANY FACILITIES ARE NOT 1237 00:42:28,812 --> 00:42:30,047 ONLY NOT MEETING THE STANDARD OF 1238 00:42:30,114 --> 00:42:32,116 CARE IN THE COMMUNITY, BUT ARE 1239 00:42:32,182 --> 00:42:34,451 WELL BEHIND IT, AND THIS HAS A 1240 00:42:34,518 --> 00:42:35,653 PROFOUND IMPACT IF WHAT WE'RE 1241 00:42:35,719 --> 00:42:37,621 TRYING TO DO IS ATTAIN PUBLIC 1242 00:42:37,688 --> 00:42:39,590 SAFETY. 1243 00:42:39,657 --> 00:42:42,026 SO JCOIN PROVIDED A SOLUTION TO 1244 00:42:42,092 --> 00:42:43,560 THIS THAT I HAD NEVER 1245 00:42:43,627 --> 00:42:46,063 EXPERIENCED BEFORE, AND IT WAS 1246 00:42:46,130 --> 00:42:47,164 EXTREMELY COMPELLING TO US. 1247 00:42:47,231 --> 00:42:49,700 THE FIRST AND MOST OBVIOUS THING 1248 00:42:49,767 --> 00:42:51,135 IS THAT WE HAVE AN OPIOID 1249 00:42:51,201 --> 00:42:51,902 TREATMENT PROGRAM IN OUR 1250 00:42:51,969 --> 00:42:53,537 FACILITY AND IF WE WANT TO DO 1251 00:42:53,604 --> 00:42:54,672 EVIDENCE-BASED WORK, ONE OF THE 1252 00:42:54,738 --> 00:42:56,307 MOST FUNDAMENTAL COMPONENTS OF 1253 00:42:56,373 --> 00:42:57,641 IT IS AN EVALUATION OF THE 1254 00:42:57,708 --> 00:42:58,042 PROGRAM. 1255 00:42:58,108 --> 00:42:59,510 WHAT IS WORKING, WHAT IS NOT 1256 00:42:59,576 --> 00:43:01,278 WORKING. 1257 00:43:01,345 --> 00:43:02,613 AND IT HARD TO DO THAT WHEN YOU 1258 00:43:02,680 --> 00:43:05,749 HAVE SO MANY THINGS TO DO AND 1259 00:43:05,816 --> 00:43:08,752 YOU'RE WORKING IN MEETING WITH 1260 00:43:08,819 --> 00:43:10,054 CLIENTS, RESOLVING CRISES THAT 1261 00:43:10,120 --> 00:43:12,022 THEY'RE HAVING, AND WHATNOT. 1262 00:43:12,089 --> 00:43:13,490 AND THE TEAM OF JCOIN 1263 00:43:13,557 --> 00:43:14,792 RESEARCHERS HAS STEPPED UP TO 1264 00:43:14,858 --> 00:43:17,528 HELP US WITH THE VERY 1265 00:43:17,594 --> 00:43:19,063 SOPHISTICATED EVALUATION 1266 00:43:19,129 --> 00:43:20,831 COMPONENT, AND THAT HAS REALLY 1267 00:43:20,898 --> 00:43:23,600 HAD PROFOUND IMPLICATIONS ON THE 1268 00:43:23,667 --> 00:43:24,234 ACTUAL DAY-TO-DAY WORK OF WHAT 1269 00:43:24,301 --> 00:43:24,768 WE'RE DOING. 1270 00:43:24,835 --> 00:43:26,136 WHAT IS WORKING, WHAT IS NOT 1271 00:43:26,203 --> 00:43:27,638 WORKING, WHAT DO WE NEED TO 1272 00:43:27,705 --> 00:43:29,106 ADAPT, WHAT ARE WE MISSING, WHAT 1273 00:43:29,173 --> 00:43:32,509 ARE THE GAPS? 1274 00:43:32,576 --> 00:43:33,510 AND BEYOND THIS, THERE'S A 1275 00:43:33,577 --> 00:43:37,448 CULTURE TO JCOIN, REALLY BESIDES 1276 00:43:37,514 --> 00:43:38,582 THIS EVALUATION COMPONENT, THE 1277 00:43:38,649 --> 00:43:41,318 NETWORK IS SO PROFOUND AND I 1278 00:43:41,385 --> 00:43:47,558 HAVE TO APPLAUD YOU, TISHA AND 1279 00:43:47,624 --> 00:43:48,559 JCOIN LEADERSHIP, BECAUSE 1280 00:43:48,625 --> 00:43:50,294 THERE'S REALLY TRULY A CULTURE 1281 00:43:50,361 --> 00:43:51,962 WITHIN JCOIN THAT IS INVITING, 1282 00:43:52,029 --> 00:43:55,899 IT'S WELCOMING, IT'S DARE I SAY 1283 00:43:55,966 --> 00:43:57,868 JOYFUL, AND YOU KNOW, FOR 1284 00:43:57,935 --> 00:43:58,736 PRACTITIONERS IN THE CRIMINAL 1285 00:43:58,802 --> 00:44:03,374 LEGAL SYSTEM LIKE MYSELFS, MYSES 1286 00:44:03,440 --> 00:44:05,342 A RE FEUNL AND AN OASIS TO BE A 1287 00:44:05,409 --> 00:44:06,610 PART OF THIS PROJECT AND TO 1288 00:44:06,677 --> 00:44:07,711 DEVELOP THESE NETWORKS AND 1289 00:44:07,778 --> 00:44:09,780 CONNECTIONS WITH RESEARCHERS, 1290 00:44:09,847 --> 00:44:11,548 AND IT A TWO-WAY STREET, YOU 1291 00:44:11,615 --> 00:44:11,982 KNOW? 1292 00:44:12,049 --> 00:44:14,618 YOU HAVE BEEN VERY INVITING AND 1293 00:44:14,685 --> 00:44:16,353 WELCOMING OF US, AND YOU'RE ALSO 1294 00:44:16,420 --> 00:44:19,056 GREAT LISTENERS. 1295 00:44:19,123 --> 00:44:21,325 SO IN MY EXPERIENCE AND MY WORK, 1296 00:44:21,392 --> 00:44:23,093 ONE THING WE NOTICED IN OUR 1297 00:44:23,160 --> 00:44:25,629 FACILITY WHERE WE TREAT A COHORT 1298 00:44:25,696 --> 00:44:29,033 OF INCARCERATED WOMEN IS, IN 1299 00:44:29,099 --> 00:44:30,134 2018, WE BEGAN TO WORK WITH 1300 00:44:30,200 --> 00:44:31,668 WOMEN. 1301 00:44:31,735 --> 00:44:33,470 AND ONE OF THE THINGS THAT WE 1302 00:44:33,537 --> 00:44:35,205 GRADUALLY NOTICED IN THE FIRST 1303 00:44:35,272 --> 00:44:36,607 COUPLE OF YEARS IS THAT 1304 00:44:36,673 --> 00:44:39,576 VULNERABLE POPULATIONS AT THE 1305 00:44:39,643 --> 00:44:41,712 INTERSECTION OF CRIMINAL LEGAL 1306 00:44:41,779 --> 00:44:44,448 INVOLVEMENT AND SUBSTANCE USE 1307 00:44:44,515 --> 00:44:46,450 DISORDERS HAVE EXTREMELY 1308 00:44:46,517 --> 00:44:47,284 PROFOUND CHALLENGES. 1309 00:44:47,351 --> 00:44:50,054 AND WHAT WE BEGAN TO SAW IS THAT 1310 00:44:50,120 --> 00:44:54,124 ALMOST 100% OF THE WOMEN IN OUR 1311 00:44:54,191 --> 00:44:56,393 CARE WERE SUSCEPTIBLE AND WERE 1312 00:44:56,460 --> 00:44:58,162 EXPERIENCING COMMERCIAL SEXUAL 1313 00:44:58,228 --> 00:44:59,196 EXPLOITATION, AND THIS HAS BEEN 1314 00:44:59,263 --> 00:45:01,265 AN EXTREMELY PROFOUND BARRIER TO 1315 00:45:01,331 --> 00:45:05,202 THE RECOVERY IN THE COMMUNITY, 1316 00:45:05,269 --> 00:45:07,171 AND I BROUGHT THIS UP IN MANY, 1317 00:45:07,237 --> 00:45:08,739 MANY MEETINGS, AND NIDA 1318 00:45:08,806 --> 00:45:10,374 RESPONDED BY CREATING A FUNDING 1319 00:45:10,441 --> 00:45:11,542 OPPORTUNITY TO ACTUALLY DO THIS 1320 00:45:11,608 --> 00:45:13,010 RESEARCH. 1321 00:45:13,077 --> 00:45:14,578 OF WHICH THERE'S VERY LITTLE IN 1322 00:45:14,645 --> 00:45:15,579 THE FIELD. 1323 00:45:15,646 --> 00:45:16,880 SO THERE WAS A TWO-WAY STREET 1324 00:45:16,947 --> 00:45:20,517 THAT WAS EXTREMELY IMPORTANT. 1325 00:45:20,584 --> 00:45:22,619 THE JCOIN NETWORK, GOING TO THE 1326 00:45:22,686 --> 00:45:24,021 MEETINGS, MEETING WITH 1327 00:45:24,088 --> 00:45:25,956 RESEARCHERS IS INCREDIBLE, BUT 1328 00:45:26,023 --> 00:45:27,257 NETWORKS ARE CONNECTED TO 1329 00:45:27,324 --> 00:45:29,660 NETWORKS. 1330 00:45:29,726 --> 00:45:31,562 AND SO AFTER OUR MEETING IN 1331 00:45:31,628 --> 00:45:32,963 DURHAM, NORTH CAROLINA, 1332 00:45:33,030 --> 00:45:34,364 IMMEDIATELY FOLLOWING IT, ARE 1333 00:45:34,431 --> 00:45:35,899 THERE WAS A CONFERENCE OF THE 1334 00:45:35,966 --> 00:45:38,235 ACADEMIC CONSORTIUM FOR CRIMINAL 1335 00:45:38,302 --> 00:45:41,071 JUSTICE HEALTHCARE, AND I MET 1336 00:45:41,138 --> 00:45:42,306 WITH SO MANY RESEARCHERS THAT 1337 00:45:42,372 --> 00:45:45,676 WERE DOING EXTREMELY INTERESTING 1338 00:45:45,742 --> 00:45:48,011 THINGS. 1339 00:45:48,078 --> 00:45:49,313 TRAUMA-RESPONSIVE WORK, LET 1340 00:45:49,379 --> 00:45:50,747 ALONE TRAUMA-INFORMED WORK IN 1341 00:45:50,814 --> 00:45:52,182 JAILS, AND WE WERE ABLE TO LEARN 1342 00:45:52,249 --> 00:45:54,751 THINGS AND ADOPT THEM AND 1343 00:45:54,818 --> 00:45:56,987 IMPLEMENT THEM IN OUR FACILITY, 1344 00:45:57,054 --> 00:45:58,555 ACTUAL CUTTING-EDGE RESEARCH. 1345 00:45:58,622 --> 00:46:01,358 SO IT'S BEEN A REAL PLEASURE AND 1346 00:46:01,425 --> 00:46:03,760 IT HAS BEEN A VERY SUCCESSFUL 1347 00:46:03,827 --> 00:46:05,896 ENDEAVOR FROM OUR END. 1348 00:46:05,963 --> 00:46:07,865 >> THANK YOU FOR SHARING, ED. 1349 00:46:07,931 --> 00:46:11,034 I WANT TO ACKNOWLEDGE LAURIE 1350 00:46:11,101 --> 00:46:12,269 DUSHARMS AND THE REST OF THE 1351 00:46:12,336 --> 00:46:13,737 NIDA TEAM THAT REALLY HELPED 1352 00:46:13,804 --> 00:46:14,805 MAKE ALL OF THIS WORK HAPPEN. 1353 00:46:14,872 --> 00:46:17,007 I WANT TO ASK MICHELE TO PICK UP 1354 00:46:17,074 --> 00:46:18,242 ON A THEME THERE, BECAUSE I 1355 00:46:18,308 --> 00:46:20,110 THINK -- I WANT TO HEAR HER 1356 00:46:20,177 --> 00:46:21,111 PERSPECTIVE AS A P.I. BEING PART 1357 00:46:21,178 --> 00:46:24,548 OF A NETWORK, BUT ALSO GIVEN 1358 00:46:24,615 --> 00:46:25,849 ED'S OBSERVATION, I THINK HER 1359 00:46:25,916 --> 00:46:28,051 TEAM PICKED UP ON THE IDEA AND 1360 00:46:28,118 --> 00:46:29,019 MAYBE YOU COULD SHARE SOME 1361 00:46:29,086 --> 00:46:31,288 THOUGHTS ABOUT THAT AS WELL. 1362 00:46:31,355 --> 00:46:33,123 >> I THINK JUST TO ANSWER THE 1363 00:46:33,190 --> 00:46:35,526 ORIGINAL QUESTION IN TERMS OF 1364 00:46:35,592 --> 00:46:38,529 THE IMPORTANCE OF THE NETWORK, I 1365 00:46:38,595 --> 00:46:41,832 THINK IT SO IMPORTANT THAT WE 1366 00:46:41,899 --> 00:46:42,799 BEGIN THIS FOUNDATION OF A 1367 00:46:42,866 --> 00:46:43,333 SHARED VISION. 1368 00:46:43,400 --> 00:46:44,201 I THINK WHEN YOU HEAR THE 1369 00:46:44,268 --> 00:46:46,003 PASSION IN ED'S VOICE, WE REALLY 1370 00:46:46,069 --> 00:46:48,138 DON'T HAVE TO CONVINCE JUSTICE 1371 00:46:48,205 --> 00:46:49,806 AND TREATMENT LEADERS THAT 1372 00:46:49,873 --> 00:46:53,243 SUBSTANCE USE IS A PROBLEM IN 1373 00:46:53,310 --> 00:46:54,344 PEOPLE WHO END UP IN THE 1374 00:46:54,411 --> 00:46:55,312 CRIMINAL LEGAL SYSTEM. 1375 00:46:55,379 --> 00:46:56,079 WE ALL START THERE. 1376 00:46:56,146 --> 00:46:58,682 AND IT'S A HUGE PROBLEM. 1377 00:46:58,749 --> 00:47:00,317 NOT ONLY WHILE THEY'RE 1378 00:47:00,384 --> 00:47:01,185 INCARCERATED, BUT THAT IT WILL 1379 00:47:01,251 --> 00:47:02,920 BE CHEAPER AND BETTER FOR 1380 00:47:02,986 --> 00:47:04,588 EVERYONE WHEN THEY GET OUT IF 1381 00:47:04,655 --> 00:47:06,023 THEY STAY OUT. 1382 00:47:06,089 --> 00:47:08,458 AND SO AGAIN, THAT SHARED 1383 00:47:08,525 --> 00:47:10,727 PURPOSE AND VISION IS SO 1384 00:47:10,794 --> 00:47:11,061 IMPORTANT. 1385 00:47:11,128 --> 00:47:13,397 AND I THINK THE JCOIN PLATFORM 1386 00:47:13,463 --> 00:47:14,698 REALLY PROVIDES THE PLACE FOR 1387 00:47:14,765 --> 00:47:17,000 THOSE CONVERSATIONS TO TAKE 1388 00:47:17,067 --> 00:47:18,535 PLACE. 1389 00:47:18,602 --> 00:47:19,870 WE DON'T JUST SAY AS 1390 00:47:19,937 --> 00:47:21,338 RESEARCHERS, HEY, I HAVE THIS 1391 00:47:21,405 --> 00:47:23,607 GREAT IDEA, I WANT TO PLOP IT IN 1392 00:47:23,674 --> 00:47:29,213 A PRISON AND SEE WHAT WORKS. 1393 00:47:29,279 --> 00:47:32,149 HOW COULD THIS BE IMPLEMENTED IN 1394 00:47:32,216 --> 00:47:33,684 YOUR FACILITIES, CAN YOU HELP 1395 00:47:33,750 --> 00:47:35,052 US, WHO SHOULD BE INVOLVED, WHO 1396 00:47:35,118 --> 00:47:36,386 ARE THE KEY PARTNERRINGS? 1397 00:47:36,453 --> 00:47:38,655 JUST THOSE BIG IDEA QUESTIONS. 1398 00:47:38,722 --> 00:47:40,057 AGAIN, TO TAG WHAT ED WAS 1399 00:47:40,123 --> 00:47:41,225 TALKING ABOUT, WE HAD A SITE 1400 00:47:41,291 --> 00:47:42,659 VISIT WITH NIDA LEADERSHIP VERY 1401 00:47:42,726 --> 00:47:45,295 EARLY IN THIS PROJECT, AND TISHA 1402 00:47:45,362 --> 00:47:47,064 AND THE TEAM WERE TALKING AND 1403 00:47:47,130 --> 00:47:48,799 TISHA HAD BEEN TO A MEETING 1404 00:47:48,865 --> 00:47:50,234 WHERE THERE WAS SOME EMERGING 1405 00:47:50,300 --> 00:47:51,602 RESEARCH AROUND SEX TRAFFICKING 1406 00:47:51,668 --> 00:47:53,437 AND SEXUAL EXPLOITATION AND SHE 1407 00:47:53,503 --> 00:47:54,705 SAID, ARE YOU COLLECTING ANY 1408 00:47:54,771 --> 00:47:57,274 DATA IN THIS SPACE? 1409 00:47:57,341 --> 00:47:58,942 WE HAD A COUPLE OF QUESTIONS, 1410 00:47:59,009 --> 00:47:59,743 BUT BECAUSE OF THAT QUESTION AND 1411 00:47:59,810 --> 00:48:01,044 BECAUSE OF A LOT OF THE THINGS 1412 00:48:01,111 --> 00:48:02,079 THAT ED WAS TALKING ABOUT 1413 00:48:02,145 --> 00:48:03,046 HAPPENING WITH HIS WOMEN, WE 1414 00:48:03,113 --> 00:48:04,581 WERE REALLY ABLE TO EXPAND THAT 1415 00:48:04,648 --> 00:48:06,984 WHOLE SECTION OF OUR DATA 1416 00:48:07,050 --> 00:48:08,919 COLLECTION TOOL, AND I'M REALLY 1417 00:48:08,986 --> 00:48:09,786 GLAD THAT WE DID. 1418 00:48:09,853 --> 00:48:11,321 OUR SAMPLES ARE RANDOMLY 1419 00:48:11,388 --> 00:48:12,889 SELECTED SAMPLE OF WOMEN IN NINE 1420 00:48:12,956 --> 00:48:15,292 DIFFERENT JAILS ACROSS KENTUCKY, 1421 00:48:15,359 --> 00:48:17,694 AND ABOUT 1 IN 4 OF THEM HAVE 1422 00:48:17,761 --> 00:48:19,496 HAD A HISTORY OF SEXUAL 1423 00:48:19,563 --> 00:48:20,597 EXPLOITATION, BEING THREATENED 1424 00:48:20,664 --> 00:48:23,667 OR MANIPULATED INTO COERCED SEX, 1425 00:48:23,734 --> 00:48:24,968 AND SO THAT'S JUST ONE EXAMPLE 1426 00:48:25,035 --> 00:48:26,436 OF THE THINGS THAT ARE COMING 1427 00:48:26,503 --> 00:48:28,505 OUT OF AT THIS NETWORK. 1428 00:48:28,572 --> 00:48:30,741 SO FOR ME, AGAIN, JCOIN REALLY 1429 00:48:30,807 --> 00:48:33,143 EMPHASIZED -- THE NETWORK PIECE 1430 00:48:33,210 --> 00:48:34,244 REALLY EMPHASIZES THAT WE ARE 1431 00:48:34,311 --> 00:48:36,680 ALL IN THIS TOGETHER AND AGAIN, 1432 00:48:36,747 --> 00:48:39,316 IT'S ABOUT HOW DO WE LEARN FROM 1433 00:48:39,383 --> 00:48:42,919 EACH OTHER TO DO THE BEST 1434 00:48:42,986 --> 00:48:45,555 POSSIBLE WORK TO HAVE THE BEST 1435 00:48:45,622 --> 00:48:47,257 POSSIBLE BENEFIT FOR INDIVIDUALS 1436 00:48:47,324 --> 00:48:49,226 WITH SUD IN THE CRIMINAL LEGAL 1437 00:48:49,293 --> 00:48:49,660 SYSTEM. 1438 00:48:49,726 --> 00:48:52,829 BEING ABLE TO USE THAT AS A 1439 00:48:52,896 --> 00:48:54,865 SHARED FOUNDATION IS WHAT 1440 00:48:54,931 --> 00:48:56,166 JCOIN -- MAKES JCOIN SO UNIQUE 1441 00:48:56,233 --> 00:48:57,467 AND CAN BE SHARED WITH 1442 00:48:57,534 --> 00:48:59,269 RESEARCHERS IN OTHER SPACE. 1443 00:48:59,336 --> 00:49:00,570 AND MY LAST POINT IS, I THINK 1444 00:49:00,637 --> 00:49:02,673 IT'S SO IMPORTANT THAT WE GET 1445 00:49:02,739 --> 00:49:04,641 THESE EVIDENCE-BASED MEDICAL 1446 00:49:04,708 --> 00:49:06,843 BEHAVIORAL AND PUBLIC HEALTH 1447 00:49:06,910 --> 00:49:08,412 INTERVENTIONS INTO THE CRIMINAL 1448 00:49:08,478 --> 00:49:10,914 LEGAL SPACE BECAUSE THERE ARE SO 1449 00:49:10,981 --> 00:49:12,549 MANY INDIVIDUALS THERE WHO HAVE 1450 00:49:12,616 --> 00:49:14,685 SUCH UNIQUE VULNERABILITIES WHO 1451 00:49:14,751 --> 00:49:15,652 DIDN'T GET TREATMENT WHEN THEY 1452 00:49:15,719 --> 00:49:16,853 WERE IN THE COMMUNITY DUE TO A 1453 00:49:16,920 --> 00:49:18,622 NUMBER OF ISSUES, AND WHO AREN'T 1454 00:49:18,689 --> 00:49:21,191 GOING TO GET TREATMENT IN THE 1455 00:49:21,258 --> 00:49:23,160 ABSENCE OF SOME OF THESE REALLY 1456 00:49:23,226 --> 00:49:26,763 INTENSIVE INTERVENTIONS WHEN 1457 00:49:26,830 --> 00:49:27,297 THEY'RE RELEASED. 1458 00:49:27,364 --> 00:49:28,699 SO WE REALLY WANT TO MAKE SURE 1459 00:49:28,765 --> 00:49:32,002 THAT POINT IS HEARD TODAY. 1460 00:49:32,069 --> 00:49:33,170 >> THANK YOU, MICHELE. 1461 00:49:33,236 --> 00:49:34,971 ACTUALLY TO PICK UP ON THAT 1462 00:49:35,038 --> 00:49:36,073 POINT, I KNOW MOST PEOPLE IN 1463 00:49:36,139 --> 00:49:37,808 THIS AUDIENCE PROBABLY DON'T DO 1464 00:49:37,874 --> 00:49:38,742 WORK IN THE JUSTICE SPACE, SO 1465 00:49:38,809 --> 00:49:41,511 I'D LIKE THE PANEL TO REFLECT ON 1466 00:49:41,578 --> 00:49:42,346 WHAT'S DIFFERENT ABOUT DOING 1467 00:49:42,412 --> 00:49:44,548 THIS KIND OF RESEARCH IN THE 1468 00:49:44,614 --> 00:49:45,916 JUSTICE SETTING, AND I'D 1469 00:49:45,982 --> 00:49:48,685 ACTUALLY LIKE TO GO TO KATY TO 1470 00:49:48,752 --> 00:49:50,854 COME AT THIS FROM WHERE SHE SITS 1471 00:49:50,921 --> 00:49:52,656 WITHIN A PUBLIC HEALTH AGENCY 1472 00:49:52,723 --> 00:49:53,423 LEADING PUBLIC HEALTH AT A STATE 1473 00:49:53,490 --> 00:49:53,623 LEVEL. 1474 00:49:53,690 --> 00:49:55,392 COULD YOU REFLECT WHAT YOU THINK 1475 00:49:55,459 --> 00:49:56,593 IS DIFFERENT ABOUT DOING THIS 1476 00:49:56,660 --> 00:50:00,797 WORK FROM A JUSTICE PERSPECTIVE? 1477 00:50:00,864 --> 00:50:01,865 >> MAYBE I'LL START WITH SOME OF 1478 00:50:01,932 --> 00:50:03,100 THE WAYS THAT IT'S ACTUALLY 1479 00:50:03,166 --> 00:50:05,001 RELEVANT TO EVERYONE. 1480 00:50:05,068 --> 00:50:06,937 SO THE SEQUENTIAL INTERCEPT 1481 00:50:07,003 --> 00:50:08,605 MODEL IS INCREDIBLY INSTRUCTIVE 1482 00:50:08,672 --> 00:50:13,844 IN UNDERSTANDING HOW IF YOU DO 1483 00:50:13,910 --> 00:50:15,645 HUMAN RESEARCH SUBJECTS, SYSTEMS 1484 00:50:15,712 --> 00:50:17,180 RESEARCH, YOU ARE ENGAGED IN THE 1485 00:50:17,247 --> 00:50:18,982 CRIMINAL LEGAL CONTINUUM, RIGHT? 1486 00:50:19,049 --> 00:50:22,152 SO COMMUNITY-BASED PROGRAMS THAT 1487 00:50:22,219 --> 00:50:26,757 WOULD PREVENT CRIMINAL LEEFL LEL 1488 00:50:26,823 --> 00:50:28,125 INVOLVEMENT ARE PART OF THAT 1489 00:50:28,191 --> 00:50:29,159 CONTINUUM. 1490 00:50:29,226 --> 00:50:31,528 OBVIOUSLY WHEN WE -- COURTS, 1491 00:50:31,595 --> 00:50:33,296 JAILS, PRISONS, RE-ENTRY AND 1492 00:50:33,363 --> 00:50:34,097 COMMUNITY-BASED HAVE EVERS, 1493 00:50:34,164 --> 00:50:35,832 AGAIN ON THE OTHER SIDE, TO 1494 00:50:35,899 --> 00:50:37,834 PREVENT RETURN TO INCARCERATION, 1495 00:50:37,901 --> 00:50:40,237 THIS IS ALL PART OF THE SAME 1496 00:50:40,303 --> 00:50:41,338 CONTINUUM AND THE SAME 1497 00:50:41,405 --> 00:50:43,106 INDIVIDUALS THAT ARE SERVED 1498 00:50:43,173 --> 00:50:44,074 BEHIND THE WALL ONE DAY ARE IN 1499 00:50:44,141 --> 00:50:45,709 THE COMMUNITY THE NEXT. 1500 00:50:45,776 --> 00:50:47,444 AND EVEN IF THEY'RE NOT, THEIR 1501 00:50:47,511 --> 00:50:48,211 FAMILY MEMBERS ARE. 1502 00:50:48,278 --> 00:50:49,713 SO I THINK IT'S IMPORTANT TO 1503 00:50:49,780 --> 00:50:50,714 REALIZE THAT WE'RE ALL DOING 1504 00:50:50,781 --> 00:50:54,184 THIS WORK TOGETHER. 1505 00:50:54,251 --> 00:50:55,352 BUT THERE ARE RELEVANT 1506 00:50:55,419 --> 00:50:56,253 DIFFERENCES AND THESE DON'T HAVE 1507 00:50:56,319 --> 00:50:57,654 TO BE WEAKNESSES BUT THEY'RE 1508 00:50:57,721 --> 00:51:00,590 DIFFERENT. 1509 00:51:00,657 --> 00:51:02,125 OBVIOUSLY WE HAVE STRUCTURAL 1510 00:51:02,192 --> 00:51:04,094 CHALLENGES, THE PROVERBIAL WALL 1511 00:51:04,161 --> 00:51:06,430 WE WORK BEHIND REQUIRES A 1512 00:51:06,496 --> 00:51:08,198 DIFFERENT MINDSET WITH COMMUNITY 1513 00:51:08,265 --> 00:51:09,266 AND VALID ETHICAL 1514 00:51:09,332 --> 00:51:10,600 CONSIDERATIONS, BUT ALSO THERE'S 1515 00:51:10,667 --> 00:51:12,002 HISTORICALLY BEEN THIS FUNDING 1516 00:51:12,068 --> 00:51:16,339 WALL THAT JCOIN HAS ESPECIALLY 1517 00:51:16,406 --> 00:51:16,773 BROKEN DOWN. 1518 00:51:16,840 --> 00:51:18,074 WHETHER IT BE THAT GRANTS DID 1519 00:51:18,141 --> 00:51:20,310 NOT FOCUS ON THE CRIMINAL LEGAL 1520 00:51:20,377 --> 00:51:22,279 SYSTEM OR GRANTS PROHIBITED 1521 00:51:22,345 --> 00:51:24,581 FUNDING TO GO TO THAT WORK OR 1522 00:51:24,648 --> 00:51:29,886 INDIVIDUALS WHO ARE INCARCER 1523 00:51:29,953 --> 00:51:30,754 INCARCERATED, AND THE THIRD, 1524 00:51:30,821 --> 00:51:31,955 BECAUSE HISTORICALLY MEDICAID 1525 00:51:32,022 --> 00:51:34,257 HAS NOT BEEN A BILLABLE SERVICE 1526 00:51:34,324 --> 00:51:36,493 WHILE SOMEONE IS INCARCERATED, 1527 00:51:36,560 --> 00:51:38,195 IT'S PREIVETTED STATE AGENCIES 1528 00:51:38,261 --> 00:51:39,663 FROM REALLY INVESTED IN RESEARCH 1529 00:51:39,729 --> 00:51:41,131 AND PARTNERSHIPS WITH 1530 00:51:41,198 --> 00:51:42,199 UNIVERSITIES, THAT STATE 1531 00:51:42,265 --> 00:51:43,099 UNIVERSITY PARTNERSHIP, IT 1532 00:51:43,166 --> 00:51:44,100 PROBABLY IS A DIFFERENT TERM IN 1533 00:51:44,167 --> 00:51:45,869 EVERY STATE, BUT THE IDEA THAT 1534 00:51:45,936 --> 00:51:47,437 WE CAN TAKE MEDICAID FUNDS AND 1535 00:51:47,504 --> 00:51:49,306 MATCH THEM WITH UNIVERSITY FUNDS 1536 00:51:49,372 --> 00:51:50,941 TO DO TARGETED INNOVATIVE 1537 00:51:51,007 --> 00:51:52,309 RESEARCH, IT'S REALLY KEPT US 1538 00:51:52,375 --> 00:51:53,743 FULLY OUT OF THE CRIMINAL LEGAL 1539 00:51:53,810 --> 00:51:56,580 SYSTEM OR AT LEAST WHILE PEOPLE 1540 00:51:56,646 --> 00:51:59,149 ARE INCARCERATED BECAUSE OF THIS 1541 00:51:59,216 --> 00:51:59,916 FUNDING WALL. 1542 00:51:59,983 --> 00:52:00,984 SO THINK ABOUT THE DIFFERENT 1543 00:52:01,051 --> 00:52:02,319 WALGS THAT HAVE EXISTED. 1544 00:52:02,385 --> 00:52:03,587 THERE'S ALSO POWER DISTRIBUTION 1545 00:52:03,653 --> 00:52:05,755 DIFFERENCES, RIGHT? 1546 00:52:05,822 --> 00:52:10,093 THERE IS A JUDICIAL DISCRETION, 1547 00:52:10,160 --> 00:52:11,228 WHICH CAN BE A LIMITATION. 1548 00:52:11,294 --> 00:52:14,364 WE HAVE CHALLENGES IN THE 1549 00:52:14,431 --> 00:52:17,334 DIFFUSE DISTRIBUTION OF DATA 1550 00:52:17,400 --> 00:52:20,804 SYSTEMS ACROSS A STATE AND STATE 1551 00:52:20,871 --> 00:52:23,573 VERSUS LOCAL CONTROL OF 1552 00:52:23,640 --> 00:52:25,575 PROCESSES AND PROTOCOLS, BUT 1553 00:52:25,642 --> 00:52:27,444 WHAT'S VALUABLE ABOUT THAT IS IT 1554 00:52:27,511 --> 00:52:29,079 MEANS THERE'S A LOT OF POINTS OF 1555 00:52:29,145 --> 00:52:31,948 INTERVENTION THAT WE CAN PRESS 1556 00:52:32,015 --> 00:52:33,717 ON TO MAKE SYSTEMS CHANGE. 1557 00:52:33,783 --> 00:52:35,785 AND SO I JUST KIND OF RETURN TO 1558 00:52:35,852 --> 00:52:36,887 THE BEGINNING TO SAY THAT 1559 00:52:36,953 --> 00:52:38,488 REMEMBER THAT WE'RE ALL DOING 1560 00:52:38,555 --> 00:52:40,891 THIS WORK IN ONE WAY OR ANOTHER, 1561 00:52:40,957 --> 00:52:42,292 AND THE DIFFERENCES AREN'T 1562 00:52:42,359 --> 00:52:45,929 LIMITATIONS. 1563 00:52:45,996 --> 00:52:47,831 >> THANKS, KATY. 1564 00:52:47,898 --> 00:52:49,366 MAYBE I CAN GO TO LIZ TO SHARE 1565 00:52:49,432 --> 00:52:49,933 HER PERSPECTIVE. 1566 00:52:50,000 --> 00:52:52,602 >> WHAT KATY SHARED REALLY 1567 00:52:52,669 --> 00:52:53,904 RESONATES WITH ME TOO. 1568 00:52:53,970 --> 00:52:55,705 THE JUSTICE SYSTEM HISTORICALLY 1569 00:52:55,772 --> 00:52:56,840 CAN BE THIS INVISIBLE PLACE. 1570 00:52:56,907 --> 00:52:58,275 WE NO IT AFFECTS HEALTH BUT WE 1571 00:52:58,341 --> 00:52:59,242 DON'T REALLY KNOW WHAT'S 1572 00:52:59,309 --> 00:53:00,443 HAPPENING IN THOSE PLACES. 1573 00:53:00,510 --> 00:53:02,913 SO JCOIN NOW GIVES US THE 1574 00:53:02,979 --> 00:53:07,083 OPPORTUNITY TO STUDY WITH INTENT 1575 00:53:07,150 --> 00:53:08,518 WHAT TYPES OF SERVICES ARE BEING 1576 00:53:08,585 --> 00:53:09,853 OFFERED INSIDE OF JAILS OR 1577 00:53:09,920 --> 00:53:11,087 COURTS OR OTHER PARTS ON THAT 1578 00:53:11,154 --> 00:53:12,155 JUSTICE CONTINUUM. 1579 00:53:12,222 --> 00:53:14,024 AND HOW DOES THAT SHAPE HEALTH. 1580 00:53:14,090 --> 00:53:15,825 SO FOR ME, THAT REALLY BRINGS UP 1581 00:53:15,892 --> 00:53:17,928 ISSUES OF HEALTH EQUITY. 1582 00:53:17,994 --> 00:53:19,996 I'M A PUBLIC HEALTH PROFESSOR, 1583 00:53:20,063 --> 00:53:21,364 WE'RE INTERESTED IN HOW DO WE 1584 00:53:21,431 --> 00:53:24,434 HELP FOLKS ACCESS 1585 00:53:24,501 --> 00:53:25,235 HEALTH-PROMOTING OPPORTUNITIES, 1586 00:53:25,302 --> 00:53:26,937 MAKE THE HEALTHY CHOICE, THE 1587 00:53:27,003 --> 00:53:28,438 EASY CHOICE. 1588 00:53:28,505 --> 00:53:30,840 AND SO OUR RESEARCH CAN HELP 1589 00:53:30,907 --> 00:53:32,409 JAILS AND PRISONS UNDERSTAND HOW 1590 00:53:32,475 --> 00:53:35,612 CAN YOU IMPLEMENT A PROGRAM LIKE 1591 00:53:35,679 --> 00:53:37,113 MEDICATION FOR OPIOID USE 1592 00:53:37,180 --> 00:53:38,315 DISORDER INSIDE OF JAILS. 1593 00:53:38,381 --> 00:53:39,683 IT'S AN AMAZING OPPORTUNITY TO 1594 00:53:39,749 --> 00:53:41,751 DO RESEARCH IN THE MOMENT THAT 1595 00:53:41,818 --> 00:53:44,721 CAN THEN BE TRANSLATED INTO 1596 00:53:44,788 --> 00:53:46,489 PRACTICE AS THE STUDY IS GOING 1597 00:53:46,556 --> 00:53:46,790 ON. 1598 00:53:46,856 --> 00:53:49,059 WE'VE BEEN ENGAGED WITH JCOIN 1599 00:53:49,125 --> 00:53:50,160 FOR THESE FIVE YEARS AND WE'RE 1600 00:53:50,226 --> 00:53:52,228 ALREADY SEEING OUR RESEARCH 1601 00:53:52,295 --> 00:53:54,531 RESULTS FROM THE EARLY DAYS OF 1602 00:53:54,598 --> 00:53:56,433 OUR WORK BEING TRANSLATED INTO 1603 00:53:56,499 --> 00:54:01,037 PRACTICE AND POLICYMAKING. 1604 00:54:01,104 --> 00:54:03,807 THAT HAS BEEN SUCH SUCH A REWARG 1605 00:54:03,873 --> 00:54:06,443 EFFORT FOR ME AS A RESEARCH 1606 00:54:06,509 --> 00:54:10,380 THAT'S RARE, IT CAN TAKE SO MUCH 1607 00:54:10,447 --> 00:54:12,682 TIME TO MAKE THE WAY INTO THE 1608 00:54:12,749 --> 00:54:13,817 HANDS OF THOSE WHO LEAD 1609 00:54:13,883 --> 00:54:15,151 INSTITUTIONS AND I FOUND IN 1610 00:54:15,218 --> 00:54:16,686 JCOIN ONE OF THE BENEFITS OF 1611 00:54:16,753 --> 00:54:19,522 BEING A PART OF THE HUB IS THE 1612 00:54:19,589 --> 00:54:21,124 CHANCE TO WORK IN PARTNERSHIP 1613 00:54:21,191 --> 00:54:22,325 WITH THOSE WHO ARE LEADING IN 1614 00:54:22,392 --> 00:54:24,294 THE JUSTICE SYSTEM BUT ARE ALSO 1615 00:54:24,361 --> 00:54:28,498 IN POLICYMAKING SPACES. 1616 00:54:28,565 --> 00:54:30,200 SO IT CAN BE CHALLENGING, OF 1617 00:54:30,266 --> 00:54:30,700 COURSE. 1618 00:54:30,767 --> 00:54:32,569 THESE SYSTEMS CAN HISTORICALLY 1619 00:54:32,636 --> 00:54:33,903 BE QUITE RIGID OR THEY'RE USED 1620 00:54:33,970 --> 00:54:35,238 TO DOING THINGS A CERTAIN WAY. 1621 00:54:35,305 --> 00:54:37,307 ON THE FLIP SIDE, AT LEAST IN 1622 00:54:37,374 --> 00:54:40,243 MASSACHUSETTS, I THINK THERE'S 1623 00:54:40,310 --> 00:54:41,144 RERECEPTIVITY TO ORGANIZATIONAL 1624 00:54:41,211 --> 00:54:43,079 CHANGE IN THE JUSTICE SYSTEM. 1625 00:54:43,146 --> 00:54:44,381 SO IT'S BEEN THIS OPPORTUNITY 1626 00:54:44,447 --> 00:54:47,317 FOR US TO PARTNER IN WAYS THAT 1627 00:54:47,384 --> 00:54:51,721 CAN HOPEFULLY IMPROVE POPULATION 1628 00:54:51,788 --> 00:54:53,490 HEALTH IN A RELATIVELY SHORT 1629 00:54:53,556 --> 00:54:55,725 TIME PERIOD. 1630 00:54:55,792 --> 00:54:56,693 >> THANKS, LIZ. 1631 00:54:56,760 --> 00:54:58,094 LET ME PICK UP ON THAT THEME AND 1632 00:54:58,161 --> 00:54:59,396 GO TO THE NEXT QUESTION, WHICH 1633 00:54:59,462 --> 00:55:00,263 IS, ONE OF THE THINGS WE'VE 1634 00:55:00,330 --> 00:55:02,232 REALLY TRIED TO EMPHASIZE IN 1635 00:55:02,298 --> 00:55:03,433 JCOIN IS ABOUT MAKING SURE THAT 1636 00:55:03,500 --> 00:55:05,035 THE WORK WE'RE DOING IS TRULY 1637 00:55:05,101 --> 00:55:06,970 VALUABLE TO OUR PARTNERS, AND 1638 00:55:07,037 --> 00:55:08,672 ONE INDICATOR OF THAT IS ABOUT 1639 00:55:08,738 --> 00:55:10,473 WHAT SORT OF SUSTAINED AFTER THE 1640 00:55:10,540 --> 00:55:12,108 STUDY GOES AWAY AFTER THAT 1641 00:55:12,175 --> 00:55:14,411 INFRASTRUCTURE OF THE RESEARCH 1642 00:55:14,477 --> 00:55:15,645 LEAVES SO MAYBE I'LL START WITH 1643 00:55:15,712 --> 00:55:16,880 ED AND JUST WORK ALL THE WAY 1644 00:55:16,946 --> 00:55:20,684 DOWN THE PANEL. 1645 00:55:20,750 --> 00:55:23,119 WHAT ARE YOUR REFLECTIONS ABOUT 1646 00:55:23,186 --> 00:55:24,187 WHAT'S SORT OF GOING TO BE 1647 00:55:24,254 --> 00:55:25,255 SUSTAINED, ANY LESSONS YOU'LL 1648 00:55:25,321 --> 00:55:26,256 CARRY FORWARD IN YOUR OWN WORK 1649 00:55:26,322 --> 00:55:27,357 AS YOU GO FORWARD? 1650 00:55:27,424 --> 00:55:30,126 >> WELL, THERE'S A LOT TO SAY. 1651 00:55:30,193 --> 00:55:32,095 FIRST I HAD AN OPPORTUNITY TO 1652 00:55:32,162 --> 00:55:34,831 PARTICIPATE IN A PROGRAM WITHIN 1653 00:55:34,898 --> 00:55:36,866 JCOIN LEAP, LEARNING EXPERIENCES 1654 00:55:36,933 --> 00:55:38,301 TO ADVANCE PRACTICE, WHICH IS 1655 00:55:38,368 --> 00:55:41,237 KIND OF A YEAR-LONG TRAINING 1656 00:55:41,304 --> 00:55:44,107 PROGRAM FOR PRACTITIONERS LIKE 1657 00:55:44,174 --> 00:55:44,941 MYSELF IN THE FIELD TO BECOME 1658 00:55:45,008 --> 00:55:48,611 MORE FAMILIAR WITH AND MORE 1659 00:55:48,678 --> 00:55:49,846 FLUENT WITH THE WORLD OF 1660 00:55:49,913 --> 00:55:51,281 RESEARCH AND HOW TO APPLY THAT. 1661 00:55:51,347 --> 00:55:52,082 THAT'S SOMETHING THAT I WILL 1662 00:55:52,148 --> 00:55:53,616 CARRY WITH ME FOR THE REST OF MY 1663 00:55:53,683 --> 00:55:57,454 CAREER, THE REST OF MY LIFE. 1664 00:55:57,520 --> 00:55:58,822 THESE NETWORKS, THEY DON'T JUST 1665 00:55:58,888 --> 00:56:00,256 SIMPLY GO AWAY WHEN YOU DEVELOP 1666 00:56:00,323 --> 00:56:03,626 THESE PARTNERSHIPS WITH REALLY 1667 00:56:03,693 --> 00:56:06,996 COLLEAGUES THAT WE WE'RE WORKING 1668 00:56:07,063 --> 00:56:10,834 WITH IN MASSACHUSETTS, WITH 1669 00:56:10,900 --> 00:56:11,735 INTRASTATE, OUR RELATIONSHIP 1670 00:56:11,801 --> 00:56:14,037 WITH THE DEPARTMENT OF PUBLIC 1671 00:56:14,104 --> 00:56:15,505 HEALTH HAS IMPROVED TREMENDOUSLY 1672 00:56:15,572 --> 00:56:17,674 BY WORKING VERY CLOSELY WITH 1673 00:56:17,741 --> 00:56:20,410 THEM ON EVALUATING THESE 1674 00:56:20,477 --> 00:56:22,979 PROJECTS. 1675 00:56:23,046 --> 00:56:24,881 LIKE I SAID BEFORE, THE NETWORKS 1676 00:56:24,948 --> 00:56:26,716 THAT ARE CONNECTED TO OTHER 1677 00:56:26,783 --> 00:56:27,617 NETWORKS, IT'S LIKE ONCE YOU 1678 00:56:27,684 --> 00:56:29,285 HAVE OPENED YOURSELF TO THESE 1679 00:56:29,352 --> 00:56:30,253 WORLDS OF KNOWLEDGE AND 1680 00:56:30,320 --> 00:56:31,788 RESEARCH, IT'S NOT -- YOU CAN'T 1681 00:56:31,855 --> 00:56:33,189 SIMPLY JUST DELETE THAT MOVING 1682 00:56:33,256 --> 00:56:33,990 FORWARD. 1683 00:56:34,057 --> 00:56:35,291 THIS BECOMES A RESOURCE THAT IS 1684 00:56:35,358 --> 00:56:37,460 AVAILABLE TO YOU MOVING FORWARD 1685 00:56:37,527 --> 00:56:39,295 FOREVER, AND THEN ALL OF THE 1686 00:56:39,362 --> 00:56:41,798 CONNECTIONS THAT I HAVE IN MY 1687 00:56:41,865 --> 00:56:44,868 WORLD AMONGST PRACTITIONERS, I 1688 00:56:44,934 --> 00:56:46,736 CAN LET THEM KNOW ABOUT THESE 1689 00:56:46,803 --> 00:56:48,438 RESOURCES AND INVITE THEM TO 1690 00:56:48,505 --> 00:56:52,842 PARTICIPATE INTO IT. 1691 00:56:52,909 --> 00:56:55,011 SO THAT HAS BEEN EXTREMELY 1692 00:56:55,078 --> 00:56:55,545 USEFUL. 1693 00:56:55,612 --> 00:56:56,846 LIKE I SAID, THIS DEVELOPMENT OF 1694 00:56:56,913 --> 00:56:57,981 THE NETWORK IS REALLY ESSENTIAL 1695 00:56:58,047 --> 00:56:59,449 FOR THE UNITED STATES CARCERAL 1696 00:56:59,516 --> 00:57:00,650 SYSTEM TO MOVE FORWARD IN THE 1697 00:57:00,717 --> 00:57:04,387 WAY THAT IT NEEDS TO. 1698 00:57:04,454 --> 00:57:06,322 >> AND MAYBE TAGGING ON THAT, 1699 00:57:06,389 --> 00:57:08,191 THE QUESTION WAS SORT OF LIKE 1700 00:57:08,258 --> 00:57:09,058 SUSTAINING THESE EFFORTS GOING 1701 00:57:09,125 --> 00:57:11,427 FORWARD, I THINK SOMETHING WE 1702 00:57:11,494 --> 00:57:14,364 CAN DEFINITELY AND ARE ALREADY 1703 00:57:14,430 --> 00:57:15,598 BUILDING ON IS THE DATA 1704 00:57:15,665 --> 00:57:16,399 CAPACITY, THE INFRASTRUCTURE 1705 00:57:16,466 --> 00:57:18,268 THAT WAS BUILT TO COLLECT DATA 1706 00:57:18,334 --> 00:57:19,903 INSIDE OF CARCERAL SETTINGS AND 1707 00:57:19,969 --> 00:57:22,205 TO HAVE THAT PUT INTO A PLACE 1708 00:57:22,272 --> 00:57:24,474 WHERE IT CAN BE ANALYZED TO LOOK 1709 00:57:24,541 --> 00:57:27,310 AT THINGS LIKE OUTCOMES AMONG 1710 00:57:27,377 --> 00:57:29,512 PEOPLE WHO HAVE BEEN 1711 00:57:29,579 --> 00:57:30,680 INCARCERATED, WHO DOES BETTER, 1712 00:57:30,747 --> 00:57:31,881 WHY AND HOW DOES THAT HAPPEN. 1713 00:57:31,948 --> 00:57:34,617 WE NOW HAVE THAT CAPACITY THAT 1714 00:57:34,684 --> 00:57:36,653 WILL ENABLE NEW RESEARCH TO BE 1715 00:57:36,719 --> 00:57:38,855 LAUNCHED. 1716 00:57:38,922 --> 00:57:39,823 SO ALREADY WE ARE WORKING WITH 1717 00:57:39,889 --> 00:57:42,525 OUR PARTNERS TO IDENTIFY NEW 1718 00:57:42,592 --> 00:57:44,160 RESEARCH QUESTIONS AND SUBMIT 1719 00:57:44,227 --> 00:57:46,362 NEW PROPOSALS AND GET WORK 1720 00:57:46,429 --> 00:57:46,563 GOING. 1721 00:57:46,629 --> 00:57:50,867 IT ALSO BEEN A GREAT VEHICLE FOR 1722 00:57:50,934 --> 00:57:53,303 US TO LEAD THAT RESEARCH BUT TO 1723 00:57:53,369 --> 00:57:56,606 MENTOR THE NEXT RESEARCHERS. 1724 00:57:56,673 --> 00:57:58,875 SO JCOIN PUTS TOGETHER SENIOR 1725 00:57:58,942 --> 00:58:00,176 FOLKS WITH MENTEES ALONG WITH 1726 00:58:00,243 --> 00:58:02,779 FOLKS WHO ARE WORKING ON THE 1727 00:58:02,846 --> 00:58:04,547 GROUND AND THE POLICYMAKING 1728 00:58:04,614 --> 00:58:05,849 WORLD ALL TOGETHER, SO IT'S THIS 1729 00:58:05,915 --> 00:58:09,752 REALLY FERTILE GROUND TO 1730 00:58:09,819 --> 00:58:11,054 IDENTIFY TIMELY AND IMPORTANT 1731 00:58:11,120 --> 00:58:13,122 RESEARCH QUESTIONS AND THEN COME 1732 00:58:13,189 --> 00:58:14,257 TOGETHER TO GET THAT WORK FUNDED 1733 00:58:14,324 --> 00:58:15,425 AND GET IT GOING. 1734 00:58:15,491 --> 00:58:17,026 SO I'M EXCITED TO SEE WHAT THE 1735 00:58:17,093 --> 00:58:23,299 FUTURE WILL HOLD IN THAT SENSE. 1736 00:58:23,366 --> 00:58:26,636 >> I'LL DOUBLE DOWN ON THIS 1737 00:58:26,703 --> 00:58:28,137 INFRASTRUCTURE OF RELATIONSHIPS. 1738 00:58:28,204 --> 00:58:30,707 THAT IS THE DATABASE OF 1739 00:58:30,773 --> 00:58:31,541 SUSTAINABILITY FROM MY 1740 00:58:31,608 --> 00:58:31,841 PERSPECTIVE. 1741 00:58:31,908 --> 00:58:33,176 WE HAVE A PROCESS TO ASK AND 1742 00:58:33,243 --> 00:58:35,879 RELY UPON EACH OTHER INFORMED 1743 00:58:35,945 --> 00:58:37,313 QUESTIONS AND TO SHARE ANY 1744 00:58:37,380 --> 00:58:37,847 IDEAS. 1745 00:58:37,914 --> 00:58:39,282 I THINK WE'VE MOVED INTO THE 1746 00:58:39,349 --> 00:58:40,550 WHAT IF WE DID THIS STAGE, 1747 00:58:40,617 --> 00:58:42,151 RIGHT, LIKE WHAT'S NEXT, AND 1748 00:58:42,218 --> 00:58:44,454 THAT'S REALLY EXCITING AND 1749 00:58:44,520 --> 00:58:46,089 THAT'S, AGAIN, INFORMED BY AN 1750 00:58:46,155 --> 00:58:49,158 PREACH YAITION OF THE ASSETS AND 1751 00:58:49,225 --> 00:58:50,627 NEEDS THAT STATE PARTNERS HAVE. 1752 00:58:50,693 --> 00:58:54,664 IT'S NOT JUST A DEFICIT-BASED 1753 00:58:54,731 --> 00:58:56,332 RELATIONSHIP OF WE'RE GOING TO 1754 00:58:56,399 --> 00:58:58,935 COME IN AND FIX AND CORRECT, BUT 1755 00:58:59,002 --> 00:59:01,004 TO SEE KIND OF THE FULL PICTURE 1756 00:59:01,070 --> 00:59:03,606 OF WHO WE ARE. 1757 00:59:03,673 --> 00:59:06,109 I THINK THE OTHER THING THAT'S 1758 00:59:06,175 --> 00:59:08,311 REALLY VALUABLE ABOUT THIS WORK 1759 00:59:08,378 --> 00:59:10,780 IS THAT IT ASKED AN 1760 00:59:10,847 --> 00:59:11,648 IMPLEMENTATION QUESTION WHICH IS 1761 00:59:11,714 --> 00:59:12,849 IMMEDIATELY RELEVANT TO STATE 1762 00:59:12,916 --> 00:59:15,218 PARTNERS, BUT IT PRODUCED STUDY 1763 00:59:15,285 --> 00:59:17,320 MATERIALS THAT ARE NOT 1764 00:59:17,387 --> 00:59:19,155 STUDY-SPECIFIC, AND SO I CAN 1765 00:59:19,222 --> 00:59:23,226 SHARE THE IDEAS AND WISDOM AND 1766 00:59:23,293 --> 00:59:24,527 PRODUCT OF JCOIN WITH PEOPLE 1767 00:59:24,594 --> 00:59:26,029 THAT NEVER WERE INVOLVED IN THE 1768 00:59:26,095 --> 00:59:27,430 JCOIN STUDY AND IT MEANS 1769 00:59:27,497 --> 00:59:29,532 SOMETHING TO THEM. 1770 00:59:29,599 --> 00:59:31,801 THERE'S NOT JARGON THAT'S 1771 00:59:31,868 --> 00:59:32,168 STUDY-SPECIFIC. 1772 00:59:32,235 --> 00:59:37,707 IT'S GOING TO HAVE AN ENDURING 1773 00:59:37,774 --> 00:59:41,477 CAPACITY TO INFORM AND CHANGE 1774 00:59:41,544 --> 00:59:42,712 SYSTEMS AND PRACTICES LONG AFTER 1775 00:59:42,779 --> 00:59:44,981 THE STUDY ITSELF IS OVER. 1776 00:59:45,048 --> 00:59:46,449 >> BEFORE MICHELE JUMPS IN, I 1777 00:59:46,516 --> 00:59:47,684 JUST WANT TO POINT OUT TO YOU, 1778 00:59:47,750 --> 00:59:49,452 THE QR CODE HERE, A LOT OF THE 1779 00:59:49,519 --> 00:59:51,154 RESOURCES THAT THE FOLKS HAVE 1780 00:59:51,220 --> 00:59:52,355 REFERENCED, YOU CAN FIND THAT ON 1781 00:59:52,422 --> 00:59:52,588 THERE. 1782 00:59:52,655 --> 00:59:55,425 I DIDN'T TALK A LOT ABOUT ALL 1783 00:59:55,491 --> 00:59:57,193 THAT INFRASTRUCTURE, BUT YOU CAN 1784 00:59:57,260 --> 00:59:59,095 FIND THAT THERE. 1785 00:59:59,162 --> 01:00:00,229 SO MICHELE? 1786 01:00:00,296 --> 01:00:02,065 >> I REALLY WANT TO EMPHASIZE 1787 01:00:02,131 --> 01:00:04,033 THAT POINT AS WELL. 1788 01:00:04,100 --> 01:00:05,735 FAYE AND HER TEAM WITH THE 1789 01:00:05,802 --> 01:00:06,936 COORDINATING CENTER HAVE DONE AN 1790 01:00:07,003 --> 01:00:07,370 AMAZING JOB. 1791 01:00:07,437 --> 01:00:09,505 IF YOU HAVEN'T CHECKED OUT THE 1792 01:00:09,572 --> 01:00:11,140 RESOURCES AVAILABLE THROUGH 1793 01:00:11,207 --> 01:00:12,475 JCOIN, I REALLY ENCOURAGE YOU TO 1794 01:00:12,542 --> 01:00:13,676 DO THAT. 1795 01:00:13,743 --> 01:00:17,113 YOU AS RESEARCHERS, YOU AS 1796 01:00:17,180 --> 01:00:18,781 PARTNERS, AGAIN, THINK IT HAS SO 1797 01:00:18,848 --> 01:00:20,316 MUCH RELEVANCE FOR EVERYONE 1798 01:00:20,383 --> 01:00:21,284 INTERESTED IN THIS WORK. 1799 01:00:21,351 --> 01:00:22,352 I THINK A THEME THAT YOU 1800 01:00:22,418 --> 01:00:23,653 PROBABLY HAVE HEARD ACROSS THE 1801 01:00:23,720 --> 01:00:24,754 PANEL TODAY IS THAT WE ARE ALL 1802 01:00:24,821 --> 01:00:25,755 IN THIS TOGETHER. 1803 01:00:25,822 --> 01:00:28,891 LIKE THIS IS -- WE ARE TEAMS OF 1804 01:00:28,958 --> 01:00:30,393 RESEARCHERS, TREATMENT PARTNERS, 1805 01:00:30,460 --> 01:00:36,399 JUSTICE PARTNERS, AND WE 1806 01:00:36,466 --> 01:00:37,700 VALUE -- KENTUCKY HAS MADE 1807 01:00:37,767 --> 01:00:39,235 TREMENDOUS STRIDES IN THE LAST 1808 01:00:39,302 --> 01:00:41,637 10, 15 YEARS AROUND TREATMENT 1809 01:00:41,704 --> 01:00:44,140 FOR INDIVIDUALS IN THE CRIMINAL 1810 01:00:44,207 --> 01:00:47,310 LEGAL SYSTEM. 1811 01:00:47,377 --> 01:00:50,213 THE LAST THING WE WANT TO DO IS 1812 01:00:50,279 --> 01:00:51,681 SAY HEY, HERE'S A RESEARCH 1813 01:00:51,748 --> 01:00:52,448 STUDY, THIS IS BETTER. 1814 01:00:52,515 --> 01:00:55,284 THEY ARE DOING SOME INCREDIBLY 1815 01:00:55,351 --> 01:00:57,120 VALUABLE WORK AND OUR JOB IS 1816 01:00:57,186 --> 01:00:59,389 REALLY TO FIGURE OUT HOW DO WE 1817 01:00:59,455 --> 01:01:04,627 WORK WITH YOU TO ADVANCE, AGAIN, 1818 01:01:04,694 --> 01:01:05,728 TREATMENT OPPORTUNITIES FOR THIS 1819 01:01:05,795 --> 01:01:08,031 VERY VULNERABLE POPULATION, AND 1820 01:01:08,097 --> 01:01:09,532 I THINK THAT'S WHERE 1821 01:01:09,599 --> 01:01:11,267 SUSTAINABILITY REALLY STARTS, IS 1822 01:01:11,334 --> 01:01:13,569 TO BEGIN WITH WHAT'S ALREADY 1823 01:01:13,636 --> 01:01:14,737 WORKING, WHERE DO YOU SEE SOME 1824 01:01:14,804 --> 01:01:16,939 OF THE GAPS, AND HOW DO WE BUILD 1825 01:01:17,006 --> 01:01:19,776 ON THAT. 1826 01:01:19,842 --> 01:01:21,210 SO I THINK REALLY VALUING WHAT 1827 01:01:21,277 --> 01:01:22,211 PEOPLE ARE DOING IS SO 1828 01:01:22,278 --> 01:01:22,779 IMPORTANT. 1829 01:01:22,845 --> 01:01:25,081 I ALSO THINK THROUGH THE 1830 01:01:25,148 --> 01:01:25,848 DISSEMINATION OF FINDINGS, 1831 01:01:25,915 --> 01:01:27,050 THAT'S REALLY IMPORTANT TO 1832 01:01:27,116 --> 01:01:31,754 INVOLVE PARTNERS, BECAUSE WE CAN 1833 01:01:31,821 --> 01:01:33,489 WRITE PAPERS FOR ACADEMIC 1834 01:01:33,556 --> 01:01:34,924 JOURNALS, WE CAN GET THOSE PEER 1835 01:01:34,991 --> 01:01:35,958 REVIEWED, THEY GO INTO THE 1836 01:01:36,025 --> 01:01:37,827 SCIENTIFIC LITERATURE, AND SOME 1837 01:01:37,894 --> 01:01:38,394 PRACTITIONERS MAY NEVER SEE 1838 01:01:38,461 --> 01:01:38,594 THAT. 1839 01:01:38,661 --> 01:01:40,229 SO HOW DO WE DISSEMINATE 1840 01:01:40,296 --> 01:01:41,631 FINDINGS FROM THESE STUDIES IN A 1841 01:01:41,697 --> 01:01:43,933 REALLY EFFECTIVE WAY FOR PEOPLE 1842 01:01:44,000 --> 01:01:45,902 WORKING IN THESE SYSTEMS. 1843 01:01:45,968 --> 01:01:47,403 AND THEN FINALLY, I THINK COST 1844 01:01:47,470 --> 01:01:48,704 IS REALLY IMPORTANT. 1845 01:01:48,771 --> 01:01:51,174 WE HAVE TO FIGURE OUT THE COST 1846 01:01:51,240 --> 01:01:51,908 BENEFIT OF SOME OF THE THINGS 1847 01:01:51,974 --> 01:01:56,012 THAT WE'D LIKE TO DO, AND REALLY 1848 01:01:56,079 --> 01:01:57,313 MAKE SURE THAT THAT IS CONVEYED 1849 01:01:57,380 --> 01:01:59,115 TO PARTNERS THAT THAT'S CONVEYED 1850 01:01:59,182 --> 01:02:01,451 IN THE SCIENTIFIC LITERATURE, 1851 01:02:01,517 --> 01:02:03,086 BECAUSE AT THE END OF THE DAY, 1852 01:02:03,152 --> 01:02:04,754 YOU WANT TO SAVE MONEY, RIGHT? 1853 01:02:04,821 --> 01:02:08,958 AND SO I THINK COST IS ALSO -- 1854 01:02:09,025 --> 01:02:09,892 COST-EFFECTIVENESS, COST 1855 01:02:09,959 --> 01:02:11,160 ANALYSIS IS REALLY AN IMPORTANT 1856 01:02:11,227 --> 01:02:13,129 PART OF SUSTAINABILITY. 1857 01:02:13,196 --> 01:02:15,698 >> IF I COULD COME BACK TO KATY 1858 01:02:15,765 --> 01:02:17,800 FOR JUST A SECOND, YOU TALKED 1859 01:02:17,867 --> 01:02:18,734 ABOUT THE INFRASTRUCTURE OF 1860 01:02:18,801 --> 01:02:19,168 RELATIONSHIPS. 1861 01:02:19,235 --> 01:02:21,104 I KNOW I MENTIONED EARLIER, ON 1862 01:02:21,170 --> 01:02:24,540 THE STAGE WE ONLY HAVE ONE OF 1863 01:02:24,607 --> 01:02:25,942 THE SORT OF PAIRS OF -- OUR 1864 01:02:26,008 --> 01:02:26,909 STEERING COMMITTEE, THERE'S A 1865 01:02:26,976 --> 01:02:27,910 REPRESENTATIVE FOR EACH STUDY OF 1866 01:02:27,977 --> 01:02:29,412 THE P.I., THE JUSTICE PARTNER 1867 01:02:29,479 --> 01:02:30,813 AND THE BEHAVIORAL HEALTH 1868 01:02:30,880 --> 01:02:33,349 PARTNER, SO YOU'RE SEEING OUR 1869 01:02:33,416 --> 01:02:35,518 STEERING COMMITTEE GROUPS BUT 1870 01:02:35,585 --> 01:02:37,687 EACH OF YOU ARE MISSING ONE OF 1871 01:02:37,753 --> 01:02:40,857 YOUR PARTNERS. 1872 01:02:40,923 --> 01:02:42,391 KATY, I KNOW JCOIN OFFERED AN 1873 01:02:42,458 --> 01:02:43,893 OPPORTUNITY FOR YOU TO BUILD ON 1874 01:02:43,960 --> 01:02:45,061 RELATIONSHIPS WITH YOUR STATE 1875 01:02:45,128 --> 01:02:45,294 PARTNER. 1876 01:02:45,361 --> 01:02:46,295 COULD YOU SHARE A LITTLE MORE 1877 01:02:46,362 --> 01:02:46,696 ABOUT THAT? 1878 01:02:46,762 --> 01:02:48,131 >> A LOT OF TIMES WE THINK ABOUT 1879 01:02:48,197 --> 01:02:48,898 THE RELATIONSHIP BETWEEN 1880 01:02:48,965 --> 01:02:50,199 UNIVERSITY AND STATE, BUT THE 1881 01:02:50,266 --> 01:02:52,368 STUDY GAVE US AN OPPORTUNITY TO 1882 01:02:52,435 --> 01:02:53,803 BUILD INTERSTATE RELATIONSHIPS, 1883 01:02:53,870 --> 01:02:56,172 AND SO THE WORK THAT DIRECTOR 1884 01:02:56,239 --> 01:02:57,607 JOHNSON AND I HAVE BEEN ABLE TO 1885 01:02:57,673 --> 01:03:00,076 DO AS IS A RESULT OF THE PROTECD 1886 01:03:00,143 --> 01:03:01,277 TIME AND SPACE WE WERE GIVEN 1887 01:03:01,344 --> 01:03:05,715 THROUGH JCOIN IS REALLY EXCI 1888 01:03:05,781 --> 01:03:05,982 EXCITING. 1889 01:03:06,048 --> 01:03:08,551 THINGS LIKE BEING LEADERS ON AN 1890 01:03:08,618 --> 01:03:12,221 1115 APPLICATION TO CMS TO ALLOW 1891 01:03:12,288 --> 01:03:14,690 FOR MEDICAID TO THE ACTIVE PRIOR 1892 01:03:14,757 --> 01:03:18,761 TO RELEASE FROM INCARCERATION, 1893 01:03:18,828 --> 01:03:21,797 OR IDENTIFICATION IN BIRTH 1894 01:03:21,864 --> 01:03:22,565 CERTIFICATES FOR INDIVIDUALS 1895 01:03:22,632 --> 01:03:24,767 PRIOR TO RELEASE TO MAJOR 1896 01:03:24,834 --> 01:03:26,969 TRANSPORTATION INITIATIVES AND 1897 01:03:27,036 --> 01:03:28,271 TAKING PROBATION AND PAROLE 1898 01:03:28,337 --> 01:03:29,472 SPECIALISTS AND TURNING THEM 1899 01:03:29,539 --> 01:03:30,706 INTO EMPLOYMENT SPECIALISTS. 1900 01:03:30,773 --> 01:03:31,807 AND WHAT WAS REALLY IMPORTANT 1901 01:03:31,874 --> 01:03:36,312 ABOUT ABOUT JCOIN IS YOU ALL ASS 1902 01:03:36,379 --> 01:03:37,680 HOW THOSE WERE GOING EVERY TIME, 1903 01:03:37,747 --> 01:03:38,981 AND EVERY TIME I WAS SHOCKED 1904 01:03:39,048 --> 01:03:39,982 BECAUSE IT WASN'T THE STUDY YOU 1905 01:03:40,049 --> 01:03:40,950 WERE ASKING US ABOUT. 1906 01:03:41,017 --> 01:03:43,119 YOU WERE ASKING US ABOUT OUR 1907 01:03:43,186 --> 01:03:44,453 RELATIONSHIP AND WHAT'S NEXT, 1908 01:03:44,520 --> 01:03:48,157 AND TO FEEL VALUED AND TO HAVE 1909 01:03:48,224 --> 01:03:49,358 THAT PROTECTED TIME TO DO THAT 1910 01:03:49,425 --> 01:03:50,993 WORK WAS REALLY INNOVATIVE. 1911 01:03:51,060 --> 01:03:52,895 THANK YOU. 1912 01:03:52,962 --> 01:03:54,797 >> WELL, I MEAN, ALL OF THIS IS 1913 01:03:54,864 --> 01:03:56,532 REALLY A CREDIT TO EACH OF YOU, 1914 01:03:56,599 --> 01:03:58,100 AND TO YOUR RELATIONSHIPS. 1915 01:03:58,167 --> 01:04:01,571 I THINK IT SPEAKS TO THE POWER 1916 01:04:01,637 --> 01:04:03,306 THAT AS NIH AS A FUNDER, WE HAVE 1917 01:04:03,372 --> 01:04:04,207 TO CREATE OPPORTUNITIES FOR 1918 01:04:04,273 --> 01:04:05,942 PEOPLE TO BUILD THESE 1919 01:04:06,008 --> 01:04:06,275 RELATIONSHIPS. 1920 01:04:06,342 --> 01:04:07,577 I THINK WE HAVE TIME FOR ONE 1921 01:04:07,643 --> 01:04:09,579 MORE QUESTION, BUT BEFORE I DO, 1922 01:04:09,645 --> 01:04:10,613 I ALSO WANT TO ACKNOWLEDGE, 1923 01:04:10,680 --> 01:04:11,814 THERE ARE SEVERAL OTHER TEAMS 1924 01:04:11,881 --> 01:04:12,682 WITHIN JCOIN HERE IN THE 1925 01:04:12,748 --> 01:04:13,149 AUDIENCE. 1926 01:04:13,216 --> 01:04:14,450 CAN I JUST HAVE YOU RAISE YOUR 1927 01:04:14,517 --> 01:04:15,985 HAND IF YOU'RE FROM A JCOIN TEAM 1928 01:04:16,052 --> 01:04:18,154 OR STAND UP? 1929 01:04:18,221 --> 01:04:20,690 SO YOU CAN SEE THAT IT'S REALLY 1930 01:04:20,756 --> 01:04:28,531 LOTS OF AMAZING PEOPLE HERE. 1931 01:04:28,598 --> 01:04:30,733 AND THE WORK THAT'S HAPPENING IN 1932 01:04:30,800 --> 01:04:31,934 ALL OF THESE COMMUNITIES. 1933 01:04:32,001 --> 01:04:33,336 BUT I ALSO WANT TO REALLY 1934 01:04:33,402 --> 01:04:34,303 ACKNOWLEDGE, TOO, OUR 1935 01:04:34,370 --> 01:04:36,138 COORDINATION AND TRANSLATION 1936 01:04:36,205 --> 01:04:37,807 CENTER, WHICH IF I TRY TO NAME 1937 01:04:37,873 --> 01:04:39,008 ALL OF THE ORGANIZATIONS THAT 1938 01:04:39,075 --> 01:04:40,509 ARE PART OF IT, I WILL 1939 01:04:40,576 --> 01:04:41,944 DEFINITELY MISS THEM. 1940 01:04:42,011 --> 01:04:46,048 SO IT IS LED BY FAYE TAXMAN AT 1941 01:04:46,115 --> 01:04:47,016 GEORGE MASON UNIVERSITY WHICH 1942 01:04:47,083 --> 01:04:48,150 I'M ALSO SURE IS IN THE 1943 01:04:48,217 --> 01:04:50,419 AUDIENCE, WE'VE GOT NIDA TEAM 1944 01:04:50,486 --> 01:04:51,954 MEMBERS HERE, ADDICTION FORUM 1945 01:04:52,021 --> 01:04:53,122 DOES A LOT OF THE TRANSLATION 1946 01:04:53,189 --> 01:04:55,658 WORK AS WELL AND METHODOLOGY AND 1947 01:04:55,725 --> 01:04:56,659 ADVANCED ANALYTICS CENTER, I 1948 01:04:56,726 --> 01:04:57,727 THINK IS PROVIDING THE 1949 01:04:57,793 --> 01:04:58,728 INFRASTRUCTURE I THINK I KNOW WE 1950 01:04:58,794 --> 01:04:59,929 SET UP OUR NEXT PANEL THAT'S 1951 01:04:59,996 --> 01:05:02,431 GOING TO TALK ABOUT SORT OF THE 1952 01:05:02,498 --> 01:05:03,866 INFRASTRUCTURE OF THE HEAL DATA 1953 01:05:03,933 --> 01:05:05,268 ECOSYSTEM MORE GENERALLY WITHIN 1954 01:05:05,334 --> 01:05:06,269 JCOIN, WE'VE BUILT THAT 1955 01:05:06,335 --> 01:05:07,370 INFRASTRUCTURE TOO, AND WE'RE 1956 01:05:07,436 --> 01:05:10,506 HOPEFUL THAT AS THE STUDIES -- I 1957 01:05:10,573 --> 01:05:11,607 DIDN'T MENTION, MOST OF THE 1958 01:05:11,674 --> 01:05:14,877 STUDIES ARE ABOUT 80 TO 90% 1959 01:05:14,944 --> 01:05:15,244 COMPLETE. 1960 01:05:15,311 --> 01:05:16,512 THEY WERE ALL DELAYED FOR A 1961 01:05:16,579 --> 01:05:17,713 COUPLE YEARS BECAUSE OF COVID 1962 01:05:17,780 --> 01:05:20,883 BECAUSE OUR JUSTICE PARTNERS 1963 01:05:20,950 --> 01:05:21,651 UNDERSTANDABLY SAID LEAVE US 1964 01:05:21,717 --> 01:05:23,152 ALONE RIGHT NOW, WE'VE GOT OUR 1965 01:05:23,219 --> 01:05:24,587 HANDS FULL, AND WE'LL GET BACK 1966 01:05:24,654 --> 01:05:26,122 TO YOU WHENEVER WE'VE GOT THIS 1967 01:05:26,188 --> 01:05:27,657 UNDER CONTROL. 1968 01:05:27,723 --> 01:05:29,425 AND SO MOST OF THE STUDIES WERE 1969 01:05:29,492 --> 01:05:30,693 DELAYED BETWEEN ONE AND TWO 1970 01:05:30,760 --> 01:05:31,260 YEARS. 1971 01:05:31,327 --> 01:05:32,695 BUT AS THEY COME TO COMPLETION, 1972 01:05:32,762 --> 01:05:35,197 THEY'VE ALL COLLECTED COMMON 1973 01:05:35,264 --> 01:05:38,367 DATA ELEMENTS, SO LIKE MICHELE 1974 01:05:38,434 --> 01:05:40,002 HAS A SAMPLE OF ENTIRELY WOMEN 1975 01:05:40,069 --> 01:05:40,903 BUT SHE MIGHT HAVE A QUESTION 1976 01:05:40,970 --> 01:05:43,572 THAT SHE CAN PULL DATA FROM 1977 01:05:43,639 --> 01:05:44,573 WOMEN THAT PARTICIPATE IN ALL 1978 01:05:44,640 --> 01:05:45,675 THE OTHER STUDIES. 1979 01:05:45,741 --> 01:05:47,376 SO WE'RE REALLY EXCITED ABOUT 1980 01:05:47,443 --> 01:05:49,378 SORT OF THE FUTURE OF THAT AND I 1981 01:05:49,445 --> 01:05:51,180 WANT TO ACKNOWLEDGE OUR 1982 01:05:51,247 --> 01:05:52,548 UNIVERSITY OF CHICAGO 1983 01:05:52,615 --> 01:05:53,849 METHODOLOGY AND ADVANCED 1984 01:05:53,916 --> 01:05:54,483 ANALYTICS CENTER THAT WILL 1985 01:05:54,550 --> 01:05:55,584 PROVIDE US THE INFRASTRUCTURE TO 1986 01:05:55,651 --> 01:05:57,453 SUPPORT THAT KIND OF WORK AND 1987 01:05:57,520 --> 01:05:58,888 THE P.I.s AND THEIR RESEARCH 1988 01:05:58,954 --> 01:06:00,289 TEAMS HAVE DONE A LOT OF HEAVY 1989 01:06:00,356 --> 01:06:01,590 LIFTING TO ACTUALLY GET THE DATA 1990 01:06:01,657 --> 01:06:03,326 IN THERE AND DO THAT. 1991 01:06:03,392 --> 01:06:06,729 SO WITH THAT, LET ME JUST TURN 1992 01:06:06,796 --> 01:06:07,930 TO MAYBE A FINAL QUESTION. 1993 01:06:07,997 --> 01:06:09,332 IF NOT, WE'LL JUMP IN WITH 1994 01:06:09,398 --> 01:06:12,168 ANOTHER ONE, BUT LET ME JUST 1995 01:06:12,234 --> 01:06:14,503 SAY, ANY LAST THOUGHTS THAT YOU 1996 01:06:14,570 --> 01:06:15,971 ALL HAVE THAT YOU REALLY WANT TO 1997 01:06:16,038 --> 01:06:19,075 SHARE OR CONVEY ABOUT HOW PEOPLE 1998 01:06:19,141 --> 01:06:20,176 MIGHT THINK ABOUT BUILDING THESE 1999 01:06:20,242 --> 01:06:22,111 KINDS OF RESEARCH PRACTICE 2000 01:06:22,178 --> 01:06:23,512 PARTNERSHIPS SUSTAINING THEM AND 2001 01:06:23,579 --> 01:06:25,381 BUILDING THOSE RELATIONSHIPS OR 2002 01:06:25,448 --> 01:06:27,683 FINDING WHO THOSE PARTNERS ARE, 2003 01:06:27,750 --> 01:06:28,984 AND WE CAN JUST START WITH 2004 01:06:29,051 --> 01:06:30,853 MICHELE AND GO -- WE'LL ALLOW 2005 01:06:30,920 --> 01:06:33,689 EACH OF YOU TO SHARE YOUR 2006 01:06:33,756 --> 01:06:33,989 REFLECTIONS. 2007 01:06:34,056 --> 01:06:36,192 >> I'M GOING TO DEFER TO KATY. 2008 01:06:36,258 --> 01:06:37,760 I'M EXCITED ABOUT THIS QUESTION. 2009 01:06:37,827 --> 01:06:40,796 >> SO I'VE GOT SOME IDEAS FOR 2010 01:06:40,863 --> 01:06:41,797 FOLKS. 2011 01:06:41,864 --> 01:06:42,965 HAVING KIND OF MADE THIS 2012 01:06:43,032 --> 01:06:43,866 TRANSITION MYSELF. 2013 01:06:43,933 --> 01:06:45,601 HERE'S SOME THINGS YOU CAN DO TO 2014 01:06:45,668 --> 01:06:47,236 FIND YOUR FRIENDLY BEHAVIORAL 2015 01:06:47,303 --> 01:06:49,105 HEALTH PARTNER IN STATE 2016 01:06:49,171 --> 01:06:49,405 GOVERNMENT. 2017 01:06:49,472 --> 01:06:50,840 YOU CAN ENGAGE IN SERVICE WITH 2018 01:06:50,906 --> 01:06:52,174 THE STATE AND LOCAL INITIATIVES. 2019 01:06:52,241 --> 01:06:55,111 THERE'S SO MUCH HAPPENING IN THE 2020 01:06:55,177 --> 01:06:55,911 COMMUNITY. 2021 01:06:55,978 --> 01:06:58,280 FOR EXAMPLE, WE'VE GOT A 2022 01:06:58,347 --> 01:06:59,315 KENTUCKY JUDICIAL COMMISSION ON 2023 01:06:59,382 --> 01:07:00,983 MENTAL HEALTH AND IT IS A COME 2024 01:07:01,050 --> 01:07:03,085 Y'ALL, BECAUSE IT'S KENTUCKY, 2025 01:07:03,152 --> 01:07:04,820 COME Y'ALL PLATFORM TO TALK 2026 01:07:04,887 --> 01:07:06,455 ABOUT WHAT OUR CRIMINAL LEGAL 2027 01:07:06,522 --> 01:07:08,090 ISSUES ARE AT THE INTERSECTION 2028 01:07:08,157 --> 01:07:10,159 OF MENTAL HEALTH, SUBSTANCE USE 2029 01:07:10,226 --> 01:07:11,694 DISORDER AND DEVELOPMENTAL 2030 01:07:11,761 --> 01:07:12,561 INTELLECTUAL DISABILITIES. 2031 01:07:12,628 --> 01:07:13,896 ALSO COME TO LISTENING SESSIONS 2032 01:07:13,963 --> 01:07:15,731 THAT CABINETS HAVE. 2033 01:07:15,798 --> 01:07:17,066 YOU WILL HEAR PEOPLE IN THE 2034 01:07:17,133 --> 01:07:18,134 COMMUNITY SAY WHAT THEY NEED. 2035 01:07:18,200 --> 01:07:19,769 LOOK FOR YOUR STATE UNIVERSITY 2036 01:07:19,835 --> 01:07:20,202 PARTNERSHIPS. 2037 01:07:20,269 --> 01:07:22,171 NOT ONLY IS IT VALUABLE, IT'S AN 2038 01:07:22,238 --> 01:07:24,273 OPPORTUNITY TO MATCH MONEY AND 2039 01:07:24,340 --> 01:07:26,542 INCREASE CAPACITY TO DO 2040 01:07:26,609 --> 01:07:27,009 RESEARCH. 2041 01:07:27,076 --> 01:07:27,777 INCLUDE PEOPLE WITH LIVED 2042 01:07:27,843 --> 01:07:30,179 EXPERIENCE IN YOUR STUDY DESIGN 2043 01:07:30,246 --> 01:07:31,080 AND GRANT APPLICATIONS. 2044 01:07:31,147 --> 01:07:33,015 THEY WILL LEAD US BACK TO US AS 2045 01:07:33,082 --> 01:07:34,116 WELL BECAUSE THEY WILL TELL YOU 2046 01:07:34,183 --> 01:07:35,551 WHERE THE LIMITATIONS ARE IN 2047 01:07:35,618 --> 01:07:37,052 YOUR DESIGN AND WHAT THE NEEDS 2048 01:07:37,119 --> 01:07:38,120 ARE OF THE STATE. 2049 01:07:38,187 --> 01:07:39,555 PLEASE FOLLOW YOUR LEGISLATIVE 2050 01:07:39,622 --> 01:07:40,122 SESSIONS. 2051 01:07:40,189 --> 01:07:42,491 THESE ARE WHERE YOU WILL HEAR 2052 01:07:42,558 --> 01:07:43,492 UNEQUIVOCALLY WHAT THE NEEDS OF 2053 01:07:43,559 --> 01:07:44,794 THE STATES ARE, WHAT OUR 2054 01:07:44,860 --> 01:07:45,795 PRIORITIES ARE AND WHAT OUR GAPS 2055 01:07:45,861 --> 01:07:46,228 ARE. 2056 01:07:46,295 --> 01:07:49,265 YOU WILL HEAR US MISS DATA THAT 2057 01:07:49,331 --> 01:07:50,699 YOU HAVE AN ANSWER TO, YOU'LL 2058 01:07:50,766 --> 01:07:52,001 HEAR QUESTIONS THAT HAVEN'T BEEN 2059 01:07:52,067 --> 01:07:52,868 ANSWERED YET AND THAT'S WHERE 2060 01:07:52,935 --> 01:07:54,637 YOU CAN JUMP IN. 2061 01:07:54,703 --> 01:07:55,938 THEN PLEASE THINK ABOUT SERVICE 2062 01:07:56,005 --> 01:07:57,139 OPPORTUNITIES WITH NATIONAL 2063 01:07:57,206 --> 01:07:58,574 ORGANIZATIONS THAT PROVIDE TA 2064 01:07:58,641 --> 01:08:01,043 AND TECHNICAL ASSISTANCE TO 2065 01:08:01,110 --> 01:08:01,277 STATES. 2066 01:08:01,343 --> 01:08:02,278 IT'S ANOTHER WAY TO CONNECT WITH 2067 01:08:02,344 --> 01:08:02,812 US. 2068 01:08:02,878 --> 01:08:04,680 SAMHSA HAS AN OPIOID RESPONSE 2069 01:08:04,747 --> 01:08:06,182 NETWORK THAT WE REGULARLY REACH 2070 01:08:06,248 --> 01:08:07,716 OUT TO AND ASK FOR EXPERTS TO 2071 01:08:07,783 --> 01:08:10,219 COME SUPPORT US. 2072 01:08:10,286 --> 01:08:13,289 ASAM SERVICE OR LOTS OF STATE 2073 01:08:13,355 --> 01:08:14,490 ASSOCIATION LIKE THE NATIONAL 2074 01:08:14,557 --> 01:08:16,125 ASSOCIATION OF STATE ALCOHOL AND 2075 01:08:16,192 --> 01:08:17,092 DRUG ABUSE DIRECTORS. 2076 01:08:17,159 --> 01:08:18,761 SO PLEASE LOOK FOR THOSE AND I'D 2077 01:08:18,828 --> 01:08:20,262 BE HAPPY TO CHAT MORE AFTER. 2078 01:08:20,329 --> 01:08:20,496 THANKS. 2079 01:08:20,563 --> 01:08:21,997 >> THANKS, KATY. 2080 01:08:22,064 --> 01:08:23,432 >> I GUESS I CAN SHARE, IT TAKES 2081 01:08:23,499 --> 01:08:26,035 TIME TO BUILD TRUST WITH ALL OF 2082 01:08:26,101 --> 01:08:27,703 THESE PARTNERS, AND THROUGH 2083 01:08:27,770 --> 01:08:29,004 JCOIN, WE'VE DONE THAT. 2084 01:08:29,071 --> 01:08:32,608 SO JCOIN ITSELF IS A PLACE NOW 2085 01:08:32,675 --> 01:08:34,109 TO JOIN, AND SO I WOULD 2086 01:08:34,176 --> 01:08:34,877 ENCOURAGE FOLKS WHO ARE 2087 01:08:34,944 --> 01:08:36,212 INTERESTED IN THIS WORK TO COME 2088 01:08:36,278 --> 01:08:38,714 MEET ALL OF US WHO ARE A PART OF 2089 01:08:38,781 --> 01:08:40,549 JCOIN THROUGH US, IT WOULD BE 2090 01:08:40,616 --> 01:08:41,884 GREAT TO COLLABORATE ON NEW 2091 01:08:41,951 --> 01:08:43,486 RESEARCH THAT YOU MIGHT BE 2092 01:08:43,552 --> 01:08:43,819 INTERESTED IN. 2093 01:08:43,886 --> 01:08:45,154 SO THAT'S JUST ONE THOUGHT I 2094 01:08:45,221 --> 01:08:45,588 HAD. 2095 01:08:45,654 --> 01:08:46,822 I BET ED HAS OTHER THINGS TO 2096 01:08:46,889 --> 01:08:48,123 SHARE. 2097 01:08:48,190 --> 01:08:52,261 >> WELL, WITH YOU AS AN EXAMPLE, 2098 01:08:52,328 --> 01:08:53,562 LIZ, WHEN DID YOU MOVE FROM 2099 01:08:53,629 --> 01:08:55,097 WESTERN MASS FROM L.A.? 2100 01:08:55,164 --> 01:08:55,965 2017. 2101 01:08:56,031 --> 01:08:58,267 AND ONE OF THE FIRST THINGS THAT 2102 01:08:58,334 --> 01:09:00,903 LIZ DID WAS ATTEND OPIOID TASK 2103 01:09:00,970 --> 01:09:04,173 FORCE MEETINGS IN OUR COUNTY, 2104 01:09:04,240 --> 01:09:05,941 WANTING TO UNDERSTAND WHAT IS 2105 01:09:06,008 --> 01:09:08,010 GOING ON, WHAT ARE PEOPLE 2106 01:09:08,077 --> 01:09:09,411 WORKING ON, AND THAT'S HOW YOU 2107 01:09:09,478 --> 01:09:11,814 MET OUR MEDICAL DIRECTOR, WHO 2108 01:09:11,881 --> 01:09:15,985 REFERRED YOU TO ME TO DO SOME 2109 01:09:16,051 --> 01:09:17,486 WORK. 2110 01:09:17,553 --> 01:09:19,255 AND IT HAS BEEN AN INCREDIBLE 2111 01:09:19,321 --> 01:09:21,223 PARTNERSHIP FOR THESE YEARS, 2112 01:09:21,290 --> 01:09:22,424 WE'VE WORKED ON SEVERAL 2113 01:09:22,491 --> 01:09:22,858 PARTNERSHIPS. 2114 01:09:22,925 --> 01:09:24,960 BUT IT'S NOT SO EASY TO DEVELOP 2115 01:09:25,027 --> 01:09:25,794 RELATIONSHIPS WITHIN THE 2116 01:09:25,861 --> 01:09:26,462 CRIMINAL LEGAL SYSTEM. 2117 01:09:26,529 --> 01:09:28,430 SO GET OUT THERE IN THE 2118 01:09:28,497 --> 01:09:30,533 COMMUNITY AND SEE WHAT THAT 2119 01:09:30,599 --> 01:09:31,600 INSTITUTION THAT AGENCY, THAT 2120 01:09:31,667 --> 01:09:35,538 JAIL, THE PRISON IS DOING IN THE 2121 01:09:35,604 --> 01:09:36,505 COMMUNITY FORUM AND PARTICIPATE 2122 01:09:36,572 --> 01:09:37,506 IN THAT. 2123 01:09:37,573 --> 01:09:39,475 MAKE YOURSELF AVAILABLE TO THOSE 2124 01:09:39,542 --> 01:09:41,877 MEETINGS, ASK QUESTIONS, BE 2125 01:09:41,944 --> 01:09:44,613 ACTIVE, AND THEN SECONDLY ONCE 2126 01:09:44,680 --> 01:09:45,814 YOU DEVELOP A RELATIONSHIP WITH 2127 01:09:45,881 --> 01:09:48,651 SOMEONE IN THAT FIELD, WE ALL 2128 01:09:48,717 --> 01:09:50,185 KNOW THAT PEERS LISTEN TO PEERS, 2129 01:09:50,252 --> 01:09:50,753 YOU KNOW? 2130 01:09:50,819 --> 01:09:53,789 THIS IS SOMETHING THAT CROSSES 2131 01:09:53,856 --> 01:09:56,859 ALL OF HUMAN CIVILIZATION, 2132 01:09:56,926 --> 01:09:58,027 SOMEHOW WE'RE MORE COMFORTABLE 2133 01:09:58,093 --> 01:09:59,028 WITH PEOPLE IN OUR NETWORK. 2134 01:09:59,094 --> 01:10:00,563 SO FINDING A CHAMPION, SOMEONE 2135 01:10:00,629 --> 01:10:02,565 WHO IS WILLING TO PARTICIPATE IN 2136 01:10:02,631 --> 01:10:04,934 THE WORLD OF RESEARCH, DEVELOP A 2137 01:10:05,000 --> 01:10:07,002 RELATIONSHIP WITH THAT PERSON 2138 01:10:07,069 --> 01:10:08,304 WORKING IN THE CRIMINAL LEGAL 2139 01:10:08,370 --> 01:10:10,039 SYSTEM THAT CAN BE YOUR CHAMPION 2140 01:10:10,105 --> 01:10:13,008 AND CAN INTRODUCE YOU TO OTHER 2141 01:10:13,075 --> 01:10:14,109 PARTNERS WITHIN THE CRIMINAL 2142 01:10:14,176 --> 01:10:16,078 LEGAL SYSTEM, AND YOU KNOW, 2143 01:10:16,145 --> 01:10:18,681 START SOMEWHERE AND THEN DEVELOP 2144 01:10:18,747 --> 01:10:21,317 THAT NETWORK THROUGH PEERS AND 2145 01:10:21,383 --> 01:10:25,888 PEER ASSOCIATIONS. 2146 01:10:25,955 --> 01:10:27,122 THAT'S BEEN KIND OF A WONDERFUL 2147 01:10:27,189 --> 01:10:29,391 WORLD TO ME, IS TO BE AN 2148 01:10:29,458 --> 01:10:30,593 AMBASSADOR TO MY PEERS IN 2149 01:10:30,659 --> 01:10:31,694 MASSACHUSETTS AND THROUGHOUT THE 2150 01:10:31,760 --> 01:10:33,262 COUNTRY ABOUT THIS PROJECT, AND 2151 01:10:33,329 --> 01:10:35,864 WHY ACTUALLY IT'S NOT JUST ONE 2152 01:10:35,931 --> 01:10:38,634 MORE THING TO DO IN THE BUSY 2153 01:10:38,701 --> 01:10:39,568 WORK ENVIRONMENT, IS WORK ON 2154 01:10:39,635 --> 01:10:41,236 THIS RESEARCH, BUT LIKE HERE ARE 2155 01:10:41,303 --> 01:10:43,372 ALL THESE REASONS THAT IT HAS 2156 01:10:43,439 --> 01:10:45,474 BEEN SUCCESSFUL FOR US AND WHY 2157 01:10:45,541 --> 01:10:46,575 YOU MIGHT BE CURIOUS TO 2158 01:10:46,642 --> 01:10:50,980 INVESTIGATE IT YOURSELF. 2159 01:10:51,046 --> 01:10:52,581 >> MICHELE, ANY THOUGHTS YOU'D 2160 01:10:52,648 --> 01:10:54,583 LIKE TO SHARE? 2161 01:10:54,650 --> 01:10:59,822 >> I DEFERRED MY TIME TO KATY. 2162 01:10:59,888 --> 01:11:00,889 I'M STILL GOOD WITH THAT. 2163 01:11:00,956 --> 01:11:02,658 >> WELL, I THINK, THEN, YOU 2164 01:11:02,725 --> 01:11:05,327 KNOW, I HOPE YOU'VE HEARD SORT 2165 01:11:05,394 --> 01:11:06,729 OF THE -- I HOPE YOU'VE SEEN 2166 01:11:06,795 --> 01:11:07,930 THROUGH THESE RELATIONSHIPS 2167 01:11:07,997 --> 01:11:09,331 REALLY, I MEAN, IT'S A CREDIT TO 2168 01:11:09,398 --> 01:11:10,566 THE INVESTIGATORS. 2169 01:11:10,633 --> 01:11:11,533 THAT'S ONE OF THE THINGS THAT 2170 01:11:11,600 --> 01:11:14,837 WE'VE ALSO DONE IN JCOIN. 2171 01:11:14,903 --> 01:11:16,905 ED REFERENCED OUR LEAP TRAINING 2172 01:11:16,972 --> 01:11:18,207 PROGRAM, WHICH REACHES OUT TO 2173 01:11:18,273 --> 01:11:20,175 PRACTITIONERS BUT ALSO REACHES 2174 01:11:20,242 --> 01:11:22,811 OUT TO EARLY STAGE 2175 01:11:22,878 --> 01:11:23,579 INVESTIGATORS, AND THERE'S ALSO 2176 01:11:23,646 --> 01:11:24,880 A LEAP INVESTIGATOR PROGRAM 2177 01:11:24,947 --> 01:11:26,115 REALLY FOR PEOPLE WHO ARE TRYING 2178 01:11:26,181 --> 01:11:29,485 TO LAUNCH THEIR NIH CAREERS AS 2179 01:11:29,551 --> 01:11:30,486 INDEPENDENT FUNDED INVESTIGATORS 2180 01:11:30,552 --> 01:11:31,687 BECAUSE IT'S REALLY HARD TO DO 2181 01:11:31,754 --> 01:11:33,022 THIS WORK. 2182 01:11:33,088 --> 01:11:35,424 AND IT TAKES TIME AND IT TAKES 2183 01:11:35,491 --> 01:11:36,358 TRYING -- REALLY WORKING TO 2184 01:11:36,425 --> 01:11:37,393 UNDERSTAND THAT, AND WHETHER 2185 01:11:37,459 --> 01:11:38,694 YOU'RE WORKING IN THE JUSTICE 2186 01:11:38,761 --> 01:11:40,129 SYSTEM OR YOU'RE WORKING IN 2187 01:11:40,195 --> 01:11:43,065 EMERGENCY SETTINGS OR PRIMARY 2188 01:11:43,132 --> 01:11:45,601 CARE, THAT'S TRUE AS WELL. 2189 01:11:45,668 --> 01:11:46,769 IT REALLY TAKES THAT EFFORT TO 2190 01:11:46,835 --> 01:11:48,203 BUILD THOSE RELATIONSHIPS AND BE 2191 01:11:48,270 --> 01:11:49,204 THOUGHTFUL ABOUT IT. 2192 01:11:49,271 --> 01:11:51,807 SO WITHIN JCOIN, WE'VE TRIED TO 2193 01:11:51,874 --> 01:11:53,575 USE THIS OPPORTUNITY AS A 2194 01:11:53,642 --> 01:11:57,513 PLATFORM TO HELP BUILD THE NEXT 2195 01:11:57,579 --> 01:11:58,280 GENERATION. 2196 01:11:58,347 --> 01:12:00,349 SO SOME OF -- I KNOW ACTUALLY 2197 01:12:00,416 --> 01:12:01,450 MICHELE HAS BEEN PART OF THE 2198 01:12:01,517 --> 01:12:05,154 JUST TIS WORK THAT WE'VE DONE AT 2199 01:12:05,220 --> 01:12:06,522 NIDA THROUGH MANY ITERATIONS. 2200 01:12:06,588 --> 01:12:08,924 IT'S TAKEN US MANY ITERATIONS OF 2201 01:12:08,991 --> 01:12:11,660 THIS TO SORT OF LEARN AND BUILD 2202 01:12:11,727 --> 01:12:13,529 ON THAT, SO WE DO HAVE -- WE 2203 01:12:13,595 --> 01:12:14,596 ARE -- WE'VE RECEIVED PERMISSION 2204 01:12:14,663 --> 01:12:17,900 TO LAUNCH A SECOND ITERATION OF 2205 01:12:17,966 --> 01:12:19,768 JCOIN WHERE WE HAVE A FUNDING 2206 01:12:19,835 --> 01:12:21,970 ANNOUNCEMENT THAT'S CLOSED THAT 2207 01:12:22,037 --> 01:12:23,372 WILL BE REVIEWED SOON TO 2208 01:12:23,439 --> 01:12:25,741 CONTINUE OUR INFRASTRUCTURE, SO 2209 01:12:25,808 --> 01:12:26,675 A LOT OF THE KINDS OF THINGS 2210 01:12:26,742 --> 01:12:27,643 WE'RE TALKING ABOUT, INCLUDING 2211 01:12:27,710 --> 01:12:30,079 THE THINGS THAT SUPPORT THE 2212 01:12:30,145 --> 01:12:32,881 RESOURCES AT THIS LINK WILL 2213 01:12:32,948 --> 01:12:33,882 CONTINUE, AND IN THE SUMMER, 2214 01:12:33,949 --> 01:12:35,084 WE'VE PUT OUT A NOTICE OF INTENT 2215 01:12:35,150 --> 01:12:37,152 TO PUBLISH AND IN THE SUMMER YOU 2216 01:12:37,219 --> 01:12:39,154 SHOULD SEE AN RFA FOR NEW 2217 01:12:39,221 --> 01:12:40,222 RESEARCH HUBS DOING THIS WORK. 2218 01:12:40,289 --> 01:12:41,890 SO WE HOPE TO CONTINUE THIS 2219 01:12:41,957 --> 01:12:43,659 MOMENTUM BUILT ON THE LESSONS 2220 01:12:43,726 --> 01:12:47,129 LEARNED, COULD M DO MORE TOO ARD 2221 01:12:47,196 --> 01:12:48,063 ENGAGING PEOPLE WITH LIVED 2222 01:12:48,130 --> 01:12:49,665 EXPERIENCE AND MAKING SURE THAT 2223 01:12:49,732 --> 01:12:50,599 PERSPECTIVE IS REPRESENTED AS 2224 01:12:50,666 --> 01:12:50,799 WELL. 2225 01:12:50,866 --> 01:12:53,602 SO I REALLY WANT TO THANK 2226 01:12:53,669 --> 01:12:54,603 EVERYONE FROM THE PANELISTS TO 2227 01:12:54,670 --> 01:12:55,804 THE TEAMS THAT AREN'T UP HERE 2228 01:12:55,871 --> 01:12:57,973 TODAY AND EVERYONE THAT DOES 2229 01:12:58,040 --> 01:12:59,641 THIS WORK, BECAUSE I THINK IT 2230 01:12:59,708 --> 01:13:00,976 REALLY IS AFFECTING PEOPLE'S 2231 01:13:01,043 --> 01:13:02,344 LIVES. 2232 01:13:02,411 --> 01:13:03,479 I MEAN, ED IS OUT THERE DOING 2233 01:13:03,545 --> 01:13:05,347 THE HARD WORK EVERY DAY, TRYING 2234 01:13:05,414 --> 01:13:07,616 TO HELP PEOPLE ON THEIR PATH TO 2235 01:13:07,683 --> 01:13:08,951 RECOVERY AND MAKE THAT 2236 01:13:09,017 --> 01:13:11,220 TRANSITION BACK INTO THEIR 2237 01:13:11,286 --> 01:13:12,221 COMMUNITY AND STAY ON THAT PATH 2238 01:13:12,287 --> 01:13:12,888 TO RECOVERY. 2239 01:13:12,955 --> 01:13:14,423 SO WE'RE JUST REALLY THANKFUL 2240 01:13:14,490 --> 01:13:16,692 AND PRIVILEGED TO HAVE HAD THE 2241 01:13:16,759 --> 01:13:17,593 OPPORTUNITY TO HAVE THIS 2242 01:13:17,659 --> 01:13:18,560 PLATFORM TO BE ABLE TO WORK 2243 01:13:18,627 --> 01:13:20,095 TOGETHER, SO I WANT TO THANK THE 2244 01:13:20,162 --> 01:13:21,530 PANELISTS AND EVERYONE FOR 2245 01:13:21,597 --> 01:13:22,297 GIVING US THIS OPPORTUNITY TO 2246 01:13:22,364 --> 01:13:32,474 SHARE. 2247 01:13:35,911 --> 01:13:39,047 >> SO THANK YOU, DRS. WILEY, 2248 01:13:39,114 --> 01:13:40,682 STATON, MARKS, EVANS AND 2249 01:13:40,749 --> 01:13:40,949 MR. HAYES. 2250 01:13:41,016 --> 01:13:41,950 THAT WAS A WONDERFUL 2251 01:13:42,017 --> 01:13:42,284 PRESENTATION. 2252 01:13:42,351 --> 01:13:43,852 I REALLY ENJOYED HEARING ABOUT 2253 01:13:43,919 --> 01:13:45,187 ALL THE CROSS-AGENCY 2254 01:13:45,254 --> 01:13:46,922 COLLABORATION AND THE 2255 01:13:46,989 --> 01:13:48,223 PARTNERSHIPS AMONG PRACTITIONERS 2256 01:13:48,290 --> 01:13:50,259 AND RESEARCHERS, REALLY TO 2257 01:13:50,325 --> 01:13:51,493 ADDRESS THIS VULNERABLE 2258 01:13:51,560 --> 01:13:54,029 POPULATION AND THIS IDEA OF 2259 01:13:54,096 --> 01:13:55,330 RELATIONSHIP INFRASTRUCTURE IS 2260 01:13:55,397 --> 01:13:56,198 REALLY NICE. 2261 01:13:56,265 --> 01:13:57,666 SO WE'RE GOING TO TRANSITION NOW 2262 01:13:57,733 --> 01:14:00,135 TO THE NEXT SESSION. 2263 01:14:00,202 --> 01:14:01,670 WE ARE GOING TO HEAR FROM THE 2264 01:14:01,737 --> 01:14:09,545 HEAL DATA ECOSYSTEM TEAM. 2265 01:14:09,611 --> 01:14:14,283 SO PLEASE WELCOME DR. JESS 2266 01:14:14,349 --> 01:14:16,552 MASRIK, DIRECTOR OF THE HEAL 2267 01:14:16,618 --> 01:14:17,753 DATA ECOSYSTEM AND THE THREE 2268 01:14:17,820 --> 01:14:18,020 PANELISTS. 2269 01:14:18,086 --> 01:14:19,488 THEY'RE GOING TO SHARE THEIR 2270 01:14:19,555 --> 01:14:30,065 INSIGHTS AROUND OPEN SCIENCE. 2271 01:14:48,450 --> 01:14:49,084 ALL RIGHT. 2272 01:14:49,151 --> 01:14:52,621 JESS, ARE YOU READY? 2273 01:14:52,688 --> 01:14:54,022 >> OH, YEAH, WE'RE READY. 2274 01:14:54,089 --> 01:14:58,527 >> GO AHEAD. 2275 01:14:58,594 --> 01:14:59,595 >> HELLO. 2276 01:14:59,661 --> 01:15:00,796 IS THIS ON? 2277 01:15:00,863 --> 01:15:01,430 OKAY. 2278 01:15:01,496 --> 01:15:01,997 HI, EVERYONE. 2279 01:15:02,064 --> 01:15:03,098 HOW IS EVERYONE DOING? 2280 01:15:03,165 --> 01:15:04,299 I'M SO GRATEFUL THIS BRIGHT 2281 01:15:04,366 --> 01:15:05,601 LIGHT THAT WAS HERE LAST YEAR IS 2282 01:15:05,667 --> 01:15:06,835 NOT HERE THIS YEAR, SO I CAN SEE 2283 01:15:06,902 --> 01:15:08,470 EVERYBODY. 2284 01:15:08,537 --> 01:15:09,905 THIS IS WONDERFUL. 2285 01:15:09,972 --> 01:15:12,941 SO THIS IS A SESSION ON THE DATA 2286 01:15:13,008 --> 01:15:13,609 ECOSYSTEM. 2287 01:15:13,675 --> 01:15:14,710 YOU'VE HEARD A LITTLE BIT ABOUT 2288 01:15:14,776 --> 01:15:15,911 IT THIS MORNING ALREADY FROM 2289 01:15:15,978 --> 01:15:18,013 LARRY AND TISHA MENTIONED IT AND 2290 01:15:18,080 --> 01:15:19,414 JCOIN DATA ARE AVAILABLE THROUGH 2291 01:15:19,481 --> 01:15:22,284 THE ECOSYSTEM, SO GO, JCOIN! 2292 01:15:22,351 --> 01:15:24,586 I REALLY WANT TO THANK BEFORE WE 2293 01:15:24,653 --> 01:15:27,089 JUMP IN THE STEWARDS TEAM, 2294 01:15:27,155 --> 01:15:30,058 ESPECIALLY SUSAN DEBLIAK FOR 2295 01:15:30,125 --> 01:15:31,126 ORGANIZING THE SESSION AND OUR 2296 01:15:31,193 --> 01:15:32,060 SPEAKERS ARE AWESOME SO THANK 2297 01:15:32,127 --> 01:15:33,662 YOU ALL FOR BEING HERE WITH US. 2298 01:15:33,729 --> 01:15:36,732 SO I THINK EVERYONE HEARD ABOUT 2299 01:15:36,798 --> 01:15:37,933 THE ECOSYSTEM AT THIS POINT 2300 01:15:38,000 --> 01:15:38,867 BECAUSE IT'S BEEN MENTIONED A 2301 01:15:38,934 --> 01:15:40,769 FEW TIMES, BUT IT'S HEAL'S 2302 01:15:40,836 --> 01:15:42,437 SOLUTION TO SHARING DATA AND 2303 01:15:42,504 --> 01:15:44,072 INFORMATION IN AN OPEN AND 2304 01:15:44,139 --> 01:15:45,474 FLEXIBLE FORMAT, AND REALLY WHAT 2305 01:15:45,540 --> 01:15:47,309 WE WANTED TO DO WAS TRY TO MEET 2306 01:15:47,376 --> 01:15:49,278 THE DIVERSE NEEDS OF ALL THE 2307 01:15:49,344 --> 01:15:50,512 STUDIES ACROSS HEAL IN SETTING 2308 01:15:50,579 --> 01:15:52,681 UP THIS INFRASTRUCTURE. 2309 01:15:52,748 --> 01:15:54,983 SO WE HAVE TOOLS TO SUPPORT DATA 2310 01:15:55,050 --> 01:15:56,385 SHARING, SEARCH AND ACCESS, AND 2311 01:15:56,451 --> 01:15:58,587 WE ALSO HAVE TEAMS READY TO HELP 2312 01:15:58,654 --> 01:16:00,789 SUPPORT YOU IN YOUR DATA SHARING 2313 01:16:00,856 --> 01:16:03,525 ENDEAVORS, AND THEY HAVE A BOOTH 2314 01:16:03,592 --> 01:16:05,160 OUTSIDE, ALL WEARING GREEN 2315 01:16:05,227 --> 01:16:07,129 BUTTONS, THAT'S THE PLATFORM 2316 01:16:07,195 --> 01:16:09,531 TEAM, THE STEWARDS AND HEAL 2317 01:16:09,598 --> 01:16:10,065 CONNECTIONS. 2318 01:16:10,132 --> 01:16:11,833 HEAL CONNECTIONS IS A RELATIVELY 2319 01:16:11,900 --> 01:16:13,235 NEW PARTNER IN THE ECOSYSTEM. 2320 01:16:13,302 --> 01:16:14,569 THEY'RE REALLY WORKING TO BRIDGE 2321 01:16:14,636 --> 01:16:16,305 THAT GAP BETWEEN COMMUNITIES AND 2322 01:16:16,371 --> 01:16:19,808 PEOPLE WITH LIVED EXPERIENCE AND 2323 01:16:19,875 --> 01:16:20,809 PATIENTS AND THE DATA AND 2324 01:16:20,876 --> 01:16:21,777 RESULTS COMING OUT OF HEAL. 2325 01:16:21,843 --> 01:16:23,045 MANY PROGRAMS LIKE JCOIN ARE 2326 01:16:23,111 --> 01:16:24,379 DOING A GREAT JOB AT THIS 2327 01:16:24,446 --> 01:16:25,814 ALREADY, BUT WE'RE HERE TO 2328 01:16:25,881 --> 01:16:27,683 AUGMENT AND FILL GAPS AND 2329 01:16:27,749 --> 01:16:30,752 BROADEN THAT REACH. 2330 01:16:30,819 --> 01:16:33,555 CAN THE TEAMS WAVE? 2331 01:16:33,622 --> 01:16:35,190 ECOSYSTEM TEAMS? HI! 2332 01:16:35,257 --> 01:16:35,657 THERE THEY ARE. 2333 01:16:35,724 --> 01:16:37,326 THEY HAVE THEIR BUTTONS. 2334 01:16:37,392 --> 01:16:39,494 FIND THEM, THEY ARE YOUR PEOPLE, 2335 01:16:39,561 --> 01:16:39,928 THEY CAN HELP YOU. 2336 01:16:39,995 --> 01:16:41,663 AND WE ALSO HAVE -- I WANT TO 2337 01:16:41,730 --> 01:16:43,332 REALLY WELCOME SOME OF OUR 2338 01:16:43,398 --> 01:16:45,834 PANELISTS FROM OUR LIVING 2339 01:16:45,901 --> 01:16:47,269 EXPERIENCE PANELS IN 2340 01:16:47,336 --> 01:16:47,602 CONNECTIONS. 2341 01:16:47,669 --> 01:16:48,804 WE HAVE SOME OF THOSE FOLKS HERE 2342 01:16:48,870 --> 01:16:50,439 AS WELL. 2343 01:16:50,505 --> 01:16:52,407 IF YOU'RE COMFORTABLE WAVING AND 2344 01:16:52,474 --> 01:16:53,608 SAYING HELLO, WE'D LOVE TO SEE 2345 01:16:53,675 --> 01:16:54,242 YOU AS WELL. 2346 01:16:54,309 --> 01:16:56,878 THANK YOU FOR BEING HERE. 2347 01:16:56,945 --> 01:16:57,412 AWESOME, YEA. 2348 01:16:57,479 --> 01:16:59,181 ROUND OF APPLAUSE FOR THEM. 2349 01:16:59,247 --> 01:17:00,382 PERFECT. 2350 01:17:00,449 --> 01:17:04,219 OKAY. 2351 01:17:04,286 --> 01:17:08,156 SO SLIDES. 2352 01:17:08,223 --> 01:17:11,560 THOSE ARE WALTER'S SLIDES. 2353 01:17:11,626 --> 01:17:21,737 UH-OH. 2354 01:17:34,549 --> 01:17:35,484 OKAY, SO ACTUALLY WHILE WE'RE 2355 01:17:35,550 --> 01:17:36,284 WAITING FOR THE SLIDES I'M GOING 2356 01:17:36,351 --> 01:17:38,020 TO GO AHEAD AND INTRODUCE OUR 2357 01:17:38,086 --> 01:17:39,321 SPEAKERS BECAUSE I HAVE THEIR 2358 01:17:39,388 --> 01:17:40,322 BIOS RIGHT HERE SO I CAN JUST 2359 01:17:40,389 --> 01:17:42,090 READ THEM. 2360 01:17:42,157 --> 01:17:45,127 WE HAVE LAURA SIMONS. 2361 01:17:45,193 --> 01:17:47,496 LAURA IS A PROFESSOR IN THE 2362 01:17:47,562 --> 01:17:49,498 DEPARTMENT OF ANESTHESIOLOGY, 2363 01:17:49,564 --> 01:17:51,033 PERIOPERATIVE AND PAIN MEDICINE 2364 01:17:51,099 --> 01:17:52,501 AT STANFORD UNIVERSITY SCHOOL OF 2365 01:17:52,567 --> 01:17:52,768 MEDICINE. 2366 01:17:52,834 --> 01:17:54,236 SHE'S A CLINICAL PSYCHOLOGIST 2367 01:17:54,302 --> 01:17:56,304 WHO EVALUATES AND TREATS 2368 01:17:56,371 --> 01:17:57,606 CHILDREN AND ADOLESCENTS 2369 01:17:57,672 --> 01:17:58,707 PRESENTING WITH CHRONIC PAIN IN 2370 01:17:58,774 --> 01:18:00,642 THE PEDIATRIC PAIN MANAGEMENT 2371 01:18:00,709 --> 01:18:02,277 CLINIC AT STANFORD'S CHILDREN'S 2372 01:18:02,344 --> 01:18:03,512 HEALTH. 2373 01:18:03,578 --> 01:18:06,915 HER RESEARCH PROGRAM AIMS TO 2374 01:18:06,982 --> 01:18:08,784 UTILIZE A PAIN NEUROSCIENCE 2375 01:18:08,850 --> 01:18:10,752 PSYCHOLOGY APPROACH TO GAIN A 2376 01:18:10,819 --> 01:18:12,721 MECHANISTIC UNDERSTANDING OF 2377 01:18:12,788 --> 01:18:14,790 COGNITIVE AND EFFECTIVE 2378 01:18:14,856 --> 01:18:16,992 PROCESSES IN PEDIATRIC PAIN, 2379 01:18:17,059 --> 01:18:18,326 PERFORM RIGOROUS 2380 01:18:18,393 --> 01:18:19,394 PATIENT-ORIENTED RESEARCH THAT 2381 01:18:19,461 --> 01:18:21,263 TRANSLATES TARGETED ASSESSMENT 2382 01:18:21,329 --> 01:18:23,899 INTO MECHANISTICALLY INFORMED 2383 01:18:23,965 --> 01:18:25,534 TREATMENT APPROACHES FOR OPTIMAL 2384 01:18:25,600 --> 01:18:27,602 CLINICAL CARE AND LEVERAGE THE 2385 01:18:27,669 --> 01:18:29,137 UBIQUITY OF DIGITAL HEALTH TO 2386 01:18:29,204 --> 01:18:30,005 ENHANCE PATIENT ACCESS AND 2387 01:18:30,072 --> 01:18:31,106 REACH. 2388 01:18:31,173 --> 01:18:32,874 CENTRAL TO THESE GOALS ARE 2389 01:18:32,941 --> 01:18:34,643 PROJECTS TARGETING YOUTH WITH 2390 01:18:34,709 --> 01:18:36,411 CHRONIC PAIN AND UNDERSTANDING 2391 01:18:36,478 --> 01:18:38,146 AND TREATING CHRONIC PAIN IN 2392 01:18:38,213 --> 01:18:39,881 CHILDHOOD. 2393 01:18:39,948 --> 01:18:41,817 WE HAVE CHARLIE KNOTT -- OH, AND 2394 01:18:41,883 --> 01:18:43,185 I SHOULD SAY, LAURA IS WORKING 2395 01:18:43,251 --> 01:18:45,687 ON THE HEAL-FUNDED SPRINT STUDY. 2396 01:18:45,754 --> 01:18:47,222 WE HAVE CHARLIE KNOTT, WHO'S 2397 01:18:47,289 --> 01:18:48,523 PART OF THE HEALING COMMUNITY 2398 01:18:48,590 --> 01:18:50,926 STUDY, LEADER IN THEIR DATA 2399 01:18:50,992 --> 01:18:51,927 COORDINATING CENTER. 2400 01:18:51,993 --> 01:18:54,763 HE'S THE SENIOR DIRECTOR FOR 2401 01:18:54,830 --> 01:18:57,833 P.I. AND BI BUSINESS DEVELOPMEN. 2402 01:18:57,899 --> 01:18:59,334 HE LEADS STRATEGIC PLANNING AND 2403 01:18:59,401 --> 01:19:01,236 BUSINESS DEVELOPMENT FOR RTI 2404 01:19:01,303 --> 01:19:01,770 RESEARCH DIVISION. 2405 01:19:01,837 --> 01:19:02,871 WITH MORE THAN 30 YEARS OF 2406 01:19:02,938 --> 01:19:04,639 EXPERIENCE IN HEALTH SURVEYS, HE 2407 01:19:04,706 --> 01:19:06,041 LENDS TECHNICAL EXPERTISE TO 2408 01:19:06,108 --> 01:19:07,342 PROJECTS WHILE BUILDING 2409 01:19:07,409 --> 01:19:08,877 RELATIONSHIPS WITH CLIENTS AND 2410 01:19:08,944 --> 01:19:10,212 HELPING STAFF MEMBERS DEVELOP 2411 01:19:10,278 --> 01:19:11,847 THEIR CAPABILITIES. 2412 01:19:11,913 --> 01:19:13,815 HE'S INSTRUMENTAL IN RTI'S 2413 01:19:13,882 --> 01:19:15,350 ABILITY TO DESIGN DATA 2414 01:19:15,417 --> 01:19:18,186 COLLECTION AND MANAGEMENT 2415 01:19:18,253 --> 01:19:21,156 SYSTEMS LIKE HIPAA, FED RAMP, 2416 01:19:21,223 --> 01:19:23,558 FISMA AND THE PRIVACY ACT. 2417 01:19:23,625 --> 01:19:27,696 AND WE HAVE MARYANN MARTONE. 2418 01:19:27,762 --> 01:19:29,564 MARYANN COLEADS THE FAIR DATA 2419 01:19:29,631 --> 01:19:30,599 INFORMATICS LAB AT THE 2420 01:19:30,665 --> 01:19:31,533 UNIVERSITY OF CALIFORNIA 2421 01:19:31,600 --> 01:19:33,401 SAN DIEGO, AND HER CAREER HAS 2422 01:19:33,468 --> 01:19:36,138 FOCUSED ON NEUROINFORMATICS. 2423 01:19:36,204 --> 01:19:37,405 DR. MARTONE HAS BEEN INTIMATELY 2424 01:19:37,472 --> 01:19:39,174 INVOLVED IN A NUMBER OF OPEN 2425 01:19:39,241 --> 01:19:41,276 SCIENCE AND FAIR DATA SHARING 2426 01:19:41,343 --> 01:19:43,778 INITIATIVES, INCLUDING THE NIDDK 2427 01:19:43,845 --> 01:19:46,148 INFORMATION NETWORK, DKNET, THE 2428 01:19:46,214 --> 01:19:47,048 NEUROSCIENCE INFORMATION 2429 01:19:47,115 --> 01:19:49,017 FRAMEWORK, AND THE COMMON FUND 2430 01:19:49,084 --> 01:19:49,918 DATA ECOSYSTEM. 2431 01:19:49,985 --> 01:19:51,219 SHE IS A PRIMARY INVESTIGATOR 2432 01:19:51,286 --> 01:19:52,988 WITH THE HEAL PRECISION HUMAN 2433 01:19:53,054 --> 01:19:54,956 PAIN NETWORK DATA COORDINATING 2434 01:19:55,023 --> 01:19:56,591 CENTER, THE SPARK KNOWLEDGE 2435 01:19:56,658 --> 01:19:58,660 MANAGEMENT CORE, WHICH PROVIDES 2436 01:19:58,727 --> 01:20:02,931 DATA CURATION FOR THE HEALING -- 2437 01:20:02,998 --> 01:20:03,665 RESTORING JOINT HEALTH AND 2438 01:20:03,732 --> 01:20:06,935 FUNCTION TO REDUCE PAIN, OR 2439 01:20:07,002 --> 01:20:08,637 REJOIN PROGRAM, AND SHE'S ACTIVE 2440 01:20:08,703 --> 01:20:11,573 IN PRODUCING INTEROPERABLE 2441 01:20:11,640 --> 01:20:12,574 KNOWLEDGE GRAPHS FOR SEVERAL 2442 01:20:12,641 --> 01:20:14,442 RESEARCH PROGRAMS WHICH YOU'LL 2443 01:20:14,509 --> 01:20:15,210 HEAR ABOUT TODAY. 2444 01:20:15,277 --> 01:20:17,512 OKAY, DO WE HAVE SLIDES? 2445 01:20:17,579 --> 01:20:17,946 AWESOME! 2446 01:20:18,013 --> 01:20:27,122 OKAY. 2447 01:20:27,189 --> 01:20:37,666 WHERE DO I POINT THIS THING? 2448 01:21:27,649 --> 01:21:28,717 LAURA IS GOING TO START BECAUSE 2449 01:21:28,783 --> 01:21:29,918 SHE'S GOING TO INTRO HER TEAM A 2450 01:21:29,985 --> 01:21:31,219 LITTLE BIT BEFORE HER TALK. 2451 01:21:31,286 --> 01:21:32,120 >> YEAH. 2452 01:21:32,187 --> 01:21:34,089 SO I'M DELIGHTED TO BE HERE, AND 2453 01:21:34,155 --> 01:21:35,523 HAVE THE OPPORTUNITY TO TALK A 2454 01:21:35,590 --> 01:21:37,959 LITTLE BIT ABOUT OUR SPRINT 2455 01:21:38,026 --> 01:21:38,560 STUDY. 2456 01:21:38,627 --> 01:21:40,662 SO MY FIRST SLIDE IS JUST 2457 01:21:40,729 --> 01:21:43,064 INTRODUCING MYSELF AND MY 2458 01:21:43,131 --> 01:21:45,467 COLLEAGUE AND FORMER POSTDOC E 2459 01:21:45,533 --> 01:21:49,638 EMMA BIGGS. 2460 01:21:49,704 --> 01:21:52,374 SHE HAD A HUGE ROLE IN SETTING 2461 01:21:52,440 --> 01:21:56,111 UP OUR PLATFORM TO ENSURE THAT 2462 01:21:56,177 --> 01:21:59,814 WE'RE NOT ONLY ALIGNED WITH THE 2463 01:21:59,881 --> 01:22:01,349 HEAL REQUESTS BUT THAT WE HAVE 2464 01:22:01,416 --> 01:22:02,517 THE OPPORTUNITY TO SHARE OUR 2465 01:22:02,584 --> 01:22:05,086 DATA AND MAKE IT MORE ACCESSIBLE 2466 01:22:05,153 --> 01:22:07,122 TO FOLKS IN THE FUTURE. 2467 01:22:07,188 --> 01:22:09,090 SO I'LL GO AHEAD AND GET 2468 01:22:09,157 --> 01:22:09,724 STARTED. 2469 01:22:09,791 --> 01:22:11,059 MY TALK IS GOING TO BE ABOUT 2470 01:22:11,126 --> 01:22:13,561 OPEN SCIENCE WITH BIG DATA USING 2471 01:22:13,628 --> 01:22:15,764 OUR SPRINT STUDY AS AN EXAMPLE. 2472 01:22:15,830 --> 01:22:18,533 SPRINT IS SIGNATURES FOR PAIN 2473 01:22:18,600 --> 01:22:20,135 RECOVERY IN TEENS. 2474 01:22:20,201 --> 01:22:22,771 THIS IS A MULTI-INSTITUTIONAL 2475 01:22:22,837 --> 01:22:26,041 INTERNATIONAL COLLABORATION WITH 2476 01:22:26,107 --> 01:22:29,444 TEAMS OF SCIENTISTS AT STANFORD 2477 01:22:29,511 --> 01:22:30,312 UNIVERSITY, UNIVERSITY OF 2478 01:22:30,378 --> 01:22:31,913 TORONTO, SICK KIDS TORONTO, AS 2479 01:22:31,980 --> 01:22:34,149 WELL AS UNIVERSITY OF BARCELONA 2480 01:22:34,215 --> 01:22:36,985 AND CINCINNATI CHILDREN'S. 2481 01:22:37,052 --> 01:22:42,123 IT'S I THINK THE LARGEST 2482 01:22:42,190 --> 01:22:43,958 MULTIMODAL BIOMARKER DISCOVER DY 2483 01:22:44,025 --> 01:22:45,794 STUDY IN ADOLESCENTS WITH 2484 01:22:45,860 --> 01:22:47,195 CHRONIC MUSCULOSKELETAL PAIN. 2485 01:22:47,262 --> 01:22:49,064 WE'VE COMPLETED OUR DISCOVERY 2486 01:22:49,130 --> 01:22:50,565 PHASE AND WE'RE IN THE PROCESS 2487 01:22:50,632 --> 01:22:52,334 NOW OF COLLECTING DATA FOR OUR 2488 01:22:52,400 --> 01:22:54,536 VALIDATION COHORT. 2489 01:22:54,602 --> 01:22:56,171 AND I'LL WALK YOU ALL THROUGH A 2490 01:22:56,237 --> 01:22:58,273 LITTLE BIT OF THE STUDY DESIGN 2491 01:22:58,340 --> 01:23:00,008 JUST TO GIVE YOU A LITTLE BIT OF 2492 01:23:00,075 --> 01:23:02,210 A FRAMEWORK OF THE TYPES OF DATA 2493 01:23:02,277 --> 01:23:04,279 THAT WE'RE GOING TO BE 2494 01:23:04,346 --> 01:23:05,914 COLLECTING, THAT WE ARE 2495 01:23:05,980 --> 01:23:06,681 COLLECTING, AND HOW WE'RE GOING 2496 01:23:06,748 --> 01:23:09,984 TO BE TRANSLATING THAT INTO OUR 2497 01:23:10,051 --> 01:23:11,953 OPEN SCIENCE AND SHARING 2498 01:23:12,020 --> 01:23:12,620 PLATFORMS. 2499 01:23:12,687 --> 01:23:15,890 ONE SHOUT OUT TO THE HEAL GROUP 2500 01:23:15,957 --> 01:23:17,959 AND THEIR COMMON DATA ELEMENTS. 2501 01:23:18,026 --> 01:23:18,860 ONE OF THE THINGS THAT WE'VE 2502 01:23:18,927 --> 01:23:20,962 WORKED REALLY CLOSELY WITH THEM 2503 01:23:21,029 --> 01:23:22,597 FROM THE START OF THE STUDY IS 2504 01:23:22,664 --> 01:23:23,998 TO ENSURE THAT MANY OF THE 2505 01:23:24,065 --> 01:23:25,333 QUESTIONNAIRES THAT WE'RE USING 2506 01:23:25,400 --> 01:23:28,703 ARE ALIGNED WITH BEST PRACTICES 2507 01:23:28,770 --> 01:23:29,938 AND THERE WAS RECENTLY A 2508 01:23:30,004 --> 01:23:35,076 PUBLICATION LED BY LAURA WODNER 2509 01:23:35,143 --> 01:23:36,611 THAT OUTLINES THE CHRONIC AND 2510 01:23:36,678 --> 01:23:40,115 ACUTE PAIN MEASURES FOR ADULTS 2511 01:23:40,181 --> 01:23:42,083 AND PEDIATRICS SO I ENCOURAGE 2512 01:23:42,150 --> 01:23:43,017 YOU TO CHECK THAT OUT IN THE 2513 01:23:43,084 --> 01:23:44,386 JOURNAL OF PAIN, AND OUR STUDY 2514 01:23:44,452 --> 01:23:45,487 IS INTEGRATING THOSE MEASURES AS 2515 01:23:45,553 --> 01:23:47,021 WELL. 2516 01:23:47,088 --> 01:23:50,091 SO WE IN THIS STUDY WE TOOK A 2517 01:23:50,158 --> 01:23:52,193 NUMBER OF KIND OF PIECES OF 2518 01:23:52,260 --> 01:23:55,330 PRIOR KNOWLEDGE SO THINKING 2519 01:23:55,397 --> 01:23:57,799 ABOUT WHAT'S BEEN PUBLISHED IN 2520 01:23:57,866 --> 01:23:59,534 THE LITERATURE REGARDING 2521 01:23:59,601 --> 01:24:01,403 UNDERSTANDING RECOVERY OR 2522 01:24:01,469 --> 01:24:02,604 PERSISTENCE OF CHRONIC PAIN IN 2523 01:24:02,670 --> 01:24:07,208 ADULTS AS WELL AS PEDIATRICS. 2524 01:24:07,275 --> 01:24:08,843 PARTICULARLY BECAUSE THE REALM 2525 01:24:08,910 --> 01:24:11,913 OF RESEARCH AND WHAT WE KNOW IN 2526 01:24:11,980 --> 01:24:12,847 PEDIATRIC CHRONIC PAIN IS PRETTY 2527 01:24:12,914 --> 01:24:13,081 LIMITED. 2528 01:24:13,148 --> 01:24:14,682 WE DID HAVE TO DRAW FROM OUR 2529 01:24:14,749 --> 01:24:15,617 ADULT COUNTERPARTS, ALTHOUGH 2530 01:24:15,683 --> 01:24:17,051 CHILDREN ARE NOT SMALL ADULTS SO 2531 01:24:17,118 --> 01:24:21,689 IT IS IMPORTANT TO STUDY THEM 2532 01:24:21,756 --> 01:24:22,123 UNIQUELY. 2533 01:24:22,190 --> 01:24:25,427 BUT WE USE THAT TO KIND OF 2534 01:24:25,493 --> 01:24:27,662 DEVISE THE FEATURES AND MEASURES 2535 01:24:27,729 --> 01:24:29,264 WE WANTED TO SELECT AS WELL AS 2536 01:24:29,330 --> 01:24:32,000 SOME EMERGING INNOVATIVE DATA IN 2537 01:24:32,066 --> 01:24:33,201 OTHER DOMAINS OF RESEARCH. 2538 01:24:33,268 --> 01:24:36,171 FOR EXAMPLE, LOOKING AT SURGICAL 2539 01:24:36,237 --> 01:24:37,705 RECOVERY AND LOOKING AT IMMUNE 2540 01:24:37,772 --> 01:24:38,807 MARKERS. 2541 01:24:38,873 --> 01:24:40,875 WHICH HAS NOT BEEN PREVIOUSLY 2542 01:24:40,942 --> 01:24:44,512 LOOKED AT IN PEDIATRIC PAIN. 2543 01:24:44,579 --> 01:24:46,147 SO USING THESE SORT OF DIFFERENT 2544 01:24:46,214 --> 01:24:48,983 METRICS AND MEASURES, WE CAME UP 2545 01:24:49,050 --> 01:24:50,952 WITH A REALLY RIGOROUS BATTERY 2546 01:24:51,019 --> 01:24:54,789 THAT WE PUBLISHED IN BMJ OPEN SO 2547 01:24:54,856 --> 01:24:55,890 I ENCOURAGE YOU AS WELL TO SEE 2548 01:24:55,957 --> 01:24:57,425 THAT PROTOCOL, THAT NOT ONLY 2549 01:24:57,492 --> 01:24:59,294 OUTLINES THE METHODS OF THIS 2550 01:24:59,360 --> 01:25:02,897 FOUR-HOUR STUDY BUT IT INCLUDES 2551 01:25:02,964 --> 01:25:04,866 VERY SPECIFIC METRICS REGARDING 2552 01:25:04,933 --> 01:25:07,402 THE PARAMETERS THAT WE'RE USING 2553 01:25:07,469 --> 01:25:08,269 ACROSS SITES. 2554 01:25:08,336 --> 01:25:09,904 AND IT INCLUDED SOME REALLY FUN 2555 01:25:09,971 --> 01:25:11,906 CHAL EX-, LIKE ACROSS EACH OF 2556 01:25:11,973 --> 01:25:13,408 OUR SITES WHERE WE'RE COLLECTING 2557 01:25:13,475 --> 01:25:15,844 DATA SO UNIVERSITY OF TORONTO, 2558 01:25:15,910 --> 01:25:16,811 CINCINNATI CHILDREN'S AND 2559 01:25:16,878 --> 01:25:17,579 STANFORD. 2560 01:25:17,645 --> 01:25:21,716 THERE ARE DIFFERENT MRI MACHINES 2561 01:25:21,783 --> 01:25:22,417 SO WE HAD THE OPPORTUNITY TO 2562 01:25:22,484 --> 01:25:23,585 COME UP WITH HOW WE'RE GOING TO 2563 01:25:23,651 --> 01:25:26,054 KIND OF CONSOLIDATE AND BRING 2564 01:25:26,120 --> 01:25:26,921 TOGETHER THOSE DIFFERENT 2565 01:25:26,988 --> 01:25:29,224 MACHINES TO GET SIMILAR DATA 2566 01:25:29,290 --> 01:25:29,557 OUTPUTS. 2567 01:25:29,624 --> 01:25:31,192 WHICH REALLY KIND OF IS ALIGNED 2568 01:25:31,259 --> 01:25:32,660 WITH THIS IDEA OF MAKING SURE 2569 01:25:32,727 --> 01:25:35,396 THAT WE CAN HAVE SOMETHING 2570 01:25:35,463 --> 01:25:37,265 THAT'S DISSEMINATABLE AND 2571 01:25:37,332 --> 01:25:37,599 GENERALIZABLE. 2572 01:25:37,665 --> 01:25:40,435 SO WE WERE ABLE TO, IN OUR 2573 01:25:40,502 --> 01:25:41,903 DISCOVERY COHORT, BE ABLE TO 2574 01:25:41,970 --> 01:25:43,404 TAKE THESE DIFFERENT PIECES OF 2575 01:25:43,471 --> 01:25:45,173 DATA FROM OUR QUANTITATIVE 2576 01:25:45,240 --> 01:25:47,141 SENSORY TESTING, OUR STRUCTURAL 2577 01:25:47,208 --> 01:25:50,945 AND FUNCTIONAL BRAIN IMAGING, 2578 01:25:51,012 --> 01:25:53,181 TASK-BASED -- OH, HERE WE GO. 2579 01:25:53,248 --> 01:25:54,415 NOW YOU GET TO SEE PICTURES! 2580 01:25:54,482 --> 01:25:54,916 ALL RIGHT. 2581 01:25:54,983 --> 01:26:00,188 SO THERE'S MY BEAUTIFUL TEAM. 2582 01:26:00,255 --> 01:26:05,660 THIS IS KIND OF THE PROGRESS OF 2583 01:26:05,727 --> 01:26:06,628 OUTLINING HOW WE KIND OF CAME UP 2584 01:26:06,694 --> 01:26:08,062 WITH OUR METHODS, AND YOU CAN 2585 01:26:08,129 --> 01:26:09,297 SEE HIGHLIGHTED THERE THE 2586 01:26:09,364 --> 01:26:11,900 PROTOCOL PAPER AS WELL AS THE 2587 01:26:11,966 --> 01:26:14,002 CDE PAPER. 2588 01:26:14,068 --> 01:26:15,970 THEN THIS IS KIND OF WALKING YOU 2589 01:26:16,037 --> 01:26:16,971 THROUGH SOME OF THE DIFFERENT 2590 01:26:17,038 --> 01:26:19,374 PIECES OF DATA I WAS JUST 2591 01:26:19,440 --> 01:26:21,876 MENTIONING, QUANTITATIVE SENSORY 2592 01:26:21,943 --> 01:26:23,745 TESTING, PAIN MODULATION, 2593 01:26:23,811 --> 01:26:25,513 STRUCTURAL MRI AS WELL AS 2594 01:26:25,580 --> 01:26:28,016 TASK-BASED MRI, OUR IMMUNE 2595 01:26:28,082 --> 01:26:29,017 MARKERS THAT WE WERE ABLE TO 2596 01:26:29,083 --> 01:26:35,356 LOOK AT ACROSS SITES, DOING QC 2597 01:26:35,423 --> 01:26:38,226 AND QA ANALYSIS TO ENSURE WE'RE 2598 01:26:38,293 --> 01:26:39,360 GETTING KIND OF THE SAME METRICS 2599 01:26:39,427 --> 01:26:40,428 ACROSS THE DIFFERENT 2600 01:26:40,495 --> 01:26:41,396 INSTITUTIONS, AS WELL AS OUR 2601 01:26:41,462 --> 01:26:45,800 QUESTION FLAREQUESTIONNAIRE DATT 2602 01:26:45,867 --> 01:26:47,001 CLINICAL END POINTS OF PAIN AND 2603 01:26:47,068 --> 01:26:47,802 FUNCTIONING. 2604 01:26:47,869 --> 01:26:49,537 SO YOU CAN SEE HERE, I'M NOT 2605 01:26:49,604 --> 01:26:53,174 GOING TO GO INTO THIS RESULT 2606 01:26:53,241 --> 01:26:54,242 BECAUSE I HAVE AN OPPORTUNITY TO 2607 01:26:54,309 --> 01:26:56,311 TALK MORE ABOUT IT TOMORROW, BUT 2608 01:26:56,377 --> 01:26:57,879 WANTED TO KIND OF SHOW YOU HOW 2609 01:26:57,946 --> 01:27:00,715 WE TRANSLATED ALL OF THAT 2610 01:27:00,782 --> 01:27:02,150 INFORMATION INTO A BEAUTIFUL 2611 01:27:02,216 --> 01:27:03,785 MACHINE LEARNING OUTPUT MODEL 2612 01:27:03,851 --> 01:27:05,653 THAT ALLOWS US TO LOOK AT THESE 2613 01:27:05,720 --> 01:27:07,422 DIFFERENT DOMAINS AND USING OUR 2614 01:27:07,488 --> 01:27:08,823 PRIOR KNOWLEDGE TO INTERPRET 2615 01:27:08,890 --> 01:27:11,159 WHAT THESE FEATURES MAY BE 2616 01:27:11,225 --> 01:27:11,726 INFORMING. 2617 01:27:11,793 --> 01:27:14,329 SO I'LL TALK MORE ABOUT IT 2618 01:27:14,395 --> 01:27:14,762 TOMORROW. 2619 01:27:14,829 --> 01:27:16,965 BUT THIS IS WHAT WE WERE ABLE TO 2620 01:27:17,031 --> 01:27:18,833 DISCERN REGARDING PERSISTENTLY 2621 01:27:18,900 --> 01:27:20,602 HIGH PAIN LEVELS. 2622 01:27:20,668 --> 01:27:23,104 WE HAD A DIFFERENT MODEL FOR OUR 2623 01:27:23,171 --> 01:27:24,405 PERSISTENTLY HIGH FUNCTIONAL 2624 01:27:24,472 --> 01:27:24,706 IMPAIRMENT. 2625 01:27:24,772 --> 01:27:25,974 AND I THINK THAT THIS REALLY 2626 01:27:26,040 --> 01:27:26,908 ALIGNS WITH OUR CLINICAL 2627 01:27:26,975 --> 01:27:28,710 EXPERIENCE AS WELL, IS THAT 2628 01:27:28,776 --> 01:27:31,679 OFTEN PERSISTENT PAIN AND 2629 01:27:31,746 --> 01:27:34,082 PERSISTENT DISABILITY DON'T 2630 01:27:34,148 --> 01:27:35,283 ALWAYS CORRESPOND ONE TO ONE, SO 2631 01:27:35,350 --> 01:27:39,020 BEING ABLE TO DEFINE DIFFERENT 2632 01:27:39,087 --> 01:27:40,254 BIOMARKER SIGNATURES THAT LOOK 2633 01:27:40,321 --> 01:27:42,657 AT THESE DIFFERENT PRESENTATIONS 2634 01:27:42,724 --> 01:27:43,958 IS SOMETHING WE'RE REALLY 2635 01:27:44,025 --> 01:27:44,726 EXCITED ABOUT. 2636 01:27:44,792 --> 01:27:46,828 SO LET'S TALK ABOUT THE DATA 2637 01:27:46,894 --> 01:27:48,496 SHARING AND OPEN SCIENCE 2638 01:27:48,563 --> 01:27:48,763 PRACTICES. 2639 01:27:48,830 --> 01:27:50,565 WELL, YOU KNOW, WE THINK THIS IS 2640 01:27:50,632 --> 01:27:51,899 REALLY IMPORTANT AND WE HOPE YOU 2641 01:27:51,966 --> 01:27:52,767 DO TOO. 2642 01:27:52,834 --> 01:27:55,503 BASED ON THE PRINCIPLES OF 2643 01:27:55,570 --> 01:27:56,571 COMMONALITY, WE DON'T PERSONALLY 2644 01:27:56,638 --> 01:27:58,506 OWN THIS DATA AND IT BELONGS TO 2645 01:27:58,573 --> 01:27:59,440 SCIENCE AND IT BELONGS TO THE 2646 01:27:59,507 --> 01:28:01,209 PEOPLE WHO PARTICIPATE AND THE 2647 01:28:01,275 --> 01:28:02,543 PEOPLE THAT WE WANT TO BENEFIT 2648 01:28:02,610 --> 01:28:03,745 IN THE FUTURE. 2649 01:28:03,811 --> 01:28:05,079 SO IN PARTICULAR IN THIS CASE, 2650 01:28:05,146 --> 01:28:07,582 IT'S YOUNG PEOPLE WITH CHRONIC 2651 01:28:07,649 --> 01:28:08,549 MUSCULOSKELETAL PAIN. 2652 01:28:08,616 --> 01:28:10,752 BUT HOPEFULLY WE CAN INSPIRE THE 2653 01:28:10,818 --> 01:28:11,853 ADULTS LIKE THE ADULTS HAVE 2654 01:28:11,919 --> 01:28:13,054 INSPIRED US. 2655 01:28:13,121 --> 01:28:20,294 AND THE PRINCIPLE OF 2656 01:28:20,361 --> 01:28:21,095 UNIVERSALISM. 2657 01:28:21,162 --> 01:28:22,897 I THINK THE FIELD HAS MOVED AWAY 2658 01:28:22,964 --> 01:28:27,035 FROM THE ELUSIVE P LESS THAN 2659 01:28:27,101 --> 01:28:29,537 .05, BUT I THINK THAT ENSURING 2660 01:28:29,604 --> 01:28:31,506 THAT WE'RE DELIVERING RIGOROUS 2661 01:28:31,572 --> 01:28:37,879 RESULTS THAT CAN BE REPEATED AND 2662 01:28:37,945 --> 01:28:38,746 REPLICATABLE IS CRITICAL FOR THE 2663 01:28:38,813 --> 01:28:39,514 FIELD MOVING FORWARD. 2664 01:28:39,580 --> 01:28:41,349 WE AIM TO IMPROVE OPENNESS, 2665 01:28:41,416 --> 01:28:43,317 INTEGRITY AND REPRODUCIBILITY, 2666 01:28:43,384 --> 01:28:48,623 SO THIS IS REALLY CRITICAL FOR 2667 01:28:48,690 --> 01:28:49,190 META-ANALYSES AS WELL AS NOT 2668 01:28:49,257 --> 01:28:51,359 HAVING TO REPROGRAM OR RE-CREATE 2669 01:28:51,426 --> 01:28:53,327 THE WHEEL FOR EVERY TASK OR 2670 01:28:53,394 --> 01:28:53,795 ANALYSIS. 2671 01:28:53,861 --> 01:28:56,130 THAT'S SOMETHING THAT SOMETHING 2672 01:28:56,197 --> 01:28:57,331 THAT WE'VE REALLY VALUED BECAUSE 2673 01:28:57,398 --> 01:28:58,966 IT WAS KIND OF CRITICAL IN A 2674 01:28:59,033 --> 01:29:00,868 MULTISITE STUDY BUT ALSO FOR THE 2675 01:29:00,935 --> 01:29:03,237 FUTURE OF DISSEMINATION OF 2676 01:29:03,304 --> 01:29:04,672 ENSURING THAT ALL OF OUR SCRIPTS 2677 01:29:04,739 --> 01:29:07,275 ARE GOING TO BE PUBLICLY 2678 01:29:07,341 --> 01:29:08,276 AVAILABLE, THAT WE HAVE 2679 01:29:08,342 --> 01:29:09,744 EVERYTHING SORT OF REALLY HOPELY 2680 01:29:09,811 --> 01:29:10,712 AVAILABLE REGARDING HOW WE DID 2681 01:29:10,778 --> 01:29:14,215 THE WORK THAT WE DID. 2682 01:29:14,282 --> 01:29:15,783 THIS ALLOWS THOSE WHO ARE DOING 2683 01:29:15,850 --> 01:29:17,418 THAT CHALLENGING WORK OF 2684 01:29:17,485 --> 01:29:18,853 DEVELOPING THESE COMPLEX VIPTS 2685 01:29:18,920 --> 01:29:22,056 SCRIPTSTO GET THE CITATIONS AND 2686 01:29:22,123 --> 01:29:26,160 PUBLICATIONS AND THE CRITICAL 2687 01:29:26,227 --> 01:29:27,628 THINGS THAT ARE IMPORTANT IN OUR 2688 01:29:27,695 --> 01:29:30,064 ACADEMIC WORLD THE CREDIT THAT 2689 01:29:30,131 --> 01:29:30,832 THEY DESERVE. 2690 01:29:30,898 --> 01:29:35,536 AND REALLY, IT'S OUR DUTY TO 2691 01:29:35,603 --> 01:29:36,738 FULLY UTILIZE ALL THE DATA THAT 2692 01:29:36,804 --> 01:29:38,072 OUR PARTICIPANTS CONTRIBUTE. 2693 01:29:38,139 --> 01:29:40,141 AS I MENTIONED, IT'S A FOUR 2694 01:29:40,208 --> 01:29:42,310 HOWRN STUDY VISIT THAT THESE 2695 01:29:42,376 --> 01:29:43,478 INDIVIDUALS ARE ENGAGING IN AND 2696 01:29:43,544 --> 01:29:44,979 THAT SHOULD TRANSLATE INTO NOT 2697 01:29:45,046 --> 01:29:48,049 JUST ONE PAPER OR ONE DISCOVERY 2698 01:29:48,116 --> 01:29:49,617 BUT A NUMBER OF DISCOVERIES THAT 2699 01:29:49,684 --> 01:29:52,553 CAN INFORM THE FIELD. 2700 01:29:52,620 --> 01:29:53,721 SO IN THINKING ABOUT THE 2701 01:29:53,788 --> 01:29:57,759 PRINCIPLES THAT UNDERLIE THE 2702 01:29:57,825 --> 01:30:01,129 APPROACH THAT WE'VE TAKEN, WE 2703 01:30:01,195 --> 01:30:03,331 WANTED WITHIN THIS PROJECT WITH 2704 01:30:03,397 --> 01:30:05,399 ALL OF THE DATA THAT WE'RE 2705 01:30:05,466 --> 01:30:06,033 COLLECTING FROM THE BEGINNING 2706 01:30:06,100 --> 01:30:07,835 THAT WE NEEDED A COMPREHENSIVE 2707 01:30:07,902 --> 01:30:09,137 DATA MANAGEMENT PLAN TO ALLOW 2708 01:30:09,203 --> 01:30:11,472 THE PROJECT TO SUCCEED AND 2709 01:30:11,539 --> 01:30:13,141 FACILITATE THE EXCHANGE OF 2710 01:30:13,207 --> 01:30:14,976 INFORMATION BETWEEN TEAM MEMBERS 2711 01:30:15,042 --> 01:30:15,309 AND BEYOND. 2712 01:30:15,376 --> 01:30:16,744 IN ADDITION, WE NEEDED TO MAKE 2713 01:30:16,811 --> 01:30:18,179 SURE THE DATA WAS MANAGED IN A 2714 01:30:18,246 --> 01:30:20,715 WAY TO SUPPORT BROAD DATA 2715 01:30:20,782 --> 01:30:21,682 SHARING AND WE'RE CONSIDERING 2716 01:30:21,749 --> 01:30:25,019 THE WHAT, HOW AND WHERE TO SHARE 2717 01:30:25,086 --> 01:30:26,354 MATERIALS, THERE WERE SEVERAL 2718 01:30:26,420 --> 01:30:29,490 THAT NEEDED TO BE BALANCED. 2719 01:30:29,557 --> 01:30:31,292 CONTRIBUTING AS MUCH DATA AS 2720 01:30:31,359 --> 01:30:32,360 POSSIBLE WHILE MAINTAINING THE 2721 01:30:32,426 --> 01:30:35,029 PROPER PRIVACY CONSIDERATIONS 2722 01:30:35,096 --> 01:30:37,298 AND INDIVIDUAL POLICIES. 2723 01:30:37,365 --> 01:30:38,633 ADHERING TO THE FAIR PRINCIPLES 2724 01:30:38,699 --> 01:30:40,168 THAT DATA MATERIAL SHOULD BE 2725 01:30:40,234 --> 01:30:41,369 FINDABLE, ACCESSIBLE, 2726 01:30:41,435 --> 01:30:42,937 IDENTIFIABLE AND REUSABLE IN A 2727 01:30:43,004 --> 01:30:44,372 WAY THAT ALLIANCE WITH BEST 2728 01:30:44,438 --> 01:30:45,673 PRACTICES FOR EACH OF THE FIELDS 2729 01:30:45,740 --> 01:30:51,012 WE WERE WORKING IN. 2730 01:30:51,078 --> 01:30:52,146 BECAUSE WE HAVE SUCH A WIDE 2731 01:30:52,213 --> 01:30:53,447 VARIETY OF DATA TYPES, WE NEEDED 2732 01:30:53,514 --> 01:30:55,116 TO FIND A DATA SHARING PLATFORM 2733 01:30:55,183 --> 01:30:57,118 THAT COULD ACCOMMODATE DIVERSE 2734 01:30:57,185 --> 01:30:59,320 DATA TYPES AND A METHOD OF 2735 01:30:59,387 --> 01:31:02,356 LOGGING METADATA THAT ALSO TOOK 2736 01:31:02,423 --> 01:31:03,491 A -- ALL THE DIFFERENT TYPES OF 2737 01:31:03,558 --> 01:31:04,725 FILES THAT WERE BEING GENERATED. 2738 01:31:04,792 --> 01:31:07,228 WE OPTED FOR THE OPEN SCIENCE 2739 01:31:07,295 --> 01:31:08,729 FRAMEWORK AS IT PROVIDED THE 2740 01:31:08,796 --> 01:31:11,232 FLEXIBILITY FOR DATA FORMAT, 2741 01:31:11,299 --> 01:31:12,333 ALLOWED FOR US TO INTEGRATE 2742 01:31:12,400 --> 01:31:13,634 OTHER DATA SHARING PLATFORMS 2743 01:31:13,701 --> 01:31:16,170 WHEN THERE'S MORE ESTABLISHED 2744 01:31:16,237 --> 01:31:18,272 METHOD LIKE OPEN NEUROFOR 2745 01:31:18,339 --> 01:31:19,340 NEUROIMAGING AND INTEGRATE 2746 01:31:19,407 --> 01:31:20,541 PLATFORMS WE COULD USE FOR 2747 01:31:20,608 --> 01:31:21,475 COLLABORATING DURING THE 2748 01:31:21,542 --> 01:31:23,244 PROJECT, LIKE GITHUB FOR THE 2749 01:31:23,311 --> 01:31:24,412 ANALYSIS SCRIPTS. 2750 01:31:24,478 --> 01:31:27,982 AN ADDED BENEFIT HAS ALLOWED US 2751 01:31:28,049 --> 01:31:29,584 TO HAVE FULL CONTROL OVER WHICH 2752 01:31:29,650 --> 01:31:31,018 PARTS OF THE DATA ARE MADE 2753 01:31:31,085 --> 01:31:31,552 PUBLIC AND WHEN. 2754 01:31:31,619 --> 01:31:33,120 FOR INSTANCE, WE CAN OPEN UP THE 2755 01:31:33,187 --> 01:31:34,222 PROCESS DATA AS SOON AS THE 2756 01:31:34,288 --> 01:31:35,423 PRIMARY OUTCOMES PAPER FOR THE 2757 01:31:35,489 --> 01:31:38,092 PROJECT IS PUBLISHED AND MAKE 2758 01:31:38,159 --> 01:31:39,393 PRIVATE VIEWING LINKS TO RAW 2759 01:31:39,460 --> 01:31:41,462 DATA FOR VIEWERS -- FOR 2760 01:31:41,529 --> 01:31:42,129 REVIEWERS UPON REQUEST. 2761 01:31:42,196 --> 01:31:46,000 ALL THE DATA COMPONENTS ARE 2762 01:31:46,067 --> 01:31:47,101 IDENTIFIABLE VIA PERSISTENT DOI 2763 01:31:47,168 --> 01:31:48,736 AND WE CAN APPLY THE LICENSING 2764 01:31:48,803 --> 01:31:50,104 REQUIREMENTS BY OUR INSTITUTIONS 2765 01:31:50,171 --> 01:31:52,173 TO ENSURE OUR WORK IS CORRECTLY 2766 01:31:52,240 --> 01:31:56,444 CITED WHEN USED. 2767 01:31:56,510 --> 01:31:59,547 OH, AND A LITTLE BONUS, YOU CAN 2768 01:31:59,614 --> 01:32:01,282 SEE HERE WE ALSO HAVE THE 2769 01:32:01,349 --> 01:32:02,817 OPPORTUNITY TO REGISTER OUR 2770 01:32:02,884 --> 01:32:05,319 ANCILLARY STUDIES. 2771 01:32:05,386 --> 01:32:08,656 SO IT CAN BE PUBLICLY KNOWN AND 2772 01:32:08,723 --> 01:32:09,557 AVAILABLE, ADDITIONAL STUDIES 2773 01:32:09,624 --> 01:32:10,391 THAT ARE INSPIRED FROM THIS 2774 01:32:10,458 --> 01:32:13,561 WORK. 2775 01:32:13,628 --> 01:32:14,795 SO MAKE SURE THE PROJECT IS 2776 01:32:14,862 --> 01:32:16,564 FINDABLE, WE HAVE LINKS TO STUDY 2777 01:32:16,631 --> 01:32:19,133 METADATA ON OUR OFS PAGE, 2778 01:32:19,200 --> 01:32:20,868 LINKING VIEWERS TO THE HEAL 2779 01:32:20,935 --> 01:32:22,870 METADATA, AS WELL AS THE 2780 01:32:22,937 --> 01:32:24,739 PREREGISTERED STUDY PLAN ON 2781 01:32:24,805 --> 01:32:26,374 CLINICAL DRIELS TRIELS.GOV, OUR 2782 01:32:26,440 --> 01:32:28,042 CLINICAL PAPER THAT I'VE 2783 01:32:28,109 --> 01:32:29,844 MENTIONED, AND OF COURSE WE HAVE 2784 01:32:29,911 --> 01:32:31,145 THIS REGISTERED AT CDER. 2785 01:32:31,212 --> 01:32:32,680 WE ALSO HAVE OPEN MATERIALS 2786 01:32:32,747 --> 01:32:33,781 HOSTED ON GITHUB AND WE'RE 2787 01:32:33,848 --> 01:32:35,116 WORKING ON VARIOUS TOOLS THAT 2788 01:32:35,182 --> 01:32:37,551 ARE PUBLICLY AVAILABLE ON THE 2789 01:32:37,618 --> 01:32:39,287 FLYWHEEL PLATFORM FOR MRI DATA 2790 01:32:39,353 --> 01:32:41,689 PROCESSING. 2791 01:32:41,756 --> 01:32:43,257 BY THINKING THESE RESOURCES, 2792 01:32:43,324 --> 01:32:44,792 WE'RE ABLE TO MAKE THESE 2793 01:32:44,859 --> 01:32:45,259 MATERIALS FINDABLE AND 2794 01:32:45,326 --> 01:32:48,429 ACCESSIBLE WHILE ENSURING THE 2795 01:32:48,496 --> 01:32:49,397 INFORMATION IS PRESENT FOR 2796 01:32:49,463 --> 01:32:50,798 PROPER A ACKNOWLEDGMENT AND 2797 01:32:50,865 --> 01:32:51,966 CITATION OF THE WORK AND 2798 01:32:52,033 --> 01:32:52,967 HOPEFULLY MAXIMIZING THE 2799 01:32:53,034 --> 01:32:54,235 RE-USABILITY OF THESE PRECIOUS 2800 01:32:54,302 --> 01:32:57,939 RESOURCES. 2801 01:32:58,005 --> 01:33:00,474 SO RIGHT HERE IS OUR SPRINT HEAL 2802 01:33:00,541 --> 01:33:01,676 PROJECT PAGE. 2803 01:33:01,742 --> 01:33:04,111 AND YOU CAN SEE THAT THE HEAL 2804 01:33:04,178 --> 01:33:06,080 METADATA SYSTEM HAS A 2805 01:33:06,147 --> 01:33:07,181 USER-FRIENDLY INTERACTIVE FORUM 2806 01:33:07,248 --> 01:33:09,483 HOSTED AT CDER WHICH ALLOWS YOU 2807 01:33:09,550 --> 01:33:11,285 HO FILL IN THE STUDY METADATA 2808 01:33:11,352 --> 01:33:12,586 WHICH IS NOT AUTOMATICALLY 2809 01:33:12,653 --> 01:33:14,555 PULLED FROM CLINICALTRIALS OR 2810 01:33:14,622 --> 01:33:16,290 NIH REPORTER. 2811 01:33:16,357 --> 01:33:17,258 OR IF IT'S NOT. 2812 01:33:17,325 --> 01:33:19,026 YOU CAN SEE HERE SOME OF OUR 2813 01:33:19,093 --> 01:33:24,165 STUDY CHARACTERISTICS THAT 2814 01:33:24,231 --> 01:33:25,967 ARE CROSS RECORD HERE SO IT'S 2815 01:33:26,033 --> 01:33:27,702 EASILY FINDABLE TO LEARN A 2816 01:33:27,768 --> 01:33:28,703 LITTLE MORE SO I ENCOURAGE YOU 2817 01:33:28,769 --> 01:33:29,937 TO CHECK IT OUT. 2818 01:33:30,004 --> 01:33:31,472 NOW I HAND IT OVER TO MY 2819 01:33:31,539 --> 01:33:32,073 COLLEAGUE HERE, CHARLIE. 2820 01:33:32,139 --> 01:33:34,308 >> THANK YOU. 2821 01:33:34,375 --> 01:33:34,976 GOOD MORNING. 2822 01:33:35,042 --> 01:33:36,777 CHARLIE KNOTT, PRINCIPAL 2823 01:33:36,844 --> 01:33:38,412 SCIENTIST AT RTI, HAPPY TO 2824 01:33:38,479 --> 01:33:39,413 REPRESENT THE HEALING COMMUNITY 2825 01:33:39,480 --> 01:33:39,947 STUDY. 2826 01:33:40,014 --> 01:33:41,949 WE HAVE OVER 500 SCIENTISTS 2827 01:33:42,016 --> 01:33:45,453 ACROSS FOUR STATES. 2828 01:33:45,519 --> 01:33:47,555 SO LET'S SWITCH GEARS AND TALK 2829 01:33:47,621 --> 01:33:49,290 ABOUT COMPLEX DATA SHARING, 2830 01:33:49,357 --> 01:33:50,658 EVIDENCE-BASED PRACTICES, ME DA 2831 01:33:50,725 --> 01:33:52,293 TATA AND THE HYBRID 2832 01:33:52,360 --> 01:33:52,660 INFRASTRUCTURES. 2833 01:33:52,727 --> 01:33:55,329 WE'RE GOING TO SWITCH GEARS FROM 2834 01:33:55,396 --> 01:33:56,364 FOUR-HOUR INTENSIVE IN TEAMS TO 2835 01:33:56,430 --> 01:33:57,465 A COMMUNITY TRIAL. 2836 01:33:57,531 --> 01:33:59,667 SO OUR POPULATION, OUR UNIT OF 2837 01:33:59,734 --> 01:34:01,969 ANALYSIS ARE THE COMMUNITIES. 2838 01:34:02,036 --> 01:34:03,437 OF THE 67 ACROSS THE FOUR 2839 01:34:03,504 --> 01:34:05,339 STATES, THERE'S ABOUT 8 MILLION 2840 01:34:05,406 --> 01:34:08,009 ADULTS, THERE'S 10 MILLION IN 2841 01:34:08,075 --> 01:34:11,779 TOTAL, 34 OF THOSE WERE RANDOMLY 2842 01:34:11,846 --> 01:34:12,747 ASSIGNED TO OUR INTERVENTION, 2843 01:34:12,813 --> 01:34:14,548 THE REMAINING 33 TO THE WAIT 2844 01:34:14,615 --> 01:34:15,750 LIST CONTROLS. 2845 01:34:15,816 --> 01:34:17,952 OUR CORE COMPONENTS, THIS IS 2846 01:34:18,019 --> 01:34:19,353 WHAT'S COMMUNITY ENGAGED AND 2847 01:34:19,420 --> 01:34:19,820 DRIVEN. 2848 01:34:19,887 --> 01:34:20,988 SO OUR COMMUNITY COALITIONS WORK 2849 01:34:21,055 --> 01:34:23,090 WITH OUR RESEARCH SCIENTISTS AND 2850 01:34:23,157 --> 01:34:25,626 THE PIs IN THE FOUR STATES TO 2851 01:34:25,693 --> 01:34:27,395 SELECT EVIDENCE-BASED PRACTICES 2852 01:34:27,461 --> 01:34:29,530 TO LOOK AT REDUCING OPIOID 2853 01:34:29,597 --> 01:34:33,467 OVERDOSE DEATHS. 2854 01:34:33,534 --> 01:34:35,336 SO EVIDENCE-BASED PRACTICES 2855 01:34:35,403 --> 01:34:38,672 REALLY WAS OEND, MOUD, AND 2856 01:34:38,739 --> 01:34:41,842 PRESCRIPTION OPIOID SAFETY 2857 01:34:41,909 --> 01:34:43,277 PRACTICES. 2858 01:34:43,344 --> 01:34:44,345 OUR HEALTH COMMUNICATION 2859 01:34:44,412 --> 01:34:45,513 CAMPAIGNS CENTERED ON THE SAME 2860 01:34:45,579 --> 01:34:47,248 THING BUT LOOKED AT ANTISTIGMA 2861 01:34:47,314 --> 01:34:49,417 AND GAVE COMMUNITY CHOICES 2862 01:34:49,483 --> 01:34:50,518 THAT'S TAILORED TO WHAT THE 2863 01:34:50,584 --> 01:34:55,322 COMMUNITY NEEDED. 2864 01:34:55,389 --> 01:34:59,126 SO LET'S REALLY TALK ABOUT THE 2865 01:34:59,193 --> 01:35:00,661 SCOPE -- WE WANT TO THANK NIH, 2866 01:35:00,728 --> 01:35:02,997 NIDA AND SAMHSA FOR THEIR 2867 01:35:03,064 --> 01:35:03,764 LEADERSHIP HERE. 2868 01:35:03,831 --> 01:35:05,399 WE REALLY HAD TWO MAIN BUCKETS 2869 01:35:05,466 --> 01:35:07,601 OF DATA. 2870 01:35:07,668 --> 01:35:11,038 ADMINISTRATIVE RAN THE GAMUT 2871 01:35:11,105 --> 01:35:14,742 FROM MEDICAID TO COMMUNITY LEVEL 2872 01:35:14,809 --> 01:35:16,177 NALOXONE DISTRIBUTION TO 2873 01:35:16,243 --> 01:35:17,445 SYNDROMIC SURVEILLANCE. 2874 01:35:17,511 --> 01:35:20,414 SO YOU CAN THINK OF IT. 2875 01:35:20,481 --> 01:35:21,382 WE REALLY DID TO THE HAVE THE 2876 01:35:21,449 --> 01:35:22,917 TIME TO WAIT FOR OFFICIAL 2877 01:35:22,983 --> 01:35:23,317 STATISTICS. 2878 01:35:23,384 --> 01:35:25,019 WE NEEDED PROVISIONAL DATA SO 2879 01:35:25,086 --> 01:35:26,220 OUR COMMUNITIES COULD LOOK AND 2880 01:35:26,287 --> 01:35:28,889 SEE HOW THEY NEEDED TO ADDRESS 2881 01:35:28,956 --> 01:35:30,124 THE OPIOID EPIDEMIC. 2882 01:35:30,191 --> 01:35:33,060 SO WE BUILT A VERY SOPHISTICATED 2883 01:35:33,127 --> 01:35:34,929 DATA EXTRACTION, TRANSACTION, 2884 01:35:34,995 --> 01:35:36,497 LOADING INTO OUR DATA 2885 01:35:36,564 --> 01:35:39,100 COORDINATING CENTER DATA LAKE, 2886 01:35:39,166 --> 01:35:41,068 AS WELL AS THE DATA DASHBOARDS 2887 01:35:41,135 --> 01:35:41,936 AT EACH OF THE COMMUNITIES AND 2888 01:35:42,002 --> 01:35:43,037 THE RESEARCH SITES. 2889 01:35:43,104 --> 01:35:45,005 WE HAD OVER 30 DATA USE 2890 01:35:45,072 --> 01:35:45,840 AGREEMENTS. 2891 01:35:45,906 --> 01:35:48,709 THERE'S TREMENDOUS VARIABILITY, 2892 01:35:48,776 --> 01:35:51,112 IT WOULDN'T SURPRISE YOU, FOR 2893 01:35:51,178 --> 01:35:52,613 SUPPRESSION, DATA LAGS. 2894 01:35:52,680 --> 01:35:56,283 IN TOTALITY, OUR CONSORTIUM WAS 2895 01:35:56,350 --> 01:35:56,917 CRUNCHING 7 BILLION RECORDS PER 2896 01:35:56,984 --> 01:35:58,486 MONTH TO CREATE 110 STUDY 2897 01:35:58,552 --> 01:36:00,221 MEASURES. 2898 01:36:00,287 --> 01:36:01,822 SO -- AND I'LL LIST A FEW OF THE 2899 01:36:01,889 --> 01:36:03,891 DATA SOURCES COMING UP. 2900 01:36:03,958 --> 01:36:05,326 THE DE NOVO SIDE, WE COULD 2901 01:36:05,392 --> 01:36:06,293 CONTROL A LITTLE BIT MORE. 2902 01:36:06,360 --> 01:36:08,329 WE HAD OVER 30 INSTRUMENTS, 2903 01:36:08,395 --> 01:36:10,164 50,000 VARIABLES, BOTH 2904 01:36:10,231 --> 01:36:11,465 QUANTITATIVE AND QUALITATIVE. 2905 01:36:11,532 --> 01:36:14,702 IT RAN THE GAMUT FROM COST AND 2906 01:36:14,768 --> 01:36:15,569 COST-EFFECTIVENESS TO REALLY 2907 01:36:15,636 --> 01:36:17,104 LOOKING AT OUR COMMUNITY 2908 01:36:17,171 --> 01:36:18,873 PARTNERS AND WHAT THEY NEEDED 2909 01:36:18,939 --> 01:36:21,876 AND GATHERING DATA. 2910 01:36:21,942 --> 01:36:24,078 WE DID COLLECT PII AND PHI ON A 2911 01:36:24,145 --> 01:36:26,247 SUBSET OF THOSE SURVEYS. 2912 01:36:26,313 --> 01:36:28,282 AS OUR UNIT OF ANALYSIS WOULD 2913 01:36:28,349 --> 01:36:29,383 CHANGE DEPENDING ON THE SURVEY 2914 01:36:29,450 --> 01:36:31,252 AND WHAT WAS NEEDED TO INFORM 2915 01:36:31,318 --> 01:36:34,488 THE INTERVENTION, THE CLINICAL 2916 01:36:34,555 --> 01:36:35,656 TRIAL, AND AN IMPORTANT THING TO 2917 01:36:35,723 --> 01:36:36,891 KNOW IS WE HAD A HYBRID 2918 01:36:36,957 --> 01:36:37,258 INFRASTRUCTURE. 2919 01:36:37,324 --> 01:36:40,227 THIS IS ALL HIPAA-COMPLIANT 2920 01:36:40,294 --> 01:36:42,396 DATASETS, AND COMPUTING 2921 01:36:42,463 --> 01:36:43,397 ENVIRONMENTS AT THE FOUR SITES 2922 01:36:43,464 --> 01:36:46,200 AND THE DCC, SO THIS IS 2923 01:36:46,267 --> 01:36:47,735 ENCRYPTED DATA ACROSS THE BOARD, 2924 01:36:47,801 --> 01:36:48,836 GIVEN THE SENSITIVITY OF THE 2925 01:36:48,903 --> 01:36:50,804 DATA. 2926 01:36:50,871 --> 01:36:52,439 I'M NOT GOING TO TALK ABOUT DE 2927 01:36:52,506 --> 01:36:54,275 NOVO BECAUSE I SAID THAT WAS IN 2928 01:36:54,341 --> 01:36:55,242 OUR LOCUS OF CONTROL. 2929 01:36:55,309 --> 01:36:57,745 BUT ADMINISTRATIVE DATA IN 2930 01:36:57,811 --> 01:36:59,313 AMERICA GIVEN THIS FRACTURED 2931 01:36:59,380 --> 01:37:00,781 SILOED NATURE OF HEALTHCARE, YOU 2932 01:37:00,848 --> 01:37:02,416 CAN SEE SOME OF THE KEY 2933 01:37:02,483 --> 01:37:04,818 CHALLENGES HERE. 2934 01:37:04,885 --> 01:37:06,687 OUR 12 DATA SOURCES ARE LISTED 2935 01:37:06,754 --> 01:37:09,890 IN THE LEFT MOST COLUMN FROM 2936 01:37:09,957 --> 01:37:11,492 MORTALITY, VITAL STATS, DOWN TO 2937 01:37:11,559 --> 01:37:13,027 CENSUS BUREAU FOR POPULATION 2938 01:37:13,093 --> 01:37:13,394 BASE. 2939 01:37:13,460 --> 01:37:16,197 WE HAD SOME UNIQUE APPROVALS 2940 01:37:16,263 --> 01:37:18,699 SUCH AS A DEA, DEPARTMENT OF 2941 01:37:18,766 --> 01:37:20,868 JUSTICE TO LOOK AT DATA 2000 2942 01:37:20,935 --> 01:37:23,237 WAIVER PROVIDERS IN OUR 2943 01:37:23,304 --> 01:37:24,738 COMMUNITIES. 2944 01:37:24,805 --> 01:37:25,773 SO THERE'S SORT OF TWO KEY 2945 01:37:25,839 --> 01:37:28,709 CHALLENGES THAT WE HAD TO DEAL 2946 01:37:28,776 --> 01:37:30,177 WITH AS A CONSORTIUM WERE DATA 2947 01:37:30,244 --> 01:37:30,377 LAGS. 2948 01:37:30,444 --> 01:37:33,480 YOU CAN SEE A DATA LAG OF ONE 2949 01:37:33,547 --> 01:37:35,516 MONTH UP TO ALMOST TWO YEARS FOR 2950 01:37:35,583 --> 01:37:37,251 SOME OF OUR HOSPITAL INPATIENT 2951 01:37:37,318 --> 01:37:38,452 AND ED CLAIMS. 2952 01:37:38,519 --> 01:37:40,421 SO WE JUST HAD TO MAKE SURE FOR 2953 01:37:40,487 --> 01:37:41,889 THE PROVISIONAL STATUS AND 2954 01:37:41,956 --> 01:37:45,626 LOOKING AND PLANNING PAPERS AND 2955 01:37:45,693 --> 01:37:46,493 ANALYSIS THAT THIS WAS REALLY 2956 01:37:46,560 --> 01:37:47,761 LOOKING AT IT IN THE RIGHT WAY 2957 01:37:47,828 --> 01:37:48,429 OF TIMING. 2958 01:37:48,495 --> 01:37:50,497 ANOTHER KEY CHALLENGE WAS 2959 01:37:50,564 --> 01:37:52,900 SUPPRESSION, AND YOU CAN SEE 2960 01:37:52,967 --> 01:37:54,501 HERE FOR VITAL STATS ACROSS THE 2961 01:37:54,568 --> 01:37:55,836 FOUR STATES. 2962 01:37:55,903 --> 01:37:57,271 THERE WERE SLIGHT DIFFERENCES IN 2963 01:37:57,338 --> 01:37:59,373 THE LAGS THAT RANGE TO 3 TO 11 2964 01:37:59,440 --> 01:37:59,873 MONTHS. 2965 01:37:59,940 --> 01:38:02,610 SUPPRESSION IS HIGHLY VARIABLE. 2966 01:38:02,676 --> 01:38:04,078 SO THERE WERE DIFFERENCES ACROSS 2967 01:38:04,144 --> 01:38:05,646 THE FOUR SITES, AND OUR RULES 2968 01:38:05,713 --> 01:38:08,082 FOR WHEN SUPPRESSION OCCURS WAS 2969 01:38:08,148 --> 01:38:09,617 THREE DIFFERENT RULES ACROSS THE 2970 01:38:09,683 --> 01:38:10,050 FOUR STATES. 2971 01:38:10,117 --> 01:38:11,485 SO THIS IS WHAT YOU HAVE TO DEAL 2972 01:38:11,552 --> 01:38:13,120 WITH WHEN YOU'RE DOING 2973 01:38:13,187 --> 01:38:14,321 COMMUNITY-BASED RESEARCH IN 2974 01:38:14,388 --> 01:38:14,588 AMERICA. 2975 01:38:14,655 --> 01:38:16,657 YOU NEED TO BE VERY 2976 01:38:16,724 --> 01:38:17,558 SOPHISTICATED IN HOW YOU'RE 2977 01:38:17,625 --> 01:38:19,193 GOING TO GATHER AND ANALYZE THIS 2978 01:38:19,260 --> 01:38:19,994 DATA. 2979 01:38:20,060 --> 01:38:21,462 SO LET'S TALK ABOUT SOME 2980 01:38:21,528 --> 01:38:23,631 SOLUTIONS AT A HIGH LEVEL, 2981 01:38:23,697 --> 01:38:26,834 THAT'S SORT OF DIVIDED INTO TWO 2982 01:38:26,900 --> 01:38:27,901 DOMAINS, PUBLIC PRIVATE AND 2983 01:38:27,968 --> 01:38:28,269 STUDY SPECIFIC. 2984 01:38:28,335 --> 01:38:29,169 LET'S START WITH THE RIGHT-HAND 2985 01:38:29,236 --> 01:38:29,737 COLUMN. 2986 01:38:29,803 --> 01:38:32,473 OBVIOUSLY THIS IS A 2987 01:38:32,539 --> 01:38:33,641 COMMUNITY-DRIVEN TRIAL, SO WE'VE 2988 01:38:33,707 --> 01:38:35,909 RECEIVED A FULL WAIVER OF HIPAA 2989 01:38:35,976 --> 01:38:37,244 TO COVER THE GAMUT. 2990 01:38:37,311 --> 01:38:40,381 WE COULDN'T CONSENT 10 MILLION 2991 01:38:40,447 --> 01:38:41,649 PEOPLE IN THE 67 COMMUNITIES. 2992 01:38:41,715 --> 01:38:43,651 WE SHARED CODE ACROSS THE 2993 01:38:43,717 --> 01:38:46,153 RESEARCH SITES TO EASE LOADS, 2994 01:38:46,220 --> 01:38:47,354 AND TO INCREASE QUALITY AND TO 2995 01:38:47,421 --> 01:38:48,422 ACCOUNT FOR SOME OF THE 2996 01:38:48,489 --> 01:38:51,692 DIFFERENCES I AND THE KEY 2997 01:38:51,759 --> 01:38:52,593 CHALLENGES THAT WE HAD. 2998 01:38:52,660 --> 01:38:54,228 WE CREATED A COMMON DATA MODEL. 2999 01:38:54,295 --> 01:38:55,729 THIS TRIAL STARTED IN 2019, SORT 3000 01:38:55,796 --> 01:38:59,133 OF BEFORE SOME OF THE NEW -- 3001 01:38:59,199 --> 01:39:01,168 BEFORE HEAL DATA ECOSYSTEM CAME 3002 01:39:01,235 --> 01:39:02,703 ABOARD AND NIH DATA SHARING 3003 01:39:02,770 --> 01:39:03,137 POLICIES. 3004 01:39:03,203 --> 01:39:04,538 THAT'S CONTINUING TO EVOLVE. 3005 01:39:04,605 --> 01:39:06,607 SO WE HAD TO CREATE OUR OWN 3006 01:39:06,674 --> 01:39:09,310 UNIQUE COMMON DATA MODEL TO 3007 01:39:09,376 --> 01:39:10,644 COLLAPSE AND HARMONIZE THIS 3008 01:39:10,711 --> 01:39:10,978 DATA. 3009 01:39:11,045 --> 01:39:12,313 IT'S QUITE REMORNINGABLE WHEN 3010 01:39:12,379 --> 01:39:16,650 REMARKABLE WHENYOU'RE DEALING WN 3011 01:39:16,717 --> 01:39:17,217 RECORDS PER MONTH. 3012 01:39:17,284 --> 01:39:19,320 WE LOOKED AT JSON CAPABILITIES 3013 01:39:19,386 --> 01:39:20,154 FOR HEALTH EQUITY. 3014 01:39:20,220 --> 01:39:21,722 NOT ALL OF THESE DATA SOURCES 3015 01:39:21,789 --> 01:39:24,491 TRACK SOME OF THE ITEMS THAT WE 3016 01:39:24,558 --> 01:39:25,693 NEED, RACE/ETHNICITY, SEX, SOME 3017 01:39:25,759 --> 01:39:26,927 OF THE OTHER THINGS THAT WE WERE 3018 01:39:26,994 --> 01:39:29,029 DEALING WITH, SO WE JUST HAVE TO 3019 01:39:29,096 --> 01:39:29,697 ACCOMMODATE THAT. 3020 01:39:29,763 --> 01:39:31,131 AND IT MEANS SOME OF THE 3021 01:39:31,198 --> 01:39:32,199 ANALYSIS THAT WE WOULD LIKE TO 3022 01:39:32,266 --> 01:39:34,902 DO MIGHT NOT BE POSSIBLE FOR 3023 01:39:34,968 --> 01:39:36,203 SAID DATA SOURCE. 3024 01:39:36,270 --> 01:39:39,940 WE DID CREATE A UNIQUE BRIDGING 3025 01:39:40,007 --> 01:39:40,774 ADDENDUM WHICH ALLOWED US TO 3026 01:39:40,841 --> 01:39:42,509 SHARE THE QUALITATIVE DATA, 3027 01:39:42,576 --> 01:39:44,345 THOSE HOUR-LONG INTERVIEWS, 3028 01:39:44,411 --> 01:39:45,646 ACROSS THE RESEARCH SITES, 3029 01:39:45,713 --> 01:39:47,981 BECAUSE THE DATA WAS SO INTENSE, 3030 01:39:48,048 --> 01:39:49,783 WE WANTED TO MAKE SURE THE 3031 01:39:49,850 --> 01:39:51,385 CONSORTIUM HAD THE EXPERTISE TO 3032 01:39:51,452 --> 01:39:55,222 ANALYZE THAT DATA IN A TIMELY 3033 01:39:55,289 --> 01:39:55,856 MANNER. 3034 01:39:55,923 --> 01:39:57,825 AND I ALREADY MENTIONED THE 3035 01:39:57,891 --> 01:39:58,992 HIPAA HYBRID INFRASTRUCTURES. 3036 01:39:59,059 --> 01:40:02,696 ON THE PUBLIC PRIVATE, WE 3037 01:40:02,763 --> 01:40:03,697 RECEIVE UNIQUE APPROVALS AND 3038 01:40:03,764 --> 01:40:05,032 SPECIAL WAIVERS FROM DIFFERENT 3039 01:40:05,099 --> 01:40:05,366 DATA SOURCES. 3040 01:40:05,432 --> 01:40:06,600 THIS IS THE FIRST TIME SOME OF 3041 01:40:06,667 --> 01:40:08,902 THEM HAD EVER GRANTED ACCESS IN 3042 01:40:08,969 --> 01:40:10,437 THIS LEVEL OF DETAIL TO THIS 3043 01:40:10,504 --> 01:40:11,472 DATA. 3044 01:40:11,538 --> 01:40:12,106 DON'T UNDERESTIMATE THE AMOUNT 3045 01:40:12,172 --> 01:40:14,441 OF WORK THAT THAT TOOK. 3046 01:40:14,508 --> 01:40:17,277 WE DID USE EXISTING MEASURES AND 3047 01:40:17,344 --> 01:40:18,145 SCALES WHERE POSSIBLE AND 3048 01:40:18,212 --> 01:40:18,912 FEASIBLE. 3049 01:40:18,979 --> 01:40:21,081 JCOIN JUST WENT BEFORE US. 3050 01:40:21,148 --> 01:40:22,282 WE USED THEIR INSTRUMENT. 3051 01:40:22,349 --> 01:40:23,884 FOR OUR JUSTICE SECTOR, WE USED 3052 01:40:23,951 --> 01:40:25,886 A SUBSET OF THEIR NATIONAL 3053 01:40:25,953 --> 01:40:27,821 SURVEY, SO THAT WE COULD HAVE 3054 01:40:27,888 --> 01:40:29,523 COMMON DATA AND MAKE WISE USE OF 3055 01:40:29,590 --> 01:40:31,058 LIMITED GOVERNMENT RESOURCES. 3056 01:40:31,125 --> 01:40:33,127 WE INVOLVED STATE, COUNTY AND 3057 01:40:33,193 --> 01:40:35,162 LOCAL OFFICIALS ON TO OUR 3058 01:40:35,229 --> 01:40:36,163 COMMUNITY COALITIONS AND 3059 01:40:36,230 --> 01:40:38,365 COMMUNITY ADVISORY BOARDS. 3060 01:40:38,432 --> 01:40:39,900 IT MAKES SENSE, THEY WERE 3061 01:40:39,967 --> 01:40:41,468 INVESTED, THEY WERE SUPPORTED BY 3062 01:40:41,535 --> 01:40:43,103 THE STUDY, AND WE HAD TO 3063 01:40:43,170 --> 01:40:44,438 MAINTAIN CLOSE RELATIONSHIPS 3064 01:40:44,505 --> 01:40:46,407 OVER THE LAST FIVE YEARS. 3065 01:40:46,473 --> 01:40:48,876 JUST DUE TO THE THINGS THAT 3066 01:40:48,942 --> 01:40:49,643 CHANGES IN SOCIETY. 3067 01:40:49,710 --> 01:40:52,946 WE HAD THE COVID PANDEMIC, WE 3068 01:40:53,013 --> 01:40:54,348 HAD TELEHEALTH EXPLOSION, WE HAD 3069 01:40:54,415 --> 01:40:57,284 OTHER ISSUES THAT WE HAD TO DEAL 3070 01:40:57,351 --> 01:41:01,088 WITH FOR DATA SHARING AND DATA 3071 01:41:01,155 --> 01:41:02,122 GATHERING. 3072 01:41:02,189 --> 01:41:03,390 SO THE EMPIRICAL TRADEOFFS, I 3073 01:41:03,457 --> 01:41:05,092 SORT OF THINK OF IT AS A 3074 01:41:05,159 --> 01:41:05,325 FULCRUM. 3075 01:41:05,392 --> 01:41:07,928 IN THE U.S., I THINK THE FULCRUM 3076 01:41:07,995 --> 01:41:08,762 HAS BEEN WEIGHTED SO YOU 3077 01:41:08,829 --> 01:41:09,630 COULDN'T SHARE DATA. 3078 01:41:09,696 --> 01:41:11,298 IT'S NICE TO SEE THAT SORT OF 3079 01:41:11,365 --> 01:41:14,101 EVOLVING A LITTLE BIT FOR 3080 01:41:14,168 --> 01:41:14,468 RESEARCH. 3081 01:41:14,535 --> 01:41:16,036 WHERE IT'S A LITTLE BIT MORE 3082 01:41:16,103 --> 01:41:18,038 EASY, WE CAN TAKE ADVANTAGE OF 3083 01:41:18,105 --> 01:41:20,174 TREMENDOUS INTERNATIONAL AND 3084 01:41:20,240 --> 01:41:21,208 NATIONAL COMMON DATA ELEMENTS 3085 01:41:21,275 --> 01:41:24,778 LIKE THE HEAL DATA ECOSYSTEM, 3086 01:41:24,845 --> 01:41:26,146 REALLY CAN'T SPEAK WELL ENOUGH 3087 01:41:26,213 --> 01:41:28,348 ABOUT WHAT THAT ALLOWS A 3088 01:41:28,415 --> 01:41:30,851 RESEARCH COMMUNITY TO DO. 3089 01:41:30,918 --> 01:41:32,386 JOIN THE HEAL EFFORTS. 3090 01:41:32,453 --> 01:41:34,221 JOIN TEAM, LOOK AND SEE WHAT 3091 01:41:34,288 --> 01:41:35,722 OTHER GROUPS ARE DOING, RE-USE 3092 01:41:35,789 --> 01:41:38,258 THEIR INSTRUMENTS IF POSSIBLE. 3093 01:41:38,325 --> 01:41:41,395 IT VERY NICE TO LOOK AT VARIABLE 3094 01:41:41,462 --> 01:41:43,931 LEVEL METADATA AND HOW YOU CAN 3095 01:41:43,997 --> 01:41:47,401 SHARE AND COMBINE RESOURCES TO 3096 01:41:47,468 --> 01:41:49,169 BRING MORE EFFICIENCIES TO THE 3097 01:41:49,236 --> 01:41:50,904 WORK THAT WE'RE DOING. 3098 01:41:50,971 --> 01:41:53,507 NOW STUDY REQUIREMENTS, YOU JUST 3099 01:41:53,574 --> 01:41:54,608 HAVE TO DEAL WITH THOSE AS THEY 3100 01:41:54,675 --> 01:41:55,042 COME UP. 3101 01:41:55,108 --> 01:41:56,343 I MENTIONED ALREADY SUPPRESSION, 3102 01:41:56,410 --> 01:41:57,511 THE DATA USE AGREEMENT AND 3103 01:41:57,578 --> 01:41:57,744 WAIVERS. 3104 01:41:57,811 --> 01:41:58,912 IF YOU'RE NOT ALLOWED TO SHARE 3105 01:41:58,979 --> 01:42:00,013 DATA, YOU'RE NOT ALLOWED. 3106 01:42:00,080 --> 01:42:01,748 JUST TAKE THAT, TRY TO WORK WITH 3107 01:42:01,815 --> 01:42:02,649 THEM IN THE FUTURE BUT THAT'S 3108 01:42:02,716 --> 01:42:03,617 WHAT IT MEANS FOR THIS 3109 01:42:03,684 --> 01:42:05,219 PARTICULAR STUDY AND MOVE ON. 3110 01:42:05,285 --> 01:42:07,621 AND OBVIOUSLY WITH HIPAA AND THE 3111 01:42:07,688 --> 01:42:09,957 PHI AND PII, THAT WILL HAVE TO 3112 01:42:10,023 --> 01:42:11,525 BE SUPPRESSED BEFORE WE PUT IT 3113 01:42:11,592 --> 01:42:16,029 INTO THE REPOSITORY. 3114 01:42:16,096 --> 01:42:17,464 SO I THINK THAT'S MY LAST SLIDE 3115 01:42:17,531 --> 01:42:20,834 AND I GET TO TURN IT OVER TO 3116 01:42:20,901 --> 01:42:22,836 MARYANN. 3117 01:42:22,903 --> 01:42:23,871 >> IS THIS ON? 3118 01:42:23,937 --> 01:42:24,771 OH, YES, IT IS. 3119 01:42:24,838 --> 01:42:26,440 OKAY. 3120 01:42:26,507 --> 01:42:29,076 SO HI, I WAS INTRODUCED ALREADY, 3121 01:42:29,142 --> 01:42:30,310 AND I SPENT SO MUCH TIME LOOKING 3122 01:42:30,377 --> 01:42:31,612 AT THE CONTENT OF MY SLIDES I 3123 01:42:31,678 --> 01:42:33,013 DIDN'T LOOK AT THIS ONE TO SHOW 3124 01:42:33,080 --> 01:42:35,315 THAT I'M ALSO PART OF REJOIN 3125 01:42:35,382 --> 01:42:37,618 HEAL SO MY APOLOGIES TO MY 3126 01:42:37,684 --> 01:42:38,151 REJOIN COLLEAGUES. 3127 01:42:38,218 --> 01:42:39,987 THE TITLE OF MY TALK IS, BUT 3128 01:42:40,053 --> 01:42:40,854 WHAT DOES IT MEAN? 3129 01:42:40,921 --> 01:42:42,489 IT'S FOCUSING ON THE POWER OF 3130 01:42:42,556 --> 01:42:44,324 KNOWLEDGE GRAPHS FOR DATA 3131 01:42:44,391 --> 01:42:44,791 INTEGRATION. 3132 01:42:44,858 --> 01:42:46,226 WE'VE ALREADY HEARD A LOT ABOUT 3133 01:42:46,293 --> 01:42:48,061 DATA INTEGRATION AND THE VARIOUS 3134 01:42:48,128 --> 01:42:49,663 PLATFORMS THAT HEAL HAS FOR 3135 01:42:49,730 --> 01:42:51,098 BRINGING THINGS TOGETHER. 3136 01:42:51,164 --> 01:42:52,299 LAURA TOUCHED A LITTLE BIT ON 3137 01:42:52,366 --> 01:42:53,700 THIS BUT I THOUGHT IT WOULD BE 3138 01:42:53,767 --> 01:42:55,435 WORTHWHILE TO CONSIDER THE HEAL 3139 01:42:55,502 --> 01:42:56,737 DATA ECOSYSTEM AS A WHOLE IN ALL 3140 01:42:56,803 --> 01:42:57,938 OF THE THINGS THAT HAVE TO BE 3141 01:42:58,005 --> 01:42:59,806 DONE IN ORDER TO JOIN YOUR DATA 3142 01:42:59,873 --> 01:43:00,340 UP. 3143 01:43:00,407 --> 01:43:02,843 SO THE HEAL DATA ECOSYSTEM AS 3144 01:43:02,910 --> 01:43:05,913 YOU ALL KNOW, THERE ARE THE HEAL 3145 01:43:05,979 --> 01:43:07,748 STUDIES, THERE ARE A SET OF 3146 01:43:07,814 --> 01:43:08,649 RECOMMENDED REPOSITORIES AND I 3147 01:43:08,715 --> 01:43:10,450 WANT TO GIVE A SHOUT OUT TO MY 3148 01:43:10,517 --> 01:43:12,519 COLLEAGUES AT SPARK, WHICH IS 3149 01:43:12,586 --> 01:43:14,354 MENTIONED IN MY BIOGRAPHY, THIS 3150 01:43:14,421 --> 01:43:19,393 HAS NOW BECOME AN APPROVED HEAL 3151 01:43:19,459 --> 01:43:20,594 REPOSITORY, IT WILL BE 3152 01:43:20,661 --> 01:43:21,662 OFFICIALLY LISTED AND IT REALLY 3153 01:43:21,728 --> 01:43:24,464 FOCUSES ON BODY-BRAIN 3154 01:43:24,531 --> 01:43:25,465 INTERACTION, SPECIFICALLY THE 3155 01:43:25,532 --> 01:43:26,433 PERIPHERAL NERVOUS SYSTEM SO 3156 01:43:26,500 --> 01:43:27,968 IT'S A VERY POWERFUL PLATFORM. 3157 01:43:28,035 --> 01:43:29,670 SO DATA GOES INTO A REPOSITORY, 3158 01:43:29,736 --> 01:43:31,238 THERE'S VARIOUS METADATA 3159 01:43:31,305 --> 01:43:31,505 ELEMENTS. 3160 01:43:31,572 --> 01:43:36,476 YOU KNOW THAT YOU NEED TO BE 3161 01:43:36,543 --> 01:43:38,612 ABLE TO PUT FORWARD, COMMON DATA 3162 01:43:38,679 --> 01:43:39,713 ELEMENTS, BUT THERE'S ANOTHER 3163 01:43:39,780 --> 01:43:40,714 PIECE OF THIS CALLED THE 3164 01:43:40,781 --> 01:43:41,481 KNOWLEDGE HEAL GRAPH AND THAT'S 3165 01:43:41,548 --> 01:43:43,417 WHAT I'M GOING TO FOCUS ON 3166 01:43:43,483 --> 01:43:43,984 TODAY. 3167 01:43:44,051 --> 01:43:46,253 SO IF WE LOOK AT THE HEAL DATA 3168 01:43:46,320 --> 01:43:47,854 INTEGRATION STRATEGIES, WE'VE 3169 01:43:47,921 --> 01:43:48,755 TALKED ABOUT THE FACT THAT YOU 3170 01:43:48,822 --> 01:43:50,724 NEED TO REGISTER YOUR STUDY 3171 01:43:50,791 --> 01:43:52,859 LEVEL METADATA IN CDER, AND OVER 3172 01:43:52,926 --> 01:43:54,294 HERE ON THE RIGHT, I HAVE SOME 3173 01:43:54,361 --> 01:43:55,729 FICTIONAL STUDIES AND THEY 3174 01:43:55,796 --> 01:43:56,830 BASICALLY SHOW THAT BECAUSE 3175 01:43:56,897 --> 01:43:58,765 YOU'RE ALL USING THE SAME 3176 01:43:58,832 --> 01:43:59,833 REGISTRATION FORM AND YOU'RE 3177 01:43:59,900 --> 01:44:01,602 COLLECTING THE SAME INFORMATION, 3178 01:44:01,668 --> 01:44:03,670 THAT MEANS WE CAN QUERY ACROSS 3179 01:44:03,737 --> 01:44:04,671 THE DIFFERENT PROJECTS AT THE 3180 01:44:04,738 --> 01:44:06,974 LEVEL OF STUDY LEVEL METADATA 3181 01:44:07,040 --> 01:44:08,342 BECAUSE IT'S ALL BEEN NICELY 3182 01:44:08,408 --> 01:44:08,775 ORGANIZED. 3183 01:44:08,842 --> 01:44:11,278 THERE ARE ALSO REQUIRED COMMON 3184 01:44:11,345 --> 01:44:12,679 DATA ELEMENTS, WE'VE TALKED 3185 01:44:12,746 --> 01:44:14,014 ABOUT THOSE VARIOUS INSTRUMENTS 3186 01:44:14,081 --> 01:44:16,683 AND THINGS AND WHICH YOU NEED TO 3187 01:44:16,750 --> 01:44:18,218 USE AND STRUCTURE YOUR DATA IN A 3188 01:44:18,285 --> 01:44:19,219 CERTAIN WAY AND ALL OF THE 3189 01:44:19,286 --> 01:44:20,087 PROJECTS ARE REQUIRED TO USE 3190 01:44:20,153 --> 01:44:20,887 THEM. 3191 01:44:20,954 --> 01:44:22,456 THAT, AGAIN, GIVES US A LEVEL OF 3192 01:44:22,522 --> 01:44:23,457 INTEROPERABILITY. 3193 01:44:23,523 --> 01:44:24,424 IT DOESN'T SOLVE EVERYTHING BUT 3194 01:44:24,491 --> 01:44:27,260 IT AT LEAST SAYS THESE ITEMS 3195 01:44:27,327 --> 01:44:28,462 HAVE BEEN COLLECTED ACROSS THE 3196 01:44:28,528 --> 01:44:30,564 DIFFERENT DATASETS. 3197 01:44:30,631 --> 01:44:32,099 THE DATA DICTIONARY, HOWEVER, IS 3198 01:44:32,165 --> 01:44:34,334 ALSO ANOTHER IMPORTANT ELEMENT 3199 01:44:34,401 --> 01:44:36,470 OF THIS BECAUSE IF YOU GO ON THE 3200 01:44:36,536 --> 01:44:37,971 RIGHT SIDE, COMMON DATA ELEMENTS 3201 01:44:38,038 --> 01:44:40,774 WILL TAKE YOU SO FAR BUT ALMOST 3202 01:44:40,841 --> 01:44:41,308 IMMEDIATELY, IN ALL THE 3203 01:44:41,375 --> 01:44:42,609 DIFFERENT PROJECTS, THERE ARE 3204 01:44:42,676 --> 01:44:43,610 THINGS THAT ARE COLLECTED THAT 3205 01:44:43,677 --> 01:44:45,012 ARE EITHER SPECIFIC, UNIQUE, 3206 01:44:45,078 --> 01:44:46,847 THERE ARE NO COMMON DATA 3207 01:44:46,913 --> 01:44:48,048 ELEMENTS, SO YOU WILL GET A LOT 3208 01:44:48,115 --> 01:44:49,750 OF DATA ELEMENTS THAT WORK 3209 01:44:49,816 --> 01:44:51,451 WITHIN THAT PARTICULAR HEAL 3210 01:44:51,518 --> 01:44:52,419 CONSORTIA, BUT WHEN YOU GO AND 3211 01:44:52,486 --> 01:44:56,023 THEN TRY TO RECONCILE ACROSS 3212 01:44:56,089 --> 01:44:57,457 IT'S OFTEN VERY DIFFICULT, THEY 3213 01:44:57,524 --> 01:44:58,525 MAY BE TALKING ABOUT THE SAME 3214 01:44:58,592 --> 01:45:01,161 THING LIKE TISSUE SAMPLES AND 3215 01:45:01,228 --> 01:45:02,462 HISTOLOGY, THEY'LL HAVE A SET OF 3216 01:45:02,529 --> 01:45:03,964 VARIABLES THAT ARE NAMED, A DATA 3217 01:45:04,031 --> 01:45:06,299 DICTIONARILY HELPS IN THAT 3218 01:45:06,366 --> 01:45:07,601 BECAUSE IT BASICALLY GIVES YOU A 3219 01:45:07,668 --> 01:45:09,670 LISTING, IT SAYS HERE'S WHAT MY 3220 01:45:09,736 --> 01:45:10,771 VARIABLE IS NAME AND HERE'S 3221 01:45:10,837 --> 01:45:11,405 SOMETHING ABOUT THAT. 3222 01:45:11,471 --> 01:45:12,572 BUT IT IS OFTEN VERY DIFFICULT 3223 01:45:12,639 --> 01:45:14,608 IF YOU HAD TO TAKE ALL THE DATA 3224 01:45:14,675 --> 01:45:15,676 DICTIONARIES ONE-ON-ONE AND MAP 3225 01:45:15,742 --> 01:45:17,244 THEM TO EACH OTHER, IT CAN OFTEN 3226 01:45:17,310 --> 01:45:19,546 BE A VERY, VERY DAUNTING PROCESS 3227 01:45:19,613 --> 01:45:21,748 AND A LOT OF CONSORTIA STOP AT 3228 01:45:21,815 --> 01:45:23,116 THAT LEVEL AND JUST SAY YOU GUYS 3229 01:45:23,183 --> 01:45:24,451 CAN READ THIS, BUT I'M NOT GOING 3230 01:45:24,518 --> 01:45:26,053 TO DO ANYTHING FURTHER. 3231 01:45:26,119 --> 01:45:27,387 AND THAT'S WHERE THE HEAL 3232 01:45:27,454 --> 01:45:28,355 KNOWLEDGE GRAPH COMES IN. 3233 01:45:28,422 --> 01:45:31,525 THE HEAL KNOWLEDGE GRAPH AS IT 3234 01:45:31,591 --> 01:45:33,593 TURNS OUT IS A VERY POWERFUL 3235 01:45:33,660 --> 01:45:34,294 INTEGRATION STRATEGY. 3236 01:45:34,361 --> 01:45:36,763 ALSO AS YOU SEE IT ENABLES ALSO 3237 01:45:36,830 --> 01:45:38,098 POWERFUL SEARCH. 3238 01:45:38,165 --> 01:45:39,299 SO WHAT IS A KNOWLEDGE GRAPH? 3239 01:45:39,366 --> 01:45:42,803 I TOOK THIS OFF THE WEB FROM 3240 01:45:42,869 --> 01:45:43,236 IBM. 3241 01:45:43,303 --> 01:45:45,939 KNOWLEDGE GRAPHS WERE ALL THE 3242 01:45:46,006 --> 01:45:46,406 RAGE. 3243 01:45:46,473 --> 01:45:47,708 THEY BASICALLY ARE SEMANTIC 3244 01:45:47,774 --> 01:45:48,642 NETWORKS. 3245 01:45:48,709 --> 01:45:50,444 THEY REPRESENT A NETWORK OF 3246 01:45:50,510 --> 01:45:52,946 ENTITIES, WHETHER THAT IS BODY 3247 01:45:53,013 --> 01:45:54,681 PARTS, ASSAY TYPES, WHATEVER IT 3248 01:45:54,748 --> 01:45:55,782 IS. 3249 01:45:55,849 --> 01:45:57,751 AND THE RELATIONSHIP BETWEEN 3250 01:45:57,818 --> 01:45:59,319 THEM IS SORT OF CODIFIED. 3251 01:45:59,386 --> 01:46:04,091 SO YOU SEE HERE AN EXAMPLE FROM 3252 01:46:04,157 --> 01:46:07,294 THE HUMAN PHENOTYPE ONTOLOGY, IT 3253 01:46:07,360 --> 01:46:08,462 WOULD SAY THERE'S LOWER LIMB 3254 01:46:08,528 --> 01:46:09,863 PAIN AND RELATED TO LOWER LIMB 3255 01:46:09,930 --> 01:46:11,465 PAIN IS KNEE PAIN AND LIMB PAIN 3256 01:46:11,531 --> 01:46:12,733 AND OTHER SORTS OF PAIN. 3257 01:46:12,799 --> 01:46:14,901 SO THOSE RELATIONSHIPS ARE 3258 01:46:14,968 --> 01:46:15,235 CODIFIED. 3259 01:46:15,302 --> 01:46:16,737 THEY ARE ENCODED IN A WAY THAT 3260 01:46:16,803 --> 01:46:18,405 MACHINES CAN ACTUALLY OPERATE ON 3261 01:46:18,472 --> 01:46:19,773 THESE SO DEPENDING ON THE POWER 3262 01:46:19,840 --> 01:46:21,641 OF THE ONTOLOGY, YOU CAN 3263 01:46:21,708 --> 01:46:22,843 DOREENING OVER THEM, YOU CAN DO 3264 01:46:22,909 --> 01:46:26,213 THINGS THAT A HUMAN BEING WOULD 3265 01:46:26,279 --> 01:46:26,613 DO. 3266 01:46:26,680 --> 01:46:27,981 SO THE MACHINE NOW KNOWS THAT 3267 01:46:28,048 --> 01:46:29,950 KNEE PAIN SHOULD ALSO BE 3268 01:46:30,016 --> 01:46:31,418 RETURNED FOR LOWER LIMB PAIN 3269 01:46:31,485 --> 01:46:32,219 BECAUSE THE KNEE IS PART OF THE 3270 01:46:32,285 --> 01:46:33,420 LOWER LIMB. 3271 01:46:33,487 --> 01:46:35,489 SO THE HEAL KNOWLEDGE GRAPH 3272 01:46:35,555 --> 01:46:37,457 WHICH SITS BEHIND THE PLATFORM 3273 01:46:37,524 --> 01:46:39,559 ENCODES THESE RELATIONSHIPS IN 3274 01:46:39,626 --> 01:46:41,061 VARIOUS BIOMEDICAL COMMUNITY 3275 01:46:41,128 --> 01:46:42,596 ONTOLOGIES SUCH AS THE HUMAN 3276 01:46:42,662 --> 01:46:44,931 PHENOTYPE ONTOLOGY IN A WAY THAT 3277 01:46:44,998 --> 01:46:48,034 ALLOWS US TO BRIDGE ACROSS THE 3278 01:46:48,101 --> 01:46:50,036 DIFFERENT HEAL PROJECTS. 3279 01:46:50,103 --> 01:46:52,072 SO OUR PROJECTS PRECISION AND 3280 01:46:52,139 --> 01:46:53,373 REJOIN ARE AT RELATIVELY EARLY 3281 01:46:53,440 --> 01:46:55,475 STAGES COMPARED TO OTHERS. 3282 01:46:55,542 --> 01:46:56,877 DATA GENERATION IS JUST RAMPING 3283 01:46:56,943 --> 01:46:58,378 UP AND I WANTED TO SORT OF 3284 01:46:58,445 --> 01:46:59,846 ILLUSTRATE THE PROCESS THAT A 3285 01:46:59,913 --> 01:47:01,348 GROUP WOULD GO THROUGH, DATA 3286 01:47:01,414 --> 01:47:01,982 COORDINATING GROUP IN 3287 01:47:02,048 --> 01:47:03,083 PARTICULAR, TO HELP BRING 3288 01:47:03,150 --> 01:47:04,618 PROJECTS AND INTEGRATE THEM INTO 3289 01:47:04,684 --> 01:47:06,119 THE HEAL PLATFORM. 3290 01:47:06,186 --> 01:47:07,020 SO REJOIN AND PRECISION LIKE A 3291 01:47:07,087 --> 01:47:08,121 LOT OF THESE PROJECTS HAVE A LOT 3292 01:47:08,188 --> 01:47:10,390 OF WORKING GROUPS, EACH WORKING 3293 01:47:10,457 --> 01:47:12,926 GROUP GETS TOGETHER, DIVIDED 3294 01:47:12,993 --> 01:47:14,661 AROUND DATA TYPE, JOINT TYPE, 3295 01:47:14,728 --> 01:47:15,662 WHATEVER IT IS AND THEY COME UP 3296 01:47:15,729 --> 01:47:17,597 AND SAY THIS IS THE DATA THAT WE 3297 01:47:17,664 --> 01:47:19,132 NEED TO CONNECT, WE WANT TO BE 3298 01:47:19,199 --> 01:47:20,333 ABLE TO COMPARE ACROSS OUR 3299 01:47:20,400 --> 01:47:22,135 DIFFERENT STUDIES WITH THESE 3300 01:47:22,202 --> 01:47:22,836 DIFFERENT ELEMENTS. 3301 01:47:22,903 --> 01:47:24,437 THAT'S USUALLY JUST A FIRST 3302 01:47:24,504 --> 01:47:24,805 LEVEL. 3303 01:47:24,871 --> 01:47:26,973 THEN WHAT HAPPENS, THE DATA 3304 01:47:27,040 --> 01:47:28,275 COORDINATING GROUP, FOR EXAMPLE, 3305 01:47:28,341 --> 01:47:30,377 MYSELF WILL TAKE ALL OF THE 3306 01:47:30,443 --> 01:47:31,578 DIFFERENT GROUPS' OUTPUTS AND 3307 01:47:31,645 --> 01:47:33,079 SAY THIS ACTUALLY REPRESENTS THE 3308 01:47:33,146 --> 01:47:34,080 DATA DICTIONARY FOR THE ENTIRE 3309 01:47:34,147 --> 01:47:34,381 PROJECT. 3310 01:47:34,447 --> 01:47:36,116 SO IT TURNS OUT THREE OR FOUR 3311 01:47:36,183 --> 01:47:37,684 WORKING GROUPS ALL WANT TO 3312 01:47:37,751 --> 01:47:39,719 DESCRIBE A SUBJECT SO NO NEED TO 3313 01:47:39,786 --> 01:47:40,821 DESCRIBE IT IN THREE DIFFERENT 3314 01:47:40,887 --> 01:47:41,154 WAYS. 3315 01:47:41,221 --> 01:47:42,889 BUT THAT'S, AGAIN, JUST SORT OF 3316 01:47:42,956 --> 01:47:44,424 A FIRST STEP AT IT. 3317 01:47:44,491 --> 01:47:47,460 SO YOU CAN SEE HERE THE C 3318 01:47:47,527 --> 01:47:48,895 REPRESENTS COMMON DATA ELEMENTS, 3319 01:47:48,962 --> 01:47:51,231 H ARE HEAL DATA ELEMENTS, S ARE 3320 01:47:51,298 --> 01:47:53,934 SPARC DATA ELEMENTS AND RP ARE 3321 01:47:54,000 --> 01:47:55,669 REJOIN HEAL AND PRECISION DATA 3322 01:47:55,735 --> 01:47:56,269 ELEMENTS. 3323 01:47:56,336 --> 01:47:57,103 THERE'S A LOT OF DIFFERENT 3324 01:47:57,170 --> 01:47:57,637 THINGS THAT COME IN. 3325 01:47:57,704 --> 01:47:59,039 IT'S REALLY THIS MAPPING TO THE 3326 01:47:59,105 --> 01:48:00,807 ONTOLOGY THAT HELPS US ADD A 3327 01:48:00,874 --> 01:48:02,309 LAYER ON TOP THAT PROVIDES A LOT 3328 01:48:02,375 --> 01:48:03,510 OF INTEGRATIVE POWER. 3329 01:48:03,577 --> 01:48:06,479 SO FOR EXAMPLE, OVER ON THE 3330 01:48:06,546 --> 01:48:08,415 RIGHT YOU SEE THERE'S BEHAVIORAL 3331 01:48:08,481 --> 01:48:08,748 ASSAYS. 3332 01:48:08,815 --> 01:48:10,617 THERE'S SOMETHING CALLED THE 3333 01:48:10,684 --> 01:48:12,485 GAD2 THAT I PICKED OUT OF ONE 3334 01:48:12,552 --> 01:48:16,056 ONTOLOGY OR ANOTHER THAT 3335 01:48:16,122 --> 01:48:16,623 MEASURES ANXIETY. 3336 01:48:16,690 --> 01:48:18,825 IF YOU'RE SEARCHING FOR GAD2, 3337 01:48:18,892 --> 01:48:22,028 THAT'S FINE, YOU'D ALSO LIKE TO 3338 01:48:22,095 --> 01:48:23,496 BE ABLE TO SEARCH FOR THE FACT 3339 01:48:23,563 --> 01:48:24,798 IF ANXIETY WAS MEASURED. 3340 01:48:24,865 --> 01:48:26,933 SO MAPPING TO THESE ONTOLOGIES 3341 01:48:27,000 --> 01:48:27,834 ALLOWS THAT TO HAPPEN. 3342 01:48:27,901 --> 01:48:29,169 IT ALSO LETS YOU SHOW WELL, 3343 01:48:29,236 --> 01:48:33,607 THERE'S A GOOD 2, THERE'S ALSO A 3344 01:48:33,673 --> 01:48:36,243 GAD7, GAD10. 3345 01:48:36,309 --> 01:48:38,211 IT LETS YOU BRING ALL OF THESE 3346 01:48:38,278 --> 01:48:38,778 THINGS TOGETHER. 3347 01:48:38,845 --> 01:48:40,614 UNLESS YOU KNOW THE SCORING 3348 01:48:40,680 --> 01:48:42,482 SYSTEM OF EVERY SINGLE 3349 01:48:42,549 --> 01:48:43,984 INSTRUMENT, YOU MAY NOT KNOW 3350 01:48:44,050 --> 01:48:46,086 WHAT REPRESENTS SEVERE ANXIETY. 3351 01:48:46,152 --> 01:48:48,021 THOSE ARE HUMAN CONCEPTS. 3352 01:48:48,088 --> 01:48:49,689 YOU SAW THEM IN LAURA'S 3353 01:48:49,756 --> 01:48:50,423 PRESENTATION AS WELL. 3354 01:48:50,490 --> 01:48:53,026 SO IT IS A KNOWLEDGE GRAPH THAT 3355 01:48:53,093 --> 01:48:54,127 ALLOWS US TO ORGANIZE THAT 3356 01:48:54,194 --> 01:48:55,795 INFORMATION AND REALLY START TO 3357 01:48:55,862 --> 01:48:57,497 JOIN THINGS BASED ON 3358 01:48:57,564 --> 01:48:58,598 RELATIONSHIPS OF OTHER ENTITIES 3359 01:48:58,665 --> 01:48:59,799 THAT EXIST OUT THERE IN THE REAL 3360 01:48:59,866 --> 01:49:03,303 WORLD THAT WE CAN CODIFY. 3361 01:49:03,370 --> 01:49:04,838 SO IF YOU ACTUALLY LOOK AT HEAL 3362 01:49:04,905 --> 01:49:08,441 AND IF YOU'VE DELVED DEEPLY INTO 3363 01:49:08,508 --> 01:49:10,176 THE HEAL DATA PLATFORM YOU'LL 3364 01:49:10,243 --> 01:49:12,045 SEE -- WE'VE HEARD FROM LAURA 3365 01:49:12,112 --> 01:49:13,580 ALREADY ABOUT EXPLORING THROUGH 3366 01:49:13,647 --> 01:49:14,981 THE PLATFORM, YOU CAN PUT IN 3367 01:49:15,048 --> 01:49:16,616 KEYWORDS, YOU CAN PUT IN VARIOUS 3368 01:49:16,683 --> 01:49:18,051 STUDY LEVEL METADATA AND YOU 3369 01:49:18,118 --> 01:49:20,553 WILL TURN STUDIES. 3370 01:49:20,620 --> 01:49:24,491 BUT THERE'S ALSO THE HEAL ?AN 3371 01:49:24,557 --> 01:49:25,792 SEMANTIC NETWORK THAT LETS YOU 3372 01:49:25,859 --> 01:49:27,294 QUERY IT THROUGH THESE CONCEPTS 3373 01:49:27,360 --> 01:49:28,428 AS I JUST WAS TALKING ABOUT. 3374 01:49:28,495 --> 01:49:29,562 SO YOU CAN FIND THE BUTTON ON 3375 01:49:29,629 --> 01:49:31,398 THERE AND CAN YOU GO AND EXPLORE 3376 01:49:31,464 --> 01:49:31,564 IT. 3377 01:49:31,631 --> 01:49:33,033 BUT IF YOU GET TO IT, IT 3378 01:49:33,099 --> 01:49:34,668 BASICALLY WILL TAKE YOU TO THE 3379 01:49:34,734 --> 01:49:36,436 SEMANTIC SEARCH. 3380 01:49:36,503 --> 01:49:39,039 HERE YOU GO AHEAD AND ENTER IN A 3381 01:49:39,105 --> 01:49:40,240 CONCEPT THAT SAYS LOWER LIMB 3382 01:49:40,307 --> 01:49:41,775 PAIN IN VERY SMALL LETTER, BUT 3383 01:49:41,841 --> 01:49:42,976 IT WILL GIVE YOU A SET OF 3384 01:49:43,043 --> 01:49:44,377 CONCEPTS THAT ARE RELATED TO 3385 01:49:44,444 --> 01:49:45,812 LOWER LIMB PAIN AND YOU CAN 3386 01:49:45,879 --> 01:49:46,246 SCROLL THROUGH THEM. 3387 01:49:46,313 --> 01:49:47,447 IF WILL TELL YOU HOW MANY 3388 01:49:47,514 --> 01:49:48,748 STUDIES HAVE BEEN REGISTERED, IT 3389 01:49:48,815 --> 01:49:50,483 WILL TELL YOU WHAT COMMON DATA 3390 01:49:50,550 --> 01:49:51,251 ELEMENTS ARE AVAILABLE. 3391 01:49:51,318 --> 01:49:52,986 AS YOU GO THROUGH, YOU MIGHT SEE 3392 01:49:53,053 --> 01:49:55,989 THAT, WELL, KNEE ARTHRITIS IS, 3393 01:49:56,056 --> 01:49:58,992 IN FACT, A LOWER LIMB DISORDER. 3394 01:49:59,059 --> 01:50:01,494 IT RETURNS THAT TO YOU IN THAT 3395 01:50:01,561 --> 01:50:01,695 LIST. 3396 01:50:01,761 --> 01:50:02,862 THERE'S A LITTLE BUTTON UP THERE 3397 01:50:02,929 --> 01:50:03,863 WHICH IF YOU CLICK ON IT, IT 3398 01:50:03,930 --> 01:50:05,065 WILL ACTUALLY SHOW YOU THE 3399 01:50:05,131 --> 01:50:06,900 KNOWLEDGE GRAPH THAT SITS 3400 01:50:06,967 --> 01:50:08,335 UNDERNEATH AND HOW YOUR CONCEPT 3401 01:50:08,401 --> 01:50:09,302 RELATED TO THE THING THAT YOU 3402 01:50:09,369 --> 01:50:11,504 WERE LOOKING FOR, AND THEN IF 3403 01:50:11,571 --> 01:50:12,472 YOU, AGAIN, OPEN THIS, IT WILL 3404 01:50:12,539 --> 01:50:14,774 TELL YOU, HERE'S A STUDY AND 3405 01:50:14,841 --> 01:50:16,876 HERE'S A SET OF CDEs THAT 3406 01:50:16,943 --> 01:50:17,644 ACTUALLY MEASURE KNEE PAIN. 3407 01:50:17,711 --> 01:50:19,813 SO IT'S A VERY POWERFUL WAY OF 3408 01:50:19,879 --> 01:50:22,115 GOING THROUGH THIS VERY VAST 3409 01:50:22,182 --> 01:50:23,550 DATA NETWORK THAT HAS BEEN 3410 01:50:23,616 --> 01:50:26,619 ASSEMBLED BY HEAL. 3411 01:50:26,686 --> 01:50:28,021 SO REALLY THE POWER OF KNOWLEDGE 3412 01:50:28,088 --> 01:50:29,756 GRAPHS IS THAT THEY PROVIDE A 3413 01:50:29,823 --> 01:50:32,926 MEANS OF CONNECTING DATA THROUGH 3414 01:50:32,993 --> 01:50:33,259 KNOWLEDGE. 3415 01:50:33,326 --> 01:50:34,694 THAT KNOWLEDGE CAN COME FROM 3416 01:50:34,761 --> 01:50:36,029 HUMANS, THE LITERATURE, IT CAN M 3417 01:50:36,096 --> 01:50:40,166 COUCOME FROM ANY PLACE. 3418 01:50:40,233 --> 01:50:42,535 AS BIOMEDICINE REALLY MOVES 3419 01:50:42,602 --> 01:50:43,870 TOWARDS FAIR DESIGN PRACTICES, I 3420 01:50:43,937 --> 01:50:45,939 THINK THE EXCITING THING ABOUT 3421 01:50:46,006 --> 01:50:47,574 IT IS THERE ARE COMMUNITY 3422 01:50:47,640 --> 01:50:48,742 ONTOLOGIES. 3423 01:50:48,808 --> 01:50:51,745 THE SPARC PROJECT ITSELF 3424 01:50:51,811 --> 01:50:52,412 DEVELOPED A GRAPH. 3425 01:50:52,479 --> 01:50:53,146 BECAUSE WE'RE BUILDING FROM THE 3426 01:50:53,213 --> 01:50:55,215 SAME SET OF COMMUNITY 3427 01:50:55,281 --> 01:50:56,683 ONTOLOGIES, OUR KNOWLEDGE GRAPH 3428 01:50:56,750 --> 01:50:58,084 BECOMES INTEROPERABLE WITH 3429 01:50:58,151 --> 01:50:59,185 HEAL'S KNOWLEDGE GRAPH. 3430 01:50:59,252 --> 01:51:02,455 SO ONE CAN THEN START TO EXPAND 3431 01:51:02,522 --> 01:51:03,223 RELATIONSHIPS AMONGST THE 3432 01:51:03,289 --> 01:51:04,758 DIFFERENT REPOSITORIES WITH THE 3433 01:51:04,824 --> 01:51:06,826 TYPE OF DATA THAT -- WITH 3434 01:51:06,893 --> 01:51:07,694 KNOWLEDGE GRAPHS COMING FROM 3435 01:51:07,761 --> 01:51:08,395 OTHER GROUPS. 3436 01:51:08,461 --> 01:51:09,496 IF EVERYBODY USES DIFFERENT 3437 01:51:09,562 --> 01:51:10,697 CONCEPTS, YOU HAVE THE SAME 3438 01:51:10,764 --> 01:51:11,231 PROBLEM. 3439 01:51:11,297 --> 01:51:12,866 BUT I THINK ONE OF THE MOST 3440 01:51:12,932 --> 01:51:14,300 EXCITING THINGS THAT IS 3441 01:51:14,367 --> 01:51:15,502 HAPPENING, I'VE BEEN INVOLVED IN 3442 01:51:15,568 --> 01:51:17,003 KNOWLEDGE GRAPHS FOR A LONG 3443 01:51:17,070 --> 01:51:19,773 TIME, THEY'VE BEEN TRADITIONALLY 3444 01:51:19,839 --> 01:51:20,974 DIFFICULT TO BUILD, POPULATE AND 3445 01:51:21,041 --> 01:51:22,475 MAINTAIN, BUT I THINK WITH AI 3446 01:51:22,542 --> 01:51:24,277 AND MACHINE LEARNING, WE'RE 3447 01:51:24,344 --> 01:51:25,712 GETTING EXCITING NEW TOOLS THAT 3448 01:51:25,779 --> 01:51:27,447 ALLOW US TO BUILD THEM NOT ONLY 3449 01:51:27,514 --> 01:51:28,648 THROUGH NATURAL LANGUAGE 3450 01:51:28,715 --> 01:51:29,949 PROCESSING AND OTHERS BUT ALSO 3451 01:51:30,016 --> 01:51:31,351 TO QUERY THEM, THAT YOU'LL BE 3452 01:51:31,418 --> 01:51:33,119 ABLE TO ASK NATURAL LANGUAGE 3453 01:51:33,186 --> 01:51:34,754 QUERIES OF THESE VERY COMPLEX 3454 01:51:34,821 --> 01:51:35,789 STRUCTURES AND START TO RETURN 3455 01:51:35,855 --> 01:51:36,189 INFORMATION. 3456 01:51:36,256 --> 01:51:44,564 SO THAT'S JUST A WHIRLWIND TOUR 3457 01:51:44,631 --> 01:51:45,265 OF THE KNOWLEDGE GRAPH. 3458 01:51:45,331 --> 01:51:46,666 >> THANK YOU TO OUR THREE 3459 01:51:46,733 --> 01:51:47,434 SPEAKERS. 3460 01:51:47,500 --> 01:51:48,535 YOU'RE ALL WONDERFUL, YOU'RE ALL 3461 01:51:48,601 --> 01:51:48,768 HIRED. 3462 01:51:48,835 --> 01:51:50,737 GET TO THE DATA ECOSYSTEM BOOTH 3463 01:51:50,804 --> 01:51:52,172 RIGHT NOW TO START HELPING 3464 01:51:52,238 --> 01:51:53,473 PEOPLE OUT BECAUSE YOU GUYS KNOW 3465 01:51:53,540 --> 01:51:54,040 WHAT YOU'RE TALKING ABOUT. 3466 01:51:54,107 --> 01:51:54,774 THANK YOU SO MUCH. 3467 01:51:54,841 --> 01:51:56,009 SO WE HAVE A FEW MINUTES FOR 3468 01:51:56,076 --> 01:51:57,510 QUESTIONS AND ANSWERS. 3469 01:51:57,577 --> 01:51:58,711 AND I'M GOING TO OPEN IT UP TO 3470 01:51:58,778 --> 01:51:59,379 THE AUDIENCE. 3471 01:51:59,446 --> 01:52:01,648 THERE'S MICROPHONES ON BOTH 3472 01:52:01,714 --> 01:52:04,084 SIDES OF THE ROOM, THERE'S SOME 3473 01:52:04,150 --> 01:52:07,353 MICROPHONES SORT OF IN THE 3474 01:52:07,420 --> 01:52:09,756 MIDDLE. 3475 01:52:09,823 --> 01:52:11,958 THE BACK SECTION, LIKE RIGHT 3476 01:52:12,025 --> 01:52:12,492 THERE. 3477 01:52:12,559 --> 01:52:13,526 SO IT LOOKS LIKE NORA HAS THE 3478 01:52:13,593 --> 01:52:14,027 FIRST QUESTION. 3479 01:52:14,094 --> 01:52:17,030 TAKE IT AWAY. 3480 01:52:17,097 --> 01:52:20,300 >> I HAVE MANY QUESTIONS BUT I'M 3481 01:52:20,366 --> 01:52:22,035 ONLY GOING TO ASK ONE. 3482 01:52:22,102 --> 01:52:22,902 TERRIFIC PANEL, THANKS VERY MUCH 3483 01:52:22,969 --> 01:52:25,505 FOR DOING IT AND FOR DOING THE 3484 01:52:25,572 --> 01:52:26,739 HEAL DATA ECOSYSTEM. 3485 01:52:26,806 --> 01:52:27,807 CHARLES I'M GOING TO ASK YOU THE 3486 01:52:27,874 --> 01:52:28,908 QUESTION BECAUSE THIS HURTS MY 3487 01:52:28,975 --> 01:52:29,342 BRAIN. 3488 01:52:29,409 --> 01:52:31,411 WE'RE TRYING TO GENERATE THESE 3489 01:52:31,478 --> 01:52:32,979 DATABASES, AND WE'RE INVESTING 3490 01:52:33,046 --> 01:52:35,348 ON BRINGING TOGETHER AN 3491 01:52:35,415 --> 01:52:37,450 INITIATIVE, A NEW DATA 3492 01:52:37,517 --> 01:52:38,985 GENERATED -- THAT IS BEING 3493 01:52:39,052 --> 01:52:40,820 GENERATED AND THEN WE ENCOUNTER 3494 01:52:40,887 --> 01:52:42,455 THESE GIGANTIC ROAD BLOCKS WHEN 3495 01:52:42,522 --> 01:52:44,124 WE TRY TO ACCESS THE 3496 01:52:44,190 --> 01:52:44,557 ADMINISTRATIVE DATA. 3497 01:52:44,624 --> 01:52:46,860 SO HOW DO WE CHANGE THAT SO WE 3498 01:52:46,926 --> 01:52:48,928 COULD -- BECAUSE THAT 3499 01:52:48,995 --> 01:52:50,463 ADMINISTRATIVE DATA IS SO 3500 01:52:50,530 --> 01:52:51,798 EXTRAORDINARILY VALUABLE THAT 3501 01:52:51,865 --> 01:52:53,867 NOT BEING ABLE TO ACCESS THEM 3502 01:52:53,933 --> 01:52:55,735 EXCEPT ON VERY CONSTRAINED 3503 01:52:55,802 --> 01:52:58,805 CONDITIONS IS GG GOING TO BE A 3504 01:52:58,872 --> 01:52:59,105 LIMITATION. 3505 01:52:59,172 --> 01:53:00,440 SO WHEN WE LOOK INTO THE FUTURE, 3506 01:53:00,507 --> 01:53:01,341 WHAT ARE YOUR THOUGHTS? 3507 01:53:01,407 --> 01:53:02,742 >> WELL, THAT'S A GREAT 3508 01:53:02,809 --> 01:53:03,109 QUESTION, NORA. 3509 01:53:03,176 --> 01:53:03,710 THANK YOU. 3510 01:53:03,776 --> 01:53:05,578 AND NOT AN EASY ONE, AND I THINK 3511 01:53:05,645 --> 01:53:07,547 IF I HAD A QUICK ANSWER, I'D BE 3512 01:53:07,614 --> 01:53:09,182 A RICH MAN IN A SHORT PERIOD OF 3513 01:53:09,249 --> 01:53:10,049 TIME. 3514 01:53:10,116 --> 01:53:12,152 BUT I THINK U.S. HAS GOT TO GET 3515 01:53:12,218 --> 01:53:14,120 TO A TOKENIZED SYSTEM. 3516 01:53:14,187 --> 01:53:21,327 SO LOOK TENOR DICK COUNTR LOOK . 3517 01:53:21,394 --> 01:53:23,196 TRUE POPULATION BASED MEDICAL 3518 01:53:23,263 --> 01:53:24,731 DEMOGRAPHICS AND EVEN PHENOTYPIC 3519 01:53:24,797 --> 01:53:26,599 AND OTHER OUTCOMES, THEY CAN 3520 01:53:26,666 --> 01:53:29,002 COMBINE IT AND DO RETROSPECTIVE 3521 01:53:29,068 --> 01:53:30,637 COHORT STUDIES THAT THE U.S. 3522 01:53:30,703 --> 01:53:32,372 WOULD HAVE TREMENDOUS PROBLEMS 3523 01:53:32,438 --> 01:53:32,705 DOING. 3524 01:53:32,772 --> 01:53:36,009 I THINK WE'VE GOT TO THINK 3525 01:53:36,075 --> 01:53:37,644 BROADER ABOUT WHAT THE LONG TERM 3526 01:53:37,710 --> 01:53:41,047 FUTURE IS IN TERMS OF PRIVACY, 3527 01:53:41,114 --> 01:53:43,449 SECURITY, AND HOW WE CAN USE -- 3528 01:53:43,516 --> 01:53:44,784 I DON'T WANT TO SAY A NATIONAL 3529 01:53:44,851 --> 01:53:46,186 ID, WE HAVE ONE ALREADY WITH 3530 01:53:46,252 --> 01:53:48,588 SOCIAL SECURITY NUMBER, BUT 3531 01:53:48,655 --> 01:53:50,156 BREAKING DOWN THE SILOS SO THAT 3532 01:53:50,223 --> 01:53:52,125 HEALTH EQUITY AND UNIQUE 3533 01:53:52,192 --> 01:53:53,092 POPULATIONS, THE DATA IS 3534 01:53:53,159 --> 01:53:55,195 AVAILABLE FOR DISCOVERY AS 3535 01:53:55,261 --> 01:53:56,496 OPPOSED TO REINVENTING THE WHEEL 3536 01:53:56,563 --> 01:53:57,030 EVERY TIME. 3537 01:53:57,096 --> 01:53:58,565 THAT'S REALLY EASIER SAID THAN 3538 01:53:58,631 --> 01:54:02,202 DONE, BUT UNTIL WE THINK MORE 3539 01:54:02,268 --> 01:54:02,802 FUTURE-FORWARD THINKING, WE'RE 3540 01:54:02,869 --> 01:54:04,470 GOING TO BE DEALING WITH THE 3541 01:54:04,537 --> 01:54:07,540 SAME ISSUES TIME AND TIME AGAIN. 3542 01:54:07,607 --> 01:54:08,141 THAT'S A GREAT QUESTION. 3543 01:54:08,208 --> 01:54:10,643 THANK YOU. 3544 01:54:10,710 --> 01:54:12,378 >> THANKS, CHARLIE. 3545 01:54:12,445 --> 01:54:13,613 MARYANN OR LAURA, DO YOU HAVE 3546 01:54:13,680 --> 01:54:17,850 ANY THOUGHTS TO ADD TO THAT? 3547 01:54:17,917 --> 01:54:19,586 >> I AGREE. 3548 01:54:19,652 --> 01:54:19,886 [LAUGHTER] 3549 01:54:19,953 --> 01:54:21,087 >> OKAY. 3550 01:54:21,154 --> 01:54:23,122 >> I THINK EVERY TIME ONE GETS 3551 01:54:23,189 --> 01:54:24,324 TO -- IT'S LIKE WHEN YOU'RE 3552 01:54:24,390 --> 01:54:25,391 HIKING AND YOU THINK YOU ONLY 3553 01:54:25,458 --> 01:54:26,926 HAVE TO GET TO THE TOP OF THE 3554 01:54:26,993 --> 01:54:28,027 NEXT PEAK BUT THEN OF COURSE 3555 01:54:28,094 --> 01:54:29,362 THERE'S THE BIGGER PEAK THAT'S 3556 01:54:29,429 --> 01:54:30,763 BEHIND IT, BUT OF COURSE IF YOU 3557 01:54:30,830 --> 01:54:31,998 NEVER GOT TO THAT PEAK, YOU 3558 01:54:32,065 --> 01:54:33,299 WOULD NEVER SEE THE PEAK BEHIND 3559 01:54:33,366 --> 01:54:33,533 IT. 3560 01:54:33,600 --> 01:54:35,602 SO I THINK DATA GOVERNANCE BOTH 3561 01:54:35,668 --> 01:54:38,304 NATIONALLY AND INTERNATIONALLY, 3562 01:54:38,371 --> 01:54:40,206 POLICY, IS THE LAST PIECE THAT 3563 01:54:40,273 --> 01:54:43,810 NEEDS TO BE ATTACKED AND MOST 3564 01:54:43,876 --> 01:54:44,911 PEOPLE AT MY LEVEL ARE LIKE, 3565 01:54:44,978 --> 01:54:46,112 THAT'S BEYOND MY PAY GRADE, 3566 01:54:46,179 --> 01:54:46,646 RIGHT? 3567 01:54:46,713 --> 01:54:48,081 I MEAN, THOSE ARE THE THINGS FOR 3568 01:54:48,147 --> 01:54:51,784 NIH AND OTHERS TO REALLY TACKLE. 3569 01:54:51,851 --> 01:54:52,385 >> BUT WE NEED TO TACKLE IT. 3570 01:54:52,452 --> 01:54:53,987 >> I WAS GOING TO SAY, NO 3571 01:54:54,053 --> 01:54:55,288 PRESSURE. 3572 01:54:55,355 --> 01:54:55,555 [LAUGHTER] 3573 01:54:55,622 --> 01:54:58,091 >> OKAY, MICHAEL HAS A QUESTION. 3574 01:54:58,157 --> 01:55:02,428 >> DR. MAZERIK AND THE PANEL, 3575 01:55:02,495 --> 01:55:03,730 THANK YOU SO MUCH REALLY FOR THE 3576 01:55:03,796 --> 01:55:07,533 VERY NIF INFORMATIVE SESSION. 3577 01:55:07,600 --> 01:55:10,436 ONE OF THE CENTRAL GOALS FOR -- 3578 01:55:10,503 --> 01:55:11,371 IS TO GET NEW TREATMENTS INTO 3579 01:55:11,437 --> 01:55:14,107 THE HANDS OF PHYSICIANS AN 3580 01:55:14,173 --> 01:55:16,209 PATIENTS, AND DEVICES IN ORDER 3581 01:55:16,276 --> 01:55:18,411 TO JUST PROVIDE RELIEF. 3582 01:55:18,478 --> 01:55:22,015 THERE'S JUST SO MUCH NEED. 3583 01:55:22,081 --> 01:55:22,982 ONE OF THE THINGS WE'RE SEEING 3584 01:55:23,049 --> 01:55:24,317 IS THERE'S A TREMENDOUS AMOUNT 3585 01:55:24,384 --> 01:55:26,152 OF DATA BEING GENERATED ON THE 3586 01:55:26,219 --> 01:55:28,454 THERAPEUTICS DEVELOPMENT SIDE 3587 01:55:28,521 --> 01:55:30,089 INSIDE OF HEAL AND ACROSS NIH 3588 01:55:30,156 --> 01:55:31,958 PROGRAMS. 3589 01:55:32,025 --> 01:55:33,926 AND THERE'S A PERCEPTION AMONG 3590 01:55:33,993 --> 01:55:35,361 THOSE INDIVIDUALS DOING THE WORK 3591 01:55:35,428 --> 01:55:40,066 THAT THAT DATA IS, YOU KNOW, YOU 3592 01:55:40,133 --> 01:55:41,501 KNOW, THEY DON'T WANT TO SHARE 3593 01:55:41,567 --> 01:55:45,305 IT UNTIL THAT DEVICE IS ON THE 3594 01:55:45,371 --> 01:55:47,707 STREET, SO IT'S BEING MARKETED, 3595 01:55:47,774 --> 01:55:49,042 UNTIL THEY CAN BENEFIT FROM T 3596 01:55:49,108 --> 01:55:51,010 BUT WE REALLY SEE FROM A 3597 01:55:51,077 --> 01:55:52,545 PROGRAMMATIC STANDPOINT THAT 3598 01:55:52,612 --> 01:55:55,381 THERE IS PRECOMPETITIVE DATA IN 3599 01:55:55,448 --> 01:55:56,149 THOSE DATASETS. 3600 01:55:56,215 --> 01:55:59,652 THERE'S SOME ASPECT OF THEIR 3601 01:55:59,719 --> 01:56:01,154 DISCOVERY THAT COULD BE SHARED 3602 01:56:01,220 --> 01:56:04,657 BECAUSE IT'S NOT GOING TO DETER 3603 01:56:04,724 --> 01:56:06,426 FROM THE -- YOU KNOW, THE IP 3604 01:56:06,492 --> 01:56:08,061 THAT THEY HAVE IN THAT PRODUCT. 3605 01:56:08,127 --> 01:56:09,362 SO FOR THE MEMBERS OF THE PANEL, 3606 01:56:09,429 --> 01:56:12,665 DO YOU HAVE ANY IDEAS ABOUT HOW 3607 01:56:12,732 --> 01:56:15,601 TO IMPLEMENT THIS IDENTIFICATION 3608 01:56:15,668 --> 01:56:17,570 OF PRECOMPETITIVE DATA IN THE 3609 01:56:17,637 --> 01:56:18,705 THERAPEUTICS DEVELOPMENT AND THE 3610 01:56:18,771 --> 01:56:21,874 DEVICE DEVELOPMENT SPACE, AND 3611 01:56:21,941 --> 01:56:23,676 THEN HOW TO ENCOURAGE THE PIs 3612 01:56:23,743 --> 01:56:27,213 TO SHARE THAT DATA? 3613 01:56:27,280 --> 01:56:29,849 >> WE'RE ALL LOOKING AT EACH 3614 01:56:29,916 --> 01:56:31,417 OTHER. 3615 01:56:31,484 --> 01:56:32,585 >> IT'S VERY INTERESTING. 3616 01:56:32,652 --> 01:56:34,887 I'VE ACTUALLY HAD SOME 3617 01:56:34,954 --> 01:56:35,988 INTERESTING CONVERSATIONS 3618 01:56:36,055 --> 01:56:37,290 RECENTLY ABOUT A LOT OF 3619 01:56:37,357 --> 01:56:39,492 ALGORITHMS THAT ARE BEING 3620 01:56:39,559 --> 01:56:41,561 DEVELOPED AND HOW WE GO ABOUT 3621 01:56:41,627 --> 01:56:43,162 GETTING THOSE FREELY AVAILABLE 3622 01:56:43,229 --> 01:56:47,667 AND SHAREABLE SO THAT ARE THESE 3623 01:56:47,734 --> 01:56:49,035 THINGS THAT ARE COMMERCIALIZED 3624 01:56:49,102 --> 01:56:52,505 OR MARKETED, OR IS IT KIND OF 3625 01:56:52,572 --> 01:56:54,807 THE GREATER PRIORITY TO MAKE IT 3626 01:56:54,874 --> 01:56:56,909 SHAREABLE SO THAT WE CAN BENEFIT 3627 01:56:56,976 --> 01:56:59,178 FROM IT AND OTHER PROGRAMMERS 3628 01:56:59,245 --> 01:57:01,981 AND OTHER RESEARCH GROUPS CAN 3629 01:57:02,048 --> 01:57:03,883 KIND OF ITERATE AND DEVELOP 3630 01:57:03,950 --> 01:57:04,450 OTHER MODES. 3631 01:57:04,517 --> 01:57:11,257 YOU KNOW, I MEAN, I'M BIG ON 3632 01:57:11,324 --> 01:57:12,759 LET'S SHARE IT ALL BUT I'M ALSO 3633 01:57:12,825 --> 01:57:16,162 AN AK DEMINK T ACADEMIC THAT'S E 3634 01:57:16,229 --> 01:57:17,563 BUSINESS WORLD THAT'S NOT 3635 01:57:17,630 --> 01:57:21,100 LOOKING TO MONETIZE THE WORK BUT 3636 01:57:21,167 --> 01:57:24,904 GET IT IN THE -- TO BENEFIT 3637 01:57:24,971 --> 01:57:25,471 PATIENTS DIRECTLY. 3638 01:57:25,538 --> 01:57:28,775 YOU KNOW, I THINK IT'S THE 3639 01:57:28,841 --> 01:57:29,642 INCENTIVE SYSTEM, RIGHT? 3640 01:57:29,709 --> 01:57:31,177 IT'S THAT, YOU KNOW, IF THE 3641 01:57:31,244 --> 01:57:33,780 SYSTEM IS SET UP IN A WAY THAT 3642 01:57:33,846 --> 01:57:37,417 IT'S TO MONETIZE AND WE NEED TO 3643 01:57:37,483 --> 01:57:39,419 CREATE SOME INCENTIVE SYSTEM 3644 01:57:39,485 --> 01:57:41,788 THAT WOULD MAKE THESE OTHER 3645 01:57:41,854 --> 01:57:44,957 PIECES KIND OF HIGHLY MOTIVATING 3646 01:57:45,024 --> 01:57:47,593 TO SHARE, YOU KNOW, I'M HIGHLY 3647 01:57:47,660 --> 01:57:50,663 MOTIVATED TO SHARE BECAUSE OF MY 3648 01:57:50,730 --> 01:57:51,864 SELF-INTEREST AT HELPING PEOPLE 3649 01:57:51,931 --> 01:57:52,865 SUFFERING WITH PAIN. 3650 01:57:52,932 --> 01:57:54,667 SO I THINK WE HAVE TO DETERMINE 3651 01:57:54,734 --> 01:57:56,602 WHAT ARE THE MOTIVATORS FOR 3652 01:57:56,669 --> 01:58:00,206 THESE OTHER SYSTEMS IN ORDER TO 3653 01:58:00,273 --> 01:58:02,275 GET THEM ENGAGED IN THE PROCESS 3654 01:58:02,341 --> 01:58:06,045 OF SHARING PIECES TO ENHANCE THE 3655 01:58:06,112 --> 01:58:06,813 GREATER SYSTEM. 3656 01:58:06,879 --> 01:58:10,383 >> I THINK THERE'S ALSO 3657 01:58:10,450 --> 01:58:12,385 INFRASTRUCTURES AND POLICIES AND 3658 01:58:12,452 --> 01:58:13,719 MOUs AND OTHER THINGS THAT CAN 3659 01:58:13,786 --> 01:58:16,322 BE SET UP TO ACTUALLY CREATE A 3660 01:58:16,389 --> 01:58:18,057 PRETTY COMPETITIVE SPACE, AND I 3661 01:58:18,124 --> 01:58:21,694 FIND THAT THESE ARE OFTEN NOT 3662 01:58:21,761 --> 01:58:22,795 NEGOTIATED AHEAD OF TIME WITH 3663 01:58:22,862 --> 01:58:24,864 GROUPS, BUT FOR EXAMPLE, IN 3664 01:58:24,931 --> 01:58:26,399 SPARC, WHEN WE WERE GETTING DATA 3665 01:58:26,466 --> 01:58:27,433 FROM THE SPARC PROGRAM, THERE 3666 01:58:27,500 --> 01:58:28,701 WAS A SHARED SPACE THAT 3667 01:58:28,768 --> 01:58:30,336 EVERYBODY HAD ACCESS TO. 3668 01:58:30,403 --> 01:58:31,771 THERE WAS ALSO AN AGREEMENT THAT 3669 01:58:31,838 --> 01:58:33,873 THINGS WOULD BE PUBLISHED IN A 3670 01:58:33,940 --> 01:58:34,974 CERTAIN TIME FRAME AND BEFORE 3671 01:58:35,041 --> 01:58:36,709 THAT, PEOPLE HAD ACCESS TO IT, 3672 01:58:36,776 --> 01:58:39,312 BUT UNDER A STRICT MOU AS TO HOW 3673 01:58:39,378 --> 01:58:40,346 IT WAS THAT YOU WERE ALLOWED TO 3674 01:58:40,413 --> 01:58:40,780 USE IT. 3675 01:58:40,847 --> 01:58:43,616 A COUPLE OF OUR OTHER PLATFORMS, 3676 01:58:43,683 --> 01:58:45,284 OPEN DATA COMMONS, ARE SET UP IN 3677 01:58:45,351 --> 01:58:45,818 THE SAME WAY. 3678 01:58:45,885 --> 01:58:48,020 SO I AGREE WITH YOU, LAURA, IT 3679 01:58:48,087 --> 01:58:49,355 SHOULD ALL BE AS OPEN AS 3680 01:58:49,422 --> 01:58:50,556 POSSIBLE, DISCLOSED AS 3681 01:58:50,623 --> 01:58:51,958 NECESSARY, BUT IN THE ABSENCE OF 3682 01:58:52,024 --> 01:58:53,292 THAT AND RECOGNITION OF OUR 3683 01:58:53,359 --> 01:58:55,261 CURRENT INCENTIVE SYSTEM, AND 3684 01:58:55,328 --> 01:58:58,130 THAT COMMERCIALIZATION IS PART 3685 01:58:58,197 --> 01:58:59,632 OF THAT -- THE GOALS THAT MAKING 3686 01:58:59,699 --> 01:59:02,502 SURE THAT THERE ARE HEAL-WIDE 3687 01:59:02,568 --> 01:59:03,703 POLICIES, DATA USE POLICIES IN 3688 01:59:03,769 --> 01:59:04,871 PLACE THAT EVERYBODY UNDERSTANDS 3689 01:59:04,937 --> 01:59:05,805 FROM THE BEGINNING. 3690 01:59:05,872 --> 01:59:08,107 AND I THINK EVERY NOW AND THEN, 3691 01:59:08,174 --> 01:59:12,845 YOU HEAR FA PHARMA SETTING UP 3692 01:59:12,912 --> 01:59:14,614 PRECOMPETITIVE SPACES, IT'S 3693 01:59:14,680 --> 01:59:15,815 QUITE CLEAR WHAT YOU'RE ALLOWED 3694 01:59:15,882 --> 01:59:17,316 TO DO AND NOT ALLOWED TO DO WITH 3695 01:59:17,383 --> 01:59:18,551 THAT DATA, BUT THAT'S ANOTHER 3696 01:59:18,618 --> 01:59:19,652 SORT OF AN OPTION, I THINK. 3697 01:59:19,719 --> 01:59:20,953 >> NO EASY QUESTIONS FOR THIS 3698 01:59:21,020 --> 01:59:21,153 PANEL. 3699 01:59:21,220 --> 01:59:22,522 >> NO. 3700 01:59:22,588 --> 01:59:24,090 >> THANK YOU, MICHAEL. 3701 01:59:24,156 --> 01:59:26,659 >> OH, OKAY. 3702 01:59:26,726 --> 01:59:29,929 SO I CAN DO ONE MORE QUESTION. 3703 01:59:29,996 --> 01:59:30,696 SO IF YOU WANT TO COME UP AND 3704 01:59:30,763 --> 01:59:33,432 TALK TO US AFTER, THAT WOULD BE 3705 01:59:33,499 --> 01:59:33,766 FANTASTIC. 3706 01:59:33,833 --> 01:59:35,535 WE CAN HANG OUT FOR A MINUTE. 3707 01:59:35,601 --> 01:59:37,837 BUT GO AHEAD, I THINK WERE YOU 3708 01:59:37,904 --> 01:59:39,338 UP AT THE MICROPHONE FIRST. 3709 01:59:39,405 --> 01:59:43,876 >> THANK SO MUCH, BRIAN, 3710 01:59:43,943 --> 01:59:45,177 PHYSICIAN SCIENTIST FROM BOSTON. 3711 01:59:45,244 --> 01:59:46,612 I REALLY APPLAUD THESE EFFORTS, 3712 01:59:46,679 --> 01:59:49,348 I FEEL LIKE THEY'RE THE ONLY WAY 3713 01:59:49,415 --> 01:59:51,984 FORWARD TO -- CAPTURE DATA IN 3714 01:59:52,051 --> 01:59:52,752 LARGE POPULATIONS. 3715 01:59:52,818 --> 01:59:55,955 IN MY TREATING CAPACITY, I'M 3716 01:59:56,022 --> 01:59:59,058 JUST U FRUSTRATED BY HOW LITTLE 3717 01:59:59,125 --> 02:00:00,459 DATA WE CAPTURE AND I'M 3718 02:00:00,526 --> 02:00:01,427 WONDERING, IS THERE A WAY TO 3719 02:00:01,494 --> 02:00:03,396 EXPAND THESE EFFORTS TO HAVE, 3720 02:00:03,462 --> 02:00:05,498 FOR EXAMPLE, CAPTURING DATA AND 3721 02:00:05,565 --> 02:00:07,266 THE USE OF DATA AS PART OF 3722 02:00:07,333 --> 02:00:08,834 CLINICAL REIMBURSEMENT, OR IS 3723 02:00:08,901 --> 02:00:13,205 THERE SOME WAY TO REALLY DRIVE 3724 02:00:13,272 --> 02:00:16,375 TREATING PHYSICIANS TO PROVIDE 3725 02:00:16,442 --> 02:00:19,011 DATA THAT THEN CAN BE USED SO 3726 02:00:19,078 --> 02:00:21,314 THAT OUR ANALYSES OF INVENTIONS 3727 02:00:21,380 --> 02:00:25,585 WHERE YOU HAVE A MILLION 3728 02:00:25,651 --> 02:00:26,686 EPIDURAL STEROID INJECTIONS DONE 3729 02:00:26,752 --> 02:00:28,321 PER YEAR BUT REALLY SMALL 3730 02:00:28,387 --> 02:00:30,289 STUDIES DOCUMENTING THEIR 3731 02:00:30,356 --> 02:00:31,057 EFFICACY, THOSE SITUATIONS CAN 3732 02:00:31,123 --> 02:00:36,495 BE IMPROVED. 3733 02:00:36,562 --> 02:00:39,365 >> I AGREE. 3734 02:00:39,432 --> 02:00:40,433 UM, I WOULDN'T BE SITTING HERE 3735 02:00:40,499 --> 02:00:45,371 IF I WASN'T A BIG FAN OF DATA 3736 02:00:45,438 --> 02:00:48,341 COLLECTION AND STANDARDIZATION. 3737 02:00:48,407 --> 02:00:52,812 I THINK THAT THERE'S SO MANY 3738 02:00:52,878 --> 02:00:54,013 CHALLENGES WITH GETTING -- I 3739 02:00:54,080 --> 02:00:55,815 FEEL LIKE THERE'S BEEN YEARS AND 3740 02:00:55,881 --> 02:00:57,984 YEARS WHERE PEOPLE HAVE TRIED TO 3741 02:00:58,050 --> 02:01:02,622 INTEGRATE PROs INTO PRACTICE 3742 02:01:02,688 --> 02:01:05,324 AND EVEN INTO EVALUATION OF 3743 02:01:05,391 --> 02:01:06,525 CLINICIAN OUTCOMES, AND I WANT 3744 02:01:06,592 --> 02:01:07,960 TO ALMOST FLIP IT A ILL WILL BIT 3745 02:01:08,027 --> 02:01:11,564 AND SAY, LIKE, MAYBE THE WAY TO 3746 02:01:11,631 --> 02:01:14,000 GET THE CHANGE IS MORE 3747 02:01:14,066 --> 02:01:15,735 ENGAGEMENT IN THE INDIVIDUALS' 3748 02:01:15,801 --> 02:01:16,702 LIVED EXPERIENCE AND WHAT THEIR 3749 02:01:16,769 --> 02:01:19,405 EXPERIENCE IS IN GETTING -- 3750 02:01:19,472 --> 02:01:20,373 FILLING OUT THOSE 3751 02:01:20,439 --> 02:01:21,574 QUESTIONNAIRES, GETTING THESE 3752 02:01:21,641 --> 02:01:24,076 MEASURES, GETTING QUANTIFIABLE 3753 02:01:24,143 --> 02:01:25,778 OUTCOMES, BECAUSE WHEN THEY COME 3754 02:01:25,845 --> 02:01:29,815 IN, THERE'S SO MUCH AMBIGUITY 3755 02:01:29,882 --> 02:01:31,250 REGARDING HOW MUCH THIS 3756 02:01:31,317 --> 02:01:32,018 PARTICULAR INJECTION OR 3757 02:01:32,084 --> 02:01:34,086 TREATMENT IS GOING TO WORK FOR 3758 02:01:34,153 --> 02:01:36,956 THEIR PARTICULAR PAIN PROBLEM. 3759 02:01:37,023 --> 02:01:38,391 SO I WONDER IF PART OF THE WAY 3760 02:01:38,457 --> 02:01:42,328 THAT WE CAN SHIFT THE PROCESS IS 3761 02:01:42,395 --> 02:01:44,764 BY ENGAGING MORE WITH 3762 02:01:44,830 --> 02:01:45,631 INDIVIDUALS WITH LIVED 3763 02:01:45,698 --> 02:01:47,500 EXPERIENCE TO GET THEIR TAKE ON 3764 02:01:47,566 --> 02:01:49,568 HOW IMPORTANT IT IS TO THEM TO 3765 02:01:49,635 --> 02:01:51,570 HAVE THIS, AND MAYBE THAT WOULD 3766 02:01:51,637 --> 02:01:52,538 SHIFT THE CONVERSATION AND GET 3767 02:01:52,605 --> 02:01:57,610 PEOPLE MORE MOTIVATED TO CHANGE. 3768 02:01:57,677 --> 02:01:58,444 >> OKAY. 3769 02:01:58,511 --> 02:02:00,579 I THINK IT'S TIME FOR LUNCH. 3770 02:02:00,646 --> 02:02:02,014 TAMARA IS TELLING US TO WRAP UP. 3771 02:02:02,081 --> 02:02:02,982 SO COME SEE US AT THE BOOTH. 3772 02:02:03,049 --> 02:02:04,216 WE'LL BE THERE TO ANSWER 3773 02:02:04,283 --> 02:02:04,483 QUESTIONS. 3774 02:02:04,550 --> 02:02:05,117 THANK YOU ALL FOR YOUR 3775 02:02:05,184 --> 02:02:10,823 ATTENTION. 3776 02:02:10,890 --> 02:02:12,658 >> SO THANKS TO JESS AND ALL THE 3777 02:02:12,725 --> 02:02:12,925 PANELISTS. 3778 02:02:12,992 --> 02:02:14,093 THAT WAS A GREAT PRESENTATION. 3779 02:02:14,160 --> 02:02:15,961 I THINK THIS MORNING WE'VE ALL 3780 02:02:16,028 --> 02:02:17,396 ENJOYED LEARNING MORE ABOUT 3781 02:02:17,463 --> 02:02:19,465 RELATIONSHIP INFRASTRUCTURE AND 3782 02:02:19,532 --> 02:02:20,566 DATA INFRASTRUCTURE. 3783 02:02:20,633 --> 02:02:21,767 WE ARE NOW GOING TO BREAK FOR 3784 02:02:21,834 --> 02:02:24,737 LUNCH FOR AN HOUR AND A HALF. 3785 02:02:24,804 --> 02:02:26,605 LUNCH IS ON YOUR OWN. 3786 02:02:26,672 --> 02:02:28,741 THERE'S A GRAB AND GO OPTION IN 3787 02:02:28,808 --> 02:02:29,442 THE FOYER. 3788 02:02:29,508 --> 02:02:31,610 THERE'S ALSO THE HOTEL 3789 02:02:31,677 --> 02:02:32,478 RESTAURANT AND OTHER RESTAURANTS 3790 02:02:32,545 --> 02:02:34,580 WITHIN WALKING DISTANCE AT PIKE 3791 02:02:34,647 --> 02:02:35,815 AND ROSE. 3792 02:02:35,881 --> 02:02:37,116 JUST IF YOU REGISTERED FOR THE 3793 02:02:37,183 --> 02:02:38,984 LIVED AND LIVING EXPERIENCE 3794 02:02:39,051 --> 02:02:40,286 COMMUNITY NETWORKING SESSION, 3795 02:02:40,352 --> 02:02:43,689 PLEASE HEAD DOWN TO THE GLEN 3796 02:02:43,756 --> 02:02:44,123 ECHO ROOM. 3797 02:02:44,190 --> 02:02:45,558 THIS IS IN THE LOWER LEVEL. 3798 02:02:45,624 --> 02:02:48,494 AND IF YOU ORDERED LUNCH, IT 3799 02:02:48,561 --> 02:02:49,829 WILL BE DELIVERED TO YOU THERE. 3800 02:02:49,895 --> 02:02:52,231 WE'LL RECONVENE BACK AT 1:30 FOR 3801 02:02:52,298 --> 02:02:53,399 AFTERNOON PLENARY, AND IF YOU 3802 02:02:53,466 --> 02:02:55,201 HAVE ANY QUESTIONS, JUST SEE THE 3803 02:02:55,267 --> 02:02:55,634 REGISTRATION DESK. 3804 02:02:55,701 SO ENJOY YOUR LUNCH.