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>> GOOD MORNING, EVERYONE.

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WE'RE GOING TO GO AHEAD AND GET 

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STARTED.

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MY NAME IS NAHIDA CHAKHTOURA FOR

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T

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THE IMPROVE INITIATIVE AND WE 

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LOOK FORWARD TO HEARING AND TO 

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HEAR WHAT YOU HAVE PLANNED.

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THE IMPROVE INITIATIVE IS CO-LED

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BY THE DIRECTOR OF THE EUNICE 

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KENNEDY SHRIVER NATIONAL 

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INSTITUTE OF CHILD HEALTH AND 

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HUMAN DEVELOPMENT DIANA BIANCHI 

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AND DR. JANINE CLAYTON AND THE 

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DIRECTOR OF THE NATIONAL 

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INSTITUTE OF NURSING RESEARCH, 

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DR. SHANNON ZENK.

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DR. CLAYTON AND DR. BIANCHI WILL

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KICK US OFF TODAY SHORTLY AND SO

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I'D LIKE TO INTRODUCE THEM NOW.

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DR. ZENK WILL PROVIDE OPENING 

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REMARKS TOMORROW MORNING.

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DR. CLAYTON WILL PROVIDE US WITH

24
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THE BACKGROUND AND HISTORY ON 

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IMPROVE.

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SHE HAS BEEN THE DIRECTOR OF THE

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OFFICE OF RESEARCH ON WOMEN'S 

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HEALTH SINCE 2012.

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IN THAT ROLE SHE WORKS TO 

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STRENGTHEN SUPPORT FOR NIH 

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RESEARCH ON DISEASES, DISORDERS 

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AND CONDITIONS THAT AFFECT WOMEN

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AND OVERSEES STRATEGIC 

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COORDINATION OF NIH-WIDE EFFORTS

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TO MEET THAT MISSION.

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PREVIOUSLY, DR. CLAYTON WAS 

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DEPUTY CLINICAL DIRECTOR OF THE 

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NATIONAL EYE INSTITUTE AND IS A 

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BOARD CERTIFIED OPHTHALMOLOGIST.

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HER RESEARCH INTERESTS INCLUDE 

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AUTO IMMUNE OCULAR DISEASES AND 

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THE ROLE OF SEX AND GENDER IN 

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HEALTH AND DISEASE.

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FOLLOWING DR. CLAYTON, 

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DR. BIANCHI WILL PROVIDE 

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EXCITING UPDATES ON THE RADX 

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TECH FOR MATERNAL HEALTH 

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CHALLENGE ANNOUNCING WINNERS.

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IN HER ROLE AS THE NICHD 

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DIRECTOR, DR. BIANCHI OVERSEES 

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THE INSTITUTE'S APPROXIMATELY 

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$1.7 BILLION RESEARCH EFFORTS ON

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PEDIATRIC HEALTH AND 

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DEVELOPMENT, MATERNAL AND 

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REPRODUCTIVE HEALTH, 

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INTELLECTUAL AND DEVELOPMENTAL 

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ABILITIES AND REHAB MEDICINE 

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AMONG OTHER AREAS.

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SHE IS BOARD CERTIFIED IN 

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PEDIATRICS AND PERINATAL 

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MEDICINE AND GENITAL GENETICS 

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AND GENOMICS AND LEADS AN 

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INTRAMURAL RESEARCH LABORATORY 

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IN THE CENTER FOR PRECISION 

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HEALTH, RESEARCH AT THE NATIONAL

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HUMAN GENOMIC RESEARCH INSTITUTE

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WHERE PART OF THE RESEARCH 

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FOCUSES ON PRENATAL GENOMICS 

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WITH THE GOAL OF ADVANCING 

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NON-INVASIVE PRENATAL SCREENING 

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AND DIAGNOSIS.

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DR. CLAYTON, I TURN THE MEETING 

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OVER TO YOU.

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>> THANK YOU, SO MUCH DR.
NAH 

75
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CHAKTOURA.

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MATERNAL MORTALITY ARE OUR TOPIC

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AND WE'RE THRILLED TO BE ABLE TO

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SHARE THE EFFORTS OF THE IMPROVE

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INITIATIVE.

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THIS TOPIC IN THE UNITED STATES,

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UNFORTUNATELY THE DATA SHOW IT'S

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INCREASED IN RECENT YEARS AND WE

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KNOW THE DATA INDICATE THE 

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UNITED STATES IS ONE OF THE 

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HIGHEST MORTALITY RATES AND HALF

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THE DEATHS OCCUR POSTPARTUM 

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WITHIN ONE YEAR OF PREGNANCY 

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ENDING AND NEED TO BE MINDFUL OF

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FACTORS OUTSIDE LABOR AND 

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DELIVERY THAT CAN LEAD TO 

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MORTALITY.

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AS MANY AS 84% OF 

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PREGNANCY-RELATES DEATHS MAY BE 

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PREVENTIBLE AND EVEN MORE IN 

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SOME POPULATIONS.

96
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WE ALSO KNOW THE MAJOR CAUSES OF

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MATERNAL MORTALITY CAN VARY IN 

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POPULATIONS OF DIFFERENT RACES 

99
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AND ETHNICITY AND WHEN IMPROVE 

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BEGAN WE FOCUSSED ON THE 

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00:04:48,788 --> 00:04:50,457
PREVIOUSLY KNOWN FACTORS SUCH AS

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CARDIOVASCULAR DISEASE AND 

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COMPLICATIONS OF HEMORRHAGE BUT 

104
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RECENT DATA FROM MATERNAL 

105
00:04:57,197 --> 00:04:58,331
MORTALITY REVIEW COMMITTEES 

106
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DESCRIBE NOTABLE CONTRIBUTING 

107
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CAUSES OF MATERNAL DEATH 

108
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INCLUDING DISCRIMINATION, MENTAL

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HEALTH CONDITIONS, SUBSTANCE USE

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DISORDERS AND OBESITY.

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SO THE CAUSES AND CONTRIBUTING 

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FACTORS RELATED TO MATERNAL 

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MORTALITY ARE IN FACT 

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MULTI-FACTORIAL.

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AS THE IMPROVE PROGRAM EVOLVES 

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OVER TIME WE'RE CONSIDERING HOW 

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WE CAN INCORPORATE THAT NEW 

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INFORMATION.

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MATERNAL MORTALITY DATA FROM THE

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CDC FROM 2021 AND 2022 SHOW 

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CLEAR DISPARITIES IN MATERNAL 

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MORTALITY WHICH IS UNFORTUNATELY

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NOT NEW DATA PARTICULARLY WITH 

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HIGHER RATES AMONG BLACK WOMEN.

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WOMEN AGED 40 AND OLDER ARE AT 

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HIGHER RISK FOR MATERNAL 

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MORTALITY.

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WE DID SEE A SLIGHT REDUCTION IN

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MATERNAL MORTALITY FROM 2021 TO 

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2022 AND LIKELY INDICATIVE OF 

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RECOVERY FROM AN INCREASE FROM 

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THE COVID-19 PANDEMIC THE PEAK 

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AND A PERIOD OF TIME WHEN WOMEN 

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MISSED MANY PRENATAL 

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APPOINTMENTS AND EXPERIENCED 

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HIGHER MORTALITY RATES DUE TO 

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COVID INFECTION.

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THE NIH IMPROVE INITIATIVE IS 

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NIH'S RESPONSE TO REDUCE 

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MATERNAL MORBIDITY AND MORTALITY

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AND ADDRESSING IT ON MANY 

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LEVELS.

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IMPROVE BEGAN IN 2019 WITH 

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COLLABORATION WITH THE INSTITUTE

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CENTERS AND OFFICES.

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IMPROVE AIMS TO REDUCE 

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PREVENTIBLE CAUSES OF MATERNAL 

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MORBIDITY AND MORTALITY AND 

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BUILDING CAPACITY AND RESEARCH 

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ORGANIZATIONS AND EXPANDING 

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IMPLEMENTATION OF EVIDENCE-BASED

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MATERNAL HEALTH CARE PRACTICES 

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BEFORE, DURING AND AFTER 

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PREGNANCY AND ADDRESSING 

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DISPARITIES IN MATERNAL HEALTH 

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OUTCOMES.

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THESE CRITICAL AIMS REQUIRE ALL 

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OF YOU, ALL OF US, WITHOUT YOUR 

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CONTRIBUTIONS IN THOSE EFFORTS 

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WE WILL NOT BE ABLE TO ACHIEVE 

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THESE GOALS.

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IMPROVE IS A MULTI-PRONGED 

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EFFORT.

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ONE AREA IS ON DISSEMINATION AND

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IMPLEMENTATION RESEARCH TO MAKE 

166
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SURE EVIDENCE-BASED 

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INTERVENTIONS CAN BE 

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SUCCESSFULLY IMPLEMENTS IN 

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COMMUNITIES WHERE THEY'RE NEEDED

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MOST.

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ANOTHER INVESTMENT CREATED 

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LONGITUDINAL HEALTH RECORDS 

173
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CREATING LINKAGES ACROSS 

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PREGNANCY TO ALLOW FOR 

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ADDITIONAL DATA ANALYSIS.

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A MAJOR COMPONENT OF THE IMPROVE

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PROGRAM IS THE MATERNAL HEALTH 

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RESEARCH CENTERS OF EXCELLENCE 

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PROGRAM.

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WE AWARDED 10 RESEARCH CENTERS 

181
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IN 2023 AND JUST ANNOUNCED TWO 

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MORE RESEARCH CENTERS IN 2024.

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WE ALSO HAVE THE IMPROVE 

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COMMUNITY IMPLEMENTATION PROGRAM

185
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THAT IS WORKING IN CLOSE 

186
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PARTNERSHIP WITH COMMUNITIES ON 

187
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IMPLEMENTATION SCIENCE.

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THE IMPROVE INITIATIVE IS ALSO 

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SUPPORTED INNOVATIVE RESEARCH 

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THROUGH TWO CHALLENGES.

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YOU'LL HEAR MORE ABOUT THE RADX 

192
00:08:06,186 --> 00:08:08,221
TECH FROM DR. BIANCHI IN JUST A 

193
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MOMENT.

194
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THIS MAP DEPICTS THE 

195
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GEOGRAPHICAL SPREAD OF THE 

196
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IMPROVE PROGRAM.

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THE AIM IS TO CENTER IMPROVE 

198
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PROGRAMS IN THE AREAS AND 

199
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POPULATIONS MOST HIGHLY IMPACTED

200
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BY MATERNAL MORBIDITY AND 

201
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MORTALITY AND HERE YOU CAN SEE 

202
00:08:24,571 --> 00:08:25,538
THE LOCATIONS AND GEOGRAPHIC 

203
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BREADTH OF THE PROJECTS FOR THE 

204
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MULTIPLE IMPROVE COMPONENTS 

205
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INCLUDING THE MATERNAL HEALTH 

206
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RESEARCH CENTERS OF EXCELLENCE 

207
00:08:40,453 --> 00:08:42,021
HUBS AND MATERNAL HEALTH 

208
00:08:42,021 --> 00:08:42,288
CHALLENGE.

209
00:08:42,288 --> 00:08:43,490
WE'LL NOW HEAR FROM FROM BIANCHI

210
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TO TALK ABOUT THE IMPROVE RAPID 

211
00:08:47,594 --> 00:08:53,933
ACCELERATION OF DIAGNOSTICS AND 

212
00:08:53,933 --> 00:08:55,335
HEAR EXCITING UPDATES ABOUT THE 

213
00:08:55,335 --> 00:08:55,802
PROGRAM.

214
00:08:55,802 --> 00:08:57,237
OVER TO YOU, DR. BIANCHI.

215
00:08:57,237 --> 00:08:59,038
>> THANK YOU, DR. CLAYTON.

216
00:08:59,038 --> 00:09:02,876
GOOD MORNING TO EVERYONE IN THE 

217
00:09:02,876 --> 00:09:03,143
AUDIENCE.

218
00:09:03,143 --> 00:09:06,713
CONGRATULATIONS ON BECOMING PART

219
00:09:06,713 --> 00:09:08,381
OF THE IMPROVE INITIATIVE, 

220
00:09:08,381 --> 00:09:09,416
GETTING YOUR RESEARCH FUNDED AND

221
00:09:09,416 --> 00:09:11,418
WE'RE SO EXCITED TO HEAR ABOUT 

222
00:09:11,418 --> 00:09:13,586
YOUR SUCCESSES AND CHALLENGES 

223
00:09:13,586 --> 00:09:18,925
OVER THE PAST FEW YEARS.

224
00:09:18,925 --> 00:09:22,595
SO I LIKE TO SHOW THIS SLIDE 

225
00:09:22,595 --> 00:09:28,067
BECAUSE IT REALLY GRAPHICICLY 

226
00:09:28,067 --> 00:09:29,936
DEMONSTRATES THE PROBLEM IN THE 

227
00:09:29,936 --> 00:09:33,406
UNITED STATES -- GRAPHICALLY 

228
00:09:33,406 --> 00:09:34,340
DEMONSTRATES THE PROBLEM IN THE 

229
00:09:34,340 --> 00:09:35,742
UNITED STATES THE LACK TO 

230
00:09:35,742 --> 00:09:37,177
ACCESS.

231
00:09:37,177 --> 00:09:40,346
35 COUNTIES ARE IN MATERNITY 

232
00:09:40,346 --> 00:09:42,081
CARE DESERTS WHICH LACK 

233
00:09:42,081 --> 00:09:44,284
EXPERTISE IN OBSTETRIC CARE.

234
00:09:44,284 --> 00:09:47,053
THE MOST CONCERNING SITES ARE 

235
00:09:47,053 --> 00:09:50,623
INDICATED IN PINK-RED.

236
00:09:50,623 --> 00:09:55,028
WE KNOW THAT 2.3 MILLION WOMEN 

237
00:09:55,028 --> 00:09:56,629
OF REPRODUCTIVE AGE LIVE IN 

238
00:09:56,629 --> 00:09:58,331
MATERNAL CARE DESERTS IN THE 

239
00:09:58,331 --> 00:10:00,467
U.S. AND MORE THAN 150,000 

240
00:10:00,467 --> 00:10:02,702
BABIES BORN TO BIRTHING PEOPLE 

241
00:10:02,702 --> 00:10:03,570
ARE LIVING IN MATERNAL CARE 

242
00:10:03,570 --> 00:10:05,505
DESERTS AND THIS IS A GREAT 

243
00:10:05,505 --> 00:10:10,343
CONCERN FOR ALL OF US.

244
00:10:10,343 --> 00:10:12,112
I'M OFTEN ASKED WHEN I MEET WITH

245
00:10:12,112 --> 00:10:13,813
MEMBERS OF CONGRESS WHAT ARE WE 

246
00:10:13,813 --> 00:10:17,984
GOING TO REDUCE THE NUMBERS OF 

247
00:10:17,984 --> 00:10:19,185
MATERNAL DEATHS AND ONE THING 

248
00:10:19,185 --> 00:10:22,222
THAT WE CAN DO IS TO TRY TO 

249
00:10:22,222 --> 00:10:25,258
EXTENT THE NETWORK OF OBSTETRIC 

250
00:10:25,258 --> 00:10:27,594
CARE THROUGH HOME-BASED OR 

251
00:10:27,594 --> 00:10:29,062
POINTS OF CARE DIAGNOSTIC 

252
00:10:29,062 --> 00:10:31,631
DEVICES, WEARABLES AND OTHER 

253
00:10:31,631 --> 00:10:33,733
REMOTE SENSING TECHNOLOGIES.

254
00:10:33,733 --> 00:10:37,370
I'M PLEASED TO ANNOUNCE NOW THE 

255
00:10:37,370 --> 00:10:38,838
WINNERS OF THE ENTIRE CHALLENGE 

256
00:10:38,838 --> 00:10:41,708
BUT WE HAVE CONTRIBUTED THROUGH 

257
00:10:41,708 --> 00:10:43,476
THE IMPROVE INITIATIVE UP TO $8 

258
00:10:43,476 --> 00:10:45,011
MILLION IN PRIZES AWARDED 

259
00:10:45,011 --> 00:10:55,154
THROUGH SEVERAL PHASES.

260
00:10:55,154 --> 00:10:57,957
IT'S AN INNOVATION FUNNEL USED 

261
00:10:57,957 --> 00:11:00,393
DURING THE COVID PANDEMIC TO 

262
00:11:00,393 --> 00:11:03,129
DEVELOP THE HOME-BASED POINT OF 

263
00:11:03,129 --> 00:11:03,863
CARE TECHNOLOGIES I'M SURE YOU 

264
00:11:03,863 --> 00:11:05,899
USED YOURSELF TO TEST FOR COVID.

265
00:11:05,899 --> 00:11:07,333
SEVERAL YEARS AGO WE GOT 

266
00:11:07,333 --> 00:11:12,372
PROPOSALS FROM INNOVATORS, 84 ED

267
00:11:12,372 --> 00:11:14,107
AND 25 ELIGIBLE.

268
00:11:14,107 --> 00:11:15,575
THEY WENT THROUGH AND WENT 

269
00:11:15,575 --> 00:11:18,444
THROUGH A VARIETY OF STAGES 

270
00:11:18,444 --> 00:11:20,580
WHERE THEY WERE JUDGED FOR 

271
00:11:20,580 --> 00:11:23,583
PRACTICAL ISSUES, VIABILITY AND 

272
00:11:23,583 --> 00:11:26,519
MOST RECENTLY WHETHER THE 

273
00:11:26,519 --> 00:11:29,689
TECHNOLOGY COULD BE SUCCESSFULLY

274
00:11:29,689 --> 00:11:31,391
APPLIED TO REAL PEOPLE.

275
00:11:31,391 --> 00:11:33,092
WE ARE NOW TRANSITIONING THE 

276
00:11:33,092 --> 00:11:35,595
TECHNOLOGIES TO NIH NETWORKS FOR

277
00:11:35,595 --> 00:11:37,363
POTENTIAL CLINICAL STUDIES AND 

278
00:11:37,363 --> 00:11:37,931
IMPLEMENTATION OF RESEARCH 

279
00:11:37,931 --> 00:11:44,671
SUPPORT.

280
00:11:44,671 --> 00:11:46,839
SO, HERE WERE THE 10 FINALISTS.

281
00:11:46,839 --> 00:11:53,713
THEY ARE SUPPORTING, MONITORING 

282
00:11:53,713 --> 00:11:57,050
OF A RANGE OF ISSUES, ANEMIA, 

283
00:11:57,050 --> 00:11:59,586
HYPERTENSION, MENTAL HEALTH AND 

284
00:11:59,586 --> 00:12:00,386
POSTPARTUM HEMORRHAGE.

285
00:12:00,386 --> 00:12:04,057
AND NOW, DRUM ROLL, I'M PLEASED 

286
00:12:04,057 --> 00:12:05,391
TO ANNOUNCE THAT WE'VE SELECTED 

287
00:12:05,391 --> 00:12:07,060
OUR FINAL WINNERS AND RUNNERS UP

288
00:12:07,060 --> 00:12:09,829
FOR THE CHALLENGE AND I'D LIKE 

289
00:12:09,829 --> 00:12:12,632
TO THANK THE VARIOUS COMMITTEES 

290
00:12:12,632 --> 00:12:13,533
THAT PARTICIPATED IN EACH STAGE 

291
00:12:13,533 --> 00:12:17,570
OF THE CHALLENGE.

292
00:12:17,570 --> 00:12:21,674
SO I'D LIKE TO CONGRATULATE OUR 

293
00:12:21,674 --> 00:12:23,009
RADX TECH FOR MATERNAL HEALTH 

294
00:12:23,009 --> 00:12:25,645
GRAND PRIZE WINNERS EACH OF 

295
00:12:25,645 --> 00:12:30,650
WHOLE WILL RECEIVE $525,000 

296
00:12:30,650 --> 00:12:36,923
INCLUDING SIBEL HEALTH, CARDIEX 

297
00:12:36,923 --> 00:12:38,257
FOR THEIR WEARABLE BLOOD 

298
00:12:38,257 --> 00:12:43,663
PRESSURE MONITOR AND CARETAKER 

299
00:12:43,663 --> 00:12:49,669
MEDICAL AND SANGUINA AND 

300
00:12:49,669 --> 00:12:51,871
HEMOSONICS AND GLOBAL ACCESS 

301
00:12:51,871 --> 00:12:53,640
DIAGNOSTICS.

302
00:12:53,640 --> 00:12:56,776
THEY HAVE A POINT OF CARE 

303
00:12:56,776 --> 00:12:59,212
DIAGNOSTIC TO DETECT URINARY 

304
00:12:59,212 --> 00:13:00,246
TRACT INFECTION.

305
00:13:00,246 --> 00:13:02,081
THERE'S TWO RUNNERS UP RECEIVING

306
00:13:02,081 --> 00:13:04,784
$300,000 EACH.

307
00:13:04,784 --> 00:13:07,787
ONE IS MYLUA HEALTH CARE 

308
00:13:07,787 --> 00:13:10,223
MANAGEMENT USING A MOBILE 

309
00:13:10,223 --> 00:13:16,329
APPROACH AND PYRAMES A WEARABLE 

310
00:13:16,329 --> 00:13:17,897
BLOOD PRESSURE MONITOR.

311
00:13:17,897 --> 00:13:20,199
THE OTHER TWO IF YOU'RE KEEPING 

312
00:13:20,199 --> 00:13:23,603
TRACK WERE CONSIDERED TO BE 

313
00:13:23,603 --> 00:13:26,839
INELIGIBLE FOR THE FINAL PRIZES.

314
00:13:26,839 --> 00:13:29,308
OUR SO OUR ASPIRATIONAL GOAL IS 

315
00:13:29,308 --> 00:13:31,577
TO LEVERAGE THE IN-PERSON 

316
00:13:31,577 --> 00:13:34,347
ATTENDANCE OF THOSE IN THE 

317
00:13:34,347 --> 00:13:43,389
AUDIENCE WHO ARE RADX TECH 

318
00:13:43,389 --> 00:13:45,925
FINALISTS AND CONNECTING TO THE 

319
00:13:45,925 --> 00:13:47,527
TEAMS TO BRAIN STORM ABOUT 

320
00:13:47,527 --> 00:13:48,127
IMPLEMENTING THESE INNOVATIVE 

321
00:13:48,127 --> 00:13:50,430
TECHNOLOGIES.

322
00:13:50,430 --> 00:13:52,331
THEY WERE SELECTED BECAUSE THEY 

323
00:13:52,331 --> 00:13:54,267
HAVE GREAT POTENTIAL AND WE HOPE

324
00:13:54,267 --> 00:13:57,036
THE CENTERS OF EXCELLENCE WILL 

325
00:13:57,036 --> 00:13:59,305
DEVELOP WAYS TO TEST THEM IN 

326
00:13:59,305 --> 00:13:59,806
LARGER AND MORE DIVERSE 

327
00:13:59,806 --> 00:14:02,341
POPULATIONS.

328
00:14:02,341 --> 00:14:03,876
SO WITH THAT, MAY I HAVE A NEXT 

329
00:14:03,876 --> 00:14:09,449
SLIDE, PLEASE.

330
00:14:09,449 --> 00:14:12,719
NOW I'M GOING TO TURN THE 

331
00:14:12,719 --> 00:14:15,254
MEETING OVER TO OUR MEMBERS OF 

332
00:14:15,254 --> 00:14:15,521
CONGRESS.

333
00:14:15,521 --> 00:14:17,290
I'D LIKE TO INTRODUCE THE 

334
00:14:17,290 --> 00:14:17,523
VIDEOS.

335
00:14:17,523 --> 00:14:20,393
I ALSO WANT TO ENCOURAGE ALL THE

336
00:14:20,393 --> 00:14:22,095
MEETING PARTICIPANTS TO LISTEN 

337
00:14:22,095 --> 00:14:23,529
TO THE LIGHTNING TALKS ABOUT 

338
00:14:23,529 --> 00:14:27,166
THESE DEVICES AND APPLICATIONS 

339
00:14:27,166 --> 00:14:28,501
IF YOU'RE IN PERSON, PLEASE 

340
00:14:28,501 --> 00:14:30,603
CHECK OUT THE LIVE 

341
00:14:30,603 --> 00:14:32,171
DEMONSTRATIONS DURING THE POSTER

342
00:14:32,171 --> 00:14:32,872
SESSIONS.

343
00:14:32,872 --> 00:14:35,074
PLEASE TAKE ADVANTAGE OF BEING 

344
00:14:35,074 --> 00:14:39,579
IN PERSON TO TALK WITH OTHER 

345
00:14:39,579 --> 00:14:41,380
MEMBERS OF THE IMPROVE 

346
00:14:41,380 --> 00:14:43,583
INITIATIVE FAMILY, SO TO SPEAK, 

347
00:14:43,583 --> 00:14:45,885
TO TALK ABOUT WAYS YOU CAN 

348
00:14:45,885 --> 00:14:47,019
COLLABORATE AND INTEGRATE.

349
00:14:47,019 --> 00:14:48,588
WE'VE HAD GREAT SUCCESS DOING 

350
00:14:48,588 --> 00:14:51,591
THAT WITH SOME OF OUR OTHER 

351
00:14:51,591 --> 00:14:52,959
CHALLENGES.

352
00:14:52,959 --> 00:14:55,561
AND NOW I BELIEVE I'M GOING TO 

353
00:14:55,561 --> 00:14:59,332
INTRODUCE VIDEO REMARKS FROM TWO

354
00:14:59,332 --> 00:15:01,000
CONGRESSIONAL SUPPORTERS OF 

355
00:15:01,000 --> 00:15:03,369
IMPROVE BUT THE SLIDE SAYS 

356
00:15:03,369 --> 00:15:03,736
JANINE CLAYTON.

357
00:15:03,736 --> 00:15:08,474
ARE WE READY WITH THE VIDEOS?

358
00:15:08,474 --> 00:15:09,876
LET ME INTRODUCE OUR CHAMPIONS 

359
00:15:09,876 --> 00:15:11,677
OF IMPROVE AT CONGRESS.

360
00:15:11,677 --> 00:15:15,448
ONE IS SENATOR BUTLER WHO SERVED

361
00:15:15,448 --> 00:15:17,150
AS THE UNITED STATES SENATOR 

362
00:15:17,150 --> 00:15:19,051
FROM CALIFORNIA SINCE 2023.

363
00:15:19,051 --> 00:15:22,355
AND IS COMMITTED TO IMPROVING 

364
00:15:22,355 --> 00:15:25,458
MATERNAL HEALTH OUTCOMES.

365
00:15:25,458 --> 00:15:27,693
REPRESENTATIVE UNDERWOOD HAS 

366
00:15:27,693 --> 00:15:28,694
SERVED AS UNITED STATES 

367
00:15:28,694 --> 00:15:31,964
REPRESENTATIVE FROM ILLINOIS 

368
00:15:31,964 --> 00:15:32,965
SINCE 2019.

369
00:15:32,965 --> 00:15:34,200
REPRESENTATIVE UNDERWOOD HAS 

370
00:15:34,200 --> 00:15:36,869
BEEN A MAJOR CHAMPION FOR THE 

371
00:15:36,869 --> 00:15:43,643
IMPROVE INITIATIVE SINCE THE 

372
00:15:43,643 --> 00:15:50,917
INCEPTION AND MEMBER BLACK 

373
00:15:50,917 --> 00:15:51,150
CAUCUS.

374
00:15:51,150 --> 00:15:54,387
ALONGSIDE REPRESENTATIVE ADAMS 

375
00:15:54,387 --> 00:15:57,223
AND BOOKER HAVE AN OMNIBUS ACT 

376
00:15:57,223 --> 00:16:01,460
TO ADDRESS EVERY DRIVER OF 

377
00:16:01,460 --> 00:16:03,396
MATERNAL MORBIDITY AND MORTALITY

378
00:16:03,396 --> 00:16:05,064
IN THE UNITED STATES.

379
00:16:05,064 --> 00:16:05,998
SENATOR BUTLER AND 

380
00:16:05,998 --> 00:16:07,166
REPRESENTATIVE UNDERWOOD ARE 

381
00:16:07,166 --> 00:16:10,203
ALSO THE SPONSORS OF THE IMPROVE

382
00:16:10,203 --> 00:16:12,238
ACT WHICH WOULD AUTHORIZE FUNDS 

383
00:16:12,238 --> 00:16:15,608
FOR THE NIH IMPROVE INITIATIVE.

384
00:16:15,608 --> 00:16:20,680
WE'RE TRULY GRATEFUL FOR THEIR 

385
00:16:20,680 --> 00:16:22,148
COMMITMENT TO REDUCING MATERNAL 

386
00:16:22,148 --> 00:16:24,050
MORBIDITY AND MORTALITY AND 

387
00:16:24,050 --> 00:16:25,785
HONORED THEY SHARED THEIR 

388
00:16:25,785 --> 00:16:28,754
REMARKS BY VIDEO TODAY TO MARK 

389
00:16:28,754 --> 00:16:29,388
THE SPECIAL ANNIVERSARY 

390
00:16:29,388 --> 00:16:29,989
OCCASION.

391
00:16:29,989 --> 00:16:31,591
HOPEFULLY, WE CAN NOW GO TO THE 

392
00:16:31,591 --> 00:16:34,988
VIDEOS.

393
00:16:34,988 --> 00:16:37,324
 HELLO, AND THANK YOU TO NIH 

394
00:16:37,324 --> 00:16:39,960
FOR INVITING ME TO COMMEMORATE 

395
00:16:39,960 --> 00:16:41,628
THE IMPROVE INITIATIVE.

396
00:16:41,628 --> 00:16:44,197
IT'S GREAT TO SPEAK TO PAST AND 

397
00:16:44,197 --> 00:16:45,532
CURRENT AWARDEES AND MATERNAL 

398
00:16:45,532 --> 00:16:46,233
HEALTH EXPERTS ABOUT THE 

399
00:16:46,233 --> 00:16:48,969
IMPORTANT WORK OF THE IMPROVE 

400
00:16:48,969 --> 00:16:49,369
INITIATIVE.

401
00:16:49,369 --> 00:16:52,072
I'M PROUD TO BE AN IMPROVE 

402
00:16:52,072 --> 00:16:53,406
CHAMPION BECAUSE IT'S CRITICALLY

403
00:16:53,406 --> 00:16:56,409
IMPORTANT TO REDUCE PREVENTIBLE 

404
00:16:56,409 --> 00:16:58,912
CAUSES OF MATERNAL DEATHS AND TO

405
00:16:58,912 --> 00:17:00,614
IMPROVE HEALTH FOR WOMEN BEFORE,

406
00:17:00,614 --> 00:17:03,783
DURING AND AFTER PREGNANCY.

407
00:17:03,783 --> 00:17:05,452
ESPECIALLY IN COMMUNITIES OF 

408
00:17:05,452 --> 00:17:07,320
COLOR, YOUNG WOMEN, WOMEN OF 

409
00:17:07,320 --> 00:17:09,356
ADVANCED MATERNAL AGE AND FOR 

410
00:17:09,356 --> 00:17:11,892
PEOPLE WITH DISABILITIES.

411
00:17:11,892 --> 00:17:13,894
DESPITE BEING A DRIVING FORCE IN

412
00:17:13,894 --> 00:17:15,762
OUR ECONOMY, WORKING MOTHERS ARE

413
00:17:15,762 --> 00:17:17,430
FACING A HEALTH CARE SYSTEM THAT

414
00:17:17,430 --> 00:17:18,865
IS FAILING THEM.

415
00:17:18,865 --> 00:17:21,067
THE UNITED STATES HAS THE 

416
00:17:21,067 --> 00:17:23,803
HIGHEST MATERNAL MORTALITY RATE 

417
00:17:23,803 --> 00:17:24,938
AMONG DEVELOPED NATIONS.

418
00:17:24,938 --> 00:17:26,907
OVER THE PAST DECADE THOUSANDS 

419
00:17:26,907 --> 00:17:28,642
OF WOMEN HAVE LOST THEIR LIVES 

420
00:17:28,642 --> 00:17:30,810
DUE TO PREGNANCY RELATED 

421
00:17:30,810 --> 00:17:32,445
CAUTIONS AND FOR COMMUNITIES 

422
00:17:32,445 --> 00:17:34,314
THAT LACK MATERNAL HEALTH 

423
00:17:34,314 --> 00:17:36,549
RESOURCES, THIS CRISIS IS 

424
00:17:36,549 --> 00:17:37,284
DEVASTATING.

425
00:17:37,284 --> 00:17:39,552
IN FACT, ACCORDING TO A MARCH OF

426
00:17:39,552 --> 00:17:41,922
DIMES STUDY, ONE-THIRD OF ALL 

427
00:17:41,922 --> 00:17:43,690
COMMUNITIES IN THE COUNTRY ARE 

428
00:17:43,690 --> 00:17:45,859
MATERNAL CARE DESERTS.

429
00:17:45,859 --> 00:17:48,428
MEANING THERE ARE NO HOSPITALS 

430
00:17:48,428 --> 00:17:50,430
PROVIDING OBSTETRIC CARE, NO 

431
00:17:50,430 --> 00:17:52,032
OBSTETRIC PROVIDERS AND NO BIRTH

432
00:17:52,032 --> 00:17:52,499
CENTERS.

433
00:17:52,499 --> 00:17:58,038
THAT'S WHY I'M A PROUD CHAMPION 

434
00:17:58,038 --> 00:18:00,840
OF KAMALA HARRIS AND SENATOR 

435
00:18:00,840 --> 00:18:09,316
BOOKER'S OMNIBUS ACT SEEKING TO 

436
00:18:09,316 --> 00:18:11,117
ADDRESS THE CRISIS.

437
00:18:11,117 --> 00:18:13,286
I ALSO INTRODUCE THE NIH IMPROVE

438
00:18:13,286 --> 00:18:13,453
ACT.

439
00:18:13,453 --> 00:18:15,655
THIS BILL PROVIDES NIH THE 

440
00:18:15,655 --> 00:18:16,923
RESOURCES AND SUPPORT IT NEEDS 

441
00:18:16,923 --> 00:18:21,728
TO LOOK INTO AND DO THE 

442
00:18:21,728 --> 00:18:22,762
NECESSARY RESEARCH TO THE ROOT 

443
00:18:22,762 --> 00:18:25,498
CAUSES OF OUR COUNTRY'S MATERNAL

444
00:18:25,498 --> 00:18:26,566
MORTALITY CRISIS.

445
00:18:26,566 --> 00:18:28,268
THERE ARE HUGE GAPS IN MATERNAL 

446
00:18:28,268 --> 00:18:30,570
CARE ESPECIALLY ACROSS RACIAL 

447
00:18:30,570 --> 00:18:33,606
AND SOCIO ECONOMIC LINES AND THE

448
00:18:33,606 --> 00:18:35,208
NIH IMPROVE ACT WILL SUSTAIN 

449
00:18:35,208 --> 00:18:37,310
MUCH NEEDED RESEARCH TO BETTER 

450
00:18:37,310 --> 00:18:40,880
UNDERSTAND HOW WE CAN PROTECT 

451
00:18:40,880 --> 00:18:43,216
MOTHERS AND END PREVENTIBLE 

452
00:18:43,216 --> 00:18:44,084
MATERNAL DEATHS.

453
00:18:44,084 --> 00:18:46,086
OVER THE PAST FIVE YEARS THE 

454
00:18:46,086 --> 00:18:48,288
IMPROVE INITIATIVE HAS SUPPORTED

455
00:18:48,288 --> 00:18:49,756
MORE THAN 60 PROJECTS TO HELP 

456
00:18:49,756 --> 00:18:52,692
ADDRESS THE ROOT CAUSES OF 

457
00:18:52,692 --> 00:18:53,893
MATERNAL MORBIDITY.

458
00:18:53,893 --> 00:18:55,495
ADDITIONALLY, THE IMPROVE 

459
00:18:55,495 --> 00:18:56,997
INITIATIVE HAS SUPPORTED 12 

460
00:18:56,997 --> 00:18:59,199
RESEARCHERS CENTERS TO DEVELOP 

461
00:18:59,199 --> 00:19:00,834
AND EVALUATE INNOVATIVE 

462
00:19:00,834 --> 00:19:03,169
APPROACHES TO REDUCE 

463
00:19:03,169 --> 00:19:05,005
PREGNANCY-RELATED COMPLICATIONS 

464
00:19:05,005 --> 00:19:05,538
AND DEATH.

465
00:19:05,538 --> 00:19:08,775
SO CONGRATULATIONS ON FIVE YEARS

466
00:19:08,775 --> 00:19:10,710
AND THANK YOU FOR THE HARD WORK 

467
00:19:10,710 --> 00:19:13,313
OF THE PROJECTS THE IMPROVE 

468
00:19:13,313 --> 00:19:14,581
INITIATIVE HAS SUPPORTED TO 

469
00:19:14,581 --> 00:19:15,915
ADDRESS THE CARE CRISIS.

470
00:19:15,915 --> 00:19:19,152
I'M EXCITED TO SEE IMPROVE 

471
00:19:19,152 --> 00:19:21,087
DEVELOP AND SUPPORT FUTURE 

472
00:19:21,087 --> 00:19:22,155
INITIATIVES TO HELP REDUCE 

473
00:19:22,155 --> 00:19:23,690
HEALTH DISPARITIES.

474
00:19:23,690 --> 00:19:27,293
THANK YOU AGAIN FOR INVITING ME 

475
00:19:27,293 --> 00:19:28,061
TO COMMEMORATE THIS IMPORTANT 

476
00:19:28,061 --> 00:19:29,195
ANNIVERSARY WITH YOU TODAY AND 

477
00:19:29,195 --> 00:19:32,465
KNOW THAT I AM COMMITTED TO 

478
00:19:32,465 --> 00:19:33,600
EMPOWERING NIH WITH THE 

479
00:19:33,600 --> 00:19:35,935
RESOURCES IT NEEDS TO IMPROVE 

480
00:19:35,935 --> 00:19:37,303
HEALTH OUTCOMES FOR WOMEN ALL 

481
00:19:37,303 --> 00:19:47,647
ACROSS OUR COUNTRY.

482
00:19:50,050 --> 00:19:51,651
HI, EVERYBODY.

483
00:19:51,651 --> 00:19:53,053
I'M CONGRESS WOMAN UNDERWOOD AND

484
00:19:53,053 --> 00:20:00,260
REPRESENT THE 14th DISTRICT IN 

485
00:20:00,260 --> 00:20:04,831
ILLINOIS AND PART OF THE BLACK 

486
00:20:04,831 --> 00:20:07,434
CAUCUS AND PROUD TO JOIN YOU FOR

487
00:20:07,434 --> 00:20:09,235
THE IMPROVE INITIATIVE.

488
00:20:09,235 --> 00:20:11,271
I'D LIKE TO START BY THANKING 

489
00:20:11,271 --> 00:20:12,272
THE LEADERSHIP AND STAFF AT THE 

490
00:20:12,272 --> 00:20:13,773
NATIONAL INSTITUTES OF HEALTH 

491
00:20:13,773 --> 00:20:15,375
FOR THE INCREDIBLE WORK WE'VE 

492
00:20:15,375 --> 00:20:17,243
DONE TOGETHER OVER THE YEARS.

493
00:20:17,243 --> 00:20:18,845
YOUR LEADERSHIP HAS BEEN 

494
00:20:18,845 --> 00:20:20,280
REMARKABLE PARTICULARLY FOR THE 

495
00:20:20,280 --> 00:20:21,948
LEADERSHIP AND STAFF AT NICHD, 

496
00:20:21,948 --> 00:20:22,949
THE NATIONAL INSTITUTE FOR CHILD

497
00:20:22,949 --> 00:20:24,651
HEALTH AND HUMAN DEVELOPMENT AND

498
00:20:24,651 --> 00:20:26,653
OFFICE OF RESEARCH ON WOMEN AND 

499
00:20:26,653 --> 00:20:27,420
THE NATIONAL INSTITUTE FOR 

500
00:20:27,420 --> 00:20:28,955
NURSING RESEARCH.

501
00:20:28,955 --> 00:20:31,224
THANK YOU ALL FOR ALL THAT YOU 

502
00:20:31,224 --> 00:20:35,295
DO AND FOR OUR AWARDEES AND 

503
00:20:35,295 --> 00:20:35,929
GRANTEES, CONGRATULATIONS AND 

504
00:20:35,929 --> 00:20:36,996
THANK YOU FOR CONTRIBUTING TO 

505
00:20:36,996 --> 00:20:38,565
THE KNOWLEDGE BASE AND THE WORK 

506
00:20:38,565 --> 00:20:40,900
WE'RE DOING TOGETHER TO END 

507
00:20:40,900 --> 00:20:41,935
PREVENTIBLE MATERNAL HEALTH IN 

508
00:20:41,935 --> 00:20:44,170
OUR COUNTRY AND TO ALL THOSE WHO

509
00:20:44,170 --> 00:20:46,506
ARE COMMITTED TO THIS WORK OF 

510
00:20:46,506 --> 00:20:47,607
SAVING MOM'S LIVES.

511
00:20:47,607 --> 00:20:48,541
THANK YOU FOR BEING WITH US 

512
00:20:48,541 --> 00:20:48,741
TODAY.

513
00:20:48,741 --> 00:20:52,779
AS YOU MAY KNOW, THE UNITED 

514
00:20:52,779 --> 00:20:53,913
STATES LEADS THE INDUSTRIALIZED 

515
00:20:53,913 --> 00:20:55,582
WORLD IN PREVENTIBLE DEATH.

516
00:20:55,582 --> 00:20:56,516
HERE IN THE UNITED STATES 80% OF

517
00:20:56,516 --> 00:20:58,284
DEATHS ARE PREVENTIBLE.

518
00:20:58,284 --> 00:21:01,187
IT'S A TRAGEDY.

519
00:21:01,187 --> 00:21:02,388
WORKING WITH CONGRESS WOMAN 

520
00:21:02,388 --> 00:21:03,990
ADAMS OF NORTH CAROLINA WE 

521
00:21:03,990 --> 00:21:07,227
CO-FOUNDED AND CO-CHAIRED THE 

522
00:21:07,227 --> 00:21:08,928
BLACK MATERNAL HEALTH CAUCUS 

523
00:21:08,928 --> 00:21:11,998
WITH THE FOCUS OF ELEVATING THE 

524
00:21:11,998 --> 00:21:12,632
MATERNAL HEALTH CRISIS IN THE 

525
00:21:12,632 --> 00:21:13,833
UNITED STATES CONGRESS.

526
00:21:13,833 --> 00:21:21,307
WE GREW TO BECOME ONE OF THE 

527
00:21:21,307 --> 00:21:23,109
LARG

528
00:21:23,109 --> 00:21:27,380
LARG

529
00:21:27,380 --> 00:21:28,047
LARG

530
00:21:28,047 --> 00:21:29,315
LARG

531
00:21:29,315 --> 00:21:34,053
LARGEST BIPARTISAN CAUCUS AND 

532
00:21:34,053 --> 00:21:35,421
ADDRESSING CLINICAL FACTORS 

533
00:21:35,421 --> 00:21:39,359
CONTRIBUTING TO OUR NATION'S 

534
00:21:39,359 --> 00:21:40,527
MATERNAL HEALTH CRISIS.

535
00:21:40,527 --> 00:21:42,595
ONE OMNIBUS BILL HAS BEEN SIGNED

536
00:21:42,595 --> 00:21:45,999
INTO LAW AND SECURED A COUPLE 

537
00:21:45,999 --> 00:21:48,935
HUNDRED MILLION DOLLARS BASED ON

538
00:21:48,935 --> 00:21:50,670
OTHER OMNIBUS PRIORITIES AND 

539
00:21:50,670 --> 00:21:52,605
WORKED TOGETHER IN PARTNERSHIP 

540
00:21:52,605 --> 00:21:53,740
WITH THE LEADERSHIP AT NIH TO 

541
00:21:53,740 --> 00:21:55,341
DEVELOP THE IMPROVE INITIATIVE 

542
00:21:55,341 --> 00:21:59,012
WORKING IN PARTNERSHIP WITH THEN

543
00:21:59,012 --> 00:22:01,781
DIRECTOR FRANCIS COLLINS WHO 

544
00:22:01,781 --> 00:22:03,716
LAUNCHED NIH IMPROVE AND EXCITED

545
00:22:03,716 --> 00:22:05,118
TO CONTINUE THE PARTNERSHIP WITH

546
00:22:05,118 --> 00:22:08,788
DR. BERTAGNOLLI AND HAVE WRITTEN

547
00:22:08,788 --> 00:22:10,056
LEGISLATION TO CODIFY AND 

548
00:22:10,056 --> 00:22:10,990
PROTECT THE PROGRAM IN FEDERAL 

549
00:22:10,990 --> 00:22:13,159
LAW WORKING WITH THE HOUSE, 

550
00:22:13,159 --> 00:22:21,935
BRIAN FITZPATRICK AND IN THE 

551
00:22:21,935 --> 00:22:23,036
SENATE, SENATOR BUTLER.

552
00:22:23,036 --> 00:22:24,671
WE'RE EXCITED OVER THE LAST FIVE

553
00:22:24,671 --> 00:22:25,305
YEARS WE'VE BEEN ABLE TO 

554
00:22:25,305 --> 00:22:27,440
INCREASE THE FUNDING FOR THE 

555
00:22:27,440 --> 00:22:29,876
IMPROVE INITIATIVE FIVE FOLD.

556
00:22:29,876 --> 00:22:33,513
RECENTLY IN FISCAL 2024 THE 

557
00:22:33,513 --> 00:22:38,284
APPROPRIATIONS BILL HAD $53.4 

558
00:22:38,284 --> 00:22:39,819
MILLION SIGNED INTO LAW WHAT AN 

559
00:22:39,819 --> 00:22:41,154
ACHIEVEMENT TO SUPPORT THE GREAT

560
00:22:41,154 --> 00:22:44,457
WORK EACH OF YOU ARE DOING FOR 

561
00:22:44,457 --> 00:22:49,162
IMPACTFUL RESEARCH AND 

562
00:22:49,162 --> 00:22:50,230
LIFE-SAVING DISCOVERIES AND 

563
00:22:50,230 --> 00:22:51,598
INNOVATIONS THAT WILL 

564
00:22:51,598 --> 00:22:52,932
UNDOUBTEDLY SAVE LIVES AND ENDS 

565
00:22:52,932 --> 00:22:54,434
OUR NATION'S MATERNAL HEALTH.

566
00:22:54,434 --> 00:22:57,303
WE'RE EXCITED TO WORK IN 

567
00:22:57,303 --> 00:22:58,972
PARTNERSHIP WITH YOU TO INCREASE

568
00:22:58,972 --> 00:23:02,809
THE RESOURCES FOR YOUR WORK AT 

569
00:23:02,809 --> 00:23:03,843
NIH AND TO SPREAD THE WORD THAT 

570
00:23:03,843 --> 00:23:05,011
HEALTH IS ON THE WAY.

571
00:23:05,011 --> 00:23:06,346
THANK YOU FOR JOINING US IN THIS

572
00:23:06,346 --> 00:23:10,049
FIGHT AND FOR ALL YOU DO AND 

573
00:23:10,049 --> 00:23:10,984
CONGRATULATIONS ONCE AGAIN ON 

574
00:23:10,984 --> 00:23:12,518
FIVE YEARS OF REMARKABLE 

575
00:23:12,518 --> 00:23:13,319
ACHIEVEMENT.

576
00:23:13,319 --> 00:23:23,596
TAKE GOOD CARE.

577
00:23:23,896 --> 00:23:25,832
ISN'T IT WONDERFUL TO HAVE SUCH 

578
00:23:25,832 --> 00:23:26,466
GREAT CONGRESSIONAL CHAMPIONS.

579
00:23:26,466 --> 00:23:30,536
I'LL TURN THE VIRTUAL MICROPHONE

580
00:23:30,536 --> 00:23:33,906
OVER TO THE SESSION 1 PANEL.

581
00:23:33,906 --> 00:23:35,108
I THINK THEY'RE GOING TO BE 

582
00:23:35,108 --> 00:23:37,543
COMING UP TO THE STAGE AND THE 

583
00:23:37,543 --> 00:23:46,286
MODERATORS ARE DOCTORS JUANITA 

584
00:23:46,286 --> 00:23:48,087
CHILDREN DR. BALKISSA OUATTARA 

585
00:23:48,087 --> 00:23:49,322
WHO WILL TAKE IT FROM HERE.

586
00:23:49,322 --> 00:23:59,499
THANK YOU.

587
00:24:06,539 --> 00:24:08,207
THANK YOU, DR. BIANCHI.

588
00:24:08,207 --> 00:24:10,043
WE NOW CALL OUR PANELISTS UP TO 

589
00:24:10,043 --> 00:24:20,353
THE STAGE, PLEASE.

590
00:25:04,864 --> 00:25:12,538
I'M JUANITA CHINN AT THE EUNICE 

591
00:25:12,538 --> 00:25:13,206
KENNEDY SHRIVER INSTITUTE OF 

592
00:25:13,206 --> 00:25:14,807
CHILD HEALTH AND HUMAN 

593
00:25:14,807 --> 00:25:16,476
DEVELOPMENT IN THE POPULATION 

594
00:25:16,476 --> 00:25:17,043
BRANCH.

595
00:25:17,043 --> 00:25:21,314
I INVITE EVERY TO THE LEFT TO 

596
00:25:21,314 --> 00:25:23,616
INTRODUCE THEMSELVES.

597
00:25:23,616 --> 00:25:26,586
>> I'M BALKISSA OUATTARA
AT THE 

598
00:25:26,586 --> 00:25:28,054
OFFICE OF RESEARCH AND WOMEN'S 

599
00:25:28,054 --> 00:25:34,060
HEALTH.

600
00:25:34,060 --> 00:25:37,830
>> MY NAME IS CASSANDRA 

601
00:25:37,830 --> 00:25:40,500
QUERDIBITTY FROM THE UNIVERSITY 

602
00:25:40,500 --> 00:25:43,836
OF OKLAHOMA HERE WITH THE CENTER

603
00:25:43,836 --> 00:25:45,304
FOR INDIGENOUS CULTURE AND 

604
00:25:45,304 --> 00:25:46,038
MATERNAL HEALTH.

605
00:25:46,038 --> 00:25:49,308
>> GOOD MORNING, EVERYONE.

606
00:25:49,308 --> 00:25:52,645
I'M JULIE ST. JOHN WITH TEXAS 

607
00:25:52,645 --> 00:25:54,313
ATTACK HEALTH SCIENCE CENTER 

608
00:25:54,313 --> 00:25:57,884
WORKING ON IMPROVE PROJECT.

609
00:25:57,884 --> 00:26:03,556
>> GOOD MORNING, EVERYONE.

610
00:26:03,556 --> 00:26:08,728
I'M ZIINAB JAH AND CO-LEAD OF 

611
00:26:08,728 --> 00:26:11,831
THE COMMUNITY PARTNER WORE WITH 

612
00:26:11,831 --> 00:26:12,799
THE SOUTHERN CENTER UNIVERSITY 

613
00:26:12,799 --> 00:26:22,975
IN AUSTIN.

614
00:26:36,055 --> 00:26:43,696
>> I'M KATELYN STRASSER
AND 

615
00:26:43,696 --> 00:26:44,330
HONORED TO BE PART OF THE PANEL 

616
00:26:44,330 --> 00:26:45,898
TODAY.

617
00:26:45,898 --> 00:26:50,136
>> AS A REMINDER, THIS
PANEL IS 

618
00:26:50,136 --> 00:26:52,905
ENTITLED CENTERS ON COMMUNITIES 

619
00:26:52,905 --> 00:26:54,073
AFFECTED BY THE MATERNAL 

620
00:26:54,073 --> 00:26:55,308
MORBIDITY AND MORTALITY CRISIS.

621
00:26:55,308 --> 00:26:57,243
THESE ARE SOME OF THE EXPERTS 

622
00:26:57,243 --> 00:27:03,716
THAT WE HAVE ON THE TOPIC.

623
00:27:03,716 --> 00:27:04,717
BALKISSA WILL START WITH THE 

624
00:27:04,717 --> 00:27:05,918
MODERATING OF QUESTIONS.

625
00:27:05,918 --> 00:27:07,053
>> THANK YOU.

626
00:27:07,053 --> 00:27:08,321
WELCOME, ALL.

627
00:27:08,321 --> 00:27:11,524
I'M GOING TO ASK EACH OF YOU TO 

628
00:27:11,524 --> 00:27:16,028
DESCRIBE YOUR ROLE ON THE CENTER

629
00:27:16,028 --> 00:27:26,539
AND THE POPULATION YOU SERVE.

630
00:27:30,109 --> 00:27:31,277
>> I'M WITH THE SOUTH
DAKOTA 

631
00:27:31,277 --> 00:27:33,713
DEPARTMENT OF HEALTH MY 

632
00:27:33,713 --> 00:27:36,215
BACKGROUND IS NURSING AND PUBLIC

633
00:27:36,215 --> 00:27:40,620
COMMENT AND MOST MY TIME SPENT 

634
00:27:40,620 --> 00:27:41,888
IN MATERNAL HEALTH AND I'M 

635
00:27:41,888 --> 00:27:43,589
CURRENTLY THE ROLE I HAVE AT THE

636
00:27:43,589 --> 00:27:45,191
HEALTH DEPARTMENT IS OVERSEEING 

637
00:27:45,191 --> 00:27:47,393
OUR STATEWIDE PUBLIC HEALTH 

638
00:27:47,393 --> 00:27:48,027
NURSING SERVICES.

639
00:27:48,027 --> 00:27:50,363
ALL OF OUR MATERNAL CHILD HEALTH

640
00:27:50,363 --> 00:27:51,797
PROGRAMS AND OUR MATERNAL CHILD 

641
00:27:51,797 --> 00:27:52,331
HEALTH DATA TEAMS.

642
00:27:52,331 --> 00:27:54,133
LIKE I SAID, I'M A COMMUNITY 

643
00:27:54,133 --> 00:27:56,002
PARTNER WITH THE RESEARCH SO I 

644
00:27:56,002 --> 00:27:57,803
HAVE A LITTLE BIT PROBABLY 

645
00:27:57,803 --> 00:27:58,504
DIFFERENT PERSPECTIVE THAN SOME 

646
00:27:58,504 --> 00:28:01,140
OTHERS IN THE ROOM HERE WHO ARE 

647
00:28:01,140 --> 00:28:02,608
MORE INVOLVED IN RESEARCH BUT I 

648
00:28:02,608 --> 00:28:04,644
AM PASSIONATE ABOUT USING DATA 

649
00:28:04,644 --> 00:28:06,712
AND RESEARCH TO INFORM OUR 

650
00:28:06,712 --> 00:28:08,381
PUBLIC HEALTH PRACTICE, OUR 

651
00:28:08,381 --> 00:28:11,584
SERVICE AND PROGRAM DELIVERY AND

652
00:28:11,584 --> 00:28:12,518
OUR POLICY DEVELOPMENT AND 

653
00:28:12,518 --> 00:28:13,319
IMPLEMENTATION.

654
00:28:13,319 --> 00:28:16,289
I CURRENTLY SERVE AS THE P.I. ON

655
00:28:16,289 --> 00:28:20,393
SOUTH DAKOTA'S PREGNANCY RISK 

656
00:28:20,393 --> 00:28:23,896
ADMINISTERING BRANCH AND PCI ON 

657
00:28:23,896 --> 00:28:33,105
A NEWLY AWARDED MATERNITY HEALTH

658
00:28:33,105 --> 00:28:34,840
GRANT AND I CONTINUE TO 

659
00:28:34,840 --> 00:28:36,609
PARTICIPATE IN THAT WORK AND 

660
00:28:36,609 --> 00:28:37,577
COLLABORATE ON SEVERAL STATEWIDE

661
00:28:37,577 --> 00:28:38,377
INITIATIVES WITH DIFFERENT 

662
00:28:38,377 --> 00:28:41,414
PARTNERS TO IMPROVE MATERNAL 

663
00:28:41,414 --> 00:28:44,817
HEALTH ACROSS SYSTEMS IN SOUTH 

664
00:28:44,817 --> 00:28:46,385
DAKOTA AND AS FAR AS THE 

665
00:28:46,385 --> 00:28:52,258
COMMUNITIES I SERVE 

666
00:28:52,258 --> 00:28:55,661
SPECIFICALLY, PUBLIC HEALTH IS 

667
00:28:55,661 --> 00:28:56,929
CENTRALIZED WITH PARTNERS AND 

668
00:28:56,929 --> 00:28:58,631
PLAY A ROLE IN WORKING WIN 

669
00:28:58,631 --> 00:28:58,931
COMMUNITIES.

670
00:28:58,931 --> 00:29:00,833
WE HAVE RURAL AND FRONTIER AREAS

671
00:29:00,833 --> 00:29:02,668
ACROSS MOST THE STATE AND WORK 

672
00:29:02,668 --> 00:29:04,770
WITH OUR NINE AMERICAN TRIBES IN

673
00:29:04,770 --> 00:29:12,178
SOUTH DAKOTA AS WELL.

674
00:29:12,178 --> 00:29:14,213
>> SO AS I MENTIONED
BEFORE I'M 

675
00:29:14,213 --> 00:29:15,781
WITH THE SOUTHERN CENTER OF 

676
00:29:15,781 --> 00:29:17,183
MATERNAL HEALTH EQUITY BASED IN 

677
00:29:17,183 --> 00:29:20,019
THE GULF SOUTH AND SO OUR CENTER

678
00:29:20,019 --> 00:29:23,956
REALLY IS AN ACADEMIC HEALTH 

679
00:29:23,956 --> 00:29:24,657
CARE INSTITUTION AND COMMUNITY 

680
00:29:24,657 --> 00:29:27,593
INSTITUTION PARTNERSHIP IN WHICH

681
00:29:27,593 --> 00:29:28,861
WE ARE TRYING TO ADDRESS 

682
00:29:28,861 --> 00:29:30,863
MATERNAL MORTALITY, MORBIDITY IN

683
00:29:30,863 --> 00:29:31,664
LOUISIANA AND MISSISSIPPI AND 

684
00:29:31,664 --> 00:29:34,133
ARKANSAS AS WELL.

685
00:29:34,133 --> 00:29:35,935
WE HAVE THREE RESEARCH PROJECTS.

686
00:29:35,935 --> 00:29:42,942
ONE FOCUSSING ON IMPLEMENTING 

687
00:29:42,942 --> 00:29:46,045
COMMUNITY CARE AND EXPANDING 

688
00:29:46,045 --> 00:29:47,413
CONNECTED MOMS PROGRAM, BLOOD 

689
00:29:47,413 --> 00:29:48,514
PRESSURE MONITORING INTO 

690
00:29:48,514 --> 00:29:53,919
MATERNAL HEALTH DESERTS AND THEN

691
00:29:53,919 --> 00:29:57,556
ALSO BE LOOKING AT LOUISIANA AND

692
00:29:57,556 --> 00:29:59,959
COMPARING IT WITH MISSISSIPPI 

693
00:29:59,959 --> 00:30:00,760
AND ARKANSAS.

694
00:30:00,760 --> 00:30:03,829
I LEAD THE COMMUNITY PARTNER 

695
00:30:03,829 --> 00:30:04,030
CORPS.

696
00:30:04,030 --> 00:30:06,399
THAT IS VIEWED AS THE 

697
00:30:06,399 --> 00:30:08,868
ACCOUNTABILITY ARM.

698
00:30:08,868 --> 00:30:10,636
ANY BACKGROUND IS IN 

699
00:30:10,636 --> 00:30:12,104
COMMUNITY-BASED RESEARCH AND 

700
00:30:12,104 --> 00:30:14,140
FIND WAYS TO INTEGRATE COMMUNITY

701
00:30:14,140 --> 00:30:16,275
WITHIN RESEARCH AND THINKING 

702
00:30:16,275 --> 00:30:17,977
ABOUT DISSEMINATION EFFORTS AS 

703
00:30:17,977 --> 00:30:18,210
WELL.

704
00:30:18,210 --> 00:30:21,313
WITH OUR COMMUNITY PARTNER CORE 

705
00:30:21,313 --> 00:30:25,317
WE TAKE PRIDE IN ENGAGING 

706
00:30:25,317 --> 00:30:28,621
COMMUNITY PARTNER WITH THE 

707
00:30:28,621 --> 00:30:29,822
RESEARCH PROJECTS AND AS WELL AS

708
00:30:29,822 --> 00:30:31,724
PROVIDING MENTORSHIP WITH 

709
00:30:31,724 --> 00:30:38,297
TRAINEES AND OVER ARCHI II IING 

710
00:30:38,297 --> 00:30:39,498
DISSEMINATION OF EFFORTS TO MAKE

711
00:30:39,498 --> 00:30:45,037
SURE IT GETS BACK TO COMMUNITY 

712
00:30:45,037 --> 00:30:54,246
THEMSELVES.

713
00:30:54,246 --> 00:30:55,247
>> WE'RE WITH TEXAS TECH 

714
00:30:55,247 --> 00:30:55,848
UNIVERSITY HEALTH SCIENCE 

715
00:30:55,848 --> 00:30:57,183
CENTER.

716
00:30:57,183 --> 00:30:58,951
WE'RE AN ACADEMIC HEALTH 

717
00:30:58,951 --> 00:31:00,152
INSTITUTION AND TRAIN LOTS OF 

718
00:31:00,152 --> 00:31:03,956
TYPES OF PROVIDERS BUT WE ARE 

719
00:31:03,956 --> 00:31:07,159
WEST TEXAS SO IT'S CONSIDERED 

720
00:31:07,159 --> 00:31:10,029
ANYTHING THAT IS WEST OF THE I35

721
00:31:10,029 --> 00:31:15,367
THAT GOES THROUGH THE DALLAS/Ft.

722
00:31:15,367 --> 00:31:21,006
WORTH METROPLEX AND WEST TEXAS 

723
00:31:21,006 --> 00:31:24,677
IS BIGGER THAN 42 STATES LAND 

724
00:31:24,677 --> 00:31:26,712
BIAS AND MORE COWS THAN PEOPLE.

725
00:31:26,712 --> 00:31:28,481
THAT'S OUR WEST TEXAS AREA AND 

726
00:31:28,481 --> 00:31:33,686
OUR INSTITUTION SERVES ABOUT 100

727
00:31:33,686 --> 00:31:35,354
COUNTIES, 254 IN TEXAS.

728
00:31:35,354 --> 00:31:37,022
THAT'S THE CONTEXT AND HAVE SIX 

729
00:31:37,022 --> 00:31:39,291
CAMPUSES IN THAT AREA.

730
00:31:39,291 --> 00:31:41,827
OUR PARTICULAR PROJECT SO WE ARE

731
00:31:41,827 --> 00:31:43,329
FUNDED TO IMPROVE AND I'LL READ 

732
00:31:43,329 --> 00:31:44,563
THE NAME BECAUSE IT'S KIND OF 

733
00:31:44,563 --> 00:31:46,599
LONG BEAUTE WE'RE CALLED VIBRANT

734
00:31:46,599 --> 00:31:51,470
MOMS AND THAT STAND FOR 

735
00:31:51,470 --> 00:31:52,872
VERIFYING AND IMPLEMENT BEING 

736
00:31:52,872 --> 00:31:53,806
EVIDENCE-BASED PROGRAMS FOR 

737
00:31:53,806 --> 00:31:55,307
MATERNAL HEALTH OUTCOMES, 

738
00:31:55,307 --> 00:31:59,111
MEASURES AND SUPPORT SO VIBRANT 

739
00:31:59,111 --> 00:31:59,311
MOMS.

740
00:31:59,311 --> 00:32:00,813
OUR PARTICULAR FOCUS IF YOU LOOK

741
00:32:00,813 --> 00:32:04,650
AT THE NORTHWEST PART OF TEXAS, 

742
00:32:04,650 --> 00:32:07,119
THE TEXAS PANHANDLE IS 26 

743
00:32:07,119 --> 00:32:09,121
COUNTIES AND SAYS THE TEXAS 

744
00:32:09,121 --> 00:32:11,791
PANHANDLE WHERE YOU LOOK FURTHER

745
00:32:11,791 --> 00:32:14,160
AND SEE LESS THAN ANYWHERE ELSE.

746
00:32:14,160 --> 00:32:16,061
THAT'S DESCRIPTIVE OF OUR AREA 

747
00:32:16,061 --> 00:32:16,695
IN THE PANHANDLE.

748
00:32:16,695 --> 00:32:20,699
OUR PROJECT FOCUSES ON SIX OF 26

749
00:32:20,699 --> 00:32:25,304
COUNTIES AND SO TWO OF THOSE ARE

750
00:32:25,304 --> 00:32:27,306
URBAN AND THAT'S WHERE AMARILLO 

751
00:32:27,306 --> 00:32:29,575
OUR BIG CITY IN THE PANHANDLE 

752
00:32:29,575 --> 00:32:31,377
OVER 200,000 PEOPLE AND OUR 

753
00:32:31,377 --> 00:32:33,646
OTHER FOUR COUNTIES IN OUR AREA 

754
00:32:33,646 --> 00:32:37,850
ARE RURAL AND VERY UNDER SERVED 

755
00:32:37,850 --> 00:32:40,286
AREAS SO, IN THE WHOLE 26 COUNTY

756
00:32:40,286 --> 00:32:42,755
REGION WE HAVE SIX HOSPITALS 

757
00:32:42,755 --> 00:32:46,058
THAT DELIVER AND FIVE COUNTIES 

758
00:32:46,058 --> 00:32:48,327
AND IN OUR PROJECT WE FOCUS ON 

759
00:32:48,327 --> 00:32:52,031
OTHER SIX COUNTIES, TWO COUNTIES

760
00:32:52,031 --> 00:32:53,499
HAVE THREE HOSPITALS.

761
00:32:53,499 --> 00:32:57,636
WE'RE VERY MUCH UNDER SERVED AND

762
00:32:57,636 --> 00:33:00,172
MATERNAL HEALTH CARE DESERTS AND

763
00:33:00,172 --> 00:33:01,407
WE'RE SEEING THAT TREND 

764
00:33:01,407 --> 00:33:01,907
CONTINUE.

765
00:33:01,907 --> 00:33:05,377
OUR PROJECT IS TRYING TO FIGURE 

766
00:33:05,377 --> 00:33:08,480
OUT WHAT ARE THOSE BARRIERS AND 

767
00:33:08,480 --> 00:33:09,415
CHALLENGES AND WHAT 

768
00:33:09,415 --> 00:33:10,216
INTERVENTIONS MIGHT WORK TO HELP

769
00:33:10,216 --> 00:33:20,593
IMPROVE THE OUTCOMES.

770
00:33:26,365 --> 00:33:30,836
>> MY NAME IS CASSANDRA 

771
00:33:30,836 --> 00:33:33,305
QUERDIBITTY A CITIZEN OF 

772
00:33:33,305 --> 00:33:40,246
OKLAHOMA AND DESCENDENT OF AN 

773
00:33:40,246 --> 00:33:46,051
INDIGENOUS NATION AND MY HUSBAND

774
00:33:46,051 --> 00:33:48,921
IS COMANCHE AND IT MEANS TO RISE

775
00:33:48,921 --> 00:33:51,757
AND CONQUER.

776
00:33:51,757 --> 00:33:57,296
WE HAVE 35 FEDERALLY RECOGNIZED 

777
00:33:57,296 --> 00:33:57,529
TRIBES.

778
00:33:57,529 --> 00:34:01,400
AND THERE'S VARIATION AND 

779
00:34:01,400 --> 00:34:04,036
CONTEXT WHEN IT COMES TO 

780
00:34:04,036 --> 00:34:11,877
PRACTICE.

781
00:34:11,877 --> 00:34:13,779
AND WHEN YOU SAW I'M AN EXPERT 

782
00:34:13,779 --> 00:34:15,681
I'M FAR FROM IT.

783
00:34:15,681 --> 00:34:17,216
I'M STARTING TO RELEARN WITH THE

784
00:34:17,216 --> 00:34:24,990
HISTORY OF THE STATE OF OKLAHOMA

785
00:34:24,990 --> 00:34:26,892
HOW TRIBES HAVE COME ALONG AND 

786
00:34:26,892 --> 00:34:28,060
POLITICAL CONTEXT AN WE'RE 

787
00:34:28,060 --> 00:34:29,295
RELEARNING ANDRY CLAIMING OUR 

788
00:34:29,295 --> 00:34:31,196
OWN CULTURE AND LANGUAGE AND 

789
00:34:31,196 --> 00:34:36,802
THINGS LIKE THAT.

790
00:34:36,802 --> 00:34:38,504
I'M ALWAYS LEARNING AND WE'RE 

791
00:34:38,504 --> 00:34:40,606
WORKING WITH INDIGENOUS PREGNANT

792
00:34:40,606 --> 00:34:41,607
PERSONS ACROSS THE STATE.

793
00:34:41,607 --> 00:34:42,107
IT'S A DIFFICULT.

794
00:34:42,107 --> 00:34:46,879
YOU DON'T WANT TO PUT THEM ALL 

795
00:34:46,879 --> 00:34:47,813
IN ONE BASKET.

796
00:34:47,813 --> 00:34:49,848
AND IF YOU'RE NOT COMMUNITY YOU 

797
00:34:49,848 --> 00:34:52,017
WON'T UNDERSTAND WHAT IS 

798
00:34:52,017 --> 00:34:54,253
OFFENSIVE OR MAY NOT WORK FOR 

799
00:34:54,253 --> 00:34:54,453
THEM.

800
00:34:54,453 --> 00:34:56,655
SO FAR THERE'S A STUDY A FOOD IS

801
00:34:56,655 --> 00:34:58,857
MEDICINE STUDY WHICH I TRULY 

802
00:34:58,857 --> 00:34:59,491
APPRECIATE.

803
00:34:59,491 --> 00:35:02,461
MY BACKGROUND HAS BEEN IN PUBLIC

804
00:35:02,461 --> 00:35:03,462
HEALTH AND PRACTICE.

805
00:35:03,462 --> 00:35:05,998
I WORKED ON INFANT MORTALITY, 

806
00:35:05,998 --> 00:35:08,167
BIRTH DEFECT REGISTRY AND THINGS

807
00:35:08,167 --> 00:35:10,736
LIKE THAT BUT NOW IT'S SHIFTING 

808
00:35:10,736 --> 00:35:13,205
MORE TOWARDS MOM, BABY, WHOLE 

809
00:35:13,205 --> 00:35:17,209
FAMILY AND HOW DO YOU DEFINE 

810
00:35:17,209 --> 00:35:17,576
FAMILY?

811
00:35:17,576 --> 00:35:18,811
HOW DO YOU DEFINE THE HOMES 

812
00:35:18,811 --> 00:35:20,012
YOU'RE WORKING IN.

813
00:35:20,012 --> 00:35:22,715
WITH THE FOOD WORK FIGURING OUT 

814
00:35:22,715 --> 00:35:27,619
HOW DO WE POINT TOWARDS CULTURE 

815
00:35:27,619 --> 00:35:29,521
AND HOW DO WE SUPPORT MOMS IN 

816
00:35:29,521 --> 00:35:32,791
THAT VENTURE WITH TRYING TO 

817
00:35:32,791 --> 00:35:34,059
UTILIZE INDIGENOUS BIRTH WORKERS

818
00:35:34,059 --> 00:35:35,394
NOW AND FOCUSSING ON WHAT DOES 

819
00:35:35,394 --> 00:35:37,863
THAT LOOK LIKE AND HOW DO WE 

820
00:35:37,863 --> 00:35:40,966
WORK WITH THE TRIBES.

821
00:35:40,966 --> 00:35:46,638
AGAIN, 39 FEDERALLY RECOGNIZED 

822
00:35:46,638 --> 00:35:48,273
TRIBES.

823
00:35:48,273 --> 00:35:58,584
THERE ARE I THINK FOUR AND A LOT

824
00:35:58,584 --> 00:36:01,420
OF MY WORK IS FOCUSSED ON 

825
00:36:01,420 --> 00:36:02,988
COMMUNITY-BASED PARTICIPATORY 

826
00:36:02,988 --> 00:36:04,556
RESEARCH AND HOW DO YOU SHARE 

827
00:36:04,556 --> 00:36:05,958
POWER WHEN YOU COME FROM THE 

828
00:36:05,958 --> 00:36:06,558
UNIVERSITY SETTING AND I 

829
00:36:06,558 --> 00:36:08,327
RECENTLY TRANSITIONED TO THE 

830
00:36:08,327 --> 00:36:09,294
UNIVERSITY SETTING SO THAT'S 

831
00:36:09,294 --> 00:36:12,264
BEEN INTERESTING.

832
00:36:12,264 --> 00:36:14,233
I ALSO SERVE ON MY TRIBE'S 

833
00:36:14,233 --> 00:36:17,069
HEALTH BOARD AND ADVISORY BOARD 

834
00:36:17,069 --> 00:36:18,237
ON THE INDIAN HEALTH CLINIC WE 

835
00:36:18,237 --> 00:36:23,542
ALSO WORK WITH AND HOW DO YOU 

836
00:36:23,542 --> 00:36:26,045
OVERCOME AND DO THAT AND HOW DO 

837
00:36:26,045 --> 00:36:27,646
YOU TRACK PATIENTS AND WHEN 

838
00:36:27,646 --> 00:36:29,214
YOU'RE HIGH RISK WHAT DOES THAT 

839
00:36:29,214 --> 00:36:32,151
MEAN FOR YOU TOO AND HOW DO YOU 

840
00:36:32,151 --> 00:36:35,020
NAVIGATE THIS HISTORICAL TRAUMA 

841
00:36:35,020 --> 00:36:40,059
AND ALSO THE MISTRUST THAT IS 

842
00:36:40,059 --> 00:36:41,527
ABSOLUTE APPROPRIATE.

843
00:36:41,527 --> 00:36:44,129
SO I THINK I WENT A LITTLE OFF 

844
00:36:44,129 --> 00:36:45,164
BUT THAT'S ME.

845
00:36:45,164 --> 00:36:48,367
I AM ALSO A CIRCLE SCHOLAR AND 

846
00:36:48,367 --> 00:36:50,836
LOOKING AT ENVIRONMENTAL 

847
00:36:50,836 --> 00:36:55,474
EXPOSURES DURING PREGNANCY AND 

848
00:36:55,474 --> 00:36:56,542
HOW THAT MIGHT AFFECT MATERNAL 

849
00:36:56,542 --> 00:36:58,477
HEALTH OUTCOMES AND WE'LL TEST 

850
00:36:58,477 --> 00:37:01,213
WEARABLES AND SEE WHAT CHEMICAL 

851
00:37:01,213 --> 00:37:01,980
EXPOSURES THERE ARE AND HOW TO 

852
00:37:01,980 --> 00:37:04,083
DIVE IN TO MITIGATE THOSE RISKS 

853
00:37:04,083 --> 00:37:06,985
AND SEE WHERE THEY ARE.

854
00:37:06,985 --> 00:37:13,325
THERE'S BEEN A LOT OF THINGS AS 

855
00:37:13,325 --> 00:37:15,694
FAR AS ENVIRONMENTAL JUSTICE AND

856
00:37:15,694 --> 00:37:17,262
DIVING INTO THE SOCIAL JUSTICE 

857
00:37:17,262 --> 00:37:18,931
OF HEALTH AND HOW WE HOLD THINGS

858
00:37:18,931 --> 00:37:21,300
AND PEOPLE ACCOUNTABLE.

859
00:37:21,300 --> 00:37:26,105
>> CASSANDRA, THE CONSTANT
STATE

860
00:37:26,105 --> 00:37:27,272
OF LEARNING AND THAT'S WHY 

861
00:37:27,272 --> 00:37:28,974
YOU'RE THE EXPERT.

862
00:37:28,974 --> 00:37:30,275
YOU TOUCHED ON IT A LITTLE BIT 

863
00:37:30,275 --> 00:37:31,877
BUT THIS IS FOR ANYBODY WHO 

864
00:37:31,877 --> 00:37:33,312
WANTS TO JUMP IN AND ANSWER AND 

865
00:37:33,312 --> 00:37:34,680
IF YOU WANT TO ADD ADDITIONAL 

866
00:37:34,680 --> 00:37:35,347
THINGS.

867
00:37:35,347 --> 00:37:36,682
WHAT DO YOU SEE ARE THE MOST 

868
00:37:36,682 --> 00:37:38,951
PRESSING CHALLENGES FOR THE 

869
00:37:38,951 --> 00:37:39,551
COMMUNITIES YOU SERVE WITHIN 

870
00:37:39,551 --> 00:37:49,728
YOUR WORK?

871
00:37:53,966 --> 00:37:56,168
OFTEN TIMES THEY'RE ENGAGED BUT 

872
00:37:56,168 --> 00:37:58,036
NOT TRULY ENGAGED AND A GRANT 

873
00:37:58,036 --> 00:38:00,939
COMES OUT AND ACADEMIC 

874
00:38:00,939 --> 00:38:03,509
INSTITUTIONS LIKE OH, YEAH, I 

875
00:38:03,509 --> 00:38:05,377
HEARD OF THIS ORGANIZATION AND 

876
00:38:05,377 --> 00:38:07,646
LET'S TRY TO CALL THEM IN RATHER

877
00:38:07,646 --> 00:38:09,548
THAN HAVING AN EXISTING 

878
00:38:09,548 --> 00:38:11,750
PARTNERSHIP BUILT AND OFTEN 

879
00:38:11,750 --> 00:38:13,452
FEELS EXTRACTIVE OFTEN HOW 

880
00:38:13,452 --> 00:38:15,621
RESEARCH CAN BE HARMFUL TO 

881
00:38:15,621 --> 00:38:15,921
COMMUNITIES.

882
00:38:15,921 --> 00:38:17,322
OFTEN TIMES COMMUNITY MEMBERS 

883
00:38:17,322 --> 00:38:22,895
AND PARTNERS COME INTO THE WORK 

884
00:38:22,895 --> 00:38:25,063
FEEL LIKE THEY MAY BE HARMED AS 

885
00:38:25,063 --> 00:38:27,366
EXPERIENCE AND ALSO THINKING HOW

886
00:38:27,366 --> 00:38:29,268
OFTEN THEY ENGAGE IN RESEARCH 

887
00:38:29,268 --> 00:38:31,303
BUT NEVER REALLY FEELS 

888
00:38:31,303 --> 00:38:34,039
SUSTAINABLE AND DOESN'T REALLY 

889
00:38:34,039 --> 00:38:37,609
CONTRIBUTE TO THE COMMUNITY.

890
00:38:37,609 --> 00:38:40,045
OFTEN TIMES THAT'S A CHALLENGE 

891
00:38:40,045 --> 00:38:45,317
AND STRUGGLE THAT IS FACED WHEN 

892
00:38:45,317 --> 00:38:47,486
ENGAGING COMMUNITY IN THE 

893
00:38:47,486 --> 00:38:49,655
RESEARCH AND HAS BEEN GREAT ON 

894
00:38:49,655 --> 00:38:51,723
BUILDING EXISTING RELATIONSHIPS 

895
00:38:51,723 --> 00:38:54,159
THE FOLKS THAT HAVE WORKED 

896
00:38:54,159 --> 00:38:55,427
TOGETHER ON VARIOUS PROJECTS ARE

897
00:38:55,427 --> 00:38:56,795
ABLE TO COME TOGETHER AND HOLD 

898
00:38:56,795 --> 00:38:59,598
SPACE FOR WHAT THEY THINK SHOULD

899
00:38:59,598 --> 00:39:00,666
HAPPEN WITHIN THIS GRANT AND 

900
00:39:00,666 --> 00:39:03,402
IT'S SO GREAT IT'S SO LONG TO 

901
00:39:03,402 --> 00:39:05,537
PROVIDE OPPORTUNITY TO BE 

902
00:39:05,537 --> 00:39:06,838
IMPACTFUL AND PROVIDE TIME AND 

903
00:39:06,838 --> 00:39:08,173
SPACE TO BE INNOVATIVE IN THE 

904
00:39:08,173 --> 00:39:09,408
WAY WE'RE ENGAGING AND GIVING 

905
00:39:09,408 --> 00:39:19,785
BACK TO THE COMMUNITY.

906
00:39:20,118 --> 00:39:22,854
>> THAT'S NOT MY STRENGTH.

907
00:39:22,854 --> 00:39:29,294
AND I APOLOGIZE, I NOT SAY WHY 

908
00:39:29,294 --> 00:39:30,996
I'M UP HERE.

909
00:39:30,996 --> 00:39:32,664
MY BACKGROUND IS IN PUBLIC 

910
00:39:32,664 --> 00:39:34,766
HEALTH AND HAVE BEEN DOING IT 

911
00:39:34,766 --> 00:39:37,302
THE LAST 25 YEARS PRIMARILY IN 

912
00:39:37,302 --> 00:39:40,772
ACADEMIC SETTING BUT MY ROLE HAS

913
00:39:40,772 --> 00:39:42,474
BEEN COMMUNITY ENGAGED 

914
00:39:42,474 --> 00:39:43,108
PARTICIPATORY RESEARCH AND I'M 

915
00:39:43,108 --> 00:39:45,310
AN INVESTIGATOR AND HELP WITH 

916
00:39:45,310 --> 00:39:50,215
THAT PIECE OF IT AND ALSO HAVE 

917
00:39:50,215 --> 00:39:51,750
DONE WITH WORK WITH COMMUNITY 

918
00:39:51,750 --> 00:39:53,151
HEALTH WORKERS AND DO A LOT OF 

919
00:39:53,151 --> 00:39:55,821
POLICY AND TRAINING RELATED TO 

920
00:39:55,821 --> 00:39:57,289
THAT AND ENGAGE HEALTH WORKERS 

921
00:39:57,289 --> 00:39:59,625
IN OUR PROJECT.

922
00:39:59,625 --> 00:40:04,863
SO, OUR PROJECT CHALLENGE IN OUR

923
00:40:04,863 --> 00:40:06,598
COUNTIES WE SERVE IS DISTANCE TO

924
00:40:06,598 --> 00:40:07,232
HEALTH CARE PROVIDERS.

925
00:40:07,232 --> 00:40:09,134
FROM ONE END TO THE OTHER 

926
00:40:09,134 --> 00:40:10,469
THERE'S ABOUT A THREE HOUR 

927
00:40:10,469 --> 00:40:10,669
DRIVE.

928
00:40:10,669 --> 00:40:12,871
THAT'S A CHALLENGE IN OUR 

929
00:40:12,871 --> 00:40:14,940
PROJECT BUT WHERE OUR 

930
00:40:14,940 --> 00:40:16,642
COMMUNITIES WE SERVE WOULD BE 

931
00:40:16,642 --> 00:40:18,710
DISTANCE AND THEN ALONG WITH 

932
00:40:18,710 --> 00:40:21,313
THAT IS TRANSPORTATION.

933
00:40:21,313 --> 00:40:26,385
SO PUBLIC TRANSPORTATION DOES 

934
00:40:26,385 --> 00:40:27,686
NOT EXIST LIKE IT WOULD HERE AND

935
00:40:27,686 --> 00:40:28,854
THAT'S A CHALLENGE.

936
00:40:28,854 --> 00:40:31,490
SHORTAGE OF HEALTH CARE 

937
00:40:31,490 --> 00:40:31,757
PROVIDERS.

938
00:40:31,757 --> 00:40:33,458
TRYING TO GET PEOPLE TO COME AND

939
00:40:33,458 --> 00:40:35,093
SERVE IN OUR AREA.

940
00:40:35,093 --> 00:40:37,596
SO WE HAVE A TREMENDOUS SHORTAGE

941
00:40:37,596 --> 00:40:40,999
AND THEN SOME STATE POLICIES.

942
00:40:40,999 --> 00:40:42,234
WE'RE INTEREST TEXAS.

943
00:40:42,234 --> 00:40:45,003
THAT'S PROBABLY ENOUGH TO SAY 

944
00:40:45,003 --> 00:40:45,203
THAT.

945
00:40:45,203 --> 00:40:52,778
BUT WE HAVEN'T SCOMBEXPANDED MED

946
00:40:52,778 --> 00:40:55,514
AND THERE'S RECENT CHALLENGES 

947
00:40:55,514 --> 00:40:56,915
WHERE THERE'S BEEN IMPACT ON 

948
00:40:56,915 --> 00:40:57,749
DESCRIBING COMMUNITIES AND WHAT 

949
00:40:57,749 --> 00:40:59,084
TO FOCUS ON.

950
00:40:59,084 --> 00:41:00,319
THAT'S BEEN ANOTHER CHALLENGE 

951
00:41:00,319 --> 00:41:04,456
AND ANOTHER ONE I WOULD SAY IS 

952
00:41:04,456 --> 00:41:06,558
MEETING DIVERSITY AND WE EMBRACE

953
00:41:06,558 --> 00:41:09,061
DIVERSITY AND LOVE OUR 

954
00:41:09,061 --> 00:41:10,562
COMMUNITIES AND THEY'RE 

955
00:41:10,562 --> 00:41:11,596
DIFFERENT AND HAVE COMMONALITIES

956
00:41:11,596 --> 00:41:13,465
BUT IT'S A CHALLENGE TO MEET 

957
00:41:13,465 --> 00:41:16,768
THOSE DIFFERENT NEEDS AND TO 

958
00:41:16,768 --> 00:41:19,037
TARGET OR TAILOR OUR APPROACHES 

959
00:41:19,037 --> 00:41:21,440
AND INTERVENTIONS BECAUSE WE ARE

960
00:41:21,440 --> 00:41:31,717
RESOURCE FUNDED.

961
00:41:36,188 --> 00:41:38,090
>> WE'RE DOING A LOT OF
WITH 

962
00:41:38,090 --> 00:41:39,591
SURVEYS AND PARTNERS ACROSS THE 

963
00:41:39,591 --> 00:41:40,058
STITE.

964
00:41:40,058 --> 00:41:43,595
SOME THEMES COMING UP FOR WOMEN 

965
00:41:43,595 --> 00:41:45,697
AND WHAT THEY'RE NEEDS ARE JUST 

966
00:41:45,697 --> 00:41:50,535
THE BASICS BUT THEY WANT TO 

967
00:41:50,535 --> 00:41:51,937
PROVIDE AFFORDABLE CHILDCARE AND

968
00:41:51,937 --> 00:41:56,641
JOBS THAT MEET THEIR FAMILY 

969
00:41:56,641 --> 00:41:57,242
NEEDS, HEALTH INSURANCE AND 

970
00:41:57,242 --> 00:41:57,809
AFFORDABLE HOUSING AS WELL.

971
00:41:57,809 --> 00:42:00,679
AS I MENTIONED, WE'RE A RURAL 

972
00:42:00,679 --> 00:42:02,280
AND FRONTIER STATE SO LACK OF 

973
00:42:02,280 --> 00:42:04,950
ACCESS TO CARE AFFECTS MANY 

974
00:42:04,950 --> 00:42:05,250
COMMUNITIES.

975
00:42:05,250 --> 00:42:07,819
56% OF OUR COUNTIES ARE MATERNAL

976
00:42:07,819 --> 00:42:09,221
CARE DESERTS.

977
00:42:09,221 --> 00:42:10,389
THERE WAS A LOT OF PINK ON THE 

978
00:42:10,389 --> 00:42:11,623
MAP YOU SAW EARLIER WHERE THEY 

979
00:42:11,623 --> 00:42:16,061
DON'T HAVE ACCESS TO HOSPITALS, 

980
00:42:16,061 --> 00:42:18,263
BIRTHING CENTERS OR OB 

981
00:42:18,263 --> 00:42:18,530
PROVIDERS.

982
00:42:18,530 --> 00:42:24,336
LACK OF TRANSPORTATION IS COMMON

983
00:42:24,336 --> 00:42:26,104
IN OURP STA-- OUR STATES AND GO 

984
00:42:26,104 --> 00:42:31,209
DESERTS AND WITH DISPARITIES 

985
00:42:31,209 --> 00:42:35,280
WITH OUR AMERICAN INDIAN 

986
00:42:35,280 --> 00:42:39,885
POPULATION AS FAR AS MATERNITY 

987
00:42:39,885 --> 00:42:43,255
MORTALITY SINCE COVID OUR RATES 

988
00:42:43,255 --> 00:42:44,489
HAVE JUMPED.

989
00:42:44,489 --> 00:42:48,894
THEY ARE FIVE TIMES HIGHER IN 

990
00:42:48,894 --> 00:42:50,829
OUR STATE THAN IN WHITE WOMEN 

991
00:42:50,829 --> 00:42:52,864
AND THERE'S PROTECTIVE CULTURAL 

992
00:42:52,864 --> 00:42:54,699
PRACTICES THAT CONTRIBUTED TO 

993
00:42:54,699 --> 00:42:56,935
THEIR RESILIENCY EVEN THROUGH 

994
00:42:56,935 --> 00:42:58,603
HISTORICAL TRAUMA AND THROUGH 

995
00:42:58,603 --> 00:42:59,638
HARMFUL POLICIES.

996
00:42:59,638 --> 00:43:02,541
JUST THINKING HOW TO BRING THAT 

997
00:43:02,541 --> 00:43:09,448
CULTURAL PRACTICE BACK INTO 

998
00:43:09,448 --> 00:43:10,715
PUBLIC HEALTH AND HEALTH CARE IS

999
00:43:10,715 --> 00:43:13,318
A BIG NEED AND CHALLENGE FOR US.

1000
00:43:13,318 --> 00:43:23,562
>> WONDERFUL.

1001
00:43:24,329 --> 00:43:29,267
>> I GUESS TO COME WHERE
SHE 

1002
00:43:29,267 --> 00:43:30,936
LEFT IT WHAT IS A CHALLENGE IS 

1003
00:43:30,936 --> 00:43:33,071
OUR RESEARCH AND I'VE BEEN 

1004
00:43:33,071 --> 00:43:35,073
TRAINING THIS WAY AND ALWAYS 

1005
00:43:35,073 --> 00:43:39,978
HAVE TO UNTRAIN BUT IT'S STILL 

1006
00:43:39,978 --> 00:43:44,182
FROM THE WESTERNIZED FRAMEWORKS 

1007
00:43:44,182 --> 00:43:47,385
AND CONCEPTUAL MODELS, I EVEN 

1008
00:43:47,385 --> 00:43:48,320
NOTICE WHEN ON CERTAIN THINGS 

1009
00:43:48,320 --> 00:43:55,227
WHERE WE ARE TESTING A WHOLE 

1010
00:43:55,227 --> 00:43:57,362
FRAMEWORK AND CHOOSING WHO TO GO

1011
00:43:57,362 --> 00:44:01,266
TO AND I THINK, IT DOESN'T FIT 

1012
00:44:01,266 --> 00:44:02,601
WITH THE COMMUNITY BUT HOW DO 

1013
00:44:02,601 --> 00:44:03,635
YOU OVERCOME THAT?

1014
00:44:03,635 --> 00:44:05,570
I'M NOT SURE HOW YOU NAVIGATE 

1015
00:44:05,570 --> 00:44:07,472
THAT BUT IT'S WHERE THINGS ARE 

1016
00:44:07,472 --> 00:44:08,974
THERE AND YOU MAY NOT KNOW THE 

1017
00:44:08,974 --> 00:44:12,544
HISTORY AND IT MIGHT BE HARMFUL 

1018
00:44:12,544 --> 00:44:14,412
OR I MAY BE OVERLY SENSITIVE.

1019
00:44:14,412 --> 00:44:16,047
I DON'T KNOW BUT I THINK IT'S 

1020
00:44:16,047 --> 00:44:18,783
JUST BECAUSE THERE'S TWO 

1021
00:44:18,783 --> 00:44:20,252
DIFFERENT WORLDS THAT WE'RE 

1022
00:44:20,252 --> 00:44:24,422
SAYING WE WANT TO UPLIFT AND 

1023
00:44:24,422 --> 00:44:26,391
RESPECT THIS OTHER ONE BUT STILL

1024
00:44:26,391 --> 00:44:26,958
OPERATING IN THIS ONE.

1025
00:44:26,958 --> 00:44:29,728
I THINK THAT'S A CHALLENGE.

1026
00:44:29,728 --> 00:44:31,596
>> I HAVE SOMETHING ELSE
THAT I 

1027
00:44:31,596 --> 00:44:32,564
MENTIONED EARLIER.

1028
00:44:32,564 --> 00:44:35,867
I WANT TO HOLD SPACE FOR THE 

1029
00:44:35,867 --> 00:44:37,302
IMPACT OF THE CLIMATE CRISIS IN 

1030
00:44:37,302 --> 00:44:39,271
THE SOUTH.

1031
00:44:39,271 --> 00:44:41,139
A LOT OF TIMES WE FIND THE CARE 

1032
00:44:41,139 --> 00:44:42,340
IS SOMETHING OUR COMMUNITIES 

1033
00:44:42,340 --> 00:44:46,044
FACE AND IT'S OFTEN TIMES 

1034
00:44:46,044 --> 00:44:47,812
IMPACTED BY DISRUPTION OF CARE 

1035
00:44:47,812 --> 00:44:50,415
AND LIKE THE RISE AND 

1036
00:44:50,415 --> 00:44:51,917
EXACERBATION OF MATERNAL HEALTH 

1037
00:44:51,917 --> 00:44:52,651
INEQUITIES WE'RE SEEING.

1038
00:44:52,651 --> 00:44:55,053
I WANTED TO HOLD SPACE FOR 

1039
00:44:55,053 --> 00:44:55,687
ACKNOWLEDGING THE CLIMATE CRISIS

1040
00:44:55,687 --> 00:45:00,392
AS WELL.

1041
00:45:00,392 --> 00:45:05,363
>> THANK YOU SO MUCH.

1042
00:45:05,363 --> 00:45:07,165
SO ANOTHER QUESTION OR CHALLENGE

1043
00:45:07,165 --> 00:45:09,301
WE KNOW COLLABORATION WITH 

1044
00:45:09,301 --> 00:45:10,569
COMMUNITY PARTNERS CAN BE 

1045
00:45:10,569 --> 00:45:12,938
COMPLEX ESPECIALLY WHEN 

1046
00:45:12,938 --> 00:45:13,672
HISTORICAL MISTRUST IS INVOLVED 

1047
00:45:13,672 --> 00:45:14,739
AND YOU MENTIONED THAT.

1048
00:45:14,739 --> 00:45:17,075
SO WHAT HAVE YOU LEARNED ABOUT 

1049
00:45:17,075 --> 00:45:18,777
BUILDING TRUST AND ENSURING 

1050
00:45:18,777 --> 00:45:21,313
ACCOUNTABILITY WITH THE 

1051
00:45:21,313 --> 00:45:26,418
COMMUNITIES THAT YOU SERVE?

1052
00:45:26,418 --> 00:45:31,089
>> I'VE NOTICED WE HAVE
DONE A 

1053
00:45:31,089 --> 00:45:32,490
GOOD JOB IN THE PROJECTS I'VE 

1054
00:45:32,490 --> 00:45:34,059
BEEN INVOLVED IS BRINGING IN 

1055
00:45:34,059 --> 00:45:35,727
COMMUNITY MEMBERS AND PAYING 

1056
00:45:35,727 --> 00:45:36,995
THEM TO BE THERE.

1057
00:45:36,995 --> 00:45:39,097
THAT'S BEEN A HUGE THING.

1058
00:45:39,097 --> 00:45:39,931
BRINGING THEM IN AT THE 

1059
00:45:39,931 --> 00:45:44,603
BEGINNING AND NOT AT THE END BUT

1060
00:45:44,603 --> 00:45:45,804
BUILDING THE SUSTAINABLE 

1061
00:45:45,804 --> 00:45:47,038
RELATIONSHIPS THAT LAST NOT JUST

1062
00:45:47,038 --> 00:45:48,673
FOR THIS GRANT CYCLE BUT A LIFE 

1063
00:45:48,673 --> 00:45:50,508
TIME RELATIONSHIP THAT YOU HAVE 

1064
00:45:50,508 --> 00:45:52,310
AND ALSO MAKING THOSE 

1065
00:45:52,310 --> 00:45:53,845
CONNECTIONS WITH COMMUNITY 

1066
00:45:53,845 --> 00:45:55,280
MEMBERS AND ALSO BUILDING THEM 

1067
00:45:55,280 --> 00:45:57,549
UP AND SEEING WHAT ARE YOUR 

1068
00:45:57,549 --> 00:45:58,850
GOALS FOR YOURSELF AND HOW CAN 

1069
00:45:58,850 --> 00:46:07,959
WE GET YOU THERE.

1070
00:46:08,493 --> 00:46:10,195
>> WHAT I WAS TALKING
ABOUT 

1071
00:46:10,195 --> 00:46:11,262
EARLIER IN DEVELOPING 

1072
00:46:11,262 --> 00:46:12,397
RELATIONSHIPS EARLY ON, I THINK 

1073
00:46:12,397 --> 00:46:14,699
WE ENGAGED OUR COMMUNITY 

1074
00:46:14,699 --> 00:46:17,135
PARTNERS IN THE GRANT WRITING 

1075
00:46:17,135 --> 00:46:18,069
PROCESS AS WELL.

1076
00:46:18,069 --> 00:46:20,605
THEIR NEEDS ARE REFLECTED IN THE

1077
00:46:20,605 --> 00:46:21,706
ACTUAL PROJECT WE WORK ON 

1078
00:46:21,706 --> 00:46:25,176
TOGETHER AND WITH THE COMMUNITY 

1079
00:46:25,176 --> 00:46:29,314
PARTNER CORE WE'RE FOSTERING 

1080
00:46:29,314 --> 00:46:32,117
INTERNAL RELATIONSHIPS AND WE 

1081
00:46:32,117 --> 00:46:33,284
ARE ABLE TO SHARE EACH OTHER'S 

1082
00:46:33,284 --> 00:46:35,987
EVENTS HAPPENING AND ENSURING 

1083
00:46:35,987 --> 00:46:36,688
WE'RE SHARING THEM WITH THE 

1084
00:46:36,688 --> 00:46:37,355
CENTER AS WELL.

1085
00:46:37,355 --> 00:46:39,124
THEY'RE NOT ONLY SHOWING UP AND 

1086
00:46:39,124 --> 00:46:41,660
ABLE TO PROVIDE TO OUR PROJECTS 

1087
00:46:41,660 --> 00:46:43,161
BUT WE'RE ALSO SHOWING UP IN 

1088
00:46:43,161 --> 00:46:44,796
THEIR COMMUNITIES AND GIVING 

1089
00:46:44,796 --> 00:46:45,997
BACK AND LEARNING MORE ABOUT 

1090
00:46:45,997 --> 00:46:47,098
THEM AS WELL.

1091
00:46:47,098 --> 00:46:50,635
I THINK IT'S TRULY INTENTIONAL 

1092
00:46:50,635 --> 00:46:52,237
RELATIONSHIP BUILDING IS KEY IN 

1093
00:46:52,237 --> 00:46:54,139
HEADLINING SPACE FOR THEM AS 

1094
00:46:54,139 --> 00:46:57,308
EXPERTS AND PAYING THEM WELL AS 

1095
00:46:57,308 --> 00:46:58,276
EXPERTS AS WELL.

1096
00:46:58,276 --> 00:46:59,544
THEY KNOW WHAT THEIR LIVED 

1097
00:46:59,544 --> 00:47:03,081
EXPERIENCES ARE.

1098
00:47:03,081 --> 00:47:04,115
THEY KNOW WHAT THEIR COMMUNITIES

1099
00:47:04,115 --> 00:47:05,316
ARE EXPERIENCING.

1100
00:47:05,316 --> 00:47:07,552
I FEEL RESEARCH WON'T BE 

1101
00:47:07,552 --> 00:47:09,320
IMPACTFUL IF IT'S NOT 

1102
00:47:09,320 --> 00:47:17,629
INCORPORATING COMMUNITY VOICES.

1103
00:47:17,629 --> 00:47:19,931
I WOULD ECHO AND HAVE BEEN 

1104
00:47:19,931 --> 00:47:23,301
HUMBLED JUST IN MY LEARNING IN 

1105
00:47:23,301 --> 00:47:25,670
THIS SPACE AND TAKING AWAY I 

1106
00:47:25,670 --> 00:47:26,905
NEED TO THROW AWAY MY TIME LINE 

1107
00:47:26,905 --> 00:47:28,573
AND AGENDA FOR WHAT I THINK 

1108
00:47:28,573 --> 00:47:31,142
NEEDS TO HAPPEN AND LISTEN MORE 

1109
00:47:31,142 --> 00:47:31,910
THAN I SPEAK.

1110
00:47:31,910 --> 00:47:33,211
BUILDING TRUST IS GOING TO TAKE 

1111
00:47:33,211 --> 00:47:35,547
TIME BUT YOU HAVE TO KEEP 

1112
00:47:35,547 --> 00:47:37,982
SHOWING UP, BEING PRESENT, 

1113
00:47:37,982 --> 00:47:39,918
HAVING AN OPEN MIND SET AND 

1114
00:47:39,918 --> 00:47:41,319
ALWAYS WILLING TO LEARN AND 

1115
00:47:41,319 --> 00:47:42,654
KNOWING THE RELATIONSHIP 

1116
00:47:42,654 --> 00:47:44,022
BUILDING IS REALLY THE MOST 

1117
00:47:44,022 --> 00:47:45,323
IMPORTANT PART OF YOUR WORK.

1118
00:47:45,323 --> 00:47:46,357
FORGET ABOUT THE OUTCOMES AND 

1119
00:47:46,357 --> 00:47:52,997
JUST WORK ON THE RELATIONSHIP.

1120
00:47:52,997 --> 00:47:54,733
>> I AGREE WITH ALL THE
COMMENTS

1121
00:47:54,733 --> 00:47:56,668
AND JUST A COUPLE THINGS TO ADD 

1122
00:47:56,668 --> 00:47:58,770
SO THAT STARTING WITH THE TRUST 

1123
00:47:58,770 --> 00:48:02,273
OF PEOPLE WITHIN THE COMMUNITY 

1124
00:48:02,273 --> 00:48:03,241
AND DOING WHAT YOU SAY YOU'RE 

1125
00:48:03,241 --> 00:48:04,042
GOING TO DO.

1126
00:48:04,042 --> 00:48:09,147
THAT'S BEEN BIG.

1127
00:48:09,147 --> 00:48:14,119
AND WHEN WE CAN'T, BEING 

1128
00:48:14,119 --> 00:48:16,855
TRANSPARENT ABOUT WHY WHAT WENT 

1129
00:48:16,855 --> 00:48:18,823
WRONG AND THERE ARE THINGS WE 

1130
00:48:18,823 --> 00:48:20,458
HAVE TO HAVE HOOPS TO JUMP 

1131
00:48:20,458 --> 00:48:22,293
THROUGH AND BEING TRANSPARENT 

1132
00:48:22,293 --> 00:48:24,195
AND ASKING THEM, OKAY, WE DIDN'T

1133
00:48:24,195 --> 00:48:27,198
DO THIS, HERE'S WHY, CAN YOU 

1134
00:48:27,198 --> 00:48:29,300
HELP US FIND A SOLUTION SO WE 

1135
00:48:29,300 --> 00:48:33,071
CAN MAINTAIN AND BUILD ON THE 

1136
00:48:33,071 --> 00:48:35,073
TRUST AND LIVING LIFE TOGETHER 

1137
00:48:35,073 --> 00:48:39,043
NOT JUST THE PROJECT BUT BEING 

1138
00:48:39,043 --> 00:48:41,246
INTENTIONAL AND IT'S BEEN HUGE 

1139
00:48:41,246 --> 00:48:44,315
FOR US AND REMEMBERING, HONORING

1140
00:48:44,315 --> 00:48:47,051
AND EMBRACING OUR HUMANNESS.

1141
00:48:47,051 --> 00:48:50,889
SOMETIMES WE FORGET OR FEEL WE 

1142
00:48:50,889 --> 00:48:53,958
CONSEQUENT BE HUMAN WITH ONE 

1143
00:48:53,958 --> 00:48:58,129
ANOTHER AND BRINGING CIVILITY 

1144
00:48:58,129 --> 00:48:59,397
BACK AND HAVE DIFFERENT IDEAS 

1145
00:48:59,397 --> 00:49:01,332
AND APPROACHES AND STILL WORK 

1146
00:49:01,332 --> 00:49:03,501
TOGETHER AND ACTIVE LISTENING 

1147
00:49:03,501 --> 00:49:10,041
AND TAKING ACTION THAT REFLECTS 

1148
00:49:10,041 --> 00:49:14,145
VOICES IS ANOTHER.

1149
00:49:14,145 --> 00:49:16,047
>> I WANT TO NOTE TOWARDS
THE 

1150
00:49:16,047 --> 00:49:17,882
END OF THE SESSION WE'LL TAKE 

1151
00:49:17,882 --> 00:49:18,817
QUESTIONS FROM THE AUDIENCE IN 

1152
00:49:18,817 --> 00:49:25,089
PERSON AND ONLINE.

1153
00:49:25,089 --> 00:49:26,724
WHILE WE WE ARE SPEAKING THERE 

1154
00:49:26,724 --> 00:49:29,227
WERE LETS OF APPLAUSE AND RED 

1155
00:49:29,227 --> 00:49:32,530
HEARTS ON THE ZOOM SCREEN.

1156
00:49:32,530 --> 00:49:35,433
I WANT YOU TO KNOW AND ALSO 

1157
00:49:35,433 --> 00:49:36,401
ONLINE JUST USING THE Q&A
BOX 

1158
00:49:36,401 --> 00:49:37,969
AND WE'LL BE TAKING THOSE 

1159
00:49:37,969 --> 00:49:40,605
QUESTIONS TOWARDS THE END OF THE

1160
00:49:40,605 --> 00:49:42,774
SESSION AS WELL.

1161
00:49:42,774 --> 00:49:43,908
YOU GUYS TOUCHED ON THIS A 

1162
00:49:43,908 --> 00:49:45,310
LITTLE BIT WHEN YOU TALKED ABOUT

1163
00:49:45,310 --> 00:49:48,279
THE FRAMEWORKS FOR RESEARCH NOT 

1164
00:49:48,279 --> 00:49:51,282
MATCHING THE CULTURAL NEEDS OF 

1165
00:49:51,282 --> 00:49:55,119
THE COMMUNITY.

1166
00:49:55,119 --> 00:50:01,559
WHAT ARE SOME OF THE BIGGEST 

1167
00:50:01,559 --> 00:50:02,393
BARRIER AND HOW DO YOU PROPOSE 

1168
00:50:02,393 --> 00:50:12,003
TO OVERCOME THEM?

1169
00:50:12,003 --> 00:50:14,772
>> ONE OF OUR BIGGEST
BARRIERS 

1170
00:50:14,772 --> 00:50:16,574
IS OUR OWN INSTITUTION POLICIES.

1171
00:50:16,574 --> 00:50:20,245
SO THAT'S BEEN SOMETHING WE'VE 

1172
00:50:20,245 --> 00:50:25,717
HAD TO HAVE LOTS OF PATIENCE AND

1173
00:50:25,717 --> 00:50:26,851
CONVERSATION.

1174
00:50:26,851 --> 00:50:28,152
AN EXAMPLE HAS BEEN PAIN 

1175
00:50:28,152 --> 00:50:31,055
PROVIDING STIPENDS FOR COMMUNITY

1176
00:50:31,055 --> 00:50:35,426
MEMBERS ENGAGED IN THE RESEARCH.

1177
00:50:35,426 --> 00:50:37,629
IN OUR STATE THERE'S CERTAIN 

1178
00:50:37,629 --> 00:50:43,167
INSTITUTIONS WHO WANT A SOCIAL 

1179
00:50:43,167 --> 00:50:44,302
SECURITY FOR PAYMENT AND IF NOT 

1180
00:50:44,302 --> 00:50:48,406
WE HAVE TO FACTOR IN THE TAX 

1181
00:50:48,406 --> 00:50:48,606
RATE.

1182
00:50:48,606 --> 00:50:51,242
THAT'S BEEN A BIG BARRIER WITHIN

1183
00:50:51,242 --> 00:50:53,211
OUR PROJECT THEY PUT TOGETHER A 

1184
00:50:53,211 --> 00:50:55,680
PANEL FOR US TO PROVIDE US SOME 

1185
00:50:55,680 --> 00:50:57,115
FEEDBACK AND SOME IDEAS HOW TO 

1186
00:50:57,115 --> 00:51:00,919
ADDRESS THAT.

1187
00:51:00,919 --> 00:51:02,887
WE DON'T HAVE A COMPLETE 

1188
00:51:02,887 --> 00:51:04,055
RESOLUTION BUT WE CONTINUE TO 

1189
00:51:04,055 --> 00:51:05,089
HAVE THE CONVERSATIONS BUT 

1190
00:51:05,089 --> 00:51:07,392
THAT'S PROBABLY BEEN ONE OF OUR 

1191
00:51:07,392 --> 00:51:08,559
BIGGEST CHALLENGES OR 

1192
00:51:08,559 --> 00:51:13,998
OPPORTUNITIES FOR GROWTH AND OUR

1193
00:51:13,998 --> 00:51:16,000
DIVERSE NEEDS ACROSS OUR 

1194
00:51:16,000 --> 00:51:16,301
POPULATION.

1195
00:51:16,301 --> 00:51:17,769
EVEN WITHIN OUR SIX COUNTIES 

1196
00:51:17,769 --> 00:51:18,569
THERE'S DIFFERENT NEEDS.

1197
00:51:18,569 --> 00:51:20,939
SO TRYING TO FIGURE OUT HOW TO 

1198
00:51:20,939 --> 00:51:25,376
DO THAT AND WHAT WE COME TO IS 

1199
00:51:25,376 --> 00:51:27,879
ENGAGING, ASKING OUR COMMUNITIES

1200
00:51:27,879 --> 00:51:33,318
WHAT SHOULD WE DO AND REALLY 

1201
00:51:33,318 --> 00:51:35,186
EMBRACING THEIR EXPERTNESS  -- 

1202
00:51:35,186 --> 00:51:39,457
IS THAT A WORD?

1203
00:51:39,457 --> 00:51:40,058
EXPERTISE ABOUT THEIR OWN 

1204
00:51:40,058 --> 00:51:44,362
COMMUNITIES.

1205
00:51:44,362 --> 00:51:47,031
>> I THINK EARLY ON WE HAD
A 

1206
00:51:47,031 --> 00:51:48,599
CENTER KICK OFF WE WERE ABLE TO 

1207
00:51:48,599 --> 00:51:50,735
BRING IN COMMUNITY PARTNERS AND 

1208
00:51:50,735 --> 00:51:52,804
HAVE COMMUNITY PARTNERS PRESENT 

1209
00:51:52,804 --> 00:51:57,108
ON WHAT IT MEANS TO HAVE 

1210
00:51:57,108 --> 00:51:57,775
COMMUNITY-ENGAGED RESEARCH AND 

1211
00:51:57,775 --> 00:52:00,345
WE IMMEDIATELY SAW THE 

1212
00:52:00,345 --> 00:52:02,647
DIFFERENCES IN CAPACITY WHEN IT 

1213
00:52:02,647 --> 00:52:05,249
COMES TO LINKAGE WITH COMMUNITY.

1214
00:52:05,249 --> 00:52:08,753
IN MY ROLE I HOLD SPACE TO HEAR 

1215
00:52:08,753 --> 00:52:10,455
FROM COMMUNITY PARTNERS WHAT 

1216
00:52:10,455 --> 00:52:12,657
THEIR EXPERIENCE HAS BEEN TO 

1217
00:52:12,657 --> 00:52:14,192
GIVE THEM SPACE TO VOICE THE 

1218
00:52:14,192 --> 00:52:16,928
EXACT THINGS THEY'VE 

1219
00:52:16,928 --> 00:52:17,228
EXPERIENCED.

1220
00:52:17,228 --> 00:52:18,329
I THINK IT'S INEVITABLE IT'S 

1221
00:52:18,329 --> 00:52:19,397
GOING TO HAPPEN.

1222
00:52:19,397 --> 00:52:22,700
SOME HARM MAY HAPPEN 

1223
00:52:22,700 --> 00:52:23,534
UNINTENTIONALLY BUT WE'RE TRYING

1224
00:52:23,534 --> 00:52:28,039
TO BE AS PROACTIVE AS POSSIBLE.

1225
00:52:28,039 --> 00:52:31,576
SO HOLDING SPACE, MELISSA AND I 

1226
00:52:31,576 --> 00:52:34,078
WERE CO-LEADS AND HOLD OFFICE 

1227
00:52:34,078 --> 00:52:36,147
HOURS EACH MONTH IN ADDITION TO 

1228
00:52:36,147 --> 00:52:37,749
MONTHLY MEETINGS AND SURVEYS AND

1229
00:52:37,749 --> 00:52:39,450
THERE'S ALWAYS A SPACE TO 

1230
00:52:39,450 --> 00:52:41,719
REFLECT ON THE GOOD AND BAD OR 

1231
00:52:41,719 --> 00:52:45,957
CHALLENGES THAT MAY ARISE AND 

1232
00:52:45,957 --> 00:52:50,962
TRY TO HOLD A LOT OF SPACE FOR 

1233
00:52:50,962 --> 00:52:51,162
THAT.

1234
00:52:51,162 --> 00:52:52,063
ALSO WITHIN NEW ORLEANS A LOT OF

1235
00:52:52,063 --> 00:52:57,535
FOLKS ARE ENGAGED AND END UP 

1236
00:52:57,535 --> 00:52:59,971
PART OF A LOT OF RESEARCH.

1237
00:52:59,971 --> 00:53:00,805
WE TRIED TO PROVIDE DIFFERENT 

1238
00:53:00,805 --> 00:53:02,907
LEVELS OF ENGAGEMENT FOR 

1239
00:53:02,907 --> 00:53:03,541
COMMUNITY PARTNERS TO BE 

1240
00:53:03,541 --> 00:53:06,010
INVOLVED IN AND HAVE AN ACTION 

1241
00:53:06,010 --> 00:53:07,345
COMMITTEE AND ADVISORY BOARD AND

1242
00:53:07,345 --> 00:53:09,447
IT CAN BE MORE INVOLVED MONTHLY 

1243
00:53:09,447 --> 00:53:13,317
AND AS MUCH AS THEY WANT WHEREAS

1244
00:53:13,317 --> 00:53:19,891
THE BOARD MY MAY NOT CONTRIBUTE 

1245
00:53:19,891 --> 00:53:22,060
AND DIFFERENT LEVELS OF 

1246
00:53:22,060 --> 00:53:23,294
ENGAGEMENT AND UNDERSTAND WE 

1247
00:53:23,294 --> 00:53:25,296
ALSO DON'T WANT THESE FOLKS TO 

1248
00:53:25,296 --> 00:53:35,473
BURN OUT.

1249
00:53:40,778 --> 00:53:43,748
WE HAVE DATA SHARING AND 

1250
00:53:43,748 --> 00:53:45,016
MODERNIZATION AND THERE'S WORK 

1251
00:53:45,016 --> 00:53:46,451
IN MATERNAL HEALTH SPACE BUT 

1252
00:53:46,451 --> 00:53:47,952
THERE'S A LACK OF DATA SHARING 

1253
00:53:47,952 --> 00:53:50,455
BETWEEN EVEN SOME OF MY OWN 

1254
00:53:50,455 --> 00:53:51,622
PROGRAMS OR STATE AGENCIES 

1255
00:53:51,622 --> 00:53:56,027
BETWEEN STATE AND TRIBAL 

1256
00:53:56,027 --> 00:53:57,995
PARTNERS AND WITH TRIBES WE HAVE

1257
00:53:57,995 --> 00:53:59,430
INTENTIONAL ABOUT THIS OVER THE 

1258
00:53:59,430 --> 00:54:05,069
PAST FEW YEARS TO LOOK AT WHAT 

1259
00:54:05,069 --> 00:54:06,337
DATA SHARING MEANS AND NOT TO 

1260
00:54:06,337 --> 00:54:07,839
HOLD ON TO THE DATA BUT GIVE IT 

1261
00:54:07,839 --> 00:54:09,006
BACK TO THE COMMUNITIES.

1262
00:54:09,006 --> 00:54:13,311
THEY'RE THE OWNERS OF IT AND HOW

1263
00:54:13,311 --> 00:54:16,781
DO WE CONTINUE TO HAVE THAT MIND

1264
00:54:16,781 --> 00:54:18,549
SET AND LOOKING TOWARDS DATA 

1265
00:54:18,549 --> 00:54:18,883
MODERNIZATION.

1266
00:54:18,883 --> 00:54:20,418
I THINK WE'RE JUST LOOKING AT 

1267
00:54:20,418 --> 00:54:22,954
HOW DATA ACROSS OUR PROGRAMS CAN

1268
00:54:22,954 --> 00:54:25,323
BE CAPTURED AND USED SOME BIG 

1269
00:54:25,323 --> 00:54:28,059
DATA ANALYTICS TO LOOK AT 

1270
00:54:28,059 --> 00:54:29,293
COMMUNITY HEALTH-BASED NEEDS AS 

1271
00:54:29,293 --> 00:54:29,560
WELL.

1272
00:54:29,560 --> 00:54:30,928
THERE'S POTENTIAL WORK WITH OUR 

1273
00:54:30,928 --> 00:54:33,297
COLLEAGUES FROM THEIR RESEARCH 

1274
00:54:33,297 --> 00:54:38,970
TO SET UP SOME SYSTEMS THAT CAN 

1275
00:54:38,970 --> 00:54:39,737
UTILIZE PUBLIC HEALTH AND HEALTH

1276
00:54:39,737 --> 00:54:41,372
CARE DATA TO GET THE PICTURE OF 

1277
00:54:41,372 --> 00:54:50,414
MATERNAL HEALTH IN OUR STATE.

1278
00:54:50,414 --> 00:54:51,149
>> VERY SIMILAR.

1279
00:54:51,149 --> 00:54:53,217
TRYING TO GET PEOPLE PAID.

1280
00:54:53,217 --> 00:54:54,986
EVEN MYSELF ON THE UNIVERSITY 

1281
00:54:54,986 --> 00:54:57,755
SIDE, WE WERE ON A PCORI GRANT 

1282
00:54:57,755 --> 00:55:00,858
AND I DIDN'T GET PAID UNTIL THE 

1283
00:55:00,858 --> 00:55:03,561
END WHICH WAS TWO YEARS LATER.

1284
00:55:03,561 --> 00:55:05,062
THERE'S A LOT OF RED TAPE AND 

1285
00:55:05,062 --> 00:55:06,330
EVEN WORSE WHEN THERE'S SOMEBODY

1286
00:55:06,330 --> 00:55:07,231
FROM THE OUTSIDE.

1287
00:55:07,231 --> 00:55:12,537
WE HAVE FOLKS WORKING ON THAT 

1288
00:55:12,537 --> 00:55:14,739
AND MY HEART GOES OUT FOR HOW 

1289
00:55:14,739 --> 00:55:15,806
THEY FIGURE OUT THOSE 

1290
00:55:15,806 --> 00:55:19,277
JUSTIFICATION CHANGES AND THINGS

1291
00:55:19,277 --> 00:55:20,478
LIKE THAT.

1292
00:55:20,478 --> 00:55:22,446
I ALSO YOU WERE TALKING ABOUT 

1293
00:55:22,446 --> 00:55:23,447
THE DIFFERENT FRAME WORKS AND 

1294
00:55:23,447 --> 00:55:23,714
METHODS.

1295
00:55:23,714 --> 00:55:29,453
WE'RE WORKING ON OUR NEEDS 

1296
00:55:29,453 --> 00:55:32,223
ASSESSMENT AND LOOKING AT THE 

1297
00:55:32,223 --> 00:55:33,191
VERIFIED SCALES AND 

1298
00:55:33,191 --> 00:55:36,327
DISCRIMINATION AND HOW WE 

1299
00:55:36,327 --> 00:55:38,062
MEASURE THAT AND WHICH IT MIGHT 

1300
00:55:38,062 --> 00:55:41,299
BE A WHOLE DIFFERENT LAYER.

1301
00:55:41,299 --> 00:55:43,801
MAYBE WE NEED TO LOOK AT 

1302
00:55:43,801 --> 00:55:45,336
HISTORICAL TRAUMA OR THE RIGHT 

1303
00:55:45,336 --> 00:55:48,072
WAY TO COLLECT THE DATA FROM 

1304
00:55:48,072 --> 00:55:48,306
PEOPLE.

1305
00:55:48,306 --> 00:55:57,315
I JUST THINK ABOUT CAUSING MORE 

1306
00:55:57,315 --> 00:55:59,784
HARM AND I THINK HOW THIS MIGHT 

1307
00:55:59,784 --> 00:56:02,019
GO DOWN AND ARE THEY GOING TO 

1308
00:56:02,019 --> 00:56:03,988
WONDER WE'RE GOING TO TAKE THEIR

1309
00:56:03,988 --> 00:56:05,189
KIDS FROM THEM.

1310
00:56:05,189 --> 00:56:05,957
THERE'S A LOT OF DIFFERENT 

1311
00:56:05,957 --> 00:56:10,728
THINGS THAT COULD BE TRIGGERS 

1312
00:56:10,728 --> 00:56:12,230
AND CAUSE THESE MOMS ARE 

1313
00:56:12,230 --> 00:56:14,332
STRESSED ALREADY DUE TO LACK OF 

1314
00:56:14,332 --> 00:56:16,500
ACCESS IN A LOT OF DIFFERENT 

1315
00:56:16,500 --> 00:56:16,767
THINGS.

1316
00:56:16,767 --> 00:56:19,003
AND BEING A PART OF THE SOLUTION

1317
00:56:19,003 --> 00:56:20,805
RATHER THAN THE PROBLEM A LOT OF

1318
00:56:20,805 --> 00:56:28,079
TIMES I THINK ABOUT HOW THE DATA

1319
00:56:28,079 --> 00:56:30,114
IS SACRED AND IT DEPENDS ON THE 

1320
00:56:30,114 --> 00:56:33,317
DATA HOW THE STORY IS TOLD AND 

1321
00:56:33,317 --> 00:56:35,653
WE HAVE POWER ON THE UNIVERSITY 

1322
00:56:35,653 --> 00:56:36,287
SIDE.

1323
00:56:36,287 --> 00:56:37,288
A LOT OF THE PROJECTS I'VE BEEN 

1324
00:56:37,288 --> 00:56:39,824
INVOLVED WITH HAVE DONE A GOOD 

1325
00:56:39,824 --> 00:56:42,326
JOB WORKING WITH TRIBES AND 

1326
00:56:42,326 --> 00:56:44,295
MAKING THEY'RE THE AUTHORS ON 

1327
00:56:44,295 --> 00:56:46,731
THE PAPERS AND THEY'RE THE 

1328
00:56:46,731 --> 00:56:49,300
OWNERS OF THE DATA AND DATA 

1329
00:56:49,300 --> 00:56:50,668
SHARING DOES HELP BUT THERE'S A 

1330
00:56:50,668 --> 00:56:53,437
LOT OF ISSUES IN YOU'RE STATE 

1331
00:56:53,437 --> 00:56:55,206
WHERE THE STATE WANTS THE TRIBES

1332
00:56:55,206 --> 00:56:58,409
TO SHARE THEIR DATA WITH THEM 

1333
00:56:58,409 --> 00:57:01,345
BUT THEY DON'T WANT TO SHARE THE

1334
00:57:01,345 --> 00:57:05,716
OPPOSITE DIRECTION AND I TELL 

1335
00:57:05,716 --> 00:57:07,618
THEM YOU REALIZE YOU'RE ON A 

1336
00:57:07,618 --> 00:57:10,054
DIFFERENT HIERARCHY AND THEY 

1337
00:57:10,054 --> 00:57:11,589
WANT THE DATA.

1338
00:57:11,589 --> 00:57:13,591
DATA GENOCIDE IS A REAL THING.

1339
00:57:13,591 --> 00:57:15,126
EVEN LOOKING AT PRESENTATIONS, 

1340
00:57:15,126 --> 00:57:16,994
WE DIDN'T MAKE IT AND IT DOESN'T

1341
00:57:16,994 --> 00:57:19,297
HELP OUR COMMUNITIES.

1342
00:57:19,297 --> 00:57:23,401
IT DOES WORSE.

1343
00:57:23,401 --> 00:57:29,307
BUT I UNDERSTAND WHY THERE'S A 

1344
00:57:29,307 --> 00:57:31,842
MISTRUST AND IT'S PROPED TO N

1345
00:57:31,842 --> 00:57:35,846
NOT -- APPROPRIATE TO NOT WANT 

1346
00:57:35,846 --> 00:57:36,647
TO BE INVOLVED BECAUSE OF THE 

1347
00:57:36,647 --> 00:57:39,183
PAST AND IF YOU DO IT IN A GOOD 

1348
00:57:39,183 --> 00:57:44,488
WAY RELATIONSHIP IS IMPORTANT 

1349
00:57:44,488 --> 00:57:46,757
BECAUSE YOU'RE MAKING SURE 

1350
00:57:46,757 --> 00:57:48,959
YOU'RE GIVING THEM DATA THEY CAN

1351
00:57:48,959 --> 00:57:50,261
LEVERAGE.

1352
00:57:50,261 --> 00:57:51,696
WE SHOULD BE WORKING OURSELVES 

1353
00:57:51,696 --> 00:57:53,998
OUT OF A JOB EESPECIALLY WORKING

1354
00:57:53,998 --> 00:57:57,468
WITH -- ESPECIALLY WORKING WITH 

1355
00:57:57,468 --> 00:57:58,602
TRIBAL NATIONS BECAUSE THEY CAN 

1356
00:57:58,602 --> 00:58:00,338
DO THIS DATA ON THEIR OWN BUT 

1357
00:58:00,338 --> 00:58:05,109
FUNDERS DON'T HAVE THE 

1358
00:58:05,109 --> 00:58:07,611
CREDIBILITY BECAUSE PROBABLY I 

1359
00:58:07,611 --> 00:58:09,447
BEING -- I HAVE A FRIEND THAT 

1360
00:58:09,447 --> 00:58:12,183
WORKS FOR A TRIBE AND THEY CAN 

1361
00:58:12,183 --> 00:58:13,984
HANDLE AN NIH GRANT BUT THEY 

1362
00:58:13,984 --> 00:58:15,853
WERE TOLD YOU DIDN'T WRITE THIS.

1363
00:58:15,853 --> 00:58:17,154
THERE'S NO WAY.

1364
00:58:17,154 --> 00:58:18,789
IT'S THOSE KINDS OF THINGS WHERE

1365
00:58:18,789 --> 00:58:24,362
THERE'S STILL STEREOTYPES.

1366
00:58:24,362 --> 00:58:27,832
WE HAVE A LOT OF THESE BIASES 

1367
00:58:27,832 --> 00:58:32,436
AND IT'S BECAUSE OF STORIES AND 

1368
00:58:32,436 --> 00:58:35,639
BEING CAREFUL IN WHAT YOU 

1369
00:58:35,639 --> 00:58:35,873
COLLECT.

1370
00:58:35,873 --> 00:58:38,876
I WANT TO BUILD CAPACITY AND 

1371
00:58:38,876 --> 00:58:41,178
WOULD LOVE IT IF THEY NEED ME TO

1372
00:58:41,178 --> 00:58:46,584
COME HERE AND TALK TO PEOPLE HOW

1373
00:58:46,584 --> 00:58:47,585
DO WE CAPTURE DATA.

1374
00:58:47,585 --> 00:58:50,388
I USED TO DO PHONE SURVEYS BACK 

1375
00:58:50,388 --> 00:58:52,857
IN UNDERGRAD AND IT WAS ELDERS 

1376
00:58:52,857 --> 00:58:54,892
AND THEY WOULD TELL ME A WHOLE 

1377
00:58:54,892 --> 00:58:56,894
STORY AND I'D BE LIKE SO YOU 

1378
00:58:56,894 --> 00:59:04,068
WOULD SAY YOU STRONGLY AGREE?

1379
00:59:04,068 --> 00:59:06,303
IT'S A DIFFERENT EXPERIENCE AND 

1380
00:59:06,303 --> 00:59:07,304
MAYBE THAT SURVEY ISN'T GETTING 

1381
00:59:07,304 --> 00:59:09,306
WHAT YOU WANT BUT AN EASIER WAY 

1382
00:59:09,306 --> 00:59:09,507
IN.

1383
00:59:09,507 --> 00:59:12,476
YOU THINK OF HOW MANY QUESTIONS 

1384
00:59:12,476 --> 00:59:14,545
YOU HAVE ON THOSE THINGS TOO AND

1385
00:59:14,545 --> 00:59:17,915
CAN YOU REALLY SIT DOWN AND GO 

1386
00:59:17,915 --> 00:59:18,983
THAT?

1387
00:59:18,983 --> 00:59:20,985
THERE HAS TO BE A BALANCE IN 

1388
00:59:20,985 --> 00:59:22,052
UNDERSTANDING WHAT YOU'RE ASKING

1389
00:59:22,052 --> 00:59:25,956
AND WHAT THAT MEANS TO THE 

1390
00:59:25,956 --> 00:59:27,591
PERSON ON THE OTHER SIDE BECAUSE

1391
00:59:27,591 --> 00:59:30,528
YOU MAY BE GETTING SOMETHING 

1392
00:59:30,528 --> 00:59:32,563
TOTALLY OFF.

1393
00:59:32,563 --> 00:59:35,466
>> THANK YOU FOR SHARING
THOSE 

1394
00:59:35,466 --> 00:59:35,733
BARRIERS.

1395
00:59:35,733 --> 00:59:40,371
>> YOU CAN'T BE AT NIH AND
SAY 

1396
00:59:40,371 --> 00:59:41,972
IF SOMEONE DOES THAT, THEY NEED 

1397
00:59:41,972 --> 00:59:43,808
TO REPORT THAT TO THE OFFICE OF 

1398
00:59:43,808 --> 00:59:44,341
EXTRAMURAL RESEARCH.

1399
00:59:44,341 --> 00:59:48,279
THAT IS NOT REFLECTIVE OF THE 

1400
00:59:48,279 --> 00:59:50,347
STANDARD AT WHICH WE ASSESS 

1401
00:59:50,347 --> 00:59:50,581
SCIENCE.

1402
00:59:50,581 --> 00:59:51,749
AND THAT IS -- THANK YOU FOR 

1403
00:59:51,749 --> 00:59:52,516
SHARING THAT.

1404
00:59:52,516 --> 00:59:55,519
WE NEED TO KNOW THAT BUT I HOPE 

1405
00:59:55,519 --> 00:59:57,888
YOUR COLLEAGUE REPORTS IT AND 

1406
00:59:57,888 --> 01:00:00,124
ANYONE ELSE THAT EXPERIENCES 

1407
01:00:00,124 --> 01:00:02,326
THAT TYPE OF DISCRIMINATION 

1408
01:00:02,326 --> 01:00:03,327
REPORTS IT BECAUSE THAT'S NOT 

1409
01:00:03,327 --> 01:00:04,428
THE INTEGRITY WE HOPE TO HAVE IN

1410
01:00:04,428 --> 01:00:13,204
OUR SCIENCE.

1411
01:00:13,204 --> 01:00:16,040
>> SO IN WORKING WITH
COMMUNITY 

1412
01:00:16,040 --> 01:00:19,477
CAN YOU TELL US HOW YOU MAKE 

1413
01:00:19,477 --> 01:00:22,746
SURE THAT YOUR TEAM IMPROVEMENT 

1414
01:00:22,746 --> 01:00:23,514
TRULY UNDERSTAND THE COMMUNITY 

1415
01:00:23,514 --> 01:00:24,014
YOU SERVE?

1416
01:00:24,014 --> 01:00:26,984
HOW DO YOU MAKE SURE THE 

1417
01:00:26,984 --> 01:00:28,085
COMMUNITY CAN RELATE TO THE 

1418
01:00:28,085 --> 01:00:38,329
RESEARCH TEAM?

1419
01:00:39,530 --> 01:00:41,499
>> I THINK FOR US IS
CONTINUING 

1420
01:00:41,499 --> 01:00:44,034
TO LEARN AND ENGAGE WITH 

1421
01:00:44,034 --> 01:00:44,535
COMMUNITIES.

1422
01:00:44,535 --> 01:00:46,804
IN SOUTH DAKOTA WE JUST HAD OUR 

1423
01:00:46,804 --> 01:00:48,339
FIRST INDIGENOUS HEALTH SUMMIT 

1424
01:00:48,339 --> 01:00:51,108
WITH THE COLLABORATION OF THE 

1425
01:00:51,108 --> 01:00:53,110
DEPARTMENT OF HEALTH AND TRIBAL 

1426
01:00:53,110 --> 01:00:57,014
HEALTH AND CHAIRMEN.

1427
01:00:57,014 --> 01:00:59,817
IT WAS A NICE OPPORTUNITY TO 

1428
01:00:59,817 --> 01:01:04,054
DISCUSS HOW TO BRING TRADITIONAL

1429
01:01:04,054 --> 01:01:08,459
HEALTH PRACTICES BACK INTO 

1430
01:01:08,459 --> 01:01:09,593
HEALTH CARE AND LOOKING AT DATA 

1431
01:01:09,593 --> 01:01:11,529
AND NOT ONLY LOOKING AT IT BUT 

1432
01:01:11,529 --> 01:01:12,396
SHARING THE DATA WITH 

1433
01:01:12,396 --> 01:01:14,632
COMMUNITIES FOR THEIR INPUT AND 

1434
01:01:14,632 --> 01:01:15,299
INSIGHT.

1435
01:01:15,299 --> 01:01:17,902
JUST ASKING QUESTIONS, DOES THIS

1436
01:01:17,902 --> 01:01:19,303
LOOK LIKE YOU'RE COMMUNITY?

1437
01:01:19,303 --> 01:01:21,539
IS THIS REPRESENTATIVE MUCH YOUR

1438
01:01:21,539 --> 01:01:21,805
COMMUNITY?

1439
01:01:21,805 --> 01:01:27,845
DOES THIS ANALYSIS MAKE SENSE?

1440
01:01:27,845 --> 01:01:29,079
EVEN STRATIFYING BY RACE IN 

1441
01:01:29,079 --> 01:01:30,814
REPRESENTING THE DATA.

1442
01:01:30,814 --> 01:01:32,316
WE ASK QUESTIONS AROUND THAT AND

1443
01:01:32,316 --> 01:01:35,219
ARE WE DOING THE BEST WE CAN?

1444
01:01:35,219 --> 01:01:37,254
I DON'T LIKE TO SAY WE CAN'T 

1445
01:01:37,254 --> 01:01:39,056
SHARE DATA BECAUSE IT'S SMALL 

1446
01:01:39,056 --> 01:01:40,324
NUMBERS BECAUSE IN SOUTH DAKOTA 

1447
01:01:40,324 --> 01:01:41,625
EVERYTHING IS A SMALL NUMBER.

1448
01:01:41,625 --> 01:01:43,594
WE NEED TO BE MORE CREATIVE AND 

1449
01:01:43,594 --> 01:01:45,663
INNOVATIVE AND THOUGHTFUL ABOUT 

1450
01:01:45,663 --> 01:01:46,063
THAT.

1451
01:01:46,063 --> 01:01:47,464
I DON'T THINK THERE'S NECESSARY 

1452
01:01:47,464 --> 01:01:49,300
BAD DATA WE COLLECT.

1453
01:01:49,300 --> 01:01:51,368
I THINK WE CAN ALWAYS USE IT 

1454
01:01:51,368 --> 01:01:51,969
BECAUSE EVERY DATA POINT IS 

1455
01:01:51,969 --> 01:01:53,537
SOMEONE'S STORY.

1456
01:01:53,537 --> 01:01:55,306
SO THOSE ARE SOME WAYS WE REALLY

1457
01:01:55,306 --> 01:01:57,308
TRY TO REFLECT THE CULTURE AND 

1458
01:01:57,308 --> 01:02:03,347
COMMUNITIES IN OUR WORK.

1459
01:02:03,347 --> 01:02:04,682
>> AS I MENTIONED EARLIER
WITH 

1460
01:02:04,682 --> 01:02:07,785
OUR CENTER, IT'S AN ACADEMIC 

1461
01:02:07,785 --> 01:02:09,320
INSTITUTION HEALTH CARE AND 

1462
01:02:09,320 --> 01:02:09,787
COMMUNITY.

1463
01:02:09,787 --> 01:02:12,356
SO THERE'S A FULL TIME PERSON 

1464
01:02:12,356 --> 01:02:15,125
THAT'S PART OF EVERY COMPONENT 

1465
01:02:15,125 --> 01:02:17,761
OF THE PROJECT AND BRINGS BACK 

1466
01:02:17,761 --> 01:02:18,662
THE COMMUNITY PERSPECTIVE AND WE

1467
01:02:18,662 --> 01:02:21,298
TRY TO BE REALLY INTENTIONAL 

1468
01:02:21,298 --> 01:02:23,434
ABOUT BRINGING FOLKS TOGETHER TO

1469
01:02:23,434 --> 01:02:25,102
LEARN TOGETHER, TO GROW 

1470
01:02:25,102 --> 01:02:26,971
RELATIONSHIPS AND LEARN MORE 

1471
01:02:26,971 --> 01:02:28,305
ABOUT ONE ANOTHER.

1472
01:02:28,305 --> 01:02:30,007
IMMEDIATELY AFTER THIS I HAVE TO

1473
01:02:30,007 --> 01:02:31,308
FLY OVER TO NEW ORLEANS FOR A 

1474
01:02:31,308 --> 01:02:33,310
DINNER WE'RE HAVING AND WE'RE 

1475
01:02:33,310 --> 01:02:34,745
DOING WORKSHOPS TO WORK TOGETHER

1476
01:02:34,745 --> 01:02:35,713
IN THOSE SPACES.

1477
01:02:35,713 --> 01:02:43,754
SO CONSTANTLY FINDING WAYS TO 

1478
01:02:43,754 --> 01:02:45,255
WORK WITH ONE ANOTHER AND 

1479
01:02:45,255 --> 01:02:47,124
REGARDING OUR ACTION COMMITTEE 

1480
01:02:47,124 --> 01:02:48,759
AND ADVISORY BOARD, THEY'RE 

1481
01:02:48,759 --> 01:02:49,994
PAIRED DELIVERY RESEARCH 

1482
01:02:49,994 --> 01:02:51,328
PROJECTS AND ATTEND ONE OF THE 

1483
01:02:51,328 --> 01:02:52,930
MEETINGS EVERY MONTH AND ATTEND 

1484
01:02:52,930 --> 01:02:56,266
A MEETING WITH MELISSA AND I AND

1485
01:02:56,266 --> 01:02:58,469
ARE ABLE TO ATTEND CENTER WIDE 

1486
01:02:58,469 --> 01:03:00,270
MEETINGS AND DEEPLY ENGAGED IN 

1487
01:03:00,270 --> 01:03:02,339
DIFFERENT WAYS AND ONE OF OUR 

1488
01:03:02,339 --> 01:03:07,244
AIMS IS TO CREATE A RESEARCH 

1489
01:03:07,244 --> 01:03:07,811
TRAINING LABORATORY WHERE 

1490
01:03:07,811 --> 01:03:11,248
THEY'LL BE TRAINING THEMSELVES 

1491
01:03:11,248 --> 01:03:12,983
AND THE CENTER STAFF AND NEARBY 

1492
01:03:12,983 --> 01:03:14,084
RESEARCHERS CAN CONTRIBUTE AND 

1493
01:03:14,084 --> 01:03:16,920
LEARN DIRECTLY FROM THEIR 

1494
01:03:16,920 --> 01:03:17,955
EXPERIENCES, THEIR EXPERTISE AND

1495
01:03:17,955 --> 01:03:19,189
LIVED EXPERIENCE OF THE 

1496
01:03:19,189 --> 01:03:20,290
COMMUNITIES THEY'RE A PART OF 

1497
01:03:20,290 --> 01:03:24,828
AND ON TOP OF THAT, WE HAVE A 

1498
01:03:24,828 --> 01:03:27,564
TRAINING CORE FOR SCHOLARS 

1499
01:03:27,564 --> 01:03:29,233
HOWEVER, WE PROVIDE A TRAINING 

1500
01:03:29,233 --> 01:03:30,501
TO PROVIDE THE TYPES OF TRAINING

1501
01:03:30,501 --> 01:03:32,569
THEY WANT TO LEARN AS WELL.

1502
01:03:32,569 --> 01:03:33,537
THERE'S SO MUCH SPACE AND 

1503
01:03:33,537 --> 01:03:34,938
OPPORTUNITY TO ENGAGE THEM 

1504
01:03:34,938 --> 01:03:37,307
WHETHER IT'S IN GROUP SETTINGS 

1505
01:03:37,307 --> 01:03:39,243
AND WORKSHOPS WE'RE HAVING AND 

1506
01:03:39,243 --> 01:03:40,811
ENSURING WE'RE ATTENDING THEIR 

1507
01:03:40,811 --> 01:03:42,413
SUMMITS AND CONFERENCES AND 

1508
01:03:42,413 --> 01:03:43,881
COMMUNITY EVENTS.

1509
01:03:43,881 --> 01:03:45,315
THERE'S SO MANY OPPORTUNITIES WE

1510
01:03:45,315 --> 01:03:47,351
TRY TO PROVIDE TO REALLY GET TO 

1511
01:03:47,351 --> 01:03:51,622
KNOW ONE ANOTHER AND NOT JUST BE

1512
01:03:51,622 --> 01:03:53,490
THIS BI-DIRECTIONAL STRICT 

1513
01:03:53,490 --> 01:03:54,391
RELATIONSHIP OF ONLY RESEARCH 

1514
01:03:54,391 --> 01:03:54,758
SETTINGS ONLY.

1515
01:03:54,758 --> 01:04:04,101
WE WANT TO GET TO KNOW THE HEAR 

1516
01:04:04,101 --> 01:04:05,469
THEIR STORIES AND GETTING TO 

1517
01:04:05,469 --> 01:04:06,236
KNOW ONE ANOTHER AND PROVIDING 

1518
01:04:06,236 --> 01:04:16,513
SPACE FOR THAT.

1519
01:04:22,319 --> 01:04:25,289
>> SO, WE PARTNERED WITH A
BOARD

1520
01:04:25,289 --> 01:04:30,461
AND THE TRIBAL CENTER AND SO 

1521
01:04:30,461 --> 01:04:33,297
THEY SERVE THE 43 FEDERALLY 

1522
01:04:33,297 --> 01:04:34,098
RECOGNIZED TRIBES ACROSS 

1523
01:04:34,098 --> 01:04:38,402
OKLAHOMA AND TEXAS AND KANSAS.

1524
01:04:38,402 --> 01:04:42,372
ALL THE SERVICE UNITS HAVE 

1525
01:04:42,372 --> 01:04:45,843
REPRESENTATION ON THEIR 

1526
01:04:45,843 --> 01:04:47,311
EXECUTIVE BOARD THAT MEANS THEY 

1527
01:04:47,311 --> 01:04:49,780
COULD BE A TRIBAL HEALTH CENTER 

1528
01:04:49,780 --> 01:04:56,620
TAKING OVER SERVICES OR IHS.

1529
01:04:56,620 --> 01:04:58,322
MY TRIBE HASN'T.

1530
01:04:58,322 --> 01:04:59,790
ADVISORY BOARD MEMBERS ARE ON 

1531
01:04:59,790 --> 01:05:03,060
THAT COMMITTEE FOR THE CLINIC.

1532
01:05:03,060 --> 01:05:05,295
SO WE RELY LEVEL ON COMMUNITY 

1533
01:05:05,295 --> 01:05:09,299
PARTNERS, GETTING PEOPLE ON 

1534
01:05:09,299 --> 01:05:13,737
BOARD AND HOW DO YOU DO THAT AND

1535
01:05:13,737 --> 01:05:17,941
YOU TAKE UP YOUR TIME.

1536
01:05:17,941 --> 01:05:20,477
JUST BEING IN COMMUNITY MAKING 

1537
01:05:20,477 --> 01:05:23,213
SURE WE'RE SEEN AT THEIR EVENTS 

1538
01:05:23,213 --> 01:05:24,648
AND I BELIEVE THERE'S PLANS WE 

1539
01:05:24,648 --> 01:05:25,482
WORK WITH THE TRIBES.

1540
01:05:25,482 --> 01:05:28,318
A LOT OF THINGS GO UNDER THE 

1541
01:05:28,318 --> 01:05:28,585
SUMMER.

1542
01:05:28,585 --> 01:05:31,822
THEIR FESTIVALS AND THINGS LIKE 

1543
01:05:31,822 --> 01:05:32,055
THAT.

1544
01:05:32,055 --> 01:05:33,657
THERE'S A LOT GOING ON ACROSS 

1545
01:05:33,657 --> 01:05:37,294
THE WHOLE ENTIRE STATE WHEN IT 

1546
01:05:37,294 --> 01:05:38,529
COMES TO THOSE THINGS AND SOME 

1547
01:05:38,529 --> 01:05:43,333
MAKE THE JOURNEY  ALL THE WAY 

1548
01:05:43,333 --> 01:05:45,602
BACK HOME AND MAKING SURE 

1549
01:05:45,602 --> 01:05:48,071
THEY'RE SEEN AND KNOWN AND THEY 

1550
01:05:48,071 --> 01:05:49,306
HAVE AN ANNUAL TRIBAL HEALTH 

1551
01:05:49,306 --> 01:05:50,641
CONFERENCE WHICH HAS GROWN 

1552
01:05:50,641 --> 01:05:51,775
TREMENDOUSLY.

1553
01:05:51,775 --> 01:05:53,710
LAST I CHECKED THEY TRY TO USE 

1554
01:05:53,710 --> 01:05:55,479
TRIBAL FACILITY TO HOST THE 

1555
01:05:55,479 --> 01:05:57,314
CONFERENCES BUT LAST I HEARD 

1556
01:05:57,314 --> 01:05:58,448
IT'S GROWN SO MUCH THEY MIGHT 

1557
01:05:58,448 --> 01:06:02,886
HAVE TO CONSIDER GOING OUTSIDE 

1558
01:06:02,886 --> 01:06:04,154
AND WHAT DO WE DO?

1559
01:06:04,154 --> 01:06:07,291
DO WE CONTINUE TO GROW IT AND GO

1560
01:06:07,291 --> 01:06:09,426
OUTSIDE THE FACILITIES OR KEEP 

1561
01:06:09,426 --> 01:06:11,161
IT SMALL AND MAKE SURE WE'RE 

1562
01:06:11,161 --> 01:06:14,097
SUPPORTING THE TRIBES IN THAT 

1563
01:06:14,097 --> 01:06:14,264
WAY.

1564
01:06:14,264 --> 01:06:17,301
SO THAT HAS BEEN A BIG THING.

1565
01:06:17,301 --> 01:06:21,738
I BELIEVE WE HAD A BOOST AT THE 

1566
01:06:21,738 --> 01:06:22,306
LAST TRIBAL PUBLIC HEALTH 

1567
01:06:22,306 --> 01:06:23,907
CONFERENCE AND MAY HAVE BEEN A 

1568
01:06:23,907 --> 01:06:26,977
TALK THERE TO INTRODUCE THE 

1569
01:06:26,977 --> 01:06:28,345
PROJECT AND GET MORE INPUT AND 

1570
01:06:28,345 --> 01:06:31,748
SET UP MEETINGS AND THINGS LIKE 

1571
01:06:31,748 --> 01:06:35,519
THAT AND WE PARTNER WITH OSU, 

1572
01:06:35,519 --> 01:06:40,891
OKLAHOMA STATE UNIVERSITY, THEY 

1573
01:06:40,891 --> 01:06:42,659
HAVE A MEDICAL SCHOOL PARTNERED 

1574
01:06:42,659 --> 01:06:44,094
WITH CHEROKEE NATION.

1575
01:06:44,094 --> 01:06:44,928
THEY HAVE ONE OF THE FOUR 

1576
01:06:44,928 --> 01:06:46,263
BIRTHING FACILITIES AND HAVE A 

1577
01:06:46,263 --> 01:06:47,231
MEDICAL SCHOOL THERE AND THERE'S

1578
01:06:47,231 --> 01:06:53,704
A PARTNERSHIP WITH THEM AS WELL.

1579
01:06:53,704 --> 01:06:58,075
MAKING SURE WE BRING OR MAYBE WE

1580
01:06:58,075 --> 01:07:00,143
JOIN THE TABLE, THE OTHER WAY 

1581
01:07:00,143 --> 01:07:03,480
AROUND, TO BRING WORK THEY'RE 

1582
01:07:03,480 --> 01:07:05,682
DOING AND THAT PARTNERSHIP 

1583
01:07:05,682 --> 01:07:07,551
STARTED EVEN BEFORE THEY APPLIED

1584
01:07:07,551 --> 01:07:12,189
FOR FUNDING.

1585
01:07:12,189 --> 01:07:17,494
IT'S HUGE EVEN FOR PREVIOUS 

1586
01:07:17,494 --> 01:07:19,263
STUDY THE FOOD IS MEDICINE STUDY

1587
01:07:19,263 --> 01:07:23,300
AND THERE'S BEEN A SUSTAINABLE 

1588
01:07:23,300 --> 01:07:25,235
RELATIONAL NURTURED AND THIS IS 

1589
01:07:25,235 --> 01:07:28,939
WHAT WE GOT FROM PCORI WAS THESE

1590
01:07:28,939 --> 01:07:31,742
MOMS WERE WANTING AND LOOKING AT

1591
01:07:31,742 --> 01:07:34,077
INDIGENOUS BIRTH WORKERS AND HOW

1592
01:07:34,077 --> 01:07:39,483
DO WE BRING THAT BACK IN AND 

1593
01:07:39,483 --> 01:07:42,886
BRING CULTURE INTO IT AND ALSO 

1594
01:07:42,886 --> 01:07:45,522
ANOTHER THING THAT I GOT TO WRAP

1595
01:07:45,522 --> 01:07:47,591
MY MIND AROUND TOO IS WHAT IS 

1596
01:07:47,591 --> 01:07:52,996
TRADITIONAL FOOD AND HOW DO WE 

1597
01:07:52,996 --> 01:08:03,206
GET BACK TO THAT?

1598
01:08:03,206 --> 01:08:04,107
MAKING SURE WE'RE TAPPED INTO 

1599
01:08:04,107 --> 01:08:06,176
THAT AND YOU HAVE TO UNDERSTAND 

1600
01:08:06,176 --> 01:08:10,380
COMMUNITY TO UNDERSTAND WHAT 

1601
01:08:10,380 --> 01:08:11,982
THAT IS.

1602
01:08:11,982 --> 01:08:13,550
MAKING SURE THAT WE'RE TALKING 

1603
01:08:13,550 --> 01:08:17,321
TO THE FOLKS THAT ACTUALLY HAVE 

1604
01:08:17,321 --> 01:08:22,092
THAT KNOWLEDGE AND CAN BE  -- 

1605
01:08:22,092 --> 01:08:26,697
EVEN WITH FAP THEY BROUGHT IN 

1606
01:08:26,697 --> 01:08:29,132
WILD RICE BUT WE DIDN'T EAT WILD

1607
01:08:29,132 --> 01:08:32,903
RICE THE CLIENTS DIDN'T KNOW 

1608
01:08:32,903 --> 01:08:35,505
WHAT TO DO WITH THAT.

1609
01:08:35,505 --> 01:08:39,309
UNDERSTANDING WE DIDN'T EAT ALL 

1610
01:08:39,309 --> 01:08:43,146
THAT AND WE HAVE TO TAILOR OR 

1611
01:08:43,146 --> 01:08:45,282
LET THE COMMUNITY TAKE THE LEAD 

1612
01:08:45,282 --> 01:08:49,419
IN DECIDE AND TELL US WHAT DOES 

1613
01:08:49,419 --> 01:08:51,121
THAT LOOK LIKE.

1614
01:08:51,121 --> 01:08:53,957
>> JUST A FEW OTHER THINGS
WE'VE

1615
01:08:53,957 --> 01:08:54,224
DONE.

1616
01:08:54,224 --> 01:08:56,093
OUR COMMUNITY COALITION MEMBERS 

1617
01:08:56,093 --> 01:09:00,063
ARE FROM THE AREAS INVOLVED IN 

1618
01:09:00,063 --> 01:09:01,264
THE PROJECT.

1619
01:09:01,264 --> 01:09:02,366
INTENTIONALITY AND ASKING WHO IS

1620
01:09:02,366 --> 01:09:05,135
NOT THERE THAT SHOULD BE.

1621
01:09:05,135 --> 01:09:08,271
SO WE'VE GROWN OVER THE LAST 

1622
01:09:08,271 --> 01:09:10,107
YEARS AND CONTINUALLY ADDED 

1623
01:09:10,107 --> 01:09:12,476
MEMBERS TO THE COALITION AND 

1624
01:09:12,476 --> 01:09:13,977
EMBRACING WITH EXPERIENCE AND 

1625
01:09:13,977 --> 01:09:19,516
BEING FLUID AND ADAPTABLE AND 

1626
01:09:19,516 --> 01:09:21,718
EMBRACING AND LOOK FOR CHANGE 

1627
01:09:21,718 --> 01:09:25,022
AND THE CONCEPT OF ENLIGHTENED 

1628
01:09:25,022 --> 01:09:25,355
SELF-INTEREST.

1629
01:09:25,355 --> 01:09:26,890
IT'S OKAY TO GET SOMETHING OUT 

1630
01:09:26,890 --> 01:09:28,458
OF THIS AND ACKNOWLEDGING THAT 

1631
01:09:28,458 --> 01:09:31,762
IN ALL OF OUR MEETINGS TO SAY 

1632
01:09:31,762 --> 01:09:33,363
HOW CAN WE -- WHAT ARE NEEDS YOU

1633
01:09:33,363 --> 01:09:34,931
HAVE AND HOW CAN WE MEET THE 

1634
01:09:34,931 --> 01:09:36,900
NEEDS NOT MAKING IT ALL ABOUT 

1635
01:09:36,900 --> 01:09:39,503
THE PROJECT AND SOMETHING ELSE 

1636
01:09:39,503 --> 01:09:43,807
OUR WONDERFUL PRINCIPLE 

1637
01:09:43,807 --> 01:09:44,574
INVESTIGATOR HAS DONE IS CALL 

1638
01:09:44,574 --> 01:09:46,777
PEOPLE JUST TO CALL THEM AND SAY

1639
01:09:46,777 --> 01:09:48,445
HEY, HOW'S IT GOING.

1640
01:09:48,445 --> 01:09:50,647
SHE DOES THAT VERY WELL.

1641
01:09:50,647 --> 01:09:51,648
NOT ONLY REACHING OUT TO PEOPLE 

1642
01:09:51,648 --> 01:09:53,950
WHEN YOU HAVE A PROJECT NEED BUT

1643
01:09:53,950 --> 01:09:55,585
AGAIN BUILDING THAT COMMUNITY 

1644
01:09:55,585 --> 01:09:56,753
AND THOSE RELATIONSHIPS.

1645
01:09:56,753 --> 01:09:57,387
THOSE ARE A FEW THINGS WE'VE 

1646
01:09:57,387 --> 01:10:01,858
DONE.

1647
01:10:01,858 --> 01:10:04,127
>> I WANT TO ANSWER THAT
TOO 

1648
01:10:04,127 --> 01:10:05,962
BECAUSE IT'S SO IMPORTANT AND 

1649
01:10:05,962 --> 01:10:07,264
SOMETHING THAT'S WORKED IS WE 

1650
01:10:07,264 --> 01:10:08,932
CREATED A WHAT'S APP GROUP FOR 

1651
01:10:08,932 --> 01:10:10,667
THE COMMUNITY PARTNERS.

1652
01:10:10,667 --> 01:10:13,203
THEY'RE ABLE TO SHOW WHAT 

1653
01:10:13,203 --> 01:10:14,871
EXPERIENCES ARE GOING TO ON OR 

1654
01:10:14,871 --> 01:10:16,807
CELEBRATIONS OF A BIRTHING STORY

1655
01:10:16,807 --> 01:10:19,109
OR ANY CHALLENGES SUPPORTING ONE

1656
01:10:19,109 --> 01:10:21,978
ANOTHER AND CHECKING IN DURING A

1657
01:10:21,978 --> 01:10:22,779
STORM.

1658
01:10:22,779 --> 01:10:29,319
I THINK HAS THAT PROVIDED SPACE 

1659
01:10:29,319 --> 01:10:31,288
TO MAKE FRIENDS AND GET EXCITED 

1660
01:10:31,288 --> 01:10:32,556
DO SEE ONE ANOTHER AND THE FOLKS

1661
01:10:32,556 --> 01:10:34,991
WE HAVE ON THE PROJECT ARE 

1662
01:10:34,991 --> 01:10:37,828
REALLY ENGAGED AN PASSIONATE AND

1663
01:10:37,828 --> 01:10:42,199
BEING ABLE TO SHARE JOINT 

1664
01:10:42,199 --> 01:10:45,368
PROJECTS FOR EXAMPLE WE HAVE 

1665
01:10:45,368 --> 01:10:52,075
ROBERTSON AND OTHERS DOING 

1666
01:10:52,075 --> 01:10:57,380
POLICY IN LOUISIANA AND HAVING 

1667
01:10:57,380 --> 01:11:05,288
FOLKS SHOW UP AND THAT IS KEY.

1668
01:11:05,288 --> 01:11:08,492
>> I WANT TO INVITE OUR
ONLINE 

1669
01:11:08,492 --> 01:11:11,061
PARTICIPANTS TO PUT THEIR 

1670
01:11:11,061 --> 01:11:14,931
QUESTIONS IN THE Q&A BOX SO
THEY

1671
01:11:14,931 --> 01:11:16,900
DON'T GET LOST AND WE WON'T BE 

1672
01:11:16,900 --> 01:11:18,101
ABLE TO MONITOR THAT AND ASK 

1673
01:11:18,101 --> 01:11:18,902
QUESTIONS IN THE ROOM AND FOLKS 

1674
01:11:18,902 --> 01:11:21,304
IN THE ROOM TO COME UP TO THE 

1675
01:11:21,304 --> 01:11:21,872
MICROPHONE.

1676
01:11:21,872 --> 01:11:22,939
WE INVITE YOU TO ASK QUESTIONS 

1677
01:11:22,939 --> 01:11:26,576
OF OUR PANELISTS OR GIVE 

1678
01:11:26,576 --> 01:11:29,012
COMMENTS TO SHARE WITH THE 

1679
01:11:29,012 --> 01:11:29,646
PANELISTS AS WE CONTINUE WITH 

1680
01:11:29,646 --> 01:11:38,388
THIS SESSION.

1681
01:11:38,388 --> 01:11:39,789
THERE WAS ONE QUESTION IN THE 

1682
01:11:39,789 --> 01:11:43,827
CHAT OR COMMENT I'M GOING TO 

1683
01:11:43,827 --> 01:11:44,027
READ.

1684
01:11:44,027 --> 01:11:49,666
I JUST LOST IT A LITTLE BIT.

1685
01:11:49,666 --> 01:11:52,369
THE CLIMATE CRISIS IS A MASSIVE 

1686
01:11:52,369 --> 01:11:54,905
EMERGING ISSUE.

1687
01:11:54,905 --> 01:11:56,673
SEVERAL OBSERVATIONAL DATA 

1688
01:11:56,673 --> 01:11:58,675
DEMONSTRATE THE EXTREME HEAT IN 

1689
01:11:58,675 --> 01:12:00,377
PREGNANCY HAVE ADVERSE EFFECTS 

1690
01:12:00,377 --> 01:12:03,680
ON HYPERTENSION AND OTHER APOs.

1691
01:12:03,680 --> 01:12:05,849
THERE'S AN URGENT NEED FOR 

1692
01:12:05,849 --> 01:12:06,249
PROSPECTIVE DATA.

1693
01:12:06,249 --> 01:12:07,484
THIS IS AN ISSUE IN THE USA AND 

1694
01:12:07,484 --> 01:12:10,220
GLOBALLY.

1695
01:12:10,220 --> 01:12:10,787
THANK YOU FOR SHARING THAT 

1696
01:12:10,787 --> 01:12:18,562
COMMENT.

1697
01:12:18,562 --> 01:12:24,601
>> I'M FROM WILL 
MILWAUKEE.

1698
01:12:24,601 --> 01:12:28,104
WE'RE OVER HERE NODDING LIKE 

1699
01:12:28,104 --> 01:12:29,172
CRAZY.

1700
01:12:29,172 --> 01:12:30,040
I WAS REFERENCED DURING YOUR 

1701
01:12:30,040 --> 01:12:31,775
DISCUSSION BUT FOUND WITHIN OUR 

1702
01:12:31,775 --> 01:12:33,643
PARTNERSHIPS WE HAVE BEEN GIVEN 

1703
01:12:33,643 --> 01:12:35,478
TREMENDOUS SUPPORT BY LEADERS IN

1704
01:12:35,478 --> 01:12:37,113
ACADEMIA AND COMMUNITY SETTINGS 

1705
01:12:37,113 --> 01:12:38,248
TO PUT THE TIME IN REQUIRED.

1706
01:12:38,248 --> 01:12:41,218
YOU'RE TALKING ABOUT SO MANY 

1707
01:12:41,218 --> 01:12:42,719
THINGS THAT ARE BUILDING 

1708
01:12:42,719 --> 01:12:44,287
RELATIONSHIPS GETTING TO KNOW 

1709
01:12:44,287 --> 01:12:46,556
EACH OTHER AND BREAKING BREAD 

1710
01:12:46,556 --> 01:12:46,823
TOGETHER.

1711
01:12:46,823 --> 01:12:49,826
HOW HAS LEADERSHIP HELPED 

1712
01:12:49,826 --> 01:12:50,493
SUPPORT OR ARE THERE 

1713
01:12:50,493 --> 01:12:52,095
OPPORTUNITIES TO IMPROVE HOW 

1714
01:12:52,095 --> 01:12:53,296
LEADERSHIP COULD BE SUPPORTING 

1715
01:12:53,296 --> 01:12:56,933
THE TIME NEEDED TO FORM GENUINE 

1716
01:12:56,933 --> 01:12:57,267
PARTNERSHIPS?

1717
01:12:57,267 --> 01:12:59,636
I FIND OUR EXPERIENCES ARE THE 

1718
01:12:59,636 --> 01:13:00,136
EXCEPTION NOT THE NORM 

1719
01:13:00,136 --> 01:13:10,313
SOMETIMES.

1720
01:13:14,317 --> 01:13:15,986
>> THANK YOU.

1721
01:13:15,986 --> 01:13:18,989
INVITING THEM TO COME TO YOUR 

1722
01:13:18,989 --> 01:13:20,624
MEETINGS I THINK IS ONE WAY TO 

1723
01:13:20,624 --> 01:13:22,092
DO THAT.

1724
01:13:22,092 --> 01:13:23,693
SO JUST INVITING THEM TO COME IN

1725
01:13:23,693 --> 01:13:26,963
AND BE THERE AND I THINK TO 

1726
01:13:26,963 --> 01:13:29,933
BEING THEIR OWN BEST ADVOCATES 

1727
01:13:29,933 --> 01:13:35,839
FOR THAT AND MAKING SURE WE ARE 

1728
01:13:35,839 --> 01:13:38,275
COLLECTING THE DATA THAT 

1729
01:13:38,275 --> 01:13:39,542
DEMONSTRATES THAT AND HOW MANY 

1730
01:13:39,542 --> 01:13:42,145
PHONE CALLS AND SOMETIMES THE 

1731
01:13:42,145 --> 01:13:44,848
REALITY IS MEMBERS SPEAK.

1732
01:13:44,848 --> 01:13:46,983
UNDERSTANDING WHO YOUR LEADERS 

1733
01:13:46,983 --> 01:13:49,319
ARE, HOW DO THEY LEARN AND 

1734
01:13:49,319 --> 01:13:51,254
RECEIVE INFORMATION, WHAT DO 

1735
01:13:51,254 --> 01:13:52,589
THEY NEED IN ORDER TO UNDERSTAND

1736
01:13:52,589 --> 01:13:55,392
THE TIMING THAT IT TALKS BUT I 

1737
01:13:55,392 --> 01:13:57,027
THINK JUST INVITING PEOPLE TO 

1738
01:13:57,027 --> 01:13:58,094
THE TABLE SOMETIMES WE THINK 

1739
01:13:58,094 --> 01:14:00,430
THEY'RE SO BUSY THEY WON'T COME 

1740
01:14:00,430 --> 01:14:02,332
BUT LET'S ASK THEM AND IF THEY 

1741
01:14:02,332 --> 01:14:03,800
DON'T COME THEN THAT'S ON THEM 

1742
01:14:03,800 --> 01:14:05,669
BUT JUST ASKING PEOPLE TO COME 

1743
01:14:05,669 --> 01:14:10,840
WILL GO A LONG WAY WITH THAT.

1744
01:14:10,840 --> 01:14:11,975
>> JUST SPEAK CLOSELY TO
THE 

1745
01:14:11,975 --> 01:14:12,642
MIKE.

1746
01:14:12,642 --> 01:14:15,145
THEY'RE HAVING TROUBLE ON THE 

1747
01:14:15,145 --> 01:14:17,280
ZOOM SO WHEN YOU USE THE 

1748
01:14:17,280 --> 01:14:17,981
MICROPHONES TALK LOUDER OR 

1749
01:14:17,981 --> 01:14:25,288
CLOSER TO THE MICROPHONES.

1750
01:14:25,288 --> 01:14:28,024
>> ONE IS A COMMUNITY 

1751
01:14:28,024 --> 01:14:28,425
ORGANIZERS.

1752
01:14:28,425 --> 01:14:30,694
PART OF LEADERSHIP IS COMMUNITY 

1753
01:14:30,694 --> 01:14:31,928
AND I THINK THAT'S VERY CRUCIAL.

1754
01:14:31,928 --> 01:14:34,531
I THINK JUST HOLDING SPACE FOR 

1755
01:14:34,531 --> 01:14:35,632
ALLOWING COMMUNITY TO PROVIDE 

1756
01:14:35,632 --> 01:14:36,666
THEIR FEEDBACK AS WELL IS A 

1757
01:14:36,666 --> 01:14:38,134
GREAT WAY TO LEARN HOW TO SHOW 

1758
01:14:38,134 --> 01:14:40,036
UP AND DO BETTER AT INTEGRATING 

1759
01:14:40,036 --> 01:14:40,236
THEM.

1760
01:14:40,236 --> 01:14:48,011
>> THANK YOU VERY MUCH.

1761
01:14:48,011 --> 01:14:51,915
>> HI, I'M JULIE
WILLIAMSON.

1762
01:14:51,915 --> 01:14:56,686
I WAS LUCKY TO BE PART OF THE 

1763
01:14:56,686 --> 01:14:57,921
RADX TECH CHALLENGE WHERE I GOT 

1764
01:14:57,921 --> 01:15:01,391
TO BE PART OF THE INNOVATORS.

1765
01:15:01,391 --> 01:15:05,428
ONE OF THE INNOVATION BRINGS TO 

1766
01:15:05,428 --> 01:15:06,930
YOUR MIND DIGITAL HEALTH 

1767
01:15:06,930 --> 01:15:08,498
TECHNOLOGY ALL THIS KIND OF 

1768
01:15:08,498 --> 01:15:08,865
STUFF.

1769
01:15:08,865 --> 01:15:10,467
YET A LOT OF COMMUNITIES THAT 

1770
01:15:10,467 --> 01:15:14,371
WE'RE TRYING TO REACH MAY OR MAY

1771
01:15:14,371 --> 01:15:22,045
NOT BE TECH FRIENDLY OR TECH 

1772
01:15:22,045 --> 01:15:28,418
SAVVY WAS AN ASSUMPTION AND FROM

1773
01:15:28,418 --> 01:15:29,953
YOUR POINT OF VIEW REACHING BE 

1774
01:15:29,953 --> 01:15:30,820
OUT TO THE COMMUNITIES YOUR 

1775
01:15:30,820 --> 01:15:36,426
TRYING TO GET OUT TO WHERE DOES 

1776
01:15:36,426 --> 01:15:38,962
THE DIGITAL HEALTH TECHNOLOGY 

1777
01:15:38,962 --> 01:15:39,996
COME INTO PLAY AND I ENJOY THE 

1778
01:15:39,996 --> 01:15:40,196
PANEL.

1779
01:15:40,196 --> 01:15:47,771
THANK YOU.

1780
01:15:47,771 --> 01:15:49,672
>> THAT'S ONE OF OUR
QUESTIONS 

1781
01:15:49,672 --> 01:15:52,142
WE ASKED OUR FOCUS GROUPS IS THE

1782
01:15:52,142 --> 01:15:54,711
QUESTION ABOUT TECHNOLOGY.

1783
01:15:54,711 --> 01:15:56,813
WHAT WE ARE FINDING IS WITH ALL 

1784
01:15:56,813 --> 01:15:59,716
OF OUR COMMUNITIES THEY HAVE 

1785
01:15:59,716 --> 01:16:02,452
CELL PHONES AND SMART PHONES AND

1786
01:16:02,452 --> 01:16:03,119
THEY MAY NOT HAVE BROADBAND 

1787
01:16:03,119 --> 01:16:04,254
SERVICE AT THEIR HOUSE.

1788
01:16:04,254 --> 01:16:06,623
IN FACT THEY PROBABLY DON'T AND 

1789
01:16:06,623 --> 01:16:08,358
MAY NOT HAVE PERSONAL COMPUTERS 

1790
01:16:08,358 --> 01:16:11,428
BUT HAVE THEIR CELL PHONE.

1791
01:16:11,428 --> 01:16:13,463
THAT'S SOMETHING WE'RE LEARNING.

1792
01:16:13,463 --> 01:16:16,099
SMART DEVICES, NOT AS MUCH 

1793
01:16:16,099 --> 01:16:17,567
BECAUSE THEY'RE EXPENSIVE.

1794
01:16:17,567 --> 01:16:19,803
BUT CERTAINLY CELL PHONES I 

1795
01:16:19,803 --> 01:16:20,937
THINK ANY TECHNOLOGY THAT CAN BE

1796
01:16:20,937 --> 01:16:23,873
TIED TO CELL PHONES AND THEY 

1797
01:16:23,873 --> 01:16:25,775
SEEM VERY OPEN AND WE'VE ALSO 

1798
01:16:25,775 --> 01:16:28,111
FOUND WE ASKED WHAT APPS DO YOU 

1799
01:16:28,111 --> 01:16:33,316
USE AND A LOT OF OUR EXPECTANT 

1800
01:16:33,316 --> 01:16:38,455
MOMS USE THOSE APPS AND POST 

1801
01:16:38,455 --> 01:16:39,722
DELIVERY AS WELL.

1802
01:16:39,722 --> 01:16:41,691
FOUR OUR COMMUNITIES I THINK ONE

1803
01:16:41,691 --> 01:16:43,960
FOCUS GROUP WE CAME ACROSS ONE 

1804
01:16:43,960 --> 01:16:45,895
PARTICIPANT WHO DIDN'T HAVE A 

1805
01:16:45,895 --> 01:16:46,729
PHONE BUT ALMOST EVERYONE HAS 

1806
01:16:46,729 --> 01:16:50,433
ONE AND KNOWS HOW TO USE IT.

1807
01:16:50,433 --> 01:16:52,469
>> SO, FOR OUR SECOND
RESEARCH 

1808
01:16:52,469 --> 01:16:55,505
PROJECT IS ABOUT THE CONNECTED 

1809
01:16:55,505 --> 01:16:57,407
MOMS PROJECT BASICALLY IN NEW 

1810
01:16:57,407 --> 01:16:58,274
ORLEANS FOR BLOOD PRESSURE 

1811
01:16:58,274 --> 01:16:59,642
MONITORING.

1812
01:16:59,642 --> 01:17:04,113
WE'RE TRYING TO EXPAND IT WITHIN

1813
01:17:04,113 --> 01:17:08,218
NORTHERN LOUISIANA WHICH IS 

1814
01:17:08,218 --> 01:17:13,289
SHREVEPORT AND MONROE AND WE'RE 

1815
01:17:13,289 --> 01:17:15,492
FINDING WAYS TO SUPPORT 

1816
01:17:15,492 --> 01:17:16,559
BROADBAND AND THAT'S BEEN 

1817
01:17:16,559 --> 01:17:18,027
BENEFICIAL AND ASKING QUESTIONS 

1818
01:17:18,027 --> 01:17:22,131
NOT ONLY OF THE PROVIDERS BUT 

1819
01:17:22,131 --> 01:17:25,201
THE COMMUNITY AND HEARING ABOUT 

1820
01:17:25,201 --> 01:17:27,270
THEIR DIRECT EXPERIENCES AND THE

1821
01:17:27,270 --> 01:17:29,239
WAY IN WHICH THIGH MAY UTILIZE 

1822
01:17:29,239 --> 01:17:32,208
THE CELL PHONE OR WHERE TO GET 

1823
01:17:32,208 --> 01:17:34,077
ACCESS AND HOW TO FIND AREAS 

1824
01:17:34,077 --> 01:17:35,111
WITH WI-FI.

1825
01:17:35,111 --> 01:17:36,246
THAT'S ONE OF THE PROJECTS WHERE

1826
01:17:36,246 --> 01:17:38,248
WE'VE BEEN TRYING TO FIGURE OUT 

1827
01:17:38,248 --> 01:17:39,816
THE BEST WAY TO INNOVATE DIGITAL

1828
01:17:39,816 --> 01:17:40,450
HEALTH AND FIND WAYS TO EXPAND 

1829
01:17:40,450 --> 01:17:45,822
IT.

1830
01:17:45,822 --> 01:17:47,924
>> ONLINE WE HAVE TO THE
SPEAKER

1831
01:17:47,924 --> 01:17:49,259
WHO WORKS WITH COMMUNITY HEALTH 

1832
01:17:49,259 --> 01:17:51,761
WORKERS TO WHY IMPROVE MATERNAL 

1833
01:17:51,761 --> 01:17:51,995
HEALTH.

1834
01:17:51,995 --> 01:17:53,930
I'D LOVE TO HEAR MORE ABOUT THAT

1835
01:17:53,930 --> 01:17:58,968
PROGRAM AND THE FUNDING SOURCE 

1836
01:17:58,968 --> 01:18:06,576
THAT FEEDS THE EHWs.

1837
01:18:06,576 --> 01:18:09,579
>> LET ME MAKE SURE I'M 

1838
01:18:09,579 --> 01:18:11,347
UNDERSTANDING THE QUESTION.

1839
01:18:11,347 --> 01:18:13,650
SO SO FROM THIS PARTICULAR 

1840
01:18:13,650 --> 01:18:14,784
PROJECT WE DO HAVE COMMUNITY 

1841
01:18:14,784 --> 01:18:19,956
HEALTH WORKERS AS PART OF OUR 

1842
01:18:19,956 --> 01:18:22,125
PROJECT TEAM AND THEIR ROLE IS 

1843
01:18:22,125 --> 01:18:24,794
TO WORK ON THE PROJECT ENGAGE.

1844
01:18:24,794 --> 01:18:26,129
TEXAS IS IS ONE OF THE STATES 

1845
01:18:26,129 --> 01:18:27,130
THAT HAS CERTIFICATION OF 

1846
01:18:27,130 --> 01:18:29,566
COMMUNITY HEALTH WORKERS AND HAS

1847
01:18:29,566 --> 01:18:32,335
SINCE THE LEGISLATION ENACTED 

1848
01:18:32,335 --> 01:18:37,040
FROM 1999 AND 2001 THE PROGRAM 

1849
01:18:37,040 --> 01:18:37,307
STARTED.

1850
01:18:37,307 --> 01:18:39,943
SO IN TEXAS THE WORK IS YOU'RE 

1851
01:18:39,943 --> 01:18:43,212
SUPPOSED FOR CERTIFIED AND 

1852
01:18:43,212 --> 01:18:43,980
THERE'S 7,000 COMMUNITY HEALTH 

1853
01:18:43,980 --> 01:18:48,952
WORKERS IN TEXAS.

1854
01:18:48,952 --> 01:18:51,220
TO FUND THE PROGRAMS THERE'S 

1855
01:18:51,220 --> 01:18:54,724
BEEN GRANT FUNDS AND OUR 

1856
01:18:54,724 --> 01:18:55,825
CHALLENGE IN WEST TEXAS RURAL 

1857
01:18:55,825 --> 01:19:00,997
AREAS IS THE MODEL HE'S NOT BEEN

1858
01:19:00,997 --> 01:19:04,133
AS COMMON.

1859
01:19:04,133 --> 01:19:08,771
FOR EXAMPLE I'VE LIVED IN SOUTH 

1860
01:19:08,771 --> 01:19:11,774
TEXAS AND THAT MODEL IS VERY 

1861
01:19:11,774 --> 01:19:12,008
COMMON.

1862
01:19:12,008 --> 01:19:12,909
SO THERE'S A LOT OF HEALTH 

1863
01:19:12,909 --> 01:19:13,142
WORKERS.

1864
01:19:13,142 --> 01:19:14,944
WOE DON'T HAVE TO EXPLAIN TO 

1865
01:19:14,944 --> 01:19:17,614
EMPLOYEES THE BENEFIT OF THAT.

1866
01:19:17,614 --> 01:19:21,351
OUR CHALLENGE IN THE PAN HANDAL 

1867
01:19:21,351 --> 01:19:24,220
IN WEST TEXAS WITH EL PASO THEY 

1868
01:19:24,220 --> 01:19:27,557
DON'T CONSIDER THEMSELVES WEST 

1869
01:19:27,557 --> 01:19:30,259
TEXAS AND THE CHALLENGE FOR US 

1870
01:19:30,259 --> 01:19:34,397
IS WE HAVE ASKED OUR FOCUS 

1871
01:19:34,397 --> 01:19:36,032
GROUPS OUR PRIORITY POPULATION, 

1872
01:19:36,032 --> 01:19:38,701
HEY, HAVE YOU HEARD OF COMMUNITY

1873
01:19:38,701 --> 01:19:42,672
HEALTH WORKERS AND THEY SAY NO 

1874
01:19:42,672 --> 01:19:44,107
AND WE EXPLAIN WHAT IT IS.

1875
01:19:44,107 --> 01:19:44,941
THAT WOULD BE GREAT.

1876
01:19:44,941 --> 01:19:47,377
SOMEONE TO WORK ALONGSIDE ME AND

1877
01:19:47,377 --> 01:19:49,278
SOMEONE WHO SPEAKS MY LANGUAGE 

1878
01:19:49,278 --> 01:19:50,113
AND IS MY NEIGHBOR?

1879
01:19:50,113 --> 01:19:51,881
THAT WOULD BE AMAZING.

1880
01:19:51,881 --> 01:19:54,651
THERE IS THIS IDEA THIS IS A 

1881
01:19:54,651 --> 01:19:58,121
GREAT MODEL THAT OUR MAMAS WOULD

1882
01:19:58,121 --> 01:19:59,789
REALLY EMBRACE.

1883
01:19:59,789 --> 01:20:02,125
AND WHAT WE HAVE FIGURING OUT IN

1884
01:20:02,125 --> 01:20:05,695
HOW DO YOU PAY FOR IT IS HOW DO 

1885
01:20:05,695 --> 01:20:07,230
YOU EXPAND THAT AND HAVE OTHER 

1886
01:20:07,230 --> 01:20:08,698
PROJECTS WE'RE PILOT TESTING TO 

1887
01:20:08,698 --> 01:20:13,503
FIGURE THAT OUT.

1888
01:20:13,503 --> 01:20:17,040
ONE WAY IS THERE ARE MANY STATES

1889
01:20:17,040 --> 01:20:18,775
WHO WORKED WITH HEALTH WORKERS 

1890
01:20:18,775 --> 01:20:21,310
AND TEXAS JUST DID THAT.

1891
01:20:21,310 --> 01:20:26,616
THEY'LL BE ABLE TO BE REIMBURSED

1892
01:20:26,616 --> 01:20:29,986
FOR MANY SERVICES FOR MATERNAL 

1893
01:20:29,986 --> 01:20:32,722
CHILD HEALTH AND IN FACT IT'S 

1894
01:20:32,722 --> 01:20:33,456
ALMOST THE COMMUNITY HEALTH 

1895
01:20:33,456 --> 01:20:36,526
WORKERS WHO WILL CONTRACT WITH 

1896
01:20:36,526 --> 01:20:40,663
HMOs TO GET THE REIMBURSEMENT.

1897
01:20:40,663 --> 01:20:43,299
THE BOTTOM LINE IS WE HAVE TO 

1898
01:20:43,299 --> 01:20:45,301
CONTINUOUSLY EDUCATE AND INFORM 

1899
01:20:45,301 --> 01:20:46,135
AND HAVE DIALOGUE ON WHO 

1900
01:20:46,135 --> 01:20:48,104
COMMUNITY HEALTH WORKERS ARE BUT

1901
01:20:48,104 --> 01:20:49,872
IT ISN'T BE ME.

1902
01:20:49,872 --> 01:20:51,040
IT SHOULD BE LED BY COMMUNITY 

1903
01:20:51,040 --> 01:20:57,814
HEALTH WORKERS THEMSELVES.

1904
01:20:57,814 --> 01:21:01,250
AND NOTHING ABOUT US WITHOUT US 

1905
01:21:01,250 --> 01:21:03,820
IS THEIR MANTRA AND CORE VALUES.

1906
01:21:03,820 --> 01:21:05,121
FINDING COMMUNITY HEALTH WORKERS

1907
01:21:05,121 --> 01:21:07,690
IN YOUR AREA AND IF YOU DON'T 

1908
01:21:07,690 --> 01:21:09,225
HAVE ANY, INVITING THEM FROM 

1909
01:21:09,225 --> 01:21:12,195
EARTH PLACES THAT MAY BE SIMILAR

1910
01:21:12,195 --> 01:21:14,230
IN ASKING HOW DO WE START THIS.

1911
01:21:14,230 --> 01:21:17,300
I DON'T KNOW IF I CAN QUICKLY 

1912
01:21:17,300 --> 01:21:20,636
ANSWER THE QUESTION BUT IT IS 

1913
01:21:20,636 --> 01:21:22,638
GETTING CREATIVE AND STARTING 

1914
01:21:22,638 --> 01:21:24,707
WITH EDUCATION AND ALSO AT THE 

1915
01:21:24,707 --> 01:21:26,943
POLICY LEVEL START HAVING THE 

1916
01:21:26,943 --> 01:21:31,581
CONVERSATIONS AT THE STATE THAT 

1917
01:21:31,581 --> 01:21:32,648
ARE NOT ALREADY OCCUR AND DRAW 

1918
01:21:32,648 --> 01:21:34,417
ON EXPERIENCES FROM STATES DOING

1919
01:21:34,417 --> 01:21:38,221
THIS FOR A WHILE AND TRAUMA 

1920
01:21:38,221 --> 01:21:38,488
COMMUNITY.

1921
01:21:38,488 --> 01:21:40,156
COMMUNITY HEALTH REPRESENTATIVES

1922
01:21:40,156 --> 01:21:41,724
HHS HAS HAD THAT AT A STRONG 

1923
01:21:41,724 --> 01:21:43,192
LEVEL FOR A LONG TIME SO 

1924
01:21:43,192 --> 01:21:53,536
EMBRACING THEM TOO.

1925
01:22:04,981 --> 01:22:06,749
>> YOU'RE DOING A GREAT
JOB IN 

1926
01:22:06,749 --> 01:22:07,950
WHAT WE CAN BRING.

1927
01:22:07,950 --> 01:22:10,153
FROM ALL OF YOU, DO YOU HAVE A 

1928
01:22:10,153 --> 01:22:14,157
FEELING THE COMMUNITY IS ASKING 

1929
01:22:14,157 --> 01:22:16,726
FOR SOME MATERNITY METHODOLOGY 

1930
01:22:16,726 --> 01:22:18,895
TO REACH OUT TO THEM?

1931
01:22:18,895 --> 01:22:21,531
IT'S A PATHWAY WE EMBRACE AND 

1932
01:22:21,531 --> 01:22:23,933
CONTINUE TO WORK IN TRYING TO 

1933
01:22:23,933 --> 01:22:26,135
REACH THE COMMUNITY IN DOING 

1934
01:22:26,135 --> 01:22:26,903
DIAGNOSTIC SCREENING.

1935
01:22:26,903 --> 01:22:27,537
SEVERAL EDUCATION.

1936
01:22:27,537 --> 01:22:28,571
SEVERAL OTHER WAYS IN WHICH WE 

1937
01:22:28,571 --> 01:22:34,944
CAN REACH OUT TO THEM AND 

1938
01:22:34,944 --> 01:22:36,179
IMPROVE IN THAT FOR THE SAKE OF 

1939
01:22:36,179 --> 01:22:37,313
THE SYSTEM.

1940
01:22:37,313 --> 01:22:47,490
THANK YOU.

1941
01:22:48,124 --> 01:22:50,526
>> I'M NOT SURE THERE'S AN

1942
01:22:50,526 --> 01:22:50,960
ALTERNATIVE METHOD.

1943
01:22:50,960 --> 01:22:55,131
I THINK OFTEN TIMES WHAT WE HEAR

1944
01:22:55,131 --> 01:22:57,967
IS PROVIDING SPACE FOR THEM TO 

1945
01:22:57,967 --> 01:22:58,835
BE HEARD.

1946
01:22:58,835 --> 01:23:01,337
LIKE BASELINE NOT BE RESPECTED 

1947
01:23:01,337 --> 01:23:03,906
OR LISTENED TO SO THEY'RE 

1948
01:23:03,906 --> 01:23:05,741
WANTING HELP IN ADDRESSING THAT 

1949
01:23:05,741 --> 01:23:07,076
IN AND OF ITSELF.

1950
01:23:07,076 --> 01:23:09,312
THAT'S BEEN COMING UP A LOT FOR 

1951
01:23:09,312 --> 01:23:19,388
US.

1952
01:23:30,967 --> 01:23:33,302
>> WE PROVIDE MATERNITY
CARE AND

1953
01:23:33,302 --> 01:23:35,371
WE ARE TRYING TO FIGURE OUT THE 

1954
01:23:35,371 --> 01:23:37,306
BEST WAY TO IMPLEMENT THIS BIAS 

1955
01:23:37,306 --> 01:23:39,709
TRAINING AND ALSO HAVE A WARM 

1956
01:23:39,709 --> 01:23:41,310
COMMUNITY HANDOFF WHICH 

1957
01:23:41,310 --> 01:23:42,144
TYPICALLY ISN'T DONE.

1958
01:23:42,144 --> 01:23:45,982
THAT'S A WAY OF INTEGRATING 

1959
01:23:45,982 --> 01:23:47,984
TRAINING WITHIN HOSPITAL SYSTEMS

1960
01:23:47,984 --> 01:23:49,819
AND INCORPORATING COMMUNITY AND 

1961
01:23:49,819 --> 01:23:51,721
SUPPORTING PATIENTS THROUGH THAT

1962
01:23:51,721 --> 01:23:52,088
PROCESS.

1963
01:23:52,088 --> 01:23:53,890
I THINK THAT'S AN INNOVATIVE WAY

1964
01:23:53,890 --> 01:23:55,758
IN WHICH WE ARE TRYING TO ENGAGE

1965
01:23:55,758 --> 01:23:57,493
COMMUNITY AND GET THEM INVOLVED 

1966
01:23:57,493 --> 01:23:58,127
AND GET FOLKS THE INFORMATION 

1967
01:23:58,127 --> 01:24:00,429
THEY NEED.

1968
01:24:00,429 --> 01:24:01,931
>> THANK YOU SO MUCH.

1969
01:24:01,931 --> 01:24:03,266
UNFORTUNATELY, OR FORTUNATELY, 

1970
01:24:03,266 --> 01:24:05,101
WE'RE ALMOST AT THE TOP OF THE 

1971
01:24:05,101 --> 01:24:11,741
HOUR SO WE'RE GOING TO CLOSE.

1972
01:24:11,741 --> 01:24:13,175
I WANT TO START BY THANKING ALL 

1973
01:24:13,175 --> 01:24:23,486
OF OUR PANELISTS.

1974
01:24:25,121 --> 01:24:28,891
>> THANK YOU SO MUCH.

1975
01:24:28,891 --> 01:24:32,595
I'M WITH A TEAM CONNECTING 

1976
01:24:32,595 --> 01:24:35,131
COMMUNITY AND MATERNAL HEALTH 

1977
01:24:35,131 --> 01:24:36,599
CHALLENGE THANK YOU FOR YOUR 

1978
01:24:36,599 --> 01:24:37,800
COMMUNITY AND SUPPORT.

1979
01:24:37,800 --> 01:24:39,302
WHEN WE LOOK AT CENTERING ON THE

1980
01:24:39,302 --> 01:24:43,839
COMMUNITIES WE ALL AGREE 80% OF 

1981
01:24:43,839 --> 01:24:44,707
MATERNAL TOGETHER IS PREVENTIBLE

1982
01:24:44,707 --> 01:24:46,475
AND IT'S HARD TO CONVINCE PEOPLE

1983
01:24:46,475 --> 01:24:47,977
IT'S A BIG ENOUGH PROBLEM.

1984
01:24:47,977 --> 01:24:50,646
SO WHEN YOU ARE IN YOUR 

1985
01:24:50,646 --> 01:24:52,181
COMMUNITIES, IS THERE CERTAIN 

1986
01:24:52,181 --> 01:24:55,418
DATA POINTS RELATED TO ECONOMIC 

1987
01:24:55,418 --> 01:24:56,719
DEVELOPMENT, COST SAVINGS THAT 

1988
01:24:56,719 --> 01:24:58,187
HAVE REALLY RUNG THE BELL IN 

1989
01:24:58,187 --> 01:24:59,322
MOVING YOUR PROJECTS FORWARD 

1990
01:24:59,322 --> 01:25:09,498
LONG TERM?

1991
01:25:23,980 --> 01:25:30,353
>> OUT IN TEXAS WE HAVE
MATERNAL

1992
01:25:30,353 --> 01:25:31,387
MORBIDITY AND MORTALITY RATES, 

1993
01:25:31,387 --> 01:25:33,689
WHEN YOU TELL THEM THAT, THESE 

1994
01:25:33,689 --> 01:25:40,529
COUNTIES, WITH -- WE HAVE MAMAS 

1995
01:25:40,529 --> 01:25:47,770
DYING IT'S ENOUGH TO JUST SAY 

1996
01:25:47,770 --> 01:25:53,376
THAT AND SOMETIMES -- AND 

1997
01:25:53,376 --> 01:25:55,544
THEY'RE ALMOST IN SHOCK.

1998
01:25:55,544 --> 01:25:57,747
THIS 21st CENTURY HOW IS IT 

1999
01:25:57,747 --> 01:25:59,115
POSSIBLE WE STILL HAVE MOMS 

2000
01:25:59,115 --> 01:26:01,050
DYING?

2001
01:26:01,050 --> 01:26:04,086
RESTATING THE FACTS -- IT JUST 

2002
01:26:04,086 --> 01:26:05,287
SEEMS LIKE EVEN THOUGH IT'S OUT 

2003
01:26:05,287 --> 01:26:07,490
THERE IT'S JUST NOT OUT THERE, 

2004
01:26:07,490 --> 01:26:08,524
IF THAT MAKES SENSE.

2005
01:26:08,524 --> 01:26:13,295
FOR US IT'S REITERATING THIS IS 

2006
01:26:13,295 --> 01:26:15,931
WHY WE'RE DOING THIS AND ALSO 

2007
01:26:15,931 --> 01:26:17,299
OH, PEOPLE HAVE TO DRIVE TWO 

2008
01:26:17,299 --> 01:26:20,236
HOURS TO GIVE BIRTH.

2009
01:26:20,236 --> 01:26:21,737
CONSTANTLY KEEPING THAT AND FOR 

2010
01:26:21,737 --> 01:26:23,672
US IT'S BEEN SAYING IT LIKE IT'S

2011
01:26:23,672 --> 01:26:26,042
A PROBLEM AND THEY'RE LIKE WHAT 

2012
01:26:26,042 --> 01:26:28,511
DO YOU MEAN THAT'S A PROBLEM AND

2013
01:26:28,511 --> 01:26:29,945
BE PREPARED WITH THE SPECIFIC 

2014
01:26:29,945 --> 01:26:31,247
NUMBERS BUT BRINGING IT TO THE 

2015
01:26:31,247 --> 01:26:31,947
FOREFRONT MORE.

2016
01:26:31,947 --> 01:26:34,283
I DON'T HAVE A BETTER ANSWER.

2017
01:26:34,283 --> 01:26:34,750
SORRY.

2018
01:26:34,750 --> 01:26:35,384
THAT'S KIND OF WHAT'S WORKED FOR

2019
01:26:35,384 --> 01:26:39,822
US.

2020
01:26:39,822 --> 01:26:43,059
>> IN SOUTH DAKOTA WE WERE

2021
01:26:43,059 --> 01:26:43,659
SUCCESSFUL IN GETTING 

2022
01:26:43,659 --> 01:26:44,660
APPROPRIATIONS FOR STATEWIDE 

2023
01:26:44,660 --> 01:26:47,930
FUNDING FOR OUR HOME VISITING 

2024
01:26:47,930 --> 01:26:48,264
PROGRAM.

2025
01:26:48,264 --> 01:26:49,465
SOME OF THE STRATEGIES WE USED 

2026
01:26:49,465 --> 01:26:51,233
YOU'RE ASKING ABOUT A RETURN ON 

2027
01:26:51,233 --> 01:26:53,135
INVESTMENT WHICH IS ALWAYS HARD 

2028
01:26:53,135 --> 01:26:54,770
IF YOU DON'T HAVE THE EXPERTISE 

2029
01:26:54,770 --> 01:26:56,439
IN YOUR STATE BUT SHOWING THE 

2030
01:26:56,439 --> 01:26:58,207
OUTCOMES THAT ARE HAPPENING 

2031
01:26:58,207 --> 01:27:00,609
BECAUSE OF HOME VISITING AND 

2032
01:27:00,609 --> 01:27:03,179
SHOWING THOSE THINGS TIED TO 

2033
01:27:03,179 --> 01:27:05,481
FINANCIAL PIECES LIKE THE 

2034
01:27:05,481 --> 01:27:07,316
PERCENT OF MOMS THAT WENT ON TO 

2035
01:27:07,316 --> 01:27:10,086
HAVE A JOB THAT MET THEIR NEEDS 

2036
01:27:10,086 --> 01:27:12,388
OR THE PERCENT OF MOMS THAT 

2037
01:27:12,388 --> 01:27:13,889
COMPLETED THEIR HIGH SCHOOL 

2038
01:27:13,889 --> 01:27:15,991
DIPLOMA OR WENT ON TO COLLEGE.

2039
01:27:15,991 --> 01:27:17,026
SHOWING THOSE OUTCOMES WAS 

2040
01:27:17,026 --> 01:27:19,929
SUCCESSFUL AND HOW WE FRAMED THE

2041
01:27:19,929 --> 01:27:21,297
OUTCOMES I THINK YOU'RE LOOKING 

2042
01:27:21,297 --> 01:27:31,407
FOR.

2043
01:27:31,407 --> 01:27:34,610
>> YOU MENTIONED IRBs, 

2044
01:27:34,610 --> 01:27:40,149
BUREAUCRACY AND I JUST WANTED TO

2045
01:27:40,149 --> 01:27:42,051
TIPS ON HOW DO YOU KEEP 

2046
01:27:42,051 --> 01:27:44,253
COMMUNITY PARTNERS ENGAGED WHILE

2047
01:27:44,253 --> 01:27:45,688
YOU ENGAGE WITH IRB OR THE 

2048
01:27:45,688 --> 01:27:47,022
PAYMENT PROCESS AND IN TWO YEARS

2049
01:27:47,022 --> 01:27:48,057
WE EXPERIENCED THE CHALLENGES 

2050
01:27:48,057 --> 01:27:49,592
AND YOU SAID YOU DON'T WANT TO 

2051
01:27:49,592 --> 01:27:52,361
BE EXTRACTIVE AND WE'RE NOT 

2052
01:27:52,361 --> 01:27:55,131
RECOGNIZING THEIR VALUE AND 

2053
01:27:55,131 --> 01:27:55,898
CONTRIBUTION.

2054
01:27:55,898 --> 01:27:59,034
SO I WOULD BE CURIOUS TO HEAR 

2055
01:27:59,034 --> 01:27:59,568
FROM THE PANEL HOW DO YOU 

2056
01:27:59,568 --> 01:28:09,945
BALANCE THOSE THINGS?

2057
01:28:12,381 --> 01:28:14,116
>> WITH OUR NEEDS
ASSESSMENT WE 

2058
01:28:14,116 --> 01:28:17,520
HAVE BEEN PARTNERING CLOSELY 

2059
01:28:17,520 --> 01:28:19,188
WITH OUR TRIBAL CENTER AND OTHER

2060
01:28:19,188 --> 01:28:21,190
PANELIST MENTIONED THAT 

2061
01:28:21,190 --> 01:28:21,524
COLLABORATION.

2062
01:28:21,524 --> 01:28:22,558
THAT'S BEEN HELPFUL IN 

2063
01:28:22,558 --> 01:28:24,160
ESTABLISHING THE RELATIONSHIPS 

2064
01:28:24,160 --> 01:28:25,628
IF THEY'RE NOT THERE ALREADY.

2065
01:28:25,628 --> 01:28:29,465
SO WE DID HAVE A LOT OF SUPPORT 

2066
01:28:29,465 --> 01:28:32,468
FROM OUR CENTER AND WENT IN WITH

2067
01:28:32,468 --> 01:28:33,636
THAT PARTNERSHIP TO THE TRIBES.

2068
01:28:33,636 --> 01:28:37,072
WE CONTACTED OUR TRIBES 

2069
01:28:37,072 --> 01:28:38,507
SEPARATELY AND JUST ASKED IF 

2070
01:28:38,507 --> 01:28:41,076
THREES WAYS TO PARTNER WITH THEE

2071
01:28:41,076 --> 01:28:41,944
NEEDS ASSESSMENT.

2072
01:28:41,944 --> 01:28:43,646
WE WENT ONE TRIBE WHERE WE WENT 

2073
01:28:43,646 --> 01:28:44,914
IN PERSON AND HELD A COMMUNITY 

2074
01:28:44,914 --> 01:28:46,415
CONVERSATION THAT IS SUCCESSFUL.

2075
01:28:46,415 --> 01:28:50,586
I THINK WE GAINED A LOT OF 

2076
01:28:50,586 --> 01:28:52,621
UNDERSTANDING AND BUILT THAT 

2077
01:28:52,621 --> 01:28:53,989
RELATIONSHIP AND WE ARE ALSO 

2078
01:28:53,989 --> 01:28:55,124
WORKING ON THE ANALYSIS BUT LIKE

2079
01:28:55,124 --> 01:28:57,293
YOU SAID MAKING SURE THAT THAT'S

2080
01:28:57,293 --> 01:28:59,962
GIVING BACK TO THEM AND THE DATA

2081
01:28:59,962 --> 01:29:02,531
IS THEIRS AND WE WERE THERE WITH

2082
01:29:02,531 --> 01:29:03,465
THEIR COMMUNITY.

2083
01:29:03,465 --> 01:29:04,934
I GUESS THAT'S BEEN MY 

2084
01:29:04,934 --> 01:29:05,568
EXPERIENCE WITH SHARING THAT 

2085
01:29:05,568 --> 01:29:08,604
BACK AND WORKING WITH THE 

2086
01:29:08,604 --> 01:29:09,305
EPICENTER TO ESTABLISH THAT 

2087
01:29:09,305 --> 01:29:12,341
RELATIONSHIP.

2088
01:29:12,341 --> 01:29:15,211
>> ONE PRACTICAL THING WE
DID 

2089
01:29:15,211 --> 01:29:20,115
EARLY ON WHILE WAITING FOR THE 

2090
01:29:20,115 --> 01:29:23,385
IRB, WE HAD BAGS WE PUT IN ABOUT

2091
01:29:23,385 --> 01:29:25,421
OUR PROJECT AND OUR PARTNERS 

2092
01:29:25,421 --> 01:29:26,755
DELIVERED THEM TO ALL OF OUR 

2093
01:29:26,755 --> 01:29:29,158
COUNTIES IN PERSON TO ENGAGE AND

2094
01:29:29,158 --> 01:29:34,863
TO GET TO KNOW THEM AND WE 

2095
01:29:34,863 --> 01:29:41,737
CONTINUE TO DO THAT.

2096
01:29:41,737 --> 01:29:43,739
AND DELIVER THOSE FOR OTHERS IN 

2097
01:29:43,739 --> 01:29:44,873
THE PROJECT TEAM.

2098
01:29:44,873 --> 01:29:46,742
THOSE ARE PRACTICAL THINGS WE 

2099
01:29:46,742 --> 01:29:48,110
DID CONTINUING TO BUILD 

2100
01:29:48,110 --> 01:29:49,144
RELATIONSHIP AND DO THE PHONE 

2101
01:29:49,144 --> 01:29:50,579
CALLS AND E-MAILS AND CHECK IN 

2102
01:29:50,579 --> 01:29:54,850
WHILE WE ARE WAITING FOR OTHER 

2103
01:29:54,850 --> 01:29:56,285
THINGS TO MOVE.

2104
01:29:56,285 --> 01:29:57,286
>> FOR US IT WAS DIFFERENT

2105
01:29:57,286 --> 01:30:00,389
BECAUSE WE WERE INTENTIONAL IN 

2106
01:30:00,389 --> 01:30:02,258
HAVING THE FUNDS RELATED TO 

2107
01:30:02,258 --> 01:30:03,559
COMMUNITY COME THROUGH THE 

2108
01:30:03,559 --> 01:30:06,295
PROJECT AND IT'S NOT REALLY IN 

2109
01:30:06,295 --> 01:30:07,263
ACADEMIC INSTITUTION SO THERE'S 

2110
01:30:07,263 --> 01:30:08,130
A DELAY AND IT'S STRAIGHTFORWARD

2111
01:30:08,130 --> 01:30:10,032
IN GETTING PAYMENT.

2112
01:30:10,032 --> 01:30:12,368
I THINK WE NEED TO BEING 

2113
01:30:12,368 --> 01:30:13,335
INTENTIONAL ABOUT THAT EARLY ON 

2114
01:30:13,335 --> 01:30:16,138
AND THINK OF WAYS OUTSIDE OF 

2115
01:30:16,138 --> 01:30:17,740
ACADEMIC INSTITUTIONS YOU CAN 

2116
01:30:17,740 --> 01:30:21,310
FUNNEL THOSE FUNDS.

2117
01:30:21,310 --> 01:30:25,948
THAT'S AN OPPORTUNITY AS WELL.

2118
01:30:25,948 --> 01:30:26,615
>> THANK YOU ALL.

2119
01:30:26,615 --> 01:30:28,050
I WANT TO THANK OUR PANELISTS 

2120
01:30:28,050 --> 01:30:29,318
FOR A GREAT DISCUSSION.

2121
01:30:29,318 --> 01:30:33,289
I'M BIAS FOR SURE BUT THAT'S THE

2122
01:30:33,289 --> 01:30:33,922
BEST PANEL DISCUSSION THAT I'VE 

2123
01:30:33,922 --> 01:30:39,528
EVER ATTENDED.

2124
01:30:39,528 --> 01:30:39,662
.

2125
01:30:39,662 --> 01:30:42,698
THANK YOU ALL AND FOR THE 

2126
01:30:42,698 --> 01:30:42,965
QUESTIONS.

2127
01:30:42,965 --> 01:30:45,401
WE ARE GOING TO TAKE A BREAK NOW

2128
01:30:45,401 --> 01:30:48,704
AND PLEASE COME BACK AT 10:40 

2129
01:30:48,704 --> 01:30:50,939
FOR THE NEXT SESSION PRESENTERS 

2130
01:30:50,939 --> 01:30:52,274
AND COME BACK THREE MINUTES 

2131
01:30:52,274 --> 01:30:52,508
BEFORE.

2132
01:30:52,508 --> 01:30:59,882
THANK YOU ALL. SESSION CLOSED.

2133
01:30:59,882 --> 01:31:06,555
>> I'M KEISHER HYSMITH AND
I'M 

2134
01:31:06,555 --> 01:31:19,535
AND TAMARA LEWIS JOHNSON.

2135
01:31:19,535 --> 01:31:22,971
WE'LL ADDRESS THE MENTAL HEALTH 

2136
01:31:22,971 --> 01:31:24,106
AND SUBSTANCE USE DISORDER 

2137
01:31:24,106 --> 01:31:24,773
CRISIS.

2138
01:31:24,773 --> 01:31:26,342
AND OUR FIRST PANELIST SO BEFORE

2139
01:31:26,342 --> 01:31:28,310
I GET STARTED WE'LL HAVE 

2140
01:31:28,310 --> 01:31:31,980
MULTIPLE GROUPS OR PROJECTS 

2141
01:31:31,980 --> 01:31:32,848
PRESENT.

2142
01:31:32,848 --> 01:31:37,986
WE HAVE FOUR IN THE FIRST 

2143
01:31:37,986 --> 01:31:38,287
SESSION.

2144
01:31:38,287 --> 01:31:45,928
THE FIRST WILL BE THE BUFFALO 

2145
01:31:45,928 --> 01:31:50,566
PRENATAL NETWORK UNIVERSITY OF 

2146
01:31:50,566 --> 01:31:55,971
BUFFALO DR. SPERLICH TALKING 

2147
01:31:55,971 --> 01:31:56,905
ABOUT THE PROGRAM.

2148
01:31:56,905 --> 01:31:57,973
>> GREETINGS.

2149
01:31:57,973 --> 01:32:00,876
I'M SOW HAPPY TO BE HERE TO 

2150
01:32:00,876 --> 01:32:04,613
PRESENT INVOLVING THE SURVIVOR 

2151
01:32:04,613 --> 01:32:06,415
MOMS COMPANION.

2152
01:32:06,415 --> 01:32:08,951
I'M THE CO-DEVELOPER OF THE 

2153
01:32:08,951 --> 01:32:10,919
SURVIVOR MOM'S INTERVENTION AND 

2154
01:32:10,919 --> 01:32:12,354
CO-FOUNDER OF THE NON-PROFIT 

2155
01:32:12,354 --> 01:32:14,356
GROWING FORWARD TOGETHER THAT 

2156
01:32:14,356 --> 01:32:15,290
HOLDS THE LICENSE FROM 

2157
01:32:15,290 --> 01:32:18,961
UNIVERSITY OF MICHIGAN TO 

2158
01:32:18,961 --> 01:32:23,899
DISSEMINATE THE SURVIVOR MOM'S 

2159
01:32:23,899 --> 01:32:26,001
COMPANION AND I WANT TO 

2160
01:32:26,001 --> 01:32:29,738
ACKNOWLEDGE NOT ALL PREGNANT 

2161
01:32:29,738 --> 01:32:32,875
PERSONS OR CAREGIVERS IDENTIFY 

2162
01:32:32,875 --> 01:32:43,051
AS FEMALE.

2163
01:32:48,957 --> 01:32:51,894
OUR PARTNERSHIP IN THE SCHOOL OF

2164
01:32:51,894 --> 01:32:56,064
SOCIAL WORK AND I'M A FORMER 

2165
01:32:56,064 --> 01:32:59,768
MID-WIFE AND OUR BUFFALO PRE 

2166
01:32:59,768 --> 01:33:00,702
NATAL NETWORK.

2167
01:33:00,702 --> 01:33:02,638
OUR SOCIAL WORK IS TO THE FIRST 

2168
01:33:02,638 --> 01:33:07,042
TO EMBRACE A TRAUMA INFORMED 

2169
01:33:07,042 --> 01:33:08,777
RIGHTS PERSPECTIVE AND IT'S A 

2170
01:33:08,777 --> 01:33:11,680
VITAL ORGANIZATION IN BUFFALO 

2171
01:33:11,680 --> 01:33:12,815
THAT PROVIDES HOME VISITING AND 

2172
01:33:12,815 --> 01:33:13,949
WRAP AROUND SERVICES TO PREGNANT

2173
01:33:13,949 --> 01:33:16,685
PEOPLE AND THEIR FAMILIES WHO 

2174
01:33:16,685 --> 01:33:17,853
BEAR CONSIDERABLE BURDEN OF 

2175
01:33:17,853 --> 01:33:21,723
POVERTY, ADVERSITY AND 

2176
01:33:21,723 --> 01:33:23,192
DISPARITIES AND PRIMARILY LIVE 

2177
01:33:23,192 --> 01:33:26,195
IN THE ZIP CODES IN BUFFALO WITH

2178
01:33:26,195 --> 01:33:28,897
THE HIGHEST RATES OF RISK FOR 

2179
01:33:28,897 --> 01:33:31,667
POOR MATERNAL AND INFANT HEALTH 

2180
01:33:31,667 --> 01:33:31,934
OUTCOMES.

2181
01:33:31,934 --> 01:33:35,337
IN TERMS OF PREVALENCE, IF WE 

2182
01:33:35,337 --> 01:33:37,172
TAKE ABOUT HEALTH TREATMENT AND 

2183
01:33:37,172 --> 01:33:38,373
GENDER VIOLENCE WE CAN SAY ONE 

2184
01:33:38,373 --> 01:33:40,375
IN THREE WOMEN ARE TRAUMA 

2185
01:33:40,375 --> 01:33:41,109
EXPOSED.

2186
01:33:41,109 --> 01:33:44,880
OVER ALL, THE U.S. PREVALENCE, 

2187
01:33:44,880 --> 01:33:46,782
PTSD PREVALENCE FOR WOMEN IS 

2188
01:33:46,782 --> 01:33:48,750
JUST UNDER 5% WITH 12% MEETING 

2189
01:33:48,750 --> 01:33:50,352
THE DIAGNOSIS AT SOME POINT IN 

2190
01:33:50,352 --> 01:33:51,019
THEIR LIFE TIME.

2191
01:33:51,019 --> 01:33:55,290
ABOUT HALF OF WOMEN WITH PTSD 

2192
01:33:55,290 --> 01:33:56,692
STRUGGLE WITH IT AS A CHRONIC 

2193
01:33:56,692 --> 01:33:58,060
CONDITION AND KNOW COMORBIDITY 

2194
01:33:58,060 --> 01:33:59,795
WITH OTHER CHALLENGES LIKE 

2195
01:33:59,795 --> 01:34:03,732
DEPRESSION AND SUBSTANCE USE AND

2196
01:34:03,732 --> 01:34:04,500
DISASSOCIATION AND INTERPERSONAL

2197
01:34:04,500 --> 01:34:06,935
SENSITIVITY CAN MAKE IT HARD TO 

2198
01:34:06,935 --> 01:34:07,269
TREAT.

2199
01:34:07,269 --> 01:34:10,572
WE ALSO SEE THAT PTSD IS 

2200
01:34:10,572 --> 01:34:11,907
ASSOCIATED WITH HIGH MEDICAL 

2201
01:34:11,907 --> 01:34:12,941
UTILIZATION ON THE ONE HAND BUT 

2202
01:34:12,941 --> 01:34:13,675
LOW MENTAL HEALTH TREATMENT ON 

2203
01:34:13,675 --> 01:34:21,250
THE OTHER.

2204
01:34:21,250 --> 01:34:23,385
WE KNOW DEALING WITH THE 

2205
01:34:23,385 --> 01:34:26,722
SYMPTOMS IS ASSOCIATED WITH 

2206
01:34:26,722 --> 01:34:28,524
MORBIDITY AND EARLY MORTALITY 

2207
01:34:28,524 --> 01:34:36,865
AND THE RISK IS TWOFOLD FOR 

2208
01:34:36,865 --> 01:34:39,201
WOMEN.

2209
01:34:39,201 --> 01:34:40,569
FOR THOSE WHO EXPERIENCE 

2210
01:34:40,569 --> 01:34:44,072
SYMPTOMS IT'S NOT PTSD PER SE 

2211
01:34:44,072 --> 01:34:44,873
THAT SEEMS TO BE INFLUENTIAL BUT

2212
01:34:44,873 --> 01:34:50,679
RATHER SPECIFICALLY MALTREATMENT

2213
01:34:50,679 --> 01:34:52,414
RELATED PTSD AND THOSE SO 

2214
01:34:52,414 --> 01:34:55,751
EFFECTED HAVE A 12 FOLD RISK FOR

2215
01:34:55,751 --> 01:34:58,921
MEETING THE RISK IN PREGNANCY.

2216
01:34:58,921 --> 01:35:00,355
BIRTH RELATED EXPOSURES 

2217
01:35:00,355 --> 01:35:01,990
INCLUDING PTSD FROM A PREVIOUS 

2218
01:35:01,990 --> 01:35:03,759
LOSS OR PRIOR MEDICAL TRAUMA OR 

2219
01:35:03,759 --> 01:35:07,429
HAVING AN INFANT IN THE NICU OR 

2220
01:35:07,429 --> 01:35:08,730
EXPERIENCING MEDICAL 

2221
01:35:08,730 --> 01:35:09,264
MALTREATMENT MAY BE VERY 

2222
01:35:09,264 --> 01:35:11,767
INFLUENTIAL.

2223
01:35:11,767 --> 01:35:20,342
PTSD RELATED TO MALTREATMENT AND

2224
01:35:20,342 --> 01:35:21,677
COMORBID TREATMENT HAVE CYCLES 

2225
01:35:21,677 --> 01:35:26,114
AND THERE'S MANY PLACES TO 

2226
01:35:26,114 --> 01:35:27,416
INTERVENE AND INTERVENING DURING

2227
01:35:27,416 --> 01:35:30,686
PREGNANCY WHEN PATIENTS ACCESS 

2228
01:35:30,686 --> 01:35:32,788
MEDICAL CARE WITH SUCH FREQUENCY

2229
01:35:32,788 --> 01:35:35,657
SEEMS OPPORTUNE.

2230
01:35:35,657 --> 01:35:39,328
THERE'S MANY MANIFESTATIONS OF 

2231
01:35:39,328 --> 01:35:42,230
POSTTRAUMATIC DISTRESS IN THE 

2232
01:35:42,230 --> 01:35:43,932
CHILD BEARING YEAR, LOWER BIRTH 

2233
01:35:43,932 --> 01:35:46,835
WEIGHT, IMPAIRED GESTATION AND 

2234
01:35:46,835 --> 01:35:49,905
IMPAIRED MOTHER TO INFANT 

2235
01:35:49,905 --> 01:35:52,674
BONDING AND POSTPARTUM MENTAL 

2236
01:35:52,674 --> 01:35:55,877
HEALTH AND IT'S ASSOCIATED WITH 

2237
01:35:55,877 --> 01:35:58,280
SUBSTANCE USING WHICH CAN LEAD 

2238
01:35:58,280 --> 01:36:00,716
TO PREMATURITY OR LOW BIRTH 

2239
01:36:00,716 --> 01:36:00,949
WEIGHT.

2240
01:36:00,949 --> 01:36:03,719
WHETHER BY PAST OR CURRENT 

2241
01:36:03,719 --> 01:36:05,387
TRAUMA, WHAT SEVERAL QUALITATIVE

2242
01:36:05,387 --> 01:36:07,222
INVESTIGATIONS HAVE SHOWN IS 

2243
01:36:07,222 --> 01:36:10,525
PREGNANCY ITSELF IS A TRIGGER 

2244
01:36:10,525 --> 01:36:15,731
FOR PTSD WITH SOME WOMEN AND MAY

2245
01:36:15,731 --> 01:36:26,375
FEEL PREGNANCY IS AN INESCAPABLE

2246
01:36:28,377 --> 01:36:29,678
TIME AND MAY STRUGGLE WITH 

2247
01:36:29,678 --> 01:36:32,247
PREPARING FOR THE ROLE OF 

2248
01:36:32,247 --> 01:36:32,547
MOTHERHOOD.

2249
01:36:32,547 --> 01:36:34,983
WE ALSO KNOW FROM LISTENING TO 

2250
01:36:34,983 --> 01:36:36,318
WOMEN'S NARRATIVES OF THEIR 

2251
01:36:36,318 --> 01:36:37,452
EXPERIENCES PRE NATAL CARE CAN 

2252
01:36:37,452 --> 01:36:40,355
BE A TRIGGER OF POSTTRAUMATIC 

2253
01:36:40,355 --> 01:36:43,258
STRESS SYMPTOMS BOTH IN THE CASE

2254
01:36:43,258 --> 01:36:46,728
OF INTRUSIVE PROCEDURES LIKE 

2255
01:36:46,728 --> 01:36:52,000
GYNECOLOG

2256
01:36:52,000 --> 01:36:54,136
GYNECOLOGICAL EXAMS AND 

2257
01:36:54,136 --> 01:36:55,537
EXISTENCE WITH WHAT IS AN 

2258
01:36:55,537 --> 01:36:56,872
INTIMATE AND PERSONAL 

2259
01:36:56,872 --> 01:37:00,342
EXPERIENCE.

2260
01:37:00,342 --> 01:37:01,610
THROW QUALITATIVE RESEARCH BASED

2261
01:37:01,610 --> 01:37:06,148
ON NARRATIVES OF 81 WOMEN, WOMEN

2262
01:37:06,148 --> 01:37:08,016
TOLD US WHAT THEY WANTED US TO 

2263
01:37:08,016 --> 01:37:10,819
KNOW ABOUT BEING A TRAUMA 

2264
01:37:10,819 --> 01:37:13,555
SURVIVOR AND JOURNEY TO 

2265
01:37:13,555 --> 01:37:15,524
MOTHERHOOD.

2266
01:37:15,524 --> 01:37:19,127
THEY WANTED US TO KNOW ABOUT THE

2267
01:37:19,127 --> 01:37:22,731
CONSTELLATION OF ISSUES COULD BE

2268
01:37:22,731 --> 01:37:24,800
CONCEPTUALIZED AS POSTTRAUMATIC 

2269
01:37:24,800 --> 01:37:27,469
STRESS AND THERE'S TREATMENT AND

2270
01:37:27,469 --> 01:37:29,871
WANTED INFORMATION AND TO LEARN 

2271
01:37:29,871 --> 01:37:31,373
SKILLS TO MANAGE SYMPTOMS.

2272
01:37:31,373 --> 01:37:33,875
THEY ALSO SHARED A DESIRE FOR 

2273
01:37:33,875 --> 01:37:35,844
INTEGRATED MATERNITY CARE.

2274
01:37:35,844 --> 01:37:39,014
WE ALSO KNEW PREGNANT PEOPLE 

2275
01:37:39,014 --> 01:37:44,886
HAVE MANY COMPETING DEMANDS 

2276
01:37:44,886 --> 01:37:49,391
DURING THE CHILD BEARING YEARS 

2277
01:37:49,391 --> 01:37:51,893
AND THE FACT THAT WOMEN GET PTSD

2278
01:37:51,893 --> 01:37:55,363
IS STILL NOT WIDELY 

2279
01:37:55,363 --> 01:37:56,865
ACKNOWLEDGED.

2280
01:37:56,865 --> 01:38:01,903
AND PERINATAL HEALTH SYSTEMS 

2281
01:38:01,903 --> 01:38:03,538
TREAT DEPRESSION WHICH IS GREAT 

2282
01:38:03,538 --> 01:38:06,608
BUT THERE'S HIGH RATES OF 

2283
01:38:06,608 --> 01:38:09,811
COMORBIDITY THAT GO UNADDRESSED.

2284
01:38:09,811 --> 01:38:11,379
THOUGH THERE ARE SEVERAL 

2285
01:38:11,379 --> 01:38:12,614
INTERVENTIONS FOR ADDRESSING 

2286
01:38:12,614 --> 01:38:14,282
PERINATAL DEPRESSION, 

2287
01:38:14,282 --> 01:38:15,817
INTERVENTIONS TO ADDRESS 

2288
01:38:15,817 --> 01:38:18,386
PERINATAL PTSD ARE MUCH FEWER.

2289
01:38:18,386 --> 01:38:21,890
THEREFORE WE DESIGN THE SURVIVOR

2290
01:38:21,890 --> 01:38:23,325
MOMS COMPANION PROVIDING 

2291
01:38:23,325 --> 01:38:24,793
INFORMATION FOR SURVIVORS OF 

2292
01:38:24,793 --> 01:38:27,062
ABUSE DURING PREGNANCY AND EARLY

2293
01:38:27,062 --> 01:38:28,630
POSTPARTUM PERIOD AS A FRONT 

2294
01:38:28,630 --> 01:38:30,465
LINE INTERVENTION THAT CAN BE 

2295
01:38:30,465 --> 01:38:31,099
ACCESSED THROUGH MATERNAL CARE 

2296
01:38:31,099 --> 01:38:36,571
SETTINGS.

2297
01:38:36,571 --> 01:38:39,708
IT'S ADAPTED FROM OTHER 

2298
01:38:39,708 --> 01:38:44,446
EVIDENCE-BASED PRAOGRAMS FOR 

2299
01:38:44,446 --> 01:38:45,747
THOSE ENTERING LONG EXPOSURE 

2300
01:38:45,747 --> 01:38:47,649
TREATMENT FOR PTSD AND INCLUDES 

2301
01:38:47,649 --> 01:38:48,884
SOME ELEMENTS OF BEHAVIORAL 

2302
01:38:48,884 --> 01:38:51,419
THERAPY.

2303
01:38:51,419 --> 01:38:52,888
IT INCLUDES THE BASIC ELEMENTS 

2304
01:38:52,888 --> 01:38:55,323
OF BEST PRACTICES FOR PSYCHO 

2305
01:38:55,323 --> 01:38:56,558
EDUCATION WHICH INVOLVES NOT 

2306
01:38:56,558 --> 01:38:58,994
ONLY THE PROVISION OF 

2307
01:38:58,994 --> 01:39:02,531
INFORMATION, WHICH IS HOW PEOPLE

2308
01:39:02,531 --> 01:39:02,864
HO

2309
01:39:02,864 --> 01:39:04,199
OFTEN THINK ABOUT IT AND SKILL 

2310
01:39:04,199 --> 01:39:05,600
BUILDING IN THE CONTEXT OF 

2311
01:39:05,600 --> 01:39:07,702
EMOTIONAL SUPPORT WITH THE GOAL 

2312
01:39:07,702 --> 01:39:12,941
OF EMPOWERING PARTICIPANTS AND 

2313
01:39:12,941 --> 01:39:15,010
FULLY MANUALIZED PROGRAM WITH 

2314
01:39:15,010 --> 01:39:20,882
ASSESSMENTS AND INTERVENTIONS 

2315
01:39:20,882 --> 01:39:23,518
AND DESIGN TO BE OFFERED VIA 

2316
01:39:23,518 --> 01:39:24,519
PRIMARY CARE SETTING AND FRONT 

2317
01:39:24,519 --> 01:39:26,822
LINE APPROACH WITH REFERRAL TO 

2318
01:39:26,822 --> 01:39:28,890
SPECIALTY CARE PROBABLY FOR 10% 

2319
01:39:28,890 --> 01:39:30,492
TO 15% OF WOMEN.

2320
01:39:30,492 --> 01:39:34,429
IT COULD BE OFFERED IN PERSON OR

2321
01:39:34,429 --> 01:39:39,668
VIA TELEHEALTH AND THE 

2322
01:39:39,668 --> 01:39:42,604
INTERVENOR IS THE ACTIVE 

2323
01:39:42,604 --> 01:39:44,005
INGREDIENT TO PROVIDE THE 

2324
01:39:44,005 --> 01:39:45,240
EMOTION AT SUPPORT AND CONNECT 

2325
01:39:45,240 --> 01:39:46,441
WOMEN TO OTHER APPROPRIATE OTHER

2326
01:39:46,441 --> 01:39:47,843
SERVICE AS NEEDED.

2327
01:39:47,843 --> 01:39:49,978
THE DESIGN OF THE SMC WAS 

2328
01:39:49,978 --> 01:39:51,346
RESPONSIVE TO BOTH CLINICAL 

2329
01:39:51,346 --> 01:39:52,881
EXPERIENCE AS MIDWIVES WORKING 

2330
01:39:52,881 --> 01:39:55,250
WITH SURVIVORS AND ALSO TO WHAT 

2331
01:39:55,250 --> 01:39:57,752
WOMEN TOLD US MIGHT BE HELPFUL 

2332
01:39:57,752 --> 01:40:00,889
IN QUALITATIVE RESEARCH.

2333
01:40:00,889 --> 01:40:04,159
IT'S ALSO INFORMED BY PRIOR NIH 

2334
01:40:04,159 --> 01:40:06,795
RESEARCH CHARACTERIZING THE 

2335
01:40:06,795 --> 01:40:10,165
AFFECTS OF POST-TRAUMATIC STRESS

2336
01:40:10,165 --> 01:40:12,868
ON THE CHILDBEARING YEAR AND 

2337
01:40:12,868 --> 01:40:13,668
DESIGNING SYMPTOM DEVELOPMENTS 

2338
01:40:13,668 --> 01:40:17,272
AND DEVELOPMENT NEEDS IN TANDEM.

2339
01:40:17,272 --> 01:40:27,816
THERE'S 10 MODULES AND THE CORE 

2340
01:40:28,316 --> 01:40:33,755
FOUR HAVE A FOCUS AND THE 

2341
01:40:33,755 --> 01:40:34,856
REMAINING SIX HAVE ADDRESS 

2342
01:40:34,856 --> 01:40:39,194
POTENTIAL PROBLEMS AND ISSUES 

2343
01:40:39,194 --> 01:40:40,862
SALIENTED TO CHILDBEARING YEAR 

2344
01:40:40,862 --> 01:40:43,398
AND MODULES TO INCREASE 

2345
01:40:43,398 --> 01:40:45,834
FLEXIBILITY MUCH DELIVERY AND 

2346
01:40:45,834 --> 01:40:49,337
IMPORTANTLY THE INTERVENTION IS 

2347
01:40:49,337 --> 01:40:51,773
NOT A DEEP TRAUMA INTERVENTION.

2348
01:40:51,773 --> 01:40:55,076
IT USES INSTEAD EMBEDDED 

2349
01:40:55,076 --> 01:40:57,612
VIGNETTES TO DEMONSTRATE THE 

2350
01:40:57,612 --> 01:40:58,546
CORRESPONDING SKILLS.

2351
01:40:58,546 --> 01:40:59,714
A PARTICIPANT CAN CHOOSE TO 

2352
01:40:59,714 --> 01:41:01,349
PERSONALIZE THAT INFORMATION TO 

2353
01:41:01,349 --> 01:41:02,951
THEMSELVES OR COULD GO THROUGH 

2354
01:41:02,951 --> 01:41:06,955
THE ENTIRE PROGRAM WITHOUT EVER 

2355
01:41:06,955 --> 01:41:09,691
DISCLOSING ASPECTS OF THEIR OWN 

2356
01:41:09,691 --> 01:41:10,125
TRAUMA EXPERIENCE.

2357
01:41:10,125 --> 01:41:11,593
THE DESIGN OF THE SMC IS 

2358
01:41:11,593 --> 01:41:13,828
RESPONSIVE TO BOTH OUR CLINICAL 

2359
01:41:13,828 --> 01:41:15,597
AS MIDWIVES WORKING WIN 

2360
01:41:15,597 --> 01:41:16,865
SURVIVORS AND TO WHAT WOMEN TOLD

2361
01:41:16,865 --> 01:41:27,208
US MIGHT BE HELPFUL.

2362
01:41:28,944 --> 01:41:34,082
SO THERE'S SKILLS AND MANAGING 

2363
01:41:34,082 --> 01:41:36,885
POSTTRAUMATIC STRESS, REACTION 

2364
01:41:36,885 --> 01:41:38,153
SKILLS, INTERPERSONAL REGULATION

2365
01:41:38,153 --> 01:41:40,021
AND INTERPRETING SKILLS AND 

2366
01:41:40,021 --> 01:41:40,989
AFFECT REGULATION WE CALL THE 

2367
01:41:40,989 --> 01:41:44,893
CALMING SKILLS.

2368
01:41:44,893 --> 01:41:49,130
SEVERAL STUDIES HAVE BEEN WITH A

2369
01:41:49,130 --> 01:41:50,932
PILOT IN MICHIGAN AND AUSTRALIA 

2370
01:41:50,932 --> 01:41:56,371
WITH SOCIAL WORKERS AS THE 

2371
01:41:56,371 --> 01:41:56,671
INTERVENERS.

2372
01:41:56,671 --> 01:41:57,372
QUASI-EXPERIMENTAL ANALYSIS 

2373
01:41:57,372 --> 01:42:01,476
COMPARING OUTCOMES FOR THE SM 

2374
01:42:01,476 --> 01:42:03,778
MATCH WITH THE STUDY I 

2375
01:42:03,778 --> 01:42:04,879
PREVIOUSLY STUDIED.

2376
01:42:04,879 --> 01:42:07,949
A CVPR PROJECT WITH BUFFALO 

2377
01:42:07,949 --> 01:42:11,453
PRENATAL IN BUFFALO NEW YORK TO 

2378
01:42:11,453 --> 01:42:12,887
ASSESS THE TRAINING AND 

2379
01:42:12,887 --> 01:42:13,755
IMPLEMENTATION ASPECTS WITH 

2380
01:42:13,755 --> 01:42:16,791
COMMUNITY HEALTH WORKERS AND A 

2381
01:42:16,791 --> 01:42:17,592
SECOND PILOT DELIVERED BY 

2382
01:42:17,592 --> 01:42:19,928
COMMUNITY HEALTH WORKERS AND OUR

2383
01:42:19,928 --> 01:42:22,964
CURRENT IMPROVE FUNDED PROJECT.

2384
01:42:22,964 --> 01:42:24,399
OUR OVER ALL TAKEAWAY SO FAR IS 

2385
01:42:24,399 --> 01:42:27,702
THE SMC SEEMS TO MAKE A 

2386
01:42:27,702 --> 01:42:35,210
DIFFERENCE AND WOMEN AND TUTORS 

2387
01:42:35,210 --> 01:42:36,878
LIKE IT.

2388
01:42:36,878 --> 01:42:37,979
OUR IMPROVE PROJECT HAD TWIN 

2389
01:42:37,979 --> 01:42:39,781
GOALS OF ESTABLISHING THE 

2390
01:42:39,781 --> 01:42:41,483
PROGRAM FOR SUSTAINABILITY AT 

2391
01:42:41,483 --> 01:42:49,657
BUFFALO PRENIGATAL AND EVALUATE 

2392
01:42:49,657 --> 01:42:52,560
EFFICACY FOR PTSD SYMPTOMOLOGY 

2393
01:42:52,560 --> 01:42:56,197
COMPARED TO A CONTROL GROUP AND 

2394
01:42:56,197 --> 01:42:59,234
ASSESS SUSCEPTIBLE AND PLAN TO 

2395
01:42:59,234 --> 01:43:01,970
RANDOMIZED PARTICIPANT TO DO A 

2396
01:43:01,970 --> 01:43:03,638
MINIMUM OF THE FIRST FOUR 

2397
01:43:03,638 --> 01:43:05,206
MODULES OR WAIT LIST CONTROL 

2398
01:43:05,206 --> 01:43:09,611
GROUP.

2399
01:43:09,611 --> 01:43:15,050
LET ME WALK YOU THROUGH SOME 

2400
01:43:15,050 --> 01:43:16,251
ADMINISTRATIVE AND IRB AND OTHER

2401
01:43:16,251 --> 01:43:17,819
HURDLES THAT AFFECTED OUR TIME 

2402
01:43:17,819 --> 01:43:21,256
LINE AND BUDGET AND OUR 

2403
01:43:21,256 --> 01:43:22,891
RECRUITMENT WAS DELAYED BY 

2404
01:43:22,891 --> 01:43:23,591
SEVERAL MONTHS.

2405
01:43:23,591 --> 01:43:26,361
AS A RESULT WE DID NOT MEAN OUR 

2406
01:43:26,361 --> 01:43:27,495
PLANNED END OF 60 PARTICIPANTS.

2407
01:43:27,495 --> 01:43:31,633
WE TRIED TO MAKE UP TIME AND WE 

2408
01:43:31,633 --> 01:43:33,401
AMENDED OUR IRB TO RECRUIT IN 

2409
01:43:33,401 --> 01:43:36,071
THE POSTPARTUM PERIOD AS WELL AS

2410
01:43:36,071 --> 01:43:36,471
PREGNANT MOTHERS.

2411
01:43:36,471 --> 01:43:39,441
THOUGH WE ORIGINALLY WANTED TO 

2412
01:43:39,441 --> 01:43:41,509
CONSTRAIN OUR CRITERIA TO 

2413
01:43:41,509 --> 01:43:45,447
PREGNANCY ONLY AND ENGLISH 

2414
01:43:45,447 --> 01:43:47,849
SPEAKERS ONLY FOR COMPARISONS, 

2415
01:43:47,849 --> 01:43:49,484
AS A TEAM, WORKING TOGETHER WE 

2416
01:43:49,484 --> 01:43:51,286
THOUGHT THIS DIDN'T REALLY 

2417
01:43:51,286 --> 01:43:53,188
REFLECT OUR VALUES GIVEN SO MANY

2418
01:43:53,188 --> 01:44:00,395
OF THE BUFFALO PRENATAL CLIENTS 

2419
01:44:00,395 --> 01:44:04,866
ARE SPAINISH  -- SPANISH AND 

2420
01:44:04,866 --> 01:44:06,835
RECRUITED 33 PARTICIPANTS WITH 

2421
01:44:06,835 --> 01:44:08,636
30 ULTIMATELY AVAILABLE FOR 

2422
01:44:08,636 --> 01:44:09,304
ANALYSIS.

2423
01:44:09,304 --> 01:44:12,073
OUR SAMPLE WERE PRIMARILY IN 

2424
01:44:12,073 --> 01:44:21,483
THEIR 20s OF AFRICAN AMERICAN OR

2425
01:44:21,483 --> 01:44:23,451
LATINX AND ANNUAL HOUSEHOLD 

2426
01:44:23,451 --> 01:44:28,857
INCOME OF LESS THAN $25,000.

2427
01:44:28,857 --> 01:44:35,897
OUR SAMPLE POPULATION HAD' 

2428
01:44:35,897 --> 01:44:36,631
CHILDHOOD EXPERIENCES MEASURE OF

2429
01:44:36,631 --> 01:44:40,335
NEARLY SIX ADVERSITIES AND 78.8%

2430
01:44:40,335 --> 01:44:44,539
REPORTING A SCORE OF FOUR OR 

2431
01:44:44,539 --> 01:44:45,073
MORE ACES.

2432
01:44:45,073 --> 01:44:48,209
AND A LARGE BODY ESTABLISHED 

2433
01:44:48,209 --> 01:44:53,982
THAT IS SORT OF THE THRESHOLD HA

2434
01:44:53,982 --> 01:44:58,786
INFERS ADDITIONAL RISK FOR 

2435
01:44:58,786 --> 01:44:59,053
OUTCOMES.

2436
01:44:59,053 --> 01:45:03,658
ALMOST 80% OF PARTICIPANTS MET 

2437
01:45:03,658 --> 01:45:07,795
THE PROVISIONAL DIAGNOSIS FOR 

2438
01:45:07,795 --> 01:45:13,768
PTSD AND MET THE DIAGNOSIS FOR A

2439
01:45:13,768 --> 01:45:20,508
SUBTYPE AND 90% HAD MILD 

2440
01:45:20,508 --> 01:45:22,744
DEPRESSION AND 60% HAD BOTH TT 

2441
01:45:22,744 --> 01:45:24,145
SD AND DEPRESSION.

2442
01:45:24,145 --> 01:45:26,781
WE SAW SIGNIFICANT REDUCTIONS AS

2443
01:45:26,781 --> 01:45:28,917
A RESULT OF THE SMC AND 

2444
01:45:28,917 --> 01:45:29,817
INTERPERSONAL SENSITIVITY AND 

2445
01:45:29,817 --> 01:45:32,187
TREND LEVEL CHANGES FOR 

2446
01:45:32,187 --> 01:45:33,655
DEPRESSION AND EMOTION 

2447
01:45:33,655 --> 01:45:34,923
REGULATION.

2448
01:45:34,923 --> 01:45:37,992
THOUGH THESE RESULTS MAP WELL 

2449
01:45:37,992 --> 01:45:42,130
YORCHBT OUR PREVIOUS PILOT 

2450
01:45:42,130 --> 01:45:44,866
STUDIES SHOULD BE INTERPRETED 

2451
01:45:44,866 --> 01:45:45,767
DIFFERENTLY SINCE WE HAD TO 

2452
01:45:45,767 --> 01:45:48,203
PIVOT FROM THE PREVIOUS DESIGN 

2453
01:45:48,203 --> 01:45:50,271
AND ASSESSED ACCESSIBILITY OF 

2454
01:45:50,271 --> 01:45:55,276
THE PROGRAM BY THE CLIENT 

2455
01:45:55,276 --> 01:45:56,811
SATISFACTION SCALE AND 

2456
01:45:56,811 --> 01:45:59,347
OVERALL-MEAN WAS 29.9 AND OUR 

2457
01:45:59,347 --> 01:46:01,583
RANGE WAS 24 TO 32 INDICATING 

2458
01:46:01,583 --> 01:46:03,418
HIGH LEVEL OF SATISFACTION.

2459
01:46:03,418 --> 01:46:04,652
ONE PARTICIPANT SHARED I LIKE IT

2460
01:46:04,652 --> 01:46:04,919
ALL.

2461
01:46:04,919 --> 01:46:11,726
I CAN'T TAKE A DOT OUT I LIKE 

2462
01:46:11,726 --> 01:46:13,628
THE PROGRAM AND IT GOES ON FROM 

2463
01:46:13,628 --> 01:46:13,828
THERE.

2464
01:46:13,828 --> 01:46:16,998
I'M GOING BACK TO MY GOOD FUTURE

2465
01:46:16,998 --> 01:46:23,972
AND GO FROM THERE.

2466
01:46:23,972 --> 01:46:28,142
AND ASKED PARTICIPANTS WHY YOU 

2467
01:46:28,142 --> 01:46:29,611
WOULD OR WOULD NOT RECOMMEND IT 

2468
01:46:29,611 --> 01:46:31,346
AND ONE SAID THEY WOULD 

2469
01:46:31,346 --> 01:46:33,781
RECOMMEND IT BECAUSE IT HELPED 

2470
01:46:33,781 --> 01:46:35,383
WITH TRAUMA.

2471
01:46:35,383 --> 01:46:37,619
I LIKE HOW YOU LEARN TO OVERCOME

2472
01:46:37,619 --> 01:46:39,087
YOUR FEARS AND GETTING HELP FROM

2473
01:46:39,087 --> 01:46:40,555
OTHERS AND THE OTHER SAID IT 

2474
01:46:40,555 --> 01:46:41,856
HELPED ME BOND WITH BABY MORE.

2475
01:46:41,856 --> 01:46:44,192
I CAN LOOK AT HUMANS AND SAY I 

2476
01:46:44,192 --> 01:46:47,528
MADE YOU AND LOVE YOU AND HERE 

2477
01:46:47,528 --> 01:46:48,896
FOR YOU AND HELPED ME WITH 

2478
01:46:48,896 --> 01:46:56,271
COMMUNICATION.

2479
01:46:56,271 --> 01:47:00,875
WE ALSO LIKED WHAT FOLKS VALUED 

2480
01:47:00,875 --> 01:47:07,015
ABOUT THE SMC ONE SAID AFTER THE

2481
01:47:07,015 --> 01:47:09,550
PROGRAM SAID IT HELPED ME LEARN 

2482
01:47:09,550 --> 01:47:11,753
HOW TO SELF-REFLECT AND 

2483
01:47:11,753 --> 01:47:12,553
SELF-CARE.

2484
01:47:12,553 --> 01:47:13,388
ANOTHER SHARED THAT THERE'S A 

2485
01:47:13,388 --> 01:47:15,890
LOT OF INFORMATION IN HERE TO 

2486
01:47:15,890 --> 01:47:17,625
HELP SOMEONE GET THROUGH CERTAIN

2487
01:47:17,625 --> 01:47:18,693
SITUATIONS AND HELP FIGURE OUT 

2488
01:47:18,693 --> 01:47:19,694
OTHER WAYS TO GET THROUGH THAT 

2489
01:47:19,694 --> 01:47:21,863
SPECIFIC ISSUE.

2490
01:47:21,863 --> 01:47:24,899
I COULD RELATE AND CONNECT WITH 

2491
01:47:24,899 --> 01:47:30,571
THE MODULES.

2492
01:47:30,571 --> 01:47:32,674
FIGURING OUT HOW TO WORK IT INTO

2493
01:47:32,674 --> 01:47:34,309
THE HEALTH WORKERS WAS TRICKY.

2494
01:47:34,309 --> 01:47:37,679
THIS IS A GROUP OF WOMEN WITH 

2495
01:47:37,679 --> 01:47:42,550
HIGH CASELOADS, A LOT OF 

2496
01:47:42,550 --> 01:47:44,719
COMPETING DEMANDS THOUS GOING 

2497
01:47:44,719 --> 01:47:46,587
FORWARD WITH THE NEW ROUND OF 

2498
01:47:46,587 --> 01:47:49,524
PRIZE MONEY FROM IMPROVE 

2499
01:47:49,524 --> 01:47:54,262
FIGURING OUT THE BUDGET TO 

2500
01:47:54,262 --> 01:48:00,134
INSTITUTE A DEDICATE D SMC TUTO 

2501
01:48:00,134 --> 01:48:02,770
ON A FULL-TIME BASIS AND CRACK 

2502
01:48:02,770 --> 01:48:04,272
THE NUT OF HOW TO BILL FOR THE 

2503
01:48:04,272 --> 01:48:07,041
SERVICE ULTIMATELY WHICH WE 

2504
01:48:07,041 --> 01:48:08,910
THINK WOULD ULTIMATELY PROVIDE 

2505
01:48:08,910 --> 01:48:12,513
FOR SUSTAINABILITY.

2506
01:48:12,513 --> 01:48:14,515
AND SEEKING CONSULTATION WHICH 

2507
01:48:14,515 --> 01:48:15,783
WE THINK WILL AFFECT OUR 

2508
01:48:15,783 --> 01:48:18,186
IMPLEMENTATION DESIGN GOING 

2509
01:48:18,186 --> 01:48:19,954
FORWARD.

2510
01:48:19,954 --> 01:48:21,756
WE ARE AWARE WE SHOULD EXPAND TO

2511
01:48:21,756 --> 01:48:23,825
OTHER AREA AGENCIES AS WELL AND 

2512
01:48:23,825 --> 01:48:24,459
THEY HAVE EXPRESSED INTEREST IN 

2513
01:48:24,459 --> 01:48:26,527
THAT.

2514
01:48:26,527 --> 01:48:28,796
ANOTHER THING WE WANT TO EXPLORE

2515
01:48:28,796 --> 01:48:31,099
IS THIS HIGH-LEVEL OF 

2516
01:48:31,099 --> 01:48:32,166
DISASSOCIATION WE FOUND IN THE 

2517
01:48:32,166 --> 01:48:33,768
CURRENT SAMPLE AND WE WOULD LIKE

2518
01:48:33,768 --> 01:48:35,837
TO EMBED A QUALITATIVE COMPONENT

2519
01:48:35,837 --> 01:48:37,538
INTO OUR RESEARCH GOING TO 

2520
01:48:37,538 --> 01:48:41,876
FORWARD AND OUR COLLABORATION.

2521
01:48:41,876 --> 01:48:44,645
WE ALSO THINK EMBEDDING MEASURES

2522
01:48:44,645 --> 01:48:48,583
OF STRUCTURAL RACISM AND SELF 

2523
01:48:48,583 --> 01:48:49,650
EFFICACY AND TREATMENT SEEKING 

2524
01:48:49,650 --> 01:48:50,952
MAKES SENSE GOING FORWARD ON 

2525
01:48:50,952 --> 01:48:51,753
WHAT WE FOUND.

2526
01:48:51,753 --> 01:48:55,022
WE ALSO WANT TO ADD A REFERRAL 

2527
01:48:55,022 --> 01:48:56,858
RESOURCES TRACKING COMPONENT.

2528
01:48:56,858 --> 01:49:00,428
WE ASKED PEOPLE DID YOU GET A 

2529
01:49:00,428 --> 01:49:02,430
REFERRAL BUT DIDN'T ASK DID YOU 

2530
01:49:02,430 --> 01:49:02,697
FOLLOW-UP.

2531
01:49:02,697 --> 01:49:04,399
WE WANT TO GO THERE.

2532
01:49:04,399 --> 01:49:06,000
ULTIMATELY OUR PLAN IS TO PUT 

2533
01:49:06,000 --> 01:49:08,803
ALL THE MEASURES IN PLACE SO 

2534
01:49:08,803 --> 01:49:11,706
THAT WE CAN REALLY BETTER MEET 

2535
01:49:11,706 --> 01:49:13,141
THE NEEDS OF THE COMMUNITY WE'RE

2536
01:49:13,141 --> 01:49:13,374
SERVING.

2537
01:49:13,374 --> 01:49:17,745
OKAY.

2538
01:49:17,745 --> 01:49:23,117
MY LAST SLIDE WAS TO EXPRESS 

2539
01:49:23,117 --> 01:49:25,987
GRATITUDE FOR THE STUDY 

2540
01:49:25,987 --> 01:49:26,587
COORDINATOR FOR ALL THE 

2541
01:49:26,587 --> 01:49:30,291
COMMUNITY HEALTH WORKERS AND FOR

2542
01:49:30,291 --> 01:49:32,894
THE PARTICIPANTS AND JUST SAY A 

2543
01:49:32,894 --> 01:49:43,104
DEEP THANKS.

2544
01:49:44,372 --> 01:49:46,741
>> GREAT PRESENTATION.

2545
01:49:46,741 --> 01:49:48,075
WE HAVE TIME FOR ONE QUESTION IN

2546
01:49:48,075 --> 01:49:49,844
THE AUDIENCE OR VIRTUAL.

2547
01:49:49,844 --> 01:49:51,212
>> WE HAVE NO QUESTIONS
FROM 

2548
01:49:51,212 --> 01:49:51,446
VIRTUAL.

2549
01:49:51,446 --> 01:49:56,717
IF YOU HAVE QUESTIONS AND YOU'RE

2550
01:49:56,717 --> 01:49:58,019
WATCHING VIRTUALLY YOU CAN 

2551
01:49:58,019 --> 01:49:58,886
SUBMIT THEM IN OTHER 

2552
01:49:58,886 --> 01:50:00,888
PRESENTATIONS OF THE SESSION.

2553
01:50:00,888 --> 01:50:03,691
>> WE HAVE ONE QUESTION.

2554
01:50:03,691 --> 01:50:08,062
>> I'M BRIANNA WITH HEALTH
NET 

2555
01:50:08,062 --> 01:50:08,262
ONE.

2556
01:50:08,262 --> 01:50:09,297
I NOTICE YOUR TARGET POPULATION 

2557
01:50:09,297 --> 01:50:12,433
ARE THE MAJORITY OF PEOPLE 

2558
01:50:12,433 --> 01:50:14,535
WITHIN THE POPULATION WERE BLACK

2559
01:50:14,535 --> 01:50:18,806
AND AFRICAN AMERICAN AND YOU HAD

2560
01:50:18,806 --> 01:50:20,875
A TRAUMA INFORMED AND HUMAN 

2561
01:50:20,875 --> 01:50:23,478
RIGHTS BUT WOULD YOU BE 

2562
01:50:23,478 --> 01:50:26,080
INTERESTED IN REPLICATING THIS 

2563
01:50:26,080 --> 01:50:29,851
FOR A MORE BLACK FEMINIST 

2564
01:50:29,851 --> 01:50:36,557
STANDPOINT OR LIKE A SUPER WOMAN

2565
01:50:36,557 --> 01:50:38,426
SHIMA WHEN WE THINK OF THE 

2566
01:50:38,426 --> 01:50:41,362
INTERSECTION OF RACE AND SEX AND

2567
01:50:41,362 --> 01:50:42,530
THAT'S SPECIFIC TO THE 

2568
01:50:42,530 --> 01:50:43,664
POPULATION YOU SERVED?

2569
01:50:43,664 --> 01:50:46,133
>> WE'RE IN CONVERSATION
ABOUT 

2570
01:50:46,133 --> 01:50:48,870
THAT AND IN THE GROWING FORWARD 

2571
01:50:48,870 --> 01:50:50,004
TOGETHER, THE NONPROFIT.

2572
01:50:50,004 --> 01:50:53,040
WE'RE ALL ABOUT BRINGING IN MORE

2573
01:50:53,040 --> 01:50:53,374
DIVERSITY.

2574
01:50:53,374 --> 01:50:55,209
BRINGING IN MORE VOICES, 

2575
01:50:55,209 --> 01:50:55,776
CONNECTING WITH COMMUNITY.

2576
01:50:55,776 --> 01:50:58,579
WE'RE CONNECTING WITH THE 

2577
01:50:58,579 --> 01:51:00,781
PERINATAL HEALTH COLLABORATIVES 

2578
01:51:00,781 --> 01:51:01,015
THERE.

2579
01:51:01,015 --> 01:51:04,485
PEOPLE WHO HAVE BEEN VERY ACTIVE

2580
01:51:04,485 --> 01:51:07,655
IN DEVELOPING BIRTH DETROIT.

2581
01:51:07,655 --> 01:51:17,732
 I WAS AT THE RIBBING ON -- 

2582
01:51:17,732 --> 01:51:20,234
RIBBON CUTTING AT A NEW FACILITY

2583
01:51:20,234 --> 01:51:23,704
AND WE'RE PILOTING A GROUP 

2584
01:51:23,704 --> 01:51:26,240
VERSION OF THIS IN BLACK 

2585
01:51:26,240 --> 01:51:27,642
NEIGHBORHOOD IN MICHIGAN.

2586
01:51:27,642 --> 01:51:28,876
IT'S A CONVERSATION WE'RE HAVING

2587
01:51:28,876 --> 01:51:29,310
AND HOPING TO LEARN.

2588
01:51:29,310 --> 01:51:38,152
THANK YOU.

2589
01:51:38,152 --> 01:51:40,421
>> THANK YOU, DR. SPER
LICH FOR 

2590
01:51:40,421 --> 01:51:44,825
YOUR PRESENTATION.

2591
01:51:44,825 --> 01:51:55,303
I'D LIKE TO INVITE DR. AVER 

2592
01:52:00,675 --> 01:52:00,875
YAKUBU.

2593
01:52:00,875 --> 01:52:11,986
JOIN ME IN WELCOMIIING HER AND 

2594
01:52:14,722 --> 01:52:18,192
EMILY LITTLE TO THE STAGE.

2595
01:52:18,192 --> 01:52:19,260
>> HI, EVERYONE.

2596
01:52:19,260 --> 01:52:22,563
THANKS FOR HAVING US.

2597
01:52:22,563 --> 01:52:23,965
I'M EMILY LITTLE, EXECUTIVE 

2598
01:52:23,965 --> 01:52:26,100
DIRECTOR OF NURTURE LEE.

2599
01:52:26,100 --> 01:52:27,768
I WASN'T SURE I'D BE ABLE TO 

2600
01:52:27,768 --> 01:52:29,337
ATTEND SINCE I RECENTLY GAVE 

2601
01:52:29,337 --> 01:52:32,607
BIRTH AND HAPPY TO BE HERE WITH 

2602
01:52:32,607 --> 01:52:36,877
MY COLLEAGUE, DR. AVER YAKUBU 

2603
01:52:36,877 --> 01:52:41,449
PVP .

2604
01:52:41,449 --> 01:52:43,284
WE'RE HERE REPRESENTING A SOCIAL

2605
01:52:43,284 --> 01:52:44,619
CHANGE ORGANIZATION DEDICATED 

2606
01:52:44,619 --> 01:52:45,853
BUILDING A WORLD WHERE WELLNESS 

2607
01:52:45,853 --> 01:52:47,922
FOR INFANTS AND CAREGIVERS IS A 

2608
01:52:47,922 --> 01:52:49,890
HUMAN RIGHT NOT A PRIVILEGE.

2609
01:52:49,890 --> 01:52:51,525
AND I IMAGINE PE SHARE THIS 

2610
01:52:51,525 --> 01:52:52,860
MISSION WITH MANY IF NOT ALL OF 

2611
01:52:52,860 --> 01:52:55,396
YOU IN THE AUDIENCE HERE TODAY.

2612
01:52:55,396 --> 01:52:57,798
I STARTED NURTURELY AFTER 

2613
01:52:57,798 --> 01:53:01,202
LEAVING A Ph.D. PROGRAM NOT 

2614
01:53:01,202 --> 01:53:04,105
WANTING TO GO IN ACADEMIA 

2615
01:53:04,105 --> 01:53:05,940
BECAUSE I SAW A NEED TO CONNECT 

2616
01:53:05,940 --> 01:53:07,408
THE ACADEMIC RESEARCH HAPPENING 

2617
01:53:07,408 --> 01:53:10,144
ON A ROBUST AND WONDERFUL LEVEL 

2618
01:53:10,144 --> 01:53:12,647
WITH THE REALLY AMAZING WORK 

2619
01:53:12,647 --> 01:53:13,981
HAPPENING AT THE COMMUNITY 

2620
01:53:13,981 --> 01:53:14,281
LEVEL.

2621
01:53:14,281 --> 01:53:15,716
AND SO WE'RE HONORED TO BE HERE 

2622
01:53:15,716 --> 01:53:19,553
TO REPRESENT THE CONNECTING THE 

2623
01:53:19,553 --> 01:53:21,022
COMMUNITY FOR MATERNAL HEALTH 

2624
01:53:21,022 --> 01:53:23,891
CHALLENGE AND HAPPY TO HAVE 

2625
01:53:23,891 --> 01:53:25,793
NIH'S SUPPORT IN EXACTLY THIS IN

2626
01:53:25,793 --> 01:53:27,461
BUILDING RESEARCH COMMUNITY FOR 

2627
01:53:27,461 --> 01:53:28,095
COMMUNITY-BASED ORGANIZATIONS 

2628
01:53:28,095 --> 01:53:35,770
LIKE NURTURELY.

2629
01:53:35,770 --> 01:53:37,204
WE KNOW WE'RE IN A CRISIS HERE 

2630
01:53:37,204 --> 01:53:39,774
IN THE UNITED STATES FOR BOTH 

2631
01:53:39,774 --> 01:53:41,208
PREGNANCY AND BIRTH AND 

2632
01:53:41,208 --> 01:53:42,877
POST-PART TUM HEALTH OUTCOMES 

2633
01:53:42,877 --> 01:53:45,413
AND THEY OFTEN ARE THE MOST 

2634
01:53:45,413 --> 01:53:48,015
NEGLECTED OUT OF ALL THESE 

2635
01:53:48,015 --> 01:53:49,316
CRISES WE ARE FACING.

2636
01:53:49,316 --> 01:53:51,819
AS FAR AS THE DISPARITIES THAT 

2637
01:53:51,819 --> 01:53:58,259
WE FACE IN POSTPARTUM MENTAL 

2638
01:53:58,259 --> 01:54:00,761
HEALTH AND PERINATAL RATES ARE 

2639
01:54:00,761 --> 01:54:04,365
TOO HIGH IN THE UNITED STATES.

2640
01:54:04,365 --> 01:54:05,900
WE KNOW BLACK PARENTS ARE 

2641
01:54:05,900 --> 01:54:09,470
DISPROPORTIONATELY AFFECTED BY 

2642
01:54:09,470 --> 01:54:12,973
PERINATAL MOOD AND ANXIETY AND 

2643
01:54:12,973 --> 01:54:15,342
ALONG WITH HIGH RATES OF 

2644
01:54:15,342 --> 01:54:18,312
DEPRESSION HAVING LESS ACCESS TO

2645
01:54:18,312 --> 01:54:19,180
CULTURALLY APPROPRIATE SCREENING

2646
01:54:19,180 --> 01:54:20,881
AND PREVENTION.

2647
01:54:20,881 --> 01:54:23,117
WE KNOW TOOLS LIKE THE EPDS 

2648
01:54:23,117 --> 01:54:25,019
THOUGH THEY'RE TRANSLATED TO 

2649
01:54:25,019 --> 01:54:28,889
MANY LANGUAGE ARE NOT CULTURALLY

2650
01:54:28,889 --> 01:54:29,423
APPROPRIATE.

2651
01:54:29,423 --> 01:54:33,494
WE KNOW PRIMARY TREATMENT FOR 

2652
01:54:33,494 --> 01:54:35,196
POSTPARTUM TREATMENT AND 

2653
01:54:35,196 --> 01:54:38,499
THERAPIES ARE NOT NECESSARY 

2654
01:54:38,499 --> 01:54:40,067
CULTURALLY APPROPRIATE AND THEN 

2655
01:54:40,067 --> 01:54:41,702
CO-EXISTING WITH THAT IN THE 

2656
01:54:41,702 --> 01:54:44,872
POSTPARTUM HEALTH ARENA WE HAVE 

2657
01:54:44,872 --> 01:54:49,610
LACTATION DISPARITIES WHICH ARE 

2658
01:54:49,610 --> 01:54:52,880
VERY MUCH BI-DIRECTIONAL WITH 

2659
01:54:52,880 --> 01:54:55,883
PERINATAL AND POSTPARTUM MENTAL 

2660
01:54:55,883 --> 01:54:59,487
HEALTH AND BLACK WHY INFANTS ARE

2661
01:54:59,487 --> 01:55:05,092
LESS LIKELY TO BE BREAST PLAYING

2662
01:55:05,092 --> 01:55:07,528
A ROLE IN POSTPARTUM DEPRESSION 

2663
01:55:07,528 --> 01:55:09,196
AND INCOME AND EDUCATION ARE NOT

2664
01:55:09,196 --> 01:55:10,765
PROTECTIVE FOR BLACK PARENTS AS 

2665
01:55:10,765 --> 01:55:14,135
THEY ARE FOR OTHER RACES.

2666
01:55:14,135 --> 01:55:14,735
THE SOCIAL DETERMINATES OF 

2667
01:55:14,735 --> 01:55:19,106
HEALTH WE SPENT SO LONG TRYING 

2668
01:55:19,106 --> 01:55:22,309
TO MITIGATE AND IMPROVE WITH 

2669
01:55:22,309 --> 01:55:27,014
INCOME, EDUCATION AND ACCESS ARE

2670
01:55:27,014 --> 01:55:28,382
NOT HELPING IMPROVING OUTCOME 

2671
01:55:28,382 --> 01:55:30,050
FOR BLACK PARENTS AND WE KNOW 

2672
01:55:30,050 --> 01:55:32,853
THAT IS BECAUSE OF THE ROOT 

2673
01:55:32,853 --> 01:55:36,223
CAUSE BEING RACISM ON MANY 

2674
01:55:36,223 --> 01:55:37,691
LEVELS.

2675
01:55:37,691 --> 01:55:39,794
SYSTEMIC RACISM IN THE HEALTH 

2676
01:55:39,794 --> 01:55:41,996
CARE ARENA AND BLACK INFANTS ARE

2677
01:55:41,996 --> 01:55:44,198
NINE TIMES MORE LIKELY TO BE 

2678
01:55:44,198 --> 01:55:47,067
OFFERED FORMULA IN THE HOSPITAL 

2679
01:55:47,067 --> 01:55:51,272
SETTING THAN WHITE INFANTS.

2680
01:55:51,272 --> 01:55:52,873
THIS IS INTERPERSONAL RACISM ON 

2681
01:55:52,873 --> 01:55:56,377
A SYSTEMIC LEVEL IN THE HEALTH 

2682
01:55:56,377 --> 01:56:00,581
CARE SYSTEM WHICH HAS DESERVEDLY

2683
01:56:00,581 --> 01:56:01,916
GOTTEN INFORMATION AND 

2684
01:56:01,916 --> 01:56:02,917
INVESTMENT IN TRYING TO FIX 

2685
01:56:02,917 --> 01:56:06,220
WHICH IS AMAZING.

2686
01:56:06,220 --> 01:56:09,523
WE WANT TO FOCUS ON AN AREA 

2687
01:56:09,523 --> 01:56:12,092
WHICH HASN'T GOTTEN AS MUCH AS 

2688
01:56:12,092 --> 01:56:13,994
ATTENTION, CULTURAL RACISM.

2689
01:56:13,994 --> 01:56:15,629
SO CULTURAL RACISM WE'RE TALKING

2690
01:56:15,629 --> 01:56:17,832
ABOUT LACK OF INCLUSION OF 

2691
01:56:17,832 --> 01:56:18,365
TRADITIONAL AND CULTURAL 

2692
01:56:18,365 --> 01:56:26,006
PRACTICES.

2693
01:56:26,006 --> 01:56:28,309
POSTPARTUM HEALTH IS INHERENTLY 

2694
01:56:28,309 --> 01:56:30,411
CULTURAL YET SURPRISING AT THE 

2695
01:56:30,411 --> 01:56:32,379
CLINICAL LEVEL, AT THE ACADEMIC 

2696
01:56:32,379 --> 01:56:35,783
RESEARCH LEVEL, CULTURE IS OFTEN

2697
01:56:35,783 --> 01:56:36,617
NOT PART OF THE CONVERSATION AS 

2698
01:56:36,617 --> 01:56:39,153
FAR AS HOW WE ARE PRESENTING AND

2699
01:56:39,153 --> 01:56:43,691
TREATING POSTPARTUM HEALTH 

2700
01:56:43,691 --> 01:56:48,362
DISPARITIES AT MANY LEVELS.

2701
01:56:48,362 --> 01:56:50,531
SO NURTURELY'S RESEARCH HAS 

2702
01:56:50,531 --> 01:56:51,799
PREVIOUSLY BEEN ON EXPOSING THE 

2703
01:56:51,799 --> 01:56:56,437
BIASES THAT WE HAVE IN OUR POST 

2704
01:56:56,437 --> 01:56:58,272
PARTUM HEALTH RESEARCH SAMPLING 

2705
01:56:58,272 --> 01:57:00,875
AS FAR AS FROM A GLOBAL LEVEL 

2706
01:57:00,875 --> 01:57:06,080
PRIMARILY FROM WESTERN COUNTRIES

2707
01:57:06,080 --> 01:57:09,516
LIKE THE UNITED STATES AS WELL 

2708
01:57:09,516 --> 01:57:10,584
AS WITHIN THE UNITED STATES 

2709
01:57:10,584 --> 01:57:12,887
BEING FROM A BIASSED SAMPLE AS 

2710
01:57:12,887 --> 01:57:16,624
WELL OFTEN FROM 

2711
01:57:16,624 --> 01:57:27,167
UNIVERSITY-ADJACENT MIDDLE CLASS

2712
01:57:27,868 --> 01:57:33,574
FAMILIES THERE'S RESULTS OF THE 

2713
01:57:33,574 --> 01:57:38,612
BIAS SAMPLING APPROACH STUDYING 

2714
01:57:38,612 --> 01:57:40,481
HOW WE ARE APPROACHING 

2715
01:57:40,481 --> 01:57:43,651
INTERACTION AND RESEARCH 

2716
01:57:43,651 --> 01:57:44,885
FOCUSSED ON ONE AREA WE 

2717
01:57:44,885 --> 01:57:46,854
NEGLECTED PARENT INFANT CONTACT 

2718
01:57:46,854 --> 01:57:47,788
AND PHYSICAL CONTACT.

2719
01:57:47,788 --> 01:57:49,823
WE CAN SEE THAT AROUND THE WORLD

2720
01:57:49,823 --> 01:57:51,792
THE UNITED STATES IS REALLY AN 

2721
01:57:51,792 --> 01:57:55,262
OUTLIER IN OUR LACK OF CONTACT 

2722
01:57:55,262 --> 01:57:57,298
AND EMPHASIS ON CONTACT FOR 

2723
01:57:57,298 --> 01:57:59,333
POSTPARTUM HEALTH FOR INFANT 

2724
01:57:59,333 --> 01:58:03,637
DEVELOPMENT AND WE HAVE 

2725
01:58:03,637 --> 01:58:04,972
DOCUMENTED AROUND THE WORLD WHAT

2726
01:58:04,972 --> 01:58:07,841
COMMUNITIES ALREADY KNOW WHICH 

2727
01:58:07,841 --> 01:58:10,444
IS PARENT-INFANT CONTACT IS 

2728
01:58:10,444 --> 01:58:12,713
IMPORTANT FOR LEARNING, 

2729
01:58:12,713 --> 01:58:14,581
DEVELOPMENT AND PARENTS' 

2730
01:58:14,581 --> 01:58:17,952
RECOVERY FROM BIRTH AND INFANT'S

2731
01:58:17,952 --> 01:58:22,456
DEVELOPMENT AND ENTRY TO THE 

2732
01:58:22,456 --> 01:58:23,924
WORLD AND BREAST FEEDING OF 

2733
01:58:23,924 --> 01:58:24,258
COURSE.

2734
01:58:24,258 --> 01:58:25,626
THIS HAS BEEN STUDIED AT A 

2735
01:58:25,626 --> 01:58:26,927
CLINICAL LEVEL.

2736
01:58:26,927 --> 01:58:31,665
WE NOW HAVE OVER 50 YEARS OF 

2737
01:58:31,665 --> 01:58:33,801
RESEARCH ON PARENT-INFANT SKIN 

2738
01:58:33,801 --> 01:58:36,837
TO SKIN CONTACT AS A CLINICAL 

2739
01:58:36,837 --> 01:58:38,605
INTERVENTION AND WE'VE GOTTEN 

2740
01:58:38,605 --> 01:58:40,607
ROBUST DATA FROM THAT ON THE 

2741
01:58:40,607 --> 01:58:42,843
IMPORTANCE OF THIS CONTACT FOR 

2742
01:58:42,843 --> 01:58:45,813
POSTPARTUM MENTAL HEALTH AND FOR

2743
01:58:45,813 --> 01:58:47,815
MANY POSTPARTUM AND INFANT 

2744
01:58:47,815 --> 01:58:50,050
HEALTH OUTCOMES BUT WE'RE NOT 

2745
01:58:50,050 --> 01:58:51,785
SEEING THIS INTEGRATION OF 

2746
01:58:51,785 --> 01:58:54,154
INFANT CAREGIVER CONTACT AS A 

2747
01:58:54,154 --> 01:58:56,890
CULTURAL PRACTICE IN THE WAY WE 

2748
01:58:56,890 --> 01:58:58,392
SEE IT MANIFEST AROUND THE 

2749
01:58:58,392 --> 01:58:59,126
WORLD.

2750
01:58:59,126 --> 01:59:00,861
IN THE PHOTO ON THE RIGHT WHICH 

2751
01:59:00,861 --> 01:59:04,865
IS TAKEN IN KENYA, WHICH IS 

2752
01:59:04,865 --> 01:59:08,002
REPRESENTATIVE OF GLOBAL 

2753
01:59:08,002 --> 01:59:09,336
MAJORITY COMMUNITIES AROUND THE 

2754
01:59:09,336 --> 01:59:10,337
WORLD AND CARING AND WEARING 

2755
01:59:10,337 --> 01:59:15,809
YOUR BABY WITH YOU AROUND 

2756
01:59:15,809 --> 01:59:16,777
THROUGHOUT YOUR DAY AS MANY 

2757
01:59:16,777 --> 01:59:19,179
PARENTS DO AROUND THE WORLD.

2758
01:59:19,179 --> 01:59:21,548
LOOKING AT THIS NOT ONLY FROM A 

2759
01:59:21,548 --> 01:59:28,455
CLINICAL AND HOSPITAL-BASED 

2760
01:59:28,455 --> 01:59:31,425
WESTERNIZED INTERVENTION OF SKIN

2761
01:59:31,425 --> 01:59:36,730
TO SKIN IN THE GOLDEN HOUR AND 

2762
01:59:36,730 --> 01:59:38,532
HOW THIS CONTACT IS DIFFERENT 

2763
01:59:38,532 --> 01:59:40,601
MANIFESTED AROUND THE WORLD.

2764
01:59:40,601 --> 01:59:42,669
TAKING A GLOBAL PERSPECTIVE TO 

2765
01:59:42,669 --> 01:59:42,870
THIS.

2766
01:59:42,870 --> 01:59:46,740
OUR RESEARCH WAS DONE IN THE 

2767
01:59:46,740 --> 01:59:48,142
UNITED STATES AND PREVIOUSLY WE 

2768
01:59:48,142 --> 01:59:52,479
PUBLISHED A RANDOMIZED CONTROL 

2769
01:59:52,479 --> 01:59:56,550
TRIAL WITH WILL THE LATINX 

2770
01:59:56,550 --> 01:59:57,551
PARENTS WITH COMMUNITY HEALTH 

2771
01:59:57,551 --> 01:59:59,086
WORKERS AND THE WHOLE 

2772
01:59:59,086 --> 02:00:02,556
INTERVENTION WAS LED BY LATINX 

2773
02:00:02,556 --> 02:00:04,625
COMMUNITY HEALTH WORKERS AND 

2774
02:00:04,625 --> 02:00:06,493
PERINATAL NAVIGATORS AND WERE 

2775
02:00:06,493 --> 02:00:09,797
ABLE TO SHOW WITH A RANDOMIZED 

2776
02:00:09,797 --> 02:00:12,866
CONTROL TRIAL DESIGN THAT INFANT

2777
02:00:12,866 --> 02:00:15,002
CARRYING IN THE FIRST SIX MONTHS

2778
02:00:15,002 --> 02:00:21,108
OF LIFE INFECTION OUTCOMES AND 

2779
02:00:21,108 --> 02:00:21,775
REDUCED POST PAR TURM 

2780
02:00:21,775 --> 02:00:23,410
DEPRESSION.

2781
02:00:23,410 --> 02:00:32,886
-- POSTPARTUM DEPRESSION.

2782
02:00:32,886 --> 02:00:43,097
>> MY NAME IS AVER YAKUBU
AND 

2783
02:00:43,097 --> 02:00:44,264
YOU CAN FOLLOW-UP WITH US 

2784
02:00:44,264 --> 02:00:47,634
AFTERWARDS FOR MORE DETAILS.

2785
02:00:47,634 --> 02:00:49,970
SO, OUR MINE FOCUS WAS TO LOOK 

2786
02:00:49,970 --> 02:00:58,512
AT DOES OUR CULTURALLY INFORMED 

2787
02:00:58,512 --> 02:00:59,413
TRAINING INCREASE KNOWLEDGE AND 

2788
02:00:59,413 --> 02:01:00,981
CONFIDENCE?

2789
02:01:00,981 --> 02:01:03,650
SECONDLY, WE UTILIZED THE USE OF

2790
02:01:03,650 --> 02:01:07,321
AN INFANT CARRIER AND SEE DOES 

2791
02:01:07,321 --> 02:01:08,622
IT AFTER BIRTH DECREASE SYMPTOMS

2792
02:01:08,622 --> 02:01:11,859
OF POSTPARTUM DEPRESSION AND 

2793
02:01:11,859 --> 02:01:12,893
INCREASE LACTATION IN BLACK 

2794
02:01:12,893 --> 02:01:13,293
MOTHERS.

2795
02:01:13,293 --> 02:01:15,496
SO WE DID THIS THROUGH THREE 

2796
02:01:15,496 --> 02:01:16,763
MAIN AIMS.

2797
02:01:16,763 --> 02:01:21,401
ONE TO GENERATE A LIST OF TEST 

2798
02:01:21,401 --> 02:01:24,605
ITEMS FOR FOUR NOVEL MEASUREMENT

2799
02:01:24,605 --> 02:01:26,874
SCALES WHICH I'LL GO MORE IN 

2800
02:01:26,874 --> 02:01:29,610
DEPTH AND TWO, TEST A TRAIN THE 

2801
02:01:29,610 --> 02:01:32,746
TRAINER MODEL AND CURRICULUM TO 

2802
02:01:32,746 --> 02:01:36,116
TEACH PROFESSIONALS ON WHEN THE 

2803
02:01:36,116 --> 02:01:40,420
CULTURAL IMPLY WAYINGCATION -- 

2804
02:01:44,958 --> 02:01:45,792
IMPLICATIONS AND BEGIN 

2805
02:01:45,792 --> 02:01:51,632
RECRUITMENT FOR RANDOMIZED 

2806
02:01:51,632 --> 02:01:54,067
CONTROL TESTING THE 

2807
02:01:54,067 --> 02:01:54,401
EFFECTIVENESS.

2808
02:01:54,401 --> 02:01:56,003
I'VE ALREADY SUMMARIZED THE 

2809
02:01:56,003 --> 02:02:00,874
THREE AIMS BUT YOU CAN SEE IN 

2810
02:02:00,874 --> 02:02:02,876
THE FIGURE HOW WE WENT ABOUT 

2811
02:02:02,876 --> 02:02:07,047
EACH STAGE.

2812
02:02:07,047 --> 02:02:12,686
WITH AIM ONE WE USED INSIGHT 

2813
02:02:12,686 --> 02:02:14,988
FROM SUBJECT MATTER EXPERTISE TO

2814
02:02:14,988 --> 02:02:16,690
DETERMINE WHAT THE FINALIZED 

2815
02:02:16,690 --> 02:02:17,658
SCALES WILL BE WHICH I'LL GO 

2816
02:02:17,658 --> 02:02:19,426
INTO IN DEPTH.

2817
02:02:19,426 --> 02:02:26,066
AS I DESCRIBED, WE ASSESSED 

2818
02:02:26,066 --> 02:02:29,403
SELF-ADVOCACY, CONFIDENCE AND 

2819
02:02:29,403 --> 02:02:38,545
KNOWLEDGE AND USABILITY OF 

2820
02:02:38,545 --> 02:02:39,446
CARRIERS AND DOULA AND TALK 

2821
02:02:39,446 --> 02:02:44,952
ABOUT THE BEGINNING OF OUR RCT 

2822
02:02:44,952 --> 02:02:46,853
STUDY.

2823
02:02:46,853 --> 02:02:52,025
HERE'S THE PRELIMINARY RESULTS 

2824
02:02:52,025 --> 02:02:58,265
FOR RESULTS.

2825
02:02:58,265 --> 02:02:59,233
AND THERE'S CULTURAL 

2826
02:02:59,233 --> 02:03:00,467
IMPLICATIONS OF CARRIERS 

2827
02:03:00,467 --> 02:03:03,470
THEMSELVES AND THEN WE HAVE THE 

2828
02:03:03,470 --> 02:03:06,440
INFANT CARING CONFIDENCE SKILL.

2829
02:03:06,440 --> 02:03:08,775
HOW CONFIDENT IS A PERSON OR 

2830
02:03:08,775 --> 02:03:10,377
SUPPORT PERSON IN UTILIZING 

2831
02:03:10,377 --> 02:03:13,947
CARRIERS AND THEN THE INFANT 

2832
02:03:13,947 --> 02:03:18,885
CARING KNOWLEDGE SKILL AND 

2833
02:03:18,885 --> 02:03:29,429
ASSESSING THE KNOWLEDGE OF AND 

2834
02:04:19,513 --> 02:04:22,949
WE LOOKED AT FAMILIES AND LOOKED

2835
02:04:22,949 --> 02:04:28,855
AT THE PRE NATAL TIME AND 

2836
02:04:28,855 --> 02:04:29,156
POSTPARTUM.

2837
02:04:29,156 --> 02:04:32,859
FOR LESSONS, I KNOW WE'RE AT 

2838
02:04:32,859 --> 02:04:33,293
TIME.

2839
02:04:33,293 --> 02:04:34,895
I WON'T GO THROUGH THIS BUT WE 

2840
02:04:34,895 --> 02:04:37,564
HAD GREAT LESSONS LEARNED AND 

2841
02:04:37,564 --> 02:04:40,267
ABLE TO UTILIZE THE LEARNINGS WE

2842
02:04:40,267 --> 02:04:43,370
HAD TO SUBMIT AN R21 PROPOSAL TO

2843
02:04:43,370 --> 02:04:46,773
CONTINUE THE RCT PHASE AND WITH 

2844
02:04:46,773 --> 02:04:51,311
THE HOPE TO SUBMIT AN RO1.

2845
02:04:51,311 --> 02:04:53,246
SO THANK YOU SO MUCH.

2846
02:04:53,246 --> 02:04:54,381
GREAT GRATITUDE TO THE IMPROVE 

2847
02:04:54,381 --> 02:04:55,916
TEAM AND WE'RE ALSO ACCEPTING 

2848
02:04:55,916 --> 02:04:57,050
APPLICATIONS FOR RESEARCH 

2849
02:04:57,050 --> 02:05:01,154
FELLOWS AND ALSO FOR POSITIONS 

2850
02:05:01,154 --> 02:05:06,593
FOR POST DOC OR RESEARCH 

2851
02:05:06,593 --> 02:05:08,195
MANAGERS AND IF YOU KNOW ANYONE 

2852
02:05:08,195 --> 02:05:09,529
PLEASE GET THE WORD OUT AND 

2853
02:05:09,529 --> 02:05:14,134
HAPPY TO ANSWER QUESTIONS LATER.

2854
02:05:14,134 --> 02:05:18,405
>> THE NEXT SESSION IS THE

2855
02:05:18,405 --> 02:05:18,972
ARIZONA STATE UNIVERSITY 

2856
02:05:18,972 --> 02:05:20,607
COMMUNITY IMPLEMENTATION 

2857
02:05:20,607 --> 02:05:21,007
PROGRAM.

2858
02:05:21,007 --> 02:05:23,510
THEY WILL TALK ABOUT LISTEN TO 

2859
02:05:23,510 --> 02:05:24,311
THE VILLAGERS A COMMUNITY 

2860
02:05:24,311 --> 02:05:27,214
REASONIVE COMMUNITY ENGAGED 

2861
02:05:27,214 --> 02:05:33,787
PROCESS TO PROMOTE MATERNAL 

2862
02:05:33,787 --> 02:05:36,590
INFANT HEALTH IN INDIGENOUS 

2863
02:05:36,590 --> 02:05:36,890
COMMUNITIES.

2864
02:05:36,890 --> 02:05:39,793
JOIN ME IN WELCOMING THEM TO THE

2865
02:05:39,793 --> 02:05:49,936
PROGRAM.

2866
02:06:00,547 --> 02:06:01,515
>> I'M HERE WITH MY
COLLEAGUES.

2867
02:06:01,515 --> 02:06:03,583
I WANT TO TALK ABOUT OUR WORKING

2868
02:06:03,583 --> 02:06:05,218
COMMUNITY TO SUPPORT MATERNAL 

2869
02:06:05,218 --> 02:06:08,889
HEALTH IN BLACK, LATINA AND 

2870
02:06:08,889 --> 02:06:15,395
INDIGENOUS COMMUNITIES.

2871
02:06:15,395 --> 02:06:22,335
OUR VISION IS WOE WORK TO MAKE 

2872
02:06:22,335 --> 02:06:25,238
THIS A REALITY SO VILL ANDS 

2873
02:06:25,238 --> 02:06:28,041
PROVIDING PEER SUPPORT AND 

2874
02:06:28,041 --> 02:06:28,775
EDUCATION AND RESOURCE.

2875
02:06:28,775 --> 02:06:32,679
WHEN THEY WANTED TO KNOW IF WE 

2876
02:06:32,679 --> 02:06:34,815
WANTED TO COLLABORATE I WENT 

2877
02:06:34,815 --> 02:06:36,016
STRAIGHT OUR VILLAGES AND 

2878
02:06:36,016 --> 02:06:40,320
COMMUNITY LEADERS AND PARTNERS 

2879
02:06:40,320 --> 02:06:44,224
WHO WORK WITH US THROUGH OUR R3 

2880
02:06:44,224 --> 02:06:50,197
DEMOGRAPHIC SPACE TRIMESTER OF 

2881
02:06:50,197 --> 02:06:50,530
TR

2882
02:06:50,530 --> 02:06:53,200
VILLAGES AND LONG STANDING 

2883
02:06:53,200 --> 02:06:55,135
RELATIONSHIPS WITH DEAR FRIENDS 

2884
02:06:55,135 --> 02:06:56,203
WHOM WE'VE WORKED WITH A LONG 

2885
02:06:56,203 --> 02:06:56,636
TIME.

2886
02:06:56,636 --> 02:06:58,738
WHAT THEY TOLD ME WAS THAT THIS 

2887
02:06:58,738 --> 02:06:59,706
PROFESSION COULD BE GOOD IF WE 

2888
02:06:59,706 --> 02:07:06,780
DID IT THE RIGHT WAY.

2889
02:07:06,780 --> 02:07:07,447
IF WE SUPPORT THE COMMUNITY 

2890
02:07:07,447 --> 02:07:10,517
RATHER THAN TAKE FROM THE 

2891
02:07:10,517 --> 02:07:12,285
COMMUNITY AND MOVING AT THE 

2892
02:07:12,285 --> 02:07:13,119
SPEED OF TRUST THIS PROBLEM 

2893
02:07:13,119 --> 02:07:14,754
DIDN'T HAPPEN IN A DAY AND WOULD

2894
02:07:14,754 --> 02:07:15,856
BE FIXED IN COMMUNITY BUT IT 

2895
02:07:15,856 --> 02:07:21,194
WOULD TAKE TIME.

2896
02:07:21,194 --> 02:07:23,563
AND SO WE STARTED THIS PROCESS 

2897
02:07:23,563 --> 02:07:26,933
WITH SOME VERY INTENTIONAL 

2898
02:07:26,933 --> 02:07:28,101
FRAMEWORKS AROUND HOW WE WOULD 

2899
02:07:28,101 --> 02:07:29,803
LISTEN TO THE COMMUNITIES AND 

2900
02:07:29,803 --> 02:07:32,506
LISTEN TO THE VILLAGES AND BEGIN

2901
02:07:32,506 --> 02:07:37,310
TO ENGAGE AND CONTINUE THIS 

2902
02:07:37,310 --> 02:07:38,545
ENGAGEMENT THROUGH THE RESEARCH.

2903
02:07:38,545 --> 02:07:42,215
TO THE THINGS I WANT TO TALK 

2904
02:07:42,215 --> 02:07:44,885
ABOUT ARE RESPECT FOR CULTURE 

2905
02:07:44,885 --> 02:07:48,021
AND WE CREATED CULTURALLY 

2906
02:07:48,021 --> 02:07:50,824
SPECIFIC COMMUNITY-LED STEERING 

2907
02:07:50,824 --> 02:07:52,058
COMMITTEES FOR EACH OF OUR 

2908
02:07:52,058 --> 02:07:52,692
GROUPS.

2909
02:07:52,692 --> 02:07:56,530
WE HAVE THREE YOU'LL HEAR MORE 

2910
02:07:56,530 --> 02:07:57,030
ABOUT IN A FEW MINUTES.

2911
02:07:57,030 --> 02:07:57,898
OUR LISTENING SESSIONS WITH 

2912
02:07:57,898 --> 02:07:59,666
COMMUNITY ARE LED BY THE 

2913
02:07:59,666 --> 02:08:01,468
COMMUNITY ONLY.

2914
02:08:01,468 --> 02:08:04,871
I'M NOT THERE, KATIE'S NOT THERE

2915
02:08:04,871 --> 02:08:06,640
AND THE RESEARCH COMMUNITY IS 

2916
02:08:06,640 --> 02:08:09,109
MADE OF COMMUNITY.

2917
02:08:09,109 --> 02:08:14,681
WE ALSO MADE SURE AND THIS WAS 

2918
02:08:14,681 --> 02:08:20,954
BASED ON OUR COMMUNITY WE HAD 

2919
02:08:20,954 --> 02:08:23,857
MENTAL HEALTH INTEGRATED AND 

2920
02:08:23,857 --> 02:08:26,560
BEHAVIORAL HEALTH CONSULTATIONS 

2921
02:08:26,560 --> 02:08:27,894
INTEGRATED POST.

2922
02:08:27,894 --> 02:08:30,163
SO I'M GOING TO STEP OUT OF THE 

2923
02:08:30,163 --> 02:08:30,964
WAY AND LET THEM TELL YOU WHAT 

2924
02:08:30,964 --> 02:08:41,141
THEY DID.

2925
02:08:42,075 --> 02:08:45,879
>> I'M LAKISA MUHAMMAD AND
HAVE 

2926
02:08:45,879 --> 02:08:48,715
BEEN WORK IN THE AREA OF BLACK 

2927
02:08:48,715 --> 02:08:50,383
MATERNAL HEALTH OVER 20 YEARS.

2928
02:08:50,383 --> 02:08:52,586
I HELP LEAD OUR PROJECT IN BOTH 

2929
02:08:52,586 --> 02:08:54,688
THE BLACK MAMA SUPPORT VILLAGE 

2930
02:08:54,688 --> 02:08:57,157
AND WITH BIRTH WORKERS OF COLOR 

2931
02:08:57,157 --> 02:08:59,593
AS I DO LEAD A NON-PROFIT 

2932
02:08:59,593 --> 02:09:00,627
ORGANIZATION ARIZONA BIRTH 

2933
02:09:00,627 --> 02:09:01,728
WORKERS OF COLOR WHERE WE 

2934
02:09:01,728 --> 02:09:03,396
SUPPORT THOSE WHO SUPPORT 

2935
02:09:03,396 --> 02:09:04,030
FAMILIES THROUGHOUT THE 

2936
02:09:04,030 --> 02:09:10,904
PERINATAL PERIOD.

2937
02:09:10,904 --> 02:09:13,540
I'D BE REMISS IF I DID NOT 

2938
02:09:13,540 --> 02:09:14,774
HIGHLIGHT MY BOSSES IN THIS 

2939
02:09:14,774 --> 02:09:15,041
WORK.

2940
02:09:15,041 --> 02:09:25,585
YOU SEE HERE OUR RESEARCH TEAM 

2941
02:09:28,955 --> 02:09:29,823
AND ARE THARCHBD REPRESENT THE 

2942
02:09:29,823 --> 02:09:31,091
BEST TO OFFER IN ACADEMIA AND 

2943
02:09:31,091 --> 02:09:31,891
CLINICAL CARE AND 

2944
02:09:31,891 --> 02:09:32,459
COMMUNITY-BASED EVIDENCE IN 

2945
02:09:32,459 --> 02:09:42,636
RESEARCH.

2946
02:09:49,142 --> 02:09:51,745
WE ALWAYS WANT TO KEEP COMMUNITY

2947
02:09:51,745 --> 02:09:53,480
VOICES AT THE CENTER.

2948
02:09:53,480 --> 02:09:54,981
AS WE MOVE TO DIFFERENT PHASES 

2949
02:09:54,981 --> 02:09:58,685
AND UP THE LADDER WE KNOW THE 

2950
02:09:58,685 --> 02:10:00,020
PERSPECTIVE AND LENS CAN GET 

2951
02:10:00,020 --> 02:10:00,887
BLURRY AT TIMES.

2952
02:10:00,887 --> 02:10:03,056
WE WANT TO MAKE SURE COMMUNITY 

2953
02:10:03,056 --> 02:10:11,665
IS ALWAYS CENTERED IN THIS WORK.

2954
02:10:11,665 --> 02:10:14,634
WE'VE BEEN ABLE TO HOLD FOUR 

2955
02:10:14,634 --> 02:10:15,602
LISTENING SESSIONS THUS FAR.

2956
02:10:15,602 --> 02:10:20,874
TWO FOR BIRTH WORKERS OF COLOR 

2957
02:10:20,874 --> 02:10:23,176
AND TWO FOR BLACK PARENTS WHERE 

2958
02:10:23,176 --> 02:10:24,644
MOTHERS AND FATHERS WERE 

2959
02:10:24,644 --> 02:10:27,981
REPRESENTED IN OUR BLACK PARENT 

2960
02:10:27,981 --> 02:10:30,183
LISTENING SESSIONS.

2961
02:10:30,183 --> 02:10:33,386
WE WERE BELIEVED TO HEAR 

2962
02:10:33,386 --> 02:10:37,290
COMPELLING CREATE HEART 

2963
02:10:37,290 --> 02:10:39,626
WRENCHING STORIES FROM TIMES OF 

2964
02:10:39,626 --> 02:10:42,362
THE BIRTHS OF THEIR CHILDREN.

2965
02:10:42,362 --> 02:10:45,231
THERE WERE 72 CUMULATIVE YEARS 

2966
02:10:45,231 --> 02:10:46,066
OF EXPERIENCE REPRESENTED WITHIN

2967
02:10:46,066 --> 02:10:48,868
THE ROOM AND 85% OF THOSE BIRTH 

2968
02:10:48,868 --> 02:10:50,136
WORKERS SERVED ALMOST 

2969
02:10:50,136 --> 02:10:51,871
EXCLUSIVELY FAMILIES OF COLOR 

2970
02:10:51,871 --> 02:10:57,711
WITHIN OUR COMMUNITY.

2971
02:10:57,711 --> 02:10:58,645
WHAT DID WE LEARN?

2972
02:10:58,645 --> 02:11:00,613
 DID THEY TELL US?

2973
02:11:00,613 --> 02:11:03,717
WE TOOK PART IN A NEW TERM FOR 

2974
02:11:03,717 --> 02:11:03,883
ME.

2975
02:11:03,883 --> 02:11:05,518
OUR SCRIBE FROM OUR RESEARCH 

2976
02:11:05,518 --> 02:11:07,787
TEAM PROVIDED US WITH ALMOST 

2977
02:11:07,787 --> 02:11:10,056
WORD FOR WORD TRANSCRIPTS FROM 

2978
02:11:10,056 --> 02:11:11,791
OUR LISTENING SESSIONS THAT 

2979
02:11:11,791 --> 02:11:15,328
MYSELF AND OUR LEADERSHIP TEAM 

2980
02:11:15,328 --> 02:11:21,067
WERE ABLE TO PARSE THROUGH AND 

2981
02:11:21,067 --> 02:11:26,473
THEMING THE COMMENTS.

2982
02:11:26,473 --> 02:11:27,807
INTERESTING ENOUGH THERE WAS 

2983
02:11:27,807 --> 02:11:29,776
INTERSECTION WITH WHAT BIRTH 

2984
02:11:29,776 --> 02:11:35,281
WORKERS HAD TO TELL US AND 

2985
02:11:35,281 --> 02:11:36,716
LARGELY CENTERED AROUND POLICY 

2986
02:11:36,716 --> 02:11:41,755
EDUCATION FOR PARENTS AND CARE 

2987
02:11:41,755 --> 02:11:48,561
PROVIDERS AND WORKFORCE AND 

2988
02:11:48,561 --> 02:11:51,831
ACCESS TO CARE AND LASTLY ACCESS

2989
02:11:51,831 --> 02:11:54,768
TO MENTAL HEALTH CARE FOR 

2990
02:11:54,768 --> 02:11:56,870
SERVING FAMILIES AND BIRTHING 

2991
02:11:56,870 --> 02:12:06,479
PEOPLE.

2992
02:12:06,479 --> 02:12:07,847
WE'RE WORKING CLOSELY WITH OUR 

2993
02:12:07,847 --> 02:12:08,882
IMPLEMENTATION SCIENTIST TO DIG 

2994
02:12:08,882 --> 02:12:11,684
DEEPER INTO WHAT WE'RE CALLING 

2995
02:12:11,684 --> 02:12:15,889
OUR THREE-PRONGED INTERVENTION 

2996
02:12:15,889 --> 02:12:17,690
APPROACH.

2997
02:12:17,690 --> 02:12:19,359
WE ARE UTILIZING THE DATA FROM 

2998
02:12:19,359 --> 02:12:21,528
OUR COMMUNITY AND LOOKING AT THE

2999
02:12:21,528 --> 02:12:24,697
EFFECTIVENESS AND FEASIBILITY 

3000
02:12:24,697 --> 02:12:26,166
AND IMPACT OF UTILIZING 

3001
02:12:26,166 --> 02:12:27,867
PERINATAL COMMUNITY HEATH 

3002
02:12:27,867 --> 02:12:30,036
WORKERS, WORKING DIRECTLY WITH 

3003
02:12:30,036 --> 02:12:32,272
OUR FAMILIES.

3004
02:12:32,272 --> 02:12:34,774
MEASURING THOSE EFFECTS BECAUSE 

3005
02:12:34,774 --> 02:12:36,876
IF WE CAN'T MEASURE IT WE CAN'T 

3006
02:12:36,876 --> 02:12:37,510
MANAGE IT.

3007
02:12:37,510 --> 02:12:39,312
WE NEED TO LOOK AT HOW IT'S 

3008
02:12:39,312 --> 02:12:40,947
WORKING AND NOT ONLY LOOKING AT 

3009
02:12:40,947 --> 02:12:43,116
THE CLINICAL ASPECTS OF CARE BUT

3010
02:12:43,116 --> 02:12:48,087
TO THE EXPERIENCES.

3011
02:12:48,087 --> 02:12:51,925
WHAT ARE OUR FAMILIES GOING 

3012
02:12:51,925 --> 02:12:54,427
THROUGH AND HOW TO CHANGE IT AND

3013
02:12:54,427 --> 02:12:57,363
TURN IT AROUND AND LASTLY 

3014
02:12:57,363 --> 02:12:59,299
EXPLORE RESPECTFUL MATERNITY 

3015
02:12:59,299 --> 02:13:00,200
CARE PROGRAMS FOR OUR BIRTHING 

3016
02:13:00,200 --> 02:13:03,136
FACILITIES WITHIN OUR STATE.

3017
02:13:03,136 --> 02:13:04,404
I'LL NOW PASS YOU OVER TO THE 

3018
02:13:04,404 --> 02:13:08,708
WONDERFUL HANDS OF MY FRIEND AND

3019
02:13:08,708 --> 02:13:15,882
COLLEAGUE, MS. KIMBERLY 

3020
02:13:15,882 --> 02:13:23,156
MOORE-SALAS.

3021
02:13:23,156 --> 02:13:30,296
[SPEAKING NON-ENGLISH]

3022
02:13:30,296 --> 02:13:35,368
IT'S IMPORTANT I SAY MY CLANSHIP

3023
02:13:35,368 --> 02:13:37,604
TO IDENTIFY MYSELF AND REMIND MY

3024
02:13:37,604 --> 02:13:41,341
ANCESTORS I'M STILL HERE.

3025
02:13:41,341 --> 02:13:42,775
THIS IS OUR STEERING COMMITTEE 

3026
02:13:42,775 --> 02:13:44,811
FOR THE INDIGENOUS VILLAGE.

3027
02:13:44,811 --> 02:13:48,214
IT CONSISTS OF SEVERAL COMMUNITY

3028
02:13:48,214 --> 02:13:50,216
MEMBERS THAT WE PRETTY MUCH HAND

3029
02:13:50,216 --> 02:13:55,121
SELECTED FROM ARIZONA.

3030
02:13:55,121 --> 02:14:05,665
WE HAVE WE OPEN UP WITH PRAYER 

3031
02:14:58,584 --> 02:14:59,619
AND LET THE COMMUNITY STEER THE 

3032
02:14:59,619 --> 02:15:01,721
CONVERSATION IN HOW TO DO THE 

3033
02:15:01,721 --> 02:15:01,921
WORK.

3034
02:15:01,921 --> 02:15:03,856
WITH THAT NEXT STEP WE DID A 

3035
02:15:03,856 --> 02:15:05,391
COMMUNITY EVENT THAT I'LL TALK 

3036
02:15:05,391 --> 02:15:07,593
ABOUT THE NEXT SLIDE ENGAGING 

3037
02:15:07,593 --> 02:15:09,128
COMMUNITY IN HOW WE'LL MOVE INTO

3038
02:15:09,128 --> 02:15:12,432
THIS WORK.

3039
02:15:12,432 --> 02:15:14,167
AND THEN WE HAVE REACH OUT TO 

3040
02:15:14,167 --> 02:15:16,402
OUR KEY LEADERS.

3041
02:15:16,402 --> 02:15:17,704
ABOUT THE STEERING COMMITTEE, 

3042
02:15:17,704 --> 02:15:18,671
EVERYBODY WORKS WITH EACH OTHER 

3043
02:15:18,671 --> 02:15:20,740
AND EVERYBODY KNOWS EACH OTHER.

3044
02:15:20,740 --> 02:15:22,241
I DO NATIONAL WORK AND SO WE ALL

3045
02:15:22,241 --> 02:15:25,411
KIND OF KNOW EACH OTHER AND SO 

3046
02:15:25,411 --> 02:15:27,447
KEEPING THE COMMUNITY ENGAGED, 

3047
02:15:27,447 --> 02:15:29,949
FINDING THE KEY LEADERS TO HELP 

3048
02:15:29,949 --> 02:15:32,885
ADVOCATE THIS WORK FOR US WAS 

3049
02:15:32,885 --> 02:15:34,420
REALLY IMPORTANT TO US.

3050
02:15:34,420 --> 02:15:40,860
AND HOPEFULLY MOVE MORE TO A 

3051
02:15:40,860 --> 02:15:41,761
LISTENING SESSION I'LL TALK 

3052
02:15:41,761 --> 02:15:43,730
ABOUT IN THE END.

3053
02:15:43,730 --> 02:15:44,864
THIS IS OUR URBAN COMMUNITY 

3054
02:15:44,864 --> 02:15:47,967
EVENT WE HAD THIS YEAR FOR THE 

3055
02:15:47,967 --> 02:15:50,203
INDIGENOUS MEDICINE WEEK OF 

3056
02:15:50,203 --> 02:15:51,104
AUGUST 2024.

3057
02:15:51,104 --> 02:15:53,239
THIS IS A GOOD OPPORTUNITY TO 

3058
02:15:53,239 --> 02:15:55,675
ENGAGE WITH PEOPLE THAT 

3059
02:15:55,675 --> 02:15:55,942
ATTENDED.

3060
02:15:55,942 --> 02:16:02,248
WITH THE COMMUNITY EVENT WE HAD 

3061
02:16:02,248 --> 02:16:03,716
FEEDBACK ASKING WHAT DOES THEIR 

3062
02:16:03,716 --> 02:16:05,752
BIRTH LOOK LIKE AND WHAT 

3063
02:16:05,752 --> 02:16:06,786
CULTURAL PRACTICES THEY WANT TO 

3064
02:16:06,786 --> 02:16:08,821
INCLUDE IN THEIR EXPERIENCE AND 

3065
02:16:08,821 --> 02:16:09,889
ASKED QUESTIONS.

3066
02:16:09,889 --> 02:16:12,859
SOME OF THE QUESTIONS WE ASKED 

3067
02:16:12,859 --> 02:16:15,328
WAS QUOTES THEY SAID OF HOW THEY

3068
02:16:15,328 --> 02:16:17,764
FELT ABOUT THE IMPORTANCE OF 

3069
02:16:17,764 --> 02:16:19,899
HAVING CULTURAL CARE IN THEIR 

3070
02:16:19,899 --> 02:16:21,467
BIRTH EXPERIENCE OR BREAST 

3071
02:16:21,467 --> 02:16:21,734
FEEDING.

3072
02:16:21,734 --> 02:16:24,337
LET ME QUICKLY GO BACK.

3073
02:16:24,337 --> 02:16:26,939
SOME OF THE QUESTIONS THAT 

3074
02:16:26,939 --> 02:16:27,673
GEARED TOWARDS THEIR SUPPORT WAS

3075
02:16:27,673 --> 02:16:30,777
WHAT THEY WANTED AT THEIR BIRTH 

3076
02:16:30,777 --> 02:16:33,179
WAS A DOULA AND SUPPORT WAS THE 

3077
02:16:33,179 --> 02:16:33,913
HIGHLIGHT OF THIS FEEDBACK FROM 

3078
02:16:33,913 --> 02:16:39,285
THE COMMUNITY.

3079
02:16:39,285 --> 02:16:43,056
FOR OUR NEXT STEPS, WE ARE GOING

3080
02:16:43,056 --> 02:16:45,291
TO HAVE OUR NEXT URBAN LISTENING

3081
02:16:45,291 --> 02:16:47,093
SESSION THAT WILL HAPPEN 

3082
02:16:47,093 --> 02:16:48,294
PROBABLY IN DECEMBER.

3083
02:16:48,294 --> 02:16:51,397
WE'RE REALLY EXCITED ABOUT WITH 

3084
02:16:51,397 --> 02:16:52,031
THIS LISTENING SESSION WE'LL 

3085
02:16:52,031 --> 02:16:53,232
INCLUDE PRACTITIONERS AND 

3086
02:16:53,232 --> 02:16:55,868
MEDICINE PEOPLE TO COME IN AND 

3087
02:16:55,868 --> 02:16:57,770
HELP GUIDE THIS MENTAL WELLNESS 

3088
02:16:57,770 --> 02:17:04,143
AT THE END OF HEARING PEOPLE'S 

3089
02:17:04,143 --> 02:17:10,850
BIRTH STORIES OBTAINING THE 

3090
02:17:10,850 --> 02:17:14,520
WELLA IRB IN THE SPRING AND 

3091
02:17:14,520 --> 02:17:16,222
NAVAJO LAST BECAUSE THEY'RE 

3092
02:17:16,222 --> 02:17:18,357
CHALLENGING TO GET WHICH IS 

3093
02:17:18,357 --> 02:17:20,893
ACTUALLY MY NATION.

3094
02:17:20,893 --> 02:17:27,867
WE'RE WORKING AT THE SPEED OF 

3095
02:17:27,867 --> 02:17:31,771
TRUST.

3096
02:17:31,771 --> 02:17:33,940
NEXT I'LL INTRODUCE OUR 

3097
02:17:33,940 --> 02:17:39,078
COLLEAGUE FRIENDS WHO IS AN 

3098
02:17:39,078 --> 02:17:49,422
ASSOCIATE PROFESSOR.

3099
02:17:51,691 --> 02:17:54,460
>> I THINK YOU HEARD MOST
OF THE

3100
02:17:54,460 --> 02:17:55,962
IMPORTANT THINGS WE WANTED TO 

3101
02:17:55,962 --> 02:17:59,999
CONVEY AND I KNOW OUR TIME IS 

3102
02:17:59,999 --> 02:18:01,901
LIMITED BUT WANTED TO SHARE NEXT

3103
02:18:01,901 --> 02:18:02,268
STEPS.

3104
02:18:02,268 --> 02:18:03,903
AS WE'VE BEEN GOING THROUGH THE 

3105
02:18:03,903 --> 02:18:05,838
PROCESS WE'VE BEEN USING THE 

3106
02:18:05,838 --> 02:18:07,473
IMPLEMENTATION RESEARCH LOGIC 

3107
02:18:07,473 --> 02:18:11,043
MODEL TO MAP OUT THE KEY 

3108
02:18:11,043 --> 02:18:16,282
DETERMINATES IN OUR COMMUNITIES 

3109
02:18:16,282 --> 02:18:19,051
RELATED TO SUPPORT FOR THE PRE 

3110
02:18:19,051 --> 02:18:20,419
AND POST NATAL PERIOD.

3111
02:18:20,419 --> 02:18:22,989
I DON'T HAVE TIME TO GO OVER ALL

3112
02:18:22,989 --> 02:18:25,791
THESE BUT THINKING ABOUT THERE 

3113
02:18:25,791 --> 02:18:29,028
ARE ELEMENTS AT MULTIPLE LEVELS 

3114
02:18:29,028 --> 02:18:30,897
BOTH SUPPORTING AND PREVENTING 

3115
02:18:30,897 --> 02:18:35,768
US FROM PROVIDING THIS TYPE OF 

3116
02:18:35,768 --> 02:18:37,803
SUPPORT FOR MOMS.

3117
02:18:37,803 --> 02:18:39,572
AND SO THAT'S WHAT'S IN THE FAR 

3118
02:18:39,572 --> 02:18:41,240
LEFT COLUMN.

3119
02:18:41,240 --> 02:18:42,475
WE'RE THINKING ABOUT WE'RE 

3120
02:18:42,475 --> 02:18:43,776
HEARING FROM THE BIRTH WORKERS 

3121
02:18:43,776 --> 02:18:47,180
THAT THERE'S A LACK OF TRAINING 

3122
02:18:47,180 --> 02:18:47,813
AND EDUCATION OPPORTUNITIES.

3123
02:18:47,813 --> 02:18:52,618
BUT ON THE OTHER HAND, SITTING 

3124
02:18:52,618 --> 02:18:55,321
OR LISTENING TO THIS GROUP OF 

3125
02:18:55,321 --> 02:18:57,890
WOMEN SPEAK, I'VE NEVER MET A 

3126
02:18:57,890 --> 02:18:59,725
MORE HIGHLY TRAINED GROUP WITH 

3127
02:18:59,725 --> 02:19:01,794
MORE DEGREES AND CERTIFICATIONS 

3128
02:19:01,794 --> 02:19:03,062
AND HUNGRY FOR KNOWLEDGE AND 

3129
02:19:03,062 --> 02:19:05,131
SKILLS ABOUT HOW TO SOLVE THIS 

3130
02:19:05,131 --> 02:19:08,167
PROBLEM THAT HAS BEEN SO 

3131
02:19:08,167 --> 02:19:10,203
INTRACTABLE BUT WE'LL OVERCOME 

3132
02:19:10,203 --> 02:19:10,436
IT.

3133
02:19:10,436 --> 02:19:14,373
SO AN EXAMPLE OF A WAY WE 

3134
02:19:14,373 --> 02:19:15,341
IMPLEMENT STRATEGY WE WANT TO 

3135
02:19:15,341 --> 02:19:20,146
USE TO OVERCOME THAT OR MAY USE 

3136
02:19:20,146 --> 02:19:22,381
IS PROVIDING THE TRAINING AND 

3137
02:19:22,381 --> 02:19:23,416
MENTORSHIP OPPORTUNITIES AND 

3138
02:19:23,416 --> 02:19:26,619
PULLING THE CULTURAL PIECE INTO 

3139
02:19:26,619 --> 02:19:27,019
THAT.

3140
02:19:27,019 --> 02:19:30,256
AND WITH THE HOPE OF REACHING 

3141
02:19:30,256 --> 02:19:32,124
PEOPLE WITHIN THE COMMUNITIES TO

3142
02:19:32,124 --> 02:19:33,292
ENHANCE THE USE OF THESE 

3143
02:19:33,292 --> 02:19:36,362
CULTURAL PRACTICES THAT WE KNOW 

3144
02:19:36,362 --> 02:19:39,899
FOSTER RESILIENCE FOR BIRTHING 

3145
02:19:39,899 --> 02:19:40,333
INDIVIDUALS.

3146
02:19:40,333 --> 02:19:43,369
ANOTHER THING WE CAME UP A LOT 

3147
02:19:43,369 --> 02:19:46,172
WAS THE EXPERIENCE IN THE 

3148
02:19:46,172 --> 02:19:47,974
HOSPITAL SETTING THAT WE'VE 

3149
02:19:47,974 --> 02:19:49,709
SPOKEN TO A LOT OF DOULAS WHO 

3150
02:19:49,709 --> 02:19:52,345
HAVE FACED I WOULD SAY HOSTILITY

3151
02:19:52,345 --> 02:19:57,483
EVEN IN THE HEALTH CARE SYSTEM.

3152
02:19:57,483 --> 02:20:06,359
AND FEEL EXCLUDED THAT OB-GYNs 

3153
02:20:06,359 --> 02:20:08,327
ARE UNDERMINING THE WORK AND 

3154
02:20:08,327 --> 02:20:10,596
THERE'S CONFLICT AND IF YOU WANT

3155
02:20:10,596 --> 02:20:16,869
TO THINK ABOUT TRAUMA ACROSS THE

3156
02:20:16,869 --> 02:20:23,042
BOARD THE MOMS HAVE EXPERIENCED 

3157
02:20:23,042 --> 02:20:25,811
TRAUMA AND THINKING HOW TO 

3158
02:20:25,811 --> 02:20:29,315
ADDRESS THAT ACROSS THE BOARD.

3159
02:20:29,315 --> 02:20:32,885
WE KNOW HURT PEOPLE HURT PEOPLE 

3160
02:20:32,885 --> 02:20:35,888
AND HEALED PEOPLE HELP HEAL 

3161
02:20:35,888 --> 02:20:36,389
PEOPLE.

3162
02:20:36,389 --> 02:20:37,990
AND WE'LL CONTINUE TO FILL IN 

3163
02:20:37,990 --> 02:20:44,497
THIS LOGIC MODEL TO FIGURE OUT 

3164
02:20:44,497 --> 02:20:45,564
ADDITIONAL BARRIERS AND 

3165
02:20:45,564 --> 02:20:47,133
FACILITATORS AN STRATEGIES 

3166
02:20:47,133 --> 02:20:48,868
WITHIN OUR INDIGENOUS PARENTS 

3167
02:20:48,868 --> 02:20:50,403
AND LATINA COMMUNITIES.

3168
02:20:50,403 --> 02:21:00,813
SO THANK YOU VERY MUCH.

3169
02:21:16,929 --> 02:21:20,132
>> YOU KNOW WE'RE SHORT ON
TIME.

3170
02:21:20,132 --> 02:21:22,168
>> I'M CHRIS FROM MICHIGAN
STATE

3171
02:21:22,168 --> 02:21:23,369
UNIVERSITY MIRACLE CENTER.

3172
02:21:23,369 --> 02:21:26,706
I SAW ONE OF THE IMPLEMENTATION 

3173
02:21:26,706 --> 02:21:28,307
SCIENCE STRATEGIES WERE LIVABLE 

3174
02:21:28,307 --> 02:21:28,641
WAGES.

3175
02:21:28,641 --> 02:21:31,577
IF YOU COULD TALK MORE WHAT YOU 

3176
02:21:31,577 --> 02:21:32,378
HAVE IN MIND FOR COMMUNITY 

3177
02:21:32,378 --> 02:21:42,655
HEALTH WORKERS.

3178
02:21:58,971 --> 02:22:02,208
>> SOCIETY DOESN'T SEEM TO
VALUE

3179
02:22:02,208 --> 02:22:03,876
AS ONE OF THE MOST IMPORTANT 

3180
02:22:03,876 --> 02:22:05,544
JOBS IN THE WORLD.

3181
02:22:05,544 --> 02:22:07,813
WE RECENTLY HAD IN THE STATE OF 

3182
02:22:07,813 --> 02:22:12,885
ARIZONA MOVEMENT TOWARDS BEING 

3183
02:22:12,885 --> 02:22:20,893
ABLE TO FOR COMMUNITY WORKERS 

3184
02:22:20,893 --> 02:22:22,862
AND DOULAS AND DO YOU ACTUALLY 

3185
02:22:22,862 --> 02:22:27,299
GET REIMBURSED AND DOES 

3186
02:22:27,299 --> 02:22:31,103
REIMBURSEMENT LEAD TO A LIVABLE 

3187
02:22:31,103 --> 02:22:31,303
WAGE.

3188
02:22:31,303 --> 02:22:33,305
YOU HAVE TO THINK OF HOW 

3189
02:22:33,305 --> 02:22:35,775
GEOGRAPHICALLY DIVERSE ARIZONA 

3190
02:22:35,775 --> 02:22:37,576
IS, A LIVABLE AGE PLAY BE ONE 

3191
02:22:37,576 --> 02:22:39,912
THING AND IN MAYOR COMA COUNTY 

3192
02:22:39,912 --> 02:22:41,580
EVERYTHING IS DENSE AND 

3193
02:22:41,580 --> 02:22:42,248
EVERYTHING'S TOGETHER AND IN THE

3194
02:22:42,248 --> 02:22:43,749
TRIBAL COMMUNITIES LIKE WHAT 

3195
02:22:43,749 --> 02:22:50,523
DOES IT MEAN TO HAVE I ALIVE -- 

3196
02:22:50,523 --> 02:22:51,657
HAVE A LIVABLE WAGE AND THOSE 

3197
02:22:51,657 --> 02:22:54,226
ARE CONSIDERATIONS FOR TAKING 

3198
02:22:54,226 --> 02:22:56,796
INTO ACCOUNT.

3199
02:22:56,796 --> 02:22:59,432
WE HAVE OUR STATE MEDICATE 

3200
02:22:59,432 --> 02:23:00,032
OFFICE REPRESENTATIVES FROM 

3201
02:23:00,032 --> 02:23:01,901
THERE TO HELP US THINK THROUGH 

3202
02:23:01,901 --> 02:23:04,870
MAKING SURE THIS IS SOMETHING 

3203
02:23:04,870 --> 02:23:07,106
THAT WE COMPENSATE TO THE DEGREE

3204
02:23:07,106 --> 02:23:08,874
IT'S REFLECTIVE OF THE 

3205
02:23:08,874 --> 02:23:11,043
IMPORTANCE OF SOCIETY.

3206
02:23:11,043 --> 02:23:13,746
>> THANK YOU FOR YOUR
QUESTION 

3207
02:23:13,746 --> 02:23:14,413
AND RESPONSE.

3208
02:23:14,413 --> 02:23:20,686
PLEASE JOIN ME IN THANKING 

3209
02:23:20,686 --> 02:23:21,887
ARIZONA STATE UNIVERSITY TEAM.

3210
02:23:21,887 --> 02:23:23,389
NOW WE HAVE OUR LAST 

3211
02:23:23,389 --> 02:23:24,690
PRESENTATION FOR THIS FIRST 

3212
02:23:24,690 --> 02:23:25,858
PARTS OF THE SESSION FROM THE 

3213
02:23:25,858 --> 02:23:27,860
INVESTIGATION OF NEBRASKA 

3214
02:23:27,860 --> 02:23:33,899
MEDICAL CENTER, CIP TEAM, 

3215
02:23:33,899 --> 02:23:38,671
THEY'RE VIRTUAL.

3216
02:23:38,671 --> 02:23:39,305
WE'LL TURN OUR ATTENTION TO THE 

3217
02:23:39,305 --> 02:23:49,448
SCREEN.

3218
02:24:17,743 --> 02:24:20,880
>> CAN YOU HEAR US?

3219
02:24:20,880 --> 02:24:23,382
>> YES.

3220
02:24:23,382 --> 02:24:25,451
>> WONDERFUL.

3221
02:24:25,451 --> 02:24:33,792
[SPEAKING NON-ENGLISH]

3222
02:24:33,792 --> 02:24:44,336
>> I'M GOING TO PASS IT
OFF FOR 

3223
02:24:45,404 --> 02:24:46,205
INTRODUCTIONS BEFORE WE ROLL 

3224
02:24:46,205 --> 02:24:47,139
INTO POWER POINT.

3225
02:24:47,139 --> 02:24:52,077
>> GOOD MORNING.

3226
02:24:52,077 --> 02:24:57,917
MY NAME IS DR. IDOATE ON THE 

3227
02:24:57,917 --> 02:25:00,886
PROJECT HERE AND INVESTIGATOR 

3228
02:25:00,886 --> 02:25:07,459
I'LL PASS TO IT MY COLLEAGUE, 

3229
02:25:07,459 --> 02:25:07,726
CHARISSE.

3230
02:25:07,726 --> 02:25:09,895
>> 

3231
02:25:09,895 --> 02:25:18,671
[SPEAKING NON-ENGLISH]

3232
02:25:18,671 --> 02:25:19,505
OUR PRESENTATION THE NEBRASKA 

3233
02:25:19,505 --> 02:25:23,175
TRIBE FOR MATERNAL KINSHIP.

3234
02:25:23,175 --> 02:25:28,614
AND MISREG -- MS. REGINA WILL 

3235
02:25:28,614 --> 02:25:30,382
TAKE THE PRESENTATION.

3236
02:25:30,382 --> 02:25:33,118
>> CAN EVERYONE NOW SEE
OUR 

3237
02:25:33,118 --> 02:25:43,262
SCREEN?

3238
02:25:48,367 --> 02:25:52,972
I WANT TO ACKNOWLEDGE DR

3239
02:25:52,972 --> 02:25:56,875
DRDR

3240
02:25:56,875 --> 02:26:01,780
DR. SUFONTE AND BARBON WHO WERE 

3241
02:26:01,780 --> 02:26:03,916
PART OF THIS.

3242
02:26:03,916 --> 02:26:07,653
WE ALL FROM AS PART OF A 

3243
02:26:07,653 --> 02:26:10,089
COLLABORATION WEN THE WIN BAY GO

3244
02:26:10,089 --> 02:26:11,457
HEALTH DEPARTMENT AND NEBRASKA 

3245
02:26:11,457 --> 02:26:12,658
HEALTH CENTER.

3246
02:26:12,658 --> 02:26:18,731
I'M A MOM AND TEACHER RESEARCHER

3247
02:26:18,731 --> 02:26:28,874
AT THE UNIVERSITY AND WE'RE 

3248
02:26:28,874 --> 02:26:30,743
GOING TO TRY BECAUSE WE'VE BEEN 

3249
02:26:30,743 --> 02:26:32,111
WATCHING THESE AND REALIZE WE 

3250
02:26:32,111 --> 02:26:33,379
DON'T HAVE A LOT OF TIME SO 

3251
02:26:33,379 --> 02:26:35,547
WE'LL TRY TO JAM THROUGH OUR 

3252
02:26:35,547 --> 02:26:38,250
SLIDES AND THEN OPEN IT UP FOR 

3253
02:26:38,250 --> 02:26:41,987
ENGAGEMENT TO TRY TO EMBODY WHAT

3254
02:26:41,987 --> 02:26:47,693
WE'RE HERE TO SHARE TODAY.

3255
02:26:47,693 --> 02:26:49,028
IS THERE ANYONE IN THE ROOM WHO 

3256
02:26:49,028 --> 02:26:50,496
IS PRESENT WHO WOULD LIKE TO 

3257
02:26:50,496 --> 02:27:00,906
OFFER AN OPENING PRAYER?

3258
02:27:04,910 --> 02:27:05,044
OKAY.

3259
02:27:05,044 --> 02:27:06,578
I'LL THEN DO THAT TO KEEP US 

3260
02:27:06,578 --> 02:27:06,812
MOVING.

3261
02:27:06,812 --> 02:27:16,922
I'LL SHARE A WRITING FROM CORN 

3262
02:27:16,922 --> 02:27:20,492
MOTHER'S WISDOM AND EVERY MONTH 

3263
02:27:20,492 --> 02:27:23,562
SOMEWHERE IN THE WORLD A CROP OF

3264
02:27:23,562 --> 02:27:27,933
CORN COMES RIPE.

3265
02:27:27,933 --> 02:27:29,168
EVERY DAY SOMEWHERE IN THE WORLD

3266
02:27:29,168 --> 02:27:33,839
THEY SING OF SURVIVAL.

3267
02:27:33,839 --> 02:27:35,541
OUR CHEROKEE NATION SAYS WE MUST

3268
02:27:35,541 --> 02:27:38,444
EXPAND OUR CONCEPT OF HOME AND 

3269
02:27:38,444 --> 02:27:39,845
FAMILY TO INCLUDE OUR 

3270
02:27:39,845 --> 02:27:41,213
ENVIRONMENT AND OUR PEOPLE.

3271
02:27:41,213 --> 02:27:44,283
WE MUST TRUST OUR OWN THINKING.

3272
02:27:44,283 --> 02:27:44,950
TRUST WHERE WE'RE GOING AND GET 

3273
02:27:44,950 --> 02:27:48,987
THE JOB DONE.

3274
02:27:48,987 --> 02:27:50,756
SOMEWHERE IN THE WORLD SAILORS 

3275
02:27:50,756 --> 02:27:55,661
ALWAYS SING.

3276
02:27:55,661 --> 02:27:58,163
SO WITH THAT WE ASK THE GREAT 

3277
02:27:58,163 --> 02:27:59,932
SPIRIT KNOWN BY SO MANY NAMES 

3278
02:27:59,932 --> 02:28:01,467
YOU CONTINUE TO BLESS OUR TIME 

3279
02:28:01,467 --> 02:28:04,236
TOGETHER TOGETHER.

3280
02:28:04,236 --> 02:28:08,006
WE THANK YOU FOR YOU'LL WE GET 

3281
02:28:08,006 --> 02:28:09,641
TO HEAR AND SHARE AND ASK YOU 

3282
02:28:09,641 --> 02:28:11,443
OPEN OUR MINDS AND HEARTS TO 

3283
02:28:11,443 --> 02:28:12,911
HEAR AND SHARE THE THINGS WE 

3284
02:28:12,911 --> 02:28:18,150
NEED TO BE BURDENED SHARED AND 

3285
02:28:18,150 --> 02:28:19,885
THANK YOU FOR ALL THE GOOD WORK 

3286
02:28:19,885 --> 02:28:25,090
AND SUPPORT WE HAVE IN THIS 

3287
02:28:25,090 --> 02:28:32,464
WORK.

3288
02:28:32,464 --> 02:28:34,767
THIS IS ARTWORK CREATED BY OUR 

3289
02:28:34,767 --> 02:28:35,334
COALITION MEMBERS.

3290
02:28:35,334 --> 02:28:36,435
WE'RE DOING SOMETHING A LITTLE 

3291
02:28:36,435 --> 02:28:38,504
DIFFERENT THAN SOME OTHER 

3292
02:28:38,504 --> 02:28:40,405
PRESENTATIONS IN WE'RE AIMING TO

3293
02:28:40,405 --> 02:28:42,574
SHARE OUR COMMUNITY 

3294
02:28:42,574 --> 02:28:43,175
COLLABORATION SYSTEM.

3295
02:28:43,175 --> 02:28:45,878
THE PROCESS, NOT JUST OUR AIMS 

3296
02:28:45,878 --> 02:28:46,912
OR WHERE WE'RE AT BUT YOU'LL SEE

3297
02:28:46,912 --> 02:28:55,487
WHERE WE'RE AT WITH OUR WORK BUT

3298
02:28:55,487 --> 02:28:59,892
WE WANT TO SHARE HOW WE CAME 

3299
02:28:59,892 --> 02:29:00,159
TOGETHER.

3300
02:29:00,159 --> 02:29:03,495
WE LOVE WORKING ON THIS AND 

3301
02:29:03,495 --> 02:29:05,964
TOGETHER AND IT IS A JOINT LIKE 

3302
02:29:05,964 --> 02:29:11,303
WE WHEN WE SAY COMMUNITY IT'S 

3303
02:29:11,303 --> 02:29:21,847
COMMUNITY THERE ARE MANY PEOPLE 

3304
02:29:34,193 --> 02:29:35,494
INVOLVED AND WE'RE GRATEFUL TO 

3305
02:29:35,494 --> 02:29:36,094
ALL OF THEM.

3306
02:29:36,094 --> 02:29:39,932
WITH THAT WE'RE GOING TO FOCUS 

3307
02:29:39,932 --> 02:29:44,203
THOUGH ON OUR COMMUNITY 

3308
02:29:44,203 --> 02:29:48,073
COALITION AND KINSHIP.

3309
02:29:48,073 --> 02:29:50,776
SO OUR COMMUNITY COALITION IS A 

3310
02:29:50,776 --> 02:29:52,678
REALLY DIVERSE GROUP OF 

3311
02:29:52,678 --> 02:29:54,346
COMMUNITY-BASED INDIVIDUALS.

3312
02:29:54,346 --> 02:29:55,814
WE HAVE 12 MEMBERS.

3313
02:29:55,814 --> 02:29:58,450
SEVEN OF THOSE ARE TRIBAL 

3314
02:29:58,450 --> 02:30:02,821
MEMBERS FROM WINNEBAGO AND WE 

3315
02:30:02,821 --> 02:30:06,491
ALSO HAVE MEMBERS WHO DON'T 

3316
02:30:06,491 --> 02:30:07,192
IDENTIFY AS NATIVE AMERICAN OR 

3317
02:30:07,192 --> 02:30:09,061
TRIBAL MEMBERS.

3318
02:30:09,061 --> 02:30:11,663
YOU CAN SEE HERE THE MANY 

3319
02:30:11,663 --> 02:30:14,633
DIFFERENT DEPARTMENTS AND AREAS 

3320
02:30:14,633 --> 02:30:15,534
ACROSS SECTORS IN THE COMMUNITY 

3321
02:30:15,534 --> 02:30:16,301
THAT HAVE COME TOGETHER TO FORM 

3322
02:30:16,301 --> 02:30:19,705
THIS COALITION.

3323
02:30:19,705 --> 02:30:20,539
THIS IS WHAT WE LOOK LIKE IN 

3324
02:30:20,539 --> 02:30:23,575
ACTION.

3325
02:30:23,575 --> 02:30:25,911
AND WE'RE GOING TO GO THROUGH 

3326
02:30:25,911 --> 02:30:26,945
WHAT THAT PROCESS LOOKS LIKE 

3327
02:30:26,945 --> 02:30:29,548
WHEN WE DO GET TO COME TOGETHER 

3328
02:30:29,548 --> 02:30:30,883
WHICH IS MONTHLY.

3329
02:30:30,883 --> 02:30:36,855
WE ARE WORKING THROUGH VARIOUS 

3330
02:30:36,855 --> 02:30:37,155
FRAMEWORKS.

3331
02:30:37,155 --> 02:30:41,093
WE TAKING PARADIGMS ALONG WITH 

3332
02:30:41,093 --> 02:30:43,929
WESTERN PARADIGMS, METHODS, 

3333
02:30:43,929 --> 02:30:46,131
VIEWS, PERSPECTIVES AND THEN 

3334
02:30:46,131 --> 02:30:47,566
ALSO REALLY CENTERED AND 

3335
02:30:47,566 --> 02:30:50,936
GROUNDED IN THE LOCAL VALUES AND

3336
02:30:50,936 --> 02:30:53,872
PERSPECTIVES AND WAYS OF BEING 

3337
02:30:53,872 --> 02:30:56,074
AND KNOWING AND DOING.

3338
02:30:56,074 --> 02:30:59,678
SPECIFIC TO THE WINNEBAGO PEOPLE

3339
02:30:59,678 --> 02:31:00,078
IN NEBRASKA.

3340
02:31:00,078 --> 02:31:03,048
SO WITH THAT WE HAVE DIFFERENT 

3341
02:31:03,048 --> 02:31:07,452
FRAMEWORKS GUIDING OUR WORK.

3342
02:31:07,452 --> 02:31:12,324
ONE OF THOSE IS LIKE AN APP 

3343
02:31:12,324 --> 02:31:14,293
INVESTIGATE, DESIGN, PRACTICE, 

3344
02:31:14,293 --> 02:31:14,526
REFLECT.

3345
02:31:14,526 --> 02:31:18,664
THAT'S THE OUTER IMAGE OF THE 

3346
02:31:18,664 --> 02:31:21,633
FRAMING OF AN INDIGENOUS 

3347
02:31:21,633 --> 02:31:23,468
FRAMEWORK BY WHO DEVELOPED THE 

3348
02:31:23,468 --> 02:31:26,371
PROCESS OF ACTUALIZING A VISION 

3349
02:31:26,371 --> 02:31:31,043
CALLED THE CONNECTED RINGS WE GO

3350
02:31:31,043 --> 02:31:32,477
FROM BEING AN INVESTIGATOR THE 

3351
02:31:32,477 --> 02:31:34,279
BEGINNING OF THE PROCESS.

3352
02:31:34,279 --> 02:31:35,948
WE GO FROM BEING TO ASKING TO 

3353
02:31:35,948 --> 02:31:39,217
SEEKING, TO MAKING AND HAVING 

3354
02:31:39,217 --> 02:31:40,886
AND CELEBRATING.

3355
02:31:40,886 --> 02:31:42,187
WE'LL QUICKLY SHARE WHAT THAT 

3356
02:31:42,187 --> 02:31:45,891
LOOKS LIKE ON THE GROUND.

3357
02:31:45,891 --> 02:31:48,894
SO WE'VE HAD MORE THAN EIGHT 

3358
02:31:48,894 --> 02:31:51,530
WORKSHOPS BUT SHARING THE FIRST 

3359
02:31:51,530 --> 02:31:52,264
YEAR HERE AND WHAT THAT LOOKS 

3360
02:31:52,264 --> 02:31:53,999
LIKE FROM THE BEGINNING.

3361
02:31:53,999 --> 02:31:56,268
WE MET IN DECEMBER AND HAD A 

3362
02:31:56,268 --> 02:31:58,070
MONTH TO COME TOGETHER AND GET 

3363
02:31:58,070 --> 02:32:00,872
TO KNOW EACH OTHER AND HAD 

3364
02:32:00,872 --> 02:32:02,975
MONTHLY MEETINGS WORKING THROUGH

3365
02:32:02,975 --> 02:32:03,475
THE RINGS OF INDIGENOUS 

3366
02:32:03,475 --> 02:32:13,652
VISIONING.

3367
02:32:16,788 --> 02:32:18,824
AND THEY ALWAYS SEEM TO BE NOT 

3368
02:32:18,824 --> 02:32:20,792
ENOUGH TIME TO BE HONEST AND 

3369
02:32:20,792 --> 02:32:23,662
WHEN WE MEET IN PERSON WE HAVE 

3370
02:32:23,662 --> 02:32:24,763
MORE TIME TOGETHER BECAUSE WE 

3371
02:32:24,763 --> 02:32:29,201
SHARED MEALS TOGETHER, LUNCH AND

3372
02:32:29,201 --> 02:32:30,168
DINNERS AND HAVE MORE TIME.

3373
02:32:30,168 --> 02:32:31,837
WE START WITH BEING AND TRYING 

3374
02:32:31,837 --> 02:32:34,706
TO FIGURE OUT WHO ARE WE AND 

3375
02:32:34,706 --> 02:32:40,645
WHAT IS THIS THE LANDSCAPE, THE 

3376
02:32:40,645 --> 02:32:42,714
WINNEBAGO LANDSCAPE AND THOSE 

3377
02:32:42,714 --> 02:32:44,116
INVOLVED IN SUPPORTING MATERNAL 

3378
02:32:44,116 --> 02:32:46,685
CHILD HEALTH AND KINSHIP IN 

3379
02:32:46,685 --> 02:32:48,153
PREGNANCY WHICH IS THE GOAL OF 

3380
02:32:48,153 --> 02:32:48,887
OUR PROJECT.

3381
02:32:48,887 --> 02:32:53,959
THE COALITION CAME UP WITH THESE

3382
02:32:53,959 --> 02:32:56,661
SPECIFIC AREAS THAT ARE PROGRAMS

3383
02:32:56,661 --> 02:32:57,929
AND PEOPLE AND PLACES INVOLVED 

3384
02:32:57,929 --> 02:32:58,730
IN THAT.

3385
02:32:58,730 --> 02:33:01,800
WE STARTED MAPPING COMMUNITY 

3386
02:33:01,800 --> 02:33:05,003
ASSETS AND IDENTIFYING THE 

3387
02:33:05,003 --> 02:33:05,270
PLAYERS.

3388
02:33:05,270 --> 02:33:08,106
THEN WE MOVED INTO FIGURING OUT 

3389
02:33:08,106 --> 02:33:12,210
WHAT IS OUR MISSION AND OUR 

3390
02:33:12,210 --> 02:33:14,946
MISSION IS TO SUPPORT VALUES IN 

3391
02:33:14,946 --> 02:33:18,250
THE JOURNEY OF MOTHERHOOD AND 

3392
02:33:18,250 --> 02:33:20,886
HOCAK HAS THROUGH THIS PROCESS 

3393
02:33:20,886 --> 02:33:22,254
STARTED OFF WRITTEN IN A 

3394
02:33:22,254 --> 02:33:27,859
DIFFERENT WAY AND NOW IT'S 

3395
02:33:27,859 --> 02:33:33,899
ACTUALLY WRITTEN IN THE HOCAK 

3396
02:33:33,899 --> 02:33:34,166
LANGUAGE.

3397
02:33:34,166 --> 02:33:36,401
IT'S AN ITERATIVE PROCESS.

3398
02:33:36,401 --> 02:33:38,437
THIS IS ALL FROM COMMUNITY 

3399
02:33:38,437 --> 02:33:38,703
INPUT.

3400
02:33:38,703 --> 02:33:40,839
EACH MONTH WE'RE ASKING 

3401
02:33:40,839 --> 02:33:42,507
QUESTIONS AND ASKING FOR DATA 

3402
02:33:42,507 --> 02:33:44,810
FROM THE COALITION MEMBERS AND 

3403
02:33:44,810 --> 02:33:47,746
THEY'RE GIVING US RESPONSES TO 

3404
02:33:47,746 --> 02:33:50,148
SPECIFIC QUESTIONS AND THEN 

3405
02:33:50,148 --> 02:33:51,483
WE'RE SYNTHESIZING, ANALYZING IT

3406
02:33:51,483 --> 02:33:53,752
AND BRINGING IT BACK IN THE NEXT

3407
02:33:53,752 --> 02:33:54,019
WORKSHOP.

3408
02:33:54,019 --> 02:33:56,154
IT'S A PROCESS OF MOSQUE FORWARD

3409
02:33:56,154 --> 02:34:00,859
AND REFLECTING LIKE SHARING DATA

3410
02:34:00,859 --> 02:34:01,827
AND REFLECTING ON IT.

3411
02:34:01,827 --> 02:34:04,329
THE VALUES THAT SURFACED THROUGH

3412
02:34:04,329 --> 02:34:06,498
THAT PROCESS DURING THE ASKING 

3413
02:34:06,498 --> 02:34:06,765
WORKSHOP.

3414
02:34:06,765 --> 02:34:07,532
WE COLLECT THE DATA BEFORE HAND 

3415
02:34:07,532 --> 02:34:09,801
AND BRING IT TO THE WORKSHOP AND

3416
02:34:09,801 --> 02:34:11,203
THEN TALK ABOUT IT LIKE A LOT OF

3417
02:34:11,203 --> 02:34:14,272
YOU MENTIONED LIKE WHAT LOOKS --

3418
02:34:14,272 --> 02:34:15,907
DOES THIS LOOK LIKE?

3419
02:34:15,907 --> 02:34:17,209
THERE'S CHECKING AND FOR THOSE 

3420
02:34:17,209 --> 02:34:19,444
WHO DIDN'T GET TIME TO FILL OUT 

3421
02:34:19,444 --> 02:34:22,914
THE DATA, DATA RESPONSES THEN 

3422
02:34:22,914 --> 02:34:24,583
THEY GET TO ADD IN DURING -- WE 

3423
02:34:24,583 --> 02:34:25,817
ASK FOR THEM TO ADD IN DURING 

3424
02:34:25,817 --> 02:34:31,123
THE WORKSHOPS THEMSELVES.

3425
02:34:31,123 --> 02:34:34,526
ALSO WE DID DO A COMMUNITY 

3426
02:34:34,526 --> 02:34:36,962
READINESS MODEL AN ASSESSMENT 

3427
02:34:36,962 --> 02:34:38,230
INTERVIEWING COMMUNITY MEMBERS 

3428
02:34:38,230 --> 02:34:39,764
SECTORS AND FOUND WE'RE AT THIS 

3429
02:34:39,764 --> 02:34:42,934
LEVEL OF VAGUE AWARENESS FOR 

3430
02:34:42,934 --> 02:34:45,670
PROMOTING KINSHIP, INVOLVEMENT 

3431
02:34:45,670 --> 02:34:48,640
IN PREGNANCY.

3432
02:34:48,640 --> 02:34:49,474
THAT MEANS IT'S SOMETHING PEOPLE

3433
02:34:49,474 --> 02:34:52,611
SHOULD BE DONE ABOUT THIS BUT 

3434
02:34:52,611 --> 02:34:54,045
MAYBE SOMEONE ELSE WILL WORK ON 

3435
02:34:54,045 --> 02:34:54,813
IT.

3436
02:34:54,813 --> 02:34:56,882
SO WE WERE ABLE TO IDENTIFY 

3437
02:34:56,882 --> 02:34:58,316
DIFFERENT DIMENSIONS OF 

3438
02:34:58,316 --> 02:34:59,784
COMMUNITY READINESS WHICH ARE 

3439
02:34:59,784 --> 02:35:01,686
KNOWLEDGE OF EFFORTS, 

3440
02:35:01,686 --> 02:35:03,321
LEADERSHIP, COMMUNITY CLIMATE, 

3441
02:35:03,321 --> 02:35:05,257
KNOWLEDGE OF THE ISSUE OF 

3442
02:35:05,257 --> 02:35:06,858
KINSHIP INVOLVEMENT IN PREGNANCY

3443
02:35:06,858 --> 02:35:07,859
AND RESOURCES.

3444
02:35:07,859 --> 02:35:11,096
WHAT WE CAME TO FIND IS THAT 

3445
02:35:11,096 --> 02:35:12,097
THAT KNOWLEDGE OF KINSHIP 

3446
02:35:12,097 --> 02:35:16,935
SUPPORT OF PREGNANCY WAS THE 

3447
02:35:16,935 --> 02:35:20,872
LOWEST SCORING OF READINESS 

3448
02:35:20,872 --> 02:35:24,409
THESE MOST ATTENTION.

3449
02:35:24,409 --> 02:35:26,444
SO WE DO A LOT DURING ASKING AND

3450
02:35:26,444 --> 02:35:27,846
STARTS TO MOVE QUICKER.

3451
02:35:27,846 --> 02:35:30,549
WE WENT INTO WHAT ARE THOSE 

3452
02:35:30,549 --> 02:35:34,119
PEOPLE, PLACES AND PROGRAMS MORE

3453
02:35:34,119 --> 02:35:38,390
SPECIFICALLY AND MAP TO THOSE IN

3454
02:35:38,390 --> 02:35:38,990
THE COMMUNITY.

3455
02:35:38,990 --> 02:35:41,126
LOOKING AT WHAT IS THE BUILT 

3456
02:35:41,126 --> 02:35:44,029
INFRASTRUCTURE AND BEYOND THAT, 

3457
02:35:44,029 --> 02:35:49,935
WE LOOKED AT WORK ON COMMUNITY 

3458
02:35:49,935 --> 02:35:52,404
CAPITALS AND FOUND CULTURE 

3459
02:35:52,404 --> 02:35:53,705
REALLY IS THE GREATEST ASSET IN 

3460
02:35:53,705 --> 02:35:56,875
THE COMMUNITY.

3461
02:35:56,875 --> 02:36:00,879
WE QUANTIFIED WHAT CAME IN IN 

3462
02:36:00,879 --> 02:36:03,481
CAPITAL ASSETS REALLY AND MAPPED

3463
02:36:03,481 --> 02:36:07,052
IT OUT AND EACH MONTH WE'RE 

3464
02:36:07,052 --> 02:36:08,086
COMING BACK AN ASKING WHAT DO 

3465
02:36:08,086 --> 02:36:09,854
YOU NOTICE ABOUT THE DATA AND DO

3466
02:36:09,854 --> 02:36:12,757
YOU AGREE WITH THIS AND WHY OR 

3467
02:36:12,757 --> 02:36:16,261
WHY NOT AND WHAT IS THE DATA 

3468
02:36:16,261 --> 02:36:16,661
TELLING US?

3469
02:36:16,661 --> 02:36:19,130
THESE ARE THE THINGS WE GET 

3470
02:36:19,130 --> 02:36:19,831
REALLY ENGAGED IN DISCUSSING 

3471
02:36:19,831 --> 02:36:20,865
DURING OUR MONTHLY WORKSHOPS 

3472
02:36:20,865 --> 02:36:23,902
WITH THE COALITION.

3473
02:36:23,902 --> 02:36:27,939
WE THEN MOVED INTO IDENTIFYING 

3474
02:36:27,939 --> 02:36:33,812
BARRIERS AND FACILITATFACILITAT.

3475
02:36:33,812 --> 02:36:37,849
THIS ASKING PHASE LASTED QUITE A

3476
02:36:37,849 --> 02:36:42,087
WHILE AND THE MOST ENGAGED RING 

3477
02:36:42,087 --> 02:36:43,755
IN THE PROCESS ONCE WE 

3478
02:36:43,755 --> 02:36:45,924
IDENTIFIED BARRIERS AND 

3479
02:36:45,924 --> 02:36:48,860
FACILITATORS THE RESEARCH TEAM 

3480
02:36:48,860 --> 02:36:49,661
COULD DETERMINE WHAT 

3481
02:36:49,661 --> 02:36:50,829
EVIDENCE-BASED INTERVENTIONS 

3482
02:36:50,829 --> 02:36:52,864
MATCH AND THE BARRIERS AND 

3483
02:36:52,864 --> 02:36:56,034
FACILITATORS TO KINSHIP AND WHAT

3484
02:36:56,034 --> 02:36:57,302
THE COMMUNITIES IDENTIFY AS 

3485
02:36:57,302 --> 02:36:58,570
KINSHIP SUPPORT IN PREGNANCY AND

3486
02:36:58,570 --> 02:37:02,607
THAT'S WHAT YOU SEE ON THE LEFT 

3487
02:37:02,607 --> 02:37:08,079
HERE IS THESE SPHERES OF KINSHIP

3488
02:37:08,079 --> 02:37:09,314
INVOLVEMENT OR FLUENCY AND 

3489
02:37:09,314 --> 02:37:10,215
DEVELOPED BY THE COALITION AND 

3490
02:37:10,215 --> 02:37:15,487
COMMUNITY MEMBERS THEMSELVES AND

3491
02:37:15,487 --> 02:37:18,757
CAME TO FINALIZE THE MISSION OF 

3492
02:37:18,757 --> 02:37:22,627
KEEPING THE SACREDNESS OF 

3493
02:37:22,627 --> 02:37:23,962
TRADITIONS ALIVE DURING PRE 

3494
02:37:23,962 --> 02:37:24,596
PREGNANCY AND BIRTH.

3495
02:37:24,596 --> 02:37:26,998
WE ASKED WHAT THAT LOOKS LIKE 

3496
02:37:26,998 --> 02:37:28,933
AND ASKED COALITION MEMBERS TO 

3497
02:37:28,933 --> 02:37:32,871
BRING IN ITEMS THAT REPRESENT 

3498
02:37:32,871 --> 02:37:34,572
THE ESSENCE OF OUR VISION AND 

3499
02:37:34,572 --> 02:37:36,875
WHAT KINSHIP SUPPORT LOOKS LIKE 

3500
02:37:36,875 --> 02:37:39,311
IN PREGNANCY AND THESE ARE SOME 

3501
02:37:39,311 --> 02:37:39,944
OF THE THINGS.

3502
02:37:39,944 --> 02:37:44,249
I'M LOOKING AT TIME AND KNOW I 

3503
02:37:44,249 --> 02:37:46,751
NEED TO MOVE FORWARD AND LEAVE 

3504
02:37:46,751 --> 02:37:48,286
TIME FOR QUESTIONS AND TALK WITH

3505
02:37:48,286 --> 02:37:49,954
YOU ESPECIALLY SINCE WE'RE NOT 

3506
02:37:49,954 --> 02:37:51,289
THERE IN PERSON TODAY.

3507
02:37:51,289 --> 02:37:56,961
AND WE ALSO WORKED ON DEVELOPING

3508
02:37:56,961 --> 02:37:58,797
THAT VISION OR VERBAL ACCOUNT OF

3509
02:37:58,797 --> 02:38:01,199
THE VISION INTO ARTWORK.

3510
02:38:01,199 --> 02:38:03,468
THIS WAS A PIECE THAT CAME TO US

3511
02:38:03,468 --> 02:38:05,503
AS PART OF DEVELOPING THE VISION

3512
02:38:05,503 --> 02:38:06,571
AND THEN THERE ARE PIECES THAT 

3513
02:38:06,571 --> 02:38:09,941
CAME OUT OF DEVELOPING THE 

3514
02:38:09,941 --> 02:38:11,643
VISION BY WORKING WITH 

3515
02:38:11,643 --> 02:38:12,844
ARTS-BASED RESEARCHERS AND 

3516
02:38:12,844 --> 02:38:14,279
COMMUNITY ARTISTS.

3517
02:38:14,279 --> 02:38:15,947
AND WE MOVED INTO MAKING PHASE.

3518
02:38:15,947 --> 02:38:17,582
WE ALL CREATED THE ART PIECES 

3519
02:38:17,582 --> 02:38:20,885
YOU SAW IN THE FIRST SLIDE AND 

3520
02:38:20,885 --> 02:38:22,587
THIS IS FUN.

3521
02:38:22,587 --> 02:38:25,790
WE ALWAYS LAUGH AND ALWAYS CRY.

3522
02:38:25,790 --> 02:38:28,526
IT'S JUST HOW IT GOES.

3523
02:38:28,526 --> 02:38:30,261
WE DEVELOPED EACH COMMUNITY 

3524
02:38:30,261 --> 02:38:32,063
MEMBER CREATED A PIECE THAT WHY 

3525
02:38:32,063 --> 02:38:34,632
EMBODIED THE VISION OR REFLECT 

3526
02:38:34,632 --> 02:38:35,633
THE VISION FROM THEIR 

3527
02:38:35,633 --> 02:38:39,003
PERSPECTIVE AND THEN PUT ALL 

3528
02:38:39,003 --> 02:38:42,140
THOSE TOGETHER WITH A WINNEBAGO 

3529
02:38:42,140 --> 02:38:44,342
TRIBAL MEMBER AND INCREDIBLE 

3530
02:38:44,342 --> 02:38:49,581
ARTIST WHO PULLED ALL THIS FROM 

3531
02:38:49,581 --> 02:38:51,950
A VISION WHEEL AND CREATED 

3532
02:38:51,950 --> 02:38:53,918
ARTWORK THAT REFLECT THAT AND 

3533
02:38:53,918 --> 02:38:55,520
WILL BE SHARED IN COMMUNITY.

3534
02:38:55,520 --> 02:38:57,956
THEN WE WORKED WITH THE MODEL 

3535
02:38:57,956 --> 02:39:02,360
WHICH IS PART INTEGRATING THE 

3536
02:39:02,360 --> 02:39:06,164
WESTERN WITH THE VALUES THE 

3537
02:39:06,164 --> 02:39:07,165
COMMUNITY IDENTIFIED EARLIER ON 

3538
02:39:07,165 --> 02:39:12,871
AND THEN CAME UP WITH OUR 

3539
02:39:12,871 --> 02:39:15,774
SELECTION CRITERIA FOR MATCHING 

3540
02:39:15,774 --> 02:39:20,078
OR FOR SCORING OUR 

3541
02:39:20,078 --> 02:39:21,613
EVIDENCE-BASED INTERVENTIONS 

3542
02:39:21,613 --> 02:39:22,680
IDENTIFIED AS POTENTIAL FITS 

3543
02:39:22,680 --> 02:39:25,984
WERE SCORED OFF AN INTEGRATION 

3544
02:39:25,984 --> 02:39:27,585
OF BOTH THAT MOMENTED AND 

3545
02:39:27,585 --> 02:39:33,391
COMMUNITY VALUES.

3546
02:39:33,391 --> 02:39:38,863
>> DR. ADOATE, WE'RE AT
TIME.

3547
02:39:38,863 --> 02:39:40,999
>> I THOUGHT I HAD FOUR
MINUTES.

3548
02:39:40,999 --> 02:39:43,435
>> WE WANTED TO LEAVE TIME
FOR A

3549
02:39:43,435 --> 02:39:45,203
QUESTION OR TWO FROM THE 

3550
02:39:45,203 --> 02:39:45,670
AUDIENCE.

3551
02:39:45,670 --> 02:39:47,005
ARE THERE ANY QUESTIONS WITHIN 

3552
02:39:47,005 --> 02:39:49,607
THE AUDIENCE IN HOUSE FIRST?

3553
02:39:49,607 --> 02:39:50,241
WE'RE HAVING TECHNICAL 

3554
02:39:50,241 --> 02:39:50,575
DIFFICULTIES.

3555
02:39:50,575 --> 02:39:54,012
WE DON'T HAVE ACCESS TO THE 

3556
02:39:54,012 --> 02:39:59,117
QUESTION AND ANSWER CHAT BOX 

3557
02:39:59,117 --> 02:39:59,684
VIRTUALLY.

3558
02:39:59,684 --> 02:40:02,687
SO DR. IDOATE DO YOU SEE 

3559
02:40:02,687 --> 02:40:03,354
QUESTIONS IN THERE?

3560
02:40:03,354 --> 02:40:04,022
>> I DON'T SEE ANY
QUESTIONS IN 

3561
02:40:04,022 --> 02:40:08,593
THERE.

3562
02:40:08,593 --> 02:40:09,527
>> FANTASTIC.

3563
02:40:09,527 --> 02:40:16,067
ANY QUESTIONS IN THE ROOM?

3564
02:40:16,067 --> 02:40:16,434
OKAY.

3565
02:40:16,434 --> 02:40:18,803
WELL, I JUST WANT TO THANK YOU 

3566
02:40:18,803 --> 02:40:19,737
AND YOUR TEAM FOR YOUR 

3567
02:40:19,737 --> 02:40:21,940
PRESENTATION AND SHARING YOUR 

3568
02:40:21,940 --> 02:40:23,875
LESSONS LEARNED FROM YOUR 

3569
02:40:23,875 --> 02:40:25,343
RESEARCH AS WELL AS THANK 

3570
02:40:25,343 --> 02:40:25,610
EVERYONE.

3571
02:40:25,610 --> 02:40:27,111
ALL THE PANELISTS THAT CAME UP 

3572
02:40:27,111 --> 02:40:28,880
THIS MORNING TO PRESENT ON THEIR

3573
02:40:28,880 --> 02:40:29,981
PROJECT.

3574
02:40:29,981 --> 02:40:32,750
WE TRULY APPRECIATE ALL THE HARD

3575
02:40:32,750 --> 02:40:34,552
WORK YOUR TEAM IS DOING AND 

3576
02:40:34,552 --> 02:40:36,087
HIGHLIGHTING THE IMPORTANCE OF 

3577
02:40:36,087 --> 02:40:44,863
COMMUNITY ENGAGEMENT AND HOW 

3578
02:40:44,863 --> 02:40:48,867
COMMUNITY PARTNERS SHOULD BE 

3579
02:40:48,867 --> 02:40:50,268
INVOLVED TO THE END AND BE A 

3580
02:40:50,268 --> 02:40:51,703
PART OF THE RESEARCH TEAM.

3581
02:40:51,703 --> 02:40:54,506
WE APPRECIATE ALL YOUR EFFORTS.

3582
02:40:54,506 --> 02:40:56,875
JOIN ME IN THANKING ALL THE 

3583
02:40:56,875 --> 02:41:01,012
PANELISTS.

3584
02:41:01,012 --> 02:41:03,815
THANKS, EVERYONE.

3585
02:41:03,815 --> 02:41:06,184
>> SO, BEFORE WE BREAK FOR
LUNCH

3586
02:41:06,184 --> 02:41:08,019
WE HAVE LUNCH AT 12:00 AND I 

3587
02:41:08,019 --> 02:41:08,920
HAVE A SCRIPT HERE.

3588
02:41:08,920 --> 02:41:11,256
I WANT TO READ IT TO YOU AND 

3589
02:41:11,256 --> 02:41:15,627
MAKE SURE I TELL YOU ALL THE 

3590
02:41:15,627 --> 02:41:16,995
IMPORTANT INFORMATION.

3591
02:41:16,995 --> 02:41:20,164
SO LUNCH BREAK IS UNTIL 1:00 

3592
02:41:20,164 --> 02:41:20,565
P.M.

3593
02:41:20,565 --> 02:41:25,336
SO STARTS AT 12:00 AND ENDS AT
1:00 P.M.

3594
02:41:25,336 --> 02:41:27,872
>> WE ARE STARTING WITH
THE 

3595
02:41:27,872 --> 02:41:29,841
ADDRESSING CO-OCCURRING MENTAL 

3596
02:41:29,841 --> 02:41:30,408
HEALTH AND SUBSTANCE USE 

3597
02:41:30,408 --> 02:41:34,178
DISORDER CRISIS AND THE FIRST IS

3598
02:41:34,178 --> 02:41:39,017
MOREHOUSE SCHOOL OF MEDICINE AND

3599
02:41:39,017 --> 02:41:46,190
ANNE DUNLOP AND NIA MITCHELL AND

3600
02:41:46,190 --> 02:41:47,559
TALKING ABOUT COMMITMENT TO 

3601
02:41:47,559 --> 02:41:49,994
REDUCING BEHAVIORAL HEALTH YKTS 

3602
02:41:49,994 --> 02:41:50,662
AMONG BLACK AND BIRTHING PEOPLE.

3603
02:41:50,662 --> 02:41:55,033
>> I'M NIA MITCHELL, MY
PRONOUNS

3604
02:41:55,033 --> 02:41:59,604
HAVE SHE HER AND EXCITED TO JOIN

3605
02:41:59,604 --> 02:42:05,543
THE CENTER TO ADVANCE 

3606
02:42:05,543 --> 02:42:07,078
REPRODUCTIVE JUSTICE AND THE 

3607
02:42:07,078 --> 02:42:10,748
CENTER IS IN COLLABORATION WITH 

3608
02:42:10,748 --> 02:42:13,284
EMORY UNIVERSITY AND I AM JOINED

3609
02:42:13,284 --> 02:42:15,320
ALONG WITH DR. DUNLOP DIRECTOR 

3610
02:42:15,320 --> 02:42:17,555
OF CLINICAL RESEARCH IN THE 

3611
02:42:17,555 --> 02:42:20,091
DEPARTMENT OF OBSTETRICS AND 

3612
02:42:20,091 --> 02:42:24,596
GYNECOLOGY AND ONE OF THE THREE 

3613
02:42:24,596 --> 02:42:25,964
CO-P.I.s FOR THE PROJECT.

3614
02:42:25,964 --> 02:42:27,365
I'M MART OF THE COMMUNITY 

3615
02:42:27,365 --> 02:42:28,866
ADVISORY BOARD OR ACCOUNTABILITY

3616
02:42:28,866 --> 02:42:36,007
BOARD, EXCUSE ME, AND ALSO AS A 

3617
02:42:36,007 --> 02:42:36,474
QUALITATIVE RESEARCH 

3618
02:42:36,474 --> 02:42:44,449
METHODOLOGIST  AND THE RESEARCH 

3619
02:42:44,449 --> 02:42:54,892
IN EVALUATION DEPARTMENT.

3620
02:43:04,102 --> 02:43:06,604
THE TITLES IS JUSTICE TO 

3621
02:43:06,604 --> 02:43:08,406
WELLNESS, CORAL'S COMMITMENT TO 

3622
02:43:08,406 --> 02:43:09,574
REDUCING BEHAVIORAL HEALTH 

3623
02:43:09,574 --> 02:43:11,042
INEQUITIES AMONG BLACK BIRTHING 

3624
02:43:11,042 --> 02:43:11,275
PEOPLE.

3625
02:43:11,275 --> 02:43:12,677
HERE'S AN OVERVIEW OF OUR 

3626
02:43:12,677 --> 02:43:13,011
PRESENTATION.

3627
02:43:13,011 --> 02:43:14,145
I'LL PROVIDE AN OVERVIEW OF 

3628
02:43:14,145 --> 02:43:17,048
CORAL AND THE COMMUNITY 

3629
02:43:17,048 --> 02:43:19,050
PARTNERSHIP COVER AND DR. DUNLOP

3630
02:43:19,050 --> 02:43:21,986
WILL PROVIDE AN UPDATE ON THE 

3631
02:43:21,986 --> 02:43:28,192
PROJECT AND CORAL FELLOWSHIP 

3632
02:43:28,192 --> 02:43:30,695
PROGRAM.

3633
02:43:30,695 --> 02:43:33,231
AS MANY OF YOU KNOW UNTREATED 

3634
02:43:33,231 --> 02:43:34,332
BEHAVIORAL HEALTH CONDITIONS ARE

3635
02:43:34,332 --> 02:43:37,268
THE LEADING PREVENTIBLE CAUSE OF

3636
02:43:37,268 --> 02:43:38,936
MORBIDITY AND THE LEADING CAUSE 

3637
02:43:38,936 --> 02:43:40,905
OF ALL DEATHS FROM DELIVERY 

3638
02:43:40,905 --> 02:43:41,739
THROUGH 12 MONTHS.

3639
02:43:41,739 --> 02:43:45,376
BLACK WOMEN ARE IMPACTED BY 

3640
02:43:45,376 --> 02:43:47,645
INCREASING RATES OF OVERDOSES 

3641
02:43:47,645 --> 02:43:48,780
AND SUBSTANCE USE DISORDERS 

3642
02:43:48,780 --> 02:43:50,648
ALREADY A LEADING CAUSE OF 

3643
02:43:50,648 --> 02:43:51,315
MATERNAL MORTALITY OF BLACK 

3644
02:43:51,315 --> 02:43:54,886
WOMEN IN MULTIPLE STATES.

3645
02:43:54,886 --> 02:43:55,486
FURTHERMORE, PERINATAL MOOD 

3646
02:43:55,486 --> 02:43:59,023
DISORDERS AND PTSD ARE PREVALENT

3647
02:43:59,023 --> 02:44:00,091
AMONG BLACK WOMEN.

3648
02:44:00,091 --> 02:44:01,826
THE UNITED STATES IS ILL 

3649
02:44:01,826 --> 02:44:04,829
PREPARED TO ADDRESS THE CRISES 

3650
02:44:04,829 --> 02:44:06,764
BECAUSE OF INTERSECTIONAL 

3651
02:44:06,764 --> 02:44:07,131
DISCRIMINATION.

3652
02:44:07,131 --> 02:44:08,766
CORAL AIMS TO HELP BLACK WOMEN 

3653
02:44:08,766 --> 02:44:10,768
SURVIVE AND THRIVE WHILE 

3654
02:44:10,768 --> 02:44:14,572
PREGNANT IN POSTPARTUM BY 

3655
02:44:14,572 --> 02:44:16,007
TRANSLATING RESEARCH INTO 

3656
02:44:16,007 --> 02:44:16,507
MULTI-LAYERED ACTION TO 

3657
02:44:16,507 --> 02:44:20,778
COMMUNITIES.

3658
02:44:20,778 --> 02:44:22,880
CORAL CONSISTS OF A COMMUNITY 

3659
02:44:22,880 --> 02:44:25,249
ACCOUNTABILITY BOARD, COMMUNITY 

3660
02:44:25,249 --> 02:44:26,651
PARTNERSHIP, TRAINING AND ADMIN 

3661
02:44:26,651 --> 02:44:27,218
CORES AND THE OVAL RESEARCH 

3662
02:44:27,218 --> 02:44:31,022
PROJECT.

3663
02:44:31,022 --> 02:44:32,490
A LITTLE BIT MORE ABOUT THE 

3664
02:44:32,490 --> 02:44:37,528
COMMUNITY PARTNERSHIP CORE.

3665
02:44:37,528 --> 02:44:40,164
TOO OFTEN APPROACHES DO NOT 

3666
02:44:40,164 --> 02:44:43,034
APPROPRIATELY ENGAGE COMMUNITY 

3667
02:44:43,034 --> 02:44:48,973
STAKEHOLDERS.

3668
02:44:48,973 --> 02:44:50,608
AS A RESULT THE INFRASTRUCTURE 

3669
02:44:50,608 --> 02:44:52,043
TO SUPPORT ENGAGEMENT AMONG 

3670
02:44:52,043 --> 02:44:55,179
BLACK WOMEN WITH LIVED 

3671
02:44:55,179 --> 02:44:56,481
EXPERIENCE AND ORGANIZATIONS AND

3672
02:44:56,481 --> 02:44:58,216
INDIVIDUALS THAT SERVE THEM AND 

3673
02:44:58,216 --> 02:45:00,251
ACADEMIC INVESTIGATORS AROUND 

3674
02:45:00,251 --> 02:45:01,252
THE DEVELOPMENT OF BEST 

3675
02:45:01,252 --> 02:45:03,755
PRACTICES FOR THE ELIMINATION OF

3676
02:45:03,755 --> 02:45:04,322
MATERNAL BEHAVIORAL HEALTH 

3677
02:45:04,322 --> 02:45:08,159
INEQUITIES.

3678
02:45:08,159 --> 02:45:10,128
THE COMMUNITY PARTNERSHIP CORE 

3679
02:45:10,128 --> 02:45:14,098
IS LED BY DR. GREEN AND 

3680
02:45:14,098 --> 02:45:16,200
DR. CLARK AND CAPRICE WELSH.

3681
02:45:16,200 --> 02:45:17,635
THE COMMUNITY PARTNERSHIP CORE 

3682
02:45:17,635 --> 02:45:19,036
AND CORAL OVER ALL IS GROUNDED 

3683
02:45:19,036 --> 02:45:24,142
IN THE FOLLOWING FRAMEWORKS AND 

3684
02:45:24,142 --> 02:45:24,876
METHODS.

3685
02:45:24,876 --> 02:45:27,612
THERE'S THE HUMAN RIGHT TO 

3686
02:45:27,612 --> 02:45:29,380
RETAIN BODILY AUTONOMY, HAVE 

3687
02:45:29,380 --> 02:45:30,081
CHILDREN, NOT HAVE CHILDREN AND 

3688
02:45:30,081 --> 02:45:31,349
PARENT THE CHILDREN WE HAVE IN 

3689
02:45:31,349 --> 02:45:32,817
SAFE AND SUSTAINABLE 

3690
02:45:32,817 --> 02:45:34,218
COMMUNITIES.

3691
02:45:34,218 --> 02:45:37,421
RESEARCH JUSTICE SEEKS TO 

3692
02:45:37,421 --> 02:45:38,189
TRANSFORM STRUCTURAL INEQUITIES 

3693
02:45:38,189 --> 02:45:40,057
IN RESEARCH BY CENTRALIZING 

3694
02:45:40,057 --> 02:45:41,225
COMMUNITY VOICES AND LEADERSHIP 

3695
02:45:41,225 --> 02:45:47,799
IN AN EFFORT TO FACILITATE GIN 

3696
02:45:47,799 --> 02:45:48,466
GENUINE CHANGE AND GAIN 

3697
02:45:48,466 --> 02:45:49,767
KNOWLEDGE AND EXPERIENCES THAT 

3698
02:45:49,767 --> 02:45:50,868
ARE COMMUNITY-CENTERED AND 

3699
02:45:50,868 --> 02:45:54,405
COMMUNITY DRIVEN TO COUNTER THE 

3700
02:45:54,405 --> 02:45:57,241
SYSTEMIC HARM PERPETRATED ON 

3701
02:45:57,241 --> 02:45:58,276
BIPOC COMMUNITIES THROUGH 

3702
02:45:58,276 --> 02:46:01,078
OPPRESSIVE DATA PRACTICES.

3703
02:46:01,078 --> 02:46:03,447
LASTLY, THE ACE CONCEPTUAL MODEL

3704
02:46:03,447 --> 02:46:04,982
CENTERS COMMUNITY ENGAGEMENT AND

3705
02:46:04,982 --> 02:46:06,617
CORE AND PRINCIPLES.

3706
02:46:06,617 --> 02:46:09,253
THESE FRAMEWORKS ARE 

3707
02:46:09,253 --> 02:46:11,823
OPERATIONALIZED IN CORAL'S 

3708
02:46:11,823 --> 02:46:14,225
MISSION, AIMS, INFRASTRUCTURE, 

3709
02:46:14,225 --> 02:46:15,293
DECISION MAKING, THE FOCUS ON 

3710
02:46:15,293 --> 02:46:17,595
THE CONDUCT OF RESEARCH AND THE 

3711
02:46:17,595 --> 02:46:20,531
DISSEMINATION OF FINDINGS TO 

3712
02:46:20,531 --> 02:46:22,200
INFORM MOBILIZING AND ORGANIZING

3713
02:46:22,200 --> 02:46:26,537
EFFORTS.

3714
02:46:26,537 --> 02:46:27,905
SO, THE COMMUNITY PARTNERSHIP 

3715
02:46:27,905 --> 02:46:31,776
CORE WILL WORK WITH THE TRAINING

3716
02:46:31,776 --> 02:46:34,979
CORE TO RECOGNIZE, ENGAGE AND 

3717
02:46:34,979 --> 02:46:36,347
INVEST IN UNDER REPRESENTED 

3718
02:46:36,347 --> 02:46:36,914
RESEARCHERS AND COMMUNITY 

3719
02:46:36,914 --> 02:46:38,182
SCIENTIST TO SUPPORT THE 

3720
02:46:38,182 --> 02:46:40,017
CRITICAL WORK TO ADDRESS 

3721
02:46:40,017 --> 02:46:42,286
INEQUITIES AND CREATE 

3722
02:46:42,286 --> 02:46:43,154
COMMUNITY-DRIVEN SOLUTIONS AND 

3723
02:46:43,154 --> 02:46:45,590
RESPONSE TO MATERNAL HEALTH GAPS

3724
02:46:45,590 --> 02:46:47,024
THROUGH THE DEVELOPMENT OF WHICH

3725
02:46:47,024 --> 02:46:48,926
HE THE COMMUNITY ACCOUNTABILITY 

3726
02:46:48,926 --> 02:46:49,927
BOARD, WHICH HAS ALREADY BEEN 

3727
02:46:49,927 --> 02:46:55,399
FORMED, ENGAGEMENT TO ADVANCE 

3728
02:46:55,399 --> 02:46:59,036
BLACK MATERNAL HEALTH AND 

3729
02:46:59,036 --> 02:47:02,173
INFRASTRUCTURE TO ACHIEVE THE 

3730
02:47:02,173 --> 02:47:03,641
AGENDA AND PROJECTS MORE BROADLY

3731
02:47:03,641 --> 02:47:05,710
AND THE APPLICATION OF 

3732
02:47:05,710 --> 02:47:09,180
INNOVATIVE METHODS TO 

3733
02:47:09,180 --> 02:47:10,882
DISSEMINATE AND IMPLEMENT CORE 

3734
02:47:10,882 --> 02:47:15,052
RESEARCH LEARN WITH PARTNER 

3735
02:47:15,052 --> 02:47:18,623
ORGANIZATIONS AND POLICY MAKERS.

3736
02:47:18,623 --> 02:47:21,492
THIS IS JUST ANOTHER VISUAL OF 

3737
02:47:21,492 --> 02:47:22,660
CORAL'S ORGANIZATIONAL STRUCTURE

3738
02:47:22,660 --> 02:47:24,729
WITH ARROWS DENOTING THE 

3739
02:47:24,729 --> 02:47:28,699
DECISION MAKING AND HERE'S A 

3740
02:47:28,699 --> 02:47:30,401
LIST OF OUR CURRENT CAB MEMBERS.

3741
02:47:30,401 --> 02:47:33,871
THE CAB IS DEVELOPING THE 

3742
02:47:33,871 --> 02:47:35,039
RESEARCH AGENDA.

3743
02:47:35,039 --> 02:47:36,507
HOWEVER, SEVERAL CAB MEMBERS ARE

3744
02:47:36,507 --> 02:47:38,276
ALREADY COLLECTING DATA ON 

3745
02:47:38,276 --> 02:47:39,043
MATERNAL BEHAVIORAL HEALTH 

3746
02:47:39,043 --> 02:47:40,444
CONDITIONS AND I FEW ARE 

3747
02:47:40,444 --> 02:47:41,746
INTERESTED IN SHARING THE 

3748
02:47:41,746 --> 02:47:43,114
INFORMING WITH CORAL.

3749
02:47:43,114 --> 02:47:46,217
SO IT'S CURRENTLY IN 

3750
02:47:46,217 --> 02:47:48,352
DEVELOPMENT.

3751
02:47:48,352 --> 02:47:51,022
NEXT THE CORE WILL CONDUCT 

3752
02:47:51,022 --> 02:47:53,925
INTERVIEWS WITH CAB INTERVIEWS 

3753
02:47:53,925 --> 02:47:55,693
AND USE THE CONSENSUS APPROACH 

3754
02:47:55,693 --> 02:47:57,528
TO DETERMINE PRIORITIES FOR THE 

3755
02:47:57,528 --> 02:47:58,195
RESEARCH AGENDA.

3756
02:47:58,195 --> 02:47:58,829
NOW I'LL TURN THE PRESENTATION 

3757
02:47:58,829 --> 02:48:09,206
OVER TO MY COLLEAGUE.

3758
02:48:14,745 --> 02:48:15,179
>> GOOD AFTERNOON.

3759
02:48:15,179 --> 02:48:19,884
I'M ANNE DUNLOP.

3760
02:48:19,884 --> 02:48:22,954
ONE OF THE MPIs AND THE CORE IS 

3761
02:48:22,954 --> 02:48:24,689
THE COMMUNITY PARTNERSHIP CORE 

3762
02:48:24,689 --> 02:48:26,090
LED BY THE COMMUNITY 

3763
02:48:26,090 --> 02:48:26,824
ACCOUNTABILITY BOARD.

3764
02:48:26,824 --> 02:48:29,060
I'M GOING TO SPEND THE NEXT FEW 

3765
02:48:29,060 --> 02:48:33,230
MINUTES TELLING YOU ABOUT SOME 

3766
02:48:33,230 --> 02:48:34,432
OF THE CORE RESEARCH PROJECT 

3767
02:48:34,432 --> 02:48:38,135
THAT KICKED OFF OUR CENTER AND 

3768
02:48:38,135 --> 02:48:42,239
THIS PROJECT IS CALLED OVAL, 

3769
02:48:42,239 --> 02:48:50,114
OVERDOSES AMONG PREGNANT AND 

3770
02:48:50,114 --> 02:48:51,649
POSTPARTUM PEOPLE AND LAWS 

3771
02:48:51,649 --> 02:48:54,452
GOVERNING DRUG USE IN PREGNANCY.

3772
02:48:54,452 --> 02:48:57,121
I'LL DO MY BEST TO CONVEY TO 

3773
02:48:57,121 --> 02:48:58,289
YOU, I PARTICIPATED IN THIS 

3774
02:48:58,289 --> 02:49:00,891
PROJECT FROM THE HEALTH SERVICES

3775
02:49:00,891 --> 02:49:02,560
PERSPECTIVE AND THIS PROJECT 

3776
02:49:02,560 --> 02:49:04,462
REALLY SPANS ALL LEVELS.

3777
02:49:04,462 --> 02:49:06,831
IT HAS A LOCAL HEALTH SYSTEM 

3778
02:49:06,831 --> 02:49:07,098
COMPONENT.

3779
02:49:07,098 --> 02:49:09,266
IT HAS A STATE AND REGIONAL 

3780
02:49:09,266 --> 02:49:10,001
COMPONENT AND ALSO HAS A 

3781
02:49:10,001 --> 02:49:14,238
NATIONAL FOCUS.

3782
02:49:14,238 --> 02:49:15,840
THE AIMS OF OUR OVAL RESEARCH 

3783
02:49:15,840 --> 02:49:17,608
STUDY ARE FOUR.

3784
02:49:17,608 --> 02:49:19,810
FIRST, TO ANALYZE THE RACIALIZED

3785
02:49:19,810 --> 02:49:22,313
IMPLEMENTATION OF LAWS GOVERNING

3786
02:49:22,313 --> 02:49:28,819
DRUG USE IN PREGNANCY IN THE 

3787
02:49:28,819 --> 02:49:31,188
UNITED STATES SECOND THE 

3788
02:49:31,188 --> 02:49:32,423
MEASURES TO OVERDOSE AND 

3789
02:49:32,423 --> 02:49:38,229
DISORDER TREATMENT AND PRENATAL 

3790
02:49:38,229 --> 02:49:40,531
AND POSTPARTUM CARE WITH A FOCUS

3791
02:49:40,531 --> 02:49:42,333
AMONG BLACK PEOPLE ON MEDICAID 

3792
02:49:42,333 --> 02:49:44,368
ACROSS THE STATES.

3793
02:49:44,368 --> 02:49:47,505
THIRD, WE'LL BE CONDUCTING A 

3794
02:49:47,505 --> 02:49:50,141
QUALITATIVE CASE STUDY IN THE 

3795
02:49:50,141 --> 02:49:51,409
ATLANTA METRO AREA IN THE HEALTH

3796
02:49:51,409 --> 02:49:53,944
SYSTEMS THERE TO IDENTIFY 

3797
02:49:53,944 --> 02:49:56,881
INTERVENTION TARGETS IN LEGAL 

3798
02:49:56,881 --> 02:49:59,050
IMPLEMENTATION PATHWAYS TO 

3799
02:49:59,050 --> 02:50:01,118
SUPPORT ENHANCED ENTRY TO 

3800
02:50:01,118 --> 02:50:03,721
TREATMENT AND DECREASE 

3801
02:50:03,721 --> 02:50:07,324
PUNISHMENT AMONG BLACK PREGNANT 

3802
02:50:07,324 --> 02:50:09,760
AND POSTPARTUM PEOPLE AND 

3803
02:50:09,760 --> 02:50:12,063
METHODS TO MOBILIZE AROUND 

3804
02:50:12,063 --> 02:50:13,330
SELECT INTERVENTION TARGETS AND 

3805
02:50:13,330 --> 02:50:14,865
THROUGHOUT ALL OF THESE AIMS THE

3806
02:50:14,865 --> 02:50:17,835
FIRST TWO AIMS WERE REALLY 

3807
02:50:17,835 --> 02:50:21,272
DEVELOPED WITH LOCAL SCIENTIFIC 

3808
02:50:21,272 --> 02:50:22,239
AND COMMUNITY ADVISORY BOARDS AT

3809
02:50:22,239 --> 02:50:25,443
THE LOCAL AND STATE LEVEL AND 

3810
02:50:25,443 --> 02:50:27,078
THERE IS A NATIONAL ADVISORY 

3811
02:50:27,078 --> 02:50:31,048
BOARD WITH INPUT ON THE MEDICAID

3812
02:50:31,048 --> 02:50:33,384
DATA IN THE STUDY OF THE 

3813
02:50:33,384 --> 02:50:36,554
PATHWAYS ACROSS THE VARIOUS 

3814
02:50:36,554 --> 02:50:37,855
STATES IN WHICH THE LAWS 

3815
02:50:37,855 --> 02:50:38,389
OPERATE.

3816
02:50:38,389 --> 02:50:42,726
THE RESEARCH STUDY IS REALLY A 

3817
02:50:42,726 --> 02:50:47,231
MIXED METHODS SEQUENTIAL 

3818
02:50:47,231 --> 02:50:47,965
EXPLANATORY DESIGN.

3819
02:50:47,965 --> 02:50:50,201
IT USES MEDICAID DATA FROM MUCH 

3820
02:50:50,201 --> 02:50:53,771
THE QUANTITATIVE DATA ANALYSIS 

3821
02:50:53,771 --> 02:50:56,006
INVOLVING THE USE OF MEDICAID 

3822
02:50:56,006 --> 02:50:57,208
CLAIMS AND EXISTING INVENTORIES 

3823
02:50:57,208 --> 02:51:00,444
OF LAWS THAT ARE ON THE BOOKS 

3824
02:51:00,444 --> 02:51:04,515
AND THEN IN DEPTH QUALITATIVE 

3825
02:51:04,515 --> 02:51:07,284
INTERVIEWS AND LAWS AS THEY ARE 

3826
02:51:07,284 --> 02:51:07,585
IMPLEMENTED.

3827
02:51:07,585 --> 02:51:09,220
AND THE DESIGN OF THE STUDY IS 

3828
02:51:09,220 --> 02:51:12,089
ROOTED IN THE PUBLIC HEALTH LAW 

3829
02:51:12,089 --> 02:51:15,059
RESEARCH MODEL WHICH IS 

3830
02:51:15,059 --> 02:51:15,960
ILLUSTRATED HERE THAT STARTS 

3831
02:51:15,960 --> 02:51:18,362
WITH STUDYING LAWS ON THE BOOKS 

3832
02:51:18,362 --> 02:51:19,697
BEGINNING TO STUDY LEGAL 

3833
02:51:19,697 --> 02:51:22,099
PRACTICES AND HOW THOSE LAWS ARE

3834
02:51:22,099 --> 02:51:24,735
IMPLEMENTED AND LOOKING AT HOW 

3835
02:51:24,735 --> 02:51:25,469
CHANGES IN THE ENVIRONMENT AND 

3836
02:51:25,469 --> 02:51:28,806
IN BEHAVIOR BASED ON THE LAWS 

3837
02:51:28,806 --> 02:51:32,276
AND IMPLEMENTATION INFLUENCE 

3838
02:51:32,276 --> 02:51:33,043
POPULATION HEALTH.

3839
02:51:33,043 --> 02:51:34,712
THIS RESEARCH MODEL SERVES AS A 

3840
02:51:34,712 --> 02:51:35,045
FRAMEWORK.

3841
02:51:35,045 --> 02:51:39,016
THIS IS DONE THROUGH THE LENS OF

3842
02:51:39,016 --> 02:51:39,817
REPRODUCTIVE JUSTICE AND 

3843
02:51:39,817 --> 02:51:41,619
TOGETHER WHEN WE EMPLOYEE THE 

3844
02:51:41,619 --> 02:51:43,020
PUBLIC HEALTH LAW RESEARCH MODEL

3845
02:51:43,020 --> 02:51:44,889
TOGETHER WITH THE RESEARCH 

3846
02:51:44,889 --> 02:51:46,557
JUSTICE FRAMEWORK WE'RE TRYING 

3847
02:51:46,557 --> 02:51:48,492
TO CALL ATTENTION THAT LAWS 

3848
02:51:48,492 --> 02:51:50,194
GOVERNING DRUG USE IN PREGNANCY 

3849
02:51:50,194 --> 02:51:52,596
AND THE WAYS IN WHICH THE LAWS 

3850
02:51:52,596 --> 02:51:56,333
ARE IMPLEMENTED CAN SHAPE BLACK 

3851
02:51:56,333 --> 02:51:58,669
MATERNAL HEALTH AND HEALTH CARE 

3852
02:51:58,669 --> 02:52:01,071
SEEKING BEHAVIOR AND THEREBY 

3853
02:52:01,071 --> 02:52:03,040
STUDY THE PATHWAYS IN WHICH THE 

3854
02:52:03,040 --> 02:52:05,576
LAWS AND IMPLEMENTATION ARE 

3855
02:52:05,576 --> 02:52:08,979
SHAPING OVERDOSE AND HEALTH CARE

3856
02:52:08,979 --> 02:52:11,015
UTILIZATION PATTERNS WITH A 

3857
02:52:11,015 --> 02:52:13,117
FOCUS ON BLACK PREGNANT AND 

3858
02:52:13,117 --> 02:52:13,551
POSTPARTUM PEOPLE.

3859
02:52:13,551 --> 02:52:16,053
WE WILL FOCUS ON THREE LAWS FOR 

3860
02:52:16,053 --> 02:52:18,088
THE OVAL STUDY.

3861
02:52:18,088 --> 02:52:19,890
THE FIRST ARE LAWS REQUIRING 

3862
02:52:19,890 --> 02:52:22,193
SUBSTANCE USE TREATMENT PROGRAMS

3863
02:52:22,193 --> 02:52:22,993
PRIORITIZE PREGNANT PEOPLE.

3864
02:52:22,993 --> 02:52:25,462
SECOND WE'LL FOCUS ON LAWS 

3865
02:52:25,462 --> 02:52:26,263
REQUIRING HEALTH CARE PROVIDERS 

3866
02:52:26,263 --> 02:52:28,098
REPORT PREGNANT PEOPLE WHO USE 

3867
02:52:28,098 --> 02:52:29,633
DRUGS TO CHILD PROTECTIVE 

3868
02:52:29,633 --> 02:52:31,435
SERVICES AND THE THIRD WILL BE 

3869
02:52:31,435 --> 02:52:33,637
LAWS THAT CLASSIFY DRUG USE IN 

3870
02:52:33,637 --> 02:52:34,405
PREGNANCY AS CHILD ABUSE AND 

3871
02:52:34,405 --> 02:52:38,475
NEGLECT.

3872
02:52:38,475 --> 02:52:42,646
WE NOTED THAT THE FOCUS ON LAWS 

3873
02:52:42,646 --> 02:52:46,383
1 AND 2 BECAUSE THEY DIRECTLY 

3874
02:52:46,383 --> 02:52:53,390
TARGET HEALTH CARE PROVIDERS AND

3875
02:52:53,390 --> 02:52:54,959
SPHERES AND SHAPES THE CHILD 

3876
02:52:54,959 --> 02:52:56,427
PROTECTIVE SERVICES RECORDING.

3877
02:52:56,427 --> 02:52:57,861
AS WE PROCEED THROUGH OUR AIMS 

3878
02:52:57,861 --> 02:53:00,831
AND GET TO OUR CASE STUDY WE 

3879
02:53:00,831 --> 02:53:02,766
WILL BE PERFORMING OUR CASE 

3880
02:53:02,766 --> 02:53:04,602
STUDY IN GEORGIA AND ATLANTA AND

3881
02:53:04,602 --> 02:53:07,605
METROPOLITAN AREA WHERE ALL 

3882
02:53:07,605 --> 02:53:09,473
THREE OF THESE LAWS ARE 

3883
02:53:09,473 --> 02:53:12,676
OPERATIVE AND IMPLEMENTED IN 

3884
02:53:12,676 --> 02:53:13,410
VARIOUS WAYS.

3885
02:53:13,410 --> 02:53:16,247
WE'LL GET A RICH QUALITATIVE, 

3886
02:53:16,247 --> 02:53:16,914
QUANTITATIVE ANALYSIS.

3887
02:53:16,914 --> 02:53:20,050
IN ADDITION TO OUR CORE RESEARCH

3888
02:53:20,050 --> 02:53:23,053
PROJECT, THROUGH A PARTNERSHIP 

3889
02:53:23,053 --> 02:53:24,521
WITH THE COMMUNITY PARTNERSHIP 

3890
02:53:24,521 --> 02:53:28,692
CORE AND THE TRAINING CORE, 

3891
02:53:28,692 --> 02:53:31,028
CORAL IS SPONSORING TRAINING 

3892
02:53:31,028 --> 02:53:34,398
RESEARCH PROJECTS AND WE HAVE A 

3893
02:53:34,398 --> 02:53:39,603
CORAL TRAINING CORE FELLOWSHIP 

3894
02:53:39,603 --> 02:53:43,207
PROGRAM WITH THE GOAL OF 

3895
02:53:43,207 --> 02:53:45,409
BUILDING CAPACITY ON THE NEXT 

3896
02:53:45,409 --> 02:53:46,977
STAGE OF INVESTIGATORS 

3897
02:53:46,977 --> 02:53:49,980
CONDUCTING COMMUNITY-DRIVEN 

3898
02:53:49,980 --> 02:53:51,015
TRANS DISCIPLINARY RESEARCH INTO

3899
02:53:51,015 --> 02:53:56,787
THE MULTI-LAYERED DETERMINATES 

3900
02:53:56,787 --> 02:53:58,489
AND THE INTERSECTION OF POOR 

3901
02:53:58,489 --> 02:53:59,857
BEHAVIORAL MATERNAL HEALTH IN 

3902
02:53:59,857 --> 02:54:00,658
THE BLACK COMMUNED.

3903
02:54:00,658 --> 02:54:04,228
WE DEVELOPED AN RFA FOR THE 

3904
02:54:04,228 --> 02:54:07,631
FELLOWSHIP PROGRAM THE CORE LED 

3905
02:54:07,631 --> 02:54:11,001
THE DEVELOPMENT OF THAT RFA AND 

3906
02:54:11,001 --> 02:54:12,970
WHEN INDIVIDUALS APPLY AND WERE 

3907
02:54:12,970 --> 02:54:14,738
SELECTED AS FELLOWS, THEN BY 

3908
02:54:14,738 --> 02:54:15,939
BEING SELECTED AS FELLOWS 

3909
02:54:15,939 --> 02:54:17,941
THEY'RE ABLE TO LEVERAGE THE 

3910
02:54:17,941 --> 02:54:19,810
MENTORSHIP AND EXPERTISE ACROSS 

3911
02:54:19,810 --> 02:54:21,145
OUR COMBINED ORGANIZATIONS, 

3912
02:54:21,145 --> 02:54:23,747
MOREHOUSE SCHOOL OF MEDICINE, 

3913
02:54:23,747 --> 02:54:25,249
EMORY UNIVERSITY AND THE RICH 

3914
02:54:25,249 --> 02:54:27,017
COMMUNITY ORGANIZATIONS THAT 

3915
02:54:27,017 --> 02:54:28,118
PARTICIPATE IN OUR COMMUNITY 

3916
02:54:28,118 --> 02:54:28,652
CORE.

3917
02:54:28,652 --> 02:54:31,388
AND WE ALSO AWARD PILOT PROGRAMS

3918
02:54:31,388 --> 02:54:35,025
TO LINK THESE FELLOWS TO A 

3919
02:54:35,025 --> 02:54:37,194
PRACTICE COMMUNITY TO REALLY 

3920
02:54:37,194 --> 02:54:38,329
DEVELOP AND IMPLEMENT AND 

3921
02:54:38,329 --> 02:54:39,029
CONDUCT THEIR RESEARCH.

3922
02:54:39,029 --> 02:54:40,264
AND I WILL END.

3923
02:54:40,264 --> 02:54:42,533
I KNOW I'M AT TIME WITH A BRIEF 

3924
02:54:42,533 --> 02:54:45,302
INTRODUCTION MUCH OUR TRAINEES 

3925
02:54:45,302 --> 02:54:47,304
IN THE FIRST YEAR.

3926
02:54:47,304 --> 02:54:50,607
THERE'S QUITE A DIVERSE GROUP.

3927
02:54:50,607 --> 02:54:55,045
WE HAVE MYAH GRIFFIN AT 

3928
02:54:55,045 --> 02:54:56,714
MOREHOUSE SCHOOL OF MEDICINE AND

3929
02:54:56,714 --> 02:54:59,049
FETAL MEDICINE SPECIALIST AND 

3930
02:54:59,049 --> 02:55:03,020
WILL BE IMPLEMENTING MENTAL 

3931
02:55:03,020 --> 02:55:05,022
HEALTH CARE IN OUR SYSTEM FOR 

3932
02:55:05,022 --> 02:55:08,792
MOTHERS AT RISK FOR PRETERM 

3933
02:55:08,792 --> 02:55:08,992
BIRTH.

3934
02:55:08,992 --> 02:55:13,897
WE HAVE SHAWANA MOORE AND 

3935
02:55:13,897 --> 02:55:14,732
CAPTURING LIVED EXPERIENCES OF 

3936
02:55:14,732 --> 02:55:17,067
BLACK BIRTHING PEOPLE THROUGH A 

3937
02:55:17,067 --> 02:55:20,537
PHOTO VOICE STUDY AND FROM OUR 

3938
02:55:20,537 --> 02:55:23,040
EMORY SCHOOL OF PUBLIC HEALTH WE

3939
02:55:23,040 --> 02:55:26,710
HAVE ELIZABETH RHODES WITH A 

3940
02:55:26,710 --> 02:55:28,112
POSTPARTUM DEPRESSION PREVENTION

3941
02:55:28,112 --> 02:55:29,480
PROGRAM WITH BLACK WOMEN IN 

3942
02:55:29,480 --> 02:55:31,515
GEORGIA USING A HUMAN-CENTERED 

3943
02:55:31,515 --> 02:55:33,083
DESIGN AND THEY CAME WITH IDEAS 

3944
02:55:33,083 --> 02:55:34,251
FOR RESEARCH PROJECTS IN ORDER 

3945
02:55:34,251 --> 02:55:36,587
TO GET SELECTED INTO THE 

3946
02:55:36,587 --> 02:55:37,287
FELLOWSHIP PROGRAM AND THEN 

3947
02:55:37,287 --> 02:55:39,022
THROUGH THE MENTORSHIP IN THE 

3948
02:55:39,022 --> 02:55:42,359
INTERACTION WITH OUR COMMUNITY 

3949
02:55:42,359 --> 02:55:44,027
PARTNERSHIP CORE THEY'RE FURTHER

3950
02:55:44,027 --> 02:55:46,330
SHAPING AND TRYING TO 

3951
02:55:46,330 --> 02:55:48,365
INCORPORATE ELEMENTS OF THE 

3952
02:55:48,365 --> 02:55:53,404
COMMON DATA ELEMENTS  MOVING 

3953
02:55:53,404 --> 02:55:54,805
FORWARD AND WILL CONTINUE WITH 

3954
02:55:54,805 --> 02:55:55,439
THE FELLOW SELECTION YEAR OVER 

3955
02:55:55,439 --> 02:56:04,848
YEAR IN THE YEARS THAT COME.

3956
02:56:04,848 --> 02:56:07,184
>> THANK YOU SO MUCH FOR
THE 

3957
02:56:07,184 --> 02:56:08,118
PRESENTATION.

3958
02:56:08,118 --> 02:56:11,054
NOW WE'LL TAKE QUESTIONS EITHER 

3959
02:56:11,054 --> 02:56:12,890
FROM THOSE OF YOU ONLINE AND 

3960
02:56:12,890 --> 02:56:13,590
WE'LL ALSO TAKE QUESTIONS FROM 

3961
02:56:13,590 --> 02:56:23,834
THE AUDIENCE.

3962
02:56:24,435 --> 02:56:28,772
>> I CAN START WITH A
QUESTION.

3963
02:56:28,772 --> 02:56:30,874
THE PUBLIC HEALTH LAW RESEARCH 

3964
02:56:30,874 --> 02:56:34,044
FRAMEWORK MODEL YOU'RE USING, 

3965
02:56:34,044 --> 02:56:38,449
ARE YOU FOCUSSED ON LAWS AND 

3966
02:56:38,449 --> 02:56:40,217
COUNTIES THROUGHOUT THE STATE OR

3967
02:56:40,217 --> 02:56:41,585
CERTAIN PARTS OF GEORGIA?

3968
02:56:41,585 --> 02:56:43,020
CAN YOU TALK MORE ABOUT YOUR 

3969
02:56:43,020 --> 02:56:44,855
LEGAL RESEARCH MODEL?

3970
02:56:44,855 --> 02:56:46,323
>> WE'RE ACTUALLY -- FOR
THAT 

3971
02:56:46,323 --> 02:56:49,526
PART OF STUDYING THE LAWS ON THE

3972
02:56:49,526 --> 02:56:50,594
BOOKS AND THEIR IMPLEMENTATION 

3973
02:56:50,594 --> 02:56:52,763
IS BEING DONE THE FIRST TWO AIMS

3974
02:56:52,763 --> 02:56:54,698
ACROSS THE STATES.

3975
02:56:54,698 --> 02:56:59,369
SO IT'S FOCUSSED ON A COMPENDIUM

3976
02:56:59,369 --> 02:57:02,105
OF LAWS CONSTRUCTED AND UP TO 

3977
02:57:02,105 --> 02:57:07,110
DATE THROUGH 2022.

3978
02:57:07,110 --> 02:57:09,580
AND THE THREE FOCUS AREAS AND 

3979
02:57:09,580 --> 02:57:12,349
THROUGH CASE STUDIES, WE'LL BE 

3980
02:57:12,349 --> 02:57:13,951
DOING A FOCUS ON HOW THE LAWS 

3981
02:57:13,951 --> 02:57:17,888
ARE IMPLEMENTED IN THE STATES 

3982
02:57:17,888 --> 02:57:19,022
AND THERE'S VARIOUS MEASURES 

3983
02:57:19,022 --> 02:57:21,358
THAT WORKED WITH OUR SCIENTIFIC 

3984
02:57:21,358 --> 02:57:23,494
AND COMMUNITY ADVISORY BOARD.

3985
02:57:23,494 --> 02:57:25,162
SO, THAT WILL BE A MULTI-STAKE 

3986
02:57:25,162 --> 02:57:27,764
STUDY LOOKING ACROSS THE STATES 

3987
02:57:27,764 --> 02:57:29,900
AND AGAIN LINKING TO THE 

3988
02:57:29,900 --> 02:57:30,701
MEDICAID DATA.

3989
02:57:30,701 --> 02:57:32,402
WE'RE LOOKING FOR THE HEALTH 

3990
02:57:32,402 --> 02:57:34,505
OUTCOMES IN A MEDICAID 

3991
02:57:34,505 --> 02:57:37,074
POPULATION AND VERY MUCH 

3992
02:57:37,074 --> 02:57:37,741
FOCUSSED ON THE METROPOLITAN 

3993
02:57:37,741 --> 02:57:39,610
STATISTICAL AREAS AND LOOKING AT

3994
02:57:39,610 --> 02:57:42,145
HOW THE EXISTENCE OF THESE LAWS 

3995
02:57:42,145 --> 02:57:44,314
JUST DO THEY EXIST OR NOT IN THE

3996
02:57:44,314 --> 02:57:44,848
STATE?

3997
02:57:44,848 --> 02:57:48,752
ARE THEY ENACTED?

3998
02:57:48,752 --> 02:57:50,454
DOES IT INFLUENCE CARE SEEKING 

3999
02:57:50,454 --> 02:57:55,025
BEHAVIORS AND PRENATAL AND 

4000
02:57:55,025 --> 02:57:57,628
POSTPARTUM CARE TO TREATMENTS TO

4001
02:57:57,628 --> 02:57:59,129
THOSE DIAGNOSED AND THE NEXT 

4002
02:57:59,129 --> 02:58:01,832
LAYER IS TO DO CASE STUDIES OF 

4003
02:58:01,832 --> 02:58:03,233
THE IMPLEMENTATION OF THE LAWS 

4004
02:58:03,233 --> 02:58:04,801
AND WORKING WITH BIRTHING 

4005
02:58:04,801 --> 02:58:06,236
CENTERS AND WE HAVE THESE LAWS 

4006
02:58:06,236 --> 02:58:07,804
ON THE BOOKS BUT HOW DO THEY 

4007
02:58:07,804 --> 02:58:09,540
ACTUALLY PLAY OUT AND THAT'S 

4008
02:58:09,540 --> 02:58:11,041
MORE OF ADDING THE QUALITATIVE 

4009
02:58:11,041 --> 02:58:13,544
COMPONENT AND SEEING IF THAT 

4010
02:58:13,544 --> 02:58:15,045
QUALITATIVE RICHNESS WHEN WE 

4011
02:58:15,045 --> 02:58:17,214
INCLUDE THAT IN THE QUANTITATIVE

4012
02:58:17,214 --> 02:58:21,685
ANALYSIS FURTHER INFLUENCES 

4013
02:58:21,685 --> 02:58:23,487
THOSE CARE SEEKING PARTICIPATION

4014
02:58:23,487 --> 02:58:23,754
BEHAVIORS.

4015
02:58:23,754 --> 02:58:34,097
>> GREAT, THANK YOU.

4016
02:58:36,733 --> 02:58:40,737
 AS A MOREHOUSE AND EMORY ALUM 

4017
02:58:40,737 --> 02:58:42,239
IT'S GREAT TO SEE AND THE 

4018
02:58:42,239 --> 02:58:43,173
COMMUNITY ADVISORY BOARD IS 

4019
02:58:43,173 --> 02:58:44,575
DRIVING WHAT'S COMING OUT OF 

4020
02:58:44,575 --> 02:58:49,580
CORAL'S WORK.

4021
02:58:49,580 --> 02:58:57,187
CAN YOU SHARE A LITTLE BIT MORE 

4022
02:58:57,187 --> 02:58:58,322
AGAIN THE RESEARCH FELLOWS AND 

4023
02:58:58,322 --> 02:58:59,022
ADVISORY BOARD.

4024
02:58:59,022 --> 02:59:00,991
CAN YOU SHARE FROM THE COMMUNITY

4025
02:59:00,991 --> 02:59:07,064
PERSPECTIVE ON HOW THAT 

4026
02:59:07,064 --> 02:59:07,364
TRANSPIRED?

4027
02:59:10,334 --> 02:59:14,805
>> THANK YOU FOR YOUR
QUESTION.

4028
02:59:14,805 --> 02:59:18,308
I'M ALSO A MOREHOUSE SCHOOL OF 

4029
02:59:18,308 --> 02:59:19,109
MEDICINE ALUM FROM THE PROGRAM 

4030
02:59:19,109 --> 02:59:22,145
AND I'LL SAY AS PART OF RESEARCH

4031
02:59:22,145 --> 02:59:25,215
JUSTICE SHIFTING THAT POWER TO 

4032
02:59:25,215 --> 02:59:28,418
COMMUNITIES SO THE COMMUNITY 

4033
02:59:28,418 --> 02:59:31,488
ACCOUNTABILITY BOARD DEFINITELY 

4034
02:59:31,488 --> 02:59:33,957
HAS A SAY IN TERMS OF THE 

4035
02:59:33,957 --> 02:59:36,793
DEVELOPMENT OF RFAs WILL SERVE 

4036
02:59:36,793 --> 02:59:39,262
ON THE REVIEWS OR REVIEW LIKE 

4037
02:59:39,262 --> 02:59:41,531
THE APPLICATION NOT JUST ON THE 

4038
02:59:41,531 --> 02:59:46,269
FACULTY SIDE BUT EVEN ON THE 

4039
02:59:46,269 --> 02:59:47,971
COMMUNITY SCIENTIST SIDE AS WELL

4040
02:59:47,971 --> 02:59:48,772
AND FACILITATE THE SELECTION OF 

4041
02:59:48,772 --> 02:59:49,873
THE RESEARCH PROJECTS WHICH 

4042
02:59:49,873 --> 02:59:52,309
SHOULD BE IN ALIGNMENT WITH THE 

4043
02:59:52,309 --> 02:59:55,045
RESEARCH AGENDA DEVELOPED BY THE

4044
02:59:55,045 --> 02:59:57,014
COMMUNITY ACCOUNTABILITY BOARD.

4045
02:59:57,014 --> 03:00:00,817
THAT'S JUST LIKE AN EXAMPLE OF 

4046
03:00:00,817 --> 03:00:03,320
HOW WE'VE SHIFTED POWER AND THEN

4047
03:00:03,320 --> 03:00:05,522
HOW IT'S WORKING WHERE THE 

4048
03:00:05,522 --> 03:00:07,157
COMMUNITY AND I'LL SAY THE 

4049
03:00:07,157 --> 03:00:08,125
COMMUNITY ACCOUNTABILITY BOARD 

4050
03:00:08,125 --> 03:00:09,593
IS A COMBINATION OF PEOPLE WITH 

4051
03:00:09,593 --> 03:00:14,564
LIVED EXPERIENCE, 

4052
03:00:14,564 --> 03:00:15,198
COMMUNITY-BASED ORGANIZATIONS 

4053
03:00:15,198 --> 03:00:18,535
AND EVEN FOR THE FOLKS THAT ARE 

4054
03:00:18,535 --> 03:00:19,536
SERVING, COMMUNITIES AND 

4055
03:00:19,536 --> 03:00:21,571
PATIENTS PEOPLE THEMSELVES HAVE 

4056
03:00:21,571 --> 03:00:24,241
LIVED EXPERIENCES AS WELL TI

4057
03:00:24,241 --> 03:00:27,010
TIRE -- THEY'RE BRINGING TO THE 

4058
03:00:27,010 --> 03:00:29,179
TABLE AND VERY RICH AND 

4059
03:00:29,179 --> 03:00:30,213
BI-DIRECTIONAL BETWEEN THOSE 

4060
03:00:30,213 --> 03:00:34,384
ENTITIES WITH THE ACADEMIC 

4061
03:00:34,384 --> 03:00:35,085
INSTITUTIONS AND THE SELECTION 

4062
03:00:35,085 --> 03:00:40,157
OF THE RESEARCH PROJECTS.

4063
03:00:40,157 --> 03:00:41,658
>> I THINK A HUGE PART TOO
OF 

4064
03:00:41,658 --> 03:00:46,229
THE FELLOWS CAME FORWARD WITH 

4065
03:00:46,229 --> 03:00:48,031
THE RESEARCH IDEAS THE WAY IN 

4066
03:00:48,031 --> 03:00:50,934
WHICH TO ACT THE REFRAMING OF 

4067
03:00:50,934 --> 03:00:52,102
THE RESEARCH QUESTION OR 

4068
03:00:52,102 --> 03:00:54,538
ADDITION OF MEASURES OR 

4069
03:00:54,538 --> 03:00:57,040
COMPONENTS WE USE THE MAHD 

4070
03:00:57,040 --> 03:00:58,375
FRAMEWORK AND WHETHER SOME OF 

4071
03:00:58,375 --> 03:00:59,843
THE PEOPLE WITH LIVED 

4072
03:00:59,843 --> 03:01:01,344
EXPERIENCES FROM OUR COMMUNITY 

4073
03:01:01,344 --> 03:01:02,179
BOARD ARE REFERENCING THE 

4074
03:01:02,179 --> 03:01:03,714
FRAMEWORK ARE BRINGING THOSE 

4075
03:01:03,714 --> 03:01:06,249
DIFFERENT LAYERS AND DOMAINS TO 

4076
03:01:06,249 --> 03:01:07,984
THEIR RESEARCH IN A WAY THEY 

4077
03:01:07,984 --> 03:01:09,419
HADN'T THOUGHT ABOUT.

4078
03:01:09,419 --> 03:01:12,222
SO THAT'S BEEN A REALLY POWERFUL

4079
03:01:12,222 --> 03:01:13,323
WAY TO WORK TOGETHER AS WELL.

4080
03:01:13,323 --> 03:01:15,025
>> I'LL GIVE ONE EXAMPLE.

4081
03:01:15,025 --> 03:01:18,328
ONE FELLOW WAS INTERESTED AND I 

4082
03:01:18,328 --> 03:01:20,330
THINK DOING IMPLEMENTATION 

4083
03:01:20,330 --> 03:01:26,970
RESEARCH WITH AN EVIDENCE BASED 

4084
03:01:26,970 --> 03:01:29,840
INTERVENTION AND SOMETIMES OUR 

4085
03:01:29,840 --> 03:01:30,807
MODELS OF CARE OUR PROGRAMS OR 

4086
03:01:30,807 --> 03:01:32,175
THE WAYS IN WHICH WE SERVE AND 

4087
03:01:32,175 --> 03:01:36,279
TAKE CARE OF COMMUNITIES IS NOT 

4088
03:01:36,279 --> 03:01:38,715
CONSIDERED EVIDENCE BASED.

4089
03:01:38,715 --> 03:01:40,417
SO, WHAT'S THAT LOOK LIKE TO 

4090
03:01:40,417 --> 03:01:41,818
SUPPORT PROGRAM WE KNOW WORK AND

4091
03:01:41,818 --> 03:01:45,155
EVACUATE AN IMPACT IN 

4092
03:01:45,155 --> 03:01:45,455
COMMUNITIES.

4093
03:01:45,455 --> 03:01:49,059
MAYBE THEY'VE HAD THE FUNDING OR

4094
03:01:49,059 --> 03:01:51,027
RESOURCES TO BE OFFICIALLY 

4095
03:01:51,027 --> 03:01:57,367
LABELS AS EVIDENCE BASED.

4096
03:01:57,367 --> 03:01:59,970
>> THANK YOU SO MUCH FOR
THE 

4097
03:01:59,970 --> 03:02:01,138
RESPONSES TO THOSE QUESTIONS.

4098
03:02:01,138 --> 03:02:07,043
WE'LL GIVE A ROUND OF APPLAUSE.

4099
03:02:07,043 --> 03:02:08,145
WE INVITE THE NEXT PRESENTERS 

4100
03:02:08,145 --> 03:02:09,646
FROM THE UNIVERSITY OF UTAH TO 

4101
03:02:09,646 --> 03:02:19,956
COME TO THE STAGE.

4102
03:02:28,331 --> 03:02:33,203
THE PRESENTERS ARE TORII AND 

4103
03:02:33,203 --> 03:02:34,771
MICHELLE AND CASEY.

4104
03:02:34,771 --> 03:02:35,772
MICHELLE IS PRESENTING AND THE 

4105
03:02:35,772 --> 03:02:39,543
TITLE IS CULTURALLY ADAPTIVE 

4106
03:02:39,543 --> 03:02:45,682
MULTI-DISCIPLINARY PRENATAL AND 

4107
03:02:45,682 --> 03:02:47,784
POSTPARTUM CARE CLINIC 

4108
03:02:47,784 --> 03:02:48,451
ADDRESSING GABZ IN SUBSTANCE USE

4109
03:02:48,451 --> 03:02:54,324
DISORDERS IN NATIVE MOTHERS.

4110
03:02:54,324 --> 03:02:56,226
>> I'M ASSISTANT PROFESSOR
OF 

4111
03:02:56,226 --> 03:02:59,329
MATERNAL FETAL MEDICINE AT THE 

4112
03:02:59,329 --> 03:03:01,364
UNIVERSITY OF UTAH AND HONORED 

4113
03:03:01,364 --> 03:03:02,532
TO BE HERE TO PRESENT.

4114
03:03:02,532 --> 03:03:04,301
THE PROJECT WE WERE ASKED TO 

4115
03:03:04,301 --> 03:03:06,002
PRESENT ON TODAY IS JUST ONE 

4116
03:03:06,002 --> 03:03:07,904
SMALL PIECE OF THE ELEVATE 

4117
03:03:07,904 --> 03:03:08,205
CENTER.

4118
03:03:08,205 --> 03:03:15,011
WE'LL TALK ABOUT THE CEREMONY 

4119
03:03:15,011 --> 03:03:15,312
PROJECT.

4120
03:03:15,312 --> 03:03:17,113
I'D LIKE TO FIRST SHARE REGRETS 

4121
03:03:17,113 --> 03:03:18,882
FROM OUR PARTNERS WHO WERE NOT 

4122
03:03:18,882 --> 03:03:20,584
ABLE TO BE WITH US TODAY AND 

4123
03:03:20,584 --> 03:03:23,019
HOPE I CAN BE AN ACCURATE VESSEL

4124
03:03:23,019 --> 03:03:24,754
FOR THEIR VOICES, CONCERNS AND 

4125
03:03:24,754 --> 03:03:25,322
NEEDS AS WE GO THROUGH THE 

4126
03:03:25,322 --> 03:03:28,258
PRESENTATION TODAY.

4127
03:03:28,258 --> 03:03:29,226
BECAUSE THEY'RE NOT ABLE TO BE 

4128
03:03:29,226 --> 03:03:34,264
HERE WITH US TODAY I WANT TO 

4129
03:03:34,264 --> 03:03:44,774
OFFER AN  ACKNOWLEDGEMENT OF 

4130
03:03:47,410 --> 03:03:47,611
LAND.

4131
03:03:47,611 --> 03:03:49,412
I DON'T HAVE FINANCIAL 

4132
03:03:49,412 --> 03:03:50,046
DISCLOSURES.

4133
03:03:50,046 --> 03:03:51,181
I'M FUNDED BY IMPROVE AS MANY 

4134
03:03:51,181 --> 03:03:55,752
HERE ARE ALSO.

4135
03:03:55,752 --> 03:03:59,289
CEREMONY STANDS FOR CULL TRURLY 

4136
03:03:59,289 --> 03:04:00,590
ENGAGED RECOVERY MOMS CONNECTED 

4137
03:04:00,590 --> 03:04:02,926
THROUGH NATIVE COMMUNITY AND 

4138
03:04:02,926 --> 03:04:05,028
IT'S A MULTI-YEAR PARTNERSHIP 

4139
03:04:05,028 --> 03:04:07,364
THROUGH WHICH WE CONDUCTED 

4140
03:04:07,364 --> 03:04:09,566
SEVERAL PRELIMINARY FOCUS GROUP 

4141
03:04:09,566 --> 03:04:13,003
STUDIES REGARDING PREGNANCY 

4142
03:04:13,003 --> 03:04:18,508
EXPERIENCE AND SUBSTANCE USE 

4143
03:04:18,508 --> 03:04:21,144
DISORDERS IN NATIVE COMMUNITIES 

4144
03:04:21,144 --> 03:04:23,380
AND MANY USE THE RESPONSE AS 

4145
03:04:23,380 --> 03:04:25,081
PREGNANCY AS A CEREMONY AS A WAY

4146
03:04:25,081 --> 03:04:29,653
TO IDENTIFY HOW THEIR 

4147
03:04:29,653 --> 03:04:31,688
COMMUNITIES AND RELATIVES SAW 

4148
03:04:31,688 --> 03:04:32,689
THE IMPORTANCE OF PREGNANCY AND 

4149
03:04:32,689 --> 03:04:35,725
THE WAY IT COULD BE A WINDOW TO 

4150
03:04:35,725 --> 03:04:39,029
ENGAGING INDIVIDUALS IN CARE AND

4151
03:04:39,029 --> 03:04:39,396
RECOVERY.

4152
03:04:39,396 --> 03:04:41,364
WE ALSO HEARD FROM OUR 

4153
03:04:41,364 --> 03:04:43,033
RESPONDENTS THAT TREATMENT 

4154
03:04:43,033 --> 03:04:45,568
OPTIONS LACK CULTURAL AWARENESS 

4155
03:04:45,568 --> 03:04:47,871
AND NOT JUST FOR SUBSTANCE USE 

4156
03:04:47,871 --> 03:04:49,572
DISORDER BUT IN GENERAL THE 

4157
03:04:49,572 --> 03:04:54,945
THINGS OFFERED IN PREDOMINANTLY 

4158
03:04:54,945 --> 03:04:57,514
WHITE HEALTH CARE INSTITUTION 

4159
03:04:57,514 --> 03:04:58,315
INAPPROPRIATELY AWARE OF THE 

4160
03:04:58,315 --> 03:04:59,416
WAYS IN WHICH THEY'RE EFFORTS 

4161
03:04:59,416 --> 03:05:04,654
AND TREATMENT OPTIONS ARE NOT IN

4162
03:05:04,654 --> 03:05:06,790
LINE WITH THE VALUES AND NEEDS 

4163
03:05:06,790 --> 03:05:10,260
OF THOSE THEY ARE SERVE.

4164
03:05:10,260 --> 03:05:13,129
THE SACRED CIRCLE REQUESTED TO 

4165
03:05:13,129 --> 03:05:14,864
WORK TOGETHER TO ADDRESS 

4166
03:05:14,864 --> 03:05:17,500
SUBSTANCE USE DISORDER IN 

4167
03:05:17,500 --> 03:05:17,767
PREGNANCY.

4168
03:05:17,767 --> 03:05:20,470
IT WAS WELL VERSE AND ACTIVE IN 

4169
03:05:20,470 --> 03:05:22,172
THE SUBSTANCE USE DISORDER SPACE

4170
03:05:22,172 --> 03:05:23,173
DOING TREATMENT OPTIONS, 

4171
03:05:23,173 --> 03:05:25,709
BEHAVIORAL AND MENTAL HEALTH 

4172
03:05:25,709 --> 03:05:27,043
APPROACHES AND ADDICTION AND HAD

4173
03:05:27,043 --> 03:05:28,912
NOT ENGAGED IN THE PRENATAL 

4174
03:05:28,912 --> 03:05:29,579
SPACE.

4175
03:05:29,579 --> 03:05:30,914
WE WERE JOINING THEM AT THEIR 

4176
03:05:30,914 --> 03:05:33,283
TABLE AS SOMEONE EARLIER SAID 

4177
03:05:33,283 --> 03:05:33,984
TODAY TO BRING UNIVERSITY 

4178
03:05:33,984 --> 03:05:36,586
EXPERTISE FROM OUR PREGNANCY 

4179
03:05:36,586 --> 03:05:38,455
SUBSTANCE USE DISORDER CLINIC 

4180
03:05:38,455 --> 03:05:39,689
CALLED SUPER RAD.

4181
03:05:39,689 --> 03:05:45,095
THE FRAMEWORK IS ONE OF 

4182
03:05:45,095 --> 03:05:47,697
INTEGRATED CARE AND YOU SEE THE 

4183
03:05:47,697 --> 03:05:51,935
MODEL IT'S BASED UPON WHICH 

4184
03:05:51,935 --> 03:05:53,203
INVOLVES BRIDGING TOGETHER 

4185
03:05:53,203 --> 03:05:54,270
MENTAL HEALTH CARE AND WRAP 

4186
03:05:54,270 --> 03:05:55,538
AROUND SERVICES IN THE MENTAL 

4187
03:05:55,538 --> 03:05:57,607
HEALTH SPACE AT THE SAME TIME TO

4188
03:05:57,607 --> 03:05:59,576
PROVIDE UNIFIED CARE FOR 

4189
03:05:59,576 --> 03:06:00,276
INDIVIDUALS AND SUBSTANCE USE 

4190
03:06:00,276 --> 03:06:01,544
DISORDER AND PREGNANCY THROUGH 

4191
03:06:01,544 --> 03:06:04,314
THE GUIDING PRINCIPLES OF 

4192
03:06:04,314 --> 03:06:07,050
TRAUMA-INFORMED CARE APPROACHES 

4193
03:06:07,050 --> 03:06:10,754
AND ANTI-STIGMA AND CARE 

4194
03:06:10,754 --> 03:06:11,021
APPROACH.

4195
03:06:11,021 --> 03:06:15,892
WE NOTED THAT SUD CARE IMPROVES 

4196
03:06:15,892 --> 03:06:19,362
FOLLOW-UP AND ENGAGEMENT WITH 

4197
03:06:19,362 --> 03:06:19,629
TREATMENT.

4198
03:06:19,629 --> 03:06:21,398
WHO IS SACRED CIRCLE?

4199
03:06:21,398 --> 03:06:24,567
THEY'RE TRIBAL AFFILIATION IS 

4200
03:06:24,567 --> 03:06:32,876
THE CON FED RATED TRIBES OF THE 

4201
03:06:32,876 --> 03:06:33,977
GOSHUTE RESERVATION AND THEY 

4202
03:06:33,977 --> 03:06:36,413
TAKE CARE OF INDIVIDUALS FROM 

4203
03:06:36,413 --> 03:06:37,914
ALL ACROSS THE SPECTRUM AND ALL 

4204
03:06:37,914 --> 03:06:39,149
WALKS OF LIFE.

4205
03:06:39,149 --> 03:06:41,818
THEIR MISSION IS TO DELIVER 

4206
03:06:41,818 --> 03:06:43,420
QUALITY HEALTH CARE WITH 

4207
03:06:43,420 --> 03:06:45,922
HARMONY, RESPECT AND INTEGRITY 

4208
03:06:45,922 --> 03:06:50,493
AND PROVIDE A WHOLE HOLISTIC 

4209
03:06:50,493 --> 03:06:51,127
CONTINUUM OF CARE.

4210
03:06:51,127 --> 03:06:53,129
THESE ARE SOME OF OUR PARTNERS 

4211
03:06:53,129 --> 03:06:58,635
AT SACRED CIRCLE AT RECOVERY 

4212
03:06:58,635 --> 03:07:00,837
DAYS.

4213
03:07:00,837 --> 03:07:03,206
NINO RAYOS IS A SOCIAL WORKER 

4214
03:07:03,206 --> 03:07:06,376
PICTURED HERE.

4215
03:07:06,376 --> 03:07:07,977
THE OVERLYING I THINK FRAMEWORKS

4216
03:07:07,977 --> 03:07:10,313
THAT GUIDE SOME OF OUR WORK ARE 

4217
03:07:10,313 --> 03:07:12,816
TO UNDERSTAND STIGMA, RACISM AND

4218
03:07:12,816 --> 03:07:14,851
COLONIALISM AND PERINATAL 

4219
03:07:14,851 --> 03:07:18,588
ADDICTION AND HOW THEY CREATE 

4220
03:07:18,588 --> 03:07:20,290
DISCRIMINATION AGAINST 

4221
03:07:20,290 --> 03:07:21,124
INDIVIDUALS WHO USE DRUGS AND 

4222
03:07:21,124 --> 03:07:24,994
PUSHES THEM TO THE MARGINS.

4223
03:07:24,994 --> 03:07:28,098
WE HAVE NEUROBIOLOGICAL EVIDENCE

4224
03:07:28,098 --> 03:07:31,034
IT CREATES BRAIN CHANGES AND 

4225
03:07:31,034 --> 03:07:32,936
IMPACTS FOR PARENTING PEOPLE 

4226
03:07:32,936 --> 03:07:35,305
FROM MARGINALIZED COMMUNITY CAN 

4227
03:07:35,305 --> 03:07:40,643
FURTHER INCREASE DISCRIMINATION.

4228
03:07:40,643 --> 03:07:41,811
INDIGENOUS WOMEN AND SUBSTANCE 

4229
03:07:41,811 --> 03:07:43,513
USE DISORDERS IS ANOTHER AREA 

4230
03:07:43,513 --> 03:07:45,782
WHERE INTERSECTION OF RACISM, 

4231
03:07:45,782 --> 03:07:51,020
COLONIALISM AND STIGMA AND A.

4232
03:07:51,020 --> 03:07:52,188
ONGOING TRAUMA INTERSECT AND 

4233
03:07:52,188 --> 03:07:54,023
WOMEN HAVE THE HIGHEST RISK OF 

4234
03:07:54,023 --> 03:07:56,259
DYING FROM AN OPIOID OVERDOSE 

4235
03:07:56,259 --> 03:07:59,662
WHICH INCREASED BY 39% IN 2020.

4236
03:07:59,662 --> 03:08:01,464
ALCOHOL CONSUMPTION IS ALSO 

4237
03:08:01,464 --> 03:08:03,700
LIKELY GROSSLY OVER ESTIMATED IN

4238
03:08:03,700 --> 03:08:07,937
THE PERIPARTUM PERIOD AND 

4239
03:08:07,937 --> 03:08:08,838
INDIVIDUALS FROM AMERICAN INDIAN

4240
03:08:08,838 --> 03:08:10,140
AND ALASKAN NATIVE AND 

4241
03:08:10,140 --> 03:08:11,040
INDIGENOUS COMMUNITIES FACE 

4242
03:08:11,040 --> 03:08:13,810
BARRIERS TO DEFINING RISK NEEDS 

4243
03:08:13,810 --> 03:08:16,746
AND ACCESSING RECOVERY SUPPORT 

4244
03:08:16,746 --> 03:08:20,350
BECAUSE OF THE WAYS STRUCTURAL 

4245
03:08:20,350 --> 03:08:21,818
COLONIALISM IMPACT CARE.

4246
03:08:21,818 --> 03:08:31,027
ONE OF THOSE IS THE THREAT OF 

4247
03:08:31,027 --> 03:08:34,497
MATERNAL SEPARATION AND WE'RE 

4248
03:08:34,497 --> 03:08:45,308
FOCUSSING ON PERIFLATE -- 

4249
03:08:46,242 --> 03:08:48,244
PERINATAL CARE AND THE NUMBER OF

4250
03:08:48,244 --> 03:08:51,814
DEATHS OCCUR AFTER SEVEN WEEKS 

4251
03:08:51,814 --> 03:08:52,115
POSTPARTUM.

4252
03:08:52,115 --> 03:08:54,050
SO OUR SPECIFIC AIMS WHICH ARE 

4253
03:08:54,050 --> 03:08:56,286
CREATED IN COLLABORATION WITH 

4254
03:08:56,286 --> 03:08:58,254
OUR COMMUNITY PARTNERS AND IN A 

4255
03:08:58,254 --> 03:09:00,390
COMMUNITY ENGAGED WAY AIM TO 

4256
03:09:00,390 --> 03:09:03,493
ADDRESS THESE CRITICAL GAPS IN 

4257
03:09:03,493 --> 03:09:08,498
CULTURALLY INTEGRATED AND 

4258
03:09:08,498 --> 03:09:08,998
TRAUMA-INFORMED CARE.

4259
03:09:08,998 --> 03:09:11,534
WE'RE ADAPTING A MODEL AND TO 

4260
03:09:11,534 --> 03:09:14,170
CREATE A PROTOCOL AND ASSESS THE

4261
03:09:14,170 --> 03:09:15,438
IMPLEMENTATION SCIENCE ASPECTS 

4262
03:09:15,438 --> 03:09:17,440
AND THE ACCESSIBILITY AND 

4263
03:09:17,440 --> 03:09:19,442
FIDELITY OF A NEW INTEGRATED 

4264
03:09:19,442 --> 03:09:21,844
CLINICAL CARE OFFERING.

4265
03:09:21,844 --> 03:09:25,448
AND THEN TO ASSESS THE CLINICAL 

4266
03:09:25,448 --> 03:09:27,884
AND PATIENT-CENTERED OUTCOMES.

4267
03:09:27,884 --> 03:09:30,620
I'LL FOCUS ON ADAPTATION AND I'M

4268
03:09:30,620 --> 03:09:34,090
EXCITED TO BE ABLE TO SHARE THE 

4269
03:09:34,090 --> 03:09:36,492
WORK OF THE FOLKS AT SACRED 

4270
03:09:36,492 --> 03:09:37,860
CIRCLE AND OUR COLLABORATIONS.

4271
03:09:37,860 --> 03:09:40,096
WE'RE USING THE ADAPTIVE 

4272
03:09:40,096 --> 03:09:41,231
FRAMEWORK COMBINED WITH HEALTH 

4273
03:09:41,231 --> 03:09:43,700
EQUITY PERSPECTIVES AND RAPID 

4274
03:09:43,700 --> 03:09:47,003
FEEDBACK STRATEGIES OF 

4275
03:09:47,003 --> 03:09:50,373
HUMAN-CENTERED DESIGN AND DOING 

4276
03:09:50,373 --> 03:09:58,681
IN A RAPID CIRCULAR FASHION AN 

4277
03:09:58,681 --> 03:10:00,416
ADVISORY BOARD INCLUDES NUMEROUS

4278
03:10:00,416 --> 03:10:00,617
FOLKS.

4279
03:10:00,617 --> 03:10:02,619
WE HAVE REGULAR HYBRID MEETINGS 

4280
03:10:02,619 --> 03:10:04,821
ONCE A PUBLIC HEALTH AND MOST 

4281
03:10:04,821 --> 03:10:06,389
ATTEND IN PERSON BUT WE'RE 

4282
03:10:06,389 --> 03:10:08,458
WORKING TO MAKE HYBRID OPTIONS 

4283
03:10:08,458 --> 03:10:13,997
INTEGRATE OUR FOLKS WHO CONSENT 

4284
03:10:13,997 --> 03:10:20,403
COME IN PERSON AS WELL AS MEET 

4285
03:10:20,403 --> 03:10:22,672
AND WE IMPLEMENT CEREMONY.

4286
03:10:22,672 --> 03:10:26,276
UNDERSTANDING THE INTEGRATIVE 

4287
03:10:26,276 --> 03:10:30,647
PERI-NA NNATAL CARE MODEL WE WO 

4288
03:10:30,647 --> 03:10:32,081
DISMANTLE THAT AND PUT IT BACK 

4289
03:10:32,081 --> 03:10:35,051
IN A WAY THAT WORKS FOR SACRED 

4290
03:10:35,051 --> 03:10:36,686
CIRCLE AND THE PEOPLE WITH LIVED

4291
03:10:36,686 --> 03:10:37,153
WISDOM THEY SERVE.

4292
03:10:37,153 --> 03:10:42,258
OVER THE COURSE OF THE LAST FIVE

4293
03:10:42,258 --> 03:10:44,160
MEETINGS WE IDENTIFIEDFUL 

4294
03:10:44,160 --> 03:10:45,428
FACILITATORS AND BARRIERS IN 

4295
03:10:45,428 --> 03:10:47,830
THREE DOMAINS AND ASKED PARTNERS

4296
03:10:47,830 --> 03:10:50,333
AND COMMUNITY INDIVIDUALS TO 

4297
03:10:50,333 --> 03:10:51,968
HELP US TO COMBINE THEM INTO 

4298
03:10:51,968 --> 03:10:54,170
THEMES AND DOUGH PLAINS AND TO 

4299
03:10:54,170 --> 03:10:56,272
HELP US REALLY IDENTIFY THE 

4300
03:10:56,272 --> 03:10:58,241
PRIORITIES WE NEED TO BE FOCUSES

4301
03:10:58,241 --> 03:11:01,911
ON.

4302
03:11:01,911 --> 03:11:03,046
-- FOCUSSED ON.

4303
03:11:03,046 --> 03:11:04,614
I WON'T GO THROUGH EVERY DETAIL 

4304
03:11:04,614 --> 03:11:06,282
ON THE SLIDE IN THE INTEREST OF 

4305
03:11:06,282 --> 03:11:11,020
TIME BUT TO POINT OUT WE HAD OUR

4306
03:11:11,020 --> 03:11:13,056
TEAM ESSENTIALLY RANK ORDER THE 

4307
03:11:13,056 --> 03:11:15,591
FACILITATORS AND BARRIERS BY 

4308
03:11:15,591 --> 03:11:16,192
PRIORITY AND ALSO FREQUENCY.

4309
03:11:16,192 --> 03:11:18,995
THAT ALLOWED US TO IDENTIFY 

4310
03:11:18,995 --> 03:11:21,597
THINGS WE FELT WERE IMPORTANT 

4311
03:11:21,597 --> 03:11:24,067
AND ALSO TO IDENTIFY THINGS THAT

4312
03:11:24,067 --> 03:11:27,036
WERE OF MAYBE SLIGHTLY LESS 

4313
03:11:27,036 --> 03:11:28,271
IMPORTANCE BUT PEOPLE THOUGHT 

4314
03:11:28,271 --> 03:11:30,540
WERE IMPORTANT.

4315
03:11:30,540 --> 03:11:31,808
COLLABORATION ACROSS DEPARTMENTS

4316
03:11:31,808 --> 03:11:33,409
WITHIN SACRED CIRCLE HEALTH CARE

4317
03:11:33,409 --> 03:11:37,814
AND MULTIPLE COLLABORATION WAS A

4318
03:11:37,814 --> 03:11:44,587
WELL-NOTED FACILITATOR IN 

4319
03:11:44,587 --> 03:11:45,688
FREQUENCY AND OVER THERAPY 

4320
03:11:45,688 --> 03:11:46,823
APPOINTMENTS WERE EXCITED AS 

4321
03:11:46,823 --> 03:11:50,493
VERY IMPORTANT BARRIERS TO 

4322
03:11:50,493 --> 03:11:52,261
ADDRESS AS WELL AS 

4323
03:11:52,261 --> 03:11:56,299
INTERGENERATIONAL TRAUMA.

4324
03:11:56,299 --> 03:11:57,233
WITHIN THE DOMAIN OF 

4325
03:11:57,233 --> 03:12:00,703
IMPLEMENTING AND TESTING WE HAD 

4326
03:12:00,703 --> 03:12:02,238
FACILITATORS NOTED INCLUDE 

4327
03:12:02,238 --> 03:12:04,841
ACCESS THROUGH ELEVATE TO PEOPLE

4328
03:12:04,841 --> 03:12:06,576
WHO SPECIALIZE IN INDIGENOUS LAW

4329
03:12:06,576 --> 03:12:10,213
AND ON THE BARRIER SLIDE 

4330
03:12:10,213 --> 03:12:10,880
DISCONNECTS BETWEEN CHILDCARE 

4331
03:12:10,880 --> 03:12:12,915
AND TRANSPORTATION AND PREGNANCY

4332
03:12:12,915 --> 03:12:14,517
CARE AND SUBSTANCE USE CARE 

4333
03:12:14,517 --> 03:12:16,252
WHICH OCCURRED AT TWO DIFFERENT 

4334
03:12:16,252 --> 03:12:20,757
SITES WITHIN THE FOUR CLINIC 

4335
03:12:20,757 --> 03:12:22,258
COLLABORATION WHICH IS SACRED 

4336
03:12:22,258 --> 03:12:23,659
CIRCLE.

4337
03:12:23,659 --> 03:12:24,894
AND THEN FINALLY WITHIN THE 

4338
03:12:24,894 --> 03:12:28,698
BARRIERS AND FACILITATORS TO 

4339
03:12:28,698 --> 03:12:31,033
CULTURALLY ADAPT CARE FACIL

4340
03:12:31,033 --> 03:12:35,371
FACILITATORS WITH THE 

4341
03:12:35,371 --> 03:12:36,773
AVAILABILITY OF CURB SIDE CARE 

4342
03:12:36,773 --> 03:12:38,574
AND PSYCHIATRIC AND ADDICTION 

4343
03:12:38,574 --> 03:12:40,176
SPECIALISTS AND ACCESS TO 

4344
03:12:40,176 --> 03:12:43,045
CULTURAL MEDICINE.

4345
03:12:43,045 --> 03:12:44,947
BARRIERS OF COURSE INCLUDE 

4346
03:12:44,947 --> 03:12:47,283
INTAKE, MULTIPLE PROVIDERS NOTED

4347
03:12:47,283 --> 03:12:49,585
AND PEOPLE WITH LIVED WISDOM 

4348
03:12:49,585 --> 03:12:51,754
NOTED INTAKE IS TRIGGERING AND 

4349
03:12:51,754 --> 03:12:54,590
CAN BE AN IMMEDIATE BARRIER TO 

4350
03:12:54,590 --> 03:12:54,791
CARE.

4351
03:12:54,791 --> 03:12:56,692
AND WHO IS ASKING THE QUESTIONS 

4352
03:12:56,692 --> 03:12:58,261
IS A CRITICAL PIECE OF THAT 

4353
03:12:58,261 --> 03:13:00,430
BARRIER AND TRUST IS HARD TO 

4354
03:13:00,430 --> 03:13:02,265
EARN AND YOU HAVE TO HAVE 

4355
03:13:02,265 --> 03:13:03,466
CONTINUITY AND YOUR FIRST 

4356
03:13:03,466 --> 03:13:04,066
CONTACT NEEDS TO BE SOMEBODY 

4357
03:13:04,066 --> 03:13:07,069
WITH KNOWLEDGE.

4358
03:13:07,069 --> 03:13:09,105
AFTER ALL THE DISCUSSIONS AROUND

4359
03:13:09,105 --> 03:13:14,377
BARRIERS AND FACILITATORS, THE 

4360
03:13:14,377 --> 03:13:17,313
SACRED CIRCLE TEAM AND COMMUNITY

4361
03:13:17,313 --> 03:13:21,384
ADVISORY BOARD FELT THE BEST 

4362
03:13:21,384 --> 03:13:25,455
PRENATAL CARE MODEL WOULD NOT BE

4363
03:13:25,455 --> 03:13:31,627
AN INTEGRATIVE PRENATAL CAPRENAL

4364
03:13:31,627 --> 03:13:38,534
MODEL AND LOOKED AT STANDARD 

4365
03:13:38,534 --> 03:13:40,236
INDIVIDUALIZED CARE AND CARE AT 

4366
03:13:40,236 --> 03:13:41,971
DIFFERENT SITES WITH DIFFERENT 

4367
03:13:41,971 --> 03:13:43,673
PROVIDERS, THE INTEGRATIVE MODEL

4368
03:13:43,673 --> 03:13:45,541
AND GROUP CARE MODEL.

4369
03:13:45,541 --> 03:13:47,577
GROUP PRENATAL CARE AS MANY KNOW

4370
03:13:47,577 --> 03:13:50,847
IS PRENATAL CARE PROVIDED FOR 

4371
03:13:50,847 --> 03:13:53,082
SIX TO EIGHT PEOPLE AT ONE TIME 

4372
03:13:53,082 --> 03:13:55,718
WITH AN O.B. PROVIDER USING A 

4373
03:13:55,718 --> 03:13:56,285
COMMON TREATMENT GOAL AND 

4374
03:13:56,285 --> 03:13:58,254
SOMETIMES INCLUDES THEIR 

4375
03:13:58,254 --> 03:14:00,590
PARTNERS.

4376
03:14:00,590 --> 03:14:02,191
THIS PROVIDES GROUP DISCUSSION, 

4377
03:14:02,191 --> 03:14:04,093
ACTIVITY AND SUPPORT AND PRO

4378
03:14:04,093 --> 03:14:06,929
PROTECTED TIME FOR PRIVATE 

4379
03:14:06,929 --> 03:14:07,196
QUESTIONS.

4380
03:14:07,196 --> 03:14:10,266
GROUP PRE NATAL CARE HAS BEEN 

4381
03:14:10,266 --> 03:14:13,669
DEMONSTRATED TO IMPROVE PATIENT 

4382
03:14:13,669 --> 03:14:15,037
EDUCATION AND OPPORTUNITIES FOR 

4383
03:14:15,037 --> 03:14:16,172
PEER SUPPORT AND NETWORK 

4384
03:14:16,172 --> 03:14:16,439
CREATION.

4385
03:14:16,439 --> 03:14:17,607
IN PARTICULAR, ONE OF THE 

4386
03:14:17,607 --> 03:14:19,976
REASONS THAT WE SETTLED ON THIS 

4387
03:14:19,976 --> 03:14:23,179
AS A GROUP IS THAT THERE ARE 

4388
03:14:23,179 --> 03:14:24,180
IMPLEMENTATIONS FOR INDIGENOUS 

4389
03:14:24,180 --> 03:14:25,381
PREGNANT AND PARENTING PEOPLE 

4390
03:14:25,381 --> 03:14:26,782
AND THE GROUP PRENATAL CARE WAS 

4391
03:14:26,782 --> 03:14:29,352
FELT TO ALIGN WITH THE MODEL OF 

4392
03:14:29,352 --> 03:14:31,854
THE TRADITION OF HEALING BY 

4393
03:14:31,854 --> 03:14:32,822
PRIORITIZING RELATIONSHIPS 

4394
03:14:32,822 --> 03:14:34,457
BETWEEN PEOPLE ATTENDING THE 

4395
03:14:34,457 --> 03:14:36,893
GROUPS, PROVIDERS AND THEIR 

4396
03:14:36,893 --> 03:14:38,895
COMMUNITY AS WELL AS DELVING 

4397
03:14:38,895 --> 03:14:39,662
INTO CEREMONY AND COMMUNICATION 

4398
03:14:39,662 --> 03:14:44,867
AS WAYS OF RECOVERY AND HEALING.

4399
03:14:44,867 --> 03:14:45,902
WE ALSO FELT THE TEAM FELT 

4400
03:14:45,902 --> 03:14:47,203
SIGNATURES AND PRAYING AND 

4401
03:14:47,203 --> 03:14:49,539
LEARNING AS A GROUP PROMOTING 

4402
03:14:49,539 --> 03:14:50,773
POSITIVITY AND SUPPORT.

4403
03:14:50,773 --> 03:14:53,509
AND THE OPPORTUNITY TO INTEGRATE

4404
03:14:53,509 --> 03:14:55,077
CULTURAL PRENATAL CARE AND 

4405
03:14:55,077 --> 03:14:56,646
SESSIONS INTO THE GROUPS WAS OF 

4406
03:14:56,646 --> 03:15:01,350
PARTICULAR IMPORTANCE.

4407
03:15:01,350 --> 03:15:04,554
NEXT STEPS WILL BE DEVELOPING 

4408
03:15:04,554 --> 03:15:06,155
THE PRENATAL GROUP MODEL 

4409
03:15:06,155 --> 03:15:09,258
TOGETHER AND HOW WE CAN USE THE 

4410
03:15:09,258 --> 03:15:11,060
DESIGN TO MITIGATE BARRIERS AND 

4411
03:15:11,060 --> 03:15:15,031
I WANT TO SAY THANK YOU TO THE 

4412
03:15:15,031 --> 03:15:15,998
ENTIRE CEREMONY TEAM.

4413
03:15:15,998 --> 03:15:18,434
THESE ARE ALL THE FOLKS WEARING 

4414
03:15:18,434 --> 03:15:20,970
OUR SUN GLASSES AT OUR LAST 

4415
03:15:20,970 --> 03:15:21,203
MEETING.

4416
03:15:21,203 --> 03:15:21,904
THANK YOU VERY MUCH AND I'M 

4417
03:15:21,904 --> 03:15:24,240
HAPPY TO TAKE ANY QUESTIONS.

4418
03:15:24,240 --> 03:15:34,417
[APPLAUSE]

4419
03:15:39,889 --> 03:15:42,024
>> THANK YOU FOR THE 

4420
03:15:42,024 --> 03:15:43,292
PRESENTATION.

4421
03:15:43,292 --> 03:15:53,803
FOR FOLKS ONLINE I CAN SHARE 

4422
03:15:58,007 --> 03:15:58,474
YOUR QUESTIONS.

4423
03:15:58,474 --> 03:16:00,276
ARE THERE ANY QUESTIONS FROM THE

4424
03:16:00,276 --> 03:16:00,543
AUDIENCE?

4425
03:16:00,543 --> 03:16:10,653
OKAY.

4426
03:16:15,091 --> 03:16:16,993
>> YOU MENTIONED ROOM
NEEDING 

4427
03:16:16,993 --> 03:16:18,828
EXPERTISE IN INDIGENOUS LAW AND 

4428
03:16:18,828 --> 03:16:20,496
WONDERING IF YOU CAN EXPAND ON 

4429
03:16:20,496 --> 03:16:23,566
HOW IT PLAYS OUT IN TERMS OF 

4430
03:16:23,566 --> 03:16:24,934
INDIGENOUS LAW VERSUS STATE LAW 

4431
03:16:24,934 --> 03:16:26,869
OR LOCAL LAW ESPECIALLY IN TERMS

4432
03:16:26,869 --> 03:16:30,940
OF WHETHER OR NOT THE CHILD GOES

4433
03:16:30,940 --> 03:16:32,074
INTO PROTECTIVE CUSTODY AND WHAT

4434
03:16:32,074 --> 03:16:42,451
THE RAMIFICATIONS ARE.

4435
03:16:42,652 --> 03:16:44,053
>> THANK YOU FOR THAT
QUESTION.

4436
03:16:44,053 --> 03:16:45,788
IT'S CRITICAL TO UNDERSTAND THE 

4437
03:16:45,788 --> 03:16:47,657
DIFFERENCES BETWEEN TRIBAL LAW 

4438
03:16:47,657 --> 03:16:49,725
AND LOCAL AND STATE LAW WITH 

4439
03:16:49,725 --> 03:16:51,060
REGARD TO CHILD CUSTODY IN 

4440
03:16:51,060 --> 03:16:51,661
PARTICULAR.

4441
03:16:51,661 --> 03:16:53,396
THOSE WHO MAY HAVE BEEN PAYING 

4442
03:16:53,396 --> 03:16:54,864
ATTENTION TO THE SUPREME COURT 

4443
03:16:54,864 --> 03:16:59,301
LAST YEAR WOULD HAVE NOTED IT 

4444
03:16:59,301 --> 03:17:00,836
WAS THE INDIAN CHILDCARE WELFARE

4445
03:17:00,836 --> 03:17:03,372
ACT WAS BEING CONTESTED AT THE 

4446
03:17:03,372 --> 03:17:07,877
SUPREME COURT LEVEL AND WAS 

4447
03:17:07,877 --> 03:17:09,745
UPHELD UNDER SOVEREIGNTY 

4448
03:17:09,745 --> 03:17:10,880
PRINCIPLES.

4449
03:17:10,880 --> 03:17:12,381
I THINK ONE OF THE THINGS OUR 

4450
03:17:12,381 --> 03:17:15,518
TEAM AT SACRED CIRCLE WAS 

4451
03:17:15,518 --> 03:17:16,852
INTERESTED IS THE CONNECTION TO 

4452
03:17:16,852 --> 03:17:22,258
THE LAW SCHOOL THROUGH THE 

4453
03:17:22,258 --> 03:17:26,128
ELEVATE CENTER AND WE HAVE 

4454
03:17:26,128 --> 03:17:28,297
SEVERAL INDIGENOUS SCHOLARS ABLE

4455
03:17:28,297 --> 03:17:31,033
TO PROVIDE CONSULTATION IN WHAT 

4456
03:17:31,033 --> 03:17:34,236
WOULD MANDATORY REPORTING LOOK 

4457
03:17:34,236 --> 03:17:34,704
LIKE.

4458
03:17:34,704 --> 03:17:37,973
WHAT WOULD THE CHANNELS BE IF WE

4459
03:17:37,973 --> 03:17:39,041
WERE MANDATED TO REPORT.

4460
03:17:39,041 --> 03:17:40,843
WHAT IS THE CUSTODY CHAIN LOOK 

4461
03:17:40,843 --> 03:17:43,045
LIKE.

4462
03:17:43,045 --> 03:17:46,916
FOR THOSE NOT AWARE, IT ALLOWS 

4463
03:17:46,916 --> 03:17:50,152
FOR CHILDREN WHO ARE FROM NATIVE

4464
03:17:50,152 --> 03:17:52,254
FAMILIES TO STAY WITHIN KINSHIP 

4465
03:17:52,254 --> 03:17:55,725
CIRCLES IF CUSTODY NEEDS TO BE 

4466
03:17:55,725 --> 03:17:57,226
TEMPORARY OR PERMANENTLY REMOVED

4467
03:17:57,226 --> 03:17:59,495
FROM THE CHILD'S PARENTS.

4468
03:17:59,495 --> 03:18:05,701
THEY GO TO IMMEDIATE KINSHIP 

4469
03:18:05,701 --> 03:18:07,036
CIRCLES AND THEN WITHIN OTHER 

4470
03:18:07,036 --> 03:18:09,105
NATIVE AND INDIGENOUS FAMILIES 

4471
03:18:09,105 --> 03:18:09,839
BEFORE ENTERING THE MORE BROAD 

4472
03:18:09,839 --> 03:18:15,044
FOSTER CARE SYSTEM.

4473
03:18:15,044 --> 03:18:16,245
DOES THAT ANSWER YOUR QUESTION?

4474
03:18:16,245 --> 03:18:26,422
I'M SORRY.

4475
03:18:27,423 --> 03:18:29,225
>> THANK YOU FOR
RESPONDING TO 

4476
03:18:29,225 --> 03:18:31,127
THAT QUESTION?

4477
03:18:31,127 --> 03:18:34,263
ARE THERE OTHER QUESTIONS?

4478
03:18:34,263 --> 03:18:44,573
IF NOT, THANK YOU.

4479
03:18:55,017 --> 03:18:58,954
THE NEXT PRESENTATION IS ANDREA 

4480
03:18:58,954 --> 03:19:01,590
CUBITT NAVIGATION OF MATERNAL 

4481
03:19:01,590 --> 03:19:04,960
MEN HALL TEAMING RISK IN 

4482
03:19:04,960 --> 03:19:07,463
POSTPARTUM PERIOD USING AMONG 

4483
03:19:07,463 --> 03:19:09,031
LAR PASSIVE DIGITAL SCREENING 

4484
03:19:09,031 --> 03:19:11,100
TOOL AND COMBINED EPIGENETIC 

4485
03:19:11,100 --> 03:19:12,568
BLOOD TEST.

4486
03:19:12,568 --> 03:19:15,271
>> THANK YOU FOR ALLOWING
US TO 

4487
03:19:15,271 --> 03:19:18,574
PARTICIPATE IN THE RADX PROGRAM.

4488
03:19:18,574 --> 03:19:21,510
ONE OF THE MOST IMPACTFUL WE'VE 

4489
03:19:21,510 --> 03:19:25,047
BEEN INVOLVED IN WITH SEVERAL 

4490
03:19:25,047 --> 03:19:25,381
ACCELERATORS.

4491
03:19:25,381 --> 03:19:30,085
YOU MAY BE ASKING WHAT DOES THE 

4492
03:19:30,085 --> 03:19:32,755
TRANSGENDER WOMAN BRING TO THIS 

4493
03:19:32,755 --> 03:19:34,623
SURELY THEY'VE NEVER EXPERIENCED

4494
03:19:34,623 --> 03:19:35,357
POSTPARTUM DEPRESSION.

4495
03:19:35,357 --> 03:19:37,226
THERE'S A FEW THINGS TO THINK 

4496
03:19:37,226 --> 03:19:40,262
ABOUT AS A TRANS PERSON.

4497
03:19:40,262 --> 03:19:42,698
ONE IS WE DO ARE UNDERSTAND 

4498
03:19:42,698 --> 03:19:46,235
DISTRESS AND SOCIAL STRESS AND 

4499
03:19:46,235 --> 03:19:48,170
STIGMA AND MEDICAL AGENCIES.

4500
03:19:48,170 --> 03:19:50,673
I DON'T WALK IN A BLACK WOMAN'S 

4501
03:19:50,673 --> 03:19:52,474
SHOES, I DO UNDERSTAND WE HAVE A

4502
03:19:52,474 --> 03:19:57,012
GREAT PATIENT FOCUSSED APPROACH.

4503
03:19:57,012 --> 03:20:03,886
SO THE COMPANY REALLY WAS OTHER 

4504
03:20:03,886 --> 03:20:04,286
FLA

4505
03:20:04,286 --> 03:20:07,556
 -- ORIGINATED ON HORMONES AND 

4506
03:20:07,556 --> 03:20:08,691
SOMETHING UNIQUE ABOUT ME 

4507
03:20:08,691 --> 03:20:11,493
COMPARED TO MOST IN THE ROOM IS 

4508
03:20:11,493 --> 03:20:13,963
EXPERIENCED STRUCTURAL LEVELS 

4509
03:20:13,963 --> 03:20:16,265
AND EXPERIENCED LOW OR NO 

4510
03:20:16,265 --> 03:20:19,034
TESTOSTERONE LEVELS AND CHANGING

4511
03:20:19,034 --> 03:20:22,938
ESTROGEN LEVELS AND THOSE 

4512
03:20:22,938 --> 03:20:27,509
PARAMETERS FROM A SELF-OBSERVANT

4513
03:20:27,509 --> 03:20:30,980
PERSON I VARIED MY HORMONES 

4514
03:20:30,980 --> 03:20:33,349
DRAMATICALLY AND IT'S ENTRUSTING

4515
03:20:33,349 --> 03:20:34,083
AND MOOD STATES I NEVER 

4516
03:20:34,083 --> 03:20:37,820
EXPRESSED BEFORE AS A GUY AND 

4517
03:20:37,820 --> 03:20:39,922
THERE WERE ALSO I THINK FOR MOST

4518
03:20:39,922 --> 03:20:40,556
MEN EXPERIENCES THEY ARE NEVER 

4519
03:20:40,556 --> 03:20:42,691
EXPERIENCED.

4520
03:20:42,691 --> 03:20:43,792
MEN NEVER GET THIS.

4521
03:20:43,792 --> 03:20:45,961
AND I THINK THAT IS THE WAKE-UP 

4522
03:20:45,961 --> 03:20:48,163
MESSAGE TO ME THAT WE NEED TO DO

4523
03:20:48,163 --> 03:20:49,598
SOMETHING THIS BECAUSE IT'S 50% 

4524
03:20:49,598 --> 03:20:51,533
OF THE POPULATION HAVE NO IDEA 

4525
03:20:51,533 --> 03:20:52,801
WHAT'S HAPPENING.

4526
03:20:52,801 --> 03:20:58,841
AND I THINK THAT'S PROFOUND.

4527
03:20:58,841 --> 03:21:02,011
SO I POSITIONED A PSYCHIATRY 

4528
03:21:02,011 --> 03:21:03,112
COMPANY AIMING TO DISRUPT CARE 

4529
03:21:03,112 --> 03:21:05,414
MODELS AND MOVE MENTAL HEALTH 

4530
03:21:05,414 --> 03:21:06,682
CARE TO A COMPLETELY DIFFERENT 

4531
03:21:06,682 --> 03:21:09,084
SPACE REALLY THINKING ABOUT ALL 

4532
03:21:09,084 --> 03:21:10,319
THE BIOLOGICAL FACTORS AND 

4533
03:21:10,319 --> 03:21:13,289
SOCIAL CULTURAL FACTORS THAT CAN

4534
03:21:13,289 --> 03:21:14,189
CREATE SITUATION TO DRIVE 

4535
03:21:14,189 --> 03:21:15,457
SOMEONE TOWARDS MENTAL ILLNESS 

4536
03:21:15,457 --> 03:21:18,594
AND THAT'S THE BIG IDEA, 

4537
03:21:18,594 --> 03:21:21,330
PREVENTION AND ACCURATE 

4538
03:21:21,330 --> 03:21:23,933
TREATMENT AND SOLUTIONS.

4539
03:21:23,933 --> 03:21:25,935
ONE THING INTERESTING ABOUT 

4540
03:21:25,935 --> 03:21:28,070
POSTPARTUM DEPRESSION SPACE AND 

4541
03:21:28,070 --> 03:21:29,805
THE MENTAL HEALTH 

4542
03:21:29,805 --> 03:21:33,842
CHARACTERISTICS OF WOMEN 

4543
03:21:33,842 --> 03:21:37,913
COMPARED TO MEN.

4544
03:21:37,913 --> 03:21:43,852
AND IT'S INTERESTING TO US MAYBE

4545
03:21:43,852 --> 03:21:46,488
THIS IS A CLUE THAT REPRODUCTIVE

4546
03:21:46,488 --> 03:21:50,626
REACHES THIS DELTA AND 

4547
03:21:50,626 --> 03:21:51,827
DEPRESSION RATES ARE DRIVEN BY 

4548
03:21:51,827 --> 03:21:53,128
THE DIFFERENCES AND 

4549
03:21:53,128 --> 03:21:54,029
OPPORTUNITIES TO UNDERSTAND 

4550
03:21:54,029 --> 03:22:01,570
MENTAL HEALTH IN A MORE UNIFORM 

4551
03:22:01,570 --> 03:22:03,038
FOR ANTIDEPRESSANTS AND THAT'S 

4552
03:22:03,038 --> 03:22:07,042
WHERE WE'RE AT TODAY.

4553
03:22:07,042 --> 03:22:10,646
WE'RE STARTING TECHNOLOGY FOR 

4554
03:22:10,646 --> 03:22:15,551
PRE MENTAL DISORDER AND PRE 

4555
03:22:15,551 --> 03:22:16,652
MENOPAUSAL DISCUSSION AND 

4556
03:22:16,652 --> 03:22:17,886
HORMONE LEVELS CHANGING MOOD 

4557
03:22:17,886 --> 03:22:20,589
STATES AND DOING WORK LOOKING AT

4558
03:22:20,589 --> 03:22:21,757
TEENAGERS AND TRYING TO 

4559
03:22:21,757 --> 03:22:23,625
UNDERSTAND WHETHER OR NOT 

4560
03:22:23,625 --> 03:22:27,129
BIOMARKERS PROMOTE OR GIVE US AN

4561
03:22:27,129 --> 03:22:29,732
UNDERSTANDING FOR SUICIDAL 

4562
03:22:29,732 --> 03:22:31,400
IDEATION OR SUSCEPTIBILITY.

4563
03:22:31,400 --> 03:22:35,037
I'LL SHOW EXCITING DATA LATER 

4564
03:22:35,037 --> 03:22:40,509
SHOWING REDUCED SIGNAL ENRICHED 

4565
03:22:40,509 --> 03:22:43,245
IN WOMEN WHO EXPERIENCED THIS 

4566
03:22:43,245 --> 03:22:49,551
AND HERE'S THE TECHNOLOGY.

4567
03:22:49,551 --> 03:22:51,787
WE HAVE THE OPPORTUNITY TO 

4568
03:22:51,787 --> 03:22:53,689
DEFINE CHARACTERISTICS OF WOMEN 

4569
03:22:53,689 --> 03:22:55,891
TO BE MORE SENSITIVE TO LARGE 

4570
03:22:55,891 --> 03:22:58,560
HORMONAL CHANGES AND THAT COULD 

4571
03:22:58,560 --> 03:23:00,329
BE POTENTIALLY PRETTY PROFOUND 

4572
03:23:00,329 --> 03:23:03,365
FOR THINKING HOW WE ADDRESS 

4573
03:23:03,365 --> 03:23:04,299
THESE AND PREVENT.

4574
03:23:04,299 --> 03:23:07,202
SO WHAT WE'RE THINKING ABOUT IS 

4575
03:23:07,202 --> 03:23:09,038
A FORM OF MAJOR DEPRESSION 

4576
03:23:09,038 --> 03:23:11,040
AFFECTING WOMEN THROUGHOUT THEIR

4577
03:23:11,040 --> 03:23:15,310
LIFE CYCLE THAT ASSOCIATE WITH 

4578
03:23:15,310 --> 03:23:16,979
HORMONAL CHANGE.

4579
03:23:16,979 --> 03:23:19,748
THE BIG DISCOVERY AND INSIGHT 

4580
03:23:19,748 --> 03:23:22,284
CO-FOUNDERS HAD A DECADE AGO WAS

4581
03:23:22,284 --> 03:23:24,486
THIS THINKING ABOUT MENTAL 

4582
03:23:24,486 --> 03:23:25,487
ILLNESS FROM A DIFFERENT 

4583
03:23:25,487 --> 03:23:27,022
PERSPECTIVE WHICH IS WHY DON'T 

4584
03:23:27,022 --> 03:23:28,357
WE JUST PICK POSTPARTUM 

4585
03:23:28,357 --> 03:23:29,658
DEPRESSION AS A MODEL AND GET 

4586
03:23:29,658 --> 03:23:30,826
CAUSE AND EFFECT.

4587
03:23:30,826 --> 03:23:34,263
WE KNOW WHEN WOMEN GET PREGNANT.

4588
03:23:34,263 --> 03:23:37,633
WE CAN SAMPLE SPECIFIC TIMES 

4589
03:23:37,633 --> 03:23:38,734
WHERE AND USE INFORMATION TO GET

4590
03:23:38,734 --> 03:23:40,102
TO CAUSE AND EFFECT.

4591
03:23:40,102 --> 03:23:43,972
THAT WAS DECADE OF RESULTS 

4592
03:23:43,972 --> 03:23:45,741
MOVING FORWARD TO UNDERSTAND IN 

4593
03:23:45,741 --> 03:23:51,046
WE MEASURE CAN WE IDENTIFY A 

4594
03:23:51,046 --> 03:23:56,785
SIGNATURE TO PREDICT IF WOMEN 

4595
03:23:56,785 --> 03:24:00,456
GET ILL OR HAVE TRANSITION TO 

4596
03:24:00,456 --> 03:24:05,294
DEPRESSION AND WE'RE GETTING 

4597
03:24:05,294 --> 03:24:08,063
READY TO COMMERCIALIZE.

4598
03:24:08,063 --> 03:24:11,033
BEACH HEAD IS IN POSTPARTUM 

4599
03:24:11,033 --> 03:24:12,734
DEPRESSION AND WE'VE HAD 

4600
03:24:12,734 --> 03:24:16,004
PRESENTATIONS ON THE 

4601
03:24:16,004 --> 03:24:16,371
CONSEQUENCES.

4602
03:24:16,371 --> 03:24:22,144
I'LL SKIP THAT SLIDE FOR SPEED 

4603
03:24:22,144 --> 03:24:22,344
HERE.

4604
03:24:22,344 --> 03:24:29,418
AND YOU SEE THE GREEN TO RED AS 

4605
03:24:29,418 --> 03:24:31,019
A FALSE POSITIVE RATE.

4606
03:24:31,019 --> 03:24:32,354
IT'S NOT DESTINY NOT TO SAY 

4607
03:24:32,354 --> 03:24:33,856
YOU'LL GET POSTPARTUM DEPRESSION

4608
03:24:33,856 --> 03:24:36,625
BUT SAY YOU'RE AT RISK.

4609
03:24:36,625 --> 03:24:38,627
AND CHOLESTEROL AND WE CAN DO 

4610
03:24:38,627 --> 03:24:39,661
THINGS TO CHANGE IT.

4611
03:24:39,661 --> 03:24:41,897
IT'S ABOUT 85% ACCURATE.

4612
03:24:41,897 --> 03:24:43,599
WE'RE CHANGING THE SPECIFICITY 

4613
03:24:43,599 --> 03:24:45,901
TO MAKE IT MORE OF A SCREENING 

4614
03:24:45,901 --> 03:24:46,268
TOOL.

4615
03:24:46,268 --> 03:24:47,503
IT WORKS BETTER IN BLACK 

4616
03:24:47,503 --> 03:24:50,038
AMERICAN WOMEN AND WE THINK IT 

4617
03:24:50,038 --> 03:24:52,641
MAY BE RELATED TO HIGHER STRESS 

4618
03:24:52,641 --> 03:24:54,843
LEVEL IN THAT POPULATION AS WELL

4619
03:24:54,843 --> 03:24:59,581
AS HIGHER RATES OF ADVERSITY IN 

4620
03:24:59,581 --> 03:25:04,820
THEIR LIVES AND IT'S IMPORTANT 

4621
03:25:04,820 --> 03:25:06,188
FROM TRANSITIONAL COVERAGE SO 

4622
03:25:06,188 --> 03:25:08,724
IT'S ONE OF THE THINGS WE WANT 

4623
03:25:08,724 --> 03:25:09,124
TO DO.

4624
03:25:09,124 --> 03:25:12,361
I THINK THE TITLE HERE IS MAYBE 

4625
03:25:12,361 --> 03:25:13,562
MOVED AROUND A LITTLE BIT.

4626
03:25:13,562 --> 03:25:16,231
THIS IS REALLY POSSIBLY ONE OF 

4627
03:25:16,231 --> 03:25:17,599
THE MOST IMPORTANT SLIDES WHICH 

4628
03:25:17,599 --> 03:25:23,105
IS WHAT WE KNOW ABOUT WOMEN WHO 

4629
03:25:23,105 --> 03:25:25,207
HAVE BIOMARKERED POSITIVE VERSUS

4630
03:25:25,207 --> 03:25:25,474
NEGATIVE.

4631
03:25:25,474 --> 03:25:27,142
THEY'RE MORE ANXIOUS COMPARED TO

4632
03:25:27,142 --> 03:25:31,146
WOMEN WHO DON'T HAVE THESE 

4633
03:25:31,146 --> 03:25:31,446
BIOMARKERS.

4634
03:25:31,446 --> 03:25:33,048
THEY TEND TO DEVELOP DEPRESSION 

4635
03:25:33,048 --> 03:25:34,049
EARLIER WHICH GETS TO ANOTHER 

4636
03:25:34,049 --> 03:25:39,021
DISCUSSION WHICH IS WE ALL ARE 

4637
03:25:39,021 --> 03:25:43,025
CLUMPING POSTPARTUM DEPRESSION 

4638
03:25:43,025 --> 03:25:45,194
AS A CULTURAL PHENOMENON BUT 

4639
03:25:45,194 --> 03:25:47,062
THERE'S SOCIAL CULTURAL DRIVERS 

4640
03:25:47,062 --> 03:25:49,231
AND THERE'S DIFFERENT BIOLOGICAL

4641
03:25:49,231 --> 03:25:51,600
FORMS OF RESPONSE TO DEPRESSION 

4642
03:25:51,600 --> 03:25:53,435
AND THAT'S CONSISTENT WITH HOW 

4643
03:25:53,435 --> 03:25:55,704
WE'RE USING OUR TEST TO 

4644
03:25:55,704 --> 03:25:56,872
DETERMINE WHICH INDIVIDUAL WOULD

4645
03:25:56,872 --> 03:25:58,240
BE MORE AFFECTED AND MOST 

4646
03:25:58,240 --> 03:26:00,409
CRITICAL IS THE FACT THAT WE NOW

4647
03:26:00,409 --> 03:26:02,477
UNDERSTAND THIS IS RELATED TO 

4648
03:26:02,477 --> 03:26:03,912
ADVERSE CHILDHOOD EVENTS IN 

4649
03:26:03,912 --> 03:26:05,214
THEIR LIFE.

4650
03:26:05,214 --> 03:26:07,683
IT GIVES A FIRST SCREENING TOOL 

4651
03:26:07,683 --> 03:26:13,622
EARLY IN SOMEONE'S LIFE AS A 

4652
03:26:13,622 --> 03:26:19,595
TEENAGER AND FROM A PREDICTIVE 

4653
03:26:19,595 --> 03:26:23,599
WE'RE USING THE SCREENING TOOL 

4654
03:26:23,599 --> 03:26:26,168
TO FIGURE OUT WHO IS NOT AT 

4655
03:26:26,168 --> 03:26:27,536
HIGHER RISK AND WE IDENTIFIED 

4656
03:26:27,536 --> 03:26:30,405
WOMEN WHO ARE AT HIGHER RISK.

4657
03:26:30,405 --> 03:26:32,641
AND THEN WE CAN REALLY USE THIS 

4658
03:26:32,641 --> 03:26:35,577
IN COMBINATION WITH ALL THE 

4659
03:26:35,577 --> 03:26:38,113
OTHER ADDITIONAL A.I. TOOLS AND 

4660
03:26:38,113 --> 03:26:39,348
UNDERSTAND SOCIAL RISK TO DRIVE 

4661
03:26:39,348 --> 03:26:40,882
TOWARDS A TREATMENT PLAN WHERE 

4662
03:26:40,882 --> 03:26:43,719
WE CAN REALLY USE OUR 

4663
03:26:43,719 --> 03:26:44,586
INFORMATION TO HAVE 

4664
03:26:44,586 --> 03:26:46,855
CONVERSATIONS WITH DAD, FAMILY, 

4665
03:26:46,855 --> 03:26:49,124
MOTHERS, CAREGIVERS, HEALTH CARE

4666
03:26:49,124 --> 03:26:50,325
PROFESSIONALS AND QUICKLY FIGURE

4667
03:26:50,325 --> 03:26:51,660
OUT WHAT WORKS FOR THAT WOMAN IN

4668
03:26:51,660 --> 03:26:54,730
A WAY THAT IS MOST EFFECTIVE AND

4669
03:26:54,730 --> 03:26:57,199
I'M SUPER EXCITED ABOUT THE 

4670
03:26:57,199 --> 03:26:58,700
POSSIBILITY OF COLLABORATING 

4671
03:26:58,700 --> 03:27:06,041
WITH ALL YOU GUYS AND WE'RE VERY

4672
03:27:06,041 --> 03:27:06,742
COLLABORATE.

4673
03:27:06,742 --> 03:27:08,610
IF YOU THINK YOU WOULD LIKE TO 

4674
03:27:08,610 --> 03:27:11,046
WORK WITH US WE NEED TO KNOW TE

4675
03:27:11,046 --> 03:27:12,014
CYCLE TIME OF THE WOMAN YOU'RE 

4676
03:27:12,014 --> 03:27:12,281
STUDYING.

4677
03:27:12,281 --> 03:27:22,257
THANK YOU VERY MUCH.

4678
03:27:22,257 --> 03:27:28,263
>> ANY QUESTIONS?

4679
03:27:28,263 --> 03:27:34,403
>> I WAS JUST THINKING
IT'S VERY

4680
03:27:34,403 --> 03:27:36,371
EXCITING MODEL YOU'VE CREATED.

4681
03:27:36,371 --> 03:27:40,776
LOOKING AT THOSE WHO HAVE 

4682
03:27:40,776 --> 03:27:43,045
BIOMARKERS THAT ARE TESTING 

4683
03:27:43,045 --> 03:27:46,214
POSITIVE AND DEPRESSION DURING 

4684
03:27:46,214 --> 03:27:47,049
PREGNANCY AND KNOWS WHO HAVE 

4685
03:27:47,049 --> 03:27:49,151
DIFFERENT BIOMARKERS WHERE 

4686
03:27:49,151 --> 03:27:51,019
DEPRESSION MIGHT OCCUR DURING 

4687
03:27:51,019 --> 03:27:54,923
THE POSTPARTUM PERIOD, HOW WOULD

4688
03:27:54,923 --> 03:28:05,467
YOU INTERFACE THIS WITH VERN

4689
03:28:05,801 --> 03:28:06,034
VERNOXILOME.

4690
03:28:06,034 --> 03:28:08,403
>> WE THINK IT DIRECTLY 

4691
03:28:08,403 --> 03:28:10,405
CORRELATES TO RESPONSES.

4692
03:28:10,405 --> 03:28:11,640
AND THE TROUBLE IS SAGE DOESN'T 

4693
03:28:11,640 --> 03:28:17,079
HAVE A LOT OF MONEY RIGHT NOW 

4694
03:28:17,079 --> 03:28:27,522
AND THE SECRET IS PHARMA 

4695
03:28:28,557 --> 03:28:30,726
COMPANIES AND IF WE IDENTIFY 

4696
03:28:30,726 --> 03:28:33,995
PEOPLE WHO DON'T RESPONSE IT 

4697
03:28:33,995 --> 03:28:34,730
DOESN'T HELP AND WE'RE 

4698
03:28:34,730 --> 03:28:39,034
INCREASING THE MARKER AND WE'RE 

4699
03:28:39,034 --> 03:28:42,604
ALSO WORKING WITH BAYER THAT ARE

4700
03:28:42,604 --> 03:28:43,872
MORE INTERESTED BECAUSE IT'S NOW

4701
03:28:43,872 --> 03:28:46,074
A 20 TIMES BIGGER MARKET AND 

4702
03:28:46,074 --> 03:28:48,310
THEY'RE INTERESTED IN TRYING TO 

4703
03:28:48,310 --> 03:28:50,512
HEAD OFF THESE THINGS AND IT 

4704
03:28:50,512 --> 03:28:52,147
REALLY IS ABOUT PREVENTION 

4705
03:28:52,147 --> 03:28:55,016
MODELS AND PHARMA COMPANIES ARE 

4706
03:28:55,016 --> 03:28:56,685
NOT PARTICULARLY COMFORTABLE 

4707
03:28:56,685 --> 03:29:02,057
WITH THAT PSYCHIATRY APPROACH.

4708
03:29:02,057 --> 03:29:03,558
>> YOU HAVE A QUESTION?

4709
03:29:03,558 --> 03:29:04,259
>> NOT A QUESTION BUT
QUICK 

4710
03:29:04,259 --> 03:29:06,395
COMMENT.

4711
03:29:06,395 --> 03:29:09,064
I CAN'T SPEAK ON BEHALF OF 

4712
03:29:09,064 --> 03:29:11,199
ANYONE BUT MYSELF BUT I WANT TO 

4713
03:29:11,199 --> 03:29:12,934
AONCE NO WHAT DOES A TRANSGENDER

4714
03:29:12,934 --> 03:29:15,504
WOMAN TALKING ABOUT THIS I 

4715
03:29:15,504 --> 03:29:16,671
THOUGHT HOW BEAUTIFUL FOR 

4716
03:29:16,671 --> 03:29:22,010
SOMEONE WHO IS PART OF A 

4717
03:29:22,010 --> 03:29:23,111
POPULATION FACING OPPRESSION ON 

4718
03:29:23,111 --> 03:29:27,749
THEIR OWN IS ADVOCATING FOR US.

4719
03:29:27,749 --> 03:29:32,487
>> IF YOU LOOK AT THE
HORRIBLE 

4720
03:29:32,487 --> 03:29:34,189
RATES OF MORTALITY IN AMERICA 

4721
03:29:34,189 --> 03:29:38,627
TODAY AND THE HIGH RATES OF 

4722
03:29:38,627 --> 03:29:41,029
SUICIDALITY AND THEY'RE NOT SO 

4723
03:29:41,029 --> 03:29:42,063
DISSIMILAR FROM THE TRANS 

4724
03:29:42,063 --> 03:29:43,031
POPULATIONS.

4725
03:29:43,031 --> 03:29:45,834
>> THANK YOU.

4726
03:29:45,834 --> 03:29:47,836
IF THERE ARE NO OTHER 

4727
03:29:47,836 --> 03:29:50,539
QUESTIONS -- YES, A QUESTION?

4728
03:29:50,539 --> 03:29:58,280
>> SORRY, JENNY BEIBER.

4729
03:29:58,280 --> 03:30:00,015
THANK YOU FOR THE PRESENTATION.

4730
03:30:00,015 --> 03:30:02,884
I'M CURIOUS HOW YOU SEE THIS 

4731
03:30:02,884 --> 03:30:05,654
IMPLEMENTED IN A HEALTH CARE 

4732
03:30:05,654 --> 03:30:08,523
OPTION WHERE PARENTS OPT-IN TO 

4733
03:30:08,523 --> 03:30:10,091
BE SCREENED?

4734
03:30:10,091 --> 03:30:11,526
I'M CURIOUS ABOUT THAT PART.

4735
03:30:11,526 --> 03:30:14,496
>> WE ARE DOING A COUPLE 

4736
03:30:14,496 --> 03:30:15,030
COLLABORATIVE PROJECTS.

4737
03:30:15,030 --> 03:30:17,199
ONE IN RURAL COLORADO LOOKING AT

4738
03:30:17,199 --> 03:30:18,433
FRONTIER STATES.

4739
03:30:18,433 --> 03:30:20,368
I DIDN'T SAY IT IN THE 

4740
03:30:20,368 --> 03:30:22,270
PRESENTATION BUT WE DO HAVE A 

4741
03:30:22,270 --> 03:30:23,171
TEST KIT.

4742
03:30:23,171 --> 03:30:25,207
YOU CAN TAKE IT HOME AND THAT'S 

4743
03:30:25,207 --> 03:30:30,979
WHERE WE'RE GOING WITH THIS IS 

4744
03:30:30,979 --> 03:30:32,881
POINT-OF-CARE TESTING AND 

4745
03:30:32,881 --> 03:30:35,183
DEVELOPING A SIMPLE SALIVA TEST 

4746
03:30:35,183 --> 03:30:37,519
AND LOOKING AT FOR EXAMPLE FIRST

4747
03:30:37,519 --> 03:30:39,855
TRIMESTER TEST BECAUSE WE KNOW 

4748
03:30:39,855 --> 03:30:42,557
WE CAN ANTICIPATE PERINATAL 

4749
03:30:42,557 --> 03:30:44,125
DEPRESSION AND A DIAGNOSTIC TEST

4750
03:30:44,125 --> 03:30:45,360
AT SIX WEEKS POSTPARTUM.

4751
03:30:45,360 --> 03:30:47,496
SO FILL IN THE GAPS.

4752
03:30:47,496 --> 03:30:48,663
WE KNOW SOME WOMEN DON'T ALWAYS 

4753
03:30:48,663 --> 03:30:53,001
SHOW UP AND CAN'T MAKE THE 

4754
03:30:53,001 --> 03:30:54,703
APPOINTMENTS.

4755
03:30:54,703 --> 03:30:56,538
25% OF WORK IN MENTAL HEALTH 

4756
03:30:56,538 --> 03:31:00,208
SPACE, 25% OF THE PEOPLE WHO GET

4757
03:31:00,208 --> 03:31:00,909
PRESCRIBED MEDICATIONS TAKE 

4758
03:31:00,909 --> 03:31:01,109
THEM.

4759
03:31:01,109 --> 03:31:03,612
HOW DO YOU MOTIVATE A WOMAN WHO 

4760
03:31:03,612 --> 03:31:06,882
IS A BIT NERVOUS ABOUT TAKING 

4761
03:31:06,882 --> 03:31:09,551
ANTIDEPRESSANT THAT SHE SHOULD?

4762
03:31:09,551 --> 03:31:10,886
THESE ARE ONE OF THE THINGS WE 

4763
03:31:10,886 --> 03:31:13,121
WANT TO WORK WITH YOU GUYS ABOUT

4764
03:31:13,121 --> 03:31:17,459
IS CULTURAL FACTORS AND 

4765
03:31:17,459 --> 03:31:17,926
SOCIAL-CULTURAL NORMS.

4766
03:31:17,926 --> 03:31:22,264
ONE GREAT EXAMPLE WAS A DEVICE 

4767
03:31:22,264 --> 03:31:23,031
SELF-ADMINISTERED CHEMOTHERAPY 

4768
03:31:23,031 --> 03:31:25,000
AGENT AND NO ONE WOULD USE IT 

4769
03:31:25,000 --> 03:31:27,269
AND THIS IS A SERIOUS DISEASE 

4770
03:31:27,269 --> 03:31:29,671
AND HAD THREE CHOICES, GO TO AN 

4771
03:31:29,671 --> 03:31:32,073
INFUSION CENTER OR DO IT IN THE 

4772
03:31:32,073 --> 03:31:33,975
PRIVACY OF YOUR HOME OR DIE.

4773
03:31:33,975 --> 03:31:35,210
THAT WAS IT.

4774
03:31:35,210 --> 03:31:37,946
THE ONLY THING THAT WOULD 

4775
03:31:37,946 --> 03:31:42,918
MOTIVATE THEM WAS IF WHEN THE 

4776
03:31:42,918 --> 03:31:45,921
EVENT WAS TAKING ONE DEVICE GAVE

4777
03:31:45,921 --> 03:31:47,856
$100 TO HELP OTHER PEOPLE WITH A

4778
03:31:47,856 --> 03:31:50,559
CANCER OR CURE NOT HAVE TO GO 

4779
03:31:50,559 --> 03:31:51,726
THROUGH THE SAME HORRIBLE 

4780
03:31:51,726 --> 03:31:52,460
EXPERIENCE.

4781
03:31:52,460 --> 03:31:54,195
THAT'S WHERE WE'RE TRICK TO 

4782
03:31:54,195 --> 03:31:57,799
REALLY -- LIKE HOW DO WE HAVE 

4783
03:31:57,799 --> 03:31:58,633
THE CONVERSATION WITH MOM IF 

4784
03:31:58,633 --> 03:32:00,735
THIS IS THE RIGHT THING FOR BABY

4785
03:32:00,735 --> 03:32:03,038
AND HER THOUGH SHE MAY BE 

4786
03:32:03,038 --> 03:32:04,105
ADVERSE TO TAKING A 

4787
03:32:04,105 --> 03:32:04,706
PHARMACEUTICAL AGENT.

4788
03:32:04,706 --> 03:32:05,707
THAT'S WHAT WE'RE THINKING ABOUT

4789
03:32:05,707 --> 03:32:05,874
TOO.

4790
03:32:05,874 --> 03:32:14,482
>> THANK YOU.

4791
03:32:14,482 --> 03:32:17,652
>> I'M CURIOUS TO HEAR
MORE 

4792
03:32:17,652 --> 03:32:18,520
ABOUT MATCHING PEOPLE WITH 

4793
03:32:18,520 --> 03:32:19,921
CERTAIN MEDICATIONS THAT MIGHT 

4794
03:32:19,921 --> 03:32:21,823
WORK BETTER FOR THEM BECAUSE I 

4795
03:32:21,823 --> 03:32:24,693
KNOW A LOT OF MEDICATIONS ARE 

4796
03:32:24,693 --> 03:32:30,065
NOT TESTED IN PEOPLE PREGNANT, 

4797
03:32:30,065 --> 03:32:32,033
BREAST FEEDING AND POSTPARTUM 

4798
03:32:32,033 --> 03:32:34,603
DEPRESSION TEND TO GO HAND IN 

4799
03:32:34,603 --> 03:32:34,803
HAND.

4800
03:32:34,803 --> 03:32:38,139
THERE'S A LOT OF HESITATION TO 

4801
03:32:38,139 --> 03:32:40,642
START MEDICATION IF YOU WANT TO 

4802
03:32:40,642 --> 03:32:40,976
BREAST FEED.

4803
03:32:40,976 --> 03:32:47,182
CURIOUS TO HEAR MORE ABOUT THE 

4804
03:32:47,182 --> 03:32:51,019
PROCESS.

4805
03:32:51,019 --> 03:32:54,322
>> IT'S FIGURING OUT WHAT
A 

4806
03:32:54,322 --> 03:32:56,791
WOMAN WILL RESPOND TO RAPIDLY 

4807
03:32:56,791 --> 03:33:01,363
AND THE EARLY DATA CLEARLY 

4808
03:33:01,363 --> 03:33:03,031
SUCTIONS WOMEN WHO ARE 

4809
03:33:03,031 --> 03:33:05,834
REPRODUCTIVE UNIQUELY AND 

4810
03:33:05,834 --> 03:33:09,004
RAPIDLY RESPOND TO 

4811
03:33:09,004 --> 03:33:10,271
ANTIDEPRESSANTS WITHIN 24 HOURS 

4812
03:33:10,271 --> 03:33:16,878
AND I CAN'T SHOW THE DATA WHERE 

4813
03:33:16,878 --> 03:33:19,180
IT WORKS WITH THE SEROTONIN 

4814
03:33:19,180 --> 03:33:20,281
UPTAKE INHIBITOR.

4815
03:33:20,281 --> 03:33:25,420
I THINK WHAT WE NEED TO DO IS 

4816
03:33:25,420 --> 03:33:26,821
CHANGE THE RISK TO BALANCE 

4817
03:33:26,821 --> 03:33:28,256
DISCUSSION IF YOU HAVE A 

4818
03:33:28,256 --> 03:33:29,991
BIOMARKER POSITIVE AND HISTORY 

4819
03:33:29,991 --> 03:33:33,128
OF MOOD DISORDER AND STOPPING 

4820
03:33:33,128 --> 03:33:33,528
ANTIDEPRESSANTS.

4821
03:33:33,528 --> 03:33:35,497
AND THE PEOPLE THERE HAVE THE 

4822
03:33:35,497 --> 03:33:36,564
WORSE OUTCOMES.

4823
03:33:36,564 --> 03:33:38,166
AGAIN AS I SAYS BEFORE IT'S HOW 

4824
03:33:38,166 --> 03:33:40,301
DO YOU CHANGE BEHAVIOR AND GET 

4825
03:33:40,301 --> 03:33:42,070
PEOPLE TO FEEL MORE COMFORTABLE 

4826
03:33:42,070 --> 03:33:46,775
WITH TAKING ANTIDEPRESSANT AS TO

4827
03:33:46,775 --> 03:33:48,843
OPPOSED SELF-MEDICATING WITH AN 

4828
03:33:48,843 --> 03:33:49,978
OPIOID OR SOMETHING.

4829
03:33:49,978 --> 03:33:51,112
THAT'S WHERE WE'RE WORKING WITH 

4830
03:33:51,112 --> 03:33:52,013
THESE GUYS AND I'M SUPER 

4831
03:33:52,013 --> 03:33:52,280
EXCITED.

4832
03:33:52,280 --> 03:33:54,549
>> THANK YOU.

4833
03:33:54,549 --> 03:34:01,956
>> SO, THAT CONCLUDES PART
TWO 

4834
03:34:01,956 --> 03:34:07,095
OF SESSION 2.

4835
03:34:07,095 --> 03:34:10,198
SO YOU HAVE A 10-MINUTE BREAK.

4836
03:34:10,198 --> 03:34:13,835
COME BACK AT 1:00 P.M. FOR 

4837
03:34:13,835 --> 03:34:16,471
SESSION 3 AND THOSE 

4838
03:34:16,471 --> 03:34:17,439
PARTICIPATING FOR SESSION 3 ARE 

4839
03:34:17,439 --> 03:34:19,040
ASKED TO MOVE TO THE FRONT OF 

4840
03:34:19,040 --> 03:34:19,374
THE AUDIENCE.


4841
03:34:19,374 --> 03:34:30,151
THANK YOU. ENJOY YOUR BREAK.

4842
03:34:30,151 --> 03:34:31,553
GOOD AFTERNOON AND THANK YOU TO 

4843
03:34:31,553 --> 03:34:42,097
THE PANELISTS FOR BEING ON TIME.

4844
03:35:02,050 --> 03:35:02,217
WELCOME.

4845
03:35:02,217 --> 03:35:04,085
WE HAVE A TIGHT SCHEDULE SO 

4846
03:35:04,085 --> 03:35:07,288
WE'RE TRYING TO STICK TO IT.

4847
03:35:07,288 --> 03:35:08,289
SORRY, WE HAVE A LOT OF GROUND 

4848
03:35:08,289 --> 03:35:12,293
TO COVER.

4849
03:35:12,293 --> 03:35:18,366
THIS IS SESSION 3, BRINGING 

4850
03:35:18,366 --> 03:35:25,006
MATERNAL HEALTH CARE HOME.

4851
03:35:25,006 --> 03:35:29,944
I'M ANTONELLO PILEGGI FROM THE 

4852
03:35:29,944 --> 03:35:31,479
EUNICE KENNEDY SHRIVER AND HERE 

4853
03:35:31,479 --> 03:35:37,719
WITH MY COLLEAGUE, DR. MONICA 

4854
03:35:37,719 --> 03:35:38,019
LONGO.

4855
03:35:38,019 --> 03:35:41,422
EVERYBODY'S READY.

4856
03:35:41,422 --> 03:35:45,226
I'LL HAND IT TO MONICA.

4857
03:35:45,226 --> 03:35:47,395
THE FIRST PRESENTATION WILL BE 

4858
03:35:47,395 --> 03:35:49,998
15 MINUTES WITH A FEW MINUTES 

4859
03:35:49,998 --> 03:35:55,703
AND RUSH INTO FIVE-MINUTE 

4860
03:35:55,703 --> 03:35:59,707
PRESENTATION AND DISCUSSIONS.

4861
03:35:59,707 --> 03:36:01,042
I WANT TO ENCOURAGE EVERYBODY TO

4862
03:36:01,042 --> 03:36:06,514
JOIN US IN THE POSTER SESSION.

4863
03:36:06,514 --> 03:36:07,782
THE COMPANIES HERE AND HAVE 

4864
03:36:07,782 --> 03:36:13,822
TARGETS TO FEATURE FOR YOU OR TO

4865
03:36:13,822 --> 03:36:17,926
TALK ABOUT THE PROGRESS MADE.

4866
03:36:17,926 --> 03:36:18,827
WITHOUT FURTHER DUE, I'LL HAND 

4867
03:36:18,827 --> 03:36:24,232
IT TO MY COLLEAGUE.

4868
03:36:24,232 --> 03:36:25,733
>> THANK YOU FOR COMING TO
THE 

4869
03:36:25,733 --> 03:36:27,702
LAST BUT NOTE LEAST SESSION.

4870
03:36:27,702 --> 03:36:32,507
I'M MONICA LONGO THE MEDICAL 

4871
03:36:32,507 --> 03:36:39,514
OFFICER AT NICHD AND OUR FIRST 

4872
03:36:39,514 --> 03:36:50,024
PRESENTATION IS FROM CRISTIAN 

4873
03:36:50,024 --> 03:36:52,427
MEG MECK TALKING ABOUT COMMUNITY

4874
03:36:52,427 --> 03:36:53,895
PARTNERED MULTI-LEVEL 

4875
03:36:53,895 --> 03:36:55,463
INTERVENTIONS WITH A FOCUS ON 

4876
03:36:55,463 --> 03:36:59,033
HOME VISITING DIGITAL HEALTH AND

4877
03:36:59,033 --> 03:37:00,268
IMPLEMENTATION SCIENCE.

4878
03:37:00,268 --> 03:37:04,439
>> LAST NAME IS CHRIS
MEGHEA.

4879
03:37:04,439 --> 03:37:06,307
TO 15 MINUTES, BEFORE I GO IN 

4880
03:37:06,307 --> 03:37:12,247
THE PRESENTATION I WANT TO 

4881
03:37:12,247 --> 03:37:13,748
ACKNOWLEDGE MY COLLEAGUES.

4882
03:37:13,748 --> 03:37:16,284
WE'RE HERE ON BEHALF OF WHAT WE 

4883
03:37:16,284 --> 03:37:17,385
CALL OURSELVES THE MIRACLE 

4884
03:37:17,385 --> 03:37:20,288
CENTER IN MICHIGAN.

4885
03:37:20,288 --> 03:37:23,291
IT'S A PARTNERSHIP ACADEMIC 

4886
03:37:23,291 --> 03:37:24,492
COMMUNITY HEALTH AND IT'S THE 

4887
03:37:24,492 --> 03:37:26,327
FOUR OF US BUT WE'RE A VERY 

4888
03:37:26,327 --> 03:37:26,928
LARGE TEAM.

4889
03:37:26,928 --> 03:37:30,064
I'M NOT GOING TO LIST EVERYBODY 

4890
03:37:30,064 --> 03:37:32,267
BUT JUST BELIEVE ME WHEN I SAY 

4891
03:37:32,267 --> 03:37:42,610
THERE'S A LOT OF US.

4892
03:37:51,319 --> 03:37:52,020
ALL RIGHT.

4893
03:37:52,020 --> 03:37:54,989
SO THE MIRACLE CENTER THIS IS 

4894
03:37:54,989 --> 03:38:00,194
WHAT WE CALL THE THREE NAMES AT 

4895
03:38:00,194 --> 03:38:04,032
THE TOP ARE THE P.I.s AND 

4896
03:38:04,032 --> 03:38:06,467
PRINCIPLE INVESTIGATORS AND 

4897
03:38:06,467 --> 03:38:07,669
CO-PRINCIPLE INVESTIGATORS WITH 

4898
03:38:07,669 --> 03:38:12,240
THE MENTION WE'RE TWO ACADEMICS 

4899
03:38:12,240 --> 03:38:15,476
AND PEGGY IS THE COMMUNITY P.I. 

4900
03:38:15,476 --> 03:38:18,446
SO TO SPEAK.

4901
03:38:18,446 --> 03:38:21,516
WE HAVE THE SAME TYPE OF 

4902
03:38:21,516 --> 03:38:23,151
REPRESENTATION, COMMUNITY HEALTH

4903
03:38:23,151 --> 03:38:25,286
AND ACADEMIC AT EACH OF THE 

4904
03:38:25,286 --> 03:38:29,590
PROJECT LEVELS AND TRAINING 

4905
03:38:29,590 --> 03:38:30,625
PROGRAM LEVEL AND AT THE 

4906
03:38:30,625 --> 03:38:32,293
COMMUNITY CONSORTIUM LEVEL AS 

4907
03:38:32,293 --> 03:38:33,227
WELL.

4908
03:38:33,227 --> 03:38:37,198
SO THE GOAL OF THE CENTER AS 

4909
03:38:37,198 --> 03:38:38,933
CALLED UPON BY THE IMPROVE 

4910
03:38:38,933 --> 03:38:41,069
INITIATIVE AND FUNDING IS TO 

4911
03:38:41,069 --> 03:38:43,271
REDUCE PREGNANCY RELATE AND 

4912
03:38:43,271 --> 03:38:44,305
ASSOCIATED MORBIDITY AND 

4913
03:38:44,305 --> 03:38:49,577
MORTALITY AND WE CAME UP WITH 

4914
03:38:49,577 --> 03:38:58,619
THIS ACRONYM.

4915
03:38:58,619 --> 03:39:03,891
AND REDUCED PROGRAM DISCOVERIES 

4916
03:39:03,891 --> 03:39:07,028
FOR PRIMARILY AFRICAN AMERICAN 

4917
03:39:07,028 --> 03:39:09,530
AND HISPANIC AND RURAL 

4918
03:39:09,530 --> 03:39:10,698
POPULATIONS AN IMPLEMENTATION 

4919
03:39:10,698 --> 03:39:12,467
RESEARCH PROJECTS.

4920
03:39:12,467 --> 03:39:16,571
THE STRUCTURE IS THREE LARGE 

4921
03:39:16,571 --> 03:39:20,441
PROJECTS RO1 SIZE SCOPE, IF YOU 

4922
03:39:20,441 --> 03:39:22,443
WILL AND TRAINING CONSORTIUM AND

4923
03:39:22,443 --> 03:39:28,149
WHEN WE COME FROM MICHIGAN WE'LL

4924
03:39:28,149 --> 03:39:35,056
SHOW YOU THE COUNTIES ARE WHERE 

4925
03:39:35,056 --> 03:39:40,194
THE THREE PROJECTS WILL 

4926
03:39:40,194 --> 03:39:40,461
INTERVENE.

4927
03:39:40,461 --> 03:39:43,464
THOSE ARE THE INITIAL COUNTIES.

4928
03:39:43,464 --> 03:39:43,965
WE'RE EXPANDING IN MORE 

4929
03:39:43,965 --> 03:39:47,201
COUNTIES.

4930
03:39:47,201 --> 03:39:52,273
WITHOUT GOING THROUGH THE WHOLE 

4931
03:39:52,273 --> 03:39:57,078
LIST, JUST GIVING YOU A SENSE OF

4932
03:39:57,078 --> 03:39:59,614
PARTNERS, HEALTH CARE, COMMUNITY

4933
03:39:59,614 --> 03:40:01,783
GOVERNMENT POLICY AND QUALITY 

4934
03:40:01,783 --> 03:40:03,551
IMPROVEMENT I'LL JUST NAME A 

4935
03:40:03,551 --> 03:40:04,085
FEW.

4936
03:40:04,085 --> 03:40:05,186
THE MICHIGAN DEPARTMENT OF 

4937
03:40:05,186 --> 03:40:09,123
HEALTH AND HUMAN SERVICES LONG 

4938
03:40:09,123 --> 03:40:10,958
STANDING PARTNERSHIP AND 

4939
03:40:10,958 --> 03:40:16,264
PROBABLY THE TWO LARGEST HEALTH 

4940
03:40:16,264 --> 03:40:26,874
SYSTEMS IN THE STATAGE SO I'LL 

4941
03:40:28,309 --> 03:40:32,013
BRING IT HOME, I PROMISE I WILL.

4942
03:40:32,013 --> 03:40:33,981
I UNDERSTAND THE PURPOSE OF THIS

4943
03:40:33,981 --> 03:40:38,119
SESSION BUT I WANT TO TALK 

4944
03:40:38,119 --> 03:40:40,021
BRIEFLY ABOUT THE OTHER 

4945
03:40:40,021 --> 03:40:40,321
COMPONENTS.

4946
03:40:40,321 --> 03:40:45,059
I'LL START WITH COMMUNITY 

4947
03:40:45,059 --> 03:40:47,028
PARTNERSHIP CONSORTIUM AND WE 

4948
03:40:47,028 --> 03:40:50,064
HAVE ONE OF THE TWO CO-P.I.s.

4949
03:40:50,064 --> 03:40:55,736
SOME MAY HAVE ATTENDED OR BEEN 

4950
03:40:55,736 --> 03:41:06,280
PART OF THE AND YOU'VE SEEN THE 

4951
03:41:07,014 --> 03:41:08,349
INITIATIVE AND PRESENTATIONS AND

4952
03:41:08,349 --> 03:41:10,017
THE PURPOSE IS TRULY WHAT YOU 

4953
03:41:10,017 --> 03:41:15,289
SEE ON THE SLIDE.

4954
03:41:15,289 --> 03:41:18,493
TO BE INCLUSIVE AND INTENTINAL 

4955
03:41:18,493 --> 03:41:24,098
IN HOW COMMUNITIES ARE ENGAGED 

4956
03:41:24,098 --> 03:41:28,603
AND REPRESENTED AND STARTED AT 

4957
03:41:28,603 --> 03:41:34,308
THE PROPOSAL STAGE WHEN WE MET 

4958
03:41:34,308 --> 03:41:36,177
AND TALKED ON WHAT WE THINK THE 

4959
03:41:36,177 --> 03:41:39,547
STANDARD COULD BE AND SHOULD.

4960
03:41:39,547 --> 03:41:40,181
I WON'T READ ALL THE WORDS ON 

4961
03:41:40,181 --> 03:41:50,358
THE SLIDE.

4962
03:41:50,658 --> 03:41:51,926
THE TRAINING PROGRAM THEY HAVE A

4963
03:41:51,926 --> 03:41:52,627
TRAINING PROGRAM COMPONENT.

4964
03:41:52,627 --> 03:42:00,201
WHAT WE WANT TO DO IS ENGAGE 

4965
03:42:00,201 --> 03:42:00,701
COLLABORATING SCHOLARS.

4966
03:42:00,701 --> 03:42:04,105
THINK TRAINERS AND COMMUNITY 

4967
03:42:04,105 --> 03:42:10,344
BASED THROUGH A THREE-YEAR 

4968
03:42:10,344 --> 03:42:12,813
ONE-ON-ONE MENTORING AND PROVIDE

4969
03:42:12,813 --> 03:42:17,652
OPPORTUNITIES MORE BROADLY FOR 

4970
03:42:17,652 --> 03:42:24,292
OTHER EARLY STAGE AND JUNIOR 

4971
03:42:24,292 --> 03:42:31,933
INVESTIGATORS AND POSTDOC.

4972
03:42:31,933 --> 03:42:33,901
WE LAUNCH STARTED THE INTERVIEW 

4973
03:42:33,901 --> 03:42:35,937
PROCESS AND WILL IDENTIFY THE 

4974
03:42:35,937 --> 03:42:38,940
COHORT OF THREE AND SAME THING 

4975
03:42:38,940 --> 03:42:40,441
IN TWO OR THREE YEARS FROM NOW 

4976
03:42:40,441 --> 03:42:49,817
WITH THE SECOND COHORT.

4977
03:42:49,817 --> 03:42:53,187
I'LL START IN REVERSE ORDER SO I

4978
03:42:53,187 --> 03:42:54,388
CLOSE WITH THE ONE MOST RELEVANT

4979
03:42:54,388 --> 03:43:04,632
TO THE PANEL.

4980
03:43:10,805 --> 03:43:17,812
IF I COULD DESCRIBE THIS IN 

4981
03:43:17,812 --> 03:43:20,848
THREE DETAILS IS THE PROJECT AND

4982
03:43:20,848 --> 03:43:21,549
THE EVIDENCE BASED INTERVENTION 

4983
03:43:21,549 --> 03:43:26,354
TO BE IMPLEMENTED IF YOU'RE 

4984
03:43:26,354 --> 03:43:28,289
FAMILIAR WITH AIM THIS IS THE 

4985
03:43:28,289 --> 03:43:30,157
COMMUNITY CARE VERSION OF 

4986
03:43:30,157 --> 03:43:38,466
MATERNAL SAFETY PANELS.

4987
03:43:38,466 --> 03:43:40,701
SOME OF OUR PARTNERS AND WE'RE 

4988
03:43:40,701 --> 03:43:46,974
HELPING IN GRAND RAPIDS IN KENT 

4989
03:43:46,974 --> 03:43:48,209
COUNTY, MICHIGAN.

4990
03:43:48,209 --> 03:43:50,578
WE'VE BEEN ONE OF THE PILOT 

4991
03:43:50,578 --> 03:43:51,579
SITES CALLED THE AIM COMMUNITY 

4992
03:43:51,579 --> 03:43:59,420
CARE INITIATIVE.

4993
03:43:59,420 --> 03:44:03,024
TO ADAPT IN NON-HOSPITALS 

4994
03:44:03,024 --> 03:44:07,728
SETTINGS BUILDING ON THE EARLY 

4995
03:44:07,728 --> 03:44:09,530
EVIDENCE WHERE WE BUILT A 

4996
03:44:09,530 --> 03:44:10,398
PROJECT AROUND IMPLEMENTING 

4997
03:44:10,398 --> 03:44:15,403
THOSE COMMUNITY CARE BUNDLES.

4998
03:44:15,403 --> 03:44:17,071
THE PROJECT WILL WORK IN 12 

4999
03:44:17,071 --> 03:44:21,042
MICHIGAN COUNTIES AND THE FOCUS 

5000
03:44:21,042 --> 03:44:24,145
REALLY IS ON COMMUNITY CARE 

5001
03:44:24,145 --> 03:44:27,281
PROVIDERS OR SETTINGS SERVING 

5002
03:44:27,281 --> 03:44:28,482
MAINLY OR EXCLUSIVELY MEDICARE 

5003
03:44:28,482 --> 03:44:38,693
INDIVIDUALS.

5004
03:44:39,226 --> 03:44:44,498
THE SECOND IS DIGITAL 

5005
03:44:44,498 --> 03:44:48,669
INTERVENTION FOR PRAMM 

5006
03:44:48,669 --> 03:44:49,870
DISABILITIES AND THE SHORT 

5007
03:44:49,870 --> 03:44:55,409
VERSION OF WHAT IT IS IS 

5008
03:44:55,409 --> 03:44:58,446
BUILDING ON A PREVIOUSLY 

5009
03:44:58,446 --> 03:44:59,246
DEVELOPED APP.

5010
03:44:59,246 --> 03:45:01,382
I'LL CALL IT AN APP BUT IT'S 

5011
03:45:01,382 --> 03:45:04,719
EASY TO USE AND WEB BASED AND 

5012
03:45:04,719 --> 03:45:06,620
CAN BE USED ON ANY MOBILE DEVICE

5013
03:45:06,620 --> 03:45:13,461
AND CAN BE USED ON A TABLET.

5014
03:45:13,461 --> 03:45:19,367
THE IDEA IS TO USING IT AS A 

5015
03:45:19,367 --> 03:45:21,869
SCREENING TOOL WHILE PREGNANT 

5016
03:45:21,869 --> 03:45:22,436
INDIVIDUALS WAIT TO RECEIVE 

5017
03:45:22,436 --> 03:45:26,707
CARE.

5018
03:45:26,707 --> 03:45:31,379
IT LEVERAGES THE EXISTING 

5019
03:45:31,379 --> 03:45:32,546
TECHNOLOGY AND APP THAT'S 

5020
03:45:32,546 --> 03:45:33,547
ALREADY BEING IMPLEMENTED IN 

5021
03:45:33,547 --> 03:45:36,317
VARIOUS SETTINGS.

5022
03:45:36,317 --> 03:45:38,886
IT FOCUSES AND ADDS MORE RISK 

5023
03:45:38,886 --> 03:45:40,554
FACTORS TO BE SCREENED THAT ARE 

5024
03:45:40,554 --> 03:45:42,923
RELEVANT TO PREGNANCY RELATED 

5025
03:45:42,923 --> 03:45:44,925
AND ASSOCIATED MORBIDITY AND 

5026
03:45:44,925 --> 03:45:46,827
MORTALITY AND PROVIDES IMMEDIATE

5027
03:45:46,827 --> 03:45:49,730
FEEDBACK TO THE PREGNANT 

5028
03:45:49,730 --> 03:45:52,266
INDIVIDUAL, PROVIDES FEEDBACK TO

5029
03:45:52,266 --> 03:45:55,703
THE FIRST AND OB-GYN THAT WILL 

5030
03:45:55,703 --> 03:45:58,038
LIKELY SEE THE PREGNANT 

5031
03:45:58,038 --> 03:45:59,774
INDIVIDUAL WITHIN THE NEXT FEW 

5032
03:45:59,774 --> 03:46:02,376
MINUTES AND PROVIDES WHAT WE 

5033
03:46:02,376 --> 03:46:04,078
CALL A BRIEF MOTIVATIONAL 

5034
03:46:04,078 --> 03:46:06,180
INTERVIEW COULD BE BRIEF 

5035
03:46:06,180 --> 03:46:08,282
MOTIVATIONAL MESSAGES RELATED TO

5036
03:46:08,282 --> 03:46:12,253
WHATEVER THE RISK FACTORS THAT 

5037
03:46:12,253 --> 03:46:15,222
WOULD SCREEN POSITIVE.

5038
03:46:15,222 --> 03:46:20,661
I WANT TO MENTION ONE THING WHAT

5039
03:46:20,661 --> 03:46:23,597
THE PROJECT CALLS APPATHONS 

5040
03:46:23,597 --> 03:46:31,372
WHICH ARE TEAMS COMPETING ON 

5041
03:46:31,372 --> 03:46:33,073
VARIOUS PIECES AND THIS IS ONE 

5042
03:46:33,073 --> 03:46:38,412
EXAMPLE OF THE COMMUNITY 

5043
03:46:38,412 --> 03:46:43,851
INVOLVEMENT IN THE DEVELOPMENT 

5044
03:46:43,851 --> 03:46:45,186
OF THE INTERVENTION.

5045
03:46:45,186 --> 03:46:45,786
I'M GETTING TO WHAT WE CALL 

5046
03:46:45,786 --> 03:46:51,158
PROJECT 1.

5047
03:46:51,158 --> 03:46:53,260
IT'S PROBABLY THE MOST RELEVANT 

5048
03:46:53,260 --> 03:46:54,195
TO THIS PANEL.

5049
03:46:54,195 --> 03:47:00,267
IT'S ANOTHER MULTI-LEVEL 

5050
03:47:00,267 --> 03:47:02,670
INTERVENTION.

5051
03:47:02,670 --> 03:47:06,173
FOCUSSED ON NON-HISPANIC BLACK 

5052
03:47:06,173 --> 03:47:07,041
AND HISPANIC MEDICAID 

5053
03:47:07,041 --> 03:47:07,341
INDIVIDUALS.

5054
03:47:07,341 --> 03:47:10,144
THE IDEA IS TO TEST WHAT WE CALL

5055
03:47:10,144 --> 03:47:14,448
A SCALE HAD AND HOME VISITING 

5056
03:47:14,448 --> 03:47:16,617
PROGRAM THAT INTEGRATES 

5057
03:47:16,617 --> 03:47:18,052
COMMUNITY HEALTH WORKERS AND THE

5058
03:47:18,052 --> 03:47:28,596
PROGRAM WE'RE BUILDING ON SMALL 

5059
03:47:28,929 --> 03:47:30,698
BEGINNINGS IN KENT COUNTY, 

5060
03:47:30,698 --> 03:47:30,965
MICHIGAN.

5061
03:47:30,965 --> 03:47:36,337
IF YOU HAVE QUESTIONS ABOUT THE 

5062
03:47:36,337 --> 03:47:39,507
PROGRAM ONCE I'M DONE I'M HERE 

5063
03:47:39,507 --> 03:47:41,175
TO ANSWER THOSE.

5064
03:47:41,175 --> 03:47:44,278
THERE'S RACE, ETHNICITY, 

5065
03:47:44,278 --> 03:47:46,647
LANGUAGE CONCORDANT HEALTH 

5066
03:47:46,647 --> 03:47:48,716
WORKERS AND THE PROGRAM IS 

5067
03:47:48,716 --> 03:47:49,416
DESIGN FOR BLACK AND HISPANIC 

5068
03:47:49,416 --> 03:47:49,683
PERSONS.

5069
03:47:49,683 --> 03:47:57,224
THE IDEA IS TO ENHANCE THE HOME 

5070
03:47:57,224 --> 03:48:02,263
VISITING PROGRAM WITH PROGRAM 

5071
03:48:02,263 --> 03:48:03,898
RELEVANT SPECIFIC COMPONENT, 

5072
03:48:03,898 --> 03:48:07,001
INTERVENTION, IF YOU WILL.

5073
03:48:07,001 --> 03:48:09,770
AND ALSO RELEVANT COMORBID 

5074
03:48:09,770 --> 03:48:13,874
INTERVENTION AT THE COMMUNITY 

5075
03:48:13,874 --> 03:48:14,074
LEVEL.

5076
03:48:14,074 --> 03:48:17,344
AT THE COMMUNITY LEVEL WE'RE 

5077
03:48:17,344 --> 03:48:22,883
WORK WICK PRACTICES AND I'LL SAY

5078
03:48:22,883 --> 03:48:24,084
PROVIDE INFORMATION FOR LACK OF 

5079
03:48:24,084 --> 03:48:27,488
A BETTER WORD AND CAN GO INTO 

5080
03:48:27,488 --> 03:48:28,556
DETAILS DURING QUESTIONS AND 

5081
03:48:28,556 --> 03:48:34,161
WRAP UP IN THE NEXT TWO MINUTES.

5082
03:48:34,161 --> 03:48:35,896
WE HAVE WAYNE COUNTY AND LARGEST

5083
03:48:35,896 --> 03:48:40,267
IN MICHIGAN, 2, 3, MILLION IF 

5084
03:48:40,267 --> 03:48:42,770
NOT MORE.

5085
03:48:42,770 --> 03:48:46,473
KENT COUNTY THE HOME OF THE 

5086
03:48:46,473 --> 03:48:51,245
SECOND LARGEST METROPOLITAN 

5087
03:48:51,245 --> 03:49:01,755
AREA, GRAND RAPIDS AND SPLINT.

5088
03:49:03,290 --> 03:49:04,992
I'LL TALK ABOUT THE CHALLENGES 

5089
03:49:04,992 --> 03:49:10,297
AND THINGS THAT WERE PART AND 

5090
03:49:10,297 --> 03:49:12,800
WHAT WE LEARNED IT'S BEEN A SLOW

5091
03:49:12,800 --> 03:49:13,334
START.

5092
03:49:13,334 --> 03:49:18,472
SOMEONE MENTIONED MOVING AT THE 

5093
03:49:18,472 --> 03:49:22,476
SPEED OF TRUST.

5094
03:49:22,476 --> 03:49:24,945
AND WE HAVE RANDOMIZED TRIALS.

5095
03:49:24,945 --> 03:49:26,113
THAT'S OKAY.

5096
03:49:26,113 --> 03:49:30,684
I TALKED TO SOMEBODY MENTIONED 

5097
03:49:30,684 --> 03:49:32,219
LIVING WAGES.

5098
03:49:32,219 --> 03:49:33,854
AND REIMBURSEMENT ISSUES I CAN 

5099
03:49:33,854 --> 03:49:39,860
GO INTO THIS IN THE Q&A
SECTION 

5100
03:49:39,860 --> 03:49:42,863
BUT IT'S HARD WITH LOW MEDICAID 

5101
03:49:42,863 --> 03:49:48,168
REIMBURSEMENT TO SUPPORT HEALTH 

5102
03:49:48,168 --> 03:49:58,712
WORKERS AND WITH A LIVING WAGE 

5103
03:50:01,548 --> 03:50:03,584
PARTNERING WITH THE STATE HEALTH

5104
03:50:03,584 --> 03:50:08,088
DEPARTMENT TRYING TO FIND 

5105
03:50:08,088 --> 03:50:08,622
CHAMP

5106
03:50:08,622 --> 03:50:10,324
CHAMPIONS WORKING WITH PEOPLE IN

5107
03:50:10,324 --> 03:50:13,761
THE SENATE AND HOUSE AND ONLY 

5108
03:50:13,761 --> 03:50:14,695
PLANNING PHASE IS GREAT.

5109
03:50:14,695 --> 03:50:15,262
ALWAYS PLAN FOR A PLANNING 

5110
03:50:15,262 --> 03:50:17,698
PHASE.

5111
03:50:17,698 --> 03:50:23,771
IT TAKES A VILLAGE.

5112
03:50:23,771 --> 03:50:29,176
STAYING ENGAGED AND EVEN IF 

5113
03:50:29,176 --> 03:50:32,179
THINGS DON'T MANY MOVE AS FAST 

5114
03:50:32,179 --> 03:50:33,781
SOMETIMES IT'S FINE.

5115
03:50:33,781 --> 03:50:35,482
IT WORKS BETTER IN THE LONG 

5116
03:50:35,482 --> 03:50:35,683
TERM.

5117
03:50:35,683 --> 03:50:40,054
SO I'LL STOP AND IF WE HAVE 

5118
03:50:40,054 --> 03:50:44,491
QUESTIONS, PLEASE, I HAVE HELP 

5119
03:50:44,491 --> 03:50:49,697
UP HERE.

5120
03:50:49,697 --> 03:50:51,598
>> THANK YOU FOR THE
WONDERFUL 

5121
03:50:51,598 --> 03:51:02,042
PRESENTATION AND OPEN FOR ONLINE

5122
03:51:02,042 --> 03:51:05,045
QUESTION AND GO DEEPER ON 

5123
03:51:05,045 --> 03:51:10,217
REIMBURSEMENT AND THE IESSUES 

5124
03:51:10,217 --> 03:51:12,286
FROM THAT AND WHAT YOU WOULD 

5125
03:51:12,286 --> 03:51:22,629
HAVE DONE DIFFERENT.

5126
03:51:23,430 --> 03:51:25,299
>> AT THE RATE MEDICAID
PAYS 

5127
03:51:25,299 --> 03:51:29,737
WHICH IS LOW, EVERYTHING WE KNOW

5128
03:51:29,737 --> 03:51:32,906
AND THE DATA AND THE TRUE COST 

5129
03:51:32,906 --> 03:51:34,374
OF SUSTAINING A COMMUNITY HEALTH

5130
03:51:34,374 --> 03:51:40,280
PROGRAM AND WE HAVE DATA FROM 

5131
03:51:40,280 --> 03:51:43,083
PARTNERS THE REIMBURSEMENT 

5132
03:51:43,083 --> 03:51:48,288
COVERS HALF AT BEST IN TERMS OF 

5133
03:51:48,288 --> 03:51:50,557
BEING ABLE TO OFFER LIVABLE 

5134
03:51:50,557 --> 03:51:53,227
WAGES IN TERMS OF ADMINISTERING 

5135
03:51:53,227 --> 03:51:57,331
SUCH A COMMUNITY HEALTH WORKER 

5136
03:51:57,331 --> 03:51:59,032
PROGRAM IN TERMS OF PAYING 

5137
03:51:59,032 --> 03:52:00,267
SUPERVISOR SALARIES.

5138
03:52:00,267 --> 03:52:04,638
EVERYTHING ELSE IN TERMS OF COST

5139
03:52:04,638 --> 03:52:11,779
THAT COMES WITH SUCH A PROGRAM.

5140
03:52:11,779 --> 03:52:17,651
IS  

5141
03:52:17,651 --> 03:52:19,520
>> QUESTION FROM THE
AUDIENCE?

5142
03:52:19,520 --> 03:52:20,287
>> THANK YOU FOR YOUR 

5143
03:52:20,287 --> 03:52:21,155
PRESENTATION.

5144
03:52:21,155 --> 03:52:24,892
I WAS WONDERING YOUR PROCESS FOR

5145
03:52:24,892 --> 03:52:25,726
PRIORITIZATION FOR THE 

5146
03:52:25,726 --> 03:52:32,266
APPLICATIONS COMING TO THE 

5147
03:52:32,266 --> 03:52:43,210
PROJECT 2 SORRY IF I BURCHER ER 

5148
03:52:46,580 --> 03:52:47,314
BUTCHERED THE NAME.

5149
03:52:47,314 --> 03:52:53,854
>> THE APPATHONS THERE'S
NOBODY 

5150
03:52:53,854 --> 03:52:55,622
FROM THE PROJECT HERE.

5151
03:52:55,622 --> 03:52:57,624
ARE THE ZOOM MIKES OPEN?

5152
03:52:57,624 --> 03:53:01,795
JUST FOR FAIRNESS, I CAN'T 

5153
03:53:01,795 --> 03:53:03,664
REALLY EXPLAIN YOU'LL THE 

5154
03:53:03,664 --> 03:53:05,465
DETAILS OF THE PROJECT SO I'M 

5155
03:53:05,465 --> 03:53:06,834
NOT SURE I CAN ANSWER THE 

5156
03:53:06,834 --> 03:53:07,100
QUESTION.

5157
03:53:07,100 --> 03:53:07,868
>> IT'S OKAY.

5158
03:53:07,868 --> 03:53:08,235
DON'T WORRY.

5159
03:53:08,235 --> 03:53:18,478
ANYBODY ELSE?

5160
03:53:18,779 --> 03:53:22,015
>> APPATHONS ARE LIKE 

5161
03:53:22,015 --> 03:53:22,316
HACKATHONS.

5162
03:53:22,316 --> 03:53:26,453
THANK YOU FOR THAT VERIFICATION.

5163
03:53:26,453 --> 03:53:28,856
>> YES, THINK HACKATHONS.

5164
03:53:28,856 --> 03:53:30,524
I THOUGHT YOUR QUESTION WAS HOW 

5165
03:53:30,524 --> 03:53:34,461
DO THEY PRIORITIZE TOPICS.

5166
03:53:34,461 --> 03:53:35,762
IF THAT'S WHAT YOU'RE ASKING.

5167
03:53:35,762 --> 03:53:41,368
>> YES, WITHIN THE PROGRAM
HOW 

5168
03:53:41,368 --> 03:53:44,271
DO YOU PRIORITIZE WHICH IS GIVEN

5169
03:53:44,271 --> 03:53:46,874
PRIORITY TO BE IMPLEMENTS?

5170
03:53:46,874 --> 03:53:48,242
 -- IMPLEMENTED?

5171
03:53:48,242 --> 03:53:55,215
>> THE PROJECT HAS A
COMMUNITY 

5172
03:53:55,215 --> 03:53:56,650
ADVISORY BOARD AND PRIORITIZE 

5173
03:53:56,650 --> 03:53:58,218
WHAT'S THE NEXT TOPIC.

5174
03:53:58,218 --> 03:54:00,254
I COULDN'T GIVE YOU A SPECIFIC 

5175
03:54:00,254 --> 03:54:02,456
DETAIL BUT PROCESS WISE I KNOW 

5176
03:54:02,456 --> 03:54:05,092
IT'S IN PARTNERSHIP WITH THE 

5177
03:54:05,092 --> 03:54:14,768
COMMUNITY ADVISORY BOARD.

5178
03:54:14,768 --> 03:54:19,439
>> THEY WROTE ABOUT AN
ADVISORY 

5179
03:54:19,439 --> 03:54:19,640
BOARD.

5180
03:54:19,640 --> 03:54:24,311
WE'LL COLLABORATE.

5181
03:54:24,311 --> 03:54:27,814
THANKS A LOT.

5182
03:54:27,814 --> 03:54:32,286
OKAY.

5183
03:54:32,286 --> 03:54:39,660
THE NEXT PRESENTATION IS THE 

5184
03:54:39,660 --> 03:54:40,894
ANDREW WHEELER FROM GLOBAL 

5185
03:54:40,894 --> 03:54:47,334
ACCESS DIAGNOSTICS AT-HOME 

5186
03:54:47,334 --> 03:54:48,402
URINARY TRACT INFECTION 

5187
03:54:48,402 --> 03:54:48,702
DIAGNOSTICS.

5188
03:54:48,702 --> 03:54:51,004
>> I'LL TALK ABOUT OUR
NOVEL 

5189
03:54:51,004 --> 03:54:53,440
HOME USE TEST FOR URINARY TRACT 

5190
03:54:53,440 --> 03:54:53,774
INFECTION.

5191
03:54:53,774 --> 03:54:56,076
A QUICK DISCLAIMER THOUGH, THE 

5192
03:54:56,076 --> 03:54:58,011
TEST IS A PROTOTYPE DEVICE.

5193
03:54:58,011 --> 03:55:01,648
IT'S NOT AUTHORIZED FOR SALE.

5194
03:55:01,648 --> 03:55:02,783
THE FINAL PERFORMANCE ISN'T YET 

5195
03:55:02,783 --> 03:55:03,216
KNOWN.

5196
03:55:03,216 --> 03:55:06,553
I WANT TO SAY THAT FROM AN FDA 

5197
03:55:06,553 --> 03:55:10,290
PERSPECTIVE TO MAKE SURE 

5198
03:55:10,290 --> 03:55:10,891
EVERYONE'S CLEAR.

5199
03:55:10,891 --> 03:55:16,096
IS OUR LEGAL NAME IS MOLOGIC 

5200
03:55:16,096 --> 03:55:18,165
DOING BUSINESS AS GLOBAL ACCESS 

5201
03:55:18,165 --> 03:55:18,465
DIAGNOSTICS.

5202
03:55:18,465 --> 03:55:20,600
THE REASON WE DO THAT IS A 

5203
03:55:20,600 --> 03:55:24,137
COUPLE YEARS AGO WE WERE 

5204
03:55:24,137 --> 03:55:27,808
ACQUIRED BY A GROUP OF 

5205
03:55:27,808 --> 03:55:29,276
PHILANTHROPIC INVESTORS WITH THE

5206
03:55:29,276 --> 03:55:30,143
MISSION TO SEE HEALTH CARE MOVED

5207
03:55:30,143 --> 03:55:31,945
ACROSS THE WORLD TO LOW AND 

5208
03:55:31,945 --> 03:55:33,447
MIDDLE INCOME COUNTRIES.

5209
03:55:33,447 --> 03:55:34,982
WE HAVE A WEIRD BUSINESS MODEL.

5210
03:55:34,982 --> 03:55:37,718
WE COLLECT PROFITS BUT INSTEAD 

5211
03:55:37,718 --> 03:55:39,886
OF GETTING OUR OWNERS WEALTHY WE

5212
03:55:39,886 --> 03:55:44,291
TAKE THE PROFITS AND INVEST IT 

5213
03:55:44,291 --> 03:55:53,200
INTO PUBLIC HEALTH.

5214
03:55:53,200 --> 03:55:55,902
SO WHY IS URINARY TRACT 

5215
03:55:55,902 --> 03:55:56,937
INFECTION IMPORTANT IN MATERNAL 

5216
03:55:56,937 --> 03:55:57,604
HEALTH?

5217
03:55:57,604 --> 03:56:02,976
FIRST, THERE'S NOT A GREAT 

5218
03:56:02,976 --> 03:56:08,682
STANDARD OF CARE OR UTI 

5219
03:56:08,682 --> 03:56:15,655
DIAGNOSIS AND DANGEROUS IF LEFT 

5220
03:56:15,655 --> 03:56:16,023
UNTREATED.

5221
03:56:16,023 --> 03:56:21,495
IT'S A SITUATION WHERE THERE'S 

5222
03:56:21,495 --> 03:56:23,830
PAIN AND DOCTORS DON'T OFTEN 

5223
03:56:23,830 --> 03:56:25,465
BELIEVE WOMEN.

5224
03:56:25,465 --> 03:56:28,135
WE HAVE SOME EXAMPLES OF 

5225
03:56:28,135 --> 03:56:29,202
ARTICLES.

5226
03:56:29,202 --> 03:56:30,437
UTI FROM HELL, THAT KIND OF 

5227
03:56:30,437 --> 03:56:30,904
STUFF.

5228
03:56:30,904 --> 03:56:35,842
WE THOUGHT WE NEEDED A NEW 

5229
03:56:35,842 --> 03:56:38,145
SOLUTION TO THIS PROBLEM CURRENT

5230
03:56:38,145 --> 03:56:39,346
AT-HOME SOLUTIONS LACK ACCURACY 

5231
03:56:39,346 --> 03:56:40,847
AND CONFUSING TO DETERMINE.

5232
03:56:40,847 --> 03:56:43,417
UP TALKED TO A CLINICIAN LAST 

5233
03:56:43,417 --> 03:56:45,652
WEEK THAT SAID SHE DOESN'T 

5234
03:56:45,652 --> 03:56:48,722
RECOMMEND TO HER PATIENTS TO USE

5235
03:56:48,722 --> 03:56:48,922
THEM.

5236
03:56:48,922 --> 03:56:50,791
DON'T BOTHER WITH THEM THEY'RE 

5237
03:56:50,791 --> 03:56:51,658
NOT ACCURATE ENOUGH.

5238
03:56:51,658 --> 03:56:52,826
OUR WORK FLOW, WE DESIGN THE 

5239
03:56:52,826 --> 03:56:53,593
TEST TO BE SIMILAR TO A 

5240
03:56:53,593 --> 03:56:59,866
PREGNANCY TEST.

5241
03:56:59,866 --> 03:57:02,936
IT WORKED BY DETECTING THE 

5242
03:57:02,936 --> 03:57:05,205
DEGRANULATION OF NEUTROPHILS.

5243
03:57:05,205 --> 03:57:06,907
AND THE BIOMARKERS DETECTED IN 

5244
03:57:06,907 --> 03:57:12,746
ONE LINE AND THE INNOVATION 

5245
03:57:12,746 --> 03:57:18,518
ARISES FROM MANY YEARS OF OUR 

5246
03:57:18,518 --> 03:57:20,287
FOUNDER'S WORK WHO LED THE WORK 

5247
03:57:20,287 --> 03:57:21,822
AND LED TO THE PREGNANCY TEST 

5248
03:57:21,822 --> 03:57:28,028
PRODUCT LINE.

5249
03:57:28,028 --> 03:57:29,429
IT'S DONE IN FIVE MINUTES AND 

5250
03:57:29,429 --> 03:57:32,466
CREATED A HOUSING WITH A HANDLE 

5251
03:57:32,466 --> 03:57:34,768
ON IT FOR BETTER POSITIONING.

5252
03:57:34,768 --> 03:57:39,573
IT WORKS WITH MID STREAM OR CUP 

5253
03:57:39,573 --> 03:57:41,708
BASED METHOD FOR COLLECTION OF 

5254
03:57:41,708 --> 03:57:43,477
URINE AND HAS TWO DIFFERENT 

5255
03:57:43,477 --> 03:57:45,645
TESTING CONTROL LINE AREAS.

5256
03:57:45,645 --> 03:57:48,281
VERY EASY TO INTERPRET WHEN 

5257
03:57:48,281 --> 03:57:52,552
USED.

5258
03:57:52,552 --> 03:57:57,057
THE BEHIND IT AND WHAT MAKES IT 

5259
03:57:57,057 --> 03:58:02,596
INTERESTING IS THAT THE BODY 

5260
03:58:02,596 --> 03:58:03,463
CREATES IT'S OWN AMPLIFICATION 

5261
03:58:03,463 --> 03:58:03,930
LOOP SYSTEM.

5262
03:58:03,930 --> 03:58:08,268
WHEN NEUTROPHILS ARE SCATTERING 

5263
03:58:08,268 --> 03:58:11,004
AROUND AND FIND INFECTION IN THE

5264
03:58:11,004 --> 03:58:14,674
BLADDER OR UTERINE TRACT THEY 

5265
03:58:14,674 --> 03:58:16,076
RELEASE CHEMICALS AND THAT 

5266
03:58:16,076 --> 03:58:18,011
SIGNALS MORE NEUTROPHILS TO 

5267
03:58:18,011 --> 03:58:20,280
ARRIVE, MORE NEUTROPHILS TO 

5268
03:58:20,280 --> 03:58:24,651
ACTIVATE.

5269
03:58:24,651 --> 03:58:27,187
IT GOES AND GOES UNTIL THERE'S 

5270
03:58:27,187 --> 03:58:29,256
ENOUGH CHEMICALS TO BE DETECTED 

5271
03:58:29,256 --> 03:58:31,358
ON OUR TEST AND WE CAN DETECT IT

5272
03:58:31,358 --> 03:58:32,859
AROUND THE POINT WHERE CULTURE 

5273
03:58:32,859 --> 03:58:36,296
IS ABLE TO BE DETECTED A LITTLE 

5274
03:58:36,296 --> 03:58:42,135
BIT EARLIER AND THEN OF COURSE 

5275
03:58:42,135 --> 03:58:43,236
NEUTROPHILS THEMSELVES BEING 

5276
03:58:43,236 --> 03:58:43,503
DETECTED.

5277
03:58:43,503 --> 03:58:50,076
WE LOOK AT THIS AS A FIRST 

5278
03:58:50,076 --> 03:58:50,610
APPRO

5279
03:58:50,610 --> 03:58:52,579
APPROACH TO MEASURING UTI.

5280
03:58:52,579 --> 03:58:56,283
THIS DATA IS NOT OFFICIAL BUT 

5281
03:58:56,283 --> 03:58:57,817
PREVIOUS TRIALS DURING THE 

5282
03:58:57,817 --> 03:58:58,251
PROJECT.

5283
03:58:58,251 --> 03:59:01,388
WE USED A COMPOSITE REFERENCE 

5284
03:59:01,388 --> 03:59:03,657
STANDARD THAT IS NATIONALLY 

5285
03:59:03,657 --> 03:59:06,226
RECOGNIZED STANDARD OF URINARY 

5286
03:59:06,226 --> 03:59:09,029
TRACT INFECTION WHERE YOU HAVE 

5287
03:59:09,029 --> 03:59:10,864
WHITE BLOOD CELL COUNT AND 

5288
03:59:10,864 --> 03:59:12,499
BACTERIA LEVEL CULTURE ABOVE A 

5289
03:59:12,499 --> 03:59:15,001
CERTAIN LEVEL AND 97% 

5290
03:59:15,001 --> 03:59:19,105
SPECIFICITY AND SENSITIVITY IN 

5291
03:59:19,105 --> 03:59:20,273
THE DIVERSE POPULATION.

5292
03:59:20,273 --> 03:59:21,675
IT'S VERY GOOD UTILITY IN 

5293
03:59:21,675 --> 03:59:32,152
PATIENTS ABOVE 10 YEARS OLD.

5294
03:59:32,919 --> 03:59:36,089
WHEN WE TALKED TO THE FDA ABOUT 

5295
03:59:36,089 --> 03:59:37,290
THE DE NOVO PROCESS THEY ARE LAD

5296
03:59:37,290 --> 03:59:42,529
A STANDARD AND ASKED US TO GO 

5297
03:59:42,529 --> 03:59:49,269
BACK AND THINK ABOUT WHAT TO DO 

5298
03:59:49,269 --> 03:59:51,238
WITH CLIN TRAL TRIAL AND AS IT 

5299
03:59:51,238 --> 03:59:56,176
CLINICAL DIAGNOSIS INSTEAD OF 

5300
03:59:56,176 --> 03:59:57,210
JUST CULTURE OR JUST WHITE BLOOD

5301
03:59:57,210 --> 04:00:00,146
CELLS.

5302
04:00:00,146 --> 04:00:03,183
IF WE WERE TO JUST TAKE CULTURE 

5303
04:00:03,183 --> 04:00:07,153
OUR TEST WOULD HAVE HIGH 

5304
04:00:07,153 --> 04:00:08,622
SENSITIVITY AND CULTURE IS NOT 

5305
04:00:08,622 --> 04:00:09,556
KNOWN TO BE VERY SENSITIVE.

5306
04:00:09,556 --> 04:00:16,563
WHAT WE DID INSTEAD IS DECIDED 

5307
04:00:16,563 --> 04:00:18,298
WE'D DO WHAT IS HAPPENING IN THE

5308
04:00:18,298 --> 04:00:18,698
FIELD.

5309
04:00:18,698 --> 04:00:22,802
INSTEAD OF HAVING CULTURE OR 

5310
04:00:22,802 --> 04:00:26,339
WHITE BLOOD CELLS WE LOOK AT ALL

5311
04:00:26,339 --> 04:00:29,209
THE DATA FROM THE PATIENT 

5312
04:00:29,209 --> 04:00:30,677
HISTORY, TEMPERATURE, WHITE 

5313
04:00:30,677 --> 04:00:36,716
BLOOD CELLS, NITRATES, ALL THE 

5314
04:00:36,716 --> 04:00:40,987
PICTURE AND THEN THEY'LL DECIDE 

5315
04:00:40,987 --> 04:00:43,456
WHETHER THE PATIENT HAD A UTI OR

5316
04:00:43,456 --> 04:00:43,823
NOT.

5317
04:00:43,823 --> 04:00:48,094
WE HAD DONE THIS BEFORE AND 

5318
04:00:48,094 --> 04:00:51,665
FOUND OUR TEST CORRELATED BETTER

5319
04:00:51,665 --> 04:00:55,035
THAN CULTURE DID.

5320
04:00:55,035 --> 04:00:59,306
IT'S A DE NOVO PROCESS THROUGH 

5321
04:00:59,306 --> 04:00:59,973
THE FDA.

5322
04:00:59,973 --> 04:01:03,410
WE'RE BASICALLY READY TO DO 

5323
04:01:03,410 --> 04:01:04,678
ANALYTICAL VALIDATION AND THE 

5324
04:01:04,678 --> 04:01:06,346
CLINICAL TRIAL IS PLANNED FOR 

5325
04:01:06,346 --> 04:01:08,281
FEBRUARY 2025.

5326
04:01:08,281 --> 04:01:15,989
THANK YOU VERY MUCH.

5327
04:01:15,989 --> 04:01:16,756
>> THANK YOU FOR SHARING.

5328
04:01:16,756 --> 04:01:19,059
WE DON'T HAVE QUESTIONS ONLINE.

5329
04:01:19,059 --> 04:01:21,594
WE INVITE ATTENDEES ON LINE TO 

5330
04:01:21,594 --> 04:01:21,828
SUBMIT.

5331
04:01:21,828 --> 04:01:24,464
DO WE HAVE QUESTIONS HERE IN THE

5332
04:01:24,464 --> 04:01:34,641
AUDIENCE?

5333
04:01:45,018 --> 04:01:47,420
>> DO YOU HAVE PLANS THIS
COULD 

5334
04:01:47,420 --> 04:01:50,223
COVER IT AND IS THERE 

5335
04:01:50,223 --> 04:01:51,124
PERSPECTIVE IN THE FUTURE THIS 

5336
04:01:51,124 --> 04:02:01,668
IS TO TELL YOU YES OR NO ARE YOU

5337
04:02:02,635 --> 04:02:08,007
THINKING ABOUT THE DIRECTION?

5338
04:02:08,007 --> 04:02:13,279
>> I THINK YOU'RE TALKING
ABOUT 

5339
04:02:13,279 --> 04:02:13,913
ANTIBIOTIC SPECIFICITY.

5340
04:02:13,913 --> 04:02:14,914
YEAR GOING AFTER A SCREENING 

5341
04:02:14,914 --> 04:02:19,586
TOOL BUT IN THE FUTURE YOU CAN 

5342
04:02:19,586 --> 04:02:21,254
PAIR THIS WITH A POINT OF CARE 

5343
04:02:21,254 --> 04:02:22,789
MOLECULAR TEST TO DETERMINE WHAT

5344
04:02:22,789 --> 04:02:24,758
BACTERIA WAS THE CAUSATIVE AGE 

5345
04:02:24,758 --> 04:02:27,660
IN THE.

5346
04:02:27,660 --> 04:02:29,629
INTERESTING ENOUGH THOUGH 

5347
04:02:29,629 --> 04:02:35,969
THERE'S NOT VERY MUCH DETERMINED

5348
04:02:35,969 --> 04:02:38,538
THE BIGGEST MARKET IS FOR UTI 

5349
04:02:38,538 --> 04:02:39,839
SCREEN NOT TO DETERMINE WHAT THE

5350
04:02:39,839 --> 04:02:49,416
BACTERIA IS.

5351
04:02:49,416 --> 04:02:51,117
>> WILL THE CLINICAL TRIAL
BE 

5352
04:02:51,117 --> 04:02:52,752
POWERED TO DETERMINE DIFFERENCES

5353
04:02:52,752 --> 04:02:55,121
BETWEEN RACE AND ETHNICITIES?

5354
04:02:55,121 --> 04:03:00,193
>> THAT'S A GOOD QUESTION.

5355
04:03:00,193 --> 04:03:01,428
WE'VE DESIGN A CLINICAL TRIAL 

5356
04:03:01,428 --> 04:03:03,763
PROTOCOL WHERE IT'S ALL COMERS 

5357
04:03:03,763 --> 04:03:06,399
AND THAT'S WHAT THE FDA LIKES.

5358
04:03:06,399 --> 04:03:09,636
BUT PUTTING CLINICAL TRIAL SITES

5359
04:03:09,636 --> 04:03:10,537
IN DIFFERENT AREAS WE PLAN TO 

5360
04:03:10,537 --> 04:03:15,708
GET DIFFERENT POPULATIONS IN 

5361
04:03:15,708 --> 04:03:15,909
THERE.

5362
04:03:15,909 --> 04:03:21,314
WE'D LOVE TO HAVE PREGNANT 

5363
04:03:21,314 --> 04:03:21,748
PEOPLE INVOLVED.

5364
04:03:21,748 --> 04:03:24,350
WE DON'T HAVE AN INCLUSION 

5365
04:03:24,350 --> 04:03:25,785
CRITERIA THEY HAVE TO BE THIS 

5366
04:03:25,785 --> 04:03:31,591
BUT WE ARE NOT EXCLUDING THEM 

5367
04:03:31,591 --> 04:03:32,091
EITHER.

5368
04:03:32,091 --> 04:03:34,394
WE INTEND TO HAVE A DIVERSE 

5369
04:03:34,394 --> 04:03:35,762
POPULATION AS POSSIBLE.

5370
04:03:35,762 --> 04:03:37,130
>> WONDERFUL.

5371
04:03:37,130 --> 04:03:39,332
WE'VE MOVE TO THE NEXT 

5372
04:03:39,332 --> 04:03:41,835
PRESENTATION FROM CARETAKER 

5373
04:03:41,835 --> 04:03:43,236
MEDICAL.

5374
04:03:43,236 --> 04:03:47,307
KEVIN FARINHOLT AND HE IS 

5375
04:03:47,307 --> 04:03:48,374
MATERNAL HEALTH MONITORING WITH 

5376
04:03:48,374 --> 04:03:50,343
THE VITAL STREAM.

5377
04:03:50,343 --> 04:03:50,677
THANK YOU.

5378
04:03:50,677 --> 04:03:51,277
>> THANK YOU.

5379
04:03:51,277 --> 04:03:52,745
GOOD AFTERNOON, EVERYONE.

5380
04:03:52,745 --> 04:03:54,214
REALLY APPRECIATE THE 

5381
04:03:54,214 --> 04:03:55,415
OPPORTUNITY TO BE HERE FOR 

5382
04:03:55,415 --> 04:03:58,418
SUMMARIZING OUR WORK ON THE RADX

5383
04:03:58,418 --> 04:03:59,052
PROJECT.

5384
04:03:59,052 --> 04:04:01,254
MY NAME IS FARINHOLT I'M A DATA 

5385
04:04:01,254 --> 04:04:07,760
SCIENTIST WITH CARETAKER IN 

5386
04:04:07,760 --> 04:04:09,696
CHARLOTTESVILLE, VIRGINIA AND 

5387
04:04:09,696 --> 04:04:11,197
PROVIDE AN OVERVIEW OF OUR 

5388
04:04:11,197 --> 04:04:12,432
DEVICE TO IMPROVE MATERNAL 

5389
04:04:12,432 --> 04:04:18,238
HEALTH CARE IN THE HOME SETTING.

5390
04:04:18,238 --> 04:04:24,043
THE PLATFORM PROVED  -- PROVIDES

5391
04:04:24,043 --> 04:04:26,646
A WEARABLE DEVICE WITH THE RISK 

5392
04:04:26,646 --> 04:04:29,682
UNIT AND FINGER SENSOR THAT 

5393
04:04:29,682 --> 04:04:30,817
LOOKS AT THE DIGITAL ARTERIES 

5394
04:04:30,817 --> 04:04:34,554
WITHIN THE PATIENT.

5395
04:04:34,554 --> 04:04:37,190
WITH FIVE FDA CLEARANCES WE RELY

5396
04:04:37,190 --> 04:04:42,762
ON OUR ANALYSIS TECHNIQUE TO 

5397
04:04:42,762 --> 04:04:46,232
BEST CALCULATE 16 HEMODYNAMIC 

5398
04:04:46,232 --> 04:04:49,669
PARAMETERS FOR NON-INVASIVE 

5399
04:04:49,669 --> 04:04:54,274
ALTERNATIVE CATHETERS AND 

5400
04:04:54,274 --> 04:04:59,779
PROVIDES HIGH ACUTITY PATIENT 

5401
04:04:59,779 --> 04:05:01,814
MONITORING AND THE IT CAPTURES 

5402
04:05:01,814 --> 04:05:03,416
AND PRESENTS THE DATA TO THE 

5403
04:05:03,416 --> 04:05:09,489
PATIENT OR THE CLINICIAN AND HAS

5404
04:05:09,489 --> 04:05:13,593
THE ABILITY TO PAIR WITH 

5405
04:05:13,593 --> 04:05:16,629
TEMPERATURE SENSORS AND OTHERS 

5406
04:05:16,629 --> 04:05:17,864
TO SCOMBAND THE MONITORING OF 

5407
04:05:17,864 --> 04:05:18,598
THE PATIENT.

5408
04:05:18,598 --> 04:05:23,636
DATA COULD BE DISPLAYED ON THE 

5409
04:05:23,636 --> 04:05:24,971
TABLET OR SMARTPHONE AND 

5410
04:05:24,971 --> 04:05:29,008
IMPORTED INTO EMRs AND HAVE A 

5411
04:05:29,008 --> 04:05:31,311
MONITORING SYSTEM AND PORTAL 

5412
04:05:31,311 --> 04:05:35,014
WHERE DATA CAN BE ACCESSED 

5413
04:05:35,014 --> 04:05:37,283
REMOTELY FOR AT-HOME 

5414
04:05:37,283 --> 04:05:37,584
DIAGNOSTICS.

5415
04:05:37,584 --> 04:05:39,886
FOR THE RADX PROJECT OUR FOCUS 

5416
04:05:39,886 --> 04:05:47,527
HAS BEEN ON HOW VITAL STREAM CAN

5417
04:05:47,527 --> 04:05:51,197
IMPROVE HEALTH CARE DESERTS AND 

5418
04:05:51,197 --> 04:05:53,232
HEMORRHAGE AND SEPSIS RELATED 

5419
04:05:53,232 --> 04:05:53,666
COMPLICATIONS.

5420
04:05:53,666 --> 04:05:56,269
THEY ACCOUNT FOR A THIRD OF 

5421
04:05:56,269 --> 04:05:57,870
MATERNAL DEATHS WITHIN THE 

5422
04:05:57,870 --> 04:06:00,306
U.S. AND ESTIMATES ARE HALF ARE 

5423
04:06:00,306 --> 04:06:01,341
PREVENTIBLE AND IT'S THOUGHT 

5424
04:06:01,341 --> 04:06:06,512
EARLY DETECTION IS KEY TO 

5425
04:06:06,512 --> 04:06:09,449
DETECTING CHANGES AND DETECTING 

5426
04:06:09,449 --> 04:06:14,454
HEMODYNAMIC PARAMETERS WE CAN 

5427
04:06:14,454 --> 04:06:16,289
IMPROVE HEALTH WITHIN THE 

5428
04:06:16,289 --> 04:06:20,293
MATERNAL POPULATION AND CAN 

5429
04:06:20,293 --> 04:06:22,495
EXTEND TO GENERAL PATIENT 

5430
04:06:22,495 --> 04:06:23,730
POPULATION ACROSS HOSPITALS.

5431
04:06:23,730 --> 04:06:25,665
THE CONCEPT OF CARETAKER MEDICAL

5432
04:06:25,665 --> 04:06:28,101
IS DEVELOPED FOR THE MATERNAL 

5433
04:06:28,101 --> 04:06:31,404
HEALTH FOCUSSING ON PROMOTING 

5434
04:06:31,404 --> 04:06:32,705
MONITORING BY MOTHERS AT HOME, 

5435
04:06:32,705 --> 04:06:34,273
BEFORE, DURING OR AFTER DELIVERY

5436
04:06:34,273 --> 04:06:37,610
WHERE THE PATIENT IS PRESCRIBED 

5437
04:06:37,610 --> 04:06:39,812
A VITAL STREAM FOR 10 MINUTE 

5438
04:06:39,812 --> 04:06:42,515
SESSIONS A FEW TIMES A DAY OR 

5439
04:06:42,515 --> 04:06:45,485
WHILE THEY SLEEP AT NIGHT 

5440
04:06:45,485 --> 04:06:47,854
ALLOWING THE MONITOR TO ANALYZE 

5441
04:06:47,854 --> 04:06:48,588
INFORMATION TO PROVIDE AN 

5442
04:06:48,588 --> 04:06:50,790
ASSESSMENT BASED ON THE 

5443
04:06:50,790 --> 04:06:51,691
INDIVIDUAL SESSION AS WELL AS 

5444
04:06:51,691 --> 04:06:53,292
LOOKING AT DAY TO DAY TRENDS AND

5445
04:06:53,292 --> 04:06:55,628
HOW THEY INDICATE WHETHER THE 

5446
04:06:55,628 --> 04:06:58,598
MOTHER'S HEALTH IS IMPROVING OR 

5447
04:06:58,598 --> 04:06:59,832
DECLINING IN THE DAYS, WEEKS AND

5448
04:06:59,832 --> 04:07:02,602
MONTHS POSTPARTUM.

5449
04:07:02,602 --> 04:07:04,537
ANOTHER GOAL IS TO WHY EMPOWER 

5450
04:07:04,537 --> 04:07:07,674
WOMEN IN THEIR HEALTH DECISIONS 

5451
04:07:07,674 --> 04:07:09,609
AND DISCUSSIONS WITH HEALTH CARE

5452
04:07:09,609 --> 04:07:10,943
PROVIDERS AND DATA CAN BE 

5453
04:07:10,943 --> 04:07:13,446
UPLOADED AND ACCESSED BY THE 

5454
04:07:13,446 --> 04:07:14,747
MOTHER'S CLINICIAN AND SUPPORT 

5455
04:07:14,747 --> 04:07:18,051
TELEHEALTH OR OUT PATIENT CARE.

5456
04:07:18,051 --> 04:07:19,952
ADDITIONALLY, WITH THE MOTHER'S 

5457
04:07:19,952 --> 04:07:29,128
CONSENT IT CAN BE DE-IDENTIFY 

5458
04:07:29,128 --> 04:07:34,934
FOR RESEARCH.

5459
04:07:34,934 --> 04:07:36,402
AS THE MODELS ARE TRAINED AND 

5460
04:07:36,402 --> 04:07:39,839
DEVELOPED THEY CAN BE REAPPLIED 

5461
04:07:39,839 --> 04:07:41,774
USING THE DATA DISSEMINATION TO 

5462
04:07:41,774 --> 04:07:46,612
THE DEVICES OUT IN THE FIELD.

5463
04:07:46,612 --> 04:07:48,548
THE PROJECT WE WORKED ON 

5464
04:07:48,548 --> 04:07:50,683
COMPLIMENTS A NUMBER OF EXISTING

5465
04:07:50,683 --> 04:07:52,785
CLINICAL STUDIES FOCUSSED ON 

5466
04:07:52,785 --> 04:07:57,690
MATERNAL HEALTH IN POSTPARTUM 

5467
04:07:57,690 --> 04:08:01,761
MOTHERS AND MONITOR PATIENTS AT 

5468
04:08:01,761 --> 04:08:04,030
RISK FOR HYPERTENSIVE EVENTS AND

5469
04:08:04,030 --> 04:08:07,333
PROVIDES AN OUTCOME OF CLINICAL 

5470
04:08:07,333 --> 04:08:09,335
TRIALS THAT EVOLVE MONITORING IN

5471
04:08:09,335 --> 04:08:10,203
THE CLINICAL SETTING AND OUR 

5472
04:08:10,203 --> 04:08:12,004
TEAM IS ACTIVELY SEEKING 

5473
04:08:12,004 --> 04:08:13,406
COLLABORATION WITH MEDICAL 

5474
04:08:13,406 --> 04:08:15,475
EXPERTS AND ACADEM YOU CAN 

5475
04:08:15,475 --> 04:08:20,847
RESEARCHERS SEEKING  NONINVASIVE

5476
04:08:20,847 --> 04:08:23,549
SOLUTIONS AND THE PROGRAM HAS 

5477
04:08:23,549 --> 04:08:26,619
BEEN AN INVALUABLE OPPORTUNITY 

5478
04:08:26,619 --> 04:08:27,687
TO LEVERAGE CLINICAL TRIALS 

5479
04:08:27,687 --> 04:08:29,589
FOCUSSED ON SEPSIS MONITORING 

5480
04:08:29,589 --> 04:08:30,690
INCLUDING TRIALS WHERE VITAL 

5481
04:08:30,690 --> 04:08:33,793
STREAM HAS BEEN USED TO MONITOR 

5482
04:08:33,793 --> 04:08:35,194
PATIENTS WITH PREVIOUS SEPSIS 

5483
04:08:35,194 --> 04:08:36,963
DIAGNOSES AND OTHER HIGH-RISK 

5484
04:08:36,963 --> 04:08:38,831
SURGICAL PROCEDURES WHERE THE 

5485
04:08:38,831 --> 04:08:45,638
ONSET OF SEPSIS WAS CAPTURED AND

5486
04:08:45,638 --> 04:08:46,572
WERE ABLE TO PROVIDE VALUABLE 

5487
04:08:46,572 --> 04:08:48,808
INSIGHT INTO THE CHALLENGES OF 

5488
04:08:48,808 --> 04:08:50,476
GAINING PATIENT TRUST AND THE 

5489
04:08:50,476 --> 04:08:51,811
PROMISE OF ADEQUATE INFORMATION 

5490
04:08:51,811 --> 04:08:54,514
THAT CAN HELP EMPOWER WOMEN IN 

5491
04:08:54,514 --> 04:08:57,250
THEIR DISCUSSIONS WITH THEIR 

5492
04:08:57,250 --> 04:08:59,452
HEALTH CARE PROVIDERS AND 

5493
04:08:59,452 --> 04:09:01,654
THEY'VE ALSO PROVIDED GUIDANCE 

5494
04:09:01,654 --> 04:09:03,689
ON SUPPORTING RURAL COMMUNITIES 

5495
04:09:03,689 --> 04:09:07,560
AND OBTAIN BUY-IN BY HOSPITALS 

5496
04:09:07,560 --> 04:09:11,063
AND INSURANCERS AND HEALTH CARE 

5497
04:09:11,063 --> 04:09:12,231
PROVIDERS TO GET THESE DEVICES 

5498
04:09:12,231 --> 04:09:13,766
INTO THE HANDS OF MOTHERS WHERE 

5499
04:09:13,766 --> 04:09:15,201
THEY ARE HAVE NO TRUSTED HEALTH 

5500
04:09:15,201 --> 04:09:17,170
CARE OPTIONS.

5501
04:09:17,170 --> 04:09:18,871
THE VITAL STREAM DEVICE COMBINED

5502
04:09:18,871 --> 04:09:20,973
WITH THE EMORY USABILITY STUDY 

5503
04:09:20,973 --> 04:09:23,442
HAVE HELPED US IDENTIFY FEATURES

5504
04:09:23,442 --> 04:09:26,412
OF THE PLATFORM SITUATED FOR 

5505
04:09:26,412 --> 04:09:27,914
MATERNAL HEALTH AND TO IMPROVE 

5506
04:09:27,914 --> 04:09:31,484
THE DATA PRESENTATION WORK FLOW 

5507
04:09:31,484 --> 04:09:33,886
TO SIMPLIFY THE DEVICE AND 

5508
04:09:33,886 --> 04:09:35,721
ACHIEVE THE HIGHEST LEVEL OF 

5509
04:09:35,721 --> 04:09:41,561
COMPLIANCE WITH PATIENTS AND THE

5510
04:09:41,561 --> 04:09:45,498
IMPROVE RADX PROGRAM HAVE 

5511
04:09:45,498 --> 04:09:46,833
PARTNERSHIPS AND THE UNIVERSITY 

5512
04:09:46,833 --> 04:09:47,633
OF VIRGINIA.

5513
04:09:47,633 --> 04:09:48,835
THESE STUDIES ARE SHAPING UP TO 

5514
04:09:48,835 --> 04:09:52,738
BE IMPACTFUL FOR OUR COMPANY.

5515
04:09:52,738 --> 04:09:55,274
AND WE ALIGN WITH OUR GOAL OF 

5516
04:09:55,274 --> 04:09:56,275
PARTNERING WITH OTHERS IN 

5517
04:09:56,275 --> 04:10:00,279
MATERNAL HEALTH AND WELLNESS.

5518
04:10:00,279 --> 04:10:01,914
WE'RE LOOKING TO REPLICATE THESE

5519
04:10:01,914 --> 04:10:02,481
WITH OTHER COLLABORATORS AS 

5520
04:10:02,481 --> 04:10:03,883
THEY'RE INTERESTED.

5521
04:10:03,883 --> 04:10:14,293
I APPRECIATE YOUR TIME.

5522
04:10:15,761 --> 04:10:16,562
>> THANK YOU.

5523
04:10:16,562 --> 04:10:18,130
WE HAVE TIME FOR QUESTION IF 

5524
04:10:18,130 --> 04:10:27,840
THERE'S ANY FROM THE AUDIENCE.

5525
04:10:27,840 --> 04:10:32,011
>> I'M WITH THE DOULA
COCO-OP OF

5526
04:10:32,011 --> 04:10:32,511
NEVADA IN THE CHALLENGE 

5527
04:10:32,511 --> 04:10:36,782
PARTICIPANTS.

5528
04:10:36,782 --> 04:10:39,685
THESE HAVE THE POTENTIAL TO BE 

5529
04:10:39,685 --> 04:10:42,388
LIFE SAVING AND INTEGRATED MODEL

5530
04:10:42,388 --> 04:10:43,489
FOR BLOOD PRESSURE MONITORING.

5531
04:10:43,489 --> 04:10:45,691
IN TERMS OF ACCESS, THE COST OF 

5532
04:10:45,691 --> 04:10:47,793
MEDICAL DEVICES AND THE COST OF 

5533
04:10:47,793 --> 04:10:50,830
MEDICAL DEVICES TO BE DEVELOPED 

5534
04:10:50,830 --> 04:10:53,432
AND ALSO CONTRIBUTED, INSURANCE 

5535
04:10:53,432 --> 04:10:54,367
COMPANIES DON'T OFTEN COVER THE 

5536
04:10:54,367 --> 04:11:00,273
COST OF MEDICAL DEVICES FOR 

5537
04:11:00,273 --> 04:11:01,340
AT-HOME USE.

5538
04:11:01,340 --> 04:11:02,975
HOW CAN PEOPLE USE THESE IN A 

5539
04:11:02,975 --> 04:11:05,244
WAY TO ALLOW THEM TO FULLY 

5540
04:11:05,244 --> 04:11:06,445
UNDERSTAND THEIR SYMPTOMS 

5541
04:11:06,445 --> 04:11:07,346
ESPECIALLY IN RURAL AND UNDER 

5542
04:11:07,346 --> 04:11:09,015
SERVED COMMUNITIES WHERE THEY 

5543
04:11:09,015 --> 04:11:12,084
DON'T HAVE EXTRA FUNDS FOR WHAT 

5544
04:11:12,084 --> 04:11:13,853
WOULD MAYBE BE CONSIDERED A 

5545
04:11:13,853 --> 04:11:15,721
LUXURY ITEM?

5546
04:11:15,721 --> 04:11:16,522
I'M WONDERING IF INSURANCE IS 

5547
04:11:16,522 --> 04:11:17,323
PART OF THAT?

5548
04:11:17,323 --> 04:11:18,624
>> WE'RE LOOKING AT THE 

5549
04:11:18,624 --> 04:11:21,661
INSURANCE MODELS AND CRITICAL 

5550
04:11:21,661 --> 04:11:23,462
ACCESS 4079S.

5551
04:11:23,462 --> 04:11:24,797
THEY HAVE DIFFERENT PROTOCOLS 

5552
04:11:24,797 --> 04:11:29,168
AND STANDARDS.

5553
04:11:29,168 --> 04:11:34,607
WE'RE LOOKING AT THATS AWAY WAY 

5554
04:11:34,607 --> 04:11:37,643
TO LOOK AT THE UNDER SERVED 

5555
04:11:37,643 --> 04:11:40,479
SETTING AND LOOKING AT WAYS TO 

5556
04:11:40,479 --> 04:11:42,381
REDUCE THE COST OF THE DEVICES.

5557
04:11:42,381 --> 04:11:44,283
THOSE ARE THE TWO PRIMARY 

5558
04:11:44,283 --> 04:11:48,454
METHODOLOGIES.

5559
04:11:48,454 --> 04:11:51,724
>> WE HAVE ONLINE QUESTION

5560
04:11:51,724 --> 04:11:52,992
SIMILAR TO WHAT WAS JUST ASKED 

5561
04:11:52,992 --> 04:11:58,164
AND IF YOU WOULD BREAK IT DOWN 

5562
04:11:58,164 --> 04:12:07,373
MORE ABOUT THE PRICE OF THE 

5563
04:12:07,373 --> 04:12:07,640
DEVICE.

5564
04:12:07,640 --> 04:12:08,841
>> RIGHT NOW THE DEVICE IS

5565
04:12:08,841 --> 04:12:11,077
CLOSER TO THE THOUSANDS OF 

5566
04:12:11,077 --> 04:12:14,914
DOLLARS BECAUSE RIGHT NOW 

5567
04:12:14,914 --> 04:12:16,182
THEY'RE IN A SURGICAL DEPARTMENT

5568
04:12:16,182 --> 04:12:16,983
AND TRYING TO GET THAT DOWN TO 

5569
04:12:16,983 --> 04:12:18,918
THE HUNDREDS OF DOLLARS RANGE 

5570
04:12:18,918 --> 04:12:20,553
AND THAT'S WHAT WE'RE LOOKING AT

5571
04:12:20,553 --> 04:12:24,290
THROUGH IMPROVEMENTS IN THE 

5572
04:12:24,290 --> 04:12:27,793
ELECTRONICS AS WELL AS REDUCTION

5573
04:12:27,793 --> 04:12:34,033
IN SIZE AND CONSIDERING OPTICAL 

5574
04:12:34,033 --> 04:12:34,900
TECHNIQUES AS WAYS TO AUGMENT 

5575
04:12:34,900 --> 04:12:45,011
THIS.

5576
04:12:51,017 --> 04:12:54,353
>> AT SOME POINT SAY THE
TRIAL 

5577
04:12:54,353 --> 04:12:56,355
WILL SHOW YOU'RE PREVENTING 20% 

5578
04:12:56,355 --> 04:13:02,261
OF THE TESTS, THAT'S A LOT OF 

5579
04:13:02,261 --> 04:13:10,236
VALUE LOOKING AT THAT WITH THE 

5580
04:13:10,236 --> 04:13:11,937
NUMBER OF DEVICES IN THE 

5581
04:13:11,937 --> 04:13:13,406
POPULATION AND THE SAFKS ARE 

5582
04:13:13,406 --> 04:13:15,274
HIGHER THAN THE COST THEN THAT 

5583
04:13:15,274 --> 04:13:18,144
THE WHAT YOU SHOW THE INSURANCE 

5584
04:13:18,144 --> 04:13:20,646
AND SHOW, WELL, YOU CAN SAVE 

5585
04:13:20,646 --> 04:13:21,147
MONEY.

5586
04:13:21,147 --> 04:13:22,848
>> I APPRECIATE THAT
POINT.

5587
04:13:22,848 --> 04:13:26,052
WE'VE LOOKED AT THE RISK AND 

5588
04:13:26,052 --> 04:13:27,319
REDUCING THAT AS ONE METHODOLOGY

5589
04:13:27,319 --> 04:13:30,923
FOR THE RETURN ON INVESTMENT.

5590
04:13:30,923 --> 04:13:32,625
>> WE NEED TO MOVE ON AND 

5591
04:13:32,625 --> 04:13:35,061
CONSIDER THE IMPACT ON THE 

5592
04:13:35,061 --> 04:13:36,395
QUALITY OF HEALTH CARE PROPER IF

5593
04:13:36,395 --> 04:13:41,200
HE PATIENT.

5594
04:13:41,200 --> 04:13:41,600
ALL RIGHT.

5595
04:13:41,600 --> 04:13:48,240
NEXT IS SANGUINA ERIKA TY BURST 

5596
04:13:48,240 --> 04:13:52,411
SKI TALKING ABOUT THE ANEMOCHECK

5597
04:13:52,411 --> 04:13:55,214
MY MOBILE MORE MATERNAL HEALTH 

5598
04:13:55,214 --> 04:13:56,749
AND ANEMIA MANAGEMENT.

5599
04:13:56,749 --> 04:13:57,416
>> HELLO.

5600
04:13:57,416 --> 04:13:58,651
LATE IN THE AFTERNOON.

5601
04:13:58,651 --> 04:14:01,387
THANK YOU THANKS FOR STICKING 

5602
04:14:01,387 --> 04:14:01,654
AROUND.

5603
04:14:01,654 --> 04:14:06,258
MY NAME IS ERIKA.

5604
04:14:06,258 --> 04:14:08,160
I'VE HAD ANEMIA MY WHOLE LIFE 

5605
04:14:08,160 --> 04:14:15,468
AND HAD SEVERE ANEMIA AFTER 

5606
04:14:15,468 --> 04:14:17,703
DELIVERING AND I HAD TO MONITOR 

5607
04:14:17,703 --> 04:14:24,276
MYSELF AT HOME AND WE'RE ONE OF 

5608
04:14:24,276 --> 04:14:30,149
THE RADX AWARDEES.

5609
04:14:30,149 --> 04:14:32,284
IN ATLANTA, GEORGIA WE SEE BIG 

5610
04:14:32,284 --> 04:14:36,589
HEALTH CARE EQUITY DISPARITIES.

5611
04:14:36,589 --> 04:14:37,389
HAVING OUR COMPANY THERE WAS 

5612
04:14:37,389 --> 04:14:37,656
IMPORTANT.

5613
04:14:37,656 --> 04:14:40,326
I WANTED TO CREATE TOOLS AS 

5614
04:14:40,326 --> 04:14:41,961
ACCESSIBLE AS POSSIBLE TO 

5615
04:14:41,961 --> 04:14:42,661
UNDERSTAND INFORMATION WITH YOUR

5616
04:14:42,661 --> 04:14:43,729
HEALTH.

5617
04:14:43,729 --> 04:14:45,131
IF WE CAN DO IT WITHOUT 

5618
04:14:45,131 --> 04:14:47,500
EQUIPMENT, LET'S DO IT.

5619
04:14:47,500 --> 04:14:51,904
IF WE CAN DO IT FULLY DISPOSABLE

5620
04:14:51,904 --> 04:14:53,939
AND AFFORDABLE, WHY NOT.

5621
04:14:53,939 --> 04:14:55,641
THAT'S THE GENESIS BEHIND WHAT 

5622
04:14:55,641 --> 04:15:03,749
YOU ARE OUR COMPANY DOES.

5623
04:15:03,749 --> 04:15:07,887
WE CREATE SMART PHONE APPS AND 

5624
04:15:07,887 --> 04:15:10,422
LOOK THE ACUTE ILLNESS AND 

5625
04:15:10,422 --> 04:15:11,090
CHRONIC DISEASE AND HAVE A LOT 

5626
04:15:11,090 --> 04:15:13,492
OF THAT IN THE STATE OF GEORGIA 

5627
04:15:13,492 --> 04:15:16,262
EVEN 20 MILES OUTSIDE THE CITY.

5628
04:15:16,262 --> 04:15:23,936
YOU CAN GET INTO A MATERNITY 

5629
04:15:23,936 --> 04:15:26,605
DESERT AND MAKE TESTING HAPPEN.

5630
04:15:26,605 --> 04:15:28,541
ANEMIA IS A FIRST TARGET.

5631
04:15:28,541 --> 04:15:30,776
I HAVE GREAT CO-FOUNDERS WHO 

5632
04:15:30,776 --> 04:15:33,179
HAVE EXPERIENCES WITH ANEMIA.

5633
04:15:33,179 --> 04:15:36,115
IT EXISTS IN 2.4 BILLION PEOPLE 

5634
04:15:36,115 --> 04:15:37,716
ON THE PLANET.

5635
04:15:37,716 --> 04:15:41,720
IT'S THE MOST COMMON BLOOD 

5636
04:15:41,720 --> 04:15:43,289
DISORDER AND IT'S VERY MUCH LIKE

5637
04:15:43,289 --> 04:15:44,256
A VITAL SIGN IN SAYING SOMETHING

5638
04:15:44,256 --> 04:15:47,159
IS OUT OF WHACK IN YOUR SYSTEM.

5639
04:15:47,159 --> 04:15:50,696
IT CAUSES NON-SPECIFIC SYMPTOMS.

5640
04:15:50,696 --> 04:15:52,798
FATIGUE, DIZZINESS, IT CAN CAUSE

5641
04:15:52,798 --> 04:15:54,567
COMPLICATIONS SPECIFICALLY IN 

5642
04:15:54,567 --> 04:15:58,704
PREGNANCY AND POSTPARTUM 

5643
04:15:58,704 --> 04:15:59,171
POPULATIONS.

5644
04:15:59,171 --> 04:16:05,644
IF I USE THE WORD HEMOGLOBIN 

5645
04:16:05,644 --> 04:16:07,546
IT'S JUST A METRIC AND THE 

5646
04:16:07,546 --> 04:16:09,114
NUMBER IS IN LOW RESOURCE 

5647
04:16:09,114 --> 04:16:10,583
SETTINGS AND EVEN AT HOME WE 

5648
04:16:10,583 --> 04:16:11,450
HAVE A BIG POPULATION THAT'S 

5649
04:16:11,450 --> 04:16:19,391
ANEMIC.

5650
04:16:19,391 --> 04:16:21,660
WE CREATED TWO TOOLS FOR 

5651
04:16:21,660 --> 04:16:22,861
DETECTING ANEMIA.

5652
04:16:22,861 --> 04:16:24,530
THE FIRST ONE IS A HOME TEST KIT

5653
04:16:24,530 --> 04:16:30,402
THAT USED A DROP OF BLOOD FOR 

5654
04:16:30,402 --> 04:16:32,371
HEMOGLOBIN DETECTION AND IT'S 

5655
04:16:32,371 --> 04:16:34,006
GETTING FOR A LAUNCH FOR HOME 

5656
04:16:34,006 --> 04:16:34,440
USE.

5657
04:16:34,440 --> 04:16:36,308
WE'RE VERY PROUD OF THAT.

5658
04:16:36,308 --> 04:16:38,410
IT'S A SIMPLE TEST AND TAKES TWO

5659
04:16:38,410 --> 04:16:41,580
MINUTES AND WE'LL BE PRICING IT 

5660
04:16:41,580 --> 04:16:44,617
SIMILAR TO OTHER DISPOSABLE 

5661
04:16:44,617 --> 04:16:45,684
TESTS IN THE MARKET.

5662
04:16:45,684 --> 04:16:47,853
I HOPE BE EXCITING NEWS IN THE 

5663
04:16:47,853 --> 04:16:48,153
FUTURE.

5664
04:16:48,153 --> 04:16:50,089
THE REASON I BRING IT UP IS WE 

5665
04:16:50,089 --> 04:16:51,890
DECIDED TO PUSH THE ENVELOPE 

5666
04:16:51,890 --> 04:16:53,559
FURTHER AND DO ANEMIA TRACKING 

5667
04:16:53,559 --> 04:16:54,593
AND MANAGEMENT WITHOUT TOOLS AND

5668
04:16:54,593 --> 04:16:57,162
EQUIPMENT TAKING OFF THE-SHELF 

5669
04:16:57,162 --> 04:16:59,498
COMPONENTS AND FOR US THAT WAS A

5670
04:16:59,498 --> 04:16:59,798
SMARTPHONE.

5671
04:16:59,798 --> 04:17:04,370
AS SOMEONE ALLUDED TO EARLIER 

5672
04:17:04,370 --> 04:17:05,437
EVERYONE HAS A SMART PHONE AND 

5673
04:17:05,437 --> 04:17:09,775
PEOPLE ARE CONNECTED AND THEY'LL

5674
04:17:09,775 --> 04:17:11,043
FIND WI-FI EVEN IN A FREE 

5675
04:17:11,043 --> 04:17:12,578
LIBRARY AND HOW CAN WE TURN THE 

5676
04:17:12,578 --> 04:17:14,446
PHONE INTO SOMETHING THAT HELPS 

5677
04:17:14,446 --> 04:17:15,648
WITH MEDICAL TRACKING?

5678
04:17:15,648 --> 04:17:19,318
WE CREATED A NON-INVASIVE 

5679
04:17:19,318 --> 04:17:21,787
TECHNOLOGY THAT USES OLD SCHOOL 

5680
04:17:21,787 --> 04:17:23,355
MEDICINE LOOKING AT THE PALENESS

5681
04:17:23,355 --> 04:17:29,795
OF NAIL BEDS AND YOU TAKE A 

5682
04:17:29,795 --> 04:17:32,164
PICTURE AND IT'S AVAILABLE ON 

5683
04:17:32,164 --> 04:17:34,833
THE APP STORES IT'S CALLED ANEMO

5684
04:17:34,833 --> 04:17:37,770
CHECK GLOBAL AND IN A MATTER OF 

5685
04:17:37,770 --> 04:17:40,272
SECONDS IT BALANCES BACK TO GIVE

5686
04:17:40,272 --> 04:17:43,442
IN ESTIMATE OF YOUR HEMOGLOBIN 

5687
04:17:43,442 --> 04:17:44,410
LETTER ON SCREEN AND FROM THERE 

5688
04:17:44,410 --> 04:17:47,980
YOU CAN TRACK RESULTS.

5689
04:17:47,980 --> 04:17:49,415
WE LAUNCHED THIS TWO OR THREE 

5690
04:17:49,415 --> 04:17:55,487
YEARS AGO AND IT'S A PRETTY GOOD

5691
04:17:55,487 --> 04:17:56,221
SCREENING TOOL AND THERE'S 

5692
04:17:56,221 --> 04:17:57,823
VARIABILITY WITH LIGHTING AND 

5693
04:17:57,823 --> 04:18:00,426
PERSON AND TESTED THIS ON MANY 

5694
04:18:00,426 --> 04:18:01,727
SKIN TONES TO CHARACTERIZE HOW 

5695
04:18:01,727 --> 04:18:02,361
IT WORKS.

5696
04:18:02,361 --> 04:18:04,063
THIS IS WHERE THE MAJOR OF THE 

5697
04:18:04,063 --> 04:18:05,831
TWO TECHNOLOGIES COMES INTO 

5698
04:18:05,831 --> 04:18:06,031
PLAY.

5699
04:18:06,031 --> 04:18:07,966
IF YOU HAVE A BASELINE RESULT 

5700
04:18:07,966 --> 04:18:11,070
WHETHER A LAB OR OUR SINGLE USE 

5701
04:18:11,070 --> 04:18:13,605
DISPOSABLE TEST YOU CAN 

5702
04:18:13,605 --> 04:18:19,078
CALIBRATE THE APP SO IT'S KRAEKT

5703
04:18:20,112 --> 04:18:21,780
 -- CREATED FOR YOUR HOME AND 

5704
04:18:21,780 --> 04:18:24,283
ANYTHING INTRAPERSONAL TO YOUR 

5705
04:18:24,283 --> 04:18:26,985
NAIL BEDS.

5706
04:18:26,985 --> 04:18:28,153
WE GET AS GOOD AS A BLOOD TEST 

5707
04:18:28,153 --> 04:18:31,824
AND HAVE DONE STUDIES WITH THE 

5708
04:18:31,824 --> 04:18:33,125
RADX AND IN CHRONIC DISEASE 

5709
04:18:33,125 --> 04:18:35,527
POPULATIONS BUT THE PROGRAM HAS 

5710
04:18:35,527 --> 04:18:37,529
BEEN THE LAUNCH PAD TO LOOK AT 

5711
04:18:37,529 --> 04:18:41,333
THIS FOR PREGNANCY AND 

5712
04:18:41,333 --> 04:18:42,534
POSTPARTUM.

5713
04:18:42,534 --> 04:18:45,604
ANYONE WITH A SMART PHONE CAN 

5714
04:18:45,604 --> 04:18:53,579
START TRACKING THEIR HEMOGLOBIN 

5715
04:18:53,579 --> 04:18:54,446
LEVEL AT HOME.

5716
04:18:54,446 --> 04:18:56,281
I LIKE TO TALK ABOUT HOW MANY 

5717
04:18:56,281 --> 04:19:00,052
PEOPLE WE'VE BEEN ABLE TO REACH 

5718
04:19:00,052 --> 04:19:02,688
SO FAR WE HAVE 231,000 USERS IN 

5719
04:19:02,688 --> 04:19:04,256
THE U.S. ONLY.

5720
04:19:04,256 --> 04:19:06,959
WE'RE LOOKING TO EXPAND 

5721
04:19:06,959 --> 04:19:07,393
WORLDWIDE.

5722
04:19:07,393 --> 04:19:10,429
THERE'S A FEW LOGISTICAL THINGS 

5723
04:19:10,429 --> 04:19:11,497
BUT EXCITED TO BRANCH IT OTHER 

5724
04:19:11,497 --> 04:19:14,967
COUNTRIES AND HAVE A MILLION AND

5725
04:19:14,967 --> 04:19:16,668
A HALF TESTS AND WHEN WE TALK 

5726
04:19:16,668 --> 04:19:19,204
ABOUT ACCESS I LIKE THESE 

5727
04:19:19,204 --> 04:19:20,205
NUMBERS THE MOST.

5728
04:19:20,205 --> 04:19:20,472
THANK YOU.

5729
04:19:20,472 --> 04:19:30,949
HAPPY TO TAKE ANY QUESTIONS.

5730
04:19:32,518 --> 04:19:35,521
>> WE STARTED PARTNERSHIPS
WITH 

5731
04:19:35,521 --> 04:19:37,523
FOLKS IN WEST AFRICA AND 

5732
04:19:37,523 --> 04:19:38,824
WONDERING IF YOU TEST THE 

5733
04:19:38,824 --> 04:19:40,325
PRODUCT ON DIFFERENT RACIAL 

5734
04:19:40,325 --> 04:19:41,393
BACKGROUNDS.

5735
04:19:41,393 --> 04:19:42,895
WHAT'S THE LOOK LIKE IN TERMS OF

5736
04:19:42,895 --> 04:19:43,562
NAIL BEDS?

5737
04:19:43,562 --> 04:19:45,798
>> WE HAVE A COUPLE
PARTNERSHIPS

5738
04:19:45,798 --> 04:19:55,274
IN AFRICA RIGHT NOW.

5739
04:19:55,274 --> 04:19:57,776
WE LOVE PARTNERING WITH LOCAL 

5740
04:19:57,776 --> 04:20:01,814
RURAL AREAS TO COLLECT DATA AND 

5741
04:20:01,814 --> 04:20:04,450
TO BE HONEST A LOT OF OUR DATA 

5742
04:20:04,450 --> 04:20:06,084
HAS BEEN DONE IN AFRICAN 

5743
04:20:06,084 --> 04:20:06,785
AMERICAN AND AFRICAN AMERICAN 

5744
04:20:06,785 --> 04:20:07,453
COMMUNITY COMMUNITIES.

5745
04:20:07,453 --> 04:20:11,690
WE LOOKED AT THOSE DEMOGRAPHICS.

5746
04:20:11,690 --> 04:20:16,195
>> HI, I'M FROM STANFORD 

5747
04:20:16,195 --> 04:20:16,728
UNIVERSITY.

5748
04:20:16,728 --> 04:20:19,698
CAN YOU COMMENT ON DIFFERENT 

5749
04:20:19,698 --> 04:20:23,001
TYPES OF ANEMIA, HEREDITARY OR 

5750
04:20:23,001 --> 04:20:24,102
IRON DEFICIENCY.

5751
04:20:24,102 --> 04:20:27,973
HAVE YOU LOOKED BEYOND 

5752
04:20:27,973 --> 04:20:28,540
HEMOGLOBIN?

5753
04:20:28,540 --> 04:20:31,977
>> WE HAVE A GOOD DATA SET
ON 

5754
04:20:31,977 --> 04:20:34,780
ANEMIA DUE TO DIFFERENT REASONS.

5755
04:20:34,780 --> 04:20:36,281
IRON DEFICIENCY IS PROBABLY THE 

5756
04:20:36,281 --> 04:20:36,982
BIGGEST.

5757
04:20:36,982 --> 04:20:38,150
WE HAVE PEOPLE WITH BLOOD 

5758
04:20:38,150 --> 04:20:39,218
DISORDER.

5759
04:20:39,218 --> 04:20:41,453
WE HAVE DONE A LOT WITH SICKLE 

5760
04:20:41,453 --> 04:20:47,125
CELL AND THALASSEMIA AND KIDS 

5761
04:20:47,125 --> 04:20:48,727
AND ADULTS AND HAVEN'T TESTED 

5762
04:20:48,727 --> 04:20:50,496
EVERY SINGLE REASON WHY SOMEONE 

5763
04:20:50,496 --> 04:20:52,264
IS ANEMIC BUT THE BEAUTIFUL PART

5764
04:20:52,264 --> 04:20:54,366
ABOUT CALIBRATING IS WE CAN GET 

5765
04:20:54,366 --> 04:20:55,734
THAT PERSON'S BASELINE WHEREVER 

5766
04:20:55,734 --> 04:20:57,803
IT PLAY BE AND WHATEVER 

5767
04:20:57,803 --> 04:21:00,272
CONDITION THEY PLAY BE DEALING 

5768
04:21:00,272 --> 04:21:03,475
WITH AND THE IDEA THEY'LL BECOME

5769
04:21:03,475 --> 04:21:04,376
MORE PALE AS THEY BECOME ANEMIC 

5770
04:21:04,376 --> 04:21:08,547
HAS BEEN TRUE.

5771
04:21:08,547 --> 04:21:09,681
IF THERE'S A SPECIFIC CONDITION 

5772
04:21:09,681 --> 04:21:14,386
YOU WANT TO TALK ABOUT I'M HAPPY

5773
04:21:14,386 --> 04:21:14,553
TO.

5774
04:21:14,553 --> 04:21:14,720
6:

5775
04:21:14,720 --> 04:21:17,523
>> HELLO.

5776
04:21:17,523 --> 04:21:28,033
I'M DEIDRE LYLE FROM STANFORD.

5777
04:21:28,033 --> 04:21:32,037
CAN YOU TALK ABOUT VALIDATION 

5778
04:21:32,037 --> 04:21:39,811
WHEN YOU LOOKED AT THE NAIL BED 

5779
04:21:39,811 --> 04:21:40,913
AND HEMOGLOBIN LEVELS NOT IN THE

5780
04:21:40,913 --> 04:21:42,681
SEVERE RANGE.

5781
04:21:42,681 --> 04:21:45,017
YOU FOCUSSED ON MAYBE SEVERE 

5782
04:21:45,017 --> 04:21:48,287
ANEMIA BUT MAYBE HEMOGLOBIN, 10,

5783
04:21:48,287 --> 04:21:49,221
11 AND 12?

5784
04:21:49,221 --> 04:21:52,958
>> THE ALGORITHM IN OUR
WELLNESS

5785
04:21:52,958 --> 04:21:55,661
TOOL FOR IRON SCORE AS OF RIGHT 

5786
04:21:55,661 --> 04:21:58,297
NOW AND ANEMIA THE BEST RANGE IS

5787
04:21:58,297 --> 04:22:00,933
BETWEEN 10 AND 13 AND LOOKING AT

5788
04:22:00,933 --> 04:22:02,968
THE PEOPLE JUST BORDERLINE 

5789
04:22:02,968 --> 04:22:03,802
ACCORDING TO W.H.O. STANDARDS 

5790
04:22:03,802 --> 04:22:08,574
FOR WOMEN AND MEN.

5791
04:22:08,574 --> 04:22:11,743
I WOULD SAY YES AND I THINK THE 

5792
04:22:11,743 --> 04:22:13,078
MORE SEVERE THE MORE IMPORTANT 

5793
04:22:13,078 --> 04:22:15,814
IT IS TO BASELINE WITH THE 

5794
04:22:15,814 --> 04:22:21,420
CALIBRATION.

5795
04:22:21,420 --> 04:22:24,756
>> I'M IN MY OTHER LIFE
I'M A 

5796
04:22:24,756 --> 04:22:25,490
LACTATION CONSULTANT AND THIS IS

5797
04:22:25,490 --> 04:22:27,960
MAYBE MORE OF A COMMENT BUT ONE 

5798
04:22:27,960 --> 04:22:36,301
THING WE OFTEN LOOK FOR IS 

5799
04:22:36,301 --> 04:22:46,812
ANEMIA WIN MOMS WITH LOW MILK 

5800
04:22:47,479 --> 04:22:47,646
SUPPLY.

5801
04:22:47,646 --> 04:22:56,288
>> LET'S TALK.

5802
04:22:56,288 --> 04:22:58,590
WE PARTNER WITH SYMPTOMOLOGY AND

5803
04:22:58,590 --> 04:23:00,225
THERE'LL BE A PUBLICATION WHERE 

5804
04:23:00,225 --> 04:23:01,860
IN A DIFFERENT DISEASE STATE WE 

5805
04:23:01,860 --> 04:23:03,695
DID THAT AND PARTNERING WITH THE

5806
04:23:03,695 --> 04:23:05,397
RIGHT QUESTIONS AND TECHNOLOGY, 

5807
04:23:05,397 --> 04:23:06,198
SENSITIVITY WENT THROUGH THE 

5808
04:23:06,198 --> 04:23:09,835
ROOF TO DETECT A CONDITION.

5809
04:23:09,835 --> 04:23:11,703
I'LL LOVE TO PARTNER.

5810
04:23:11,703 --> 04:23:12,938
I WAS TAKING SCREEN SHOTS OF 

5811
04:23:12,938 --> 04:23:15,874
YOUR PRESENTATION TOO.

5812
04:23:15,874 --> 04:23:20,278
>> GREAT DISCUSSION 

5813
04:23:20,278 --> 04:23:30,756
>> NEXT IS KELSEY MAYO
FROM 

5814
04:23:31,690 --> 04:23:35,127
ARMOR MEDICAL AND TALKING ABOUT 

5815
04:23:35,127 --> 04:23:36,928
MANY TERM ARMOR PROTECTION 

5816
04:23:36,928 --> 04:23:39,665
THROUGH EARLY HEMORRHAGE 

5817
04:23:39,665 --> 04:23:39,931
DETECTION.

5818
04:23:39,931 --> 04:23:42,167
>> I'M KELSEY MAYO THE 

5819
04:23:42,167 --> 04:23:44,136
CO-FOUNDER AND CEO OF ARMOR 

5820
04:23:44,136 --> 04:23:44,369
MEDICAL.

5821
04:23:44,369 --> 04:23:48,073
OUR COMPANY IS PIONEERING 

5822
04:23:48,073 --> 04:23:52,010
WEARABLES TO SAFEGUARD MATERNAL 

5823
04:23:52,010 --> 04:23:52,277
HEALTH.

5824
04:23:52,277 --> 04:23:57,416
WE'RE HERE TO CELEBRATE THE 

5825
04:23:57,416 --> 04:23:58,717
IMPROVE INITIATIVE.

5826
04:23:58,717 --> 04:24:03,655
MY GOAL IS FIRST AND FOREMOST TO

5827
04:24:03,655 --> 04:24:05,223
SAY THANK YOU.

5828
04:24:05,223 --> 04:24:15,767
AND TO EMPHASIZE HOW IMPORTANT 

5829
04:24:17,736 --> 04:24:18,937
PROGRAMS LIKE THIS HAVE HELPED 

5830
04:24:18,937 --> 04:24:28,280
TACKLE THE CRISIS.

5831
04:24:28,280 --> 04:24:29,781
I'M STANDING HERE AS AN 

5832
04:24:29,781 --> 04:24:33,185
ENGINEER, AS A MOM AND SURVIVOR 

5833
04:24:33,185 --> 04:24:35,887
OF HEMORRHAGE TO UNDER SCORE THE

5834
04:24:35,887 --> 04:24:38,490
FACT THAT HEMORRHAGE IS A GLOBAL

5835
04:24:38,490 --> 04:24:41,460
LEADING CAUSE OF MATERNAL DEATH 

5836
04:24:41,460 --> 04:24:43,428
AND MORBIDITY AND IT IS UP TO 

5837
04:24:43,428 --> 04:24:44,830
90% PREVENTIBLE WITH EARLY 

5838
04:24:44,830 --> 04:24:49,000
DETECTION AND TREATMENT.

5839
04:24:49,000 --> 04:24:51,837
WHY AREN'T WE ABLE TO DETECT 

5840
04:24:51,837 --> 04:24:54,940
HEMORRHAGE EARLY TODAY?

5841
04:24:54,940 --> 04:24:57,976
WELL, EARLY BLEEDING IS OFTEN 

5842
04:24:57,976 --> 04:24:58,243
SILENT.

5843
04:24:58,243 --> 04:25:01,813
PREGNANT PEOPLE CAN LOSE UP TO 

5844
04:25:01,813 --> 04:25:04,249
25% OF THEIR TOTAL BLOOD VOLUME 

5845
04:25:04,249 --> 04:25:06,251
BEFORE WE'LL SEE A CHANGE 

5846
04:25:06,251 --> 04:25:08,286
REFLECTED IN THEIR HEART RATE 

5847
04:25:08,286 --> 04:25:09,354
AND BLOOD PRESSURE.

5848
04:25:09,354 --> 04:25:11,656
AND THIS BLOOD LOSS IS OFTEN 

5849
04:25:11,656 --> 04:25:16,528
TIMES INTERNAL AND HIDDEN.

5850
04:25:16,528 --> 04:25:19,231
THIS DEPICT THE BODY'S RESPONSE 

5851
04:25:19,231 --> 04:25:20,532
TO INCREASING BLOOD LOSS AND 

5852
04:25:20,532 --> 04:25:23,602
ALSO HIGHLIGHTS HOW THE 

5853
04:25:23,602 --> 04:25:24,269
TREATMENTS BECOME INCREASINGLY 

5854
04:25:24,269 --> 04:25:28,273
MORE INVASIVE AND EXPENSIVE.

5855
04:25:28,273 --> 04:25:30,408
SO LET'S FACE IT, FOLKS, 

5856
04:25:30,408 --> 04:25:34,279
PROVIDERS NEED BETTER TOOLS.

5857
04:25:34,279 --> 04:25:38,383
THE CURRENT STANDARD OF CARE 

5858
04:25:38,383 --> 04:25:41,086
INCLUDES VISUAL ESTIMATION OF 

5859
04:25:41,086 --> 04:25:44,122
BLOOD LOSS, WEIGHING BLOOD 

5860
04:25:44,122 --> 04:25:47,159
SOAKED PADS AND LOOKING AT 

5861
04:25:47,159 --> 04:25:48,026
TRADITIONAL VITAL SIGNS.

5862
04:25:48,026 --> 04:25:51,096
IT'S NOT WORKING.

5863
04:25:51,096 --> 04:25:54,399
OUR TEAM AT ARMOR MEDICAL 

5864
04:25:54,399 --> 04:25:55,534
RECOGNIZES THE MATERNAL HEALTH 

5865
04:25:55,534 --> 04:25:57,269
CRISIS AND DEVELOPED A 

5866
04:25:57,269 --> 04:26:00,305
TECHNOLOGY THAT WE BELIEVE WILL 

5867
04:26:00,305 --> 04:26:03,275
BECOME THE NEW GOLD STANDARD OF 

5868
04:26:03,275 --> 04:26:03,842
CARE.

5869
04:26:03,842 --> 04:26:06,578
OUR DEVICE DETECTS THE EARLIEST 

5870
04:26:06,578 --> 04:26:08,280
SIGN OF HEMORRHAGE WHICH IS 

5871
04:26:08,280 --> 04:26:12,184
COMPENSATION.

5872
04:26:12,184 --> 04:26:18,323
MATERNAL ARMOR IS A WRIST WORN 

5873
04:26:18,323 --> 04:26:21,893
BLOOD FLOW HEMORRHAGE USED TO 

5874
04:26:21,893 --> 04:26:23,829
DETECT RISK IN REAL TIME.

5875
04:26:23,829 --> 04:26:25,197
THE PATENTED TECHNOLOGY WORKS BY

5876
04:26:25,197 --> 04:26:27,465
SENSING AND ALERTING PROVIDERS 

5877
04:26:27,465 --> 04:26:32,270
TO THE CHANGES AND BLOOD FLOW 

5878
04:26:32,270 --> 04:26:35,006
THAT HAPPENS AS THE BODY 

5879
04:26:35,006 --> 04:26:39,244
SHOULDN'T FROM BLOOD FROM THE 

5880
04:26:39,244 --> 04:26:41,446
PERIPHERY TO THE CORE AND 

5881
04:26:41,446 --> 04:26:43,281
ACCURATE AND ALLOWS PROVIDERS TO

5882
04:26:43,281 --> 04:26:44,349
STAY ONE STEP AHEAD IN 

5883
04:26:44,349 --> 04:26:48,286
RECOGNIZING AND RESPONDING TO A 

5884
04:26:48,286 --> 04:26:48,753
HEMORRHAGE.

5885
04:26:48,753 --> 04:26:51,857
WE BELIEVE THAT EARLY AND 

5886
04:26:51,857 --> 04:26:55,894
ACCURATE DETECTION IS THE 

5887
04:26:55,894 --> 04:27:01,433
SOLUTION AND STUDIES AT 

5888
04:27:01,433 --> 04:27:02,434
WASHINGTON UNIVERSITY IN 

5889
04:27:02,434 --> 04:27:03,835
ST. LOUIS SHOWS OUR DEVICE 

5890
04:27:03,835 --> 04:27:06,271
DETECTS EARLIER THAN STANDARD OF

5891
04:27:06,271 --> 04:27:08,907
CARE AND WORKS ROBUSTLY IN 

5892
04:27:08,907 --> 04:27:09,841
DIVERSE PATIENT POPULATIONS.

5893
04:27:09,841 --> 04:27:12,277
THIS HELPS US ACHIEVE BETTER 

5894
04:27:12,277 --> 04:27:16,915
HEALTH OUTCOMES FOR ALL.

5895
04:27:16,915 --> 04:27:20,218
SO, AS YOU CAN SEE HERE, WE ARE 

5896
04:27:20,218 --> 04:27:23,388
ONE OF THE FINALISTS IN THE RADX

5897
04:27:23,388 --> 04:27:24,389
TECH FOR MATERNAL HEALTH 

5898
04:27:24,389 --> 04:27:29,895
CHALLENGE AND WANT TO TAKE A 

5899
04:27:29,895 --> 04:27:31,963
MOMENT ON THE PROGRESS ENABLED 

5900
04:27:31,963 --> 04:27:33,198
THROUGH THE RADX PROGRAM.

5901
04:27:33,198 --> 04:27:35,367
ONE THING WE'VE BEEN ABLE NO DO 

5902
04:27:35,367 --> 04:27:37,435
IS TALK TO IMPRESSIVE AND 

5903
04:27:37,435 --> 04:27:38,336
INCREDIBLE THANK YOU FOR 

5904
04:27:38,336 --> 04:27:40,605
DONATING YOUR TIME, ALL THE 

5905
04:27:40,605 --> 04:27:42,674
CLINICAL KOLs AND THE MEMBERS OF

5906
04:27:42,674 --> 04:27:43,575
THE COMMUNITIES THAT WE AIM TO 

5907
04:27:43,575 --> 04:27:45,277
SERVE.

5908
04:27:45,277 --> 04:27:49,381
WE PARTNERED WITH THEM AND WITH 

5909
04:27:49,381 --> 04:27:51,549
THEIR HELP WE'VE BEEN ABLE TO 

5910
04:27:51,549 --> 04:27:54,786
ESTABLISH A NOW PATENT-PENDING 

5911
04:27:54,786 --> 04:27:56,288
METHOD FOR PERSONALIZING OUR 

5912
04:27:56,288 --> 04:27:58,556
RISK ASSESSMENT AND WE'VE 

5913
04:27:58,556 --> 04:28:00,258
IMPROVED BOTH OUR FORM FACTOR 

5914
04:28:00,258 --> 04:28:02,494
AND WEARABILITY AND USABILITY 

5915
04:28:02,494 --> 04:28:06,564
AND COMFORT AND FURTHERMORE IN A

5916
04:28:06,564 --> 04:28:08,533
RECENT CLINICAL STUDY CONFIRMED 

5917
04:28:08,533 --> 04:28:12,203
OUR ABILITY TO GO BEYOND BLOOD 

5918
04:28:12,203 --> 04:28:13,438
FLOW AND MEASURE ADDITIONAL 

5919
04:28:13,438 --> 04:28:15,340
PARAMETERS WITH OUR PLATFORM 

5920
04:28:15,340 --> 04:28:18,176
THAT WILL HELP US EXPAND OUR 

5921
04:28:18,176 --> 04:28:20,245
PRODUCT PIPELINE INTO ADDITIONAL

5922
04:28:20,245 --> 04:28:21,880
APPLICATIONS THAT SERVE MOMS AND

5923
04:28:21,880 --> 04:28:25,750
PREGNANT PEOPLE.

5924
04:28:25,750 --> 04:28:27,852
ANOTHER THING THAT WE'VE 

5925
04:28:27,852 --> 04:28:30,822
ACCOMPLISHED WITHIN THE RADX 

5926
04:28:30,822 --> 04:28:34,626
PROGRAM IS WE FINE TUNED OUR 

5927
04:28:34,626 --> 04:28:36,361
REGULATORY STRATEGY TO BETTER 

5928
04:28:36,361 --> 04:28:38,630
LEVERAGE OUR STATUS AS AN 

5929
04:28:38,630 --> 04:28:41,266
INNOVATIVE NON-INVASIVE DEVICE 

5930
04:28:41,266 --> 04:28:44,269
AND POSITION OURSELVES TO SECURE

5931
04:28:44,269 --> 04:28:47,672
ADDITIONAL REIMBURSEMENT HELPING

5932
04:28:47,672 --> 04:28:49,841
TO ACHIEVE GREATER ACCESS TO THE

5933
04:28:49,841 --> 04:28:51,776
TECHNOLOGY IN REGIONS THAT NEED 

5934
04:28:51,776 --> 04:28:52,610
IT MOST.

5935
04:28:52,610 --> 04:28:53,878
WE'VE RECEIVED A LOT OF 

5936
04:28:53,878 --> 04:28:55,080
RECOGNITION FOR OUR WORK AND 

5937
04:28:55,080 --> 04:28:56,414
PROGRESS OVER THE LAST TWO YEARS

5938
04:28:56,414 --> 04:28:59,451
AND PROUD TO SAY WE'RE ON TRACK 

5939
04:28:59,451 --> 04:29:01,987
TO LAUNCH OUR TECHNOLOGY TO 

5940
04:29:01,987 --> 04:29:04,189
U.S. MARKETS IN 2027.

5941
04:29:04,189 --> 04:29:06,758
THIS IS NOT SOMETHING THAT I'VE 

5942
04:29:06,758 --> 04:29:07,392
DONE ALONE.

5943
04:29:07,392 --> 04:29:14,299
I'M SO THANKFUL TO BE A PART OF 

5944
04:29:14,299 --> 04:29:16,001
AN INCREDIBLE TEAM AND WANT TO 

5945
04:29:16,001 --> 04:29:17,369
EXTEND A SINCERE THANK YOU TO 

5946
04:29:17,369 --> 04:29:20,105
MANY IN THE AUDIENCE AND PEOPLE 

5947
04:29:20,105 --> 04:29:23,875
FROM NIH AND HHS AS WELL AS THE 

5948
04:29:23,875 --> 04:29:25,643
INCREDIBLE COMMUNITY OF PARTNERS

5949
04:29:25,643 --> 04:29:26,611
MANY REPRESENTED ON THE SLIDE.

5950
04:29:26,611 --> 04:29:28,613
WITHOUT THEM, WITHOUT YOU, I 

5951
04:29:28,613 --> 04:29:30,115
DON'T THINK WE WOULD HAVE BEEN 

5952
04:29:30,115 --> 04:29:33,918
ABLE TO MOVE THIS QUICKLY AND I 

5953
04:29:33,918 --> 04:29:35,720
AM DEEPLY GRATEFUL FOR YOUR 

5954
04:29:35,720 --> 04:29:37,422
COLLABORATION AND SUPPORT.

5955
04:29:37,422 --> 04:29:39,524
THANK YOU FOR DARING TO INNOVATE

5956
04:29:39,524 --> 04:29:40,258
WITH US BECAUSE TOGETHER WE WILL

5957
04:29:40,258 --> 04:29:50,468
SAVE LIVES.

5958
04:29:55,106 --> 04:30:01,346
>> QUESTION FROM THE
AUDIENCE?

5959
04:30:01,346 --> 04:30:05,383
OKAY.

5960
04:30:05,383 --> 04:30:10,955
>> DO YOU SEE A FUTURE
WHERE THE

5961
04:30:10,955 --> 04:30:12,524
TECHNOLOGY IN A SMART PHONE OR 

5962
04:30:12,524 --> 04:30:13,725
WHERE EVERYBODY CAN AFFORD?

5963
04:30:13,725 --> 04:30:14,793
>> I LOVE THE QUESTION
EARLIER 

5964
04:30:14,793 --> 04:30:15,827
ABOUT ACCESS.

5965
04:30:15,827 --> 04:30:17,629
I THINK IT'S A SUPER POWER.

5966
04:30:17,629 --> 04:30:19,964
WE DEMONSTRATED WE CAN 

5967
04:30:19,964 --> 04:30:21,399
MANUFACTURE THE DEVICE AT LOW 

5968
04:30:21,399 --> 04:30:21,666
COST.

5969
04:30:21,666 --> 04:30:24,669
WE'VE BEEN VERY INNOVATIVE IN 

5970
04:30:24,669 --> 04:30:26,638
OUR BUSINESS MODEL AS WELL AS 

5971
04:30:26,638 --> 04:30:28,907
OUR TECHNOLOGY TO THINK ABOUT 

5972
04:30:28,907 --> 04:30:29,941
MANUFACTURING OUR DEVICE SO THAT

5973
04:30:29,941 --> 04:30:36,314
IT IS ACCESSIBLE WHERE NEEDED 

5974
04:30:36,314 --> 04:30:39,384
MOST.

5975
04:30:39,384 --> 04:30:41,786
A QUICK ASIDE THE DEVICE DOESN'T

5976
04:30:41,786 --> 04:30:44,489
HAVE A SCREEN THAT WAS 

5977
04:30:44,489 --> 04:30:46,257
INTENTIONAL TO LOWER THE COST OF

5978
04:30:46,257 --> 04:30:51,129
MANUFACTURING BECAUSE WE CAN DO 

5979
04:30:51,129 --> 04:30:51,863
IMPORTANT WORK WITHOUT 

5980
04:30:51,863 --> 04:30:55,266
INCREASING THE COST OF THE 

5981
04:30:55,266 --> 04:30:57,869
DEVICE SO IT BECOMES AFFORDABLE 

5982
04:30:57,869 --> 04:30:59,471
AND COULD THE TECHNOLOGY BE 

5983
04:30:59,471 --> 04:31:01,773
EMBEDDED TO OTHER WEARABLES?

5984
04:31:01,773 --> 04:31:03,074
IN THE FUTURE IT COULD BE.

5985
04:31:03,074 --> 04:31:04,275
RIGHT NOW THE DEVICE WORKS YOU 

5986
04:31:04,275 --> 04:31:09,547
CAN'T DO ABOUT WHAT WE DO WITH 

5987
04:31:09,547 --> 04:31:15,019
EXISTING SMART WATCHES BUT I'M 

5988
04:31:15,019 --> 04:31:18,022
OPEN TO THAT REACH PEOPLE IN THE

5989
04:31:18,022 --> 04:31:21,926
REMOTE MONITORING AND PATIENT 

5990
04:31:21,926 --> 04:31:25,263
CONSUMER QUESTIONS.

5991
04:31:25,263 --> 04:31:27,365
>> ONE IS IS THIS DEVICE
MORE 

5992
04:31:27,365 --> 04:31:31,336
JUST FOR THE HOSPITAL OR THE 

5993
04:31:31,336 --> 04:31:33,304
PLANNING TO DEPLOY WITH MORE 

5994
04:31:33,304 --> 04:31:39,844
DATA AND THE SECOND WHICH IS 

5995
04:31:39,844 --> 04:31:48,019
SIMILAR, AND ALSO IS IT BASED ON

5996
04:31:48,019 --> 04:31:48,319
SENSITIVITY?

5997
04:31:48,319 --> 04:31:50,221
OUR TEAM THOUGHT LONG AND HARD 

5998
04:31:50,221 --> 04:31:51,723
WHERE DO WE START?

5999
04:31:51,723 --> 04:31:53,858
DO WE START WITH REMOTE PATIENT 

6000
04:31:53,858 --> 04:31:57,162
MONITORING AND THINKING ABOUT 

6001
04:31:57,162 --> 04:32:00,865
SECONDARY POST PARTUM HEMORRHAGE

6002
04:32:00,865 --> 04:32:01,466
AT HOME?

6003
04:32:01,466 --> 04:32:05,236
WHAT WE DECIDED IS MOST 

6004
04:32:05,236 --> 04:32:06,070
HEMORRHAGE HAPPENS IN THE 24 

6005
04:32:06,070 --> 04:32:06,704
HOUR WINDOW.

6006
04:32:06,704 --> 04:32:08,640
THAT'S WHERE WE NEED TO START.

6007
04:32:08,640 --> 04:32:09,874
THAT'S NOT WHERE WE ARE 

6008
04:32:09,874 --> 04:32:10,141
STOPPING.

6009
04:32:10,141 --> 04:32:12,310
WE'LL FIRST DEPLOY OUR DEVICE 

6010
04:32:12,310 --> 04:32:15,647
BOTH IN TRADITIONAL HOSPITAL 

6011
04:32:15,647 --> 04:32:17,849
SETTINGS BUT ALSO CLAIMS SUCH AS

6012
04:32:17,849 --> 04:32:20,285
THIS DEVICE CAN BE USED BY 

6013
04:32:20,285 --> 04:32:22,754
CERTIFIED NURSE MIDWIVES AND 

6014
04:32:22,754 --> 04:32:23,755
BIRTHING CENTERS.

6015
04:32:23,755 --> 04:32:32,263
WE ABSOLUTELY BELIEVE WE HAVE A 

6016
04:32:32,263 --> 04:32:36,834
ROLE IN ADDRESSING GAPS IN CARE 

6017
04:32:36,834 --> 04:32:39,871
AND I'M BULLISH ON THAT POINT.

6018
04:32:39,871 --> 04:32:41,839
WE WILL BE EXPANDING INTO 

6019
04:32:41,839 --> 04:32:48,880
AT-HOME SETTINGS LOOKING AT POST

6020
04:32:48,880 --> 04:32:49,981
SECONDARY HEMORRHAGE AND WE 

6021
04:32:49,981 --> 04:32:50,682
BELIEVE IT'S A PLATFORM 

6022
04:32:50,682 --> 04:32:52,417
TECHNOLOGY AND THERE'S SO MANY 

6023
04:32:52,417 --> 04:32:54,752
OF MY INCREDIBLE PEERS ON THIS 

6024
04:32:54,752 --> 04:32:56,921
STAGE AND THROUGHOUT THE 

6025
04:32:56,921 --> 04:32:59,123
CONFERENCE HAVE SPOKEN TO SO 

6026
04:32:59,123 --> 04:33:01,226
MANY OTHER RELATED 

6027
04:33:01,226 --> 04:33:02,293
CARDIOVASCULAR COMPLICATIONS 

6028
04:33:02,293 --> 04:33:03,895
THAT DISPROPORTIONATELY AFFECT 

6029
04:33:03,895 --> 04:33:05,997
WOMEN IN THIS PERIOD OF LIVES 

6030
04:33:05,997 --> 04:33:08,132
AND BELIEVE WE CAN MAKE AN 

6031
04:33:08,132 --> 04:33:10,535
IMPACT IN THAT SETTING AS WELL 

6032
04:33:10,535 --> 04:33:10,802
AS.

6033
04:33:10,802 --> 04:33:12,770
THAT'S THE FIRST PART.

6034
04:33:12,770 --> 04:33:14,539
THE SECOND QUESTION, CAN YOU 

6035
04:33:14,539 --> 04:33:16,574
REMIND ME?

6036
04:33:16,574 --> 04:33:19,844
>> IS THE DEVICE ABLE TO 

6037
04:33:19,844 --> 04:33:27,352
STRATIFY OR BE MORE PROPER FOR 

6038
04:33:27,352 --> 04:33:31,789
AT RISK WOMEN OR THE SAME 

6039
04:33:31,789 --> 04:33:36,527
SENSITIVITY ACROSS?

6040
04:33:36,527 --> 04:33:40,865
IN THIS RESPECT TO THIS.

6041
04:33:40,865 --> 04:33:42,900
>> WE LOOKED AT THE ACOG 

6042
04:33:42,900 --> 04:33:45,903
GUIDELINES WHERE ALL PREGNANT 

6043
04:33:45,903 --> 04:33:50,942
PEOPLE ARE SCREENED FOR 

6044
04:33:50,942 --> 04:33:52,310
POSTPARTUM HEMORRHAGE BECAUSE 

6045
04:33:52,310 --> 04:33:55,747
THEY LAP CAN HAPPEN WITH THOSE 

6046
04:33:55,747 --> 04:33:57,248
WITHOUT RISK FACTORS BUT BELIEVE

6047
04:33:57,248 --> 04:33:59,450
IT SHOULD BE STANDARD OF CARE 

6048
04:33:59,450 --> 04:34:03,821
AND AVAILABLE TO ALL MOTHERS.

6049
04:34:03,821 --> 04:34:05,256
GREAT QUESTIONS.

6050
04:34:05,256 --> 04:34:06,791
THANK YOU ALL.

6051
04:34:06,791 --> 04:34:08,660
THANK YOU FOR YOUR TIME.

6052
04:34:08,660 --> 04:34:14,365
>> WE WANT TO THANK ALL
THE 

6053
04:34:14,365 --> 04:34:15,767
PRESENTERS AND AUDIENCE ONLINE 

6054
04:34:15,767 --> 04:34:19,070
AND HERE FOR THE GREAT 

6055
04:34:19,070 --> 04:34:19,570
ENGAGEMENT.

6056
04:34:19,570 --> 04:34:26,611
I WOULD LIKE TO INVITE DR

6057
04:34:26,611 --> 04:34:29,447
DR. CHAKTOURA TO DO THE WRAP-UP 

6058
04:34:29,447 --> 04:34:31,149
FOR THE DAY AND WHILE SHE COMES 

6059
04:34:31,149 --> 04:34:36,287
UP I WANT TO THANK ALL THE 

6060
04:34:36,287 --> 04:34:39,457
FINALISTS AGAIN IT'S WONDERFUL 

6061
04:34:39,457 --> 04:34:41,793
TO SEE THE DEVICES MATURE TO THE

6062
04:34:41,793 --> 04:34:43,594
END AND ALL THE PEOPLE INVOLVED 

6063
04:34:43,594 --> 04:34:43,995
BEHIND THE SCENES.

6064
04:34:43,995 --> 04:34:54,339
THANK YOU VERY MUCH.

6065
04:35:17,095 --> 04:35:20,031
>> I WANT TO THANK
EVERYONE THAT

6066
04:35:20,031 --> 04:35:24,001
PRESENTED TODAY AND EVERYONE IN 

6067
04:35:24,001 --> 04:35:27,739
THE AUDIENCE AND OUR VIRTUAL 

6068
04:35:27,739 --> 04:35:28,639
AUDIENCE AS WELL.

6069
04:35:28,639 --> 04:35:29,273
A GREAT ROUND OF APPLAUSE FOR 

6070
04:35:29,273 --> 04:35:34,679
EVERYBODY.

6071
04:35:34,679 --> 04:35:38,816
I KNOW IT'S A LONG DAY AND JUST 

6072
04:35:38,816 --> 04:35:43,988
TO SAY RADX MATERNAL HEALTH 

6073
04:35:43,988 --> 04:35:45,022
PARTNERS WILL BE UPSTAIRS SO 

6074
04:35:45,022 --> 04:35:46,591
PLEASE JOIN THEM FOR THE 

6075
04:35:46,591 --> 04:35:47,058
DEMONSTRATION.

6076
04:35:47,058 --> 04:35:49,160
AGAIN, ENCOURAGE YOU ALL TO 

6077
04:35:49,160 --> 04:35:51,262
COLLABORATE TOGETHER ON THESE 

6078
04:35:51,262 --> 04:35:51,929
ACTIVITIES.

6079
04:35:51,929 --> 04:35:56,267
THE IS THE FIRST MEETING WHERE 

6080
04:35:56,267 --> 04:35:57,435
ALL THE IMPROVE WORK STREAMS 

6081
04:35:57,435 --> 04:36:01,606
HAVE MET TOGETHER AND COME 

6082
04:36:01,606 --> 04:36:04,609
TOGETHER TO SHARE THEIR WORK AND

6083
04:36:04,609 --> 04:36:06,577
THEIR FUTURE WORK AND WHAT THEY 

6084
04:36:06,577 --> 04:36:10,148
ARE HAVE ONGOING.

6085
04:36:10,148 --> 04:36:13,451
REALLY ENCOURAGED BY 

6086
04:36:13,451 --> 04:36:13,985
COLLABORATION.

6087
04:36:13,985 --> 04:36:15,219
JUST A BRIEF HIGH-LEVEL SUMMARY 

6088
04:36:15,219 --> 04:36:20,024
FOR THE DAY.

6089
04:36:20,024 --> 04:36:22,760
WE REALLY APPRECIATE THE FOCUS 

6090
04:36:22,760 --> 04:36:24,162
ON CENTERING THE COMMUNITIES AND

6091
04:36:24,162 --> 04:36:28,266
THE COMMUNITIES AFFECTED IN THIS

6092
04:36:28,266 --> 04:36:30,701
MATERNAL HEALTH CRISIS WE HAVE 

6093
04:36:30,701 --> 04:36:31,269
IN THE U.S.

6094
04:36:31,269 --> 04:36:37,742
WHAT WE UNDER SCORED IS THAT 

6095
04:36:37,742 --> 04:36:40,578
BUILDING RELATIONSHIPS TO BUILD 

6096
04:36:40,578 --> 04:36:50,188
TRUST AND WE DO WANT ARIZONA'S 

6097
04:36:50,188 --> 04:36:51,389
T-SHIRTS FOR ALL THE NIH FOLKS.

6098
04:36:51,389 --> 04:36:52,857
I'M JOKING BUT NOT REALLY 

6099
04:36:52,857 --> 04:36:53,090
JOKING.

6100
04:36:53,090 --> 04:37:03,334
I'D LOVE ONE.

6101
04:37:03,935 --> 04:37:07,238
RESPECTING AND INCORPORATING 

6102
04:37:07,238 --> 04:37:08,272
CULTURAL PRACTICES IN RESEARCH 

6103
04:37:08,272 --> 04:37:09,807
DESIGNS AND MAKE SURE THERE'S 

6104
04:37:09,807 --> 04:37:12,376
MULTI-LEVEL ENGAGEMENT WITH THE 

6105
04:37:12,376 --> 04:37:16,814
COMMUNITY PARTNERS ACROSS WHAT'S

6106
04:37:16,814 --> 04:37:20,384
ALREADY PRESENTED AND BEING 

6107
04:37:20,384 --> 04:37:21,919
PLANNED AND WHAT CAME THROUGH 

6108
04:37:21,919 --> 04:37:23,254
LOUD AND CLEAR AND IMPORTANT 

6109
04:37:23,254 --> 04:37:26,724
FROM OUR PERSPECTIVE AND NIH 

6110
04:37:26,724 --> 04:37:27,458
PERSPECTIVE AND KNOWING IT'S 

6111
04:37:27,458 --> 04:37:28,993
GOING TO TAKE TIME TO BUILD THAT

6112
04:37:28,993 --> 04:37:30,795
IF IT'S NOT ALREADY EXISTING TO 

6113
04:37:30,795 --> 04:37:33,931
BUILD THAT RELATIONSHIP AND 

6114
04:37:33,931 --> 04:37:36,601
MAKING SURE IT'S NOT REALLY 

6115
04:37:36,601 --> 04:37:38,870
TRANSACTIONAL BUT INFORMED BY 

6116
04:37:38,870 --> 04:37:40,271
THE COMMUNITIES YOU ALL SERVE 

6117
04:37:40,271 --> 04:37:42,406
AND AMPLIFYING THE VOICES OF THE

6118
04:37:42,406 --> 04:37:45,409
COMMUNITY AND JOINING THEM AT 

6119
04:37:45,409 --> 04:37:45,710
THEIR TABLE.

6120
04:37:45,710 --> 04:37:46,878
I LOVED THAT STATEMENT.

6121
04:37:46,878 --> 04:37:49,514
I DON'T KNOW WHO SAID IT BUT I 

6122
04:37:49,514 --> 04:37:51,782
LOVE THAT STATEMENT MAKING SURE 

6123
04:37:51,782 --> 04:37:52,416
WE JOIN THE COMMUNITY AT THEIR 

6124
04:37:52,416 --> 04:37:55,052
TABLE.

6125
04:37:55,052 --> 04:37:59,891
OPPORTUNITIES TO INCORPORATE 

6126
04:37:59,891 --> 04:38:00,224
TECHNOLOGIES.

6127
04:38:00,224 --> 04:38:01,592
YOU HEARD OF THE VARIOUS RADX 

6128
04:38:01,592 --> 04:38:04,262
MATERNAL HEALTH WINNERS AND 

6129
04:38:04,262 --> 04:38:07,665
SEEING WHAT OPPORTUNITIES EXIST 

6130
04:38:07,665 --> 04:38:08,399
IN INCORPORATING THAT TO YOUR 

6131
04:38:08,399 --> 04:38:13,170
WORK WHETHER IT'S NOW OR FUTURE 

6132
04:38:13,170 --> 04:38:13,504
OPPORTUNITIES.

6133
04:38:13,504 --> 04:38:16,374
AND INTEGRATING THE COMMUNITY 

6134
04:38:16,374 --> 04:38:19,844
HEALTH WORKERS IN VARIOUS WAYS, 

6135
04:38:19,844 --> 04:38:21,178
UNDERSTANDING THAT'S ALSO 

6136
04:38:21,178 --> 04:38:23,047
POTENTIALLY A CHALLENGE OR NOT 

6137
04:38:23,047 --> 04:38:24,282
POTENTIALLY BUT THAT'S A 

6138
04:38:24,282 --> 04:38:26,484
CHALLENGE SOMETIMES IN YOUR WORK

6139
04:38:26,484 --> 04:38:29,153
BECAUSE THEY MAY NOT GET 

6140
04:38:29,153 --> 04:38:30,488
REIMBURSED IN THE SAME WAY 

6141
04:38:30,488 --> 04:38:32,290
ACROSS THE STATES AND 

6142
04:38:32,290 --> 04:38:34,659
COMMUNITIES THAT YOU SERVE.

6143
04:38:34,659 --> 04:38:37,528
AND REALLY OPPORTUNITIES TO 

6144
04:38:37,528 --> 04:38:39,997
LEARN FROM EACH OTHER INCLUDING 

6145
04:38:39,997 --> 04:38:40,298
CHALLENGES.

6146
04:38:40,298 --> 04:38:43,734
I THINK WE HAVE TWO PRESENTERS 

6147
04:38:43,734 --> 04:38:47,805
TALK ABOUT THE CONSEQUENCES OF 

6148
04:38:47,805 --> 04:38:51,442
LEGAL PULSE AND POLICY SCENARIOS

6149
04:38:51,442 --> 04:38:53,444
IN THEIR SPACE AND HOW THAT 

6150
04:38:53,444 --> 04:38:56,280
EFFECTS THE CARE OF THE WOMAN 

6151
04:38:56,280 --> 04:38:58,816
AND ACCESS TO CARE WHETHER 

6152
04:38:58,816 --> 04:39:01,052
THAT'S BEING ABLE TO CARE FOR 

6153
04:39:01,052 --> 04:39:02,987
THEMSELVES, THE RISK FOR 

6154
04:39:02,987 --> 04:39:04,789
THEMSELVES AND THE RISK OF 

6155
04:39:04,789 --> 04:39:06,223
SEPARATION FROM THEIR INFANTS.

6156
04:39:06,223 --> 04:39:09,994
SO THAT'S IMPORTANT FOR US TO 

6157
04:39:09,994 --> 04:39:11,662
CONSIDER.

6158
04:39:11,662 --> 04:39:14,999
THERE'S REIMBURSEMENTS WE TALKED

6159
04:39:14,999 --> 04:39:17,134
ABOUT AND THE THEME ACROSS 

6160
04:39:17,134 --> 04:39:18,636
TRANSPORTATION, FOOD INSECURITY 

6161
04:39:18,636 --> 04:39:21,172
AND BASIC NEEDS INDIVIDUALS NEED

6162
04:39:21,172 --> 04:39:22,306
THROUGHOUT THEIR LIVES BUT 

6163
04:39:22,306 --> 04:39:25,009
ESPECIALLY IN PREGNANCY AND THE 

6164
04:39:25,009 --> 04:39:26,877
POSTPARTUM PERIOD WERE 

6165
04:39:26,877 --> 04:39:27,545
HIGHLIGHTED.

6166
04:39:27,545 --> 04:39:30,247
THOSE ARE HIGH-LEVEL SUMMARIES 

6167
04:39:30,247 --> 04:39:32,416
OF DAY ONE AND AGAIN THANK YOU 

6168
04:39:32,416 --> 04:39:34,852
ALL FOR YOUR PARTICIPATION AND 

6169
04:39:34,852 --> 04:39:35,319
ENGAGEMENT AND GREAT 

6170
04:39:35,319 --> 04:39:37,455
PRESENTATIONS.

6171
04:39:37,455 --> 04:39:39,857
AND NOW IT IS MY PLEASURE TO 

6172
04:39:39,857 --> 04:39:41,626
INTRODUCE ONE MORE PERSON THAT 

6173
04:39:41,626 --> 04:39:52,169
WILL TALK TO US SO DR. ANDREA IS

6174
04:40:00,011 --> 04:40:06,484
GOING TO COME UP AND CREATING A 

6175
04:40:06,484 --> 04:40:08,853
DATA MOSAIC AND SHARING THE 

6176
04:40:08,853 --> 04:40:19,296
WINNER OF THAT CHALLENGE.

6177
04:40:28,239 --> 04:40:30,041
WE INVITED CONTRIBUTIONS FROM 

6178
04:40:30,041 --> 04:40:32,209
ALL THE CENTERS OF EXCELLENCE.

6179
04:40:32,209 --> 04:40:36,313
WE RECEIVED EIGHT SUBMISSIONS 

6180
04:40:36,313 --> 04:40:39,950
POSTER SUBMISSIONS AND 

6181
04:40:39,950 --> 04:40:43,220
PRESENTATIONS OF ITE DIFFERENT 

6182
04:40:43,220 --> 04:40:44,488
RESEARCH STUDIES AND DIFFERENT 

6183
04:40:44,488 --> 04:40:50,528
AUTHORS AND FOLKS COMING DEATH 

6184
04:40:50,528 --> 04:40:59,503
AND BRIDGIE IIE IING  -- BRINGI 

6185
04:40:59,503 --> 04:40:59,904
DATA.

6186
04:40:59,904 --> 04:41:01,939
I'LL START WITH THE MOST 

6187
04:41:01,939 --> 04:41:03,274
COMPELLING VIEWS OF DATA 

6188
04:41:03,274 --> 04:41:04,141
COLLECTED BEFORE THE PANDEMIC 

6189
04:41:04,141 --> 04:41:04,675
AND DURING AND AFTER THE 

6190
04:41:04,675 --> 04:41:06,777
PANDEMIC.

6191
04:41:06,777 --> 04:41:10,548
AND THIS POSTER AWARDS GOES TO 

6192
04:41:10,548 --> 04:41:15,953
DR. EMILY HARTWELL FROM TULANE 

6193
04:41:15,953 --> 04:41:20,491
UNIVERSITY.

6194
04:41:20,491 --> 04:41:21,826
THANK YOU SO MUCH.

6195
04:41:21,826 --> 04:41:22,860
I HAVEN'T DONE THIS BEFORE BUT 

6196
04:41:22,860 --> 04:41:26,430
IT'S VERY FUN.

6197
04:41:26,430 --> 04:41:30,234
THE TITLE OF THE PRESENTATION IS

6198
04:41:30,234 --> 04:41:30,768
INFERENCE OF THE COVID-19 

6199
04:41:30,768 --> 04:41:31,669
PANDEMIC PARTICIPATION IN 

6200
04:41:31,669 --> 04:41:32,269
CONNECTED MOM.

6201
04:41:32,269 --> 04:41:34,638
WE LEARNED ABOUT THE PROGRAM IN 

6202
04:41:34,638 --> 04:41:38,476
THE FIRST PANEL THIS MORNING.

6203
04:41:38,476 --> 04:41:40,177
CONGRATULATIONS TO YOU AND YOUR 

6204
04:41:40,177 --> 04:41:42,113
TEAM.

6205
04:41:42,113 --> 04:41:46,817
THE POSTER AWARD FOR BEST USE OF

6206
04:41:46,817 --> 04:41:49,787
MIXED METHODS GOES TO 

6207
04:41:49,787 --> 04:41:52,289
DR. McCORMACK FROM COLUMBIA 

6208
04:41:52,289 --> 04:41:52,590
UNIVERSITY.

6209
04:41:52,590 --> 04:41:56,627
THE TITLE OF THE POSTER IS LOW 

6210
04:41:56,627 --> 04:42:01,732
COST, HIGH BARRIERS AND IMPACT 

6211
04:42:01,732 --> 04:42:06,403
OF STRUCTURAL RACISM IN HEALTH 

6212
04:42:06,403 --> 04:42:08,172
EARLY IN THE COVID-19 PANDEMIC.

6213
04:42:08,172 --> 04:42:08,539
CONGRATULATIONS.

6214
04:42:08,539 --> 04:42:13,811
THE AWARD FOR BEST USE OF LINK 

6215
04:42:13,811 --> 04:42:17,915
DATA GOES TO DR. COLES FROM 

6216
04:42:17,915 --> 04:42:18,582
UNIVERSITY OF OKLAHOMA.

6217
04:42:18,582 --> 04:42:23,053
THE TITLE IS IMPACT OF COVID-19 

6218
04:42:23,053 --> 04:42:27,958
ON MATERNAL HEALTH SERVICE AND 

6219
04:42:27,958 --> 04:42:31,061
OUTCOMES IN OKLAHOMA.

6220
04:42:31,061 --> 04:42:37,635
THE AWARD FOR BEST USE OF FLASHL

6221
04:42:37,635 --> 04:42:42,239
DATA GOES TO DR. QOQALI FROM 

6222
04:42:42,239 --> 04:42:42,673
COLUMBIA UNIVERSITY.

6223
04:42:42,673 --> 04:42:47,411
CONGRATULATIONS.

6224
04:42:47,411 --> 04:42:49,380
BEST USE OF STATE MEDICAID DATA.

6225
04:42:49,380 --> 04:42:54,084
THIS POSTER AWARD GOES TO 

6226
04:42:54,084 --> 04:42:54,852
DR. ZU.

6227
04:42:54,852 --> 04:42:56,086
THIS IS MICHIGAN STATE 

6228
04:42:56,086 --> 04:42:56,387
UNIVERSITY.

6229
04:42:56,387 --> 04:43:02,660
CONGRATULATIONS.

6230
04:43:02,660 --> 04:43:07,998
THE TITLE IS ON RACIAL 

6231
04:43:07,998 --> 04:43:10,534
DISPARITIES AND COMORBIDITY 

6232
04:43:10,534 --> 04:43:11,168
DURING THE PANDEMIC.

6233
04:43:11,168 --> 04:43:14,338
THE POSTER AWARD FOR ENGAGEMENT 

6234
04:43:14,338 --> 04:43:17,675
OF EARLY STAGE EVALUATORS GOING 

6235
04:43:17,675 --> 04:43:22,046
TO DR. MEDEA, MICHIGAN STATE 

6236
04:43:22,046 --> 04:43:24,849
UNIVERSITY AND THE POSTER TITLE 

6237
04:43:24,849 --> 04:43:27,751
WORKING WITH SEVEN EARLY STAGE 

6238
04:43:27,751 --> 04:43:28,085
INVESTIGATORS.

6239
04:43:28,085 --> 04:43:31,856
THE TITLE WAS SEVERE MATERNAL 

6240
04:43:31,856 --> 04:43:36,293
DISPARITIES IN A MEDICAID 

6241
04:43:36,293 --> 04:43:39,263
POPULATION IN MICHIGAN.

6242
04:43:39,263 --> 04:43:40,798
WE HAVE TWO MORE AWARDS.

6243
04:43:40,798 --> 04:43:43,834
THE POSTER AWARD FOR MOST 

6244
04:43:43,834 --> 04:43:48,772
INNOVATIVE USE OF VALIDATED 

6245
04:43:48,772 --> 04:43:52,009
MEASURES GOES TO CHRISTINE 

6246
04:43:52,009 --> 04:43:54,511
YOKUMS FROM UNIVERSITY OF 

6247
04:43:54,511 --> 04:43:55,045
OKLAHOMA.

6248
04:43:55,045 --> 04:43:57,514
THE TITLE IS CHILD WITH 

6249
04:43:57,514 --> 04:44:00,284
ADVERSITY AND COVID OUTCOMES ON 

6250
04:44:00,284 --> 04:44:03,954
MATERNAL HEALTH.

6251
04:44:03,954 --> 04:44:06,223
AND THE AWARD FOR MOST 

6252
04:44:06,223 --> 04:44:10,661
INNOVATIVE USE OF DATA VISUALS 

6253
04:44:10,661 --> 04:44:14,331
GOES TO DR. GALE -- I WON'T BE 

6254
04:44:14,331 --> 04:44:18,702
ABLE TO PRONOUNCE THIS WELL, AND

6255
04:44:18,702 --> 04:44:20,404
THE TITLE OF THE POSTER IS BIRTH

6256
04:44:20,404 --> 04:44:22,539
WEIGHT ASSOCIATED WITH INTERVAL 

6257
04:44:22,539 --> 04:44:24,275
OF TIME BETWEEN COVID DIAGNOSIS 

6258
04:44:24,275 --> 04:44:30,648
AND DELIVERY.

6259
04:44:30,648 --> 04:44:32,249
THANK YOU FOR THE YOU 

6260
04:44:32,249 --> 04:44:32,549
OPPORTUNITY.

6261
04:44:32,549 --> 04:44:35,586
WE'LL HAVE THE DATA MOSAIC 

6262
04:44:35,586 --> 04:44:36,487
CHALLENGE AGAIN NEXT YEAR 

6263
04:44:36,487 --> 04:44:37,388
BECAUSE WE'LL DO THIS EVERY TIME

6264
04:44:37,388 --> 04:44:39,490
WE MEET WITH THE CENTERS OF 

6265
04:44:39,490 --> 04:44:39,790
EXCELLENCE.

6266
04:44:39,790 --> 04:44:42,326
THE THEME THIS YEAR AS YOU KNOW 

6267
04:44:42,326 --> 04:44:45,963
ALREADY I'M GOING THROUGH IT FOR

6268
04:44:45,963 --> 04:44:48,465
EVERYONE WAS INFLUENCE OF 

6269
04:44:48,465 --> 04:44:51,568
COVID-19 ON NEWBORN HEALTH 

6270
04:44:51,568 --> 04:44:53,370
OUTCOMES AND THE THEME NEXT 

6271
04:44:53,370 --> 04:44:54,638
WE'RE WILL BE DIFFERENT.

6272
04:44:54,638 --> 04:44:56,607
WE INVITE WIDE PARTICIPATION BY 

6273
04:44:56,607 --> 04:45:01,211
CENTERSES -- CENTERS NEXT YEAR 

6274
04:45:01,211 --> 04:45:03,681
AND INVITE YOU TO SEE THE 

6275
04:45:03,681 --> 04:45:04,581
POSTERS FOR THIS YEAR'S 

6276
04:45:04,581 --> 04:45:05,015
CHALLENGE UPSTAIRS.

6277
04:45:05,015 --> 04:45:08,285
THANK YOU SO MUCH.

6278
04:45:08,285 --> 04:45:09,954
>> SO, I'D INVITE
EVERYBODY TO 

6279
04:45:09,954 --> 04:45:12,289
GO UPSTAIRS FOR THE POSTER 

6280
04:45:12,289 --> 04:45:13,590
SESSION AS WELL AS THE 

6281
04:45:13,590 --> 04:45:13,924
DEMONSTRATION.

6282
04:45:13,924 --> 04:45:15,125
PLEASE JOIN US UPSTAIRS AND 

6283
04:45:15,125 --> 04:45:15,793
THANK YOU AGAIN FOR A GREAT DAY.

6284
04:45:15,793 --> 04:45:15,893