1 00:00:05,760 --> 00:00:10,520 >> HELLO, WELCOME TO DAY 2 OF 2 00:00:10,520 --> 00:00:14,120 THE NATIONAL ADVISORY BOARD 3 00:00:14,120 --> 00:00:17,560 COMING FROM NATIONAL INSTITUTES 4 00:00:17,560 --> 00:00:20,640 OF HEALTH AND FOR CHILD 5 00:00:20,640 --> 00:00:22,320 DEVELOPMENT AND MEDICAL HEALTH 6 00:00:22,320 --> 00:00:24,200 AND RESEARCH. YESTERDAY'S 7 00:00:24,200 --> 00:00:27,560 DISCUSSION WILL BE AVAILABLE ON 8 00:00:27,560 --> 00:00:33,160 THE NIH VIDEOCAST FOR ARCHIVE 9 00:00:33,160 --> 00:00:35,360 VIEWING AND TODAY'S SESSION IS 10 00:00:35,360 --> 00:00:39,000 AVAILABLE AFTERWARDS. WE 11 00:00:39,000 --> 00:00:40,920 APPRECIATE EVERYONE TUNING IN. 12 00:00:40,920 --> 00:00:43,880 TURNING IT TO ERIC TO RUN THE 13 00:00:43,880 --> 00:00:51,800 MEETING AND GET US STARTED. 14 00:00:51,800 --> 00:00:55,400 >> GOOD MORNING, WELCOME BACK. 15 00:00:55,400 --> 00:00:57,400 GIVING ONE OF THE ADVISORY 16 00:00:57,400 --> 00:00:59,000 MEMBERS NOT ABLE TO BE HERE AT 17 00:00:59,000 --> 00:01:01,280 THE BEGINNING YESTERDAY A CHANCE 18 00:01:01,280 --> 00:01:08,440 TO INTRODUCE HERSELF. WE HAVE 19 00:01:08,440 --> 00:01:09,280 FLORA HAMMOND. 20 00:01:09,280 --> 00:01:15,080 >> YES. THANK YOU FLORA 21 00:01:15,080 --> 00:01:15,360 HAMMOND. 22 00:01:15,360 --> 00:01:19,800 >> EXCELLENT AND WE HAVE AN EXO 23 00:01:19,800 --> 00:01:21,120 FISH YO [INDISCERNIBLE]. 24 00:01:21,120 --> 00:01:22,840 >> [INDISCERNIBLE]. 25 00:01:22,840 --> 00:01:25,280 >> THANKS. 26 00:01:25,280 --> 00:01:31,040 >> THE FIRST SESSION TODAY IS 27 00:01:31,040 --> 00:01:34,000 GOING TO BE FOCUSED ON KNOWLEDGE 28 00:01:34,000 --> 00:01:35,800 TRANSLATION THAT IS A TOPIC THE 29 00:01:35,800 --> 00:01:37,520 ADVISORY BOARD WAS VERY 30 00:01:37,520 --> 00:01:39,920 INTERESTED IN LAST TIME WE MET 31 00:01:39,920 --> 00:01:43,760 AND WORKED HARD TO PUT TOGETHER 32 00:01:43,760 --> 00:01:46,200 A SESSION I WILL ALL ENJOY AND 33 00:01:46,200 --> 00:01:48,480 TURNING IT TO RALPH TO INTRODUCE 34 00:01:48,480 --> 00:01:49,880 THE SPEAKERS. 35 00:01:49,880 --> 00:01:51,840 >> I WANT TO THANK TLOOET 36 00:01:51,840 --> 00:01:53,320 SPEAKERS FOR THIS THAT ENGAGED 37 00:01:53,320 --> 00:01:57,320 THE TOPIC AND PREPARED EXCELLENT 38 00:01:57,320 --> 00:02:00,360 MATERIAL AND AS NMCRR WAS 39 00:02:00,360 --> 00:02:01,720 THINKING OF KNOWLEDGE 40 00:02:01,720 --> 00:02:03,400 TRANSLATION, WE FOCUS ON 41 00:02:03,400 --> 00:02:05,280 RESEARCHERS AND HOW THEY HAVE TO 42 00:02:05,280 --> 00:02:07,000 MAKE THEIR RESEARCH THINK ABOUT 43 00:02:07,000 --> 00:02:09,280 THE ENDPOINT OF THEIR RESEARCH 44 00:02:09,280 --> 00:02:11,640 AND REAL WORLD AND VALIDITY AND 45 00:02:11,640 --> 00:02:13,640 SCALABILITY AND SO ON. 46 00:02:13,640 --> 00:02:16,280 IT IS ALSO DEPENDENT ON 47 00:02:16,280 --> 00:02:18,240 CONSUMERS, CLINICIANS AND 48 00:02:18,240 --> 00:02:20,000 FAMILIES AND HOW THEY TAKE ON 49 00:02:20,000 --> 00:02:21,640 RESEARCH AND UNDERSTAND GOALS 50 00:02:21,640 --> 00:02:24,880 AND HOW THE TWO MEET TOGETHER TO 51 00:02:24,880 --> 00:02:26,160 REALLY HAVE HONORABLE 52 00:02:26,160 --> 00:02:28,160 DISCUSSIONS AND WE ARE FORTUNATE 53 00:02:28,160 --> 00:02:29,600 TO HAVE THREE PEOPLE THAT KNOW 54 00:02:29,600 --> 00:02:33,320 THIS TOPIC WELL AND HAVE A LOT 55 00:02:33,320 --> 00:02:35,400 OF CONNECTIONS TO SEVERAL 56 00:02:35,400 --> 00:02:37,200 GOVERNMENT RESEARCH FUNDERS AND 57 00:02:37,200 --> 00:02:39,200 I APPRECIATE THE EFFORTS THAT 58 00:02:39,200 --> 00:02:41,200 YOU CAN HEAR EXCITING STUFF AND 59 00:02:41,200 --> 00:02:43,960 I INTRODUCE ALL THREE AND LET 60 00:02:43,960 --> 00:02:47,800 THEM TAKE OFF WITH IT AND 61 00:02:47,800 --> 00:02:48,840 PROVIDE COMMENTS AND WE WILL 62 00:02:48,840 --> 00:02:51,120 HAVE SUFFICIENT TIME AT THE END 63 00:02:51,120 --> 00:02:53,920 FOR DISCUSSION. FIRST, WE HAVE 64 00:02:53,920 --> 00:02:56,680 LINDA RESNIK, A PROFESSOR OF 65 00:02:56,680 --> 00:02:59,840 HEALTH SCIENCES, POLICY AND 66 00:02:59,840 --> 00:03:02,120 PRACTICE AT BROWN UNIVERSITY AND 67 00:03:02,120 --> 00:03:04,040 RESEARCH SCIENTIST WITH 68 00:03:04,040 --> 00:03:05,160 PROINDIVIDUALENCE VETERANS 69 00:03:05,160 --> 00:03:09,000 MEDICAL CENTER WHO IS A PTPHD 70 00:03:09,000 --> 00:03:10,520 AND INTERESTED IN HEALTH 71 00:03:10,520 --> 00:03:13,280 RESEARCH AND EVIDENCE TRANSLATES 72 00:03:13,280 --> 00:03:15,600 INTO PRACTICE AND IS DIRECTOR OF 73 00:03:15,600 --> 00:03:18,360 CENTER OF HEALTH SERVICES 74 00:03:18,360 --> 00:03:20,760 TRAINING RESEARCH AND COSTAR FOR 75 00:03:20,760 --> 00:03:23,600 HEALTH RESEARCH MOANING 76 00:03:23,600 --> 00:03:26,240 IMPLEMENTATION SCIENCE AND HAS 77 00:03:26,240 --> 00:03:30,120 RESEARCH FUNDING FROM THE VA AND 78 00:03:30,120 --> 00:03:32,720 HRSRND AND NATIONAL INSTITUTES 79 00:03:32,720 --> 00:03:36,040 OF AGING, HOME INSTITUTE NICHD. 80 00:03:36,040 --> 00:03:38,400 AND NIDRR. 81 00:03:38,400 --> 00:03:40,680 AND EVEN DOD. 82 00:03:40,680 --> 00:03:43,000 SHE LEADS RESEARCH 83 00:03:43,000 --> 00:03:44,760 INFRASTRUCTURE NETWORK AS WELL 84 00:03:44,760 --> 00:03:46,680 AND LEARNING HEALTH SYSTEMS 85 00:03:46,680 --> 00:03:49,360 REHAB RESEARCH NETWORK, LEARN. 86 00:03:49,360 --> 00:03:52,120 IT IS FOCUSED ON KNOWLEDGE 87 00:03:52,120 --> 00:03:53,400 TRANSLATION AND SECOND SPEAKER 88 00:03:53,400 --> 00:03:56,120 THIS MORNING IS CINDY CAI WHO IS 89 00:03:56,120 --> 00:03:58,040 A PRINCIPLE RESEARCHER AT 90 00:03:58,040 --> 00:04:00,000 AMERICAN INSTITUTES FOR RESEARCH 91 00:04:00,000 --> 00:04:01,840 AND IS AN EXPERT ON KNOWLEDGE 92 00:04:01,840 --> 00:04:02,760 TRANCE LAKES. 93 00:04:02,760 --> 00:04:05,320 SHE IS A CO-CHAIR OF THE 94 00:04:05,320 --> 00:04:08,640 KNOWLEDGE TRANSLATION 95 00:04:08,640 --> 00:04:09,320 IMPLEMENTATION COORDINATING 96 00:04:09,320 --> 00:04:12,280 GROUP OF CAMEL CORPORATION AND 97 00:04:12,280 --> 00:04:13,280 PRINCIPLE INVESTIGATOR AND 98 00:04:13,280 --> 00:04:15,760 PROJECT DIRECTOR OF MODEL 99 00:04:15,760 --> 00:04:16,920 SYSTEMS KNOWLEDGE TRANSLATION 100 00:04:16,920 --> 00:04:20,680 CENTER PROVIDING MANAGEMENT 101 00:04:20,680 --> 00:04:21,320 OVERSIGHT INTELLECTUAL 102 00:04:21,320 --> 00:04:24,120 LEADERSHIP ASPECTS OF RESEARCH 103 00:04:24,120 --> 00:04:25,920 DISSEMINATION AND UTILIZATION OF 104 00:04:25,920 --> 00:04:27,680 TASKS AND PRINCIPLE INVESTIGATOR 105 00:04:27,680 --> 00:04:30,760 OF THE PROJECT TO DEVELOP A 106 00:04:30,760 --> 00:04:32,240 TRAUMATIC BRAIN INJURY RESEARCH 107 00:04:32,240 --> 00:04:34,160 BUNDLE FOR AMERICAN INDIANS AND 108 00:04:34,160 --> 00:04:36,840 THIRD SPEAKER IS AMY KILBOURNE, 109 00:04:36,840 --> 00:04:41,720 ACTING DIRECTOR OF VA'S HRS R & 110 00:04:41,720 --> 00:04:44,720 D'S RESEARCH ENHANCEMENT 111 00:04:44,720 --> 00:04:46,800 INITIATIVE QUERY AND NATIONAL 112 00:04:46,800 --> 00:04:47,520 IMPLEMENTATION SCIENCE AND 113 00:04:47,520 --> 00:04:50,320 HEALTH DISPARITIES PARTNER 114 00:04:50,320 --> 00:04:52,960 ORIENTED RESEARCH AND 115 00:04:52,960 --> 00:04:54,840 TRANSLATIONAL CLINICAL QUALITY 116 00:04:54,840 --> 00:04:56,400 IMPROVEMENT AND INTERVENTION 117 00:04:56,400 --> 00:04:58,120 FINDINGS AND INTERACTIONABLE 118 00:04:58,120 --> 00:04:59,480 POLICY AND PRACTICE AND HAVE 119 00:04:59,480 --> 00:05:01,880 THREE PEOPLE THAT KNOW THIS AREA 120 00:05:01,880 --> 00:05:02,440 WELL. 121 00:05:02,440 --> 00:05:05,640 I APPRECIATE THEIR EFFORTS AND 122 00:05:05,640 --> 00:05:13,000 WE WILL START WITH LINDA RESNIK. 123 00:05:13,000 --> 00:05:17,360 >> HELLO, EVERYONE. 124 00:05:17,360 --> 00:05:19,480 I WILL SHARE MY SCREEN. YOU 125 00:05:19,480 --> 00:05:21,560 NEED TO LET ME KNOW IF I'M 126 00:05:21,560 --> 00:05:24,800 SHARING THE RIGHT SCREEN. YOU 127 00:05:24,800 --> 00:05:27,400 WILL SEE MY SLIDE. 128 00:05:27,400 --> 00:05:30,760 ARE YOU SEEING THAT? 129 00:05:30,760 --> 00:05:33,640 >> NOT YET. 130 00:05:33,640 --> 00:05:35,160 RIGHT NOW WE ARE SEEING 131 00:05:35,160 --> 00:05:36,320 [INDISCERNIBLE] BUT IF YOU START 132 00:05:36,320 --> 00:05:37,720 THE PRESENTATION IT SHOULD WORK. 133 00:05:37,720 --> 00:05:39,920 >> OKAY. HOW ABOUT NOW? 134 00:05:39,920 --> 00:05:43,160 >> THAT IS PERFECT. THANKS 135 00:05:43,160 --> 00:05:43,360 FROM. 136 00:05:43,360 --> 00:05:44,240 >> GREAT. 137 00:05:44,240 --> 00:05:46,160 >> THANK YOU FOR THE 138 00:05:46,160 --> 00:05:47,920 INTRODUCTION. I'M POLICED TO 139 00:05:47,920 --> 00:05:51,760 TALK WITH YOU ABOUT PROMOTING 140 00:05:51,760 --> 00:05:52,720 INTEGRATED KNOWLEDGE TRANSLATION 141 00:05:52,720 --> 00:05:57,280 THROUGH HEALTH RESEARCH AND 142 00:05:57,280 --> 00:05:58,000 OBJECTIVES ARE HIGHLIGHT 143 00:05:58,000 --> 00:05:59,360 IMPORTANCE OF KNOWLEDGE 144 00:05:59,360 --> 00:06:00,920 TRANSLATION AND INTRODUCE 145 00:06:00,920 --> 00:06:02,800 TERMINOLOGY OF IT AND SIT WAIT 146 00:06:02,800 --> 00:06:04,440 TRANSLATION RESEARCH IN THE 147 00:06:04,440 --> 00:06:07,040 BROADER ARENA OF HEALTH SERVICE 148 00:06:07,040 --> 00:06:09,240 ROOEZ SEARCH AND HOPE TO LAY A 149 00:06:09,240 --> 00:06:11,240 FOUNDATION FOR TWO TALKS THAT 150 00:06:11,240 --> 00:06:13,280 FOLLOW MINE. YOU HAVE HEARD 151 00:06:13,280 --> 00:06:15,880 ABOUT THE RESEARCH TO PRACTICE 152 00:06:15,880 --> 00:06:18,480 GAP AND TAKES 17 YEARS ON 153 00:06:18,480 --> 00:06:21,000 AVERAGE FOR ORIGINAL RESEARCH TO 154 00:06:21,000 --> 00:06:23,320 BENEFIT PATIENT CARE THAT WAS 155 00:06:23,320 --> 00:06:25,320 FIRST BROUGHT TO PUBLIC 156 00:06:25,320 --> 00:06:28,000 ATTENTION IN 2001 WITH CROSSING 157 00:06:28,000 --> 00:06:30,320 QUALITY KASISM REPORT AND 158 00:06:30,320 --> 00:06:31,000 UNFORTUNATELY THINGS HAVE NOT 159 00:06:31,000 --> 00:06:33,120 REALLY CHANGED IN THE LAST TWO 160 00:06:33,120 --> 00:06:35,160 DECADES AND ARE ESTIMATES IT MAY 161 00:06:35,160 --> 00:06:38,320 BE SLIGHTLY SHORTER FOR 162 00:06:38,320 --> 00:06:41,120 TRANSLATING DRUGS OR DEVICES TO 163 00:06:41,120 --> 00:06:43,280 MARKET. PERHAPS 14 YEARS AND IN 164 00:06:43,280 --> 00:06:44,880 CANCER RESEARCH REDUCED A LITTLE 165 00:06:44,880 --> 00:06:48,400 TO 15 YEARS BUT FACT REMAINS TWO 166 00:06:48,400 --> 00:06:53,440 DECADES LATER THIS IS A 167 00:06:53,440 --> 00:06:56,800 SUBSTANTIAL PROBLEM. 168 00:06:56,800 --> 00:07:01,800 ESTIMATED 30 TO 45 PATIENTS 169 00:07:01,800 --> 00:07:04,320 DON'T RECEIVE EVIDENCE-BASED 170 00:07:04,320 --> 00:07:13,240 CARE AND 25% THAT IS NEEDED IS 171 00:07:13,240 --> 00:07:15,240 -- THERE IS A LACK OF 172 00:07:15,240 --> 00:07:17,200 COMMUNICATION BETWEEN RESEARCH 173 00:07:17,200 --> 00:07:21,280 AND PRACTICE AND RESEARCH 174 00:07:21,280 --> 00:07:24,800 TRANSLATION EFFORTS. 175 00:07:24,800 --> 00:07:27,840 RESEARCH EVIDENCE AND 176 00:07:27,840 --> 00:07:28,480 INTERVENTIONS THAT ARE DEVELOPED 177 00:07:28,480 --> 00:07:32,440 ARE TOO NARROWLY FOCUSED COMPLEX 178 00:07:32,440 --> 00:07:34,680 OR DIFFICULT OR COSTLY TO 179 00:07:34,680 --> 00:07:38,440 IMPLEMENT AND RESEARCH DOESN'T 180 00:07:38,440 --> 00:07:39,800 ENGAGEND USERS DIRECTLY MEETING 181 00:07:39,800 --> 00:07:41,040 NEEDS OF THE COMMUNITY AND 182 00:07:41,040 --> 00:07:43,000 THINKING OF IT AS INVESTMENT IN 183 00:07:43,000 --> 00:07:45,280 ONE PART OF A BRIDGE WITHOUT 184 00:07:45,280 --> 00:07:48,400 SUFFICIENT PLANNING OR 185 00:07:48,400 --> 00:07:50,920 ENGAGEMENT IN UNDERSTANDING HOW 186 00:07:50,920 --> 00:07:52,680 TO CONNECT DIFFERENT SEGMENTS OF 187 00:07:52,680 --> 00:07:54,680 THE BRIDGE SO DRIVERS CAN DRIVE 188 00:07:54,680 --> 00:07:56,880 OVER THE BRIDGE AND USE IT. 189 00:07:56,880 --> 00:08:00,040 SO, RESEARCH TO ENHANCE REACH 190 00:08:00,040 --> 00:08:02,320 IMPLEMENTATION OF IT IN SPACE 191 00:08:02,320 --> 00:08:05,760 APPROACHES KEY OBJECTIVES OF NIH 192 00:08:05,760 --> 00:08:07,120 REHABILITATION PLAN ON 193 00:08:07,120 --> 00:08:08,320 REHABILITATION AND KNOW IN THE 194 00:08:08,320 --> 00:08:11,000 PAST DECADE THERE IS SUBSTANTIAL 195 00:08:11,000 --> 00:08:12,560 PROGRESS DEVELOPING 196 00:08:12,560 --> 00:08:14,040 EVIDENCE-BASED CLINICAL PRACTICE 197 00:08:14,040 --> 00:08:16,200 GUIDELINES IN REHAB AND ARE 198 00:08:16,200 --> 00:08:18,840 CHALLENGES TO IMPLEMENTING BEST 199 00:08:18,840 --> 00:08:20,640 PRACTICES WITHIN HEALTH SYSTEMS 200 00:08:20,640 --> 00:08:22,320 AND RESEARCH AND DISSEMINATION 201 00:08:22,320 --> 00:08:27,280 AND IMPLEMENTATION IN THE 202 00:08:27,280 --> 00:08:28,200 REHABILITATION FIELD IS IN ITS 203 00:08:28,200 --> 00:08:30,800 EARLY STAGES AND SO MANY MISSED 204 00:08:30,800 --> 00:08:32,720 OPPORTUNITIES AND RESEARCH IS 205 00:08:32,720 --> 00:08:34,520 DESIGNED AND IMPLEMENTED BY 206 00:08:34,520 --> 00:08:37,080 RESEARCHERS WITH SPECIALIZED 207 00:08:37,080 --> 00:08:39,480 FUNDING AND PERSONNEL AND 208 00:08:39,480 --> 00:08:40,400 DISSEMINATE RESEARCH THROUGH 209 00:08:40,400 --> 00:08:43,000 PEER REVIEWED JOURNALS AND 210 00:08:43,000 --> 00:08:44,400 SCIENTIFIC CONFERENCES WHERE 211 00:08:44,400 --> 00:08:47,160 SELECT GROUP OF ACADEMICS IS 212 00:08:47,160 --> 00:08:49,160 PRESENT AND IS LIMITED 213 00:08:49,160 --> 00:08:49,840 DISSEMINATION AND EVIDENCE THAT 214 00:08:49,840 --> 00:08:52,880 IS PRODUCED IS NOT TRANSLATED IN 215 00:08:52,880 --> 00:08:56,880 A FORMAT THAT THEEND USERS CAN 216 00:08:56,880 --> 00:08:58,480 USE SO EVIDENCE IS NOT 217 00:08:58,480 --> 00:09:00,080 PRIORITIZED AND SOMETIMES IS NOT 218 00:09:00,080 --> 00:09:01,880 EASILY IMPLEMENTED ANYWAY 219 00:09:01,880 --> 00:09:03,080 BECAUSE OF COMPLEXITY. 220 00:09:03,080 --> 00:09:05,880 THERE IS A MISSED OPPORTUNITY TO 221 00:09:05,880 --> 00:09:09,320 TRANSLATE EVIDENCE INTO ROUTINE 222 00:09:09,320 --> 00:09:09,560 CARE. 223 00:09:09,560 --> 00:09:13,160 THAT IS WHERE KNOWLEDGE 224 00:09:13,160 --> 00:09:21,560 TRANSLATION COMES IN. 225 00:09:21,560 --> 00:09:23,360 THERE ARE MANY DEFINITIONS OF 226 00:09:23,360 --> 00:09:26,000 IT. THIS IS A CAN AIDIAN 227 00:09:26,000 --> 00:09:29,040 DEFINITION BUT GOOD ONE DYNAMIC 228 00:09:29,040 --> 00:09:32,680 ITERATIVE PROCESS INCLUDING 229 00:09:32,680 --> 00:09:36,640 SYNTHESIS EXCHANGE AND ETHICALLY 230 00:09:36,640 --> 00:09:38,320 SOUND APPLICATION OF KNOWLEDGE 231 00:09:38,320 --> 00:09:40,040 FOR SERVICES PRODUCTS 232 00:09:40,040 --> 00:09:42,000 STRENGTHENING THE HEALTH CARE 233 00:09:42,000 --> 00:09:45,160 SYSTEM. KT AIMS TO ENHANCE USE 234 00:09:45,160 --> 00:09:46,120 AND USEFULNESS OF RESEARCH 235 00:09:46,120 --> 00:09:52,000 DESIGN AND CONDUCT OF STUDIES 236 00:09:52,000 --> 00:09:52,520 AND DISSEMINATION OF 237 00:09:52,520 --> 00:09:55,080 IMPLEMENTATION OF FINDINGS 238 00:09:55,080 --> 00:09:57,240 SHARING RESEARCH FINDINGS WITH 239 00:09:57,240 --> 00:09:59,160 INDIVIDUALS THAT COULD USE THEM 240 00:09:59,160 --> 00:10:01,800 AND OVER 10 TERMS ARE SIMILAR TO 241 00:10:01,800 --> 00:10:03,560 KNOWLEDGE TRANSLATION WITH 242 00:10:03,560 --> 00:10:05,120 OVERLAPPING MEANING AND SUBTLE 243 00:10:05,120 --> 00:10:07,000 DIFFERENCES AND ARE TERMS YOU 244 00:10:07,000 --> 00:10:10,040 MAY SEE THAT ARE VERY SIMILAR 245 00:10:10,040 --> 00:10:11,160 KNOWLEDGE TRANSFER AND KNOWLEDGE 246 00:10:11,160 --> 00:10:12,920 EXCHAFK AND NTH TO ACTION AND 247 00:10:12,920 --> 00:10:14,640 DON'T HAVE TO READ IT THEM OUT 248 00:10:14,640 --> 00:10:17,080 LOUD. YOU CAN SEE 249 00:10:17,080 --> 00:10:17,960 IMPLEMENTATION AND DISSEMINATION 250 00:10:17,960 --> 00:10:22,760 ARE TERMS THAT WE WILL TALK MORE 251 00:10:22,760 --> 00:10:27,360 ABOUT THEM. 252 00:10:27,360 --> 00:10:30,800 THIS IS A POPULAR FRAMEWORK FOR 253 00:10:30,800 --> 00:10:32,240 KNOWLEDGE TRANSLATION RESEARCH 254 00:10:32,240 --> 00:10:33,880 INTRODUCED TO GRAHAM IN 2006 255 00:10:33,880 --> 00:10:35,400 THAT IS KNOWLEDGE TO ACTION 256 00:10:35,400 --> 00:10:38,520 FRAMEWORK CONSISTING OF TWO 257 00:10:38,520 --> 00:10:39,720 BASIC PORTIONS, KNOWLEDGE 258 00:10:39,720 --> 00:10:41,520 CREATION FUNNEL IN THE CENTER 259 00:10:41,520 --> 00:10:43,000 AND KNOWLEDGE APPLICATION CYCLE 260 00:10:43,000 --> 00:10:45,320 THAT IS ON THE OUTSIDE. 261 00:10:45,320 --> 00:10:47,120 KNOWLEDGE CREATION AFTER 262 00:10:47,120 --> 00:10:50,840 IDENTIFYING A PROBLEM, THERE IS 263 00:10:50,840 --> 00:10:52,520 AN INQUIRY INTO KNOWLEDGE AND 264 00:10:52,520 --> 00:10:54,200 SYNTHESIS OF KNOWLEDGE AND 265 00:10:54,200 --> 00:10:56,640 DEVELOPMENT OF PRODUCT AND TOOLS 266 00:10:56,640 --> 00:10:58,640 IS KNOWLEDGE CREATION PORTION 267 00:10:58,640 --> 00:11:00,520 AND APPLICATION IS ADAPTING 268 00:11:00,520 --> 00:11:02,440 KNOWLEDGE FOR LOCAL CONTEXT 269 00:11:02,440 --> 00:11:05,280 ASSESSING BARRIERS TO USE 270 00:11:05,280 --> 00:11:06,800 TAILORING INTERVENTIONS 271 00:11:06,800 --> 00:11:08,120 MONITORING KNOWLEDGE USE AND 272 00:11:08,120 --> 00:11:10,320 EVALUATING OUTCOMES SUSTAINING 273 00:11:10,320 --> 00:11:13,280 KNOWLEDGE AND IS A VERY COMMON 274 00:11:13,280 --> 00:11:14,480 FRAMEWORK, KNOWLEDGE TO ACTION 275 00:11:14,480 --> 00:11:16,280 FRAMEWORK AND IS NOT ONLY 276 00:11:16,280 --> 00:11:18,840 FRAMEWORK AND RECENT SCOPING 277 00:11:18,840 --> 00:11:21,280 REVIEW IDENTIFIED 36 THEORETICAL 278 00:11:21,280 --> 00:11:23,440 MODELS AND FRAMEWORKS USED FOR 279 00:11:23,440 --> 00:11:25,760 KNOWLEDGE TRANSLATION. IF 280 00:11:25,760 --> 00:11:27,240 INTERESTED IN LEARNING MORE IT 281 00:11:27,240 --> 00:11:32,040 IS A 2018 PAPER BY STRIFLER THAT 282 00:11:32,040 --> 00:11:34,360 IS WITH MODELS AND FRAMEWORKS 283 00:11:34,360 --> 00:11:36,320 AND WOULD LIKE TO SIT WAIT 284 00:11:36,320 --> 00:11:38,240 KNOWLEDGE TRANSLATION RESEARCH 285 00:11:38,240 --> 00:11:39,600 WITHIN LARGER RESEARCH FRAMEWORK 286 00:11:39,600 --> 00:11:43,680 OF HEALTH SERVICES RESEARCH. 287 00:11:43,680 --> 00:11:45,480 THIS FIGURE FROM MITCH LYNNE 288 00:11:45,480 --> 00:11:47,840 CHAMBERS 27 TAENSHOWS OVERALL 289 00:11:47,840 --> 00:11:49,680 DOMAIN OF HEALTH SERVICES 290 00:11:49,680 --> 00:11:53,160 RESEARCH AND WITHIN IT THE RED 291 00:11:53,160 --> 00:11:56,040 OVAL OF IMPLEMENTATION SCIENCE 292 00:11:56,040 --> 00:11:59,000 AND NONE OF THESE SHAPES ARE TO 293 00:11:59,000 --> 00:12:01,280 SCALE. THIS I THINK 294 00:12:01,280 --> 00:12:03,400 DEMONSTRATES THE POINT AND 295 00:12:03,400 --> 00:12:05,200 WITHIN IMPLEMENTATION SCIENCE 296 00:12:05,200 --> 00:12:06,400 DISSEMINATION RESEARCH AND 297 00:12:06,400 --> 00:12:07,320 IMPLEMENTATION ROOI SEARCH ARE 298 00:12:07,320 --> 00:12:09,280 TWO SEPARATE AND OVERLAPPING 299 00:12:09,280 --> 00:12:13,120 DOMAINS AND YOU CAN SEE WITHIN 300 00:12:13,120 --> 00:12:14,720 DISSEMINATION RESEARCH IS A 301 00:12:14,720 --> 00:12:17,280 LIGHTER BLUE OVAL OF HEALTH 302 00:12:17,280 --> 00:12:19,280 COMMUNICATION RESEARCH AND 303 00:12:19,280 --> 00:12:21,080 DARKER BLUE WITHIN 304 00:12:21,080 --> 00:12:21,800 IMPLEMENTATION RESEARCH OF 305 00:12:21,800 --> 00:12:24,880 QUALITY IMPROVEMENT AND SCIENCE 306 00:12:24,880 --> 00:12:29,320 AND WANT TO OVERLAY KNOWLEDGE 307 00:12:29,320 --> 00:12:38,600 TRANSLA 308 00:12:38,600 --> 00:12:38,960 TRANSLATION. 309 00:12:38,960 --> 00:12:41,400 KNOWLEDGE TRANSLATION OVERLAPS 310 00:12:41,400 --> 00:12:42,600 DISSEMINATION IMPLEMENTATION AND 311 00:12:42,600 --> 00:12:46,520 RESEARCH AND IS A WAY TO THINK 312 00:12:46,520 --> 00:12:55,880 ABOUT RELATIONSHIPS. 313 00:12:55,880 --> 00:12:58,720 HERE IS IMPLEMENTATION RESEARCH 314 00:12:58,720 --> 00:13:02,680 AND SCIENTIFIC STUDY USE OF 315 00:13:02,680 --> 00:13:04,360 STRATEGIES ADOPTING EVIDENCE 316 00:13:04,360 --> 00:13:06,120 BASED HEALTH INTERVENTIONS INTO 317 00:13:06,120 --> 00:13:07,880 COMMUNITY SETTINGS IMPROVING 318 00:13:07,880 --> 00:13:11,360 PATIENT OUTCOMES AND BENEFIT 319 00:13:11,360 --> 00:13:12,600 POPULATION HEALTH AND SCIENTIFIC 320 00:13:12,600 --> 00:13:14,840 STUDY OF TARGETED DISTRIBUTION 321 00:13:14,840 --> 00:13:17,920 OF INFORMATION AND INTERVENTION 322 00:13:17,920 --> 00:13:19,600 MATERIALS TO A SPECIFIC PUBLIC 323 00:13:19,600 --> 00:13:21,120 HEALTH OR CLINICAL PRACTICE 324 00:13:21,120 --> 00:13:23,360 AUDIENCE WITH INTENTION TO BEST 325 00:13:23,360 --> 00:13:25,560 SPREAD AND SUSTAIN KNOWLEDGE AND 326 00:13:25,560 --> 00:13:29,280 ASSOCIATED EVIDENCE-BASED 327 00:13:29,280 --> 00:13:29,640 INTERVENTIONS. 328 00:13:29,640 --> 00:13:32,200 THIS IS ANOTHER DEFINITION OF 329 00:13:32,200 --> 00:13:33,560 KNOWLEDGE TRANSLATION RESEARCH 330 00:13:33,560 --> 00:13:36,040 THAT IS SCIENTIFIC STUDY OF 331 00:13:36,040 --> 00:13:37,320 DETERMINANTS OF KNOWLEDGE USE 332 00:13:37,320 --> 00:13:40,160 AND METHODS TO PROMOTE UPTAKE OF 333 00:13:40,160 --> 00:13:42,560 RESEARCH FINDINGS BY HEALTH CARE 334 00:13:42,560 --> 00:13:44,800 PROVIDERS POLICY MAKERS AND 335 00:13:44,800 --> 00:13:47,160 PATIENTS AND SEE OVERLAP BETWEEN 336 00:13:47,160 --> 00:13:49,040 THREE DEFINITIONS. 337 00:13:49,040 --> 00:13:50,840 CANADIAN INSTITUTE OF HEALTH 338 00:13:50,840 --> 00:13:53,320 CARE RESEARCH CATEGORIZES THREE 339 00:13:53,320 --> 00:13:56,120 BROAD CATEGORIES OF KNOWLEDGE 340 00:13:56,120 --> 00:13:57,720 TRANSLATION SCIENCE AND FIRST IS 341 00:13:57,720 --> 00:13:59,760 STUDYING DETERMINANTS OF 342 00:13:59,760 --> 00:14:02,280 KNOWLEDGE USE AND EFFECTIVE 343 00:14:02,280 --> 00:14:04,000 METHODS PROMOTING UPTAKE OF 344 00:14:04,000 --> 00:14:05,840 KNOWLEDGE AND SECOND IS MORE 345 00:14:05,840 --> 00:14:08,320 TRADITIONAL TYPE OF KNOWLEDGE 346 00:14:08,320 --> 00:14:09,160 TRANSLATION ACTIVITIES THAT WE 347 00:14:09,160 --> 00:14:12,440 ARE USED TO AND END OF GRANT 348 00:14:12,440 --> 00:14:15,400 ACTIVITY AND INITIATIVES 349 00:14:15,400 --> 00:14:16,960 UNDERTAKEN ONCE GRANT AND 350 00:14:16,960 --> 00:14:19,160 RESEARCH HAS BEEN COMPLETED AND 351 00:14:19,160 --> 00:14:20,800 DISSEMINATE TO PEER REVIEW 352 00:14:20,800 --> 00:14:22,000 PAPERS AND CONFERENCES AND THIRD 353 00:14:22,000 --> 00:14:23,880 IS WHAT I WOULD LIKE TO FOCUS ON 354 00:14:23,880 --> 00:14:26,760 THAT IS INTEGRATED KNOWLEDGE 355 00:14:26,760 --> 00:14:28,040 TRANSLATION OR KNOWLEDGE 356 00:14:28,040 --> 00:14:30,240 TRANSLATION ACTIVITIES 357 00:14:30,240 --> 00:14:33,280 INITIATIVES WOVEN INTO THE 358 00:14:33,280 --> 00:14:43,720 ENTIRE RESEARCH PROCESS 359 00:14:45,320 --> 00:14:46,520 COMMUNITY BASED PARTICIPATORY 360 00:14:46,520 --> 00:14:48,320 RESEARCH AND CO-PRODUCTION OF 361 00:14:48,320 --> 00:14:51,160 KNOWLEDGE AND MODE 2 RESEARCH 362 00:14:51,160 --> 00:14:54,400 AND THIS IS COMMUNITY BASED 363 00:14:54,400 --> 00:14:55,800 RESEARCH RATHER THAN 364 00:14:55,800 --> 00:14:57,680 COMMUNITY-PLACED RESEARCH AND 365 00:14:57,680 --> 00:14:59,600 FRAMEWORK IS INTEGRATED 366 00:14:59,600 --> 00:15:02,760 KNOWLEDGE TRANSLATION IS A 367 00:15:02,760 --> 00:15:04,640 PARADIGM SHIFT AND APPROACH THAT 368 00:15:04,640 --> 00:15:07,080 APPLIES PRINCIPLES OF KNOWLEDGE 369 00:15:07,080 --> 00:15:09,280 TRANSLATION TO THE ENTIRE 370 00:15:09,280 --> 00:15:10,560 RESEARCH PROCESS WITH EACH STAGE 371 00:15:10,560 --> 00:15:12,280 AND OPPORTUNITY FOR 372 00:15:12,280 --> 00:15:13,960 COLLABORATION WITH KNOWLEDGE 373 00:15:13,960 --> 00:15:16,000 USERS. FROM DEVELOPMENT AND 374 00:15:16,000 --> 00:15:17,120 REFINEMENT OF QUESTIONS THROUGH 375 00:15:17,120 --> 00:15:20,600 SELECTION OF METHOD OLS AND DATA 376 00:15:20,600 --> 00:15:22,920 COLLECTION TOOLS TO SELECTING 377 00:15:22,920 --> 00:15:25,280 IMPORTANT OUTCOME MEASURES 378 00:15:25,280 --> 00:15:27,040 INTERPRETING FINDINGS CRAFTING 379 00:15:27,040 --> 00:15:29,240 MESSAGE AND DISSEMINATING 380 00:15:29,240 --> 00:15:31,200 RESULTS AND INVOLVEMENT OF 381 00:15:31,200 --> 00:15:33,200 STAKEHOLDERS AT EACH PHASE IS 382 00:15:33,200 --> 00:15:36,240 CONSIDERED THE HOLY GRAIL OF 383 00:15:36,240 --> 00:15:37,280 IMPROVEMENT SCIENCE. 384 00:15:37,280 --> 00:15:44,120 THIS APPLIES NOT ONLY IN 385 00:15:44,120 --> 00:15:46,000 TRADITIONAL CLINICAL RESEARCH 386 00:15:46,000 --> 00:15:48,320 BUT INFORMATION TECHNOLOGY 387 00:15:48,320 --> 00:15:49,520 DEVELOPMENT DEVELOPMENT OF 388 00:15:49,520 --> 00:15:52,040 DEVISES AND TECHNOLOGIES IS BEST 389 00:15:52,040 --> 00:15:53,960 INFORMED BY COLLABORATIVE 390 00:15:53,960 --> 00:15:55,040 RESEARCH WITH INVOLVEMENT OF END 391 00:15:55,040 --> 00:15:58,640 USE HERBS IN DESIGN REFINEMENT 392 00:15:58,640 --> 00:16:00,920 AND USABILITY TESTING 393 00:16:00,920 --> 00:16:02,360 TRADITIONALLY IN ENGINEERING 394 00:16:02,360 --> 00:16:07,680 THINK OF ASPECTS OF USABILITY 395 00:16:07,680 --> 00:16:09,560 TESTING AND PATIENTS AND 396 00:16:09,560 --> 00:16:12,520 CLINICIANS HELP ENSURE THAT 397 00:16:12,520 --> 00:16:14,040 PRODUCT FOR TECHNOLOGY DEVELOPS 398 00:16:14,040 --> 00:16:16,720 AND ADDRESSES END USER NEED AND 399 00:16:16,720 --> 00:16:19,120 IS USABLE BY THOSE WHO NEED TO 400 00:16:19,120 --> 00:16:20,040 IMPLEMENT IT. 401 00:16:20,040 --> 00:16:21,520 NOW, I WOULD LIKE TO TALK ABOUT 402 00:16:21,520 --> 00:16:24,640 THE RELATIONSHIP BETWEEN 403 00:16:24,640 --> 00:16:26,400 LEARNING HEALTH SYSTEMS RESEARCH 404 00:16:26,400 --> 00:16:28,760 AND INTEGRATED KNOWLEDGE 405 00:16:28,760 --> 00:16:29,160 TRANSLATION. 406 00:16:29,160 --> 00:16:34,000 LEARNING HEALTH SYSTEMS, THE 407 00:16:34,000 --> 00:16:35,720 TERM FIRST COINED A WHILE BACK 408 00:16:35,720 --> 00:16:38,680 BY INSTITUTE OF MEDICINE OR ANY 409 00:16:38,680 --> 00:16:40,880 HEALTH SYSTEM THAT CAN 410 00:16:40,880 --> 00:16:41,960 SYSTEMATICALLY INTEGRATE 411 00:16:41,960 --> 00:16:43,440 EVIDENCE AND ESTABLISH WITH 412 00:16:43,440 --> 00:16:45,920 INTERNAL DATA AND REAL WORLD 413 00:16:45,920 --> 00:16:47,680 EXPERIENCE TO PROVIDE QUALITY 414 00:16:47,680 --> 00:16:50,080 SAFER AND MORE EFFICIENT CARE 415 00:16:50,080 --> 00:16:52,360 AND SYSTEMS STUDY AND IMPROVE 416 00:16:52,360 --> 00:16:54,680 THEMSELVES USING DATA ANALYTICS 417 00:16:54,680 --> 00:16:56,760 WHAT WORKS FAST FEEDING 418 00:16:56,760 --> 00:16:59,040 KNOWLEDGE BACK TO CREATE QUALITY 419 00:16:59,040 --> 00:17:00,600 IMPROVEMENT CYCLE AND SCHEMATIC 420 00:17:00,600 --> 00:17:03,600 ON THE RIGHT IS LEARNING HEALTH 421 00:17:03,600 --> 00:17:05,280 SYSTEMS CYCLE BEGINNING WITH 422 00:17:05,280 --> 00:17:08,960 IDENTIFYING A PROBLEM TURNING 423 00:17:08,960 --> 00:17:10,000 DATA INTO KNOWLEDGE. 424 00:17:10,000 --> 00:17:12,560 THEN TURNING THAT KNOWLEDGE INTO 425 00:17:12,560 --> 00:17:17,040 A CHANGE IN PERFORMANCE THAT IS 426 00:17:17,040 --> 00:17:17,880 APPLIED. 427 00:17:17,880 --> 00:17:20,040 AND THEN CHANGE IN PRACTICE 428 00:17:20,040 --> 00:17:21,720 GENERATING NEW DATA PERFORMANCE 429 00:17:21,720 --> 00:17:24,560 TO DATA CYCLE THAT BEGINS NEXT 430 00:17:24,560 --> 00:17:27,840 ITERATION OF THE LEARNING CYCLE. 431 00:17:27,840 --> 00:17:29,640 LEARNING HEALTH SYSTEMS RESEARCH 432 00:17:29,640 --> 00:17:32,680 THEN IS HEALTH SERVICES RESEARCH 433 00:17:32,680 --> 00:17:34,160 CONDUCTED IN REAL WORLD 434 00:17:34,160 --> 00:17:34,560 SETTINGS. 435 00:17:34,560 --> 00:17:37,280 LEARNING HEALTH SYSTEMS RESEARCH 436 00:17:37,280 --> 00:17:40,000 IS IMBEDDED RESEARCH AIMING TO 437 00:17:40,000 --> 00:17:41,560 ADDRESS PROBLEMS AND CHALLENGES 438 00:17:41,560 --> 00:17:44,520 IN QUALITY, SAFETY AND 439 00:17:44,520 --> 00:17:45,120 AFFORDABILITY COUNTED IN 440 00:17:45,120 --> 00:17:47,440 PRACTICE BY LEARNING FROM DATA 441 00:17:47,440 --> 00:17:49,600 GENERATED AS PART OF HEALTH CARE 442 00:17:49,600 --> 00:17:51,280 OPERATIONS AND TRADITIONAL 443 00:17:51,280 --> 00:17:54,280 APPROACH TO RESEARCH, RESEARCHER 444 00:17:54,280 --> 00:17:57,280 IN IVORY TOWERS ISOLATED FROM 445 00:17:57,280 --> 00:17:59,120 HEALTH SYSTEM DEVELOPED RESEARCH 446 00:17:59,120 --> 00:18:00,680 QUESTION AND DESIGNED STUDY AND 447 00:18:00,680 --> 00:18:03,840 MAKE APPROACH A HEALTH SYSTEM 448 00:18:03,840 --> 00:18:06,400 THAT DEPARTMENTING WITH US AND 449 00:18:06,400 --> 00:18:08,920 THEY AGREE AND HELP TO CONDUCT 450 00:18:08,920 --> 00:18:10,480 STUDIES AND RESEARCH MAY NOT 451 00:18:10,480 --> 00:18:12,320 ADDRESS PRIORITIES OF HEALTH 452 00:18:12,320 --> 00:18:14,440 SYSTEM THAT REALLY HAS NO SKIN 453 00:18:14,440 --> 00:18:17,280 IN THE GAME. IN A LEARNING 454 00:18:17,280 --> 00:18:19,280 HEALTH SYSTEMS APPROACH RESEARCH 455 00:18:19,280 --> 00:18:20,360 IS IMBEDDED WITHIN THE HEALTH 456 00:18:20,360 --> 00:18:22,160 SYSTEM WORKING TOGETHER TO 457 00:18:22,160 --> 00:18:25,680 IDENTIFY PRIORITIES AND DEFINE 458 00:18:25,680 --> 00:18:27,480 QUESTIONS AND DESIGN STUDIES AND 459 00:18:27,480 --> 00:18:30,080 RESEARCHER AND HEALTH SYSTEMS 460 00:18:30,080 --> 00:18:32,440 COLLABORATE ON STUDY DESIGN AND 461 00:18:32,440 --> 00:18:33,840 RESEARCH IS CONDUCTED IN 462 00:18:33,840 --> 00:18:34,760 COLLABORATION WITH THE PARTNER 463 00:18:34,760 --> 00:18:36,920 WHO IS INVESTED IN THE RESEARCH 464 00:18:36,920 --> 00:18:39,400 AND FINDINGS MORE LIKELY TO BE 465 00:18:39,400 --> 00:18:43,800 IMPLEMENTED. THIS IS INTEGRATED 466 00:18:43,800 --> 00:18:52,040 KNOWLEDGE TRANSLATION -- IT 467 00:18:52,040 --> 00:18:55,200 INVOLVES INNOVATIVE STUDY 468 00:18:55,200 --> 00:18:57,280 DESIGNS PRAGMATIC CLINICAL 469 00:18:57,280 --> 00:18:59,400 TRIALS DONE USING REAL-WORLD 470 00:18:59,400 --> 00:19:01,520 OPERATIONS AND LEAVAGING REAL 471 00:19:01,520 --> 00:19:04,040 WORLD CARE TO DELIVERY PROCESSES 472 00:19:04,040 --> 00:19:07,400 AND THOUGHT IS THAT THESE 473 00:19:07,400 --> 00:19:09,080 APPROACHES MAKE FINDINGS EASIER 474 00:19:09,080 --> 00:19:11,240 TO TRANSLATE AND MAKE IT MORE 475 00:19:11,240 --> 00:19:12,960 LIKELY RESEARCH EVIDENCE HAS TO 476 00:19:12,960 --> 00:19:14,720 BE ADOPTED AND SCALED UP TO 477 00:19:14,720 --> 00:19:17,880 INCREASE EVIDENCE TO PRACTICE 478 00:19:17,880 --> 00:19:20,040 GAP AND INTERCUE AGENCY FOR 479 00:19:20,040 --> 00:19:22,000 HEALTH QUALITY HAS DONE WORK TO 480 00:19:22,000 --> 00:19:24,520 PROMOTE LEARNING HEALTH SYSTEMS 481 00:19:24,520 --> 00:19:27,720 TO RESEARCH COMPETENCIES THAT 482 00:19:27,720 --> 00:19:29,960 IDENTIFIED 8 COMPETENCY DOMAINS 483 00:19:29,960 --> 00:19:31,280 RESEARCHERS NEED TO KNOW TO 484 00:19:31,280 --> 00:19:32,480 CONDUCT THIS TYPE OF RESEARCH 485 00:19:32,480 --> 00:19:34,120 AND THESE DOMAINS ARE HERE. YOU 486 00:19:34,120 --> 00:19:36,880 WILL NOTICE SOME OF THE DOMAINS 487 00:19:36,880 --> 00:19:39,240 ARE DOMAINS LESS FAMILIAR TO US 488 00:19:39,240 --> 00:19:42,480 AS REHABILITATION RESEARCHERS 489 00:19:42,480 --> 00:19:44,120 THAT WE HAVEN'T HAD TRAINING IF 490 00:19:44,120 --> 00:19:47,360 IN AREAS AND YOU WILL SEE THINGS 491 00:19:47,360 --> 00:19:50,360 LIKE NO. 4 CAPITALIZING ON 492 00:19:50,360 --> 00:19:53,160 INFORMATICS AND NO. 6 OPTIZING 493 00:19:53,160 --> 00:19:55,520 QUALITY IMPROVEMENT 494 00:19:55,520 --> 00:19:57,280 IMPLEMENTATION SCIENCE AND 7 495 00:19:57,280 --> 00:19:59,480 ENGAGING STAKEHOLDERS AND 496 00:19:59,480 --> 00:20:00,720 INTERNSHIP AND RESEARCH 497 00:20:00,720 --> 00:20:02,760 MANAGEMENT TAKING SPECIALIZED 498 00:20:02,760 --> 00:20:05,400 SCALE AND ABILITY AND REALLY 499 00:20:05,400 --> 00:20:10,040 ADDITIONAL TRAINING FOR OUR 500 00:20:10,040 --> 00:20:10,720 RESEARC 501 00:20:10,720 --> 00:20:11,080 RESEARCHERS. 502 00:20:11,080 --> 00:20:13,240 THAT BRINGS US TO LEARNING 503 00:20:13,240 --> 00:20:15,120 HEALTH SYSTEMS REHABILITATION 504 00:20:15,120 --> 00:20:17,440 RESEARCH NETWORK AND DR. NICK 505 00:20:17,440 --> 00:20:20,600 MENTIONED MR3 RESOURCE NETWORKS 506 00:20:20,600 --> 00:20:22,000 PARTNERSHIP BETWEEN UNIVERSITIES 507 00:20:22,000 --> 00:20:25,760 AND HEALTH SYSTEMS AND PURPOSE 508 00:20:25,760 --> 00:20:36,200 IS TO CONDUCT RESEARCH AND BUILD 509 00:20:36,200 --> 00:20:38,160 SKILLS FOR INTEGRATED KNOWLEDGE 510 00:20:38,160 --> 00:20:42,800 AND REHABILITATION AND DIDACTIC 511 00:20:42,800 --> 00:20:44,240 ACTIVITIES DIVIDED BY 512 00:20:44,240 --> 00:20:48,320 DEVELOPMENT OF RESEARCH 513 00:20:48,320 --> 00:20:51,120 COMPETENCIES DIVIDED BY HRQS AND 514 00:20:51,120 --> 00:20:53,360 WEB-BASED RESOURCES AND THAT 515 00:20:53,360 --> 00:20:55,960 SLIDE IS A EXAMPLE FROM THE FALL 516 00:20:55,960 --> 00:20:59,800 WEBINAR SERIES THAT FOCUSED ON 517 00:20:59,800 --> 00:21:03,320 PRAGMATIC TRIAL DESIGN AND 518 00:21:03,320 --> 00:21:05,040 HEALTH EQUITY AND THERE IS 519 00:21:05,040 --> 00:21:07,280 RESEARCH AND DIDACTIC ACTIVITIES 520 00:21:07,280 --> 00:21:09,840 THAT ARE REALLY AVAILABLE AND 521 00:21:09,840 --> 00:21:11,960 ARCHIVED ON THE WEBSITE. 522 00:21:11,960 --> 00:21:14,320 WE DEVELOP APPLIED LEARNING 523 00:21:14,320 --> 00:21:16,280 CASES THAT ARE SPECIFIC EXAMPLES 524 00:21:16,280 --> 00:21:18,560 HOW A RESEARCHER APPLIED A 525 00:21:18,560 --> 00:21:21,720 LEARNING HEALTH SYSTEMS RESEARCH 526 00:21:21,720 --> 00:21:23,120 COMPETENCY TO A REAL WORLD 527 00:21:23,120 --> 00:21:25,240 EXAMPLE AND THERE IS TEACHING 528 00:21:25,240 --> 00:21:27,800 ELEMENTS AND RESOURCE AS 529 00:21:27,800 --> 00:21:29,160 VAILABLE. 530 00:21:29,160 --> 00:21:30,880 ACCOMPANYING THE CASE AND IN 531 00:21:30,880 --> 00:21:33,680 APPLIED PRESENTATION AND WE HAVE 532 00:21:33,680 --> 00:21:36,160 A LEARNING HEALTH SYSTEMS 533 00:21:36,160 --> 00:21:38,400 SCHOLARS PROGRAM BY ROSA AND WE 534 00:21:38,400 --> 00:21:39,800 FUND SCHOLARS TO PARTNER WITH 535 00:21:39,800 --> 00:21:42,240 HEALTH SYSTEMS AND HAVE 536 00:21:42,240 --> 00:21:43,000 TREMENDOUS INTEREST IN THIS 537 00:21:43,000 --> 00:21:45,280 PROGRAM AND RESEARCHERS ARE 538 00:21:45,280 --> 00:21:46,400 REALLY HUNGRY FOR THE 539 00:21:46,400 --> 00:21:48,160 OPPORTUNITY TO ENGAGE IN REAL 540 00:21:48,160 --> 00:21:50,680 WORLD PRACTICE AND DURING YEAR 541 00:21:50,680 --> 00:21:53,720 LONG PROGRAMS SCHOLARS DEVELOP 542 00:21:53,720 --> 00:21:55,560 RELATIONSHIPS WITH HEALTH SYSTEM 543 00:21:55,560 --> 00:21:57,400 STAKEHOLDERS FORMULATING PRANS 544 00:21:57,400 --> 00:21:59,760 TO ADDRESS SYSTEM PRIORITY TOPIC 545 00:21:59,760 --> 00:22:01,840 AND TAKES TIME TO DEVELOP 546 00:22:01,840 --> 00:22:03,800 RELATIONSHIPS AND LEARN ABOUT 547 00:22:03,800 --> 00:22:05,640 SYSTEMS DATA AND CONTACTS 548 00:22:05,640 --> 00:22:06,800 FORMULATING A PLAN AND END OF 549 00:22:06,800 --> 00:22:09,280 THE YEAR THE HEALTH SYSTEM AND 550 00:22:09,280 --> 00:22:10,560 SCHOLAR ARE WELL-POSITIONED TO 551 00:22:10,560 --> 00:22:12,920 TAKE THE WORK TO THE NEXT LEVEL 552 00:22:12,920 --> 00:22:14,880 SEEKING FUNDING FOR THE PROJECT 553 00:22:14,880 --> 00:22:17,080 OR FUND THE PROJECT INTERNALLY 554 00:22:17,080 --> 00:22:19,600 AND WE OFFER A PILOT STUDY 555 00:22:19,600 --> 00:22:21,240 PROGRAM THAT I LEAD IN 556 00:22:21,240 --> 00:22:23,920 CONJUNCTION WITH DR. SHIREMAN 557 00:22:23,920 --> 00:22:26,120 AND WE HAVE GOTTEN PILOTS FOR 558 00:22:26,120 --> 00:22:27,480 RESEARCHERS IMBEDDED ALREADY IN 559 00:22:27,480 --> 00:22:31,200 THE SYSTEM TO ADDRESS A HEALTH 560 00:22:31,200 --> 00:22:32,920 SYSTEM PRIORITY AND HEALTH 561 00:22:32,920 --> 00:22:34,040 SYSTEM ADVANCE KNOWLEDGE 562 00:22:34,040 --> 00:22:37,000 PROCESSES AND OUTCOMES AND PILOT 563 00:22:37,000 --> 00:22:39,280 PROGRAM IS DESIGNED TO PROVIDE 564 00:22:39,280 --> 00:22:41,960 PILOT DATA FOR LARGER STUDIES OR 565 00:22:41,960 --> 00:22:44,800 INTERN ALLY FUNDED STUDIES FROM 566 00:22:44,800 --> 00:22:46,880 THE HEALTH SYSTEM AND WANT TO 567 00:22:46,880 --> 00:22:49,280 END WITH A FEW THOUGHTS HOW WE 568 00:22:49,280 --> 00:22:50,800 CAN STIMULATE INTEGRATED 569 00:22:50,800 --> 00:22:52,040 KNOWLEDGE TRANSLATION AND 570 00:22:52,040 --> 00:22:54,760 REHABILITATION AND IT THINK THAT 571 00:22:54,760 --> 00:22:56,080 INCREASED AVAILABILITY OF 572 00:22:56,080 --> 00:22:56,720 FUNDING OPPORTUNITIES THAT 573 00:22:56,720 --> 00:22:59,120 SUPPORT CONVENING OF STAKEHOLDER 574 00:22:59,120 --> 00:23:00,960 AND RESEARCHER GROUPS FOR 575 00:23:00,960 --> 00:23:03,280 PLANNING PURPOSES THAT ARE 576 00:23:03,280 --> 00:23:04,400 REALLY NECESSARY AND MENTION 577 00:23:04,400 --> 00:23:06,680 THAT THE SCHOLAR PROGRAM IS VERY 578 00:23:06,680 --> 00:23:08,360 POPULAR AND WE HAVE APPLICANTS 579 00:23:08,360 --> 00:23:09,800 INTERESTED IN DOING THIS TYPE OF 580 00:23:09,800 --> 00:23:14,600 WORK AND PLANNING PROCESS AND 581 00:23:14,600 --> 00:23:16,680 THE BEGINNING TO INITIATE 582 00:23:16,680 --> 00:23:18,920 RELATIONSHIPS AND UNDERSTAND 583 00:23:18,920 --> 00:23:22,040 PRIORITIES IS REALLY UNIQUE AND 584 00:23:22,040 --> 00:23:23,680 TAKES TIME TO DO THAT. 585 00:23:23,680 --> 00:23:27,720 I THINK FUNDING AGENCIES COULD 586 00:23:27,720 --> 00:23:33,080 REQUIRE THAT NEW APPLICATIONS 587 00:23:33,080 --> 00:23:34,040 HAVING KNOWLEDGE TRANSLATION 588 00:23:34,040 --> 00:23:36,200 PLAN AND NEED TO PROVIDE LARGER 589 00:23:36,200 --> 00:23:38,760 BUDGETS TO FUND EFFORTS IN 590 00:23:38,760 --> 00:23:41,000 ADDITION TO WHAT RESEARCH 591 00:23:41,000 --> 00:23:43,920 PROPOSALS TYPICALLY DO. 592 00:23:43,920 --> 00:23:46,040 I BELIEVE IF WE HAVE ADDITIONAL 593 00:23:46,040 --> 00:23:47,640 RESEARCH OPPORTUNITIES THAT 594 00:23:47,640 --> 00:23:48,840 SPECIFICALLY REQUIRE PARTNERSHIP 595 00:23:48,840 --> 00:23:51,440 BETWEEN RESEARCHERS AND 596 00:23:51,440 --> 00:23:53,320 KNOWLEDGEND USERS IT WOULD BE 597 00:23:53,320 --> 00:23:55,000 HELPFUL. WE WILL HEAR ABOUT THE 598 00:23:55,000 --> 00:23:57,240 VA QUERY PROGRAM THAT REALLY 599 00:23:57,240 --> 00:23:57,720 DOES THIS. 600 00:23:57,720 --> 00:24:00,080 WE TYPICALLY HAVE BEEN THINKING 601 00:24:00,080 --> 00:24:01,760 ABOUT KNOWLEDGE ANDEND USERS 602 00:24:01,760 --> 00:24:05,600 ONLY AS PATIENTS ANDEND PATIENTS 603 00:24:05,600 --> 00:24:07,160 FAMILIES ARE CRITICALLY 604 00:24:07,160 --> 00:24:08,320 IMPORTANT AND KNOWLEDGEND USERS 605 00:24:08,320 --> 00:24:10,920 ARE CLINICIANS AND HEALTH 606 00:24:10,920 --> 00:24:12,960 SYSTEMS THAT I THINK HEALTH 607 00:24:12,960 --> 00:24:14,000 SYSTEMS RESEARCH IS AN EXAMPLE 608 00:24:14,000 --> 00:24:16,640 HOW WE CAN REALLY TRANSLATE 609 00:24:16,640 --> 00:24:18,440 DIRECTLY INTO PRACTICE AND THINK 610 00:24:18,440 --> 00:24:20,160 THAT WE STILL NEED MORE TRAINING 611 00:24:20,160 --> 00:24:21,880 AND DEVELOPMENT OF THE -- WE 612 00:24:21,880 --> 00:24:24,760 HAVE RESEARCH COMMUNITY TO TEACH 613 00:24:24,760 --> 00:24:27,120 SKILLS NEEDED FOR INTEGRATED 614 00:24:27,120 --> 00:24:28,040 KNOWLEDGE TRANSLATION AND 615 00:24:28,040 --> 00:24:29,680 LEARNING HEALTH SYSTEMS RESEARCH 616 00:24:29,680 --> 00:24:32,080 WAPD THAT, I WILL END AND IF YOU 617 00:24:32,080 --> 00:24:33,200 WANT TO CONNECT WITH 618 00:24:33,200 --> 00:24:34,600 [INDISCERNIBLE], HERE IS OUR 619 00:24:34,600 --> 00:24:36,400 INFORMATION. THAT IS MY E-MAIL 620 00:24:36,400 --> 00:24:38,080 ADDRESS. I WANT TO THANK YOU 621 00:24:38,080 --> 00:24:39,640 VERY MUCH. I'M LOOKING TOERRED 622 00:24:39,640 --> 00:24:46,240 TO THE NEXT TALKS AND QUESTIONS. 623 00:24:46,240 --> 00:24:49,080 THANK YOU. WE HAVE TIME FOR A 624 00:24:49,080 --> 00:24:50,000 FEW QUESTIONS. 625 00:24:50,000 --> 00:24:50,960 BOB? 626 00:24:50,960 --> 00:24:56,360 >> THANK YOU. EXCELLENT TALK ON 627 00:24:56,360 --> 00:24:57,280 A TOPIC THAT IS INCREDIBLY 628 00:24:57,280 --> 00:24:58,240 IMPORTANT AND SAID A QUESTION 629 00:24:58,240 --> 00:25:01,120 ABOUT THE INTEGRATED KNOWLEDGE 630 00:25:01,120 --> 00:25:04,280 TRANSLATION PROCESS THAT YOU 631 00:25:04,280 --> 00:25:10,080 TALKED ABOUT WHERE ONE 632 00:25:10,080 --> 00:25:13,720 COLLABORATES WITH THE CURRENT -- 633 00:25:13,720 --> 00:25:17,320 WITH CURRENT HEALTH PRACTICE IN 634 00:25:17,320 --> 00:25:19,160 -- YOU KNOW, IN DESIGNING A 635 00:25:19,160 --> 00:25:23,560 STUDY. I WANTED TO ASK YOU. 636 00:25:23,560 --> 00:25:25,240 STEPHANIE GAVE A GREAT TALK 637 00:25:25,240 --> 00:25:27,800 YESTERDAY ABOUT AN APPROACH THAT 638 00:25:27,800 --> 00:25:30,320 DOESN'T FIT WITHIN THE CURRENT 639 00:25:30,320 --> 00:25:32,680 HEALTHCARE TLIFRY SYSTEM. DO 640 00:25:32,680 --> 00:25:34,640 YOU HAVE IDEAS ABOUT IN THAT 641 00:25:34,640 --> 00:25:37,280 PARTICULAR CASE HAS TO DO WITH 642 00:25:37,280 --> 00:25:40,480 HIGH INTENSITY DOSE AND FACT 643 00:25:40,480 --> 00:25:42,080 THAT SYSTEM WILL NOT -- YOU 644 00:25:42,080 --> 00:25:44,160 KNOW, THERE IS OTHER THINGS BUT 645 00:25:44,160 --> 00:25:48,320 SYSTEM WON'T REIMBURSE THAT TIME 646 00:25:48,320 --> 00:25:49,280 WITH A CLIENT. 647 00:25:49,280 --> 00:25:51,400 DO YOU HAVE IDEAS ABOUT HOW TO 648 00:25:51,400 --> 00:25:54,240 DO INTEGRATED HEALTH CARE 649 00:25:54,240 --> 00:25:56,560 DELIVERY WHEN YOU ARE STUDYING 650 00:25:56,560 --> 00:25:57,920 VIEWERS FROM WHAT THE CURRENT 651 00:25:57,920 --> 00:26:08,440 SYSTEM IS STRUCTURED TO DO? 652 00:26:15,040 --> 00:26:17,800 I'M THINKING WILL COLLEAGUES AT 653 00:26:17,800 --> 00:26:20,680 BROWN AT Q & I CENTER WHERE THEY 654 00:26:20,680 --> 00:26:23,120 ARE SPECIFICALLY FUNDING 655 00:26:23,120 --> 00:26:25,280 INTEGRATED RESEARCH THAT IS 656 00:26:25,280 --> 00:26:26,720 IMBEDDED WITHIN NURSING HOMES TO 657 00:26:26,720 --> 00:26:28,880 EXAMINE INNOVATIONS AND THINK 658 00:26:28,880 --> 00:26:31,120 THAT THE KEY IS THAT THE HEALTH 659 00:26:31,120 --> 00:26:33,480 SYSTEM PARTNER, THIS NEEDS TO BE 660 00:26:33,480 --> 00:26:35,600 A PRIORITY QUESTION OF THE 661 00:26:35,600 --> 00:26:36,800 HEALTH SYSTEM PARTNER AND THEY 662 00:26:36,800 --> 00:26:39,120 NEED TO BE INTERESTED ENOUGH TO 663 00:26:39,120 --> 00:26:40,640 KNOW HOW CAN WE ADVANCE AND WE 664 00:26:40,640 --> 00:26:43,000 HAVE STICKY PROBLEM WHERE OUR 665 00:26:43,000 --> 00:26:44,920 PATIENTS AND I'M SORRY I DIDN'T 666 00:26:44,920 --> 00:26:47,720 HEAR THE TALK YESTERDAY. OUR 667 00:26:47,720 --> 00:26:49,280 PATIENTS TRY TO REPROGRESS AND 668 00:26:49,280 --> 00:26:50,960 WE ARE NOT GETTING OUTCOMES WE 669 00:26:50,960 --> 00:26:53,040 WANT AND NEED TO MOVE THE NEEDLE 670 00:26:53,040 --> 00:27:00,680 HERE. HOW CAN WE DO BER /* 671 00:27:00,680 --> 00:27:01,600 BETTER AND STAKEHOLDERS HAVE TO 672 00:27:01,600 --> 00:27:03,160 BE STRONGLY MOTIVATED AS A FIRST 673 00:27:03,160 --> 00:27:05,200 TO BE ABLE TO DO THAT TOGETHER. 674 00:27:05,200 --> 00:27:12,080 I THINK THAT IS KEY. IF DRIVE 675 00:27:12,080 --> 00:27:14,880 FOR RESEARCH COMES OUT OF THE 676 00:27:14,880 --> 00:27:16,240 HEALTH SYSTEM TRUE NEED AND 677 00:27:16,240 --> 00:27:19,600 STRONG INTEREST WILL LAY 678 00:27:19,600 --> 00:27:24,640 FOUNDATION AND MAYBE WITH SOME. 679 00:27:24,640 --> 00:27:26,520 THESE CAN BE EXTERNALLY FUNDED 680 00:27:26,520 --> 00:27:28,760 BUT THE DESIGN AND THE 681 00:27:28,760 --> 00:27:30,040 IMPLEMENTATION OF THE RESEARCH 682 00:27:30,040 --> 00:27:33,840 HAS TO BE CONDUCTED IN 683 00:27:33,840 --> 00:27:34,160 PARTNERSHIP. 684 00:27:34,160 --> 00:27:34,560 >> THANK YOU. 685 00:27:34,560 --> 00:27:36,040 >> GREAT. WITH THAT, LET'S MOVE 686 00:27:36,040 --> 00:27:38,800 TO THE NEXT TALK. WE WILL TAKE 687 00:27:38,800 --> 00:27:40,000 QUESTIONS FOR ALL THREE OF YOU 688 00:27:40,000 --> 00:27:42,400 AS WELL. 689 00:27:42,400 --> 00:27:52,680 >> THANK YOU. 690 00:27:53,040 --> 00:27:57,400 >> CINDY, READY TO MAKE YOUR 691 00:27:57,400 --> 00:28:00,480 PRESENTATION? 692 00:28:00,480 --> 00:28:03,120 >> YES. THANK YOU SO MUCH FOR 693 00:28:03,120 --> 00:28:08,120 THE KIND INVITATION. TRYING TO 694 00:28:08,120 --> 00:28:18,440 SHARE MY SCREEN. 695 00:28:27,400 --> 00:28:29,280 TODAY I WOULD LIKE TO TALK ABOUT 696 00:28:29,280 --> 00:28:30,880 PROVIDING SUPPORT TO CREATE 697 00:28:30,880 --> 00:28:33,200 CULTURE AND PROVIDING INCENTIVE 698 00:28:33,200 --> 00:28:34,680 FOR THEM TO DO SO. 699 00:28:34,680 --> 00:28:38,480 HERE IS AN OVERVIEW. I WILL 700 00:28:38,480 --> 00:28:41,280 SHARE LESSONS LEARNED FROM THE 701 00:28:41,280 --> 00:28:43,000 MODEL SYSTEMS PROGRAM WORKING 702 00:28:43,000 --> 00:28:45,440 WITH THEM AND MODELS OF 703 00:28:45,440 --> 00:28:46,880 NONTRANSLATION CENTER AND I'M 704 00:28:46,880 --> 00:28:49,280 GOING TO SHARE THIS DEFINITION 705 00:28:49,280 --> 00:28:51,560 WE HAVE USED IN CONDUCTING 706 00:28:51,560 --> 00:28:53,320 KNOWLEDGE TRANSLATION ACTIVITIES 707 00:28:53,320 --> 00:28:56,240 WITH MODEL SYSTEMS THAT IS 708 00:28:56,240 --> 00:28:58,680 DEFINED BY NATIONAL INSTITUTE OF 709 00:28:58,680 --> 00:29:02,560 DISABILITY IN INDEPENDENT LIVING 710 00:29:02,560 --> 00:29:03,880 REHABILITATION RESEARCH FOR 711 00:29:03,880 --> 00:29:07,040 SHORT AND SHARING INFORMATION 712 00:29:07,040 --> 00:29:11,680 ABOUT SUPPORT AND RESOURCES FOR 713 00:29:11,680 --> 00:29:13,080 PATIENT RESEARCHERS AND LESSONS 714 00:29:13,080 --> 00:29:15,560 LEARN BD CREATING CULTURE AND 715 00:29:15,560 --> 00:29:19,120 INCENTIVES FOR RESEARCHERS TO 716 00:29:19,120 --> 00:29:24,720 ENGAGE IN KT MODEL SYSTEM 717 00:29:24,720 --> 00:29:26,200 PROGRAMS ARE DESIGNED TO IMPROVE 718 00:29:26,200 --> 00:29:30,200 CARE AND OUTCOMES FOR PEOPLE 719 00:29:30,200 --> 00:29:33,640 LIVING WITH SPINAL CORD INJURY. 720 00:29:33,640 --> 00:29:35,680 THERE IS THREE MODEL SYSTEM 721 00:29:35,680 --> 00:29:38,200 PROGRAMS AND PROVIDE 722 00:29:38,200 --> 00:29:39,960 MULTI-DISCIPLINARY SYSTEM AND 723 00:29:39,960 --> 00:29:45,320 REHABILITATION CARE AND AIMS TO 724 00:29:45,320 --> 00:29:52,480 ALSO BUILD TREATMENT FOR PEOPLE 725 00:29:52,480 --> 00:29:54,360 WITH SPINAL CORD INJURY AND 726 00:29:54,360 --> 00:29:57,280 BRAIN INJURY AND DEVELOP 727 00:29:57,280 --> 00:30:00,720 MEASUREMENTS AND MEDICATIONS AND 728 00:30:00,720 --> 00:30:02,560 CLINICAL PRACTICE TO SUPPORT 729 00:30:02,560 --> 00:30:03,760 PEOPLE LIVING WITH 730 00:30:03,760 --> 00:30:04,640 [INDISCERNIBLE] AND ARE THREE 731 00:30:04,640 --> 00:30:06,240 MODEL SYSTEM PROGRAMS HERE THAT 732 00:30:06,240 --> 00:30:09,880 YOU CAN LEARN MORE ABOUT THEM 733 00:30:09,880 --> 00:30:16,640 USING THIS Q.R. CODE MODEL 734 00:30:16,640 --> 00:30:19,120 SYSTEMS TRANSLATION CENTER IS 735 00:30:19,120 --> 00:30:22,480 ESTABLISHED TO WORK WITH MODEL 736 00:30:22,480 --> 00:30:26,000 SYSTEMS TRANSLATION RESEARCHERS 737 00:30:26,000 --> 00:30:28,400 AND -- AND DEVELOP AND TRANSLATE 738 00:30:28,400 --> 00:30:30,080 RESEARCH INTO RESEARCH-BASED 739 00:30:30,080 --> 00:30:32,200 RESOURCES TO SUPPORT PEOPLE 740 00:30:32,200 --> 00:30:33,280 LIVING WITH [INDISCERNIBLE] AS 741 00:30:33,280 --> 00:30:35,640 WELL AS THOSE STAKEHOLDER FOR 742 00:30:35,640 --> 00:30:37,400 SUPPORT AND CLINICIANS AND 743 00:30:37,400 --> 00:30:40,000 POLICY MAKERS AND BOTH MODEL 744 00:30:40,000 --> 00:30:44,760 SYSTEMS PROGRAMS ARE FUNDED BY 745 00:30:44,760 --> 00:30:48,120 NID 746 00:30:48,120 --> 00:30:48,600 NIDLR. 747 00:30:48,600 --> 00:30:51,640 I WOULD LIKE TO SHARE KNOWLEDGE 748 00:30:51,640 --> 00:30:53,720 TRANSLATION DEFINITION FROM 749 00:30:53,720 --> 00:30:55,960 NIDLR. HEARING FROM THE 750 00:30:55,960 --> 00:30:59,080 PREVIOUS PRESENTATION SO MANY 751 00:30:59,080 --> 00:30:59,760 TRANSLATION DEFINITIONS AND HERE 752 00:30:59,760 --> 00:31:07,560 IS THE DEFINITION FROM NIDLR 753 00:31:07,560 --> 00:31:09,000 LONG-TERM PLAN MULTIDIMENSIONAL 754 00:31:09,000 --> 00:31:11,760 THAT IS ACTIVE PROCESS AND 755 00:31:11,760 --> 00:31:13,840 ENSURING NEW KNOWLEDGE AND 756 00:31:13,840 --> 00:31:15,120 PRODUCTS AIMED THROUGH COURSE OF 757 00:31:15,120 --> 00:31:16,960 RESEARCH THAT ULTIMATELY 758 00:31:16,960 --> 00:31:18,760 IMPROVES LIFE OF PEOPLE WITH 759 00:31:18,760 --> 00:31:23,520 DISABILITY AND FURTHER THEIR 760 00:31:23,520 --> 00:31:25,360 PARTICIPATION IN SOCIETY AND 761 00:31:25,360 --> 00:31:26,960 KNOWLEDGE TRANSLATION IS KEY 762 00:31:26,960 --> 00:31:27,960 FEATURES FOR KNOWLEDGE 763 00:31:27,960 --> 00:31:32,720 TRANSLATION TO BE SUCCESSFUL AND 764 00:31:32,720 --> 00:31:36,760 NEW KNOWLEDGE AND PRODUCTS MUST 765 00:31:36,760 --> 00:31:38,600 HAVE RELEVANCE THAT ADDRESS THE 766 00:31:38,600 --> 00:31:41,960 REAL ISSUES PEOPLE FACE AND NEED 767 00:31:41,960 --> 00:31:43,720 TO ADDRESS WHAT PROBLEMS ARE AND 768 00:31:43,720 --> 00:31:46,440 NO THE WHAT RESEARCHER DEFINED 769 00:31:46,440 --> 00:31:53,320 BUT DEFINED BY PEOPLE WHO ARE 770 00:31:53,320 --> 00:31:55,880 FACING CHALLENGESEND USERS AND 771 00:31:55,880 --> 00:31:59,760 STAKEHOLDERS AND USED TO HAVE 772 00:31:59,760 --> 00:32:00,720 FEASIBILITY THAT OFFERS HELPFUL 773 00:32:00,720 --> 00:32:02,080 INFORMATION SOLUTIONS TO ADDRESS 774 00:32:02,080 --> 00:32:04,960 ISSUES AND NEEDS TO BE 775 00:32:04,960 --> 00:32:06,680 ACCESSIBLE OR HAVE USABILITY AND 776 00:32:06,680 --> 00:32:08,040 NEEDS TO HAVE REACH AND PEOPLE 777 00:32:08,040 --> 00:32:10,560 NEED TO KNOW THEM. SO, NEED TO 778 00:32:10,560 --> 00:32:14,360 BE DISSEMINATED EFFECTIVELY AS 779 00:32:14,360 --> 00:32:17,320 WELL GOAL OF KNOWLEDGE 780 00:32:17,320 --> 00:32:20,280 TRANSLATION IS HELPING USERS TO 781 00:32:20,280 --> 00:32:22,120 MAKE INFORMED DECISION AND 782 00:32:22,120 --> 00:32:24,680 EMPOWERING THEM TO TAKE ACTION 783 00:32:24,680 --> 00:32:31,960 TO CHANGE BEHAVIOR TO PRACTICE 784 00:32:31,960 --> 00:32:35,080 POLICY OR SYSTEMS AND NIDLR'S 785 00:32:35,080 --> 00:32:37,280 DEFINITION IS STAKEHOLDER 786 00:32:37,280 --> 00:32:40,480 ENGAGEMENT ORREND USER 787 00:32:40,480 --> 00:32:44,040 ENGAGEMENT IS KEY TO MAXIMIZE 788 00:32:44,040 --> 00:32:44,800 FEASIBILITY AND [INDISCERNIBLE] 789 00:32:44,800 --> 00:32:46,040 AND ARE KEY FEATURES OF 790 00:32:46,040 --> 00:32:48,240 KNOWLEDGE AND PRODUCTS THAT IS 791 00:32:48,240 --> 00:32:50,000 CRUCIAL THAT RESEARCH ENGAGE 792 00:32:50,000 --> 00:32:51,920 PEOPLE WITH DISABILITY NOT 793 00:32:51,920 --> 00:32:55,080 STAKEHOLDERS IN ALL COMPONENTS 794 00:32:55,080 --> 00:32:58,960 NO THE JUST END CYCLE OF 795 00:32:58,960 --> 00:33:01,680 TRADITIONAL KT BUT ALL 796 00:33:01,680 --> 00:33:05,440 COMPONENTS IN KT PROCESS 797 00:33:05,440 --> 00:33:08,200 STARTING FROM INITIAL 798 00:33:08,200 --> 00:33:09,200 IDENTIFICATION NEEDS AND 799 00:33:09,200 --> 00:33:13,280 PRODUCTS AND WITH THIS I WANTED 800 00:33:13,280 --> 00:33:16,400 TO SHARE SOME RESOURCES THAT WE 801 00:33:16,400 --> 00:33:19,400 ARE PROVIDING FOR MODEL SYSTEM 802 00:33:19,400 --> 00:33:19,760 RESEARCHERS. 803 00:33:19,760 --> 00:33:23,040 AS WELL AS, YOU KNOW, SOME OF 804 00:33:23,040 --> 00:33:25,040 THE SUPPORT AND EXAMPLES OF 805 00:33:25,040 --> 00:33:26,680 SUPPORT FOR RESEARCHERS NO THE 806 00:33:26,680 --> 00:33:30,280 JUST FROM THE NIDLR 807 00:33:30,280 --> 00:33:30,880 [INDISCERNIBLE] AND 808 00:33:30,880 --> 00:33:32,440 [INDISCERNIBLE] THAT ARE KT 809 00:33:32,440 --> 00:33:36,920 CENTERS FOR EXAMPLE NIDLR FUNDS 810 00:33:36,920 --> 00:33:38,120 FIVE KNOWLEDGE TRANSLATION 811 00:33:38,120 --> 00:33:40,040 CENTERS ONE IS CENTER FOR 812 00:33:40,040 --> 00:33:41,120 KNOWLEDGE TRANSLATION FOR 813 00:33:41,120 --> 00:33:44,240 DISABILITY WITH PATIENT RESEARCH 814 00:33:44,240 --> 00:33:48,960 AND KTDRR AND ANOTHER IS 815 00:33:48,960 --> 00:33:50,600 EMPLOYMENT FOCUSED CENTER 816 00:33:50,600 --> 00:33:51,720 KNOWLEDGE TRANSLATION FOR 817 00:33:51,720 --> 00:33:53,480 EMPLOYMENT RESEARCH AND THERE IS 818 00:33:53,480 --> 00:33:55,080 ANOTHER ONE FOR A KNOWLEDGE 819 00:33:55,080 --> 00:34:00,640 TRANSLATION CENTER TO SUPPORT 820 00:34:00,640 --> 00:34:01,480 AMERICANS WITH DISABILITIES ACT 821 00:34:01,480 --> 00:34:02,200 NETWORK. 822 00:34:02,200 --> 00:34:04,720 THAT IS MODEL SYSTEM TRANSLATION 823 00:34:04,720 --> 00:34:07,960 CENTER THAT SUPPORTS MODEL 824 00:34:07,960 --> 00:34:11,360 SYSTEM RESEARCHERS THAT IS ALSO 825 00:34:11,360 --> 00:34:17,000 IMPACT CENTER THAT SUPPORTS 826 00:34:17,000 --> 00:34:18,640 TECHNOLOGY TRANSFER CENTER FOR 827 00:34:18,640 --> 00:34:21,120 TECHNOLOGY RESEARCHERS AS WELL 828 00:34:21,120 --> 00:34:24,200 AND PRIVILEGE TO WORK ON PECORI 829 00:34:24,200 --> 00:34:26,440 FUNDED KT CENTER IN PAST COUPLE 830 00:34:26,440 --> 00:34:29,640 YEARS AND PECORI FUNDS KT CENTER 831 00:34:29,640 --> 00:34:30,760 AS WELL. 832 00:34:30,760 --> 00:34:33,200 THERE IS MANY KNOWLEDGE 833 00:34:33,200 --> 00:34:34,160 TRANSLATION RESOURCES THAT 834 00:34:34,160 --> 00:34:36,160 DEVELOP TO SUPPORT OUR 835 00:34:36,160 --> 00:34:36,480 RESEARCHERS. 836 00:34:36,480 --> 00:34:40,040 HERE IS EXAMPLES THAT DEVELOP 837 00:34:40,040 --> 00:34:42,480 MODEL SYSTEM KNOWLEDGE 838 00:34:42,480 --> 00:34:44,960 TRANSLATION CENTER KTC AND WITH 839 00:34:44,960 --> 00:34:47,040 DEVELOPING OVER 60 TOOLS ON OUR 840 00:34:47,040 --> 00:34:51,120 WEBSITE, FOCUSED ON DIFFERENT 841 00:34:51,120 --> 00:34:55,640 ASPECTS OF KNOWLEDGE TRANSL 842 00:34:55,640 --> 00:34:56,440 TRANSLATION. 843 00:34:56,440 --> 00:34:58,400 SO, RECENTLY WE DEVELOPED THREE 844 00:34:58,400 --> 00:35:00,240 COURSES TO SUPPORT RESEARCHERS 845 00:35:00,240 --> 00:35:02,440 AND CLINICIANS TO ENGAGE IN 846 00:35:02,440 --> 00:35:03,680 KNOWLEDGE TRANSLATION. 847 00:35:03,680 --> 00:35:06,880 THESE ARE THREE COURSES. ONE IS 848 00:35:06,880 --> 00:35:09,280 FOR OT AND ANOTHER ONE IS FOR 849 00:35:09,280 --> 00:35:11,640 OCCUPATIONAL THERAPISTS AND PT 850 00:35:11,640 --> 00:35:13,520 PHYSICAL THERAPIST AND ANOTHER 851 00:35:13,520 --> 00:35:15,520 IS SPEECH LANGUAGE PATHOLOGIST 852 00:35:15,520 --> 00:35:19,160 AND EACH COURSE WE HAVE ONLINE 853 00:35:19,160 --> 00:35:20,800 SELF-PACE COURSE AND INSTRUCTORS 854 00:35:20,800 --> 00:35:22,760 GUIDE AND PROMOTION OF MATERIALS 855 00:35:22,760 --> 00:35:23,920 THAT PEOPLE CAN SHARE WITH 856 00:35:23,920 --> 00:35:26,640 OTHERS AND MAKING IT EASY TO 857 00:35:26,640 --> 00:35:28,040 SUPPORT STAKEHOLDER ENGAGEMENT 858 00:35:28,040 --> 00:35:29,520 WE ALSO DEVELOP AN ONLINE COURSE 859 00:35:29,520 --> 00:35:31,280 FOR RESEARCHERS SO THAT THEY 860 00:35:31,280 --> 00:35:34,840 LEARN HOW TO ENGAGE HOUSING AND 861 00:35:34,840 --> 00:35:37,280 THIS IS POLICY MAKER ENGAGEMENT 862 00:35:37,280 --> 00:35:40,360 COURSE WITH REAL-LIFE SCENARIOS 863 00:35:40,360 --> 00:35:43,400 HOW TO DEVELOP ELEVATOR SPEECH 864 00:35:43,400 --> 00:35:45,640 AND HOW TO SHARE THEIR RESEARCH 865 00:35:45,640 --> 00:35:47,920 FINDING WITH POLICY MAKERS THAT 866 00:35:47,920 --> 00:35:50,240 MAKE REAL POLICY IMPACT. 867 00:35:50,240 --> 00:35:52,360 THERE IS ALSO KT RESOURCES 868 00:35:52,360 --> 00:35:54,680 DEVELOPED AT [INDISCERNIBLE] AND 869 00:35:54,680 --> 00:35:56,960 NIDR FUNDED AND FOR EXAMPLE THEY 870 00:35:56,960 --> 00:36:00,320 HAVE KT STRATEGY-BASED AND OTHER 871 00:36:00,320 --> 00:36:02,480 RESOURCES AS WELL THAT IS IMPACT 872 00:36:02,480 --> 00:36:04,640 CENTER TO SUPPORT TECHNOLOGY 873 00:36:04,640 --> 00:36:06,400 TRANSFER AND THEY DEVELOPED 874 00:36:06,400 --> 00:36:08,840 WEBINARS AND ALSO PROVIDE 875 00:36:08,840 --> 00:36:11,760 RESOURCES AS WELL AND CAMS FOR 876 00:36:11,760 --> 00:36:13,920 RESEARCHERS AND PECORI DEVELOPED 877 00:36:13,920 --> 00:36:16,680 LOTS OF RESOURCES TO ENGAGE AND 878 00:36:16,680 --> 00:36:25,320 HELP RESEARCHERS TO ENGAGE 879 00:36:25,320 --> 00:36:26,120 STAKEHOLDERS. 880 00:36:26,120 --> 00:36:30,440 >> SO, RESOURCES TO SUPPORT 881 00:36:30,440 --> 00:36:31,760 STAKEHOLDER RESEARCH TO -- 882 00:36:31,760 --> 00:36:33,280 EXCUSE ME. 883 00:36:33,280 --> 00:36:35,120 RESOURCES TO SUPPORT STAKEHOLDER 884 00:36:35,120 --> 00:36:37,920 -- RESEARCHERS ENGAGE 885 00:36:37,920 --> 00:36:39,080 STAKEHOLDER IMPORTANT THAT IS 886 00:36:39,080 --> 00:36:41,200 IMPORTANT AND IS IMPORTANT TO 887 00:36:41,200 --> 00:36:43,640 EDUCATE CONSUMERS ANDEND USERS 888 00:36:43,640 --> 00:36:46,680 TO ENGAGE IN RESEARCH PROCESS. 889 00:36:46,680 --> 00:36:51,120 NOW, HERE IS RESEARCH RESOURCES. 890 00:36:51,120 --> 00:36:53,520 PECORI DEVELOPED THEM TO SUPPORT 891 00:36:53,520 --> 00:36:55,600 CONSUMERS TO DO THAT. 892 00:36:55,600 --> 00:36:58,480 ENGAGING LEARNING ABOUT RESEARCH 893 00:36:58,480 --> 00:37:01,720 AND HOW TO WORK WITH A RESEARCH 894 00:37:01,720 --> 00:37:03,600 TEAM AND IS SOME ORGANIZATIONS 895 00:37:03,600 --> 00:37:05,280 THAT DEVELOP RESOURCES TO 896 00:37:05,280 --> 00:37:08,880 SUPPORT CONSUMERS AS WELL AND 897 00:37:08,880 --> 00:37:10,840 NORTH AMERICA SPENDING CONSORTIM 898 00:37:10,840 --> 00:37:13,320 AND DEVELOPED ADVOCACY COURSE 899 00:37:13,320 --> 00:37:19,520 PEOPLE SPENDING WITH FAMILIES 900 00:37:19,520 --> 00:37:25,360 ENGAGING IN RESEARCH. 901 00:37:25,360 --> 00:37:27,560 NOW, I WOULD LIKE TO TALK ABOUT 902 00:37:27,560 --> 00:37:30,320 NEXT IS ABOUT CREATING A CULTURE 903 00:37:30,320 --> 00:37:39,000 FOR RESEARCH TO ENGAGE IN. 904 00:37:39,000 --> 00:37:40,720 MODEL SYSTEMS, WE HAVE 905 00:37:40,720 --> 00:37:42,240 ESTABLISHED THIS KT COMMITTEES 906 00:37:42,240 --> 00:37:43,640 WE CALL THEM. 907 00:37:43,640 --> 00:37:47,840 FOR EACH MODEL SYSTEM PROGRAM, 908 00:37:47,840 --> 00:37:50,640 THERE IS A TRANSLATION COMMITTEE 909 00:37:50,640 --> 00:37:52,880 THAT HAS CHAIRS AND MEMBERS AND 910 00:37:52,880 --> 00:37:55,880 ALL MEMBERS ACTUALLY CAN BE 911 00:37:55,880 --> 00:37:59,960 CHAMPIONS AND KT THAT MEET 912 00:37:59,960 --> 00:38:02,120 REGULARLY TO DISCUSS OR SET 913 00:38:02,120 --> 00:38:03,560 VISION AND DEVELOP PLANS AND 914 00:38:03,560 --> 00:38:06,160 CARRY OUT ACTIVITIES ABOUT 915 00:38:06,160 --> 00:38:07,360 KNOWLEDGE TRANSLATION. THERE IS 916 00:38:07,360 --> 00:38:10,080 ALSO STRONG LEADERSHIP EMPHASIS 917 00:38:10,080 --> 00:38:11,560 AND KNOWLEDGE TRANSLATION AS 918 00:38:11,560 --> 00:38:14,560 WELL AND THINK OF RECENT NOT 919 00:38:14,560 --> 00:38:17,200 LONG AGO AT TD MODEL SYSTEM 920 00:38:17,200 --> 00:38:22,040 PROJECT OR MEETING THAT HAD THE 921 00:38:22,040 --> 00:38:23,640 STRATEGIC PLANNING SESSIONS. 922 00:38:23,640 --> 00:38:28,080 ONE -- ONE OF THEM IS 923 00:38:28,080 --> 00:38:30,640 TRANSLATION ABOUT STAKEHOLDER 924 00:38:30,640 --> 00:38:33,200 ENGAGEMENT AND STRATEGIES ABOUT 925 00:38:33,200 --> 00:38:35,560 MESSAGING AND ENGAGINGEND USERS 926 00:38:35,560 --> 00:38:37,160 AND WITH ALL THESE COULD REALLY 927 00:38:37,160 --> 00:38:40,000 HELP TO CREATE A CULTURE FOR 928 00:38:40,000 --> 00:38:40,760 KNOWLEDGE TRANSLATION AND 929 00:38:40,760 --> 00:38:42,440 SUPPORT RESEARCHERS TO ENGAGE IN 930 00:38:42,440 --> 00:38:43,960 THIS PROCESS. 931 00:38:43,960 --> 00:38:47,600 WE HAVE ALSO ENGAGED IN MODEL 932 00:38:47,600 --> 00:38:49,080 SYSTEM MODEL TRANSLATION 933 00:38:49,080 --> 00:38:52,040 ENGAGING RESEARCHERS IN 934 00:38:52,040 --> 00:38:54,040 DEVELOPING RESEARCH-BASED FREE 935 00:38:54,040 --> 00:38:55,880 RESEARCH BASED RESOURCES TO 936 00:38:55,880 --> 00:38:57,120 SUPPORT PEOPLE LIVING IN 937 00:38:57,120 --> 00:38:58,600 [INDISCERNIBLE] AND CREATED 938 00:38:58,600 --> 00:39:00,760 WORKING WITH THEM CREATING A 939 00:39:00,760 --> 00:39:03,000 VIBRANT WEBSITE AND 4,000 PEOPLE 940 00:39:03,000 --> 00:39:05,240 COMING TO THE WEBSITE NOW, WE 941 00:39:05,240 --> 00:39:10,920 HAVE 1.7 MILLION WITH 2 MILLION 942 00:39:10,920 --> 00:39:13,080 VISITS EACH YEAR AND 230 943 00:39:13,080 --> 00:39:15,600 COUNTRIES AND RESOURCES ARE HIGH 944 00:39:15,600 --> 00:39:17,760 QUALITY AND REHABILITY 945 00:39:17,760 --> 00:39:19,760 RESEARCHERS ARE FOCUSING ON 946 00:39:19,760 --> 00:39:21,200 DAILY LIVING AND COMMUNITY AND 947 00:39:21,200 --> 00:39:22,400 PARTICIPATION AND HEALTH AND 948 00:39:22,400 --> 00:39:25,160 FUNCTION TO SUPPORT PEOPLE. 949 00:39:25,160 --> 00:39:28,040 THOSE ARE SPINAL CORD INJURY 950 00:39:28,040 --> 00:39:30,160 RESOURCE TOPICS AND SOME SAMPLE 951 00:39:30,160 --> 00:39:32,000 TBI RESOURCE TOPICS. 952 00:39:32,000 --> 00:39:34,480 WE DEVELOPED RESOURCES IN 953 00:39:34,480 --> 00:39:37,280 MULTIPLE FORMAT TO MAKE SURE 954 00:39:37,280 --> 00:39:39,800 THAT THEY TAILOR TO ALL AND USE 955 00:39:39,800 --> 00:39:42,400 DIFFERENT LEARNING STYLES OF 956 00:39:42,400 --> 00:39:45,320 STAKEHOLDERS AND WE HAVE FAQ 957 00:39:45,320 --> 00:39:47,080 SHEETS. BOTH CLINICIAN FAQ 958 00:39:47,080 --> 00:39:48,760 SHEETS AND FAQ SHEETS FOR PEOPLE 959 00:39:48,760 --> 00:39:50,640 LIVING WITH THE INJURY AND THEIR 960 00:39:50,640 --> 00:40:01,600 FAMILIES AND WE HAVE COMETIC IC 961 00:40:20,000 --> 00:40:20,120 -- 962 00:40:20,120 --> 00:40:20,760 WE HAVE A PODCAST AND NARRATIVE 963 00:40:20,760 --> 00:40:22,680 SLIDESHOWS AND INFOGRAPHICS AND 964 00:40:22,680 --> 00:40:26,560 JUST ONE PAGE OR TWO PAGES TO 965 00:40:26,560 --> 00:40:31,040 SHOW IN A GRAPHIC FORMAT KEY 966 00:40:31,040 --> 00:40:32,600 INFORMATION PEOPLE CAN TAKE AWAY 967 00:40:32,600 --> 00:40:34,800 AND IMPLEMENT AND WE HAVE 968 00:40:34,800 --> 00:40:39,600 COURSES FOR PEOPLE AND VIDEOS 969 00:40:39,600 --> 00:40:41,080 THAT ARE AWARD WINNING VIDEOS 970 00:40:41,080 --> 00:40:45,200 AND DURING PANDEMIC WE CREATED 971 00:40:45,200 --> 00:40:47,480 SPANISH PORTION OF WEBSITE THAT 972 00:40:47,480 --> 00:40:50,720 RESULTS THAT WE HAVE SO MUCH 973 00:40:50,720 --> 00:40:52,840 TRAFFIC FROM SPANISH-SPEAKING 974 00:40:52,840 --> 00:40:54,120 COUNTRIES TO THE WEBSITE AND 975 00:40:54,120 --> 00:40:56,720 OVER THE YEARS THOSE WILL HAVE 976 00:40:56,720 --> 00:41:05,280 WON NINE INDUSTRY AWARDS AND SO 977 00:41:05,280 --> 00:41:09,280 WE ENGAGE CONSUMERS AND 978 00:41:09,280 --> 00:41:11,640 STAKEHOLDERS DISSEMINATING AS 979 00:41:11,640 --> 00:41:21,800 WELL AND WE HAVE TRAINED 100 980 00:41:21,800 --> 00:41:23,120 AMBASSADORS AND [INDISCERNIBLE] 981 00:41:23,120 --> 00:41:26,760 AND WE DEVELOPED A FEATURE 982 00:41:26,760 --> 00:41:28,000 AMBASSADOR STORIES TELLING FUN 983 00:41:28,000 --> 00:41:31,840 FACTS ABOUT THEM AND JOURNEY OF 984 00:41:31,840 --> 00:41:34,000 OVERCOXING AND WHAT THEY HAVE 985 00:41:34,000 --> 00:41:36,800 DONE AS AMBASSADOR TO SHOWCASE 986 00:41:36,800 --> 00:41:40,520 SO OTHERS CAN LEARN AND TELL 987 00:41:40,520 --> 00:41:43,440 THEM WHY THEY BECAME AMBASSADOR 988 00:41:43,440 --> 00:41:46,760 AND SHARE ALSO RESOURCES AND HOW 989 00:41:46,760 --> 00:41:52,920 THEY HAVE BEEN HELPFUL TO THEM. 990 00:41:52,920 --> 00:41:57,320 REAL LIFE STORIES TO CREATE 991 00:41:57,320 --> 00:42:00,720 COMMUNITY TO ENCOURAGE AND 992 00:42:00,720 --> 00:42:04,040 SUPPORT AND DEVELOPING IN-DEPTH 993 00:42:04,040 --> 00:42:07,280 CASE STUDIES FOR SUCCESSFUL 994 00:42:07,280 --> 00:42:09,280 AMBASSADORS AND RECENT 995 00:42:09,280 --> 00:42:10,920 AMBASSADOR SOMEONE WITH A SPINAL 996 00:42:10,920 --> 00:42:12,760 CORD INJURY DEVELOPED A CAMPAIGN 997 00:42:12,760 --> 00:42:15,160 TO BECOME AN AMBASSADOR AND 998 00:42:15,160 --> 00:42:16,880 TRACKING SYSTEM FOR AN 999 00:42:16,880 --> 00:42:19,240 AMBASSADOR AND ARE WORKING ON 1000 00:42:19,240 --> 00:42:22,480 DEVELOPING MORE IN-DEPTH CASE 1001 00:42:22,480 --> 00:42:24,680 STUDIES SO OTHERS CAN LEARN TO 1002 00:42:24,680 --> 00:42:25,920 IMPLEMENT THIS PROGRAM AND 1003 00:42:25,920 --> 00:42:27,720 EVERYTHING WE DO IS BASED IN 1004 00:42:27,720 --> 00:42:28,720 KNOWLEDGE TRANSLATION RESEARCH 1005 00:42:28,720 --> 00:42:31,120 AND WE HAVE A SURVEY TO ASK WHAT 1006 00:42:31,120 --> 00:42:36,000 TOPICS THEY WANT TO HAVE 1007 00:42:36,000 --> 00:42:37,320 INFORMATION AND FORMAT AND 1008 00:42:37,320 --> 00:42:39,400 RECEIVE INFORMATION AND SUPPORT 1009 00:42:39,400 --> 00:42:46,040 TO BETTER UPTAKE OUR RESOURCE. 1010 00:42:46,040 --> 00:42:48,200 ANOTHER THING CREATING CULTURE 1011 00:42:48,200 --> 00:42:49,680 IS ROLE OF PROFESSIONAL 1012 00:42:49,680 --> 00:42:51,040 ORGANIZATION AND DID QUICK 1013 00:42:51,040 --> 00:42:56,280 RESEARCH KNOWLEDGE TRANSLATION 1014 00:42:56,280 --> 00:43:00,520 AND REHAB RECENTLY AND FOUND 1015 00:43:00,520 --> 00:43:03,680 OVER 2000 RECORDS AND ARTICLES 1016 00:43:03,680 --> 00:43:05,320 PUBLISHED IN REHAB JOURNALS AND 1017 00:43:05,320 --> 00:43:09,280 DIFFERENT KINDS OF JOURNALS AND 1018 00:43:09,280 --> 00:43:12,560 ALSO NOW JOURNALS ARE REQUIRING 1019 00:43:12,560 --> 00:43:13,440 KNOWLEDGE TRANSLATION COMPONENT 1020 00:43:13,440 --> 00:43:16,680 NOW AND I'M EDITOR OF KNOWLEDGE 1021 00:43:16,680 --> 00:43:19,240 TRANSLATION AND IMPLEMENTATION 1022 00:43:19,240 --> 00:43:21,280 COORDINATING GROUP FOR CAMABLE 1023 00:43:21,280 --> 00:43:24,360 COLLABORATION THAT IS A HISTORIC 1024 00:43:24,360 --> 00:43:26,560 [INDISCERNIBLE] FOR COCRIN AND 1025 00:43:26,560 --> 00:43:28,640 HERE ARE EXAMPLE STANDARDS FOR 1026 00:43:28,640 --> 00:43:32,120 THE MANUSCRIPT. 1027 00:43:32,120 --> 00:43:36,440 THERE IS TWO CONCERN THE WITH 1028 00:43:36,440 --> 00:43:37,120 STAKEHOLDERS ENGAGEMENT AND THAT 1029 00:43:37,120 --> 00:43:41,560 IS IN THIS PROCESS. 1030 00:43:41,560 --> 00:43:43,640 [INDISCERNIBLE] HAS CONDUCTED 1031 00:43:43,640 --> 00:43:49,480 MANY KT-BASED RESEARCH 1032 00:43:49,480 --> 00:43:51,800 ACTIVITIES. 1033 00:43:51,800 --> 00:43:55,400 IN RESEARCH STUDY WE FOUND 1034 00:43:55,400 --> 00:43:57,080 FACILITY RESEARCH UPTAKE THEY 1035 00:43:57,080 --> 00:44:01,280 MUST BE EASILY ACCESSIBLE AND 1036 00:44:01,280 --> 00:44:02,280 DIGEST ABOUTABLE INCLUDING 1037 00:44:02,280 --> 00:44:03,000 CLINICAL PRACTICE 1038 00:44:03,000 --> 00:44:05,000 RECOMMENDATIONS AND THAT WE 1039 00:44:05,000 --> 00:44:07,920 DEVELOPED A PAPER TO PROPOSE 1040 00:44:07,920 --> 00:44:10,080 FRAMEWORK TO DEFINE RELEVANCE 1041 00:44:10,080 --> 00:44:13,160 AND MEASURE RELEVANCE AND 1042 00:44:13,160 --> 00:44:15,720 CONDUCTING RESEARCH TO -- THAT 1043 00:44:15,720 --> 00:44:19,360 REALLY ACHIEVE THE RELEVANCE 1044 00:44:19,360 --> 00:44:20,040 GOAL. 1045 00:44:20,040 --> 00:44:22,520 ALSO, I THINK THAT RESEARCHERS 1046 00:44:22,520 --> 00:44:24,600 ARE QUITE SMART. ANOTHER WAY TO 1047 00:44:24,600 --> 00:44:27,720 HELP THEM TO FOCUS ON KNOWLEDGE 1048 00:44:27,720 --> 00:44:30,160 TRANSLATION WHERE STAKEHOLDER 1049 00:44:30,160 --> 00:44:31,680 ENGAGEMENT THROUGH THE GRANT 1050 00:44:31,680 --> 00:44:33,280 FUNDING AND I'M VERY FORTUNATE 1051 00:44:33,280 --> 00:44:35,800 TO HAVE A KNOWLEDGE TRANSLATION 1052 00:44:35,800 --> 00:44:39,720 GRANT FROM NIDLR, WHICH IS TO 1053 00:44:39,720 --> 00:44:42,720 TRANSLATE FINDINGS RESEARCH INTO 1054 00:44:42,720 --> 00:44:45,920 A BUNDLE FOR AMERICAN INDIANS. 1055 00:44:45,920 --> 00:44:48,880 SO, WHEN I -- I LOOK AT THE 1056 00:44:48,880 --> 00:44:50,360 CRITERIA FROM THE FUNDING AGENCY 1057 00:44:50,360 --> 00:44:53,360 AND HOW TO SCORE MY PROPOSAL AND 1058 00:44:53,360 --> 00:44:55,720 MAKE SURE FOR STAKEHOLDER 1059 00:44:55,720 --> 00:44:59,920 ENGAGEMENT I MAKE SURE IS THERE 1060 00:44:59,920 --> 00:45:02,400 AND MAKING GRANT REVEL LENT I 1061 00:45:02,400 --> 00:45:05,400 MAKE SURE TO SCORE HIGH 1062 00:45:05,400 --> 00:45:07,000 ADDRESSING ELEMENTS AND QUICK 1063 00:45:07,000 --> 00:45:10,920 SEARCH OF PECORI ABOUT CURRENT 1064 00:45:10,920 --> 00:45:11,720 FUNDING OPPORTUNITIES AND THEY 1065 00:45:11,720 --> 00:45:14,520 ARE 180 AT TIME I SEARCH AND 1066 00:45:14,520 --> 00:45:16,800 DISTRIBUTION 100 RESEARCH AND 31 1067 00:45:16,800 --> 00:45:20,840 IN ENGAGEMENT RESEARCH AND 30 IS 1068 00:45:20,840 --> 00:45:22,760 IMPLEMENTATION RESEARCH AND 1069 00:45:22,760 --> 00:45:25,280 [INDISCERNIBLE] IS RESEARCH 1070 00:45:25,280 --> 00:45:27,120 INFRASTRUCTURE AND WITH THIS YOU 1071 00:45:27,120 --> 00:45:35,280 SEE FOEKUS OF FUNDING AND 1/3 IS 1072 00:45:35,280 --> 00:45:36,800 KNOWLEDGE TRANSLATION ENGAGEMENT 1073 00:45:36,800 --> 00:45:39,280 AND IMPLEMENTATION AND I WAS 1074 00:45:39,280 --> 00:45:40,480 FORTUNATE TO RECEIVE FUNDING 1075 00:45:40,480 --> 00:45:47,360 FROM CDC AND DESIGNED THIS STUDY 1076 00:45:47,360 --> 00:45:51,000 THAT APPLY IN KNOWLEDGE 1077 00:45:51,000 --> 00:45:52,080 TRANSLATION STRATEGIES. 1078 00:45:52,080 --> 00:45:56,480 ONE, TO CONDUCT POLICY MAKER 1079 00:45:56,480 --> 00:45:57,920 NEEDS STUDY TO UNDERSTAND WHAT 1080 00:45:57,920 --> 00:46:00,080 DATA AND POLICY INFORMATION THEY 1081 00:46:00,080 --> 00:46:03,800 NEED FOR TRAUMATIC BRAIN INJURY 1082 00:46:03,800 --> 00:46:05,040 AND USE THAT INFORMATION TO HAVE 1083 00:46:05,040 --> 00:46:07,120 RECOMMENDATION AND POLICY MAKER 1084 00:46:07,120 --> 00:46:10,040 FACT SHEET THAT IS MODERATE TO 1085 00:46:10,040 --> 00:46:12,120 SEVERE TRAUMATIC BRAIN INJURY 1086 00:46:12,120 --> 00:46:14,720 THAT IS LIVE CONDITION AND BRAND 1087 00:46:14,720 --> 00:46:18,320 OF CDC NIGHT PRODUCT AND POLICY 1088 00:46:18,320 --> 00:46:21,000 MAKER TOLD TWO PAGERS AND POLICY 1089 00:46:21,000 --> 00:46:21,920 COMMUNICATION WE GAVE THEM THAT 1090 00:46:21,920 --> 00:46:25,800 AND THEY WANTED TO KNOW IMPACT 1091 00:46:25,800 --> 00:46:29,760 FIRST PAGE OF POLICY MAKER. 1092 00:46:29,760 --> 00:46:31,160 SO, THAT IS THE END OF MY 1093 00:46:31,160 --> 00:46:36,080 PRESENTATION IF YOU HAVE 1094 00:46:36,080 --> 00:46:36,400 QUESTIONS. 1095 00:46:36,400 --> 00:46:41,080 PLEASE LET ME KNOW. HERE IS MY 1096 00:46:41,080 --> 00:46:43,600 CONTACT INFORMATION AND 1097 00:46:43,600 --> 00:46:45,360 DISCLAIMER AND FUNDING AGENCY 1098 00:46:45,360 --> 00:46:45,720 VIEW. 1099 00:46:45,720 --> 00:46:50,360 >> THANK YOU, CINDY. DO WE HAVE 1100 00:46:50,360 --> 00:46:58,880 QUESTIONS? 1101 00:46:58,880 --> 00:47:01,360 OKAY. THANK YOU FOR WONDERFUL 1102 00:47:01,360 --> 00:47:05,680 TALKS. I WANT TO GO BACK TO 1103 00:47:05,680 --> 00:47:07,000 STEPHANIE'S LOVELY TALK 1104 00:47:07,000 --> 00:47:08,400 YESTERDAY ON MOVEMENT THERAPY 1105 00:47:08,400 --> 00:47:12,400 AND FOR INTERVENTIONS THAT 1106 00:47:12,400 --> 00:47:14,360 EITHER BAUS OF DOSING INTENSITY 1107 00:47:14,360 --> 00:47:18,800 AND MAYBE THEY ARE A BIT MORE 1108 00:47:18,800 --> 00:47:20,160 COMPLEX. I'M USING THAT WORD 1109 00:47:20,160 --> 00:47:24,240 LOOSELY. ARE YOU -- ARE WE 1110 00:47:24,240 --> 00:47:26,880 CAPTURING FIDELITY FOR -- THERE 1111 00:47:26,880 --> 00:47:29,200 IS A CLEARER ROLE FOR CAREGIVERS 1112 00:47:29,200 --> 00:47:32,200 IN THE HOME TO HELP IMPLEMENT 1113 00:47:32,200 --> 00:47:33,480 INTERVENTIONS AND ARE THERE 1114 00:47:33,480 --> 00:47:35,800 OPPORTUNITIES FROM PARTNERSHIPS 1115 00:47:35,800 --> 00:47:37,560 BETWEEN CLINICIANS AND 1116 00:47:37,560 --> 00:47:40,760 CAREGIVERS AS SUCH THAT 1117 00:47:40,760 --> 00:47:43,080 CAREGIVERS BECOME THE 1118 00:47:43,080 --> 00:47:43,920 INCREMENTERS AND UNDER 1119 00:47:43,920 --> 00:47:45,040 SUPERVISION OF THE CLINICIAN IF 1120 00:47:45,040 --> 00:47:47,640 THAT MAKES SENSE AND CLINICIANS 1121 00:47:47,640 --> 00:47:49,840 MAYBE WANT TO REVIEW 1122 00:47:49,840 --> 00:47:50,760 IMPLEMENTATION AND GIVE FEEDBACK 1123 00:47:50,760 --> 00:47:53,920 ON FIDELITY AND ARE WE CAPTURING 1124 00:47:53,920 --> 00:47:57,280 SUCH INTERVENTIONS AND HOW THOSE 1125 00:47:57,280 --> 00:47:59,360 ARE BEING IMPLEMENTED 1126 00:47:59,360 --> 00:47:59,720 POTENTIALLY? 1127 00:47:59,720 --> 00:48:02,240 >> THANK YOU SO MUCH FOR THAT 1128 00:48:02,240 --> 00:48:04,320 QUESTION. THAT IS AN EXCELLENT 1129 00:48:04,320 --> 00:48:06,240 QUESTION THAT IS CONCERNING 1130 00:48:06,240 --> 00:48:07,240 IMPLEMENTATION AND TRANSLATION 1131 00:48:07,240 --> 00:48:09,880 OF THE RESEARCH MAKING IT MORE 1132 00:48:09,880 --> 00:48:13,160 USEFUL FOR PEOPLE AND USERS NOW 1133 00:48:13,160 --> 00:48:14,400 APPRECIATE THAT PERSPECTIVE AND 1134 00:48:14,400 --> 00:48:16,760 THANKS SO MUCH FOR ASKING THAT 1135 00:48:16,760 --> 00:48:17,720 CRITICAL QUESTION THAT WE SHOULD 1136 00:48:17,720 --> 00:48:20,920 ALWAYS FOCUS ONNEND USERS THAT 1137 00:48:20,920 --> 00:48:22,040 RESEARCH EFFECTS. 1138 00:48:22,040 --> 00:48:24,240 SO, UNFORTUNATELY, I WASN'T AT 1139 00:48:24,240 --> 00:48:26,160 THE PRESENTATION YESTERDAY. I 1140 00:48:26,160 --> 00:48:28,480 DIDN'T KNOW WHAT WAS PRESENTED. 1141 00:48:28,480 --> 00:48:30,160 THE PRINCIPLE OF KNOWLEDGE 1142 00:48:30,160 --> 00:48:33,000 TRANSLATION AND KEY FEATURE OF 1143 00:48:33,000 --> 00:48:34,680 KNOWLEDGE TRANSLATION THAT IN MY 1144 00:48:34,680 --> 00:48:36,880 VIEW IS A STAKEHOLDER ENGAGEMENT 1145 00:48:36,880 --> 00:48:40,200 WHETHER FROM NIDLR'S DEFINITION 1146 00:48:40,200 --> 00:48:44,160 OR ITK INTEGRATED KNOWLEDGE 1147 00:48:44,160 --> 00:48:44,760 TRANSLATION FRAMEWORK 1148 00:48:44,760 --> 00:48:48,960 STAKEHOLDER ENGAGEMENT IS VERY 1149 00:48:48,960 --> 00:48:50,640 CRITICAL AND INTERVENTIONS 1150 00:48:50,640 --> 00:48:52,480 CONCERNINGEND USERS THAT IS 1151 00:48:52,480 --> 00:48:55,480 CAREGIVER THEY HAVE TO PROVIDE 1152 00:48:55,480 --> 00:48:57,280 INPUT AND ENGAGE FROM THE 1153 00:48:57,280 --> 00:48:59,440 SELECTION OF INTERVENTION. 1154 00:48:59,440 --> 00:49:01,920 FEASIBILITY OF IT AND TO 1155 00:49:01,920 --> 00:49:02,960 IMPLEMENTATION STRATEGIES AND 1156 00:49:02,960 --> 00:49:05,000 WHETHER IT IS CLINICIANS AND 1157 00:49:05,000 --> 00:49:06,520 CLINICIANS NEED TO BE PART OF IT 1158 00:49:06,520 --> 00:49:08,840 AND WHETHER THAT IS REALLY GOING 1159 00:49:08,840 --> 00:49:10,320 TO WORK FEASIBLE OR NOT. 1160 00:49:10,320 --> 00:49:12,560 SO, MY -- YOU KNOW, I HOPE THAT 1161 00:49:12,560 --> 00:49:16,160 THE KEY FEATURE OF TRYING TO 1162 00:49:16,160 --> 00:49:17,800 PRESENT ABOUT KNOWLEDGE 1163 00:49:17,800 --> 00:49:18,640 PRANCELATION THROUGH 1164 00:49:18,640 --> 00:49:20,680 PRESENTATION ABOUT STAKEHOLDER 1165 00:49:20,680 --> 00:49:22,880 ENGAGEMENT THAT EFFECTS ALL 1166 00:49:22,880 --> 00:49:24,320 ASPECT OF RESEARCH THAT 1167 00:49:24,320 --> 00:49:25,800 PRINCIPLE COULD HELP ADDRESS THE 1168 00:49:25,800 --> 00:49:30,480 QUESTION THAT YOU RAISED. 1169 00:49:30,480 --> 00:49:32,440 >> THAT IS TERRIFIC. WE HAVE A 1170 00:49:32,440 --> 00:49:34,080 FEW QUESTIONS AND MOVING TO THE 1171 00:49:34,080 --> 00:49:35,720 THIRD SPEAKER TO TAKE QUESTIONS 1172 00:49:35,720 --> 00:49:38,480 FOR ALL THREE OF YOU. 1173 00:49:38,480 --> 00:49:40,760 LAST SPEAKER IS AMY KILBOURNE. 1174 00:49:40,760 --> 00:49:43,080 AMY, ARE YOU ALL SET? 1175 00:49:43,080 --> 00:49:43,360 PERFECT. 1176 00:49:43,360 --> 00:49:45,640 >> SHARING SLIDES NOW. 1177 00:49:45,640 --> 00:49:47,160 CAN YOU SEE THAT? 1178 00:49:47,160 --> 00:49:48,560 >> YES, WE CAN. 1179 00:49:48,560 --> 00:49:50,360 >> GREAT. THANK YOU FOR THE 1180 00:49:50,360 --> 00:49:52,400 OPPORTUNITY TO PRESENT. I'M 1181 00:49:52,400 --> 00:49:54,680 REALLY FORTUNATE TO BE COMING 1182 00:49:54,680 --> 00:49:56,880 RIGHT AFTER CINDY AND LINDA WHO 1183 00:49:56,880 --> 00:49:59,400 HOPEFULLY I CAN PROVIDE SOME 1184 00:49:59,400 --> 00:50:00,600 ADDITIONAL INFORMATION ABOUT 1185 00:50:00,600 --> 00:50:02,760 KNOWLEDGE TRANSLATION AND 1186 00:50:02,760 --> 00:50:03,400 MEDICAL REHABILITATION RESEARCH 1187 00:50:03,400 --> 00:50:05,840 AND APPRECIATE THEM LAYING THE 1188 00:50:05,840 --> 00:50:07,240 GROUNDWORK. THERE IS AMAZING 1189 00:50:07,240 --> 00:50:09,000 WORK THEY HAVE DONE SO FAR. 1190 00:50:09,000 --> 00:50:11,640 HOPEFULLY I CAN GO THROUGH THIS 1191 00:50:11,640 --> 00:50:13,520 FAIRLY ROBUSTLY AND QUICKLY TO 1192 00:50:13,520 --> 00:50:15,520 HAVE TIME FOR QUESTIONS AS WELL. 1193 00:50:15,520 --> 00:50:18,440 I'M DIRECTOR OF QUALITY 1194 00:50:18,440 --> 00:50:19,360 ENHANCEMENT RESEARCH INITIATIVE 1195 00:50:19,360 --> 00:50:23,680 AND PROGRAM IN US DEPARTMENT OF 1196 00:50:23,680 --> 00:50:25,640 VETERANS AFFAIRS DEVOTED TO 1197 00:50:25,640 --> 00:50:27,640 FUNDING INVESTIGATORS TO DO 1198 00:50:27,640 --> 00:50:30,160 KNOWLEDGE TRANSLATION AND 1199 00:50:30,160 --> 00:50:30,800 IMPLEMENTATION SCIENCE WORK AND 1200 00:50:30,800 --> 00:50:32,480 ARE ENCOMPASSED ABOUT I LARGER 1201 00:50:32,480 --> 00:50:34,280 NATIONAL PROGRAM OF RESEARCH 1202 00:50:34,280 --> 00:50:37,120 WHICH I WILL TALK ABOUT SHORTLY. 1203 00:50:37,120 --> 00:50:38,640 LET'S SEE IF I CAN. YES. 1204 00:50:38,640 --> 00:50:40,280 >> WE ARE SHARING SLIDES. 1205 00:50:40,280 --> 00:50:41,720 CAN YOU TELL US NEXT? 1206 00:50:41,720 --> 00:50:44,000 >> SURE. THAT IS EVEN BETTER. 1207 00:50:44,000 --> 00:50:47,760 YEAH. NEXT SLIDE, PLEASE. 1208 00:50:47,760 --> 00:50:49,120 THANK YOU. 1209 00:50:49,120 --> 00:50:51,400 >> GO AHEAD. YOU CAN GO THROUGH 1210 00:50:51,400 --> 00:50:52,920 THE SLIDE. I WANT TO PRESENT 1211 00:50:52,920 --> 00:50:54,360 THE BIG PICTURE HERE THAT IS 1212 00:50:54,360 --> 00:50:57,000 IMPORTANT TO REMEMBER WHY WE DO 1213 00:50:57,000 --> 00:50:58,080 KNOWLEDGE TRANSLATION OR 1214 00:50:58,080 --> 00:50:59,040 IMPLEMENTATION RESEARCH THAT IS 1215 00:50:59,040 --> 00:51:00,640 BECAUSE IT IS REALLY ABOUT THIS 1216 00:51:00,640 --> 00:51:03,360 IDEA THAT WE USED TO TALK ABOUT 1217 00:51:03,360 --> 00:51:05,240 INVESTIGATOR INITIATED RESEARCH 1218 00:51:05,240 --> 00:51:08,640 AS PUBLISH OR PERISH AND DOING 1219 00:51:08,640 --> 00:51:09,920 IMPACTFUL RESEARCH WE HAVE TO 1220 00:51:09,920 --> 00:51:11,640 PARTNER OR PERISH MEANING WE 1221 00:51:11,640 --> 00:51:14,200 WORK WITH HEALTHCARE SYSTEMS 1222 00:51:14,200 --> 00:51:15,680 CONSUMERS FAMILY MEMBERS AND 1223 00:51:15,680 --> 00:51:17,080 COMMUNITIES AND NEED TO 1224 00:51:17,080 --> 00:51:18,960 UNDERSTAND SOCIAL DETERMINANTS 1225 00:51:18,960 --> 00:51:21,200 THAT DRIVE OFTEN DISPARITIES AND 1226 00:51:21,200 --> 00:51:23,840 HEALTH INEQUITIES FOR EXAM AND 1227 00:51:23,840 --> 00:51:25,960 NEED FOR UNDERSTANDING ROLE OF 1228 00:51:25,960 --> 00:51:27,400 CONSUMER DRIVEN CARE THAT 1229 00:51:27,400 --> 00:51:28,280 BASICALLY LOTS OF PEOPLE ARE 1230 00:51:28,280 --> 00:51:30,080 BEING EMPOWER TODAY ASK 1231 00:51:30,080 --> 00:51:32,000 PROVIDERS THIS IS WHAT I LIKED 1232 00:51:32,000 --> 00:51:33,680 FOR MY OWN HEALTHCARE AND WE 1233 00:51:33,680 --> 00:51:36,040 NEED TO THINK ABOUT GOING BEYOND 1234 00:51:36,040 --> 00:51:38,080 ACADEMY AND SOME PICTURES HERE 1235 00:51:38,080 --> 00:51:40,360 ARE EXAMPLES OF THIS IS A 1236 00:51:40,360 --> 00:51:42,840 STOREFRONT IN LOS ANGELES WHERE 1237 00:51:42,840 --> 00:51:44,520 THE LATINO POPULATION WAS 1238 00:51:44,520 --> 00:51:47,600 POSTING THEIR -- THEY ACTUALLY 1239 00:51:47,600 --> 00:51:49,760 HAD PRICE TRANSPARENCY ABOUT 1240 00:51:49,760 --> 00:51:51,800 MEDICAL SERVICES BEFORE POLICY 1241 00:51:51,800 --> 00:51:54,400 MAKERS WERE THINKING ABOUT PRICE 1242 00:51:54,400 --> 00:51:56,440 TRANSPARENCIES AND WERE BEING 1243 00:51:56,440 --> 00:51:58,480 INNOVATORS IN THEIR COMMUNITIES 1244 00:51:58,480 --> 00:52:00,480 AND ROLE OF TECHNOLOGY AND 1245 00:52:00,480 --> 00:52:02,520 ARTIFICIAL INTELLIGENCE 1246 00:52:02,520 --> 00:52:04,120 POTENTIAL FOR RACIAL BIAS 1247 00:52:04,120 --> 00:52:06,120 BECAUSE OF TECHNOLOGIES AND 1248 00:52:06,120 --> 00:52:09,280 OPPORTUNITY TO MITIGATE BIASES. 1249 00:52:09,280 --> 00:52:11,880 GO AHEAD. NEXT SLIDE. 1250 00:52:11,880 --> 00:52:15,560 WHY WE HAVE 17 YEAR RESEARCH TO 1251 00:52:15,560 --> 00:52:17,320 PRACTICE GAP. FIRST OFF IS 1252 00:52:17,320 --> 00:52:19,560 RESEARCH TIMELINES DON'T MATCH 1253 00:52:19,560 --> 00:52:21,840 OFTEN WITH COMMUNITY NEEDS AND 1254 00:52:21,840 --> 00:52:23,440 HAPPENS BECAUSE OF FIRST GRANT 1255 00:52:23,440 --> 00:52:25,280 SUBMISSION THAT IS AT LEAST 6 1256 00:52:25,280 --> 00:52:27,480 YEARS AND OFTEN TIMES DECISIONS 1257 00:52:27,480 --> 00:52:29,080 ARE MADE WITHOUT WAITING FOR 1258 00:52:29,080 --> 00:52:31,040 RESEARCH AND IN ADDITION THERE 1259 00:52:31,040 --> 00:52:33,880 IS MISMATCHED PRIORITIES AND 1260 00:52:33,880 --> 00:52:35,320 INCENTIVES AND LEADERS WANT 1261 00:52:35,320 --> 00:52:37,000 SPECIFIC AND TIMELY ANSWERS AND 1262 00:52:37,000 --> 00:52:40,120 LACKIN KRENTIVES FOR COMMUNITY 1263 00:52:40,120 --> 00:52:42,400 ENGAGEMENT FOR BASICALLY DOING 1264 00:52:42,400 --> 00:52:43,320 COMMUNITY ENGAGED RESEARCH. 1265 00:52:43,320 --> 00:52:45,840 SO MUCH IS FOCUSED REALLY ON A 1266 00:52:45,840 --> 00:52:47,840 COMMUNITY AND YOU ARE NOT 1267 00:52:47,840 --> 00:52:49,040 SPENDING TIME WRITING UP 1268 00:52:49,040 --> 00:52:50,440 RESEARCH RESULTS THAT I WOULD 1269 00:52:50,440 --> 00:52:52,680 SAY HONESTLY ARE MORE AND MORE 1270 00:52:52,680 --> 00:52:53,960 JOURNALS THAT WANT TO HEAR ABOUT 1271 00:52:53,960 --> 00:52:55,360 COMMUNITY ENGAGEMENT HAPPENING 1272 00:52:55,360 --> 00:52:56,880 BEFORE RESEARCH IS BEING DONE 1273 00:52:56,880 --> 00:52:59,200 AND IN ADDITION IS A LACK OF 1274 00:52:59,200 --> 00:53:01,320 PLANNING FOR FUTURE SCALE-UP OF 1275 00:53:01,320 --> 00:53:03,800 NEW TREATMENTS AND VALUE 1276 00:53:03,800 --> 00:53:05,400 PROPOSITION WAS A QUESTION ABOUT 1277 00:53:05,400 --> 00:53:06,560 PRESENTATION YESTERDAY REFERRED 1278 00:53:06,560 --> 00:53:08,640 TO ABOUT A NEW INNOVATION AND IN 1279 00:53:08,640 --> 00:53:11,080 MANY RESPECTS WE OFTEN THINK 1280 00:53:11,080 --> 00:53:12,560 ABOUT DESIGNING INNOVATIONS 1281 00:53:12,560 --> 00:53:14,040 WITHOUT THINKING ABOUT THEEND 1282 00:53:14,040 --> 00:53:14,920 USER IN MIND. 1283 00:53:14,920 --> 00:53:17,120 WE WANT TO ALSO AVOID WHAT WE 1284 00:53:17,120 --> 00:53:20,000 OFTEN SEE AS HELICOPTER RESEARCH 1285 00:53:20,000 --> 00:53:22,080 WHERE RESEARCHERS GO INTO LOWER 1286 00:53:22,080 --> 00:53:23,400 RESOURCED COMMUNITY AND DO 1287 00:53:23,400 --> 00:53:27,000 RESEARCH AND LEAVE AND NOT SHARE 1288 00:53:27,000 --> 00:53:29,200 RESULTS AND LET ALONE SHARING 1289 00:53:29,200 --> 00:53:30,880 HOW THEY IMPLEMENT THINGS. 1290 00:53:30,880 --> 00:53:32,400 NEXT SLIDE, PLEASE. 1291 00:53:32,400 --> 00:53:34,720 BASICALLY, I WILL REITERATE 1292 00:53:34,720 --> 00:53:36,320 AGAIN IMPLEMENTATION SCIENCES 1293 00:53:36,320 --> 00:53:37,560 THAT IS SAME AS KNOWLEDGE 1294 00:53:37,560 --> 00:53:38,800 TRANSLATION AND ARE ONE IN THE 1295 00:53:38,800 --> 00:53:40,560 SAME IN MANY RESPECTS IN TERMS 1296 00:53:40,560 --> 00:53:42,960 OF WAYS THAT WE OPERATIONALIZED 1297 00:53:42,960 --> 00:53:45,640 IT HERE WITHIN NIH AND VA 1298 00:53:45,640 --> 00:53:47,000 RESEARCH PARTICULARLY AND IDEA 1299 00:53:47,000 --> 00:53:49,800 IS IT IS PROBLEM FOCUSED ON 1300 00:53:49,800 --> 00:53:52,080 PROBLEMS THAT COMMUNITIES AND 1301 00:53:52,080 --> 00:53:53,360 STAKEHOLDERS IDENTIFY AND 1302 00:53:53,360 --> 00:53:55,880 RESEARCH IS IMBEDDED IN A LARGER 1303 00:53:55,880 --> 00:53:57,320 HEALTHCARE SYSTEM OR COMMUNITY 1304 00:53:57,320 --> 00:53:58,320 ORGANIZATION FOR EXAMPLE. 1305 00:53:58,320 --> 00:54:00,680 WITH THE IDEA THAT YOU ARE 1306 00:54:00,680 --> 00:54:01,840 INFORMING HOW THE TREATMENT 1307 00:54:01,840 --> 00:54:04,520 COULD BE ACTUALLY USED BIEND 1308 00:54:04,520 --> 00:54:05,920 USERS WHEN RESEARCH GOES AWAY. 1309 00:54:05,920 --> 00:54:09,320 SO, BASICALLY, IT IS AN IDEA OF 1310 00:54:09,320 --> 00:54:10,120 ESSENTIALLY INVOLVING 1311 00:54:10,120 --> 00:54:13,320 COMMUNITIES HEALTH SYSTEMS AND 1312 00:54:13,320 --> 00:54:14,960 CONSUMERS UP FRONT IN 1313 00:54:14,960 --> 00:54:16,120 PRIORITIZATION WHAT YOU ARE 1314 00:54:16,120 --> 00:54:19,040 STUDYING AND RESEARCH QUESTIONS 1315 00:54:19,040 --> 00:54:20,400 OF IMPLEMENTATION SCIENCE FOCUS 1316 00:54:20,400 --> 00:54:22,120 LESS ON DOES TREATMENT WORK AND 1317 00:54:22,120 --> 00:54:25,600 ACTUALLY BEHAVIOR CHANGE THAT 1318 00:54:25,600 --> 00:54:27,640 ACCELERATES USE OF EFFECTIVE 1319 00:54:27,640 --> 00:54:28,840 TREATMENT INTO ROUTINE CARE 1320 00:54:28,840 --> 00:54:30,800 SETTINGS ESPECIALLY FACED WITH 1321 00:54:30,800 --> 00:54:32,480 ORGANIZATIONAL CONSTRAINTS AND 1322 00:54:32,480 --> 00:54:33,880 FOR EXAMPLE IMPLEMENTATION 1323 00:54:33,880 --> 00:54:36,120 RESEARCH WILL TACKLE QUESTIONS 1324 00:54:36,120 --> 00:54:37,920 ABOUT PATIENT COMMUNITY FAMILY 1325 00:54:37,920 --> 00:54:39,160 DECISIONS TO RECEIVE EFFECTIVE 1326 00:54:39,160 --> 00:54:40,800 TREATMENT AND IF THEY WANT TO 1327 00:54:40,800 --> 00:54:42,880 HAVE NEW TREATMENT OR TECHNOLOGY 1328 00:54:42,880 --> 00:54:45,320 AND EXISTING PROVIDERS DECISIONS 1329 00:54:45,320 --> 00:54:46,960 USE EFFECTIVE TREATMENT AND 1330 00:54:46,960 --> 00:54:49,280 CLINICAL PRACTICE AND COMMUNITY 1331 00:54:49,280 --> 00:54:52,120 HEALTH SYSTEM DECISIONS TO 1332 00:54:52,120 --> 00:54:53,320 FACILITATE TREATMENT ADOPTION 1333 00:54:53,320 --> 00:54:55,120 AND INFORMATION ON DISSEMINATION 1334 00:54:55,120 --> 00:54:57,000 IMPLEMENTATION RESEARCH HAS BEEN 1335 00:54:57,000 --> 00:54:59,200 REALLY WELL DOCUMENTED IN 1336 00:54:59,200 --> 00:55:00,760 PROGRAM ANNOUNCEMENT NIH HAS HAD 1337 00:55:00,760 --> 00:55:03,800 FOR A NUMBER OF YEARS NOW. 1338 00:55:03,800 --> 00:55:05,520 I WILL TALK ABOUT NEXT WHAT 1339 00:55:05,520 --> 00:55:06,560 IMPLEMENTATION RESEARCH LOOKS 1340 00:55:06,560 --> 00:55:08,800 LIKE AND WALKING THROUGH AN 1341 00:55:08,800 --> 00:55:11,040 EXAMPLE OF A STUDY DONE IN VA 1342 00:55:11,040 --> 00:55:13,080 AND TAKING ADVANTAGE OF THE VA 1343 00:55:13,080 --> 00:55:14,880 LEARNING SYSTEM TO REALLY TO 1344 00:55:14,880 --> 00:55:17,280 STUDY IMPLEMENTATION OF A NEW 1345 00:55:17,280 --> 00:55:19,880 EFFECTIVE TREATMENT. 1346 00:55:19,880 --> 00:55:22,440 NEXT SLIDE, PLEASE. 1347 00:55:22,440 --> 00:55:25,160 A LITTLE BACKGROUND ON VA 1348 00:55:25,160 --> 00:55:27,800 NATION'S LARGEST IMBEDDED 1349 00:55:27,800 --> 00:55:29,480 RESEARCH PROGRAM 9 MILLION 1350 00:55:29,480 --> 00:55:32,080 VETERANS ENROLLED AND INCLUDING 1351 00:55:32,080 --> 00:55:33,960 170 HOSPITALS AND GLOBAL BUDGET 1352 00:55:33,960 --> 00:55:36,480 THAT PAYS FOR SALARY PROVIDERS 1353 00:55:36,480 --> 00:55:38,840 AND NURSES AND PHYSICIANS AND 1354 00:55:38,840 --> 00:55:40,360 PHARMACISTS AND SOCIAL WORKERS 1355 00:55:40,360 --> 00:55:42,520 AND PSYCHOLOGISTS AND SO FORTH 1356 00:55:42,520 --> 00:55:45,280 AND WE ESSENTIALLY PT AND TYPES 1357 00:55:45,280 --> 00:55:48,240 OF REHABILITATION THERAPY AND 1358 00:55:48,240 --> 00:55:50,520 PROVIDERS AS WELL INTEGRATED 1359 00:55:50,520 --> 00:55:52,200 SYSTEM SOCIAL EDUCATIONAL AND 1360 00:55:52,200 --> 00:55:54,240 HOUSING DISABILITY SERVICES 1361 00:55:54,240 --> 00:55:56,240 BENEFIT PROZ E- VIEDED IN 1362 00:55:56,240 --> 00:55:58,120 ADDITION FOR HEALTH CARE 1363 00:55:58,120 --> 00:56:00,680 BENEFITS AND 20 YEARS OF 1364 00:56:00,680 --> 00:56:02,280 NATIONAL ELECTRONIC HEALTH CARE 1365 00:56:02,280 --> 00:56:04,680 DATA AND DATA FOR RESEARCH 1366 00:56:04,680 --> 00:56:06,040 FUNDING ACROSS THE SPECTRUM THAT 1367 00:56:06,040 --> 00:56:08,520 MAKES US UNIQUE UNLIKE OTHER 1368 00:56:08,520 --> 00:56:11,280 AGENCIES THAT MAY NO THE HAVE 1369 00:56:11,280 --> 00:56:13,200 RESEARCH FUNDING WITHOUT HEALTH 1370 00:56:13,200 --> 00:56:15,000 SYSTEMS AND RESEARCH FUNDING AND 1371 00:56:15,000 --> 00:56:17,920 LITTLE OF BOTH AND NATIONAL 1372 00:56:17,920 --> 00:56:18,800 IMPLEMENTATION PROGRAM IS QUERY 1373 00:56:18,800 --> 00:56:22,120 THAT IS A PROGRAM THAT IS NOT 1374 00:56:22,120 --> 00:56:23,920 ONLY CHARGED WITH FUNDING 1375 00:56:23,920 --> 00:56:24,720 IMPLEMENTATION SCIENCE WORK AND 1376 00:56:24,720 --> 00:56:27,520 TRAINING OTHERS HOW TO DO 1377 00:56:27,520 --> 00:56:28,800 IMPLEMENTATION SCIENCE. 1378 00:56:28,800 --> 00:56:31,880 NEXT SLIDE, PLEASE. 1379 00:56:31,880 --> 00:56:34,520 GIVING YOU A SNAPSHOT OF CENTERS 1380 00:56:34,520 --> 00:56:37,280 OUT THERE FUNDED BY VA RESEARCH 1381 00:56:37,280 --> 00:56:41,280 THAT IS ESSENTIALLY VA'S 1382 00:56:41,280 --> 00:56:42,800 INTERDISCIPLINARY REHABILITATION 1383 00:56:42,800 --> 00:56:44,240 RESEARCH DEVELOPMENT CENTERS 1384 00:56:44,240 --> 00:56:44,920 ACROSS THE UNITED STATES AND 1385 00:56:44,920 --> 00:56:48,440 THEY FOCUS ON MANY AREAS OF 1386 00:56:48,440 --> 00:56:49,080 REHABILITATION RESEARCH. YOU 1387 00:56:49,080 --> 00:56:52,640 CAN LOOK THEM UP ON OUR WEBSITE 1388 00:56:52,640 --> 00:56:55,080 FOR MORE INFORMATION AND MANY 1389 00:56:55,080 --> 00:56:56,520 CENTERS FOCUS ON A COMMON THEME 1390 00:56:56,520 --> 00:56:58,720 OF VETERAN DISABILITY AND 1391 00:56:58,720 --> 00:57:00,480 FUNCTIONAL IMPROVEMENT AND 1392 00:57:00,480 --> 00:57:02,240 CENTERS ARE INTERDISCIPLINARY IN 1393 00:57:02,240 --> 00:57:03,560 WAY THAT THEY BRING TOGETHER 1394 00:57:03,560 --> 00:57:06,440 HEALTH SERVICES MENTAL RESEARCH 1395 00:57:06,440 --> 00:57:09,200 CENTERS AND REHABILITATION AS 1396 00:57:09,200 --> 00:57:12,520 WELL AND BRIEF SNAPSHOT WHAT WE 1397 00:57:12,520 --> 00:57:18,000 DO IN A WORLD OF REHABILITATION 1398 00:57:18,000 --> 00:57:20,560 RESEARCH. NEXT SLIDE. 1399 00:57:20,560 --> 00:57:22,880 A COUPLE YEARS AGO WE PUBLISHED 1400 00:57:22,880 --> 00:57:26,720 A ROADMAP TO IMPLEMENT SCIENCE 1401 00:57:26,720 --> 00:57:30,120 AND DEMYSTIFY IMPLEMENTATION 1402 00:57:30,120 --> 00:57:31,560 SCIENCE TO FRONTLINE 1403 00:57:31,560 --> 00:57:33,320 PRACTITIONERS AND RESEARCHERS 1404 00:57:33,320 --> 00:57:34,760 THAT ARE LESS FAMILIAR WITH 1405 00:57:34,760 --> 00:57:35,440 IMPLEMENTATION SCIENCE AND GOAL 1406 00:57:35,440 --> 00:57:38,520 IS TO BASICALLY LAY OUT HOW YOU 1407 00:57:38,520 --> 00:57:39,720 ACTUALLY DESIGN AND 1408 00:57:39,720 --> 00:57:40,600 IMPLEMENTATION PROJECT AND WHAT 1409 00:57:40,600 --> 00:57:43,320 QUESTIONS TO ASK AND HOW TO 1410 00:57:43,320 --> 00:57:44,320 ENGAGE STAKEHOLDERS UP FRONT AND 1411 00:57:44,320 --> 00:57:46,880 IDEA WAS TO BASICALLY HELP 1412 00:57:46,880 --> 00:57:47,960 RESEARCHERS AND PRACTITIONERS 1413 00:57:47,960 --> 00:57:49,920 DEVELOP A SHARED AGENDA TOGETHER 1414 00:57:49,920 --> 00:57:51,520 TO IDENTIFY WHAT PROBLEMS THIS 1415 00:57:51,520 --> 00:57:53,160 HE WERE TRYING TO SOLVE AND WHO 1416 00:57:53,160 --> 00:57:54,840 WERE EFFECTED COMMUNITIES AND 1417 00:57:54,840 --> 00:57:58,080 WHERE BEST PRACTICES OR CURRENT 1418 00:57:58,080 --> 00:58:00,000 EVIDENCE-BASED PRACTICES OUT 1419 00:58:00,000 --> 00:58:01,480 THERE OR IF THERE WEREN'T 1420 00:58:01,480 --> 00:58:02,680 PRACTICES THAT WERE EVIDENCE 1421 00:58:02,680 --> 00:58:05,680 BASED WHAT WE NEED TO COLLECT TO 1422 00:58:05,680 --> 00:58:07,160 MAKE THEM FEASIBLE TO IMPLEMENT 1423 00:58:07,160 --> 00:58:09,080 WHEN THE STUDY WAS DONE AND IDEA 1424 00:58:09,080 --> 00:58:13,480 TO DESIGN IMPLEMENTATION OR 1425 00:58:13,480 --> 00:58:16,600 DESIGN FOR IMPLEMENTATION HAS 1426 00:58:16,600 --> 00:58:19,760 BEEN OUT FOR A WHILE AND GROUP 1427 00:58:19,760 --> 00:58:22,640 IN COLORADO IS DOING GREAT WORK 1428 00:58:22,640 --> 00:58:25,800 ON THIS ANDEND USERS ANDEND USER 1429 00:58:25,800 --> 00:58:26,920 INVOLVEMENT IN INTERVENTION OF 1430 00:58:26,920 --> 00:58:29,280 THE DESIGN ITSELF THAT IS 1431 00:58:29,280 --> 00:58:32,000 ROBUSTLY DONE IN FIELD OF 1432 00:58:32,000 --> 00:58:33,280 REHABILITATION AND IN ADDITION 1433 00:58:33,280 --> 00:58:34,880 ASKING QUESTIONS WHAT IT WILL 1434 00:58:34,880 --> 00:58:36,640 TAKE TO SUSTAIN THIS TREATMENT 1435 00:58:36,640 --> 00:58:38,080 INCLUDING TREATMENT FIDELITY AS 1436 00:58:38,080 --> 00:58:41,080 WELL AS COST AND BURDEN ON FROND 1437 00:58:41,080 --> 00:58:43,360 LINE PROVIDERS THAT ARE KEY 1438 00:58:43,360 --> 00:58:45,520 QUESTIONS TO ASK DURING TIME 1439 00:58:45,520 --> 00:58:49,320 THAW ARE DOING A TRIAL OF THIS 1440 00:58:49,320 --> 00:58:50,840 NEW INTERVENTION OR TREATMENT 1441 00:58:50,840 --> 00:58:54,240 AND END OF THE DAY COME UP WITH 1442 00:58:54,240 --> 00:58:55,120 INTERVENTION PLAYBOOK FOR 1443 00:58:55,120 --> 00:58:57,280 COMMUNITIES AND SYSTEMS INVOLVED 1444 00:58:57,280 --> 00:58:59,120 TO CONTINUE SORT OF WITH THE 1445 00:58:59,120 --> 00:59:00,600 TORCH AND CONTINUE THAT 1446 00:59:00,600 --> 00:59:03,480 IMPLEMENTATION OF THOSE 1447 00:59:03,480 --> 00:59:03,800 INNOVATIONS. 1448 00:59:03,800 --> 00:59:04,880 NEXT SLIDE, PLEASE. 1449 00:59:04,880 --> 00:59:07,040 ONE EXAMPLE OF A TOOL THAT WE 1450 00:59:07,040 --> 00:59:08,960 DEVELOPED IN VA RESEARCH IS 1451 00:59:08,960 --> 00:59:10,680 BASED ON COOPERATIVE PROGRAM 1452 00:59:10,680 --> 00:59:14,240 THAT IS VA'S NATIONAL CLINICAL 1453 00:59:14,240 --> 00:59:15,760 TRIAL MULTI-SITE PROGRAM AND 1454 00:59:15,760 --> 00:59:17,120 DESIGN CLINICAL TRIAL 1455 00:59:17,120 --> 00:59:18,400 IMPLEMENTATION PLANNING 1456 00:59:18,400 --> 00:59:20,520 ASSESSMENT TOOL AND LIKE COREY 1457 00:59:20,520 --> 00:59:23,040 ROADMAP IT IS BASED ON LEARNING 1458 00:59:23,040 --> 00:59:25,240 HEALTH SYSTEM FRAMEWORK THAT 1459 00:59:25,240 --> 00:59:27,200 TAKES YOU AT THE 1460 00:59:27,200 --> 00:59:28,440 PREIMPLEMENTATION PHASE THINKING 1461 00:59:28,440 --> 00:59:30,880 TO DESIGN CLINICAL TRIAL FOR NEW 1462 00:59:30,880 --> 00:59:32,320 DEVICE AND TREATMENT AND SO 1463 00:59:32,320 --> 00:59:34,080 FORTH ARE FACTORS TO CONSIDER 1464 00:59:34,080 --> 00:59:35,480 MEASURING DURING THE CLINICAL 1465 00:59:35,480 --> 00:59:38,240 TRIAL AND FOR EXAMPLE PROVIDER 1466 00:59:38,240 --> 00:59:39,520 PATIENT ACCEPTANCE AND 1467 00:59:39,520 --> 00:59:40,360 IMPLEMENTATION AND TREATMENT 1468 00:59:40,360 --> 00:59:41,960 COSTS AND FIDELITY TO THE 1469 00:59:41,960 --> 00:59:43,640 IMPLEMENTATION OF THE TREATMENT 1470 00:59:43,640 --> 00:59:45,000 AND ORGANIZATIONAL OR CONTEXTUAL 1471 00:59:45,000 --> 00:59:47,320 FACTORS IF DOING MULTI-SITE 1472 00:59:47,320 --> 00:59:49,560 TRIAL ACROSS SEVERAL SITES SITES 1473 00:59:49,560 --> 00:59:51,320 MIGHT HAVE HIGH ERR RESOURCES 1474 00:59:51,320 --> 00:59:53,880 THAN OTHERS AND MEASUREMENT OF 1475 00:59:53,880 --> 00:59:55,080 USES OF TREATMENT AFTER THE END 1476 00:59:55,080 --> 00:59:58,080 OF THE STUDY ARE ACTUALLY SITES 1477 00:59:58,080 --> 00:59:59,400 THAT CONTINUE THAT TREATMENT 1478 00:59:59,400 --> 01:00:00,840 OVER TIME AND HOW YOU WOULD 1479 01:00:00,840 --> 01:00:02,320 CAPTURE THAT INFORMATION AND 1480 01:00:02,320 --> 01:00:04,640 THERE IS A PAPER ABOUT THIS BY 1481 01:00:04,640 --> 01:00:07,320 CHRISTINE WHO IS A FIRST AUTHOR 1482 01:00:07,320 --> 01:00:08,600 AND PUBLISHED RECENTLY IN 1483 01:00:08,600 --> 01:00:11,280 JOURNAL FOR CLINICAL AND 1484 01:00:11,280 --> 01:00:11,800 TRANSLATIONAL SCIENCE. 1485 01:00:11,800 --> 01:00:13,040 NEXT SLIDE, PLEASE. 1486 01:00:13,040 --> 01:00:14,840 ANOTHER EXAMPLE OF RESEARCH 1487 01:00:14,840 --> 01:00:17,120 KNOWLEDGE TRANSLATION IN THE VA 1488 01:00:17,120 --> 01:00:19,200 HAS BEEN NATIONAL IMPLEMENTATION 1489 01:00:19,200 --> 01:00:21,320 OF EFFECTIVE PRACTICES TO 1490 01:00:21,320 --> 01:00:22,920 OPTIMIZE VETERAN FUNCTIONING AND 1491 01:00:22,920 --> 01:00:23,960 WALKING THROUGH STRUCTURE HOW 1492 01:00:23,960 --> 01:00:26,840 THIS CAME ABOUT. WE HAD FUNDED 1493 01:00:26,840 --> 01:00:29,280 A FUNCTION QUERY CENTER DEVOTED 1494 01:00:29,280 --> 01:00:31,000 TO IMPROVING VETERAN FUNCTIONING 1495 01:00:31,000 --> 01:00:34,400 AND QUERY CENTER WAS BASICALLY 1496 01:00:34,400 --> 01:00:36,040 COMPRISED OF MULTI-DISCIPLINARY 1497 01:00:36,040 --> 01:00:37,800 TEAM OF HEALTH SERVICE 1498 01:00:37,800 --> 01:00:40,080 RESEARCHERS AS WELL AS 1499 01:00:40,080 --> 01:00:40,800 REHABILITATION RESEARCHERS WHO 1500 01:00:40,800 --> 01:00:43,080 CAME TOGETHER IN SUPPORT OF THE 1501 01:00:43,080 --> 01:00:44,800 IMPLEMENTATION OF SEVERAL 1502 01:00:44,800 --> 01:00:45,880 EVIDENCE-BASED PRACTICES FOCUSED 1503 01:00:45,880 --> 01:00:47,920 ON IMPROVING VETERAN FUNCTIONING 1504 01:00:47,920 --> 01:00:51,040 AND IN DOING SO USED CHANGE OR 1505 01:00:51,040 --> 01:00:51,840 IMPLEMENTATION OR KNOWLEDGE 1506 01:00:51,840 --> 01:00:53,960 TRANSLATION STRATEGIES TO 1507 01:00:53,960 --> 01:00:56,040 BASICALLY PROMOTE UPTAKE OF 1508 01:00:56,040 --> 01:00:58,160 EVIDENCE-BASED PRACTICES. AS A 1509 01:00:58,160 --> 01:01:00,080 RESULT AND IN CLOSE PARTNERSHIP 1510 01:01:00,080 --> 01:01:01,400 WITH NATIONAL AND CLINICAL 1511 01:01:01,400 --> 01:01:03,600 LEADERS AT LOCAL AND NATIONAL 1512 01:01:03,600 --> 01:01:06,760 LEVEL, THIS CENTER WAS ABLE TO 1513 01:01:06,760 --> 01:01:07,920 PROMOTE UPTAKE OF THREE 1514 01:01:07,920 --> 01:01:09,960 EVIDENCE-BASED PRACTICES YOU SEE 1515 01:01:09,960 --> 01:01:11,760 IMPACTS HERE WITH FUNCTIONAL 1516 01:01:11,760 --> 01:01:14,360 IMPROVEMENT IN 17% OF THE 1517 01:01:14,360 --> 01:01:15,440 POPULATION AND GROUP PHYSICAL 1518 01:01:15,440 --> 01:01:18,280 THERAPY AND NEOOSTEOARTHRITIS 1519 01:01:18,280 --> 01:01:20,680 AND STRIVE WALKING PROGRAM 1520 01:01:20,680 --> 01:01:23,160 IMPACTING OVER SEVEN 700 1521 01:01:23,160 --> 01:01:25,920 VETERANS TRAINED CLOSE TO 900 1522 01:01:25,920 --> 01:01:29,160 PROVIDERS USING EVIDENCE-BASED 1523 01:01:29,160 --> 01:01:33,200 PROGRAM AND BASICALLY HAD 2,000 1524 01:01:33,200 --> 01:01:36,120 CAREGIVERS TRAINED AND 200VA 1525 01:01:36,120 --> 01:01:38,600 PROVIDERS TRAINED. NEXT SLIDE, 1526 01:01:38,600 --> 01:01:39,000 PLEASE. 1527 01:01:39,000 --> 01:01:40,760 GOAL OF IMPLEMENTATION RESEARCH 1528 01:01:40,760 --> 01:01:43,160 IS HOW YOU GET FROM THE 1529 01:01:43,160 --> 01:01:45,360 TREATMENT INTO PRACTICE 1530 01:01:45,360 --> 01:01:47,800 SUSTAINING IT IS DEFINING 1531 01:01:47,800 --> 01:01:49,040 IMPLEMENTATION STRATEGIES TO 1532 01:01:49,040 --> 01:01:50,440 SCALE UP EFFECTIVE TREATMENTS 1533 01:01:50,440 --> 01:01:52,280 AND WILL TALK ABOUT 1534 01:01:52,280 --> 01:01:55,960 IMPLEMENTATION STRATEGIES MORE. 1535 01:01:55,960 --> 01:01:57,840 NEXT SLIDE. WHAT THOSE ARE 1536 01:01:57,840 --> 01:01:59,440 IMPLEMENTATION STRATEGIES 1537 01:01:59,440 --> 01:02:02,560 LANDMARK PAPER IS JEFF'S PAPER 1538 01:02:02,560 --> 01:02:04,880 ON HYBRID EFFECTIVENESS DESIGNS 1539 01:02:04,880 --> 01:02:06,680 THAT IS A KEY PAPER 1540 01:02:06,680 --> 01:02:08,160 UNDERSTANDING WHAT 1541 01:02:08,160 --> 01:02:09,200 IMPLEMENTATION STUDY TO DESIGN 1542 01:02:09,200 --> 01:02:10,520 AND HOW THEY GET DESIGNED AND 1543 01:02:10,520 --> 01:02:11,480 WHAT THEY LOOK LIKE. 1544 01:02:11,480 --> 01:02:13,960 THINKING ABOUT IT, THERE IS A 1545 01:02:13,960 --> 01:02:15,240 SPECTRUM OF DIFFERENT TYPES OF 1546 01:02:15,240 --> 01:02:17,320 HYBRID DESIGNS AND ON LEFT IS 1547 01:02:17,320 --> 01:02:19,480 CLINICAL EFFECTIVENESS DESIGNS 1548 01:02:19,480 --> 01:02:21,640 HYBRID TYPE 1 IS TYPICAL 1549 01:02:21,640 --> 01:02:23,760 CLINICAL EFFECTIVENESS STUDY AND 1550 01:02:23,760 --> 01:02:26,400 IN THOSE STUDIES TYPICALLY 1551 01:02:26,400 --> 01:02:27,320 RESEARCHER PAYS FOR THE STAFF 1552 01:02:27,320 --> 01:02:28,840 AND THEY ARE ACTUALLY PAID ON 1553 01:02:28,840 --> 01:02:30,400 THE GRANT TO DELIVER THE 1554 01:02:30,400 --> 01:02:32,520 INTERVENTION AND MAIN GOAL IS TO 1555 01:02:32,520 --> 01:02:33,880 BASICALLY TEST IS THE 1556 01:02:33,880 --> 01:02:35,400 INTERVENTION EFFECTIVE AND DOES 1557 01:02:35,400 --> 01:02:37,560 IT IMPROVE PATIENT OUTCOMES AT 1558 01:02:37,560 --> 01:02:39,160 SAME TIME BASED ON 1559 01:02:39,160 --> 01:02:40,600 IMPLEMENTATION PLANNING 1560 01:02:40,600 --> 01:02:42,000 ASSESSMENT TOOL YOU WANT TO 1561 01:02:42,000 --> 01:02:44,480 MEASURE IMPACTS OF THOSE OR THAT 1562 01:02:44,480 --> 01:02:46,440 TREATMENT ON PATIENT PROVIDER 1563 01:02:46,440 --> 01:02:49,200 AND SYSTEM AND BASICALLY LOOKING 1564 01:02:49,200 --> 01:02:50,920 AT OBSERVATION DATA COLLECTION 1565 01:02:50,920 --> 01:02:52,440 OF ACTUAL IMPLEMENTATION 1566 01:02:52,440 --> 01:02:52,840 PROCESS. 1567 01:02:52,840 --> 01:02:56,040 ON THE FAR RIGHT, YOU HAVE 1568 01:02:56,040 --> 01:02:58,080 HYBRID TYPE 3 THAT ARE TESTING 1569 01:02:58,080 --> 01:02:59,480 DIFFERENT IMPLEMENTATION 1570 01:02:59,480 --> 01:03:01,320 STRATEGIES THAT ARE TOOLS OR 1571 01:03:01,320 --> 01:03:04,120 METHODS USED TO PROMOTE UPTAKE 1572 01:03:04,120 --> 01:03:05,960 OF EVIDENCE-BASED PRACTICE BY 1573 01:03:05,960 --> 01:03:08,240 EXISTING PROVIDERS IN THESE 1574 01:03:08,240 --> 01:03:10,680 STUDIES HYBRID TYPE 3S ARE OFTEN 1575 01:03:10,680 --> 01:03:12,320 ALMOST ALWAYS ESSENTIALLY DONE 1576 01:03:12,320 --> 01:03:14,960 BY EXISTING PROVIDERS WHO ARE 1577 01:03:14,960 --> 01:03:16,720 IMPLEMENTING YOUR EVIDENCE-BASED 1578 01:03:16,720 --> 01:03:18,120 PRACTICE AND YOU USE DIFFERENT 1579 01:03:18,120 --> 01:03:19,520 STRATEGIES TO TRAIN THEM TO 1580 01:03:19,520 --> 01:03:21,840 BASICALLY REMIND THEM TO USE 1581 01:03:21,840 --> 01:03:24,640 EVIDENCE-BASED PRACTICE TO 1582 01:03:24,640 --> 01:03:25,960 PROMOTE SELF-EFFICACY OF 1583 01:03:25,960 --> 01:03:27,720 PROVIDERS USING EVIDENCE-BASED 1584 01:03:27,720 --> 01:03:29,880 PRACTICE AND SO FORTH AND 1585 01:03:29,880 --> 01:03:31,200 STUDIES ARE IMPORTANT BECAUSE 1586 01:03:31,200 --> 01:03:33,680 COMMUNITY PARTNERS LOVE THESE 1587 01:03:33,680 --> 01:03:37,080 STUDIES AND SITES GET ACCESS TO 1588 01:03:37,080 --> 01:03:38,920 EFFECTIVE TREATMENT AND YOU 1589 01:03:38,920 --> 01:03:40,240 STUDY DIFFERENT LEVELS INTENSITY 1590 01:03:40,240 --> 01:03:42,920 OF SUPPORT YOU GIVE TO FRONTLINE 1591 01:03:42,920 --> 01:03:44,600 PROVIDERS IN IMPLEMENTING THAT 1592 01:03:44,600 --> 01:03:47,160 TREATMENT AND QUESTION IS A 1593 01:03:47,160 --> 01:03:48,680 SYSTEM-LEVEL QUESTION AND HYBRID 1594 01:03:48,680 --> 01:03:51,560 TYPE 2S ARE PILOT TYPE VERSIONS 1595 01:03:51,560 --> 01:03:53,560 OF HYBRID TYPE 3S AND AT THAT 1596 01:03:53,560 --> 01:03:54,760 POINT YOU ARE TRANSITIONING FROM 1597 01:03:54,760 --> 01:03:57,560 A MODEL WHERE YOU PAID FOR 1598 01:03:57,560 --> 01:03:58,640 INTERVENTIONIST TO DELIVER YOUR 1599 01:03:58,640 --> 01:04:00,160 TREATMENT AND YOU TAKE A STEP 1600 01:04:00,160 --> 01:04:02,320 BACK AND ARE WANTING TO REALLY 1601 01:04:02,320 --> 01:04:04,440 BE ABLE TO TRAIN EXISTING 1602 01:04:04,440 --> 01:04:05,480 PROVIDERS TO DELIVER THAT 1603 01:04:05,480 --> 01:04:07,880 TREATMENT AND HYBRID TYPE 2 IS A 1604 01:04:07,880 --> 01:04:09,320 PERFECT DESIGN FOR THAT. YOU 1605 01:04:09,320 --> 01:04:11,600 ARE MEASURING STILL OUTCOMES OF 1606 01:04:11,600 --> 01:04:13,280 THE TREATMENT AND SAME TIME YOU 1607 01:04:13,280 --> 01:04:16,120 ARE MEASURING BEST WAYS OF 1608 01:04:16,120 --> 01:04:19,000 IMPLEMENTING THAT TREATMENT BY 1609 01:04:19,000 --> 01:04:19,560 TEST 1610 01:04:19,560 --> 01:04:21,280 TESTING DIFFERENT STRATEGIES AS 1611 01:04:21,280 --> 01:04:22,600 WELL. NEXT SLIDE, PLEASE. WHAT 1612 01:04:22,600 --> 01:04:25,280 WE ARE SAYING ABOUT 1613 01:04:25,280 --> 01:04:27,680 IMPLEMENTATION STRATEGIES IS 1614 01:04:27,680 --> 01:04:28,840 ESSENTIAL TOOLS GO OVER 1615 01:04:28,840 --> 01:04:31,200 TRANSLATION BARRIERS. EFFECTIVE 1616 01:04:31,200 --> 01:04:33,040 TREATMENTS AND IMPLEMENTATION 1617 01:04:33,040 --> 01:04:34,480 STRATEGIES MITIGATE BARRIERS TO 1618 01:04:34,480 --> 01:04:36,480 CARE AND HIGHLY SPECIFIED THEORY 1619 01:04:36,480 --> 01:04:39,920 BASED METHODS HELPING PROVIDERS 1620 01:04:39,920 --> 01:04:42,520 IMPLEMENT TREATMENTS AND 1621 01:04:42,520 --> 01:04:44,160 PROVIDER CHANGE MAINLY IN 1622 01:04:44,160 --> 01:04:45,640 CONTEXT OF MITIGATION AND 1623 01:04:45,640 --> 01:04:46,720 CONSTRAINTS AND IMPLEMENTATION 1624 01:04:46,720 --> 01:04:48,760 IS NECESSARY BECAUSE WE DON'T 1625 01:04:48,760 --> 01:04:51,600 HAVE LUXURY HIRING NEW PROVIDERS 1626 01:04:51,600 --> 01:04:52,960 TO IMPLEMENT EVERY NEW TREATMENT 1627 01:04:52,960 --> 01:04:55,400 OUT THERE AND HAVE TO INVOLVE 1628 01:04:55,400 --> 01:04:56,680 EXISTING PROVIDERS AND NEED 1629 01:04:56,680 --> 01:04:58,360 STRATEGIES TO HELP EXISTING 1630 01:04:58,360 --> 01:05:01,000 PROVIDERS LIKE IF YOU ARE LET'S 1631 01:05:01,000 --> 01:05:02,840 SAY TESTING COGNITIVE BEHAVIORAL 1632 01:05:02,840 --> 01:05:05,880 THERAPY FOR PATIENTS AND 1633 01:05:05,880 --> 01:05:08,080 STRATEGIES ARE PROTOCOLIZED AND 1634 01:05:08,080 --> 01:05:09,360 MANUAL TO DELIVER STRATEGY AND 1635 01:05:09,360 --> 01:05:11,480 WILL TALK ABOUT EXAMPLES IN THE 1636 01:05:11,480 --> 01:05:13,520 NEXT SLIDE. NEXT SLIDE, PLEASE. 1637 01:05:13,520 --> 01:05:16,480 KEY EXAMPLES OF IMPLEMENTATION 1638 01:05:16,480 --> 01:05:19,600 STRATEGIES ARE GROUPED INTO TWO 1639 01:05:19,600 --> 01:05:20,760 TYPES OF IMPLEMENTATION 1640 01:05:20,760 --> 01:05:22,160 STRATEGIES AND FIRST ONES YOU 1641 01:05:22,160 --> 01:05:24,360 ARE ESSENTIALLY PUSHING 1642 01:05:24,360 --> 01:05:25,760 EVIDENCE-BASED TREATMENT INTO 1643 01:05:25,760 --> 01:05:27,800 THE WORLD THAT ARE TRANSACTIONAL 1644 01:05:27,800 --> 01:05:32,200 STRA I JIS AND FOCUS ON PROCESS 1645 01:05:32,200 --> 01:05:35,480 DRIVEN CHANGES AAND SYSTEM LEVEL 1646 01:05:35,480 --> 01:05:37,360 INCENTIVES AND AUDIT AND 1647 01:05:37,360 --> 01:05:40,600 FEEDBACK IN HEALTH SYSTEM 1648 01:05:40,600 --> 01:05:44,320 SENDING OUT CLINICAL REMINDER 1649 01:05:44,320 --> 01:05:46,680 AUDIT PROVIDERS MAKING SURE THEY 1650 01:05:46,680 --> 01:05:48,720 USE RIGHT TREATMENT AND -- 1651 01:05:48,720 --> 01:05:50,600 IMPLEMENTATION STRATEGY AND 1652 01:05:50,600 --> 01:05:53,320 PROVIDER TRAINING IS CLASSIC 1653 01:05:53,320 --> 01:05:55,120 IMPLEMENTATION STRATEGY AND 1654 01:05:55,120 --> 01:05:57,040 INCENTIVES HEALTH SYSTEM 1655 01:05:57,040 --> 01:05:58,400 PROVIDES MORE DELIVERING BETTER 1656 01:05:58,400 --> 01:05:59,800 QUALITY OF CARE IN CERTAIN WAYS 1657 01:05:59,800 --> 01:06:03,200 AND STRATEGIES PULL OR ENCOURAGE 1658 01:06:03,200 --> 01:06:05,680 PROVIDERS INTRINSIC MOTIVATION 1659 01:06:05,680 --> 01:06:07,920 TO USE EVIDENCE-BASED TREATMENT 1660 01:06:07,920 --> 01:06:10,720 OR PRAKIS INCLUDE RELATIONSHIP 1661 01:06:10,720 --> 01:06:12,280 CHANGES COMMUNITY ENGAGEMENT 1662 01:06:12,280 --> 01:06:13,640 GETTING PARTNERS INVOLVED TO 1663 01:06:13,640 --> 01:06:16,520 WORK WITH PROVIDERS AND CLINICAL 1664 01:06:16,520 --> 01:06:19,040 CHAMPIONS IN PRACTICE TO SUPPORT 1665 01:06:19,040 --> 01:06:19,880 EVIDENCE-BASED TREATMENT AND 1666 01:06:19,880 --> 01:06:24,120 USING FACILITATION THAT IS 1667 01:06:24,120 --> 01:06:26,440 GUIDANCE AND STRATEGIC THINK TO 1668 01:06:26,440 --> 01:06:29,320 FRONTLINE PROVIDERS FOCUSING ON 1669 01:06:29,320 --> 01:06:32,880 TRANSFORMATIONAL STRATEGIES 1670 01:06:32,880 --> 01:06:36,200 BEHAVIOR CHANGE IS TOUGH ENOUGH 1671 01:06:36,200 --> 01:06:38,360 AS AN INDIVIDUAL AND INTRODUCING 1672 01:06:38,360 --> 01:06:40,160 A NEW TREATMENT AND YOU SAY WHY 1673 01:06:40,160 --> 01:06:42,440 CAN'T PROVIDERS USE NEW 1674 01:06:42,440 --> 01:06:43,640 TREATMENT OR PRACTICE? 1675 01:06:43,640 --> 01:06:45,840 IF YOU EVER HAVE HAD KIDS OR 1676 01:06:45,840 --> 01:06:47,200 ANYTHING IT IS HARD TO TELL 1677 01:06:47,200 --> 01:06:48,800 PEOPLE WHAT TO DO SOMETIME AND 1678 01:06:48,800 --> 01:06:50,200 NO. 2 ISSUE WHY THIS IS 1679 01:06:50,200 --> 01:06:51,960 IMPORTANT AREA OF RESEARCH IS 1680 01:06:51,960 --> 01:06:55,200 WHEN YOU HAVE NEW INNOVATION YOU 1681 01:06:55,200 --> 01:06:57,920 ARE COMPETING ALWAYS AGAINST 1682 01:06:57,920 --> 01:06:59,640 IDEALIZED VERSION WHAT IT IS 1683 01:06:59,640 --> 01:07:01,240 TRYING TO PLACE AND ESSENCE 1684 01:07:01,240 --> 01:07:03,280 INNOVATION AND CHANGE WILL HIT 1685 01:07:03,280 --> 01:07:04,760 WITH RESISTANCE THAT IS WAY OF 1686 01:07:04,760 --> 01:07:09,160 LIFE AND YOU NEED STRATEGIES TO 1687 01:07:09,160 --> 01:07:12,560 OVERCOME THAT RESISTANCE. 1688 01:07:12,560 --> 01:07:15,600 SOME EXAMPLES OF IMPLEMENTATION 1689 01:07:15,600 --> 01:07:17,280 OUTCOMES I WILL BE QUICK FOR 1690 01:07:17,280 --> 01:07:20,000 SAKE OF TIME IS REAIM FRAMEWORK 1691 01:07:20,000 --> 01:07:22,400 THAT IS WONDERFUL FOR DESIGNING 1692 01:07:22,400 --> 01:07:24,680 HOW TO DESIGN IMPACT OF 1693 01:07:24,680 --> 01:07:26,120 IMPLEMENTATION AND POINTING OUT 1694 01:07:26,120 --> 01:07:27,440 FIRST TWO IN PARTICULAR. THESE 1695 01:07:27,440 --> 01:07:29,520 ARE OFTEN USED WHAT I WOULD CALL 1696 01:07:29,520 --> 01:07:31,600 AN IMPLEMENTATION TRIAL WHERE 1697 01:07:31,600 --> 01:07:32,320 YOU TEST DIFFERENT 1698 01:07:32,320 --> 01:07:34,360 IMPLEMENTATION STRATEGIES AND WE 1699 01:07:34,360 --> 01:07:35,880 BASICALLY OFTEN SEE STUDIES THAT 1700 01:07:35,880 --> 01:07:38,240 ARE REALLY POWERED TO LOOK AT 1701 01:07:38,240 --> 01:07:40,160 DIFFERENCES OF HOW MANY PEOPLE 1702 01:07:40,160 --> 01:07:43,600 GOT THE TREATMENT AND HOW MANY 1703 01:07:43,600 --> 01:07:44,200 DIFFERENT. 1704 01:07:44,200 --> 01:07:46,520 QUESTION IS LESS ABOUT DOES 1705 01:07:46,520 --> 01:07:57,040 TREATMENT WORK OR HOW TO GET 1706 01:07:57,880 --> 01:07:59,480 TREATMENT SUSTAINABLE -- HOW 1707 01:07:59,480 --> 01:08:02,960 MANY PATIENTS ARE RECEIVING THE 1708 01:08:02,960 --> 01:08:05,000 TREATMENT AND HOW MANY ARE NOT? 1709 01:08:05,000 --> 01:08:09,160 THAT IS AN EXAMPLE AND GOING 1710 01:08:09,160 --> 01:08:11,640 FURTHER ON THESE REAIM.ORG THERE 1711 01:08:11,640 --> 01:08:16,160 IS MEASURES HOW THEY ARE 1712 01:08:16,160 --> 01:08:18,400 IMPLEMENTIZED AND WASHGING 1713 01:08:18,400 --> 01:08:20,600 THROUGH HYBRID TYPE 3 1714 01:08:20,600 --> 01:08:21,360 IMPLEMENTATION STRATEGY 1715 01:08:21,360 --> 01:08:22,160 COMPARING DIFFERENT 1716 01:08:22,160 --> 01:08:25,720 IMPLEMENTATION STRATEGIES FOR AN 1717 01:08:25,720 --> 01:08:28,520 EFFECTIVE PROGRAM THAT WAS 1718 01:08:28,520 --> 01:08:32,080 PUBLISHED WAS REENGAGE THAT IS A 1719 01:08:32,080 --> 01:08:33,280 BRIEF CARE MANAGEMENT PROGRAM 1720 01:08:33,280 --> 01:08:34,840 DESIGNED TO TRAIN PROVIDERS TO 1721 01:08:34,840 --> 01:08:37,160 FOLLOW UP ON VETERANS LOST TO 1722 01:08:37,160 --> 01:08:42,040 CARE FOR AT LEAST A YEAR WHO HAD 1723 01:08:42,040 --> 01:08:44,720 A SERIOUS MENTAL ILLNESS S 1724 01:08:44,720 --> 01:08:47,240 DIAGNOSE YIGS AND WAS A PROGRAM 1725 01:08:47,240 --> 01:08:49,320 DESIGNED TO HELP VETERANS ONE 1726 01:08:49,320 --> 01:08:51,400 DROPPED OUT OF SERVICES AND ONE 1727 01:08:51,400 --> 01:08:53,840 INTO CARE. NEXT SLIDE, PLEASE. 1728 01:08:53,840 --> 01:08:57,080 PROGRAM COMPONENTS BASED ON 1729 01:08:57,080 --> 01:08:58,400 COLLABORATIVE CARE MODEL BY 1730 01:08:58,400 --> 01:09:01,360 WAGNER THAT FOCUSED ON LOCAL 1731 01:09:01,360 --> 01:09:06,320 MENTAL HEALTH PROVIDERS. 1732 01:09:06,320 --> 01:09:08,600 AND PROVIDING INFORMATION ABOUT 1733 01:09:08,600 --> 01:09:09,720 THEIR WHEREABOUTS. 1734 01:09:09,720 --> 01:09:12,120 AND PROVIDERS THEMSELVES 1735 01:09:12,120 --> 01:09:14,480 ATTEMPTED TO CONTACT A VETERAN 1736 01:09:14,480 --> 01:09:18,160 TO ASSESS CLINICAL STATUS AND 1737 01:09:18,160 --> 01:09:20,840 CONTACTING THEM SICK CRESSFULLY 1738 01:09:20,840 --> 01:09:23,760 WRAPPING INTO RIGHT SERVICES ALL 1739 01:09:23,760 --> 01:09:28,160 WAS DOCUMENTED NEXT HR AND 1740 01:09:28,160 --> 01:09:31,640 IMPLEMENTED NATIONALLY ACROSS VA 1741 01:09:31,640 --> 01:09:36,360 AND ALL HOSPITALS IMPLEMENTATION 1742 01:09:36,360 --> 01:09:37,880 STRATEGIES INCLUDING EFFECTIVE 1743 01:09:37,880 --> 01:09:39,880 PROGRAMS ENHANCED VERSION OF 1744 01:09:39,880 --> 01:09:42,560 PROGRAMS THAT ADDED FACILITATION 1745 01:09:42,560 --> 01:09:44,960 IMPLEMENTATION STRATEGY AND REP 1746 01:09:44,960 --> 01:09:49,320 IS IMPLEMENTATION STRATEGY AND 1747 01:09:49,320 --> 01:09:51,480 LARGER FRAMEWORK TO IMPLEMENT 1748 01:09:51,480 --> 01:09:54,760 INCLUDING IMPLEMENTATION 1749 01:09:54,760 --> 01:09:56,920 INTERVENTIONS FOCUSED ON 1750 01:09:56,920 --> 01:09:57,960 IDENTIFYING A PROBLEM WORKING 1751 01:09:57,960 --> 01:10:01,200 WITH COMMUNITY MEMBERS AND 1752 01:10:01,200 --> 01:10:05,080 PACKAGING AND LAY LANGUAGE CARE 1753 01:10:05,080 --> 01:10:08,400 MANAGEMENT MANUAL AND LAID 1754 01:10:08,400 --> 01:10:09,680 LANGUAGE PROVIDERS PROVIDING 1755 01:10:09,680 --> 01:10:10,800 TRAINING AND TECHNICAL 1756 01:10:10,800 --> 01:10:13,480 ASSISTANCE AND BASIC 1757 01:10:13,480 --> 01:10:14,920 IMPLEMENTATION STRATEGY AND 1758 01:10:14,920 --> 01:10:18,080 PACKAGED IN MANUAL AND PROVIDED 1759 01:10:18,080 --> 01:10:21,000 TRAINING TO PROVIDERS AND WE 1760 01:10:21,000 --> 01:10:23,680 TESTED IMPACT OF ADDED 1761 01:10:23,680 --> 01:10:25,680 FACILITATION THAT IS COSTLY AND 1762 01:10:25,680 --> 01:10:29,960 INVOLVED HAVING LOCAL ACTUALLY 1763 01:10:29,960 --> 01:10:32,320 LOCAL QUALITY EXPERTS CONTACT 1764 01:10:32,320 --> 01:10:35,360 PROVIDERS TO HELP THEM IMPLEMENT 1765 01:10:35,360 --> 01:10:39,800 PROGRAM IN RUT TEEN CLINICAL 1766 01:10:39,800 --> 01:10:40,240 CARE SETTINGS. 1767 01:10:40,240 --> 01:10:42,880 NEXT SLIDE. DIFFERING ADDING 1768 01:10:42,880 --> 01:10:45,000 FACILITATION FRONTLINERS NOT 1769 01:10:45,000 --> 01:10:48,120 ONLY GOT PACKAGE TOOLKIT OF 1770 01:10:48,120 --> 01:10:49,160 EVIDENCE-BASED PACKAGE BRIEF 1771 01:10:49,160 --> 01:10:51,520 CARE MANAGEMENT PROGRAM AND THEY 1772 01:10:51,520 --> 01:10:54,560 GOT TRAINING AND RANDOMIZED TO 1773 01:10:54,560 --> 01:10:56,560 GETTING ENHANCED RAP YOU WOULD 1774 01:10:56,560 --> 01:10:58,400 GET REGULAR AND ZOOM CALLS WITH 1775 01:10:58,400 --> 01:10:59,680 IMPLEMENTATION EXPERT WHERE THEY 1776 01:10:59,680 --> 01:11:02,120 WOULD GO OVER THE POTENTIAL 1777 01:11:02,120 --> 01:11:04,280 BARRIERS FOR FRONTLINE PROVIDERS 1778 01:11:04,280 --> 01:11:06,840 WERE EXPERIENCING AND 1779 01:11:06,840 --> 01:11:07,520 IMPLEMENTING REENGAGING HELPING 1780 01:11:07,520 --> 01:11:11,880 THEM BUILD COALITIONS FINDING 1781 01:11:11,880 --> 01:11:14,160 PROVIDERS TO HELP IMPLEMENTATION 1782 01:11:14,160 --> 01:11:16,480 GAUGE AND ROAD BLOCKS TO ASSESS 1783 01:11:16,480 --> 01:11:17,880 CLINICAL STA THES OF VETERANS 1784 01:11:17,880 --> 01:11:20,280 AND VETERANS WERE LOST TO FOLLOW 1785 01:11:20,280 --> 01:11:21,680 UP THEY WERE EXPERIENCING 1786 01:11:21,680 --> 01:11:23,400 HOMELESSNESS AND WORKING WITH 1787 01:11:23,400 --> 01:11:24,880 THE HOMELESSNESS PROGRAM OFFICE 1788 01:11:24,880 --> 01:11:26,920 AND THING LOOZIC THAT 1789 01:11:26,920 --> 01:11:28,400 ENCOURAGING FRONTLINE PROVIDERS 1790 01:11:28,400 --> 01:11:30,160 TO SHOWCASE HOW PROGRAM WAS 1791 01:11:30,160 --> 01:11:33,240 BENEFICIAL TO VETERANS DOG RAPID 1792 01:11:33,240 --> 01:11:35,000 CYCLE TESTING COLLECTING PILOT 1793 01:11:35,000 --> 01:11:36,960 DATA TO ACTUALLY PRESENT THAT TO 1794 01:11:36,960 --> 01:11:38,000 THEIR LEADERSHIP TO SHOW THE 1795 01:11:38,000 --> 01:11:41,880 VALUE OF THE PROGRAM OVERALL. 1796 01:11:41,880 --> 01:11:43,640 NEXT SLIDE, PLEASE. 1797 01:11:43,640 --> 01:11:46,640 THIS WAS THE DESIGN AND WAS 1798 01:11:46,640 --> 01:11:48,880 CALLED ADAPTIVE IMPLEMENTATION 1799 01:11:48,880 --> 01:11:52,160 DESIGN. WHAT WE DID WAS FIRST 1800 01:11:52,160 --> 01:11:55,480 WE RANDOMIZED SITES THAT 1801 01:11:55,480 --> 01:11:56,920 INITIALLY THAT WE CALL 1802 01:11:56,920 --> 01:11:59,600 NONRESPONDERS OR ARE NOT DOING 1803 01:11:59,600 --> 01:12:00,760 MUCH IMPLEMENTATION ENGAGE BASED 1804 01:12:00,760 --> 01:12:02,920 ON INITIAL ROLLOUT OF TRAINING 1805 01:12:02,920 --> 01:12:04,960 AND PROGRAM PACKAGE AND OF SITES 1806 01:12:04,960 --> 01:12:08,120 OF 89 SITES THAT ARE CONSIDERED 1807 01:12:08,120 --> 01:12:10,200 LOW UPTAKE WE RANDOMIZE THEM TO 1808 01:12:10,200 --> 01:12:12,240 ENHANCED REP AND PROVIDERS THERE 1809 01:12:12,240 --> 01:12:14,960 GOT ADDED FACILITATION AND AFTER 1810 01:12:14,960 --> 01:12:16,840 6 MONTHS LOW RESPONSE SITES THAT 1811 01:12:16,840 --> 01:12:19,320 DIDN'T GET RANDOMIZED INITIALLY 1812 01:12:19,320 --> 01:12:24,080 ENDED UP TO ENHANCED RAP OVER 1813 01:12:24,080 --> 01:12:26,120 TIME AND NEXT SLIDE. CLICKING 1814 01:12:26,120 --> 01:12:27,960 HERE REAL QUICK AND RESULTS WERE 1815 01:12:27,960 --> 01:12:29,320 INTERESTING WE SHOWED A 1816 01:12:29,320 --> 01:12:31,160 DIFFERENCE AND LOOKED AT THE 1817 01:12:31,160 --> 01:12:34,360 UPTAKE OF THE PROGRAM. AFTER 6 1818 01:12:34,360 --> 01:12:35,720 MONTHS YOU CAN KEEP CLICKING 1819 01:12:35,720 --> 01:12:36,080 THROUGH. 1820 01:12:36,080 --> 01:12:38,880 DURING BASICALLY IN PHASE 1 WE 1821 01:12:38,880 --> 01:12:40,360 SAW A DIFFERENCE THAT KICKED IN 1822 01:12:40,360 --> 01:12:42,920 AFTER THREE MONTHS AND PHASE 2 1823 01:12:42,920 --> 01:12:45,280 EVERYONE ALL LOW PERFORMING 1824 01:12:45,280 --> 01:12:49,520 SITES GOT ACCESS TO FACILITATION 1825 01:12:49,520 --> 01:12:53,320 AND LOW PERFORMING SITES GOT 1826 01:12:53,320 --> 01:12:57,280 CAUGHT UP WITH THE SITES 1827 01:12:57,280 --> 01:12:59,920 IMPROVING FROM 50% UPTAKE OF THE 1828 01:12:59,920 --> 01:13:02,320 PROGRAM THAT IS NATIONALLY 1829 01:13:02,320 --> 01:13:06,640 ACROSS 89 HOSPITALS AND COST WAS 1830 01:13:06,640 --> 01:13:09,480 FAIRLY COST EFFICIENT 8 HOURS 1831 01:13:09,480 --> 01:13:12,640 PER SITE AND DOSED ENHANCED REP 1832 01:13:12,640 --> 01:13:13,280 FACILITATION. 1833 01:13:13,280 --> 01:13:14,840 NEXT SLIDE, PLEASE. 1834 01:13:14,840 --> 01:13:19,320 LESSONS LEARNED WAS A NATIONAL 1835 01:13:19,320 --> 01:13:20,840 PRAGMATIC IMPLEMENTATION TRIAL 1836 01:13:20,840 --> 01:13:22,760 THAT WE LEARNED THAT IT WAS KEY 1837 01:13:22,760 --> 01:13:25,680 THAT VA LEADERSHIP SOUGHT OUT 1838 01:13:25,680 --> 01:13:28,000 RESEARCHERS TO HELP THEM 1839 01:13:28,000 --> 01:13:28,680 IMPLEMENT REENGAGED CARE PROGRAM 1840 01:13:28,680 --> 01:13:30,480 AND WE HAD MOTIVATION FROM 1841 01:13:30,480 --> 01:13:32,720 LEADERSHIP NATIONALLY AND WAS 1842 01:13:32,720 --> 01:13:34,720 KEY AND OBVIOUSLY VERY IMPORTANT 1843 01:13:34,720 --> 01:13:36,760 AND SAME TIME THOUGH WE 1844 01:13:36,760 --> 01:13:39,440 ENCOURAGED THEM TO DO ADAPTIVE 1845 01:13:39,440 --> 01:13:42,000 DESIGN. THEY WANTED TO ROLL OUT 1846 01:13:42,000 --> 01:13:43,200 EVERYTHING TO EVERYONE AND 1847 01:13:43,200 --> 01:13:45,600 WANTED TO TEST IF ADDED COST OF 1848 01:13:45,600 --> 01:13:46,760 FACILITATION MADE A DIFFERENCE 1849 01:13:46,760 --> 01:13:49,280 IN PROVIDER UPTAKE AND THEY 1850 01:13:49,280 --> 01:13:53,080 AGREED TO ADAPTIVE DESIGN AND WE 1851 01:13:53,080 --> 01:13:54,240 ESSENTIALLY HAVE TRIAL DESIGN 1852 01:13:54,240 --> 01:13:55,880 ABLE TO ANSWER QUESTION DOES 1853 01:13:55,880 --> 01:13:57,040 FACILITATION THAT IS MORE 1854 01:13:57,040 --> 01:13:58,880 EXPENSIVE AND DOES IT MATTER AND 1855 01:13:58,880 --> 01:14:00,560 EVERYONE ALL OF THE SITES 1856 01:14:00,560 --> 01:14:02,760 EVENTUALLY GOT SUPPORT IN 1857 01:14:02,760 --> 01:14:05,360 IMPLEMENTATION REENGAGE AND IS A 1858 01:14:05,360 --> 01:14:07,280 WIN/WIN FOR THEM ESSENTIALLY AND 1859 01:14:07,280 --> 01:14:10,160 WE MADE IT A POINT TO HAVE LOCAL 1860 01:14:10,160 --> 01:14:12,440 ENGAGEMENT AND TO HAVE LOCAL 1861 01:14:12,440 --> 01:14:14,520 CONTACT WITH FRONTLINE PROVIDERS 1862 01:14:14,520 --> 01:14:16,040 TO MAKE SURE WE WEREN'T MISSING 1863 01:14:16,040 --> 01:14:19,320 SORT OF ISSUES OR RESISTANCE IF 1864 01:14:19,320 --> 01:14:21,000 IN THE FIELD AND MAKE SURE 1865 01:14:21,000 --> 01:14:23,440 VOICES WERE HEARD PLANNING 1866 01:14:23,440 --> 01:14:25,160 FACILITATION PROGRAM. LOTS OF 1867 01:14:25,160 --> 01:14:27,040 FACILITATION WAS DESIGNED BY 1868 01:14:27,040 --> 01:14:27,960 FRONTLINE PROVIDERS IN THE 1869 01:14:27,960 --> 01:14:28,200 FIELD. 1870 01:14:28,200 --> 01:14:32,080 WE USED DHR FOR PRAGMATIC 1871 01:14:32,080 --> 01:14:34,040 OUTCOMES AND WERE ABLE TO 1872 01:14:34,040 --> 01:14:36,600 THANKFULLY BEING WITH VA 1873 01:14:36,600 --> 01:14:38,160 NATIONAL ELECTRONIC HEALTH 1874 01:14:38,160 --> 01:14:39,280 SYSTEM ABLE TO CLEBLTH 1875 01:14:39,280 --> 01:14:41,880 INFORMATION ON PROGRAM UPTAKE 1876 01:14:41,880 --> 01:14:43,760 AND PATIENT CLINICAL STATUS AND 1877 01:14:43,760 --> 01:14:45,280 END OF THE DAY NATIONAL PROGRAM 1878 01:14:45,280 --> 01:14:48,760 IN VA AND OFFICE OF MENTAL 1879 01:14:48,760 --> 01:14:51,920 HEALTH AGREED TO KEEP 1880 01:14:51,920 --> 01:14:52,680 PROMULGATING REENGAGED PROGRAM 1881 01:14:52,680 --> 01:14:55,480 OVER TIME BASED ON RESULTS OF 1882 01:14:55,480 --> 01:14:57,200 STUDY PAYING FOR FACILITATOR TO 1883 01:14:57,200 --> 01:14:59,520 GO WITH CARE AND FEEDING OF THE 1884 01:14:59,520 --> 01:15:00,400 PROGRAM AS WELL. 1885 01:15:00,400 --> 01:15:01,320 NEXT SLIDE, PLEASE. 1886 01:15:01,320 --> 01:15:04,040 I THINK THAT IS IT. I WANT TO 1887 01:15:04,040 --> 01:15:05,440 THANK COLLEAGUES AND APPRECIATE 1888 01:15:05,440 --> 01:15:07,320 IT AND WILL STOP HERE FOR 1889 01:15:07,320 --> 01:15:07,680 QUESTIONS. 1890 01:15:07,680 --> 01:15:08,120 THANK YOU. 1891 01:15:08,120 --> 01:15:10,680 >> THANK YOU, AMY. DO WE HAVE 1892 01:15:10,680 --> 01:15:15,120 QUESTIONS SPECIFICALLY FOR AMY? 1893 01:15:15,120 --> 01:15:19,720 IF NOT GOING TO GROUP 1894 01:15:19,720 --> 01:15:20,040 QUESTIONS. 1895 01:15:20,040 --> 01:15:24,880 >> THANK YOU TO ALL 3 PRESENTER 1896 01:15:24,880 --> 01:15:26,040 AND FANTASTIC PRESENTATION AND 1897 01:15:26,040 --> 01:15:28,160 KWI I HAVE THAT COULD BE 1898 01:15:28,160 --> 01:15:30,320 ANSWERED BY ANY THREE OF YOU 1899 01:15:30,320 --> 01:15:34,080 THAT IS CONSIDERING REALITIES ON 1900 01:15:34,080 --> 01:15:38,440 GROUND AND IN DIFFERENT CLINICAL 1901 01:15:38,440 --> 01:15:39,800 SETTINGS DO YOU THINK THERE 1902 01:15:39,800 --> 01:15:45,000 WOULD BE BETTER IMPLEMENTATION 1903 01:15:45,000 --> 01:15:47,240 IF RESEARCH DESIGN TAKES INTO 1904 01:15:47,240 --> 01:15:50,240 ITSELF CONSIDERATION STANDARD OF 1905 01:15:50,240 --> 01:15:52,160 PRACTICE AROUND CLINICS 1906 01:15:52,160 --> 01:15:53,200 SPECIFICALLY WITH RESPECT TO 1907 01:15:53,200 --> 01:15:55,960 AMOUNT OF TIME ALLOCATED TO THE 1908 01:15:55,960 --> 01:16:01,280 INTERVENTION AND REIMBURSEMENT 1909 01:16:01,280 --> 01:16:11,560 BY INSURANCE? 1910 01:16:11,840 --> 01:16:14,120 >> CAN THE SPEAKERS COME ON 1911 01:16:14,120 --> 01:16:16,000 CAMERA SO WE CAN SEE YOU? 1912 01:16:16,000 --> 01:16:19,800 >> I WILL TAKE THAT. I THINK 1913 01:16:19,800 --> 01:16:21,840 THAT IT IS EXTREMELY IMPORTANT 1914 01:16:21,840 --> 01:16:23,240 TO UNDERSTAND CONTEXT FOR WHICH 1915 01:16:23,240 --> 01:16:27,080 -- IN WHICH YOU WISH THE 1916 01:16:27,080 --> 01:16:30,840 INTERVENTION TO OCCUR. IF WE 1917 01:16:30,840 --> 01:16:34,120 DON'T UNDERSTAND THE FULL 1918 01:16:34,120 --> 01:16:36,600 CONTEXT WITH POTENTIAL 1919 01:16:36,600 --> 01:16:38,800 APPLICATION WHATTEND USERS AND 1920 01:16:38,800 --> 01:16:41,840 BARRIERS TO FACILITATORS ARE AND 1921 01:16:41,840 --> 01:16:44,760 DEVELOP TO HAVE INTERVENTION 1922 01:16:44,760 --> 01:16:46,560 THAT WILL ADEQUATELY MATCH THEIR 1923 01:16:46,560 --> 01:16:49,280 NEEDS AND DON'T KNOW IF OTHERS 1924 01:16:49,280 --> 01:16:56,280 WANT TO ADD ON. 1925 01:16:56,280 --> 01:16:58,920 THIS IS AMY AND GREAT QUESTION 1926 01:16:58,920 --> 01:17:03,160 TO SEE PRAGMATIC TRIALS ENABLING 1927 01:17:03,160 --> 01:17:04,680 MORE PRACTICAL SOLUTIONS TO BE 1928 01:17:04,680 --> 01:17:07,560 TESTED AND WITH THE INPUT FROM 1929 01:17:07,560 --> 01:17:09,360 NOT JUST HEALTH SYSTEM LEADERS 1930 01:17:09,360 --> 01:17:13,080 AND COMMUNITY PARTNERS AND 1931 01:17:13,080 --> 01:17:13,560 PATIENTS THEMSELVES. 1932 01:17:13,560 --> 01:17:15,880 OFTEN TIMES WE HAVE TIGHTLY 1933 01:17:15,880 --> 01:17:18,880 CONTROLLED RANDOMIZED TRIALS OF 1934 01:17:18,880 --> 01:17:20,520 IDEALIZED TREATMENTS THAT IS 1935 01:17:20,520 --> 01:17:21,680 GREAT AND YOU HAVE TO START 1936 01:17:21,680 --> 01:17:25,080 SOMEWHERE AND LINDA YOU TALKED 1937 01:17:25,080 --> 01:17:26,640 ABOUT INNOVATION BEING KEY AND 1938 01:17:26,640 --> 01:17:29,040 OFTEN TIMES WE ARE AFRAID TO 1939 01:17:29,040 --> 01:17:32,000 TAKING LEAP TO DO PRAGMATIC 1940 01:17:32,000 --> 01:17:34,480 TRIALS THAT IT MIGHT BE MESSIER 1941 01:17:34,480 --> 01:17:37,280 AND NOT JUST MESSINESS BUT 1942 01:17:37,280 --> 01:17:39,920 ACCOUNTING FOR DIVERSITY AND 1943 01:17:39,920 --> 01:17:41,280 HETEROGENEITY AND EMBRACING THAT 1944 01:17:41,280 --> 01:17:43,640 AND PRIMARY OUTCOMES THAT ARE 1945 01:17:43,640 --> 01:17:47,160 REALISTIC AND REAIM TO MODEL FOR 1946 01:17:47,160 --> 01:17:51,280 THAT. THANKS. 1947 01:17:51,280 --> 01:17:55,240 >> THANK YOU FOR THAT WONDERFUL 1948 01:17:55,240 --> 01:17:57,960 PRESENTATION AND I HAD A 1949 01:17:57,960 --> 01:17:59,480 QUESTION. ONE FOR DR. CAI. 1950 01:17:59,480 --> 01:18:01,160 WHEN TALKING ABOUT ALL OF THE 1951 01:18:01,160 --> 01:18:04,000 PROGRAMS THAT WERE AVAILABLE I 1952 01:18:04,000 --> 01:18:06,280 WAS CURIOUS AS A PHD RESEARCHER 1953 01:18:06,280 --> 01:18:08,400 WHO DOESN'T KNOW MUCH ABOUT 1954 01:18:08,400 --> 01:18:09,400 IMPLEMENTATION SCIENCE, WHAT 1955 01:18:09,400 --> 01:18:12,680 WOULD BE YOUR ADVICE IN TERMS 1956 01:18:12,680 --> 01:18:18,080 WHERE TO BEGIN? I HAVE DONE 1957 01:18:18,080 --> 01:18:20,640 WORK IN LOW AND MIDDLE INCOME 1958 01:18:20,640 --> 01:18:22,640 COUNTRIES AND FOUND I DO 1959 01:18:22,640 --> 01:18:26,040 USABILITY PART AND USABILITY 1960 01:18:26,040 --> 01:18:30,320 ASSESSMENT OF TECHNOLOGY I WANT 1961 01:18:30,320 --> 01:18:34,280 TO GO FURTHER TO SEE PRACTICAL 1962 01:18:34,280 --> 01:18:36,200 IMPLEMENTATION AND WANT ADVICE 1963 01:18:36,200 --> 01:18:38,280 AND WHERE DO I BEGIN AND HOW DO 1964 01:18:38,280 --> 01:18:39,800 WE DO WITH WHAT YOU ARE TALKING 1965 01:18:39,800 --> 01:18:43,880 ABOUT WITH THE TECHNOLOGY IN THE 1966 01:18:43,880 --> 01:18:45,200 MIX? 1967 01:18:45,200 --> 01:18:47,760 >> THANKS SO MUCH FOR THAT 1968 01:18:47,760 --> 01:18:49,400 QUESTION. I REALLY APPRECIATE 1969 01:18:49,400 --> 01:18:51,840 YOUR DESIRE TO LEARN ABOUT 1970 01:18:51,840 --> 01:18:52,800 IMPLEMENTATION SCIENCE AND 1971 01:18:52,800 --> 01:18:56,120 KNOWLEDGE TRANSLATION AND OTHER 1972 01:18:56,120 --> 01:18:59,040 RESOURCES THAT ARE PRESENTED 1973 01:18:59,040 --> 01:19:00,440 PROVIDED BY THE KNOWLEDGE 1974 01:19:00,440 --> 01:19:03,080 TRANSLATION CENTERS OF NIDLR. I 1975 01:19:03,080 --> 01:19:05,800 THINK THOSE RESOURCES ON THE 1976 01:19:05,800 --> 01:19:07,760 WEBSITE THEY ARE AFRAID FOR YOU 1977 01:19:07,760 --> 01:19:11,560 TO LOOK AT AND USE THEM. 1978 01:19:11,560 --> 01:19:16,560 AND THEN THE -- NIDLR FUNDED KT 1979 01:19:16,560 --> 01:19:17,680 CENTERS AND TECHNICAL 1980 01:19:17,680 --> 01:19:20,960 ASSISTANCE, I BELIEVE, IT WOULD 1981 01:19:20,960 --> 01:19:21,880 BE FOR [INDISCERNIBLE]. 1982 01:19:21,880 --> 01:19:27,600 SO, BUT THE RESOURCES WILL BE 1983 01:19:27,600 --> 01:19:28,200 AVAILA 1984 01:19:28,200 --> 01:19:28,480 AVAILABLE. 1985 01:19:28,480 --> 01:19:31,760 FOR EXAMPLE, THERE IS A KT 1986 01:19:31,760 --> 01:19:33,960 STRATEGY DATA BASE AND IS A GOOD 1987 01:19:33,960 --> 01:19:41,080 STARTING POINT. ALSO, THE KTDR 1988 01:19:41,080 --> 01:19:42,720 THAT IS KNOWLEDGE TRANSLATION 1989 01:19:42,720 --> 01:19:44,120 CENTER FOR THE KNOWLEDGE 1990 01:19:44,120 --> 01:19:48,240 TRANSLATION CENTER FUNDED BY 1991 01:19:48,240 --> 01:19:52,920 NIDLR THAT HAS A CASE BOOK AND 1992 01:19:52,920 --> 01:19:56,400 LEARNING EXAMPLES HOW -- STUDIES 1993 01:19:56,400 --> 01:19:57,200 HAVE IMPLEMENTED KNOWLEDGE 1994 01:19:57,200 --> 01:20:00,200 TRANSLATION AND PRINCIPLES WERE 1995 01:20:00,200 --> 01:20:01,840 APPLIED PRINCIPLES THAT WERE 1996 01:20:01,840 --> 01:20:02,560 IMPLEMENTATION SCIENCE THAT 1997 01:20:02,560 --> 01:20:05,840 COULD BE GOOD RESOURCES TO START 1998 01:20:05,840 --> 01:20:07,640 TO LEARN AS WELL. 1999 01:20:07,640 --> 01:20:10,160 >> SORRY DIDN'T GET SECOND ONE. 2000 01:20:10,160 --> 01:20:11,040 KT WHAT? 2001 01:20:11,040 --> 01:20:21,560 >> KT CASE BOOK THAT IS ON K 2002 01:20:23,160 --> 01:20:24,000 KTD.ORG WEBSITE. 2003 01:20:24,000 --> 01:20:24,960 >> THANK YOU. 2004 01:20:24,960 --> 01:20:25,920 >> IMPLEMENTATION SCIENCE THAT 2005 01:20:25,920 --> 01:20:29,880 HAS LIST OF THEM UNDER 2006 01:20:29,880 --> 01:20:31,720 IMPLEMENTATION TRAINING MATRIX. 2007 01:20:31,720 --> 01:20:35,360 IT IS ON THE WEBSITE. 2008 01:20:35,360 --> 01:20:38,320 >> LOOKING AT KNOWLEDGE 2009 01:20:38,320 --> 01:20:40,160 TRANSLATION TOOLKIT AND TOOLS 2010 01:20:40,160 --> 01:20:43,880 THAT COURSES ARE FREE TO YOU. 2011 01:20:43,880 --> 01:20:49,280 >> HI. THANKS FOR YOUR TALK. 2012 01:20:49,280 --> 01:20:51,400 THEY ARE WONDERFUL AND QUESTION 2013 01:20:51,400 --> 01:20:52,680 AND SEEING IF YOU CAN COMMENT 2014 01:20:52,680 --> 01:21:02,480 ABOUT HOW WE DEFINE WHAT A 2015 01:21:02,480 --> 01:21:05,280 HEALTH SERVICES IS AND TALKING 2016 01:21:05,280 --> 01:21:08,320 ABOUT STAKEHOLDERS BROADLY THERE 2017 01:21:08,320 --> 01:21:12,680 IS MISUNDERSTANDING ABOUT 2018 01:21:12,680 --> 01:21:14,840 VARIOUS PUSHES AND PULLS ACTING 2019 01:21:14,840 --> 01:21:17,240 ON HEALTH SERVICE SYSTEM THAT WE 2020 01:21:17,240 --> 01:21:27,320 ARE SOMETIMES NO THE AWARE OF 2021 01:21:27,320 --> 01:21:36,480 STARTING FROM -- ANY SYSTEM BIG 2022 01:21:36,480 --> 01:21:40,160 OR SMALL IT COULD BE COMMUNITY 2023 01:21:40,160 --> 01:21:42,880 HEALTH CLINIC AND AS BIG AS 2024 01:21:42,880 --> 01:21:44,080 INTEGRATED HEALTH SYSTEM. 2025 01:21:44,080 --> 01:21:46,040 EXAMPLE THAT WE HEARD THAT IS 2026 01:21:46,040 --> 01:21:48,040 IMPRESSIVE BECAUSE IT IS MANY, 2027 01:21:48,040 --> 01:21:50,400 MANY HOSPITALS AND SYSTEMS AND 2028 01:21:50,400 --> 01:21:53,120 IF -- IF THE INTERVENTION OR THE 2029 01:21:53,120 --> 01:21:57,640 PRACTICE IS GOING TO BE USED AT 2030 01:21:57,640 --> 01:22:03,960 A SMALL LOCAL LEVEL OR PRACTICE 2031 01:22:03,960 --> 01:22:07,080 AT A SMALL COMMUNITY CLINIC IS 2032 01:22:07,080 --> 01:22:10,040 APPROPRIATE FOR TESTING AND 2033 01:22:10,040 --> 01:22:16,760 DON'T THINK SIZE IS A FACTOR. 2034 01:22:16,760 --> 01:22:19,240 >> IN LEARNING DEVELOPMENTS THAT 2035 01:22:19,240 --> 01:22:21,240 CHUCK DEVELOPED FORM A LEARNING 2036 01:22:21,240 --> 01:22:22,280 COMMUNITY FIRST AND THAT IS WHAT 2037 01:22:22,280 --> 01:22:24,240 LINDA WAS TALKING ABOUT, A GROUP 2038 01:22:24,240 --> 01:22:27,840 OF PEOPLE WITH A SHARED GOAL AND 2039 01:22:27,840 --> 01:22:28,840 GOVERNANCE STRUCTURES OF SOME 2040 01:22:28,840 --> 01:22:32,840 SORT AND DATA THEY CAN USE TO 2041 01:22:32,840 --> 01:22:43,240 IMPROVE CARE ACTUALLY. 2042 01:22:47,120 --> 01:22:48,400 >> HELLO, EVERYONE. I 2043 01:22:48,400 --> 01:22:49,640 APPRECIATED THE SET OF TALKS AND 2044 01:22:49,640 --> 01:22:52,040 HAVE A QUESTION THAT GOES BACK 2045 01:22:52,040 --> 01:22:54,680 TO THE PREVIOUS QUESTIONS A 2046 01:22:54,680 --> 01:22:58,160 LITTLE BIT AND AT GEORGIA TECH 2047 01:22:58,160 --> 01:22:59,960 WE HAVE BEEN TRYING TO WRESTLE 2048 01:22:59,960 --> 01:23:01,840 WITH TRYING TO UNDERSTAND HOW TO 2049 01:23:01,840 --> 01:23:03,000 BRING COMMUNITY TRANSLATION TO 2050 01:23:03,000 --> 01:23:04,960 LOTS OF RESEARCH EVERIES GOING 2051 01:23:04,960 --> 01:23:10,000 ON AND WHAT IS UNIQUE AND HAS 2052 01:23:10,000 --> 01:23:13,280 BEEN CHALLENGE FOR ACADEMIC 2053 01:23:13,280 --> 01:23:15,000 INSTITUTIONS WITHOUT AFFILIATED 2054 01:23:15,000 --> 01:23:16,720 CENT EVERIES AND NETWORKS AND 2055 01:23:16,720 --> 01:23:18,600 BASIC SCIENCE RESEARCH AND 2056 01:23:18,600 --> 01:23:22,000 UNDERSTANDING HOW TO TRANSLATE 2057 01:23:22,000 --> 01:23:26,000 CONCEPTS OF CLINICAL OR HEALTH 2058 01:23:26,000 --> 01:23:29,280 SYSTEMS BASED IMPLEMENTATION 2059 01:23:29,280 --> 01:23:31,440 MODELS AND SCIENCE-BASED 2060 01:23:31,440 --> 01:23:33,280 INSTITUTIONS AS WELL AND WOULD 2061 01:23:33,280 --> 01:23:36,320 LOVE TO GET THOUGHTS HOW TO 2062 01:23:36,320 --> 01:23:37,760 COMMUNICATE THE CONCEPTS THAT 2063 01:23:37,760 --> 01:23:43,400 ARE BEING LEARNED IN CLINI 2064 01:23:43,400 --> 01:23:44,320 CLINICALCLINICAL 2065 01:23:44,320 --> 01:23:49,280 SETTINGS INTO OTHER TYPES OF 2066 01:23:49,280 --> 01:23:56,400 SPA 2067 01:23:56,400 --> 01:23:56,640 SPACES. 2068 01:23:56,640 --> 01:23:57,280 >> ANY TAKER SNZ. 2069 01:23:57,280 --> 01:23:59,600 >> THIS IS ANNIE. ONE IDEA 2070 01:23:59,600 --> 01:24:02,000 COMING TO MIND LEARNING A LOT 2071 01:24:02,000 --> 01:24:06,840 FROM CTSAS AND CTSIS THAT HAVE A 2072 01:24:06,840 --> 01:24:08,920 WONDERFUL PROGRAM THE COMMUNITY 2073 01:24:08,920 --> 01:24:10,720 RESEARCH STUDIO THAT IS A ROBUST 2074 01:24:10,720 --> 01:24:13,280 WAY OF ENCAPSULATING USER CENTER 2075 01:24:13,280 --> 01:24:15,840 DESIGN WITH A COMMUNITY TO 2076 01:24:15,840 --> 01:24:17,280 IDENTIFY RESEARCH PROBLEM OF 2077 01:24:17,280 --> 01:24:19,280 INTEREST AND PATHWAYS TO EXPLORE 2078 01:24:19,280 --> 01:24:22,480 AND STUDY THAT IS A POTENTIAL 2079 01:24:22,480 --> 01:24:24,360 EXAMPLE AND ANOTHER EXAMPLE IS 2080 01:24:24,360 --> 01:24:28,480 WORK OUT OF AIR AND LION AND 2081 01:24:28,480 --> 01:24:32,080 ERIC AND AARON IS AT UNIVERSITY 2082 01:24:32,080 --> 01:24:36,080 OF WASHINGTON DOING USER CENTER 2083 01:24:36,080 --> 01:24:38,440 DESIGN AND TECHNOLOGY AND 2084 01:24:38,440 --> 01:24:41,000 CONSUMERS DESIGNING BETTER WAYS 2085 01:24:41,000 --> 01:24:43,320 TO DELIVER MAINLY PSYCHOSOCIAL 2086 01:24:43,320 --> 01:24:45,000 INTERVENTIONS AND APPLYING TO 2087 01:24:45,000 --> 01:24:45,840 DIFFERENT TREATMENTS AS WELL AND 2088 01:24:45,840 --> 01:24:48,520 DONE A LOT IN EDUCATION SETTINGS 2089 01:24:48,520 --> 01:24:58,800 AND IN CLINICS. 2090 01:24:59,560 --> 01:25:01,280 >> I THINK GREAT JOB TALKING 2091 01:25:01,280 --> 01:25:05,560 ABOUT PROMOTING STUDIES AND 2092 01:25:05,560 --> 01:25:06,000 IMPLEMENTATION AND 2093 01:25:06,000 --> 01:25:06,560 EMMRIMENTATION SCIENCE AND 2094 01:25:06,560 --> 01:25:07,840 SHOULD BE REQUIRED READING FOR 2095 01:25:07,840 --> 01:25:10,160 LOTS OF RESEARCHERS AND THINK 2096 01:25:10,160 --> 01:25:13,280 ABOUT PRESSURE POINTS AND FOR 2097 01:25:13,280 --> 01:25:17,680 EXAMPLE IN PEER REVIEW I THINK 2098 01:25:17,680 --> 01:25:21,600 NIDLR IS AHEAD OF US EMPHASIZING 2099 01:25:21,600 --> 01:25:23,800 THAT NIH PANELS DON'T GIVE 2100 01:25:23,800 --> 01:25:26,120 PEOPLE CREDIT FOR WORK THEY ARE 2101 01:25:26,120 --> 01:25:27,440 DOING AND NECESSARY REQUIREMENT 2102 01:25:27,440 --> 01:25:29,640 FOR HAVING THIS IN THEIR 2103 01:25:29,640 --> 01:25:31,400 PROPOSALS AND WOULD BE NICE IF 2104 01:25:31,400 --> 01:25:33,760 NIH PEER REVIEW PANELS WISED UP 2105 01:25:33,760 --> 01:25:35,760 AND JOURNALS ARE COMING AROUND 2106 01:25:35,760 --> 01:25:37,200 AND REALLY HIGHLIGHTING 2107 01:25:37,200 --> 01:25:38,360 IMPLEMENTATION OF THE STUDIES 2108 01:25:38,360 --> 01:25:40,360 AND THINK ABOUT ACADEMIC 2109 01:25:40,360 --> 01:25:42,080 ADVANCEMENT AND DON'T THINK THAT 2110 01:25:42,080 --> 01:25:43,480 DEPARTMENTS REALLY GIVE PEOPLE 2111 01:25:43,480 --> 01:25:48,240 CREDIT FOR WORK THEY DO AND 2112 01:25:48,240 --> 01:25:50,240 DON'T PROVIDE RESOURCES TO 2113 01:25:50,240 --> 01:25:53,120 SUPPORT RESEARCHERS TO TAKE TIME 2114 01:25:53,120 --> 01:25:56,160 OREGON INCORPORATE USER 2115 01:25:56,160 --> 01:26:04,960 EXPERIENCE ANDAC DIVISION WORK 2116 01:26:04,960 --> 01:26:13,280 YOU DIDN'T MENTION AND CMS AND 2117 01:26:13,280 --> 01:26:15,000 RESEARCH REIMBURSED AND 2118 01:26:15,000 --> 01:26:16,480 IMPLEMENTING CMS DECISIONS TO 2119 01:26:16,480 --> 01:26:18,640 GET THEM TO VALUE IT AND 2120 01:26:18,640 --> 01:26:21,880 REIMBURSE MORE WORK AND PUTTING 2121 01:26:21,880 --> 01:26:32,120 IT ALSO INTO PRACTICE. 2122 01:26:32,120 --> 01:26:34,680 >> CAN'T SAY EXPERT ON THAT 2123 01:26:34,680 --> 01:26:35,800 TRANSLATION TO FUND AVAILABILITY 2124 01:26:35,800 --> 01:26:40,920 AND WOULD SAY WHEN PI OF STUDIES 2125 01:26:40,920 --> 01:26:43,400 TO OPTIMIZE ARM AND ONE THING WE 2126 01:26:43,400 --> 01:26:45,280 DID WAS DISCUSS WITH SUSAN 2127 01:26:45,280 --> 01:26:48,040 MILLER FROM CMS ABOUT CODING OF 2128 01:26:48,040 --> 01:26:49,520 PROSTHETIC DEVICE AND WHETHER OR 2129 01:26:49,520 --> 01:26:53,480 NOT AND HOW IT WOULD BE ASSIGNED 2130 01:26:53,480 --> 01:26:59,320 A CODE AND WHAT DATA CMS WOULD 2131 01:26:59,320 --> 01:27:03,560 NEED TO HAVE FROM A STUDY TO 2132 01:27:03,560 --> 01:27:08,600 MAKE OR CONSIDER TECHNOLOGY 2133 01:27:08,600 --> 01:27:09,960 MEDICALLY USEFUL AND CHOSE 2134 01:27:09,960 --> 01:27:12,680 OUTCOMES WE THOUGHT WOULD BE 2135 01:27:12,680 --> 01:27:14,680 MEANINGFUL TO CMS DESIGNING 2136 01:27:14,680 --> 01:27:16,520 OUTCOME MEASURE WE THOUGHT WOULD 2137 01:27:16,520 --> 01:27:19,120 HAVE TO CMS WE WANTED TO PROVIDE 2138 01:27:19,120 --> 01:27:20,960 DATA THAT THEY WOULD WANT IN 2139 01:27:20,960 --> 01:27:31,520 TERMS OF POLICY DECISION MAKING. 2140 01:27:34,000 --> 01:27:36,560 >> ONE FINAL QUESTION, KARL. 2141 01:27:36,560 --> 01:27:39,560 >> THANK YOU. EXCELLENT TALKS 2142 01:27:39,560 --> 01:27:42,280 AND NEAR AND DEAR TO MY HEART IN 2143 01:27:42,280 --> 01:27:46,320 DOD AND WE ARE FOCUSED ON 2144 01:27:46,320 --> 01:27:50,600 RESEARCH TRANSITIONING AND FUND 2145 01:27:50,600 --> 01:27:52,040 RESEARCH BY PUBLICATIONS AND 2146 01:27:52,040 --> 01:27:54,640 TRANSITION AGREEMENTS AND IDEA 2147 01:27:54,640 --> 01:27:58,480 THAT THEY WILL TAKE THIS TO THE 2148 01:27:58,480 --> 01:28:01,480 NEXT LEVEL THAT IS A CHALLENGE 2149 01:28:01,480 --> 01:28:04,920 AND EXTERNAL PARTY HERE AND 2150 01:28:04,920 --> 01:28:08,400 QUESTION IS HOW DO YOU 2151 01:28:08,400 --> 01:28:11,280 PRIORITIZE AND FUND THIS IF YOU 2152 01:28:11,280 --> 01:28:13,600 WANT IT TO HAPPEN? SUCCESS 2153 01:28:13,600 --> 01:28:15,960 JUDGED ON NUMBER OF PUBLICATIONS 2154 01:28:15,960 --> 01:28:18,560 NOT HOW YOU INCENTIVIZE BUILDING 2155 01:28:18,560 --> 01:28:19,680 TRANSLATION INTO RESEARCH AND IF 2156 01:28:19,680 --> 01:28:21,760 NOT WHAT YOU ARE JUDGED ON NOT 2157 01:28:21,760 --> 01:28:28,200 AN INCENTIVE TO DO THAT. 2158 01:28:28,200 --> 01:28:29,680 HONESTLY PROPOSALS COME TO US 2159 01:28:29,680 --> 01:28:35,960 GOING THROUGH NIH STYLE REVIEW. 2160 01:28:35,960 --> 01:28:39,280 THOSE THAT HAVE COLLABORATIVE 2161 01:28:39,280 --> 01:28:42,640 PROCESS BUILT INTO IT DON'T HAVE 2162 01:28:42,640 --> 01:28:48,000 SCORES AND ARE UNKNOWNS IN 2163 01:28:48,000 --> 01:28:50,520 STUDIES AND ITERATIVE PROCESS IN 2164 01:28:50,520 --> 01:28:54,680 THAT IS NOT SCORED AND PRIORITY 2165 01:28:54,680 --> 01:28:57,400 TO BE BUILT IN SCORING CRITERIA 2166 01:28:57,400 --> 01:29:00,040 AND WHAT NEEDS TO BE DONE WITH 2167 01:29:00,040 --> 01:29:04,680 ACTUAL PRODUCT AT END OF IT. 2168 01:29:04,680 --> 01:29:10,160 DON'T KNOW IF SOLUTION HERE BUT 2169 01:29:10,160 --> 01:29:13,520 ECHOING TRANSLATION HERE AND 2170 01:29:13,520 --> 01:29:15,960 DEPARTMENT OF DEFENSE IS NOT 2171 01:29:15,960 --> 01:29:17,840 TOLERANCE FOR 17 YEARS AND WE 2172 01:29:17,840 --> 01:29:19,680 ARE NOT DOING BETTER THAN THAT 2173 01:29:19,680 --> 01:29:21,560 BUT GET BEAT UP FOR IT AND ARE 2174 01:29:21,560 --> 01:29:23,280 NOT GETTING PRODUCTS OUT THERE 2175 01:29:23,280 --> 01:29:26,960 TO THE FIELD ANY FASTER. 2176 01:29:26,960 --> 01:29:29,040 IT IS A GREAT AND IMPORTANT 2177 01:29:29,040 --> 01:29:33,040 TOPIC AND THANKS FOR BRINGING IT 2178 01:29:33,040 --> 01:29:36,840 UP. 2179 01:29:36,840 --> 01:29:40,760 >> QUICK COMMENT THAT IF WE ADD 2180 01:29:40,760 --> 01:29:44,600 TRANSLATION TO, YOU KNOW, WHICH 2181 01:29:44,600 --> 01:29:50,840 IS A GREAT IDEA TO OUR CURRENT 2182 01:29:50,840 --> 01:29:54,080 INTERVENTION STO STUDIES THAT 2183 01:29:54,080 --> 01:29:58,600 REQUIRE MORE RESOURCES WHAT I'M 2184 01:29:58,600 --> 01:30:00,640 WORRIED ABOUT HEARING THIS IS 2185 01:30:00,640 --> 01:30:03,720 ADDING MORE FOR SAME BUDGET THAT 2186 01:30:03,720 --> 01:30:09,760 I DON'T THINK IS POSSIBLE. 2187 01:30:09,760 --> 01:30:12,680 >> VERY MUCH SO WE WILL HAVE AS 2188 01:30:12,680 --> 01:30:14,400 WELL WITH IMPLEMENTATION SCIENCE 2189 01:30:14,400 --> 01:30:16,440 STUDIES BUT ARE NOT REALLY THAT 2190 01:30:16,440 --> 01:30:17,840 WE HAVE TRANSITION AGREEMENTS 2191 01:30:17,840 --> 01:30:21,120 AND TRANSITION PARTNERS AS WELL 2192 01:30:21,120 --> 01:30:24,280 AND NEED TO DO A TRANSLATE 2193 01:30:24,280 --> 01:30:27,600 IMPLEMENTATION STUDY AND NEED 2194 01:30:27,600 --> 01:30:28,800 FUNDING FOR IMPLEMENTATION AND 2195 01:30:28,800 --> 01:30:31,200 NEED TO BE CAREFUL WITH THAT 2196 01:30:31,200 --> 01:30:33,120 DONE AND PLANNED IMPLEMENTATION 2197 01:30:33,120 --> 01:30:35,080 SCIENCE AND IMPLEMENTATION 2198 01:30:35,080 --> 01:30:36,440 FUNDING FOR IMPLEMENTATION AND 2199 01:30:36,440 --> 01:30:38,720 CAN'T DO IMPLEMENTATION SCIENCE 2200 01:30:38,720 --> 01:30:45,280 IF NO IMPLEMENT ACHES AND IS 2201 01:30:45,280 --> 01:30:48,320 GRAY SPACE. 2202 01:30:48,320 --> 01:30:52,160 YOU DON'T HAVE FUNDING FOR 2203 01:30:52,160 --> 01:30:55,560 ACTUAL IMPLEMENTATION WITH 2204 01:30:55,560 --> 01:30:57,200 TRANSITION OR PARTNER AND YOU 2205 01:30:57,200 --> 01:31:01,040 ARE STUFF AND IN SAME BOAT 2206 01:31:01,040 --> 01:31:03,000 FUNDING BASIC RESEARCH AND 2207 01:31:03,000 --> 01:31:05,000 DEPENDENT ON PARTNER SAYING THEY 2208 01:31:05,000 --> 01:31:07,800 WILL IMPLEMENT IT TO DO IT AND 2209 01:31:07,800 --> 01:31:11,520 DIVERTING RESEARCH TO GO TOWARDS 2210 01:31:11,520 --> 01:31:13,360 BASIC RESEARCH TO SEE THROUGH 2211 01:31:13,360 --> 01:31:17,360 AND HOPE SOMEONE FIBBINGS IT UP. 2212 01:31:17,360 --> 01:31:19,280 THIS IS NOT A GREAT STRATEGY. 2213 01:31:19,280 --> 01:31:23,960 >> GREAT. GOOD WAY TO END. 2214 01:31:23,960 --> 01:31:27,000 LINDA AND CINDY AND AMY, THANK 2215 01:31:27,000 --> 01:31:30,800 YOU. TERRIFIC TALKS AND GREAT 2216 01:31:30,800 --> 01:31:34,840 DISCUSSION HERE. 2217 01:31:34,840 --> 01:31:37,600 >> THANK YOU. 2218 01:31:37,600 --> 01:31:45,080 >> I WANTED TO TAKE DETOUR AND 2219 01:31:45,080 --> 01:31:48,680 MAY MEETING BOARD MEMBERS 2220 01:31:48,680 --> 01:31:49,960 FINISHING TERMS AND REGRET THEM 2221 01:31:49,960 --> 01:31:51,880 HAVING TO LEAVE US AND WILL GIVE 2222 01:31:51,880 --> 01:31:54,760 THEM TIME TO MAKE REMARKS ONE 2223 01:31:54,760 --> 01:31:56,520 HAPPENS TO HAVE TO LEAVE A 2224 01:31:56,520 --> 01:32:01,720 LITTLE EARLY AND GIVING ABBY 2225 01:32:01,720 --> 01:32:04,080 TIME TO MAKE REMARKS NOW AND 2226 01:32:04,080 --> 01:32:07,160 GOING TO DR. BIANCHI WHO SERVED 2227 01:32:07,160 --> 01:32:10,800 FOUR YEARS HERE AND GREAT 2228 01:32:10,800 --> 01:32:12,760 PARTNER AND APPRECIATED MULTIPLE 2229 01:32:12,760 --> 01:32:18,840 VIEWPOINTS AND COMMENTS HE MADE 2230 01:32:18,840 --> 01:32:21,640 I WANT TO GIVE HIM A CHANCE FOR 2231 01:32:21,640 --> 01:32:27,600 REMARKS AND STAYING ON THE 2232 01:32:27,600 --> 01:32:27,880 COUNCIL. 2233 01:32:27,880 --> 01:32:31,480 >> WANT TO SAY BIG THANK YOU TO 2234 01:32:31,480 --> 01:32:35,760 THE BOARD. 2235 01:32:35,760 --> 01:32:36,800 MEETING DR. [INDISCERNIBLE] 2236 01:32:36,800 --> 01:32:41,240 SOMETIME AFTER I STARTED MY 2237 01:32:41,240 --> 01:32:46,880 TENURE AND DEAN. 2238 01:32:46,880 --> 01:32:49,240 >> HE GAVE AN ENLIGHTENING TALK 2239 01:32:49,240 --> 01:32:56,760 HOW THINGS WORK AT N ICHLT IH A 2240 01:32:56,760 --> 01:32:59,280 R1 INSTITUTION TOTAL RESEARCH 2241 01:32:59,280 --> 01:33:04,080 PORTFOLIO OF THE SCHOOL WAS $2.5 2242 01:33:04,080 --> 01:33:04,680 MILLION. 2243 01:33:04,680 --> 01:33:07,520 I WANTED TO GROW WAS RESEARCH 2244 01:33:07,520 --> 01:33:10,840 AND BRINGING IN HIM WAS REALLY 2245 01:33:10,840 --> 01:33:13,720 VERY IMPORTANT. 2246 01:33:13,720 --> 01:33:18,600 I'M PROUD TO SAY AFTER 6 YEARS 2247 01:33:18,600 --> 01:33:23,240 WE IMPROVED $26 MILLION AND THAT 2248 01:33:23,240 --> 01:33:27,520 IS IMPRESSIVE AND AS A RESULT OF 2249 01:33:27,520 --> 01:33:31,000 SERVING ON BOARDS LIKE THESE AND 2250 01:33:31,000 --> 01:33:34,160 GETTING TO UNDERSTAND WHAT IS 2251 01:33:34,160 --> 01:33:36,840 THOUGHT PROCESS BEHIND 2252 01:33:36,840 --> 01:33:38,720 [INDISCERNIBLE] AND HOW PROGRAMS 2253 01:33:38,720 --> 01:33:40,600 GET FUNDED AND WA ARE CASES AND 2254 01:33:40,600 --> 01:33:44,280 I LEARNED AND WOULD LIKE TO 2255 01:33:44,280 --> 01:33:46,320 SHARE WITH EVERYONE HOW MUCH WE 2256 01:33:46,320 --> 01:33:50,200 SHOULD INVEST IF IN 2257 01:33:50,200 --> 01:33:53,320 DEVELOPMENTAL TRAINING OF 2258 01:33:53,320 --> 01:33:56,560 FACULTY MEMBERS AND IS IMPORTANT 2259 01:33:56,560 --> 01:33:58,120 AND SOMETIMES [INDISCERNIBLE] 2260 01:33:58,120 --> 01:34:01,200 WERE TALKING THIS MORNING AND 2261 01:34:01,200 --> 01:34:05,080 PEOPLE ARE TWO HANDS OF THE 2262 01:34:05,080 --> 01:34:05,480 SPECTRUM. 2263 01:34:05,480 --> 01:34:07,320 THOSE INTERESTED IN 2264 01:34:07,320 --> 01:34:10,200 INTERVENTIONS AND TREATMENT AND 2265 01:34:10,200 --> 01:34:12,600 EVERYTHING AND DON'T KNOW HOW TO 2266 01:34:12,600 --> 01:34:14,920 WRITE RESEARCH QUESTIONS AND 2267 01:34:14,920 --> 01:34:16,440 SYSTEMATICALLY ADDRESS THE 2268 01:34:16,440 --> 01:34:18,000 PROBLEM AND ON RESEARCH SIDE WHO 2269 01:34:18,000 --> 01:34:21,920 ARE VERY SYSTEMATIC AND BASIC OR 2270 01:34:21,920 --> 01:34:25,720 DON'T HAVE IDEA HOW IT GETS 2271 01:34:25,720 --> 01:34:27,000 IMPLEMENTED OR TREATMENT AND ONE 2272 01:34:27,000 --> 01:34:30,840 THING WE TRY TO BUILD THAT I 2273 01:34:30,840 --> 01:34:33,280 ENCOURAGE TO CONSIDER IS HOW TO 2274 01:34:33,280 --> 01:34:36,240 DEVELOP THAT HYBRID PERSON WHO 2275 01:34:36,240 --> 01:34:39,200 SHIFTS A BEAT FROM JUST 2276 01:34:39,200 --> 01:34:41,320 TREATMENT AND BASIC TO THE 2277 01:34:41,320 --> 01:34:42,720 MIDDLE WHERE THEY UNDERSTAND A 2278 01:34:42,720 --> 01:34:46,120 GOOD AMOUNT OF BOTH SIDES SUCH 2279 01:34:46,120 --> 01:34:47,520 THAT GOOD QUESTIONS CAN COME OUT 2280 01:34:47,520 --> 01:34:50,760 AND BE TRANSLATED TO PRACTICE. 2281 01:34:50,760 --> 01:34:54,200 ULTIMATELY, REASON WE ARE DOING 2282 01:34:54,200 --> 01:34:56,240 THIS IS WE WANT TO IMPROVE 2283 01:34:56,240 --> 01:34:58,240 PRACTICE AND HEALTH CARE AND ASK 2284 01:34:58,240 --> 01:35:01,600 OURSELVES HOW WELL ARE WE DOING 2285 01:35:01,600 --> 01:35:02,920 THAT? 2286 01:35:02,920 --> 01:35:04,960 PRESENTATION FROM MY CLOOEG 2287 01:35:04,960 --> 01:35:06,240 STEPHANIE DELUCA YESTERDAY, I 2288 01:35:06,240 --> 01:35:08,640 WAS IMPRESSED SHE IS STILL 2289 01:35:08,640 --> 01:35:10,680 LOOKING AT CONSTRAINT INDUCED 2290 01:35:10,680 --> 01:35:14,080 MOVEMENT THERAPY THAT HAS BEEN 2291 01:35:14,080 --> 01:35:15,720 AROUND FOR A WHILE. 2292 01:35:15,720 --> 01:35:18,120 HOW MANY INSTITUTIONS IMPLEMENT 2293 01:35:18,120 --> 01:35:18,320 IT? 2294 01:35:18,320 --> 01:35:21,080 EVERYBODY READS IT AND NOT VERY 2295 01:35:21,080 --> 01:35:24,960 MANY INSTITUTIONS IMPLEMENT IT 2296 01:35:24,960 --> 01:35:29,200 BECAUSE THERE IS NO SUSTAINED 2297 01:35:29,200 --> 01:35:31,720 RESEARCH REMINDING OF EFFICACY 2298 01:35:31,720 --> 01:35:37,000 OF SYSTEM AND ONE THING WE CAN 2299 01:35:37,000 --> 01:35:38,680 LOOK AT THAT COULD BE INTERESTED 2300 01:35:38,680 --> 01:35:41,520 WITH NIH AND GLAD THAT DR. 2301 01:35:41,520 --> 01:35:46,640 BIANCHI IS HERE TO LET REVIEWERS 2302 01:35:46,640 --> 01:35:53,320 SOMETIMES KNOW THAT IF A TOPIC 2303 01:35:53,320 --> 01:35:55,320 HAS BEEN INVESTIGATED BEFORE AND 2304 01:35:55,320 --> 01:36:01,200 NOT AWARE OF PROVIDING EVIDENCE 2305 01:36:01,200 --> 01:36:05,080 OF ADDITIONAL EFFICACY IS MUSH 2306 01:36:05,080 --> 01:36:08,080 REDUN DANCE AND DOESN'T HAVE TO 2307 01:36:08,080 --> 01:36:12,760 BE SOMETHING NEW ALL THE TIME 2308 01:36:12,760 --> 01:36:15,040 AND INNOVATION IS MISCONSTRUED 2309 01:36:15,040 --> 01:36:15,880 AND LOOKING FOR [INDISCERNIBLE] 2310 01:36:15,880 --> 01:36:18,520 AND NEW THINGS WHERE DO WE DRIVE 2311 01:36:18,520 --> 01:36:21,880 HOME WHEN WE START AND THAT IS 2312 01:36:21,880 --> 01:36:28,000 THE ISSUE THIS IS CRITICAL TO 2313 01:36:28,000 --> 01:36:30,280 LOOK AT AND RESEARCHERS ARE 2314 01:36:30,280 --> 01:36:31,760 FRUSTRATED ABOUT I THAT AND 2315 01:36:31,760 --> 01:36:33,280 REVIEWERS ASK FOR WHAT IS 2316 01:36:33,280 --> 01:36:34,880 ENTIRELY NEW ABOUT THIS AND 2317 01:36:34,880 --> 01:36:36,840 STARTED THIS BEFORE AND READ 2318 01:36:36,840 --> 01:36:38,400 THIS BEFORE AND QUESTION IS HOW 2319 01:36:38,400 --> 01:36:43,480 IT HAS BEEN IMPLEMENTING AND 2320 01:36:43,480 --> 01:36:47,600 CHANGED PRACTICE AND 2321 01:36:47,600 --> 01:36:49,320 REHABILITATION GOOD NEWS HERE 2322 01:36:49,320 --> 01:36:51,760 EVERY TIME YOU HEAR ABOUT TOP 5 2323 01:36:51,760 --> 01:36:57,320 IN THE UNITED STATES, YOU READ 2324 01:36:57,320 --> 01:36:59,840 THAT ACUTE CARE IMPROVED 2325 01:36:59,840 --> 01:37:02,200 SIGNIFICANTLY AND IT HAS REDUCED 2326 01:37:02,200 --> 01:37:05,920 MORTALITY AND INCREASED 2327 01:37:05,920 --> 01:37:10,280 MORBIDITY SIGNIFICANTLY AND WHY 2328 01:37:10,280 --> 01:37:11,560 REHABILITATION IS MORE RELEVANT 2329 01:37:11,560 --> 01:37:13,320 TODAY THAN PREVIOUSLY. PEOPLE 2330 01:37:13,320 --> 01:37:16,160 ARE SURVIVING LOTS OF DISEASES 2331 01:37:16,160 --> 01:37:17,320 THAT WOULD HAVE KILLED THEM IN 2332 01:37:17,320 --> 01:37:19,840 THE PAST AND ENCOURAGING 2333 01:37:19,840 --> 01:37:21,280 COLLEAGUES THAT ARE LEFT ON THE 2334 01:37:21,280 --> 01:37:22,880 BOARD THAT WE ARE ALL LOOKING UP 2335 01:37:22,880 --> 01:37:24,640 TO YOU AND THERE IS STILL A LOT 2336 01:37:24,640 --> 01:37:28,080 OF WORK TO BE DONE. 2337 01:37:28,080 --> 01:37:33,880 AND I AM SURE THAT 2338 01:37:33,880 --> 01:37:35,320 [INDISCERNIBLE] TAKE YOUR ADVICE 2339 01:37:35,320 --> 01:37:36,840 SERIOUSLY LIKE WE HAVE DONE IN 2340 01:37:36,840 --> 01:37:39,760 THE LAST FOUR YEARS AND SAYING 2341 01:37:39,760 --> 01:37:41,840 GOOD LUCK AND I'M SURE I SPEAK 2342 01:37:41,840 --> 01:37:43,600 FOR THE THREE OF US IF THERE ARE 2343 01:37:43,600 --> 01:37:46,000 THINGS YOU FEEL WE CAN ADD AND 2344 01:37:46,000 --> 01:37:48,040 FEEL FREE TO REACH OUT TO US SO 2345 01:37:48,040 --> 01:37:50,440 WE CAN BE READY TO LEND OUR 2346 01:37:50,440 --> 01:37:52,320 EXPERTISE AND ON THAT NOTE BIG 2347 01:37:52,320 --> 01:37:58,240 THANK YOU TO DR. BIANCHI AND DR. 2348 01:37:58,240 --> 01:38:00,600 THERESA CRUZ AND DR. 2349 01:38:00,600 --> 01:38:03,720 [INDISCERNIBLE] FOR A WONDERFUL 2350 01:38:03,720 --> 01:38:04,920 FOURIRES ELIZA IS OUT THERE. 2351 01:38:04,920 --> 01:38:07,720 OH, SHE IS HERE. HELP ME TO 2352 01:38:07,720 --> 01:38:11,080 TELL HER A BIG THANK YOU FOR 2353 01:38:11,080 --> 01:38:12,520 ADMINISTRATIVE SKILLS AND 2354 01:38:12,520 --> 01:38:15,760 EVERYTHING AND TO ERIC 2355 01:38:15,760 --> 01:38:18,280 SPECIFICALLY FOR SHARING THE 2356 01:38:18,280 --> 01:38:19,560 GROUP AS PART OF THIS GRADUATING 2357 01:38:19,560 --> 01:38:23,840 SET I CALL IT. IT HAS BEEN A 2358 01:38:23,840 --> 01:38:26,880 LOT OF FUN AND SOCIAL 2359 01:38:26,880 --> 01:38:28,280 [INDISCERNIBLE] HAVE BEEN VERY 2360 01:38:28,280 --> 01:38:30,560 GOOD AND THANK YOU FOR THE 2361 01:38:30,560 --> 01:38:32,480 OPPORTUNITY TO SERVE AT THIS 2362 01:38:32,480 --> 01:38:35,000 LEVEL AND WISH BOARD ALL 2363 01:38:35,000 --> 01:38:36,240 SUCCESSES AND THOSE WHO WORK 2364 01:38:36,240 --> 01:38:38,160 BEHIND THE SCENES TO MAKE A 2365 01:38:38,160 --> 01:38:40,600 SUCCESS AND BIG THANK YOU TO YOU 2366 01:38:40,600 --> 01:38:44,800 AND COLLEAGUES LEFT ON THE BOARD 2367 01:38:44,800 --> 01:38:52,200 GOOD LUCK. THANK YOU. BY THE 2368 01:38:52,200 --> 01:38:53,400 WAY, DR. [INDISCERNIBLE] IS A 2369 01:38:53,400 --> 01:38:56,480 GOOD DANCER. 2370 01:38:56,480 --> 01:39:04,640 >> [LAUGHING]. 2371 01:39:04,640 --> 01:39:08,760 >> THANK YOU. MY PLEASURE TO 2372 01:39:08,760 --> 01:39:10,720 INTRODUCE DIANA BIANCHI DIRECTOR 2373 01:39:10,720 --> 01:39:14,080 OF NICHD WHO IS HERE TO GIVE HER 2374 01:39:14,080 --> 01:39:15,120 REPORT TO THE BOARD. 2375 01:39:15,120 --> 01:39:16,760 >> THANK YOU VERY MUCH. YOU 2376 01:39:16,760 --> 01:39:19,760 WANT ME TO USE THIS MICROPHONE? 2377 01:39:19,760 --> 01:39:20,640 WONDERFUL. IF WE LEARNED 2378 01:39:20,640 --> 01:39:22,160 NOTHING ELSE FROM THE LAST THREE 2379 01:39:22,160 --> 01:39:26,000 YEARS IT IS PIVOTING INSTANTLY 2380 01:39:26,000 --> 01:39:27,800 BETWEEN VIRTUAL, IN-PERSON, 2381 01:39:27,800 --> 01:39:28,920 WHICH MICROPHONE TO USE AND WHEN 2382 01:39:28,920 --> 01:39:33,320 TO MUTE. I WANT TO SAY IT IS A 2383 01:39:33,320 --> 01:39:34,720 GREAT PLEASURE TO SEE EVERYBODY 2384 01:39:34,720 --> 01:39:36,480 IN PERSON THAT THIS IS THE FIRST 2385 01:39:36,480 --> 01:39:42,200 BOARD OR ADVISORY MEETING I HAVE 2386 01:39:42,200 --> 01:39:44,280 ATTENDED IN THREE YEARS 2387 01:39:44,280 --> 01:39:46,240 INSTITUTE AND CENTER DIRECTORS 2388 01:39:46,240 --> 01:39:50,360 ARE MEETING IN PERSON AND OUR 2389 01:39:50,360 --> 01:39:51,480 COUNCIL MEETING WILL BE OUR 2390 01:39:51,480 --> 01:39:58,960 FIRST WHEN WE MEET IN JUNE. 2391 01:39:58,960 --> 01:40:05,240 THANK YOU FOR MEETING THE TRIP 2392 01:40:05,240 --> 01:40:06,640 AND THIS IS SECOND DAY ENTIRE 2393 01:40:06,640 --> 01:40:09,400 WEEKEND AND SOCIETY MEETING AND 2394 01:40:09,400 --> 01:40:13,200 ARE MAJOR PEDIATRIC RESEARCH 2395 01:40:13,200 --> 01:40:15,560 MEETINGS AND YESTERDAY I HAD A 2396 01:40:15,560 --> 01:40:19,520 NUMBER OF DIFFERENT SPEAKING 2397 01:40:19,520 --> 01:40:21,360 ENGAGEMENTS HERE. 2398 01:40:21,360 --> 01:40:23,520 IN ADDITION AFTER WE ARE DONE I 2399 01:40:23,520 --> 01:40:25,920 HAVE TO DEPART WE HAVE UPCOMING 2400 01:40:25,920 --> 01:40:28,240 HEARING ON MATERNAL HEALTH THAT 2401 01:40:28,240 --> 01:40:30,760 IS CONGRESSIONAL HEARING THAT IS 2402 01:40:30,760 --> 01:40:33,840 DURING WHICH I WILL REPRESENT 2403 01:40:33,840 --> 01:40:36,400 NIH AND WILL BE GRILLED ON WHAT 2404 01:40:36,400 --> 01:40:40,000 WE ARE DOG TO ADDRESS ISSUE OF 2405 01:40:40,000 --> 01:40:42,760 INCREASING MATERNAL MORTALITY IN 2406 01:40:42,760 --> 01:40:45,080 THE UNITED STATES AND HEALTH 2407 01:40:45,080 --> 01:40:46,320 DISPARITIES BETWEEN WHITE AND 2408 01:40:46,320 --> 01:40:48,600 BLACK WOMEN AND AMERICAN INDIAN 2409 01:40:48,600 --> 01:40:51,320 AND ALASKA NATIVE WOMEN AND WE 2410 01:40:51,320 --> 01:40:52,800 ARE TRYING TO JUGGLE EVERYTHING 2411 01:40:52,800 --> 01:40:53,680 AT THE SAME TIME AND WITHOUT 2412 01:40:53,680 --> 01:40:56,160 FURTHER ADO, WE WILL TALK ABOUT 2413 01:40:56,160 --> 01:40:59,200 REHABILITATION AND WHO IS 2414 01:40:59,200 --> 01:41:04,240 ADVANCING SLIDES. 2415 01:41:04,240 --> 01:41:05,320 I'M NOT. 2416 01:41:05,320 --> 01:41:06,560 >> THANK YOU. 2417 01:41:06,560 --> 01:41:08,960 >> COULD I HAVE THE NEXT SLIDE? 2418 01:41:08,960 --> 01:41:10,960 TALKING ABOUT WHAT YOU KNOW 2419 01:41:10,960 --> 01:41:13,040 FISCAL YEAR 23 APPROPRIATIONS 2420 01:41:13,040 --> 01:41:14,800 AND PRESIDENT REQUESTED FOR 2421 01:41:14,800 --> 01:41:19,040 FISCAL YEAR 24 THAT IS ONE 2422 01:41:19,040 --> 01:41:28,040 REASON I'M GOING TO CAPITAL HILL 2423 01:41:28,040 --> 01:41:31,280 AND NCMRR CONNECTIONS WITHIN 2424 01:41:31,280 --> 01:41:33,840 NICHD AND OPPORTUNITIES IN 2425 01:41:33,840 --> 01:41:35,240 REHABILITATION RESEARCH AND WHAT 2426 01:41:35,240 --> 01:41:37,920 IS NEW WITH ARPA H AND THEN SOME 2427 01:41:37,920 --> 01:41:40,280 OF THE ADVISORY COMMITTEES TO 2428 01:41:40,280 --> 01:41:43,480 THE DIRECTORS WORKING GROUPS AND 2429 01:41:43,480 --> 01:41:46,240 NIH-WIDE STRATEGIC PLAN FOR 2430 01:41:46,240 --> 01:41:48,160 DIVERSITY EQUITY INCLUSION AND 2431 01:41:48,160 --> 01:41:49,400 ACCESSIBILITY AND WHY IT IS 2432 01:41:49,400 --> 01:41:52,360 IMPORTANT FOR NCMRR AND STAFF 2433 01:41:52,360 --> 01:41:52,680 UPDATES. 2434 01:41:52,680 --> 01:41:54,080 NEXT SLIDE, PLEASE. 2435 01:41:54,080 --> 01:41:56,120 NEXT SLIDE, PLEASE. 2436 01:41:56,120 --> 01:41:58,240 SO, WE ARE ALREADY HALF WAY 2437 01:41:58,240 --> 01:42:04,960 THROUGH FISCAL YEAR 23. 2438 01:42:04,960 --> 01:42:06,960 THIS MAY HAVE BEEN THE END OF 2439 01:42:06,960 --> 01:42:10,240 THE GOLDEN YEARS THAT WE HAD 2440 01:42:10,240 --> 01:42:13,320 APROPRIATION OF $47.5 BILLION 2441 01:42:13,320 --> 01:42:15,800 THAT WAS INCREASE OF $2.5 2442 01:42:15,800 --> 01:42:19,640 BILLION OVER THE PREVIOUS FISCAL 2443 01:42:19,640 --> 01:42:21,320 YEAR. 2444 01:42:21,320 --> 01:42:24,200 WE RECEIVED A MODEST INCREASE 2445 01:42:24,200 --> 01:42:27,080 MORE OR LESS BUDGET REMAINED 2446 01:42:27,080 --> 01:42:28,680 FLAT FOR SPECIFIC CERTAIN 2447 01:42:28,680 --> 01:42:34,720 PROGRAMS AND BUDGET IS $1.75 2448 01:42:34,720 --> 01:42:34,960 BILLION. 2449 01:42:34,960 --> 01:42:37,080 THERE WERE SET ASIDES THAT ARE 2450 01:42:37,080 --> 01:42:40,880 ALWAYS IMPORTANT AND WE 2451 01:42:40,880 --> 01:42:44,400 HISTORICALLY HAVE GOTTEN A LOT 2452 01:42:44,400 --> 01:42:46,240 OF REQUIREMENTS WITHOUT 2453 01:42:46,240 --> 01:42:48,320 ASSOCIATED IMPROVEMENTS AND 2454 01:42:48,320 --> 01:42:51,880 IMPROVE IS IMPLEMENTING MATERNAL 2455 01:42:51,880 --> 01:42:55,760 HEALTH AND PREGNANCY OUTCOMES 2456 01:42:55,760 --> 01:42:59,760 VISION FOR EVERYONE THAT IS 2457 01:42:59,760 --> 01:43:01,640 NIH-WIDE INITIATIVE ADDRESSING 2458 01:43:01,640 --> 01:43:03,840 MORBIDITY AND MORTALITY AND $30 2459 01:43:03,840 --> 01:43:08,120 MILLION INTO NICHD'S BASE FOR 2460 01:43:08,120 --> 01:43:10,240 THAT PROGRAM DOESN'T DIRECTLY 2461 01:43:10,240 --> 01:43:12,280 EFFECT REHABILITATION AND GOING 2462 01:43:12,280 --> 01:43:14,360 INTO OUR BASE IT TRICKLES DOWN 2463 01:43:14,360 --> 01:43:16,640 INTO OTHER AREAS. IF IN THE 2464 01:43:16,640 --> 01:43:19,120 BASE AND INSTITUTE GETS LET'S 2465 01:43:19,120 --> 01:43:23,040 SAY A 2% INCREASE OR 5 INCREASE, 2466 01:43:23,040 --> 01:43:25,160 THAT MEANS THAT ESSENTIALLY WE 2467 01:43:25,160 --> 01:43:27,200 GET MORE MONEY BASED ON THE 2468 01:43:27,200 --> 01:43:29,320 ADDITIONAL MONEY COMING IN FOR 2469 01:43:29,320 --> 01:43:32,880 OTHER TOPICS AND THEN WE DO HAVE 2470 01:43:32,880 --> 01:43:40,240 A LITTLE EXTRA MONEY TO USE FOR 2471 01:43:40,240 --> 01:43:43,480 OTHER PROGRAMS AND WE RECEIVED 2472 01:43:43,480 --> 01:43:47,240 $10 MILLION FOR MULTISYSTEM 2473 01:43:47,240 --> 01:43:49,320 INFLAMMATORY CHILDREN THAT IS 2474 01:43:49,320 --> 01:43:51,280 INCREASE IN THE PAST YEAR AND $3 2475 01:43:51,280 --> 01:43:54,600 MILLION RESEARCH IMPACT OF 2476 01:43:54,600 --> 01:43:58,240 COVID-19 FOR PREGNANT AND 2477 01:43:58,240 --> 01:44:03,320 LACTATING WOMEN AND TOP 3 2478 01:44:03,320 --> 01:44:05,320 REFLECT FACT CONGRESS IS AWARE 2479 01:44:05,320 --> 01:44:07,080 OF RESEARCH WE HAVE DONE IN LAST 2480 01:44:07,080 --> 01:44:10,680 FEW YEARS AND INITIALLY CONGRESS 2481 01:44:10,680 --> 01:44:12,880 DIDN'T THINK CHILDREN GOT COVID 2482 01:44:12,880 --> 01:44:14,720 OR WORRYING ABOUT PREGNANT 2483 01:44:14,720 --> 01:44:18,560 PEOPLE AND THERE IS A LITTLE 2484 01:44:18,560 --> 01:44:23,680 DELAYED BUT WE ARE GRATEFUL FOR 2485 01:44:23,680 --> 01:44:24,960 APPROPRIATIONS AND IS 2486 01:44:24,960 --> 01:44:25,920 ENCOURAGING THEY ARE READING 2487 01:44:25,920 --> 01:44:28,240 WHAT WE ARE DOING AND RECEIVING 2488 01:44:28,240 --> 01:44:29,920 $15 MILLION FOR RESEARCH AND 2489 01:44:29,920 --> 01:44:32,440 HEALTH IMPACTS FOR CHILDREN AND 2490 01:44:32,440 --> 01:44:34,040 TECHNOLOGY AND SOCIAL MEDIA USE 2491 01:44:34,040 --> 01:44:36,320 PROBLEM BEFORE THE PANDEMIC AND 2492 01:44:36,320 --> 01:44:39,240 MORESO NOW. CHILDREN WERE 2493 01:44:39,240 --> 01:44:40,600 ISOLATED AT HOME AND SPENDING 2494 01:44:40,600 --> 01:44:44,320 TIME ON [INDISCERNIBLE]. NEXT 2495 01:44:44,320 --> 01:44:44,680 SLIDE, PLEASE. 2496 01:44:44,680 --> 01:44:46,120 THERE ARE OTHER APPROPRIATIONS 2497 01:44:46,120 --> 01:44:49,000 INVOLVING NICHD AND WE ARE 2498 01:44:49,000 --> 01:44:49,760 CO-CHAIRING AND HAVE INTERESTS 2499 01:44:49,760 --> 01:44:53,360 IF IN AREAS AND DOWN SYNDROME 2500 01:44:53,360 --> 01:44:55,480 RESEARCH CONTINUES TO DO VERY 2501 01:44:55,480 --> 01:44:59,280 WELL WITH SUPPORT FROM CONGRESS. 2502 01:44:59,280 --> 01:45:01,160 IN ADDITION, THERE IS A NEW 2503 01:45:01,160 --> 01:45:04,240 INITIATIVE THAT IS COMING FROM 2504 01:45:04,240 --> 01:45:06,480 SENATOR SCHUMER'S OFFICE THAT 2505 01:45:06,480 --> 01:45:07,720 PROVIDED $10 MILLION FOR 2506 01:45:07,720 --> 01:45:09,960 RESEARCH THAT IS BASICALLY ON 2507 01:45:09,960 --> 01:45:12,760 WHY CHILDREN ARE DELAYED IN 2508 01:45:12,760 --> 01:45:13,880 SPEECH. 2509 01:45:13,880 --> 01:45:16,840 SO, IT IS A SO-CALLED LATE 2510 01:45:16,840 --> 01:45:19,040 TALKERS THAT IS NOT SPECIFICALLY 2511 01:45:19,040 --> 01:45:21,200 RELATED TO DEVELOPMENTAL DELAYS 2512 01:45:21,200 --> 01:45:23,600 BUT IS REALLY MEANT TO ADDRESS, 2513 01:45:23,600 --> 01:45:27,760 YOU KNOW, A WIDE VARIETY OF 2514 01:45:27,760 --> 01:45:29,440 CAUSES FOR WHY CHILDREN DEVELOP 2515 01:45:29,440 --> 01:45:31,560 LANGUAGE RELATIVELY LATE COMPARE 2516 01:45:31,560 --> 01:45:33,000 TODAY OTHER CHILDREN AND IT IS 2517 01:45:33,000 --> 01:45:34,840 CALLED THE TALK INITIATIVE. 2518 01:45:34,840 --> 01:45:37,520 WE ARE WORKING WITH NATIONAL 2519 01:45:37,520 --> 01:45:40,240 INSTITUTE OF DEAFNESS AND 2520 01:45:40,240 --> 01:45:42,640 COMMUNICATION DISORDERS AND 2521 01:45:42,640 --> 01:45:46,280 NIDCD TO CO-LEAD THIS 2522 01:45:46,280 --> 01:45:48,680 INITIATIVE. I SHOULD SAY FOR 2523 01:45:48,680 --> 01:45:50,920 INCLUDE, WE CO-LEAD INITIATIVE 2524 01:45:50,920 --> 01:45:55,480 WITH NHLBI AND NATIONAL 2525 01:45:55,480 --> 01:45:58,280 INSTITUTE ON AGING AND IN 2526 01:45:58,280 --> 01:46:00,000 ADDITION CONGRESS REPORTED $40 2527 01:46:00,000 --> 01:46:02,360 MILLION FOR RESEARCH ON HEALTH 2528 01:46:02,360 --> 01:46:04,400 IMPACTS FOR CLIMATE CHANGE AND 2529 01:46:04,400 --> 01:46:06,520 WE ARE -- I'M ON EXECUTIVE 2530 01:46:06,520 --> 01:46:09,640 COMMITTEE FOR THAT INITIATIVE 2531 01:46:09,640 --> 01:46:13,600 AND WE ARE THERE TO CONTINUE TO 2532 01:46:13,600 --> 01:46:16,920 REMIND EVEN ABOUT IMPACTS OF 2533 01:46:16,920 --> 01:46:19,800 CLIMATE CHANGE FOR PEOPLE WITH 2534 01:46:19,800 --> 01:46:23,280 DISABILITIES AND WE ALSO, NIH 2535 01:46:23,280 --> 01:46:26,760 RECEIVED $12.4 MILLION FOR 2536 01:46:26,760 --> 01:46:28,080 FIREARM RESEARCH THAT IS NEW AND 2537 01:46:28,080 --> 01:46:29,800 RELATIVELY RECENT THAT WE ARE 2538 01:46:29,800 --> 01:46:32,560 ABLE TO ACTUALLY DO RESEARCH ON 2539 01:46:32,560 --> 01:46:35,360 FIREARMS AND CONGRESS GAVE $180 2540 01:46:35,360 --> 01:46:37,600 MILLION FOR ENVIRONMENTAL 2541 01:46:37,600 --> 01:46:39,080 INFLUENCES ON CHILD HEALTH 2542 01:46:39,080 --> 01:46:40,600 OUTCOMES AND I'M ENCOURAGED THAT 2543 01:46:40,600 --> 01:46:44,800 A LOT OF THE ACTIVITIES THAT OUR 2544 01:46:44,800 --> 01:46:46,880 STAFF HAS SPENT AN ENORMOUS 2545 01:46:46,880 --> 01:46:48,640 AMOUNT OF TIME IN REPRESENTING 2546 01:46:48,640 --> 01:46:50,240 OUR INTERESTS AND RESEARCH 2547 01:46:50,240 --> 01:46:50,760 ADVANCES. 2548 01:46:50,760 --> 01:46:53,680 THOSE ARE BEING APPRECIATED BY 2549 01:46:53,680 --> 01:46:54,120 CONGRESS. 2550 01:46:54,120 --> 01:46:55,200 NEXT SLIDE. 2551 01:46:55,200 --> 01:46:58,160 SO, THEN THERE IS A PRESIDENT'S 2552 01:46:58,160 --> 01:47:00,560 BUDGET THAT IS RELEASED IN 2553 01:47:00,560 --> 01:47:03,080 MARCH. IT WAS ESSENTIALLY FLAT. 2554 01:47:03,080 --> 01:47:04,680 WE HAVE BEEN TOLD BY THE OFFICE 2555 01:47:04,680 --> 01:47:07,360 OF THE NIH DIRECTOR THAT IF WE 2556 01:47:07,360 --> 01:47:10,600 GET A FLAT BUDGET THAT IS A 2557 01:47:10,600 --> 01:47:10,880 SUCCESS. 2558 01:47:10,880 --> 01:47:13,320 THERE -- AS YOU KNOW, THERE IS 2559 01:47:13,320 --> 01:47:15,440 CONCERN ABOUT THE DEBT CEILING 2560 01:47:15,440 --> 01:47:17,120 AND CONGRESS IS TAKING A LONG 2561 01:47:17,120 --> 01:47:20,160 AND HARD LOOK AT ALL OF THE 2562 01:47:20,160 --> 01:47:20,640 APPROPRIATIONS. 2563 01:47:20,640 --> 01:47:22,960 SO, IF WE HAVE A FLAT BUDGET, 2564 01:47:22,960 --> 01:47:26,560 IT WILL BE CONSIDERED TO BE 2565 01:47:26,560 --> 01:47:29,000 SUCCESSFUL OUTCOMES AND WE HAVE 2566 01:47:29,000 --> 01:47:31,920 HAD ENORMOUS GROWTH OVER THE NIH 2567 01:47:31,920 --> 01:47:34,120 BUDGET OVER THE PAST 10 YEARS OR 2568 01:47:34,120 --> 01:47:38,000 SO. ITEMS OF INTEREST IN THE 2569 01:47:38,000 --> 01:47:39,280 CONGRESSIONAL JUSTIFICATION AND 2570 01:47:39,280 --> 01:47:41,600 NIH DIRECTORS OVERVIEW 2571 01:47:41,600 --> 01:47:43,400 HIGHLIGHTED EARLY STAGE 2572 01:47:43,400 --> 01:47:45,000 INVESTIGATORS INCLUDING 2573 01:47:45,000 --> 01:47:46,400 INVESTIGATORS WHO ARE PART OF 2574 01:47:46,400 --> 01:47:50,240 THE HELPING TO END ADDICTION 2575 01:47:50,240 --> 01:47:52,840 LONG TERM INITIATIVE. 2576 01:47:52,840 --> 01:47:55,640 AND THE OVERVIEW HIGHLIGHTED THE 2577 01:47:55,640 --> 01:47:58,280 BENEFITS OF NONFARM COLONLIC 2578 01:47:58,280 --> 01:48:02,880 TREATMENT FOR NEONATAL OPIOID 2579 01:48:02,880 --> 01:48:03,920 WITHDRAWAL SYNDROME AND 2580 01:48:03,920 --> 01:48:05,680 PUBLICATION THAT WAS COSPONSORED 2581 01:48:05,680 --> 01:48:09,320 BY NICHD AND ECHO THAT IS UNDER 2582 01:48:09,320 --> 01:48:11,960 THE RUBRIC OF HEEL, THAT 2583 01:48:11,960 --> 01:48:15,960 PUBLICATION IS JUST PUBLISHED 2584 01:48:15,960 --> 01:48:17,920 SUNDAY IN NEW ENGLAND JOURNAL OF 2585 01:48:17,920 --> 01:48:19,760 MEDICINE AND PRESENTED AT 2586 01:48:19,760 --> 01:48:21,840 PEDIATRIC RESEARCHER MEETINGS ON 2587 01:48:21,840 --> 01:48:22,040 SUPD. 2588 01:48:22,040 --> 01:48:24,280 THERE IS -- YOU KNOW, WE HAVE 2589 01:48:24,280 --> 01:48:26,160 BEEN SPEAKING WITH MEDIA. 2590 01:48:26,160 --> 01:48:28,240 THIS IS VERY IMPORTANT. 2591 01:48:28,240 --> 01:48:31,720 IT SHOWED THAT A 2592 01:48:31,720 --> 01:48:33,040 NONPHARMACOLOGIC APPROACH: 2593 01:48:33,040 --> 01:48:36,800 EATING, SLEEPING, AND CONSOLING 2594 01:48:36,800 --> 01:48:39,240 BABIES THAT ARE SUFFERING FROM 2595 01:48:39,240 --> 01:48:42,960 WITHDRAWAL DUE TO EXPOSURE TO 2596 01:48:42,960 --> 01:48:48,160 OPIOIDS IN THE WOMB. THAT 2597 01:48:48,160 --> 01:48:52,280 TREATMENT WAS ABLE TO REDUCE 2598 01:48:52,280 --> 01:48:56,840 HOSPITALIZATION OR MEDICAL 2599 01:48:56,840 --> 01:48:59,480 DISCHARGE AND REDUCING NEED FOR 2600 01:48:59,480 --> 01:49:02,400 BABIES TO RECEIVE OPIOIDS AS 2601 01:49:02,400 --> 01:49:04,120 PART OF WITHDRAWAL TREATMENT AND 2602 01:49:04,120 --> 01:49:07,280 WAS VERY SUCCESSFUL OUTCOME OF 2603 01:49:07,280 --> 01:49:09,200 THE HEEL INITIATIVE. 2604 01:49:09,200 --> 01:49:13,200 RESEARCH ON COVID AND IF IN KIDS 2605 01:49:13,200 --> 01:49:15,000 AND PREGNANT PEOPLE AND FLAT 2606 01:49:15,000 --> 01:49:17,160 IMPROVE FLAT AND MORE MONEY WAS 2607 01:49:17,160 --> 01:49:20,640 GIVEN FOR CLIMATE CHANGE 2608 01:49:20,640 --> 01:49:20,960 RESEARCH. 2609 01:49:20,960 --> 01:49:22,440 NEXT SLIDE, PLEASE. 2610 01:49:22,440 --> 01:49:26,280 WE HAVE BEEN VERY BUSY WITH 2611 01:49:26,280 --> 01:49:26,840 CONGRESSIONAL INTERACTIONS. 2612 01:49:26,840 --> 01:49:30,800 WE HAVE BEEN -- IT IS KIND OF 2613 01:49:30,800 --> 01:49:34,040 LIKE, YOU KNOW, AFTER LIVING IN 2614 01:49:34,040 --> 01:49:35,600 COVID TIMES EVERYBODY IS BACK 2615 01:49:35,600 --> 01:49:38,680 AND MEETINGS ARE BACK AND GALAS 2616 01:49:38,680 --> 01:49:41,120 ARE BACK. WE ARE THERE AT THE 2617 01:49:41,120 --> 01:49:43,280 FOREFRONT REPRESENTING ALL OF 2618 01:49:43,280 --> 01:49:46,760 NICHD'S INTEREST. WE BRIEFED 2619 01:49:46,760 --> 01:49:48,800 CONGRESSIONAL MEMBERS AT THE 2620 01:49:48,800 --> 01:49:52,280 COALITION TO ADVANCE MATERNAL 2621 01:49:52,280 --> 01:49:53,360 THERAPEUTICS ON IMPLEMENTATION 2622 01:49:53,360 --> 01:49:55,880 OF RESEARCH THAT IS RELATED TO 2623 01:49:55,880 --> 01:50:00,200 PREGNANT AND LAGTATING WOMEN AND 2624 01:50:00,200 --> 01:50:02,400 PREG LACK INITIATIVE AND WE WENT 2625 01:50:02,400 --> 01:50:04,840 TO CAPITAL HILL TO BRIEF MEMBERS 2626 01:50:04,840 --> 01:50:08,880 OF CONGRESS AS PART OF THE HEEL 2627 01:50:08,880 --> 01:50:10,280 PRESENTATION THAT WE 2628 01:50:10,280 --> 01:50:11,720 SPECIFICALLY SPOKE ABOUT EAT AND 2629 01:50:11,720 --> 01:50:13,440 SLEEP AND CONSOLE STUDY EACH 2630 01:50:13,440 --> 01:50:15,040 THOUGH IT WASN'T PUBLISHED AT 2631 01:50:15,040 --> 01:50:18,520 THE TIME. WE HAD MANY BRIEFINGS 2632 01:50:18,520 --> 01:50:20,280 RELATED TO CLIMATE CHANGE AND 2633 01:50:20,280 --> 01:50:21,640 HUMAN HEALTH. 2634 01:50:21,640 --> 01:50:24,160 I JUST WANTED TO MENTION BRIEFLY 2635 01:50:24,160 --> 01:50:26,480 THAT THERE IS A DIFFERENCE IN 2636 01:50:26,480 --> 01:50:29,520 THE WAY THAT THIS USE OF 2637 01:50:29,520 --> 01:50:30,480 APPROPRIATIONS HEARINGS ARE 2638 01:50:30,480 --> 01:50:35,160 BEING CONDUCTED SO FOR THE LAST 2639 01:50:35,160 --> 01:50:39,040 FOUR OR SO YEARS I HAVE BEEN 2640 01:50:39,040 --> 01:50:40,360 TYPICALLY GOING TO HOUSE HEAR 2641 01:50:40,360 --> 01:50:42,240 THAGZ ARE OF INTEREST IN A 2642 01:50:42,240 --> 01:50:43,880 NUMBER OF POPULATIONS AND THIS 2643 01:50:43,880 --> 01:50:49,200 YEAR IS A COMPLETELY NEW 2644 01:50:49,200 --> 01:50:50,720 COMMITTEE MEMBERSHIP. THEY ARE 2645 01:50:50,720 --> 01:50:52,160 THE CHAIR IS DIFFERENT AND 2646 01:50:52,160 --> 01:50:54,800 PARTICULARLY REPUBLICAN SIDE OF 2647 01:50:54,800 --> 01:51:04,960 THAT LABOR HADHS APROPRIAPROPRI 2648 01:51:04,960 --> 01:51:07,720 COMMITTEE AND REPUBLICAN SIDE IS 2649 01:51:07,720 --> 01:51:10,920 ALMOST ALL NEW AND SOME HAVE 2650 01:51:10,920 --> 01:51:13,720 EITHER RETIRED OR DIDN'T GET 2651 01:51:13,720 --> 01:51:17,320 ELECTED. IT IS A DIFFERENT 2652 01:51:17,320 --> 01:51:19,080 COMMITTEE. THEY DIDN'T WANT DR. 2653 01:51:19,080 --> 01:51:22,960 HAI BACK TO BE SUPPORTED BY 2654 01:51:22,960 --> 01:51:25,240 VARIOUS INSTITUTE DIRECTORS AND 2655 01:51:25,240 --> 01:51:28,120 DR. TABAK TESTIFIED IN ADDITION 2656 01:51:28,120 --> 01:51:34,280 TO RISH ELFROM THE CDC AND DON 2657 01:51:34,280 --> 01:51:36,080 OCONELTHAT WAS MORE OF AN 2658 01:51:36,080 --> 01:51:37,920 OVERSIGHT RATHER THAN A BUDGET 2659 01:51:37,920 --> 01:51:40,160 HERE. VERY DIFFERENT. SENATE 2660 01:51:40,160 --> 01:51:41,960 HEARING WILL BE THURSDAY OF THIS 2661 01:51:41,960 --> 01:51:43,200 WEEK. 2662 01:51:43,200 --> 01:51:46,200 IT WILL BE MORE TYPICAL 2663 01:51:46,200 --> 01:51:50,040 COMMITTEE HEARING WITH DR. TABAK 2664 01:51:50,040 --> 01:51:51,680 AND BY MEMBERS OF OTHER 2665 01:51:51,680 --> 01:51:53,080 INSTITUTES AND FACT THAT WE HAVE 2666 01:51:53,080 --> 01:51:55,840 A SPECIAL HEARING ON MATERNAL 2667 01:51:55,840 --> 01:51:58,000 HEALTH IS VERY UNUSUAL. I WILL 2668 01:51:58,000 --> 01:52:01,920 BE TESTIFYING WITH CDC AND HRSA. 2669 01:52:01,920 --> 01:52:03,640 NEXT SLIDE, PLEASE. 2670 01:52:03,640 --> 01:52:07,000 ALL RIGHT. NEXT SLIDE. ABLEISM 2671 01:52:07,000 --> 01:52:09,120 IS AN EXTREMELY IMPORTANT PART 2672 01:52:09,120 --> 01:52:13,240 OF OVERALL NIH INITIATIVES AND 2673 01:52:13,240 --> 01:52:17,040 NCMRR IS LEADINGLET ABLEISM 2674 01:52:17,040 --> 01:52:20,040 INITIATIVE. TERESA 2675 01:52:20,040 --> 01:52:20,480 SPECIFICALLY. 2676 01:52:20,480 --> 01:52:22,560 YOU ALREADY TALKED ABOUT IT. 2677 01:52:22,560 --> 01:52:24,680 >> YOU DON'T NEED TO HEAR MORE 2678 01:52:24,680 --> 01:52:25,680 ABOUT THAT. 2679 01:52:25,680 --> 01:52:30,000 >> BUT, A VERY, VERY SUCCESSFUL 2680 01:52:30,000 --> 01:52:31,280 WORKSHOP. I RECEIVED COMMENTS 2681 01:52:31,280 --> 01:52:33,920 FROM PEOPLE WHO ATTENDED AND YOU 2682 01:52:33,920 --> 01:52:36,480 TALKED ABOUT IT. SO, THAT IS 2683 01:52:36,480 --> 01:52:37,480 GREAT. 2684 01:52:37,480 --> 01:52:40,280 NEXT SLIDE, PLEASE. 2685 01:52:40,280 --> 01:52:43,520 IN ADDITION, THERE HAS BEEN SOME 2686 01:52:43,520 --> 01:52:45,320 WORKSHOPS AND FUNDING 2687 01:52:45,320 --> 01:52:48,320 OPPORTUNITIES RELATED TO NICHD'S 2688 01:52:48,320 --> 01:52:50,160 STRATEGIC PLAN AND ASPIRATIONAL 2689 01:52:50,160 --> 01:52:52,280 GOAL TO ADVANCE ABILITY TO 2690 01:52:52,280 --> 01:52:54,640 REGENERATE HUMAN LIMBS. THIS IS 2691 01:52:54,640 --> 01:52:56,880 ONE OF THE 10 ASPIRATIONAL 2692 01:52:56,880 --> 01:52:57,280 GOALS. 2693 01:52:57,280 --> 01:52:59,600 THERE WAS A WORKSHOP HELD ON 2694 01:52:59,600 --> 01:53:02,080 THAT. NOW, AS WORKSHOPS OFTEN 2695 01:53:02,080 --> 01:53:03,360 DO LEAD TO FUNDING 2696 01:53:03,360 --> 01:53:05,320 OPPORTUNITIES, THERE IS A 2697 01:53:05,320 --> 01:53:06,920 FUNDING OPPORTUNITY. 2698 01:53:06,920 --> 01:53:09,320 PLEASE SPREAD THE WORD. 2699 01:53:09,320 --> 01:53:11,720 APPLICATIONS ARE DUE IN JULY. 2700 01:53:11,720 --> 01:53:14,280 WE HOPE KNOWLEDGE GENERATED FROM 2701 01:53:14,280 --> 01:53:17,160 RESEARCH TRANSLATE INTO IMPROVED 2702 01:53:17,160 --> 01:53:19,440 RESIDUAL HEALTH AND TREATMENTS. 2703 01:53:19,440 --> 01:53:20,800 NUMBER OF PEOPLE HAVE 2704 01:53:20,800 --> 01:53:22,640 [INDISCERNIBLE]. NEXT SLIDE, 2705 01:53:22,640 --> 01:53:24,320 PLEASE. 2706 01:53:24,320 --> 01:53:25,840 REPRODUCTIVE HEALTH, AS YOU 2707 01:53:25,840 --> 01:53:28,400 KNOW, WE HAVE DONE A LONG-TIME 2708 01:53:28,400 --> 01:53:30,000 INTEREST OF INCLUSION WITH 2709 01:53:30,000 --> 01:53:31,960 PEOPLE WITH DISABILITIES IN 2710 01:53:31,960 --> 01:53:32,840 REPRODUCTIVE HEALTH RESEARCH 2711 01:53:32,840 --> 01:53:35,760 THAT IS A PRIORITY FOR US. 2712 01:53:35,760 --> 01:53:39,400 THERE IS RECENTLY A REVIEW 2713 01:53:39,400 --> 01:53:44,760 ARTICLE THAT IS WRITTEN BY DR. 2714 01:53:44,760 --> 01:53:46,560 SENORI, DAVIS AND 2715 01:53:46,560 --> 01:53:47,840 [INDISCERNIBLE] ON INTERSECTION 2716 01:53:47,840 --> 01:53:50,800 OF DISABILITY AND PREGNANCY. 2717 01:53:50,800 --> 01:53:53,800 DISABILITY IS DEFINITELY A RISK 2718 01:53:53,800 --> 01:54:01,040 FACTOR FOR MATERNAL MORBIDITY 2719 01:54:01,040 --> 01:54:02,000 AND MORTALITY AND RECOMMEND THIS 2720 01:54:02,000 --> 01:54:05,080 ARTICLE THAT IS CONDITIONS TO 2721 01:54:05,080 --> 01:54:07,520 CONTRIBUTE TO MATERNAL MORBIDITY 2722 01:54:07,520 --> 01:54:11,960 RELATING TO PREGNANCY AND WOMEN 2723 01:54:11,960 --> 01:54:13,120 WITH DISABILITIES AND AS ALWAYS 2724 01:54:13,120 --> 01:54:16,760 OUR GOAL WE WANT TO PROVIDE 2725 01:54:16,760 --> 01:54:17,360 EVIDENCE-BASED INFORMATION TO 2726 01:54:17,360 --> 01:54:21,320 DECREASE RISK TO MOTHERS AND 2727 01:54:21,320 --> 01:54:24,280 THEIR INFANTS AND THERE IS A LOT 2728 01:54:24,280 --> 01:54:28,600 OF DATA DEMONSTRATING WOMEN WITH 2729 01:54:28,600 --> 01:54:30,280 PHYSICAL DISABILITIES DON'T GET 2730 01:54:30,280 --> 01:54:32,800 STANDARD OF CARE. WE ARE TRYING 2731 01:54:32,800 --> 01:54:37,320 TO ADDRESS THAT. NEXT SLIDE, 2732 01:54:37,320 --> 01:54:40,200 PLE 2733 01:54:40,200 --> 01:54:40,440 PLEASE. 2734 01:54:40,440 --> 01:54:46,280 >> HERE IS NEW OPPORTUNITIES AND 2735 01:54:46,280 --> 01:54:49,320 FDA APPROVED STIMULATION FOR 2736 01:54:49,320 --> 01:54:55,000 STROKE AND APPROVING IN TENT 21 2737 01:54:55,000 --> 01:54:56,560 AND YOU MIGHT KNOW MORE ABOUT 2738 01:54:56,560 --> 01:54:58,320 THIS THAN I DO IT WILL OPEN THE 2739 01:54:58,320 --> 01:55:01,000 DOO R FOR MORE RESEARCH IT HAD 2740 01:55:01,000 --> 01:55:04,280 BE EASIER AND LESS COSTLY TO GET 2741 01:55:04,280 --> 01:55:05,560 PEOPLE IMPLANTED PART OF 2742 01:55:05,560 --> 01:55:07,520 CLINICAL CARE. YOU TALKED ABOUT 2743 01:55:07,520 --> 01:55:09,640 IMPLEMENTATION RESEARCH 2744 01:55:09,640 --> 01:55:10,680 PREVIOUSLY. THIS IS A GREAT 2745 01:55:10,680 --> 01:55:14,360 OPPORTUNITY FOR IMPLEMENTATION 2746 01:55:14,360 --> 01:55:14,640 RESEARCH. 2747 01:55:14,640 --> 01:55:16,160 WE NEED TO BETTER UNDERSTAND HOW 2748 01:55:16,160 --> 01:55:20,520 TO OPTIMIZE EFFECTIVENESS OF 2749 01:55:20,520 --> 01:55:22,240 STIMULATION COMBINED WITH REHAB. 2750 01:55:22,240 --> 01:55:23,120 STIMULATION IS PART OF THE 2751 01:55:23,120 --> 01:55:24,760 TREATMENT AND NEED TO COMBINE 2752 01:55:24,760 --> 01:55:28,760 WITH PHYSICAL AND OCCUPATIONAL 2753 01:55:28,760 --> 01:55:29,040 THERAPY. 2754 01:55:29,040 --> 01:55:30,280 SPINAL CORD STIMULATION LOOKS 2755 01:55:30,280 --> 01:55:32,600 LIKE APPEARS TO BE ON A SIMILAR 2756 01:55:32,600 --> 01:55:38,880 PATH THAT YOU HAVE THESE SLIDES. 2757 01:55:38,880 --> 01:55:41,040 HERE IS THE FUNDING 2758 01:55:41,040 --> 01:55:42,040 ANNOUNCEMENT. NEXT SLIDE. 2759 01:55:42,040 --> 01:55:45,520 THERESA IS REPRESENTING US ON 2760 01:55:45,520 --> 01:55:47,680 THE BRAIN INITIATIVE. 2761 01:55:47,680 --> 01:55:52,120 SHE CAN TELL US MORE ABOUT IT. 2762 01:55:52,120 --> 01:55:53,320 BASIC NEUROSCIENCE WILL ALSO 2763 01:55:53,320 --> 01:55:55,880 RESULT IN TARGETING SPECIFIC 2764 01:55:55,880 --> 01:55:59,040 CELL TYPES FOR RECORDING IN 2765 01:55:59,040 --> 01:56:01,080 MODULATION AND QUESTION IS CAN 2766 01:56:01,080 --> 01:56:02,560 REHABILITATION RESEARCH USE 2767 01:56:02,560 --> 01:56:07,360 ADVANCES FOR TARGETED 2768 01:56:07,360 --> 01:56:08,000 NEUROPLASTICITY INTERVENTIONS? 2769 01:56:08,000 --> 01:56:12,240 ANIMAL MODELS CAN DEFINITELY 2770 01:56:12,240 --> 01:56:13,160 HELP. 2771 01:56:13,160 --> 01:56:15,480 THEY CAN HELP TO PROVIDE 2772 01:56:15,480 --> 01:56:16,680 PRECLINICAL FARM LOGIC 2773 01:56:16,680 --> 01:56:18,680 INTERVENTIONS AND ARE WE USING 2774 01:56:18,680 --> 01:56:21,320 THE RIGHT MODELS? 2775 01:56:21,320 --> 01:56:24,240 GIVING A BRIEF ANECDOTE FOR OWN 2776 01:56:24,240 --> 01:56:27,280 LAB'S RESEARCH HAVING TO DO WITH 2777 01:56:27,280 --> 01:56:32,000 DOWN SYNDROME. MODEL OF DOWN 2778 01:56:32,000 --> 01:56:34,040 SYNDROME THAT HAS BEEN GOLD 2779 01:56:34,040 --> 01:56:35,560 STANDARD FOR DOWN SYNDROME 2780 01:56:35,560 --> 01:56:39,560 RESEARCH FOR 25 YEARS AND IS A 2781 01:56:39,560 --> 01:56:42,960 NEWER MODEL SIMILAR TO TS65DM 2782 01:56:42,960 --> 01:56:45,960 THAT IS ONE OF THE BEST MODELS 2783 01:56:45,960 --> 01:56:49,440 WITH AN EXTRA FREE CHROMOSOME 2784 01:56:49,440 --> 01:56:53,240 THAT IS VERY MUCH LIKE TRISOMY 2785 01:56:53,240 --> 01:56:57,320 21 AND HAS EXTRA INFORMATION ON 2786 01:56:57,320 --> 01:56:59,840 MASS CHROMOSOME 17 AND TO MAKE A 2787 01:56:59,840 --> 01:57:03,120 LONG STORY SHORT, COLLEAGUES IN 2788 01:57:03,120 --> 01:57:07,280 FRANCE CRISPRED OUT THAT MMU-7 2789 01:57:07,280 --> 01:57:10,280 TAENMATERIAL. WE HAVE NOW TWO 2790 01:57:10,280 --> 01:57:13,080 MODELS AND BOTH THAT HAVE FREELY 2791 01:57:13,080 --> 01:57:14,960 CIRCULATING EXTRA CHROMOSOMES 2792 01:57:14,960 --> 01:57:16,760 AND ONE HAD EXTRA MATERIAL AND 2793 01:57:16,760 --> 01:57:18,440 ONE DIDN'T AND TURNED OUT WE HAD 2794 01:57:18,440 --> 01:57:21,280 A MAJOR PAPER THAT IS PUBLISHED 2795 01:57:21,280 --> 01:57:27,280 IN BIOLOGICAL PSYCHIATRY AND 2796 01:57:27,280 --> 01:57:31,920 TS65DM MODEL HAS EXTRA GENES NOT 2797 01:57:31,920 --> 01:57:32,240 HOMOLOGOUS. 2798 01:57:32,240 --> 01:57:35,240 THOSE CREATED A MORE SEVERE 2799 01:57:35,240 --> 01:57:36,240 PHENOTYPE THAT HAD NOTHING TO DO 2800 01:57:36,240 --> 01:57:40,240 AND LOOKED LIKE ON THE SURFACE 2801 01:57:40,240 --> 01:57:42,320 IS TRISOMY 21 THAT IT WASN'T AND 2802 01:57:42,320 --> 01:57:45,160 IT MIGHT EXPLAIN WHY ALL OF THE 2803 01:57:45,160 --> 01:57:45,880 PRECLINICAL THERAPEUTIC TRIALS 2804 01:57:45,880 --> 01:57:47,800 THAT WERE SUCCESSFUL IN MICE 2805 01:57:47,800 --> 01:57:50,440 NEVER TRANSLATED TO HUMANS. 2806 01:57:50,440 --> 01:57:55,080 IT WAS THE WRONG MODEL. 2807 01:57:55,080 --> 01:57:57,360 WE HAVE LEARNED THAT EVEN 2808 01:57:57,360 --> 01:57:59,440 SOMETHING THAT HAS BEEN A GOLD 2809 01:57:59,440 --> 01:58:02,360 STANDARD FOR 25 YEARS NEEDS TO 2810 01:58:02,360 --> 01:58:03,920 BE CHALLENGED AND EXAMINED TO 2811 01:58:03,920 --> 01:58:05,480 DETERMINE ONCE YOU START TO 2812 01:58:05,480 --> 01:58:08,280 TRANSLATE AND USE RESOURCES TO 2813 01:58:08,280 --> 01:58:10,040 TRANSLATE INTO CLINICAL CARE, 2814 01:58:10,040 --> 01:58:13,360 ARE YOU USING THE RIGHT MODEL? 2815 01:58:13,360 --> 01:58:18,080 RIGOR AND REPRODUCIBILITY MAKING 2816 01:58:18,080 --> 01:58:19,000 SURE. 2817 01:58:19,000 --> 01:58:21,520 SORRY IT IS FIRST HAND RESEARCH 2818 01:58:21,520 --> 01:58:24,400 I'M PASSIONATE ABOUT. THANK 2819 01:58:24,400 --> 01:58:26,360 YOU. ARPA H EVERYBODY IS 2820 01:58:26,360 --> 01:58:28,240 EXCITED ABOUT IT. MESSAGE I 2821 01:58:28,240 --> 01:58:31,320 WANTED TO COMMUNICATE WITH THE 2822 01:58:31,320 --> 01:58:36,400 SLIDE IS THAT ARPA H IS AN 2823 01:58:36,400 --> 01:58:39,120 OPPORTUNITY FOR EVERYONE. 2824 01:58:39,120 --> 01:58:40,920 THEY ARE DISEASE AGNOSTIC AND 2825 01:58:40,920 --> 01:58:44,200 CONGRESS APPROPRIATED $2.5 2826 01:58:44,200 --> 01:58:45,960 BILLION IN FISCAL YEAR 23. THEY 2827 01:58:45,960 --> 01:58:49,200 HAVE A SEPARATE FUNDING STREAM 2828 01:58:49,200 --> 01:58:52,640 AND THEY USE SOME OF NIH'S 2829 01:58:52,640 --> 01:58:53,800 INFRASTRUCTURE LIKE HUMAN 2830 01:58:53,800 --> 01:58:57,920 RESOURCES FOR EXAMPLE. 2831 01:58:57,920 --> 01:59:00,080 ARPA H DIRECTOR REPORTS DIRECTLY 2832 01:59:00,080 --> 01:59:05,320 TO SECRETARY OF HEALTH AND HUMAN 2833 01:59:05,320 --> 01:59:07,800 SERVICES AND DON'T ELAPSE AND 2834 01:59:07,800 --> 01:59:10,080 READ IN NEWSPAPERS FIGHT WHERE 2835 01:59:10,080 --> 01:59:13,040 ARPA H HEADQUARTERS WILL GO. 2836 01:59:13,040 --> 01:59:15,840 BUT, THERE IS LABS THAT REALLY 2837 01:59:15,840 --> 01:59:21,320 YOU KNOW PROGRAM ADMINISTRATION 2838 01:59:21,320 --> 01:59:26,040 HAS SEVERAL HEADQUARTERS. 2839 01:59:26,040 --> 01:59:29,880 THE WHOLE IDEA BEHIND ARPA H IS 2840 01:59:29,880 --> 01:59:32,720 IT IS PROGRAM MANAGER THAT 2841 01:59:32,720 --> 01:59:33,840 PROPOSES A VERY IMPORTANT 2842 01:59:33,840 --> 01:59:36,040 PROBLEM THAT NEEDS TO BE SOLVED 2843 01:59:36,040 --> 01:59:40,200 AND THEY ESSENTIALLY MAKE THE 2844 01:59:40,200 --> 01:59:43,880 PROPOSAL AND ARPA H TEAM DECIDES 2845 01:59:43,880 --> 01:59:47,040 IS THIS SOMETHING WORTH FUNDING? 2846 01:59:47,040 --> 01:59:49,320 THEY ARE SEEKING PROGRAM 2847 01:59:49,320 --> 01:59:52,280 MANAGERS TO IDENTIFY HEALTH 2848 01:59:52,280 --> 01:59:53,840 RELATED CHALLENGES THAT ARE 2849 01:59:53,840 --> 01:59:56,440 CERTAINLY MANY IN YOUR FIELDS. 2850 01:59:56,440 --> 01:59:58,200 PROGRAM MANAGER ACTUALLY 2851 01:59:58,200 --> 02:00:00,680 IDENTIFIES TEAMS AND 2852 02:00:00,680 --> 02:00:01,720 MULTI-DISCIPLINARY TEAM FROM 2853 02:00:01,720 --> 02:00:04,240 INDUSTRY AND ACADEMICS AND FROM 2854 02:00:04,240 --> 02:00:07,800 GOVERNMENT TO SOLVE THE PROBLEM. 2855 02:00:07,800 --> 02:00:10,360 IF YOU ARE AN ACADEMIC, IT IS 2856 02:00:10,360 --> 02:00:15,160 OKAY TO GO TO ARPA H. THESE ARE 2857 02:00:15,160 --> 02:00:17,320 TIME-LIMITED PROGRAMS AGE TLEEZ 2858 02:00:17,320 --> 02:00:19,440 YEARS OR 6 YEARS AND IF YOU HAVE 2859 02:00:19,440 --> 02:00:21,600 SMART PEOPLE THAT CAN GO INTO 2860 02:00:21,600 --> 02:00:24,440 ARPA H THEY CAN COME BACK AS 2861 02:00:24,440 --> 02:00:24,960 WELL. 2862 02:00:24,960 --> 02:00:27,360 THIS IS AN OPPORTUNITY TO PITCH 2863 02:00:27,360 --> 02:00:29,360 HIGH RISK AND HIGH IMPACT 2864 02:00:29,360 --> 02:00:33,120 RESEARCH THAT EFFECTS OUR 2865 02:00:33,120 --> 02:00:33,440 POPULATIONS. 2866 02:00:33,440 --> 02:00:37,440 NEXT SLIDE. 2867 02:00:37,440 --> 02:00:41,200 THEY HAVE A COMPETITION THAT IS, 2868 02:00:41,200 --> 02:00:43,280 YOU KNOW, PRETTY MUCH OVER FROM 2869 02:00:43,280 --> 02:00:45,520 THE PERSPECTIVE OF APPLYING. 2870 02:00:45,520 --> 02:00:49,840 THEY MODELED IT ON MARCH MADNESS 2871 02:00:49,840 --> 02:00:52,240 AND COULDN'T USE THE TERM MARCH 2872 02:00:52,240 --> 02:00:54,520 MADNESS. IT IS TRADEMARKED AND 2873 02:00:54,520 --> 02:00:55,920 THEY ENCOURAGE SUBMISSIONS AND 2874 02:00:55,920 --> 02:01:02,320 THEY TOOK THE 64 SUBMISSIONS AND 2875 02:01:02,320 --> 02:01:03,880 NOMINATIONS ARE ALL ACCEPTED. 2876 02:01:03,880 --> 02:01:06,320 THEY ARE MOVING THROUGH, YOU 2877 02:01:06,320 --> 02:01:07,960 KNOW, THE BRACKETS. 2878 02:01:07,960 --> 02:01:09,880 THANK YOU. THE BRACKETS. 2879 02:01:09,880 --> 02:01:11,720 SO, YOU CAN LOOK IT UP TO SEE 2880 02:01:11,720 --> 02:01:15,600 WHAT THE PROGRESS IS. NEXT 2881 02:01:15,600 --> 02:01:18,080 SLIDE. 2882 02:01:18,080 --> 02:01:21,480 THIS IS THE MOST IMPORTANT 2883 02:01:21,480 --> 02:01:23,120 SLIDE, I THINK. 2884 02:01:23,120 --> 02:01:25,280 AS YOU KNOW, THERE IS AN 2885 02:01:25,280 --> 02:01:27,240 ADVISORY COUNCIL TO THE 2886 02:01:27,240 --> 02:01:29,640 DIRECTOR. WORKING GROUP 2887 02:01:29,640 --> 02:01:32,360 DIVERSITY WITH A SUBGROUP ON 2888 02:01:32,360 --> 02:01:33,320 INDIVIDUALS WITH DISABILITIES 2889 02:01:33,320 --> 02:01:38,200 THAT CREATED A REPORT. 2890 02:01:38,200 --> 02:01:41,440 PEOPLE WITH DISABILITIES ARE 2891 02:01:41,440 --> 02:01:43,360 LARGEST SINGLE MINORITY 2892 02:01:43,360 --> 02:01:44,240 POPULATION IN THE UNITED STATES 2893 02:01:44,240 --> 02:01:48,800 AND ARE FASTEST GROWING MINORITY 2894 02:01:48,800 --> 02:01:50,720 POPULATION AND PEOPLE WITH 2895 02:01:50,720 --> 02:01:52,280 DISABILITIES REPRESENT 2896 02:01:52,280 --> 02:01:55,680 APPROXIMATELY 9% OF SCIENTIFIC 2897 02:01:55,680 --> 02:01:56,360 RESOURCE AND RESEARCHERS WITH 2898 02:01:56,360 --> 02:01:57,240 DISABILITIES ARE 2899 02:01:57,240 --> 02:01:59,360 UNDER-REPRESENTED IN NIH 2900 02:01:59,360 --> 02:02:00,320 FUNDING. 2901 02:02:00,320 --> 02:02:03,680 FEW DATA IS PUBLICLY AVAILABLE 2902 02:02:03,680 --> 02:02:06,480 ABOUT OUR WORKFORCE HERE OR OUR 2903 02:02:06,480 --> 02:02:07,760 INTERNAL WORKFORCE. 2904 02:02:07,760 --> 02:02:10,360 IN BROADER RESEARCH WORKFORCE OR 2905 02:02:10,360 --> 02:02:12,120 PARTICIPATION AND PEOPLE WITH 2906 02:02:12,120 --> 02:02:15,800 DISABILITIES AND NIH-FUNDED 2907 02:02:15,800 --> 02:02:16,760 STUDIES AND GROUP CONCLUDED WE 2908 02:02:16,760 --> 02:02:19,920 HAVE TO DO MORE IN TERMS OF 2909 02:02:19,920 --> 02:02:23,680 COLLECTING DISABILITY DATA ON 2910 02:02:23,680 --> 02:02:25,040 RESEARCH WORKFORCE. 2911 02:02:25,040 --> 02:02:28,400 OTHER THINGS WILL COME OUT OF 2912 02:02:28,400 --> 02:02:30,840 THIS GROUP THAT ARE NOT QUITE 2913 02:02:30,840 --> 02:02:32,720 READY FOR PUBLIC DISSEMINATION. 2914 02:02:32,720 --> 02:02:35,160 NEXT SLIDE. 2915 02:02:35,160 --> 02:02:37,280 SOME THINGS THAT ARE SUGGESTED 2916 02:02:37,280 --> 02:02:39,360 INCLUDE UPDATING NIH MISSION 2917 02:02:39,360 --> 02:02:40,880 STATEMENT THAT IS CURRENT WILL I 2918 02:02:40,880 --> 02:02:42,720 TO SEEK FUNDAMENTAL KNOWLEDGE 2919 02:02:42,720 --> 02:02:44,560 ABOUT NATURE AND BEHAVIOR OF 2920 02:02:44,560 --> 02:02:46,280 LIVING SYSTEMS AND APPLICATION 2921 02:02:46,280 --> 02:02:49,320 OF THAT KNOWLEDGE TO ENHANCE 2922 02:02:49,320 --> 02:02:52,280 HEALTH AND LENGTH AND LIFE AND 2923 02:02:52,280 --> 02:02:54,040 REDUCE ILLNESS AND DISABILITY. 2924 02:02:54,040 --> 02:02:58,800 TO DEVELOP NIH-WIDE EFFORT TO 2925 02:02:58,800 --> 02:03:00,600 IDENTIFY AND ADDRESS ANY 2926 02:03:00,600 --> 02:03:02,000 STRUCTURAL ABLEISM THAT MAY 2927 02:03:02,000 --> 02:03:04,320 EXIST AND PROMOTIN COLLUSION 2928 02:03:04,320 --> 02:03:06,400 INTERNALLY AND FOR THE NIH 2929 02:03:06,400 --> 02:03:09,120 FUNDED EXTRAMURAL RESEARCH 2930 02:03:09,120 --> 02:03:11,280 WORKFORCE AND EXPANDING EFFORTS 2931 02:03:11,280 --> 02:03:12,520 TO INCLUDE DISABILITY 2932 02:03:12,520 --> 02:03:13,920 COMMUNITIES AND PERSPECTIVES OF 2933 02:03:13,920 --> 02:03:15,160 PEOPLE WITH DISABILITIES AND 2934 02:03:15,160 --> 02:03:20,400 PEOPLE WITH LIVED EXPERIENCE. 2935 02:03:20,400 --> 02:03:22,400 CONDUCT RESEARCH ON DISABILITY 2936 02:03:22,400 --> 02:03:24,200 HEALTH AND HEALTH CARE 2937 02:03:24,200 --> 02:03:27,440 DISPARITIES AND EQUITY AND 2938 02:03:27,440 --> 02:03:29,720 ENSURE DISABILITY INCLUSION AND 2939 02:03:29,720 --> 02:03:31,000 ANTI-ABLEISM ARE CORE COMPONENTS 2940 02:03:31,000 --> 02:03:35,200 OF NIH AND DEIA EFFORTS AND 2941 02:03:35,200 --> 02:03:37,080 PLEASE TODAY SAY THAT ALLISON 2942 02:03:37,080 --> 02:03:41,320 WILL PLAY A LEADERSHIP ROLE IN 2943 02:03:41,320 --> 02:03:45,280 THAT. AND MAINTAINING 2944 02:03:45,280 --> 02:03:47,760 ACCOUNTABILITY FOR DISABILITY 2945 02:03:47,760 --> 02:03:49,000 INCLUSION EFFORTS THAT IS ALL 2946 02:03:49,000 --> 02:03:52,000 BEING RAISED NOW TO THE LEVEL OF 2947 02:03:52,000 --> 02:03:55,800 THE OVERALL OFFICE OF THE 2948 02:03:55,800 --> 02:03:59,240 DIRECTOR AND THE WORKING GROUP. 2949 02:03:59,240 --> 02:04:01,640 NEXT SLIDE. 2950 02:04:01,640 --> 02:04:04,640 THERE IS ANOTHER ACD WORKING 2951 02:04:04,640 --> 02:04:06,880 GROUP ON POST DOCS AND I'M SURE 2952 02:04:06,880 --> 02:04:10,280 ALL WHO HAVE LABS ARE HAVING A 2953 02:04:10,280 --> 02:04:11,800 PROBLEM WITH RECRUITING POST 2954 02:04:11,800 --> 02:04:13,520 DOCS THAT IS A SIGNIFICANT 2955 02:04:13,520 --> 02:04:16,320 CHALLENGE AND SEPARATE WORKING 2956 02:04:16,320 --> 02:04:20,040 GROUP IS NOW MAKING 2957 02:04:20,040 --> 02:04:23,240 RECOMMENDATIONS ON HOW TO DO 2958 02:04:23,240 --> 02:04:26,360 BETTER IN TERMS OF RECRUITING 2959 02:04:26,360 --> 02:04:29,200 US-BASED POST DOCTORAL FELLOWS 2960 02:04:29,200 --> 02:04:34,360 AND THESE ARE THEIR 2961 02:04:34,360 --> 02:04:34,760 RECOMMENDATIONS. 2962 02:04:34,760 --> 02:04:38,640 THEY ARE VERY AWARE OF CONCERNS 2963 02:04:38,640 --> 02:04:42,840 IN TERMS OF LOW SALARIES OF 2964 02:04:42,840 --> 02:04:44,120 POSTDOCTORAL FELLOWS AND QUALITY 2965 02:04:44,120 --> 02:04:45,920 OF LIFE AND WORK/LIFE BALANCE 2966 02:04:45,920 --> 02:04:49,520 AND ISSUES SUCH AS CHILDCARE AND 2967 02:04:49,520 --> 02:04:50,560 ULTIMATELY JOB OPPORTUNITIES 2968 02:04:50,560 --> 02:04:53,360 THAT ARE FOLLOWING POST DOCTORAL 2969 02:04:53,360 --> 02:04:56,320 FELLOWSHIPS AND THIS GROUP IS 2970 02:04:56,320 --> 02:04:57,080 ACTIVELY INVESTIGATING THIS AREA 2971 02:04:57,080 --> 02:05:02,640 THAT THEY WILL PROVIDE THEIR 2972 02:05:02,640 --> 02:05:04,840 FINAL RECOMMENDSES AT END OF 2973 02:05:04,840 --> 02:05:06,600 DECEMBER. NEXT SLIDE. 2974 02:05:06,600 --> 02:05:09,960 SO, YOU MAY HAVE RECEIVED A COPY 2975 02:05:09,960 --> 02:05:15,320 OF THE RECENTLY RELEASED 2976 02:05:15,320 --> 02:05:17,320 NIH-WIDE STRATEGIC PLAN FOR 2977 02:05:17,320 --> 02:05:19,360 DIVERSITY EQUITY INCLUSION AND 2978 02:05:19,360 --> 02:05:20,760 ACCESSIBILITY AND THINK WHAT IS 2979 02:05:20,760 --> 02:05:25,160 IMPORTANT HERE AND WHAT WE ARE 2980 02:05:25,160 --> 02:05:30,040 TRYING TO PROMOTE IS INCLUDING 2981 02:05:30,040 --> 02:05:35,200 ACCESSIBILITY IN ALL 2982 02:05:35,200 --> 02:05:36,480 IMPLEMENTATION OF THE STRATEGIC 2983 02:05:36,480 --> 02:05:40,040 PLAN AND HIGHLIGHTING WITH THIS 2984 02:05:40,040 --> 02:05:43,120 SLIDE THAT NMCRR HAD A CALLOUT 2985 02:05:43,120 --> 02:05:46,880 IN THIS OVERALL STRATEGIC PLAN. 2986 02:05:46,880 --> 02:05:47,680 NEXT SLIDE. 2987 02:05:47,680 --> 02:05:50,080 THEN THERE IS AN EXECUTIVE. 2988 02:05:50,080 --> 02:05:54,600 THERE IS A TWO-PAGE EXECUTIVE 2989 02:05:54,600 --> 02:05:57,320 SUMMARY THAT TALKS ABOUT GROWING 2990 02:05:57,320 --> 02:06:00,480 SUSTAINING DEIA THROUGH 2991 02:06:00,480 --> 02:06:03,520 STRUCTURAL AND CULTURAL CHANGE. 2992 02:06:03,520 --> 02:06:06,840 I DON'T -- I CAN'T READ THIS 2993 02:06:06,840 --> 02:06:08,160 WHOLE THING. WE ARE VERY 2994 02:06:08,160 --> 02:06:09,600 CONCERNED ABOUT THE 2995 02:06:09,600 --> 02:06:11,240 ACCESSIBILITY PART OF THE 2996 02:06:11,240 --> 02:06:13,320 STRATEGIC PLAN. AND IN MAKING 2997 02:06:13,320 --> 02:06:15,560 SURE THAT ACCESSIBILITY IS 2998 02:06:15,560 --> 02:06:18,800 INCLUDED IN ALL ASPECTS OF THIS. 2999 02:06:18,800 --> 02:06:20,520 NEXT SLIDE, PLEASE. 3000 02:06:20,520 --> 02:06:22,200 OKAY. GETTING NEAR THE END. 3001 02:06:22,200 --> 02:06:26,120 WE ARE VERY EXCITED TO ANNOUNCE 3002 02:06:26,120 --> 02:06:30,240 THE APPOINTMENT OF AMANDA ELYSE 3003 02:06:30,240 --> 02:06:33,080 PRICE WHO IS NEW DIRECTOR OF 3004 02:06:33,080 --> 02:06:35,480 NICHD OFFICE OF HEALTH EQUITY 3005 02:06:35,480 --> 02:06:38,000 WHO EARNED HER PHD AND 3006 02:06:38,000 --> 02:06:39,440 BACHELOR'S OF SCIENCE IN 3007 02:06:39,440 --> 02:06:41,120 EDUCATION AND EXERCISE 3008 02:06:41,120 --> 02:06:42,720 PHYSIOLOGY WITH DOCTORAL 3009 02:06:42,720 --> 02:06:44,280 CONCENTRATION IN STATISTICS FROM 3010 02:06:44,280 --> 02:06:46,720 THE UNIVERSITY OF MIAMI WHO HAS 3011 02:06:46,720 --> 02:06:49,040 BEEN A TENURED ASSOCIATE 3012 02:06:49,040 --> 02:06:51,680 PROFESSOR AND IN ACADEMIA SHE 3013 02:06:51,680 --> 02:06:53,880 FOCUSES ON INTERVENTION AND 3014 02:06:53,880 --> 02:06:56,440 MANAGEMENT OF DISEASES TO A 3015 02:06:56,440 --> 02:06:59,360 HEALTHY LIFESTYLE BEHAVIOR. 3016 02:06:59,360 --> 02:07:02,160 SHE WAS A TENURED ASSOCIATE 3017 02:07:02,160 --> 02:07:05,720 PROFESSOR IN SCHOOL OF HEALTH 3018 02:07:05,720 --> 02:07:08,600 SCIENCES IN WINSTON SALEM STATE 3019 02:07:08,600 --> 02:07:10,280 UNIVERSITY TEACHING TRAINED AND 3020 02:07:10,280 --> 02:07:11,400 MEN TORED UNDER-REPRESENTED 3021 02:07:11,400 --> 02:07:14,760 SCHOLARS IN RESEARCH IN THE 3022 02:07:14,760 --> 02:07:17,840 BIOMEDICAL SCIENCES AND SHE CAME 3023 02:07:17,840 --> 02:07:20,280 TO US FROM NATIONAL INSTITUTE OF 3024 02:07:20,280 --> 02:07:23,840 NURSING RESEARCH WHERE SHE 3025 02:07:23,840 --> 02:07:25,480 DIRECTED PREVENTIVE MEDICINE 3026 02:07:25,480 --> 02:07:27,480 PORTFOLIO AND TEAM LEAD IN 3027 02:07:27,480 --> 02:07:29,160 DIVISION OF EXTRAMURAL SCIENCE 3028 02:07:29,160 --> 02:07:31,080 PROGRAMS. SHE IS A GREAT 3029 02:07:31,080 --> 02:07:32,760 RECRUIT. THANK YOU SO MUCH. 3030 02:07:32,760 --> 02:07:34,520 NEXT SLIDE, PLEASE. 3031 02:07:34,520 --> 02:07:39,440 AND LASTLY, WE FINALLY HAVE A 3032 02:07:39,440 --> 02:07:42,440 NEW PERMANENT SCIENTIFIC 3033 02:07:42,440 --> 02:07:44,600 DIRECTOR AND SCIENTIFIC DIRECTOR 3034 02:07:44,600 --> 02:07:46,520 LEADS INTRAMURAL RESEARCH 3035 02:07:46,520 --> 02:07:50,200 PROGRAM ON CAMPUS THAT IS DR. 3036 02:07:50,200 --> 02:07:51,840 CHRISTOPHER MCBANE AND IF YOU 3037 02:07:51,840 --> 02:07:54,440 HEARD HIM SPEAK AT OUR COUNCIL 3038 02:07:54,440 --> 02:07:58,280 MEETINGS AND WATCH VIDEO THAT 3039 02:07:58,280 --> 02:08:01,400 HAS UNMISTAKABLE SCOTTISH ACCENT 3040 02:08:01,400 --> 02:08:03,320 AND GREAT SCOTTISH PHRASES. HE 3041 02:08:03,320 --> 02:08:06,000 IS TRAINED AT UNIVERSITY OF 3042 02:08:06,000 --> 02:08:07,440 ABERDEEN AND UNIVERSITY OF 3043 02:08:07,440 --> 02:08:09,640 CAMBRIDGE BUT CAME TO THE STATES 3044 02:08:09,640 --> 02:08:12,760 TO DO HIS POST DOCTORAL 3045 02:08:12,760 --> 02:08:14,680 FELLOWSHIP AND THEN WENT TO 3046 02:08:14,680 --> 02:08:16,440 NORTH CAROLINA AND CAME TO NICHD 3047 02:08:16,440 --> 02:08:19,200 IN 1993 AND AS AN INVESTIGATOR 3048 02:08:19,200 --> 02:08:24,040 IN LA BTORY OF CELLULAR AND 3049 02:08:24,040 --> 02:08:24,880 MOLECULAR NEUROPHYSIOLOGY AND IS 3050 02:08:24,880 --> 02:08:28,200 NOW LEAD OF THE UNIT. HE WAS 3051 02:08:28,200 --> 02:08:30,400 ALSO DEPUTY SCIENTIFIC DIRECTOR 3052 02:08:30,400 --> 02:08:33,080 INTRA MURAL RESEARCH WHO HAS 3053 02:08:33,080 --> 02:08:34,720 BEEN ACTING DIRECTOR AND HAS 3054 02:08:34,720 --> 02:08:37,080 DONE A TERRIFIC JOB DURING 3055 02:08:37,080 --> 02:08:38,600 CHALLENGING TIMES THAT INCLUDED 3056 02:08:38,600 --> 02:08:42,720 BOTH THE PANDEMIC AND A NUMBER 3057 02:08:42,720 --> 02:08:45,320 OF STRUCTURAL DISASTERS ON THE 3058 02:08:45,320 --> 02:08:48,280 INTRAMURAL CAMPUS AND HAD A 3059 02:08:48,280 --> 02:08:51,000 MAJOR MAJOR CHRISTMAS EVE FLOOD 3060 02:08:51,000 --> 02:09:00,640 IN THE NEUROSCIENCE BUILDING. 3061 02:09:00,640 --> 02:09:03,720 HIS LABORATORY WAS GROUND ZERO 3062 02:09:03,720 --> 02:09:05,600 AND LABORATORY WAS POURING AND 3063 02:09:05,600 --> 02:09:06,680 DESTROYED EQUIPMENT AND THROUGH 3064 02:09:06,680 --> 02:09:08,880 IT ALL HE DEMONSTRATED 3065 02:09:08,880 --> 02:09:13,680 OUTSTANDING LEADERSHIP. HE IS A 3066 02:09:13,680 --> 02:09:14,240 NEUROSCIENTIST. 3067 02:09:14,240 --> 02:09:17,920 THERE IS RELEVANCE FOR NCMRR. 3068 02:09:17,920 --> 02:09:19,560 NEXT SLIDE, PLEASE. 3069 02:09:19,560 --> 02:09:22,920 LASTLY AS ALWAYS, WE ARE HIRING 3070 02:09:22,920 --> 02:09:24,600 AND WANT EXCELLENT PEOPLE. 3071 02:09:24,600 --> 02:09:28,520 WE ARE LOOKING FOR PROGRAM 3072 02:09:28,520 --> 02:09:32,560 OFFICERS IN A NUMBER OF 3073 02:09:32,560 --> 02:09:34,960 DIFFERENT AREAS AND I'M PLEASED 3074 02:09:34,960 --> 02:09:37,320 TO SAY THAT ALL OUR MAJOR 3075 02:09:37,320 --> 02:09:38,640 LEADERSHIP POSITIONS HAVE BEEN 3076 02:09:38,640 --> 02:09:41,320 FILLED AND WE HAVE SELECTED A 3077 02:09:41,320 --> 02:09:44,280 CLINICAL DIRECTOR WHO WILL BE 3078 02:09:44,280 --> 02:09:46,320 THE PERSON WHO OVERSEES OUR 3079 02:09:46,320 --> 02:09:49,320 FOOTPRINT IN THE NIH CLINICAL 3080 02:09:49,320 --> 02:09:52,040 CENTER THAT IS THE LARGEST 3081 02:09:52,040 --> 02:09:53,000 BIOMEDICAL RESEARCH HOSPITAL IN 3082 02:09:53,000 --> 02:09:53,480 THE WORLD. 3083 02:09:53,480 --> 02:09:55,480 WE ARE WAITING FOR THAT PERSON 3084 02:09:55,480 --> 02:09:58,280 TO UNDERGO ETHICS CLEARANCE 3085 02:09:58,280 --> 02:10:01,320 BEFORE WE WIDELY PUBLICIZE IT 3086 02:10:01,320 --> 02:10:03,000 AND THE PERSON HAS SIGNED A 3087 02:10:03,000 --> 02:10:05,040 LEASE AND IS DEFINITELY COMING. 3088 02:10:05,040 --> 02:10:07,280 WE ARE VERY EXCITED ABOUT THAT. 3089 02:10:07,280 --> 02:10:09,960 FINALLY, ALL OUR LEADERSHIP 3090 02:10:09,960 --> 02:10:11,200 POSITIONS AT THE EXECUTIVE LEVEL 3091 02:10:11,200 --> 02:10:13,560 WILL BE FILLED. 3092 02:10:13,560 --> 02:10:16,280 HOWEVER, THERE ARE OTHER 3093 02:10:16,280 --> 02:10:19,240 OPPORTUNITIES FOR PEOPLE TO 3094 02:10:19,240 --> 02:10:20,960 ENJOY US AND, AS YOU KNOW, WE 3095 02:10:20,960 --> 02:10:23,200 ARE A LOT OF FUN TO WORK WITH. 3096 02:10:23,200 --> 02:10:26,640 IF YOU HAVE EXCELLENT PEOPLE WHO 3097 02:10:26,640 --> 02:10:29,840 WANT TO EXPLORE IN THE 3098 02:10:29,840 --> 02:10:31,400 GOVERNMENT, PLEASE DIRECT THEM 3099 02:10:31,400 --> 02:10:34,000 TO OUR JOBS PAGE. THAT IS MY 3100 02:10:34,000 --> 02:10:35,200 LAST SLIDE. 3101 02:10:35,200 --> 02:10:37,320 I'M HAPPY TO SPEND THE REST OF 3102 02:10:37,320 --> 02:10:39,240 THE TIME ANSWERING QUESTIONS. 3103 02:10:39,240 --> 02:10:41,320 >> THANKS VERY MUCH. QUESTIONS 3104 02:10:41,320 --> 02:10:43,520 FOR DR. BIANCHI? 3105 02:10:43,520 --> 02:10:47,000 I WOULD LIKE TO START WITH ONE. 3106 02:10:47,000 --> 02:10:54,760 WE SPENT A LOT OF TIME TALKING 3107 02:10:54,760 --> 02:10:57,320 ABOUT TRAINING AND POST DOC 3108 02:10:57,320 --> 02:10:59,600 TIMELINE AND -- INDIVIDUALS WITH 3109 02:10:59,600 --> 02:11:00,280 DIFFERENT BACKGROUNDS OR THERE 3110 02:11:00,280 --> 02:11:02,120 ARE CERTAIN POPULATIONS WHERE IT 3111 02:11:02,120 --> 02:11:03,160 IS HARDER TO FIND THEM. 3112 02:11:03,160 --> 02:11:05,040 >> I WOULD SAY TO ANSWER YOUR 3113 02:11:05,040 --> 02:11:07,360 QUESTION, IT IS DEFINITELY A 3114 02:11:07,360 --> 02:11:09,920 PROBLEM ACROSS NIH. IT IS NOT 3115 02:11:09,920 --> 02:11:11,120 SPECIFIC TO OUR POPULATIONS. 3116 02:11:11,120 --> 02:11:13,800 IT IS INTERESTING THAT YOU USE 3117 02:11:13,800 --> 02:11:15,240 THE WORD PIPELINE. 3118 02:11:15,240 --> 02:11:18,480 YESTERDAY, ONE TALK THAT I GAVE 3119 02:11:18,480 --> 02:11:20,680 AT THE PEDIATRIC RESEARCH 3120 02:11:20,680 --> 02:11:22,240 MEETINGS IS DATA HAS SHOWN THERE 3121 02:11:22,240 --> 02:11:24,520 IS NO SUCH THING AS A PIPELINE. 3122 02:11:24,520 --> 02:11:27,080 LESS THAN 1% OF ALL OF THE 3123 02:11:27,080 --> 02:11:30,120 PEOPLE THAT WE HAVE FUNDED AND 3124 02:11:30,120 --> 02:11:32,560 SO WE HAVE A COHORT OF PEOPLE 3125 02:11:32,560 --> 02:11:39,080 WHO TRAINED BETWEEN 1989 AND 3126 02:11:39,080 --> 02:11:44,640 2010. THAT COHORT CONSISTS OVER 3127 02:11:44,640 --> 02:11:48,560 31,000 PEOPLE WHO HAVE FUNDED 3128 02:11:48,560 --> 02:11:51,720 NICHD IN SOME CAPACITY AND 3129 02:11:51,720 --> 02:11:53,360 STOPPED IN 2010 BECAUSE WE 3130 02:11:53,360 --> 02:11:56,880 WANTED A LONGITUDINAL VIEW. 3131 02:11:56,880 --> 02:11:59,200 WHAT SHOCKED ME IS LESS THAN 1% 3132 02:11:59,200 --> 02:12:00,640 OF PEOPLE GO THROUGH THE 3133 02:12:00,640 --> 02:12:03,440 PIPELINE FROM PREDOCTORAL TO 3134 02:12:03,440 --> 02:12:05,920 POST DOCTORAL TO CAR EAR 3135 02:12:05,920 --> 02:12:10,000 DEVELOPMENT TO R TYPE OF GRANTS. 3136 02:12:10,000 --> 02:12:13,320 DOESN'T MATTER IF WHITE, BLACK, 3137 02:12:13,320 --> 02:12:15,560 ASIAN AMERICAN INDIAN OR ALASKA 3138 02:12:15,560 --> 02:12:17,360 NATIVE. LESS THAN 1% FLOW 3139 02:12:17,360 --> 02:12:18,840 THROUGH THE PIPELINE THAT WE 3140 02:12:18,840 --> 02:12:21,320 LOVE SO MUCH. IT IS HARDTO 3141 02:12:21,320 --> 02:12:27,600 FITCH SOMETHING OR A BROKE N 3142 02:12:27,600 --> 02:12:29,320 PIPELINE WHEN THERE IS NOT ONE. 3143 02:12:29,320 --> 02:12:31,280 I WILL GO INTO THIS IN MORE 3144 02:12:31,280 --> 02:12:32,920 DETAIL AND PEOPLE ARE GOING IN 3145 02:12:32,920 --> 02:12:34,920 AND OUT AND GETTING FUNDED AND 3146 02:12:34,920 --> 02:12:36,360 ARE STEPPING OUT AND WE DON'T 3147 02:12:36,360 --> 02:12:38,960 KNOW WHY THAT IS. THESE DATA 3148 02:12:38,960 --> 02:12:42,360 ARE REALLY INTERESTING. AND 3149 02:12:42,360 --> 02:12:46,040 THEY NEED TO BE PROBED FURTHER 3150 02:12:46,040 --> 02:12:47,480 AND OTHER VERY IMPORTANT 3151 02:12:47,480 --> 02:12:49,200 TAKE-HOME POINT IS APPROXIMATELY 3152 02:12:49,200 --> 02:12:51,440 50% OF PEOPLE ARE ENTERING THAT 3153 02:12:51,440 --> 02:12:54,240 ARE NICHD GRANTEES THAT 3154 02:12:54,240 --> 02:12:57,280 REPRESENTERING AT R STAGE. 3155 02:12:57,280 --> 02:13:01,480 SO, EITHER THEY ARE LISTED ON PI 3156 02:13:01,480 --> 02:13:02,640 GRANTS AND DON'T HAVE INDIVIDUAL 3157 02:13:02,640 --> 02:13:05,040 GRANT AND NAME IS NOT ON 3158 02:13:05,040 --> 02:13:06,680 TRAINING GRANT SO WE CAN'T TRACK 3159 02:13:06,680 --> 02:13:08,560 THEM BUT DON'T THINK IT ACCOUNTS 3160 02:13:08,560 --> 02:13:10,840 FOR ALL 50% OF THEM AND PEOPLE 3161 02:13:10,840 --> 02:13:13,080 ARE SOMEHOW GETTING SKILLS AND 3162 02:13:13,080 --> 02:13:14,640 RESOURCES TO BE COMPETITIVE FOR 3163 02:13:14,640 --> 02:13:16,160 R LEVEL LATER ON. 3164 02:13:16,160 --> 02:13:17,640 >> WE TALKED ABOUT THAT 3165 02:13:17,640 --> 02:13:19,200 YESTERDAY AS WELL AND THOUGHT 3166 02:13:19,200 --> 02:13:21,000 THAT WE OFTEN STUDY THOSE WHO 3167 02:13:21,000 --> 02:13:22,800 LEAVE. I THINK WE SHOULD STUDY 3168 02:13:22,800 --> 02:13:24,080 THOSE WHO COME IN AS WELL. 3169 02:13:24,080 --> 02:13:26,480 >> THAT IS EXACTLY WHAT THIS 3170 02:13:26,480 --> 02:13:27,720 DATA HAS SHOWN US. 3171 02:13:27,720 --> 02:13:30,440 OUR OFTS OF SCIENCE POLICY AND 3172 02:13:30,440 --> 02:13:33,320 REPORTING ANALYSIS HAVE DONE AN 3173 02:13:33,320 --> 02:13:36,120 AMAZING JOB. 3174 02:13:36,120 --> 02:13:40,320 YESTERDAY, I JUST REPORTED ON 3175 02:13:40,320 --> 02:13:43,000 FUNDED INVESTIGATORS THAT ARE 3176 02:13:43,000 --> 02:13:45,760 ANALYZING PEOPLE WHO APPLY THAT 3177 02:13:45,760 --> 02:13:49,080 DON'T GET FUNDED TO LOOK AT HOW 3178 02:13:49,080 --> 02:13:50,480 PEOPLE ARE EITHER BEING 3179 02:13:50,480 --> 02:13:52,080 SUCCESSFUL OR NOT BEING 3180 02:13:52,080 --> 02:13:53,160 SUCCESSFUL THAT WILL CHANGE 3181 02:13:53,160 --> 02:13:54,560 CHAIVENG HOW WE THINK ABOUT 3182 02:13:54,560 --> 02:13:56,760 THINGS IN A DRAMATIC WAY. 3183 02:13:56,760 --> 02:13:57,880 >> THANKS. 3184 02:13:57,880 --> 02:14:01,440 OTHER QUESTIONS FOR DR. BIANCHI? 3185 02:14:01,440 --> 02:14:03,400 OKAY. WELL, THEN THANK YOU VERY 3186 02:14:03,400 --> 02:14:03,680 MUCH. 3187 02:14:03,680 --> 02:14:04,160 >> GREAT. 3188 02:14:04,160 --> 02:14:06,160 >> GREAT TO HEAR FROM YOU AGAIN 3189 02:14:06,160 --> 02:14:06,560 AS ALWAYS. 3190 02:14:06,560 --> 02:14:08,040 >> LOVE TO HEAR YOU. 3191 02:14:08,040 --> 02:14:09,640 >> OKAY. I HAVE TO 3192 02:14:09,640 --> 02:14:12,040 [INDISCERNIBLE]. I HAVE TO FACE 3193 02:14:12,040 --> 02:14:17,280 A FAKE THEY CALL IT THE MURDER 3194 02:14:17,280 --> 02:14:21,200 BOARD BUT IT IS A MOCK HEARING 3195 02:14:21,200 --> 02:14:31,640 AND GOING TO DOUBLE DOWN. 3196 02:14:37,120 --> 02:14:40,200 >> OKAY. NEXT ITEM IS A BRIEF 3197 02:14:40,200 --> 02:14:41,280 REPORT OUT FROM WORKING GROUP 3198 02:14:41,280 --> 02:14:43,200 DISCUSSIONS WE HAD YESTERDAY 3199 02:14:43,200 --> 02:14:45,240 ABOUT TRAINING WITH NCMRR. I 3200 02:14:45,240 --> 02:14:46,880 WILL TRY TO SUMMARIZE THE 3201 02:14:46,880 --> 02:14:47,960 DISCUSSION AND INVITE ALL OF YOU 3202 02:14:47,960 --> 02:14:52,520 TO FILL IN ANYTHING I MAY HAVE 3203 02:14:52,520 --> 02:14:54,120 MISSED. 3204 02:14:54,120 --> 02:14:55,720 GOAL OF THE DISCUSSION WAS 3205 02:14:55,720 --> 02:15:03,600 SETTING THE STAGE PERFORMING A 3206 02:15:03,600 --> 02:15:08,600 WORK GROUP CHARGED WITH 3207 02:15:08,600 --> 02:15:12,080 ASSESSING THE MISSION. 3208 02:15:12,080 --> 02:15:15,280 WE STARTED OUT WITH THERESA 3209 02:15:15,280 --> 02:15:16,840 PRESENTING DATA ON CURRENT 3210 02:15:16,840 --> 02:15:20,040 LANDSCAPE AND NCMR SPENDS LARGER 3211 02:15:20,040 --> 02:15:21,600 PERCENTAGE OF BUDGET ON TRAINING 3212 02:15:21,600 --> 02:15:26,400 THAN NICHD THAN NIH AS A WHOLE 3213 02:15:26,400 --> 02:15:28,080 AND THERE ARE CONCERNS AND 3214 02:15:28,080 --> 02:15:29,320 PUZZLES AND ONES WE TALKED ABOUT 3215 02:15:29,320 --> 02:15:34,000 WAS IDEA OF A PIPELINE AND 3216 02:15:34,000 --> 02:15:35,720 LOOKING FOR PIPELINE AND REALIZE 3217 02:15:35,720 --> 02:15:37,440 THERE DOESN'T SEEM TO BE MUCH OF 3218 02:15:37,440 --> 02:15:39,520 A PIPELINE AND INDIVIDUALS THAT 3219 02:15:39,520 --> 02:15:44,360 COME TO NCMRR RECEIVE FUNDING 3220 02:15:44,360 --> 02:15:45,680 AND DON'T SEEM TO BENEFIT FROM 3221 02:15:45,680 --> 02:15:48,280 OUR T AND K AWARDS AND SO ON AND 3222 02:15:48,280 --> 02:15:50,280 WE TALKED ABOUT RELATIVELY 3223 02:15:50,280 --> 02:15:53,320 RECENT SHIFT AWAY FROM FUNDING 3224 02:15:53,320 --> 02:15:55,080 K-12 PROGRAMS AND ONE OF THE 3225 02:15:55,080 --> 02:15:56,720 RATIONALES FOR DOING THAT WAS WE 3226 02:15:56,720 --> 02:15:58,320 THOUGHT THAT THERE WOULD BE 3227 02:15:58,320 --> 02:16:01,000 BENEFIT TO HAVING INDIVIDUALS 3228 02:16:01,000 --> 02:16:02,280 SUBMITTING INDIVIDUAL K AWARDS 3229 02:16:02,280 --> 02:16:05,280 AND FOUND THAT NUMBER OF K 3230 02:16:05,280 --> 02:16:07,920 AWARDS INCREASE INDIVIDUAL K 3231 02:16:07,920 --> 02:16:10,000 AWARDS INCREASE AS EXPECTED WITH 3232 02:16:10,000 --> 02:16:12,040 DECREASE IN K-12 FUNDING AND 3233 02:16:12,040 --> 02:16:14,400 FIGURING OUT HOW TO GET PEOPLE 3234 02:16:14,400 --> 02:16:19,000 INTO THE NCMRR COMMUNITY AND WE 3235 02:16:19,000 --> 02:16:20,880 ALSO DISCUSSIONED FACT THAT NIH 3236 02:16:20,880 --> 02:16:23,280 PIPELINE AS A WHOLE REMAINS TOO 3237 02:16:23,280 --> 02:16:24,600 SMALL FOR BRINGING IN DIVERSE 3238 02:16:24,600 --> 02:16:26,280 GROUP OF RESEARCHERS INTO OUR 3239 02:16:26,280 --> 02:16:28,280 FIELD AND AFTER THE DATA 3240 02:16:28,280 --> 02:16:29,400 PRESENTATION AND THERESA CHARGED 3241 02:16:29,400 --> 02:16:33,320 US WITH A QUESTION IF NCMRR HAS 3242 02:16:33,320 --> 02:16:36,040 TO HAVE TRAINING AS A MAJOR 3243 02:16:36,040 --> 02:16:38,360 FOCUS AND ONE ANSWER WE GAVE YOU 3244 02:16:38,360 --> 02:16:39,600 YESTERDAY I THINK WAS A 3245 02:16:39,600 --> 02:16:40,960 RESOUNDING YES TO THE QUESTION 3246 02:16:40,960 --> 02:16:43,200 AND WE CONTINUED AFTERWARDS TO 3247 02:16:43,200 --> 02:16:44,520 FOCUS NOT REALLY ON SOLUTIONS 3248 02:16:44,520 --> 02:16:45,880 ABOUT YOU REALLY OTHER QUESTIONS 3249 02:16:45,880 --> 02:16:48,000 THAT WE HAD AND DATA THAT WOULD 3250 02:16:48,000 --> 02:16:50,240 BE HELPFUL FOR THE WORKING GROUP 3251 02:16:50,240 --> 02:16:52,280 AND EVALUATION OF CURRENT 3252 02:16:52,280 --> 02:16:54,400 PROGRAMS AND SOME OF THE 3253 02:16:54,400 --> 02:16:55,560 CONSIDERATIONS THAT WE 3254 02:16:55,560 --> 02:16:58,040 DISCUSSED, I THINK THERE IS A 3255 02:16:58,040 --> 02:17:00,480 STRONG DISCUSSION AND STRONG 3256 02:17:00,480 --> 02:17:02,720 SUPPORT FOR NOTION OF BUILDING 3257 02:17:02,720 --> 02:17:05,320 ROBUST COMMUNITY WITHIN 3258 02:17:05,320 --> 02:17:07,680 REHABILITATION CENTERED AROUND 3259 02:17:07,680 --> 02:17:09,320 NCMRR AND WORKGROUP AND 3260 02:17:09,320 --> 02:17:10,680 COMMUNITY NEEDS TO BE ACCESSIBLE 3261 02:17:10,680 --> 02:17:13,280 TO A BROAD GROUP OF SCIENTIST 3262 02:17:13,280 --> 02:17:14,960 AND FOSTERING GROWTH WITHIN A 3263 02:17:14,960 --> 02:17:16,840 COMMUNITY SHOULD REALLY BE A KEY 3264 02:17:16,840 --> 02:17:19,360 MISSION AND WE TALKED ABOUT 3265 02:17:19,360 --> 02:17:21,320 STRENGTHS OF PREVIOUS K-12 3266 02:17:21,320 --> 02:17:22,720 PROGRAMS AND REASONS WHAT THEY 3267 02:17:22,720 --> 02:17:24,640 BROUGHT TO THE COMMUNITY MIGHT 3268 02:17:24,640 --> 02:17:26,280 BE HARD TO REPLICATE WITH 3269 02:17:26,280 --> 02:17:28,320 INDIVIDUAL AWARDS AND WE TALKED 3270 02:17:28,320 --> 02:17:29,560 ABOUT ACCESSIBILITY AND IDEA 3271 02:17:29,560 --> 02:17:33,600 THAT ONE REASON WE MIGHT SEE A 3272 02:17:33,600 --> 02:17:35,160 DROP IN INDIVIDUAL K SUBMISSIONS 3273 02:17:35,160 --> 02:17:38,600 IS ONE THING K-12 PROGRAMS CAN 3274 02:17:38,600 --> 02:17:42,200 PROVIDE IS A MENTORSHIP NETWORK 3275 02:17:42,200 --> 02:17:43,240 SUCCESSFUL TO THOSE WHO DON'T 3276 02:17:43,240 --> 02:17:46,320 HAVE KIND OF MENTORSHIP OR DEEP 3277 02:17:46,320 --> 02:17:47,400 MENTORSHIP AT THEIR OWN 3278 02:17:47,400 --> 02:17:49,320 INSTITUTIONS AND WE TALKED ABOUT 3279 02:17:49,320 --> 02:17:51,160 INCREASING ACCESSIBILITY TO 3280 02:17:51,160 --> 02:17:52,320 TRAINING PROGRAMS AND DIVERSITY 3281 02:17:52,320 --> 02:17:55,320 OF TRAINING POOL AND HOW IT IS 3282 02:17:55,320 --> 02:17:57,320 ESSENTIAL FOR THE HEALTH OF OUR 3283 02:17:57,320 --> 02:17:58,880 FIELD AND SOMETHING THAT ANY NEW 3284 02:17:58,880 --> 02:18:01,280 PROGRAMS SHOULD REALLY HAVE 3285 02:18:01,280 --> 02:18:02,480 INTEGRATED WITHIN THEM AND 3286 02:18:02,480 --> 02:18:04,680 FINALLY WE TALKED ABOUT RELATIVE 3287 02:18:04,680 --> 02:18:07,720 MERITS OF K-12 VERSUS INDIVIDUAL 3288 02:18:07,720 --> 02:18:10,800 K AWARDS AND K ANYONE 9R00 AWARD 3289 02:18:10,800 --> 02:18:12,960 WAS BROUGHT UP AND PARTICULARLY 3290 02:18:12,960 --> 02:18:14,600 ATTRACTIVE AWARD BECAUSE THOSE 3291 02:18:14,600 --> 02:18:16,320 ARE ESSENTIALLY PATHWAYS TO 3292 02:18:16,320 --> 02:18:17,800 PROFESS ORATE FOR THOSE 3293 02:18:17,800 --> 02:18:19,280 INTERESTED IN THE ROUND AND 3294 02:18:19,280 --> 02:18:20,600 THOSE ARE MY NOTES. 3295 02:18:20,600 --> 02:18:22,320 DON'T KNOW IF ANYONE ELSE HAS 3296 02:18:22,320 --> 02:18:24,560 OTHER ITEMS THEY WANT TO BRING 3297 02:18:24,560 --> 02:18:28,240 UP OR NOTE FOR THE RECORD BASED 3298 02:18:28,240 --> 02:18:32,120 ON OUR DISCUSSIONS YESTERDAY. 3299 02:18:32,120 --> 02:18:34,320 >> WHAT IS THE CHARGE OF THE 3300 02:18:34,320 --> 02:18:36,520 WORKING GROUP? 3301 02:18:36,520 --> 02:18:41,160 IS IT TO MEET EVERY MONTH AND 3302 02:18:41,160 --> 02:18:43,080 REPORT ON PEOPLE'S OPINIONS ON 3303 02:18:43,080 --> 02:18:43,640 THIS? 3304 02:18:43,640 --> 02:18:47,520 I DON'T UNDERSTAND WHAT IT WILL 3305 02:18:47,520 --> 02:18:49,640 ACHIEVE, I GUESS. 3306 02:18:49,640 --> 02:18:53,680 >> SO, CHARTER OF THE WORKING 3307 02:18:53,680 --> 02:18:58,360 GROUP IS MAKING RECOMMENDATIONS 3308 02:18:58,360 --> 02:19:01,000 TO THE FULL BOARD THAT CAN 3309 02:19:01,000 --> 02:19:01,640 ENDORSE THEM BECAUSE THEY HAVE 3310 02:19:01,640 --> 02:19:05,280 RECOMMENDATIONS TO ME THAT IS 3311 02:19:05,280 --> 02:19:06,760 HELPFUL WHEN I'M MAKING 3312 02:19:06,760 --> 02:19:08,280 DECISIONS THAT I HAVE THE SET OF 3313 02:19:08,280 --> 02:19:09,760 RECOMMENDATIONS FROM A GROUP 3314 02:19:09,760 --> 02:19:14,680 THAT I REALLY RESPECT AND THAT 3315 02:19:14,680 --> 02:19:18,800 IS THE PURPOSE, YEAH. 3316 02:19:18,800 --> 02:19:23,160 >> WILL THERE BE DATA AVAILABLE? 3317 02:19:23,160 --> 02:19:26,320 IS DATA AVAILABLE IN THINGS 3318 02:19:26,320 --> 02:19:27,880 THEY ARE TALKING ABOUT AND WHAT 3319 02:19:27,880 --> 02:19:29,960 HAPPENS TO PEOPLE AS THEY ENTER 3320 02:19:29,960 --> 02:19:31,080 THE MOOIP LINE? 3321 02:19:31,080 --> 02:19:33,840 >> SO, I ENVISION THIS WILL WORK 3322 02:19:33,840 --> 02:19:36,480 SIMILAR TO THE WORKING GROUP WE 3323 02:19:36,480 --> 02:19:40,280 HELD LAST YEAR TO LOOK AT 3324 02:19:40,280 --> 02:19:43,640 INFRASTRUR AND WE PROVIDED DATA 3325 02:19:43,640 --> 02:19:45,120 NOT ALL THAT EVERYONE WANTED AND 3326 02:19:45,120 --> 02:19:48,160 TALKED ABOUT LIMITATIONS ON DATA 3327 02:19:48,160 --> 02:19:49,640 THAT WILL BE ABLE TO HAVE 3328 02:19:49,640 --> 02:19:51,920 YESTERDAY AND WE WILL TRY TO GET 3329 02:19:51,920 --> 02:19:53,440 AS MUCH DATA AS WE CAN THROUGH 3330 02:19:53,440 --> 02:19:56,360 THAT GROUP AND LAST TIME WE 3331 02:19:56,360 --> 02:19:58,080 SPENT 3 OR 4 MEETINGS TALKING 3332 02:19:58,080 --> 02:19:59,880 ABOUT DATA AND ASKING QUESTIONS 3333 02:19:59,880 --> 02:20:01,320 AND GETTING INFORMATION FROM 3334 02:20:01,320 --> 02:20:02,400 OTHER FEDERAL AGENCIES WHAT THEY 3335 02:20:02,400 --> 02:20:05,560 ARE DOING AND HOW DOES NCMRR FIT 3336 02:20:05,560 --> 02:20:08,640 INTO THIS BIGGER ECOSYSTEM AND 3337 02:20:08,640 --> 02:20:11,360 WE HAD A COUPLE OF MEETINGS 3338 02:20:11,360 --> 02:20:12,920 ABOUT WHICH RECOMMENDATIONS 3339 02:20:12,920 --> 02:20:16,160 LOOKED LIKE AND THEY WERE 3340 02:20:16,160 --> 02:20:19,920 PRESENTED AT DECEMBER BOARD 3341 02:20:19,920 --> 02:20:20,400 MEET 3342 02:20:20,400 --> 02:20:20,760 MEETING. 3343 02:20:20,760 --> 02:20:22,120 AS MENTIONED, THERE ARE PARALLEL 3344 02:20:22,120 --> 02:20:28,960 TRAINING THINGS GOING ON AT THE 3345 02:20:28,960 --> 02:20:33,320 SAME TIME AND THEY INTERWEAVE 3346 02:20:33,320 --> 02:20:35,120 AND WAITING UNTIL REPORT COMES 3347 02:20:35,120 --> 02:20:36,760 OUT ON POST DOCS AND DON'T THINK 3348 02:20:36,760 --> 02:20:38,280 WE CAN WAIT AND WHATEVER THEY 3349 02:20:38,280 --> 02:20:40,640 SAY WILL PROBABLY INFLUENCE WHAT 3350 02:20:40,640 --> 02:20:41,320 WE DO HERE. 3351 02:20:41,320 --> 02:20:45,320 I WANT TO MAKE SURE THAT WE ARE 3352 02:20:45,320 --> 02:20:50,240 CENTERING REHABS NEEDS IN THIS 3353 02:20:50,240 --> 02:20:51,840 BIGGER PICTURE OF TRAINING AND 3354 02:20:51,840 --> 02:20:52,640 CAREER DEVELOPMENT. 3355 02:20:52,640 --> 02:20:54,720 >> I WANT TO ADD TO THE REPORT. 3356 02:20:54,720 --> 02:20:58,320 I THOUGHT THAT SOMETHING THAT I 3357 02:20:58,320 --> 02:21:02,080 HEARD THAT I WANTED TO STRESS 3358 02:21:02,080 --> 02:21:05,320 WITH IS FACT THAT FUNDING FOR 3359 02:21:05,320 --> 02:21:06,560 UNDER-REPRESENTED MINORITY 3360 02:21:06,560 --> 02:21:10,360 GROUPS ARE REALLY LOW AND ARE 3361 02:21:10,360 --> 02:21:14,840 BETTER BUT STILL QUITE LOW. 3362 02:21:14,840 --> 02:21:16,720 THERE IS CONFUSION AS TO WHAT 3363 02:21:16,720 --> 02:21:25,800 ARE SOME BARRIERS THAT MIGHT BE 3364 02:21:25,800 --> 02:21:27,320 PREVENTING THEM FROM 3365 02:21:27,320 --> 02:21:28,560 CAPITALIZING ON THIS AND 3366 02:21:28,560 --> 02:21:30,920 QUESTIONS WHERE THEY MIGHT COME 3367 02:21:30,920 --> 02:21:32,640 FROM IF WE CAN'T GET THOSE TYPES 3368 02:21:32,640 --> 02:21:34,120 OF INFORMATION UNDERSTANDING 3369 02:21:34,120 --> 02:21:36,880 BARRIERS AND LACK OF MENTORS OR 3370 02:21:36,880 --> 02:21:41,320 LACK OF ACCESS TO MENTORS SINCE 3371 02:21:41,320 --> 02:21:48,160 MENTOR AWARDS REQUIRE THAT AND 3372 02:21:48,160 --> 02:21:48,960 BARRIERS AND UNDERSTANDING WHAT 3373 02:21:48,960 --> 02:21:52,720 THESE THINGS OR BARRIERS WERE SO 3374 02:21:52,720 --> 02:21:55,880 THAT, THAT POOL OF POST DOCS 3375 02:21:55,880 --> 02:21:58,080 COULD BE ALSO MAYBE A FOCUS OF 3376 02:21:58,080 --> 02:22:06,280 OVERALL KIND OF IMPROVEMENT. 3377 02:22:06,280 --> 02:22:08,160 >> THERE IS LITERATURE ON THAT 3378 02:22:08,160 --> 02:22:10,320 FOR STEM IN GENERAL OR 3379 02:22:10,320 --> 02:22:11,880 BIOMEDICAL THAT WE CAN DRAW FROM 3380 02:22:11,880 --> 02:22:14,240 AND DON'T KNOW WE HAVE TO DO A 3381 02:22:14,240 --> 02:22:16,320 REPEAT OF THAT FOR REHAB AND 3382 02:22:16,320 --> 02:22:18,200 THINK WE CAN LEVERAGE ON THINGS 3383 02:22:18,200 --> 02:22:19,760 WE ALREADY KNOW AND PULL ON 3384 02:22:19,760 --> 02:22:23,520 RESOURCES FOR THE GROUP TO LOOK 3385 02:22:23,520 --> 02:22:24,040 AT. 3386 02:22:24,040 --> 02:22:34,320 >> THEN MICHELLE. 3387 02:22:36,600 --> 02:22:37,920 >> IF YOU WOULD LIKE TO 3388 02:22:37,920 --> 02:22:39,800 VOLUNTEER LET ME KNOW OR IN 3389 02:22:39,800 --> 02:22:41,400 E-MAIL LATER AND I HAVE GOTTEN 3390 02:22:41,400 --> 02:22:45,560 ALREADY E-MAILS AND HOWEVER I 3391 02:22:45,560 --> 02:22:46,840 APPRECIATE YOUR TIME IN THIS. I 3392 02:22:46,840 --> 02:22:52,320 REALIZE IT IS A LOT. I THANK 3393 02:22:52,320 --> 02:22:53,720 Y 3394 02:22:53,720 --> 02:22:54,080 YOU. 3395 02:22:54,080 --> 02:22:55,720 >> ARE YOU IN? 3396 02:22:55,720 --> 02:22:56,840 >> YEAH. 3397 02:22:56,840 --> 02:23:00,680 >> OKAY. I SEE BOB AND MICHELLE 3398 02:23:00,680 --> 02:23:04,240 AND BARBARA. DILLON HAS 3399 02:23:04,240 --> 02:23:04,560 VOLUNTEERED. 3400 02:23:04,560 --> 02:23:08,000 >> YEAH. SOME ON ZOOM. 3401 02:23:08,000 --> 02:23:09,320 >> OKAY. 3402 02:23:09,320 --> 02:23:11,640 >> >> OKAY. I HAVE A QUESTION. 3403 02:23:11,640 --> 02:23:14,440 IF WE WERE ACCEPTING THE FACT 3404 02:23:14,440 --> 02:23:15,960 THAT IT IS TRAINING PROGRAMS 3405 02:23:15,960 --> 02:23:17,760 THAT ARE NOT A PIPELINE, WHAT IS 3406 02:23:17,760 --> 02:23:20,560 THE MESSAGE OF THE MISSION OR 3407 02:23:20,560 --> 02:23:22,320 GOAL FOR THESE TRAINING 3408 02:23:22,320 --> 02:23:22,800 PROGRAMS? 3409 02:23:22,800 --> 02:23:25,080 I MEAN, HOW ARE YOU GOING TO 3410 02:23:25,080 --> 02:23:26,640 SELL THEM? THEY ARE NOT BEING 3411 02:23:26,640 --> 02:23:28,680 SOLD AS A PIPELINE. IT HAS TO 3412 02:23:28,680 --> 02:23:33,320 BE A MESSAGE THAT WE HAVE TO 3413 02:23:33,320 --> 02:23:35,280 KEEP OUR STUDIES GOING; RIGHT? 3414 02:23:35,280 --> 02:23:40,120 WHAT IS THE MESSAGE GOING OUT. 3415 02:23:40,120 --> 02:23:45,320 >> SO, WHAT IS THE OUTCOME OF 3416 02:23:45,320 --> 02:23:46,840 TRAINING IS ALWAYS THE PERPETUAL 3417 02:23:46,840 --> 02:23:48,360 QUESTION, I THINK. IT IS 3418 02:23:48,360 --> 02:23:50,920 SOMETHING I HAVE STRUGGLED WITH 3419 02:23:50,920 --> 02:23:52,080 EVERY SINGLE WORKING GROUP ON 3420 02:23:52,080 --> 02:23:53,400 THIS AND THINK THAT THE GROUP 3421 02:23:53,400 --> 02:23:55,480 HAS TO COME UP WITH A WORKING 3422 02:23:55,480 --> 02:23:57,120 DEFINITION OF SUCCESS THAT IS 3423 02:23:57,120 --> 02:23:59,040 SUFFICIENT FOR THEM. 3424 02:23:59,040 --> 02:24:03,440 AND IT -- IT -- I DON'T WANT TO 3425 02:24:03,440 --> 02:24:04,720 HAVE BIAS WITH WHAT THAT GROUP 3426 02:24:04,720 --> 02:24:06,280 COMES UP WITH. I DON'T THINK WE 3427 02:24:06,280 --> 02:24:10,320 CAN SAY THAT WE DON'T HAVE VALUE 3428 02:24:10,320 --> 02:24:15,120 IN OUR TRAINING PROGRAMS. 3429 02:24:15,120 --> 02:24:16,520 ONLY HALF OF THE PEOPLE THAT USE 3430 02:24:16,520 --> 02:24:18,720 THEM AND PEOPLE THAT ARE R01S 3431 02:24:18,720 --> 02:24:23,840 ARE ALSO INVOLVED IN T32 3432 02:24:23,840 --> 02:24:25,680 SEMINARS AND INFRASTRUCTURE AND 3433 02:24:25,680 --> 02:24:29,000 MAY NOT PAY OFF T32 BUT KNOW 3434 02:24:29,000 --> 02:24:30,680 GRAD STUDENTS ARE INVOLVED IN 3435 02:24:30,680 --> 02:24:34,320 THEM AND IF KNOW IT IS MESSY I 3436 02:24:34,320 --> 02:24:35,760 WOULD SAY BUT DON'T THINK 3437 02:24:35,760 --> 02:24:37,800 OUTCOME WOULD BE THIS IS 3438 02:24:37,800 --> 02:24:39,080 IRRELEVANT AND WE DON'T NEED IT 3439 02:24:39,080 --> 02:24:41,400 AND PUT EVERYTHING IN R01S AND 3440 02:24:41,400 --> 02:24:44,320 FEED PEOPLE TO THE WOLVES. 3441 02:24:44,320 --> 02:24:46,720 >> I ALSO THINK I HAVE NOT SEEN 3442 02:24:46,720 --> 02:24:48,440 STUDIES AND HEARD DATA 3443 02:24:48,440 --> 02:24:49,800 REFERENCED TWICE AND WAY THEY 3444 02:24:49,800 --> 02:24:52,000 DESCRIBED THAT IS DEFINITION OF 3445 02:24:52,000 --> 02:24:53,280 THE PIPELINE IS TOO NARROW 3446 02:24:53,280 --> 02:24:55,200 THINKING OF MY OWN CAREER AND 3447 02:24:55,200 --> 02:24:56,880 MANY PEOPLE HERE HAVE BOUNCED 3448 02:24:56,880 --> 02:24:58,800 FROM TRAINING PROGRAMS AT THE VA 3449 02:24:58,800 --> 02:25:01,800 TO NIH TO NSF AND ALL THOSE HAVE 3450 02:25:01,800 --> 02:25:03,600 BEEN HELPFUL AND MIGHT LOOK LIKE 3451 02:25:03,600 --> 02:25:06,400 I'M NOT PART OF THE PIPELINE BUT 3452 02:25:06,400 --> 02:25:09,240 I AM REALLY AND IT IS A BIGGER 3453 02:25:09,240 --> 02:25:10,320 PIPELINE THAT PEOPLE ARE 3454 02:25:10,320 --> 02:25:12,240 CURRENTLY LOOKING AT. 3455 02:25:12,240 --> 02:25:14,560 >> [INDISCERNIBLE]. 3456 02:25:14,560 --> 02:25:19,920 >> >> UH-HUH. 3457 02:25:19,920 --> 02:25:23,800 >> THERESA HELLO? 3458 02:25:23,800 --> 02:25:26,760 >> SAVE ME, FRANCISCO. 3459 02:25:26,760 --> 02:25:27,600 >> YES. 3460 02:25:27,600 --> 02:25:32,360 JUST MAKING SURE YOU HEARD I 3461 02:25:32,360 --> 02:25:35,000 WANTED VOLUNTEER, ONE. THE 3462 02:25:35,000 --> 02:25:36,360 OTHER IS THE ELIGIBILITY ISSUE 3463 02:25:36,360 --> 02:25:38,800 AND WE DISCUSSED MENTORSHIP 3464 02:25:38,800 --> 02:25:40,800 ISSUE AND ELIGIBILITY ISSUE IN 3465 02:25:40,800 --> 02:25:44,000 TERMS OF LEGAL STATUS IN THE US 3466 02:25:44,000 --> 02:25:48,360 COULD BE A HUGE DISTORTION THERE 3467 02:25:48,360 --> 02:25:53,520 BECAUSE WHEN WE ASK ABOUT OUR 3468 02:25:53,520 --> 02:25:56,720 GRANTEES, WHAT IS THEIR 3469 02:25:56,720 --> 02:25:58,320 CITIZENSHIP STATUS OR 3470 02:25:58,320 --> 02:26:00,280 ELIGIBILITY STATUS THAT MAY BE 3471 02:26:00,280 --> 02:26:02,160 THE CASE LIKE MYSELF. RIGHT? 3472 02:26:02,160 --> 02:26:06,520 I WAS NOT ELIGIBLE FOR ANY OF 3473 02:26:06,520 --> 02:26:08,000 THE MECHANISMS. 3474 02:26:08,000 --> 02:26:09,800 FELIX FOUND A WAY TO FUND ME AND 3475 02:26:09,800 --> 02:26:12,560 THEN I CAME OUT FROM THE COLD AS 3476 02:26:12,560 --> 02:26:16,040 IT WERE BECAUSE R01S DID NOT 3477 02:26:16,040 --> 02:26:18,960 REQUIRE ME TO BE A PERMANENT 3478 02:26:18,960 --> 02:26:20,080 RESIDENT. THINGS OF THAT SORT 3479 02:26:20,080 --> 02:26:23,720 WOULD BE VERY INTERESTING TO 3480 02:26:23,720 --> 02:26:28,120 LOOK INTO. 3481 02:26:28,120 --> 02:26:30,920 >> I WAS ALSO THINKING ABOUT MY 3482 02:26:30,920 --> 02:26:32,960 OWN EXPERIENCE AND CAME FROM 3483 02:26:32,960 --> 02:26:34,360 BASIC RESEARCH TRADITION THAT 3484 02:26:34,360 --> 02:26:39,160 WAS KIND OF A VERY 3485 02:26:39,160 --> 02:26:39,800 ENTREPRENEURIAL TAKEOVER. 3486 02:26:39,800 --> 02:26:42,600 YOU ARE IN COMPETITION WITH YOUR 3487 02:26:42,600 --> 02:26:44,160 MENTOR AND GOAL IS ALWAYS YOU 3488 02:26:44,160 --> 02:26:46,840 SHOULD BECOME AN INDEPENDENT 3489 02:26:46,840 --> 02:26:52,080 RESEARCHER AND NOW RESEARCH IS 3490 02:26:52,080 --> 02:26:52,800 MORE COLLABORATIVE AND SHOULD 3491 02:26:52,800 --> 02:26:54,080 HAVE PEOPLE THAT COME IN THAT 3492 02:26:54,080 --> 02:26:56,000 ARE NOT PEOPLE THAT GENERATE 3493 02:26:56,000 --> 02:26:57,320 GRANTS THAT IS VERY SUPPORTIVE 3494 02:26:57,320 --> 02:26:59,560 AND IS DOING AN INTERVENTION AND 3495 02:26:59,560 --> 02:27:01,160 ASSESSMENT AND HELPING SOMEONE 3496 02:27:01,160 --> 02:27:03,520 WITH A CLINICAL BACKGROUND WHO 3497 02:27:03,520 --> 02:27:04,960 DOESN'T HAVE BAND WIDTH AND 3498 02:27:04,960 --> 02:27:07,560 INTEREST IN BEING A PI. 3499 02:27:07,560 --> 02:27:10,160 MAYBE WE SHOULD THINK MORE ABOUT 3500 02:27:10,160 --> 02:27:11,880 ANCILLARY SUPPORT WHERE TRAINING 3501 02:27:11,880 --> 02:27:13,320 PEOPLE WHO CAN BE COLLABORATIVE 3502 02:27:13,320 --> 02:27:15,280 TO STUDIES AND DON'T ALWAYS 3503 02:27:15,280 --> 02:27:18,640 THINK ABOUT THEM AS THEY HAVE TO 3504 02:27:18,640 --> 02:27:28,800 BE PI. 3505 02:27:29,240 --> 02:27:34,320 I THINK THAT IS IMPORTANT FOR 3506 02:27:34,320 --> 02:27:35,400 INDIVIDUAL BOARDS WHERE SOMEONE 3507 02:27:35,400 --> 02:27:39,520 IS HONEST I DON'T WANT TO BE A 3508 02:27:39,520 --> 02:27:41,320 PI IN ACADEMIA THEY ARE CLEARLY 3509 02:27:41,320 --> 02:27:43,240 BEING REVIEWED BY PANELS AND 3510 02:27:43,240 --> 02:27:46,640 SHOULD BE DISCUSSED AT EVERY 3511 02:27:46,640 --> 02:27:51,800 STAGE. 3512 02:27:51,800 --> 02:27:53,000 >> UNIVERSITY INFRASTRUCTURE FOR 3513 02:27:53,000 --> 02:27:55,640 CONTINUED CAR EAR FOR SOMEBODY 3514 02:27:55,640 --> 02:27:57,320 WHO WANTS TO FUNCTION IN THAT 3515 02:27:57,320 --> 02:28:01,360 CAPACITY. SORRY UNIVERSITY 3516 02:28:01,360 --> 02:28:04,760 INFRASTRUCTURE FOR, YOU KNOW, 3517 02:28:04,760 --> 02:28:07,560 SOMEBODY WHO DOESN'T WANT TO BE 3518 02:28:07,560 --> 02:28:10,880 A PI BUT COULD BE VALUABLE IN 3519 02:28:10,880 --> 02:28:14,520 THE PROCESS IS UNNORTNATELY NOT 3520 02:28:14,520 --> 02:28:14,960 THERE. 3521 02:28:14,960 --> 02:28:18,480 >> WE HAVE SEEN EXAMPLES OF 3522 02:28:18,480 --> 02:28:20,400 PEOPLE WHO ARE MOST PRODUCTIVE 3523 02:28:20,400 --> 02:28:24,800 BEING A JUNIOR LIEUTENANT OR 3524 02:28:24,800 --> 02:28:26,440 SUPPORTING BEING A POST DOC AND 3525 02:28:26,440 --> 02:28:28,200 RUNNING A LAB TAKING OTHER 3526 02:28:28,200 --> 02:28:33,160 SKILLS AND BAND WIDTH AND THEY 3527 02:28:33,160 --> 02:28:36,080 CAN'T MAKE IT. 3528 02:28:36,080 --> 02:28:46,600 >> IF ANY ARE IMPORTANT -- TEAM 3529 02:28:49,960 --> 02:28:52,520 SCIENCE TO BE ADDRESSED 3530 02:28:52,520 --> 02:28:54,880 DIRECTLY. SO, I THINK IT DOES 3531 02:28:54,880 --> 02:29:01,840 THAT FROM THE UNIVERSITY SIDE. 3532 02:29:01,840 --> 02:29:04,240 AND FROM THE TRAINING SIDE. 3533 02:29:04,240 --> 02:29:06,840 >> WE ARE NOT ONLY PEOPLE GIVING 3534 02:29:06,840 --> 02:29:09,280 THOUGHT TO THIS TOPIC IN NIH. 3535 02:29:09,280 --> 02:29:11,400 I'M WONDERING IF THE NEXT 3536 02:29:11,400 --> 02:29:14,160 MEETING WE COULD HAVE THE 3537 02:29:14,160 --> 02:29:16,880 THOUGHTS OF OTHERS THAT ARE 3538 02:29:16,880 --> 02:29:18,360 INVOLVED AND FROM ELSEWHERE. 3539 02:29:18,360 --> 02:29:19,160 YOU KNOW? 3540 02:29:19,160 --> 02:29:22,360 VERSUS WORKING IN A SILO. 3541 02:29:22,360 --> 02:29:25,320 >> DID DELL FIN PUT YOU UP TO 3542 02:29:25,320 --> 02:29:28,200 THAT? HE WROTE ME A BIG LONG 3543 02:29:28,200 --> 02:29:31,240 NOTE YESTERDAY THAT PEOPLE FROM 3544 02:29:31,240 --> 02:29:32,320 NIDE TO TALK ABOUT. 3545 02:29:32,320 --> 02:29:34,040 >> HE PAID ME. 3546 02:29:34,040 --> 02:29:38,480 >> I PUT TWO CHECKS NEXT TO THE 3547 02:29:38,480 --> 02:29:38,840 SUGGESTION. 3548 02:29:38,840 --> 02:29:41,280 AND WE CAN THINK ABOUT WHO WOULD 3549 02:29:41,280 --> 02:29:42,800 BE BEST TO DO. THAT THANK YOU. 3550 02:29:42,800 --> 02:29:45,000 >> AS MUCH AS JUST TO GET 3551 02:29:45,000 --> 02:29:47,080 DISCUSSION GOING AND NO THE TO 3552 02:29:47,080 --> 02:29:48,720 SAY WHAT IS RIGHT OR WRONG. IT 3553 02:29:48,720 --> 02:29:52,920 IS ALL TALK; RIGHT? 3554 02:29:52,920 --> 02:29:54,320 >> YEAH. 3555 02:29:54,320 --> 02:29:59,160 >> ANY FINAL COMMENTS OR 3556 02:29:59,160 --> 02:30:01,320 VOLUNTEERS? 3557 02:30:01,320 --> 02:30:04,320 >> ALL RIGHT. THANK YOU. 3558 02:30:04,320 --> 02:30:10,320 NOW WE WILL MOVE TO A CONCEPT 3559 02:30:10,320 --> 02:30:10,640 CLEARANCE. 3560 02:30:10,640 --> 02:30:10,960 JOE? 3561 02:30:10,960 --> 02:30:12,800 >> ALL RIGHT. TO GIVE 3562 02:30:12,800 --> 02:30:15,360 BACKGROUND FOR THIS, IS -- ARE 3563 02:30:15,360 --> 02:30:16,480 THE FORMAL [INDISCERNIBLE] OF 3564 02:30:16,480 --> 02:30:18,080 NIH IS WHENEVER THERE IS A 3565 02:30:18,080 --> 02:30:20,600 REQUEST FOR APPLICATIONS, WE 3566 02:30:20,600 --> 02:30:24,320 NEED TO CLEAR IT BY A -- SOME 3567 02:30:24,320 --> 02:30:27,280 SORT OF A BOARD COUNSELING OR 3568 02:30:27,280 --> 02:30:27,560 WHATEVER. 3569 02:30:27,560 --> 02:30:29,320 WE HAVE ADVANTAGE SINCE WE HAVE 3570 02:30:29,320 --> 02:30:31,160 YOU FOLKS AS BRIGHT PEOPLE WE 3571 02:30:31,160 --> 02:30:33,640 KNOW REHAB AND WE CAN -- CENTERS 3572 02:30:33,640 --> 02:30:35,720 CAN CLEAR SOME CONCEPTS BY YOU. 3573 02:30:35,720 --> 02:30:40,320 THIS IS A LITTLE BIT OF A 3574 02:30:40,320 --> 02:30:48,160 STRANGE PROCESS THAT WE HAVE 3575 02:30:48,160 --> 02:30:49,320 PURPOSOUSLY SAY INSIDE TRACKS 3576 02:30:49,320 --> 02:30:50,560 AND PEOPLE IN THE MEETING AND 3577 02:30:50,560 --> 02:30:52,320 YOU FOLKS COULD ACTUALLY APPLY 3578 02:30:52,320 --> 02:30:55,200 AND WE HAVE TO DISCUSS IN VERY 3579 02:30:55,200 --> 02:30:56,120 BROAD TERMS AND OWE ERNL THING 3580 02:30:56,120 --> 02:30:59,480 IS IT IS UP TO OUR SPECIALTY IS 3581 02:30:59,480 --> 02:31:00,080 UNDERSTANDING MECHANISMS AND 3582 02:31:00,080 --> 02:31:02,520 DETAIL AND LEAVE IT TO US 3583 02:31:02,520 --> 02:31:02,760 ANYWAY. 3584 02:31:02,760 --> 02:31:06,200 WE ARE LOOKING AND PUTTING THIS 3585 02:31:06,200 --> 02:31:08,600 TO YOU IN A VERY BROAD WAY AND 3586 02:31:08,600 --> 02:31:09,720 LOOKING IN RESPONSE AND AFTER 3587 02:31:09,720 --> 02:31:10,920 DISCUSSION THERE IS THREE 3588 02:31:10,920 --> 02:31:13,040 OPTIONS AND YOU COULD SAY WE 3589 02:31:13,040 --> 02:31:14,320 ACCEPT CONCEPT AS PRESENTED AND 3590 02:31:14,320 --> 02:31:18,320 YOU ACCEPT IT WITH SIGNIFICANT 3591 02:31:18,320 --> 02:31:21,040 MODIFICATIONS OR THAT THE 3592 02:31:21,040 --> 02:31:23,680 PROPOSAL INITIATIVE SHOULDN'T BE 3593 02:31:23,680 --> 02:31:25,200 PURSUED. 3594 02:31:25,200 --> 02:31:25,440 OKAY? 3595 02:31:25,440 --> 02:31:27,320 JOE WILL PRESENT SOMETHING THAT 3596 02:31:27,320 --> 02:31:29,920 IS VERY -- GO AHEAD, JOE. 3597 02:31:29,920 --> 02:31:32,960 >> THANK YOU, EVERYONE. I'M JOE 3598 02:31:32,960 --> 02:31:36,200 BONNER AND PROGRAM OFFICER WITH 3599 02:31:36,200 --> 02:31:37,760 NCMRR AND CONCEPT I'M PRESENTING 3600 02:31:37,760 --> 02:31:41,120 TODAY IS FOR MEDICAL 3601 02:31:41,120 --> 02:31:41,720 REHABILITATION RESEARCH AND 3602 02:31:41,720 --> 02:31:47,080 RESOURCE CENTERS AND CONCEPT -- 3603 02:31:47,080 --> 02:31:48,760 INFRASTRUCTURE AND ALSO 3604 02:31:48,760 --> 02:31:52,000 RESPONDING TO EVOLVING NEEDS OF 3605 02:31:52,000 --> 02:31:52,680 REHABILITATION RESEARCH 3606 02:31:52,680 --> 02:31:54,680 COMMUNITY AND WE ARE PROPOSING 3607 02:31:54,680 --> 02:31:58,320 AN RFA ENTITLED MEDICAL 3608 02:31:58,320 --> 02:32:01,320 REHABILITATION RESOURCE CENTERS 3609 02:32:01,320 --> 02:32:03,440 SOLICITING APPLICATIONS UNDER A 3610 02:32:03,440 --> 02:32:05,000 P MECHANISM AND PURPOSE OF THE 3611 02:32:05,000 --> 02:32:08,360 PROPOSED RFA IS STIMULATING 3612 02:32:08,360 --> 02:32:11,160 FOUNDATIONAL AND IMPACTFUL 3613 02:32:11,160 --> 02:32:12,480 REHABILITATION RESEARCH 3614 02:32:12,480 --> 02:32:13,320 PROVIDING SPECIALIZE REED 3615 02:32:13,320 --> 02:32:15,800 SOURCES HANDS ON TRAINING PILOT 3616 02:32:15,800 --> 02:32:17,320 FUNDING AND OTHER 3617 02:32:17,320 --> 02:32:17,680 INFRASTRUCTURE. 3618 02:32:17,680 --> 02:32:20,240 ARE. FA WILL SOLICIT 3619 02:32:20,240 --> 02:32:21,640 APPLICATIONS ACROSS THE RANGE OF 3620 02:32:21,640 --> 02:32:25,320 MEDICAL REHABILITATION RESEARCH 3621 02:32:25,320 --> 02:32:27,200 AND RESULTING NETWORK WILL 3622 02:32:27,200 --> 02:32:31,080 RESEARCH NEW METHODS TOOLS PILOT 3623 02:32:31,080 --> 02:32:32,960 FUNDING IMPLEMENTING NECESSARY 3624 02:32:32,960 --> 02:32:35,440 TO MOVE REHABILITATION RESEARCH 3625 02:32:35,440 --> 02:32:38,320 FORWARD AND RFA WILL HIGHLIGHT 3626 02:32:38,320 --> 02:32:41,320 AREAS OF INTEREST TO NIH AND 3627 02:32:41,320 --> 02:32:43,920 ALLOW INVESTIGATOR INITIATIVE 3628 02:32:43,920 --> 02:32:47,400 TOPICS AND RFA WILL REQUIRE 3629 02:32:47,400 --> 02:32:50,200 COOPERATION OF PEOPLE WITH LIVED 3630 02:32:50,200 --> 02:32:51,600 EXPERIENCE AND REHABILITATION 3631 02:32:51,600 --> 02:32:53,760 AND RESOURCE CENTERS AND LIVED 3632 02:32:53,760 --> 02:32:56,680 EXPERIENCE WILL BE DEFINED BY 3633 02:32:56,680 --> 02:32:57,040 APPLICATIONS. 3634 02:32:57,040 --> 02:32:59,960 OTHER NIH INSTITUTES AND CENTERS 3635 02:32:59,960 --> 02:33:03,040 MAY HAVE INTEREST IN SUPPORTING 3636 02:33:03,040 --> 02:33:04,880 MEDICAL REHABILITATION RESEARCH 3637 02:33:04,880 --> 02:33:06,920 INFRASTRUCTURE AND NCMRR WILL 3638 02:33:06,920 --> 02:33:09,000 WORK TO INCORPORATE NIH 3639 02:33:09,000 --> 02:33:11,520 INSTITUTES AND CENTERS INTO THE 3640 02:33:11,520 --> 02:33:11,920 PROGRAM. 3641 02:33:11,920 --> 02:33:16,120 OBJECTIVES OF RFA IS TO PROMOTE 3642 02:33:16,120 --> 02:33:17,320 IMPACTFUL REHABILITATION 3643 02:33:17,320 --> 02:33:19,400 RESEARCH ACROSS DISCIPLINARY 3644 02:33:19,400 --> 02:33:21,160 COLLABORATION IN MEDICAL 3645 02:33:21,160 --> 02:33:22,880 REHABILITATION RESEARCH 3646 02:33:22,880 --> 02:33:24,800 SUPPORTING RESEARCH 3647 02:33:24,800 --> 02:33:27,320 INFRASTRUCTURE WILL AID 3648 02:33:27,320 --> 02:33:28,320 RECRUITMENT RESEARCHERS TO -- 3649 02:33:28,320 --> 02:33:30,480 MEASURES OF THE NETWORK WILL BE 3650 02:33:30,480 --> 02:33:32,000 RESEARCH OUTPUT AND 3651 02:33:32,000 --> 02:33:33,320 REHABILITATION DATA SET 3652 02:33:33,320 --> 02:33:36,160 PRODUCTION AND USE AND REUSE AND 3653 02:33:36,160 --> 02:33:39,000 TRAINING INTERACTIONS AND SERIES 3654 02:33:39,000 --> 02:33:41,320 APPLICATIONS DIRECT TODAY NIH IN 3655 02:33:41,320 --> 02:33:44,080 FIELD OF MEDICAL REHABILITATION 3656 02:33:44,080 --> 02:33:45,320 RESEARCH. AT THIS POINT, DOES 3657 02:33:45,320 --> 02:33:49,760 ANYONE HAVE QUESTIONS ABOUT THE 3658 02:33:49,760 --> 02:33:51,360 CONCEPTS? 3659 02:33:51,360 --> 02:33:54,400 >> SORRY THE IDEA OF THE GOAL. 3660 02:33:54,400 --> 02:33:57,160 I MEAN, YOU -- NOT HAVING THIS, 3661 02:33:57,160 --> 02:33:58,600 JUST LEAVING THINGS THE WAY THEY 3662 02:33:58,600 --> 02:34:02,280 ARE AND LETTING PEOPLE CONDUCT 3663 02:34:02,280 --> 02:34:03,280 REHABILITATION RESEARCH THROUGH 3664 02:34:03,280 --> 02:34:05,200 MECHANISMS IS WHAT I'M TRYING TO 3665 02:34:05,200 --> 02:34:07,080 CONTRAST IT WITH. IT LOOKS LIKE 3666 02:34:07,080 --> 02:34:10,080 THIS HAS TO DO WITH EXPANDING 3667 02:34:10,080 --> 02:34:13,920 RECRUITING AND EXPANDING 3668 02:34:13,920 --> 02:34:17,000 REHABILITATION WORK AND 3669 02:34:17,000 --> 02:34:21,320 RESEARCHERS AND ALSO 3670 02:34:21,320 --> 02:34:22,000 FACILITATING INTERDISCIPLINARY 3671 02:34:22,000 --> 02:34:23,080 REHABILITATION RESEARCH. IS 3672 02:34:23,080 --> 02:34:25,760 THAT WHAT IS UNIQUE FOR THAT? 3673 02:34:25,760 --> 02:34:30,640 >> IT IS CONTINUING THE NCMRR'S 3674 02:34:30,640 --> 02:34:33,920 CURRENT INVESTMENT IN 3675 02:34:33,920 --> 02:34:35,640 INFRASTRUCTURE THAT, THAT IS THE 3676 02:34:35,640 --> 02:34:37,840 PROBLEM THAT HAS EXISTED AND HAS 3677 02:34:37,840 --> 02:34:42,080 CHANGED OVER THE 20 YEARS AND 3678 02:34:42,080 --> 02:34:44,440 ALSO TAKING INTO ACCOUNT WHAT WE 3679 02:34:44,440 --> 02:34:46,320 HAVE HEARD FROM COMMUNITY AND 3680 02:34:46,320 --> 02:34:50,040 FROM THIS BOARD AND SORT OF 3681 02:34:50,040 --> 02:34:50,720 INCORPO 3682 02:34:50,720 --> 02:34:54,960 INCORPORATING THOSE COMMENTS 3683 02:34:54,960 --> 02:34:58,160 INTO THE DEVELOPMENT OF THE 3684 02:34:58,160 --> 02:34:58,480 CONCEPT. 3685 02:34:58,480 --> 02:35:03,800 YOU KNOW, TAKING IN THAT -- 3686 02:35:03,800 --> 02:35:05,640 TAKING INPUT INTO ACCOUNT WE ARE 3687 02:35:05,640 --> 02:35:12,000 SHIFTING FOCUS SOMEWHAT OF THE 3688 02:35:12,000 --> 02:35:16,680 NETWORK TO TRY TO STAY VAGUE 3689 02:35:16,680 --> 02:35:17,240 HERE. 3690 02:35:17,240 --> 02:35:20,680 TO YOU KNOW MAYBE PUT IMPACT OF 3691 02:35:20,680 --> 02:35:23,720 THE RESEARCH AT FUNDS THAT ARE 3692 02:35:23,720 --> 02:35:23,920 -- 3693 02:35:23,920 --> 02:35:26,920 >> IF YOU ARE ALSO ASKING, IT IS 3694 02:35:26,920 --> 02:35:29,320 A 0-SOME GAME AND WE HAVE A 3695 02:35:29,320 --> 02:35:30,440 CERTAIN AMOUNT TO SPEND AND 3696 02:35:30,440 --> 02:35:32,480 QUESTION THAT DO YOU WANT TO 3697 02:35:32,480 --> 02:35:33,880 PRIORITIZE A LITTLE OF THAT FOR 3698 02:35:33,880 --> 02:35:36,200 REINFRASTRUCTURE OPPOSED TO 3699 02:35:36,200 --> 02:35:38,760 WORKING ON INVESTIGATOR 3700 02:35:38,760 --> 02:35:40,400 INITIATIVE PAY LINE AND BROADER 3701 02:35:40,400 --> 02:35:44,560 COMPETITION THAT IS PRIORITIZING 3702 02:35:44,560 --> 02:35:44,960 INFRASTRUCTURE? 3703 02:35:44,960 --> 02:35:47,920 >> IS THIS JUST TO CLARIFY IS 3704 02:35:47,920 --> 02:35:50,600 THIS ANOTHER MR3 NETWORK? 3705 02:35:50,600 --> 02:35:51,680 WOULD THAT BE [INDISCERNIBLE]. 3706 02:35:51,680 --> 02:35:52,400 >> YES. 3707 02:35:52,400 --> 02:35:56,400 >> IT WOULD BE NEXT CENTER AND 3708 02:35:56,400 --> 02:35:57,720 TYPE OF CENTER? 3709 02:35:57,720 --> 02:36:02,120 >> THE GROUP IS FINISHING UP. 3710 02:36:02,120 --> 02:36:02,800 >> GOT IT. 3711 02:36:02,800 --> 02:36:04,680 >> THIS WOULD BE THE NEXT. 3712 02:36:04,680 --> 02:36:08,040 >> WE ISSUE THIS NETWORK THROUGH 3713 02:36:08,040 --> 02:36:10,560 RFA AND EVERY TIME RFA HAS TO BE 3714 02:36:10,560 --> 02:36:14,760 ISSUED WE HAVE TO COME BACK 3715 02:36:14,760 --> 02:36:24,040 GETTING APPROVAL FOR A NEW 3716 02:36:24,040 --> 02:36:25,280 PROJECT. 3717 02:36:25,280 --> 02:36:29,920 >> COMPARE AND CONTRAST THESE. 3718 02:36:29,920 --> 02:36:33,520 >> JUST A CAUTIONARY THINKING ON 3719 02:36:33,520 --> 02:36:38,560 MY PART. 3720 02:36:38,560 --> 02:36:43,880 I HAVE CONCERN THAT WILL BE 3721 02:36:43,880 --> 02:36:45,320 PERPETUATING THE SAME AND WHAT 3722 02:36:45,320 --> 02:36:49,320 WE DO TO ATTRACT NEW VOICES AND 3723 02:36:49,320 --> 02:36:51,080 CENTERS BECAUSE THERE IS A 3724 02:36:51,080 --> 02:36:52,360 CERTAIN LEVEL OF FRUSTRATION 3725 02:36:52,360 --> 02:36:56,080 THAT EXISTS NOT SAYING IN THIS 3726 02:36:56,080 --> 02:37:04,320 MODEL BUT LIGHT MODELS -- AND 3727 02:37:04,320 --> 02:37:06,160 GOOD LUCK ABSOLUTELY. 3728 02:37:06,160 --> 02:37:09,160 >> IN PREVIOUS ITERATIONS, THERE 3729 02:37:09,160 --> 02:37:11,920 ARE -- THERE HAS ALWAYS BEEN 3730 02:37:11,920 --> 02:37:13,320 REQUIREMENTS THAT CENTERS COULD 3731 02:37:13,320 --> 02:37:18,600 ONLY HAVE TWO CYCLES OF FUNDING. 3732 02:37:18,600 --> 02:37:25,040 AND THEN THEIR SUN SET AND SORT 3733 02:37:25,040 --> 02:37:28,240 OF HISTORICALLY WE HAVE HAD 3734 02:37:28,240 --> 02:37:34,320 TURNOVER IN OUR [INDISCERNIBLE]. 3735 02:37:34,320 --> 02:37:35,040 >> FRANCISCO? 3736 02:37:35,040 --> 02:37:41,080 >> YES. SORRY I WAS ALSO 3737 02:37:41,080 --> 02:37:42,560 CONCERNED ABOUT STEVENS POINT 3738 02:37:42,560 --> 02:37:45,520 ABOUT WHO ARE LIKELY SUCCESSFUL 3739 02:37:45,520 --> 02:37:49,960 APPLICANTS TO THIS AND WILL IT 3740 02:37:49,960 --> 02:37:52,400 PROMOTE OR HINDER NOT ONLY 3741 02:37:52,400 --> 02:37:53,440 DIVERSITY IN GENERAL BUT 3742 02:37:53,440 --> 02:37:57,320 DISTRIBUTION OF FUNDS ACROSS THE 3743 02:37:57,320 --> 02:37:58,880 ENTIRE COMMUNITY. 3744 02:37:58,880 --> 02:38:04,080 BECAUSE SUCCESSFUL CENTERS THEY 3745 02:38:04,080 --> 02:38:05,720 DON'T LAST VERY LONG AND I 3746 02:38:05,720 --> 02:38:08,000 WONDER WHAT DATA IS IN TERMS OF 3747 02:38:08,000 --> 02:38:11,560 THEM PERPETUATING NUKE LEEATION 3748 02:38:11,560 --> 02:38:13,880 OF OPPORTUNITY OPPOSED TO 3749 02:38:13,880 --> 02:38:14,560 DISTRIBUTION. 3750 02:38:14,560 --> 02:38:18,680 FOR EXAMPLE, YESTERDAY, RALPH 3751 02:38:18,680 --> 02:38:21,320 MENTIONED THE GEOGRAPHIC, NEED 3752 02:38:21,320 --> 02:38:24,400 FOR GEOGRAPHIC DISTRIBUTION FOR 3753 02:38:24,400 --> 02:38:26,720 ACTIVITY THAT TENDS TO BE 3754 02:38:26,720 --> 02:38:30,280 CLUSTERED AND, YOU KNOW, JUST 3755 02:38:30,280 --> 02:38:34,080 SOMETHING TO THINK ABOUT. 3756 02:38:34,080 --> 02:38:41,000 >> ANY OTHER COMMENTS OR 3757 02:38:41,000 --> 02:38:41,320 QUESTIONS? 3758 02:38:41,320 --> 02:38:44,240 >> HI. THANKS. I WANTED TO 3759 02:38:44,240 --> 02:38:45,560 CLARIFY THE COMMENT. PURPOSE OF 3760 02:38:45,560 --> 02:38:49,320 THIS IS REALLY THE NEXT 3761 02:38:49,320 --> 02:38:52,000 GENERATION ITERATION OF MR3 3762 02:38:52,000 --> 02:38:54,080 NETWORK. IS THAT RIGHT SETTING 3763 02:38:54,080 --> 02:38:56,880 UP SOMETHING SIMILAR OR IN BROAD 3764 02:38:56,880 --> 02:39:00,440 STROKE SGLZ BROAD STROKES. 3765 02:39:00,440 --> 02:39:01,320 >> OKAY. 3766 02:39:01,320 --> 02:39:03,560 >> THANK YOU, ERIC. 3767 02:39:03,560 --> 02:39:07,400 SEEMS TO ME THAT THIS MIGHT BE 3768 02:39:07,400 --> 02:39:14,320 AN OPPORTUNITY TO ENGAGE ALSO 3769 02:39:14,320 --> 02:39:14,600 INDUSTRY. 3770 02:39:14,600 --> 02:39:18,120 AND I DON'T SEE THAT HERE ON 3771 02:39:18,120 --> 02:39:18,440 SCOPE. 3772 02:39:18,440 --> 02:39:23,800 MAYBE THIS IS THE DETAILS BUT 3773 02:39:23,800 --> 02:39:28,120 ONLY THEY CAN PROVIDE SOURCES 3774 02:39:28,120 --> 02:39:29,360 AND ACCELERATE TRANSLATION AND 3775 02:39:29,360 --> 02:39:33,960 ALSO A GOOD PATHWAY FOR 3776 02:39:33,960 --> 02:39:34,960 CONSTRAINING STUDENTS AND POST 3777 02:39:34,960 --> 02:39:40,360 DOCS AND GOING TO INDUSTRY FOR 3778 02:39:40,360 --> 02:39:42,160 INTERNSHIP AND COMING BACK AND 3779 02:39:42,160 --> 02:39:49,320 THAT COULD BE HARNESSED FROM 3780 02:39:49,320 --> 02:39:52,600 COLLABORA 3781 02:39:52,600 --> 02:39:52,960 COLLABORATION. 3782 02:39:52,960 --> 02:39:54,960 INDUSTRY WOULD BE CORE PART OF 3783 02:39:54,960 --> 02:39:56,400 THE CENTER. THANK YOU. 3784 02:39:56,400 --> 02:39:58,640 >> WE TRY TO -- WE SAY WE TRY NO 3785 02:39:58,640 --> 02:40:08,720 THE TO GET INTO SPECIFIC TOPICS 3786 02:40:08,720 --> 02:40:11,560 KEY THING IS IDENTIFYING SOME 3787 02:40:11,560 --> 02:40:14,880 TOPICS AND WILL BE OPTIONS FOR 3788 02:40:14,880 --> 02:40:16,360 INVESTIGATORS TO HAVE OWN 3789 02:40:16,360 --> 02:40:20,360 CONCEPTS AND TACKLING THEIR OWN 3790 02:40:20,360 --> 02:40:22,680 PROBLEMS AND A CENTER OF THAT 3791 02:40:22,680 --> 02:40:24,320 NATURE WOULD SIT IN THE SCOPE OF 3792 02:40:24,320 --> 02:40:28,040 WHAT NIH FUNDS. 3793 02:40:28,040 --> 02:40:31,640 >> I'M SAYING THAT IS CRITICAL 3794 02:40:31,640 --> 02:40:36,000 THAT I SUGGEST THAT THIS SHOULD 3795 02:40:36,000 --> 02:40:36,920 BE PART OF THE DESIGN. 3796 02:40:36,920 --> 02:40:39,200 YOU KNOW? 3797 02:40:39,200 --> 02:40:41,040 SO, I CAN SEE PEOPLE THINKING 3798 02:40:41,040 --> 02:40:46,960 ABOUT IT. IT IS CRITICAL TO 3799 02:40:46,960 --> 02:40:49,120 CONNECT THIS WORK AND SUGGESTION 3800 02:40:49,120 --> 02:40:55,520 IS CONSIDERING CORE ASPECT OF 3801 02:40:55,520 --> 02:40:57,320 THIS RESOURCE CENTER. 3802 02:40:57,320 --> 02:40:59,520 >> THANK YOU. 3803 02:40:59,520 --> 02:41:04,360 >> SO SH, TOO STUPID TO REALIZE 3804 02:41:04,360 --> 02:41:07,880 THIS HAD TO DO WITH EXISTING MR3 3805 02:41:07,880 --> 02:41:10,880 NETWORK READING THIS AND GUESS 3806 02:41:10,880 --> 02:41:15,440 THERE IS POLITICAL REASON YOU 3807 02:41:15,440 --> 02:41:17,120 CAN'T TALK EXPLICITLY ABOUT THAT 3808 02:41:17,120 --> 02:41:19,400 BUT TALKING IN GENERAL TERMS 3809 02:41:19,400 --> 02:41:23,560 ABOUT WHAT NETWORK PROVIDED TO 3810 02:41:23,560 --> 02:41:27,120 THE FIELD. 3811 02:41:27,120 --> 02:41:27,520 >> YEAH. 3812 02:41:27,520 --> 02:41:29,920 >> YEAH. I THINK WE HAVE HAD 3813 02:41:29,920 --> 02:41:31,440 DISCUSSIONS ABOUT THAT. 3814 02:41:31,440 --> 02:41:35,480 THIS IS SORT OF A CULMINATION OF 3815 02:41:35,480 --> 02:41:39,360 THOSE DISCUSSIONS. 3816 02:41:39,360 --> 02:41:40,720 WANT TO ADD ANYTHING? 3817 02:41:40,720 --> 02:41:43,000 >> WORKING GROUP WITH YOU ALL IN 3818 02:41:43,000 --> 02:41:47,000 IT FOR SIX MONTHS LAST YEAR AND 3819 02:41:47,000 --> 02:41:49,960 REPORT OUT IN DECEMBER. 3820 02:41:49,960 --> 02:41:51,080 WE TOOK RECOMMENDATIONS AND 3821 02:41:51,080 --> 02:41:52,400 RECOMMENDATION WAS THIS IS 3822 02:41:52,400 --> 02:41:53,360 REALLY IMPORTANT AND WE NEED TO 3823 02:41:53,360 --> 02:41:54,240 DO IT. 3824 02:41:54,240 --> 02:41:56,480 NOW, WE ARE COMING BACK TO YOU 3825 02:41:56,480 --> 02:42:00,600 FOR THE FINAL STAMP THAT WE CAN 3826 02:42:00,600 --> 02:42:11,080 CONTINUE WITH THE PROGRAM. 3827 02:42:11,440 --> 02:42:13,200 >> ANYONE HAVE FINAL COMMENTS OR 3828 02:42:13,200 --> 02:42:15,200 INFORMATION THEY WOULD LIKE TO 3829 02:42:15,200 --> 02:42:16,400 PASS TO JOE? 3830 02:42:16,400 --> 02:42:19,280 >> TO CLARIFY, INCORPORATION OF 3831 02:42:19,280 --> 02:42:21,320 PEOPLE WITH LIVED EXPERIENCE AND 3832 02:42:21,320 --> 02:42:27,320 GIVEN CONVERSATIONS WE HAVE FOR 3833 02:42:27,320 --> 02:42:29,280 IMPLEMENTATION SCIENCE IS THAT, 3834 02:42:29,280 --> 02:42:32,640 THAT FLAVOR THAT YOU MEANT WHEN 3835 02:42:32,640 --> 02:42:34,800 YOU SAID THAT? PARTICIPATORY 3836 02:42:34,800 --> 02:42:35,000 TYPE. 3837 02:42:35,000 --> 02:42:42,320 >> SURE. REALLY DEPENDS ON THE 3838 02:42:42,320 --> 02:42:42,640 APPLICATION. 3839 02:42:42,640 --> 02:42:42,960 >> OKAY. 3840 02:42:42,960 --> 02:42:45,160 >> SOMETHING FOR APPLICANT TO 3841 02:42:45,160 --> 02:42:46,680 DETERMINE WHAT TYPE OF FUNDING 3842 02:42:46,680 --> 02:42:49,320 EXPERIENCE AND HOW TO 3843 02:42:49,320 --> 02:42:50,600 INCORPORATE IT. 3844 02:42:50,600 --> 02:42:51,240 >> THANK YOU. 3845 02:42:51,240 --> 02:42:53,200 >> OKAY. WITH THAT, I WOULD 3846 02:42:53,200 --> 02:42:56,640 LIKE TO MOVE TOWARDS VOTING. 3847 02:42:56,640 --> 02:43:00,680 SO, LET'S ASSUME THAT WE HAVE 3848 02:43:00,680 --> 02:43:03,440 MADE RECOMMENDATIONS AND JOE YOU 3849 02:43:03,440 --> 02:43:04,440 WILL INCORPORATE THEM INTO THE 3850 02:43:04,440 --> 02:43:05,080 FINAL VERSION. 3851 02:43:05,080 --> 02:43:05,360 >> UH-HUH. 3852 02:43:05,360 --> 02:43:07,440 >> OKAY. WITH THAT I WOULD LIKE 3853 02:43:07,440 --> 02:43:10,960 TO VOTE AS TO WHETHER WE ACCEPT 3854 02:43:10,960 --> 02:43:13,320 AS-IS OR ACCEPT WITH THE 3855 02:43:13,320 --> 02:43:14,520 DISCUSSION THAT WE JUST HAD 3856 02:43:14,520 --> 02:43:16,800 WHERE WE REJECT THIS CONCEPT 3857 02:43:16,800 --> 02:43:17,320 PROPOSAL. 3858 02:43:17,320 --> 02:43:22,200 ALL IN FAVOR OF ACCEPTING, 3859 02:43:22,200 --> 02:43:23,200 HANDS. 3860 02:43:23,200 --> 02:43:26,840 >> I WOULD LIKE TO ACCEPT WITH 3861 02:43:26,840 --> 02:43:27,240 [INDISCERNIBLE]. 3862 02:43:27,240 --> 02:43:31,880 >> WITH AMADS, EXACTLY. ANYONE 3863 02:43:31,880 --> 02:43:32,440 OPPOSED? 3864 02:43:32,440 --> 02:43:36,280 OKAY. THIS IS APPROVED. 3865 02:43:36,280 --> 02:43:43,040 >> THOSE ONLINE, PLEASE RAISE OR 3866 02:43:43,040 --> 02:43:53,400 LOWER YOUR THUMB. 3867 02:43:56,680 --> 02:44:03,520 >> GREAT. THANK YOU. 3868 02:44:03,520 --> 02:44:08,840 >> ALL RIGHT. AGAIN, AS WE HAVE 3869 02:44:08,840 --> 02:44:10,400 TO SAY GOOD-BYE TO TWO MORE OF 3870 02:44:10,400 --> 02:44:13,200 OUR MEMBERS, STEPHANIE AND 3871 02:44:13,200 --> 02:44:14,560 [INDISCERNIBLE]. I WILL LET 3872 02:44:14,560 --> 02:44:17,080 STEPHANIE GO FIRST. ERIC, I 3873 02:44:17,080 --> 02:44:19,120 HAVE TO GIVE A SPECIAL HUG. HE 3874 02:44:19,120 --> 02:44:20,160 FEATURED US SO. 3875 02:44:20,160 --> 02:44:24,080 I WANT TO GIVE STEPHANIE A 3876 02:44:24,080 --> 02:44:25,320 CHANCE. WE APPRECIATE HER 3877 02:44:25,320 --> 02:44:27,560 COMMENTS FROM DIFFERENT ANGLES. 3878 02:44:27,560 --> 02:44:30,440 YOU BROUGHT A LOT OF -- YOU 3879 02:44:30,440 --> 02:44:31,400 REALLY HELPED OUR DISCUSSIONS 3880 02:44:31,400 --> 02:44:33,760 AND WANT TO GIVE YOU A CHANCE TO 3881 02:44:33,760 --> 02:44:35,600 MAKE YOUR PARTING COMMENTS AND 3882 02:44:35,600 --> 02:44:36,960 WHAT YOU APPRECIATE ABOUT THEM 3883 02:44:36,960 --> 02:44:39,040 AND MESSAGES YOU WANT TO LEAVE 3884 02:44:39,040 --> 02:44:39,840 TO YOUR COLLEAGUES. 3885 02:44:39,840 --> 02:44:43,760 >> FIRST OF ALL, THANKS SO MUCH. 3886 02:44:43,760 --> 02:44:46,960 I ALWAYS FORGET THE MIC. NEVER 3887 02:44:46,960 --> 02:44:49,640 FORGET T THAT IS FIRST 3888 02:44:49,640 --> 02:44:50,760 RECOMMENDATION. I ALWAYS FORGET 3889 02:44:50,760 --> 02:44:53,560 THE MIC. I WANT TO MAINLY THANK 3890 02:44:53,560 --> 02:44:55,960 YOU ALL FOR ALLOWING ME TO 3891 02:44:55,960 --> 02:44:57,960 PARTICIPATE. IT IS INCREDIBLE. 3892 02:44:57,960 --> 02:45:00,360 I LEARNED A LOT AND HOPE I 3893 02:45:00,360 --> 02:45:01,560 CONTRIBUTED A LITTLE. 3894 02:45:01,560 --> 02:45:04,000 SO, I THINK THAT I LEARNED MUCH 3895 02:45:04,000 --> 02:45:06,360 MORE THAN I CONTRIBUTED. 3896 02:45:06,360 --> 02:45:08,120 I'M THANKFUL FOR THE 3897 02:45:08,120 --> 02:45:08,440 OPPORTUNITY. 3898 02:45:08,440 --> 02:45:10,240 THAT WAS VERY IMPORTANT. I 3899 02:45:10,240 --> 02:45:13,320 THINK THAT ONE OF THE THINGS 3900 02:45:13,320 --> 02:45:17,320 THAT I WOULD SAY TO EVERYONE, 3901 02:45:17,320 --> 02:45:18,680 RALPH MENTIONED THAT I COMMENTED 3902 02:45:18,680 --> 02:45:19,720 A LOT, I GUESS. 3903 02:45:19,720 --> 02:45:21,920 I THINK IT IS A GOOD THING. 3904 02:45:21,920 --> 02:45:23,760 I THINK IT IS SOMETHING THAT 3905 02:45:23,760 --> 02:45:25,120 LOTS OF PEOPLE COME TO THESE 3906 02:45:25,120 --> 02:45:26,360 TYPES OF PROCESSES. 3907 02:45:26,360 --> 02:45:28,400 THEY WAIT BEFORE THEY COMMENT 3908 02:45:28,400 --> 02:45:29,320 AND INTERACT. 3909 02:45:29,320 --> 02:45:32,000 WE WILL GET MORE OUT OF IT. IF 3910 02:45:32,000 --> 02:45:34,600 YOU STEP INTO THE SPACE. IF YOU 3911 02:45:34,600 --> 02:45:37,320 STEP INTO IT. AND HAVE YOUR 3912 02:45:37,320 --> 02:45:37,960 VOICES HEARD. 3913 02:45:37,960 --> 02:45:41,720 YOU ARE HERE FOR A REASON. 3914 02:45:41,720 --> 02:45:44,240 ARE YOU HERE TO -- TO ADD TO THE 3915 02:45:44,240 --> 02:45:45,280 CONVERSATION. DON'T BE SHY 3916 02:45:45,280 --> 02:45:47,080 ABOUT ADDING TO THE CONVERSATION 3917 02:45:47,080 --> 02:45:48,680 IS REALLY THE POINT. 3918 02:45:48,680 --> 02:45:50,520 I ALSO HAVE ON THAT END THAT I 3919 02:45:50,520 --> 02:45:54,560 WANT TO SAY THAT I HAVE BEEN 3920 02:45:54,560 --> 02:45:58,760 INVOLVED WITH OTHER TYPES OF 3921 02:45:58,760 --> 02:46:00,040 BOARDS THAT WERE LESS RESPONSIVE 3922 02:46:00,040 --> 02:46:03,520 TO -- OR THE LEADERSHIP WAS LESS 3923 02:46:03,520 --> 02:46:05,000 RESPONSIVE TO RECOMMENDATIONS. 3924 02:46:05,000 --> 02:46:07,360 I WANT TO APPLAUD YOU ALL FOR 3925 02:46:07,360 --> 02:46:09,040 REALLY HEARING WHAT WE HAD TO 3926 02:46:09,040 --> 02:46:12,960 SAY. I REALLY SAW THAT 3927 02:46:12,960 --> 02:46:14,000 CONSISTENTLY ACROSS MY TENURE IN 3928 02:46:14,000 --> 02:46:16,080 THIS PROCESS. 3929 02:46:16,080 --> 02:46:17,480 SO, I'M VERY GRATEFUL TO HAVE 3930 02:46:17,480 --> 02:46:20,680 BEEN PART OF IT ALL. 3931 02:46:20,680 --> 02:46:23,600 AND BEYOND RAISING YOUR VOICES 3932 02:46:23,600 --> 02:46:26,360 AND THINKING BROADLY ACROSS THE 3933 02:46:26,360 --> 02:46:26,600 ISSUES. 3934 02:46:26,600 --> 02:46:29,920 I THINK THAT IS THE TWO MAIN 3935 02:46:29,920 --> 02:46:33,320 THINGS. I WILL LEAD PEDIATRIC 3936 02:46:33,320 --> 02:46:36,640 REPRESENTATION IN HANDS OF WADE. 3937 02:46:36,640 --> 02:46:41,320 I SAID TO HIM CAN'T LET IT GET 3938 02:46:41,320 --> 02:46:43,440 LOST IN THE BREAK AND OVERT 3939 02:46:43,440 --> 02:46:45,560 OMISSION AND IT SOMETIMES BRINGS 3940 02:46:45,560 --> 02:46:47,160 UNIQUE CHALLENGES TO REHAB 3941 02:46:47,160 --> 02:46:48,840 ILLTATION THAT NEED TO BE 3942 02:46:48,840 --> 02:46:50,480 BROUGHT UP. I'M VERY GRATEFUL. 3943 02:46:50,480 --> 02:46:52,480 I HAVE ENJOYED WORKING WITH ALL 3944 02:46:52,480 --> 02:46:55,280 OF YOU AND AS SAID EARLIER, IF 3945 02:46:55,280 --> 02:46:57,320 ANYTHING I CAN EVER DO I WOULD 3946 02:46:57,320 --> 02:47:00,920 BE DELIGHTED TO DO THAT. 3947 02:47:00,920 --> 02:47:11,160 THANK YOU! 3948 02:47:15,200 --> 02:47:17,200 >> TO OUR CHAIR, I APPRECIATE 3949 02:47:17,200 --> 02:47:20,040 THE GRACEFUL WAY THAT HE JUMPED 3950 02:47:20,040 --> 02:47:21,080 IN THERE. 3951 02:47:21,080 --> 02:47:24,520 INCREDIBLE EXECUTIVE SKILLS IN 3952 02:47:24,520 --> 02:47:26,400 KEEPING US GOING. 3953 02:47:26,400 --> 02:47:31,000 WAY THAT HE POWERED ALL OF YOU 3954 02:47:31,000 --> 02:47:33,720 FOLKS APPRECIATE HIS SCIENTIFIC 3955 02:47:33,720 --> 02:47:37,160 CAREER AND ADVICE AND A CHANCE 3956 02:47:37,160 --> 02:47:38,200 TO [INDISCERNIBLE]. 3957 02:47:38,200 --> 02:47:41,320 >> GREAT. THANK ALL OF YOU AND 3958 02:47:41,320 --> 02:47:42,680 STARTING WITH A SPECIAL THANK 3959 02:47:42,680 --> 02:47:44,720 YOU TO THERESA AND RALPH FOR 3960 02:47:44,720 --> 02:47:47,320 INVITING ME TO BE ON THE BOARD. 3961 02:47:47,320 --> 02:47:48,960 I HONESTLY DIDN'T KNOW WHAT I 3962 02:47:48,960 --> 02:47:51,000 WAS GETTING INTO. IT WAS REALLY 3963 02:47:51,000 --> 02:47:52,200 A PLEASURE. I'M SOMEONE WHO MAY 3964 02:47:52,200 --> 02:47:55,560 OR MAY NOT BE A DATAPO INT IN 3965 02:47:55,560 --> 02:47:57,320 THAT PIPELINE AND BENEFITS FROM 3966 02:47:57,320 --> 02:48:02,480 T AWARD AND K AWARD AND 3967 02:48:02,480 --> 02:48:04,320 EVENTUALLY AN R01 AND THROUGHOUT 3968 02:48:04,320 --> 02:48:06,000 THAT ONE KEY REASON I WAS ABLE 3969 02:48:06,000 --> 02:48:07,720 TO BE SUCCESSFUL WAS SUPPORT 3970 02:48:07,720 --> 02:48:11,800 FROM NCMRR AND LEADERSHIP AND 3971 02:48:11,800 --> 02:48:13,280 PEOPLE QUITE A FEW YEARS AHEAD 3972 02:48:13,280 --> 02:48:16,320 OF ME AT THE TIME THAT IS 3973 02:48:16,320 --> 02:48:17,680 SOMETHING NEAR AND DEAR TO MY 3974 02:48:17,680 --> 02:48:19,080 HEART AND HAPPY TO BE PART OF 3975 02:48:19,080 --> 02:48:21,320 THE BOARD IN HOPES WE CAN 3976 02:48:21,320 --> 02:48:23,080 MAINTAIN COMMUNITY WE TALKED 3977 02:48:23,080 --> 02:48:25,520 ABOUT SO STRONGLY YESTERDAY. 3978 02:48:25,520 --> 02:48:29,720 AND IN TERMS OF ADVICE, I GUESS, 3979 02:48:29,720 --> 02:48:33,120 ENJOY YOUR TIME HERE. I ENJOYED 3980 02:48:33,120 --> 02:48:34,680 JOINING THE BOARD WHEN I CAME. 3981 02:48:34,680 --> 02:48:37,080 A FEW PEOPLE WERE LONG-TIME 3982 02:48:37,080 --> 02:48:38,360 FRIENDS AND I MADE MANY MORE AND 3983 02:48:38,360 --> 02:48:40,400 NICE TO SEE MORE FRIENDS JOIN 3984 02:48:40,400 --> 02:48:41,920 THE BOARD OVER THE COURSE OF MY 3985 02:48:41,920 --> 02:48:44,920 TIME AND MORE PEOPLE I DIDN'T 3986 02:48:44,920 --> 02:48:46,520 KNOW THAT I NOW CONSIDER FRIENDS 3987 02:48:46,520 --> 02:48:48,360 AND FRIEND TO ME IS SOMEONE I 3988 02:48:48,360 --> 02:48:49,720 CAN ENJOY TIME WITH WHEN GOING 3989 02:48:49,720 --> 02:48:52,400 OUT FOR DINNER IN THE EVENINGS 3990 02:48:52,400 --> 02:48:54,720 AND ENJOY INTELLECTUAL DISCOURSE 3991 02:48:54,720 --> 02:48:56,600 AND DIFFERENCE OF VIEWPOINTS OF 3992 02:48:56,600 --> 02:48:58,480 EVERYONE ON THE BOARD IS AN 3993 02:48:58,480 --> 02:49:01,240 EDUCATIONAL EXPERIENCE FOR ME 3994 02:49:01,240 --> 02:49:04,720 AND HEARTENS ME IN TERMS OF NCMR 3995 02:49:04,720 --> 02:49:07,320 IS IN GREAT HANDS AND STEPHANIE 3996 02:49:07,320 --> 02:49:09,080 BROUGHT OUT THAT VOICES ARE 3997 02:49:09,080 --> 02:49:11,080 LISTENED TO AND ENJOY THAT 3998 02:49:11,080 --> 02:49:12,880 EVERYONE HAS BEEN INCREDIBLY 3999 02:49:12,880 --> 02:49:13,920 PARTICIPATORY OVER THE LAST 4000 02:49:13,920 --> 02:49:15,200 COUPLE DAYS AND ENCOURAGE YOU TO 4001 02:49:15,200 --> 02:49:16,320 KEEP DOING THAT. 4002 02:49:16,320 --> 02:49:18,760 WE HAVE GREAT LEADERS THAT WILL 4003 02:49:18,760 --> 02:49:19,920 LISTEN AND RESPOND TO YOU. 4004 02:49:19,920 --> 02:49:22,400 TAKE ADVANTAGE OF THAT. SO, 4005 02:49:22,400 --> 02:49:32,800 THANKS FOR YOUR TIME. 4006 02:49:40,480 --> 02:49:43,880 >> AT THIS POINT NEWLY ELECTED 4007 02:49:43,880 --> 02:49:47,440 CHAIR BARBARA IS TAKING OVER AS 4008 02:49:47,440 --> 02:49:48,720 LEADERSHIP AND FIRST ORDER OF 4009 02:49:48,720 --> 02:49:50,600 BUSINESS FOR HER AND LAST TO 4010 02:49:50,600 --> 02:49:51,920 ERIC IS WHAT DO YOU FOLKS WANT 4011 02:49:51,920 --> 02:49:53,400 FOR THE DECEMBER MEETING AND 4012 02:49:53,400 --> 02:49:55,360 BEYOND AND WANT TO WELCOME IDEAS 4013 02:49:55,360 --> 02:49:57,160 YOU HAVE FOR TOPICS AND THINGS 4014 02:49:57,160 --> 02:49:58,800 BOILING UP HERE AND THAT YOU 4015 02:49:58,800 --> 02:50:00,600 WANT TO HEAR MORE ABOUT AND HOW 4016 02:50:00,600 --> 02:50:02,680 YOU WANT THAT PRESENTED WHO WILL 4017 02:50:02,680 --> 02:50:05,480 BE GOOD SPEAKERS AND I WILL LET 4018 02:50:05,480 --> 02:50:07,720 BARBARA LEAD THAT DISCUSSION. 4019 02:50:07,720 --> 02:50:11,440 >> THANK YOU. BEFORE WE GET TO 4020 02:50:11,440 --> 02:50:13,320 THAT THANK YOU TO STA STEPHANIE 4021 02:50:13,320 --> 02:50:16,480 AND ERIC AND YOU HAVE BEEN 4022 02:50:16,480 --> 02:50:18,120 TREMENDOUS AND GRATEFUL YOU ALL 4023 02:50:18,120 --> 02:50:22,080 SAID YOU WOULD BEL TO BE CON 4024 02:50:22,080 --> 02:50:22,680 CONTAC 4025 02:50:22,680 --> 02:50:25,120 CONTACTED. SXEBLTH TO HEAR FROM 4026 02:50:27,000 --> 02:50:27,120 US. 4027 02:50:27,120 --> 02:50:30,680 STARTING WITH IDEAS YOU HAVE 4028 02:50:30,680 --> 02:50:32,600 FROM TOPICS YOU WOULD LIKE TO 4029 02:50:32,600 --> 02:50:35,920 ADDRESS IN THE NEXT DECEMBER 4030 02:50:35,920 --> 02:50:46,080 MEETING. 4031 02:50:54,920 --> 02:50:59,920 INJURY REHAB WHETHER IT IS 4032 02:50:59,920 --> 02:51:09,880 MILITARY OR ACCIDENT. 4033 02:51:09,880 --> 02:51:12,440 >> I THINK IT IS A GREAT POINT. 4034 02:51:12,440 --> 02:51:15,720 CAN I ASK HOW YOU WOULD WANT 4035 02:51:15,720 --> 02:51:18,640 THAT DISCUSSION AND MORE USEFUL 4036 02:51:18,640 --> 02:51:19,440 INFORMATION WITHIN THAT 4037 02:51:19,440 --> 02:51:19,840 DISCUSSION? 4038 02:51:19,840 --> 02:51:22,680 >> SAME AS WE COVERED WITH THE 4039 02:51:22,680 --> 02:51:24,720 OTHERS; RIGHT? 4040 02:51:24,720 --> 02:51:26,920 WHAT IS FUNDING AND HOW DOES IT 4041 02:51:26,920 --> 02:51:28,520 COMPARE TO OTHER TOPICS AND WHAT 4042 02:51:28,520 --> 02:51:31,640 IS THE DEMOGRAPHICS? 4043 02:51:31,640 --> 02:51:32,840 IT IS VOLUME. 4044 02:51:32,840 --> 02:51:34,160 NOTHING SURPRISING AND NO I 4045 02:51:34,160 --> 02:51:35,640 DON'T HAVE A GOOD PERSON TO 4046 02:51:35,640 --> 02:51:39,360 SPEAK ON THAT. I WOULD NOT 4047 02:51:39,360 --> 02:51:39,800 KNOW. 4048 02:51:39,800 --> 02:51:44,400 BUT MY GUESS IS LOTS OF REHAB 4049 02:51:44,400 --> 02:51:46,800 OUT THERE COVERS THOSE TYPES OF 4050 02:51:46,800 --> 02:51:48,560 TOPICS AND ONCE THERE IS 4051 02:51:48,560 --> 02:51:49,720 PENETRATION THERE SO-TO-SPEAK. 4052 02:51:49,720 --> 02:51:51,400 >> ADDING TO THAT POINT, I 4053 02:51:51,400 --> 02:51:55,080 THINK, LOOKING AT RELATIONSHIPS 4054 02:51:55,080 --> 02:51:56,680 BETWEEN CLINICAL VOLUME AND 4055 02:51:56,680 --> 02:52:00,000 RESEARCH DOLLARS WOULD BE VERY 4056 02:52:00,000 --> 02:52:08,360 INTERESTING. 4057 02:52:08,360 --> 02:52:09,040 >> THANK YOU. 4058 02:52:09,040 --> 02:52:10,640 >> I KNOW WE ARE TALKING ABOUT 4059 02:52:10,640 --> 02:52:12,680 BRINGING IN PERSONS WITH LIVED 4060 02:52:12,680 --> 02:52:15,320 EXPERIENCES TO BE PART OF OUR 4061 02:52:15,320 --> 02:52:16,720 RESEARCH PROGRAMS AND AGENDA I 4062 02:52:16,720 --> 02:52:19,240 THINK. WE TALKED A LITTLE ABOUT 4063 02:52:19,240 --> 02:52:20,480 KNOWLEDGE TRANSLATION TODAY AND 4064 02:52:20,480 --> 02:52:21,880 ABOUT HOW TO GET INFORMATION TO 4065 02:52:21,880 --> 02:52:25,840 THE XHOO UNITIES AND THINGS AND 4066 02:52:25,840 --> 02:52:31,120 I THINK THAT BRINGING IN SOMEONE 4067 02:52:31,120 --> 02:52:33,160 WHO HAS HAD EXPERT SUCCESS IN 4068 02:52:33,160 --> 02:52:36,720 DOING THAT AND BEING ABLE TO 4069 02:52:36,720 --> 02:52:37,880 PROVIDE PRACTICAL APPLICATIONS 4070 02:52:37,880 --> 02:52:39,960 HOW TO REALLY BRING IN PERSONS 4071 02:52:39,960 --> 02:52:43,640 WITH LIVED EXPERIENCE TO 4072 02:52:43,640 --> 02:52:44,240 RESEARCH AGENDA IS 4073 02:52:44,240 --> 02:52:44,640 [INDISCERNIBLE]. 4074 02:52:44,640 --> 02:52:48,840 >> YEAH. I WANT TO ECHO THAT. 4075 02:52:48,840 --> 02:52:53,360 I WAS JUST THINKING ABOUT REALLY 4076 02:52:53,360 --> 02:52:56,640 INTERESTING FOR CENTERS LIKE 4077 02:52:56,640 --> 02:52:57,640 IMPACT, ET CETERA AND THINKING 4078 02:52:57,640 --> 02:53:00,720 THROUGH LIKE GOING TO THAT NEXT 4079 02:53:00,720 --> 02:53:03,440 LEVEL THAT FEELS LIKE THIS WAVE 4080 02:53:03,440 --> 02:53:07,400 IS TOWARDS THAT, YOU KNOW? 4081 02:53:07,400 --> 02:53:09,320 REALLY MAKING YOUR RESEARCH 4082 02:53:09,320 --> 02:53:13,680 COUNT AND ECHOING THAT NEED FOR 4083 02:53:13,680 --> 02:53:15,440 MORE PRACTICAL EXAMPLES. 4084 02:53:15,440 --> 02:53:18,960 AS AN ENGINEERING, I WANT TO 4085 02:53:18,960 --> 02:53:20,360 UNDERSTAND A LITTLE WHEN 4086 02:53:20,360 --> 02:53:21,640 TECHNOLOGY IS IN THE MIX, WHAT 4087 02:53:21,640 --> 02:53:24,280 DOES IT LOOK LIKE? 4088 02:53:24,280 --> 02:53:25,840 MAYBE IMPACT CENTER OR ONE OF 4089 02:53:25,840 --> 02:53:33,280 THE CENTERS OR ONE OF THESE MRV 4090 02:53:33,280 --> 02:53:34,000 CORRECT 4091 02:53:34,000 --> 02:53:34,560 CENTERS THERE IS ONE ON 4092 02:53:34,560 --> 02:53:35,960 TECHNOLOGY AND OTHERS TO TALK 4093 02:53:35,960 --> 02:53:36,480 ABOUT THAT. 4094 02:53:36,480 --> 02:53:39,200 >> I SHOULD ADD WE HAVE A FEW 4095 02:53:39,200 --> 02:53:41,360 R25 PROGRAMS WHERE THERE IS 4096 02:53:41,360 --> 02:53:43,400 SPECIFICALLY INVOLVING TAKING 4097 02:53:43,400 --> 02:53:45,360 ENGINEERS THAT ARE WELL-MEANING 4098 02:53:45,360 --> 02:53:48,160 AND OVER ENGINEERING THINGS AND 4099 02:53:48,160 --> 02:53:49,480 HAVING THEM CONNECT PEOPLE WITH 4100 02:53:49,480 --> 02:53:52,120 LIVED EXPERIENCES THAT MAKES 4101 02:53:52,120 --> 02:53:54,400 THEM UNDERSTAND REAL NEEDS HOW 4102 02:53:54,400 --> 02:53:55,920 TO SCALE IT BACK AND MAKE IT 4103 02:53:55,920 --> 02:54:06,440 MORE. OKAY. WHAT WE HAVE HERE. 4104 02:54:07,600 --> 02:54:09,680 >> OTHER COMMENT SGLZ FRANCISCO? 4105 02:54:09,680 --> 02:54:13,320 >> THANK YOU, ERIC AND FORYOUR 4106 02:54:13,320 --> 02:54:15,480 SERVICE AS CHAIR. IT HAS BEEN A 4107 02:54:15,480 --> 02:54:17,320 PLEASURE TO WORK WITH YOU. YOU 4108 02:54:17,320 --> 02:54:19,360 HAVE CATALYZED A LOT OF GOOD 4109 02:54:19,360 --> 02:54:22,960 STUFF AND IN RELATION TO WHAT IS 4110 02:54:22,960 --> 02:54:24,760 NE 4111 02:54:24,760 --> 02:54:28,400 NEXT, I WAS REALLY PLEASED AND 4112 02:54:28,400 --> 02:54:31,160 HAPPY TO SEE THE TRANSLATION 4113 02:54:31,160 --> 02:54:32,160 PART HIGHLIGHTED TODAY. 4114 02:54:32,160 --> 02:54:35,040 IT IS REALLY IF NOT THE CORE, IT 4115 02:54:35,040 --> 02:54:36,080 IS THE DELIVERABLE. 4116 02:54:36,080 --> 02:54:43,040 IT IS OF A LOT OF WHAT WE DO. 4117 02:54:43,040 --> 02:54:47,920 I THOUGHT IT WOULD BE USEFUL TO 4118 02:54:47,920 --> 02:54:49,720 DISCUSS HOW WE COMPARE RESEARCH 4119 02:54:49,720 --> 02:54:50,720 SCIENTISTS AND MISSION STATEMENT 4120 02:54:50,720 --> 02:54:53,880 OF THE NIH IS FUNDAMENTAL 4121 02:54:53,880 --> 02:54:55,240 MECHANISMS FROM FUNDAMENTAL 4122 02:54:55,240 --> 02:54:56,560 SOLUTIONS; RIGHT? 4123 02:54:56,560 --> 02:54:59,600 THAT IS IN OUR FIELD FAR FROM 4124 02:54:59,600 --> 02:55:01,160 THE [INDISCERNIBLE] AND THOSE 4125 02:55:01,160 --> 02:55:04,080 THAT HAVE EXPERIENCE WOULD SAY 4126 02:55:04,080 --> 02:55:05,600 ESBIR MECHANISMS AND THE LIKE, 4127 02:55:05,600 --> 02:55:10,440 WE ARE CONFRONTED WITH THE NEED 4128 02:55:10,440 --> 02:55:14,760 TO ACTUALLY TRANSLATE REAL 4129 02:55:14,760 --> 02:55:17,320 PROCESSES AND REAL FINDINGS TO 4130 02:55:17,320 --> 02:55:18,400 THE USER. 4131 02:55:18,400 --> 02:55:22,120 SO, HOW CAN -- I MEAN, THE -- 4132 02:55:22,120 --> 02:55:25,320 THE REALITY IS THAT NOT EVERYONE 4133 02:55:25,320 --> 02:55:27,760 IS GOOD AT EVERYTHING. 4134 02:55:27,760 --> 02:55:30,360 IF YOU COULD BE VERY GOOD AT 4135 02:55:30,360 --> 02:55:34,240 BASIC SCIENCE AND NOT GOOD AT 4136 02:55:34,240 --> 02:55:35,760 TRANSLATING THAT KNOWLEDGE. 4137 02:55:35,760 --> 02:55:41,200 WHAT CAN WE DO? FROM THE NCMRR 4138 02:55:41,200 --> 02:55:49,960 PERSPECTIVE TO TRAIN AND BRING 4139 02:55:49,960 --> 02:55:51,680 TOGETHER AND MAKE PEOPLE AWARE 4140 02:55:51,680 --> 02:55:56,120 OF THE LONG ROAD. CAN WE 4141 02:55:56,120 --> 02:55:58,440 SOMEHOW FIND A WAY ENCOURAGE 4142 02:55:58,440 --> 02:56:02,680 PEOPLE BY TEAM BUILDING OR 4143 02:56:02,680 --> 02:56:03,520 COLLABORATIVE BRANCH OR 4144 02:56:03,520 --> 02:56:04,480 SOMETHING THAT LEVERAGES WHAT 4145 02:56:04,480 --> 02:56:06,640 PEOPLE ARE ALREADY DOING IN A 4146 02:56:06,640 --> 02:56:11,240 WAY THAT WILL ACCELERATE THAT 4147 02:56:11,240 --> 02:56:11,600 TRANSLATION? 4148 02:56:11,600 --> 02:56:14,200 I THOUGHT IT WAS WONDERFUL WHAT 4149 02:56:14,200 --> 02:56:16,440 WE HEARD TODAY IN TERMS OF 4150 02:56:16,440 --> 02:56:21,320 KNOWLEDGE TRANSLATION AND IF WE 4151 02:56:21,320 --> 02:56:24,080 COULD ONLY LEARN LESSONS AND 4152 02:56:24,080 --> 02:56:26,960 BRIDGE 7 TA ENYEARS THAT WOULD 4153 02:56:26,960 --> 02:56:27,520 BE GREAT. 4154 02:56:27,520 --> 02:56:29,320 >> EXCELLENT POINT TO TRAIN 4155 02:56:29,320 --> 02:56:32,720 RESEARCHERS AND APPLICATIONS. 4156 02:56:32,720 --> 02:56:36,600 >> WONDER IF YOU HAVE PARTICULAR 4157 02:56:36,600 --> 02:56:39,960 SUGGESTIONS FOR THOSE THAT COULD 4158 02:56:39,960 --> 02:56:45,600 COME TOGETHER WITH US FOR THAT 4159 02:56:45,600 --> 02:56:49,320 IF NOT AT TOP OF HEAD FEEL FREE 4160 02:56:49,320 --> 02:56:52,440 TO SEND THEM ALONG. 4161 02:56:52,440 --> 02:56:57,240 >> >> THIS IS A DIFFERENT TOPIC 4162 02:56:57,240 --> 02:57:00,680 IS NIH ACROSS OTHER DISCIPLINES 4163 02:57:00,680 --> 02:57:02,320 TACKLING THIS ISSUE OR GETTING 1 4164 02:57:02,320 --> 02:57:03,640 OR 2 PEOPLE TO HAVE A DISCUSSION 4165 02:57:03,640 --> 02:57:06,200 WITH US ALONG THIS TOPIC LINE. 4166 02:57:06,200 --> 02:57:08,440 THIS IS NOT UNIQUE TO US AND 4167 02:57:08,440 --> 02:57:12,640 WOULD LIKE TO HEAR HOW OTHERS 4168 02:57:12,640 --> 02:57:17,800 ARE CHALLENGING THIS. 4169 02:57:17,800 --> 02:57:23,240 >> HELPING ME PUT TOGETHER THE 4170 02:57:23,240 --> 02:57:28,080 AGENDA 5 YEARS ORRISH WE HAD 4171 02:57:28,080 --> 02:57:32,600 DAVE AND HISSED LAB TRANSLATED 4172 02:57:32,600 --> 02:57:36,080 TECHNOLOGY INTO THE FLINT REHAB 4173 02:57:36,080 --> 02:57:39,640 COMPANY AND IS THAT STORY YOU 4174 02:57:39,640 --> 02:57:46,440 WANT TO HEAR AND DO YOU WANT NIH 4175 02:57:46,440 --> 02:57:47,880 OFFICIAL STORY? 4176 02:57:47,880 --> 02:57:52,120 >> 18 PRESENTATIONS TODAY, THOSE 4177 02:57:52,120 --> 02:57:56,800 THAT DID A WONDERFUL JOB TALK 4178 02:57:56,800 --> 02:58:03,160 BEING MODELS AND THEORIES. 4179 02:58:03,160 --> 02:58:05,880 >> RESEARCHERS DO A WONDERFUL 4180 02:58:05,880 --> 02:58:07,800 JOB OF THAT THIRD PRESENTATION 4181 02:58:07,800 --> 02:58:09,680 THERE WAS CASE PRESENTATIONS AND 4182 02:58:09,680 --> 02:58:11,520 OTHER PEOPLE IN THE INSTITUTE 4183 02:58:11,520 --> 02:58:14,560 AND I'M NOT JUMPING UP AND DOWN 4184 02:58:14,560 --> 02:58:16,400 BUT IF I WAS JUMPING UP AND DOWN 4185 02:58:16,400 --> 02:58:21,320 I WOULD SAY OMG, 17 YEARS TO GO 4186 02:58:21,320 --> 02:58:24,920 FROM ONE TO THE OTHER? 4187 02:58:24,920 --> 02:58:27,680 WE ARE THIS FAR INTO MAN'S 4188 02:58:27,680 --> 02:58:29,520 EXISTENCE AND DOING THINGS AND 4189 02:58:29,520 --> 02:58:33,320 WE ARE THIS FAR INTO HUMAN 4190 02:58:33,320 --> 02:58:37,320 EXISTENCE AND HAVING 4191 02:58:37,320 --> 02:58:38,440 [INDISCERN 4192 02:58:38,440 --> 02:58:38,840 [INDISCERNIBLE]. 4193 02:58:38,840 --> 02:58:40,400 >> I WANT TO PUSH BACK ON STEVE 4194 02:58:40,400 --> 02:58:42,520 FOR A MINUTE REHAB FOO ELD IS 4195 02:58:42,520 --> 02:58:44,000 MORE IMPORTANT FOR US AND WE 4196 02:58:44,000 --> 02:58:45,920 HAVE CHRONIC SUPPORT AND ISSUES 4197 02:58:45,920 --> 02:58:50,320 ARE GETTING MAGNIFIED FOR OUR 4198 02:58:50,320 --> 02:58:53,360 POPULATIONS AND OUR RESEARCH. 4199 02:58:53,360 --> 02:58:58,360 >> I THINK IN REHABILITATION, 4200 02:58:58,360 --> 02:59:01,280 KNOWLEDGE TRANSLATION THAT COMES 4201 02:59:01,280 --> 02:59:06,280 OUT OF OUR TRANSLATIONAL AND 4202 02:59:06,280 --> 02:59:07,640 INTERVENTION STUDIES IS JUST 4203 02:59:07,640 --> 02:59:09,320 THAT. IT IS KNOWLEDGE. 4204 02:59:09,320 --> 02:59:13,080 SOMETIMES YOU HAVE SOMETHING 4205 02:59:13,080 --> 02:59:15,120 LIKE DEVICES AND LIKE DAVE'S 4206 02:59:15,120 --> 02:59:16,800 STORY. DEVICES ARE EASIER TO 4207 02:59:16,800 --> 02:59:19,320 THINK ABOUT. IT IS HARD TO 4208 02:59:19,320 --> 02:59:20,760 REALLY ENVISION HOW TO GET 4209 02:59:20,760 --> 02:59:23,640 KNOWLEDGE TO THEEND USER 4210 02:59:23,640 --> 02:59:26,360 WHENNEND USER IS A COMBINATION 4211 02:59:26,360 --> 02:59:29,320 AS PEOPLE WHO ARE GOING TO BE 4212 02:59:29,320 --> 02:59:30,960 RECEIVING REHABILITATION AND TO 4213 02:59:30,960 --> 02:59:32,800 A LARGE DEGREE THE THERAPISTS 4214 02:59:32,800 --> 02:59:36,160 AND OT AND PTS AND SPEECH 4215 02:59:36,160 --> 02:59:37,280 THERAPISTS AND SO FORTH. 4216 02:59:37,280 --> 02:59:38,960 IT WOULD BE GREAT, YOU KNOW, TO 4217 02:59:38,960 --> 02:59:41,120 GET EXAMPLES OF THAT IN THE SAME 4218 02:59:41,120 --> 02:59:43,240 WAY THAT APPARENTLY THEY DID 4219 02:59:43,240 --> 02:59:45,320 WITH REGARD TO THE TYPES OF 4220 02:59:45,320 --> 02:59:47,480 DEVICE DEVELOPMENT THAT DAVID IS 4221 02:59:47,480 --> 02:59:47,720 DOING. 4222 02:59:47,720 --> 02:59:51,120 >> I JUST WANTED TO CLEAR UPTAKE 4223 02:59:51,120 --> 02:59:52,720 PART. IT IS KIND OF LIKE, YOU 4224 02:59:52,720 --> 02:59:57,320 KNOW, THERE IS A LOT OF 4225 02:59:57,320 --> 02:59:59,560 WORK-AROUND GETTING IT OUT SPR 4226 02:59:59,560 --> 03:00:01,320 AND IS OTHER SIDE THAT I THINK 4227 03:00:01,320 --> 03:00:03,320 IS THE CHALLENGE PART, THE 4228 03:00:03,320 --> 03:00:04,480 UPTAKE. YOU KNOW, PEOPLE 4229 03:00:04,480 --> 03:00:06,600 TALKING ABOUT THAT PROCESS OF 4230 03:00:06,600 --> 03:00:08,360 UPTAKING IT INTO THE HEALTH 4231 03:00:08,360 --> 03:00:11,640 SYSTEMS THAT IS THE PART THAT I 4232 03:00:11,640 --> 03:00:12,640 THINK IS MORE DIFFICULT. 4233 03:00:12,640 --> 03:00:16,480 AND I THINK IT IS THE PART WHERE 4234 03:00:16,480 --> 03:00:20,160 WE DON'T EXCEL AT IN TERMS OF 4235 03:00:20,160 --> 03:00:22,160 PARTNERSHIPS THAT REQUIRE THE 4236 03:00:22,160 --> 03:00:23,520 IMPLEMENTATION AND CHANGING IN 4237 03:00:23,520 --> 03:00:25,080 BEHAVIOR AS A RESULT. THE OTHER 4238 03:00:25,080 --> 03:00:28,000 POINT THAT I WANTED TO MAKE IS 4239 03:00:28,000 --> 03:00:30,360 THAT THERE IS A TOPIC TO SWITCH 4240 03:00:30,360 --> 03:00:32,760 A LITTLE, I KNOW THAT LAST 4241 03:00:32,760 --> 03:00:36,040 MEETING THAT YOU GUYS HAD WRA 4242 03:00:36,040 --> 03:00:40,440 AND WORLD REHAB ASSOCIATION 4243 03:00:40,440 --> 03:00:40,720 ALLIANCE. 4244 03:00:40,720 --> 03:00:45,320 I AM ACTUALLY REALLY INTERESTED 4245 03:00:45,320 --> 03:00:47,320 IN IMPLEMENTATION SCIENCE 4246 03:00:47,320 --> 03:00:50,240 CONCEPT BUT ON A GLOBAL SPACE 4247 03:00:50,240 --> 03:00:52,200 AND IN LOW RESOURCE SETTINGS 4248 03:00:52,200 --> 03:00:54,920 THAT COULD HAPPEN IN THE US AS 4249 03:00:54,920 --> 03:00:57,720 WELL AS IN LOW AND MIDDLE INCOME 4250 03:00:57,720 --> 03:01:00,960 COUNTRIES AND WOULD BE 4251 03:01:00,960 --> 03:01:04,240 INTERESTED IN HEARING FROM FOLKS 4252 03:01:04,240 --> 03:01:13,320 WHO HAVE DONE A LOT IN SOME OF 4253 03:01:13,320 --> 03:01:15,680 THE ROLES AND BASIS. 4254 03:01:15,680 --> 03:01:18,720 >> LET'S TAKE COMMENTS FROM 4255 03:01:18,720 --> 03:01:25,200 PEOPLE ON LILINE. 4256 03:01:25,200 --> 03:01:27,800 >> ANGELEE? 4257 03:01:27,800 --> 03:01:33,560 >> TYPING COMMENT HERE AND HOW 4258 03:01:33,560 --> 03:01:36,960 NIDLR INTEGRATED INTO PEER 4259 03:01:36,960 --> 03:01:38,000 REVIEW PROCESS AND IS SOMETHING 4260 03:01:38,000 --> 03:01:41,240 LIKE THAT HELPFUL OPPOSED TO 4261 03:01:41,240 --> 03:01:44,680 CONVERSATION OF ACTUAL DOING OF 4262 03:01:44,680 --> 03:01:46,480 TRANSLATION AND SOMETHING THAT 4263 03:01:46,480 --> 03:01:49,000 IS HELPFUL NIED LETTER WOULD BE 4264 03:01:49,000 --> 03:01:51,720 MORE THAN WILLING TO PROVIDE IT 4265 03:01:51,720 --> 03:01:55,160 AT A FUTURE PRESENTATION. 4266 03:01:55,160 --> 03:02:02,200 >> THANK YOU. 4267 03:02:02,200 --> 03:02:04,160 >> I WOULD LIKE TO PROPOSE A 4268 03:02:04,160 --> 03:02:06,320 TOPIC THAT IS CRITICAL FOR 4269 03:02:06,320 --> 03:02:09,880 TRAINING AND KNOWLEDGE AND 4270 03:02:09,880 --> 03:02:15,800 IMPLEMENTATION AND IT IS TEAM 4271 03:02:15,800 --> 03:02:17,200 SCIENCE AND FRANCISCO ELUDE 4272 03:02:17,200 --> 03:02:19,440 TODAY THAT AND TRANSLATION AND 4273 03:02:19,440 --> 03:02:20,640 COLLABORATION AWARD AND 4274 03:02:20,640 --> 03:02:21,320 IMPLEMENTATION TO WORK WE HAVE 4275 03:02:21,320 --> 03:02:24,160 TO PAY ATTENTION TO THESE 4276 03:02:24,160 --> 03:02:25,280 PARTICULARLY WHEN COMMUNITY IS 4277 03:02:25,280 --> 03:02:28,120 PART OF THE TEAM AND HAVE A 4278 03:02:28,120 --> 03:02:31,120 COUPLE PUBLICATIONS OF RECENT 4279 03:02:31,120 --> 03:02:36,680 PAST ABOUT YOU KNOW WHAT ARE 4280 03:02:36,680 --> 03:02:38,000 INGREDIENTS FOR SUCCESSFUL TEAMS 4281 03:02:38,000 --> 03:02:45,320 AND PROJECTS AND THINGS LIKE 4282 03:02:45,320 --> 03:02:48,560 TH 4283 03:02:48,560 --> 03:02:48,800 THAT. 4284 03:02:48,800 --> 03:02:51,440 >> I WOULD PROPOSE ADDRESSING 4285 03:02:51,440 --> 03:02:54,840 TOPIC TO SEE RESOURCE FOR 4286 03:02:54,840 --> 03:02:56,360 REHABILITATION IN TERMS OF 4287 03:02:56,360 --> 03:02:58,440 IMPLEMENTATION OF SCIENCE AND 4288 03:02:58,440 --> 03:03:01,320 TRAINING AND THAT IS MY 4289 03:03:01,320 --> 03:03:02,600 SUGGESTION. THANK YOU. 4290 03:03:02,600 --> 03:03:03,560 >> THANK YOU. 4291 03:03:03,560 --> 03:03:05,320 >> TOPIC BRINGING BOTH OF THESE 4292 03:03:05,320 --> 03:03:06,880 TOGETHER NOT HERE AND TALKING 4293 03:03:06,880 --> 03:03:08,960 ABOUT KNOWLEDGE TRANSLATION BUT 4294 03:03:08,960 --> 03:03:11,000 HOW ABOUT KNOWLEDGE 4295 03:03:11,000 --> 03:03:11,360 ACCELERATION? 4296 03:03:11,360 --> 03:03:12,960 YOU CAN'T TRANSLATE IT IF YOU 4297 03:03:12,960 --> 03:03:14,240 DON'T HAVE IT. WE LEARNED 4298 03:03:14,240 --> 03:03:16,480 THROUGH COVID EXPERIENCE THAT 4299 03:03:16,480 --> 03:03:18,600 SCIENCE COULD MOVE FASTER THAN 4300 03:03:18,600 --> 03:03:20,120 IT NORMALLY DOES THROUGH RAPID 4301 03:03:20,120 --> 03:03:21,680 PROGRAMS AND SO ON AND SO FORTH 4302 03:03:21,680 --> 03:03:23,560 AND SOMETHING THAT WE CAN LEARN 4303 03:03:23,560 --> 03:03:26,960 FROM THOSE INITIATIVES HOW TO 4304 03:03:26,960 --> 03:03:27,600 ACCELERATE KNOWLEDGE DEVELOPMENT 4305 03:03:27,600 --> 03:03:33,320 AND ACQUISITION IN OUR FIELD. 4306 03:03:33,320 --> 03:03:36,760 >> ANY OTHER THOUGHTS ABOUT 4307 03:03:36,760 --> 03:03:37,040 TOPICS? 4308 03:03:37,040 --> 03:03:40,360 >> WELL, OVER THE YEARS, OH, 4309 03:03:40,360 --> 03:03:42,360 ALLEY BRINGING CMS INTO THE 4310 03:03:42,360 --> 03:03:44,760 DISCUSSION. THEY ARE THE PAYERS 4311 03:03:44,760 --> 03:03:46,480 AND IT IS A LITTLE AWKWARD. 4312 03:03:46,480 --> 03:03:48,800 THEY ARE CONSTRAINED BY SOME 4313 03:03:48,800 --> 03:03:49,960 POLITICS AND WOULD IT HELP TO 4314 03:03:49,960 --> 03:03:51,960 KIND OF AND DO YOU FOLKS KNOW 4315 03:03:51,960 --> 03:03:53,160 AND DO YOU KNOW ANYBODY WHO 4316 03:03:53,160 --> 03:03:56,800 WOULD BE GOOD REPRESENTATIVES 4317 03:03:56,800 --> 03:03:59,200 FROM THAT? 4318 03:03:59,200 --> 03:04:09,760 >> FRANCIS RICHMOND IS FOUNDER 4319 03:04:12,920 --> 03:04:14,680 OF PROGRAM AT USC AND LOTS OF 4320 03:04:14,680 --> 03:04:16,640 THIS IS ACTUALLY HAVING TO GO 4321 03:04:16,640 --> 03:04:22,560 THROUGH THE REGULATORY PROCESS. 4322 03:04:22,560 --> 03:04:26,200 SHE HAS WONDERFUL EXPERIENCE IN 4323 03:04:26,200 --> 03:04:27,200 UNDERSTANDING THESE 4324 03:04:27,200 --> 03:04:28,480 TRANSLATIONAL TEAMS AND 4325 03:04:28,480 --> 03:04:29,360 KNOWLEDGE TRANSLATION THAT HAS 4326 03:04:29,360 --> 03:04:33,320 TO OFTEN GO THROUGH REGULATORY 4327 03:04:33,320 --> 03:04:37,320 PROCESS WITH WHICH MOST OF US 4328 03:04:37,320 --> 03:04:40,200 ARE VERY MUCH UNAWARE OF AND 4329 03:04:40,200 --> 03:04:42,680 THAT GOES INTO REIMBURSEMENT AND 4330 03:04:42,680 --> 03:04:45,320 THE LIKE. SHE HAS A BROAD 4331 03:04:45,320 --> 03:04:52,480 PERSPECTIVE HOW TO DO THIS 4332 03:04:52,480 --> 03:04:55,080 SUCCESSFULLY. 4333 03:04:55,080 --> 03:04:57,320 >> [INDISCERNIBLE]. 4334 03:04:57,320 --> 03:04:59,840 >> SORRY THAT WAS MY HAND FROM 4335 03:04:59,840 --> 03:05:01,320 BEFORE. 4336 03:05:01,320 --> 03:05:02,640 >> OKAY. 4337 03:05:02,640 --> 03:05:05,280 >> WE HAVE USE OF HIS HAND. 4338 03:05:05,280 --> 03:05:08,480 >> IT WOULD BE GREAT TO HAVE CMS 4339 03:05:08,480 --> 03:05:10,440 TALK. SO MUCH WHAT WE ARE 4340 03:05:10,440 --> 03:05:12,400 TALKING ABOUT INL MREMENTATION 4341 03:05:12,400 --> 03:05:15,360 IS EFFECTED DIRECTLY BY CMS 4342 03:05:15,360 --> 03:05:16,880 POLICIES AND REIMBURSEMENTS. 4343 03:05:16,880 --> 03:05:18,520 >> AND OPPORTUNITY FOR US TO 4344 03:05:18,520 --> 03:05:26,720 HAVE OUR VOICE OUT THERE. 4345 03:05:26,720 --> 03:05:34,080 >> COGNITIVE ANALYSIS GROUP. 4346 03:05:34,080 --> 03:05:34,720 >> [INDISCERNIBLE]. 4347 03:05:34,720 --> 03:05:39,440 >> YOU KNOW, SERVICES TO BE 4348 03:05:39,440 --> 03:05:49,920 VERSED AND RECOMMENDSES 4349 03:05:53,560 --> 03:05:54,560 [INDISCERNIBLE]. 4350 03:05:54,560 --> 03:05:57,520 >> IT WOULD BE INTERESTED TAKING 4351 03:05:57,520 --> 03:05:59,120 PERSPECTIVE OF SOMEONE IN CHARGE 4352 03:05:59,120 --> 03:06:03,920 OF OUR HEALTH SYSTEM AND THEIR 4353 03:06:03,920 --> 03:06:07,560 PERSPECTIVE IN TERMS OF UPTAKE 4354 03:06:07,560 --> 03:06:16,480 OF NEW INTERVENTIONS AND 4355 03:06:16,480 --> 03:06:19,680 TECHNOLOGY OR WHATEVER IT IS AND 4356 03:06:19,680 --> 03:06:22,480 SYSTEMS AND PERSPECTIVES HOW TO 4357 03:06:22,480 --> 03:06:27,320 OVERCOME BARRIERS AVEND WHAT 4358 03:06:27,320 --> 03:06:29,320 MAKES THEM DECIDE TO GO WITH A 4359 03:06:29,320 --> 03:06:33,320 PARTICULAR PROGRAM AND THAT 4360 03:06:33,320 --> 03:06:35,840 PERSPECTIVE IS ENLIGHTENING IN A 4361 03:06:35,840 --> 03:06:45,920 W 4362 03:06:51,640 --> 03:06:51,760 WAY. 4363 03:06:51,760 --> 03:06:52,600 >> THAT WAS MINE. 4364 03:06:52,600 --> 03:06:55,360 HEALTH SYSTEMS WE SEE AS VERY 4365 03:06:55,360 --> 03:06:58,480 NARROW AND THINGS THAT CAUSE 4366 03:06:58,480 --> 03:07:02,520 CHANGE ARE OFTEN NOT WHAT WE 4367 03:07:02,520 --> 03:07:05,160 ADDRESS IN IMPLEMENTATION 4368 03:07:05,160 --> 03:07:07,320 SCIENCE AND PEOPLE IN CONTROL OF 4369 03:07:07,320 --> 03:07:09,040 MODELS THAT LOOK AT 4370 03:07:09,040 --> 03:07:10,480 REIMBURSEMENT AND POLITICAL 4371 03:07:10,480 --> 03:07:11,960 PRESSURES AND THINGS OF THAT 4372 03:07:11,960 --> 03:07:14,000 NATURE PLAYING INTO A SYSTEM 4373 03:07:14,000 --> 03:07:17,520 THAT WE DON'T HAVE A SEAT AT THE 4374 03:07:17,520 --> 03:07:21,560 TABLE AT. 4375 03:07:21,560 --> 03:07:23,080 UNDERSTANDING THAT BETTER IS 4376 03:07:23,080 --> 03:07:28,480 WHAT IS NEEDED TO MAKE CHANGES. 4377 03:07:28,480 --> 03:07:33,320 >> WE HAVE A FOUR-DAY MEETING 4378 03:07:33,320 --> 03:07:37,320 PLANNED. 4379 03:07:37,320 --> 03:07:41,320 >> THANK YOU. ANY OTHER TOPICS 4380 03:07:41,320 --> 03:07:46,120 TO PUT ON THE TABLE? 4381 03:07:46,120 --> 03:07:50,320 IF NOT, SWITCHING TO FORMAT. 4382 03:07:50,320 --> 03:07:52,200 WE HAVE BEEN ONLINE FOR A VERY 4383 03:07:52,200 --> 03:07:57,320 LONG TIME. NOW, WE ARE BACK 4384 03:07:57,320 --> 03:07:59,640 HYB 4385 03:07:59,640 --> 03:07:59,880 HYBRID. 4386 03:07:59,880 --> 03:08:05,280 WHERE DO WE WANT TO BE IN 4387 03:08:05,280 --> 03:08:10,040 DECEMBER? HYBRID, IN PERSON, 4388 03:08:10,040 --> 03:08:10,920 ONLINE? HAVING ADVANTAGES TO 4389 03:08:10,920 --> 03:08:13,520 EACH OF THEM AND PARTICULARLY 4390 03:08:13,520 --> 03:08:15,000 WANTING TO HEAR FROM FOLKS 4391 03:08:15,000 --> 03:08:17,840 ONLINE AND, YOU KNOW, IF WE DO 4392 03:08:17,840 --> 03:08:23,280 HYBRID, HOW CAN WE MAXIMIZE THE 4393 03:08:23,280 --> 03:08:26,400 ABILITY FOR INTERACTION ACROSS 4394 03:08:26,400 --> 03:08:33,880 THE TABLE? 4395 03:08:33,880 --> 03:08:36,280 >> GO AHEAD. [LAUGHING]. 4396 03:08:36,280 --> 03:08:39,320 >> YES. IN OTHER WORDS IF FOLKS 4397 03:08:39,320 --> 03:08:41,680 ON LINE AND PEOPLE HERE HOW DOES 4398 03:08:41,680 --> 03:08:42,280 THIS WORK? 4399 03:08:42,280 --> 03:08:44,200 IS THAT WHAT YOU ARE ASKING? 4400 03:08:44,200 --> 03:08:44,720 >> YES. 4401 03:08:44,720 --> 03:08:45,160 >> YEAH. 4402 03:08:45,160 --> 03:08:47,200 >> CAN YOU HEAR ME OKAY? 4403 03:08:47,200 --> 03:08:47,760 >> YES. 4404 03:08:47,760 --> 03:08:48,040 >> YES. 4405 03:08:48,040 --> 03:08:53,360 >> YEAH. I TOTALLY AGREE. 4406 03:08:53,360 --> 03:08:56,560 WE ARE HAVING THE SAME ISSUES 4407 03:08:56,560 --> 03:08:58,240 WITH DEPARTMENTAL MEETINGS. 4408 03:08:58,240 --> 03:09:05,040 IN PERSON IS INVARIABLY BEST. 4409 03:09:05,040 --> 03:09:07,400 I HAD A SITUATION RECEIVING ONCE 4410 03:09:07,400 --> 03:09:09,720 IN A LIFETIME AWARD THAT WAS 4411 03:09:09,720 --> 03:09:11,640 SAME DAY AND FOUND OUT ABOUT IT 4412 03:09:11,640 --> 03:09:13,760 A MONTH AGO. SOMETIMES PEOPLE 4413 03:09:13,760 --> 03:09:21,240 CAN'T PLAN 6 MONTHS AHEAD. 4414 03:09:21,240 --> 03:09:23,120 IT HAS BEEN GOOD FOR ME IT HAS 4415 03:09:23,120 --> 03:09:24,760 BEEN REMOTE AND NO THE SURE IT 4416 03:09:24,760 --> 03:09:26,560 HAS BEEN GOOD FOR THE BOARD, 4417 03:09:26,560 --> 03:09:30,400 ACTUALLY, TO HAVE US REMOTE. I 4418 03:09:30,400 --> 03:09:33,920 WOULD SAY THAT INSISTING ON IF 4419 03:09:33,920 --> 03:09:35,040 AT ALL POSSIBLE BEING THERE IN 4420 03:09:35,040 --> 03:09:38,360 PERSON IS THE RIGHT THING TO DO. 4421 03:09:38,360 --> 03:09:41,320 NOW, HAVING THE REMOTE MECHANISM 4422 03:09:41,320 --> 03:09:44,800 IS, OF COURSE, A LIFESAVER IN A 4423 03:09:44,800 --> 03:09:46,080 PINCH. LIFE HAPPENS. 4424 03:09:46,080 --> 03:09:48,760 YES. I WOULD JUST SAY TO TRY IF 4425 03:09:48,760 --> 03:09:51,640 AT ALL POSSIBLE TO BE THERE IN 4426 03:09:51,640 --> 03:09:53,440 PERSON IS MY RECOMMENDATION AND 4427 03:09:53,440 --> 03:09:56,160 THEN PEOPLE USE THEIR JUDGMENT 4428 03:09:56,160 --> 03:10:01,320 TO USE OR NOT USE THE REMOTE 4429 03:10:01,320 --> 03:10:05,840 OPT 4430 03:10:05,840 --> 03:10:06,080 OPTION. 4431 03:10:06,080 --> 03:10:07,200 >> OTHER THOUGHTS? 4432 03:10:07,200 --> 03:10:11,280 >> I THINK IT -- I PERSONALLY 4433 03:10:11,280 --> 03:10:14,760 LIKE THE -- BEING IN PERSON. 4434 03:10:14,760 --> 03:10:17,480 I THINK ZOOM IS GOOD ON SOME 4435 03:10:17,480 --> 03:10:19,440 LEVEL BUT FIND I'M MORE 4436 03:10:19,440 --> 03:10:20,960 DISTRACTED ON ZOOM. THEN I ALSO 4437 03:10:20,960 --> 03:10:23,200 FEEL DISCONNECTED FROM THOSE ON 4438 03:10:23,200 --> 03:10:23,840 ZOOM. 4439 03:10:23,840 --> 03:10:27,160 BECAUSE WE DON'T SEE THEM AND WE 4440 03:10:27,160 --> 03:10:31,400 DON'T SEE THEIR REACTIONS, ET 4441 03:10:31,400 --> 03:10:33,000 CETERA. IT WOULD BE NICE FOR 4442 03:10:33,000 --> 03:10:34,960 EVERYONE TO BE IN PERSON AND IT 4443 03:10:34,960 --> 03:10:37,440 IS NOT ALWAYS PRACTICAL AND 4444 03:10:37,440 --> 03:10:40,320 HYBRID FORMAT MAKES PRACTICAL 4445 03:10:40,320 --> 03:10:42,320 SENSE ENCOURAGING MOST PEOPLE TO 4446 03:10:42,320 --> 03:10:46,120 COME IN WOULD BE GREAT. IF WE 4447 03:10:46,120 --> 03:10:51,800 ARE DOING HYBRID IS THERE A WAY 4448 03:10:51,800 --> 03:10:52,920 THAT EVERYONE COULD BE SEEN TO 4449 03:10:52,920 --> 03:10:54,560 KEEP THE CONNECTION WAS THE 4450 03:10:54,560 --> 03:10:56,040 DIFFICULT PART. BASICALLY I 4451 03:10:56,040 --> 03:11:00,680 FORGOT ABOUT WHO WAS ONLINE 4452 03:11:00,680 --> 03:11:05,960 UNLESS THEY WERE ON VIDEO. 4453 03:11:05,960 --> 03:11:08,480 >> YEAH. WE CAN ASK ALL PEOPLE 4454 03:11:08,480 --> 03:11:10,600 TURN ON CAMERAS. 4455 03:11:10,600 --> 03:11:11,440 >> OKAY. 4456 03:11:11,440 --> 03:11:12,720 >> FLORA? 4457 03:11:12,720 --> 03:11:13,400 >> THANK YOU. 4458 03:11:13,400 --> 03:11:15,640 >> SO, NOTHING NEW TO ADD OWE 4459 03:11:15,640 --> 03:11:18,200 ERNL THAN I THINK FRANCISCO SAID 4460 03:11:18,200 --> 03:11:21,120 IT WELL. THE OPTION IF IS 4461 03:11:21,120 --> 03:11:24,680 POSSIBLE ABOUT DISRUPTING AND 4462 03:11:24,680 --> 03:11:26,040 HAVING THAT OPTION FOR PEOPLE 4463 03:11:26,040 --> 03:11:28,520 THAT CAN'T MAKE IT FOR THE RARE 4464 03:11:28,520 --> 03:11:29,920 CIRCUMSTANCE IS GREAT BUT AGREE 4465 03:11:29,920 --> 03:11:33,560 WHEN POSSIBLE, YOU KNOW, 4466 03:11:33,560 --> 03:11:37,360 PREFERRED IN PERSON. 4467 03:11:37,360 --> 03:11:40,920 REALLY APPRECIATE HAVING A 4468 03:11:40,920 --> 03:11:45,320 HYBRID OPTION. 4469 03:11:45,320 --> 03:11:49,320 >> CERTAINLY A SHOUTOUT TO ALL 4470 03:11:49,320 --> 03:11:51,920 OF THE TECHNICAL TEAM WHO MADE 4471 03:11:51,920 --> 03:11:55,760 THIS IN-PERSON HYBRID POSSIBLE. 4472 03:11:55,760 --> 03:11:57,480 YOU KNOW, BEFORE BEING HERE IN 4473 03:11:57,480 --> 03:11:59,960 PERSON, I -- YOU KNOW, I SORT OF 4474 03:11:59,960 --> 03:12:02,320 KNEW YOU WERE BEHIND THE 4475 03:12:02,320 --> 03:12:03,400 CURTAIN. 4476 03:12:03,400 --> 03:12:05,840 TO GET TO SEE THIS IN ACTION HAS 4477 03:12:05,840 --> 03:12:10,880 BEEN VERY, VERY GRATIFYING. 4478 03:12:10,880 --> 03:12:18,600 THANKS SO MUCH. 4479 03:12:18,600 --> 03:12:20,800 >> WITH THAT, I THINK WE ARE 4480 03:12:20,800 --> 03:12:23,200 DONE AND THANKS BARBARA FOR 4481 03:12:23,200 --> 03:12:25,320 TAKING OVER AS CHAIR AND FOR ALL 4482 03:12:25,320 --> 03:12:30,200 OF YOU FOR A TWO DAYS OF 4483 03:12:30,200 --> 03:12:39,880 PRODUCTIVE DISCUSSIONS. 4484 03:12:39,880 --> 03:12:43,480 >> SO THANK YOU, EVERYONE. SEE 4485 03:12:43,480 --> 03:12:53,800 YOU IN DECEMBER!