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>> ALL RIGHT, GOOD MORNING
TO

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EVERYONE.

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A SPECIAL WELCOME TO OUR

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COUNCILMEMBERS AND TO THE NINR

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00:00:13,765 --> 00:00:14,432
SCIENCE COMMUNITY.

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THE MEETING IS BEING VIDEOCAST

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LIVE AND WILL BE ARCHIVED ON THE

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00:00:18,603 --> 00:00:20,872
NIH VIDEOCAST WEBSITE, SO THANK

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YOU, EVERYONE, FOR JOINING US

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TODAY.

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SO BEFORE WE GET STARTED, I'D

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LIKE TO WELCOME OUR NEW MEMBERS.

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SO DR. VINCENT IS RECENTLY

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APPOINTED DIRECTOR OF THE

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INSTITUTE FOR POLICY SOLUTIONS

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AT JOHNS HOPKINS SCHOOL OF

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NURSING.

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HE PREVIOUSLY SERVED AS DEAN AND

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DISTINGUISHED PROFESSOR OF THE

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DUKE UNIVERSITY SCHOOL OF

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NURSING AND VICE CHANCELLOR FOR

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NURSING AFFAIRS, WHERE HE

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REALIGNED THE SCHOOL'S MISSION

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AND STRATEGIC PLAN TO ADVANCE

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HEALTH EQUITY AND SOCIAL

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JUSTICE.

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DR. GUILAMO-RAMOS STUDIES THE

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ROLE OF FAMILIES IN PROMOTING

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ADOLESCENT HEALTH AND HE LED THE

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DEVELOPMENT OF THE FRAMEWORK FOR

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HARMFUL SOCIAL DETERMINANTS OF

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HEALTH MITIGATION.

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AN INNOVATIVE ROAD MAP FOR THOSE

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DESIGNING PROGRAMS TO MITIGATE

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ADVERSE SOCIAL DETERMINANTS OF

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HEALTH.

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HE SERVES ON SEVERAL ADVISORY

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BOARDS, HHS PANELS AND BOARD OF

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DIRECTORS.

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WELCOME, VINCENT.

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DR. JING WANG, USING MOBILE AND

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CONNECTED TECHNOLOGIES TO

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OPTIMIZE LIFESTYLE INTERVENTIONS

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AND IMPROVE PATIENT-CENTERED

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OUTCOMES IN CHRONICALLY ILL AND

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AGING POPULATIONS, ESPECIALLY

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AMONG RURAL AND UNDERSERVED

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POPULATIONS.

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SHE PIONEERS ARTIFICIAL

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INTELLIGENCE IN NURSING AND

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SMART HOME INNOVATIONS FOR AGING

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IN PLACE AND CARE AT HOME

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DELIVERY MODELS.

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SHE SERVES AS BOARD OF TRUSTEE

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AT THE ROBERT WOOD JOHNSON

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FOUNDATION AND HCA FLORIDA

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CAPITAL HOSPITAL.

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SO WELCOME, DR. WANG.

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00:02:04,175 --> 00:02:05,910
SO WELCOME TO YOU BOTH.

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WELCOME TO COUNCIL.

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WE ARE DELIGHTED TO HAVE YOU AND

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LOOK FORWARD TO WORKING WITH

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YOU.

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SO I'D ALSO LIKE TO WELCOME AN

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AD HOC MEMBER FOR THIS MEETING,

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DR. MARIE LYNN MIRANDA IS

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CHANCELLOR OF THE UNIVERSITY OF

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ILLINOIS CHICAGO.

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SHE IS AN ECONOMIST AND LEADER

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IN THE FIELD OF GEOSPATIAL

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HEALTH INFORMATICS AND IS KNOWN

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FOR HER WORK IN CHILDHOOD-LED

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EXPOSURE AND CLIMATE CHANGE.

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CHANCELLOR MIRANDA IS THE

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DIRECTOR OF THE CHILDREN'S

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ENVIRONMENTAL HEALTH INITIATIVE,

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A RESEARCH, EDUCATION AND

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OUTREACH ORGANIZATION COMMITTED

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TO FOSTERING ENVIRONMENTS WHERE

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ALL PEOPLE CAN PROSPER.

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WELCOME TO YOU, AND THANKS FOR

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JOINING US.

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SO THIS WILL SADLY BE THE LAST

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MEETING FOR SEVERAL OF OUR

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COUNCIL MEMBERS.

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00:02:57,862 --> 00:03:00,264
DR. MALLORY JOHNSON,

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00:03:00,264 --> 00:03:03,434
DR. CHRISTOPHER LEE, AND

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DR. SYDDR. --DR. CINDY MUNRO ARS

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TODAY FOR THE LAST TIME.

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DR. ELIAS PROVENCIO-VASQUEZ

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COULDN'T MAKE IT BUT IT WOULD

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HAVE BEEN HIS LAST COUNCIL

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MEETING AS WELL.

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WE THANK YOU ALL FOR YOUR

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00:03:20,084 --> 00:03:22,120
SERVICE TO NINR.

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00:03:22,120 --> 00:03:24,555
THEY'VE SERVED SINCE 2021.

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I PERSONALLY HAVE REALLY ENJOYED

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00:03:25,890 --> 00:03:27,191
THE OPPORTUNITY TO WORK WITH

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00:03:27,191 --> 00:03:29,794
EACH OF YOU, AND I WOULD LIKE TO

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00:03:29,794 --> 00:03:32,430
EXTEND A SPECIAL CONGRATULATIONS

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TO DR. CINDY MUNRO.

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00:03:34,298 --> 00:03:36,567
SHE IS RETIRING FROM A

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00:03:36,567 --> 00:03:38,870
DISTINGUISHED CAREER IN NURSING

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SCIENCE.

105
00:03:44,242 --> 00:03:45,543
IN JUST A FEW SHORT DAYS.

106
00:03:45,543 --> 00:03:47,078
SO A SPECIAL CONGRATULATIONS TO

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YOU, AND RECOGNITION FOR YOUR

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LONG AND IMPACTFUL CAREER.

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THANK YOU.

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SO I WILL TURN THE MEETING OVER

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00:03:53,785 --> 00:04:02,060
TO DR. ELIZABETH TARLOV, OUR

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EXECUTIVE SECRETARY, WHO WILL

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PROCEED WITH THE ROLL CALL.

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[SPEAKER OFF MIC]

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>> I CAN BARELY HEAR YOU
BUT I'M

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HERE.

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>> THANK YOU.

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YOU SHOULD HEAR ME BETTER NOW

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THAT I'VE MANAGED TO TURN ON MY

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MIC.

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THANK YOU.

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THANK YOU, DR. STONE.

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ALL RIGHT.

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PROCEEDING WITH THE ROLL CALL

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NOW, I ASK THAT THE

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COUNCILMEMBERS HERE ON THE NIH

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CAMPUS IN BETHESDA, PLEASE RAISE

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YOUR HAND OR SAY "PRESENT" OR

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"HERE" WHEN I CALL YOUR NAME.

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DR. ATKINS.

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>> HERE.

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>> DR. AYALA.

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>> PRESENT.

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>> DR. BEKEMEIER.

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>> HERE.

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>> PROFESSOR DAWES.

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00:04:55,012 --> 00:04:55,379
DR. FITZPATRICK.

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>> PRESENT.

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>> DR. RAMOS.

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DR. JOHNSON.

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DR. LEE.

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DR. MUNRO.

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DR. WANG.

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AND I NOTE THAT DR. SULLIVAN IS

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PRESENT AS EX-OFFICIO FOR THE

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00:05:10,528 --> 00:05:12,063
CHIEF NURSING OFFICER DEPARTMENT

147
00:05:12,063 --> 00:05:15,333
OF VETERANS AFFAIRS.

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AND LIEUTENANT COLONEL GARDNER

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IS PRESENT AS EX-OFFICIO FOR

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ASSISTANT SECRETARY OF DEFENSE

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FOR HEALTH AFFAIRS.

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DRWE HAVE A QUORUM FOR THIS

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MEETING.

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I'LL KNOW TURN TO A VOTE OR

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MINUTES FOR THE JANUARY COUNCIL

156
00:05:33,851 --> 00:05:35,052
MEETING, AVAILABLE IN THE

157
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ELECTRONIC COUNCIL BOOK FOR YOUR

158
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REVIEW.

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MAY I HAVE A MOTION TO APPROVE?

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>> MOVE TO APPROVE.

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>> A SECOND?

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>> SECOND.

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>> THANK YOU.

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ANY DISCUSSION?

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ANY OPPOSED?

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MOTION CARRIES.

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NOW WE'LL MOVE ON TO A FEW WORDS

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ON MEETING LOGISTICS.

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COUNCILMEMBERS, WHEN YOU SPEAK,

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PLEASE USE THE "PUSH TO TALK"

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FEATURE ON THE MICROPHONE IN

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FRONT OF YOU TO ENSURE THAT

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EVERYONE CAN HEAR YOU.

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AND PLEASE TURN OFF YOUR

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MICROPHONE WHEN NOT IN USE.

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THIS IS A ONE-DAY MEETING.

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AS ALWAYS, A RECORDING OF THIS

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MEETING WILL BE MADE AVAILABLE

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AT THE ADDRESS SHOWN ON THE

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SLIDE.

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CLOSED SESSION WILL BEGIN

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APPROXIMATELY 15 MINUTES

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FOLLOWING THE END OF OPEN

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SESSION.

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DATES FOR FUTURE COUNCIL

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MEETINGS ARE LISTED ON THE NINR

187
00:06:39,116 --> 00:06:41,285
COUNCIL WEBPAGE AS WELL AS IN

188
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THE OPEN SESSION MATERIALS IN

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THE ELECTRONIC COUNCIL BOOK.

190
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AND SHOWN HERE.

191
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PLEASE ADD THESE DATES TO YOUR

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CALENDAR.

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OUR NEXT MEETING IS SCHEDULED

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FOR SEPTEMBER 12TH, 2024, AND

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WILL TAKE PLACE HERE IN PERSON

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IN BETHESDA.

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I WOULD LIKE TO REMIND

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COUNCILMEMBERS, OTHER THAN OUR

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00:07:04,008 --> 00:07:05,543
EX-OFFICIO MEMBERS, THAT YOU ARE

200
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SPECIAL GOVERNMENT EMPLOYEES.

201
00:07:07,712 --> 00:07:10,147
AS SUCH, YOU MAY NOT ENGAGE IN

202
00:07:10,147 --> 00:07:11,215
LOBBYING ACTIVITIES WHILE

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RECEIVING PAY FROM THE FEDERAL

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00:07:12,216 --> 00:07:14,518
GOVERNMENT.

205
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INFORMATION REGARDING CONFLICT

206
00:07:15,753 --> 00:07:18,155
OF INTEREST AND CONFIDENTIALITY

207
00:07:18,155 --> 00:07:20,091
REQUIREMENTS ARE POSTED IN THE

208
00:07:20,091 --> 00:07:22,493
ELECTRONIC COUNCIL BOOK, SO

209
00:07:22,493 --> 00:07:23,594
PLEASE REVIEW THOSE IF YOU

210
00:07:23,594 --> 00:07:26,864
HAVEN'T DONE SO ALREADY.

211
00:07:26,864 --> 00:07:28,633
I WILL GIVE MORE SPECIFIC

212
00:07:28,633 --> 00:07:29,734
INSTRUCTIONS ABOUT CONFLICT OF

213
00:07:29,734 --> 00:07:32,003
INTEREST AND CONFIDENTIALITY AT

214
00:07:32,003 --> 00:07:33,537
THE BEGINNING OF THE CLOSED

215
00:07:33,537 --> 00:07:36,374
SESSION LATER THIS AFTERNOON.

216
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NOW I'LL TURN IT BACK TO DR

217
00:07:41,445 --> 00:07:43,381
DR. ZENK FOR THE NINR DIRECTOR'S

218
00:07:43,381 --> 00:07:44,048
REPORT.

219
00:07:44,048 --> 00:07:48,185
>> THANK YOU.

220
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I GET STARTED.

221
00:07:49,520 --> 00:07:50,821
AS I WAS PUTTING TOGETHER THE

222
00:07:50,821 --> 00:07:52,790
UPDATE FOR TODAY'S MEETING, IT

223
00:07:52,790 --> 00:07:54,225
REALLY STRUCK ME WHAT AN

224
00:07:54,225 --> 00:07:55,092
EXCITING TIME IT IS TO BE

225
00:07:55,092 --> 00:07:56,527
THINKING ABOUT IMPLEMENTATION OF

226
00:07:56,527 --> 00:08:00,331
OUR STRATEGIC PLAN.

227
00:08:00,331 --> 00:08:01,499
THE WORK WE'RE DOING AT THE

228
00:08:01,499 --> 00:08:02,433
INSTITUTE UNDER THE STRATEGIC

229
00:08:02,433 --> 00:08:05,770
PLAN REALLY IS TRULY MOVING US

230
00:08:05,770 --> 00:08:07,305
FORWARD IN OUR MISSION OF

231
00:08:07,305 --> 00:08:08,406
OPTIMIZING HEALTH AND ADVANCING

232
00:08:08,406 --> 00:08:09,507
HEALTH EQUITY INTO THE FUTURE.

233
00:08:09,507 --> 00:08:11,142
SO LET'S START WITH SOME OF THE

234
00:08:11,142 --> 00:08:13,311
WAYS THAT NINR IS ADVANCING

235
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SCIENCE SINCE JANUARY THROUGH

236
00:08:15,446 --> 00:08:16,647
FUNDING OPPORTUNITIES,

237
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SCIENTIFIC EVENTS, AND

238
00:08:18,149 --> 00:08:22,953
PUBLICATIONS.

239
00:08:22,953 --> 00:08:23,988
SO AT THE JANUARY COUNCIL

240
00:08:23,988 --> 00:08:25,056
MEETING, WE CLEARED THE CONCEPT

241
00:08:25,056 --> 00:08:26,557
OF EXPANDING RESEARCH TO ADVANCE

242
00:08:26,557 --> 00:08:27,558
HEALTH EQUITY IN RURAL

243
00:08:27,558 --> 00:08:28,759
POPULATIONS.

244
00:08:28,759 --> 00:08:30,928
ALTHOUGH COUNCIL APPROVAL MAY OR

245
00:08:30,928 --> 00:08:33,898
MAY NOT LEAD TO A NEW FUNDING

246
00:08:33,898 --> 00:08:35,766
OPPORTUNITY, THIS CONCEPT DID.

247
00:08:35,766 --> 00:08:38,803
SO THROUGH THIS RFA, NINR IS

248
00:08:38,803 --> 00:08:45,810
U.S. PORGT THE DEVSUPPORTING THF

249
00:08:45,810 --> 00:08:47,211
INTERVENTIONS MAKING SIGNIFICANT

250
00:08:47,211 --> 00:08:48,112
SUSTAINABLE IMPROVEMENTS IN

251
00:08:48,112 --> 00:08:50,181
HEALTH OUTCOMES OF RURAL

252
00:08:50,181 --> 00:08:50,481
POPULATIONS.

253
00:08:50,481 --> 00:08:51,382
RURAL POPULATIONS AS YOU

254
00:08:51,382 --> 00:08:52,683
PROBABLY KNOW MAKE UP 20% OF THE

255
00:08:52,683 --> 00:08:53,584
U.S. POPULATION.

256
00:08:53,584 --> 00:08:55,052
THEY EXPERIENCE HIGH RATES OF

257
00:08:55,052 --> 00:08:56,721
MORBIDITY AND DISABILITY, AS

258
00:08:56,721 --> 00:08:58,622
WELL AS INCREASING RATES OF

259
00:08:58,622 --> 00:08:59,490
PREMATURE DEATH.

260
00:08:59,490 --> 00:09:01,659
SO HERE WE SOLICITED RESEARCH

261
00:09:01,659 --> 00:09:03,527
CENTERED ON INTERVENTION

262
00:09:03,527 --> 00:09:04,729
STRATEGIES ADDRESSING SOCIAL

263
00:09:04,729 --> 00:09:06,497
DETERMINANTS OF HEALTH TO

264
00:09:06,497 --> 00:09:07,631
IMPROVE HEALTH AND PROMOTE

265
00:09:07,631 --> 00:09:10,401
HEALTH EQUITY.

266
00:09:10,401 --> 00:09:12,169
IT ENCOURAGES STUDIES THAT

267
00:09:12,169 --> 00:09:14,138
HARNESS A WIDE RANGE OF METHODS

268
00:09:14,138 --> 00:09:16,207
AND APPROACHES, INCLUDING

269
00:09:16,207 --> 00:09:17,074
COMMUNITY ENGAGED APPROACHES

270
00:09:17,074 --> 00:09:18,175
THAT BUILD ON THE STRENGTHS OF

271
00:09:18,175 --> 00:09:19,710
RURAL COMMUNITIES.

272
00:09:19,710 --> 00:09:22,546
APPLICATIONS WERE DUE JUST LAST

273
00:09:22,546 --> 00:09:23,647
WEEK, AND WE ARE LOOKING FORWARD

274
00:09:23,647 --> 00:09:25,716
TO THE RESEARCH THAT WE WILL

275
00:09:25,716 --> 00:09:28,786
FUND IN THIS AREA.

276
00:09:28,786 --> 00:09:30,454
SO JUST AS A REMINDER, WE DO

277
00:09:30,454 --> 00:09:31,956
POST ALL APPROVED CONCEPTS ON

278
00:09:31,956 --> 00:09:33,324
OUR WEBSITE, SO IF YOU'RE

279
00:09:33,324 --> 00:09:35,259
INTERESTED IN A RECAP OF THE

280
00:09:35,259 --> 00:09:37,094
SCIENCE AREAS THAT WERE

281
00:09:37,094 --> 00:09:38,028
DISCUSSED DURING A PREVIOUS

282
00:09:38,028 --> 00:09:39,730
COUNCIL MEETING, YOU CAN CHECK

283
00:09:39,730 --> 00:09:42,700
THERE.

284
00:09:42,700 --> 00:09:44,869
NINR IS THE LEAD INSTITUTE ON

285
00:09:44,869 --> 00:09:47,838
ANOTHER NEW FUNDING OPPORTUNITY

286
00:09:47,838 --> 00:09:49,006
THAT I AM REALLY EXCITED TO TELL

287
00:09:49,006 --> 00:09:50,441
YOU ABOUT, WHICH IS RELATED

288
00:09:50,441 --> 00:09:51,876
DIRECTLY TO OUR MISSION AND

289
00:09:51,876 --> 00:09:53,744
STRATEGIC PLAN.

290
00:09:53,744 --> 00:09:55,813
RESEARCH SHOWS THAT INTERSECTING

291
00:09:55,813 --> 00:09:58,215
SYSTEMS OF PRIVILEGE AND

292
00:09:58,215 --> 00:09:59,216
OPPRESSION PRODUCE AND SUSTAIN

293
00:09:59,216 --> 00:10:01,385
WIDE AND UNJUST VARIATIONS IN

294
00:10:01,385 --> 00:10:02,052
HEALTH.

295
00:10:02,052 --> 00:10:04,221
SO THIS FUNDING OPPORTUNITY

296
00:10:04,221 --> 00:10:06,624
CALLED THE AXES INITIATIVE WILL

297
00:10:06,624 --> 00:10:08,392
SUPPORT RESEARCH TO UNDERSTAND

298
00:10:08,392 --> 00:10:10,027
HEALTH AT THE INTERSECTIONS OF

299
00:10:10,027 --> 00:10:13,097
RACE, ETHNICITY, SOCIOECONOMIC

300
00:10:13,097 --> 00:10:14,899
STATUS, SEXUAL ORIENTATION, AND

301
00:10:14,899 --> 00:10:15,499
ABILITY.

302
00:10:15,499 --> 00:10:17,568
BY EXAMINING CONTRIBUTIONS OF

303
00:10:17,568 --> 00:10:19,637
SOCIAL DETERMINANTS AND OTHER

304
00:10:19,637 --> 00:10:21,739
DETERMINANTS OF HEALTH.

305
00:10:21,739 --> 00:10:23,140
SO WHY IS THIS IMPORTANT?

306
00:10:23,140 --> 00:10:25,776
AND MORE SPECIFICALLY, WHY IS IT

307
00:10:25,776 --> 00:10:27,845
IMPORTANT FOR NINR TO LEAD?

308
00:10:27,845 --> 00:10:30,481
THE REALITY IS THAT WE HOLD

309
00:10:30,481 --> 00:10:32,349
MULTIPLE STATUSES SIMULTANEOUSLY

310
00:10:32,349 --> 00:10:33,984
THAT CONVERGE TO INFLUENCE OUR

311
00:10:33,984 --> 00:10:36,720
LIFE EXPERIENCES, BUT THERE'S A

312
00:10:36,720 --> 00:10:39,323
DIFFERENCE IN THOSE EXPERIENCES

313
00:10:39,323 --> 00:10:41,659
BASED ON WHAT STATUSES WE HOLD.

314
00:10:41,659 --> 00:10:43,394
FOR MINORITY GROUPS, THOSE

315
00:10:43,394 --> 00:10:45,663
EXPERIENCES ARE TOO OFTEN

316
00:10:45,663 --> 00:10:46,797
EMBEDDED WITHIN SYSTEMS OF

317
00:10:46,797 --> 00:10:48,766
OPPRESSION THAT LIMIT ACCESS TO

318
00:10:48,766 --> 00:10:50,401
HEALTH PROMOTING RESOURCES,

319
00:10:50,401 --> 00:10:53,437
SERVICES AND OPPORTUNITIES.

320
00:10:53,437 --> 00:10:54,972
AND ULTIMATELY HAVE DOWNSTREAM

321
00:10:54,972 --> 00:10:56,507
HEALTH CONSEQUENCES.

322
00:10:56,507 --> 00:10:57,842
SO BETTER UNDERSTANDING HOW

323
00:10:57,842 --> 00:11:00,444
THESE FACTORS AFFECT HEALTH AT

324
00:11:00,444 --> 00:11:03,280
THESE INTERSECTIONS WILL ENABLE

325
00:11:03,280 --> 00:11:06,250
US TO DESIGN INTERVENTIONS THAT

326
00:11:06,250 --> 00:11:08,118
CONSIDER A WHOLE OF WHO WE ARE

327
00:11:08,118 --> 00:11:08,986
AS PEOPLE.

328
00:11:08,986 --> 00:11:10,721
SO THE FIRST APPLICATION DUE

329
00:11:10,721 --> 00:11:12,256
DATE IS JULY 5TH.

330
00:11:12,256 --> 00:11:15,426
THIS IS ANOTHER EXAMPLE OF A

331
00:11:15,426 --> 00:11:16,861
COUNCIL CONCEPT THAT RESULTED IN

332
00:11:16,861 --> 00:11:19,930
A FUNDING OPPORTUNITY.

333
00:11:19,930 --> 00:11:23,200
SO THIS WAS CLEARED, YOU MIGHT

334
00:11:23,200 --> 00:11:25,169
RECALL, AT THE SEPTEMBER 2023

335
00:11:25,169 --> 00:11:25,703
MEETING.

336
00:11:25,703 --> 00:11:29,540
NINR IS CONTINUING TO SUPPORT

337
00:11:29,540 --> 00:11:30,641
THE SMALL BUSINESS INNOVATION

338
00:11:30,641 --> 00:11:32,510
RESEARCH PROGRAM, ALONG WITH

339
00:11:32,510 --> 00:11:33,511
SEVERAL NIH INSTITUTES AND

340
00:11:33,511 --> 00:11:35,246
CENTERS THROUGH A FUNDING

341
00:11:35,246 --> 00:11:36,547
OPPORTUNITY FOCUSED ON

342
00:11:36,547 --> 00:11:39,049
ELIMINATING HEALTH DISPARITIES.

343
00:11:39,049 --> 00:11:41,352
THE PURPOSE IS TO SUPPORT SMALL

344
00:11:41,352 --> 00:11:43,120
BUSINESSES IN PROVIDING EARLY

345
00:11:43,120 --> 00:11:45,623
STAGE INVESTMENT FUNDING FOR

346
00:11:45,623 --> 00:11:47,424
DEVELOPING TECHNOLOGY, SERVICES

347
00:11:47,424 --> 00:11:49,126
AND PRODUCTS THAT EMPOWER

348
00:11:49,126 --> 00:11:51,195
INDIVIDUALS AND COMMUNITIES

349
00:11:51,195 --> 00:11:54,164
INCLUDING PROVIDERS AND

350
00:11:54,164 --> 00:11:54,932
HEALTHCARE INSTITUTIONS THAT

351
00:11:54,932 --> 00:11:55,900
FOCUS ON POPULATIONS THAT

352
00:11:55,900 --> 00:11:58,302
EXPERIENCE HEALTH DISPARITIES.

353
00:11:58,302 --> 00:11:59,503
THE FIRST APPLICATION DUE DATE

354
00:11:59,503 --> 00:12:02,907
IS COMING UP NEXT MONTH, ON JUN.

355
00:12:02,907 --> 00:12:03,841
AS WITH OTHER GRANT

356
00:12:03,841 --> 00:12:05,976
OPPORTUNITIES, YOU CAN LEARN

357
00:12:05,976 --> 00:12:07,611
MORE ON THE NIH GRANTS WEBSITE.

358
00:12:07,611 --> 00:12:09,346
WE ALSO HAVE A SECTION ON OUR

359
00:12:09,346 --> 00:12:11,882
OWN WEBSITE JUST ABOUT THE SMALL

360
00:12:11,882 --> 00:12:16,186
BUSINESS PROGRAM.

361
00:12:16,186 --> 00:12:18,556
IN JANUARY, WE SHARED THE

362
00:12:18,556 --> 00:12:19,456
ANNOUNCEMENT OF THE FIRST WHITE

363
00:12:19,456 --> 00:12:20,724
HOUSE INITIATIVE ON WOMEN'S

364
00:12:20,724 --> 00:12:22,192
HEALTH RESEARCH.

365
00:12:22,192 --> 00:12:24,461
SINCE THEN, THE NIH OFFICE OF

366
00:12:24,461 --> 00:12:26,530
RESEARCH ON WOMEN'S HEALTH AND

367
00:12:26,530 --> 00:12:29,033
OTHER NIH INSTITUTES INCLUDING

368
00:12:29,033 --> 00:12:31,869
NINR ISSUED A NOTICE OF SPECIAL

369
00:12:31,869 --> 00:12:33,537
INTEREST TO SOLICIT RESEARCH

370
00:12:33,537 --> 00:12:35,306
APPLICATIONS FOCUSED ON DISEASES

371
00:12:35,306 --> 00:12:40,210
AND HEALTH OUTCOMES THAT

372
00:12:40,210 --> 00:12:41,278
PREDOMINANTLY AFFECT WOMEN,

373
00:12:41,278 --> 00:12:42,279
PRESENT AND PROGRESS DIFFERENTLY

374
00:12:42,279 --> 00:12:43,814
IN WOMEN, OR ARE

375
00:12:43,814 --> 00:12:45,716
FEMALE-SPECIFIC.

376
00:12:45,716 --> 00:12:47,217
PROJECTS ACCOUNTING FOR SOCIAL

377
00:12:47,217 --> 00:12:48,852
AND STRUCTURAL VARIABLES ARE

378
00:12:48,852 --> 00:12:52,022
STRONGLY ENCOURAGED.

379
00:12:52,022 --> 00:12:53,457
THE FIRST AVAILABLE DUE DATE WAS

380
00:12:53,457 --> 00:12:55,726
MAY 6, AND THE NOSI EXTENDS FOR

381
00:12:55,726 --> 00:12:57,828
A COUPLE MORE YEARS, THROUGH

382
00:12:57,828 --> 00:13:01,432
NOVEMBER 5TH OF 2027.

383
00:13:01,432 --> 00:13:03,334
ALSO, RELATED TO THE RESPONSE TO

384
00:13:03,334 --> 00:13:04,702
THE WHITE HOUSE INITIATIVE ON

385
00:13:04,702 --> 00:13:07,771
WOMEN'S HEALTH RESEARCH, THIS

386
00:13:07,771 --> 00:13:09,406
FUNDING OPPORTUNITY THAT NIAAA

387
00:13:09,406 --> 00:13:11,375
IS LEADING AND NINR IS

388
00:13:11,375 --> 00:13:12,810
PARTICIPATING IN WILL SUPPORT

389
00:13:12,810 --> 00:13:17,281
THE PLANNING PHASE OF THE MODEL

390
00:13:17,281 --> 00:13:18,282
CONTINUUMS OF CARE INITIATIVE,

391
00:13:18,282 --> 00:13:20,217
WHICH IS A DISSEMINATION AND

392
00:13:20,217 --> 00:13:21,018
IMPLEMENTATION SCIENCE

393
00:13:21,018 --> 00:13:23,087
INITIATIVE ADDRESSING

394
00:13:23,087 --> 00:13:23,854
MULTI-MORBIDITY IN WOMEN AND

395
00:13:23,854 --> 00:13:26,256
GIRLS OF REPRODUCTIVE AGE.

396
00:13:26,256 --> 00:13:28,058
IT'S INTENDED TO ADDRESS GAPS IN

397
00:13:28,058 --> 00:13:30,094
THE CONTINUUM OF CARE BY

398
00:13:30,094 --> 00:13:31,929
BRIDGING EVIDENCE-BASED,

399
00:13:31,929 --> 00:13:34,198
INTEGRATIVE INTERVENTIONS FOR

400
00:13:34,198 --> 00:13:36,367
MENTAL HEALTH AND SUBSTANCE USE

401
00:13:36,367 --> 00:13:37,534
DISORDERS, AND COMMON

402
00:13:37,534 --> 00:13:38,068
CO-OCCURRING PHYSICAL

403
00:13:38,068 --> 00:13:39,603
CONDITIONS.

404
00:13:39,603 --> 00:13:40,904
TO SCALE UP AT THE POPULATION

405
00:13:40,904 --> 00:13:43,540
LEVEL.

406
00:13:43,540 --> 00:13:44,942
THE ESTABLISHMENT OF

407
00:13:44,942 --> 00:13:45,943
PUBLIC-PRIVATE PARTNERSHIPS IS A

408
00:13:45,943 --> 00:13:47,678
KEY ACTIVITY IN THE PLANNING

409
00:13:47,678 --> 00:13:48,679
PHASE.

410
00:13:48,679 --> 00:13:50,114
THE FIRST APPLICATION DUE DATE

411
00:13:50,114 --> 00:13:53,484
IS IN JUNE.

412
00:13:53,484 --> 00:13:54,685
SO LET PAUSE THERE.

413
00:13:54,685 --> 00:13:56,987
WE JUST TALKED ABOUT TWO

414
00:13:56,987 --> 00:13:58,389
OPPORTUNITIES RELATED TO WOMEN'S

415
00:13:58,389 --> 00:14:01,025
HEALTH RESEARCH.

416
00:14:01,025 --> 00:14:03,794
IT SEEMS THE NOSI COULD BE AN

417
00:14:03,794 --> 00:14:06,530
OPPORTUNITY FOR NINR, SO HOW DO

418
00:14:06,530 --> 00:14:09,133
YOU SEE NINR ADVANCING WOMEN'S

419
00:14:09,133 --> 00:14:09,767
HEALTH RESEARCH?

420
00:14:09,767 --> 00:14:11,435
WHAT ARE THE MOST PRESSING

421
00:14:11,435 --> 00:14:13,504
ISSUES YOU THINK THAT NINR CAN

422
00:14:13,504 --> 00:14:15,139
FOCUS ON, OR COULD CONSIDER WHEN

423
00:14:15,139 --> 00:14:24,448
WE THINK ABOUT WOMEN'S HEALTH?

424
00:14:24,448 --> 00:14:26,183
I SPRUNG IT ON YOU, RIGHT?

425
00:14:26,183 --> 00:14:28,285
LIKE, WHAT ARE ALL YOUR IDEAS ON

426
00:14:28,285 --> 00:14:30,354
WOMEN'S HEALTH RESEARCH?

427
00:14:30,354 --> 00:14:33,090
ANYTHING THAT COMES TO MIND.

428
00:14:33,090 --> 00:14:35,159
>> SHANNON?

429
00:14:35,159 --> 00:14:36,360
THIS IS PAT.

430
00:14:36,360 --> 00:14:38,328
CAN YOU HEAR ME OKAY?

431
00:14:38,328 --> 00:14:39,963
>> YES.

432
00:14:39,963 --> 00:14:41,832
>> ONE OF THE THINGS THAT
I

433
00:14:41,832 --> 00:14:44,668
THINK WHICH IS JUST SO APPALLING

434
00:14:44,668 --> 00:14:48,105
IS THE HEALTH DISPARITIES IN

435
00:14:48,105 --> 00:14:50,708
MATERNAL HEALTH WITH BLACK

436
00:14:50,708 --> 00:14:52,209
AMERICAN WOMEN.

437
00:14:52,209 --> 00:14:54,545
AND YOU KNOW, THERE'S JUST SO

438
00:14:54,545 --> 00:14:56,180
MUCH I THINK NINR CAN DO THERE,

439
00:14:56,180 --> 00:14:59,650
BECAUSE IT FITS ITS GOAL, ITS

440
00:14:59,650 --> 00:15:00,651
STRATEGIC PLAN.

441
00:15:00,651 --> 00:15:04,922
AND I THINK IT'S SOMETHING SO

442
00:15:04,922 --> 00:15:07,991
MUCH NURSES CARE ABOUT.

443
00:15:07,991 --> 00:15:12,129
>> YEAH, THANK YOU FOR
THAT.

444
00:15:12,129 --> 00:15:13,964
>> ONE THING THAT COMES TO
MY

445
00:15:13,964 --> 00:15:15,199
MIND ARE PHARMACOLOGICAL

446
00:15:15,199 --> 00:15:16,734
DIFFERENCES IN RESPONSE,

447
00:15:16,734 --> 00:15:17,935
PARTICULARLY WITH SYMPTOMS.

448
00:15:17,935 --> 00:15:20,037
I MEAN, THERE ARE MARKETED

449
00:15:20,037 --> 00:15:21,872
APPROACHES, MEDICATIONS THAT

450
00:15:21,872 --> 00:15:23,073
SOME EVIDENCE IS COMING OUT THAT

451
00:15:23,073 --> 00:15:25,476
WOMEN JUST RESPOND DIFFERENTLY,

452
00:15:25,476 --> 00:15:26,777
AND I THINK UNDERSTANDING THAT

453
00:15:26,777 --> 00:15:31,949
IS VERY VITAL.

454
00:15:31,949 --> 00:15:34,651
>> I WAS JUST GOING TO
BUILD ON

455
00:15:34,651 --> 00:15:36,587
THE FIRST PERSON, PAT, I

456
00:15:36,587 --> 00:15:37,821
BELIEVE, HER COMMENTS.

457
00:15:37,821 --> 00:15:39,156
BROADLY, SEXUAL AND REPRODUCTIVE

458
00:15:39,156 --> 00:15:40,457
HEALTH, I WOULD COMMENT ON THE

459
00:15:40,457 --> 00:15:41,992
ISSUE AROUND MATERNAL CHILD

460
00:15:41,992 --> 00:15:43,293
INEQUITIES, BUT ALSO THE

461
00:15:43,293 --> 00:15:44,394
POSTPARTUM PERIOD AND SOME OF

462
00:15:44,394 --> 00:15:46,497
WHAT WE KNOW THERE, THE SYPHILIS

463
00:15:46,497 --> 00:15:48,132
EPIDEMIC IN THE COUNTRY, ISSUES

464
00:15:48,132 --> 00:15:50,067
REGARDING THE DOBBS DECISION AND

465
00:15:50,067 --> 00:15:51,935
ABORTION, AS WELL AS HIV AND THE

466
00:15:51,935 --> 00:15:54,138
LOW UPTAKE OF PREP AMONG WOMEN.

467
00:15:54,138 --> 00:15:56,774
I THINK SRH IS A HUGE AREA FOR

468
00:15:56,774 --> 00:15:57,975
WOMEN.

469
00:15:57,975 --> 00:15:59,476
>> AND I THINK THOSE ARE
ALL

470
00:15:59,476 --> 00:16:00,043
GREAT IDEAS.

471
00:16:00,043 --> 00:16:01,011
I THINK WE HAVE TO REMEMBER THAT

472
00:16:01,011 --> 00:16:03,847
THE LEADING CAUSE OF DEATH AND

473
00:16:03,847 --> 00:16:05,282
MORBIDITY AMONG WOMEN IS

474
00:16:05,282 --> 00:16:06,283
CARDIOVASCULAR DISEASE AND THERE

475
00:16:06,283 --> 00:16:07,918
ARE MASSIVE INEQUITIES AND

476
00:16:07,918 --> 00:16:09,119
ALWAYS HAVE BEEN THAT ARE

477
00:16:09,119 --> 00:16:10,854
SEEMINGLY GETTING WORSE AND IT'S

478
00:16:10,854 --> 00:16:12,089
OCCURRING EARLIER IN WOMEN THAN

479
00:16:12,089 --> 00:16:13,490
IT HAS HISTORICALLY, SO KEEP

480
00:16:13,490 --> 00:16:14,958
THAT IN MIND, THE PREVALENCE OF

481
00:16:14,958 --> 00:16:17,761
THE LEADING CAUSES OF DEATH.

482
00:16:17,761 --> 00:16:20,164
>> THIS IS BETTY.

483
00:16:20,164 --> 00:16:20,998
I THINK IT WOULD -- BUILDING OFF

484
00:16:20,998 --> 00:16:22,800
OF THE SORT OF REPRODUCTIVE

485
00:16:22,800 --> 00:16:26,937
HEALTH IDEAS TOO, IT WOULD BE

486
00:16:26,937 --> 00:16:28,705
GREAT IF THERE COULD BE SOME

487
00:16:28,705 --> 00:16:30,941
POLICY RESEARCH, RIGHT,

488
00:16:30,941 --> 00:16:33,811
VARIATION IN POLICY AROUND

489
00:16:33,811 --> 00:16:35,479
REPRODUCTIVE HEALTH AND ITS

490
00:16:35,479 --> 00:16:39,516
IMPACT ON MATERNAL AND CHILD

491
00:16:39,516 --> 00:16:42,319
HEALTH, AND DISPROPORTIONATELY

492
00:16:42,319 --> 00:16:45,589
AFFECTING PEOPLE OF COLOR AND

493
00:16:45,589 --> 00:16:46,690
LOW INCOME, ET CETERA.

494
00:16:46,690 --> 00:16:48,392
BUT FOR TAKING A SORT OF POLICY

495
00:16:48,392 --> 00:16:56,700
LENS ON THAT WOULD BE TERRIFIC.

496
00:16:56,700 --> 00:16:59,102
>> THOSE ARE GREAT IDEAS,
THANK

497
00:16:59,102 --> 00:17:00,838
YOU.

498
00:17:00,838 --> 00:17:02,773
COMMENTING ON MATERNAL HEALTH,

499
00:17:02,773 --> 00:17:04,107
HOPEFULLY EVERYONE IS AWARE, WE

500
00:17:04,107 --> 00:17:05,742
FUNDED A LARGE INITIATIVE, THE

501
00:17:05,742 --> 00:17:06,944
AIM INITIATIVE WITH A COUPLE OF

502
00:17:06,944 --> 00:17:08,812
ROUNDS OF FUNDING AND SO ARE

503
00:17:08,812 --> 00:17:10,147
SUPPORTING A NUMBER OF PROJECTS

504
00:17:10,147 --> 00:17:11,548
OH MA MERNL HEALTH SO WE LOOK

505
00:17:11,548 --> 00:17:12,783
FORWARD TO SHARING THOSE RESULTS

506
00:17:12,783 --> 00:17:13,951
AS THEY START COMING IN, BUT

507
00:17:13,951 --> 00:17:15,052
THAT HAS BEEN A BIG INVESTMENT

508
00:17:15,052 --> 00:17:16,353
FOR US AND WE'LL SHOW YOU SOME

509
00:17:16,353 --> 00:17:17,888
DATA ON THAT IN JUST A MINUTE.

510
00:17:17,888 --> 00:17:20,757
SO THANKS FOR THAT.

511
00:17:20,757 --> 00:17:21,225
ALL RIGHT.

512
00:17:21,225 --> 00:17:25,996
SO MOVING ALONG, YES?

513
00:17:25,996 --> 00:17:28,599
>> DO YOU VIEW THESE TWO
RFAs

514
00:17:28,599 --> 00:17:31,201
AS LIMITED TO MATERNAL HEALTH OR

515
00:17:31,201 --> 00:17:33,270
WOULD IT ALSO INCLUDE

516
00:17:33,270 --> 00:17:35,806
DISPARITIES IN CHILDREN OR

517
00:17:35,806 --> 00:17:36,773
ADOLESCENTS?

518
00:17:36,773 --> 00:17:38,508
>> THOSE TWO THAT I JUST

519
00:17:38,508 --> 00:17:40,043
MENTIONED, THE FIRST ONE IS VERY

520
00:17:40,043 --> 00:17:41,245
BROAD ON WOMEN'S HEALTH

521
00:17:41,245 --> 00:17:42,980
RESEARCH, THAT NOSI THAT'S

522
00:17:42,980 --> 00:17:43,547
NIH-WIDE.

523
00:17:43,547 --> 00:17:44,748
THE SECOND ONE IS FOCUSED ON

524
00:17:44,748 --> 00:17:46,583
WOMEN AND GIRLS OF REPRODUCTIVE

525
00:17:46,583 --> 00:17:47,050
AGE.

526
00:17:47,050 --> 00:17:48,919
THE AIM INITIATIVE THAT WE PUT

527
00:17:48,919 --> 00:17:50,754
OUT IS FOCUSED ON MATERNAL

528
00:17:50,754 --> 00:17:53,290
HEALTH, BUT THERE'S A WIDE

529
00:17:53,290 --> 00:17:54,725
VARIETY OF AND I THINK

530
00:17:54,725 --> 00:17:56,793
INCREASINGLY SO, GIVEN THIS IS A

531
00:17:56,793 --> 00:17:58,395
PRIORITY, OF INITIATIVES FOCUSED

532
00:17:58,395 --> 00:17:59,730
ON WOMEN'S HEALTH, AND OF COURSE

533
00:17:59,730 --> 00:18:01,698
PEOPLE CAN ALWAYS SUBMIT THROUGH

534
00:18:01,698 --> 00:18:03,467
THE NOSI OR THROUGH THE PARENT

535
00:18:03,467 --> 00:18:04,167
MECHANISM TOO.

536
00:18:04,167 --> 00:18:04,735
>> THANK YOU.

537
00:18:04,735 --> 00:18:13,176
>> YEAH.

538
00:18:13,176 --> 00:18:14,478
SO IN JANUARY AT OUR COUNCIL

539
00:18:14,478 --> 00:18:15,712
MEETING, WE HAD A DISCUSSION ON

540
00:18:15,712 --> 00:18:18,081
REACHING AUDIENCES FOR FUNDING

541
00:18:18,081 --> 00:18:19,416
OPPORTUNITIES AND ENCOURAGING

542
00:18:19,416 --> 00:18:19,950
APPLICATIONS.

543
00:18:19,950 --> 00:18:21,885
SO TO ADDRESS THIS, WE HAVE

544
00:18:21,885 --> 00:18:23,320
INCREASED OUR OUTREACH EFFORTS

545
00:18:23,320 --> 00:18:27,291
IN SPREADING THE WORD ABOUT NEW

546
00:18:27,291 --> 00:18:28,692
FUNDING OPPORTUNITIES AND HAVE

547
00:18:28,692 --> 00:18:30,160
SPENT TIME PROVIDING ADDITIONAL

548
00:18:30,160 --> 00:18:31,561
EDUCATION AND SUPPORT TO

549
00:18:31,561 --> 00:18:32,195
POTENTIAL APPLICANTS.

550
00:18:32,195 --> 00:18:35,399
SO AS AN EXAMPLE OF THIS, WE

551
00:18:35,399 --> 00:18:36,433
HELD FOUR TECHNICAL ASSISTANCE

552
00:18:36,433 --> 00:18:38,769
WEBINARS SINCE OUR LAST MEETING.

553
00:18:38,769 --> 00:18:40,537
THESE WEBINARS GIVE POTENTIAL

554
00:18:40,537 --> 00:18:41,405
APPLICANTS ADDITIONAL

555
00:18:41,405 --> 00:18:42,839
INFORMATION ABOUT CURRENT

556
00:18:42,839 --> 00:18:45,008
FUNDING OPPORTUNITIES, AND ALLOW

557
00:18:45,008 --> 00:18:47,077
APPLICANTS TO ASK ANY QUESTIONS

558
00:18:47,077 --> 00:18:48,612
THEY HAVE, SO I'M PLEASED TO

559
00:18:48,612 --> 00:18:49,780
REPORT THERE'S BEEN A LOT OF

560
00:18:49,780 --> 00:18:52,215
INTEREST IN THESE FUNDING

561
00:18:52,215 --> 00:18:52,816
OPPORTUNITIES.

562
00:18:52,816 --> 00:18:54,184
FOR THE RURAL HEALTH TECHNICAL

563
00:18:54,184 --> 00:18:56,553
ASSISTANCE WEBINAR, WE HAD 189

564
00:18:56,553 --> 00:18:57,354
VIEWERS.

565
00:18:57,354 --> 00:18:59,323
FOR THE TRANSFORMATIVE RESEARCH

566
00:18:59,323 --> 00:19:00,757
TO ADDRESS HEALTH DISPARITIES,

567
00:19:00,757 --> 00:19:03,827
WE HAD OVER 331 WEBINAR

568
00:19:03,827 --> 00:19:04,594
ATTENDEES.

569
00:19:04,594 --> 00:19:06,330
FOR THE BRIDGE TO CARE

570
00:19:06,330 --> 00:19:09,099
INITIATIVE, WE HAD OVER 326

571
00:19:09,099 --> 00:19:09,733
ATTENDEES.

572
00:19:09,733 --> 00:19:11,568
SO WE ARE VERY PLEASED WITH THE

573
00:19:11,568 --> 00:19:13,770
RESPONSE AND THE INTEREST AND

574
00:19:13,770 --> 00:19:15,639
REALLY APPRECIATE YOUR HELP IN

575
00:19:15,639 --> 00:19:16,873
DISSEMINATING THOSE FUNDING

576
00:19:16,873 --> 00:19:18,241
OPPORTUNITIES.

577
00:19:18,241 --> 00:19:20,344
SO THE DUE DATES FOR THOSE

578
00:19:20,344 --> 00:19:22,312
OPPORTUNITIES HAVE PASSED BUT

579
00:19:22,312 --> 00:19:26,016
JUST THIS WEEK WE DID -- SORRY

580
00:19:26,016 --> 00:19:28,018
ABOUT THAT -- HOLD A WEBINAR

581
00:19:28,018 --> 00:19:29,753
ABOUT THE AXES INITIATIVE THAT I

582
00:19:29,753 --> 00:19:30,954
MENTIONED A FEW MINUTES AGO.

583
00:19:30,954 --> 00:19:32,589
SO YOU CAN FIND RECORDINGS ON

584
00:19:32,589 --> 00:19:35,192
OUR WEBSITE.

585
00:19:35,192 --> 00:19:36,960
AND AGAIN, THANK YOU SO MUCH FOR

586
00:19:36,960 --> 00:19:39,896
YOUR HELP IN DISSEMINATING THOSE

587
00:19:39,896 --> 00:19:43,100
INITIATIVES.

588
00:19:43,100 --> 00:19:45,102
SO WE ARE ALSO SEEING

589
00:19:45,102 --> 00:19:46,803
PUBLICATIONS THAT REFLECT ON

590
00:19:46,803 --> 00:19:48,238
NINR'S WORK TO ADVANCE THE

591
00:19:48,238 --> 00:19:49,239
SCIENCE SPECIFICALLY IN HEALTH

592
00:19:49,239 --> 00:19:50,207
EQUITY AND SOCIAL DETERMINANTS

593
00:19:50,207 --> 00:19:50,640
OF HEALTH.

594
00:19:50,640 --> 00:19:53,910
SO THIS PAPER FROM NINR GRANTEES

595
00:19:53,910 --> 00:19:55,112
DESCRIBES A CROSS-SECTIONAL

596
00:19:55,112 --> 00:19:57,981
STUDY OF OVER 10 MILLION LIVE

597
00:19:57,981 --> 00:19:59,282
HOSPITAL BIRTHS IN CALIFORNIA

598
00:19:59,282 --> 00:20:03,120
OVER A 21-YEAR TIME SPAN.

599
00:20:03,120 --> 00:20:05,188
THIS STUDY EXAMINED

600
00:20:05,188 --> 00:20:06,390
RELATIONSHIPS BETWEEN SEVERE

601
00:20:06,390 --> 00:20:09,126
MATERNAL MORBIDITY AND RACIAL

602
00:20:09,126 --> 00:20:11,194
INEQUITIES IN JAIL INCARCERATION

603
00:20:11,194 --> 00:20:12,896
RATES, WHICH THEY USE AS AN

604
00:20:12,896 --> 00:20:14,164
INDICATOR OF STRUCTURAL RACISM.

605
00:20:14,164 --> 00:20:15,565
THEY FOUND THAT BLACK AND

606
00:20:15,565 --> 00:20:16,900
HISPANIC WOMEN IN COUNTIES WITH

607
00:20:16,900 --> 00:20:20,070
HIGH INCARCERATION INEQUITY HAD

608
00:20:20,070 --> 00:20:21,471
INCREASED ODDS OF EXPERIENCING

609
00:20:21,471 --> 00:20:23,240
SEVERE MATERNAL MORBIDITY

610
00:20:23,240 --> 00:20:28,478
COMPARED WITH THOSE LIVING IN

611
00:20:28,478 --> 00:20:29,913
LOW INEQUITY COUNTIES.

612
00:20:29,913 --> 00:20:32,749
THEY CALLED FOR COMMUNITY-BASED

613
00:20:32,749 --> 00:20:34,017
ALTERNATIVES TO INCARCERATION

614
00:20:34,017 --> 00:20:36,686
PRACTICES AS A STRATEGY TO

615
00:20:36,686 --> 00:20:37,454
IMPROVE MATERNAL EQUITY.

616
00:20:37,454 --> 00:20:40,624
I ALSO WANT TO SHARE A RECENT

617
00:20:40,624 --> 00:20:44,127
PUBLICATION THAT DR. LEO SALAGAN

618
00:20:44,127 --> 00:20:48,498
IN OUR INTRAMURAL DIVISION

619
00:20:48,498 --> 00:20:49,232
CO-AUTHORED.

620
00:20:49,232 --> 00:20:51,034
SCIENTISTS AND CLINICIANS ACROSS

621
00:20:51,034 --> 00:20:52,102
15 OF THE INSTITUTES THAT

622
00:20:52,102 --> 00:20:52,969
COMPRISE THE NIH CONTRIBUTE

623
00:20:52,969 --> 00:20:58,075
TODAY THIS MULTIDISCIPLINARY

624
00:20:58,075 --> 00:21:00,077
WORK.

625
00:21:00,077 --> 00:21:03,480
POST INFECTIOUS MYALGIC

626
00:21:03,480 --> 00:21:05,015
ENCEPHALOMYELITIS -- OH, I

627
00:21:05,015 --> 00:21:05,482
PRACTICED!

628
00:21:05,482 --> 00:21:07,884
YOU KNOW I DO PRACTICE.

629
00:21:07,884 --> 00:21:11,021
CHRONIC FATIGUE SYNDROME, OR PI

630
00:21:11,021 --> 00:21:12,889
ME/CFS, IS A DISABLING DISORDER

631
00:21:12,889 --> 00:21:15,292
THAT IS POORLY UNDERSTOOD AND

632
00:21:15,292 --> 00:21:16,159
LACKS PROPER TREATMENT.

633
00:21:16,159 --> 00:21:19,896
THE STUDY USED RIGOROUS CRITERIA

634
00:21:19,896 --> 00:21:26,236
TO RECRU -- THE CLINICAL ABNORMS

635
00:21:26,236 --> 00:21:27,404
AND BIOMARKER DIFFERENCES

636
00:21:27,404 --> 00:21:30,107
PROVIDE NEW INSIGHT INTO THE

637
00:21:30,107 --> 00:21:35,979
UNDERLYING PATHOPHYSIOLOGY OF

638
00:21:35,979 --> 00:21:38,148
PIMECFS WHICH MAY GUIDE FUTURE

639
00:21:38,148 --> 00:21:39,182
INTERVENTIONS SO CONGRATULATIONS

640
00:21:39,182 --> 00:21:40,784
TO THAT TEAM.

641
00:21:40,784 --> 00:21:42,085
SWITCHING GEARS FROM

642
00:21:42,085 --> 00:21:45,088
PUBLICATIONS TO REPORTS, AT THE

643
00:21:45,088 --> 00:21:46,389
JANUARY COUNCIL, WE HEARD AN

644
00:21:46,389 --> 00:21:47,357
UPDATE FROM THE CLIMATE CHANGE

645
00:21:47,357 --> 00:21:52,295
AND HEALTH WORKING GROUP THIS

646
00:21:52,295 --> 00:21:53,930
GROUP MET FOUR TIMES BETWEEN

647
00:21:53,930 --> 00:21:55,132
SEPTEMBER AND NOVEMBER OF 2023

648
00:21:55,132 --> 00:21:56,800
AND DISCUSSED AREAS OF CRITICAL

649
00:21:56,800 --> 00:21:58,969
NEED, GAPS IN CURRENT RESEARCH

650
00:21:58,969 --> 00:22:00,737
AND FUTURE DIRECTIONS IN CLIMATE

651
00:22:00,737 --> 00:22:02,239
CHANGE RESEARCH.

652
00:22:02,239 --> 00:22:04,241
THIS WORK FORMED THE BASIS FOR

653
00:22:04,241 --> 00:22:08,945
NINE RECOMMENDATIONS FOR NINR

654
00:22:08,945 --> 00:22:09,746
SUPPORTED CLIMATE CHANGE AND

655
00:22:09,746 --> 00:22:11,014
HEALTH RESEARCH.

656
00:22:11,014 --> 00:22:12,215
SOME TOP LINE FINDINGS FROM THE

657
00:22:12,215 --> 00:22:13,150
GROUP ARE SUMMARIZED ON THE

658
00:22:13,150 --> 00:22:13,950
SLIDE.

659
00:22:13,950 --> 00:22:15,485
THE NINE RECOMMENDATIONS ARE

660
00:22:15,485 --> 00:22:16,920
DETAILED IN A COMPREHENSIVE

661
00:22:16,920 --> 00:22:18,989
REPORT THAT WILL BE POSTED ON

662
00:22:18,989 --> 00:22:21,591
OUR WEBSITE VERY SHORTLY.

663
00:22:21,591 --> 00:22:22,792
SO I WANT TO AGAIN THANK THE

664
00:22:22,792 --> 00:22:24,995
MEMBERS OF THAT WORK GROUP, IN

665
00:22:24,995 --> 00:22:28,298
PARTICULAR, DR. BETTY BEKEMEIER

666
00:22:28,298 --> 00:22:29,933
HERE ON COUNCIL, WHO SERVED AS A

667
00:22:29,933 --> 00:22:31,368
CO-CHAIR FOR THAT WORK GROUP.

668
00:22:31,368 --> 00:22:35,939
SO THANK YOU AGAIN.

669
00:22:35,939 --> 00:22:37,574
NOW, TWO YEARS INTO OUR

670
00:22:37,574 --> 00:22:39,543
STRATEGIC PLAN I WANT TO SPEND A

671
00:22:39,543 --> 00:22:41,645
FEW MOMENTS HIGHLIGHTING OUR

672
00:22:41,645 --> 00:22:43,813
RESEARCH PORTFOLIO AS IT STANDS

673
00:22:43,813 --> 00:22:46,016
REGARDING OUR INVESTMENT AS A

674
00:22:46,016 --> 00:22:49,052
PERCENTAGE OF OUR BUDGET.

675
00:22:49,052 --> 00:22:51,154
SO KEEP IN MIND AS YOU LOOK AT

676
00:22:51,154 --> 00:22:53,323
THESE DATA THAT THESE CATEGORYSS

677
00:22:53,323 --> 00:22:56,293
ARE NOT MUTE LIE EXCLUSIVE, A

678
00:22:56,293 --> 00:22:57,928
STUDY CAN BE CLASSIFIED IN

679
00:22:57,928 --> 00:23:01,531
MULTIPLE WAYS OBVIOUSLY.

680
00:23:01,531 --> 00:23:02,832
SO I'M PROUD TO REPORT ACROSS

681
00:23:02,832 --> 00:23:04,801
THE OTHER ICs AT NIH, WE RANK

682
00:23:04,801 --> 00:23:06,336
FIRST AND SECOND IN THE SCIENCES

683
00:23:06,336 --> 00:23:07,537
THAT ARE FOUNDATIONAL TO OUR

684
00:23:07,537 --> 00:23:09,072
WORK AND ALIGNED WITH OUR

685
00:23:09,072 --> 00:23:09,839
STRATEGIC PLAN.

686
00:23:09,839 --> 00:23:12,676
FOR EXAMPLE, NINR LED THE

687
00:23:12,676 --> 00:23:14,377
GREATEST INVESTMENT IN BUDGET IN

688
00:23:14,377 --> 00:23:16,112
CLINICAL RESEARCH AND CLINICAL

689
00:23:16,112 --> 00:23:16,846
TRIALS.

690
00:23:16,846 --> 00:23:18,815
AREAS THAT HAVE CONTINUED TO BE

691
00:23:18,815 --> 00:23:20,650
OF GREAT IMPORTANCE TO THE

692
00:23:20,650 --> 00:23:25,355
LEADERSHIP AT NIH.

693
00:23:25,355 --> 00:23:28,658
NR FISCAL YEAR '23, NINR

694
00:23:28,658 --> 00:23:29,192
INVESTED $129 MILLION IN

695
00:23:29,192 --> 00:23:31,161
BEHAVIORAL AND SOCIAL SCIENCES

696
00:23:31,161 --> 00:23:32,929
RESEARCH, REPRESENTING 65% OF

697
00:23:32,929 --> 00:23:36,099
OUR BUDGET.

698
00:23:36,099 --> 00:23:37,734
LOOKING ACROSS THE NIH, YOU CAN

699
00:23:37,734 --> 00:23:39,469
SEE NINR RANKS FIRST, JUST AHEAD

700
00:23:39,469 --> 00:23:44,307
OF NIMHD, NIAAA AND NIDA IN THIS

701
00:23:44,307 --> 00:23:44,941
AREA.

702
00:23:44,941 --> 00:23:47,544
AGAIN, AS A PERCENTAGE OF OUR

703
00:23:47,544 --> 00:23:48,912
BUDGET.

704
00:23:48,912 --> 00:23:50,747
SO WHEN WE LOOK MORE CLOSELY AT

705
00:23:50,747 --> 00:23:53,250
TOPICS, YOU CAN SEE THAT NINR

706
00:23:53,250 --> 00:23:55,018
RANKED SECOND ACROSS THE NIH IN

707
00:23:55,018 --> 00:23:56,653
OUR INVESTMENT IN SOCIAL

708
00:23:56,653 --> 00:23:58,288
DETERMINANTS OF HEALTH, HEALTH

709
00:23:58,288 --> 00:23:59,589
DISPARITIES, AND MINORITY HEALTH

710
00:23:59,589 --> 00:24:01,524
RESEARCH.

711
00:24:01,524 --> 00:24:02,659
DR. JOHN GRASON WILL BE TALKING

712
00:24:02,659 --> 00:24:04,661
MORE ABOUT THE HEALTH

713
00:24:04,661 --> 00:24:06,162
DISPARITIES AND MINORITY HEALTH

714
00:24:06,162 --> 00:24:07,931
PORTFOLIO A BIT LATER THIS

715
00:24:07,931 --> 00:24:09,966
MORNING, AND DR. ALISON COLBERT

716
00:24:09,966 --> 00:24:12,502
WILL BE DISCUSSING NINR

717
00:24:12,502 --> 00:24:14,938
ACTIVITIES IN THE SDOH LENS,

718
00:24:14,938 --> 00:24:16,773
THROUGH THE SDOH LENS, LATER

719
00:24:16,773 --> 00:24:17,107
TODAY.

720
00:24:17,107 --> 00:24:19,509
YOU CAN SEE OUR INVESTMENT IN

721
00:24:19,509 --> 00:24:21,278
MATERNAL MORBIDITY AND MORTALITY

722
00:24:21,278 --> 00:24:21,745
RESEARCH.

723
00:24:21,745 --> 00:24:24,114
IT HAS GROWN IN RECENT YEARS IN

724
00:24:24,114 --> 00:24:25,682
CONCERT WITH THE DEEP CONCERNS

725
00:24:25,682 --> 00:24:27,384
ABOUT WORSENING MATERNAL HEALTH

726
00:24:27,384 --> 00:24:28,785
AND RELATED DISPARITIES IN THE

727
00:24:28,785 --> 00:24:31,021
UNITED STATES.

728
00:24:31,021 --> 00:24:35,292
YOU CAN ALSO SEE WE HAVE

729
00:24:35,292 --> 00:24:37,394
CONSIDERABLE EQUITIES RELATIVE

730
00:24:37,394 --> 00:24:38,995
TO NIH.

731
00:24:38,995 --> 00:24:41,398
SO WHEN WE TAKE A CLOSER LOOK AT

732
00:24:41,398 --> 00:24:43,033
OUR INVESTMENT IN SOCIAL

733
00:24:43,033 --> 00:24:45,769
DETERMINANTS OF HEALTH RESEARCH,

734
00:24:45,769 --> 00:24:47,604
WHICH AS YOU KNOW IS ONE OF OUR

735
00:24:47,604 --> 00:24:50,040
LENSES IN OUR STRATEGIC PLAN,

736
00:24:50,040 --> 00:24:52,542
NINR INVESTED $93 MILLION IN

737
00:24:52,542 --> 00:24:55,178
THIS AREA REPRESENTING 47% OF

738
00:24:55,178 --> 00:24:58,448
OUR BUDGET IN '23.

739
00:24:58,448 --> 00:25:01,184
LOOKING ACROSS NIH, YOU CAN SEE

740
00:25:01,184 --> 00:25:04,688
WE'RE SECOND IN INVESTMENT.

741
00:25:04,688 --> 00:25:06,556
NOW HERE'S SOME CHANGE OVER TIME

742
00:25:06,556 --> 00:25:09,259
IN THIS AREA OF RESEARCH.

743
00:25:09,259 --> 00:25:10,794
NIH STARTED TRACKING THIS AREA

744
00:25:10,794 --> 00:25:15,532
OF RESEARCH JUST IN 2020 WAS THE

745
00:25:15,532 --> 00:25:18,234
FIRST YEAR SO YOU CAN SEE 47

746
00:25:18,234 --> 00:25:22,305
REMEMBER47% OFOUR BUDGET IS AGAL

747
00:25:22,305 --> 00:25:23,173
DETERMINANTS OF HEALTH RESEARCH,

748
00:25:23,173 --> 00:25:24,808
WHICH IS MORE THAN DOUBLE OF

749
00:25:24,808 --> 00:25:26,009
WHAT WE SPENT JUST A FEW YEARS

750
00:25:26,009 --> 00:25:29,412
AGO.

751
00:25:29,412 --> 00:25:30,714
IN FISCAL YEAR 20, ONLY ABOUT

752
00:25:30,714 --> 00:25:32,148
19% OF OUR BUDGET WAS IN THIS

753
00:25:32,148 --> 00:25:34,184
AREA, AND IT'S RISEN

754
00:25:34,184 --> 00:25:35,185
SIGNIFICANTLY AS WE'VE CONTINUED

755
00:25:35,185 --> 00:25:38,588
TO IMPLEMENT OUR STRATEGIC PLAN.

756
00:25:38,588 --> 00:25:39,823
IN TERMS OF REAL DOLLARS, THE

757
00:25:39,823 --> 00:25:41,458
AMOUNT OF MONEY WE'VE SPENT IN

758
00:25:41,458 --> 00:25:42,959
SOCIAL DETERMINANTS OF HEALTH

759
00:25:42,959 --> 00:25:44,928
HAS NEARLY TRIPLED FROM

760
00:25:44,928 --> 00:25:47,964
$33 MILLION IN 2020 TO

761
00:25:47,964 --> 00:25:53,503
$93 MILLION IN 2023.

762
00:25:53,503 --> 00:25:54,804
SHIFTING GEARS A BIT, ONE OF OUR

763
00:25:54,804 --> 00:25:55,772
GOALS AS WELL HAS BEEN TO

764
00:25:55,772 --> 00:25:57,207
INCREASE RESEARCH WITH

765
00:25:57,207 --> 00:25:58,575
POPULATIONS THAT BEAR THE

766
00:25:58,575 --> 00:26:00,043
GREATEST BURDEN OF MORBIDITY AND

767
00:26:00,043 --> 00:26:02,011
MORTALITY.

768
00:26:02,011 --> 00:26:03,680
AS YOU MAY RECALL, FOSTERING

769
00:26:03,680 --> 00:26:05,081
INCLUSION IN OUR RESEARCH IS ONE

770
00:26:05,081 --> 00:26:07,784
OF OUR GUIDING PRINCIPLES IN OUR

771
00:26:07,784 --> 00:26:09,652
STRATEGIC PLAN, AND IT WAS THE

772
00:26:09,652 --> 00:26:11,121
FOCUS OF A RECENT COUNCIL WORK

773
00:26:11,121 --> 00:26:14,257
GROUP.

774
00:26:14,257 --> 00:26:16,126
SO WE REPORT ON INCLUSION

775
00:26:16,126 --> 00:26:17,127
FORMALLY EVERY THREE YEARS, SO

776
00:26:17,127 --> 00:26:18,628
THAT REPORT WILL BE COMING NEXT

777
00:26:18,628 --> 00:26:19,729
YEAR, BUT GIVEN IT IS A PRIORITY

778
00:26:19,729 --> 00:26:22,465
FOR US, I WANTED TO CHECK IN TO

779
00:26:22,465 --> 00:26:24,234
SEE HOW WE'RE DOING.

780
00:26:24,234 --> 00:26:26,970
SO HERE'S OUR INCLUSION DATA

781
00:26:26,970 --> 00:26:28,371
SINCE 2016.

782
00:26:28,371 --> 00:26:30,573
SHOWN FOR EACH RACIAL AND ETHNIC

783
00:26:30,573 --> 00:26:33,309
GROUP AS A PERCENTAGE OF THE

784
00:26:33,309 --> 00:26:35,945
TOTAL ENROLLED IN NINR SUPPORTED

785
00:26:35,945 --> 00:26:36,446
STUDIES THAT YEAR.

786
00:26:36,446 --> 00:26:38,448
SO YOU CAN SEE THESE DATA CAN

787
00:26:38,448 --> 00:26:41,384
JUMP AROUND YEAR TO YEAR A BIT.

788
00:26:41,384 --> 00:26:42,685
PARTLY BECAUSE LARGE STUDIES

789
00:26:42,685 --> 00:26:44,888
BEGIN OR END OVER TIME.

790
00:26:44,888 --> 00:26:46,656
SO WHILE WE STILL HAVE

791
00:26:46,656 --> 00:26:48,625
CONSIDERABLE WORK TO DO, WE ARE

792
00:26:48,625 --> 00:26:50,360
PLEASED TO BE SEEING THAT WE ARE

793
00:26:50,360 --> 00:26:52,128
TRENDING IN THE RIGHT DIRECTION

794
00:26:52,128 --> 00:26:54,097
FOR SEVERAL GROUPS.

795
00:26:54,097 --> 00:26:55,498
REPRESENTATION OF NON-HISPANIC

796
00:26:55,498 --> 00:26:57,367
WHITE PARTICIPANTS HAS DROPPED

797
00:26:57,367 --> 00:27:02,071
FROM 70% IN 2016 TO 50% IN 2023.

798
00:27:02,071 --> 00:27:04,974
THE STEEPEST RISE IN ENROLLMENT

799
00:27:04,974 --> 00:27:06,009
WAS AMONG AFRICAN AMERICANS,

800
00:27:06,009 --> 00:27:08,511
WHICH INCREASED FROM JUST UNDER

801
00:27:08,511 --> 00:27:11,581
20% OF PARTICIPANTS IN

802
00:27:11,581 --> 00:27:14,217
NINR-FUNDED RESEARCH TO OVER 30%

803
00:27:14,217 --> 00:27:16,619
BETWEEN 2020 AND 2023.

804
00:27:16,619 --> 00:27:20,323
AND IN 2023, ENROLLMENT OF

805
00:27:20,323 --> 00:27:21,758
HISPANICS IN NINR-SUPPORTED

806
00:27:21,758 --> 00:27:23,293
RESEARCH REACHED ITS HIGHEST

807
00:27:23,293 --> 00:27:29,833
LEVEL OF THIS NINE-YEAR PERIOD.

808
00:27:29,833 --> 00:27:32,035
SINCE JANUARY COUNCIL, WE HOSTED

809
00:27:32,035 --> 00:27:33,770
TWO NINR DIRECTORS LECTURES.

810
00:27:33,770 --> 00:27:35,638
OUR INTRAMURAL FELLOWS

811
00:27:35,638 --> 00:27:37,307
PARTICIPATED IN AN NIH POSTER

812
00:27:37,307 --> 00:27:39,943
DAY AND WE HAVE SOME UPCOMING

813
00:27:39,943 --> 00:27:41,578
EVENTS THAT YOU MAY WANT TO

814
00:27:41,578 --> 00:27:43,313
ATTEND OR HELP US TO SPREAD THE

815
00:27:43,313 --> 00:27:45,048
WORD ABOUT.

816
00:27:45,048 --> 00:27:48,251
SO FIRST OFF I'M HAPPY TO

817
00:27:48,251 --> 00:27:50,086
ANNOUNCE A NEW EVENT FOR THE

818
00:27:50,086 --> 00:27:51,187
INSTITUTE THAT DIRECTLY RELATES

819
00:27:51,187 --> 00:27:52,722
TO OUR SOCIAL DETERMINANTS OF

820
00:27:52,722 --> 00:27:54,491
HEALTH LENS.

821
00:27:54,491 --> 00:28:00,129
SO WE ARE INVITING PROSPECTIVE

822
00:28:00,129 --> 00:28:01,264
PARTICIPANTS TO SUBMIT LETTERS

823
00:28:01,264 --> 00:28:03,333
OF INTEREST FOR OUR FIRST SOCIAL

824
00:28:03,333 --> 00:28:04,400
DETERMINANTS OF HEALTH SUMMER

825
00:28:04,400 --> 00:28:04,868
RESEARCH INSTITUTE.

826
00:28:04,868 --> 00:28:08,137
THIS A NEW EVENT DESIGNED TO

827
00:28:08,137 --> 00:28:11,107
PERMIT EARLY AND -- TO LEARN

828
00:28:11,107 --> 00:28:12,408
MORE ABOUT AND APPLY THE

829
00:28:12,408 --> 00:28:15,044
PRINCIPLES OF HIGH QUALITY

830
00:28:15,044 --> 00:28:15,912
SOCIAL DETERMINANTS OF HEALTH

831
00:28:15,912 --> 00:28:16,346
RESEARCH.

832
00:28:16,346 --> 00:28:18,648
THE PROGRAM IS INTENDED FOR

833
00:28:18,648 --> 00:28:20,316
SCIENTISTS WHO HAVE A STRONG

834
00:28:20,316 --> 00:28:22,051
FOUNDATION IN SOCIAL

835
00:28:22,051 --> 00:28:23,253
DETERMINANTS BUT ARE ACTIVELY

836
00:28:23,253 --> 00:28:25,088
PURSUING WAYS TO INCLUDE A

837
00:28:25,088 --> 00:28:26,523
GREATER EMPHASIS ON THIS IN

838
00:28:26,523 --> 00:28:27,624
THEIR WORK.

839
00:28:27,624 --> 00:28:30,693
SO THIS EVENT WILL TAKE PLACE AT

840
00:28:30,693 --> 00:28:33,863
THE NIH CAMPUS HERE IN BETHESDA

841
00:28:33,863 --> 00:28:34,731
IN JULY.

842
00:28:34,731 --> 00:28:36,633
THERE'S NO COST TO PARTICIPATE

843
00:28:36,633 --> 00:28:39,235
IN THE INSTITUTE.

844
00:28:39,235 --> 00:28:40,036
SELECTED PARTICIPANTS WILL

845
00:28:40,036 --> 00:28:41,871
RECEIVE A STIPEND TO HELP COVER

846
00:28:41,871 --> 00:28:44,374
TRAVEL EXPENSES, ELIGIBILITY AND

847
00:28:44,374 --> 00:28:47,343
SELECTION DR CRITERIA ARE ON OUR

848
00:28:47,343 --> 00:28:48,645
WEBSITE, AND THE APPLICATIONS

849
00:28:48,645 --> 00:28:49,979
ARE DUE NEXT WEEK.

850
00:28:49,979 --> 00:28:53,116
SO LATER IN OUR AGENDA, AGAIN,

851
00:28:53,116 --> 00:28:54,450
WE'LL BE TALKING MORE ABOUT ALL

852
00:28:54,450 --> 00:28:56,953
OF OUR SDOH ACTIVITIES.

853
00:28:56,953 --> 00:28:59,956
DR. COLBERT WILL BE EXPANDING ON

854
00:28:59,956 --> 00:29:02,091
THIS.

855
00:29:02,091 --> 00:29:03,927
WE HELD OUR FIRST DIRECTOR'S

856
00:29:03,927 --> 00:29:05,795
LECTURE IN MARCH OF 2024.

857
00:29:05,795 --> 00:29:07,664
YOU MIGHT RECALL THAT LECTURE

858
00:29:07,664 --> 00:29:09,399
FOCUSED ON CLIMATE CHANGE AND

859
00:29:09,399 --> 00:29:11,167
HEALTH.

860
00:29:11,167 --> 00:29:12,368
DR. JULIE PRESENTED AN OVERVIEW

861
00:29:12,368 --> 00:29:14,437
OF HER RESEARCH ON THE

862
00:29:14,437 --> 00:29:17,407
SIGNIFICANCE OF HEAT TRENDS AND

863
00:29:17,407 --> 00:29:20,343
WILDFIRE SMOKE ON AGRICULTURAL

864
00:29:20,343 --> 00:29:22,111
WORKERS WITH A FOCUS ON SOCIAL

865
00:29:22,111 --> 00:29:23,079
DETERMINANTS OF HEALTH AND THE

866
00:29:23,079 --> 00:29:25,949
ROLE OF NURSING RESEARCH.

867
00:29:25,949 --> 00:29:28,785
WE ARE PLEASED, WE HAD OVER 539

868
00:29:28,785 --> 00:29:30,086
VIEWERS OF THAT WEBINAR, SO IF

869
00:29:30,086 --> 00:29:34,023
YOU MISSED IT, THE RECORDING IS

870
00:29:34,023 --> 00:29:38,061
AVAILABLE ON OUR WEBSITE.

871
00:29:38,061 --> 00:29:49,639
EARLIER THIS MONTH WE HOSTED DRM

872
00:29:52,675 --> 00:29:56,646
INJURY PREVENTION.

873
00:29:56,646 --> 00:29:57,981
SHE IS A YOUTH VIOLENCE

874
00:29:57,981 --> 00:29:59,315
PREVENTION AND HEALTH EQUITY

875
00:29:59,315 --> 00:30:00,950
SUBJECT MATTER EXPERT.

876
00:30:00,950 --> 00:30:03,353
WE RECEIVED GREAT QUESTIONS,

877
00:30:03,353 --> 00:30:04,887
GREAT DISCUSSION AND HAVE

878
00:30:04,887 --> 00:30:09,692
RECEIVED A POSITIVE RESPONSE

879
00:30:09,692 --> 00:30:10,560
RELATED TO FEEDBACK.

880
00:30:10,560 --> 00:30:12,862
SO AS WITH THIS, YOU CAN FIND A

881
00:30:12,862 --> 00:30:14,197
RECORDING ON OUR WEBSITE, AND WE

882
00:30:14,197 --> 00:30:16,032
ARE PLEASED TO ANNOUNCE OUR

883
00:30:16,032 --> 00:30:17,133
UPCOMING LECTURE IN JULY.

884
00:30:17,133 --> 00:30:18,835
THIS WILL FOCUS ON MATERNAL

885
00:30:18,835 --> 00:30:19,969
HEALTH AND HOW SOCIAL

886
00:30:19,969 --> 00:30:22,605
DETERMINANTS OF HEALTH ARE

887
00:30:22,605 --> 00:30:23,706
CENTRAL TO THIS AREA OF

888
00:30:23,706 --> 00:30:24,240
RESEARCH.

889
00:30:24,240 --> 00:30:29,746
OUR SPEAKER WILL BE DR. MAHASIN

890
00:30:29,746 --> 00:30:30,813
MUJAHID, PROFESSOR OF

891
00:30:30,813 --> 00:30:32,248
EPIDEMIOLOGY AT THE SCHOOL OF

892
00:30:32,248 --> 00:30:33,716
PUBLIC HEALTH AT THE UNIVERSITY

893
00:30:33,716 --> 00:30:37,153
OF CALIFORNIA, BERKELEY.

894
00:30:37,153 --> 00:30:38,321
HER PRIMARY AREA OF RESEARCH IS

895
00:30:38,321 --> 00:30:39,555
IN THE AREA OF SOCIAL

896
00:30:39,555 --> 00:30:40,890
EPIDEMIOLOGY WITH A PARTICULAR

897
00:30:40,890 --> 00:30:42,759
INTEREST IN INVESTIGATIONS OF

898
00:30:42,759 --> 00:30:44,494
NEIGHBORHOOD EFFECTS ON HEALTH,

899
00:30:44,494 --> 00:30:45,595
CARDIOVASCULAR HEALTH

900
00:30:45,595 --> 00:30:47,697
DISPARITIES, AND RACIAL/ETHNIC

901
00:30:47,697 --> 00:30:48,998
HEALTH DISPARITIES OVER THE LIFE

902
00:30:48,998 --> 00:30:50,066
COURSE.

903
00:30:50,066 --> 00:30:52,935
SO THIS WILL BE HELD ON

904
00:30:52,935 --> 00:30:55,672
JULY 11TH.

905
00:30:55,672 --> 00:30:57,306
ALSO THIS MONTH, I AM PLEASED TO

906
00:30:57,306 --> 00:30:59,375
SHARE THREE OF OUR

907
00:30:59,375 --> 00:31:00,243
POSTBACCALAUREATE FELLOWS

908
00:31:00,243 --> 00:31:03,646
PRESENTED POSTERS ON THE

909
00:31:03,646 --> 00:31:06,382
RESEARCH THEY ARE CONDUCTING AT

910
00:31:06,382 --> 00:31:06,816
NINR.

911
00:31:06,816 --> 00:31:10,687
THEY'VE BEEN WORKING ON A STUDY

912
00:31:10,687 --> 00:31:13,623
TO QUANTIFY RYR1 GENE EXPRESSION

913
00:31:13,623 --> 00:31:15,391
IN PATIENTS USING SKELETAL

914
00:31:15,391 --> 00:31:18,561
MUSCLE BIOPSY SAMPLES.

915
00:31:18,561 --> 00:31:20,063
MAYRA HAS BEEN BUSY LOOKING AT

916
00:31:20,063 --> 00:31:21,831
WHICH DYE IS BETTER AT

917
00:31:21,831 --> 00:31:22,799
DETERMINING ACCURATE MEASUREMENT

918
00:31:22,799 --> 00:31:26,002
OF CALCIUM.

919
00:31:26,002 --> 00:31:28,504
WILL IS EXPLORING SLEEP

920
00:31:28,504 --> 00:31:30,273
DISTURBANCE IN MEN WITH PROSTATE

921
00:31:30,273 --> 00:31:33,443
CANCER BY LOOKING AT DATA

922
00:31:33,443 --> 00:31:38,014
GATHERED BY SLEEP DIARIES AND

923
00:31:38,014 --> 00:31:39,782
ANTIGRAPHY, SO IT WAS GREAT TO

924
00:31:39,782 --> 00:31:40,883
SEE THEM PRESENT THEIR WORK TO

925
00:31:40,883 --> 00:31:41,617
THE NIH COMMUNITY.

926
00:31:41,617 --> 00:31:43,286
AT NINR, WE ARE LOOKING ALWAYS

927
00:31:43,286 --> 00:31:46,989
FOR WAYS TO SHARE OUR WORK AND

928
00:31:46,989 --> 00:31:48,191
OUR OPPORTUNITIES WITH THE

929
00:31:48,191 --> 00:31:49,058
LARGER SCIENTIFIC COMMUNITY.

930
00:31:49,058 --> 00:31:49,959
SO HERE'S A COUPLE OF

931
00:31:49,959 --> 00:31:52,361
ACTIVITIES.

932
00:31:52,361 --> 00:31:53,329
COMMUNITY ENGAGEMENT IS A

933
00:31:53,329 --> 00:31:55,298
PRIORITY FOR US, AND WE ARE

934
00:31:55,298 --> 00:31:56,966
EMPHASIZING THIS IN ALL OF OUR

935
00:31:56,966 --> 00:31:58,768
ACTIVITIES.

936
00:31:58,768 --> 00:32:02,105
SO IN JANUARY, A FEW OF US FROM

937
00:32:02,105 --> 00:32:04,607
NINR VISITED C3CARES IN

938
00:32:04,607 --> 00:32:06,576
WASHINGTON, D.C.

939
00:32:06,576 --> 00:32:07,343
C3CARES WAS FOUNDED ON THE

940
00:32:07,343 --> 00:32:09,312
BELIEF THAT EVERYONE DESERVES

941
00:32:09,312 --> 00:32:10,513
ACCESS TO CONVENIENT QUALITY

942
00:32:10,513 --> 00:32:11,180
HEALTHCARE.

943
00:32:11,180 --> 00:32:12,715
SO WE LEARNED ABOUT THEIR

944
00:32:12,715 --> 00:32:16,119
INNOVATIVE MODEL OF NURSE-LED

945
00:32:16,119 --> 00:32:17,320
PLACE-BASED CARE IN PUBLIC

946
00:32:17,320 --> 00:32:18,654
HOUSING SITES TO INCREASE ACCESS

947
00:32:18,654 --> 00:32:20,289
TO HEALTH SERVICES AND IMPROVE

948
00:32:20,289 --> 00:32:21,457
COMMUNITY HEALTH.

949
00:32:21,457 --> 00:32:23,426
WE ALSO HEARD FROM THEIR

950
00:32:23,426 --> 00:32:24,627
COMMUNITY PARTNERS ABOUT THEIR

951
00:32:24,627 --> 00:32:27,563
HEALTH PRIORITIES AND WERE ABLE

952
00:32:27,563 --> 00:32:30,233
TO INTRODUCE THEM TO NINR.

953
00:32:30,233 --> 00:32:33,369
SO DR. ERIN ATHEY AND CLETION

954
00:32:33,369 --> 00:32:34,937
FROM C36789CARES WILL BE HERE

955
00:32:34,937 --> 00:32:36,773
TODAY TO SHARE MORE ABOUT THEIR

956
00:32:36,773 --> 00:32:40,610
WORK, AND WHAT THEY'RE DOING TO

957
00:32:40,610 --> 00:32:41,844
IMPROVE THE HEALTH OF D.C. 

958
00:32:41,844 --> 00:32:42,111
RESIDENTS.

959
00:32:42,111 --> 00:32:44,781
AND FOR US, WE'RE REALLY LOOKING

960
00:32:44,781 --> 00:32:45,882
FORWARD TO LEARNING MORE ABOUT

961
00:32:45,882 --> 00:32:47,850
HOW WE CAN BETTER SERVE AS WELL

962
00:32:47,850 --> 00:32:49,786
AS COLLABORATE WITH

963
00:32:49,786 --> 00:32:51,754
ORGANIZATIONS IN D.C.  TO

964
00:32:51,754 --> 00:32:57,460
ADVANCE OUR COMMON HEALTH GOALS.

965
00:32:57,460 --> 00:32:59,028
OVER THE LAST YEAR I WANTED TO

966
00:32:59,028 --> 00:33:00,763
SHARE WE HAVE BEEN DEVELOPING A

967
00:33:00,763 --> 00:33:01,330
PARTNERSHIP WITH SEVERAL

968
00:33:01,330 --> 00:33:02,298
UNIVERSITIES IN SOUTHEASTERN

969
00:33:02,298 --> 00:33:04,167
VIRGINIA CALLED ENRICH PLUS.

970
00:33:04,167 --> 00:33:06,803
THE FOCUS IS ON ADVANCING HEALTH

971
00:33:06,803 --> 00:33:08,671
EQUITY AND REDUCING HEALTH

972
00:33:08,671 --> 00:33:11,641
DISPARITIES IN THAT GEOGRAPHIC

973
00:33:11,641 --> 00:33:12,842
AREA THROUGH COMMUNITY

974
00:33:12,842 --> 00:33:13,910
ENGAGEMENT AND TEAM SCIENCE THAT

975
00:33:13,910 --> 00:33:15,878
ALSO HELPS TO DIVERSIFY THE

976
00:33:15,878 --> 00:33:18,414
RESEARCH WORKFORCE.

977
00:33:18,414 --> 00:33:19,949
SO WE VISITED THESE UNIVERSITIES

978
00:33:19,949 --> 00:33:21,384
AND COMMUNITY PARTNERS IN AUGUST

979
00:33:21,384 --> 00:33:23,886
AND AGAIN IN JANUARY, AND ARE

980
00:33:23,886 --> 00:33:25,988
NOW PLANNING NEXT STEPS TO LEARN

981
00:33:25,988 --> 00:33:27,190
MORE ABOUT COMMUNITY RESEARCH

982
00:33:27,190 --> 00:33:28,424
PRIORITIES.

983
00:33:28,424 --> 00:33:30,560
SO WE'RE LOOKING FORWARD TO

984
00:33:30,560 --> 00:33:31,894
CONTINUING THOSE CONVERSATIONS

985
00:33:31,894 --> 00:33:33,663
AND SHARING MORE ABOUT THAT

986
00:33:33,663 --> 00:33:34,764
PARTNERSHIP IN UPCOMING

987
00:33:34,764 --> 00:33:39,235
MEETINGS.

988
00:33:39,235 --> 00:33:41,070
IN MARCH, NINR STAFF TOOK PART

989
00:33:41,070 --> 00:33:42,471
IN A CONFERENCE FOR THE NATIONAL

990
00:33:42,471 --> 00:33:44,473
COALITION OF ETHNIC MINORITY

991
00:33:44,473 --> 00:33:45,241
NURSE ASSOCIATIONS.

992
00:33:45,241 --> 00:33:47,310
IT WAS GREAT TO SEE DR. WANG

993
00:33:47,310 --> 00:33:50,179
THERE, WHO IS THE IMMEDIATE PAST

994
00:33:50,179 --> 00:33:52,915
PRESIDENT OF THE ASIAN AMERICAN

995
00:33:52,915 --> 00:33:54,784
PACIFIC ISLANDER NURSES

996
00:33:54,784 --> 00:33:56,219
ASSOCIATION, AS WELL AS

997
00:33:56,219 --> 00:33:56,819
DR. GUILAMO-RAMOS.

998
00:33:56,819 --> 00:33:59,822
SO IT WAS FUN TO SEE YOU IN L.A.

999
00:33:59,822 --> 00:34:01,557
THIS ORGANIZATION IS MADE UP OF

1000
00:34:01,557 --> 00:34:03,292
FIVE NATIONAL ETHNIC NURSE

1001
00:34:03,292 --> 00:34:05,728
ASSOCIATIONS, GIVING VOICE TO

1002
00:34:05,728 --> 00:34:08,130
OVER 350,000 ETHNIC NURSES.

1003
00:34:08,130 --> 00:34:10,233
AND THEIR MISSION IS VERY MUCH

1004
00:34:10,233 --> 00:34:12,501
ALIGNED WITH OUR OWN, TO BE THE

1005
00:34:12,501 --> 00:34:14,170
UNIFIED BODY ADVOCATING FOR

1006
00:34:14,170 --> 00:34:17,106
EQUITY AND JUSTICE IN

1007
00:34:17,106 --> 00:34:17,540
HEALTHCARE.

1008
00:34:17,540 --> 00:34:18,741
SO WE REACHED OUT ABOUT THEIR

1009
00:34:18,741 --> 00:34:20,276
INTEREST IN HOSTING A LISTENING

1010
00:34:20,276 --> 00:34:22,678
SESSION AT THEIR CONFERENCE

1011
00:34:22,678 --> 00:34:23,779
BECAUSE WE WANTED TO HEAR FROM

1012
00:34:23,779 --> 00:34:26,415
THEIR MEMBERS ABOUT THEIR IDEAS

1013
00:34:26,415 --> 00:34:28,918
FOR CULTIVATING DIVERSITY AND

1014
00:34:28,918 --> 00:34:30,019
PERSPECTIVES IN NURSING

1015
00:34:30,019 --> 00:34:31,120
RESEARCH, REMOVING STRUCTURAL

1016
00:34:31,120 --> 00:34:33,422
BARRIERS FROM RESEARCH, AND

1017
00:34:33,422 --> 00:34:36,058
FOSTERING INCLUSION AND

1018
00:34:36,058 --> 00:34:37,293
ACCESSIBILITY IN DESIGNING,

1019
00:34:37,293 --> 00:34:38,394
CONDUCTING AND PARTICIPATING IN

1020
00:34:38,394 --> 00:34:38,661
RESEARCH.

1021
00:34:38,661 --> 00:34:43,532
SO WE WERE VERY PLEASED THAT

1022
00:34:43,532 --> 00:34:44,634
NCEMNA MEMBERS WERE VERY

1023
00:34:44,634 --> 00:34:45,167
FORTHCOMING WITH US.

1024
00:34:45,167 --> 00:34:46,702
WE WERE EXCITED TO HEAR ABOUT

1025
00:34:46,702 --> 00:34:48,371
SHARED INTERESTS AND BUILDING

1026
00:34:48,371 --> 00:34:49,205
PARTNERSHIPS BETWEEN COMMUNITY

1027
00:34:49,205 --> 00:34:51,440
GROUPS AND RESEARCH

1028
00:34:51,440 --> 00:34:52,308
ORGANIZATIONS, THE DEVELOPMENT

1029
00:34:52,308 --> 00:34:53,876
OF MENTORSHIP AND TRAINING

1030
00:34:53,876 --> 00:34:56,045
PROGRAMS FOR NURSES OF DIVERSE

1031
00:34:56,045 --> 00:34:58,014
BACKGROUNDS, AND CREATING MORE

1032
00:34:58,014 --> 00:34:59,882
EQUITABLE FUNDING OPPORTUNITIES.

1033
00:34:59,882 --> 00:35:01,951
SO THIS INFORMATION HAS ALREADY

1034
00:35:01,951 --> 00:35:04,487
STARTED TO INFORM OUR DEIA

1035
00:35:04,487 --> 00:35:06,022
ACTION PLAN ALONG WITH FEEDBACK

1036
00:35:06,022 --> 00:35:10,593
THAT WE RECEIVED AT A SIMILAR

1037
00:35:10,593 --> 00:35:16,065
SESSION WITH AACN IN THE FALL.

1038
00:35:16,065 --> 00:35:17,833
I THINK I'M TALK TOO MUCH

1039
00:35:17,833 --> 00:35:18,367
BECAUSE -- YEAH.

1040
00:35:18,367 --> 00:35:19,702
SO IN OTHER OUTREACH EFFORTS

1041
00:35:19,702 --> 00:35:22,104
RELATED TO DEIA, NINR STAFF

1042
00:35:22,104 --> 00:35:23,539
MEMBERS PRESENTED A POSTER AT

1043
00:35:23,539 --> 00:35:25,074
THE HEALTH DISPARITIES

1044
00:35:25,074 --> 00:35:26,475
CONFERENCE AT XAVIER UNIVERSITY

1045
00:35:26,475 --> 00:35:27,610
LAST MONTH.

1046
00:35:27,610 --> 00:35:28,911
THIS CONFERENCE WAS FOCUSED ON

1047
00:35:28,911 --> 00:35:30,346
SOCIAL DETERMINANTS OF HEALTH

1048
00:35:30,346 --> 00:35:32,214
AND WAS PRESENTED BY THE CENTER

1049
00:35:32,214 --> 00:35:34,583
FOR MINORITY HEALTH AND HEALTH

1050
00:35:34,583 --> 00:35:35,818
DISPARITIES RESEARCH AND

1051
00:35:35,818 --> 00:35:36,585
EDUCATION.

1052
00:35:36,585 --> 00:35:38,020
SO DURING THE POSTER SESSION,

1053
00:35:38,020 --> 00:35:40,089
NINR WAS ABLE TO INTERACT WITH A

1054
00:35:40,089 --> 00:35:42,391
DIVERSE GROUP OF RESEARCHERS,

1055
00:35:42,391 --> 00:35:43,960
INCLUDING NURSE SCIENTISTS WHO

1056
00:35:43,960 --> 00:35:46,796
EITHER WERE UNFAMILIAR WITH NINR

1057
00:35:46,796 --> 00:35:48,898
OR WERE FAMILIAR WITH NINR BUT

1058
00:35:48,898 --> 00:35:50,099
WERE UNAWARE OF THE NEW

1059
00:35:50,099 --> 00:35:51,634
STRATEGIC PLAN.

1060
00:35:51,634 --> 00:35:52,735
ATTENDEES WERE EXCITED TO LEARN

1061
00:35:52,735 --> 00:35:54,670
ABOUT OUR EMPHASIS ON HEALTH

1062
00:35:54,670 --> 00:35:55,838
EQUITY AND SOCIAL DETERMINANTS

1063
00:35:55,838 --> 00:35:58,274
OF HEALTH.

1064
00:35:58,274 --> 00:36:00,009
AND LAST MONTH, I VISITED THE

1065
00:36:00,009 --> 00:36:01,377
UNIVERSITY OF NORTH DAKOTA,

1066
00:36:01,377 --> 00:36:04,480
WHERE I PRESENTED AT AN EVENT

1067
00:36:04,480 --> 00:36:06,248
FOR THE UNIVERSITY'S INDIGENOUS

1068
00:36:06,248 --> 00:36:08,184
TRAUMA AND RESILIENCE RESEARCH

1069
00:36:08,184 --> 00:36:08,551
CENTER.

1070
00:36:08,551 --> 00:36:10,519
NIH AWARDED $10 MILLION TO

1071
00:36:10,519 --> 00:36:13,155
DEVELOP THAT CENTER IN 2021.

1072
00:36:13,155 --> 00:36:15,391
WHILE I WAS THERE, I HAD A

1073
00:36:15,391 --> 00:36:16,892
FIRESIDE CHAT WITH -- IT WAS

1074
00:36:16,892 --> 00:36:18,527
COLD, SO IT REALLY WAS A FIRE

1075
00:36:18,527 --> 00:36:21,163
SIDE -- IT WAS REAL COLD -- WITH

1076
00:36:21,163 --> 00:36:23,265
NURSING STUDENTS, PRIMARILY

1077
00:36:23,265 --> 00:36:23,799
UNDERGRADUATES, ABOUT THE

1078
00:36:23,799 --> 00:36:25,101
IMPORTANCE OF NURSING RESEARCH.

1079
00:36:25,101 --> 00:36:26,869
I ALSO MET WITH NURSING FACULTY

1080
00:36:26,869 --> 00:36:31,474
ABOUT THEIR RESEARCH INTERESTS.

1081
00:36:31,474 --> 00:36:33,109
THE VISIT PROVIDED REALLY AN

1082
00:36:33,109 --> 00:36:34,076
IMPORTANT OPPORTUNITY TO CONNECT

1083
00:36:34,076 --> 00:36:35,444
WITH INDIGENOUS GROUPS IN THAT

1084
00:36:35,444 --> 00:36:37,513
AREA AND I WAS REALLY HAPPY TO

1085
00:36:37,513 --> 00:36:38,948
PARTICIPATE AND REPRESENT NIH

1086
00:36:38,948 --> 00:36:40,483
AND SEE THE WORK THAT WE ARE

1087
00:36:40,483 --> 00:36:45,421
SUPPORTING IN THIS COMMUNITY.

1088
00:36:45,421 --> 00:36:46,722
WE'VE HAD A LOT OF SUCCESS THIS

1089
00:36:46,722 --> 00:36:48,824
YEAR, I HOPE YOU CAN SEE.

1090
00:36:48,824 --> 00:36:49,825
IDENTIFYING -- IN LOTS OF WAYS,

1091
00:36:49,825 --> 00:36:51,927
BUT INCLUDING IDENTIFYING FOLKS

1092
00:36:51,927 --> 00:36:53,229
WHO SHARE NINR'S VISION FOR

1093
00:36:53,229 --> 00:36:55,297
NURSING RESEARCH.

1094
00:36:55,297 --> 00:36:57,166
SO WANTED TO JUST PAUSE, CHECK

1095
00:36:57,166 --> 00:36:59,568
IN IF THERE ARE ORGANIZATIONS OR

1096
00:36:59,568 --> 00:37:01,003
ENTITIES THAT YOU SEE THAT WE

1097
00:37:01,003 --> 00:37:03,939
COULD BE POTENTIAL PARTNERS WITH

1098
00:37:03,939 --> 00:37:05,608
OR COLLABORATORS WITH TO ADVANCE

1099
00:37:05,608 --> 00:37:06,809
THE GOALS THAT WE'VE TALKED

1100
00:37:06,809 --> 00:37:07,376
ABOUT.

1101
00:37:07,376 --> 00:37:09,545
SO WHO SHOULD WE BE REACHING OUT

1102
00:37:09,545 --> 00:37:11,414
TO, WHO ELSE SHOULD WE BE

1103
00:37:11,414 --> 00:37:12,314
CONNECTING WITH?

1104
00:37:12,314 --> 00:37:13,849
JUST CURIOUS IF YOU HAVE ANY

1105
00:37:13,849 --> 00:37:19,221
IMMEDIATE THOUGHTS ABOUT THAT.

1106
00:37:19,221 --> 00:37:20,623
I LIKE TO SPRING THESE THINGS ON

1107
00:37:20,623 --> 00:37:21,657
YOU, LIKE WHAT ARE ALL YOUR

1108
00:37:21,657 --> 00:37:27,029
IDEAS?

1109
00:37:27,029 --> 00:37:28,864
>> SHANNON, I SEE THAT YOU

1110
00:37:28,864 --> 00:37:31,167
CONNECTED WITH SOME

1111
00:37:31,167 --> 00:37:33,135
MINORITY-SERVING AND HBCUs I

1112
00:37:33,135 --> 00:37:35,771
WHICWHICH I THINK IS REALLY SMAT

1113
00:37:35,771 --> 00:37:36,539
AND I THINK THAT IS AN

1114
00:37:36,539 --> 00:37:36,872
OPPORTUNITY.

1115
00:37:36,872 --> 00:37:38,207
I THINK WE'VE TALKED ABOUT THAT

1116
00:37:38,207 --> 00:37:39,075
BEFORE, WITHIN THIS COUNCIL

1117
00:37:39,075 --> 00:37:43,479
ABOUT THINKING ABOUT HOW TO --

1118
00:37:43,479 --> 00:37:45,548
REALLY AS WE TRY TO CHANGE THE

1119
00:37:45,548 --> 00:37:47,850
NARRATIVE, CHANGE THE NARRATORS

1120
00:37:47,850 --> 00:37:49,151
AND FIND WAYS TO SUPPORT AND

1121
00:37:49,151 --> 00:37:51,454
BRING ALONG OTHERS.

1122
00:37:51,454 --> 00:37:52,888
I DON'T KNOW WHERE DANIEL IS,

1123
00:37:52,888 --> 00:37:54,323
BUT HE'S DOING SOME GREAT WORK

1124
00:37:54,323 --> 00:37:55,758
IN THAT SPACE, SO I THINK THAT'S

1125
00:37:55,758 --> 00:38:06,068
REALLY IMPORTANT.

1126
00:38:06,669 --> 00:38:08,337
>> I'LL JUST ADD TO THAT,
IF

1127
00:38:08,337 --> 00:38:08,704
THAT'S OKAY.

1128
00:38:08,704 --> 00:38:10,005
I'M ACTUALLY VERY PLEASED TO SEE

1129
00:38:10,005 --> 00:38:12,074
THAT YOU WENT TO XAVIER

1130
00:38:12,074 --> 00:38:13,509
UNIVERSITY AND WENT TO THEIR

1131
00:38:13,509 --> 00:38:14,176
17TH ANNUAL CONFERENCE.

1132
00:38:14,176 --> 00:38:16,812
IT'S A CONFERENCE THAT I'VE GONE

1133
00:38:16,812 --> 00:38:18,747
TO YEAR AFTER YEAR, SO IT'S

1134
00:38:18,747 --> 00:38:19,748
REFRESHING TO SEE THAT YOU'RE

1135
00:38:19,748 --> 00:38:21,617
MAKING INROADS WITH THEM PAUSE

1136
00:38:21,617 --> 00:38:23,719
THEY REALLY BRING TOGETHER A LOT

1137
00:38:23,719 --> 00:38:26,288
OF THE HBCUs AS WELL AS A LOT

1138
00:38:26,288 --> 00:38:28,224
OF THE OTHER MSIs TOGETHER.

1139
00:38:28,224 --> 00:38:30,126
I WOULD ALSO URGE THE NINR TO

1140
00:38:30,126 --> 00:38:31,427
LOOK AT THE TRIBAL COLLEGES AND

1141
00:38:31,427 --> 00:38:32,928
MAKE A CONCERTED OUTREACH THERE.

1142
00:38:32,928 --> 00:38:34,797
I KNOW THAT THERE ARE MANY

1143
00:38:34,797 --> 00:38:36,866
NATIVE AMERICAN SCHOLARS,

1144
00:38:36,866 --> 00:38:39,001
LEADERS WHO APPROACHED US SAYING

1145
00:38:39,001 --> 00:38:41,470
THEY WANT TO GET INVOLVED, WE'RE

1146
00:38:41,470 --> 00:38:43,139
THE INVISIBLE POPULATION AND YET

1147
00:38:43,139 --> 00:38:44,673
FOLKS OFTEN EXCLUDE US, SO I

1148
00:38:44,673 --> 00:38:45,774
THINK THAT WOULD ALSO BE ANOTHER

1149
00:38:45,774 --> 00:38:47,176
GREAT GROUP OF FOLKS TO DO.

1150
00:38:47,176 --> 00:38:48,344
AND THEN I JUST WANT TO MAKE A

1151
00:38:48,344 --> 00:38:49,745
COMMENT TO WHAT YOU PRESENTED.

1152
00:38:49,745 --> 00:38:50,779
I KNOW WE'RE TALKING ABOUT WHO

1153
00:38:50,779 --> 00:38:52,481
ELSE SHOULD YOU REACH OUT TO,

1154
00:38:52,481 --> 00:38:55,684
BUT I WAS EXTREMELY PLEASED TO

1155
00:38:55,684 --> 00:38:57,186
SEE THE NUMBER, THE STATISTICS

1156
00:38:57,186 --> 00:38:59,455
IN TERMS OF YOUR INVESTMENTS IN

1157
00:38:59,455 --> 00:39:00,956
THE RESEARCH PORTFOLIO.

1158
00:39:00,956 --> 00:39:02,191
GLAD TO SEE THE INVESTMENTS IN

1159
00:39:02,191 --> 00:39:03,792
THE SOCIAL AND BEHAVIORAL

1160
00:39:03,792 --> 00:39:04,760
SCIENCES CONNECTING DISEASES OF

1161
00:39:04,760 --> 00:39:06,762
BRAIN WITH OUR SYSTEMIC HEALTH.

1162
00:39:06,762 --> 00:39:10,533
GLAD TO SEE THE SDOH -- AND THE

1163
00:39:10,533 --> 00:39:12,334
REASON I'M EXCITED IS BECAUSE

1164
00:39:12,334 --> 00:39:15,437
THERE IS A REPORT THAT WAS DONE

1165
00:39:15,437 --> 00:39:17,072
BY ERNST & YOUNG WHERE THEY

1166
00:39:17,072 --> 00:39:19,708
LOOKED AT INVESTMENTS FROM

1167
00:39:19,708 --> 00:39:20,910
GOVERNMENT, PHILANTHROPY, ET

1168
00:39:20,910 --> 00:39:22,044
CETERA AND FOUND THAT BETWEEN

1169
00:39:22,044 --> 00:39:24,880
2002 AND 2022, WE HAD SPENT

1170
00:39:24,880 --> 00:39:25,881
ABOUT $173 BILLION FROM THE

1171
00:39:25,881 --> 00:39:26,248
GOVERNMENT.

1172
00:39:26,248 --> 00:39:28,250
I'M GLAD TO SEE THAT HAS

1173
00:39:28,250 --> 00:39:29,885
RATCHETED UP AND NINR IS LEADING

1174
00:39:29,885 --> 00:39:31,620
IN MANY RESPECTS IN THOSE

1175
00:39:31,620 --> 00:39:32,154
INVESTMENTS.

1176
00:39:32,154 --> 00:39:33,956
THAT'S A HUGE WIN FOR US.

1177
00:39:33,956 --> 00:39:35,057
DR. GUILAMO-RAMOS AND I WERE

1178
00:39:35,057 --> 00:39:37,459
TALKING EARLIER ABOUT THE DERTH

1179
00:39:37,459 --> 00:39:39,795
OF INTERVENTIONS, WHERE WE ARE

1180
00:39:39,795 --> 00:39:40,629
BRIDGING CLINICAL INTERVENTIONS

1181
00:39:40,629 --> 00:39:43,399
WITH THE SOCIAL DETERMINANTS OF

1182
00:39:43,399 --> 00:39:44,500
HEALTH INTERVENTIONS AND THE

1183
00:39:44,500 --> 00:39:46,368
DERTH IN TERMS OF APPLYING AN

1184
00:39:46,368 --> 00:39:48,337
EQUITY LENS, AND SO IT IS

1185
00:39:48,337 --> 00:39:49,672
REFRESHING TO KNOW THAT YOU ARE

1186
00:39:49,672 --> 00:39:51,340
BUILDING THAT TAXONOMY FOR US SO

1187
00:39:51,340 --> 00:39:52,741
THAT WE CAN LEVERAGE THOSE

1188
00:39:52,741 --> 00:39:54,610
INTERVENTIONS IN OUR COMMUNITY.

1189
00:39:54,610 --> 00:39:56,145
SO KUDOS TO YOU ALL AGAIN FOR

1190
00:39:56,145 --> 00:39:57,813
DOING THAT.

1191
00:39:57,813 --> 00:40:00,115
AND I THINK THE OTHER LAST

1192
00:40:00,115 --> 00:40:01,750
COMMENT I'D MAKE IS THAT IT'S

1193
00:40:01,750 --> 00:40:04,820
ALSO REFRESHING TO SEE THE

1194
00:40:04,820 --> 00:40:06,188
AMOUNT OF PUBLICATIONS COMING

1195
00:40:06,188 --> 00:40:11,427
OUT OF THE INVESTMENTS FROM THIS

1196
00:40:11,427 --> 00:40:12,795
INSTITUTE BECAUSE I TRACK --

1197
00:40:12,795 --> 00:40:14,029
I'VE BEEN TRACKING FOR THE LAST

1198
00:40:14,029 --> 00:40:15,197
20 YEARS HOW MANY PUBLICATIONS

1199
00:40:15,197 --> 00:40:17,066
ARE IN PEER REVIEWED JOURNALS

1200
00:40:17,066 --> 00:40:18,234
THAT TOUCH ON MINORITY HEALTH,

1201
00:40:18,234 --> 00:40:19,935
TOUCH ON HEALTH INEQUITY, HEALTH

1202
00:40:19,935 --> 00:40:22,638
DISPARITIES AND SO FORTH, AND

1203
00:40:22,638 --> 00:40:27,576
YEAR AFTER YEAR, WE'VE SEEN

1204
00:40:27,576 --> 00:40:31,280
THOUSANDS OF NEW JOURNALS AND IT

1205
00:40:31,280 --> 00:40:34,483
SEEMS THAT NINR IS LEADING THAT

1206
00:40:34,483 --> 00:40:35,251
SO THANK YOU AGAIN FOR THAT.

1207
00:40:35,251 --> 00:40:37,586
>> IT'S REALLY DIFFICULT
TO

1208
00:40:37,586 --> 00:40:40,089
SPEAK AFTER PROFESSOR DAWES.

1209
00:40:40,089 --> 00:40:41,523
JUST THREE REALLY QUICK THINGS,

1210
00:40:41,523 --> 00:40:43,492
SHANNON.

1211
00:40:43,492 --> 00:40:46,195
ONE I THINK THE REPORT WAS

1212
00:40:46,195 --> 00:40:47,229
ABSOLUTELY STUNNING,

1213
00:40:47,229 --> 00:40:48,430
CONGRATULATIONS TO EVERYONE AT

1214
00:40:48,430 --> 00:40:49,298
THE INSTITUTE BECAUSE IT'S CLEAR

1215
00:40:49,298 --> 00:40:50,299
THERE'S BEEN A LOT OF PROGRESS

1216
00:40:50,299 --> 00:40:52,067
AND IT LOOKS LIKE IT'S BEEN A

1217
00:40:52,067 --> 00:40:52,968
REALLY FRUITFUL YEAR, SO THANK

1218
00:40:52,968 --> 00:40:53,836
YOU FOR THAT.

1219
00:40:53,836 --> 00:40:54,370
TWO THINGS.

1220
00:40:54,370 --> 00:40:56,171
ONE IS, YOU ASKED ABOUT

1221
00:40:56,171 --> 00:40:57,573
PARTNERSHIPS, AND I REALLY

1222
00:40:57,573 --> 00:40:59,575
APPRECIATE THE PROXIMITY THAT IT

1223
00:40:59,575 --> 00:41:01,210
APPEARS YOU GUYS ARE POSITIONING

1224
00:41:01,210 --> 00:41:02,544
YOURSELVES TO THE ACTUAL

1225
00:41:02,544 --> 00:41:02,978
COMMUNITIES.

1226
00:41:02,978 --> 00:41:05,047
I WONDER IF THERE MIGHT BE AN

1227
00:41:05,047 --> 00:41:07,483
ADDITIONAL STRATEGY, SORT OF AN

1228
00:41:07,483 --> 00:41:10,352
AND NOT AN OR, WHERE SOME OF THE

1229
00:41:10,352 --> 00:41:10,986
LARGE NATIONAL ORGANIZATIONS

1230
00:41:10,986 --> 00:41:13,289
THAT REALLY REPRESENT HUGE

1231
00:41:13,289 --> 00:41:15,057
SEGMENTS OF COMMUNITIES THAT ARE

1232
00:41:15,057 --> 00:41:16,292
MINORITIZED AND MARGINALIZED

1233
00:41:16,292 --> 00:41:17,459
COULD BECOME PARTNERS.

1234
00:41:17,459 --> 00:41:18,694
SO FOR EXAMPLE, THE ONE THAT I'M

1235
00:41:18,694 --> 00:41:20,229
THINKING OF THAT I KNOW FAIRLY

1236
00:41:20,229 --> 00:41:24,867
WELL, JUST AN EXAMPLE OF ONE, IS

1237
00:41:24,867 --> 00:41:26,101
ONEDOS U.S., WHICH REPRESENTS

1238
00:41:26,101 --> 00:41:27,703
HUNDREDS AND HUNDREDS OF

1239
00:41:27,703 --> 00:41:29,238
NON-PROFIT LATINO-SERVING

1240
00:41:29,238 --> 00:41:30,572
ORGANIZATIONS ACROSS THE UNITED

1241
00:41:30,572 --> 00:41:30,806
STATES.

1242
00:41:30,806 --> 00:41:32,441
IN A COUPLE OF WEEKS, WE'LL BE

1243
00:41:32,441 --> 00:41:35,277
HAVING THE NATIONAL CONFERENCE,

1244
00:41:35,277 --> 00:41:37,046
THERE ARE PROBABLY BE ABOUT

1245
00:41:37,046 --> 00:41:38,380
25,000 PEOPLE THERE, ALL WORKING

1246
00:41:38,380 --> 00:41:41,317
ON LATINO HEALTH ISSUES AND

1247
00:41:41,317 --> 00:41:42,785
LATINO OPPORTUNITIES, ECONOMICS,

1248
00:41:42,785 --> 00:41:43,752
HOUSING, ET CETERA.

1249
00:41:43,752 --> 00:41:46,055
SO ORGANIZATIONS LIKE THAT

1250
00:41:46,055 --> 00:41:47,156
ACROSS, THEY ARE SOMEWHAT

1251
00:41:47,156 --> 00:41:48,957
REMOVED FROM THE DAY-TO-DAY WORK

1252
00:41:48,957 --> 00:41:50,259
BUT THEY REALLY REPRESENT A WAY

1253
00:41:50,259 --> 00:41:52,695
TO HAVE HUGE IMPACT.

1254
00:41:52,695 --> 00:41:54,430
AND THEN I JUST WANTED TO BUILD

1255
00:41:54,430 --> 00:41:56,965
ALSO ON WHAT DANIEL SAID.

1256
00:41:56,965 --> 00:41:58,200
OBVIOUSLY DATA IS GOING TO BE

1257
00:41:58,200 --> 00:42:00,035
MORE ACCURATE, BUT I HAD SEEN

1258
00:42:00,035 --> 00:42:02,271
SOME DATA AS WELL THAT HAD NINR

1259
00:42:02,271 --> 00:42:03,672
LEADING ON SOME OF THE SOCIAL

1260
00:42:03,672 --> 00:42:04,640
DETERMINANTS OF HEALTH

1261
00:42:04,640 --> 00:42:07,443
INVESTMENTS, SO JUST CURIOUS AT

1262
00:42:07,443 --> 00:42:08,410
LATER TIME TO UNDERSTANDING MORE

1263
00:42:08,410 --> 00:42:10,079
HOW YOU GUYS CALCULATED, BECAUSE

1264
00:42:10,079 --> 00:42:20,622
I THINK THAT'S REALLY IMPORTANT.

1265
00:42:21,523 --> 00:42:22,991
>> FIRST OF ALL, THERE IS
THIS

1266
00:42:22,991 --> 00:42:24,326
THING CALLED THE ALLIANCE OF

1267
00:42:24,326 --> 00:42:25,527
HISPANIC SERVING RESEARCH

1268
00:42:25,527 --> 00:42:28,831
UNIVERSITIES, SO THERE ARE 571

1269
00:42:28,831 --> 00:42:31,367
CURRENTLY FEDERALLY DESIGNATED

1270
00:42:31,367 --> 00:42:33,235
HSIs, BUT THERE'S ONLY 21 THAT

1271
00:42:33,235 --> 00:42:35,871
ARE KIND OF HIGH RESEARCH AND

1272
00:42:35,871 --> 00:42:38,374
HAVE INCREDIBLE CAPACITY, AND

1273
00:42:38,374 --> 00:42:40,576
MOST OF THEM HAVE CLINICAL

1274
00:42:40,576 --> 00:42:41,510
ENTERPRISES AND I'M ON THE BOARD

1275
00:42:41,510 --> 00:42:42,778
OF THAT ALLIANCE AND IF YOU WANT

1276
00:42:42,778 --> 00:42:45,080
TO BE INTRODUCED AND EXPLORE

1277
00:42:45,080 --> 00:42:46,982
OPPORTUNITIES THERE, I WOULD BE

1278
00:42:46,982 --> 00:42:49,918
HAPPY TO HELP OUT WITH THAT.

1279
00:42:49,918 --> 00:42:54,757
AND IT'S A GROUP THAT IS VERY,

1280
00:42:54,757 --> 00:42:56,859
VERY COMMITTED TO THE HIGH

1281
00:42:56,859 --> 00:42:57,659
MINORITY STUDENT POPULATIONS

1282
00:42:57,659 --> 00:42:58,527
THAT THEY HAVE.

1283
00:42:58,527 --> 00:43:01,897
THE OTHER THING THAT OCCURRED TO

1284
00:43:01,897 --> 00:43:04,767
ME WHILE YOU WERE TALKING IS, I

1285
00:43:04,767 --> 00:43:06,535
PREFER TO CALL IT SOCIAL DRIVERS

1286
00:43:06,535 --> 00:43:08,504
OF HEALTH BECAUSE IF IT WERE

1287
00:43:08,504 --> 00:43:09,772
DETERMINANT, I WOULDN'T BE A

1288
00:43:09,772 --> 00:43:13,675
HEALTHY ADULT RIGHT NOW, GIVEN

1289
00:43:13,675 --> 00:43:16,412
MY OWN, YOU KNOW -- MY ROOTS,

1290
00:43:16,412 --> 00:43:18,614
RIGHT, BUT THAT BEING SAID, ON

1291
00:43:18,614 --> 00:43:19,848
SOCIAL DRIVERS -- SO I'LL USE

1292
00:43:19,848 --> 00:43:21,049
THAT TERM.

1293
00:43:21,049 --> 00:43:22,251
ON SOCIAL DRIVERS OF HEALTH,

1294
00:43:22,251 --> 00:43:25,187
THIS IS NOT SO MUCH RESEARCH BUT

1295
00:43:25,187 --> 00:43:29,825
IT FEELS TO ME THAT THERE'S SO

1296
00:43:29,825 --> 00:43:33,662
MUCH OPPORTUNITY FOR ADVANCING

1297
00:43:33,662 --> 00:43:37,800
OUR UNDERSTANDING OF HOW SOCIAL

1298
00:43:37,800 --> 00:43:41,170
DRIVERS AFFECT HEALTH IF WE HAD

1299
00:43:41,170 --> 00:43:43,872
MORE IN THE WAY OF

1300
00:43:43,872 --> 00:43:45,941
INTERPROFESSIONAL EDUCATION,

1301
00:43:45,941 --> 00:43:47,910
WHERE YOU WERE SORT OF LOOKING

1302
00:43:47,910 --> 00:43:50,679
AT THAT TEAM, RIGHT, OF

1303
00:43:50,679 --> 00:43:52,314
HEALTHCARE PROVIDERS WHICH

1304
00:43:52,314 --> 00:43:53,415
INCLUDES YOUR NURSES AND YOUR

1305
00:43:53,415 --> 00:43:54,516
DOCTORS AND YOUR PHARMACISTS AND

1306
00:43:54,516 --> 00:43:56,618
YOUR DENTISTS AND YOUR PHYSICAL

1307
00:43:56,618 --> 00:43:58,320
THERAPISTS AND OCCUPATIONAL

1308
00:43:58,320 --> 00:44:01,023
THERAPISTS, THAT WHOLE TEAM, YOU

1309
00:44:01,023 --> 00:44:03,325
KNOW, NURSE EDUCATORS, ET

1310
00:44:03,325 --> 00:44:04,393
CETERA, THAT SURROUND PATIENTS,

1311
00:44:04,393 --> 00:44:06,495
IF WE WERE -- IF THERE WAS SOME

1312
00:44:06,495 --> 00:44:09,064
KIND OF INTERPROFESSIONAL

1313
00:44:09,064 --> 00:44:10,065
EDUCATION AROUND SOCIAL DRIVERS

1314
00:44:10,065 --> 00:44:12,234
OF HEALTH, THAT IT WAS NOT JUST

1315
00:44:12,234 --> 00:44:14,536
ABOUT HOW DO SOCIAL DRIVERS OF

1316
00:44:14,536 --> 00:44:16,438
HEALTH AFFECT HEALTH, BUT ALSO

1317
00:44:16,438 --> 00:44:18,307
IF YOU WERE WORKING ACROSS A

1318
00:44:18,307 --> 00:44:20,275
HEALTHCARE TEAM, HOW WOULD YOU

1319
00:44:20,275 --> 00:44:21,944
TAKE INTO CONSIDERATION SOCIAL

1320
00:44:21,944 --> 00:44:23,078
DRIVERS OF HEALTH TO CHANGE THE

1321
00:44:23,078 --> 00:44:27,950
WAY THAT YOU DELIVER CARE TO

1322
00:44:27,950 --> 00:44:35,357
PEOPLE.

1323
00:44:35,357 --> 00:44:37,426
>> THIS IS NOT A
COMMUNITY-BASED

1324
00:44:37,426 --> 00:44:39,228
SUGGESTION BUT THERE ARE ALSO

1325
00:44:39,228 --> 00:44:41,296
OTHER INSTITUTES UNDERGOING

1326
00:44:41,296 --> 00:44:44,266
STRATEGIC PLAN REVISIONS AND I

1327
00:44:44,266 --> 00:44:45,767
HAVE NOT SEEN THOSE BUT I'M

1328
00:44:45,767 --> 00:44:48,770
HEARING RUMBLINGS OF SOCIAL

1329
00:44:48,770 --> 00:44:51,106
DRIVERS, DIVERSITY, EQUITY,

1330
00:44:51,106 --> 00:44:52,541
INCLUSION, AND SO I ALSO WONDER

1331
00:44:52,541 --> 00:44:54,309
IF THERE'S ENOUGH MOMENTUM

1332
00:44:54,309 --> 00:44:55,744
ACROSS INSTITUTES IF IT PRESENTS

1333
00:44:55,744 --> 00:44:57,145
SOME OPPORTUNITIES FOR SOME REAL

1334
00:44:57,145 --> 00:44:58,347
PARTNERSHIP TO BASICALLY GET OUT

1335
00:44:58,347 --> 00:45:04,853
THERE AND GET THE WORD OUT.

1336
00:45:04,853 --> 00:45:06,722
>> I ALSO THINK -- FIRST
THANK

1337
00:45:06,722 --> 00:45:12,327
YOU FOR COMING TO NSEMNA BUT I

1338
00:45:12,327 --> 00:45:13,529
ALSO FEEL LIKE SOMETIMES WE CAN

1339
00:45:13,529 --> 00:45:16,598
ENGAGE WITH THESE, LIKE HBCUs,

1340
00:45:16,598 --> 00:45:21,036
HISPANIC SERVING AND AAPHI

1341
00:45:21,036 --> 00:45:22,237
INSTITUTIONS, NOT ONLY INFORMING

1342
00:45:22,237 --> 00:45:23,338
NURSING SCIENCE BUT MAYBE ALSO

1343
00:45:23,338 --> 00:45:24,740
THINK ABOUT LEVERAGING THE

1344
00:45:24,740 --> 00:45:28,610
NETWORK TO DISSEMINATE

1345
00:45:28,610 --> 00:45:32,114
NURSE-LED NURSING SCIENCE FROM A

1346
00:45:32,114 --> 00:45:33,215
DISSEMINATION IMPLEMENTATION

1347
00:45:33,215 --> 00:45:36,818
SCIENCE PERSPECTIVE TO REALLY

1348
00:45:36,818 --> 00:45:39,221
KIND OF INTRODUCE MORE OF

1349
00:45:39,221 --> 00:45:40,956
THE NURSING SCIENCE OR EVIDENCE

1350
00:45:40,956 --> 00:45:44,760
THAT IS GENERATED BY NINR-FUNDED

1351
00:45:44,760 --> 00:45:46,161
RESEARCHERS, AND CAN WE LEVERAGE

1352
00:45:46,161 --> 00:45:49,131
THESE COMMUNITY AND ACADEMIC

1353
00:45:49,131 --> 00:45:51,199
INSTITUTIONS TO MORE BROADLY

1354
00:45:51,199 --> 00:45:53,769
WIDELY DISSEMINATING, ESPECIALLY

1355
00:45:53,769 --> 00:45:58,240
WE HAVE SEEN LARGER PORTFOLIO OF

1356
00:45:58,240 --> 00:46:00,108
NINR-FUNDED SDOH RESEARCH, SO

1357
00:46:00,108 --> 00:46:01,910
THINK ABOUT LIKE THIS

1358
00:46:01,910 --> 00:46:03,545
PARTNERSHIP CAN REALLY INFORM

1359
00:46:03,545 --> 00:46:06,281
THE FULL CYCLE OF NURSING

1360
00:46:06,281 --> 00:46:10,018
SCIENCE INFORMING HEALTH POLICY.

1361
00:46:10,018 --> 00:46:12,220
I ALSO THINK THE ROBERT WOOD

1362
00:46:12,220 --> 00:46:13,422
JOHNSON FOUNDATION FUNDED A

1363
00:46:13,422 --> 00:46:15,223
CULTURE OF HEALTH PROGRAM AT

1364
00:46:15,223 --> 00:46:15,824
NATIONAL ACADEMY OF MEDICINE.

1365
00:46:15,824 --> 00:46:17,793
THEY'RE GOING TO HAVE AN ANNUAL

1366
00:46:17,793 --> 00:46:20,829
GATHERING THIS JULY, AND THEN

1367
00:46:20,829 --> 00:46:22,264
REALLY WOULD LIKE TO SEE MORE OF

1368
00:46:22,264 --> 00:46:25,701
THE WORK OF NINR-FUNDED WORK

1369
00:46:25,701 --> 00:46:27,135
FEATURED IN THIS FORUM, AND I'M

1370
00:46:27,135 --> 00:46:29,571
HAPPY TO INTRODUCE AND I KNOW

1371
00:46:29,571 --> 00:46:31,440
THEY'RE CONVENING PANELS AT THIS

1372
00:46:31,440 --> 00:46:32,407
MOMENT.

1373
00:46:32,407 --> 00:46:37,346
I THINK JUST LEVERAGING OTHER

1374
00:46:37,346 --> 00:46:38,447
ORGANIZATIONS, BE IT IN THE

1375
00:46:38,447 --> 00:46:41,116
HEALTH POLICY AND TRY TO FEATURE

1376
00:46:41,116 --> 00:46:43,852
NURSING SCIENCE, NURSE OR NURSE

1377
00:46:43,852 --> 00:46:44,820
PRACTITIONER-LED RESEARCH IN

1378
00:46:44,820 --> 00:46:48,590
THIS AREA.

1379
00:46:48,590 --> 00:46:49,591
 CAN REALLY BRING OUT

1380
00:46:49,591 --> 00:46:52,094
WHAT WE HAVE FOUND OR WHAT NEEDS

1381
00:46:52,094 --> 00:46:54,830
TO BE DONE MORE THROUGH THIS

1382
00:46:54,830 --> 00:47:00,569
LARGER MARTLARGER PARTNERSHIP AD

1383
00:47:00,569 --> 00:47:01,336
COLLABORATIONS, I'M HAPPY TO SEE

1384
00:47:01,336 --> 00:47:04,539
YOU HAVE REALLY DONE A LOT AND

1385
00:47:04,539 --> 00:47:08,477
CAN GET TO THE NEXT LEVEL OF

1386
00:47:08,477 --> 00:47:10,579
LARGER DISSEMINATION.

1387
00:47:10,579 --> 00:47:12,481
>> A LOT OF GREAT
COMMENTS, SO I

1388
00:47:12,481 --> 00:47:16,385
WON'T REPEAT THEM.

1389
00:47:16,385 --> 00:47:18,387
THE ONE RELATED TO WHAT ANNE WAS

1390
00:47:18,387 --> 00:47:20,389
SAYING, DR. FITZPATRICK, WAS THE

1391
00:47:20,389 --> 00:47:22,024
RESEARCH CENTERS AT MINORITY

1392
00:47:22,024 --> 00:47:22,891
INSTITUTIONS, AND IT'S NOT SO

1393
00:47:22,891 --> 00:47:26,662
MUCH THOSE CENTERS THEMSELVES,

1394
00:47:26,662 --> 00:47:28,430
BUT A CLINICAL RESEARCH NETWORK

1395
00:47:28,430 --> 00:47:29,197
THAT'S BEING ESTABLISHED WITHIN

1396
00:47:29,197 --> 00:47:30,632
THAT SEEMS TO BE LED BY A LOT

1397
00:47:30,632 --> 00:47:32,167
MORE NURSING RESEARCHERS BASED

1398
00:47:32,167 --> 00:47:33,168
ON OUR LAST CONFERENCE.

1399
00:47:33,168 --> 00:47:35,570
SO I THINK THE INVOLVEMENT OF

1400
00:47:35,570 --> 00:47:37,139
NINR IN THAT ANNUAL CONFERENCE,

1401
00:47:37,139 --> 00:47:39,241
I THINK, BUT ALSO BRING MORE

1402
00:47:39,241 --> 00:47:40,776
EXPOSURE SIMILAR TO WHAT

1403
00:47:40,776 --> 00:47:42,444
PROFESSOR DAWES WAS SAYING.

1404
00:47:42,444 --> 00:47:44,413
I ALSO REALLY APPRECIATED ALL

1405
00:47:44,413 --> 00:47:46,815
THE DATA, BUT I HAVE SOME

1406
00:47:46,815 --> 00:47:49,785
QUESTIONS REGARDING THE

1407
00:47:49,785 --> 00:47:50,852
INCLUSION DATA.

1408
00:47:50,852 --> 00:47:52,487
I WOULD BE CURIOUS TO KNOW,

1409
00:47:52,487 --> 00:47:53,588
ESPECIALLY GIVEN THE TYPE OF

1410
00:47:53,588 --> 00:47:56,625
RESEARCH THAT NINR IS SUPPOR 

1411
00:47:56,625 --> 00:47:57,459
SUPPORTING, THAT INCLUSION, IS

1412
00:47:57,459 --> 00:47:59,127
THAT AN INTERVENTION-RELATED

1413
00:47:59,127 --> 00:48:00,529
RESEARCH OR IS IT AN

1414
00:48:00,529 --> 00:48:03,799
OBSERVATIONAL RESEARCH?

1415
00:48:03,799 --> 00:48:04,399
IT'S EVERYTHING.

1416
00:48:04,399 --> 00:48:10,739
IS THERE ANY WAY TO DISENTANGLE?

1417
00:48:10,739 --> 00:48:13,508
IT WOULD BE HARD, RIGHT?

1418
00:48:13,508 --> 00:48:17,412
>> IT WOULD BE A LITTLE
TRICKY.

1419
00:48:17,412 --> 00:48:20,582
AS FAR AS I CAN REMEMBER,

1420
00:48:20,582 --> 00:48:24,186
THERE'S NO NIH CODE TO SPLIT UP

1421
00:48:24,186 --> 00:48:25,921
THOSE AREAS OF RESEARCH.

1422
00:48:25,921 --> 00:48:27,055
IT'S CERTAINLY SOMETHING WE

1423
00:48:27,055 --> 00:48:29,057
COULD LOOK INTO, TO AT LEAST DO

1424
00:48:29,057 --> 00:48:30,525
IT INFORMALLY JUST ON OUR END.

1425
00:48:30,525 --> 00:48:32,527
>> YEAH, I MEAN, IT WOULD

1426
00:48:32,527 --> 00:48:34,162
DEFINITELY HELP BOLSTER THE

1427
00:48:34,162 --> 00:48:35,030
ARGUMENT ABOUT THE CLINICAL

1428
00:48:35,030 --> 00:48:38,200
RESEARCH IN TERMS OF INVOLVING

1429
00:48:38,200 --> 00:48:40,435
THAT RACIAL/ETHNIC MINORITIES.

1430
00:48:40,435 --> 00:48:42,838
THE OTHER THING IS DATA REALLY

1431
00:48:42,838 --> 00:48:44,139
ON ORGANIZATIONAL INVOLVEMENT,

1432
00:48:44,139 --> 00:48:46,708
AND SO WE KNOW USING C3 AS AN

1433
00:48:46,708 --> 00:48:49,010
EXAMPLE THAT NURSES CAN BE IN

1434
00:48:49,010 --> 00:48:50,078
DIFFERENT CONTEXT AND REALLY

1435
00:48:50,078 --> 00:48:51,680
TRYING TO UNDERSTAND WHERE THOSE

1436
00:48:51,680 --> 00:48:53,448
SYSTEMS OF CARE ARE ACTUALLY

1437
00:48:53,448 --> 00:48:54,883
OCCURRING IN THESE RESEARCH I

1438
00:48:54,883 --> 00:48:55,951
THINK WOULD ALSO BE REALLY

1439
00:48:55,951 --> 00:49:02,791
INTERESTING TO LOOK AT.

1440
00:49:02,791 --> 00:49:04,960
>> I COULD JUST REACT TO

1441
00:49:04,960 --> 00:49:06,328
EVERYTHING YOU ALL ARE SAYING,

1442
00:49:06,328 --> 00:49:08,396
SO LET TALK MORE, BUT THIS IS

1443
00:49:08,396 --> 00:49:09,431
GREAT, WE'RE KEEPING NOTES, WE

1444
00:49:09,431 --> 00:49:10,932
HAVE THE RECORDING, SO THIS IS

1445
00:49:10,932 --> 00:49:11,366
ALL GOOD.

1446
00:49:11,366 --> 00:49:14,469
SO WE'LL USE THIS TO INFORM THE

1447
00:49:14,469 --> 00:49:15,704
AGENDA FOR NEXT TIME AND SHARE

1448
00:49:15,704 --> 00:49:16,772
MORE INFORMATION ALONG THESE

1449
00:49:16,772 --> 00:49:18,306
LINES, BUT LET'S CONNECT

1450
00:49:18,306 --> 00:49:19,975
ONE-ON-ONE AND IN GROUPS, TOO,

1451
00:49:19,975 --> 00:49:21,510
TO TALK ABOUT HOW TO MOVE ALL

1452
00:49:21,510 --> 00:49:22,944
THESE GREAT IDEAS.

1453
00:49:22,944 --> 00:49:24,513
SUPER, REALLY APPRECIATE YOUR

1454
00:49:24,513 --> 00:49:27,382
SUPPORT AND THESE EXCELLENT

1455
00:49:27,382 --> 00:49:28,583
IDEAS TO REALLY INCREASE THE

1456
00:49:28,583 --> 00:49:30,318
REACH OF THE INSTITUTE AND THE

1457
00:49:30,318 --> 00:49:31,953
IMPACT OF NURSING RESEARCH, SO

1458
00:49:31,953 --> 00:49:32,888
THANK YOU.

1459
00:49:32,888 --> 00:49:33,188
OKAY.

1460
00:49:33,188 --> 00:49:34,523
SO YOU'RE NOT DONE WITH ME YET.

1461
00:49:34,523 --> 00:49:35,824
I'VE GOT MORE NEWS TO SHARE, SO

1462
00:49:35,824 --> 00:49:37,425
I'M GOING TO GO FORWARD AND

1463
00:49:37,425 --> 00:49:38,527
YOU'RE GOING TO BE INTERESTED SO

1464
00:49:38,527 --> 00:49:41,329
I DON'T WANT YOU TO MISS.

1465
00:49:41,329 --> 00:49:42,664
SO I WANT TO SHARE A LITTLE BIT

1466
00:49:42,664 --> 00:49:43,965
MORE ABOUT SOME THINGS HAPPENING

1467
00:49:43,965 --> 00:49:47,536
AT THE INSTITUTE FOR YOUR

1468
00:49:47,536 --> 00:49:50,605
AWARENESS.

1469
00:49:50,605 --> 00:49:52,941
SO MOST OF YOU KNOW THE NINR

1470
00:49:52,941 --> 00:49:55,911
DIVISION OF EXTRAMURAL SCIENCE

1471
00:49:55,911 --> 00:49:58,313
PROGRAMS OVERSEAS AND MANAGES

1472
00:49:58,313 --> 00:49:59,815
THE PORTFOLIOS OF GRANTS AND

1473
00:49:59,815 --> 00:50:01,082
CONTRACTS THAT SUPPORT

1474
00:50:01,082 --> 00:50:02,617
RESEARCHERS ACROSS THE COUNTRY.

1475
00:50:02,617 --> 00:50:04,352
SO SINCE THERE ARE A NUMBER OF

1476
00:50:04,352 --> 00:50:05,821
PEOPLE HERE THAT INTERACT WITH

1477
00:50:05,821 --> 00:50:06,922
THAT DIVISION AND I WANTED TO

1478
00:50:06,922 --> 00:50:10,125
SHARE SOME OF THE CHANGES THERE.

1479
00:50:10,125 --> 00:50:11,893
SO THE DIVISION RECENTLY

1480
00:50:11,893 --> 00:50:12,861
RESTRUCTURED INTO THREE BRANCHES

1481
00:50:12,861 --> 00:50:15,063
THAT BETTER REFLECT THE

1482
00:50:15,063 --> 00:50:15,430
STRATEGIC PLAN.

1483
00:50:15,430 --> 00:50:17,299
SO WE DID CONSIDER A WIDE

1484
00:50:17,299 --> 00:50:18,600
VARIETY, YOU CAN IMAGINE, OF

1485
00:50:18,600 --> 00:50:21,036
DIFFERENT STRUCTURES, FOR

1486
00:50:21,036 --> 00:50:22,337
EXAMPLE, THE CREATION OF FIVE

1487
00:50:22,337 --> 00:50:23,371
DIFFERENT BRANCHES THAT ALIGN

1488
00:50:23,371 --> 00:50:26,942
WITH THE LENSES IN THE STRATEGIC

1489
00:50:26,942 --> 00:50:28,677
PLAN, BUT REALLY AFTER A LOT OF

1490
00:50:28,677 --> 00:50:29,978
DISCUSSION, THERE REALLY WAS A

1491
00:50:29,978 --> 00:50:31,880
STRONG CONSENSUS THAT HEALTH

1492
00:50:31,880 --> 00:50:32,981
EQUITY AND SOCIAL DETERMINANTS

1493
00:50:32,981 --> 00:50:35,650
OF HEALTH CUT ACROSS ALL OF OUR

1494
00:50:35,650 --> 00:50:39,221
AREAS AND THEY SHOULD HAVE A

1495
00:50:39,221 --> 00:50:40,622
STRONG INTEGRATION ACROSS ALL OF

1496
00:50:40,622 --> 00:50:41,356
OUR ACTIVITIES.

1497
00:50:41,356 --> 00:50:44,392
SO WE ARRIVED AT THREE BRANCHES 

1498
00:50:44,392 --> 00:50:48,630
THE SYSTEMS AND MOTTL MODELS OF,

1499
00:50:48,630 --> 00:50:50,031
PREVENTION AND HEALTH PROMOTION,

1500
00:50:50,031 --> 00:50:50,832
AND POPULATION AND COMMUNITY

1501
00:50:50,832 --> 00:50:51,366
HEALTH.

1502
00:50:51,366 --> 00:50:52,367
AGAIN, SOCIAL DETERMINANTS OF

1503
00:50:52,367 --> 00:50:53,835
HEALTH AND HEALTH EQUITY WILL

1504
00:50:53,835 --> 00:50:55,704
APPEAR ACROSS ALL OF THOSE

1505
00:50:55,704 --> 00:50:56,838
BRANCHES.

1506
00:50:56,838 --> 00:50:59,674
WE HAVE TWO NEW BRANCH CHIEFS IN

1507
00:50:59,674 --> 00:51:01,343
THE DIVISION THAT I CERTAINLY

1508
00:51:01,343 --> 00:51:04,713
WANT TO RECOGNIZE.

1509
00:51:04,713 --> 00:51:06,414
KAREN KALE IS NOW THE CHIEF OF

1510
00:51:06,414 --> 00:51:09,484
THE SYSTEMS AND MODELS OF CARE

1511
00:51:09,484 --> 00:51:14,689
BRANCH, AND NADRA TYUS IS THE

1512
00:51:14,689 --> 00:51:15,991
CHIEF OF THE PREVENTION AND

1513
00:51:15,991 --> 00:51:19,594
HEALTH PROMOTION.

1514
00:51:19,594 --> 00:51:22,230
DR. TARLOV WILL BE ACTING CHIEF

1515
00:51:22,230 --> 00:51:23,198
OF POPULATION AND COMMUNITY

1516
00:51:23,198 --> 00:51:24,366
HEALTH WHILE WE SEARCH FOR THAT

1517
00:51:24,366 --> 00:51:24,566
CHIEF.

1518
00:51:24,566 --> 00:51:26,768
SO THOSE OF YOU WHO AREN'T

1519
00:51:26,768 --> 00:51:30,205
FAMILIAR WITH DR. KEHL AND

1520
00:51:30,205 --> 00:51:35,777
DR. TYUS, DR. KEHL JOINED IN

1521
00:51:35,777 --> 00:51:38,914
2014, HER RESEARCH FOCUSES ON

1522
00:51:38,914 --> 00:51:40,415
IMPROVING CARE IN THE LAST YEARS

1523
00:51:40,415 --> 00:51:41,316
OF LIFE.

1524
00:51:41,316 --> 00:51:42,517
HER CLINICAL EXPERTISE IS IN

1525
00:51:42,517 --> 00:51:43,985
PAIN AND SYMPTOM MANAGEMENT AND

1526
00:51:43,985 --> 00:51:45,854
PALLIATIVE CARE, AND SHE IS

1527
00:51:45,854 --> 00:51:47,822
ESPECIALLY INTERESTED IN

1528
00:51:47,822 --> 00:51:50,125
OPTIMIZING HEALTH IN RURAL

1529
00:51:50,125 --> 00:51:51,593
POPULATIONS.

1530
00:51:51,593 --> 00:51:53,261
SHE HAS PRACTICED IN A VARIETY

1531
00:51:53,261 --> 00:51:54,663
OF INPATIENT AND OUTPATIENT

1532
00:51:54,663 --> 00:51:56,398
SETTINGS IN ROLES THAT INCLUDE

1533
00:51:56,398 --> 00:51:57,666
CLINICAL NURSE SPECIALIST AND

1534
00:51:57,666 --> 00:52:01,736
CLINICAL NURSE EDUCATOR.

1535
00:52:01,736 --> 00:52:05,507
THEN DR. COMMANDER NADRA TYUS

1536
00:52:05,507 --> 00:52:07,509
REASONLY JOINED NINR FROM THE

1537
00:52:07,509 --> 00:52:08,810
NIH OFFICE OF STRATEGIC

1538
00:52:08,810 --> 00:52:10,111
COORDINATION, WHERE SHE WAS THE

1539
00:52:10,111 --> 00:52:12,447
PROGRAM LEADER OF THE

1540
00:52:12,447 --> 00:52:13,114
TRANSFORMATIVE HEALTH

1541
00:52:13,114 --> 00:52:13,782
DISPARITIES PROGRAM.

1542
00:52:13,782 --> 00:52:16,618
SHE ALSO LED THE DEVELOPMENT AND

1543
00:52:16,618 --> 00:52:18,620
IMPLEMENTATION OF THE COMPASS

1544
00:52:18,620 --> 00:52:21,523
COORDINATION CENTER AND SERVED

1545
00:52:21,523 --> 00:52:24,292
AS THE EVALUATION SME FOR THE

1546
00:52:24,292 --> 00:52:25,627
FIRST COORDINATION AND

1547
00:52:25,627 --> 00:52:26,027
EVALUATION CENTER.

1548
00:52:26,027 --> 00:52:28,663
SHE PROVIDES HER 20-YEAR

1549
00:52:28,663 --> 00:52:30,398
EXPERTISE TO NINR IN AREAS

1550
00:52:30,398 --> 00:52:32,867
RANGING FROM PREVENTION TO

1551
00:52:32,867 --> 00:52:34,002
COMMUNITY HEALTH TO SOCIAL

1552
00:52:34,002 --> 00:52:35,503
DETERMINANTS OF HEALTH,

1553
00:52:35,503 --> 00:52:38,440
INCLUDING TIME AS PROGRAM

1554
00:52:38,440 --> 00:52:41,209
DIRECTOR AT NIM HD AND A

1555
00:52:41,209 --> 00:52:43,778
NINE-YEAR TENURE AT HRSA.

1556
00:52:43,778 --> 00:52:45,613
SO CONGRATULATIONS TO KAREN AND

1557
00:52:45,613 --> 00:52:46,915
TO NADRA.

1558
00:52:46,915 --> 00:52:48,883
THIS SLIDE SHOWS WHICH BRANCH

1559
00:52:48,883 --> 00:52:52,787
THE NINR PROGRAM DIRECTORS ARE

1560
00:52:52,787 --> 00:52:54,222
WITHIN FOR THIS NEW STRUCTURE.

1561
00:52:54,222 --> 00:52:55,323
SO YOU'LL SEE NAMES THERE AND

1562
00:52:55,323 --> 00:52:58,226
YOU CAN ALSO FIND THAT COMING ON

1563
00:52:58,226 --> 00:52:59,461
OUR WEBSITE.

1564
00:52:59,461 --> 00:53:02,597
AND SPEAKING OF STAFF, I ALSO

1565
00:53:02,597 --> 00:53:04,733
WANT TO WELCOME SOME NEW STAFF

1566
00:53:04,733 --> 00:53:06,101
SINCE OUR LAST MEETING.

1567
00:53:06,101 --> 00:53:08,136
SO FIRST A SPECIAL WELCOME TO

1568
00:53:08,136 --> 00:53:09,437
DR. ALISON COLBERT, WHO IS

1569
00:53:09,437 --> 00:53:10,638
WORKING IN THE OFFICE OF THE

1570
00:53:10,638 --> 00:53:12,273
DIRECTOR THIS YEAR AS A

1571
00:53:12,273 --> 00:53:14,242
STRATEGIC ADVISOR.

1572
00:53:14,242 --> 00:53:16,311
DR. COLBERT IS A PROFESSOR AT

1573
00:53:16,311 --> 00:53:17,245
THE UNIVERSITY OF DUCANE SCHOOL

1574
00:53:17,245 --> 00:53:19,314
OF NURSING.

1575
00:53:19,314 --> 00:53:20,749
AS A CLINICAL NURSE SPECIALIST

1576
00:53:20,749 --> 00:53:22,884
WHO IS COMMITTED TO HELPING THE

1577
00:53:22,884 --> 00:53:24,185
UNDERSERVED, SHE BRINGS 15 YEARS

1578
00:53:24,185 --> 00:53:25,387
OF EXPERIENCE IN SETTINGS SUCH

1579
00:53:25,387 --> 00:53:28,256
AS JAILS, DRUG AND ALCOHOL

1580
00:53:28,256 --> 00:53:28,790
TREATMENT FACILITIES, AND

1581
00:53:28,790 --> 00:53:32,460
COMMUNITY CLINICS.

1582
00:53:32,460 --> 00:53:33,495
NYALA JOHNSON ALSO JOINED THE

1583
00:53:33,495 --> 00:53:34,963
OFFICE OF THE DIRECTOR AS A

1584
00:53:34,963 --> 00:53:36,031
MANAGEMENT ANALYST.

1585
00:53:36,031 --> 00:53:38,166
WE HAVE THREE STAFF JOINING THE

1586
00:53:38,166 --> 00:53:41,836
DIVISION OF EXTRAMURAL RESEARCH.

1587
00:53:41,836 --> 00:53:48,476
DR. DARA BLACHMAN-DEMNER,

1588
00:53:48,476 --> 00:53:49,944
DR. ANNIE-LAURIE MCREE AND AS I

1589
00:53:49,944 --> 00:53:53,214
MENTIONED DR. NADRA TYUS SO

1590
00:53:53,214 --> 00:53:53,882
WELCOME, EVERYONE.

1591
00:53:53,882 --> 00:53:55,050
THESE ARE AUTHORS FROM THE

1592
00:53:55,050 --> 00:53:55,717
EXTRAMURAL DIVISION.

1593
00:53:55,717 --> 00:53:56,918
THE FIRST ONE IS ABOUT THE

1594
00:53:56,918 --> 00:53:59,154
LISTENING SESSIONS THAT NIH HELD

1595
00:53:59,154 --> 00:54:00,355
TO INFORM THE DEVELOPMENT OF

1596
00:54:00,355 --> 00:54:00,722
COMPASS.

1597
00:54:00,722 --> 00:54:04,292
AS SOME OF YOU KNOW, COMPASS

1598
00:54:04,292 --> 00:54:05,860
RECOGNIZES THE ESSENTIAL ROLE OF

1599
00:54:05,860 --> 00:54:07,429
COMMUNITY ORGANIZATIONS AS THE

1600
00:54:07,429 --> 00:54:10,065
LEAD IN ADDRESSING PERSISTENT

1601
00:54:10,065 --> 00:54:11,800
STRUCTURAL AND SOCIAL CHALLENGES

1602
00:54:11,800 --> 00:54:13,368
TO ADVANCE HEALTH EQUITY.

1603
00:54:13,368 --> 00:54:15,670
THE INSIGHTS GAINED FROM THAT

1604
00:54:15,670 --> 00:54:16,671
LISTENING SESSION WERE USED TO

1605
00:54:16,671 --> 00:54:17,939
INFORM THE GOALS OF COMPASS AS

1606
00:54:17,939 --> 00:54:21,876
WELL AS SOME OF THE INITIATIVES.

1607
00:54:21,876 --> 00:54:24,546
SO DR. BYNAM HELPED TO CO-AUTHOR

1608
00:54:24,546 --> 00:54:25,480
THAT AREA.

1609
00:54:25,480 --> 00:54:30,685
THE OARTICLE.THE OTHER IS A PORO

1610
00:54:30,685 --> 00:54:31,653
ANALYSIS WHICH ASSESSED THE

1611
00:54:31,653 --> 00:54:33,688
LEVEL OF FUNDING FOR HEALTH AND

1612
00:54:33,688 --> 00:54:34,789
HOUSING RESEARCH.

1613
00:54:34,789 --> 00:54:36,658
FROM THE NIH, CDC AND HUD.

1614
00:54:36,658 --> 00:54:38,660
SO AS WE KNOW, HOUSING IS A

1615
00:54:38,660 --> 00:54:40,862
MAJOR SOCIAL DETERMINANT OF

1616
00:54:40,862 --> 00:54:41,329
HEALTH.

1617
00:54:41,329 --> 00:54:42,397
AMONG THE FINDINGS WERE THAT

1618
00:54:42,397 --> 00:54:43,932
STUDIES OF HOUSING AFFORDABILITY

1619
00:54:43,932 --> 00:54:48,036
AND STABILITY WERE THE LEAST

1620
00:54:48,036 --> 00:54:51,339
COMMON, AND ONLY 27% F FUNDED

1621
00:54:51,339 --> 00:54:52,740
PROJECTS WERE INTERVENTION

1622
00:54:52,740 --> 00:54:53,608
STUDIES, POINTING TO THE NEED

1623
00:54:53,608 --> 00:54:55,009
FOR RIGOROUS EVALUATIONS OF

1624
00:54:55,009 --> 00:54:56,311
HOUSING AND RELATED POLICY

1625
00:54:56,311 --> 00:54:59,681
INTERVENTIONS.

1626
00:54:59,681 --> 00:55:01,449
I HAD THE PLEASURE OF ATTENDING

1627
00:55:01,449 --> 00:55:04,185
THE ADVANCING CURES TODAY OR ACT

1628
00:55:04,185 --> 00:55:06,754
FOR NIH FOUNDATION'S TENTH

1629
00:55:06,754 --> 00:55:07,655
ANNIVERSARY CONGRESSIONAL

1630
00:55:07,655 --> 00:55:08,923
RECEPTION AT THE LIBRARY OF

1631
00:55:08,923 --> 00:55:11,793
CONGRESS ON APRIL 30TH.

1632
00:55:11,793 --> 00:55:14,496
ACT FOR NIH'S FOUNDATION MISS IS

1633
00:55:14,496 --> 00:55:15,930
TO SUPPORT NIH AND EDUCATE

1634
00:55:15,930 --> 00:55:17,599
MEMBERS OF CONGRESS ABOUT THE

1635
00:55:17,599 --> 00:55:19,434
RETURN ON INVESTMENT FROM NIH

1636
00:55:19,434 --> 00:55:20,902
RESEARCH.

1637
00:55:20,902 --> 00:55:22,570
OVER 20 MEMBERS OF CONGRESS

1638
00:55:22,570 --> 00:55:25,707
ATTENDED THE BRIEFING, INCLUDING

1639
00:55:25,707 --> 00:55:27,642
HOUSE MINORITY LEADER HAKIM

1640
00:55:27,642 --> 00:55:29,077
JEFFRIES AND HOUSE AND SENATE

1641
00:55:29,077 --> 00:55:29,611
APPROPRIATIONS LEADERSHIP.

1642
00:55:29,611 --> 00:55:32,380
I HAD THE OPPORTUNITY TO MEET

1643
00:55:32,380 --> 00:55:33,581
AND THANK SEVERAL MEMBERS OF THE

1644
00:55:33,581 --> 00:55:36,651
HOUSE AND SENATE APPROPRIATIONS

1645
00:55:36,651 --> 00:55:37,585
COMMITTEES FOR THEIR CONTINUED

1646
00:55:37,585 --> 00:55:40,155
SUPPORT OF NIH AND NINR.

1647
00:55:40,155 --> 00:55:41,856
MEMBERS WHO, AS YOU KNOW, ARE

1648
00:55:41,856 --> 00:55:42,824
RESPONSIBLE FOR SETTING THE

1649
00:55:42,824 --> 00:55:46,427
FUNDING LEVELS EACH YEAR.

1650
00:55:46,427 --> 00:55:47,695
THEY INCLUDED THE CHAIR AND

1651
00:55:47,695 --> 00:55:50,131
RANKING MEMBER OF THE HOUSE

1652
00:55:50,131 --> 00:55:51,199
LABOR HHS EDUCATION

1653
00:55:51,199 --> 00:55:53,168
APPROPRIATIONS SUBCOMMITTEE,

1654
00:55:53,168 --> 00:55:56,971
CONGRESSMAN ROBERT ADERHOLT FROM

1655
00:55:56,971 --> 00:55:58,706
ALABAMA, WHO IS PICTURED HERE,

1656
00:55:58,706 --> 00:56:02,377
AND CONGRESSWOMAN ROSA DELAURO

1657
00:56:02,377 --> 00:56:03,912
FROM CONNECTICUT AS WELL AS VICE

1658
00:56:03,912 --> 00:56:05,213
CHAIR OF THE APPROPRIATIONS

1659
00:56:05,213 --> 00:56:07,215
COMMITTEE, SENATOR SUSAN COLLINS

1660
00:56:07,215 --> 00:56:11,085
FROM MAINE, I ALSO MET SENATOR

1661
00:56:11,085 --> 00:56:12,954
MAGGIE HOSSAN FROM

1662
00:56:12,954 --> 00:56:13,555
NEW HAMPSHIRE.

1663
00:56:13,555 --> 00:56:15,557
SO IT WAS GREAT TO HAVE AN

1664
00:56:15,557 --> 00:56:19,060
OPPORTUNITY TO MEET THOSE

1665
00:56:19,060 --> 00:56:20,228
INDIVIDUALS IN PERSON AND TALK

1666
00:56:20,228 --> 00:56:24,699
ABOUT OUR EC EXCITING WORK AT NR

1667
00:56:24,699 --> 00:56:25,567
AND NIH.

1668
00:56:25,567 --> 00:56:27,302
THIS SLIDE OUTLINES OUR

1669
00:56:27,302 --> 00:56:28,269
APPROPRIATIONS HISTORY OVER THE

1670
00:56:28,269 --> 00:56:29,103
LAST FEW YEARS.

1671
00:56:29,103 --> 00:56:31,306
IN MARCH OF THIS YEAR, THE

1672
00:56:31,306 --> 00:56:32,540
PRESIDENT SIGNED A MINI BUS

1673
00:56:32,540 --> 00:56:33,942
SPENDING BILL TO KEEP NIH

1674
00:56:33,942 --> 00:56:35,109
INSTITUTES RUNNING THROUGH

1675
00:56:35,109 --> 00:56:36,411
SEPTEMBER 30TH.

1676
00:56:36,411 --> 00:56:38,179
NINR ENDED UP WITH A FLAT

1677
00:56:38,179 --> 00:56:39,814
BUDGET, WHICH IS ACTUALLY A

1678
00:56:39,814 --> 00:56:41,549
SMALL CUT DUE TO INFLATION AND

1679
00:56:41,549 --> 00:56:43,384
THE LOSS OF PURCHASING POWER.

1680
00:56:43,384 --> 00:56:45,153
THE GOOD NEWS IS THAT WE'VE

1681
00:56:45,153 --> 00:56:47,155
RETAINED THE $10 MILLION FOR

1682
00:56:47,155 --> 00:56:51,092
HEALTH DISPARITY RESEARCH FROM

1683
00:56:51,092 --> 00:56:52,527
FISCAL YEAR '23, AND WE DID

1684
00:56:52,527 --> 00:56:54,596
AVOID MORE SIGNIFICANT CUTS TO

1685
00:56:54,596 --> 00:56:55,997
FUNDING, WHICH WERE

1686
00:56:55,997 --> 00:56:56,798
UNFORTUNATELY EXPERIENCED BY

1687
00:56:56,798 --> 00:56:59,400
SOME OTHER PARTS OF NIH.

1688
00:56:59,400 --> 00:57:01,102
ALSO IN MARCH, THE PRESIDENT

1689
00:57:01,102 --> 00:57:02,570
RELEASED HIS BUDGET REQUEST FOR

1690
00:57:02,570 --> 00:57:05,940
FISCAL YEAR '25, WHICH FOR NINR

1691
00:57:05,940 --> 00:57:07,442
ESSENTIALLY REQUESTED FLAT

1692
00:57:07,442 --> 00:57:12,413
FUNDING.

1693
00:57:12,413 --> 00:57:15,083
I PROBABLY SHOULD MOVE ALONG,

1694
00:57:15,083 --> 00:57:16,251
SO -- I'M SORRY, WE'LL HAVE TO

1695
00:57:16,251 --> 00:57:21,356
SAVE THE DISCUSSION FOR LATER.

1696
00:57:21,356 --> 00:57:22,790
I'M GOING TO TURN TO SOME

1697
00:57:22,790 --> 00:57:23,658
UPDATES ABOUT NIH BECAUSE I

1698
00:57:23,658 --> 00:57:26,928
DON'T WANT YOU TO MISS THESE.

1699
00:57:26,928 --> 00:57:28,296
I WANT TO SHARE WITH YOU AN

1700
00:57:28,296 --> 00:57:30,265
INITIATIVE NIH IS CONSIDERING TO

1701
00:57:30,265 --> 00:57:32,033
ESTABLISH A NETWORK FOR RESEARCH

1702
00:57:32,033 --> 00:57:33,101
IN PRIMARY CARE SETTINGS.

1703
00:57:33,101 --> 00:57:35,236
SO THIS EFFORT IS A PRIORITY FOR

1704
00:57:35,236 --> 00:57:36,904
THE NIH DIRECTOR,

1705
00:57:36,904 --> 00:57:39,741
DR. BERTAGNOLLI, AND IS -- ITS

1706
00:57:39,741 --> 00:57:40,908
INITIAL SETUP IS BEING LED BY

1707
00:57:40,908 --> 00:57:42,977
THE NIH OD, BUT IT WILL SUPPORT

1708
00:57:42,977 --> 00:57:45,713
ALL ICs, INCLUDING NINR.

1709
00:57:45,713 --> 00:57:47,282
SO DESPITE OUR BEST EFFORTS, WE

1710
00:57:47,282 --> 00:57:49,050
KNOW THAT THE HEALTH OF THE U.S.

1711
00:57:49,050 --> 00:57:52,687
POPULATION IS DECLINING BUT

1712
00:57:52,687 --> 00:57:54,589
DECLINE IS STEEPEST AMONG THE

1713
00:57:54,589 --> 00:57:55,256
UNDERSERVED.

1714
00:57:55,256 --> 00:57:56,357
AS U.S. HEALTH DISPARITIES

1715
00:57:56,357 --> 00:57:58,660
PERSIST AND THE GAPS WIDEN.

1716
00:57:58,660 --> 00:57:59,360
POPULATIONS TRADITIONALLY

1717
00:57:59,360 --> 00:58:01,129
UNDERSERVED IN RESEARCH ARE ALSO

1718
00:58:01,129 --> 00:58:06,601
OFTEN MEDICALLY UNDERSERVED AND

1719
00:58:06,601 --> 00:58:07,602
DISPROPORTIONATELY IMPACTED BY

1720
00:58:07,602 --> 00:58:08,102
DISEASE AND ILLNESS.

1721
00:58:08,102 --> 00:58:09,837
THE LACK OF ADEQUATE

1722
00:58:09,837 --> 00:58:11,372
REPRESENTATION COMPROMISES THE

1723
00:58:11,372 --> 00:58:13,608
GENERALIZABILITY OF RESEARCH

1724
00:58:13,608 --> 00:58:14,842
OUTCOMES AND COMPOUNDS HEALTH

1725
00:58:14,842 --> 00:58:16,577
DISPARITIES.

1726
00:58:16,577 --> 00:58:18,880
SO ADDRESSES THIS CRITICAL NEED

1727
00:58:18,880 --> 00:58:21,316
TO EXTEND RESEARCH PARTICIPATION

1728
00:58:21,316 --> 00:58:21,816
OPPORTUNITIES, NIH IS

1729
00:58:21,816 --> 00:58:23,785
CONSIDERING PLANS FOR A PROGRAM

1730
00:58:23,785 --> 00:58:25,653
TO EXPAND RESEARCH OPPORTUNITIES

1731
00:58:25,653 --> 00:58:28,256
TO WHERE PEOPLE SEEK CARE, BY

1732
00:58:28,256 --> 00:58:29,424
INTEGRATING CLINICAL RESEARCH IN

1733
00:58:29,424 --> 00:58:31,326
PRIMARY CARE SETTINGS.

1734
00:58:31,326 --> 00:58:33,828
SO NIH IS LAUNCHING A PROGRAM TO

1735
00:58:33,828 --> 00:58:35,763
ESTABLISH A PRIMARY CARE FOCUS

1736
00:58:35,763 --> 00:58:38,700
CLINICAL RESEARCH NETWORK THAT

1737
00:58:38,700 --> 00:58:41,402
IS DISEASE-AGNOSTIC,

1738
00:58:41,402 --> 00:58:42,570
FACILITATING CLINICAL RESEARCH

1739
00:58:42,570 --> 00:58:44,238
AND MISSION AREAS ACROSS ALL

1740
00:58:44,238 --> 00:58:45,206
ICs.

1741
00:58:45,206 --> 00:58:47,141
TO INTEGRATE INNOVATIVE RESEARCH

1742
00:58:47,141 --> 00:58:48,576
WITH ROUTINE CLINICAL CARE IN

1743
00:58:48,576 --> 00:58:51,946
REAL WORLD SETTINGS, AND TO

1744
00:58:51,946 --> 00:58:53,181
CREATE A FOUNDATION FOR

1745
00:58:53,181 --> 00:58:54,982
SUSTAINED ENGAGEMENT WITH

1746
00:58:54,982 --> 00:58:55,750
COMMUNITIES, UNDERREPRESENTED IN

1747
00:58:55,750 --> 00:58:56,851
CLINICAL RESEARCH.

1748
00:58:56,851 --> 00:58:59,253
SO NIH WILL HOLD A PUBLIC

1749
00:58:59,253 --> 00:59:03,057
HALF-DAY WEBINAR ON JUNE 7TH TO

1750
00:59:03,057 --> 00:59:04,459
DISCUSS FINDINGS FROM LISTENING

1751
00:59:04,459 --> 00:59:07,395
SESSIONS ON HOW TO ACCESS -- ON

1752
00:59:07,395 --> 00:59:08,363
HOW ACCESS TO CLINICAL CARE

1753
00:59:08,363 --> 00:59:11,332
COULD BE EXPANDED THROUGH

1754
00:59:11,332 --> 00:59:12,200
PRIMARY CARE SETTINGS.

1755
00:59:12,200 --> 00:59:14,369
AS I SHOWED EARLIER, NINR IS

1756
00:59:14,369 --> 00:59:17,205
AHEAD OF THE CURVE AT NIH IN

1757
00:59:17,205 --> 00:59:19,173
PRIMARY HEALTHCARE RESEARCH.

1758
00:59:19,173 --> 00:59:20,141
PRIMARY HEALTHCARE AND HEALTH

1759
00:59:20,141 --> 00:59:21,876
SERVICES RESEARCH, MORE

1760
00:59:21,876 --> 00:59:24,512
GENERALLY, ARE TWO OF THE AREAS

1761
00:59:24,512 --> 00:59:25,913
WHERE NINR ALREADY STANDS OUT AT

1762
00:59:25,913 --> 00:59:28,950
NIH.

1763
00:59:28,950 --> 00:59:31,018
HEALTH EQUITY IS AN IMPORTANT

1764
00:59:31,018 --> 00:59:33,554
TOPIC, NOT JUST FOR NINR BUT FOR

1765
00:59:33,554 --> 00:59:35,490
NIH AS A WHOLE, SO I DID WANT TO

1766
00:59:35,490 --> 00:59:38,326
DRAW YOUR ATTENTION TO A BLOG

1767
00:59:38,326 --> 00:59:41,162
THAT DR. ELISEO PEREZ-STABLE AT

1768
00:59:41,162 --> 00:59:43,364
NIH PUT OUT ON THE COMPASS

1769
00:59:43,364 --> 00:59:44,632
INITIATIVE WHERE WE SHARED MORE

1770
00:59:44,632 --> 00:59:45,833
INFORMATION ABOUT THE 25 FUNDED

1771
00:59:45,833 --> 00:59:47,568
SITES ACROSS THE COUNTRY THAT

1772
00:59:47,568 --> 00:59:50,104
MAKE UP THE HEART OF THE COMPASS

1773
00:59:50,104 --> 00:59:53,875
PROGRAM.

1774
00:59:53,875 --> 00:59:54,976
SPEAKING OF COMPASS, I WANT TO

1775
00:59:54,976 --> 00:59:58,479
GIVE A SHOUT OUT TO

1776
00:59:58,479 --> 01:00:00,114
COUNCILMEMBER DR. AYALA FOR HER

1777
01:00:00,114 --> 01:00:01,282
ELECTION AS CO-CHAIR OF THE

1778
01:00:01,282 --> 01:00:02,617
COMPASS STEERING COMMITTEE.

1779
01:00:02,617 --> 01:00:04,452
THE STEERING COMMITTEE IS

1780
01:00:04,452 --> 01:00:06,954
RESPONSIBLE FOR STRATEGIC

1781
01:00:06,954 --> 01:00:08,623
LEADERSHIP AND GENERAL OVERSIGHT

1782
01:00:08,623 --> 01:00:10,224
OF THE COMPASS CONSORTIUM ACROSS

1783
01:00:10,224 --> 01:00:12,326
ALL PROGRAM INITIATIVES.

1784
01:00:12,326 --> 01:00:16,764
IT IS COMPRISED OF NIH COMPASS

1785
01:00:16,764 --> 01:00:17,965
LEADERSHIP TEAM AS WELL AS PIs

1786
01:00:17,965 --> 01:00:20,701
FROM ALL THREE COMPASS

1787
01:00:20,701 --> 01:00:21,702
INITIATIVES.

1788
01:00:21,702 --> 01:00:24,505
SO IT IS GREAT TO HAVE AN NINR

1789
01:00:24,505 --> 01:00:26,374
COUNCILMEMBER SERVING IN THAT

1790
01:00:26,374 --> 01:00:27,675
IMPORTANT LEADERSHIP ROLE.

1791
01:00:27,675 --> 01:00:29,110
WE'RE VERY GRATEFUL FOR YOUR

1792
01:00:29,110 --> 01:00:30,278
SERVICE, SO CONGRATULATIONS TO

1793
01:00:30,278 --> 01:00:34,315
YOU.

1794
01:00:34,315 --> 01:00:35,616
WE ARE ALWAYS LOOKING FOR WAYS

1795
01:00:35,616 --> 01:00:36,951
TO ATTRACT NEW TALENT TO THE

1796
01:00:36,951 --> 01:00:39,854
SCIENTIFIC RESEARCH FIELD, SO A

1797
01:00:39,854 --> 01:00:41,722
GREAT EXAMPLE OF THIS IS WHEN

1798
01:00:41,722 --> 01:00:43,057
DR. BERTAGNOLLI RECENTLY

1799
01:00:43,057 --> 01:00:45,226
ANNOUNCED THAT NIH WILL MODIFY

1800
01:00:45,226 --> 01:00:46,394
ITS APPLICATION AND REVIEW

1801
01:00:46,394 --> 01:00:48,129
PROCESS FOR FELLOWSHIP GRANTS.

1802
01:00:48,129 --> 01:00:49,564
FELLOWSHIP TRAINING GRANTS ARE A

1803
01:00:49,564 --> 01:00:51,265
CRITICAL PART OF THE DEVELOPMENT

1804
01:00:51,265 --> 01:00:52,700
OF THE HEALTH RESEARCH

1805
01:00:52,700 --> 01:00:53,367
WORKFORCE.

1806
01:00:53,367 --> 01:00:55,002
THE REVISED APPROACH FOR PEER

1807
01:00:55,002 --> 01:00:56,404
REVIEW OF FELLOWSHIP

1808
01:00:56,404 --> 01:00:58,139
APPLICATIONS IS DESIGNED TO

1809
01:00:58,139 --> 01:01:00,341
ENHANCE PARTICIPATION FROM

1810
01:01:00,341 --> 01:01:02,210
STRONG APPLICANTS AT SMALLER

1811
01:01:02,210 --> 01:01:03,711
SCHOOLS, MENTORS RELATIVELY

1812
01:01:03,711 --> 01:01:06,447
EARLY IN THEIR CAREERS, AND WELL

1813
01:01:06,447 --> 01:01:08,182
QUALIFIED STUDENTS WITH LESS

1814
01:01:08,182 --> 01:01:08,950
CONVENTIONAL ACADEMIC

1815
01:01:08,950 --> 01:01:10,117
BACKGROUNDS.

1816
01:01:10,117 --> 01:01:12,620
SO DR. BERTAGNOLLI STRONGLY

1817
01:01:12,620 --> 01:01:13,488
BELIEVES THE CHANGES WILL

1818
01:01:13,488 --> 01:01:15,790
IMPROVE THE PATH FOR TALENTED

1819
01:01:15,790 --> 01:01:17,758
SCIENTISTS WHO MIGHT NOT BE

1820
01:01:17,758 --> 01:01:18,826
RECOGNIZED UNDER THE CURRENT

1821
01:01:18,826 --> 01:01:19,694
SYSTEM.

1822
01:01:19,694 --> 01:01:21,462
THESE CHANGES WILL BE EFFECTIVE

1823
01:01:21,462 --> 01:01:23,331
FOR FELLOWSHIP APPLICATIONS DUE

1824
01:01:23,331 --> 01:01:29,537
ON OR AFTER JANUARY 25TH.

1825
01:01:29,537 --> 01:01:31,172
SO RELATED TO ATTRACTING

1826
01:01:31,172 --> 01:01:32,573
SCIENTIFIC TALENT, IN APRIL, NIH

1827
01:01:32,573 --> 01:01:34,408
ANNOUNCED THAT IT WILL RAISE THE

1828
01:01:34,408 --> 01:01:36,377
SALARIES OF THOUSANDS OF

1829
01:01:36,377 --> 01:01:38,012
POSTDOCTORAL RESEARCHERS AND

1830
01:01:38,012 --> 01:01:39,514
GRADUATE STUDENTS WHO RECEIVE

1831
01:01:39,514 --> 01:01:41,482
NIH RESEARCH FELLOWSHIPS.

1832
01:01:41,482 --> 01:01:43,551
THIS MOVE COMES IN RESPONSE TO

1833
01:01:43,551 --> 01:01:44,552
RECOMMENDATIONS FROM A WORKING

1834
01:01:44,552 --> 01:01:45,520
GROUP.

1835
01:01:45,520 --> 01:01:47,255
IT WAS ASSEMBLED TO ADVISE ON

1836
01:01:47,255 --> 01:01:49,991
HOW BEST TO RETAIN AND CULTIVATE

1837
01:01:49,991 --> 01:01:50,892
POSTDOCTORAL TALENT.

1838
01:01:50,892 --> 01:01:53,027
AFTER REPORTS THAT PRINCIPAL

1839
01:01:53,027 --> 01:01:54,328
INVESTIGATORS WERE STRUGGLING TO

1840
01:01:54,328 --> 01:01:57,298
FILL VACANT POSTDOC POSITIONS.

1841
01:01:57,298 --> 01:02:00,868
SO LO LOW SALARIES AS YOU KNOW E

1842
01:02:00,868 --> 01:02:03,037
OFTEN BEEN CITED AS A BARRIER

1843
01:02:03,037 --> 01:02:05,406
FOR NURSES TO PURSUE A PH.D. AND

1844
01:02:05,406 --> 01:02:06,240
DOCTORAL POSITIONS SO I WANTED

1845
01:02:06,240 --> 01:02:07,975
TO BE SURE TO DRAW THIS CHANGE

1846
01:02:07,975 --> 01:02:09,577
TO YOUR ATTENTION.

1847
01:02:09,577 --> 01:02:11,646
AND THEN WE HAVE SOME LEADERSHIP

1848
01:02:11,646 --> 01:02:12,847
CHANGES AT NIH THAT I WANT TO

1849
01:02:12,847 --> 01:02:15,583
SHARE BEFORE I CLOSE.

1850
01:02:15,583 --> 01:02:17,585
SO NIH DIRECTOR DR. MONICA

1851
01:02:17,585 --> 01:02:18,920
BERTAGNOLLI NAMED DR. SHAWN

1852
01:02:18,920 --> 01:02:20,755
MOONEY AS THE DIRECTOR OF THE

1853
01:02:20,755 --> 01:02:21,789
CENTER FOR INFORMATION

1854
01:02:21,789 --> 01:02:22,223
TECHNOLOGY.

1855
01:02:22,223 --> 01:02:25,259
HE STARTED JUST IN MARCH.

1856
01:02:25,259 --> 01:02:26,394
DR. MOONEY JOINS NIH FROM THE

1857
01:02:26,394 --> 01:02:27,728
UNIVERSITY OF WASHINGTON SCHOOL

1858
01:02:27,728 --> 01:02:30,731
OF MEDICINE IN SEATTLE.

1859
01:02:30,731 --> 01:02:32,133
AS PART OF THAT ROLE HE ALSO

1860
01:02:32,133 --> 01:02:34,402
SERVED AS CHIEF RESEARCH

1861
01:02:34,402 --> 01:02:35,303
INFORMATION OFFICER, INTERIM

1862
01:02:35,303 --> 01:02:36,837
DIRECTOR OF THE INSTITUTE FOR

1863
01:02:36,837 --> 01:02:39,574
MEDICAL DATA SCIENCE, AND

1864
01:02:39,574 --> 01:02:41,709
DIRECTOR OF INFORMATICS FOR THE

1865
01:02:41,709 --> 01:02:42,476
INSTITUTE OF TRANSLATIONAL

1866
01:02:42,476 --> 01:02:43,878
HEALTH SCIENCES.

1867
01:02:43,878 --> 01:02:45,546
WITH A BACKGROUND IN CHEMISTRY

1868
01:02:45,546 --> 01:02:47,715
AND INFORMATICS, DR. MOONEY'S

1869
01:02:47,715 --> 01:02:49,350
RESEARCH INTERESTS FOCUS ON

1870
01:02:49,350 --> 01:02:51,752
LEVERAGING COMPUTATIONAL

1871
01:02:51,752 --> 01:02:53,521
CYBERINFRASTRUCTURE AND DATA

1872
01:02:53,521 --> 01:02:55,489
SCIENCE TO ENABLE DISCOVERY

1873
01:02:55,489 --> 01:02:56,657
WITHIN BIOMEDICAL RESEARCH.

1874
01:02:56,657 --> 01:02:58,859
SO WELCOME TO HIM.

1875
01:02:58,859 --> 01:03:01,929
DR. BERTAGNOLLI ALSO NAMED

1876
01:03:01,929 --> 01:03:04,699
DR. KATHLEEN NUZZEL AS 13TH

1877
01:03:04,699 --> 01:03:08,502
DIRECTOR OF THE FOGARTY CENTER.

1878
01:03:08,502 --> 01:03:10,338
SHE STARTED AT FOGARTY THIS

1879
01:03:10,338 --> 01:03:11,739
MONTH.

1880
01:03:11,739 --> 01:03:12,773
DR. NEUZIL IS THE FIRST WOMAN TO

1881
01:03:12,773 --> 01:03:14,642
HOLD A PERMANENT POSITION SINCE

1882
01:03:14,642 --> 01:03:17,178
THE INCEPTION OF THE CENTER.

1883
01:03:17,178 --> 01:03:18,779
SHE JOINS FROM THE UNIVERSITY OF

1884
01:03:18,779 --> 01:03:19,647
MARYLAND BALTIMORE, WHERE SHE

1885
01:03:19,647 --> 01:03:22,617
WAS A PROFESSOR AS WELL AS

1886
01:03:22,617 --> 01:03:24,218
DIRECTOR OF THE CENTER FOR

1887
01:03:24,218 --> 01:03:25,319
VACCINE DEVELOPMENT AND GLOBAL

1888
01:03:25,319 --> 01:03:25,753
HEALTH.

1889
01:03:25,753 --> 01:03:27,955
SHE SERVES AS A VACCINE POLICY

1890
01:03:27,955 --> 01:03:29,724
ADVISOR FOR BOTH CDC AND THE

1891
01:03:29,724 --> 01:03:33,928
WORLD HEALTH ORGANIZATION.

1892
01:03:33,928 --> 01:03:35,796
THEN FINALLY, OUR LONG-TERM

1893
01:03:35,796 --> 01:03:37,632
COLLEAGUE DR. JOSHUA GORDON, IS

1894
01:03:37,632 --> 01:03:39,700
EXPECTED TO LEAVE THE NIH AND

1895
01:03:39,700 --> 01:03:40,901
THE NATIONAL INSTITUTE OF MENTAL

1896
01:03:40,901 --> 01:03:42,870
HEALTH ON JUNE 14TH.

1897
01:03:42,870 --> 01:03:44,972
HE'LL BE RETURNING TO COLUMBIA

1898
01:03:44,972 --> 01:03:45,773
UNIVERSITY AS CHAIR OF THE

1899
01:03:45,773 --> 01:03:49,176
DEPARTMENT OF PSYCHIATRY, AND

1900
01:03:49,176 --> 01:03:50,611
PSYCHIATRIST IN CHIEF OF THE

1901
01:03:50,611 --> 01:03:51,812
NEW YORK PRESBYTERIAN HOSPITAL

1902
01:03:51,812 --> 01:03:53,648
CACAMPUS.

1903
01:03:53,648 --> 01:03:55,282
DR. GORDON WILL ALSO SERVE AS

1904
01:03:55,282 --> 01:03:56,484
DIRECTOR OF THE NEW YORK STATE

1905
01:03:56,484 --> 01:03:57,785
PSYCHIATRIC INSTITUTE.

1906
01:03:57,785 --> 01:04:01,155
SO WHILE A NATIONAL SEARCH WILL

1907
01:04:01,155 --> 01:04:03,124
BE CONDUCTED FOR THE NEW

1908
01:04:03,124 --> 01:04:05,192
DIRECTOR IN THE INTERIM,

1909
01:04:05,192 --> 01:04:10,431
DR. SHELLEY AFTER KN AVENOLI WIE

1910
01:04:10,431 --> 01:04:14,035
AS ACTING DIRECTOR.

1911
01:04:14,035 --> 01:04:15,636
SO AS I WRAP UP, I WANT TO THANK

1912
01:04:15,636 --> 01:04:16,671
ALL MY COLLEAGUES FOR COMPILING

1913
01:04:16,671 --> 01:04:19,807
ALL THAT DATA, ALL THAT

1914
01:04:19,807 --> 01:04:21,008
INFORMATION, YEA, YEA, YEA, THAT

1915
01:04:21,008 --> 01:04:22,309
I WAS ABLE TO SHARE WITH YOU

1916
01:04:22,309 --> 01:04:22,743
TODAY.

1917
01:04:22,743 --> 01:04:24,178
I WANT TO THANK ALL MY

1918
01:04:24,178 --> 01:04:26,047
COLLEAGUES HERE AT NINR AND ON

1919
01:04:26,047 --> 01:04:27,848
COUNCIL FOR YOUR CONTINUED

1920
01:04:27,848 --> 01:04:29,717
SUPPORT, AND WITH THAT, I AM

1921
01:04:29,717 --> 01:04:35,289
PLEASED TO INTRODUCE OUR FIRST

1922
01:04:35,289 --> 01:04:36,390
SPEAKER.

1923
01:04:36,390 --> 01:04:38,859
DR. VALERIE DURRANT JOINS US TO

1924
01:04:38,859 --> 01:04:41,829
REVIEW SOME IMPORTANT CHANGES TO

1925
01:04:41,829 --> 01:04:44,331
GRANT REVIEW PROCEDURES.

1926
01:04:44,331 --> 01:04:46,467
AT THE NIH CENTER FOR SCIENTIFIC

1927
01:04:46,467 --> 01:04:47,601
REVIEW, DR. DURRANT IS THE

1928
01:04:47,601 --> 01:04:49,670
DIRECTOR OF THE DIVISION OF

1929
01:04:49,670 --> 01:04:50,971
AIDS, BEHAVIORAL AND POPULATION

1930
01:04:50,971 --> 01:04:51,739
SCIENCES.

1931
01:04:51,739 --> 01:04:55,976
SHE JOINED CSR IN 2003 AS A

1932
01:04:55,976 --> 01:04:57,645
SCIENTIFIC REVIEW OFFICER, AND

1933
01:04:57,645 --> 01:05:00,247
LATER SERVED AS THE CHIEF OF THE

1934
01:05:00,247 --> 01:05:02,750
POPULATION SCIENCES AND

1935
01:05:02,750 --> 01:05:03,517
EPIDEMIOLOGY INTEGRATED REVIEW

1936
01:05:03,517 --> 01:05:03,984
GROUP.

1937
01:05:03,984 --> 01:05:05,586
BEFORE TAKING HER CURRENT

1938
01:05:05,586 --> 01:05:05,920
POSITION.

1939
01:05:05,920 --> 01:05:08,222
SHE HAD PREVIOUSLY BEEN A

1940
01:05:08,222 --> 01:05:10,524
PROGRAM OFFICER AT THE NATIONAL

1941
01:05:10,524 --> 01:05:11,492
ACADEMY'S COMMITTEE ON

1942
01:05:11,492 --> 01:05:13,427
POPULATION, WHERE HER RESEARCH

1943
01:05:13,427 --> 01:05:15,162
FOCUSED ON TRANSITIONS TO

1944
01:05:15,162 --> 01:05:16,931
ADULTHOOD IN DEVELOPING

1945
01:05:16,931 --> 01:05:18,032
COUNTRIES, GENDER AND HEALTH,

1946
01:05:18,032 --> 01:05:20,201
AND THE HEALTH AND WELL-BEING OF

1947
01:05:20,201 --> 01:05:21,068
ADOLESCENTS IN DEVELOPING

1948
01:05:21,068 --> 01:05:21,535
COUNTRIES.

1949
01:05:21,535 --> 01:05:24,972
SO THANK YOU FOR JOINING US

1950
01:05:24,972 --> 01:05:28,275
TODAY, DR. DURRANT.

1951
01:05:28,275 --> 01:05:31,112
>> GREAT, SO HAPPY TO BE
HERE!

1952
01:05:31,112 --> 01:05:33,748
AND AS SHANNON MENTIONED, MY

1953
01:05:33,748 --> 01:05:35,583
MAIN GOAL TODAY IS TO SHARE WITH

1954
01:05:35,583 --> 01:05:38,185
YOU SOME OF THE UPCOMING

1955
01:05:38,185 --> 01:05:39,386
CHANGES, HOPEFULLY YOU'VE HEARD

1956
01:05:39,386 --> 01:05:41,155
ABOUT THEM AND IT WON'T BE BRAND

1957
01:05:41,155 --> 01:05:42,990
NEW BUT WE'LL DIG INTO A LITTLE

1958
01:05:42,990 --> 01:05:44,859
BIT OF THE SPECIFICS, SO THAT

1959
01:05:44,859 --> 01:05:50,097
YOU KNOW WHAT'S COMING.

1960
01:05:50,097 --> 01:05:59,740
BEFORE -- THESE SLIDES ARE NOT

1961
01:05:59,740 --> 01:06:00,374
CHANGING.

1962
01:06:00,374 --> 01:06:02,109
NEED TO PUSH A LITTLE HARDER.

1963
01:06:02,109 --> 01:06:04,745
I DON'T WANT TO BELABOR THIS TOO

1964
01:06:04,745 --> 01:06:07,681
MUCH BUT JUST TO LET YOU KNOW

1965
01:06:07,681 --> 01:06:09,183
WHERE THE CENTER FOR SCIENTIFIC

1966
01:06:09,183 --> 01:06:11,719
REVIEW IS SITUATED, WE ARE ONE

1967
01:06:11,719 --> 01:06:13,454
OF THE 27 BROADER INSTITUTES.

1968
01:06:13,454 --> 01:06:16,290
WE ARE NOT A FUNDING INSTITUTE.

1969
01:06:16,290 --> 01:06:20,795
OUR PRIMARY ROLE IS TO SERVE --

1970
01:06:20,795 --> 01:06:22,196
TO COORDINATE THE PEER REVIEW AT

1971
01:06:22,196 --> 01:06:24,064
THE FIRST LEVEL OF REVIEW OF THE

1972
01:06:24,064 --> 01:06:25,699
APPLICATIONS THAT COME TO YOU

1973
01:06:25,699 --> 01:06:29,503
FOR ULTIMATE DISSECTIONS. DECIS.

1974
01:06:29,503 --> 01:06:33,274
SO WE WORK ACROSS ALL OF NIH.

1975
01:06:36,243 --> 01:06:39,647
OUR MISSION IS TO ENSURE THAT

1976
01:06:39,647 --> 01:06:43,584
NIH GRANT APPLICATIONS GET FAIR,

1977
01:06:43,584 --> 01:06:44,919
INDEPENDENT EXPERT SCIENTIFIC

1978
01:06:44,919 --> 01:06:47,021
REVIEWS FREE FROM INAPPROPRIATE

1979
01:06:47,021 --> 01:06:47,321
INFLUENCES.

1980
01:06:47,321 --> 01:06:49,256
THIS IS THE CSR MISSION, IT IS

1981
01:06:49,256 --> 01:06:51,225
ALSO THE GOAL OF ALL OF NIH PEER

1982
01:06:51,225 --> 01:06:52,860
REVIEW, SO THERE'S ALSO REVIEW

1983
01:06:52,860 --> 01:06:54,929
THAT IS DONE WITHIN EACH OF THE

1984
01:06:54,929 --> 01:06:57,131
ICs AND MOST OF MY COMMENTS

1985
01:06:57,131 --> 01:06:59,099
TODAY APPLY ACROSS THE BOARD, SO

1986
01:06:59,099 --> 01:07:00,835
REALLY SPEAKING ACROSS ALL OF

1987
01:07:00,835 --> 01:07:03,771
NIH REVIEW, NOT JUST NIH.

1988
01:07:03,771 --> 01:07:05,573
BUT OUR PRIMARY GOAL AND OUR

1989
01:07:05,573 --> 01:07:08,142
SOLE FOCUS IS ON HIGH QUALITY

1990
01:07:08,142 --> 01:07:10,311
SCIENTIFIC REVIEW OF TECHNICAL

1991
01:07:10,311 --> 01:07:12,079
MERIT.

1992
01:07:12,079 --> 01:07:14,014
THE ROLE WE PLAY IS TO ASSESS

1993
01:07:14,014 --> 01:07:17,751
THAT SO THAT YOU CAN THEN TAKE

1994
01:07:17,751 --> 01:07:19,286
THE INFORMATION ABOUT THE

1995
01:07:19,286 --> 01:07:22,122
SCIENTIFIC AND TECHNICAL MERIT

1996
01:07:22,122 --> 01:07:23,958
AND INCORPORATE THAT INTO YOUR

1997
01:07:23,958 --> 01:07:25,893
BROADER DECISIONS, YOUR BUDGETS,

1998
01:07:25,893 --> 01:07:27,695
YOUR PRIORITIES, YOUR STRATEGIC

1999
01:07:27,695 --> 01:07:28,996
PLANS, THE DIRECTIONS WHERE YOU

2000
01:07:28,996 --> 01:07:31,265
THINK THINGS SHOULD BE GOING,

2001
01:07:31,265 --> 01:07:33,667
AND THE NIH STRUCTURE IS

2002
01:07:33,667 --> 01:07:35,436
INTENTIONALLY SET UP TO SEPARATE

2003
01:07:35,436 --> 01:07:39,173
THOSE TWO THINGS TO GIVE YOU

2004
01:07:39,173 --> 01:07:40,474
THAT INFORMATION WITHOUT SOME OF

2005
01:07:40,474 --> 01:07:43,177
THOSE CONSIDERATIONS.

2006
01:07:43,177 --> 01:07:45,145
I ALSO LIKE TO SET THE SCOPE OF

2007
01:07:45,145 --> 01:07:49,483
WHAT WE DO AT NIH.

2008
01:07:49,483 --> 01:07:53,020
NIH IN FISCAL YEAR '23, SO LAST

2009
01:07:53,020 --> 01:07:56,290
YEAR, RECEIVED ALMOST 80,000

2010
01:07:56,290 --> 01:07:58,125
APPLICATIONS.

2011
01:07:58,125 --> 01:08:03,163
CSR REVIEWED 60,000 OF THOSE.

2012
01:08:03,163 --> 01:08:05,199
WE REVIEW AT CSR THE MAJORITY OF

2013
01:08:05,199 --> 01:08:08,302
THE R01s, THE MAJORITY OF THE

2014
01:08:08,302 --> 01:08:10,905
SBIRs, TTR SMALL BUSINESS

2015
01:08:10,905 --> 01:08:12,873
GRANTS, AS WELL AS THE

2016
01:08:12,873 --> 01:08:14,942
FELLOWSHIPS AND A RANGE OF OTHER

2017
01:08:14,942 --> 01:08:15,376
ACTIVITIES.

2018
01:08:15,376 --> 01:08:18,012
OBVIOUSLY WE DO THIS WITH A LOT

2019
01:08:18,012 --> 01:08:20,080
OF HELP.

2020
01:08:20,080 --> 01:08:22,149
AND THESE REVIEWS -- AND THIS IS

2021
01:08:22,149 --> 01:08:23,584
SPECIFIC TO THE CENTER FOR

2022
01:08:23,584 --> 01:08:24,585
SCIENTIFIC REVIEW AND DOES NOT

2023
01:08:24,585 --> 01:08:26,320
INCLUDE OTHER REVIEWS DONE

2024
01:08:26,320 --> 01:08:29,023
ACROSS NIH, BUT INCLUDED OVER 12

2025
01:08:29,023 --> 01:08:34,361
THOWL -- OR SORRY -- 1200

2026
01:08:34,361 --> 01:08:37,998
MEETINGS WITH OTHER 19,000

2027
01:08:37,998 --> 01:08:39,300
REVIEWERS.

2028
01:08:39,300 --> 01:08:40,734
I'D LIKE TO JUST SET THAT UP AS

2029
01:08:40,734 --> 01:08:41,168
THE CONTEXT.

2030
01:08:41,168 --> 01:08:43,103
SO WHAT I WANT TO SPEND MOST OF

2031
01:08:43,103 --> 01:08:44,772
MY TIME TODAY TALKING TO YOU

2032
01:08:44,772 --> 01:08:46,607
ABOUT IS CHANGES THAT WE HAVE

2033
01:08:46,607 --> 01:08:51,779
COMING IN THE PEER REVIEW

2034
01:08:51,779 --> 01:08:52,646
RESEARCH PROJECT GRANTS AS WELL

2035
01:08:52,646 --> 01:08:56,283
AS FELLOWSHIPS AND THE CHANGES

2036
01:08:56,283 --> 01:08:57,584
THAT SHANNON MENTIONED EARLIER

2037
01:08:57,584 --> 01:08:58,986
SO WE'LL DIG INTO A LITTLE BIT

2038
01:08:58,986 --> 01:09:02,823
OF EACH OF THESE.

2039
01:09:02,823 --> 01:09:03,891
SO LET ME START WITH THE

2040
01:09:03,891 --> 01:09:04,558
RESEARCH PROJECT GRANTS.

2041
01:09:04,558 --> 01:09:05,426
YOU'VE HEARD ABOUT THESE A

2042
01:09:05,426 --> 01:09:06,961
LITTLE BIT BEFORE, SO JUST

2043
01:09:06,961 --> 01:09:10,664
REMINDING YOU ABOUT WHAT IS

2044
01:09:10,664 --> 01:09:10,998
CHANGING.

2045
01:09:10,998 --> 01:09:12,733
SO ONE, WE CURRENTLY HAVE FIVE

2046
01:09:12,733 --> 01:09:13,267
REVIEW CRITERIA.

2047
01:09:13,267 --> 01:09:15,135
WE ARE COLLAPSING THOSE INTO

2048
01:09:15,135 --> 01:09:15,903
THREE FACTORS.

2049
01:09:15,903 --> 01:09:17,004
I'LL GET INTO SOME OF THE

2050
01:09:17,004 --> 01:09:19,073
SPECIFICS IN A SECOND.

2051
01:09:19,073 --> 01:09:22,009
WE ARE MOVING TWO OF THOSE

2052
01:09:22,009 --> 01:09:24,645
CURRENT REVIEW CRITERIA

2053
01:09:24,645 --> 01:09:26,947
INVESTIGATOR AND ENVIRONMENT,

2054
01:09:26,947 --> 01:09:30,084
INTO ONE OF THE FACTORS AND

2055
01:09:30,084 --> 01:09:32,286
REVIEWING THEM AS A BINARY

2056
01:09:32,286 --> 01:09:34,788
DECISION OF APPROPRIATE VERSUS

2057
01:09:34,788 --> 01:09:36,557
GAPS IDENTIFIED.

2058
01:09:36,557 --> 01:09:37,992
WE'VE MOVED SOME OF THE

2059
01:09:37,992 --> 01:09:39,727
ADDITIONAL REVIEW CRITERIA

2060
01:09:39,727 --> 01:09:40,060
AROUND.

2061
01:09:40,060 --> 01:09:42,763
THESE ARE THINGS LIKE HUMAN

2062
01:09:42,763 --> 01:09:43,263
SUBJECTS CONSIDERATIONS,

2063
01:09:43,263 --> 01:09:46,600
INCLUSIONS CONSIDERATIONS, TO

2064
01:09:46,600 --> 01:09:47,901
SIMPLIFY AND BASICALLY PUT THEM

2065
01:09:47,901 --> 01:09:49,336
WHERE THEY LOGICALLY MAKE MORE

2066
01:09:49,336 --> 01:09:50,070
SENSE.

2067
01:09:50,070 --> 01:09:51,238
SO WE'RE TAKING THE OPPORTUNITY

2068
01:09:51,238 --> 01:09:51,972
TO DO THAT.

2069
01:09:51,972 --> 01:09:54,308
AND THEN THERE ARE ALSO A NUMBER

2070
01:09:54,308 --> 01:09:56,243
OF OTHER FACTORS THAT HAVE BEEN

2071
01:09:56,243 --> 01:09:57,244
ADDED INTO THE SCIENTIFIC PEER

2072
01:09:57,244 --> 01:09:59,613
REVIEW THAT ARE REALLY MORE

2073
01:09:59,613 --> 01:10:00,280
ADMINISTRATIVE AND THOSE ARE

2074
01:10:00,280 --> 01:10:02,082
BEING MOVED OUT OF PEER REVIEW

2075
01:10:02,082 --> 01:10:03,884
SO THAT PEER REVIEWERS CAN FOCUS

2076
01:10:03,884 --> 01:10:05,219
ON THE SCIENTIFIC AND TECHNICAL

2077
01:10:05,219 --> 01:10:06,720
MERIT.

2078
01:10:06,720 --> 01:10:08,889
THE BOTTOM LINE AND THE

2079
01:10:08,889 --> 01:10:09,957
JUSTIFICATION AND MOTIVATION FOR

2080
01:10:09,957 --> 01:10:11,859
ALL OF THIS IS REALLY TO MAKE

2081
01:10:11,859 --> 01:10:14,061
SURE THAT THE PEER REVIEW AT

2082
01:10:14,061 --> 01:10:15,362
THAT FIRST LEVEL CAN FOCUS ON

2083
01:10:15,362 --> 01:10:17,631
THE SCIENTIFIC AND TECHNICAL

2084
01:10:17,631 --> 01:10:18,532
MERIT.

2085
01:10:18,532 --> 01:10:20,701
WE WANT INPUT ON WHAT WILL THE

2086
01:10:20,701 --> 01:10:22,236
ADVANCES TO SCIENCE BE, WHAT IS

2087
01:10:22,236 --> 01:10:23,771
THE POTENTIAL TO REALLY MAKE A

2088
01:10:23,771 --> 01:10:24,972
CONTRIBUTION FOR THESE

2089
01:10:24,972 --> 01:10:28,475
APPLICATIONS, AND SO THE GOAL IS

2090
01:10:28,475 --> 01:10:30,210
TO PULL THE REVIEWERS BACK AND

2091
01:10:30,210 --> 01:10:31,979
MAKE SURE THAT WE'RE FRAMING THE

2092
01:10:31,979 --> 01:10:34,048
ASK TO THEM IN A WAY WHERE WE

2093
01:10:34,048 --> 01:10:36,984
WILL GET THAT INFORMATION.

2094
01:10:36,984 --> 01:10:38,085
SO LET ME STEP BACK AND JUST

2095
01:10:38,085 --> 01:10:40,387
AGAIN KIND OF REMIND YOU OF THE

2096
01:10:40,387 --> 01:10:43,057
MOTIVATION FOR THESE CHANGES.

2097
01:10:43,057 --> 01:10:46,293
AS I MENTIONED, ONE WAS THAT WE

2098
01:10:46,293 --> 01:10:48,595
REALLY -- THIS STARTED OUT

2099
01:10:48,595 --> 01:10:50,597
PRIMARILY AS A PROJECT TO

2100
01:10:50,597 --> 01:10:51,932
SIMPLIFY PEER REVIEW WITH THE

2101
01:10:51,932 --> 01:10:53,734
RECOGNITION THAT THERE WERE LOTS

2102
01:10:53,734 --> 01:10:55,636
OF DIFFERENT CONSIDERATIONS

2103
01:10:55,636 --> 01:10:57,905
BEING PUT ON THE PLATE OF PEER

2104
01:10:57,905 --> 01:11:01,075
REVIEWERS AND LOTS OF JUST

2105
01:11:01,075 --> 01:11:04,244
COMPLEXITY THAT WAS POTENTIALLY

2106
01:11:04,244 --> 01:11:09,016
DISTRACTING AND NOT FULLY

2107
01:11:09,016 --> 01:11:10,017
ACHIEVING THE GOALS AT ALL

2108
01:11:10,017 --> 01:11:10,451
TIMES.

2109
01:11:10,451 --> 01:11:11,985
WE GOT THIS FROM LOTS OF INPUT

2110
01:11:11,985 --> 01:11:13,420
FROM THE SCIENTIFIC COMMUNITY.

2111
01:11:13,420 --> 01:11:14,621
IT'S SOMETHING WE REGULARLY

2112
01:11:14,621 --> 01:11:16,590
HEARD FROM THE COMMUNITY FROM

2113
01:11:16,590 --> 01:11:17,357
REVIEWERS, AS WELL AS OBSERVED

2114
01:11:17,357 --> 01:11:20,427
OURSELVES.

2115
01:11:20,427 --> 01:11:22,596
AND ONE AREA AS I MENTIONED WAS

2116
01:11:22,596 --> 01:11:23,597
THERE WERE A NUMBER OF THINGS

2117
01:11:23,597 --> 01:11:25,332
THAT WERE BEING ADDED THAT WERE

2118
01:11:25,332 --> 01:11:29,603
REALLY MUCH MORE ADMINISTRATIVE

2119
01:11:29,603 --> 01:11:31,905
COMPLIANCE THAT COULD BE BETTER

2120
01:11:31,905 --> 01:11:34,975
HANDLED CLEESER TO THE FUNDING

2121
01:11:34,975 --> 01:11:36,510
DISSECTIONS AND BY NIH STAFF AS

2122
01:11:36,510 --> 01:11:40,114
OPPOSED TO PEER REVIEWERS.

2123
01:11:40,114 --> 01:11:41,081
SO AGAIN WANTED TO REMOVE

2124
01:11:41,081 --> 01:11:42,516
EVERYTHING WE POSSIBLY COULD

2125
01:11:42,516 --> 01:11:43,717
OTHER THAN THAT SCIENTIFIC AND

2126
01:11:43,717 --> 01:11:48,355
TECHNICAL MERIT.

2127
01:11:48,355 --> 01:11:49,256
THE SECOND MOTIVATION OF SOME OF

2128
01:11:49,256 --> 01:11:51,525
THE CHANGES IS ALONGSIDE THIS

2129
01:11:51,525 --> 01:11:55,496
WAS THIS GROWING AWARENESS,

2130
01:11:55,496 --> 01:11:58,098
CONCERN, I GUESS I SHOULD SAY,

2131
01:11:58,098 --> 01:12:00,400
OF BIASES POTENTIALLY SLIPPING

2132
01:12:00,400 --> 01:12:03,237
INTO REVIEW, UNDUE INFLAWNS OF

2133
01:12:03,237 --> 01:12:05,639
REPUTATION, THAT IS THE PRIMARY

2134
01:12:05,639 --> 01:12:07,841
BIAS THAT WE DO SEE IN REVIEW,

2135
01:12:07,841 --> 01:12:09,143
IS -- AND IT GENERALLY COMES IN

2136
01:12:09,143 --> 01:12:12,646
THE FORM OF, OH, WE ALL KNOW

2137
01:12:12,646 --> 01:12:14,081
THIS INVESTIGATOR OR THEY COME

2138
01:12:14,081 --> 01:12:17,017
FROM THIS GREAT INSTITUTION AND,

2139
01:12:17,017 --> 01:12:19,319
THEREFORE, WE CAN TRUST THEM.

2140
01:12:19,319 --> 01:12:20,621
I THINK ANYBODY WHO HAS SERVED

2141
01:12:20,621 --> 01:12:24,658
ON AN NIH PANEL OR AT SOME POINT

2142
01:12:24,658 --> 01:12:26,193
HAS HEARD THAT WE CAN TRUST THEM

2143
01:12:26,193 --> 01:12:29,062
PHRASE, AND THE GOAL WITH THE

2144
01:12:29,062 --> 01:12:30,697
REVIEW CRITERIA AND WITH OUR

2145
01:12:30,697 --> 01:12:32,432
CONSIDERATION OF SIGN TIFNG AND

2146
01:12:32,432 --> 01:12:34,201
TECHNICAL MERIT FOR PROJECT

2147
01:12:34,201 --> 01:12:35,402
GRANTS IS REALLY TO SAY DO WE

2148
01:12:35,402 --> 01:12:36,837
HAVE THE RIGHT EXPERTISE FOR THE

2149
01:12:36,837 --> 01:12:37,905
PROJECT, SO AGAIN GETTING BACK

2150
01:12:37,905 --> 01:12:41,975
TO THAT.

2151
01:12:41,975 --> 01:12:44,378
I WANT TO MAKE SURE THAT WE ARE

2152
01:12:44,378 --> 01:12:45,512
PHRASING THE ASK TO REVIEWERS

2153
01:12:45,512 --> 01:12:46,547
AND WE ARE GETTING INFORMATION

2154
01:12:46,547 --> 01:12:53,520
THAT FOCUSES ON WHEN WHETHER THE

2155
01:12:53,520 --> 01:12:54,154
INVESTIGATORS AND ENVIRONMENTS

2156
01:12:54,154 --> 01:12:55,956
ARE NOT JUST GREAT BUT ARE THEY

2157
01:12:55,956 --> 01:12:58,258
APPROPRIATE FOR THE PROJECT AND

2158
01:12:58,258 --> 01:12:59,793
ADVANCE THE PROBABILITY OF THE

2159
01:12:59,793 --> 01:13:01,195
PROJECT TO BE COMPLETED

2160
01:13:01,195 --> 01:13:01,762
SUCCESSFULLY.

2161
01:13:01,762 --> 01:13:03,497
SO LET'S GET INTO A FEW OF THE

2162
01:13:03,497 --> 01:13:05,699
SPECIFICS OF WHAT THIS LOOKS

2163
01:13:05,699 --> 01:13:08,335
LIKE.

2164
01:13:08,335 --> 01:13:09,836
SO AS I MENTIONED, WE ARE MOVING

2165
01:13:09,836 --> 01:13:12,372
TO REVIEW -- ASKING REVIEWERS TO

2166
01:13:12,372 --> 01:13:13,674
FOCUS ON THREE FACTORS.

2167
01:13:13,674 --> 01:13:15,642
WE ARE TAKING THE SAME FIVE

2168
01:13:15,642 --> 01:13:18,145
REVIEW CRITERIA THAT ARE PART OF

2169
01:13:18,145 --> 01:13:19,813
REGULATION AND GROUPING THEM

2170
01:13:19,813 --> 01:13:21,348
TOGETHER, AND ASKING REVIEWERS

2171
01:13:21,348 --> 01:13:24,685
TO SPEAK FIRST TO THE IMPORTANCE

2172
01:13:24,685 --> 01:13:27,354
OF THE RESEARCH.

2173
01:13:27,354 --> 01:13:29,089
SO SHOULD THE RESEARCH BE DONE

2174
01:13:29,089 --> 01:13:32,392
IS THE SHORTHAND QUESTION THAT

2175
01:13:32,392 --> 01:13:33,694
WE OFTEN ASK.

2176
01:13:33,694 --> 01:13:34,695
REVIEWERS ARE ASKED TO SCORE

2177
01:13:34,695 --> 01:13:38,732
THIS ON A 1 TO 9 SCALE AS THEY

2178
01:13:38,732 --> 01:13:40,934
CURRENTLY DO, AND IT

2179
01:13:40,934 --> 01:13:43,337
INCORPORATES AN INTEGRATION OF

2180
01:13:43,337 --> 01:13:46,540
THE CURRENT REVIEW CRITERIA OF

2181
01:13:46,540 --> 01:13:48,041
SIGNIFICANCE, AND INNOVATION, IN

2182
01:13:48,041 --> 01:13:50,877
A WAY THAT ALLOWS FOR MORE

2183
01:13:50,877 --> 01:13:53,080
NATURAL INTEGRATION OF THOSE TWO

2184
01:13:53,080 --> 01:13:55,148
CONCEPTS.

2185
01:13:55,148 --> 01:13:57,117
ONE OF THE REGULAR CHALLENGES

2186
01:13:57,117 --> 01:13:58,218
WITH PEER REVIEW WAS AROUND

2187
01:13:58,218 --> 01:13:59,953
INNOVATION AND HOW TO INTEGRATE

2188
01:13:59,953 --> 01:14:02,589
INNOVATION BECAUSE NOT ALL

2189
01:14:02,589 --> 01:14:04,358
SCIENCE IS INNOVATIVE AND

2190
01:14:04,358 --> 01:14:05,959
SCIENCE DOESN'T HAVE TO BE

2191
01:14:05,959 --> 01:14:08,762
INNOVATIVE TO HAVE AN ADVANCE.

2192
01:14:08,762 --> 01:14:10,564
ON THE OTHER HAND, SOME VERY

2193
01:14:10,564 --> 01:14:12,099
INNOVATIVE SCIENCE REALLY SHOULD

2194
01:14:12,099 --> 01:14:14,601
BE ACKNOWLEDGED AS HAVING A

2195
01:14:14,601 --> 01:14:16,570
POTENTIAL HIGH IMPACT.

2196
01:14:16,570 --> 01:14:18,972
AND SO THE INTEGRATION OF THESE

2197
01:14:18,972 --> 01:14:22,876
TWO INTO THIS FACTOR PHRASING IT

2198
01:14:22,876 --> 01:14:24,344
AS SHOULD THE RESEARCH BE DONE

2199
01:14:24,344 --> 01:14:25,679
OR WHAT'S THE IMPORTANCE OF THE

2200
01:14:25,679 --> 01:14:26,747
RESEARCH, WE HOPE WILL ALLOW US

2201
01:14:26,747 --> 01:14:29,516
TO GET BETTER INPUT ON THAT.

2202
01:14:29,516 --> 01:14:32,119
THE SECOND FACTOR IS CALLED

2203
01:14:32,119 --> 01:14:35,389
RIGOR AND FEASIBILITY.

2204
01:14:35,389 --> 01:14:39,926
IT PULSE IN THE CONSIDE PULLS IS

2205
01:14:39,926 --> 01:14:41,061
THAT WERE PREVIOUSLY PART OF THE

2206
01:14:41,061 --> 01:14:42,195
PRIOR APPROACH BUT REALLY

2207
01:14:42,195 --> 01:14:44,031
FOCUSES ON WHAT WE CARE ABOUT IN

2208
01:14:44,031 --> 01:14:46,333
THE APPROACH, WHICH IS WILL THE

2209
01:14:46,333 --> 01:14:47,334
RESEARCH BE DONE IN A RIGOROUS

2210
01:14:47,334 --> 01:14:50,370
WAY, IS IT REPRODUCIBLE, IS IT

2211
01:14:50,370 --> 01:14:50,804
FEASIBLE.

2212
01:14:50,804 --> 01:14:52,572
AND FEASIBLE NOT IN A WAY OF

2213
01:14:52,572 --> 01:14:54,641
WILL IT BE DONE PERFECTLY, BUT

2214
01:14:54,641 --> 01:14:56,843
IS IT PROPOSED IN A WAY THAT

2215
01:14:56,843 --> 01:14:59,479
MAKES LOGICAL SENSE AND INCLUDES

2216
01:14:59,479 --> 01:15:02,215
KIND OF CALCULATED RISKS.

2217
01:15:02,215 --> 01:15:05,585
SO THAT WE ALLOW FOR THE NATURAL

2218
01:15:05,585 --> 01:15:06,920
SCIENTIFIC PROCESS TO ROLL OUT

2219
01:15:06,920 --> 01:15:09,756
AND WE DON'T EXPECT PERFECT

2220
01:15:09,756 --> 01:15:13,360
DESIGNS OR PERFECT MEASURES,

2221
01:15:13,360 --> 01:15:13,927
EVERYTHING PERFECT IN THE

2222
01:15:13,927 --> 01:15:14,895
APPLICATION LEVEL, WE WANT TO

2223
01:15:14,895 --> 01:15:16,663
MAKE SURE WE HAVE A GOOD SOLID

2224
01:15:16,663 --> 01:15:18,065
FOUNDATION AND THAT THERE'S A

2225
01:15:18,065 --> 01:15:20,267
PLAN FOR HOW TO ADDRESS

2226
01:15:20,267 --> 01:15:21,568
UNEXPECTED OR LESSONS LEARNED

2227
01:15:21,568 --> 01:15:23,970
ALONG THE WAY.

2228
01:15:23,970 --> 01:15:28,075
THE THIRD FRACK TORE AS I FACTOE

2229
01:15:28,075 --> 01:15:32,946
AND RESOURCES.

2230
01:15:32,946 --> 01:15:34,715
THE FIRST TWO ARE SCORED AS WELL

2231
01:15:34,715 --> 01:15:35,048
AS COMMENTS.

2232
01:15:35,048 --> 01:15:36,883
THE THIRD IS THE EXPERTISE AND

2233
01:15:36,883 --> 01:15:37,984
RESOURCES APPROPRIATE FOR THE

2234
01:15:37,984 --> 01:15:40,320
RESEARCH BEING PROPOSED?

2235
01:15:40,320 --> 01:15:43,690
IF IT'S APPROPRIATE, MOVE ON.

2236
01:15:43,690 --> 01:15:45,425
ARE GAPS IDENTIFIED, BRIEFLY

2237
01:15:45,425 --> 01:15:47,828
SPEAK TO WHAT THOSE GAPS ARE.

2238
01:15:47,828 --> 01:15:50,030
IT'S VERY SPECIFIC TO THE

2239
01:15:50,030 --> 01:15:54,634
PROJECT BEING PROPOSED.

2240
01:15:54,634 --> 01:15:57,804
THE OTHER CHANGE RELATED TO THE

2241
01:15:57,804 --> 01:16:02,943
ADDITIONAL REV REVIEW CRITERIA E

2242
01:16:02,943 --> 01:16:06,246
THE INCLUSION PLAN, SO

2243
01:16:06,246 --> 01:16:08,415
CONSIDERATION OF THE SAMPLE

2244
01:16:08,415 --> 01:16:10,851
HAS BEEN WRAPPED INTO RIGOR AND

2245
01:16:10,851 --> 01:16:12,386
FEASIBILITY AS OPPOSED TO BEING

2246
01:16:12,386 --> 01:16:13,787
KIND OF A BOX AFTER.

2247
01:16:13,787 --> 01:16:16,089
THESE ARE ALWAYS -- THESE HAVE

2248
01:16:16,089 --> 01:16:17,090
ALWAYS BEEN POSSIBLE TO AFFECT

2249
01:16:17,090 --> 01:16:19,926
THE SCORE SO THEY'VE ALWAYS BEEN

2250
01:16:19,926 --> 01:16:20,894
CONSIDERATIONS, BUT INCLUDING

2251
01:16:20,894 --> 01:16:23,930
THEM IN TWO DIFFERENT PARTS OF

2252
01:16:23,930 --> 01:16:26,933
THE REVIEW PROCESS RAISED SOME

2253
01:16:26,933 --> 01:16:27,834
QUESTIONS AND NOW IT'S PUTTING

2254
01:16:27,834 --> 01:16:29,569
IT REALLY WHERE IT FIT, SO

2255
01:16:29,569 --> 01:16:33,507
ASKING ARE THE SAMPLES

2256
01:16:33,507 --> 01:16:37,010
APPROPRIATE, I ARE THE

2257
01:16:37,010 --> 01:16:37,978
CONSIDERATIONS ALL IN PLACE

2258
01:16:37,978 --> 01:16:39,312
SUPPORTING THE RESEARCH.

2259
01:16:39,312 --> 01:16:43,717
IN TERMS OF THE OTHER I DIGSAL

2260
01:16:43,717 --> 01:16:44,584
CRITERIA, THESE ARE THINGS THAT

2261
01:16:44,584 --> 01:16:45,786
CAN AFFECT THE SCORE, THEY ARE

2262
01:16:45,786 --> 01:16:46,887
NOT INDEPENDENTLY SCORED.

2263
01:16:46,887 --> 01:16:50,390
THOSE WILL ALL REMAIN INTACT.

2264
01:16:50,390 --> 01:16:54,761
AND THEN AS I MENTIONED, THERE'S

2265
01:16:54,761 --> 01:16:56,830
SOME OTHER ADDITIONAL REVIEW

2266
01:16:56,830 --> 01:16:57,831
CRITERIA THAT DID NOT AFFECT THE

2267
01:16:57,831 --> 01:16:58,698
SCORE, HAVE NEVER AFFECTED THE

2268
01:16:58,698 --> 01:16:59,766
SCORE AND THOSE HAVE BEEN MOVED

2269
01:16:59,766 --> 01:17:03,770
OUT TO CONSIDERATION POST-RE 

2270
01:17:03,770 --> 01:17:06,907
POST-REVIEW.

2271
01:17:06,907 --> 01:17:07,774
SO HERE'S THE LONG LIST.

2272
01:17:07,774 --> 01:17:10,277
THIS IS NOT EVERY -- NOT EVERY

2273
01:17:10,277 --> 01:17:12,379
APPLICATION IS AFFECTED, AS I

2274
01:17:12,379 --> 01:17:13,780
MENTIONED, IT'S RESEARCH PROJECT

2275
01:17:13,780 --> 01:17:14,214
GRANTS.

2276
01:17:14,214 --> 01:17:15,982
THE SLIDE SHOWS THE SPECIFIC

2277
01:17:15,982 --> 01:17:17,150
ACTIVITY CODES THAT ARE INCLUDED

2278
01:17:17,150 --> 01:17:17,651
IN THIS.

2279
01:17:17,651 --> 01:17:20,921
IT IS THE BULK OF THE RESEARCH

2280
01:17:20,921 --> 01:17:24,524
PROJECT GRANTS.

2281
01:17:24,524 --> 01:17:26,159
IT EXCLUDES THE SMALL BUSINESS

2282
01:17:26,159 --> 01:17:27,527
OR NOT YET INCORPORATED INTO

2283
01:17:27,527 --> 01:17:29,896
THIS.

2284
01:17:29,896 --> 01:17:32,299
AND AS MENTIONED, THIS WILL BE

2285
01:17:32,299 --> 01:17:33,934
EFFECTIVE WITH DUE DATES

2286
01:17:33,934 --> 01:17:36,136
STARTING JANUARY 25TH, 2025, SO

2287
01:17:36,136 --> 01:17:40,841
WE'RE COMING UP QUICKLY.

2288
01:17:40,841 --> 01:17:44,344
AND THERE IS A LOT OF

2289
01:17:44,344 --> 01:17:45,212
INFORMATION AVAILABLE ON THE WEB

2290
01:17:45,212 --> 01:17:47,948
AND I'LL GET TO THAT IN A SEC.

2291
01:17:47,948 --> 01:17:50,250
ACTUALLY, I'LL GET TO THAT NOW.

2292
01:17:50,250 --> 01:17:53,320
HERE'S THE WEBSITE.

2293
01:17:53,320 --> 01:17:55,088
OUR PRIMARY GOAL OVER THE NEXT

2294
01:17:55,088 --> 01:17:58,024
SIX MONTHS IS REALLY

2295
01:17:58,024 --> 01:17:58,859
SOCIALIZATION, MAKING SURE

2296
01:17:58,859 --> 01:18:00,393
PEOPLE ARE AWARE OF THESE

2297
01:18:00,393 --> 01:18:02,295
CHANGES, AND KNOW WHAT'S COMING

2298
01:18:02,295 --> 01:18:05,932
AND KNOW WHAT IS AFFECTED AND

2299
01:18:05,932 --> 01:18:06,666
THE WHY.

2300
01:18:06,666 --> 01:18:07,868
THAT'S ONE OF THE REASONS I'M

2301
01:18:07,868 --> 01:18:09,436
HERE, IS TO EXPLAIN SOME OF THE

2302
01:18:09,436 --> 01:18:10,971
WHY.

2303
01:18:10,971 --> 01:18:15,809
SO AT THIS WEBSITE, IT A PUBLIC

2304
01:18:15,809 --> 01:18:16,977
WEBSITE, YOU CAN GET LOTS OF

2305
01:18:16,977 --> 01:18:18,945
INFORMATION THAT IS REGULARLY

2306
01:18:18,945 --> 01:18:20,247
UPDATED ABOUT THE CHANGES,

2307
01:18:20,247 --> 01:18:24,718
WHAT'S COMING, WHY -- TRAINING

2308
01:18:24,718 --> 01:18:26,186
MATERIALS, THERE'S SEMINARS --

2309
01:18:26,186 --> 01:18:29,122
WEBINARS THAT HAVE BEEN HELD AND

2310
01:18:29,122 --> 01:18:31,858
THE VIDEO RECORDINGS ARE THERE

2311
01:18:31,858 --> 01:18:34,194
ACTIVELY MAINTAINED FREQUENTLY

2312
01:18:34,194 --> 01:18:36,463
ASKED QUESTIONS AND OTHER

2313
01:18:36,463 --> 01:18:39,533
INFORMATION.

2314
01:18:39,533 --> 01:18:42,302
SO LET ME ALSO TURN TO THE

2315
01:18:42,302 --> 01:18:45,972
CHANGES RELATED TO THE REVIEW

2316
01:18:45,972 --> 01:18:47,874
AND APPLICATIONS ACTUALLY OF THE

2317
01:18:47,874 --> 01:18:50,610
FELLOWSHIP APPLICATIONS THAT

2318
01:18:50,610 --> 01:18:53,780
WERE A PARALLEL PROJECT.

2319
01:18:53,780 --> 01:19:01,521
WON'T GO INTO THE BACKGROUND OF

2320
01:19:01,521 --> 01:19:03,189
THE NR -- NATIONAL RESEARCH

2321
01:19:03,189 --> 01:19:05,058
SERVICE AWARDS, BUT THIS

2322
01:19:05,058 --> 01:19:07,460
INCLUDES ALL OF NIH FELLOWSHIP

2323
01:19:07,460 --> 01:19:10,463
AND F AWARDS.

2324
01:19:10,463 --> 01:19:11,765
SIMILAR TO THE RESEARCH PROJECT

2325
01:19:11,765 --> 01:19:14,100
GRANTS WE WERE HEARING ONGOING

2326
01:19:14,100 --> 01:19:15,535
INPUT FROM THE RESEARCH

2327
01:19:15,535 --> 01:19:16,503
COMMUNITY, SOUNDS LIKE I DON'T

2328
01:19:16,503 --> 01:19:18,071
NEED TO GO INTO THAT TOO MUCH,

2329
01:19:18,071 --> 01:19:21,107
YOU'RE FAMILIAR WITH THAT, THAT

2330
01:19:21,107 --> 01:19:23,410
RECOGNIZED OR THAT NIH

2331
01:19:23,410 --> 01:19:26,713
FELLOWSHIP AWARDS WERE

2332
01:19:26,713 --> 01:19:28,248
CONCENTRATED IN A LIMITED NUMBER

2333
01:19:28,248 --> 01:19:32,919
OF INSTITUTIONS, AND WERE NOT --

2334
01:19:32,919 --> 01:19:34,054
THERE WERE A LOT OF PEOPLE BEING

2335
01:19:34,054 --> 01:19:38,858
LEFT OUT OF THE PROCESS.

2336
01:19:38,858 --> 01:19:41,728
OUR OWN DATA ANALYSIS SUPPORTED

2337
01:19:41,728 --> 01:19:45,432
THIS.

2338
01:19:45,432 --> 01:19:46,299
I'LL JUST SHOW YOU A LITTLE BIT

2339
01:19:46,299 --> 01:19:48,602
OF THAT ANALYSIS.

2340
01:19:48,602 --> 01:19:50,570
SO THE BULK OF THE FELLOWSHIP

2341
01:19:50,570 --> 01:19:52,005
APPLICATIONS THAT NIH HAS

2342
01:19:52,005 --> 01:19:53,873
RECEIVED COME FROM A RELATIVELY

2343
01:19:53,873 --> 01:19:55,976
SMALL NUMBER OF INSTITUTIONS.

2344
01:19:55,976 --> 01:19:59,079
YOU KIND OF HAVE TO DO THE MATH

2345
01:19:59,079 --> 01:20:01,615
AND FLIP THIS GRAPH, BUT THERE

2346
01:20:01,615 --> 01:20:06,119
ARE 15 INSTITUTIONS THAT SUBMIT

2347
01:20:06,119 --> 01:20:07,921
100 OR MORE APPLICATIONS, AND IF

2348
01:20:07,921 --> 01:20:10,624
YOU PUT KIND OF THE TWO HIGHEST

2349
01:20:10,624 --> 01:20:11,524
SUBMITTING INSTITUTION

2350
01:20:11,524 --> 01:20:13,593
CATEGORIES TOGETHER, YOU HAVE

2351
01:20:13,593 --> 01:20:16,563
THOSE GROUP OF 22 INSTITUTIONS

2352
01:20:16,563 --> 01:20:17,764
SUBMITTING MORE THAN ALL THE

2353
01:20:17,764 --> 01:20:21,701
OTHER INSTITUTIONS COMBINED.

2354
01:20:21,701 --> 01:20:23,136
SO -- WHICH THERE'S AN ECONOMY

2355
01:20:23,136 --> 01:20:27,440
OF SCALE HERE AND EXPERTISE AND

2356
01:20:27,440 --> 01:20:29,376
A VARIETY OF FACTORS THAT

2357
01:20:29,376 --> 01:20:31,811
SUPPORT THAT.

2358
01:20:31,811 --> 01:20:32,912
IN ADDITION, THE MORE

2359
01:20:32,912 --> 01:20:34,781
APPLICATIONS AN INSTITUTION

2360
01:20:34,781 --> 01:20:36,116
SUBMITS, THE BETTER THEY ARE,

2361
01:20:36,116 --> 01:20:38,418
AGAIN, PROBABLY THE ECONOMIES OF

2362
01:20:38,418 --> 01:20:39,619
SCALE IN THE KNOWLEDGE AND

2363
01:20:39,619 --> 01:20:42,022
RESOURCES THAT THEY BUILD UP AND

2364
01:20:42,022 --> 01:20:47,727
CAN SUBMIT APPLICATIONS.

2365
01:20:47,727 --> 01:20:54,734
SO SO WITH THE RE-ASSESSMENT OF

2366
01:20:54,734 --> 01:20:55,835
FELLOWSHIP APPLICATIONS, AGAIN

2367
01:20:55,835 --> 01:20:58,238
THE GOAL IS TO REALLY MAKE SURE

2368
01:20:58,238 --> 01:21:03,977
THAT WE ARE FOCUSING REVIEWERS

2369
01:21:03,977 --> 01:21:05,512
ON THE RIGHT CONSIDERATIONS,

2370
01:21:05,512 --> 01:21:07,147
MAKING SURE THEY ARE REALLY

2371
01:21:07,147 --> 01:21:09,049
PAYING ATTENTION TO THE GOALS OF

2372
01:21:09,049 --> 01:21:15,221
THE NRSA PROGRAM, WHICH IS TO

2373
01:21:15,221 --> 01:21:16,389
DEVELOP RESEARCH CAREERS TO MAKE

2374
01:21:16,389 --> 01:21:18,091
SURE THAT WE'RE INCLUDING A

2375
01:21:18,091 --> 01:21:20,226
BROAD RANGE OF RESEARCHERS NOT

2376
01:21:20,226 --> 01:21:21,528
JUST FROM DIFFERENT INSTITUTIONS

2377
01:21:21,528 --> 01:21:24,230
AND DIFFERENT BACKGROUNDS, BUT

2378
01:21:24,230 --> 01:21:26,099
ALSO WITH INTEREST IN GOING TO

2379
01:21:26,099 --> 01:21:28,435
DIFFERENT RESEARCH INSTITUTIONS

2380
01:21:28,435 --> 01:21:29,836
AND MAKING SURE THAT WE ARE

2381
01:21:29,836 --> 01:21:32,472
REALLY KEEPING A BROAD AND OPEN

2382
01:21:32,472 --> 01:21:33,673
GOAL.

2383
01:21:33,673 --> 01:21:44,184
SO OUR FOCUS I -- IS I INTENDEDO

2384
01:21:44,184 --> 01:21:45,652
FOCUS REVIEWER ATTENTION ON

2385
01:21:45,652 --> 01:21:46,286
THREE KEY ASSESSMENTS.

2386
01:21:46,286 --> 01:21:47,487
SO REALLY THE QUALITY OF THE

2387
01:21:47,487 --> 01:21:51,424
CANDIDATE AND THEIR POTENTIAL,

2388
01:21:51,424 --> 01:21:53,326
THEIR PREPARATION AND POTENTIAL,

2389
01:21:53,326 --> 01:21:55,161
THE RESEARCH TRAINING PLAN, SO

2390
01:21:55,161 --> 01:21:56,496
WHAT THEY PROPOSE TO DO IN ORDER

2391
01:21:56,496 --> 01:21:59,232
TO GAIN TRACTION AS A

2392
01:21:59,232 --> 01:22:01,101
INDEPENDENT RESEARCHER, AND THE

2393
01:22:01,101 --> 01:22:03,737
COMMITMENT TO THE CANDIDATE FROM

2394
01:22:03,737 --> 01:22:07,807
THE SPONSORS, THE INSTITUTIONS

2395
01:22:07,807 --> 01:22:12,278
WHERE THEY WILL BE WORKING.

2396
01:22:12,278 --> 01:22:13,279
A SECOND MAIN DRIVER AS I

2397
01:22:13,279 --> 01:22:14,314
MENTIONED IS REALLY TO MAKE SURE

2398
01:22:14,314 --> 01:22:18,218
THAT WE ARE EXPANDING THE POOL

2399
01:22:18,218 --> 01:22:19,753
AND BRINGING IN THE FULL RANGE

2400
01:22:19,753 --> 01:22:21,821
OF POTENTIAL CANDIDATES AND

2401
01:22:21,821 --> 01:22:25,125
PROVIDING A FAIR REVIEW ACROSS

2402
01:22:25,125 --> 01:22:27,861
THE BOARD BY REDUCING BIAS AND

2403
01:22:27,861 --> 01:22:29,696
REALLY, AGAIN, KIND OF

2404
01:22:29,696 --> 01:22:30,630
EMPHASIZING THAT POTENTIAL OF

2405
01:22:30,630 --> 01:22:33,633
THE CANDIDATE, NOT THE QUALITY

2406
01:22:33,633 --> 01:22:35,735
OF THE APPLICATION PRODUCT

2407
01:22:35,735 --> 01:22:38,238
ITSELF.

2408
01:22:38,238 --> 01:22:43,343
SO AGAIN, I'VE HIGHLIGHTED THE

2409
01:22:43,343 --> 01:22:45,812
THREE MAIN CRITERIA THAT THE

2410
01:22:45,812 --> 01:22:48,648
REVIEWERS WILL BE ASKED TO SPEAK

2411
01:22:48,648 --> 01:22:49,315
ON.

2412
01:22:49,315 --> 01:22:51,417
THE CURRENT CRITERIA ARE ON THE

2413
01:22:51,417 --> 01:22:52,819
LEFT AND THE NEW ONES ARE ON THE

2414
01:22:52,819 --> 01:22:54,254
RIGHT.

2415
01:22:54,254 --> 01:22:57,757
AND WHAT THE GOAL IS IS REALLY,

2416
01:22:57,757 --> 01:23:01,961
AGAIN, TO FOCUS ON THE CAPPED OE

2417
01:23:01,961 --> 01:23:03,396
CANDIDATE, FOCUS ON A MORE OPEN

2418
01:23:03,396 --> 01:23:04,497
ASSESSMENT OF THE CANDIDATE THAT

2419
01:23:04,497 --> 01:23:06,332
LOOKS AT THE FULL SCOPE OF THEIR

2420
01:23:06,332 --> 01:23:08,134
TRAINING, THEIR INTERESTS, WHAT

2421
01:23:08,134 --> 01:23:09,235
THEY HAVE DONE TO PULL TOGETHER

2422
01:23:09,235 --> 01:23:10,970
THEIR TRAINING PLAN, WHERE THEY

2423
01:23:10,970 --> 01:23:13,740
PLAN TO TAKE THEIR RESEARCH AND

2424
01:23:13,740 --> 01:23:15,041
REALLY FOCUS ON THAT AND THE

2425
01:23:15,041 --> 01:23:17,310
QUALITY OF THAT PLAN IN ORDER TO

2426
01:23:17,310 --> 01:23:23,249
ADVANCE THEIR CAREER.

2427
01:23:23,249 --> 01:23:25,885
THE CHANGES TO THE FELLOWSHIP

2428
01:23:25,885 --> 01:23:27,086
REVIEW FOCUS REQUIRE CHANGES TO

2429
01:23:27,086 --> 01:23:28,855
THE FELLOWSHIP APPLICATION.

2430
01:23:28,855 --> 01:23:30,924
SO WE WILL BE CHANGING THE

2431
01:23:30,924 --> 01:23:34,561
APPLICATION AS WELL TO SUPPORT

2432
01:23:34,561 --> 01:23:37,297
THE REVIEW OF APPLICATIONS.

2433
01:23:37,297 --> 01:23:40,500
SOME OF THAT IS REMOVING SOME OF

2434
01:23:40,500 --> 01:23:41,901
THE FACTORS THAT CAN CREATE THE

2435
01:23:41,901 --> 01:23:42,135
BIAS.

2436
01:23:42,135 --> 01:23:43,903
SOME OF IT IS REALLY JUST

2437
01:23:43,903 --> 01:23:45,104
ORGANIZING AND GETTING

2438
01:23:45,104 --> 01:23:46,206
INFORMATION THAT BETTER ALIGNS

2439
01:23:46,206 --> 01:23:47,740
WITH THE INTERESTS OF THE NEW

2440
01:23:47,740 --> 01:23:49,742
REVIEW CRITERIA.

2441
01:23:49,742 --> 01:23:51,044
FIRST CHANGE TO THE APPLICATION

2442
01:23:51,044 --> 01:23:55,215
IS REMOVING GRADES FROM THOSE

2443
01:23:55,215 --> 01:23:55,548
APPLICATIONS.

2444
01:23:55,548 --> 01:23:58,818
THERE IS A LIST OF COURSES THAT

2445
01:23:58,818 --> 01:23:59,385
IS PROVIDED.

2446
01:23:59,385 --> 01:24:00,653
WE WANT TO MAKE SURE WE HAVE THE

2447
01:24:00,653 --> 01:24:01,020
TRAINING.

2448
01:24:01,020 --> 01:24:02,655
WE FOUND THAT REVIEWERS

2449
01:24:02,655 --> 01:24:04,090
OVEREMPHASIZE GRADES AND KIND OF

2450
01:24:04,090 --> 01:24:05,325
NAVIGATE KIND OF QUICK

2451
01:24:05,325 --> 01:24:06,426
INDICATORS AS OPPOSED TO DIGGING

2452
01:24:06,426 --> 01:24:10,230
IN TO THE QUALITY AND WHAT

2453
01:24:10,230 --> 01:24:11,664
PEOPLE ARE DOING AND WHAT THEY

2454
01:24:11,664 --> 01:24:12,665
HAVE ACHIEVED, SO WE WANT TO

2455
01:24:12,665 --> 01:24:14,868
REMOVE THAT.

2456
01:24:14,868 --> 01:24:16,502
AS WE'VE MENTIONED, THERE ARE

2457
01:24:16,502 --> 01:24:19,572
OTHER CHANGES TO THE APPLICANT

2458
01:24:19,572 --> 01:24:21,007
SECTION THAT REALLY FOCUS

2459
01:24:21,007 --> 01:24:23,309
ATTENTION ON BROADER

2460
01:24:23,309 --> 01:24:24,711
CONSIDERATIONS.

2461
01:24:24,711 --> 01:24:28,681
WE'VE REVISED THE SPONSOR AND

2462
01:24:28,681 --> 01:24:30,650
COLLABORATOR CONSULTANTS TO

2463
01:24:30,650 --> 01:24:32,719
FOCUS ON HOW THEY WILL

2464
01:24:32,719 --> 01:24:34,921
SPECIFICALLY WORK WITH THE

2465
01:24:34,921 --> 01:24:37,090
APPLICANT OR THE CANDIDATE AS

2466
01:24:37,090 --> 01:24:38,424
OPPOSED TO A GENERIC STATEMENT

2467
01:24:38,424 --> 01:24:41,060
ABOUT THEIR QUALIFICATIONS.

2468
01:24:41,060 --> 01:24:42,262
THE LETTERS OF REFERENCE HAVE

2469
01:24:42,262 --> 01:24:42,829
BEEN REVISED.

2470
01:24:42,829 --> 01:24:45,999
THIS IS REALLY MORE TO MAKE THEM

2471
01:24:45,999 --> 01:24:48,334
SIMPLER AND MAKE THEM A LITTLE

2472
01:24:48,334 --> 01:24:55,108
BIT MORE STANDARD, BUT ALSO LESS

2473
01:24:55,108 --> 01:24:56,309
BOILERPLATE.

2474
01:24:56,309 --> 01:24:57,844
THERE ARE NO SIGNIFICANT CHANGES

2475
01:24:57,844 --> 01:24:59,946
TO THE RESEARCH TRAINING PLAN.

2476
01:24:59,946 --> 01:25:01,814
SO THERE IS A RESEARCH PROJECT

2477
01:25:01,814 --> 01:25:03,249
THAT IS A CORE PART OF THE

2478
01:25:03,249 --> 01:25:04,450
APPLICATION THAT REMAINS

2479
01:25:04,450 --> 01:25:08,521
UNCHANGED.

2480
01:25:08,521 --> 01:25:10,256
THEN THERE'S ALSO A SECTION IN

2481
01:25:10,256 --> 01:25:11,491
THE APPLICATION TO ADD AN

2482
01:25:11,491 --> 01:25:12,558
OPTIONAL PERSONAL STATEMENT OR

2483
01:25:12,558 --> 01:25:14,193
STATEMENT IF THERE'S ANY

2484
01:25:14,193 --> 01:25:16,829
CONSIDERATIONS ABOUT PAST

2485
01:25:16,829 --> 01:25:19,465
TRAJECTORIES OR ANYTHING THAT

2486
01:25:19,465 --> 01:25:25,038
MAY BE RELEVANT.

2487
01:25:25,038 --> 01:25:26,706
THROUGH OUR FEEDBACK PROCESS AS

2488
01:25:26,706 --> 01:25:28,308
WE'VE ROLLED OUT SOME OF THE

2489
01:25:28,308 --> 01:25:29,742
CHANGES AND ASKED FOR INPUT, ONE

2490
01:25:29,742 --> 01:25:30,743
OF THE THINGS THAT CAME UP THAT

2491
01:25:30,743 --> 01:25:33,179
WE ALSO HAVE DONE IS TO CLARIFY

2492
01:25:33,179 --> 01:25:34,347
THE INSTRUCTIONS TO MAKE SURE

2493
01:25:34,347 --> 01:25:36,582
IT'S REALLY CLEAR WHICH PART

2494
01:25:36,582 --> 01:25:38,551
OF -- WHETHER THE CANDIDATE, THE

2495
01:25:38,551 --> 01:25:41,387
INSTITUTION OR THE SPONSOR FILLS

2496
01:25:41,387 --> 01:25:42,722
OUT WHICH PART OF THE

2497
01:25:42,722 --> 01:25:44,257
APPLICATION SO THERE'S MORE

2498
01:25:44,257 --> 01:25:47,760
CONSISTENCY IN THAT.

2499
01:25:47,760 --> 01:25:51,364
SO WE HAVE DONE THAT.

2500
01:25:51,364 --> 01:25:52,065
TIMELINE FOR IMPLEMENTATION IS

2501
01:25:52,065 --> 01:25:52,598
THE SAME.

2502
01:25:52,598 --> 01:25:55,001
SO THESE ARE FOR APPLICATIONS

2503
01:25:55,001 --> 01:25:58,771
DUE STARTING JANUARY 25TH, 2025,

2504
01:25:58,771 --> 01:25:59,839
AND AFTER FOR THE MAJORITY OF

2505
01:25:59,839 --> 01:26:01,908
THE FELLOWSHIP DUE DATES THAT

2506
01:26:01,908 --> 01:26:08,915
WOULD BE IN APRIL, APRIL 8TH.

2507
01:26:08,915 --> 01:26:11,351
AND FOR SUMMER REVIEW AND

2508
01:26:11,351 --> 01:26:12,418
OCTOBER COUNCIL, AND IT IS ALL

2509
01:26:12,418 --> 01:26:13,753
OF THE NRSA ACTIVITIES.

2510
01:26:13,753 --> 01:26:15,655
THESE ARE THE PRIMARY CHANGES

2511
01:26:15,655 --> 01:26:15,989
COMING.

2512
01:26:15,989 --> 01:26:17,423
THEY DO COME IN THE CONTEXT OF A

2513
01:26:17,423 --> 01:26:19,392
NUMBER OF OTHER CHANGES.

2514
01:26:19,392 --> 01:26:21,027
SO LET ME JUST TOUCH ON THOSE

2515
01:26:21,027 --> 01:26:21,394
BRIEFLY.

2516
01:26:21,394 --> 01:26:24,998
WE'VE TOUCHED ON THE SIMPLIFYING

2517
01:26:24,998 --> 01:26:27,200
FRAMEWORK, REVIEW FRAMEWORK FOR

2518
01:26:27,200 --> 01:26:29,335
THE RESEARCH PROJECT GRANTS AND

2519
01:26:29,335 --> 01:26:30,069
THE FELLOWSHIP APPLICATIONS.

2520
01:26:30,069 --> 01:26:31,604
THOSE ARE BY FAR THE BIGGEST

2521
01:26:31,604 --> 01:26:32,705
CHANGES COMING.

2522
01:26:32,705 --> 01:26:34,807
BUT THERE ARE A COUPLE OTHERS.

2523
01:26:34,807 --> 01:26:36,342
SO ONE, I MENTIONED THE CHANGES

2524
01:26:36,342 --> 01:26:37,777
TO THE REFERENCE LETTERS.

2525
01:26:37,777 --> 01:26:39,445
THAT'S TRUE FOR ALL REFERENCE

2526
01:26:39,445 --> 01:26:42,715
LETTERS, INCLUDING CASE.

2527
01:26:42,715 --> 01:26:44,817
SO THAT IS A STANDARD CHANGE

2528
01:26:44,817 --> 01:26:45,785
ACROSS ALL APPLICATIONS.

2529
01:26:45,785 --> 01:26:46,786
AGAIN, ALL OF THIS IS STARTING

2530
01:26:46,786 --> 01:26:49,422
WITH THE JANUARY 25TH, 2025, THE

2531
01:26:49,422 --> 01:26:50,723
MAGIC DATES.

2532
01:26:50,723 --> 01:26:55,495
EVERY FEW YEARS -- OH, I

2533
01:26:55,495 --> 01:26:56,329
SKIPPED -- THERE'S ALSO SOME

2534
01:26:56,329 --> 01:26:59,298
UPDATES TO THE INSTITUTIONAL

2535
01:26:59,298 --> 01:27:02,068
TRAINING GRANTS.

2536
01:27:02,068 --> 01:27:03,536
I'M NOT GOING TO GO INTO THE

2537
01:27:03,536 --> 01:27:05,671
DETAILS ON THOSE.

2538
01:27:05,671 --> 01:27:07,407
THERE IS A WEBINAR ON JUNE 5TH

2539
01:27:07,407 --> 01:27:08,741
TO GO THROUGH THOSE CHANGES.

2540
01:27:08,741 --> 01:27:11,077
A LOT OF IT'S IN THE FORMS AND

2541
01:27:11,077 --> 01:27:12,145
JUST SOME OF THE SUPPORTING

2542
01:27:12,145 --> 01:27:13,146
MATERIALS BUT I DID WANT TO MAKE

2543
01:27:13,146 --> 01:27:14,347
SURE THAT YOU ARE AWARE THAT

2544
01:27:14,347 --> 01:27:15,481
THERE WERE CHANGES COMING TO

2545
01:27:15,481 --> 01:27:16,549
THAT.

2546
01:27:16,549 --> 01:27:21,387
EVERY FEW YEARS, NIH UPDATES THE

2547
01:27:21,387 --> 01:27:23,122
FORMS ITS USED.

2548
01:27:23,122 --> 01:27:24,924
THEY SAVE UP SOME OF THESE MINOR

2549
01:27:24,924 --> 01:27:26,559
CHANGES, WORDING CHANGES OR

2550
01:27:26,559 --> 01:27:27,593
ALIGNMENT CHANGES, AND THIS IS

2551
01:27:27,593 --> 01:27:29,996
ONE OF THOSE YEARS, SO THERE IS

2552
01:27:29,996 --> 01:27:32,598
A SET OF NEW FORMS COMING WITH

2553
01:27:32,598 --> 01:27:35,802
RELATIVELY MINOR CHANGES, BUT

2554
01:27:35,802 --> 01:27:43,376
THERE WILL BE SOME CHANGES TO --

2555
01:27:43,376 --> 01:27:45,778
OBVIOUSLY TO THE FELLOWSHIP

2556
01:27:45,778 --> 01:27:46,746
APPLICATIONS BUT OTHER MINOR

2557
01:27:46,746 --> 01:27:47,847
CHANGES AS WELL.

2558
01:27:47,847 --> 01:27:49,415
ANOTHER BIG CHANGE THAT IS

2559
01:27:49,415 --> 01:27:51,617
ACTUALLY OFF THIS CURRENT

2560
01:27:51,617 --> 01:27:53,052
TIMELINE, THROWING EVERYBODY

2561
01:27:53,052 --> 01:27:55,455
THROUGH A CONFUSION LOOP, IS THE

2562
01:27:55,455 --> 01:27:56,756
CHANGE TO -- THEY'RE MOVING --

2563
01:27:56,756 --> 01:27:58,091
WE'RE MOVING TOWARDS A COMMON

2564
01:27:58,091 --> 01:28:05,431
FORM FOR BIOGRAPHICAL SKETCHES.

2565
01:28:05,431 --> 01:28:07,733
SO THIS IS TO ALIGN WITH

2566
01:28:07,733 --> 01:28:09,735
AGENCIES ACROSS THE GOVERNMENT

2567
01:28:09,735 --> 01:28:12,071
AND INTEGRATE MORE ATTENTION AND

2568
01:28:12,071 --> 01:28:15,675
CONSISTENCY IN HOW CONFLICTS OF

2569
01:28:15,675 --> 01:28:16,776
INTEREST AND DISCLOSURES ARE

2570
01:28:16,776 --> 01:28:17,076
HANDLED.

2571
01:28:17,076 --> 01:28:18,945
SO THAT WILL BE COMING IN THE

2572
01:28:18,945 --> 01:28:22,615
SPRING.

2573
01:28:22,615 --> 01:28:23,249
 OF 2025 AND MORE

2574
01:28:23,249 --> 01:28:27,620
INFORMATION IS AVAILABLE.

2575
01:28:27,620 --> 01:28:28,187
 AT THIS

2576
01:28:28,187 --> 01:28:28,521
WEBSITE.

2577
01:28:28,521 --> 01:28:30,289
THIS WEBSITE REALLY TOUCHES AND

2578
01:28:30,289 --> 01:28:31,524
GOES INTO DEPTH ON ALL OF THESE

2579
01:28:31,524 --> 01:28:33,126
CHANGES IF YOU'RE INTERESTED IN

2580
01:28:33,126 --> 01:28:35,094
ANY MORE INFORMATION ABOUT

2581
01:28:35,094 --> 01:28:36,195
SPECIFICS OF THOSE.

2582
01:28:36,195 --> 01:28:40,399
SO BEFORE I CLOSE, I JUST WANTED

2583
01:28:40,399 --> 01:28:45,037
TO COME BACK TO CSR

2584
01:28:45,037 --> 01:28:46,439
SPECIFICALLY, AND JUST TOUCH A

2585
01:28:46,439 --> 01:28:49,408
LITTLE BIT ON A COUPLE OF THE

2586
01:28:49,408 --> 01:28:51,377
ACTIVITIES GOING ON WITHIN CSR

2587
01:28:51,377 --> 01:28:54,347
THAT ARE PROBABLY MOST RELEVANT

2588
01:28:54,347 --> 01:28:54,780
TO NINR.

2589
01:28:54,780 --> 01:28:57,650
I USUALLY DON'T SHOW A CSR

2590
01:28:57,650 --> 01:28:59,719
ORGANIZATIONAL CHART WHEN I GO

2591
01:28:59,719 --> 01:29:04,190
TO ADVISORY COUNCILS, BECAUSE NO

2592
01:29:04,190 --> 01:29:07,126
ONE CARES ABOUT OUR INTERNAL

2593
01:29:07,126 --> 01:29:08,227
STRUCTURE, BUT I DO WANT TO

2594
01:29:08,227 --> 01:29:09,362
HIGHLIGHT AT THIS TIME THE

2595
01:29:09,362 --> 01:29:11,564
CENTER FOR SCIENTIFIC REVIEW HAS

2596
01:29:11,564 --> 01:29:13,599
FIVE SCIENTIFIC DIVISIONS, SO WE

2597
01:29:13,599 --> 01:29:15,134
JUST DIVIDE THE APPLICATIONS UP

2598
01:29:15,134 --> 01:29:18,070
LOOSELY BY SCIENCE AND DIFFERENT

2599
01:29:18,070 --> 01:29:18,771
AREAS.

2600
01:29:18,771 --> 01:29:20,640
I'M OVER HERE IN THE DIVISION OF

2601
01:29:20,640 --> 01:29:22,508
AIDS BEHAVIORAL AND POPULATION

2602
01:29:22,508 --> 01:29:23,943
SCIENCES, AND I HIGHLIGHT THIS

2603
01:29:23,943 --> 01:29:27,146
BECAUSE WE DO REVIEW

2604
01:29:27,146 --> 01:29:28,648
APPLICATIONS -- THIS IS THE

2605
01:29:28,648 --> 01:29:29,882
INVESTIGATOR INITIATED

2606
01:29:29,882 --> 01:29:32,185
APPLICATIONS.

2607
01:29:32,185 --> 01:29:33,653
99% OF NINR APPLICATIONS ARE

2608
01:29:33,653 --> 01:29:34,954
REVIEWED WITHIN MY DIVISION.

2609
01:29:34,954 --> 01:29:38,791
SO THERE IS A VERY CLOSE

2610
01:29:38,791 --> 01:29:42,495
ALIGNMENT.

2611
01:29:42,495 --> 01:29:46,265
AND THE OTHER THING I WANTED TO

2612
01:29:46,265 --> 01:29:47,466
LET YOU KNOW IS A FEW CHANGES

2613
01:29:47,466 --> 01:29:48,768
THAT ARE COMING TO SOME OF OUR

2614
01:29:48,768 --> 01:29:49,635
STUDY SECTIONS.

2615
01:29:49,635 --> 01:29:52,471
SO WHAT I HAVE HERE IS THE

2616
01:29:52,471 --> 01:29:54,740
BRANCHES WITHIN MY DIVISION,

2617
01:29:54,740 --> 01:29:56,309
SO -- AND PART OF WHY I SHOW

2618
01:29:56,309 --> 01:29:57,410
THIS IS I'M JUST STRUCK BY HOW

2619
01:29:57,410 --> 01:30:01,480
MUCH ALIGNMENT THERE IS IN THE

2620
01:30:01,480 --> 01:30:04,550
NINR STRATEGIC PLAN WITH WHAT --

2621
01:30:04,550 --> 01:30:05,418
WITH THE INPUT WE'VE BEEN

2622
01:30:05,418 --> 01:30:06,219
GETTING AND SOME OF THE

2623
01:30:06,219 --> 01:30:07,386
DIRECTIONS WE'VE BEEN TAKING, SO

2624
01:30:07,386 --> 01:30:10,590
WE HAVE FIVE BRANCHES WHERE WE

2625
01:30:10,590 --> 01:30:13,659
DIVIDE UP THE STUDY SECTIONS AND

2626
01:30:13,659 --> 01:30:14,560
REVIEW APPLICATIONS AND THIS IS

2627
01:30:14,560 --> 01:30:16,629
MORE JUST TO KIND OF GIVE YOU A

2628
01:30:16,629 --> 01:30:19,398
FLAVOR OF THE SCOPE OF WHAT WE

2629
01:30:19,398 --> 01:30:21,133
DO WITHIN EACH OF THESE FIVE

2630
01:30:21,133 --> 01:30:22,568
BRANCHES, WE HAVE MULTIPLE STUDY

2631
01:30:22,568 --> 01:30:25,471
SECTIONS AND WE COVER EVERYTHING

2632
01:30:25,471 --> 01:30:28,741
FROM BIOBEHAVIORAL PROCESSES UP

2633
01:30:28,741 --> 01:30:31,077
THROUGH BIOINFORMATICS HEALTH

2634
01:30:31,077 --> 01:30:34,680
SERVICES, YOU KNOW, ANYTHING

2635
01:30:34,680 --> 01:30:40,920
HUMAN, THE FULL SCALE AND SCOPE.

2636
01:30:40,920 --> 01:30:43,322
IF I OVERLAY HERE THE STRATEGIC

2637
01:30:43,322 --> 01:30:44,590
PLAN OF NINR, YOU CAN REALLY SEE

2638
01:30:44,590 --> 01:30:46,325
THE LEVEL OF OVERLAP.

2639
01:30:46,325 --> 01:30:50,830
THE OTHER THING THAT I WANTED TO

2640
01:30:50,830 --> 01:30:52,398
MENTION IS WE HAVE RECENTLY BEEN

2641
01:30:52,398 --> 01:30:55,034
GOING THROUGH OUR ENQUIRE

2642
01:30:55,034 --> 01:30:56,769
PROCESS, WHERE WE EVALUATE OUR

2643
01:30:56,769 --> 01:30:58,371
STUDY SECTIONS AND MAKE SURE THE

2644
01:30:58,371 --> 01:30:59,739
SCIENTIFIC SCOPE IS REMAINING

2645
01:30:59,739 --> 01:31:02,074
CONSISTENT AND ALIGNS WITH

2646
01:31:02,074 --> 01:31:03,843
SCIENCE IN ORDER TO BEST

2647
01:31:03,843 --> 01:31:04,977
IDENTIFY THE HIGH QUALITY

2648
01:31:04,977 --> 01:31:06,712
SCIENCE.

2649
01:31:06,712 --> 01:31:08,247
WE ARE CURRENTLY IN THE PROCESS

2650
01:31:08,247 --> 01:31:10,449
OF DOING THAT WITH OUR CLUSTER

2651
01:31:10,449 --> 01:31:12,652
OF OUR STUDY SECTIONS THAT

2652
01:31:12,652 --> 01:31:14,287
LOOSELY FALL IN THE SOCIAL AND

2653
01:31:14,287 --> 01:31:16,289
BEHAVIORAL SCIENCES AREA, AND WE

2654
01:31:16,289 --> 01:31:17,957
ARE REORGANIZING SEVERAL OF

2655
01:31:17,957 --> 01:31:22,895
THOSE STUDY SECTIONS IN THE NEXT

2656
01:31:22,895 --> 01:31:23,663
YEAR.

2657
01:31:23,663 --> 01:31:27,166
THE ENQUIRE PROCESS INCLUDES AN

2658
01:31:27,166 --> 01:31:29,502
EXTERNAL COMMITTEE WHERE WE GET

2659
01:31:29,502 --> 01:31:33,472
INPUT ON KIND OF HELPING US MAP

2660
01:31:33,472 --> 01:31:34,740
ON THE NATURE OF OUR

2661
01:31:34,740 --> 01:31:36,175
APPLICATIONS WITH THE CURRENT

2662
01:31:36,175 --> 01:31:37,410
SCIENTIFIC FIELDS AND MAKE SURE

2663
01:31:37,410 --> 01:31:39,278
THAT WE'RE INCLUDING A

2664
01:31:39,278 --> 01:31:40,313
BROADER -- WE'RE GETTING KIND OF

2665
01:31:40,313 --> 01:31:46,085
OUT OF OUR ADMINISTRATIVE HABITS

2666
01:31:46,085 --> 01:31:49,722
AND GETTING SOME FRESH INPUT, WE

2667
01:31:49,722 --> 01:31:53,959
THEN INVOLVE AN NIH INTERNAL

2668
01:31:53,959 --> 01:31:55,594
GROUP TO PROVIDE SOME INPUT, AND

2669
01:31:55,594 --> 01:31:58,164
WE HAVE RECEIVED APPROVAL TO

2670
01:31:58,164 --> 01:32:00,900
MOVE FORWARD WITH RECONFIGURING

2671
01:32:00,900 --> 01:32:02,968
NINE STUDY SECTIONS INTO EIGHT

2672
01:32:02,968 --> 01:32:04,437
STUDY SECTIONS THAT I THINK WILL

2673
01:32:04,437 --> 01:32:05,871
ULTIMATELY BECOME NINE STUDY

2674
01:32:05,871 --> 01:32:07,406
SECTIONS BUT WE'RE STARTING WITH

2675
01:32:07,406 --> 01:32:09,508
THE EIGHT, AND ONE OF THE THINGS

2676
01:32:09,508 --> 01:32:12,044
THAT I WANTED TO HIGHLIGHT IS,

2677
01:32:12,044 --> 01:32:13,913
AGAIN KIND OF THE ALIGNMENT WITH

2678
01:32:13,913 --> 01:32:16,048
THE NIH -- OR THE NINR STRATEGIC

2679
01:32:16,048 --> 01:32:20,419
PLAN, SO WE ARE CURRENTLY -- WE

2680
01:32:20,419 --> 01:32:22,088
HAVE RECONFIGURED STUDY SECTIONS

2681
01:32:22,088 --> 01:32:23,756
PROPOSED THAT FOCUS ON COMMUNITY

2682
01:32:23,756 --> 01:32:23,989
HEALTH.

2683
01:32:23,989 --> 01:32:25,491
WE ALREADY HAVE A COUPLE OF

2684
01:32:25,491 --> 01:32:27,360
COMMUNITY STUDY SECTIONS BUT IT

2685
01:32:27,360 --> 01:32:30,029
IS REFRESHING AND REALLY

2686
01:32:30,029 --> 01:32:31,664
RENEWING THE CONCEPT OF

2687
01:32:31,664 --> 01:32:33,099
COMMUNITY AND REFLECTING WHAT

2688
01:32:33,099 --> 01:32:35,634
COMMUNITY MEANS NOW.

2689
01:32:35,634 --> 01:32:39,004
WE HAVE A POPULATION LEVEL,

2690
01:32:39,004 --> 01:32:41,073
SOCIAL SCIENCE STUDY SECTION

2691
01:32:41,073 --> 01:32:42,675
PLAN THAT INCLUDES A LOT OF

2692
01:32:42,675 --> 01:32:43,209
POLICY INTEGRATION.

2693
01:32:43,209 --> 01:32:45,277
AGAIN, WE HAVE A SIMILAR STUDY

2694
01:32:45,277 --> 01:32:47,646
SECTION NOW, BUT IT INCORPORATES

2695
01:32:47,646 --> 01:32:50,483
SO MANY OF THE CONCEPTS IN THE

2696
01:32:50,483 --> 01:32:51,250
INTEGRATION OF THE SOCIAL

2697
01:32:51,250 --> 01:32:51,951
DRIVERS OF HEALTH.

2698
01:32:51,951 --> 01:32:55,454
I LOVE THAT CONCEPT.

2699
01:32:55,454 --> 01:32:58,290
AND OTHER CONSIDERATIONS.

2700
01:32:58,290 --> 01:33:01,794
ALSO WE HAVE ADDED A STUDY

2701
01:33:01,794 --> 01:33:03,262
SECTION THAT WILL BE FOCUSING ON

2702
01:33:03,262 --> 01:33:05,664
HEALTH EQUITY FROM A SOCIAL AND

2703
01:33:05,664 --> 01:33:06,532
BEHAVIORAL PERSPECTIVE.

2704
01:33:06,532 --> 01:33:07,800
WE CURRENTLY HAVE ONE IN THE

2705
01:33:07,800 --> 01:33:09,535
HEALTH SERVICES AREA THAT HAS A

2706
01:33:09,535 --> 01:33:11,637
SPECIFIC HEALTH DISPARITIES

2707
01:33:11,637 --> 01:33:15,975
FOCUS, AND THERE IS ONE THAT IS

2708
01:33:15,975 --> 01:33:17,143
CURRENTLY AT LEAST IN THE

2709
01:33:17,143 --> 01:33:18,344
FEASIBILITY TESTING FOR THE

2710
01:33:18,344 --> 01:33:21,414
SOCIAL AND BEHAVIORAL AREA

2711
01:33:21,414 --> 01:33:23,716
PRIMARILY TO LOOK AT STRUCTURAL

2712
01:33:23,716 --> 01:33:25,851
DRIVERS, SYSTEMIC UNDERPINNINGS,

2713
01:33:25,851 --> 01:33:27,586
SO THE IDEA IS REVIEWING THE

2714
01:33:27,586 --> 01:33:28,354
APPLICATIONS THAT ARE REALLY

2715
01:33:28,354 --> 01:33:31,323
TRYING TO FOCUS ON WHAT CREATES,

2716
01:33:31,323 --> 01:33:33,659
WHAT SUPPORTS EQUITY, INEQUITY

2717
01:33:33,659 --> 01:33:35,928
ON ALL THOSE STRUCTURAL AND

2718
01:33:35,928 --> 01:33:37,396
SYSTEMIC DETERMINANTS ACROSS

2719
01:33:37,396 --> 01:33:38,664
MULTIPLE LEVELS SO IT COULD BE

2720
01:33:38,664 --> 01:33:39,732
AT THE INDIVIDUAL LEVEL, IT

2721
01:33:39,732 --> 01:33:40,800
COULD BE AT THE POLICY OR

2722
01:33:40,800 --> 01:33:41,567
COMMUNITY LEVEL.

2723
01:33:41,567 --> 01:33:45,538
SO WE HAVE A FEW OF THOSE

2724
01:33:45,538 --> 01:33:46,739
COMING, AGAIN, WE HAVE A PROCESS

2725
01:33:46,739 --> 01:33:48,307
WHERE WE TAKE THESE THROUGH A

2726
01:33:48,307 --> 01:33:49,608
MOCK SORT AND MAKE SURE THAT

2727
01:33:49,608 --> 01:33:51,043
THEY'RE VIABLE AND ONCE THEY'RE

2728
01:33:51,043 --> 01:33:52,378
READY, WE'LL GET INFORMATION OUT

2729
01:33:52,378 --> 01:33:54,346
AND WE'LL MAKE SURE THAT WE GET

2730
01:33:54,346 --> 01:33:57,349
THAT TO YOU.

2731
01:33:57,349 --> 01:33:59,518
I'M THRILLED TO SEE THE FEEDBACK

2732
01:33:59,518 --> 01:34:00,953
THAT WE GOT FROM A VERY

2733
01:34:00,953 --> 01:34:03,022
DIFFERENT KIND OF QUESTION THAT

2734
01:34:03,022 --> 01:34:06,592
WE POSED TO OUR EXTERNAL

2735
01:34:06,592 --> 01:34:08,561
COMMUNITY OVERLAPPING SO MUCH

2736
01:34:08,561 --> 01:34:11,730
WITH WHAT I SEE IN YOUR

2737
01:34:11,730 --> 01:34:12,698
STRATEGIC PLAN AND WHAT I HEAR

2738
01:34:12,698 --> 01:34:14,099
FROM YOUR DISCUSSION, IT GIVES

2739
01:34:14,099 --> 01:34:19,472
ME A LOT OF CONFIDENCE OVER

2740
01:34:19,472 --> 01:34:20,439
GOING IN THE RIGHT DIRECTION AND

2741
01:34:20,439 --> 01:34:30,850
THERE IS THIS ALIGNMENT.

2742
01:34:33,319 --> 01:34:33,719
>> THAT WAS GREAT.

2743
01:34:33,719 --> 01:34:36,889
THANK YOU SO MUCH.

2744
01:34:36,889 --> 01:34:38,090
WE'VE GOT A ROUND OF APPLAUSE.

2745
01:34:38,090 --> 01:34:39,325
I NEVER GET THAT, NEVER.

2746
01:34:39,325 --> 01:34:40,659
NEVER.

2747
01:34:40,659 --> 01:34:41,293
OKAY.

2748
01:34:41,293 --> 01:34:43,295
SO DR. STONE, I THINK IS GOING

2749
01:34:43,295 --> 01:34:45,030
TO START US OFF.

2750
01:34:45,030 --> 01:34:46,165
CAN YOU HEAR US?

2751
01:34:46,165 --> 01:34:47,032
>> I CAN HEAR YOU.

2752
01:34:47,032 --> 01:34:49,201
CAN YOU HEAR ME OKAY?

2753
01:34:49,201 --> 01:34:50,002
>> YES.

2754
01:34:50,002 --> 01:34:50,236
THANKS.

2755
01:34:50,236 --> 01:34:51,804
>> OKAY, GREAT.

2756
01:34:51,804 --> 01:34:54,373
THANK YOU, DR. DURRANT, THAT WAS

2757
01:34:54,373 --> 01:34:58,844
VERY, VERY EXCITING.

2758
01:34:58,844 --> 01:35:00,312
I PERSONALLY AM VERY PLEASED

2759
01:35:00,312 --> 01:35:03,516
WITH THESE CHANGES.

2760
01:35:03,516 --> 01:35:07,219
I DO THINK, THINKING ABOUT THE

2761
01:35:07,219 --> 01:35:09,188
Rs, NOT THE FELLOWSHIP

2762
01:35:09,188 --> 01:35:10,356
TRAINING GRANTS, I DO HAVE SOME

2763
01:35:10,356 --> 01:35:10,823
QUESTIONS.

2764
01:35:10,823 --> 01:35:13,292
IT SEEMS LIKE WE'RE GOING TO BE

2765
01:35:13,292 --> 01:35:14,493
ACTUALLY RESTRUCTURING HOW WE

2766
01:35:14,493 --> 01:35:19,265
WRITE THEM INTO MAINLY TWO

2767
01:35:19,265 --> 01:35:21,433
FACTORS, BECAUSE EXPERTISE AND

2768
01:35:21,433 --> 01:35:24,236
RESOURCES IS GOING TO BE ON OUR

2769
01:35:24,236 --> 01:35:27,506
BIO, AND OUR FACILITIES.

2770
01:35:27,506 --> 01:35:28,474
SO REALLY WE'RE GOING TO SORT OF

2771
01:35:28,474 --> 01:35:29,909
HAVE IT IN TWO FACTORS,

2772
01:35:29,909 --> 01:35:32,011
IMPORTANCE OF THE RESEARCH AND

2773
01:35:32,011 --> 01:35:33,245
THEN RIGOR AND FEASIBILITY.

2774
01:35:33,245 --> 01:35:35,414
IS THAT HOW YOU'RE THINKING

2775
01:35:35,414 --> 01:35:38,384
GRANTS WILL BE COMING IN AFTER

2776
01:35:38,384 --> 01:35:38,617
JANUARY?

2777
01:35:38,617 --> 01:35:40,185
>> THERE'S ACTUALLY NO
CHANGE TO

2778
01:35:40,185 --> 01:35:45,758
THE FORM SO WE'RE PLANNING TO

2779
01:35:45,758 --> 01:35:46,725
HAVE -- THERE ARE NO CHANGES TO

2780
01:35:46,725 --> 01:35:47,293
THE FORM.

2781
01:35:47,293 --> 01:35:49,194
SO THE FIVE REVIEW CRITERIA NOW

2782
01:35:49,194 --> 01:35:51,030
ARE JUST BEING COMBINED IN

2783
01:35:51,030 --> 01:35:54,133
DIFFERENT WAYS.

2784
01:35:54,133 --> 01:35:55,601
WE ALWAYS ENCOURAGE PEOPLE TO

2785
01:35:55,601 --> 01:35:58,103
REVIEW AND TO READ WHAT WE CALL

2786
01:35:58,103 --> 01:35:59,305
SECTION FIVE, WHICH IS THE

2787
01:35:59,305 --> 01:36:02,641
REVIEW CRITERIA IN EACH OF THE

2788
01:36:02,641 --> 01:36:03,542
NOFOs.

2789
01:36:03,542 --> 01:36:04,843
AND TO THINK ABOUT THAT IN TERMS

2790
01:36:04,843 --> 01:36:07,479
OF THE PREPARATION OF THE GRANT,

2791
01:36:07,479 --> 01:36:09,348
THAT'S WHAT REVIEWERS ARE GOING

2792
01:36:09,348 --> 01:36:11,050
TO BE LOOKING AT, BUT THE REVIEW

2793
01:36:11,050 --> 01:36:12,117
CRITERIA ARE THE SAME, AT LEAST

2794
01:36:12,117 --> 01:36:13,419
IN KIND OF THE LARGER CATEGORY,

2795
01:36:13,419 --> 01:36:15,220
SO WE DID NOT SEE ANY NEED TO

2796
01:36:15,220 --> 01:36:16,522
CHANGE THE STRUCTURE OF THE

2797
01:36:16,522 --> 01:36:18,290
APPLICATION.

2798
01:36:18,290 --> 01:36:22,061
>> I MEAN, I DON'T THINK
THE

2799
01:36:22,061 --> 01:36:25,331
APPLICATION ITSELF WOULD CHANGE,

2800
01:36:25,331 --> 01:36:26,532
YOU KNOW?

2801
01:36:26,532 --> 01:36:29,702
I'M JUST THINKING THE WAY I'VE

2802
01:36:29,702 --> 01:36:35,441
ORGANIZED IN MY -- MIGHT VERY

2803
01:36:35,441 --> 01:36:38,077
WELL CHANGE AS -- I'LL PUT

2804
01:36:38,077 --> 01:36:38,944
INNOVATION IN AND THEY'LL BE

2805
01:36:38,944 --> 01:36:40,846
LIKE, YOU KNOW, FACTOR ONE OR

2806
01:36:40,846 --> 01:36:46,218
SOMETHING, YOU KNOW, AND THEN --

2807
01:36:46,218 --> 01:36:47,586
THIS IS HOW I WAS THINKING IT

2808
01:36:47,586 --> 01:36:47,953
WOULD BE.

2809
01:36:47,953 --> 01:36:51,290
AND WILL THE ACTUAL REVIEW

2810
01:36:51,290 --> 01:36:53,359
TEMPLATES BE OUT IN TIME FOR THE

2811
01:36:53,359 --> 01:36:56,795
PEOPLE TO SEE, PAUSE THAT'S

2812
01:36:56,795 --> 01:37:00,132
GOBECAUSE THAT'SGOING TO BE IMP.

2813
01:37:00,132 --> 01:37:01,200
>> YES, THANK YOU FOR
RAISING

2814
01:37:01,200 --> 01:37:05,237
THAT, BECAUSE IT WAS A BULLET ON

2815
01:37:05,237 --> 01:37:06,639
ONE OF MY SLIDES AND I MUST HAVE

2816
01:37:06,639 --> 01:37:07,806
KIND OF SKIPPED OVER IT.

2817
01:37:07,806 --> 01:37:09,308
YEAH, WE ARE IN THE PROCESS OF

2818
01:37:09,308 --> 01:37:13,679
DOING, RIGHT NO -- RIGHT NOW OUR

2819
01:37:13,679 --> 01:37:15,714
OUTREACH FOCUS IS A FOCUS ON THE

2820
01:37:15,714 --> 01:37:16,815
BROADER CHANGES AND THE WHY.

2821
01:37:16,815 --> 01:37:18,117
THE NEXT STEP WHICH WE HAVE

2822
01:37:18,117 --> 01:37:19,151
STARTED IS REALLY MAKING SURE

2823
01:37:19,151 --> 01:37:20,252
THE APPLICANT COMMUNITY IS

2824
01:37:20,252 --> 01:37:21,453
INFORMED, SO THERE'S A NUMBER OF

2825
01:37:21,453 --> 01:37:23,155
WEBINARS THAT WE HAVE HELD AND

2826
01:37:23,155 --> 01:37:24,490
THAT WILL CONTINUE TO BE HELD.

2827
01:37:24,490 --> 01:37:27,226
RIGHT NOW, WE HAVE RELEASED A

2828
01:37:27,226 --> 01:37:30,229
LITTLE BIT OF INFORMATION SO

2829
01:37:30,229 --> 01:37:34,400
THERE IS A MOCK NEW CRITIQUE

2830
01:37:34,400 --> 01:37:35,701
TEMPLATE FOR REVURS, IF YOU'RE

2831
01:37:35,701 --> 01:37:36,235
INTERESTED IN THAT.

2832
01:37:36,235 --> 01:37:38,137
SO THAT IS CURRENTLY AVAILABLE.

2833
01:37:38,137 --> 01:37:42,141
WE WILL BE BUILDING IN AND

2834
01:37:42,141 --> 01:37:43,342
ADDING, ROLLING OUT A NUMBER OF

2835
01:37:43,342 --> 01:37:45,377
OTHER TRAINING RESOURCES AND

2836
01:37:45,377 --> 01:37:49,415
INFORMATION RESOURCES TARGETING

2837
01:37:49,415 --> 01:37:50,315
THE SPECIFICS OF THE REVIEW IN

2838
01:37:50,315 --> 01:37:51,583
THE FALL.

2839
01:37:51,583 --> 01:37:53,719
SO THERE'S ALWAYS A CHALLENGE

2840
01:37:53,719 --> 01:37:55,254
AND A TENSION WITH CHANGES AT

2841
01:37:55,254 --> 01:37:56,989
NIH, WE DON'T WANT TO CONFUSE

2842
01:37:56,989 --> 01:37:58,090
PEOPLE COMING IN NOW, SO WE WANT

2843
01:37:58,090 --> 01:37:59,558
TO MAKE SURE PEOPLE ARE AWARE,

2844
01:37:59,558 --> 01:38:01,326
BUT THAT WILL ALL BE ON THAT

2845
01:38:01,326 --> 01:38:02,294
WEBSITE.

2846
01:38:02,294 --> 01:38:04,196
THERE'S CURRENTLY A SECTION, IF

2847
01:38:04,196 --> 01:38:06,398
YOU GO TO THE SIMPLIFYING PEER

2848
01:38:06,398 --> 01:38:09,134
REVIEW WEBSITE, A PRETTY

2849
01:38:09,134 --> 01:38:10,769
ELABORATE SECTION ON WHAT

2850
01:38:10,769 --> 01:38:12,838
APPLICANTS NEED TO KNOW.

2851
01:38:12,838 --> 01:38:18,177
THAT WILL GIVE YOU A NUMBER OF

2852
01:38:18,177 --> 01:38:21,980
CONSIDERATIONS ABOUT WRITING AN

2853
01:38:21,980 --> 01:38:25,384
APPLICATION AND STRUCTURE THE

2854
01:38:25,384 --> 01:38:29,121
WHY, WHAT TO CONSIDER, AND

2855
01:38:29,121 --> 01:38:32,391
THERE'S RIGHT NOW A SECTION FOR

2856
01:38:32,391 --> 01:38:34,326
REVIEWERS, THERE'S JUST NOTHING

2857
01:38:34,326 --> 01:38:35,961
THERE YET.

2858
01:38:35,961 --> 01:38:38,030
IT'S BEING DEVELOPED, AND YES,

2859
01:38:38,030 --> 01:38:45,337
IT WILL ALL BE AVAILABLE FOR Y 

2860
01:38:45,337 --> 01:38:45,504
YOU.

2861
01:38:45,504 --> 01:38:47,506
>> FIRST I WANT TO THANK
YOU FOR

2862
01:38:47,506 --> 01:38:49,041
TAKING OFF THE GRADES.

2863
01:38:49,041 --> 01:38:51,210
THANK YOU, THANK YOU.

2864
01:38:51,210 --> 01:38:53,011
YOU KNOW, BECAUSE YOU HAVE A

2865
01:38:53,011 --> 01:39:00,219
FELLOW THAT'S GOT ONE C C ONE TE

2866
01:39:00,219 --> 01:39:01,553
AND IT'S -- IT WASN'T FAIR TO

2867
01:39:01,553 --> 01:39:02,354
THE APPLICANTS.

2868
01:39:02,354 --> 01:39:04,890
SO THANK YOU FOR THAT.

2869
01:39:04,890 --> 01:39:09,595
YOU KNOW, THE REVISED -- AND

2870
01:39:09,595 --> 01:39:13,065
THEN ALSO, I DID HAVE A QUESTION

2871
01:39:13,065 --> 01:39:15,768
ABOUT WHEN IS THIS GOING TO

2872
01:39:15,768 --> 01:39:17,302
Ks, RIGHT NOW IT'S ONLY FOR

2873
01:39:17,302 --> 01:39:18,303
Fs AND THE TRAINING GRANTS,

2874
01:39:18,303 --> 01:39:20,539
BUT IS IT GOING TO GO TO Ks

2875
01:39:20,539 --> 01:39:23,408
ALSO, THESE CHANGES?

2876
01:39:23,408 --> 01:39:24,476
>> LIKELY, YES.

2877
01:39:24,476 --> 01:39:26,411
I DON'T WANT TO PROMISE.

2878
01:39:26,411 --> 01:39:28,147
THERE'S NOTHING -- IT'S NOT

2879
01:39:28,147 --> 01:39:29,481
SOMETHING WE'RE CURRENTLY

2880
01:39:29,481 --> 01:39:30,115
WORKING ON.

2881
01:39:30,115 --> 01:39:33,218
BUT THE PLAN IS, WE STARTED WITH

2882
01:39:33,218 --> 01:39:34,720
THE TWO AREAS WITH THE LARGEST

2883
01:39:34,720 --> 01:39:37,322
NUMBER OF APPLICATIONS, AND THE

2884
01:39:37,322 --> 01:39:38,190
MOST -- KIND OF THE HIGHEST

2885
01:39:38,190 --> 01:39:39,792
LEVEL OF CONCERNS AND WORKED ON

2886
01:39:39,792 --> 01:39:40,459
THOSE.

2887
01:39:40,459 --> 01:39:44,363
SO YES, BUT WE ARE GOING TO ROLL

2888
01:39:44,363 --> 01:39:48,300
OUT THE ONES THAT WE HAVE NOW

2889
01:39:48,300 --> 01:39:49,935
AND THEN GET STARTED ON THE

2890
01:39:49,935 --> 01:39:53,872
OTHERS.

2891
01:39:53,872 --> 01:39:56,275
>> IN THE REVISED
SECTIONS, YOU

2892
01:39:56,275 --> 01:39:58,510
HAVE THE CANDIDATE PREPAREDNESS

2893
01:39:58,510 --> 01:40:01,780
AND RESEARCH TRAINING PLAN AND

2894
01:40:01,780 --> 01:40:02,781
COMMITMENT.

2895
01:40:02,781 --> 01:40:03,982
I'M SURE THERE WILL BE

2896
01:40:03,982 --> 01:40:06,351
GUIDELINES ABOUT HOW TO DO THESE

2897
01:40:06,351 --> 01:40:08,453
THREE SECTIONS THAT WILL BE OUT.

2898
01:40:08,453 --> 01:40:11,957
THOSE ARE MY MAIN QUESTIONS.

2899
01:40:11,957 --> 01:40:13,358
MAYBE OTHER OF THE

2900
01:40:13,358 --> 01:40:14,293
COUNCILMEMBERS HAVE SOME

2901
01:40:14,293 --> 01:40:16,328
QUESTIONS.

2902
01:40:16,328 --> 01:40:18,697
>> SO MANY HANDS.

2903
01:40:18,697 --> 01:40:19,598
YES

2904
01:40:19,598 --> 01:40:21,133
>> HI, MALLORY JOHNSON.

2905
01:40:21,133 --> 01:40:23,969
THANK YOU FOR THIS.

2906
01:40:23,969 --> 01:40:26,004
IT'S EXCITING TO SEE THIS COME

2907
01:40:26,004 --> 01:40:26,338
OUT.

2908
01:40:26,338 --> 01:40:27,739
I'VE BEEN DOING THIS LONG ENOUGH

2909
01:40:27,739 --> 01:40:29,441
TO HAVE SEEN A NUMBER OF BIG

2910
01:40:29,441 --> 01:40:30,142
CHANGES, INCLUDING THE CHANGING

2911
01:40:30,142 --> 01:40:31,977
IN THE SCORING SYSTEM AND THEN

2912
01:40:31,977 --> 01:40:32,878
THE REDUCTION IN THE LENGTH OF

2913
01:40:32,878 --> 01:40:34,213
THE APPLICATIONS OVER THE YEARS,

2914
01:40:34,213 --> 01:40:37,850
AND SO THERE'S ALWAYS THIS

2915
01:40:37,850 --> 01:40:39,184
PERIOD OF ROLLOUT.

2916
01:40:39,184 --> 01:40:40,619
NO MATTER HOW MUCH PLANNING IS

2917
01:40:40,619 --> 01:40:43,422
DONE, THERE'S SOME BUMPINESS.

2918
01:40:43,422 --> 01:40:44,890
ONE OF THE THINGS I'M WONDERING

2919
01:40:44,890 --> 01:40:46,124
ABOUT IS, CAN YOU SPEAK TO WHAT

2920
01:40:46,124 --> 01:40:48,627
KIND OF TRAINING REVIEWERS ARE

2921
01:40:48,627 --> 01:40:50,062
GETTING, SO THAT THEY DON'T SLIP

2922
01:40:50,062 --> 01:40:52,130
BACK INTO THEIR OLD WAYS AND SO

2923
01:40:52,130 --> 01:40:55,133
THAT THEY ARE MORE ORIENTED AND

2924
01:40:55,133 --> 01:40:57,202
ACTUALLY ADHERING TO THESE NEW

2925
01:40:57,202 --> 01:40:58,737
CONCEPTS AND GUIDANCE.

2926
01:40:58,737 --> 01:41:01,440
AND ALSO IN THE INTERIM, HOW

2927
01:41:01,440 --> 01:41:02,641
ARE -- PRESUMABLY THERE'S STILL

2928
01:41:02,641 --> 01:41:03,408
AN OVERALL IMPACT.

2929
01:41:03,408 --> 01:41:08,146
IS THAT JUST GOING TO BE

2930
01:41:08,146 --> 01:41:09,047
PERCENTILED AGAINST THE OLDER

2931
01:41:09,047 --> 01:41:10,782
ONES, IN THE INTERIM, ARE THEY

2932
01:41:10,782 --> 01:41:11,984
GOING TO BE COMPARED ONLY TO

2933
01:41:11,984 --> 01:41:13,385
EACH OTHER USING THE NEW SYSTEM

2934
01:41:13,385 --> 01:41:15,020
OR IS IT GOING TO BE AS IT

2935
01:41:15,020 --> 01:41:17,422
ALWAYS REQUIRED THREE MEETINGS

2936
01:41:17,422 --> 01:41:20,759
OR SORT OF THE DENOMINATOR, BUT

2937
01:41:20,759 --> 01:41:21,760
MORE IMPORTANTLY, HOW ARE YOU

2938
01:41:21,760 --> 01:41:23,395
GOING TO MAKE SURE REVIEWERS ARE

2939
01:41:23,395 --> 01:41:25,030
ON BOARD AND DOING THIS?

2940
01:41:25,030 --> 01:41:26,198
>> YEAH, GREAT QUESTION.

2941
01:41:26,198 --> 01:41:30,769
SO WE ARE CURRENTLY ROLLING OUT

2942
01:41:30,769 --> 01:41:33,538
VERY EXTENSIVE TRAINING TO OUR

2943
01:41:33,538 --> 01:41:34,606
STAFF.

2944
01:41:34,606 --> 01:41:36,308
INCLUDING YESTERDAY WE JUST --

2945
01:41:36,308 --> 01:41:40,245
WE HAD A BIG TRAINING ON

2946
01:41:40,245 --> 01:41:43,315
CONCEPTS AND THE WHY.

2947
01:41:43,315 --> 01:41:44,349
WE ALWAYS LIKE TO START WITH THE

2948
01:41:44,349 --> 01:41:45,117
WHY.

2949
01:41:45,117 --> 01:41:46,118
IF PEOPLE UNDERSTAND THE WHY,

2950
01:41:46,118 --> 01:41:47,452
YOU CAN USUALLY WORK THROUGH

2951
01:41:47,452 --> 01:41:51,924
THOSE BUMPS A LITTLE EASIER.

2952
01:41:51,924 --> 01:41:53,292
WE SPEND A TREMENDOUS AMOUNT OF

2953
01:41:53,292 --> 01:41:54,192
TIME -- AND THE REASON I START

2954
01:41:54,192 --> 01:41:55,494
WITH THE STAFF IS BECAUSE WE DO

2955
01:41:55,494 --> 01:41:56,795
SPEND A TREMENDOUS AMOUNT OF

2956
01:41:56,795 --> 01:42:01,900
TIME WORKING WITH THE REVIEWERS

2957
01:42:01,900 --> 01:42:03,869
IN SMALL GROUPS AND ONE-ON-ONE,

2958
01:42:03,869 --> 01:42:05,570
SO THERE WILL BE EXTENSIVE

2959
01:42:05,570 --> 01:42:06,571
TRAINING MATERIALS, GUIDANCE FOR

2960
01:42:06,571 --> 01:42:07,439
REVIEWERS THAT WILL BE ROLLED

2961
01:42:07,439 --> 01:42:08,840
OUT, BUT THE TRACTION THAT YOU

2962
01:42:08,840 --> 01:42:11,877
ARE TALKING ABOUT COMES FROM THE

2963
01:42:11,877 --> 01:42:14,579
SRO WORKING WITH THE REVIEWERS

2964
01:42:14,579 --> 01:42:19,017
ONCE THEY'RE ACTUALLY REVIEWING

2965
01:42:19,017 --> 01:42:20,052
APPLICATIONS AND REVIEWING IN

2966
01:42:20,052 --> 01:42:20,352
MEETINGS.

2967
01:42:20,352 --> 01:42:23,522
WE DO A NUMBER OF DIFFERENT

2968
01:42:23,522 --> 01:42:25,324
STEPS TO LOOK FOR ALIGNMENT

2969
01:42:25,324 --> 01:42:28,427
BETWEEN SCORES AND CONCEPTS, A

2970
01:42:28,427 --> 01:42:34,132
NUMBER -- WE HAVE -- IN WAYS TO

2971
01:42:34,132 --> 01:42:36,768
LOOK FOR WHETHER -- WE LOOK FOR

2972
01:42:36,768 --> 01:42:40,038
WHETHER THERE ARE COMMENTS THAT

2973
01:42:40,038 --> 01:42:41,640
SUGGEST THAT PEOPLE ARE

2974
01:42:41,640 --> 01:42:42,507
INCLUDING FACTORS THAT ARE NOT

2975
01:42:42,507 --> 01:42:44,376
PART OF THE REVIEW CRITERIA,

2976
01:42:44,376 --> 01:42:45,544
THAT COULD INCLUDE EVERYTHING

2977
01:42:45,544 --> 01:42:46,778
FROM INFORMATION THAT IS NOT

2978
01:42:46,778 --> 01:42:48,513
PRESENTED IN THE APPLICATION BUT

2979
01:42:48,513 --> 01:42:49,748
MAY BE KNOWN BY SOME PEOPLE IN

2980
01:42:49,748 --> 01:42:51,149
THE COMMUNITY AND NOT OTHERS, IT

2981
01:42:51,149 --> 01:42:52,751
COULD BE INDICATORS OF BIAS.

2982
01:42:52,751 --> 01:42:56,455
SO WE DO WORK, WE DO A LOT OF

2983
01:42:56,455 --> 01:42:57,723
REVIEWING IN THE CRITIQUES

2984
01:42:57,723 --> 01:43:00,025
PROVIDING GUIDANCE, PROVIDING

2985
01:43:00,025 --> 01:43:01,660
CONVERSATIONS.

2986
01:43:01,660 --> 01:43:03,762
WE HAVE EXTENSIVE CHAIR TRAINING

2987
01:43:03,762 --> 01:43:05,998
WE WILL ROLL OUT THIS SUMMER.

2988
01:43:05,998 --> 01:43:07,099
WE DO THE GENERAL CHAIR

2989
01:43:07,099 --> 01:43:10,802
TRAINING, BUT WE WILL INCLUDE --

2990
01:43:10,802 --> 01:43:13,105
WE WILL HAVE A SPECIFIC CHAIR

2991
01:43:13,105 --> 01:43:14,339
TRAINING FOR THIS AS WELL TO

2992
01:43:14,339 --> 01:43:16,675
MAKE SURE THAT THEY'RE PARTNERS

2993
01:43:16,675 --> 01:43:18,443
IN THIS.

2994
01:43:18,443 --> 01:43:23,415
PER TILING, PERCENTILING, THEREO

2995
01:43:23,415 --> 01:43:23,648
CHANGES.

2996
01:43:23,648 --> 01:43:24,950
SO THE APPLICATIONS WILL STILL

2997
01:43:24,950 --> 01:43:26,651
GET THAT OVERALL IMPACT SCORE.

2998
01:43:26,651 --> 01:43:28,220
THE OVERALL IMPACT SCORE --

2999
01:43:28,220 --> 01:43:30,288
THERE'S NO FORMULA OF HOW YOU

3000
01:43:30,288 --> 01:43:31,757
TAKE THE FACTORS OR RIGHT NOW

3001
01:43:31,757 --> 01:43:33,825
THE REVIEW CRITERIA INTO THAT

3002
01:43:33,825 --> 01:43:34,393
OVERALL IMPACT SCORE.

3003
01:43:34,393 --> 01:43:37,229
THERE'S A LOGIC, THERE'S RANGES,

3004
01:43:37,229 --> 01:43:38,830
SO NOW THAT OAR ALL IMPACT SCORE

3005
01:43:38,830 --> 01:43:43,235
WILL BE AFFECTED BY TWO FACTORS

3006
01:43:43,235 --> 01:43:45,203
AS WELL AS THE EXPERTISE AND

3007
01:43:45,203 --> 01:43:49,207
RESOURCES THAT CAN AFFECT THAT,

3008
01:43:49,207 --> 01:43:50,876
ESPECIALLY IF THERE ARE GAPS, AS

3009
01:43:50,876 --> 01:43:53,445
WELL AS SOME OF THESE OTHER

3010
01:43:53,445 --> 01:43:56,081
CONSIDERATIONS, BUT IT WILL

3011
01:43:56,081 --> 01:43:57,249
PRIMARILY BE DRIVEN -- ASSUMING

3012
01:43:57,249 --> 01:43:59,317
THAT THEY HAVE THE APPROPRIATE

3013
01:43:59,317 --> 01:44:00,519
EXPERTISE AND RESOURCES, WE

3014
01:44:00,519 --> 01:44:03,655
REALLY WANT THE QUALITY, THE

3015
01:44:03,655 --> 01:44:05,624
IMPORTANCE OF THE RESEARCH AND

3016
01:44:05,624 --> 01:44:07,726
THE RIGOR AND FEASIBILITY TO BE

3017
01:44:07,726 --> 01:44:09,027
DRIVING THOSE SCORES.

3018
01:44:09,027 --> 01:44:10,729
SO THAT'S THE IDEA.

3019
01:44:10,729 --> 01:44:12,397
AND THAT'S WHAT WE'LL BE LOOKING

3020
01:44:12,397 --> 01:44:19,504
FOR WITH OUR REVIEWERS.

3021
01:44:19,504 --> 01:44:21,473
>> I JUST WANT TO APPLAUD
THIS.

3022
01:44:21,473 --> 01:44:23,408
THIS IS REALLY EXCITING.

3023
01:44:23,408 --> 01:44:25,510
AND TO PIGGY BACK ON WHAT

3024
01:44:25,510 --> 01:44:26,912
DR. JOHNSON WAS SAYING, I WAS

3025
01:44:26,912 --> 01:44:29,614
GOING TO TALK ABOUT THE SAME

3026
01:44:29,614 --> 01:44:32,350
THING AROUND YOU'VE GOT TO TRAIN

3027
01:44:32,350 --> 01:44:33,118
REVIEWERS AROUND THIS, BUT I

3028
01:44:33,118 --> 01:44:34,586
WANT TO UNDERSCORE THE PIECE

3029
01:44:34,586 --> 01:44:39,224
THAT YOU BROUGHT UP AROUND THE

3030
01:44:39,224 --> 01:44:42,594
RIGOR AND FEASIBILITY.

3031
01:44:42,594 --> 01:44:45,997
IN PARTICULAR, AS WE SCALE UP

3032
01:44:45,997 --> 01:44:47,833
MORE RESEARCH THAT REALLY

3033
01:44:47,833 --> 01:44:50,902
FOCUSES ON REDUCING AND

3034
01:44:50,902 --> 01:44:52,537
ELIMINATING SOCIAL DRIVERS,

3035
01:44:52,537 --> 01:44:56,675
DRIVERS OF HEALTH, THAT MEANS

3036
01:44:56,675 --> 01:44:58,643
IT'S THE THINKING ABOUT RIGOR

3037
01:44:58,643 --> 01:45:00,712
AND REPRODUCIBILITY IS GOING TO

3038
01:45:00,712 --> 01:45:04,783
BE A LOT MORE DIFFICULT, RIGHT?

3039
01:45:04,783 --> 01:45:07,919
AND I LIKE WHAT YOU SAID ABOUT

3040
01:45:07,919 --> 01:45:09,221
DOES IT INCLUDE -- THERE'S GOING

3041
01:45:09,221 --> 01:45:10,956
TO BE CALCULATED RISK BEING

3042
01:45:10,956 --> 01:45:11,189
TAKEN.

3043
01:45:11,189 --> 01:45:17,062
IT GOING TO BE MORE COMPLEX AND

3044
01:45:17,062 --> 01:45:17,963
HAVING REVIEWERS HAVE THAT IN

3045
01:45:17,963 --> 01:45:19,698
MIND.

3046
01:45:19,698 --> 01:45:21,900
THAT FOR RESEARCH THAT REALLY

3047
01:45:21,900 --> 01:45:24,669
TRIES TO GET AT ELIMINATING

3048
01:45:24,669 --> 01:45:26,104
SOCIAL DRIVERS OF HEALTH MEANS

3049
01:45:26,104 --> 01:45:29,407
IT GOING TO BE, YOU KNOW, A

3050
01:45:29,407 --> 01:45:30,709
LITTLE -- THERE ARE GOING TO BE

3051
01:45:30,709 --> 01:45:32,310
MORE RISKS INVOLVED AND JUST TO

3052
01:45:32,310 --> 01:45:33,512
UNDERSTAND THAT AND TAKE THAT

3053
01:45:33,512 --> 01:45:35,380
INTO CONSIDERATION, I THINK

3054
01:45:35,380 --> 01:45:37,983
WOULD BE A BIG PART OF THAT

3055
01:45:37,983 --> 01:45:40,585
TRAINING.

3056
01:45:40,585 --> 01:45:42,020
OF REVIEWERS TO REALLY THINK

3057
01:45:42,020 --> 01:45:42,754
DIFFERENTLY ABOUT THAT.

3058
01:45:42,754 --> 01:45:44,723
>> THERE'S A REAL EMPHASIS
IN

3059
01:45:44,723 --> 01:45:47,759
KIND OF THE -- BETWEEN THE LINES

3060
01:45:47,759 --> 01:45:49,327
HERE ON MORE BIG PICTURE

3061
01:45:49,327 --> 01:45:51,530
THINKING AND MAKING SURE THAT --

3062
01:45:51,530 --> 01:45:53,165
WE'RE TRYING TO KEEP REVIEWERS

3063
01:45:53,165 --> 01:45:56,168
AT A LEVEL, AND IN FACT, WE

3064
01:45:56,168 --> 01:45:58,703
OFTEN TELL THEM, YOU ARE THEIR

3065
01:45:58,703 --> 01:46:01,173
AUDIENCE OF THE REVIEWERS'

3066
01:46:01,173 --> 01:46:03,375
CRITIQUES.

3067
01:46:03,375 --> 01:46:05,977
EXPLAIN TO A EDUCATED GROUP OF

3068
01:46:05,977 --> 01:46:07,712
PEOPLE THAT WILL BE MAKING

3069
01:46:07,712 --> 01:46:15,787
FUNDING DECISIONS WHAT THE

3070
01:46:15,787 --> 01:46:16,555
CONTRIBUTION OF THIS APPLICATION

3071
01:46:16,555 --> 01:46:18,423
WILL BE AND WHAT THE MAIN

3072
01:46:18,423 --> 01:46:19,991
DRIVING STRENGTHS AND WEAKNESSES

3073
01:46:19,991 --> 01:46:21,426
ARE SO YOU CAN MAKE INFORMED

3074
01:46:21,426 --> 01:46:22,861
DECISIONS.

3075
01:46:22,861 --> 01:46:24,329
AND THAT'S THE GOAL OF THE

3076
01:46:24,329 --> 01:46:25,363
CHANGES IN THE WORDING, THE

3077
01:46:25,363 --> 01:46:27,666
CHANGES IN THE FACTORS, AND

3078
01:46:27,666 --> 01:46:29,601
REALLY KIND OF UNDERLYING THE

3079
01:46:29,601 --> 01:46:32,771
TRAINING OF HOW WE'RE TRYING TO

3080
01:46:32,771 --> 01:46:34,039
WORK WITH REVIEWERS, PULLING

3081
01:46:34,039 --> 01:46:34,940
THEM OUT OF THE WEEDS.

3082
01:46:34,940 --> 01:46:36,374
IT'S EASIER TO GET OUT OF THE

3083
01:46:36,374 --> 01:46:37,776
WEEDS, IT'S EASIER TO PICK APART

3084
01:46:37,776 --> 01:46:38,643
THE APPROACH.

3085
01:46:38,643 --> 01:46:41,913
IT'S HARDER TO SAY, WHAT WILL

3086
01:46:41,913 --> 01:46:42,681
THE ADVANCE BE.

3087
01:46:42,681 --> 01:46:46,518
AND SO THE WORDING IN THE RIGOR

3088
01:46:46,518 --> 01:46:48,653
AND FEASIBILITY SECTION TRIES TO

3089
01:46:48,653 --> 01:46:52,624
PULL THAT OUT AND IT TRIES -- WE

3090
01:46:52,624 --> 01:46:58,597
PHRASE IT IN WAYS THAT ASSESS

3091
01:46:58,597 --> 01:47:00,999
THE DESIGN OF THE RESEARCH, IS

3092
01:47:00,999 --> 01:47:02,500
THE DESIGN SOUND, ARE THE

3093
01:47:02,500 --> 01:47:12,844
BROADER GOALS SOUND.

3094
01:47:13,979 --> 01:47:15,513
>> REALLY SINCE IT WAS

3095
01:47:15,513 --> 01:47:17,282
INITIATED, REVIEWERS HAVE

3096
01:47:17,282 --> 01:47:18,550
CONFUSED SIGNIFICANCE AND

3097
01:47:18,550 --> 01:47:18,850
INNOVATION.

3098
01:47:18,850 --> 01:47:19,918
IT'S REALLY CONFUSING, THE

3099
01:47:19,918 --> 01:47:22,087
SCORES ARE OFTEN FLIP-FLOPPED,

3100
01:47:22,087 --> 01:47:24,456
LIKE THEY'RE NOT AT ALL HOW THE

3101
01:47:24,456 --> 01:47:25,757
INSTRUCTIONS STATE TO SCORE, SO

3102
01:47:25,757 --> 01:47:27,192
I THINK IT'S -- I REALLY LIKE

3103
01:47:27,192 --> 01:47:29,060
PHRASING IT AS IMPORTANCE.

3104
01:47:29,060 --> 01:47:30,762
I THINK THAT JUST MAKES SENSE

3105
01:47:30,762 --> 01:47:31,963
AND RESONATES.

3106
01:47:31,963 --> 01:47:36,167
I THINK FOR CSR WHEN THEY

3107
01:47:36,167 --> 01:47:38,503
CLARIFY TO REVIEWERS, IS IT THE

3108
01:47:38,503 --> 01:47:40,038
IMPORTANCE OF THE APPROACH OR IS

3109
01:47:40,038 --> 01:47:41,706
IT THE IMPORTANCE OF THE

3110
01:47:41,706 --> 01:47:42,440
CLINICAL PROBLEM?

3111
01:47:42,440 --> 01:47:44,843
AND I THINK THIS IS WHERE

3112
01:47:44,843 --> 01:47:46,711
REVIEWERS CAN STILL STRUGGLE

3113
01:47:46,711 --> 01:47:47,045
SEMANTICALLY.

3114
01:47:47,045 --> 01:47:48,546
I MEAN, YOU CAN HAVE A

3115
01:47:48,546 --> 01:47:51,416
POPULATION THAT'S DYING.

3116
01:47:51,416 --> 01:47:52,250
REVIEWERS MAY NOT LIKE THE

3117
01:47:52,250 --> 01:47:54,119
APPROACH AND THEY SAY OH, THIS

3118
01:47:54,119 --> 01:47:56,621
IS NOT IMPORTANT, BUT IT'S

3119
01:47:56,621 --> 01:47:59,858
IMPORTANT BECAUSE PEOPLE ARE

3120
01:47:59,858 --> 01:48:00,292
DYING.

3121
01:48:00,292 --> 01:48:01,526
WE'VE PROBABLY ALL HAD THAT

3122
01:48:01,526 --> 01:48:03,028
EXPERIENCE, SO JUST -- MY ADVICE

3123
01:48:03,028 --> 01:48:04,729
IS TO BE REALLY, REALLY CLEAR

3124
01:48:04,729 --> 01:48:05,497
WHAT'S IMPORTANT.

3125
01:48:05,497 --> 01:48:09,467
WHAT DO YOU MEAN BY IMPORTANT?

3126
01:48:09,467 --> 01:48:11,569
>> ABSOLUTELY, AND I WOULD

3127
01:48:11,569 --> 01:48:13,338
ACTUALLY EVEN KIND OF GO A STEP

3128
01:48:13,338 --> 01:48:14,673
FURTHER IN WHAT WE ARE ASKING

3129
01:48:14,673 --> 01:48:16,608
FOR IS THE IMPORTANCE OF THE

3130
01:48:16,608 --> 01:48:19,344
RESEARCH QUESTION AS PROPOSED.

3131
01:48:19,344 --> 01:48:22,380
SO YES, IT CERTAINLY

3132
01:48:22,380 --> 01:48:27,952
INCORPORATES THE CLINICAL OR

3133
01:48:27,952 --> 01:48:30,288
OTHER -- YOU KNOW, THE SITUATION

3134
01:48:30,288 --> 01:48:32,724
THAT'S BEING INVESTIGATED.

3135
01:48:32,724 --> 01:48:33,525
BUT THAT'S NOT ALL.

3136
01:48:33,525 --> 01:48:36,127
WE'VE GO GOT A LOT OF APPLICATIS

3137
01:48:36,127 --> 01:48:36,561
ON CANCER.

3138
01:48:36,561 --> 01:48:38,730
WHAT WILL THIS ONE DO TO ADVANCE

3139
01:48:38,730 --> 01:48:39,397
OUR UNDERSTANDING.

3140
01:48:39,397 --> 01:48:42,300
SO YO IT'S REALLY TRYING TO PULL

3141
01:48:42,300 --> 01:48:43,268
THE EVALUATION OF THE IMPORTANCE

3142
01:48:43,268 --> 01:48:49,541
TO HOW WILL THIS RESEARCH

3143
01:48:49,541 --> 01:48:50,108
PROJECT ADVANCE THE FIELD.

3144
01:48:50,108 --> 01:48:54,312
SO YES, INCORPORATING WHETHER IT

3145
01:48:54,312 --> 01:48:55,280
ADDRESSES A GAP, WHAT THE

3146
01:48:55,280 --> 01:48:56,381
IMPORTANCE OF THE TOPIC IS, BUT

3147
01:48:56,381 --> 01:48:57,582
ALSO NOT -- WE DON'T WANT THEM

3148
01:48:57,582 --> 01:48:59,751
TO STOP THERE.

3149
01:48:59,751 --> 01:49:01,252
THAT DOES NOT PROVIDE A LOT OF

3150
01:49:01,252 --> 01:49:05,657
VALUE TO SAY YET AGAIN THAT MANY

3151
01:49:05,657 --> 01:49:08,193
OF THESE SITUATIONS THAT WE KNOW

3152
01:49:08,193 --> 01:49:10,762
ARE ALREADY A PROBLEM -- HOW

3153
01:49:10,762 --> 01:49:12,297
THIS APPLICATION ADVANCES.

3154
01:49:12,297 --> 01:49:13,932
SO AGAIN, SOME OF IT IS THE

3155
01:49:13,932 --> 01:49:14,366
SPECIFICITY.

3156
01:49:14,366 --> 01:49:16,634
APPRECIATE THE COMMENTS ON

3157
01:49:16,634 --> 01:49:18,837
THE -- I HEARD SOME OF THE

3158
01:49:18,837 --> 01:49:21,439
CHANGES DESCRIBED AS A PLAIN

3159
01:49:21,439 --> 01:49:24,509
LANGUAGE EFFORT, AND YOUR

3160
01:49:24,509 --> 01:49:26,177
COMMENTS REINFORCE THAT.

3161
01:49:26,177 --> 01:49:31,783
HAPPY TO HEAR THAT.

3162
01:49:31,783 --> 01:49:32,951
>> SO THANK YOU VERY MUCH
FOR A

3163
01:49:32,951 --> 01:49:34,285
VERY HELPFUL AND CLEAR

3164
01:49:34,285 --> 01:49:34,819
PRESENTATION.

3165
01:49:34,819 --> 01:49:36,755
IT'S NOT THAT OFTEN THAT I WOULD

3166
01:49:36,755 --> 01:49:41,259
SAY I REALLY ENJOYED -- I WAS

3167
01:49:41,259 --> 01:49:43,695
FASCINATED AND CAPTIVATED BY A

3168
01:49:43,695 --> 01:49:44,329
PRESENTATION ON SOMETHING LIKE

3169
01:49:44,329 --> 01:49:46,131
HOW WE'RE GOING TO CHANGE REVIEW

3170
01:49:46,131 --> 01:49:46,564
CRITERIA.

3171
01:49:46,564 --> 01:49:48,767
SO THANK YOU FOR WHATEVER MAGIC

3172
01:49:48,767 --> 01:49:52,070
YOU CARRY IN YOU.

3173
01:49:52,070 --> 01:49:53,471
>> THIS IS RECORDED,
RIGHT?

3174
01:49:53,471 --> 01:49:54,339
>> YEAH, YEAH.

3175
01:49:54,339 --> 01:49:55,874
TELL ME WHO YOUR BOSS IS.

3176
01:49:55,874 --> 01:49:57,275
TELL ME WHO YOUR BOSS IS.

3177
01:49:57,275 --> 01:49:59,144
I'LL SEND AN EMAIL.

3178
01:49:59,144 --> 01:50:00,445
HERE'S WHAT I -- SO I'LL GIVE

3179
01:50:00,445 --> 01:50:03,014
THE CAVEAT THAT I HAVEN'T SERVED

3180
01:50:03,014 --> 01:50:04,816
ON STUDY SECTION IN A FEW YEARS,

3181
01:50:04,816 --> 01:50:07,218
SO MAYBE EVERYTHING HAS CHANGED.

3182
01:50:07,218 --> 01:50:10,588
I DO HAVE THE REVIEWS OF MY OWN

3183
01:50:10,588 --> 01:50:12,991
GRANTS, AND THE REVIEWS OF THE

3184
01:50:12,991 --> 01:50:17,962
GRANTS OF MY MANY MENTEES, WHICH

3185
01:50:17,962 --> 01:50:19,197
SUGGEST TO ME THAT MAYBE THIS

3186
01:50:19,197 --> 01:50:21,399
FACTOR HAS NOT CHANGED SINCE

3187
01:50:21,399 --> 01:50:24,235
I'VE BEEN ON STUDY SECTION,

3188
01:50:24,235 --> 01:50:26,504
WHICH IS, I THINK IT'S -- ALL OF

3189
01:50:26,504 --> 01:50:28,907
THESE CHANGES ARE NEEDED AND

3190
01:50:28,907 --> 01:50:32,510
REALLY GOOD AND IMPROVE -- HAVE

3191
01:50:32,510 --> 01:50:34,813
THE POTENTIAL TO IMPROVE, BUT MY

3192
01:50:34,813 --> 01:50:36,781
OBSERVATION ON STUDY SECTION IS,

3193
01:50:36,781 --> 01:50:39,083
YOU NEED TO HAVE SOME OF

3194
01:50:39,083 --> 01:50:41,319
THESE -- YOU NEED TO HAVE

3195
01:50:41,319 --> 01:50:42,754
CERTAIN PEOPLE ON THE STUDY

3196
01:50:42,754 --> 01:50:46,591
SECTION WHO WILL LIFT

3197
01:50:46,591 --> 01:50:48,326
EVERYBODY'S SIGHTS UP TO THE

3198
01:50:48,326 --> 01:50:49,427
HORIZON, AND WE'RE INCREASINGLY

3199
01:50:49,427 --> 01:50:51,062
GETTING TO THE STAGE THAT THE

3200
01:50:51,062 --> 01:50:53,031
PEOPLE WHO ARE MOST CAPABLE OF

3201
01:50:53,031 --> 01:50:57,168
DOING THAT SAY I'M TOO BUT SEE

3202
01:50:57,168 --> 01:51:00,839
 -- TOOBUSY TO REVIEW.

3203
01:51:00,839 --> 01:51:02,340
IT WAS CONSTANTLY AMAZING TO ME

3204
01:51:02,340 --> 01:51:04,776
HOW YOU'D HAVE A REVIEW THAT WAS

3205
01:51:04,776 --> 01:51:05,643
NITPICKING ALL THE WAY IN THE

3206
01:51:05,643 --> 01:51:08,346
WEEDS, AND THAT'S ALMOST LIKE

3207
01:51:08,346 --> 01:51:10,114
PERSONALITY TYPE, YOU CAN -- YOU

3208
01:51:10,114 --> 01:51:13,718
CAN CHANGE THE REVIEW CRITERIA

3209
01:51:13,718 --> 01:51:16,221
AND MAYBE THEY'LL ONLY GO 60%

3210
01:51:16,221 --> 01:51:18,723
INTO THE WEEDS INSTEAD OF 150%

3211
01:51:18,723 --> 01:51:20,925
INTO THE WEEDS.

3212
01:51:20,925 --> 01:51:23,561
BUT I THINK -- AND I DON'T KNOW

3213
01:51:23,561 --> 01:51:25,830
IF THERE'S -- I DON'T KNOW IF

3214
01:51:25,830 --> 01:51:29,901
THERE'S ROOM IN THE CHAIRS OF

3215
01:51:29,901 --> 01:51:32,303
THESE COMMITTEES TO GIVE

3216
01:51:32,303 --> 01:51:34,038
PARTICULAR CONSIDERATION OF ARE

3217
01:51:34,038 --> 01:51:36,774
THESE PEOPLE WHO ARE LIKE

3218
01:51:36,774 --> 01:51:42,113
HORIZON SIGHT LIFTERS  LIFTERS E

3219
01:51:42,113 --> 01:51:43,515
TRAIN THEM TO BE MORE ACTIVE IN

3220
01:51:43,515 --> 01:51:45,383
THAT CONVERSATION, OR WHETHER WE

3221
01:51:45,383 --> 01:51:46,718
THINK STRATEGICALLY ABOUT ON

3222
01:51:46,718 --> 01:51:50,722
THIS STUDY SECTION H I FEED TO,O

3223
01:51:50,722 --> 01:51:52,257
MAKE SURE I HAVE A FEW OF THESE

3224
01:51:52,257 --> 01:51:53,324
HORIZON LIFTERS BECAUSE IF

3225
01:51:53,324 --> 01:51:57,495
THEY'RE THERE, THE REVIEW --

3226
01:51:57,495 --> 01:51:58,897
WHOLE ROOM CHANGES, ESPECIALLY

3227
01:51:58,897 --> 01:52:00,532
IF THEY'RE ABLE TO OFFER THEIR

3228
01:52:00,532 --> 01:52:06,905
COMMENTS IN A, LIKE, YOU KNOW,

3229
01:52:06,905 --> 01:52:09,707
POSITIVE -- THOSE PEOPLE WHO ARE

3230
01:52:09,707 --> 01:52:13,411
JUST REALLY GOOD IN A ROOM AT

3231
01:52:13,411 --> 01:52:16,247
MANAGING THINGS.

3232
01:52:16,247 --> 01:52:18,883
I REMEMBER CONSTANTLY ON STUDY

3233
01:52:18,883 --> 01:52:20,184
SECTION HAVING TO REMIND PEOPLE,

3234
01:52:20,184 --> 01:52:22,153
THIS IS AN R21.

3235
01:52:22,153 --> 01:52:23,154
AND I FELT LIKE THAT WAS MY

3236
01:52:23,154 --> 01:52:25,423
ROLE.

3237
01:52:25,423 --> 01:52:29,127
ON STUDY SECTION WAS, THIS IS AN

3238
01:52:29,127 --> 01:52:30,228
R21, HERE'S WHAT THE

3239
01:52:30,228 --> 01:52:32,196
EXPECTATIONS ARE FOR AN R21.

3240
01:52:32,196 --> 01:52:35,199
SO I APPLAUD YOU FOR THESE

3241
01:52:35,199 --> 01:52:37,435
CHANGES.

3242
01:52:37,435 --> 01:52:38,736
THERE MAY BE NEED FOR SOME

3243
01:52:38,736 --> 01:52:39,737
PARALLEL THINGS TO BE HAPPENING

3244
01:52:39,737 --> 01:52:43,174
IN TERMS OF STAFFING, YOU KNOW,

3245
01:52:43,174 --> 01:52:45,710
SELECTION OF PEOPLE ON STUDY

3246
01:52:45,710 --> 01:52:45,977
SECTIONS.

3247
01:52:45,977 --> 01:52:46,611
>> YEP.

3248
01:52:46,611 --> 01:52:47,712
NO, REALLY APPRECIATE THOSE

3249
01:52:47,712 --> 01:52:52,283
COMMENTS.

3250
01:52:52,283 --> 01:52:55,553
THIS IS ONE PIECE OF A MANY

3251
01:52:55,553 --> 01:52:56,321
MULTIFACETED EFFORT.

3252
01:52:56,321 --> 01:52:58,623
NOT JUST FOR RELATED TO THIS

3253
01:52:58,623 --> 01:53:01,225
PROJECT, BUT IN GENERAL.

3254
01:53:01,225 --> 01:53:03,561
WHO IS AT THE TABLE IS

3255
01:53:03,561 --> 01:53:07,365
CRITICALLY IMPORTANT AND WE ARE

3256
01:53:07,365 --> 01:53:09,434
ALWAYS LOOKING -- I LOVE YOUR

3257
01:53:09,434 --> 01:53:15,039
CONCEPTS, HORIZON LIFTERS.

3258
01:53:15,039 --> 01:53:18,876
WE ALSO WORK TO HELP -- THIS IS

3259
01:53:18,876 --> 01:53:20,044
ONE EXAMPLE OF HOW WE'RE TRYING

3260
01:53:20,044 --> 01:53:22,113
TO HELP OTHER PEOPLE GET TO THAT

3261
01:53:22,113 --> 01:53:25,149
HORIZON LEVEL AS WELL.

3262
01:53:25,149 --> 01:53:27,118
AND THERE ARE OTHER STRATEGIES

3263
01:53:27,118 --> 01:53:28,753
WE HAVE TO DO THAT, WE ARE

3264
01:53:28,753 --> 01:53:29,420
WORKING WITH THE CHAIRS.

3265
01:53:29,420 --> 01:53:32,156
WE WORK WITH OUR STAFF ACTUALLY

3266
01:53:32,156 --> 01:53:35,059
TO BE HORIZON LIFTERS, NOT FOR

3267
01:53:35,059 --> 01:53:35,727
THE SCIENCE BUT FOR SOME OF

3268
01:53:35,727 --> 01:53:38,262
THOSE OTHER CONSIDERATIONS, IF

3269
01:53:38,262 --> 01:53:42,266
THINGS ARE GETTING T TOO WEEDY,

3270
01:53:42,266 --> 01:53:43,267
WE'RE TALKING ABOUT INTERESTING

3271
01:53:43,267 --> 01:53:44,268
SCIENCE BUT WE'RE NOT TALKING

3272
01:53:44,268 --> 01:53:45,203
ABOUT THE APPLICATION ANYMORE,

3273
01:53:45,203 --> 01:53:46,771
SOME OF THIS IS DONE BEHIND THE

3274
01:53:46,771 --> 01:53:47,739
SCENES WITH THE CRITIQUE, SOME

3275
01:53:47,739 --> 01:53:50,575
OF THIS IS DONE IN THE MEETING,

3276
01:53:50,575 --> 01:53:51,576
BUT THERE'S MULTIPLE ANGLES WITH

3277
01:53:51,576 --> 01:53:51,976
THAT GOAL.

3278
01:53:51,976 --> 01:53:54,412
SO YES, AND PLEASE ENCOURAGE

3279
01:53:54,412 --> 01:53:58,249
THOSE HORIZON LIFTERS.

3280
01:53:58,249 --> 01:54:00,952
>> A REALLY QUICK COMMENT.

3281
01:54:00,952 --> 01:54:02,487
FIRST I WANT TO SAY THANK YOU

3282
01:54:02,487 --> 01:54:04,122
VEP, THAT WAS FANTASTIC.

3283
01:54:04,122 --> 01:54:05,657
I AGREE WITH WHAT EVERYONE HAS

3284
01:54:05,657 --> 01:54:06,524
SAID, ALL OF THE CHANGES THAT

3285
01:54:06,524 --> 01:54:07,825
ARE COMING ARE FOR THE

3286
01:54:07,825 --> 01:54:09,227
BETTERMENT OF THE REVIEW PROCESS

3287
01:54:09,227 --> 01:54:10,461
AND SO THANK YOU FOR THAT.

3288
01:54:10,461 --> 01:54:12,296
I THINK IT'S A LITTLE NUANCED

3289
01:54:12,296 --> 01:54:13,731
BUT -- AND I THINK YOU SAID

3290
01:54:13,731 --> 01:54:15,900
THIS, DR. DURRANT, BUT I WANT TO

3291
01:54:15,900 --> 01:54:17,001
HIGHLIGHT ONE PIECE THAT IS

3292
01:54:17,001 --> 01:54:18,069
REALLY IMPORTANT TO ME.

3293
01:54:18,069 --> 01:54:21,572
AND ALL OF THESE CHANGES ARE NOT

3294
01:54:21,572 --> 01:54:23,908
JUST ABOUT BROADENING THE NUMBER

3295
01:54:23,908 --> 01:54:25,209
OF INSTITUTIONS OR DEALING WITH

3296
01:54:25,209 --> 01:54:29,313
BIAS, BUT IN DOING THAT, THE

3297
01:54:29,313 --> 01:54:31,649
RESULT IS THAT IT HELPS US TO

3298
01:54:31,649 --> 01:54:39,057
BETTER ELIMINATE NECK WAITS S -S

3299
01:54:39,057 --> 01:54:40,725
WHAT WE'RE DOING AT NIH.

3300
01:54:40,725 --> 01:54:42,226
I THINK THAT'S THE HORIZON

3301
01:54:42,226 --> 01:54:43,394
LIFTER THAT DOESN'T RELY ON

3302
01:54:43,394 --> 01:54:45,063
PEOPLE BUT RELIES ON A MORE

3303
01:54:45,063 --> 01:54:47,465
CLEAR MESSAGE THAT WILL ALLOW

3304
01:54:47,465 --> 01:54:49,267
REVIEW COMMITTEES TO UNDERSTAND

3305
01:54:49,267 --> 01:54:50,301
WHAT REALLY MATTERS.

3306
01:54:50,301 --> 01:54:54,472
I THINK THAT'S NOT WHAT I HEARD

3307
01:54:54,472 --> 01:54:57,208
ALL THAT CLEARLY, BUT FOR ME,

3308
01:54:57,208 --> 01:54:58,543
THE LAST SLIDE IS LIKE THE FIRST

3309
01:54:58,543 --> 01:55:01,312
SLIDE.

3310
01:55:01,312 --> 01:55:03,281
>> GREAT DISCUSSION.

3311
01:55:03,281 --> 01:55:04,148
DR. DURRANT, THANK YOU SO MUCH.

3312
01:55:04,148 --> 01:55:05,750
HOPEFULLY WE CAN CONVINCE

3313
01:55:05,750 --> 01:55:07,285
DR. DURRANT TO COME BACK,

3314
01:55:07,285 --> 01:55:08,820
BECAUSE WE CLEARLY LIKE TO

3315
01:55:08,820 --> 01:55:09,687
ENGAGE WITH HER.

3316
01:55:09,687 --> 01:55:11,556
I'D SAY BEING AT NIH, I'VE BEEN

3317
01:55:11,556 --> 01:55:15,526
REALLY IMPRESSED WITH CSR.

3318
01:55:15,526 --> 01:55:19,097
YOUR CONSTANT EFFORTS TO IMPROVE

3319
01:55:19,097 --> 01:55:21,199
REVIEW AND ATTENTION TO

3320
01:55:21,199 --> 01:55:22,266
FAIRNESS, SO I WANT TO THANK YOU

3321
01:55:22,266 --> 01:55:24,035
AND EVERYONE AT CSR FOR ALL YOUR

3322
01:55:24,035 --> 01:55:25,336
WORK AND FOR JOINING US TODAY.

3323
01:55:25,336 --> 01:55:31,142
SO THANK YOU.

3324
01:55:31,142 --> 01:55:32,376
SO WITH THAT, WE ARE GOING TO

3325
01:55:32,376 --> 01:55:34,078
TAKE A 15-MINUTE BREAK.

3326
01:55:34,078 --> 01:55:35,279
SOMEONE HELP ME WITH THE MATH.

3327
01:55:35,279 --> 01:55:39,217
IS THAT LIKE 24 OR SOMETHING?

3328
01:55:39,217 --> 01:55:40,284
SO 24, WE'LL SEE YOU THEN. THANK
YOU.

3329
01:55:40,284 --> 01:55:50,461


3330
01:55:42,053 --> 01:55:43,355
>> ALL RIGHT, WELCOME BACK
FROM

3331
01:55:43,355 --> 01:55:45,056
BREAK.

3332
01:55:45,056 --> 01:55:47,559
SO WE HAVE ONE MORE AGENDA ITEM

3333
01:55:47,559 --> 01:55:54,099
BEFORE WE GO TO LUNCH, SO WE'RE

3334
01:55:54,099 --> 01:55:55,467
GOING TO HEAR FROM DR. JOHN

3335
01:55:55,467 --> 01:55:56,835
GRASON, DIRECTOR OF THE NINR

3336
01:55:56,835 --> 01:55:58,270
DIVISION OF SCIENCE POLICY AND

3337
01:55:58,270 --> 01:55:59,704
PUBLIC LIAISON, WHO IS GOING TO

3338
01:55:59,704 --> 01:56:01,206
BE SHARING INFORMATION ON OUR

3339
01:56:01,206 --> 01:56:03,208
HEALTH DISPARITIES PORTFOLIO AND

3340
01:56:03,208 --> 01:56:07,012
THE IMPACT OF RECENT RCDC

3341
01:56:07,012 --> 01:56:08,113
CHANGES, WHICH HE'LL TELL YOU

3342
01:56:08,113 --> 01:56:08,547
ALL ABOUT.

3343
01:56:08,547 --> 01:56:11,082
SO JOHN.

3344
01:56:11,082 --> 01:56:13,552
>> I'LL TELL EVERYONE
ABOUT THAT

3345
01:56:13,552 --> 01:56:15,954
IN GHORRY DETAIL, ESPECIALLY

3346
01:56:15,954 --> 01:56:17,389
KNOWING THAT I'M THE ONLY THING

3347
01:56:17,389 --> 01:56:18,690
BETWEEN YOU AND LUNCH, AND I

3348
01:56:18,690 --> 01:56:20,091
KNOW WE'RE RUNNING A LITTLE BIT

3349
01:56:20,091 --> 01:56:21,393
BEHIND SCHEDULE, SO I MIGHT

3350
01:56:21,393 --> 01:56:22,594
SPEED UP THROUGH A FEW OF THESE

3351
01:56:22,594 --> 01:56:26,231
THINGS, BUT THANKS FOR THE

3352
01:56:26,231 --> 01:56:27,599
OPPORTUNITY TO SPEAK TO ALL OF

3353
01:56:27,599 --> 01:56:29,000
YOU TODAY ABOUT SOME RECENT

3354
01:56:29,000 --> 01:56:31,102
CHANGES IN HOW NIH IS

3355
01:56:31,102 --> 01:56:31,970
CATEGORIZING HEALTH DISPARITIES

3356
01:56:31,970 --> 01:56:36,875
RESEARCH.

3357
01:56:36,875 --> 01:56:38,176
THERE'S A FEW REASONS WE WANTED

3358
01:56:38,176 --> 01:56:39,711
TO DISCUSS THIS TOPIC TODAY.

3359
01:56:39,711 --> 01:56:41,146
OBVIOUSLY HEALTH DISPARITIES

3360
01:56:41,146 --> 01:56:42,914
RESEARCH HAS LONG BEEN AN

3361
01:56:42,914 --> 01:56:45,050
IMPORTANT TOPIC OF INTEREST FOR

3362
01:56:45,050 --> 01:56:46,051
NIH, AND THAT'S CERTAINLY BEEN

3363
01:56:46,051 --> 01:56:49,888
THE CASE AT NINR, AND THAT'S

3364
01:56:49,888 --> 01:56:51,289
ONLY MORE TRUE OVER THE PAST

3365
01:56:51,289 --> 01:56:54,159
SEVERAL YEARS.

3366
01:56:54,159 --> 01:56:55,460
AT THE NIH AS A WHOLE, THERE WAS

3367
01:56:55,460 --> 01:56:57,128
A SENSE THAT WE NEEDED TO DO A

3368
01:56:57,128 --> 01:56:59,164
BETTER JOB OF HOW WE TRACK AND

3369
01:56:59,164 --> 01:57:00,899
ASSESS THE HEALTH DISPARITIES

3370
01:57:00,899 --> 01:57:04,402
RESEARCH THAT WE CURRENTLY

3371
01:57:04,402 --> 01:57:07,672
SUPPORT TO ALLOW US BETTER TOOLS

3372
01:57:07,672 --> 01:57:09,140
TO ANALYZE OUR CURRENT RESEARCH

3373
01:57:09,140 --> 01:57:13,578
AND PLAN FOR FUTURE ACTIVITIES.

3374
01:57:13,578 --> 01:57:15,780
SO THAT'S LED TO THIS MAJOR

3375
01:57:15,780 --> 01:57:16,982
CHANGE JUST OVER THE PAST YEAR

3376
01:57:16,982 --> 01:57:18,483
INTO HOW NIH HAS THOUGHT ABOUT

3377
01:57:18,483 --> 01:57:20,385
CODING AND CATEGORIZING HEALTH

3378
01:57:20,385 --> 01:57:23,622
DISPARITIES RESEARCH.

3379
01:57:23,622 --> 01:57:24,723
THE BIG QUESTION FOR ALL OF US

3380
01:57:24,723 --> 01:57:26,024
HERE TODAY IS HOW HAVE THOSE

3381
01:57:26,024 --> 01:57:28,860
CHANGES IMPACTED NINR.

3382
01:57:28,860 --> 01:57:29,961
AND IT'S PARTICULARLY IMPORTANT

3383
01:57:29,961 --> 01:57:32,564
FOR US BECAUSE AS YOU'RE ALL

3384
01:57:32,564 --> 01:57:36,267
AWARE, IN FISCAL '23, CONGRESS

3385
01:57:36,267 --> 01:57:39,237
APPROPRIATED AN ADDITIONAL

3386
01:57:39,237 --> 01:57:40,205
$10 MILLION TO US SPECIFICALLY

3387
01:57:40,205 --> 01:57:42,641
FOR HEALTH DISPARITIES RESEARCH,

3388
01:57:42,641 --> 01:57:44,576
AND BECAUSE WE'RE VERY

3389
01:57:44,576 --> 01:57:45,577
INTERESTED IN DOING WHAT

3390
01:57:45,577 --> 01:57:46,978
CONGRESS TELLS US TO DO, WE

3391
01:57:46,978 --> 01:57:49,614
NEEDED TO BE ABLE TO HAVE A GOOD

3392
01:57:49,614 --> 01:57:50,715
HANDLE ON HOW MUCH HEALTH

3393
01:57:50,715 --> 01:57:51,983
DISPARITIES RESEARCH WE WERE

3394
01:57:51,983 --> 01:57:54,853
SUPPORTING.

3395
01:57:54,853 --> 01:57:58,490
SO VERY QUICK HISTORY OF CODING

3396
01:57:58,490 --> 01:58:01,760
AND REPORTING AT NIH.

3397
01:58:01,760 --> 01:58:03,294
WHICH I'M SURE EVERYONE CARES

3398
01:58:03,294 --> 01:58:04,129
ABOUT.

3399
01:58:04,129 --> 01:58:06,331
SO OBVIOUSLY NIH FUNDS TENS OF

3400
01:58:06,331 --> 01:58:07,999
THOUSANDS OF GRANTS EVERY YEAR,

3401
01:58:07,999 --> 01:58:10,101
AND WE GET ASKED ALL THE TIME,

3402
01:58:10,101 --> 01:58:12,037
HOW MUCH MONEY ARE YOU SPENDING

3403
01:58:12,037 --> 01:58:15,640
ON X?

3404
01:58:15,640 --> 01:58:16,975
AND WE GET ASKED THAT BY

3405
01:58:16,975 --> 01:58:18,343
CONGRESS, BY INTEREST GROUPS,

3406
01:58:18,343 --> 01:58:18,643
THE PUBLIC.

3407
01:58:18,643 --> 01:58:20,311
THEY WANT AN ACCURATE ANSWER.

3408
01:58:20,311 --> 01:58:21,846
THAT'S NOT ALWAYS EASY.

3409
01:58:21,846 --> 01:58:26,685
SO WHEN I FIRST STARTED AT NIH,

3410
01:58:26,685 --> 01:58:31,356
A FEW YEARS AGO, ALL OF THAT

3411
01:58:31,356 --> 01:58:33,458
CODING AND REPORTING WAS DONE

3412
01:58:33,458 --> 01:58:34,659
MANUALLY, SO PEOPLE LIKE ME

3413
01:58:34,659 --> 01:58:36,828
SITTING AT A COMPUTER, LOOKING

3414
01:58:36,828 --> 01:58:38,163
THROUGH ABSTRACTS SAYING YEP,

3415
01:58:38,163 --> 01:58:39,798
YEP, NOPE, NOPE, THAT SORT OF

3416
01:58:39,798 --> 01:58:39,998
THING.

3417
01:58:39,998 --> 01:58:41,266
WE TRIED TO BE STANDARDIZED, BUT

3418
01:58:41,266 --> 01:58:42,734
IN REALITY, EVERYONE CODED A

3419
01:58:42,734 --> 01:58:44,402
LITTLE BIT DIFFERENTLY, ALL THE

3420
01:58:44,402 --> 01:58:45,570
INSTITUTES CODED DIFFERENTLY,

3421
01:58:45,570 --> 01:58:50,041
AND WE ENDED UP WITH NUMBERS,

3422
01:58:50,041 --> 01:58:51,309
WENDED UP WITH DOLLAR FIGURES.

3423
01:58:51,309 --> 01:58:52,010
WERE THEY ACCURATE?

3424
01:58:52,010 --> 01:58:53,445
I DON'T KNOW.

3425
01:58:53,445 --> 01:58:53,645
MAYBE.

3426
01:58:53,645 --> 01:58:55,313
AND WERE THEY REPRODUCIBLE?

3427
01:58:55,313 --> 01:58:58,116
ABSOLUTELY NOT.

3428
01:58:58,116 --> 01:59:00,218
SO THAT LED TO A LOT OF

3429
01:59:00,218 --> 01:59:01,619
FRUSTRATION, VERY UNDERSTANDABLE

3430
01:59:01,619 --> 01:59:03,922
FRUSTRATION FROM PEOPLE IN THE

3431
01:59:03,922 --> 01:59:05,890
COMMUNITY.

3432
01:59:05,890 --> 01:59:07,392
AND CONGRESS STEPPED IN AND

3433
01:59:07,392 --> 01:59:08,493
INSISTED THAT NIH COME UP WITH A

3434
01:59:08,493 --> 01:59:11,329
BETTER WAY OF DOING THINGS.

3435
01:59:11,329 --> 01:59:13,298
THAT'S WHAT LED TO THE RCDC

3436
01:59:13,298 --> 01:59:14,632
SYSTEM, WHICH DID AWAY WITH ALL

3437
01:59:14,632 --> 01:59:16,568
THAT MANUAL CODING WITH A COUPLE

3438
01:59:16,568 --> 01:59:22,273
OF VERY IMPORTANT EXCEPTIONS.

3439
01:59:22,273 --> 01:59:23,708
SO RCDC STANDS FOR RESEARCH,

3440
01:59:23,708 --> 01:59:26,244
CONDITION AND DISEASE CA

3441
01:59:26,244 --> 01:59:26,778
CATEGORIZATION, AND I'LL

3442
01:59:26,778 --> 01:59:28,613
DEFINITELY GIVE YOU THE

3443
01:59:28,613 --> 01:59:29,481
ABBREVIATED VERSION HERE OF HOW

3444
01:59:29,481 --> 01:59:37,288
THIS ALL WORKS.

3445
01:59:37,288 --> 01:59:39,023
SO RCDC IS USED TO REPORT

3446
01:59:39,023 --> 01:59:40,225
PUBLICLY HOW MUCH NIH IS

3447
01:59:40,225 --> 01:59:41,226
SPENDING IN SEVERAL HUNDRED

3448
01:59:41,226 --> 01:59:44,863
DIFFERENT CATEGORIES OF DISEASE

3449
01:59:44,863 --> 01:59:47,799
CONDITIONS AND RESEARCH AREAS

3450
01:59:47,799 --> 01:59:50,068
AND IT'S A TEXT MINING BASE

3451
01:59:50,068 --> 01:59:51,736
TOOL, IT'S DESIGNED TO -- THE

3452
01:59:51,736 --> 01:59:53,471
INITIAL INTENT OF IT WAS

3453
01:59:53,471 --> 01:59:55,573
DESIGNED TO GET RID OF ALL THOSE

3454
01:59:55,573 --> 01:59:58,843
DIFFERENCES ACROSS THE

3455
01:59:58,843 --> 02:00:00,245
INSTITUTES IN HOW THE INSTITUTES

3456
02:00:00,245 --> 02:00:01,913
CODED AND REPORTED ON THEIR

3457
02:00:01,913 --> 02:00:04,849
RESEARCH ACTIVITIES, AND MAKE

3458
02:00:04,849 --> 02:00:07,352
SURE THAT WE WERE ALL USING

3459
02:00:07,352 --> 02:00:09,120
THIS -- AND BASICALLY WE HAD NO

3460
02:00:09,120 --> 02:00:10,955
CHOICE, THERE WAS ONLY ONE

3461
02:00:10,955 --> 02:00:11,856
METHODOLOGY THEN GOING FORWARD.

3462
02:00:11,856 --> 02:00:13,691
SO AT LEAST IT WAS REPRODUCIBLE.

3463
02:00:13,691 --> 02:00:14,692
WAS IT ACCURATE?

3464
02:00:14,692 --> 02:00:16,427
AT FIRST, A LOT OF US, INCLUDING

3465
02:00:16,427 --> 02:00:18,429
ME, WERE VERY SKEPTICAL THAT

3466
02:00:18,429 --> 02:00:22,700
THIS WOULD WORK.

3467
02:00:22,700 --> 02:00:23,768
ESPECIALLY BECAUSE AS THE PERSON

3468
02:00:23,768 --> 02:00:24,969
CODING AND REPORTING, I HAD A

3469
02:00:24,969 --> 02:00:25,970
VESTED INTEREST IN KEEPING MY

3470
02:00:25,970 --> 02:00:29,908
JOB.

3471
02:00:29,908 --> 02:00:32,844
BUT LIKE A LOT OF PEOPLE, I

3472
02:00:32,844 --> 02:00:34,145
THINK I CAME AROUND EVENTUALLY

3473
02:00:34,145 --> 02:00:35,713
AND IT REALLY HAS BEEN AN

3474
02:00:35,713 --> 02:00:36,381
OUTSTANDING TOOL.

3475
02:00:36,381 --> 02:00:38,883
SO VERY BASICALLY THE WAY IT

3476
02:00:38,883 --> 02:00:40,752
WORKS IS, IT WILL TAKE THE

3477
02:00:40,752 --> 02:00:44,589
ABSTRACT, THE SPECIFIC AIMS AND

3478
02:00:44,589 --> 02:00:46,224
THE TITLE OF EVERY APPLICATION

3479
02:00:46,224 --> 02:00:47,425
THAT COMES IN TO NIH AND

3480
02:00:47,425 --> 02:00:48,493
EXTRACTS A LONG LIST OF WORDS

3481
02:00:48,493 --> 02:00:50,795
FROM IT, AND WEIGHTS THE WORDS

3482
02:00:50,795 --> 02:00:53,965
BASED ON HOW FREQUENTLY THEY

3483
02:00:53,965 --> 02:00:56,401
APPEAR AND THERE'S THIS WHOLE

3484
02:00:56,401 --> 02:00:57,902
TEXT MINING ALGORITHM THAT I

3485
02:00:57,902 --> 02:00:59,370
DON'T UNDERSTAND AND I'M NOT

3486
02:00:59,370 --> 02:01:00,104
GOING TO GO INTO.

3487
02:01:00,104 --> 02:01:01,739
IT COMPARES THAT LONG LIST OF

3488
02:01:01,739 --> 02:01:04,375
WORDS AGAINST A LIST OF TERMS

3489
02:01:04,375 --> 02:01:08,513
THAT ARE PUT TOGETHER FOR EACH

3490
02:01:08,513 --> 02:01:09,414
OF THE DISEASE AREAS AND

3491
02:01:09,414 --> 02:01:11,249
RESEARCH AREAS.

3492
02:01:11,249 --> 02:01:13,251
THAT'S CALLED AN RCDC

3493
02:01:13,251 --> 02:01:17,288
FINGERPRINT.

3494
02:01:17,288 --> 02:01:20,291
AND THOSE TERMS ARE ALL WEIGHTED

3495
02:01:20,291 --> 02:01:21,926
AND DEVELOPED BY EXPERTS AT NIH

3496
02:01:21,926 --> 02:01:25,263
WHO ARE EXPERTS IN EACH OF THOSE

3497
02:01:25,263 --> 02:01:26,264
AREAS, AND BASICALLY IT COMPARES

3498
02:01:26,264 --> 02:01:28,366
THE TWO LISTS OF WORDS AND

3499
02:01:28,366 --> 02:01:31,736
THROUGH AN ALGORITHM AND ALL

3500
02:01:31,736 --> 02:01:34,339
SORT OF MATCHING SCORES AND

3501
02:01:34,339 --> 02:01:36,407
CATEGORY WEIGHTS AND -- I'M NOT

3502
02:01:36,407 --> 02:01:37,542
GOING TO GET INTO IT BECAUSE I

3503
02:01:37,542 --> 02:01:39,911
DON'T REALLY UNDERSTAND IT

3504
02:01:39,911 --> 02:01:41,145
COMPLETELY, IT DETERMINE, YES,

3505
02:01:41,145 --> 02:01:43,314
THIS PROJECT IS IN THIS AREA,

3506
02:01:43,314 --> 02:01:46,117
NO, THIS PROJECT ISN'T IN THIS

3507
02:01:46,117 --> 02:01:49,120
AREA.

3508
02:01:49,120 --> 02:01:51,856
AND IT'S NOT 100% ACCURATE,

3509
02:01:51,856 --> 02:01:52,490
OBVIOUSLY.

3510
02:01:52,490 --> 02:01:56,327
BUT IT DOES A SURPRISINGLY GOOD

3511
02:01:56,327 --> 02:01:58,963
JOB WHEN EVERY NOW AND THEN, YOU

3512
02:01:58,963 --> 02:02:01,699
DO AN AUDIT OF THE DIFFERENT

3513
02:02:01,699 --> 02:02:03,234
CATEGORIES AND ACTUALLY ONCE A

3514
02:02:03,234 --> 02:02:05,637
YEAR, ALL THE PROJECT LISTS ARE

3515
02:02:05,637 --> 02:02:07,505
LOOKED THROUGH TO SEE HOW WELL

3516
02:02:07,505 --> 02:02:08,940
THE SYSTEM IS DOING, AND IT

3517
02:02:08,940 --> 02:02:12,644
ACTUALLY DOES A REALLY GOOD JOB.

3518
02:02:12,644 --> 02:02:13,811
AND IF YOU'RE WONDERING WHAT

3519
02:02:13,811 --> 02:02:15,213
HAPPENS TO ALL THOSE NUMBERS,

3520
02:02:15,213 --> 02:02:18,316
FOR THOSE OF YOU THAT HAVEN'T

3521
02:02:18,316 --> 02:02:19,250
ALREADY BUT I'M SURE MANY OF YOU

3522
02:02:19,250 --> 02:02:22,387
ARE FAMILIAR WITH THIS, THE NIH

3523
02:02:22,387 --> 02:02:24,722
REPORT WEBSITE, REPORT.NIH.GOV,

3524
02:02:24,722 --> 02:02:26,524
ALL OF THOSE NUMBERS ARE

3525
02:02:26,524 --> 02:02:30,695
REPORTED PUBLICLY FOR, AGAIN,

3526
02:02:30,695 --> 02:02:33,998
300-PLUS TEA DISEASE AREAS, ANDL

3527
02:02:33,998 --> 02:02:36,401
THAT DATA IS AVAILABLE TO

3528
02:02:36,401 --> 02:02:39,470
DOWNLOAD, AND DEFINITELY CHECK

3529
02:02:39,470 --> 02:02:39,904
IT OUT.

3530
02:02:39,904 --> 02:02:41,539
LOTS OF GOOD INFORMATION THERE.

3531
02:02:41,539 --> 02:02:42,540
BUT HOW IS THIS RELATED TO

3532
02:02:42,540 --> 02:02:44,475
HEALTH DISPARITIES?

3533
02:02:44,475 --> 02:02:46,444
WELL, I MENTIONED THERE WERE A

3534
02:02:46,444 --> 02:02:48,546
FEW CATEGORIES THAT RCDC HADN'T

3535
02:02:48,546 --> 02:02:50,081
CODED, AND HEALTH DISPARITIES

3536
02:02:50,081 --> 02:02:51,516
AND MINORITY HEALTH WERE TWO OF

3537
02:02:51,516 --> 02:02:55,987
THOSE CATEGORIES.

3538
02:02:55,987 --> 02:02:57,722
AND THAT WAS AN ISSUE FOR US

3539
02:02:57,722 --> 02:02:58,890
BECAUSE, OF COURSE, THOSE WERE

3540
02:02:58,890 --> 02:03:00,792
TWO OF THE MOST IMPORTANT

3541
02:03:00,792 --> 02:03:02,727
CATEGORIES THAT WE CARE ABOUT.

3542
02:03:02,727 --> 02:03:05,163
AND THAT MANY OF THE INSTITUTES

3543
02:03:05,163 --> 02:03:09,867
AT NIH CARE ABOUT.

3544
02:03:09,867 --> 02:03:14,038
AND SO JUST, AGAIN, A REALLY

3545
02:03:14,038 --> 02:03:14,906
BRIEF HISTORY.

3546
02:03:14,906 --> 02:03:16,541
PRIOR TO 2016, THAT WAS ALL

3547
02:03:16,541 --> 02:03:18,176
MANUAL.

3548
02:03:18,176 --> 02:03:19,043
MANUALLY CODED.

3549
02:03:19,043 --> 02:03:22,013
EVEN AFTER RCDC CAME INTO

3550
02:03:22,013 --> 02:03:24,549
EFFECT, IT WAS STILL ALL MANUAL

3551
02:03:24,549 --> 02:03:26,517
CODING.

3552
02:03:26,517 --> 02:03:31,222
AND IT WAS BASED ON THIS FORMULA

3553
02:03:31,222 --> 02:03:32,757
WHERE YOU WOULD LOOK AT THE

3554
02:03:32,757 --> 02:03:34,225
PROPOSED INCLUSION TABLE AND

3555
02:03:34,225 --> 02:03:38,563
GRANT APPLICATIONS, AND BASED ON

3556
02:03:38,563 --> 02:03:41,299
THAT, THERE WAS THIS WHOLE --

3557
02:03:41,299 --> 02:03:42,300
THERE WAS A WHOLE FORMULA THING

3558
02:03:42,300 --> 02:03:45,670
THAT I WON'T GO INTO.

3559
02:03:45,670 --> 02:03:46,971
BUT WE TRIED AS BEST AS WE COULD

3560
02:03:46,971 --> 02:03:49,173
TO STICK TO THAT FORMULA.

3561
02:03:49,173 --> 02:03:51,509
IT WAS NOT CONSISTENTLY APPLIED

3562
02:03:51,509 --> 02:03:54,045
ACROSS ALL THE INSTITUTES, SO

3563
02:03:54,045 --> 02:03:55,513
THERE WAS A LOT OF CRITICISM OF

3564
02:03:55,513 --> 02:03:56,848
NIH FOR WHERE EXACTLY THESE

3565
02:03:56,848 --> 02:04:02,286
NUMBERS WERE COMING FROM.

3566
02:04:02,286 --> 02:04:03,821
AND THEY MOVED TO SORT OF A

3567
02:04:03,821 --> 02:04:06,557
HYBRID SYSTEM BACK IN 2016, BUT

3568
02:04:06,557 --> 02:04:07,992
IN 2023, THE NUMBERS THAT YOU'LL

3569
02:04:07,992 --> 02:04:11,262
SEE ON THE REPORT WEBSITE ARE

3570
02:04:11,262 --> 02:04:13,664
COMPLETELY CODED IN AN AUTOMATED

3571
02:04:13,664 --> 02:04:15,199
WAY NOW BY RCDC.

3572
02:04:15,199 --> 02:04:21,973
WHICH WAS A GREAT DEVELOPMENT,

3573
02:04:21,973 --> 02:04:23,841
BUT WE ALSO WERE SOMEWHAT

3574
02:04:23,841 --> 02:04:29,781
CONCERNED ABOUT WHAT IS -- AND

3575
02:04:29,781 --> 02:04:31,416
FIRST THING I SHOULD SAY,

3576
02:04:31,416 --> 02:04:34,052
THERE'S SOME OBVIOUS BENEFITS TO

3577
02:04:34,052 --> 02:04:41,259
THE AUTOMATIC CODING, ACCURACY,

3578
02:04:41,259 --> 02:04:42,326
TRANSPARENCY, CONSISTENT

3579
02:04:42,326 --> 02:04:44,295
DEFINITIONS ACROSS THE NIH, IT

3580
02:04:44,295 --> 02:04:46,731
MINIMIZES CODER BIAS, MORE

3581
02:04:46,731 --> 02:04:49,467
ACCURATE REPORTING AND PORTFOLIO

3582
02:04:49,467 --> 02:04:50,334
ANALYSIS.

3583
02:04:50,334 --> 02:04:52,403
ALSO BECAUSE RCDC CODES NOT ONLY

3584
02:04:52,403 --> 02:04:54,038
FUNDED APPLICATIONS BUT ALSO

3585
02:04:54,038 --> 02:04:55,239
UNFUNDED APPLICATIONS, ON OUR

3586
02:04:55,239 --> 02:04:56,707
END, IT ALLOWS US TO BETTER

3587
02:04:56,707 --> 02:04:59,243
TRACK THE WORK THAT'S COMING IN.

3588
02:04:59,243 --> 02:05:01,979
YOU CAN'T DO THAT FOR -- I

3589
02:05:01,979 --> 02:05:04,515
FORGET WHAT VALERIE SAID BEFORE,

3590
02:05:04,515 --> 02:05:07,819
THERE WERE -- JUST CSR ALONE HAS

3591
02:05:07,819 --> 02:05:09,153
80-SOME THOUSAND APPLICATIONS.

3592
02:05:09,153 --> 02:05:13,124
IT'S TOUGH TO DO THAT BY HAND.

3593
02:05:13,124 --> 02:05:14,759
SO IT'S GREAT HAVING THE

3594
02:05:14,759 --> 02:05:17,829
AUTOMATED SYSTEM AVAILABLE.

3595
02:05:17,829 --> 02:05:19,263
AND THE NEW CODING STRUCTURE,

3596
02:05:19,263 --> 02:05:21,132
I'LL GET TO IT IN A MINUTE, CAN

3597
02:05:21,132 --> 02:05:24,502
BETTER DISTINGUISH BETWEEN OUR

3598
02:05:24,502 --> 02:05:27,171
RESEARCH EFFORTS AND ALSO OUR

3599
02:05:27,171 --> 02:05:31,542
EFFORTS AT DEIA RELATED

3600
02:05:31,542 --> 02:05:32,076
INITIATIVES AND WORKFORCE

3601
02:05:32,076 --> 02:05:32,510
DEVELOPMENT EFFORTS.

3602
02:05:32,510 --> 02:05:34,712
SO THE CHANGE THAT HAPPENED OVER

3603
02:05:34,712 --> 02:05:37,982
THE PAST YEAR IN ADDITION TO

3604
02:05:37,982 --> 02:05:40,418
MOVING INTO THE AWD MATED CODING

3605
02:05:40,418 --> 02:05:42,687
IS WHAT WAS TWO CATEGORIES,

3606
02:05:42,687 --> 02:05:44,021
HEALTH DISPARITIES AND MINORITY

3607
02:05:44,021 --> 02:05:45,656
HEALTH RESEARCH, IS NOW FIVE

3608
02:05:45,656 --> 02:05:48,693
CATEGORIES.

3609
02:05:48,693 --> 02:05:49,794
AND WITH DIFFERENT DEAF NATIONS

3610
02:05:49,794 --> 02:05:53,531
THADEFINITIONSTHAN WHAT WE'VE U.

3611
02:05:53,531 --> 02:05:55,266
WE NOW HAVE HEALTH DISPARITIES

3612
02:05:55,266 --> 02:05:55,833
RESEARCH.

3613
02:05:55,833 --> 02:05:56,834
MINORITY HEALTH BECAME RACIAL

3614
02:05:56,834 --> 02:05:58,035
AND ETHNIC MINORITY HEALTH

3615
02:05:58,035 --> 02:06:00,771
RESEARCH WITH A VERY DIFFERENT

3616
02:06:00,771 --> 02:06:01,072
DEFINITION.

3617
02:06:01,072 --> 02:06:02,640
THEN THERE'S ESSENTIALLY THE

3618
02:06:02,640 --> 02:06:03,774
COMBINATION OF THOSE TWO

3619
02:06:03,774 --> 02:06:07,011
CATEGORIES.

3620
02:06:07,011 --> 02:06:09,547
BUT NOW THERE'S ALSO A SEPARATE

3621
02:06:09,547 --> 02:06:11,082
CATEGORY FOR WORKFORCE DIVERSITY

3622
02:06:11,082 --> 02:06:13,050
AND OUTREACH, AND BUILDING

3623
02:06:13,050 --> 02:06:14,051
RESEARCH CAPACITY AT

3624
02:06:14,051 --> 02:06:15,386
INSTITUTIONS WITH LIMITED NIH

3625
02:06:15,386 --> 02:06:20,925
FUNDING.

3626
02:06:20,925 --> 02:06:24,996
SO THE DEFINITIONS.

3627
02:06:24,996 --> 02:06:26,497
HEALTH DISPARITY RESEARCH --

3628
02:06:26,497 --> 02:06:28,032
I'LL GO OVER THESE BECAUSE IT'S

3629
02:06:28,032 --> 02:06:29,167
IMPORTANT TO KNOW WHAT THEY --

3630
02:06:29,167 --> 02:06:30,368
THESE WERE ESSENTIALLY THE

3631
02:06:30,368 --> 02:06:32,770
DEFINITIONS THAT WERE USED BY

3632
02:06:32,770 --> 02:06:35,339
THE RCDC PEOPLE AND BY THE

3633
02:06:35,339 --> 02:06:37,575
EXPERTS THAT WERE ADVISING THOSE

3634
02:06:37,575 --> 02:06:38,676
COMMITTEES, THESE ARE THE

3635
02:06:38,676 --> 02:06:41,412
DEFINITIONS THAT THEY USED IN

3636
02:06:41,412 --> 02:06:43,614
DEVELOPING THOSE NEW

3637
02:06:43,614 --> 02:06:45,383
FINGERPRINTS USED BY THE SYSTEM.

3638
02:06:45,383 --> 02:06:47,451
SO HEALTH DISPARITIES RESEARCH,

3639
02:06:47,451 --> 02:06:57,628
VECTINVESTIGATING -- INTO

3640
02:06:57,628 --> 02:06:59,697
INTERVENTIONS TO REDUCE

3641
02:06:59,697 --> 02:07:03,201
DISPARITIES.

3642
02:07:03,201 --> 02:07:05,102
AND FOR THE NEW MINORITY HEALTH

3643
02:07:05,102 --> 02:07:06,604
CATEGORY, RACIAL AND ETHNIC

3644
02:07:06,604 --> 02:07:07,805
MINORITY HEALTH RESEARCH, THE

3645
02:07:07,805 --> 02:07:09,106
SCIENTIFIC INVESTIGATION OF

3646
02:07:09,106 --> 02:07:09,674
DISTINCTIVE HEALTH

3647
02:07:09,674 --> 02:07:11,242
CHARACTERISTICS AND ATTRIBUTES

3648
02:07:11,242 --> 02:07:13,744
OF MINORITY RACIAL/ETHNIC GROUPS

3649
02:07:13,744 --> 02:07:14,612
INCLUDING MULTI-RACIAL

3650
02:07:14,612 --> 02:07:14,946
INDIVIDUALS.

3651
02:07:14,946 --> 02:07:18,115
AND IMPORTANTLY, THE AWARDS THAT

3652
02:07:18,115 --> 02:07:22,420
SIMPLY STRATIFY DATA BY RACE AND

3653
02:07:22,420 --> 02:07:23,721
ETHNICITY ARE NO LONGER INCLUDED

3654
02:07:23,721 --> 02:07:31,195
IN THAT CATEGORY.

3655
02:07:31,195 --> 02:07:32,496
HOW DID THIS ALL IMPACT US?

3656
02:07:32,496 --> 02:07:34,832
WE HAD THE ADDITIONAL MONEY,

3657
02:07:34,832 --> 02:07:35,700
$10 MILLION FROM CONGRESS COME

3658
02:07:35,700 --> 02:07:38,669
IN, WE WOULD HOPE THAT THOSE --

3659
02:07:38,669 --> 02:07:39,937
THAT THAT INCREASE WOULD BE

3660
02:07:39,937 --> 02:07:41,038
REFLECTED IN OUR REPORTING

3661
02:07:41,038 --> 02:07:45,076
NUMBERS.

3662
02:07:45,076 --> 02:07:46,944
AND MAINLY WE WANT TO MAKE SURE

3663
02:07:46,944 --> 02:07:48,212
THAT OUR INSTITUTE IS RECEIVING

3664
02:07:48,212 --> 02:07:50,248
CREDIT FOR THE WORK WE'RE DOING.

3665
02:07:50,248 --> 02:07:52,450
SO LET'S SEE HOW WE DID.

3666
02:07:52,450 --> 02:07:55,953
SO THIS IS THE HISTORY OF WHAT

3667
02:07:55,953 --> 02:07:59,023
OUR HEALTH DISPARITIES NUMBERS

3668
02:07:59,023 --> 02:08:01,859
LOOK LIKE BETWEEN 2018 AND 2022.

3669
02:08:01,859 --> 02:08:03,728
SO AGAIN, THESE WERE FOR THE

3670
02:08:03,728 --> 02:08:05,496
MOST PART MANUAL CODING.

3671
02:08:05,496 --> 02:08:08,266
AND FOR THE MOST PART WE WERE --

3672
02:08:08,266 --> 02:08:13,404
WE SAW SLOW BUT STEADY INCREASE.

3673
02:08:13,404 --> 02:08:17,942
BUT HERE'S WHAT IT IS FOR '23.

3674
02:08:17,942 --> 02:08:19,910
AND WE WERE OBVIOUSLY VERY HAPPY

3675
02:08:19,910 --> 02:08:22,280
TO SEE THIS.

3676
02:08:22,280 --> 02:08:26,651
THIS WAS THE CODING DONE BY THIS

3677
02:08:26,651 --> 02:08:28,319
NEW AUTOMATED METHOD THAT WE HAD

3678
02:08:28,319 --> 02:08:30,488
NO CONTROL OVER, WE WANTED TO --

3679
02:08:30,488 --> 02:08:31,589
JUST HAD TO WAIT AND SEE HOW

3680
02:08:31,589 --> 02:08:34,992
MUCH THE SYSTEM TOLD US WE WERE

3681
02:08:34,992 --> 02:08:36,193
SPENDING.

3682
02:08:36,193 --> 02:08:37,495
AND WE WERE PLEASANTLY SURPRISED

3683
02:08:37,495 --> 02:08:39,597
TO SEE THAT UNDER THE NEW CODING

3684
02:08:39,597 --> 02:08:41,799
RULES, OUR RESEARCH DOLLAR

3685
02:08:41,799 --> 02:08:45,503
FIGURE ROSE ABOUT 50%.

3686
02:08:45,503 --> 02:08:47,471
SO SOME OF THAT OBVIOUSLY IS

3687
02:08:47,471 --> 02:08:48,572
ATTRIBUTABLE TO THE $10 MILLION

3688
02:08:48,572 --> 02:08:50,775
INFLUX OF FUNDS.

3689
02:08:50,775 --> 02:08:53,144
SOME OF IT WAS PROBABLY BECAUSE

3690
02:08:53,144 --> 02:08:55,179
UNDER THE OLD CODING SYSTEM, WE

3691
02:08:55,179 --> 02:08:56,580
WERE SELLING OURSELVES SHORT

3692
02:08:56,580 --> 02:08:59,317
WHEN IT CAME TO CODING, BUT I

3693
02:08:59,317 --> 02:09:03,521
MEAN, I THINK IT'S SAFE TO SAY

3694
02:09:03,521 --> 02:09:04,689
THAT A GOOD DEAL OF THE REASON

3695
02:09:04,689 --> 02:09:08,192
BEHIND THIS INCREASE IS SIMPLY

3696
02:09:08,192 --> 02:09:09,627
THE WORK THAT THIS INSTITUTE HAS

3697
02:09:09,627 --> 02:09:12,897
BEEN DOING OVER THE PAST SEVERAL

3698
02:09:12,897 --> 02:09:17,401
YEARS TO REALLY PUT MORE OF AN

3699
02:09:17,401 --> 02:09:19,270
EMPHASIS ON OUR RESEARCH IN

3700
02:09:19,270 --> 02:09:21,772
HEALTH DISPARITIES.

3701
02:09:21,772 --> 02:09:23,074
I SHOULD POINT OUT AT THIS POINT

3702
02:09:23,074 --> 02:09:25,009
THAT WE'RE REALLY NOT SUPPOSED

3703
02:09:25,009 --> 02:09:27,912
TO DO CHARTS LIKE THIS AND

3704
02:09:27,912 --> 02:09:29,714
COMPARE THE OLD DAYS TO THE NEW

3705
02:09:29,714 --> 02:09:30,881
DAYS BECAUSE THEY'RE NOT

3706
02:09:30,881 --> 02:09:32,083
COMPARABLE, THEY'RE COMPLETELY

3707
02:09:32,083 --> 02:09:34,685
DIFFERENT METHODOLOGIES.

3708
02:09:34,685 --> 02:09:38,856
SO WITH THAT SAID, LET'S KEEP

3709
02:09:38,856 --> 02:09:43,694
COMPARING.

3710
02:09:43,694 --> 02:09:45,329
OR WE COULD JUST LOOK AT TWO

3711
02:09:45,329 --> 02:09:49,734
DATASETS SIDE BY SIDE, WHATEVER.

3712
02:09:49,734 --> 02:09:52,603
SO BEFORE THIS YEAR WITH THE

3713
02:09:52,603 --> 02:09:54,338
MANUAL CODING, WE ACTUALLY -- WE

3714
02:09:54,338 --> 02:09:56,841
DID RANK SECOND AT NIH.

3715
02:09:56,841 --> 02:10:00,378
IN TERMS OF PERCENT OF BUDGET

3716
02:10:00,378 --> 02:10:03,314
SPENT ON HEALTH DISPARITIES.

3717
02:10:03,314 --> 02:10:04,982
UNDER THE NEW SYSTEM, THAT'S

3718
02:10:04,982 --> 02:10:08,352
EVEN HIGHER NOW.

3719
02:10:08,352 --> 02:10:10,321
, WE'RE NOW UP TO ABOUT 46%, AND

3720
02:10:10,321 --> 02:10:12,089
I THINK THAT NUMBER WAS IN

3721
02:10:12,089 --> 02:10:13,524
SHANNON'S SLIDE EARLIER TODAY.

3722
02:10:13,524 --> 02:10:15,359
WE'RE STILL IN SECOND PLACE

3723
02:10:15,359 --> 02:10:20,364
BEHIND NIMHD, WHICH I THINK YOU

3724
02:10:20,364 --> 02:10:24,301
COULD EXPECT THAT.

3725
02:10:24,301 --> 02:10:26,404
THIS IS THAT NEW MINORITY HEALTH

3726
02:10:26,404 --> 02:10:27,838
CATEGORY, RACIAL AND ETHNIC

3727
02:10:27,838 --> 02:10:30,040
MINORITY HEALTH RESEARCH, AND

3728
02:10:30,040 --> 02:10:31,575
UNDER THE NEW CODING, WE'RE

3729
02:10:31,575 --> 02:10:34,678
PRETTY MUCH THE SAME, THOUGH

3730
02:10:34,678 --> 02:10:37,047
AGAIN, THERE'S EVEN LESS OF --

3731
02:10:37,047 --> 02:10:38,182
THEY'RE EVEN LESS COMPARABLE

3732
02:10:38,182 --> 02:10:39,884
WITH THIS DEFINITION, BECAUSE

3733
02:10:39,884 --> 02:10:41,519
IT'S SO DIFFERENT FROM THE OLD

3734
02:10:41,519 --> 02:10:43,487
ONE AND THE DEIA INITIATIVES ARE

3735
02:10:43,487 --> 02:10:45,289
NOW MOVED TO A NEW CODING.

3736
02:10:45,289 --> 02:10:47,124
SO THE SLIGHT DECREASE HERE

3737
02:10:47,124 --> 02:10:49,760
ISN'T SURPRISING, IN FACT, MOST

3738
02:10:49,760 --> 02:10:51,295
OF THE INSTITUTES ACTUALLY

3739
02:10:51,295 --> 02:10:52,997
SHOWED QUITE A BIT MORE OF A

3740
02:10:52,997 --> 02:10:53,464
DECREASE.

3741
02:10:53,464 --> 02:10:55,065
SO I THINK THIS, AGAIN, IS GOOD

3742
02:10:55,065 --> 02:10:57,902
NEWS FOR US.

3743
02:10:57,902 --> 02:11:01,205
AND SIMILARLY, WE WERE SECOND

3744
02:11:01,205 --> 02:11:02,840
PLACE BEFORE, WE'RE STILL SECOND

3745
02:11:02,840 --> 02:11:05,476
PLACE WHEN IT COMES TO THIS

3746
02:11:05,476 --> 02:11:06,243
CATEGORY, BUT FOR THE REST OF

3747
02:11:06,243 --> 02:11:08,245
THE TALK, I'LL FOCUS ON THE

3748
02:11:08,245 --> 02:11:09,747
HEALTH DISPARITIES CATEGORY.

3749
02:11:09,747 --> 02:11:13,050
SO IF YOU LOOK AT OUR -- IF

3750
02:11:13,050 --> 02:11:14,151
WE'RE TALKING NOW ABOUT THE

3751
02:11:14,151 --> 02:11:16,020
NUMBER OF PROJECTS WE SUPPORTED

3752
02:11:16,020 --> 02:11:20,057
IN FY 23, JUST A LITTLE OVER

3753
02:11:20,057 --> 02:11:24,261
HALF OF THEM WERE CATEGORIZED

3754
02:11:24,261 --> 02:11:25,696
UNDER THE NEW CODING AS HEALTH

3755
02:11:25,696 --> 02:11:28,432
DISPARITIES RESEARCH.

3756
02:11:28,432 --> 02:11:30,201
AND THE OTHER HALF WERE NOT

3757
02:11:30,201 --> 02:11:31,168
CODED HEALTH DISPARITIES.

3758
02:11:31,168 --> 02:11:32,903
IF WE -- AND I'LL MOVE REALLY

3759
02:11:32,903 --> 02:11:34,338
QUICKLY THROUGH THIS BECAUSE I'M

3760
02:11:34,338 --> 02:11:37,641
RUNNING OUT OF TIME, BUT IF WE

3761
02:11:37,641 --> 02:11:41,912
LOOK AT A BREAKDOWN OF THE

3762
02:11:41,912 --> 02:11:45,616
MECHANISM OR THE TYPES OF GRANTS

3763
02:11:45,616 --> 02:11:49,253
AND COMPARE BETWEEN OUR NON-HD

3764
02:11:49,253 --> 02:11:50,354
PROJECTS AND HD PROJECTS, IT'S

3765
02:11:50,354 --> 02:11:51,689
MORE OR LESS THE SAME, THE

3766
02:11:51,689 --> 02:11:54,425
RESEARCH PROJECTS ARE A LITTLE

3767
02:11:54,425 --> 02:11:56,293
BIT HIGHER IN THE HEALTH

3768
02:11:56,293 --> 02:11:58,162
DISPARITIES PROJECTS.

3769
02:11:58,162 --> 02:11:59,463
WE'RE STILL -- THIS IS -- THE

3770
02:11:59,463 --> 02:12:01,232
OTHER THING I SHOULD SAY IS

3771
02:12:01,232 --> 02:12:03,000
THESE DATA CAME OUT JUST A FEW

3772
02:12:03,000 --> 02:12:04,068
WEEKS AGO, WHEN THEY WERE

3773
02:12:04,068 --> 02:12:06,136
SUPPOSED TO HAVE BEEN OUT BACK

3774
02:12:06,136 --> 02:12:07,571
IN FEBRUARY OR SOMETHING LIKE

3775
02:12:07,571 --> 02:12:08,506
THAT.

3776
02:12:08,506 --> 02:12:09,740
SO WE'RE STILL TRYING TO FIGURE

3777
02:12:09,740 --> 02:12:12,977
OUT SOME OF THE MEANING BEHIND

3778
02:12:12,977 --> 02:12:14,879
THIS, BUT I'LL REPORT TO YOU

3779
02:12:14,879 --> 02:12:18,215
TODAY JUST FOR -- JUST TO BE

3780
02:12:18,215 --> 02:12:18,916
THOROUGH.

3781
02:12:18,916 --> 02:12:23,721
FP YOU LOOK AT THE -- JUST THE

3782
02:12:23,721 --> 02:12:27,291
RPGs, THIS IS THE BREAKDOWN OF

3783
02:12:27,291 --> 02:12:28,125
MECHANISMS, THERE'S SLIGHTLY

3784
02:12:28,125 --> 02:12:29,693
MORE R01s BUT IT'S BASICALLY

3785
02:12:29,693 --> 02:12:30,995
THE SAME.

3786
02:12:30,995 --> 02:12:31,862
COMPARING HEALTH DISPARITIES

3787
02:12:31,862 --> 02:12:33,731
PROJECTS TO NON-HEALTH

3788
02:12:33,731 --> 02:12:37,968
DISPARITIES.

3789
02:12:37,968 --> 02:12:39,103
THAT INSTITUTION TYPE, AGAIN,

3790
02:12:39,103 --> 02:12:43,841
IT'S MORE OR LESS THE SAME,

3791
02:12:43,841 --> 02:12:49,980
DPOTHEHIGHER EDUCATION INSTITUTS

3792
02:12:49,980 --> 02:12:50,881
ARE A LITTLE HIGHER IN THE

3793
02:12:50,881 --> 02:12:51,949
HEALTH DISPARITIES PROJECTS.

3794
02:12:51,949 --> 02:12:56,353
IF WE LOOK AT THE DATA FOR EARLY

3795
02:12:56,353 --> 02:12:57,788
AND -- LAST YEAR ABOUT 22% OF

3796
02:12:57,788 --> 02:12:59,490
OUR INVESTIGATORS WERE NEW

3797
02:12:59,490 --> 02:13:00,291
INVESTIGATORS, ACCORDING TO THE

3798
02:13:00,291 --> 02:13:01,158
NIH DEFINITION.

3799
02:13:01,158 --> 02:13:05,129
AND WITHIN THOSE NEW

3800
02:13:05,129 --> 02:13:06,130
INVESTIGATORS, ABOUT HALF OF

3801
02:13:06,130 --> 02:13:08,432
THEM WERE WORKING ON PROJECTS

3802
02:13:08,432 --> 02:13:09,300
CODED HEALTH DISPARITIES

3803
02:13:09,300 --> 02:13:11,502
RESEARCH AND HALF OF THEM WORK.

3804
02:13:11,502 --> 02:13:13,571
AND IT WAS VERY SIMILAR WITH

3805
02:13:13,571 --> 02:13:15,673
EARLY STAGE INVESTIGATORS AS

3806
02:13:15,673 --> 02:13:16,106
WELL.

3807
02:13:16,106 --> 02:13:25,549
ABOUT HALF.

3808
02:13:25,549 --> 02:13:28,352
SO WHAT WE LEARNED?

3809
02:13:28,352 --> 02:13:29,219
AGAIN IT WAS ESTABLISHED THAT

3810
02:13:29,219 --> 02:13:31,055
WE'RE ONE OF THE LEADERS AT NIH

3811
02:13:31,055 --> 02:13:32,723
IN HEALTH DISPARITIES FUNDING,

3812
02:13:32,723 --> 02:13:34,391
MINORITY HEALTH FUNDING, AGAIN,

3813
02:13:34,391 --> 02:13:36,360
AS A PERCENT OF BUDGET.

3814
02:13:36,360 --> 02:13:37,995
WE'RE ONE OF THE FEW ICs THAT

3815
02:13:37,995 --> 02:13:40,431
ENDED UP SHOWING AN INCREASE IN

3816
02:13:40,431 --> 02:13:42,266
HEALTH DISPARITIES FUNDING UNDER

3817
02:13:42,266 --> 02:13:44,802
THE NEW CODING METHODOLOGY, AND

3818
02:13:44,802 --> 02:13:47,004
THAT REFLECTS OUR STRATEGIC

3819
02:13:47,004 --> 02:13:49,740
PLAN, A TESTAMENT TO -- IT'S A

3820
02:13:49,740 --> 02:13:51,175
TESTAMENT TO THE COMMITMENT OF

3821
02:13:51,175 --> 02:13:54,044
THE NURSING SCIENTIST THAT APPLY

3822
02:13:54,044 --> 02:13:57,514
TO US.

3823
02:13:57,514 --> 02:14:00,718
THAT THIS HAS BEEN AND CONTINUES

3824
02:14:00,718 --> 02:14:02,219
TO BE A FOCUS FOR OUR

3825
02:14:02,219 --> 02:14:03,887
INVESTIGATORS.

3826
02:14:03,887 --> 02:14:08,592
WE WERE VERY PLEASED TO SEE THAT

3827
02:14:08,592 --> 02:14:09,660
THAT'S REFLECTED IN THE NEW

3828
02:14:09,660 --> 02:14:10,594
DATA.

3829
02:14:10,594 --> 02:14:11,695
NOT ENTIRELY SURPRISED BECAUSE

3830
02:14:11,695 --> 02:14:14,198
WE'VE PUT SO MUCH OF AN EMPHASIS

3831
02:14:14,198 --> 02:14:15,966
ON OUR LENSES OF HEALTH EQUITY

3832
02:14:15,966 --> 02:14:20,004
AND SOCIAL DETERMINANTS OF

3833
02:14:20,004 --> 02:14:23,173
HEALTH, AND ALSO WE WERE HAPPY

3834
02:14:23,173 --> 02:14:25,109
TO BE ABLE TO DEMONSTRATE THAT

3835
02:14:25,109 --> 02:14:25,676
THAT $10 MILLION THAT WE

3836
02:14:25,676 --> 02:14:29,246
RECEIVED FROM CONGRESS HAS BEEN

3837
02:14:29,246 --> 02:14:31,415
PUT TO GOOD USE, AND THAT OUR

3838
02:14:31,415 --> 02:14:33,083
EFFORTS ARE REFLECTED IN THE

3839
02:14:33,083 --> 02:14:36,053
DATA.

3840
02:14:36,053 --> 02:14:45,562
SO I THINK THAT'S MY LAST SLIDE.

3841
02:14:45,562 --> 02:14:48,632
HAPPY TO TAKE ANY QUESTIONS AND

3842
02:14:48,632 --> 02:14:50,067
SORRY I HAD TO RUSH THROUGH THAT

3843
02:14:50,067 --> 02:14:50,968
BUT WE'RE ALL HUNGRY.

3844
02:14:50,968 --> 02:14:51,835
>> THANK YOU, JOHN.

3845
02:14:51,835 --> 02:14:54,805
SO WE'RE GOING TO PAIR UP

3846
02:14:54,805 --> 02:14:55,673
DR. BEKEMEIER AND DR. GRASON

3847
02:14:55,673 --> 02:14:56,507
AGAIN.

3848
02:14:56,507 --> 02:15:00,544
SO DR. BEKEMEIER, START.

3849
02:15:00,544 --> 02:15:01,645
>> SO THANKS, JOHN.

3850
02:15:01,645 --> 02:15:04,682
I LOVED SEEING THESE SLIDES.

3851
02:15:04,682 --> 02:15:09,853
IT GIVES ME GREAT PLEASURE TO

3852
02:15:09,853 --> 02:15:14,224
SEE THE IMPRESSIVE ROLE OF NINR

3853
02:15:14,224 --> 02:15:17,661
IN NOT JUST ACHIEVING WHAT WE'D

3854
02:15:17,661 --> 02:15:18,729
HOPED TO ACHIEVE WITH OUR

3855
02:15:18,729 --> 02:15:19,830
STRATEGIC PLAN AND THAT WE'RE

3856
02:15:19,830 --> 02:15:21,165
SEEING THESE METRICS REALLY

3857
02:15:21,165 --> 02:15:22,132
DEMONSTRATE THAT, BUT THAT IT

3858
02:15:22,132 --> 02:15:25,302
REALLY SHOWS THAT NINR IS A

3859
02:15:25,302 --> 02:15:29,707
LEADLEADER ACROSS THE INSTITUTES

3860
02:15:29,707 --> 02:15:30,474
WELL.

3861
02:15:30,474 --> 02:15:34,178
SO THAT'S SUPER EXCITING TO SEE.

3862
02:15:34,178 --> 02:15:36,413
THERE ARE SOME THINGS THAT --

3863
02:15:36,413 --> 02:15:37,848
ANOTHER THING THAT REALLY JUMPED

3864
02:15:37,848 --> 02:15:42,419
OUT AT ME WITH YOUR PRESENTATION

3865
02:15:42,419 --> 02:15:43,854
WAS AROUND THE EARLY STAGE

3866
02:15:43,854 --> 02:15:45,189
INVESTIGATORS AND THE NEW

3867
02:15:45,189 --> 02:15:46,824
INVESTIGATORS, THAT THEY ARE

3868
02:15:46,824 --> 02:15:51,829
REALLY CRITICAL TO THIS PROCESS.

3869
02:15:51,829 --> 02:15:53,864
THEY'RE DRIVING IN SOME RESPECTS

3870
02:15:53,864 --> 02:15:55,365
A LOT OF THESE PROPOSALS.

3871
02:15:55,365 --> 02:15:58,068
THEY'RE THE BULK OF THESE

3872
02:15:58,068 --> 02:15:59,103
PROPOSALS, WHICH SUGGEST THAT

3873
02:15:59,103 --> 02:16:03,540
WE'RE ON THE RIGHT TRACK, THAT

3874
02:16:03,540 --> 02:16:04,975
IT'S GOING TO BE THE NEW

3875
02:16:04,975 --> 02:16:06,376
SCIENTISTS AND THAT PERPETUATE

3876
02:16:06,376 --> 02:16:07,845
OUR FIELD THAT ARE REALLY GOING

3877
02:16:07,845 --> 02:16:09,379
TO GROW THIS AREA.

3878
02:16:09,379 --> 02:16:11,348
SO THAT, TO ME, IS REALLY

3879
02:16:11,348 --> 02:16:19,156
EXCITING.

3880
02:16:19,156 --> 02:16:20,591
WHICH ALSO IN SORT OF SOME

3881
02:16:20,591 --> 02:16:21,658
RESPECTS GETS BACK TO MAKING

3882
02:16:21,658 --> 02:16:25,062
SURE WE HAVE REVIEWERS IN PLACE

3883
02:16:25,062 --> 02:16:26,163
EFFECTIVELY BECAUSE THEY'RE LESS

3884
02:16:26,163 --> 02:16:27,831
LIKELY TO BE THE REVIEWERS SO WE

3885
02:16:27,831 --> 02:16:29,466
HAVE TO HAVE REVIEWERS IN PLACE

3886
02:16:29,466 --> 02:16:31,468
THAT CAN REVIEW THESE KINDS OF

3887
02:16:31,468 --> 02:16:35,739
PROPOSALS, ET CETERA.

3888
02:16:35,739 --> 02:16:37,908
A COUPLE OF THINGS JUMPED OUT AT

3889
02:16:37,908 --> 02:16:38,909
ME.

3890
02:16:38,909 --> 02:16:41,311
MAYBE THIS IS -- MAYBE THIS IS

3891
02:16:41,311 --> 02:16:45,249
TOO IN THE WEEDS AROUND THE

3892
02:16:45,249 --> 02:16:47,217
DATA, BUT THERE WAS A SMALLER

3893
02:16:47,217 --> 02:16:51,188
PROPORTION OF R21s THAN -- OF

3894
02:16:51,188 --> 02:16:54,591
COURSE THERE'S MORE R01s, BUT

3895
02:16:54,591 --> 02:16:59,296
WHY WOULD THERE BE A SMALLER

3896
02:16:59,296 --> 02:17:02,599
INCREASE OR NO INCREASE, I CAN'T

3897
02:17:02,599 --> 02:17:04,368
REMEMBER, IN THE -- ARE THE

3898
02:17:04,368 --> 02:17:06,837
R21s WOULD BE THE PRECURSORS

3899
02:17:06,837 --> 02:17:08,071
TO THE OTHER.

3900
02:17:08,071 --> 02:17:08,839
ANYWAY, THAT'S NOT THAT

3901
02:17:08,839 --> 02:17:09,940
IMPORTANT OF A QUESTION, IF THE

3902
02:17:09,940 --> 02:17:11,909
DATA AREN'T ABLE TO TALK ABOUT

3903
02:17:11,909 --> 02:17:22,186
THAT.

3904
02:17:22,186 --> 02:17:23,253
ANYWAY, IN TERMS OF WHAT YOU'RE

3905
02:17:23,253 --> 02:17:24,454
TALKING ABOUT HERE, IT ALSO SAYS

3906
02:17:24,454 --> 02:17:29,660
TO ME, WHAT IS OUR ROLE WITH THE

3907
02:17:29,660 --> 02:17:32,429
BROADER NIH AS LEADERS IN THIS

3908
02:17:32,429 --> 02:17:40,637
SPACE BASED ON THESE METRICS.

3909
02:17:40,637 --> 02:17:42,306
AND HOW DO WE ASSURE THAT KIND

3910
02:17:42,306 --> 02:17:42,940
OF INFLUENCE?

3911
02:17:42,940 --> 02:17:44,208
AND ALSO YOUR POINT, JOHN, THAT

3912
02:17:44,208 --> 02:17:45,375
YOU MADE AT THE BEGINNING THAT

3913
02:17:45,375 --> 02:17:48,679
WE'RE NOW ABLE TO DO -- HAVE

3914
02:17:48,679 --> 02:17:50,347
THESE SAME DATA FOR PROPOSALS

3915
02:17:50,347 --> 02:17:53,717
NOT FUNDED, I THINK ABOUT WHAT

3916
02:17:53,717 --> 02:17:55,586
ARE SOME OTHER ANALYSES THAT

3917
02:17:55,586 --> 02:17:58,222
COULD BE DONE HERE, AND SHOULD

3918
02:17:58,222 --> 02:17:59,857
WE -- COULD WE ALSO BE LOOKING

3919
02:17:59,857 --> 02:18:03,794
AT WHAT APPROPRIATES ALES,

3920
02:18:03,794 --> 02:18:05,596
WHAT'S THE NATURE OR

3921
02:18:05,596 --> 02:18:06,930
CHARACTERISTICS OF PROPOSALS AND

3922
02:18:06,930 --> 02:18:07,998
MAYBE EVEN INDIVIDUALS THAT

3923
02:18:07,998 --> 02:18:08,966
AREN'T BEING FUNDED AND ARE

3924
02:18:08,966 --> 02:18:10,734
THERE ANY SYSTEMATIC BIASES OR

3925
02:18:10,734 --> 02:18:12,502
WHAT HAVE YOU THAT NEED TO BE

3926
02:18:12,502 --> 02:18:14,271
TAKEN INTO ACCOUNT.

3927
02:18:14,271 --> 02:18:17,875
THOSE ARE JUST SOME NE IMMEDIATE

3928
02:18:17,875 --> 02:18:18,375
REFLECTIONS.

3929
02:18:18,375 --> 02:18:21,311
>> YEAH, I THINK IT'S SAFE
TO

3930
02:18:21,311 --> 02:18:22,646
SAY THAT WITH THIS KIND OF DATA

3931
02:18:22,646 --> 02:18:24,514
NOW AVAILABLE, NIH-WIDE AND NOW

3932
02:18:24,514 --> 02:18:31,622
THAT WE HAVE SOME ASSURANCE THAT

3933
02:18:31,622 --> 02:18:33,857
LOOKING AT GRANTS THAT COME IN

3934
02:18:33,857 --> 02:18:35,626
THE OTHER INSTITUTES AND

3935
02:18:35,626 --> 02:18:36,526
COMPARING WHAT THE DIFFERENT

3936
02:18:36,526 --> 02:18:37,661
INSTITUTES ARE DOING, THAT WE

3937
02:18:37,661 --> 02:18:41,732
NOW HAVE A GOOD IDEA THAT THOSE

3938
02:18:41,732 --> 02:18:43,166
DATA ARE A LOT MORE USEFUL THAN

3939
02:18:43,166 --> 02:18:46,236
THEY USED TO BE.

3940
02:18:46,236 --> 02:18:50,307
AND THERE ARE -- WE'VE ALREADY

3941
02:18:50,307 --> 02:18:51,608
HAD MANY DISCUSSIONS ABOUT MANY,

3942
02:18:51,608 --> 02:18:53,911
MANY DIFFERENT THINGS WE COULD

3943
02:18:53,911 --> 02:18:56,880
LOOK AT, PARTICULARLY WITH

3944
02:18:56,880 --> 02:18:57,781
UNFUNDED GRANTS BUT EVEN WITH

3945
02:18:57,781 --> 02:19:02,552
THE GRANTS THAT WE FUND NOW.

3946
02:19:02,552 --> 02:19:03,921
THERE'S -- DESPITE THE FACT THAT

3947
02:19:03,921 --> 02:19:06,223
I'M NOT MANUALLY CODING GRANTS

3948
02:19:06,223 --> 02:19:07,424
ANYMORE, THERE'S STILL MORE THAN

3949
02:19:07,424 --> 02:19:10,060
ENOUGH WORK TO KEEP ME EMPLOYED,

3950
02:19:10,060 --> 02:19:12,930
SO THAT'S -- IT WAS EXCELLENT

3951
02:19:12,930 --> 02:19:15,632
NEWS, BUT YEAH, IT'S -- THE SKY

3952
02:19:15,632 --> 02:19:17,301
IS THE LIMIT AT THIS POINT.

3953
02:19:17,301 --> 02:19:18,869
THIS HAS BEEN A VERY POSITIVE

3954
02:19:18,869 --> 02:19:25,108
DEVELOPMENT.

3955
02:19:25,108 --> 02:19:27,477
>> SO DR. GRASON, JOHN,
THANK

3956
02:19:27,477 --> 02:19:29,346
YOU, THAT WAS A FANTASTIC

3957
02:19:29,346 --> 02:19:29,980
PRESENTATION.

3958
02:19:29,980 --> 02:19:32,816
I THINK THE NEWS, AND SORT OF

3959
02:19:32,816 --> 02:19:34,318
THE BOTTOM LINE MESSAGE IS JUST

3960
02:19:34,318 --> 02:19:35,852
SUCH A POSITIVE ONE.

3961
02:19:35,852 --> 02:19:41,892
MY COMMENT IS MORE ABOUT SORT OF

3962
02:19:41,892 --> 02:19:42,459
TWO THINGS.

3963
02:19:42,459 --> 02:19:44,027
ONE, HOW CAN WE BETTER TELL THAT

3964
02:19:44,027 --> 02:19:45,662
STORY OF HOW NINR HAS BEEN A

3965
02:19:45,662 --> 02:19:47,197
LEADER, WHETHER IT BE MANUAL

3966
02:19:47,197 --> 02:19:50,033
DATA OR THE NEW AUTOMATED

3967
02:19:50,033 --> 02:19:50,467
SYSTEM.

3968
02:19:50,467 --> 02:19:52,035
IT'S SOMETHING WE SHOULD ALL BE

3969
02:19:52,035 --> 02:19:54,938
COLLECTIVELY VERY PROUD OF, AND

3970
02:19:54,938 --> 02:19:56,206
IT SOUNDS LIKE EITHER WAY,

3971
02:19:56,206 --> 02:19:58,775
THERE'S EVIDENCE THAT NINR HAS

3972
02:19:58,775 --> 02:20:02,245
BEEN CERTAINLY LEADING -- IT'S

3973
02:20:02,245 --> 02:20:02,479
SECOND.

3974
02:20:02,479 --> 02:20:05,315
I THINK THE OTHER PART IS,

3975
02:20:05,315 --> 02:20:06,383
ASSUMING THAT THAT MESSAGE IS

3976
02:20:06,383 --> 02:20:08,485
OUT THERE IN THE UNIVERSE, THEN

3977
02:20:08,485 --> 02:20:11,355
WHY DOES IT MATTER THAT NINR IS

3978
02:20:11,355 --> 02:20:13,423
DOING WORK AROUND I WOULD SAY

3979
02:20:13,423 --> 02:20:16,159
HEALTH INEQUITY, BUT HEALTH

3980
02:20:16,159 --> 02:20:17,227
DISPARITIES IS THE NEW

3981
02:20:17,227 --> 02:20:19,129
DEFINITION THAT IS CURRENTLY THE

3982
02:20:19,129 --> 02:20:19,696
DEFINITION, BECAUSE I THINK

3983
02:20:19,696 --> 02:20:20,664
THERE'S SOMETHING VERY UNIQUE

3984
02:20:20,664 --> 02:20:22,265
ABOUT THAT THAT ALSO HAS TO DO

3985
02:20:22,265 --> 02:20:23,767
WITH THE STORY AND THE INSTITUTE

3986
02:20:23,767 --> 02:20:26,169
AND ELEVATING SORT OF THE

3987
02:20:26,169 --> 02:20:27,471
NURSING AND WORKFORCE.

3988
02:20:27,471 --> 02:20:30,574
SO JUST -- I'M SURE THAT MAKES

3989
02:20:30,574 --> 02:20:32,876
SENSE, BUT IT SADDENS ME A BIT

3990
02:20:32,876 --> 02:20:34,611
TO BE PERFECTLY CANDID, I DON'T

3991
02:20:34,611 --> 02:20:35,979
THINK THE BROADER PUBLIC

3992
02:20:35,979 --> 02:20:36,713
UNDERSTANDS THAT THIS HAS BEEN

3993
02:20:36,713 --> 02:20:41,985
PART OF NINR FOR SO LONG.

3994
02:20:41,985 --> 02:20:45,856
>> AND I ACTUALLY HAVE A
PIGGY

3995
02:20:45,856 --> 02:20:52,229
BACK COMMENT T SEEING THAT NINRS

3996
02:20:52,229 --> 02:20:53,530
LEADING THE HEALTH DISPARITIES

3997
02:20:53,530 --> 02:20:54,264
RESEARCH.

3998
02:20:54,264 --> 02:20:55,632
I'M NOT SUGGESTING BUT IT WILL

3999
02:20:55,632 --> 02:20:56,833
BE INTERESTING SINCE IT'S

4000
02:20:56,833 --> 02:20:58,368
AUTOMATIC, WHAT DO YOU THINK,

4001
02:20:58,368 --> 02:21:00,570
DR. GRASON, IN TERMS OF IF WE

4002
02:21:00,570 --> 02:21:04,441
USED A NEW METHODOLOGY TO CODE

4003
02:21:04,441 --> 02:21:07,177
THE COUPLE OF PREVIOUS YEARS,

4004
02:21:07,177 --> 02:21:09,046
LIKE WHAT DO YOU THINK?

4005
02:21:09,046 --> 02:21:12,115
IS THERE ANY -- OR STORY THAT WE

4006
02:21:12,115 --> 02:21:12,749
CAN TELL?

4007
02:21:12,749 --> 02:21:15,085
IF IT'S TOO, YOU KNOW,

4008
02:21:15,085 --> 02:21:15,986
LABOR-INTENSIVE, I'M NOT

4009
02:21:15,986 --> 02:21:17,054
SUGGESTING IT, BUT I'M JUST

4010
02:21:17,054 --> 02:21:19,256
CURIOUS IF YOU HAVE ANY KIND OF

4011
02:21:19,256 --> 02:21:22,025
ASSUMPTIONS BASED ON YOUR

4012
02:21:22,025 --> 02:21:23,460
EXPERIENCE MANUALLY OR

4013
02:21:23,460 --> 02:21:24,761
AUTOMATICALLY CODING THIS, AND

4014
02:21:24,761 --> 02:21:26,930
MY SECOND COMMENT IS, IT'S GREAT

4015
02:21:26,930 --> 02:21:31,001
TO HAVE THESE INSIGHTS BASED ON

4016
02:21:31,001 --> 02:21:34,671
THE DATA THAT YOU HAVE SHARED,

4017
02:21:34,671 --> 02:21:36,273
BUT HOW DO WE EVEN MOVE FORWARD

4018
02:21:36,273 --> 02:21:38,508
THEN, NOT ONLY TALKING OR

4019
02:21:38,508 --> 02:21:41,244
ARTICULATING THIS STORY WITH THE

4020
02:21:41,244 --> 02:21:44,081
BROADER COMMUNITY, BUT TO DRIVE

4021
02:21:44,081 --> 02:21:47,851
ACTIONS THAT NINR IS LEADING AND

4022
02:21:47,851 --> 02:21:49,252
DOING AN AMAZING JOB IN FUNDING

4023
02:21:49,252 --> 02:21:50,921
AND SUPPORTING HEALTH EQUITY

4024
02:21:50,921 --> 02:21:52,489
HEALTH DISPARITIES RESEARCH WHEN

4025
02:21:52,489 --> 02:21:55,325
THERE ARE FUNDING OPPORTUNITIES

4026
02:21:55,325 --> 02:21:56,960
OUT THERE, HOW CAN WE USE THIS

4027
02:21:56,960 --> 02:22:00,630
STORY TO DRIVE MORE FUNDING

4028
02:22:00,630 --> 02:22:03,800
TOWARD NINR TO DO THIS BECAUSE

4029
02:22:03,800 --> 02:22:05,769
WE HAVE -- NINR HAS BEEN DOING

4030
02:22:05,769 --> 02:22:08,371
THIS VERY WELL.

4031
02:22:08,371 --> 02:22:09,973
SO I'LL END HERE AND I'M CURIOUS

4032
02:22:09,973 --> 02:22:12,275
ABOUT YOUR THOUGHTS ON THE

4033
02:22:12,275 --> 02:22:17,714
APPLICATION OF NEW METHODOLOGY

4034
02:22:17,714 --> 02:22:19,249
ON THE PAST YEARS AND IS THERE

4035
02:22:19,249 --> 02:22:21,184
ANYTHING ELSE THAT WE CAN ADD TO

4036
02:22:21,184 --> 02:22:21,618
THE STORY?

4037
02:22:21,618 --> 02:22:22,786
>> IT'S SOMETHING WE'VE
STARTED

4038
02:22:22,786 --> 02:22:25,989
TO TAKE A LOOK AT.

4039
02:22:25,989 --> 02:22:27,457
THERE'S A NUMBER OF TECHNICAL

4040
02:22:27,457 --> 02:22:28,658
REASONS, OR SO I'M TOLD, THAT

4041
02:22:28,658 --> 02:22:30,393
IT'S NOT AS STRAIGHTFORWARD AS

4042
02:22:30,393 --> 02:22:31,761
YOU THINK IT IS, AS YOU MIGHT

4043
02:22:31,761 --> 02:22:32,963
THINK IT WOULD BE TO LOOK AT

4044
02:22:32,963 --> 02:22:35,699
PREVIOUS YEARS.

4045
02:22:35,699 --> 02:22:37,334
I'M NOT ENTIRELY SURE WHY.

4046
02:22:37,334 --> 02:22:38,802
I THINK WE CAN AT LEAST GET A

4047
02:22:38,802 --> 02:22:41,438
ROUGH IDEA.

4048
02:22:41,438 --> 02:22:43,640
OF HOW THAT WOULD LOOK.

4049
02:22:43,640 --> 02:22:45,575
AND WE CAN CERTAINLY WORK WITH

4050
02:22:45,575 --> 02:22:47,611
OUR COLLEAGUES AT NIH TO FIGURE

4051
02:22:47,611 --> 02:22:50,447
OUT A GOOD WAY TO DO THAT.

4052
02:22:50,447 --> 02:22:54,084
BUT I'M SURE THAT THAT WILL BE A

4053
02:22:54,084 --> 02:22:57,821
VERY FREQUENT QUESTION ASKED OF

4054
02:22:57,821 --> 02:22:59,022
NIH IN THE COMING WEEKS AND

4055
02:22:59,022 --> 02:23:00,557
MONTHS, NOW THAT THIS IS OUT.

4056
02:23:00,557 --> 02:23:02,225
AND THIS REALLY IS, THIS IS A

4057
02:23:02,225 --> 02:23:04,027
WEEK AND A HALF OLD, I THINK,

4058
02:23:04,027 --> 02:23:05,428
THAT THIS HAS ACTUALLY BEEN

4059
02:23:05,428 --> 02:23:07,864
PUBLICLY RELEASED.

4060
02:23:07,864 --> 02:23:09,499
AND I WOULDN'T BE SURPRISED IF A

4061
02:23:09,499 --> 02:23:10,700
LOT OF FOLKS GET THOSE

4062
02:23:10,700 --> 02:23:14,171
QUESTIONS.

4063
02:23:14,171 --> 02:23:16,806
SO THEY'VE MADE A VERY CONCERTED

4064
02:23:16,806 --> 02:23:21,978
EFFORT TO SEPARATE THE BEFORE

4065
02:23:21,978 --> 02:23:25,815
TIMES FROM THE NEW ERA, LIKE I

4066
02:23:25,815 --> 02:23:29,019
THINK IF YOU LOOK ON THE REPORT

4067
02:23:29,019 --> 02:23:33,623
WEBSITE, THE DATA FROM PREVIOUS

4068
02:23:33,623 --> 02:23:35,258
YEARS ISN'T FEATURED ON THE

4069
02:23:35,258 --> 02:23:36,226
WEBSITE ANYMORE.

4070
02:23:36,226 --> 02:23:37,694
IT'S STILL AVAILABLE, THERE'S A

4071
02:23:37,694 --> 02:23:38,695
FOOTNOTE, THERE'S AN EMAIL

4072
02:23:38,695 --> 02:23:41,198
ADDRESS YOU CAN GET IT FROM, BUT

4073
02:23:41,198 --> 02:23:45,835
THEY WANT TO MAKE VERY CLEAR

4074
02:23:45,835 --> 02:23:46,836
THAT THIS IS COMPLETELY NEW AT

4075
02:23:46,836 --> 02:23:47,604
THIS POINT, BUT WE'LL SEE.

4076
02:23:47,604 --> 02:23:49,573
>> I JUST WANT TO ADD A
SMALL

4077
02:23:49,573 --> 02:23:50,674
COMMENT, IT'S LIKE I THINK THE

4078
02:23:50,674 --> 02:23:55,178
STORY THAT I'M LOOKING FOR IS

4079
02:23:55,178 --> 02:23:56,713
THAT NURSES HAVE BEEN DOING THIS

4080
02:23:56,713 --> 02:23:57,948
FOUNDATIONAL WORK IN THE AREA OF

4081
02:23:57,948 --> 02:24:02,085
HEALTH EQUITY JUST LIKE WHEN WE

4082
02:24:02,085 --> 02:24:03,520
WERE -- AT THE VERY BEGINNING

4083
02:24:03,520 --> 02:24:05,589
WHEN HEALTH EQUITY OR HEALTH

4084
02:24:05,589 --> 02:24:07,624
DISPARITY IS BECOMING A BUZZ

4085
02:24:07,624 --> 02:24:11,328
WORD IN THIS SOCIETY, IF WE CAN

4086
02:24:11,328 --> 02:24:12,862
DEMONSTRATE NURSES LEADING ROLE

4087
02:24:12,862 --> 02:24:14,898
AND CON FOUNDATIONAL ROLE IN

4088
02:24:14,898 --> 02:24:16,566
THIS RESEARCH AND TO USE THAT

4089
02:24:16,566 --> 02:24:20,136
STORY TO SUPPORT OR ADVOCATE FOR

4090
02:24:20,136 --> 02:24:27,611
MORE FUNDING FOR NINR.

4091
02:24:27,611 --> 02:24:30,680
>> SO I HAVE A QUESTION
ABOUT

4092
02:24:30,680 --> 02:24:33,750
HOW THE CA CATEGORIES SHOW UP IN

4093
02:24:33,750 --> 02:24:34,284
NIH REPORTER.

4094
02:24:34,284 --> 02:24:37,187
THEY SHOW UP IN NIH SPENDING

4095
02:24:37,187 --> 02:24:39,155
CATEGORY OR IN PROJECT TERMS, OR

4096
02:24:39,155 --> 02:24:41,057
IS THE CATEGORY A DERIVATIVE OF

4097
02:24:41,057 --> 02:24:41,725
THE TERMS?

4098
02:24:41,725 --> 02:24:46,963
>> SO IF YOU LOOK AT
REPORTER,

4099
02:24:46,963 --> 02:24:49,733
THERE IS A -- THERE'S A TAB

4100
02:24:49,733 --> 02:24:51,368
CALLED CATEGORICAL SPENDING, I

4101
02:24:51,368 --> 02:24:54,571
THINK.

4102
02:24:54,571 --> 02:24:56,840
>> I'M THINKING ABOUT AT
THE

4103
02:24:56,840 --> 02:24:57,507
INDIVIDUAL PROJECT LEVEL.

4104
02:24:57,507 --> 02:24:58,508
>> YES.

4105
02:24:58,508 --> 02:25:04,781
>> NOT THE CAT GOT 
CATEGORICALG

4106
02:25:04,781 --> 02:25:06,016
BUT THAT'S FROM THE THINGS THAT

4107
02:25:06,016 --> 02:25:08,184
COME UP FROM THE AUTOMATED

4108
02:25:08,184 --> 02:25:08,918
SEARCH, RIGHT?

4109
02:25:08,918 --> 02:25:09,519
>> KREK.

4110
02:25:09,519 --> 02:25:10,687
>> ACTUALLY I'M LOOKING AT
THE

4111
02:25:10,687 --> 02:25:11,855
PROJECT AT THE MOMENT AND THERE

4112
02:25:11,855 --> 02:25:12,956
IS -- YOU KNOW, ONE OF THE

4113
02:25:12,956 --> 02:25:15,225
THINGS YOU GET IS NIH SPENDING

4114
02:25:15,225 --> 02:25:16,026
CATEGORY.

4115
02:25:16,026 --> 02:25:20,630
AND THE OTHER IS PROJECT TERMS.

4116
02:25:20,630 --> 02:25:22,999
SO HOW DOES THE AUTOMATED SYSTEM

4117
02:25:22,999 --> 02:25:24,167
CATEGORIZE -- INCLUDING THINGS

4118
02:25:24,167 --> 02:25:27,304
IN THOSE BUCKETS IN THE CA

4119
02:25:27,304 --> 02:25:27,904
CATEGORICAL SPENDING.

4120
02:25:27,904 --> 02:25:29,506
IS IT BY SPENDING CATEGORY OR --

4121
02:25:29,506 --> 02:25:33,543
>> IT'S BASED ON THE
TERMS.

4122
02:25:33,543 --> 02:25:36,179
IT'S WHATEVER TEXT MINING TOOL

4123
02:25:36,179 --> 02:25:40,550
THAT THEY USE, HOWEVER THAT

4124
02:25:40,550 --> 02:25:41,818
EXTRACTS TERMS AND CERTAIN

4125
02:25:41,818 --> 02:25:43,553
FREQUENCIES AND AT CERTAIN

4126
02:25:43,553 --> 02:25:43,987
WEIGHTS.

4127
02:25:43,987 --> 02:25:45,422
AND I THINK THEY'RE STILL

4128
02:25:45,422 --> 02:25:46,756
LOOKING SPECIFICALLY AT TITLES

4129
02:25:46,756 --> 02:25:50,193
AND ABSTRACTS AND SPECIFIC AIMS.

4130
02:25:50,193 --> 02:25:53,263
AND IT GENERATES THAT LIST OF

4131
02:25:53,263 --> 02:25:55,231
TERMS, WHICH IT THEN -- IT

4132
02:25:55,231 --> 02:25:58,001
COMPARES THOSE TO THE -- THOSE

4133
02:25:58,001 --> 02:25:59,536
OTHER LISTS OF TERMS, THOSE

4134
02:25:59,536 --> 02:26:00,970
FINGERPRINTS THAT I MENTIONED

4135
02:26:00,970 --> 02:26:02,706
AND SEES HOW WELL THEY MATCH,

4136
02:26:02,706 --> 02:26:07,711
BUT IT'S ALL BASED ON THE TERMS.

4137
02:26:07,711 --> 02:26:08,978
THAT ARE EXTRACTED.

4138
02:26:08,978 --> 02:26:12,716
>> AND I GUESS MY QUESTION
THEN

4139
02:26:12,716 --> 02:26:15,452
IS, LIKE THE PROJECT THAT I'M

4140
02:26:15,452 --> 02:26:17,187
LOOKING AT, THE TITLE IS

4141
02:26:17,187 --> 02:26:18,254
HISPANIC SEXUAL MINORITY YOUTH

4142
02:26:18,254 --> 02:26:19,122
AND THEIR FAMILIES.

4143
02:26:19,122 --> 02:26:22,359
BUT THE TERMS ARE, HISPANIC AND

4144
02:26:22,359 --> 02:26:24,794
NOT HISPANIC OR LATINO.

4145
02:26:24,794 --> 02:26:25,562
>> RIGHT.

4146
02:26:25,562 --> 02:26:29,332
>> SO IT SEEMS LIKE -- IS

4147
02:26:29,332 --> 02:26:30,600
THERE -- WILL THERE BE AN

4148
02:26:30,600 --> 02:26:31,968
EVALUATION OF HOW WELL THE

4149
02:26:31,968 --> 02:26:33,370
AUTOMATED SYSTEM IS REALLY

4150
02:26:33,370 --> 02:26:34,137
CAPTURING?

4151
02:26:34,137 --> 02:26:37,240
BECAUSE I THINK THIS REALLY IS

4152
02:26:37,240 --> 02:26:39,976
IMPORTANT AND NINR IS LEADING IN

4153
02:26:39,976 --> 02:26:42,579
THIS AREA, AND YES WE'RE GETTING

4154
02:26:42,579 --> 02:26:43,847
GOOD CREDIT, BUT IS THERE MAYBE

4155
02:26:43,847 --> 02:26:45,582
MORE TRACTION THAT WE NEED IN

4156
02:26:45,582 --> 02:26:47,684
TERMS OF THE WAY THAT THE

4157
02:26:47,684 --> 02:26:48,718
AUTOMATIC -- WHAT WILL BE THE

4158
02:26:48,718 --> 02:26:50,120
EVALUATION OF THE AUTOMATIC

4159
02:26:50,120 --> 02:26:52,455
SYSTEM GOING FORWARD TO MAKE

4160
02:26:52,455 --> 02:26:56,059
SURE THAT IT REFLECTS THE

4161
02:26:56,059 --> 02:26:59,162
GENERAL CODING THAT A HUMAN

4162
02:26:59,162 --> 02:27:00,263
BRAIN WOULD PUT IN PLACE?

4163
02:27:00,263 --> 02:27:02,532
>> SO LIKE THIS -- THESE
NEW

4164
02:27:02,532 --> 02:27:04,234
CATEGORIES, LIKE MOST OF THE

4165
02:27:04,234 --> 02:27:08,405
CATEGORIES, BUT I THINK THESE

4166
02:27:08,405 --> 02:27:10,373
NEW CATEGORIES WILL BE EVEN MORE

4167
02:27:10,373 --> 02:27:11,674
CLOSELY LOOKED AT.

4168
02:27:11,674 --> 02:27:14,344
ON AN ANNUAL BASIS, THEY SEND US

4169
02:27:14,344 --> 02:27:17,747
THE PROJECT LIST BEFORE THEY --

4170
02:27:17,747 --> 02:27:18,715
ESSENTIALLY BEFORE THEY COME

4171
02:27:18,715 --> 02:27:19,682
OUT, MONTHS AND MONTHS BEFORE

4172
02:27:19,682 --> 02:27:21,618
THEY COME OUT, AND WE CAN LOOK

4173
02:27:21,618 --> 02:27:24,354
THROUGH THOSE AND SAY, OKAY,

4174
02:27:24,354 --> 02:27:28,992
THESE MORE OR LESS LOOK CORRECT,

4175
02:27:28,992 --> 02:27:30,427
OR THERE'S A PROBLEM HERE, WHY

4176
02:27:30,427 --> 02:27:32,162
WOULD THE SYSTEM, YOU KNOW, ADD

4177
02:27:32,162 --> 02:27:34,130
THAT.

4178
02:27:34,130 --> 02:27:37,634
THE CLASSIC EXAMPLE BACK IN THE

4179
02:27:37,634 --> 02:27:42,639
DAY WAS, THERE WERE AN ABNORMAL

4180
02:27:42,639 --> 02:27:44,307
AMOUNT OF GRANTS THAT WERE

4181
02:27:44,307 --> 02:27:49,112
SOMEHOW CODED TAMPA BAY, AS

4182
02:27:49,112 --> 02:27:50,213
BEING FROM TAMPA BAY.

4183
02:27:50,213 --> 02:27:52,515
IT TURNS OUT THEY WERE

4184
02:27:52,515 --> 02:27:54,350
TUBERCULOSIS GRANTS, TB.

4185
02:27:54,350 --> 02:27:55,952
NOW THAT'S WAY BACK IN TIME.

4186
02:27:55,952 --> 02:27:57,053
BUT THEY FIXED THAT SORT OF

4187
02:27:57,053 --> 02:27:58,021
THING A LONG TIME AGO.

4188
02:27:58,021 --> 02:28:01,458
>> BUT IT DOES SORT OF
PROVE THE

4189
02:28:01,458 --> 02:28:01,691
CONCEPT.

4190
02:28:01,691 --> 02:28:02,759
IF YOU'RE NOT PAYING ATTENTION,

4191
02:28:02,759 --> 02:28:03,560
YOU CAN GET --

4192
02:28:03,560 --> 02:28:06,563
>> RIGHT, AND IT'S
IMPROVED SO

4193
02:28:06,563 --> 02:28:08,298
MUCH OVER THE YEARS IN ITS

4194
02:28:08,298 --> 02:28:09,499
ABILITY TO KIND OF FILTER THAT

4195
02:28:09,499 --> 02:28:10,700
STUFF OUT.

4196
02:28:10,700 --> 02:28:12,535
BUT STAFF DOES TAKE A LOOK AT IT

4197
02:28:12,535 --> 02:28:15,371
ON AN ANNUAL BASIS, AND SEE HOW

4198
02:28:15,371 --> 02:28:17,507
WELL IT'S DOING, AND THEN EVERY

4199
02:28:17,507 --> 02:28:19,943
FEW YEARS, THEY DO A MORE

4200
02:28:19,943 --> 02:28:20,910
EXTENSIVE REVISIT WHERE THEY GO

4201
02:28:20,910 --> 02:28:22,445
BACK TO THAT LIST OF TERMS THAT

4202
02:28:22,445 --> 02:28:25,982
WAS DEVELOPED TO MAKE SURE THAT

4203
02:28:25,982 --> 02:28:26,883
IT'S KEEPING UP WITH THE

4204
02:28:26,883 --> 02:28:30,587
SCIENCE.

4205
02:28:30,587 --> 02:28:32,021
AND THAT IT'S CAPTURING WHAT IT

4206
02:28:32,021 --> 02:28:32,689
SHOULD.

4207
02:28:32,689 --> 02:28:34,023
AND LIKE I SAID, I'M SURE THERE

4208
02:28:34,023 --> 02:28:36,993
WILL BE EXTRA SCRUTINY OF THESE

4209
02:28:36,993 --> 02:28:38,628
CATEGORIES WHILE THEY'RE STILL

4210
02:28:38,628 --> 02:28:39,662
PRETTY NEW.

4211
02:28:39,662 --> 02:28:41,097
>> AND IS THERE ANY WAY
FOR

4212
02:28:41,097 --> 02:28:43,299
INDIVIDUAL INVESTIGATORS TO KNOW

4213
02:28:43,299 --> 02:28:44,400
WHICH BUCKET THEIR WORK HAS BEEN

4214
02:28:44,400 --> 02:28:48,771
PLACED IN?

4215
02:28:48,771 --> 02:28:50,373
BECAUSE NO ONE WOULD WANT TO

4216
02:28:50,373 --> 02:28:51,341
GAME THE SYSTEM.

4217
02:28:51,341 --> 02:28:51,908
>> RIGHT.

4218
02:28:51,908 --> 02:28:54,077
>> PEOPLE WOULD WANT THEIR
WORK

4219
02:28:54,077 --> 02:28:56,913
TO BE IN THE BUCKET THAT THEY

4220
02:28:56,913 --> 02:29:00,783
BELIEVE IS MOST APPROPRIATE FOR

4221
02:29:00,783 --> 02:29:01,885
THEM, AND IF THERE ARE TERMS

4222
02:29:01,885 --> 02:29:03,887
THAT THROW THEM OUT OR INTO

4223
02:29:03,887 --> 02:29:05,288
THOSE BUCKETS, THEY MIGHT WANT

4224
02:29:05,288 --> 02:29:06,956
TO ADJUST THE WAY IN WHICH

4225
02:29:06,956 --> 02:29:11,060
THEY'RE PRESENTING THE WORK.

4226
02:29:11,060 --> 02:29:13,763
>> YEAH, I WOULD BE LYING
IF I

4227
02:29:13,763 --> 02:29:15,532
SAID THAT I'M SURE THERE IS SOME

4228
02:29:15,532 --> 02:29:20,270
GAMING OF THE SYSTEM GOING ON.

4229
02:29:20,270 --> 02:29:23,806
>> I DON'T WANT TO BE
GAMED, BUT

4230
02:29:23,806 --> 02:29:24,574
ACCURATELY REFLECTING WHAT THE

4231
02:29:24,574 --> 02:29:24,941
WORK IS.

4232
02:29:24,941 --> 02:29:25,475
>> RIGHT.

4233
02:29:25,475 --> 02:29:27,510
>> SO IF YOU'RE DOING A
HISPANIC

4234
02:29:27,510 --> 02:29:28,611
SEXUAL MINORITY YOUTH PROJECT

4235
02:29:28,611 --> 02:29:30,513
AND IT GETS CODED AS BOTH

4236
02:29:30,513 --> 02:29:35,718
HISPANIC AND NOT HISPANIC,'S AN

4237
02:29:35,718 --> 02:29:36,719
INVESTIGATOR, I WOULD WANT TO

4238
02:29:36,719 --> 02:29:37,720
HAVE SOME ABILITY TO SAY WHAT

4239
02:29:37,720 --> 02:29:40,323
BUCKET DID YOU ACTUALLY PUT ME

4240
02:29:40,323 --> 02:29:41,791
IN, AND IS THERE ANY WAY THAT I

4241
02:29:41,791 --> 02:29:44,327
CAN ADVOCATE FOR EITHER THIS

4242
02:29:44,327 --> 02:29:46,729
PROJECT BEING RECLASSIFIED OR IS

4243
02:29:46,729 --> 02:29:48,598
THERE SOMETHING THAT I'M DOING

4244
02:29:48,598 --> 02:29:50,199
WRONG IN THE WAY THAT I'M

4245
02:29:50,199 --> 02:29:51,935
PRESENTING THE PROJECT TO THE

4246
02:29:51,935 --> 02:29:54,037
TEXT MINING.

4247
02:29:54,037 --> 02:29:55,672
>> I WONDER IS IT POSSIBLE

4248
02:29:55,672 --> 02:29:57,607
THAT -- SO MAYBE PART OF THAT

4249
02:29:57,607 --> 02:30:00,076
PROJECT, YOU INTERVIEW

4250
02:30:00,076 --> 02:30:01,511
PROVIDERS, LIKE FIVE PROVIDERS

4251
02:30:01,511 --> 02:30:03,079
THAT MAY OR MAY NOT BE HISPANIC,

4252
02:30:03,079 --> 02:30:04,180
BECAUSE I COULD SEE THAT, AND

4253
02:30:04,180 --> 02:30:06,149
THEN IT JUST LOOKS AT --

4254
02:30:06,149 --> 02:30:08,251
>> BUT THEN IS IT NOT
HEALTH

4255
02:30:08,251 --> 02:30:08,785
DISPARITIES WORK?

4256
02:30:08,785 --> 02:30:16,526
>> EXACTLY.

4257
02:30:16,526 --> 02:30:17,694
>> JUST SOMETHING TO THINK

4258
02:30:17,694 --> 02:30:18,161
ABOUT.

4259
02:30:18,161 --> 02:30:21,965
WHAT'S THE PROCESS OF SORT OF

4260
02:30:21,965 --> 02:30:23,232
FACT-CHECKING KIND OF ON AN

4261
02:30:23,232 --> 02:30:24,133
INDIVIDUAL PROJECT LEVEL, WHICH

4262
02:30:24,133 --> 02:30:26,102
IS SORT OF OVERWHELMING, BUT

4263
02:30:26,102 --> 02:30:27,337
ALSO ON THE EVALUATION PLAN FOR

4264
02:30:27,337 --> 02:30:28,871
THE WAY THAT THE SYSTEM IS

4265
02:30:28,871 --> 02:30:30,340
AUTOMATING.

4266
02:30:30,340 --> 02:30:34,344
>> YEAH, SO YOU'RE RIGHT,
ON AN

4267
02:30:34,344 --> 02:30:35,712
INDIVIDUAL PROJECT LEVEL, IT'S A

4268
02:30:35,712 --> 02:30:38,781
LITTLE TRICKY.

4269
02:30:38,781 --> 02:30:41,384
AND WE ONLY HAVE LIKE A VERY

4270
02:30:41,384 --> 02:30:45,855
LIMITED ABILITY TO POINT OUT

4271
02:30:45,855 --> 02:30:46,723
PROBLEMS WITH INDIVIDUAL

4272
02:30:46,723 --> 02:30:47,490
PROJECTS.

4273
02:30:47,490 --> 02:30:50,593
AND REALLY, WHAT WE LOOK AT IS

4274
02:30:50,593 --> 02:30:53,162
WHETHER OR NOT A PARTICULAR

4275
02:30:53,162 --> 02:30:56,866
PROJECT GETS INCLUDED IN A

4276
02:30:56,866 --> 02:30:57,900
CERTAIN RCDC CATEGORY.

4277
02:30:57,900 --> 02:31:02,772
SO SOMETHING LIKE HISPANIC,

4278
02:31:02,772 --> 02:31:04,474
THAT'S NOT A -- I DON'T THINK

4279
02:31:04,474 --> 02:31:06,275
THAT'S LIKE A PUBLICLY REPORTED

4280
02:31:06,275 --> 02:31:06,576
CATEGORY.

4281
02:31:06,576 --> 02:31:09,512
AND SO IT'S JUST ONE OF MANY

4282
02:31:09,512 --> 02:31:15,952
TERMS THAT WOULD FACTOR INTO A

4283
02:31:15,952 --> 02:31:17,687
CATEGORY LIKE HEALTH DISPARITIES

4284
02:31:17,687 --> 02:31:24,293
OR MINORITY HEALTH.

4285
02:31:24,293 --> 02:31:27,463
SO ON AN INDIVIDUAL BASIS, IF

4286
02:31:27,463 --> 02:31:28,564
YOU'RE JUST LOOKING AT

4287
02:31:28,564 --> 02:31:33,469
INDIVIDUAL TERMS, THAT'S -- THAT

4288
02:31:33,469 --> 02:31:34,937
CAN BE A LITTLE TRICKY BECAUSE

4289
02:31:34,937 --> 02:31:36,139
IT'S ALL BASED ON THAT TEXT

4290
02:31:36,139 --> 02:31:37,273
MINING STUFF THAT I DON'T CLAIM

4291
02:31:37,273 --> 02:31:41,911
TO UNDERSTAND, BUT IT'S --

4292
02:31:41,911 --> 02:31:43,446
THERE'S A LOT OF FACTORS THAT GO

4293
02:31:43,446 --> 02:31:44,747
INTO WHETHER OR NOT SOMETHING IS

4294
02:31:44,747 --> 02:31:49,118
ULTIMATELY REPORTED IN A CERTAIN

4295
02:31:49,118 --> 02:31:50,853
CATEGORY, A CERTAIN RCDC

4296
02:31:50,853 --> 02:31:54,657
CATEGORY, VERSUS WHETHER IT JUST

4297
02:31:54,657 --> 02:31:55,758
HAS INDIVIDUAL TERMS ASSOCIATED

4298
02:31:55,758 --> 02:31:56,626
WITH IT.

4299
02:31:56,626 --> 02:32:01,631
AND I COMPLETELY GET IT, IT CAN

4300
02:32:01,631 --> 02:32:03,032
BE -- IT STILL SOMEWHAT OF A

4301
02:32:03,032 --> 02:32:04,333
MESSY PROCESS, JUST BECAUSE OF

4302
02:32:04,333 --> 02:32:06,102
THE WAYS THESE THINGS WORK.

4303
02:32:06,102 --> 02:32:07,370
YOU'RE RIGHT, HAVING BOTH OF

4304
02:32:07,370 --> 02:32:08,571
THOSE CODES THERE DOESN'T MAKE A

4305
02:32:08,571 --> 02:32:09,972
WHOLE LOT OF SENSE.

4306
02:32:09,972 --> 02:32:13,876
THE HOPE WOULD BE THAT IN THE

4307
02:32:13,876 --> 02:32:15,578
END, IS THE PROJECT ITSELF

4308
02:32:15,578 --> 02:32:17,613
INCLUDED IN THE LARGER RCDC

4309
02:32:17,613 --> 02:32:25,621
CATEGORY OR ISN'T IT?

4310
02:32:25,621 --> 02:32:26,589
>> THANK YOU FOR THE

4311
02:32:26,589 --> 02:32:27,190
PRESENTATION.

4312
02:32:27,190 --> 02:32:29,592
I HAVE A COMMENT THAT IS LESS

4313
02:32:29,592 --> 02:32:31,661
RELATED TO THE CODING AND MORE

4314
02:32:31,661 --> 02:32:33,429
RELATED TO DR. GUILAMO-RAMOS'

4315
02:32:33,429 --> 02:32:36,332
QUESTION OF WHAT DOES IT MATTER,

4316
02:32:36,332 --> 02:32:38,835
THAT WE'RE LEADING IN HEALTH

4317
02:32:38,835 --> 02:32:40,803
DISPARITIES, AND I'LL OFFER THE

4318
02:32:40,803 --> 02:32:42,171
CAVEAT THAT I'M NOT THE DEAN OF

4319
02:32:42,171 --> 02:32:42,939
A COLLEGE OF NURSING.

4320
02:32:42,939 --> 02:32:44,574
I DO HAVE A DEAN OF COLLEGE OF

4321
02:32:44,574 --> 02:32:47,043
NURSING THAT I WORK WITH VERY

4322
02:32:47,043 --> 02:32:47,610
CLOSELY.

4323
02:32:47,610 --> 02:32:48,945
IT STRIKES ME THAT THERE MAY BE

4324
02:32:48,945 --> 02:32:51,881
A STORY, THIS IS REALLY FOR

4325
02:32:51,881 --> 02:32:53,282
SHANNON AND ELIZABETH, THERE MAY

4326
02:32:53,282 --> 02:32:58,087
BE A STORY TO TELL ABOUT NINR

4327
02:32:58,087 --> 02:33:01,457
LEADING IN HEALTH DISPARITIES

4328
02:33:01,457 --> 02:33:02,658
RESEARCH THAT COULD HELP WITH

4329
02:33:02,658 --> 02:33:07,663
THE FACULTY PIPELINE ISSUE, AND

4330
02:33:07,663 --> 02:33:08,731
ALSO RECRUITMENT INTO NURSING

4331
02:33:08,731 --> 02:33:10,500
TRAINING PROGRAMS, SO THIS SORT

4332
02:33:10,500 --> 02:33:13,402
OF ELEVATED -- PEOPLE LAKE TO BE

4333
02:33:13,402 --> 02:33:16,773
INSPIRED, THIS E ELEVATED IDEA

4334
02:33:16,773 --> 02:33:18,274
THAT IF YOU CARE ABOUT HEALTH

4335
02:33:18,274 --> 02:33:19,041
DISPARITIES, THEN THERE ARE

4336
02:33:19,041 --> 02:33:20,243
THESE CAREERS IN HEALTH

4337
02:33:20,243 --> 02:33:23,246
DISPARITIES RESEARCH AND IN THE

4338
02:33:23,246 --> 02:33:26,415
FIELD OF NURSING, THE NATIONAL

4339
02:33:26,415 --> 02:33:28,484
INSTITUTE IS PUTTING FUNDAMENTAL

4340
02:33:28,484 --> 02:33:29,519
FOCUS ON THIS.

4341
02:33:29,519 --> 02:33:30,920
I JUST WONDER WHETHER THERE'S

4342
02:33:30,920 --> 02:33:32,421
SOME TYPE OF A STORY TO BE

4343
02:33:32,421 --> 02:33:37,994
TELLING AND MAYBE IN LIKE ALL

4344
02:33:37,994 --> 02:33:39,929
THE COLLEGE OF NURSING DEANS,

4345
02:33:39,929 --> 02:33:41,497
I'M LOOKING AT MY NEW DEAN

4346
02:33:41,497 --> 02:33:43,599
FRIEND THAT I MET, WHEN ALL THE

4347
02:33:43,599 --> 02:33:44,734
COLLEGE OF NURSING DEANS GET

4348
02:33:44,734 --> 02:33:46,235
TOGETHER TO COME UP WITH A

4349
02:33:46,235 --> 02:33:47,637
NARRATIVE AROUND THAT TO HELP

4350
02:33:47,637 --> 02:33:49,605
WITH THIS FACULTY PIPELINE

4351
02:33:49,605 --> 02:33:55,645
ISSUE, JUST A THOUGHT.

4352
02:33:55,645 --> 02:33:58,014
>> THIS HAS BEEN REALLY
HELPFUL

4353
02:33:58,014 --> 02:33:59,415
TO ME AND TO US, SO THANK YOU

4354
02:33:59,415 --> 02:34:01,584
FOR THESE IDEAS AND THIS

4355
02:34:01,584 --> 02:34:01,984
SUPPORT.

4356
02:34:01,984 --> 02:34:05,588
I MEAN, I THINK THIS IS A WELL

4357
02:34:05,588 --> 02:34:08,991
KEPT SECRET, UNFORTUNATELY, OF

4358
02:34:08,991 --> 02:34:12,261
NURSING'S WELL ESTABLISHED

4359
02:34:12,261 --> 02:34:15,932
COMMITMENT TO SOCIAL JUSTICE, TO

4360
02:34:15,932 --> 02:34:17,800
REDUCING HEALTH DISPARITIES, TO

4361
02:34:17,800 --> 02:34:19,101
ADVANCING HEALTH EQUITY, IT'S

4362
02:34:19,101 --> 02:34:20,970
LONG BEEN A COMMITMENT OF THE

4363
02:34:20,970 --> 02:34:22,138
INSTITUTE, AND WE'RE ONLY

4364
02:34:22,138 --> 02:34:23,439
AMPLIFYING ON THAT STRENGTH IN

4365
02:34:23,439 --> 02:34:26,809
RESPONSE TO THE CRITICAL ISSUES

4366
02:34:26,809 --> 02:34:28,077
THAT WE AS A NATION FACE.

4367
02:34:28,077 --> 02:34:30,079
SO WE'RE PROUD OF THIS WORK.

4368
02:34:30,079 --> 02:34:32,448
WE APPRECIATE YOUR SUPPORT, AND

4369
02:34:32,448 --> 02:34:35,751
WE LOOK FORWARD TO GROWING THE

4370
02:34:35,751 --> 02:34:36,485
EVIDENCE BASE WITH ALL OF YOU

4371
02:34:36,485 --> 02:34:45,127
AND WITH THE NURSING COMMUNITY.

4372
02:34:45,127 --> 02:34:47,997
WE DO WANT TO STOP BEING A WELL

4373
02:34:47,997 --> 02:34:48,865
KEPT SECRET.

4374
02:34:48,865 --> 02:34:49,866
>> AND THESE GREAT NUMBERS
TO

4375
02:34:49,866 --> 02:34:51,701
TELL THAT STORY, I'M JUST TRYING

4376
02:34:51,701 --> 02:34:54,971
TO FIGURE OUT WHATEVER YOUR

4377
02:34:54,971 --> 02:34:55,471
STORYTELLING, YOUR MEDIA

4378
02:34:55,471 --> 02:34:56,505
CAMPAIGN, YOUR COMMUNICATION

4379
02:34:56,505 --> 02:34:59,108
WITH COLLEGES OF NURSING AROUND

4380
02:34:59,108 --> 02:35:00,076
THAT, THAT IF YOU CARE ABOUT

4381
02:35:00,076 --> 02:35:02,044
HEALTH DISPARITIES, NURSING IS A

4382
02:35:02,044 --> 02:35:04,380
GREAT PLACE TO BE A FACULTY

4383
02:35:04,380 --> 02:35:06,282
MEMBER AND IT'S A GREAT PLACE TO

4384
02:35:06,282 --> 02:35:07,917
TRAIN, EVEN AS A BACHELOR'S OF

4385
02:35:07,917 --> 02:35:08,951
SCIENCE IN NURSING.

4386
02:35:08,951 --> 02:35:10,186
>> ABSOLUTELY.

4387
02:35:10,186 --> 02:35:10,953
NO, I LOVE THAT IDEA.

4388
02:35:10,953 --> 02:35:12,588
AND YOU'RE RIGHT, WE NEED TO DO

4389
02:35:12,588 --> 02:35:14,056
BETTER IN OUR MESSAGING AND

4390
02:35:14,056 --> 02:35:15,858
GETTING THE WORD OUT, AND --

4391
02:35:15,858 --> 02:35:18,027
BECAUSE THAT WILL ULTIMATELY,

4392
02:35:18,027 --> 02:35:20,062
YOU KNOW, INCREASE THE IMPACT OF

4393
02:35:20,062 --> 02:35:21,330
THE SCIENCE THAT WE'RE PRODUCING

4394
02:35:21,330 --> 02:35:22,365
AND BRING ABOUT THE CHANGES THAT

4395
02:35:22,365 --> 02:35:25,001
ARE NEEDED, SO WE APPRECIATE

4396
02:35:25,001 --> 02:35:26,002
THESE INITIAL IDEAS.

4397
02:35:26,002 --> 02:35:28,471
WE'D LOVE TO COME BACK TO YOU TO

4398
02:35:28,471 --> 02:35:29,906
GET MORE IDEAS, RIGHT, ABOUT

4399
02:35:29,906 --> 02:35:31,741
WHAT THOSE MESSAGES SHOULD LOOK

4400
02:35:31,741 --> 02:35:33,709
LIKE, WHAT ARE THE AUDIENCES WE

4401
02:35:33,709 --> 02:35:35,211
SHOULD BE REACHING, AND SO I

4402
02:35:35,211 --> 02:35:36,646
THINK AGREE IT'S CRITICALLY

4403
02:35:36,646 --> 02:35:38,514
IMPORTANT, SO APPRECIATE THESE

4404
02:35:38,514 --> 02:35:40,750
INITIAL IDEAS AND WE'LL DO OUR

4405
02:35:40,750 --> 02:35:41,951
HOMEWORK.

4406
02:35:41,951 --> 02:35:44,253
AND COME BACK AND TALK MORE IN

4407
02:35:44,253 --> 02:35:48,524
SEPTEMBER.

4408
02:35:48,524 --> 02:35:50,726
WE HAVE THESE GREAT DATA NOW TO

4409
02:35:50,726 --> 02:35:51,694
HELP JOHN STAY EMPLOYED.

4410
02:35:51,694 --> 02:35:53,663
WE'LL DO SOME MORE ANALYSIS,

4411
02:35:53,663 --> 02:35:55,831
KEEP HIM BUSY, KEEP HIM EMPLOYED

4412
02:35:55,831 --> 02:36:00,536
OVER THE NEXT SEVERAL MONTHS,

4413
02:36:00,536 --> 02:36:02,571
AND WE'LL BRING THAT BACK.

4414
02:36:02,571 --> 02:36:03,439
OKAY.

4415
02:36:03,439 --> 02:36:04,640
SO THANK YOU FOR HANGING IN.

4416
02:36:04,640 --> 02:36:06,242
I KNOW WE'RE RUNNING A LITTLE

4417
02:36:06,242 --> 02:36:07,243
BIT LATE, SO WE'RE GOING TO

4418
02:36:07,243 --> 02:36:09,078
BREAK FOR LUNCH, WE'LL DO 30

4419
02:36:09,078 --> 02:36:12,581
MINUTES SO THAT WILL TAKE US TO

4420
02:36:12,581 --> 02:36:15,751
12:37 EASTERN, AND LOOK FORWARD

4421
02:36:15,751 --> 02:36:19,689
TO -- DID I MESS THAT UP AGAIN?

4422
02:36:19,689 --> 02:36:22,825
OH, I'M VERY PRECISE.

4423
02:36:22,825 --> 02:36:23,492
37.

4424
02:36:23,492 --> 02:36:23,826
37.

4425
02:36:23,826 --> 02:36:26,562
SO NO, WE'LL SEE YOU AROUND 37.

4426
02:36:26,562 --> 02:36:26,762
OKAY.

4427
02:36:26,762 --> 02:36:28,946
THANK YOU.

4428
02:36:29,207 --> 02:36:30,041
ALL RIGHT.

4429
02:36:30,041 --> 02:36:32,343
AS WE'RE GETTING TOGETHER AFTER

4430
02:36:32,343 --> 02:36:37,015
LUNCH, WELCOME BACK, EVERYONE.

4431
02:36:37,015 --> 02:36:38,116
ALL RIGHT.

4432
02:36:38,116 --> 02:36:40,518
SO WE'RE GOING TO CHANGE OUR

4433
02:36:40,518 --> 02:36:43,121
AGENDA, FLIP A COUPLE OF ITEMS.

4434
02:36:43,121 --> 02:36:45,523
BECAUSE WE WANT TO MAKE SURE OUR

4435
02:36:45,523 --> 02:36:48,359
PARTNERS FROM D.C.  HAVE A

4436
02:36:48,359 --> 02:36:52,297
CHANCE TO SHARE WITH US, SO WE

4437
02:36:52,297 --> 02:36:54,165
WILL NEXT WELCOME DR. ERIN

4438
02:36:54,165 --> 02:36:56,501
ATHEY, WHO WILL TELL US ABOUT

4439
02:36:56,501 --> 02:36:58,836
HER EXPERIENCE WITH C3CARES,

4440
02:36:58,836 --> 02:36:59,637
COMMUNITY CLINIC PROGRAM, THAT

4441
02:36:59,637 --> 02:37:00,905
SHE FOUNDED.

4442
02:37:00,905 --> 02:37:03,408
SO DR. ATHEY IS A BOARD

4443
02:37:03,408 --> 02:37:04,509
CERTIFIED FAMILY NURSE

4444
02:37:04,509 --> 02:37:05,910
PRACTITIONER WHO HAS SPENT

4445
02:37:05,910 --> 02:37:07,645
NEARLY TWO DECADES WORKING ON

4446
02:37:07,645 --> 02:37:10,315
THE EAST SIDE OF D.C. .

4447
02:37:10,315 --> 02:37:12,684
AS A CLINICIAN, EDUCATOR AND

4448
02:37:12,684 --> 02:37:13,885
COMMUNITY ENGAGED SCHOLAR TO

4449
02:37:13,885 --> 02:37:15,286
IMPROVE HEALTH OUTCOMES FOR

4450
02:37:15,286 --> 02:37:19,324
THOSE WHO ARE UNDERRESOURCED.

4451
02:37:19,324 --> 02:37:21,092
DR. ATHEY'S EXPERIENCES AS A

4452
02:37:21,092 --> 02:37:23,361
CLINICIAN LED HER TO DEVELOP

4453
02:37:23,361 --> 02:37:24,228
SEVERAL INNOVATIVE

4454
02:37:24,228 --> 02:37:25,196
COMMUNITY-BASED INITIATIVES THAT

4455
02:37:25,196 --> 02:37:26,864
FOCUS ON IMPROVING HEALTH

4456
02:37:26,864 --> 02:37:29,701
LITERACY AND BRINGING HEALTHCARE

4457
02:37:29,701 --> 02:37:33,137
INTO D.C.  WARDS 5, 6, 7 AND 8.

4458
02:37:33,137 --> 02:37:34,739
THESE EXPERIENCES COMBINED WITH

4459
02:37:34,739 --> 02:37:37,342
HER DESIRE TO IMPROVE ACCESS TO

4460
02:37:37,342 --> 02:37:39,977
CARE INSPIRED HER TO CREATE

4461
02:37:39,977 --> 02:37:40,712
C3CARES.

4462
02:37:40,712 --> 02:37:43,614
SO DR. ATHEY IS JOINED BY

4463
02:37:43,614 --> 02:37:46,384
SEVERAL OF HER PARTNERS TODAY,

4464
02:37:46,384 --> 02:37:48,820
INCLUDING KEITH PEDIGREW OF THE

4465
02:37:48,820 --> 02:37:50,955
D.C.  HOUSING AUTHORITY AND

4466
02:37:50,955 --> 02:37:52,490
KAREN DALE, A NURSE WHO IS ALSO

4467
02:37:52,490 --> 02:37:58,496
PRESIDENT OF AMERIHEALTH

4468
02:37:58,496 --> 02:37:59,230
CAREITAS D.C. .

4469
02:37:59,230 --> 02:38:00,665
SO BEFORE DR. ATHEY BEGINS, I'D

4470
02:38:00,665 --> 02:38:03,468
LIKE TO ASK EVERYONE FROM

4471
02:38:03,468 --> 02:38:04,702
C3CARES AND PARTNER

4472
02:38:04,702 --> 02:38:05,670
ORGANIZATIONS STAND AND BE

4473
02:38:05,670 --> 02:38:06,104
ACKNOWLEDGED.

4474
02:38:06,104 --> 02:38:09,807
THANK YOU FOR JOINING US TODAY.

4475
02:38:09,807 --> 02:38:19,450
WELCOME.

4476
02:38:19,450 --> 02:38:20,752
DR. ATHEY, THE FLOOR IS YOURS

4477
02:38:20,752 --> 02:38:28,426
WHEN YOU'RE READY.

4478
02:38:28,426 --> 02:38:33,831
[SPEAKER NOT ON MIC]

4479
02:38:33,831 --> 02:38:36,501
>> DR. ATHEY, HOLD ON JUST
A

4480
02:38:36,501 --> 02:38:36,667
SEC.

4481
02:38:36,667 --> 02:38:38,669
>> CAN YOU HEAR ME NOW?

4482
02:38:38,669 --> 02:38:39,003
OKAY, PERFECT.

4483
02:38:39,003 --> 02:38:40,204
LET ME START AGAIN.

4484
02:38:40,204 --> 02:38:41,372
SO GOOD AFTERNOON, EVERYONE.

4485
02:38:41,372 --> 02:38:44,375
THANK YOU SO MUCH FOR HAVING ME,

4486
02:38:44,375 --> 02:38:44,809
DIRECTOR ZENK.

4487
02:38:44,809 --> 02:38:46,778
I REALLY APPRECIATE IT AND

4488
02:38:46,778 --> 02:38:47,912
REALLY APPRECIATE MY PARTNERS

4489
02:38:47,912 --> 02:38:48,713
COMING TODAY TO HEAR THE

4490
02:38:48,713 --> 02:38:49,580
PRESENTATION.

4491
02:38:49,580 --> 02:38:50,281
I'M GOING TO TELL YOU A LITTLE

4492
02:38:50,281 --> 02:38:52,417
BIT ABOUT MY JOURNEY WITH

4493
02:38:52,417 --> 02:38:53,751
C3CARES.

4494
02:38:53,751 --> 02:38:58,756
SO LET'S GO.

4495
02:38:58,756 --> 02:39:00,024
FIRST OF ALL I JUST WANT TO GIVE

4496
02:39:00,024 --> 02:39:01,025
YOU A LITTLE BIT OF BACKGROUND

4497
02:39:01,025 --> 02:39:01,826
ON ME.

4498
02:39:01,826 --> 02:39:03,161
SO THAT WAS A NICE INTRODUCTION.

4499
02:39:03,161 --> 02:39:04,662
BUT I THINK IT'S IMPORTANT TO

4500
02:39:04,662 --> 02:39:05,496
KNOW SORT OF WHERE I'VE COME

4501
02:39:05,496 --> 02:39:06,164
FROM.

4502
02:39:06,164 --> 02:39:08,232
I'VE BEEN A NURSE FOR 26 YEARS

4503
02:39:08,232 --> 02:39:08,666
NOW.

4504
02:39:08,666 --> 02:39:11,602
I SPENT ONE YEAR AS A HOSPITAL

4505
02:39:11,602 --> 02:39:12,937
NURSE, AND DECIDED THAT I DIDN'T

4506
02:39:12,937 --> 02:39:15,706
LIKE NURSING, DECIDED THAT I WAS

4507
02:39:15,706 --> 02:39:17,875
IN THE HOSPITAL WITH CHRONICALLY

4508
02:39:17,875 --> 02:39:18,676
ILL PATIENTS AND IT WAS VERY SAD

4509
02:39:18,676 --> 02:39:20,411
TO ME TO SEE THAT THESE WERE

4510
02:39:20,411 --> 02:39:21,946
PREVENTABLE DISEASES THAT WERE

4511
02:39:21,946 --> 02:39:24,348
SO FAR GONE AND I FELT VERY

4512
02:39:24,348 --> 02:39:26,551
DISHEARTENED, AND SO YOU KNOW, I

4513
02:39:26,551 --> 02:39:27,752
CONSIDERED LEAVING NURSING BUT

4514
02:39:27,752 --> 02:39:29,554
THEN I IMMEDIATELY FOUND

4515
02:39:29,554 --> 02:39:30,421
COMMUNITY HEALTH NURSING AND

4516
02:39:30,421 --> 02:39:31,656
PUBLIC HEALTH NURSING AND I

4517
02:39:31,656 --> 02:39:33,424
FOUND MY LOVE FOR THAT, AND SO

4518
02:39:33,424 --> 02:39:35,393
THE REST OF MY CAREER, THE LAST

4519
02:39:35,393 --> 02:39:37,762
25 YEARS, I'VE SPENT AS A

4520
02:39:37,762 --> 02:39:39,197
COMMUNITY PUBLIC HEALTH NURSE.

4521
02:39:39,197 --> 02:39:40,498
I'VE ALSO BEEN A NURSE

4522
02:39:40,498 --> 02:39:42,033
PRACTITIONER FOR 20 YEARS, SO I

4523
02:39:42,033 --> 02:39:43,434
WENT BACK AND BECAME A FAMILY

4524
02:39:43,434 --> 02:39:44,635
NURSE PRACTITIONER AND CONTINUED

4525
02:39:44,635 --> 02:39:47,038
MY WORK IN COMMUNITY CLINICS.

4526
02:39:47,038 --> 02:39:49,540
I JOINED THE FIRST COHORT OF THE

4527
02:39:49,540 --> 02:39:50,641
DNP PROGRAM AT THE UNIVERSITY OF

4528
02:39:50,641 --> 02:39:51,642
VIRGINIA WHEN THEY FIRST OPENED

4529
02:39:51,642 --> 02:39:53,144
IT UP, BECAUSE I THOUGHT THIS IS

4530
02:39:53,144 --> 02:39:54,912
A GOOD IDEA, LET ME LEARN SOME

4531
02:39:54,912 --> 02:39:56,414
MORE HOW TO IMPLEMENT PROJECTS

4532
02:39:56,414 --> 02:39:59,050
AND PROGRAMS IN THE COMMUNITY.

4533
02:39:59,050 --> 02:40:00,251
I'VE DONE A COUPLE DIFFERENT

4534
02:40:00,251 --> 02:40:01,586
PROGRAMS THROUGH LOCAL

4535
02:40:01,586 --> 02:40:04,856
HOSPITALS, RUNNING A MOBILE

4536
02:40:04,856 --> 02:40:07,124
CLINIC, AND BEEN FACULTY AT GW

4537
02:40:07,124 --> 02:40:08,626
FOR ABOUT 12 YEARS NOW.

4538
02:40:08,626 --> 02:40:10,528
I'VE ALSO BEEN TEACHING NURSING

4539
02:40:10,528 --> 02:40:11,062
STUDENTS, PUBLIC HEALTH

4540
02:40:11,062 --> 02:40:12,263
STUDENTS, NOW WE HAVE BUSINESS

4541
02:40:12,263 --> 02:40:13,030
STUDENTS COMING OUT TO DO

4542
02:40:13,030 --> 02:40:14,131
COMMUNITY WORK, SO IT'S BEEN

4543
02:40:14,131 --> 02:40:15,132
REALLY EXCITING.

4544
02:40:15,132 --> 02:40:16,968
IN TERMS OF MY SCHOLARSHIP, IT'S

4545
02:40:16,968 --> 02:40:17,768
REALLY BEEN MOSTLY OUT IN THE

4546
02:40:17,768 --> 02:40:19,437
COMMUNITY FOR THE LAST SIX OR

4547
02:40:19,437 --> 02:40:20,004
SEVEN YEARS.

4548
02:40:20,004 --> 02:40:21,239
AND I'LL TELL YOU A LITTLE BIT

4549
02:40:21,239 --> 02:40:22,507
MORE ABOUT THAT.

4550
02:40:22,507 --> 02:40:24,575
AND THEN IN TERMS OF INNOVATION,

4551
02:40:24,575 --> 02:40:26,143
I'VE DONE PROBABLY THE TWO

4552
02:40:26,143 --> 02:40:27,311
BIGGEST PROJECTS ARE THE MENTAL

4553
02:40:27,311 --> 02:40:29,614
HEALTH LITERACY PROGRAM AND THIS

4554
02:40:29,614 --> 02:40:31,682
PROGRAM THAT BECAME C3CARES THAT

4555
02:40:31,682 --> 02:40:34,485
I'LL TELL YOU MORE ABOUT.

4556
02:40:34,485 --> 02:40:35,520
SO THIS IS WHAT I'VE LEARNED.

4557
02:40:35,520 --> 02:40:36,921
SO I'VE SPENT ALMOST 20 YEARS OF

4558
02:40:36,921 --> 02:40:39,390
MY CAREER IN WASHINGTON, D.C.,

4559
02:40:39,390 --> 02:40:40,858
AND IF YOU CAN SEE FROM THE MAP,

4560
02:40:40,858 --> 02:40:42,159
AND I'M SURE MOST OF YOU HAVE

4561
02:40:42,159 --> 02:40:45,563
SEEN IMAGES SIMILAR, IT VERY

4562
02:40:45,563 --> 02:40:47,498
SEGREGATED IN WASHINGTON, D.C.

4563
02:40:47,498 --> 02:40:48,799
AND THE HEALTH DISPARITIES

4564
02:40:48,799 --> 02:40:51,636
FOLLOW THE MAP OF WHERE PEOPLE

4565
02:40:51,636 --> 02:40:52,670
LIVE IN THE DIVISION IN THE

4566
02:40:52,670 --> 02:40:53,004
CITY.

4567
02:40:53,004 --> 02:40:55,106
I LEARNED PRETTY EARLY ON THAT

4568
02:40:55,106 --> 02:40:57,975
ZIP CODE WAS MORE IMPORTANT THAN

4569
02:40:57,975 --> 02:40:58,943
YOUR GENETIC CODE.

4570
02:40:58,943 --> 02:41:00,578
WE LIVE THIS BECAUSE IF YOU LIVE

4571
02:41:00,578 --> 02:41:01,445
NEAR THE WHITE HOUSE IN

4572
02:41:01,445 --> 02:41:02,446
NORTHWEST WASHINGTON, D.C., YOUR

4573
02:41:02,446 --> 02:41:04,181
LIFE EXPECTANCY IS 20 YEARS MORE

4574
02:41:04,181 --> 02:41:05,683
THAN IF YOU LIVE IN WARD EIGHT,

4575
02:41:05,683 --> 02:41:06,918
WHICH IS THREE MILES AWAY.

4576
02:41:06,918 --> 02:41:08,452
I ALSO LEARNED THAT WE HAVE A

4577
02:41:08,452 --> 02:41:10,254
VERY OUTDATED AND INCONVENIENT

4578
02:41:10,254 --> 02:41:11,022
MODEL OF HEALTHCARE.

4579
02:41:11,022 --> 02:41:12,890
SO WORKING IN A LOT OF THE

4580
02:41:12,890 --> 02:41:13,758
OUTPATIENT CLINICS AND THE

4581
02:41:13,758 --> 02:41:15,493
MAJORITY OF MY TIME WAS IN AN

4582
02:41:15,493 --> 02:41:17,929
OUTPATIENT CLINIC IN A SAFETY

4583
02:41:17,929 --> 02:41:19,130
NET, THE ONLY SAFETY NET

4584
02:41:19,130 --> 02:41:20,765
HOSPITAL IN WASHINGTON, D.C.

4585
02:41:20,765 --> 02:41:22,466
IT WASN'T CONVENIENT FOR FOLKS

4586
02:41:22,466 --> 02:41:24,235
TO COME IN 9 TO 5 WHEN THEY HAVE

4587
02:41:24,235 --> 02:41:25,803
CHILD CARE ISSUES,

4588
02:41:25,803 --> 02:41:26,671
TRANSPORTATION ISSUES.

4589
02:41:26,671 --> 02:41:27,939
SO IT WAS VERY FRUSTRATING TO

4590
02:41:27,939 --> 02:41:29,373
ME.

4591
02:41:29,373 --> 02:41:31,676
IN TERMS OF PRIMARY CARE, IT'S

4592
02:41:31,676 --> 02:41:33,277
FRAGMENTED AND NOT COORDINATED

4593
02:41:33,277 --> 02:41:34,178
SO A LOT OF FOLKS JUMP FROM

4594
02:41:34,178 --> 02:41:35,580
PLACE TO PLACE, THEY GET THEIR

4595
02:41:35,580 --> 02:41:36,681
PRIMARY HERE TODAY, THEY GO

4596
02:41:36,681 --> 02:41:37,648
SOMEWHERE ELSE TOMORROW.

4597
02:41:37,648 --> 02:41:38,516
THEY USE EMERGENCY ROOM FOR

4598
02:41:38,516 --> 02:41:40,051
PRIMARY CARE ISSUES.

4599
02:41:40,051 --> 02:41:43,120
AND SO THAT IS A CHALLENGE.

4600
02:41:43,120 --> 02:41:45,523
THEN ALSO IN D.C. , THEY DO A

4601
02:41:45,523 --> 02:41:46,390
COMMUNITY HEALTH NEEDS

4602
02:41:46,390 --> 02:41:46,891
ASSESSMENT.

4603
02:41:46,891 --> 02:41:48,392
IT'S A CONSORTIUM OF HOSPITALS

4604
02:41:48,392 --> 02:41:49,894
AND SOME FEDERALLY QUALIFIED

4605
02:41:49,894 --> 02:41:51,095
HEALTH CENTERS, AND THEY LOOK AT

4606
02:41:51,095 --> 02:41:52,563
THE DATA AND THEY SAY WHAT ARE

4607
02:41:52,563 --> 02:41:53,431
THE ISSUES IN D.C. .

4608
02:41:53,431 --> 02:41:54,999
SO FOR THE LAST COUPLE

4609
02:41:54,999 --> 02:41:56,200
ITERATIONS, IT'S BEEN THE NEED

4610
02:41:56,200 --> 02:41:58,502
FOR PLACE-BASED CARE, MENTAL

4611
02:41:58,502 --> 02:42:00,004
HEALTH SERVICES, WHICH ARE NOW

4612
02:42:00,004 --> 02:42:02,306
MORE THAN EVER OBVIOUSLY AFTER

4613
02:42:02,306 --> 02:42:03,841
COVID, CARE COORDINATION AND

4614
02:42:03,841 --> 02:42:04,976
NAVIGATION, WHICH REALLY KIND OF

4615
02:42:04,976 --> 02:42:07,111
ADDRESSES THIS ISSUE OF THE

4616
02:42:07,111 --> 02:42:08,746
FRAGMENTATION, AND HEALTH

4617
02:42:08,746 --> 02:42:09,180
LITERACY.

4618
02:42:09,180 --> 02:42:10,715
AND SO WHEN WE SAY HEALTH

4619
02:42:10,715 --> 02:42:11,582
LITERACY, THIS IS REALLY THE

4620
02:42:11,582 --> 02:42:13,651
ABILITY TO UNDERSTAND,

4621
02:42:13,651 --> 02:42:14,485
COMPREHEND, INTERPRET HEALTH

4622
02:42:14,485 --> 02:42:15,586
INFORMATION AND MAKE DECISIONS

4623
02:42:15,586 --> 02:42:15,920
ABOUT THAT.

4624
02:42:15,920 --> 02:42:17,455
AND I THINK IT'S INTERESTING

4625
02:42:17,455 --> 02:42:19,190
BECAUSE THERE IS JUST SOME NEW

4626
02:42:19,190 --> 02:42:20,858
DATA THAT SHOWS THAT ABOUT 17%

4627
02:42:20,858 --> 02:42:22,593
OF AMERICANS ACTUALLY HAVE HIGH

4628
02:42:22,593 --> 02:42:23,928
HEALTH LITERACY, SO WE KNOW IN

4629
02:42:23,928 --> 02:42:25,429
POPULATIONS THAT ARE

4630
02:42:25,429 --> 02:42:26,030
UNDERRESOURCED, THAT'S MUCH

4631
02:42:26,030 --> 02:42:26,764
LOWER.

4632
02:42:26,764 --> 02:42:28,599
SO I LIKE TO TELL PEOPLE ACCESS

4633
02:42:28,599 --> 02:42:30,668
TO CARE IS SOME OF THE ISSUE.

4634
02:42:30,668 --> 02:42:32,203
SO WE TALK A LOT ABOUT ACCESS TO

4635
02:42:32,203 --> 02:42:34,805
CARE AND TO ME THAT IS MORE OF A

4636
02:42:34,805 --> 02:42:36,474
SYSTEM ISSUE OF ARE THERE

4637
02:42:36,474 --> 02:42:37,475
PROVIDERS, ARE THERE ENOUGH

4638
02:42:37,475 --> 02:42:38,542
PRIMARY CARE PROVIDERS, ARE

4639
02:42:38,542 --> 02:42:40,044
THERE ENOUGH MENTAL HEALTH

4640
02:42:40,044 --> 02:42:41,345
PROVIDERS, ARE THERE HOSPITALS,

4641
02:42:41,345 --> 02:42:42,113
ARE THERE CLINICS.

4642
02:42:42,113 --> 02:42:43,881
AND I THINK THAT IS A BIG ISSUE,

4643
02:42:43,881 --> 02:42:45,750
BUT WHAT I SEE MORE AND WHAT MY

4644
02:42:45,750 --> 02:42:47,151
EXPERIENCE HAS BEEN IS THIS

4645
02:42:47,151 --> 02:42:48,119
ENGAGEMENT OF CARE.

4646
02:42:48,119 --> 02:42:49,654
AND THAT REALLY IS ABOUT

4647
02:42:49,654 --> 02:42:50,421
BEHAVIOR.

4648
02:42:50,421 --> 02:42:52,723
IT'S ABOUT IF I HAVE A PRIMARY

4649
02:42:52,723 --> 02:42:53,924
CARE PROVIDER, DO I GO AND SEE

4650
02:42:53,924 --> 02:42:54,125
THEM.

4651
02:42:54,125 --> 02:42:55,693
DO I STAY ENGAGED IN MY CARE.

4652
02:42:55,693 --> 02:42:58,829
TDO I UNDERSTAND WHAT TO DO FOR

4653
02:42:58,829 --> 02:43:00,131
MY HEALTH, AND I THINK THAT IS

4654
02:43:00,131 --> 02:43:02,967
MORE OF THE ISSUE AS I SEE IT.

4655
02:43:02,967 --> 02:43:05,569
AND THEN IN TERMS OF HEALTHCARE

4656
02:43:05,569 --> 02:43:06,337
INDUSTRY CHALLENGES, THESE ARE

4657
02:43:06,337 --> 02:43:07,872
PROBABLY NO SURPRISE TO ANYONE,

4658
02:43:07,872 --> 02:43:09,740
BUT THE COSTS ARE REACHING

4659
02:43:09,740 --> 02:43:11,676
UNSUSTAINABLE LEVELS, CARE IS

4660
02:43:11,676 --> 02:43:13,210
DELIVERED IN HOSPITALS AND HIGH

4661
02:43:13,210 --> 02:43:14,378
COST SETTINGS.

4662
02:43:14,378 --> 02:43:15,613
IT'S PROVIDED BY THE HIGHEST

4663
02:43:15,613 --> 02:43:17,915
COST PROVIDERS, SPECIALISTS AND

4664
02:43:17,915 --> 02:43:20,518
HOSPITAL PROVIDERS, AND REALLY

4665
02:43:20,518 --> 02:43:21,852
QUALITY CAN BE DONE -- QUALITY

4666
02:43:21,852 --> 02:43:22,820
HEALTHCARE CAN BE DELIVERED IN

4667
02:43:22,820 --> 02:43:23,487
MANY SETTINGS.

4668
02:43:23,487 --> 02:43:24,989
IT DOESN'T HAVE TO BE WITHIN THE

4669
02:43:24,989 --> 02:43:27,058
WHITE WALLS OF A HOSPITAL.

4670
02:43:27,058 --> 02:43:28,392
TELEMEDICINE, WE KNOW IS A GREAT

4671
02:43:28,392 --> 02:43:29,393
CHANNEL.

4672
02:43:29,393 --> 02:43:30,561
THERE'S OTHER COMMUNITY

4673
02:43:30,561 --> 02:43:32,096
CHANNELS, LOCAL ORGANIZATIONS,

4674
02:43:32,096 --> 02:43:33,597
COMMUNITY-BASED ORGANIZATIONS,

4675
02:43:33,597 --> 02:43:35,299
AND USING NAVIGATORS, COMMUNITY

4676
02:43:35,299 --> 02:43:37,435
HEALTH WORKERS, COUNSELORS, AND

4677
02:43:37,435 --> 02:43:40,838
ET CETERA.

4678
02:43:40,838 --> 02:43:42,606
SO THE WAY THAT I SEE MY LITTLE

4679
02:43:42,606 --> 02:43:43,240
JOURNEY OUT INTO THE COMMUNITY

4680
02:43:43,240 --> 02:43:45,076
IS USING THIS DESIGN THINKING

4681
02:43:45,076 --> 02:43:45,409
APPROACH.

4682
02:43:45,409 --> 02:43:48,045
IT'S KIND OF LIKE THE PLAN, DO,

4683
02:43:48,045 --> 02:43:49,246
TEST, WHATEVER THOSE CYCLES ARE.

4684
02:43:49,246 --> 02:43:50,748
SO I REALLY LIKE TO START HERE,

4685
02:43:50,748 --> 02:43:52,583
THIS WAS KIND OF AN INFLECTION

4686
02:43:52,583 --> 02:43:54,151
POINT FOR ME, STANDING IN THE

4687
02:43:54,151 --> 02:43:55,753
HOSPITAL CLINIC, JUST SORT OF

4688
02:43:55,753 --> 02:43:57,188
THINKING ABOUT HOW I CAN BETTER

4689
02:43:57,188 --> 02:43:59,056
SERVE MY PATIENTS AND REALLY

4690
02:43:59,056 --> 02:43:59,890
EMPATHIZING WITH THEM.

4691
02:43:59,890 --> 02:44:01,125
I STARTED BY JUST SORT OF GOING

4692
02:44:01,125 --> 02:44:03,527
OUT AND DOING SOME HOME VISITS,

4693
02:44:03,527 --> 02:44:05,162
RANDOMLY TO SOME PATIENTS TO SEE

4694
02:44:05,162 --> 02:44:06,030
IF THAT WOULD HELP.

4695
02:44:06,030 --> 02:44:07,598
I RODE THE METRO WITH A PATIENT

4696
02:44:07,598 --> 02:44:09,433
ONE TIME WHO WAS AFRAID TO GO TO

4697
02:44:09,433 --> 02:44:10,835
A MEDICAL APPOINTMENT AND SHE

4698
02:44:10,835 --> 02:44:14,438
HAD CANCER, ACTUALLY UP HERE AT

4699
02:44:14,438 --> 02:44:15,639
NIH WHICH ENDED UP SAVING HER

4700
02:44:15,639 --> 02:44:17,508
LIFE SO I STARTED TO DABBLE WITH

4701
02:44:17,508 --> 02:44:18,909
THAT BUT REALLY BEGAN WITH THIS

4702
02:44:18,909 --> 02:44:19,944
IDEA OF REALLY JUST HAVING

4703
02:44:19,944 --> 02:44:21,245
CONCERN AND EMPATHY FOR

4704
02:44:21,245 --> 02:44:22,179
PATIENTS.

4705
02:44:22,179 --> 02:44:23,714
AND THEN THE THOUGHT WAS, HOW DO

4706
02:44:23,714 --> 02:44:24,815
WE MEET PEOPLE WHERE THEY ARE IN

4707
02:44:24,815 --> 02:44:25,683
THE COMMUNITY.

4708
02:44:25,683 --> 02:44:27,852
AND SO I HAD A COUPLE PLACES TO

4709
02:44:27,852 --> 02:44:28,185
IDEATE.

4710
02:44:28,185 --> 02:44:30,054
ONE OF WHICH WAS THE WARD

4711
02:44:30,054 --> 02:44:30,921
8 HEALTH COUNCIL, WHICH IS A

4712
02:44:30,921 --> 02:44:32,990
GROUP THAT MEETS A LOT OF

4713
02:44:32,990 --> 02:44:35,292
DIFFERENT STAKEHOLDERS, HOSPITAL

4714
02:44:35,292 --> 02:44:37,161
ORGANIZATIONS, COMMUNITY-BASED

4715
02:44:37,161 --> 02:44:38,262
ORGANIZATIONS, AND THEY TALK

4716
02:44:38,262 --> 02:44:39,563
ABOUT LOCAL ISSUES EAST OF THE

4717
02:44:39,563 --> 02:44:40,297
RIVER.

4718
02:44:40,297 --> 02:44:41,632
THAT'S THE EOTR.

4719
02:44:41,632 --> 02:44:43,167
SO THIS WAS A PLACE WE COULD

4720
02:44:43,167 --> 02:44:45,469
KIND OF MARINATE ON DIFFERENT

4721
02:44:45,469 --> 02:44:46,103
IDEAS AND TOPICS.

4722
02:44:46,103 --> 02:44:47,505
AND I WAS ALSO FORTUNATE TO GET

4723
02:44:47,505 --> 02:44:49,840
INTO THE FIRST COHORT OF THE

4724
02:44:49,840 --> 02:44:51,575
ROBERT WOOD JOHNSON CLINICAL

4725
02:44:51,575 --> 02:44:52,510
SCHOLARS PROGRAM, FOCUSED ON

4726
02:44:52,510 --> 02:44:53,077
WICKED PROBLEMS.

4727
02:44:53,077 --> 02:44:55,312
SO THESE SOCIETAL ISSUES THAT WE

4728
02:44:55,312 --> 02:44:56,480
DON'T REALLY KNOW WHERE THEY

4729
02:44:56,480 --> 02:44:57,815
START AND END, THEY'RE LAYERED

4730
02:44:57,815 --> 02:44:59,717
ON TOP OF THINGS AND WE DON'T

4731
02:44:59,717 --> 02:45:00,718
REALLY KNOW HOW TO TACKLE THEM.

4732
02:45:00,718 --> 02:45:01,719
SO THAT WAS ANOTHER PLACE THAT I

4733
02:45:01,719 --> 02:45:03,254
WAS ABLE TO KIND OF BRAINSTORM

4734
02:45:03,254 --> 02:45:04,989
AND THINK THROUGH DIFFERENT

4735
02:45:04,989 --> 02:45:07,391
OPPORTUNITIES AND IDEAS.

4736
02:45:07,391 --> 02:45:10,995
SO WHERE I STARTED WAS, AND THIS

4737
02:45:10,995 --> 02:45:13,397
IS THROUGH THE CLINICAL SCHOLARS

4738
02:45:13,397 --> 02:45:15,466
PROGRAM WAS EMBEDDING EDUCATION

4739
02:45:15,466 --> 02:45:17,802
IN BARBER SHOPS COMING OUT OF

4740
02:45:17,802 --> 02:45:20,471
THE IDEA WE NEEDED MORE MENTAL

4741
02:45:20,471 --> 02:45:20,938
HEALTH SERVICES.

4742
02:45:20,938 --> 02:45:22,773
THE IDEA WAS TO TARGET A

4743
02:45:22,773 --> 02:45:23,974
POPULATION HESITANT TO SEEK

4744
02:45:23,974 --> 02:45:25,109
HEALTHCARE, IN THIS CASE AFRICAN

4745
02:45:25,109 --> 02:45:26,477
AMERICAN MEN, AND THEN BRING

4746
02:45:26,477 --> 02:45:27,144
SERVICES TO THE COMMUNITY AND IN

4747
02:45:27,144 --> 02:45:28,445
THIS CASE, THEY WEREN'T CLINICAL

4748
02:45:28,445 --> 02:45:29,547
SERVICES BUT THEY WERE MORE

4749
02:45:29,547 --> 02:45:30,848
EDUCATION SERVICES.

4750
02:45:30,848 --> 02:45:31,949
SO FOR THIS PROGRAM, AND THROUGH

4751
02:45:31,949 --> 02:45:33,384
THE FELLOWSHIP, WHAT WE DID WAS

4752
02:45:33,384 --> 02:45:35,452
WE FIRST STARTED TO TRAIN

4753
02:45:35,452 --> 02:45:36,420
BARBERS, AND TEACH THEM SOME

4754
02:45:36,420 --> 02:45:37,855
SKILLS AROUND MENTAL HEALTH

4755
02:45:37,855 --> 02:45:38,956
LITERACY, AND THEN WE HAD THEM

4756
02:45:38,956 --> 02:45:41,358
KIND OF GO BACK TO THEIR BARBER

4757
02:45:41,358 --> 02:45:42,860
SHOPS AND TALK TO THEIR

4758
02:45:42,860 --> 02:45:43,127
CUSTOMERS.

4759
02:45:43,127 --> 02:45:44,261
IT WORKED FOR A LITTLE WHILE AND

4760
02:45:44,261 --> 02:45:45,796
IT WAS PRETTY SUCCESSFUL, BUT

4761
02:45:45,796 --> 02:45:46,897
THE ISSUE WAS A LOT OF THE

4762
02:45:46,897 --> 02:45:48,165
BARBERS WERE BUSY AND THEY

4763
02:45:48,165 --> 02:45:49,567
NEEDED TO KEEP -- THEY NEEDED TO

4764
02:45:49,567 --> 02:45:50,835
MAKE MONEY SO THIS WAS SORT OF

4765
02:45:50,835 --> 02:45:52,436
AN EXTRA THING THEY HAD TO DO

4766
02:45:52,436 --> 02:45:53,537
THAT WAS ACTUALLY MORE OF A

4767
02:45:53,537 --> 02:45:54,038
BURDEN TO THEM.

4768
02:45:54,038 --> 02:45:55,339
SO THEN WE SWITCHED UP THAT

4769
02:45:55,339 --> 02:45:56,774
PROGRAM A LITTLE BIT AND WE SAID

4770
02:45:56,774 --> 02:45:58,742
WHY DON'T WE TRAIN RETURNING

4771
02:45:58,742 --> 02:45:59,844
CITIZENS, BECAUSE THERE WAS A

4772
02:45:59,844 --> 02:46:01,245
BIG GROUP OF MEN THAT WERE

4773
02:46:01,245 --> 02:46:02,012
RETURNING CITIZENS AND WE

4774
02:46:02,012 --> 02:46:03,414
THOUGHT WHY DON'T WE TEACH THEM

4775
02:46:03,414 --> 02:46:04,548
SOME CLASSES SO THAT IMAGE ON

4776
02:46:04,548 --> 02:46:07,718
THE RIGHT IS DOING A WORKSHOP

4777
02:46:07,718 --> 02:46:09,653
WITH SOME OF THE MEN IN OUR

4778
02:46:09,653 --> 02:46:09,887
PROGRAM.

4779
02:46:09,887 --> 02:46:10,588
AND IT ACTUALLY WORKED PRETTY

4780
02:46:10,588 --> 02:46:13,324
WELL.

4781
02:46:13,324 --> 02:46:13,958
FOR A WHILE.

4782
02:46:13,958 --> 02:46:15,159
BUT THEN WE FOUND SOME

4783
02:46:15,159 --> 02:46:16,293
CHALLENGES WITH THAT, AND MOSTLY

4784
02:46:16,293 --> 02:46:18,696
IT WAS DUE TO THE BUSY BARBERS

4785
02:46:18,696 --> 02:46:19,897
IN THEIR SHOPS AND THEY NEEDED

4786
02:46:19,897 --> 02:46:21,398
TO MAKE A LIVING.

4787
02:46:21,398 --> 02:46:22,733
THE FELLOWSHIP ENDED, SO THAT

4788
02:46:22,733 --> 02:46:25,769
WAS A PROBLEM, THREE-YEAR

4789
02:46:25,769 --> 02:46:28,672
FUNDING ENDED, I'M NOT SURE WHY

4790
02:46:28,672 --> 02:46:29,874
THE FELLOWSHIP HAS A FORK AND A

4791
02:46:29,874 --> 02:46:30,407
FLIEF.

4792
02:46:30,407 --> 02:46:35,112
TH -- A KNIFE.THEY DID GIVE US .

4793
02:46:35,112 --> 02:46:36,680
LACK OF FUNDING WAS ALWAYS AN

4794
02:46:36,680 --> 02:46:38,048
ISSUE, WE DIDN'T HAVE PERMANENT

4795
02:46:38,048 --> 02:46:39,149
SPACE IN THE SHOP SO WE DIDN'T

4796
02:46:39,149 --> 02:46:40,251
REALLY HAVE A LOT OF SPACE TO DO

4797
02:46:40,251 --> 02:46:40,584
THIS.

4798
02:46:40,584 --> 02:46:41,886
SO THEN IT BECAME THIS OTHER

4799
02:46:41,886 --> 02:46:43,087
IDEATION OF HOW DO WE FIND

4800
02:46:43,087 --> 02:46:45,289
ANOTHER ANCHORING INSTITUTE IN

4801
02:46:45,289 --> 02:46:46,590
THE COMMUNITY, AND HOW CAN WE

4802
02:46:46,590 --> 02:46:47,358
CREATE SOMETHING MORE

4803
02:46:47,358 --> 02:46:50,294
SUSTAINABLE.

4804
02:46:50,294 --> 02:46:52,162
SO THEN, WE MOVED ON TO THIS

4805
02:46:52,162 --> 02:46:53,697
CONCEPT OF USING THESE MOBILE

4806
02:46:53,697 --> 02:46:55,232
BUSES, AND SO WHEN I WAS WORKING

4807
02:46:55,232 --> 02:46:56,600
AT THE SAFETY NET HOSPITAL IN

4808
02:46:56,600 --> 02:46:58,702
D.C. , THERE WERE THESE TWO

4809
02:46:58,702 --> 02:47:00,804
LARGE MOBILE BUSES SHOWN THERE.

4810
02:47:00,804 --> 02:47:02,773
AND THEY WERE BASICALLY UNUSED.

4811
02:47:02,773 --> 02:47:03,974
THEY WERE SITTING IN THE BACK OF

4812
02:47:03,974 --> 02:47:06,343
THE HOSPITAL PARKING LOT.

4813
02:47:06,343 --> 02:47:08,245
SOME OF THE HOSPITAL

4814
02:47:08,245 --> 02:47:08,846
ADMINISTRATORS TRIED TO BRING

4815
02:47:08,846 --> 02:47:10,848
THEM OUT, BRING THEM TO GROCERY

4816
02:47:10,848 --> 02:47:12,049
SHOPS AND DO CERTAIN SERVICES,

4817
02:47:12,049 --> 02:47:13,317
BUT I THOUGHT ABOUT WHAT IF WE

4818
02:47:13,317 --> 02:47:14,418
KIND OF BRING THESE OUT AND

4819
02:47:14,418 --> 02:47:15,252
DEPLOY THESE INTO THE COMMUNITY

4820
02:47:15,252 --> 02:47:17,021
AND SEE IF PEOPLE ARE RECEPTIVE

4821
02:47:17,021 --> 02:47:17,588
TO THEM.

4822
02:47:17,588 --> 02:47:19,456
SO AT THE TIME, I MET WITH THE

4823
02:47:19,456 --> 02:47:21,225
D.C.  HOUSING DIRECTOR, WHICH

4824
02:47:21,225 --> 02:47:22,793
WAS TWO DIRECTORS AGO, AND SAID

4825
02:47:22,793 --> 02:47:24,495
WOULD YOU BE OPEN TO US HAVING

4826
02:47:24,495 --> 02:47:25,829
THIS MOBILE TRUCK COME AROUND TO

4827
02:47:25,829 --> 02:47:26,931
SOME OF THE PUBLIC HOUSING

4828
02:47:26,931 --> 02:47:27,364
PROPERTIES?

4829
02:47:27,364 --> 02:47:28,565
THERE'S OVER 50 IN D.C. .

4830
02:47:28,565 --> 02:47:30,567
WOULD THIS BE SOMETHING THAT

4831
02:47:30,567 --> 02:47:31,435
WOULD BE EFFECTIVE, DO YOU

4832
02:47:31,435 --> 02:47:31,769
THINK?

4833
02:47:31,769 --> 02:47:33,203
SO THE DIRECTOR SAID YES, OF

4834
02:47:33,203 --> 02:47:33,971
COURSE WE'LL BE OPEN TO THIS

4835
02:47:33,971 --> 02:47:34,638
IDEA.

4836
02:47:34,638 --> 02:47:36,040
SO WE TRIED TO DO THIS AGAIN FOR

4837
02:47:36,040 --> 02:47:36,807
A LITTLE WHILE.

4838
02:47:36,807 --> 02:47:38,542
AGAIN, FUNDING WAS AN ISSUE.

4839
02:47:38,542 --> 02:47:40,077
AND WE WEREN'T GETTING A LOT OF

4840
02:47:40,077 --> 02:47:41,645
PEOPLE COMING OUT.

4841
02:47:41,645 --> 02:47:43,514
BUT THEN COVID HIT, AND SO WE

4842
02:47:43,514 --> 02:47:45,449
DID GET SOME CARES ACT MONEY AND

4843
02:47:45,449 --> 02:47:46,784
WE WERE ABLE TO CONTINUE THE

4844
02:47:46,784 --> 02:47:48,052
PROGRAM AND WE WERE ABLE TO GO

4845
02:47:48,052 --> 02:47:49,186
TO ALMOST LIKE 30 PROPERTIES

4846
02:47:49,186 --> 02:47:51,488
WITHIN THE D.C.  HOUSING

4847
02:47:51,488 --> 02:47:52,156
PORTFOLIO, THE HOUSING

4848
02:47:52,156 --> 02:47:53,757
PORTFOLIO, AND PEOPLE WERE SO

4849
02:47:53,757 --> 02:47:56,093
OPEN AND SO RECEPTIVE TO THIS.

4850
02:47:56,093 --> 02:47:57,194
ESPECIALLY BECAUSE THEY WERE SO

4851
02:47:57,194 --> 02:47:57,494
AFRAID.

4852
02:47:57,494 --> 02:47:59,563
A LOT OF TIMES FOLKS HADN'T EVEN

4853
02:47:59,563 --> 02:48:00,397
LEFT THEIR APARTMENT BUILDINGS

4854
02:48:00,397 --> 02:48:01,932
AND WE'D SHOAP UP WITH THE

4855
02:48:01,932 --> 02:48:02,900
MOBILE UNIT AND THEY WOULD BE

4856
02:48:02,900 --> 02:48:04,234
CHEERING FOR THE VAN TO SHOW UP

4857
02:48:04,234 --> 02:48:05,102
AND THEY WOULD BE SO I AFRAID,

4858
02:48:05,102 --> 02:48:07,371
DO I HAVE COVID, AND SO REALLY

4859
02:48:07,371 --> 02:48:08,572
AT THAT POINT, I THOUGHT, YOU

4860
02:48:08,572 --> 02:48:10,240
KNOW, THIS IS ABOUT A MEDICAL

4861
02:48:10,240 --> 02:48:11,108
INTERVENTION, BUT IT'S REALLY

4862
02:48:11,108 --> 02:48:12,576
ABOUT SHOWING UP FOR PEOPLE AND

4863
02:48:12,576 --> 02:48:13,510
SAYING WE'RE HERE FOR YOU, WE'RE

4864
02:48:13,510 --> 02:48:15,479
NOT GOING TO LEAVE YOU BEHIND,

4865
02:48:15,479 --> 02:48:18,749
SO WE DID THIS FOR A WHILE.

4866
02:48:18,749 --> 02:48:20,517
BUT WE DID DO SOME PEN AND PAPER

4867
02:48:20,517 --> 02:48:22,152
SURVEYS, AND WHAT WE LEARNED WAS

4868
02:48:22,152 --> 02:48:24,355
THAT PEOPLE LOVE THE PLACE BASED

4869
02:48:24,355 --> 02:48:25,923
SERVICES WHEN WE CAME AROUND.

4870
02:48:25,923 --> 02:48:27,758
THEY LOVED THE IDEA OF ON-SITE

4871
02:48:27,758 --> 02:48:28,292
SERVICES.

4872
02:48:28,292 --> 02:48:31,028
BUT PROBLEMS WERE THE MOBILE

4873
02:48:31,028 --> 02:48:32,129
COULD ONLY DO LIKE ONE PLACE A

4874
02:48:32,129 --> 02:48:33,697
DAY, SO WE'D SHOW UP MAYBE AT

4875
02:48:33,697 --> 02:48:35,933
ONE HOUSING PROPERTY AND WE'D

4876
02:48:35,933 --> 02:48:37,267
SAY WE'LL SEE YOU NEXT TUESDAY

4877
02:48:37,267 --> 02:48:39,003
OR WE CAN COME BACK, SO THE LACK

4878
02:48:39,003 --> 02:48:40,237
OF CONSISTENCY REALLY BECAME A

4879
02:48:40,237 --> 02:48:40,771
PROBLEM.

4880
02:48:40,771 --> 02:48:41,972
AND THEN THE MOBILE VEHICLES ARE

4881
02:48:41,972 --> 02:48:42,539
EXPENSIVE.

4882
02:48:42,539 --> 02:48:43,841
THERE'S MAINTENANCE, YOU HAVE TO

4883
02:48:43,841 --> 02:48:46,010
GET A CDL DRIVER, THERE'S GAS,

4884
02:48:46,010 --> 02:48:47,211
WE CONSTANTLY HAD ISSUES WITH

4885
02:48:47,211 --> 02:48:48,312
SOME OF THE EQUIPMENT ON THE

4886
02:48:48,312 --> 02:48:49,747
VEHICLE.

4887
02:48:49,747 --> 02:48:51,048
AND WE THOUGHT TOO, MAYBE WE

4888
02:48:51,048 --> 02:48:52,182
DON'T NEED ALL OF THIS

4889
02:48:52,182 --> 02:48:52,916
EQUIPMENT, MAYBE WE COULD BE A

4890
02:48:52,916 --> 02:48:54,551
LITTLE BIT MORE FLEXIBLE AND A

4891
02:48:54,551 --> 02:48:58,389
LITTLE BIT MORE MOBILE.

4892
02:48:58,389 --> 02:48:59,590
SO THEN I HAD THIS IDEA, AND

4893
02:48:59,590 --> 02:49:01,392
THIS IS LITERALLY LIKE THE PAPER

4894
02:49:01,392 --> 02:49:03,127
TOWEL THAT I WROTE ON, AND I HAD

4895
02:49:03,127 --> 02:49:05,295
THIS IDEA, WHAT ABOUT IF WE

4896
02:49:05,295 --> 02:49:07,498
ANCHOR WELLNESS HUBS INTO PUBLIC

4897
02:49:07,498 --> 02:49:08,298
HOUSING, BECAUSE PUBLIC HOUSING

4898
02:49:08,298 --> 02:49:11,668
HAS THIS AMAZING INFRASTRUCTURE

4899
02:49:11,668 --> 02:49:12,870
OF MULTIPLE PROPERTIES THAT ARE

4900
02:49:12,870 --> 02:49:14,238
DISPERSED AROUND THE CITY, MOST

4901
02:49:14,238 --> 02:49:15,406
OF THEM HAVE MEDICAID OR ARE

4902
02:49:15,406 --> 02:49:18,208
DUAL MEDICAID/MEDICARE PROGRAMS.

4903
02:49:18,208 --> 02:49:20,010
WE COULD OFFER CLINICAL SERVICES

4904
02:49:20,010 --> 02:49:21,945
ON SITE, BUT WE COULD ALSO BRING

4905
02:49:21,945 --> 02:49:23,480
IN SOME OF THE OTHER COMMUNITY

4906
02:49:23,480 --> 02:49:24,915
PARTNERS WHO WERE DOING SOCIAL

4907
02:49:24,915 --> 02:49:26,250
SERVICES, SO WE WOULD HAVE THIS

4908
02:49:26,250 --> 02:49:27,251
SORT OF INFRASTRUCTURE ALMOST

4909
02:49:27,251 --> 02:49:30,821
LIKE AN FQHC FLIPPED INSIDE OUT.

4910
02:49:30,821 --> 02:49:31,822
WRAP AROUND, IT'S IN THE

4911
02:49:31,822 --> 02:49:32,790
COMMUNITY VERSUS BEING WITHIN

4912
02:49:32,790 --> 02:49:33,690
THE CONFINES OF THE HEALTH

4913
02:49:33,690 --> 02:49:34,958
CENTER.

4914
02:49:34,958 --> 02:49:37,928
WE COULD DO WELLNESS GAMES AND

4915
02:49:37,928 --> 02:49:39,329
CONTESTS, WE COULD BRING IN

4916
02:49:39,329 --> 02:49:40,364
STUDENTS TO DO STUDENT TRAINING,

4917
02:49:40,364 --> 02:49:41,865
SO I HAD ALL THESE DIFFERENT

4918
02:49:41,865 --> 02:49:44,168
VISIONS OF THESE THINGS IN THESE

4919
02:49:44,168 --> 02:49:48,539
ANCHORING INSTITUTIONS THAT THE

4920
02:49:48,539 --> 02:49:49,406
D.C.  HOUSING PORTFOLIO ALLOWED

4921
02:49:49,406 --> 02:49:50,174
FOR.

4922
02:49:50,174 --> 02:49:52,142
SO THAT'S WHEN I CAME UP WITH

4923
02:49:52,142 --> 02:49:54,144
THIS IDEA FOR C3CARES.

4924
02:49:54,144 --> 02:49:56,313
SO C3CARES IS BASICALLY A

4925
02:49:56,313 --> 02:49:57,748
NURSE-LED MODEL THAT IS

4926
02:49:57,748 --> 02:49:59,083
EMBEDDING WELLNESS HUBS INSIDE

4927
02:49:59,083 --> 02:50:00,517
OF HOUSING.

4928
02:50:00,517 --> 02:50:03,554
AND SO THE IDEA IS THAT WE HAVE

4929
02:50:03,554 --> 02:50:05,222
STAFFED BY COMMUNITY NURSES, SO

4930
02:50:05,222 --> 02:50:08,625
THESE ARE NURSES THAT ARE OUT IN

4931
02:50:08,625 --> 02:50:09,626
THE COMMUNITY, THEY SERVE ALMOST

4932
02:50:09,626 --> 02:50:11,028
LIKE A SCHOOL NURSE MODEL.

4933
02:50:11,028 --> 02:50:12,563
SO A LOT OF TIMES PEOPLE SAY IS

4934
02:50:12,563 --> 02:50:13,997
THIS KIND OF LIKE A MINUTE

4935
02:50:13,997 --> 02:50:14,765
CLINIC MODEL?

4936
02:50:14,765 --> 02:50:15,833
MINUTE CLINIC TO ME IS A LITTLE

4937
02:50:15,833 --> 02:50:17,201
BIT MORE TRANSACTIONAL.

4938
02:50:17,201 --> 02:50:18,068
THIS IS MORE LIKE A SCHOOL

4939
02:50:18,068 --> 02:50:21,972
HEALTH MODEL, WITH  -- WHERE YOA

4940
02:50:21,972 --> 02:50:22,539
KNOWN PERSON THERE IN THE

4941
02:50:22,539 --> 02:50:23,674
COMMUNITY.

4942
02:50:23,674 --> 02:50:24,575
WE ALSO USE COMMUNITY HEALTH

4943
02:50:24,575 --> 02:50:25,209
WORKERS.

4944
02:50:25,209 --> 02:50:27,244
IN OUR CASE WHAT WE'VE DONE

4945
02:50:27,244 --> 02:50:27,945
WE'VE ACTUALLY EMPLOYED

4946
02:50:27,945 --> 02:50:28,712
RESIDENTS WHO LIVE IN THE

4947
02:50:28,712 --> 02:50:29,780
PROPERTY AND WE'VE BEEN ABLE TO

4948
02:50:29,780 --> 02:50:30,981
PUT THEM THROUGH COMMUNITY

4949
02:50:30,981 --> 02:50:33,417
HEALTH WORKER TRAINING PROGRAM

4950
02:50:33,417 --> 02:50:34,084
THROUGH IPHI, HAD SOME FUNDING

4951
02:50:34,084 --> 02:50:35,586
SO WE WERE ABLE TO TRAIN THEM

4952
02:50:35,586 --> 02:50:37,454
AND BRING THEM BACK TO WORK ON

4953
02:50:37,454 --> 02:50:38,322
THE PROPERTIES AND WORK ON THE

4954
02:50:38,322 --> 02:50:38,755
CLINICS.

4955
02:50:38,755 --> 02:50:39,957
THEN YOU HAVE NURSE

4956
02:50:39,957 --> 02:50:40,958
PRACTITIONERS, WHO CAN DO

4957
02:50:40,958 --> 02:50:42,126
TELEHEALTH, CAN BE IN PERSON ON

4958
02:50:42,126 --> 02:50:44,461
SITE, AND CAN ALSO DO DIFFERENT

4959
02:50:44,461 --> 02:50:45,529
WELLNESS EVENTS IN THE

4960
02:50:45,529 --> 02:50:46,029
COMMUNITY.

4961
02:50:46,029 --> 02:50:47,798
SO THE IDEA IS THAT THIS IS

4962
02:50:47,798 --> 02:50:49,933
EARLY, IT'S CONVENIENT, IT

4963
02:50:49,933 --> 02:50:51,568
HOPEFULLY UPSTREAM MODEL, AND

4964
02:50:51,568 --> 02:50:53,971
REALLY SUPPORTING THIS CARE

4965
02:50:53,971 --> 02:50:55,472
COORDINATION AND ADDRESSING

4966
02:50:55,472 --> 02:50:56,240
HEALTH ISSUES EARLY.

4967
02:50:56,240 --> 02:50:57,107
SO THOSE ARE SOME OF THE

4968
02:50:57,107 --> 02:50:58,375
SERVICES THAT WE CAN PROVIDE.

4969
02:50:58,375 --> 02:51:02,212
NOW WE HAVE THREE THAT ARE

4970
02:51:02,212 --> 02:51:03,881
MEDICAID-APPROVED IN WARDS 6,

4971
02:51:03,881 --> 02:51:04,381
7 AND 8.

4972
02:51:04,381 --> 02:51:07,151
WE HAVE A FIFTH SITE ACTUALLY ON

4973
02:51:07,151 --> 02:51:08,285
THE SECOND FLOOR SO WE CAN'T GET

4974
02:51:08,285 --> 02:51:10,154
THAT TO BE ADA-COMPLIANT FOR THE

4975
02:51:10,154 --> 02:51:11,788
MOMENT BUT THE IDEA IS THAT

4976
02:51:11,788 --> 02:51:14,091
THESE WOULD BE SMALL CLINICS

4977
02:51:14,091 --> 02:51:15,325
SERVING NO MORE THAN 800 TO A

4978
02:51:15,325 --> 02:51:17,060
THOUSAND PEOPLE SO THEY STAY

4979
02:51:17,060 --> 02:51:18,695
VERY INTIMATE, BUT THEN THERE

4980
02:51:18,695 --> 02:51:19,796
ARE MULTIPLE THAT GROW AROUND

4981
02:51:19,796 --> 02:51:21,865
THE CITY.

4982
02:51:21,865 --> 02:51:23,400
SO HERE'S A LITTLE -- HERE'S A

4983
02:51:23,400 --> 02:51:28,105
COMMERCIAL THAT WE MADE.

4984
02:51:28,105 --> 02:51:28,805
>> CONCEPT CLEARANCE IS
HERE.

4985
02:51:31,508 --> 02:51:33,644
SICK

4986
02:52:38,308 --> 02:52:47,551
...

4987
02:52:47,551 --> 02:52:57,628
...

4988
02:53:02,099 --> 02:53:03,567
 

4989
02:53:03,567 --> 02:53:13,944
>> C3CARES IS HERE. 

4990
02:53:15,379 --> 02:53:15,712
>> BACK ON.

4991
02:53:15,712 --> 02:53:17,481
LASTLY, THIS IS, AGAIN, SORT OF

4992
02:53:17,481 --> 02:53:19,983
THE LARGER DEPICTION OF THIS

4993
02:53:19,983 --> 02:53:21,852
WELLNESS HEALTH MODEL.

4994
02:53:21,852 --> 02:53:22,819
C3CARES CLINICS ARE IN THE

4995
02:53:22,819 --> 02:53:24,588
MIDDLE BUT YOU HAVE ALL THE

4996
02:53:24,588 --> 02:53:25,555
OTHER SERVICES THAT ARE BUILT

4997
02:53:25,555 --> 02:53:26,156
AROUND IT.

4998
02:53:26,156 --> 02:53:27,758
AND THEN SOME OF THE COMMUNITY

4999
02:53:27,758 --> 02:53:29,693
PARTNERS THAT ARE ALREADY THERE

5000
02:53:29,693 --> 02:53:30,627
BECAUSE CURRENTLY THERE ARE

5001
02:53:30,627 --> 02:53:32,763
ABOUT 50 SOCIAL SERVICE

5002
02:53:32,763 --> 02:53:33,964
PROVIDERS WITHIN D.C. PUBLIC

5003
02:53:33,964 --> 02:53:34,865
HOUSING PROPERTIES.

5004
02:53:34,865 --> 02:53:37,200
THESE ARE SOME PARTNERS WE'VE

5005
02:53:37,200 --> 02:53:38,669
WORKED WITH, AND SO TO ME THIS

5006
02:53:38,669 --> 02:53:40,337
IS JUST THE BEGINNING OF A MODEL

5007
02:53:40,337 --> 02:53:41,905
THAT COULD REALLY BE

5008
02:53:41,905 --> 02:53:43,073
DEMONSTRATED IN WASHINGTON, D.C.

5009
02:53:43,073 --> 02:53:45,142
AND THEN BE EXPANDED TO OTHER

5010
02:53:45,142 --> 02:53:46,410
CITIES THAT HAVE SIMILAR

5011
02:53:46,410 --> 02:53:48,512
INFRASTRUCTURES.

5012
02:53:48,512 --> 02:53:51,581
 

5013
02:53:51,581 --> 02:53:53,550
WHAT ARE THE EXPECTED OUTCOMES

5014
02:53:53,550 --> 02:53:53,884
OF THE MODEL?

5015
02:53:53,884 --> 02:53:56,520
I THINK FIRST AND FOREMOST WANT

5016
02:53:56,520 --> 02:53:57,854
WE TO REDUCE EMERGENCY ROOM

5017
02:53:57,854 --> 02:53:58,155
VISITS.

5018
02:53:58,155 --> 02:53:59,723
WE WANT TO MAKE SURE THAT

5019
02:53:59,723 --> 02:54:00,991
PEOPLE, YOU KNOW, UNDERSTAND

5020
02:54:00,991 --> 02:54:02,559
THEIR HEALTH AND SO ADDRESSING

5021
02:54:02,559 --> 02:54:03,994
HEALTH LITERACY I THINK IS

5022
02:54:03,994 --> 02:54:05,228
PROBABLY FIRST AND FOREMOST.

5023
02:54:05,228 --> 02:54:07,164
I THINK THAT, YOU KNOW, HEALTH

5024
02:54:07,164 --> 02:54:08,999
LITERACY CAN'T BE ADDRESSED IN A

5025
02:54:08,999 --> 02:54:09,633
15-MINUTE MEDICAL APPOINTMENT,

5026
02:54:09,633 --> 02:54:10,534
AND WE KNOW THAT.

5027
02:54:10,534 --> 02:54:13,937
AND SO IF WE CAN BUILD SOME

5028
02:54:13,937 --> 02:54:14,805
PROGRAMS AROUND EDUCATING FOLKS

5029
02:54:14,805 --> 02:54:16,440
ON SITE WHERE THEY LIVE, I THINK

5030
02:54:16,440 --> 02:54:18,408
WE CAN START TO WORK SOME OF

5031
02:54:18,408 --> 02:54:19,843
THAT SO THAT THEIR OFFICE VISITS

5032
02:54:19,843 --> 02:54:21,244
DON'T HAVE TO BE SO INTENSE AND

5033
02:54:21,244 --> 02:54:22,879
DON'T FEEL LIKE THEY HAVE TO BE

5034
02:54:22,879 --> 02:54:27,050
SO FIT INTO A SMALL VISIT.

5035
02:54:27,050 --> 02:54:28,352
ENGAGEMENT IN CARE IS A

5036
02:54:28,352 --> 02:54:29,152
PRIORITY, TRYING TO GET HEALTH

5037
02:54:29,152 --> 02:54:31,455
TO BE A SHARED VALUE FOR PEOPLE

5038
02:54:31,455 --> 02:54:33,523
LIVING OUT IN THE COMMUNITIES.

5039
02:54:33,523 --> 02:54:35,158
IMPROVING COORDINATION OF CARE,

5040
02:54:35,158 --> 02:54:37,561
SO BY HAVING ON-SITE SOCIAL

5041
02:54:37,561 --> 02:54:40,530
SERVICE PROVIDERS, AND OTHER

5042
02:54:40,530 --> 02:54:41,398
WRAP-AROUND, THIS COULD IMPROVE

5043
02:54:41,398 --> 02:54:44,568
COORDINATION OF CARE AND GET

5044
02:54:44,568 --> 02:54:45,902
MORE FOLKS INVOLVED.

5045
02:54:45,902 --> 02:54:48,338
COMMUNITY LEVEL TRUST, THIS

5046
02:54:48,338 --> 02:54:49,473
ISN'T SOMETHING I'VE MENTIONED

5047
02:54:49,473 --> 02:54:50,707
SO FAR BUT A LOT OF PEOPLE HAVE

5048
02:54:50,707 --> 02:55:01,218
FEAR AND MISTRUST, NURSES ARE 

5049
02:55:02,285 --> 02:55:04,554
THE NUMBER ONE TRUSTED HEALTH

5050
02:55:04,554 --> 02:55:06,223
CARE PROFESSIONALS FOR 17 YEARS,

5051
02:55:06,223 --> 02:55:07,924
THAT WILL HELP RESTORE TRUST.

5052
02:55:07,924 --> 02:55:10,127
AND FOR STUDENTS, WE'VE HAD

5053
02:55:10,127 --> 02:55:10,994
NURSING STUDENTS, BUSINESS

5054
02:55:10,994 --> 02:55:12,295
STUDENTS, PUBLIC HEALTH STUDENTS

5055
02:55:12,295 --> 02:55:13,296
COMING OUT.

5056
02:55:13,296 --> 02:55:17,434
THERE'S MORE OPPORTUNITIES FOR 

5057
02:55:17,434 --> 02:55:21,071
DIFFERENT TYPES OF STUDENTS,

5058
02:55:21,071 --> 02:55:22,706
DIFFERENT INTERDISCIPLINARY

5059
02:55:22,706 --> 02:55:27,077
OPPORTUNITIES AT THESE SITES.

5060
02:55:27,077 --> 02:55:30,480
HERE'S SOME IMAGES OF OUR

5061
02:55:30,480 --> 02:55:31,615
CLINICS, OF OUR FLAGS, EDUCATION

5062
02:55:31,615 --> 02:55:33,116
SESSION ON THE LEFT.

5063
02:55:33,116 --> 02:55:36,153
WE HAVE NURSING STUDENTS DO A

5064
02:55:36,153 --> 02:55:36,586
SMALL PRESENTATION.

5065
02:55:36,586 --> 02:55:39,322
AND THERE'S A PICTURE UP TOP OF

5066
02:55:39,322 --> 02:55:43,593
ONE OF OUR PRIMARY CARE, THE

5067
02:55:43,593 --> 02:55:45,128
ENTRYWAY, CLINICS CONVERTED TO

5068
02:55:45,128 --> 02:55:45,896
BEDROOM APARTMENTS, WE'VE BEEN

5069
02:55:45,896 --> 02:55:47,330
ABLE TO CHECK THE BOXES FOR

5070
02:55:47,330 --> 02:55:51,568
MEDICAID TO SAY WE HAVE TWO EXAM

5071
02:55:51,568 --> 02:55:57,641
ROOMS, TWO EXAM TABLES, PRIVATE

5072
02:55:57,641 --> 02:55:58,475
ENTRY WAY, ADA COMPLIANT

5073
02:55:58,475 --> 02:55:59,810
BUILDING A RAMP IN THE BACK,

5074
02:55:59,810 --> 02:56:04,314
KITCHEN AREA IS THE EXAM ROOM,

5075
02:56:04,314 --> 02:56:05,949
TWO EXAM ROOMS UPSTAIRS,

5076
02:56:05,949 --> 02:56:06,383
BEDROOMS CONVERTED.

5077
02:56:06,383 --> 02:56:07,717
THIS IS THE MODEL I SEE.

5078
02:56:07,717 --> 02:56:12,856
I'M HAPPY TO ANSWER QUESTIONS OR

5079
02:56:12,856 --> 02:56:13,423
HAVE MORE DISCUSSION.

5080
02:56:13,423 --> 02:56:16,126
THANK YOU.

5081
02:56:16,126 --> 02:56:21,398
 

5082
02:56:21,398 --> 02:56:24,568
>> THANKS SO MUCH FOR THAT

5083
02:56:24,568 --> 02:56:24,901
PRESENTATION.

5084
02:56:24,901 --> 02:56:27,103
AND I'M GLAD I GET TO PROVIDE

5085
02:56:27,103 --> 02:56:30,807
SOME OPENING REMARKS AND SOME

5086
02:56:30,807 --> 02:56:31,475
QUESTIONS.

5087
02:56:31,475 --> 02:56:32,876
SO, JUST MY BACKGROUND, MY FIRST

5088
02:56:32,876 --> 02:56:35,178
JOB OUT OF NURSING SCHOOL I

5089
02:56:35,178 --> 02:56:37,514
BECAME A SCHOOL NURSING STUDENT

5090
02:56:37,514 --> 02:56:38,582
IN CAMDEN NEW JERSEY, MY

5091
02:56:38,582 --> 02:56:40,083
STUDENTS LIVE IN PUBLIC HOUSING,

5092
02:56:40,083 --> 02:56:41,318
I GET TO SEE IMPORTANCE OF BEING

5093
02:56:41,318 --> 02:56:43,820
ABLE TO TAKE CARE OF THAT

5094
02:56:43,820 --> 02:56:45,355
POPULATION, ALSO A PEDIATRIC

5095
02:56:45,355 --> 02:56:47,757
NURSE PRACTITIONERS AND I WORKED

5096
02:56:47,757 --> 02:56:53,330
IN PUBLIC HOUSING, NORTH

5097
02:56:53,330 --> 02:56:54,231
PHILADELPHIA.

5098
02:56:54,231 --> 02:56:56,833
AS A NURSING PROFESSOR AT

5099
02:56:56,833 --> 02:56:58,401
HOPKINS, WE'RE VERY INTERESTED

5100
02:56:58,401 --> 02:57:00,904
IN THINKING ABOUT RESTORING

5101
02:57:00,904 --> 02:57:03,006
COMMUNITY NURSING, LOTS OF

5102
02:57:03,006 --> 02:57:03,874
CONVERSATIONS TODAY, NURSING

5103
02:57:03,874 --> 02:57:05,509
CAME FROM THE COMMUNITY.

5104
02:57:05,509 --> 02:57:06,810
WE GOT DRAGGED INTO ACUTE CARE

5105
02:57:06,810 --> 02:57:07,911
HEALTH SYSTEMS AND NOW WE NEED

5106
02:57:07,911 --> 02:57:09,546
TO GET BACK TO WHERE WE WERE.

5107
02:57:09,546 --> 02:57:11,982
I THINK WHAT YOU TALKED ABOUT IN

5108
02:57:11,982 --> 02:57:12,949
YOUR CONVERSATION, WHAT YOU'RE

5109
02:57:12,949 --> 02:57:15,018
DOING, IS REALLY PART OF THAT.

5110
02:57:15,018 --> 02:57:16,686
AND ACTUALLY I WROTE AN ARTICLE

5111
02:57:16,686 --> 02:57:18,889
THAT JUST CAME OUT IN THE SPRING

5112
02:57:18,889 --> 02:57:20,624
AND THE TITLE IS GOING TO BE A

5113
02:57:20,624 --> 02:57:25,462
SCHOOL NURSE FOR EVERY CENSUS

5114
02:57:25,462 --> 02:57:26,229
TRACT, CHANGES IN COMMUNITY

5115
02:57:26,229 --> 02:57:27,964
NURSING, BUT I LOVE THE IDEA OF

5116
02:57:27,964 --> 02:57:30,300
A SCHOOL NURSE, SCHOOL NURSING

5117
02:57:30,300 --> 02:57:32,936
IS A GOOD LENS TO LOOK AT IT

5118
02:57:32,936 --> 02:57:33,370
THROUGH.

5119
02:57:33,370 --> 02:57:37,073
AND WE ACTUALLY AT HOPKINS JUST

5120
02:57:37,073 --> 02:57:39,609
THIS SPRING WE HAVE THE FIRST

5121
02:57:39,609 --> 02:57:41,144
COHORT, PILOT COHORT, ENTRY

5122
02:57:41,144 --> 02:57:47,918
LEVEL NURSING STUDENTS, DOING 

5123
02:57:47,918 --> 02:57:49,119
ALL THEIR CLINICALS OUTSIDE

5124
02:57:49,119 --> 02:57:51,187
ACUTE CARE SYSTEM, EXCITING FOR

5125
02:57:51,187 --> 02:57:53,189
US AND NURSING EDUCATION.

5126
02:57:53,189 --> 02:57:59,396
IMPORTANT TO SHARE FACTS ABOUT

5127
02:57:59,396 --> 02:58:02,699
PUBLIC HOUSING, THINKING ABOUT

5128
02:58:02,699 --> 02:58:06,970
DEMOGRAPHICS.

5129
02:58:06,970 --> 02:58:09,372
1.5MILLION RESIDENTS IN PUBLIC

5130
02:58:09,372 --> 02:58:10,407
HOUSING, HALF A MILLION CHILDREN

5131
02:58:10,407 --> 02:58:18,648
BETWEEN 0 AND 17 LIVE IN PUBLIC

5132
02:58:18,648 --> 02:58:20,317
HOUSING, 19% ARE SENIORS, 38% OF

5133
02:58:20,317 --> 02:58:20,984
PUBLIC HOUSING HOUSEHOLDS

5134
02:58:20,984 --> 02:58:23,687
INCLUDE A MEMBER WHO IS

5135
02:58:23,687 --> 02:58:24,688
DISABLED, AVERAGE ANNUAL

5136
02:58:24,688 --> 02:58:26,990
HOUSEHOLD INCOME OF RESIDENTS OF

5137
02:58:26,990 --> 02:58:30,827
PUBLIC HOUSING FALLS BELOW THE

5138
02:58:30,827 --> 02:58:31,227
POVERTY LINE.

5139
02:58:31,227 --> 02:58:34,464
SO I THINK YOU WENT OVER THE

5140
02:58:34,464 --> 02:58:37,200
HEALTH CARE INEQUITIES, SOCIAL

5141
02:58:37,200 --> 02:58:38,602
DRIVERS OF HEALTH, WE'RE NOT

5142
02:58:38,602 --> 02:58:40,036
GOING TO SAY DETERMINANTS

5143
02:58:40,036 --> 02:58:44,874
ANYMORE, WE'RE GOING TO SAY

5144
02:58:44,874 --> 02:58:45,342
DRIVERS.

5145
02:58:45,342 --> 02:58:47,143
DOES EVERYBODY LIKE THAT?

5146
02:58:47,143 --> 02:58:50,880
GREAT DAY.

5147
02:58:50,880 --> 02:58:53,850
AND INNOVATIVE EXCLUSIONS,

5148
02:58:53,850 --> 02:58:57,520
WELLNESS HUBS, GREAT PIECES OF

5149
02:58:57,520 --> 02:58:59,422
IT, SO I WANT TO LEAVE TIME FOR

5150
02:58:59,422 --> 02:58:59,756
CONVERSATION.

5151
02:58:59,756 --> 02:59:02,592
I COULD TALK ABOUT THIS ALL DAY.

5152
02:59:02,592 --> 02:59:03,693
YEAH, ENGAGEMENT CARE IS AN

5153
02:59:03,693 --> 02:59:06,663
IMPORTANT PIECE, OF COURSE AS

5154
02:59:06,663 --> 02:59:10,066
YOU KNOW WE REALLY WANT TO APPLY

5155
02:59:10,066 --> 02:59:10,400
THAT.

5156
02:59:10,400 --> 02:59:12,469
CLINICAL CARE IS 20% OF HEALTH,

5157
02:59:12,469 --> 02:59:13,670
ALL THE SOCIAL DRIVERS YOU WANT

5158
02:59:13,670 --> 02:59:16,740
TO LEAN INTO, I THINK YOUR POINT

5159
02:59:16,740 --> 02:59:19,042
ABOUT THE ZIP CODE MORE

5160
02:59:19,042 --> 02:59:20,143
IMPORTANT THAN GENETICS IS

5161
02:59:20,143 --> 02:59:20,477
GREAT.

5162
02:59:20,477 --> 02:59:21,578
AN IDEA WHOSE TIME HAS COME.

5163
02:59:21,578 --> 02:59:23,446
WE HAVE A GROWING NUMBER OF

5164
02:59:23,446 --> 02:59:25,181
MODELS ACROSS THE COUNTRY THAT

5165
02:59:25,181 --> 02:59:27,083
ARE REALLY ENGAGING AND THINKING

5166
02:59:27,083 --> 02:59:28,351
ABOUT NURSE-LED MODELS HOW WE

5167
02:59:28,351 --> 02:59:30,887
CAN PROVIDE CARE WHERE PEOPLE

5168
02:59:30,887 --> 02:59:32,422
ARE, I LOVED THIS FOCUS SEEMS TO

5169
02:59:32,422 --> 02:59:34,290
BE ABOUT WHAT WE'RE DOING WITH

5170
02:59:34,290 --> 02:59:36,459
COMMUNITIES VERSUS WHAT WE'RE

5171
02:59:36,459 --> 02:59:39,429
DOING TO COMMUNITIES, SOUNDS

5172
02:59:39,429 --> 02:59:41,598
COLLABORATIVE, TOOK THE TIME TO

5173
02:59:41,598 --> 02:59:42,932
REALLY LEVERAGE TRUST IN MEMBERS

5174
02:59:42,932 --> 02:59:45,769
OF THE COMMUNITY, SAME WITH

5175
02:59:45,769 --> 02:59:52,876
BARBERS, WORKING INTO

5176
02:59:52,876 --> 02:59:57,480
PROMONTORAS, A LOT IS

5177
02:59:57,480 --> 02:59:58,782
CONVERSATIONS WE'VE HAD AS

5178
02:59:58,782 --> 02:59:59,983
ADVISORY MEMBERS TO THE NINR.

5179
02:59:59,983 --> 03:00:02,485
THIS IS REALLY SOMETHING THAT

5180
03:00:02,485 --> 03:00:05,121
WE'RE THINKING ABOUT, THINKING

5181
03:00:05,121 --> 03:00:05,722
ABOUT THE INTERVENTIONS

5182
03:00:05,722 --> 03:00:12,662
DELIVERED AT THE RIGHT TIME, AT

5183
03:00:12,662 --> 03:00:13,797
THE RIGHT PLACE, RIGHT MODES,

5184
03:00:13,797 --> 03:00:17,634
SOCIAL DRIVERS OF HEALTH.

5185
03:00:17,634 --> 03:00:20,470
NINR IS IN THAT DIRECTION, 47%

5186
03:00:20,470 --> 03:00:22,238
OF THE FUNDING IS GOING TOWARDS

5187
03:00:22,238 --> 03:00:24,074
THESE SOCIAL DRIVERS OF HEALTH.

5188
03:00:24,074 --> 03:00:27,677
SO THIS IS JUST SOMETHING THAT

5189
03:00:27,677 --> 03:00:29,012
IS REALLY TIMELY, I'M SO

5190
03:00:29,012 --> 03:00:30,313
DELIGHTED WE BROUGHT YOU INTO

5191
03:00:30,313 --> 03:00:31,514
THIS CONVERSATION BECAUSE I

5192
03:00:31,514 --> 03:00:38,321
THINK IT'S REALLY IMPORTANT AND 

5193
03:00:38,321 --> 03:00:39,956
I THINK DR. ZENK HAS DONE A

5194
03:00:39,956 --> 03:00:41,925
GREAT JOB, THINKING ABOUT

5195
03:00:41,925 --> 03:00:44,027
COMMUNITY-BASED NON-PROFITS LIKE

5196
03:00:44,027 --> 03:00:45,762
YOURSELF, HIGHER EDUCATION,

5197
03:00:45,762 --> 03:00:46,396
PHILANTHROPY, ACUTE CARE

5198
03:00:46,396 --> 03:00:47,397
PARTNERS, BECAUSE THEY ARE ALL

5199
03:00:47,397 --> 03:00:49,365
PART OF THIS CONVERSATION THAT

5200
03:00:49,365 --> 03:00:51,801
NURSING REALLY IS THE LARGEST

5201
03:00:51,801 --> 03:00:53,103
SHARE OF THE HEALTHCARE

5202
03:00:53,103 --> 03:01:00,310
WORKFORCE, THE MOST TRUSTED, AS

5203
03:01:00,310 --> 03:01:01,311
POINT OUT.

5204
03:01:01,311 --> 03:01:02,412
A COUPLE QUESTIONS, MAYBE WE

5205
03:01:02,412 --> 03:01:05,215
ADDRESS, MAYBE WE DON'T.

5206
03:01:05,215 --> 03:01:06,983
HOW CAN MODELS OF CARE BE

5207
03:01:06,983 --> 03:01:08,852
IMPLEMENTED IN PUBLIC HOUSING

5208
03:01:08,852 --> 03:01:09,953
ENVIRONMENTS TO ADDRESS UNIQUE

5209
03:01:09,953 --> 03:01:12,222
SOCIAL ECONOMIC AND HEALTH CARE

5210
03:01:12,222 --> 03:01:13,890
NEEDS OF RESIDENTS?

5211
03:01:13,890 --> 03:01:17,160
I THINK YOU'VE TOUCHED ON THAT.

5212
03:01:17,160 --> 03:01:19,229
HOW CAN THESE -- AS WE CENTER

5213
03:01:19,229 --> 03:01:22,732
NURSING, WE ALSO HAVE TO BE VERY

5214
03:01:22,732 --> 03:01:25,468
AWARE THAT WE NEED SO MANY

5215
03:01:25,468 --> 03:01:27,670
PARTNERS, RIGHT?

5216
03:01:27,670 --> 03:01:34,210
WE NEED COMMUNITY HEALTH

5217
03:01:34,210 --> 03:01:36,112
WORKERS, DOULAS, PROMONTORAS,

5218
03:01:36,112 --> 03:01:37,847
BEING ENGAGED IN CONVERSATIONS,

5219
03:01:37,847 --> 03:01:39,716
WIDENING THIS SENSE OF HOW WE

5220
03:01:39,716 --> 03:01:41,017
ADDRESS PRIMARY CARE, WHERE

5221
03:01:41,017 --> 03:01:42,318
PEOPLE ARE, AND WHERE THEY WANT

5222
03:01:42,318 --> 03:01:44,621
US TO BE WITH THEM.

5223
03:01:44,621 --> 03:01:46,456
I LOVE THAT IN THAT COMMERCIAL,

5224
03:01:46,456 --> 03:01:48,725
DON'T HAVE TO GO INTO ACUTE CARE

5225
03:01:48,725 --> 03:01:50,460
SETTING TO GET HEALTH CARE.

5226
03:01:50,460 --> 03:01:52,462
EVERYONE IS ENGAGED WITH HEALTH

5227
03:01:52,462 --> 03:01:53,730
CARE, WE ALL GET HEALTHIER,

5228
03:01:53,730 --> 03:01:56,299
COMMUNITIES BECOME MORE

5229
03:01:56,299 --> 03:02:00,436
EQUITABLE AND MORE RESILIENT.

5230
03:02:00,436 --> 03:02:01,437
JUST HEALTHIER PLACES.

5231
03:02:01,437 --> 03:02:02,405
THE LAST PIECE AGAIN THINKING

5232
03:02:02,405 --> 03:02:04,607
ABOUT THE ROLE OF COMMUNITY

5233
03:02:04,607 --> 03:02:07,544
HEALTH WORKERS AS WE BRIDGE THAT

5234
03:02:07,544 --> 03:02:10,413
GAP, AND WHAT YOU DID WITH

5235
03:02:10,413 --> 03:02:14,217
BARBERS WE CAN DO WITH OTHER

5236
03:02:14,217 --> 03:02:15,518
HEALTH WORKERS, WE'VE SEEN OTHER

5237
03:02:15,518 --> 03:02:18,054
MODELS, I KNOW JEFF BRENNER'S

5238
03:02:18,054 --> 03:02:21,424
WORK, THINKING ABOUT THE

5239
03:02:21,424 --> 03:02:28,097
DIFFERENT LAYERS OF NURSING

5240
03:02:28,097 --> 03:02:31,601
ASSISTANTS, LPNS, RNS, NURSE

5241
03:02:31,601 --> 03:02:31,968
PRACTITIONERS.

5242
03:02:31,968 --> 03:02:33,603
THANK YOU FOR THE GREAT WORK

5243
03:02:33,603 --> 03:02:34,904
YOU'RE DOING AND I'D LOVE TO

5244
03:02:34,904 --> 03:02:45,348
OPEN UP FOR CONVERSATION.

5245
03:02:47,217 --> 03:02:50,186
THANK YOU.

5246
03:02:50,186 --> 03:02:56,793
>> YOUR PRESENTATION WAS
SPEAK 

5247
03:02:56,793 --> 03:02:59,529
-- SPECTACULAR FOR THE REASONS

5248
03:02:59,529 --> 03:03:00,530
BOB ARTICULATED.

5249
03:03:00,530 --> 03:03:02,498
YOU'RE AN AMAZING NURSE.

5250
03:03:02,498 --> 03:03:04,901
THE WAY WE SEE CARE, THE WAY FOR

5251
03:03:04,901 --> 03:03:06,970
THE FUTURE, THERE NOW.

5252
03:03:06,970 --> 03:03:07,937
HUGE CONGRATULATIONS AND THANK

5253
03:03:07,937 --> 03:03:10,940
YOU FOR BEING HERE TODAY. 

5254
03:03:10,940 --> 03:03:12,876
I WANT TO POINT OUT A LITTLE

5255
03:03:12,876 --> 03:03:14,143
BIT, SORT OF PROMOTION OF THE

5256
03:03:14,143 --> 03:03:16,279
NURSING PROFESSION WHICH I THINK

5257
03:03:16,279 --> 03:03:18,014
IS PART OF OUR ROLE.

5258
03:03:18,014 --> 03:03:21,651
I JUST COMPLETED A REVIEW OF

5259
03:03:21,651 --> 03:03:25,655
HUNDREDS OF PROGRAMS PUBLISHED,

5260
03:03:25,655 --> 03:03:28,024
OBVIOUSLY, IF IT'S IN THE

5261
03:03:28,024 --> 03:03:29,459
LITERATURE, CRITICAL REVIEW,

5262
03:03:29,459 --> 03:03:33,596
WHAT DO WE MEAN BY NURSE LED,

5263
03:03:33,596 --> 03:03:35,698
ARE THERE COMPONENTS THAT DEFINE

5264
03:03:35,698 --> 03:03:37,901
ACROSS POPULATIONS AND ACROSS

5265
03:03:37,901 --> 03:03:38,768
SETTINGS AND ACROSS ISSUES, AND

5266
03:03:38,768 --> 03:03:44,007
IT TURNS OUT THAT AT LEAST FROM

5267
03:03:44,007 --> 03:03:47,443
MY REVIEW THERE IS, MANY THINGS

5268
03:03:47,443 --> 03:03:51,147
ARE IN YOUR C3CARES PROGRAM.

5269
03:03:51,147 --> 03:03:53,883
BUT WHAT I'M TRYING TO LIFT UP

5270
03:03:53,883 --> 03:03:56,486
IS WHILE THIS EXAMPLE IS

5271
03:03:56,486 --> 03:03:58,121
FANTASTIC, WE NEED TO COMBINE

5272
03:03:58,121 --> 03:04:00,089
THAT WITH HUNDREDS OF EXAMPLES

5273
03:04:00,089 --> 03:04:04,193
THAT HELP US TO TELL OUR STORY

5274
03:04:04,193 --> 03:04:06,262
OF HOW NURSING RESEARCH IS

5275
03:04:06,262 --> 03:04:08,564
TRANSFORMING HEALTH IN OUR

5276
03:04:08,564 --> 03:04:09,532
NATION, AND, SHANNON, THAT PAPER

5277
03:04:09,532 --> 03:04:10,233
IS OUT.

5278
03:04:10,233 --> 03:04:12,302
I'M HAPPY TO SHARE IT WITH YOU.

5279
03:04:12,302 --> 03:04:14,370
IT'S OPEN ACCESS.

5280
03:04:14,370 --> 03:04:16,539
AND IT REALLY DEFINES LIKE AT

5281
03:04:16,539 --> 03:04:21,144
LEAST FIRST STAB AT WHAT MAKES

5282
03:04:21,144 --> 03:04:25,114
NURSING INTERVENTIONS IMPACTFUL.

5283
03:04:25,114 --> 03:04:26,849
SO I'M GOING TO SEND IT

5284
03:04:26,849 --> 03:04:28,451
PERSONALLY IF I CAN GET YOUR

5285
03:04:28,451 --> 03:04:28,685
E-MAIL.

5286
03:04:28,685 --> 03:04:29,786
I THINK YOU'LL SEE YOURSELF IN

5287
03:04:29,786 --> 03:04:31,321
THAT AND SHOW YOU YOU'VE BEEN

5288
03:04:31,321 --> 03:04:40,463
PART OF SOMETHING THAT'S REALLY

5289
03:04:40,463 --> 03:04:42,065
IMPORTANT TO ELEVATE.

5290
03:04:42,065 --> 03:04:42,565
>> DR. STONE?

5291
03:04:42,565 --> 03:04:44,901
>> THANK YOU.

5292
03:04:44,901 --> 03:04:47,236
WONDERFUL PRESENTATION, AND

5293
03:04:47,236 --> 03:04:48,104
ABSOLUTELY AMAZING WORK.

5294
03:04:48,104 --> 03:04:55,044
THERE'S NO DOUBT YOU'RE CHANGING

5295
03:04:55,044 --> 03:04:55,345
LIVES.

5296
03:04:55,345 --> 03:04:58,281
OVER 25 YEARS AGO I HEARD ABOUT

5297
03:04:58,281 --> 03:04:59,916
MODELS OF CARE, NOT NURSE LED

5298
03:04:59,916 --> 03:05:02,485
BUT MODELS OF CARE LIKE THIS, 25

5299
03:05:02,485 --> 03:05:05,588
YEARS AGO.

5300
03:05:05,588 --> 03:05:09,559
THEY WERE DOING AT HARVARD.

5301
03:05:09,559 --> 03:05:11,828
I'M REFLECTING ON THAT.

5302
03:05:11,828 --> 03:05:15,331
AND THINKING AS A

5303
03:05:15,331 --> 03:05:19,402
NURSE-SCIENTIST NOW, WHAT ARE

5304
03:05:19,402 --> 03:05:20,036
THE QUESTIONS, SCIENTIFIC

5305
03:05:20,036 --> 03:05:21,838
QUESTIONS, ABOUT THIS.

5306
03:05:21,838 --> 03:05:30,380
IS IT ABOUT IMPLEMENTATION?

5307
03:05:30,380 --> 03:05:32,348
AND I'M NOT SURE OF THOSE

5308
03:05:32,348 --> 03:05:32,682
THINGS.

5309
03:05:32,682 --> 03:05:34,317
YOU KNOW, I MEAN, IF I HEARD

5310
03:05:34,317 --> 03:05:36,085
ABOUT SOMETHING VERY SIMILAR TO

5311
03:05:36,085 --> 03:05:40,323
THIS, YOU KNOW, PUTTING CLINICS 

5312
03:05:40,323 --> 03:05:41,758
IN HOUSING PROJECTS, OVER 25 --

5313
03:05:41,758 --> 03:05:43,059
SMALL SETTINGS, 25 YEARS AGO AND

5314
03:05:43,059 --> 03:05:46,596
IT NEVER HAPPENED, TO ME I THINK

5315
03:05:46,596 --> 03:05:48,231
THE QUESTIONS ARE ABOUT WHY AND

5316
03:05:48,231 --> 03:05:52,168
HOW DO WE IMPLEMENT THEM; KNOW,

5317
03:05:52,168 --> 03:05:54,370
GET THEM IMPLEMENTED.

5318
03:05:54,370 --> 03:05:56,105
YOU KNOW, SO THERE ARE REAL

5319
03:05:56,105 --> 03:05:57,006
POLICY QUESTIONS.

5320
03:05:57,006 --> 03:06:00,710
BUT I WANT ALL OF US TO REFLECT

5321
03:06:00,710 --> 03:06:04,614
ON WHAT ARE THE SCIENTIFIC

5322
03:06:04,614 --> 03:06:06,215
QUESTIONS THAT WE NEED ANSWERED

5323
03:06:06,215 --> 03:06:09,685
WITH SUCH AMAZING WORK GOING ON

5324
03:06:09,685 --> 03:06:15,024
TO GET THIS IMPLEMENTED LARGER

5325
03:06:15,024 --> 03:06:19,295
ACROSS THE NATION.

5326
03:06:19,295 --> 03:06:22,231
>> MY QUESTION IS, WHAT
CAN WE

5327
03:06:22,231 --> 03:06:24,000
IN ACUTE CARE LEARN FROM YOU.

5328
03:06:24,000 --> 03:06:26,636
HOW DO WE GET PATIENTS ENGAGED

5329
03:06:26,636 --> 03:06:28,137
IN CARE, BECAUSE WE SEE

5330
03:06:28,137 --> 03:06:29,906
IMPLICATIONS OF WHEN THEY AREN'T

5331
03:06:29,906 --> 03:06:33,076
ENGAGED, AND IT'S A VERY

5332
03:06:33,076 --> 03:06:34,110
DIFFICULT-TO-TREAT POPULATION.

5333
03:06:34,110 --> 03:06:35,278
THEY KEEP COMING BACK.

5334
03:06:35,278 --> 03:06:36,679
OUTCOMES ARE TERRIBLE.

5335
03:06:36,679 --> 03:06:38,214
SO I WOULD LOVE TO LEARN FROM

5336
03:06:38,214 --> 03:06:40,216
YOUR EXPERIENCE ON HOW YOU

5337
03:06:40,216 --> 03:06:42,185
ENGAGE PEOPLE IN THEIR CARE

5338
03:06:42,185 --> 03:06:43,286
BECAUSE CLEARLY YOU'VE SOLVED

5339
03:06:43,286 --> 03:06:48,124
THE ACCESS, BUT HOW DO YOU

5340
03:06:48,124 --> 03:06:49,125
ENGAGE THEM?

5341
03:06:49,125 --> 03:06:50,326
>> I THINK THAT'S THE
MILLION

5342
03:06:50,326 --> 03:06:51,861
DOLLAR QUESTION.

5343
03:06:51,861 --> 03:06:53,162
WE'RE WORKING TOWARDS THAT.

5344
03:06:53,162 --> 03:06:56,799
I THINK IT HAS TO BE MORE THAN

5345
03:06:56,799 --> 03:06:57,967
THE HEALTH CARE ENVIRONMENT.

5346
03:06:57,967 --> 03:06:59,735
EVEN IN OUR MINI CLINIC, THAT'S

5347
03:06:59,735 --> 03:07:01,037
NOT IT EITHER.

5348
03:07:01,037 --> 03:07:02,672
THAT'S WHY I GO BACK TO THIS

5349
03:07:02,672 --> 03:07:04,340
CONCEPT OF WELLNESS HUB, OF

5350
03:07:04,340 --> 03:07:07,176
REALLY MAKING LIKE A SAFE SPACE

5351
03:07:07,176 --> 03:07:11,214
WHERE PEOPLE CAN COME AND GET

5352
03:07:11,214 --> 03:07:11,981
INFORMATION, NURSING STUDENTS

5353
03:07:11,981 --> 03:07:13,850
HELPING PEOPLE APPLY FOR

5354
03:07:13,850 --> 03:07:16,152
MEDICAID, HELPING TAKE A BLOOD

5355
03:07:16,152 --> 03:07:17,453
PRESSURE, JUST MAKING THAT IN

5356
03:07:17,453 --> 03:07:18,654
PEOPLE'S FACE SO THEY GET

5357
03:07:18,654 --> 03:07:22,191
COMFORTABLE AND THEY GET USED TO

5358
03:07:22,191 --> 03:07:25,128
IT BECAUSE IF YOU'VE HAD A

5359
03:07:25,128 --> 03:07:26,996
LIFELONG LOW HEALTH LITERACY,

5360
03:07:26,996 --> 03:07:28,297
YOUR WHOLE LIFE, IT'S

5361
03:07:28,297 --> 03:07:28,598
CHALLENGING.

5362
03:07:28,598 --> 03:07:29,966
YOU'RE SEEING IT, I'M SEEING IT

5363
03:07:29,966 --> 03:07:30,833
TOO, WHAT IS DIABETES?

5364
03:07:30,833 --> 03:07:33,236
I DON'T KNOW.

5365
03:07:33,236 --> 03:07:34,770
I HAVE TWO INSULIN STICKS, WHAT

5366
03:07:34,770 --> 03:07:35,304
ARE THEY?

5367
03:07:35,304 --> 03:07:37,406
HOW CAN WE ADDRESS THAT QUICKLY,

5368
03:07:37,406 --> 03:07:37,640
RIGHT?

5369
03:07:37,640 --> 03:07:39,709
THAT'S GOING TO HAVE TO BE TIMED

5370
03:07:39,709 --> 03:07:40,676
AND TIME AND SETTINGS THAT ARE

5371
03:07:40,676 --> 03:07:41,544
MORE COMFORTABLE.

5372
03:07:41,544 --> 03:07:44,413
I LOVE THE IDEA OF THE GROUPS,

5373
03:07:44,413 --> 03:07:45,615
HAVING THE GROUPS IN THESE

5374
03:07:45,615 --> 03:07:46,482
COMMUNITY CENTERS WHERE WE JUST

5375
03:07:46,482 --> 03:07:47,884
TALK AND WE HAVE OTHER PEOPLE

5376
03:07:47,884 --> 03:07:48,885
ASK QUESTIONS THAT ARE THE

5377
03:07:48,885 --> 03:07:49,886
STUPID QUESTIONS THAT SOMEBODY

5378
03:07:49,886 --> 03:07:52,155
ELSE DIDN'T WANT TO ASK.

5379
03:07:52,155 --> 03:07:55,525
AND REALLY MAKE IT LIKE DOWN ON

5380
03:07:55,525 --> 03:07:57,960
EVERYONE'S LEVEL BECAUSE THE

5381
03:07:57,960 --> 03:07:59,595
FAST-PACED GET ADMITTED IS

5382
03:07:59,595 --> 03:08:02,565
OVERWHELMING FOR ALL OF US BUT

5383
03:08:02,565 --> 03:08:04,333
EVEN MORE SO FOLKS THAT HAVE LOW

5384
03:08:04,333 --> 03:08:07,503
HEALTH LITERACY.

5385
03:08:07,503 --> 03:08:09,672
IT'S GOT TO BE JUST OVER TIME.

5386
03:08:09,672 --> 03:08:13,776
I THINK THAT'S THE QUESTION.

5387
03:08:13,776 --> 03:08:15,711
>> IF I COULD JUMP IN, A
LOT OF

5388
03:08:15,711 --> 03:08:17,013
IT IS TRUST.

5389
03:08:17,013 --> 03:08:18,314
I'VE BEEN IN HOUSING INDUSTRY

5390
03:08:18,314 --> 03:08:21,083
FOR 27 YEARS, BORN IN PUBLIC

5391
03:08:21,083 --> 03:08:22,518
HOUSING, SPENT MY FORMATIVE

5392
03:08:22,518 --> 03:08:24,120
YEARS IN PUBLIC HOUSING.

5393
03:08:24,120 --> 03:08:25,755
WE KNOW THE TRUST FACTOR IS A

5394
03:08:25,755 --> 03:08:27,423
BIG HURD TOLL GET OVER.

5395
03:08:27,423 --> 03:08:30,459
MY JOB AS AN EXECUTIVE DIRECTOR

5396
03:08:30,459 --> 03:08:32,762
IS TO REBUILD THAT TRUST.

5397
03:08:32,762 --> 03:08:34,130
AND THE ONE DECENT THING I CAN

5398
03:08:34,130 --> 03:08:36,599
SAY HAVING COME BACK TO D.C.,

5399
03:08:36,599 --> 03:08:38,034
BECAUSE I STARTED IN HOUSING

5400
03:08:38,034 --> 03:08:39,869
AUTHORITY IN D.C. IN 2000, GOT

5401
03:08:39,869 --> 03:08:41,204
CONVINCED TO COME BACK AND FIX

5402
03:08:41,204 --> 03:08:43,039
THE HOUSING AUTHORITY NOW, WE'RE

5403
03:08:43,039 --> 03:08:44,140
STARTING TO REBUILD THAT TRUST

5404
03:08:44,140 --> 03:08:45,675
WITH RESIDENTS.

5405
03:08:45,675 --> 03:08:47,109
ONCE THEY SEE LEADERSHIP SHOWING

5406
03:08:47,109 --> 03:08:50,246
THEY CARE ABOUT THEM THAT MAKES

5407
03:08:50,246 --> 03:08:52,515
THE JOB A LOT EASIEST.

5408
03:08:52,515 --> 03:08:55,218
WHEN I MET HER SHE WAS DOING

5409
03:08:55,218 --> 03:08:59,989
WELL, I'M THE BENEFACTOR OF

5410
03:08:59,989 --> 03:09:04,427
THESE SERVICES. 

5411
03:09:04,427 --> 03:09:06,829
HAVING TRAVELED, SPENT TIME IN

5412
03:09:06,829 --> 03:09:08,130
NEW ORLEANS AT KATRINA, GARY

5413
03:09:08,130 --> 03:09:09,465
INDIANA, THERE'S A NEED FOR IT.

5414
03:09:09,465 --> 03:09:10,433
I LOVE THE MODEL.

5415
03:09:10,433 --> 03:09:12,535
I'M HERE TO SUPPORT HER,

5416
03:09:12,535 --> 03:09:15,137
WHATEVER YOU ALL CAN DO TO

5417
03:09:15,137 --> 03:09:18,107
ASSIST HER WITH THIS PROGRAM.

5418
03:09:18,107 --> 03:09:19,208
AND EXPAND IT.

5419
03:09:19,208 --> 03:09:20,610
IT'S A GREAT IDEA.

5420
03:09:20,610 --> 03:09:23,479
I'M LOOKING AT IDEAS BUT MY

5421
03:09:23,479 --> 03:09:25,648
AGENCY IS TO PUT TOGETHER A

5422
03:09:25,648 --> 03:09:27,283
RECOVERY PLAN, TO EXPAND TO AS

5423
03:09:27,283 --> 03:09:29,685
MANY PLACES AS POSSIBLE,

5424
03:09:29,685 --> 03:09:31,654
REHABBING UNITS, I HAVE A HUGE

5425
03:09:31,654 --> 03:09:32,421
PORTFOLIO, I'LL BE COMMITTING

5426
03:09:32,421 --> 03:09:34,056
SOME UNITS TO CARVE OUT SPACE

5427
03:09:34,056 --> 03:09:35,558
FOR HER AND HER TEAM BECAUSE NOT

5428
03:09:35,558 --> 03:09:38,027
ONLY IS THE HEALTH CARE PART OF

5429
03:09:38,027 --> 03:09:39,328
IT, IT'S JOB OPPORTUNITIES FOR

5430
03:09:39,328 --> 03:09:39,862
RESIDENTS.

5431
03:09:39,862 --> 03:09:41,530
YOU KNOW, WE HAVE A TRAINING

5432
03:09:41,530 --> 03:09:42,632
PROGRAM FOR MAINTENANCE WORKERS.

5433
03:09:42,632 --> 03:09:46,769
BUT THEY ALSO WANT TO BE NURSES

5434
03:09:46,769 --> 03:09:47,003
SOMEDAY.

5435
03:09:47,003 --> 03:09:49,071
SO THERE'S A LOT OF FACTORS IN

5436
03:09:49,071 --> 03:09:51,574
THE PROGRAM THAT JUST BLEW ME

5437
03:09:51,574 --> 03:09:54,977
AWAY WHEN I MEAT DR. ATHEY

5438
03:09:54,977 --> 03:09:55,645
WALKING THROUGH THE PROPERTIES

5439
03:09:55,645 --> 03:09:56,612
TALKING ABOUT ISSUES.

5440
03:09:56,612 --> 03:09:58,381
I NEVER LOOKED FROM HER ANGLE,

5441
03:09:58,381 --> 03:10:00,349
I'M A DEVELOPER AS WELL.

5442
03:10:00,349 --> 03:10:01,217
I REDEVELOP PROPERTIES SO WHEN

5443
03:10:01,217 --> 03:10:03,286
YOU START THINK ABOUT

5444
03:10:03,286 --> 03:10:03,819
REDEVELOPMENT, MIXED USE

5445
03:10:03,819 --> 03:10:05,087
PROPERTIES, YOU WANT TO PUT

5446
03:10:05,087 --> 03:10:06,455
THESE HEALTH CLINICS AT THE

5447
03:10:06,455 --> 03:10:09,959
BOTTOM OF THE BUILDING SO

5448
03:10:09,959 --> 03:10:11,160
RESIDENTS CAN LIVE UNDER FIVE

5449
03:10:11,160 --> 03:10:12,595
FLOORS YOU BUILD ABOVE IT AND

5450
03:10:12,595 --> 03:10:18,734
THEY HAVE ACCESS TO MEDICAL

5451
03:10:18,734 --> 03:10:20,403
SERVICES, BUT NOW THAT THERE'S A

5452
03:10:20,403 --> 03:10:22,138
COMMUNITY MODEL THAT I SEE THAT

5453
03:10:22,138 --> 03:10:23,005
MY RESIDENTS ARE ENJOYING,

5454
03:10:23,005 --> 03:10:25,308
NUMBER ONE, THAT I FELL IN LOVE

5455
03:10:25,308 --> 03:10:27,710
WITH, NUMBER TWO, I'M JUST

5456
03:10:27,710 --> 03:10:30,112
EXCITED FOR THE PROGRAM.

5457
03:10:30,112 --> 03:10:31,314
I'M SITTING NOW AND TALKING

5458
03:10:31,314 --> 03:10:32,948
ABOUT HOW I WITH EXPAND THE

5459
03:10:32,948 --> 03:10:34,283
PROGRAM AS WELL.

5460
03:10:34,283 --> 03:10:36,018
ANY ASSISTANCE YOU COULD GIVE

5461
03:10:36,018 --> 03:10:37,887
WOULD BE GREAT AS WELL.

5462
03:10:37,887 --> 03:10:39,855
WE ALL AGREE THERE'S A NEED.

5463
03:10:39,855 --> 03:10:40,756
THE QUESTION, A FAIR QUESTION,

5464
03:10:40,756 --> 03:10:42,024
HOW DO YOU ENGAGE IN IT?

5465
03:10:42,024 --> 03:10:44,994
I THINK THAT GOES BACK TO THE

5466
03:10:44,994 --> 03:10:45,561
TRUST FACTOR.

5467
03:10:45,561 --> 03:10:49,165
ONCE YOU START TO BUILD IT, AS

5468
03:10:49,165 --> 03:10:53,836
THEY SAY, THE LINE IN "FIELD OF

5469
03:10:53,836 --> 03:10:55,237
DREAMS," KEVIN COSTNER, IF YOU

5470
03:10:55,237 --> 03:10:57,073
BUILD IT THEY WILL COME, THAT

5471
03:10:57,073 --> 03:10:57,406
CONCEPT.

5472
03:10:57,406 --> 03:10:57,940
GREAT PROGRAM.

5473
03:10:57,940 --> 03:10:58,708
I APPRECIATE HER.

5474
03:10:58,708 --> 03:11:01,444
I HAVE TO RUN NOW, I MADE TIME

5475
03:11:01,444 --> 03:11:02,678
TO COME BECAUSE THIS IS

5476
03:11:02,678 --> 03:11:04,847
IMPORTANT FOR ME AND MY

5477
03:11:04,847 --> 03:11:05,114
RESIDENTS.

5478
03:11:05,114 --> 03:11:07,116
THANK YOU FOR ALLOWING HER TO DO

5479
03:11:07,116 --> 03:11:08,884
THE PRESENTATION AND ALLOWING ME

5480
03:11:08,884 --> 03:11:09,985
TO SHARE A COUPLE COMMENTS.

5481
03:11:09,985 --> 03:11:14,590
THANK YOU SO MUCH.

5482
03:11:14,590 --> 03:11:17,193
>> THANKS FOR COMING.

5483
03:11:17,193 --> 03:11:19,061
 

5484
03:11:19,061 --> 03:11:24,100
>> GOOD AFTERNOON.

5485
03:11:24,100 --> 03:11:26,168
KAREN DALE, CHIEF DIVERSITY

5486
03:11:26,168 --> 03:11:27,636
EQUITY AND INCLUSION OFFICER FOR

5487
03:11:27,636 --> 03:11:28,938
THE FAMILY OF COMPANIES.

5488
03:11:28,938 --> 03:11:32,308
I WANTED TO ADD SOME COMMENTS IN

5489
03:11:32,308 --> 03:11:37,346
TERMS OF WHAT CREATES

5490
03:11:37,346 --> 03:11:38,347
SUSTAINABILITY AND COLLABORATION

5491
03:11:38,347 --> 03:11:40,683
THAT ENSURES OVER TIME WE CLOSE

5492
03:11:40,683 --> 03:11:41,751
THESE GAPS THAT EXIST.

5493
03:11:41,751 --> 03:11:44,587
SO IN THE LIST THAT WAS

5494
03:11:44,587 --> 03:11:46,555
DISCUSSED EARLIER, WHO THE

5495
03:11:46,555 --> 03:11:49,425
PLAYERS ARE, I DIDN'T HEAR

5496
03:11:49,425 --> 03:11:51,060
PAYERS LISTED.

5497
03:11:51,060 --> 03:11:53,562
WITHOUT A MECHANISM FOR PAYMENT

5498
03:11:53,562 --> 03:11:55,197
FOR THESE SERVICES, WITHOUT THE

5499
03:11:55,197 --> 03:11:57,633
ABILITY TO LOOK IN A

5500
03:11:57,633 --> 03:12:00,803
COMPREHENSIVE WAY, AT THE WHOLE

5501
03:12:00,803 --> 03:12:02,438
PERSON AND THE COST, WE MISS A

5502
03:12:02,438 --> 03:12:06,509
HUGE OPPORTUNITY, RIGHT?

5503
03:12:06,509 --> 03:12:08,711
I TELL PEOPLE THAT THE FUTURE OF

5504
03:12:08,711 --> 03:12:11,881
EQUITY IS AROUND COLLABORATION.

5505
03:12:11,881 --> 03:12:12,548
REIMAGINING THE HEALTHCARE

5506
03:12:12,548 --> 03:12:16,018
DELIVERY SYSTEM IS NOT JUST A

5507
03:12:16,018 --> 03:12:17,119
HEALTHCARE DELIVERY SYSTEM BUT

5508
03:12:17,119 --> 03:12:18,521
ONE THAT'S GROUNDED IN SOCIAL

5509
03:12:18,521 --> 03:12:21,724
EQUITY AND WHEN THOSE THINGS

5510
03:12:21,724 --> 03:12:24,593
HAPPEN THE PAYERS CAN BE REALLY

5511
03:12:24,593 --> 03:12:26,629
STRONG PARTNERS, AND THEY CAN

5512
03:12:26,629 --> 03:12:29,265
HELP TO PROVIDE THE SHARING OF

5513
03:12:29,265 --> 03:12:30,900
DOLLARS THROUGH ALTERNATIVE

5514
03:12:30,900 --> 03:12:32,535
PAYMENT MODELS, THAT ALLOW FOR

5515
03:12:32,535 --> 03:12:35,838
US TO KEEP THE CHANGE GOING,

5516
03:12:35,838 --> 03:12:36,038
RIGHT?

5517
03:12:36,038 --> 03:12:37,907
SO, WHAT I WANT TO JUST SAY A

5518
03:12:37,907 --> 03:12:41,076
LITTLE BIT ABOUT WHY THIS WORK

5519
03:12:41,076 --> 03:12:43,379
IS SO IMPORTANT, NOBODY IS

5520
03:12:43,379 --> 03:12:44,914
RAISING THEIR HAND SAYING THEY

5521
03:12:44,914 --> 03:12:46,348
TRUST THEIR INSURER, BUT THERE'S

5522
03:12:46,348 --> 03:12:49,985
A NEXUS IN TERMS OF OUR ABILITY

5523
03:12:49,985 --> 03:12:51,821
TO SAY HERE, FOR EXAMPLE, WE'VE

5524
03:12:51,821 --> 03:12:54,223
DONE THIS, MAPPED ALL THE PUBLIC

5525
03:12:54,223 --> 03:12:56,292
HOUSING PROPERTIES.

5526
03:12:56,292 --> 03:12:58,427
I COVER ABOUT 120,000 DISTRICT

5527
03:12:58,427 --> 03:12:58,694
RESIDENTS.

5528
03:12:58,694 --> 03:13:00,696
LOOKED AT WHERE WE HAD GAPS IN

5529
03:13:00,696 --> 03:13:01,030
CARE.

5530
03:13:01,030 --> 03:13:03,766
WHERE PERSONS ARE DIAGNOSED WITH

5531
03:13:03,766 --> 03:13:04,567
DIABETES, HYPERTENSION, HIGH

5532
03:13:04,567 --> 03:13:06,469
CHOLESTEROL, WHATEVER THE THINGS

5533
03:13:06,469 --> 03:13:08,437
ARE, AND SAID HOW MANY RESIDENTS

5534
03:13:08,437 --> 03:13:10,172
LIVE IN THAT BUILDING WITH THAT

5535
03:13:10,172 --> 03:13:12,041
DIAGNOSIS AND HOW MANY OF THEM

5536
03:13:12,041 --> 03:13:20,416
ARE NOT HAVING GOOD OUTCOMES?

5537
03:13:20,416 --> 03:13:21,784
SHARE THAT TO TAILOR SUPPORTS

5538
03:13:21,784 --> 03:13:22,451
AND SERVICES.

5539
03:13:22,451 --> 03:13:25,321
THEY DO WELL TO BE A BRIDGE.

5540
03:13:25,321 --> 03:13:27,723
I DON'T EXPECT THEY WILL PROVIDE

5541
03:13:27,723 --> 03:13:29,658
EVERYTHING THOUGH THEY HAVE HAD

5542
03:13:29,658 --> 03:13:31,894
GREAT PARTNERS BUT WE'RE PAID TO

5543
03:13:31,894 --> 03:13:33,829
LOOK AND TAKE RISK ON THE WHOLE

5544
03:13:33,829 --> 03:13:36,265
COST, RIGHT?

5545
03:13:36,265 --> 03:13:38,234
SO, WHEN WE HAVE A SUITE OF

5546
03:13:38,234 --> 03:13:40,736
SERVICES LIKE WE HAVE MEDICALLY

5547
03:13:40,736 --> 03:13:41,737
TAILORED MEALS, GROCERY

5548
03:13:41,737 --> 03:13:44,006
DELIVERY, DIETITIANS WHO WILL GO

5549
03:13:44,006 --> 03:13:46,108
IN HOMES, WHEN WE GRADE ALL THAT

5550
03:13:46,108 --> 03:13:48,410
TOGETHER, THAT IS WHERE WE

5551
03:13:48,410 --> 03:13:50,045
REALLY SEE THE MULTIPLIER EFFECT

5552
03:13:50,045 --> 03:13:54,550
IN TERMS OF OUTCOMES.

5553
03:13:54,550 --> 03:14:03,959
AND SO YES I LOVE MY FQHCs AND

5554
03:14:03,959 --> 03:14:06,061
 MEDICAID PROVIDERS.

5555
03:14:06,061 --> 03:14:07,997
HOWEVER, THE MOM WITH CHILDREN

5556
03:14:07,997 --> 03:14:09,431
UNDER 6, IT'S CHALLENGING.

5557
03:14:09,431 --> 03:14:11,066
MEDICAID IS MOSTLY MOMS AND

5558
03:14:11,066 --> 03:14:11,534
BABIES.

5559
03:14:11,534 --> 03:14:14,904
GETTING TO KNOW IN A DEEP WAY

5560
03:14:14,904 --> 03:14:15,671
THE COMMUNITY WE'RE SERVING,

5561
03:14:15,671 --> 03:14:17,406
GETTING TO UNDERSTAND THEIR

5562
03:14:17,406 --> 03:14:18,507
PREFERENCES AND CHALLENGES.

5563
03:14:18,507 --> 03:14:22,878
I SAY BOTH PREFERENCES AND

5564
03:14:22,878 --> 03:14:24,313
CHALLENGES BECAUSE SOMETIMES

5565
03:14:24,313 --> 03:14:26,849
WE'RE LEADING WITH WHAT WE WANT

5566
03:14:26,849 --> 03:14:28,584
VERSUS THAT PERSON'S MOST URGENT

5567
03:14:28,584 --> 03:14:28,784
NEED.

5568
03:14:28,784 --> 03:14:32,855
WE KEEP COMING BACK TO

5569
03:14:32,855 --> 03:14:33,622
CONVERSATIONS WITH OUR

5570
03:14:33,622 --> 03:14:35,257
ENROLLEES, WE TOUCH BASES WITH

5571
03:14:35,257 --> 03:14:37,126
PARTNERS SO WE CONTINUE THAT

5572
03:14:37,126 --> 03:14:37,560
LEARNING.

5573
03:14:37,560 --> 03:14:39,862
AND IN THAT LEARNING, GROWING,

5574
03:14:39,862 --> 03:14:42,364
AND SCALING IS WHERE WE CAN

5575
03:14:42,364 --> 03:14:44,133
REDUCE TOTAL COST AND INVEST IN

5576
03:14:44,133 --> 03:14:44,733
THAT.

5577
03:14:44,733 --> 03:14:46,969
LIKE I'M ALWAYS PROUD THAT WE'VE

5578
03:14:46,969 --> 03:14:49,905
HAD PROBABLY SEVEN YEARS OF

5579
03:14:49,905 --> 03:14:52,341
EXPERIENCE WITH COMMUNITY-BASED

5580
03:14:52,341 --> 03:14:53,542
ORGANIZATIONS, IS THAT USUALLY,

5581
03:14:53,542 --> 03:14:56,712
RIGHT BY YEAR TWO, THREE, FOUR,

5582
03:14:56,712 --> 03:14:59,848
WE'RE TALKING ABOUT HOW TO

5583
03:14:59,848 --> 03:15:00,883
IMPLEMENT VALUE-BASED CONTRACTS,

5584
03:15:00,883 --> 03:15:03,052
SO THAT THEY ARE MORE -- THEY

5585
03:15:03,052 --> 03:15:04,687
ARE GETTING REIMBURSED MORE,

5586
03:15:04,687 --> 03:15:04,987
RIGHT?

5587
03:15:04,987 --> 03:15:06,789
FOR HELPING TO ALIGN AROUND THE

5588
03:15:06,789 --> 03:15:08,324
OUTCOMES THAT MATTER NOT JUST

5589
03:15:08,324 --> 03:15:11,026
BECAUSE IT REDUCES MY COST BUT

5590
03:15:11,026 --> 03:15:12,561
BECAUSE IT IMPROVES LIVES AND

5591
03:15:12,561 --> 03:15:14,196
IMPROVES QUALITY AND OUTCOMES.

5592
03:15:14,196 --> 03:15:16,465
SO THAT'S TO ME THE MODEL OF

5593
03:15:16,465 --> 03:15:19,034
WHERE WE ALL SHOULD BE HEADING.

5594
03:15:19,034 --> 03:15:20,669
CMS IS DOING WORK, I SERVE ON

5595
03:15:20,669 --> 03:15:22,871
ONE OF THESE COMMITTEES, TO HELP

5596
03:15:22,871 --> 03:15:24,173
MOVE THIS WORK FORWARD.

5597
03:15:24,173 --> 03:15:26,342
I'LL SAY ONE PLUG FOR NURSES IS

5598
03:15:26,342 --> 03:15:28,210
THAT I THINK WE'RE THINKING

5599
03:15:28,210 --> 03:15:28,777
DIFFERENTLY.

5600
03:15:28,777 --> 03:15:31,146
LIKE PEOPLE SAY TO ME OFTEN, THE

5601
03:15:31,146 --> 03:15:32,715
THINGS I'VE STEPPED OFF THE CURB

5602
03:15:32,715 --> 03:15:34,049
TO DO BEFORE OTHER INSURERS

5603
03:15:34,049 --> 03:15:35,217
WOULD STEP OFF THE CURB TO DO

5604
03:15:35,217 --> 03:15:38,187
IT, BECAUSE THEY ARE HUNG UP ON

5605
03:15:38,187 --> 03:15:39,855
SOME REALLY HIGH ROI, IS BECAUSE

5606
03:15:39,855 --> 03:15:41,657
I DEEPLY BELIEVE IN OUR CAPACITY

5607
03:15:41,657 --> 03:15:44,760
AS HUMAN BEINGS TO HELP OTHERS

5608
03:15:44,760 --> 03:15:45,961
THROUGH COLLABORATION,

5609
03:15:45,961 --> 03:15:47,496
ENGAGEMENT, AND NOT GIVING UP.

5610
03:15:47,496 --> 03:15:51,767
I THINK THAT COMES FROM TREATING

5611
03:15:51,767 --> 03:15:52,234
AT NURSES.

5612
03:15:52,234 --> 03:15:53,302
WE DON'T SAY THAT DIDN'T WORK

5613
03:15:53,302 --> 03:15:55,804
AND LET IT GO.

5614
03:15:55,804 --> 03:15:57,339
WE'RE PERSISTENT IN DESIRE TO

5615
03:15:57,339 --> 03:15:58,974
IMPROVE OUTCOMES AND CARE DEEPLY

5616
03:15:58,974 --> 03:16:00,609
ABOUT HUMAN BEINGS.

5617
03:16:00,609 --> 03:16:01,810
I COULDN'T BE MORE PROUD YOU

5618
03:16:01,810 --> 03:16:03,812
ASKED ME TO COME BECAUSE I'M

5619
03:16:03,812 --> 03:16:05,214
EXCITED ABOUT THE FUTURE, THE

5620
03:16:05,214 --> 03:16:07,182
POSSIBILITY, AND THE WAY THAT WE

5621
03:16:07,182 --> 03:16:09,151
CAN TOGETHER PUSH THIS FORWARD

5622
03:16:09,151 --> 03:16:11,153
IN A WAY THAT MAKES HUMONGOUS

5623
03:16:11,153 --> 03:16:19,294
DIFFERENCE. 

5624
03:16:19,294 --> 03:16:26,402
 

5625
03:16:26,402 --> 03:16:29,371
>> SORRY, I THOUGHT I
TURNED IT

5626
03:16:29,371 --> 03:16:29,538
ON.

5627
03:16:29,538 --> 03:16:32,141
YOU SOLVED A VERY IMPORTANT

5628
03:16:32,141 --> 03:16:35,611
PROBLEM IN A COMMUNITY THAT'S

5629
03:16:35,611 --> 03:16:35,911
URBAN.

5630
03:16:35,911 --> 03:16:38,681
AND THAT HAS FULL PRACTICE

5631
03:16:38,681 --> 03:16:39,815
AUTHORITY FOR APRNs, SOME OF

5632
03:16:39,815 --> 03:16:41,283
THE CHALLENGES WE NEED TO THINK

5633
03:16:41,283 --> 03:16:43,152
ABOUT AS SCIENTISTS, WHAT ABOUT

5634
03:16:43,152 --> 03:16:44,687
THOSE OTHER STATES THAT DO NOT

5635
03:16:44,687 --> 03:16:46,121
HAVE FULL PRACTICE AUTHORITY,

5636
03:16:46,121 --> 03:16:49,491
MANY OF THEM WITH MUCH LARGER

5637
03:16:49,491 --> 03:16:50,926
COMMUNITIES, THAT DON'T HAVE THE

5638
03:16:50,926 --> 03:16:52,928
ABILITY TO FUNCTION IN THE SAME

5639
03:16:52,928 --> 03:16:53,262
WAY.

5640
03:16:53,262 --> 03:16:54,897
AND THEN WHILE I REALIZE THIS

5641
03:16:54,897 --> 03:16:56,765
MAY NOT BE YOUR BAILIWICK, HOW

5642
03:16:56,765 --> 03:16:59,601
DO WE TAKE THIS MODEL AND

5643
03:16:59,601 --> 03:17:01,804
REPLICATE IT IN RURAL SETTINGS,

5644
03:17:01,804 --> 03:17:05,407
OR DO SOMETHING FOR THOSE RURAL

5645
03:17:05,407 --> 03:17:07,476
PEOPLE BECAUSE IT'S, WELL,

5646
03:17:07,476 --> 03:17:08,877
SOMEBODY USED THE WORD EARLIER,

5647
03:17:08,877 --> 03:17:09,378
HEALTH CARE DESERTS.

5648
03:17:09,378 --> 03:17:10,879
HOW DO WE GET TO THOSE PEOPLE

5649
03:17:10,879 --> 03:17:13,315
AND ENGAGE THEM IN THEIR HEALTH

5650
03:17:13,315 --> 03:17:15,784
CARE, SO EXCELLENT WORK.

5651
03:17:15,784 --> 03:17:21,256
THANK YOU. 

5652
03:17:21,256 --> 03:17:23,225
>> UNFORTUNATELY IT'S MY
JOB TO

5653
03:17:23,225 --> 03:17:23,792
STOP US THERE.

5654
03:17:23,792 --> 03:17:25,761
THANK YOU SO MUCH FOR COMING.

5655
03:17:25,761 --> 03:17:30,466
THANK YOU FOR WHAT YOU'RE DOING.

5656
03:17:30,466 --> 03:17:31,567
YOU'VE INSPIRED ME AND ALL OF US

5657
03:17:31,567 --> 03:17:32,768
AROUND THE TABLE.

5658
03:17:32,768 --> 03:17:34,636
OUR JOB AS DR. STONE POINTED OUT

5659
03:17:34,636 --> 03:17:37,139
IS WHAT EVIDENCE DO WE NEED.

5660
03:17:37,139 --> 03:17:38,574
THERE'S DIFFERENT TYPES OF

5661
03:17:38,574 --> 03:17:40,409
EVIDENCE, INCLUDING WHAT KINDS

5662
03:17:40,409 --> 03:17:42,544
OF POLICY, YOU KNOW, RELEVANT

5663
03:17:42,544 --> 03:17:43,812
RESEARCH DO WE NEED TO EXPAND

5664
03:17:43,812 --> 03:17:47,750
AND GROW THESE TYPES OF MODELS

5665
03:17:47,750 --> 03:17:49,384
AND THANK YOU FOR BEING AN

5666
03:17:49,384 --> 03:17:50,285
INSPIRATION AND FOR THE WORK

5667
03:17:50,285 --> 03:17:54,123
YOU'RE DOING AND FOR JOINING US.

5668
03:17:54,123 --> 03:17:55,424
THANK YOU BOTH.

5669
03:17:55,424 --> 03:17:56,358
YEAH.

5670
03:17:56,358 --> 03:17:59,795
SO, WE'RE GOING TO SWITCH GEARS

5671
03:17:59,795 --> 03:18:01,230
BECAUSE SOME OF US, NOT ME, BUT

5672
03:18:01,230 --> 03:18:04,199
SOME OF US ARE ON TIGHT

5673
03:18:04,199 --> 03:18:06,168
TIMELINES, AND SO WE'LL MOVE TO

5674
03:18:06,168 --> 03:18:08,570
OUR NEXT AGENDA ITEM, I'M GOING

5675
03:18:08,570 --> 03:18:14,376
TO WELCOME DR. ALLISON COLBERT,

5676
03:18:14,376 --> 03:18:18,180
TO DISCUSSION OPERATIONALIZING

5677
03:18:18,180 --> 03:18:18,781
OR TALK ABOUT RESEARCH THROUGH

5678
03:18:18,781 --> 03:18:19,348
THE SOCIAL DETERMINANTS OF

5679
03:18:19,348 --> 03:18:20,716
HEALTH LENS AND BROADER

5680
03:18:20,716 --> 03:18:22,251
ACTIVITIES AT NINR.

5681
03:18:22,251 --> 03:18:23,986
AS I MENTIONED EARLIER, DR.

5682
03:18:23,986 --> 03:18:25,287
COLBERT IS AN ADVISER IN THE

5683
03:18:25,287 --> 03:18:27,823
OFFICE OF THE DIRECTOR HERE AT

5684
03:18:27,823 --> 03:18:28,357
NINR.

5685
03:18:28,357 --> 03:18:30,459
SHE'S JOINING US ON AN

5686
03:18:30,459 --> 03:18:32,327
INTERAGENCY POLICY AGREEMENT

5687
03:18:32,327 --> 03:18:34,496
FROM HER POSITION AS A FULL

5688
03:18:34,496 --> 03:18:36,899
PROFESSOR AT DUQUESNE UNIVERSITY

5689
03:18:36,899 --> 03:18:37,900
IN PITTSBURGH.

5690
03:18:37,900 --> 03:18:39,535
SO DR. COLBERT, WHEN YOU ARE

5691
03:18:39,535 --> 03:18:44,339
READY, I'LL TURN IT OVER TO YOU.

5692
03:18:44,339 --> 03:18:53,982
 

5693
03:18:53,982 --> 03:18:55,450
>> THANK YOU VERY MUCH FOR

5694
03:18:55,450 --> 03:18:57,019
HAVING ME.

5695
03:18:57,019 --> 03:18:58,020
I HAVE THE HONOR TO WORK IN THE

5696
03:18:58,020 --> 03:19:01,957
OFFICE OF THE DIRECTOR AT NINR

5697
03:19:01,957 --> 03:19:03,926
THIS YEAR, AND THE ABSOLUTE

5698
03:19:03,926 --> 03:19:06,228
PRIVILEGE TODAY TO TALK A LITTLE

5699
03:19:06,228 --> 03:19:09,298
BIT ABOUT THE WORK SPECIFICALLY

5700
03:19:09,298 --> 03:19:11,466
AROUND THE SDOH LENS AT NINR.

5701
03:19:11,466 --> 03:19:12,467
I'VE HAD THE OPPORTUNITY TO TALK

5702
03:19:12,467 --> 03:19:14,336
WITH PEOPLE AND LEARN ABOUT THE

5703
03:19:14,336 --> 03:19:15,871
WORK BEING DONE, NONE OF THIS

5704
03:19:15,871 --> 03:19:16,705
WORK IS MINE.

5705
03:19:16,705 --> 03:19:18,140
I JUST GET TO TALK ABOUT THE

5706
03:19:18,140 --> 03:19:21,543
REALLY COOL STUFF THAT OTHER

5707
03:19:21,543 --> 03:19:22,744
PEOPLE ARE DOING.

5708
03:19:22,744 --> 03:19:26,381
AND IT ALIGNS SO WELL WITH THE

5709
03:19:26,381 --> 03:19:29,117
CONVERSATION THAT I'VE HEARD

5710
03:19:29,117 --> 03:19:29,318
TODAY.

5711
03:19:29,318 --> 03:19:31,420
AND I THINK IT'S NO

5712
03:19:31,420 --> 03:19:34,590
OVERSTATEMENT TO SAY THAT NINR

5713
03:19:34,590 --> 03:19:38,527
HAS EMERGED AS A LEADER IN

5714
03:19:38,527 --> 03:19:39,728
SDOH-FOCUSED RESEARCH, AND THE

5715
03:19:39,728 --> 03:19:41,797
STAFF HERE IS EXPLORING THE BEST

5716
03:19:41,797 --> 03:19:44,433
WAYS FOR INSTITUTE TO CONTINUE

5717
03:19:44,433 --> 03:19:45,968
THESE EFFORTS.

5718
03:19:45,968 --> 03:19:48,070
MAXIMIZE THE OPPORTUNITIES AND

5719
03:19:48,070 --> 03:19:48,904
CONTRIBUTE TO HIGHEST-QUALITY

5720
03:19:48,904 --> 03:19:49,404
RESEARCH.

5721
03:19:49,404 --> 03:19:52,207
THERE'S ALSO AN OPPORTUNITY TO

5722
03:19:52,207 --> 03:19:53,408
ENSURE THAT NURSE INVESTIGATORS

5723
03:19:53,408 --> 03:19:56,445
ARE WELL PREPARED TO DO THIS

5724
03:19:56,445 --> 03:19:56,845
WORK.

5725
03:19:56,845 --> 03:19:59,748
AND SO USING SOME OF THE

5726
03:19:59,748 --> 03:20:01,083
TERMINOLOGY THAT WE'VE BEEN

5727
03:20:01,083 --> 03:20:03,252
TALKING ABOUT TODAY, MY JOB IS

5728
03:20:03,252 --> 03:20:06,421
TO TELL THE STORY ABOUT THE SDOH

5729
03:20:06,421 --> 03:20:10,158
WORK AT NINR. 

5730
03:20:10,158 --> 03:20:12,794
AND DR. ZENK AND THE DEPUTY

5731
03:20:12,794 --> 03:20:13,629
DIRECTOR RECOGNIZED THE NEED TO

5732
03:20:13,629 --> 03:20:16,465
TELL THIS STORY.

5733
03:20:16,465 --> 03:20:17,366
THEY ARE DO-THE-WORK PEOPLE AS

5734
03:20:17,366 --> 03:20:19,101
YOU CAN SEE BY THE RESULTS.

5735
03:20:19,101 --> 03:20:20,535
AND SO I JUST HAVE THE

5736
03:20:20,535 --> 03:20:22,838
OPPORTUNITY TO TALK ABOUT IT

5737
03:20:22,838 --> 03:20:24,806
TOGETHER AND TO TALK ABOUT WHAT

5738
03:20:24,806 --> 03:20:28,577
THE GOALS ARE AND HOW THEY ARE

5739
03:20:28,577 --> 03:20:29,411
BEING MEASURED.

5740
03:20:29,411 --> 03:20:34,016
THERE IS NO NEED FOR ME TO, YOU

5741
03:20:34,016 --> 03:20:37,185
KNOW, REPEAT THAT NURSES AND

5742
03:20:37,185 --> 03:20:40,022
NURSE-SCIENTISTS ARE ACUTELY

5743
03:20:40,022 --> 03:20:42,324
AWARE OF THE IMPORTANCE OF THE

5744
03:20:42,324 --> 03:20:42,824
SDOH RESEARCH.

5745
03:20:42,824 --> 03:20:43,926
DETERMINANTS AND DRIVERS ARE THE

5746
03:20:43,926 --> 03:20:46,061
SAME LETTERS, NOW THAT YOU

5747
03:20:46,061 --> 03:20:47,596
CHANGED IT WE CAN STILL USE

5748
03:20:47,596 --> 03:20:47,930
THAT.

5749
03:20:47,930 --> 03:20:50,999
WE CAN ENSURE NOW THROUGH THE

5750
03:20:50,999 --> 03:20:53,502
WORK OF NINR THAT THE

5751
03:20:53,502 --> 03:20:54,303
OPPORTUNITIES, TOOLS, RESOURCES

5752
03:20:54,303 --> 03:20:56,271
NEEDED TO DO THIS REALLY

5753
03:20:56,271 --> 03:21:00,609
IMPORTANT WORK ARE AVAILABLE.

5754
03:21:00,609 --> 03:21:02,678
SO, THE -- EVERYONE IS FAMILIAR

5755
03:21:02,678 --> 03:21:05,547
WITH THE LENSES AND FIVE

5756
03:21:05,547 --> 03:21:05,914
RESEARCH LENSES.

5757
03:21:05,914 --> 03:21:06,515
AND SOCIAL DETERMINANTS OF

5758
03:21:06,515 --> 03:21:09,618
HEALTH IS ONE OF THOSE.

5759
03:21:09,618 --> 03:21:11,653
AND SDOH IS AT THE TOP OF THE

5760
03:21:11,653 --> 03:21:13,422
FRAMEWORK, ALONG WITH HEALTH

5761
03:21:13,422 --> 03:21:15,824
EQUITY, TO ENCOURAGE RESEARCHERS

5762
03:21:15,824 --> 03:21:18,226
TO VIEW THOSE TWO THINGS AS

5763
03:21:18,226 --> 03:21:19,795
PRIMARY FOCI ON WHICH TO

5764
03:21:19,795 --> 03:21:20,862
CONSIDER THE OTHER LENSES.

5765
03:21:20,862 --> 03:21:23,699
AND WE'RE GOING TO TALK ABOUT

5766
03:21:23,699 --> 03:21:26,535
SDOH LENS IN MORE DETAIL FASTER

5767
03:21:26,535 --> 03:21:27,736
THAN WE INTENDED.

5768
03:21:27,736 --> 03:21:30,872
SO THE ACTIVITIES RELATED TO

5769
03:21:30,872 --> 03:21:32,941
SDOH AND NINR CAN BE ORGANIZED

5770
03:21:32,941 --> 03:21:37,446
IN THREE PRIMARY GOALS, NOT

5771
03:21:37,446 --> 03:21:40,048
NECESSARILY MUTUALLY

5772
03:21:40,048 --> 03:21:40,515
EX-EXCLUSIVE.

5773
03:21:40,515 --> 03:21:41,583
OF COURSE EVERYTHING IS

5774
03:21:41,583 --> 03:21:42,651
ADVANCING THE SCIENCE AND

5775
03:21:42,651 --> 03:21:43,352
OPTIMIZING HEALTH.

5776
03:21:43,352 --> 03:21:46,421
THEY CAN BE VIEWED IN TERMS

5777
03:21:46,421 --> 03:21:48,490
AUDIENCES OR WHERE THOSE EFFORTS

5778
03:21:48,490 --> 03:21:48,824
ARE DIRECTED.

5779
03:21:48,824 --> 03:21:51,026
FIRST OF COURSE WE HAVE

5780
03:21:51,026 --> 03:21:54,363
ADVANCING THE SCIENCE OF SDOH

5781
03:21:54,363 --> 03:21:55,831
RESEARCH TO OPTIMIZE HEALTH AND

5782
03:21:55,831 --> 03:21:57,599
WELL-BEING FOR ALL.

5783
03:21:57,599 --> 03:21:59,768
SECOND IS POSITIONING NINR AS A

5784
03:21:59,768 --> 03:22:02,504
LEADER IN SDOH RESEARCH

5785
03:22:02,504 --> 03:22:05,040
INTERNALLY AT NIH AND

5786
03:22:05,040 --> 03:22:05,340
EXTERNALLY.

5787
03:22:05,340 --> 03:22:08,110
AND FINALLY, PREPARING MORE

5788
03:22:08,110 --> 03:22:09,644
NURSE-SCIENTISTS TO LEAD AND

5789
03:22:09,644 --> 03:22:10,645
CONDUCT RIGOROUS HIGH-QUALITY

5790
03:22:10,645 --> 03:22:12,280
RESEARCH IN THIS AREA.

5791
03:22:12,280 --> 03:22:16,084
AND TO ACHIEVE EACH GOAL, THE

5792
03:22:16,084 --> 03:22:21,123
NINR STAFF DEVELOPED SPECIFIC 

5793
03:22:21,123 --> 03:22:22,791
STRATEGIES, SOME IMPLEMENTED,

5794
03:22:22,791 --> 03:22:23,759
SOME EARLY IN EXPLORATION, AND

5795
03:22:23,759 --> 03:22:28,130
WE CAN TALK ABOUT THOSE IN

5796
03:22:28,130 --> 03:22:29,131
GREATER DETAIL.

5797
03:22:29,131 --> 03:22:31,199
AGAIN, OF COURSE ALL ACTIVITIES

5798
03:22:31,199 --> 03:22:32,501
MOVE TOWARDS THIS GOAL, AND THE

5799
03:22:32,501 --> 03:22:35,270
SCOPE OF THIS WORK CAN BE

5800
03:22:35,270 --> 03:22:36,238
ILLUSTRATED SEVERAL DIFFERENT

5801
03:22:36,238 --> 03:22:36,471
WAYS.

5802
03:22:36,471 --> 03:22:39,608
I WOULD ARGUE THE VARIETY OF

5803
03:22:39,608 --> 03:22:40,409
FUNDING OPPORTUNITIES AND

5804
03:22:40,409 --> 03:22:41,710
INVESTMENTS NINR IS MAKING

5805
03:22:41,710 --> 03:22:42,677
TOWARDS THESE EFFORTS PROVIDE

5806
03:22:42,677 --> 03:22:43,912
THE MOST DIRECT EVIDENCE OF HOW

5807
03:22:43,912 --> 03:22:46,748
THIS GOAL IS BEING ACHIEVED.

5808
03:22:46,748 --> 03:22:49,484
THESE ARE EXAMPLES OF THE

5809
03:22:49,484 --> 03:22:50,485
VARIOUS FUNDING OPPORTUNITIES

5810
03:22:50,485 --> 03:22:53,855
ORIGINATED THROUGH AS WITH NINR

5811
03:22:53,855 --> 03:22:56,825
AS LEAD, THE TOPICS HAVE CLEAR

5812
03:22:56,825 --> 03:22:57,826
SDOH IMPLICATIONS AND PROVIDE

5813
03:22:57,826 --> 03:23:00,662
RESEARCHERS WITH A VARIETY OF

5814
03:23:00,662 --> 03:23:00,996
OPTIONS.

5815
03:23:00,996 --> 03:23:03,365
AS WITH MOST ACTIVITIES RELATED

5816
03:23:03,365 --> 03:23:07,002
TO SDOH, THERE'S THOSE THAT ARE

5817
03:23:07,002 --> 03:23:08,637
DIRECTLY AND EXPLICITLY ABOUT

5818
03:23:08,637 --> 03:23:09,304
SDOH WORK.

5819
03:23:09,304 --> 03:23:12,674
THEN THERE'S OTHER WORK THAT HAS

5820
03:23:12,674 --> 03:23:13,875
SDOH CONSIDERATION, AND NINR IS

5821
03:23:13,875 --> 03:23:16,611
WORKING TO ENSURE DEVELOPMENT IN

5822
03:23:16,611 --> 03:23:17,712
BOTH OF THOSE AREAS.

5823
03:23:17,712 --> 03:23:19,448
IN ADDITION TO THE EFFORTS THAT

5824
03:23:19,448 --> 03:23:21,883
ARE DIRECTLY LED BY NINR, AND

5825
03:23:21,883 --> 03:23:23,518
NINR SIGNS ON TO OTHER

5826
03:23:23,518 --> 03:23:24,619
OPPORTUNITIES, AND THESE ARE,

5827
03:23:24,619 --> 03:23:28,090
AGAIN, JUST A FEW EXAMPLES OF

5828
03:23:28,090 --> 03:23:29,091
OPPORTUNITIES THAT NINR HAS

5829
03:23:29,091 --> 03:23:34,896
SIGNED ON TO FROM A VARIETY OF

5830
03:23:34,896 --> 03:23:36,198
DIFFERENT INSTITUTES, NIAA,

5831
03:23:36,198 --> 03:23:39,601
NIMHD, OFFICE OF DISEASE

5832
03:23:39,601 --> 03:23:42,571
PREVENTION, AND COVER A WIDE

5833
03:23:42,571 --> 03:23:44,773
BREADTH OF APPROACHES INCLUDING

5834
03:23:44,773 --> 03:23:45,974
STRENGTHENING CAPACITY AS WELL

5835
03:23:45,974 --> 03:23:48,610
AS LOOKING AT MODELS OF CARE AND

5836
03:23:48,610 --> 03:23:49,911
TRANSLATIONAL SCIENCE, YOU CAN

5837
03:23:49,911 --> 03:23:51,646
REALLY SEE A VARIETY AND SCOPE

5838
03:23:51,646 --> 03:23:54,850
WHEN YOU LOOK AT THE

5839
03:23:54,850 --> 03:23:55,717
OPPORTUNITIES TOGETHER.

5840
03:23:55,717 --> 03:23:56,718
THIS SHOULD LOOK FAMILIAR.

5841
03:23:56,718 --> 03:23:59,020
WE'VE TALKED ABOUT IT IN GREAT

5842
03:23:59,020 --> 03:24:00,489
DETAIL TODAY ABOUT THE INCREASE

5843
03:24:00,489 --> 03:24:03,625
IN BOTH PROPORTION OF THE BUDGET

5844
03:24:03,625 --> 03:24:04,926
INVESTED AND ACTUAL DOLLARS, AS

5845
03:24:04,926 --> 03:24:08,763
DR. ZENK MENTIONED THESE ARE NOT

5846
03:24:08,763 --> 03:24:11,967
MUTUALLY EXCLUSIVE.

5847
03:24:11,967 --> 03:24:15,137
FOR ME, THIS TABLE REFLECTS

5848
03:24:15,137 --> 03:24:16,004
NURSING'S HOLISTIC PERSPECTIVE

5849
03:24:16,004 --> 03:24:18,507
OF HEALTH, THAT EXTENDS FROM THE

5850
03:24:18,507 --> 03:24:21,243
INDIVIDUAL THROUGH THE COMMUNITY

5851
03:24:21,243 --> 03:24:22,677
AND TO THE GREATER CONTEXT.

5852
03:24:22,677 --> 03:24:25,847
YOU CAN SEE IT IN THE WAY NINR

5853
03:24:25,847 --> 03:24:29,217
IS INVESTED THE FUNDS.

5854
03:24:29,217 --> 03:24:30,752
RESEARCH IN SDOH IS EXPANDING

5855
03:24:30,752 --> 03:24:31,753
EVERY DAY OBVIOUSLY.

5856
03:24:31,753 --> 03:24:34,689
NINR WANTS TO RESPOND QUICKLY

5857
03:24:34,689 --> 03:24:44,666
AND  NIMBLY THROUGH STRATEGIC

5858
03:24:44,666 --> 03:24:45,534
IMPERATIVES, AN ONGOING FOCUS,

5859
03:24:45,534 --> 03:24:47,135
INVESTMENT IN SPECIFIC AREA OF

5860
03:24:47,135 --> 03:24:49,371
RESEARCH THAT'S ALIGNED WITH THE

5861
03:24:49,371 --> 03:24:52,674
MISSION AND GUIDING PRINCIPLES

5862
03:24:52,674 --> 03:24:53,875
OF NINR, MOST SPECIFICALLY THE

5863
03:24:53,875 --> 03:24:56,611
SOCIAL DETERMINANTS OF HEALTH

5864
03:24:56,611 --> 03:24:59,214
AND HEALTH EQUITY.

5865
03:24:59,214 --> 03:24:59,848
ADDITIONALLY STRATEGIC

5866
03:24:59,848 --> 03:25:01,082
IMPERATIVES ARE THOSE THAT WE

5867
03:25:01,082 --> 03:25:03,919
HAVE A POTENTIAL TO MAKE A

5868
03:25:03,919 --> 03:25:05,020
SIGNIFICANT DIFFERENCE.

5869
03:25:05,020 --> 03:25:06,354
THE STRATEGIC IMPERATIVE IS A

5870
03:25:06,354 --> 03:25:08,623
WAY TO HIGHLIGHT A PARTICULAR

5871
03:25:08,623 --> 03:25:10,725
SDOH OR EMPHASIZE THE LENS.

5872
03:25:10,725 --> 03:25:13,595
NEEDLESS TO SAY, EXPOSURE TO

5873
03:25:13,595 --> 03:25:15,664
FIREARM VIOLENCE IN AND OF

5874
03:25:15,664 --> 03:25:17,732
ITSELF IS AN SDOH, AND FIREARM

5875
03:25:17,732 --> 03:25:20,035
INJURY RISK IS DEEPLY INFLUENCED

5876
03:25:20,035 --> 03:25:22,437
BY MANY SOCIAL AND STRUCTURAL

5877
03:25:22,437 --> 03:25:22,771
FACTORS.

5878
03:25:22,771 --> 03:25:25,607
THIS AMONG MANY OTHER REASONS

5879
03:25:25,607 --> 03:25:26,141
INCLUDING THE SIGNIFICANT

5880
03:25:26,141 --> 03:25:28,243
INEQUITIES THERE ARE IN

5881
03:25:28,243 --> 03:25:29,544
EXPOSURE, MORBIDITY AND

5882
03:25:29,544 --> 03:25:31,079
MORTALITY, IT MADE FIREARMS

5883
03:25:31,079 --> 03:25:32,614
INJURY PREVENTION A PARTICULARLY

5884
03:25:32,614 --> 03:25:36,318
STRONG CHOICE FOR THE FIRST

5885
03:25:36,318 --> 03:25:37,285
STRATEGIC IMPERATIVE.

5886
03:25:37,285 --> 03:25:41,623
THIS IS SOMETHING OF A CYCLE,

5887
03:25:41,623 --> 03:25:42,390
STRATEGIC IMPERATIVE, INCLUDING

5888
03:25:42,390 --> 03:25:45,327
INTRODUCING AND IDEA, LEARNING

5889
03:25:45,327 --> 03:25:46,661
ABOUT SCIENCE, DEVELOPING

5890
03:25:46,661 --> 03:25:47,662
RESPONSIVE CONCEPTS AND FUNDING

5891
03:25:47,662 --> 03:25:51,032
OPPORTUNITIES AS WE SAW WITH

5892
03:25:51,032 --> 03:25:52,000
FIREARM PREVENTION, INTEGRATING

5893
03:25:52,000 --> 03:25:53,668
INTO BROADER ACTIVITIES OF NINR.

5894
03:25:53,668 --> 03:25:55,403
THIS MEANS THAT THE STAFF WILL

5895
03:25:55,403 --> 03:25:57,939
BEGIN THE PROCESS OF SELECTING A

5896
03:25:57,939 --> 03:25:58,940
SECOND STRATEGIC IMPERATIVE WITH

5897
03:25:58,940 --> 03:26:04,179
THOSE SAME GOALS IN MIND.

5898
03:26:04,179 --> 03:26:07,148
THE SECOND OVERALL GOAL IS TO

5899
03:26:07,148 --> 03:26:09,551
POSITION NINR AS A LEADER IN

5900
03:26:09,551 --> 03:26:11,086
SDOH RESEARCH AND THERE'S

5901
03:26:11,086 --> 03:26:12,854
ALREADY STRONG EVIDENCE TO SHOW

5902
03:26:12,854 --> 03:26:16,224
THIS IS HAPPENING, BOTH AT NIH

5903
03:26:16,224 --> 03:26:16,658
AND EXTERNALLY.

5904
03:26:16,658 --> 03:26:18,193
FIRST LOOKING AT PARTNERSHIPS

5905
03:26:18,193 --> 03:26:20,095
AND COLLABORATIONS WHICH CAN BE

5906
03:26:20,095 --> 03:26:27,736
CATEGORIZED IN TWO WAYS,

5907
03:26:27,736 --> 03:26:28,403
INITIATIVES FOCUSED

5908
03:26:28,403 --> 03:26:32,340
SPECIFICALLY, DISCUSSED TODAY 

5909
03:26:32,340 --> 03:26:35,944
AND MEETINGS LIKE COMPASS, AND

5910
03:26:35,944 --> 03:26:37,512
SDOH RESEARCH COORDINATING

5911
03:26:37,512 --> 03:26:37,912
COMMITTEE.

5912
03:26:37,912 --> 03:26:40,348
THERE'S ALSO OPPORTUNITIES WHERE

5913
03:26:40,348 --> 03:26:41,816
THE SDOH PERSPECTIVE IS PROVIDED

5914
03:26:41,816 --> 03:26:44,185
TO WIDEN THE SCOPE.

5915
03:26:44,185 --> 03:26:45,620
SO THAT WOULD INCLUDE THE

5916
03:26:45,620 --> 03:26:48,456
"IMPROVE" INITIATIVE, RELATED TO

5917
03:26:48,456 --> 03:26:49,891
MATERNAL AND CHILD HELD, CLIMATE

5918
03:26:49,891 --> 03:26:51,526
CHANGE AND HEALTH INITIATIVE.

5919
03:26:51,526 --> 03:26:53,728
NINR AND DR. ZENK HAVE

5920
03:26:53,728 --> 03:26:55,597
LEADERSHIP HOLES IN FEDERAL

5921
03:26:55,597 --> 03:26:57,766
EFFORTS TO ADDRESS SDOH, THIS

5922
03:26:57,766 --> 03:27:01,603
INCLUDES NINR AS THE NIH REP TO

5923
03:27:01,603 --> 03:27:02,937
HHS'S SDOH LEADERSHIP GROUP AND

5924
03:27:02,937 --> 03:27:06,007
DR. ZENK WAS THE NIH LEAD AT THE

5925
03:27:06,007 --> 03:27:07,542
WHITE HOUSE INTERAGENCY POLICY

5926
03:27:07,542 --> 03:27:09,844
GROUP ON SDOH WHICH PRODUCED THE

5927
03:27:09,844 --> 03:27:11,246
WHITE HOUSE PLAYBOOK THIS LAST

5928
03:27:11,246 --> 03:27:11,579
FALL.

5929
03:27:11,579 --> 03:27:14,883
NEEDLESS TO SAY THESE EXAMPLES

5930
03:27:14,883 --> 03:27:18,920
OF LEADERSHIP ARE ADDING UP 

5931
03:27:18,920 --> 03:27:20,655
QUICKLY IN THIS AREA.

5932
03:27:20,655 --> 03:27:23,058
TWO OTHER WAYS NINR IS

5933
03:27:23,058 --> 03:27:24,526
POSITIONING ITSELF AS LEADER

5934
03:27:24,526 --> 03:27:26,361
INCLUDING DEVELOPMENT OF

5935
03:27:26,361 --> 03:27:27,896
INFRASTRUCTURE FOR GRANTEES

5936
03:27:27,896 --> 03:27:29,731
ACROSS NIH AND PROVIDING

5937
03:27:29,731 --> 03:27:31,499
RESEARCH RESOURCES FOR THE

5938
03:27:31,499 --> 03:27:33,468
BROADER RESEARCH COMMUNITY.

5939
03:27:33,468 --> 03:27:36,204
WE'VE SEEN OPPORTUNITIES LIKE

5940
03:27:36,204 --> 03:27:37,305
DIRECTORS LECTURES AND VIRTUAL

5941
03:27:37,305 --> 03:27:38,707
WORKSHOPS THAT DO THAT.

5942
03:27:38,707 --> 03:27:47,148
STAFF IS EXPLORING  NEW  

5943
03:27:47,148 --> 03:27:48,183
STRATEGIES TO AGGREGATE

5944
03:27:48,183 --> 03:27:49,551
RESOURCES FOR USE.

5945
03:27:49,551 --> 03:27:50,251
MORE DETAIL ABOUT SOMETHING

5946
03:27:50,251 --> 03:27:52,620
THAT'S BEGINNING TO BE

5947
03:27:52,620 --> 03:27:54,489
DISCUSSED, COMMON DATA ELEMENTS.

5948
03:27:54,489 --> 03:27:55,590
OBVIOUSLY, THIS GROUP DOESN'T

5949
03:27:55,590 --> 03:27:57,759
NEED TO BE SOLD ON THE VALUE OF

5950
03:27:57,759 --> 03:27:58,660
COMMON DATA ELEMENTS.

5951
03:27:58,660 --> 03:28:00,628
WHICH ARE USED TO ENSURE SOME

5952
03:28:00,628 --> 03:28:01,930
DEGREE OF STANDARDIZATION OF

5953
03:28:01,930 --> 03:28:03,898
MEASURES AND COMPARABILITY OF

5954
03:28:03,898 --> 03:28:04,733
FINDINGS ACROSS STUDIES.

5955
03:28:04,733 --> 03:28:06,735
WE KNOW IF THEY ARE DONE WELL

5956
03:28:06,735 --> 03:28:09,371
THEY ALLOW LEVERAGE EXISTING

5957
03:28:09,371 --> 03:28:11,005
DATA SETS INTO META-ANALYSES,

5958
03:28:11,005 --> 03:28:13,541
AND GIVEN SOME METHODOLOGICAL

5959
03:28:13,541 --> 03:28:16,478
COMPLEXITY OF SDOH WORK WHICH

5960
03:28:16,478 --> 03:28:18,113
WAS ALLUDED TO EARLIER

5961
03:28:18,113 --> 03:28:19,547
INVESTIGATORS JUST BEGINNING IN

5962
03:28:19,547 --> 03:28:21,082
THIS AREA COULD POTENTIALLY

5963
03:28:21,082 --> 03:28:26,354
BENEFIT FROM GUIDANCE AND GUARD

5964
03:28:26,354 --> 03:28:27,122
RAILS STRONG COMMON DATA

5965
03:28:27,122 --> 03:28:28,423
ELEMENTS PROVIDE.

5966
03:28:28,423 --> 03:28:29,724
THERE'S A REAL NEED ACROSS

5967
03:28:29,724 --> 03:28:32,060
DISCIPLINES TO EXPLORE THE USE

5968
03:28:32,060 --> 03:28:34,696
OF CDEs IN THIS AREA, AND THAT

5969
03:28:34,696 --> 03:28:41,236
NINR ALONG WORLD  A-- ALONG WITH

5970
03:28:41,236 --> 03:28:42,370
ITS PARTNERS HAS THE EXPERTISE

5971
03:28:42,370 --> 03:28:43,405
TO MEET THAT NEED.

5972
03:28:43,405 --> 03:28:46,808
THE THIRD AND FINAL GOAL IS

5973
03:28:46,808 --> 03:28:48,109
AROUND PREPARING MORE

5974
03:28:48,109 --> 03:28:50,745
NURSE-SCIENTISTS TO LEAD AND

5975
03:28:50,745 --> 03:28:51,546
CONDUCT RIGOROUS HIGH-QUALITY

5976
03:28:51,546 --> 03:28:52,647
SDOH RESEARCH, AND THERE HAVE

5977
03:28:52,647 --> 03:28:55,016
BEEN SEVERAL WAYS IN WHICH THAT

5978
03:28:55,016 --> 03:28:55,583
HAS HAPPENED.

5979
03:28:55,583 --> 03:28:57,752
AND THAT HAVE RESULTED IN

5980
03:28:57,752 --> 03:28:58,620
EXCITING INVESTMENTS, ONE OF

5981
03:28:58,620 --> 03:29:00,588
WHICH WE TALKED ABOUT EARLIER

5982
03:29:00,588 --> 03:29:02,223
WHICH IS THE SOCIAL DETERMINANTS

5983
03:29:02,223 --> 03:29:05,527
OF HEALTH RESEARCH INSTITUTE,

5984
03:29:05,527 --> 03:29:07,162
BEING LED BY THE DEPUTY

5985
03:29:07,162 --> 03:29:07,462
DIRECTOR.

5986
03:29:07,462 --> 03:29:11,866
WE'VE HAD A VERY ROBUST RESPONSE

5987
03:29:11,866 --> 03:29:13,535
TO THIS PARTICULAR PROGRAM THAT

5988
03:29:13,535 --> 03:29:14,502
THE ANNOUNCEMENT WENT OUT IN

5989
03:29:14,502 --> 03:29:15,703
MAY, WE HAVE WAY MORE

5990
03:29:15,703 --> 03:29:17,038
APPLICATIONS THAN WE THOUGHT WE

5991
03:29:17,038 --> 03:29:18,673
WOULD HAVE WHICH IS FANTASTIC.

5992
03:29:18,673 --> 03:29:21,176
THIS OPPORTUNITY IS FOR

5993
03:29:21,176 --> 03:29:22,911
NURSE-SCIENTISTS AND WE HAVE A

5994
03:29:22,911 --> 03:29:26,648
FOLDER FULL OF E-MAILS OF PEOPLE

5995
03:29:26,648 --> 03:29:28,383
VERY DISAPPOINTED THAT IT'S ONLY

5996
03:29:28,383 --> 03:29:30,685
NURSES, THEY ARE EXCITED, VERY

5997
03:29:30,685 --> 03:29:32,420
EXCITED TO LEARN FROM NINR AND

5998
03:29:32,420 --> 03:29:34,622
THE EXPERTS WHO ARE AFFILIATED

5999
03:29:34,622 --> 03:29:37,025
WITH NINR, ABOUT THIS REALLY

6000
03:29:37,025 --> 03:29:37,892
IMPORTANT WORK.

6001
03:29:37,892 --> 03:29:39,327
THAT IT'S HAPPENING AT THE END

6002
03:29:39,327 --> 03:29:41,296
OF JULY, SELECTIONS ARE COMING

6003
03:29:41,296 --> 03:29:42,831
OUT IN JUNE.

6004
03:29:42,831 --> 03:29:45,467
OTHER WAYS OF COURSE THIS IS

6005
03:29:45,467 --> 03:29:47,202
HAPPENING INCLUDE

6006
03:29:47,202 --> 03:29:48,102
UNDERGRADUATE -- OPPORTUNITIES

6007
03:29:48,102 --> 03:29:49,737
TO EXPOSE UNDERGRADUATES TO

6008
03:29:49,737 --> 03:29:51,606
RESEARCH AND OTHER FUNDING

6009
03:29:51,606 --> 03:29:52,807
OPPORTUNITIES SPECIFICALLY

6010
03:29:52,807 --> 03:29:55,643
R25s, ONE ON SDOH, ONE ON

6011
03:29:55,643 --> 03:29:57,378
FIREARM INJURY PREVENTION, THESE

6012
03:29:57,378 --> 03:30:00,248
CONTINUE TO BE IMPORTANT WAYS IN

6013
03:30:00,248 --> 03:30:01,115
WHICH WE PROVIDE

6014
03:30:01,115 --> 03:30:05,153
NURSE-SCIENTISTS WITH SKILLS

6015
03:30:05,153 --> 03:30:06,254
THEY NEED.

6016
03:30:06,254 --> 03:30:10,859
WE PROVIDED A FEW DISCUSSION 

6017
03:30:10,859 --> 03:30:12,160
QUESTIONS ABOUT THESE AREAS, AND

6018
03:30:12,160 --> 03:30:13,595
OPPORTUNITIES NOW OR IN FUTURE

6019
03:30:13,595 --> 03:30:16,865
AS WE CATCH UP WITH TIME BUT I

6020
03:30:16,865 --> 03:30:19,300
THINK THERE'S IMPORTANT

6021
03:30:19,300 --> 03:30:20,902
QUESTIONS AROUND THE IDEAS THAT

6022
03:30:20,902 --> 03:30:22,470
COUNCIL HAS FOR INITIATIVES IN

6023
03:30:22,470 --> 03:30:25,173
THIS AREA AND BUILDING MOMENTUM

6024
03:30:25,173 --> 03:30:26,074
FOR NEW RESEARCHERS.

6025
03:30:26,074 --> 03:30:27,575
SO I'LL TURN IT OVER TO YOU FOR

6026
03:30:27,575 --> 03:30:31,412
ANY QUESTIONS THAT YOU HAVE.

6027
03:30:31,412 --> 03:30:35,917
>> THANKS SO MUCH, DR.
COLBERT.

6028
03:30:35,917 --> 03:30:38,219
FASCINATING TO HEAR OVERVIEW OF

6029
03:30:38,219 --> 03:30:39,220
PILLAR SO IMPORTANT TO THE

6030
03:30:39,220 --> 03:30:42,490
INSTITUTE AND SEE WHAT PROGRESS 

6031
03:30:42,490 --> 03:30:44,359
HAS BEEN DONE AND FUTURE VIEW.

6032
03:30:44,359 --> 03:30:45,460
QUESTIONS AND COMMENTS THAT IN

6033
03:30:45,460 --> 03:30:47,095
PART ARE ABOUT WHAT HAS BEEN

6034
03:30:47,095 --> 03:30:47,962
ACCOMPLISHED ALREADY, AND THEN A

6035
03:30:47,962 --> 03:30:49,197
LITTLE BIT MORE ABOUT WHAT

6036
03:30:49,197 --> 03:30:51,466
REMAINS TO BE ACCOMPLISHED.

6037
03:30:51,466 --> 03:30:52,133
I THINK SOCIAL DETERMINANTS OF

6038
03:30:52,133 --> 03:30:55,637
HEALTH IS KIND OF LIKE OUR

6039
03:30:55,637 --> 03:30:56,371
HEALTH DISPARITIES DISCUSSION

6040
03:30:56,371 --> 03:30:58,239
EARLIER THAT THERE'S A LITTLE

6041
03:30:58,239 --> 03:31:01,442
BIT OF UNKNOWN THAT NURSES AND

6042
03:31:01,442 --> 03:31:02,544
NINR SPECIFICALLY HAVE BEEN

6043
03:31:02,544 --> 03:31:04,078
DOING THIS WORK FOR A LONG TIME.

6044
03:31:04,078 --> 03:31:05,713
SO I DO THINK WE ALMOST HAVE TO

6045
03:31:05,713 --> 03:31:07,682
TAKE A STEP BACK AND FIND BETTER

6046
03:31:07,682 --> 03:31:10,084
WAYS TO CAPTURE WHAT HAS ALREADY

6047
03:31:10,084 --> 03:31:12,820
BEEN DONE FROM AN INSTITUTION'S

6048
03:31:12,820 --> 03:31:13,254
PERSPECTIVE.

6049
03:31:13,254 --> 03:31:15,356
WE HEARD DR. GRAYSON MENTION

6050
03:31:15,356 --> 03:31:16,558
EARLIER ABOUT HEALTH DISPARITIES

6051
03:31:16,558 --> 03:31:20,061
IN A NEW WAY WITH RCDC CODING.

6052
03:31:20,061 --> 03:31:21,629
I WONDER IF WE COULD SEE

6053
03:31:21,629 --> 03:31:22,230
SOMETHING SIMILAR WITH SOCIAL

6054
03:31:22,230 --> 03:31:24,332
DETERMINANTS OF HEALTH AND SEE

6055
03:31:24,332 --> 03:31:26,601
WHAT NINR HAS FUNDED IF THAT'S A

6056
03:31:26,601 --> 03:31:27,902
USEFUL CODING MECHANISM BECAUSE

6057
03:31:27,902 --> 03:31:29,370
IT WOULD BE GREAT TO SIMILARLY

6058
03:31:29,370 --> 03:31:31,439
SEE HOW MANY GRANTS HAVE BEEN

6059
03:31:31,439 --> 03:31:33,641
FUNDED, HOW MANY ARE Rs, HOW

6060
03:31:33,641 --> 03:31:35,276
MANY ARE TRAINING GRANTS, TO SEE

6061
03:31:35,276 --> 03:31:36,811
SIMILARLY ALL THE GREAT WORK.

6062
03:31:36,811 --> 03:31:38,012
AND SPECIFICALLY WHAT OTHER

6063
03:31:38,012 --> 03:31:39,747
GRANTS THAT HAVE BEEN FUNDED

6064
03:31:39,747 --> 03:31:40,882
WITH THE FOCUS, WHAT'S THE

6065
03:31:40,882 --> 03:31:42,817
PRODUCT, WOULD BE A GREAT WAY TO

6066
03:31:42,817 --> 03:31:45,119
HELP US TELL OUR STORY WHAT'S

6067
03:31:45,119 --> 03:31:46,988
ALREADY BEEN DONE, GIVEN IT'S

6068
03:31:46,988 --> 03:31:49,357
NUMBER ONE NINR BUDGET FROM A

6069
03:31:49,357 --> 03:31:50,158
PERCENTAGE AND WE'RE NUMBER TWO

6070
03:31:50,158 --> 03:31:51,993
AT NIH IN TERMS OF PERCENTAGE OF

6071
03:31:51,993 --> 03:31:53,094
THE BUDGET.

6072
03:31:53,094 --> 03:31:53,761
SO IMPORTANT.

6073
03:31:53,761 --> 03:31:55,496
SO LET'S THINK OF GOOD WAYS TO

6074
03:31:55,496 --> 03:31:57,699
USE NUMBERS AND TO BE MORE

6075
03:31:57,699 --> 03:31:59,233
COMPELLING ABOUT WHAT HAS BEEN

6076
03:31:59,233 --> 03:32:00,435
ACCOMPLISHED ALREADY.

6077
03:32:00,435 --> 03:32:03,938
WHAT REMAINS TO BE ACCOMPLISHED

6078
03:32:03,938 --> 03:32:05,039
IS A LOT.

6079
03:32:05,039 --> 03:32:06,908
BUT THE COMMON DATA ELEMENTS IS

6080
03:32:06,908 --> 03:32:08,843
QUITE FASCINATING SO I'M GLAD

6081
03:32:08,843 --> 03:32:10,712
THAT YOU MENTIONED IT BECAUSE OF

6082
03:32:10,712 --> 03:32:12,013
COURSE PEOPLE ARE ENAMORED WITH

6083
03:32:12,013 --> 03:32:17,285
THAT BECAUSE WHAT BETTER WAY TO

6084
03:32:17,285 --> 03:32:19,153
HAVE ADDITIVE RESEARCH AND ALLOW

6085
03:32:19,153 --> 03:32:20,788
FOR DATA SOURCES.

6086
03:32:20,788 --> 03:32:22,223
EVERYONE IS GUILTY, IF YOU'RE

6087
03:32:22,223 --> 03:32:23,091
MEASURING FOOD INSECURITY YOU DO

6088
03:32:23,091 --> 03:32:24,859
IT THE WAY YOU KNOW HOW TO DO IT

6089
03:32:24,859 --> 03:32:26,928
BUT YOU MAY NOT DO IT IN ANY

6090
03:32:26,928 --> 03:32:28,262
SIMILAR FASHION THAN ANY OTHER

6091
03:32:28,262 --> 03:32:29,664
INVESTIGATOR WHO IS ALSO

6092
03:32:29,664 --> 03:32:32,166
STUDYING FOOD INSECURITY SO

6093
03:32:32,166 --> 03:32:34,836
THAT'S KIND OF LIKE THE BENEFIT

6094
03:32:34,836 --> 03:32:36,904
OF COMMON DATA ELEMENTS.

6095
03:32:36,904 --> 03:32:38,940
THE DRAWBACKS THEY CAN BE

6096
03:32:38,940 --> 03:32:40,742
PRESCRIPTIVE, NOT RELEVANT TO

6097
03:32:40,742 --> 03:32:42,143
THE COMMUNITY, MAY NOT BE

6098
03:32:42,143 --> 03:32:44,312
PREFERRED OR MAY ACTUALLY NOT BE

6099
03:32:44,312 --> 03:32:45,880
QUESTIONS THAT ARE ANSWERED

6100
03:32:45,880 --> 03:32:46,748
BECAUSE THE COMMUNITY OF

6101
03:32:46,748 --> 03:32:48,282
INTEREST DOESN'T WANT TO ADDRESS

6102
03:32:48,282 --> 03:32:49,817
THOSE QUESTIONS IN A SIMILAR

6103
03:32:49,817 --> 03:32:49,984
WAY.

6104
03:32:49,984 --> 03:32:52,854
SO THE COMMON DATA ELEMENT IS

6105
03:32:52,854 --> 03:32:53,855
SOMETHING THAT THE INSTITUTE

6106
03:32:53,855 --> 03:32:55,590
SHOULD CONSIDER, IT'S A GREAT

6107
03:32:55,590 --> 03:32:57,392
WAY TO REALLY CAPITALIZE ON

6108
03:32:57,392 --> 03:32:59,093
MAKING SURE THE WORK GOING

6109
03:32:59,093 --> 03:33:01,129
FORWARD IS ADDITIVE AND CAN BE

6110
03:33:01,129 --> 03:33:06,534
CONSIDERED IN THESE META

6111
03:33:06,534 --> 03:33:09,637
ANALYTIC WAY, BUT THEY ARE

6112
03:33:09,637 --> 03:33:10,838
ALWAYS A DOUBLE-EDGED SWORD, AN

6113
03:33:10,838 --> 03:33:11,572
AMAZING OVERVIEW.

6114
03:33:11,572 --> 03:33:14,208
IF YOU HAVE THOUGHTS OR

6115
03:33:14,208 --> 03:33:15,643
QUESTIONS ON NUMBER OF GRANTS

6116
03:33:15,643 --> 03:33:17,845
THAT ARE FUNDED UNDER THE SOCIAL

6117
03:33:17,845 --> 03:33:19,013
DETERMINANTS OF HEALTH OR WHAT

6118
03:33:19,013 --> 03:33:21,549
THE BREAKDOWN IS IN TERMS OF

6119
03:33:21,549 --> 03:33:22,316
TRAINING AND INDEPENDENT GRANTS

6120
03:33:22,316 --> 03:33:23,418
WOULD BE INTERESTING TO LEARN

6121
03:33:23,418 --> 03:33:24,719
ABOUT AT SOME POINT BUT NOT

6122
03:33:24,719 --> 03:33:27,355
NECESSARILY TODAY.

6123
03:33:27,355 --> 03:33:30,091
>> YEAH, I THINK TO
ADDRESS THE

6124
03:33:30,091 --> 03:33:32,160
LAST ONE, THE DATA PEOPLE ARE

6125
03:33:32,160 --> 03:33:34,028
WORKING ON THOSE EXACT THINGS,

6126
03:33:34,028 --> 03:33:35,229
THE BEST WAY TO TRACK, WHICH

6127
03:33:35,229 --> 03:33:37,532
LEADS BACK TO THE FIRST ONE

6128
03:33:37,532 --> 03:33:39,634
ABOUT THE SHARED LANGUAGE,

6129
03:33:39,634 --> 03:33:40,334
RIGHT?

6130
03:33:40,334 --> 03:33:42,136
AND UNDERSTANDING ABOUT SDOH.

6131
03:33:42,136 --> 03:33:44,439
DR. ZENK IS CO-LEADING RESEARCH

6132
03:33:44,439 --> 03:33:46,741
COORDINATING COMMITTEE WHICH

6133
03:33:46,741 --> 03:33:48,142
RELEASED CONCEPTUALIZATION WHICH

6134
03:33:48,142 --> 03:33:49,577
SHOCKINGLY NIH DIDN'T HAVE, AND

6135
03:33:49,577 --> 03:33:51,345
NOW DOES, RIGHT?

6136
03:33:51,345 --> 03:33:53,281
SHARED COMMON LANGUAGE AROUND

6137
03:33:53,281 --> 03:33:53,481
THAT.

6138
03:33:53,481 --> 03:33:54,415
AND I WOULDN'T SPEAK FOR HER

6139
03:33:54,415 --> 03:33:56,050
ABOUT WHAT THAT IS BUT I THINK A

6140
03:33:56,050 --> 03:33:58,653
LOT OF THOSE EFFORTS ARE ABOUT

6141
03:33:58,653 --> 03:34:00,855
COMING TO AN AGREED PLACE WHAT

6142
03:34:00,855 --> 03:34:02,056
THOSE THINGS MEAN.

6143
03:34:02,056 --> 03:34:06,761
IN TERMS OF COMMON DATA

6144
03:34:06,761 --> 03:34:07,762
ELEMENTS, YOU'VE IDENTIFIED THE

6145
03:34:07,762 --> 03:34:10,364
EXACT PROBLEM FROM.  MY

6146
03:34:10,364 --> 03:34:13,034
PERSPECTIVE, I THINK NINR

6147
03:34:13,034 --> 03:34:14,869
LEADERSHIP WOULD DO COMMON DATA

6148
03:34:14,869 --> 03:34:16,204
ELEMENTS DIFFERENTLY, RIGHT?

6149
03:34:16,204 --> 03:34:19,273
SO IT'S NOT ABOUT DECIDING, YOU

6150
03:34:19,273 --> 03:34:21,676
KNOW, FOR COMMUNITIES WHAT THOSE

6151
03:34:21,676 --> 03:34:25,046
LOOK LIKE, IT'S AN EXCELLENT

6152
03:34:25,046 --> 03:34:27,482
OPPORTUNITY TO REALLY INCLUDE

6153
03:34:27,482 --> 03:34:28,082
COMMUNITY-ENGAGED EFFORTS IN

6154
03:34:28,082 --> 03:34:30,184
ORDER TO ESTABLISH WHAT THOSE

6155
03:34:30,184 --> 03:34:32,153
ARE RATHER THAN TO DICTATE IT.

6156
03:34:32,153 --> 03:34:33,421
AGAIN, EARLY STAGE, LOTS OF

6157
03:34:33,421 --> 03:34:36,657
OPPORTUNITIES FOR NINR TO DO

6158
03:34:36,657 --> 03:34:38,860
THIS WORK, DELIBERATELY, WITH

6159
03:34:38,860 --> 03:34:41,562
THE RICH TRADITION OF NURSES FOR

6160
03:34:41,562 --> 03:34:45,299
SURE

6161
03:34:45,299 --> 03:34:46,501
>> HAPPY TO OPEN UP TO

6162
03:34:46,501 --> 03:34:56,978
COLLEAGUES FOR QUESTIONS AND

6163
03:35:00,882 --> 03:35:01,382
COMMENTS.

6164
03:35:01,382 --> 03:35:04,018
>> I'M CURIOUS, A QUESTION

6165
03:35:04,018 --> 03:35:04,418
MAYBE.

6166
03:35:04,418 --> 03:35:10,458
CURIOUS ABOUT THE COMMON DATA 

6167
03:35:10,458 --> 03:35:11,993
ELEMENTS FOR SDOH.

6168
03:35:11,993 --> 03:35:15,696
I SAW THE COMPASS PROGRAM HAS

6169
03:35:15,696 --> 03:35:16,230
COMPREHENSIVE COMMON DATA

6170
03:35:16,230 --> 03:35:17,899
ELEMENTS FOR SOCIAL DETERMINANTS

6171
03:35:17,899 --> 03:35:20,635
OF HEALTH, NOT SURE HOW -- WHAT

6172
03:35:20,635 --> 03:35:24,238
FURTHER WORK IS NEEDED, I GUESS

6173
03:35:24,238 --> 03:35:26,874
I'M CURIOUS WHERE NIH IN GENERAL

6174
03:35:26,874 --> 03:35:30,044
IS IN THIS PHASE OF COMMON DATA

6175
03:35:30,044 --> 03:35:30,678
ELEMENTS FOR SDOH.

6176
03:35:30,678 --> 03:35:35,850
>> I CAN ADDRESS THAT A
LITTLE 

6177
03:35:35,850 --> 03:35:36,551
BIT.

6178
03:35:36,551 --> 03:35:39,253
THROUGH THE PHENX TOOLKIT,

6179
03:35:39,253 --> 03:35:40,655
EVERYONE RECOGNIZES THOSE NEED

6180
03:35:40,655 --> 03:35:44,592
TO BE UPDATED, THERE ARE SOME.

6181
03:35:44,592 --> 03:35:47,028
COMPASS WILL BE COMING UP WITH A

6182
03:35:47,028 --> 03:35:49,330
SET OF COMMON DATA ELEMENTS,

6183
03:35:49,330 --> 03:35:50,498
THAT HASN'T BEEN ESTABLISHED

6184
03:35:50,498 --> 03:35:55,469
YET, WORK TO COME.

6185
03:35:55,469 --> 03:36:00,708
RESEARCH COORDINATING COMMITTEE,

6186
03:36:00,708 --> 03:36:02,043
CDES, THE COMMITTEE RECOGNIZED A

6187
03:36:02,043 --> 03:36:05,746
NEED.  THERE PART OF FOR ME

6188
03:36:05,746 --> 03:36:06,848
THINKING ABOUT CDEs, NINR,

6189
03:36:06,848 --> 03:36:08,449
WHAT VOICE DO WE WANT TO HAVE,

6190
03:36:08,449 --> 03:36:10,885
DO WE WANT TO CONTRIBUTE OUR

6191
03:36:10,885 --> 03:36:12,854
PERSPECTIVE AS THESE THINGS ROLL

6192
03:36:12,854 --> 03:36:13,521
OUT.

6193
03:36:13,521 --> 03:36:15,256
AND SO THE IDEA OF A WORKING

6194
03:36:15,256 --> 03:36:17,992
GROUP HAS COME TO OUR MIND,

6195
03:36:17,992 --> 03:36:19,193
WHETHER THE COUNCIL WANTS TO

6196
03:36:19,193 --> 03:36:22,129
FORM A GROUP TO HELP AS THESE

6197
03:36:22,129 --> 03:36:23,030
THINGS INCREASINGLY OVER THE

6198
03:36:23,030 --> 03:36:26,067
NEXT YEAR START ROLLING OUT, DO

6199
03:36:26,067 --> 03:36:28,936
WE WANT TO HAVE A CHANCE TO GET

6200
03:36:28,936 --> 03:36:30,805
TOGETHER AS A GROUP AND DECIDE

6201
03:36:30,805 --> 03:36:31,806
FOR US WHAT WE THINK IS

6202
03:36:31,806 --> 03:36:34,208
IMPORTANT AND TO BE ABLE TO PUT

6203
03:36:34,208 --> 03:36:35,943
THAT ON THE TABLE.

6204
03:36:35,943 --> 03:36:38,346
SO I APPRECIATE YOU DIGGING IN

6205
03:36:38,346 --> 03:36:39,313
ON THAT.

6206
03:36:39,313 --> 03:36:42,416
>> YEAH, BECAUSE I'M
THINKING

6207
03:36:42,416 --> 03:36:45,319
ABOUT MORE OF THE INNOVATIVE

6208
03:36:45,319 --> 03:36:46,821
LIKE NURSE-LED MODELS IN THE

6209
03:36:46,821 --> 03:36:49,257
COMMUNITIES WHERE THERE SHOULD

6210
03:36:49,257 --> 03:36:51,559
BE THIS REFERRAL TO SOCIAL

6211
03:36:51,559 --> 03:36:54,462
SERVICES ORGANIZATIONS AFTER YOU

6212
03:36:54,462 --> 03:36:55,162
IDENTIFY AND SCREEN SOCIAL

6213
03:36:55,162 --> 03:36:56,397
DETERMINANTS OF HEALTH OR SOCIAL

6214
03:36:56,397 --> 03:36:58,032
DRIVERS OF HEALTH, BUT ALSO

6215
03:36:58,032 --> 03:36:59,767
REFER BACK TO HEALTH, NURSES AND

6216
03:36:59,767 --> 03:37:01,035
NURSE PRACTITIONERS.

6217
03:37:01,035 --> 03:37:02,536
SO IT'S A CLOSED LOOP SYSTEM.

6218
03:37:02,536 --> 03:37:04,839
AND WHEN WE THINK ABOUT CDE IN

6219
03:37:04,839 --> 03:37:07,808
TERMS OF RESEARCH, MAYBE WE NEED

6220
03:37:07,808 --> 03:37:10,011
IT LIKE ALSO THINK BEYOND JUST

6221
03:37:10,011 --> 03:37:11,746
IDENTIFY THE DATA ELEMENTS BUT

6222
03:37:11,746 --> 03:37:20,721
ALSO IN TERMS OF DOWN THE ROAD

6223
03:37:20,721 --> 03:37:21,822
THE INTEROPERABILITY AND CLOSED

6224
03:37:21,822 --> 03:37:23,157
LOOP REFERRAL, REFERRAL BACK,

6225
03:37:23,157 --> 03:37:24,792
THAT WILL BE INSTRUMENTAL WHEN

6226
03:37:24,792 --> 03:37:27,094
WE IDENTIFY THESE COMMON DATA

6227
03:37:27,094 --> 03:37:30,364
ELEMENTS TO DRIVE MORE WHERE WE

6228
03:37:30,364 --> 03:37:31,565
ENVISION NURSES AND NURSE

6229
03:37:31,565 --> 03:37:35,303
PRACTITIONERS CAN HAVE THOSE NEW

6230
03:37:35,303 --> 03:37:37,772
MODELS OF CARE, PUBLIC HOUSING,

6231
03:37:37,772 --> 03:37:39,807
RURAL, ALL THE OTHER AREAS.

6232
03:37:39,807 --> 03:37:44,612
I SEE IT BROADER THAN JUST FROM

6233
03:37:44,612 --> 03:37:47,248
THAT INTEROPERABILITY LENS.

6234
03:37:47,248 --> 03:37:49,450
 

6235
03:37:49,450 --> 03:37:51,419
>> NO, THANK YOU FOR THAT

6236
03:37:51,419 --> 03:37:54,121
COMMENT AND THE PRESENTATION.

6237
03:37:54,121 --> 03:37:54,588
AMAZING.

6238
03:37:54,588 --> 03:37:57,525
I WOULD SAY THE -- AS DR. ZENK

6239
03:37:57,525 --> 03:37:58,960
WAS SAYING, COMPASS HASN'T

6240
03:37:58,960 --> 03:38:08,469
GOTTEN THERE YET BUT THE 

6241
03:38:08,469 --> 03:38:11,205
PHOENIX TOOL KIT, WE'RE

6242
03:38:11,205 --> 03:38:13,341
IDENTIFYING WAYS TO IDENTIFY

6243
03:38:13,341 --> 03:38:17,545
FROM FEDERALLY QUALIFIED  HEALTH

6244
03:38:17,545 --> 03:38:17,878
CENTERS.

6245
03:38:17,878 --> 03:38:19,413
WHAT'S INTERESTING IS NURSE

6246
03:38:19,413 --> 03:38:23,584
LEADERS PART OF THIS EFFORT OF

6247
03:38:23,584 --> 03:38:25,086
LOOKING QUITE DIFFERENTLY,

6248
03:38:25,086 --> 03:38:31,125
LOOKING AT MODIFIABLE

6249
03:38:31,125 --> 03:38:33,861
DETERMINANTS OR DRIVERS,

6250
03:38:33,861 --> 03:38:34,962
COMPARED WITH PHOENIX TO

6251
03:38:34,962 --> 03:38:36,497
CHARACTERIZE A POPULATION.

6252
03:38:36,497 --> 03:38:38,232
WE TALK ABOUT COMMUNITY VOICES,

6253
03:38:38,232 --> 03:38:45,239
I THINK ABOUT ORGANIZATIONAL

6254
03:38:45,239 --> 03:38:46,107
VOICES SEEKING FUNDING TO

6255
03:38:46,107 --> 03:38:48,075
SUPPORT THE HOUSING EFFORTS SO I

6256
03:38:48,075 --> 03:38:50,344
THINK THAT'S ANOTHER VOICE THAT

6257
03:38:50,344 --> 03:38:53,214
WOULD BE NICE TO SEE AS PART OF

6258
03:38:53,214 --> 03:38:54,949
RESEARCH EFFORT TO BETTER

6259
03:38:54,949 --> 03:38:56,584
UNDERSTAND IDENTIFYING COMMON

6260
03:38:56,584 --> 03:38:57,485
DETERMINANTS THAT OTHER

6261
03:38:57,485 --> 03:38:58,486
ORGANIZATIONS CAN USE TO HELP

6262
03:38:58,486 --> 03:39:01,288
THEIR COMMUNITIES AS WELL.

6263
03:39:01,288 --> 03:39:04,158
 

6264
03:39:04,158 --> 03:39:07,428
>> JUST TO BUILD ON THOSE

6265
03:39:07,428 --> 03:39:09,630
COMMENTS, THAT WAS FANTASTIC.

6266
03:39:09,630 --> 03:39:11,265
I THINK THAT THE PRESENTATION

6267
03:39:11,265 --> 03:39:12,900
HIGHLIGHTS WHAT WE HEARD

6268
03:39:12,900 --> 03:39:14,435
THROUGHOUT THE MORNING AND UP

6269
03:39:14,435 --> 03:39:16,070
UNTIL NOW THAT NINR IS DOING

6270
03:39:16,070 --> 03:39:17,371
FANTASTIC WORK IN THIS AREA.

6271
03:39:17,371 --> 03:39:19,540
I THINK THAT'S SORT OF TOP LINE

6272
03:39:19,540 --> 03:39:19,774
MESSAGE.

6273
03:39:19,774 --> 03:39:22,743
IN TERMS OF THE TWO POINTS THAT

6274
03:39:22,743 --> 03:39:25,579
YOU RAISED ABOUT WHAT RESEARCH

6275
03:39:25,579 --> 03:39:26,881
AND SCIENTIFIC CONTRIBUTIONS

6276
03:39:26,881 --> 03:39:28,749
THAT NINR COULD MAKE, AND ALSO

6277
03:39:28,749 --> 03:39:30,317
THIS ISSUE OF COMMON DATA

6278
03:39:30,317 --> 03:39:31,919
ELEMENTS, A COUPLE THOUGHTS.

6279
03:39:31,919 --> 03:39:34,655
I THINK THERE ARE LOTS OF

6280
03:39:34,655 --> 03:39:36,424
MODELS, I WOULD SAY HOPEFULLY

6281
03:39:36,424 --> 03:39:37,725
THIS IS AN OVERSIMPLIFICATION,

6282
03:39:37,725 --> 03:39:39,260
MANY OF THOSE MODELS ARE FAIRLY

6283
03:39:39,260 --> 03:39:39,794
STATIC.

6284
03:39:39,794 --> 03:39:42,329
THEY DO A GOOD JOB DESCRIBING

6285
03:39:42,329 --> 03:39:42,563
THINGS.

6286
03:39:42,563 --> 03:39:44,632
ONE PLEASANT THING I'VE SEEN IN

6287
03:39:44,632 --> 03:39:47,334
THE MORE RECENT SORT OF

6288
03:39:47,334 --> 03:39:48,235
ANNOUNCEMENTS REGARDING FUNDING

6289
03:39:48,235 --> 03:39:50,538
THERE'S THE USE OF WORD

6290
03:39:50,538 --> 03:39:51,172
MECHANISMS, AND THAT'S

6291
03:39:51,172 --> 03:39:52,139
FANTASTIC.

6292
03:39:52,139 --> 03:39:55,543
BECAUSE IF I WERE GOING TO MAKE

6293
03:39:55,543 --> 03:39:56,877
RECOMMENDATION AROUND RESEARCH,

6294
03:39:56,877 --> 03:39:58,946
OR COMMON DATA ELEMENTS, I THINK

6295
03:39:58,946 --> 03:40:01,582
NURSING COULD MAKE REALLY

6296
03:40:01,582 --> 03:40:02,817
IMPORTANT CONTRIBUTIONS AROUND

6297
03:40:02,817 --> 03:40:06,053
MECHANISMS, AND HAVING A SET OF

6298
03:40:06,053 --> 03:40:07,388
COMMON DATA ELEMENTS THAT WOULD

6299
03:40:07,388 --> 03:40:08,823
BE SPECIFIC ENOUGH BUT ALSO

6300
03:40:08,823 --> 03:40:10,124
GENERIC ENOUGH THEY WOULD

6301
03:40:10,124 --> 03:40:12,626
ACCOUNT FOR DIFFERENCES IN

6302
03:40:12,626 --> 03:40:13,627
POPULATION AND CONTEXT, ET

6303
03:40:13,627 --> 03:40:15,262
CETERA, ALL THE WAYS WE DIFFER

6304
03:40:15,262 --> 03:40:18,132
BUT THEY WOULD STILL GUIDE THE

6305
03:40:18,132 --> 03:40:18,999
DEVELOPMENT OF MULTI-LEVEL

6306
03:40:18,999 --> 03:40:19,500
INTERVENTIONS.

6307
03:40:19,500 --> 03:40:22,303
I WANT TO ALSO PUSH A LITTLE BIT

6308
03:40:22,303 --> 03:40:25,139
ON THE TENSION AROUND

6309
03:40:25,139 --> 03:40:27,108
HEALTH-RELATED SOCIAL NEEDS AND

6310
03:40:27,108 --> 03:40:28,008
TENDENCY FOR SCREENING AND

6311
03:40:28,008 --> 03:40:30,411
REFERRAL, WHICH IS A FIRST STEP,

6312
03:40:30,411 --> 03:40:31,412
BY NO MEANS MINIMIZING THAT BUT

6313
03:40:31,412 --> 03:40:33,581
I THINK WE HAVE EVIDENCE IT'S

6314
03:40:33,581 --> 03:40:34,949
INADEQUATE AND WE NEED TO GO

6315
03:40:34,949 --> 03:40:37,284
FURTHER AND SO I THINK THOSE ARE

6316
03:40:37,284 --> 03:40:39,487
AREAS THAT WE'RE ALREADY LEADING

6317
03:40:39,487 --> 03:40:41,689
AND SO WHY NOT KEEP PUSHING

6318
03:40:41,689 --> 03:40:43,991
FORWARD AND THAT WOULD BE MY

6319
03:40:43,991 --> 03:40:46,427
RECOMMENDATION.

6320
03:40:46,427 --> 03:40:49,430
 

6321
03:40:49,430 --> 03:40:50,764
>> ANY OTHER COMMENTS?

6322
03:40:50,764 --> 03:40:53,734
I KNOW WE'RE GETTING TO THE END

6323
03:40:53,734 --> 03:40:55,469
OF THE DAY.

6324
03:40:55,469 --> 03:40:58,973
SO FOR ME I GUESS I WANT TO

6325
03:40:58,973 --> 03:41:00,708
MAYBE -- SO THANK YOU, ALISON,

6326
03:41:00,708 --> 03:41:01,375
FOR THAT.

6327
03:41:01,375 --> 03:41:03,511
I HOPE YOU FOUND THAT VALUABLE

6328
03:41:03,511 --> 03:41:05,746
BECAUSE WE ARE HEARING IT'S NOT

6329
03:41:05,746 --> 03:41:07,181
CLEAR WHAT WE'RE DOING, RIGHT?

6330
03:41:07,181 --> 03:41:09,350
LIKE FOR EXAMPLE WITH HEALTH

6331
03:41:09,350 --> 03:41:11,652
DISPARITIES, INSTITUTE HAS BEEN

6332
03:41:11,652 --> 03:41:13,854
LEADING, HAS DONE A LOT OF WORK,

6333
03:41:13,854 --> 03:41:16,490
SDOH, YOU SAW THE GRAPH AT THE

6334
03:41:16,490 --> 03:41:18,225
BEGINNING, GREATLY EXPANDING OUR

6335
03:41:18,225 --> 03:41:19,560
INVESTMENT THERE.

6336
03:41:19,560 --> 03:41:21,962
AND OUR LEADERSHIP AT NIH AND

6337
03:41:21,962 --> 03:41:22,329
MORE GENERALLY.

6338
03:41:22,329 --> 03:41:25,799
SO THAT WAS AN ATTEMPT TO GET

6339
03:41:25,799 --> 03:41:26,901
EVERYTHING, TO SHOW PROGRESS IN

6340
03:41:26,901 --> 03:41:29,170
ONE PLACE IN TERMS OF ACROSS

6341
03:41:29,170 --> 03:41:31,172
RESEARCH, TRAINING, AND THEN

6342
03:41:31,172 --> 03:41:33,007
LEADERSHIP MORE GENERALLY.

6343
03:41:33,007 --> 03:41:35,843
SO, THAT WAS THE PURPOSE OF

6344
03:41:35,843 --> 03:41:36,043
THAT.

6345
03:41:36,043 --> 03:41:38,179
AND, AGAIN, TO HELP KEEP JOHN

6346
03:41:38,179 --> 03:41:40,014
EMPLOYED, MAYBE HE'S LEFT

6347
03:41:40,014 --> 03:41:41,682
BECAUSE HE'S BUSY WORKING ON

6348
03:41:41,682 --> 03:41:42,216
DATA.

6349
03:41:42,216 --> 03:41:45,052
BUT WE CAN BUILD, RIGHT, ON THAT

6350
03:41:45,052 --> 03:41:45,386
PRESENTATION.

6351
03:41:45,386 --> 03:41:47,922
AND THEN SHOW YOU SOME DATA.

6352
03:41:47,922 --> 03:41:49,890
SO LIKE I THINK TO HELP YOU

6353
03:41:49,890 --> 03:41:52,092
GUIDE US ABOUT WHERE WE SHOULD

6354
03:41:52,092 --> 03:41:52,960
BE MORE SPECIFICALLY INVESTING

6355
03:41:52,960 --> 03:41:55,229
OUR MONEY TO GIVE YOU MORE

6356
03:41:55,229 --> 03:41:57,998
SPECIFIC LIKE DR. LEE BROUGHT

6357
03:41:57,998 --> 03:41:59,633
UP, WHAT DOES THAT PORTFOLIO

6358
03:41:59,633 --> 03:42:02,069
LOOK LIKE IN MORE DETAIL.

6359
03:42:02,069 --> 03:42:04,872
SO WE CAN, YOU KNOW, USE YOUR

6360
03:42:04,872 --> 03:42:05,873
EXPERTISE TO INFORM OUR NEXT

6361
03:42:05,873 --> 03:42:07,741
STEPS AS WE MOVE FORWARD.

6362
03:42:07,741 --> 03:42:09,043
SO WE'LL KEEP JOHN EMPLOYED SO

6363
03:42:09,043 --> 03:42:14,949
HE CAN HELP US WITH THOSE DATA

6364
03:42:14,949 --> 03:42:15,282
ELEMENTS.

6365
03:42:15,282 --> 03:42:18,786
I THINK THE OTHER THING, I

6366
03:42:18,786 --> 03:42:20,321
REALLY APPRECIATED -- I'VE DONE

6367
03:42:20,321 --> 03:42:21,855
SOME ROUNDS OF MEETINGS TO CHECK

6368
03:42:21,855 --> 03:42:24,024
IN WITH HOW WE'RE DOING, AND

6369
03:42:24,024 --> 03:42:25,593
I'VE APPRECIATED ALL THE OFFERS

6370
03:42:25,593 --> 03:42:28,529
TO HELP US AND NOT JUST AT THE

6371
03:42:28,529 --> 03:42:29,430
MEETINGS BUT IN BETWEEN.

6372
03:42:29,430 --> 03:42:32,032
AND SO BUILDING ON THIS

6373
03:42:32,032 --> 03:42:33,701
CONVERSATION AS WE'VE TALKED

6374
03:42:33,701 --> 03:42:36,203
ABOUT, HOW DO WE FIGURE OUT NEXT

6375
03:42:36,203 --> 03:42:37,404
STEPS UNDER THIS LENS TO

6376
03:42:37,404 --> 03:42:38,205
INCREASE OUR IMPACT.

6377
03:42:38,205 --> 03:42:39,573
THERE'S TWO AREAS FOR US THAT

6378
03:42:39,573 --> 03:42:41,575
STAND OUT RIGHT NOW.

6379
03:42:41,575 --> 03:42:42,443
ONE IS AROUND CDEs, THERE'S

6380
03:42:42,443 --> 03:42:44,278
GOING TO BE A LOT OF DECISIONS,

6381
03:42:44,278 --> 03:42:46,714
A LOT OF MOVEMENT IN THIS AREA

6382
03:42:46,714 --> 03:42:48,449
AROUND SDOH, SO WE WONDERED IF

6383
03:42:48,449 --> 03:42:50,184
COUNCIL WANTED TO LEAN IN AND

6384
03:42:50,184 --> 03:42:53,153
FORM A WORKING GROUP IN THAT

6385
03:42:53,153 --> 03:42:54,788
AREA TO HELP INFORM SO WE CAN

6386
03:42:54,788 --> 03:42:57,091
HAVE A CLEAR VOICE AT THE TABLE

6387
03:42:57,091 --> 03:42:59,159
AS WELL AS INFORM FOR OUR SELF

6388
03:42:59,159 --> 03:43:00,594
DIRECTLY, WHAT DO WE PERHAPS

6389
03:43:00,594 --> 03:43:03,330
WANT TO SUGGEST AS COMMON DATA

6390
03:43:03,330 --> 03:43:04,198
ELEMENTS FOR NINR-FUNDED

6391
03:43:04,198 --> 03:43:04,465
RESEARCH.

6392
03:43:04,465 --> 03:43:05,399
THAT WAS ONE AREA.

6393
03:43:05,399 --> 03:43:08,602
AND THEN SECOND IN THE AREA OF

6394
03:43:08,602 --> 03:43:10,671
TRAINING, WE'VE BEEN JUST REALLY

6395
03:43:10,671 --> 03:43:13,173
PLEASED WITH THE INTEREST IN

6396
03:43:13,173 --> 03:43:15,576
GETTING TRAINING IN SDOH THROUGH

6397
03:43:15,576 --> 03:43:17,111
THE R25 MECHANISMS, AND THROUGH

6398
03:43:17,111 --> 03:43:18,212
THE SUMMER INSTITUTE.

6399
03:43:18,212 --> 03:43:21,048
SO THERE'S A NEED IN THAT AREA

6400
03:43:21,048 --> 03:43:22,916
SO WE WONDERED IF THAT WAS

6401
03:43:22,916 --> 03:43:24,885
ANOTHER AREA WHERE COUNCIL WOULD

6402
03:43:24,885 --> 03:43:27,087
LEAN IN AND ADVISE US IN TERMS

6403
03:43:27,087 --> 03:43:29,056
OF NEXT STEPS AND TRAINING

6404
03:43:29,056 --> 03:43:29,356
ACTIVITIES.

6405
03:43:29,356 --> 03:43:30,891
SO I WANTED TO PUT THAT OUT

6406
03:43:30,891 --> 03:43:33,894
THERE AND SEE IF THERE WAS -- I

6407
03:43:33,894 --> 03:43:35,396
SEE SOME NODS AND SO I WANT TO

6408
03:43:35,396 --> 03:43:37,931
SEE IF PEOPLE ARE ON BOARD, WANT

6409
03:43:37,931 --> 03:43:39,166
TO AMEND IDEAS FOR POSSIBLE

6410
03:43:39,166 --> 03:43:42,636
WORKING GROUPS.

6411
03:43:42,636 --> 03:43:46,674
ANY THOUGHTS IMMEDIATELY?

6412
03:43:46,674 --> 03:43:47,207
 

6413
03:43:47,207 --> 03:43:50,277
JOHN HEARD ME.

6414
03:43:50,277 --> 03:43:52,246
>> I THINK BOTH WOULD MAKE

6415
03:43:52,246 --> 03:43:55,849
AMAZING WORKING GROUPS, FROM

6416
03:43:55,849 --> 03:43:58,118
THIS COUNCIL, ABSOLUTELY.

6417
03:43:58,118 --> 03:44:00,788
>> YEAH, TRAINING, YOU'RE
LIKE I

6418
03:44:00,788 --> 03:44:03,057
CAN'T DECIPHER WHAT YOU SAID.

6419
03:44:03,057 --> 03:44:05,793
>> COMMON DATA ELEMENTS.

6420
03:44:05,793 --> 03:44:08,429
>> AND TRAINING, YES.

6421
03:44:08,429 --> 03:44:11,965
>> SO SHORT ANSWER IS YES,
I

6422
03:44:11,965 --> 03:44:13,033
AGREE.

6423
03:44:13,033 --> 03:44:14,802
BUT ONE THING THAT'S BEEN

6424
03:44:14,802 --> 03:44:16,437
RATTLING AROUND MY HEAD THIS

6425
03:44:16,437 --> 03:44:19,640
WHOLE DAY WE'RE TALKING A LOT

6426
03:44:19,640 --> 03:44:24,511
ABOUT HOW EXCITED AND IMPRESSED

6427
03:44:24,511 --> 03:44:27,581
WE ARE ABOUT NINR BEING SUCH A

6428
03:44:27,581 --> 03:44:29,550
LEADER IN THIS AREA AROUND

6429
03:44:29,550 --> 03:44:30,617
HEALTH DISPARITIES, MINORITY

6430
03:44:30,617 --> 03:44:31,852
HEALTH, SDOH, ET CETERA.

6431
03:44:31,852 --> 03:44:34,722
AND I THINK THAT'S AMAZING.

6432
03:44:34,722 --> 03:44:36,123
AND I TOTALLY AGREE.

6433
03:44:36,123 --> 03:44:39,426
AT THE SAME TIME WITH SUCH

6434
03:44:39,426 --> 03:44:42,262
LEADERSHIP COMES OBLIGATION,

6435
03:44:42,262 --> 03:44:42,563
RIGHT?

6436
03:44:42,563 --> 03:44:44,498
AND THAT, YOU KNOW, GIVES ME

6437
03:44:44,498 --> 03:44:48,802
THINKING WHAT IF ALL OF NIH

6438
03:44:48,802 --> 03:44:50,237
WAS -- THE BARS WERE AS HIGH AS

6439
03:44:50,237 --> 03:44:53,741
OURS IN TERMS OF PERCENT OF

6440
03:44:53,741 --> 03:44:56,377
FUNDING GOING TO THIS AREA.

6441
03:44:56,377 --> 03:45:01,815
LIKE WE WOULD CHANGE THE WHOLE

6442
03:45:01,815 --> 03:45:03,584
NATURE OF PEOPLE'S HEALTH IN

6443
03:45:03,584 --> 03:45:07,521
THIS ONE  -- COUNTRY.

6444
03:45:07,521 --> 03:45:11,125
WHAT'S OUR OBLIGATION TO HAVE

6445
03:45:11,125 --> 03:45:12,192
INFLUENCE ON OTHER INSTITUTES,

6446
03:45:12,192 --> 03:45:14,495
AND YOU'RE DOING THAT WITH SOME

6447
03:45:14,495 --> 03:45:16,697
OF THE CALLS AND WORKING WITH

6448
03:45:16,697 --> 03:45:20,734
OTHER INSTITUTES, ET CETERA.

6449
03:45:20,734 --> 03:45:24,238
BUT SO AND ALSO OUR MONEY FOR

6450
03:45:24,238 --> 03:45:27,107
NINR IS SMALL COMPARED TO SOME

6451
03:45:27,107 --> 03:45:30,611
OTHER INSTITUTES, IF NCI OR SOME

6452
03:45:30,611 --> 03:45:32,012
OTHERS WERE DOING, HAD THE SAME

6453
03:45:32,012 --> 03:45:38,152
KIND OF PERCENTAGE, THAT WOULD

6454
03:45:38,152 --> 03:45:39,420
BE REALLY AMAZING.

6455
03:45:39,420 --> 03:45:42,556
THAT GETS TO MY THINKING ABOUT

6456
03:45:42,556 --> 03:45:45,592
CDEs, FOR EXAMPLE, SO YES 

6457
03:45:45,592 --> 03:45:50,230
LET'S DO THIS AND LET'S BE A

6458
03:45:50,230 --> 03:45:52,733
PART OF DEVELOPING THESE CDEs,

6459
03:45:52,733 --> 03:45:55,169
AND PEOPLE HAVE SAID HERE WE

6460
03:45:55,169 --> 03:45:58,806
THINK A LITTLE DIFFERENTLY,

6461
03:45:58,806 --> 03:46:00,874
NURSING SCIENTISTS DO.

6462
03:46:00,874 --> 03:46:02,509
LET'S HAVE INFLUENCE AND LET'S

6463
03:46:02,509 --> 03:46:04,344
START -- LET'S BE DEVELOPING

6464
03:46:04,344 --> 03:46:07,080
THIS AND DOING EARLY THINKING

6465
03:46:07,080 --> 03:46:08,282
ABOUT THIS BEFORE SOMEBODY ELSE

6466
03:46:08,282 --> 03:46:11,351
DOES AND TELLS US WHAT TO DO

6467
03:46:11,351 --> 03:46:12,119
KIND OF THING.

6468
03:46:12,119 --> 03:46:16,390
DO YOU UNDERSTAND WHAT I'M

6469
03:46:16,390 --> 03:46:16,857
SAYING?

6470
03:46:16,857 --> 03:46:18,892
THIS IS ALL RECORDED.

6471
03:46:18,892 --> 03:46:20,761
ANYWAY, THIS IS JUST MY

6472
03:46:20,761 --> 03:46:25,265
RAMBLING, I DON'T KNOW IF THAT

6473
03:46:25,265 --> 03:46:26,066
HELPS.

6474
03:46:26,066 --> 03:46:26,400
>> OKAY.

6475
03:46:26,400 --> 03:46:28,769
WE'RE GOING TO LEAN IN AND WE'RE

6476
03:46:28,769 --> 03:46:31,405
GOING TO BE CALLING YOU OR

6477
03:46:31,405 --> 03:46:34,107
E-MAILING YOU TO ASK FOR YOUR

6478
03:46:34,107 --> 03:46:36,877
HELP, SO WE APPRECIATE THAT IN

6479
03:46:36,877 --> 03:46:37,110
ADVANCE.

6480
03:46:37,110 --> 03:46:37,711
SO THANK YOU.

6481
03:46:37,711 --> 03:46:40,047
THIS WAS A REALLY GOOD

6482
03:46:40,047 --> 03:46:41,982
DISCUSSION, APPRECIATE THE

6483
03:46:41,982 --> 03:46:42,883
ADVICE AND GUIDANCE.

6484
03:46:42,883 --> 03:46:46,720
SO WE'RE GOING TO QUICKLY, VERY

6485
03:46:46,720 --> 03:46:50,123
QUICKLY, TRANSITION TO OUR NEXT

6486
03:46:50,123 --> 03:46:54,928
GUEST, JOINING US VIRTUALLY, SO

6487
03:46:54,928 --> 03:46:56,029
LET ME INTRODUCE HER.

6488
03:46:56,029 --> 03:46:58,432
WELCOME, I CAN SEE YOU ON THE

6489
03:46:58,432 --> 03:46:58,999
SCREEN.

6490
03:46:58,999 --> 03:47:01,468
RECENTLY THE PRESIDENT'S COUNCIL

6491
03:47:01,468 --> 03:47:03,136
OF ADVISORS ON SCIENCE AND

6492
03:47:03,136 --> 03:47:05,439
TECHNOLOGY RELEASED A REPORT

6493
03:47:05,439 --> 03:47:06,640
SUPER CHARGING RESEARCH,

6494
03:47:06,640 --> 03:47:07,474
HARNESSING ARTIFICIAL

6495
03:47:07,474 --> 03:47:09,042
INTELLIGENCE, TO MEET GLOBAL

6496
03:47:09,042 --> 03:47:10,043
CHALLENGES.

6497
03:47:10,043 --> 03:47:12,312
SO THIS REPORT HIGHLIGHTS

6498
03:47:12,312 --> 03:47:13,680
CHALLENGES AND OPPORTUNITIES IN

6499
03:47:13,680 --> 03:47:16,717
HARNESSING POTENTIAL OF A.I.

6500
03:47:16,717 --> 03:47:20,087
EQUITABLY AND RESPONSIBLY TO

6501
03:47:20,087 --> 03:47:21,388
FOSTER SCIENTIFIC DISCOVERY.

6502
03:47:21,388 --> 03:47:24,258
AT NINR A.I. METHODOLOGICAL BOOT

6503
03:47:24,258 --> 03:47:26,093
CAMPS IN 2020 AND 2021 WE

6504
03:47:26,093 --> 03:47:26,894
ACKNOWLEDGED THESE OPPORTUNITIES

6505
03:47:26,894 --> 03:47:29,062
AND CHALLENGES AS THEY RELATE TO

6506
03:47:29,062 --> 03:47:29,830
HEALTH OUTCOMES.

6507
03:47:29,830 --> 03:47:31,932
SO TODAY I AM PLEASED TO

6508
03:47:31,932 --> 03:47:33,901
CONTINUE THE CONVERSATION AND

6509
03:47:33,901 --> 03:47:38,906
WELCOME OUR NEXT SPEAKER, DR.

6510
03:47:38,906 --> 03:47:40,240
OMOLOLA OGUNYEMI, WHO IS JOINING

6511
03:47:40,240 --> 03:47:42,643
US VIRTUALLY TO SPEAK ON

6512
03:47:42,643 --> 03:47:44,711
ARTIFICIAL INTELLIGENCE AND

6513
03:47:44,711 --> 03:47:46,914
HEALTH EQUITY.

6514
03:47:46,914 --> 03:47:48,882
DR. OGUNYEMI IS INTERIM VICE

6515
03:47:48,882 --> 03:47:50,284
PRESIDENT FOR RESEARCH AND

6516
03:47:50,284 --> 03:47:51,952
PROFESSOR IN DEPARTMENT OF

6517
03:47:51,952 --> 03:47:54,388
PREVENTIVE AND SOCIAL MEDICINE

6518
03:47:54,388 --> 03:47:56,223
AT CHARLES R DREW UNIVERSITY OF

6519
03:47:56,223 --> 03:47:58,859
MEDICINE AND SCIENCE.

6520
03:47:58,859 --> 03:48:00,494
SHE DIRECTS THE UNIVERSITY

6521
03:48:00,494 --> 03:48:01,595
CENTER FOR BIOMEDICAL

6522
03:48:01,595 --> 03:48:04,097
INFORMATICS WHICH FOCUSES ON

6523
03:48:04,097 --> 03:48:06,066
PROVIDING BIOMEDICAL INFORMATICS

6524
03:48:06,066 --> 03:48:08,168
SOLUTIONS THAT BENEFIT MEDICALLY

6525
03:48:08,168 --> 03:48:09,570
UNDERSERVED COMMUNITIES.

6526
03:48:09,570 --> 03:48:12,639
HER RESEARCH INTERESTS INCLUDE

6527
03:48:12,639 --> 03:48:14,274
COMPUTERIZED MEDICAL DECISION

6528
03:48:14,274 --> 03:48:15,375
SUPPORT, REASONING UNDER

6529
03:48:15,375 --> 03:48:17,678
UNCERTAINTY, 3D GRAPHICS AND

6530
03:48:17,678 --> 03:48:19,880
VISUALIZATION, MACHINE LEARNING,

6531
03:48:19,880 --> 03:48:21,748
TELEHEALTH.

6532
03:48:21,748 --> 03:48:23,817
HER WORK INCLUDES NLM-FUNDED R01

6533
03:48:23,817 --> 03:48:26,987
GRANT TO EXPLORE DIABETIC

6534
03:48:26,987 --> 03:48:27,921
RETINOPATHY, PREDICTION FROM

6535
03:48:27,921 --> 03:48:29,623
SAFETY NET HEALTH CARE SYSTEM

6536
03:48:29,623 --> 03:48:31,925
CLINICAL DATA USING DIFFERENT

6537
03:48:31,925 --> 03:48:34,328
MACHINE LEARNING STRATEGIES.

6538
03:48:34,328 --> 03:48:36,396
SHE'S BEEN PRINCIPAL

6539
03:48:36,396 --> 03:48:39,032
INVESTIGATOR ON AN NLM STUDY

6540
03:48:39,032 --> 03:48:41,902
ALSO ON COMPUTERIZED DECISION

6541
03:48:41,902 --> 03:48:44,838
SUPPORT FOR PENETRATING TRAUMA,

6542
03:48:44,838 --> 03:48:46,306
AND NCI-FUNDED R03 ON

6543
03:48:46,306 --> 03:48:48,475
INDIVIDUALIZED BREAST CANCER

6544
03:48:48,475 --> 03:48:50,210
RISK PREDICTION USING BAYESIAN

6545
03:48:50,210 --> 03:48:50,477
NETWORKS.

6546
03:48:50,477 --> 03:48:52,713
SO, WELCOME TO YOU.

6547
03:48:52,713 --> 03:48:53,947
WE'RE PLEASED YOU COULD JOIN US

6548
03:48:53,947 --> 03:48:57,117
AND YOU HAVE THE FLOOR.

6549
03:48:57,117 --> 03:48:59,519
>> THANK YOU FOR INVITING
ME.

6550
03:48:59,519 --> 03:49:03,690
THANK YOU FOR THAT INTRODUCTION.

6551
03:49:03,690 --> 03:49:05,092
I WILL OPEN MY SLIDES.

6552
03:49:05,092 --> 03:49:08,729
CAN YOU ALL SEE MY SLIDES?

6553
03:49:08,729 --> 03:49:09,796
>> WE CAN.

6554
03:49:09,796 --> 03:49:12,099
>> OKAY, GREAT.

6555
03:49:12,099 --> 03:49:13,867
THANK YOU.

6556
03:49:13,867 --> 03:49:18,271
SO, JUST AS AN INTRODUCTION AND

6557
03:49:18,271 --> 03:49:20,007
ICE BREAKER, BECAUSE MY -- I'M

6558
03:49:20,007 --> 03:49:22,409
GOING TO TALK ABOUT MYSELF TO

6559
03:49:22,409 --> 03:49:25,345
GIVE THE CONTEXT FOR HOW I

6560
03:49:25,345 --> 03:49:29,416
APPROACH A.I. AND HEALTH EQUITY.

6561
03:49:29,416 --> 03:49:33,453
SO, I WAS BORN IN THE THIRD

6562
03:49:33,453 --> 03:49:39,026
LARGEST CITY IN NIGERIA, IBADAN,

6563
03:49:39,026 --> 03:49:40,327
BORN AT THE UNIVERSITY TEACHING

6564
03:49:40,327 --> 03:49:43,397
HOSPITAL WHERE MY PARENTS WERE

6565
03:49:43,397 --> 03:49:43,830
PROFESSORS.

6566
03:49:43,830 --> 03:49:46,033
NIGERIA HAS SORT OF DIFFERENT

6567
03:49:46,033 --> 03:49:47,100
EDUCATIONAL SYSTEM, SO WE START

6568
03:49:47,100 --> 03:49:49,870
SCHOOL AT THE AGE OF 4 RATHER

6569
03:49:49,870 --> 03:49:50,837
THAN 6.

6570
03:49:50,837 --> 03:49:54,574
AND IN THE NINTH GRADE, BECAUSE

6571
03:49:54,574 --> 03:49:58,045
WE FOLLOW BRITISH SYSTEM OF

6572
03:49:58,045 --> 03:50:00,614
EDUCATION, AT THE AGE OF 13 A

6573
03:50:00,614 --> 03:50:03,850
CHILD HAS TO MAKE A VERY

6574
03:50:03,850 --> 03:50:04,451
CONSEQUENTIAL DECISION ABOUT

6575
03:50:04,451 --> 03:50:07,454
WHETHER TO GO INTO THE ARTS OR

6576
03:50:07,454 --> 03:50:07,954
SCIENCES.

6577
03:50:07,954 --> 03:50:10,524
AND THAT DECISION IS MADE IN

6578
03:50:10,524 --> 03:50:12,826
NINTH GRADE, IF YOU PICK THE

6579
03:50:12,826 --> 03:50:17,531
ARTS, GOING TO  PROFESSIONS LIKE

6580
03:50:17,531 --> 03:50:18,498
ENGINEERING, HEALTH CARE.

6581
03:50:18,498 --> 03:50:20,167
SORRY, IF YOU PICK SCIENCE,

6582
03:50:20,167 --> 03:50:21,802
ENGINEERING AND HEALTH CARE.

6583
03:50:21,802 --> 03:50:23,437
IF YOU PICK ARTS CAREERS LIKE

6584
03:50:23,437 --> 03:50:27,808
LAW AND SO ON, THAT'S WHAT MANY

6585
03:50:27,808 --> 03:50:29,342
NIGERIAN PARENTS WOULD LIKE TO

6586
03:50:29,342 --> 03:50:29,543
SEE.

6587
03:50:29,543 --> 03:50:32,412
IN THE NINTH GRADE I HAD TO MAKE

6588
03:50:32,412 --> 03:50:34,081
THAT DECISION.

6589
03:50:34,081 --> 03:50:35,816
BUT I WAS VERY MUCH INTERESTED

6590
03:50:35,816 --> 03:50:37,451
IN BOTH.

6591
03:50:37,451 --> 03:50:42,923
I LIKED SCIENCE AND THE ARTS

6592
03:50:42,923 --> 03:50:43,256
EQUALLY.

6593
03:50:43,256 --> 03:50:46,193
AND MY PARENTS WERE PROFESSORS,

6594
03:50:46,193 --> 03:50:48,695
MY FATHER SCIENCE EDUCATION, MY

6595
03:50:48,695 --> 03:50:50,230
MOTHER A LITERATURE PROFESSOR,

6596
03:50:50,230 --> 03:50:53,633
WHO FOCUSED ON AFRICAN AMERICAN

6597
03:50:53,633 --> 03:50:58,105
AND CARIBBEAN LITERATURE, AT THE

6598
03:50:58,105 --> 03:50:59,005
UNIVERSITY.

6599
03:50:59,005 --> 03:51:00,741
I ULTIMATELY PICKETED SCIENCES,

6600
03:51:00,741 --> 03:51:03,643
STARTED TAKING PHYSICS,

6601
03:51:03,643 --> 03:51:09,483
CHEMISTRY, BIOLOGY, UNTIL WE GOT

6602
03:51:09,483 --> 03:51:10,083
TO DISSECTIONS IN BIOLOGY,

6603
03:51:10,083 --> 03:51:11,251
REALIZED WITH CLARITY I WAS

6604
03:51:11,251 --> 03:51:13,220
NEVER GOING TO BE A HEALTH CARE

6605
03:51:13,220 --> 03:51:13,754
PROVIDER.

6606
03:51:13,754 --> 03:51:15,188
IT'S IRONIC THAT MY ENTIRE

6607
03:51:15,188 --> 03:51:18,024
CAREER HAS BEEN SPENT AT MEDICAL

6608
03:51:18,024 --> 03:51:19,793
SCHOOLS OR HOSPITALS.

6609
03:51:19,793 --> 03:51:24,498
WE MOVED TO THE U.S. WHEN I WAS

6610
03:51:24,498 --> 03:51:26,733
16, AND I TOOK COMPUTER

6611
03:51:26,733 --> 03:51:28,535
PROGRAMMING CLASS IN 11th

6612
03:51:28,535 --> 03:51:30,937
GRADE AND FELL IN LOVE WITH

6613
03:51:30,937 --> 03:51:31,171
CODING.

6614
03:51:31,171 --> 03:51:33,373
I MAJORED IN COMPUTER SCIENCE AT

6615
03:51:33,373 --> 03:51:34,708
BARNARD COLLEGE AND THEN LIKED

6616
03:51:34,708 --> 03:51:37,310
IT SO MUCH I DECIDED TO GO TO

6617
03:51:37,310 --> 03:51:39,179
GRADUATE SCHOOL IN THE SAME

6618
03:51:39,179 --> 03:51:40,080
AREA, COMPUTER SCIENCE.

6619
03:51:40,080 --> 03:51:43,116
WHEN I ARRIVED AT THE UNIVERSITY

6620
03:51:43,116 --> 03:51:44,117
OF PENNSYLVANIA, I DISCOVERED

6621
03:51:44,117 --> 03:51:47,621
THAT THERE WAS A TRAUMA SURGEON

6622
03:51:47,621 --> 03:51:49,122
AND A RADIOLOGIST WHO WERE

6623
03:51:49,122 --> 03:51:51,491
ADJUNCT FACULTY IN THE COMPUTER

6624
03:51:51,491 --> 03:51:52,526
SCIENCE DEPARTMENT AND I SAID

6625
03:51:52,526 --> 03:51:55,128
WHAT ARE THEY DOING HERE AND

6626
03:51:55,128 --> 03:51:58,431
THAT LED ME TO THE FIELD OF

6627
03:51:58,431 --> 03:51:59,432
BIOMEDICAL INFORMATICS.

6628
03:51:59,432 --> 03:52:04,371
I WROTE MY  THESIS WITH THE

6629
03:52:04,371 --> 03:52:06,740
TRAUMA SURGEON AS MY CO-ADVISER.

6630
03:52:06,740 --> 03:52:11,144
I NEVER LET THE ARTS GO

6631
03:52:11,144 --> 03:52:12,746
COMPLETELY, I TOOK MY FIRST

6632
03:52:12,746 --> 03:52:14,414
POSITION AS INSTRUCTOR AT

6633
03:52:14,414 --> 03:52:16,183
BRIGHAM AND WOMEN'S HOSPITAL AND

6634
03:52:16,183 --> 03:52:17,150
STARTED WRITING A WORK OF

6635
03:52:17,150 --> 03:52:21,655
FICTION I DIDN'T  KNOW WOULD GO

6636
03:52:21,655 --> 03:52:23,957
ANYWHERE, TOOK 15 YEARS, IN 2022

6637
03:52:23,957 --> 03:52:28,762
HAD A BOOK PUBLISHED, THE

6638
03:52:28,762 --> 03:52:29,429
HIGHLIGHT BESIDES GETTING

6639
03:52:29,429 --> 03:52:32,132
PUBLISHED WAS FAVORABLE NEW YORK

6640
03:52:32,132 --> 03:52:32,799
TIMES BOOK REVIEW.

6641
03:52:32,799 --> 03:52:36,203
SO IN 2007 I MOVED TO CHARLES

6642
03:52:36,203 --> 03:52:37,404
DREW UNIVERSITY, RECRUITED TO

6643
03:52:37,404 --> 03:52:40,140
START A CENTER FOR BIOMEDICAL

6644
03:52:40,140 --> 03:52:42,876
INFORMATICS, AS YOU'VE HEARD,

6645
03:52:42,876 --> 03:52:48,715
FOCUSED ON ISSUES THAT ARE, YOU

6646
03:52:48,715 --> 03:52:50,150
KNOW, AFFECT MEDICALLY

6647
03:52:50,150 --> 03:52:50,917
UNDERSERVED COMMUNITIES.

6648
03:52:50,917 --> 03:52:54,087
CHARLES DREW UNIVERSITY IS A

6649
03:52:54,087 --> 03:52:55,188
PRIVATE NON-PROFIT HISTORICALLY

6650
03:52:55,188 --> 03:52:57,791
BLACK GRADUATE INSTITUTION AS

6651
03:52:57,791 --> 03:52:59,659
WELL AS HISPANIC-SERVING

6652
03:52:59,659 --> 03:53:01,628
INSTITUTION, ESTABLISHED IN

6653
03:53:01,628 --> 03:53:03,663
SOUTH LOS ANGELES IN 1966, IN

6654
03:53:03,663 --> 03:53:08,869
THE AFTERMATH OF THE WATTS 

6655
03:53:08,869 --> 03:53:13,139
REBELLION WHICH HAD MANY FACETS

6656
03:53:13,139 --> 03:53:14,541
INCLUDING ACCESS TO HEALTH CARE,

6657
03:53:14,541 --> 03:53:16,409
DEDICATED TO SOCIAL JUSTICE AND

6658
03:53:16,409 --> 03:53:18,912
HEALTH EQUITY FOR MEDICALLY

6659
03:53:18,912 --> 03:53:19,813
UNDERSERVED POPULATIONS.

6660
03:53:19,813 --> 03:53:22,649
OUR CENTER WAS ESTABLISHED IN

6661
03:53:22,649 --> 03:53:25,385
2007 BASICALLY TO REDEVELOP

6662
03:53:25,385 --> 03:53:27,120
INFORMATICS SOLUTIONS FOR

6663
03:53:27,120 --> 03:53:27,587
MEDICALLY UNDERSERVED

6664
03:53:27,587 --> 03:53:31,057
COMMUNITIES, FUNDED BY NIH

6665
03:53:31,057 --> 03:53:32,926
GRANTS, ENDOWMENT, STATE AND

6666
03:53:32,926 --> 03:53:33,326
FOUNDATION GRANTS.

6667
03:53:33,326 --> 03:53:34,961
THE FACULTY MEMBERS IN THE

6668
03:53:34,961 --> 03:53:36,162
CENTER FOR BIOMEDICAL

6669
03:53:36,162 --> 03:53:38,098
INFORMATICS HAVE BACKGROUNDS IN

6670
03:53:38,098 --> 03:53:38,865
COMPUTER SCIENCE, INTERNAL

6671
03:53:38,865 --> 03:53:42,168
MEDICINE, SOCIOLOGY, AS WELL AS

6672
03:53:42,168 --> 03:53:43,236
PUBLIC HEALTH.

6673
03:53:43,236 --> 03:53:51,678
SO CONTEXT FOR THE CENTER AND

6674
03:53:51,678 --> 03:53:55,415
UNIVERSITY'S LOCATION, LOCATED

6675
03:53:55,415 --> 03:53:56,750
IN WHAT'S CALLED SERVICE AREA 6

6676
03:53:56,750 --> 03:53:57,617
IN LOS ANGELES.

6677
03:53:57,617 --> 03:54:01,221
LOS ANGELES IS BROKEN INTO EIGHT

6678
03:54:01,221 --> 03:54:04,524
SERVICE PLANNING AREAS, FOR

6679
03:54:04,524 --> 03:54:06,359
ADMINISTRATIVE PURPOSES.

6680
03:54:06,359 --> 03:54:09,262
AND SPA 6, WAS CHARLES DREW IS

6681
03:54:09,262 --> 03:54:12,499
LOCATED IN, HAS 1.1 MILLION

6682
03:54:12,499 --> 03:54:14,601
PEOPLE OF LATIN AND AFRICAN

6683
03:54:14,601 --> 03:54:17,637
AMERICAN HERITAGE, AND TO PUT

6684
03:54:17,637 --> 03:54:18,872
THAT IN CONTEXT THERE'S ABOUT

6685
03:54:18,872 --> 03:54:22,175
FIVE OR MORE STATES THAT HAVE A

6686
03:54:22,175 --> 03:54:23,243
POPULATION LESS THAN

6687
03:54:23,243 --> 03:54:26,079
1.1 MILLION, AND IF WE THINK

6688
03:54:26,079 --> 03:54:29,015
ABOUT THE CITY OF BOSTON,

6689
03:54:29,015 --> 03:54:34,220
650,000 PEOPLE, IT HAS THREE

6690
03:54:34,220 --> 03:54:35,288
MEDICAL SCHOOLS.

6691
03:54:35,288 --> 03:54:39,626
SPA 6 HAS ONE, A LOW NUMBER OF

6692
03:54:39,626 --> 03:54:40,527
HOSPITALS, CLINICS, MEDICAL

6693
03:54:40,527 --> 03:54:43,029
SPECIALIST, ALMOST A THIRD OF

6694
03:54:43,029 --> 03:54:44,664
ADULTS IN THAT AREA HAD

6695
03:54:44,664 --> 03:54:46,499
DIFFICULTY ACCESSING MEDICAL

6696
03:54:46,499 --> 03:54:51,871
CARE VERSUS 26.3% FOR THE REST

6697
03:54:51,871 --> 03:54:56,376
OF L.A. COUNTY, A DISPARITY

6698
03:54:56,376 --> 03:54:56,710
STILL.

6699
03:54:56,710 --> 03:54:57,377
HRSA-DESIGNATED PROFESSIONAL

6700
03:54:57,377 --> 03:54:57,811
SHORTAGE AREA.

6701
03:54:57,811 --> 03:55:00,547
ONE THING CHARLES DREW IS TRYING

6702
03:55:00,547 --> 03:55:03,583
DO IS GRADUATE PHYSICIANS,

6703
03:55:03,583 --> 03:55:04,951
NURSES, PHYSICIAN ASSISTANTS,

6704
03:55:04,951 --> 03:55:07,954
RAD TECHS AND SO ON TO COMMIT TO

6705
03:55:07,954 --> 03:55:09,589
SERVING IN MEDICALLY UNDERSERVED

6706
03:55:09,589 --> 03:55:12,659
AREAS TO HELP ADDRESS THIS

6707
03:55:12,659 --> 03:55:14,094
HEALTH PROFESSIONAL SHORTAGE.

6708
03:55:14,094 --> 03:55:16,062
SO, THIS BRINGS ME TO THE SAFETY

6709
03:55:16,062 --> 03:55:18,031
NET WHICH YOU PROBABLY ARE VERY

6710
03:55:18,031 --> 03:55:20,567
FAMILIAR WITH, I WAS NOT UNTIL I

6711
03:55:20,567 --> 03:55:22,102
MOVED TO LOS ANGELES.

6712
03:55:22,102 --> 03:55:24,270
U.S. HEALTH CARE SAFETY NET

6713
03:55:24,270 --> 03:55:24,838
INCLUDES FEDERALLY QUALIFIED

6714
03:55:24,838 --> 03:55:27,007
HEALTH CENTERS AND LOOK ALIKES,

6715
03:55:27,007 --> 03:55:31,277
STATE AND COUNTY HOSPITALS THAT 

6716
03:55:31,277 --> 03:55:32,779
PROVIDE CARE TO ROUGHLY 16

6717
03:55:32,779 --> 03:55:34,848
MILLION, I THINK UP TO 20

6718
03:55:34,848 --> 03:55:37,250
NATIONALLY, ABOUT 2 MILLION IN

6719
03:55:37,250 --> 03:55:39,586
CALIFORNIA, REGARDLESS OF A

6720
03:55:39,586 --> 03:55:40,787
PATIENT'S IMMIGRATION STATUS,

6721
03:55:40,787 --> 03:55:45,925
HEALTH INSURANCE STATUS OR

6722
03:55:45,925 --> 03:55:46,793
ABILITY TO PAY.

6723
03:55:46,793 --> 03:55:48,094
WE HAVE A LARGE NUMBER OF

6724
03:55:48,094 --> 03:55:50,196
PATIENTS COMPARED TO THE NUMBER

6725
03:55:50,196 --> 03:55:51,097
OF HEALTH CARE PROVIDERS, WE

6726
03:55:51,097 --> 03:55:54,167
HAVE A LOT OF PATIENTS WHO HAD

6727
03:55:54,167 --> 03:55:56,870
GAPS IN CARE, LIMITED HEALTH

6728
03:55:56,870 --> 03:55:59,839
CARE ACCESS, AND MANY SAFETY NET

6729
03:55:59,839 --> 03:56:01,808
HEALTH CARE CLINICS OR HOSPITALS

6730
03:56:01,808 --> 03:56:03,676
ARE NOT AFFILIATED WITH ACADEMIC

6731
03:56:03,676 --> 03:56:05,879
MEDICAL CENTERS, WHERE SOME MOST

6732
03:56:05,879 --> 03:56:09,115
CUTTING-EDGE RESEARCH IS DONE.

6733
03:56:09,115 --> 03:56:10,650
SOME ARE, BUT THEY ARE REALLY

6734
03:56:10,650 --> 03:56:11,751
MINORITY COMPARED TO THE OVERALL

6735
03:56:11,751 --> 03:56:14,154
PICTURE FOR THE U.S.

6736
03:56:14,154 --> 03:56:18,525
SO, THESE ARE, YOU KNOW, WE

6737
03:56:18,525 --> 03:56:19,526
HAVE -- ESSENTIALLY LIMITED

6738
03:56:19,526 --> 03:56:21,161
RESOURCE, HAVE TO PROVIDE CARE

6739
03:56:21,161 --> 03:56:22,262
TO MANY.

6740
03:56:22,262 --> 03:56:23,763
HEALTH INFORMATION TECHNOLOGY

6741
03:56:23,763 --> 03:56:24,898
AND INFORMATICS METHODS

6742
03:56:24,898 --> 03:56:27,834
INCLUDING A.I. CAN HELP TO SORT

6743
03:56:27,834 --> 03:56:30,703
OF BRIDGE THE GAP, TO HELP

6744
03:56:30,703 --> 03:56:32,439
IMPROVE QUALITY OF CARE AND IN

6745
03:56:32,439 --> 03:56:37,343
SOME CASES ACCESS TO CARE.

6746
03:56:37,343 --> 03:56:39,546
MANY SETTINGS DON'T HAVE STAFF,

6747
03:56:39,546 --> 03:56:42,449
HEALTH INFORMATION TECHNOLOGY OR

6748
03:56:42,449 --> 03:56:43,383
HEALTH INFORMATICS EXPERTISE,

6749
03:56:43,383 --> 03:56:47,420
AND SO AT CHARLES DREW WE MAKE A

6750
03:56:47,420 --> 03:56:50,256
COMMITMENT TO PARTNERING WITH

6751
03:56:50,256 --> 03:56:52,692
FQHCs AND OTHER SAFETY NET

6752
03:56:52,692 --> 03:56:55,528
PROVIDERS TO WORK WITH THEM IN

6753
03:56:55,528 --> 03:56:57,263
THIS DOMAIN.

6754
03:56:57,263 --> 03:57:02,635
SO THAT BRINGS ME TO MY FIRST

6755
03:57:02,635 --> 03:57:05,472
STUDY AT CDU, A YEAR AFTER I

6756
03:57:05,472 --> 03:57:06,906
JOINED THE UNIVERSITY I WAS

6757
03:57:06,906 --> 03:57:07,774
CALLED INTO THE OFFICE OF THE

6758
03:57:07,774 --> 03:57:08,975
DEAN OF THE COLLEGE OF MEDICINE

6759
03:57:08,975 --> 03:57:11,044
AT THE TIME WHO WAS AN

6760
03:57:11,044 --> 03:57:11,644
OPHTHALMOLOGIST.

6761
03:57:11,644 --> 03:57:13,446
AND HE EXPLAINED ONE OF THE

6762
03:57:13,446 --> 03:57:18,485
FACULTY MEMBERS AT CDU WHO WAS

6763
03:57:18,485 --> 03:57:20,687
MEDICAL DIRECTOR OF AN FQHC AT

6764
03:57:20,687 --> 03:57:22,088
THE TIME HAD A SITUATION HE

6765
03:57:22,088 --> 03:57:26,459
THOUGHT WE NEEDED TO SORT OF TRY

6766
03:57:26,459 --> 03:57:27,794
TO FIGURE OUT.

6767
03:57:27,794 --> 03:57:31,297
THE FACULTY MEMBER WAS AN

6768
03:57:31,297 --> 03:57:33,666
INTERNAL MEDICINE DOC, FOR THE

6769
03:57:33,666 --> 03:57:35,001
MOST PART PROVIDE PRIMARY CARE,

6770
03:57:35,001 --> 03:57:37,637
AT LEAST BACK THEN THE FOCUS WAS

6771
03:57:37,637 --> 03:57:39,939
PRIMARY CARE, NOT SPECIALTY

6772
03:57:39,939 --> 03:57:40,473
CARE.

6773
03:57:40,473 --> 03:57:41,274
THE FACULTY DIRECTOR WAS TAKING

6774
03:57:41,274 --> 03:57:45,612
CARE OF A PATIENT WITH DIABETES

6775
03:57:45,612 --> 03:57:47,380
WHO HAD NOT BEEN, YOU KNOW,

6776
03:57:47,380 --> 03:57:51,317
TAKING HIS MEDS, HE WASN'T

6777
03:57:51,317 --> 03:57:54,454
REALLY DOING TOO WELL IN TERMS

6778
03:57:54,454 --> 03:57:56,422
OF HIS MEDICATIONS, DIET, AND SO

6779
03:57:56,422 --> 03:57:56,656
ON.

6780
03:57:56,656 --> 03:57:58,725
SO THIS LED THE PRIMARY CARE

6781
03:57:58,725 --> 03:58:01,161
PROVIDER TO GET WORRIED ABOUT

6782
03:58:01,161 --> 03:58:02,929
POSSIBLE CONSEQUENCES OF

6783
03:58:02,929 --> 03:58:04,330
DIABETES, INCLUDING DIABETIC

6784
03:58:04,330 --> 03:58:04,731
RETINOPATHY.

6785
03:58:04,731 --> 03:58:08,601
SO, AS YOU MAY ALL KNOW, IT IS A

6786
03:58:08,601 --> 03:58:10,136
COMPLICATION OF DIABETES, THAT

6787
03:58:10,136 --> 03:58:14,841
CAN LEAD TO VISION LOSS.

6788
03:58:14,841 --> 03:58:17,143
IT'S ACTUALLY FOR ADULTS BETWEEN

6789
03:58:17,143 --> 03:58:20,313
20 AND 74, IN THE U.S., LEADING

6790
03:58:20,313 --> 03:58:21,714
CAUSE OF BLINDNESS, COMPLETELY

6791
03:58:21,714 --> 03:58:24,784
PREVENTIBLE IF CAUGHT EARLY AND

6792
03:58:24,784 --> 03:58:27,754
THERE'S THERAPY FOR THAT.

6793
03:58:27,754 --> 03:58:31,357
AND MANY PATIENTS WHO HAVE

6794
03:58:31,357 --> 03:58:32,025
DIABETIC RETINOPATHY DON'T

6795
03:58:32,025 --> 03:58:34,227
EXPERIENCE SYMPTOMS UNTIL IT'S

6796
03:58:34,227 --> 03:58:36,396
TOO LATE.

6797
03:58:36,396 --> 03:58:39,365
AND SO FOR THE GENTLEMAN THAT

6798
03:58:39,365 --> 03:58:41,100
WAS TAKING CARE BY THE

6799
03:58:41,100 --> 03:58:43,303
PHYSICIAN, THE DOCTOR REFERRED

6800
03:58:43,303 --> 03:58:45,371
HIM TO COUNTY OF LOS ANGELES FOR

6801
03:58:45,371 --> 03:58:46,573
SPECIALTY CARE, TO SEE AN

6802
03:58:46,573 --> 03:58:47,674
OPHTHALMOLOGIST IN PERSON AND

6803
03:58:47,674 --> 03:58:49,175
GET HIS EYES CHECKED.

6804
03:58:49,175 --> 03:58:52,579
AND SO THE REFERRAL WENT

6805
03:58:52,579 --> 03:58:52,812
THROUGH.

6806
03:58:52,812 --> 03:58:54,981
AND HE WAITED AND WAITED,

6807
03:58:54,981 --> 03:58:56,950
BECAUSE THE COUNTY ON ITS PART

6808
03:58:56,950 --> 03:58:59,018
HAD PATIENTS COMING IN FROM

6809
03:58:59,018 --> 03:58:59,919
THEIR OWN AMBULATORY CARE

6810
03:58:59,919 --> 03:59:02,121
CENTERS AS WELL AS INDEPENDENT

6811
03:59:02,121 --> 03:59:04,057
FQHCs IN THE COUNTY.

6812
03:59:04,057 --> 03:59:09,896
AFTER A FOUR-MONTH WAIT HE WENT

6813
03:59:09,896 --> 03:59:12,332
BLIND.

6814
03:59:12,332 --> 03:59:13,633
HE LOST VISION WAITING FOR CARE,

6815
03:59:13,633 --> 03:59:15,802
THE DEAN OF THE COLLEGE OF

6816
03:59:15,802 --> 03:59:16,469
MEDICINE CONSIDERED AN EMERGENCY

6817
03:59:16,469 --> 03:59:17,904
AND ASKED IF WE COULD FIGURE OUT

6818
03:59:17,904 --> 03:59:22,175
SOMETHING THAT WE COULD DO.

6819
03:59:22,175 --> 03:59:28,414
WE PROPOSED A SUPPLEMENT TO AN

6820
03:59:28,414 --> 03:59:30,383
EXISTING NIMHD GRANT, TO LOOK AT

6821
03:59:30,383 --> 03:59:31,251
TELERETINAL SCREENING FOR

6822
03:59:31,251 --> 03:59:32,252
DIABETIC RETINOPATHY, PART IN

6823
03:59:32,252 --> 03:59:40,994
OTHER WORDS WITH FOLKS AT THE

6824
03:59:40,994 --> 03:59:43,630
UC-BERKLEY SCHOOL OF RETINOPATHY

6825
03:59:43,630 --> 03:59:47,000
AND PARTNERED TO LOOK AT

6826
03:59:47,000 --> 03:59:49,535
BARRIERS TO USING TELERETINAL

6827
03:59:49,535 --> 03:59:50,837
SCREENING TO BRING SPECIALTY

6828
03:59:50,837 --> 03:59:54,874
SCREENING INTO THE PRIMARY CARE

6829
03:59:54,874 --> 03:59:56,209
SETTING IN SIX SOUTH LOS ANGELES

6830
03:59:56,209 --> 03:59:57,210
SAFETY NET CLINICS.

6831
03:59:57,210 --> 03:59:58,745
WHAT WE FOUND AS WE MOVED ON

6832
03:59:58,745 --> 04:00:01,114
WITH THE PROJECT IS THAT WE WERE

6833
04:00:01,114 --> 04:00:03,116
ABLE TO SCREEN A LOT OF

6834
04:00:03,116 --> 04:00:04,751
PATIENTS, ABLE TO SCREEN MORE

6835
04:00:04,751 --> 04:00:06,719
PATIENTS THAN WE ORDINARILY

6836
04:00:06,719 --> 04:00:09,022
WOULD, AND A KEY FACTOR WAS THAT

6837
04:00:09,022 --> 04:00:12,091
WE PARTNERED WITH THE COUNTY OF

6838
04:00:12,091 --> 04:00:14,994
LOS ANGELES SO THAT ANY OF THE

6839
04:00:14,994 --> 04:00:20,867
PATIENTS THAT ARE BOARD

6840
04:00:20,867 --> 04:00:24,570
CERTIFIED OPHTHALMOLOGISTS AND

6841
04:00:24,570 --> 04:00:25,805
READING TELERETINOPATHY IMAGES,

6842
04:00:25,805 --> 04:00:28,074
ANY PATIENTS WITH MODERATE OR

6843
04:00:28,074 --> 04:00:29,842
WORSE RETINOPATHY WOULD BE SEEN

6844
04:00:29,842 --> 04:00:31,344
IN THREE WEEKS, VAST IMPROVEMENT

6845
04:00:31,344 --> 04:00:33,880
OVER THE FOUR-MONTH WAIT THE

6846
04:00:33,880 --> 04:00:34,547
ORIGINAL PATIENT HAD.

6847
04:00:34,547 --> 04:00:37,383
AND SO WE FOUND THAT IT WAS

6848
04:00:37,383 --> 04:00:38,918
PRETTY SUCCESSFUL, IN GETTING

6849
04:00:38,918 --> 04:00:40,987
MORE PATIENTS SCREENED, BUT

6850
04:00:40,987 --> 04:00:42,555
STILL A LARGE NUMBER OF PATIENTS

6851
04:00:42,555 --> 04:00:44,490
DIDN'T COME IN FOR SCREENING.

6852
04:00:44,490 --> 04:00:46,693
WE HAD A SOCIOLOGIST ON THE

6853
04:00:46,693 --> 04:00:49,162
PROJECT TALKING TO -- LED FOCUS

6854
04:00:49,162 --> 04:00:49,862
GROUPS AND HAD IN-DEPTH

6855
04:00:49,862 --> 04:00:51,297
INTERVIEWS WITH PATIENTS AND

6856
04:00:51,297 --> 04:00:51,698
PROVIDERS.

6857
04:00:51,698 --> 04:00:52,899
WHAT WE FOUND WAS THAT IN SPITE

6858
04:00:52,899 --> 04:00:56,669
OF THE FACT THE CLINICS HAD

6859
04:00:56,669 --> 04:00:58,204
MEDICAL EDUCATION, MANY OF THE

6860
04:00:58,204 --> 04:01:01,708
PATIENTS FELT THAT THE EYE EXAMS

6861
04:01:01,708 --> 04:01:03,676
WERE FOR GLASSES, NOT FOR

6862
04:01:03,676 --> 04:01:04,344
SOMETHING THAT RESULTED FROM

6863
04:01:04,344 --> 04:01:05,478
THEIR DIABETES.

6864
04:01:05,478 --> 04:01:08,081
THERE WAS THAT DISCONNECT.

6865
04:01:08,081 --> 04:01:09,816
EVEN THOUGH THE CLINTONIC WAS

6866
04:01:09,816 --> 04:01:11,351
SAYING WE HAVE MEDICAL

6867
04:01:11,351 --> 04:01:12,118
EDUCATION, WE'RE TELLING THEM

6868
04:01:12,118 --> 04:01:14,087
ABOUT THIS.

6869
04:01:14,087 --> 04:01:15,521
WE REALIZED WE HAD A LARGE

6870
04:01:15,521 --> 04:01:17,023
PATIENT POPULATION AT HOME

6871
04:01:17,023 --> 04:01:19,325
THINKING THEY WERE FINE, NOT

6872
04:01:19,325 --> 04:01:23,529
GETTING ANNUAL EYE EXAM, EVEN

6873
04:01:23,529 --> 04:01:24,330
WITH TELERETINAL SCREENING,

6874
04:01:24,330 --> 04:01:25,798
LEADING ME TO WHETHER WE COULD

6875
04:01:25,798 --> 04:01:31,170
USE MACHINE LEARNING OR A.I. ON

6876
04:01:31,170 --> 04:01:33,005
KNOWN DIABETIC RETINOPATHY

6877
04:01:33,005 --> 04:01:36,209
FACTORS IN THE LITERATURE,

6878
04:01:36,209 --> 04:01:38,277
HEMOGLOBIN A1c, SO ON, WHETHER

6879
04:01:38,277 --> 04:01:42,315
WE COULD FIGURE OUT WHO -- WHICH

6880
04:01:42,315 --> 04:01:43,216
ARE THE PEOPLE MIGHT HAVE

6881
04:01:43,216 --> 04:01:44,751
RETINOPATHY AND NOT KNOW IT AND

6882
04:01:44,751 --> 04:01:48,788
HELP THEM TO COME IN.

6883
04:01:48,788 --> 04:01:50,356
SO, I USE THE TERM MACHINE

6884
04:01:50,356 --> 04:01:51,858
LEARNING A COUPLE TIMES, IT'S A

6885
04:01:51,858 --> 04:01:55,461
FORM OF ARTIFICIAL INTELLIGENCE

6886
04:01:55,461 --> 04:01:57,363
WHICH I'LL GET INTO AS I GO ON.

6887
04:01:57,363 --> 04:02:01,768
BUT ESSENTIALLY THIS IS USING

6888
04:02:01,768 --> 04:02:03,736
MATHEMATICS AND STATISTICAL

6889
04:02:03,736 --> 04:02:04,837
SERIES TO CREATE MODELS THAT

6890
04:02:04,837 --> 04:02:08,207
LOOK AT PRESIDENT EARNS IN LARGE

6891
04:02:08,207 --> 04:02:09,675
AMOUNTS OF DATA, FOR EXAMPLE

6892
04:02:09,675 --> 04:02:12,278
HEALTH RECORD DATA, USE PATTERNS

6893
04:02:12,278 --> 04:02:16,983
LEARN TO MAKE DIAGNOSES FOR

6894
04:02:16,983 --> 04:02:17,984
AGNOSTIC PREDICTIONS FOR NEW

6895
04:02:17,984 --> 04:02:20,720
CASES NOT SEEN BEFORE.

6896
04:02:20,720 --> 04:02:25,391
AS A FOLLOW-UP TO THE 

6897
04:02:25,391 --> 04:02:28,027
TELERETINAL WE DID EHR-FOCUSED

6898
04:02:28,027 --> 04:02:29,228
STUDY TO DETECT DIABETIC

6899
04:02:29,228 --> 04:02:30,630
RETINOPATHY FROM DATA IN PATIENT

6900
04:02:30,630 --> 04:02:33,599
RECORDS AND WE COMPARED THE

6901
04:02:33,599 --> 04:02:34,901
SENSITIVITY, SPECIFICITY, AND

6902
04:02:34,901 --> 04:02:37,870
ERRORS UNDER THE ROC CURVE FOR

6903
04:02:37,870 --> 04:02:39,505
MACHINE LEARNING APPROACHES.

6904
04:02:39,505 --> 04:02:43,109
BASED ON THAT WE BUILT A TOOL,

6905
04:02:43,109 --> 04:02:44,544
WEB-BASED, FOR SAFETY NET BASED

6906
04:02:44,544 --> 04:02:46,279
ON NEURAL NETWORK ON A DEEP

6907
04:02:46,279 --> 04:02:48,247
NEURAL NETWORK MODEL.

6908
04:02:48,247 --> 04:02:50,116
AND WE THEN IDENTIFIED AND

6909
04:02:50,116 --> 04:02:51,117
REACHED OUT TO HIGH RISK

6910
04:02:51,117 --> 04:02:55,288
DIABETIC PATIENTS AS PART OF OUR

6911
04:02:55,288 --> 04:02:57,023
NLM-FUNDED STUDY WHO SKIPPED

6912
04:02:57,023 --> 04:02:57,824
TELERETINAL SCREENING.

6913
04:02:57,824 --> 04:03:01,060
CLINICAL PARTNER FOR THIS LARGER

6914
04:03:01,060 --> 04:03:03,095
STUDY THAT FOLLOWED THE

6915
04:03:03,095 --> 04:03:03,830
TELERETINAL PILOT WAS LOS

6916
04:03:03,830 --> 04:03:05,565
ANGELES COUNTY DEPARTMENT OF

6917
04:03:05,565 --> 04:03:07,433
HEALTH SERVICES, AS YOU PROBABLY

6918
04:03:07,433 --> 04:03:08,968
KNOW THE SECOND LARGEST

6919
04:03:08,968 --> 04:03:10,136
MUNICIPAL HEALTH CARE SYSTEM IN

6920
04:03:10,136 --> 04:03:13,005
THE U.S., SECOND ONLY TO NEW

6921
04:03:13,005 --> 04:03:13,339
YORK.

6922
04:03:13,339 --> 04:03:16,375
THREE-QUARTERS OF A MILLION 

6923
04:03:16,375 --> 04:03:18,678
UNIQUE PATIENTS A YEAR, 142,000

6924
04:03:18,678 --> 04:03:20,980
UNINSURED, BETWEEN 2019 AND 2020

6925
04:03:20,980 --> 04:03:25,451
HAD ABOUT 85,000 PATIENTS WITH

6926
04:03:25,451 --> 04:03:25,718
DIABETES.

6927
04:03:25,718 --> 04:03:28,387
AND ONE OF THE OPHTHALMOLOGISTS

6928
04:03:28,387 --> 04:03:32,158
PART OF OUR TELERETINAL PILOT

6929
04:03:32,158 --> 04:03:33,326
WITH SCREENING WITH FQHCs TOOK

6930
04:03:33,326 --> 04:03:35,428
LESSONS LEARNED FROM THE PILOT

6931
04:03:35,428 --> 04:03:37,296
AND LAUNCHED A COUNTYWIDE

6932
04:03:37,296 --> 04:03:40,933
TELERETINAL DIABETIC RETINOPATHY

6933
04:03:40,933 --> 04:03:43,436
SCREENING PROGRAM AND THAT'S THE

6934
04:03:43,436 --> 04:03:46,072
PRIMARY MODALITY FOR SCREENING

6935
04:03:46,072 --> 04:03:47,273
IN LOS ANGELES COUNTY,

6936
04:03:47,273 --> 04:03:48,608
TELERETINAL SCREENING, BECAUSE

6937
04:03:48,608 --> 04:03:50,142
THERE ARE NOT ENOUGH

6938
04:03:50,142 --> 04:03:51,110
OPHTHALMOLOGISTS FOR EVERYBODY

6939
04:03:51,110 --> 04:03:53,513
TO HAVE AN IN-PERSON VISIT.

6940
04:03:53,513 --> 04:03:55,281
SO THE TELERETINAL DIABETIC

6941
04:03:55,281 --> 04:03:57,149
RETINOPATHY SCREENING PROGRAM

6942
04:03:57,149 --> 04:04:04,357
HAS TEN OPTOMETRISTS WHO SCREEN

6943
04:04:04,357 --> 04:04:05,992
AND MAYBE HAVE OPHTHALMOLOGISTS

6944
04:04:05,992 --> 04:04:09,295
OVERREAD TO SCREEN ALL DHS

6945
04:04:09,295 --> 04:04:11,364
DIABETIC PATIENTS ANNUALLY FOR

6946
04:04:11,364 --> 04:04:14,233
GUIDELINES AND THAT INTRODUCTION

6947
04:04:14,233 --> 04:04:15,968
OF TELEHEALTH INCLUDES SCREENING

6948
04:04:15,968 --> 04:04:18,571
RATES IN LOS ANGELES COUNTY FROM

6949
04:04:18,571 --> 04:04:21,541
ALMOST 38% IN 2012 TO 64% IN

6950
04:04:21,541 --> 04:04:21,774
2019.

6951
04:04:21,774 --> 04:04:27,647
SO IT HAS BEEN A SUCCESS.

6952
04:04:27,647 --> 04:04:29,649
AS PART OF OUR STUDY, WE PLANNED

6953
04:04:29,649 --> 04:04:32,685
TO REACH OUT.

6954
04:04:32,685 --> 04:04:33,986
WE'VE SEEN THE INCREASE

6955
04:04:33,986 --> 04:04:36,188
TELERETINAL SCREENING IMPROVED

6956
04:04:36,188 --> 04:04:38,524
THE RATE OF SCREENING FOR

6957
04:04:38,524 --> 04:04:41,460
DIABETIC RETINOPATHY IN THE

6958
04:04:41,460 --> 04:04:42,795
COUNTY, AND WE ANTICIPATED

6959
04:04:42,795 --> 04:04:43,663
GRANTS STARTED IN 2016,

6960
04:04:43,663 --> 04:04:47,166
ANTICIPATED THAT WE WOULD HAVE

6961
04:04:47,166 --> 04:04:48,267
ABOUT 10,000 PATIENTS WHO

6962
04:04:48,267 --> 04:04:49,468
WEREN'T COMING FOR SCREENING AND

6963
04:04:49,468 --> 04:04:51,337
THAT WE COULD APPLY MACHINE

6964
04:04:51,337 --> 04:04:53,606
LEARNING AND OUTREACH TOO.

6965
04:04:53,606 --> 04:04:58,110
WELL, THE COVID-19 PANDEMIC HIT,

6966
04:04:58,110 --> 04:05:01,847
AND THAT ESSENTIALLY CHANGED OUR

6967
04:05:01,847 --> 04:05:03,382
PLANS BECAUSE THE TELERETINAL

6968
04:05:03,382 --> 04:05:04,717
SCREENING CLINICS HAD TO PAUSE.

6969
04:05:04,717 --> 04:05:07,320
INSTEAD OF 10,000 PATIENTS WE

6970
04:05:07,320 --> 04:05:09,088
HAD 31,000 PATIENTS WHO MISSED

6971
04:05:09,088 --> 04:05:11,190
ANNUAL EYE EXAM AS OF MID-2021

6972
04:05:11,190 --> 04:05:12,091
BECAUSE OF THE PANDEMIC.

6973
04:05:12,091 --> 04:05:17,897
SO AS FAR AS THE STUDY WE SENT

6974
04:05:17,897 --> 04:05:20,600
MAILERS TO 31,000 PATIENTS, ROBO

6975
04:05:20,600 --> 04:05:22,234
CALLS AND TEXT MESSAGES, IF THE

6976
04:05:22,234 --> 04:05:24,437
PATIENT AFTER RECEIVING THE

6977
04:05:24,437 --> 04:05:26,939
MAILER DID NOT SCHEDULE AN

6978
04:05:26,939 --> 04:05:30,576
APPOINTMENT WITHIN 2 TO 4 WEEKS.

6979
04:05:30,576 --> 04:05:33,946
WE THEN APPLIED MACHINE LEARNING

6980
04:05:33,946 --> 04:05:36,182
TO THE DATA ON 31,000 PATIENTS

6981
04:05:36,182 --> 04:05:38,117
AND IDENTIFIED 7500 THAT THE

6982
04:05:38,117 --> 04:05:39,085
MACHINE LEARNING THOUGHT WAS

6983
04:05:39,085 --> 04:05:43,489
HIGH RISK, AND WHAT WE THEN DID 

6984
04:05:43,489 --> 04:05:46,359
WAS HAVE BILINGUAL SPANISH

6985
04:05:46,359 --> 04:05:48,527
SPEAKING HEALTH EDUCATORS AND

6986
04:05:48,527 --> 04:05:49,128
RESEARCH ASSISTANTS REACH OUT

6987
04:05:49,128 --> 04:05:50,596
AND EXPLAIN WHY IT WAS IMPORTANT

6988
04:05:50,596 --> 04:05:51,797
TO COME IN.

6989
04:05:51,797 --> 04:05:52,865
AND WE BELIEVE THAT THIS SHOWS

6990
04:05:52,865 --> 04:05:56,736
THE POTENTIAL FOR A.I. TO GUIDE

6991
04:05:56,736 --> 04:05:57,837
TARGETED PATIENT OUTREACH, IN

6992
04:05:57,837 --> 04:05:58,871
AREAS WITH DISPARITIES IN

6993
04:05:58,871 --> 04:06:00,673
SCREENING RISK FOR D.R. AND

6994
04:06:00,673 --> 04:06:02,875
SIMILAR STRATEGIES COULD BE

6995
04:06:02,875 --> 04:06:07,246
VALUABLE FOR OTHER CONDITIONS IN

6996
04:06:07,246 --> 04:06:09,548
UNDERRESOURCED SETTINGS.

6997
04:06:09,548 --> 04:06:12,284
SO, I GAVE THAT CONTEXT BEFORE I

6998
04:06:12,284 --> 04:06:13,386
GET INTO WHAT ARTIFICIAL

6999
04:06:13,386 --> 04:06:15,454
INTELLIGENCE IS, JUST TO SHOW

7000
04:06:15,454 --> 04:06:18,524
HOW WE'RE USING IT AT CDU.

7001
04:06:18,524 --> 04:06:20,593
WHAT IS ARTIFICIAL INTELLIGENCE?

7002
04:06:20,593 --> 04:06:21,894
IT'S COMPUTER SYSTEMS OR

7003
04:06:21,894 --> 04:06:26,165
ALGORITHMS THAT ARE CREATED TO

7004
04:06:26,165 --> 04:06:26,666
ESSENTIALLY ACHIEVE OR

7005
04:06:26,666 --> 04:06:28,801
ACCOMPLISH TASKS THAT WOULD

7006
04:06:28,801 --> 04:06:29,802
ORDINARILY REQUIRE HUMAN

7007
04:06:29,802 --> 04:06:31,203
INTELLIGENCE AND THOSE TASKS

7008
04:06:31,203 --> 04:06:32,972
INCLUDE LEARNING FROM DATA,

7009
04:06:32,972 --> 04:06:35,374
RECOGNIZING PATTERNS IN DATA,

7010
04:06:35,374 --> 04:06:37,877
MAKING DECISIONS AND

7011
04:06:37,877 --> 04:06:39,078
UNDERSTANDING NATURAL LANGUAGE.

7012
04:06:39,078 --> 04:06:42,148
AND I ALWAYS STRESS THIS AT A.I.

7013
04:06:42,148 --> 04:06:43,382
MEDICAL CARE INTENDED TO ASSIST

7014
04:06:43,382 --> 04:06:45,117
OR AUGMENT HEALTH CARE

7015
04:06:45,117 --> 04:06:48,287
PROFESSIONALS' ABILITY AND NOT

7016
04:06:48,287 --> 04:06:49,588
TO REPLACE THEM.

7017
04:06:49,588 --> 04:06:50,556
SO EXAMPLES OF ARTIFICIAL

7018
04:06:50,556 --> 04:06:51,357
INTELLIGENCE INCLUDE MACHINE

7019
04:06:51,357 --> 04:06:52,692
LEARNING WHICH I'VE ALREADY

7020
04:06:52,692 --> 04:06:54,660
TALKED ABOUT, INCLUDING DEEP

7021
04:06:54,660 --> 04:06:55,895
LEARNING, NATURAL LANGUAGE

7022
04:06:55,895 --> 04:06:56,729
PROCESSING, AND GENERATIVE A.I.

7023
04:06:56,729 --> 04:07:00,366
WHICH IS ALL THE RAGE RIGHT NOW

7024
04:07:00,366 --> 04:07:03,436
WITH ChatGPT AND SO ON, LARGE

7025
04:07:03,436 --> 04:07:07,139
LANGUAGE MODELS, LLMs, AND THE

7026
04:07:07,139 --> 04:07:09,108
CONCEPT OF NARROW AND STRONG

7027
04:07:09,108 --> 04:07:09,942
A.I.

7028
04:07:09,942 --> 04:07:11,844
NARROW OR WEAK A.I. IS DESIGNED

7029
04:07:11,844 --> 04:07:16,315
OR TRAINED TO PERFORM SPECIFIC

7030
04:07:16,315 --> 04:07:16,849
TASKS.

7031
04:07:16,849 --> 04:07:19,051
DOESN'T PRESENT CONSCIOUSNESS OR

7032
04:07:19,051 --> 04:07:20,586
GENERAL INTELLIGENCE, BUT NARROW

7033
04:07:20,586 --> 04:07:22,021
A.I. CAN PERFORM BETTER THAN

7034
04:07:22,021 --> 04:07:26,158
HUMAN EXPERT IN A VERY NARROW

7035
04:07:26,158 --> 04:07:26,592
DOMAIN.

7036
04:07:26,592 --> 04:07:28,461
SO THERE'S LOTS OF EXAMPLES OF

7037
04:07:28,461 --> 04:07:29,762
NARROW A.I. IN MEDICINE THAT

7038
04:07:29,762 --> 04:07:31,731
MANY OF YOU ARE ALREADY FAMILIAR

7039
04:07:31,731 --> 04:07:32,298
WITH.

7040
04:07:32,298 --> 04:07:35,134
WE HAVE A.I. ALGORITHMS FOR

7041
04:07:35,134 --> 04:07:37,636
MEDICAL IMAGING AND DIAGNOSTICS,

7042
04:07:37,636 --> 04:07:38,971
ALGORITHMS FOR PREDICTING SEPSIS

7043
04:07:38,971 --> 04:07:41,107
OR RISK OF HOSPITAL

7044
04:07:41,107 --> 04:07:44,443
READMISSIONS, WE HAVE A.I. CHAT

7045
04:07:44,443 --> 04:07:47,413
BOTS FOR APPOINTMENT SCHEDULING,

7046
04:07:47,413 --> 04:07:48,714
CHECKING SYMPTOMS, MANAGING

7047
04:07:48,714 --> 04:07:51,984
MEDICATIONS, MENTAL HEALTH

7048
04:07:51,984 --> 04:07:52,218
SUPPORT.

7049
04:07:52,218 --> 04:07:55,287
THERE'S MACHINE LEARNING TO HELP

7050
04:07:55,287 --> 04:07:57,823
PATHOLOGIST DIAGNOSE DISEASES

7051
04:07:57,823 --> 04:08:00,993
FROM SAMPLES, DRAGON MEDICAL ONE

7052
04:08:00,993 --> 04:08:02,828
WHICH TRANSCRIBES CONDITIONS

7053
04:08:02,828 --> 04:08:04,797
SPOKEN LANGUAGE AS A WAY TO

7054
04:08:04,797 --> 04:08:06,699
UPDATE PATIENT MEDICAL RECORD

7055
04:08:06,699 --> 04:08:08,100
JUST USING SPEECH.

7056
04:08:08,100 --> 04:08:10,169
DEEP GENOMICS USES A.I. TO

7057
04:08:10,169 --> 04:08:12,138
UNDERSTAND GENETIC MUTATIONS AND

7058
04:08:12,138 --> 04:08:14,573
DEVELOP TARGETED THERAPIES THAT

7059
04:08:14,573 --> 04:08:16,208
COULD HELP INDIVIDUALS.

7060
04:08:16,208 --> 04:08:18,010
ATOMWISE USES MACHINE LEARNING

7061
04:08:18,010 --> 04:08:23,082
TO PREDICT NEW DRUG TARGETS, AN

7062
04:08:23,082 --> 04:08:25,317
EXCITING AREA OF DRUG DISCOVERY

7063
04:08:25,317 --> 04:08:28,454
THAT'S FACILITATED BY A.I.

7064
04:08:28,454 --> 04:08:31,724
AND THEN WE HAVE, YOU KNOW,

7065
04:08:31,724 --> 04:08:33,025
ROBOTIC SURGERY, SO DaVINCI

7066
04:08:33,025 --> 04:08:33,926
SURGICAL SYSTEM ROBOT

7067
04:08:33,926 --> 04:08:36,862
ESSENTIALLY USING A.I. TO ASSIST

7068
04:08:36,862 --> 04:08:41,901
SURGEONS WITH MINIMALLY INVASIVE

7069
04:08:41,901 --> 04:08:42,234
SURGERIES.

7070
04:08:42,234 --> 04:08:44,303
SO, NARROW A.I., THERE'S ALSO A

7071
04:08:44,303 --> 04:08:45,404
NOTION OF WIDE OR GENERAL OR

7072
04:08:45,404 --> 04:08:47,573
STRONG A.I.

7073
04:08:47,573 --> 04:08:50,876
AND THIS WAS A SYSTEM WITH

7074
04:08:50,876 --> 04:08:51,443
GENERALIZED HUMAN COGNITIVE

7075
04:08:51,443 --> 04:08:53,379
ABILITIES, COULD FIND A SOLUTION

7076
04:08:53,379 --> 04:08:54,246
WITHOUT HUMAN INTERVENTION.

7077
04:08:54,246 --> 04:08:55,881
AND THIS IS A THEORETICAL

7078
04:08:55,881 --> 04:08:57,650
CONCEPT THAT'S NOT YET FULLY

7079
04:08:57,650 --> 04:08:58,984
REALIZED BUT CAUSES A LOT OF

7080
04:08:58,984 --> 04:09:01,487
ALARM AND A LOT OF PEOPLE ARE

7081
04:09:01,487 --> 04:09:02,688
WORRIED ABOUT THE POTENTIAL FOR

7082
04:09:02,688 --> 04:09:04,223
WIDE OR GENERAL A.I.

7083
04:09:04,223 --> 04:09:07,726
BUT WE ARE NOT THERE YET.

7084
04:09:07,726 --> 04:09:09,895
SO, THERE'S SEVERAL TIMES OF

7085
04:09:09,895 --> 04:09:10,563
MACHINE LEARNING, I MENTIONED A

7086
04:09:10,563 --> 04:09:11,864
FORM OF A.I.

7087
04:09:11,864 --> 04:09:12,965
ONE IS SUPERVISED LEARNING WHERE

7088
04:09:12,965 --> 04:09:17,002
WE TEACH A COMPUTER HOW TO LEARN

7089
04:09:17,002 --> 04:09:21,407
BY PROVIDING EXAMPLES  CORRECT

7090
04:09:21,407 --> 04:09:25,144
ANSWERS TO LEARN FROM.

7091
04:09:25,144 --> 04:09:26,979
UNSUPERVISED LEARNING BY ITSELF

7092
04:09:26,979 --> 04:09:31,884
FROM UNLABELED  DATA.

7093
04:09:31,884 --> 04:09:33,219
AND REINFORCED, MAXIMIZING

7094
04:09:33,219 --> 04:09:35,187
REWARD OR REINFORCEMENT SIGNAL,

7095
04:09:35,187 --> 04:09:41,327
EXAMPLE WOULD BE  TEACHING A

7096
04:09:41,327 --> 04:09:49,001
ROBOT TO AVOID OBSTACLES ON A 

7097
04:09:49,001 --> 04:09:50,202
FACTORY FLOOR.

7098
04:09:50,202 --> 04:09:52,538
I APOLOGIZE IF YOU'RE ALREADY

7099
04:09:52,538 --> 04:09:53,072
FAMILIAR.

7100
04:09:53,072 --> 04:09:54,273
ESSENTIALLY IF WE WANT TO TEACH

7101
04:09:54,273 --> 04:09:55,574
A COMPUTER HOW TO RECOGNIZE CATS

7102
04:09:55,574 --> 04:09:59,111
AND DOGS FROM LOTS OF PICTURES

7103
04:09:59,111 --> 04:10:01,714
WE WOULD LABEL -- SHOW THE

7104
04:10:01,714 --> 04:10:05,784
COMPUTER MANY PICTURES OF CATS

7105
04:10:05,784 --> 04:10:07,887
LABELED AS CATS, SHOW MANY

7106
04:10:07,887 --> 04:10:10,923
PICTURES OF DOGS LABELED AS

7107
04:10:10,923 --> 04:10:11,156
DOGS.

7108
04:10:11,156 --> 04:10:12,958
AND THEN THE COMPUTER TRIES TO

7109
04:10:12,958 --> 04:10:14,326
FIND PATTERNS THAT MAKE A CAT

7110
04:10:14,326 --> 04:10:16,195
DIFFERENT FROM A DOG.

7111
04:10:16,195 --> 04:10:18,163
PERHAPS CATS HAVE WHISKERS AND

7112
04:10:18,163 --> 04:10:20,232
DOGS DON'T, ANY OTHER FEATURES

7113
04:10:20,232 --> 04:10:24,036
THAT DISTINGUISH THE TWO GROUPS.

7114
04:10:24,036 --> 04:10:25,804
WE TEST COMPUTER TO SEE HOW IT

7115
04:10:25,804 --> 04:10:27,273
WOULD LEARN BY SHOWING PICTURE

7116
04:10:27,273 --> 04:10:30,743
OF A CAT OR DOG THAT IT HASN'T

7117
04:10:30,743 --> 04:10:32,144
SEEN BEFORE, NOT IN THE TRAINING

7118
04:10:32,144 --> 04:10:35,114
SET OF PICTURES IT ALREADY SAW.

7119
04:10:35,114 --> 04:10:37,216
SO WE'RE TRYING TO HELP IT MAKE

7120
04:10:37,216 --> 04:10:40,719
A PREDICTION ON PREVIOUSLY

7121
04:10:40,719 --> 04:10:41,020
UNSEEN CASE.

7122
04:10:41,020 --> 04:10:43,789
AND SO WE ASK IT WHETHER THE

7123
04:10:43,789 --> 04:10:46,058
PICTURE IS A CAT OR IF IT'S OF A

7124
04:10:46,058 --> 04:10:46,292
DOG.

7125
04:10:46,292 --> 04:10:47,960
IF THE COMPUTER MAKES A MISTAKE

7126
04:10:47,960 --> 04:10:50,229
AND CALLS A CAT A DOG OR CALLS A

7127
04:10:50,229 --> 04:10:52,197
DOG A CAT, WE TELL IT WHAT THE

7128
04:10:52,197 --> 04:10:54,233
RIGHT ANSWER IS, SO IT DOESN'T

7129
04:10:54,233 --> 04:10:55,701
MAKE THAT MISTAKE AGAIN.

7130
04:10:55,701 --> 04:10:58,203
AND SO AS TIME PASSES IT GETS

7131
04:10:58,203 --> 04:10:59,738
BETTER AT RECOGNIZING CATS AND

7132
04:10:59,738 --> 04:11:01,373
DOGS, AS IT KEEPS LEARNING FROM

7133
04:11:01,373 --> 04:11:04,877
THE PICTURES AND FEEDBACK THAT

7134
04:11:04,877 --> 04:11:06,979
IT RECEIVES.

7135
04:11:06,979 --> 04:11:08,948
SO, THAT SIMPLE EXAMPLE, JUST TO

7136
04:11:08,948 --> 04:11:12,685
SET THE STAGE, MEDICAL EXAMPLES

7137
04:11:12,685 --> 04:11:13,786
ARE PRETTY COMPLEX, SO

7138
04:11:13,786 --> 04:11:15,087
SUPERVISORS LEARNING IS USED.

7139
04:11:15,087 --> 04:11:18,590
AND ONE EXAMPLE IS BREAST CANCER

7140
04:11:18,590 --> 04:11:20,559
DETECTION USING CONVOLUTIONAL

7141
04:11:20,559 --> 04:11:22,895
NEURAL NETWORKS FROM IMAGES

7142
04:11:22,895 --> 04:11:27,866
LABELED WITH BENIGN OR MALIGNANT

7143
04:11:27,866 --> 04:11:29,668
TUMORS AND HELPING TO IDENTIFY

7144
04:11:29,668 --> 04:11:32,571
BREAST CANCER TUMORS.

7145
04:11:32,571 --> 04:11:33,772
SO UNSUPERVISED MACHINE LEARNING

7146
04:11:33,772 --> 04:11:35,541
IN THIS CASE THE COMPUTER IS

7147
04:11:35,541 --> 04:11:37,376
LEARNING HOW TO RECOGNIZE THINGS

7148
04:11:37,376 --> 04:11:38,711
WITHOUT LABELS, IN THE PREVIOUS

7149
04:11:38,711 --> 04:11:41,113
EXAMPLE WE HAD LABELS OF CATS

7150
04:11:41,113 --> 04:11:43,882
AND LABELS OF DOGS, HERE THERE'S

7151
04:11:43,882 --> 04:11:44,850
NO GUIDANCE, NO LABELS.

7152
04:11:44,850 --> 04:11:46,952
SO IF WE WANTED TO TEACH A

7153
04:11:46,952 --> 04:11:49,121
COMPUTER TO ORGANIZE IMAGES OF A

7154
04:11:49,121 --> 04:11:50,022
VARIETY OF FRUIT WHAT WOULD

7155
04:11:50,022 --> 04:11:51,657
HAPPEN IN THE CASE OF

7156
04:11:51,657 --> 04:11:52,858
UNSUPERVISED LEARNING IS THAT

7157
04:11:52,858 --> 04:11:54,927
THE COMPUTER MIGHT NOTE THAT

7158
04:11:54,927 --> 04:11:57,096
FRUIT WITH SIMILAR SHAPES OR

7159
04:11:57,096 --> 04:12:00,065
SIZES OR COLORS MAY BE BLUNTING

7160
04:12:00,065 --> 04:12:02,134
AND GROUP THEM TOGETHER AND KEEP

7161
04:12:02,134 --> 04:12:03,235
UP THE GROUPING PROCESS UNTIL

7162
04:12:03,235 --> 04:12:04,970
ALL THE FRUITS ARE IN A

7163
04:12:04,970 --> 04:12:07,706
PARTICULAR GROUP.

7164
04:12:07,706 --> 04:12:10,242
NOW, THERE'S NO SORT OF ACCURACY

7165
04:12:10,242 --> 04:12:13,045
MEASURE FOR THIS.

7166
04:12:13,045 --> 04:12:16,048
IT'S SUBJECTIVE. 

7167
04:12:16,048 --> 04:12:18,450
AND SO MEDICAL EXAMPLES OF

7168
04:12:18,450 --> 04:12:19,885
UNSUPERVISED MACHINE LEARNING

7169
04:12:19,885 --> 04:12:20,652
INCLUDE CLUSTERING SO WE MIGHT

7170
04:12:20,652 --> 04:12:22,521
WANT TO CLUSTER PATIENTS WITH

7171
04:12:22,521 --> 04:12:25,357
SIMILAR SYMPTOMS OR RISK FACTORS

7172
04:12:25,357 --> 04:12:26,759
TO FIND POPULATIONS OF THAT

7173
04:12:26,759 --> 04:12:28,427
MIGHT RESPOND BETTER TO CERTAIN

7174
04:12:28,427 --> 04:12:32,698
TREATMENTS, SO WE CAN TEST THAT

7175
04:12:32,698 --> 04:12:35,834
HYPOTHESIS, AND THERE'S

7176
04:12:35,834 --> 04:12:38,370
PUBLISHED EXAMPLE OF CLUSTERING

7177
04:12:38,370 --> 04:12:44,276
UNSUPERVISED LEARNING CLINICAL 

7178
04:12:44,276 --> 04:12:48,647
CANCER DATA FOUND ASSOCIATION

7179
04:12:48,647 --> 04:12:56,822
WITH GROUPS WITH CHRONIC

7180
04:12:56,822 --> 04:12:57,289
LYMPHOCYTIC LEUKEMIA.

7181
04:12:57,289 --> 04:12:59,691
AND THE LAST I DESCRIBED, THIS

7182
04:12:59,691 --> 04:13:01,126
IS INSPIRED BY THE WAY HUMANS

7183
04:13:01,126 --> 04:13:02,528
AND ANIMALS JUST LEARN FROM

7184
04:13:02,528 --> 04:13:04,396
ACTIONS OR PAST EXPERIENCES TO

7185
04:13:04,396 --> 04:13:06,365
MAKE BETTER DECISIONS.

7186
04:13:06,365 --> 04:13:07,699
SO, AN ANALOGY IF YOU WERE

7187
04:13:07,699 --> 04:13:09,101
TRYING TO GET A HIGH SCORE ON A

7188
04:13:09,101 --> 04:13:11,070
VIDEO GAME THAT YOU HAD NEVER

7189
04:13:11,070 --> 04:13:12,404
PLAYED BEFORE, THAT YOU KNOW

7190
04:13:12,404 --> 04:13:13,939
LITTLE ABOUT, SOMEBODY GAVE YOU

7191
04:13:13,939 --> 04:13:15,674
THE VIDEO CONTROLLER, YOU MIGHT

7192
04:13:15,674 --> 04:13:20,212
TRY PRESSING DIFFERENT  BUTTONS

7193
04:13:20,212 --> 04:13:22,648
UNTIL YOU REALIZE WHAT LEADS TO

7194
04:13:22,648 --> 04:13:23,715
HIGHER SCORE LEADING YOU TO

7195
04:13:23,715 --> 04:13:25,451
PURSUE MORE ACTIONS THAT LEAD TO

7196
04:13:25,451 --> 04:13:27,786
HIGHER SCORE TO MAXIMIZE YOUR

7197
04:13:27,786 --> 04:13:29,621
SCORE AND POTENTIALLY BE THE

7198
04:13:29,621 --> 04:13:31,824
HIGHEST SCORE ON THAT VIDEO

7199
04:13:31,824 --> 04:13:32,825
GAME.

7200
04:13:32,825 --> 04:13:35,027
AND SO THE CONCEPTS BEHIND

7201
04:13:35,027 --> 04:13:35,861
REINFORCEMENT LEARNING, YOU

7202
04:13:35,861 --> 04:13:38,831
KNOW, YOU HAVE AN AGENT THAT'S A

7203
04:13:38,831 --> 04:13:40,132
LERNER OR DECISION MAKER, TRYING

7204
04:13:40,132 --> 04:13:41,667
TO ACHIEVE A GOAL IN AND

7205
04:13:41,667 --> 04:13:43,302
ENVIRONMENT, EXAMPLE MIGHT BE A

7206
04:13:43,302 --> 04:13:46,572
ROBOT IF WE GO TO THE EXAMPLE OF

7207
04:13:46,572 --> 04:13:52,277
TRYING TO TEACH A ROBOT TO AVOID

7208
04:13:52,277 --> 04:13:55,781
 OBSTACLES ON A FACTORY FLOOR.

7209
04:13:55,781 --> 04:13:57,850
A FLOOR WITH OBSTACLES COULD BE

7210
04:13:57,850 --> 04:13:58,117
ONE.

7211
04:13:58,117 --> 04:14:00,385
THE STATE DESCRIBES CURRENT

7212
04:14:00,385 --> 04:14:01,687
SITUATION OR CONFIGURATION OF

7213
04:14:01,687 --> 04:14:02,454
THAT ENVIRONMENT.

7214
04:14:02,454 --> 04:14:04,523
AND WHAT THE AGENT IS DOING IS

7215
04:14:04,523 --> 04:14:06,191
PICKING AN ACTION TO TAKE BASED

7216
04:14:06,191 --> 04:14:08,694
ON CURRENT STATE, CURRENT

7217
04:14:08,694 --> 04:14:10,662
ENVIRONMENT, AND AFTER TAKING

7218
04:14:10,662 --> 04:14:12,197
ACTION THE AGENT RECEIVES A

7219
04:14:12,197 --> 04:14:13,732
REWARD BASED ON WHETHER THE

7220
04:14:13,732 --> 04:14:16,001
ACTION IS JUDGE THE AS GOOD OR

7221
04:14:16,001 --> 04:14:16,168
BAD.

7222
04:14:16,168 --> 04:14:18,570
SO IT GETS NEGATIVE OR POSITIVE

7223
04:14:18,570 --> 04:14:20,305
FEEDBACK FROM THE ENVIRONMENT.

7224
04:14:20,305 --> 04:14:23,242
SO A MEDICAL EXAMPLE OF THIS IS

7225
04:14:23,242 --> 04:14:27,946
WHAT WE'VE JUST PREVIOUSLY

7226
04:14:27,946 --> 04:14:30,015
MENTIONED, REINFORCEMENT

7227
04:14:30,015 --> 04:14:31,783
LEARNING USED TO TRAIN ROBOTIC

7228
04:14:31,783 --> 04:14:34,286
ARMS FOR MINIMALLY INVASIVE

7229
04:14:34,286 --> 04:14:41,393
SURGERY LIKE WITH DaVINCI

7230
04:14:41,393 --> 04:14:45,130
ROBOT, RECEIVING FEEDBACK ON ITS

7231
04:14:45,130 --> 04:14:45,531
PERFORMANCE.

7232
04:14:45,531 --> 04:14:47,299
SO, YOU'VE PROBABLY HEARD OF

7233
04:14:47,299 --> 04:14:50,302
GENERATIVE A.I. AND PRIOR TO

7234
04:14:50,302 --> 04:14:52,804
2022, MOST OF THE A.I. USED IN

7235
04:14:52,804 --> 04:14:54,139
THE BIOMEDICAL DOMAIN WAS

7236
04:14:54,139 --> 04:14:55,774
NON-GENERATIVE A.I.

7237
04:14:55,774 --> 04:14:57,576
THIS IS BEFORE ChatGPT CAME ON

7238
04:14:57,576 --> 04:14:59,278
THE SCENE.

7239
04:14:59,278 --> 04:15:01,113
IT WAS MULTI-SUPERVISED

7240
04:15:01,113 --> 04:15:01,647
LEARNING.

7241
04:15:01,647 --> 04:15:03,749
AND GENERATIVE A.I. HAS EXPLODED

7242
04:15:03,749 --> 04:15:05,851
ON THE SCENE SINCE THEN.

7243
04:15:05,851 --> 04:15:06,919
IT USES COMBINATION OF

7244
04:15:06,919 --> 04:15:08,687
UNSUPERVISED LEARNING AS WELL AS

7245
04:15:08,687 --> 04:15:09,988
OTHER TECHNIQUES TO CREATE

7246
04:15:09,988 --> 04:15:14,493
OUTPUT WHETHER TEXT OR IMAGES OR

7247
04:15:14,493 --> 04:15:17,229
MUSIC, AND WITH LARGE LANGUAGE

7248
04:15:17,229 --> 04:15:18,864
MODELS ESSENTIALLY TRAINED ON

7249
04:15:18,864 --> 04:15:20,632
HUGE AMOUNTS OF UNLABELED DATA,

7250
04:15:20,632 --> 04:15:22,701
AND THEY LEARN PATTERNS AND

7251
04:15:22,701 --> 04:15:23,802
STRUCTURE IN THAT DATA WITHOUT

7252
04:15:23,802 --> 04:15:25,671
BEING TOLD WHAT TO LOOK FOR.

7253
04:15:25,671 --> 04:15:28,073
THEY DO PRETTY WELL.

7254
04:15:28,073 --> 04:15:29,741
FAIRLY EXCITING WHAT GENERATIVE

7255
04:15:29,741 --> 04:15:31,810
A.I. MODELS ARE ABLE TO DO.

7256
04:15:31,810 --> 04:15:33,645
ONCE THEY ARE TRAINED THEY

7257
04:15:33,645 --> 04:15:34,613
GENERATE OUTPUT BY PREDICTING

7258
04:15:34,613 --> 04:15:36,415
WHAT COMES NEXT IN A SEQUENCE.

7259
04:15:36,415 --> 04:15:38,951
NEXT PLAUSIBLE WORD IN A

7260
04:15:38,951 --> 04:15:43,522
SENTENCE OR NEXT APPLAUSABLE

7261
04:15:43,522 --> 04:15:44,823
PARAGRAPH IN AN ESSAY, FOR

7262
04:15:44,823 --> 04:15:45,057
EXAMPLE.

7263
04:15:45,057 --> 04:15:46,358
ONE THING THEY MAY DO

7264
04:15:46,358 --> 04:15:48,060
UNFORTUNATELY IS HALLUCINATE.

7265
04:15:48,060 --> 04:15:50,996
THEY MAY GENERATE INFORMATION

7266
04:15:50,996 --> 04:15:53,031
THAT'S PLAUSIBLE BUT IT'S

7267
04:15:53,031 --> 04:15:54,066
INCORRECT, NONSENSICAL, IF YOU

7268
04:15:54,066 --> 04:15:55,601
TRY TO USE ChatGPT AND TELL

7269
04:15:55,601 --> 04:15:57,369
IT, ASK IT TO COME UP WITH A

7270
04:15:57,369 --> 04:15:58,337
CITATION FOR A PARTICULAR AREA

7271
04:15:58,337 --> 04:16:00,672
IT MIGHT COME UP WITH A MADE-UP

7272
04:16:00,672 --> 04:16:01,873
MANY THAT INCLUDES NAMES OF

7273
04:16:01,873 --> 04:16:03,175
EXPERTS IN THAT AREA BUT THEY

7274
04:16:03,175 --> 04:16:03,942
HAVE NEVER PUBLISHED TOGETHER

7275
04:16:03,942 --> 04:16:07,879
AND THERE'S NO PAPER WITH THAT

7276
04:16:07,879 --> 04:16:09,081
TITLE WHEN YOU GO TO PubMed

7277
04:16:09,081 --> 04:16:11,483
TO LOOK FOR IT, AN EXAMPLE OF

7278
04:16:11,483 --> 04:16:12,351
HALLUCINATION, AND IT'S

7279
04:16:12,351 --> 04:16:14,019
PROBLEMATIC IN THE HEALTH CARE

7280
04:16:14,019 --> 04:16:16,321
DOMAIN WHERE ACCURACY IS

7281
04:16:16,321 --> 04:16:16,555
CRUCIAL.

7282
04:16:16,555 --> 04:16:20,058
SO IT MEANS HUMAN OVERSIGHT IS

7283
04:16:20,058 --> 04:16:21,793
STILL NECESSARY IN THE --

7284
04:16:21,793 --> 04:16:22,995
ACTUALLY NOT STILL, VERY

7285
04:16:22,995 --> 04:16:25,530
NECESSARY IN THE HEALTHCARE

7286
04:16:25,530 --> 04:16:25,764
DOMAIN.

7287
04:16:25,764 --> 04:16:27,466
ESSENTIALLY A.I. SUGGESTING AND

7288
04:16:27,466 --> 04:16:32,170
HUMANS SORT OF VERIFY AND

7289
04:16:32,170 --> 04:16:32,504
DECIDE.

7290
04:16:32,504 --> 04:16:35,941
SO THERE'S LOTS OF A.I. BENEFITS

7291
04:16:35,941 --> 04:16:38,110
FOR PATIENT AND HEALTH CARE

7292
04:16:38,110 --> 04:16:38,877
PROVIDERS, ENHANCED DIAGNOSTIC

7293
04:16:38,877 --> 04:16:40,379
ACCURACY, ABILITY TO HAVE

7294
04:16:40,379 --> 04:16:43,248
PERSONALIZED TREATMENT PLANS FOR

7295
04:16:43,248 --> 04:16:45,217
PATIENTS, ABILITY TO AUTOMATE

7296
04:16:45,217 --> 04:16:48,387
ROUTINE ADMINISTRATE TASKS THAT

7297
04:16:48,387 --> 04:16:49,621
POTENTIALLY COULD HELP PROVIDE

7298
04:16:49,621 --> 04:16:51,356
FOCUSED MORE TIME ON PATIENTS

7299
04:16:51,356 --> 04:16:54,326
RATHER THAN ON ADMIN TASKS.

7300
04:16:54,326 --> 04:16:56,528
SO PEOPLE WITH CHRONIC DISEASES

7301
04:16:56,528 --> 04:16:58,130
IMPROVED PATIENT MONITORING

7302
04:16:58,130 --> 04:16:58,664
THROUGH WEARABLE DEVICES

7303
04:16:58,664 --> 04:17:03,268
ENHANCED WITH A.I. AND

7304
04:17:03,268 --> 04:17:05,470
PREDICTIVE ANALYTICS TO PROVIDE

7305
04:17:05,470 --> 04:17:07,906
PRO-ACTIVE CARE TO PATIENTS.

7306
04:17:07,906 --> 04:17:10,075
NOW, WITH BENEFITS COME A NUMBER

7307
04:17:10,075 --> 04:17:10,809
OF CONCERNS.

7308
04:17:10,809 --> 04:17:12,611
SO THERE ARE CONCERNS AROUND

7309
04:17:12,611 --> 04:17:14,680
DATA PRIVACY AND SECURITY.

7310
04:17:14,680 --> 04:17:16,548
WHEN ChatGPT WAS ROLLED OUT

7311
04:17:16,548 --> 04:17:17,983
FOR EXAMPLE A LOT OF HOSPITALS

7312
04:17:17,983 --> 04:17:19,951
WERE INTERESTED IN USING IT BUT

7313
04:17:19,951 --> 04:17:22,988
ONE OF THE CONCERNS WAS YOU'RE

7314
04:17:22,988 --> 04:17:24,089
FEEDING -- YOU DON'T WANT TO

7315
04:17:24,089 --> 04:17:26,625
FEED DATA INTO A LARGE LANGUAGE

7316
04:17:26,625 --> 04:17:28,560
MODEL THAT'S BEING USED

7317
04:17:28,560 --> 04:17:30,762
GENERALLY BY THE WHOLE WORLD

7318
04:17:30,762 --> 04:17:32,531
BECAUSE YOUR PATIENT DATA IS

7319
04:17:32,531 --> 04:17:35,167
SUBJECT TO HIPAA PROTECTION.

7320
04:17:35,167 --> 04:17:37,769
SO LOTS OF HOSPITALS HAVE

7321
04:17:37,769 --> 04:17:40,772
ESSENTIALLY MADE ARRANGEMENTS TO

7322
04:17:40,772 --> 04:17:42,140
HAVE SILOED IMPLEMENTATIONS OF

7323
04:17:42,140 --> 04:17:45,477
GENERATIVE A.I. SO THAT THE DATA

7324
04:17:45,477 --> 04:17:48,413
LEARN FROM HOSPITAL SYSTEM, IT

7325
04:17:48,413 --> 04:17:52,384
DOESN'T GET SEEN BEYOND THAT

7326
04:17:52,384 --> 04:17:53,185
HOSPITAL SYSTEM.

7327
04:17:53,185 --> 04:17:55,987
A CONCERN, A FEAR THAT A.I.

7328
04:17:55,987 --> 04:17:56,955
MIGHT MAKE AUTONOMOUS DECISIONS

7329
04:17:56,955 --> 04:17:58,957
AND THIS IS SOMETHING I HEAR

7330
04:17:58,957 --> 04:18:02,661
ABOUT QUITE A BIT.

7331
04:18:02,661 --> 04:18:04,896
AGAIN, MY VIEW IS AUGMENT OR

7332
04:18:04,896 --> 04:18:07,799
ASSIST BUT NOT REPLACE HUMANS,

7333
04:18:07,799 --> 04:18:08,967
AND THAT HUMAN OVERSIGHT IS

7334
04:18:08,967 --> 04:18:10,202
ABSOLUTELY NECESSARY IN HEALTH

7335
04:18:10,202 --> 04:18:10,435
CARE.

7336
04:18:10,435 --> 04:18:12,938
ANOTHER CONCERN IS LACK OF

7337
04:18:12,938 --> 04:18:13,305
TRANSPARENCY.

7338
04:18:13,305 --> 04:18:14,906
MANY MOST SUCCESSFUL A.I.

7339
04:18:14,906 --> 04:18:16,007
ALGORITHMS ARE CONSIDERED BLACK

7340
04:18:16,007 --> 04:18:16,208
BOXES.

7341
04:18:16,208 --> 04:18:19,177
THEY CAN'T REALLY TELL YOU HOW

7342
04:18:19,177 --> 04:18:20,712
THEY ACHIEVED THE RESULTS THAT

7343
04:18:20,712 --> 04:18:22,147
THEY CAME BY.

7344
04:18:22,147 --> 04:18:24,983
THERE'S A WHOLE NEW AREA OF

7345
04:18:24,983 --> 04:18:27,386
EXPLORATION IN INFORMATICS AND

7346
04:18:27,386 --> 04:18:28,253
COMPUTER SCIENCE OF EXPLAINABLE

7347
04:18:28,253 --> 04:18:30,589
A.I. WHERE YOU CAN TAKE A BLACK

7348
04:18:30,589 --> 04:18:33,091
BOX MODEL BUT HAVE ANOTHER MODEL

7349
04:18:33,091 --> 04:18:35,160
THAT CAN EXPLAIN HOW THE BLACK

7350
04:18:35,160 --> 04:18:38,897
BOX MODEL CAME ABOUT, ITS

7351
04:18:38,897 --> 04:18:39,931
DECISION MAKING TO SATISFY A

7352
04:18:39,931 --> 04:18:47,472
HEALTH CARE  PROVIDER WHO IS

7353
04:18:47,472 --> 04:18:49,307
SKEPTICAL.

7354
04:18:49,307 --> 04:18:51,510
THERE'S ISSUES OF FAIRNESS AND

7355
04:18:51,510 --> 04:18:52,077
BIAS.

7356
04:18:52,077 --> 04:18:52,711
A.I. REFLECTS BIASES PRESENT IN

7357
04:18:52,711 --> 04:18:54,546
THE DATA IT'S TRAINED ON.

7358
04:18:54,546 --> 04:18:58,383
WE'VE SEEN EXAMPLES IN THE

7359
04:18:58,383 --> 04:19:00,585
NON-HEALTH CARE DOMAINS OF

7360
04:19:00,585 --> 04:19:01,987
FACIAL RECOGNITION SYSTEMS.

7361
04:19:01,987 --> 04:19:03,855
ADOPTED BY POLICE IN SEVERAL

7362
04:19:03,855 --> 04:19:04,122
CITIES.

7363
04:19:04,122 --> 04:19:07,259
WE HAD CASES IN DETROIT AND

7364
04:19:07,259 --> 04:19:11,530
OTHER PLACES WHERE SEVERAL

7365
04:19:11,530 --> 04:19:12,831
PEOPLE WERE ARRESTED, MOSTLY

7366
04:19:12,831 --> 04:19:14,366
BLACK MALES, ESSENTIALLY THE

7367
04:19:14,366 --> 04:19:17,002
PROBLEM WAS THAT THE DATASETS

7368
04:19:17,002 --> 04:19:18,170
USED FOR TRAINING DID NOT HAVE

7369
04:19:18,170 --> 04:19:20,172
DATA ON A LOT OF PEOPLE OF

7370
04:19:20,172 --> 04:19:21,473
COLOR.

7371
04:19:21,473 --> 04:19:23,675
AND SO THE MODELS PRODUCED WERE

7372
04:19:23,675 --> 04:19:25,177
NOT ABLE TO ADEQUATELY

7373
04:19:25,177 --> 04:19:28,046
DISTINGUISH AND MAY MAKE

7374
04:19:28,046 --> 04:19:29,881
RECOMMENDATIONS ABOUT GUILT OF

7375
04:19:29,881 --> 04:19:31,983
PEOPLE WHO ARE NOT INVOLVED IN A

7376
04:19:31,983 --> 04:19:34,152
CASE, IN MANY CASES PEOPLE WERE

7377
04:19:34,152 --> 04:19:37,456
ABLE TO SHOW THAT THEY WEREN'T

7378
04:19:37,456 --> 04:19:38,757
ANYWHERE NEAR THE AREA BUT YOU

7379
04:19:38,757 --> 04:19:39,891
COULD IMAGINE THE SITUATION

7380
04:19:39,891 --> 04:19:41,393
WHERE SOMEBODY WAS SITTING IN

7381
04:19:41,393 --> 04:19:44,830
THEIR HOME, CAN'T PROVIDE AN

7382
04:19:44,830 --> 04:19:46,965
ALIBI, NOW HAS, YOU KNOW, SORT

7383
04:19:46,965 --> 04:19:51,002
OF A NIGHTMARE SITUATION TO DEAL

7384
04:19:51,002 --> 04:19:57,342
WITH. 

7385
04:19:57,342 --> 04:19:59,878
SO A.I. USES WHAT IT'S TRAINED

7386
04:19:59,878 --> 04:20:00,212
ON.

7387
04:20:00,212 --> 04:20:01,413
LOMA LINDA IN CALIFORNIA IS A

7388
04:20:01,413 --> 04:20:02,080
BLUE ZONE.

7389
04:20:02,080 --> 04:20:04,583
SO IF I WENT TO LOMA LINDA

7390
04:20:04,583 --> 04:20:08,186
HOSPITAL, SO YOU HAVE PEOPLE

7391
04:20:08,186 --> 04:20:10,822
LIVING TO 100, 101, 102, THE

7392
04:20:10,822 --> 04:20:12,023
MOST LONG LIVED AND HEALTHY.

7393
04:20:12,023 --> 04:20:13,992
IF I TOOK DATA FROM LOMA LINDA

7394
04:20:13,992 --> 04:20:18,230
HOSPITAL TO CREATE A MODEL FOR

7395
04:20:18,230 --> 04:20:19,231
HEART DISEASE PREDICTION, AND

7396
04:20:19,231 --> 04:20:23,602
THEN TOOK THAT MODEL AND PLUNKED

7397
04:20:23,602 --> 04:20:26,004
IT DOWN IN SOUTH L.A. OR HARLEM

7398
04:20:26,004 --> 04:20:27,005
I MIGHT UNDERPREDICT OUR

7399
04:20:27,005 --> 04:20:28,440
DISEASE, AND THAT WOULD NOT BE A

7400
04:20:28,440 --> 04:20:28,874
GOOD THING.

7401
04:20:28,874 --> 04:20:32,244
WE HAVE TO BE CAREFUL WHEN A.I.

7402
04:20:32,244 --> 04:20:33,278
DEVELOPERS MAKE CHANGES ON

7403
04:20:33,278 --> 04:20:34,346
GENERALIZABILITY OF TOOLS THAT

7404
04:20:34,346 --> 04:20:35,881
ARE REALLY NOT SUPPORTED BY

7405
04:20:35,881 --> 04:20:36,515
REALITY.

7406
04:20:36,515 --> 04:20:37,582
THERE'S A LOT OF EXCITEMENT BUT

7407
04:20:37,582 --> 04:20:44,055
THERE'S A NEED TO VERIFY, A NEED

7408
04:20:44,055 --> 04:20:45,624
TO REALLY RIGOROUSLY TEST THE

7409
04:20:45,624 --> 04:20:48,460
CLAIMS MADE ABOUT MODELS.

7410
04:20:48,460 --> 04:20:50,428
AND ALSO THE ISSUE THAT THE

7411
04:20:50,428 --> 04:20:53,832
ADVANCES IN A.I. AND HEALTH CARE

7412
04:20:53,832 --> 04:20:56,768
MAY OVERSHADOW REALITY BENEFITS

7413
04:20:56,768 --> 04:20:58,403
DON'T ACCRUE TO ALL PATIENTS.

7414
04:20:58,403 --> 04:21:00,038
SO THERE HAVE BEEN SEVERAL

7415
04:21:00,038 --> 04:21:02,874
PAPERS THAT SORT OF HIGHLIGHTED

7416
04:21:02,874 --> 04:21:07,312
SOME OF THE CONCERNS THAT I

7417
04:21:07,312 --> 04:21:07,646
LIST.

7418
04:21:07,646 --> 04:21:11,249
SO OVERMEYER AND OTHERS

7419
04:21:11,249 --> 04:21:14,219
ESSENTIALLY LOOKED AT PUBLISHED

7420
04:21:14,219 --> 04:21:16,821
IN "SCIENCE" IN I BELIEVE 2019

7421
04:21:16,821 --> 04:21:19,925
AN ARTICLE SHOWING THAT AN 

7422
04:21:19,925 --> 04:21:25,163
ALGORITHM THAT WAS COMMONLY USED

7423
04:21:25,163 --> 04:21:28,233
TO ASSIGN CARE HAD RACIAL BIAS

7424
04:21:28,233 --> 04:21:31,069
BECAUSE IT WAS USING COST AS A

7425
04:21:31,069 --> 04:21:35,373
PROXY FOR NEED, AND IN THE

7426
04:21:35,373 --> 04:21:36,808
DATASET WHITE PATIENTS HAD MORE

7427
04:21:36,808 --> 04:21:38,543
HEALTH CARE COST BECAUSE THEY

7428
04:21:38,543 --> 04:21:40,078
HAD MORE ACCESS, BETTER ACCESS

7429
04:21:40,078 --> 04:21:40,378
TO CARE.

7430
04:21:40,378 --> 04:21:43,682
AND SO IT ENDED UP THAT BLACK

7431
04:21:43,682 --> 04:21:45,951
PATIENTS WHO WERE SICKER WERE

7432
04:21:45,951 --> 04:21:47,886
ASSUMED BY THE ALGORITHM TO BE

7433
04:21:47,886 --> 04:21:49,454
HEALTHIER BECAUSE THEIR HEALTH

7434
04:21:49,454 --> 04:21:55,927
CARE COSTS WEREN'T AS HIGH.

7435
04:21:55,927 --> 04:21:58,229
AND THAT'S PROBLEMATIC.

7436
04:21:58,229 --> 04:22:01,299
ANOTHER STUDY THAT WAS PUBLISHED

7437
04:22:01,299 --> 04:22:07,005
RELATIVELY RECENTLY WAS ONE THAT

7438
04:22:07,005 --> 04:22:10,375
SHOWED JUDY DACHOYA AND OTHERS

7439
04:22:10,375 --> 04:22:14,980
INCLUDING LEO SELLE AT M.I.T.

7440
04:22:14,980 --> 04:22:18,149
LOOKED -- A STUDY DEMONSTRATED

7441
04:22:18,149 --> 04:22:23,755
ABILITY OF A.I., CONVOLUTIONAL 

7442
04:22:23,755 --> 04:22:25,390
NEURAL NETWORKS, TO ACCURATELY

7443
04:22:25,390 --> 04:22:27,926
ASSESS A PATIENT'S SELF-REPORTED

7444
04:22:27,926 --> 04:22:29,561
RACE FROM X-RAY, CT, DID NOT

7445
04:22:29,561 --> 04:22:30,795
INCLUDE RACIAL INFORMATION THAT

7446
04:22:30,795 --> 04:22:33,031
A HUMAN EXPERT COULD DISCERN.

7447
04:22:33,031 --> 04:22:35,133
SO COULD NOT FIGURE OUT HOW THE

7448
04:22:35,133 --> 04:22:38,236
ALGORITHM WAS FIGURING OUT THE

7449
04:22:38,236 --> 04:22:39,537
SELF-REPORTED RACE OF PATIENTS

7450
04:22:39,537 --> 04:22:41,840
ACCURATELY BECAUSE DATA WAS NOT

7451
04:22:41,840 --> 04:22:43,675
LABELED WITH RACE.

7452
04:22:43,675 --> 04:22:45,477
THAT RAISED CONCERNS ABOUT

7453
04:22:45,477 --> 04:22:46,544
UNINTENTIONAL REINFORCEMENT OF

7454
04:22:46,544 --> 04:22:48,513
RACIAL BIAS IN MEDICAL

7455
04:22:48,513 --> 04:22:49,748
TREATMENT, IF THE ALGORITHM

7456
04:22:49,748 --> 04:22:51,049
NOTES SOMETHING THAT THE

7457
04:22:51,049 --> 04:22:52,784
PROVIDERS DON'T EVEN KNOW THAT

7458
04:22:52,784 --> 04:22:53,451
IT KNOWS.

7459
04:22:53,451 --> 04:22:55,854
AND ALSO AGAIN LACK OF

7460
04:22:55,854 --> 04:22:57,122
TRANSPARENCY IN TERMS OF

7461
04:22:57,122 --> 04:22:59,124
MECHANISMS THAT A.I. ALGORITHMS

7462
04:22:59,124 --> 04:23:01,760
USED TO IDENTIFY RACE IN THIS

7463
04:23:01,760 --> 04:23:06,131
CASE ARE POORLY UNDERSTOOD

7464
04:23:06,131 --> 04:23:07,332
BECAUSE THEY COULDN'T FIGURE OUT

7465
04:23:07,332 --> 04:23:09,534
HOW THE ALGORITHM WAS CORRECTLY

7466
04:23:09,534 --> 04:23:12,270
ASSESSING RACE OF PATIENTS WITH

7467
04:23:12,270 --> 04:23:16,841
DATA NOT LABELED IN ANY WAY BY

7468
04:23:16,841 --> 04:23:20,545
RACE. 

7469
04:23:20,545 --> 04:23:23,081
AND POTENTIAL FOR VIOLATION OF

7470
04:23:23,081 --> 04:23:26,384
PATIENT PRIVACY.

7471
04:23:26,384 --> 04:23:29,854
HERNANDEZ AND OTHERS HAVE

7472
04:23:29,854 --> 04:23:30,855
RECOMMENDED TO DISMANTLE

7473
04:23:30,855 --> 04:23:33,291
RACE-BASED MEDICINE, HAVE A

7474
04:23:33,291 --> 04:23:35,293
RACE-AWARE APPROACH TO CLINICAL

7475
04:23:35,293 --> 04:23:36,461
DECISION SUPPORT THAT DEFINITELY

7476
04:23:36,461 --> 04:23:38,129
CONSIDERS SOCIAL AND

7477
04:23:38,129 --> 04:23:39,330
ENVIRONMENTAL FACTORS LIKE

7478
04:23:39,330 --> 04:23:40,532
STRUCTURAL RACISM AS WELL AS

7479
04:23:40,532 --> 04:23:41,733
SOCIAL DETERMINANTS OF HEALTH

7480
04:23:41,733 --> 04:23:47,305
WHICH YOU ALL HAVE BEEN

7481
04:23:47,305 --> 04:23:47,772
DISCUSSING.

7482
04:23:47,772 --> 04:23:48,273
AND SO INCLUDING SOCIAL

7483
04:23:48,273 --> 04:23:54,212
DETERMINANTS OF HEALTH AND A.I. 

7484
04:23:54,212 --> 04:23:56,214
MODELS MAY IMPROVE ACCURACY, SO

7485
04:23:56,214 --> 04:23:58,616
ACCESS TO HEALTH CARE SERVICES,

7486
04:23:58,616 --> 04:24:00,585
HEALTHY FOOD, NEIGHBORHOOD AND

7487
04:24:00,585 --> 04:24:01,653
BUILT ENVIRONMENT, EDUCATIONAL

7488
04:24:01,653 --> 04:24:03,421
ATTAINMENT, SO ON.

7489
04:24:03,421 --> 04:24:06,224
WE'VE HAD IN OUR WORK SOME

7490
04:24:06,224 --> 04:24:08,993
SUCCESS WITH USING, SO BASED ON

7491
04:24:08,993 --> 04:24:13,498
EHR DATA WE CAN MAP TO THE CDC

7492
04:24:13,498 --> 04:24:14,499
SOCIAL VULNERABILITY INDEX,

7493
04:24:14,499 --> 04:24:18,169
INCLUDE THAT IN MODELS.

7494
04:24:18,169 --> 04:24:20,171
ALSO MAP TO UNIVERSITY OF

7495
04:24:20,171 --> 04:24:30,115
WISCONSIN AREA DEPRIVATION

7496
04:24:30,115 --> 04:24:30,348
INDEX.

7497
04:24:30,348 --> 04:24:32,083
SOCIAL SUPPORT NETWORKS ARE

7498
04:24:32,083 --> 04:24:32,984
IMPORTANT, COMMUNITY ENGAGEMENT,

7499
04:24:32,984 --> 04:24:33,752
INDIVIDUAL EXPERIENCE WITH

7500
04:24:33,752 --> 04:24:34,119
DISCRIMINATION.

7501
04:24:34,119 --> 04:24:38,456
IF YOU'RE DOING A MODEL THAT IS

7502
04:24:38,456 --> 04:24:40,291
IN THE MENTAL HEALTH DOMAIN, FOR

7503
04:24:40,291 --> 04:24:45,897
EXAMPLE, THAT'S IMPORTANT TO

7504
04:24:45,897 --> 04:24:46,097
KNOW.

7505
04:24:46,097 --> 04:24:47,632
SO, PUBLICATION FROM 2022 FOUND

7506
04:24:47,632 --> 04:24:49,801
MACHINE LEARNING MODELS THAT

7507
04:24:49,801 --> 04:24:50,702
INCORPORATED SOCIAL DETERMINANTS

7508
04:24:50,702 --> 04:24:52,904
OF HEALTH VERSUS TRADITIONAL

7509
04:24:52,904 --> 04:24:57,509
MODELS THAT DID NOT WERE

7510
04:24:57,509 --> 04:24:59,778
ACTUALLY PARTICULARLY GOOD FOR

7511
04:24:59,778 --> 04:25:02,847
PREDICTING THE RISK OF

7512
04:25:02,847 --> 04:25:04,716
IN-HOSPITAL MORTALITY AFTER A

7513
04:25:04,716 --> 04:25:05,817
HOSPITALIZATION FOR HEART

7514
04:25:05,817 --> 04:25:07,685
FAILURE PARTICULARLY IN BLACK

7515
04:25:07,685 --> 04:25:08,052
ADULTS.

7516
04:25:08,052 --> 04:25:10,488
THE INTERESTING THING THOUGH WAS

7517
04:25:10,488 --> 04:25:12,390
THAT THE SOCIAL DETERMINANTS OF

7518
04:25:12,390 --> 04:25:14,559
HEALTH WERE NOT PARTICULARLY

7519
04:25:14,559 --> 04:25:15,226
USEFUL FOR PREDICTION FOR

7520
04:25:15,226 --> 04:25:16,060
NON-BLACK PATIENTS.

7521
04:25:16,060 --> 04:25:16,728
SO THAT'S SOMETHING THAT NEEDS

7522
04:25:16,728 --> 04:25:18,830
TO BE EXPLORE A LITTLE BIT MORE.

7523
04:25:18,830 --> 04:25:21,566
BUT IT WAS -- IT REALLY IMPROVED

7524
04:25:21,566 --> 04:25:24,736
RISK PREDICTION OF IN-HOSPITAL

7525
04:25:24,736 --> 04:25:30,909
MORTALITY AFTER HEART FAILURE 

7526
04:25:30,909 --> 04:25:31,843
HOSPITALIZATION IN BLACK

7527
04:25:31,843 --> 04:25:32,844
PATIENTS.

7528
04:25:32,844 --> 04:25:33,511
WE'VE TALKED ABOUT BENEFITS AND

7529
04:25:33,511 --> 04:25:34,612
CONCERNS OF A.I.

7530
04:25:34,612 --> 04:25:36,247
IF YOU HAVE CONCERNS, THE NEXT

7531
04:25:36,247 --> 04:25:39,184
THOUGHT IN MY MIND IS, WELL,

7532
04:25:39,184 --> 04:25:42,620
WHAT ABOUT REGULATION?

7533
04:25:42,620 --> 04:25:44,989
AND SO WE HAVE VERY INTERESTING

7534
04:25:44,989 --> 04:25:46,858
SITUATION WHERE THE EUROPEAN

7535
04:25:46,858 --> 04:25:50,795
UNION LAST YEAR HAD THE A.I. ACT

7536
04:25:50,795 --> 04:25:52,230
PASSED BY PARLIAMENT IN JUNE,

7537
04:25:52,230 --> 04:25:56,501
AND THEN THIS YEAR WAS FORMALLY

7538
04:25:56,501 --> 04:25:56,935
ADOPTED.

7539
04:25:56,935 --> 04:25:59,704
AND IT'S BILLED ACE THE FIRST

7540
04:25:59,704 --> 04:26:00,338
EVER COMPREHENSIVE LEGAL

7541
04:26:00,338 --> 04:26:02,774
FRAMEWORK ON A.I. WORLDWIDE,

7542
04:26:02,774 --> 04:26:05,844
FOCUSING ON PRIVACY PROTECTION,

7543
04:26:05,844 --> 04:26:06,678
DATA RIGHTS, ESTABLISHES

7544
04:26:06,678 --> 04:26:11,416
GOVERNING BODIES FOR A.I. IN THE

7545
04:26:11,416 --> 04:26:14,252
EUROPEAN UNION, AND CLASSIFIES

7546
04:26:14,252 --> 04:26:17,422
RISK AS UNACCEPTABLE, INCLUDING

7547
04:26:17,422 --> 04:26:21,259
A.I. THAT PERFORMS COGNITIVE

7548
04:26:21,259 --> 04:26:22,026
BEHAVIORAL MANIPULATION, SOCIAL

7549
04:26:22,026 --> 04:26:27,165
SCORING, OR A.I. THAT COMPILES

7550
04:26:27,165 --> 04:26:30,568
BY SCRAPING INTERNET FOR FACIAL

7551
04:26:30,568 --> 04:26:34,072
IMAGES OR SCRAPING PUBLIC CCTV

7552
04:26:34,072 --> 04:26:34,939
FOOTAGE FOR FACIAL RECOGNITION

7553
04:26:34,939 --> 04:26:35,707
INFO.

7554
04:26:35,707 --> 04:26:36,674
AN ARTICLE IN THE "NEW YORK

7555
04:26:36,674 --> 04:26:39,310
TIMES" LAST YEAR TALKED ABOUT A

7556
04:26:39,310 --> 04:26:41,412
COMPANY IN THE U.S. DOING

7557
04:26:41,412 --> 04:26:42,213
EXACTLY THAT.

7558
04:26:42,213 --> 04:26:43,615
IN THE E.U. THEY WOULD NOT BE

7559
04:26:43,615 --> 04:26:45,250
ABLE TO DO THAT.

7560
04:26:45,250 --> 04:26:47,652
CLASSIFIED A.I. RISK AS

7561
04:26:47,652 --> 04:26:50,054
UNACCEPTABLE, HIGH, LIMITED, OR

7562
04:26:50,054 --> 04:26:52,991
MINIMAL, AND ADVANCE A.I. WITH

7563
04:26:52,991 --> 04:26:54,225
UNACCEPTABLE RISK.

7564
04:26:54,225 --> 04:26:57,495
IN THE U.S., A.I. REGULATION IS

7565
04:26:57,495 --> 04:27:00,965
FRAGMENTED AND SECTOR SPECIFIC.

7566
04:27:00,965 --> 04:27:01,966
THERE'S NO OVERARCHING

7567
04:27:01,966 --> 04:27:03,635
REGULATORY FRAMEWORK THE WAY WE

7568
04:27:03,635 --> 04:27:05,470
SEE IN THE EUROPEAN UNION.

7569
04:27:05,470 --> 04:27:08,339
THE FDA OF COURSE DOES REGULATE

7570
04:27:08,339 --> 04:27:10,575
A.I. AND MACHINE LEARNING IN

7571
04:27:10,575 --> 04:27:13,711
MEDICAL DEVICES AND A.I.

7572
04:27:13,711 --> 04:27:15,780
ESSENTIALLY SOFTWARE AS MEDICAL

7573
04:27:15,780 --> 04:27:19,317
DEVICE, SO THE AREA OF DIABETIC

7574
04:27:19,317 --> 04:27:20,818
RETINOPATHY IS ONE OF THE AREAS

7575
04:27:20,818 --> 04:27:23,554
WHERE A LOT OF MACHINE LEARNING

7576
04:27:23,554 --> 04:27:25,857
MODELS HAVE BEEN APPROVED BY THE

7577
04:27:25,857 --> 04:27:26,391
FDA AND MONITORED.

7578
04:27:26,391 --> 04:27:31,095
BUT ONE OF THE THINGS WE NEED TO

7579
04:27:31,095 --> 04:27:34,365
THINK ABOUT IS WHEN AN A.I.

7580
04:27:34,365 --> 04:27:36,801
MODEL IS APPROVED BY THE FDA,

7581
04:27:36,801 --> 04:27:38,636
WHAT COMES NEXT?

7582
04:27:38,636 --> 04:27:40,738
IF IT'S A DRUG, YOU DO A

7583
04:27:40,738 --> 04:27:41,372
FOLLOW-ON STUDY.

7584
04:27:41,372 --> 04:27:42,807
WITH MACHINE LEARNING WHAT WE

7585
04:27:42,807 --> 04:27:45,310
KNOW IS THAT A HOSPITAL -- SO IF

7586
04:27:45,310 --> 04:27:46,978
THE HOSPITAL IS USING MACHINE

7587
04:27:46,978 --> 04:27:49,380
LEARNING FOR PREDICTION FOR

7588
04:27:49,380 --> 04:27:50,114
PARTICULAR CONDITION, THE

7589
04:27:50,114 --> 04:27:52,083
HOSPITAL POPULATION CHANGES OVER

7590
04:27:52,083 --> 04:27:53,418
TIME, SO A.I. MODELS HAVE TO

7591
04:27:53,418 --> 04:27:53,885
CHANGE.

7592
04:27:53,885 --> 04:27:56,254
YOU COULD HAVE A POPULATION THAT

7593
04:27:56,254 --> 04:27:58,022
WAS YOUNG AND GOES -- GETS

7594
04:27:58,022 --> 04:28:01,192
OLDER, THE CONDITIONS OF

7595
04:28:01,192 --> 04:28:02,727
DISEASES AND RISK FACTORS, ALL

7596
04:28:02,727 --> 04:28:06,664
THE THINGS THAT WENT INTO 

7597
04:28:06,664 --> 04:28:07,732
BUILDING THE ORIGINAL MODEL NEED

7598
04:28:07,732 --> 04:28:09,467
TO BE UPDATED, SOMETHING WE NEED

7599
04:28:09,467 --> 04:28:12,003
TO THINK ABOUT OVER TIME.

7600
04:28:12,003 --> 04:28:14,739
IT'S NOT CLEAR THAT THE FDA IS

7601
04:28:14,739 --> 04:28:18,142
TAKING ON THAT PART OF THE

7602
04:28:18,142 --> 04:28:19,177
REGULATION AND OVERSIGHT.

7603
04:28:19,177 --> 04:28:22,180
AND THE U.S. CONGRESS RECENTLY

7604
04:28:22,180 --> 04:28:24,349
HAD -- THE SENATE HAD A

7605
04:28:24,349 --> 04:28:27,552
BIPARTISAN GROUP THAT'S LOOKING

7606
04:28:27,552 --> 04:28:30,254
AT INJECTING $32 BILLION INTO

7607
04:28:30,254 --> 04:28:32,123
A.I., INTO ESSENTIALLY MAKING

7608
04:28:32,123 --> 04:28:34,459
THE -- MAKING SURE THE U.S. IS A

7609
04:28:34,459 --> 04:28:37,395
LEADER AND COMPETITIVE BUT

7610
04:28:37,395 --> 04:28:38,262
THERE'S NO MENTION OF

7611
04:28:38,262 --> 04:28:38,930
REGULATION.

7612
04:28:38,930 --> 04:28:41,666
THE IDEA IS TO HAVE US, YOU

7613
04:28:41,666 --> 04:28:43,301
KNOW, BE AS ADVANCE AS WE CAN BE

7614
04:28:43,301 --> 04:28:46,170
BUT I THINK THERE'S A NEED TO

7615
04:28:46,170 --> 04:28:50,008
ALSO LOOK AT REGULATIONS.

7616
04:28:50,008 --> 04:28:51,075
AND I'M A PROPONENT OF A.I. BUT

7617
04:28:51,075 --> 04:28:54,278
I THINK IN MANY CASES IT DOES

7618
04:28:54,278 --> 04:28:55,780
NEED TO BE REGULATED.

7619
04:28:55,780 --> 04:28:57,448
SO IN SUMMARY, I TALKED ABOUT

7620
04:28:57,448 --> 04:28:59,417
A.I. IN HEALTH CARE AND THE FACT

7621
04:28:59,417 --> 04:29:01,152
IT CAN BE USED, COULD BE A VERY

7622
04:29:01,152 --> 04:29:04,489
USEFUL TOOL IN THE PUSH TO

7623
04:29:04,489 --> 04:29:06,090
REDUCE OR ELIMINATE HEALTH

7624
04:29:06,090 --> 04:29:08,259
DISPARITIES AND ACHIEVE HEALTH

7625
04:29:08,259 --> 04:29:08,493
EQUITY.

7626
04:29:08,493 --> 04:29:09,694
IT PROVIDES MANY BENEFITS I'VE

7627
04:29:09,694 --> 04:29:11,796
MENTIONED FOR PATIENTS AND

7628
04:29:11,796 --> 04:29:12,296
PROVIDERS.

7629
04:29:12,296 --> 04:29:17,268
BUT IT ALSO HAS GREAT CONCERNS 

7630
04:29:17,268 --> 04:29:18,002
ABOUT TRANSPARENCY, FAIRNESS,

7631
04:29:18,002 --> 04:29:20,104
BIAS, AND I TALKED ABOUT THE

7632
04:29:20,104 --> 04:29:21,339
FACT THAT INCLUSION OF SOCIAL

7633
04:29:21,339 --> 04:29:22,173
DETERMINANTS OF HEALTH CAN

7634
04:29:22,173 --> 04:29:25,209
IMPROVE A.I. MODELS USED IN

7635
04:29:25,209 --> 04:29:26,944
HEALTH CARE AND THE E.U. HAS

7636
04:29:26,944 --> 04:29:29,113
DECIDED TO REGULATE A.I. THROUGH

7637
04:29:29,113 --> 04:29:31,716
THIS NEW COMPREHENSIVE A.I. ACT

7638
04:29:31,716 --> 04:29:34,385
WHERE U.S. REGULATIONS ARE MORE

7639
04:29:34,385 --> 04:29:37,855
FRAGMENTED AT THE PRESENT TIME.

7640
04:29:37,855 --> 04:29:39,490
FDA DOES FOCUS ON REGULATING

7641
04:29:39,490 --> 04:29:41,459
A.I. AND MACHINE LEARNING USED

7642
04:29:41,459 --> 04:29:43,528
IN HEALTH CARE.

7643
04:29:43,528 --> 04:29:44,629
SO, I'M HAPPY TO TAKE ANY

7644
04:29:44,629 --> 04:29:48,132
QUESTIONS THAT YOU MAY HAVE.

7645
04:29:48,132 --> 04:29:50,668
>> THANK YOU SO MUCH.

7646
04:29:50,668 --> 04:29:52,837
YES.

7647
04:29:52,837 --> 04:29:55,139
 

7648
04:29:55,139 --> 04:29:59,744
THANK YOU, DR. OGUNYEMI. 

7649
04:29:59,744 --> 04:30:03,981
REALLY APPRECIATED THAT TALK.

7650
04:30:03,981 --> 04:30:05,116
DR. AYALA, I'LL TURN IT OVER TO

7651
04:30:05,116 --> 04:30:05,516
YOU.

7652
04:30:05,516 --> 04:30:08,719
>> THANK YOU, DR.
OGUNYEMI.

7653
04:30:08,719 --> 04:30:09,387
AMAZING PRESENTATION.

7654
04:30:09,387 --> 04:30:10,555
I'M DEFINITELY GOING TO COME UP

7655
04:30:10,555 --> 04:30:13,291
AND SEE YOU BECAUSE WE'RE BOTH

7656
04:30:13,291 --> 04:30:14,292
RCMI INSTITUTIONS.

7657
04:30:14,292 --> 04:30:17,361
AND WE HAVE A LOT OF DATA WE

7658
04:30:17,361 --> 04:30:18,896
NEED TO EXPLORE TOGETHER.

7659
04:30:18,896 --> 04:30:21,599
A.I. IS NOT MY AREA OF EXPERTISE

7660
04:30:21,599 --> 04:30:21,933
AT ALL.

7661
04:30:21,933 --> 04:30:23,167
AND IT'S INTERESTING TO BE

7662
04:30:23,167 --> 04:30:25,670
SELECTED FOR THIS BECAUSE I'M

7663
04:30:25,670 --> 04:30:26,537
ACTUALLY TECHNOLOGY PHOBIC WHEN

7664
04:30:26,537 --> 04:30:27,638
IT COMES TO CERTAIN THINGS.

7665
04:30:27,638 --> 04:30:31,476
AND THIS IS ONE OF THEM.

7666
04:30:31,476 --> 04:30:33,678
SO I APPRECIATED THE BROADER

7667
04:30:33,678 --> 04:30:34,579
INTRODUCTION TO ARTIFICIAL

7668
04:30:34,579 --> 04:30:34,946
INTELLIGENCE.

7669
04:30:34,946 --> 04:30:36,147
VARIOUS TYPES.

7670
04:30:36,147 --> 04:30:38,182
AND THE MACHINE LEARNING.

7671
04:30:38,182 --> 04:30:40,952
I ALSO APPRECIATED YOUR COMMENT

7672
04:30:40,952 --> 04:30:42,320
REGARDING GENERALIZABILITY

7673
04:30:42,320 --> 04:30:43,454
BECAUSE IT'S DEFINITELY ONE OF

7674
04:30:43,454 --> 04:30:45,490
MY CONCERNS, SO I'M GLAD IT'S ON

7675
04:30:45,490 --> 04:30:46,524
FOLKS' RADAR.

7676
04:30:46,524 --> 04:30:49,460
I THINK IN THE CONTEXT OF THE

7677
04:30:49,460 --> 04:30:50,328
DISCUSSION, OUR DISCUSSIONS

7678
04:30:50,328 --> 04:30:53,531
TODAY, WHICH I DON'T KNOW  IF

7679
04:30:53,531 --> 04:30:55,933
YOU WERE PART OF, IT WAS REALLY

7680
04:30:55,933 --> 04:30:58,870
GOOD TO END ON THIS PRESENTATION

7681
04:30:58,870 --> 04:31:01,072
BECAUSE WE'RE TALKING -- WE

7682
04:31:01,072 --> 04:31:02,507
TALKED ABOUT SOCIAL DETERMINANTS

7683
04:31:02,507 --> 04:31:05,109
OF HEALTH, SOCIAL DRIVERS OF

7684
04:31:05,109 --> 04:31:05,443
HEALTH.

7685
04:31:05,443 --> 04:31:08,613
OTHER DATA THAT WE CAN USE FROM

7686
04:31:08,613 --> 04:31:09,814
ELECTRONIC HEALTH RECORDS,

7687
04:31:09,814 --> 04:31:11,249
COMMON DATA ELEMENTS, AND SO I

7688
04:31:11,249 --> 04:31:14,185
GUESS ONE OF MY QUESTIONS IS

7689
04:31:14,185 --> 04:31:16,821
AROUND THE ISSUE OF DATA QUALITY

7690
04:31:16,821 --> 04:31:18,589
THAT'S BEING USED TO DERIVE

7691
04:31:18,589 --> 04:31:19,590
THOSE ESTIMATES.

7692
04:31:19,590 --> 04:31:24,061
I GUESS AS I'M EXPLORING EHR 

7693
04:31:24,061 --> 04:31:26,030
DATA MORE AND MORE, INCREASINGLY

7694
04:31:26,030 --> 04:31:27,165
SKEPTICAL ABOUT IT, SO IF YOU

7695
04:31:27,165 --> 04:31:29,967
CAN COMMENT MAYBE A LITTLE BIT

7696
04:31:29,967 --> 04:31:31,369
ABOUT THAT.

7697
04:31:31,369 --> 04:31:33,471
>> NO QUESTION IT'S
DEFINITELY A

7698
04:31:33,471 --> 04:31:33,905
CHALLENGE.

7699
04:31:33,905 --> 04:31:35,306
DATA COLLECTED AT THE POINT OF

7700
04:31:35,306 --> 04:31:36,741
CARE IS NOT RESEARCH QUALITY

7701
04:31:36,741 --> 04:31:38,843
DATA BY ANY STRETCH OF THE

7702
04:31:38,843 --> 04:31:39,243
IMAGINATION.

7703
04:31:39,243 --> 04:31:40,044
THAT IS A CONCERN.

7704
04:31:40,044 --> 04:31:41,379
IT IS A VALID CONCERN.

7705
04:31:41,379 --> 04:31:43,014
THERE'S A LOT OF EFFORT THAT HAS

7706
04:31:43,014 --> 04:31:47,251
TO GO INTO DATA CLEANING WHEN

7707
04:31:47,251 --> 04:31:49,453
YOU'RE USING EHR DATA, AND IN

7708
04:31:49,453 --> 04:31:51,656
FACT FOR OUR MACHINE LEARNING

7709
04:31:51,656 --> 04:31:54,425
PROJECT DATA CLEANING CONSUMES

7710
04:31:54,425 --> 04:31:55,693
MOST OF THE -- LEARNING THE

7711
04:31:55,693 --> 04:31:59,463
MODELS IS NOT THE DIFFICULT

7712
04:31:59,463 --> 04:32:01,632
PART, IT'S DATA CLEANING.

7713
04:32:01,632 --> 04:32:03,167
HOWEVER, I THINK THERE'S VALUE

7714
04:32:03,167 --> 04:32:07,672
IN DEVELOPING MODELS FROM CARE

7715
04:32:07,672 --> 04:32:09,507
AS IT OCCURS.

7716
04:32:09,507 --> 04:32:10,841
WITH THE CAVEAT OF COURSE THAT,

7717
04:32:10,841 --> 04:32:14,745
YES, A LOT OF ATTENTION DOES

7718
04:32:14,745 --> 04:32:16,080
HAVE TO BE FOCUSED ON DATA

7719
04:32:16,080 --> 04:32:19,884
QUALITY AND DATA CLEANING.

7720
04:32:19,884 --> 04:32:20,985
>> AND BUILDING ON THAT WE
WERE

7721
04:32:20,985 --> 04:32:22,753
TALKING ABOUT COMMON DATA

7722
04:32:22,753 --> 04:32:25,356
ELEMENTS, THE NEED FOR MORE

7723
04:32:25,356 --> 04:32:26,891
NURSE-LED AND OTHER

7724
04:32:26,891 --> 04:32:27,792
PRACTITIONER-LED EFFORTS TO

7725
04:32:27,792 --> 04:32:29,527
IDENTIFY COMMON DATA ELEMENTS

7726
04:32:29,527 --> 04:32:34,131
THEY COULD REALLY CONTRIBUTE TO

7727
04:32:34,131 --> 04:32:38,069
THIS.

7728
04:32:38,069 --> 04:32:39,470
BROADER QUESTION, MAYBE OTHER

7729
04:32:39,470 --> 04:32:44,108
FOLKS KNOW, IS THERE RESEARCH

7730
04:32:44,108 --> 04:32:44,642
AROUND PRACTITIONERS'

7731
04:32:44,642 --> 04:32:46,477
RECEPTIVITY TO USING THAT

7732
04:32:46,477 --> 04:32:48,679
INFORMATION IN THE CLINICAL

7733
04:32:48,679 --> 04:32:49,113
ENCOUNTER?

7734
04:32:49,113 --> 04:32:51,949
>> IT'S FUNNY YOU MENTION
THIS.

7735
04:32:51,949 --> 04:32:55,853
I THINK IT WAS EITHER KAISER OR

7736
04:32:55,853 --> 04:32:59,390
CEDARS THAT HAD A NUMBER OF

7737
04:32:59,390 --> 04:33:01,259
NURSING SAYS WE DON'T WANT A.I.

7738
04:33:01,259 --> 04:33:03,461
THAT HASN'T BEEN VALIDATED

7739
04:33:03,461 --> 04:33:04,662
GIVING SUGGESTIONS ABOUT

7740
04:33:04,662 --> 04:33:05,863
ANYTHING.

7741
04:33:05,863 --> 04:33:07,198
BUT WHAT WE FOUND ESPECIALLY

7742
04:33:07,198 --> 04:33:08,633
WITH INTRODUCTION OF ChatGPT,

7743
04:33:08,633 --> 04:33:11,669
THERE'S A ChatGPT EFFECT WHERE

7744
04:33:11,669 --> 04:33:13,204
PEOPLE ARE ACTUALLY GENERALLY

7745
04:33:13,204 --> 04:33:15,706
MORE LIKELY TO THINK THAT

7746
04:33:15,706 --> 04:33:18,476
COMPUTERS HAVE THE RIGHT

7747
04:33:18,476 --> 04:33:18,743
ANSWERS.

7748
04:33:18,743 --> 04:33:21,979
AND TO DEFER TO COMPUTERS IN

7749
04:33:21,979 --> 04:33:23,047
CERTAIN CASES WHERE THEY

7750
04:33:23,047 --> 04:33:25,783
PROBABLY SHOULD NOT.

7751
04:33:25,783 --> 04:33:27,752
BUT SO RECEPTIVITY VARIES

7752
04:33:27,752 --> 04:33:31,255
OBVIOUSLY, THOSE WHO HAVE

7753
04:33:31,255 --> 04:33:33,090
EMBRACED A.I.

7754
04:33:33,090 --> 04:33:36,294
AND THOSE WHO ARE -- RIGHTLY

7755
04:33:36,294 --> 04:33:37,495
SKEPTICAL, THERE ARE A LOT OF

7756
04:33:37,495 --> 04:33:42,733
CLAIMS BEING MADE RIGHT NOW THAT

7757
04:33:42,733 --> 04:33:44,735
A.I. IS DEFINITELY NOT PERFECT

7758
04:33:44,735 --> 04:33:47,805
AND AS I SAID THERE NEEDS TO BE,

7759
04:33:47,805 --> 04:33:50,975
YOU KNOW, MONITORING OF SYSTEMS

7760
04:33:50,975 --> 04:33:51,909
OVER TIME, THERE NEEDS TO BE

7761
04:33:51,909 --> 04:33:53,377
LOOKING AT THE QUALITY OF

7762
04:33:53,377 --> 04:33:54,478
DATASETS, NEED TO LOOK AT THE

7763
04:33:54,478 --> 04:33:57,214
DIVERSITY OF THE DATA AND

7764
04:33:57,214 --> 04:33:59,417
DATASETS. 

7765
04:33:59,417 --> 04:34:01,052
ARE YOU TAKING DATA FROM

7766
04:34:01,052 --> 04:34:02,386
COMMUNITY, YOU KNOW, IN ALASKA

7767
04:34:02,386 --> 04:34:04,555
AND TRYING TO APPLY IT IN

7768
04:34:04,555 --> 04:34:06,557
BALTIMORE WITHOUT ANY REGARD FOR

7769
04:34:06,557 --> 04:34:07,958
ANY KIND OF DIFFERENCES IN THE

7770
04:34:07,958 --> 04:34:10,227
PREVALENCE OF DISEASE IN BOTH

7771
04:34:10,227 --> 04:34:14,465
COMMUNITIES AND SO ON.

7772
04:34:14,465 --> 04:34:17,268
SO THERE NEEDS TO BE MORE

7773
04:34:17,268 --> 04:34:18,836
SKEPTICISM ABOUT CLAIMS ABOUT

7774
04:34:18,836 --> 04:34:21,672
A.I. BUT DEFINITELY THINKING OF

7775
04:34:21,672 --> 04:34:23,841
NUMEROUS BENEFITS, AND THE

7776
04:34:23,841 --> 04:34:25,810
INTERESTING THING IS PATIENTS

7777
04:34:25,810 --> 04:34:27,678
ALSO, YOU KNOW, HAD

7778
04:34:27,678 --> 04:34:29,447
CONVERSATIONS WITH PATIENTS

7779
04:34:29,447 --> 04:34:30,848
WHERE WE FOUND THAT A LOT OF

7780
04:34:30,848 --> 04:34:34,051
PATIENTS IN THIS AREA WHO ARE

7781
04:34:34,051 --> 04:34:35,286
MORE RECENT IMMIGRANTS SEE

7782
04:34:35,286 --> 04:34:38,756
TECHNOLOGY AS A GOOD THING, AND

7783
04:34:38,756 --> 04:34:40,424
SO, YOU KNOW, ANY ADVANCE IN

7784
04:34:40,424 --> 04:34:41,625
TECHNOLOGY IS GREAT.

7785
04:34:41,625 --> 04:34:49,300
IT'S MOVING INTO THE FUTURE.

7786
04:34:49,300 --> 04:34:51,235
WHEREAS THOSE HERE LONGER ARE

7787
04:34:51,235 --> 04:34:51,869
SKEPTICAL.

7788
04:34:51,869 --> 04:34:56,807
YOU'RE BASICALLY TRYING TO

7789
04:34:56,807 --> 04:34:58,576
SHORTCHANGE US, PEOPLE ARE LIKE

7790
04:34:58,576 --> 04:35:00,044
I WOULD PREFER THE TRADITIONAL

7791
04:35:00,044 --> 04:35:01,645
SEE MY HEALTH CARE PROVIDER,

7792
04:35:01,645 --> 04:35:03,514
THEY KNOW WHAT THEY KNOW AND I

7793
04:35:03,514 --> 04:35:05,249
DON'T NEED THIS NEW FANGLED

7794
04:35:05,249 --> 04:35:07,985
TECHNOLOGY IN BETWEEN.

7795
04:35:07,985 --> 04:35:10,087
SO IT'S REALLY INTERESTING THAT

7796
04:35:10,087 --> 04:35:15,459
THERE'S BASICALLY A WIDE VARIETY

7797
04:35:15,459 --> 04:35:17,161
IN RECEPTION OF A.I. RECENTLY.

7798
04:35:17,161 --> 04:35:17,862
>> THANK YOU.

7799
04:35:17,862 --> 04:35:19,363
THAT MIGHT EXPLAIN IT.

7800
04:35:19,363 --> 04:35:21,899
I'M DEFINITELY A SECOND

7801
04:35:21,899 --> 04:35:23,534
GENERATION IMMIGRANT, SO I'M NOT

7802
04:35:23,534 --> 04:35:27,138
INNOVATE  INNOVATIVE IN THAT

7803
04:35:27,138 --> 04:35:27,671
SENSE.

7804
04:35:27,671 --> 04:35:29,039
IN TERMS OF HOW WE'RE USING

7805
04:35:29,039 --> 04:35:30,975
MACHINE LEARNING I DO SEE SOME

7806
04:35:30,975 --> 04:35:35,379
VALUE IN, ONE IS WE USED IT TO

7807
04:35:35,379 --> 04:35:36,914
ANALYZE DATA THAT WAS BASED ON

7808
04:35:36,914 --> 04:35:41,385
EYE TRACKING DATA, WE USED IN

7809
04:35:41,385 --> 04:35:42,153
GROCERY STORES.

7810
04:35:42,153 --> 04:35:44,555
RELATED TO YOUR COMMENT ABOUT

7811
04:35:44,555 --> 04:35:45,656
IMMIGRANTS, WE WERE SURPRISED

7812
04:35:45,656 --> 04:35:46,624
FAMILIES HAD NO PROBLEM WEARING

7813
04:35:46,624 --> 04:35:48,159
IT IN PART BECAUSE THEY WANTED

7814
04:35:48,159 --> 04:35:53,297
TO KNOW WHERE THEIR CHILD HAD 

7815
04:35:53,297 --> 04:35:55,032
THE MOST ININFLUENCE IN THE

7816
04:35:55,032 --> 04:35:57,268
GROCERY STORE TO BETTER ADDRESS

7817
04:35:57,268 --> 04:35:58,235
ISSUE OF NUDGING.

7818
04:35:58,235 --> 04:36:00,438
I WAS TALKING WITH JOHN EARLIER,

7819
04:36:00,438 --> 04:36:02,373
I REALLY THINK WE SHOULD TRY AND

7820
04:36:02,373 --> 04:36:03,808
USE THIS TO BETTER UNDERSTAND

7821
04:36:03,808 --> 04:36:05,576
IMPACT OF OUR RESEARCH, SO THERE

7822
04:36:05,576 --> 04:36:09,180
ARE PEOPLE THAT ARGUE SCIENCE IS

7823
04:36:09,180 --> 04:36:10,481
NOT SCIENCE UNTIL IT'S

7824
04:36:10,481 --> 04:36:11,048
PUBLISHED.

7825
04:36:11,048 --> 04:36:12,450
HOW ARE WE USING MACHINE

7826
04:36:12,450 --> 04:36:14,018
LEARNING TO BETTER UNDERSTAND

7827
04:36:14,018 --> 04:36:16,654
THE CONTRIBUTIONS WE'RE MAKING

7828
04:36:16,654 --> 04:36:17,822
IN OUR PUBLISHED WORK.

7829
04:36:17,822 --> 04:36:20,558
SO I WOULD LOVE TO SEE SOME WORK

7830
04:36:20,558 --> 04:36:21,225
IN THAT AREA.

7831
04:36:21,225 --> 04:36:23,294
AND OPEN IT UP FOR DISCUSSIONS.

7832
04:36:23,294 --> 04:36:29,333
HE  -- I KNOW WE DO HAVE EXPERTS

7833
04:36:29,333 --> 04:36:30,868
IN THE ROOM IN THIS AREA.

7834
04:36:30,868 --> 04:36:32,536
>> THIS IS NOT MY AREA OF

7835
04:36:32,536 --> 04:36:33,704
EXPERTISE BUT TWO THINGS.

7836
04:36:33,704 --> 04:36:38,209
I WANT TO SAY THAT WAS A

7837
04:36:38,209 --> 04:36:38,709
FANTASTIC PRESENTATION.

7838
04:36:38,709 --> 04:36:42,279
THANK YOU VERY MUCH.

7839
04:36:42,279 --> 04:36:42,780
TWO THINGS.

7840
04:36:42,780 --> 04:36:44,682
THE QUESTION FOR ME IS WHAT IS

7841
04:36:44,682 --> 04:36:46,083
THE STRATEGIC OPPORTUNITY FOR

7842
04:36:46,083 --> 04:36:46,684
NURSING.

7843
04:36:46,684 --> 04:36:50,521
AND WHERE CAN NURSING SHINE AND 

7844
04:36:50,521 --> 04:36:54,458
WHAT CAN WE POTENTIALLY ADD THAT

7845
04:36:54,458 --> 04:36:55,693
ISN'T ALREADY BEING ADDRESSED BY

7846
04:36:55,693 --> 04:36:57,428
OTHER GROUPS THAT ARE LARGER,

7847
04:36:57,428 --> 04:36:58,629
CAN DO THIS BETTER, ET CETERA.

7848
04:36:58,629 --> 04:36:59,830
THAT'S A QUESTION.

7849
04:36:59,830 --> 04:37:03,000
ONE EXAMPLE THAT I WANT TO LIFT

7850
04:37:03,000 --> 04:37:04,435
UP DIDN'T COME UP IN THE

7851
04:37:04,435 --> 04:37:05,536
TERRIFIC PAPERS, THERE WAS A

7852
04:37:05,536 --> 04:37:09,240
STRONG PAPER IN HEALTH AFFAIRS,

7853
04:37:09,240 --> 04:37:12,676
A REVIEW ON MITIGATION OF RACIAL

7854
04:37:12,676 --> 04:37:13,744
BIAS IN THE ALGORITHMS.

7855
04:37:13,744 --> 04:37:17,348
THE LEAD AUTHOR WAS A NURSE.

7856
04:37:17,348 --> 04:37:18,349
DR. MICHAEL CARRIE FROM DUKE

7857
04:37:18,349 --> 04:37:21,752
UNIVERSITY, WHO HAS BEEN

7858
04:37:21,752 --> 04:37:23,020
THINKING ABOUT FRAMEWORK FOR HOW

7859
04:37:23,020 --> 04:37:26,357
NURSING CAN LEAD IN THE

7860
04:37:26,357 --> 04:37:27,958
APPLICATION OF A.I. TO THE

7861
04:37:27,958 --> 04:37:28,993
HEALTH SECTOR.

7862
04:37:28,993 --> 04:37:33,364
AND THEN WHERE ARE THE PROBLEMS

7863
04:37:33,364 --> 04:37:34,899
AND WHAT ARE MITIGATION

7864
04:37:34,899 --> 04:37:35,199
STRATEGIES.

7865
04:37:35,199 --> 04:37:37,401
I LEARNED A TON READING HIS

7866
04:37:37,401 --> 04:37:37,635
REVIEW.

7867
04:37:37,635 --> 04:37:43,707
WE NEED MORE OF THAT 

7868
04:37:43,707 --> 04:37:44,642
CONTRIBUTION FROM NURSING.

7869
04:37:44,642 --> 04:37:48,812
>> ALSO THANK YOU FOR
MAKING THE

7870
04:37:48,812 --> 04:37:50,180
COMPLICATED CONCEPT SIMPLE FOR

7871
04:37:50,180 --> 04:37:51,315
EVERYONE TO UNDERSTAND IN THE

7872
04:37:51,315 --> 04:37:54,285
FACE OF A.I. AND MACHINE

7873
04:37:54,285 --> 04:37:54,885
LEARNING.

7874
04:37:54,885 --> 04:37:57,555
I CAN SEE HUGE POTENTIAL FOR

7875
04:37:57,555 --> 04:37:57,988
A.I.

7876
04:37:57,988 --> 04:38:00,824
WE SEE THE HYPE IN SOCIETY, WE

7877
04:38:00,824 --> 04:38:03,694
SEE THE DOUBTS, SKEPTICISM, AND

7878
04:38:03,694 --> 04:38:06,564
I THINK SOME IS LACK OF

7879
04:38:06,564 --> 04:38:11,235
KNOWLEDGE OF WHAT IS TRULY A.I.

7880
04:38:11,235 --> 04:38:14,772
AND IT'S VERY SAD FOR PEOPLE TO

7881
04:38:14,772 --> 04:38:17,942
THINK ChatGPT TRAINED BY

7882
04:38:17,942 --> 04:38:20,210
NURSES CAN REPLACE NURSES.

7883
04:38:20,210 --> 04:38:23,180
OR ON THE OTHER SIDE NURSES

7884
04:38:23,180 --> 04:38:24,682
DON'T WANT TO TOUCH A.I.

7885
04:38:24,682 --> 04:38:27,451
BECAUSE I THINK WE NEED TO BE IN

7886
04:38:27,451 --> 04:38:27,685
BETWEEN.

7887
04:38:27,685 --> 04:38:29,753
AND HOW CAN WE REALLY LEVERAGE

7888
04:38:29,753 --> 04:38:32,823
AND USE A.I. TO AUGMENT THINKING

7889
04:38:32,823 --> 04:38:33,457
ABOUT NURSES.

7890
04:38:33,457 --> 04:38:36,427
ONE OF THE AREAS A.I. CAN HUGELY

7891
04:38:36,427 --> 04:38:40,598
SUPPORT NURSING IS IN THE REALM

7892
04:38:40,598 --> 04:38:41,765
OF NURSING DOCUMENTATION, TAKING

7893
04:38:41,765 --> 04:38:44,301
NURSES HALF OF THEIR TIME IN

7894
04:38:44,301 --> 04:38:46,704
FRONT OF A COMPUTER, HOW CAN WE

7895
04:38:46,704 --> 04:38:48,439
LEVERAGE A.I. TO REDUCE THEIR

7896
04:38:48,439 --> 04:38:49,840
TIME IN FRONT OF COMPUTER AND

7897
04:38:49,840 --> 04:38:56,680
BRING NURSES BACK TO THE BEST 

7898
04:38:56,680 --> 04:38:58,515
-- BEDSIDE.

7899
04:38:58,515 --> 04:39:00,818
MODELS OF CARE NURSES AND NURSE

7900
04:39:00,818 --> 04:39:02,252
PRACTITIONERS CAN LEAD.

7901
04:39:02,252 --> 04:39:03,120
ONE INTERESTING AREA, NURSING

7902
04:39:03,120 --> 04:39:05,756
PROFESSION BEING SORT OF THE

7903
04:39:05,756 --> 04:39:06,957
MOST TRUSTED PROFESSION, RATED

7904
04:39:06,957 --> 04:39:09,259
BY THE AMERICAN PUBLIC, AND WE

7905
04:39:09,259 --> 04:39:11,762
ALL TALK ABOUT MISTRUST IN

7906
04:39:11,762 --> 04:39:13,964
SCIENCE AND ALSO MISTRUST IN

7907
04:39:13,964 --> 04:39:17,401
A.I., AND HOW CAN WE MARRY THE

7908
04:39:17,401 --> 04:39:21,639
PUBLIC TRUST IN NURSING AND

7909
04:39:21,639 --> 04:39:22,506
NURSING PROFESSION, YOU KNOW,

7910
04:39:22,506 --> 04:39:24,808
I'M INTERESTED IN THE NURSING

7911
04:39:24,808 --> 04:39:29,279
LOOP, HUMAN IN THE LOOP A.I., 

7912
04:39:29,279 --> 04:39:32,716
ALWAYS HAVE THAT OVERSIGHT OR

7913
04:39:32,716 --> 04:39:34,051
EMBED NURSING KNOWLEDGE, NURSING

7914
04:39:34,051 --> 04:39:35,319
OVERSIGHT INTO THE ALGORITHM.

7915
04:39:35,319 --> 04:39:37,855
I SEE THAT AS AN AREA FOR

7916
04:39:37,855 --> 04:39:40,591
NURSING AND NURSING SCIENCE,

7917
04:39:40,591 --> 04:39:43,293
ALSO EDUCATING NURSES AND NURSE

7918
04:39:43,293 --> 04:39:45,596
PRACTITIONERS, SO THAT THEY CAN

7919
04:39:45,596 --> 04:39:47,998
REALLY BE EMPOWERED TO LEAD THE

7920
04:39:47,998 --> 04:39:49,333
NEXT GENERATION OF CLINICAL

7921
04:39:49,333 --> 04:39:51,168
DECISION MAKING, CLINICAL CARE

7922
04:39:51,168 --> 04:39:54,705
THAT WILL BE AUGMENTED BY THE

7923
04:39:54,705 --> 04:39:56,907
A.I. SO THE NEXT IS NOT ABOUT,

7924
04:39:56,907 --> 04:40:00,177
NO, WE DON'T WANT A.I., WE

7925
04:40:00,177 --> 04:40:01,478
ACTUALLY USE A.I. EVERY DAY BUT

7926
04:40:01,478 --> 04:40:03,614
IT NEEDS TO BE LED BY NURSING.

7927
04:40:03,614 --> 04:40:06,417
THANK YOU.

7928
04:40:06,417 --> 04:40:11,488
 

7929
04:40:11,488 --> 04:40:14,091
>> ANY OTHER COMMENTS?

7930
04:40:14,091 --> 04:40:17,628
 

7931
04:40:17,628 --> 04:40:21,432
ONE BEFORE ALL THE NEWSPAPER

7932
04:40:21,432 --> 04:40:23,100
ARTICLES, WE'VE BEEN USING, IT'S

7933
04:40:23,100 --> 04:40:25,069
FASCINATING TO ME, WE'VE BEEN

7934
04:40:25,069 --> 04:40:27,137
USING A.I. FOR A REALLY LONG

7935
04:40:27,137 --> 04:40:29,873
TIME IN ALL KINDS OF DECISION

7936
04:40:29,873 --> 04:40:30,107
MAKING.

7937
04:40:30,107 --> 04:40:34,044
I MEAN, FROM WHAT GROCERY STORE 

7938
04:40:34,044 --> 04:40:36,647
COUPONS GET SUGGESTED TO YOU,

7939
04:40:36,647 --> 04:40:38,849
IT'S PRESENT.

7940
04:40:38,849 --> 04:40:42,986
SOMEHOW OR ANOTHER THE ROLLOUT

7941
04:40:42,986 --> 04:40:44,955
OF ChatGPT MADE -- WHICH

7942
04:40:44,955 --> 04:40:49,460
INTERESTINGLY DID HAVE A VERY 

7943
04:40:49,460 --> 04:40:51,562
RAPID -- I'M NOT TELLING OMOLOLA

7944
04:40:51,562 --> 04:40:52,730
ANYTHING SHE DOESN'T KNOW

7945
04:40:52,730 --> 04:40:54,465
ALREADY, DID HAVE A MUCH MORE

7946
04:40:54,465 --> 04:40:56,133
RAPID ADOPTION, AT LEAST SITE

7947
04:40:56,133 --> 04:40:57,101
VISIT TRAJECTORY THAN OTHER

7948
04:40:57,101 --> 04:41:00,504
TECHNOLOGIES WHEN THEY WERE

7949
04:41:00,504 --> 04:41:00,804
ROLLED OUT.

7950
04:41:00,804 --> 04:41:02,806
BUT THERE ARE ARE LOTS OF

7951
04:41:02,806 --> 04:41:05,776
INSTANCES IN A.I. THAT MAKE OUR

7952
04:41:05,776 --> 04:41:08,746
LIVES EASIER IN MANY WAYS.

7953
04:41:08,746 --> 04:41:11,682
IT'S AN ARTIFICIAL INTELLIGENCE

7954
04:41:11,682 --> 04:41:12,883
SYSTEM WHEN STREET LIGHTS ARE

7955
04:41:12,883 --> 04:41:14,651
PROGRAMMED TO GIVE YOU A GREEN

7956
04:41:14,651 --> 04:41:16,520
LIGHT WHEN THERE'S NO OTHER

7957
04:41:16,520 --> 04:41:18,255
TRAFFIC GOING IN THE OTHER

7958
04:41:18,255 --> 04:41:21,425
DIRECTION, LIKE THAT IS AN

7959
04:41:21,425 --> 04:41:22,326
ARTIFICIAL INTELLIGENCE SYSTEM.

7960
04:41:22,326 --> 04:41:23,961
WE HAVE THAT IN OUR LIVES EVERY

7961
04:41:23,961 --> 04:41:24,294
DAY.

7962
04:41:24,294 --> 04:41:26,130
WE'VE HAD THAT FOR A LONG TIME.

7963
04:41:26,130 --> 04:41:27,798
SOMEHOW OR ANOTHER IT'S BEEN

7964
04:41:27,798 --> 04:41:30,934
ROLLED OUT IN THIS WAY NOW

7965
04:41:30,934 --> 04:41:32,369
BECAUSE OF ChatGPT THAT THE

7966
04:41:32,369 --> 04:41:33,270
END SUGGESTING TO PEOPLE THEY

7967
04:41:33,270 --> 04:41:35,339
ARE ALL GOING TO LOSE THEIR JOBS

7968
04:41:35,339 --> 04:41:38,642
AND SO I THINK NURSES CAN PLAY

7969
04:41:38,642 --> 04:41:39,943
AN INCREDIBLE ROLE IN, YOU KNOW,

7970
04:41:39,943 --> 04:41:42,913
BECAUSE THEY ARE TRUSTED AND

7971
04:41:42,913 --> 04:41:44,648
SORT OF SAYING, YEAH, BUT, YOU

7972
04:41:44,648 --> 04:41:46,617
KNOW, HERE'S HOW WE USE IT.

7973
04:41:46,617 --> 04:41:48,051
AND ACTUALLY HERE'S HOW WE ALL

7974
04:41:48,051 --> 04:41:49,486
USE IT EVERY DAY.

7975
04:41:49,486 --> 04:41:51,555
HERE'S HOW WE USE IT IN THE

7976
04:41:51,555 --> 04:41:51,822
CLINIC.

7977
04:41:51,822 --> 04:41:52,956
HERE'S HOW IT HELPS US DO A

7978
04:41:52,956 --> 04:41:56,593
BETTER  JOB IN THE CLINIC.

7979
04:41:56,593 --> 04:41:57,561
EVERYBODY THOUGHT THE WORLD WAS

7980
04:41:57,561 --> 04:41:59,763
GOING TO END WHEN THE INTERNET

7981
04:41:59,763 --> 04:42:02,299
CAME AROUND, AND THEN WE WERE

7982
04:42:02,299 --> 04:42:02,800
OKAY.

7983
04:42:02,800 --> 04:42:04,902
WE WERE OKAY.

7984
04:42:04,902 --> 04:42:06,003
YOU KNOW, STATISTICIANS ARE NOT

7985
04:42:06,003 --> 04:42:07,671
TRYING TO TAKE OVER THE WORLD.

7986
04:42:07,671 --> 04:42:08,972
WE'RE JUST TRYING TO HELP MAKE

7987
04:42:08,972 --> 04:42:10,741
IT BETTER.

7988
04:42:10,741 --> 04:42:12,810
RIGHT?

7989
04:42:12,810 --> 04:42:15,312
>> YES, YES. 

7990
04:42:15,312 --> 04:42:16,513
>> WELL SAID.

7991
04:42:16,513 --> 04:42:18,248
I APPRECIATE THAT POINT TOO

7992
04:42:18,248 --> 04:42:20,551
BECAUSE A LOT OF DISCUSSION, YOU

7993
04:42:20,551 --> 04:42:22,619
KNOW, TODAY IS ON HEALTH CARE,

7994
04:42:22,619 --> 04:42:24,521
IN THIS SECTION OF THE AGENDA.

7995
04:42:24,521 --> 04:42:26,690
A.I. IS EVERY WHERE WITH

7996
04:42:26,690 --> 04:42:27,391
TREMENDOUS IMPLICATIONS FOR

7997
04:42:27,391 --> 04:42:29,193
HEALTH AND IT PLAYS OUT IN

7998
04:42:29,193 --> 04:42:31,295
SOCIAL DETERMINANTS OF HEALTH AS

7999
04:42:31,295 --> 04:42:31,495
WELL.

8000
04:42:31,495 --> 04:42:32,729
CERTAINLY IN HEALTH CARE BUT

8001
04:42:32,729 --> 04:42:33,697
MUCH BROADER AS WELL.

8002
04:42:33,697 --> 04:42:36,867
SO THANK YOU FOR THAT POINT.

8003
04:42:36,867 --> 04:42:38,402
SO DR. OGUNYEMI, WE APPRECIATE

8004
04:42:38,402 --> 04:42:39,503
YOU JOINING US.

8005
04:42:39,503 --> 04:42:44,641
THANK YOU FOR YOUR

8006
04:42:44,641 --> 04:42:45,275
THOUGHT-PROVOKING PRESENTATION.

8007
04:42:45,275 --> 04:42:46,310
>> THANK YOU FOR INVITING
ME.

8008
04:42:46,310 --> 04:42:49,012
>> THANK YOU.

8009
04:42:49,012 --> 04:42:52,549
 

8010
04:42:52,549 --> 04:42:53,517
ALL RIGHT.

8011
04:42:53,517 --> 04:42:55,686
SO, WE HAVE TWO AGENDA ITEMS

8012
04:42:55,686 --> 04:42:56,386
LEFT.

8013
04:42:56,386 --> 04:42:57,688
A REALLY IMPORTANT AGENDA ITEM

8014
04:42:57,688 --> 04:42:59,990
ON THE NEW CONCEPT WE WANT TO

8015
04:42:59,990 --> 04:43:02,593
PUT FORWARD AROUND A.I. FOR YOUR

8016
04:43:02,593 --> 04:43:03,393
FEEDBACK AND CONSIDERATION.

8017
04:43:03,393 --> 04:43:05,662
AND THEN WE DO HAVE THE LAST

8018
04:43:05,662 --> 04:43:07,297
AGENDA ITEM OF OPEN SESSION,

8019
04:43:07,297 --> 04:43:10,467
JUST A TIME FOR OPEN DISCUSSION.

8020
04:43:10,467 --> 04:43:12,436
WE'VE HAD A LOT OF RICH

8021
04:43:12,436 --> 04:43:13,003
DISCUSSION BUT IF THERE'S

8022
04:43:13,003 --> 04:43:14,538
ANYTHING ELSE TO PUT ON THE

8023
04:43:14,538 --> 04:43:16,506
TABLE TODAY OR RAISE THAT WILL

8024
04:43:16,506 --> 04:43:18,108
BE THE TIME.

8025
04:43:18,108 --> 04:43:23,981
DO YOU WANT TO TAKE FIVE MINUTES

8026
04:43:23,981 --> 04:43:26,383
TO STRETCH AND COME BACK FOR

8027
04:43:26,383 --> 04:43:28,018
THOSE LAST COUPLE ITEMS, I SEE

8028
04:43:28,018 --> 04:43:31,088
SOME NODS.

8029
04:43:31,088 --> 04:43:34,157
SO I'M GOING TO GIVE YOU SIX

8030
04:43:34,157 --> 04:43:37,402
MINUTES. SIX MINUTES.

8031
04:43:37,402 --> 04:43:38,370
>> WELCOME BACK, EVERYONE.

8032
04:43:38,370 --> 04:43:45,310
WE'RE GOING TO MOVE ON TO OUR 

8033
04:43:45,310 --> 04:43:47,512
NEXT AGENDA ITEM, CONCEPTS.

8034
04:43:47,512 --> 04:43:49,748
AS YOUR ROLE, YOU ARE NINR'S

8035
04:43:49,748 --> 04:43:51,182
SOURCE OF KNOWLEDGE GOVERNMENTAL

8036
04:43:51,182 --> 04:43:53,618
ADVICE ON RESEARCH DIRECTIONS

8037
04:43:53,618 --> 04:43:55,787
AND SCIENTIFIC PRIORITIES.

8038
04:43:55,787 --> 04:43:59,391
NINR SEEKS COUNCIL'S ADVICE FOR

8039
04:43:59,391 --> 04:44:01,059
LONG-TERM PLANNING BY PRESENTING

8040
04:44:01,059 --> 04:44:02,560
CONCEPTS FOR CLEARANCE.

8041
04:44:02,560 --> 04:44:04,629
YOU MIGHT RECALL A CONCEPT IS

8042
04:44:04,629 --> 04:44:06,297
THE EARLIEST PLANNING STAGE OF

8043
04:44:06,297 --> 04:44:07,499
AN INITIATIVE.

8044
04:44:07,499 --> 04:44:09,567
BEFORE DEVELOPING A FUNDING

8045
04:44:09,567 --> 04:44:10,902
OPPORTUNITY.

8046
04:44:10,902 --> 04:44:13,038
A CONCEPT DESCRIBES BACKGROUND,

8047
04:44:13,038 --> 04:44:13,838
OBJECTIVES, POTENTIAL MECHANISMS

8048
04:44:13,838 --> 04:44:15,240
FOR THE INITIATIVE.

8049
04:44:15,240 --> 04:44:16,441
ANY APPROVED CONCEPT MAY OR MAY

8050
04:44:16,441 --> 04:44:18,043
NOT TURN INTO A FUNDING

8051
04:44:18,043 --> 04:44:21,579
INITIATIVE BASED ON A NUMBER OF

8052
04:44:21,579 --> 04:44:27,852
FACTORS INCLUDING FUNDS 

8053
04:44:27,852 --> 04:44:28,186
AVAILABILITY.

8054
04:44:28,186 --> 04:44:29,721
TODAY'S CONCEPTS WERE MADE

8055
04:44:29,721 --> 04:44:30,822
AVAILABLE IN THE ELECTRONIC

8056
04:44:30,822 --> 04:44:31,923
COUNCIL BOOK FOR YOUR REVIEW IN

8057
04:44:31,923 --> 04:44:34,559
ADVANCE OF THE MEETING.

8058
04:44:34,559 --> 04:44:36,494
I'M PLEASED TO WELCOME DR. LIBBY

8059
04:44:36,494 --> 04:44:38,663
BOWEN TO PRESENT A CONCEPT ON

8060
04:44:38,663 --> 04:44:39,264
SOCIAL DETERMINANTS OF HEALTH

8061
04:44:39,264 --> 04:44:43,401
AND A.I. TO ADVANCE HEALTH

8062
04:44:43,401 --> 04:44:45,170
EQUITY.

8063
04:44:45,170 --> 04:44:51,476
OVER TO YOU.

8064
04:44:51,476 --> 04:44:53,378
>> THANK YOU.

8065
04:44:53,378 --> 04:44:54,245
THIS IS CALLED SOCIAL

8066
04:44:54,245 --> 04:44:55,447
DETERMINANTS OF HEALTH IN

8067
04:44:55,447 --> 04:44:57,415
ARTIFICIAL INTELLIGENCE TO

8068
04:44:57,415 --> 04:44:58,717
ADVANCE HEALTH EQUITY.

8069
04:44:58,717 --> 04:45:05,056
AND THE CONCEPT TEAM INCLUDES 

8070
04:45:05,056 --> 04:45:08,693
MYSELF, DR. KAREN HUSS AND DR.

8071
04:45:08,693 --> 04:45:10,995
LEE WILLIS.

8072
04:45:10,995 --> 04:45:12,063
SO, ARTIFICIAL INTELLIGENCE IS

8073
04:45:12,063 --> 04:45:13,732
DESIGN AND STUDY OF COMPUTER

8074
04:45:13,732 --> 04:45:15,467
PROGRAMS TO BE INTELLIGENT,

8075
04:45:15,467 --> 04:45:18,737
INCLUDE A WIDE RANGE OF

8076
04:45:18,737 --> 04:45:19,971
TECHNIQUES, APPLIES TRADITIONAL

8077
04:45:19,971 --> 04:45:21,506
STATISTICAL FORECASTING METHODS

8078
04:45:21,506 --> 04:45:25,110
SUCH AS DEEP NEURAL NETWORKS,

8079
04:45:25,110 --> 04:45:26,444
NATURAL LANGUAGE PROCESSING, RAN

8080
04:45:26,444 --> 04:45:27,979
DECISION REALGORITHMS FOR

8081
04:45:27,979 --> 04:45:29,380
PREDICTIVE AND ANALYTICAL

8082
04:45:29,380 --> 04:45:30,115
PURPOSES.

8083
04:45:30,115 --> 04:45:31,015
THERE'S OPTIMISM THAT THE

8084
04:45:31,015 --> 04:45:33,318
APPLICATION OF A.I. CAN PROVIDE

8085
04:45:33,318 --> 04:45:35,053
SUBSTANTIAL IMPROVEMENTS IN ALL

8086
04:45:35,053 --> 04:45:36,955
AREAS OF HEALTH CARE FROM

8087
04:45:36,955 --> 04:45:37,889
DIAGNOSTICS TO TREATMENT.

8088
04:45:37,889 --> 04:45:39,991
THERE'S ALREADY A LARGE AMOUNT

8089
04:45:39,991 --> 04:45:41,326
OF EVIDENCE THAT A.I. ALGORITHMS

8090
04:45:41,326 --> 04:45:44,462
ARE PERFORMING ON PAR OR BETTER

8091
04:45:44,462 --> 04:45:46,231
THAN HUMANS IN TASKS FOR

8092
04:45:46,231 --> 04:45:48,299
INSTANCE IN ANALYZING MEDICAL

8093
04:45:48,299 --> 04:45:51,035
IMAGES OR CORRELATING SYMPTOMS

8094
04:45:51,035 --> 04:45:52,504
AND BIOMARKERS FROM ELECTRONIC

8095
04:45:52,504 --> 04:45:55,406
MEDICAL RECORDS WITH

8096
04:45:55,406 --> 04:45:56,074
CHARACTERIZATION AND PROGNOSIS

8097
04:45:56,074 --> 04:45:56,608
OF DISEASE.

8098
04:45:56,608 --> 04:45:58,810
HOWEVER, USE OF A.I. IN HEALTH

8099
04:45:58,810 --> 04:46:01,746
IS CONTROVERSIAL DUE TO CONCERNS

8100
04:46:01,746 --> 04:46:04,048
ABOUT FAIRNESS, TRANSPARENCY,

8101
04:46:04,048 --> 04:46:04,849
MODEL DEVELOPMENT,

8102
04:46:04,849 --> 04:46:05,717
INTERPRETATION IN APPLICATION.

8103
04:46:05,717 --> 04:46:07,986
THERE'S ALSO A GROWING BODY OF

8104
04:46:07,986 --> 04:46:09,854
RESEARCH ON BIAS IN A.I. AND

8105
04:46:09,854 --> 04:46:15,960
RECOGNITION THAT A.I. HAS 

8106
04:46:15,960 --> 04:46:17,629
PERPETUATED AND EXACERBATED

8107
04:46:17,629 --> 04:46:22,033
INEQUALITIES INCLUDING MEDICINE,

8108
04:46:22,033 --> 04:46:24,636
CRIMINAL JUSTICE, FINANCE.

8109
04:46:24,636 --> 04:46:27,272
 

8110
04:46:27,272 --> 04:46:32,210
NINR ADHERES TO NIH

8111
04:46:32,210 --> 04:46:32,844
CONCEPTUALIZATION OF SDOH.

8112
04:46:32,844 --> 04:46:34,946
SOCIAL DETERMINANTS OF HEALTH

8113
04:46:34,946 --> 04:46:36,481
INCLUDE CONDITIONS IN WHICH

8114
04:46:36,481 --> 04:46:38,783
PEOPLE ARE BORN, LIVE, LEARN,

8115
04:46:38,783 --> 04:46:40,752
WORK, PLAY, AND AGE, AND THE

8116
04:46:40,752 --> 04:46:43,054
WIDER SET OF STRUCTURAL FACTORS

8117
04:46:43,054 --> 04:46:45,456
SHAPING CONDITIONS OF DAILY

8118
04:46:45,456 --> 04:46:45,657
LIFE.

8119
04:46:45,657 --> 04:46:48,092
THOSE STRUCTURAL FACTORS INCLUDE

8120
04:46:48,092 --> 04:46:49,828
SOCIAL, ECONOMIC, LEGAL FORCES,

8121
04:46:49,828 --> 04:46:51,129
SYSTEMS AND POLICIES THAT

8122
04:46:51,129 --> 04:46:52,130
DETERMINE OPPORTUNITIES AND

8123
04:46:52,130 --> 04:46:57,468
ACCESS TO HIGH QUALITY JOBS,

8124
04:46:57,468 --> 04:46:59,437
EDUCATION, HOUSING,

8125
04:46:59,437 --> 04:47:00,638
TRANSPORTATION, BUILT

8126
04:47:00,638 --> 04:47:01,506
ENVIRONMENT, INFORMATION,

8127
04:47:01,506 --> 04:47:02,507
COMMUNICATION INFRASTRUCTURE,

8128
04:47:02,507 --> 04:47:05,276
FOOD AND HEALTH CARE, SOCIAL

8129
04:47:05,276 --> 04:47:07,846
ENVIRONMENT, AND OTHER

8130
04:47:07,846 --> 04:47:08,179
CONDITIONS.

8131
04:47:08,179 --> 04:47:09,280
SOCIAL DETERMINANTS OF HEALTH

8132
04:47:09,280 --> 04:47:12,617
HAVE SIGNIFICANT IMPACT ON

8133
04:47:12,617 --> 04:47:17,322
HEALTH OUTCOMES.

8134
04:47:17,322 --> 04:47:19,958
ARTIFICIAL INTELLIGENCE RESEARCH

8135
04:47:19,958 --> 04:47:22,560
MUST INCLUDE INTER, AND

8136
04:47:22,560 --> 04:47:25,196
MULTI-DISCIPLINARY TEAM EXPERTS,

8137
04:47:25,196 --> 04:47:25,830
NURSING SCIENCE CONCEPTUALIZES

8138
04:47:25,830 --> 04:47:27,632
WITHIN THE CONTEXT OF PEOPLE'S

8139
04:47:27,632 --> 04:47:29,534
LIVES AND LIVERING CONDITIONS.

8140
04:47:29,534 --> 04:47:30,768
IS WELL POSITIONED TO MAKE

8141
04:47:30,768 --> 04:47:37,442
IMPORTANT CONTRIBUTIONS TO A.I.

8142
04:47:37,442 --> 04:47:37,876
RESEARCH.

8143
04:47:37,876 --> 04:47:41,212
THE STATEMENT OF THE PROBLEM,

8144
04:47:41,212 --> 04:47:43,314
A.I. RESEARCH LACKS INTER AND

8145
04:47:43,314 --> 04:47:44,048
MULTI-DISCIPLINARY TEAM EXPERTS

8146
04:47:44,048 --> 04:47:45,550
IN HEALTH.

8147
04:47:45,550 --> 04:47:47,652
MANY A.I. SYSTEMS LACK

8148
04:47:47,652 --> 04:47:48,853
REPRESENTATIVE DIVERSE DATA AND

8149
04:47:48,853 --> 04:47:50,855
FAIL TO EXAMINE HOW THE

8150
04:47:50,855 --> 04:47:53,124
INCLUSION OF SDOH MAY AFFECT

8151
04:47:53,124 --> 04:47:54,459
RESULTS IN MODEL INTERPRETATION.

8152
04:47:54,459 --> 04:47:58,396
MANY A.I. SYSTEMS DO NOT INCLUDE

8153
04:47:58,396 --> 04:48:00,031
SDOH, RESEARCH SHOWS INCLUDING

8154
04:48:00,031 --> 04:48:02,033
SIGNIFICANTLY IMPROVES MODEL

8155
04:48:02,033 --> 04:48:03,268
FIT, OUTCOMES AND PREDICTIONS.

8156
04:48:03,268 --> 04:48:04,569
AND WHEN SOCIAL DETERMINANTS OF

8157
04:48:04,569 --> 04:48:07,538
HEALTH ARE UTILIZED IN A.I.

8158
04:48:07,538 --> 04:48:08,706
ALGORITHMS, DATA INPUTS RARELY

8159
04:48:08,706 --> 04:48:11,009
GO BEYOND INCLUSION OF

8160
04:48:11,009 --> 04:48:12,076
INDIVIDUAL-LEVEL SDOH PROXIES

8161
04:48:12,076 --> 04:48:13,978
SUCH AS RACE OR ETHNICITY,

8162
04:48:13,978 --> 04:48:15,413
GENDER OR AGE, WHICH DO NOT

8163
04:48:15,413 --> 04:48:16,948
CAPTURE WIDER SET OF STRUCTURAL

8164
04:48:16,948 --> 04:48:21,085
FACTORS SHAPING THE CONDITIONS

8165
04:48:21,085 --> 04:48:25,023
OF DAILY LIFE. 

8166
04:48:25,023 --> 04:48:26,991
REDUCING SDOH CAN REDUCE DATA

8167
04:48:26,991 --> 04:48:28,092
AND SKEW RESULTS.

8168
04:48:28,092 --> 04:48:31,029
THE PURPOSE OF THIS CONCEPT IS

8169
04:48:31,029 --> 04:48:32,363
TO UNDERSTAND AND ADDRESS SDOH

8170
04:48:32,363 --> 04:48:35,300
IN A.I. MODELS AND SYSTEM AND

8171
04:48:35,300 --> 04:48:37,602
USE SDOH TO IMPROVE A.I. MODELS

8172
04:48:37,602 --> 04:48:39,470
AND SYSTEM TO REDUCE HEALTH

8173
04:48:39,470 --> 04:48:46,577
INEQUALITIES AND ADVANCE HEALTH

8174
04:48:46,577 --> 04:48:47,011
EQUITY.

8175
04:48:47,011 --> 04:48:48,313
THIS PROMOTES RESEARCH USING

8176
04:48:48,313 --> 04:48:49,881
VARIETY OF METHODS AND MEASURES

8177
04:48:49,881 --> 04:48:54,552
TO UNDERSTAND AND ADDRESS KNOWN

8178
04:48:54,552 --> 04:48:55,887
BIASES AND UNDERSTAND HOW SDOH

8179
04:48:55,887 --> 04:48:58,623
MAY BE USED TO OPTIMIZE HEALTH

8180
04:48:58,623 --> 04:49:00,692
AND ADVANCE HEALTH EQUITY.

8181
04:49:00,692 --> 04:49:02,860
EXAMPLES OF RESEARCH TO ADDRESS

8182
04:49:02,860 --> 04:49:04,095
GAPS COULD INCLUDE RESEARCH TO

8183
04:49:04,095 --> 04:49:05,530
UNDERSTAND HOW TO USE SDOH AND

8184
04:49:05,530 --> 04:49:08,466
A.I. TO IMPROVE HEALTH OUTCOMES

8185
04:49:08,466 --> 04:49:13,271
AN REDUCE DISPARITY.

8186
04:49:13,271 --> 04:49:15,139
RESEARCH USING TEAMS WITH

8187
04:49:15,139 --> 04:49:16,874
EXPERTISE TO INFORM A.I.

8188
04:49:16,874 --> 04:49:24,549
ALGORITHM AND SYSTEM DEVELOPMENT

8189
04:49:24,549 --> 04:49:25,316
IMPLEMENTATION, TO PROMOTE

8190
04:49:25,316 --> 04:49:26,617
TRANSPARENCY BY PROVIDING

8191
04:49:26,617 --> 04:49:29,120
INFORMATION ON SDOH INPUTS AND

8192
04:49:29,120 --> 04:49:30,455
OTHER DATA CHARACTERISTICS.

8193
04:49:30,455 --> 04:49:32,924
AND RESEARCH THAT PROVIDES FOR

8194
04:49:32,924 --> 04:49:37,462
CONTINUOUS OVERSIGHT OF A.I.

8195
04:49:37,462 --> 04:49:40,198
SYSTEMS USING SDOH.

8196
04:49:40,198 --> 04:49:43,034
THAT'S IT.

8197
04:49:43,034 --> 04:49:46,637
THANK YOU.

8198
04:49:46,637 --> 04:49:48,740
>> OKAY. 

8199
04:49:48,740 --> 04:49:50,141
THANK YOU.

8200
04:49:50,141 --> 04:49:51,676
I BELIEVE DR. FITZPATRICK --

8201
04:49:51,676 --> 04:49:52,110
YES, THANK YOU.

8202
04:49:52,110 --> 04:49:53,244
>> THANK YOU.

8203
04:49:53,244 --> 04:49:54,612
I WAS EXCITED TO SEE THIS

8204
04:49:54,612 --> 04:49:56,581
CONCEPT JUST BECAUSE DATA

8205
04:49:56,581 --> 04:50:00,318
SCIENCE, THE TRAIN HAS LEFT, AND

8206
04:50:00,318 --> 04:50:01,953
I THINK NINR NEEDS TO GET ON

8207
04:50:01,953 --> 04:50:02,186
BOARD.

8208
04:50:02,186 --> 04:50:06,524
I WAS EXCITED BECAUSE I SEE THIS

8209
04:50:06,524 --> 04:50:08,760
INITIATIVE AS ADDRESSING LENSES

8210
04:50:08,760 --> 04:50:11,362
OF SYSTEMS AND MODEL OF CARE, WE

8211
04:50:11,362 --> 04:50:12,463
HAVEN'T SEEN MANY CONCEPTS THAT

8212
04:50:12,463 --> 04:50:14,532
COULD BE FITTED INTO THAT

8213
04:50:14,532 --> 04:50:15,299
CATEGORY.

8214
04:50:15,299 --> 04:50:16,067
ALSO PREVENTION AND HEALTH

8215
04:50:16,067 --> 04:50:16,367
PROMOTION.

8216
04:50:16,367 --> 04:50:19,470
I WAS GOING TO MAKE THE COMMENT

8217
04:50:19,470 --> 04:50:20,138
THAT PROFESSIONAL SOCIETIES HAVE

8218
04:50:20,138 --> 04:50:22,507
ALREADY TAKEN THE LEAD ON THIS,

8219
04:50:22,507 --> 04:50:24,709
MANY ARE AWARE OF THE AMERICAN

8220
04:50:24,709 --> 04:50:27,779
HEART ASSOCIATION NEW ALGORITHM,

8221
04:50:27,779 --> 04:50:29,647
THE EQUATIONS FOR RISK OF HEART

8222
04:50:29,647 --> 04:50:31,149
DISEASE, REMOVED RACE BECAUSE

8223
04:50:31,149 --> 04:50:33,151
RACE IS NOT A BIOLOGICAL

8224
04:50:33,151 --> 04:50:36,921
VARIABLE BUT THEY NOW HAVE

8225
04:50:36,921 --> 04:50:37,422
OPTIONS WHERE SOCIAL

8226
04:50:37,422 --> 04:50:38,523
DETERMINANTS OF HEALTH REFLECTED

8227
04:50:38,523 --> 04:50:40,691
BY YOUR ZIP CODE CAN BE INCLUDED

8228
04:50:40,691 --> 04:50:42,794
AS AN OPTIONAL VARIABLE IN THAT

8229
04:50:42,794 --> 04:50:43,528
PREDICTION MODEL.

8230
04:50:43,528 --> 04:50:46,264
SO THEY ARE USING THE SOCIAL

8231
04:50:46,264 --> 04:50:47,265
DEPRIVATION INDEX OF BASICALLY

8232
04:50:47,265 --> 04:50:52,503
YOUR ZIP CODE, WHERE YOU LIVE,

8233
04:50:52,503 --> 04:50:53,604
PREDICT HEART DISEASE.

8234
04:50:53,604 --> 04:50:58,843
THAT'S ONE EXAMPLE.

8235
04:50:58,843 --> 04:51:00,478
AMERICAN THORACIC SOCIETY HAS

8236
04:51:00,478 --> 04:51:02,580
GOTTEN AWAY FROM IS RAISING

8237
04:51:02,580 --> 04:51:03,981
ISSUES UNDER OR OVERTREATMENT OF

8238
04:51:03,981 --> 04:51:05,249
PATIENTS WHO WILL FALL INTO

8239
04:51:05,249 --> 04:51:06,617
DIFFERENT CATEGORIES AS A RESULT

8240
04:51:06,617 --> 04:51:08,619
OF THAT CHANGE, SO THERE'S LOTS

8241
04:51:08,619 --> 04:51:10,021
OF OPPORTUNITIES FOR RESEARCH.

8242
04:51:10,021 --> 04:51:11,889
I THINK THERE'S LOTS MUCH

8243
04:51:11,889 --> 04:51:12,857
OPPORTUNITIES FOR PARTNERSHIP

8244
04:51:12,857 --> 04:51:14,292
WITH OTHER INSTITUTES, I

8245
04:51:14,292 --> 04:51:15,827
MENTIONED HEART AND LUNG, BUT

8246
04:51:15,827 --> 04:51:17,462
CLEARLY OTHERS AS WELL.

8247
04:51:17,462 --> 04:51:18,996
AND I THINK THIS IS EXCITING

8248
04:51:18,996 --> 04:51:20,965
BECAUSE MANY OF OUR HEALTH CARE

8249
04:51:20,965 --> 04:51:22,834
INSTITUTIONS ARE DOING THIS.

8250
04:51:22,834 --> 04:51:25,336
THERE'S ALL SORTS OF

8251
04:51:25,336 --> 04:51:26,137
QUALITY-BASED INITIATIVES, ONE

8252
04:51:26,137 --> 04:51:29,941
IS IN OUR EMERGENCY DEPARTMENT,

8253
04:51:29,941 --> 04:51:31,042
WE'RE ROLLING OUT ETHICS,

8254
04:51:31,042 --> 04:51:31,576
MEDICAL RECORDS, MACHINE

8255
04:51:31,576 --> 04:51:34,212
LEARNING ALGORITHMS TO TRY TO

8256
04:51:34,212 --> 04:51:35,746
PREDICT PATIENTS WHO HAVE SEPSIS

8257
04:51:35,746 --> 04:51:38,149
AND INSTEAD OF SITTING IN THE

8258
04:51:38,149 --> 04:51:39,016
EMERGENCY DEPARTMENT AND THEN

8259
04:51:39,016 --> 04:51:40,818
GETTING VERY, VERY BAD OUTCOMES

8260
04:51:40,818 --> 04:51:44,388
AS THEY SIT FOR HOURS AND HOURS,

8261
04:51:44,388 --> 04:51:45,490
EARLY IDENTIFICATION OF

8262
04:51:45,490 --> 04:51:46,591
PATIENTS, SO HOSPITALS ARE

8263
04:51:46,591 --> 04:51:48,226
INTERESTED, THERE'S A LOT OF

8264
04:51:48,226 --> 04:51:50,928
QUALITY WORK AROUND THIS, BUT

8265
04:51:50,928 --> 04:51:51,729
REALLY INTEGRATING WORK THAT

8266
04:51:51,729 --> 04:51:53,698
ORGANIZATIONS ARE DOING FROM A

8267
04:51:53,698 --> 04:51:55,533
RESEARCH PERSPECTIVE I THINK IS

8268
04:51:55,533 --> 04:51:57,768
VERY, VERY VITAL AND VERY

8269
04:51:57,768 --> 04:51:58,002
TIMELY.

8270
04:51:58,002 --> 04:52:02,573
THANK YOU FOR THIS.

8271
04:52:02,573 --> 04:52:03,007
 

8272
04:52:03,007 --> 04:52:04,108
>> GREAT.

8273
04:52:04,108 --> 04:52:04,876
THANK YOU.

8274
04:52:04,876 --> 04:52:07,178
I'LL OPEN THE FLOOR FOR OTHER

8275
04:52:07,178 --> 04:52:08,713
COMMENTS.

8276
04:52:08,713 --> 04:52:12,650
 

8277
04:52:12,650 --> 04:52:15,820
>> SINCE VINCENT SAID I
DIDN'T

8278
04:52:15,820 --> 04:52:17,121
SPEAK UP LAST TIME I PROBABLY

8279
04:52:17,121 --> 04:52:19,123
SHOULD HAVE, I'LL DO IT NOW.

8280
04:52:19,123 --> 04:52:21,826
FIRST OF ALL, I'M SO GLAD TO SEE

8281
04:52:21,826 --> 04:52:22,727
YOU'RE TAKING THE STEP.

8282
04:52:22,727 --> 04:52:26,631
AND AS I'VE BEEN THINKING ABOUT

8283
04:52:26,631 --> 04:52:30,134
THIS ISSUE, SOME OF THE THINGS

8284
04:52:30,134 --> 04:52:32,436
WE'VE BEEN THINKING ABOUT, THIS

8285
04:52:32,436 --> 04:52:33,771
IS MULTI-DIMENSIONAL, REQUIRES

8286
04:52:33,771 --> 04:52:35,773
MULTIPLE LENSES TO REALLY CREATE

8287
04:52:35,773 --> 04:52:37,408
MORE EFFECTIVE A.I. TOOLS THAT

8288
04:52:37,408 --> 04:52:43,848
WILL HELP YOU WILLS -- HELP US

8289
04:52:43,848 --> 04:52:44,282
SUCCEED.

8290
04:52:44,282 --> 04:52:45,316
INTERVENTION AT SOCIAL POLICY

8291
04:52:45,316 --> 04:52:47,585
LEVEL IN RECENT RESEARCH MORE SO

8292
04:52:47,585 --> 04:52:49,220
THAN INDIVIDUAL LEVEL

8293
04:52:49,220 --> 04:52:52,523
INTERVENTIONS ARE MORE LIKELY TO

8294
04:52:52,523 --> 04:52:53,824
ADVANCE HEALTH EQUITY.

8295
04:52:53,824 --> 04:52:55,927
SO THINGS I'VE BEEN THINKING

8296
04:52:55,927 --> 04:52:58,663
ABOUT HEARING THIS, THAT WE NEED

8297
04:52:58,663 --> 04:53:01,399
TO PRIORITIZE RESEARCH FROM

8298
04:53:01,399 --> 04:53:03,801
REGIONS OR POPULATIONS WITH MORE

8299
04:53:03,801 --> 04:53:09,073
SUBSTANTIAL ACADEMIC OUTPUT,

8300
04:53:09,073 --> 04:53:09,840
POTENTIALLY WE'RE OVERLOOKING

8301
04:53:09,840 --> 04:53:11,542
COMMUNITIES, IT'S IMPORTANT NOT

8302
04:53:11,542 --> 04:53:13,711
JUST TO PULL, YOU KNOW, RESEARCH

8303
04:53:13,711 --> 04:53:15,079
FROM PubMed IN GENERAL BUT

8304
04:53:15,079 --> 04:53:17,048
TO TARGET THEM BY REGIONS OF THE

8305
04:53:17,048 --> 04:53:18,382
UNITED STATES, IF THAT'S WHAT

8306
04:53:18,382 --> 04:53:20,585
WE'RE TRYING TO TARGET, AS WELL

8307
04:53:20,585 --> 04:53:21,752
AS POPULATION GROUPS.

8308
04:53:21,752 --> 04:53:24,488
ANOTHER AREA IS THE IDEA OF

8309
04:53:24,488 --> 04:53:27,992
INCLUSION OF GREAT LITERATURE

8310
04:53:27,992 --> 04:53:28,526
AND NON-ENGLISH SOURCES,

8311
04:53:28,526 --> 04:53:30,294
OFTENTIMES WE'RE FOCUSED ON

8312
04:53:30,294 --> 04:53:32,063
ENGLISH MATERIALS AND FROM A

8313
04:53:32,063 --> 04:53:32,797
GLOBAL HEALTH EQUITY STANDPOINT,

8314
04:53:32,797 --> 04:53:37,401
I THINK IT'S IMPORTANT TO ALSO 

8315
04:53:37,401 --> 04:53:38,402
PULL SOURCES FROM THERE.

8316
04:53:38,402 --> 04:53:39,904
THOSE ARE SOME AREAS THAT MIGHT

8317
04:53:39,904 --> 04:53:40,771
BE INTERESTING.

8318
04:53:40,771 --> 04:53:43,975
I HAVE OTHER IDEAS AS WELL.

8319
04:53:43,975 --> 04:53:47,011
SOMETHING TO NIBBLE ON.

8320
04:53:47,011 --> 04:53:53,384
 

8321
04:53:53,384 --> 04:53:56,120
>> ANY OTHER REACTIONS OR

8322
04:53:56,120 --> 04:53:56,387
QUESTIONS?

8323
04:53:56,387 --> 04:54:01,492
IN TERMS OF AREAS TO FOCUS ON OR

8324
04:54:01,492 --> 04:54:01,626
--

8325
04:54:01,626 --> 04:54:05,830
>> SHANNON, THIS IS PAT.

8326
04:54:05,830 --> 04:54:11,435
HOW HAPPY I WAS TO SEE THIS ON 

8327
04:54:11,435 --> 04:54:12,737
THE AGENDA BECAUSE WE'RE ALL

8328
04:54:12,737 --> 04:54:16,907
THINKING ABOUT A.I. SO MUCH.

8329
04:54:16,907 --> 04:54:19,076
ONE OF OUR CLINICAL FACULTY,

8330
04:54:19,076 --> 04:54:21,379
ASSOCIATE DEAN OF CLINICAL

8331
04:54:21,379 --> 04:54:24,115
AFFAIRS, BECAME ASSOCIATE DEAN

8332
04:54:24,115 --> 04:54:27,051
OF A.I., YOU KNOW, IN THE

8333
04:54:27,051 --> 04:54:27,285
SCHOOL.

8334
04:54:27,285 --> 04:54:29,453
SO IT'S HAPPENING IN THE

8335
04:54:29,453 --> 04:54:31,222
CLINICAL PRACTICE, AND IT'S

8336
04:54:31,222 --> 04:54:32,323
HAPPENING IN RESEARCH.

8337
04:54:32,323 --> 04:54:38,596
AND SO I'M VERY HAPPY TO SEE

8338
04:54:38,596 --> 04:54:39,196
TAKING LEADERSHIP WITH SOCIAL

8339
04:54:39,196 --> 04:54:39,697
DETERMINANTS OF HEALTH.

8340
04:54:39,697 --> 04:54:41,165
SO THANK YOU.

8341
04:54:41,165 --> 04:54:42,933
I DON'T REALLY KNOW WHERE TO

8342
04:54:42,933 --> 04:54:46,437
FOCUS ON, NOT MY AREA, BUT I'M

8343
04:54:46,437 --> 04:54:47,738
VERY HAPPY THAT OTHER PEOPLE

8344
04:54:47,738 --> 04:54:50,908
WILL BE FOCUSING ON THIS.

8345
04:54:50,908 --> 04:54:52,777
>> I THINK THE FOCUS IS
THE

8346
04:54:52,777 --> 04:54:54,679
MODELS ARE ONLY AS GOOD AS THE

8347
04:54:54,679 --> 04:54:56,080
DATA THAT GO INTO THEM.

8348
04:54:56,080 --> 04:54:58,516
IF YOU'RE FOCUSING ON A HEALTH

8349
04:54:58,516 --> 04:55:00,251
OUTCOME WHO BETTER TO HELP

8350
04:55:00,251 --> 04:55:02,853
DESIGN THE MODEL THAN THE HEALTH

8351
04:55:02,853 --> 04:55:04,088
CARE PROFESSIONAL?

8352
04:55:04,088 --> 04:55:06,090
AND, YOU KNOW, NURSES USE THE

8353
04:55:06,090 --> 04:55:07,925
MEDICAL RECORD.

8354
04:55:07,925 --> 04:55:09,327
IF IT'S EPIC-BASED MACHINE

8355
04:55:09,327 --> 04:55:11,128
LEARNING, WHO DO YOU WANT ON

8356
04:55:11,128 --> 04:55:12,830
YOUR TEAM IS THE NURSE VERY

8357
04:55:12,830 --> 04:55:15,900
FAMILIAR WITH WHERE TO CLICK AND

8358
04:55:15,900 --> 04:55:16,233
DROPDOWNS.

8359
04:55:16,233 --> 04:55:17,968
SO I SEE THIS AS A VITAL

8360
04:55:17,968 --> 04:55:18,969
COMPONENT OF TEAMS.

8361
04:55:18,969 --> 04:55:20,805
ONE THING THAT MAKES ME REALLY

8362
04:55:20,805 --> 04:55:22,039
HAPPY IS OUR INSTITUTION IS

8363
04:55:22,039 --> 04:55:24,775
HIRING NURSES ON DATA SCIENCE

8364
04:55:24,775 --> 04:55:26,477
TEAMS THAT THE HEALTHCARE

8365
04:55:26,477 --> 04:55:27,812
ENVIRONMENT, THIS IS NOW A NEW

8366
04:55:27,812 --> 04:55:28,346
POSITION.

8367
04:55:28,346 --> 04:55:30,681
I CAN'T REMEMBER THE TITLE BUT I

8368
04:55:30,681 --> 04:55:32,350
ACTUALLY HAD SOMEONE WONDERFUL

8369
04:55:32,350 --> 04:55:34,819
LEAVE MY TEAM TO DO THIS.

8370
04:55:34,819 --> 04:55:37,355
HAPPY FOR HER BUT THIS IS THE

8371
04:55:37,355 --> 04:55:38,556
DIRECTION IT'S GOING.

8372
04:55:38,556 --> 04:55:40,624
I THINK THE USE IS IN THE INPUT,

8373
04:55:40,624 --> 04:55:46,764
WE'RE ONLY AS GOOD AS THE

8374
04:55:46,764 --> 04:55:46,997
INPUTS.

8375
04:55:46,997 --> 04:55:48,599
>> I AGREE WITH WHAT YOU
SAID,

8376
04:55:48,599 --> 04:55:51,369
MODELS ARE ONLY AS GOOD AS THE

8377
04:55:51,369 --> 04:55:54,872
DATA, COMMA, AND THE MODELS ARE 

8378
04:55:54,872 --> 04:55:57,274
ONLY AS GOOD AS THE STATISTICAL

8379
04:55:57,274 --> 04:55:58,376
FOUNDATION UPON WHICH MODELS ARE

8380
04:55:58,376 --> 04:55:58,676
BUILT.

8381
04:55:58,676 --> 04:56:00,945
SO IF YOU DON'T HAVE PEOPLE WHO

8382
04:56:00,945 --> 04:56:06,016
ARE REALLY -- IF YOU DON'T HAVE

8383
04:56:06,016 --> 04:56:09,086
PEOPLE REALLY THINKING THROUGH

8384
04:56:09,086 --> 04:56:13,124
THE -- LIKE THE BIOLOGICAL

8385
04:56:13,124 --> 04:56:15,426
PLAUSIBILITY, REALITY OF HOW THE

8386
04:56:15,426 --> 04:56:17,828
CLINIC WORKS, REALITY OF HOW

8387
04:56:17,828 --> 04:56:20,131
PEOPLE MOVE FROM EMERGENCY

8388
04:56:20,131 --> 04:56:22,299
DEPARTMENT INTO INPATIENT OR

8389
04:56:22,299 --> 04:56:24,068
BEING SEEN IN A CLINIC, GETTING

8390
04:56:24,068 --> 04:56:26,704
REFERRED TO AN EMERGENCY

8391
04:56:26,704 --> 04:56:30,408
DEPARTMENT, SO ARTIFICIAL 

8392
04:56:30,408 --> 04:56:32,610
INTELLIGENCE SYSTEMS STILL NEED

8393
04:56:32,610 --> 04:56:34,044
THAT SUBSTANTIVE EXPERTISE, NEED

8394
04:56:34,044 --> 04:56:35,780
REALLY GOOD DATA, WHERE

8395
04:56:35,780 --> 04:56:37,848
SOMEBODY'S DOING A SERIOUS

8396
04:56:37,848 --> 04:56:39,283
EVALUATION OF WHAT CONSTITUTES

8397
04:56:39,283 --> 04:56:41,018
GOOD DATA AND COMPREHENSIVE

8398
04:56:41,018 --> 04:56:43,320
DATA, NOT DATA FROM ALASKA BEING

8399
04:56:43,320 --> 04:56:46,157
AS -- I THINK OUR PREVIOUS

8400
04:56:46,157 --> 04:56:48,025
SPEAKER, DATA FROM ALASKA BEING

8401
04:56:48,025 --> 04:56:50,961
APPLIED IN BALTIMORE, AND IT

8402
04:56:50,961 --> 04:56:53,497
REQUIRES A VERY STRONG

8403
04:56:53,497 --> 04:56:56,000
STATISTICAL FOUNDATION AND I

8404
04:56:56,000 --> 04:57:03,140
THINK THERE'S AN OPPORTUNITY FOR

8405
04:57:03,140 --> 04:57:04,809
NINR TO BRING SOME PEOPLE WHO

8406
04:57:04,809 --> 04:57:08,712
HAVE NOT BEEN IN THE NINR

8407
04:57:08,712 --> 04:57:12,183
RESEARCHER FOLD IN TO WORK

8408
04:57:12,183 --> 04:57:13,083
COLLABORATIVE WITH PEOPLE IN THE

8409
04:57:13,083 --> 04:57:13,684
NINR FOLD.

8410
04:57:13,684 --> 04:57:15,719
YOU SEE A LOT OF EPIDEMIOLOGISTS

8411
04:57:15,719 --> 04:57:17,254
PART OF THE NIH PORTFOLIO BUT

8412
04:57:17,254 --> 04:57:22,626
YOU DON'T SEE AS MANY 

8413
04:57:22,626 --> 04:57:23,160
STATISTICIANS OR COMPUTER

8414
04:57:23,160 --> 04:57:24,829
SCIENTISTS, AND WE WILL MAKE

8415
04:57:24,829 --> 04:57:27,131
MORE PROGRESS IF YOU HAVE MORE

8416
04:57:27,131 --> 04:57:28,098
STATISTICIANS AND COMPUTER

8417
04:57:28,098 --> 04:57:28,499
SCIENTISTS.

8418
04:57:28,499 --> 04:57:31,502
I DON'T SAY THIS ONLY BECAUSE

8419
04:57:31,502 --> 04:57:37,074
I'M A STATISTICIAN. 

8420
04:57:37,074 --> 04:57:38,042
YOU KNOW.

8421
04:57:38,042 --> 04:57:40,878
>> SO I'M GOING TO SAY
WHAT

8422
04:57:40,878 --> 04:57:42,213
SEVERAL OTHERS SAID, I'M NOT AN

8423
04:57:42,213 --> 04:57:43,848
EXPERT IN THIS AREA, BUT I LOVE

8424
04:57:43,848 --> 04:57:45,282
THE CONCEPT AND I'M VERY EXCITED

8425
04:57:45,282 --> 04:57:48,452
ABOUT IT. 

8426
04:57:48,452 --> 04:57:49,854
I THINK MAYBE YOUR COMMENTS

8427
04:57:49,854 --> 04:57:51,055
RESONATE WITH WHAT POINT I WAS

8428
04:57:51,055 --> 04:57:53,591
GOING TO MAKE, THAT IS THAT

8429
04:57:53,591 --> 04:57:58,195
MAKES ME THINK THAT PERHAPS NINR

8430
04:57:58,195 --> 04:58:00,798
SHOULD CONSIDER PARALLEL FOCUSED

8431
04:58:00,798 --> 04:58:02,433
T32 CALLS, R25 CALLS, SO INSTEAD

8432
04:58:02,433 --> 04:58:04,435
OF PEOPLE TRYING TO PLAY

8433
04:58:04,435 --> 04:58:05,736
CATCH-UP WITH THESE CONCEPTS,

8434
04:58:05,736 --> 04:58:07,171
TRYING TO RETROFIT THEM INTO

8435
04:58:07,171 --> 04:58:09,473
WHAT WE'RE DOING, WE HAVE A

8436
04:58:09,473 --> 04:58:10,341
STEADY STREAM OF

8437
04:58:10,341 --> 04:58:12,176
NURSE-SCIENTISTS AND OTHERS

8438
04:58:12,176 --> 04:58:13,477
DOING NURSING SCIENCE THAT ARE

8439
04:58:13,477 --> 04:58:15,012
LEARNING THIS WAY FROM THE START

8440
04:58:15,012 --> 04:58:16,947
AND SO THAT THEY ARE POSITIONED

8441
04:58:16,947 --> 04:58:18,883
TO BE MUCH MORE AGILE AND

8442
04:58:18,883 --> 04:58:24,889
DIRECTIVE OF WHERE THINGS ARE

8443
04:58:24,889 --> 04:58:25,122
GOING.

8444
04:58:25,122 --> 04:58:27,858
>> ALONG THOSE LINES THE
SBIR

8445
04:58:27,858 --> 04:58:28,959
MECHANISM, ALL THESE WEARABLES,

8446
04:58:28,959 --> 04:58:31,128
INTERFACING WITH CLOUDS, INPUT

8447
04:58:31,128 --> 04:58:33,130
ON YOUR SMARTPHONE IS ALL A.I.

8448
04:58:33,130 --> 04:58:35,399
THERE'S A CLOUD-BASED OPERATION.

8449
04:58:35,399 --> 04:58:38,435
THERE'S AN R&D-BASED
OPERATION.

8450
04:58:38,435 --> 04:58:39,670
SO I THINK THERE'S OPPORTUNITIES

8451
04:58:39,670 --> 04:58:41,539
THERE AS WELL.

8452
04:58:41,539 --> 04:58:43,707
HOW CAN NURSING USE WEARABLES,

8453
04:58:43,707 --> 04:58:46,110
YOU KNOW, COUPLED WITH A.I. TO

8454
04:58:46,110 --> 04:58:49,179
IMPROVE OUTCOMES, JUST ONE

8455
04:58:49,179 --> 04:58:49,713
EXAMPLE.

8456
04:58:49,713 --> 04:58:53,651
>> I ALSO WOULD LIKE TO
SEE MORE

8457
04:58:53,651 --> 04:58:57,721
NURSING IN THIS CONCEPT, MOVING

8458
04:58:57,721 --> 04:59:01,325
BEYOND JUST DEVELOPING MODELS,

8459
04:59:01,325 --> 04:59:05,796
INCORPORATING SDOH, LIKE MOVE

8460
04:59:05,796 --> 04:59:07,665
INTO NURSE-LED MODELS OF CARE IN

8461
04:59:07,665 --> 04:59:12,102
ADVANCING HEALTH EQUITY WITH,

8462
04:59:12,102 --> 04:59:13,304
YOU KNOW, THE PREVIOUS CONCEPT,

8463
04:59:13,304 --> 04:59:14,271
TALKED ABOUT GOING BEYOND

8464
04:59:14,271 --> 04:59:17,074
SCREENING OR DATA, TO GO TO HOW

8465
04:59:17,074 --> 04:59:21,579
TO USE DATA TO DRIVE ACTION, AND

8466
04:59:21,579 --> 04:59:23,547
MOVE ONE STEP FURTHER TO BE

8467
04:59:23,547 --> 04:59:26,483
THIS, YOU KNOW, NEW MODELS AND

8468
04:59:26,483 --> 04:59:29,119
LEVERAGING A.I. AS CLINICAL

8469
04:59:29,119 --> 04:59:32,523
DECISION SUPPORT FOR NURSES OR

8470
04:59:32,523 --> 04:59:36,026
NP TO DEVELOP A NEW MODEL OF

8471
04:59:36,026 --> 04:59:38,195
CARE USING A.I.-AUGMENTED CARE.

8472
04:59:38,195 --> 04:59:39,296
MAYBE THAT DOESN'T FIT EXACTLY

8473
04:59:39,296 --> 04:59:41,398
WITH THIS PARTICULAR ONE BUT I

8474
04:59:41,398 --> 04:59:45,636
THINK IF WE WANT TO BE LIKE EVEN

8475
04:59:45,636 --> 04:59:47,605
BOLDER AND GO TO INTERVENTION

8476
04:59:47,605 --> 04:59:50,474
COMMUNITY BASE WHERE THE NURSES

8477
04:59:50,474 --> 04:59:54,311
ARE ALREADY DOING IT IN THE 

8478
04:59:54,311 --> 04:59:56,680
HEALTH EQUITY WORK TO NOT JUST

8479
04:59:56,680 --> 05:00:07,224
DATA DEVELOPING MODELS, HOW TO 

8480
05:00:09,693 --> 05:00:12,963
MOVE IT INTO THIS. 

8481
05:00:12,963 --> 05:00:17,868
>> NIEHS ISSUED AN RFA
CALLED

8482
05:00:17,868 --> 05:00:19,903
PRIME, I FORGET WHAT PRIME

8483
05:00:19,903 --> 05:00:21,572
STANDS FOR, BUT IT WAS ALL ON

8484
05:00:21,572 --> 05:00:29,113
HOW DO YOU THINK ABOUT MIXTURES.

8485
05:00:29,113 --> 05:00:30,581
I WAS ANN FITZPATRICK WHEN THAT

8486
05:00:30,581 --> 05:00:31,982
CONCEPT WAS BROUGHT TO COUNCIL

8487
05:00:31,982 --> 05:00:35,953
AT NIEHS, AND ONE OF THE THINGS

8488
05:00:35,953 --> 05:00:40,224
THEY DID IN THAT IS THEY

8489
05:00:40,224 --> 05:00:42,826
REQUIRED IN ORDER TO ATTRACT

8490
05:00:42,826 --> 05:00:46,997
SOME MORE PEOPLE WHO WERE NOT

8491
05:00:46,997 --> 05:00:50,334
ALREADY IN THE NIEHS PORTFOLIO,

8492
05:00:50,334 --> 05:00:52,336
THEY REQUIRED SOMEBODY THAT

8493
05:00:52,336 --> 05:00:55,973
THERE BE AN INTERDISCIPLINARY

8494
05:00:55,973 --> 05:00:58,909
TEAM THAT INCLUDED SOMEONE WITH

8495
05:00:58,909 --> 05:01:03,714
STATISTICS OR COMPUTER SCIENCE

8496
05:01:03,714 --> 05:01:05,049
BACKGROUND AND SOMEBODY WITH THE

8497
05:01:05,049 --> 05:01:06,350
BACKGROUND JEAN WAS TALKING

8498
05:01:06,350 --> 05:01:08,852
ABOUT, A SOLID GROUNDING IN

8499
05:01:08,852 --> 05:01:09,953
NURSING SCIENCE, THEY DID

8500
05:01:09,953 --> 05:01:11,722
INTERVENTION FOR THE NIEHS ONE

8501
05:01:11,722 --> 05:01:13,323
BUT YOU CAN IMAGINE SOMETHING,

8502
05:01:13,323 --> 05:01:16,527
MIGHT BE WORTH IT TO FIND THAT

8503
05:01:16,527 --> 05:01:16,860
RFA.

8504
05:01:16,860 --> 05:01:19,563
THERE'S A -- I KNOW THERE'S A

8505
05:01:19,563 --> 05:01:23,133
WEBSITE ON NIEHS PAGE FOR PRIME.

8506
05:01:23,133 --> 05:01:27,771
YOU COULD FIND THAT. 

8507
05:01:27,771 --> 05:01:29,073
>> I THINK WHERE WE GET
STUCK

8508
05:01:29,073 --> 05:01:31,175
WHEN WE THINK ABOUT A.I., WE

8509
05:01:31,175 --> 05:01:32,276
THINK ABOUT COMPUTERS, SITTING

8510
05:01:32,276 --> 05:01:34,011
IN FRONT OF COMPUTERS AND

8511
05:01:34,011 --> 05:01:35,012
COMPUTER INPUT.

8512
05:01:35,012 --> 05:01:37,081
BUT REALLY IT'S JUST A TOOL TO

8513
05:01:37,081 --> 05:01:38,282
MINE COMPLEX DATA.

8514
05:01:38,282 --> 05:01:42,553
WHAT WE SHOULD THINK ABOUT IS

8515
05:01:42,553 --> 05:01:48,525
COMPLEX DATA, A WAVEFORM,

8516
05:01:48,525 --> 05:01:49,393
TELEMETRY, COMPLEX VARIABLES

8517
05:01:49,393 --> 05:01:51,095
RATHER THAN REDUCING DOWN TO A

8518
05:01:51,095 --> 05:01:52,629
MOMENT IN TIME.

8519
05:01:52,629 --> 05:02:00,637
I MEAN, A DIGITAL STETHOSCOPE,

8520
05:02:00,637 --> 05:02:07,344
INSTEAD OF TEN SECONDS YOU COULD

8521
05:02:07,344 --> 05:02:09,747
 MONITOR FOR A MINUTE.

8522
05:02:09,747 --> 05:02:11,248
IT'S COMPLEX DATA AND HOW CAN

8523
05:02:11,248 --> 05:02:12,583
NURSES CONTRIBUTE TO COMPLEX

8524
05:02:12,583 --> 05:02:16,320
DATA, FOR ME THAT'S A WAY TO

8525
05:02:16,320 --> 05:02:18,822
SIMPLIFY IT.

8526
05:02:18,822 --> 05:02:26,797
>> IF I MAYTAG  ON -- MAY
TAG

8527
05:02:26,797 --> 05:02:29,867
ON, IT'S TEAMING, YOU SEE IT IN

8528
05:02:29,867 --> 05:02:30,534
SOFTWARE PROGRAMMING.

8529
05:02:30,534 --> 05:02:36,740
YOU CAN IN A PAYER USE A.I. TO

8530
05:02:36,740 --> 05:02:39,042
HELP EXPEDITE PROBLEM SOLVING

8531
05:02:39,042 --> 05:02:39,710
AND PROGRAMMING, THOSE ISSUES.

8532
05:02:39,710 --> 05:02:43,313
SHOULD BE ABLE TO APPLY TO OTHER

8533
05:02:43,313 --> 05:02:44,181
THINGS AS WELL.

8534
05:02:44,181 --> 05:02:45,382
>> CAN YOU DO SECONDARY

8535
05:02:45,382 --> 05:02:45,849
ANALYSES.

8536
05:02:45,849 --> 05:02:47,251
YOU HAVE RICH DATASETS.

8537
05:02:47,251 --> 05:02:50,420
I MEAN, SO MANY VARIABLES THAT

8538
05:02:50,420 --> 05:02:51,955
ARE AMENABLE TO MACHINE LEARNING

8539
05:02:51,955 --> 05:02:53,724
AND OTHER APPROACHES.

8540
05:02:53,724 --> 05:02:58,195
SO WHAT EXISTING DATA, MAYBE

8541
05:02:58,195 --> 05:02:58,695
THROUGH SOME CONSORTIA,

8542
05:02:58,695 --> 05:02:59,496
ComPASS INITIATIVE AND THERE'S

8543
05:02:59,496 --> 05:03:03,667
WAYS TO THINK ABOUT HOW TO FOCUS

8544
05:03:03,667 --> 05:03:05,335
IN NURSING, BUT AGAIN IT'S JUST

8545
05:03:05,335 --> 05:03:11,141
A RICH DATA SOURCE, THAT'S ALL

8546
05:03:11,141 --> 05:03:13,277
YOU NEED.

8547
05:03:13,277 --> 05:03:14,311
>> OTHER THOUGHTS?

8548
05:03:14,311 --> 05:03:15,145
THIS WAS REALLY HELPFUL.

8549
05:03:15,145 --> 05:03:16,146
THANK YOU.

8550
05:03:16,146 --> 05:03:19,550
REALLY GOOD FEEDBACK.

8551
05:03:19,550 --> 05:03:20,617
OKAY.

8552
05:03:20,617 --> 05:03:21,618
ALL RIGHT.

8553
05:03:21,618 --> 05:03:23,587
SO, LET'S THANK YOU, DR. BOWEN.

8554
05:03:23,587 --> 05:03:27,658
APPRECIATE YOUR AND THE TEAM'S

8555
05:03:27,658 --> 05:03:28,959
WORK ON THAT.

8556
05:03:28,959 --> 05:03:30,594
ALL RIGHT.

8557
05:03:30,594 --> 05:03:32,362
BEFORE WE END OPEN SESSION I

8558
05:03:32,362 --> 05:03:36,200
WANT TO OPEN THE FLOOR FOR ANY

8559
05:03:36,200 --> 05:03:37,067
ADDITIONAL THOUGHTS OR COMMENTS,

8560
05:03:37,067 --> 05:03:39,903
THINGS YOU WANT TO SEE AT A NEXT

8561
05:03:39,903 --> 05:03:40,337
MEETING.

8562
05:03:40,337 --> 05:03:43,440
THE FLOOR IS YOURS FOR ONE MORE

8563
05:03:43,440 --> 05:03:47,444
MINUTE OR AS LONG AS YOU WANT.

8564
05:03:47,444 --> 05:03:49,012
 

8565
05:03:49,012 --> 05:03:49,613
ARE WE GOOD?

8566
05:03:49,613 --> 05:03:51,181
WE'VE HAD A LOT OF DISCUSSION

8567
05:03:51,181 --> 05:03:51,381
TODAY.

8568
05:03:51,381 --> 05:03:52,082
IT'S BEEN GREAT.

8569
05:03:52,082 --> 05:03:55,118
THIS HAS BEEN SUCH A TERRIFIC

8570
05:03:55,118 --> 05:03:56,553
MEETING.

8571
05:03:56,553 --> 05:03:57,054
REALLY APPRECIATE YOUR

8572
05:03:57,054 --> 05:03:58,322
ENGAGEMENT AND SO VALUABLE.

8573
05:03:58,322 --> 05:03:59,623
WE'VE GOT SO MANY NOTE TAKERS IN

8574
05:03:59,623 --> 05:04:02,159
THE ROOM AND THEN OF COURSE WE

8575
05:04:02,159 --> 05:04:05,429
HAVE THE RECORDING, SO THANK

8576
05:04:05,429 --> 05:04:05,829
YOU.

8577
05:04:05,829 --> 05:04:05,996
YES?

8578
05:04:05,996 --> 05:04:08,498
>> I HATE TO BE THE ONE TO

8579
05:04:08,498 --> 05:04:12,369
EXTEND AT THE VERY END, FORGIVE

8580
05:04:12,369 --> 05:04:12,569
ME.

8581
05:04:12,569 --> 05:04:13,370
SO, OBVIOUSLY, YOU KNOW, I'M

8582
05:04:13,370 --> 05:04:14,438
PREACHING TO FOLKS THAT ARE

8583
05:04:14,438 --> 05:04:16,273
AWARE OF THIS ALREADY BUT I

8584
05:04:16,273 --> 05:04:18,242
THINK ONE STRATEGIC OPPORTUNITY

8585
05:04:18,242 --> 05:04:19,776
THAT IS FORTHCOMING IS THE

8586
05:04:19,776 --> 05:04:22,346
RELEASE OF THE UNEQUAL TREATMENT

8587
05:04:22,346 --> 05:04:23,146
REVISITED REPORT.

8588
05:04:23,146 --> 05:04:25,315
I THINK THAT WILL BE ANNOUNCED

8589
05:04:25,315 --> 05:04:28,218
SOON IN TERMS OF, YOU KNOW, WHAT

8590
05:04:28,218 --> 05:04:29,186
THE NATIONAL ACADEMIES HAS

8591
05:04:29,186 --> 05:04:34,191
WORKED O I  -- ON, AND A LOT OF

8592
05:04:34,191 --> 05:04:35,025
OPPORTUNITY FOR NINR IN THE

8593
05:04:35,025 --> 05:04:36,326
CONTEXT OF THAT REPORT.

8594
05:04:36,326 --> 05:04:38,528
GIVEN NIH IS A SPONSOR, I GUESS

8595
05:04:38,528 --> 05:04:41,031
MY QUESTION MAYBE FOR ANOTHER

8596
05:04:41,031 --> 05:04:42,466
TIME, CERTAINLY WANTED IT TO BE

8597
05:04:42,466 --> 05:04:47,938
ON RECORD, HOW CAN  NINR HELP

8598
05:04:47,938 --> 05:04:49,573
LEAD IN TERMS OF WHATEVER THOSE

8599
05:04:49,573 --> 05:04:50,240
FINDINGS ARE.

8600
05:04:50,240 --> 05:04:54,511
>> WHATEVER THEY ARE, LIKE
YOU

8601
05:04:54,511 --> 05:04:55,178
DON'T KNOW.

8602
05:04:55,178 --> 05:04:56,346
BUT I WILL KNOW SOON.

8603
05:04:56,346 --> 05:04:57,347
, NO COULDN'T AGREE MORE.

8604
05:04:57,347 --> 05:04:59,316
THANK YOU FOR PUTTING THAT ON

8605
05:04:59,316 --> 05:04:59,983
THE TABLE.

8606
05:04:59,983 --> 05:05:02,386
THAT WOULD BE -- MAYBE WE COULD

8607
05:05:02,386 --> 05:05:04,121
LEAN ON YOU TO PRESENT AT

8608
05:05:04,121 --> 05:05:05,555
SEPTEMBER'S COUNCIL TO SHARE

8609
05:05:05,555 --> 05:05:06,490
SOME OF THOSE RECOMMENDATIONS

8610
05:05:06,490 --> 05:05:10,360
AND GIVE US TIME TO REFLECT AS A

8611
05:05:10,360 --> 05:05:11,762
GROUP ON THE IMPLICATIONS FOR

8612
05:05:11,762 --> 05:05:16,400
NINR, THAT WOULD BE TERRIFIC.

8613
05:05:16,400 --> 05:05:17,134
THANK YOU, YEAH.

8614
05:05:17,134 --> 05:05:18,368
OTHER THINGS YOU WANT TO PUT ON

8615
05:05:18,368 --> 05:05:19,770
THE TABLE?

8616
05:05:19,770 --> 05:05:20,971
WE'LL STAY ALL NIGHT, RIGHT?

8617
05:05:20,971 --> 05:05:22,539
YOU CAN PUT AS MANY THINGS ON

8618
05:05:22,539 --> 05:05:26,343
THE TABLE.

8619
05:05:26,343 --> 05:05:26,677
OKAY.

8620
05:05:26,677 --> 05:05:28,512
WELL, YOU HAVE OUR E-MAIL AND

8621
05:05:28,512 --> 05:05:30,814
KNOWN NUMBERS, SO YOU CAN CALL

8622
05:05:30,814 --> 05:05:32,349
US OF COURSE AT ANY TIME.

8623
05:05:32,349 --> 05:05:34,885
WE WANT TO END THE OPEN SESSION.

8624
05:05:34,885 --> 05:05:36,954
AGAIN, THANK YOU FOR YOUR TIME,

8625
05:05:36,954 --> 05:05:39,122
YOUR ATTENTION.

8626
05:05:39,122 --> 05:05:40,691
SO WE'RE GOING TO ADJOURN, AND

8627
05:05:40,691 --> 05:05:44,728
I'M GOING TO BE PRECISE, IT'S

8628
05:05:44,728 --> 05:05:45,329
3:22 EASTERN.

8629
05:05:45,329 --> 05:05:47,898
SO HOW MUCH TIME DO YOU WANT?

8630
05:05:47,898 --> 05:05:50,968
WE DO NEED TO TRANSITION SOME

8631
05:05:50,968 --> 05:05:51,168
SEATS.

8632
05:05:51,168 --> 05:05:52,602
HOW MUCH TIME WOULD YOU LIKE

8633
05:05:52,602 --> 05:05:55,872
BEFORE WE MOVE INTO CLOSED

8634
05:05:55,872 --> 05:05:56,473
SESSION?

8635
05:05:56,473 --> 05:05:57,941
ARE WE GOOD WITH FIVE-ISH

8636
05:05:57,941 --> 05:05:58,809
MINUTES?

8637
05:05:58,809 --> 05:05:59,009
OKAY.

8638
05:05:59,009 --> 05:06:01,211
LET'S DO -- I'LL GIVE YOU SIX

8639
05:06:01,211 --> 05:06:01,445
MINUTES.

8640
05:06:01,445 --> 05:06:01,611
NO.

8641
05:06:01,611 --> 05:06:03,213
I'M GOING TO GIVE YOU -- NO, I'M

8642
05:06:03,213 --> 05:06:07,150
GOING TO GIVE YOU SIX MINUTES.

8643
05:06:07,150 --> 05:06:10,654
WE'LL DO 3:29.

8644
05:06:10,654 --> 05:06:11,855
3:29, OKAY.

8645
05:06:11,855 --> 05:06:19,997
WE'LL SEE YOU IN CLOSED SESSION,

8646
05:06:19,997 --> 05:06:20,197
 3:29.

8647
05:06:20,197 --> 05:06:30,197
GOOD-BYE.