1 00:00:06,246 --> 00:00:09,082 >> SO I WANT TO START BY 2 00:00:09,082 --> 00:00:10,383 WELCOMING A NEW MEMBER. 3 00:00:10,383 --> 00:00:12,752 MR. JOSEPH HARRINGTON IS A 4 00:00:12,752 --> 00:00:13,787 SEASONED EXECUTIVE WITH OVER 5 00:00:13,787 --> 00:00:15,288 THREE DECADES OF MANAGEMENT AND 6 00:00:15,288 --> 00:00:15,588 LEADERSHIP. 7 00:00:15,588 --> 00:00:17,824 HE BRINGS WITH HIM A WEALTH OF 8 00:00:17,824 --> 00:00:18,958 KNOWLEDGE AND EXPERIENCE IN 9 00:00:18,958 --> 00:00:20,160 EDUCATION, SOCIAL SERVICES, 10 00:00:20,160 --> 00:00:22,629 PUBLIC HEALTH AND HEALTH CARE. 11 00:00:22,629 --> 00:00:24,164 HE SERVED ON THE BOARD OF THE 12 00:00:24,164 --> 00:00:26,366 COOK COUNTY HEALTH AND IS THE 13 00:00:26,366 --> 00:00:30,470 CO-LEAD OF THE PATIENT COMMUNITY 14 00:00:30,470 --> 00:00:32,305 ADVISORY COMMITTEE OF THE 15 00:00:32,305 --> 00:00:35,341 CHICAGO AREA PATIENT CENTERED 16 00:00:35,341 --> 00:00:37,944 OUTCOMES NETWORK REFERRED TO AS 17 00:00:37,944 --> 00:00:39,345 CAPRICORN. 18 00:00:39,345 --> 00:00:44,584 WELCOME MR. HARRINGTON. 19 00:00:44,584 --> 00:00:47,153 I WILL TURN THE MEETING OVER TO 20 00:00:47,153 --> 00:00:48,521 THE COUNCIL SECRETARY WHO WILL 21 00:00:48,521 --> 00:00:50,256 PROCEED WITH MEETING LOGISTICS. 22 00:00:50,256 --> 00:00:51,891 >> GOOD MORNING AND WELCOME. 23 00:00:51,891 --> 00:01:02,569 I WILL DO A ROLL CALL OF COUNCIL 24 00:01:02,569 --> 00:01:02,735 MEMBERS. 25 00:01:02,735 --> 00:01:04,370 PLEASE RAISE YOUR HAND. 26 00:01:04,370 --> 00:01:05,805 >> DR. ATKINS. 27 00:01:05,805 --> 00:01:06,739 >> HERE. 28 00:01:06,739 --> 00:01:12,378 >> DR. AYALA. 29 00:01:12,378 --> 00:01:15,014 >> DR. BEKEMEIER. 30 00:01:15,014 --> 00:01:16,382 >> HERE. 31 00:01:16,382 --> 00:01:17,483 >> MR. HARRINGTON? 32 00:01:17,483 --> 00:01:18,718 >> PRESENT. 33 00:01:18,718 --> 00:01:20,119 >> DR. STONE. 34 00:01:20,119 --> 00:01:22,088 >> HERE. 35 00:01:22,088 --> 00:01:22,722 >> DR. WANG. 36 00:01:22,722 --> 00:01:24,224 >> HERE. 37 00:01:24,224 --> 00:01:25,225 >> I NOTE THAT LIEUTENANT 38 00:01:25,225 --> 00:01:28,428 COLONEL GARDNER IS JOINING US 39 00:01:28,428 --> 00:01:31,197 VIRTUALLY AND DR. SULLIVAN IS 40 00:01:31,197 --> 00:01:32,465 UNABLE TO ATTEND. 41 00:01:32,465 --> 00:01:35,034 DR. ZENK, WE HAVE A QUORUM FOR 42 00:01:35,034 --> 00:01:35,368 THIS MEETING. 43 00:01:35,368 --> 00:01:37,770 I WILL TURN TO A VOTE OF THE 44 00:01:37,770 --> 00:01:38,905 LAST COUNCIL MEETING. 45 00:01:38,905 --> 00:01:41,307 THEY WERE MADE AVAILABLE ON THE 46 00:01:41,307 --> 00:01:42,208 ELECTRONIC COUNCIL BOOK FOR YOUR 47 00:01:42,208 --> 00:01:42,442 REVIEW. 48 00:01:42,442 --> 00:01:45,645 MAY I HAVE A MOTION TO APPROVE? 49 00:01:45,645 --> 00:01:47,113 >> MOVE TO APPROVE. 50 00:01:47,113 --> 00:01:47,447 >> THANK YOU. 51 00:01:47,447 --> 00:01:49,449 SECOND? 52 00:01:49,449 --> 00:01:51,351 THANK YOU. 53 00:01:51,351 --> 00:01:57,390 ANY DISCUSSION? 54 00:01:57,390 --> 00:01:57,690 ANY OPPOSED? 55 00:01:57,690 --> 00:02:05,064 MOTION CARRIES. 56 00:02:05,064 --> 00:02:09,235 A BIT ON MEETING LOGISTICS. 57 00:02:09,235 --> 00:02:11,304 PLEASE USE THE PUSH TO TALK 58 00:02:11,304 --> 00:02:11,905 FEATURE ON THE MICROPHONE IN 59 00:02:11,905 --> 00:02:13,373 FRONT OF YOU TO ENSURE THAT 60 00:02:13,373 --> 00:02:13,840 EVERYONE CAN HEAR YOU. 61 00:02:13,840 --> 00:02:14,474 ADDITIONALLY, PLEASE TURN AFTER 62 00:02:14,474 --> 00:02:15,341 YOUR MICROPHONE WHEN NOT IN USE. 63 00:02:15,341 --> 00:02:15,875 THIS IS A ONE-DAY MEETING. 64 00:02:15,875 --> 00:02:19,345 AS ALWAYS, A RECORDING OF THIS 65 00:02:19,345 --> 00:02:20,346 MEETING WILL BE AVAILABLE TO THE 66 00:02:20,346 --> 00:02:23,349 ADDRESS SHOWN ON THE SLIDE. 67 00:02:23,349 --> 00:02:24,050 CLOSED SESSION WILL BEGIN 68 00:02:24,050 --> 00:02:24,584 APPROXIMATELY 15 MINUTES 69 00:02:24,584 --> 00:02:25,385 FOLLOWING THE END OF OPEN 70 00:02:25,385 --> 00:02:33,559 SESSION. 71 00:02:33,559 --> 00:02:34,627 DATES FOR FUTURE COUNCIL 72 00:02:34,627 --> 00:02:35,361 MEETINGS ARE LISTED ON THE NINR 73 00:02:35,361 --> 00:02:37,263 COUNCIL WEBPAGE AS WELL AS IN 74 00:02:37,263 --> 00:02:37,864 THE OPEN SESSION MATERIALS IN 75 00:02:37,864 --> 00:02:38,431 THE ELECTRONIC COUNCIL BOOK. 76 00:02:38,431 --> 00:02:39,399 PLEASE ADD THESE DATES TO YOUR 77 00:02:39,399 --> 00:02:49,575 CALENDAR. 78 00:02:50,009 --> 00:02:51,844 >> OUR NEXT MEETING IS SCHEDULED 79 00:02:51,844 --> 00:02:53,713 FOR JANUARY 28, 2025. 80 00:02:53,713 --> 00:02:56,549 THIS WILL BE AN IN-PERSON 81 00:02:56,549 --> 00:02:59,352 MEETING IN BETHESDA. 82 00:02:59,352 --> 00:03:09,062 I WANT TO REMIND COUNCIL MEMBER 83 00:03:09,062 --> 00:03:09,195 S 84 00:03:09,195 --> 00:03:09,829 OTHER THAN EX OFFICIO THAT YOU 85 00:03:09,829 --> 00:03:10,330 ARE SPECIAL GOVERNMENT 86 00:03:10,330 --> 00:03:11,164 EMPLOYEES. 87 00:03:11,164 --> 00:03:11,798 AS SUCH, YOU MAY NOT ENGAGE IN 88 00:03:11,798 --> 00:03:12,332 LOBBYING ACTIVITIES WHILE 89 00:03:12,332 --> 00:03:13,366 RECEIVING PAY FROM THE FEDERAL 90 00:03:13,366 --> 00:03:14,867 GOVERNMENT. 91 00:03:14,867 --> 00:03:15,468 FURTHER INFORMATION REGARDING 92 00:03:15,468 --> 00:03:16,002 CONFLICT OF INTEREST AND 93 00:03:16,002 --> 00:03:16,636 CONFIDENTIALITY REQUIREMENTS ARE 94 00:03:16,636 --> 00:03:17,270 POSTED IN THE ELECTRONIC COUNCIL 95 00:03:17,270 --> 00:03:19,105 BOOK SO PLEASE REVIEW THOSE IF 96 00:03:19,105 --> 00:03:19,672 YOU HAVEN'T DONE SO ALREADY. 97 00:03:19,672 --> 00:03:20,239 YOU HAVEN'T DONE SO ALREADY. 98 00:03:20,239 --> 00:03:21,774 I WILL GIVE MORE SPECIFIC 99 00:03:21,774 --> 00:03:22,408 INSTRUCTIONS ABOUT CONFLICT OF 100 00:03:22,408 --> 00:03:23,042 INTEREST CONFIDENTIALITY AT THE 101 00:03:23,042 --> 00:03:23,910 BEGINNING OF THE CLOSED SESSION 102 00:03:23,910 --> 00:03:34,287 LATER THIS AFTERNOON. 103 00:03:36,122 --> 00:03:36,656 NOW I'LL TURN IT BACK TO DR. 104 00:03:36,656 --> 00:03:39,325 ZENK FOR THE NINR DIRECTOR'S 105 00:03:39,325 --> 00:03:42,128 REPORT. 106 00:03:42,128 --> 00:03:42,662 >> THANK YOU, DR. TARLOV. 107 00:03:42,662 --> 00:03:45,598 >> I HAVE HAD A CHANCE TO 108 00:03:45,598 --> 00:03:47,667 REFLECT OVER THE INSTITUTE'S 109 00:03:47,667 --> 00:03:48,301 ACCOMPLISHMENTS OVER THE LAST 110 00:03:48,301 --> 00:03:48,801 YEAR. 111 00:03:48,801 --> 00:03:50,636 I THINK THEY ARE QUITE 112 00:03:50,636 --> 00:03:50,937 IMPRESSIVE. 113 00:03:50,937 --> 00:03:52,705 WE HAVE HAD INCREASED INTEREST 114 00:03:52,705 --> 00:03:55,341 IN OUR FUNDING OPPORTUNITIES AND 115 00:03:55,341 --> 00:03:57,744 INCREASED ENROLLMENT FROM 116 00:03:57,744 --> 00:03:59,345 INDIVIDUALS IN UNDERREPRESENTED 117 00:03:59,345 --> 00:04:01,981 GROUPS IN OUR SUPPORTED SCIENCE. 118 00:04:01,981 --> 00:04:03,349 WE CONTINUE TO MAKE PROGRESS ON 119 00:04:03,349 --> 00:04:05,685 THE GOALS OF OUR STRATEGIC PLAN 120 00:04:05,685 --> 00:04:08,287 AND MORE IMPORTANTLY, ALL OF OUR 121 00:04:08,287 --> 00:04:10,156 ACTIVITIES ARE GUIDED BY OUR 122 00:04:10,156 --> 00:04:10,390 MISSION. 123 00:04:10,390 --> 00:04:12,558 HEALTH EQUITY IS NINR'S NORTH 124 00:04:12,558 --> 00:04:15,795 STAR, THE CORE VALUE THAT 125 00:04:15,795 --> 00:04:17,597 INSPIRES US AND ACTIVATES US. 126 00:04:17,597 --> 00:04:20,233 WE ARE WORKING HARD EVERY DAY TO 127 00:04:20,233 --> 00:04:23,169 ENSURE ALL OF OUR EFFORTS ARE 128 00:04:23,169 --> 00:04:23,970 IMPLEMENTED WITH HEALTH EQUITY 129 00:04:23,970 --> 00:04:25,038 IN MIND. 130 00:04:25,038 --> 00:04:27,073 WE DESIGNED TODAY'S MEETING TO 131 00:04:27,073 --> 00:04:28,708 REINFORCE THIS APPROACH AND TO 132 00:04:28,708 --> 00:04:30,376 START A DISCUSSION ABOUT WHERE 133 00:04:30,376 --> 00:04:31,210 WE'RE GOING NEXT. 134 00:04:31,210 --> 00:04:33,513 I'M GOING TO SPEND A LITTLE BIT 135 00:04:33,513 --> 00:04:35,214 OF TIME WALKING US THROUGH 136 00:04:35,214 --> 00:04:37,383 TODAY'S MEETING SO WE KNOW WHERE 137 00:04:37,383 --> 00:04:38,818 WE ARE HEADED. 138 00:04:38,818 --> 00:04:45,224 AFTER MY UPDATE, DR. GUILAMO 139 00:04:45,224 --> 00:04:48,061 RAMOS IS GOING TO PRESENT THE 140 00:04:48,061 --> 00:04:49,896 UNEQUAL TREATMENT ON DISPARITIES 141 00:04:49,896 --> 00:04:50,430 IN HEALTH CARE. 142 00:04:50,430 --> 00:04:52,565 HE WILL PROVIDE US WITH THE 143 00:04:52,565 --> 00:04:59,338 GENERAL ASSESSMENT OF THE MOST 144 00:04:59,338 --> 00:05:01,374 CHALLENGING ASPECTS. 145 00:05:01,374 --> 00:05:03,342 DR. COURTNEY AKIN WILL PROVIDE 146 00:05:03,342 --> 00:05:05,778 AN OVERVIEW OF NINR'S HEALTH 147 00:05:05,778 --> 00:05:07,780 EQUITY EFFORTS TO DATE, LOOKING 148 00:05:07,780 --> 00:05:09,048 BACK AT OUR ACCOMPLISHMENTS IN 149 00:05:09,048 --> 00:05:10,950 THE LAST SEVERAL YEARS. 150 00:05:10,950 --> 00:05:13,286 SHE WILL PROVIDE SOME INSIGHT 151 00:05:13,286 --> 00:05:16,155 INTO THE UPDATED LANGUAGE WE ARE 152 00:05:16,155 --> 00:05:22,462 USING FOR THE STRATEGY PLAN'S 153 00:05:22,462 --> 00:05:25,098 HEALTH EQUITY LENS, WITH THE 154 00:05:25,098 --> 00:05:27,200 UNEQUAL TREATMENT REPORT IN 155 00:05:27,200 --> 00:05:27,400 MIND. 156 00:05:27,400 --> 00:05:28,935 NINR INVESTIGATOR AND HER 157 00:05:28,935 --> 00:05:31,671 COMMUNITY PARTNER DISCUSSING A 158 00:05:31,671 --> 00:05:32,939 PROJECT THAT ILLUSTRATES OUR 159 00:05:32,939 --> 00:05:34,607 MISSION IN ACTION. 160 00:05:34,607 --> 00:05:36,742 WE'LL BREAK FOR LUNCH AND AFTER 161 00:05:36,742 --> 00:05:38,010 LUNCH WE'LL BEGIN OUR DISCUSSION 162 00:05:38,010 --> 00:05:39,946 ABOUT HOW WE SEE NINR RESPONDING 163 00:05:39,946 --> 00:05:42,081 TO THE ONGOING CHALLENGES WE 164 00:05:42,081 --> 00:05:44,217 FACE IN HEALTH EQUITY, 165 00:05:44,217 --> 00:05:46,953 SPECIFICALLY HOW WE BELIEVE NINR 166 00:05:46,953 --> 00:05:49,055 CAN CONTINUE TO LEAD IN THIS 167 00:05:49,055 --> 00:05:49,255 AREA. 168 00:05:49,255 --> 00:05:52,391 SO FOR THAT DISCUSSION, WE'RE 169 00:05:52,391 --> 00:05:54,494 JOINED BY TWO FANTASTIC NURSE 170 00:05:54,494 --> 00:05:58,664 SCIENTISTS TO SHARE THEIR 171 00:05:58,664 --> 00:05:58,965 PERSPECTIVE. 172 00:05:58,965 --> 00:06:04,704 DOCTOR SHAWN KNEIPP AND DR. 173 00:06:04,704 --> 00:06:07,306 MONICA McLEMORE WILL TALK ABOUT 174 00:06:07,306 --> 00:06:09,075 MEANINGFUL COMMUNITY ENGAGEMENT. 175 00:06:09,075 --> 00:06:11,210 WE BELIEVE STRUCTURAL 176 00:06:11,210 --> 00:06:11,811 INTERVENTIONS AND COMMUNITY 177 00:06:11,811 --> 00:06:12,612 ENGAGEMENT ARE ESSENTIAL 178 00:06:12,612 --> 00:06:14,480 STRATEGIES IN THE PURSUIT OF 179 00:06:14,480 --> 00:06:15,481 HEALTH EQUITY AND BOTH REPRESENT 180 00:06:15,481 --> 00:06:17,517 REALLY IMPORTANT AREAS WHERE 181 00:06:17,517 --> 00:06:19,519 NINR HAS EMERGED AS A LEADER. 182 00:06:19,519 --> 00:06:22,288 SO WE'VE RESERVED 45 MINUTES 183 00:06:22,288 --> 00:06:24,490 THIS AFTERNOON FOR DISCUSSION TO 184 00:06:24,490 --> 00:06:25,658 BE LED BY DR. WANG. 185 00:06:25,658 --> 00:06:28,427 THE GOAL FOR THAT TIME IS TO 186 00:06:28,427 --> 00:06:29,762 HEAR FROM COUNCIL ABOUT THEIR 187 00:06:29,762 --> 00:06:32,198 BIG, BOLD IDEAS FOR ADDRESSING 188 00:06:32,198 --> 00:06:34,267 HEALTH EQUITY AND HOW NINR CAN 189 00:06:34,267 --> 00:06:36,435 CONTINUE TO PLAY A PIVOTAL ROLE 190 00:06:36,435 --> 00:06:39,338 IN THIS AREA OF RESEARCH AS WE 191 00:06:39,338 --> 00:06:40,106 MOVE FORWARD. 192 00:06:40,106 --> 00:06:42,208 SO ONE OF THE KEY MESSAGES OF 193 00:06:42,208 --> 00:06:45,811 THE ENDING UNEQUAL TREATMENT 194 00:06:45,811 --> 00:06:46,913 REPORT IS ACCOUNTABILITY AND 195 00:06:46,913 --> 00:06:49,115 WHAT IT MEANS TO HOLD PEOPLE 196 00:06:49,115 --> 00:06:52,518 ACCOUNTABLE FOR, IF, AND HOW 197 00:06:52,518 --> 00:06:55,321 HERBAL DISPARITIES ARE 198 00:06:55,321 --> 00:06:55,588 ADDRESSED. 199 00:06:55,588 --> 00:06:58,524 AT THE INSTITUTE WE BELIEVE WE 200 00:06:58,524 --> 00:07:00,960 CAN ABSOLUTELY NOT ACCEPT THE 201 00:07:00,960 --> 00:07:02,528 STATUS QUO WHEN IT COMES TO 202 00:07:02,528 --> 00:07:04,130 HEALTH EQUITY OR DISPARITIES. 203 00:07:04,130 --> 00:07:05,698 OUR MISSION AND STRATEGIC PLAN 204 00:07:05,698 --> 00:07:07,300 IS HOW WE WILL BE HELD 205 00:07:07,300 --> 00:07:08,301 ACCOUNTABLE FOR OUR ACTION OR 206 00:07:08,301 --> 00:07:09,101 INACTION IN THE FACE OF THIS 207 00:07:09,101 --> 00:07:11,771 CRISIS. 208 00:07:11,771 --> 00:07:13,739 NURSES, ESPECIALLY, KNOW THE 209 00:07:13,739 --> 00:07:14,540 REALITIES OF HEALTH CARE. 210 00:07:14,540 --> 00:07:16,309 AND HOW THE BROADER CONDITIONS 211 00:07:16,309 --> 00:07:21,047 OF PEOPLE'S LIVES STRONGLY SHAPE 212 00:07:21,047 --> 00:07:21,614 THEIR HEALTH. 213 00:07:21,614 --> 00:07:24,817 IF WE ARE NOT ACTIVELY 214 00:07:24,817 --> 00:07:27,053 CONTRIBUTED TO FAIR AND 215 00:07:27,053 --> 00:07:28,254 EVIDENCE-BASED SOLUTIONS WE ARE 216 00:07:28,254 --> 00:07:28,955 CONTRIBUTING TO THE PROBLEM. 217 00:07:28,955 --> 00:07:31,324 I'M EXCITED TO LAUNCH OUR 218 00:07:31,324 --> 00:07:33,893 CONVERSATION TODAY WHICH WILL 219 00:07:33,893 --> 00:07:35,595 EVENTUALLY HELP TO DEVELOP OUR 220 00:07:35,595 --> 00:07:37,363 FUTURE COLLECTIVE ACTION. 221 00:07:37,363 --> 00:07:40,132 I WILL START WITH UPDATES IN THE 222 00:07:40,132 --> 00:07:41,667 INSTITUTE, SOME OF THE GREAT 223 00:07:41,667 --> 00:07:44,070 THINGS HAPPENING SINCE WE LAST 224 00:07:44,070 --> 00:07:44,237 MET. 225 00:07:44,237 --> 00:07:46,105 SO WE HAVE UPDATES RELATED TO 226 00:07:46,105 --> 00:07:47,607 HOW WE ARE ADVANCING SCIENCE 227 00:07:47,607 --> 00:07:49,375 THROUGH OUR FUNDING 228 00:07:49,375 --> 00:07:51,210 OPPORTUNITIES, SCIENTIFIC 229 00:07:51,210 --> 00:07:52,845 EVENTS, PUBLICATIONS AND OTHER 230 00:07:52,845 --> 00:07:53,179 ACTIVITIES. 231 00:07:53,179 --> 00:07:55,014 SO LET'S GET STARTED. 232 00:07:55,014 --> 00:07:56,782 I'M PLEASED TO START OUT BY 233 00:07:56,782 --> 00:07:58,384 SHARING WITH YOU SOMETHING I 234 00:07:58,384 --> 00:08:00,219 ALLUDED TO A MINUTE AGO, THAT WE 235 00:08:00,219 --> 00:08:01,721 UPDATED THE DESCRIPTIONS OF OUR 236 00:08:01,721 --> 00:08:03,789 FIVE RESEARCH LENSES AND OUR 237 00:08:03,789 --> 00:08:04,490 STRATEGIC PLAN. 238 00:08:04,490 --> 00:08:07,727 TO PROVIDE MORE GUIDANCE TO 239 00:08:07,727 --> 00:08:08,194 INVESTIGATORS. 240 00:08:08,194 --> 00:08:10,129 YOU MAY RECALL THAT THE 241 00:08:10,129 --> 00:08:11,931 STRATEGIC PLAN WAS DEVELOPED AS 242 00:08:11,931 --> 00:08:14,900 A LIVING DOCUMENT, ENABLING THE 243 00:08:14,900 --> 00:08:16,636 INSTITUTE TO STAY RESPONSIVE TO 244 00:08:16,636 --> 00:08:18,471 THE DYNAMIC AND EMERGING HEALTH 245 00:08:18,471 --> 00:08:20,172 ISSUES THAT OUR NATION FACES. 246 00:08:20,172 --> 00:08:21,574 WE BELIEVE THAT THROUGH THIS 247 00:08:21,574 --> 00:08:23,342 ADAPTABLE APPROACH, WE CAN 248 00:08:23,342 --> 00:08:24,944 ASSURE THAT OUR ACTIONS ARE 249 00:08:24,944 --> 00:08:27,346 TIMELY AND THAT THEY'RE 250 00:08:27,346 --> 00:08:27,747 RELEVANT. 251 00:08:27,747 --> 00:08:30,716 THE REVISIONS TO THE LENSES 252 00:08:30,716 --> 00:08:32,585 REFLECT SCIENTIFIC ADVANCEMENT, 253 00:08:32,585 --> 00:08:34,487 CHANGES IN LANGUAGE THAT WE'VE 254 00:08:34,487 --> 00:08:36,289 SEEN SINCE THE PLAN LAUNCHED IN 255 00:08:36,289 --> 00:08:39,325 MAY OF 22, INCLUDING THE NIH 256 00:08:39,325 --> 00:08:42,862 SOCIAL DETERMINANTS OF HEALTH 257 00:08:42,862 --> 00:08:49,368 RESEARCH COORDINATING COMMITTEE 258 00:08:49,368 --> 00:08:50,069 CONCEPTUALATION. 259 00:08:50,069 --> 00:08:51,337 THEY BUILD ON BUT DON'T 260 00:08:51,337 --> 00:08:52,738 FUNDAMENTALLY CHANGE THE 261 00:08:52,738 --> 00:08:53,139 STRATEGIC PLAN. 262 00:08:53,139 --> 00:08:59,578 THEY ARE FOR ADDITIONAL GUIDANCE 263 00:08:59,578 --> 00:09:01,380 FOR INVESTIGATORS TO APPLY NEW 264 00:09:01,380 --> 00:09:03,349 SCIENCE AND TERMINOLOGY. 265 00:09:03,349 --> 00:09:05,451 SINCE TODAY'S THEME IS HEALTH 266 00:09:05,451 --> 00:09:06,886 EQUITY, I WILL START WITH AN 267 00:09:06,886 --> 00:09:09,822 UPDATE ON OUR P.A.R. WE ISSUED 268 00:09:09,822 --> 00:09:12,992 IN 2022 WHEN WE LAUNCHED OUR 269 00:09:12,992 --> 00:09:13,359 STRATEGIC PLAN. 270 00:09:13,359 --> 00:09:14,593 THIS FUNDING OPPORTUNITY, THERE 271 00:09:14,593 --> 00:09:18,597 IS RO1, R21, CALLED FOR GRANT 272 00:09:18,597 --> 00:09:20,433 APPLICATIONS CONSISTENT WITH THE 273 00:09:20,433 --> 00:09:21,767 SCIENTIFIC FRAMEWORK DETAILED IN 274 00:09:21,767 --> 00:09:24,437 OUR STRATEGIC PLAN, WITH A FOCUS 275 00:09:24,437 --> 00:09:25,838 ON OPTIMIZING HEALTH AND 276 00:09:25,838 --> 00:09:28,240 ADVANCING HEALTH EQUITY. 277 00:09:28,240 --> 00:09:29,475 THIS IS A UNIQUE FUNDING 278 00:09:29,475 --> 00:09:31,310 OPPORTUNITY AS IT ALLOWS 279 00:09:31,310 --> 00:09:33,346 INVESTIGATORS TO APPLY FOR NINR 280 00:09:33,346 --> 00:09:35,247 ON ANY TOPIC ALIGNED WITH OUR 281 00:09:35,247 --> 00:09:36,682 STRATEGIC PLAN. 282 00:09:36,682 --> 00:09:39,318 SO WE FUNDED SOME NEW RO1s SINCE 283 00:09:39,318 --> 00:09:41,687 OUR LAST MEETING AND HERE ARE 284 00:09:41,687 --> 00:09:42,922 SOME KPACHLS. 285 00:09:42,922 --> 00:09:45,958 THE FIRST AIMS TO UNDERSTAND HOW 286 00:09:45,958 --> 00:09:47,460 HOMELESSNESS AND ASSOCIATED 287 00:09:47,460 --> 00:09:49,061 TRAUMAS DISPROPORTIONATELY 288 00:09:49,061 --> 00:09:51,130 AFFECT THE HEALTH OF BLACK 289 00:09:51,130 --> 00:09:51,330 WOMEN. 290 00:09:51,330 --> 00:09:55,401 THE SECOND IS EXPLORING HOW TO 291 00:09:55,401 --> 00:09:57,236 INCORPORATE SOCIAL DETERMINANTS 292 00:09:57,236 --> 00:10:01,173 OF HEALTH INTO CHRONIC 293 00:10:01,173 --> 00:10:03,075 MUSCULOSKELETAL PAIN 294 00:10:03,075 --> 00:10:03,409 INTERVENTIONS. 295 00:10:03,409 --> 00:10:06,545 THE THIRD WILL TEST A 296 00:10:06,545 --> 00:10:07,346 COMMUNITY-BASED INTERCONVENIENCE 297 00:10:07,346 --> 00:10:11,217 FOR ANTI-RETROVIRAL THERAPY AND 298 00:10:11,217 --> 00:10:13,652 PREEXPOSURE PROPHYLAXIS AMONG 299 00:10:13,652 --> 00:10:16,822 MALE HIV TESTERS IN TANZANIA. 300 00:10:16,822 --> 00:10:21,060 SO AS YOU CAN SEE UNDER THE PIR, 301 00:10:21,060 --> 00:10:23,162 WE HAVE UPCOMING RECEIPT DATES 302 00:10:23,162 --> 00:10:24,463 IN OCTOBER AND AGAIN IN 303 00:10:24,463 --> 00:10:25,264 FEBRUARY. 304 00:10:25,264 --> 00:10:28,300 HERE ARE EXAMPLES OF R21 FUNDED 305 00:10:28,300 --> 00:10:29,835 SINCE MAY COUNCIL THROUGH THAT 306 00:10:29,835 --> 00:10:30,069 P.A.R. 307 00:10:30,069 --> 00:10:31,670 THE FIRST PROJECT IS SEEKING TO 308 00:10:31,670 --> 00:10:34,006 UNDERSTAND THE FEASIBILITY OF AN 309 00:10:34,006 --> 00:10:35,474 INTERVENTION TO PROVIDE 310 00:10:35,474 --> 00:10:38,611 MEDICALLY TAILORED MEALS TO 311 00:10:38,611 --> 00:10:39,345 PEDIATRIC POPULATIONS 312 00:10:39,345 --> 00:10:41,247 EXPERIENCING SERIOUS ILLNESSES, 313 00:10:41,247 --> 00:10:43,749 IN WHICH INEQUITIES RELATE TO 314 00:10:43,749 --> 00:10:45,785 FOOD AND NUTRITION INSECURITYING 315 00:10:45,785 --> 00:10:48,053 CAN AFFECT SERIOUS ILLNESS 316 00:10:48,053 --> 00:10:48,320 OUTCOMES. 317 00:10:48,320 --> 00:10:50,423 AND THE SECOND IS A PILOT TEST 318 00:10:50,423 --> 00:10:52,358 FOR AN INTERVENTION TO IMPROVE 319 00:10:52,358 --> 00:10:53,726 FINANCIAL AND GLOBAL HEALTH 320 00:10:53,726 --> 00:10:55,961 OUTCOMES FOR ADOLESCENT AND 321 00:10:55,961 --> 00:10:57,129 YOUNG ADULT CANCER SURVIVORS 322 00:10:57,129 --> 00:11:00,232 WITH UNMET HEALTH-RELATED SOCIAL 323 00:11:00,232 --> 00:11:02,768 NEEDS AND FINANCIAL TOXICITY IN 324 00:11:02,768 --> 00:11:03,135 NEW YORK CITY. 325 00:11:03,135 --> 00:11:05,037 SO WE WANT TO CONGRATULATE THESE 326 00:11:05,037 --> 00:11:08,207 AND OTHER RO1 AND R21 327 00:11:08,207 --> 00:11:09,208 RECIPIENTS. 328 00:11:09,208 --> 00:11:10,376 WE ARE DELIGHTED TO SUPPORT YOUR 329 00:11:10,376 --> 00:11:13,012 SCIENCE THAT ADVANCES THE 330 00:11:13,012 --> 00:11:13,679 STRATEGIC PLAN. 331 00:11:13,679 --> 00:11:16,081 SO I WANT TO TELL YOU ABOUT A 332 00:11:16,081 --> 00:11:22,321 NEW RO1, ALSO FUNDED BY OUR NINR 333 00:11:22,321 --> 00:11:26,759 THROUGH OUR FIREARM INJURY 334 00:11:26,759 --> 00:11:29,929 STRATEGIC IMPERATIVE, TO DELIVER 335 00:11:29,929 --> 00:11:33,098 AN ADAPTED VERSION OF SAFE 336 00:11:33,098 --> 00:11:36,502 FIREARM PROGRAM WITHIN FEDERALLY 337 00:11:36,502 --> 00:11:38,103 QUALIFIED CENTERS TO SECURE 338 00:11:38,103 --> 00:11:39,371 FIREARM STORAGE. 339 00:11:39,371 --> 00:11:41,507 THIS IS AN EVIDENCE-BASED 340 00:11:41,507 --> 00:11:44,944 PROGRAM THAT WILL BE MODIFIED 341 00:11:44,944 --> 00:11:46,378 USING FEEDBACK FROM KEY 342 00:11:46,378 --> 00:11:47,179 CONSTITUENTS AND THE COMMUNITY. 343 00:11:47,179 --> 00:11:49,348 COUNCILING WITH PARENTS AND FREE 344 00:11:49,348 --> 00:11:50,249 CABLE LOCKS. 345 00:11:50,249 --> 00:11:54,220 UNDER THE FIREARM STRATEGIC 346 00:11:54,220 --> 00:11:57,223 IMPERATIVE, WE HAVE RELEASED TWO 347 00:11:57,223 --> 00:11:58,924 TRAINING INITIATIVES SO FAR AS 348 00:11:58,924 --> 00:12:01,627 WELL AS A RESEARCH INITIATIVE ON 349 00:12:01,627 --> 00:12:02,862 FIREARM INJURY PREVENTION IN 350 00:12:02,862 --> 00:12:04,430 COMMUNITY HEALTH CARE SETTINGS. 351 00:12:04,430 --> 00:12:06,765 AS YOU MAY RECALL, COUNCIL DID 352 00:12:06,765 --> 00:12:08,334 APPROVE ANOTHER CONCEPT IN 353 00:12:08,334 --> 00:12:09,902 JANUARY ON FURTHER EXPANDING 354 00:12:09,902 --> 00:12:11,937 CAPACITY IN THIS AREA OF 355 00:12:11,937 --> 00:12:18,377 RESEARCH AMONG NURSE SCIENTISTS. 356 00:12:18,377 --> 00:12:22,047 SO ONE OF THE THINGS WE HEAR 357 00:12:22,047 --> 00:12:23,048 CONSISTENCY IS THAT NURSE 358 00:12:23,048 --> 00:12:25,384 RESEARCHERS ARE AWARE OF THE 359 00:12:25,384 --> 00:12:27,152 CRITICAL IMPORTANCE OF 360 00:12:27,152 --> 00:12:28,220 ADDRESSING SOCIAL DETERMINANTS 361 00:12:28,220 --> 00:12:30,222 OF HEALTH IN THEIR WORK, BUT ARE 362 00:12:30,222 --> 00:12:31,690 LOOKING FOR MORE OPPORTUNITIES 363 00:12:31,690 --> 00:12:33,192 TO EXPAND THEIR KNOWLEDGE AND 364 00:12:33,192 --> 00:12:35,227 SKILL SET IN THIS AREA OF 365 00:12:35,227 --> 00:12:35,461 SCIENCE. 366 00:12:35,461 --> 00:12:37,363 SO WE'VE RESPONDED IN SEVERAL 367 00:12:37,363 --> 00:12:40,266 RAYS, INCLUDING NR25, WHICH I 368 00:12:40,266 --> 00:12:41,700 WILL MENTION IN A MINUTE AS WELL 369 00:12:41,700 --> 00:12:48,307 AS SDOH SUMMER INSTITUTE WHICH 370 00:12:48,307 --> 00:12:49,575 WE LAUNCHED THIS SUMMER. 371 00:12:49,575 --> 00:12:53,212 I THINK THE EVENT WAS REALLY AN 372 00:12:53,212 --> 00:12:55,381 UNQUALIFIED SUCCESS. 373 00:12:55,381 --> 00:12:57,750 WENT WE SENT OUT THE REQUEST FOR 374 00:12:57,750 --> 00:12:59,785 LETTERS OF INTEREST AND RECEIVED 375 00:12:59,785 --> 00:13:01,020 OVER 240 RESPONSES. 376 00:13:01,020 --> 00:13:03,322 AND AFTER A REALLY PAINSTAKING 377 00:13:03,322 --> 00:13:05,991 SELECTION PROCESS, WE HAD AN 378 00:13:05,991 --> 00:13:09,128 AMAZING COHORT OF 16 NURSE 379 00:13:09,128 --> 00:13:10,229 SCHOLARS WHO PARTICIPATED. 380 00:13:10,229 --> 00:13:12,164 THIS WAS A DIVERSE GROUP WHO 381 00:13:12,164 --> 00:13:14,133 CAME FROM SCHOOLS ACROSS THE 382 00:13:14,133 --> 00:13:16,035 COUNTRY AND WERE INTERESTED IN 383 00:13:16,035 --> 00:13:18,470 TOPICS RANGING FROM DISPARITIES 384 00:13:18,470 --> 00:13:20,873 AND HEART DISEASE TO MASS 385 00:13:20,873 --> 00:13:21,206 INCARCERATION. 386 00:13:21,206 --> 00:13:23,342 THE FACULTY WHO JOINED THIS 387 00:13:23,342 --> 00:13:25,144 SUMMER GUIDED OUR SCHOLARS 388 00:13:25,144 --> 00:13:29,882 THROUGH RESEARCH DESIGN, 389 00:13:29,882 --> 00:13:38,857 METHODOLOGICAL CON -- 390 00:13:38,857 --> 00:13:39,158 CONCEPTIONS. 391 00:13:39,158 --> 00:13:41,460 I WANT TO THANK EVERYONE AND THE 392 00:13:41,460 --> 00:13:42,995 NINR STAFF WHO HELPED TO PLAN 393 00:13:42,995 --> 00:13:43,329 THE EVENT. 394 00:13:43,329 --> 00:13:45,497 WE ARE PLEASED WITH THE FEEDBACK 395 00:13:45,497 --> 00:13:47,600 AND HOPE TO DO MORE OF THESE 396 00:13:47,600 --> 00:13:47,833 EVENTS. 397 00:13:47,833 --> 00:13:52,571 SO I MENTIONED THE R25s, R25 WAS 398 00:13:52,571 --> 00:13:54,173 RELEASED TO SUPPORT SHORT 399 00:13:54,173 --> 00:13:56,842 COURSES AS ANOTHER WAY CAN 400 00:13:56,842 --> 00:13:58,510 EXPAND OPPORTUNITIES FOR SDOH 401 00:13:58,510 --> 00:13:59,712 TRAINING IN THE NURSING SCIENCE 402 00:13:59,712 --> 00:13:59,979 COMMUNITY. 403 00:13:59,979 --> 00:14:02,314 IT IS EXCITING TO REPORT THAT WE 404 00:14:02,314 --> 00:14:05,084 HAVE FUNDED FIVE NEW R25s. 405 00:14:05,084 --> 00:14:06,719 AGAIN, WITH THE GOAL OF 406 00:14:06,719 --> 00:14:09,088 DEVELOPING AND IMPLEMENTS 407 00:14:09,088 --> 00:14:10,956 COURSES FOR UP TO A YEAR FOR 408 00:14:10,956 --> 00:14:12,992 NURSE SCIENTISTS AND SCIENTISTS 409 00:14:12,992 --> 00:14:15,127 WITH ALIGNED INTERESTS TO HELP 410 00:14:15,127 --> 00:14:16,428 PREPARE THEM TO CONDUCT 411 00:14:16,428 --> 00:14:20,366 RIGOROUS, INNOVATIVE 412 00:14:20,366 --> 00:14:21,000 SOLUTIONS-ORIENTED NURSING 413 00:14:21,000 --> 00:14:22,434 RESEARCH TO ADDRESS SOCIAL 414 00:14:22,434 --> 00:14:26,005 DETERMINANTS OF HEALTH AND 415 00:14:26,005 --> 00:14:27,339 SYSTEMATIC MALE DISTRIBUTION ON 416 00:14:27,339 --> 00:14:28,273 HEALTH AND HEALTH EQUITY. 417 00:14:28,273 --> 00:14:31,043 WE HAVE NOW WITH THIS FUNDING 418 00:14:31,043 --> 00:14:33,278 FIVE COURSES IN DEVELOPMENT BY 419 00:14:33,278 --> 00:14:35,514 TEAMS AT YALE, JOHNS HOPKINS, 420 00:14:35,514 --> 00:14:37,416 MICHIGAN STATE, GEORGE 421 00:14:37,416 --> 00:14:41,553 WASHINGTON AND EMORY 422 00:14:41,553 --> 00:14:41,887 UNIVERSITIES. 423 00:14:41,887 --> 00:14:45,491 THESE TEAMS WILL RECRUIT 424 00:14:45,491 --> 00:14:47,326 SCHOLARS BROADLY. 425 00:14:47,326 --> 00:14:52,197 THOSE SCHOOLS MORE BROADLY TO 426 00:14:52,197 --> 00:14:54,066 PARTICIPATE IN THEIR COURSES. 427 00:14:54,066 --> 00:14:56,468 WE HAD A SECOND RECEIPT DATE 428 00:14:56,468 --> 00:14:58,737 THIS SUMMER SO WE WILL SHARE 429 00:14:58,737 --> 00:15:01,106 MORE ON AWARDS AT A FUTURE 430 00:15:01,106 --> 00:15:01,507 COUNCIL MEETING. 431 00:15:01,507 --> 00:15:03,208 I WAS GOING TO PAUSE FOR 432 00:15:03,208 --> 00:15:04,343 DISCUSSION, BUT WE MIGHT BE 433 00:15:04,343 --> 00:15:05,778 RUNNING A FEW MINUTES LATE. 434 00:15:05,778 --> 00:15:07,312 SO I'M GOING TO GET GOING AND SO 435 00:15:07,312 --> 00:15:10,349 WE CAN STICK WITH OUR AGENDA. 436 00:15:10,349 --> 00:15:14,053 SO LET'S MOVE ON TO SOME RECENT 437 00:15:14,053 --> 00:15:16,055 RESEARCH FUNDING OPPORTUNITY 438 00:15:16,055 --> 00:15:16,388 ANNOUNCEMENTS. 439 00:15:16,388 --> 00:15:18,557 NINR ISSUED A NOTICE OF INTENT 440 00:15:18,557 --> 00:15:20,759 TO PUBLISH A FUNDING OPPORTUNITY 441 00:15:20,759 --> 00:15:21,760 ANNOUNCEMENT THAT WILL SUPPORT 442 00:15:21,760 --> 00:15:23,762 RESEARCH THAT ADVANCES HEALTH 443 00:15:23,762 --> 00:15:24,963 EQUITY THROUGH DEVELOPMENT, 444 00:15:24,963 --> 00:15:27,332 TESTING AND EVALUATION OF 445 00:15:27,332 --> 00:15:29,468 INTERVENTIONS THAT PREVENT AND 446 00:15:29,468 --> 00:15:31,203 ADDRESS HOUSING INSTABILITY. 447 00:15:31,203 --> 00:15:33,572 THE ESTIMATED PUBLICATION DATE 448 00:15:33,572 --> 00:15:34,139 IS IN OCTOBER. 449 00:15:34,139 --> 00:15:37,376 BUT WE DO TRY TO ISSUE THESE 450 00:15:37,376 --> 00:15:39,545 NOTICES TO ALLOW POTENTIAL 451 00:15:39,545 --> 00:15:42,247 APPLICANTS MORE TIME TO DEVELOP 452 00:15:42,247 --> 00:15:43,415 COLLABORATIONS AND TO DEVELOP 453 00:15:43,415 --> 00:15:48,487 RESPONSIVE PROJECTS. 454 00:15:48,487 --> 00:15:50,522 IN THIS OPPORTUNITY APPLICATIONS 455 00:15:50,522 --> 00:15:54,560 FOCUS ON SDOA INTERVENTIONS THAT 456 00:15:54,560 --> 00:15:56,995 MODIFY HOUSING OPPORTUNITIES AS 457 00:15:56,995 --> 00:16:00,399 WELL AS INTERVENTIONS THAT 458 00:16:00,399 --> 00:16:03,669 ADDRESS HOUSING INSTABILITY BY 459 00:16:03,669 --> 00:16:04,636 ADDRESSING INTERPERSONAL OR 460 00:16:04,636 --> 00:16:05,804 INDIVIDUAL HOUSING NEEDS. 461 00:16:05,804 --> 00:16:09,708 WE ALSO CONTINUE TO SIGN ON TO 462 00:16:09,708 --> 00:16:11,343 OTHER OPPORTUNITIES WITH OTHER 463 00:16:11,343 --> 00:16:12,711 INSTITUTES AND CENTERS. 464 00:16:12,711 --> 00:16:14,480 IN AREAS, REALLY, THAT ARE 465 00:16:14,480 --> 00:16:15,814 SUPPORTIVE OF OUR STRATEGIC 466 00:16:15,814 --> 00:16:16,014 PLAN. 467 00:16:16,014 --> 00:16:20,586 SO ONE EXAMPLE OF THIS IS A SIGN 468 00:16:20,586 --> 00:16:24,056 ON TO A NO SEED THAT HAS BEEN 469 00:16:24,056 --> 00:16:26,892 REISSUED BY THE ADHERENCE 470 00:16:26,892 --> 00:16:30,095 NETWORK BY NISSR. 471 00:16:30,095 --> 00:16:33,999 THIS ADDRESSES ADHERENCE TO 472 00:16:33,999 --> 00:16:35,334 RECOMMENDED TREATMENT REGIMENS 473 00:16:35,334 --> 00:16:36,902 OR BEHAVIORS TO PROMOTE POSITIVE 474 00:16:36,902 --> 00:16:38,837 HEALTH OUTCOMES. 475 00:16:38,837 --> 00:16:40,672 APPLICATIONS WILL BE ACCEPTED 476 00:16:40,672 --> 00:16:42,574 THROUGH JULY 14 OF 27. 477 00:16:42,574 --> 00:16:45,611 WE'VE ALSO SIGNED ON TO AN 478 00:16:45,611 --> 00:16:49,381 ANNOUNCEMENT WITH NIMHD, NCI AND 479 00:16:49,381 --> 00:16:51,350 OTHERS TO ADVANCE HEALTH CARE 480 00:16:51,350 --> 00:16:53,418 FOR OLDER ADULTS FROM 481 00:16:53,418 --> 00:16:54,219 POPULATIONS THAT EXPERIENCE 482 00:16:54,219 --> 00:16:55,954 HEALTH DISPARITIES. 483 00:16:55,954 --> 00:16:57,623 THIS NISHTSIVE WILL SUPPORT, 484 00:16:57,623 --> 00:16:59,691 RESEARCH, DESIGN TO GET A BETTER 485 00:16:59,691 --> 00:17:02,895 UNDERSTANDING OF APPROPRIATE, 486 00:17:02,895 --> 00:17:05,097 SCREENING, DIAGNOSTIC GUIDELINES 487 00:17:05,097 --> 00:17:06,865 IN A PRIMARY CARE SETTING, 488 00:17:06,865 --> 00:17:08,767 EXPLORE DECISION MAKING THAT IS 489 00:17:08,767 --> 00:17:11,270 NEEDED TO ENHANCE CARE PLANNING 490 00:17:11,270 --> 00:17:12,604 AND PATIENT AGENCY BETWEEN 491 00:17:12,604 --> 00:17:13,806 CLINICIANS AND CARE TEAMS WITH 492 00:17:13,806 --> 00:17:16,375 THE OLDER ADULT AND THEIR 493 00:17:16,375 --> 00:17:19,278 CAREGIVERS AS WELL AS IDENTIFY 494 00:17:19,278 --> 00:17:21,446 EFFECTIVE STRATEGIES FOR CARE 495 00:17:21,446 --> 00:17:21,780 COORDINATION. 496 00:17:21,780 --> 00:17:23,348 THAT FIRST RECEIPT DATE IS 497 00:17:23,348 --> 00:17:25,984 COMING UP IN FEBRUARY. 498 00:17:25,984 --> 00:17:27,286 SO I'M VERY PLEASED TO SHARE 499 00:17:27,286 --> 00:17:29,321 SOME OF THE PUBLICATIONS THAT 500 00:17:29,321 --> 00:17:30,923 HAVE COME OUT FROM NINR 501 00:17:30,923 --> 00:17:33,058 SUPPORTED SCIENTISTS SINCE THE 502 00:17:33,058 --> 00:17:34,493 MAY COUNCIL MEETING. 503 00:17:34,493 --> 00:17:37,029 THESE ARTICLES INCLUDE STUDY 504 00:17:37,029 --> 00:17:41,567 FINDINGS ON TOPICS RANGING FROM 505 00:17:41,567 --> 00:17:43,502 STRUCTURAL RACISM AND RURAL 506 00:17:43,502 --> 00:17:45,737 PRIMARY CARE FOR SUBSTANCE USE 507 00:17:45,737 --> 00:17:48,507 TO COVID-19 OUTCOMES AND RACIAL 508 00:17:48,507 --> 00:17:51,043 BIAS AND PEDIATRIC PAIN 509 00:17:51,043 --> 00:17:54,847 PERCEPTION AS WELL AS A STUDY TO 510 00:17:54,847 --> 00:17:57,482 TEST MACHINE LEARNING MODELS FOR 511 00:17:57,482 --> 00:18:02,421 ASSESSING DISPARITIES IN 512 00:18:02,421 --> 00:18:03,088 PREGNANCY RISK. 513 00:18:03,088 --> 00:18:05,557 I WOULD LIKE TO CONGRATULATE ONE 514 00:18:05,557 --> 00:18:07,326 OF NINR FUNDED INVESTIGATORS AS 515 00:18:07,326 --> 00:18:09,862 A FINALIST FOR THE MITCHELL MAX 516 00:18:09,862 --> 00:18:13,298 AWARD AT THE 19th ANNUAL NIH 517 00:18:13,298 --> 00:18:15,267 PAIN CONSORTIUM ON MAY 30th. 518 00:18:15,267 --> 00:18:19,338 SO THIS IS AWARDED ANNUALLY TO 519 00:18:19,338 --> 00:18:23,041 THE BEST POSTER PRESENTATION AT 520 00:18:23,041 --> 00:18:25,377 THE SYMPOSSYMPOSIUM. 521 00:18:25,377 --> 00:18:28,914 DR. KENDRICK CAMP, AN ASSISTANT 522 00:18:28,914 --> 00:18:30,215 PROFESSOR AT THE UNIVERSITY OF 523 00:18:30,215 --> 00:18:32,517 WASHINGTON SCHOOL OF NURSING WAS 524 00:18:32,517 --> 00:18:39,091 AN AWARDEE FOR A POSTER ON 525 00:18:39,091 --> 00:18:40,058 COMPREHENSIVE INTERVENTIONS WITH 526 00:18:40,058 --> 00:18:42,227 INDIVIDUALS WITH INFLAMMATORY 527 00:18:42,227 --> 00:18:42,794 BOWEL DISEASE. 528 00:18:42,794 --> 00:18:46,098 CONGRATULATIONS TO DR. KAMP. 529 00:18:46,098 --> 00:18:48,000 LET'S TURN TO OUR INTRAMURAL 530 00:18:48,000 --> 00:18:48,834 PROGRAM AT NINR. 531 00:18:48,834 --> 00:18:51,770 WE ADDED A TENURE TRACK 532 00:18:51,770 --> 00:18:52,938 INVESTIGATOR WHO BRINGS 533 00:18:52,938 --> 00:18:54,072 EXPERTISE IN HEALTH EQUITY, 534 00:18:54,072 --> 00:18:55,507 SOCIAL DETERMINANTS OF HEALTH 535 00:18:55,507 --> 00:18:58,710 AND DATA SCIENCE TO OUR 536 00:18:58,710 --> 00:18:59,144 INTRAMURAL PROGRAM. 537 00:18:59,144 --> 00:19:01,780 DR. QUINN WIN JOINED US IN 538 00:19:01,780 --> 00:19:02,547 AUGUST. 539 00:19:02,547 --> 00:19:04,082 SHE COMES FROM THE UNIVERSITY OF 540 00:19:04,082 --> 00:19:05,517 MARYLAND SCHOOL OF PUBLIC HEALTH 541 00:19:05,517 --> 00:19:06,919 WHERE SHE WAS AN ASSOCIATE 542 00:19:06,919 --> 00:19:14,526 PROFESSOR OF EPIDEMIOLOGY AND 543 00:19:14,526 --> 00:19:15,327 BIOSTATISTICS. 544 00:19:15,327 --> 00:19:18,830 DR. WIN IS AN EPIDEMIOLOGIST -- 545 00:19:18,830 --> 00:19:21,066 THAT CONTRIBUTE TO HEALTH 546 00:19:21,066 --> 00:19:21,967 DISPARITIES WITH AS WELL AS 547 00:19:21,967 --> 00:19:23,235 COMMUNITY-ENGAGED INTERVENTIONS. 548 00:19:23,235 --> 00:19:25,637 SHE USES A RANGE OF 549 00:19:25,637 --> 00:19:28,106 METHODOLOGIES IN THIS WORK 550 00:19:28,106 --> 00:19:29,341 INCLUDING BUT NOT LIMITED TO 551 00:19:29,341 --> 00:19:33,578 NATURAL LANGUAGE PROCESSING, 552 00:19:33,578 --> 00:19:36,915 CONVOLUTIONAL NETWORKS FOR IMAGE 553 00:19:36,915 --> 00:19:40,185 ANALYSIS. 554 00:19:40,185 --> 00:19:43,322 TO ANALYZE DIVERSITY DATA 555 00:19:43,322 --> 00:19:46,024 SOURCES SUCH AS LARGE SCALE 556 00:19:46,024 --> 00:19:47,359 SOCIAL MEDIA POSTS, GOOGLE 557 00:19:47,359 --> 00:19:51,063 STREET IMAGES AND INFORMATION 558 00:19:51,063 --> 00:19:54,032 PROSIDED BY NIH AND FEDERAL 559 00:19:54,032 --> 00:19:54,299 HOSPITALS. 560 00:19:54,299 --> 00:20:00,739 PLEASE INDIAN ME IN WELCOMING 561 00:20:00,739 --> 00:20:02,507 DR. NGUYEN. 562 00:20:02,507 --> 00:20:09,014 WE ARE LOOKING FORWARD TO 563 00:20:09,014 --> 00:20:12,517 WELCOMING DR. KIRSTIN DICKENS, 564 00:20:12,517 --> 00:20:14,553 SHE IS AT RUSH UNIVERSITY 565 00:20:14,553 --> 00:20:16,922 COLLEGE OF MEDICINE. 566 00:20:16,922 --> 00:20:19,257 SHE BRINGS EXPERTISE IN 567 00:20:19,257 --> 00:20:20,792 COMMUNITY-ENGAGED RESEARCH, 568 00:20:20,792 --> 00:20:26,932 CLOSING THE GAP IN PREVENTIBLE 569 00:20:26,932 --> 00:20:29,801 BIOPSYCHO SOCIAL FOR PEOPLE 570 00:20:29,801 --> 00:20:33,872 FACING DISPROPORTIONATE 571 00:20:33,872 --> 00:20:36,475 INTERSECTION ATH HEALTH 572 00:20:36,475 --> 00:20:37,009 DISADVANTAGE. 573 00:20:37,009 --> 00:20:38,877 SR. -- AMONG WOMEN EXPERIENCING 574 00:20:38,877 --> 00:20:42,080 HOMELESSNESS AND 575 00:20:42,080 --> 00:20:43,749 JUSTICE-IMPACTED WOMEN IN 576 00:20:43,749 --> 00:20:45,717 KREGSAL SETTINGS SO AN EARLY 577 00:20:45,717 --> 00:20:47,619 WELCOME TO DR. DICKENS. 578 00:20:47,619 --> 00:20:49,321 WE WOULD LIKE TO CONGRATULATE 579 00:20:49,321 --> 00:20:52,491 DR. LEO SALAGAN, A TENURED 580 00:20:52,491 --> 00:20:54,526 INVESTIGATOR IN THE INTRAMURAL 581 00:20:54,526 --> 00:20:54,760 PROGRAM. 582 00:20:54,760 --> 00:20:59,297 HIS WORK WAS FEATURED IN A 583 00:20:59,297 --> 00:21:02,434 RECENT ANALYSIS PAPER THAT 584 00:21:02,434 --> 00:21:06,071 INCLUDED 2500 STUDIES FROM 70 585 00:21:06,071 --> 00:21:06,304 STUDIES. 586 00:21:06,304 --> 00:21:10,075 DR. SALIGAN HAS PUBLISHED THE 587 00:21:10,075 --> 00:21:12,778 THIRD MOST PAPERS ON 588 00:21:12,778 --> 00:21:13,378 CANCER-RELATED FATIGUE. 589 00:21:13,378 --> 00:21:16,381 2015 REVIEW IS THE 10th MOST 590 00:21:16,381 --> 00:21:18,316 CITED PAPER ON THAT TOPIC. 591 00:21:18,316 --> 00:21:20,419 SO CONGRATULATIONS TO DR. 592 00:21:20,419 --> 00:21:22,120 SALIGAN AND HIS TEAM. 593 00:21:22,120 --> 00:21:24,589 OUR LAST INTRAMURAL UPDATE, OUR 594 00:21:24,589 --> 00:21:31,897 SUMMER INTERN, AMARA WAS 595 00:21:31,897 --> 00:21:33,732 FEATURED ON NIH IM INTRAMURAL 596 00:21:33,732 --> 00:21:37,669 BLOG ABOUT THE SUMMER POSTER 597 00:21:37,669 --> 00:21:37,869 DAYS. 598 00:21:37,869 --> 00:21:40,172 ABOUT 800 INTRAMURAL SUMMER 599 00:21:40,172 --> 00:21:42,974 INTERNS PARTICIPATED IN THIS 600 00:21:42,974 --> 00:21:44,910 YEAR'S PROGRAM AND AMARA WAS ONE 601 00:21:44,910 --> 00:21:46,411 OF FIVE SELECTED TO BE FEATURED 602 00:21:46,411 --> 00:21:47,345 IN THE POST. 603 00:21:47,345 --> 00:21:48,847 HER POSTER DESCRIBED HER WORK ON 604 00:21:48,847 --> 00:21:54,086 A PILOT STUDY AND DR. SALIGAN'S 605 00:21:54,086 --> 00:21:55,887 LAB FOR USING CHARACTERISTICS OF 606 00:21:55,887 --> 00:21:57,856 A PERSON'S VOICE TO ASSESS 607 00:21:57,856 --> 00:21:58,957 FRAILTY IN OLDER ADULTS. 608 00:21:58,957 --> 00:22:01,226 IT WAS SUPPORTED BY NINR AS PART 609 00:22:01,226 --> 00:22:07,032 OF A PARTNERSHIP WE TALKED ABOUT 610 00:22:07,032 --> 00:22:08,200 DEVELOPING WITH SEVERAL 611 00:22:08,200 --> 00:22:08,900 UNIVERSITIES IN SOUTHEAST 612 00:22:08,900 --> 00:22:10,268 VIRGINIA. 613 00:22:10,268 --> 00:22:12,571 AMARA IS CURRENTLY A RISING 614 00:22:12,571 --> 00:22:14,005 SENIOR AT HAMPTON UNIVERSITY, 615 00:22:14,005 --> 00:22:16,308 WHERE SHE IS MAJORING IN NURSING 616 00:22:16,308 --> 00:22:17,476 AND HELPING RESEARCHERS DEVELOP 617 00:22:17,476 --> 00:22:19,344 STRATEGIES FOR IMPROVING THE 618 00:22:19,344 --> 00:22:20,579 SAFETY AND MENTAL HEALTH OF 619 00:22:20,579 --> 00:22:22,447 BLACK WOMEN IN THE SURROUNDING 620 00:22:22,447 --> 00:22:22,747 COMMUNITY. 621 00:22:22,747 --> 00:22:24,483 SHE SAID SHE CHOSE TO WORK WITH 622 00:22:24,483 --> 00:22:27,319 DR. SALIGAN BECAUSE HE IS BOTH A 623 00:22:27,319 --> 00:22:30,655 NURSE AS WELL AS A GRADUATE OF 624 00:22:30,655 --> 00:22:33,889 HAMPTON UNIVERSITY. 625 00:22:33,889 --> 00:22:35,757 WE WANT TO TALK ABOUT IMPROVE. 626 00:22:35,757 --> 00:22:37,993 I'M GOING TO TRY TO GO A LITTLE 627 00:22:37,993 --> 00:22:40,128 FASTER, GIVEN THAT WE GOT THE 628 00:22:40,128 --> 00:22:41,062 LATE START. 629 00:22:41,062 --> 00:22:43,532 SO A LOT HAS BEEN HAPPENING WITH 630 00:22:43,532 --> 00:22:44,032 IMPROVE. 631 00:22:44,032 --> 00:22:45,534 THANKS TO ADDITIONAL SUPPORT 632 00:22:45,534 --> 00:22:47,769 FROM CONGRESS THIS YEAR, IMPROVE 633 00:22:47,769 --> 00:22:49,671 WAS ABLE TO FUND TWO ADDITIONAL 634 00:22:49,671 --> 00:22:50,372 CENTERS OF EXCELLENCE. 635 00:22:50,372 --> 00:22:52,674 ONE IS AT THE UNIVERSITY OF 636 00:22:52,674 --> 00:22:54,075 PITTSBURGH, ONE AT THE 637 00:22:54,075 --> 00:22:56,411 UNIVERSITY OF ILLINOIS CHICAGO. 638 00:22:56,411 --> 00:22:57,979 THEY JOINED 10 OTHER CENTERS 639 00:22:57,979 --> 00:23:00,949 ACROSS THE COUNTRY AND TWO HUBS. 640 00:23:00,949 --> 00:23:02,584 THEIR FOCUS, AGAIN, IS 641 00:23:02,584 --> 00:23:04,352 PARTNERING WITH COMMUNITIES TO 642 00:23:04,352 --> 00:23:06,822 DESIGN AND IMPLEMENT RESEARCH 643 00:23:06,822 --> 00:23:10,425 PROJECTS ADDRESSING MULTILEVEL 644 00:23:10,425 --> 00:23:15,063 FACTORS THAT AFFECT PREGNANCY 645 00:23:15,063 --> 00:23:16,665 COMPLICATIONS AND DEATH. 646 00:23:16,665 --> 00:23:18,233 ONE OF THE INTERESTING PROJECTS 647 00:23:18,233 --> 00:23:20,101 THAT HAS COME OUT OF IT -- I 648 00:23:20,101 --> 00:23:26,208 LOST MY NOTES, BUT THERE WAS A 649 00:23:26,208 --> 00:23:28,410 TRAINING OPPORTUNITY ON 650 00:23:28,410 --> 00:23:29,744 INTERPERSONAL VIOLENCE AND 651 00:23:29,744 --> 00:23:30,946 SUPPORTING TRAINING IN THAT AREA 652 00:23:30,946 --> 00:23:32,914 TO IMPROVE AND ENHANCE RESEARCH. 653 00:23:32,914 --> 00:23:34,983 SO I THINK THAT IS ANOTHER 654 00:23:34,983 --> 00:23:35,684 INTERESTING AND IMPORTANT 655 00:23:35,684 --> 00:23:37,953 DEVELOPMENT SINCE OUR LAST 656 00:23:37,953 --> 00:23:38,253 MEETING. 657 00:23:38,253 --> 00:23:42,324 AND THEN JUST LAST WEEK ON 658 00:23:42,324 --> 00:23:44,392 SEPTEMBER 5th, NIH ANNOUNCED THE 659 00:23:44,392 --> 00:23:47,262 WINNERS FOR CONNECTING THE 660 00:23:47,262 --> 00:23:48,797 COMMUNITY FOR MATERNAL HEALTH 661 00:23:48,797 --> 00:23:49,064 CHALLENGE. 662 00:23:49,064 --> 00:23:51,499 THIS WAS A THREE-PHASE CHALLENGE 663 00:23:51,499 --> 00:23:54,069 OPEN TO NON-ACADEMIC, NONPROFIT 664 00:23:54,069 --> 00:23:54,669 ORGANIZATIONS BASED IN THE 665 00:23:54,669 --> 00:23:55,036 UNITED STATES. 666 00:23:55,036 --> 00:23:57,539 SO THIS INCLUDED ADVOCACY, 667 00:23:57,539 --> 00:23:59,274 COMMUNITY, AND FAITH-BASED 668 00:23:59,274 --> 00:23:59,774 NONPROFITS. 669 00:23:59,774 --> 00:24:02,644 WITH THE AIM OF SUPPORTING 670 00:24:02,644 --> 00:24:04,713 COMMUNITY ORGANIZATIONS AND THE 671 00:24:04,713 --> 00:24:05,747 DEVELOPMENT, IMPLEMENTATION OF 672 00:24:05,747 --> 00:24:08,149 RESEARCH PROJECTS TO IMPROVE 673 00:24:08,149 --> 00:24:09,484 MATERNAL HEALTH OUTCOMES IN 674 00:24:09,484 --> 00:24:10,151 THEIR COMMUNITIES. 675 00:24:10,151 --> 00:24:12,888 WE HAD OVER 90 ORGANIZATIONS WHO 676 00:24:12,888 --> 00:24:14,623 APPLIED TO PARTICIPATE IN THE 677 00:24:14,623 --> 00:24:17,659 CHALLENGE, WHICH LAUNCHED IN 678 00:24:17,659 --> 00:24:18,860 SEPTEMBER OF 22. 679 00:24:18,860 --> 00:24:21,196 THERE WERE 15 WINNERS AT PHASE 680 00:24:21,196 --> 00:24:24,833 ONE WHO RECEIVED CASH PRIZES. 681 00:24:24,833 --> 00:24:26,701 ADDITIONAL CASH PRIZES OF 682 00:24:26,701 --> 00:24:28,770 $150,000 WERE AWARDED TO NINE 683 00:24:28,770 --> 00:24:30,038 WINNERS IN THE SECOND STAGE. 684 00:24:30,038 --> 00:24:32,774 AND THEN IN THE FINAL STAGE, 685 00:24:32,774 --> 00:24:34,442 EIGHT GROUPS RECEIVED ADDITIONAL 686 00:24:34,442 --> 00:24:36,745 TRAINING AND MENTORSHIP TO 687 00:24:36,745 --> 00:24:38,880 IMPLEMENT THEIR PLANS. 688 00:24:38,880 --> 00:24:40,215 THE GROUPS CONDUCTED THE 689 00:24:40,215 --> 00:24:42,317 PROPOSED RESEARCH AND REPORTED 690 00:24:42,317 --> 00:24:44,419 PRELIMINARY RESULTS. 691 00:24:44,419 --> 00:24:47,522 SO APPROXIMATELY $1.5 MILLION IN 692 00:24:47,522 --> 00:24:49,691 CASH PRIZES WAS DISTRIBUTED 693 00:24:49,691 --> 00:24:50,825 AMONG THOSE FINAL WINNERS. 694 00:24:50,825 --> 00:24:52,427 SO I WANT TO MENTION A COUPLE OF 695 00:24:52,427 --> 00:24:56,264 THE WINNERS. 696 00:24:56,264 --> 00:24:59,334 SO NURTURELY OF EUGENE, OREGON, 697 00:24:59,334 --> 00:25:01,903 RECEIVED FIRST PLACE FOR CARING 698 00:25:01,903 --> 00:25:03,505 FOR THE CULTURE, INFANT CARING 699 00:25:03,505 --> 00:25:04,839 FOR HEALTH EQUITY. 700 00:25:04,839 --> 00:25:07,175 A PROJECT TO TEST THE EFFECT OF 701 00:25:07,175 --> 00:25:09,544 AN INFANT CARING INTERVENTION ON 702 00:25:09,544 --> 00:25:11,980 LACTATION AND POST PARTUM 703 00:25:11,980 --> 00:25:14,649 DEPRESSION AMONG BLACK PARENTS. 704 00:25:14,649 --> 00:25:17,252 SECOND PRIZE TO CENTRAL JERSEY 705 00:25:17,252 --> 00:25:21,556 FAMILY HEALTH CONSORTIUM OF 706 00:25:21,556 --> 00:25:27,529 NORTH BRUNSWICK, NEW JERSEY. 707 00:25:27,529 --> 00:25:30,098 THEIR PROJECT SEEKS TO IDENTIFY 708 00:25:30,098 --> 00:25:32,200 MATERNAL RISK FACTORS IN 709 00:25:32,200 --> 00:25:34,402 PREGNANCY OUTCOMES. 710 00:25:34,402 --> 00:25:35,537 SIX ADDITIONAL WINNERS YOU CAN 711 00:25:35,537 --> 00:25:37,973 SEE ON THE SLIDE TIED FOR THIRD 712 00:25:37,973 --> 00:25:38,173 PLACE. 713 00:25:38,173 --> 00:25:39,507 SO CONGRATULATIONS TO ALL OF 714 00:25:39,507 --> 00:25:39,708 THEM. 715 00:25:39,708 --> 00:25:44,612 IT WAS REALLY AMAZING TO HAVE 716 00:25:44,612 --> 00:25:45,547 THESE COMMUNITY ORGANIZATIONS 717 00:25:45,547 --> 00:25:47,415 MOVE THEIR PROJECTS AND THEIR 718 00:25:47,415 --> 00:25:47,782 VISION FORWARD. 719 00:25:47,782 --> 00:25:50,118 I JUST WANT TO MENTION, THERE 720 00:25:50,118 --> 00:25:51,519 WILL BE A FIFTH ANNIVERSARY 721 00:25:51,519 --> 00:25:54,289 MEETING FOR IMPROVE TO RECOGNIZE 722 00:25:54,289 --> 00:25:55,957 PROGRESS TO DATE AND WHERE WE'RE 723 00:25:55,957 --> 00:25:57,192 GOING NEXT. 724 00:25:57,192 --> 00:25:59,327 IT WILL BE IN BETHESDA ON 725 00:25:59,327 --> 00:26:01,162 OCTOBER 15th AND 16th. 726 00:26:01,162 --> 00:26:04,899 PART OF THAT AGENDA WILL INCLUDE 727 00:26:04,899 --> 00:26:05,834 TALKING ABOUT WHERE IMPROVE 728 00:26:05,834 --> 00:26:07,235 SHOULD GO NEXT SO WE ARE LOOKING 729 00:26:07,235 --> 00:26:10,138 FORWARD TO THAT MEETING. 730 00:26:10,138 --> 00:26:12,307 AND THEN I WANT TO UPDATE ON A 731 00:26:12,307 --> 00:26:13,875 COUPLE OF THE COUNCIL WORKING 732 00:26:13,875 --> 00:26:16,211 GROUPS THAT WE'VE DISCUSSED OVER 733 00:26:16,211 --> 00:26:17,812 THE LAST SEVERAL MONTHS. 734 00:26:17,812 --> 00:26:19,547 FIRST, I'M REALLY PLEASED TO 735 00:26:19,547 --> 00:26:21,950 SHARE THAT WE'RE READY TO LAUNCH 736 00:26:21,950 --> 00:26:25,520 THE WORKING GROUP TO ADVANCE 737 00:26:25,520 --> 00:26:27,288 IMPLICATIONS ON THE RAPID 738 00:26:27,288 --> 00:26:29,124 DEVELOPMENTS IN DATA SCIENCE AND 739 00:26:29,124 --> 00:26:30,692 ARTIFICIAL INTELLIGENCE FOR 740 00:26:30,692 --> 00:26:32,394 NINR'S RESEARCH AND TRAINING 741 00:26:32,394 --> 00:26:32,994 INITIATIVES. 742 00:26:32,994 --> 00:26:34,896 SO WE ARE GRATEFUL TO DR. STONE 743 00:26:34,896 --> 00:26:36,898 FOR CO-CHAIRING THAT COMMITTEE 744 00:26:36,898 --> 00:26:40,068 WITH DR. BRIAN WITH NINR. 745 00:26:40,068 --> 00:26:43,505 DR. WANG AND DR. FITZ PATIK, WE 746 00:26:43,505 --> 00:26:45,473 APPRECIATE YOUR SERVICE ON THAT 747 00:26:45,473 --> 00:26:47,275 COMMITTEE AS WELL AS WELL AS THE 748 00:26:47,275 --> 00:26:49,677 OTHER FACULTY SHOWN ON THE SLIDE 749 00:26:49,677 --> 00:26:52,180 FOR THEIR VALUABLE SERVICE TO 750 00:26:52,180 --> 00:26:52,647 THE INSTITUTE. 751 00:26:52,647 --> 00:26:54,916 WE ARE LOOKING FORWARD TO YOUR 752 00:26:54,916 --> 00:26:56,484 RECOMMENDATIONS TO COUNCIL IN AN 753 00:26:56,484 --> 00:26:57,318 UPCOMING MEETING. 754 00:26:57,318 --> 00:26:59,954 I WANT TO UPDATE YOU ON THE 755 00:26:59,954 --> 00:27:02,290 WORKING GROUP ON SDOH COMMON 756 00:27:02,290 --> 00:27:03,525 DATA ELEMENTS. 757 00:27:03,525 --> 00:27:07,529 AS YOU MAY RECALL, NINR 758 00:27:07,529 --> 00:27:11,533 CO-CHAIRS THE NIH-WIDE SERMON 759 00:27:11,533 --> 00:27:16,871 DETERMINANTS OF HEALTH 760 00:27:16,871 --> 00:27:17,472 COORDINATING COMMITTEE. 761 00:27:17,472 --> 00:27:20,875 THE RCC ALSO REALLY IS 762 00:27:20,875 --> 00:27:23,344 INTERESTED AND SEES THE VALUE IN 763 00:27:23,344 --> 00:27:25,346 COMMON DATA ELEMENTS FOR SERMON 764 00:27:25,346 --> 00:27:25,847 DETERMINANTS OF HEALTH. 765 00:27:25,847 --> 00:27:27,515 SO WHEN I SHARED OUR PLANS TO 766 00:27:27,515 --> 00:27:30,452 FORM A WORKING GROUP OF COUNCIL 767 00:27:30,452 --> 00:27:31,519 TO PROVIDE RECOMMENDATIONS TO 768 00:27:31,519 --> 00:27:33,588 US, THEY WERE REALLY EXCITED 769 00:27:33,588 --> 00:27:34,656 ABOUT THE POSSIBILITY OF 770 00:27:34,656 --> 00:27:36,925 PLANNING THAT GROUP IN A WAY 771 00:27:36,925 --> 00:27:38,560 THAT ITS RECOMMENDATIONS CAN BE 772 00:27:38,560 --> 00:27:41,129 MORE BROADLY APPLICABLE AND 773 00:27:41,129 --> 00:27:43,098 RELEVANT ACROSS THE NIH. 774 00:27:43,098 --> 00:27:44,799 SO THOSE CONVERSATIONS ARE 775 00:27:44,799 --> 00:27:46,034 CONTINUING ABOUT WHAT THAT MIGHT 776 00:27:46,034 --> 00:27:48,136 LOOK LIKE AND SO I'M HOPING TO 777 00:27:48,136 --> 00:27:53,942 BE ABLE TO SHARE AN UPDATE ON 778 00:27:53,942 --> 00:27:55,276 THAT SOON. 779 00:27:55,276 --> 00:27:57,178 SO WE ARE ALWAYS TRYING TO SHARE 780 00:27:57,178 --> 00:27:58,980 OUR WORK AND OPPORTUNITIES 781 00:27:58,980 --> 00:28:01,983 THROUGH SCIENTIFIC EVENTS AND 782 00:28:01,983 --> 00:28:02,250 OUTREACH. 783 00:28:02,250 --> 00:28:03,585 I'M GOING TO SHARE SOME UPDATES 784 00:28:03,585 --> 00:28:04,419 THERE. 785 00:28:04,419 --> 00:28:09,157 WE'VE HOSTED TWO DIRECTOR'S 786 00:28:09,157 --> 00:28:09,591 LECTURES. 787 00:28:09,591 --> 00:28:15,029 SO AGAIN, DR. GUILAMO RAMOS 788 00:28:15,029 --> 00:28:17,298 JOANED US FOR THE UNEQUAL 789 00:28:17,298 --> 00:28:19,400 TREATMENT REPORT. 790 00:28:19,400 --> 00:28:22,270 NINR CONTRIBUTED FUNDING TO FUND 791 00:28:22,270 --> 00:28:24,572 THIS REALLY IMPORTANT FOLLOW-UP 792 00:28:24,572 --> 00:28:24,806 REPORT. 793 00:28:24,806 --> 00:28:29,544 WE ARE PLEASED DR. GUILAMO-RAMOS 794 00:28:29,544 --> 00:28:30,979 WAS ABLE TO REPRESENT AS A 795 00:28:30,979 --> 00:28:32,547 MEMBER OF THAT COMMITTEE THAT 796 00:28:32,547 --> 00:28:34,449 AUTHORED THAT REPORT. 797 00:28:34,449 --> 00:28:37,986 OVER 550 PEOPLE JOINED US FOR 798 00:28:37,986 --> 00:28:40,288 THAT IN-DEPTH DISCUSSION IN 799 00:28:40,288 --> 00:28:40,522 AUGUST. 800 00:28:40,522 --> 00:28:42,090 I'M NOT GOING TO TALK ANYMORE 801 00:28:42,090 --> 00:28:43,458 ABOUT IT BECAUSE I DON'T WANT TO 802 00:28:43,458 --> 00:28:46,394 SPOIL WHAT IS YET TO COME. 803 00:28:46,394 --> 00:28:49,898 OUR JULY DIRECTOR'S LECTURE FORE 804 00:28:49,898 --> 00:28:58,239 CUSSED ON MATERNAL HEALTH AND 805 00:28:58,239 --> 00:28:59,007 SOC 806 00:28:59,007 --> 00:29:01,342 SOCIAL DETERMINANTS OF HEALTH. 807 00:29:01,342 --> 00:29:04,979 DR. MUJAHID TALKED ABOUT HER 808 00:29:04,979 --> 00:29:06,781 RESEARCH IN MATERNAL HEALTH. 809 00:29:06,781 --> 00:29:08,516 FOR BOTH OF THOSE LECTURES YOU 810 00:29:08,516 --> 00:29:12,053 CAN FIND THEM ON OUR WEBSITE. 811 00:29:12,053 --> 00:29:18,426 WE ALSO HOSTED A PANEL AT -- 812 00:29:18,426 --> 00:29:22,630 THAT FOCUSED WAS FEATURING NINR, 813 00:29:22,630 --> 00:29:33,107 DR. ROSA GARDA, DR. MATTHEW 814 00:29:33,708 --> 00:29:38,112 McHUGH, FOR ATTENDES TO MAXIMIZE 815 00:29:38,112 --> 00:29:40,048 RESEARCH THROUGH NINR PRIORITIES 816 00:29:40,048 --> 00:29:41,282 AND RESEARCH LENSES. 817 00:29:41,282 --> 00:29:44,419 PROGRAM STAFF MET WITH ATTENDES 818 00:29:44,419 --> 00:29:46,821 AT THAT CONFERENCE AGAIN TO 819 00:29:46,821 --> 00:29:47,555 DISCUSS FUNDING OPPORTUNITIES 820 00:29:47,555 --> 00:29:49,390 AND ANSWER THEIR QUESTIONS. 821 00:29:49,390 --> 00:29:51,259 AND THEN WE ALSO HAD PROGRAM 822 00:29:51,259 --> 00:29:53,428 STAFF DOING ADDITIONAL OUTREACH. 823 00:29:53,428 --> 00:29:55,196 HERE ARE SOME EXAMPLES SINCE 824 00:29:55,196 --> 00:29:55,530 MAY. 825 00:29:55,530 --> 00:29:58,366 AT THE ANNUAL MEETING FOR THE 826 00:29:58,366 --> 00:30:01,603 SOCIETY FOR PREVENTION RESEARCH 827 00:30:01,603 --> 00:30:03,238 DR. LIBBY BOWEN AND DR. GREER 828 00:30:03,238 --> 00:30:04,539 COLLABORATED WITH STAFF AT THE 829 00:30:04,539 --> 00:30:05,907 OFFICE OF DISEASE PREVENTION ON 830 00:30:05,907 --> 00:30:09,477 A POSTER HIGHLIGHTING NIH'S 831 00:30:09,477 --> 00:30:11,512 PORTFOLIO ON FOOD INSECURITY AND 832 00:30:11,512 --> 00:30:13,448 HEALTH AMONG OLDER ADULTS AND 833 00:30:13,448 --> 00:30:15,650 SPOKE WITH CONFERENCE 834 00:30:15,650 --> 00:30:17,218 PARTICIPANTS ABOUT HOW THEIR 835 00:30:17,218 --> 00:30:19,520 INTERESTS MIGHT BE ALIGNED WITH 836 00:30:19,520 --> 00:30:21,322 NINR STRATEGIC PLAN AND WHERE 837 00:30:21,322 --> 00:30:22,457 THERE IS THE MOST NEED FOR 838 00:30:22,457 --> 00:30:26,294 FEDERAL FUNDING. 839 00:30:26,294 --> 00:30:30,298 IN JULY DR. ROBERTS GAVE A 840 00:30:30,298 --> 00:30:32,834 VIRTUAL PRESENTATION ON NIR'S 841 00:30:32,834 --> 00:30:38,306 STRATEGIC PLAN AT APHA'S PUBLIC 842 00:30:38,306 --> 00:30:39,507 HEALTH NURSING RESEARCH 843 00:30:39,507 --> 00:30:40,441 COMMITTEE. 844 00:30:40,441 --> 00:30:43,111 A MONTHLY WEBINAR TO SHARE MORE 845 00:30:43,111 --> 00:30:44,846 INFORMATION ABOUT OPPORTUNITIES 846 00:30:44,846 --> 00:30:46,247 FOR FUNDING. 847 00:30:46,247 --> 00:30:48,116 IN OUR JANUARY COUNCIL MEETING 848 00:30:48,116 --> 00:30:49,717 WE HAD A DISCUSSION ABOUT 849 00:30:49,717 --> 00:30:51,319 REACHING AUDIENCES FOR FUNDING 850 00:30:51,319 --> 00:30:53,154 OPPORTUNITIES AND ENCOURAGING 851 00:30:53,154 --> 00:30:53,688 APPLICATIONS. 852 00:30:53,688 --> 00:30:56,257 AND I SHARED IN MAY THAT WE 853 00:30:56,257 --> 00:30:57,358 INCREASED OUR OUTREACH EFFORTS 854 00:30:57,358 --> 00:31:00,962 TO BETTER PROMOTE OUR NINR-LED 855 00:31:00,962 --> 00:31:01,896 FUNDING OPPORTUNITIES. 856 00:31:01,896 --> 00:31:04,132 AND WE ARE REALLY ENCOURAGED BY 857 00:31:04,132 --> 00:31:06,567 THE ROBUST INTEREST WE ARE 858 00:31:06,567 --> 00:31:06,801 SEEING. 859 00:31:06,801 --> 00:31:08,836 SO HERE ARE SOME OF THE RECENT 860 00:31:08,836 --> 00:31:09,570 SUCCESSES. 861 00:31:09,570 --> 00:31:10,938 VIEWS OF OUR FUNDING 862 00:31:10,938 --> 00:31:12,206 OPPORTUNITIES ON OUR WEBSITE 863 00:31:12,206 --> 00:31:15,176 HAVE INCREASED BY OVER 150%. 864 00:31:15,176 --> 00:31:17,278 OUR FUNDING ANNOUNCEMENT E-MAILS 865 00:31:17,278 --> 00:31:21,582 ARE AVERAGING 1,500 CLICKS PER 866 00:31:21,582 --> 00:31:22,383 ANNOUNCEMENT, PARTICIPATION IN 867 00:31:22,383 --> 00:31:23,518 TECHNICAL ASSISTANCE WEBINARS 868 00:31:23,518 --> 00:31:25,720 FOR FUNDING OPPORTUNITIES IS 869 00:31:25,720 --> 00:31:27,889 HIGH, AVERAGING OVER 500 870 00:31:27,889 --> 00:31:30,024 REGISTRANTS, NEARLY 250 LIVE 871 00:31:30,024 --> 00:31:35,530 VIEWS AND 400 YOUTUBE VIEWS PER 872 00:31:35,530 --> 00:31:35,797 WEBINAR. 873 00:31:35,797 --> 00:31:36,964 NINR'S DIRECTOR LECTURE 874 00:31:36,964 --> 00:31:39,233 ATTENDANCE HAS INCREASED, 875 00:31:39,233 --> 00:31:41,402 AVERAGING 925 REGISTRANTS AND 876 00:31:41,402 --> 00:31:43,304 NEARLY 500 LIVE VIEWS, WITH 877 00:31:43,304 --> 00:31:45,573 HUNDREDS MORE VIEWING THE 878 00:31:45,573 --> 00:31:46,441 ARCHIVED RECORDINGS. 879 00:31:46,441 --> 00:31:48,276 SO THESE EFFORTS RESULTED IN OUR 880 00:31:48,276 --> 00:31:49,744 FUNDING OPPORTUNITIES HAVING THE 881 00:31:49,744 --> 00:31:52,513 HIGHEST NUMBER OF APPLICATIONS. 882 00:31:52,513 --> 00:31:54,716 FOUR OUT OF THE TOP FIVE IN 883 00:31:54,716 --> 00:31:56,184 AVAILABLE NINR HISTORY GOING 884 00:31:56,184 --> 00:31:59,153 BACK THE LAST 10 YEARS. 885 00:31:59,153 --> 00:32:01,456 I WANT TO TELL YOU A LITTLE BIT 886 00:32:01,456 --> 00:32:03,591 CONGRESSIONAL UPDATES OVER THE 887 00:32:03,591 --> 00:32:05,793 PAST FEW MONTHS I HAVE HAD THE 888 00:32:05,793 --> 00:32:07,395 OPPORTUNITY TO TALK WITH MEMBERS 889 00:32:07,395 --> 00:32:09,364 OF CONGRESS AND CONGRESSIONAL 890 00:32:09,364 --> 00:32:10,598 STAFF ABOUT IMPROVE. 891 00:32:10,598 --> 00:32:14,969 ON JUNE 10th, I JOINED THE OTHER 892 00:32:14,969 --> 00:32:19,440 IMPROVE CO-CHAIR, DR. DIANNA 893 00:32:19,440 --> 00:32:22,377 BIANCI, AND DR. CLAYTON FROM 894 00:32:22,377 --> 00:32:26,514 ORWH IN PROVIDING AN OVERVIEW TO 895 00:32:26,514 --> 00:32:27,215 REPRESENTATIVE LAUREN UNDERWOOD 896 00:32:27,215 --> 00:32:30,084 ON THE INITIATIVES CURRENT 897 00:32:30,084 --> 00:32:32,787 ACTIVITIES AND ACCOMPLISHMENTS. 898 00:32:32,787 --> 00:32:34,288 DR. GIBBONS PARTICIPATED AS 899 00:32:34,288 --> 00:32:34,655 WELL. 900 00:32:34,655 --> 00:32:37,992 I ALSO JOINED THE IMPROVE 901 00:32:37,992 --> 00:32:39,327 CO-CHAIRS ON FRIDAY JULY 19th 902 00:32:39,327 --> 00:32:42,063 DURING ONE OF NIH'S WEEKLY 903 00:32:42,063 --> 00:32:43,297 VIRTUAL LUNCH AND LEARN 904 00:32:43,297 --> 00:32:45,199 CONGRESSIONAL STAFF BRIEFINGS. 905 00:32:45,199 --> 00:32:48,035 TO EDUCATE STAFF ON IMPROVE'S 906 00:32:48,035 --> 00:32:50,037 CURRENT ACTIVITIES AND 907 00:32:50,037 --> 00:32:52,173 ACCOMPLISHMENTS AND ON MAY 29th, 908 00:32:52,173 --> 00:32:54,509 AN NINR FUNDED PROJECT WAS 909 00:32:54,509 --> 00:32:57,578 FEATURED IN A CONGRESSIONAL 910 00:32:57,578 --> 00:32:58,946 STAFF DELEGATION TRIP TO THE 911 00:32:58,946 --> 00:33:01,449 MEDICAL COLLEGE OF WISCONSIN IN 912 00:33:01,449 --> 00:33:01,716 MILWAUKEE. 913 00:33:01,716 --> 00:33:04,152 THE VISIT WAS ORGANIZED BY THE 914 00:33:04,152 --> 00:33:06,421 STAFF OF SENATOR TAMMY BALDWIN, 915 00:33:06,421 --> 00:33:09,257 WHO SERVES AS THE CHAIR OF THE 916 00:33:09,257 --> 00:33:14,061 SENATE LABOR HEALTH, AND HUMAN 917 00:33:14,061 --> 00:33:15,363 SERVICES AND EDUCATION 918 00:33:15,363 --> 00:33:16,097 APPROPRIATION SUBCOMMITTEE. 919 00:33:16,097 --> 00:33:17,965 NIH SELECTIVE STUDY THAT IS 920 00:33:17,965 --> 00:33:20,201 TESTING THE EFFICACY OF TWO 921 00:33:20,201 --> 00:33:22,703 INTERVENTIONS TO IMPROVE HEALTH 922 00:33:22,703 --> 00:33:24,939 OUTCOMES AND QUALITY OF LIVE 923 00:33:24,939 --> 00:33:27,275 AMONG RURAL OLDER ADULTS LIVING 924 00:33:27,275 --> 00:33:28,242 WITH HIV. 925 00:33:28,242 --> 00:33:30,144 OTHER INSTITUTES HAD PROJECTS 926 00:33:30,144 --> 00:33:32,079 HIGHLIGHTS, SO WE ARE PLEASED TO 927 00:33:32,079 --> 00:33:35,950 SHARE THOSE UPDATES. 928 00:33:35,950 --> 00:33:37,652 SO I'M GOING TO SKIP OUR 929 00:33:37,652 --> 00:33:37,952 DISCUSSION. 930 00:33:37,952 --> 00:33:39,387 BECAUSE WE ARE GOING TO TALK A 931 00:33:39,387 --> 00:33:45,827 LOT LATER. 932 00:33:45,827 --> 00:33:47,128 I'M GOING TO TRY TO KEEP GOING. 933 00:33:47,128 --> 00:33:49,730 I WANT TO GIVE YOU SOME STAFF 934 00:33:49,730 --> 00:33:51,599 UPDATES FROM NINR. 935 00:33:51,599 --> 00:33:56,304 REALLY PLEASED TO WELCOME NEW 936 00:33:56,304 --> 00:33:56,504 STAFF. 937 00:33:56,504 --> 00:34:01,476 DR. NGUYEN'S ARRIVAL, TWO 938 00:34:01,476 --> 00:34:04,011 FANTASTIC I.T. TECHNICIANS COME 939 00:34:04,011 --> 00:34:07,782 ON BOARD, XAVIER GUTIERREZ AND 940 00:34:07,782 --> 00:34:09,584 TYLER GUTMAN. 941 00:34:09,584 --> 00:34:13,020 JANET OPUTA STARTED IN JULY AS A 942 00:34:13,020 --> 00:34:15,523 HEALTH SCIENCE POLICY ANALYST. 943 00:34:15,523 --> 00:34:23,531 THREE FELLOWS HAVE JOINED NINR'S 944 00:34:23,531 --> 00:34:27,034 TEAM, ESTHER FREDERICK FROM THE 945 00:34:27,034 --> 00:34:28,636 AAAS PROGRAM. 946 00:34:28,636 --> 00:34:32,306 WE ALSO HAD TWO NEW FELLOWS JOIN 947 00:34:32,306 --> 00:34:33,274 THE DIVISION OF INTRAMURAL 948 00:34:33,274 --> 00:34:36,577 RESEARCH, AMARA, WHO I MENTIONED 949 00:34:36,577 --> 00:34:38,679 AND JUSTIN ZHAO, SO WELCOME TO 950 00:34:38,679 --> 00:34:39,814 ALL OF OUR NEW COLLEAGUES. 951 00:34:39,814 --> 00:34:41,482 I WOULD LIKE TO RECOGNIZE THE 952 00:34:41,482 --> 00:34:43,551 RETIREMENT OF ONE OF OUR 953 00:34:43,551 --> 00:34:45,586 LONG-TIME MEMBERS OF OUR 954 00:34:45,586 --> 00:34:47,688 INTRAMURAL DIVISION. 955 00:34:47,688 --> 00:34:51,092 DR. MARY LIE RETIRED ON AUGUST 956 00:34:51,092 --> 00:34:51,526 1. 957 00:34:51,526 --> 00:34:56,197 SHE HAD 30 YEARS OF SERVICE THAT 958 00:34:56,197 --> 00:35:00,434 BEGAN AT NIH NEUROSCIENCE 959 00:35:00,434 --> 00:35:00,668 PROGRAM. 960 00:35:00,668 --> 00:35:02,370 SHE BROUGHT THESE SKILLS TO NINR 961 00:35:02,370 --> 00:35:06,307 IN 2014 WHERE SHE FIRST WORKED 962 00:35:06,307 --> 00:35:08,543 AS A RESEARCH WORK SPECIALIST. 963 00:35:08,543 --> 00:35:11,512 MOST RECENTLY MARY WORKED AS THE 964 00:35:11,512 --> 00:35:12,847 CLINICAL OPERATIONS MANAGER. 965 00:35:12,847 --> 00:35:15,483 MARY WAS A TERRIFIC COLLEAGUE 966 00:35:15,483 --> 00:35:17,618 AND MENTOR TO SO MANY WHO CAME 967 00:35:17,618 --> 00:35:18,886 THROUGH OUR INTRAMURAL PROGRAM 968 00:35:18,886 --> 00:35:20,788 IN THE PAST 10 YEARS. 969 00:35:20,788 --> 00:35:22,924 SHE WILL BE MISSED. 970 00:35:22,924 --> 00:35:25,826 ON BEHALF OF NINR I WANT TO 971 00:35:25,826 --> 00:35:27,194 CONGRATULATE HER AND WISH HER 972 00:35:27,194 --> 00:35:30,364 THE BEST AS SHE MOVES ON TO HER 973 00:35:30,364 --> 00:35:31,532 NEW ADVENTURES. 974 00:35:31,532 --> 00:35:34,936 A FEW NIH-HHS UPDATES. 975 00:35:34,936 --> 00:35:36,637 I'M SURE MANY OF YOU SAW THE 976 00:35:36,637 --> 00:35:38,806 NEWS THAT ON JUNE 6, NIH 977 00:35:38,806 --> 00:35:40,908 ANNOUNCED THE COMMUNITIES 978 00:35:40,908 --> 00:35:42,276 ADVANCING RESEARCH EQUITY FOR 979 00:35:42,276 --> 00:35:44,779 HEALTH OR CARE FOR HEALTH 980 00:35:44,779 --> 00:35:45,079 INITIATIVE. 981 00:35:45,079 --> 00:35:46,981 THIS WILL INVEST APPROXIMATELY 982 00:35:46,981 --> 00:35:49,350 $30 MILLION OVER FISCAL YEARS 24 983 00:35:49,350 --> 00:35:51,485 AND 25 TO PILOT A NATIONAL 984 00:35:51,485 --> 00:35:52,920 PRIMARY CARE RESEARCH NETWORK. 985 00:35:52,920 --> 00:35:55,456 LE SO THE NEW INITIATIVE IS THE 986 00:35:55,456 --> 00:35:58,459 VISION OF OUR NIH DIRECTOR AND 987 00:35:58,459 --> 00:36:00,962 SEEKS TO IMPROVE ACCESS TO 988 00:36:00,962 --> 00:36:01,596 CLINICAL RESEARCH TO INFORM 989 00:36:01,596 --> 00:36:03,531 MEDICAL CARE, PARTICULARLY FOR 990 00:36:03,531 --> 00:36:05,566 THOSE COMMUNITIES HISTORICALLY 991 00:36:05,566 --> 00:36:07,168 UNDERREPRESENTED IN CLINICAL 992 00:36:07,168 --> 00:36:10,204 RESEARCH OR UNDERREPRESENTED IN 993 00:36:10,204 --> 00:36:10,605 HEALTH CARE. 994 00:36:10,605 --> 00:36:12,440 SO I'M ALSO PLEASED TO BE 995 00:36:12,440 --> 00:36:15,042 SERVING ON THE SCIENTIFIC 996 00:36:15,042 --> 00:36:16,611 COMMITTEE FOR THIS INITIATIVE 997 00:36:16,611 --> 00:36:21,048 AND AM ALSO HAPPY TO BE 998 00:36:21,048 --> 00:36:24,852 REPRESENTING NIH AS WELL ACROSS 999 00:36:24,852 --> 00:36:28,489 HHS PRIMARY CARE RESEARCH LED BY 1000 00:36:28,489 --> 00:36:28,889 HRQ. 1001 00:36:28,889 --> 00:36:31,525 WE'RE ALSO ACTIVE IN THE PILOT 1002 00:36:31,525 --> 00:36:34,228 PHASE OF THE NEW NIH ENGAGEMENT 1003 00:36:34,228 --> 00:36:36,631 AND ACCESS FOR RESEARCH ACTIVE 1004 00:36:36,631 --> 00:36:38,132 INSTITUTIONS INITIATIVE. 1005 00:36:38,132 --> 00:36:39,200 THIS IS CONNECTING NIH 1006 00:36:39,200 --> 00:36:42,670 INSTITUTES AND CENTERS WITH 1007 00:36:42,670 --> 00:36:44,271 INSTITUTIONS THAT HAVE A 1008 00:36:44,271 --> 00:36:45,573 DOCUMENTED MISSION TO SERVE 1009 00:36:45,573 --> 00:36:47,508 POPULATIONS UNDERREPRESENTED IN 1010 00:36:47,508 --> 00:36:50,878 THE BIOMEDICAL AND BEHAVIORAL 1011 00:36:50,878 --> 00:36:51,145 RESEARCH. 1012 00:36:51,145 --> 00:36:53,414 HAVE LIMITED NIH FUNDING AND 1013 00:36:53,414 --> 00:36:54,682 AWARD DEGREES IN STEM AND 1014 00:36:54,682 --> 00:36:58,285 MEDICINE FIELDS. 1015 00:36:58,285 --> 00:37:00,154 SO PROGRAM DIRECTORS ARE 1016 00:37:00,154 --> 00:37:02,423 SUPPORTING FACT FROM FIVE OF THE 1017 00:37:02,423 --> 00:37:04,925 18 INSTITUTIONS SELECTED TO 1018 00:37:04,925 --> 00:37:07,528 PARTICIPATE IN THE FIRST PHASE. 1019 00:37:07,528 --> 00:37:09,563 CHARLES R DREW UNIVERSITY SCHOOL 1020 00:37:09,563 --> 00:37:13,334 OF MEDICINE AND SCIENCE, MAHARI 1021 00:37:13,334 --> 00:37:14,602 MEDICAL COLLEGE, MONTANA STATE 1022 00:37:14,602 --> 00:37:16,737 UNIVERSITY BOZEMAN, THE 1023 00:37:16,737 --> 00:37:18,305 UNIVERSITY OF SOUTH DAKOTA AND 1024 00:37:18,305 --> 00:37:19,173 UTAH STATE UNIVERSITY. 1025 00:37:19,173 --> 00:37:21,342 SO PROGRAM DIRECTORS WERE 1026 00:37:21,342 --> 00:37:22,877 MATCHED WITH FACULTY FROM EACH 1027 00:37:22,877 --> 00:37:23,811 OF THOSE INSTITUTIONS. 1028 00:37:23,811 --> 00:37:26,013 THEY MET, DISCUSSED THEIR 1029 00:37:26,013 --> 00:37:28,649 RESEARCH AIMS AND HAVE PROVIDED 1030 00:37:28,649 --> 00:37:30,985 GUIDANCE AND RESOURCES MOVING 1031 00:37:30,985 --> 00:37:31,218 FORWARD. 1032 00:37:31,218 --> 00:37:36,290 SO WE ARE VERY PROUD TO SUPPORT 1033 00:37:36,290 --> 00:37:38,993 THIS PROGRAM AND APPRECIATE THE 1034 00:37:38,993 --> 00:37:40,027 PARTNERSHIPS OF THE PROGRAM 1035 00:37:40,027 --> 00:37:43,264 STAFF WITH THESE RESEARCHERS. 1036 00:37:43,264 --> 00:37:47,168 SO BACK IN JUNE, THE SURGEON 1037 00:37:47,168 --> 00:37:49,336 GENERAL ISSUED A LANDMARK 1038 00:37:49,336 --> 00:37:50,805 ADVISORY ANNOUNCING FIREARM 1039 00:37:50,805 --> 00:37:53,374 VIOLENCE IS A PUBLIC HEALTH 1040 00:37:53,374 --> 00:37:53,607 CRISIS. 1041 00:37:53,607 --> 00:37:59,714 WE APPLAUD DR. MURTHY FOR USING 1042 00:37:59,714 --> 00:38:01,716 HIS PLATFORM TO BRING ATTENTION 1043 00:38:01,716 --> 00:38:09,590 TO THE DEVASTATING IMPACT IN 1044 00:38:09,590 --> 00:38:14,695 CONNECTION WITH OUR FIRMT 1045 00:38:14,695 --> 00:38:15,429 PREVEN -- 1046 00:38:15,429 --> 00:38:15,896 FIREARM PREVENTION. 1047 00:38:15,896 --> 00:38:17,264 WE MADE IT. 1048 00:38:17,264 --> 00:38:19,300 I WANT TO ACKNOWLEDGE THE 1049 00:38:19,300 --> 00:38:20,301 AMAZING WORK ACROSS THE 1050 00:38:20,301 --> 00:38:22,103 INSTITUTE IN MOVING ALL OF THIS 1051 00:38:22,103 --> 00:38:23,003 SCIENCE FORWARD. 1052 00:38:23,003 --> 00:38:25,473 I WANT TO THANK ALL OF MY 1053 00:38:25,473 --> 00:38:26,741 COLLEAGUES TO HELP COMPILE THIS 1054 00:38:26,741 --> 00:38:28,743 INFORMATION TO SHARE WITH YOU 1055 00:38:28,743 --> 00:38:29,110 TODAY. 1056 00:38:29,110 --> 00:38:32,179 AND I WANT TO THANK YOU ALL FOR 1057 00:38:32,179 --> 00:38:33,581 LISTENING AND HELPING US MOVE 1058 00:38:33,581 --> 00:38:36,617 FORWARD FROM WHERE WE ARE TODAY. 1059 00:38:36,617 --> 00:38:40,921 SO WITH THAT, I WOULD LIKE TO 1060 00:38:40,921 --> 00:38:46,494 WELCOME COUNCIL MEMBER DR. 1061 00:38:46,494 --> 00:38:47,128 VINCENT GUILAMO RAMOS WHO IS 1062 00:38:47,128 --> 00:38:48,863 GOING TO PROVIDE US AN OVERVIEW 1063 00:38:48,863 --> 00:38:50,998 ON THE ENDING OF UNEQUAL 1064 00:38:50,998 --> 00:38:51,532 TREATMENT REPORT. 1065 00:38:51,532 --> 00:39:01,942 SO THANK YOU, DR. RAMOS. 1066 00:39:33,107 --> 00:39:34,108 >> SO GOOD MORNING. 1067 00:39:34,108 --> 00:39:36,277 IT IS A PLEASURE TO BE HERE AND 1068 00:39:36,277 --> 00:39:39,280 I'M GOING TO BE SPEAKING ABOUT 1069 00:39:39,280 --> 00:39:41,782 THE ENDING UNEQUAL TREATMENT 1070 00:39:41,782 --> 00:39:43,117 REPORT AS AN INDIVIDUAL 1071 00:39:43,117 --> 00:39:43,551 COMMITTEE MEMBER. 1072 00:39:43,551 --> 00:39:46,120 AT TIMES I MAY REFERENCE THINGS 1073 00:39:46,120 --> 00:39:47,788 THAT ARE MY OWN IDEAS, MOST OF 1074 00:39:47,788 --> 00:39:49,256 THE TIME I WILL BE SPEAKING ON 1075 00:39:49,256 --> 00:39:52,760 BEHALF OF THE COMMITTEE. 1076 00:39:52,760 --> 00:39:53,727 AND SO THANK YOU VERY MUCH FOR 1077 00:39:53,727 --> 00:39:54,528 THIS OPPORTUNITY. 1078 00:39:54,528 --> 00:39:56,463 HERE'S THE AGENDA OF WHAT WE ARE 1079 00:39:56,463 --> 00:39:56,864 GOING TO COVER. 1080 00:39:56,864 --> 00:39:59,533 I'M GOING TO START BY REALLY 1081 00:39:59,533 --> 00:40:00,668 RUNNING THROUGH SORT OF WHAT WAS 1082 00:40:00,668 --> 00:40:02,870 THE SCOPE, WHAT'S THE CHARGE, 1083 00:40:02,870 --> 00:40:09,910 WHAT WERE WE ASKED TO DO AND 1084 00:40:09,910 --> 00:40:14,215 PROVIDE OVERVIEW AND 1085 00:40:14,215 --> 00:40:20,187 IMPLICATIONS AT A HIGH LEVEL. 1086 00:40:20,187 --> 00:40:22,122 THE STRATEGY OPPORTUNITIES FOR 1087 00:40:22,122 --> 00:40:23,924 NURSING SCIENCE TO LEAD IN 1088 00:40:23,924 --> 00:40:25,159 ELIMINATING HEALTH EQUITIES. 1089 00:40:25,159 --> 00:40:26,594 I LOOK FORWARD TO HAVING A 1090 00:40:26,594 --> 00:40:27,428 CONVERSATION ABOUT THAT TOGETHER 1091 00:40:27,428 --> 00:40:28,128 WITH THE COUNCIL. 1092 00:40:28,128 --> 00:40:30,764 AND THEN AT THE END, MAYBE A FEW 1093 00:40:30,764 --> 00:40:32,700 MOMENTS TO REFLECT ON THE WORK 1094 00:40:32,700 --> 00:40:35,903 OF NINR FROM MY POINT OF VIEW, 1095 00:40:35,903 --> 00:40:39,240 REALLY ACKNOWLEDGING WHAT 1096 00:40:39,240 --> 00:40:40,441 PRECEDED ENDING UNEQUAL 1097 00:40:40,441 --> 00:40:41,976 TREATMENT, WHAT HAS BEEN THE 1098 00:40:41,976 --> 00:40:43,544 WORK OF THE INSTITUTE FOR SOME 1099 00:40:43,544 --> 00:40:46,881 TIME AND ALSO AN INVITATION FOR 1100 00:40:46,881 --> 00:40:47,715 EVERYONE TO HAVE A DISCUSSION ON 1101 00:40:47,715 --> 00:40:48,916 WHAT ARE SOME OF THE 1102 00:40:48,916 --> 00:40:50,184 OPPORTUNITIES AND SETTING THE 1103 00:40:50,184 --> 00:40:51,652 STAGE FOR OUR TWO SPEAKERS, OUR 1104 00:40:51,652 --> 00:40:55,389 TWO SCIENTISTS SPEAKING LATER 1105 00:40:55,389 --> 00:40:56,991 THIS AFTERNOON ABOUT WHAT THEY 1106 00:40:56,991 --> 00:40:59,226 SEE AS OPPORTUNITIES FROM THEIR 1107 00:40:59,226 --> 00:40:59,960 VANTAGE POINT. 1108 00:40:59,960 --> 00:41:01,462 LET ME JUMP RIGHT IN AND TALK 1109 00:41:01,462 --> 00:41:02,129 ABOUT THE REPORT. 1110 00:41:02,129 --> 00:41:06,500 SO THE REPORT WAS DEVELOPED BY 1111 00:41:06,500 --> 00:41:08,602 AN AD HOC COMMITTEE OF THE 1112 00:41:08,602 --> 00:41:09,970 NATIONAL ACADEMIES OF SCIENCE, 1113 00:41:09,970 --> 00:41:12,840 ENGINEERING AND MEDICINE. 1114 00:41:12,840 --> 00:41:18,078 OUR CHARGE WAS TO EXAMINE THE 1115 00:41:18,078 --> 00:41:20,281 CURRENT STATE OF HEALTH CARE 1116 00:41:20,281 --> 00:41:20,614 INEQUITIES. 1117 00:41:20,614 --> 00:41:22,917 I WILL DEFINE INEQUITIES AND HOW 1118 00:41:22,917 --> 00:41:25,753 WE MADE AN IMPORTANT DISTINCTION 1119 00:41:25,753 --> 00:41:27,187 BETWEEN THE HEALTH SYSTEM AND 1120 00:41:27,187 --> 00:41:27,988 HEALTH CARE SYSTEM. 1121 00:41:27,988 --> 00:41:30,724 IN THIS CASE OUR CHARGE WAS TO 1122 00:41:30,724 --> 00:41:32,426 LOOK AT THE HEALTH CARE SYSTEM 1123 00:41:32,426 --> 00:41:35,529 AND EXAMINE INEQUITIES IN THAT 1124 00:41:35,529 --> 00:41:35,796 SYSTEM. 1125 00:41:35,796 --> 00:41:39,066 WHAT IS REALLY CRITICAL IS WE 1126 00:41:39,066 --> 00:41:41,168 HAD A TIME INTERVAL INTERESTED 1127 00:41:41,168 --> 00:41:43,003 IN EXPLORING, 20 YEARS. 1128 00:41:43,003 --> 00:41:44,204 THE ORIGINAL REPORT WAS RELEASED 1129 00:41:44,204 --> 00:41:46,173 IN 2003. 1130 00:41:46,173 --> 00:41:48,342 I THINK MANY OF US REMEMBER IT 1131 00:41:48,342 --> 00:41:49,643 WAS A WATERSHED MOMENT. 1132 00:41:49,643 --> 00:41:51,545 IT WAS MET BY SOME COMMUNITIES 1133 00:41:51,545 --> 00:41:52,880 WITH A LOT OF OPPOSITION, I 1134 00:41:52,880 --> 00:41:54,949 WOULD SAY, A LOT OF TENSION, A 1135 00:41:54,949 --> 00:41:57,584 LOT OF DISAGREEMENT, DISBELIEF. 1136 00:41:57,584 --> 00:41:58,619 THERE WERE OTHER COMMUNITIES 1137 00:41:58,619 --> 00:42:01,155 THAT FINALLY THE ACKNOWLEDGEMENT 1138 00:42:01,155 --> 00:42:02,690 OF OUR EXPERIENCES. 1139 00:42:02,690 --> 00:42:03,991 THIS WAS ASKING THE FUNDAMENTAL 1140 00:42:03,991 --> 00:42:04,892 QUESTION, WHAT HAS HAPPENED IN 1141 00:42:04,892 --> 00:42:06,193 20 YEARS? 1142 00:42:06,193 --> 00:42:07,461 HAVE WE MADE PROGRESS? 1143 00:42:07,461 --> 00:42:09,964 HAVE THINGS STAYED THE SAME? 1144 00:42:09,964 --> 00:42:12,299 IF WE HAVE MADE PROGRESS, WHAT 1145 00:42:12,299 --> 00:42:13,734 EXACTLY HAS ACCOUNTED FOR THAT 1146 00:42:13,734 --> 00:42:15,436 PROGRESS IN TERMS OF POLICIES 1147 00:42:15,436 --> 00:42:17,271 AND PROGRAMS, IN TERMS OF 1148 00:42:17,271 --> 00:42:18,505 SCIENCES ADVANCES. 1149 00:42:18,505 --> 00:42:20,507 IF WE HAVEN'T, HOW DO WE START 1150 00:42:20,507 --> 00:42:21,442 TO UNDERSTAND WHAT WENT WRONG 1151 00:42:21,442 --> 00:42:24,044 AND WHAT DO WE DO TO MOVE 1152 00:42:24,044 --> 00:42:24,578 FORWARD. 1153 00:42:24,578 --> 00:42:25,946 A LITTLE MORE IN OUR STATEMENT 1154 00:42:25,946 --> 00:42:27,214 OF TASK. 1155 00:42:27,214 --> 00:42:29,516 WE WERE ASKED TO EXAMINE THE 1156 00:42:29,516 --> 00:42:30,985 MAJOR DRIVERS OF HEALTH CARE 1157 00:42:30,985 --> 00:42:31,452 INEQUITIES. 1158 00:42:31,452 --> 00:42:33,454 I MENTIONED WE EXPLORED WHAT WAS 1159 00:42:33,454 --> 00:42:35,522 SUCCESSFUL AND UNSUCCESSFUL IN 1160 00:42:35,522 --> 00:42:40,461 TERMS OF PROGRAMMATIC AND POLICY 1161 00:42:40,461 --> 00:42:40,794 INTERVENTIONS. 1162 00:42:40,794 --> 00:42:41,662 WHAT ARE THE GAPS? 1163 00:42:41,662 --> 00:42:43,897 WHAT ARE THE AREAS WE SHOULD BE 1164 00:42:43,897 --> 00:42:46,400 AS A NATION EXPLORING TO 1165 00:42:46,400 --> 00:42:49,703 STRENGTHEN OUR SCIENCE TO 1166 00:42:49,703 --> 00:42:51,071 RESPOND PROGRAMMATICALLY. 1167 00:42:51,071 --> 00:42:52,373 HOW DO WE SCALE INTERVENTIONS? 1168 00:42:52,373 --> 00:42:54,475 I THINK MANY OF US IN THE ROOM 1169 00:42:54,475 --> 00:42:56,643 IF NOT ALL OF US KNOW MANY 1170 00:42:56,643 --> 00:43:00,147 INTERVENTIONS ARE TERRIFIC THAT 1171 00:43:00,147 --> 00:43:01,715 NEVER GET SCALED. 1172 00:43:01,715 --> 00:43:04,251 THIS IS MY COMMENT, THIS IS TRUE 1173 00:43:04,251 --> 00:43:05,886 PARTICULARLY IN NURSING. 1174 00:43:05,886 --> 00:43:07,621 NURSES CONTRIBUTE A LOT OF 1175 00:43:07,621 --> 00:43:09,123 IMPORTANT BREAK THROUGHS AROUND 1176 00:43:09,123 --> 00:43:10,457 PROGRAMS AND POLICIES. 1177 00:43:10,457 --> 00:43:11,792 WOULDN'T IT BE TERRIFIC TO SCALE 1178 00:43:11,792 --> 00:43:13,260 THOSE TO HAVE A POPULATION 1179 00:43:13,260 --> 00:43:14,461 HEALTH EFFECT. 1180 00:43:14,461 --> 00:43:16,497 AND THEN THE LAST PART, BUT 1181 00:43:16,497 --> 00:43:19,433 PROBABLY THE MOST IMPORTANT, WE 1182 00:43:19,433 --> 00:43:22,770 WERE REALLY INTERESTED IN AS A 1183 00:43:22,770 --> 00:43:24,738 COMMITTEE HAVING A SECTION ON 1184 00:43:24,738 --> 00:43:25,105 ACCOUNTABILITY. 1185 00:43:25,105 --> 00:43:28,242 ONE OF THE SPECIFIC ACTIONS AND 1186 00:43:28,242 --> 00:43:29,209 ACTORS, WHAT WOULD WE DO 1187 00:43:29,209 --> 00:43:30,844 SPECIFIC AS A NATION TO ADDRESS 1188 00:43:30,844 --> 00:43:33,914 THE INEQUITIES THAT REMAIN IN 1189 00:43:33,914 --> 00:43:34,581 OUR NATION? 1190 00:43:34,581 --> 00:43:35,883 SO IMPORTANT TO TAKE A MOMENT 1191 00:43:35,883 --> 00:43:37,151 AND JUST SPEND TWO OR THREE 1192 00:43:37,151 --> 00:43:38,018 MINUTES ON THIS. 1193 00:43:38,018 --> 00:43:39,486 IT IS REALLY CRITICAL. 1194 00:43:39,486 --> 00:43:41,922 THESE ARE NOT IDEAS THAT ARE 1195 00:43:41,922 --> 00:43:42,089 NEW. 1196 00:43:42,089 --> 00:43:43,824 AND, IN FACT, I COULD HAVE GONE 1197 00:43:43,824 --> 00:43:46,193 FURTHER BACK EVEN PRIOR TO 1985, 1198 00:43:46,193 --> 00:43:48,295 BUT I'M STARTING IN 1985. 1199 00:43:48,295 --> 00:43:51,231 ONE OF THE THINGS I ENJOYED AS 1200 00:43:51,231 --> 00:43:55,502 PART OF THE RECENT NASEM 1201 00:43:55,502 --> 00:43:56,437 COMMITTEE IS WE WERE VERY 1202 00:43:56,437 --> 00:43:58,138 DELIBERATE OF TAKING THIS STEP 1203 00:43:58,138 --> 00:44:00,174 BACK WARD AND HEARING FROM THOSE 1204 00:44:00,174 --> 00:44:02,543 WHO HAD COME BEFORE US ABOUT 1205 00:44:02,543 --> 00:44:04,144 WHAT THEY HAD DONE AND WHAT THE 1206 00:44:04,144 --> 00:44:05,712 ISSUES WERE HISTORICALLY. 1207 00:44:05,712 --> 00:44:09,216 MOST OF US WILL REMEMBER IN 1985 1208 00:44:09,216 --> 00:44:10,717 THERE WAS A REPORT COMMONLY 1209 00:44:10,717 --> 00:44:13,420 REFERRED TO AS A HECKLER REPORT. 1210 00:44:13,420 --> 00:44:16,123 MARGARET HECKLER, THE HHS 1211 00:44:16,123 --> 00:44:16,390 SECRETARY. 1212 00:44:16,390 --> 00:44:18,459 AND IT WAS THE FIRST TIME WE HAD 1213 00:44:18,459 --> 00:44:21,595 A GROUP OF EMINENT SCIENTIST, 1214 00:44:21,595 --> 00:44:23,230 LEADERS, SCHOLARS WHO CAME 1215 00:44:23,230 --> 00:44:24,965 TOGETHER TO EXPLORE RACIAL AND 1216 00:44:24,965 --> 00:44:26,366 ETHNIC, AT THE TIME WHAT WERE 1217 00:44:26,366 --> 00:44:29,369 CALLED DISPARITIES AND TO TRY TO 1218 00:44:29,369 --> 00:44:30,337 MAKE SENSE OF IT. 1219 00:44:30,337 --> 00:44:32,439 THIS IS A VERY IMPORTANT POINT. 1220 00:44:32,439 --> 00:44:35,509 IN 1985 THE NATION WAS REPORTING 1221 00:44:35,509 --> 00:44:37,211 LIFE EXPECTANCY WAS AT AN 1222 00:44:37,211 --> 00:44:39,880 ALL-TIME HIGH, THAT WAS TRUE IN 1223 00:44:39,880 --> 00:44:40,481 AGGREGATE FORM. 1224 00:44:40,481 --> 00:44:43,083 WHAT WAS ALSO TRUE IS IN 1985 1225 00:44:43,083 --> 00:44:44,952 THE LIFE EXPECTANCY FOR 1226 00:44:44,952 --> 00:44:46,186 AFRICAN-AMERICANS, AS ONE 1227 00:44:46,186 --> 00:44:47,121 EXAMPLE, THE REPORT HAS MUCH 1228 00:44:47,121 --> 00:44:49,456 MORE OF IT, WAS THAT OF WHITES 1229 00:44:49,456 --> 00:44:50,290 IN 1950. 1230 00:44:50,290 --> 00:44:54,194 THERE WAS A 30-YEAR GAP BETWEEN 1231 00:44:54,194 --> 00:44:58,198 WHITES AND AFTERNOON AMERICANS 1232 00:44:58,198 --> 00:45:00,334 IN 1985. 1233 00:45:00,334 --> 00:45:01,802 I DON'T HAVE TIME TODAY TO TALK 1234 00:45:01,802 --> 00:45:03,337 ABOUT WHAT CAME OF THIS REPORT. 1235 00:45:03,337 --> 00:45:04,805 BUT THERE WERE MANY, MANY 1236 00:45:04,805 --> 00:45:06,340 IMPORTANT THINGS THAT CAME FROM 1237 00:45:06,340 --> 00:45:08,509 THE HECKLER REPORT INCLUDING THE 1238 00:45:08,509 --> 00:45:11,044 OFFICE OF MINORITY HEALTH, 1239 00:45:11,044 --> 00:45:13,547 ELEVATION OF NIMHD FROM A CENTER 1240 00:45:13,547 --> 00:45:14,314 TO AN INSTITUTE. 1241 00:45:14,314 --> 00:45:16,383 THERE WERE GREAT THINGS THAT 1242 00:45:16,383 --> 00:45:16,683 HAPPENED. 1243 00:45:16,683 --> 00:45:19,052 I WILL ALSO SAY IN 2003, AT THE 1244 00:45:19,052 --> 00:45:21,021 TIME WHAT WAS CALLED THE 1245 00:45:21,021 --> 00:45:23,290 INSTITUTE OF MEDICINE PURSUED 1246 00:45:23,290 --> 00:45:26,193 AND WAS INTERESTED IN THE TWEED 1247 00:45:26,193 --> 00:45:27,995 UNEQUAL TREATMENT REPORT. 1248 00:45:27,995 --> 00:45:29,730 AND THIS REPORT PROBABLY I WOULD 1249 00:45:29,730 --> 00:45:32,132 SAY, THESE ARE MY WORDS, ONE OF 1250 00:45:32,132 --> 00:45:35,169 THE MOST SIGNIFICANT REPORTS, 1251 00:45:35,169 --> 00:45:35,969 HEALTH POLICY THAT AT LEAST IN 1252 00:45:35,969 --> 00:45:37,671 MY LIFE TIME THAT I HAVE SEEN 1253 00:45:37,671 --> 00:45:40,174 THAT HAS REALLY CHANGED MY 1254 00:45:40,174 --> 00:45:42,176 UNDERSTANDING OF MY ROLE AS A 1255 00:45:42,176 --> 00:45:44,978 NURSE, AS A NURSE SCIENTIST, IS 1256 00:45:44,978 --> 00:45:45,679 UNEQUAL TREATMENT. 1257 00:45:45,679 --> 00:45:47,080 THIS REPORT DID, IN FACT, 1258 00:45:47,080 --> 00:45:51,518 REAFFIRM THAT WHAT WE CALL TODAY 1259 00:45:51,518 --> 00:45:57,591 SOCIAL DETERMINANTS OF HEALTH 1260 00:45:57,591 --> 00:45:57,824 MATTER. 1261 00:45:57,824 --> 00:46:01,094 I'M A BIG PROPONENT AND ADVOCATE 1262 00:46:01,094 --> 00:46:01,461 OF THAT. 1263 00:46:01,461 --> 00:46:03,030 WHAT IS ALSO TRUE THAT WAS CLEAR 1264 00:46:03,030 --> 00:46:04,965 IN THE REPORT, EVEN IF WE 1265 00:46:04,965 --> 00:46:07,534 CORRECTED FOR ALL OF THE SOCIAL 1266 00:46:07,534 --> 00:46:09,570 DETERMINANTS AS WE COMMONLY 1267 00:46:09,570 --> 00:46:10,904 THINK OF THEM, WE WOULD STILL 1268 00:46:10,904 --> 00:46:12,639 HAVE DISPARITIES. 1269 00:46:12,639 --> 00:46:14,208 AT THE TIME IN 2003 THEY WERE 1270 00:46:14,208 --> 00:46:15,943 STILL CALLED DISPARITIES. 1271 00:46:15,943 --> 00:46:18,979 THE REASON IS WE HAD SYSTEMIC 1272 00:46:18,979 --> 00:46:20,614 STRUCTURAL RACISM IN OUR HEALTH 1273 00:46:20,614 --> 00:46:22,015 AND HEALTH CARE SYSTEMS. 1274 00:46:22,015 --> 00:46:24,685 BOTH OF THOSE THINGS BEING 1275 00:46:24,685 --> 00:46:26,820 IMPORTANT, STRUCTURAL SYSTEMIC 1276 00:46:26,820 --> 00:46:28,155 RACISM AND ALSO SOCIAL 1277 00:46:28,155 --> 00:46:29,590 DETERMINANTS OF HEALTH. 1278 00:46:29,590 --> 00:46:31,658 SO I THINK I HAVE SET THE STAGE 1279 00:46:31,658 --> 00:46:37,364 FOR 2024. 1280 00:46:37,364 --> 00:46:39,266 AS A COMMUNITY MEMBER I REALLY 1281 00:46:39,266 --> 00:46:40,867 WANTED TO KNOW DID WE MAKE 1282 00:46:40,867 --> 00:46:41,134 PROGRESS? 1283 00:46:41,134 --> 00:46:44,137 I HAD A SENSE WE DID. 1284 00:46:44,137 --> 00:46:46,373 FOLKS IN THIS ROOM DID AS WELL. 1285 00:46:46,373 --> 00:46:48,775 I WANTED AN EMPIRICAL OVERVIEW 1286 00:46:48,775 --> 00:46:51,411 OF WHAT REALLY HAPPENED AND DID 1287 00:46:51,411 --> 00:46:51,945 WE MAKE PROGRESS? 1288 00:46:51,945 --> 00:46:55,215 SO HERE IS A SNAPSHOT OF THE 1289 00:46:55,215 --> 00:46:56,516 COMMITTEE. 1290 00:46:56,516 --> 00:46:58,852 THERE IS AN INTERPROFESSIONAL 1291 00:46:58,852 --> 00:47:00,454 COMMITTEE, REALLY FANTASTIC 1292 00:47:00,454 --> 00:47:00,887 FOLKS. 1293 00:47:00,887 --> 00:47:04,124 I WILL JUST MENTION A FEW, IN NO 1294 00:47:04,124 --> 00:47:09,596 WAY AM I DIMINISHING THOSE I 1295 00:47:09,596 --> 00:47:11,531 DIDN'T MENTION. 1296 00:47:11,531 --> 00:47:14,301 GEORGES BENJAMIN IS THE CEO OF 1297 00:47:14,301 --> 00:47:15,902 THE AMERICAN PUBLIC HEALTH 1298 00:47:15,902 --> 00:47:16,236 ASSOCIATION. 1299 00:47:16,236 --> 00:47:17,904 JENNIFER DEVOE. 1300 00:47:17,904 --> 00:47:21,341 JOHN AYENIAN BECAUSE OF HIS WORK 1301 00:47:21,341 --> 00:47:23,677 ON MEDICAID, HE IS A MEDICATE 1302 00:47:23,677 --> 00:47:26,813 SCHOLAR. 1303 00:47:26,813 --> 00:47:30,584 DARRYL GAS KINS AND THOMAS 1304 00:47:30,584 --> 00:47:34,655 LAVEIST ARE LEADER AROUND 1305 00:47:34,655 --> 00:47:34,955 INEQUITIES. 1306 00:47:34,955 --> 00:47:37,991 VALLEY BLUE BIRD JERNIGAN WHO 1307 00:47:37,991 --> 00:47:43,530 WAS A STRONG ADVOCATE IN 1308 00:47:43,530 --> 00:47:47,000 INDIGENOUS COMMUNITIES. 1309 00:47:47,000 --> 00:47:51,238 I WILL END BY SAYING FRANCIS 1310 00:47:51,238 --> 00:47:53,273 AMANKWAH WAS THE STUDY DIRECTOR 1311 00:47:53,273 --> 00:47:55,509 FROM THE NATIONAL ACADEMIES. 1312 00:47:55,509 --> 00:47:56,777 WITHOUT HIM WE COULDN'T HAVE 1313 00:47:56,777 --> 00:47:57,577 DONE THE REPORT. 1314 00:47:57,577 --> 00:48:04,184 YOU CAN SEE THE SPONSORS, NIH, 1315 00:48:04,184 --> 00:48:04,451 NINR. 1316 00:48:04,451 --> 00:48:06,353 THERE IS AN INTERACTIVE WEBSITE 1317 00:48:06,353 --> 00:48:08,255 AND SET OF RESOURCES THAT TAKE 1318 00:48:08,255 --> 00:48:10,190 THE REPORT AND MAKE IT MORE 1319 00:48:10,190 --> 00:48:12,426 DIGESTIBLE, SO I WILL TALK ABOUT 1320 00:48:12,426 --> 00:48:12,993 THAT LATER. 1321 00:48:12,993 --> 00:48:16,630 WE STARTED OFF WITH AN EXTENSIVE 1322 00:48:16,630 --> 00:48:18,498 LITERATURE REVIEW AND SPENT 1323 00:48:18,498 --> 00:48:20,100 MONTHS TRYING TO GET 1324 00:48:20,100 --> 00:48:21,134 CONCEPTUALLY CLEAR ON WHAT WE 1325 00:48:21,134 --> 00:48:21,902 MEAN. 1326 00:48:21,902 --> 00:48:23,437 TERMS THAT MAYBE SOUND LIKE ALL 1327 00:48:23,437 --> 00:48:25,706 OF US AGREE, TURNS OUT A LOT 1328 00:48:25,706 --> 00:48:27,507 MORE PEOPLE CAN COME INTO A ROOM 1329 00:48:27,507 --> 00:48:29,843 AND DISAGREE ABOUT TERMS. 1330 00:48:29,843 --> 00:48:31,511 SO WE HAD TO SPEND TIME REALLY 1331 00:48:31,511 --> 00:48:33,080 THINKING ABOUT WHAT THOSE TERMS 1332 00:48:33,080 --> 00:48:33,680 ARE. 1333 00:48:33,680 --> 00:48:36,550 WE ALSO HAD THE ABILITY TO 1334 00:48:36,550 --> 00:48:38,452 COMMISSION VERY SPECIFIC PAPERS. 1335 00:48:38,452 --> 00:48:39,720 WE COMMISSIONED ONE PAPER THAT 1336 00:48:39,720 --> 00:48:43,390 LOOKED AT 20 YEARS IN POLICY 1337 00:48:43,390 --> 00:48:44,257 ADVANCEMENTS THAT WERE 1338 00:48:44,257 --> 00:48:45,492 SUCCESSFUL OR NOT SUCCESSFUL. 1339 00:48:45,492 --> 00:48:49,763 I DON'T THINK IT IS SORT OF OUT 1340 00:48:49,763 --> 00:48:51,365 OF LINE TO RECOGNIZE PROFESSOR 1341 00:48:51,365 --> 00:48:54,067 DAWES WHO WAS THE LEAD IN 1342 00:48:54,067 --> 00:48:55,402 PERFORMING THAT OVERVIEW. 1343 00:48:55,402 --> 00:48:59,005 THERE WAS ALSO A SET OF ANALYSES 1344 00:48:59,005 --> 00:49:01,375 THAT WERE DONE AROUND HEALTH 1345 00:49:01,375 --> 00:49:03,510 EQUITIES BY CONDITION, BY RACE, 1346 00:49:03,510 --> 00:49:04,511 ETHNICITY, BY GEOGRAPHY. 1347 00:49:04,511 --> 00:49:06,046 SO THERE WAS A LOT IN ADDITION 1348 00:49:06,046 --> 00:49:09,049 TO THE REPORT THAT INFORMED THE 1349 00:49:09,049 --> 00:49:09,649 COMMITTEE'S DELIBERATIONS. 1350 00:49:09,649 --> 00:49:15,689 MANY PUBLIC WORKSHOPS, WE HAD 1351 00:49:15,689 --> 00:49:20,694 SOME INPUT FROM THE FORMAL 1352 00:49:20,694 --> 00:49:21,027 NURSING. 1353 00:49:21,027 --> 00:49:24,197 WE HAD DR. RUMAY ALEXANDER FROM 1354 00:49:24,197 --> 00:49:29,503 THE ANA AND EARNEST GRANT SERVED 1355 00:49:29,503 --> 00:49:31,371 AS A REVIEW FOR THE REPORT. 1356 00:49:31,371 --> 00:49:32,939 THERE WAS A LINK OPEN TO THE 1357 00:49:32,939 --> 00:49:35,509 PUBLIC AND WE RECEIVED COMMENTS 1358 00:49:35,509 --> 00:49:37,778 FROM MANY CONSTITUENCIES AND 1359 00:49:37,778 --> 00:49:38,979 DISCUSSED THOSE IN OUR MEETINGS. 1360 00:49:38,979 --> 00:49:41,081 IN A NUTSHELL, THE REPORT IS 1361 00:49:41,081 --> 00:49:42,382 JUST UNDER 400 PAGES. 1362 00:49:42,382 --> 00:49:44,017 IT'S GOT A LOT OF CONTENT. 1363 00:49:44,017 --> 00:49:45,652 SO I THINK PART OF WHAT IS 1364 00:49:45,652 --> 00:49:47,721 REALLY REFRESHING AND YOU CAN 1365 00:49:47,721 --> 00:49:50,023 SEE FROM THE QR CODE ON THE 1366 00:49:50,023 --> 00:49:51,992 SCREEN IF YOU FOLLOW THAT TO THE 1367 00:49:51,992 --> 00:49:53,460 WEBSITE, SINCE THE RELEASE OF 1368 00:49:53,460 --> 00:49:55,395 THE REPORT THERE HAVE BEEN A SET 1369 00:49:55,395 --> 00:49:58,131 OF MATERIALS DEVELOPED, AN 1370 00:49:58,131 --> 00:50:00,667 INTERACTIVE WEBSITE, VIDEO, FACT 1371 00:50:00,667 --> 00:50:03,470 SHEETS FOR POLICY MAKERS. 1372 00:50:03,470 --> 00:50:05,572 THERE IS A FRAMEWORK THAT LAYS 1373 00:50:05,572 --> 00:50:07,574 OUT THE MAIN CONCEPTUAL 1374 00:50:07,574 --> 00:50:10,444 UNDERPINNINGS OF THE REPORT. 1375 00:50:10,444 --> 00:50:14,247 NASEM CONTINUES TO ADD THINGS TO 1376 00:50:14,247 --> 00:50:16,383 THE WEBSITE. 1377 00:50:16,383 --> 00:50:19,186 THERE ARE EIGHT OVERARCHING 1378 00:50:19,186 --> 00:50:21,188 CONCLUSIONS THAT WE FOUND OVER 1379 00:50:21,188 --> 00:50:22,756 THE LAST 20 YEARS. 1380 00:50:22,756 --> 00:50:24,891 THERE ARE FIVE GOALS WITH AN EYE 1381 00:50:24,891 --> 00:50:26,193 TOWARD THE FUTURE AND 17 1382 00:50:26,193 --> 00:50:29,663 SPECIFIC ACTIONS THAT HAVE AN 1383 00:50:29,663 --> 00:50:30,163 ACTOR AND SPECIFIC 1384 00:50:30,163 --> 00:50:31,364 RECOMMENDATION OF WHAT SHOULD BE 1385 00:50:31,364 --> 00:50:31,665 DONE. 1386 00:50:31,665 --> 00:50:34,334 I ENCOURAGE FOLKS TO LOOK AT THE 1387 00:50:34,334 --> 00:50:36,603 REPORTS ORGANIZED IN THE WAY 1388 00:50:36,603 --> 00:50:41,174 THAT IS DEPICTED ON THE VEIN. 1389 00:50:41,174 --> 00:50:41,975 -- ON THE SCREEN. 1390 00:50:41,975 --> 00:50:44,044 THERE IS SOMETHING FOR ALL OF 1391 00:50:44,044 --> 00:50:44,211 US. 1392 00:50:44,211 --> 00:50:45,679 IF WE ARE DIRECTLY WORKING IN 1393 00:50:45,679 --> 00:50:47,347 HEALTH CARE, NURSING SCIENCE, 1394 00:50:47,347 --> 00:50:49,216 RESEARCH, ET CETERA, THERE ARE 1395 00:50:49,216 --> 00:50:50,984 PIECES FOR EVERY ASPECT OF OUR 1396 00:50:50,984 --> 00:50:51,218 NATION. 1397 00:50:51,218 --> 00:50:53,453 IF YOU CAN'T READ THE 400 PAGES 1398 00:50:53,453 --> 00:50:55,722 AND I KNOW THAT IS A BIG 1399 00:50:55,722 --> 00:50:57,591 COMMITMENT, THERE IS A NUMBER OF 1400 00:50:57,591 --> 00:50:58,725 PAPERS THAT HAVE COME OUT AND 1401 00:50:58,725 --> 00:51:01,561 THE COMMITTEE AND OTHERS ARE 1402 00:51:01,561 --> 00:51:03,597 WORKING FEVERISHLY ON OTHER 1403 00:51:03,597 --> 00:51:04,164 MANUSCRIPTS. 1404 00:51:04,164 --> 00:51:05,799 ONE OF THEM IS IN HEALTH 1405 00:51:05,799 --> 00:51:07,501 AFFAIRS, WHICH REALLY PROVIDES A 1406 00:51:07,501 --> 00:51:09,269 THREE TO FOUR-PAGE SUMMARY OF 1407 00:51:09,269 --> 00:51:11,071 WHAT IS IN 400 PAGES. 1408 00:51:11,071 --> 00:51:12,906 I WOULD UH CHECK IT OUT. 1409 00:51:12,906 --> 00:51:14,107 THE QR CODE IS THERE. 1410 00:51:14,107 --> 00:51:16,476 LAST WEEK THERE WAS A VIEWPOINT 1411 00:51:16,476 --> 00:51:19,479 RELEASED IN JAMA THAT WAS 1412 00:51:19,479 --> 00:51:23,517 CO-AUTHORED BY THE CHAIRS AND 1413 00:51:23,517 --> 00:51:25,252 FRANCIS. 1414 00:51:25,252 --> 00:51:26,019 AGAIN, ANOTHER GREAT SHORTER 1415 00:51:26,019 --> 00:51:31,525 VERSION OF WHAT IS IN THE 1416 00:51:31,525 --> 00:51:32,425 REPORT. 1417 00:51:32,425 --> 00:51:36,496 A COUPLE KEY TAKEAWAYS. 1418 00:51:36,496 --> 00:51:38,398 IT SOMETIMES TAKES TIME TO GET 1419 00:51:38,398 --> 00:51:40,000 CLEAR CONCEPTION OF WHAT WE 1420 00:51:40,000 --> 00:51:40,300 NEED. 1421 00:51:40,300 --> 00:51:41,601 OUR SCOPE AND CHARGE WAS LOOKING 1422 00:51:41,601 --> 00:51:45,238 AT THE HEALTH CARE SYSTEM, 1423 00:51:45,238 --> 00:51:45,872 UNDENI 1424 00:51:45,872 --> 00:51:46,506 UNDENIABLY, THE COMMITTEE NEW 1425 00:51:46,506 --> 00:51:47,641 AND STRUGGLED WITH RECOGNITION 1426 00:51:47,641 --> 00:51:51,044 THAT THERE IS A BROADER HEALTH 1427 00:51:51,044 --> 00:51:52,012 SYSTEM AND THE HEALTH CARE 1428 00:51:52,012 --> 00:51:54,948 SYSTEM IS EMBEDDED IN THAT 1429 00:51:54,948 --> 00:51:55,916 BROADER HEALTH SYSTEM. 1430 00:51:55,916 --> 00:51:57,484 THERE WILL BE TIMES I MAY 1431 00:51:57,484 --> 00:51:58,852 MENTION THE HEALTH SYSTEM IN MY 1432 00:51:58,852 --> 00:52:00,720 COMMENTS AND THERE ARE TIMES I 1433 00:52:00,720 --> 00:52:02,022 WILL MENTION THE HEALTH CARE 1434 00:52:02,022 --> 00:52:02,422 SYSTEM. 1435 00:52:02,422 --> 00:52:03,523 THE HEALTH CARE SYSTEM AS WE 1436 00:52:03,523 --> 00:52:05,325 KNOW IS WHERE THE ACTUAL 1437 00:52:05,325 --> 00:52:07,227 SERVICES, THE HEALTH SERVICES 1438 00:52:07,227 --> 00:52:09,563 ARE PROVIDED TO THE 1439 00:52:09,563 --> 00:52:09,896 ORGANIZATIONS. 1440 00:52:09,896 --> 00:52:11,231 IT'S THE RESOURCES, THE 1441 00:52:11,231 --> 00:52:12,499 INDIVIDUALS, THE WORK FORCE THAT 1442 00:52:12,499 --> 00:52:16,570 IS PROVIDING HEALTH CARE. 1443 00:52:16,570 --> 00:52:18,038 THE HEALTH SYSTEM IS MUCH 1444 00:52:18,038 --> 00:52:18,672 BROADER. 1445 00:52:18,672 --> 00:52:19,906 THE HEALTH CARE SYSTEM IS SHAPED 1446 00:52:19,906 --> 00:52:21,975 BY THE HEALTH SYSTEM AND THE 1447 00:52:21,975 --> 00:52:24,344 HEALTH SYSTEM INDEPENDENTLY 1448 00:52:24,344 --> 00:52:25,478 SHAPES OUTCOMES. 1449 00:52:25,478 --> 00:52:28,381 SO VERY, VERY IMPORTANT. 1450 00:52:28,381 --> 00:52:30,050 I MENTIONED HEALTH OUTCOMES I'M 1451 00:52:30,050 --> 00:52:31,518 TALKING ABOUT OR THE COMMITTEE 1452 00:52:31,518 --> 00:52:33,320 IS REFERRING TO HEALTH STATUS OF 1453 00:52:33,320 --> 00:52:35,121 INDIVIDUALS AND POPULATIONS. 1454 00:52:35,121 --> 00:52:36,489 THIS IS A POINT THAT WAS 1455 00:52:36,489 --> 00:52:38,258 IMPORTANT TO THE COMMITTEE AND 1456 00:52:38,258 --> 00:52:39,926 IT IS ACTUALLY IMPORTANT TO ME. 1457 00:52:39,926 --> 00:52:43,763 BY NO MEANS IS IT IN ANY WAY 1458 00:52:43,763 --> 00:52:45,365 SORT OF INTENDED TO REFLECT THAT 1459 00:52:45,365 --> 00:52:48,902 THE USE OF THE TERM DISPARITIES 1460 00:52:48,902 --> 00:52:50,904 ISN'T IN MANY SORT OF SECTORS 1461 00:52:50,904 --> 00:52:52,272 COMPLETELY APPROPRIATE. 1462 00:52:52,272 --> 00:52:53,607 BUT THE COMMITTEE FELT THAT WE 1463 00:52:53,607 --> 00:52:57,243 NEEDED TO MOVE AWAY FROM THE 1464 00:52:57,243 --> 00:52:57,644 TERM DISPARITIES. 1465 00:52:57,644 --> 00:52:59,512 AND THE REASON FOR THAT IS IN 1466 00:52:59,512 --> 00:53:01,748 OUR SORT OF DELIBERATIONS, WE 1467 00:53:01,748 --> 00:53:05,485 TALKED ABOUT DISPARITIES 1468 00:53:05,485 --> 00:53:06,953 REFLECTING A DIFFERENCE IN A 1469 00:53:06,953 --> 00:53:07,520 PARTICULAR OUTCOME. 1470 00:53:07,520 --> 00:53:09,522 AND FOR WHAT WE SAW OVER THE 1471 00:53:09,522 --> 00:53:11,391 PAST 20 CAREERS, WE SAW WHAT 1472 00:53:11,391 --> 00:53:14,194 MANY OF US ON THE COMMITTEE, THE 1473 00:53:14,194 --> 00:53:16,763 MAJORITY FELT WAS PREVENTIBLE, 1474 00:53:16,763 --> 00:53:18,732 WAS UNJUST, AND IT WAS UNFAIR. 1475 00:53:18,732 --> 00:53:20,367 FOR THAT MATTER OR IN THAT 1476 00:53:20,367 --> 00:53:22,702 SENSE, WE DECIDED THAT WE WERE 1477 00:53:22,702 --> 00:53:24,704 GOING TO ADOPT THE TERM HEALTH 1478 00:53:24,704 --> 00:53:26,773 INEQUITIES AND HEALTH CARE 1479 00:53:26,773 --> 00:53:27,073 INEQUITIES. 1480 00:53:27,073 --> 00:53:29,776 THAT WILL BE THE TERMINOLOGY I 1481 00:53:29,776 --> 00:53:30,744 WILL USE. 1482 00:53:30,744 --> 00:53:33,513 THEY ARE PREVENTIBLE, UNJUST AND 1483 00:53:33,513 --> 00:53:33,780 UNFAIR. 1484 00:53:33,780 --> 00:53:36,549 HERE IN A NUTSHELL IS SORT OF 1485 00:53:36,549 --> 00:53:38,885 THE MANY OF THE FINDINGS I HAVE 1486 00:53:38,885 --> 00:53:44,090 TAKEN FROM THE REPORT. 1487 00:53:44,090 --> 00:53:46,159 TO HELP US UNDERSTAND WHAT IS IN 1488 00:53:46,159 --> 00:53:47,427 THE 400 PAGES. 1489 00:53:47,427 --> 00:53:49,429 THE FIRST THING IS OVER THE PAST 1490 00:53:49,429 --> 00:53:51,931 TWO DECADES SINCE 2003, AS A 1491 00:53:51,931 --> 00:53:53,800 NATION, THERE HAS BEEN LIMITED 1492 00:53:53,800 --> 00:53:56,336 OVERALL PROGRESS IN THE 1493 00:53:56,336 --> 00:53:57,337 ELIMINATION OF HEALTH CARE 1494 00:53:57,337 --> 00:53:57,637 INEQUITIES. 1495 00:53:57,637 --> 00:53:59,506 SO I JUST WANT TO PAUSE FOR A 1496 00:53:59,506 --> 00:53:59,739 SECOND. 1497 00:53:59,739 --> 00:54:05,645 BECAUSE THAT WAS SOMETHING THAT 1498 00:54:05,645 --> 00:54:07,380 SURPRISED ME. 1499 00:54:07,380 --> 00:54:08,815 I SORT OF SENSED IT BEING A 1500 00:54:08,815 --> 00:54:10,417 NURSE, BUT SEEING 20 YEARS OF 1501 00:54:10,417 --> 00:54:12,052 DATA FOR OUR NATION AND SEEING 1502 00:54:12,052 --> 00:54:14,120 THERE HAD BEEN LIMITED PROGRESS, 1503 00:54:14,120 --> 00:54:16,122 I THINK THAT WAS SOMETHING THAT 1504 00:54:16,122 --> 00:54:18,558 WAS, IN MY VIEW, PRETTY 1505 00:54:18,558 --> 00:54:19,059 SURPRISING. 1506 00:54:19,059 --> 00:54:21,094 THESE INEQUITIES, THE HEALTH 1507 00:54:21,094 --> 00:54:24,330 CARE AND HEALTH INEQUITIES ARE 1508 00:54:24,330 --> 00:54:27,500 HIGHLY CONCENTRATED IN RACIAL, 1509 00:54:27,500 --> 00:54:30,336 ETHNIC MINORTIZED POPULATIONS. 1510 00:54:30,336 --> 00:54:31,471 HIGHLY CONCENTRATED. 1511 00:54:31,471 --> 00:54:33,306 IN ORDER TO MOVE FORWARD AS A 1512 00:54:33,306 --> 00:54:34,908 NATION, THERE IS A STRONG 1513 00:54:34,908 --> 00:54:38,111 SENTIMENT WE NEED TO ELIMINATE 1514 00:54:38,111 --> 00:54:41,881 HEALTH AND HEALTH CARE 1515 00:54:41,881 --> 00:54:42,682 INEQUIINEQUITY 1516 00:54:42,682 --> 00:54:47,520 S VERSUS SOLELY IMPROVING HEALTH 1517 00:54:47,520 --> 00:54:48,288 EQUITIES. 1518 00:54:48,288 --> 00:54:51,057 ADVANCING HEALTH EQUITY FELTLESS 1519 00:54:51,057 --> 00:54:52,192 COMMITTAL, LESS ABOUT MEASURABLE 1520 00:54:52,192 --> 00:54:53,760 PROGRESS AND CLEAR GOALS AND 1521 00:54:53,760 --> 00:54:56,830 REALLY THE ELIMINATION OF THE 1522 00:54:56,830 --> 00:54:58,732 HEALTH AND HEALTH CARE 1523 00:54:58,732 --> 00:55:00,100 INEQUITIES MEANS AS A NATION OUR 1524 00:55:00,100 --> 00:55:02,435 GOALS SHOULD BE TO ENSURE THAT 1525 00:55:02,435 --> 00:55:04,270 WE DO NOT HAVE THESE 1526 00:55:04,270 --> 00:55:06,306 PREVENTABLE, UNJUST AND UNFAIR 1527 00:55:06,306 --> 00:55:08,308 HEALTH OUTCOMES AND WE CAN DO 1528 00:55:08,308 --> 00:55:11,244 THIS AND THAT IS A CLEAR 1529 00:55:11,244 --> 00:55:12,779 BENCHMARK OF WHERE WE NEED TO 1530 00:55:12,779 --> 00:55:12,946 GO. 1531 00:55:12,946 --> 00:55:14,581 THE HEALTH CARE SYSTEM IS 1532 00:55:14,581 --> 00:55:16,182 EMBEDDED IN A LARGER HEALTH 1533 00:55:16,182 --> 00:55:16,483 SYSTEM. 1534 00:55:16,483 --> 00:55:18,318 THAT HEALTH SYSTEM DIRECTLY 1535 00:55:18,318 --> 00:55:19,519 SHAPES THE HEALTH CARE SYSTEM. 1536 00:55:19,519 --> 00:55:30,263 THE HELICOPALTH SYSTEM SHAPES T 1537 00:55:30,263 --> 00:55:31,097 HEALTH CARE SYSTEM. 1538 00:55:31,097 --> 00:55:32,966 NUMBER FIVE IS CRITICAL AND 1539 00:55:32,966 --> 00:55:34,267 SOMETHING AS A COMMITTEE WE WERE 1540 00:55:34,267 --> 00:55:35,502 VERY PROUD OF. 1541 00:55:35,502 --> 00:55:38,738 IT IS PROBABLY UNDENIABLE, I 1542 00:55:38,738 --> 00:55:39,906 WOULD IMAGINE MOST PEOPLE IN THE 1543 00:55:39,906 --> 00:55:43,843 ROOM WOULD AGREE WE ARE AT A 1544 00:55:43,843 --> 00:55:45,411 PARTICULAR SOCIAL-POLITICAL 1545 00:55:45,411 --> 00:55:46,212 MOMENT. 1546 00:55:46,212 --> 00:55:48,114 IT IS PROBABLY AN UNDERSTATEMENT 1547 00:55:48,114 --> 00:55:49,649 TO SAY WE HAVE DIFFERENT VIEWS 1548 00:55:49,649 --> 00:55:51,584 AS THE WAY WE SHOULD ADVANCE AS 1549 00:55:51,584 --> 00:55:52,485 A NATION. 1550 00:55:52,485 --> 00:55:55,121 SOME OF WHAT HAS BEEN OUR 1551 00:55:55,121 --> 00:55:55,755 DOMINANT PERSPECTIVE OR WHERE 1552 00:55:55,755 --> 00:55:57,590 THE TENSION HAS BEEN IN TERMS OF 1553 00:55:57,590 --> 00:56:01,294 WHERE EACH OF US MAY STAND IS IN 1554 00:56:01,294 --> 00:56:03,429 WHAT IS COMMONLY REFERRED TO AS 1555 00:56:03,429 --> 00:56:04,631 A ZERO SUM GAME. 1556 00:56:04,631 --> 00:56:06,766 IF WE MAKE INVESTMENTS IN THOSE 1557 00:56:06,766 --> 00:56:09,135 GROUPS THAT ARE FURTHEST FROM 1558 00:56:09,135 --> 00:56:14,307 ACHIEVING THE EQUITABLE OUTCOME, 1559 00:56:14,307 --> 00:56:15,508 SOMEHOW THAT MEANS ANOTHER GROUP 1560 00:56:15,508 --> 00:56:16,643 IS LOSING OUT. 1561 00:56:16,643 --> 00:56:19,512 SO IF WE MAKE INVESTMENTS IN 1562 00:56:19,512 --> 00:56:20,346 INDIGENOUS COMMUNITIES THEN SOME 1563 00:56:20,346 --> 00:56:22,715 OTHER GROUP IS MISSING OUT. 1564 00:56:22,715 --> 00:56:25,718 IF WE TARGET SPECIFICALLY LATINO 1565 00:56:25,718 --> 00:56:27,287 INDIVIDUALS AND ANOTHER GROUP IS 1566 00:56:27,287 --> 00:56:27,587 LOSING OUT. 1567 00:56:27,587 --> 00:56:29,522 I THINK FOLKS CAN APPRECIATE THE 1568 00:56:29,522 --> 00:56:30,723 ARGUMENT OF WHAT I'M SAYING. 1569 00:56:30,723 --> 00:56:33,259 WHAT WAS CLEAR IN OUR REVIEW OF 1570 00:56:33,259 --> 00:56:34,994 THE EVIDENCE WAS THAT THIS ZERO 1571 00:56:34,994 --> 00:56:35,995 SUM GAME IS A MYTH. 1572 00:56:35,995 --> 00:56:38,832 IT IS NOT TRUE. 1573 00:56:38,832 --> 00:56:41,201 IT IS THROUGH DIRECTLY FOCUSING 1574 00:56:41,201 --> 00:56:44,070 ON EFFORTS ON THE INEQUITIES AND 1575 00:56:44,070 --> 00:56:46,005 ELIMINATION OF THE HEALTH AND 1576 00:56:46,005 --> 00:56:48,908 HEALTH CARE INEQUITIES WE SEE 1577 00:56:48,908 --> 00:56:50,443 IMPROVEMENTS IN THE STATUS OF 1578 00:56:50,443 --> 00:56:50,977 THOSE GROUPS. 1579 00:56:50,977 --> 00:56:53,246 HERE IS THE PART THAT WAS REALLY 1580 00:56:53,246 --> 00:56:55,215 EXCITING, AND WE SEE BENEFITS TO 1581 00:56:55,215 --> 00:56:57,050 POPULATIONS OUTSIDE OF THOSE 1582 00:56:57,050 --> 00:56:57,317 GROUPS. 1583 00:56:57,317 --> 00:57:00,653 AND WE SEE THE SAME IS TRUE WHEN 1584 00:57:00,653 --> 00:57:02,755 WE CHOOSE AS A NATION TO NOT 1585 00:57:02,755 --> 00:57:04,457 ADDRESS THOSE INEQUITIES. 1586 00:57:04,457 --> 00:57:06,659 IT DOESN'T ONLY AFFECT THOSE 1587 00:57:06,659 --> 00:57:07,927 POPULATIONS THAT ARE 1588 00:57:07,927 --> 00:57:10,296 EXPERIENCING THE BURDEN OF THE 1589 00:57:10,296 --> 00:57:11,531 INEQUITY, BUT, IN FACT, IT HAS 1590 00:57:11,531 --> 00:57:12,966 IMPLICATIONS FOR US ALL. 1591 00:57:12,966 --> 00:57:15,101 THIS IS A MESSAGE OF WHY WE ARE 1592 00:57:15,101 --> 00:57:16,169 IN THIS TOGETHER. 1593 00:57:16,169 --> 00:57:21,241 WHY IT MATTERS WHEN WE SEE 1594 00:57:21,241 --> 00:57:22,342 INVESTMENTS FROM ALL OF THE 1595 00:57:22,342 --> 00:57:23,543 IMPORTANT INSTITUTIONS IN OUR 1596 00:57:23,543 --> 00:57:26,980 SOCIETY, INCLUDING NINR IN 1597 00:57:26,980 --> 00:57:27,447 SPECIFIC COMMUNITIES. 1598 00:57:27,447 --> 00:57:30,283 IT IS NOT JUST ABOUT THAT 1599 00:57:30,283 --> 00:57:30,583 COMMUNITY. 1600 00:57:30,583 --> 00:57:32,852 YES, IT WILL BENEFIT THEM, BUT 1601 00:57:32,852 --> 00:57:34,153 IT WILL HAVE IMPORTANT 1602 00:57:34,153 --> 00:57:35,488 IMPLICATIONS FOR COMMUNITIES FAR 1603 00:57:35,488 --> 00:57:37,690 REMOVED FROM THE COMMUNITY THAT 1604 00:57:37,690 --> 00:57:39,325 IS THE IMMEDIATE RECIPIENT OF 1605 00:57:39,325 --> 00:57:40,793 WHATEVER THAT IS THAT THE 1606 00:57:40,793 --> 00:57:42,595 PROGRAM OR POLICY IS INTENDED TO 1607 00:57:42,595 --> 00:57:42,862 ADDRESS. 1608 00:57:42,862 --> 00:57:44,864 WE KNOW WE HAVE A HEALTH CARE 1609 00:57:44,864 --> 00:57:45,098 SYSTEM. 1610 00:57:45,098 --> 00:57:46,733 THIS WAS QUITE PRONOUNCED AND 1611 00:57:46,733 --> 00:57:48,001 ROBUST IN THE REPORT AS WELL AS, 1612 00:57:48,001 --> 00:57:50,637 THAT OVERLY PRIORITIZED 1613 00:57:50,637 --> 00:57:51,170 DIAGNOSE, TREATMENT AND 1614 00:57:51,170 --> 00:57:52,405 MANAGEMENT OF DISEASE. 1615 00:57:52,405 --> 00:57:55,942 WE HAVE A SICK CARE MODEL IN OUR 1616 00:57:55,942 --> 00:57:58,478 COUNTRY THAT PLACES MOST OF ITS 1617 00:57:58,478 --> 00:58:03,349 RESOURCES ON ACUTE CARE. 1618 00:58:03,349 --> 00:58:05,551 ONE OF THE THINGS THAT WAS 1619 00:58:05,551 --> 00:58:07,253 APPARENT IN THE REPORT IS THE 1620 00:58:07,253 --> 00:58:08,421 SMALL INVESTMENTS WERE MADE IN 1621 00:58:08,421 --> 00:58:11,524 PRIMARY CARE, IN TERMS OF 1622 00:58:11,524 --> 00:58:12,358 WORKFORCE, ACTUAL RESOURCES TO 1623 00:58:12,358 --> 00:58:14,294 RUN PRIMARY CARE AND IN TERMS OF 1624 00:58:14,294 --> 00:58:17,297 RESEARCH TO STUDY PRIMARY CARE. 1625 00:58:17,297 --> 00:58:20,266 WE ARE A HEALTH MODEL THAT 1626 00:58:20,266 --> 00:58:22,535 FOCUSES ON VOLUME OF SERVICES, 1627 00:58:22,535 --> 00:58:25,738 OFTEN IN THE COSTLIEST SETTINGS 1628 00:58:25,738 --> 00:58:27,540 WITH THE COSTLIEST PROCEDURES. 1629 00:58:27,540 --> 00:58:29,976 WHERE ARE ALL THE PLACES WE CAN 1630 00:58:29,976 --> 00:58:32,712 DO MUCH MORE WORK AROUND KEEPING 1631 00:58:32,712 --> 00:58:34,380 THE POPULATION HEALTHY. 1632 00:58:34,380 --> 00:58:35,815 HEALTH PREVENTION, RESTORING 1633 00:58:35,815 --> 00:58:37,383 PEOPLE TO OPTIMAL HEALTH AND 1634 00:58:37,383 --> 00:58:39,285 SAVE MONEY BY HAVING GREATER 1635 00:58:39,285 --> 00:58:40,253 INVESTMENTS IN POPULATION 1636 00:58:40,253 --> 00:58:40,620 HEALTH. 1637 00:58:40,620 --> 00:58:41,888 THE ONLY KIND OF HEALTH CARE 1638 00:58:41,888 --> 00:58:43,856 THAT HAS THE BENEFIT OF A 1639 00:58:43,856 --> 00:58:45,191 POPULATION HEALTH EFFECT IS 1640 00:58:45,191 --> 00:58:47,226 PRIMARY CARE, YET IT IS, AS I 1641 00:58:47,226 --> 00:58:50,930 MENTIONED, THE SETTING WHERE WE 1642 00:58:50,930 --> 00:58:52,198 MAKE THE LEAST INVESTMENT. 1643 00:58:52,198 --> 00:58:54,200 THE THING THAT WAS REALLY 1644 00:58:54,200 --> 00:58:55,535 INTERESTING ALSO IN THE REPORT 1645 00:58:55,535 --> 00:58:57,603 THAT WE SPENT A LOT OF TIME ON 1646 00:58:57,603 --> 00:59:00,039 WAS REALLY LOOKING AT THE 1647 00:59:00,039 --> 00:59:01,841 EVIDENCE AROUND THE INTEGRATION 1648 00:59:01,841 --> 00:59:04,210 OF CLINICAL AND SOCIAL CARE. 1649 00:59:04,210 --> 00:59:06,646 WHAT IS IT EXACTLY THAT THE ROLE 1650 00:59:06,646 --> 00:59:08,281 OF THE HEALTH CARE SYSTEM IS IN 1651 00:59:08,281 --> 00:59:09,983 MOVING BEYOND THE TRADITIONAL 1652 00:59:09,983 --> 00:59:13,519 DOMAIN OF CLINICAL CARE AND 1653 00:59:13,519 --> 00:59:15,521 FORMALLY INTEGRATED SOCIAL CARE. 1654 00:59:15,521 --> 00:59:18,658 AND HOW DO WE MAKE OUR CARE LESS 1655 00:59:18,658 --> 00:59:20,159 CLINICIAN DRIVEN AND MORE 1656 00:59:20,159 --> 00:59:21,594 CENTERED DRIVEN, MORE WHOLE 1657 00:59:21,594 --> 00:59:23,329 PERSON FOCUSED, MORE 1658 00:59:23,329 --> 00:59:24,097 RELATIONSHIP BASED? 1659 00:59:24,097 --> 00:59:27,333 AND THAT FOCUSES MUCH MORE ON 1660 00:59:27,333 --> 00:59:29,569 WELLNESS, PREVENTION AND HEALTH 1661 00:59:29,569 --> 00:59:30,603 PROMOTION. 1662 00:59:30,603 --> 00:59:32,572 SO LOTS OF CONTENT AND QUESTIONS 1663 00:59:32,572 --> 00:59:34,407 IN TERMS OF NURSING SCIENCE AS 1664 00:59:34,407 --> 00:59:37,043 TO WHAT DOES INTEGRATED SOCIAL 1665 00:59:37,043 --> 00:59:38,644 AND CLINICAL CARE LOOK LIKE. 1666 00:59:38,644 --> 00:59:42,515 OUR WORKFORCE IS TOO NARROWLY 1667 00:59:42,515 --> 00:59:42,749 DEFINED. 1668 00:59:42,749 --> 00:59:43,850 WE NEED MORE PEOPLE. 1669 00:59:43,850 --> 00:59:48,221 WE NEED TO THINK ABOUT ROLES 1670 00:59:48,221 --> 00:59:50,189 THAT ARE CURRENTLY NOT WELL 1671 00:59:50,189 --> 00:59:52,158 DEFINED AND ALSO ACTORS THAT 1672 00:59:52,158 --> 00:59:54,594 NEED TO BE FORMALLY EMBRACED. 1673 00:59:54,594 --> 00:59:59,499 WE NEED TO REMOVE ARBITRARY AND 1674 00:59:59,499 --> 01:00:00,666 UNSCIENTIFIC RESTRICTIONS ON THE 1675 01:00:00,666 --> 01:00:02,035 ENTIRE WORKFORCE. 1676 01:00:02,035 --> 01:00:04,871 THIS IS QUITE PRONOUNCED IN 1677 01:00:04,871 --> 01:00:07,240 NURSING, BUT ALSO PHARMACY AND 1678 01:00:07,240 --> 01:00:10,309 PHYSICIAN ASSISTANTS AND OTHER 1679 01:00:10,309 --> 01:00:10,543 ACTORS. 1680 01:00:10,543 --> 01:00:11,511 EVERY SINGLE HEALTH CARE 1681 01:00:11,511 --> 01:00:15,515 PROFESSIONAL NEEDS TO BE ALL 1682 01:00:15,515 --> 01:00:18,017 HANDS ON DECK AND PERFORMING AT 1683 01:00:18,017 --> 01:00:19,252 THE HIGHEST LEVEL AND NEED NEW 1684 01:00:19,252 --> 01:00:21,554 PEOPLE AND NEW WAYS OF DOING 1685 01:00:21,554 --> 01:00:22,822 THING AND ORGANIZED IN 1686 01:00:22,822 --> 01:00:23,923 PROFESSIONAL TEAMS THAT ARE 1687 01:00:23,923 --> 01:00:26,759 WORKING TOGETHER TO ADDRESS OUR 1688 01:00:26,759 --> 01:00:28,327 NATION'S HEALTH. 1689 01:00:28,327 --> 01:00:30,930 WE DO NOT HAVE A REPRESENTATIVE 1690 01:00:30,930 --> 01:00:32,532 HEALTH CARE AND HEALTH 1691 01:00:32,532 --> 01:00:32,799 WORKFORCE. 1692 01:00:32,799 --> 01:00:35,501 SO THE WORKFORCE THAT WE HAVE IS 1693 01:00:35,501 --> 01:00:38,071 NOT ABLE TO RESPOND TO THE NEEDS 1694 01:00:38,071 --> 01:00:39,338 OF THE POPULATIONS THAT ARE 1695 01:00:39,338 --> 01:00:43,409 BEING SERVED. 1696 01:00:43,409 --> 01:00:44,577 THE STRONGEST EVIDENCE WE HAVE 1697 01:00:44,577 --> 01:00:46,345 AROUND SORT OF THE IMPORTANCE OF 1698 01:00:46,345 --> 01:00:47,213 HAVING A REPRESENTATIVE 1699 01:00:47,213 --> 01:00:48,981 WORKFORCE REALLY COMES FROM ALL 1700 01:00:48,981 --> 01:00:51,517 THE LITERATURE ON CONCORDANCE 1701 01:00:51,517 --> 01:00:57,090 BETWEEN PATIENTS AND PROVIDERS. 1702 01:00:57,090 --> 01:01:00,059 AND THOSE MECHANISMS ARE NOT 1703 01:01:00,059 --> 01:01:01,227 COMPLETELY UNDERSTOOD. 1704 01:01:01,227 --> 01:01:03,062 THEY ARE IN CHAPTER 5 OF THE 1705 01:01:03,062 --> 01:01:03,396 REPORT. 1706 01:01:03,396 --> 01:01:05,465 WHAT IS CLEAR IS AS A NATION WE 1707 01:01:05,465 --> 01:01:06,966 MUST HAVE A REPRESENTATIVE 1708 01:01:06,966 --> 01:01:07,567 WORKFORCE, THAT IS 1709 01:01:07,567 --> 01:01:08,801 REPRESENTATIVE OF THE 1710 01:01:08,801 --> 01:01:09,869 POPULATIONS RECEIVING CARE. 1711 01:01:09,869 --> 01:01:13,239 WE NEED TO EXAMINE CRITICALLY 1712 01:01:13,239 --> 01:01:14,740 OUR WORKFORCE IN TERMS OF 1713 01:01:14,740 --> 01:01:17,276 DECISION MAKING, THE KINDS OF 1714 01:01:17,276 --> 01:01:19,178 TOOLS AND ALGORITHMS. 1715 01:01:19,178 --> 01:01:21,247 THERE'S LOTS OF INTEREST IN 1716 01:01:21,247 --> 01:01:22,849 TECHNOLOGY AND AI, ET CETERA. 1717 01:01:22,849 --> 01:01:24,283 THOSE ARE THINGS THAT ARE GOOD, 1718 01:01:24,283 --> 01:01:25,751 BUT THE CHALLENGES THAT WE HAVE, 1719 01:01:25,751 --> 01:01:27,620 AND THIS IS WELL DOCUMENTED IN 1720 01:01:27,620 --> 01:01:29,522 THE REPORT, IS THAT MUCH OF THAT 1721 01:01:29,522 --> 01:01:31,524 TECHNOLOGY IS PLAGUED BY THE 1722 01:01:31,524 --> 01:01:34,460 SAME BIAS THAT WE HAVE IN SORT 1723 01:01:34,460 --> 01:01:36,329 OF THE HEALTH CARE WORKFORCE AS 1724 01:01:36,329 --> 01:01:38,064 IT CURRENTLY EXISTS IN TERMS OF 1725 01:01:38,064 --> 01:01:39,065 PEOPLE DELIVERING CARE. 1726 01:01:39,065 --> 01:01:41,868 WE NEED TO BE CAREFUL ABOUT THAT 1727 01:01:41,868 --> 01:01:43,536 IMPLICIT BIAS AND NOT 1728 01:01:43,536 --> 01:01:46,973 REPLICATING THAT THROUGH THE USE 1729 01:01:46,973 --> 01:01:47,507 OF TECHNOLOGY. 1730 01:01:47,507 --> 01:01:49,575 WE DON'T ROUTINELY COLLECT A 1731 01:01:49,575 --> 01:01:51,144 REPORT -- THIS WAS SURPRISING 1732 01:01:51,144 --> 01:01:52,778 ME, MAYBE OTHERS IN THE ROOM 1733 01:01:52,778 --> 01:01:54,881 KNOW THIS, I DID NOT KNOW. 1734 01:01:54,881 --> 01:01:57,517 WE DO NOT ROUTINELY COLLECT A 1735 01:01:57,517 --> 01:01:59,986 REPORT ACROSS ALL AGENCIES IN 1736 01:01:59,986 --> 01:02:02,288 OUR NATION SETTINGS, PATIENT 1737 01:02:02,288 --> 01:02:07,527 DATA ON RACE, ETHNICITY, TRIBAL 1738 01:02:07,527 --> 01:02:07,994 AFFILIATION, LANGUAGE 1739 01:02:07,994 --> 01:02:08,694 AFFILIA 1740 01:02:08,694 --> 01:02:08,995 AFFILIATION. 1741 01:02:08,995 --> 01:02:11,297 WE CERTAINLY DO NOT REPORT DATA 1742 01:02:11,297 --> 01:02:13,399 THAT HIGHLIGHTS THE INEQUITY. 1743 01:02:13,399 --> 01:02:15,868 WE MAY MAKE COMPARISONS THAT ARE 1744 01:02:15,868 --> 01:02:17,203 DESCRIPTIVE AND I CAN GIVE 1745 01:02:17,203 --> 01:02:19,038 EXAMPLES IN THE Q&A, BUT WE 1746 01:02:19,038 --> 01:02:21,073 RARELY ARE REPORTING ON 1747 01:02:21,073 --> 01:02:21,607 INEQUITIES. 1748 01:02:21,607 --> 01:02:23,209 WE DON'T ADEQUATELY INVEST IN 1749 01:02:23,209 --> 01:02:26,546 RESEARCH THAT IS FOCUSED ON 1750 01:02:26,546 --> 01:02:27,213 SOLUTIONS. 1751 01:02:27,213 --> 01:02:28,548 AND THOSE SOLUTIONS BEING TIED 1752 01:02:28,548 --> 01:02:30,850 TO THE ELIMINATION OF HEALTH AND 1753 01:02:30,850 --> 01:02:32,285 HEALTH CARE INEQUITIES. 1754 01:02:32,285 --> 01:02:33,586 THIS IS VERY IMPORTANT BECAUSE 1755 01:02:33,586 --> 01:02:35,521 THERE HAVE BEEN SORT OF, THERE'S 1756 01:02:35,521 --> 01:02:36,889 BEEN PROGRESS CERTAINLY. 1757 01:02:36,889 --> 01:02:41,561 ONE OF THE CHAPTERS IN THE 1758 01:02:41,561 --> 01:02:45,398 REPORT REALLY LOOKS AT FUNDING 1759 01:02:45,398 --> 01:02:47,533 IN NIH AND SHOW INCREASES IN 1760 01:02:47,533 --> 01:02:49,001 DOLLARS ALLOCATED TO HEALTH 1761 01:02:49,001 --> 01:02:49,569 EQUITY RESEARCH. 1762 01:02:49,569 --> 01:02:52,605 WHAT IS ALSO TRUE THERE, 1763 01:02:52,605 --> 01:02:55,041 SOMETHING I HAVE BEEN EXCITED TO 1764 01:02:55,041 --> 01:02:58,811 SHARE IS NINR AND NIMHD HAVE 1765 01:02:58,811 --> 01:03:02,315 BEEN ALLOCATIONS OF THEIR 1766 01:03:02,315 --> 01:03:04,250 OVERALL PORTFOLIO ADDRESSING 1767 01:03:04,250 --> 01:03:05,051 THIS WORK. 1768 01:03:05,051 --> 01:03:06,118 THE LION'S SHARE OF THE 1769 01:03:06,118 --> 01:03:08,721 RESOURCES ARE NOT FOCUSED AT ANY 1770 01:03:08,721 --> 01:03:11,324 OF THE INSTITUTES AT NIH ON WORK 1771 01:03:11,324 --> 01:03:12,925 THAT WOULD ELIMINATE HEALTH AND 1772 01:03:12,925 --> 01:03:14,093 HEALTH CARE INEQUITIES. 1773 01:03:14,093 --> 01:03:16,128 WE NEED TO DO MORE AND WE CAN DO 1774 01:03:16,128 --> 01:03:16,329 MORE. 1775 01:03:16,329 --> 01:03:18,598 AND THE LAST POINT I WILL MAKE 1776 01:03:18,598 --> 01:03:20,566 AROUND SORT OF HIGH-LEVEL 1777 01:03:20,566 --> 01:03:23,502 FINDINGS ARE THAT WE HAVE HAD 1778 01:03:23,502 --> 01:03:24,470 MANY POLICIES AND PROFESSOR 1779 01:03:24,470 --> 01:03:25,972 DAWES CAN TALK ABOUT THIS WHEN 1780 01:03:25,972 --> 01:03:28,574 WE GET INTO OUR Q&A. 1781 01:03:28,574 --> 01:03:31,310 BUT THESE POLICIES, BOY, WAS IT 1782 01:03:31,310 --> 01:03:33,112 INTERESTING SEEING POLICIES AND 1783 01:03:33,112 --> 01:03:35,214 PROGRAMS THAT, IN FACT, HAVE 1784 01:03:35,214 --> 01:03:36,649 HELPED AND HAVE BEEN SUCCESSFUL, 1785 01:03:36,649 --> 01:03:37,717 WHERE THERE IS EVIDENCE. 1786 01:03:37,717 --> 01:03:39,518 THINGS LIKE THE AFFORDABLE CARE 1787 01:03:39,518 --> 01:03:41,220 ACT OR MEDICAID EXPANSION. 1788 01:03:41,220 --> 01:03:43,456 AND ALSO POLICIES THAT HAVE 1789 01:03:43,456 --> 01:03:46,626 ACTUALLY NOT BEEN HELPFUL OR 1790 01:03:46,626 --> 01:03:49,195 HAVE THE POTENTIAL FOR 1791 01:03:49,195 --> 01:03:50,830 EXACERBATING INEQUITIES. 1792 01:03:50,830 --> 01:03:51,897 FOR EXAMPLE, WHAT WE ARE 1793 01:03:51,897 --> 01:03:53,532 EXPERIENCING NOW AROUND SOME OF 1794 01:03:53,532 --> 01:03:54,800 THE LIMITATIONS OF THE 1795 01:03:54,800 --> 01:03:56,836 CONSIDERATION OF RACE IN TERMS 1796 01:03:56,836 --> 01:03:58,904 OF HIGHER EDUCATION ADMISSIONS 1797 01:03:58,904 --> 01:04:00,773 DECISIONS AND WHAT THAT MEANS 1798 01:04:00,773 --> 01:04:02,041 FOR THE HEALTH CARE WORKFORCE 1799 01:04:02,041 --> 01:04:05,544 GIVEN WHAT WE KNOW ABOUT THE 1800 01:04:05,544 --> 01:04:06,912 IMPORTANCE OF 1801 01:04:06,912 --> 01:04:07,346 REPRESENTATIVENESS. 1802 01:04:07,346 --> 01:04:08,714 I THINK I WILL STOP THERE IN 1803 01:04:08,714 --> 01:04:11,284 TERMS OF HIGH-LEVEL OVERVIEW. 1804 01:04:11,284 --> 01:04:15,421 LET ME SHARE ON AUGUST 27th I 1805 01:04:15,421 --> 01:04:16,889 HAD A WONDERFUL INVITATION BY 1806 01:04:16,889 --> 01:04:18,357 NINR TO TALK ABOUT WHAT THIS 1807 01:04:18,357 --> 01:04:19,525 MEANS FOR NURSING SCIENCE. 1808 01:04:19,525 --> 01:04:21,594 SO I'M NOT GOING TO HAVE TIME 1809 01:04:21,594 --> 01:04:23,763 TODAY TO KIND OF REVIEW ALL OF 1810 01:04:23,763 --> 01:04:26,332 THAT, BUT MY LECTURE WAS FOCUSED 1811 01:04:26,332 --> 01:04:28,267 ON THESE SIX PIECES. 1812 01:04:28,267 --> 01:04:30,569 AT A HIGH LEVEL, I WILL 1813 01:04:30,569 --> 01:04:31,671 HIGHLIGHT SOME OF THE THINGS I 1814 01:04:31,671 --> 01:04:32,171 SAID. 1815 01:04:32,171 --> 01:04:33,773 THE RECORDING IS ON THE WEBSITE 1816 01:04:33,773 --> 01:04:35,508 AND AVAILABLE FOR FOLKS TO SEE 1817 01:04:35,508 --> 01:04:37,143 AND THERE'S LOTS MORE SPECIFICS 1818 01:04:37,143 --> 01:04:39,278 AROUND SOME OF THE IMPLICATIONS. 1819 01:04:39,278 --> 01:04:41,213 LET ME JUST GO THROUGH REALLY 1820 01:04:41,213 --> 01:04:42,214 QUICKLY AND HIGHLIGHT SOME OF 1821 01:04:42,214 --> 01:04:43,549 THE AREAS. 1822 01:04:43,549 --> 01:04:45,217 IN TERMS OF HEALTH AND HEALTH 1823 01:04:45,217 --> 01:04:48,020 CARE DELIVERY MODELS, I THINK I 1824 01:04:48,020 --> 01:04:49,088 HAVE ALREADY MENTIONED RESEARCH 1825 01:04:49,088 --> 01:04:51,123 THAT REALLY THINKS ABOUT NEW 1826 01:04:51,123 --> 01:04:53,059 WAYS OF MOVING AWAY FROM SICK 1827 01:04:53,059 --> 01:04:55,161 CARE AND PRIORITIZING THE 1828 01:04:55,161 --> 01:04:57,296 INTEGRATION OF SOCIAL AND 1829 01:04:57,296 --> 01:04:57,963 CLINICAL CARE. 1830 01:04:57,963 --> 01:05:00,099 MUCH MORE OF A FOCUS ON PRIMARY 1831 01:05:00,099 --> 01:05:02,034 CARE AS THE BACKBONE OF HEALTH 1832 01:05:02,034 --> 01:05:02,368 CARE. 1833 01:05:02,368 --> 01:05:05,504 HOW DO WE ENHANCE THE 1834 01:05:05,504 --> 01:05:07,373 PERSON-CENTEREDNESS AND THE 1835 01:05:07,373 --> 01:05:09,442 WHOLE-PERSON PERSPECTIVE IN 1836 01:05:09,442 --> 01:05:10,209 HEALTH CARE DELIVERY? 1837 01:05:10,209 --> 01:05:11,344 HOW DO WE THINK ABOUT 1838 01:05:11,344 --> 01:05:12,945 INTERVENTIONS THAT ARE DYNAMIC 1839 01:05:12,945 --> 01:05:15,614 AND THAT ARE MULTILEVEL AND CAN 1840 01:05:15,614 --> 01:05:18,017 EFFECTIVELY MITIGATE THE HARMFUL 1841 01:05:18,017 --> 01:05:18,751 SOCIAL DETERMINANTS OF HEALTH? 1842 01:05:18,751 --> 01:05:20,152 THESE ARE JUST SOME EXAMPLES. 1843 01:05:20,152 --> 01:05:23,189 AGAIN, THERE IS MORE IN THE 1844 01:05:23,189 --> 01:05:23,422 LECTURE. 1845 01:05:23,422 --> 01:05:25,825 SECOND AREA, IN TERMS OF 1846 01:05:25,825 --> 01:05:28,494 EVIDENCE GENERATION AND 1847 01:05:28,494 --> 01:05:28,794 METHODOLOGY. 1848 01:05:28,794 --> 01:05:31,263 HOW DO WE RESOLVE CONCEPTUAL 1849 01:05:31,263 --> 01:05:33,366 TENSIONS AND CLOSE GAPS IN THE 1850 01:05:33,366 --> 01:05:33,966 EMPIRICAL EVIDENCE? 1851 01:05:33,966 --> 01:05:36,669 ONE OF THE THINGS THAT HAS BEEN 1852 01:05:36,669 --> 01:05:38,571 CONCERNING TO ME IS THERE IS A 1853 01:05:38,571 --> 01:05:40,473 GROUP OF SCHOLARS WRITING 1854 01:05:40,473 --> 01:05:42,108 PAPERS, AS MANY OF YOU ARE 1855 01:05:42,108 --> 01:05:43,542 AWARE, THAT ARE QUESTIONING 1856 01:05:43,542 --> 01:05:46,212 WHETHER OR NOT IT IS WISE TO 1857 01:05:46,212 --> 01:05:49,415 MAKE INVESTMENTS IN SOCIAL 1858 01:05:49,415 --> 01:05:49,915 DETERMINANTS OF HEALTH. 1859 01:05:49,915 --> 01:05:54,086 SHOULD HEALTH DOLLARS BE USED 1860 01:05:54,086 --> 01:05:55,855 WITHIN PROGRAMS THAT ADDRESS 1861 01:05:55,855 --> 01:05:56,555 SOCIAL DETERMINANTS OF HEALTH. 1862 01:05:56,555 --> 01:05:59,058 PROBABLY ONE OF THE MOST RECENT 1863 01:05:59,058 --> 01:06:01,060 IS A REPORT THAT CAME OUT OF THE 1864 01:06:01,060 --> 01:06:03,396 MANHATTAN INSTITUTE BY A SENIOR 1865 01:06:03,396 --> 01:06:05,164 FELLOW WHO IS THERE, DR. CHRIS 1866 01:06:05,164 --> 01:06:08,734 POPE, WHO ARGUES THAT OUR 1867 01:06:08,734 --> 01:06:11,504 EMPHASIS ON SOCIAL DETERMINANTS 1868 01:06:11,504 --> 01:06:13,839 IS INFLATED AND WE SPEND TOO -- 1869 01:06:13,839 --> 01:06:15,641 WE RUN THE RISK OF SPENDING TOO 1870 01:06:15,641 --> 01:06:18,344 MUCH OF OUR RESOURCES FOR HEALTH 1871 01:06:18,344 --> 01:06:22,915 DETERMINES ON ADDRESSING SERMOC 1872 01:06:22,915 --> 01:06:23,516 DETERMINANTS OF HEALTH. 1873 01:06:23,516 --> 01:06:26,452 I READ CHRIS' REPORT VERY 1874 01:06:26,452 --> 01:06:27,253 CLOSELY. 1875 01:06:27,253 --> 01:06:28,854 I FELT TREMENDOUS GRATITUDE TO 1876 01:06:28,854 --> 01:06:29,789 HIM. 1877 01:06:29,789 --> 01:06:31,524 I ACTUALLY REACHED OUT. 1878 01:06:31,524 --> 01:06:33,192 HE RAISES QUESTIONS FOR THOSE OF 1879 01:06:33,192 --> 01:06:35,494 US WHO BELIEVE THERE SHOULD BE 1880 01:06:35,494 --> 01:06:36,829 INTEGRATION OF CLINICAL AND 1881 01:06:36,829 --> 01:06:37,062 SOCIAL. 1882 01:06:37,062 --> 01:06:39,498 HIS QUESTIONS ARE LIKE SHINING 1883 01:06:39,498 --> 01:06:41,634 THE LIGHT ON HOW NURSING SCIENCE 1884 01:06:41,634 --> 01:06:44,203 CAN LEAD AND HOW WE CAN ACTUALLY 1885 01:06:44,203 --> 01:06:45,538 ADDRESS SOME OF THOSE STEPS. 1886 01:06:45,538 --> 01:06:47,773 I DON'T AGREE WITH EVERYTHING HE 1887 01:06:47,773 --> 01:06:49,475 SAYS, BUT BOY AM I HAPPY HE SORT 1888 01:06:49,475 --> 01:06:51,911 OF SAID, HEY, THERE IS ROOM HERE 1889 01:06:51,911 --> 01:06:53,879 TO GROW AND ROOM TO HAVE OUR 1890 01:06:53,879 --> 01:06:55,514 NURSING SCIENCE LEAD. 1891 01:06:55,514 --> 01:06:58,551 WE NEED NEW STUDY DESIGNS AND 1892 01:06:58,551 --> 01:07:00,886 MET 1893 01:07:00,886 --> 01:07:01,120 METHODS. 1894 01:07:01,120 --> 01:07:07,026 WE HAVE TO WORK ON MEASUREMENTS 1895 01:07:07,026 --> 01:07:10,229 THAT DRIP HEALTH INEQUITY, LARGE 1896 01:07:10,229 --> 01:07:12,898 SCALE MULTISITE DEMONSTRATIONS 1897 01:07:12,898 --> 01:07:19,538 OF NOVEL MODELS AND HOW DO WE 1898 01:07:19,538 --> 01:07:22,741 SCALE IS UP AND HAVE GREATER 1899 01:07:22,741 --> 01:07:22,975 IMPACT. 1900 01:07:22,975 --> 01:07:24,677 WORKFORCE ENHANCING TRAINING 1901 01:07:24,677 --> 01:07:26,812 OPPORTUNITIES FOR A SCIENCE 1902 01:07:26,812 --> 01:07:27,780 WORKFORCE COMMITTED TO SOLUTIONS 1903 01:07:27,780 --> 01:07:30,716 AND THE ELIMINATION OF HEALTH 1904 01:07:30,716 --> 01:07:32,084 AND HEALTH CARE INEQUITIES. 1905 01:07:32,084 --> 01:07:35,521 HOW DO WE IMPROVE THE 1906 01:07:35,521 --> 01:07:36,922 COMPETITIVE ACQUISITION OF 1907 01:07:36,922 --> 01:07:38,724 FUNDING FOR THE NURSING 1908 01:07:38,724 --> 01:07:38,991 WORKFORCE? 1909 01:07:38,991 --> 01:07:41,227 THIS IS NOW PART OF THE 1910 01:07:41,227 --> 01:07:42,461 APPLICATION OF THE FINDINGS FROM 1911 01:07:42,461 --> 01:07:45,698 THE REPORT, SORT OF MY THOUGHTS. 1912 01:07:45,698 --> 01:07:47,533 BUT US NURSE SCIENTISTS, WE'VE 1913 01:07:47,533 --> 01:07:50,536 GOT TO THINK ABOUT THE PIPELINE. 1914 01:07:50,536 --> 01:07:52,204 THERE ARE CLEARLY ISSUES IN 1915 01:07:52,204 --> 01:07:53,806 TERMS OF RETIREMENT AND PEOPLE 1916 01:07:53,806 --> 01:07:57,610 PURSUING A PH.D. IN NURSING AND 1917 01:07:57,610 --> 01:08:01,380 ALSO THE FUNDING RATES OF NURSE 1918 01:08:01,380 --> 01:08:03,616 SCIENTISTS AT NOT ONLY NINR, BUT 1919 01:08:03,616 --> 01:08:05,818 ACROSS NIH AND OTHER FEDERAL 1920 01:08:05,818 --> 01:08:06,519 FUNDERS. 1921 01:08:06,519 --> 01:08:08,921 WE'VE GOT TO GET OUR NURSE 1922 01:08:08,921 --> 01:08:10,356 SCIENTISTS SORT OF FUNDED AND 1923 01:08:10,356 --> 01:08:12,424 MAKE THEM MORE COMPETITIVE, MAKE 1924 01:08:12,424 --> 01:08:14,193 US MORE COMPETITIVE. 1925 01:08:14,193 --> 01:08:16,328 AND THEN ALSO THE ISSUES AROUND 1926 01:08:16,328 --> 01:08:16,962 THE REPRESENTATIVENESS. 1927 01:08:16,962 --> 01:08:18,464 DO WE HAVE THE RIGHT WORKFORCE? 1928 01:08:18,464 --> 01:08:20,733 DO WE HAVE THE RIGHT PEOPLE 1929 01:08:20,733 --> 01:08:22,134 ASKING THE RIGHT QUESTIONS? 1930 01:08:22,134 --> 01:08:26,372 AND DO WE HAVE THE RIGHT KINDS 1931 01:08:26,372 --> 01:08:27,907 OF INDIVIDUALS REPRESENTATIVE OF 1932 01:08:27,907 --> 01:08:29,808 THE COMMUNITIES WE ARE SEEKING 1933 01:08:29,808 --> 01:08:31,510 TO SERVE IN THAT RESEARCH. 1934 01:08:31,510 --> 01:08:34,713 IN TERMS OF MEANINGFUL COMMUNITY 1935 01:08:34,713 --> 01:08:35,014 ENGAGEMENT. 1936 01:08:35,014 --> 01:08:36,315 THE REPORT ELEVATES THE 1937 01:08:36,315 --> 01:08:36,582 COMMUNITY. 1938 01:08:36,582 --> 01:08:39,351 I'M LOOKING FORWARD TO HEARING 1939 01:08:39,351 --> 01:08:40,986 DR. McLEMORE'S TALK LATER THIS 1940 01:08:40,986 --> 01:08:43,289 AFTERNOON, BUT IT SAYS CLEARLY 1941 01:08:43,289 --> 01:08:44,490 THAT COMMUNITY NEEDS TO BE 1942 01:08:44,490 --> 01:08:45,424 ELEVATED TO THE SAME PLACE WHERE 1943 01:08:45,424 --> 01:08:46,559 THE HEALTH CARE SYSTEM IS. 1944 01:08:46,559 --> 01:08:49,061 IF WE ARE GOING TO ELIMINATE 1945 01:08:49,061 --> 01:08:50,462 HEALTH AND HEALTH CARE 1946 01:08:50,462 --> 01:08:51,630 INEQUITIES, WE NEED TO THINK 1947 01:08:51,630 --> 01:08:56,101 ABOUT WAYS TO MEANINGFULLY 1948 01:08:56,101 --> 01:08:57,603 ENGAGE COMMUNITIES THERE. 1949 01:08:57,603 --> 01:08:59,805 A SHOUT OUT FOR EVIDENCE-BASED 1950 01:08:59,805 --> 01:09:03,509 FRAMEWORKS AND COMMONLY REFERRED 1951 01:09:03,509 --> 01:09:05,844 TO AS MEANINGFUL COMMUNITY 1952 01:09:05,844 --> 01:09:06,879 ENGAGEMENT. 1953 01:09:06,879 --> 01:09:11,517 IT IS IMPORTANT TO INCORPORATE 1954 01:09:11,517 --> 01:09:15,454 MCE INTO SCIENTIFIC TRAINING AND 1955 01:09:15,454 --> 01:09:16,488 USING HEALTH CARE SYSTEMS FOR 1956 01:09:16,488 --> 01:09:17,990 THE DATA THEY ARE REQUIRED TO 1957 01:09:17,990 --> 01:09:19,291 COLLECT TO DO SOMETHING ABOUT 1958 01:09:19,291 --> 01:09:20,759 WHAT THEY ARE SEEING IN TERMS OF 1959 01:09:20,759 --> 01:09:22,294 THE INEQUITIES. 1960 01:09:22,294 --> 01:09:23,062 AND, YOU KNOW, I THINK ONE OF 1961 01:09:23,062 --> 01:09:25,931 THE PIECES THAT IS THIS LAST 1962 01:09:25,931 --> 01:09:27,533 POINT HERE IS THAT WE NEED 1963 01:09:27,533 --> 01:09:30,502 LEADERSHIP FROM ALL OF OUR 1964 01:09:30,502 --> 01:09:35,007 INSTITUTIONS IN SOCIETY TO 1965 01:09:35,007 --> 01:09:37,443 REALLY SEE THAT THERE ARE THESE 1966 01:09:37,443 --> 01:09:40,613 LARGER ISSUES OF CENTERING 1967 01:09:40,613 --> 01:09:41,347 HEALTH AND HEALTH CARE 1968 01:09:41,347 --> 01:09:48,220 INEQUITIES AND HOW DO WE MAKE 1969 01:09:48,220 --> 01:09:49,755 HEALTH AND HEALTH CARE MORE 1970 01:09:49,755 --> 01:09:50,022 AVAILABLE. 1971 01:09:50,022 --> 01:09:52,391 THE LAST IS EVIDENCE-BASED 1972 01:09:52,391 --> 01:09:53,325 POLICIES AND LEGAL PAYMENT 1973 01:09:53,325 --> 01:09:53,559 REFORM. 1974 01:09:53,559 --> 01:09:54,326 TWO POINTS. 1975 01:09:54,326 --> 01:09:56,428 I THINK THERE ARE LOTS OF 1976 01:09:56,428 --> 01:09:57,329 OPPORTUNITIES FOR NURSING 1977 01:09:57,329 --> 01:09:59,898 SCIENCE TO REALLY LOOK AT A 1978 01:09:59,898 --> 01:10:03,068 WHOLE SET OF NATURAL 1979 01:10:03,068 --> 01:10:03,369 EXPERIMENTS. 1980 01:10:03,369 --> 01:10:05,170 THERE ARE POLICIES THAT ARE 1981 01:10:05,170 --> 01:10:06,105 CHANGING THAT ARE REALLY 1982 01:10:06,105 --> 01:10:09,608 IMPORTANT WE SHOULD BE FOLLOWING 1983 01:10:09,608 --> 01:10:11,443 CLOSELY SEEING THE IMPACT OR 1984 01:10:11,443 --> 01:10:13,278 EFFECT OF NEW LAWS OR EXISTING 1985 01:10:13,278 --> 01:10:14,813 LAWS AND WHETHER OR NOT THESE 1986 01:10:14,813 --> 01:10:17,049 LAWS ARE RESULTS IN THINGS 1987 01:10:17,049 --> 01:10:19,184 CONSEQUENTIAL TO OUR NATION'S 1988 01:10:19,184 --> 01:10:19,518 HEALTH. 1989 01:10:19,518 --> 01:10:21,153 AND THEN ALL THE WORK AROUND 1990 01:10:21,153 --> 01:10:23,689 PAYMENT REFORM AND REALLY 1991 01:10:23,689 --> 01:10:24,757 THINKING ABOUT MOVEMENT AWAY 1992 01:10:24,757 --> 01:10:27,526 FROM A MODEL THAT 1993 01:10:27,526 --> 01:10:29,261 OVERPRIORITIZES PROCEDURES TO 1994 01:10:29,261 --> 01:10:32,197 REALLY A MODEL THAT EMPHASIZES 1995 01:10:32,197 --> 01:10:36,435 HOW WE CAN INCENTIVIZE HEALTH 1996 01:10:36,435 --> 01:10:38,003 OUTCOMES, BUT ENSURING WHEN WE 1997 01:10:38,003 --> 01:10:39,972 DO THAT WE ARE NOT DOING THAT IN 1998 01:10:39,972 --> 01:10:42,408 A WAY THAT WINDS UP BEING 1999 01:10:42,408 --> 01:10:43,475 UNINTENDED CONSEQUENCE. 2000 01:10:43,475 --> 01:10:45,177 THERE ARE MANY EXAMPLES WE CAN 2001 01:10:45,177 --> 01:10:50,315 TALK ABOUT DURING OUR Q&A. 2002 01:10:50,315 --> 01:10:51,550 LAST THING, I THOUGHT I WAS ON 2003 01:10:51,550 --> 01:10:53,318 THE LAST ONE. 2004 01:10:53,318 --> 01:10:54,753 ONE MORE. 2005 01:10:54,753 --> 01:10:57,356 PRIORITY NUMBER SIX. 2006 01:10:57,356 --> 01:10:59,658 SOLUTIONS AND MOVING BEYOND 2007 01:10:59,658 --> 01:11:01,460 CHARACTERIZATIONS OF INEQUITIES. 2008 01:11:01,460 --> 01:11:03,062 THE IMPORTANCE OF A CLEAR STAND 2009 01:11:03,062 --> 01:11:05,197 ON THE ELIMINATION OF HEALTH AND 2010 01:11:05,197 --> 01:11:07,166 HEALTH CARE INEQUITIES VERSUS A 2011 01:11:07,166 --> 01:11:11,103 MORE INCREMENTAL APPROACH TO 2012 01:11:11,103 --> 01:11:12,171 ADVANCE HEALTH EQUITY. 2013 01:11:12,171 --> 01:11:14,506 A DIRECT SHOUTOUT TO OUR NURSING 2014 01:11:14,506 --> 01:11:17,643 SCHOOLS AND PROFESSIONAL 2015 01:11:17,643 --> 01:11:18,644 ORGANIZATIONS TO REALLY CENTER 2016 01:11:18,644 --> 01:11:22,047 THE ELIMINATION OF HEALTH AND 2017 01:11:22,047 --> 01:11:23,348 HEALTH CARE INEQUITIES IN MY 2018 01:11:23,348 --> 01:11:25,417 EXPERIENCE HAS NOT BEEN IN A LOT 2019 01:11:25,417 --> 01:11:26,685 OF INSTITUTIONS IN THE WAY THAT 2020 01:11:26,685 --> 01:11:27,586 NURSING ORGANIZATIONS ARE 2021 01:11:27,586 --> 01:11:28,487 CURRENTLY SET UP. 2022 01:11:28,487 --> 01:11:30,189 THIS IS SOMETHING WE CAN CHANGE 2023 01:11:30,189 --> 01:11:35,060 AN SOMETHING WE SHOULD CHANGE. 2024 01:11:35,060 --> 01:11:37,029 SO JUST IN A NUTSHELL TO WRAP 2025 01:11:37,029 --> 01:11:40,199 UP, I WANT TO SPEND A MOMENT 2026 01:11:40,199 --> 01:11:41,300 ACKNOWLEDGING NINR. 2027 01:11:41,300 --> 01:11:43,035 I THINK DIRECTOR ZENK DID A 2028 01:11:43,035 --> 01:11:44,169 FANTASTIC JOB. 2029 01:11:44,169 --> 01:11:47,306 I WILL SAY ON BEHALF OF THE 2030 01:11:47,306 --> 01:11:49,141 COUNCIL, HOPEFULLY YOU DON'T SEE 2031 01:11:49,141 --> 01:11:51,376 ME BEING OUT OF TURN, BOY, WAS 2032 01:11:51,376 --> 01:11:52,945 THAT IMPRESSIVE THE OVERVIEW AND 2033 01:11:52,945 --> 01:11:54,179 REPORT. 2034 01:11:54,179 --> 01:11:56,315 IT SPEAKS TO WHAT PRECEDED 2035 01:11:56,315 --> 01:11:59,218 ENDING UNEQUAL TREATMENT IS THE 2036 01:11:59,218 --> 01:12:00,886 NINR STRATEGIC PLAN IN 2022. 2037 01:12:00,886 --> 01:12:02,488 YOU CAN SEE WHAT IS HERE NINR 2038 01:12:02,488 --> 01:12:04,189 HAS BEEN DOING THIS WORK. 2039 01:12:04,189 --> 01:12:05,324 THAT WAS SOMETHING THAT CAME OUT 2040 01:12:05,324 --> 01:12:06,091 IN THE REPORT. 2041 01:12:06,091 --> 01:12:08,193 THERE IS A SPECIAL SHOUTOUT IN 2042 01:12:08,193 --> 01:12:09,695 THE REPORT SPECIFICALLY TO NINR. 2043 01:12:09,695 --> 01:12:11,230 SOME EXAMPLES OF LEADERSHIP ARE 2044 01:12:11,230 --> 01:12:15,334 THE MECHANISMS, I WON'T REVIEW 2045 01:12:15,334 --> 01:12:15,534 THESE. 2046 01:12:15,534 --> 01:12:17,202 I THINK DIRECTOR ZENK DID A 2047 01:12:17,202 --> 01:12:18,971 GREAT JOB TALKING ABOUT THESE. 2048 01:12:18,971 --> 01:12:20,572 THERE'S LOTS OF EVIDENCE THAT 2049 01:12:20,572 --> 01:12:22,741 NINR IS REALLY LEADING AND 2050 01:12:22,741 --> 01:12:25,244 MAKING SERIOUS COMMITMENTS TO 2051 01:12:25,244 --> 01:12:27,112 ELIMINATE HEALTH AND HEALTH CARE 2052 01:12:27,112 --> 01:12:27,513 INEQUITIES. 2053 01:12:27,513 --> 01:12:30,249 THE SUMMER INSTITUTE WAS ANOTHER 2054 01:12:30,249 --> 01:12:30,749 GREAT EXAMPLE. 2055 01:12:30,749 --> 01:12:32,818 AGAIN, I THINK THAT WAS ALREADY 2056 01:12:32,818 --> 01:12:34,286 DISCUSSED, BUT THIS IS SOMETHING 2057 01:12:34,286 --> 01:12:36,522 WE ALL SHOULD BE PROUD OF. 2058 01:12:36,522 --> 01:12:38,791 WE SHOULD BE MAKING SURE WE ARE 2059 01:12:38,791 --> 01:12:40,192 SHARING AND LETTING PEOPLE KNOW 2060 01:12:40,192 --> 01:12:41,493 THE IMPORTANT WORK THAT NURSING 2061 01:12:41,493 --> 01:12:43,028 SCIENCE IS DOING LED BY THE 2062 01:12:43,028 --> 01:12:48,734 SUPPORT FROM ANYONE. 2063 01:12:48,734 --> 01:12:50,435 I'LL END BY SIMPLY SAYING WE ARE 2064 01:12:50,435 --> 01:12:51,470 IN THIS TOGETHER. 2065 01:12:51,470 --> 01:12:56,742 WE ARE IN A MOMENT WHERE THERE 2066 01:12:56,742 --> 01:12:58,477 IS GREAT SOCIAL AND POLITICAL 2067 01:12:58,477 --> 01:12:59,044 POLARIZATION. 2068 01:12:59,044 --> 01:13:01,280 IT POSES A RISK THAT AS A NATION 2069 01:13:01,280 --> 01:13:03,282 WE WON'T MOVE FORWARD AND IN 20 2070 01:13:03,282 --> 01:13:05,651 MORE YEARS THERE WILL BE SOMEONE 2071 01:13:05,651 --> 01:13:07,319 ELSE, NOT VINCENT GUILAMO RAMOS, 2072 01:13:07,319 --> 01:13:10,422 BUT WHOEVER IS COMING AFTER ME 2073 01:13:10,422 --> 01:13:11,890 WILL SAY THEY LOOK AT THE 2003 2074 01:13:11,890 --> 01:13:13,859 AND 2024 AND THE MOST RECENT 2075 01:13:13,859 --> 01:13:17,329 REPORT AND THAT WE STILL ARE A 2076 01:13:17,329 --> 01:13:18,997 NATION WITH HEALTH AND HEALTH 2077 01:13:18,997 --> 01:13:20,199 CARE INEQUITIES. 2078 01:13:20,199 --> 01:13:21,533 IN ORDER FOR THAT NOT TO HAPPEN, 2079 01:13:21,533 --> 01:13:25,771 WE HAVE TO REALIZE THERE IS NO 2080 01:13:25,771 --> 01:13:29,808 SUCH THING AS A ZERO SUM GAME. 2081 01:13:29,808 --> 01:13:31,777 THAT IS A MYTH AND WE NEED TO 2082 01:13:31,777 --> 01:13:33,478 FOCUS EFFORTS ON COMMUNITIES 2083 01:13:33,478 --> 01:13:34,880 THAT HAVE THE GREATEST 2084 01:13:34,880 --> 01:13:39,618 INEQUITIES AND IN DOING SO IT 2085 01:13:39,618 --> 01:13:40,886 BENEFITS ALL OF US. 2086 01:13:40,886 --> 01:13:42,754 IF WE DON'T RESPOND, THERE ARE 2087 01:13:42,754 --> 01:13:45,591 CONSEQUENCES FOR ALL OF US. 2088 01:13:45,591 --> 01:13:46,525 THANK YOU VERY MUCH AND I 2089 01:13:46,525 --> 01:13:47,860 CERTAINLY APPRECIATE THE TIME 2090 01:13:47,860 --> 01:13:49,261 TALKING TODAY. 2091 01:13:49,261 --> 01:13:50,395 THERE ARE SOME RESOURCES OF 2092 01:13:50,395 --> 01:13:52,531 THINGS THAT MY GROUP HAS BEEN 2093 01:13:52,531 --> 01:13:55,234 WRITING THAT MAY BE OF INTEREST. 2094 01:13:55,234 --> 01:13:57,536 SO IF THERE'S -- THEY ARE 2095 01:13:57,536 --> 01:13:58,470 OPEN-ACCESS MATERIALS. 2096 01:13:58,470 --> 01:13:59,705 TAKE A LOOK AT THOSE. 2097 01:13:59,705 --> 01:14:01,473 I WILL END BY SAYING THANK YOU 2098 01:14:01,473 --> 01:14:03,508 FOR THE OPPORTUNITY TO TALK 2099 01:14:03,508 --> 01:14:03,709 TODAY. 2100 01:14:03,709 --> 01:14:12,718 APPRECIATE IT. 2101 01:14:12,718 --> 01:14:23,262 >> THANK YOU SO VERY MUCH, DR. 2102 01:14:25,097 --> 01:14:25,697 GUILAMO-RAMOS FOR YOUR SERVICE 2103 01:14:25,697 --> 01:14:28,233 AND REPORTING ON THAT REPORT. 2104 01:14:28,233 --> 01:14:29,334 WE APPRECIATE YOU SHARING THAT 2105 01:14:29,334 --> 01:14:29,868 TODAY. 2106 01:14:29,868 --> 01:14:32,771 IT REALLY IS, I THINK FOR US, 2107 01:14:32,771 --> 01:14:34,239 REASSURING AND INSPIRING TO SEE 2108 01:14:34,239 --> 01:14:36,909 THE ALIGNMENT BETWEEN THE 2109 01:14:36,909 --> 01:14:38,810 STRATEGIC PLAN AND THE REPORT. 2110 01:14:38,810 --> 01:14:41,980 SO WE'RE GLAD FOR THAT, BUT AT 2111 01:14:41,980 --> 01:14:44,049 THE SAME TIME WE AGREE WITH THE 2112 01:14:44,049 --> 01:14:47,352 CONCLUSIONS OF F THE COMMITTEE 2113 01:14:47,352 --> 01:14:48,921 THAT THERE IS A LOT MORE TO DO 2114 01:14:48,921 --> 01:14:50,489 AND WE ARE COMMITTED TO 2115 01:14:50,489 --> 01:14:52,557 GENERATING THE SCIENCE TO GET 2116 01:14:52,557 --> 01:14:52,758 THERE. 2117 01:14:52,758 --> 01:14:55,861 I HAVE ASKED DR. BEKEMEIER AND 2118 01:14:55,861 --> 01:14:56,595 PROFESSOR DAWES TO OPEN THE 2119 01:14:56,595 --> 01:14:58,430 DISCUSSION BY SHARING YOUR 2120 01:14:58,430 --> 01:15:01,633 PERSPECTIVES ON OPPORTUNITIES 2121 01:15:01,633 --> 01:15:03,368 FOR NURSING SCIENCE TO RESPOND 2122 01:15:03,368 --> 01:15:06,071 TO THE REPORT AND THEN WE'LL 2123 01:15:06,071 --> 01:15:07,472 OPEN UP TO EVERYONE TO JUMP IN 2124 01:15:07,472 --> 01:15:09,274 AND SHARE YOUR IDEAS, TOO. 2125 01:15:09,274 --> 01:15:10,375 SO DR. BEKEMEIER, WOULD YOU LIKE 2126 01:15:10,375 --> 01:15:15,914 TO START? 2127 01:15:15,914 --> 01:15:17,015 >> OKAY. 2128 01:15:17,015 --> 01:15:17,983 SO THANKS FOR HAVING ME. 2129 01:15:17,983 --> 01:15:20,652 I LOVED HEARING YOU OVERVIEW AND 2130 01:15:20,652 --> 01:15:22,354 SEEING YOUR SLIDES AHEAD OF 2131 01:15:22,354 --> 01:15:22,554 TIME. 2132 01:15:22,554 --> 01:15:24,856 AND GETTING THE CHANCE TO SORT 2133 01:15:24,856 --> 01:15:29,194 OF DIG INTO THIS REPORT. 2134 01:15:29,194 --> 01:15:30,929 ALTHOUGH I WISH I WOULD HAVE 2135 01:15:30,929 --> 01:15:33,465 FOUND THE CLIFF NOTES FIRST. 2136 01:15:33,465 --> 01:15:35,467 I WAS ASKED TO REFLECT ON THIS 2137 01:15:35,467 --> 01:15:37,569 FROM MY PERSPECTIVE. 2138 01:15:37,569 --> 01:15:40,305 AND SO MY UNIQUE OR DIFFERENT 2139 01:15:40,305 --> 01:15:41,039 PERSPECTIVE. 2140 01:15:41,039 --> 01:15:42,941 AND MINE IS AS A NURSE 2141 01:15:42,941 --> 01:15:45,777 SCIENTIST, PUBLIC HEALTH SYSTEMS 2142 01:15:45,777 --> 01:15:47,512 RESEARCHER. 2143 01:15:47,512 --> 01:15:50,682 AND, YOU KNOW, THINKING FROM MY 2144 01:15:50,682 --> 01:15:54,252 LENS, NURSES ARE THE BACKBONE OF 2145 01:15:54,252 --> 01:15:57,055 THE PUBLIC HEALTH SYSTEM SO WE 2146 01:15:57,055 --> 01:15:59,524 CARRY A BIG BURDEN IN TERMS OF 2147 01:15:59,524 --> 01:16:03,061 OBLIGATION OF ENSURING 2148 01:16:03,061 --> 01:16:05,330 EFFECTIVENESS OF OUR PREVENTION 2149 01:16:05,330 --> 01:16:05,597 SYSTEM. 2150 01:16:05,597 --> 01:16:07,599 THAT IS MY LENS. 2151 01:16:07,599 --> 01:16:09,634 I WAS REALLY EXCITED BY SO MUCH 2152 01:16:09,634 --> 01:16:11,036 OF THIS REPORT. 2153 01:16:11,036 --> 01:16:12,838 I WILL JUST NOT REITERATE THE 2154 01:16:12,838 --> 01:16:14,473 THINGS YOU TALKED ABOUT 2155 01:16:14,473 --> 01:16:15,907 NECESSARILY, BUT FOCUS ON THIS 2156 01:16:15,907 --> 01:16:19,444 FROM MY LENS IN TERMS OF THE 2157 01:16:19,444 --> 01:16:24,416 FOCUS AND TYPES OF STUDIES AND 2158 01:16:24,416 --> 01:16:25,584 POPULATIONS THAT JUMP OUT TO ME 2159 01:16:25,584 --> 01:16:27,352 THAT WE SHOULD LOOK AT. 2160 01:16:27,352 --> 01:16:29,721 IN TERMS OF THE FOCUS, TO ME, 2161 01:16:29,721 --> 01:16:33,759 THIS SCREAMS WE'VE GOT TO BE -- 2162 01:16:33,759 --> 01:16:35,093 OUR SCIENCE AND RESEARCH NEEDS 2163 01:16:35,093 --> 01:16:38,563 TO BE AT MULTIPLE LEVELS AND IT 2164 01:16:38,563 --> 01:16:41,533 TALKS ABOUT THAT, BUT INCLUSIVE 2165 01:16:41,533 --> 01:16:43,301 OF AND EMPHASIZING UPSTREAM LOOK 2166 01:16:43,301 --> 01:16:45,971 AT HOW WE DO OUR WORK AND OUR 2167 01:16:45,971 --> 01:16:46,405 SCIENCE. 2168 01:16:46,405 --> 01:16:48,140 BECAUSE I'M REALLY EXCITED ABOUT 2169 01:16:48,140 --> 01:16:50,942 THIS NOTION OF FOCUSING ON 2170 01:16:50,942 --> 01:16:53,078 ELIMINATING INEQUITIES AND NOT 2171 01:16:53,078 --> 01:16:55,947 JUST ADVANCING THEM. 2172 01:16:55,947 --> 01:17:00,118 BUT TO DO THAT, WE REALLY HAVE 2173 01:17:00,118 --> 01:17:02,320 TO GET BEYOND A NARROW LOOK AT 2174 01:17:02,320 --> 01:17:04,489 THE HOSPITAL WALLS, NECESSARILY, 2175 01:17:04,489 --> 01:17:08,960 AND THINK BIGGER IN TERMS OF THE 2176 01:17:08,960 --> 01:17:10,462 SYSTEMS WE ARE TALKING ABOUT. 2177 01:17:10,462 --> 01:17:12,197 IN CONNECTION WITH THAT, I 2178 01:17:12,197 --> 01:17:14,566 STRUGGLED A LITTLE BIT. 2179 01:17:14,566 --> 01:17:18,070 MAYBE DR. GUILAMO-RAMOS YOU CAN 2180 01:17:18,070 --> 01:17:19,504 TALK ABOUT THIS LATER. 2181 01:17:19,504 --> 01:17:22,441 I DID STRUGGLE WITH ABOUT WHAT 2182 01:17:22,441 --> 01:17:25,444 THE DEFINITION IS OR HOW BROADLY 2183 01:17:25,444 --> 01:17:27,379 FOLKS THOUGHT ABOUT IN TERMS OF 2184 01:17:27,379 --> 01:17:29,314 THE HEALTH CARE SYSTEM? 2185 01:17:29,314 --> 01:17:30,415 AND DID THAT HEALTH CARE SYSTEM 2186 01:17:30,415 --> 01:17:33,885 INCLUDE -- I KNOW IT SAID IT WAS 2187 01:17:33,885 --> 01:17:35,854 INCLUSIVE OF PUBLIC HEALTH. 2188 01:17:35,854 --> 01:17:37,589 HOW DO THOSE PUBLIC HEALTH 2189 01:17:37,589 --> 01:17:39,424 SYSTEMS PLAY INTO THE BROADER 2190 01:17:39,424 --> 01:17:40,225 SYSTEM? 2191 01:17:40,225 --> 01:17:42,594 I KNOW IT LOOKED AT CARE ACCESS, 2192 01:17:42,594 --> 01:17:43,528 USE AND QUALITY. 2193 01:17:43,528 --> 01:17:46,198 SO THINKING, TOO, IN TERMS OF 2194 01:17:46,198 --> 01:17:51,503 HOW BROADLY WE CAN THINK ABOUT 2195 01:17:51,503 --> 01:17:51,903 THAT. 2196 01:17:51,903 --> 01:17:52,671 LET'S SEE. 2197 01:17:52,671 --> 01:17:56,541 AND SOME OF THE FOCUS, TOO, IN H 2198 01:17:56,541 --> 01:17:59,811 ONE OF THE RECOMMENDATIONS OR IN 2199 01:17:59,811 --> 01:18:05,016 ONE AREA IT SAYS THAT WE -- 2200 01:18:05,016 --> 01:18:07,519 THERE WAS A RECOMMENDATION ON 2201 01:18:07,519 --> 01:18:10,956 FUNDERS EXPANDING THEIR FUNDING 2202 01:18:10,956 --> 01:18:12,757 FOR ADDRESSING STRUCTURAL 2203 01:18:12,757 --> 01:18:17,529 RACISM, HEALTH RELATED SOCIAL 2204 01:18:17,529 --> 01:18:19,164 NEEDS TO ELIMINATE HEALTH 2205 01:18:19,164 --> 01:18:19,598 INEQUITIES. 2206 01:18:19,598 --> 01:18:22,501 THIS, TO ME, REINFORCES THIS 2207 01:18:22,501 --> 01:18:23,301 UPSTREAM THINKING. 2208 01:18:23,301 --> 01:18:24,870 IF WE ARE GOING TO BE REALLY 2209 01:18:24,870 --> 01:18:26,738 IMPACTING THESE AREAS. 2210 01:18:26,738 --> 01:18:30,375 IN TERMS OF TYPES OF STUDIES, 2211 01:18:30,375 --> 01:18:32,677 YOU SAID IMPLEMENTATION SCIENCE, 2212 01:18:32,677 --> 01:18:33,912 IMPLEMENTATION SCIENCE, ET 2213 01:18:33,912 --> 01:18:35,514 CETERA. 2214 01:18:35,514 --> 01:18:38,717 AND I, TOO, HAVE LONG THOUGHT 2215 01:18:38,717 --> 01:18:39,518 THAT IMPLEMENTATION SCIENCE IS 2216 01:18:39,518 --> 01:18:41,052 SO RIGHT FOR NURSING SCIENCE. 2217 01:18:41,052 --> 01:18:42,087 IT IS WHERE WE'RE AT. 2218 01:18:42,087 --> 01:18:43,555 IT IS WHERE WE LIVE. 2219 01:18:43,555 --> 01:18:45,257 WE HAVE SUCH A DEEP 2220 01:18:45,257 --> 01:18:46,992 UNDERSTANDING OF HOW THINGS WORK 2221 01:18:46,992 --> 01:18:49,794 OR DON'T WORK IN THE COMMUNITIES 2222 01:18:49,794 --> 01:18:50,562 WE SERVE. 2223 01:18:50,562 --> 01:18:55,167 IT IS A GREAT PLACE FOR NURSES 2224 01:18:55,167 --> 01:18:57,636 TO BE TESTING AND SCALING UP 2225 01:18:57,636 --> 01:18:59,504 PROMISING INTERVENTIONS. 2226 01:18:59,504 --> 01:19:02,207 AND INCLUSIVE OF POLICY 2227 01:19:02,207 --> 01:19:04,342 INTERVEN 2228 01:19:04,342 --> 01:19:04,676 INTERVENTIONS. 2229 01:19:04,676 --> 01:19:06,912 I LIKE THE EMPHASIS ON POLICY 2230 01:19:06,912 --> 01:19:07,245 INTERVENTIONS. 2231 01:19:07,245 --> 01:19:08,813 I DON'T THINK WE DO ENOUGH OF 2232 01:19:08,813 --> 01:19:12,417 THAT AND I LOVE THAT WAS 2233 01:19:12,417 --> 01:19:14,219 EMPHASIZED HERE. 2234 01:19:14,219 --> 01:19:17,122 AND THE NOTION THAT THERE ARE 2235 01:19:17,122 --> 01:19:19,491 LIMITED INTERVENTIONAL STUDIES 2236 01:19:19,491 --> 01:19:23,361 FOCUSING ON ELIMINATING RACIAL 2237 01:19:23,361 --> 01:19:25,764 AND ETHNIC INEQUITIES. 2238 01:19:25,764 --> 01:19:26,598 INTERVENTION STUDIES WE CAN BE 2239 01:19:26,598 --> 01:19:27,232 SCALING UP. 2240 01:19:27,232 --> 01:19:29,734 I LOVED YOUR COMMENT, TOO, OF 2241 01:19:29,734 --> 01:19:31,136 LOOKING AT THAT INTEGRATION OF 2242 01:19:31,136 --> 01:19:32,404 CLINICAL AND SOCIAL CARE. 2243 01:19:32,404 --> 01:19:35,307 THAT, TO ME, IS AN IMPORTANT 2244 01:19:35,307 --> 01:19:35,840 PLACE FOR US. 2245 01:19:35,840 --> 01:19:39,611 IN TERMS OF APPROACHES, I THINK 2246 01:19:39,611 --> 01:19:42,214 NURSING SCIENCE CAN REALLY EXCEL 2247 01:19:42,214 --> 01:19:46,218 IN AREAS THAT CAME OUT IN THE 2248 01:19:46,218 --> 01:19:48,887 REPORT AROUND COMMUNITY-BASED 2249 01:19:48,887 --> 01:19:49,487 PARTICIPATORY RESEARCH AND I 2250 01:19:49,487 --> 01:19:54,693 ALSO DO A LOT OF PRACTICE-BASED 2251 01:19:54,693 --> 01:19:57,629 RESEARCH, SO WITH PRACTICE 2252 01:19:57,629 --> 01:19:58,163 PARTNERS. 2253 01:19:58,163 --> 01:20:00,432 YOU TALKED ABOUT -- AND 2254 01:20:00,432 --> 01:20:01,866 MEANINGFUL COMMUNITY ENGAGEMENT 2255 01:20:01,866 --> 01:20:06,137 SLIDE, I REALLY LIKED THAT 2256 01:20:06,137 --> 01:20:07,505 NOTION OF THIS WORK BEING 2257 01:20:07,505 --> 01:20:08,340 COMMUNITY CENTERED. 2258 01:20:08,340 --> 01:20:13,778 IN THE REPORT IT HAS -- THERE IS 2259 01:20:13,778 --> 01:20:16,181 A MODEL THAT HAS A 2260 01:20:16,181 --> 01:20:16,548 PERSON-CENTERED. 2261 01:20:16,548 --> 01:20:18,383 MAYBE THIS IS SOMETHING TO TOUCH 2262 01:20:18,383 --> 01:20:19,484 ON LATER, TOO. 2263 01:20:19,484 --> 01:20:21,620 IT WAS A LITTLE -- THERE WAS A 2264 01:20:21,620 --> 01:20:23,521 LITTLE TENSION TO ME SOMETIMES 2265 01:20:23,521 --> 01:20:25,890 TO THE DEGREE WE ARE PERSON 2266 01:20:25,890 --> 01:20:27,525 CENTERED OR COMMUNITY CENTERS OR 2267 01:20:27,525 --> 01:20:30,095 COULD WE BE BOTH? 2268 01:20:30,095 --> 01:20:32,731 BUT -- AND ALSO YOU MENTIONED 2269 01:20:32,731 --> 01:20:35,300 NURSING SCIENCE HAVING A PLACE 2270 01:20:35,300 --> 01:20:38,536 IN LEADERSHIP IN ADDRESSING SOME 2271 01:20:38,536 --> 01:20:40,138 OF THESE SOCIETAL CHALLENGES 2272 01:20:40,138 --> 01:20:43,008 AROUND MISTRUST OF SCIENCE, ET 2273 01:20:43,008 --> 01:20:43,541 CETERA. 2274 01:20:43,541 --> 01:20:47,512 TO ME THAT IS A HUGE PLACE FOR 2275 01:20:47,512 --> 01:20:48,613 NURSING SCIENCE. 2276 01:20:48,613 --> 01:20:50,749 IN PART BECAUSE WE'RE ALWAYS 2277 01:20:50,749 --> 01:20:52,851 BROUGHT UP OVER AND OVER AS THE 2278 01:20:52,851 --> 01:20:54,019 MOST TRUSTED PROFESSION, BLAH, 2279 01:20:54,019 --> 01:20:54,919 BLAH, BLAH. 2280 01:20:54,919 --> 01:20:57,656 THAT IS AN OBLIGATION FOR US. 2281 01:20:57,656 --> 01:21:00,392 IF WE'RE GOING TO BE -- IF WE 2282 01:21:00,392 --> 01:21:03,028 ARE GOING TO HOLD OURSELVES UP 2283 01:21:03,028 --> 01:21:05,163 AS THE MOST TRUSTS PROFESSION, 2284 01:21:05,163 --> 01:21:07,532 WE HAVE AN OBLIGATION TO PROVIDE 2285 01:21:07,532 --> 01:21:09,334 LEADERSHIP IN THAT AREA SO I 2286 01:21:09,334 --> 01:21:10,869 WOULD SAY ABSOLUTELY. 2287 01:21:10,869 --> 01:21:15,507 JUST BRIEFLY, IN TERMS OF 2288 01:21:15,507 --> 01:21:17,208 SPECIFIC POPULATIONS, THE REPORT 2289 01:21:17,208 --> 01:21:19,010 KIND OF TALKS A LOT ABOUT RURAL 2290 01:21:19,010 --> 01:21:22,480 AREAS, THE DIGITAL AND DATA 2291 01:21:22,480 --> 01:21:26,217 DIVIDE, LACK OF WORKFORCE, LACK 2292 01:21:26,217 --> 01:21:28,119 OF ENOUGH WORKFORCE AS WELL AS 2293 01:21:28,119 --> 01:21:28,920 REPRESENTATIVE WORKFORCE IN 2294 01:21:28,920 --> 01:21:29,254 RURAL AREAS. 2295 01:21:29,254 --> 01:21:31,923 THAT IS AN AREA WE COULD AND 2296 01:21:31,923 --> 01:21:34,159 SHOULD BE DOING MORE IN. 2297 01:21:34,159 --> 01:21:36,594 AND DEFINITELY INDIGENOUS 2298 01:21:36,594 --> 01:21:38,663 POPULATIONS ARE TALKED ABOUT IN 2299 01:21:38,663 --> 01:21:39,898 THE REPORT QUITE A BIT AND THAT 2300 01:21:39,898 --> 01:21:41,299 IS A SPACE FOR US. 2301 01:21:41,299 --> 01:21:42,967 I WILL STOP THERE AND HAND IT 2302 01:21:42,967 --> 01:21:44,502 OFF TO DR. DAWES. 2303 01:21:44,502 --> 01:21:46,538 >> THANK YOU, DR. BEKEMEIER. 2304 01:21:46,538 --> 01:21:49,040 GOOD MORNING, EVERYONE. 2305 01:21:49,040 --> 01:21:49,541 GOOD MORNING. 2306 01:21:49,541 --> 01:21:52,444 IT IS SO GOOD TO BE HERE. 2307 01:21:52,444 --> 01:21:58,550 FIRST LET ME THANK YOU DR. 2308 01:21:58,550 --> 01:21:59,250 GUILAMO 2309 01:21:59,250 --> 01:21:59,884 GUILAMO-RAMOS FOR THAT GREAT 2310 01:21:59,884 --> 01:22:00,452 PRESENTATION. 2311 01:22:00,452 --> 01:22:03,521 I THOUGHT IT WAS INSIGHTFUL. 2312 01:22:03,521 --> 01:22:05,757 THANK YOU FOR YOUR WORK THAT THE 2313 01:22:05,757 --> 01:22:07,459 NURSING ASPECT WAS STRONG ON 2314 01:22:07,459 --> 01:22:09,627 ENDING UNEQUAL TREATMENT. 2315 01:22:09,627 --> 01:22:12,931 I WANT TO THANK OR DIRECTOR, DR. 2316 01:22:12,931 --> 01:22:16,034 ZENK, FOR HER COURAGEOUS 2317 01:22:16,034 --> 01:22:20,472 LEADERSHIP IN BROADENING 2318 01:22:20,472 --> 01:22:23,708 INCLUSIVITY AND GO AFTER THE 2319 01:22:23,708 --> 01:22:24,476 INSTIGATORS. 2320 01:22:24,476 --> 01:22:34,486 I HEARD YOU LOUD AND CLEAR, DR. 2321 01:22:34,486 --> 01:22:35,186 GUILAMO 2322 01:22:35,186 --> 01:22:35,520 GUILAMO-RAMOS. 2323 01:22:35,520 --> 01:22:36,054 WHERE SHOULD I START THE 2324 01:22:36,054 --> 01:22:37,188 TIMELINE? 2325 01:22:37,188 --> 01:22:40,191 I GO BACK TO -- AND I GO BACK TO 2326 01:22:40,191 --> 01:22:48,233 THAT TIME BECAUSE THERE WERE TWO 2327 01:22:48,233 --> 01:22:50,869 INSTANTS, 1865 UNDER THE LINCOLN 2328 01:22:50,869 --> 01:22:52,003 ADMINISTRATION WITH THE ENDING 2329 01:22:52,003 --> 01:22:54,105 OF THE CIVIL WAR, ENSURING THAT 2330 01:22:54,105 --> 01:22:55,974 NEWLY FREED BLACK PEOPLE AND 2331 01:22:55,974 --> 01:22:58,910 POOR WHITES WOULD HAVE ACCESS TO 2332 01:22:58,910 --> 01:23:06,651 THESE RESOURCES TO ADDRESS THEIR 2333 01:23:06,651 --> 01:23:10,054 SOCIAL DETERMINANTS OF HEALTH 2334 01:23:10,054 --> 01:23:13,758 AND DR. KING FOUGHT TO 2335 01:23:13,758 --> 01:23:14,025 ELIMINATE. 2336 01:23:14,025 --> 01:23:15,660 THERE WAS ANOTHER OPENING WHERE 2337 01:23:15,660 --> 01:23:17,295 THE FEDERAL GOVERNMENT AGAIN 2338 01:23:17,295 --> 01:23:18,630 PAID ATTENTION AND INVESTED 2339 01:23:18,630 --> 01:23:20,932 RESOURCES IN THE 1930s THEY 2340 01:23:20,932 --> 01:23:23,034 CREATED THE OFFICE OF NEGRO 2341 01:23:23,034 --> 01:23:25,670 HEALTH WORK, THEY FOCUSED ON 2342 01:23:25,670 --> 01:23:27,505 LOOKING AT DISPARATELY IMPACTED 2343 01:23:27,505 --> 01:23:28,773 POPULATION GROUPS. 2344 01:23:28,773 --> 01:23:30,775 BUT THEN WHAT HAPPENS? 2345 01:23:30,775 --> 01:23:32,811 BEFORE THOSE COULD BE SUSTAINED, 2346 01:23:32,811 --> 01:23:35,447 OPPONENTS OF ILL WILL WENT IN 2347 01:23:35,447 --> 01:23:36,414 AND ELIMINATED THOSE 2348 01:23:36,414 --> 01:23:43,521 OPPORTUNITIES WHERE WE WERE 2349 01:23:43,521 --> 01:23:45,557 SEEING IMPROVEMENTS IN LIFE 2350 01:23:45,557 --> 01:23:45,924 EXPECTANCY. 2351 01:23:45,924 --> 01:23:48,460 I WANT TO START WITH THE HECKLER 2352 01:23:48,460 --> 01:23:48,927 REPORT. 2353 01:23:48,927 --> 01:23:50,829 I'M SO GLAD YOU STARTED WITH 2354 01:23:50,829 --> 01:23:51,963 THAT ONE. 2355 01:23:51,963 --> 01:23:53,164 IT HAS BEEN OUR CHARGE. 2356 01:23:53,164 --> 01:23:56,034 I WANTED TO READ THIS BECAUSE I 2357 01:23:56,034 --> 01:23:58,736 THINK IT SPEAKS TO DR. ZENK AND 2358 01:23:58,736 --> 01:24:00,505 THE TEAM HERE AT NINR. 2359 01:24:00,505 --> 01:24:02,907 IT SAYS BASICALLY FOUR DECADES 2360 01:24:02,907 --> 01:24:06,077 AGO HHS SECRETARY MARGARET 2361 01:24:06,077 --> 01:24:07,512 HECKLER UNDER THE REAGAN 2362 01:24:07,512 --> 01:24:09,647 ADMINISTRATION DECLARED DESPITE 2363 01:24:09,647 --> 01:24:14,018 THE UNPRECEDENTED EXPLOSION IN 2364 01:24:14,018 --> 01:24:14,919 SCIENTIFIC KNOWLEDGE AND 2365 01:24:14,919 --> 01:24:16,421 MEDICINE TO DIAGNOSE, TREAT AND 2366 01:24:16,421 --> 01:24:19,858 CURE DISEASES, BLACKS, 2367 01:24:19,858 --> 01:24:21,226 HISPANICS, NATIVE AMERICANS AND 2368 01:24:21,226 --> 01:24:23,528 THOSE OF ASIAN AND PACIFIC 2369 01:24:23,528 --> 01:24:25,730 ISLANDER HERITAGE HAVE NOT 2370 01:24:25,730 --> 01:24:26,731 BENEFITED FULLY OR EQUITABLY 2371 01:24:26,731 --> 01:24:29,300 FROM THE FRUITS OF SCIENCE OR 2372 01:24:29,300 --> 01:24:31,503 THOSE SYSTEMS RESPONSIBLE FOR 2373 01:24:31,503 --> 01:24:33,671 TRANSLATING AND USING HEALTH 2374 01:24:33,671 --> 01:24:35,306 SCIENCES TECHNOLOGY. 2375 01:24:35,306 --> 01:24:38,109 THE TASK FORCE ON BLACK AND 2376 01:24:38,109 --> 01:24:42,881 MINORITY HEALTH WAS CONCEIVED IN 2377 01:24:42,881 --> 01:24:44,983 RESPONSE, A STEADY IMPROVEMENT 2378 01:24:44,983 --> 01:24:46,951 IN OVER ALL HEALTH STATUS WHILE 2379 01:24:46,951 --> 01:24:51,089 AT THE SAME TIME PERSISTENT 2380 01:24:51,089 --> 01:24:53,258 HEALTH INEQUITIES EXIST FOR 2381 01:24:53,258 --> 01:24:53,892 MINORITY AMERICANS. 2382 01:24:53,892 --> 01:24:55,493 THE TASK FORCE CAME INTO BEING 2383 01:24:55,493 --> 01:24:57,095 IT WAS EVIDENT TO BRING THE 2384 01:24:57,095 --> 01:24:58,096 HEALTH OF MINORITIES TO THE 2385 01:24:58,096 --> 01:25:01,699 LEVEL OF ALL AMERICANS, EFFORTS 2386 01:25:01,699 --> 01:25:03,535 OF MONUMENTAL PROPORTIONS WERE 2387 01:25:03,535 --> 01:25:04,269 NEEDED. 2388 01:25:04,269 --> 01:25:09,941 ARE WE THEN SURPRISED, RIGHT, AT 2389 01:25:09,941 --> 01:25:12,844 THE CONCLUSION YOU MADE EARLIER, 2390 01:25:12,844 --> 01:25:14,245 LIMITED OVERALL PROGRESS HAS 2391 01:25:14,245 --> 01:25:16,214 BEEN REALIZED. 2392 01:25:16,214 --> 01:25:19,450 WE HAVEN'T INVESTED TIME, 2393 01:25:19,450 --> 01:25:21,653 RESOURCES, HUMAN CAPITAL AT THE 2394 01:25:21,653 --> 01:25:25,323 LEVEL WE NEED TO, TO ADDRESS IT, 2395 01:25:25,323 --> 01:25:25,857 UNTIL NOW. 2396 01:25:25,857 --> 01:25:28,526 I'M EXCITED BY NINR'S FOCUS ON 2397 01:25:28,526 --> 01:25:30,528 THE SOCIAL DRIVERS OF THESE 2398 01:25:30,528 --> 01:25:30,828 INEQUITIES. 2399 01:25:30,828 --> 01:25:31,529 WHY IS THIS IMPORTANT? 2400 01:25:31,529 --> 01:25:34,198 AS WE ARE MOVING FORWARD, I'M 2401 01:25:34,198 --> 01:25:36,701 GLAD YOU ALSO MADE THE CASE WITH 2402 01:25:36,701 --> 01:25:38,503 OUR HEALTH ECONOMISTS AND WHILE 2403 01:25:38,503 --> 01:25:39,837 WE KNOW THAT THE MORAL ARGUMENT 2404 01:25:39,837 --> 01:25:41,573 SHOULD BE SUFFICIENT, WE KNOW 2405 01:25:41,573 --> 01:25:43,207 THAT IS NOT NECESSARILY TRUE. 2406 01:25:43,207 --> 01:25:49,881 IN A RECENT REPORT THAT MY TEAM 2407 01:25:49,881 --> 01:25:55,453 AND I FPUBLISHED, WE WERE WORKIG 2408 01:25:55,453 --> 01:25:57,522 AT DISEASES OF THE BRAIN AND 2409 01:25:57,522 --> 01:26:01,326 SYSTEMIC HEALTH, WHAT ARE THE 2410 01:26:01,326 --> 01:26:03,661 CURRENT AND PROJECTED INEQUITIES 2411 01:26:03,661 --> 01:26:08,333 BECAUSE OF OUR UNWILLINGNESS TO 2412 01:26:08,333 --> 01:26:09,667 INVEST. 2413 01:26:09,667 --> 01:26:13,237 THE NATION IS BECOMING A 2414 01:26:13,237 --> 01:26:16,307 RACIALLY PLURALISTIC SOCIETY, 2415 01:26:16,307 --> 01:26:19,310 THE DEATH RATES, LOSS OF LIFE 2416 01:26:19,310 --> 01:26:21,613 AND YEARS OF LIFE LOST AND SO 2417 01:26:21,613 --> 01:26:24,115 FORTH CONTINUES TO INCREASE 2418 01:26:24,115 --> 01:26:24,716 EXPONENTIALLY. 2419 01:26:24,716 --> 01:26:26,784 WHAT DOES THAT TRANSLATE 2420 01:26:26,784 --> 01:26:28,252 ECONOMICALLY AND FROM A NATIONAL 2421 01:26:28,252 --> 01:26:29,354 SECURITY STANDPOINT? 2422 01:26:29,354 --> 01:26:30,922 WHAT WE FOUND WAS QUITE 2423 01:26:30,922 --> 01:26:32,857 INTERESTING IN THIS YEAR, 2024, 2424 01:26:32,857 --> 01:26:39,497 WE ARE EXPECTED TO SPEND $477.5 2425 01:26:39,497 --> 01:26:41,032 BILLION, OWING TO THE 2426 01:26:41,032 --> 01:26:43,534 INEQUITIES, THE DIFFERENCES, IF 2427 01:26:43,534 --> 01:26:46,204 YOU WILL, OF PAPLATION GROUPS TO 2428 01:26:46,204 --> 01:26:49,140 THESE RELATIVE DISEASES AND BY 2429 01:26:49,140 --> 01:26:51,142 2040 WE WILL BE A MAJORITY 2430 01:26:51,142 --> 01:26:53,344 MINORITY COUNTRY THE NUMBER IS 2431 01:26:53,344 --> 01:26:53,711 $1.3 TRILLION. 2432 01:26:53,711 --> 01:26:54,979 VERY CONSERVATIVE NUMBER. 2433 01:26:54,979 --> 01:26:56,581 WHEN YOU COMPOUND THAT FROM NOW 2434 01:26:56,581 --> 01:26:59,350 UNTIL THEN, YOU ARE TALKING 2435 01:26:59,350 --> 01:27:03,521 ABOUT $14 TRILLION DOLLARS, WITH 2436 01:27:03,521 --> 01:27:04,255 A T. 2437 01:27:04,255 --> 01:27:04,589 HUGE. 2438 01:27:04,589 --> 01:27:06,624 SO I THINK ONE OF THE THINGS 2439 01:27:06,624 --> 01:27:08,292 THAT GETS ME REALLY EXCITED IS 2440 01:27:08,292 --> 01:27:09,661 THE WORK FOLKS HAVE BEEN DOING 2441 01:27:09,661 --> 01:27:12,730 WHERE YOU MENTIONED THE CRITICS 2442 01:27:12,730 --> 01:27:15,233 OFTEN QUESTION WHETHER SDOH 2443 01:27:15,233 --> 01:27:15,800 INTERVENTIONS TRULY WORK. 2444 01:27:15,800 --> 01:27:17,735 THE EVIDENCE SAYS THEY DO. 2445 01:27:17,735 --> 01:27:23,474 AND RESEARCH THAT WAS CONDUCTED 2446 01:27:23,474 --> 01:27:25,677 CONCLUDED THAT DOWNSTREAM 2447 01:27:25,677 --> 01:27:26,544 INTERVENTIONS, FOCUSED ON CHANGE 2448 01:27:26,544 --> 01:27:28,913 AT THE INDIVIDUAL LEVEL ARE MORE 2449 01:27:28,913 --> 01:27:30,982 LIKELY ININCREASE HEALTH 2450 01:27:30,982 --> 01:27:33,651 INEQUITY MORE THAN UPSTREAM THAT 2451 01:27:33,651 --> 01:27:36,254 FOCUS ON SOCIAL CHANGE OR POLICY 2452 01:27:36,254 --> 01:27:36,487 CHANGE. 2453 01:27:36,487 --> 01:27:39,490 THE DELAWARE HOUSING STUDY 2454 01:27:39,490 --> 01:27:43,528 REPORTED THAT COMMUNITY BASED 2455 01:27:43,528 --> 01:27:45,096 INTERVENTIONS RESULTED IN NOT 2456 01:27:45,096 --> 01:27:48,332 ONLY IMPROVED HEALTH OUTCOMES, 2457 01:27:48,332 --> 01:27:49,767 BUT SIGNIFICANT REDUCTIONS IN 2458 01:27:49,767 --> 01:27:50,568 HEALTH CARE COSTS. 2459 01:27:50,568 --> 01:27:54,772 PROGRAMS LIKE THAT SHOW 2460 01:27:54,772 --> 01:27:59,043 BASICALLY THAT ADDRESSING THE 2461 01:27:59,043 --> 01:28:00,511 SOCIAL DETERMINANTS OF HEALTH, 2462 01:28:00,511 --> 01:28:03,648 THE DRIVERS, CAN PREVENT THE 2463 01:28:03,648 --> 01:28:06,117 ONSET OF CHRONIC DISEASES, 2464 01:28:06,117 --> 01:28:09,353 REDUCE EMERGENCY ROOM VISITS AND 2465 01:28:09,353 --> 01:28:10,188 IMPROVE QUALITY OF LIFE FOR 2466 01:28:10,188 --> 01:28:11,255 INDIVIDUALS AND FAMILY. 2467 01:28:11,255 --> 01:28:15,326 TO IMPROVE ACROSS THE BOARD FOR 2468 01:28:15,326 --> 01:28:17,095 EVERY POPULATION GROUP WE NEED, 2469 01:28:17,095 --> 01:28:19,530 I HEARD YOU LOUD AND CLEAR AND 2470 01:28:19,530 --> 01:28:20,598 THE COMMITTEE'S RECOMMENDATIONS 2471 01:28:20,598 --> 01:28:22,934 LOUD AND CLEAR, WE NEED TO 2472 01:28:22,934 --> 01:28:24,602 CONTINUE TO ASSESS SOCIAL 2473 01:28:24,602 --> 01:28:26,437 CONSTRUCTS OF RACE, ETHNICITY 2474 01:28:26,437 --> 01:28:27,205 AND RESEARCH. 2475 01:28:27,205 --> 01:28:30,274 WE NEED TO ADDRESS RESEARCH GAPS 2476 01:28:30,274 --> 01:28:35,046 FROM INTERSECTIONAL, HOLIST CAL 2477 01:28:35,046 --> 01:28:35,313 APPROACH. 2478 01:28:35,313 --> 01:28:37,448 WE NEED THE EVIDENCE ON 2479 01:28:37,448 --> 01:28:39,250 STRUCTURAL LEVEL AND SOCIAL 2480 01:28:39,250 --> 01:28:41,119 DETERMINANTS OF HEALTH 2481 01:28:41,119 --> 01:28:42,920 INTERVENTIONS TO REDUCE HEALTH 2482 01:28:42,920 --> 01:28:44,555 INEQUITIES AND ADVANCE HEALTH 2483 01:28:44,555 --> 01:28:44,789 EQUITY. 2484 01:28:44,789 --> 01:28:46,824 WE NEED TO DO A BETTER JOB WITH 2485 01:28:46,824 --> 01:28:50,995 THOSE WHO ARE CRITICIZING THESE 2486 01:28:50,995 --> 01:28:51,996 INTERVENTIONS, EFFECTIVELY 2487 01:28:51,996 --> 01:28:53,998 DEMONSTRATED THE CAUSAL LINK AND 2488 01:28:53,998 --> 01:28:55,533 ULTIMATELY SECURE 2489 01:28:55,533 --> 01:28:57,268 ACTION-ORIENTED INTERVENTIONS IN 2490 01:28:57,268 --> 01:28:59,504 THESE UNDER ADDRESSED AND OFTEN 2491 01:28:59,504 --> 01:29:01,038 IGNORED AREAS OF IMPORTANCE. 2492 01:29:01,038 --> 01:29:02,840 SO I WILL STOP THERE AND JUST 2493 01:29:02,840 --> 01:29:04,408 SAY THAT I'M QUITE PLEASED THAT 2494 01:29:04,408 --> 01:29:08,946 YOU HAVE HIGHLIGHTED AREAS THAT 2495 01:29:08,946 --> 01:29:10,548 I THINK ARE HOLDING US BACK FROM 2496 01:29:10,548 --> 01:29:13,818 THE MYTH, IF YOU WILL, THE ZERO 2497 01:29:13,818 --> 01:29:15,653 SUM MYTH THAT HAS BEEN PLAGUING 2498 01:29:15,653 --> 01:29:17,121 US FOR DECADES. 2499 01:29:17,121 --> 01:29:19,323 I APPRECIATE WHEN YOU TALK ABOUT 2500 01:29:19,323 --> 01:29:21,926 EFFECTIVE HEALTH CARE DELIVERY 2501 01:29:21,926 --> 01:29:25,196 MODELS UTILIZING AN EQUITY LENS 2502 01:29:25,196 --> 01:29:27,665 THAT IS PART OF THE PROBLEM. 2503 01:29:27,665 --> 01:29:29,367 WE HAVE NOT MOVED WITH THE 2504 01:29:29,367 --> 01:29:30,468 EQUITY LENS IN THERE. 2505 01:29:30,468 --> 01:29:33,037 YOU ALSO MENTIONED AND THE WORK 2506 01:29:33,037 --> 01:29:35,506 I DID WITH THE COMMITTEE WITH 2507 01:29:35,506 --> 01:29:36,507 COMMISSION PAPER SUCCESSFUL AND 2508 01:29:36,507 --> 01:29:38,576 UNSUCCESSFUL INTERVENTIONS WHAT 2509 01:29:38,576 --> 01:29:40,244 WE FOUND WAS EXACTLY WHAT YOU 2510 01:29:40,244 --> 01:29:40,745 SAID. 2511 01:29:40,745 --> 01:29:42,647 MOST OF THE INTERVENTIONS WERE 2512 01:29:42,647 --> 01:29:43,881 UNSUCCESSFUL BECAUSE, AGAIN, 2513 01:29:43,881 --> 01:29:46,050 MOST OF THEM FOCUSED ON THE 2514 01:29:46,050 --> 01:29:47,051 INDIVIDUAL LEVEL. 2515 01:29:47,051 --> 01:29:50,054 THEY DID NOT BRIDGE THE CLINICAL 2516 01:29:50,054 --> 01:29:50,855 INTERVENTIONS WITH THOSE SOCIAL 2517 01:29:50,855 --> 01:29:55,493 DETERMINE NAANTS OF HEALTH. 2518 01:29:55,493 --> 01:29:57,929 WHAT YOU ARE DOING HERE AT NINR 2519 01:29:57,929 --> 01:29:59,030 IS GOING TO SCALE UP 2520 01:29:59,030 --> 01:30:01,465 INTERVENTIONS TO HELP US MOVE 2521 01:30:01,465 --> 01:30:02,400 THE NEEDLE. 2522 01:30:02,400 --> 01:30:04,602 I ALSO APPRECIATE YOU BROUGHT UP 2523 01:30:04,602 --> 01:30:06,938 THE CLINICAL TOOLS, THE 2524 01:30:06,938 --> 01:30:08,673 ALGORITHMS AND BIASED COGNITIVE 2525 01:30:08,673 --> 01:30:12,944 ASSESSMENT TOOLS, KIDNEY AND 2526 01:30:12,944 --> 01:30:14,045 HEART ASSESSMENT TOOLS. 2527 01:30:14,045 --> 01:30:15,913 I HAVE BEEN IN ROOMS FOLKS HAVE 2528 01:30:15,913 --> 01:30:18,249 SAID IT IS SO COMPLEX TO CHANGE 2529 01:30:18,249 --> 01:30:18,749 THESE. 2530 01:30:18,749 --> 01:30:21,085 I'M GLAD IT WAS RECOGNIZED. 2531 01:30:21,085 --> 01:30:22,820 IT IS SOME OF THE HIGHEST 2532 01:30:22,820 --> 01:30:24,388 HANGING FRUIT AND IF WE ARE 2533 01:30:24,388 --> 01:30:26,490 GOING TO MAKE A DENT IN THESE 2534 01:30:26,490 --> 01:30:28,059 INEQUITIES AN CLOSE THOSE GAPS, 2535 01:30:28,059 --> 01:30:30,161 WE HAVE TO OGO AFTER THAT. 2536 01:30:30,161 --> 01:30:33,664 I HOPE NINR WILL FOCUS ON THOSE 2537 01:30:33,664 --> 01:30:35,199 MORE CHALLENGING ISSUES. 2538 01:30:35,199 --> 01:30:37,535 IF THERE IS NO DATA, WHAT DO 2539 01:30:37,535 --> 01:30:39,303 FOLKS THINK, THERE IS NO 2540 01:30:39,303 --> 01:30:39,537 PROBLEM. 2541 01:30:39,537 --> 01:30:41,839 I'M GLAD YOU RECOGNIZED AND PUT 2542 01:30:41,839 --> 01:30:44,742 A SPOTLIGHT ON THE NEED FOR 2543 01:30:44,742 --> 01:30:51,515 PARTIAL RACE AND ETHNICITY DATA, 2544 01:30:51,515 --> 01:30:53,484 TRIBAL AFFILIATION, AND LAWS AND 2545 01:30:53,484 --> 01:30:57,021 POLICIES THAT REDUCE INEQUITIES 2546 01:30:57,021 --> 01:30:59,523 NOT BEING IMPLEMENTED TO THE DOE 2547 01:30:59,523 --> 01:31:00,658 DEBRIS THEY OUGHT TO. 2548 01:31:00,658 --> 01:31:03,527 THESE ARE AREAS WE HAVE FOUGHT 2549 01:31:03,527 --> 01:31:04,929 AND ADVOCATED FOR AND KNOW THEY 2550 01:31:04,929 --> 01:31:05,463 WORK. 2551 01:31:05,463 --> 01:31:07,031 THEY HAVE OFTENTIMES NOT BEEN 2552 01:31:07,031 --> 01:31:09,100 GIVEN THE TIME TO STAND ON THEIR 2553 01:31:09,100 --> 01:31:10,835 OWN LEGS TO SHOW THE 2554 01:31:10,835 --> 01:31:11,168 EFFECTIVENESS. 2555 01:31:11,168 --> 01:31:13,004 SO WITH THAT, I WILL CONCLUDE 2556 01:31:13,004 --> 01:31:14,171 AND JUST SAY THANK YOU AGAIN FOR 2557 01:31:14,171 --> 01:31:15,339 YOUR SERVICE ON THAT COMMITTEE. 2558 01:31:15,339 --> 01:31:16,807 THANK YOU FOR YOUR PRESENTATION 2559 01:31:16,807 --> 01:31:19,477 AND FOR OPENING UP OUR MINDING, 2560 01:31:19,477 --> 01:31:21,812 STRETCHING THE BOUNDARIES OF OUR 2561 01:31:21,812 --> 01:31:25,616 KNOWLEDGE. 2562 01:31:25,616 --> 01:31:28,152 >> SO, THANK YOU, DR. BEKEMEIER, 2563 01:31:28,152 --> 01:31:28,853 DR. DAWES. 2564 01:31:28,853 --> 01:31:31,522 JUST A COUPLE OF THOUGHTS AND 2565 01:31:31,522 --> 01:31:33,958 THEN I'M GOING TO SPEAK MORE AS 2566 01:31:33,958 --> 01:31:35,960 SORT OF VINCENT, A NURSE 2567 01:31:35,960 --> 01:31:37,495 SCIENTIST AND MY OWN 2568 01:31:37,495 --> 01:31:37,795 REFLECTIONS. 2569 01:31:37,795 --> 01:31:46,771 SO I AGREE THAT IF WE FOCUS ON 2570 01:31:46,771 --> 01:31:48,572 INDIVIDUAL LEVEL FACTORS, 2571 01:31:48,572 --> 01:31:50,141 PARTICULARLY AS HEALTH CARE IS 2572 01:31:50,141 --> 01:31:53,377 DESIGNED TODAY WE WILL WIND UP 2573 01:31:53,377 --> 01:31:55,513 WITH A LARGELY INEFFECTIVE 2574 01:31:55,513 --> 01:31:57,081 INTERVENTIONS FOR WHAT WE ARE 2575 01:31:57,081 --> 01:31:59,150 TRYING TO DO, ELIMINATION OF 2576 01:31:59,150 --> 01:32:00,384 HEALTH AND HEALTH CARE 2577 01:32:00,384 --> 01:32:01,052 INEQUITIES. 2578 01:32:01,052 --> 01:32:02,386 I THINK WHERE I GET CONCERNED 2579 01:32:02,386 --> 01:32:04,255 AND I WANT TO PUT THIS ON THE 2580 01:32:04,255 --> 01:32:05,790 TABLE FOR THE COUNCIL IS THAT A 2581 01:32:05,790 --> 01:32:07,525 LOT OF THE CURRENT EVIDENCE IS 2582 01:32:07,525 --> 01:32:09,660 ALSO BASED ON A FLAWED MODEL. 2583 01:32:09,660 --> 01:32:15,099 SO IF WE WERE TO REIMAGINE WHAT 2584 01:32:15,099 --> 01:32:17,902 IS REALLY A DIFFERENT KIND OF 2585 01:32:17,902 --> 01:32:18,502 HEALTH CARE SYSTEM THAT DOES 2586 01:32:18,502 --> 01:32:21,205 INTEGRATE CLINICAL AND SOCIAL 2587 01:32:21,205 --> 01:32:23,908 CARE AND WE FULLY EMBRACE THAT 2588 01:32:23,908 --> 01:32:25,076 THERE ARE GOING TO BE THINGS 2589 01:32:25,076 --> 01:32:27,645 THAT ARE NOT GOING TO BE 2590 01:32:27,645 --> 01:32:28,813 RESOLVED WITHIN THE HEALTH CARE 2591 01:32:28,813 --> 01:32:31,449 SYSTEM THAT NEED TO BE RESOLVED 2592 01:32:31,449 --> 01:32:32,817 AND NEED TO MAKE INTERVENTIONS 2593 01:32:32,817 --> 01:32:34,685 IN THE HEALTH SYSTEM, WHAT MIGHT 2594 01:32:34,685 --> 01:32:37,555 THEN THE EFFECTS BE? 2595 01:32:37,555 --> 01:32:39,657 MIGHT THERE BE MORE SYMMETRY 2596 01:32:39,657 --> 01:32:39,924 THERE? 2597 01:32:39,924 --> 01:32:42,560 IN MY MIND SOME OF THE MOST 2598 01:32:42,560 --> 01:32:44,729 COMPELLING QUESTIONS ARE AROUND 2599 01:32:44,729 --> 01:32:47,064 LEVERAGING THE NURSING WORKFORCE 2600 01:32:47,064 --> 01:32:48,799 AND OTHER HEALTH PROFESSIONS TO 2601 01:32:48,799 --> 01:32:50,835 BE TRAINED TO PROVIDE CLINICAL 2602 01:32:50,835 --> 01:32:52,970 AND SOCIAL CARE IN DIFFERENT 2603 01:32:52,970 --> 01:32:53,170 WAYS. 2604 01:32:53,170 --> 01:32:55,873 AND COULD WE GET AT MORE OF THE 2605 01:32:55,873 --> 01:32:57,942 EFFECTS THAT WE WANT, CERTAINLY 2606 01:32:57,942 --> 01:33:00,444 NOT IN ANY WAY DISCOUNTING WHAT 2607 01:33:00,444 --> 01:33:02,480 MANY CALL IN PUBLIC HEALTH -- 2608 01:33:02,480 --> 01:33:02,713 FACTORS. 2609 01:33:02,713 --> 01:33:04,415 I AGREE WITH THAT, BUT I THINK 2610 01:33:04,415 --> 01:33:06,984 THAT SOMETIMES THERE IS THIS 2611 01:33:06,984 --> 01:33:08,853 DICHOTOMY THAT I THINK IS 2612 01:33:08,853 --> 01:33:13,824 TROUBLESOME BECAUSE I COULD ALSO 2613 01:33:13,824 --> 01:33:15,526 ARGUE THAT THERE'S EVIDENCE, AND 2614 01:33:15,526 --> 01:33:17,595 I DON'T NECESSARILY AGREE WITH 2615 01:33:17,595 --> 01:33:19,530 THIS, BUT I'M PUTTING ON THAT 2616 01:33:19,530 --> 01:33:21,399 OTHER CAP OF PEOPLE WITH THIS 2617 01:33:21,399 --> 01:33:23,467 OTHER VIEW, THAT WE DON'T FULLY 2618 01:33:23,467 --> 01:33:26,504 UNDERSTAND THE MECHANISMS ACROSS 2619 01:33:26,504 --> 01:33:28,039 DIFFERENT CONTEXTS, HOW 2620 01:33:28,039 --> 01:33:29,740 SOMETIMES UPSTREAM INTERVENTIONS 2621 01:33:29,740 --> 01:33:35,246 AFFECT DOWNSTREAM FAK FCFACTORS. 2622 01:33:35,246 --> 01:33:36,614 THERE IS AN OPPORTUNITY AS A 2623 01:33:36,614 --> 01:33:39,984 COUNTRY TO SAY HEY, THERE IS 2624 01:33:39,984 --> 01:33:45,022 THIS HEALTH CARE SYSTEM WE CAN 2625 01:33:45,022 --> 01:33:45,689 DO MORE. 2626 01:33:45,689 --> 01:33:47,892 TAKE A PROTOTYPICAL NURSE 2627 01:33:47,892 --> 01:33:50,361 GRADUATES IN 2030 AND IF HE OR 2628 01:33:50,361 --> 01:33:51,729 SHE WAS TRAINED IN INTEGRATED 2629 01:33:51,729 --> 01:33:53,898 CARE IN A WAY THAT WAS 2630 01:33:53,898 --> 01:33:54,665 FUNDAMENTALLY DIFFERENT, HOW FAR 2631 01:33:54,665 --> 01:33:56,067 WOULD THAT GET US? 2632 01:33:56,067 --> 01:33:57,701 IS ON TOP OF THAT, COULD WE MAKE 2633 01:33:57,701 --> 01:33:59,970 CHANGES IN THE BROADER HEALTH 2634 01:33:59,970 --> 01:34:02,339 SYSTEM AND WITH THAT, AMPLIFY 2635 01:34:02,339 --> 01:34:04,575 THE EFFECTS OF WHAT IS HAPPENING 2636 01:34:04,575 --> 01:34:04,942 IN BOTH? 2637 01:34:04,942 --> 01:34:08,179 TO ME, THAT IS WHAT WE NEED TO 2638 01:34:08,179 --> 01:34:09,647 FIGURE OUT AND SEE LOTS OF 2639 01:34:09,647 --> 01:34:09,947 OPPORTUNITY. 2640 01:34:09,947 --> 01:34:13,117 IT IS A NEW MODEL, INTEGRATES 2641 01:34:13,117 --> 01:34:14,785 SOCIAL AND CLINICAL CARE AND THE 2642 01:34:14,785 --> 01:34:17,154 BROADER CONTEXT IN TERMS OF 2643 01:34:17,154 --> 01:34:19,023 POLICIES AND STRUCTURAL FACTORS. 2644 01:34:19,023 --> 01:34:21,692 IT HIGHLIGHTS MECHANISMS AND IS 2645 01:34:21,692 --> 01:34:23,527 NOT A DICHOTOMY. 2646 01:34:23,527 --> 01:34:26,397 THERE IS A PAPER COMING OUT IN 2647 01:34:26,397 --> 01:34:28,232 THE AMERICAN JOURNAL OF PUBLIC 2648 01:34:28,232 --> 01:34:29,934 HEALTH THAT A NUMBER OF THE 2649 01:34:29,934 --> 01:34:31,502 COMMITTEE MEMBERS AUTHORED THAT 2650 01:34:31,502 --> 01:34:37,341 IS GETTING AT THIS POINT. 2651 01:34:37,341 --> 01:34:38,242 HOW DO WE THINK ABOUT IT 2652 01:34:38,242 --> 01:34:48,452 DIFFERENTLY? 2653 01:34:51,589 --> 01:34:53,357 >> VINCENT, THANK YOU FOR YOUR 2654 01:34:53,357 --> 01:34:53,691 PRESENTATION. 2655 01:34:53,691 --> 01:34:55,526 I WANT YOU THE PUT ON YOUR 2656 01:34:55,526 --> 01:34:56,594 FORMER NURSING DEAN HAT AND 2657 01:34:56,594 --> 01:35:03,501 THINK ABOUT, BECAUSE A LOT OF 2658 01:35:03,501 --> 01:35:06,470 THE CONVERSATION WAS AROUND 2659 01:35:06,470 --> 01:35:08,272 NURSING WORKFORCE AND WHAT YOU 2660 01:35:08,272 --> 01:35:08,939 SAID AS WELL. 2661 01:35:08,939 --> 01:35:10,808 WE KNOW OUR NURSING EDUCATION 2662 01:35:10,808 --> 01:35:13,010 SYSTEM WAS IN MANY WAYS 2663 01:35:13,010 --> 01:35:14,278 INHERITED FROM HOSPITALS AND 2664 01:35:14,278 --> 01:35:15,513 THEIR NEED FOR STAFFING. 2665 01:35:15,513 --> 01:35:19,517 THAT WAS FOCUSED INWARD, THIS 2666 01:35:19,517 --> 01:35:21,152 BEDSIDE NURSING CARE. 2667 01:35:21,152 --> 01:35:23,154 WE HAVE TO THINK OF UPSTREAM 2668 01:35:23,154 --> 01:35:24,788 SOCIAL DETERMINANTS OF HEALTH 2669 01:35:24,788 --> 01:35:26,323 AND WITHIN THIS NURSING 2670 01:35:26,323 --> 01:35:28,259 EDUCATION SYSTEM WE ARE HAVING 2671 01:35:28,259 --> 01:35:30,694 REAL CHALLENGES IN, ONE, IT IS 2672 01:35:30,694 --> 01:35:32,530 VERY EXPENSIVE AND NARROW 2673 01:35:32,530 --> 01:35:34,765 PIPELINE, NOT VERY INCLUSIVE. 2674 01:35:34,765 --> 01:35:36,233 WE WANT A MORE REPRESENTATIVE 2675 01:35:36,233 --> 01:35:37,001 WORKFORCE. 2676 01:35:37,001 --> 01:35:38,469 WE ARE TALKING TODAY ABOUT THE 2677 01:35:38,469 --> 01:35:40,204 CHALLENGES OF GETTING A DIVERSE 2678 01:35:40,204 --> 01:35:44,308 STUDENT POPULATION IN THERE. 2679 01:35:44,308 --> 01:35:45,109 WE HAVE ISSUES AROUND NURSE 2680 01:35:45,109 --> 01:35:47,211 PRACTICE READINESS, WE HAVE 2681 01:35:47,211 --> 01:35:48,145 NURSING BURNOUT. 2682 01:35:48,145 --> 01:35:51,515 WE ARE LOSING SOME NURSES IN THE 2683 01:35:51,515 --> 01:35:53,017 FIRST YEAR. 2684 01:35:53,017 --> 01:35:55,586 SOME ESTIMATES ARE 20%. 2685 01:35:55,586 --> 01:35:57,721 SO THOSE ARE, I THINK, AN 2686 01:35:57,721 --> 01:36:00,324 OPPORTUNITY FOR US TO REALLY 2687 01:36:00,324 --> 01:36:04,628 THINK ABOUT TURNING NURSING 2688 01:36:04,628 --> 01:36:07,965 SCIENCE AND LOOKING AT NURSING 2689 01:36:07,965 --> 01:36:09,333 EDUCATION, REIMAGINING WHAT 2690 01:36:09,333 --> 01:36:10,935 NURSING EDUCATION LOOKS LIKE. 2691 01:36:10,935 --> 01:36:12,703 DID THE REPORT PROVIDE 2692 01:36:12,703 --> 01:36:16,574 SUGGESTIONS HOW WE CAN SHAPE THE 2693 01:36:16,574 --> 01:36:19,243 ETCH-A-SKETCH OF HOW WE ARE 2694 01:36:19,243 --> 01:36:19,777 REDOING NURSING EDUCATION? 2695 01:36:19,777 --> 01:36:21,512 >> SO THE QUICK ANSWER IS YES. 2696 01:36:21,512 --> 01:36:25,816 THE REPORT DOES TALK ABOUT THAT. 2697 01:36:25,816 --> 01:36:28,953 IN CHAPTER 5 THERE WERE SPECIFIC 2698 01:36:28,953 --> 01:36:31,522 SUGGESTIONS FOR NURSING 2699 01:36:31,522 --> 01:36:33,691 ORGANIZATIONS, INCLUDING 2700 01:36:33,691 --> 01:36:34,692 SCHOOLS. 2701 01:36:34,692 --> 01:36:36,093 IT IS FRAMED AROUND HEALTH 2702 01:36:36,093 --> 01:36:38,829 PROFESSION EDUCATION, BUT IT 2703 01:36:38,829 --> 01:36:41,098 DOES LAY A BLUEPRINT FOR THE 2704 01:36:41,098 --> 01:36:42,933 CONTENT AND COMPETENCIES OUR 2705 01:36:42,933 --> 01:36:44,535 WORKFORCE IS GOING TO NEED, 2706 01:36:44,535 --> 01:36:47,438 PARTICULARLY WITH NEW ROLES, 2707 01:36:47,438 --> 01:36:49,073 WITH AN INTERPROFESSIONAL 2708 01:36:49,073 --> 01:36:50,241 REPORT, LOCATION FLEXIBILITY 2709 01:36:50,241 --> 01:36:52,209 WITH AN EMPHASIS ON 2710 01:36:52,209 --> 01:36:53,844 RELATIONSHIPS WITH REALLY 2711 01:36:53,844 --> 01:36:57,081 THINKING ABOUT MOVING AWAY FROM 2712 01:36:57,081 --> 01:36:58,249 BIAS CARE. 2713 01:36:58,249 --> 01:36:59,450 IT DIRECTLY COMMENTS ON SOME OF 2714 01:36:59,450 --> 01:37:02,052 THE THINGS THAT HAVE BEEN 2715 01:37:02,052 --> 01:37:03,988 DOMINANT IN MANY HEALTH 2716 01:37:03,988 --> 01:37:06,123 PROFESSION SCHOOLS AROUND 2717 01:37:06,123 --> 01:37:07,524 UNCONSCIOUS BIAS TRAINING AND IS 2718 01:37:07,524 --> 01:37:09,393 THERE EVIDENCE FOR THAT AND WHAT 2719 01:37:09,393 --> 01:37:10,828 WE SHOULD BE DOING, WHERE THERE 2720 01:37:10,828 --> 01:37:12,329 IS EVIDENCE, WHICH IS MORE 2721 01:37:12,329 --> 01:37:15,099 BEHAVIORAL FOCUSED AND MORE 2722 01:37:15,099 --> 01:37:17,234 SUSTAINABLE LONG TERM KINDS OF 2723 01:37:17,234 --> 01:37:17,601 INTERVENTIONS. 2724 01:37:17,601 --> 01:37:19,003 THERE IS A LOT IN THE REPORT 2725 01:37:19,003 --> 01:37:20,004 AROUND SCHOOLS. 2726 01:37:20,004 --> 01:37:22,039 I WILL SAY THAT I DEFINITELY 2727 01:37:22,039 --> 01:37:25,276 AGREE WITH YOU, I WOULD ARGUE IF 2728 01:37:25,276 --> 01:37:28,178 I THINK ABOUT NURSING, INITIALLY 2729 01:37:28,178 --> 01:37:29,413 WE, AS YOU KNOW BECAUSE I HAVE 2730 01:37:29,413 --> 01:37:31,749 READ PAPERS YOU HAVE WRITTEN 2731 01:37:31,749 --> 01:37:33,684 ABOUT THIS, WE INITIALLY WERE 2732 01:37:33,684 --> 01:37:36,053 NOT IN HOSPITALS. 2733 01:37:36,053 --> 01:37:40,157 WE ACTUALLY WERE TIED TO 2734 01:37:40,157 --> 01:37:42,126 COMMUNITIES AND BECAUSE OF THE 2735 01:37:42,126 --> 01:37:44,495 PROLIFERATION OF HOSPITALS AND 2736 01:37:44,495 --> 01:37:48,732 THE NEED FOR WORKFORCE, NURSES 2737 01:37:48,732 --> 01:37:50,501 OVER TIME BECAME SORT OF 2738 01:37:50,501 --> 01:37:51,669 CO-OPTED INTO THOSE SETTINGS AND 2739 01:37:51,669 --> 01:37:53,904 MORE AND MORE AN ACUTE CARE 2740 01:37:53,904 --> 01:37:56,040 WORKFORCE AND THAT SETTING THEN 2741 01:37:56,040 --> 01:37:57,808 DICTATED WHAT MANY OF THE 2742 01:37:57,808 --> 01:37:59,510 SCHOOLS DID. 2743 01:37:59,510 --> 01:38:02,980 THE COUNTRY NEEDS THE NURSING 2744 01:38:02,980 --> 01:38:04,214 WORKFORCE AND ALL HEALTH CARE 2745 01:38:04,214 --> 01:38:05,349 PROFESSIONALS TO ACHIEVE 2746 01:38:05,349 --> 01:38:06,317 POPULATION HEALTH FOR OUR 2747 01:38:06,317 --> 01:38:06,717 NATION. 2748 01:38:06,717 --> 01:38:08,319 THERE IS A CRITICAL MOMENT TO 2749 01:38:08,319 --> 01:38:09,787 TURN THINGS AROUND AND WE'VE GOT 2750 01:38:09,787 --> 01:38:13,023 TO BE WILLING TO GO WHERE THE 2751 01:38:13,023 --> 01:38:14,892 COUNTRY NEEDS US. 2752 01:38:14,892 --> 01:38:16,060 THE MOST CHALLENGING ISSUES WE 2753 01:38:16,060 --> 01:38:18,262 FACE AS A NATION, THAT IS OUR 2754 01:38:18,262 --> 01:38:18,562 OPPORTUNITY. 2755 01:38:18,562 --> 01:38:21,231 IT DOESN'T MEAN THAT ACUTE CARE 2756 01:38:21,231 --> 01:38:22,766 SETTINGS AREN'T STILL IMPORTANT, 2757 01:38:22,766 --> 01:38:25,736 BUT THERE'S A LOT THAT WE COULD 2758 01:38:25,736 --> 01:38:27,171 BE DOING THAT IS OUTSIDE OF 2759 01:38:27,171 --> 01:38:32,910 THOSE CONTEXTS. 2760 01:38:32,910 --> 01:38:34,611 >> THANK YOU SO MUCH, VINCENT. 2761 01:38:34,611 --> 01:38:39,416 I THINK YOU MADE IT REALLY 2762 01:38:39,416 --> 01:38:40,317 CRYSTAL CLEAR AND SIMPLE FOR 2763 01:38:40,317 --> 01:38:42,219 EVERYONE TO UNDERSTAND THE 2764 01:38:42,219 --> 01:38:43,454 MESSAGE FROM THE REPORT, 2765 01:38:43,454 --> 01:38:44,321 INCLUDING THE DIFFERENCES 2766 01:38:44,321 --> 01:38:46,857 BETWEEN THE DISPARITIES, THE 2767 01:38:46,857 --> 01:38:50,961 INEQUITIES, BUT ALSO THE IMPACT 2768 01:38:50,961 --> 01:38:53,564 OF ENDING UNEQUAL TREATMENT FOR 2769 01:38:53,564 --> 01:38:54,498 EVERYONE IN THIS SOCIETY. 2770 01:38:54,498 --> 01:38:59,503 I THINK THAT MESSAGE IS REALLY 2771 01:38:59,503 --> 01:39:00,070 IMPORTANT. 2772 01:39:00,070 --> 01:39:02,339 I REALLY LOVE THE COMPONENT 2773 01:39:02,339 --> 01:39:04,942 ABOUT EQUITABLE IMPLEMENTATION. 2774 01:39:04,942 --> 01:39:08,278 VERY KIND OF WIDE ADOPTION OF 2775 01:39:08,278 --> 01:39:09,446 IMPLEMENTATION SCIENCE, NURSES 2776 01:39:09,446 --> 01:39:10,214 ARE LEADING. 2777 01:39:10,214 --> 01:39:12,516 I THINK EVEN FOR PRACTICING 2778 01:39:12,516 --> 01:39:17,287 NURSES OR NURSING WORKFORCE IS 2779 01:39:17,287 --> 01:39:21,125 THAT EQUITABLE IMPLEMENTATION. 2780 01:39:21,125 --> 01:39:23,894 I THINK THAT IS ALSO CRITICAL 2781 01:39:23,894 --> 01:39:25,229 COMPONENT WHERE, YOU KNOW, 2782 01:39:25,229 --> 01:39:27,531 REFLECTING ABOUT ALL THE AMAZING 2783 01:39:27,531 --> 01:39:30,200 WORK NINR HAS ALREADY BEEN DOING 2784 01:39:30,200 --> 01:39:32,503 AN LEADING IN DIRECTOR ZENK'S 2785 01:39:32,503 --> 01:39:33,303 REPORT. 2786 01:39:33,303 --> 01:39:34,772 REFLECTING SOME OF THE QUESTIONS 2787 01:39:34,772 --> 01:39:38,142 THAT YOU ASKED, I THINK IT'S 2788 01:39:38,142 --> 01:39:39,510 CRITICALLY IMPORTANT THAT WE 2789 01:39:39,510 --> 01:39:41,111 EDUCATE THE NURSES WHEN THEY ARE 2790 01:39:41,111 --> 01:39:43,514 IN SCHOOLS SO THAT WHEN THEY GO 2791 01:39:43,514 --> 01:39:46,417 OUT AND PRACTICE, AND I'M 2792 01:39:46,417 --> 01:39:47,317 THINKING ABOUT THIS 2793 01:39:47,317 --> 01:39:48,552 INTERPROFESSIONAL, WE DON'T 2794 01:39:48,552 --> 01:39:50,754 REALLY NEED ALL THE NURSES TO 2795 01:39:50,754 --> 01:39:54,758 BECOME A SOCIAL WORKER OR TO 2796 01:39:54,758 --> 01:39:57,461 BECOME A PUBLIC HEALTH 2797 01:39:57,461 --> 01:39:57,795 PROFESSIONAL. 2798 01:39:57,795 --> 01:40:02,800 IT'S THAT TEAM-BASED AND WITH 2799 01:40:02,800 --> 01:40:04,668 YOUR RECOMMENDATION IN RELATED 2800 01:40:04,668 --> 01:40:06,270 HEALTH AND HEALTH CARE DELIVERY 2801 01:40:06,270 --> 01:40:09,306 MODELS THAT NURSES CAN LEAD OR 2802 01:40:09,306 --> 01:40:10,541 PARTICIPATE IN THESE 2803 01:40:10,541 --> 01:40:12,876 INTERPROFESSIONAL AND ALSO 2804 01:40:12,876 --> 01:40:15,112 THINKING BACK ABOUT 2805 01:40:15,112 --> 01:40:16,313 INTERPROFESSIONAL EDUCATION WHEN 2806 01:40:16,313 --> 01:40:19,783 THEY'RE IN SCHOOLS. 2807 01:40:19,783 --> 01:40:21,752 AND HOW CAN WE EDUCATE THEM WHEN 2808 01:40:21,752 --> 01:40:23,654 THEY ARE IN SCHOOL SO THAT WHEN 2809 01:40:23,654 --> 01:40:26,490 THEY GO OUT, ALL OF IT IS 2810 01:40:26,490 --> 01:40:29,793 CREATING JOBS THAT WILL BE 2811 01:40:29,793 --> 01:40:31,295 ATTRACTIVE IN HEALTH SYSTEMS OR 2812 01:40:31,295 --> 01:40:31,862 HEALTH CARE SYSTEMS. 2813 01:40:31,862 --> 01:40:34,298 THINK ABOUT THIS, YES, WE NEED 2814 01:40:34,298 --> 01:40:35,399 INTEGRATION OF SOCIAL AND 2815 01:40:35,399 --> 01:40:39,169 CLINICAL CARE MODELS, BUT WE 2816 01:40:39,169 --> 01:40:41,305 ALSO NEED EVIDENCE TO CONVINCE 2817 01:40:41,305 --> 01:40:42,606 HEALTH AND HEALTH SYSTEMS 2818 01:40:42,606 --> 01:40:45,442 LEADERS OR FUNDERS TO REALLY 2819 01:40:45,442 --> 01:40:49,680 LOOK AT WHERE IS THE GAIN WHEN 2820 01:40:49,680 --> 01:40:53,884 WE ARE DESIGNING, IMPLEMENTING 2821 01:40:53,884 --> 01:40:54,952 SUCH MODELS. 2822 01:40:54,952 --> 01:40:57,354 THERE ARE A LOT OF PILOT STUDIES 2823 01:40:57,354 --> 01:40:58,322 NINR HAVE FUNDED. 2824 01:40:58,322 --> 01:41:00,557 BUT IT IS CREATING MORE EVIDENCE 2825 01:41:00,557 --> 01:41:03,427 AND MAKE MESSAGES AS CLEAR AS 2826 01:41:03,427 --> 01:41:05,896 THE REPORT IS CREATING THE 2827 01:41:05,896 --> 01:41:07,064 EVIDENCE TO THE SOCIETY AND 2828 01:41:07,064 --> 01:41:08,732 THERE ARE A LOT OF BARRIERS AND 2829 01:41:08,732 --> 01:41:11,468 WE NEED TO THINK ABOUT AS WE ARE 2830 01:41:11,468 --> 01:41:13,237 ADVOCATING FOR THIS INTEGRATION, 2831 01:41:13,237 --> 01:41:15,739 THAT MAYBE WE ARE PUTTING BURDEN 2832 01:41:15,739 --> 01:41:18,775 ON THESE SOCIAL CARE AND 2833 01:41:18,775 --> 01:41:19,409 COMMUNITY-BASED ORGANIZATIONS 2834 01:41:19,409 --> 01:41:23,514 THAT HAVE NO INFRASTRUCTURE TO 2835 01:41:23,514 --> 01:41:25,315 SUPPORT A LOOP SOCIAL CARE 2836 01:41:25,315 --> 01:41:26,683 REFERRAL BACK TO LARGE HEALTH 2837 01:41:26,683 --> 01:41:30,454 CARE SYSTEMS THAT HAVE THESE 2838 01:41:30,454 --> 01:41:32,656 BILLION DOLLAR SPENDING ON 2839 01:41:32,656 --> 01:41:34,725 ELECTRONIC HEALTH WORKER 2840 01:41:34,725 --> 01:41:35,526 SYSTEMS. 2841 01:41:35,526 --> 01:41:38,128 TO CREATE THAT STREAMLINED 2842 01:41:38,128 --> 01:41:41,565 CLOSED LOOP REFERRAL TO THESE 2843 01:41:41,565 --> 01:41:42,432 COMMUNITY-BASED ORGANIZATIONS, 2844 01:41:42,432 --> 01:41:43,534 SOCIAL CARE ORGANIZATIONS WITH 2845 01:41:43,534 --> 01:41:45,235 THE HEALTH CARE SERVICES. 2846 01:41:45,235 --> 01:41:48,739 SO I THINK EVEN BEARING IN MIND 2847 01:41:48,739 --> 01:41:51,074 ABOUT AS WE ARE IMPLEMENTING AND 2848 01:41:51,074 --> 01:41:55,045 LEARNING FROM THIS REPORT, WAS 2849 01:41:55,045 --> 01:41:56,213 EQUITABLE IMPLEMENT TAKES, ARE 2850 01:41:56,213 --> 01:41:59,516 WE CREATING MORE BURDENS IN 2851 01:41:59,516 --> 01:42:00,684 THESE ORGANIZATIONS SUGGESTING 2852 01:42:00,684 --> 01:42:02,986 YET NOT GIVING THEM ADEQUATE 2853 01:42:02,986 --> 01:42:04,855 SUPPORT, BUT ASKING RESOURCES TO 2854 01:42:04,855 --> 01:42:06,089 PURSUE AND SEEK EVIDENCE IN 2855 01:42:06,089 --> 01:42:07,224 THESE AREAS. 2856 01:42:07,224 --> 01:42:09,693 AND I THINK THAT IS AN AREA 2857 01:42:09,693 --> 01:42:11,762 MAYBE WHAT NINR AND AS WE ARE 2858 01:42:11,762 --> 01:42:12,729 COLLABORATING WITH OTHER 2859 01:42:12,729 --> 01:42:14,398 INSTITUTES WE CAN ALSO THINK 2860 01:42:14,398 --> 01:42:14,598 ABOUT. 2861 01:42:14,598 --> 01:42:18,101 BUT, AGAIN, THANK YOU FOR THE 2862 01:42:18,101 --> 01:42:20,571 AMAZING REPORT AND REPRESENTING 2863 01:42:20,571 --> 01:42:21,772 THE NURSES COMMUNITY AND 2864 01:42:21,772 --> 01:42:23,507 DISSEMINATING ALL OF THIS TO A 2865 01:42:23,507 --> 01:42:25,909 WIDER AUDIENCE. 2866 01:42:25,909 --> 01:42:27,611 >> MAY I JUST MAYBE RESPOND TO 2867 01:42:27,611 --> 01:42:29,279 THAT, IF THAT IS OKAY. 2868 01:42:29,279 --> 01:42:31,848 SO I THINK YOU ARE RAISING SOME 2869 01:42:31,848 --> 01:42:33,183 REALLY GREAT POINTS. 2870 01:42:33,183 --> 01:42:35,018 MANY OF THE ARGUMENTS THAT A 2871 01:42:35,018 --> 01:42:36,920 NUMBER OF INDIVIDUALS HAVE 2872 01:42:36,920 --> 01:42:38,355 RAISED AROUND WHY THE 2873 01:42:38,355 --> 01:42:39,189 INTEGRATION OF CLINICAL AND 2874 01:42:39,189 --> 01:42:41,658 SOCIAL CARE MAY BE UNWISE ARE 2875 01:42:41,658 --> 01:42:44,328 SORT OF THE BASIC ARGUMENT IS 2876 01:42:44,328 --> 01:42:45,729 SIMILAR TO WHAT YOUR 2877 01:42:45,729 --> 01:42:49,299 ARTICULATING. 2878 01:42:49,299 --> 01:42:51,735 I SEE THIS AS -- I SEE THREE 2879 01:42:51,735 --> 01:42:53,403 WAYS I WOULD LIKE TO RESPOND. 2880 01:42:53,403 --> 01:42:59,409 THE FIRST IS I THINK PROFESSOR 2881 01:42:59,409 --> 01:43:02,613 DAWES AND DR. GASKINS HAVE 2882 01:43:02,613 --> 01:43:03,714 DOCUMENTED WHAT WE CURRENTLY 2883 01:43:03,714 --> 01:43:04,247 HAVE. 2884 01:43:04,247 --> 01:43:05,882 IF YOU LOOK AT THE DOLLAR 2885 01:43:05,882 --> 01:43:07,451 AMOUNT, FORGET ABOUT DOING THE 2886 01:43:07,451 --> 01:43:09,086 RIGHT THING WHICH OBVIOUSLY I 2887 01:43:09,086 --> 01:43:10,754 WANT TO DO, JUST LOOK AT THE 2888 01:43:10,754 --> 01:43:13,023 SHEER NUMBERS, IT IS 2889 01:43:13,023 --> 01:43:13,357 OVERWHELMING. 2890 01:43:13,357 --> 01:43:14,391 IT IS CLEAR WE CAN'T SUSTAIN 2891 01:43:14,391 --> 01:43:15,726 THAT COST AND WE NEED TO DO 2892 01:43:15,726 --> 01:43:16,827 SOMETHING DIFFERENT. 2893 01:43:16,827 --> 01:43:18,295 THAT IS KIND OF POINT NUMBER 2894 01:43:18,295 --> 01:43:18,462 ONE. 2895 01:43:18,462 --> 01:43:21,198 POINT NUMBER TWO IS WE DID 2896 01:43:21,198 --> 01:43:25,969 CRITICALLY ASK AS A COMMITTEE 2897 01:43:25,969 --> 01:43:27,471 WHAT DO WE HAVE? 2898 01:43:27,471 --> 01:43:29,906 THERE ARE MANY MODELS WE 2899 01:43:29,906 --> 01:43:30,907 REVIEWED. 2900 01:43:30,907 --> 01:43:35,112 THE MOST EXCITING WAS THE 1115 2901 01:43:35,112 --> 01:43:36,446 MEDICAID WAIVER PROJECT. 2902 01:43:36,446 --> 01:43:38,048 I WILL PICK ONE STATE LARGELY 2903 01:43:38,048 --> 01:43:40,717 BECAUSE I'M FAMILIAR WITH THAT 2904 01:43:40,717 --> 01:43:43,420 STATE, IT WAS THE FIRST STATE 2905 01:43:43,420 --> 01:43:46,223 THAT GOT THE WAIVER WHICH IS 2906 01:43:46,223 --> 01:43:47,357 NORTH CAROLINA. 2907 01:43:47,357 --> 01:43:48,125 SECRETARY KINGSLEY, WHO 2908 01:43:48,125 --> 01:43:49,926 PRESENTED ON THAT, HE PROVIDED A 2909 01:43:49,926 --> 01:43:51,094 NUMBER OF THINGS. 2910 01:43:51,094 --> 01:43:52,295 THIS IS PUBLIC INFORMATION THAT 2911 01:43:52,295 --> 01:43:55,065 IS IN THE PRESS RELEASE FROM 2912 01:43:55,065 --> 01:43:57,067 NORTH CAROLINA. 2913 01:43:57,067 --> 01:43:58,168 HE PROVIDED EVIDENCE THEY HAD 2914 01:43:58,168 --> 01:43:59,870 REDUCED THE COST OF CARE TO 2915 01:43:59,870 --> 01:44:03,440 PEOPLE WHO WERE IN RURAL 2916 01:44:03,440 --> 01:44:04,074 COMMUNITIES IN NORTH CAROLINA 2917 01:44:04,074 --> 01:44:06,476 THAT PRIOR TO THE INTEGRATION OF 2918 01:44:06,476 --> 01:44:08,412 MEDICAID DOLLARS HAD NOT HAD 2919 01:44:08,412 --> 01:44:09,479 ACCESS TO CARE. 2920 01:44:09,479 --> 01:44:11,948 THEIR PROGRAM LOOKED AT HOUSING 2921 01:44:11,948 --> 01:44:15,686 AND CRITICAL CARE AND FOOD. 2922 01:44:15,686 --> 01:44:19,523 NUMBER TWO, THEY WERE ABLE TO 2923 01:44:19,523 --> 01:44:21,491 SHOW THAT THE COMMUNITY-BASED 2924 01:44:21,491 --> 01:44:22,759 ORGANIZATIONS HAD BEEN 2925 01:44:22,759 --> 01:44:23,326 STRUGGLING, RIGHT? 2926 01:44:23,326 --> 01:44:24,428 MANY COMMUNITY-BASED 2927 01:44:24,428 --> 01:44:26,063 ORGANIZATIONS WERE STRUGGLING. 2928 01:44:26,063 --> 01:44:29,633 HAVING THE ABILITY TO GET 2929 01:44:29,633 --> 01:44:31,234 REIMBURSED THROUGH MEDICAID 2930 01:44:31,234 --> 01:44:32,069 DOLLARS PROVIDED A REVENUE 2931 01:44:32,069 --> 01:44:33,704 SOURCE THAT CREATES 2932 01:44:33,704 --> 01:44:34,638 SUSTAINABILITY FOR THOSE 2933 01:44:34,638 --> 01:44:36,807 ORGANIZATIONS AND ALLOWS THEM TO 2934 01:44:36,807 --> 01:44:39,209 ACTUALLY HIRE PEOPLE AND TO 2935 01:44:39,209 --> 01:44:40,711 BRING PEOPLE INTO THE WORK FORCE 2936 01:44:40,711 --> 01:44:42,846 THAT WERE NOT GETTING EMPLOYED 2937 01:44:42,846 --> 01:44:45,015 IN THE FORMAL HEALTH CARE 2938 01:44:45,015 --> 01:44:45,248 SYSTEM. 2939 01:44:45,248 --> 01:44:46,750 SO, AGAIN, IT IS ONE STATE AND 2940 01:44:46,750 --> 01:44:50,020 WE NEED TO BE CAREFUL, BUT THOSE 2941 01:44:50,020 --> 01:44:50,921 MEDICAID DEMONSTRATION PROJECTS 2942 01:44:50,921 --> 01:44:52,956 AND THIS IS SOMETHING I'M WORKS 2943 01:44:52,956 --> 01:44:55,859 ON NOW AT HOPKINS, CAREFULLY 2944 01:44:55,859 --> 01:44:57,294 EVALUATING WHAT ARE EACH OF THEM 2945 01:44:57,294 --> 01:44:58,795 DOING AND WHAT ARE THE RESULTS? 2946 01:44:58,795 --> 01:45:00,497 I THINK WE NEED TO TAKE 2947 01:45:00,497 --> 01:45:02,833 ADVANTAGE OF THESE KINDS OF 2948 01:45:02,833 --> 01:45:04,868 NATURAL EXPERIMENTS TO DESCRIBE 2949 01:45:04,868 --> 01:45:11,374 WHAT IS THE BIAS. 2950 01:45:11,374 --> 01:45:14,945 THAT WE ARE NOT MAKES STATEMENTS 2951 01:45:14,945 --> 01:45:17,013 THAT ARE NOT ROOTED IN THE 2952 01:45:17,013 --> 01:45:17,280 EVIDENCE. 2953 01:45:17,280 --> 01:45:18,849 THAT DID NOT PAN OUT IN NORTH 2954 01:45:18,849 --> 01:45:19,516 CAROLINA. 2955 01:45:19,516 --> 01:45:21,752 IN FACT, THE COMMUNITY-BASED 2956 01:45:21,752 --> 01:45:22,719 ORGANIZATIONS BENEFITED FROM 2957 01:45:22,719 --> 01:45:27,724 HAVING THOSE ADDITIONAL 2958 01:45:27,724 --> 01:45:27,991 RESOURCES. 2959 01:45:27,991 --> 01:45:29,092 >> WOW. 2960 01:45:29,092 --> 01:45:31,528 OKAY. 2961 01:45:31,528 --> 01:45:32,763 I WISH WE COULD KEEP GOING. 2962 01:45:32,763 --> 01:45:34,297 THE GOOD NEWS IS WE ARE GOING TO 2963 01:45:34,297 --> 01:45:36,633 HAVE A LARGE AMOUNT OF TIME THIS 2964 01:45:36,633 --> 01:45:39,503 AFTERNOON TO CONTINUE THE 2965 01:45:39,503 --> 01:45:39,836 CONVERSATION. 2966 01:45:39,836 --> 01:45:42,205 SO I'M GOING TO PAUSE US THERE. 2967 01:45:42,205 --> 01:45:45,642 SO I WANT TO THANK YOU, 2968 01:45:45,642 --> 01:45:48,645 PROFESSOR DAWES, YOU DR. 2969 01:45:48,645 --> 01:45:49,880 BEKEMEIER, THE COMMITTEE FOR 2970 01:45:49,880 --> 01:45:51,948 SHARING THEIR THOUGHTS AND AGAIN 2971 01:45:51,948 --> 01:45:59,523 TO YOU, DR. GUILAMO-RAMOS, DITTO 2972 01:45:59,523 --> 01:46:01,258 FOR YOUR COMMITMENT TO SHARING 2973 01:46:01,258 --> 01:46:02,058 THE COMMITTEE'S RECOMMENDATIONS 2974 01:46:02,058 --> 01:46:03,527 WITH ALL OF US. 2975 01:46:03,527 --> 01:46:07,531 SO WITH THAT, I'M GOING TO SAY 2976 01:46:07,531 --> 01:46:09,733 LET'S TAKE A BREAK. 2977 01:46:09,733 --> 01:46:13,069 AND WE'LL COME BACK AT 11:15. 2978 01:46:13,069 --> 01:46:15,603 SO WE'LL SEE YOU IN 12 MINUTES. 2979 01:46:17,447 --> 01:46:18,147 WELCOME BACK. 2980 01:46:18,147 --> 01:46:20,750 ONE HOUSE KEEPING ITEM BEFORE WE 2981 01:46:20,750 --> 01:46:21,818 MOVE FORWARD. 2982 01:46:21,818 --> 01:46:24,120 WHEN COUNCIL MEMBERS OR OTHERS 2983 01:46:24,120 --> 01:46:25,121 SPEAK, IF YOU DON'T MIND 2984 01:46:25,121 --> 01:46:28,057 SPEAKING CLOSER TO THE MIC TO 2985 01:46:28,057 --> 01:46:30,660 MAKE SURE THE RECORDING IS GOOD 2986 01:46:30,660 --> 01:46:31,394 SO EVERYONE FOREVER COULD HEAR 2987 01:46:31,394 --> 01:46:33,262 YOUR REMARKS. 2988 01:46:33,262 --> 01:46:35,598 THAT WOULD BE MUCH APPRECIATED. 2989 01:46:35,598 --> 01:46:38,501 WITH THAT, WE WILL HEAR FROM OUR 2990 01:46:38,501 --> 01:46:40,336 DEPUTY DIRECTOR, DR. COURTNEY 2991 01:46:40,336 --> 01:46:40,737 AKIN. 2992 01:46:40,737 --> 01:46:41,738 SHE IS GOING TO SHARE AN 2993 01:46:41,738 --> 01:46:43,773 OVERVIEW OF OUR WORK IN HEALTH 2994 01:46:43,773 --> 01:46:44,040 EQUITY. 2995 01:46:44,040 --> 01:46:47,076 SO THIS IS REALLY JUST TO GIVE 2996 01:46:47,076 --> 01:46:49,078 THE COMMITTEE, THE COUNCIL, A 2997 01:46:49,078 --> 01:46:51,280 SENSE OF WHERE WE'VE BEEN, WHAT 2998 01:46:51,280 --> 01:46:53,249 WE'RE CURRENTLY DOING AND A 2999 01:46:53,249 --> 01:46:57,253 LITTLE BIT MORE ABOUT HOW OUR 3000 01:46:57,253 --> 01:46:58,855 PERSPECTIVE HAS EVOLVED OVER THE 3001 01:46:58,855 --> 01:47:00,757 LAST FEW YEARS. 3002 01:47:00,757 --> 01:47:04,427 AND AGAIN, I'M REALLY PLEASED TO 3003 01:47:04,427 --> 01:47:05,862 HAVE AN NINR INVESTIGATOR WHO 3004 01:47:05,862 --> 01:47:08,564 DOES COMMUNITY WORK WHO IS GOING 3005 01:47:08,564 --> 01:47:11,067 TO TALK ABOUT WHAT SHE IS DOING 3006 01:47:11,067 --> 01:47:16,172 AND HOW HER WORK EXEMPLIFIES HOW 3007 01:47:16,172 --> 01:47:19,275 NURSING RESEARCH, NO PRESSURE, 3008 01:47:19,275 --> 01:47:21,210 CAN FOCUS ON HEALTH EQUITY. 3009 01:47:21,210 --> 01:47:25,214 >> THANK YOU FOR THAT 3010 01:47:25,214 --> 01:47:25,548 INTRODUCTION. 3011 01:47:25,548 --> 01:47:29,252 I UNDERSTAND THIS IS THE SESSION 3012 01:47:29,252 --> 01:47:32,522 BETWEEN ME AND MY LUNCH AND SO I 3013 01:47:32,522 --> 01:47:37,593 WILL BE BRIEF. 3014 01:47:37,593 --> 01:47:42,598 THANK YOU DR. RAMOS FOR 3015 01:47:42,598 --> 01:47:45,001 DESCRIBING THE ROLES OF NURSING 3016 01:47:45,001 --> 01:47:45,268 SCIENCE. 3017 01:47:45,268 --> 01:47:51,274 SOME OF THE GAPS ARE ADDRESSABLE 3018 01:47:51,274 --> 01:47:55,511 AND THE GOOD NEWS IS WE ARE 3019 01:47:55,511 --> 01:47:58,714 WALKING A PATHWAY AT NINR. 3020 01:47:58,714 --> 01:48:00,316 SO WHAT I'M HOPING TO DO IS SET 3021 01:48:00,316 --> 01:48:02,685 THE STAGE FOR COLLECTIVELY WHAT 3022 01:48:02,685 --> 01:48:08,791 WE HAVE BEEN DOING AND PROVIDE A 3023 01:48:08,791 --> 01:48:11,327 SUMMARY IN RELATION TO OUR NORTH 3024 01:48:11,327 --> 01:48:11,527 STAR. 3025 01:48:11,527 --> 01:48:13,529 IT IS SOBERING TO THINK ABOUT 3026 01:48:13,529 --> 01:48:16,732 THE WORK THAT NEEDS TO BE DONE 3027 01:48:16,732 --> 01:48:18,868 GIVEN THE ATTENTION OVER THE 3028 01:48:18,868 --> 01:48:23,139 YEARS TO FOCUS ON THESE 3029 01:48:23,139 --> 01:48:24,006 INEQUITIES. 3030 01:48:24,006 --> 01:48:26,776 I'M EXCITED ABOUT HOW WE PAINT A 3031 01:48:26,776 --> 01:48:29,045 PICTURE TO MOVE FORWARD TO 3032 01:48:29,045 --> 01:48:31,180 ACHIEVE HEALTH EQUITY. 3033 01:48:31,180 --> 01:48:34,550 AS YOU HEARD IN DR. ZENK'S 3034 01:48:34,550 --> 01:48:35,751 INTRODUCTION, HEALTH EQUITY IS 3035 01:48:35,751 --> 01:48:37,687 OUR GUIDING NORTH STAR, IT IS 3036 01:48:37,687 --> 01:48:39,155 ESSENTIAL TO THE WORK WE DO, THE 3037 01:48:39,155 --> 01:48:43,726 WORK WE SUPPORT AND AS YOU CAN 3038 01:48:43,726 --> 01:48:45,595 SEE FROM OUR MISSION STATEMENT, 3039 01:48:45,595 --> 01:48:52,735 CENTRAL TO OUR VISION. 3040 01:48:52,735 --> 01:48:55,905 OUR STRATEGIC PLAN IS A FOCUS ON 3041 01:48:55,905 --> 01:48:57,940 HEALTH EQUITY AS A PRIMARY 3042 01:48:57,940 --> 01:48:59,709 RESEARCH LENS AND SHAPED SO MANY 3043 01:48:59,709 --> 01:49:02,512 OF THE ACTIVITIES I WILL SHARE 3044 01:49:02,512 --> 01:49:03,379 IN A MOMENT. 3045 01:49:03,379 --> 01:49:06,916 THOUT MY TALK I WANT TO SHARE 3046 01:49:06,916 --> 01:49:08,217 OUR NORTH STAR PRESENTED A 3047 01:49:08,217 --> 01:49:10,052 STRONG VISION AND DRIVES EVERY 3048 01:49:10,052 --> 01:49:11,521 EFFORT FORWARD. 3049 01:49:11,521 --> 01:49:12,822 BY PRIORITIZING HEALTH EQUITY WE 3050 01:49:12,822 --> 01:49:15,358 ARE PURPOSEFULLY COMMITTING TO 3051 01:49:15,358 --> 01:49:15,958 ELEVATING ITS IMPORTANCE 3052 01:49:15,958 --> 01:49:17,727 THEREFORE CREATING 3053 01:49:17,727 --> 01:49:19,428 ACCOUNTABILITY FOR OURSELVES AND 3054 01:49:19,428 --> 01:49:20,863 OUR PARTNERS TO ASK THOSE 3055 01:49:20,863 --> 01:49:21,964 DIFFICULT QUESTIONS AND SEEK 3056 01:49:21,964 --> 01:49:23,132 SOLUTIONS TO THE MOST 3057 01:49:23,132 --> 01:49:24,967 CHALLENGING AND COMPLEX HEALTH 3058 01:49:24,967 --> 01:49:27,503 ISSUES SO THAT EVERYONE CAN 3059 01:49:27,503 --> 01:49:28,971 REACH OPTIMAL HEALTH. 3060 01:49:28,971 --> 01:49:30,806 BUT OUR PRIORITIZATION IN HEALTH 3061 01:49:30,806 --> 01:49:32,375 EQUITY HAS SHOWN UP IN SEVERAL 3062 01:49:32,375 --> 01:49:33,276 WAYS. 3063 01:49:33,276 --> 01:49:35,311 AND I'M GOING TO SPEND SOME TIME 3064 01:49:35,311 --> 01:49:37,513 SHARING THOSE, INCLUDING 3065 01:49:37,513 --> 01:49:41,284 LANDSCAPE OF OUR PORTFOLIO, 3066 01:49:41,284 --> 01:49:43,519 HEALTH OPPORTUNITIES AND 3067 01:49:43,519 --> 01:49:47,490 STRIVING, MOVING FORWARD TO 3068 01:49:47,490 --> 01:49:49,258 OBTAIN HEALTH EQUITY AND 3069 01:49:49,258 --> 01:49:50,893 COLLABORATING PARTNERSHIPS 3070 01:49:50,893 --> 01:49:52,128 FOCUSED ON ACHIEVING HEALTH 3071 01:49:52,128 --> 01:49:52,495 EQUITY. 3072 01:49:52,495 --> 01:49:54,363 NEXT SLIDE, PLEASE. 3073 01:49:54,363 --> 01:50:00,937 SO AS WE HEARD DR. GUILAMO-RAMOS 3074 01:50:00,937 --> 01:50:03,906 DESCRIBE, THERE ARE SEVERAL 3075 01:50:03,906 --> 01:50:05,508 CHALLENGES IN THE AASEM REPORT 3076 01:50:05,508 --> 01:50:07,076 THAT ARE CHALLENGING. 3077 01:50:07,076 --> 01:50:08,477 THAT THEY ARE NOT NEW TO NURSES 3078 01:50:08,477 --> 01:50:12,014 AS THEY HAVE BEEN ON THE FRONT 3079 01:50:12,014 --> 01:50:14,417 ROW SEAT TO HEALTH DISPARITIES 3080 01:50:14,417 --> 01:50:17,286 AND INEQUITIES. 3081 01:50:17,286 --> 01:50:19,989 WE ARE APPROACHING HOLISTICALLY 3082 01:50:19,989 --> 01:50:22,458 IN THE CONTEXT OF PEOPLE'S 3083 01:50:22,458 --> 01:50:23,859 LIVES. 3084 01:50:23,859 --> 01:50:26,295 ADDRESSING THESE NEEDS REQUIRE 3085 01:50:26,295 --> 01:50:29,098 WE SEEK OUT HEALTH EQUITY AND 3086 01:50:29,098 --> 01:50:32,635 FOLLOW OUR NORTH STAR. 3087 01:50:32,635 --> 01:50:34,070 PURPOSEFUL PRIORITIZATION LED TO 3088 01:50:34,070 --> 01:50:37,773 EXPANSION OF OUR PORTFOLIO THAT 3089 01:50:37,773 --> 01:50:39,942 REFLECTS BUDGET CHANGES STUDY 3090 01:50:39,942 --> 01:50:41,510 ENROLLMENTS AND THE WORK WE 3091 01:50:41,510 --> 01:50:45,248 SUSPECT. 3092 01:50:45,248 --> 01:50:49,619 -- SUSPEPPORT. 3093 01:50:49,619 --> 01:50:51,554 IT IS ONE THING TO TALK ABOUT 3094 01:50:51,554 --> 01:50:52,555 BEING PURPOSEFUL ABOUT THE 3095 01:50:52,555 --> 01:50:54,924 TRAJECTORY WE FOLLOW, IT IS 3096 01:50:54,924 --> 01:50:57,260 ANOTHER TO HIGHLIGHT AND 3097 01:50:57,260 --> 01:51:00,630 REITERATE THE EVIDENCE OF THE 3098 01:51:00,630 --> 01:51:01,964 CHANGES BECAUSE OF THE WORK 3099 01:51:01,964 --> 01:51:03,232 WE'VE ALREADY BEEN DOING. 3100 01:51:03,232 --> 01:51:05,268 THE WORK THAT WE'VE BEEN DOING 3101 01:51:05,268 --> 01:51:08,604 LED UP TO THE ESTABLISH OF 3102 01:51:08,604 --> 01:51:09,672 2022-2026 STRATEGIC PLAN AND NOW 3103 01:51:09,672 --> 01:51:11,073 THROUGH THE STRATEGIC PLAN WE 3104 01:51:11,073 --> 01:51:12,441 HAVE HAD THE ABILITY TO DESIGN 3105 01:51:12,441 --> 01:51:15,711 AND BE BOLD AND TO LEAN INTO 3106 01:51:15,711 --> 01:51:16,812 HISTORICAL POSITION NURSING HAS 3107 01:51:16,812 --> 01:51:19,115 HAD IN ADDRESSING THE 3108 01:51:19,115 --> 01:51:20,583 INTENSIFYING INEQUITIES IN 3109 01:51:20,583 --> 01:51:22,518 SOCIAL DETERMINANTS OF HEALTH. 3110 01:51:22,518 --> 01:51:24,153 WE'VE MADE GOOD PROGRESS TO 3111 01:51:24,153 --> 01:51:25,187 DATE. 3112 01:51:25,187 --> 01:51:26,489 NOT SAYING WE DON'T HAVE MUCH 3113 01:51:26,489 --> 01:51:27,590 MORE TO DO. 3114 01:51:27,590 --> 01:51:29,525 OUR FORT FOLIO HAS EXPANDED. 3115 01:51:29,525 --> 01:51:31,494 I WILL SAY THAT AGAIN. 3116 01:51:31,494 --> 01:51:34,463 OUR PORTFOLIO HAS EXPANDED TO 3117 01:51:34,463 --> 01:51:35,564 TRULY EXEMPLIFY SOME OF THE 3118 01:51:35,564 --> 01:51:37,266 THINGS YOU ARE SEEING HERE. 3119 01:51:37,266 --> 01:51:40,136 NEARLY 50% OF OUR ALLOCATED 3120 01:51:40,136 --> 01:51:42,204 BUDGET GOES TO SUPPORTING HEALTH 3121 01:51:42,204 --> 01:51:43,706 DISPARITIES RESEARCH. 3122 01:51:43,706 --> 01:51:46,142 65% OF OUR STUDIES HAVE A 3123 01:51:46,142 --> 01:51:48,377 BEHAVIORAL AND SOCIAL SCIENCE 3124 01:51:48,377 --> 01:51:48,577 BENT. 3125 01:51:48,577 --> 01:51:50,313 NINR THE INSTITUTE AT NIH WITH 3126 01:51:50,313 --> 01:51:52,715 THE LARGEST PORTION OF OUR 3127 01:51:52,715 --> 01:51:54,550 BUDGET BEING SPENT ON THIS TYPE 3128 01:51:54,550 --> 01:51:55,518 OF RESEARCH. 3129 01:51:55,518 --> 01:51:56,786 SOCIAL DETERMINANTS OF HEALTH 3130 01:51:56,786 --> 01:51:59,055 CLOSELY TIED TO INEQUITY, WE 3131 01:51:59,055 --> 01:52:00,656 HAVE TRIPLED OUR INVESTMENT 3132 01:52:00,656 --> 01:52:03,959 SINCE 2020, 47% OF OUR BUDGET 3133 01:52:03,959 --> 01:52:05,695 ATTRIBUTED TO SDOH WORK. 3134 01:52:05,695 --> 01:52:11,233 I WOULD BE REMISIF I DIDN'T TALK 3135 01:52:11,233 --> 01:52:13,703 ABOUT SHOWING UP IN RACIAL AND 3136 01:52:13,703 --> 01:52:15,237 ETHNIC MINORITY PARTICIPANTS. 3137 01:52:15,237 --> 01:52:17,273 INCLUSION OF BLACK AND 3138 01:52:17,273 --> 01:52:18,908 AFRICAN-AMERICAN PARTICIPANTS 3139 01:52:18,908 --> 01:52:22,111 ROSE FROM 20% IN 2020 TO 30% IN 3140 01:52:22,111 --> 01:52:22,545 2023. 3141 01:52:22,545 --> 01:52:25,247 IN FISCAL YEAR 2023 WE SAW THE 3142 01:52:25,247 --> 01:52:29,251 HIGHEST LEL OF ENROLLMENT FOR 3143 01:52:29,251 --> 01:52:34,523 HISPANIC AND LATINO 3144 01:52:34,523 --> 01:52:34,857 PARTICIPANTS. 3145 01:52:34,857 --> 01:52:37,259 WE HAVE AN INDIVIDUAL WITH US 3146 01:52:37,259 --> 01:52:39,095 NOW, OUR SCIENTIFIC DIVERSITY 3147 01:52:39,095 --> 01:52:40,396 OFFICER HELPING TO LEAN IN AND 3148 01:52:40,396 --> 01:52:43,265 THIS IS A HUGE FOCUS FOR US IN 3149 01:52:43,265 --> 01:52:45,935 TERMS OF OUR OUTREACH AND 3150 01:52:45,935 --> 01:52:47,903 PARTNERSHIPS WITH THE SCIENTIFIC 3151 01:52:47,903 --> 01:52:54,910 ORGANIZATIONS HELPING TO 3152 01:52:54,910 --> 01:53:01,250 WITHHOLD THIS. 3153 01:53:01,250 --> 01:53:03,419 SO THIS WAS MENTIONED, BUT I 3154 01:53:03,419 --> 01:53:04,720 WANT TO HIGHLIGHT THIS BECAUSE 3155 01:53:04,720 --> 01:53:06,288 IT IS IMPORTANT TO SEE. 3156 01:53:06,288 --> 01:53:07,823 OUR GRANT PORTFOLIO IS 3157 01:53:07,823 --> 01:53:10,092 REFLECTING OUR LONG STANDING 3158 01:53:10,092 --> 01:53:13,028 COMMITMENT TO HEALTH DISPAIRS 3159 01:53:13,028 --> 01:53:14,330 RESEARCH AND OUR EFFORTS 3160 01:53:14,330 --> 01:53:15,831 CONTINUE TO EXPAND THIS BECAUSE 3161 01:53:15,831 --> 01:53:17,166 IF YOU TAKE A LOOK AT OUR 3162 01:53:17,166 --> 01:53:20,970 COUNCIL AND THE DPRGRANTS THAT 3163 01:53:20,970 --> 01:53:22,471 COMING THROUGH YOU WILL SEE FOR 3164 01:53:22,471 --> 01:53:25,207 US THE INVESTMENT IN THIS AREA 3165 01:53:25,207 --> 01:53:27,243 SPECIFICALLY FOR FISCAL YEAR 23, 3166 01:53:27,243 --> 01:53:28,744 46% OF OUR BUDGET WERE 3167 01:53:28,744 --> 01:53:29,912 APPROXIMATELY $90 MILLION WENT 3168 01:53:29,912 --> 01:53:33,249 TO SUPPORTING PROJECTS WE 3169 01:53:33,249 --> 01:53:35,985 CATEGORIZE AS HEALTH DISPARITIES 3170 01:53:35,985 --> 01:53:36,252 RESEARCH. 3171 01:53:36,252 --> 01:53:37,853 NUMBER TWO AT NIH AS A PERCENT 3172 01:53:37,853 --> 01:53:38,721 OF OUR BUDGET. 3173 01:53:38,721 --> 01:53:40,322 I'M SURE YOU COULD TAKE A GUESS 3174 01:53:40,322 --> 01:53:42,892 WHAT THAT FIRST ONE IS. 3175 01:53:42,892 --> 01:53:51,300 AND DR. GUILAMO-RAMOS SAID IT, 3176 01:53:51,300 --> 01:53:52,435 NIMHD IS THE FIRST. 3177 01:53:52,435 --> 01:53:56,138 WE RECENTLY CONDUCTED A FORMAL 3178 01:53:56,138 --> 01:53:58,974 ANALYSIS TO OR GRANT PORT FOALO 3179 01:53:58,974 --> 01:54:00,810 TO DETERMINE HOW MANY PROJECTS 3180 01:54:00,810 --> 01:54:04,246 COULD BE CATEGORIZED AS HEALTH 3181 01:54:04,246 --> 01:54:05,181 EQUITY RESEARCH. 3182 01:54:05,181 --> 01:54:08,250 NIH DOES NOT HAVE A STANDARD 3183 01:54:08,250 --> 01:54:10,453 DEFINITION FOR HEALTH EQUITY 3184 01:54:10,453 --> 01:54:10,719 RESEARCH. 3185 01:54:10,719 --> 01:54:12,354 THERE IS NO OFFICIAL CATEGORY, 3186 01:54:12,354 --> 01:54:14,857 WE COULDN'T USE RCDC SO I WANT 3187 01:54:14,857 --> 01:54:16,725 TO GIVE MUCH APPLAUSE TO OUR 3188 01:54:16,725 --> 01:54:18,394 DIVISION THAT DID THIS LEGWORK 3189 01:54:18,394 --> 01:54:20,496 WITHOUT HAVING AN AUTOMATED WAY 3190 01:54:20,496 --> 01:54:21,263 OF DOING SO. 3191 01:54:21,263 --> 01:54:23,666 IT GIVES US AN OPPORTUNITY TO 3192 01:54:23,666 --> 01:54:24,900 TAKE A LOOK AT HEALTH EQUITY 3193 01:54:24,900 --> 01:54:27,670 RESEARCH AS THE RESEARCH THAT 3194 01:54:27,670 --> 01:54:30,339 ADDRESSES HEALTH DISPARITY, 3195 01:54:30,339 --> 01:54:31,874 EXAMINE STRUCTURAL FACTORS AND 3196 01:54:31,874 --> 01:54:33,442 IS COMMUNITY ENGAGED IN THIS 3197 01:54:33,442 --> 01:54:33,909 APPROACH. 3198 01:54:33,909 --> 01:54:35,878 IF YOU TAKE A LOOK AT NEWLY 3199 01:54:35,878 --> 01:54:37,746 FUNDED WORK, TYPE ONE GRANTS, 3200 01:54:37,746 --> 01:54:41,250 FOR EXAMPLE, NINR PROJECTS SINCE 3201 01:54:41,250 --> 01:54:43,452 2019 OUR FUNDING SUPPORT FOR 3202 01:54:43,452 --> 01:54:45,254 THIS AREA OF RESEARCH HAS 3203 01:54:45,254 --> 01:54:49,358 CONTINUED TO INCREASE 3204 01:54:49,358 --> 01:54:50,059 SUBSTAN 3205 01:54:50,059 --> 01:54:50,392 SUBSTANTIALLY. 3206 01:54:50,392 --> 01:54:52,294 THIS IS A PRELIMINARY ANALYSIS 3207 01:54:52,294 --> 01:54:54,029 WITH RELATIVELY SMALL NUMBERS. 3208 01:54:54,029 --> 01:54:55,764 SO I AM ENCOURAGED IF YOU TAKE A 3209 01:54:55,764 --> 01:54:57,533 LOOK AT THE TREND WE SEE HERE 3210 01:54:57,533 --> 01:54:59,902 AND THE INCREASE IN THE 3211 01:54:59,902 --> 01:55:00,970 APPLICATIONS TEND TO REFLECT 3212 01:55:00,970 --> 01:55:01,437 THIS TREND. 3213 01:55:01,437 --> 01:55:03,806 WE HAVE A WAYS TO GO, BUT WE'VE 3214 01:55:03,806 --> 01:55:05,307 GOT A DIRECTION AND A PATHWAY 3215 01:55:05,307 --> 01:55:06,509 FORWARD AND AS YOU CAN SEE WE 3216 01:55:06,509 --> 01:55:08,077 ARE MOVING ON THAT PATH. 3217 01:55:08,077 --> 01:55:14,483 NEXT SLIDE, PLEASE. 3218 01:55:14,483 --> 01:55:16,185 SO WHILE WE ARE PROUD OF THE 3219 01:55:16,185 --> 01:55:17,586 INVESTMENTS WE HAVE BEEN MAKING 3220 01:55:17,586 --> 01:55:19,522 SHOWING THE EXPANSION OF OUR 3221 01:55:19,522 --> 01:55:21,156 RESEARCH PORTFOLIO, WE ARE PROUD 3222 01:55:21,156 --> 01:55:23,526 OF OUR EXTRA MURAL PROGRAMMING 3223 01:55:23,526 --> 01:55:24,960 EVIDENTS TO LEAD NINR TO HEALTH 3224 01:55:24,960 --> 01:55:26,762 EQUITY ACTIVITIES THAT WE HAVE 3225 01:55:26,762 --> 01:55:27,930 ASSISTED IN DRIVING THE CHANGES. 3226 01:55:27,930 --> 01:55:30,733 SO I WANTED TO JUST POINT OUT A 3227 01:55:30,733 --> 01:55:34,737 FEW OF THEM TO YOU. 3228 01:55:34,737 --> 01:55:36,539 SPECIFICALLY OVER THE PAST TWO 3229 01:55:36,539 --> 01:55:37,840 YEARS WE HAVE ISSUED EIGHT 3230 01:55:37,840 --> 01:55:40,242 REQUESTS FOR APPLICATIONS, 3231 01:55:40,242 --> 01:55:43,445 CENTERED AROUND ACHIEVING HEALTH 3232 01:55:43,445 --> 01:55:43,679 EQUITY. 3233 01:55:43,679 --> 01:55:45,281 IMPRESSIVELY AS THESE RFAs, HALF 3234 01:55:45,281 --> 01:55:47,383 HAVE RESULTED IN THE HIGHEST 3235 01:55:47,383 --> 01:55:50,886 NUMBER OF APPLICATIONS TO OUR 3236 01:55:50,886 --> 01:55:53,022 RFAs IN NINR HISTORY GOING BACK 3237 01:55:53,022 --> 01:55:54,256 TO 2014. 3238 01:55:54,256 --> 01:55:56,292 THEY SCAN A BROAD RANGE OF FOCUS 3239 01:55:56,292 --> 01:55:58,093 ON HEALTH CARE SYSTEMS, 3240 01:55:58,093 --> 01:55:59,261 PARTICULARLY POPULATIONS OF 3241 01:55:59,261 --> 01:56:00,296 EMPHASIS THAT ARE MOST 3242 01:56:00,296 --> 01:56:02,097 VULNERABLE TO HEALTH INEQUITIES, 3243 01:56:02,097 --> 01:56:03,766 EXAMINING THESE CHALLENGES OF 3244 01:56:03,766 --> 01:56:06,335 MORE UPSTREAM SOLUTIONS AND 3245 01:56:06,335 --> 01:56:07,503 ULTIMATELY EXAMINING A ROLE OF 3246 01:56:07,503 --> 01:56:09,972 RESEARCH OUTCOMES THAT COULD 3247 01:56:09,972 --> 01:56:14,510 POTENTIALLY IMPACT POLICY. 3248 01:56:14,510 --> 01:56:17,079 SO AGAIN I WANTED TO HIGHLIGHT A 3249 01:56:17,079 --> 01:56:19,415 COUPLE OF OUR OPPORTUNITIES 3250 01:56:19,415 --> 01:56:20,449 SPECIFICALLY AND TALK MORE ABOUT 3251 01:56:20,449 --> 01:56:22,718 WHAT THEY ARE, HOW THEY WERE 3252 01:56:22,718 --> 01:56:22,985 DEVELOPED. 3253 01:56:22,985 --> 01:56:24,820 THE BRIDGE TO CARE INITIATIVE 3254 01:56:24,820 --> 01:56:25,821 FOCUSES ON INTEGRATED HEALTH 3255 01:56:25,821 --> 01:56:27,423 CARE AND COMMUNITY SERVICES TO 3256 01:56:27,423 --> 01:56:29,124 ADDRESS SOCIAL DETERMINANTS OF 3257 01:56:29,124 --> 01:56:31,060 HEALTH AND IMPROVE HEALTH 3258 01:56:31,060 --> 01:56:31,293 EQUITY. 3259 01:56:31,293 --> 01:56:32,494 RECOGNIZING THAT HEALTH CARE 3260 01:56:32,494 --> 01:56:34,730 ALONE CANNOT ADDRESS FACTORS 3261 01:56:34,730 --> 01:56:36,966 INFLUENCING HEALTH, THIS 3262 01:56:36,966 --> 01:56:38,033 INITIATIVE WAS DESIGNED TO 3263 01:56:38,033 --> 01:56:39,468 PROMOTE HEALTH CARE COMMUNITY 3264 01:56:39,468 --> 01:56:40,736 PARTNERSHIPS TO HANDLE UNMET 3265 01:56:40,736 --> 01:56:43,973 SOCIAL NEEDS SUCH AS HOUSING, 3266 01:56:43,973 --> 01:56:45,074 FOOD SECURITY AND ECONOMIC 3267 01:56:45,074 --> 01:56:46,542 STABILITY, WHICH OFTEN RESULT IN 3268 01:56:46,542 --> 01:56:48,644 POOR HEALTH OUTCOMES. 3269 01:56:48,644 --> 01:56:49,545 THIS INITIATIVE IS SUPPORTING 3270 01:56:49,545 --> 01:56:52,448 RESEARCH TO EVALUATE AND ENHANCE 3271 01:56:52,448 --> 01:56:53,949 THESE PARTNERSHIPS, EMPHASIZING 3272 01:56:53,949 --> 01:56:56,352 INTERVENTION AND EVALUATION 3273 01:56:56,352 --> 01:56:57,653 STUDIES TARGETING UNDERSERVED 3274 01:56:57,653 --> 01:56:58,988 POPULATIONS WHO ARE FACING THESE 3275 01:56:58,988 --> 01:57:00,923 HEALTH DISPARITIES, BUT THE GOAL 3276 01:57:00,923 --> 01:57:03,525 IS TO ENSURE EFFECTIVE AND 3277 01:57:03,525 --> 01:57:05,027 SUSTAINABLE PROGRAMS THAT CAN 3278 01:57:05,027 --> 01:57:06,895 ENHANCE HEALTH OUTCOMES BOTH AT 3279 01:57:06,895 --> 01:57:09,131 THE INDIVIDUAL, BUT ALSO AT THE 3280 01:57:09,131 --> 01:57:10,799 COMMUNITY LEVITT TO GET AT THE 3281 01:57:10,799 --> 01:57:12,668 CONVERSATION MAKING SURE WE ARE 3282 01:57:12,668 --> 01:57:14,603 MOVING BEYOND JUST INTERVENTIONS 3283 01:57:14,603 --> 01:57:17,239 TARGETED FOR INDIVIDUALS. 3284 01:57:17,239 --> 01:57:19,074 THROUGH OUR ORIGINAL RELEASE IN 3285 01:57:19,074 --> 01:57:20,609 2023, WE FUNDED PROJECTS LAST 3286 01:57:20,609 --> 01:57:22,277 YEAR THAT FOCUSED ON REVISING 3287 01:57:22,277 --> 01:57:24,680 THE CLINICAL CASCADE AS THE 3288 01:57:24,680 --> 01:57:28,517 SYSTEMS LEVEL TO IMPROVE ACCESS 3289 01:57:28,517 --> 01:57:36,125 TO THE TREATMENT OF OPIOID USE 3290 01:57:36,125 --> 01:57:37,359 DISORDERS, INCREASING SCHOOL 3291 01:57:37,359 --> 01:57:41,030 ATTENDANCE AND USING A 3292 01:57:41,030 --> 01:57:41,730 SCHOOL-BASED COMMUNITY HEALTH 3293 01:57:41,730 --> 01:57:45,134 CARE WORKER PROGRAM, IMPROVING 3294 01:57:45,134 --> 01:57:45,668 EARLY CHILDHOOD SPECIAL 3295 01:57:45,668 --> 01:57:46,635 EDUCATION SERVICES THROUGH OUR 3296 01:57:46,635 --> 01:57:48,203 PRESCHOOL PROGRAM AND A PROGRAM 3297 01:57:48,203 --> 01:57:51,740 FOR BLACK, HISPANIC AND LOW 3298 01:57:51,740 --> 01:57:53,275 INCOME CHILDREN WITH 3299 01:57:53,275 --> 01:57:59,281 DEVELOPMENTAL DELAYS AND 3300 01:57:59,281 --> 01:57:59,615 DISABILITIES. 3301 01:57:59,615 --> 01:58:02,217 AS WE'LL DISCUSS AND SEE LIVE 3302 01:58:02,217 --> 01:58:04,520 WITH DR. HORNING'S WORK IN HER 3303 01:58:04,520 --> 01:58:06,622 COMMUNITY ENGAGED FOCUS, IT IS 3304 01:58:06,622 --> 01:58:08,590 SO IMPORTANT TO HAVE COMMUNITY 3305 01:58:08,590 --> 01:58:10,526 PARTNERS AND REALLY EXEMPLIFY 3306 01:58:10,526 --> 01:58:14,630 AND SHOW NURSE-LED MODELS OF 3307 01:58:14,630 --> 01:58:14,830 CARE. 3308 01:58:14,830 --> 01:58:16,098 WE HEARD TODAY THE MENTION OF 3309 01:58:16,098 --> 01:58:18,701 JUST HOW IMPORTANT IT IS TO MOVE 3310 01:58:18,701 --> 01:58:20,069 AGAIN BEYOND INDIVIDUAL LEVEL 3311 01:58:20,069 --> 01:58:21,070 INTERVENTIONS AND TO CREATE 3312 01:58:21,070 --> 01:58:23,172 THOSE INTERVENTIONS AT A 3313 01:58:23,172 --> 01:58:24,406 STRUCTURAL LEVEL WITH AN EYE ON 3314 01:58:24,406 --> 01:58:26,575 THE OUTCOME THAT COULD DO MORE 3315 01:58:26,575 --> 01:58:27,443 THAN JUST THE INTERVENTION 3316 01:58:27,443 --> 01:58:30,546 THERE, BUT PERHAPS REALLY PUSH 3317 01:58:30,546 --> 01:58:31,380 POLICY CHANGE. 3318 01:58:31,380 --> 01:58:35,751 WE'RE IN A SPACE OF ALREADY 3319 01:58:35,751 --> 01:58:36,919 ENCOURAGING THAT MOVEMENT 3320 01:58:36,919 --> 01:58:37,152 FARTHER. 3321 01:58:37,152 --> 01:58:39,655 AS AN EXAMPLE TO PUSH THE 3322 01:58:39,655 --> 01:58:42,324 ENVELOPE FOR CHANGE AND HOW WE 3323 01:58:42,324 --> 01:58:44,059 ADDRESS HEALTH EQUITIES CAN BE 3324 01:58:44,059 --> 01:58:47,863 SEEN UNDER THE BRIDGE INITIATIVE 3325 01:58:47,863 --> 01:58:51,333 FOCUSED ON MATERNAL HEALTH 3326 01:58:51,333 --> 01:58:55,170 DISPARITIES, EVALUATING MEDICAID 3327 01:58:55,170 --> 01:58:59,041 SUPPORTED DOULA PROGRAMS. 3328 01:58:59,041 --> 01:59:01,243 THIS STUDY IS LEANING IN TO WORK 3329 01:59:01,243 --> 01:59:04,246 TO ENHANCE ACCESS TO RESPECTFUL 3330 01:59:04,246 --> 01:59:05,247 CULTURALLY CONGRUENT MATERNAL 3331 01:59:05,247 --> 01:59:06,315 SERVICES. 3332 01:59:06,315 --> 01:59:09,251 IT LEVERAGES RECENT POLICY 3333 01:59:09,251 --> 01:59:12,921 ADVANCEMENT LIKE MATERNITY AND 3334 01:59:12,921 --> 01:59:14,323 HOSPITAL EQUALLY IMPROVEMENT 3335 01:59:14,323 --> 01:59:20,596 NETWORKS AND TO PROVIDE LOW 3336 01:59:20,596 --> 01:59:21,296 INCOME MEDICAID ELIGIBLE 3337 01:59:21,296 --> 01:59:29,271 INDIVIDUALS TO DOULAS. 3338 01:59:29,271 --> 01:59:32,241 THE PILOT SEEKS THE OVERCOME THE 3339 01:59:32,241 --> 01:59:34,376 BARRIERS OF SUSTAINABLE POLICY 3340 01:59:34,376 --> 01:59:34,743 IMPLEMENTATION. 3341 01:59:34,743 --> 01:59:37,513 SO AGAIN, GETTING AT ONE OF THE 3342 01:59:37,513 --> 01:59:39,414 GAPS THAT HAVE BEEN EXPLAINED 3343 01:59:39,414 --> 01:59:41,817 AND EXPOEDED IN THE NAM REPORT. 3344 01:59:41,817 --> 01:59:43,385 IT IS OUR STRATEGIC GOAL TO MAKE 3345 01:59:43,385 --> 01:59:45,821 SURE WE ARE CREATING AN 3346 01:59:45,821 --> 01:59:47,422 OPPORTUNITY FOR COMMUNITY DRIVEN 3347 01:59:47,422 --> 01:59:48,423 INTERVENTION SUCH AS THESE TO 3348 01:59:48,423 --> 01:59:51,660 HAVE A PLACE SO WE WILL CONTINUE 3349 01:59:51,660 --> 01:59:53,295 TO MOVE FORWARD SUPPORTING WORK 3350 01:59:53,295 --> 01:59:57,132 LIKE THIS. 3351 01:59:57,132 --> 01:59:58,734 WE MUST CONTINUE DO PRESS 3352 01:59:58,734 --> 02:00:01,136 FORWARD IN MAKING SURE OUR 3353 02:00:01,136 --> 02:00:02,104 SOLICITATIONS FOR RESEARCH 3354 02:00:02,104 --> 02:00:03,572 CENTER ON INTERVENTION 3355 02:00:03,572 --> 02:00:05,240 STRATEGIES THAT ARE DESIGNED TO 3356 02:00:05,240 --> 02:00:07,176 GO BEYOND JUST IDENTIFYING 3357 02:00:07,176 --> 02:00:07,543 CHALLENGES. 3358 02:00:07,543 --> 02:00:09,444 WE NEED TO BE ABLE TO HAVE 3359 02:00:09,444 --> 02:00:12,181 STUDIES TO ADRES CONTEXTUAL 3360 02:00:12,181 --> 02:00:13,248 ISSUES DESCRIBED IN THE 3361 02:00:13,248 --> 02:00:15,984 DISCUSSION BRI DR. BEKEMEIER. 3362 02:00:15,984 --> 02:00:18,887 THROUGH OUR MOST RECENT RFA 3363 02:00:18,887 --> 02:00:21,190 LISTED HERE WE HAVE SOLICITED 3364 02:00:21,190 --> 02:00:23,058 RESEARCH ON INTERVENTION 3365 02:00:23,058 --> 02:00:24,193 STRATEGIES DESIGNED TO 3366 02:00:24,193 --> 02:00:27,563 SPECIFICALLY EVALUATE SERMON 3367 02:00:27,563 --> 02:00:28,730 DETERMINANTS OF HEALTH AND 3368 02:00:28,730 --> 02:00:29,731 ADDRESS OVERALL HEALTH EQUITY. 3369 02:00:29,731 --> 02:00:32,201 THIS FUNDING OPPORTUNITIES 3370 02:00:32,201 --> 02:00:32,901 SUPPORTS THE RESEARCH AND 3371 02:00:32,901 --> 02:00:36,071 DEVELOP AND ADAPT AND IMPLEMENT 3372 02:00:36,071 --> 02:00:37,940 STRATEGIES AND LEVERAGE POSITIVE 3373 02:00:37,940 --> 02:00:40,075 INFLUENCES ON HEALTH. 3374 02:00:40,075 --> 02:00:41,276 IT EMPHASIZES COMMUNITY 3375 02:00:41,276 --> 02:00:43,545 ENGAGEMENT TO ENSURE 3376 02:00:43,545 --> 02:00:45,013 INTERVENTIONS ALIGN WITH RURAL 3377 02:00:45,013 --> 02:00:47,015 COMMUNITY PRACTICES, NEEDS AND 3378 02:00:47,015 --> 02:00:47,549 STRENGTHS. 3379 02:00:47,549 --> 02:00:50,285 I'M GOING TO HIGHLIGHT STRAENTS 3380 02:00:50,285 --> 02:00:52,988 I THINK IT IS AN IMPORTANT 3381 02:00:52,988 --> 02:00:54,590 COMPONENT I HAVEN'T HEARD US 3382 02:00:54,590 --> 02:00:55,557 DISCUSS MUCH BEFORE THE 3383 02:00:55,557 --> 02:00:57,159 IMPORTANCE OF LEVERAGING 3384 02:00:57,159 --> 02:00:57,426 STRENGTH. 3385 02:00:57,426 --> 02:01:01,163 THE RESEARCH SUPPORTS VARIOUS 3386 02:01:01,163 --> 02:01:02,764 APPROACHES INCLUDING COMMUNITY 3387 02:01:02,764 --> 02:01:04,933 BASED PA TIS PA TERRY RESEARCH 3388 02:01:04,933 --> 02:01:06,535 TAILORED TO RURAL CONTACTS. 3389 02:01:06,535 --> 02:01:07,769 IN THIS PARTICULAR CASE WE ARE 3390 02:01:07,769 --> 02:01:09,438 GOING TO DISCUSS LATER THE 3391 02:01:09,438 --> 02:01:11,306 RESPONSES TO THIS RFA DURING OUR 3392 02:01:11,306 --> 02:01:14,977 CLOSED SESSION AS WE HAVE 3393 02:01:14,977 --> 02:01:16,445 APPLICATIONS IN HAND. 3394 02:01:16,445 --> 02:01:18,981 THE ACCESS INITIATIVE LOOKS TO 3395 02:01:18,981 --> 02:01:21,083 ADVANCE HEALTH DISPARITIES 3396 02:01:21,083 --> 02:01:23,652 THROUGH AN INTERSECTIONAL LENS 3397 02:01:23,652 --> 02:01:26,388 FOCUSING ON VARIOUS SOCIAL 3398 02:01:26,388 --> 02:01:28,190 STATUSES INTERSECT TO INFLUENCE 3399 02:01:28,190 --> 02:01:30,058 HEALTH OUTCOMES. 3400 02:01:30,058 --> 02:01:31,560 RECOGNIZING SYSTEM OF PRIVILEGE 3401 02:01:31,560 --> 02:01:34,162 AND OPPRESSION, RACISM AND 3402 02:01:34,162 --> 02:01:35,330 CLASSISM DRIVE HEALTH 3403 02:01:35,330 --> 02:01:35,664 INEQUITIES. 3404 02:01:35,664 --> 02:01:37,532 THE INITIATIVE WE PUT OUT IS 3405 02:01:37,532 --> 02:01:41,169 SEEKING RESEARCHERS TO UNCOVER 3406 02:01:41,169 --> 02:01:43,338 PATHWAYS AND MECHANISMS 3407 02:01:43,338 --> 02:01:47,009 UNDERLYING THESE DISPARITIES. 3408 02:01:47,009 --> 02:01:51,346 EMPHASIZING USE OF INNOVATIVE 3409 02:01:51,346 --> 02:01:54,016 METHODS TO IDENTIFY RACE, 3410 02:01:54,016 --> 02:01:55,183 ETHNICITY, GENDER AND OTHER 3411 02:01:55,183 --> 02:01:56,551 POSITIONS THAT AFFECT HEALTH, 3412 02:01:56,551 --> 02:01:57,920 ESPECIALLY IN MARGINALIZED 3413 02:01:57,920 --> 02:02:01,256 POPULATIONS. 3414 02:02:01,256 --> 02:02:03,692 AND I'M HAPPY TO SAY THAT WE ARE 3415 02:02:03,692 --> 02:02:05,260 EXPECTING ANTICIPATED AWARDS IN 3416 02:02:05,260 --> 02:02:06,962 OUR NEXT FISCAL YEAR. 3417 02:02:06,962 --> 02:02:09,164 AND LASTLY, AS YOU HAD HEARD 3418 02:02:09,164 --> 02:02:11,400 MENTIONED EARLIER TODAY, WE ARE 3419 02:02:11,400 --> 02:02:15,270 REALLY EXCITED TO ANNOUNCE AND 3420 02:02:15,270 --> 02:02:19,541 INTEND TO PUBLISH INITIATIVES TO 3421 02:02:19,541 --> 02:02:23,278 ADDRESS HOUSING INSTABILITY WITH 3422 02:02:23,278 --> 02:02:27,115 OUTCOME FOR OCTOBER WATCH. 3423 02:02:27,115 --> 02:02:28,784 SO KEEPING WITH THE SAME THEME 3424 02:02:28,784 --> 02:02:31,186 OF BUILDING THE EVIDENCE AND 3425 02:02:31,186 --> 02:02:32,020 PROVIDING OPPORTUNITIES TO 3426 02:02:32,020 --> 02:02:33,121 SUPPORT EXAMINING HEALTH EQUITY 3427 02:02:33,121 --> 02:02:35,123 WITH A FOCUS ON SOCIETAL IMPACT 3428 02:02:35,123 --> 02:02:36,792 I WANT TO SHARE ONE MORE EXAMPLE 3429 02:02:36,792 --> 02:02:39,127 OF A NURSE-LED INTERVENTION AND 3430 02:02:39,127 --> 02:02:40,696 RESPONSE TO A P.A.R. ON 3431 02:02:40,696 --> 02:02:41,530 COMMUNITY INTERVENTION TO 3432 02:02:41,530 --> 02:02:44,399 ADDRESS THE CONSEQUENCES OF 3433 02:02:44,399 --> 02:02:47,602 COVID-19, PANDEMIC AMONG HEALTH 3434 02:02:47,602 --> 02:02:47,903 DISPARITIES. 3435 02:02:47,903 --> 02:02:49,771 THIS PARTICULAR STUDY HAS 3436 02:02:49,771 --> 02:02:51,807 FOCUSED IN ON UNDERSERVED RACIAL 3437 02:02:51,807 --> 02:02:54,476 AND ETHNIC MINORITIES, 3438 02:02:54,476 --> 02:02:55,544 SPECIFICALLY AFRICAN-AMERICAN 3439 02:02:55,544 --> 02:02:57,212 ADULTS WITH CHRONIC ILLNESS 3440 02:02:57,212 --> 02:02:59,548 RECOVERS FROM COVID-19, ALONG 3441 02:02:59,548 --> 02:03:01,550 WITH INFORMAL CARE PARTNERS 3442 02:03:01,550 --> 02:03:02,818 RECOGNIZING THAT COMMUNITIES 3443 02:03:02,818 --> 02:03:04,753 FACE DISPROPORTIONATE IMPACT 3444 02:03:04,753 --> 02:03:06,955 FROM COVID-19 DUE TO SOCIAL AND 3445 02:03:06,955 --> 02:03:08,290 STRUCTURAL HEALTH DETERMINANTS 3446 02:03:08,290 --> 02:03:10,425 AND PREEXISTING CONDITIONS LIKE 3447 02:03:10,425 --> 02:03:16,965 DIABETES AND HYPERTENSION. 3448 02:03:16,965 --> 02:03:19,868 THE STUDY IS ADDRESSING RACIAL 3449 02:03:19,868 --> 02:03:21,670 AND PANDEMIC RELATED STRESSORS 3450 02:03:21,670 --> 02:03:24,239 AND SUGGESTS THIS DIAD IN THE 3451 02:03:24,239 --> 02:03:24,973 CHRONIC DISEASE MANAGEMENT. 3452 02:03:24,973 --> 02:03:28,377 BY ENHANCING THE EFFICACY OF 3453 02:03:28,377 --> 02:03:30,712 BOTH PATIENTS AND CAREGIVERS IN 3454 02:03:30,712 --> 02:03:31,546 MANAGING ILLNESS BEHAVIORS 3455 02:03:31,546 --> 02:03:32,914 THROUGH COACHING AND HEALTH 3456 02:03:32,914 --> 02:03:33,648 SYSTEM NAVIGATION. 3457 02:03:33,648 --> 02:03:34,616 SO, AGAIN, HAVING THE 3458 02:03:34,616 --> 02:03:37,185 OPPORTUNITY TO LOOK MORE BROADLY 3459 02:03:37,185 --> 02:03:41,189 THAN JUST INDIVIDUAL LEVEL 3460 02:03:41,189 --> 02:03:41,523 INTERVENTIONS. 3461 02:03:41,523 --> 02:03:43,458 THROUGH RIGOROUS EVALUATION AND 3462 02:03:43,458 --> 02:03:45,427 COMMUNITY INPUT THIS STUDY IS 3463 02:03:45,427 --> 02:03:48,797 WORKING TO REDUCE HEALTH 3464 02:03:48,797 --> 02:03:50,032 DISPARITIES TAILORING TO THE 3465 02:03:50,032 --> 02:03:50,699 UNIQUE CHALLENGES FACED BY THIS 3466 02:03:50,699 --> 02:03:54,836 POPULATION. 3467 02:03:54,836 --> 02:03:57,105 SO ALONG WITH OUR EFFORTS, OUR 3468 02:03:57,105 --> 02:03:58,540 RESEARCH PORTFOLIO TO EXPAND 3469 02:03:58,540 --> 02:04:00,776 THAT AND TO AGGRESSIVELY CREATE 3470 02:04:00,776 --> 02:04:02,778 OPPORTUNITIES FOR OUR 3471 02:04:02,778 --> 02:04:04,379 RESEARCHERS TO COME IN AND 3472 02:04:04,379 --> 02:04:05,514 SUPPORT THE EFFORT AND WORK WE 3473 02:04:05,514 --> 02:04:06,748 HAVE LAID THE GROUND FOR, WE ARE 3474 02:04:06,748 --> 02:04:11,653 ALSO IN A REALLY STRONG POSITION 3475 02:04:11,653 --> 02:04:13,555 TO LEAD BY COLLABORATING ACROSS 3476 02:04:13,555 --> 02:04:15,824 NIH TO HELP MAKE SURE WHEN WE 3477 02:04:15,824 --> 02:04:17,859 MOVE THESE NIH-WIDE EFFORTS 3478 02:04:17,859 --> 02:04:19,094 FORWARD THE OPPORTUNITY TO 3479 02:04:19,094 --> 02:04:20,629 EXPLORE SOCIAL DETERMINANTS OF 3480 02:04:20,629 --> 02:04:21,930 HEALTH AND TALK ABOUT HEALTH 3481 02:04:21,930 --> 02:04:23,365 EQUITY AND PARTNER WITH 3482 02:04:23,365 --> 02:04:29,304 COMMUNITIES REMAINS FRONT AND 3483 02:04:29,304 --> 02:04:30,138 CENTER. 3484 02:04:30,138 --> 02:04:31,973 SO YOU HEARD EARLIER FROM DR. 3485 02:04:31,973 --> 02:04:34,276 ZENK THE LATEST UPDATES, BUT I 3486 02:04:34,276 --> 02:04:36,445 WANTED TO UNDERSCORE THE 3487 02:04:36,445 --> 02:04:38,513 IMPORTANCE OF THIS PROGRAM 3488 02:04:38,513 --> 02:04:41,349 IMPROVE AS IT AIMS TO REDUCE 3489 02:04:41,349 --> 02:04:43,552 MATERNAL HEALTH DISPARITIES BY 3490 02:04:43,552 --> 02:04:45,253 TAILORING APPROACHES TO THOSE 3491 02:04:45,253 --> 02:04:48,557 MOST AFFECTED INCLUDING 3492 02:04:48,557 --> 02:04:50,358 AFRICAN-AMERICAN, AMERICAN 3493 02:04:50,358 --> 02:04:52,294 INDIAN, ALASKAN NATIVE 3494 02:04:52,294 --> 02:04:54,563 POPULATIONS AND INDIVIDUALS 3495 02:04:54,563 --> 02:04:56,264 LACKING ACCESS TO MATERNAL CARE. 3496 02:04:56,264 --> 02:04:58,633 WE HAVE ONE OF THE CO-CHAIRS 3497 02:04:58,633 --> 02:05:00,302 SITTING RIGHT NEXT TO ME. 3498 02:05:00,302 --> 02:05:01,603 AND WITH HER LEADERSHIP WE'VE 3499 02:05:01,603 --> 02:05:06,041 BEEN ABLE TO TRULY INFUSE AND 3500 02:05:06,041 --> 02:05:07,209 MAKE IT CLEAR WE NEED TO 3501 02:05:07,209 --> 02:05:09,244 UNDERSTAND THE IMPACT OF 3502 02:05:09,244 --> 02:05:11,413 SYSTEMATIC FACTORS DRIVING 3503 02:05:11,413 --> 02:05:13,014 DISPARITIES IN ORDER TO ADDRESS 3504 02:05:13,014 --> 02:05:15,884 HIGH RATES OF MATERNAL MORTALITY 3505 02:05:15,884 --> 02:05:16,785 AND MORBIDITY IN THE UNITED 3506 02:05:16,785 --> 02:05:17,018 STATES. 3507 02:05:17,018 --> 02:05:20,589 THEY ARE AWARDING $40 MILLION TO 3508 02:05:20,589 --> 02:05:21,289 ESTABLISH RESEARCH CENTERS OF 3509 02:05:21,289 --> 02:05:23,091 EXCELLENCE ACROSS D COUNTRY AND 3510 02:05:23,091 --> 02:05:25,260 THE CHANNEL AWARDS THAT WERE 3511 02:05:25,260 --> 02:05:30,398 GWYNN TO COMMUNITY ORGANIZATIONS 3512 02:05:30,398 --> 02:05:33,335 THAT DR. ZENK PRESENTED EARLIER, 3513 02:05:33,335 --> 02:05:36,771 IMPROVE SR. DEVELOPING A NETWORK 3514 02:05:36,771 --> 02:05:40,809 AND IDENTIFY RISK FACTORS FOR 3515 02:05:40,809 --> 02:05:42,477 MATERNAL MORTALITY AND MO BIDTY. 3516 02:05:42,477 --> 02:05:44,446 ANYONE THIN HAS BEEN INVOLVED IN 3517 02:05:44,446 --> 02:05:46,882 ALL STAGES OF THIS PROCESS AND 3518 02:05:46,882 --> 02:05:50,519 HELPED TO INFUSE THAT A FOCUS 3519 02:05:50,519 --> 02:05:52,387 REMAIN ON SERMON DETERMINANTS OF 3520 02:05:52,387 --> 02:05:54,589 HEALTH AND OVERCOMING STRUCTURAL 3521 02:05:54,589 --> 02:05:56,424 BARRIERS TO ADDRESS SOMETHING 3522 02:05:56,424 --> 02:06:00,729 YOU KNOW IS A PREVENTABLE HEALTH 3523 02:06:00,729 --> 02:06:01,263 DISPARITY. 3524 02:06:01,263 --> 02:06:04,032 AND I WON'T TALK MUCH ABOUT 3525 02:06:04,032 --> 02:06:05,634 CONGRESS, BUT I KNOW THERE WAS A 3526 02:06:05,634 --> 02:06:09,271 MEETING THAT JUST HAPPENED AND 3527 02:06:09,271 --> 02:06:11,673 YOU HEARD THE UPDATE EARLY. 3528 02:06:11,673 --> 02:06:15,210 I WANT TO REITERATE HOW TRULY 3529 02:06:15,210 --> 02:06:17,112 IMPACT THIS INITIATIVE WAS 3530 02:06:17,112 --> 02:06:19,414 DESIGNED AND AIMING TO ACHIEVE. 3531 02:06:19,414 --> 02:06:21,750 LAUNCHED IN 2023, MUCH WORK 3532 02:06:21,750 --> 02:06:23,084 BEGAN BEFORE THAT WITH LISTENING 3533 02:06:23,084 --> 02:06:25,220 SESSIONS AND O T A TO SET THE 3534 02:06:25,220 --> 02:06:27,088 STAGE TO MAKE SURE VOICES WERE 3535 02:06:27,088 --> 02:06:29,257 HEARD IN DEVELOPING AND 3536 02:06:29,257 --> 02:06:31,560 DEZINGING THIS INTERVENTION. 3537 02:06:31,560 --> 02:06:34,796 NINR PARTNERED THIS TIME WITH 3538 02:06:34,796 --> 02:06:38,600 NIMH, NIMHD, ORWS. 3539 02:06:38,600 --> 02:06:40,602 H AND THE OFFICER OF THE 3540 02:06:40,602 --> 02:06:42,270 DIRECTOR AS A FOUNDING CO-CHAIR 3541 02:06:42,270 --> 02:06:44,639 TO ESTABLISH A GROUNDBREAKING 3542 02:06:44,639 --> 02:06:46,775 PROGRAM NIH HAS NOT SEEN BEFORE 3543 02:06:46,775 --> 02:06:50,345 THAT I WAS INCREDIBLY EXCITED TO 3544 02:06:50,345 --> 02:06:53,548 SEE AS A BEHAVIORAL SCIENTIST 3545 02:06:53,548 --> 02:06:54,849 MYSELF. 3546 02:06:54,849 --> 02:06:55,717 YOU CAN'T INTERVENE IF YOU DON'T 3547 02:06:55,717 --> 02:06:56,885 UNDERSTAND THE COMMUNITY VOICE. 3548 02:06:56,885 --> 02:07:00,922 WE ARE PROVIDING $71 MILLION 3549 02:07:00,922 --> 02:07:04,159 APPROXIMATELY OVER FIVE YEARS TO 3550 02:07:04,159 --> 02:07:05,160 SUPPORT COMMUNITY ORGANIZATIONS 3551 02:07:05,160 --> 02:07:07,195 WITH NINR LEADING THE CHARGE AND 3552 02:07:07,195 --> 02:07:09,931 MANAGEMENT OF THE COORDINATING 3553 02:07:09,931 --> 02:07:10,732 CENTER OR CENTERS. 3554 02:07:10,732 --> 02:07:13,268 BUT THE PROGRAM AS YOU ALL MAY 3555 02:07:13,268 --> 02:07:14,703 KNOW EMPHASIZES THE ROLE OF 3556 02:07:14,703 --> 02:07:17,339 SOCIAL DETERMINANTS OF HEALTH BY 3557 02:07:17,339 --> 02:07:19,207 FOSTERING COLLABORATIONS BETWEEN 3558 02:07:19,207 --> 02:07:20,809 COMMUNITY LEADERS AND RESEARCH 3559 02:07:20,809 --> 02:07:21,710 PARTNERS FROM ACADEMIC 3560 02:07:21,710 --> 02:07:22,043 INSTITUTIONS. 3561 02:07:22,043 --> 02:07:24,279 THE RESEARCH FOCUSES ON 3562 02:07:24,279 --> 02:07:25,814 DEVELOPING, IMPLEMENTING AND 3563 02:07:25,814 --> 02:07:27,415 ASSESSING STRUCTURAL 3564 02:07:27,415 --> 02:07:29,251 INTERVENTIONS TO CREATE 3565 02:07:29,251 --> 02:07:30,685 SUSTAINABLE SOLUTIONS. 3566 02:07:30,685 --> 02:07:32,454 BY ADDRESSING SYSTEMATIC ISSUES 3567 02:07:32,454 --> 02:07:35,056 THAT LEAD TO HEALTH DISPARITIES 3568 02:07:35,056 --> 02:07:36,258 THE PROJECTS SUPPORTED BY 3569 02:07:36,258 --> 02:07:38,660 ComPASS ARE AIMING TO IMPROVE 3570 02:07:38,660 --> 02:07:40,462 HEALTH OUTCOMES IN COMMUNITIES 3571 02:07:40,462 --> 02:07:42,797 ACROSS THE NATION. 3572 02:07:42,797 --> 02:07:44,733 INITIATIVES TO ENHANCE ACCESS TO 3573 02:07:44,733 --> 02:07:47,569 HEALTHY FOOD, IMPROVE CHILD CARE 3574 02:07:47,569 --> 02:07:49,537 STRATEGIES, FACILITATE BETTER 3575 02:07:49,537 --> 02:07:51,706 HEALTH CARE ACCESS AND EXPAND 3576 02:07:51,706 --> 02:07:54,209 TELEHEALTH SERVICES IN RURAL 3577 02:07:54,209 --> 02:07:54,409 AREAS. 3578 02:07:54,409 --> 02:07:57,178 YOU CAN SEE THERE IS QUITE A LOT 3579 02:07:57,178 --> 02:07:59,414 OF ALIGNMENT IN WHAT WE HAVE SET 3580 02:07:59,414 --> 02:08:01,182 UP IN OUR STRATEGIC PLAN. 3581 02:08:01,182 --> 02:08:03,285 GIVE A HEAD NOT TO THE PERSON 3582 02:08:03,285 --> 02:08:05,253 SITTING NEXT TO BE AND THE 3583 02:08:05,253 --> 02:08:06,655 INVOLVEMENT IN IN INFUSING THE 3584 02:08:06,655 --> 02:08:11,693 IMPORTANCE OF NURSING SCIENCE. 3585 02:08:11,693 --> 02:08:14,262 SO ALL OF THIS IS TO SAY AND TO 3586 02:08:14,262 --> 02:08:15,330 SUMMARIZE AND HAVE THE 3587 02:08:15,330 --> 02:08:16,031 CONVERSATION THAT AFTER HEARING 3588 02:08:16,031 --> 02:08:18,867 THE UPDATES AND THE 3589 02:08:18,867 --> 02:08:19,801 ACCOMPLISHMENTS EARLIER THAT DR. 3590 02:08:19,801 --> 02:08:21,069 ZENK PRESENTED IN HER DIRECTOR'S 3591 02:08:21,069 --> 02:08:23,305 TALK AND THE NATURE OF THE GAPS 3592 02:08:23,305 --> 02:08:25,573 THAT WE STILL MUST ADDRESS, WE 3593 02:08:25,573 --> 02:08:27,742 HAVE RECOGNIZED THAT IT IS TIME 3594 02:08:27,742 --> 02:08:30,412 TO REVISIT OUR LENSES. 3595 02:08:30,412 --> 02:08:32,013 AND THAT WHAT WE INITIALLY 3596 02:08:32,013 --> 02:08:34,049 OUTLINED IN OUR STRATEGIC PLAN 3597 02:08:34,049 --> 02:08:36,818 DOES MATCH AND VERY MUCH 3598 02:08:36,818 --> 02:08:38,086 RELEVANT BUT JUST LIKE ANYTHING 3599 02:08:38,086 --> 02:08:39,788 ELSE IN SCIENCE EVOLVES SO WE 3600 02:08:39,788 --> 02:08:41,256 NEEDED TO CLARIFY AND IT WAS 3601 02:08:41,256 --> 02:08:42,924 TIME TO DO THAT. 3602 02:08:42,924 --> 02:08:44,759 IT GAVE US AN OPPORTUNITY TO 3603 02:08:44,759 --> 02:08:46,795 EXPLORE EMERGING AREAS OF 3604 02:08:46,795 --> 02:08:48,229 EMPHASIS AND THE APPROACHES TO 3605 02:08:48,229 --> 02:08:49,564 NURSING RESEARCH THAT HAVE THE 3606 02:08:49,564 --> 02:08:52,133 GREATEST POTENTIAL FOR PRODUCING 3607 02:08:52,133 --> 02:08:53,234 RESULTS WITH THE GREATEST IMPACT 3608 02:08:53,234 --> 02:08:54,803 BECAUSE NOW IS THE TIME TO DO 3609 02:08:54,803 --> 02:08:54,969 IT. 3610 02:08:54,969 --> 02:08:55,904 WE HAVE THE NOOR. 3611 02:08:55,904 --> 02:08:56,905 WE HAVE THE STAGE. 3612 02:08:56,905 --> 02:08:59,808 WE NOW HAVE EVIDENCE AND QUITE A 3613 02:08:59,808 --> 02:09:02,177 FEW SUGGESTIONS FOR AREAS TO GO 3614 02:09:02,177 --> 02:09:02,344 DO. 3615 02:09:02,344 --> 02:09:09,250 NEXT SLIDE, PLEASE. 3616 02:09:09,250 --> 02:09:11,486 AS WE'VE CONTINUED TO PRIORITIZE 3617 02:09:11,486 --> 02:09:13,254 HEALTH EQUITY AS OUR NORTH STAR 3618 02:09:13,254 --> 02:09:15,990 AND EXPAND OUR PORTFOLIO, THERE 3619 02:09:15,990 --> 02:09:18,393 ARE MANY IMPORTANT SCIENTIFIC 3620 02:09:18,393 --> 02:09:19,961 ADVANCEMENTS THAT PUSH THE NEED 3621 02:09:19,961 --> 02:09:21,930 FOR MORE CLARITY TO MOVE FORWARD 3622 02:09:21,930 --> 02:09:23,131 SUPPORTING OUR EFFORTS. 3623 02:09:23,131 --> 02:09:25,867 AS SHARED EARLIER, WE HAVE TAKEN 3624 02:09:25,867 --> 02:09:28,169 THE TIME AND SEVERAL DISCUSSIONS 3625 02:09:28,169 --> 02:09:31,072 AND A LOT OF INPUT AND 3626 02:09:31,072 --> 02:09:31,840 THOUGHTFULNESS AROUND MAKING 3627 02:09:31,840 --> 02:09:33,742 SURE AS WE WERE REFINING OUR 3628 02:09:33,742 --> 02:09:35,910 LENSES WE WERE STAYING TRUE TO 3629 02:09:35,910 --> 02:09:37,712 OUR NORTH STAR. 3630 02:09:37,712 --> 02:09:38,880 FOCUSING ON HEALTH EQUITY TODAY 3631 02:09:38,880 --> 02:09:40,815 IS OUR WAY OF DOING THAT. 3632 02:09:40,815 --> 02:09:42,684 DR. ZENK MENTIONED EARLIER WE 3633 02:09:42,684 --> 02:09:45,186 HAVE UPDATED OUR LANGUAGE AND IN 3634 02:09:45,186 --> 02:09:46,521 JULY AFTER MUCH DISCUSSION WE 3635 02:09:46,521 --> 02:09:47,389 RELEASED THAT. 3636 02:09:47,389 --> 02:09:50,258 YOU SHOULD BE ABLE TO SEE OUR 3637 02:09:50,258 --> 02:09:51,526 UPDATED LENSES ON OUR WEBSITE 3638 02:09:51,526 --> 02:09:53,828 AND WE'RE VERY PROUD OF WHERE WE 3639 02:09:53,828 --> 02:09:55,029 ARE WITH THIS BECAUSE NOW WE 3640 02:09:55,029 --> 02:09:57,799 HAVE AN OPPORTUNITY TO SHARE OUR 3641 02:09:57,799 --> 02:09:59,367 NORTH STAR WITH OUR 3642 02:09:59,367 --> 02:09:59,701 INVESTIGATORS. 3643 02:09:59,701 --> 02:10:01,569 WE'VE NOW PROVIDED ADDITIONAL 3644 02:10:01,569 --> 02:10:02,871 CLARITY OF THE TYPE OF RESEARCH 3645 02:10:02,871 --> 02:10:05,006 WE WOULD LIKE TO SEE WITH FULL 3646 02:10:05,006 --> 02:10:06,307 RECOGNITION THIS IS WHERE WE'RE 3647 02:10:06,307 --> 02:10:16,618 ABLE TO MAKE AN IMPACT. 3648 02:10:16,618 --> 02:10:20,855 NEXT SLIDE, PLEASE. 3649 02:10:20,855 --> 02:10:23,525 SO FOCUSING IN ON MAXIMIZING OUR 3650 02:10:23,525 --> 02:10:26,694 IMPACT AT NINR WE HAVE PUT REAL 3651 02:10:26,694 --> 02:10:28,363 EMPHASIS ON SUPPORTING RIGOROUS 3652 02:10:28,363 --> 02:10:29,564 SCIENCE THAT TRULY HAS THIS 3653 02:10:29,564 --> 02:10:31,566 POTENTIAL TO MAKE AN IMPACT. 3654 02:10:31,566 --> 02:10:33,268 WE WANT RESEARCH THAT GOES 3655 02:10:33,268 --> 02:10:34,903 BEYOND OBSERVING THE PROBLEM. 3656 02:10:34,903 --> 02:10:36,704 WE NEED TO INTERVENE AND WE NEED 3657 02:10:36,704 --> 02:10:38,273 TO MAKE A DIFFERENCE AND NOW IS 3658 02:10:38,273 --> 02:10:43,244 THE TIME TO DO THAT. 3659 02:10:43,244 --> 02:10:45,447 A VIEW OF OUR HEALTH EQUITY 3660 02:10:45,447 --> 02:10:47,282 RESEARCH IS HOW WE DESCRIBE IN 3661 02:10:47,282 --> 02:10:48,883 OUR HEALTH EQUITY PLAN. 3662 02:10:48,883 --> 02:10:50,485 AS DR. ZENK INDICATED EARLIER, 3663 02:10:50,485 --> 02:10:53,221 IT IS TIME TO MAKE THIS CHANGE. 3664 02:10:53,221 --> 02:10:55,223 THERE ARE CHARACTERISTICS OF 3665 02:10:55,223 --> 02:10:56,057 STUDIES THAT WE BELIEVE ARE 3666 02:10:56,057 --> 02:10:57,625 ESSENTIAL AND WE WANT STUDIES 3667 02:10:57,625 --> 02:11:00,595 THAT ARE SEEKING TO MAKE AN 3668 02:11:00,595 --> 02:11:02,931 IMPACT AND TO DO THAT AT A 3669 02:11:02,931 --> 02:11:05,567 FOUNDATIONAL LEVEL STUDIES MUST 3670 02:11:05,567 --> 02:11:07,936 INCORPORATE AND FOCUS ON HEALTH 3671 02:11:07,936 --> 02:11:08,236 DISPARITIES. 3672 02:11:08,236 --> 02:11:10,605 WE KNOW ADDRESSING HEALTH 3673 02:11:10,605 --> 02:11:12,207 DISPARITIES IS AN ESSENTIAL STEP 3674 02:11:12,207 --> 02:11:13,741 TO ACHIEVING HEALTH EQUITY. 3675 02:11:13,741 --> 02:11:16,678 WE'RE INTERESTED IN STUDIES, FOR 3676 02:11:16,678 --> 02:11:17,579 EXAMPLE, THAT EXAMINE 3677 02:11:17,579 --> 02:11:18,880 CONTRIBUTING FACTORS AND 3678 02:11:18,880 --> 02:11:21,015 PATHWAYS AND MECHANISMS 3679 02:11:21,015 --> 02:11:22,984 UNDERLYING HEALTH DISPARITIES, 3680 02:11:22,984 --> 02:11:25,220 BUT WE ARE INTERESTED IN TESTING 3681 02:11:25,220 --> 02:11:26,187 INTERVENTIONS AND OTHER 3682 02:11:26,187 --> 02:11:27,889 APPROACHES FOR THEIR IMPACT ON 3683 02:11:27,889 --> 02:11:29,157 HEALTH DISPARITIES. 3684 02:11:29,157 --> 02:11:31,493 IT IS BECAUSE WE ARE LOOKING FOR 3685 02:11:31,493 --> 02:11:33,194 THIS INTERSECTIONALTY WE WANTED 3686 02:11:33,194 --> 02:11:35,630 TO ALSO CLARIFY THIS PARTICULAR 3687 02:11:35,630 --> 02:11:37,265 LENS. 3688 02:11:37,265 --> 02:11:41,269 NEXT SLIDE, PLEASE. 3689 02:11:41,269 --> 02:11:43,571 BUT AS IT HAS BEEN POINTED OUT, 3690 02:11:43,571 --> 02:11:46,574 WE NEED TO PROVIDE MORE CLARITY 3691 02:11:46,574 --> 02:11:48,977 IN THE GOALS WE ARE TRYING TO 3692 02:11:48,977 --> 02:11:50,812 ACHIEVE AND OUR LENS IS A WAY TO 3693 02:11:50,812 --> 02:11:52,914 PROVIDE MORE CLARITY AND 3694 02:11:52,914 --> 02:11:54,315 GUIDANCE TO INVESTIGATORS WHO 3695 02:11:54,315 --> 02:11:55,550 ARE INTERESTED IN THIS WORK. 3696 02:11:55,550 --> 02:11:57,252 THROUGH IDENTIFICATION OF THESE 3697 02:11:57,252 --> 02:11:59,387 THREE KEYS WE ARE PURPOSEFULLY 3698 02:11:59,387 --> 02:12:01,155 HIGHLIGHTING WHAT WE ARE LOOKING 3699 02:12:01,155 --> 02:12:02,423 FOR. 3700 02:12:02,423 --> 02:12:03,825 RESEARCH THAT EXAMINES 3701 02:12:03,825 --> 02:12:05,393 INTERSECTIONS ON STRUCTURAL 3702 02:12:05,393 --> 02:12:08,329 FACTORS AND RESEARCH THAT IS 3703 02:12:08,329 --> 02:12:11,533 MEANINGFULLY INVOLVED, 3704 02:12:11,533 --> 02:12:13,434 MARGINALIZED AND MONETIZED 3705 02:12:13,434 --> 02:12:15,003 POPULATIONS AND WHAT I WOULD 3706 02:12:15,003 --> 02:12:17,038 LIKE TO POINT OUT HERE IS THE 3707 02:12:17,038 --> 02:12:18,606 IMPORTANCE OF EXAMINING HEALTH 3708 02:12:18,606 --> 02:12:22,810 QUIT AND LOOKING AT IT NOT AS A 3709 02:12:22,810 --> 02:12:24,946 DEFICIT MODEL BUT STRENGTH BASED 3710 02:12:24,946 --> 02:12:27,115 MODEL AND AMPLIFYING THE VOICES 3711 02:12:27,115 --> 02:12:28,216 OF THE COMMUNITY, THEIR 3712 02:12:28,216 --> 02:12:30,218 INFLUENCE AND MAKING SURE WE PAY 3713 02:12:30,218 --> 02:12:32,420 ATTENTION TO NOT JUST THE 3714 02:12:32,420 --> 02:12:34,489 DEFICITS IN THE HEALTH 3715 02:12:34,489 --> 02:12:35,290 DISPARITIES, BUT WHERE WE CAN 3716 02:12:35,290 --> 02:12:37,225 TAKE WHAT WE SEE IN TERMS OF 3717 02:12:37,225 --> 02:12:39,160 STRIDES AND APPLY THEM IN 3718 02:12:39,160 --> 02:12:40,194 DIFFERENT AREAS. 3719 02:12:40,194 --> 02:12:43,264 A STUDY THAT INCORPORATES ALL 3720 02:12:43,264 --> 02:12:45,366 THESE OF THESE KEYS STAND THE 3721 02:12:45,366 --> 02:12:47,168 BEST CHANCE OF HAVING AN IMPACT 3722 02:12:47,168 --> 02:12:47,969 ON HEALTH EQUITY. 3723 02:12:47,969 --> 02:12:49,571 WE ARE STRIVING FORWARD. 3724 02:12:49,571 --> 02:12:52,874 DON'T SEE US SLOWING DOWN AT ANY 3725 02:12:52,874 --> 02:12:53,274 POINT. 3726 02:12:53,274 --> 02:12:54,676 AS A MATTER OF FACT, IF YOU GO 3727 02:12:54,676 --> 02:12:57,245 TO THE DATA TABLES I SHOWED YOU 3728 02:12:57,245 --> 02:13:00,048 EVERYTHING IS.ING TO US MOVING 3729 02:13:00,048 --> 02:13:00,281 FORWARD. 3730 02:13:00,281 --> 02:13:01,249 CHASING THE NORTH STAR WE WANT 3731 02:13:01,249 --> 02:13:03,451 TO MAKE SURE WE ARE INCORPS 3732 02:13:03,451 --> 02:13:05,420 RATES ING ALL PRINCIPLES 3733 02:13:05,420 --> 02:13:07,922 PROVIDING ADDITIONAL 3734 02:13:07,922 --> 02:13:09,257 OPPORTUNITIES TO REALIZE THE 3735 02:13:09,257 --> 02:13:11,526 IMPACT NECESSARY TO END UNEQUAL 3736 02:13:11,526 --> 02:13:11,793 TREATMENT. 3737 02:13:11,793 --> 02:13:12,961 NINR IS IN THIS. 3738 02:13:12,961 --> 02:13:17,265 WE ARE IN IT NOW AND A LITTLE 3739 02:13:17,265 --> 02:13:19,200 LATER WE WILL TALK ABOUT WHERE 3740 02:13:19,200 --> 02:13:21,369 WE NEED TO GO AND I HOPE YOU 3741 02:13:21,369 --> 02:13:24,973 WILL LEAN IN TO THE NEXT STEPS 3742 02:13:24,973 --> 02:13:28,276 AS WE ALL HEAD UNDERNEATH OUR 3743 02:13:28,276 --> 02:13:29,243 NORTH STAR. 3744 02:13:29,243 --> 02:13:30,878 NEXT SLIDE, PLEASE. 3745 02:13:30,878 --> 02:13:33,247 AND WITH THAT, I'LL JUST SAY 3746 02:13:33,247 --> 02:13:35,950 THANK YOU FOR YOUR TIME AND 3747 02:13:35,950 --> 02:13:36,551 REALLY APPRECIATE HAVING THE 3748 02:13:36,551 --> 02:13:39,387 OPPORTUNITY TO BE PART OF THIS 3749 02:13:39,387 --> 02:13:41,689 CONVERSATION AS SOMETHING THAT 3750 02:13:41,689 --> 02:13:49,597 WE ALL HOLD NEAR AND DEAR. 3751 02:13:49,597 --> 02:13:54,235 >> THANK YOU SO MUCH, DR. AKIN. 3752 02:13:54,235 --> 02:13:56,904 I WELCOME NINR FUNDED 3753 02:13:56,904 --> 02:13:58,139 INVESTIGATOR MELISSA HORNING. 3754 02:13:58,139 --> 02:13:59,540 AN ASSOCIATE PROFESSOR AT THE 3755 02:13:59,540 --> 02:14:01,075 UNIVERSITY OF MINNESOTA SCHOOL 3756 02:14:01,075 --> 02:14:01,609 OF NURSING. 3757 02:14:01,609 --> 02:14:03,811 HER CURRENT RESEARCH FOCUSES ON 3758 02:14:03,811 --> 02:14:06,080 EVALUATING THE EFFECTIVENESS OF 3759 02:14:06,080 --> 02:14:08,149 A MOBILE FOOD MARKET AND 3760 02:14:08,149 --> 02:14:09,250 BRINGING AFFORDABLE AND 3761 02:14:09,250 --> 02:14:11,085 NUTRITIOUS FOOD TO UNDERSERVED 3762 02:14:11,085 --> 02:14:13,054 COMMUNITIES AND THE IMPACT ON 3763 02:14:13,054 --> 02:14:16,257 DIET QUALITY, FOOD PURCHASING 3764 02:14:16,257 --> 02:14:17,392 HABITS AND FOOD SECURITY. 3765 02:14:17,392 --> 02:14:21,696 DR. HORNING IS NOT JOINED 3766 02:14:21,696 --> 02:14:21,963 VIRTUALLY. 3767 02:14:21,963 --> 02:14:22,797 UNFORTUNATELY HER COMMUNITY 3768 02:14:22,797 --> 02:14:24,666 PARTNER WAS NOT ABLE TO MAKE IT 3769 02:14:24,666 --> 02:14:25,133 TODAY. 3770 02:14:25,133 --> 02:14:26,701 SO WE'LL CATCH UP WITH THAT 3771 02:14:26,701 --> 02:14:28,569 PARTNER LATER. 3772 02:14:28,569 --> 02:14:30,304 BUT, AGAIN, THANK YOU DR. 3773 02:14:30,304 --> 02:14:31,606 HORNING FOR JOINING US AND WE 3774 02:14:31,606 --> 02:14:33,107 ARE LOOKING FORWARD TO HEARING 3775 02:14:33,107 --> 02:14:35,176 MORE ABOUT YOUR PARTNERSHIP AND 3776 02:14:35,176 --> 02:14:35,443 RESEARCH. 3777 02:14:35,443 --> 02:14:36,344 >> THANK YOU. 3778 02:14:36,344 --> 02:14:41,282 STEPH SENDS HER DEEPEST REGRETS. 3779 02:14:41,582 --> 02:14:43,251 SHE IS TOO REMOTE TO CALL IN. 3780 02:14:43,251 --> 02:14:45,753 SO SHE IS SORRY SHE CAN'T BE 3781 02:14:45,753 --> 02:14:46,387 HERE. 3782 02:14:46,387 --> 02:14:48,690 BUT SHE TOLD ME I COULD PRESENT. 3783 02:14:48,690 --> 02:14:50,558 WITH THAT, I WILL GET STARTED. 3784 02:14:50,558 --> 02:14:52,427 I COME TO THIS WORK BY WAY OF 3785 02:14:52,427 --> 02:14:53,561 PUBLIC HEALTH NURSING. 3786 02:14:53,561 --> 02:14:55,496 AS A PUBLIC HEALTH NURSE ONE OF 3787 02:14:55,496 --> 02:14:57,432 THE GREATEST TOOLS IN MY TOOLKIT 3788 02:14:57,432 --> 02:15:00,601 WAS PARTNERSHIP WITH MY CLIENTS 3789 02:15:00,601 --> 02:15:02,136 AND THE COMMUNITY RESOURCES AND 3790 02:15:02,136 --> 02:15:05,073 ORGANIZATIONS THAT SUPPORTED 3791 02:15:05,073 --> 02:15:05,273 THEM. 3792 02:15:05,273 --> 02:15:07,208 BECAUSE WITHOUT PARTNERSHIP I 3793 02:15:07,208 --> 02:15:08,276 COULDN'T HAVE DONE MY JOB WELL. 3794 02:15:08,276 --> 02:15:10,511 THE FOCUS ON FOOD CAME FROM MY 3795 02:15:10,511 --> 02:15:11,579 CLIENTS BECAUSE THEY WERE 3796 02:15:11,579 --> 02:15:14,415 WORRIED ABOUT ACCESSING FOOD, 3797 02:15:14,415 --> 02:15:15,817 AFFORDING FOOD AND FOR SOME 3798 02:15:15,817 --> 02:15:17,685 PREPARING FOOD AND GETTING THEIR 3799 02:15:17,685 --> 02:15:20,722 KIDS TO EAT WELL. 3800 02:15:20,722 --> 02:15:22,156 NUTRITIOUS FOOD IS ESSENTIAL FOR 3801 02:15:22,156 --> 02:15:24,959 HEALTHY GROWTH AND DOCUMENT OF 3802 02:15:24,959 --> 02:15:26,327 OUR CHILDREN, MANAGEMENT OF 3803 02:15:26,327 --> 02:15:29,997 CHRONIC HEALTH CONDITIONS AND 3804 02:15:29,997 --> 02:15:30,865 AGING WELL. 3805 02:15:30,865 --> 02:15:33,034 NOT EVERYONE HAS ACCESS TO THE 3806 02:15:33,034 --> 02:15:35,002 FOOD THEY NEED AND FOOT 3807 02:15:35,002 --> 02:15:36,871 INSECURITY IS THE LIMITED ACCESS 3808 02:15:36,871 --> 02:15:38,906 TO FOOD AND THIS DOESN'T BEGIN 3809 02:15:38,906 --> 02:15:41,909 TO ADDRESS NUTRITIOUS FOOD. 3810 02:15:41,909 --> 02:15:43,344 FOOD INSECURITY IS CONTRIBUTING 3811 02:15:43,344 --> 02:15:46,280 TO HEALTH INEQUITIES RELATED TO 3812 02:15:46,280 --> 02:15:48,216 DIET, WEIGHT AND OTHER HEALTH 3813 02:15:48,216 --> 02:15:48,549 CONDITIONS. 3814 02:15:48,549 --> 02:15:50,685 RESEARCH HAS SHOWN IT IS 3815 02:15:50,685 --> 02:15:52,553 CONTRIBUTING TO A HOST OF POOR 3816 02:15:52,553 --> 02:15:55,723 OUTCOMES THAT MAKE IT IS A MAJOR 3817 02:15:55,723 --> 02:16:06,100 PUBLIC HEALTH CONCERN. 3818 02:16:09,270 --> 02:16:11,305 FOOD INSECURITY IMPACTS 1 IN 10 3819 02:16:11,305 --> 02:16:12,673 IN THE UNITED STATES. 3820 02:16:12,673 --> 02:16:15,042 UNFORTUNATELY, THIS IMPACT IS 3821 02:16:15,042 --> 02:16:17,278 NOT EQUITABLY DISTRIBUTED ACROSS 3822 02:16:17,278 --> 02:16:18,679 OUR COMMUNITIES. 3823 02:16:18,679 --> 02:16:21,249 FOOD INSECURITY 3824 02:16:21,249 --> 02:16:23,451 DISPROPORTIONATELY AFFECTS THOSE 3825 02:16:23,451 --> 02:16:27,255 FROM MINORTIZED RACIAL GROUPS. 3826 02:16:27,255 --> 02:16:31,692 IT IS JUMPING TWO SLIDE AT ONCE. 3827 02:16:31,692 --> 02:16:38,032 THOSE WHO ARE LOWER ECONOMIC 3828 02:16:38,032 --> 02:16:38,266 STATUS. 3829 02:16:38,266 --> 02:16:41,035 THE MAJOR FACTORS ARE THE 3830 02:16:41,035 --> 02:16:42,503 STRUCTURAL DETERMINANTS OF 3831 02:16:42,503 --> 02:16:44,972 HEALTH, SYSTEMS AND STRUCTURES 3832 02:16:44,972 --> 02:16:47,308 AND CONDITIONS WE LIVE, WORK AND 3833 02:16:47,308 --> 02:16:47,842 PLAY. 3834 02:16:47,842 --> 02:16:49,243 IN PARTICULAR STRUCTURAL RACISM 3835 02:16:49,243 --> 02:16:51,479 IS CONTRIBUTING TO FOOD 3836 02:16:51,479 --> 02:16:53,080 INSECURITY THROUGH CHRONIC 3837 02:16:53,080 --> 02:16:54,415 DISINVESTMENT IN COMMUNITIES 3838 02:16:54,415 --> 02:16:57,185 PREDOMINANTLY OF PEOPLE OF COLOR 3839 02:16:57,185 --> 02:17:00,454 AND OR LOW SOCIOECONOMIC STATUS. 3840 02:17:00,454 --> 02:17:01,689 STRUCTURAL RACISM IS 3841 02:17:01,689 --> 02:17:03,224 CONTRIBUTING TO FOOD INSECURITY 3842 02:17:03,224 --> 02:17:05,259 BASED ON WHERE FULL SERVICE 3843 02:17:05,259 --> 02:17:06,594 GROCERY STORES CHOOSE TO OPERATE 3844 02:17:06,594 --> 02:17:08,496 AND ARE ALLOWED TO OPERATE 3845 02:17:08,496 --> 02:17:10,798 THROUGH ZONING POLICIES AND 3846 02:17:10,798 --> 02:17:10,998 LAWS. 3847 02:17:10,998 --> 02:17:14,302 ECONOMIC INSTABILITY AND LIMITED 3848 02:17:14,302 --> 02:17:15,636 EMPLOYMENT OPPORTUNITIES ARE 3849 02:17:15,636 --> 02:17:17,271 CONTRIBUTING TO FOOD INSECURITY. 3850 02:17:17,271 --> 02:17:20,641 WHEN FACED WITH MULTIPLE NEEDS, 3851 02:17:20,641 --> 02:17:23,010 HOUSING, HEAT AND FOOD, FOOD IS 3852 02:17:23,010 --> 02:17:23,611 PRETTY FLEXIBLE. 3853 02:17:23,611 --> 02:17:25,580 WE HAVE ALL SEEN THE RISING COST 3854 02:17:25,580 --> 02:17:27,215 OF FOOD IN RECENT YEARS AND WE 3855 02:17:27,215 --> 02:17:28,850 ALSO KNOW THAT BASED ON THE 3856 02:17:28,850 --> 02:17:31,252 LOCATION AND TYPES OF STORES 3857 02:17:31,252 --> 02:17:34,455 AVAILABLE IN YOUR COMMUNITY, 3858 02:17:34,455 --> 02:17:37,258 PRICES VARY DRAMATICALLY, 3859 02:17:37,258 --> 02:17:39,193 SMALLER STORES HAVE HIGHER 3860 02:17:39,193 --> 02:17:41,095 PRICES AND LOWER QUALITY FOODS. 3861 02:17:41,095 --> 02:17:43,397 THIS IS A MAP OF THE TWIN CITIES 3862 02:17:43,397 --> 02:17:44,832 METROPOLITAN AREA IN MINNESOTA. 3863 02:17:44,832 --> 02:17:46,467 AND THE AREAS IN ORANGE ARE 3864 02:17:46,467 --> 02:17:48,936 CENSUS TRACKS EXPERIENCING LOW 3865 02:17:48,936 --> 02:17:50,338 INCOME AND LOW FOOD ACCESS. 3866 02:17:50,338 --> 02:17:53,274 AS YOU CAN SEE, LOW FOOD ACCESS 3867 02:17:53,274 --> 02:17:54,976 IS NOT EQUITABLY DISTRIBUTED 3868 02:17:54,976 --> 02:17:57,245 ACROSS OUR COMMUNITY, THIS IS 3869 02:17:57,245 --> 02:17:59,814 ACROSS THE COUNTRY. 3870 02:17:59,814 --> 02:18:01,582 AS A PUBLIC HEALTH NURSING 3871 02:18:01,582 --> 02:18:02,917 RESEARCHER I HAVE WRESTLED WITH, 3872 02:18:02,917 --> 02:18:04,518 WHAT DO WE DO? 3873 02:18:04,518 --> 02:18:05,653 HOW DO WE INTERVENE? 3874 02:18:05,653 --> 02:18:07,221 WHAT IS THE NEXT STEP? 3875 02:18:07,221 --> 02:18:10,458 SO I HAVE SEEN A LOT OF REALLY 3876 02:18:10,458 --> 02:18:13,194 AMAZING INNOVATIVE PROJECTS IN 3877 02:18:13,194 --> 02:18:14,462 RESEARCH AND COMMUNITY LIVE AND 3878 02:18:14,462 --> 02:18:15,963 DIE WITH GRANT FUNDING AND 3879 02:18:15,963 --> 02:18:17,565 CHANGES IN RESULTS IN FUNDING 3880 02:18:17,565 --> 02:18:18,366 PRIORITIES OR CHANGES IN 3881 02:18:18,366 --> 02:18:18,966 LEADERSHIP. 3882 02:18:18,966 --> 02:18:21,302 I WANTED TO BE SURE I WAS 3883 02:18:21,302 --> 02:18:22,403 CONTRIBUTING TO SOMETHING 3884 02:18:22,403 --> 02:18:24,305 POTENTIALLY SUSTAINABLE IN A 3885 02:18:24,305 --> 02:18:26,140 REALLY MEANINGFUL WAY TO ADVANCE 3886 02:18:26,140 --> 02:18:27,642 EQUITY AND I KNEW I HAD TO GO 3887 02:18:27,642 --> 02:18:29,543 BACK TO MY ROOTS AS A PUBLIC 3888 02:18:29,543 --> 02:18:30,544 HEALTH NURSE. 3889 02:18:30,544 --> 02:18:33,247 I KNEW IT NEEDED TO BE A 3890 02:18:33,247 --> 02:18:34,482 PARTNERED PROJECT. 3891 02:18:34,482 --> 02:18:36,083 THE TWIN CITYING MOBILE MARKET 3892 02:18:36,083 --> 02:18:37,718 WAS FOUNDED ON THE VALUES OF 3893 02:18:37,718 --> 02:18:38,753 EQUITY AND COMMUNITY ENGAGEMENT. 3894 02:18:38,753 --> 02:18:41,255 THE FOUNDING DIRECTOR LEAH 3895 02:18:41,255 --> 02:18:42,957 PORTER TALKED TO OVER 1,000 3896 02:18:42,957 --> 02:18:44,058 EMEMBERS OF THE COMMUNITY TO 3897 02:18:44,058 --> 02:18:45,626 MAKE SURE THE MOBILE MARKET 3898 02:18:45,626 --> 02:18:46,928 DESIGNED AND BUILT REFLECTED THE 3899 02:18:46,928 --> 02:18:48,596 NEEDS OF THE PEOPLE THAT WOULD 3900 02:18:48,596 --> 02:18:50,331 BE USING IT. 3901 02:18:50,331 --> 02:18:51,966 SHE WAS COMMITTED AND THE 3902 02:18:51,966 --> 02:18:54,335 COMMUNITY REALLY NEEDED THE 3903 02:18:54,335 --> 02:18:58,306 HIGHEST QUALITY CUSTOMER SERVICE 3904 02:18:58,306 --> 02:19:01,709 AND QUALITY AFFORDABLE FOODS. 3905 02:19:01,709 --> 02:19:04,545 THIS MOBILE MARKET GOES TO 25 3906 02:19:04,545 --> 02:19:05,913 SITES THAT ARE SPECIOUS LOW 3907 02:19:05,913 --> 02:19:08,416 INCOME AND LOW FOOD ACCESS AND 3908 02:19:08,416 --> 02:19:10,284 SELLS FOOD FROM ALL THE FOOD 3909 02:19:10,284 --> 02:19:10,518 GROUPS. 3910 02:19:10,518 --> 02:19:13,287 IT WAS INITIALLY OPERATED WITH 3911 02:19:13,287 --> 02:19:14,288 THE WILDER FOUNDATION. 3912 02:19:14,288 --> 02:19:16,457 THIS IS WHAT IT LOOKED LIKE IN 3913 02:19:16,457 --> 02:19:18,726 THE EARLY DAYS ON THE INSIDE 3914 02:19:18,726 --> 02:19:19,760 COMPLETE WITH SHOPPING CARTS. 3915 02:19:19,760 --> 02:19:23,597 THIS IS WHAT IT LOOKS LIKE NOW. 3916 02:19:23,597 --> 02:19:27,535 THE BUSES WERE JUST REFRESHED. 3917 02:19:27,535 --> 02:19:29,704 THEY INVESTED IN NEW BUSES 3918 02:19:29,704 --> 02:19:31,739 BECAUSE THE OLD BUSES HAS 3919 02:19:31,739 --> 02:19:33,240 SERIOUS MECHANICAL ISSUES THAT 3920 02:19:33,240 --> 02:19:33,441 RECUR. 3921 02:19:33,441 --> 02:19:35,910 THIS IS THE INSIDE OF THE BUS 3922 02:19:35,910 --> 02:19:36,077 NOW. 3923 02:19:36,077 --> 02:19:39,080 IT STILL HAS SHOPPING CARTS. 3924 02:19:39,080 --> 02:19:40,648 IN 2016 OUR ENGAGE RESEARCH 3925 02:19:40,648 --> 02:19:41,682 PROJECT BEGAN. 3926 02:19:41,682 --> 02:19:43,851 WHEN LEAH AND I MET FOR THE 3927 02:19:43,851 --> 02:19:46,620 FIRST TIME IT WAS BETTING TO 3928 02:19:46,620 --> 02:19:49,256 KNOW EACH OTHER AND DEVELOP A 3929 02:19:49,256 --> 02:19:50,758 PARTNERSHIP AND FIGURE OUT NEEDS 3930 02:19:50,758 --> 02:19:52,626 AND PRIORITIES. 3931 02:19:52,626 --> 02:19:54,996 I KNEW THAT INVOLVES TALKING TO 3932 02:19:54,996 --> 02:19:55,730 CUSTOMER. 3933 02:19:55,730 --> 02:19:58,766 LEAH SAID THIS MODEL ISN'T 3934 02:19:58,766 --> 02:20:00,835 INEXPENSIVE TO RUN, IT SOUNDS 3935 02:20:00,835 --> 02:20:03,237 GOOD, FEELS GOOD, WE NEED TO 3936 02:20:03,237 --> 02:20:06,340 KNOW IF IT IS HAVING IMPACT. 3937 02:20:06,340 --> 02:20:07,942 IS IT CHANGING FOOD INSECURITY? 3938 02:20:07,942 --> 02:20:10,511 IF IT IS NOT, WE NEED TO 3939 02:20:10,511 --> 02:20:12,747 RECONVENE AND FIGURE OUT WHAT WE 3940 02:20:12,747 --> 02:20:14,281 COULD DO INSTEAD. 3941 02:20:14,281 --> 02:20:16,584 LEAH REALLY WANTED TO KNOW THE 3942 02:20:16,584 --> 02:20:19,086 IMPACT OF THE MOBILE MARKET, SHE 3943 02:20:19,086 --> 02:20:20,488 DIDN'T WANT TO CREATE ANOTHER 3944 02:20:20,488 --> 02:20:22,556 BARRIER TO ACCESSING FOOD IN THE 3945 02:20:22,556 --> 02:20:26,527 AREAS SHE WAS TRYING TO IMPROVE 3946 02:20:26,527 --> 02:20:27,862 FOOD ACCESS. 3947 02:20:27,862 --> 02:20:29,730 BECAUSE OF HISTORICAL HARMS OF 3948 02:20:29,730 --> 02:20:32,099 RESEARCH SHE WAS LIKE IS THIS A 3949 02:20:32,099 --> 02:20:33,467 GOOD MOVE FOR US. 3950 02:20:33,467 --> 02:20:36,237 WE NEEDED TO BILL TRUST AND 3951 02:20:36,237 --> 02:20:36,470 RAPPORT. 3952 02:20:36,470 --> 02:20:38,706 I WORK ON A SALES DATA PROJECT 3953 02:20:38,706 --> 02:20:40,775 AND I WAS ABLE TO GET TO KNOW 3954 02:20:40,775 --> 02:20:42,143 HER OVER THE PROCESS OF DOING 3955 02:20:42,143 --> 02:20:45,079 JUST A DATA ANALYSIS PROJECT AND 3956 02:20:45,079 --> 02:20:46,580 VOLUNTEERING FOR HER WHEN SHE 3957 02:20:46,580 --> 02:20:47,648 NEEDED A VOLUNTEER. 3958 02:20:47,648 --> 02:20:49,617 AND THAT LED US TO THE POINT 3959 02:20:49,617 --> 02:20:52,620 WHERE WE WERE BEGINNING TO WEAVE 3960 02:20:52,620 --> 02:20:54,455 THE COMMUNITY ENGAGED RESEARCH 3961 02:20:54,455 --> 02:20:58,092 PARTNERSHIP WRITING RESEARCH 3962 02:20:58,092 --> 02:20:59,660 GRANTS AND PROGRAM 3963 02:20:59,660 --> 02:21:00,694 IMPLEMENTATION GRANTS. 3964 02:21:00,694 --> 02:21:03,030 WE EMPHASIZED SHARE DECISION 3965 02:21:03,030 --> 02:21:03,464 MAKING. 3966 02:21:03,464 --> 02:21:05,132 SHE READ EVERYTHING I WROTE, I 3967 02:21:05,132 --> 02:21:07,101 READ EVERYTHING SHE WROTE. 3968 02:21:07,101 --> 02:21:08,569 THAT LED TO THE FIRST STUDY THAT 3969 02:21:08,569 --> 02:21:10,137 WAS FUNDED WITH CUSTOMERS. 3970 02:21:10,137 --> 02:21:11,539 THAT WAS INTENTIONAL. 3971 02:21:11,539 --> 02:21:13,240 THE CUSTOMERS ARE THE EXPERTS OF 3972 02:21:13,240 --> 02:21:15,976 THEIR LIVES SO WE WANTED TO KNOW 3973 02:21:15,976 --> 02:21:18,079 FROM THEM FIRST WHAT WAS THE 3974 02:21:18,079 --> 02:21:19,747 LIVED EXPERIENCE OF SHOPPING AT 3975 02:21:19,747 --> 02:21:22,817 THE TWIN CITIES MOBILE MARKET? 3976 02:21:22,817 --> 02:21:24,485 MORE IMPORTANTLY WE WANTED TO 3977 02:21:24,485 --> 02:21:26,153 UNDERSTAND BETTER HOW DO WE DO 3978 02:21:26,153 --> 02:21:27,154 RESEARCH IN THE COMMUNITY AND DO 3979 02:21:27,154 --> 02:21:28,923 IT WELL AND CORRECTLY. 3980 02:21:28,923 --> 02:21:30,124 WE LEARNED A LOT OF WONDERFUL 3981 02:21:30,124 --> 02:21:31,959 THINGS FROM THE CUSTOMERS. 3982 02:21:31,959 --> 02:21:34,528 WE ALSO WERE FORTUNATE TO 3983 02:21:34,528 --> 02:21:35,830 RECEIVE A PROGRAM IMPLEMENTATION 3984 02:21:35,830 --> 02:21:40,468 GRANT FROM THE UNITED STATES 3985 02:21:40,468 --> 02:21:44,705 DEPARTMENT OF AGRICULTURE WITH A 3986 02:21:44,705 --> 02:21:46,407 RESEARCH IN IT. 3987 02:21:46,407 --> 02:21:48,676 WE GOT TO THE REMAIN IN FIELD 3988 02:21:48,676 --> 02:21:50,444 AND TALK WITH CUSTOMERS ABOUT 3989 02:21:50,444 --> 02:21:50,911 DAY-TO-DAY. 3990 02:21:50,911 --> 02:21:53,347 IT ALLOWS CUSTOMER INTERCEPT 3991 02:21:53,347 --> 02:21:56,183 SURVEYS AS WE WERE ABLE TO 3992 02:21:56,183 --> 02:21:57,985 DISCOVER THAT FOOD INSECURITY 3993 02:21:57,985 --> 02:22:01,122 WAS A NEARLY UNIVERSAL 3994 02:22:01,122 --> 02:22:01,422 EXPERIENCE. 3995 02:22:01,422 --> 02:22:04,625 AND THOSE PROJECTS THEN LED US 3996 02:22:04,625 --> 02:22:07,428 TO WHERE WE ARE AT THIS POINT, 3997 02:22:07,428 --> 02:22:10,831 SUBMITTED OUR FIRST RO1 AND 3998 02:22:10,831 --> 02:22:12,466 ENGAGING PARTNERS INVOLVED IN 3999 02:22:12,466 --> 02:22:12,867 THE WORK. 4000 02:22:12,867 --> 02:22:14,001 TRUE TO PROGRAMS IN THE 4001 02:22:14,001 --> 02:22:15,903 COMMUNITY, THEY ARE OPERATING IN 4002 02:22:15,903 --> 02:22:16,871 A SPACE WHERE THINGS ARE 4003 02:22:16,871 --> 02:22:18,405 CHANGING ALL THE TIME. 4004 02:22:18,405 --> 02:22:21,609 AS WE WERE WRITING OUR FIRST 4005 02:22:21,609 --> 02:22:23,310 RO1, THE MOBILE MARKET WAS 4006 02:22:23,310 --> 02:22:24,345 SWITCHING UMBRELLA 4007 02:22:24,345 --> 02:22:24,678 ORGANIZATIONS. 4008 02:22:24,678 --> 02:22:25,746 AS STEPH WOULD LIKE TO TELL YOU, 4009 02:22:25,746 --> 02:22:27,448 IT IS VERY, VERY CHALLENGING TO 4010 02:22:27,448 --> 02:22:29,250 TRANSITION A PROGRAM AT THE 4011 02:22:29,250 --> 02:22:31,485 START OF A PANDEMIC. 4012 02:22:31,485 --> 02:22:35,089 BUT THAT BEING SAID, MY INITIATE 4013 02:22:35,089 --> 02:22:36,290 PARTNER, LEAH, WAS TRARNS 4014 02:22:36,290 --> 02:22:37,158 SITUATIONING AWAY FROM THE 4015 02:22:37,158 --> 02:22:40,461 PROGRAM SO ALL OF THIS 4016 02:22:40,461 --> 02:22:42,029 HISTORICAL TRUST AND RAPPORT WE 4017 02:22:42,029 --> 02:22:43,831 BUILT UP HAD TO GET 4018 02:22:43,831 --> 02:22:44,198 RE-ESTABLISHED. 4019 02:22:44,198 --> 02:22:46,267 IT TOOK TIME TO GET THAT PART 4020 02:22:46,267 --> 02:22:47,368 DONE WHERE WE WERE LOOKING AT 4021 02:22:47,368 --> 02:22:50,671 WHAT ARE THE AIMS OF THIS STUDY 4022 02:22:50,671 --> 02:22:52,173 AND WHAT CAN WE DO TOGETHER AND 4023 02:22:52,173 --> 02:22:53,073 THE NEEDS OF THE ORGANIZATION 4024 02:22:53,073 --> 02:22:55,576 AND WHAT IS THE BENEFIT OR THE 4025 02:22:55,576 --> 02:22:56,944 POTENTIAL THINGS RESEARCH COULD 4026 02:22:56,944 --> 02:22:57,745 BRING TO THAT WORK? 4027 02:22:57,745 --> 02:23:00,181 WE WERE ABLE TO BE SUCCESSFUL IN 4028 02:23:00,181 --> 02:23:01,916 OUR GRANT RESUBMISSION AND WE 4029 02:23:01,916 --> 02:23:06,420 WERE FUNDED IN 2022 TO EVALUATE 4030 02:23:06,420 --> 02:23:08,889 THE IMPACT OF THIS FULL SERVICE 4031 02:23:08,889 --> 02:23:12,760 MOBILE MARKET ON DIETARY QUALITY 4032 02:23:12,760 --> 02:23:13,794 AND FOOD INSECURITY. 4033 02:23:13,794 --> 02:23:17,264 WE ARE SEEKING TO EXPLORE WHAT 4034 02:23:17,264 --> 02:23:19,800 IS THE EXPERIENCE OF THE MOBILE 4035 02:23:19,800 --> 02:23:21,268 MARKET AS THE INTERVENTION ARM. 4036 02:23:21,268 --> 02:23:22,770 TO UNDERSTAND WHAT IS WORKING, 4037 02:23:22,770 --> 02:23:25,272 WHAT CAN BE DO BETTER OR WHY 4038 02:23:25,272 --> 02:23:26,807 THEY CHOOSE TO SHOP OR DON'T 4039 02:23:26,807 --> 02:23:27,708 CHOOSE TO SHOP. 4040 02:23:27,708 --> 02:23:30,044 WE ARE AIMING TO DO 12 NEW 4041 02:23:30,044 --> 02:23:31,645 MOBILE MARKET SITES IN THE TWIN 4042 02:23:31,645 --> 02:23:33,881 CITIES TARGETING 264 4043 02:23:33,881 --> 02:23:35,549 PARTICIPANTS FOR POWER PURPOSES. 4044 02:23:35,549 --> 02:23:37,184 I'M PLEASED TO REPORT WE HAVE 4045 02:23:37,184 --> 02:23:38,852 JUST BEGUN BASELINE RECRUITMENT 4046 02:23:38,852 --> 02:23:40,554 AND DATA COLLECTION FOR OUR 4047 02:23:40,554 --> 02:23:43,490 THIRD WAVE OF THIS STUDY. 4048 02:23:43,490 --> 02:23:45,259 AND AFTER BASELINE DATA 4049 02:23:45,259 --> 02:23:46,060 COLLECTION RECRUITMENT IS DONE 4050 02:23:46,060 --> 02:23:49,530 FOR EACH OF THE WEAVES, THEY GET 4051 02:23:49,530 --> 02:23:50,898 RANDOMIZED TO RECEIVE THE MOBILE 4052 02:23:50,898 --> 02:23:53,133 MARKET OR HAVE TO WAIT UNTIL 4053 02:23:53,133 --> 02:23:55,202 FOLLOW-UP DATA COLLECTION IS 4054 02:23:55,202 --> 02:23:55,402 DONE. 4055 02:23:55,402 --> 02:23:57,238 HOPEFULLY BY NOW YOU SEE THE 4056 02:23:57,238 --> 02:23:57,972 COMMUNITY ENGAGEMENT WE ARE 4057 02:23:57,972 --> 02:24:00,107 DOING IN THIS WORK HAS BEEN 4058 02:24:00,107 --> 02:24:01,575 EMBEDDED IN THE PROJECT FROM THE 4059 02:24:01,575 --> 02:24:03,143 DEVELOPMENT OF THE AIM SO THE 4060 02:24:03,143 --> 02:24:05,246 DIVISION OF RESPONSIBILITIES 4061 02:24:05,246 --> 02:24:08,882 THEY ARE CLEARLY NEED TO BE 4062 02:24:08,882 --> 02:24:10,284 BREAKING DOWN THE BUSES. 4063 02:24:10,284 --> 02:24:12,553 THEY DON'T WANT ME IN THAT ROLE. 4064 02:24:12,553 --> 02:24:15,356 IT ALLOWED US TO OPENLY 4065 02:24:15,356 --> 02:24:16,857 COMMUNICATE HONESTLY WITH ONE 4066 02:24:16,857 --> 02:24:18,392 ANOTHER AS THIS PARTNERSHIP 4067 02:24:18,392 --> 02:24:19,526 CONTINUES TO DEVELOP OVER TIME 4068 02:24:19,526 --> 02:24:21,028 TO VALUE THE EXPERTISE OF 4069 02:24:21,028 --> 02:24:22,529 EVERYONE WHO COMES TO THE TABLE. 4070 02:24:22,529 --> 02:24:25,599 WE HAVE HAD TO NEGOTIATE 4071 02:24:25,599 --> 02:24:27,468 BUDGETS, AFTER BUDGET CUTS. 4072 02:24:27,468 --> 02:24:28,535 THINK ABOUT HOW DO WE SELECT 4073 02:24:28,535 --> 02:24:30,004 SITES FOR THE TRIAL. 4074 02:24:30,004 --> 02:24:32,373 THE MOBILE MARKET HAS CRITERIA. 4075 02:24:32,373 --> 02:24:34,541 THEY HAVE TO HAVE SOMEWHERE TO 4076 02:24:34,541 --> 02:24:35,643 PARK THE BUS. 4077 02:24:35,643 --> 02:24:37,611 IN ORDER TO MAKE IT THROUGH PEER 4078 02:24:37,611 --> 02:24:40,047 REVIEW WE HAD TO DECREASE THE 4079 02:24:40,047 --> 02:24:41,949 RISK OF DECON TAME NATION. 4080 02:24:41,949 --> 02:24:43,584 HOW DO WE INTERFACE WITH THE 4081 02:24:43,584 --> 02:24:44,685 COMMUNITY SITES THAT ARE 4082 02:24:44,685 --> 02:24:45,886 INTERESTED IN THE MOBILE MARKET, 4083 02:24:45,886 --> 02:24:47,388 SEEING IF THERE IS A GOOD FIT 4084 02:24:47,388 --> 02:24:48,756 BECAUSE AT THE END OF THE DAY 4085 02:24:48,756 --> 02:24:50,958 THE PEOPLE WHO LIVE IN THE 4086 02:24:50,958 --> 02:24:52,526 BUILDINGS THAT THE MOBIL MARKET 4087 02:24:52,526 --> 02:24:53,861 GOES TO NEED TO BE ABLE TO WANT 4088 02:24:53,861 --> 02:24:55,429 AND THINK THIS IS A GOOD IDEA 4089 02:24:55,429 --> 02:24:57,264 FOR THEM. 4090 02:24:57,264 --> 02:25:00,334 WE TRIED TO CREATE NICE FEEDBACK 4091 02:25:00,334 --> 02:25:02,703 LOOPS TO VALUE THE PARTICIPANT 4092 02:25:02,703 --> 02:25:03,904 EXPERIENCE AND THE MOBILE MARKET 4093 02:25:03,904 --> 02:25:04,938 STAFF ON THE GROUND EVERY SINGLE 4094 02:25:04,938 --> 02:25:06,974 DAY AND THEIR CUSTOMERS. 4095 02:25:06,974 --> 02:25:09,710 SO IN THE RESEARCH PROCESSES, WE 4096 02:25:09,710 --> 02:25:11,879 HAVE SOUGHT STAFF AND CUSTOMER 4097 02:25:11,879 --> 02:25:14,014 INPUT SO THEY ARE REVIEWING 4098 02:25:14,014 --> 02:25:17,151 EVERYTHING, TOO, TO MAKE SURE 4099 02:25:17,151 --> 02:25:18,452 OUR MEASUREMENT PROCESSES ARE IN 4100 02:25:18,452 --> 02:25:20,888 THE RIGHT SPACE, WE HAVE THE 4101 02:25:20,888 --> 02:25:23,223 RIGHT RECRUITMENT AND RETENTION 4102 02:25:23,223 --> 02:25:24,124 STRATEGIES. 4103 02:25:24,124 --> 02:25:27,294 AND THEY'VE HELPED US FIGURE OUT 4104 02:25:27,294 --> 02:25:28,529 HOW DO WE MAKE PARTICIPATION 4105 02:25:28,529 --> 02:25:29,263 WELCOMING AND EASY. 4106 02:25:29,263 --> 02:25:30,964 WE ARE IN THE COMMUNITY WITH 4107 02:25:30,964 --> 02:25:31,165 FOLKS. 4108 02:25:31,165 --> 02:25:34,568 WE TRY TO AIM FOR A REALLY 4109 02:25:34,568 --> 02:25:35,369 HOSPITABLE EXPERIENCE. 4110 02:25:35,369 --> 02:25:37,371 WE BUILT IN ACCOMMODATIONS FOR 4111 02:25:37,371 --> 02:25:37,638 EVERYONE. 4112 02:25:37,638 --> 02:25:39,006 FOR EXAMPLE, INSTEAD OF HAVING 4113 02:25:39,006 --> 02:25:41,375 SOMEONE BE LIKE, HERE IS YOUR 4114 02:25:41,375 --> 02:25:43,510 SURVEY, WHEN IT GETS TO THAT 4115 02:25:43,510 --> 02:25:45,713 POINT IN TIME EVERYONE IS 4116 02:25:45,713 --> 02:25:48,148 OFFERED, WOULD YOU LIKE HELP 4117 02:25:48,148 --> 02:25:49,917 READING YOUR SURVEY OR HELP WITH 4118 02:25:49,917 --> 02:25:51,518 THE iPAD OR WOULD YOU LIKE TO 4119 02:25:51,518 --> 02:25:53,687 TAKE THE SURVEY THEMSELVES. 4120 02:25:53,687 --> 02:25:56,623 WE WANT TO MAKE SURE THERE 4121 02:25:56,623 --> 02:25:59,126 AREN'T EXTRA BARRIERS FOR 4122 02:25:59,126 --> 02:26:00,294 RESEARCH PARTICIPATE. 4123 02:26:00,294 --> 02:26:01,862 RESEARCH ISN'T FOR EVERYONE. 4124 02:26:01,862 --> 02:26:03,297 THE WONDERFUL PART ABOUT OUR 4125 02:26:03,297 --> 02:26:05,666 TRIAL IS THE MOBILE MARKET IS 4126 02:26:05,666 --> 02:26:06,367 AVAILABLE TO EVERYONE. 4127 02:26:06,367 --> 02:26:08,435 RESEARCH PARTICIPANTS AND 4128 02:26:08,435 --> 02:26:11,105 BUILDING RESIDENTS ALIKE. 4129 02:26:11,105 --> 02:26:11,972 THE MOBILE MARKET STAFF DON'T 4130 02:26:11,972 --> 02:26:13,907 KNOW WHO IS A PARTICIPANT AND 4131 02:26:13,907 --> 02:26:14,875 WHO IS NOT. 4132 02:26:14,875 --> 02:26:16,777 WE HAVE LAUNCH EVENTS WHERE 4133 02:26:16,777 --> 02:26:17,578 EVERYBODY IN THE BUILDING COMES 4134 02:26:17,578 --> 02:26:19,913 TO LEARN ABOUT WHAT THE MOBILE 4135 02:26:19,913 --> 02:26:21,749 MARKET IS, HOW IT WORKS. 4136 02:26:21,749 --> 02:26:23,117 WE ARE SEEKING THAT EXPERIENCE 4137 02:26:23,117 --> 02:26:25,519 IN OUR PARTICIPANTS AND CLEARLY 4138 02:26:25,519 --> 02:26:26,754 GOING TO INFORM OUR PARTICIPANTS 4139 02:26:26,754 --> 02:26:28,188 OF THE TRIAL RESULTS. 4140 02:26:28,188 --> 02:26:30,724 SO WHEA WE KNOW IS THE DATA ARE 4141 02:26:30,724 --> 02:26:31,892 REALLY GOING TO SUPPORT THE FULL 4142 02:26:31,892 --> 02:26:33,494 SERVICE MOBILE MARKET MODEL OR 4143 02:26:33,494 --> 02:26:34,862 SUGGEST THAT CHANGES MIGHT BE 4144 02:26:34,862 --> 02:26:36,196 NEEDED TO PAVE THE WAY FOR 4145 02:26:36,196 --> 02:26:37,931 SERVICES THAT ARE TRULY 4146 02:26:37,931 --> 02:26:39,032 RESPONSIVE TO THE COMMUNITY 4147 02:26:39,032 --> 02:26:40,634 NEEDS AND INTEREST. 4148 02:26:40,634 --> 02:26:43,604 WE KNOW THE PARTICIPANTS IN OUR 4149 02:26:43,604 --> 02:26:45,072 STUDY ARE DEM GRAPHICALLY 4150 02:26:45,072 --> 02:26:46,907 REPRESENTED BY THE BUILDING 4151 02:26:46,907 --> 02:26:49,243 POPULATIONS AND WI HAVE HAD A 4152 02:26:49,243 --> 02:26:51,378 HIGH RETENTION RATE. 4153 02:26:51,378 --> 02:26:54,114 WE REGULARLY HEAR THAT 4154 02:26:54,114 --> 02:26:55,349 PARTICIPANTS LIKE PARTICIPATING 4155 02:26:55,349 --> 02:26:58,051 IN OUR STUDY AND I SOMETIMES GET 4156 02:26:58,051 --> 02:26:59,853 CUTE NOTES AND THEY ARE LIKE, DO 4157 02:26:59,853 --> 02:27:02,222 YOU HAVE ANY OTHER STUDIES WE 4158 02:27:02,222 --> 02:27:03,690 CAN PARTICIPATE IN? 4159 02:27:03,690 --> 02:27:05,259 WE KNOW CHALLENGES REMAIN. 4160 02:27:05,259 --> 02:27:08,629 NO COMMUNITY WANTS TO WAIT UNTIL 4161 02:27:08,629 --> 02:27:10,631 FOLLOW UP DATA COLLECTION TO 4162 02:27:10,631 --> 02:27:12,666 START THE SERVICE BECAUSE NEEDS 4163 02:27:12,666 --> 02:27:15,302 ARE IMMEDIATE. 4164 02:27:15,302 --> 02:27:16,236 NEEDS ARE NOW. 4165 02:27:16,236 --> 02:27:18,939 IF THE SITES ARE NEXT TO A 4166 02:27:18,939 --> 02:27:20,641 HIGH-END GROCERY STORE, THAT IS 4167 02:27:20,641 --> 02:27:22,309 OFF THE LIST EVEN THOUGH IT 4168 02:27:22,309 --> 02:27:25,045 WOULD POTENTIALLY BE A COMMUNITY 4169 02:27:25,045 --> 02:27:26,847 SITE THAT WOULD VERY MUCH NEED 4170 02:27:26,847 --> 02:27:31,318 THE TWIN CITIES MOESHL -- 4171 02:27:31,318 --> 02:27:32,953 MOESHL MARKET. 4172 02:27:32,953 --> 02:27:34,621 THIS IS REAL WORLD 4173 02:27:34,621 --> 02:27:34,988 IMPLEMENTATION. 4174 02:27:34,988 --> 02:27:35,622 BUSES CAN BREAK DOUB. 4175 02:27:35,622 --> 02:27:37,491 THEY HAVE, THEY WILL, PROBABLY 4176 02:27:37,491 --> 02:27:38,625 WILL AGAIN. 4177 02:27:38,625 --> 02:27:40,594 SYSTEMS CAN FAIL, HICCUPS CAN 4178 02:27:40,594 --> 02:27:43,931 HAPPEN, BUT THE RESULTS TAKE 4179 02:27:43,931 --> 02:27:45,199 THAT INTO CONSIDERATION AND 4180 02:27:45,199 --> 02:27:47,267 HOPEFULLY THAT INCREASING 4181 02:27:47,267 --> 02:27:48,836 MEANINGFULNESS OF LOELGLY AND 4182 02:27:48,836 --> 02:27:49,269 BROADLY. 4183 02:27:49,269 --> 02:27:52,005 AND THAT INFLUENCES THE 4184 02:27:52,005 --> 02:27:52,372 SUSTAINABILITY. 4185 02:27:52,372 --> 02:27:54,374 IT ALSO COMES WITH THE CAVEAT 4186 02:27:54,374 --> 02:27:56,410 WHILE WE ARE DOING AIMING TO DO 4187 02:27:56,410 --> 02:27:57,911 REAL WORLD RESEARCH EVALUATION, 4188 02:27:57,911 --> 02:28:03,884 WE HAVE A SYNERGISTIC 4189 02:28:03,884 --> 02:28:04,184 PARTNERSHIP. 4190 02:28:04,184 --> 02:28:05,786 THERE ARE WAYS OUR TEAMS HAVE 4191 02:28:05,786 --> 02:28:07,087 WORKED TOGETHER AND THE MOBILE 4192 02:28:07,087 --> 02:28:08,956 MARKET ISN'T THE SAME AS IT WAS 4193 02:28:08,956 --> 02:28:09,857 BEFORE RESEARCH INVOLVEMENT. 4194 02:28:09,857 --> 02:28:11,859 FOR INSTANCE, THEY WANTED TO DO 4195 02:28:11,859 --> 02:28:13,794 A CUSTOMER LOYALTY PROGRAM AND 4196 02:28:13,794 --> 02:28:14,761 THEY DIDN'T HAVE THE PERSON 4197 02:28:14,761 --> 02:28:17,264 POWER TO GET IT FIGURED OUT. 4198 02:28:17,264 --> 02:28:19,266 WE HAD WRITTEN IT INTO OUR 4199 02:28:19,266 --> 02:28:19,466 GRANT. 4200 02:28:19,466 --> 02:28:22,436 SO WHEN THE GRANT WAS FUNDED MY 4201 02:28:22,436 --> 02:28:24,171 TEAM AND THEIR TEAM WORKED 4202 02:28:24,171 --> 02:28:27,341 TOGETHER AND THEY IMPLEMENTED 4203 02:28:27,341 --> 02:28:28,542 CUSTOMER LOYALTY PROGRAM. 4204 02:28:28,542 --> 02:28:30,410 IT IS REAL WORLD BUT WE HAVE A 4205 02:28:30,410 --> 02:28:32,012 PARTNERSHIP THAT IS SYNERGISTIC 4206 02:28:32,012 --> 02:28:41,321 SO IT IS PART OF WHAT WE ARE 4207 02:28:41,321 --> 02:28:41,822 MEAS 4208 02:28:41,822 --> 02:28:42,089 MEASURING. 4209 02:28:42,089 --> 02:28:43,891 WE TALK ABOUT HOW HEART THIS 4210 02:28:43,891 --> 02:28:45,759 WORK IS AND DEVELOPING 4211 02:28:45,759 --> 02:28:47,961 MEANINGFUL RELATIONSHIPS BECAUSE 4212 02:28:47,961 --> 02:28:49,196 PARTNERS ARE CHANGING, 4213 02:28:49,196 --> 02:28:50,464 COMMUNITIES NEED FOLLOW THROUGH 4214 02:28:50,464 --> 02:28:54,434 AND A LOT OF GRANTS AREN'T 4215 02:28:54,434 --> 02:28:54,801 FUNDED. 4216 02:28:54,801 --> 02:28:57,271 HOW DO WE DO THIS WORK AND DO IT 4217 02:28:57,271 --> 02:28:57,471 WELL? 4218 02:28:57,471 --> 02:28:59,039 TIMELINES TO FUNDING ARE LONG SO 4219 02:28:59,039 --> 02:29:01,241 WE NEED TO BE EFFICIENT IN THE 4220 02:29:01,241 --> 02:29:03,010 BUILDING OF PRELIMINARY DATA AND 4221 02:29:03,010 --> 02:29:04,845 DEVELOPMENT OF TEAMS SO IT IS 4222 02:29:04,845 --> 02:29:06,914 NOT ANTIQUATED BEFORE IT IS 4223 02:29:06,914 --> 02:29:07,180 FINISHED. 4224 02:29:07,180 --> 02:29:10,083 AND HOW DO WE LEVERAGE REAL 4225 02:29:10,083 --> 02:29:10,584 WORLD IMPLEMENTATION. 4226 02:29:10,584 --> 02:29:13,287 HOW DO WE DO THAT WELL WHILE 4227 02:29:13,287 --> 02:29:15,422 CONDUCTING RIGOROUS RESEARCH? 4228 02:29:15,422 --> 02:29:17,758 CAN WE LOOK AT OTHER TYPES OF 4229 02:29:17,758 --> 02:29:18,292 DESIGNS. 4230 02:29:18,292 --> 02:29:23,664 A CLUSTER RANDOMIZED TRIAL, NOT 4231 02:29:23,664 --> 02:29:25,232 ALL REAL WORLD RESEARCH CAN 4232 02:29:25,232 --> 02:29:26,400 ATTAIN THAT SO OTHER OPTIONS ARE 4233 02:29:26,400 --> 02:29:27,634 PORNTS TO CONSIDER. 4234 02:29:27,634 --> 02:29:29,703 HOW DO WE EMBED COMMUNITY 4235 02:29:29,703 --> 02:29:31,772 ENGAGEMENT IN PROJECTS IN A WAY 4236 02:29:31,772 --> 02:29:32,139 THAT IS REAL. 4237 02:29:32,139 --> 02:29:35,008 IT IS NOT A ONE SIZE FITS ALL 4238 02:29:35,008 --> 02:29:35,275 APPROACH. 4239 02:29:35,275 --> 02:29:37,244 WHAT I AND OTHERS DO IS GOING TO 4240 02:29:37,244 --> 02:29:39,713 LOOK DIFFERENT, WAS WE NEED TO 4241 02:29:39,713 --> 02:29:41,248 MAKE SURE WE'RE BEING TRUE TO 4242 02:29:41,248 --> 02:29:43,450 THE COMMUNITIES WE ARE WORKING 4243 02:29:43,450 --> 02:29:45,252 WITH AND DOING IT THE RIGHT WAY 4244 02:29:45,252 --> 02:29:47,220 FOR EACH STUDY BECAUSE IT IS NOT 4245 02:29:47,220 --> 02:29:49,389 A SERIES OF CHECK BOXES AND ARE 4246 02:29:49,389 --> 02:29:50,958 WE HITTING EACH ONE. 4247 02:29:50,958 --> 02:29:52,526 THOSE ARE QUESTIONS WE TALK 4248 02:29:52,526 --> 02:29:53,894 ABOUT AND FOOD FOR THOUGHT, 4249 02:29:53,894 --> 02:29:55,829 LITERALLY AS WE ARE PREPARING 4250 02:29:55,829 --> 02:29:56,663 FOR LUNCH. 4251 02:29:56,663 --> 02:29:57,497 I JUST WANT TO SAY THANK YOU FOR 4252 02:29:57,497 --> 02:30:06,440 YOUR TIME. 4253 02:30:06,440 --> 02:30:08,375 >> THAT WAS GREAT. 4254 02:30:08,375 --> 02:30:09,242 THANK YOU SO MUCH. 4255 02:30:09,242 --> 02:30:13,413 DR. AYALA, KICK US OFF. 4256 02:30:13,413 --> 02:30:13,981 >> THANK YOU. 4257 02:30:13,981 --> 02:30:16,516 TWO WONDERFUL PRESENTATIONS AND 4258 02:30:16,516 --> 02:30:17,851 THANK YOU FOR GIVING US TIME TO 4259 02:30:17,851 --> 02:30:21,254 HAVE A LITTLE DISCUSSION BEFORE 4260 02:30:21,254 --> 02:30:23,123 LUNCH. 4261 02:30:23,123 --> 02:30:24,191 REALLY APPRECIATED YOUR 4262 02:30:24,191 --> 02:30:25,092 PRESENTATION, DR. AKIN, 4263 02:30:25,092 --> 02:30:25,959 ESPECIALLY THE FIRST PART WITH 4264 02:30:25,959 --> 02:30:26,827 THE DATA. 4265 02:30:26,827 --> 02:30:28,495 IT IS SOMETHING I HAVE BEEN 4266 02:30:28,495 --> 02:30:30,197 WONDERING ABOUT FOR A WHILE. 4267 02:30:30,197 --> 02:30:31,832 I APPRECIATE GETTING IT. 4268 02:30:31,832 --> 02:30:33,033 BUT IT ALSO RAISED SOME OTHER 4269 02:30:33,033 --> 02:30:35,302 QUESTIONS FOR ME, AMONG THEM CAN 4270 02:30:35,302 --> 02:30:36,970 THESE, FOR EXAMPLE, THE 4271 02:30:36,970 --> 02:30:38,872 ENROLLMENT, THE INCREASES IN 4272 02:30:38,872 --> 02:30:40,073 ENROLLMENT, CAN THIS BE 4273 02:30:40,073 --> 02:30:42,242 EXPLAINED BY WHO YOU ARE 4274 02:30:42,242 --> 02:30:43,877 FUNDING? 4275 02:30:43,877 --> 02:30:45,479 INSTITUTIONS AND/OR 4276 02:30:45,479 --> 02:30:46,013 INVESTIGATORS? 4277 02:30:46,013 --> 02:30:48,315 I'M CURIOUS WHEN YOU THINK BACK 4278 02:30:48,315 --> 02:30:49,983 TO THE SOCIAL DETERMINANTS OF 4279 02:30:49,983 --> 02:30:52,786 HEALTH TRAINING, I WONDER TO 4280 02:30:52,786 --> 02:30:54,721 WHAT EXTENT WE ARE TRACKING. 4281 02:30:54,721 --> 02:30:57,691 ARE THOSE FOLKS LEADING SOME OF 4282 02:30:57,691 --> 02:31:01,261 THESE GRANTS AND WONDERING ABOUT 4283 02:31:01,261 --> 02:31:04,231 THE SYNERGY OF THAT CAPACITY 4284 02:31:04,231 --> 02:31:04,898 BUILDING ESPECIALLY WITH FACULTY 4285 02:31:04,898 --> 02:31:07,968 AND PARTNERS OF DIVERSE RACIAL 4286 02:31:07,968 --> 02:31:09,269 ETHNIC BACKGROUNDS AND ARE THOSE 4287 02:31:09,269 --> 02:31:10,537 INVESTMENTS THEN LEADING TO 4288 02:31:10,537 --> 02:31:12,673 THESE INCREASING IN ENROLLMENT 4289 02:31:12,673 --> 02:31:13,473 AND WHAT NOT? 4290 02:31:13,473 --> 02:31:14,975 WHAT KIND OF EXPLAINS THOSE 4291 02:31:14,975 --> 02:31:18,211 CHANGES THAT WE ARE SEEING, 4292 02:31:18,211 --> 02:31:19,513 WHICH IS FANTASTIC? 4293 02:31:19,513 --> 02:31:20,881 THE SECOND QUESTION THAT RAISED 4294 02:31:20,881 --> 02:31:23,483 RELATED TO CLARIFYING THE HEALTH 4295 02:31:23,483 --> 02:31:24,885 EQUITY LENS. 4296 02:31:24,885 --> 02:31:26,687 THE NATURAL EXPERIMENTS AND 4297 02:31:26,687 --> 02:31:29,056 DEMONSTRATION STUDIES AND THIS 4298 02:31:29,056 --> 02:31:31,158 RELATES TO SOMETHING YOU SAID 4299 02:31:31,158 --> 02:31:37,264 DR. HORNING, HOW ARE WE CHANGING 4300 02:31:37,264 --> 02:31:40,434 OR EDUCATING. 4301 02:31:40,434 --> 02:31:41,568 YOUR DESIGN IS RIGOROUS WHICH IS 4302 02:31:41,568 --> 02:31:43,437 PROBABLY ONE OF THE REASONS WHY 4303 02:31:43,437 --> 02:31:46,106 IT WAS FUNDED, BUT NOT ALL 4304 02:31:46,106 --> 02:31:48,375 STUDIES CAN FIT THOSE DESIGNS. 4305 02:31:48,375 --> 02:31:49,643 I'M CURIOUS WHAT MORE CAN WE DO 4306 02:31:49,643 --> 02:31:52,679 TO IMPROVE THAT PROCESS, THE 4307 02:31:52,679 --> 02:31:54,347 REVIEW PROCESS SO WE DON'T 4308 02:31:54,347 --> 02:31:55,415 DISCOURAGE PEOPLE FROM TESTING 4309 02:31:55,415 --> 02:31:59,319 OUT DIFFERENT DESIGNS? 4310 02:31:59,319 --> 02:32:03,290 AND THEN FINALLY, YOUR COMMENT 4311 02:32:03,290 --> 02:32:05,325 REGARDING STRENGTH-BASED MODELS. 4312 02:32:05,325 --> 02:32:07,761 THAT WAS CLEAR DURING THE 4313 02:32:07,761 --> 02:32:08,328 ComPASS DISCUSSIONS. 4314 02:32:08,328 --> 02:32:10,530 I THINK EVERY SINGLE INDIVIDUAL 4315 02:32:10,530 --> 02:32:12,232 WHO SPOKE UP THEN SAID WE NEED 4316 02:32:12,232 --> 02:32:14,401 TO HAVE A MORE ASSETS BASED 4317 02:32:14,401 --> 02:32:16,002 APPROACH AND NOT A DEFICITS 4318 02:32:16,002 --> 02:32:16,269 APPROACH. 4319 02:32:16,269 --> 02:32:18,338 WE ARE TRYING TO BUILD ON 4320 02:32:18,338 --> 02:32:19,906 COMMUNITY STRENGTHS AS OPPOSED 4321 02:32:19,906 --> 02:32:21,274 TO THINKING ABOUT THEM NOT 4322 02:32:21,274 --> 02:32:23,310 COMING WITH STRENGTHS, INCLUDING 4323 02:32:23,310 --> 02:32:24,211 THE ORGANIZATIONS THEMSELVES, 4324 02:32:24,211 --> 02:32:25,979 BECAUSE I THINK THERE WAS A 4325 02:32:25,979 --> 02:32:27,547 SENSE THAT THE ORGANIZATIONS DID 4326 02:32:27,547 --> 02:32:28,949 NOT HAVE NECESSARILY THE 4327 02:32:28,949 --> 02:32:30,984 CAPACITY TO BE ABLE TO DO THIS, 4328 02:32:30,984 --> 02:32:32,619 BUT IT IS CLEAR THEY HAVE BEEN 4329 02:32:32,619 --> 02:32:36,123 DOING IT FOR A WHILE, MAYBE NOT 4330 02:32:36,123 --> 02:32:37,257 WITH A RESEARCH LENS. 4331 02:32:37,257 --> 02:32:39,326 DR. HORNING, I REALLY APPRECIATE 4332 02:32:39,326 --> 02:32:41,328 YOUR FOCUS ON LAWS AND POLICIES. 4333 02:32:41,328 --> 02:32:43,797 IT REMINDED ME OF ONE OF THE 4334 02:32:43,797 --> 02:32:46,066 ComPASS PROJECTS. 4335 02:32:46,066 --> 02:32:48,702 THIS IS LED BY A GROUP CALLED 4336 02:32:48,702 --> 02:32:49,569 GUNNA IN SAN FRANCISCO. 4337 02:32:49,569 --> 02:32:51,638 WHAT THEY ARE TRYING TO DO IS 4338 02:32:51,638 --> 02:32:54,541 TAKE STREET VENDORS AND START TO 4339 02:32:54,541 --> 02:32:55,976 HAVE THEM BUILD THEIR CAPACITY 4340 02:32:55,976 --> 02:32:59,312 TO HAVE A STORE FRONT IN ALL THE 4341 02:32:59,312 --> 02:32:59,946 VACANT BUILDINGS NOW IN SAN 4342 02:32:59,946 --> 02:33:00,647 FRANCISCO. 4343 02:33:00,647 --> 02:33:01,882 REALLY TALKED ABOUT THE LAWS 4344 02:33:01,882 --> 02:33:03,750 THAT ARE NEEDED AND POLICIES 4345 02:33:03,750 --> 02:33:06,987 AROUND THAT TO MAKE THAT HAPPEN. 4346 02:33:06,987 --> 02:33:08,321 THE OTHER THING THAT STRUCK ME 4347 02:33:08,321 --> 02:33:09,022 ABOUT YOUR PRESENTATION AND WE 4348 02:33:09,022 --> 02:33:11,691 ALL KNOW THIS, BUT HOW MUCH TIME 4349 02:33:11,691 --> 02:33:12,392 IT TAKES. 4350 02:33:12,392 --> 02:33:15,228 AND IT IS A STRUGGLE I HAVE AS A 4351 02:33:15,228 --> 02:33:17,297 MENTOR OF A LOT OF JUNIOR 4352 02:33:17,297 --> 02:33:19,499 FACULTY OF COLOR WHO REALLY WANT 4353 02:33:19,499 --> 02:33:21,735 TO BE SUCCESSFUL IN THE R T P 4354 02:33:21,735 --> 02:33:23,370 PROCESS, BUT HAVE SUCH A VISION 4355 02:33:23,370 --> 02:33:24,571 FOR THEIR RESEARCH LIKE YOURS, 4356 02:33:24,571 --> 02:33:26,072 BUT ARE WORRIED ABOUT THE TIME 4357 02:33:26,072 --> 02:33:27,641 IT WILL TAKE AND WONDERING HOW 4358 02:33:27,641 --> 02:33:29,209 IT IS GOING TO IMPACT THEIR 4359 02:33:29,209 --> 02:33:29,676 CAREER. 4360 02:33:29,676 --> 02:33:31,444 SO IT IS BALANCE THAT I'M TRYING 4361 02:33:31,444 --> 02:33:33,580 TO FIGURE OUT, ESPECIALLY AS A 4362 02:33:33,580 --> 02:33:35,048 MENTOR, HOW TO SUPPORT THEM TO 4363 02:33:35,048 --> 02:33:37,150 BE ABLE TO ADVANCE. 4364 02:33:37,150 --> 02:33:38,552 ONE QUESTION I HAVE FOR YOU, 4365 02:33:38,552 --> 02:33:43,990 THOUGH, IS I MISSED, HOW DID YOU 4366 02:33:43,990 --> 02:33:45,992 KIND OF TURN THE CORNER WITH 4367 02:33:45,992 --> 02:33:47,227 YOUR PARTNER IN TERMS OF HER 4368 02:33:47,227 --> 02:33:53,700 INTEREST IN RESEARCH? 4369 02:33:53,700 --> 02:33:56,002 >> SO LEAH AND I WERE LITERALLY 4370 02:33:56,002 --> 02:33:57,270 JUST MEETING ON THIS OTHER 4371 02:33:57,270 --> 02:33:57,504 PROJECT. 4372 02:33:57,504 --> 02:34:01,274 SO I WAS TRYING TO HELP HER OUT 4373 02:34:01,274 --> 02:34:03,910 AND JUST BY BEING HUMAN, RIGHT? 4374 02:34:03,910 --> 02:34:05,245 DEVELOPING A RELATIONSHIP, 4375 02:34:05,245 --> 02:34:06,847 GETTING TO KNOW ONE ANOTHER, 4376 02:34:06,847 --> 02:34:08,815 BEING ABLE TO TALK ABOUT HOW CAN 4377 02:34:08,815 --> 02:34:10,650 WE DO THIS AND DO THIS WELL AND 4378 02:34:10,650 --> 02:34:12,719 HOW DO WE GET THE CUSTOMERS TO 4379 02:34:12,719 --> 02:34:13,987 INFORM WHAT WE ARE DOING? 4380 02:34:13,987 --> 02:34:16,022 TO MAKE SURE WE ARE CREATING A 4381 02:34:16,022 --> 02:34:18,425 SPACE THAT IS SAFE. 4382 02:34:18,425 --> 02:34:20,360 IT REALLY WAS DEVELOPING A 4383 02:34:20,360 --> 02:34:21,127 RELATIONSHIP WITH TIME. 4384 02:34:21,127 --> 02:34:22,662 I THINK THAT IS THE TRICK FOR 4385 02:34:22,662 --> 02:34:23,230 INVESTIGATORS, RIGHT? 4386 02:34:23,230 --> 02:34:24,931 AND IT IS THE TRICK FOR 4387 02:34:24,931 --> 02:34:25,265 COMMUNITY. 4388 02:34:25,265 --> 02:34:28,001 THIS WORK TAKES TIME AND 4389 02:34:28,001 --> 02:34:28,802 INVESTMENT OF RESOURCES BOTH OF 4390 02:34:28,802 --> 02:34:29,970 WHICH ARE LIMITED. 4391 02:34:29,970 --> 02:34:32,873 AND SO IT IS PRETTY HIGH RISK, 4392 02:34:32,873 --> 02:34:34,608 HIGH REWARD BECAUSE PARTNERS ARE 4393 02:34:34,608 --> 02:34:37,244 CHANGING AND EVOLVING AND UNLESS 4394 02:34:37,244 --> 02:34:38,678 YOUR PARTNER IS ABLE TO WEATHER 4395 02:34:38,678 --> 02:34:44,184 THOSE STORMS, YOU CAN END UP 4396 02:34:44,184 --> 02:34:48,121 FINDI IING REALLY WONDERFUL 4397 02:34:48,121 --> 02:34:49,522 INVESTIGATORS FACING TENURE 4398 02:34:49,522 --> 02:34:55,095 CLOCKS AND HAVING THAT STRUGGLE. 4399 02:34:55,095 --> 02:34:56,897 >> YOU ASKED SOME INCREDIBLY 4400 02:34:56,897 --> 02:34:58,465 GREAT QUESTIONS AND THE FIRST 4401 02:34:58,465 --> 02:34:59,666 ONE IS THE IT UNIVERSITIES WE 4402 02:34:59,666 --> 02:35:01,902 ARE FUNDING AND LOOKING TO 4403 02:35:01,902 --> 02:35:02,168 LEVERAGE? 4404 02:35:02,168 --> 02:35:03,336 WE ARE HAVING THAT CONVERSATION 4405 02:35:03,336 --> 02:35:05,238 NOW ABOUT THE PARTNERSHIPS. 4406 02:35:05,238 --> 02:35:07,474 SO WE DON'T KNOWSLY HAVE THE 4407 02:35:07,474 --> 02:35:09,075 DATA, ALTHOUGH, DR. GRAYSON, YOU 4408 02:35:09,075 --> 02:35:13,280 CAN CORRECT ME IF I'M WRONG ON 4409 02:35:13,280 --> 02:35:14,581 JUST YET. 4410 02:35:14,581 --> 02:35:16,283 IT IS IN FULL RECOGNITION WE 4411 02:35:16,283 --> 02:35:18,752 NEED TO SUPPORT SOME OF THE 4412 02:35:18,752 --> 02:35:19,419 UNIVERSITIES TO HAVE THE 4413 02:35:19,419 --> 02:35:20,921 INFRASTRUCTURE TO DO THE WORK WE 4414 02:35:20,921 --> 02:35:22,522 ARE TALKING ABOUT DOING. 4415 02:35:22,522 --> 02:35:31,598 SO CONVERSATIONS ARE COMING. 4416 02:35:31,598 --> 02:35:34,801 >> ONE REALLY MIGHT BE A SILLY 4417 02:35:34,801 --> 02:35:38,772 QUESTION, BUT IT WAS ONE OF YOUR 4418 02:35:38,772 --> 02:35:39,572 FIRST SLIDES. 4419 02:35:39,572 --> 02:35:41,641 AND DR. AKIN, THANK YOU FOR ALL 4420 02:35:41,641 --> 02:35:42,509 THE WORK. 4421 02:35:42,509 --> 02:35:45,078 HOW YOU DIFFERENTIATED BETWEEN 4422 02:35:45,078 --> 02:35:48,348 HEALTH DISPARITIES RESEARCH AND 4423 02:35:48,348 --> 02:35:49,249 SOCIAL DETERMINANTS OF HEALTH 4424 02:35:49,249 --> 02:35:49,516 RESEARCH? 4425 02:35:49,516 --> 02:35:51,651 TO ME, IF YOU ARE LOOKING AT 4426 02:35:51,651 --> 02:35:53,586 HEALTH DISPARITIES, YOU SHOULD 4427 02:35:53,586 --> 02:35:56,022 BE LOOKING AT SOCIAL 4428 02:35:56,022 --> 02:35:56,523 DETERMINANTS OF HEALTH. 4429 02:35:56,523 --> 02:35:58,558 I WAS JUST WRAPPING MY MIND 4430 02:35:58,558 --> 02:35:59,693 AROUND IT. 4431 02:35:59,693 --> 02:36:01,261 HOW COULD ONE FALL INTO ONE AND 4432 02:36:01,261 --> 02:36:03,029 NOT THE OTHER, YOU KNOW? 4433 02:36:03,029 --> 02:36:04,497 >> YEAH. 4434 02:36:04,497 --> 02:36:09,936 I'LL START BY SAYING NOT ALL 4435 02:36:09,936 --> 02:36:11,004 SOCIAL DETERMINANTS OF HEALTH IS 4436 02:36:11,004 --> 02:36:13,406 FOCUSED ON HEALTH DISPARITIES. 4437 02:36:13,406 --> 02:36:16,042 LIKEWISE NOT ALL HEALTH 4438 02:36:16,042 --> 02:36:17,277 DISPARITIES RESEARCH ADDRESSES 4439 02:36:17,277 --> 02:36:18,178 SOCIAL DETERMINANTS. 4440 02:36:18,178 --> 02:36:21,247 A QUESTION IS WHETHER THEY 4441 02:36:21,247 --> 02:36:24,050 SHOULD, BUT THAT IS TRUE, RIGHT? 4442 02:36:24,050 --> 02:36:28,688 SOME PEOPLE ARE TRYING TO 4443 02:36:28,688 --> 02:36:33,093 ADDRESS DISPARITIES OTHER THAN 4444 02:36:33,093 --> 02:36:33,760 SOCIAL DETERMINANTS OF HEALTH 4445 02:36:33,760 --> 02:36:33,960 LENS. 4446 02:36:33,960 --> 02:36:35,829 THEN IT IS THE COATING. 4447 02:36:35,829 --> 02:36:37,197 WHICH IS DR. GRAYSON'S 4448 02:36:37,197 --> 02:36:40,934 DEPARTMENT SO I WILL LET HIM 4449 02:36:40,934 --> 02:36:41,267 ADD. 4450 02:36:41,267 --> 02:36:43,870 >> SO BOTH OF THOSE TOPICS, 4451 02:36:43,870 --> 02:36:48,541 HEALTH DISPARITIES RESEARCH AND 4452 02:36:48,541 --> 02:36:49,142 SOCIAL DETERMINANTS OF HEALTH 4453 02:36:49,142 --> 02:36:51,077 RESEARCH ARE OFFICIAL NIH 4454 02:36:51,077 --> 02:36:55,448 CATEGORIES DONE THROUGH RCDC 4455 02:36:55,448 --> 02:36:55,782 FINGERPRINTS. 4456 02:36:55,782 --> 02:36:57,250 I WENT INTO IT AT THE LAST 4457 02:36:57,250 --> 02:36:57,884 MEETING. 4458 02:36:57,884 --> 02:36:59,486 THE NUMBERS THAT YOU SAW THERE 4459 02:36:59,486 --> 02:37:01,988 SIMPLY COME FROM THOSE. 4460 02:37:01,988 --> 02:37:03,890 THERE CERTAINLY IS, OF COURSE, 4461 02:37:03,890 --> 02:37:05,258 OVERLAP BETWEEN THOSE TWO LISTS 4462 02:37:05,258 --> 02:37:09,262 AND ONE COULD ASK HOW WELL DO 4463 02:37:09,262 --> 02:37:10,864 THOSE FINGERPRINTS DISTINGUISH 4464 02:37:10,864 --> 02:37:12,732 BETWEEN THOSE TWO CATEGORIES 4465 02:37:12,732 --> 02:37:15,568 >> THEY ARE NOT MUTUALLY 4466 02:37:15,568 --> 02:37:15,835 EXCLUSIVE? 4467 02:37:15,835 --> 02:37:17,404 >> NO, THEY ARE NOT. 4468 02:37:17,404 --> 02:37:19,906 THERE IS SIGNIFICANT OVERLAP 4469 02:37:19,906 --> 02:37:25,578 BETWEEN THOSE TWO LISTS. 4470 02:37:25,578 --> 02:37:27,480 >> THERE'S BEEN A LOT. 4471 02:37:27,480 --> 02:37:34,220 ANY OTHER QUESTIONS OR THOUGHTS 4472 02:37:34,220 --> 02:37:35,188 BEFORE WE -- 4473 02:37:35,188 --> 02:37:36,589 >> DR. HORNING, THANK YOU SO 4474 02:37:36,589 --> 02:37:38,324 MUCH FOR YOUR PRESENTATION. 4475 02:37:38,324 --> 02:37:41,161 I CAN'T IMAGINE YOU START A 4476 02:37:41,161 --> 02:37:43,830 STUDY WITH A MOBILE MARKET IN 4477 02:37:43,830 --> 02:37:46,032 CLOSE SPACE DURING COVID TIME. 4478 02:37:46,032 --> 02:37:48,201 I AM CURIOUS AND I APPRECIATE 4479 02:37:48,201 --> 02:37:50,503 YOU PRESENTING THE CHALLENGES 4480 02:37:50,503 --> 02:37:52,839 BETWEEN THE REAL WORLD 4481 02:37:52,839 --> 02:37:53,673 IMPLEMENTATION VERSUS RIGOROUS 4482 02:37:53,673 --> 02:37:53,940 RESEARCH. 4483 02:37:53,940 --> 02:37:56,676 AND I WONDER IF YOU COULD 4484 02:37:56,676 --> 02:37:58,078 ELABORATE MORE ABOUT YOUR 4485 02:37:58,078 --> 02:38:02,015 CHALLENGES WITH THESE KPUNTS -- 4486 02:38:02,015 --> 02:38:03,583 COMMUNITIES BENEFITING FROM THE 4487 02:38:03,583 --> 02:38:05,051 FOOD AND INCREASED FOOD 4488 02:38:05,051 --> 02:38:07,520 SECURITY, BUT IN THE MEANTIME 4489 02:38:07,520 --> 02:38:10,356 DURING A TIME, DID PARTICIPANTS 4490 02:38:10,356 --> 02:38:12,759 WANT YOU TO MOVE THE FOOD 4491 02:38:12,759 --> 02:38:15,395 OUTSIDE THE MOBILE MARKET 4492 02:38:15,395 --> 02:38:16,262 BECAUSE OF COVID? 4493 02:38:16,262 --> 02:38:19,165 I'M JUST CURIOUS, I GUESS, THE 4494 02:38:19,165 --> 02:38:20,366 CHALLENGES YOU HAVE ENCOUNTERED 4495 02:38:20,366 --> 02:38:25,271 IN THIS APPROACH. 4496 02:38:25,271 --> 02:38:28,241 >> YEAH, SO TRIAL WAS FUNDED 4497 02:38:28,241 --> 02:38:29,943 ACTUALLY AFTER NORMAL SERVICE 4498 02:38:29,943 --> 02:38:31,010 HAS RESUMED. 4499 02:38:31,010 --> 02:38:36,015 IN THE PERIOD BETWEEN MARCH 2020 4500 02:38:36,015 --> 02:38:38,985 AND IT WASN'T UNTIL SORT OF -- 4501 02:38:38,985 --> 02:38:41,054 I'M GOING TO GET THE DATES 4502 02:38:41,054 --> 02:38:42,455 WRONG, BUT IT WASN'T UNTIL MUCH 4503 02:38:42,455 --> 02:38:44,757 MUCH LATER THE SERVICE RESUMED. 4504 02:38:44,757 --> 02:38:47,127 THEY WERE DOING BOXES TO 4505 02:38:47,127 --> 02:38:48,328 EVERYONE IN THE BUILDING. 4506 02:38:48,328 --> 02:38:50,096 IT WASN'T PICK OUT YOUR OWN 4507 02:38:50,096 --> 02:38:52,899 STUFF AND PAY FOR IT. 4508 02:38:52,899 --> 02:38:54,134 THEY WERE STILL TRYING TO 4509 02:38:54,134 --> 02:38:56,703 RECOGNIZE THESE COMMUNITIES WERE 4510 02:38:56,703 --> 02:38:58,638 HIGHEST RISK FOR COVID OUTCOMES 4511 02:38:58,638 --> 02:39:01,508 FOR A VARIETY OF INTERSECTIONAL 4512 02:39:01,508 --> 02:39:01,841 REASONS. 4513 02:39:01,841 --> 02:39:05,111 HOW TO DO THIS SAFELY, IN A BUS 4514 02:39:05,111 --> 02:39:07,013 IN ENCLOSED SPACE. 4515 02:39:07,013 --> 02:39:08,481 IN THE WINTER THE BUS HAS TO BE 4516 02:39:08,481 --> 02:39:10,550 SHUT AND IN THE SUMMER IT IS HOT 4517 02:39:10,550 --> 02:39:12,685 AND YOU CAN'T HAVE THE FOOD 4518 02:39:12,685 --> 02:39:13,219 SPOILING. 4519 02:39:13,219 --> 02:39:16,256 THEY HAVE TO KEEP IT SOMEWHAT 4520 02:39:16,256 --> 02:39:17,590 CLOSED SO IT WASN'T POSSIBLE TO 4521 02:39:17,590 --> 02:39:19,659 DO IT WELL ON THE BUS IN THAT 4522 02:39:19,659 --> 02:39:19,993 TIME. 4523 02:39:19,993 --> 02:39:22,896 THEY HAD TO CHANGE THE PROGRAM 4524 02:39:22,896 --> 02:39:27,667 IN THE INTERIM. 4525 02:39:27,667 --> 02:39:29,502 THEN THEY WERE WATCHING THE 4526 02:39:29,502 --> 02:39:30,637 PROGRAM AS IT WAS ORIGINALLY FOR 4527 02:39:30,637 --> 02:39:31,671 THE FIRST TIME. 4528 02:39:31,671 --> 02:39:34,007 SO IT WAS -- IT IS LIKE THE REAL 4529 02:39:34,007 --> 02:39:35,408 WORLD MESSY NATURE OF BEING IN 4530 02:39:35,408 --> 02:39:37,243 COMMUNITY AND THEN BEING 4531 02:39:37,243 --> 02:39:38,011 FLEXIBLE LIKE THAT. 4532 02:39:38,011 --> 02:39:39,045 >> GREAT. 4533 02:39:39,045 --> 02:39:39,546 THANK YOU. 4534 02:39:39,546 --> 02:39:42,649 I AM ALSO CURIOUS ABOUT THE 4535 02:39:42,649 --> 02:39:45,251 SCIENCE BEHIND IT THAT WE ARE 4536 02:39:45,251 --> 02:39:47,820 MARRYING THE IMPLEMENTATION 4537 02:39:47,820 --> 02:39:50,190 SCIENCE WITH REAL WORLD AND 4538 02:39:50,190 --> 02:39:51,991 PARTNERSHIP WITH COMMUNITY 4539 02:39:51,991 --> 02:39:52,392 PARTNERS. 4540 02:39:52,392 --> 02:39:53,893 I'M ALSO CURIOUS ABOUT YOUR KIND 4541 02:39:53,893 --> 02:39:58,231 OF VIEWS, THE ACTUAL LEVERAGING 4542 02:39:58,231 --> 02:40:01,301 THE REAL WORLD EVIDENCE THAT IS 4543 02:40:01,301 --> 02:40:04,637 NATURALLY OCCURRING LEARNING AND 4544 02:40:04,637 --> 02:40:06,839 DEVELOPING OR ADVANCING THE 4545 02:40:06,839 --> 02:40:10,310 SCIENCE USED REAL-WORLD DATA 4546 02:40:10,310 --> 02:40:12,245 VERSUS IMPLEMENTING STRATEGIES 4547 02:40:12,245 --> 02:40:15,515 AND KIND OF LEARNING WHAT IS THE 4548 02:40:15,515 --> 02:40:17,717 SCIENCE BEHIND THIS COMMUNITY 4549 02:40:17,717 --> 02:40:18,051 PARTNERSHIP. 4550 02:40:18,051 --> 02:40:20,887 DO YOU SEE A DIFFERENCE BETWEEN 4551 02:40:20,887 --> 02:40:22,322 THE TWO? 4552 02:40:22,322 --> 02:40:24,123 AND HOW DO WE BALANCE? 4553 02:40:24,123 --> 02:40:26,259 >> I THINK THAT IS A REALLY GOOD 4554 02:40:26,259 --> 02:40:26,526 QUESTION. 4555 02:40:26,526 --> 02:40:29,128 WITH THIS STUDY, LIKE, WE ARE 4556 02:40:29,128 --> 02:40:30,463 RECRUITING RESEARCH PARTICIPANTS 4557 02:40:30,463 --> 02:40:33,132 TO BE ABLE TO HAVE THIS RIGOROUS 4558 02:40:33,132 --> 02:40:34,367 RESULTS WE CAN TRUST. 4559 02:40:34,367 --> 02:40:36,469 BUT WE ARE ALSO COLLECTING POINT 4560 02:40:36,469 --> 02:40:38,605 OF SALES DATA SO WE ARE ABLE TO 4561 02:40:38,605 --> 02:40:40,773 GET THAT SYSTEMS LEVEL SORT OF 4562 02:40:40,773 --> 02:40:43,076 LOOK AS WELL TO LOOK AT 4563 02:40:43,076 --> 02:40:44,677 PURCHASING TRENDS OVER TIME. 4564 02:40:44,677 --> 02:40:46,279 SO I THINK THAT THERE'S WAYS IN 4565 02:40:46,279 --> 02:40:47,847 WHICH YOU CAN DO BOTH, RIGHT? 4566 02:40:47,847 --> 02:40:51,217 SO I THINK IT IS FIGURING OUT A 4567 02:40:51,217 --> 02:40:54,721 NEW POLICY CHANGES, CMS IS 4568 02:40:54,721 --> 02:40:57,123 ALLOWING MEDICARE TO PROVIDE 4569 02:40:57,123 --> 02:40:57,757 PROVISIONS OF FOOD. 4570 02:40:57,757 --> 02:41:00,793 WE ARE SEEING A LOT IN THE FOOD 4571 02:41:00,793 --> 02:41:01,995 IS MEDICINE WORLD. 4572 02:41:01,995 --> 02:41:05,064 HOW DO WE CAPTURE THE DATA THAT 4573 02:41:05,064 --> 02:41:06,499 EXISTS ON THESE PROGRAMS AND 4574 02:41:06,499 --> 02:41:08,001 HEALTH SYSTEMS THAT ARE 4575 02:41:08,001 --> 02:41:08,534 IMPLEMENTING THEM? 4576 02:41:08,534 --> 02:41:11,170 HOW DO WE TAKE THAT AND EVALUATE 4577 02:41:11,170 --> 02:41:13,239 IT TO UNDERSTAND HOW IS THIS 4578 02:41:13,239 --> 02:41:15,708 CHANGE IN POLICY CONTRIBUTING TO 4579 02:41:15,708 --> 02:41:18,044 EQUITABLE OUTCOMES OR NOT IN 4580 02:41:18,044 --> 02:41:18,311 COMMUNITY? 4581 02:41:18,311 --> 02:41:21,247 SO IT IS A BOTH/AND. 4582 02:41:21,247 --> 02:41:24,951 SO WE CAN'T TOSS OUR C Ts OUT 4583 02:41:24,951 --> 02:41:31,524 AND WE CAN'T TOSS OUT OTHER 4584 02:41:31,524 --> 02:41:33,192 STUDIES, BUT HOW DO WE GET THOSE 4585 02:41:33,192 --> 02:41:35,061 STUDIES FUNDED. 4586 02:41:35,061 --> 02:41:39,766 YOU PUT AN RCT, THERE IS AN 4587 02:41:39,766 --> 02:41:41,334 INHERENT BIAS TO THE NATURAL 4588 02:41:41,334 --> 02:41:42,902 EXPERIMENT. 4589 02:41:42,902 --> 02:41:43,436 IS ATTENTION THERE? 4590 02:41:43,436 --> 02:41:45,004 SO THOSE ARE BIG QUESTIONS THAT 4591 02:41:45,004 --> 02:41:49,242 DON'T HAVE EASY ANSWERS. 4592 02:41:49,242 --> 02:41:53,212 >> THANK YOU. 4593 02:41:53,212 --> 02:41:55,515 >> SO WE'RE AT TIME, BUT I 4594 02:41:55,515 --> 02:41:57,417 DON'T -- JUST IN CASE, I'M GOING 4595 02:41:57,417 --> 02:41:59,185 TO LOOK AROUND TO MAKE SURE. 4596 02:41:59,185 --> 02:41:59,919 I KNOW. 4597 02:41:59,919 --> 02:42:00,386 ALL RIGHT. 4598 02:42:00,386 --> 02:42:00,787 I KNOW. 4599 02:42:00,787 --> 02:42:02,021 I'M GLAD I LOOKED. 4600 02:42:02,021 --> 02:42:04,824 >> I APPRECIATE THAT. 4601 02:42:04,824 --> 02:42:06,459 BECAUSE I WAS TRYING TO FIGURE 4602 02:42:06,459 --> 02:42:08,161 OUT HOW I WANTED TO SAY THIS. 4603 02:42:08,161 --> 02:42:09,896 THANK YOU FOR YOUR PRESENTATION. 4604 02:42:09,896 --> 02:42:11,831 I WAS EXCITED BY WHAT I HEARD 4605 02:42:11,831 --> 02:42:13,933 AND WHAT I LEARNED. 4606 02:42:13,933 --> 02:42:19,172 I'M CURIOUS, WHETHER YOU ALL 4607 02:42:19,172 --> 02:42:20,707 HAVE, YOU KNOW, PLANNED TO LINK 4608 02:42:20,707 --> 02:42:22,175 THE DATA THAT YOU HAVE FOUND 4609 02:42:22,175 --> 02:42:24,610 WITH HEALTH CARE SYSTEMS, SOCIAL 4610 02:42:24,610 --> 02:42:25,244 SERVICES SYSTEMS? 4611 02:42:25,244 --> 02:42:27,113 HAVE YOU ENGAGED THOSE PARTNERS 4612 02:42:27,113 --> 02:42:30,016 IN THAT WORK TO ADDRESS OTHER, 4613 02:42:30,016 --> 02:42:30,416 YOU KNOW, ISSUES? 4614 02:42:30,416 --> 02:42:30,750 IS 4615 02:42:30,750 --> 02:42:31,150 >> YEAH. 4616 02:42:31,150 --> 02:42:32,985 AT THIS POINT WE DON'T HAVE 4617 02:42:32,985 --> 02:42:36,422 PLANS TO SORT OF LINK THIS STUDY 4618 02:42:36,422 --> 02:42:37,590 WITH HEALTH SYSTEMS OR HEALTH 4619 02:42:37,590 --> 02:42:39,359 CARE PARTNERS. 4620 02:42:39,359 --> 02:42:41,160 THE MOBILE MARKET HAS 4621 02:42:41,160 --> 02:42:41,794 PARTNERSHIPS WITH THE MEDICAL 4622 02:42:41,794 --> 02:42:43,529 HEALTH CARE SYSTEMS. 4623 02:42:43,529 --> 02:42:46,632 AND SO LIKE THEY DO SORT OF 4624 02:42:46,632 --> 02:42:47,934 ENTERTAIN AND TALK TO THEM 4625 02:42:47,934 --> 02:42:50,169 SOMEWHAT REGULARLY, BUT THIS IS 4626 02:42:50,169 --> 02:42:52,839 VAT THERE THAT. 4627 02:42:52,839 --> 02:42:55,241 THEY HAVE TRIALED SITES AT 4628 02:42:55,241 --> 02:42:57,276 CLINICS AND HEALTH SYSTEMS TO 4629 02:42:57,276 --> 02:42:58,911 VARYING DEGREES OF SUCCESS JUST 4630 02:42:58,911 --> 02:43:02,014 BECAUSE IT IS A STOP ONCE A 4631 02:43:02,014 --> 02:43:02,215 WEEK. 4632 02:43:02,215 --> 02:43:04,217 SO YOU ARE CATCHING PEOPLE WHO 4633 02:43:04,217 --> 02:43:08,020 COME TO APPOINTMENTS THURSDAYS 4634 02:43:08,020 --> 02:43:08,955 1:00 TO 4:00. 4635 02:43:08,955 --> 02:43:11,124 THERE IS STILL A LOT TO THINK 4636 02:43:11,124 --> 02:43:14,227 ABOUT WHEN YOU THINK ABOUT HOW 4637 02:43:14,227 --> 02:43:16,596 WE REFER TO TWIN CITIES MOBILE 4638 02:43:16,596 --> 02:43:16,863 MARKET. 4639 02:43:16,863 --> 02:43:19,899 SOME COMMUNITIES HAVE VOUCHERS 4640 02:43:19,899 --> 02:43:22,635 IT IS PART OF FOOD PRESCRIPTION 4641 02:43:22,635 --> 02:43:22,869 PROGRAM. 4642 02:43:22,869 --> 02:43:24,637 WE DON'T HAVE LINKAGES TO THE 4643 02:43:24,637 --> 02:43:26,038 BROADER HEALTH SYSTEMS AT THIS 4644 02:43:26,038 --> 02:43:26,239 TIME. 4645 02:43:26,239 --> 02:43:28,107 IF I COULD ADD ONE THING. 4646 02:43:28,107 --> 02:43:30,977 I REALIZE I DIDN'T ACKNOWLEDGE 4647 02:43:30,977 --> 02:43:32,311 MY PARTNERS AND FUNDERS. 4648 02:43:32,311 --> 02:43:34,914 I WANT TO ACKNOWLEDGE OUR WORK 4649 02:43:34,914 --> 02:43:40,953 IS FUNDED BY NINR AND STEPH AND 4650 02:43:40,953 --> 02:43:44,791 HER TEAM AND THE SHOPPERS AND 4651 02:43:44,791 --> 02:43:47,360 CUSTOMERS ARE RESEARCH PARTNERS. 4652 02:43:47,360 --> 02:43:48,928 MY APOLOGIES FOR THAT SERIOUS 4653 02:43:48,928 --> 02:43:50,029 OMISSION AND THANK YOU FOR THOSE 4654 02:43:50,029 --> 02:43:54,333 TWO MINUTES TO SAY IT. 4655 02:43:54,333 --> 02:43:56,035 >> WELL, DR. HORNING, THANK YOU 4656 02:43:56,035 --> 02:43:59,572 SO MUCH FOR JOINING US AND 4657 02:43:59,572 --> 02:44:01,874 SHARING YOUR SCIENCE AND 4658 02:44:01,874 --> 02:44:02,742 EXEMPLIFYING COMMUNITY 4659 02:44:02,742 --> 02:44:05,244 PARTNERSHIP AND HOW THAT CAN BE 4660 02:44:05,244 --> 02:44:06,145 INTEGRATED CLOSELY INTO 4661 02:44:06,145 --> 02:44:06,412 RESEARCH. 4662 02:44:06,412 --> 02:44:08,014 I WANT TO NOTE TO COUNCIL, ALL 4663 02:44:08,014 --> 02:44:10,516 YOUR COMMENTS WE TRACK THEM OVER 4664 02:44:10,516 --> 02:44:10,716 TIME. 4665 02:44:10,716 --> 02:44:13,019 HOPEFULLY YOU SEE THAT WE ARE IN 4666 02:44:13,019 --> 02:44:15,121 BRINGING RESPONSES BACK TO YOU. 4667 02:44:15,121 --> 02:44:16,789 SO KNOW THAT IF WE DIDN'T 4668 02:44:16,789 --> 02:44:17,957 DIRECTLY ADDRESS ALL YOUR 4669 02:44:17,957 --> 02:44:19,292 QUESTIONS TODAY, WE ARE KEEPING 4670 02:44:19,292 --> 02:44:21,627 TRACK AND WILL BE CIRCLING BACK. 4671 02:44:21,627 --> 02:44:23,863 IF EVER YOU FIND WE HAVE NOT 4672 02:44:23,863 --> 02:44:25,198 ANSWERED YOUR QUESTIONS, PLEASE 4673 02:44:25,198 --> 02:44:27,233 LET US KNOW AND WE'LL BE SURE TO 4674 02:44:27,233 --> 02:44:27,767 DO THAT. 4675 02:44:27,767 --> 02:44:29,969 WITH THAT, WE ARE ALMOST 4676 02:44:29,969 --> 02:44:31,003 PERFECTLY ON TIME. 4677 02:44:31,003 --> 02:44:34,474 THANK YOU AGAIN, DR. HORNING AND 4678 02:44:34,474 --> 02:44:37,844 IT IS LUNCHTIME AND ALL RIGHT. 4679 02:44:37,844 --> 02:44:39,545 SO 12:45. 4680 02:44:39,545 --> 02:44:44,684 CAN WE GET TOGETHER AT 12:45? 4681 02:44:44,684 --> 02:44:45,885 23 MINUTES? 4682 02:44:45,885 --> 02:44:47,286 I CAN'T DO MATH. 4683 02:44:47,286 --> 02:44:49,255 YOU ALL HAVE 27 MINUTES OR 4684 02:44:49,255 --> 02:44:49,555 SOMETHING. 4685 02:44:49,555 --> 02:44:50,156 IT IS FINE. 4686 02:44:50,156 --> 02:44:51,090 IT IS FINE. 4687 02:44:51,090 --> 02:44:53,259 SO ENJOY. 4688 02:44:57,582 --> 02:44:58,850 >> OKAY. 4689 02:44:58,850 --> 02:45:00,385 WELCOME BACK, EVERYONE. 4690 02:45:00,385 --> 02:45:01,853 SO AS WE INTRODUCED THIS 4691 02:45:01,853 --> 02:45:03,254 MORNING, WE HAVE ALLOCATED THE 4692 02:45:03,254 --> 02:45:05,556 NEXT COUPLE OF HOURS TO TALKING 4693 02:45:05,556 --> 02:45:06,824 ABOUT THE FUTURE OF HEALTH 4694 02:45:06,824 --> 02:45:10,161 EQUITY RESEARCH AT NINR. 4695 02:45:10,161 --> 02:45:12,930 SO AS DR. AKIN MENTIONED NINR 4696 02:45:12,930 --> 02:45:14,298 AND NURSING RESEARCH WE BELIEVE 4697 02:45:14,298 --> 02:45:15,833 HAS A REALLY IMPORTANT ROLE TO 4698 02:45:15,833 --> 02:45:17,602 PLAY IN HEALTH EQUITY AND THIS 4699 02:45:17,602 --> 02:45:23,041 SHOWS UP IN VARIOUS WAYS. 4700 02:45:23,041 --> 02:45:24,876 SO TO -- TWO OF THOSE 4701 02:45:24,876 --> 02:45:26,644 INDIVIDUALS WHO CAN HELP US 4702 02:45:26,644 --> 02:45:30,682 THINK ABOUT HOW WE CAN MAXIMIZE 4703 02:45:30,682 --> 02:45:32,784 IMPACT AND LEVERAGE NURSING 4704 02:45:32,784 --> 02:45:34,686 RESEARCH ARE HERE WITH US TODAY. 4705 02:45:34,686 --> 02:45:37,321 SO WE'RE GOING TO BE TALKING 4706 02:45:37,321 --> 02:45:40,992 ABOUT STRUCTURAL INTERVENTIONS, 4707 02:45:40,992 --> 02:45:41,659 MEANINGFUL COMMUNITY ENGAGEMENT 4708 02:45:41,659 --> 02:45:43,728 AND SO I'M PLEASED TO INTRODUCE 4709 02:45:43,728 --> 02:45:47,031 OUR FIRST SPEAKER. 4710 02:45:47,031 --> 02:45:49,200 SO WELCOME TO DR. MONICA 4711 02:45:49,200 --> 02:45:49,734 McLEMORE. 4712 02:45:49,734 --> 02:45:52,236 OF THE UNIVERSITY OF WASHINGTON 4713 02:45:52,236 --> 02:45:53,671 SCHOOL OF NURSING. 4714 02:45:53,671 --> 02:45:55,306 DR. McLEMORE IS A PROFESSOR IN 4715 02:45:55,306 --> 02:45:57,141 THE DEPARTMENT OF CHILD, FAMILY 4716 02:45:57,141 --> 02:45:59,010 AND POPULATION HEALTH NURSING. 4717 02:45:59,010 --> 02:45:59,711 ADJUNCT PROFESSOR IN THE SCHOOL 4718 02:45:59,711 --> 02:46:01,446 OF PUBLIC HEALTH AND THE 4719 02:46:01,446 --> 02:46:03,114 DEPARTMENT OF WOMEN AND GENDER 4720 02:46:03,114 --> 02:46:06,451 STUDIES AND IS THE DIRECTOR OF 4721 02:46:06,451 --> 02:46:10,254 THE MANNING PRICE SPRATLAN 4722 02:46:10,254 --> 02:46:12,757 CENTER OF ANTI-RACISM AND 4723 02:46:12,757 --> 02:46:13,424 EQUITY. 4724 02:46:13,424 --> 02:46:17,128 DR. McLEMORE'S EXTENSIONIVE AND 4725 02:46:17,128 --> 02:46:18,362 CLINICAL RESEARCH CAREER HAVE 4726 02:46:18,362 --> 02:46:22,300 FOCUSED ON REPRODUCTIVE RIGHTS 4727 02:46:22,300 --> 02:46:22,834 AND JUSTICE. 4728 02:46:22,834 --> 02:46:24,402 SHE IS A MEMBER OF THE HONOR 4729 02:46:24,402 --> 02:46:25,803 SOCIETY OF NURSING. 4730 02:46:25,803 --> 02:46:28,506 WITH THIS SESSION DR. McLEMORE 4731 02:46:28,506 --> 02:46:31,042 HOPES TO EDUCATE AND INSPIRE ALL 4732 02:46:31,042 --> 02:46:37,115 OF US TO RETROFIT TO RIGHT 4733 02:46:37,115 --> 02:46:39,717 HISTORICAL HARMS, PARTNER WITH 4734 02:46:39,717 --> 02:46:40,551 PEOPLE AND ADVANCE HEALTH 4735 02:46:40,551 --> 02:46:40,785 EQUITY. 4736 02:46:40,785 --> 02:46:44,021 SO WELCOME TO YOU. 4737 02:46:44,021 --> 02:46:45,456 >> THANK YOU, DR. ZENK. 4738 02:46:45,456 --> 02:46:47,625 IT IS SO GREAT TO BE HERE TODAY. 4739 02:46:47,625 --> 02:46:49,460 IT IS SUCH AN HONOR. 4740 02:46:49,460 --> 02:46:50,895 I DON'T KNOW HOW YOU ALL ARE 4741 02:46:50,895 --> 02:46:53,798 FEELING, BUT I HAVE A REALLY BIG 4742 02:46:53,798 --> 02:46:55,032 TASK, RIGHT? 4743 02:46:55,032 --> 02:46:58,603 I'M RIGHT AFTER LUNCH. 4744 02:46:58,603 --> 02:47:03,207 SO I'M GOING TO MAKE SURE WE 4745 02:47:03,207 --> 02:47:12,083 DON'T HAVE POST LUNCH NARCOLEPS. 4746 02:47:12,083 --> 02:47:15,253 ANYONE WHO KNOWS ME KNOWS I'M 4747 02:47:15,253 --> 02:47:17,355 NOT A TRADITIONAL RESEARCHER. 4748 02:47:17,355 --> 02:47:18,689 I DON'T KNOW ABOUT YOU, MY BRAIN 4749 02:47:18,689 --> 02:47:20,258 IS BLOWING UP. 4750 02:47:20,258 --> 02:47:21,959 THERE ARE MILLION THINGS OF I 4751 02:47:21,959 --> 02:47:23,294 WOULD LIKE TO SAY. 4752 02:47:23,294 --> 02:47:26,397 PART OF ME WANTS TO DITCH MY 4753 02:47:26,397 --> 02:47:27,031 SLIDE SET. 4754 02:47:27,031 --> 02:47:29,300 BUT I'M NOT GOING TO THAT. 4755 02:47:29,300 --> 02:47:30,535 I'M GOING TO WALK YOU THROUGH 4756 02:47:30,535 --> 02:47:33,838 SOME SLIDE AND TRY TO REALLY GET 4757 02:47:33,838 --> 02:47:43,047 US TO REIMAGINE NOT JUST HEALTH 4758 02:47:43,047 --> 02:47:45,817 EQUITY, AND DISRUPT THE IDEA OF 4759 02:47:45,817 --> 02:47:48,085 COMMUNITIES, I HAVE STARTED TO 4760 02:47:48,085 --> 02:47:49,487 USE THE WORD PLURAL. 4761 02:47:49,487 --> 02:47:52,456 THERE ARE GROUPS OF INDIVIDUALS 4762 02:47:52,456 --> 02:48:03,034 AND INTERESTED PARTYIES, 4763 02:48:23,354 --> 02:48:25,289 INSTITUTIONS AND I WILL USE A 4764 02:48:25,289 --> 02:48:26,157 LOT OF EXEMPLARS FROM MY OWN 4765 02:48:26,157 --> 02:48:27,992 LIFE, MY OWN WORK. 4766 02:48:27,992 --> 02:48:29,927 WE HAVE APOLOGIES TO MAKE. 4767 02:48:29,927 --> 02:48:31,229 WE HAVE TRUTH AND RECONCILIATION 4768 02:48:31,229 --> 02:48:32,296 TO DO. 4769 02:48:32,296 --> 02:48:34,966 THERE IS SOME OF THAT 4770 02:48:34,966 --> 02:48:36,467 FOUNDATIONAL WORK SUSPECT JUST 4771 02:48:36,467 --> 02:48:37,835 CREATING TRUST IN PARTNERSHIP. 4772 02:48:37,835 --> 02:48:39,804 SOME OF IT IS ACTUALLY LAYING 4773 02:48:39,804 --> 02:48:41,806 THE GROUNDWORK FOR FUTURE WORK. 4774 02:48:41,806 --> 02:48:43,040 THAT IN AND OF ITSELF IS 4775 02:48:43,040 --> 02:48:45,343 VALUABLE. 4776 02:48:45,343 --> 02:48:46,911 I ALWAYS DO A LAND RECOGNITION. 4777 02:48:46,911 --> 02:48:49,013 WE DO IT AT THE UNIVERSITY OF 4778 02:48:49,013 --> 02:48:49,313 WASHINGTON. 4779 02:48:49,313 --> 02:48:51,616 THIS IS WHERE WE CURRENTLY ARE. 4780 02:48:51,616 --> 02:48:53,351 I AM NOT NAIVE ENOUGH TO ATTEMPT 4781 02:48:53,351 --> 02:48:57,021 TO PRONOUNCE THESE, BUT I WILL 4782 02:48:57,021 --> 02:48:58,623 GO TO THE LAND 4783 02:48:58,623 --> 02:48:59,657 ACKNOWLEDGEMENT.ORG IF YOU DON'T 4784 02:48:59,657 --> 02:49:01,425 KNOW IT TO BE ABLE TO UNDERSTAND 4785 02:49:01,425 --> 02:49:04,829 HOW TO SPEAK THESE NAMES. 4786 02:49:04,829 --> 02:49:07,031 AS A BLACK IDENTIFIED AMERICAN, 4787 02:49:07,031 --> 02:49:10,301 I ALSO NEED TO MAKE A LABOR 4788 02:49:10,301 --> 02:49:11,502 ACKNOWLEDGEMENT BECAUSE I THINK 4789 02:49:11,502 --> 02:49:13,838 IT'S REALLY IMPORTANT FOR US TO 4790 02:49:13,838 --> 02:49:16,240 ACKNOWLEDGE, AND THIS COMES FROM 4791 02:49:16,240 --> 02:49:17,575 SEATTLE-KING COUNTY PUBLIC 4792 02:49:17,575 --> 02:49:19,043 HEALTH, THAT IT IS VERY 4793 02:49:19,043 --> 02:49:20,678 IMPORTANT WE UNDERSTAND HOW WE 4794 02:49:20,678 --> 02:49:22,346 GOT WHERE WE ARE. 4795 02:49:22,346 --> 02:49:30,488 WE ARE LUCKY THAT PROUFR D -- 4796 02:49:30,488 --> 02:49:35,293 PROFESSOR DAWES AND PROFESSOR 4797 02:49:35,293 --> 02:49:37,228 RAMOS, THE LABOR OF THE PEOPLE 4798 02:49:37,228 --> 02:49:37,762 WORK. 4799 02:49:37,762 --> 02:49:38,296 THROUGHOUT THE NATION. 4800 02:49:38,296 --> 02:49:39,764 I DON'T THINK WE'RE GOING TO GET 4801 02:49:39,764 --> 02:49:41,465 ANYWHERE IN TERMS OF WANTING TO 4802 02:49:41,465 --> 02:49:43,000 IMPROVE ANY KIND OF OUT COME. 4803 02:49:43,000 --> 02:49:45,102 I ALSO STAND ON THE SHOULDER OF 4804 02:49:45,102 --> 02:49:45,636 GIANTS. 4805 02:49:45,636 --> 02:49:47,171 I CAME IN ON TUESDAY, I'VE BEEN 4806 02:49:47,171 --> 02:49:48,039 ATTENDING THE CONGRESSIONAL 4807 02:49:48,039 --> 02:49:49,707 BLACK CAUCUS FOUNDATION MEETING 4808 02:49:49,707 --> 02:49:51,142 IN ADDITION TO STOPPING HERE. 4809 02:49:51,142 --> 02:49:53,311 IF YOU DON'T KNOW FRANKIE 4810 02:49:53,311 --> 02:49:54,946 MANNING AND IF YOU DON'T KNOW 4811 02:49:54,946 --> 02:49:56,347 DR. BETTY SMITH WILLIAMS, I 4812 02:49:56,347 --> 02:49:57,348 HIGHLY RECOMMEND THAT YOU LOOK 4813 02:49:57,348 --> 02:49:58,549 UP THEIR WORK BECAUSE THE TWO OF 4814 02:49:58,549 --> 02:50:01,719 THEM ARE TWO PEOPLE WHO BOTH ARE 4815 02:50:01,719 --> 02:50:03,020 LIVING, WHO INSPIRE ME TO DO THE 4816 02:50:03,020 --> 02:50:07,191 WORK THAT I DO. 4817 02:50:07,191 --> 02:50:08,659 SO SOME OF YOU MAY NOT KNOW ME, 4818 02:50:08,659 --> 02:50:09,927 AND I WANTED TO MAKE SURE THAT 4819 02:50:09,927 --> 02:50:11,896 YOU HAD A CLEAR UNDERSTANDING 4820 02:50:11,896 --> 02:50:12,763 WHETHER YOU'RE WATCHING 4821 02:50:12,763 --> 02:50:14,632 VIRTUALLY OR YOU'RE HERE IN THE 4822 02:50:14,632 --> 02:50:15,433 ROOM, THAT IT'S QUITE POSSIBLE 4823 02:50:15,433 --> 02:50:17,234 TO HAVE A VERY SUCCESSFUL 4824 02:50:17,234 --> 02:50:18,669 RESEARCH PROGRAM AND TRAJECTORY 4825 02:50:18,669 --> 02:50:20,438 WITHOUT EVER RECEIVING FEDERAL 4826 02:50:20,438 --> 02:50:21,072 DOLLARS. 4827 02:50:21,072 --> 02:50:22,506 AND THIS IS REALLY IMPORTANT, I 4828 02:50:22,506 --> 02:50:25,242 SAY THIS NOT AS A SLIGHT OR A 4829 02:50:25,242 --> 02:50:28,145 DING, BUT YOU RECOGNIZING FROM 4830 02:50:28,145 --> 02:50:30,247 THE PREVIOUS PRESENTATION OF 4831 02:50:30,247 --> 02:50:31,682 RESEARCH, FOUNDATION GRANTS, 4832 02:50:31,682 --> 02:50:34,318 INTRAMURAL PROJECTS, SMALL 4833 02:50:34,318 --> 02:50:35,619 GRANTS, PROFESSIONAL 4834 02:50:35,619 --> 02:50:36,587 ORGANIZATION GRANTS HAVE 4835 02:50:36,587 --> 02:50:39,123 HISTORICALLY SERVED AS THE 4836 02:50:39,123 --> 02:50:41,859 FOUNDATION FOR PEOPLE TO GET TO 4837 02:50:41,859 --> 02:50:44,028 THEIR FIRST R01 OR THEIR FIRST 4838 02:50:44,028 --> 02:50:44,362 R21. 4839 02:50:44,362 --> 02:50:46,430 SO I WANT US TO START THINKING 4840 02:50:46,430 --> 02:50:47,498 REALLY CREATIVELY AROUND THE 4841 02:50:47,498 --> 02:50:49,633 FACT THAT WE CAN ALSO BE 4842 02:50:49,633 --> 02:50:51,902 THINKING ABOUT WHO ARE THOSE 4843 02:50:51,902 --> 02:50:53,871 OTHER COMMUNITIES, WHO ARE THOSE 4844 02:50:53,871 --> 02:50:55,406 OTHER FUNDERS, WHO ARE THOSE 4845 02:50:55,406 --> 02:50:57,041 OTHER STAKEHOLDERS THAT WE NEED 4846 02:50:57,041 --> 02:51:00,011 TO BE THINKING ABOUT IN 4847 02:51:00,011 --> 02:51:02,847 PARTNERING TO REALLY DEVELOP 4848 02:51:02,847 --> 02:51:04,982 NURSE SCIENCE SCHOLARSHIP IN 4849 02:51:04,982 --> 02:51:06,350 HEALTH EQUITY BECAUSE THOSE HAVE 4850 02:51:06,350 --> 02:51:07,985 BEEN VERY, VERY CRUCIAL TO MY 4851 02:51:07,985 --> 02:51:09,754 CAREER, AND PROBABLY TO MANY 4852 02:51:09,754 --> 02:51:10,421 OTHER EARLY CAREER FOLKS AS 4853 02:51:10,421 --> 02:51:11,922 WELL. 4854 02:51:11,922 --> 02:51:13,491 I HAVE BEEN A HIGHLY SUCCESSFUL 4855 02:51:13,491 --> 02:51:15,760 AND PROLIFIC PERSON BECAUSE OF 4856 02:51:15,760 --> 02:51:16,861 THE COMMUNITIES THAT LIFT ME UP 4857 02:51:16,861 --> 02:51:21,432 AND THAT I AM IN, WITH, AND 4858 02:51:21,432 --> 02:51:21,665 FROM. 4859 02:51:21,665 --> 02:51:23,434 AND I WANT US TO START USING 4860 02:51:23,434 --> 02:51:25,102 THAT LANGUAGE WHEN WE TALK ABOUT 4861 02:51:25,102 --> 02:51:26,270 COMMUNITY ENGAGEMENT, RIGHT? 4862 02:51:26,270 --> 02:51:27,671 BECAUSE IT'S ONE THING TO BE IN 4863 02:51:27,671 --> 02:51:28,139 COMMUNITY. 4864 02:51:28,139 --> 02:51:29,473 IT'S ANOTHER THING TO BE FROM A 4865 02:51:29,473 --> 02:51:29,740 COMMUNITY. 4866 02:51:29,740 --> 02:51:32,076 IT ANOTHER THING TO WORK WITH 4867 02:51:32,076 --> 02:51:33,044 COMMUNITY, AND IT'S ANOTHER 4868 02:51:33,044 --> 02:51:36,747 THING TO BE OF COMMUNITY. 4869 02:51:36,747 --> 02:51:37,848 AND THOSE THINGS MATTER IN TERMS 4870 02:51:37,848 --> 02:51:41,152 OF WHEN YOU'RE BUILDING OUT 4871 02:51:41,152 --> 02:51:43,320 PROGRAMS OF RESEARCH AND TRYING 4872 02:51:43,320 --> 02:51:46,390 TO DESIGN INTERVENTIONS. 4873 02:51:46,390 --> 02:51:48,025 DR. ELLE LETT IS A BLACK TRANS 4874 02:51:48,025 --> 02:51:50,094 WOMAN WHO IS A STATISTICIAN BY 4875 02:51:50,094 --> 02:51:52,163 TRAINING FINISHING UP HER DEGREE 4876 02:51:52,163 --> 02:51:56,567 AT THE PENNSYLVANIA. 4877 02:51:56,567 --> 02:51:57,635 UNIVERSITY OF 4878 02:51:57,635 --> 02:52:02,907 PENNSYLVANIA. 4879 02:52:02,907 --> 02:52:04,742 I ALSO LIKE TO GIVE PEOPLE 4880 02:52:04,742 --> 02:52:06,410 DEFINITIONS OF ANTI-RACISM AND 4881 02:52:06,410 --> 02:52:07,511 THERE ARE MORE THAN THIS ONE BUT 4882 02:52:07,511 --> 02:52:08,712 I THINK THIS ONE IS REALLY, 4883 02:52:08,712 --> 02:52:10,981 REALLY POS IMPORTANT, AND WE'VE 4884 02:52:10,981 --> 02:52:11,982 TALKED ABOUT THE RELATIONSHIP 4885 02:52:11,982 --> 02:52:12,983 BETWEEN HEALTH DISPARITIES AND 4886 02:52:12,983 --> 02:52:14,485 HEALTH INEQUITIES AND HEALTH 4887 02:52:14,485 --> 02:52:14,819 EQUITY. 4888 02:52:14,819 --> 02:52:17,688 AND I WANT TO INTRODUCE 4889 02:52:17,688 --> 02:52:18,322 ANTI-RACISM DEFINITION BECAUSE 4890 02:52:18,322 --> 02:52:22,493 YOU WILL SEE IT ACTUALLY IS VERY 4891 02:52:22,493 --> 02:52:23,994 ALIGNED AND CONGRUENT WITH WHAT 4892 02:52:23,994 --> 02:52:24,562 WE'RE THINKING ABOUT. 4893 02:52:24,562 --> 02:52:26,730 THE WAY THAT DR. LETT DESCRIBES 4894 02:52:26,730 --> 02:52:27,832 THIS, SHE SAYS IT'S THE 4895 02:52:27,832 --> 02:52:30,034 CONTINUAL PRACTICE OF UNLEARNING 4896 02:52:30,034 --> 02:52:31,135 INTERNALIZED BELIEF SYSTEMS 4897 02:52:31,135 --> 02:52:33,304 DICTATED BY WHITE SUPREMACY, 4898 02:52:33,304 --> 02:52:34,939 REDISTRIBUTING POWER, RESOURCES, 4899 02:52:34,939 --> 02:52:37,675 AND PRIVILEGE TO POPULATIONS 4900 02:52:37,675 --> 02:52:39,443 DIRECTLY AND DISPROPORTIONATELY 4901 02:52:39,443 --> 02:52:43,247 HARMED BY WHITE SUPREMACY, AND 4902 02:52:43,247 --> 02:52:45,783 REDRESSING HISTORICAL AND 4903 02:52:45,783 --> 02:52:47,084 CONTEMPORARY BIOLOGICAL, MEN 4904 02:52:47,084 --> 02:52:48,719 ACTUAL SPIRITUAL AND SOCIAL 4905 02:52:48,719 --> 02:52:50,254 INJUSTICES ENACTED UNDER WHITE 4906 02:52:50,254 --> 02:52:50,588 SUPREMACY. 4907 02:52:50,588 --> 02:52:52,022 I LOVE THIS DEFINITION BECAUSE 4908 02:52:52,022 --> 02:52:54,525 IT'S ACTION-ORIENTED, IT'S NOT 4909 02:52:54,525 --> 02:52:56,293 LIKE THEORETICAL, AND IT'S NOT 4910 02:52:56,293 --> 02:52:56,627 ASPIRATIONAL. 4911 02:52:56,627 --> 02:52:59,463 IT ACTUALLY SPEAKS TRUTHS AND IS 4912 02:52:59,463 --> 02:53:00,865 VERY DIRECTIVE, WHICH I THINK IS 4913 02:53:00,865 --> 02:53:03,067 SOMETHING WE MIGHT WANT TO START 4914 02:53:03,067 --> 02:53:05,669 THINKING ABOUT WHEN WE'RE 4915 02:53:05,669 --> 02:53:09,440 TALKING ABOUT WHAT I THINK IS 4916 02:53:09,440 --> 02:53:12,143 THE UNETHICAL CONTINUATION OF 4917 02:53:12,143 --> 02:53:15,846 CONTRIBUTORS TO PREMATURE BLACK, 4918 02:53:15,846 --> 02:53:16,947 BROWN, INDIGENOUS AND OTHER 4919 02:53:16,947 --> 02:53:19,783 PEOPLE'S DEATHS IN THIS COUNTRY. 4920 02:53:19,783 --> 02:53:21,218 I ALREADY TALKED ABOUT ONE 4921 02:53:21,218 --> 02:53:25,256 DEFINITION OF HEALTH EQUITY IS 4922 02:53:25,256 --> 02:53:26,790 DR. CAMARA JONES'. 4923 02:53:26,790 --> 02:53:29,560 THE SECOND ONE, WHAT IF HEALTH 4924 02:53:29,560 --> 02:53:31,295 EQUITY IS NOT EXPERIENCED, WHAT 4925 02:53:31,295 --> 02:53:32,363 IF IT'S NOT ACHIEVED? 4926 02:53:32,363 --> 02:53:33,797 WHAT IF IT'S A CONTINUAL 4927 02:53:33,797 --> 02:53:34,899 EXPERIENCE OF THE PEOPLE THAT WE 4928 02:53:34,899 --> 02:53:38,402 SERVE, OR THE POPULATIONS IN 4929 02:53:38,402 --> 02:53:41,338 COMMUNITIES WITH WHOM, FROM 4930 02:53:41,338 --> 02:53:44,441 WHOM, OF WHOM WE WORK? 4931 02:53:44,441 --> 02:53:46,043 HOW WOULD WE MEASURE IT, HOW 4932 02:53:46,043 --> 02:53:47,244 WOULD WE REALLY START TO 4933 02:53:47,244 --> 02:53:48,012 UNDERSTAND SOMEBODY'S EXPERIENCE 4934 02:53:48,012 --> 02:53:48,779 AS CHANGED? 4935 02:53:48,779 --> 02:53:49,880 I LOVE THE PREVIOUS PRESENTATION 4936 02:53:49,880 --> 02:53:51,182 AROUND THE FOOD TRUCKS, BECAUSE 4937 02:53:51,182 --> 02:53:53,384 THEY ARE CONSTANTLY LOOKING AT 4938 02:53:53,384 --> 02:53:55,119 NOT ONLY CONSUMER DATA, BUT 4939 02:53:55,119 --> 02:53:56,987 THEY'RE ALSO LOOKING AT 4940 02:53:56,987 --> 02:53:57,655 UTILIZATION DATA. 4941 02:53:57,655 --> 02:53:59,089 HOW DOES THAT CHANGE OVER TIME. 4942 02:53:59,089 --> 02:54:00,925 BECAUSE AT SOME POINT, IF THOSE 4943 02:54:00,925 --> 02:54:04,528 PEOPLE ARE ABLE TO GET 4944 02:54:04,528 --> 02:54:05,729 MEANINGFUL WORK AT A LIVING 4945 02:54:05,729 --> 02:54:08,799 WAGE, AND THEY GET EMPLOYEE 4946 02:54:08,799 --> 02:54:09,667 SPONSORED HEALTH INSURANCE, AT 4947 02:54:09,667 --> 02:54:10,434 SOME POINT YOU WOULD THINK OF 4948 02:54:10,434 --> 02:54:13,270 THE RESIDENTS USING THE FOOD 4949 02:54:13,270 --> 02:54:13,637 TRUCKS, RIGHT? 4950 02:54:13,637 --> 02:54:14,805 IS THAT HOW WE'RE THINKING ABOUT 4951 02:54:14,805 --> 02:54:16,340 THIS? 4952 02:54:16,340 --> 02:54:20,311 BECAUSE THAT'S WHAT -- SO WHAT 4953 02:54:20,311 --> 02:54:21,345 IF HEALTH EQUITY IS EXPERIENCED 4954 02:54:21,345 --> 02:54:22,479 AND WHAT WILL IT TAKE FOR PEOPLE 4955 02:54:22,479 --> 02:54:24,315 TO HAVE AN EXPERIENCE THEY WOULD 4956 02:54:24,315 --> 02:54:27,184 ACTUALLY RECOGNIZE? 4957 02:54:27,184 --> 02:54:28,519 I WANT US TO BE THINKING 4958 02:54:28,519 --> 02:54:29,353 DIFFERENTLY WHEN WE START TO 4959 02:54:29,353 --> 02:54:32,189 THINK ABOUT OUR WORK. 4960 02:54:32,189 --> 02:54:33,157 SO LET'S DEAL WITH THE ELEPHANT 4961 02:54:33,157 --> 02:54:33,724 IN THE ROOM. 4962 02:54:33,724 --> 02:54:35,359 WE'VE HAD SEVERAL PUBLICATIONS 4963 02:54:35,359 --> 02:54:37,795 AROUND THE SHIFTS IN NURSING 4964 02:54:37,795 --> 02:54:38,329 SCIENCE. 4965 02:54:38,329 --> 02:54:39,430 WE'RE AT A PRECIPICE, RIGHT? 4966 02:54:39,430 --> 02:54:42,600 WE HAVE A SITUATION WHERE WE 4967 02:54:42,600 --> 02:54:43,901 HAVE MULTIPLE PATHWAYS FOR 4968 02:54:43,901 --> 02:54:44,902 ADVANCED EDUCATION IN NURSING. 4969 02:54:44,902 --> 02:54:49,039 AND THAT WE SEE A HUGE BRAIN 4970 02:54:49,039 --> 02:54:51,008 TRUST IN OUR DOCTORATE OF 4971 02:54:51,008 --> 02:54:51,875 NURSING PRACTICE INDIVIDUALS, 4972 02:54:51,875 --> 02:54:53,644 RIGHT? 4973 02:54:53,644 --> 02:54:56,380 AND WE'RE STARTING TO SEE A -- 4974 02:54:56,380 --> 02:54:58,349 THEY JUST HAD A PIECE IN NURSING 4975 02:54:58,349 --> 02:54:59,350 OUTLOOK ABOUT THIS, ABOUT WHERE 4976 02:54:59,350 --> 02:55:01,218 IS THE FUTURE OF THE PH.D. 4977 02:55:01,218 --> 02:55:03,921 RESEARCHERS, THE RESEARCHERS AND 4978 02:55:03,921 --> 02:55:05,022 MILEAGE PRODUCERS, RIGHT? 4979 02:55:05,022 --> 02:55:06,323 WE NEED TO WRESTLE WITH THESE 4980 02:55:06,323 --> 02:55:09,727 THINGS BECAUSE THAT'S OUR FUTURE 4981 02:55:09,727 --> 02:55:10,160 BRAIN TRUST. 4982 02:55:10,160 --> 02:55:11,495 SO UNTIL WE CAN CLARIFY THAT, 4983 02:55:11,495 --> 02:55:15,199 WHEN WE COME INTO COMMUNITIES, 4984 02:55:15,199 --> 02:55:20,971 IT IS CONFUSING TO THEM WHEN WE 4985 02:55:20,971 --> 02:55:22,640 HAVE SHARED CREDENTIALS AND 4986 02:55:22,640 --> 02:55:23,274 DIFFERENT SKILLSETS. 4987 02:55:23,274 --> 02:55:25,476 SO MAYBE WE NEED MORE DATA 4988 02:55:25,476 --> 02:55:26,143 VISUALIZATION PROGRESS. 4989 02:55:26,143 --> 02:55:29,680 I LOVE THE FACT THAT THE REPORT 4990 02:55:29,680 --> 02:55:30,814 HAS INFO GRAPHICS AND A WHOLE 4991 02:55:30,814 --> 02:55:31,915 VARIETY OF OTHER THINGS. 4992 02:55:31,915 --> 02:55:34,218 MAYBE WE NEED MORE INTERACTIVE 4993 02:55:34,218 --> 02:55:36,186 TOOLS TO ENGENDER OR GARNER THAT 4994 02:55:36,186 --> 02:55:39,456 TRUST THAT WE'RE LOOKING TO 4995 02:55:39,456 --> 02:55:40,124 RESTORE. 4996 02:55:40,124 --> 02:55:42,559 I WON'T EVEN SAY BUILD, BUT TO 4997 02:55:42,559 --> 02:55:42,860 RESTORE. 4998 02:55:42,860 --> 02:55:44,495 SO WE NEED TO HAVE THESE 4999 02:55:44,495 --> 02:55:45,596 CONVERSATIONS, AND I'M ACTUALLY 5000 02:55:45,596 --> 02:55:46,864 REALLY GLAD -- I WOULD LIKE TO 5001 02:55:46,864 --> 02:55:48,098 SEE MORE PUBLICATIONS AND 5002 02:55:48,098 --> 02:55:49,199 CONVERSATION ABOUT THIS. 5003 02:55:49,199 --> 02:55:51,602 I WILL PUT MY HAT ON AS THE 5004 02:55:51,602 --> 02:55:52,703 EDITOR-IN-CHIEF OF HEALTH 5005 02:55:52,703 --> 02:55:53,671 EQUITY, THAT YOU ARE GOING TO 5006 02:55:53,671 --> 02:55:57,841 START TO SEE SOME REALLY FUN AND 5007 02:55:57,841 --> 02:55:58,609 INTERESTING PRODUCT OFFERINGS. 5008 02:55:58,609 --> 02:56:00,344 WE NEED TO BE THINKING MORE 5009 02:56:00,344 --> 02:56:02,980 ABOUT OUR COMMUNITIES, NOT JUST 5010 02:56:02,980 --> 02:56:03,647 FACULTY. 5011 02:56:03,647 --> 02:56:05,649 I'VE HEARD SCHOOLS OF NURSING, 5012 02:56:05,649 --> 02:56:07,685 MAYBE WE NEED TO TALK TO OUR 5013 02:56:07,685 --> 02:56:08,585 PROFESSIONAL ORGANIZATION, OH, 5014 02:56:08,585 --> 02:56:11,622 AND OUR PUBLISHERS OF SCIENCE. 5015 02:56:11,622 --> 02:56:15,993 TO ALSO THINK ABOUT THEIR ROLE 5016 02:56:15,993 --> 02:56:17,761 IN BUILDING MOMENTUM AROUND 5017 02:56:17,761 --> 02:56:19,930 UPSTREAM SOLUTIONS THAT WE NEED 5018 02:56:19,930 --> 02:56:21,365 AND THE EXCITEMENT THAT'S 5019 02:56:21,365 --> 02:56:23,100 NECESSARY FOR US TO DO AUTHENTIC 5020 02:56:23,100 --> 02:56:25,302 COMMUNITY ENGAGED WORK. 5021 02:56:25,302 --> 02:56:26,603 SO IN THE HOTEL THIS MORNING, 5022 02:56:26,603 --> 02:56:27,938 YOU MAY OR MAY NOT HAVE HEARD ME 5023 02:56:27,938 --> 02:56:28,706 SAY THIS BUT I'M GOING TO 5024 02:56:28,706 --> 02:56:29,773 CONTINUE TO SAY THIS, WE'RE 5025 02:56:29,773 --> 02:56:31,475 EITHER GOING TO APPLY INTERNAL 5026 02:56:31,475 --> 02:56:32,643 PRESSURE TO OURSELVES AROUND 5027 02:56:32,643 --> 02:56:35,045 COMMUNITY ENGAGEMENT AND 5028 02:56:35,045 --> 02:56:36,413 AUTHENTICITY OR IT'S EXTERNALLY 5029 02:56:36,413 --> 02:56:37,781 GOING TO BE IMPOSED ON US. 5030 02:56:37,781 --> 02:56:39,183 I WOULD LIKE FOR US TO BE BOLD 5031 02:56:39,183 --> 02:56:40,184 AND COURAGEOUS ENOUGH TO BE ABLE 5032 02:56:40,184 --> 02:56:41,919 TO MAKE THE DECISION THAT WE'RE 5033 02:56:41,919 --> 02:56:43,687 FINALLY GOING TO SPEND SOME OF 5034 02:56:43,687 --> 02:56:47,825 THE MOST TRUSTED OF THE HEALTH 5035 02:56:47,825 --> 02:56:49,026 PROFESSIONS' CURRENCY IN 5036 02:56:49,026 --> 02:56:49,460 NURSING. 5037 02:56:49,460 --> 02:56:52,329 THIS IS FROM MY FORMER HOME 5038 02:56:52,329 --> 02:56:53,997 STATE, THAT'S GOVERNOR GAVIN 5039 02:56:53,997 --> 02:56:54,231 NEWSOM. 5040 02:56:54,231 --> 02:56:55,599 THERE WERE ALMOST 20 BIDS THAT 5041 02:56:55,599 --> 02:56:58,135 WERE SIGNED INTO LAW, SO WE'RE 5042 02:56:58,135 --> 02:57:01,071 IN THE DOBBS WORLD NOW, POST 5043 02:57:01,071 --> 02:57:07,745 ROE, WE HAVE STATES PICKING UP 5044 02:57:07,745 --> 02:57:14,284 THE MANTLE OF TRAINING THE 5045 02:57:14,284 --> 02:57:15,719 NEXT -- BASED IN RESPONSE TO 5046 02:57:15,719 --> 02:57:16,720 STATE LEGISLATURES. 5047 02:57:16,720 --> 02:57:19,556 SO THAT MEANS ARE WE GOING TO 5048 02:57:19,556 --> 02:57:23,260 ENGAGE WITH AND DECIDE HOW 5049 02:57:23,260 --> 02:57:24,461 THEY'RE GOING TO BE UTILIZED AND 5050 02:57:24,461 --> 02:57:25,562 MY ANSWER IS ABSOLUTELY. 5051 02:57:25,562 --> 02:57:28,866 WE HAD PH.D. PREPARED MIDWIVES 5052 02:57:28,866 --> 02:57:29,933 FUNCTIONING TO HELP CRAFT SOME 5053 02:57:29,933 --> 02:57:32,236 OF THIS LEGISLATION TO ALLOW US 5054 02:57:32,236 --> 02:57:35,639 TO BRING NURSING LEADERSHIP AND 5055 02:57:35,639 --> 02:57:36,840 WORK FORWARD TO BE ABLE TO 5056 02:57:36,840 --> 02:57:39,243 DEVELOP THE WORKFORCE OF THE 5057 02:57:39,243 --> 02:57:42,713 FUTURE, GROUNDED IN COMMUNITIES 5058 02:57:42,713 --> 02:57:43,714 AND CENTERING COMMUNITIES WHERE 5059 02:57:43,714 --> 02:57:46,016 THEY HAVE NOT HAD ACCESS OR 5060 02:57:46,016 --> 02:57:49,420 PATHWAYS BUILT TO THE HEALTH 5061 02:57:49,420 --> 02:57:49,953 PROFESSIONS. 5062 02:57:49,953 --> 02:57:51,722 THEY ARE INCLUDING NOT ONLY 5063 02:57:51,722 --> 02:57:53,891 COMMUNITY COLLEGE, THEY ARE 5064 02:57:53,891 --> 02:57:56,627 INCLUDING HIGH SCHOOL INTERNS, 5065 02:57:56,627 --> 02:57:58,128 THEY ARE INTERGENERATIONAL 5066 02:57:58,128 --> 02:57:59,263 COHORTS OF PEOPLE SO THAT WE CAN 5067 02:57:59,263 --> 02:58:00,397 HAVE THAT REPRESENTATIVE 5068 02:58:00,397 --> 02:58:02,866 WORKFORCE. 5069 02:58:02,866 --> 02:58:05,936 WHEN WE THINK ABOUT ARPA, I'M SO 5070 02:58:05,936 --> 02:58:07,471 GLAD TO SEE OUR OFFICE OF 5071 02:58:07,471 --> 02:58:08,972 WOMEN'S HEALTH RESEARCH SITTING 5072 02:58:08,972 --> 02:58:11,108 HERE, RIGHT, WHEN WE THINK ABOUT 5073 02:58:11,108 --> 02:58:12,910 ALL THE ATTENTION AND THE 5074 02:58:12,910 --> 02:58:15,012 INVESTMENTS, HOW ARE WE 5075 02:58:15,012 --> 02:58:15,979 INCLUDING COMMUNITIES IN THESE 5076 02:58:15,979 --> 02:58:18,715 OPPORTUNITIES? 5077 02:58:18,715 --> 02:58:22,352 WE HAD A WATCH PARTY WITH THE 5078 02:58:22,352 --> 02:58:24,521 DOULAS WHEN GENDER POLICY 5079 02:58:24,521 --> 02:58:29,660 COUNCIL -- I MEET WITH THEM 5080 02:58:29,660 --> 02:58:33,063 EVERY TIME I'M EA HERE IN D.C. O 5081 02:58:33,063 --> 02:58:34,097 SAY THIS IS WHAT THE FEDERAL 5082 02:58:34,097 --> 02:58:35,132 GOVERNMENT IS DOING TO HELP 5083 02:58:35,132 --> 02:58:38,202 IMPROVE OUR HEALTH. 5084 02:58:38,202 --> 02:58:39,770 MAYBE IT'S TIME FOR US TO DO 5085 02:58:39,770 --> 02:58:41,705 MORE COMMUNITY WORK. 5086 02:58:41,705 --> 02:58:43,674 OUTSIDE OF BABY SHOWERS. 5087 02:58:43,674 --> 02:58:44,074 RIGHT? 5088 02:58:44,074 --> 02:58:45,976 MAYBE IT'S TIME FOR US TO HAVE 5089 02:58:45,976 --> 02:58:50,547 WATCH PARTIES AROUND WHAT THE 5090 02:58:50,547 --> 02:58:51,815 PEOPLE THAT WORK FOR US ARE 5091 02:58:51,815 --> 02:58:56,019 ACTUALLY DOING. 5092 02:58:56,019 --> 02:58:57,788 THIS IS GOING TO BE VERY 5093 02:58:57,788 --> 02:58:58,222 FASCINATING. 5094 02:58:58,222 --> 02:58:59,957 SO I DON'T KNOW HOW MANY PEOPLE 5095 02:58:59,957 --> 02:59:02,793 SAW MELINDA GATES' OP-ED RIGHT 5096 02:59:02,793 --> 02:59:03,994 AFTER MEMORIAL DAY, HOW SHE'S 5097 02:59:03,994 --> 02:59:06,730 GOING TO INVEST A BILLION 5098 02:59:06,730 --> 02:59:08,599 DOLLARS INTO REPRODUCTIVE 5099 02:59:08,599 --> 02:59:09,366 WOMEN'S HEALTH? 5100 02:59:09,366 --> 02:59:11,869 SO SHE DECIDED TO GIVE 5101 02:59:11,869 --> 02:59:13,303 $240 MILLION TO 18 5102 02:59:13,303 --> 02:59:14,605 ORGANIZATIONS. 5103 02:59:14,605 --> 02:59:16,039 THOSE 18 ORGANIZATIONS ARE 5104 02:59:16,039 --> 02:59:17,908 LISTED ON THE RIGHT. 5105 02:59:17,908 --> 02:59:21,411 THE PURPLE ARROWS ARE PEOPLE 5106 02:59:21,411 --> 02:59:22,713 MYSELF AND A WHOLE LOT OF OTHER 5107 02:59:22,713 --> 02:59:25,015 PEOPLE KNOW, WORK WITH, HAVE ON 5108 02:59:25,015 --> 02:59:27,417 TEXT OR ARE FRIENDS, RIGHT? 5109 02:59:27,417 --> 02:59:29,686 WHO IN THIS ROOM IS PREPARED TO 5110 02:59:29,686 --> 02:59:31,889 GO TO THOSE ORGANIZATIONS WITH 5111 02:59:31,889 --> 02:59:33,223 YOUR UNRESTRICTED MONEY AND PUT 5112 02:59:33,223 --> 02:59:34,424 THOSE IDEAS IN FRONT OF THEM 5113 02:59:34,424 --> 02:59:38,662 ABOUT PARTNERSHIP AND WORKING 5114 02:59:38,662 --> 02:59:39,229 WITH THEM? 5115 02:59:39,229 --> 02:59:40,964 THAT'S THE KIND OF EXTERNAL 5116 02:59:40,964 --> 02:59:41,732 PRESSURE WE'RE GOING TO HAVE TO 5117 02:59:41,732 --> 02:59:42,833 START TO THINK ABOUT. 5118 02:59:42,833 --> 02:59:45,469 12 INDIVIDUALS GOT $200 MILLION, 5119 02:59:45,469 --> 02:59:46,770 20 MILLION A PIECE, TO BE ABLE 5120 02:59:46,770 --> 02:59:48,539 TO UNRESTRICKTIVELY DO 5121 02:59:48,539 --> 02:59:50,374 INCREDIBLE COMMUNITY ENGAGED 5122 02:59:50,374 --> 02:59:51,575 WORK. 5123 02:59:51,575 --> 02:59:52,676 ALISON HAPPENS TO BE ONE OF 5124 02:59:52,676 --> 02:59:53,877 THEM. 5125 02:59:53,877 --> 02:59:55,312 SHE'S ON HER WAY TO A MEETING 5126 02:59:55,312 --> 02:59:57,614 RIGHT NOW IN ATLANTA TO TALK 5127 02:59:57,614 --> 03:00:01,418 THROUGH WORKING WITH THOSE 5128 03:00:01,418 --> 03:00:02,019 COMMUNITY-BASED ORGANIZATIONS, 5129 03:00:02,019 --> 03:00:03,387 WHAT THEY SHOULD BE DOING AROUND 5130 03:00:03,387 --> 03:00:03,820 MATERNAL HEALTH. 5131 03:00:03,820 --> 03:00:08,325 AND MY QUESTION TO HER AND TO 5132 03:00:08,325 --> 03:00:12,896 LET MAMAS MATTER ALLIANCE, FULL 5133 03:00:12,896 --> 03:00:13,997 DISCLOSURE, I WAS THE BOARD 5134 03:00:13,997 --> 03:00:15,232 SECRETARY, HOW CAN WE CONTINUE 5135 03:00:15,232 --> 03:00:18,268 TO IMPROVE HERE AT NIH TO CREATE 5136 03:00:18,268 --> 03:00:22,205 A SEAMLESS PIPELINE OF THE WORK 5137 03:00:22,205 --> 03:00:23,507 THAT WE DO. 5138 03:00:23,507 --> 03:00:25,609 HOW CAN WE HAVE BIDIRECTIONAL 5139 03:00:25,609 --> 03:00:28,345 COMMUNICATION THAT'S NOT 5140 03:00:28,345 --> 03:00:31,815 BURDENSOME TO THE POINT EARLIER, 5141 03:00:31,815 --> 03:00:33,684 HOW CAN WE BUILD ESSENTIAL 5142 03:00:33,684 --> 03:00:35,552 INFRASTRUCTURE TO MAKE SURE THAT 5143 03:00:35,552 --> 03:00:40,157 CAPACITY IS THERE FOR MEANINGFUL 5144 03:00:40,157 --> 03:00:41,358 AND AUTHENTIC COMMUNITY 5145 03:00:41,358 --> 03:00:43,327 ENGAGEMENT, RIGHT? 5146 03:00:43,327 --> 03:00:46,930 THE LEVERS FOR CHANGE MACK 5147 03:00:46,930 --> 03:00:48,131 ARTHUR MECHANISM IS HOW SHE'S 5148 03:00:48,131 --> 03:00:51,001 GOING TO RELEASE HER REQUEST FOR 5149 03:00:51,001 --> 03:00:51,635 APPLICATIONS, AND THEY'RE 5150 03:00:51,635 --> 03:00:53,270 SUPPOSED TO BE COMING OUT THIS 5151 03:00:53,270 --> 03:00:53,837 FALL. 5152 03:00:53,837 --> 03:00:59,276 HOW CAN WE PREPARE -- FUNDED 5153 03:00:59,276 --> 03:01:00,043 INVESTIGATORS TO BE COMPETITIVE? 5154 03:01:00,043 --> 03:01:01,678 HOW CAN WE THINKING ABOUT 5155 03:01:01,678 --> 03:01:02,913 INCUBATORS AND ACCELERATORS TO 5156 03:01:02,913 --> 03:01:05,315 HELP US TO REALLY BE ABLE TO PUT 5157 03:01:05,315 --> 03:01:08,385 OUR LEADERS IN PLACE, ALONG WITH 5158 03:01:08,385 --> 03:01:10,020 SHARE COMMUNITY PARTNERS, 5159 03:01:10,020 --> 03:01:11,989 BECAUSE I THINK MINOR CAN DO 5160 03:01:11,989 --> 03:01:12,489 THIS. 5161 03:01:12,489 --> 03:01:15,025 WE CAN FUND INVESTIGATORS AND 5162 03:01:15,025 --> 03:01:15,692 COMMUNITY PARTNERS. 5163 03:01:15,692 --> 03:01:18,228 SOME OF WHAT ROBERT WOOD JOHNSON 5164 03:01:18,228 --> 03:01:21,598 HAS DONE WITH INTERDISCIPLINARY 5165 03:01:21,598 --> 03:01:23,800 RESEARCH -- TEAMS TO BE ABLE TO 5166 03:01:23,800 --> 03:01:25,869 COMPETITIVELY WRITE FOR OTHER 5167 03:01:25,869 --> 03:01:27,304 KINDS. 5168 03:01:27,304 --> 03:01:28,972 WE CAN HAVE MINOR COMMUNITY 5169 03:01:28,972 --> 03:01:32,009 FELLOWS. 5170 03:01:32,009 --> 03:01:33,310 I'M PONTIFICATING HERE, BUT 5171 03:01:33,310 --> 03:01:35,278 LET'S -- MY JOB IS TO SEED IDEAS 5172 03:01:35,278 --> 03:01:38,115 AND TO ACTIVATE YOU ALL TO THINK 5173 03:01:38,115 --> 03:01:40,517 DIFFERENTLY ABOUT HOW CAN WE 5174 03:01:40,517 --> 03:01:43,153 CONSISTENTLY, AUTHENTICALLY AND 5175 03:01:43,153 --> 03:01:45,022 MEANINGFULLY ENGAGE WITH 5176 03:01:45,022 --> 03:01:49,393 COMMUNITY, AND COMMUNITIES. 5177 03:01:49,393 --> 03:01:50,794 SO WE'RE GOING TO MAP THE 5178 03:01:50,794 --> 03:01:52,896 FUTURE, FROM MY MIND, YOU'VE 5179 03:01:52,896 --> 03:01:55,132 HEARD A LOT OF THIS FROM THE 5180 03:01:55,132 --> 03:01:56,600 REPORT, I WAS ON THE WEBINAR 5181 03:01:56,600 --> 03:01:57,601 BECAUSE I'M SO EXCITED BY THAT 5182 03:01:57,601 --> 03:01:57,901 WORK. 5183 03:01:57,901 --> 03:01:59,603 WE HAVE TO THINK ABOUT THE 5184 03:01:59,603 --> 03:02:00,771 RETROFIT, WHICH IS THE FUTURE 5185 03:02:00,771 --> 03:02:01,638 WORKFORCE, BECAUSE AT SOME POINT 5186 03:02:01,638 --> 03:02:05,342 I DON'T WANT TO CONTINUE TO BE 5187 03:02:05,342 --> 03:02:10,614 THE LONE TENURED PROFESSOR, AND 5188 03:02:10,614 --> 03:02:11,715 KNOW WHO'S COMING UP THROUGH 5189 03:02:11,715 --> 03:02:12,249 THAT PIPELINE. 5190 03:02:12,249 --> 03:02:14,618 SO HOW DO WE GET THERE? 5191 03:02:14,618 --> 03:02:15,886 THE REFORM IS COMMUNITY 5192 03:02:15,886 --> 03:02:16,319 ENGAGEMENT. 5193 03:02:16,319 --> 03:02:18,055 WE WILL NOT ACHIEVE HEALTH 5194 03:02:18,055 --> 03:02:19,790 EQUITY, WE WILL NOT REDUCE 5195 03:02:19,790 --> 03:02:20,991 HEALTH INEQUITIES. 5196 03:02:20,991 --> 03:02:23,527 THE MECHANISM FOR WHICH WE 5197 03:02:23,527 --> 03:02:25,162 REFORM IS AUTHENTIC AND 5198 03:02:25,162 --> 03:02:26,363 MEANINGFUL COMMUNITY ENGAGEMENT. 5199 03:02:26,363 --> 03:02:28,565 THAT'S ALSO -- HERE'S THE DIRTY 5200 03:02:28,565 --> 03:02:29,466 LITTLE SECRET THAT NOBODY WANTS 5201 03:02:29,466 --> 03:02:31,601 TO SAY, IS ALSO THE ACCESS POINT 5202 03:02:31,601 --> 03:02:34,838 FOR SUSTAINABILITY. 5203 03:02:34,838 --> 03:02:38,075 WHEN COMMUNITIES OWN THESE 5204 03:02:38,075 --> 03:02:39,042 INITIATIVES, WHEN COMMUNITIES 5205 03:02:39,042 --> 03:02:41,344 OWN AND HAVE A STAKE IN THE WORK 5206 03:02:41,344 --> 03:02:42,813 THAT WE'RE DOING, THIS IS ONE OF 5207 03:02:42,813 --> 03:02:44,281 THE THINGS THAT DOULAS HAVE 5208 03:02:44,281 --> 03:02:45,048 TAUGHT ME. 5209 03:02:45,048 --> 03:02:46,383 I REMEMBER WHEN I STARTED MY 5210 03:02:46,383 --> 03:02:48,452 DOULA WORK IN 2013, WE HAD OUR 5211 03:02:48,452 --> 03:02:50,620 PROJECT PILOTING DOULA SUPPORT 5212 03:02:50,620 --> 03:02:52,489 FOR INCARCERATED PERSONS THAT 5213 03:02:52,489 --> 03:02:54,958 NOBODY -- WE HAD TO EXPLAIN TO 5214 03:02:54,958 --> 03:02:57,094 PEOPLE WHAT DOULAS WERE, RIGHT? 5215 03:02:57,094 --> 03:02:58,829 NOW EVERYBODY TALKS ABOUT 5216 03:02:58,829 --> 03:02:59,730 DOULAS. 5217 03:02:59,730 --> 03:03:02,766 THAT WAS A CONCERTED EFFORT 5218 03:03:02,766 --> 03:03:05,168 AMPLIFYING DOULA VOICE. 5219 03:03:05,168 --> 03:03:07,904 EXPLAINING TO PEOPLE, LISTENING 5220 03:03:07,904 --> 03:03:09,239 PARTIES, WATCH SESSIONS, 5221 03:03:09,239 --> 03:03:11,208 BRINGING IN DOULAS TO BE ABLE TO 5222 03:03:11,208 --> 03:03:13,376 TALK ABOUT THE ESSENTIAL WORK 5223 03:03:13,376 --> 03:03:15,479 THEY DO, THAT WAS A STRATEGY 5224 03:03:15,479 --> 03:03:18,648 THAT WE CAN ALSO DEPLOY WITH 5225 03:03:18,648 --> 03:03:19,750 COMMUNITY LEADERS WITH LIVED 5226 03:03:19,750 --> 03:03:20,050 EXPERIENCE. 5227 03:03:20,050 --> 03:03:22,352 AND THEN THE REIMAGINE IS 5228 03:03:22,352 --> 03:03:24,721 COMMUNITY INVESTMENT. 5229 03:03:24,721 --> 03:03:26,523 WE HEARD ABOUT INVESTMENTS, 5230 03:03:26,523 --> 03:03:28,258 WE'RE STILL WAITING FOR THOSE 5231 03:03:28,258 --> 03:03:29,025 INVESTMENTS. 5232 03:03:29,025 --> 03:03:31,495 ONE OF THE THINGS I WAS SITTING 5233 03:03:31,495 --> 03:03:32,629 WRESTLING WITH AND I SAW SOME OF 5234 03:03:32,629 --> 03:03:33,964 YOU AROUND THE BREAK AROUND THIS 5235 03:03:33,964 --> 03:03:36,233 IS, I WORRY THAT BY ADDRESSING 5236 03:03:36,233 --> 03:03:38,435 SOCIAL NEEDS WITHIN CLINICAL AND 5237 03:03:38,435 --> 03:03:42,272 HEALTH SYSTEMS AND MEDICAL -- 5238 03:03:42,272 --> 03:03:43,673 AND SOCIAL NEEDS THAT WE 5239 03:03:43,673 --> 03:03:47,110 UNDERMINE OUR ARGUMENT. 5240 03:03:47,110 --> 03:03:48,612 I WORRY ABOUT THAT, AND I WANT 5241 03:03:48,612 --> 03:03:50,814 US TO WRESTLE WITH THAT, BECAUSE 5242 03:03:50,814 --> 03:03:53,984 COMMUNITY MEMBERS RECOGNIZE 5243 03:03:53,984 --> 03:03:57,454 ROBUST SOCIAL -- PEOPLE CAN TELL 5244 03:03:57,454 --> 03:03:58,655 YOU WHAT NURSE -- PARTNERSHIP 5245 03:03:58,655 --> 03:04:02,392 IS. 5246 03:04:02,392 --> 03:04:04,461 BECAUSE THEY'RE NOT COMING IN TO 5247 03:04:04,461 --> 03:04:06,863 THE HEALTH SYSTEM, THEY'RE 5248 03:04:06,863 --> 03:04:07,731 COMING IN TO COMMUNITIES. 5249 03:04:07,731 --> 03:04:09,065 HOW CAN WE THINK ABOUT THIS? 5250 03:04:09,065 --> 03:04:11,034 AND I LOVE THE FACT THAT THIS IS 5251 03:04:11,034 --> 03:04:13,203 A STRATEGY TO GET PEOPLE'S NEEDS 5252 03:04:13,203 --> 03:04:20,544 MET, AND NOW RESTORING BASIC 5253 03:04:20,544 --> 03:04:21,978 SOCIAL SUPPORT IS GOING TO BE 5254 03:04:21,978 --> 03:04:23,280 CRUCIAL IF WE WANT TO ACHIEVE 5255 03:04:23,280 --> 03:04:25,348 HEALTH EQUITY AND DECREASE 5256 03:04:25,348 --> 03:04:25,749 INEQUITIES. 5257 03:04:25,749 --> 03:04:27,317 WHEN WE LOOK AT DIFFERENT 5258 03:04:27,317 --> 03:04:28,852 COUNTRIES THAT HAVE SUPERIOR 5259 03:04:28,852 --> 03:04:31,488 HEALTH OUTCOMES, THEY HAVE A 5260 03:04:31,488 --> 03:04:34,224 ROBUST SOCIAL SAFETY NETWORK, 5261 03:04:34,224 --> 03:04:35,859 WHETHER IT'S PAID FAMILY LEAVE, 5262 03:04:35,859 --> 03:04:40,664 PARENTAL LEAVE, WHAT ARE WHATEV, 5263 03:04:40,664 --> 03:04:42,599 AT SOME POINT WE HAVE TO ADD 5264 03:04:42,599 --> 03:04:48,872 HUMAN SERVICES TO HEALTH. 5265 03:04:48,872 --> 03:04:50,607 I CAME HERE INTRAMURALLY AS A 5266 03:04:50,607 --> 03:04:52,375 LABORATORY TRAINED RESEARCHER. 5267 03:04:52,375 --> 03:04:55,111 I STILL DO ONCOLOGY WORK. 5268 03:04:55,111 --> 03:04:58,615 BECAUSE DEVELOPMENT, WHETHER 5269 03:04:58,615 --> 03:05:01,017 IT'S TUMORS, FETUSES, ARE 5270 03:05:01,017 --> 03:05:02,118 SOCIALLY CONSTRUCTED. 5271 03:05:02,118 --> 03:05:03,420 VERY SIMILAR TO RACISM. 5272 03:05:03,420 --> 03:05:04,521 WE CAN HAVE A LONG CONVERSATION 5273 03:05:04,521 --> 03:05:07,791 ABOUT THAT, BUT I DO 5274 03:05:07,791 --> 03:05:10,093 BIOSPECIMEN, BIOMARKER SURVEY 5275 03:05:10,093 --> 03:05:11,394 QUALITATIVE RESEARCH ACROSS THE 5276 03:05:11,394 --> 03:05:13,697 REPREPRODUCTIVE SPECTRUM. 5277 03:05:13,697 --> 03:05:15,665 WE NEED MORE SCHOLARS TRAINING 5278 03:05:15,665 --> 03:05:17,100 PROGRAMS, FELLOWSHIPS, 5279 03:05:17,100 --> 03:05:17,601 OPPORTUNITIES. 5280 03:05:17,601 --> 03:05:19,502 I WOULD LOVE TO BE ABLE TO HAVE 5281 03:05:19,502 --> 03:05:22,239 A COMMUNITY PARTNER NOT JUST AS 5282 03:05:22,239 --> 03:05:24,641 A CO-P.I. BUT AS A CO-TRAINER ON 5283 03:05:24,641 --> 03:05:29,646 OUR T32s. 5284 03:05:29,646 --> 03:05:30,947 WE ARE EXPERTS BY EDUCATION, 5285 03:05:30,947 --> 03:05:31,848 COMMUNITY MEMBERS ARE EXPERTS BY 5286 03:05:31,848 --> 03:05:32,182 EXPERIENCE. 5287 03:05:32,182 --> 03:05:37,654 AND WE SHOULD FUND THEM AS SUCH. 5288 03:05:37,654 --> 03:05:39,189 SO WHAT DO WE NEED? 5289 03:05:39,189 --> 03:05:40,590 I COULD GIVE YOU A WHOLE LIST 5290 03:05:40,590 --> 03:05:42,158 AND WE'RE GOING TO GENERATE ONE 5291 03:05:42,158 --> 03:05:43,994 TOGETHER BECAUSE WE'RE GOING TO 5292 03:05:43,994 --> 03:05:46,296 DO AN ACTIVITY CALLED I LIKE, I 5293 03:05:46,296 --> 03:05:47,631 WISH, I WONDER AND WE'LL GET TO 5294 03:05:47,631 --> 03:05:48,498 IT IN OUR CONVERSATION. 5295 03:05:48,498 --> 03:05:49,666 BUT THERE ARE DATA GAPS. 5296 03:05:49,666 --> 03:05:53,937 WE TALKED ABOUT THIS IN THE 5297 03:05:53,937 --> 03:05:54,271 REPORT. 5298 03:05:54,271 --> 03:05:57,240 WHEN I THINK ABOUT ABIGAIL 5299 03:05:57,240 --> 03:05:58,975 HAWKING, WHEN I THINK ABOUT OUR 5300 03:05:58,975 --> 03:05:59,609 INDIGENOUS COLLEAGUES AND THEY 5301 03:05:59,609 --> 03:06:03,146 TALK ABOUT DATA ARESURE, THERE 5302 03:06:03,146 --> 03:06:05,448 WERE METHODOLOGIES, BY NOW 20 5303 03:06:05,448 --> 03:06:07,417 YEARS LATER, WE WOULD ACTUALLY 5304 03:06:07,417 --> 03:06:11,087 HAVE ACCURATE POPULATION 5305 03:06:11,087 --> 03:06:11,788 ESTIMATES OF DIFFERENT 5306 03:06:11,788 --> 03:06:12,923 CONDITIONS AND HOW THEY SHOW UP 5307 03:06:12,923 --> 03:06:13,623 IN SMALL COMMUNITIES. 5308 03:06:13,623 --> 03:06:16,526 WE HAVE TO BE PROACTIVE NOW IN 5309 03:06:16,526 --> 03:06:17,227 MAKING DECISIONS WITH 5310 03:06:17,227 --> 03:06:20,030 COMMUNITIES TO DECIDE WHAT DATA 5311 03:06:20,030 --> 03:06:23,867 ELEMENTS WE WANT IN THE FUTURE. 5312 03:06:23,867 --> 03:06:25,201 I WOULD HAVE NEVER KNOWN THAT 5313 03:06:25,201 --> 03:06:26,503 COMMUNITY MEMBERS WANTED 5314 03:06:26,503 --> 03:06:27,504 ANCESTRY DATA WHEN WE CAME OUT 5315 03:06:27,504 --> 03:06:31,207 OF OUR REGISTRY OF -- WE DID A 5316 03:06:31,207 --> 03:06:33,043 STUDY, A COHORT STUDY LOOKING AT 5317 03:06:33,043 --> 03:06:34,377 PRETERM BIRTH AND LOOKING AT 5318 03:06:34,377 --> 03:06:35,245 ENVIRONMENTAL FACTORS AROUND 5319 03:06:35,245 --> 03:06:37,647 THAT, AND WHEN WE TALK ABOUT 5320 03:06:37,647 --> 03:06:38,315 REMUNERATION, WHAT DID YOU WANT, 5321 03:06:38,315 --> 03:06:40,483 WHAT DID YOU WANT, COMMUNITY 5322 03:06:40,483 --> 03:06:42,752 MEMBERS ARE LIKE I ACTUALLY -- 5323 03:06:42,752 --> 03:06:46,189 WHAT PART OF AFRICA YOU 5324 03:06:46,189 --> 03:06:46,957 EMIGRATED FROM BECAUSE I DON'T 5325 03:06:46,957 --> 03:06:48,058 KNOW. 5326 03:06:48,058 --> 03:06:49,793 WHO KNEW PROVIDING PEOPLE 5327 03:06:49,793 --> 03:06:50,994 ANCESTRY DATA WAS GOING TO BE 5328 03:06:50,994 --> 03:06:53,630 MORE IMPORTANT FOR REMUNERATION 5329 03:06:53,630 --> 03:06:55,265 THAN IT WOULD BE FOR MONEY. 5330 03:06:55,265 --> 03:06:56,800 BUT WE ASK TO ASK THEM, WE HAVE 5331 03:06:56,800 --> 03:06:58,668 TO TALK TO THEM ABOUT THAT. 5332 03:06:58,668 --> 03:07:00,070 I WILL GET TO THE BOTTOM, WE 5333 03:07:00,070 --> 03:07:01,604 HAVE TO START FUNDING, WHETHER 5334 03:07:01,604 --> 03:07:03,373 IT'S, YOU KNOW, FEDERAL FUNDERS, 5335 03:07:03,373 --> 03:07:05,775 WHETHER IT'S PHILANTHROPY, 5336 03:07:05,775 --> 03:07:06,576 WHETHER IT'S INDIVIDUALS, WE 5337 03:07:06,576 --> 03:07:07,844 HAVE TO START USING THE LANGUAGE 5338 03:07:07,844 --> 03:07:09,279 OF TRUTH AND RECONCILIATION. 5339 03:07:09,279 --> 03:07:12,983 WE REALLY WANT TO BUILD TRUST. 5340 03:07:12,983 --> 03:07:14,384 NOT EVERYBODY CAN DO COMMUNITY 5341 03:07:14,384 --> 03:07:15,719 ENGAGED WORK BECAUSE YOU HAVE TO 5342 03:07:15,719 --> 03:07:17,153 APOLOGIZE FOR PAST HARMS EITHER 5343 03:07:17,153 --> 03:07:18,221 OF RESEARCH GROUPS OR THE 5344 03:07:18,221 --> 03:07:19,990 INSTITUTION WHERE YOU WORK. 5345 03:07:19,990 --> 03:07:23,026 AND THAT WORK IN AND OF ITSELF 5346 03:07:23,026 --> 03:07:24,227 IS VALUABLE. 5347 03:07:24,227 --> 03:07:25,128 AS FAR AS I'M CONCERNED. 5348 03:07:25,128 --> 03:07:28,298 WHEN YOU LOOK AT THE HISTORICAL 5349 03:07:28,298 --> 03:07:29,599 TERMS OF RESEARCH, MAYBE 5350 03:07:29,599 --> 03:07:30,867 COMMUNITY ENGAGEMENT IS ACTUALLY 5351 03:07:30,867 --> 03:07:32,902 AN APOLOGY. 5352 03:07:32,902 --> 03:07:35,305 I CURRENTLY HOLD THE OLDEST AND 5353 03:07:35,305 --> 03:07:37,607 THE WEALTHIEST ENDOWED 5354 03:07:37,607 --> 03:07:40,110 PROFESSORSHIP OF THE UNIVERSITY 5355 03:07:40,110 --> 03:07:41,411 OF WASHINGTON, WHICH USED TO BE 5356 03:07:41,411 --> 03:07:43,613 NAMED FOR ITS FOUNDING DEAN. 5357 03:07:43,613 --> 03:07:47,017 WE RENAMED THAT ENDOWED 5358 03:07:47,017 --> 03:07:47,984 PROFESSORSHIP BECAUSE 5359 03:07:47,984 --> 03:07:49,519 NOTORIOUSLY SHE BARRED BLACK 5360 03:07:49,519 --> 03:07:50,653 STUDENTS FROM ATTENDING THE 5361 03:07:50,653 --> 03:07:51,788 UNIVERSITY OF WASHINGTON SCHOOL 5362 03:07:51,788 --> 03:07:54,457 OF NURSING. 5363 03:07:54,457 --> 03:07:55,959 THAT RESULTED IN AN APOLOGY FROM 5364 03:07:55,959 --> 03:07:58,528 THE MAYOR, FROM DEAN WOODS WHO 5365 03:07:58,528 --> 03:08:02,966 IS A LONG-TIME MENTOR OF MINE, 5366 03:08:02,966 --> 03:08:04,401 AND A NAME CHANGE OF THAT 5367 03:08:04,401 --> 03:08:08,338 ENDOWED PROFESSORSHIP, BECAUSE 5368 03:08:08,338 --> 03:08:10,206 THE MARY MAHONEY PROFESSIONAL 5369 03:08:10,206 --> 03:08:11,007 NURSES ASSOCIATION WHO RECEIVED 5370 03:08:11,007 --> 03:08:14,778 THAT APOLOGY REQUESTED THE NAME 5371 03:08:14,778 --> 03:08:15,545 CHANGE. 5372 03:08:15,545 --> 03:08:16,646 THAT WAS IMPORTANT WORK THAT 5373 03:08:16,646 --> 03:08:19,382 NEEDED TO HAPPEN, THAT BUILT 5374 03:08:19,382 --> 03:08:22,752 TRUST WITH THE BLACK NURSES IN 5375 03:08:22,752 --> 03:08:23,853 THE PACIFIC NORTHWEST IN 5376 03:08:23,853 --> 03:08:24,287 SEATTLE. 5377 03:08:24,287 --> 03:08:25,455 WE NEED TO START FUNDING THAT 5378 03:08:25,455 --> 03:08:27,023 KIND OF WORK IF WE'RE REALLY 5379 03:08:27,023 --> 03:08:28,358 SERIOUS ABOUT BUILDING A STRONG 5380 03:08:28,358 --> 03:08:31,094 FOUNDATION FOR THE FUTURE, SO 5381 03:08:31,094 --> 03:08:34,697 WE'RE NOT SITTING HERE 20 YEARS 5382 03:08:34,697 --> 03:08:36,099 FROM NOW STILL LOOKING AT 5383 03:08:36,099 --> 03:08:37,434 INEQUITIES. 5384 03:08:37,434 --> 03:08:38,868 I THINK WE ALSO NEED -- SO I'M 5385 03:08:38,868 --> 03:08:42,672 GOING TO PUT MY A.I. HATER HAT 5386 03:08:42,672 --> 03:08:43,006 ON. 5387 03:08:43,006 --> 03:08:46,409 BECAUSE I'M VERY SKEPTICAL ABOUT 5388 03:08:46,409 --> 03:08:50,313 A.I. TO THE POINT ABOUT 5389 03:08:50,313 --> 03:08:51,648 REDEFINING EQUITIES AND BIAS AND 5390 03:08:51,648 --> 03:08:52,849 HARM, BUT I WILL ALSO SAY THAT 5391 03:08:52,849 --> 03:08:54,584 WE CAN BE MORE CREATIVE THAN 5392 03:08:54,584 --> 03:08:56,786 A.I. BECAUSE WE CREATE A.I., 5393 03:08:56,786 --> 03:08:57,120 RIGHT? 5394 03:08:57,120 --> 03:09:00,390 I DON'T WANT TO LOSE THE HUMAN 5395 03:09:00,390 --> 03:09:01,825 CAPACITY TO BE ABLE TO BE 5396 03:09:01,825 --> 03:09:02,892 GENERATIVE AND TO BE ABLE TO 5397 03:09:02,892 --> 03:09:06,196 CREATE BECAUSE WE ARE SO 5398 03:09:06,196 --> 03:09:08,364 CONTINGENT UPON ARTIFICIAL 5399 03:09:08,364 --> 03:09:09,999 LEARNING FOR GENERATION OF 5400 03:09:09,999 --> 03:09:11,234 ACTUALLY CREATIVE SOLUTIONS. 5401 03:09:11,234 --> 03:09:12,669 AND THAT'S THE OTHER REASON WHY 5402 03:09:12,669 --> 03:09:15,271 WE NEED TO BE VERY CAREFUL WITH 5403 03:09:15,271 --> 03:09:16,473 AUTHENTIC MEANINGFUL COMMUNITY 5404 03:09:16,473 --> 03:09:17,107 ENGAGEMENT. 5405 03:09:17,107 --> 03:09:18,875 WE BRING BRILLIANT PEOPLE 5406 03:09:18,875 --> 03:09:21,377 TOGETHER AROUND A SHARED GOAL. 5407 03:09:21,377 --> 03:09:23,146 THAT'S WHEN MAGIC HAPPENS. 5408 03:09:23,146 --> 03:09:25,448 AND I DON'T WANT TO SEE THAT GET 5409 03:09:25,448 --> 03:09:27,183 LOST BECAUSE WE'RE TRYING TO 5410 03:09:27,183 --> 03:09:28,384 SHORTCUT THE MESSY WORK THAT 5411 03:09:28,384 --> 03:09:29,919 NEEDS TO HAPPEN AMONG AND 5412 03:09:29,919 --> 03:09:32,122 BETWEEN HUMANS. 5413 03:09:32,122 --> 03:09:34,757 HI ALSO THINK WE REALLY NEED TO 5414 03:09:34,757 --> 03:09:36,159 START THINKING ABOUT 5415 03:09:36,159 --> 03:09:37,927 INSTITUTIONAL REVIEW BOARDS AND 5416 03:09:37,927 --> 03:09:39,429 THEIR ROLE IN STIFLING 5417 03:09:39,429 --> 03:09:40,430 INNOVATION AND PARTNERSHIP. 5418 03:09:40,430 --> 03:09:42,832 I DON'T KNOW ABOUT YOU ALL, BUT 5419 03:09:42,832 --> 03:09:45,902 I SPEND A LOT OF TIME 5420 03:09:45,902 --> 03:09:48,171 RATIONALIZING TO MY IRB WHY 5421 03:09:48,171 --> 03:09:49,272 COMMUNITY MEMBERS NEED THE ROLE 5422 03:09:49,272 --> 03:09:52,442 THAT THEY NEED, WHY I NEED TO 5423 03:09:52,442 --> 03:09:53,643 COMPENSATE THEM, THE LEVELS I 5424 03:09:53,643 --> 03:09:54,744 NEED TO COMPENSATE THEM AT. 5425 03:09:54,744 --> 03:09:55,845 THAT'S A STRUCTURAL THING THAT 5426 03:09:55,845 --> 03:09:57,046 WE CAN FIX. 5427 03:09:57,046 --> 03:10:00,016 SO THAT COMMUNITY MEMBERS DON'T 5428 03:10:00,016 --> 03:10:02,085 FEEL LIKE BLIND SIGHTED WHEN 5429 03:10:02,085 --> 03:10:03,820 WE'VE GOTTEN OUR GRANT, WE'RE 5430 03:10:03,820 --> 03:10:05,455 READY TO START OUR WORK AND WE 5431 03:10:05,455 --> 03:10:06,689 CAN'T GET PAST -- BECAUSE WE'RE 5432 03:10:06,689 --> 03:10:08,424 STILL USING CONCEPTS THAT I 5433 03:10:08,424 --> 03:10:10,927 THINK ARE DATED AROUND 5434 03:10:10,927 --> 03:10:11,728 PROTECTING INSTITUTIONS AND NOT 5435 03:10:11,728 --> 03:10:13,229 INDIVIDUALS. 5436 03:10:13,229 --> 03:10:18,134 WE NEED A COMMUNITY-BASED SET OF 5437 03:10:18,134 --> 03:10:19,903 PRINCIPLES AROUND IRB. 5438 03:10:19,903 --> 03:10:21,337 AND HARRY A. WASHINGTON HAS 5439 03:10:21,337 --> 03:10:22,539 WROTE A REALLY GREAT BOOK ABOUT 5440 03:10:22,539 --> 03:10:23,306 THIS. 5441 03:10:23,306 --> 03:10:24,941 SO WE WANT TO BE THINKING, WHAT 5442 03:10:24,941 --> 03:10:26,242 ARE THE STRUCTURES THAT WE'RE 5443 03:10:26,242 --> 03:10:28,645 CURRENTLY USING THAT ARE 5444 03:10:28,645 --> 03:10:31,414 ACTUALLY REDEFINING COMMUNITY 5445 03:10:31,414 --> 03:10:31,981 MISTRUST. 5446 03:10:31,981 --> 03:10:33,583 THERE ARE TWO COMMUNITY IRBs 5447 03:10:33,583 --> 03:10:34,884 THAT I KNOW ABOUT. 5448 03:10:34,884 --> 03:10:36,219 AND THEY'RE BOTH RUN BY BLACK 5449 03:10:36,219 --> 03:10:38,521 WOMEN AND I THINK IT'S REALLY 5450 03:10:38,521 --> 03:10:38,788 IMPORTANT. 5451 03:10:38,788 --> 03:10:39,822 THEY HAVE A WHOLE DIFFERENT SET 5452 03:10:39,822 --> 03:10:40,790 OF PRINCIPLES WHEN YOU THINK 5453 03:10:40,790 --> 03:10:42,325 ABOUT THINGS LIKE COMMUNITY DATA 5454 03:10:42,325 --> 03:10:43,660 USE AGREEMENTS. 5455 03:10:43,660 --> 03:10:46,162 WE'VE WRITTEN SEVERAL -- WHAT IS 5456 03:10:46,162 --> 03:10:47,697 COMMUNITY-BASED PARTICIPATORY 5457 03:10:47,697 --> 03:10:48,364 BUDGETING LOOK LIKE? 5458 03:10:48,364 --> 03:10:50,200 HOW DO YOU WORK WITH COMMUNITY 5459 03:10:50,200 --> 03:10:51,401 MEMBERS TO PUT YOUR BUDGET 5460 03:10:51,401 --> 03:10:52,835 TOGETHER? 5461 03:10:52,835 --> 03:10:55,572 THIS IS MY CLASSMATE, PH.D. 5462 03:10:55,572 --> 03:10:56,940 CLASSMATE WHO NOW IS AT THE 5463 03:10:56,940 --> 03:11:01,911 UNIVERSITY OF MASSACHUSETTS, 5464 03:11:01,911 --> 03:11:04,414 SOCIOLOGIST, DR. AIRIN MARTINEZ. 5465 03:11:04,414 --> 03:11:06,182 SHE WROTE A SERIES OF THE PAPERS 5466 03:11:06,182 --> 03:11:07,550 AROUND WHAT IS THE PROCESS YOU 5467 03:11:07,550 --> 03:11:08,685 GO TO WHEN YOU'RE TRYING TO 5468 03:11:08,685 --> 03:11:11,221 DEVELOP A COMMUNITY-BASED 5469 03:11:11,221 --> 03:11:12,088 RESEARCH PROJECT BUDGET WITH 5470 03:11:12,088 --> 03:11:12,755 COMMUNITY MEMBERS? 5471 03:11:12,755 --> 03:11:15,592 WHAT DO WE AS INVESTIGATORS NOT 5472 03:11:15,592 --> 03:11:17,126 THINK WHEN WE'RE TRYING TO DO 5473 03:11:17,126 --> 03:11:20,697 COMMUNITY ENGAGED WORK, OR WHAT 5474 03:11:20,697 --> 03:11:21,831 DO DATA USE AGREEMENTS LOOK 5475 03:11:21,831 --> 03:11:22,799 LIKE, WHETHER THEY'RE 5476 03:11:22,799 --> 03:11:24,000 DE-IDENTIFIED OR NOT? 5477 03:11:24,000 --> 03:11:25,101 DO COMMUNITY MEMBERS GET THEIR 5478 03:11:25,101 --> 03:11:25,868 OWN DASHBOARD? 5479 03:11:25,868 --> 03:11:27,503 HOW ARE WE THINKING ABOUT DATA 5480 03:11:27,503 --> 03:11:28,504 DISSEMINATION AND DATA 5481 03:11:28,504 --> 03:11:29,205 VISUALIZATION? 5482 03:11:29,205 --> 03:11:30,773 CAN THEY MAKE THEIR OWN GRAPHS? 5483 03:11:30,773 --> 03:11:32,542 I WAS ACTUALLY REALLY STUNNED TO 5484 03:11:32,542 --> 03:11:35,144 SEE GRAPHIC RENDERINGS OF 5485 03:11:35,144 --> 03:11:36,479 RESEARCH DATA THAT I COLLECTED 5486 03:11:36,479 --> 03:11:42,151 DURING THE PAN KE MIBG PANDEMICA 5487 03:11:42,151 --> 03:11:44,020 DIGITAL SCRIBE SHOW UP AT A CITY 5488 03:11:44,020 --> 03:11:48,191 COUNCIL MEETING IN MEMPHIS, 5489 03:11:48,191 --> 03:11:48,491 TENNESSEE. 5490 03:11:48,491 --> 03:11:50,593 THEY HAD ONE-PAGERS MADE AND 5491 03:11:50,593 --> 03:11:51,995 HELD THEM UP AT THE CITY COUNCIL 5492 03:11:51,995 --> 03:11:53,963 MEETING OF OUR SHARED RESEARCH 5493 03:11:53,963 --> 03:11:54,831 PROJECT. 5494 03:11:54,831 --> 03:11:56,699 WHAT CREATIVITY OF NURSING CAN 5495 03:11:56,699 --> 03:11:58,568 WE BE UNLEASHING, THINGS WE KNOW 5496 03:11:58,568 --> 03:12:00,870 ABOUT ARE SHARED WORK, ABOUT THE 5497 03:12:00,870 --> 03:12:01,971 THEORETICAL UNDERPINNINGS OF HOW 5498 03:12:01,971 --> 03:12:05,575 WE ACTUALLY THINK ABOUT CARE. 5499 03:12:05,575 --> 03:12:07,644 WE CAN UNLEASH SO MUCH 5500 03:12:07,644 --> 03:12:09,712 CREATIVITY IF WE HAD THE 5501 03:12:09,712 --> 03:12:11,381 PRACTICE IN PLACE TO BE ABLE TO 5502 03:12:11,381 --> 03:12:12,148 DO SO. 5503 03:12:12,148 --> 03:12:13,549 I ALSO WANT US TO START BEING 5504 03:12:13,549 --> 03:12:14,651 REALLY MINDFUL OF SOME THINGS 5505 03:12:14,651 --> 03:12:18,254 THAT I THINK ARE INCONGRUENT 5506 03:12:18,254 --> 03:12:19,455 WITH LIKE INEQUITY AND HEALTH 5507 03:12:19,455 --> 03:12:19,889 EQUITY. 5508 03:12:19,889 --> 03:12:21,190 WE NEED TO THINK DEEPLY ABOUT 5509 03:12:21,190 --> 03:12:23,493 HOW WE MEASURE PROXIES. 5510 03:12:23,493 --> 03:12:25,261 AND WHY WE'RE USING THEM. 5511 03:12:25,261 --> 03:12:27,563 MY GOOD FRIEND DR. JOY PERIWHO 5512 03:12:27,563 --> 03:12:29,198 WILL BE SPEAKING AT THE 5513 03:12:29,198 --> 03:12:30,600 CONGRESSIONAL BLACK CAUCUS 5514 03:12:30,600 --> 03:12:32,035 MEETING TOMORROW, SHE TAUGHT ME 5515 03:12:32,035 --> 03:12:32,969 THIS. 5516 03:12:32,969 --> 03:12:34,337 MARITAL STATUS IS REALLY TRICKY 5517 03:12:34,337 --> 03:12:35,204 WHEN YOU'RE TALKING ABOUT PEOPLE 5518 03:12:35,204 --> 03:12:36,839 WITH LOW INCOMES. 5519 03:12:36,839 --> 03:12:38,608 BECAUSE IF YOU HAVE TWO POOR 5520 03:12:38,608 --> 03:12:39,676 PEOPLE WHO COME TOGETHER AND 5521 03:12:39,676 --> 03:12:41,110 MARRY AND THEN THEY HAVE A 5522 03:12:41,110 --> 03:12:42,378 CHILD, NOW YOU HAVE THREE, FOUR 5523 03:12:42,378 --> 03:12:43,313 PEOPLE TRYING TO LIVE ON THE 5524 03:12:43,313 --> 03:12:45,381 INCOME THAT TWO PREVIOUSLY POOR 5525 03:12:45,381 --> 03:12:46,916 PEOPLE COULDN'T. 5526 03:12:46,916 --> 03:12:48,785 THE MATH ISN'T MATH. 5527 03:12:48,785 --> 03:12:49,986 SO WE NEED TO START THINKING 5528 03:12:49,986 --> 03:12:51,487 WHAT ARE THE OTHER KINDS OF DATA 5529 03:12:51,487 --> 03:12:54,123 THAT WE COULD BE -- WE HAVE TO 5530 03:12:54,123 --> 03:12:56,092 START THINKING ABOUT HUMAN MONEY 5531 03:12:56,092 --> 03:12:59,395 SPACE TIME REPUTATIONAL 5532 03:12:59,395 --> 03:12:59,729 RESOURCES. 5533 03:12:59,729 --> 03:13:02,665 HOW ARE WE LEVERAGING THOSE? 5534 03:13:02,665 --> 03:13:03,966 I CAN'T TELL YOU HOW MANY 5535 03:13:03,966 --> 03:13:05,635 COMMUNITY GROUPS COME TO ME TO 5536 03:13:05,635 --> 03:13:08,338 RESERVE SPACE ON UW'S CAMPUS 5537 03:13:08,338 --> 03:13:09,772 BECAUSE THEY KNOW I'M A FACULTY 5538 03:13:09,772 --> 03:13:12,075 A MEMBER AND CAN GET IT FOR 5539 03:13:12,075 --> 03:13:12,508 FREE. 5540 03:13:12,508 --> 03:13:13,609 MAYBE THAT JUST NEEDS TO BECOME 5541 03:13:13,609 --> 03:13:15,678 A THING AS FAR AS AUTHENTIC 5542 03:13:15,678 --> 03:13:16,412 COMMUNITY ENGAGEMENT. 5543 03:13:16,412 --> 03:13:17,747 IF WE'RE GOING TO BE FUNDING 5544 03:13:17,747 --> 03:13:19,716 FELLOWS THROUGH OUR EXPERT AND 5545 03:13:19,716 --> 03:13:22,352 COMMUNITY-BASED WORK, MAYBE THEY 5546 03:13:22,352 --> 03:13:25,755 HAVE MONEYS TO BE ABLE TO BRING 5547 03:13:25,755 --> 03:13:27,390 IN COMMUNITY PARTNERS SO THE 5548 03:13:27,390 --> 03:13:28,391 COMMUNITY PARTNERS CAN PLAN 5549 03:13:28,391 --> 03:13:29,592 THEIR OWN WORK, WHETHER OR NOT 5550 03:13:29,592 --> 03:13:31,361 IT IS PART OF A SPECIFIC 5551 03:13:31,361 --> 03:13:34,163 RESEARCH PROJECT. 5552 03:13:34,163 --> 03:13:35,465 AND THEN COMMUNITY OVERSIGHT AND 5553 03:13:35,465 --> 03:13:35,798 REVIEW. 5554 03:13:35,798 --> 03:13:37,433 I'M ABOUT TO IMPLEMENT A REALLY 5555 03:13:37,433 --> 03:13:38,768 CRAZY THING AT HEALTH EQUITY AND 5556 03:13:38,768 --> 03:13:39,902 I'M REALLY EXCITED ABOUT IT. 5557 03:13:39,902 --> 03:13:41,604 WE'RE GOING TO PILOT A COMMUNITY 5558 03:13:41,604 --> 03:13:42,038 REVIEW BOARD. 5559 03:13:42,038 --> 03:13:44,674 WE'RE GOING TO ASK -- AND MARY 5560 03:13:44,674 --> 03:13:45,742 IS WORKING WITH ME ON THIS, 5561 03:13:45,742 --> 03:13:47,510 WE'RE GOING TO HAVE LAY 5562 03:13:47,510 --> 03:13:48,811 SUMMARIES OF ALL SCIENTIFIC 5563 03:13:48,811 --> 03:13:50,246 ABSTRACTS AND WE ARE GOING TO 5564 03:13:50,246 --> 03:13:54,150 PAY 20 PEOPLE TO DO PEER REVIEWS 5565 03:13:54,150 --> 03:13:55,618 AND WE'RE GOING TO PUT THE LAY 5566 03:13:55,618 --> 03:13:57,453 ABSTRACT WITH THE SCIENTIFIC 5567 03:13:57,453 --> 03:14:00,757 ABSTRACT AND I AS THE 5568 03:14:00,757 --> 03:14:01,491 EDITOR-IN-CHIEF WILL MAKE A 5569 03:14:01,491 --> 03:14:01,824 DECISION. 5570 03:14:01,824 --> 03:14:03,793 WE NEED TO PILOT FUNDING 5571 03:14:03,793 --> 03:14:04,894 COMMUNITY REVIEW BOARDS OF OUR 5572 03:14:04,894 --> 03:14:06,429 SCIENCE. 5573 03:14:06,429 --> 03:14:10,032 BECAUSE THEN THEY HAVE AN 5574 03:14:10,032 --> 03:14:11,901 INVESTED STAKE IN HOW THAT'S 5575 03:14:11,901 --> 03:14:15,938 DISSEMINATED, HOW IT'S ANALYZED. 5576 03:14:15,938 --> 03:14:17,373 THEY CAN TALK ABOUT THE PROJECT 5577 03:14:17,373 --> 03:14:18,241 BECAUSE THEY READ IT. 5578 03:14:18,241 --> 03:14:19,342 THEIR NAME WILL BE ON THE 5579 03:14:19,342 --> 03:14:20,443 WEBSITE AS REVIEWERS. 5580 03:14:20,443 --> 03:14:23,746 SO WE NEED TO OPERATIONALIZE 5581 03:14:23,746 --> 03:14:24,914 WHAT WE'RE TALKING ABOUT. 5582 03:14:24,914 --> 03:14:28,084 AND THAT'S PART OF MY JOB. 5583 03:14:28,084 --> 03:14:30,453 SO I LIKE, I WISH, I WONDER, IS 5584 03:14:30,453 --> 03:14:32,021 A TOOL, AND I'M GOING TO END ON 5585 03:14:32,021 --> 03:14:33,222 THIS, WHERE I WANT YOU TO THINK 5586 03:14:33,222 --> 03:14:34,323 ABOUT WHAT DO YOU LIKE ABOUT 5587 03:14:34,323 --> 03:14:35,958 WHAT YOU'VE HEARD TODAY, 5588 03:14:35,958 --> 03:14:37,160 REGARDLESS IF IT WAS FROM ME OR 5589 03:14:37,160 --> 03:14:38,795 ANY OF THE OTHER SPEAKERS, WHAT 5590 03:14:38,795 --> 03:14:40,229 DO YOU WISH YOU KNEW ABOUT WHAT 5591 03:14:40,229 --> 03:14:40,763 WE'VE SAID? 5592 03:14:40,763 --> 03:14:42,532 WHAT DO YOU WONDER? 5593 03:14:42,532 --> 03:14:44,367 I'LL GIVE YOU MINE AND THEN I'LL 5594 03:14:44,367 --> 03:14:44,834 END. 5595 03:14:44,834 --> 03:14:46,669 JUST TO GET YOUR MENTAL JUICES 5596 03:14:46,669 --> 03:14:48,538 FLOWING. 5597 03:14:48,538 --> 03:14:49,639 I LIKE THAT COMMUNITIES KNOW 5598 03:14:49,639 --> 03:14:50,306 WHAT THEY NEED. 5599 03:14:50,306 --> 03:14:52,175 I LIKE THAT WE'RE FINALLY HAVING 5600 03:14:52,175 --> 03:14:53,443 A CONVERSATION ABOUT ZERO SUM 5601 03:14:53,443 --> 03:14:55,545 GAME AND HOW IT'S FALSE. 5602 03:14:55,545 --> 03:14:58,848 I LIKE WHAT I SAW ABOUT COMPASS 5603 03:14:58,848 --> 03:15:01,551 BECAUSE FULL DISCLOSURE, WE -- 5604 03:15:01,551 --> 03:15:03,953 OUR INSTITUTION IS A COMPASS -- 5605 03:15:03,953 --> 03:15:05,721 I LIKE THAT WE ARE HAVING VERY 5606 03:15:05,721 --> 03:15:07,890 NEW AND INTERESTING 5607 03:15:07,890 --> 03:15:08,458 CONVERSATIONS. 5608 03:15:08,458 --> 03:15:13,029 I WISH THAT WE WOULD FUND TRUTH 5609 03:15:13,029 --> 03:15:13,930 IN RECONCILIATION EFFORTS, I 5610 03:15:13,930 --> 03:15:16,098 WISH WE COULD FUND -- AND REPAIR 5611 03:15:16,098 --> 03:15:18,301 ALMOST LIKE TRIBUNALS, I WISH WE 5612 03:15:18,301 --> 03:15:20,470 COULD LEARN MORE AROUND THAT 5613 03:15:20,470 --> 03:15:21,804 PROCESS FROM OUR INTERNATIONAL 5614 03:15:21,804 --> 03:15:24,407 COLLEAGUES. 5615 03:15:24,407 --> 03:15:26,809 I WONDER ABOUT THIS POLICY 5616 03:15:26,809 --> 03:15:27,710 INTEGRATION OF CLINICAL AND 5617 03:15:27,710 --> 03:15:29,779 SOCIAL CARE. 5618 03:15:29,779 --> 03:15:31,414 I WONDER HOW WE CAN BETTER 5619 03:15:31,414 --> 03:15:34,050 PARTNER WITH AND HAVE CO-PI 5620 03:15:34,050 --> 03:15:36,018 COMMUNITY INVESTIGATORS, 5621 03:15:36,018 --> 03:15:37,220 EXPERTS, BY EXPERIENCE, AND I 5622 03:15:37,220 --> 03:15:38,988 WONDER IF WE WILL HAVE COURAGE 5623 03:15:38,988 --> 03:15:42,124 TO DO THE IMPORTANT HARD WORK 5624 03:15:42,124 --> 03:15:44,527 THAT NEEDS TO BE DONE. 5625 03:15:44,527 --> 03:15:45,528 I'LL LEAVE YOU WITH ONE SLIDE, 5626 03:15:45,528 --> 03:15:47,063 WHICH IS ONE OF MY FAVORITE 5627 03:15:47,063 --> 03:15:47,396 PHOTOS. 5628 03:15:47,396 --> 03:15:55,571 L.WE HAVE DECIDED TO COME 5629 03:15:55,571 --> 03:15:57,440 TOGETHER, I LOVE CARL, REALLY 5630 03:15:57,440 --> 03:16:00,076 PUSHED AJN, OUR FLAGSHIP NURSING 5631 03:16:00,076 --> 03:16:01,077 JOURNAL, ONE OF THE OLDEST, TO 5632 03:16:01,077 --> 03:16:02,745 THINK ABOUT WHAT DOES EQUITY AND 5633 03:16:02,745 --> 03:16:03,813 PEER REVIEW LOOK LIKE. 5634 03:16:03,813 --> 03:16:08,618 HOW CAN WE START TO ASK JOURNAL 5635 03:16:08,618 --> 03:16:10,386 EDITORS, ASSOCIATE EDITORS AND 5636 03:16:10,386 --> 03:16:14,423 REVIEWERS, TO BE -- EVERYTHING 5637 03:16:14,423 --> 03:16:18,561 YOU'VE HEARD TODAY, IN OUR WORK 5638 03:16:18,561 --> 03:16:19,996 IF SCIENCE THAT WE PUBLISH. 5639 03:16:19,996 --> 03:16:21,964 AND I DON'T THINK WE PAID ENOUGH 5640 03:16:21,964 --> 03:16:25,568 ATTENTION TO UNDERSTANDING THAT 5641 03:16:25,568 --> 03:16:26,903 THAT RIGOR THAT LIVES IN 5642 03:16:26,903 --> 03:16:27,803 PERPETUITY IS ALSO A ROAD MAP 5643 03:16:27,803 --> 03:16:31,240 FOR US TO THINK ABOUT HOW WE 5644 03:16:31,240 --> 03:16:32,675 MIGHT WANT TO BETTER PARTNER 5645 03:16:32,675 --> 03:16:33,576 WITH COMMUNITIES AND TO BRING 5646 03:16:33,576 --> 03:16:36,646 THEM IN TO THE SCIENTIFIC 5647 03:16:36,646 --> 03:16:38,814 ENTERPRISE TO HELP US NOT ONLY 5648 03:16:38,814 --> 03:16:40,783 IMPROVE HEALTH OUTCOMES, BUT TO 5649 03:16:40,783 --> 03:16:43,185 GET CLOSER TO HEALTH EQUITY. 5650 03:16:43,185 --> 03:16:44,587 SO I HOPE THIS IS HELPFUL. 5651 03:16:44,587 --> 03:16:46,789 I HOPE THAT YOU'VE BEEN 5652 03:16:46,789 --> 03:16:48,324 ACTIVATED TO REALLY START TO 5653 03:16:48,324 --> 03:16:50,960 THINK DIFFERENTLY ABOUT WHAT YOU 5654 03:16:50,960 --> 03:16:53,796 LIKE, WHAT YOU WISH, WHAT YOU 5655 03:16:53,796 --> 03:16:54,997 WONDER, BECAUSE IF WE AS 5656 03:16:54,997 --> 03:16:57,066 INDIVIDUALS CAN BE ABLE TO GET 5657 03:16:57,066 --> 03:16:58,601 TO THAT COLLECTIVELY, WE CAN 5658 03:16:58,601 --> 03:17:00,469 HAVE A SHARED STRATEGY TO 5659 03:17:00,469 --> 03:17:02,772 COMMUNICATE TO THE REST OF THE 5660 03:17:02,772 --> 03:17:04,073 COMMUNITIES AND THE 5661 03:17:04,073 --> 03:17:04,707 CONSTITUENCIES THAT ARE 5662 03:17:04,707 --> 03:17:10,079 INTERESTED IN THE WORK TO ALLOW 5663 03:17:10,079 --> 03:17:11,948 US TO AMPLIFY OUR ROLE AS 5664 03:17:11,948 --> 03:17:14,784 LEADERS AND STRATEGIZERS IN 5665 03:17:14,784 --> 03:17:15,551 MOVING THIS WORK FORWARD. 5666 03:17:15,551 --> 03:17:16,786 SO THANK YOU FOR LISTENING, AND 5667 03:17:16,786 --> 03:17:27,363 I REALLY APPRECIATE YOU. 5668 03:17:27,363 --> 03:17:28,497 >> THANK YOU VERY MUCH. 5669 03:17:28,497 --> 03:17:30,433 YOU'VE GIVEN US A LOT TO WONDER 5670 03:17:30,433 --> 03:17:33,402 ABOUT, AND WE'RE GOING TO KEEP 5671 03:17:33,402 --> 03:17:41,377 WONDERING AS WE TRANSITION TO 5672 03:17:41,377 --> 03:17:42,378 DR. KNEIPP AND THEN WE WILL 5673 03:17:42,378 --> 03:17:43,245 ENGAGE IN DISCUSSION WITH BOTH 5674 03:17:43,245 --> 03:17:44,347 OF OUR SPEAKERS. 5675 03:17:44,347 --> 03:17:47,950 SO DR. KNEIPP IS THE SARAH 5676 03:17:47,950 --> 03:17:49,485 FRANCIS RUSSELL DISTINGUISHED 5677 03:17:49,485 --> 03:17:52,355 TERM PROFESSOR AT THE CAPITOL 5678 03:17:52,355 --> 03:17:52,888 HILL SCHOOL OF NURSING. 5679 03:17:52,888 --> 03:17:54,423 HER PROGRAM OF RESEARCH FOCUSES 5680 03:17:54,423 --> 03:17:55,725 ON THE SOCIAL POLICY AND 5681 03:17:55,725 --> 03:17:57,259 ECONOMIC DETERMINANTS THAT 5682 03:17:57,259 --> 03:17:58,894 IMPACT THE HEALTH OF 5683 03:17:58,894 --> 03:18:01,297 DISADVANTAGED POPULATIONS. 5684 03:18:01,297 --> 03:18:03,099 PARTICULARLY IN RELATION TO 5685 03:18:03,099 --> 03:18:04,600 WELFARE POLICY, EMPLOYMENT AND 5686 03:18:04,600 --> 03:18:05,267 WOMEN'S HEALTH. 5687 03:18:05,267 --> 03:18:08,104 SHE IS THE PAST CHAIR OF THE 5688 03:18:08,104 --> 03:18:09,405 AMERICAN PUBLIC HEALTH 5689 03:18:09,405 --> 03:18:10,272 ASSOCIATION PUBLIC HEALTH 5690 03:18:10,272 --> 03:18:12,675 NURSING SECTION, SERVES ON THE 5691 03:18:12,675 --> 03:18:13,943 EDITORIAL BOARD OF THE AMERICAN 5692 03:18:13,943 --> 03:18:15,411 JOURNAL OF PUBLIC HEALTH AND IS 5693 03:18:15,411 --> 03:18:17,713 COMPLETING AN NIH-FUNDED 5694 03:18:17,713 --> 03:18:19,348 CLINICAL TRIAL TESTING A 5695 03:18:19,348 --> 03:18:20,216 MULTILEVEL INTERVENTION WITH 5696 03:18:20,216 --> 03:18:22,218 UNEMPLOYED AND UNDEREMPLOYED 5697 03:18:22,218 --> 03:18:24,920 ADULTS WHO ARE SOCIALLY AND 5698 03:18:24,920 --> 03:18:28,324 ECONOMICALLY DISADVANTAGED. 5699 03:18:28,324 --> 03:18:29,291 DR. KNEIPP WILL SPEAK ON 5700 03:18:29,291 --> 03:18:31,060 STRATEGIES FOR MOVING NURSING 5701 03:18:31,060 --> 03:18:34,764 SCIENCE UPSTREAM TO FOCUS ON 5702 03:18:34,764 --> 03:18:35,965 SOCIAL DETERMINANTS OF HEALTH. 5703 03:18:35,965 --> 03:18:36,799 THANK YOU. 5704 03:18:36,799 --> 03:18:37,400 >> THANK YOU. 5705 03:18:37,400 --> 03:18:38,834 IT'S REALLY A PLEASURE TO BE 5706 03:18:38,834 --> 03:18:39,935 HERE TODAY AND TALK TO ALL OF 5707 03:18:39,935 --> 03:18:40,469 YOU. 5708 03:18:40,469 --> 03:18:41,904 IT LOOKS LIKE I MIGHT BE THE 5709 03:18:41,904 --> 03:18:44,740 LAST PERSON TO HELP YOU WONDER 5710 03:18:44,740 --> 03:18:45,841 ABOUT THINGS, AND THEN WE'LL GET 5711 03:18:45,841 --> 03:18:51,414 TO TALK ABOUT THEM. 5712 03:18:51,414 --> 03:18:53,482 SO I AM GOING TO BE FOCUSING MY 5713 03:18:53,482 --> 03:18:56,752 TALK PRIMARILY ON HOW WE CAN 5714 03:18:56,752 --> 03:18:58,521 ENCOURAGE UPSTREAM STRUCTURAL 5715 03:18:58,521 --> 03:19:01,557 ORIENTATION IN STRUCTURAL 5716 03:19:01,557 --> 03:19:03,726 DETERMINANTS OF HEALTH FOCUSING 5717 03:19:03,726 --> 03:19:06,162 SCIENCE AND HOPEFULLY BRING SOME 5718 03:19:06,162 --> 03:19:06,829 VERY PRAGMATIC SUGGESTIONS TO 5719 03:19:06,829 --> 03:19:08,664 THE TABLE AROUND THIS. 5720 03:19:08,664 --> 03:19:10,433 JUST AN OVERVIEW OF WHAT I'M 5721 03:19:10,433 --> 03:19:12,301 GOING TO TALK ABOUT. 5722 03:19:12,301 --> 03:19:13,969 THINKING ABOUT HEALTH INEQUITIES 5723 03:19:13,969 --> 03:19:17,239 OR HEALTH EQUITY, AND THE 5724 03:19:17,239 --> 03:19:19,575 CAUSES, THE CAUSES OF CAUSES AND 5725 03:19:19,575 --> 03:19:21,277 WHAT I'M BEGINNING TO THINK 5726 03:19:21,277 --> 03:19:26,315 ABOUT AS THIRD ORDER CAUSES. 5727 03:19:26,315 --> 03:19:27,283 WE'RE VERY FAMILIAR WITH SOME OF 5728 03:19:27,283 --> 03:19:30,553 THESE IN TERMS OF BEHAVIORAL 5729 03:19:30,553 --> 03:19:31,220 BIOLOGICAL SOCIAL DETERMINANTS 5730 03:19:31,220 --> 03:19:36,592 OF HEALTH STRUCTURAL, WHETHER 5731 03:19:36,592 --> 03:19:37,460 IT'S UPSTREAM, WHETHER THERE ARE 5732 03:19:37,460 --> 03:19:38,994 THINGS HAPPENING OUTSIDE THE 5733 03:19:38,994 --> 03:19:40,629 HEALTHCARE INSTITUTIONS AND WHY 5734 03:19:40,629 --> 03:19:42,398 THAT NEEDS TO HAPPEN AND ACROSS 5735 03:19:42,398 --> 03:19:44,467 SECTORS, AND THEN REALLY FOR US 5736 03:19:44,467 --> 03:19:47,636 TO THINK ABOUT HOW DO WE 5737 03:19:47,636 --> 03:19:49,705 ENCOURAGE A SOCIAL -- OR A 5738 03:19:49,705 --> 03:19:51,040 STRUCTURAL SOCIAL DETERMINANTS 5739 03:19:51,040 --> 03:19:54,643 OF HEALTH PRISSMM DEVELOPMENT IN 5740 03:19:54,643 --> 03:19:56,278 NURSING SCIENCE WHERE NURSES AND 5741 03:19:56,278 --> 03:19:59,782 NURSING SCIENTISTS ARE, SO IN 5742 03:19:59,782 --> 03:20:02,184 TERMS OF A PRISM, HOW DO WE GET 5743 03:20:02,184 --> 03:20:06,655 TO SEE WHAT'S OUT THERE. 5744 03:20:06,655 --> 03:20:09,058 AND I'LL SHOW A LITTLE BIT OF 5745 03:20:09,058 --> 03:20:09,859 DATA AROUND THAT. 5746 03:20:09,859 --> 03:20:11,293 SO IN TERMS OF LANGUAGE, OTHER 5747 03:20:11,293 --> 03:20:12,495 PEOPLE HAVE TALKED TODAY ABOUT 5748 03:20:12,495 --> 03:20:14,663 JUST HOW IMPORTANT LANGUAGE IS, 5749 03:20:14,663 --> 03:20:18,067 AND IT'S CRITICAL. 5750 03:20:18,067 --> 03:20:22,872 THIS IS JUST ONE SCHEMATIC FOR 5751 03:20:22,872 --> 03:20:24,740 THINKING ABOUT SOCIAL 5752 03:20:24,740 --> 03:20:26,041 DETERMINANTS AND AT WHAT LEVELS 5753 03:20:26,041 --> 03:20:28,577 THESE THINGS ARE FUNCTIONING. 5754 03:20:28,577 --> 03:20:30,079 STARTING WITH THE BLUE LEVEL IN 5755 03:20:30,079 --> 03:20:32,715 THE MIDDLE, I THINK WE'RE ALL 5756 03:20:32,715 --> 03:20:34,049 VERY FAMILIAR WITH THE TOP LEVEL 5757 03:20:34,049 --> 03:20:37,853 AND THE OVERPLAY THAT THAT HAS 5758 03:20:37,853 --> 03:20:39,522 HAD IN OUR UNDERSTANDING OR 5759 03:20:39,522 --> 03:20:40,589 ATTEMPTING TO UNDERSTAND WHY 5760 03:20:40,589 --> 03:20:43,092 THERE ARE HEALTH INEQUITIES, BUT 5761 03:20:43,092 --> 03:20:44,527 THINKING ABOUT THE BLUE LEVEL 5762 03:20:44,527 --> 03:20:46,162 HERE, THE CONDITIONS IN WHICH 5763 03:20:46,162 --> 03:20:49,231 PEOPLE LIVE, WORK AND PLAY, AND 5764 03:20:49,231 --> 03:20:50,332 PAULA BRAVEMAN TALKED ABOUT 5765 03:20:50,332 --> 03:20:53,269 THESE AS THE CAUSES OF CAUSES, 5766 03:20:53,269 --> 03:20:55,704 AND THESE THINGS ARE FUNCTIONING 5767 03:20:55,704 --> 03:20:58,207 IN FAMILIES, WORKPLACES, 5768 03:20:58,207 --> 03:21:02,044 HEALTHCARE CLINICS, SCHOOLS, YOU 5769 03:21:02,044 --> 03:21:04,246 KNOW, PROGRAM -- SOCIAL SERVICES 5770 03:21:04,246 --> 03:21:05,981 PROGRAM, SOME OF WHAT WE'VE ALSO 5771 03:21:05,981 --> 03:21:07,082 HEARD TALKED ABOUT A LITTLE BIT 5772 03:21:07,082 --> 03:21:07,516 TODAY. 5773 03:21:07,516 --> 03:21:09,518 AND THEN THERE ARE THESE THIRD 5774 03:21:09,518 --> 03:21:13,789 ORDER CAUSES, WHICH PROFESSOR 5775 03:21:13,789 --> 03:21:14,657 DAWES AND OTHER PEOPLE HAVE 5776 03:21:14,657 --> 03:21:16,292 STARTED TO WRITE ABOUT. 5777 03:21:16,292 --> 03:21:18,027 IN TERMS OF THE COMMERCIAL 5778 03:21:18,027 --> 03:21:19,228 DETERMINANTS OF HEALTH AND SOME 5779 03:21:19,228 --> 03:21:21,330 OF THE OTHER THINGS THAT ARE 5780 03:21:21,330 --> 03:21:24,867 GOING ON AT THE NATIONAL 5781 03:21:24,867 --> 03:21:26,368 ACADEMIES IN TERMS OF LOOKING AT 5782 03:21:26,368 --> 03:21:27,670 ECONOMIC STRUCTURES AS DRIVERS 5783 03:21:27,670 --> 03:21:29,538 OF THIS. 5784 03:21:29,538 --> 03:21:33,909 SO THESE ARE ALL ONE -- THIS IS 5785 03:21:33,909 --> 03:21:34,777 ONE SCHEMATIC IN A WAY OF 5786 03:21:34,777 --> 03:21:36,378 THINKING ABOUT WHAT MAYBE THE 5787 03:21:36,378 --> 03:21:38,180 FUNDAMENTAL CAUSES ARE IN TERMS 5788 03:21:38,180 --> 03:21:39,715 OF STRUCTURAL ISSUE, AND ONE OF 5789 03:21:39,715 --> 03:21:40,916 THE THINGS THAT I WANT TO POINT 5790 03:21:40,916 --> 03:21:42,585 OUT HERE WHICH I GUESS MY MOUSE 5791 03:21:42,585 --> 03:21:48,691 DOES SHOW, IS THE ARTICLE THAT'S 5792 03:21:48,691 --> 03:21:51,627 RECENTLY COME OUT BY HELLER AND 5793 03:21:51,627 --> 03:21:52,962 COLLEAGUES REALLY TALKS ABOUT 5794 03:21:52,962 --> 03:21:54,930 POWER DYNAMICS, AND MUCH OF -- 5795 03:21:54,930 --> 03:21:56,565 AND THE IMPORTANT ROLE THAT THAT 5796 03:21:56,565 --> 03:21:58,767 PLAYS, BUT SORT OF ITS 5797 03:21:58,767 --> 03:21:59,969 INVISIBILITY IN A WHOLE LOT OF 5798 03:21:59,969 --> 03:22:00,402 THIS. 5799 03:22:00,402 --> 03:22:02,137 AND SO A LOT OF WHAT I'LL BE 5800 03:22:02,137 --> 03:22:07,643 TALKING ABOUT FOCUSES ON THAT. 5801 03:22:07,643 --> 03:22:09,044 AND I DO WANT TO POINT OUT, I 5802 03:22:09,044 --> 03:22:10,479 THINK THIS IS A THREAD TO KEEP 5803 03:22:10,479 --> 03:22:12,014 IN MIND AS I MAKE SOME OF MY 5804 03:22:12,014 --> 03:22:15,751 COMMENTS AND TALK THROUGH THIS 5805 03:22:15,751 --> 03:22:17,920 QUAGMIRE OF FACTORS, BUT POWER 5806 03:22:17,920 --> 03:22:20,656 DYNAMICS PLAY OUT AT THIS LEVEL 5807 03:22:20,656 --> 03:22:24,293 OF THE SYSTEM STRUCTURE, BUT 5808 03:22:24,293 --> 03:22:25,494 THEY ALSO VERY MUCH PLAY OUT 5809 03:22:25,494 --> 03:22:25,961 HERE. 5810 03:22:25,961 --> 03:22:28,230 AND SO IF WE THINK ABOUT POWER 5811 03:22:28,230 --> 03:22:31,600 AS ONE OF THE FUNDAMENTAL 5812 03:22:31,600 --> 03:22:33,335 CAUSES, IT DOESN'T NECESSARILY 5813 03:22:33,335 --> 03:22:36,438 MEAN WE HAVE TO BE IN THE ROOM 5814 03:22:36,438 --> 03:22:39,275 WHERE POLICY IS MADE TO EFFECT 5815 03:22:39,275 --> 03:22:41,243 THAT LEVEL OF CHANGE OF 5816 03:22:41,243 --> 03:22:42,444 ADDRESSING SOME OF THE POWER 5817 03:22:42,444 --> 03:22:42,778 STRUCTURES. 5818 03:22:42,778 --> 03:22:44,880 WE CAN BE DOING THAT IN SOME OF 5819 03:22:44,880 --> 03:22:48,250 THE PLACES WHERE YOU FIND NURSES 5820 03:22:48,250 --> 03:22:50,019 AND EVEN WHAT DR. MACKLE MORE 5821 03:22:50,019 --> 03:22:51,787 WAS TALKING ABOUT IN SOME OF THE 5822 03:22:51,787 --> 03:22:53,088 SPACES WHERE WE'RE ALREADY DOING 5823 03:22:53,088 --> 03:22:59,895 OUR WORK. 5824 03:22:59,895 --> 03:23:02,631 SO IF YOU HAVEN'T SEEN THIS 5825 03:23:02,631 --> 03:23:04,533 PUBLICATION BY HELLER, I HIGHLY 5826 03:23:04,533 --> 03:23:05,601 RECOMMEND IT. 5827 03:23:05,601 --> 03:23:06,602 THEY CALL QUITE A BIT OF 5828 03:23:06,602 --> 03:23:07,770 ATTENTION TO STRUCTURAL FEATURES 5829 03:23:07,770 --> 03:23:08,671 OF SOCIAL DETERMINANTS. 5830 03:23:08,671 --> 03:23:09,905 ONE OF THE THINGS THAT THEY TALK 5831 03:23:09,905 --> 03:23:12,641 ABOUT IS THE WHO COMMISSION ON 5832 03:23:12,641 --> 03:23:13,509 SOCIAL DETERMINANTS OF HEALTH, 5833 03:23:13,509 --> 03:23:15,377 WHICH IS REALLY QUITE DATED NOW, 5834 03:23:15,377 --> 03:23:17,446 BUT THAT INITIALLY DEFINED 5835 03:23:17,446 --> 03:23:23,786 STRUCTURAL MECHANISMS KIND OF IN 5836 03:23:23,786 --> 03:23:25,988 POLITICIZED TERMS, WHERE 5837 03:23:25,988 --> 03:23:27,089 POLITICAL HIERARCHIES WERE 5838 03:23:27,089 --> 03:23:31,226 TALKED ABOUT, POWER AND PRESTIGE 5839 03:23:31,226 --> 03:23:32,661 AND ACCESS TO RESOURCES WERE 5840 03:23:32,661 --> 03:23:32,928 DISCUSSED. 5841 03:23:32,928 --> 03:23:34,296 THEY ALSO MAKE THE HISTORICAL 5842 03:23:34,296 --> 03:23:36,498 POINT THAT WHEN THIS WAS TAKEN 5843 03:23:36,498 --> 03:23:39,468 UP, MEANING A DEFINITION BY U.S. 5844 03:23:39,468 --> 03:23:41,337 INSTITUTIONS SUCH AS THE CDC AND 5845 03:23:41,337 --> 03:23:42,938 OTHERS, THERE WAS 5846 03:23:42,938 --> 03:23:46,008 DEPOLITICIZATION OF THE CONCEPT. 5847 03:23:46,008 --> 03:23:47,209 THEY ATTRIBUTED QUITE A BIT OF 5848 03:23:47,209 --> 03:23:52,915 THIS TO A DOMINANTLY NEOLIBERAL 5849 03:23:52,915 --> 03:23:53,782 WORLD VIEW AROUND WHAT'S 5850 03:23:53,782 --> 03:23:57,386 POSSIBLE OR NOT POSSIBLE, AND 5851 03:23:57,386 --> 03:23:58,320 ONE OF THE THINGS THEY DID IN 5852 03:23:58,320 --> 03:23:59,521 THIS ARTICLE IS THEY DID A 5853 03:23:59,521 --> 03:24:01,490 REVIEW OF LITERATURE, AND FOUND 5854 03:24:01,490 --> 03:24:05,761 THIS WIDE VARIATION IN DEFINING 5855 03:24:05,761 --> 03:24:06,762 STRUCTURAL DETERMINANTS OF 5856 03:24:06,762 --> 03:24:07,096 HEALTH. 5857 03:24:07,096 --> 03:24:09,598 NOW I'M NOT SURE WHAT HAPPENED 5858 03:24:09,598 --> 03:24:12,234 BETWEEN 2010 WITH THE CDC AND 5859 03:24:12,234 --> 03:24:16,105 NOW, BUT CDC HAS NOW ADOPTED THE 5860 03:24:16,105 --> 03:24:16,705 WORLD HEALTH ORGANIZATION 5861 03:24:16,705 --> 03:24:18,807 DEFINITION, WHICH I THINK IS 5862 03:24:18,807 --> 03:24:24,613 REALLY IMPORTANT, AND NINR HAS A 5863 03:24:24,613 --> 03:24:25,814 TERM HERE, AT LEAST, THAT 5864 03:24:25,814 --> 03:24:26,982 SPECIFICALLY IDENTIFIES 5865 03:24:26,982 --> 03:24:27,816 STRUCTURAL DETERMINANTS OF 5866 03:24:27,816 --> 03:24:28,450 HEALTH. 5867 03:24:28,450 --> 03:24:33,489 SO CALLING THAT OUT AND NOT JUST 5868 03:24:33,489 --> 03:24:35,457 ASSUMING THAT THAT'S THE SAME AS 5869 03:24:35,457 --> 03:24:39,328 OTHER DETERMINANTS. 5870 03:24:39,328 --> 03:24:41,497 THIS IS THE COMMISSION OF SOCIAL 5871 03:24:41,497 --> 03:24:45,868 DETERMINANTS OF HEALTH 5872 03:24:45,868 --> 03:24:47,970 FRAMEWORK, AND IT'S ANOTHER WAY 5873 03:24:47,970 --> 03:24:49,838 OF THINKING ABOUT THIS, AND ONE 5874 03:24:49,838 --> 03:24:50,806 OF THE THINGS THAT YOU'LL SEE 5875 03:24:50,806 --> 03:24:53,675 THAT'S DIFFERENT ABOUT IT IS 5876 03:24:53,675 --> 03:24:55,544 INSTEAD OF A HIERARCHICAL 5877 03:24:55,544 --> 03:24:59,281 TOP-DOWN KIND OF A STRUCK TEU IT 5878 03:24:59,281 --> 03:25:00,816 POINTS TO INFLUENCE FROM LEFT 5879 03:25:00,816 --> 03:25:01,183 AND RIGHT. 5880 03:25:01,183 --> 03:25:02,484 ONE THING THAT IT DOES THAT I 5881 03:25:02,484 --> 03:25:04,553 THINK IS A LITTLE DIFFERENT IN 5882 03:25:04,553 --> 03:25:07,189 WHAT HELLER AND COLLEAGUES TALK 5883 03:25:07,189 --> 03:25:08,957 ABOUT, TO TAKE A LOOK AT THAT 5884 03:25:08,957 --> 03:25:11,593 AND READ THIS VERY CAREFULLY, IS 5885 03:25:11,593 --> 03:25:14,329 THAT IT EQUATES CULTURE AND 5886 03:25:14,329 --> 03:25:15,431 SOCIETAL VALUES WITH THE 5887 03:25:15,431 --> 03:25:18,500 POLICIES THAT THEY PRODUCE. 5888 03:25:18,500 --> 03:25:20,469 WHEN -- WHAT HELLER REALLY 5889 03:25:20,469 --> 03:25:22,638 POINTS TO IS THAT BRINGING -- 5890 03:25:22,638 --> 03:25:24,206 THEY BRING POWER INTO THEIR 5891 03:25:24,206 --> 03:25:26,608 MENTAL MODEL OF THIS CONCEPT, 5892 03:25:26,608 --> 03:25:29,678 AND TALK ABOUT HOW POWER IS 5893 03:25:29,678 --> 03:25:32,648 EXERCISED TO, IN FACT, PRODUCE 5894 03:25:32,648 --> 03:25:33,816 THESE THINGS. 5895 03:25:33,816 --> 03:25:36,251 SO HOW WE THINK ABOUT THINGS, 5896 03:25:36,251 --> 03:25:38,787 WHAT WE THINK IS POSSIBLE, THE 5897 03:25:38,787 --> 03:25:39,988 THINGS THAT WE DON'T QUESTION, 5898 03:25:39,988 --> 03:25:42,257 THE THINGS WE DON'T WONDER 5899 03:25:42,257 --> 03:25:47,329 ABOUT, ALL GET AUTOMATICALLY 5900 03:25:47,329 --> 03:25:51,467 INTO POLICY. 5901 03:25:51,467 --> 03:25:53,669 SO THE OTHER THING THAT REALLY 5902 03:25:53,669 --> 03:25:54,903 STRUCK ME WHEN I WAS READING 5903 03:25:54,903 --> 03:25:59,374 SOME OF THESE ARTICLES THAT I 5904 03:25:59,374 --> 03:26:01,009 THINK WE CAN TAKE ADVANTAGE OF 5905 03:26:01,009 --> 03:26:04,413 HERE IN THIS MOMENT FOR NURSING 5906 03:26:04,413 --> 03:26:06,048 SCIENCE IS THINKING ABOUT THE 5907 03:26:06,048 --> 03:26:09,885 LONG CAUSAL CHAINS OF MEDIATING 5908 03:26:09,885 --> 03:26:12,287 FACTORS, THESE TEND TO CLUSTER 5909 03:26:12,287 --> 03:26:14,590 AND INTERACT, THAT IS ONE OF THE 5910 03:26:14,590 --> 03:26:15,691 THINGS THAT'S IN THE WHO 5911 03:26:15,691 --> 03:26:17,126 COMMISSION, AND IT JUST A GOOD 5912 03:26:17,126 --> 03:26:18,961 REMINDER THAT IT'S NOT JUST ONE 5913 03:26:18,961 --> 03:26:22,631 MEDIATOR OR TWO, BUT THESE ARE 5914 03:26:22,631 --> 03:26:26,969 INCREDIBLY, YOU KNOW, DENSE AND 5915 03:26:26,969 --> 03:26:28,504 COMPLICATED DYNAMIC SYSTEMS THAT 5916 03:26:28,504 --> 03:26:30,539 ARE ALWAYS CHANGING, SO HOW CAN 5917 03:26:30,539 --> 03:26:33,275 WE THINK ABOUT OUR SCIENCE IN A 5918 03:26:33,275 --> 03:26:34,676 WAY THAT SORT OF DOES THAT 5919 03:26:34,676 --> 03:26:39,148 CREDIT. 5920 03:26:39,148 --> 03:26:41,583 THEY DO HAVE THIS INCREASED 5921 03:26:41,583 --> 03:26:42,885 FOCUS ON POWER WHICH I TALKED 5922 03:26:42,885 --> 03:26:45,187 ABOUT BUT ALSO HOW IT OPERATES 5923 03:26:45,187 --> 03:26:46,522 WITHIN THE CAUSAL CHAIN. 5924 03:26:46,522 --> 03:26:47,523 AGAIN WHEN WE THINK ABOUT THAT, 5925 03:26:47,523 --> 03:26:48,757 WE TEND TO THINK ABOUT WHO'S IN 5926 03:26:48,757 --> 03:26:50,659 THE ROOM CREATING POLICY, BUT IF 5927 03:26:50,659 --> 03:26:51,994 WE CAN THINK ABOUT THAT IN 5928 03:26:51,994 --> 03:26:54,396 DIFFERENT WAYS, WE CAN THINK 5929 03:26:54,396 --> 03:26:58,333 ABOUT HOW NURSES OPERATING IN 5930 03:26:58,333 --> 03:27:00,335 DIFFERENT ENVIRONMENTS MIGHT 5931 03:27:00,335 --> 03:27:03,839 LEARN TO SEE THAT, AND UNDO IT 5932 03:27:03,839 --> 03:27:07,109 AS WELL, WHICH WILL ALSO DO A 5933 03:27:07,109 --> 03:27:09,077 LOT IN TERMS OF HEALTH EQUITY 5934 03:27:09,077 --> 03:27:11,280 AND HOW DECISIONS GET MADE AN 5935 03:27:11,280 --> 03:27:13,582 HOW PROGRAMS ARE IMPLEMENTED AND 5936 03:27:13,582 --> 03:27:15,450 OTHER THINGS. 5937 03:27:15,450 --> 03:27:20,722 HELLER USES STEVEN LUKES' THREE 5938 03:27:20,722 --> 03:27:21,757 FACES OF POWER. 5939 03:27:21,757 --> 03:27:22,958 I THINK THIS CAN BE USEFUL, 5940 03:27:22,958 --> 03:27:25,827 THERE ARE OTHER FRAME WORKS FOR 5941 03:27:25,827 --> 03:27:28,897 POWER TOO, BUT ONE IS 5942 03:27:28,897 --> 03:27:29,665 DECISION-MAKING, AND THE OTHER 5943 03:27:29,665 --> 03:27:31,200 IS AGENDA-SETTING POWER. 5944 03:27:31,200 --> 03:27:33,302 WHO SETS THE AGENDA FOR WHAT CAN 5945 03:27:33,302 --> 03:27:36,238 EVEN BE DISCUSSED OR EMPOWER? 5946 03:27:36,238 --> 03:27:38,774 AND THEN INVISIBLE OR 5947 03:27:38,774 --> 03:27:39,775 IDEOLOGICAL POWER, WHICH OTHER 5948 03:27:39,775 --> 03:27:41,376 FOLKS HAVE CITED AS THE MOST 5949 03:27:41,376 --> 03:27:42,744 POTENT OF THEM ALL, WHICH IS, 5950 03:27:42,744 --> 03:27:46,348 YOU KNOW, HOW WE BELIEVE THINGS 5951 03:27:46,348 --> 03:27:48,517 THAT WE DON'T EVEN QUESTION AND 5952 03:27:48,517 --> 03:27:51,720 WE MAKE THESE AUTOMATIC 5953 03:27:51,720 --> 03:27:54,356 ASSUMPTIONS, IT'S THE BASIS OF 5954 03:27:54,356 --> 03:27:57,059 IMPLICIT BIAS IN MANY WAYS. 5955 03:27:57,059 --> 03:28:00,896 SO I'M DRAWING HEAVILY FROM 5956 03:28:00,896 --> 03:28:02,898 HELLER'S ARTICLE, AND I HAD TO 5957 03:28:02,898 --> 03:28:05,400 PUT THIS GRAPHIC IN BECAUSE I 5958 03:28:05,400 --> 03:28:06,969 THINK IT'S ONE OF THE MOST 5959 03:28:06,969 --> 03:28:10,138 IMPORTANT THAT I'VE SEEN. 5960 03:28:10,138 --> 03:28:11,974 AND I KNOW IT REALLY TINY AND 5961 03:28:11,974 --> 03:28:13,642 VERY DIFFICULT TO SEE, BUT IF 5962 03:28:13,642 --> 03:28:17,279 YOU LOOK AT THE ANCHORS OF THIS 5963 03:28:17,279 --> 03:28:19,448 CONTINUUM ESSENTIALLY, THESE ARE 5964 03:28:19,448 --> 03:28:20,415 INTERVENTIONS INTO THE SOCIAL 5965 03:28:20,415 --> 03:28:22,317 DETERMINANTS OF HEALTH, AND 5966 03:28:22,317 --> 03:28:23,752 WE -- SO BOTH ANCHORS ARE THE 5967 03:28:23,752 --> 03:28:27,356 SAME THING, AND THIS IS A 5968 03:28:27,356 --> 03:28:27,889 CONTINUUM. 5969 03:28:27,889 --> 03:28:30,993 TOWARD THE BOTTOM, AS THE 5970 03:28:30,993 --> 03:28:32,961 CONTINUUM MOVES UPWARD, THERE'S 5971 03:28:32,961 --> 03:28:35,030 AN INCREASED IMPACT ON THE 5972 03:28:35,030 --> 03:28:38,100 DISTRIBUTION OF POWER, AND IT'S 5973 03:28:38,100 --> 03:28:39,768 REALLY THE DISTRIBUTION OF THAT 5974 03:28:39,768 --> 03:28:43,272 POWER THAT SORT OF KEEPS THINGS 5975 03:28:43,272 --> 03:28:45,741 IN MOTION, AND MAKES THINGS VERY 5976 03:28:45,741 --> 03:28:48,610 DIFFICULT TO UNDO. 5977 03:28:48,610 --> 03:28:51,480 SO WHEN YOU THINK ABOUT THE 5978 03:28:51,480 --> 03:28:53,782 KINDS OF INTERVENTIONS THAT 5979 03:28:53,782 --> 03:28:55,117 REALLY DON'T UPSET THE 5980 03:28:55,117 --> 03:28:57,586 DISTRIBUTION OF POWER VERY MUCH, 5981 03:28:57,586 --> 03:28:58,186 FOR EXAMPLE. 5982 03:28:58,186 --> 03:28:59,921 THERE ARE THE KINDS OF THINGS 5983 03:28:59,921 --> 03:29:02,991 THAT ARE BEING READILY ADOPTED 5984 03:29:02,991 --> 03:29:04,860 WIDELY BY NURSING IN TERMS OF 5985 03:29:04,860 --> 03:29:06,528 DOING SCREENING FOR SOCIAL 5986 03:29:06,528 --> 03:29:10,365 NEEDS, AND MAYBE DOING SOME 5987 03:29:10,365 --> 03:29:12,768 VOUCHER PROVISION FOR SOCIAL 5988 03:29:12,768 --> 03:29:13,068 NEEDS. 5989 03:29:13,068 --> 03:29:14,436 I WANT TO MAKE CLEAR, THIS IS 5990 03:29:14,436 --> 03:29:15,604 NOT TO SAY THAT WE DON'T NEED 5991 03:29:15,604 --> 03:29:18,774 THAT KIND OF WORK, BUT THE VAST 5992 03:29:18,774 --> 03:29:20,809 MAJORITY OF OUR WORK CANNOT BE 5993 03:29:20,809 --> 03:29:23,412 IN THAT BUCKET. 5994 03:29:23,412 --> 03:29:25,914 WE NEED INTERVENTIONS THAT GO 5995 03:29:25,914 --> 03:29:29,217 ALL ALONG THIS CONTINUUM. 5996 03:29:29,217 --> 03:29:30,952 SO IF YOU LOOK AT THE MIDDLE OF 5997 03:29:30,952 --> 03:29:34,056 THE CONTINUUM, FOR EXAMPLE, THE 5998 03:29:34,056 --> 03:29:36,024 EXAMPLE GIVEN IS HOW WE CHANGE 5999 03:29:36,024 --> 03:29:38,293 LAWS ABOUT MAYBE LAND OWNERSHIP, 6000 03:29:38,293 --> 03:29:40,762 SO RESIDENTS HAVE MORE CONTROL. 6001 03:29:40,762 --> 03:29:43,165 I MEAN, A LOT OF US, I THINK, 6002 03:29:43,165 --> 03:29:46,268 MIGHT EVEN CONSIDER THAT TO BE 6003 03:29:46,268 --> 03:29:47,135 SORT OF ONE OF THE THINGS AT THE 6004 03:29:47,135 --> 03:29:50,205 TOP, BUT WHAT THEY HAVE AT THE 6005 03:29:50,205 --> 03:29:53,041 TOP OF THIS CONTINUUM IS TO 6006 03:29:53,041 --> 03:29:56,345 CHANGE PEOPLE'S BELIEFS AROUND 6007 03:29:56,345 --> 03:29:58,747 HOUSING -- THIS JUST HAPPENS TO 6008 03:29:58,747 --> 03:30:02,384 BE A HOUSING EXAMPLE, HOUSING AS 6009 03:30:02,384 --> 03:30:04,152 A RIGHT VERSUS A COMMODITY. 6010 03:30:04,152 --> 03:30:06,855 THERE ARE A LOT OF PARALLELS WE 6011 03:30:06,855 --> 03:30:08,523 CAN DRAW AROUND HEALTH AND 6012 03:30:08,523 --> 03:30:09,958 ACCESS TO HEALTHCARE, AROUND 6013 03:30:09,958 --> 03:30:12,260 THAT, BUT IT REALLY GAVE ME 6014 03:30:12,260 --> 03:30:16,298 PAUSE TO THINK ABOUT HOW WE'VE 6015 03:30:16,298 --> 03:30:18,700 BEEN SORT OF STRUCTURING OUR 6016 03:30:18,700 --> 03:30:19,935 IDEAS ABOUT THE STRUCTURAL 6017 03:30:19,935 --> 03:30:28,377 DETERMINANTS OF HEALTH. 6018 03:30:28,377 --> 03:30:29,578 I THINK I'M GOING TO SKIP THIS 6019 03:30:29,578 --> 03:30:29,911 EXAMPLE. 6020 03:30:29,911 --> 03:30:33,849 SO IF WE THINK ABOUT HOW TO 6021 03:30:33,849 --> 03:30:35,617 DEVELOP THIS PRISM FOR NURSING, 6022 03:30:35,617 --> 03:30:37,252 I THINK ONE OF THE FIRST THINGS 6023 03:30:37,252 --> 03:30:41,189 THAT WE REALLY NEED TO DO IS 6024 03:30:41,189 --> 03:30:43,525 COME TO TERMS WITH WHERE WE 6025 03:30:43,525 --> 03:30:44,826 ACTUALLY ARE AND HAVE SOME 6026 03:30:44,826 --> 03:30:48,230 RADICAL ACCEPTANCE ON THAT TOPIC 6027 03:30:48,230 --> 03:30:52,601 IN TERMS OF COLLECTIVELY HOW FAR 6028 03:30:52,601 --> 03:30:54,936 HAVE WE MOVED, HOW FAR HAS OUR 6029 03:30:54,936 --> 03:30:59,207 THINKING COME, WHERE IS THE VAST 6030 03:30:59,207 --> 03:31:01,076 MAJORITY OF NURSING THINKING 6031 03:31:01,076 --> 03:31:03,712 AROUND SOCIAL DETERMINANTS OF 6032 03:31:03,712 --> 03:31:06,581 HEALTH VERY FIRMLY LOCATED, AND 6033 03:31:06,581 --> 03:31:09,184 THAT IS AT THE VERY BOTTOM OF 6034 03:31:09,184 --> 03:31:11,052 THAT CONTINUUM AND THAT DIAGRAM 6035 03:31:11,052 --> 03:31:14,022 THAT WE JUST LOOKED AT. 6036 03:31:14,022 --> 03:31:19,594 THIS PHOTO OR GRAPHIC HERE, FOR 6037 03:31:19,594 --> 03:31:21,930 KICKS, YESTERDAY I GOOGLED 6038 03:31:21,930 --> 03:31:24,132 SCHOOLS OF NURSING, AND THESE 6039 03:31:24,132 --> 03:31:25,767 WERE THE PHOTOS THAT CAME UP. 6040 03:31:25,767 --> 03:31:28,703 AND THERE'S NOT MUCH IN THERE 6041 03:31:28,703 --> 03:31:32,107 THAT SUGGESTS SOMETHING 6042 03:31:32,107 --> 03:31:34,643 DIFFERENT THAN ACUTE CARE KINDS 6043 03:31:34,643 --> 03:31:37,379 OF SETTINGS, ACUTE CARE KINDS OF 6044 03:31:37,379 --> 03:31:39,147 TASKS, ACUTE CARE ANYTHING, 6045 03:31:39,147 --> 03:31:40,916 REALLY, AND THIS IS JUST ONE 6046 03:31:40,916 --> 03:31:45,854 LITTLE SNAPSHOT OF WHAT CAME UP. 6047 03:31:45,854 --> 03:31:49,024 SO I HAVE SOME RECOMMENDATIONS 6048 03:31:49,024 --> 03:31:51,026 BASED ON WHERE WE ARE. 6049 03:31:51,026 --> 03:31:54,830 I THINK WE NEED TO INCREASE 6050 03:31:54,830 --> 03:31:57,132 EXPOSURE OPPORTUNITIES TO 6051 03:31:57,132 --> 03:31:57,799 OBSERVE HOW SOCIAL DETERMINANTS 6052 03:31:57,799 --> 03:31:59,701 OF HEALTH OPERATE FOR NURSES. 6053 03:31:59,701 --> 03:32:00,902 THERE ARE SOME VERY SPECIFIC 6054 03:32:00,902 --> 03:32:02,537 THINGS WE CAN DO ABOUT THAT. 6055 03:32:02,537 --> 03:32:05,307 I THINK WE NEED TO DEEPEN OUR 6056 03:32:05,307 --> 03:32:07,342 THEE RED CAL UNDERSTANDINGS OF 6057 03:32:07,342 --> 03:32:10,645 POWER AND APPLY WHEN LESS 6058 03:32:10,645 --> 03:32:12,514 FAMILIAR, BUT VERY WELL 6059 03:32:12,514 --> 03:32:14,850 DEVELOPED METHODS FOR INQUIRY 6060 03:32:14,850 --> 03:32:16,918 BRING THAT INTO OUR SCWEER, IF 6061 03:32:16,918 --> 03:32:17,886 YOU WILL. 6062 03:32:17,886 --> 03:32:20,655 AND THIS IS MORE OF A CHARGE OR 6063 03:32:20,655 --> 03:32:22,858 CHALLENGE FOR OUR FUNDING 6064 03:32:22,858 --> 03:32:25,060 AGENCIES HERE WHICH IS SEEK WAYS 6065 03:32:25,060 --> 03:32:28,330 TO INCENTIVIZE NUMBER ONE AND 6066 03:32:28,330 --> 03:32:29,564 NUMBER TWO, THROUGH RESEARCH 6067 03:32:29,564 --> 03:32:31,633 FUNDING OPPORTUNITIES. 6068 03:32:31,633 --> 03:32:35,570 SO THIS IS DATA FROM 2018 ABOUT 6069 03:32:35,570 --> 03:32:39,174 WHERE NURSES ARE EMPLOYED. 6070 03:32:39,174 --> 03:32:41,176 WHERE ARE RNs EMPLOYED. 6071 03:32:41,176 --> 03:32:47,616 IF YOU LOOK AT THIS, THE VERY 6072 03:32:47,616 --> 03:32:50,151 SMALL -- THESE TWO SLICES HERE 6073 03:32:50,151 --> 03:32:52,454 ARE BASICALLY OUTSIDE OF WHAT WE 6074 03:32:52,454 --> 03:32:54,322 WOULD THINK OF AS CLINICAL 6075 03:32:54,322 --> 03:32:56,424 SETTINGS. 6076 03:32:56,424 --> 03:32:59,160 THAT'S LESS -- THAT'S LIKE 3%. 6077 03:32:59,160 --> 03:32:59,394 OF 6078 03:32:59,394 --> 03:33:00,362 NURSES. 6079 03:33:00,362 --> 03:33:05,834 AND THAT'S ACTUALLY QUITE ON PAR 6080 03:33:05,834 --> 03:33:09,137 WITH THIS DROP IN PUBLIC HEALTH 6081 03:33:09,137 --> 03:33:11,573 NURSING WORKFORCE, AND I'M NOT 6082 03:33:11,573 --> 03:33:12,941 SUGGESTING ALL NURSES SHOULD BE 6083 03:33:12,941 --> 03:33:13,975 PUBLIC HEALTH NURSES. 6084 03:33:13,975 --> 03:33:15,277 THAT'S NOT WHAT I'M SAYING. 6085 03:33:15,277 --> 03:33:16,845 BUT IF YOU'RE LOOKING AT A 6086 03:33:16,845 --> 03:33:20,015 SEGMENT OF NURSES WHO ARE 6087 03:33:20,015 --> 03:33:21,650 PRACTICING IN COMMUNITIES, 6088 03:33:21,650 --> 03:33:24,052 HOPEFULLY WITH COMMUNITIES, LIKE 6089 03:33:24,052 --> 03:33:27,255 WE SAW FROM OUR NORTH STAR 6090 03:33:27,255 --> 03:33:32,060 EXAMPLE HERE AND HER FOOD -- I 6091 03:33:32,060 --> 03:33:33,728 DON'T WANT TO CALL IT A FOOD 6092 03:33:33,728 --> 03:33:35,497 TRUCK BUT HER MOBILE GROCERY 6093 03:33:35,497 --> 03:33:36,364 STORE, YOU KNOW, WE CAN SEE 6094 03:33:36,364 --> 03:33:40,435 THAT, BUT THIS HAS PRECIPITOUSLY 6095 03:33:40,435 --> 03:33:49,911 DROPPED TO 3.2% -- FROM 3.2% IN 6096 03:33:49,911 --> 03:33:53,615 2000 TO ONLY 1.4% OF THE U.S. 6097 03:33:53,615 --> 03:33:54,049 WORKFORCE. 6098 03:33:54,049 --> 03:33:56,017 THIS IS A SLIDE, IT'S BUSY, I 6099 03:33:56,017 --> 03:33:57,018 DON'T EXPECT TO YOU LOOK AT ALL 6100 03:33:57,018 --> 03:34:00,322 OF A RIGHT NOW, BUT THIS IS FROM 6101 03:34:00,322 --> 03:34:01,756 A TALK THAT I GAVE AT THE 6102 03:34:01,756 --> 03:34:02,958 NATIONAL ADVISORY COUNCIL ON 6103 03:34:02,958 --> 03:34:04,059 NURSE EDUCATION AND PRACTICE A 6104 03:34:04,059 --> 03:34:06,027 COUPLE OF YEARS AGO. 6105 03:34:06,027 --> 03:34:10,665 AND AT THE TIME I JUST WANTED TO 6106 03:34:10,665 --> 03:34:12,834 MAP WHAT WAS GOING ON SORT OF 6107 03:34:12,834 --> 03:34:14,069 NATIONALLY AND IN PUBLIC HEALTH 6108 03:34:14,069 --> 03:34:15,570 VERY GENERALLY, AND THEN 6109 03:34:15,570 --> 03:34:17,706 SPECIFICALLY IN THE NURSING 6110 03:34:17,706 --> 03:34:18,573 PROFESSION DURING THESE 6111 03:34:18,573 --> 03:34:21,843 DIFFERENT TIME PERIODS, 2008 TO 6112 03:34:21,843 --> 03:34:24,479 2016, AND THEN TO THE PRESENT. 6113 03:34:24,479 --> 03:34:26,915 AND IF YOU LOOK AT ANY NUMBER OF 6114 03:34:26,915 --> 03:34:29,317 THESE THINGS, THEY ARE IN DIRECT 6115 03:34:29,317 --> 03:34:30,518 CONFLICT WITH ONE ANOTHER, AND 6116 03:34:30,518 --> 03:34:33,254 THEY ARE HAPPENING AT THE SAME 6117 03:34:33,254 --> 03:34:34,489 TIME. 6118 03:34:34,489 --> 03:34:37,559 THERE ARE RECOMMENDATIONS FROM 6119 03:34:37,559 --> 03:34:38,860 THE SECOND FUTURE OF NURSING 6120 03:34:38,860 --> 03:34:41,029 REPORT ABOUT HOW WE NEED TO MOVE 6121 03:34:41,029 --> 03:34:41,796 INTO THE COMMUNITY. 6122 03:34:41,796 --> 03:34:46,101 THERE ARE RECOMMENDATIONS FROM 6123 03:34:46,101 --> 03:34:49,270 AACN ABOUT PLACING NURSES IN 6124 03:34:49,270 --> 03:34:50,605 NON-TRADITIONAL KINDS OF 6125 03:34:50,605 --> 03:34:52,273 SETTINGS TO DO THEIR WORK. 6126 03:34:52,273 --> 03:34:54,576 THERE ARE RECOMMENDATIONS LEFT 6127 03:34:54,576 --> 03:34:57,646 AND RIGHT LIKE THAT, BUT WE'VE 6128 03:34:57,646 --> 03:35:00,281 SEEN VIRTUALLY NOT MUCH OF 6129 03:35:00,281 --> 03:35:01,850 ANYTHING HAPPENING THERE. 6130 03:35:01,850 --> 03:35:06,221 IF ANYTHING, WE'VE SEEN PERHAPS 6131 03:35:06,221 --> 03:35:07,322 MORE PEOPLE GOING INTO PRIMARY 6132 03:35:07,322 --> 03:35:08,957 CARE SETTINGS THAT ARE STILL 6133 03:35:08,957 --> 03:35:09,858 FUNDAMENTALLY CLINIC-BASED 6134 03:35:09,858 --> 03:35:15,430 SETTINGS. 6135 03:35:15,430 --> 03:35:18,166 SO STILL THINKING ABOUT INTERNAL 6136 03:35:18,166 --> 03:35:19,834 AND EXTERNAL PRESSURES, WE STILL 6137 03:35:19,834 --> 03:35:21,169 HAVE THESE VERY SIGNIFICANT 6138 03:35:21,169 --> 03:35:23,138 EXTERNAL PRESSURES LIKE 6139 03:35:23,138 --> 03:35:27,609 BASICALLY POSITIONING NURSING 6140 03:35:27,609 --> 03:35:29,811 PRACTICE BASED ON ECONOMIC 6141 03:35:29,811 --> 03:35:31,246 MODELS AND HEALTHCARE FINANCING 6142 03:35:31,246 --> 03:35:35,850 MODELS THAT WILL KEEP THEM THERE 6143 03:35:35,850 --> 03:35:37,252 UNLESS WE ARE ABLE TO APPLY 6144 03:35:37,252 --> 03:35:41,122 PRESSURE FROM THE INSIDE OUT. 6145 03:35:41,122 --> 03:35:42,123 ONE OF THE THINGS THAT I TALK 6146 03:35:42,123 --> 03:35:44,959 ABOUT WITH MY COLLEAGUES QUITE A 6147 03:35:44,959 --> 03:35:48,296 BIT IS, SO WHAT DOES NURSING 6148 03:35:48,296 --> 03:35:50,331 HAVE THAT IS UNIQUE? 6149 03:35:50,331 --> 03:35:56,571 WHAT CAN NURSING BRING TO THIS 6150 03:35:56,571 --> 03:36:00,709 EFFORT TH THAT ISN'T DUPLICATIVR 6151 03:36:00,709 --> 03:36:02,077 CAN'T REALLY BE SUBSTITUTED BY 6152 03:36:02,077 --> 03:36:03,845 SOMEONE ELSE, OR A DIFFERENT 6153 03:36:03,845 --> 03:36:04,279 DISCIPLINE. 6154 03:36:04,279 --> 03:36:06,281 AND I THINK ONE OF THE THINGS 6155 03:36:06,281 --> 03:36:11,086 THAT I THINK ABOUT IS NURSING 6156 03:36:11,086 --> 03:36:12,721 HAS CLINICAL KNOWLEDGE, AND WE 6157 03:36:12,721 --> 03:36:14,689 ARE THERE, THERE'S THIS INTIMACY 6158 03:36:14,689 --> 03:36:17,659 THAT WE HAVE WITH THE PEOPLE WE 6159 03:36:17,659 --> 03:36:21,930 SERVE AND TAKE CARE OF DURING 6160 03:36:21,930 --> 03:36:23,031 LIFE'S MOST SENTINEL MOMENTS. 6161 03:36:23,031 --> 03:36:24,165 THESE ARE MOMENTS OF JOY, THEY 6162 03:36:24,165 --> 03:36:26,668 ARE MOMENTS OF ABSOLUTE, YOU 6163 03:36:26,668 --> 03:36:30,171 KNOW, HORROR AND SADNESS, AND WE 6164 03:36:30,171 --> 03:36:33,908 HAVE A PUBLIC TRUST. 6165 03:36:33,908 --> 03:36:37,212 ONE OF THE THINGS THAT WE CAN 6166 03:36:37,212 --> 03:36:40,381 DO, WHILE WE NEED NURSES 6167 03:36:40,381 --> 03:36:42,684 OPERATING HERE, PERHAPS, YOU 6168 03:36:42,684 --> 03:36:44,686 KNOW, IN CONGRESS, ET CETERA, OF 6169 03:36:44,686 --> 03:36:47,722 COURSE WE DO, THERE I THINK IS 6170 03:36:47,722 --> 03:36:50,692 MUCH MORE OPPORTUNITY IN THESE 6171 03:36:50,692 --> 03:36:52,360 LOCATIONS WHERE PROGRAMS ARE 6172 03:36:52,360 --> 03:36:56,531 ACTUALLY DELIVERED AND SCHOOLS, 6173 03:36:56,531 --> 03:36:58,500 WORKPLACES, OTHER SECTORS WHERE 6174 03:36:58,500 --> 03:37:00,368 NURSES HAVE NOT TRADITIONALLY 6175 03:37:00,368 --> 03:37:02,237 BEEN BUT THEY -- WELL, I 6176 03:37:02,237 --> 03:37:04,439 WOULDN'T SAY HAVEN'T 6177 03:37:04,439 --> 03:37:06,841 TRADITIONALLY BEEN -- WERE A 6178 03:37:06,841 --> 03:37:08,943 LONG TIME AGO WITH THE ORIGINS 6179 03:37:08,943 --> 03:37:12,113 OF PUBLIC HEALTH NURSING WERE 6180 03:37:12,113 --> 03:37:13,882 REPOSITIONED INTO MORE ACUTE 6181 03:37:13,882 --> 03:37:15,550 SETTINGS AND HOW CAN WE GO BACK 6182 03:37:15,550 --> 03:37:16,451 TO THOSE PLACES. 6183 03:37:16,451 --> 03:37:18,086 AND I'M NOT SAYING THAT'S A 6184 03:37:18,086 --> 03:37:20,622 PLACE TO STOP OR THAT WILL HAVE 6185 03:37:20,622 --> 03:37:22,924 SOLVED EVERYTHING, WITH YOU BUT 6186 03:37:22,924 --> 03:37:27,128 , BUT I THINKTHESE ARE THE PLACY 6187 03:37:27,128 --> 03:37:28,363 WHERE IF WE CAN POSITION NURSES 6188 03:37:28,363 --> 03:37:34,369 TO BE IN THOSE LOCATIONS, THAT'S 6189 03:37:34,369 --> 03:37:35,436 SOME OF WHAT GIVES YOU THIS 6190 03:37:35,436 --> 03:37:35,837 PRISM. 6191 03:37:35,837 --> 03:37:37,839 IT'S SOME OF WHERE YOU SEE THESE 6192 03:37:37,839 --> 03:37:39,707 INEQUITIES IN ACTION, IN WAYS 6193 03:37:39,707 --> 03:37:41,342 THAT ARE OUTSIDE THE HEALTH 6194 03:37:41,342 --> 03:37:42,577 SYSTEM AND I'LL TALK TO YOU A 6195 03:37:42,577 --> 03:37:44,345 LITTLE BIT ABOUT THAT. 6196 03:37:44,345 --> 03:37:45,647 I THINK I'M GOING TO SKIP 6197 03:37:45,647 --> 03:37:46,614 THROUGH THESE SLIDES BECAUSE I 6198 03:37:46,614 --> 03:37:48,216 KNOW WE'RE A LITTLE BIT BEHIND, 6199 03:37:48,216 --> 03:37:49,284 BUT FUNDAMENTALLY, THESE SLIDES 6200 03:37:49,284 --> 03:37:51,920 ARE SAYING LIKE, OOO, WHERE ARE 6201 03:37:51,920 --> 03:37:53,087 THE NURSE SCIENTISTS? 6202 03:37:53,087 --> 03:37:55,056 OH, YES, MANY OF THEM OR MOST OF 6203 03:37:55,056 --> 03:37:57,025 THEM ARE IN ACADEMIC RESEARCH 6204 03:37:57,025 --> 03:37:57,358 INSTITUTIONS. 6205 03:37:57,358 --> 03:37:58,459 SO WE'LL JUST SUM IT UP THAT 6206 03:37:58,459 --> 03:38:03,932 WAY. 6207 03:38:03,932 --> 03:38:04,532 SO THIS FIRST RECOMMENDATION, 6208 03:38:04,532 --> 03:38:08,636 I'M BASING A LOT OF THIS ON MY 6209 03:38:08,636 --> 03:38:11,639 OWN EXPERIENCE IN SORT OF DOING 6210 03:38:11,639 --> 03:38:12,607 RESEARCH ON SOCIAL DETERMINANTS 6211 03:38:12,607 --> 03:38:14,475 FOR A REALLY LONG TIME, AND ONE 6212 03:38:14,475 --> 03:38:18,413 OF THE WAYS THAT I WAS ABLE TO 6213 03:38:18,413 --> 03:38:23,318 DEVELOP A PRISM LIKE THIS IS BY 6214 03:38:23,318 --> 03:38:24,219 BEING EMBEDDED IN THE COMMUNITY 6215 03:38:24,219 --> 03:38:26,454 AND BEING EMBEDDED IN SOCIAL 6216 03:38:26,454 --> 03:38:30,692 SERVICES PROGRAMS THAT SERVE 6217 03:38:30,692 --> 03:38:31,125 COMMUNITIES. 6218 03:38:31,125 --> 03:38:32,560 ONE OF THOSE PROGRAMS WAS THE 6219 03:38:32,560 --> 03:38:34,896 TEMPORARY ASSISTANCE FOR NEEDY 6220 03:38:34,896 --> 03:38:39,267 FAMILIES PROGRAM, OR TANF, AND I 6221 03:38:39,267 --> 03:38:42,871 DID THIS WORK FOR 10 YEARS IN A 6222 03:38:42,871 --> 03:38:45,607 PARTICULAR COMMUNITY IN FLORIDA, 6223 03:38:45,607 --> 03:38:48,810 WHERE I WAS ABLE TO TAKE PUBLIC 6224 03:38:48,810 --> 03:38:49,811 HEALTH NURSING STUDENTS AND 6225 03:38:49,811 --> 03:38:55,083 PROVIDE SERVICES IN THESE 6226 03:38:55,083 --> 03:38:56,084 COMMUNITIES, WITH THESE 6227 03:38:56,084 --> 03:38:59,454 COMMUNITIES, AND DEVELOP 6228 03:38:59,454 --> 03:39:00,688 INTERVENTIONS WITH THEM. 6229 03:39:00,688 --> 03:39:03,191 THIS INTERVENTION, WE TESTED, IT 6230 03:39:03,191 --> 03:39:05,293 ENDED UP BEING INCREDIBLY 6231 03:39:05,293 --> 03:39:07,962 EFFECTIVE BY BASICALLY TAKING 6232 03:39:07,962 --> 03:39:09,597 NURSES OUT OF WHERE THEY 6233 03:39:09,597 --> 03:39:10,798 TRADITIONALLY FUNCTION AND 6234 03:39:10,798 --> 03:39:14,636 PUTTING THEM IN THE SPACES WHERE 6235 03:39:14,636 --> 03:39:15,069 PEOPLE WERE. 6236 03:39:15,069 --> 03:39:16,404 THERE WAS A VERY SPECIFIC NEED 6237 03:39:16,404 --> 03:39:18,406 FOR THIS. 6238 03:39:18,406 --> 03:39:21,009 AND SOME OF WHAT WE DID THERE 6239 03:39:21,009 --> 03:39:24,779 WAS VERY SPECIFIC IN TERMS OF 6240 03:39:24,779 --> 03:39:27,615 WHAT NURSING KNOWLEDGE WE COULD 6241 03:39:27,615 --> 03:39:29,918 BRING AROUND EXISTING HEALTH 6242 03:39:29,918 --> 03:39:31,786 CONDITIONS VERSUS TRYING TO 6243 03:39:31,786 --> 03:39:33,087 PLACE WOMEN IN PARTICULAR KINDS 6244 03:39:33,087 --> 03:39:36,824 OF JOBS. 6245 03:39:36,824 --> 03:39:38,259 AND THERE WAS OFTEN A MISMATCH 6246 03:39:38,259 --> 03:39:40,361 THERE THAT WENT ON TO DO MORE 6247 03:39:40,361 --> 03:39:45,500 HARM FOR THE WOMEN THAN GOOD, 6248 03:39:45,500 --> 03:39:46,935 AND THIS WAS A SPACE WHERE 6249 03:39:46,935 --> 03:39:49,170 NURSES COULD ACTUALLY MAKE SOME 6250 03:39:49,170 --> 03:39:50,805 CHANGE AND SEE HOW THE 6251 03:39:50,805 --> 03:39:53,975 FUNCTIONING OF THAT PROGRAM, FOR 6252 03:39:53,975 --> 03:39:55,410 EXAMPLE, WAS DOING SOME HARM IN 6253 03:39:55,410 --> 03:39:58,613 WAYS THAT WE COULD QUITE EASILY 6254 03:39:58,613 --> 03:40:00,148 REMEDY. 6255 03:40:00,148 --> 03:40:01,449 IT DIDN'T FIX EVERYTHING ABOUT 6256 03:40:01,449 --> 03:40:04,619 THAT PROGRAM, BUT IT WAS ABLE TO 6257 03:40:04,619 --> 03:40:09,590 DO SOME GOOD. 6258 03:40:09,590 --> 03:40:11,359 SO THE SECOND SORT OF STAGE OF 6259 03:40:11,359 --> 03:40:13,962 MY RESEARCH HAS BEEN IN NORTH 6260 03:40:13,962 --> 03:40:17,298 CAROLINA, WHERE I TOOK WHAT WE 6261 03:40:17,298 --> 03:40:19,667 DID IN THIS TANF PROGRAM TO THE 6262 03:40:19,667 --> 03:40:21,235 SOCIAL SERVICES AGENCIES THAT MY 6263 03:40:21,235 --> 03:40:22,804 PARTNERS THAT I BEGAN WORKING 6264 03:40:22,804 --> 03:40:24,906 WITH IN NORTH CAROLINA, WHERE WE 6265 03:40:24,906 --> 03:40:28,276 WERE PROVIDING SERVICES FOR THEM 6266 03:40:28,276 --> 03:40:30,812 BASED ON EVIDENCE THAT 6267 03:40:30,812 --> 03:40:32,046 FUNCTIONALLY HELPED THEM DO 6268 03:40:32,046 --> 03:40:33,815 THEIR JOBS. 6269 03:40:33,815 --> 03:40:35,450 AND THEY UNDERSTOOD THAT. 6270 03:40:35,450 --> 03:40:36,884 THEY UNDERSTOOD THIS WAS GOOD 6271 03:40:36,884 --> 03:40:38,786 FOR THE CLIENTS, THEY UNDERSTOOD 6272 03:40:38,786 --> 03:40:40,755 THAT IT ALLOWED THEM TO FOCUS ON 6273 03:40:40,755 --> 03:40:42,623 WHAT THEY NEEDED TO DO, RATHER 6274 03:40:42,623 --> 03:40:44,392 THAN DEALING WITH SOMETHING THEY 6275 03:40:44,392 --> 03:40:45,960 WEREN'T REALLY EQUIPPED TO DEAL 6276 03:40:45,960 --> 03:40:47,028 WITH, WHICH WERE KIND OF THE 6277 03:40:47,028 --> 03:40:48,029 HEALTH CONDITIONS THAT WERE 6278 03:40:48,029 --> 03:40:49,063 GETTING IN THE WAY. 6279 03:40:49,063 --> 03:40:51,366 THIS TOOK A WHOLE LOT OF TIME 6280 03:40:51,366 --> 03:40:57,271 AND EFFORT AND YOU HEARD FR ABOT 6281 03:40:57,271 --> 03:40:58,973 THIS, BUT THERE WAS DEEP 6282 03:40:58,973 --> 03:41:00,074 RECIPROCITY IN RELATIONSHIPS 6283 03:41:00,074 --> 03:41:02,043 THAT NEEDED TO BE BUILT DURING 6284 03:41:02,043 --> 03:41:02,577 THIS TIME. 6285 03:41:02,577 --> 03:41:07,048 THIS WAS ALL QUITE DEPENDENT ON 6286 03:41:07,048 --> 03:41:10,918 MY SCHOOL OF NURSING 6287 03:41:10,918 --> 03:41:12,253 ADMINISTRATIVE STRUCTURE 6288 03:41:12,253 --> 03:41:14,856 ALLOWING ME TO HAVE STUDENTS TO 6289 03:41:14,856 --> 03:41:16,391 TAKE INTO THOSE SETTINGS SO THAT 6290 03:41:16,391 --> 03:41:19,961 I COULD BE THERE, I WAS A 6291 03:41:19,961 --> 03:41:23,264 CONSTANT PRESENCE, AND IT WAS 6292 03:41:23,264 --> 03:41:25,299 NOT SOMETHING FOR A VERY LONG 6293 03:41:25,299 --> 03:41:26,968 TIME, THINGS WERE ABLE TO 6294 03:41:26,968 --> 03:41:28,302 FUNCTION IN THAT WAY, SO I 6295 03:41:28,302 --> 03:41:31,472 WASN'T JUST IN AND OUT BASED ON 6296 03:41:31,472 --> 03:41:33,007 THE SCHOOL'S CONVENIENCE. 6297 03:41:33,007 --> 03:41:35,243 I WAS IN IT FOR THE LONG RUN, 6298 03:41:35,243 --> 03:41:39,847 AND I WAS GIVEN, YOU KNOW, SOME 6299 03:41:39,847 --> 03:41:41,582 I GUESS PROMISES THAT I WOULD BE 6300 03:41:41,582 --> 03:41:43,051 ABLE TO STAY THERE IN THE LONG 6301 03:41:43,051 --> 03:41:43,584 RUN. 6302 03:41:43,584 --> 03:41:46,988 THAT ENDED UP BEING INCREDIBLY 6303 03:41:46,988 --> 03:41:48,756 IMPORTANT FOR US TO THEN MOVE TO 6304 03:41:48,756 --> 03:41:51,426 THE NEXT ITERATION OF WHAT WE 6305 03:41:51,426 --> 03:41:55,363 THOUGHT WE NEEDED TO DO IN THIS 6306 03:41:55,363 --> 03:41:56,230 PROGRAM OF RESEARCH. 6307 03:41:56,230 --> 03:41:58,232 I'M NOT GOING TO TALK ABOUT THIS 6308 03:41:58,232 --> 03:42:00,768 SPECIFICALLY, BUT KNOW THAT WAS 6309 03:42:00,768 --> 03:42:02,603 DONE -- IT COULDN'T HAVE 6310 03:42:02,603 --> 03:42:04,806 HAPPENED WITHOUT THAT DEEP 6311 03:42:04,806 --> 03:42:08,309 BUILDING AND MY PRESENCE IN THAT 6312 03:42:08,309 --> 03:42:15,450 LOCATION. 6313 03:42:15,450 --> 03:42:16,651 SO THAT'S THE FIRST THING, IS 6314 03:42:16,651 --> 03:42:20,154 HOW DO WE KR CREATE OPPORTUNITIS 6315 03:42:20,154 --> 03:42:21,422 WITHIN PREDOMINANTLY OUR 6316 03:42:21,422 --> 03:42:22,824 ACADEMIC STRUCTURES SO THAT OUR 6317 03:42:22,824 --> 03:42:23,925 NURSE SCIENTISTS CAN SPEND TIME 6318 03:42:23,925 --> 03:42:24,859 IN THE COMMUNITIES THAT THEY 6319 03:42:24,859 --> 03:42:26,260 NEED TO BE WORKING IN? 6320 03:42:26,260 --> 03:42:28,463 THERE ARE WAYS TO DO THAT, 6321 03:42:28,463 --> 03:42:32,500 INCREDIBLY EFFICIENTLY WITH 6322 03:42:32,500 --> 03:42:33,534 STUDENTS, AND MEET THE 6323 03:42:33,534 --> 03:42:34,435 EDUCATIONAL AIMS, MEET THE 6324 03:42:34,435 --> 03:42:37,672 SERVICE AIMS, ALL OF IT, AT THE 6325 03:42:37,672 --> 03:42:41,409 SAME TIME, BUT LARGELY THAT HAS 6326 03:42:41,409 --> 03:42:43,978 BEEN AN INTERNAL PRESSURE SORT 6327 03:42:43,978 --> 03:42:48,349 OF MECHANISM AND DEPENDENT KIND 6328 03:42:48,349 --> 03:42:50,651 OF WHO IS AT THE HELM AND IF 6329 03:42:50,651 --> 03:42:53,087 THAT'S ALLOWED WITHIN A 6330 03:42:53,087 --> 03:42:55,189 PARTICULAR SCHOOL. 6331 03:42:55,189 --> 03:42:56,924 THE SECOND RECOMMENDATION IS TO 6332 03:42:56,924 --> 03:42:59,127 THINK ABOUT HOW CAN WE DEEPEN 6333 03:42:59,127 --> 03:43:00,695 OUR THEORETICAL UNDERSTANDINGS 6334 03:43:00,695 --> 03:43:07,268 OF HO WE ARE POWER AND APPLY LER 6335 03:43:07,268 --> 03:43:08,302 METHODS FOR INQUIRY? 6336 03:43:08,302 --> 03:43:09,270 AND HERE A COUPLE OF THINGS COME 6337 03:43:09,270 --> 03:43:10,371 TO MIND. 6338 03:43:10,371 --> 03:43:11,906 CRITICAL DISCOURSE AND 6339 03:43:11,906 --> 03:43:12,340 HISTORICAL ANALYSIS. 6340 03:43:12,340 --> 03:43:13,808 THERE WERE A COUPLE OF PAPERS, 6341 03:43:13,808 --> 03:43:14,909 THIS WAS A SERIES OF PAPERS, 6342 03:43:14,909 --> 03:43:17,178 THIS WAS A RESEARCH PROJECT THAT 6343 03:43:17,178 --> 03:43:20,414 WAS COMPLETELY UNFUNDED THAT 6344 03:43:20,414 --> 03:43:24,352 TAUGHT ME MORE ABOUT POWER THAN 6345 03:43:24,352 --> 03:43:26,420 ANYTHING I THINK ELSE THAT I 6346 03:43:26,420 --> 03:43:28,489 HAVE DONE. 6347 03:43:28,489 --> 03:43:32,059 IN TERMS OF, YOU KNOW, LOOKING 6348 03:43:32,059 --> 03:43:37,965 AT -- WE USED A FOUCAULT'S 6349 03:43:37,965 --> 03:43:39,066 FRAMEWORK AND SAID HOW WAS IT 6350 03:43:39,066 --> 03:43:42,303 THAT THE FUTURE OF NURSING 6351 03:43:42,303 --> 03:43:45,606 PROCESSES WERE SHAPED -- OR WERE 6352 03:43:45,606 --> 03:43:47,608 CONSTRUCTED TO SORT OF FORMULATE 6353 03:43:47,608 --> 03:43:52,079 AN OUTCOME, RIGHT, AND HOW WAS 6354 03:43:52,079 --> 03:43:54,282 POWER THREADED THROUGH THAT, AND 6355 03:43:54,282 --> 03:43:57,018 WHAT CAN WE LEARN FROM WHAT 6356 03:43:57,018 --> 03:43:58,152 HAPPENED THERE? 6357 03:43:58,152 --> 03:44:02,523 ONE OF THE REASONS I DID THAT 6358 03:44:02,523 --> 03:44:03,824 ANALYSIS WAS BECAUSE WE WERE 6359 03:44:03,824 --> 03:44:05,693 VERY, VERY CONCERNED, I WAS 6360 03:44:05,693 --> 03:44:06,961 CHAIR OF THE PUBLIC HEALTH 6361 03:44:06,961 --> 03:44:08,496 NURSING SECTION AT THE TIME, AND 6362 03:44:08,496 --> 03:44:13,501 WE WERE VERY CONCERNED ABOUT 6363 03:44:13,501 --> 03:44:16,070 SORT OF, YOU KNOW, KEEPING THE 6364 03:44:16,070 --> 03:44:18,039 LEVEL OF THOUGHT OF SOCIAL 6365 03:44:18,039 --> 03:44:21,008 DETERMINANTS AT THE LEVEL OF 6366 03:44:21,008 --> 03:44:23,177 SOCIAL NEEDS SCREENING AND 6367 03:44:23,177 --> 03:44:24,512 PROVISION IN ACUTE CARE 6368 03:44:24,512 --> 03:44:25,646 SETTINGS. 6369 03:44:25,646 --> 03:44:26,847 SO POINT BEING, IT'S NOT WHAT'S 6370 03:44:26,847 --> 03:44:29,350 IN THOSE ARTICLES, IT WAS THE 6371 03:44:29,350 --> 03:44:33,721 METHODS THAT WE WERE ABLE TO USE 6372 03:44:33,721 --> 03:44:34,989 TO GET AT SOME OF THAT. 6373 03:44:34,989 --> 03:44:40,695 THERE'S A SIMILAR EXAMPLE BY 6374 03:44:40,695 --> 03:44:42,797 MEGAN FRANCIS WHO USED 6375 03:44:42,797 --> 03:44:45,233 HISTORICAL ANALYSIS TO LOOK AT 6376 03:44:45,233 --> 03:44:46,968 THE PRICE OF CIVIL RIGHTS AND 6377 03:44:46,968 --> 03:44:48,402 MOVEMENT CAPTURE AND HOW 6378 03:44:48,402 --> 03:44:53,374 DIFFERENT FUNDING AND FUNDING 6379 03:44:53,374 --> 03:44:54,208 AGENCIES ESSENTIALLY CONSTRUCTED 6380 03:44:54,208 --> 03:44:56,210 OVER TIME THE AGENDAS AND THE 6381 03:44:56,210 --> 03:44:59,213 FOCUS OF THE NAACP, AND WHAT 6382 03:44:59,213 --> 03:45:00,114 HAPPENS THERE. 6383 03:45:00,114 --> 03:45:03,918 AND I GUESS, YOU KNOW, I'M 6384 03:45:03,918 --> 03:45:05,152 ADDING THIS GRAPHIC HERE JUST TO 6385 03:45:05,152 --> 03:45:08,923 SHOW THAT THERE ARE WAYS TO 6386 03:45:08,923 --> 03:45:11,025 EXTRACT QUANTIFIABLE DATA IF 6387 03:45:11,025 --> 03:45:12,627 SOME OF THOSE METHODS THAT WE 6388 03:45:12,627 --> 03:45:15,329 CAN BE THINKING ABOUT. 6389 03:45:15,329 --> 03:45:18,833 AND THE REASON THIS IS IMPORTANT 6390 03:45:18,833 --> 03:45:21,002 IS BECAUSE HOW THIS PLAYS OUT IN 6391 03:45:21,002 --> 03:45:25,373 EVERY SETTING REALLY UNDERGIRDS 6392 03:45:25,373 --> 03:45:27,975 THE POLITICAL, COMMERCIAL AND 6393 03:45:27,975 --> 03:45:32,113 ECONOMIC DIMENSIONS AND 6394 03:45:32,113 --> 03:45:34,548 UNDERGIRD THESE POLICIES WE 6395 03:45:34,548 --> 03:45:35,449 DESPERATELY WANT TO PUT IN 6396 03:45:35,449 --> 03:45:37,118 PLACE, WHAT THEY ACTUALLY LOOK 6397 03:45:37,118 --> 03:45:40,121 LIKE IN TERMS OF BEING DELIVERED 6398 03:45:40,121 --> 03:45:41,155 ON THE GROUND, AND THAT'S WHERE 6399 03:45:41,155 --> 03:45:45,159 I THINK NURSING HAS A LOT OF 6400 03:45:45,159 --> 03:45:48,329 POTENTIAL LEVERAGE. 6401 03:45:48,329 --> 03:45:49,964 I THINK I WILL SKIP THAT. 6402 03:45:49,964 --> 03:45:52,700 THIS IS THE THIRD 6403 03:45:52,700 --> 03:45:54,635 RECOMMENDATION, AND YOU KNOW, 6404 03:45:54,635 --> 03:45:57,038 THAT IS HOW CAN FUNDING 6405 03:45:57,038 --> 03:46:00,975 INSTITUTES LIKE NINR INCENTIVIZE 6406 03:46:00,975 --> 03:46:04,145 RECOMMENDATIONS, THOSE KINDS OF 6407 03:46:04,145 --> 03:46:06,180 RECOMMENDATIONS. 6408 03:46:06,180 --> 03:46:07,915 WHAT SHAPE MIGHT THESE 6409 03:46:07,915 --> 03:46:09,283 INCENTIVES TAKE, AND ARE THERE 6410 03:46:09,283 --> 03:46:11,852 OTHER ENTITIES THAT CAN 6411 03:46:11,852 --> 03:46:14,755 FACILITATE THOSE KINDS OF 6412 03:46:14,755 --> 03:46:21,529 INNOCINCENTIVES WITHIN OR EXTERO 6413 03:46:21,529 --> 03:46:22,797 SCHOOLS OF NURSING AND THE 6414 03:46:22,797 --> 03:46:25,232 PLACES WHERE WE FIND MOST NURSE 6415 03:46:25,232 --> 03:46:25,633 SCIENTISTS. 6416 03:46:25,633 --> 03:46:28,302 SO I WILL END MY COMMENTS THERE, 6417 03:46:28,302 --> 03:46:29,403 THERE'S PART OF MY RESEARCH 6418 03:46:29,403 --> 03:46:30,738 TEAM, AND I GUESS WE'LL OPEN IT 6419 03:46:30,738 --> 03:46:39,613 UP FOR DISCUSSION. 6420 03:46:39,613 --> 03:46:42,016 >> THANK YOU VERY MUCH, 6421 03:46:42,016 --> 03:46:43,250 DR. KNEIPP, FOR ADDING THOSE 6422 03:46:43,250 --> 03:46:44,051 ADDITIONAL THINGS FOR US TO 6423 03:46:44,051 --> 03:46:46,554 THINK ABOUT AS WE MOVE INTO OUR 6424 03:46:46,554 --> 03:46:46,987 DISCUSSION. 6425 03:46:46,987 --> 03:46:49,890 SO WE DID SEND COUNCIL SEVERAL 6426 03:46:49,890 --> 03:46:50,858 QUESTIONS IN ADVANCE OF THE 6427 03:46:50,858 --> 03:46:55,129 MEETING TO HELP US REFLECT ON 6428 03:46:55,129 --> 03:46:57,064 NINR'S FUTURE ROLE IN TERMS OF 6429 03:46:57,064 --> 03:46:58,833 ADVANCING HEALTH EQUITY THROUGH 6430 03:46:58,833 --> 03:46:59,567 RESEARCH. 6431 03:46:59,567 --> 03:47:02,303 THE GOAL FOR US TODAY IS TO TALK 6432 03:47:02,303 --> 03:47:04,672 ABOUT BOLD IDEAS, INNOVATIVE 6433 03:47:04,672 --> 03:47:07,308 SOLUTIONS AND BIG GOALS THAT 6434 03:47:07,308 --> 03:47:10,244 NINR CAN, AGAIN, HELP TO ADVANCE 6435 03:47:10,244 --> 03:47:12,213 TOWARDS THESE GOALS THROUGH 6436 03:47:12,213 --> 03:47:12,480 RESEARCH. 6437 03:47:12,480 --> 03:47:16,016 SO I'VE ASKED DR. WANG TO HELP 6438 03:47:16,016 --> 03:47:17,385 LEAD US THROUGH DISCUSSION. 6439 03:47:17,385 --> 03:47:19,253 THANK YOU. 6440 03:47:19,253 --> 03:47:19,820 >> THANK YOU. 6441 03:47:19,820 --> 03:47:21,055 I THINK I'LL START WITH 6442 03:47:21,055 --> 03:47:23,724 ANSWERING THE QUESTION OF 6443 03:47:23,724 --> 03:47:25,459 DR. MCLEMORE ABOUT WHAT I LIKE, 6444 03:47:25,459 --> 03:47:27,228 WHAT I WISH AND WHAT I WONDER AS 6445 03:47:27,228 --> 03:47:29,263 ALL OF YOU ARE GETTING YOUR 6446 03:47:29,263 --> 03:47:30,664 BRAIN JUICE TOGETHER TO REALLY 6447 03:47:30,664 --> 03:47:33,401 THINK ABOUT WHAT'S THE NEXT BOLD 6448 03:47:33,401 --> 03:47:35,035 IDEA NINR CAN LEAD AND WHAT CAN 6449 03:47:35,035 --> 03:47:36,670 WE DO, WHAT ARE SOME OF THE OUT 6450 03:47:36,670 --> 03:47:38,072 OF BOX THINKING. 6451 03:47:38,072 --> 03:47:42,877 AND STARTING WITH I REALLY -- I 6452 03:47:42,877 --> 03:47:45,446 SEE HOPE WITH ALL THE 6453 03:47:45,446 --> 03:47:48,082 PRESENTATIONS, DIRECT 6454 03:47:48,082 --> 03:47:50,251 INVENTORY'S REPORT TO ALL OF THE 6455 03:47:50,251 --> 03:47:50,718 PRESENTERS TODAY. 6456 03:47:50,718 --> 03:47:54,188 WHAT I REALLY LIKE IS I REALLY 6457 03:47:54,188 --> 03:47:56,023 LIKE ALL THE WORK THAT HAS BEEN 6458 03:47:56,023 --> 03:47:56,624 HAPPENING, WHAT'S HAPPENING 6459 03:47:56,624 --> 03:48:00,728 RIGHT NOW, I LIKE ALL OF THAT. 6460 03:48:00,728 --> 03:48:04,832 AND I WISH HEALTH FOR EVERYONE 6461 03:48:04,832 --> 03:48:06,233 EVERYWHERE, AND I WONDER, GIVEN 6462 03:48:06,233 --> 03:48:10,738 WHAT WE HAVE DONE OVER THE PAST 6463 03:48:10,738 --> 03:48:12,006 20 YEARS AND WHAT WE HAVE 6464 03:48:12,006 --> 03:48:17,678 LEARNED FROM THE REPORT, THAT 6465 03:48:17,678 --> 03:48:19,447 DR. GILMORE HAS PRESENTED TO THE 6466 03:48:19,447 --> 03:48:22,783 NURSING COMMUNITY AND PROVIDED 6467 03:48:22,783 --> 03:48:25,753 IF NOT THE STRATEGIES, EXACTLY 6468 03:48:25,753 --> 03:48:27,922 WHAT CAN WE DO THROUGH THE NECK 6469 03:48:27,922 --> 03:48:29,123 MAYBE 40 MINUTES OF OUR 6470 03:48:29,123 --> 03:48:31,592 DISCUSSION, HOW CAN WE PROVIDE 6471 03:48:31,592 --> 03:48:34,762 SOME CONCRETE SUGGESTIONS, 6472 03:48:34,762 --> 03:48:37,832 OBSERVATIONS, AND TO LEAD -- TO 6473 03:48:37,832 --> 03:48:40,501 OFFER OUR OPINIONS FOR NINR TO 6474 03:48:40,501 --> 03:48:41,936 REALLY LEAD THE NEXT PHASE FOR 6475 03:48:41,936 --> 03:48:45,873 THE 40 YEARS TO COME? 6476 03:48:45,873 --> 03:48:47,842 SO THAT WE DEMONSTRATE OUR 6477 03:48:47,842 --> 03:48:48,843 COMMUNITY, NURSING COMMUNITY 6478 03:48:48,843 --> 03:48:50,444 WILL NOT ACCEPT A CONTINUING 6479 03:48:50,444 --> 03:48:53,047 LACK OF PROGRESS. 6480 03:48:53,047 --> 03:48:54,815 20 YEARS LATER, WHEN WE LOOK AT 6481 03:48:54,815 --> 03:48:56,717 IT, AND HOW CAN WE MOVE THAT 6482 03:48:56,717 --> 03:48:57,384 NEEDLE FORWARD. 6483 03:48:57,384 --> 03:49:01,121 I WANT TO START WITH -- THOUGH 6484 03:49:01,121 --> 03:49:07,728 WE HAVE LEARNED FROM DR. GILL 6485 03:49:07,728 --> 03:49:08,596 ABOUT THE STRATEGIC 6486 03:49:08,596 --> 03:49:09,597 OPPORTUNITIES IN NURSING TO LEAD 6487 03:49:09,597 --> 03:49:11,332 IN ELIMINATING HEALTH 6488 03:49:11,332 --> 03:49:12,066 INEQUITIES. 6489 03:49:12,066 --> 03:49:15,803 WHAT KIND OF INNOVATIVE 6490 03:49:15,803 --> 03:49:17,538 HEALTHCARE DELIVER REMODELS THAT 6491 03:49:17,538 --> 03:49:19,807 NURSES CAN LEAD, AND WHAT KIND 6492 03:49:19,807 --> 03:49:21,442 OF SCIENCE EVIDENCE THAT WE NEED 6493 03:49:21,442 --> 03:49:23,410 TO GENERATE, AND HOW IT TIES 6494 03:49:23,410 --> 03:49:26,747 WITH THE SCIENTIFIC WORKFORCE 6495 03:49:26,747 --> 03:49:31,886 DEVELOPMENT SUCH AS A NURSING 6496 03:49:31,886 --> 03:49:32,920 SCHOOL SHOULD BE DOING AT 6497 03:49:32,920 --> 03:49:34,522 DIFFERENT LEVELS, NOT JUST IN 6498 03:49:34,522 --> 03:49:36,123 GENERATING A NURSE SCIENTIST IN 6499 03:49:36,123 --> 03:49:39,393 A PH.D. PROGRAM, BUT ALSO MAYBE 6500 03:49:39,393 --> 03:49:42,129 STARTING FROM UNDERGRADUATE 6501 03:49:42,129 --> 03:49:43,230 PROGRAMS THROUGH COMMUNITY 6502 03:49:43,230 --> 03:49:44,164 PARTNERSHIPS. 6503 03:49:44,164 --> 03:49:47,334 AND ALSO WANT TO REFLECT ABOUT 6504 03:49:47,334 --> 03:49:51,472 JUST OUR DEPUTY DIRECTOR TALKING 6505 03:49:51,472 --> 03:49:55,075 ABOUT HEALTH WE CAN IT BEING A 6506 03:49:55,075 --> 03:50:00,848 NORTH STAR, AND WE HAVE ALL OF 6507 03:50:00,848 --> 03:50:02,583 THE MISSION AND ACTION WE HAVE 6508 03:50:02,583 --> 03:50:04,451 HEARD FROM DR. HORNING AND ALSO 6509 03:50:04,451 --> 03:50:06,287 REFLECTING ABOUT OUR CURRENT 6510 03:50:06,287 --> 03:50:08,355 TOP-RANKED IN FUNDING BEHAVIOR 6511 03:50:08,355 --> 03:50:14,161 AND SOCIAL SCIENCE AND FUNDING 6512 03:50:14,161 --> 03:50:15,429 IN HEALTH EQUITY. 6513 03:50:15,429 --> 03:50:17,197 AS WE ARE REFLECTING ABOUT THE 6514 03:50:17,197 --> 03:50:18,299 FINDINGS AND THE EVIDENCE THAT 6515 03:50:18,299 --> 03:50:21,235 HAS GENERATED, WHAT IS THE POWER 6516 03:50:21,235 --> 03:50:27,007 IN INR THAT ARE ALREADY 6517 03:50:27,007 --> 03:50:30,077 GENERATED AND TO ADD THE VOICE 6518 03:50:30,077 --> 03:50:31,979 TO THE COMMUNITY, BACK TO THE 6519 03:50:31,979 --> 03:50:34,615 WORKFORCE DEVELOPMENT, BACK TO 6520 03:50:34,615 --> 03:50:35,616 THE SCIENTIFIC WORKFORCE 6521 03:50:35,616 --> 03:50:39,219 DEVELOPMENT, SO WE DO NOT WANT 6522 03:50:39,219 --> 03:50:40,387 PEOPLE -- THIS IS REALLY 6523 03:50:40,387 --> 03:50:41,922 IMPORTANT, WE'VE DONE A LOT OF 6524 03:50:41,922 --> 03:50:43,324 WORK. 6525 03:50:43,324 --> 03:50:45,092 WHY ARE WE NOT MOVING FORWARD? 6526 03:50:45,092 --> 03:50:46,927 ARE WE RE-CREATING WORK AND HOW 6527 03:50:46,927 --> 03:50:50,197 CAN WE MAKE SURE THAT WE 6528 03:50:50,197 --> 03:50:53,133 ACCUMULATE EVIDENCE AND WE GO A 6529 03:50:53,133 --> 03:50:54,068 STEP FURTHER EVERY TIME, 6530 03:50:54,068 --> 03:50:56,704 LEARNING FROM OTHERS IN THIS 6531 03:50:56,704 --> 03:51:00,541 EVIDENCE GENERATION. 6532 03:51:00,541 --> 03:51:02,743 AND I APPRECIATE DR. HORNING'S 6533 03:51:02,743 --> 03:51:03,243 PRESENTATION. 6534 03:51:03,243 --> 03:51:04,979 I REALLY LOVE OUR QUESTION AND 6535 03:51:04,979 --> 03:51:06,614 ANSWER ADVANCING SCIENCE IN THE 6536 03:51:06,614 --> 03:51:10,017 REAL WORLD EVIDENCE, AND THE 6537 03:51:10,017 --> 03:51:11,952 RIGOROUS RESEARCH, AS WE HOLD 6538 03:51:11,952 --> 03:51:13,153 NEAR AND DEAR, BUT IT REALLY 6539 03:51:13,153 --> 03:51:15,689 SHOULD NOT PREVENT US FROM 6540 03:51:15,689 --> 03:51:17,858 THINKING RIGOROUS RESEARCH CAN 6541 03:51:17,858 --> 03:51:22,429 ONLY BE DONE IN CERTAIN WAYS, 6542 03:51:22,429 --> 03:51:25,799 AND HOW TO PARTNER WITH THE 6543 03:51:25,799 --> 03:51:27,434 COMMUNITY AND THE COMMUNITIES 6544 03:51:27,434 --> 03:51:31,071 THAT HOW CAN WE REALLY ADVANCE 6545 03:51:31,071 --> 03:51:32,873 SCIENCE KNOWING THAT THE REAL 6546 03:51:32,873 --> 03:51:36,710 WORLD IS NOT AS SIMPLE AS A VERY 6547 03:51:36,710 --> 03:51:39,313 WELL CONTROLLED RANDOMIZE THE 6548 03:51:39,313 --> 03:51:42,249 CLIL CAN TRIAL, HOW DO WE EVEN 6549 03:51:42,249 --> 03:51:43,550 ADVANCE METHODOLOGY, THERE ARE A 6550 03:51:43,550 --> 03:51:45,552 LOT OF METHODOLOGIES OUT THERE 6551 03:51:45,552 --> 03:51:50,958 RIGHT NOW, AND A.I. TOOLS, INFO 6552 03:51:50,958 --> 03:51:52,292 MA TICS TOOLS OUT THERE THAT 6553 03:51:52,292 --> 03:51:54,328 PROBABLY WE SHOULD EXPAND OUR 6554 03:51:54,328 --> 03:51:57,064 HORIZON AND LOOKING AT OUR 6555 03:51:57,064 --> 03:51:59,800 METHODOLOGY AS WELL THAT CAN 6556 03:51:59,800 --> 03:52:01,869 MARRY THE RIGOROUS SCIENCE AND 6557 03:52:01,869 --> 03:52:02,970 ALSO THE REAL WORLD EVIDENCE. 6558 03:52:02,970 --> 03:52:05,906 AND WHAT CAN I SAY, AMAZING 6559 03:52:05,906 --> 03:52:07,408 RESEARCHER, DR. MCLEMORE, I 6560 03:52:07,408 --> 03:52:09,476 REALLY ADMIRE YOUR RESEARCH, AND 6561 03:52:09,476 --> 03:52:12,112 I THINK WHAT I HAVE LEARNED FROM 6562 03:52:12,112 --> 03:52:16,016 YOU IS THAT RAOLY I REALLY HOWY 6563 03:52:16,016 --> 03:52:17,885 IT'S IN, WITH, FROM AND OF THE 6564 03:52:17,885 --> 03:52:19,386 COMMUNITIES. 6565 03:52:19,386 --> 03:52:21,889 AND I LOVE YOUR EXAMPLE ABOUT 6566 03:52:21,889 --> 03:52:24,425 BRINGING ONE OF YOUR MENTORS AND 6567 03:52:24,425 --> 03:52:26,226 FOUNDING PRESIDENT OF THE 6568 03:52:26,226 --> 03:52:27,761 NATIONAL COALITION OF ETHNIC 6569 03:52:27,761 --> 03:52:33,600 MINORITY NURSES ASSOCIATION, DRS 6570 03:52:33,600 --> 03:52:38,072 ALSO A ROW -- WHEN WE DEFINE 6571 03:52:38,072 --> 03:52:39,306 COMMUNITIES, THE FEDERAL 6572 03:52:39,306 --> 03:52:41,408 FUNDERS, THE FOUNDATION FUNDERS, 6573 03:52:41,408 --> 03:52:44,712 HOW CAN WE ALSO NOT FORGET ABOUT 6574 03:52:44,712 --> 03:52:46,814 THE PROFESSIONAL ORGANIZATIONS 6575 03:52:46,814 --> 03:52:49,316 MAYBE ALSO THAT HAVE THE NURSES, 6576 03:52:49,316 --> 03:52:50,517 THEY'RE REALLY LAYING THE 6577 03:52:50,517 --> 03:52:51,585 GROUNDWORK FOR HEALTH EQUITY 6578 03:52:51,585 --> 03:52:53,454 BEFORE THE HEALTH EQUITY BECOMES 6579 03:52:53,454 --> 03:52:55,956 A BUZZ WORD, AND HOW CAN WE 6580 03:52:55,956 --> 03:52:58,659 ENSURE THE BASIC AND SOCIAL 6581 03:52:58,659 --> 03:53:01,195 SAFETY NET AND THE 6582 03:53:01,195 --> 03:53:03,263 INFRASTRUCTURE. 6583 03:53:03,263 --> 03:53:05,099 AND ALSO HOW SHOULD THE FEDERAL 6584 03:53:05,099 --> 03:53:10,437 GOVERNMENT AND FUNDERS LOOK AT 6585 03:53:10,437 --> 03:53:15,142 TOOTRUE REPAIR, RECONCILIATION D 6586 03:53:15,142 --> 03:53:17,211 I LOVE THE FACT THAT COMMUNITY 6587 03:53:17,211 --> 03:53:18,078 ENGAGEMENT SOMETIMES CAN BE A 6588 03:53:18,078 --> 03:53:19,713 SIMPLE APOLOGY, AND THAT'S A 6589 03:53:19,713 --> 03:53:21,682 CRITICAL COMPONENT OF COMMUNITY 6590 03:53:21,682 --> 03:53:22,983 ENGAGEMENT WE CAN ALL LEARN 6591 03:53:22,983 --> 03:53:26,353 FROM, AND HOW CAN WE EMPHASIZE 6592 03:53:26,353 --> 03:53:28,655 THE HUMAN GRIFFIN A.I. THAT WE 6593 03:53:28,655 --> 03:53:30,390 KREE EIGHTED AI, WHAT CAN WE DO 6594 03:53:30,390 --> 03:53:32,559 AND LEARN FROM IT, AND ALSO THE 6595 03:53:32,559 --> 03:53:35,729 VALUE OF THE COMMUNITY DATA USED 6596 03:53:35,729 --> 03:53:38,132 AGREEMENTS AND PARTICIPATORY 6597 03:53:38,132 --> 03:53:40,734 BUDGETING VISUALIZATION AND 6598 03:53:40,734 --> 03:53:42,369 MOVING FORWARD IN SCIENCE, AND 6599 03:53:42,369 --> 03:53:45,005 ALSO ABOUT THE PUBLICATION, HOW 6600 03:53:45,005 --> 03:53:48,242 DO ENSURE EQUITY IN PE PEER 6601 03:53:48,242 --> 03:53:50,377 REVIEWS, AND HOW DO WE GENERATE 6602 03:53:50,377 --> 03:53:52,179 SCIENCE AND PUBLISH AND 6603 03:53:52,179 --> 03:53:53,013 DISSEMINATE THE SCIENCE. 6604 03:53:53,013 --> 03:53:57,284 SO I REALLY DO HAVE A QUESTION 6605 03:53:57,284 --> 03:53:59,253 FOR YOU BUT I'LL SAY THAT IN THE 6606 03:53:59,253 --> 03:54:01,955 END BECAUSE I THINK IT'S REALLY 6607 03:54:01,955 --> 03:54:03,290 KEY TO REALLY WHEN WE THINK 6608 03:54:03,290 --> 03:54:06,660 ABOUT EVEN FUNDING RESEARCH, HOW 6609 03:54:06,660 --> 03:54:08,195 DO WE TRANSLATE IT INTO 6610 03:54:08,195 --> 03:54:08,595 POLICIES. 6611 03:54:08,595 --> 03:54:09,863 AND I THINK THAT'S A CRITICAL 6612 03:54:09,863 --> 03:54:13,934 COMPONENT WHERE I THINK AN OUT 6613 03:54:13,934 --> 03:54:16,503 OF THE BOX IDEA WILL BE WHAT 6614 03:54:16,503 --> 03:54:19,840 SHOULD WE THINK ABOUT AT THE 6615 03:54:19,840 --> 03:54:22,142 FUNDING STAGE IN MAKING SURE THE 6616 03:54:22,142 --> 03:54:25,746 RESEARCH THAT WE FUND WILL 6617 03:54:25,746 --> 03:54:27,047 ACTUALLY BE TRANSLATED INTO 6618 03:54:27,047 --> 03:54:28,615 POLICY THAT WILL BRING PERMANENT 6619 03:54:28,615 --> 03:54:30,083 IMPACT TO THE COMMUNITY. 6620 03:54:30,083 --> 03:54:33,387 AND ALSO PARTNERSHIP ABOUT MAYBE 6621 03:54:33,387 --> 03:54:35,322 WE SHOULD PARTNER WITH SOME OF 6622 03:54:35,322 --> 03:54:38,725 THE FOUNDATIONS THAT ARE DOING 6623 03:54:38,725 --> 03:54:40,794 THE CHOOSE REPAIR AND 6624 03:54:40,794 --> 03:54:42,396 TRANSFORMATION WORK SUCH AS 6625 03:54:42,396 --> 03:54:43,163 ROBERT WOOD JOHNSON FOUNDATION. 6626 03:54:43,163 --> 03:54:45,732 I'M REALLY PROUD OF THE IMPACT 6627 03:54:45,732 --> 03:54:47,100 INVESTING, I MEAN, I HAVE A COP 6628 03:54:47,100 --> 03:54:50,137 FLICT OF INTEREST SERVING ON THE 6629 03:54:50,137 --> 03:54:56,276 BOARD BUT THAT IMPACT INVESTING 6630 03:54:56,276 --> 03:54:57,678 THAT ARE CREATING THE ENDOWMENT 6631 03:54:57,678 --> 03:55:02,416 TO COMMUNITY-BASED ORGANIZATIONS 6632 03:55:02,416 --> 03:55:06,320 THAT WILL PE PERPETUALLY FUND TE 6633 03:55:06,320 --> 03:55:06,954 ORGANIZATIONS TO DELIVER THE 6634 03:55:06,954 --> 03:55:08,288 WORK VERSUS GIVING WORK THAT 6635 03:55:08,288 --> 03:55:09,990 WILL STOP IN ONE OR TWO OR THREE 6636 03:55:09,990 --> 03:55:10,424 YEARS. 6637 03:55:10,424 --> 03:55:13,994 AND ALSO THINKING ABOUT PCORI AS 6638 03:55:13,994 --> 03:55:16,029 A FUNDER THAT HAS SUCCESSFULLY 6639 03:55:16,029 --> 03:55:17,397 FUNDED OVER THAT MANY YEARS 6640 03:55:17,397 --> 03:55:20,467 ABOUT FUNDING COMMUNITY 6641 03:55:20,467 --> 03:55:25,606 COINVESTIGATORS. 6642 03:55:25,606 --> 03:55:33,981 IOF COURSE REALLY APPRECIATE YOR 6643 03:55:33,981 --> 03:55:35,182 CONTINUITY FROM SOCIAL 6644 03:55:35,182 --> 03:55:37,384 DETERMINANTS OF HEALTH TO 6645 03:55:37,384 --> 03:55:38,252 STRUCTURAL DETERMINANTS OF 6646 03:55:38,252 --> 03:55:39,786 HEALTH, AND ALSO HOW SHOULD WE 6647 03:55:39,786 --> 03:55:41,521 THINK ABOUT MAYBE WE SHOULD 6648 03:55:41,521 --> 03:55:43,924 BRING BACK THE COMMUNITY-BASED 6649 03:55:43,924 --> 03:55:45,025 AND PUBLIC HEALTH NURSE AND 6650 03:55:45,025 --> 03:55:49,596 MAYBE WE SHOULD ACTUALLY -- SOME 6651 03:55:49,596 --> 03:55:51,231 OF THE SOCIAL CARE PRINCIPLES 6652 03:55:51,231 --> 03:55:53,066 AND PUBLIC HEALTH PRINCIPLES BE 6653 03:55:53,066 --> 03:55:54,601 THE FOUNDATION LEARNING FOR 6654 03:55:54,601 --> 03:55:56,136 NURSING AND NURSING WORKFORCE. 6655 03:55:56,136 --> 03:55:58,171 I JUST HAVE TO TIE -- AND I'LL 6656 03:55:58,171 --> 03:55:59,606 REMEMBER THIS AND WHEN I GIVE 6657 03:55:59,606 --> 03:56:00,807 STUDENT ORIENTATION ALL THE 6658 03:56:00,807 --> 03:56:04,278 TIME, IT'S CLINICAL KNOWLEDGE, 6659 03:56:04,278 --> 03:56:06,146 INTIMACY DURING LIFE'S MOST 6660 03:56:06,146 --> 03:56:07,247 SENSITIVE MOMENTS AND PUBLIC 6661 03:56:07,247 --> 03:56:10,183 TRUST, AND HOW CAN WE MARRY ALL 6662 03:56:10,183 --> 03:56:13,120 OF THOSE IN THINKING ABOUT THE 6663 03:56:13,120 --> 03:56:16,490 NURSE SCIENCE, NURSE SCIENTIST'S 6664 03:56:16,490 --> 03:56:17,157 ROLE. 6665 03:56:17,157 --> 03:56:18,592 AND I HAVE BEEN THINKING ABOUT 6666 03:56:18,592 --> 03:56:21,295 EVEN JUST IN HEALTHCARE, HOW CAN 6667 03:56:21,295 --> 03:56:23,797 WE INCENTIVIZE PEOPLE TO WORK IN 6668 03:56:23,797 --> 03:56:24,765 PRIMARY CARE, NOT GOING INTO 6669 03:56:24,765 --> 03:56:25,966 SPECIALTY? 6670 03:56:25,966 --> 03:56:30,237 SO HOW CAN WE INCENTIVIZE PEOPLE 6671 03:56:30,237 --> 03:56:34,174 TO WORK IN PUBLIC HEALTH NURSING 6672 03:56:34,174 --> 03:56:34,608 COMMUNITY? 6673 03:56:34,608 --> 03:56:36,476 SHOULD IT BE MARRYING WHAT'S 6674 03:56:36,476 --> 03:56:38,745 MORE INNOVATIVE OUT THERE IN 6675 03:56:38,745 --> 03:56:40,080 MARRYING THE COMMUNITY-BASED 6676 03:56:40,080 --> 03:56:42,983 PUBLIC HEALTH NURSING WAS, WITH 6677 03:56:42,983 --> 03:56:49,957 A.I. DATA SCIENCE WHICH MAY GET 6678 03:56:49,957 --> 03:56:50,624 MORE EQUALIZING WHAT THESE 6679 03:56:50,624 --> 03:56:52,059 COMMUNITY AND WHAT THESE ROLES 6680 03:56:52,059 --> 03:56:59,066 CAN MAKE A TRANSFORMATION 6681 03:56:59,066 --> 03:56:59,933 COMPETEING WITH ACUTE CARE 6682 03:56:59,933 --> 03:57:00,167 SETTING. 6683 03:57:00,167 --> 03:57:02,002 SO I WILL END IN KIND OF SHARING 6684 03:57:02,002 --> 03:57:02,536 MY PERSPECTIVE. 6685 03:57:02,536 --> 03:57:04,037 I LOOK FORWARD TO HEARING FROM 6686 03:57:04,037 --> 03:57:05,405 ALL OF THE OTHER COUNCILMEMBERS 6687 03:57:05,405 --> 03:57:07,441 IN HEARING LIKE WHAT YOU HAVE -- 6688 03:57:07,441 --> 03:57:08,642 WHAT ARE SOME OF THE BOLD IDEAS, 6689 03:57:08,642 --> 03:57:12,446 BUT I WILL START WITH THIS 6690 03:57:12,446 --> 03:57:14,081 QUESTION FOR INTEREST MCLEMORE 6691 03:57:14,081 --> 03:57:21,388 ABOUT WHAT'S YOUR SECRET IN 6692 03:57:21,388 --> 03:57:22,723 TURNING RESEARCH EVIDENCE IN 6693 03:57:22,723 --> 03:57:22,990 POLICIES? 6694 03:57:22,990 --> 03:57:25,459 AND WHAT WOULD YOU ADVISE IN 6695 03:57:25,459 --> 03:57:29,296 NINR, IF WE ARE GOING TO DESIGN 6696 03:57:29,296 --> 03:57:31,765 FUNDING RESEARCH, WE NEED TO 6697 03:57:31,765 --> 03:57:32,799 MAKE SURE THOSE RESEARCH 6698 03:57:32,799 --> 03:57:34,167 EVIDENCE NEED TO TRANSFORM 6699 03:57:34,167 --> 03:57:36,169 POLICIES, WHAT WILL BE YOUR 6700 03:57:36,169 --> 03:57:36,536 RECOMMENDATIONS? 6701 03:57:36,536 --> 03:57:37,337 >> WELL, THANK YOU FOR THE 6702 03:57:37,337 --> 03:57:37,971 QUESTION. 6703 03:57:37,971 --> 03:57:39,406 I HAVE TO SHOUT OUT, THE LOGOS 6704 03:57:39,406 --> 03:57:40,507 ON MY FIRST SLIDE ARE 6705 03:57:40,507 --> 03:57:41,441 ORGANIZATIONS AND INSTITUTIONS I 6706 03:57:41,441 --> 03:57:43,643 WORK WITH, IN ADVANCING NEW 6707 03:57:43,643 --> 03:57:47,247 STANDARDS IN REPRODUCTIVE HEALTH 6708 03:57:47,247 --> 03:57:49,516 AT UCSF IS THE ONLY ONE I REMAIN 6709 03:57:49,516 --> 03:57:51,618 AFFILIATED WITH AT UCSF BECAUSE 6710 03:57:51,618 --> 03:57:53,987 THEIR DIRECT GOAL IS TO TRAIN 6711 03:57:53,987 --> 03:57:55,422 RESEARCHERS INTO HOW TO 6712 03:57:55,422 --> 03:57:56,289 TRANSLATE THEIR WORK INTO 6713 03:57:56,289 --> 03:57:56,857 POLICY. 6714 03:57:56,857 --> 03:57:58,392 NOT JUST TO CONDUCT GOOD 6715 03:57:58,392 --> 03:57:59,826 SCIENTIFIC RIGOROUS RESEARCH, 6716 03:57:59,826 --> 03:58:01,228 BUT TO ACTUALLY HAVE THE 6717 03:58:01,228 --> 03:58:02,295 WRAP-AROUND SERVICES THAT ARE 6718 03:58:02,295 --> 03:58:03,397 NECESSARY THAT ARE NOT TAUGHT IN 6719 03:58:03,397 --> 03:58:05,465 MOST SCHOOLS OF NURSING, WHETHER 6720 03:58:05,465 --> 03:58:07,200 IT'S MEDIA TRAINING, 6721 03:58:07,200 --> 03:58:11,071 UNDERSTANDING HOW TO REDUCE 6722 03:58:11,071 --> 03:58:12,139 COMPLEX SCIENTIFIC FINDINGS TO 6723 03:58:12,139 --> 03:58:13,540 REALLY GREAT BULLET POINT. 6724 03:58:13,540 --> 03:58:17,044 THEY ACTUALLY -- IT'S A SKILL A 6725 03:58:17,044 --> 03:58:18,245 THAT CAN BE INVESTED IN AND 6726 03:58:18,245 --> 03:58:18,879 TAUGHT. 6727 03:58:18,879 --> 03:58:20,080 SO THERE'S NO MAGIC TO HOW I 6728 03:58:20,080 --> 03:58:23,350 THINK ABOUT MY WORK. 6729 03:58:23,350 --> 03:58:24,885 I ALSO SPEND A LOT OF TIME WITH 6730 03:58:24,885 --> 03:58:26,253 CONGRESSIONAL STAFFERS EDUCATING 6731 03:58:26,253 --> 03:58:27,821 THEM ABOUT THESE ISSUES. 6732 03:58:27,821 --> 03:58:29,022 ONE OF THE THINGS I FIND WHEN WE 6733 03:58:29,022 --> 03:58:30,891 GET REALLY BAD POLICY, IT'S 6734 03:58:30,891 --> 03:58:33,827 BECAUSE PEOPLE DON'T UNDERSTAND 6735 03:58:33,827 --> 03:58:35,328 UNINTENDED CONSEQUENCES OF THE 6736 03:58:35,328 --> 03:58:36,663 POLICIES THAT THEY ARE EITHER 6737 03:58:36,663 --> 03:58:37,764 ENACTING OR CREATING THE. 6738 03:58:37,764 --> 03:58:38,965 AND SO YOU'VE GOT TO SPEND A LOT 6739 03:58:38,965 --> 03:58:40,167 OF TIME WITH STAFFERS GETTING 6740 03:58:40,167 --> 03:58:44,971 THEM TO UNDERSTAND THE SCIENCE. 6741 03:58:44,971 --> 03:58:48,608 THE PRO SCIENCE AND THE SORT OF 6742 03:58:48,608 --> 03:58:49,242 NULL STUDIES. 6743 03:58:49,242 --> 03:58:50,644 THAT'S THE OTHER THING AS A 6744 03:58:50,644 --> 03:58:51,845 JOURNAL EDITOR I'M STARTING TO 6745 03:58:51,845 --> 03:58:52,512 REALLY THINK ABOUT. 6746 03:58:52,512 --> 03:58:53,814 WE HAVE SKEWED VIEWS OF WHAT'S 6747 03:58:53,814 --> 03:58:55,449 POSSIBLE BECAUSE WE ONLY PUBLISH 6748 03:58:55,449 --> 03:58:57,851 SIGNIFICANT FINDINGS. 6749 03:58:57,851 --> 03:58:59,152 AND I'M STARTING TO REALLY THINK 6750 03:58:59,152 --> 03:59:01,221 THAT THAT IS A GAP IN 6751 03:59:01,221 --> 03:59:02,255 UNDERSTANDING POLICY BECAUSE WE 6752 03:59:02,255 --> 03:59:04,157 COULD LEARN A LOT FROM NULL 6753 03:59:04,157 --> 03:59:05,425 FINDINGS AND TRANSLATION IN THE 6754 03:59:05,425 --> 03:59:06,827 POLICY IF WE KNEW WHAT WORKED, 6755 03:59:06,827 --> 03:59:08,862 WHAT DIDN'T AND WHY, BUT WE 6756 03:59:08,862 --> 03:59:10,363 CAN'T KNOW THAT IF IT'S NOT IN A 6757 03:59:10,363 --> 03:59:13,533 PUBLISHED RECORD. 6758 03:59:13,533 --> 03:59:15,569 SO IT'S REALLY MORE QUESTIONING 6759 03:59:15,569 --> 03:59:16,603 THE FUNDAMENTAL TOOLS OF SCIENCE 6760 03:59:16,603 --> 03:59:19,873 THAT WE USE TO CREATE 6761 03:59:19,873 --> 03:59:20,774 UNDERSTANDING AND KNOWLEDGE 6762 03:59:20,774 --> 03:59:23,376 GENERGENERATION AND THEN BEING E 6763 03:59:23,376 --> 03:59:27,547 TO EX-PLANE TH EXPLAIN THAT TO N 6764 03:59:27,547 --> 03:59:28,815 BEING, WHICH A.I. WON'T TEACH 6765 03:59:28,815 --> 03:59:28,982 US. 6766 03:59:28,982 --> 03:59:32,018 >> THANK YOU. 6767 03:59:32,018 --> 03:59:33,553 CAN WE HEAR SOME OF THE OTHER 6768 03:59:33,553 --> 03:59:33,920 COUNCILMEMBERS? 6769 03:59:33,920 --> 03:59:38,525 FEEL FREE TO -- 6770 03:59:38,525 --> 03:59:41,128 >> WELL, I WANT TO THANK 6771 03:59:41,128 --> 03:59:41,761 EVERYBODY THAT'S PRESENTED 6772 03:59:41,761 --> 03:59:42,362 TODAY. 6773 03:59:42,362 --> 03:59:45,232 I THINK IT'S REALLY BEEN A GREAT 6774 03:59:45,232 --> 03:59:46,766 CONVERSATION. 6775 03:59:46,766 --> 03:59:51,071 AND DR. WANG AND DR. -- I WANT 6776 03:59:51,071 --> 03:59:52,572 TO THANK YOU FOR ENDING ON 6777 03:59:52,572 --> 03:59:53,573 POLICY BECAUSE EXACTLY WHAT I 6778 03:59:53,573 --> 03:59:55,408 WROTE DOWN IS, YOU KNOW, THE 6779 03:59:55,408 --> 03:59:56,510 COMMUNITY ENGAGEMENT WE'VE BEEN 6780 03:59:56,510 --> 03:59:57,477 TALKING ABOUT IS WHERE YOU'RE 6781 03:59:57,477 --> 04:00:01,848 GOING TO FIND OUT THE NEEDS AND 6782 04:00:01,848 --> 04:00:02,482 THE SOLUTIONS, BUT IT'S NOT 6783 04:00:02,482 --> 04:00:03,817 GOING TO BE SUSTAINABLE UNLESS 6784 04:00:03,817 --> 04:00:05,018 WE'RE GOING TO BE ABLE TO 6785 04:00:05,018 --> 04:00:07,087 TRANSLATE IT FOR THE -- TO 6786 04:00:07,087 --> 04:00:07,320 POLICY. 6787 04:00:07,320 --> 04:00:10,157 SO I THINK THERE'S ANOTHER LEVEL 6788 04:00:10,157 --> 04:00:16,163 OF POLICY ENGAGEMENT WITH 6789 04:00:16,163 --> 04:00:17,364 PROFESSIONAL ORGANIZATIONS, 6790 04:00:17,364 --> 04:00:19,099 POLICY MAKERS, YOU KNOW, CMS, 6791 04:00:19,099 --> 04:00:20,300 WHOEVER IT IS BASED ON THE 6792 04:00:20,300 --> 04:00:21,701 PROBLEMS THAT YOU'RE LOOKING AT, 6793 04:00:21,701 --> 04:00:25,639 THAT WE SHOULD BE FOR NOT ALL 6794 04:00:25,639 --> 04:00:27,841 RESEARCH BUT FO FOR A LOT OF 6795 04:00:27,841 --> 04:00:29,009 RESEARCH, BRINGING TO THAT 6796 04:00:29,009 --> 04:00:30,544 LEVEL, AND THAT'S WHAT WILL BE 6797 04:00:30,544 --> 04:00:31,645 SUSTAINABLE. 6798 04:00:31,645 --> 04:00:33,480 SO I LOVE THE CONVERSATION 6799 04:00:33,480 --> 04:00:35,982 TODAY, AND I LOVE THE FACT THAT 6800 04:00:35,982 --> 04:00:39,619 IT IS GOING TO POLICY. 6801 04:00:39,619 --> 04:00:44,658 SO THANK YOU. 6802 04:00:44,658 --> 04:00:47,160 >> SO IT ALL CAME TOGETHER FOR 6803 04:00:47,160 --> 04:00:48,862 ME WITH YOUR LAST PRESENTATION 6804 04:00:48,862 --> 04:00:50,096 BECAUSE I THINK THERE'S A 6805 04:00:50,096 --> 04:00:52,399 THROUGH LINE BETWEEN THE 6806 04:00:52,399 --> 04:00:55,035 PRESENTATIONS THAT WE HAD TODAY. 6807 04:00:55,035 --> 04:00:56,203 VINCENT STARTED OFF, WE STARTED 6808 04:00:56,203 --> 04:00:57,971 THINKING ABOUT THIS MEANINGFUL 6809 04:00:57,971 --> 04:01:00,373 COMMUNITY ENGAGEMENT, AND I 6810 04:01:00,373 --> 04:01:03,977 THINK THERE'S ALSO THE SAME 6811 04:01:03,977 --> 04:01:07,247 THING IN THE OTHER CONVERSATIONS 6812 04:01:07,247 --> 04:01:09,416 THAT WE HAD. 6813 04:01:09,416 --> 04:01:10,417 ONE OF THE THINGS THAT KIND OF 6814 04:01:10,417 --> 04:01:14,454 CAME OUT WAS ALSO THIS IDEA OF 6815 04:01:14,454 --> 04:01:15,655 RE-THINKING PHILANTHROPY. 6816 04:01:15,655 --> 04:01:17,190 THERE IS A CRITIQUE OF 6817 04:01:17,190 --> 04:01:18,058 PHILANTHROPY RIGHT NOW, KIND OF 6818 04:01:18,058 --> 04:01:19,693 SHOWN A LITTLE BIT, BUT THIS 6819 04:01:19,693 --> 04:01:22,329 IDEA OF STRATEGIC PHILANTHROPY 6820 04:01:22,329 --> 04:01:24,264 AND MOVING TO THIS EMPOWERMENT 6821 04:01:24,264 --> 04:01:27,567 PHILANTHROPY WHERE WE GIVE THE 6822 04:01:27,567 --> 04:01:29,970 TOOLS THE OPPORTUNITY OF 6823 04:01:29,970 --> 04:01:30,837 COMMUNITIES TO COME UP WITH 6824 04:01:30,837 --> 04:01:32,372 THEIR OWN SOLUTIONS AND THEN I 6825 04:01:32,372 --> 04:01:33,440 THINK IT'S SOMETHING WE'VE 6826 04:01:33,440 --> 04:01:35,208 TALKED ABOUT IN THIS GROUP 6827 04:01:35,208 --> 04:01:36,276 BEFORE, THINKING ABOUT HOW WE 6828 04:01:36,276 --> 04:01:37,477 THINK ABOUT OUR BLIND SPOTS AND 6829 04:01:37,477 --> 04:01:39,346 WHO WE'RE MISSING AND HOW WE GET 6830 04:01:39,346 --> 04:01:41,748 COMMUNITIES ENGAGED, AND I'M 6831 04:01:41,748 --> 04:01:45,118 REALLY GLAD THAT YOU BROUGHT UP 6832 04:01:45,118 --> 04:01:46,553 WITH THE FOUNDATION, DR. WANG, 6833 04:01:46,553 --> 04:01:50,156 WHAT THEY'RE DOING AROUND 6834 04:01:50,156 --> 04:01:51,791 THINKING ABOUT PUTTING 6835 04:01:51,791 --> 04:01:53,226 ENDOWMENTS AND GIVING 6836 04:01:53,226 --> 04:01:54,861 COMMUNITIES THE TOOL WHICH IS A 6837 04:01:54,861 --> 04:01:55,962 REAL SHIFT. 6838 04:01:55,962 --> 04:01:56,830 BUT ONE OF THE OTHER THINGS THAT 6839 04:01:56,830 --> 04:01:59,032 CAME OUT, MAYBE IT'S JUST MY 6840 04:01:59,032 --> 04:02:00,000 BIAS, BUT WE'RE ALSO TALKING 6841 04:02:00,000 --> 04:02:02,302 ABOUT NURSING SCHOOL AND THE 6842 04:02:02,302 --> 04:02:04,938 OPPORTUNITIES THAT WE ARE 6843 04:02:04,938 --> 04:02:06,339 UNDERLEVERAGING WITH NURSING 6844 04:02:06,339 --> 04:02:07,440 SCHOOLS, THINKING ABOUT HOW WE 6845 04:02:07,440 --> 04:02:10,043 START TO TRANSFORM THAT AND 6846 04:02:10,043 --> 04:02:11,244 CREATE THESE OPPORTUNITIES TO -- 6847 04:02:11,244 --> 04:02:15,515 AS GOING GOING BACK TO 6848 04:02:15,515 --> 04:02:18,018 DR. RAMOS' EARLIER POINT ABOUT 6849 04:02:18,018 --> 04:02:19,653 TALKING ABOUT THIS WORKFORCE, 6850 04:02:19,653 --> 04:02:20,887 NURSES ARE THE BIGGEST SHARE OF 6851 04:02:20,887 --> 04:02:22,188 THE HEALTHCARE WORKFORCE AND WE 6852 04:02:22,188 --> 04:02:23,823 REALLY SHOULD BE THINKING ABOUT 6853 04:02:23,823 --> 04:02:25,792 HOW WE GO AGAIN BACK TO WHERE WE 6854 04:02:25,792 --> 04:02:26,092 STARTED OUT. 6855 04:02:26,092 --> 04:02:27,227 WE STARTED OUT IN THE 6856 04:02:27,227 --> 04:02:27,994 COMMUNITIES AND THAT KIND OF 6857 04:02:27,994 --> 04:02:29,562 CAME OUT, BOTH PRESENTATIONS, 6858 04:02:29,562 --> 04:02:30,597 AND WE SHOULD BE GOING BACK 6859 04:02:30,597 --> 04:02:31,931 THERE, HOW DO WE DO THAT. 6860 04:02:31,931 --> 04:02:33,767 SO IT'S A LOT, BUT IT WAS REALLY 6861 04:02:33,767 --> 04:02:36,202 KIND OF LIKE -- YOU REALLY 6862 04:02:36,202 --> 04:02:40,573 BROUGHT IT BACK TOGETHER, YOUR 6863 04:02:40,573 --> 04:02:41,308 PRESENTATION JUST -- THESE 6864 04:02:41,308 --> 04:02:42,309 THEMES ARE COMING OUT OF THIS 6865 04:02:42,309 --> 04:02:46,012 AND HOW THEY REALLY KIND OF -- 6866 04:02:46,012 --> 04:02:47,247 RE-THINK THAT, SO IT'S EXCITING 6867 04:02:47,247 --> 04:02:48,415 AND I APPRECIATE ALL THE 6868 04:02:48,415 --> 04:02:50,884 PRESENTATIONS TODAY BECAUSE THEY 6869 04:02:50,884 --> 04:02:51,885 REALLY HAVE MY BRAIN KIND OF 6870 04:02:51,885 --> 04:02:54,187 LIKE LIGHTING UP TO THINK ABOUT 6871 04:02:54,187 --> 04:02:55,722 WHAT CAN WE DO HERE AND HOW ARE 6872 04:02:55,722 --> 04:02:56,823 WE DOING THIS. 6873 04:02:56,823 --> 04:02:58,224 >> CAN I MAKE A RESPONSE TO 6874 04:02:58,224 --> 04:03:02,696 THAT? 6875 04:03:02,696 --> 04:03:03,830 YOU GO AHEAD. 6876 04:03:03,830 --> 04:03:06,433 >> AND MAYBE -- MAYBE IT'S THE 6877 04:03:06,433 --> 04:03:08,101 SAME THING, I DON'T KNOW, BUT 6878 04:03:08,101 --> 04:03:09,135 ONE OF THE THINGS THAT I DIDN'T 6879 04:03:09,135 --> 04:03:10,470 REALLY GET TO FOCUS ON JUST 6880 04:03:10,470 --> 04:03:11,971 BECAUSE OF TIME IN MY 6881 04:03:11,971 --> 04:03:13,173 PRESENTATION IS, YOU KNOW, THERE 6882 04:03:13,173 --> 04:03:19,746 ARE MODELS OF POWER THAT WORK ON 6883 04:03:19,746 --> 04:03:21,681 BUILDING ON POSITIVES, 6884 04:03:21,681 --> 04:03:23,883 DEVELOPING AGENCY, AND COALITION 6885 04:03:23,883 --> 04:03:24,250 BUILDING. 6886 04:03:24,250 --> 04:03:25,418 THERE'S BEEN A WHOLE LOT OF 6887 04:03:25,418 --> 04:03:26,853 DISCUSSION ABOUT COALITION 6888 04:03:26,853 --> 04:03:28,254 BUILDING AND WHAT THAT GET YOU 6889 04:03:28,254 --> 04:03:30,757 IN TERMS OF COMMUNITIES BEING 6890 04:03:30,757 --> 04:03:33,827 ABLE TO WRITE THEIR OWN FUTURE 6891 04:03:33,827 --> 04:03:36,229 ESSENTIALLY AND I DON'T KNOW 6892 04:03:36,229 --> 04:03:42,135 THAT WE HAVE REALLY GREAT 6893 04:03:42,135 --> 04:03:45,739 EMPIRICAL EVIDENCE OF WHAT 6894 04:03:45,739 --> 04:03:49,442 MODELS ARE BEST FOR TRAINING 6895 04:03:49,442 --> 04:03:50,877 COALITION BUILDING IN 6896 04:03:50,877 --> 04:03:51,845 COMMUNITIES UNDER DIFFERENT SETS 6897 04:03:51,845 --> 04:03:55,248 OF CIRCUMSTANCES, BUT THOSE ARE 6898 04:03:55,248 --> 04:03:56,883 THE KINDS OF PROJECTS, LIKE IF 6899 04:03:56,883 --> 04:04:02,322 WE UNDERSTOOD WHAT THAT PROCESS 6900 04:04:02,322 --> 04:04:03,223 SHOULD BE, WE COULD THINK OF 6901 04:04:03,223 --> 04:04:04,657 TRAIN THE TRAINER KIND OF 6902 04:04:04,657 --> 04:04:06,226 THINGS, BUT WE'D HAVE AN 6903 04:04:06,226 --> 04:04:07,627 EVIDENCE BASE FOR IT, WE'D SORT 6904 04:04:07,627 --> 04:04:08,461 OF KNOW WHAT WORKS. 6905 04:04:08,461 --> 04:04:10,263 I JUST DON'T KNOW THAT ANYTHING 6906 04:04:10,263 --> 04:04:12,298 HAS REALLY BEEN EMPIRICALLY 6907 04:04:12,298 --> 04:04:17,437 TESTED IN THAT WAY. 6908 04:04:17,437 --> 04:04:19,973 SO THAT'S A POSITIVE SORT OF 6909 04:04:19,973 --> 04:04:21,941 VERY SPECIFIC OUT COME THAT YOU 6910 04:04:21,941 --> 04:04:24,010 COULD USE A FRAMEWORK OF POWER, 6911 04:04:24,010 --> 04:04:28,281 YOU KNOW, TO GENERATE THAT KIND 6912 04:04:28,281 --> 04:04:30,950 OF SCIENCE. 6913 04:04:30,950 --> 04:04:33,753 >> PHILANTHROPY HAS A LOT OF 6914 04:04:33,753 --> 04:04:35,054 POWER. 6915 04:04:35,054 --> 04:04:37,891 $400 BILLION A YEAR IS IN 6916 04:04:37,891 --> 04:04:38,324 PHILANTHROPY. 6917 04:04:38,324 --> 04:04:39,325 THERE'S A LOT OF REASONS TO 6918 04:04:39,325 --> 04:04:40,860 THINK THAT THAT IS -- PART OF 6919 04:04:40,860 --> 04:04:42,495 THE CRITIQUE IS THAT 6920 04:04:42,495 --> 04:04:43,363 PHILANTHROPY HAS TAKEN ON THIS 6921 04:04:43,363 --> 04:04:46,099 ROLE OF TRYING TO -- IN THE 6922 04:04:46,099 --> 04:04:47,233 STRATEGIC PHILANTHROPY, THINKING 6923 04:04:47,233 --> 04:04:48,401 ABOUT HOW IT'S GOING TO MAKE 6924 04:04:48,401 --> 04:04:49,602 THESE LONG TERM SOLUTIONS WHICH 6925 04:04:49,602 --> 04:04:50,703 REALLY IT HASN'T BEEN ABLE TO 6926 04:04:50,703 --> 04:04:51,137 DO. 6927 04:04:51,137 --> 04:04:52,439 FEDERAL GOVERNMENT HAS WAY MORE 6928 04:04:52,439 --> 04:04:53,773 POWER AND WAY MORE INVESTMENT IN 6929 04:04:53,773 --> 04:04:54,307 THAT. 6930 04:04:54,307 --> 04:04:56,376 AND SHOULD PHILANTHROPY REALLY 6931 04:04:56,376 --> 04:04:58,344 BE THINKING ABOUT CREATING THIS 6932 04:04:58,344 --> 04:04:59,345 MULTI-RACIAL DEMOCRACY AND 6933 04:04:59,345 --> 04:05:00,547 PUTTING ITS EFFORTS TOWARDS 6934 04:05:00,547 --> 04:05:02,248 THAT, REALLY TO YOUR POINT ABOUT 6935 04:05:02,248 --> 04:05:03,583 THE POWER, REDISTRIBUTING THAT 6936 04:05:03,583 --> 04:05:05,018 POWER, INITIATING CONVERSATIONS 6937 04:05:05,018 --> 04:05:09,289 AND ONE OF THE THINGS YOU HAD IN 6938 04:05:09,289 --> 04:05:11,357 THE THIRD -- LIKE PREVENT THE 6939 04:05:11,357 --> 04:05:13,993 CORPORATIONS THAT ARE 6940 04:05:13,993 --> 04:05:15,628 REDEVELOPMENT CORPORATIONS BEING 6941 04:05:15,628 --> 04:05:17,163 ABLE TO DONATE AND BE PART OF 6942 04:05:17,163 --> 04:05:18,364 THAT PROCESS BECAUSE THAT 6943 04:05:18,364 --> 04:05:20,433 CHANGES HOUSING -- SO IT'S JUST 6944 04:05:20,433 --> 04:05:20,733 INTERESTING. 6945 04:05:20,733 --> 04:05:22,602 >> I WANT TO SAY TWO VERY 6946 04:05:22,602 --> 04:05:24,370 UNPOPULAR THINGS BECAUSE I THINK 6947 04:05:24,370 --> 04:05:26,005 THEY NEED TO BE SAID. 6948 04:05:26,005 --> 04:05:27,974 THE FIRST ONE I THINK IN NURSING 6949 04:05:27,974 --> 04:05:28,575 AND NURSING EDUCATION, I WOULD 6950 04:05:28,575 --> 04:05:30,844 LIKE FOR US TO REALLY CRITIQUE 6951 04:05:30,844 --> 04:05:32,145 THE ROLE OF EMPLOYERS. 6952 04:05:32,145 --> 04:05:34,981 LIKE I ALWAYS FEEL LIKE WHERE WE 6953 04:05:34,981 --> 04:05:36,216 WORK DETERMINES WHO WE ARE, AND 6954 04:05:36,216 --> 04:05:39,252 THAT IS ALWAYS VERY AWKWARD TO 6955 04:05:39,252 --> 04:05:42,088 ME. 6956 04:05:42,088 --> 04:05:44,958 PEOPLE USE MODIFIERS LIKE I'M A 6957 04:05:44,958 --> 04:05:47,794 BEDSIDE NURSE OR I'M AN XY AND Z 6958 04:05:47,794 --> 04:05:47,994 NURSE. 6959 04:05:47,994 --> 04:05:49,162 THAT'S REALLY BASED ON WHERE YOU 6960 04:05:49,162 --> 04:05:49,562 WORK. 6961 04:05:49,562 --> 04:05:51,064 SO I ALWAYS TELL PEOPLE I'M A 6962 04:05:51,064 --> 04:05:51,498 NURSE. 6963 04:05:51,498 --> 04:05:52,065 WHAT KIND? 6964 04:05:52,065 --> 04:05:53,700 AND I'M LIKE, THE KIND THAT'S 6965 04:05:53,700 --> 04:05:54,133 LICENSED, RIGHT? 6966 04:05:54,133 --> 04:05:57,537 I MEAN, BECAUSE IF I HAD TO 6967 04:05:57,537 --> 04:05:59,472 EXPLAIN TO PEOPLE BASED ON -- 6968 04:05:59,472 --> 04:06:01,341 LIKE SOMETIMES I'M A LABORATORY 6969 04:06:01,341 --> 04:06:03,209 BENCH SCIENTIST, SOMETIMES I'M A 6970 04:06:03,209 --> 04:06:03,943 PUBLIC HEALTH NURSE. 6971 04:06:03,943 --> 04:06:05,178 IT MAKES SENSE IN MY MIND 6972 04:06:05,178 --> 04:06:08,982 BECAUSE I'M A NURSE. 6973 04:06:08,982 --> 04:06:10,817 SO THAT'S -- I THINK WE PUT TOO 6974 04:06:10,817 --> 04:06:12,018 MUCH EMPHASIS ON EMPLOYERS AND 6975 04:06:12,018 --> 04:06:13,119 THAT DRIVES HOW WE MAKE 6976 04:06:13,119 --> 04:06:14,954 DECISIONS ABOUT, YOU KNOW, THE 6977 04:06:14,954 --> 04:06:16,055 KIND OF INVESTMENTS WE WANT TO 6978 04:06:16,055 --> 04:06:20,760 MAKE IN NURSING. 6979 04:06:20,760 --> 04:06:22,295 BUT THEN THE OTHER SIDE OF THAT 6980 04:06:22,295 --> 04:06:24,264 WHICH IS ALSO QUITE UNPOPULAR IS 6981 04:06:24,264 --> 04:06:27,433 I'M GOING TO USE MY ENDOWED 6982 04:06:27,433 --> 04:06:28,401 PROFESSORSHIP TO TRY AND CREATE 6983 04:06:28,401 --> 04:06:29,602 A SITUATION WHERE EURT OF 6984 04:06:29,602 --> 04:06:30,537 WASHINGTON BECOMES THE EMPLOYER 6985 04:06:30,537 --> 04:06:31,371 OF CHOICE. 6986 04:06:31,371 --> 04:06:32,572 IF EVERYBODY WANTS TO BECOME THE 6987 04:06:32,572 --> 04:06:33,439 EMPLOYER OF CHOICE FOR THE 6988 04:06:33,439 --> 04:06:35,208 FUTURE OF NURSING, YOU MAKE VERY 6989 04:06:35,208 --> 04:06:36,042 DIFFERENT DECISIONS ABOUT WHAT 6990 04:06:36,042 --> 04:06:37,477 WOULD YOU INVEST IN RIGHT NOW, 6991 04:06:37,477 --> 04:06:37,810 RIGHT? 6992 04:06:37,810 --> 04:06:40,446 SO IN MY MIND, HEALTHCARE 6993 04:06:40,446 --> 04:06:42,415 REPARATIONS, WHEN YOU START TO 6994 04:06:42,415 --> 04:06:43,950 THINK ABOUT WE'RE GOING TO HAVE 6995 04:06:43,950 --> 04:06:45,385 DEBT-FREE EDUCATION FOR NURSING 6996 04:06:45,385 --> 04:06:47,787 STUDENTS FOR THE NEXT 30 YEARS, 6997 04:06:47,787 --> 04:06:48,855 YOU MIGHT VERY RAPIDLY BECOME 6998 04:06:48,855 --> 04:06:49,522 THE EMPLOYER OF CHOICE. 6999 04:06:49,522 --> 04:06:51,591 SO I WOULD LIKE FOR US TO 7000 04:06:51,591 --> 04:06:54,394 TROUBLE THIS DISCUSSION BY 7001 04:06:54,394 --> 04:06:57,497 TRYING TO -- HOLDING THE TENSION 7002 04:06:57,497 --> 04:06:58,064 OF OPPOSITES. 7003 04:06:58,064 --> 04:06:59,799 WE WANT TO HOLD THAT TENSION 7004 04:06:59,799 --> 04:07:01,100 THAT YES, PEOPLE NEED A PLACE TO 7005 04:07:01,100 --> 04:07:02,635 WORK AND THAT NEEDS TO BE A 7006 04:07:02,635 --> 04:07:03,636 THING, BECAUSE MEANINGFUL WORK 7007 04:07:03,636 --> 04:07:05,371 IS VERY IMPORTANT, BUT WE ALSO 7008 04:07:05,371 --> 04:07:08,575 WANT THAT TO DRIVE HOW WE GET AT 7009 04:07:08,575 --> 04:07:14,347 THESE RECRUITMENT AND THESE LIKE 7010 04:07:14,347 --> 04:07:15,582 ISSUES WHERE WE CAN'T HAVE A 7011 04:07:15,582 --> 04:07:16,449 WORKFORCE THAT LOOKS LIKE THE 7012 04:07:16,449 --> 04:07:18,284 PEOPLE THAT WE SERVE. 7013 04:07:18,284 --> 04:07:19,819 AND THAT'S WHERE I THINK WE GET 7014 04:07:19,819 --> 04:07:20,353 GUMMED UP. 7015 04:07:20,353 --> 04:07:22,322 SO TO YOUR POINT ABOUT NURSING 7016 04:07:22,322 --> 04:07:23,523 SCHOOLS AS A NURSING PROFESSOR, 7017 04:07:23,523 --> 04:07:24,557 I CAN TELL YOU ONE OF THE 7018 04:07:24,557 --> 04:07:26,292 REASONS WHY I'M SO PUBLIC IS TO 7019 04:07:26,292 --> 04:07:29,262 GET PEOPLE TO APPRECIATE THAT 7020 04:07:29,262 --> 04:07:32,632 PROFESSORIAL LIFE IS FUN, IT'S 7021 04:07:32,632 --> 04:07:34,267 MEANINGFUL, YOU GET TO GEEK OUT 7022 04:07:34,267 --> 04:07:36,569 WITH REALLY COOL PEOPLE. 7023 04:07:36,569 --> 04:07:40,607 THERE'S A WHOLE OTHER SIDE OF 7024 04:07:40,607 --> 04:07:42,241 NURSING PROFESSOR LIFE THAT OUR 7025 04:07:42,241 --> 04:07:45,211 FUTURE WORKFORCE DOESN'T SEE. 7026 04:07:45,211 --> 04:07:46,412 SORE HOW ARE WE SUPPOSED TO 7027 04:07:46,412 --> 04:07:48,615 EXPECT THEM TO THEN BE EXCITED 7028 04:07:48,615 --> 04:07:51,884 TO JOIN US AS THE KNOWLEDGE 7029 04:07:51,884 --> 04:07:58,257 PRODUCERS IN OUR DISCIPLINE? 7030 04:07:58,257 --> 04:07:59,892 >> SO I JUST WANT TO START BY 7031 04:07:59,892 --> 04:08:01,661 SAYING TODAY'S BEEN FANTASTIC. 7032 04:08:01,661 --> 04:08:03,496 THE LAST TWO PRESENTATIONS 7033 04:08:03,496 --> 04:08:05,465 REALLY OPENED I THINK ALL OF OUR 7034 04:08:05,465 --> 04:08:08,868 MINDS TO NEW IDEAS, AND SO THANK 7035 04:08:08,868 --> 04:08:10,937 YOU BOTH TO SHAWN AND TO MONICA. 7036 04:08:10,937 --> 04:08:13,673 I WANT TO GO BACK TO WHAT I 7037 04:08:13,673 --> 04:08:14,774 UNDERSTOOD THE QUESTION AS 7038 04:08:14,774 --> 04:08:16,843 BEING, WHICH WAS NINR AND SORT 7039 04:08:16,843 --> 04:08:17,610 OF LEADING IN TERMS OF THE 7040 04:08:17,610 --> 04:08:19,412 FUTURE OF NURSING SCIENCE, AND 7041 04:08:19,412 --> 04:08:22,649 SO THIS MAY BE AN 7042 04:08:22,649 --> 04:08:23,716 OVERSIMPLYCATION, BUT I HEARD 7043 04:08:23,716 --> 04:08:25,618 THREE THINGS TODAY THAT FROM MY 7044 04:08:25,618 --> 04:08:26,486 POINT OF VIEW REALLY STAND OUT 7045 04:08:26,486 --> 04:08:27,020 AS OPPORTUNITIES. 7046 04:08:27,020 --> 04:08:30,189 I THINK THE FIRST IS AROUND 7047 04:08:30,189 --> 04:08:32,759 SETTINGS AND MODELS, AND AT THE 7048 04:08:32,759 --> 04:08:34,994 VERY START OF THE DAY, WE HAD 7049 04:08:34,994 --> 04:08:36,529 SOME REALLY TERRIFIC NEWS ABOUT 7050 04:08:36,529 --> 04:08:37,530 THE NIH INITIATIVE AROUND 7051 04:08:37,530 --> 04:08:39,699 PRIMARY CARE. 7052 04:08:39,699 --> 04:08:43,436 I WOULD LOVE TO SEE NURSING AS 7053 04:08:43,436 --> 04:08:45,171 REALLY BEING INSTRUMENTAL TO 7054 04:08:45,171 --> 04:08:47,707 REIMAGINING PRIMARY CARE. 7055 04:08:47,707 --> 04:08:49,676 HOW CAN WE DEMONSTRATE NEW ROLES 7056 04:08:49,676 --> 04:08:51,978 FOR NURSES, NEW MODELS OF 7057 04:08:51,978 --> 04:08:53,513 DELIVERING PRIMARY CARE, NEW 7058 04:08:53,513 --> 04:09:00,620 SETTINGS THAT ARE LOCATIONALLY 7059 04:09:00,620 --> 04:09:01,487 FLEXIBLE, THERE'S JUST SO MUCH 7060 04:09:01,487 --> 04:09:02,722 THERE THAT COULD REALLY 7061 04:09:02,722 --> 04:09:03,890 TRANSFORM OUR NATION'S HEALTH. 7062 04:09:03,890 --> 04:09:06,426 THE SECOND THING I HEARD WAS ALL 7063 04:09:06,426 --> 04:09:07,393 THE WORK THAT IS HAPPENING 7064 04:09:07,393 --> 04:09:08,828 AROUND THE DEVELOPMENT OF THE 7065 04:09:08,828 --> 04:09:09,295 SCIENTIFIC WORKFORCE. 7066 04:09:09,295 --> 04:09:12,532 SO FOR ME, ALL THE COMMENTS THAT 7067 04:09:12,532 --> 04:09:17,704 I FEEL LIKE WERE MADE AROUND THE 7068 04:09:17,704 --> 04:09:19,439 RIGOR OF OUR METHODS, AND I'M 7069 04:09:19,439 --> 04:09:21,941 GOING TO KEEP THAT WORD RIGOR 7070 04:09:21,941 --> 04:09:23,142 AND NOT SAY THAT SOMEHOW THE 7071 04:09:23,142 --> 04:09:25,011 CHOICE OF THE BEST DESIGN IS NOT 7072 04:09:25,011 --> 04:09:26,879 RIGOROUS, BUT REALLY EMPHASIZING 7073 04:09:26,879 --> 04:09:29,482 THAT WE NEED TO DIVERSIFY THE 7074 04:09:29,482 --> 04:09:32,118 OPTIONS IN TERMS OF HOW WE THINK 7075 04:09:32,118 --> 04:09:35,621 ABOUT RIGOROUS RESEARCH THAT 7076 04:09:35,621 --> 04:09:37,023 ACTUALLY SHOULD BE USED IN TERMS 7077 04:09:37,023 --> 04:09:40,460 OF TRAINING, RETRAINING ALL OF 7078 04:09:40,460 --> 04:09:42,295 US, 24, 25 YEARS AS A NURSE 7079 04:09:42,295 --> 04:09:45,798 SCIENTIST OR AS AN INVESTIGATOR, 7080 04:09:45,798 --> 04:09:47,133 AND I STILL LEARN ALL THE TIME 7081 04:09:47,133 --> 04:09:48,668 AND I'M SORT OF VERY EAGER AND 7082 04:09:48,668 --> 04:09:50,870 HUNGRY TO LEARN NEW METHODS, NEW 7083 04:09:50,870 --> 04:09:51,637 APPROACHES. 7084 04:09:51,637 --> 04:09:53,272 ENSURING THAT OUR SCIENTIFIC 7085 04:09:53,272 --> 04:09:55,441 WORKFORCE IS REPRESENTATIVE IS 7086 04:09:55,441 --> 04:09:56,309 ANOTHER IMPORTANT AREA FOR THE 7087 04:09:56,309 --> 04:09:58,411 FUTURE. 7088 04:09:58,411 --> 04:09:59,946 AND THEN I GUESS THE THIRD 7089 04:09:59,946 --> 04:10:05,518 BUCKET IS WHAT I HAVE BEEN 7090 04:10:05,518 --> 04:10:06,285 INCREASINGLY SORT OF BOTHERED 7091 04:10:06,285 --> 04:10:07,720 BY, TO BE PERFECTLY CANDID, 7092 04:10:07,720 --> 04:10:09,922 WHICH IS THE INVISIBILITY OF 7093 04:10:09,922 --> 04:10:12,759 NURSING AND OF NURSING SCIENCE, 7094 04:10:12,759 --> 04:10:16,696 AND ALL OF THAT MEANS, HOW DO WE 7095 04:10:16,696 --> 04:10:18,131 ELEVATE THE CONTRIBUTIONS OF 7096 04:10:18,131 --> 04:10:18,564 NINR? 7097 04:10:18,564 --> 04:10:20,233 HOW DO WE DEMONSTRATE THAT OUR 7098 04:10:20,233 --> 04:10:21,534 CONTRIBUTIONS AS NURSE 7099 04:10:21,534 --> 04:10:22,935 SCIENTISTS ARE IMPACTFUL, THAT 7100 04:10:22,935 --> 04:10:24,470 THEY ACTUALLY TRANSFORM OUR 7101 04:10:24,470 --> 04:10:25,772 NATION'S HEALTH, HOW DO WE 7102 04:10:25,772 --> 04:10:27,106 ENSURE THAT NURSING 7103 04:10:27,106 --> 04:10:31,277 ORGANIZATIONS AND SCHOOLS ARE 7104 04:10:31,277 --> 04:10:34,113 ACTUALLY DOING THINGS THAT, YOU 7105 04:10:34,113 --> 04:10:35,214 KNOW, THERE'S LITTLE EVIDENCE 7106 04:10:35,214 --> 04:10:36,516 THAT THAT STUFF IS HAPPENING ON 7107 04:10:36,516 --> 04:10:39,152 THE GROUND, EVEN THOUGH SORT OF 7108 04:10:39,152 --> 04:10:40,686 ALL THE DIALOGUE IS OCCURRING. 7109 04:10:40,686 --> 04:10:42,655 I THINK THOSE ARE ALL PLACES 7110 04:10:42,655 --> 04:10:44,190 WHERE I WOULD HOPE THAT THE 7111 04:10:44,190 --> 04:10:45,191 INSTITUTE COULD BE A STRONG 7112 04:10:45,191 --> 04:10:47,693 LEADER OR PARTNER. 7113 04:10:47,693 --> 04:10:49,996 I THINK THAT'S REALLY WORTH 7114 04:10:49,996 --> 04:10:50,329 INVESTING IN. 7115 04:10:50,329 --> 04:11:00,506 THANK YOU. 7116 04:11:01,140 --> 04:11:03,476 >> A COUPLE OF OBSERVATIONS. 7117 04:11:03,476 --> 04:11:05,978 ONE IS, AS WE TALK ABOUT THESE 7118 04:11:05,978 --> 04:11:09,048 ISSUES AND PROBLEMS, ONE OF THE 7119 04:11:09,048 --> 04:11:11,050 THINGS, AND DR. WANG MENTIONED 7120 04:11:11,050 --> 04:11:14,520 40 YEARS, LOOKING 40 YEARS 7121 04:11:14,520 --> 04:11:18,891 AHEAD, THE STANFORD CENTER FOR 7122 04:11:18,891 --> 04:11:20,626 LONGEVITY RELEASED A REPORT 7123 04:11:20,626 --> 04:11:22,829 TALKING ABOUT LONGEVITY AND -- 7124 04:11:22,829 --> 04:11:24,764 AND WHERE WE'RE SEEING GROWTH IN 7125 04:11:24,764 --> 04:11:29,836 THE POPULATION OVER 65 -- SO THE 7126 04:11:29,836 --> 04:11:31,137 STANFORD LONGEVITY CENTER, 7127 04:11:31,137 --> 04:11:32,705 CENTER ON LONGEVITY PREDICTS 7128 04:11:32,705 --> 04:11:33,806 THAT IN THE NEXT 25 YEARS, 7129 04:11:33,806 --> 04:11:35,541 PEOPLE OVER THE AGE OF 100 WILL 7130 04:11:35,541 --> 04:11:36,542 BE COMMONPLACE. 7131 04:11:36,542 --> 04:11:38,811 AND SO HOW DO YOU PLAN FOR THAT 7132 04:11:38,811 --> 04:11:41,914 FROM THE CONCEPT OF RESEARCH? 7133 04:11:41,914 --> 04:11:44,417 YOU'RE GOING TO HAVE A LOT OF 7134 04:11:44,417 --> 04:11:46,185 OLDER PEOPLE, WE'RE LIVING 7135 04:11:46,185 --> 04:11:47,620 LONGER, WE'RE LIVING HEALTHIER. 7136 04:11:47,620 --> 04:11:49,255 BUT THERE WILL BE MORE OLDER 7137 04:11:49,255 --> 04:11:50,022 PEOPLE HERE. 7138 04:11:50,022 --> 04:11:51,457 AND IF YOU'RE TALKING ABOUT 40 7139 04:11:51,457 --> 04:11:52,124 YEARS, THAT'S SOMETHING THAT YOU 7140 04:11:52,124 --> 04:11:54,293 MAY WANT TO LOOK AT MOVING 7141 04:11:54,293 --> 04:11:58,464 FORWARD IN TERMS OF RESEARCH. 7142 04:11:58,464 --> 04:12:00,233 THE OTHER THING IS, DR. WANG 7143 04:12:00,233 --> 04:12:02,735 ALSO MENTIONED PCORI AND I'M 7144 04:12:02,735 --> 04:12:05,471 FAMILIAR WITH PCORI BECAUSE I'VE 7145 04:12:05,471 --> 04:12:06,472 WORKED WITH PCORI. 7146 04:12:06,472 --> 04:12:07,440 I THINK THERE WAS ANOTHER 7147 04:12:07,440 --> 04:12:08,774 MENTION OF COMMUNITY ENGAGED 7148 04:12:08,774 --> 04:12:10,076 RESEARCH, AND THAT MAY NOT BE 7149 04:12:10,076 --> 04:12:12,378 WHAT YOU DO, BUT ARE THERE SOME 7150 04:12:12,378 --> 04:12:13,713 ASPECTS OF COMMUNITY ENGAGED 7151 04:12:13,713 --> 04:12:16,315 RESEARCH THAT YOU COULD LOOK AT 7152 04:12:16,315 --> 04:12:17,516 AND CONSIDER INCORPORATING IN 7153 04:12:17,516 --> 04:12:18,851 THE WORK YOU DO? 7154 04:12:18,851 --> 04:12:19,719 BECAUSE ULTIMATELY THE PEOPLE 7155 04:12:19,719 --> 04:12:21,254 THAT YOU WANT TO HELP ARE THE 7156 04:12:21,254 --> 04:12:23,356 PEOPLE THAT LIVE IN THE 7157 04:12:23,356 --> 04:12:24,757 COMMUNITIES ACROSS THE COUNTRY. 7158 04:12:24,757 --> 04:12:26,859 AND MAYBE THERE IS A WAY TO HAVE 7159 04:12:26,859 --> 04:12:29,028 SOME KIND OF FOCUS ON THAT 7160 04:12:29,028 --> 04:12:30,563 MOVING FORWARD. 7161 04:12:30,563 --> 04:12:33,099 THE LAST THING, AND THIS IS 7162 04:12:33,099 --> 04:12:34,200 BECAUSE I SPENT THE LAST 12 7163 04:12:34,200 --> 04:12:36,903 YEARS OF MY CAREER IN LEADERSHIP 7164 04:12:36,903 --> 04:12:40,339 AS A PUBLIC OFFICIAL, AS 7165 04:12:40,339 --> 04:12:41,641 ASSISTANT COMMISSIONER AT THE 7166 04:12:41,641 --> 04:12:42,241 CHICAGO DEPARTMENT OF PUBLIC 7167 04:12:42,241 --> 04:12:43,175 HEALTH AND RETIRED AS THE 7168 04:12:43,175 --> 04:12:45,278 REGIONAL HEALTH OFFICER FOR THE 7169 04:12:45,278 --> 04:12:45,878 ILLINOIS DEPARTMENT OF PUBLIC 7170 04:12:45,878 --> 04:12:46,512 HEALTH, AND ONE OF THE THINGS 7171 04:12:46,512 --> 04:12:48,781 THAT I LEARNED ABOUT POLICY, 7172 04:12:48,781 --> 04:12:51,951 PARTICULARLY IN A SEEN YOUR SENR 7173 04:12:51,951 --> 04:12:52,885 POSITION, IT REQUIRES RULES AND 7174 04:12:52,885 --> 04:12:54,287 REG LAYINGS, AND RULES AND 7175 04:12:54,287 --> 04:12:57,657 REGULATIONS CAN CREATE 7176 04:12:57,657 --> 04:12:58,791 STRUCTURAL ISSUES AND CAUSE 7177 04:12:58,791 --> 04:12:59,091 PROBLEMS. 7178 04:12:59,091 --> 04:13:02,828 A LOT OF TIMES PEOPLE THINK 7179 04:13:02,828 --> 04:13:04,797 POLICY IS A SOLUTION, BUT POLICY 7180 04:13:04,797 --> 04:13:06,632 CAN ALSO CREATE PROBLEMS BECAUSE 7181 04:13:06,632 --> 04:13:07,867 WHAT HAPPENS IS ULTIMATELY 7182 04:13:07,867 --> 04:13:09,201 POLICY BECOMES RULES AND 7183 04:13:09,201 --> 04:13:10,836 REGULATIONS, AND THERE'S SOME 7184 04:13:10,836 --> 04:13:11,804 UNINTENDED CONSEQUENCES WITH 7185 04:13:11,804 --> 04:13:12,138 POLICY. 7186 04:13:12,138 --> 04:13:14,874 SO I WOULD CAUTION PEOPLE WHEN 7187 04:13:14,874 --> 04:13:16,409 YOU TALK ABOUT POLICY TO MAKE 7188 04:13:16,409 --> 04:13:19,145 SURE THAT THEY TRY TO AN EXTENT 7189 04:13:19,145 --> 04:13:22,315 POSSIBLE TO ELIMINATE THE 7190 04:13:22,315 --> 04:13:23,549 STRUCTURAL DAMAGE THAT MAY BE 7191 04:13:23,549 --> 04:13:25,284 CAUSED BY MORE POLICY AND MORE 7192 04:13:25,284 --> 04:13:29,588 RULES AND REGULATIONS. 7193 04:13:29,588 --> 04:13:31,324 >> AGREE. 7194 04:13:31,324 --> 04:13:32,959 YOU NEED GOOD POLICY, 7195 04:13:32,959 --> 04:13:38,464 EVIDENCE-BASED POLICY. 7196 04:13:38,464 --> 04:13:39,098 >> GREAT. 7197 04:13:39,098 --> 04:13:42,301 ANY OTHER COUNCILMEMBERS THAT 7198 04:13:42,301 --> 04:13:44,603 WOULD LIKE TO OFFER ANY OPINIONS 7199 04:13:44,603 --> 04:13:44,804 FOR -- 7200 04:13:44,804 --> 04:13:45,771 >> I CAN. 7201 04:13:45,771 --> 04:13:54,347 >> YES, THANK YOU. 7202 04:13:54,347 --> 04:13:56,182 >> I'M GOING TO USE YOUR 7203 04:13:56,182 --> 04:13:58,150 ACTIVITY, MONICA, TO REPORT IN. 7204 04:13:58,150 --> 04:14:01,554 I LIKE THE FOCUS ON THE WHOLE, 7205 04:14:01,554 --> 04:14:03,856 BUT THE TERM THAT WAS USED WAS 7206 04:14:03,856 --> 04:14:04,123 "PERSON." 7207 04:14:04,123 --> 04:14:05,925 I WISH WE HAD A FOCUS ON WHOLE 7208 04:14:05,925 --> 04:14:07,893 FAMILY. 7209 04:14:07,893 --> 04:14:09,328 AND I WISH WE COULD CHANGE THE 7210 04:14:09,328 --> 04:14:10,763 WAY WE DELIVER HEALTHCARE TO 7211 04:14:10,763 --> 04:14:14,367 ACTUALLY REACH THE ENTIRE FAMILY 7212 04:14:14,367 --> 04:14:16,235 ALL AT ONCE, AND I WONDER, AND 7213 04:14:16,235 --> 04:14:18,237 THIS REALLY COMES MORE FROM THE 7214 04:14:18,237 --> 04:14:20,940 COMPASS MEETING THAN FROM THIS 7215 04:14:20,940 --> 04:14:25,544 MEETING, BUT THERE WAS A LOT OF 7216 04:14:25,544 --> 04:14:28,381 DISCUSSION AROUND CARE TEAMS AND 7217 04:14:28,381 --> 04:14:29,715 THE ROLE OF THE COMMUNITY HEALTH 7218 04:14:29,715 --> 04:14:31,684 WORKER, AND THE CONCERNS I SEE 7219 04:14:31,684 --> 04:14:33,953 THERE IS THAT -- WE'VE SEEN THIS 7220 04:14:33,953 --> 04:14:36,689 IN THE PAST, IS THEY SORT OF 7221 04:14:36,689 --> 04:14:38,591 TRAIN THE IMPORTANT ELEMENTS OF 7222 04:14:38,591 --> 04:14:39,892 A COMMUNITY WORKER OUT OF THEM, 7223 04:14:39,892 --> 04:14:41,627 OR THEY PLACE THEM IN A CONTEXT 7224 04:14:41,627 --> 04:14:43,763 THAT NO LONGER -- THEY LOSE THE 7225 04:14:43,763 --> 04:14:45,931 TRUST OF THE COMMUNITY. 7226 04:14:45,931 --> 04:14:47,900 SO I WISH WE COULD DEVELOP MORE 7227 04:14:47,900 --> 04:14:48,567 RESEARCH AROUND THAT. 7228 04:14:48,567 --> 04:14:53,372 I KNOW THAT THERE'S A DESIRE FOR 7229 04:14:53,372 --> 04:14:56,242 A LOT OF RESEARCH FROM SOME 7230 04:14:56,242 --> 04:14:57,476 FUNDING AGENCIES ABOUT COMMUNITY 7231 04:14:57,476 --> 04:14:58,844 HEALTH WORKERS BUT I THINK NOW 7232 04:14:58,844 --> 04:15:00,413 THAT THE FOCUS HAS COME AROUND 7233 04:15:00,413 --> 04:15:01,414 COMMUNITY ENGAGEMENT AND PEOPLE 7234 04:15:01,414 --> 04:15:03,049 SEE THEM AS NATURAL LEADERS, HOW 7235 04:15:03,049 --> 04:15:04,483 CAN WE DESIGN MORE EFFECTIVE 7236 04:15:04,483 --> 04:15:05,885 MODELS THAT REALLY CAN BE 7237 04:15:05,885 --> 04:15:07,853 SUSTAINED, BECAUSE I THINK WE 7238 04:15:07,853 --> 04:15:11,590 ARE CONTRIBUTING TO SOME OF THE 7239 04:15:11,590 --> 04:15:12,591 INEQUITIES BECAUSE THE 7240 04:15:12,591 --> 04:15:14,994 INDIVIDUALS NO LONGER START TO 7241 04:15:14,994 --> 04:15:15,761 REPRESENT THEIR COMMUNITIES, SO 7242 04:15:15,761 --> 04:15:16,862 NOW THEY DON'T REALLY HAVE A 7243 04:15:16,862 --> 04:15:22,368 PLACE. 7244 04:15:22,368 --> 04:15:24,303 >> THANK YOU VERY MUCH. 7245 04:15:24,303 --> 04:15:34,713 I THINK EVERYONE -- ANY 7246 04:15:34,980 --> 04:15:42,221 FEEDBACK, PROFESSOR? 7247 04:15:42,221 --> 04:15:43,889 IT'S AN IMPORTANT ONE, NEXT 40 7248 04:15:43,889 --> 04:15:48,160 YEARS, RIGHT? 7249 04:15:48,160 --> 04:15:49,028 THAT IS TRUE. 7250 04:15:49,028 --> 04:15:51,030 LY JUST DITTO WHAT HAS BEEN 7251 04:15:51,030 --> 04:15:51,464 STATED. 7252 04:15:51,464 --> 04:15:52,765 FIRST OF ALL THANK YOU BOTH FOR 7253 04:15:52,765 --> 04:15:54,200 YOUR THOUGHTFUL PRESENTATIONS. 7254 04:15:54,200 --> 04:15:55,734 I WAS TAKING COPIOUS NOTES HERE. 7255 04:15:55,734 --> 04:15:57,603 AND I HEARD DR. ATKINS TALK 7256 04:15:57,603 --> 04:16:00,005 ABOUT UNDERLEVERAGING NURSING, I 7257 04:16:00,005 --> 04:16:01,340 HEARD DR. GUILAMO-RAMOS TALK 7258 04:16:01,340 --> 04:16:04,743 ABOUT INVISIBILITY, AND IN MY 7259 04:16:04,743 --> 04:16:06,812 WORK IN AN ACADEMIC HEALTH 7260 04:16:06,812 --> 04:16:08,013 SCIENCES INSTITUTION, MEDICINE 7261 04:16:08,013 --> 04:16:12,852 AND PUBLIC HEALTH, YOU KNOW, 7262 04:16:12,852 --> 04:16:14,487 IT'S FASES NATEING TO ME WHEN I 7263 04:16:14,487 --> 04:16:18,090 HEARD YOU TALK ABOUT HOW SDOH 7264 04:16:18,090 --> 04:16:19,925 OPERATE, DEEPEN THE THEORETICAL 7265 04:16:19,925 --> 04:16:20,860 UNDERSTANDINGS, WHEN YOU LOOK AT 7266 04:16:20,860 --> 04:16:22,161 MEDICINE, YOU LOOK AT THE PUBLIC 7267 04:16:22,161 --> 04:16:25,898 HEALTH, MANY OF THEM ARE 7268 04:16:25,898 --> 04:16:26,565 DEDICATING RESOURCE AND 7269 04:16:26,565 --> 04:16:27,766 ATTENTION AT THEIR ASSOCIATIONS, 7270 04:16:27,766 --> 04:16:29,301 AT THEIR SCHOOLS ON THESE 7271 04:16:29,301 --> 04:16:29,735 TOPICS. 7272 04:16:29,735 --> 04:16:32,404 SO I TOTALLY AGREE THAT IN 7273 04:16:32,404 --> 04:16:33,806 NURSING, IN ORDER TO MAKE SURE 7274 04:16:33,806 --> 04:16:35,774 THAT THERE GREATER VISIBILITY, 7275 04:16:35,774 --> 04:16:36,909 THAT WE'RE LEVERAGING THE 7276 04:16:36,909 --> 04:16:38,544 RESEARCH, WE'RE SHARING WHAT WE 7277 04:16:38,544 --> 04:16:41,914 FIND, I THINK NOW IS THE TIME TO 7278 04:16:41,914 --> 04:16:43,282 CONTINUE TO LEAD FROM THE FRONT, 7279 04:16:43,282 --> 04:16:44,450 NOT THE SIDELINES ON THESE 7280 04:16:44,450 --> 04:16:45,017 ISSUES. 7281 04:16:45,017 --> 04:16:47,987 AND I APPLAUD YOU BOTH FOR THIS 7282 04:16:47,987 --> 04:16:49,421 BOLD PRESENTATION ON THE 7283 04:16:49,421 --> 04:16:50,723 STRUCTURAL LEVEL DETERMINANTS OF 7284 04:16:50,723 --> 04:16:51,490 HEALTH. 7285 04:16:51,490 --> 04:16:53,259 THAT WAS, I THINK, PRETTY 7286 04:16:53,259 --> 04:16:53,659 INSIGHTFUL. 7287 04:16:53,659 --> 04:16:55,027 AND AGAIN OF COURSE TO THE NINR 7288 04:16:55,027 --> 04:17:03,035 FOR ALLOWING SUCH A DISCUSSION. 7289 04:17:03,035 --> 04:17:06,205 >> DR. FITZPATRICK? 7290 04:17:06,205 --> 04:17:13,746 >> I WAS GOING TO SAY, I ECHO 7291 04:17:13,746 --> 04:17:14,613 EVERYTHING THAT'S BEEN SAID. 7292 04:17:14,613 --> 04:17:16,382 I DON'T HAVE TOO MUCH TO ADD. 7293 04:17:16,382 --> 04:17:17,816 I COMPLETELY AGREE ABOUT THE 7294 04:17:17,816 --> 04:17:19,552 PRIMARY CARE FOCUS, BUT I'M ALSO 7295 04:17:19,552 --> 04:17:21,520 A SPECIALTY CARE PROVIDER AND I 7296 04:17:21,520 --> 04:17:22,354 THINK THERE'S TREMENDOUS WORK 7297 04:17:22,354 --> 04:17:24,390 THAT CAN BE DONE THERE. 7298 04:17:24,390 --> 04:17:26,025 I MEAN, OFTEN WE'RE IN THE 7299 04:17:26,025 --> 04:17:27,560 POSITION WHERE WE'RE GETTING THE 7300 04:17:27,560 --> 04:17:29,428 PATIENTS THAT THE PRIMARY 7301 04:17:29,428 --> 04:17:31,397 CARE -- THEY CAN'T TAKE CARE OF 7302 04:17:31,397 --> 04:17:33,599 THEM, AND THE NUMBERS ARE 7303 04:17:33,599 --> 04:17:35,034 OVERWHELMING, WE CAN'T GET THEM 7304 04:17:35,034 --> 04:17:36,902 IN TO BE SEEN, THERE'S ALL KINDS 7305 04:17:36,902 --> 04:17:40,372 OF BOTTLENECKS AND BARRIERS, SO 7306 04:17:40,372 --> 04:17:43,342 I WOULD SAY YES, ABSOLUTELY 7307 04:17:43,342 --> 04:17:45,978 PRIMARY CARE, BUT THERE'S A 7308 04:17:45,978 --> 04:17:47,680 SPECIALTY CARE COMPONENT 7309 04:17:47,680 --> 04:17:48,814 PARTICULARLY FOR THE VERY, VERY 7310 04:17:48,814 --> 04:17:52,885 ILL. 7311 04:17:52,885 --> 04:18:01,894 >> THANK YOU. 7312 04:18:01,894 --> 04:18:08,400 DR. BECKMEYER. 7313 04:18:08,400 --> 04:18:10,469 >> A COUPLE THINGS I'M USING 7314 04:18:10,469 --> 04:18:11,937 HERE, WE'VE TALKED A LOT ABOUT 7315 04:18:11,937 --> 04:18:14,106 NURSING, THIS HAS BUBBLED UP 7316 04:18:14,106 --> 04:18:15,774 QUITE A FEW TIMES, NURSING 7317 04:18:15,774 --> 04:18:18,944 EDUCATION IN GENERAL. 7318 04:18:18,944 --> 04:18:21,013 AND IT MAKES ME WONDER WHAT IS 7319 04:18:21,013 --> 04:18:22,047 NINR'S ROLE AS NURSING EDUCATION 7320 04:18:22,047 --> 04:18:23,849 IN GENERAL, SO I'D BE JUST 7321 04:18:23,849 --> 04:18:30,990 CURIOUS TO HEAR WHAT PEOPLE 7322 04:18:30,990 --> 04:18:31,590 THINK ABOUT THAT. 7323 04:18:31,590 --> 04:18:32,992 AND IN CONNECTION WITH THAT, I 7324 04:18:32,992 --> 04:18:37,796 THINK IT MAKES ME THINK OF WHEN 7325 04:18:37,796 --> 04:18:40,733 I USED TO TEACH UNDERGRAD 7326 04:18:40,733 --> 04:18:41,734 COMMUNITY HEALTH NURSING, I 7327 04:18:41,734 --> 04:18:43,068 ALWAYS HAD STUDENTS READ THIS 7328 04:18:43,068 --> 04:18:45,037 ESSAY THAT SOMEONE HAD WRITTEN 7329 04:18:45,037 --> 04:18:47,473 ABOUT WHAT IF NURSING STUDENTS 7330 04:18:47,473 --> 04:18:49,541 WERE ENCOURAGED THAT THEIR FIRST 7331 04:18:49,541 --> 04:18:57,182 JOB BE IN A COMMUNITY SETTING 7332 04:18:57,182 --> 04:18:58,851 INSTEAD OF SO OFTEN THEY'RE 7333 04:18:58,851 --> 04:19:00,286 STILL TOLD, I UNDERSTAND FROM 7334 04:19:00,286 --> 04:19:01,587 STUDENTS, THAT THEIR FIRST JOB 7335 04:19:01,587 --> 04:19:08,494 OUGHT T TO BE IN MED-SURG, AND W 7336 04:19:08,494 --> 04:19:10,262 THAT WOULD KIND OF TOTALLY 7337 04:19:10,262 --> 04:19:11,363 REFRAME HOW NURSES THINK IN 7338 04:19:11,363 --> 04:19:13,666 GENERAL ABOUT NURSING CARE. 7339 04:19:13,666 --> 04:19:16,101 BUT AGAIN, IT COMES BACK TO WHAT 7340 04:19:16,101 --> 04:19:17,970 IS NINR'S ROLE AROUND NURSING 7341 04:19:17,970 --> 04:19:23,642 EDUCATION. 7342 04:19:23,642 --> 04:19:27,946 >> AND ALSO I'M THINKING TOO, I 7343 04:19:27,946 --> 04:19:29,882 LIKE WHAT YOU BROUGHT UP, I LIKE 7344 04:19:29,882 --> 04:19:33,085 THE WHOLE DISCUSSION, THE WHOLE 7345 04:19:33,085 --> 04:19:34,953 DISCUSSION HAS BEEN REALLY 7346 04:19:34,953 --> 04:19:37,690 POWERFUL, BUT A TAKEAWAY TO ME 7347 04:19:37,690 --> 04:19:40,859 WAS NICELY FRAMING PARTICULARLY 7348 04:19:40,859 --> 04:19:42,094 WHAT NURSING CONTRIBUTIONS ARE 7349 04:19:42,094 --> 04:19:44,830 TO THIS WORK. 7350 04:19:44,830 --> 04:19:48,334 AND AT ALL LEVELS, LIKE YOU 7351 04:19:48,334 --> 04:19:50,636 BRING UP, IT'S MULTILEVEL. 7352 04:19:50,636 --> 04:19:52,071 WE REALLY DO SHOW UP IN THESE 7353 04:19:52,071 --> 04:19:53,539 DIFFERENT SPACES, INCLUDING THE 7354 04:19:53,539 --> 04:19:54,840 COMMUNITY BUT ALSO IN ACUTE 7355 04:19:54,840 --> 04:19:55,174 CARE. 7356 04:19:55,174 --> 04:19:56,809 AND WHAT DO WE BRING? 7357 04:19:56,809 --> 04:19:59,978 WE BRING THIS CLINICAL 7358 04:19:59,978 --> 04:20:02,581 KNOWLEDGE, THIS INTIMACY DURING 7359 04:20:02,581 --> 04:20:03,916 LIFE'S MOST SENT NEL MOMENTS, 7360 04:20:03,916 --> 04:20:10,856 SENTINEL MOMENTS,AND THIS REALLC 7361 04:20:10,856 --> 04:20:15,561 TRUST WHICH I BRING BACK AGAIN 7362 04:20:15,561 --> 04:20:17,096 IS A BURDEN AND A RESPONSIBILITY 7363 04:20:17,096 --> 04:20:18,597 AND OBLIGATION FOR US, TO USE 7364 04:20:18,597 --> 04:20:21,567 THAT IN EVERY WAY POSSIBLE TO 7365 04:20:21,567 --> 04:20:24,536 MAKE -- TO HAVE AN IMPACT ON 7366 04:20:24,536 --> 04:20:28,807 THIS, ELIMINATING INEQUITIES. 7367 04:20:28,807 --> 04:20:30,743 BUT THOSE ARE, I WOULD AGREE 7368 04:20:30,743 --> 04:20:32,978 THOSE ARE REALLY THE THREE SORT 7369 04:20:32,978 --> 04:20:35,080 OF UNIQUE POWERFUL THINGS THAT 7370 04:20:35,080 --> 04:20:41,587 WE BRING AS NURSE SIGN PACIFIC D 7371 04:20:41,587 --> 04:20:42,287 NURSES, ET CETERA. 7372 04:20:42,287 --> 04:20:42,921 SO THAT'S IT. 7373 04:20:42,921 --> 04:20:43,889 >> CAN I RESPOND TO THAT? 7374 04:20:43,889 --> 04:20:46,325 >> YES, PLEASE. 7375 04:20:46,325 --> 04:20:48,761 >> MAYBE SHANNON, MAYBE YOU 7376 04:20:48,761 --> 04:20:50,496 SHOULD BE RESPONDING ABOUT WHAT 7377 04:20:50,496 --> 04:20:51,930 CAN NINR DO ABOUT EDUCATION, BUT 7378 04:20:51,930 --> 04:20:53,065 I DON'T THINK WE NEED TO THINK 7379 04:20:53,065 --> 04:20:57,770 ABOUT IT THAT WAY. 7380 04:20:57,770 --> 04:20:59,838 IT'S NOT NECESSARILY WHAT NINR'S 7381 04:20:59,838 --> 04:21:03,142 RELATIONSHIP IS OR IS NOT TO 7382 04:21:03,142 --> 04:21:05,544 NURSING EDUCATION, OUTSIDE OF 7383 04:21:05,544 --> 04:21:07,212 EDUCATION TO BECOME A NURSE 7384 04:21:07,212 --> 04:21:08,947 SCIENTIST, RIGHT? 7385 04:21:08,947 --> 04:21:10,716 BUT IT'S -- THE WAY I WAS 7386 04:21:10,716 --> 04:21:13,452 THINKING ABOUT IT WAS MORE THIS 7387 04:21:13,452 --> 04:21:17,523 IS THE CONTEXT WHERE NURSE 7388 04:21:17,523 --> 04:21:19,057 SCIENTISTS -- THAT NURSE 7389 04:21:19,057 --> 04:21:22,027 SCIENTISTS ARE IN, AND SO MUCH 7390 04:21:22,027 --> 04:21:25,864 AS SOME CONTEXTS FACILITATE THE 7391 04:21:25,864 --> 04:21:27,499 DEEPEN GAUGEMENT AND THE WORK 7392 04:21:27,499 --> 04:21:30,035 THAT NEEDS TO BE DONE, 7393 04:21:30,035 --> 04:21:31,136 THEREFORE, INFLUENCES THE 7394 04:21:31,136 --> 04:21:35,007 ABILITY TO CONDUCT THE SCIENCE, 7395 04:21:35,007 --> 04:21:36,975 THAT IT'S IN THE, YOU KNOW, NEW 7396 04:21:36,975 --> 04:21:40,913 STRATEGIC PLAN. 7397 04:21:40,913 --> 04:21:42,648 SO WITHOUT GETTING INVOLVED IN 7398 04:21:42,648 --> 04:21:43,415 NURSING EDUCATION DIRECTLY, 7399 04:21:43,415 --> 04:21:46,618 THERE WILL BE A CASCADE EFFECT 7400 04:21:46,618 --> 04:21:48,687 TO IT. 7401 04:21:48,687 --> 04:21:51,857 IF THERE WERE WAYS TO 7402 04:21:51,857 --> 04:21:54,927 INCENTIVIZE SCHOOLS TO CONSTRUCT 7403 04:21:54,927 --> 04:21:56,595 THEMSELVES IN WAYS THAT 7404 04:21:56,595 --> 04:21:58,230 FACILITATE NURSE SCIENTISTS 7405 04:21:58,230 --> 04:22:02,100 BEING OUT IN THE COMMUNITY, AND 7406 04:22:02,100 --> 04:22:04,837 MOST LIKELY IT SURE COULD ENTAIL 7407 04:22:04,837 --> 04:22:06,371 BRINGING STUDENTS, I MEAN, 7408 04:22:06,371 --> 04:22:09,975 IDEALLY IT SHOULD, IT WILL HAVE 7409 04:22:09,975 --> 04:22:11,310 THE SPILLOVER EFFECTS IN THAT 7410 04:22:11,310 --> 04:22:15,714 DOMAIN. 7411 04:22:15,714 --> 04:22:17,115 >> CAN I SAY SOMETHING TO THAT? 7412 04:22:17,115 --> 04:22:22,955 BECAUSE I HAVE TO SAY, NINER HAS 7413 04:22:22,955 --> 04:22:24,590 HAD A VERY SPECIFIC ROLE AT 7414 04:22:24,590 --> 04:22:26,558 LEAST IN MY EDUCATIONAL 7415 04:22:26,558 --> 04:22:27,326 TRAJECTORY, BECAUSE SOME 7416 04:22:27,326 --> 04:22:29,495 PREVIOUS VANGUARD LEADERSHIP, 7417 04:22:29,495 --> 04:22:30,863 ESPECIALLY WHEN WE WERE MAPPING 7418 04:22:30,863 --> 04:22:32,164 THE HUMAN GENOME PROJECT, REALLY 7419 04:22:32,164 --> 04:22:37,402 SAW FIT TO PULL TOGETHER THE 7420 04:22:37,402 --> 04:22:38,537 SUMMER GENETICS INSTITUTE AND 7421 04:22:38,537 --> 04:22:42,374 I'M AN ALUMNI OF THE CLASS OF 7422 04:22:42,374 --> 04:22:42,574 2003. 7423 04:22:42,574 --> 04:22:44,776 SO THERE WAS THIS INVESTMENT, 7424 04:22:44,776 --> 04:22:46,979 THIS FORESIGHT OF WE NEED TO 7425 04:22:46,979 --> 04:22:48,313 RETROFIT THE WORKFORCE WITH THE 7426 04:22:48,313 --> 04:22:49,414 SKILLS AND TOOLS THEY NEED 7427 04:22:49,414 --> 04:22:50,749 BECAUSE SCIENCE IS ADAPTING AND 7428 04:22:50,749 --> 04:22:52,384 CHANGING, AND WE TAKE 7429 04:22:52,384 --> 04:22:53,252 RESPONSIBILITY FOR AT LEAST A 7430 04:22:53,252 --> 04:22:54,586 COHORT OF THESE INDIVIDUALS SO 7431 04:22:54,586 --> 04:22:57,322 WE CAN GET SOME OF THOSE 7432 04:22:57,322 --> 04:22:58,657 SPILLOVER BACK AT UNIVERSITIES 7433 04:22:58,657 --> 04:22:59,858 AND INSTITUTIONS BECAUSE THEN 7434 04:22:59,858 --> 04:23:01,159 YOU COULD DEVELOP CURRICULA THAT 7435 04:23:01,159 --> 04:23:03,061 YOU COULD MAKE AVAILABLE TO YOUR 7436 04:23:03,061 --> 04:23:03,328 STUDENTS. 7437 04:23:03,328 --> 04:23:08,333 AND I THINK THAT KIND OF 7438 04:23:08,333 --> 04:23:10,869 INTEREST IN COMMUNITY FUNDER 7439 04:23:10,869 --> 04:23:12,204 SCHOOL OF NURSING KIND OF 7440 04:23:12,204 --> 04:23:13,372 PARTNERSHIP, THAT COULD BE A 7441 04:23:13,372 --> 04:23:14,339 WHOLE OTHER SET OF COMMUNITIES 7442 04:23:14,339 --> 04:23:17,109 THAT WE COULD BRING TOGETHER FOR 7443 04:23:17,109 --> 04:23:19,111 AN INCUBATOR ACTIVITY TO SAY, 7444 04:23:19,111 --> 04:23:20,646 OKAY, WE HAVE A SITUATION WHERE 7445 04:23:20,646 --> 04:23:24,349 WE WANT TO RETROFIT HISTORICALLY 7446 04:23:24,349 --> 04:23:25,350 CURRICULA THAT WE'VE TAUGHT IN 7447 04:23:25,350 --> 04:23:28,754 TERMS OF SKILLS THAT WE WANT OR 7448 04:23:28,754 --> 04:23:30,188 COMPETENCIES THAT WE WANT NURSES 7449 04:23:30,188 --> 04:23:33,692 TO BE ABLE TO -- AND SO 7450 04:23:33,692 --> 04:23:35,027 THEREFORE, WHERE'S THE VENN 7451 04:23:35,027 --> 04:23:37,229 DIAGRAM OF ALL OF OUR ROLES IN 7452 04:23:37,229 --> 04:23:39,431 THAT, AND HOW CAN WE CREATE A 7453 04:23:39,431 --> 04:23:40,465 PLACE SPACE FOR ALL OF US TO 7454 04:23:40,465 --> 04:23:43,502 THINK ABOUT THAT IN A WAY THAT 7455 04:23:43,502 --> 04:23:45,804 CAN RESULT IN DIFFERENT 7456 04:23:45,804 --> 04:23:48,807 DECISIONS AND CHANGED BEHAVIOR 7457 04:23:48,807 --> 04:23:49,508 IN THE FUTURE. 7458 04:23:49,508 --> 04:23:51,109 LIKE THAT, TO ME, BEING ABLE TO 7459 04:23:51,109 --> 04:23:53,211 HOST AN INCUBATOR OR ACCELERATOR 7460 04:23:53,211 --> 04:23:54,746 OR SOME OTHER KIND OF GENERATIVE 7461 04:23:54,746 --> 04:23:57,616 SPACE THAT WILL ALLOW FOR US TO 7462 04:23:57,616 --> 04:24:02,220 SEE THE LARGER COMEUNTSZ IF WE 7463 04:24:02,220 --> 04:24:03,889 ALL TOOK OWNERSHIP AND 7464 04:24:03,889 --> 04:24:06,858 RESPONSIBILITY OF FUTURE 7465 04:24:06,858 --> 04:24:08,360 STUDENTS, LEARNERS, SCIENTISTS, 7466 04:24:08,360 --> 04:24:11,129 WHATEVER, AND SAW COMMUNITY 7467 04:24:11,129 --> 04:24:12,230 MEMBERS AS THE FOLKS WE ARE 7468 04:24:12,230 --> 04:24:13,765 PRIMARILY INTERESTED IN BRINGING 7469 04:24:13,765 --> 04:24:15,634 THROUGH THAT TRAJECTORY SO WE 7470 04:24:15,634 --> 04:24:17,536 SEE PEOPLE WHO HAVE USED OUR 7471 04:24:17,536 --> 04:24:22,007 SERVICES AS OUR FUTURE WO 7472 04:24:22,007 --> 04:24:22,774 WORKFORCE, THAT IN MY PIEND 7473 04:24:22,774 --> 04:24:27,746 COMIND COULDBE A REALLY MAGICAL. 7474 04:24:27,746 --> 04:24:28,447 >> GREAT. 7475 04:24:28,447 --> 04:24:29,281 ANY OTHER FEEDBACK? 7476 04:24:29,281 --> 04:24:31,383 I FIRST WANT TO THANK ALL OF OUR 7477 04:24:31,383 --> 04:24:32,484 SPEAKERS AND ALL OF OUR 7478 04:24:32,484 --> 04:24:33,585 COUNCILMEMBERS FOR SHARING YOUR 7479 04:24:33,585 --> 04:24:34,152 PERSPECTIVE. 7480 04:24:34,152 --> 04:24:35,153 IT'S REALLY IMPORTANT. 7481 04:24:35,153 --> 04:24:36,922 AND SORRY FOR FORCING SOME OF 7482 04:24:36,922 --> 04:24:40,626 YOU TO SHARE YOUR EXPERIENCE OR 7483 04:24:40,626 --> 04:24:42,961 INSIGHTS, AND I THINK IT'S JUST 7484 04:24:42,961 --> 04:24:45,364 CRITICAL, A CRITICALLY IMPORTANT 7485 04:24:45,364 --> 04:24:47,666 QUESTION FOR NINR IN GUIDING THE 7486 04:24:47,666 --> 04:24:50,869 NEXT 20, 40 YEARS OF NURSING 7487 04:24:50,869 --> 04:24:52,738 SCIENCE AND THE CRITICAL ROLE IN 7488 04:24:52,738 --> 04:24:55,674 SUPPORTING NURSING SCIENTISTS, 7489 04:24:55,674 --> 04:24:57,809 BE IT PREDOCTORAL, POSTDOCTORAL 7490 04:24:57,809 --> 04:24:59,778 SCIENTIST, JUNIOR, MID CAREER, 7491 04:24:59,778 --> 04:25:01,847 SENIOR, HOW CAN WE HELP KEEP 7492 04:25:01,847 --> 04:25:04,516 THIS PIPELINE COMING, AND HOW 7493 04:25:04,516 --> 04:25:07,686 CAN WE THINK ABOUT BEING BOLD, 7494 04:25:07,686 --> 04:25:11,523 MAYBE PART OF BEING BOLD IS 7495 04:25:11,523 --> 04:25:12,557 IMPLEMENT IN A WAY THAT MAYBE 7496 04:25:12,557 --> 04:25:13,692 WHEN THINGS ARE NOT WORKING, 7497 04:25:13,692 --> 04:25:18,897 THAT WE SHOULD THINK ABOUT 7498 04:25:18,897 --> 04:25:19,765 SAYING DEIMPLEMENTING OR REA 7499 04:25:19,765 --> 04:25:23,368 MOVINGORREMOVING SOME OF THOSE S 7500 04:25:23,368 --> 04:25:24,202 AND CONTINUE TO REALLY THINK 7501 04:25:24,202 --> 04:25:26,538 ABOUT NURSING SCIENCE WITHIN THE 7502 04:25:26,538 --> 04:25:30,809 CONTEXT ABOUT WELL, WE CAN'T 7503 04:25:30,809 --> 04:25:31,777 TRAIN NURSES TO BE EVERYWITHIN 7504 04:25:31,777 --> 04:25:33,278 OR WE CANNOT TRAIN COMMUNITY 7505 04:25:33,278 --> 04:25:35,113 HEALTH WORKERS TO BE A NURSE, SO 7506 04:25:35,113 --> 04:25:37,282 IN THESE KIND OF INNOVATIVE 7507 04:25:37,282 --> 04:25:38,884 HEALTH AND HEALTHCARE DELIVERY 7508 04:25:38,884 --> 04:25:42,054 MODELS THAT NURSE IS GOING TO 7509 04:25:42,054 --> 04:25:43,588 LEAD, HOW CAN WE ALSO THINK 7510 04:25:43,588 --> 04:25:47,693 ABOUT THOSE PROFESSIONAL AND 7511 04:25:47,693 --> 04:25:49,094 INTERPROFESSIONAL TEAMS, 7512 04:25:49,094 --> 04:25:50,228 PARAPROFESSIONALS IN ADVANCING 7513 04:25:50,228 --> 04:25:50,996 NURSING SCIENCE. 7514 04:25:50,996 --> 04:25:53,131 SO REALLY WHAT I WOULD LIKE TO 7515 04:25:53,131 --> 04:25:55,534 END IS THAT THERE IS HOPE, AND 7516 04:25:55,534 --> 04:25:57,803 WE REALLY WOULD LIKE TO SEE -- I 7517 04:25:57,803 --> 04:26:02,140 DREAM ABOUT A WORLD WHERE IF WE 7518 04:26:02,140 --> 04:26:03,542 THINK THAT SOME STRATEGY OR -- 7519 04:26:03,542 --> 04:26:04,743 WE ALREADY HAVE EVIDENCE FROM 7520 04:26:04,743 --> 04:26:07,145 THIS RESEARCH, WHY CAN'T EVERY 7521 04:26:07,145 --> 04:26:10,482 COMMUNITY ADOPT IT? 7522 04:26:10,482 --> 04:26:12,284 IF THERE IS A TRAINING THAT ONE 7523 04:26:12,284 --> 04:26:13,552 SCHOOL HAS BEEN FUNDED TO CREATE 7524 04:26:13,552 --> 04:26:14,820 ALL THIS TRAINING, HOW CAN WE 7525 04:26:14,820 --> 04:26:17,422 MAKE IT EASY AND BEING ADOPTED 7526 04:26:17,422 --> 04:26:19,057 BY OTHER -- EVERY SCHOOL OF 7527 04:26:19,057 --> 04:26:19,491 NURSING? 7528 04:26:19,491 --> 04:26:22,527 THAT MAY NOT HAVE THE RESOURCES 7529 04:26:22,527 --> 04:26:23,929 AND THE TALENT AT THE TIME TO 7530 04:26:23,929 --> 04:26:25,464 IMPLEMENT THESE AND SO FOR 7531 04:26:25,464 --> 04:26:28,867 EVERYONE TO HAVE THE OPPORTUNITY 7532 04:26:28,867 --> 04:26:33,505 TO BE BE EDUCATED AND TO BE TRD 7533 04:26:33,505 --> 04:26:34,840 TO BRING THE BEST TALENT 7534 04:26:34,840 --> 04:26:35,841 TOGETHER TO MOVE THE NEEDLE 7535 04:26:35,841 --> 04:26:38,744 FORWARD, WHAT ARE THE BI BARRIES 7536 04:26:38,744 --> 04:26:40,112 AND HOW CAN WE REMOVE THOSE 7537 04:26:40,112 --> 04:26:41,346 BARRIERS IN TRANSLATING THESE 7538 04:26:41,346 --> 04:26:42,447 INTO ALL THE SCHOOL OF NURSING 7539 04:26:42,447 --> 04:26:44,449 AND ALL OF IT, SO WE KEEP 7540 04:26:44,449 --> 04:26:46,184 BUILDING UP THE SCIENCE TO MOVE 7541 04:26:46,184 --> 04:26:47,819 THE FIELD FORWARD. 7542 04:26:47,819 --> 04:26:49,788 SO I'LL END HERE AND BRING BACK 7543 04:26:49,788 --> 04:26:50,522 TO DR. ZENK. 7544 04:26:50,522 --> 04:26:54,693 THANK YOU. 7545 04:26:54,693 --> 04:26:57,295 >> FIRST LET ME THANK AGAIN 7546 04:26:57,295 --> 04:26:58,830 DR. KNEIPP AND DR. MCLEMORE FOR 7547 04:26:58,830 --> 04:27:01,133 JOINING US TODAY AND SHARING 7548 04:27:01,133 --> 04:27:03,135 WITH US, GENERATING THAT GREAT 7549 04:27:03,135 --> 04:27:04,336 DISCUSSION AND DR. WANG, THANK 7550 04:27:04,336 --> 04:27:06,304 YOU FOR LEADING THIS DISCUSSION 7551 04:27:06,304 --> 04:27:07,405 AND CALLING ON PEOPLE SO I 7552 04:27:07,405 --> 04:27:08,106 DIDN'T HAVE TO. 7553 04:27:08,106 --> 04:27:13,779 SO THANK YOU FOR THAT. 7554 04:27:13,779 --> 04:27:15,847 SO WE REALLY APPRECIATE 7555 04:27:15,847 --> 04:27:16,848 EVERYBODY'S WILLINGNESS TO 7556 04:27:16,848 --> 04:27:19,417 ENGAGE IN THIS CONVERSATION, TO 7557 04:27:19,417 --> 04:27:21,620 HELP US THINK OF GOING FORWARD 7558 04:27:21,620 --> 04:27:22,988 AND JUST CONSIDER THIS THE START 7559 04:27:22,988 --> 04:27:25,090 OF THE DIALOGUE IN TERMS OF 7560 04:27:25,090 --> 04:27:29,728 WHERE WE NEED TO GO NEXT IN THE 7561 04:27:29,728 --> 04:27:32,597 NEXT 40 YEARS OF THE INSTITUTE, 7562 04:27:32,597 --> 04:27:33,732 AND AGAIN GOING BACK TO OUR 7563 04:27:33,732 --> 04:27:35,333 NORTH STAR, RIGHT, THINKING 7564 04:27:35,333 --> 04:27:36,802 ABOUT HOW ALL OF THESE EFFORTS 7565 04:27:36,802 --> 04:27:41,473 AND ALL OF THESE IDEAS FIT 7566 04:27:41,473 --> 04:27:42,574 TOGETHER TO MOVE TOWARDS THAT 7567 04:27:42,574 --> 04:27:43,909 NORTH STAR OF HEALTH EQUITY AND 7568 04:27:43,909 --> 04:27:47,879 ALL THAT NEEDS TO HAPPEN SO THAT 7569 04:27:47,879 --> 04:27:50,282 THE LACK OF PROGRESS, THE 7570 04:27:50,282 --> 04:27:54,452 INSUFFICIENT PROGRESS THAT IS SO 7571 04:27:54,452 --> 04:27:55,687 EVIDENT AND SO PAINFUL TO SEE, 7572 04:27:55,687 --> 04:27:56,988 THAT WE CAN MAKE A DIFFERENCE 7573 04:27:56,988 --> 04:27:58,657 THROUGH OUR SCIENCE, SO AGAIN, 7574 04:27:58,657 --> 04:28:00,325 THANK YOU FOR EVERYONE ENGAGING 7575 04:28:00,325 --> 04:28:00,792 IN THIS CONVERSATION. 7576 04:28:00,792 --> 04:28:02,093 SO WITH THAT, GUESS WHAT, IT'S 7577 04:28:02,093 --> 04:28:03,495 BREAK TIME. 7578 04:28:03,495 --> 04:28:04,696 IT'S BREAK TIME! 7579 04:28:04,696 --> 04:28:07,933 SO WE WILL BREAK UNTIL 2:45, AND 7580 04:28:07,933 --> 04:28:10,135 THEN WE'LL COME BACK, WE HAVE A 7581 04:28:10,135 --> 04:28:12,204 REALLY EXCITING CONCEPT, WE'RE 7582 04:28:12,204 --> 04:28:13,672 INTERESTED IN YOUR FEEDBACK ON, 7583 04:28:13,672 --> 04:28:14,906 AND THEN WE'LL MOVE INTO CLOSED 7584 04:28:14,906 --> 04:28:15,440 SESSION. 7585 04:28:15,440 --> 04:28:17,915 SO THANK YOU ALL VERY MUCH. 7586 04:28:19,313 --> 04:28:20,314 >> ALL RIGHT, WELCOME BACK. 7587 04:28:20,314 --> 04:28:24,652 WEAR GOING TOWE'RE GOING TO MOVO 7588 04:28:24,652 --> 04:28:25,252 CONCEPTS. 7589 04:28:25,252 --> 04:28:26,253 IN ADVISORY ROLE TO THE 7590 04:28:26,253 --> 04:28:29,423 DIRECTOR, YOU ARE NINR SOURCE OF 7591 04:28:29,423 --> 04:28:30,024 NON-GOVERNMENTAL ADVICE ON 7592 04:28:30,024 --> 04:28:31,258 RESEARCH DIRECTIONS AND 7593 04:28:31,258 --> 04:28:32,526 SCIENTIFIC PRIORITIES. 7594 04:28:32,526 --> 04:28:34,762 NINR SEEKS COUNCIL'S ADVICE FOR 7595 04:28:34,762 --> 04:28:36,030 LONG TERM PLANNING AT AN EARLY 7596 04:28:36,030 --> 04:28:38,165 STAGE BY PRESENTING CONCEPTS FOR 7597 04:28:38,165 --> 04:28:38,699 CLEARANCE. 7598 04:28:38,699 --> 04:28:41,102 A CONCEPT IS THE EARLIEST 7599 04:28:41,102 --> 04:28:44,605 PLANNING STAGE OF AN INITIATIVE 7600 04:28:44,605 --> 04:28:45,740 BEFORE DEVELOPING A FUNDING 7601 04:28:45,740 --> 04:28:47,575 OPPORTUNITY OR OTHER ACTIVITY. 7602 04:28:47,575 --> 04:28:49,577 ANY APPROVED CONCEPT MAY OR MAY 7603 04:28:49,577 --> 04:28:51,445 NOT ULTIMATELY BECOME A FUNDING 7604 04:28:51,445 --> 04:28:54,415 INITIATIVE BASED ON A NUMBER OF 7605 04:28:54,415 --> 04:28:55,783 FACTORS, INCLUDING FUNDS 7606 04:28:55,783 --> 04:28:56,250 AVAILABILITY. 7607 04:28:56,250 --> 04:28:58,586 SO A SUMMARY OF TODAY'S CONCEPT 7608 04:28:58,586 --> 04:29:00,021 WAS MADE AVAILABLE IN THE 7609 04:29:00,021 --> 04:29:02,423 ELECTRONIC COUNCIL BOOK FOR YOUR 7610 04:29:02,423 --> 04:29:03,190 REVIEW IN ADVANCE OF THE 7611 04:29:03,190 --> 04:29:04,091 MEETING. 7612 04:29:04,091 --> 04:29:06,527 SO NEXT I AM PLEASED TO WELCOME 7613 04:29:06,527 --> 04:29:10,464 NINR PROGRAM DIRECTOR AND BRANCH 7614 04:29:10,464 --> 04:29:17,271 CHIEF DID KA DR. KAREN KEHL WITH 7615 04:29:17,271 --> 04:29:18,839 BUILDING CAPACITY FOR COMMUNITY, 7616 04:29:18,839 --> 04:29:20,174 PARTNERED NURSING RESEARCH. 7617 04:29:20,174 --> 04:29:21,876 >> THANK YOU, AND THANK YOU TO 7618 04:29:21,876 --> 04:29:22,243 THE COUNCIL. 7619 04:29:22,243 --> 04:29:24,779 I'M REALLY EC EXCITED TO PRESENT 7620 04:29:24,779 --> 04:29:25,780 THIS CONCEPT TO YOU TODAY. 7621 04:29:25,780 --> 04:29:26,681 SO THIS CONCEPT HAS BEEN 7622 04:29:26,681 --> 04:29:32,186 DEVELOPED BY A TEAM, DR. DA RRKA 7623 04:29:32,186 --> 04:29:33,921 BLACHMAN-DEMNER, DR. NADRA TYUS 7624 04:29:33,921 --> 04:29:35,990 AND I HAVE BEEN WORKING ON IT 7625 04:29:35,990 --> 04:29:37,058 FOR THE LAST FEW MONTHS AND 7626 04:29:37,058 --> 04:29:38,559 WE'RE VERY EXCITED BECAUSE THE 7627 04:29:38,559 --> 04:29:39,894 CONCEPT, WE THINK, ADDRESSES 7628 04:29:39,894 --> 04:29:40,961 MANY OF THE THINGS WE'VE BEEN 7629 04:29:40,961 --> 04:29:46,567 DISCUSSING TODAY. 7630 04:29:46,567 --> 04:29:47,568 SO YOU'VE HEARD A GREAT TEAL 7631 04:29:47,568 --> 04:29:48,335 TODAY ABOUT THE CONTINUED 7632 04:29:48,335 --> 04:29:49,637 CHALLENGES IN ACHIEVING AND 7633 04:29:49,637 --> 04:29:51,772 EXPERIENCING HEALTH EQUITY. 7634 04:29:51,772 --> 04:29:54,709 WE KNOW THAT TO ACHIEVE HEALTH 7635 04:29:54,709 --> 04:29:57,011 EQUITY FOR HISTORICALLY 7636 04:29:57,011 --> 04:29:57,678 DISADVANTAGED COMMUNITIES, 7637 04:29:57,678 --> 04:29:59,146 SOCIAL AND STRUCTURAL FACTORS 7638 04:29:59,146 --> 04:30:00,448 THAT ARE UNDERPINNING THOSE 7639 04:30:00,448 --> 04:30:01,315 DISPARITIES NEED TO BE 7640 04:30:01,315 --> 04:30:02,183 ADDRESSED. 7641 04:30:02,183 --> 04:30:06,053 WE ALSO KNOW THAT COMMUNITY 7642 04:30:06,053 --> 04:30:06,821 ENGAGEMENT IN THE RESEARCH 7643 04:30:06,821 --> 04:30:09,023 PROCESS IS CRITICAL TO THESE 7644 04:30:09,023 --> 04:30:10,024 EFFORTS. 7645 04:30:10,024 --> 04:30:14,095 AND WE KNOW THAT COMMUNITY 7646 04:30:14,095 --> 04:30:15,963 PARTNERSHIPS ARE VERY CENTRAL TO 7647 04:30:15,963 --> 04:30:16,964 NURSING EDUCATION AND SERVICE 7648 04:30:16,964 --> 04:30:17,398 DELIVERY. 7649 04:30:17,398 --> 04:30:20,234 THERE ARE ALSO CHALLENGES THAT 7650 04:30:20,234 --> 04:30:21,268 SOMETIMES PREVENT SCHOOLS AND 7651 04:30:21,268 --> 04:30:23,104 COLLEGES OF NURSING, ESPECIALLY 7652 04:30:23,104 --> 04:30:25,740 THOSE WITH LIMITED PRIOR NIH 7653 04:30:25,740 --> 04:30:28,409 FUNDING, TO CONDUCT THIS TYPE OF 7654 04:30:28,409 --> 04:30:32,012 COMMUNITY PARTNERED SOLUTIONS 7655 04:30:32,012 --> 04:30:33,114 ORIENTED RESEARCH, AND THERE'S A 7656 04:30:33,114 --> 04:30:36,450 NEED FOR SUPPORT TO FACILITATE 7657 04:30:36,450 --> 04:30:37,752 RESEARCH ACTIVITIES, WHICH MAY 7658 04:30:37,752 --> 04:30:39,720 INCLUDE THINGS LIKE SUPPORTING 7659 04:30:39,720 --> 04:30:43,457 INVESTIGATOR TIME, PROVIDING 7660 04:30:43,457 --> 04:30:44,725 SUPPORT FOR COMMUNITY PARTNERS 7661 04:30:44,725 --> 04:30:45,559 AND BUILDING RESEARCH STAFF AND 7662 04:30:45,559 --> 04:30:52,233 INFRASTRUCTURE. 7663 04:30:52,233 --> 04:30:53,901 AS WE'VE BEEN HEARING, COMMUNITY 7664 04:30:53,901 --> 04:30:56,937 ENGAGEMENT THROUGH THROUGHOUT TE 7665 04:30:56,937 --> 04:30:58,405 RESEARCH PROCESS IS CRITICAL TO 7666 04:30:58,405 --> 04:31:00,708 ENSURE THAT THE COMMUNITY'S 7667 04:31:00,708 --> 04:31:02,743 PERSPECTIVE AND PRIORITIES ARE 7668 04:31:02,743 --> 04:31:04,044 WELL INTEGRATED. 7669 04:31:04,044 --> 04:31:05,246 WHEN WE'RE TALKING ABOUT THE 7670 04:31:05,246 --> 04:31:06,447 RESEARCH PROCESS, WE VERY MUCH 7671 04:31:06,447 --> 04:31:07,915 MEAN FROM THE VERY BEGINNING OF 7672 04:31:07,915 --> 04:31:11,185 THINKING OF WHAT ARE THE 7673 04:31:11,185 --> 04:31:12,086 CHALLENGES IDENTIFYING THOSE 7674 04:31:12,086 --> 04:31:14,321 RESEARCH QUESTIONS, PLANNING 7675 04:31:14,321 --> 04:31:16,490 SOLUTIONS, PLANNING 7676 04:31:16,490 --> 04:31:17,491 IMPLEMENTATION, EVALUATION AND 7677 04:31:17,491 --> 04:31:19,126 DISSEMINATION. 7678 04:31:19,126 --> 04:31:21,362 THIS PARTNERSHIP APPROACH 7679 04:31:21,362 --> 04:31:22,997 ENSURES ALIGNMENT WITH COMMUNITY 7680 04:31:22,997 --> 04:31:25,166 NEEDS, PRIORITIES, AND GOALS, 7681 04:31:25,166 --> 04:31:27,701 AND HELPS TO BUILD TRU AND 7682 04:31:27,701 --> 04:31:30,805 FACILITATE LONG-TERM 7683 04:31:30,805 --> 04:31:31,906 SUSTAINABILITY OF 7684 04:31:31,906 --> 04:31:32,773 HEALTH-IMPROVING PROGRAMS AND 7685 04:31:32,773 --> 04:31:35,843 PRACTICES. 7686 04:31:35,843 --> 04:31:37,278 WE AIM TO STIMULATE NURSING 7687 04:31:37,278 --> 04:31:38,412 SCIENCE THAT'S MOVING TO THE 7688 04:31:38,412 --> 04:31:40,614 RIGHT ON THIS CONTINUUM TOWARDS 7689 04:31:40,614 --> 04:31:41,715 COLLABORATION AND SHARED 7690 04:31:41,715 --> 04:31:47,721 LEADERSHIP WITH THE COMMUNITY. 7691 04:31:47,721 --> 04:31:49,490 PREVIOUS NINR-FUNDED CENTERS 7692 04:31:49,490 --> 04:31:51,792 HAVE BEEN SUCCESSFUL IN 7693 04:31:51,792 --> 04:31:52,760 SUPPORTING THE DEVELOPMENT OF 7694 04:31:52,760 --> 04:31:54,328 NURSE SCIENTISTS AND 7695 04:31:54,328 --> 04:31:55,196 INTERDISCIPLINARY RESEARCH 7696 04:31:55,196 --> 04:31:57,298 TEAMS, AS EVIDENCED BY INCREASED 7697 04:31:57,298 --> 04:31:59,867 NUMBERS OF PUBLICATIONS AND 7698 04:31:59,867 --> 04:32:02,403 SUBSEQUENT NIH GRANT AWARDS. 7699 04:32:02,403 --> 04:32:05,506 HOWEVER, SINCE 2014, ONLY 15 7700 04:32:05,506 --> 04:32:07,775 SCHOOLS AND COLLEGES OF NURSING 7701 04:32:07,775 --> 04:32:11,812 OF THE 144 THAT ARE ACCREDITED 7702 04:32:11,812 --> 04:32:13,581 AND OFFERING RESEARCH 7703 04:32:13,581 --> 04:32:15,216 DOCTORATE DEGREES HAVE HAD 7704 04:32:15,216 --> 04:32:18,118 NINR-FUNDED RESEARCH CENTERS. 7705 04:32:18,118 --> 04:32:19,386 MANY SCHOOLS AND COLLEGES OF 7706 04:32:19,386 --> 04:32:21,422 NURSING, HOWEVER, DO HAVE 7707 04:32:21,422 --> 04:32:23,090 EDUCATIONAL AND SERVICE 7708 04:32:23,090 --> 04:32:25,726 COLLABORATIONS WITHIN THEIR 7709 04:32:25,726 --> 04:32:26,026 COMMUNITIES. 7710 04:32:26,026 --> 04:32:27,261 AND WE SEE THIS AS AN 7711 04:32:27,261 --> 04:32:29,196 OPPORTUNITY TO LEVERAGE EXISTING 7712 04:32:29,196 --> 04:32:31,131 PARTNERSHIPS TO CONDUCT 7713 04:32:31,131 --> 04:32:33,434 COMMUNITY PARTNERED 7714 04:32:33,434 --> 04:32:34,635 SOLUTION-ORIENTED RESEARCH. 7715 04:32:34,635 --> 04:32:36,704 WE DO KNOW THAT SCHOOLS AND 7716 04:32:36,704 --> 04:32:38,405 COLLEGES OF NURSING THAT HAVE 7717 04:32:38,405 --> 04:32:40,374 HAD LIMITED PRIOR NIH FUNDING 7718 04:32:40,374 --> 04:32:43,210 MAY NEED SOME ADDITIONAL SUPPORT 7719 04:32:43,210 --> 04:32:44,211 TO FACILITATE SOME OF THESE 7720 04:32:44,211 --> 04:32:49,950 RESEARCH ACTIVITIES. 7721 04:32:49,950 --> 04:32:51,785 THEREFORE THE PURPOSE OF THIS 7722 04:32:51,785 --> 04:32:52,887 INITIATIVE IS TO SUPPORT THE 7723 04:32:52,887 --> 04:32:54,455 DEVELOPMENT OF INNOVATIVE 7724 04:32:54,455 --> 04:32:55,122 RESEARCH CENTERS THAT WILL 7725 04:32:55,122 --> 04:32:57,758 FOSTER NURSING-LED PROGRAMS OF 7726 04:32:57,758 --> 04:32:59,326 COMMUNITY-PARTNERED RESEARCH 7727 04:32:59,326 --> 04:33:00,761 THAT AIM TO ADVANCE HEALTH 7728 04:33:00,761 --> 04:33:03,397 EQUITY BY APPLYING NINR'S 7729 04:33:03,397 --> 04:33:04,798 RESEARCH LENSES. 7730 04:33:04,798 --> 04:33:06,734 THIS INITIATIVE WOULD SEEK TO 7731 04:33:06,734 --> 04:33:08,802 LEVERAGE EXISTING COMMUNITY 7732 04:33:08,802 --> 04:33:09,803 RELATIONSHIPS OF SCHOOLS AND 7733 04:33:09,803 --> 04:33:12,673 COLLEGES OF NURSING, AND THEIR 7734 04:33:12,673 --> 04:33:14,575 FACULTY, TO PROVIDE A FOUNDATION 7735 04:33:14,575 --> 04:33:15,976 FOR ADVANCING COMMUNITY 7736 04:33:15,976 --> 04:33:19,813 PARTNERED NURSING RESEARCH. 7737 04:33:19,813 --> 04:33:20,981 A CENTRAL FEATURE OF THIS 7738 04:33:20,981 --> 04:33:22,283 INITIATIVE WOULD BE BUILDING 7739 04:33:22,283 --> 04:33:23,484 CAPACITY THROUGH THESE RESEARCH 7740 04:33:23,484 --> 04:33:24,585 CENTERS IN SCHOOLS AND COLLEGES 7741 04:33:24,585 --> 04:33:27,288 OF NURSING WITH AN EMPHASIS ON 7742 04:33:27,288 --> 04:33:29,123 THOSE THAT HAVE LIMITED PRIOR 7743 04:33:29,123 --> 04:33:30,758 NIH SUPPORT. 7744 04:33:30,758 --> 04:33:32,459 THESE CENTERS WOULD SUPPORT 7745 04:33:32,459 --> 04:33:35,663 PLANNING FOR NEW RESEARCH 7746 04:33:35,663 --> 04:33:37,798 ACTIVITIES, FOR PILOT STUDIES 7747 04:33:37,798 --> 04:33:38,599 THAT OFFER POTENTIAL SOLUTIONS, 7748 04:33:38,599 --> 04:33:41,402 AND THAT OFFER OPPORTUNITY FOR 7749 04:33:41,402 --> 04:33:42,469 DEVELOPING TEAMS AND 7750 04:33:42,469 --> 04:33:46,206 PARTNERSHIPS. 7751 04:33:46,206 --> 04:33:47,508 A KEY FEATURE WOULD BE TO LOOK 7752 04:33:47,508 --> 04:33:50,945 AT PROVIDING RESOURCES THAT 7753 04:33:50,945 --> 04:33:52,046 COULD INDEED FREE INVESTIGATOR 7754 04:33:52,046 --> 04:33:53,681 TIME FOR RESEARCH, PAY FOR 7755 04:33:53,681 --> 04:33:54,982 RESEARCH SUPPORT STAFF, AND 7756 04:33:54,982 --> 04:33:59,086 OTHER KEY INFRASTRUCTURE. 7757 04:33:59,086 --> 04:34:00,955 FINALLY A GOAL OF THE PROGRAM IS 7758 04:34:00,955 --> 04:34:02,489 TO ENHANCE THE RESEARCH CAPACITY 7759 04:34:02,489 --> 04:34:04,658 AND PROVIDE OPPORTUNITIES FOR 7760 04:34:04,658 --> 04:34:06,260 INVESTIGATORS TO IMPROVE 7761 04:34:06,260 --> 04:34:07,761 KNOWLEDGE AND SKILLS IN 7762 04:34:07,761 --> 04:34:10,397 COMMUNITY PARTNERED RESEARCH, 7763 04:34:10,397 --> 04:34:11,932 WHICH MAY INCROSE THEIR 7764 04:34:11,932 --> 04:34:13,334 COMPETITIVENESS FOR FUTURE NIH 7765 04:34:13,334 --> 04:34:19,206 FUNDING. 7766 04:34:19,206 --> 04:34:20,607 SOME EXAMPLES OF OBJECTIVES THAT 7767 04:34:20,607 --> 04:34:21,942 MIGHT BE INCLUDED IN THE 7768 04:34:21,942 --> 04:34:23,110 INITIATIVE ARE DEVELOPMENT OF 7769 04:34:23,110 --> 04:34:24,178 RESEARCH CENTERS THAT DO PROPOSE 7770 04:34:24,178 --> 04:34:26,146 THESE PILOT RESEARCH PROJECTS 7771 04:34:26,146 --> 04:34:28,449 THAT WOULD INCORPORATE COMMUNITY 7772 04:34:28,449 --> 04:34:30,484 PRIORITIES IN THE DESIGN, 7773 04:34:30,484 --> 04:34:31,352 CONDUCT, EVALUATION AND 7774 04:34:31,352 --> 04:34:36,957 DISSEMINATION OF RESEARCH. 7775 04:34:36,957 --> 04:34:38,125 ANOTHER POTENTIAL OBJECTIVE IS 7776 04:34:38,125 --> 04:34:39,393 STIMULATING STUDIES THAT UTILIZE 7777 04:34:39,393 --> 04:34:41,261 THE NINR RESEARCH LENSES AND 7778 04:34:41,261 --> 04:34:45,866 FOCUS ON DEVELOPING SOLUTIONS TO 7779 04:34:45,866 --> 04:34:46,600 COMMUNITY CHALLENGES. 7780 04:34:46,600 --> 04:34:48,902 WE KNOW PROMOTING DEVELOPMENT OF 7781 04:34:48,902 --> 04:34:49,503 INTERPRIS DYSPALESTINIAN RI 7782 04:34:49,503 --> 04:34:51,405 INTER 7783 04:34:52,272 --> 04:34:53,407 OF INTERDISCIPLINARY TEAMS IS 7784 04:34:53,407 --> 04:34:54,742 CRITICAL AND THESE ISSUES THAT 7785 04:34:54,742 --> 04:34:55,642 COMMUNITIES FACE AND FIGURING 7786 04:34:55,642 --> 04:34:59,713 OUT WAYS TO BUILD OR ADAPT 7787 04:34:59,713 --> 04:35:00,748 SOLUTIONS AS WELL AS TESTING 7788 04:35:00,748 --> 04:35:02,449 THEM ARE VERY COMPLEX. 7789 04:35:02,449 --> 04:35:05,886 SO THIS WOULD BENEFIT FROM THE 7790 04:35:05,886 --> 04:35:06,787 EXPERTISE OF SCIENTISTS OF 7791 04:35:06,787 --> 04:35:09,189 SEVERAL DISCIPLINES. 7792 04:35:09,189 --> 04:35:10,491 IN ADDITION, NURSE SCIENTISTS 7793 04:35:10,491 --> 04:35:12,326 CAN BENEFIT FROM MENTORS IN 7794 04:35:12,326 --> 04:35:13,627 DISCIPLINES OTHER THAN NURSING 7795 04:35:13,627 --> 04:35:15,362 TO BROADEN THEIR KNOWLEDGE AND 7796 04:35:15,362 --> 04:35:18,332 THEIR PERSPECTIVES. 7797 04:35:18,332 --> 04:35:19,733 ONE OBJECTIVE COULD BE PROVIDING 7798 04:35:19,733 --> 04:35:24,204 SUPPORT FOR DEVELOPING NURSE-LED 7799 04:35:24,204 --> 04:35:24,838 INTERDISCIPLINARY TEAMS TO 7800 04:35:24,838 --> 04:35:25,939 CONDUCT THIS RESEARCH WITH 7801 04:35:25,939 --> 04:35:26,974 COMMUNITY PARTNERS. 7802 04:35:26,974 --> 04:35:28,742 AGAIN BY BUILDING THESE TEAMS, 7803 04:35:28,742 --> 04:35:30,811 IT GIVES THEM A HISTORY OF 7804 04:35:30,811 --> 04:35:33,347 SUCCESSFUL TEAM WORK THAT THEY 7805 04:35:33,347 --> 04:35:38,552 CAN BUILD ON FOR FUTURE FUNDING 7806 04:35:38,552 --> 04:35:39,620 OPPORTUNITIES AND FUTURE 7807 04:35:39,620 --> 04:35:40,721 RESEARCH ENDEAVORS. 7808 04:35:40,721 --> 04:35:41,789 ANOTHER POTENTIAL OBJECTIVE 7809 04:35:41,789 --> 04:35:42,823 WOULD BE SUPPORTING 7810 04:35:42,823 --> 04:35:43,724 DEVELOPMENTAL ACTIVITIES FOR 7811 04:35:43,724 --> 04:35:44,958 INVESTIGATORS OF ALL LEVELS OF 7812 04:35:44,958 --> 04:35:46,293 EXPERIENCE, AND FOR THEIR 7813 04:35:46,293 --> 04:35:48,629 COMMUNITY PARTNERS, TO IMPROVE 7814 04:35:48,629 --> 04:35:51,565 THEIR KNOWLEDGE AND TO FOSTER 7815 04:35:51,565 --> 04:35:52,866 PARTNERSHIPS BETWEEN THE 7816 04:35:52,866 --> 04:35:57,104 ACADEMIC AND COMMUNITY GROUPS. 7817 04:35:57,104 --> 04:35:59,506 NEXT, PLEASE. 7818 04:35:59,506 --> 04:36:00,607 SO WITH THIS, I THANK YOU FOR 7819 04:36:00,607 --> 04:36:02,743 YOUR TIME AND ATTENTION, AND I'M 7820 04:36:02,743 --> 04:36:03,410 REALLY LOOKING FORWARD TO THE 7821 04:36:03,410 --> 04:36:08,682 COMMENTS AND DISCUSSION. 7822 04:36:08,682 --> 04:36:12,052 >> THANK YOU, DR. KEHL, AND 7823 04:36:12,052 --> 04:36:14,121 DR. STONE, I'LL LET YOU START US 7824 04:36:14,121 --> 04:36:14,288 OFF. 7825 04:36:14,288 --> 04:36:14,955 >> THANK YOU SO MUCH. 7826 04:36:14,955 --> 04:36:16,390 I'M REALLY EXCITED ABOUT THIS 7827 04:36:16,390 --> 04:36:17,257 CONCEPT. 7828 04:36:17,257 --> 04:36:21,128 I THINK WE'VE TALKED ABOUT IN 7829 04:36:21,128 --> 04:36:23,997 COUNCIL A LOT ABOUT THE SAME 7830 04:36:23,997 --> 04:36:24,965 SCHOOLS, ME BEING AT ONE OF 7831 04:36:24,965 --> 04:36:26,467 THEM, LUCKY US, THAT CONTINUE TO 7832 04:36:26,467 --> 04:36:32,706 GET RESEARCH FUNDING, BUT WE 7833 04:36:32,706 --> 04:36:34,007 NEED TO -- IF WE'RE REALLY GOING 7834 04:36:34,007 --> 04:36:37,344 TO MAKE MEANINGFUL CHANGE FOR 7835 04:36:37,344 --> 04:36:43,917 PEOPLE, WE NEED TO BE -- AND FOR 7836 04:36:43,917 --> 04:36:45,119 MARGINALIZED OR RACIAL AND 7837 04:36:45,119 --> 04:36:46,620 ETHNIC MINORITY POPULATIONS, WE 7838 04:36:46,620 --> 04:36:50,657 FEED TO BNEED TO BE IN SCHOOLS G 7839 04:36:50,657 --> 04:36:53,794 THAT ARE SERVING THAT. 7840 04:36:53,794 --> 04:36:56,630 AND WE NEED TO ALSO INCREASE 7841 04:36:56,630 --> 04:36:58,832 OUR -- DIVERSIFY OUR NURSING 7842 04:36:58,832 --> 04:37:00,000 SCIENTIFIC WORKFORCE TO REALLY 7843 04:37:00,000 --> 04:37:02,302 DO THAT, AND SO I THINK THIS IS 7844 04:37:02,302 --> 04:37:06,140 REALLY A WAY TO GET AT THAT. 7845 04:37:06,140 --> 04:37:08,609 AND SO IT REALLY VERY MUCH 7846 04:37:08,609 --> 04:37:09,143 EXCITED ME. 7847 04:37:09,143 --> 04:37:11,545 I THINK ONE OF THE THINGS 7848 04:37:11,545 --> 04:37:14,047 THAT -- AND IT MEETS OTHER NIH 7849 04:37:14,047 --> 04:37:15,349 GOALS, IT'S VERY SYNERGISTIC 7850 04:37:15,349 --> 04:37:18,085 WITH THE IDEA, YOU KNOW, THE 7851 04:37:18,085 --> 04:37:18,819 INSTITUTIONAL DEVELOPMENT 7852 04:37:18,819 --> 04:37:21,855 AWARDS, YOU KNOW, THAT ARE 7853 04:37:21,855 --> 04:37:27,528 LOOKING AT HBUs OR 7854 04:37:27,528 --> 04:37:28,395 INSTITUTIONS IN CERTAIN STATES 7855 04:37:28,395 --> 04:37:30,898 THAT DON'T GET A LOT OF NIH 7856 04:37:30,898 --> 04:37:33,534 FUNDING, I THINK THIS COULD BE 7857 04:37:33,534 --> 04:37:36,904 REALLY TRANSLATIONAL RESEARCH. 7858 04:37:36,904 --> 04:37:39,406 I THINK SOME OF THE THINGS THAT 7859 04:37:39,406 --> 04:37:44,378 IS VERY IMPORTANT IN THIS IS 7860 04:37:44,378 --> 04:37:47,447 THAT THE -- YOU MENTIONED, 7861 04:37:47,447 --> 04:37:48,882 DR. KEHL, THAT IT HAS A 7862 04:37:48,882 --> 04:37:50,817 POTENTIAL TO ENHANCE KNOWLEDGE 7863 04:37:50,817 --> 04:37:52,286 AND SKILLS AND INCREASE THE 7864 04:37:52,286 --> 04:37:57,157 COMPETITIVENESS FOR FUTURE NIH. 7865 04:37:57,157 --> 04:37:58,592 I THINK THAT IS WHERE YOU REALLY 7866 04:37:58,592 --> 04:37:59,393 WANT TO BE. 7867 04:37:59,393 --> 04:38:02,029 I MEAN, WE CAN'T ENSURE FUTURE 7868 04:38:02,029 --> 04:38:05,766 NIH FUNDING OBVIOUSLY, BUT 7869 04:38:05,766 --> 04:38:07,701 HAVING THAT -- ENSURING THAT 7870 04:38:07,701 --> 04:38:11,071 MENTORSHIP, WHETHER IT'S WITHIN 7871 04:38:11,071 --> 04:38:12,839 THE INSTITUTION OR, YOU KNOW, 7872 04:38:12,839 --> 04:38:14,041 OUTSIDE, YOU KNOW, PARTNERING 7873 04:38:14,041 --> 04:38:16,777 WITH THE RESEARCH INTENSIVE 7874 04:38:16,777 --> 04:38:17,611 INSTITUTION AND THE OTHER SCHOOL 7875 04:38:17,611 --> 04:38:19,513 OF NURSING, BUT ENSURING -- AND 7876 04:38:19,513 --> 04:38:20,747 HOW TO ENSURE THAT, I THINK 7877 04:38:20,747 --> 04:38:21,815 THAT'S REALLY IMPORTANT, BECAUSE 7878 04:38:21,815 --> 04:38:25,652 THAT'S WHAT'S GOING TO MAKE THIS 7879 04:38:25,652 --> 04:38:26,987 INVESTMENT SUSTAINABLE IN THAT 7880 04:38:26,987 --> 04:38:29,089 COMMUNITY AND ELEVATE THOSE 7881 04:38:29,089 --> 04:38:30,424 PEOPLE THAT ARE DOING THIS. 7882 04:38:30,424 --> 04:38:40,267 AND I THINK IT'S VERY IMPORTANT. 7883 04:38:40,267 --> 04:38:43,303 I LOVE THE IDEA THAT IT'S 7884 04:38:43,303 --> 04:38:44,271 INTERDISCIPLINARY TEAMS LED BY 7885 04:38:44,271 --> 04:38:49,443 NURSE SCIENTISTS. 7886 04:38:49,443 --> 04:38:50,777 THAT'S ALL I HAVE TO SAY. 7887 04:38:50,777 --> 04:38:52,546 I LIKE IT. 7888 04:38:52,546 --> 04:38:53,780 I KNOW WE'VE GOT 15 MORE MINUTES 7889 04:38:53,780 --> 04:38:54,514 TO DISCUSS THIS. 7890 04:38:54,514 --> 04:38:58,585 ANYBODY ELSE HAVE ANY IDEAS? 7891 04:38:58,585 --> 04:39:08,962 I THINK IT'S TERRIFIC. 7892 04:39:10,964 --> 04:39:12,532 >> SO I REALLY LOVE THE CONCEPT 7893 04:39:12,532 --> 04:39:15,168 AND I WAS STRUCK BY HOW 7894 04:39:15,168 --> 04:39:16,536 THOUGHTFUL AND DELIBERATE I 7895 04:39:16,536 --> 04:39:17,204 SENSED AS YOU WERE GOING THROUGH 7896 04:39:17,204 --> 04:39:18,138 THE SLIDES THAT THE THREE FOLKS 7897 04:39:18,138 --> 04:39:19,706 THAT WORKED ON IT, THERE WAS A 7898 04:39:19,706 --> 04:39:20,974 LOT OF THOUGHT THAT WENT INTO 7899 04:39:20,974 --> 04:39:23,076 EACH OF THOSE BULLETS. 7900 04:39:23,076 --> 04:39:24,478 IT'S VERY CLEAR FROM THE WAY IT 7901 04:39:24,478 --> 04:39:26,113 WAS PRESENTED AND READING THE 7902 04:39:26,113 --> 04:39:26,780 ACTUAL WORDS. 7903 04:39:26,780 --> 04:39:30,684 SO THANK YOU FOR THAT. 7904 04:39:30,684 --> 04:39:32,986 JUST TWO THINGS. 7905 04:39:32,986 --> 04:39:34,621 ONE, THAT MAY OR MAY NOT FIT 7906 04:39:34,621 --> 04:39:38,125 INTO TODAY'S DISCUSSION, BUT THE 7907 04:39:38,125 --> 04:39:41,295 15 SCHOOLS AND THIS SORT OF -- 7908 04:39:41,295 --> 04:39:43,563 I'LL CALL IT A CONUNDRUM WE'RE 7909 04:39:43,563 --> 04:39:44,998 IN IN NURSING, HOW DO WE THINK 7910 04:39:44,998 --> 04:39:46,166 ABOUT MAYBE HAVING SOME 7911 04:39:46,166 --> 04:39:47,034 DISCUSSION AT SOME POINT ABOUT 7912 04:39:47,034 --> 04:39:49,002 SORT OF WHAT ARE THE UNDERLYING 7913 04:39:49,002 --> 04:39:49,870 REASONS FOR THAT? 7914 04:39:49,870 --> 04:39:51,505 WHAT'S REALLY HAPPENING HERE AND 7915 04:39:51,505 --> 04:39:54,441 WHAT ARE PLACES WHERE SCHOOLS 7916 04:39:54,441 --> 04:39:56,643 SHOULD BE COLLECTIVELY TRYING TO 7917 04:39:56,643 --> 04:39:57,077 RESPOND? 7918 04:39:57,077 --> 04:39:58,912 HOW THAT RELATES TO THE CONCEPT, 7919 04:39:58,912 --> 04:39:59,980 AND THE CREATION OF WHAT I THINK 7920 04:39:59,980 --> 04:40:05,352 WOULD BE AN INVALUABLE 7921 04:40:05,352 --> 04:40:05,986 INFRASTRUCTURE, IS THERE SUCH A 7922 04:40:05,986 --> 04:40:07,721 NOTION OF RECIPROCAL SORT OF 7923 04:40:07,721 --> 04:40:11,558 RIGOR AND IMPACT, ENSURING THAT 7924 04:40:11,558 --> 04:40:14,895 THE SCHOOLS THAT ARE NOT FUNDED 7925 04:40:14,895 --> 04:40:18,532 FOCURRENTLY BUT THAT HAVE GREAT 7926 04:40:18,532 --> 04:40:19,166 PROXIMITY TO THE COMMUNITIES 7927 04:40:19,166 --> 04:40:22,636 THAT THEY WORK WITH, THROUGH 7928 04:40:22,636 --> 04:40:23,537 THEIR PARTNERSHIPS, THAT THEIR 7929 04:40:23,537 --> 04:40:24,604 KNOWLEDGE IS TRANSFERRED TO THE 7930 04:40:24,604 --> 04:40:25,672 SCHOOLS THAT MAYBE ARE THE 15 7931 04:40:25,672 --> 04:40:27,107 THAT ARE, IN FACT, CONTINUOUSLY 7932 04:40:27,107 --> 04:40:29,509 GETTING FUNDING, AND VICE VERSA. 7933 04:40:29,509 --> 04:40:31,812 IS THERE A KIND OF SCIENTIFIC 7934 04:40:31,812 --> 04:40:33,280 RIGOR THAT WHETHER WE AGREE WITH 7935 04:40:33,280 --> 04:40:36,483 IT OR NOT, IT IS SORT OF THE 7936 04:40:36,483 --> 04:40:37,684 CURRENCY OF THE WAY THAT 7937 04:40:37,684 --> 04:40:39,219 SCHOLARSHIP AND RESEARCH AND 7938 04:40:39,219 --> 04:40:42,656 EVIDENCE IS RECEIVED, IS THERE 7939 04:40:42,656 --> 04:40:44,091 SOME WAY TO BRING THAT TOGETHER, 7940 04:40:44,091 --> 04:40:48,261 TO ENSURE THAT THE END OF THIS 7941 04:40:48,261 --> 04:40:50,297 AMAZING INITIATIVE, ASSUMING IT 7942 04:40:50,297 --> 04:40:51,932 WERE TO GO FORWARD, THAT IT 7943 04:40:51,932 --> 04:40:53,633 WOULDN'T BE DEEMED BASED ON OUR 7944 04:40:53,633 --> 04:40:57,604 CURRENT CRITERIA AS SOMEHOW NOT 7945 04:40:57,604 --> 04:40:58,605 BEING STRONG EVIDENCE? 7946 04:40:58,605 --> 04:40:59,806 AND JUST THROWING THAT OUT 7947 04:40:59,806 --> 04:41:02,109 THERE, I KNOW THOSE ARE 7948 04:41:02,109 --> 04:41:03,310 UNPOPULAR THOUGHTS, BUT I WONDER 7949 04:41:03,310 --> 04:41:06,213 IF THERE'S A WAY TO KIND OF MAKE 7950 04:41:06,213 --> 04:41:07,547 MORE WINS HERE IN TERMS OF HOW 7951 04:41:07,547 --> 04:41:12,586 IT GETS IMPLEMENTED. 7952 04:41:12,586 --> 04:41:18,759 >> I THINK ENSURING THAT THE 7953 04:41:18,759 --> 04:41:20,093 ENHANCEMENT OF THE SKILLS IS 7954 04:41:20,093 --> 04:41:20,527 REALLY IMPORTANT. 7955 04:41:20,527 --> 04:41:27,534 ONE WAY THAT YOU'RE SUGGESTING 7956 04:41:27,534 --> 04:41:30,437 IS THAT THERE'S A PARTNERSHIP OR 7957 04:41:30,437 --> 04:41:31,538 CONSORTIUM OF THE SCHOOLS THAT 7958 04:41:31,538 --> 04:41:33,407 GET THE FUNDING AND THE SCHOOLS 7959 04:41:33,407 --> 04:41:34,441 THAT GET THE FUNDING SO THAT 7960 04:41:34,441 --> 04:41:35,876 THERE COULD BE SHARED KNOWLEDGE 7961 04:41:35,876 --> 04:41:36,777 ACROSS, SHARED KNOWLEDGE ON 7962 04:41:36,777 --> 04:41:38,011 WHAT'S NEEDED, SHARED KNOWLEDGE 7963 04:41:38,011 --> 04:41:39,346 ON HOW TO DO THE RESEARCH AND 7964 04:41:39,346 --> 04:41:43,517 WRITE THE GRANTS ONCE YOU GET TO 7965 04:41:43,517 --> 04:41:44,284 THAT POINT OR MAYBE SHARED 7966 04:41:44,284 --> 04:41:45,619 KNOWLEDGE ON HOW TO WRITE THE 7967 04:41:45,619 --> 04:41:46,586 GRANTS IN THE BEGINNING TO GET 7968 04:41:46,586 --> 04:41:51,792 THE FUNDING. 7969 04:41:51,792 --> 04:41:53,760 AND THESE SCHOOLS ARE ALSO -- 7970 04:41:53,760 --> 04:41:55,462 ALREADY HAVE PH.D. PROGRAMS, AND 7971 04:41:55,462 --> 04:41:58,331 OFTEN THEY HAVE PH.D. PROGRAMS 7972 04:41:58,331 --> 04:42:00,300 THAT THEY'RE BEING TAUGHT BY 7973 04:42:00,300 --> 04:42:04,304 NURSES, THAT HAVE NEVER REALLY 7974 04:42:04,304 --> 04:42:05,839 HAD FUNDED RESEARCH. 7975 04:42:05,839 --> 04:42:07,240 MAYBE THEY'VE HAD SOME, BUT THEY 7976 04:42:07,240 --> 04:42:12,946 HAVEN'T, SO WHAT ARE THEY TEA 7977 04:42:12,946 --> 04:42:14,881 TEACHING, YOU KNOW? 7978 04:42:14,881 --> 04:42:16,316 SO HOW THAT'S DONE, I THINK 7979 04:42:16,316 --> 04:42:17,384 THERE'S DIFFERENT MECHANISMS, 7980 04:42:17,384 --> 04:42:18,819 AND I THINK NINR HAS PROBABLY 7981 04:42:18,819 --> 04:42:21,955 THOUGHT ABOUT SOME OF THOSE, BUT 7982 04:42:21,955 --> 04:42:23,590 I THINK THAT THAT'S BECAUSE YOU 7983 04:42:23,590 --> 04:42:27,961 WANT THIS TO REALLY ELEVATE, AND 7984 04:42:27,961 --> 04:42:29,463 THAT'S GOT TO BE PART OF THAT IN 7985 04:42:29,463 --> 04:42:29,696 MY MIND. 7986 04:42:29,696 --> 04:42:30,897 >> ONE REALLY QUICK COMMENT. 7987 04:42:30,897 --> 04:42:34,935 I JUST WANT TO REITERATE THAT I 7988 04:42:34,935 --> 04:42:36,436 REFERENCED RECIPROCAL, AND THAT 7989 04:42:36,436 --> 04:42:40,273 REALLY IS ALSO AT THE SCHOOLS 7990 04:42:40,273 --> 04:42:41,374 THAT ARE OUTSIDE OF THE 15, 7991 04:42:41,374 --> 04:42:43,443 THERE'S SOMETHING ESSENTIAL THAT 7992 04:42:43,443 --> 04:42:45,412 THOSE INSTITUTIONS CAN TEACH THE 7993 04:42:45,412 --> 04:42:47,814 15 AND OTHERS? 7994 04:42:47,814 --> 04:42:49,082 >> OH, ABSOLUTELY. 7995 04:42:49,082 --> 04:42:50,517 >> I JUST WANTED TO MAKE SURE 7996 04:42:50,517 --> 04:42:51,518 THAT WAS IN THE NOTES BECAUSE 7997 04:42:51,518 --> 04:42:52,786 I'M AFRAID WE'RE GOING THE WRONG 7998 04:42:52,786 --> 04:42:58,391 DIRECTION. 7999 04:42:58,391 --> 04:42:59,593 >> YES, PLEASE. 8000 04:42:59,593 --> 04:43:01,328 >> THANK YOU. 8001 04:43:01,328 --> 04:43:03,630 I ALSO REALLY LIKE THE CONCEPT, 8002 04:43:03,630 --> 04:43:07,434 AND I THINK YOU ALL HAVE GIVEN A 8003 04:43:07,434 --> 04:43:09,269 LOT OF THOUGHT INTO JUST 8004 04:43:09,269 --> 04:43:10,237 BALANCING DIFFERENT COMPONENTS 8005 04:43:10,237 --> 04:43:12,939 LIKE SCHOOLS, THAT HAVE BEEN 8006 04:43:12,939 --> 04:43:14,808 FUNDED WITH A PH.D. PROGRAM 8007 04:43:14,808 --> 04:43:18,211 VERSUS SCHOOLS WHO HAVE LIMITED 8008 04:43:18,211 --> 04:43:20,280 FUNDING, AND ALSO I'M THINKING 8009 04:43:20,280 --> 04:43:22,215 ABOUT WHAT ARE WE -- YOU KNOW, 8010 04:43:22,215 --> 04:43:25,952 WHAT'S THE IMPACT THIS CONCEPT 8011 04:43:25,952 --> 04:43:28,922 CAN GENERATE THROUGH FUNDING. 8012 04:43:28,922 --> 04:43:31,725 SO WHEN I THINK AHEAD, I THINK 8013 04:43:31,725 --> 04:43:32,926 SOME OF THE THINGS THAT WE MAY 8014 04:43:32,926 --> 04:43:35,662 WANT TO CONSIDER IS THAT IF 8015 04:43:35,662 --> 04:43:37,364 WE'RE TRULY VALUING HOW THIS 8016 04:43:37,364 --> 04:43:38,999 CONCEPT WILL BRING THE IMPACT TO 8017 04:43:38,999 --> 04:43:41,902 THE COMMUNITY, I THINK SOME OF 8018 04:43:41,902 --> 04:43:44,004 THE HEAVILY FUNDED INSTITUTIONS, 8019 04:43:44,004 --> 04:43:47,741 IF THEY ARE BRINGING MAJOR 8020 04:43:47,741 --> 04:43:49,709 IMPACT TO THE COMMUNITIES THAT 8021 04:43:49,709 --> 04:43:51,978 THEY SERVE IN THAT COMMUNITY 8022 04:43:51,978 --> 04:43:52,712 PARTNERSHIP, I DON'T THINK THEY 8023 04:43:52,712 --> 04:43:55,782 SHOULD BE DISADVANTAGED JUST 8024 04:43:55,782 --> 04:43:56,883 BECAUSE THEY HAVE BEEN 8025 04:43:56,883 --> 04:43:58,385 HISTORICALLY, YOU KNOW, HAVING 8026 04:43:58,385 --> 04:44:01,821 FUNDING. 8027 04:44:01,821 --> 04:44:03,456 I ALSO THINK FOR THOSE WHO DO 8028 04:44:03,456 --> 04:44:05,625 NOT CURRENTLY HAVE MAJOR 8029 04:44:05,625 --> 04:44:07,460 FUNDINGS, OR EVEN THOSE WHO MAY 8030 04:44:07,460 --> 04:44:10,196 NOT HAVE A PH.D. PROGRAM OR HAVE 8031 04:44:10,196 --> 04:44:15,135 A COMBINED VENTURE, HOW DO WE 8032 04:44:15,135 --> 04:44:17,904 HELP THEM BECAUSE THEY MAY BE 8033 04:44:17,904 --> 04:44:19,072 THE PEOPLE WHO WILL NEVER BECOME 8034 04:44:19,072 --> 04:44:19,906 YOUR APPLICANTS. 8035 04:44:19,906 --> 04:44:25,078 WHAT'S THE KIND OF UNINTENDED 8036 04:44:25,078 --> 04:44:27,447 CONSEQUENCES THIS MAY CREATE? 8037 04:44:27,447 --> 04:44:33,987 SO I THINK BALANCING THE 8038 04:44:33,987 --> 04:44:35,088 DIFFERENT SIDES BUT ALSO THE 8039 04:44:35,088 --> 04:44:36,289 DIFFERENT SIDES OF THE DIFFERENT 8040 04:44:36,289 --> 04:44:37,991 SIDES, HOW CAN WE KIND OF 8041 04:44:37,991 --> 04:44:39,759 LEVERAGE THIS CONCEPT TO 8042 04:44:39,759 --> 04:44:44,230 GENERATE THE IMPACT OR THE NORTH 8043 04:44:44,230 --> 04:44:46,399 STAR OF NINR FOR THE HEALTH 8044 04:44:46,399 --> 04:44:49,269 EQUITY IS SOMETIMES MAYBE ARE WE 8045 04:44:49,269 --> 04:44:50,136 TARGETING THE SCHOOLS, ARE WE 8046 04:44:50,136 --> 04:44:51,638 TARGET THE THE PIPELINE OF 8047 04:44:51,638 --> 04:44:52,839 GENERATING OUR SCIENTISTS OR ARE 8048 04:44:52,839 --> 04:44:57,544 WE FOCUSING ON THE IMPACT OF THE 8049 04:44:57,544 --> 04:44:59,079 COMMUNITY, THE POPULATIONS. 8050 04:44:59,079 --> 04:45:00,814 AND MAYBE WE SHOULD LOOK AT 8051 04:45:00,814 --> 04:45:04,084 WHOEVER CAN LEVERAGE ALL OF THEM 8052 04:45:04,084 --> 04:45:07,153 AND CAN MARRY ALL OF IT FOR US 8053 04:45:07,153 --> 04:45:12,359 TO KIND OF BRING IT -- BRING THE 8054 04:45:12,359 --> 04:45:13,360 IMPACT THINKING ABOUT THAT 8055 04:45:13,360 --> 04:45:14,894 EQUITY LENS WHEN WE LOOK AT ALL 8056 04:45:14,894 --> 04:45:16,296 THE DIFFERENT SCHOOLS, DIFFERENT 8057 04:45:16,296 --> 04:45:18,298 PIPELINES AND DIFFERENT 8058 04:45:18,298 --> 04:45:19,232 COMMUNITIES THAT THIS CONCEPT 8059 04:45:19,232 --> 04:45:20,000 CAN BRING. 8060 04:45:20,000 --> 04:45:24,137 >> THANK YOU VERY MUCH FOR THOSE 8061 04:45:24,137 --> 04:45:25,805 COMMENTS. 8062 04:45:25,805 --> 04:45:26,773 I WAS PARTICULARLY STRUCK BY 8063 04:45:26,773 --> 04:45:27,941 WHAT YOU SAID ABOUT -- AND IT'S 8064 04:45:27,941 --> 04:45:28,942 VERY TRUE, THERE ARE SOME 8065 04:45:28,942 --> 04:45:30,143 SCHOOLS AND COLLEGES OF NURSING 8066 04:45:30,143 --> 04:45:33,513 THAT HAVE GREAT IMPACT IN THEIR 8067 04:45:33,513 --> 04:45:33,780 COMMUNITY. 8068 04:45:33,780 --> 04:45:35,281 THERE ARE ALSO SOME VERY 8069 04:45:35,281 --> 04:45:36,082 WELL-FUNDED SCHOOLS AND COLLEGES 8070 04:45:36,082 --> 04:45:38,018 OF NURSING WHERE COMMUNITY 8071 04:45:38,018 --> 04:45:39,853 ENGAGED RESEARCH IS NOT -- HAS 8072 04:45:39,853 --> 04:45:44,124 NOT BEEN A PRIORITY, IS A NEW 8073 04:45:44,124 --> 04:45:47,394 PRIORITY THAT MAY ALSO BENEFIT, 8074 04:45:47,394 --> 04:45:49,362 SO WE'RE STILL VERY MUCH AT THE 8075 04:45:49,362 --> 04:45:50,363 CONCEPT STAGE. 8076 04:45:50,363 --> 04:45:51,665 SO NOTHING IS WRITTEN IN STONE 8077 04:45:51,665 --> 04:45:52,966 AT THIS POINT, BUT IT'S VERY 8078 04:45:52,966 --> 04:45:58,872 HELPFUL TO HEAR THOSE COMMENTS. 8079 04:45:58,872 --> 04:46:00,740 >> ONE OF THE PIECES OF ADVICE I 8080 04:46:00,740 --> 04:46:01,875 WOULD OFFER IS IT'S PROBABLY 8081 04:46:01,875 --> 04:46:03,109 GOING TO BE HELPFUL ABOUT WHAT 8082 04:46:03,109 --> 04:46:04,210 THE SCORED CRITERION WOULD BE 8083 04:46:04,210 --> 04:46:05,645 FOR THESE APPLICATIONS, SO 8084 04:46:05,645 --> 04:46:07,714 THERE'S IMPACT TO THE COMMUNITY 8085 04:46:07,714 --> 04:46:09,549 ITSELF, MAYBE IT'S A DESPERATE 8086 04:46:09,549 --> 04:46:11,384 NEED AND A FABULOUS IDEA. 8087 04:46:11,384 --> 04:46:15,021 THERE'S ALSO BUILDING THE NEXT 8088 04:46:15,021 --> 04:46:16,222 GENERATION THAT'S A SCORE 8089 04:46:16,222 --> 04:46:19,059 CRITERION. 8090 04:46:19,059 --> 04:46:19,826 INDEPENDENT OF WHETHER THE 8091 04:46:19,826 --> 04:46:21,261 SCHOOLS HAVE BEEN FUNDED 8092 04:46:21,261 --> 04:46:22,028 HISTORICALLY OR NOT. 8093 04:46:22,028 --> 04:46:23,396 SO I REALLY THINK IT GETTING AT 8094 04:46:23,396 --> 04:46:24,431 WHAT THAT DELIVERABLE IS THAT 8095 04:46:24,431 --> 04:46:25,498 YOU WANT TO ACHIEVE IN MAKING 8096 04:46:25,498 --> 04:46:27,067 SURE THAT THE SCORING REFLECTS 8097 04:46:27,067 --> 04:46:27,267 THAT. 8098 04:46:27,267 --> 04:46:30,837 AND IT'S PROBABLY SOME COMPOSITE 8099 04:46:30,837 --> 04:46:32,038 AND THAT WILL HAVE TO BE 8100 04:46:32,038 --> 04:46:37,844 COMMUNICATED TO THE REVIEWERS. 8101 04:46:37,844 --> 04:46:38,478 >> THANK YOU VERY MUCH. 8102 04:46:38,478 --> 04:46:40,213 >> I THINK THERE'S PRECEDENT FOR 8103 04:46:40,213 --> 04:46:42,849 THIS IN DIFFERENT NIH 8104 04:46:42,849 --> 04:46:45,018 INITIATIVES, I THINK IN THE 8105 04:46:45,018 --> 04:46:48,121 ALL-OF-US, THERE WAS PRECEDENT 8106 04:46:48,121 --> 04:46:49,155 FOR THINGS LIKE THIS WHERE THIS 8107 04:46:49,155 --> 04:46:51,658 IS TO GET PEOPLE INVOLVED THAT 8108 04:46:51,658 --> 04:46:57,363 HAVE NOT BEEN INVOLVED BEFORE. 8109 04:46:57,363 --> 04:46:58,264 AND I LIKE THAT IDEA. 8110 04:46:58,264 --> 04:47:02,168 I REALLY DO. 8111 04:47:02,168 --> 04:47:05,805 AND LIKE AN R25, YOU KNOW, THERE 8112 04:47:05,805 --> 04:47:09,175 IS PEOPLE THAT CAME AND SAID OH, 8113 04:47:09,175 --> 04:47:10,510 WE SHOULD BE DOING THIS, YOU 8114 04:47:10,510 --> 04:47:14,948 KNOW, THIS R25 FOR ALL-OF-US. 8115 04:47:14,948 --> 04:47:16,716 IT LIKE NO, THAT'S NOT WHAT IT'S 8116 04:47:16,716 --> 04:47:17,917 ABOUT, IT'S ABOUT GETTING PEOPLE 8117 04:47:17,917 --> 04:47:19,319 INVOLVED IN THE RESEARCH THAT 8118 04:47:19,319 --> 04:47:22,589 HAVEN'T BEEN INVOLVED IN THE 8119 04:47:22,589 --> 04:47:25,892 RESEARCH BEFORE, IN THAT 8120 04:47:25,892 --> 04:47:31,131 RESEARCH. 8121 04:47:31,131 --> 04:47:32,532 YOU JUST WANT TO DO IT WELL SO 8122 04:47:32,532 --> 04:47:36,536 THEY CAN STAY INVOLVED, IT'S NOT 8123 04:47:36,536 --> 04:47:40,373 A ONE OFF-ER. 8124 04:47:40,373 --> 04:47:45,578 DR. FIT PACK TRI FITZPATRICK, IR 8125 04:47:45,578 --> 04:47:47,680 IDEA OF HOW THE SCORES -- YOU 8126 04:47:47,680 --> 04:47:48,748 KNOW, ENSURING THAT THE 8127 04:47:48,748 --> 04:47:49,549 PROPOSALS ARE REVIEWED AND 8128 04:47:49,549 --> 04:47:51,050 SCORED TO WHAT THE CRITERION 8129 04:47:51,050 --> 04:47:53,153 THAT YOU WANT IS GOING TO -- 8130 04:47:53,153 --> 04:47:54,120 WOULD BE IMPORTANT BECAUSE IT'S 8131 04:47:54,120 --> 04:47:55,889 DIFFERENT, IT'S NOT SAME OLD 8132 04:47:55,889 --> 04:47:58,625 STUDY SECTION. 8133 04:47:58,625 --> 04:48:00,059 AND THAT IDEA OF SUSTAINABILITY 8134 04:48:00,059 --> 04:48:02,896 OF IT AND HOW THEY'RE GOING TO 8135 04:48:02,896 --> 04:48:04,531 LEARN, BUT HECK, WE GOT A LOT OF 8136 04:48:04,531 --> 04:48:06,065 NURSING SCHOOLS OUT THERE THAT 8137 04:48:06,065 --> 04:48:09,202 DON'T HAVE ANY NIH FUNDING, OR 8138 04:48:09,202 --> 04:48:10,570 ANY OTHER TYPE OF FUNDING AND 8139 04:48:10,570 --> 04:48:13,039 THEY ARE PUTTING OUT PH.D.s OR 8140 04:48:13,039 --> 04:48:13,373 DNSs. 8141 04:48:13,373 --> 04:48:18,611 AND YOU KNOW, AND THEY'RE JUST 8142 04:48:18,611 --> 04:48:21,247 NOT GETTING THE SAME SORT OF 8143 04:48:21,247 --> 04:48:22,882 LEVEL OF EDUCATION ABOUT BEING A 8144 04:48:22,882 --> 04:48:26,586 NURSE SCIENTIST. 8145 04:48:26,586 --> 04:48:27,453 AS I WOULD WANT 8146 04:48:27,453 --> 04:48:27,754 THEM TO. 8147 04:48:27,754 --> 04:48:30,657 >> I MEAN, I THINK THE RESOURCES 8148 04:48:30,657 --> 04:48:31,624 FOR WRITING GRANTS TEND TO FALL 8149 04:48:31,624 --> 04:48:33,960 ON THE CTSA-FUNDED INSTITUTIONS, 8150 04:48:33,960 --> 04:48:35,228 WHICH ARE THE PEOPLE YOU ARE NOT 8151 04:48:35,228 --> 04:48:38,965 TALKING ABOUT HERE, AND SO YOU 8152 04:48:38,965 --> 04:48:40,567 KNOW, THE WEBINARS AND THINGS 8153 04:48:40,567 --> 04:48:42,435 YOU'LL HAVE TO DO TO EVEN 8154 04:48:42,435 --> 04:48:44,070 INSTRUCT THESE SCHOOLS TO APPLY 8155 04:48:44,070 --> 04:48:48,408 IS -- IT'S NOT SMALL. 8156 04:48:48,408 --> 04:48:50,476 THEY DON'T HAVE CTSAs. 8157 04:48:50,476 --> 04:48:52,412 >> YOU ARE ABSOLUTELY CORRECT 8158 04:48:52,412 --> 04:48:53,613 AND I WILL SAY WE DO HAVE QUITE 8159 04:48:53,613 --> 04:48:54,681 A BIT OF EXPERIENCE WITH SOME OF 8160 04:48:54,681 --> 04:48:55,849 THE INITIATIVES WE'VE HAD IN THE 8161 04:48:55,849 --> 04:48:58,952 LAST COUPLE OF YEARS THAT AREN'T 8162 04:48:58,952 --> 04:49:03,122 LOOKING FOR YOUR USUAL CAST OF 8163 04:49:03,122 --> 04:49:06,726 CHARACTERS WHEN IT COMES TO 8164 04:49:06,726 --> 04:49:07,493 APPLYING. 8165 04:49:07,493 --> 04:49:08,928 SO WE ABSOLUTELY WOULD TAKE ALL 8166 04:49:08,928 --> 04:49:10,563 OF WHAT WE'VE LEARNED INTO 8167 04:49:10,563 --> 04:49:14,601 ACCOUNT IN TRYING TO SET UP 8168 04:49:14,601 --> 04:49:16,669 PEOPLE TO BE SUCCESSFUL EVEN IN 8169 04:49:16,669 --> 04:49:18,304 TERMS OF BEING ABLE TO WRITE AN 8170 04:49:18,304 --> 04:49:21,574 APPLICATION THAT MEETS ALL THE 8171 04:49:21,574 --> 04:49:25,311 CRITERIA. 8172 04:49:25,311 --> 04:49:30,817 >> JUST HONING ON TO SOME OF 8173 04:49:30,817 --> 04:49:33,353 WHAT WAS SAID HERE, TOO I'M 8174 04:49:33,353 --> 04:49:35,121 THINKING, YOU KNOW, I TOTALLY 8175 04:49:35,121 --> 04:49:36,589 AGREE, IT WOULD TAKE A LOT OF 8176 04:49:36,589 --> 04:49:37,857 EFFORT TO GET PEOPLE ON BOARD 8177 04:49:37,857 --> 04:49:39,926 EVEN THINKING ABOUT APPLYING AND 8178 04:49:39,926 --> 04:49:42,762 HOW TO, ET CETERA, BUT I'M 8179 04:49:42,762 --> 04:49:47,133 EXCITED ABOUT THE OPPORTUNITY TO 8180 04:49:47,133 --> 04:49:51,170 LIFT UP SOME OF THESE SCHOOLS 8181 04:49:51,170 --> 04:49:53,573 THAT ALREADY DO REALLY GOOD WORK 8182 04:49:53,573 --> 04:49:54,908 WITH THE TRIBES IN THEIR 8183 04:49:54,908 --> 04:49:55,541 COMMUNITY. 8184 04:49:55,541 --> 04:50:01,447 I'M THINKING OF A COLLEAGUE AT 8185 04:50:01,447 --> 04:50:04,717 MONTANA STATE UNIVERSITY AND 8186 04:50:04,717 --> 04:50:05,818 ANOTHER THAT WAS IN THE SCHOOL 8187 04:50:05,818 --> 04:50:08,855 OF NURSING IN THE DAKOTAS, AND 8188 04:50:08,855 --> 04:50:11,591 THAT DOES A LOT OF AMAZING NURSE 8189 04:50:11,591 --> 04:50:14,193 WORK. 8190 04:50:14,193 --> 04:50:17,497 AS NURSE FACULTY OR RESEARCHERS 8191 04:50:17,497 --> 04:50:23,169 WITH -- IN TRIBAL COMMUNITIES. 8192 04:50:23,169 --> 04:50:24,170 SO WHAT WE'RE TALKING ABOUT HERE 8193 04:50:24,170 --> 04:50:25,672 COULD BE A WAY TO REACH SOME OF 8194 04:50:25,672 --> 04:50:29,075 THESE POPULATIONS IN NEW AND 8195 04:50:29,075 --> 04:50:32,011 MORE EFFECTIVE WAYS IN RURAL 8196 04:50:32,011 --> 04:50:33,212 AREAS AND WITH INDIGENOUS 8197 04:50:33,212 --> 04:50:36,049 COMMUNITIES, ET CETERA. 8198 04:50:36,049 --> 04:50:38,718 I LOVE THE IDEA, IT'S GOING TO 8199 04:50:38,718 --> 04:50:40,420 TAKE A DIFFERENT WAY OF THINKING 8200 04:50:40,420 --> 04:50:44,791 AND REACHING FOLKS AND GIVING 8201 04:50:44,791 --> 04:50:47,627 THEM WHAT THEY NEED TO GET THE 8202 04:50:47,627 --> 04:50:49,128 RESOURCES, NOT NECESSARILY TO DO 8203 04:50:49,128 --> 04:50:50,229 SOME OF THE WORK BECAUSE THEY'RE 8204 04:50:50,229 --> 04:50:51,664 GOING TO KNOW HOW TO DO THAT 8205 04:50:51,664 --> 04:51:00,173 BETTER THAN WE ARE, RIGHT? 8206 04:51:00,173 --> 04:51:01,708 BUT IT'S EXCITING, THE IDEA IS 8207 04:51:01,708 --> 04:51:02,675 EXCITING AND IT GOES BACK TO 8208 04:51:02,675 --> 04:51:04,344 WHAT YOU WERE TALKING ABOUT, 8209 04:51:04,344 --> 04:51:07,113 VINCENT, IN TERMS OF REACHING 8210 04:51:07,113 --> 04:51:09,549 SOME OF THESE POPULATIONS, 8211 04:51:09,549 --> 04:51:10,750 WORKING WITH THESE POPULATIONS 8212 04:51:10,750 --> 04:51:11,484 IN DIFFERENT WAYS. 8213 04:51:11,484 --> 04:51:18,558 I LIKE IT. 8214 04:51:18,558 --> 04:51:21,294 >> YOU ACTUALLY GOT TO A COMMENT 8215 04:51:21,294 --> 04:51:22,061 I WAS INTERESTED IN. 8216 04:51:22,061 --> 04:51:23,563 WHAT IS HAPPENING NOW IN TERMS 8217 04:51:23,563 --> 04:51:24,998 OF LEADERSHIP DEVELOPMENT OF 8218 04:51:24,998 --> 04:51:26,299 THOSE WHO HAVEN'T BEEN FUNDED? 8219 04:51:26,299 --> 04:51:28,735 I'M TRYING TO THINK OF AN 8220 04:51:28,735 --> 04:51:29,902 INSTITUTION THAT IS NOT USED TO 8221 04:51:29,902 --> 04:51:32,638 HAVING THIS TYPE OF FUNDING, 8222 04:51:32,638 --> 04:51:33,840 THEN THEY GET THIS TYPE OF 8223 04:51:33,840 --> 04:51:34,941 FUNDING AND IT'S VERY TEMPTING 8224 04:51:34,941 --> 04:51:39,312 TO USE IT FOR OTHER PURPOSES. 8225 04:51:39,312 --> 04:51:41,147 SO ESPECIALLY NOW, I MEAN, WE 8226 04:51:41,147 --> 04:51:44,550 HAVE MORE MONEY THAN OUR 8227 04:51:44,550 --> 04:51:45,084 INSTITUTION. 8228 04:51:45,084 --> 04:51:46,619 THEY SEE OUR BUDGETS. 8229 04:51:46,619 --> 04:51:50,556 SO WHAT KIND OF TRAINING IS 8230 04:51:50,556 --> 04:51:52,025 BEING DONE, WHAT KIND OF 8231 04:51:52,025 --> 04:51:52,658 LEADERSHIP DEVELOPMENT? 8232 04:51:52,658 --> 04:51:54,594 >> SO I NEED A LITTLE BIT OF 8233 04:51:54,594 --> 04:51:55,495 CLARIFICATION, BECAUSE I HEARD A 8234 04:51:55,495 --> 04:51:58,798 COUPLE OF QUESTIONS IN THERE. 8235 04:51:58,798 --> 04:52:00,133 ONE BEING WHAT TYPE OF OVERSIGHT 8236 04:52:00,133 --> 04:52:00,967 IS THERE TO MAKE SURE THAT 8237 04:52:00,967 --> 04:52:02,502 PEOPLE ACTUALLY USE FUNDING FOR 8238 04:52:02,502 --> 04:52:05,338 WHAT THEY'RE SUPPOSED TO USE IT 8239 04:52:05,338 --> 04:52:06,439 FOR, AND -- 8240 04:52:06,439 --> 04:52:08,708 >> IT'S MORE HELPING THE 8241 04:52:08,708 --> 04:52:09,709 INDIVIDUAL LEAD THE PROJECT OR 8242 04:52:09,709 --> 04:52:11,110 LEAD THE EFFORT WITHIN THEIR OWN 8243 04:52:11,110 --> 04:52:11,677 INSTITUTION. 8244 04:52:11,677 --> 04:52:17,250 >> SO WHAT I CAN SAY IS WHAT'S 8245 04:52:17,250 --> 04:52:24,123 BEEN DONE IN PREVIOUS EFFORTS 8246 04:52:24,123 --> 04:52:25,425 IN -- I'M NOT SAYING WE WOULD DO 8247 04:52:25,425 --> 04:52:26,726 ALL OF THESE OR THAT THIS 8248 04:52:26,726 --> 04:52:27,927 NECESSARILY WOULD BE PART OF IT, 8249 04:52:27,927 --> 04:52:29,829 IT'S JUST AN EXAMPLE OF WHAT HAS 8250 04:52:29,829 --> 04:52:32,098 BEEN DONE. 8251 04:52:32,098 --> 04:52:33,499 ONE OF THE THINGS THAT WAS DONE 8252 04:52:33,499 --> 04:52:35,468 IN THE PAST WAS THAT THERE WAS 8253 04:52:35,468 --> 04:52:37,670 AN ANNUAL MEETING WHERE ALL OF 8254 04:52:37,670 --> 04:52:41,274 THE CENTER DIRECTORS CAME 8255 04:52:41,274 --> 04:52:42,375 TOGETHER, THEY LEARNED FROM ONE 8256 04:52:42,375 --> 04:52:42,708 ANOTHER. 8257 04:52:42,708 --> 04:52:44,210 OVER TIME THAT GOT EXPANDED SO 8258 04:52:44,210 --> 04:52:45,745 THAT THE INVESTIGATORS, THE 8259 04:52:45,745 --> 04:52:49,248 PILOT INVESTIGATORS WOULD 8260 04:52:49,248 --> 04:52:50,683 PRESENT THEIR STUDIES, WOULD 8261 04:52:50,683 --> 04:52:52,085 LEARN FROM PEOPLE FROM OTHER 8262 04:52:52,085 --> 04:52:53,086 CENTERS, WOULD LEARN FROM THEIR 8263 04:52:53,086 --> 04:52:54,720 COLLEAGUES, WOULD FIND 8264 04:52:54,720 --> 04:52:57,990 OPPORTUNITIES TO COLLABORATE 8265 04:52:57,990 --> 04:52:58,324 THERE. 8266 04:52:58,324 --> 04:53:00,760 IN THE PAST, CENTERS HAVE ALL 8267 04:53:00,760 --> 04:53:04,897 HAD SCIENTIFIC ADVISORY COUNCILS 8268 04:53:04,897 --> 04:53:06,099 AND MANY OF THEM DID HAVE 8269 04:53:06,099 --> 04:53:09,702 COMMUNITY ADVISORY GROUPS OR 8270 04:53:09,702 --> 04:53:10,870 COUNCILS, BUT THOSE SCIENTIFIC 8271 04:53:10,870 --> 04:53:11,904 AND ADVISORY COUNCILS WERE VERY 8272 04:53:11,904 --> 04:53:13,106 IMPORTANT TO LEARN FROM PEOPLE 8273 04:53:13,106 --> 04:53:16,709 WHO HAD DONE OTHER SIMILAR TYPES 8274 04:53:16,709 --> 04:53:17,376 OF PROJECTS. 8275 04:53:17,376 --> 04:53:19,645 THEY MIGHT NOT HAVE HAD AN 8276 04:53:19,645 --> 04:53:20,646 NINR-FUNDED CENTER, THEY MIGHT 8277 04:53:20,646 --> 04:53:26,652 HAVE HAD SOME OTHER TYPE OF 8278 04:53:26,652 --> 04:53:27,854 CENTER, BUT BRINGING IN THAT 8279 04:53:27,854 --> 04:53:28,521 EXPERTISE FROM THE VERY 8280 04:53:28,521 --> 04:53:29,622 BEGINNING SO THEY HAVE A GROUP 8281 04:53:29,622 --> 04:53:31,257 TO GO TO AND SAY, HEY, WE DON'T 8282 04:53:31,257 --> 04:53:32,458 KNOW HOW TO DO THIS. 8283 04:53:32,458 --> 04:53:33,893 WE PROPOSED IT, IT SOUNDS REALLY 8284 04:53:33,893 --> 04:53:36,062 GOOD, BUT NOW HOW DO WE 8285 04:53:36,062 --> 04:53:41,767 OPERATIONALIZE THAT? 8286 04:53:41,767 --> 04:53:43,402 >> JUST TO FURTHER EXPAND ON 8287 04:53:43,402 --> 04:53:44,604 THAT, THE EXPERIENCE I'VE HAD IN 8288 04:53:44,604 --> 04:53:45,905 THOSE TYPES OF MEETINGS ARE 8289 04:53:45,905 --> 04:53:46,906 REALLY FOCUSED ON THE SCIENCE, 8290 04:53:46,906 --> 04:53:47,974 WHICH IS GREAT, ABOUT 8291 04:53:47,974 --> 04:53:49,642 IMPLEMENTATION AND WHATNOT. 8292 04:53:49,642 --> 04:53:53,579 IT LESS SO ABOUT HOW DO I MANAGE 8293 04:53:53,579 --> 04:53:54,780 THIS CENTER IN MY INSTITUTION. 8294 04:53:54,780 --> 04:53:55,882 SO JUST ENCOURAGING YOU TO HAVE 8295 04:53:55,882 --> 04:53:57,083 A LITTLE BIT MORE DISCUSSION 8296 04:53:57,083 --> 04:53:57,750 ABOUT THAT. 8297 04:53:57,750 --> 04:54:00,019 >> YES, THANK YOU. 8298 04:54:00,019 --> 04:54:01,787 I CAN TELL YOU THAT WAS 8299 04:54:01,787 --> 04:54:03,089 CERTAINLY SOMETHING THAT WE SAW 8300 04:54:03,089 --> 04:54:08,127 OVER TIME, AND IN THE MORE 8301 04:54:08,127 --> 04:54:09,128 RECENT ITERATION OF CENTERS, 8302 04:54:09,128 --> 04:54:11,164 THERE WAS A LOT MORE BUILT IN 8303 04:54:11,164 --> 04:54:13,666 LOOKING AT EVALUATION CRITERIA 8304 04:54:13,666 --> 04:54:15,635 AND HOW DO YOU DO SOME OF THOSE 8305 04:54:15,635 --> 04:54:16,068 OPERATIONAL PIECES. 8306 04:54:16,068 --> 04:54:17,370 BUT YOU'RE ABSOLUTELY CORRECT, 8307 04:54:17,370 --> 04:54:19,138 THAT IS SOMETHING THAT MOST 8308 04:54:19,138 --> 04:54:28,781 DEFINITELY NEEDS ATTENTION. 8309 04:54:28,781 --> 04:54:30,850 >> I TOO WANT TO ECHO HOW 8310 04:54:30,850 --> 04:54:32,318 EXCITED I WAS TO HEAR ABOUT THE 8311 04:54:32,318 --> 04:54:33,352 CONCEPT AND I SUPPORT WHAT 8312 04:54:33,352 --> 04:54:34,020 YOU'VE LAID OUT. 8313 04:54:34,020 --> 04:54:35,521 THERE ARE TWO THINGS I WANTED TO 8314 04:54:35,521 --> 04:54:37,723 RAISE, COMING FROM AN HBCU 8315 04:54:37,723 --> 04:54:40,126 MYSELF, WE'RE ALWAYS THINKING 8316 04:54:40,126 --> 04:54:41,761 ABOUT THE POWER DYNAMICS BETWEEN 8317 04:54:41,761 --> 04:54:45,264 OUR HBCUs AND OTHER 8318 04:54:45,264 --> 04:54:46,899 INSTITUTIONS, AND FOR I THINK 8319 04:54:46,899 --> 04:54:48,100 LEGITIMATE REASONS. 8320 04:54:48,100 --> 04:54:49,302 HISTORICAL MISTREATMENT FROM 8321 04:54:49,302 --> 04:54:50,670 MAYBE OTHER INSTITUTIONS, THAT'S 8322 04:54:50,670 --> 04:54:51,938 SOMETHING TO KEEP IN MIND AS 8323 04:54:51,938 --> 04:54:52,705 YOU'RE BUILDING THIS OUT AND 8324 04:54:52,705 --> 04:54:55,208 THEN THE POWER DYNAMICS BETWEEN 8325 04:54:55,208 --> 04:54:55,975 THESE INSTITUTIONS. 8326 04:54:55,975 --> 04:54:57,843 SO I APPLAUD THE EFFORT TO TALK 8327 04:54:57,843 --> 04:54:59,812 ABOUT RECIPROCITY AND RECIPROCAL 8328 04:54:59,812 --> 04:55:01,247 AND WHATNOT, BUT THOSE THINGS 8329 04:55:01,247 --> 04:55:03,849 NEED TO BE VERY CAREFULLY 8330 04:55:03,849 --> 04:55:06,485 THOUGHT ABOUT TO MAKE SURE THAT 8331 04:55:06,485 --> 04:55:07,687 HBCUs, TRIBAL COLLEGES AND 8332 04:55:07,687 --> 04:55:10,122 OTHERS BELIEVE THAT THEY ARE 8333 04:55:10,122 --> 04:55:11,524 RUNNING THIS, BECAUSE A LOT OF 8334 04:55:11,524 --> 04:55:13,259 TIMES FOLKS SAY, OH, NO, WE'LL 8335 04:55:13,259 --> 04:55:14,026 COME AND HELP YOU. 8336 04:55:14,026 --> 04:55:14,794 WE DON'T NEED HELP. 8337 04:55:14,794 --> 04:55:16,762 WE KNOW HEALTH EQUITY RESEARCH. 8338 04:55:16,762 --> 04:55:19,398 BUT WHAT WE NEED ARE THE 8339 04:55:19,398 --> 04:55:20,399 RESOURCES, AND WE WANT TO WORK 8340 04:55:20,399 --> 04:55:20,933 WITH OTHER FOLKS. 8341 04:55:20,933 --> 04:55:24,103 SO I THINK THAT NEEDS TO BE 8342 04:55:24,103 --> 04:55:24,437 CONSIDERED -- 8343 04:55:24,437 --> 04:55:26,739 >> IT'S A FANTASTIC POINT, AND 8344 04:55:26,739 --> 04:55:28,040 ABSOLUTELY WE HAVE HAD MANY, 8345 04:55:28,040 --> 04:55:31,978 MANY DISCUSSIONS ON HOW 8346 04:55:31,978 --> 04:55:34,280 DIFFERENT WAYS WE MAY BE ABLE TO 8347 04:55:34,280 --> 04:55:36,682 OPERATIONALIZE THIS. 8348 04:55:36,682 --> 04:55:38,551 AS ALL OF YOU HAVE BROUGHT TO 8349 04:55:38,551 --> 04:55:42,088 LIGHT, THERE ARE MANY -- THIS IS 8350 04:55:42,088 --> 04:55:44,023 NOT AN EASY ENDEAVOR, IT'S A 8351 04:55:44,023 --> 04:55:45,558 COMPLEX ENDEAVOR AND WE'RE VERY 8352 04:55:45,558 --> 04:55:47,293 WELL AWARE OF THAT. 8353 04:55:47,293 --> 04:55:48,160 AND WE APPRECIATE THE POINTS 8354 04:55:48,160 --> 04:55:50,129 THAT YOU BROUGHT FORWARD JUST 8355 04:55:50,129 --> 04:55:52,832 BECAUSE IT HELPS CEMENT IN OUR 8356 04:55:52,832 --> 04:55:54,166 MIND SOME OF THE THINGS THAT WE 8357 04:55:54,166 --> 04:55:59,538 HAVE ALREADY DISCUSSED BUT NODED 8358 04:55:59,538 --> 04:56:00,806 TO GO BACK AND REVISIT. 8359 04:56:00,806 --> 04:56:02,341 AS I SAID, IT'S A COMPLEX 8360 04:56:02,341 --> 04:56:03,542 ENDEAVOR BUT IT'S ONE WE THINK 8361 04:56:03,542 --> 04:56:10,116 IS VERY WORTHWHILE. 8362 04:56:10,116 --> 04:56:11,984 >> HELLO, YES, CAN YOU HEAR ME 8363 04:56:11,984 --> 04:56:15,821 OKAY? 8364 04:56:15,821 --> 04:56:16,355 >> YES. 8365 04:56:16,355 --> 04:56:19,191 >> THANK YOU, GREAT. 8366 04:56:19,191 --> 04:56:20,826 GOOD MORNING -- SORRY -- 8367 04:56:20,826 --> 04:56:21,260 AFTERNOON. 8368 04:56:21,260 --> 04:56:22,028 SORRY. 8369 04:56:22,028 --> 04:56:24,430 I AM IN TOKYO AT THE MOMENT, SO 8370 04:56:24,430 --> 04:56:25,531 IT'S A LITTLE BIT OF A TIME 8371 04:56:25,531 --> 04:56:27,733 SHIFT FOR ME COMING TO YOU FROM 8372 04:56:27,733 --> 04:56:31,103 YOUR FUTURE, BUT I JUST WANTED 8373 04:56:31,103 --> 04:56:32,872 TO SAY THIS WAS A TREMENDOUS 8374 04:56:32,872 --> 04:56:33,973 EFFORT, AND I'D LIKE TO PROFFER, 8375 04:56:33,973 --> 04:56:36,375 IF I COULD, AN EXAMPLE THAT THE 8376 04:56:36,375 --> 04:56:39,211 DOD EMPLOYS. 8377 04:56:39,211 --> 04:56:40,846 MANY OF YOU HAVE PROBABLY HEARD 8378 04:56:40,846 --> 04:56:42,682 OF TRI-SERVICE NURSING PROGRAM, 8379 04:56:42,682 --> 04:56:44,116 WHICH IS A GRANT FUNDING AGENCY 8380 04:56:44,116 --> 04:56:50,489 THAT SUPPORTS NURSE-LED SCIENCE. 8381 04:56:50,489 --> 04:56:51,324 AND THAT'S ONE OF THE THINGS 8382 04:56:51,324 --> 04:56:52,558 WE'RE DOING IS WE'RE OUT IN THE 8383 04:56:52,558 --> 04:56:56,495 FIELD THIS MONTH SPREADING WORD 8384 04:56:56,495 --> 04:56:57,897 ABOUT THAT PROGRAM AND DOING 8385 04:56:57,897 --> 04:57:01,200 SOME EBP COURSES. 8386 04:57:01,200 --> 04:57:02,935 TWO POINTS I WANTED TO ADDRESS 8387 04:57:02,935 --> 04:57:07,640 IS, ONE, ENSURING THAT FUNDS FOR 8388 04:57:07,640 --> 04:57:12,678 A PARTICULAR RESEARCH PROJECT OR 8389 04:57:12,678 --> 04:57:13,779 USED FOR THAT PROJECT OF COURSE 8390 04:57:13,779 --> 04:57:16,749 WOULD BE A FUNCTION OF THE CALL 8391 04:57:16,749 --> 04:57:17,750 AND NEGOTIATING THE AWARD, BUT 8392 04:57:17,750 --> 04:57:19,785 ONE OF THE THINGS THE 8393 04:57:19,785 --> 04:57:20,686 TRI-SERVICE NURSING RESEARCH 8394 04:57:20,686 --> 04:57:22,188 PROGRAM DOES TO SUPPORT SOLID 8395 04:57:22,188 --> 04:57:22,988 COMPETITIVE APPLICATIONS IS THAT 8396 04:57:22,988 --> 04:57:24,390 WE OFFER A LOT OF TRAINING WITH 8397 04:57:24,390 --> 04:57:24,590 THAT. 8398 04:57:24,590 --> 04:57:26,559 SO YOU MAY CONSIDER AS A 8399 04:57:26,559 --> 04:57:29,095 FUNCTION OF HAVING THESE AWARDS 8400 04:57:29,095 --> 04:57:31,931 AND A CALL TO HISTORICALLY 8401 04:57:31,931 --> 04:57:33,432 DISADVANTAGED INSTITUTIONS IS 8402 04:57:33,432 --> 04:57:35,735 OFFERING A TRAINING PROGRAM. 8403 04:57:35,735 --> 04:57:37,937 ONE OF THE THINGS THAT 8404 04:57:37,937 --> 04:57:40,339 TRI-SERVICE OFFERS IS A 8405 04:57:40,339 --> 04:57:41,207 GRANT-WRITING -- WE CALL IT 8406 04:57:41,207 --> 04:57:45,044 GRANT CAMP, RIGHT, AND IT IS A 8407 04:57:45,044 --> 04:57:47,613 PROGRAM TO -- ATE WEEK-LONG 8408 04:57:47,613 --> 04:57:50,950 MENTORED PROGRAM WHERE WE HAVE 8409 04:57:50,950 --> 04:57:53,018 EXPERIENCED NURSE SCIENTISTS 8410 04:57:53,018 --> 04:57:57,189 HISTORICALLY HAVE INTERACTED, 8411 04:57:57,189 --> 04:57:58,924 AND THEY ONE-ON-ONE MENTOR 8412 04:57:58,924 --> 04:58:01,127 INDIVIDUALS ON DEVELOPMENT OF A 8413 04:58:01,127 --> 04:58:02,361 SOLID GRANT APPLICATION, ALL OF 8414 04:58:02,361 --> 04:58:04,964 THE THINGS THAT NEED TO GO IN 8415 04:58:04,964 --> 04:58:07,500 THAT, SO IT'S A LITTLE BIT OF A 8416 04:58:07,500 --> 04:58:08,367 DIDACTIC, A LITTLE BIT OF TALK 8417 04:58:08,367 --> 04:58:10,336 TO THE GROUP AND A LITTLE BIT OF 8418 04:58:10,336 --> 04:58:11,537 ONE-ON-ONE MENTORING FOR THEM TO 8419 04:58:11,537 --> 04:58:12,738 HELP DEVELOP A SOLID APPLICATION 8420 04:58:12,738 --> 04:58:15,374 AND THEN THOSE APPLICATIONS WERE 8421 04:58:15,374 --> 04:58:16,375 COMPETED IN THE NEXT ROUND OF 8422 04:58:16,375 --> 04:58:19,345 FUNDING. 8423 04:58:19,345 --> 04:58:22,014 ANOTHER THING THAT'S IMPORTANT 8424 04:58:22,014 --> 04:58:22,848 PARTICULARLY WHEN YOU TALK ABOUT 8425 04:58:22,848 --> 04:58:26,552 NEW GRANTEES, WE HAVE A POST 8426 04:58:26,552 --> 04:58:30,389 AWARD COURSE THAT IS USED FOR 8427 04:58:30,389 --> 04:58:31,590 PARTICULARLY FIRST-TIME 8428 04:58:31,590 --> 04:58:34,693 APPLICANTS WHO ARE AWARDED 8429 04:58:34,693 --> 04:58:38,497 FUNDING COME TO THIS, IT'S A 8430 04:58:38,497 --> 04:58:39,398 REQUISITE OF THE FUNDING, THEY 8431 04:58:39,398 --> 04:58:40,800 COME TO THE POST AWARD TRAINING 8432 04:58:40,800 --> 04:58:42,001 AND THEY LEARN HOW TO DO ALL OF 8433 04:58:42,001 --> 04:58:44,103 THEIR REGULAR REPORTS AND HOW TO 8434 04:58:44,103 --> 04:58:46,405 MANAGE THE GRANT AND ANOTHER 8435 04:58:46,405 --> 04:58:50,242 COMPONENT WE HAVE OF COURSE IS A 8436 04:58:50,242 --> 04:58:51,310 RESOURCE CENTER WHERE WE CAN 8437 04:58:51,310 --> 04:58:53,179 BRING OTHER EXPERTISE, 8438 04:58:53,179 --> 04:58:57,249 STATISTICIANS AND THINGS THAT 8439 04:58:57,249 --> 04:58:58,117 OTHER MILITARY TREATMENT 8440 04:58:58,117 --> 04:58:59,985 FACILITIES MAY LACK THAT NURSES 8441 04:58:59,985 --> 04:59:02,154 WHO ARE WANTING TO DO SOME 8442 04:59:02,154 --> 04:59:04,023 SCIENCE CAN GET AFTER IT WITH 8443 04:59:04,023 --> 04:59:07,293 SOME OF THESE RESOURCES. 8444 04:59:07,293 --> 04:59:09,161 SO I THINK IT IMMINENTLY DOABLE. 8445 04:59:09,161 --> 04:59:11,464 I DON'T KNOW HOW IT AFFECTS THE 8446 04:59:11,464 --> 04:59:13,332 ULTIMATE AMOUNT OF THE AWARD. 8447 04:59:13,332 --> 04:59:14,633 THE CONCEPT IS FABULOUS, AND 8448 04:59:14,633 --> 04:59:15,968 THINK YOU CAN EMPLOY SOME OF 8449 04:59:15,968 --> 04:59:17,503 THOSE METHODS TO HELP EXTEND 8450 04:59:17,503 --> 04:59:17,703 THAT. 8451 04:59:17,703 --> 04:59:23,309 THANK YOU. 8452 04:59:23,309 --> 04:59:25,911 >> SO I'M GOING TO RESPOND TO 8453 04:59:25,911 --> 04:59:26,245 YOUR COMMENT. 8454 04:59:26,245 --> 04:59:27,580 SO I DON'T DISAGREE WITH YOU. 8455 04:59:27,580 --> 04:59:28,647 I THINK THE THING THAT I WAS 8456 04:59:28,647 --> 04:59:31,484 TRYING TO ARTICULATE, THAT I 8457 04:59:31,484 --> 04:59:36,422 THINK IT VERY COMPLICATED. 8458 04:59:36,422 --> 04:59:39,492 SO IN TERMS OF YOUR EXAMPLE, I 8459 04:59:39,492 --> 04:59:42,561 NO WAY AM SAYING THAT 8460 04:59:42,561 --> 04:59:46,732 INSTITUTIONS THAT FOR REASONS 8461 04:59:46,732 --> 04:59:48,367 THAT ARE COMPLEX WHO HAVE NOT 8462 04:59:48,367 --> 04:59:52,404 GOTTEN FUNDING ARE NOT WELL 8463 04:59:52,404 --> 04:59:53,372 PREPARED TO ACTUALLY DO THAT 8464 04:59:53,372 --> 04:59:53,939 RESEARCH. 8465 04:59:53,939 --> 04:59:54,707 WHAT I HEARD AT THE START OF 8466 04:59:54,707 --> 04:59:56,242 THIS CONVERSATION IS THAT THERE 8467 04:59:56,242 --> 04:59:59,411 ARE 144 SCHOOLS OF NURSING, NOT 8468 04:59:59,411 --> 05:00:01,280 HBCUs OR HSIs BUT SCHOOLS OF 8469 05:00:01,280 --> 05:00:01,747 NURSING. 8470 05:00:01,747 --> 05:00:05,117 THE VAST MAJORITY OF THOSE 8471 05:00:05,117 --> 05:00:07,753 SCHOOLS ARE ACTUALLY NOT SCHOOLS 8472 05:00:07,753 --> 05:00:09,021 THAT ARE SPECIFICALLY TARGETING 8473 05:00:09,021 --> 05:00:10,055 COMMUNITY OF COLOR. 8474 05:00:10,055 --> 05:00:10,923 THEY'RE THE SCHOOLS OF NURSING. 8475 05:00:10,923 --> 05:00:14,860 AND IN NURSING, WE'VE HAD SOME 8476 05:00:14,860 --> 05:00:16,829 CHALLENGES THAT WE AS A 8477 05:00:16,829 --> 05:00:18,397 PROFESSION HAVE TO TALK ABOUT. 8478 05:00:18,397 --> 05:00:20,366 WE HAVE A SHORTAGE OF PH.D.s 8479 05:00:20,366 --> 05:00:21,667 THAT ARE GOING INTO THE 8480 05:00:21,667 --> 05:00:23,669 PROFESSION, WE HAVE MANY SENIOR 8481 05:00:23,669 --> 05:00:27,473 NURSE SCIENTISTS RETIRING. 8482 05:00:27,473 --> 05:00:31,544 WE HAVE A LOT OF -- AGAIN THESE 8483 05:00:31,544 --> 05:00:33,078 ARE MY THOUGHTS SO I TAKE 8484 05:00:33,078 --> 05:00:33,646 RESPONSIBILITY FOR THEM. 8485 05:00:33,646 --> 05:00:38,117 WE HAVE A LOT OF EMPHASIS ON 8486 05:00:38,117 --> 05:00:39,752 TRYING TO WALK A FINE LINE 8487 05:00:39,752 --> 05:00:43,389 BETWEEN ENSURING THAT WE'RE 8488 05:00:43,389 --> 05:00:45,024 BEING FLEXIBLE IN HOW WE DELIVER 8489 05:00:45,024 --> 05:00:46,125 OUR PH.D. EDUCATION AND ALSO 8490 05:00:46,125 --> 05:00:47,893 TRYING TO MAINTAIN RIGOR, AND 8491 05:00:47,893 --> 05:00:49,962 THAT TENSION IS PALPABLE. 8492 05:00:49,962 --> 05:00:55,534 REVIEW COMMITTEES, IT'S NOT 8493 05:00:55,534 --> 05:00:56,802 UNUSUAL FOR COMMENTS TO COME UP, 8494 05:00:56,802 --> 05:00:58,370 WELL, THIS IS TOO 8495 05:00:58,370 --> 05:00:59,939 METHODOLOGICALLY RIGOROUS OR TOO 8496 05:00:59,939 --> 05:01:00,906 AMBITIOUS OR BLAH, BLAH, BLAH. 8497 05:01:00,906 --> 05:01:02,675 SO I THINK THAT WHAT I'M REALLY 8498 05:01:02,675 --> 05:01:06,045 GETTING AT IS THAT WE NEED TO 8499 05:01:06,045 --> 05:01:07,546 UNDERSTAND, WHY ARE THE MAJORITY 8500 05:01:07,546 --> 05:01:11,450 OF THE SCHOOLS OF NURSING NOT 8501 05:01:11,450 --> 05:01:13,519 GETTING FUNDED, AND WE'VE GOT 8502 05:01:13,519 --> 05:01:14,620 SOME WORK TO DO AND I THINK 8503 05:01:14,620 --> 05:01:15,654 THERE'S A GREAT OPPORTUNITY -- I 8504 05:01:15,654 --> 05:01:16,822 LOVE THE CONCEPT, BUT I THINK 8505 05:01:16,822 --> 05:01:20,626 IT'S NOT THE CASE THAT I'M 8506 05:01:20,626 --> 05:01:25,130 SUGGESTING SOME OF WHAT I 8507 05:01:25,130 --> 05:01:26,465 THOUGHT YOU MIGHT HAVE BEEN 8508 05:01:26,465 --> 05:01:27,633 SAYING, I'M NOT CERTAIN, BUT 8509 05:01:27,633 --> 05:01:28,867 IT'S NOT ABOUT SCHOOLS THAT 8510 05:01:28,867 --> 05:01:30,703 REPRESENT UNDERSERVED AND 8511 05:01:30,703 --> 05:01:32,004 ETHNICALLY AND RACIALLY DIVERSE 8512 05:01:32,004 --> 05:01:33,238 POPULATIONS THAT HAVE NOT GOTTEN 8513 05:01:33,238 --> 05:01:35,874 FUNDING FOR REASONS THAT ARE 8514 05:01:35,874 --> 05:01:36,976 WELL ESTABLISHED, IT'S NOT ABOUT 8515 05:01:36,976 --> 05:01:37,443 THAT. 8516 05:01:37,443 --> 05:01:38,310 THERE'S A LARGER PROBLEM. 8517 05:01:38,310 --> 05:01:39,712 SO I JUST WANTED TO POINT THAT 8518 05:01:39,712 --> 05:01:40,813 OUT BECAUSE I THINK WE'VE GOT TO 8519 05:01:40,813 --> 05:01:46,118 WORK ON THAT. 8520 05:01:46,118 --> 05:01:46,952 >> THANK YOU ALL VERY MUCH FOR 8521 05:01:46,952 --> 05:01:47,519 YOUR COMMENTS. 8522 05:01:47,519 --> 05:01:48,687 YOU'VE GIVEN US A GREAT DEAL TO 8523 05:01:48,687 --> 05:01:51,557 ADD TO OUR LIST OF THINGS TO 8524 05:01:51,557 --> 05:01:51,790 ADDRESS. 8525 05:01:51,790 --> 05:01:53,792 THIS IS EXACTLY WHY WE WANT TO 8526 05:01:53,792 --> 05:01:55,527 BRING THIS TO YOU, THOUGH, WE'D 8527 05:01:55,527 --> 05:01:56,729 MUCH RATHER THINK ABOUT THESE 8528 05:01:56,729 --> 05:02:00,265 THINGS NOW AS WE'RE MOVING 8529 05:02:00,265 --> 05:02:01,900 FORWARD THAN LATER, SO THANK 8530 05:02:01,900 --> 05:02:03,002 YOU, AND THANK YOU VERY MUCH FOR 8531 05:02:03,002 --> 05:02:13,545 YOUR ENTHUSIASM FOR THE CONCEPT. 8532 05:02:13,746 --> 05:02:15,180 >> THANK YOU VERY MUCH, DR. KEHL 8533 05:02:15,180 --> 05:02:21,854 AND THE WHOLE CONCEPT TEAM, DRS. 8534 05:02:21,854 --> 05:02:25,224 TYUS AND -- SO HEY, IT'S 3:20. 8535 05:02:25,224 --> 05:02:26,225 WE ARE REACHING THE END. 8536 05:02:26,225 --> 05:02:29,628 I WANT TO THANK YOU, THOUGH, FOR 8537 05:02:29,628 --> 05:02:32,164 THE INSPIRATION, THE GUIDANCE, 8538 05:02:32,164 --> 05:02:33,799 FOR SHARING YOUR TIME WITH US 8539 05:02:33,799 --> 05:02:34,133 TODAY. 8540 05:02:34,133 --> 05:02:36,301 THIS WAS REALLY ENERGIZING FOR 8541 05:02:36,301 --> 05:02:38,737 ME AND I THINK FOR ALL OF US AT 8542 05:02:38,737 --> 05:02:43,108 NINR, AND WE APPRECIATE YOU 8543 05:02:43,108 --> 05:02:44,309 SHARING YOUR -- AGAIN, YOUR 8544 05:02:44,309 --> 05:02:45,911 EXPERTISE, YOUR EXPERIENCE WITH 8545 05:02:45,911 --> 05:02:49,682 US. 8546 05:02:49,682 --> 05:02:51,550 SO THIS SESSION, OPEN SESSION OF 8547 05:02:51,550 --> 05:02:53,285 COUNCIL, WE'RE GOING TO ADJOURN. 8548 05:02:53,285 --> 05:02:56,055 IT IS 3:21. 8549 05:02:56,055 --> 05:02:56,922 COUNCILMEMBERS, THOUGH, WE ARE 8550 05:02:56,922 --> 05:02:58,557 GOING TO MOVE INTO CLOSED 8551 05:02:58,557 --> 05:02:58,891 SESSION. 8552 05:02:58,891 --> 05:03:01,193 SO WE DO NEED TO TRANSITION A 8553 05:03:01,193 --> 05:03:03,295 LITTLE BIT, SO IF FOLKS CAN SIT 8554 05:03:03,295 --> 05:03:07,332 TIGHT WHILE THOSE WHO ARE 8555 05:03:07,332 --> 05:03:09,101 EXITING CAN LEAVE THE ROOM AND 8556 05:03:09,101 --> 05:03:10,936 THEN WE'LL GET STARTED AGAIN. 8557 05:03:10,936 --> 05:03:20,713 SO THANK YOU.