1 00:00:05,960 --> 00:00:10,320 >>I WANT TO WELCOME EVERYONE 2 00:00:10,320 --> 00:00:11,160 TO THE 141st MEETING OF THE 3 00:00:11,160 --> 00:00:12,960 NATIONAL ADVISORY COUNCIL ON 4 00:00:12,960 --> 00:00:13,400 DRUG ABUSE. 5 00:00:13,400 --> 00:00:14,640 THE GOVERNMENT IN THE SUNSHINE 6 00:00:14,640 --> 00:00:16,480 ACT AND FEDERAL ADVISORY 7 00:00:16,480 --> 00:00:18,000 COMMITTEE ACT REQUIRE AS MANY 8 00:00:18,000 --> 00:00:19,440 ADVISORY COMMITTEE MEETINGS AS 9 00:00:19,440 --> 00:00:21,640 POSSIBLE BE OPEN TO THE PUBLIC. 10 00:00:21,640 --> 00:00:23,240 THIS INCLUDES MEETINGS OF THE 11 00:00:23,240 --> 00:00:24,680 NATIONAL ADVISORY COUNCIL ON 12 00:00:24,680 --> 00:00:25,280 DRUG ABUSE. 13 00:00:25,280 --> 00:00:26,640 TODAY'S MEETING IS OPEN TO THE 14 00:00:26,640 --> 00:00:29,040 PUBLIC AND IS BEING VIDEOCAST 15 00:00:29,040 --> 00:00:29,600 AND RECORDED. 16 00:00:29,600 --> 00:00:31,120 MINUTES OF THE MEETING WILL BE 17 00:00:31,120 --> 00:00:33,000 AVAILABLE ON THE NIDA HOME PAGE 18 00:00:33,000 --> 00:00:34,520 AND RECORDINGS OF THE OPEN 19 00:00:34,520 --> 00:00:37,280 COUNCIL MEETING ARE POSTED ON 20 00:00:37,280 --> 00:00:40,880 THE NIH VIDEOCAST SITE. 21 00:00:40,880 --> 00:00:43,280 MEMBERS OF THE PUBLIC WHO WISH 22 00:00:43,280 --> 00:00:46,120 TO SUPPRESS VIEWS MAY WE DR. 23 00:00:46,120 --> 00:00:47,000 SUSAN WEISS, EXECUTIVE 24 00:00:47,000 --> 00:00:49,400 SECRETARY, WITHIN 10 DAYS OF THE 25 00:00:49,400 --> 00:00:49,800 MEETING. 26 00:00:49,800 --> 00:00:50,920 ANY WRITTEN STATEMENTS BY 27 00:00:50,920 --> 00:00:54,960 MEMBERS OF THE PUBLIC WILL 28 00:00:54,960 --> 00:01:00,080 RECEIVE CAREFUL CONSIDERATION. 29 00:01:00,080 --> 00:01:03,480 SO, NORA I KNOW WOULD WANT TO 30 00:01:03,480 --> 00:01:04,680 ACKNOWLEDGE DEPARTING COUNCIL 31 00:01:04,680 --> 00:01:06,000 MEMBERS WHO HAVE DONE A 32 00:01:06,000 --> 00:01:07,640 TREMENDOUS JOB IN CONTRIBUTIONS 33 00:01:07,640 --> 00:01:10,400 TO THINKING, TO OUR POLICIES, 34 00:01:10,400 --> 00:01:12,840 AND TO OUR PRIORITIES. 35 00:01:12,840 --> 00:01:14,600 GAIL D'ONOFRIO, WE SAW SOME OF 36 00:01:14,600 --> 00:01:17,680 THE FRUITS OF YOUR COMMENTS LAST 37 00:01:17,680 --> 00:01:18,560 TIME. 38 00:01:18,560 --> 00:01:22,720 CARLOS DEL RIO, WE REALLY 39 00:01:22,720 --> 00:01:23,600 APPRECIATE YOUR INVOLVEMENT, 40 00:01:23,600 --> 00:01:27,960 INCLUDING ON THE NIH ADDICTION 41 00:01:27,960 --> 00:01:29,960 RESEARCH COUNCIL, NIH AIDS 42 00:01:29,960 --> 00:01:32,080 OFFICE OF AIDS RESEARCH COUNCIL, 43 00:01:32,080 --> 00:01:38,000 WHICH WAS EXTREMELY HELPFUL. 44 00:01:38,000 --> 00:01:40,000 LAKSHMI DEVI, WE APPRECIATE YOUR 45 00:01:40,000 --> 00:01:45,040 INPUT AND CHRISTIAN HIDERIGHTER, 46 00:01:45,040 --> 00:01:46,560 HE WAS REPRESENTING PHARMA, AND 47 00:01:46,560 --> 00:01:49,280 THAT'S SOMETHING IMPORTANT AS WE 48 00:01:49,280 --> 00:01:50,840 HAVE A LARGE MEDICATIONS 49 00:01:50,840 --> 00:01:53,040 DEVELOPMENT PORTFOLIO AS YOU 50 00:01:53,040 --> 00:01:54,120 HEARD ABOUT EARLIER. 51 00:01:54,120 --> 00:02:01,120 I WILL ALSO WELCOME OUR NEW 52 00:02:01,120 --> 00:02:02,880 COUNCIL MEMBER, AMIT ETKIN, 53 00:02:02,880 --> 00:02:05,360 FOUNDER AND CEO OF ALTO 54 00:02:05,360 --> 00:02:10,080 NEUROSCIENCE, A CLINICAL STAGE 55 00:02:10,080 --> 00:02:10,640 PHARMACEUTICAL COMPANY, TO 56 00:02:10,640 --> 00:02:13,240 IMPROVE THE LIVES OF PEOPLE WITH 57 00:02:13,240 --> 00:02:14,440 MENTAL HEALTH CONDITIONS. 58 00:02:14,440 --> 00:02:16,680 AMIT TRAINING AS A PSYCHIATRIST 59 00:02:16,680 --> 00:02:19,040 AND NEUROSCIENTIST, AS A 60 00:02:19,040 --> 00:02:20,680 PROFESSOR AT STANFORD STUDIED 61 00:02:20,680 --> 00:02:21,600 NEUROBASIS OF EMOTIONAL 62 00:02:21,600 --> 00:02:22,880 DISORDERS AND THEIR TREATMENTS. 63 00:02:22,880 --> 00:02:25,280 THROUGHOUT HIS CAREER HE'S BEEN 64 00:02:25,280 --> 00:02:27,360 RECOGNIZED WITH NUMEROUS AWARDS 65 00:02:27,360 --> 00:02:31,000 INCLUDING THE NIH DIRECTOR'S 66 00:02:31,000 --> 00:02:34,240 PIONEER AWARD, AND RECEIVED HIS 67 00:02:34,240 --> 00:02:35,560 MD/PHD FROM COLUMBIA UNIVERSITY, 68 00:02:35,560 --> 00:02:37,440 COMPLETED A PSYCHIATRIC 69 00:02:37,440 --> 00:02:38,840 RESIDENCY AND POSTDOC AT 70 00:02:38,840 --> 00:02:39,760 STANFORD UNIVERSITY. 71 00:02:39,760 --> 00:02:41,320 WELCOME, WE'RE VERY HAPPY TO 72 00:02:41,320 --> 00:02:42,480 HAVE YOU ON BOARD. 73 00:02:42,480 --> 00:02:46,520 I'M LOOKING TO SEE IF HE'S 74 00:02:46,520 --> 00:02:47,160 VISIBLE. 75 00:02:47,160 --> 00:02:48,080 AH, THERE YOU ARE. 76 00:02:48,080 --> 00:02:49,040 I KEEP MISSING YOU. 77 00:02:49,040 --> 00:02:50,320 SORRY ABOUT THAT. 78 00:02:50,320 --> 00:02:51,760 WELCOME. 79 00:02:51,760 --> 00:02:53,400 WE'RE VERY GLAD TO HAVING YOU ON 80 00:02:53,400 --> 00:02:53,880 BOARD. 81 00:02:53,880 --> 00:02:54,640 >> LOOKING FORWARD TO 82 00:02:54,640 --> 00:02:55,440 CONTRIBUTING. 83 00:02:55,440 --> 00:02:55,720 >> GREAT. 84 00:02:55,720 --> 00:02:58,480 I'M GOING TO ASK FOR ANY 85 00:02:58,480 --> 00:03:00,800 COMMENTS OR CORRECTIONS TO THE 86 00:03:00,800 --> 00:03:01,400 MINUTES FROM THE FEBRUARY 22 87 00:03:01,400 --> 00:03:03,640 MEETING, A COPY OF THE MINUTES 88 00:03:03,640 --> 00:03:05,600 WAS IN THE ELECTRONIC COUNCIL 89 00:03:05,600 --> 00:03:06,040 BOOKS. 90 00:03:06,040 --> 00:03:11,960 SO ARE THERE ANY COMMENTS? 91 00:03:11,960 --> 00:03:14,240 AND IF NOT, I'M GOING TO ASK FOR 92 00:03:14,240 --> 00:03:23,240 A MOTION FOR APPROVAL OF THE 93 00:03:23,240 --> 00:03:23,840 MINUTES. 94 00:03:23,840 --> 00:03:25,200 AND SECOND. 95 00:03:25,200 --> 00:03:25,640 ALL APPROVE? 96 00:03:25,640 --> 00:03:27,080 ANY DISAPPROVE? 97 00:03:27,080 --> 00:03:29,160 MOTION IS CARRIED. 98 00:03:29,160 --> 00:03:29,680 OKAY. 99 00:03:29,680 --> 00:03:33,880 THE FUTURE COUNCIL DATES ARE 100 00:03:33,880 --> 00:03:36,920 SEPTEMBER 13, 2022, FOR THE NEXT 101 00:03:36,920 --> 00:03:38,440 NIDA ADVISORY COUNCIL. 102 00:03:38,440 --> 00:03:39,920 WE ARE STILL THINKING ABOUT 103 00:03:39,920 --> 00:03:42,760 WHETHER OR NOT THAT WILL BE DONE 104 00:03:42,760 --> 00:03:44,040 ALL VIRTUAL OR HYBRID, AND THIS 105 00:03:44,040 --> 00:03:45,360 IS SOMETHING WE'LL FOLLOW UP 106 00:03:45,360 --> 00:03:50,240 WITH YOU ON AFTER THIS MEETING. 107 00:03:50,240 --> 00:03:51,360 FEBRUARY 8, 2023. 108 00:03:51,360 --> 00:03:54,640 AND THEN THE NEXT NIDA AND CRAN 109 00:03:54,640 --> 00:03:58,440 COUNCIL WILL BE MAY 9 AND 10, 110 00:03:58,440 --> 00:03:58,640 2023. 111 00:03:58,640 --> 00:04:03,320 I WANT TO REMIND EVERYBODY 112 00:04:03,320 --> 00:04:05,800 TOMORROW IS THE CRAN COUNCIL 113 00:04:05,800 --> 00:04:06,480 WITH THE NATIONAL INSTITUTE ON 114 00:04:06,480 --> 00:04:09,640 DRUG ABUSE AND ALCOHOLISM AS 115 00:04:09,640 --> 00:04:17,160 WELL AS PART OF THE NCI, 116 00:04:17,160 --> 00:04:17,960 NATIONAL CANCER INSTITUTE 117 00:04:17,960 --> 00:04:19,280 COUNCIL, WITH TOBACCO AND 118 00:04:19,280 --> 00:04:20,040 POPULATION CONTROL, WE'LL GET AN 119 00:04:20,040 --> 00:04:21,560 UPDATE ON OUR ABCD STUDY 120 00:04:21,560 --> 00:04:22,480 TOMORROW. 121 00:04:22,480 --> 00:04:25,080 WHAT I WANTED TO TALK ABOUT WAS 122 00:04:25,080 --> 00:04:26,600 THE FUTURE OF NIDA METHOD TO 123 00:04:26,600 --> 00:04:28,720 EXTEND WE SEARCH IN TIME, OR 124 00:04:28,720 --> 00:04:29,480 MERIT AWARDS. 125 00:04:29,480 --> 00:04:32,000 AND THIS IS SOMETHING THAT WE'VE 126 00:04:32,000 --> 00:04:33,480 BEEN DISCUSSING INTERNALLY, WE 127 00:04:33,480 --> 00:04:35,520 WANTED TO BRING IT TO COUNCIL TO 128 00:04:35,520 --> 00:04:37,560 GET SOME INPUT AS TO HOW WE 129 00:04:37,560 --> 00:04:42,160 SHOULD THINK ABOUT IT GOING 130 00:04:42,160 --> 00:04:42,400 FORWARD. 131 00:04:42,400 --> 00:04:44,960 SO, THE PURPOSE OF THE MERIT 132 00:04:44,960 --> 00:04:47,880 AWARD IS TO GIVE IT TO 133 00:04:47,880 --> 00:04:50,320 INVESTIGATORS WHO DEMONSTRATED 134 00:04:50,320 --> 00:04:51,720 SUPERIOR COMPETENCY, OUTSTANDING 135 00:04:51,720 --> 00:04:53,800 PRODUCTIVITY DURING THEIR PRIOR 136 00:04:53,800 --> 00:04:55,320 RESEARCH, AND WITH OUR 137 00:04:55,320 --> 00:04:57,120 EXPECTATION THAT LEVEL OF 138 00:04:57,120 --> 00:04:58,840 PRODUCTIVITY AND EXCELLENCE IS 139 00:04:58,840 --> 00:04:59,960 GOING TO CONTINUE. 140 00:04:59,960 --> 00:05:02,160 IT ALLOWS THEM TO HAVE AN 141 00:05:02,160 --> 00:05:03,880 EXTENSION IN TIME OF THEIR GRANT 142 00:05:03,880 --> 00:05:07,120 AND THEREFORE IT WOULD MOVE SOME 143 00:05:07,120 --> 00:05:08,240 ADMINISTRATIVE BURDENS 144 00:05:08,240 --> 00:05:10,120 ASSOCIATED WITH PREPARATION AND 145 00:05:10,120 --> 00:05:12,000 SUBMISSION OF THE CONTINUATION 146 00:05:12,000 --> 00:05:12,960 RESEARCH APPLICATION. 147 00:05:12,960 --> 00:05:16,040 IT'S NOT AN AWARD THAT PEOPLE 148 00:05:16,040 --> 00:05:16,880 CAN APPLY FOR. 149 00:05:16,880 --> 00:05:18,160 IT'S SOMETHING THAT INSTITUTE 150 00:05:18,160 --> 00:05:20,280 STAFF NOMINATE CANDIDATES FOR. 151 00:05:20,280 --> 00:05:21,960 THESE NOMINATIONS ARE PRESENTED 152 00:05:21,960 --> 00:05:24,680 TO COUNCIL FOR CONSIDERATION, 153 00:05:24,680 --> 00:05:26,440 AND APPROVAL, APPROVAL VOTE, AND 154 00:05:26,440 --> 00:05:28,160 FINAL SELECTIONS ARE MADE BY 155 00:05:28,160 --> 00:05:29,440 INSTITUTE DIRECTOR. 156 00:05:29,440 --> 00:05:33,400 SO THE REQUIREMENTS FOR NIDA ARE 157 00:05:33,400 --> 00:05:40,600 THAT THE APPLICANT PREVIOUSLY 158 00:05:40,600 --> 00:05:46,760 SERVED AS P.I., RECORD OF 159 00:05:46,760 --> 00:05:49,040 SCIENTIFIC ACHIEVEMENTS AND 160 00:05:49,040 --> 00:05:49,600 PUBLICATIONS, EXISTING R01 161 00:05:49,600 --> 00:05:51,040 THAT'S SCORED IN THE 5th 162 00:05:51,040 --> 00:05:52,800 PERCENTILE OR BETTER IN ONE OF 163 00:05:52,800 --> 00:05:54,480 THE PAST TWO REVIEW CYCLES. 164 00:05:54,480 --> 00:05:57,480 A TIME COMMITMENT OF AT LEAST 165 00:05:57,480 --> 00:06:03,920 15% IS REQUIRED BY THE P.I. OF 166 00:06:03,920 --> 00:06:04,240 THE BRANCH. 167 00:06:04,240 --> 00:06:05,160 SO, OTHER INSTITUTES ARE 168 00:06:05,160 --> 00:06:07,040 THINKING ABOUT THE FUTURE OF 169 00:06:07,040 --> 00:06:08,360 MERIT AWARDS, SOME HAVE 170 00:06:08,360 --> 00:06:10,400 DISCONTINUED AWARDING ANY OF 171 00:06:10,400 --> 00:06:16,160 THESE SO THAT INCLUDES NHLBI, 172 00:06:16,160 --> 00:06:16,600 NIGMS, NEI, NIAMS. 173 00:06:16,600 --> 00:06:19,240 SOME OTHER INSTITUTES HAVE 174 00:06:19,240 --> 00:06:20,440 SIMILAR BUT SLIGHTLY DIFFERENT 175 00:06:20,440 --> 00:06:23,120 CRITERIA FOR WHO IS AWARDED, WHO 176 00:06:23,120 --> 00:06:25,600 RECEIVES A MERIT AWARD, BUT MOST 177 00:06:25,600 --> 00:06:27,880 OF THE INSTITUTES ARE GIVING 178 00:06:27,880 --> 00:06:29,280 THESE TO FAIRLY ESTABLISHED 179 00:06:29,280 --> 00:06:33,520 P.I.s, YOU CAN SEE FOR NIAA 180 00:06:33,520 --> 00:06:35,720 NIAAA IT HAS TO BE AT THE 181 00:06:35,720 --> 00:06:36,760 PROFESSOR LEVEL. 182 00:06:36,760 --> 00:06:39,160 NIMH ALSO REQUIRES SOMEBODY THAT 183 00:06:39,160 --> 00:06:44,600 HAS EVIDENCE OF A LONG RECORD OF 184 00:06:44,600 --> 00:06:46,400 INDEPENDENT RESEARCH SUPPORT, 185 00:06:46,400 --> 00:06:47,800 AND HIGH END PUBLICATION, HIGH 186 00:06:47,800 --> 00:06:49,840 PRIORITY JOURNAL, AT LEAST ONE 187 00:06:49,840 --> 00:06:52,600 PREVIOUS R01 PROJECT PERIOD OF 188 00:06:52,600 --> 00:06:54,440 SUPPORT FROM NIH. 189 00:06:54,440 --> 00:06:58,760 NINDS HAS THE JAVITS AWARD, 190 00:06:58,760 --> 00:07:03,280 SEVEN YEARS. 191 00:07:03,280 --> 00:07:05,080 OUR MERIT AWARDS ALLOW FOR 192 00:07:05,080 --> 00:07:06,480 SUPPORT UP TO TEN YEARS, 193 00:07:06,480 --> 00:07:10,120 DEPENDING WHEN IT'S GIVEN. 194 00:07:10,120 --> 00:07:11,960 THIS IS A SEVEN-YEAR AWARD AND 195 00:07:11,960 --> 00:07:15,160 CONSIDER MID-CAREER P.I.s BUT 196 00:07:15,160 --> 00:07:18,200 FOR THE MOST PART SENIOR LEVEL 197 00:07:18,200 --> 00:07:18,600 P.I.s. 198 00:07:18,600 --> 00:07:21,480 AND NIBIB, IMAGING AND 199 00:07:21,480 --> 00:07:23,200 BIOENGINEERING USES THE MERIT 200 00:07:23,200 --> 00:07:27,240 AWARD BUT RARELY, FOR ESTABLISH 201 00:07:27,240 --> 00:07:27,720 INVESTIGATORS. 202 00:07:27,720 --> 00:07:29,480 NIAID CONTINUES TO USE IT, NIA 203 00:07:29,480 --> 00:07:31,120 IS ALSO BRINGING THIS QUESTION 204 00:07:31,120 --> 00:07:34,760 TO THEIR COUNCIL SO THEY ARE 205 00:07:34,760 --> 00:07:37,160 ALSO SEEKING INPUT ON HOW TO GO 206 00:07:37,160 --> 00:07:37,400 FORWARD. 207 00:07:37,400 --> 00:07:38,720 NCI, WHAT I WANT TO HIGHLIGHT 208 00:07:38,720 --> 00:07:42,440 HERE, THEY HAVE A MERIT AWARD 209 00:07:42,440 --> 00:07:45,360 THAT PROVIDES LONGER-TERM GRANT 210 00:07:45,360 --> 00:07:51,400 SUPPORT, SEVEN YEARS, GEARED TO 211 00:07:51,400 --> 00:07:52,120 EARLY STAGE INVESTIGATORS, 212 00:07:52,120 --> 00:07:54,040 ORIGINAL AWARD FOR FIVE YEARS, 213 00:07:54,040 --> 00:07:54,840 ADMINISTRATIVE REVIEW, AND THEY 214 00:07:54,840 --> 00:07:58,640 CAN GET TWO MORE YEARS OF 215 00:07:58,640 --> 00:07:58,960 SUPPORT. 216 00:07:58,960 --> 00:08:03,040 SO THIS JUST SHOWS YOU THE 217 00:08:03,040 --> 00:08:06,600 NUMBER AND THE GENDER OF THE 218 00:08:06,600 --> 00:08:08,400 AWARDEES FROM NIDA, FROM 2002 TO 219 00:08:08,400 --> 00:08:08,680 2021. 220 00:08:08,680 --> 00:08:11,640 WE DON'T GIVE A HUGE NUMBER OF 221 00:08:11,640 --> 00:08:14,760 THESE AWARDS EACH YEAR, AS YOU 222 00:08:14,760 --> 00:08:15,280 CAN SEE. 223 00:08:15,280 --> 00:08:18,520 AND FOR THE MOST PART THEY HAVE 224 00:08:18,520 --> 00:08:19,320 BEEN TO MALES. 225 00:08:19,320 --> 00:08:22,600 AND THIS IS A BREAKDOWN BY THE 226 00:08:22,600 --> 00:08:23,720 DIVISIONS, NIDA DIVISIONS. 227 00:08:23,720 --> 00:08:25,880 SO THE DIVISION OF NEUROSCIENCE 228 00:08:25,880 --> 00:08:28,160 AND BEHAVIOR HAS GOTTEN MOST OF 229 00:08:28,160 --> 00:08:29,920 THESE AWARDS, ESPECIALLY IN 230 00:08:29,920 --> 00:08:31,360 RECENT YEARS. 231 00:08:31,360 --> 00:08:34,000 THE DIVISION OF EPIDEMIOLOGY 232 00:08:34,000 --> 00:08:35,240 SERVICES AND PREVENTION RESEARCH 233 00:08:35,240 --> 00:08:37,040 HAS GOTTEN A PORTION OF THESE 234 00:08:37,040 --> 00:08:39,160 AND OUR DIVISION OF THERAPEUTICS 235 00:08:39,160 --> 00:08:40,920 AND MEDICAL CONSEQUENCES HAVE 236 00:08:40,920 --> 00:08:44,880 GOTTEN FEWER OF THEM. 237 00:08:44,880 --> 00:08:48,880 THEY HAVE TENDED TO GO TO BASIC 238 00:08:48,880 --> 00:08:50,320 NEUROSCIENTISTS PREFERENTIALLY. 239 00:08:50,320 --> 00:08:52,280 THIS SLIDE IS SHOWING A METRIC 240 00:08:52,280 --> 00:08:54,760 THAT NIH DEVELOPED TO TRY AND 241 00:08:54,760 --> 00:08:58,080 LOOK AT THE INFLUENCE OF 242 00:08:58,080 --> 00:09:05,400 PUBLICATIONS, IT'S CALLED THE 243 00:09:05,400 --> 00:09:06,840 RCR, RELATIVE CITATION RATIO, 244 00:09:06,840 --> 00:09:07,600 BENCHMARKING COMPARED TO OTHERS 245 00:09:07,600 --> 00:09:10,160 IN THE SAME FIELD AND 246 00:09:10,160 --> 00:09:12,400 CORRESPONDING YEAR OF 247 00:09:12,400 --> 00:09:13,080 PUBLICATION. 248 00:09:13,080 --> 00:09:16,480 SO, ONE IS FOR TYPICAL NIH 249 00:09:16,480 --> 00:09:18,480 PAPER, AND SPECIFIC YEAR OF 250 00:09:18,480 --> 00:09:19,280 PUBLICATION, AND WHAT I'M 251 00:09:19,280 --> 00:09:22,840 SHOWING HERE IS A FAIRLY GROSS 252 00:09:22,840 --> 00:09:24,760 INDICATION, IT'S THE MEAN RCR 253 00:09:24,760 --> 00:09:27,320 FOR EACH OF THE PEOPLE WHO 254 00:09:27,320 --> 00:09:30,720 RECEIVED A MERIT AWARD FROM NIDA 255 00:09:30,720 --> 00:09:31,920 BY YEAR. 256 00:09:31,920 --> 00:09:36,840 YOU CAN SEE IN GENERAL, THE RCR 257 00:09:36,840 --> 00:09:39,040 IS -- ONE IS, AS I SAID, THE 258 00:09:39,040 --> 00:09:40,440 BENCHMARK, A TYPICAL PAPER. 259 00:09:40,440 --> 00:09:42,520 YOU CAN SEE FOR THE MOST PART 260 00:09:42,520 --> 00:09:47,120 THAT THE AWARDEES HAVE MUCH 261 00:09:47,120 --> 00:09:48,280 HIGHER RCRs OVERALL THAN THE 262 00:09:48,280 --> 00:09:52,640 ONE WHICH IS THE AVERAGE. 263 00:09:52,640 --> 00:09:55,280 SO, I THINK THAT -- I MEAN, IF 264 00:09:55,280 --> 00:09:57,280 YOU -- WE DIDN'T SHOW YOU THE 265 00:09:57,280 --> 00:09:59,560 LIST OF MERIT AWARDEES. 266 00:09:59,560 --> 00:10:03,560 THEY ARE ALL VERY ESTEEMED 267 00:10:03,560 --> 00:10:04,560 INVESTIGATORS, SEVERAL ON OUR 268 00:10:04,560 --> 00:10:06,760 COUNCIL NOW, SEVERAL ON OUR 269 00:10:06,760 --> 00:10:07,120 COUNCIL BEFORE. 270 00:10:07,120 --> 00:10:10,720 I DON'T THINK THERE'S ANY 271 00:10:10,720 --> 00:10:13,560 QUESTION THE PEOPLE WHO RECEIVED 272 00:10:13,560 --> 00:10:15,640 MERIT AWARDS DESERVED THEIR 273 00:10:15,640 --> 00:10:15,840 AWARDS. 274 00:10:15,840 --> 00:10:18,800 THEY REALLY HAVE BEEN VERY HIGH 275 00:10:18,800 --> 00:10:19,520 IMPACT SCIENTISTS. 276 00:10:19,520 --> 00:10:21,480 THE QUESTION THAT WE'RE COMING 277 00:10:21,480 --> 00:10:24,520 TO RIGHT NOW IS DO WE CONTINUE 278 00:10:24,520 --> 00:10:26,400 TO RECOGNIZE SENIOR HIGHLY 279 00:10:26,400 --> 00:10:27,840 PRODUCTIVE INVESTIGATORS WHO WE 280 00:10:27,840 --> 00:10:29,880 KNOW ARE UNLIKELY TO HAVE TO GO 281 00:10:29,880 --> 00:10:31,120 THROUGH PERIODS WHEN THEY ARE 282 00:10:31,120 --> 00:10:32,520 NOT GOING TO BE SUPPORTED 283 00:10:32,520 --> 00:10:34,560 THROUGH THEIR GRANTS AND WHO WE 284 00:10:34,560 --> 00:10:36,240 ALSO KNOW OFTEN RECEIVE MANY 285 00:10:36,240 --> 00:10:40,400 OTHER AWARDS BESIDES THIS MERIT 286 00:10:40,400 --> 00:10:42,440 AWARD, SO WHILE IT'S CERTAINLY 287 00:10:42,440 --> 00:10:45,640 CONSIDERED TO BE A RECOGNITION 288 00:10:45,640 --> 00:10:48,480 OF THEIR MAJOR CONTRIBUTIONS, IT 289 00:10:48,480 --> 00:10:50,000 MAY NOT BE PARTICULARLY 290 00:10:50,000 --> 00:10:51,480 NECESSARY IN TERMS OF THEIR 291 00:10:51,480 --> 00:10:52,880 OVERALL CAREER PATH AND 292 00:10:52,880 --> 00:10:53,400 INFLUENCE. 293 00:10:53,400 --> 00:10:56,040 WE CAN STOP DOING MERIT AWARDS 294 00:10:56,040 --> 00:10:56,480 ALTOGETHER. 295 00:10:56,480 --> 00:10:58,320 WE COULD REVISE THE CRITERIA FOR 296 00:10:58,320 --> 00:11:01,120 MERIT AWARDS TO FOCUS MORE ON 297 00:11:01,120 --> 00:11:01,720 EARLY-STAGE INVESTIGATORS. 298 00:11:01,720 --> 00:11:04,120 AND THE OTHER THING I WOULD 299 00:11:04,120 --> 00:11:05,760 MENTION IS THAT OUR DIVERSITY 300 00:11:05,760 --> 00:11:09,000 FOR THESE AWARDS IS VIRTUALLY 301 00:11:09,000 --> 00:11:09,360 NON-EXISTENT. 302 00:11:09,360 --> 00:11:11,800 THERE ARE FOUR PEOPLE WHO WERE 303 00:11:11,800 --> 00:11:13,560 ASIAN, WHICH NIH DOES NOT REALLY 304 00:11:13,560 --> 00:11:15,840 CONSIDER TO BE AN 305 00:11:15,840 --> 00:11:17,240 UNDERREPRESENTED MINORITY IN 306 00:11:17,240 --> 00:11:17,600 SCIENCE. 307 00:11:17,600 --> 00:11:21,240 THE REST ARE ALL WHITE 308 00:11:21,240 --> 00:11:22,440 NON-HISPANIC. 309 00:11:22,440 --> 00:11:23,840 SO GIVEN THIS INFORMATION, AS I 310 00:11:23,840 --> 00:11:25,360 SAID, AGAIN, WE RECOGNIZE THE 311 00:11:25,360 --> 00:11:27,200 PEOPLE WE'VE GIVEN THE MERIT 312 00:11:27,200 --> 00:11:29,200 AWARDS TO ARE VERY MUCH 313 00:11:29,200 --> 00:11:30,600 DESERVING OF IT BUT WE'RE TRYING 314 00:11:30,600 --> 00:11:32,560 TO FIGURE OUT WHAT TO DO GOING 315 00:11:32,560 --> 00:11:33,880 FORWARD AND DECIDED WE WANTED TO 316 00:11:33,880 --> 00:11:36,200 BRING IT TO COUNCIL AND GET YOUR 317 00:11:36,200 --> 00:11:36,920 FEEDBACK ON THIS. 318 00:11:36,920 --> 00:11:40,480 I DON'T KNOW IF NORA HAS ARRIVED 319 00:11:40,480 --> 00:11:41,080 YET. 320 00:11:41,080 --> 00:11:42,320 >> I'M HERE, I'M HERE. 321 00:11:42,320 --> 00:11:42,960 >> OKAY. 322 00:11:42,960 --> 00:11:43,960 WE CAN COME BACK TO THE 323 00:11:43,960 --> 00:11:46,360 DISCUSSION OF THIS AFTER YOU DO 324 00:11:46,360 --> 00:11:47,800 YOUR PRESENTATION, NORA. 325 00:11:47,800 --> 00:11:49,640 >> IT MAY BE PERHAPS BEST TO DO 326 00:11:49,640 --> 00:11:54,120 IT NOW BECAUSE YOU HAVE JUST 327 00:11:54,120 --> 00:11:54,560 PRESENTED. 328 00:11:54,560 --> 00:11:56,000 >> THAT'S FINE WITH ME. 329 00:11:56,000 --> 00:11:56,880 I'M JUST WORRIED ABOUT THE 330 00:11:56,880 --> 00:12:00,040 TIMING BECAUSE I KNOW MIKE LAUER 331 00:12:00,040 --> 00:12:01,560 IS COMING AT 2:45 AND WE DON'T 332 00:12:01,560 --> 00:12:03,240 HAVE A LOT OF FLEXIBILITY BUT 333 00:12:03,240 --> 00:12:05,680 I'M HAPPY TO LEAD THE DISCUSSION 334 00:12:05,680 --> 00:12:08,600 NOW IF YOU WANT TO DO THAT. 335 00:12:08,600 --> 00:12:11,960 >> YEAH, LET'S DO THAT. 336 00:12:11,960 --> 00:12:13,520 YEAH, AND I HAVE THE HEARING 337 00:12:13,520 --> 00:12:15,960 ALSO, I HAVE TO STEP OUT. 338 00:12:15,960 --> 00:12:18,560 YEAH, LET'S DO THE DISCUSSION 339 00:12:18,560 --> 00:12:18,920 NOW. 340 00:12:18,920 --> 00:12:19,200 >> OKAY. 341 00:12:19,200 --> 00:12:19,920 SO, CHARLES? 342 00:12:19,920 --> 00:12:21,680 >> I CAN TELL YOU AS A 343 00:12:21,680 --> 00:12:24,400 RECIPIENT, OTHERS IN THE ROOM 344 00:12:24,400 --> 00:12:25,720 ARE ALSO RECIPIENTS, IT WAS 345 00:12:25,720 --> 00:12:26,560 VERY, VERY IMPACTFUL. 346 00:12:26,560 --> 00:12:28,560 NOT IN THE SENSE IT INCREASED 347 00:12:28,560 --> 00:12:29,560 TOTAL AMOUNT OF GRANT DOLLARS 348 00:12:29,560 --> 00:12:30,440 BECAUSE IT DIDN'T DO THAT. 349 00:12:30,440 --> 00:12:34,920 WHAT IT DID DO IS ELEVATE MY 350 00:12:34,920 --> 00:12:35,680 APPRECIATION WITHIN MY 351 00:12:35,680 --> 00:12:36,680 INSTITUTION AT THE UNIVERSITY OF 352 00:12:36,680 --> 00:12:38,320 WASHINGTON, THERE ARE A LOT OF 353 00:12:38,320 --> 00:12:39,360 WELL-FUNDED INVESTIGATORS, A LOT 354 00:12:39,360 --> 00:12:43,000 EVER US GET A LOT OF AWARDS, BUT 355 00:12:43,000 --> 00:12:47,160 BY RECOGNITION BY NIDA OF MY 356 00:12:47,160 --> 00:12:48,360 EFFORTS, MY STANDING WITHIN THE 357 00:12:48,360 --> 00:12:55,200 PECKING ORDER FOR ALLOCATION OF 358 00:12:55,200 --> 00:12:57,400 RESOURCE US WAS SUBSTANTIALLY 359 00:12:57,400 --> 00:12:59,200 INCREASED AND GAVE ME THE 360 00:12:59,200 --> 00:13:02,440 POSITION TO GO TO DCM TO LOBBY 361 00:13:02,440 --> 00:13:04,240 FOR UPGRADED ANIMAL FACILITIES. 362 00:13:04,240 --> 00:13:06,160 I HAD STANDING TO DO THAT, TO 363 00:13:06,160 --> 00:13:08,520 GET NEW RESOURCES ALLOCATED TO 364 00:13:08,520 --> 00:13:09,480 MY YOUNGER INVESTIGATORS AND PUT 365 00:13:09,480 --> 00:13:15,320 ME IN A GOOD POSITION TO 366 00:13:15,320 --> 00:13:15,920 ORGANIZE OTHER PROGRAM PROJECT 367 00:13:15,920 --> 00:13:16,560 GRANTS IN WAYS THAT HAD IMPACT 368 00:13:16,560 --> 00:13:18,440 NOT ONLY ON MY OWN RESEARCH BUT 369 00:13:18,440 --> 00:13:25,000 BECAUSE I HAD A LEADERSHIP ROLE 370 00:13:25,000 --> 00:13:26,760 RECOGNIZED MY NIDA MY COLLEAGUES 371 00:13:26,760 --> 00:13:29,160 FLOCKED TO ME AND WE CREATED A 372 00:13:29,160 --> 00:13:29,600 CENTER. 373 00:13:29,600 --> 00:13:32,000 I CAN SEE, IT'S PROBABLY SIMILAR 374 00:13:32,000 --> 00:13:37,720 FOR OTHERS, DIDN'T GIVE ME MORE 375 00:13:37,720 --> 00:13:40,360 MONEY BUT GAVE ME MORE PEDESTAL 376 00:13:40,360 --> 00:13:42,880 TO LEVERAGE A HIGHER VISIBILITY 377 00:13:42,880 --> 00:13:45,600 LEADERSHIP ROLE AT MY 378 00:13:45,600 --> 00:13:46,080 INSTITUTION. 379 00:13:46,080 --> 00:13:47,960 >> I THINK THERE ARE TWO MORE 380 00:13:47,960 --> 00:13:51,400 RAISED HANDS. 381 00:13:51,400 --> 00:13:52,760 382 00:13:52,760 --> 00:13:54,120 >> MELISSA? 383 00:13:54,120 --> 00:13:56,440 >> SUSAN, MY COMMENT IS I FIND 384 00:13:56,440 --> 00:14:00,800 THE LACK OF -- OR PERPETUATION 385 00:14:00,800 --> 00:14:09,720 OF INEQUITY ABYSMAL, THE FACT 386 00:14:09,720 --> 00:14:10,480 THERE'S MOSTLY WHITE MALES 387 00:14:10,480 --> 00:14:12,360 GETTING THE AWARDS, WHAT'S WRONG 388 00:14:12,360 --> 00:14:15,240 WITH ACADEMIA AND OUR SYSTEM IN 389 00:14:15,240 --> 00:14:15,840 GENERAL AND WOULD URGE US TO 390 00:14:15,840 --> 00:14:16,800 CONSIDER A COMBINATION OF THINGS 391 00:14:16,800 --> 00:14:19,960 THAT COULD BE NOT JUST ABOUT 392 00:14:19,960 --> 00:14:23,240 DIVERSITY BUT ALSO ABOUT 393 00:14:23,240 --> 00:14:25,560 PROMOTING INVESTIGATORS WHO ARE 394 00:14:25,560 --> 00:14:28,520 ADVANCING THE SCIENCE OF HEALTH 395 00:14:28,520 --> 00:14:30,040 EQUALITY, HEALTH EQUITY 396 00:14:30,040 --> 00:14:31,080 ACTUALLY, SORRY. 397 00:14:31,080 --> 00:14:33,320 AND THAT COULD BE PREPPING 398 00:14:33,320 --> 00:14:34,240 TOPICS. 399 00:14:34,240 --> 00:14:35,920 I THINK THE MOST SIGNIFICANT 400 00:14:35,920 --> 00:14:36,600 PUBLIC HEALTH ISSUE ACROSS THE 401 00:14:36,600 --> 00:14:39,760 BOARD, WHETHER DRUG USE OR ANY 402 00:14:39,760 --> 00:14:41,520 OF INSTITUTES AT NIH, IS THE 403 00:14:41,520 --> 00:14:44,600 FACT THAT WE HAVE THESE 404 00:14:44,600 --> 00:14:45,600 HEALTH -- UNEQUAL HEALTH 405 00:14:45,600 --> 00:14:46,560 OUTCOMES ROOTED IN RACISM SO 406 00:14:46,560 --> 00:14:49,880 THAT POINT ON THE SLIDE ABOUT 407 00:14:49,880 --> 00:14:51,360 REALLY EMPHASIZING REWARDING 408 00:14:51,360 --> 00:14:54,320 THOSE PEOPLE WHO ARE TRYING TO 409 00:14:54,320 --> 00:14:55,880 DO IT DIFFERENTLY, I WANT TO PUT 410 00:14:55,880 --> 00:14:58,360 MY PUBLIC SUPPORT OUT THERE FOR 411 00:14:58,360 --> 00:15:03,000 IT. 412 00:15:03,000 --> 00:15:04,760 >> THANK YOU. 413 00:15:04,760 --> 00:15:05,680 TRAVIS? 414 00:15:05,680 --> 00:15:06,920 >> YEAH, HI. 415 00:15:06,920 --> 00:15:08,400 I APOLOGIZE THAT I'M SICK, A 416 00:15:08,400 --> 00:15:12,280 LITTLE BIT OUT OF VOICE. 417 00:15:12,280 --> 00:15:15,640 BUT I WANT TO SECOND WHAT 418 00:15:15,640 --> 00:15:16,080 MELISSA WAS SECOND. 419 00:15:16,080 --> 00:15:18,840 MY DAY JOB IS I'M AN ETHICIST, 420 00:15:18,840 --> 00:15:22,040 TEACH A LOT OF JUSTICE AND 421 00:15:22,040 --> 00:15:24,400 EQUITY SORTS OF CONSIDERATIONS, 422 00:15:24,400 --> 00:15:28,320 AND THE BASIC STRUCTURE OF THE 423 00:15:28,320 --> 00:15:30,240 AWARD, WHICH IS NOT TO SOUND 424 00:15:30,240 --> 00:15:31,840 DEMEANING BUT IT'S A RICH GET 425 00:15:31,840 --> 00:15:32,960 RICHER SORT OF THING. 426 00:15:32,960 --> 00:15:34,160 LIKE IF YOU'VE DONE REALLY WELL, 427 00:15:34,160 --> 00:15:36,680 YOU DO A LITTLE BIT BETTER. 428 00:15:36,680 --> 00:15:41,080 AND WHEN YOU HAVE THAT SORT OF 429 00:15:41,080 --> 00:15:44,000 STRUCTURE, IT DOES INCENTIVIZE 430 00:15:44,000 --> 00:15:54,480 PERPETUATING STATUS QUO, 431 00:15:56,280 --> 00:15:58,480 INCENTIVIZING PERPETUATING. 432 00:15:58,480 --> 00:16:00,240 SO I DON'T KNOW, THIS IS NOT TO 433 00:16:00,240 --> 00:16:03,960 SAY I HAVE A STRONG VIEW YOU 434 00:16:03,960 --> 00:16:05,280 BRING TO COUNCIL, HERE IS A 435 00:16:05,280 --> 00:16:06,760 QUESTION, WE COULD DO IT 436 00:16:06,760 --> 00:16:07,040 DIFFERENT. 437 00:16:07,040 --> 00:16:08,480 I ACTUALLY DON'T KNOW WHAT MY 438 00:16:08,480 --> 00:16:09,960 VIEW IS BECAUSE IT'S THE FIRST 439 00:16:09,960 --> 00:16:15,680 I'VE HEARD OF IT, BUT MY JUSTICE 440 00:16:15,680 --> 00:16:16,800 SPIDEY-SENSE GOES OFF BECAUSE OF 441 00:16:16,800 --> 00:16:19,200 THE STRUCTURE OF THE AWARD AND 442 00:16:19,200 --> 00:16:21,520 THE OUTCOMES THAT WERE NOTED 443 00:16:21,520 --> 00:16:25,560 WHEN IT COMES TO DIVERSITY. 444 00:16:25,560 --> 00:16:29,280 SO, I'M SECONDING SOME OF WHAT 445 00:16:29,280 --> 00:16:30,560 MELISSA SAID AND I'M GLAD YOU'RE 446 00:16:30,560 --> 00:16:32,480 RAISING THE ISSUE AND IT SEEMS 447 00:16:32,480 --> 00:16:33,560 WORTH TALKING ABOUT. 448 00:16:33,560 --> 00:16:38,760 THANKS. 449 00:16:38,760 --> 00:16:41,400 450 00:16:41,400 --> 00:16:42,160 >> RAJITA? 451 00:16:42,160 --> 00:16:42,960 >> THANK YOU FOR RAISING THE 452 00:16:42,960 --> 00:16:43,360 ISSUE. 453 00:16:43,360 --> 00:16:44,560 I HAD A COUPLE QUESTIONS. 454 00:16:44,560 --> 00:16:47,000 ONE WAS OF COURSE IN ADDITION TO 455 00:16:47,000 --> 00:16:49,200 THE DIVERSITY, WHICH IS REALLY 456 00:16:49,200 --> 00:16:54,080 QUITE APPALLING BUT NOT QUITE 457 00:16:54,080 --> 00:16:57,160 TYPICAL, THE WOMEN'S ISSUE, LESS 458 00:16:57,160 --> 00:17:01,040 WOMEN, AND THEN ALSO THE 459 00:17:01,040 --> 00:17:05,080 STARKNESS OF VERY LOW NUMBERS OF 460 00:17:05,080 --> 00:17:06,360 CLINICAL AND CLINICAL SCIENTISTS 461 00:17:06,360 --> 00:17:08,120 BEING -- RECEIVING THIS IS THE 462 00:17:08,120 --> 00:17:10,600 OTHER ASPECT OF IT, GIVEN THAT 463 00:17:10,600 --> 00:17:15,920 AT THE END OF THE DAY WE WANT TO 464 00:17:15,920 --> 00:17:17,760 REALLY HIGHLIGHT THOSE WHO ARE 465 00:17:17,760 --> 00:17:19,280 CHARTING THE PATH TOWARDS 466 00:17:19,280 --> 00:17:21,000 PREVENTION AND TREATMENT AND 467 00:17:21,000 --> 00:17:22,640 UNDERSTANDING THE CAUSES OF 468 00:17:22,640 --> 00:17:23,400 ADDICTION IN HUMANS. 469 00:17:23,400 --> 00:17:25,920 AND SO I JUST WANTED -- I KNOW 470 00:17:25,920 --> 00:17:27,440 HISTORICALLY THERE WAS A VERY 471 00:17:27,440 --> 00:17:32,600 BIG BIAS TOWARDS BASIC SCIENCE, 472 00:17:32,600 --> 00:17:34,120 SCIENTIFIC KNOWLEDGE, BUT 473 00:17:34,120 --> 00:17:38,720 MAYBE --ED MADE ME THINK ABOUT 474 00:17:38,720 --> 00:17:40,360 HOW DOES SOMEBODY GET NOMINATED, 475 00:17:40,360 --> 00:17:42,760 IS IT AUTOMATIC BASED ON THE 476 00:17:42,760 --> 00:17:44,720 SCORE OF THE GRANT, THE 477 00:17:44,720 --> 00:17:45,720 PARTICULAR GRANT? 478 00:17:45,720 --> 00:17:47,280 OR THEN AFTER THAT, THERE'S A 479 00:17:47,280 --> 00:17:49,440 PROCESS OF NOMINATION THAT ALSO 480 00:17:49,440 --> 00:17:51,520 HAS TO HAPPEN? 481 00:17:51,520 --> 00:17:53,720 AND HOW DOES THAT -- YOU KNOW, 482 00:17:53,720 --> 00:17:55,600 EVERY POINT AT WHICH ONE HAS 483 00:17:55,600 --> 00:17:57,640 JUDGMENT COMING IN THERE'S GOING 484 00:17:57,640 --> 00:18:00,080 TO IMPLICIT BIASES AND THINGS 485 00:18:00,080 --> 00:18:01,680 THAT COME IN SO IT WOULD BE GOOD 486 00:18:01,680 --> 00:18:05,400 TO BREAK THAT DOWN AS WELL. 487 00:18:05,400 --> 00:18:07,840 >> SO THERE ARE SOME REASONS 488 00:18:07,840 --> 00:18:11,760 BESIDES THE BIAS TOWARDS BASIC 489 00:18:11,760 --> 00:18:12,320 SCIENCE, ACTUALLY BONNIE, I 490 00:18:12,320 --> 00:18:15,400 DON'T KNOW IF SHE'S ON THIS, SHE 491 00:18:15,400 --> 00:18:18,760 DID AN ANALYSIS LOOKING AT THE 492 00:18:18,760 --> 00:18:20,400 NUMBERS OF APPLICATIONS THAT 493 00:18:20,400 --> 00:18:22,440 WOULD QUALIFY, OR THE 494 00:18:22,440 --> 00:18:23,520 DISTRIBUTION OF SCORES FOR 495 00:18:23,520 --> 00:18:29,800 APPLICATIONS FROM THE DIFFERENT 496 00:18:29,800 --> 00:18:30,600 DIVISIONS. 497 00:18:30,600 --> 00:18:41,160 AND BOTH DNB AND DESPER HAVE A 498 00:18:41,880 --> 00:18:43,200 SIMILAR DISTRIBUTION BUT DNB HAS 499 00:18:43,200 --> 00:18:43,400 MORE. 500 00:18:43,400 --> 00:18:47,600 IT HAS TO BE AN R01, IT CAN'T BE 501 00:18:47,600 --> 00:18:51,960 AN A-1, HAS TO BE AN ORIGINAL 502 00:18:51,960 --> 00:18:53,520 R01, IN THIS CASE BECAUSE PEOPLE 503 00:18:53,520 --> 00:18:54,840 CAN SUBMIT MULTIPLE TIMES NEW 504 00:18:54,840 --> 00:18:55,160 GRANTS. 505 00:18:55,160 --> 00:18:56,040 THERE'S SOME BIAS JUST BUILT IN 506 00:18:56,040 --> 00:18:58,560 BECAUSE OF THE WAY IN WHICH WE 507 00:18:58,560 --> 00:19:00,400 FUND CLINICAL RESEARCH OR FUND 508 00:19:00,400 --> 00:19:01,280 SERVICES RESEARCH, SO THAT 509 00:19:01,280 --> 00:19:04,120 PEOPLE ARE NOT GOING TO BE 510 00:19:04,120 --> 00:19:04,680 ELIGIBLE. 511 00:19:04,680 --> 00:19:06,040 SO-- BUT THAT DOESN'T MEAN THERE 512 00:19:06,040 --> 00:19:08,400 ALSO ISN'T A NEED FOR THAT OR A 513 00:19:08,400 --> 00:19:11,240 NEED FOR SOME WAY TO RECOGNIZE 514 00:19:11,240 --> 00:19:12,320 CLINICAL OR TRANSLATIONAL 515 00:19:12,320 --> 00:19:13,680 RESEARCH IN PARTICULAR, BUT SOME 516 00:19:13,680 --> 00:19:15,960 OF THAT IS JUST THE WAY IN WHICH 517 00:19:15,960 --> 00:19:17,560 THE MERIT HAS BEEN STRUCTURED, 518 00:19:17,560 --> 00:19:19,040 WHICH IS THIS REQUIREMENT THAT 519 00:19:19,040 --> 00:19:26,360 IT BE AN R01 AND IT BE IN THE 5 520 00:19:26,360 --> 00:19:26,720 PERCENTILE. 521 00:19:26,720 --> 00:19:29,320 >> I THINK THIS IS USEFUL IF WE 522 00:19:29,320 --> 00:19:32,040 STICK WITH FOLKS WHO ARE SENIOR, 523 00:19:32,040 --> 00:19:36,000 IMAGINE THAT OUR BASIC SCIENCE 524 00:19:36,000 --> 00:19:38,200 FOLKS WILL GET THE ADVANTAGE OF 525 00:19:38,200 --> 00:19:38,960 PROLIFERATING AT THE 526 00:19:38,960 --> 00:19:40,040 INSTITUTIONS AND GROWING IT, BUT 527 00:19:40,040 --> 00:19:42,800 REALLY WE ALSO WANT OUR CLINICAL 528 00:19:42,800 --> 00:19:47,280 SCIENTISTS TO BE DOING THAT AND 529 00:19:47,280 --> 00:19:48,800 GETTING RESOURCES. 530 00:19:48,800 --> 00:19:49,600 OFTENTIMES OUR INSTITUTIONS TEND 531 00:19:49,600 --> 00:19:51,320 TO BE BIASED TOWARDS BASIC 532 00:19:51,320 --> 00:19:51,800 SCIENCE. 533 00:19:51,800 --> 00:19:53,320 I HAVE NO PROBLEM, I'M JUST 534 00:19:53,320 --> 00:19:56,120 SAYING WE NEED TO MAKE IT MORE 535 00:19:56,120 --> 00:19:59,640 EQUITABLE TO REALLY HIGHLIGHT, 536 00:19:59,640 --> 00:20:00,960 THE DESPERATE NEED THAT 537 00:20:00,960 --> 00:20:04,960 ADDICTION NEEDS IN TERMS OF 538 00:20:04,960 --> 00:20:06,320 ATTENTION AT THE INSTITUTIONAL 539 00:20:06,320 --> 00:20:08,200 LEVEL, COMMUNITY LEVEL, AT THE 540 00:20:08,200 --> 00:20:09,160 LEVEL OF TRANSLATING FINDINGS 541 00:20:09,160 --> 00:20:10,760 INTO HUMANS, AND THIS COULD 542 00:20:10,760 --> 00:20:12,440 BE -- THIS IS PROBABLY ONE OF 543 00:20:12,440 --> 00:20:16,040 THE VERY FEW WAYS IN WHICH IN 544 00:20:16,040 --> 00:20:18,480 ADDITION TO NIH GRANTS THAT NIH 545 00:20:18,480 --> 00:20:19,480 OR FEDERAL GOVERNMENT'S 546 00:20:19,480 --> 00:20:21,760 RECOGNITION OF THE WORK OF 547 00:20:21,760 --> 00:20:22,440 SCIENTISTS. 548 00:20:22,440 --> 00:20:25,520 AND SO I THINK SOME 549 00:20:25,520 --> 00:20:26,720 CONSIDERATION, MAYBE THINKING 550 00:20:26,720 --> 00:20:31,440 HOW WE'RE GOING TO DO THAT PAST 551 00:20:31,440 --> 00:20:32,320 R01s, AGAIN CONTRIBUTIONS, 552 00:20:32,320 --> 00:20:34,080 MAYBE LOOKING AT IMPACT FACTOR 553 00:20:34,080 --> 00:20:36,440 OR IMPACT OF THE SCIENCE PAST 554 00:20:36,440 --> 00:20:38,800 RCRs, SOME OTHER WAYS OF 555 00:20:38,800 --> 00:20:41,000 COMING UP WITH METRICS MIGHT 556 00:20:41,000 --> 00:20:43,600 REALLY BROADEN THE CAUSE OF 557 00:20:43,600 --> 00:20:46,000 ADDICTION, ALSO THE GOALS THAT 558 00:20:46,000 --> 00:20:49,680 NIDA HAS AND THE NIH. 559 00:20:49,680 --> 00:20:55,320 560 00:20:55,320 --> 00:20:57,960 >> YEAH, JUST ONE OTHER 561 00:20:57,960 --> 00:20:59,200 CLARIFICATION FROM BONNIE, THE 562 00:20:59,200 --> 00:21:00,760 DNB DOES SUPPORT SOME CLINICAL 563 00:21:00,760 --> 00:21:02,720 RESEARCH AND THEY HAVEN'T LOOKED 564 00:21:02,720 --> 00:21:09,280 AT THE DISTRIBUTION IN TERMS OF 565 00:21:09,280 --> 00:21:10,840 AWARDS BETWEEN CLINICAL RESEARCH 566 00:21:10,840 --> 00:21:11,920 THEY SUPPORT AND BASIC. 567 00:21:11,920 --> 00:21:18,200 YOUR POINT IS WELL TAKEN.. 568 00:21:18,200 --> 00:21:20,480 >> I WAS ONE OF THE FOUR ASIAN 569 00:21:20,480 --> 00:21:21,040 WOMEN. 570 00:21:21,040 --> 00:21:22,880 LIKE CHARLIE, IT DID ENHANCE MY 571 00:21:22,880 --> 00:21:24,600 STANDING WITHIN THE INSTITUTION 572 00:21:24,600 --> 00:21:27,600 AS WELL AS COLLEAGUES. 573 00:21:27,600 --> 00:21:29,120 HAVING SAID THAT, I DOP WANT TO 574 00:21:29,120 --> 00:21:33,960 GIVE A SHOUT OUT TO YOU GUYS FOR 575 00:21:33,960 --> 00:21:34,880 CONSIDERING EARLY-STAGE 576 00:21:34,880 --> 00:21:36,920 INVESTIGATORS AS POTENTIAL 577 00:21:36,920 --> 00:21:37,200 RECIPIENTS. 578 00:21:37,200 --> 00:21:38,200 MY CONCERN IS HOW ARE THE 579 00:21:38,200 --> 00:21:40,200 CRITERIA THAT ARE GOING TO BE 580 00:21:40,200 --> 00:21:41,520 USED FOR SELECTING THEM? 581 00:21:41,520 --> 00:21:47,480 WE HAVE TO BE MINDFUL OF THAT. 582 00:21:47,480 --> 00:21:49,360 WITH THAT, TO GIVE CONSIDERATION 583 00:21:49,360 --> 00:21:50,800 OF INCLUDING MID-CAREER AND 584 00:21:50,800 --> 00:21:53,320 EARLY-STAGE INVESTIGATORS IN THE 585 00:21:53,320 --> 00:21:56,120 MERIT AWARD RECIPIENT PROCESS. 586 00:21:56,120 --> 00:21:59,880 587 00:21:59,880 --> 00:22:07,840 >> DID YOU WANT TO SAY 588 00:22:07,840 --> 00:22:08,280 SOMETHING, NORA. 589 00:22:08,280 --> 00:22:09,600 >> NO. 590 00:22:09,600 --> 00:22:10,560 >> AM I UP NOW? 591 00:22:10,560 --> 00:22:12,360 >> YES, PLEASE. 592 00:22:12,360 --> 00:22:13,440 >> YES. 593 00:22:13,440 --> 00:22:13,760 >> HELLO. 594 00:22:13,760 --> 00:22:16,840 I APOLOGIZE FOR NOT BEING ON 595 00:22:16,840 --> 00:22:17,120 CAMERA. 596 00:22:17,120 --> 00:22:18,080 UNFORTUNATELY, I TESTED POSITIVE 597 00:22:18,080 --> 00:22:19,800 SO YOU DON'T WANT TO SEE ME. 598 00:22:19,800 --> 00:22:24,560 BUT I DIDN'T WANT TO MISS THIS 599 00:22:24,560 --> 00:22:25,040 MEETING. 600 00:22:25,040 --> 00:22:26,680 I LOVED THE CONVERSATION THAT IS 601 00:22:26,680 --> 00:22:29,360 GOING ON. 602 00:22:29,360 --> 00:22:30,640 I LOVED IT. 603 00:22:30,640 --> 00:22:33,040 WHAT A COUPLE COLLEAGUES SAID, 604 00:22:33,040 --> 00:22:35,560 TO HAVE GOTTEN THIS AWARD, HOW 605 00:22:35,560 --> 00:22:38,200 IT'S HELPED TO TAKE THEM A 606 00:22:38,200 --> 00:22:40,920 LITTLE BIT HIGHER IN THEIR 607 00:22:40,920 --> 00:22:42,760 RESPECTIVE AREA, GETTING 608 00:22:42,760 --> 00:22:44,120 ADDITIONAL FUNDS. 609 00:22:44,120 --> 00:22:45,760 MY QUESTION IS, AS I THINK THE 610 00:22:45,760 --> 00:22:48,000 QUESTION WAS PUT OUT THERE BY 611 00:22:48,000 --> 00:22:52,320 SEVERAL, IS IS THIS MORE A 612 00:22:52,320 --> 00:22:55,200 PROCEDURAL PROCESS AND CRITERIA, 613 00:22:55,200 --> 00:22:59,080 BECAUSE OBVIOUSLY THERE SHOULD 614 00:22:59,080 --> 00:23:00,280 BE MORE UNDERREPRESENTED 615 00:23:00,280 --> 00:23:02,800 COMMUNITY, GETTING THIS AWARD, 616 00:23:02,800 --> 00:23:04,040 OR INDIVIDUALS FROM THERE, AND 617 00:23:04,040 --> 00:23:07,080 I'M WONDERING HOW ARE WE 618 00:23:07,080 --> 00:23:07,880 APPROACHING THAT BECAUSE WE 619 00:23:07,880 --> 00:23:09,400 AREN'T DOING ANYTHING ON THE 620 00:23:09,400 --> 00:23:11,040 FRONT END, OF COURSE THERE'S NOT 621 00:23:11,040 --> 00:23:12,560 GOING TO BE ANY CHANGE ON THE 622 00:23:12,560 --> 00:23:13,640 BACK END. 623 00:23:13,640 --> 00:23:17,360 SO I'M WONDERING WHAT CAN WE OR 624 00:23:17,360 --> 00:23:19,000 ARE THERE IDEAS THAT WE CAN COME 625 00:23:19,000 --> 00:23:26,000 UP AS TO HOW WE CAN ATTRACT MORE 626 00:23:26,000 --> 00:23:27,800 INDIVIDUALS OF DIVERSITY, NUMBER 627 00:23:27,800 --> 00:23:29,120 ONE, BE IN A CATEGORY TO GET 628 00:23:29,120 --> 00:23:31,200 THIS AWARD. 629 00:23:31,200 --> 00:23:32,840 AND THEN, NUMBER TWO, IF SO, HOW 630 00:23:32,840 --> 00:23:33,640 DO WE ACTUALLY DO THAT? 631 00:23:33,640 --> 00:23:35,880 I DON'T KNOW ALL THE PROCESSES 632 00:23:35,880 --> 00:23:37,480 THAT YOU ENGAGE IN UP TO THIS 633 00:23:37,480 --> 00:23:39,320 POINT, BUT I'M JUST WONDERING 634 00:23:39,320 --> 00:23:41,960 BECAUSE THERE ARE LOTS OF PEOPLE 635 00:23:41,960 --> 00:23:43,640 OUT THERE DOING SO MUCH GREAT 636 00:23:43,640 --> 00:23:46,360 WORK, PARTICULARLY IN THE AREA 637 00:23:46,360 --> 00:23:49,320 OF BEHAVIORAL HEALTH AND 638 00:23:49,320 --> 00:23:49,560 ADDICTION. 639 00:23:49,560 --> 00:23:51,600 AND THERE ARE LOTS OF PEOPLE 640 00:23:51,600 --> 00:23:53,560 FROM DIVERSE COMMUNITIES DOING 641 00:23:53,560 --> 00:23:55,200 THIS WORK AND STUDIES, SO I'M 642 00:23:55,200 --> 00:23:57,400 WONDERING WHAT THAT PROCESS IS 643 00:23:57,400 --> 00:23:58,960 AND HOW CAN WE IMPACT IT A 644 00:23:58,960 --> 00:24:01,600 LITTLE BIT MORE. 645 00:24:01,600 --> 00:24:05,040 646 00:24:05,040 --> 00:24:05,920 >> AGAIN, WE COULD CERTAINLY 647 00:24:05,920 --> 00:24:08,240 MODIFY THE CRITERIA BUT IN 648 00:24:08,240 --> 00:24:10,360 GENERAL THEY HAVE REQUIRED 649 00:24:10,360 --> 00:24:14,760 PEOPLE TO SCORE IN THE 5 650 00:24:14,760 --> 00:24:15,640 PERCENTILE OR BETTER, BUT WE'VE 651 00:24:15,640 --> 00:24:17,800 ALSO FOCUSED A LOT ON THE 652 00:24:17,800 --> 00:24:18,880 OVERALL RECORD OF 653 00:24:18,880 --> 00:24:19,600 ACCOMPLISHMENTS AND 654 00:24:19,600 --> 00:24:20,440 CONTRIBUTION, AND I THINK THIS 655 00:24:20,440 --> 00:24:22,280 IS CERTAINLY WHERE WE COULD BE 656 00:24:22,280 --> 00:24:23,600 STARTING TO CHANGE WHAT OUR 657 00:24:23,600 --> 00:24:24,480 CRITERIA ARE. 658 00:24:24,480 --> 00:24:27,520 WE COULD ALSO ADD IN A FOCUS ON 659 00:24:27,520 --> 00:24:28,760 PARTICULAR AREAS OF SCIENCE, AND 660 00:24:28,760 --> 00:24:30,560 I THINK IF WE WANT TO INCREASE 661 00:24:30,560 --> 00:24:33,840 DIVERSITY, THEN WE ALSO DO NEED 662 00:24:33,840 --> 00:24:35,760 TO BE STARTING WITH YOUNGER 663 00:24:35,760 --> 00:24:36,840 INVESTIGATORS BECAUSE WE KNOW 664 00:24:36,840 --> 00:24:38,840 THAT A LOT OF SENIOR LEVEL 665 00:24:38,840 --> 00:24:40,200 INVESTIGATORS, YOU KNOW, AS A 666 00:24:40,200 --> 00:24:42,440 RESULT OF MANY, MANY, MANY YEARS 667 00:24:42,440 --> 00:24:43,480 ARE NOT FROM DIVERSE 668 00:24:43,480 --> 00:24:44,000 BACKGROUNDS. 669 00:24:44,000 --> 00:24:46,040 I THINK ALL OF THESE ARE FAIR 670 00:24:46,040 --> 00:24:47,560 QUESTIONS, AND REALLY THIS IS 671 00:24:47,560 --> 00:24:48,680 WHY WE'RE BRINGING IT TO YOU SO 672 00:24:48,680 --> 00:24:50,880 WE COULD GO BACK AND DISCUSS IT 673 00:24:50,880 --> 00:24:53,520 MORE AND FIGURE OUT WHERE WE 674 00:24:53,520 --> 00:24:55,280 WANT TO GO WITH THIS. 675 00:24:55,280 --> 00:24:57,000 >> HAS THE IDEA OF MAYBE A FOCUS 676 00:24:57,000 --> 00:25:00,280 GROUP IN THIS AREA COME UP? 677 00:25:00,280 --> 00:25:04,640 >> NO, BUT YOU'RE BRINGING IT UP 678 00:25:04,640 --> 00:25:07,600 AND THAT'S WHAT SUSAN IS SAYING, 679 00:25:07,600 --> 00:25:09,120 THE EXACTLY THE THINGS THAT 680 00:25:09,120 --> 00:25:11,800 COULD HELP US, COME UP WITH 681 00:25:11,800 --> 00:25:13,200 RECOMMENDATIONS BECAUSE THERE'S 682 00:25:13,200 --> 00:25:15,680 FINITE RESOURCES, SO IT MEANS 683 00:25:15,680 --> 00:25:16,480 WHENEVER WE EXTENDS HAS TO BE 684 00:25:16,480 --> 00:25:18,040 WEIGHED AGAINST WHAT WE'RE NOT 685 00:25:18,040 --> 00:25:19,280 GOING TO BE FUNDING. 686 00:25:19,280 --> 00:25:22,520 AND IT'S NOT THAT SIMPLE AND 687 00:25:22,520 --> 00:25:23,080 STRAIGHTFORWARD. 688 00:25:23,080 --> 00:25:24,200 ABSOLUTELY, YES, THAT'S AN 689 00:25:24,200 --> 00:25:25,680 ACTION ITEM THAT WE'RE GETTING 690 00:25:25,680 --> 00:25:26,760 FROM ALL OF YOU. 691 00:25:26,760 --> 00:25:29,040 >> THANK YOU. 692 00:25:29,040 --> 00:25:31,320 693 00:25:31,320 --> 00:25:33,520 >> I WAS GOING TO SAY, WE HAVE 694 00:25:33,520 --> 00:25:35,800 TWO MORE QUESTIONS, MAYBE IF 695 00:25:35,800 --> 00:25:37,440 THEY COULD BE QUICK SO NORA CAN 696 00:25:37,440 --> 00:25:38,200 HAVE TIME FOR HER PRESENTATION 697 00:25:38,200 --> 00:25:42,400 AND A LITTLE BIT OF QUESTIONS. 698 00:25:42,400 --> 00:25:43,720 DR. ETKIN? 699 00:25:43,720 --> 00:25:46,160 >> YES, I WON'T REPEAT WHAT'S 700 00:25:46,160 --> 00:25:48,440 BEEN SAID, EXCELLENT POINTS, BUT 701 00:25:48,440 --> 00:25:49,400 I ADVOCATE FOR POTENTIALLY 702 00:25:49,400 --> 00:25:50,800 INCREASING THE PROGRAM. 703 00:25:50,800 --> 00:25:52,680 I THINK CERTAINLY ACADEMIC 704 00:25:52,680 --> 00:25:54,520 RESEARCH IS SO UNDERFUNDED, 705 00:25:54,520 --> 00:25:56,080 HAVING BANDWIDTH, YOU KNOW, AND 706 00:25:56,080 --> 00:25:57,640 SOME DISCRETION HOW TO SPEND 707 00:25:57,640 --> 00:26:00,120 RESOURCES CAN GO A LONG WAY, IF 708 00:26:00,120 --> 00:26:02,320 DIRECTED IN EXACTLY THE WAY 709 00:26:02,320 --> 00:26:04,640 WE'VE BEEN TALKING TO CERTAIN 710 00:26:04,640 --> 00:26:05,160 UNDERSERVED AREAS, BETTER 711 00:26:05,160 --> 00:26:08,960 REPRESENTATION AND SO FORTH 712 00:26:08,960 --> 00:26:10,640 THROUGHOUT. 713 00:26:10,640 --> 00:26:13,480 BUT WHAT I MOSTLY FIND LACKING 714 00:26:13,480 --> 00:26:16,200 IS METRIC OF SUCCESS. 715 00:26:16,200 --> 00:26:17,800 I KNOW HIGH-RISK, HIGH-REWARD 716 00:26:17,800 --> 00:26:20,440 PROGRAMS HAVE DONE A LOT OF 717 00:26:20,440 --> 00:26:23,920 EVALUATION OF, YOU KNOW, ARE 718 00:26:23,920 --> 00:26:26,200 THESE IMPACTFUL, HOW DOES IT 719 00:26:26,200 --> 00:26:26,960 COMPARE WITH HOWARD HUGHES, IT 720 00:26:26,960 --> 00:26:28,800 WOULD BE GREAT TO SET METRICS 721 00:26:28,800 --> 00:26:30,080 BECAUSE IT MAY SUPPORT MORE 722 00:26:30,080 --> 00:26:33,440 FUNDING RATHER THAN LESS DOWN 723 00:26:33,440 --> 00:26:33,800 THAT MECHANISM. 724 00:26:33,800 --> 00:26:40,920 AND HAVE CLEAR DATA TO SUPPORT 725 00:26:40,920 --> 00:26:43,880 IT. 726 00:26:43,880 --> 00:26:46,040 >> I THINK THAT ANDREW HAS A 727 00:26:46,040 --> 00:26:48,240 RAISED HAND. 728 00:26:48,240 --> 00:26:50,200 >> IN ADDITION TO INCREASING THE 729 00:26:50,200 --> 00:26:51,520 FUNDING OF DIVERSE CANDIDATES, 730 00:26:51,520 --> 00:26:53,280 NOT FOCUSING ON FOLKS THAT HAVE 731 00:26:53,280 --> 00:26:55,920 ALREADY SUCCEEDED IN THEIR 732 00:26:55,920 --> 00:26:57,440 CAREERS IS EARLIER THE FOLKS 733 00:26:57,440 --> 00:26:58,960 EARLIER IN THEIR CAREERS DO GET 734 00:26:58,960 --> 00:27:04,880 THIS AWARD OR SOME EVOLUTION OF 735 00:27:04,880 --> 00:27:07,080 IT, TRANSLATING SOME EXISTING 736 00:27:07,080 --> 00:27:08,120 SUPPORT MECHANISMS THAT NIDA HAS 737 00:27:08,120 --> 00:27:11,560 PROVIDED IN THE FORM OF MENTOR 738 00:27:11,560 --> 00:27:13,560 SHIP, PEER COACHING, TO ENSURE 739 00:27:13,560 --> 00:27:16,160 EARLIER AND MID-CAREER FOLKS CAN 740 00:27:16,160 --> 00:27:17,840 ACCELERATE THEIR PATH TO SENIOR 741 00:27:17,840 --> 00:27:19,320 POSITIONS AND POSITIONS OF 742 00:27:19,320 --> 00:27:20,520 INFLUENCE, I THINK THAT WOULD BE 743 00:27:20,520 --> 00:27:21,280 REALLY USEFUL. 744 00:27:21,280 --> 00:27:22,840 I ASSUME IT WOULD BE A LOT MORE 745 00:27:22,840 --> 00:27:23,800 ADMINISTRATIVE WORK TO GET RID 746 00:27:23,800 --> 00:27:25,880 OF THIS PROGRAM AND START A NEW 747 00:27:25,880 --> 00:27:26,120 PROGRAM. 748 00:27:26,120 --> 00:27:29,520 AND IF THAT ASSUMPTION IS 749 00:27:29,520 --> 00:27:31,600 CORRECT, KEEP THE PROGRAM, 750 00:27:31,600 --> 00:27:34,520 MODIFY PARAMETERS AND MAINTAIN 751 00:27:34,520 --> 00:27:35,240 BUDGETING. 752 00:27:35,240 --> 00:27:37,360 ONCE THE DOLLARS AND PROCESSES 753 00:27:37,360 --> 00:27:38,480 ARE ALLOCATED, IT MAY BE A LOT 754 00:27:38,480 --> 00:27:46,080 MORE WORK TO SCRAP IT AND START 755 00:27:46,080 --> 00:27:46,400 FROM SCRATCH. 756 00:27:46,400 --> 00:27:47,040 THANK YOU. 757 00:27:47,040 --> 00:27:48,800 >> IS THAT YOUR HAND RAISED FROM 758 00:27:48,800 --> 00:27:51,640 THE PAST, OR IS THAT A NEW ONE? 759 00:27:51,640 --> 00:27:58,160 >> I'D LIKE TO CHANCE TO 760 00:27:58,160 --> 00:27:59,840 RESPOND TO MELISSA. 761 00:27:59,840 --> 00:28:04,800 IF THE AWARDS GO TO OLD WHITE 762 00:28:04,800 --> 00:28:07,640 GUYS LIKE ME WE DON'T GET 763 00:28:07,640 --> 00:28:08,080 INSTITUTIONAL CHANGE. 764 00:28:08,080 --> 00:28:09,920 IN RESPONSE, IT MAY NOT BE FAIR 765 00:28:09,920 --> 00:28:12,000 TO US OLD WHITE GUYS TO SAY 766 00:28:12,000 --> 00:28:15,520 WE'RE NOT ALSO AGENTS OF CHANGE. 767 00:28:15,520 --> 00:28:16,320 FOR EXAMPLEN MY LEADERSHIP 768 00:28:16,320 --> 00:28:18,040 POSITION WHICH I SPOKE OF A 769 00:28:18,040 --> 00:28:21,840 MOMENT AGO I'M FAIRLY COMMITTED 770 00:28:21,840 --> 00:28:26,040 TO MENTORING JUNIOR 771 00:28:26,040 --> 00:28:28,600 INVESTIGATORS, STUDENTS. 772 00:28:28,600 --> 00:28:31,840 A SUMMER PROGRAM BRINGS IN 773 00:28:31,840 --> 00:28:32,800 UNDERGRADUATES, NOT NORMALLY 774 00:28:32,800 --> 00:28:37,640 INVOLVED IN STEM, INVOLVED IN 775 00:28:37,640 --> 00:28:39,480 MENTORING POSTDOCS AND GRADUATE 776 00:28:39,480 --> 00:28:39,760 STUDENTS. 777 00:28:39,760 --> 00:28:42,160 IF YOU WANT TO LOOK MORE 778 00:28:42,160 --> 00:28:43,200 BROADLY, NOT JUST DEMOGRAPHICS 779 00:28:43,200 --> 00:28:45,280 OF RECIPIENTS BUT IMPACT OF WHAT 780 00:28:45,280 --> 00:28:46,640 RECIPIENTS ARE DOING, YOU MAY 781 00:28:46,640 --> 00:28:49,920 WANT TO LOOK MORE CLOSELY AS HOW 782 00:28:49,920 --> 00:28:51,760 WE CAN ENCOURAGE AND REWARD 783 00:28:51,760 --> 00:28:53,840 PEOPLE LIKE ME WHO ARE REALLY 784 00:28:53,840 --> 00:28:55,600 AGENTS OF CHANGE AS OPPOSED TO 785 00:28:55,600 --> 00:28:59,200 AGENTS TO DEFEND THE STATUS QUO. 786 00:28:59,200 --> 00:29:01,200 YOU CAN SAY THAT MERIT AWARD IN 787 00:29:01,200 --> 00:29:02,960 MY CASE DIDN'T GIVE ME ANY 788 00:29:02,960 --> 00:29:04,560 RESOURCES BECAUSE ALL IT DID WAS 789 00:29:04,560 --> 00:29:06,920 GIVE ME ONE LAST RENEWAL, GAVE 790 00:29:06,920 --> 00:29:08,320 ME TIME, NOT MONEY. 791 00:29:08,320 --> 00:29:10,600 GAVE ME TIME, NOT TO HAVE TO 792 00:29:10,600 --> 00:29:12,240 WRITE A GRANT THAT PROBABLY 793 00:29:12,240 --> 00:29:15,440 WOULD HAVE GOTTEN RENEWED 794 00:29:15,440 --> 00:29:16,080 ANYWAY, BUT DID ENCOURAGE ME AND 795 00:29:16,080 --> 00:29:16,600 CONTINUED TO ENCOURAGE ME. 796 00:29:16,600 --> 00:29:18,680 WHAT I SUGGEST TO NORA, WE 797 00:29:18,680 --> 00:29:20,960 CONSIDER GOING BACK TO WHAT 798 00:29:20,960 --> 00:29:24,280 MECHANISMS BY WHICH WE CAN 799 00:29:24,280 --> 00:29:26,360 ENCOURAGE THIS KIND OF AGENTS OF 800 00:29:26,360 --> 00:29:28,640 CHANGE, ONE WAY TO DO IT WOULD 801 00:29:28,640 --> 00:29:31,960 BE TO EXPLICITLY PUT IN THE 802 00:29:31,960 --> 00:29:32,800 BIOSKETCH NOT JUST ELEMENTS 803 00:29:32,800 --> 00:29:35,320 ABOUT HOW YOUR PAPERS HAVE BEEN 804 00:29:35,320 --> 00:29:39,600 IMPACTFUL BUT HOW YOU HAVE BEEN 805 00:29:39,600 --> 00:29:42,640 LEADING, WHAT IS YOUR STATUS AS 806 00:29:42,640 --> 00:29:44,840 A LEADER, MENTORING, TRAINING, 807 00:29:44,840 --> 00:29:47,680 PROVIDING RESOURCES TO YOUNG 808 00:29:47,680 --> 00:29:49,000 INVESTIGATORS, PROVIDING 809 00:29:49,000 --> 00:29:50,320 PERSPECTIVE THAT ENCOURAGES 810 00:29:50,320 --> 00:29:52,120 THEM, AND WE NOW HAVE D.E.I. 811 00:29:52,120 --> 00:29:54,240 STATEMENTS THAT GO INTO OUR 812 00:29:54,240 --> 00:29:56,120 FACULTY MERIT EVALUATION THAT 813 00:29:56,120 --> 00:29:59,640 GOES INTO REWARDS WITHIN OUR 814 00:29:59,640 --> 00:29:59,960 INSTITUTION. 815 00:29:59,960 --> 00:30:02,240 BUT I DON'T NECESSARILY SEE 816 00:30:02,240 --> 00:30:04,080 SOMETHING AS EXPLICIT WHERE WE 817 00:30:04,080 --> 00:30:05,160 CALL OUT INDIVIDUALS AND HOLD 818 00:30:05,160 --> 00:30:07,160 THEM ACCOUNTABLE FOR DOING MORE 819 00:30:07,160 --> 00:30:09,000 THAN JUST GENERATING NEW 820 00:30:09,000 --> 00:30:10,400 IMPACTFUL PAPERS, BUT ALSO BEING 821 00:30:10,400 --> 00:30:13,040 THE OTHER ASPECTS OF OUR JOB, 822 00:30:13,040 --> 00:30:15,600 WHICH ARE MENTORING OUR NEXT 823 00:30:15,600 --> 00:30:15,880 GENERATION. 824 00:30:15,880 --> 00:30:18,360 SO IF WE'RE TALKING ABOUT WHERE 825 00:30:18,360 --> 00:30:20,040 WILL THE MERIT AWARD RECIPIENTS 826 00:30:20,040 --> 00:30:21,880 COME FROM TEN YEARS FROM NOW, 827 00:30:21,880 --> 00:30:23,520 THEY WILL COME FROM US AND OUR 828 00:30:23,520 --> 00:30:25,280 TRAINING IN WHAT WE DO. 829 00:30:25,280 --> 00:30:29,120 I JUST WANT TO PUT IN THAT ONE 830 00:30:29,120 --> 00:30:31,000 SLIGHTLY DEFENSIVE STATEMENT BUT 831 00:30:31,000 --> 00:30:31,920 HOPEFULLY HELPFUL. 832 00:30:31,920 --> 00:30:32,960 >> YEAH, NO, IT'S VERY 833 00:30:32,960 --> 00:30:33,240 IMPORTANT. 834 00:30:33,240 --> 00:30:36,000 THAT'S WHY I SAY IT'S NOT A 835 00:30:36,000 --> 00:30:36,760 SIMPLE ONE. 836 00:30:36,760 --> 00:30:41,200 DEFINITELY WHAT YOU'RE SAYING IS 837 00:30:41,200 --> 00:30:42,920 SOMETHING THAT SHOULD PERMEATE 838 00:30:42,920 --> 00:30:47,320 ALL AWARDS, NOT JUST HOW MANY 839 00:30:47,320 --> 00:30:48,480 PUBLICATIONS BUT WHAT IS YOUR 840 00:30:48,480 --> 00:30:52,480 TRACK RECORD IN ADVANCING THE 841 00:30:52,480 --> 00:30:53,760 SCIENCE, ACTUALLY PROMOTING 842 00:30:53,760 --> 00:30:54,200 DIVERSITY. 843 00:30:54,200 --> 00:30:55,200 THIS IS CLEARLY GOING TO BE ONE 844 00:30:55,200 --> 00:30:58,000 OF THE PARAMETERS WE USED TO 845 00:30:58,000 --> 00:30:58,280 EVALUATE. 846 00:30:58,280 --> 00:30:59,680 AT THE END OF THE DAY IT'S GOING 847 00:30:59,680 --> 00:31:01,880 TO COME OUT WITH THE NOTION HOW 848 00:31:01,880 --> 00:31:03,120 DO WE DISTRIBUTE RESOURCES,ING 849 00:31:03,120 --> 00:31:05,840 WHAT IS OPTIMAL. 850 00:31:05,840 --> 00:31:09,440 AND WHAT -- ALSO IN ACHIEVING 851 00:31:09,440 --> 00:31:13,200 AREAS WHERE WE'RE TRYING TO 852 00:31:13,200 --> 00:31:13,680 BRIDGE. 853 00:31:13,680 --> 00:31:15,800 SO THE MENTORSHIP CHARGE, YOU 854 00:31:15,800 --> 00:31:17,040 HAVE BEEN STELLAR AS A MENTOR IN 855 00:31:17,040 --> 00:31:19,040 THE SENSE OF MINORITIES AND 856 00:31:19,040 --> 00:31:20,640 WE'RE VERY, VERY GRATEFUL. 857 00:31:20,640 --> 00:31:23,280 IT NEEDS EVALUATION, TO WHAT 858 00:31:23,280 --> 00:31:23,920 EXTENT HAVING MERIT FACILITATES 859 00:31:23,920 --> 00:31:26,520 FOR YOU TO DO THAT MENTORSHIP. 860 00:31:26,520 --> 00:31:28,680 IT'S NOT OBVIOUSLY BLACK AND 861 00:31:28,680 --> 00:31:29,240 WHITE. 862 00:31:29,240 --> 00:31:31,800 BUT THANKS FOR ALL OF THE WORK 863 00:31:31,800 --> 00:31:34,480 THAT YOU'VE DONE IN THE SORT OF 864 00:31:34,480 --> 00:31:38,760 MENTORSHIP COMPONENT. 865 00:31:38,760 --> 00:31:38,960 866 00:31:38,960 --> 00:31:41,360 AT THIS TIME DO YOU WANT ME TO 867 00:31:41,360 --> 00:31:42,760 JUMP INTO MY PRESENTATION? 868 00:31:42,760 --> 00:31:43,160 >> I DO. 869 00:31:43,160 --> 00:31:45,720 NEXT PRESENTATION WILL BE MIKE 870 00:31:45,720 --> 00:31:48,920 LAUER BUT YOU'VE GOT ALMOST AN 871 00:31:48,920 --> 00:31:49,120 HOUR. 872 00:31:49,120 --> 00:31:50,560 NOW WOULD BE GREAT. 873 00:31:50,560 --> 00:31:52,840 >> I'M GOING TO TRY TO SHORTEN 874 00:31:52,840 --> 00:31:55,280 SO THERE IS FOR CERTAIN 875 00:31:55,280 --> 00:31:56,240 OPPORTUNITY TO GET QUESTIONS 876 00:31:56,240 --> 00:31:57,920 BECAUSE I WANT THE QUESTIONS. 877 00:31:57,920 --> 00:31:59,640 I WANT TO SHARE MY SCREEN. 878 00:31:59,640 --> 00:32:01,680 SO YOU ALL NEED TO TELL ME IF 879 00:32:01,680 --> 00:32:02,800 YOU SEE IT. 880 00:32:02,800 --> 00:32:06,160 OTHERWISE I'M GOING TO BE 881 00:32:06,160 --> 00:32:06,880 SPEAKING -- OKAY. 882 00:32:06,880 --> 00:32:10,160 HOLD ONE SECOND. 883 00:32:10,160 --> 00:32:15,680 884 00:32:15,680 --> 00:32:17,320 CAN YOU SEE IT? 885 00:32:17,320 --> 00:32:17,560 >> YES. 886 00:32:17,560 --> 00:32:18,400 >> OKAY, GREAT. 887 00:32:18,400 --> 00:32:19,640 I'M GOING TO JUMP RIGHT IN. 888 00:32:19,640 --> 00:32:21,720 THIS IS JUST TO SHOW YOU WHERE 889 00:32:21,720 --> 00:32:22,720 WE ARE. 890 00:32:22,720 --> 00:32:24,440 THAT'S THE ORGANIZATION OF NIDA. 891 00:32:24,440 --> 00:32:27,720 WE'RE STILL IN THE PROCESS OF 892 00:32:27,720 --> 00:32:30,920 SEARCHING AND FINALIZING FOR 893 00:32:30,920 --> 00:32:36,600 DIRECTOR OF THE DPMC. 894 00:32:36,600 --> 00:32:40,200 DR. KURT RASMUSSEN LEFT AND WE 895 00:32:40,200 --> 00:32:41,960 STARTED A SEARCH COMMITTEE AND I 896 00:32:41,960 --> 00:32:43,920 HOPE BY THE NEXT MEETING WE'LL 897 00:32:43,920 --> 00:32:53,360 BE ABLE TO ANNOUNCE THE DIRECTOR 898 00:32:53,360 --> 00:32:54,480 OF DTMC, WE GRATEFUL FOR 899 00:32:54,480 --> 00:32:56,280 EVERYTHING THAT'S BEEN DONE. 900 00:32:56,280 --> 00:32:58,800 THE BUDGET, THESE ARE BUDGETS WE 901 00:32:58,800 --> 00:33:02,800 CURRENTLY HAVE FOR 2022 ENACTED. 902 00:33:02,800 --> 00:33:04,400 YOU CAN SEE BASICALLY NIDA HAS 903 00:33:04,400 --> 00:33:05,600 RECEIVED SIGNIFICANT INCREASE IN 904 00:33:05,600 --> 00:33:06,120 FUNDING. 905 00:33:06,120 --> 00:33:09,280 IF YOU ALSO LOOK AT THE FUNDS WE 906 00:33:09,280 --> 00:33:13,360 GET FROM PROPOSED BY THE 907 00:33:13,360 --> 00:33:16,160 PRESIDENT, THE BUDGETS ACTUALLY 908 00:33:16,160 --> 00:33:17,120 WILL BE -- ARE VERY 909 00:33:17,120 --> 00:33:18,320 SIGNIFICANTLY INCREASED FROM 910 00:33:18,320 --> 00:33:23,480 WHAT REGULAR BUDGETS ARE AND 911 00:33:23,480 --> 00:33:25,120 REFLECTS COMPONENTS, WITH OUR 912 00:33:25,120 --> 00:33:28,560 BASE FUNDING WHICH ALLOWS NIDA 913 00:33:28,560 --> 00:33:30,400 DIRECTLY TO PUT RESOURCES, AND 914 00:33:30,400 --> 00:33:32,600 THE OTHER ONE ALLOCATED THROUGH 915 00:33:32,600 --> 00:33:33,640 "HEAL," WHICH IS MANAGE THE 916 00:33:33,640 --> 00:33:36,200 THROUGH OFFICE OF THE DIRECTOR, 917 00:33:36,200 --> 00:33:38,440 INITIALLY FRANCIS COLLINS, NOW 918 00:33:38,440 --> 00:33:40,080 LARRY TABAK. 919 00:33:40,080 --> 00:33:42,200 AND THAT'S WHOLE SERIES THAT 920 00:33:42,200 --> 00:33:44,920 REQUIRES THERE'S A DIFFERENCE, 921 00:33:44,920 --> 00:33:45,480 MULTI-DISCIPLINARY WORKING 922 00:33:45,480 --> 00:33:46,800 GROUP, DIFFERENT EXECUTIVE 923 00:33:46,800 --> 00:33:49,960 COMMITTEE, THAT REVIEWS ALL OF 924 00:33:49,960 --> 00:33:52,120 THE GRANT PROPOSALS WE SUBMIT SO 925 00:33:52,120 --> 00:33:53,480 THEY CAN DETERMINE WHETHER THEY 926 00:33:53,480 --> 00:33:55,320 ALLOCATE FUNDS OR NOT. 927 00:33:55,320 --> 00:33:57,400 IT'S A MORE COMPLEX AND LENGTHY 928 00:33:57,400 --> 00:34:00,000 PROCESS BUT STILL AT THE SAME 929 00:34:00,000 --> 00:34:01,000 TIME IT'S AN EXTRAORDINARY 930 00:34:01,000 --> 00:34:03,760 OPPORTUNITY THAT WE HAVE TO 931 00:34:03,760 --> 00:34:05,160 SIGNIFICANTLY INCREASE RESOURCES 932 00:34:05,160 --> 00:34:11,760 IN ORDER TO ADDRESS THE OVERDOSE 933 00:34:11,760 --> 00:34:12,000 CRISIS. 934 00:34:12,000 --> 00:34:15,680 HOW ARE FUNDS ALLOCATED FOR 935 00:34:15,680 --> 00:34:16,200 NON-HEAL RESEARCH? 936 00:34:16,200 --> 00:34:17,320 THERE ARE DIFFERENT PROCESS FOR 937 00:34:17,320 --> 00:34:19,920 GETTING IT APPROVED. 938 00:34:19,920 --> 00:34:22,680 NON-HEAL RESEARCH HAS EQUIVALENT 939 00:34:22,680 --> 00:34:26,160 WAY FOR NEUROSCIENCE, BEHAVIORAL 940 00:34:26,160 --> 00:34:28,920 RESEARCH, AND EPIDEMIOLOGY AND 941 00:34:28,920 --> 00:34:34,560 MEDICAL THERAPEUTICS AND CPN 942 00:34:34,560 --> 00:34:35,000 OVERALL. 943 00:34:35,000 --> 00:34:38,440 STRONG PREEMINENCE OF 944 00:34:38,440 --> 00:34:41,280 NEUROSCIENCE AND BEHAVIOR BY 945 00:34:41,280 --> 00:34:41,840 ITSELF. 946 00:34:41,840 --> 00:34:44,160 ON THE OTHER HAND "HEAL" GOAL IS 947 00:34:44,160 --> 00:34:47,440 TO ADDRESS THE OVERDOSE CRISIS 948 00:34:47,440 --> 00:34:51,600 FOCUSING MORE RESOURCES IN TERMS 949 00:34:51,600 --> 00:34:53,320 OF MEDICAL CONSEQUENCES, MANY 950 00:34:53,320 --> 00:34:56,080 THERAPEUTICS FOR OPIOID USE 951 00:34:56,080 --> 00:34:59,360 DISORDER AND OVERDOSES. 952 00:34:59,360 --> 00:35:03,520 26%, ALSO ABLE TO INCREASE 953 00:35:03,520 --> 00:35:05,600 MONEY TO CLINICAL TRIALS NETWORK 954 00:35:05,600 --> 00:35:12,920 THROUGH HEAL FUNDS, FUND FIVE 955 00:35:12,920 --> 00:35:15,360 MORE NODES. 956 00:35:15,360 --> 00:35:15,920 MOST SIGNIFICANT INCREASE ON 957 00:35:15,920 --> 00:35:17,240 RESEARCH THAT RELATES TO 958 00:35:17,240 --> 00:35:19,680 EPIDEMIOLOGY AND SERVICES 959 00:35:19,680 --> 00:35:20,200 RESEARCH. 960 00:35:20,200 --> 00:35:26,560 45% OF OUR "HEAL" FUNDS GO TO 961 00:35:26,560 --> 00:35:28,120 THIS ENDEAVOR. 962 00:35:28,120 --> 00:35:30,000 IN TERMS OF THE OBJECTING I WANT 963 00:35:30,000 --> 00:35:32,400 TO GIVE YOU VERY MUCH I'M GOING 964 00:35:32,400 --> 00:35:34,360 TO BE CONCENTRATING ON PUSHING 965 00:35:34,360 --> 00:35:36,240 THE LIGHT ABOUT WHAT COVID HAS 966 00:35:36,240 --> 00:35:38,760 DONE, HOW WE'RE MOVING THEM 967 00:35:38,760 --> 00:35:40,040 FORWARD AS RELATES TO SCIENCE 968 00:35:40,040 --> 00:35:44,320 THAT IS FUNDED BY NIDA. 969 00:35:44,320 --> 00:35:47,640 I WANT TO UPDATE YOU SHORTLY ON 970 00:35:47,640 --> 00:35:50,880 ADOLESCENT BRAIN COGNITIVE 971 00:35:50,880 --> 00:35:52,160 DEVELOPMENT. 972 00:35:52,160 --> 00:35:53,880 AND WE'LL HAVE MORE DETAIL. 973 00:35:53,880 --> 00:35:56,120 IT'S VERY RELEVANT BECAUSE THIS 974 00:35:56,120 --> 00:35:57,520 HAS BEEN VERY REMARKABLE STUDY 975 00:35:57,520 --> 00:36:01,720 IN TERMS OF HOW IT HAS HELPED US 976 00:36:01,720 --> 00:36:03,800 OBTAIN DATA AND KNOWLEDGE HOW 977 00:36:03,800 --> 00:36:05,640 THE HUMAN BRAIN DEVELOPS THROUGH 978 00:36:05,640 --> 00:36:09,160 ADOLESCENCE AND IMPORTANTLY HOW 979 00:36:09,160 --> 00:36:10,600 THE SOCIAL DETERMINANTS OF 980 00:36:10,600 --> 00:36:12,680 HEALTH IN ADOLESCENCE ARE FROM 981 00:36:12,680 --> 00:36:15,720 THE HISTORY OF THESE ADOLESCENTS 982 00:36:15,720 --> 00:36:17,400 AND MOTHERS AND FAMILIES WHAT 983 00:36:17,400 --> 00:36:18,600 PRECEDED THEM ULTIMATELY 984 00:36:18,600 --> 00:36:21,160 INFLUENCING THEIR BRAIN 985 00:36:21,160 --> 00:36:23,840 DEVELOPMENT, THEIR BEHAVIOR, 986 00:36:23,840 --> 00:36:25,680 THEIR COGNITION. 987 00:36:25,680 --> 00:36:28,320 IT'S BEEN VERY SUCCESSFUL IN 988 00:36:28,320 --> 00:36:29,840 RELEASING THE DATA, BASICALLY AS 989 00:36:29,840 --> 00:36:31,880 CLOSE AS POSSIBLE AS WHEN IT'S 990 00:36:31,880 --> 00:36:32,400 COLLECTED. 991 00:36:32,400 --> 00:36:34,920 IN A FORMAT THAT MAKES IT 992 00:36:34,920 --> 00:36:35,960 AMENABLE FOR INVESTIGATORS NOT 993 00:36:35,960 --> 00:36:37,880 JUST THAT ARE PARTICIPATING 994 00:36:37,880 --> 00:36:40,160 DIRECTLY IN THE ABCD BUT FOR 995 00:36:40,160 --> 00:36:42,560 ANYONE THAT IS NOT 996 00:36:42,560 --> 00:36:43,160 PARTICIPATING, INCLUDING 997 00:36:43,160 --> 00:36:47,240 SCIENTISTS THAT MAY NOT HAVE THE 998 00:36:47,240 --> 00:36:48,040 COMPUTATIONAL RESOURCES THAT 999 00:36:48,040 --> 00:36:54,400 OTHER UNIVERSITIES HAVE BECAUSE 1000 00:36:54,400 --> 00:36:56,480 OF ACCESS TO CAPABILITIES ENABLE 1001 00:36:56,480 --> 00:37:02,920 THEM TO ANALYZE THE DATA. 1002 00:37:02,920 --> 00:37:05,320 I'M GRATEFUL TO DR. DARLING AND 1003 00:37:05,320 --> 00:37:07,840 HER TEAM ON THEIR ABILITY TO 1004 00:37:07,840 --> 00:37:11,240 ENSURE THE PARTICIPANTS ARE 1005 00:37:11,240 --> 00:37:12,680 RETAINED, AND SECURED BY TWO 1006 00:37:12,680 --> 00:37:15,880 YEARS OF COVID PANDEMIC, ALL OF 1007 00:37:15,880 --> 00:37:22,080 THE DIFFICULTIES THIS CONTAIN, 1008 00:37:22,080 --> 00:37:24,000 RETENTION IS 98.1%, QUITE 1009 00:37:24,000 --> 00:37:25,000 EXTRAORDINARY. 1010 00:37:25,000 --> 00:37:27,760 IN TERMS OF PRODUCTIVITY, LOOK 1011 00:37:27,760 --> 00:37:29,560 AT THE METRICS, THE SINGLE 1012 00:37:29,560 --> 00:37:32,240 METRICS OF PUBLICATION, YOU CAN 1013 00:37:32,240 --> 00:37:36,000 ALSO SEE ABCD STUDY HAS BEEN 1014 00:37:36,000 --> 00:37:37,840 ABLE TO PROVIDE RELEVANT VERY 1015 00:37:37,840 --> 00:37:39,480 FASCINATING FINDINGS THAT HAVE 1016 00:37:39,480 --> 00:37:42,680 BEEN PUBLISHED, BOTH BY ABCD 1017 00:37:42,680 --> 00:37:44,840 INVESTIGATORS IN BLUE AND NOT 1018 00:37:44,840 --> 00:37:45,920 ABCD INVESTIGATORS. 1019 00:37:45,920 --> 00:37:48,360 YOU CAN SEE CLEARLY AS THE YEARS 1020 00:37:48,360 --> 00:37:50,760 PROGRESS, THERE ARE MORE 1021 00:37:50,760 --> 00:37:52,760 NON-ABCD INVESTIGATORS RELATIVE 1022 00:37:52,760 --> 00:37:53,920 TO ABCD INVESTIGATORS THAT ARE 1023 00:37:53,920 --> 00:37:55,360 TAKING ADVANTAGE OF THESE 1024 00:37:55,360 --> 00:37:57,000 DATASETS WHICH IS EXACTLY WHAT 1025 00:37:57,000 --> 00:37:58,320 WE WANTED TO ACHIEVE. 1026 00:37:58,320 --> 00:38:00,960 AND AS I SAY, ONE OF THE THINGS 1027 00:38:00,960 --> 00:38:05,480 THAT I HIGHLIGHT BECAUSE OF HOW 1028 00:38:05,480 --> 00:38:07,600 IMPORTANT AND TRANSFORMATIVE HAS 1029 00:38:07,600 --> 00:38:09,320 BEEN IT'S ABILITY TO ADDRESS 1030 00:38:09,320 --> 00:38:10,200 QUESTIONS HOW SOCIAL 1031 00:38:10,200 --> 00:38:12,720 DETERMINANTS OF HEALTH ARE 1032 00:38:12,720 --> 00:38:15,480 INFLUENCING BRAIN DEVELOPMENT 1033 00:38:15,480 --> 00:38:16,720 AND WHAT ARE THE FACTORS ONE CAN 1034 00:38:16,720 --> 00:38:19,080 INTERVENE IN ORDER TO IMPROVE 1035 00:38:19,080 --> 00:38:20,480 THOSE OUTCOMES. 1036 00:38:20,480 --> 00:38:23,120 AND SO AS A RESULT, AS WE'RE 1037 00:38:23,120 --> 00:38:24,760 DISCUSSING, THE OVERDOSE CRISIS, 1038 00:38:24,760 --> 00:38:25,640 WE NEED TO ACTUALLY HIGHLIGHT 1039 00:38:25,640 --> 00:38:27,880 ONE OF THE KEY COMPONENTS THAT 1040 00:38:27,880 --> 00:38:30,640 WE HAVE IS PREVENTION. 1041 00:38:30,640 --> 00:38:32,400 AND PREVENTION OBVIOUSLY HAS 1042 00:38:32,400 --> 00:38:34,200 DIFFERENT STAGES BUT PERHAPS 1043 00:38:34,200 --> 00:38:37,440 MOST IMPACTFUL ONE IS TO PREVENT 1044 00:38:37,440 --> 00:38:37,960 TEENAGERS FROM DRUG 1045 00:38:37,960 --> 00:38:39,960 EXPERIMENTATION, NOT JUST DRUG 1046 00:38:39,960 --> 00:38:41,680 EXPERIMENTATION BUT ALSO PROVIDE 1047 00:38:41,680 --> 00:38:43,040 THEM WITH RESILIENCE THAT WILL 1048 00:38:43,040 --> 00:38:45,320 GIVE THEM THE ABILITY TO 1049 00:38:45,320 --> 00:38:55,840 NAVIGATE THEIR LIFE AS THEY GO 1050 00:38:57,000 --> 00:38:58,840 INTO ADULTHOOD AND HOPEFULLY 1051 00:38:58,840 --> 00:38:59,920 ACHIEVE HEALTH EQUITY AND 1052 00:38:59,920 --> 00:39:00,360 SUCCESS. 1053 00:39:00,360 --> 00:39:02,960 WHAT HAS THE COVID PANDEMIC DONE 1054 00:39:02,960 --> 00:39:03,960 WITH DRUG TAKING? 1055 00:39:03,960 --> 00:39:05,800 DRUGS DRIVING THE OVERDOSE 1056 00:39:05,800 --> 00:39:06,880 CRISIS, BUT BEYOND THAT, BEFORE 1057 00:39:06,880 --> 00:39:09,520 I GET INTO IT, I DO WANT TO 1058 00:39:09,520 --> 00:39:12,640 HIGHLIGHT THAT THE COVID 1059 00:39:12,640 --> 00:39:14,760 PANDEMIC, I THINK WE'VE BEEN 1060 00:39:14,760 --> 00:39:16,560 COVERING THIS BECAUSE OF THE 1061 00:39:16,560 --> 00:39:19,520 STRESS AND UNCERTAINTY AND 1062 00:39:19,520 --> 00:39:21,280 EVERYTHING INCLUDING SOCIAL 1063 00:39:21,280 --> 00:39:23,000 ISOLATION HAS LED AMONG ADULTS 1064 00:39:23,000 --> 00:39:24,480 TO SIGNIFICANT INCREASE IN DRUG 1065 00:39:24,480 --> 00:39:24,880 TAKING. 1066 00:39:24,880 --> 00:39:28,160 THIS HAS NOT HAPPENED AMONG 1067 00:39:28,160 --> 00:39:28,600 ADOLESCENTS. 1068 00:39:28,600 --> 00:39:31,560 AMONG ADOLESCENTS WE'VE SEEN 1069 00:39:31,560 --> 00:39:32,880 SIGNIFICANT DECLINE, PRESUMABLY 1070 00:39:32,880 --> 00:39:34,320 TO DECREASED OPPORTUNITY TO 1071 00:39:34,320 --> 00:39:36,000 SOCIALLY INTERACT WITH OTHERS 1072 00:39:36,000 --> 00:39:39,800 WHICH IS NECESSARY DURING THIS 1073 00:39:39,800 --> 00:39:41,000 AGE, PARTICULARLY FOR DRUG 1074 00:39:41,000 --> 00:39:43,600 CONSUMPTION, IT'S A KEY 1075 00:39:43,600 --> 00:39:44,240 COMPONENT. 1076 00:39:44,240 --> 00:39:45,440 I'M HIGHLIGHTING TWO STUDIES. 1077 00:39:45,440 --> 00:39:49,600 ONE OF THEM THAT HAS LOOKED INTO 1078 00:39:49,600 --> 00:39:52,480 TRYING TO IDENTIFY WHO WERE 1079 00:39:52,480 --> 00:39:56,720 INDIVIDUALS AT GREATEST RISK AS 1080 00:39:56,720 --> 00:39:57,920 RELATES TO CANNABIS. 1081 00:39:57,920 --> 00:40:00,160 THE TAXES THE STATES ARE GETTING 1082 00:40:00,160 --> 00:40:01,880 FOR SELLING CANNABIS WERE HIGHER 1083 00:40:01,880 --> 00:40:04,080 WHEN THE COVID PANDEMIC STARTED, 1084 00:40:04,080 --> 00:40:05,480 HAVE CONTINUED TO BE HIGHER. 1085 00:40:05,480 --> 00:40:08,120 AN IMPORTANT QUESTION IS WHO ARE 1086 00:40:08,120 --> 00:40:09,760 THE INDIVIDUALS AT GREATER RISK, 1087 00:40:09,760 --> 00:40:10,960 AND THERE'S BEEN INCREASE IN 1088 00:40:10,960 --> 00:40:15,320 BOTH IN TERMS OF NON-MEDICAL AS 1089 00:40:15,320 --> 00:40:17,800 WELL AS MEDICAL CANNABIS, BUT 1090 00:40:17,800 --> 00:40:19,360 THE FACTORS ACCOUNTING FOR TO A 1091 00:40:19,360 --> 00:40:20,960 CERTAIN EXTENT ONE CAN THINK 1092 00:40:20,960 --> 00:40:22,680 ABOUT IT, THE REASON WHY THAT 1093 00:40:22,680 --> 00:40:26,320 INCREASES YOUR RISK IF YOU'RE A 1094 00:40:26,320 --> 00:40:28,120 CANNABIS USER FOR NON-MEDICAL 1095 00:40:28,120 --> 00:40:29,760 PURPOSES, THE HIGHEST INCREASES 1096 00:40:29,760 --> 00:40:32,080 OBSERVED IN INDIVIDUALS THAT HAD 1097 00:40:32,080 --> 00:40:33,600 LESS THAN -- WERE USING IT 1098 00:40:33,600 --> 00:40:40,880 MONTHLY OR LESS THAN MONTHLY AS 1099 00:40:40,880 --> 00:40:43,720 OPPOSED TO REGULAR WEEKLY USERS. 1100 00:40:43,720 --> 00:40:45,640 THE STUDY SHOWS FOR A 1101 00:40:45,640 --> 00:40:46,520 PARTICULARLY VULNERABLE GROUP IN 1102 00:40:46,520 --> 00:40:48,680 TERMS OF POTENTIAL NEGATIVE 1103 00:40:48,680 --> 00:40:50,800 EFFECTS, THAT IS PREGNANT WOMEN. 1104 00:40:50,800 --> 00:40:57,160 CLEARLY YOU CAN SEE SIGNIFICANT 1105 00:40:57,160 --> 00:40:58,040 INCREASE IN NATURALLY 1106 00:40:58,040 --> 00:40:59,680 CONSUMPTION OF MARIJUANA IN THE 1107 00:40:59,680 --> 00:41:01,520 COVID PANDEMIC BY PREGNANT 1108 00:41:01,520 --> 00:41:02,720 WOMEN, BASED ON KAISER 1109 00:41:02,720 --> 00:41:05,080 PERMANENTE AND NORTHERN 1110 00:41:05,080 --> 00:41:05,720 CALIFORNIA DATASETS. 1111 00:41:05,720 --> 00:41:08,240 THIS IS A SLIDE THAT ACTUALLY -- 1112 00:41:08,240 --> 00:41:10,280 I'M GOING TO GUIDE OUR SELF 1113 00:41:10,280 --> 00:41:12,160 BECAUSE WE NEED YOUR INPUT AND 1114 00:41:12,160 --> 00:41:13,680 YOUR QUESTIONS AND YOUR 1115 00:41:13,680 --> 00:41:15,400 SUGGESTIONS. 1116 00:41:15,400 --> 00:41:16,040 I'M GOING TO BE THROWING AT YOU 1117 00:41:16,040 --> 00:41:17,400 DATA THAT I THINK IS VERY 1118 00:41:17,400 --> 00:41:21,240 SALIENT IN TERMS OF HOW WE MOVE 1119 00:41:21,240 --> 00:41:21,720 THROUGHOUT. 1120 00:41:21,720 --> 00:41:23,440 IN THIS GRAPH I HAVE TO THE LEFT 1121 00:41:23,440 --> 00:41:27,840 MALES, TO THE RIGHT FEMALES. 1122 00:41:27,840 --> 00:41:29,880 I DIVIDED OVERDOSE DEATHS AS A 1123 00:41:29,880 --> 00:41:35,560 FUNCTION OF AGE. 1124 00:41:35,560 --> 00:41:37,000 15-34, YOUNGER. 1125 00:41:37,000 --> 00:41:39,960 OLD IN THE SECOND YOUNGEST, 1126 00:41:39,960 --> 00:41:41,040 35-64 YEARS OLD. 1127 00:41:41,040 --> 00:41:43,360 AND IN GRAY IS THE PERIOD OF THE 1128 00:41:43,360 --> 00:41:44,080 COVID PANDEMIC. 1129 00:41:44,080 --> 00:41:46,160 JUST BY LOOKING AT IT, WHETHER 1130 00:41:46,160 --> 00:41:51,720 IT IS MALES OR FEMALES, YOUNGER 1131 00:41:51,720 --> 00:41:53,440 VERSUS OLDER COHORT CLEARLY IT 1132 00:41:53,440 --> 00:41:54,680 DID GO UP, HIGHER. 1133 00:41:54,680 --> 00:41:58,680 IT'S ALSO TELLING US SOMETHING. 1134 00:41:58,680 --> 00:42:00,080 THIS HAS APPEARED IN OTHER AGE 1135 00:42:00,080 --> 00:42:01,360 GROUPS THAT THE RISE STARTED 1136 00:42:01,360 --> 00:42:04,280 JUST BEFORE THE COVID PANDEMIC. 1137 00:42:04,280 --> 00:42:05,440 BUT IT CONTINUED THEREAFTER. 1138 00:42:05,440 --> 00:42:07,160 SO IT'S NOT JUST THE FUNCTION OF 1139 00:42:07,160 --> 00:42:10,600 THE COVID PANDEMIC THAT WE'RE 1140 00:42:10,600 --> 00:42:12,320 SEEING INCREASE IN OVERDOSE 1141 00:42:12,320 --> 00:42:15,400 DEATH, THAT IS CRUCIAL. 1142 00:42:15,400 --> 00:42:16,120 I'LL POINT THIS OUT LATER, 1143 00:42:16,120 --> 00:42:19,040 SIGNIFICANT IN TERMS OF OUR 1144 00:42:19,040 --> 00:42:22,200 ACTIONS, JUMPS AT YOU, LOOK AT 1145 00:42:22,200 --> 00:42:25,200 YOUR Y-AXIS. 1146 00:42:25,200 --> 00:42:28,640 THIS IS 65, RATE OF 65 PER 1147 00:42:28,640 --> 00:42:32,560 100,000 POPULATION FOR MALES. 1148 00:42:32,560 --> 00:42:34,920 HERE IS STANDARDIZED TO 35. 1149 00:42:34,920 --> 00:42:36,840 CLEARLY YOU SEE FEMALE OVERDOSES 1150 00:42:36,840 --> 00:42:38,560 ARE MUCH LOWER THAN MALES. 1151 00:42:38,560 --> 00:42:42,360 YOU ALSO SEE THERE ARE 1152 00:42:42,360 --> 00:42:44,520 SIGNIFICANT DIFFERENCES ACROSS 1153 00:42:44,520 --> 00:42:47,760 GROUPS, ETHNIC AND BASICALLY 1154 00:42:47,760 --> 00:42:48,480 RACE AND ETHNICITY. 1155 00:42:48,480 --> 00:42:50,880 OVERALL IN TERMS OF ABSOLUTE 1156 00:42:50,880 --> 00:42:53,640 NUMBERS, BY THE GROUP WITH THE 1157 00:42:53,640 --> 00:42:54,960 HIGHEST MORTALITY, ARE THE 1158 00:42:54,960 --> 00:42:56,240 AMERICAN INDIANS AND ALASKA 1159 00:42:56,240 --> 00:42:56,720 NATIVES. 1160 00:42:56,720 --> 00:42:59,560 THAT'S WHERE WE HAVE THE HIGHEST 1161 00:42:59,560 --> 00:43:02,440 RATES OF OVERDOSES. 1162 00:43:02,440 --> 00:43:05,000 LOOK AT THE HIGHEST NUMBER OF 1163 00:43:05,000 --> 00:43:07,120 OVERDOSES, MALES ON THE OLDER 1164 00:43:07,120 --> 00:43:12,480 COHORT OF THE TWO, THERE YOU CAN 1165 00:43:12,480 --> 00:43:15,800 SEE AMERICAN INDIANS IS 60, 1166 00:43:15,800 --> 00:43:16,400 BLACK AMERICANS ALSO EXTREMELY 1167 00:43:16,400 --> 00:43:16,680 HIGH, 61. 1168 00:43:16,680 --> 00:43:23,200 IF YOU LOOK AT YOUNGER COHORT 1169 00:43:23,200 --> 00:43:23,760 DIFFERENT PROPORTIONALITY, 1170 00:43:23,760 --> 00:43:25,440 AMERICAN INDIANS/ALASKA NATIVES 1171 00:43:25,440 --> 00:43:26,800 AT 42. 1172 00:43:26,800 --> 00:43:28,920 BLACK AMERICANS 25. 1173 00:43:28,920 --> 00:43:30,440 CLEARLY HIGHLIGHTING RISK 1174 00:43:30,440 --> 00:43:32,400 FACTORS WE ARE OBSERVING ARE 1175 00:43:32,400 --> 00:43:34,160 AFFECTED NOT JUST BY RACE AND 1176 00:43:34,160 --> 00:43:36,680 ETHNICITY BUT ALSO BY THE AGE OF 1177 00:43:36,680 --> 00:43:37,400 THE INDIVIDUALS. 1178 00:43:37,400 --> 00:43:41,440 WHEN YOU JUMP INTO THE FEMALES, 1179 00:43:41,440 --> 00:43:42,760 YOU CAN SEE HOW THE LINE 1180 00:43:42,760 --> 00:43:44,200 SEPARATES FROM THE OTHER AND 1181 00:43:44,200 --> 00:43:45,760 BASICALLY AS WELL BOTH FOR THE 1182 00:43:45,760 --> 00:43:52,600 15 TO 34 AS WELL AS 35 TO 64 1183 00:43:52,600 --> 00:43:58,560 TELLING YOU IN FEMALES THE 1184 00:43:58,560 --> 00:44:00,480 DISPARITIES ARE GREATER THAN THE 1185 00:44:00,480 --> 00:44:00,800 MALES. 1186 00:44:00,800 --> 00:44:03,000 IT'S AMERICAN INDIAN AND ALASKA 1187 00:44:03,000 --> 00:44:05,200 NATIVE WOMEN BY FAR WE SEE 1188 00:44:05,200 --> 00:44:06,480 GREATEST MORTALITY. 1189 00:44:06,480 --> 00:44:07,640 WHAT I ALSO WANT TO HIGHLIGHT 1190 00:44:07,640 --> 00:44:10,800 BECAUSE THIS IS SOMETHING WE'VE 1191 00:44:10,800 --> 00:44:16,200 NOT SEEN, VERY SIGNIFICANT 1192 00:44:16,200 --> 00:44:20,000 INCREASE IN RATE OF MORTALITY 1193 00:44:20,000 --> 00:44:23,160 AMONG BLACK AMERICANS 35 TO 64 1194 00:44:23,160 --> 00:44:23,960 YEARS OF AGE. 1195 00:44:23,960 --> 00:44:26,760 WHAT DOES IT MEAN AND WHY ARE WE 1196 00:44:26,760 --> 00:44:28,440 SEEING THIS IS AT THE ESSENCE 1197 00:44:28,440 --> 00:44:31,600 TRYING TO DETERMINE INITIATIVES 1198 00:44:31,600 --> 00:44:33,440 WE CAN DEPLOY TO HELP ADDRESS 1199 00:44:33,440 --> 00:44:34,640 THAT, TO UNDERSTAND IT BETTER, 1200 00:44:34,640 --> 00:44:38,400 OF COURSE, BUT ALSO WHAT ARE THE 1201 00:44:38,400 --> 00:44:40,520 STRATEGIES HELP REVERSE IT. 1202 00:44:40,520 --> 00:44:42,640 AND SO THESE ARE NUMBERS, THE 1203 00:44:42,640 --> 00:44:44,840 ONES I'M ALLOWED TO PRESENT TO 1204 00:44:44,840 --> 00:44:47,880 YOU, THE CDC IS GOING TO LISTING 1205 00:44:47,880 --> 00:44:49,040 THE LATEST NUMBERS WHICH ARE 1206 00:44:49,040 --> 00:44:51,320 GOING TO GROW FOR THE LAST 12 1207 00:44:51,320 --> 00:44:53,720 MONTHS, ON DECEMBER, THIS IS THE 1208 00:44:53,720 --> 00:44:57,000 LAST 12 MONTHS OF NOVEMBER 2021 1209 00:44:57,000 --> 00:44:59,080 COMPARED AGAINST THE LAST 12 1210 00:44:59,080 --> 00:45:01,160 MONTHS OF 2020. 1211 00:45:01,160 --> 00:45:03,160 REMEMBER, ON 2020 THE FIRST YEAR 1212 00:45:03,160 --> 00:45:05,560 OF THE PANDEMIC THERE WAS 30% 1213 00:45:05,560 --> 00:45:07,080 INCREASE IN OVERDOSE MORTALITY. 1214 00:45:07,080 --> 00:45:09,800 THE HIGHEST RATE WE'VE EVER 1215 00:45:09,800 --> 00:45:10,360 SEEN. 1216 00:45:10,360 --> 00:45:13,360 NOW THAT WE ARE ON THE NOVEMBER 1217 00:45:13,360 --> 00:45:15,560 2021, WE'VE SEEN THERE IS A 1218 00:45:15,560 --> 00:45:17,760 SIGNIFICANT DECREASE BUT RATES 1219 00:45:17,760 --> 00:45:19,840 OF INCREASE IS BASICALLY IN THIS 1220 00:45:19,840 --> 00:45:20,920 CASE, 16%. 1221 00:45:20,920 --> 00:45:26,080 IT HAS CONTINUED TO INCREASE. 1222 00:45:26,080 --> 00:45:30,000 JUNE 2021, WE REACH THE HORRIBLE 1223 00:45:30,000 --> 00:45:31,320 MARK MORE THAN 100,000 OVERDOSE 1224 00:45:31,320 --> 00:45:33,600 DEATHS, AND THIS IS DATA. 1225 00:45:33,600 --> 00:45:36,360 I TOLD YOU MY VIEW, LET'S LOOK 1226 00:45:36,360 --> 00:45:39,720 BECAUSE WHAT IT IS TELLING US IN 1227 00:45:39,720 --> 00:45:42,040 TERMS OF OVERDOSE CRISIS, THE 1228 00:45:42,040 --> 00:45:44,120 NUMBER OF OVERDOSES FROM HEROIN 1229 00:45:44,120 --> 00:45:45,280 HAS GONE DOWN. 1230 00:45:45,280 --> 00:45:47,960 THE NUMBER OF OVERDOSE DEATHS 1231 00:45:47,960 --> 00:45:49,480 FROM PRESCRIPTION OPIOIDS IS 1232 00:45:49,480 --> 00:45:49,720 STABLE. 1233 00:45:49,720 --> 00:45:51,240 IT HAS NOT CHANGED. 1234 00:45:51,240 --> 00:45:55,080 IT'S STILL SIGNIFICANT, I DON'T 1235 00:45:55,080 --> 00:45:58,800 WANT TO UNDERESTIMATE IT. 1236 00:45:58,800 --> 00:46:01,520 14,000 PEOPLE DYING FROM 1237 00:46:01,520 --> 00:46:02,920 OVERDOSE FROM PRESCRIPTION 1238 00:46:02,920 --> 00:46:05,000 OPIOIDS BUT NOT AT THE RATE OF 1239 00:46:05,000 --> 00:46:10,960 GROWTH WE'RE OBSERVING FOR OTHER 1240 00:46:10,960 --> 00:46:12,440 CATEGORIES. 1241 00:46:12,440 --> 00:46:13,560 LOOK AT SYNTHETIC OPIOIDS, 1242 00:46:13,560 --> 00:46:15,800 FENTANYL. 1243 00:46:15,800 --> 00:46:16,760 WE START TO SEE EMERGING 1244 00:46:16,760 --> 00:46:18,880 SIGNIFICANT RISES. 1245 00:46:18,880 --> 00:46:29,480 I POINTED THIS OUT, PSYCHOSTIM 1246 00:46:29,480 --> 00:46:31,640 S TIMULANTS AND METHAMPHETAMINE. 1247 00:46:31,640 --> 00:46:34,480 MANY OVERDOSE DEATHS HAVE 1248 00:46:34,480 --> 00:46:35,960 COMBINATION WITH BENZODIAZEPINES 1249 00:46:35,960 --> 00:46:37,600 OR ALCOHOL OR ALSO 1250 00:46:37,600 --> 00:46:38,320 ANTI-CONVULSANT DRUGS. 1251 00:46:38,320 --> 00:46:40,880 MORE AND MORE WHAT WE'RE 1252 00:46:40,880 --> 00:46:42,760 OBSERVING IN OVERDOSE CRISIS IS 1253 00:46:42,760 --> 00:46:45,480 PEOPLE ARE DYING WITH MULTIPLE 1254 00:46:45,480 --> 00:46:47,880 SUBSTANCES ON BOARD. 1255 00:46:47,880 --> 00:46:54,920 AN IMPORTANT NOTE, I REITERATE, 1256 00:46:54,920 --> 00:46:58,280 THERE'S NOT BEEN INCREASE IN 1257 00:46:58,280 --> 00:46:59,720 OVERDOSE DEATHS FOR METHADONE, 1258 00:46:59,720 --> 00:47:03,880 VERY IMPORTANT BECAUSE IT WAS 1259 00:47:03,880 --> 00:47:06,760 NOT CLEAR HOW FACILITATED EFFECT 1260 00:47:06,760 --> 00:47:08,680 OF TAKEHOME METHADONE COULD 1261 00:47:08,680 --> 00:47:10,280 AFFECT OVERDOSE RATES. 1262 00:47:10,280 --> 00:47:11,920 IT HASN'T, AND THE DATA SHOWN IN 1263 00:47:11,920 --> 00:47:16,160 THE PAST HAS SHOWN THAT IT'S 1264 00:47:16,160 --> 00:47:19,600 ACTUALLY IMPROVED RETENTION IN 1265 00:47:19,600 --> 00:47:21,320 TREATMENT. 1266 00:47:21,320 --> 00:47:22,320 POSITIVE EFFECT, NO EVIDENCE 1267 00:47:22,320 --> 00:47:26,760 IT'S HAD A NEGATIVE IMPACT IN 1268 00:47:26,760 --> 00:47:28,240 PROMOTING, CORRECTING TO 1269 00:47:28,240 --> 00:47:32,240 OVERDOSE, THE SAME DAY, 1270 00:47:32,240 --> 00:47:34,080 SIMILARLY FOR BUPRENORPHINE, THE 1271 00:47:34,080 --> 00:47:37,320 MEASURE, ACTUALLY THE ABILITY TO 1272 00:47:37,320 --> 00:47:38,360 PRESCRIBE BUPRENORPHINE BECAME 1273 00:47:38,360 --> 00:47:39,520 MUCH EASIER WITH THE COVID 1274 00:47:39,520 --> 00:47:42,480 PANDEMIC, AND THAT HAS NOT 1275 00:47:42,480 --> 00:47:43,920 RESULTED IN INCREASING OVERDOSE 1276 00:47:43,920 --> 00:47:46,040 FROM BUPRENORPHINE, JUST AS FOR 1277 00:47:46,040 --> 00:47:51,920 METH TONE, THAT'S LOW THRESHOLD 1278 00:47:51,920 --> 00:47:54,200 INTO BUPRENORPHINE, FACILITATE 1279 00:47:54,200 --> 00:47:58,200 RETENTION IN TREATMENT. 1280 00:47:58,200 --> 00:48:02,000 RETENTION IN TREATMENT, 1281 00:48:02,000 --> 00:48:03,160 BUPRENORPHINE, METHAMPHETAMINE, 1282 00:48:03,160 --> 00:48:04,840 NALTREXONE, OVERDOSE REVERSAL, 1283 00:48:04,840 --> 00:48:07,240 THEY ARE VERY EFFECTIVE AND YOU 1284 00:48:07,240 --> 00:48:08,560 HAVE READ MEDICATION FOR OPIOID 1285 00:48:08,560 --> 00:48:12,480 USE DISORDER SAVES LIVES, 1286 00:48:12,480 --> 00:48:14,760 CONSENSUS RETRO BY NATIONAL 1287 00:48:14,760 --> 00:48:20,840 ACADEMY OF MEDICINE SIGN, A 1288 00:48:20,840 --> 00:48:23,160 PAPER SHOWS INDEPENDENT STORY 1289 00:48:23,160 --> 00:48:25,520 HOW DEFECTIVE THESE ARE FOR 1290 00:48:25,520 --> 00:48:27,320 PREVENTING OVERDOSE. 1291 00:48:27,320 --> 00:48:30,000 THESE DATA PLOT REDUCEED RISK OF 1292 00:48:30,000 --> 00:48:31,640 OVERDOSE IN PREGNANT WOMEN GIVEN 1293 00:48:31,640 --> 00:48:34,480 MEDICATION FOR OPIOID USE 1294 00:48:34,480 --> 00:48:36,120 DISORDER AND SHOWS ACTUALLY -- 1295 00:48:36,120 --> 00:48:37,600 CERTAINLY THE LONGER YOU ARE ON 1296 00:48:37,600 --> 00:48:39,200 MEDICATION FOR OPIOID USE 1297 00:48:39,200 --> 00:48:43,080 DISORDER, THE GREATER THE 1298 00:48:43,080 --> 00:48:44,120 PROTECTION. 1299 00:48:44,120 --> 00:48:48,440 SO IF YOU ARE 40 WEEKS TO YOUR 1300 00:48:48,440 --> 00:48:52,160 PREGNANCY WITH MEDICATION FOR 1301 00:48:52,160 --> 00:48:57,360 OPIOID USE DISORDER THAT ENTAILS 1302 00:48:57,360 --> 00:49:00,880 90% REDUCTION IN NON-FATAL 1303 00:49:00,880 --> 00:49:01,280 OVERDOSES. 1304 00:49:01,280 --> 00:49:02,640 THESE HIGHLIGHT HOW CRUCIAL IT 1305 00:49:02,640 --> 00:49:04,720 IS THAT WE ADDRESS AND PROVIDE 1306 00:49:04,720 --> 00:49:06,200 WITH MEDICATION FOR OPIOID USE 1307 00:49:06,200 --> 00:49:06,600 DISORDER. 1308 00:49:06,600 --> 00:49:10,040 SO THE EVIDENCE IS OUT THERE. 1309 00:49:10,040 --> 00:49:11,920 BUT UNFORTUNATELY NOT EVERYONE 1310 00:49:11,920 --> 00:49:13,160 THAT REQUIRES THOSE TREATMENTS 1311 00:49:13,160 --> 00:49:15,840 ARE GIVEN THEM. 1312 00:49:15,840 --> 00:49:19,880 THIS IS DATA FROM THE SAMHSA, 1313 00:49:19,880 --> 00:49:21,080 DETERMINING THOSE INDIVIDUALS 1314 00:49:21,080 --> 00:49:23,040 THAT HAVE AN OPIOID USE DISORDER 1315 00:49:23,040 --> 00:49:25,520 IN THE UNITED STATES THAT 1316 00:49:25,520 --> 00:49:26,720 RECEIVE MEDICATION FOR OPIOID 1317 00:49:26,720 --> 00:49:29,160 USE DISORDER IN THE PAST YEAR OF 1318 00:49:29,160 --> 00:49:31,000 PUBLIC SURVEY AND IT SHOWS THAT 1319 00:49:31,000 --> 00:49:33,800 JUST A LOW PERCENTAGE OF THEM 1320 00:49:33,800 --> 00:49:35,120 ACTUALLY WERE GIVEN ACCESS TO 1321 00:49:35,120 --> 00:49:36,600 MEDICATION FOR OPIOID USE 1322 00:49:36,600 --> 00:49:37,160 DISORDER. 1323 00:49:37,160 --> 00:49:38,800 THIS IS DESPITE ALL OF THE 1324 00:49:38,800 --> 00:49:41,200 EVIDENCE THAT SHOWS THIS IS 1325 00:49:41,200 --> 00:49:44,680 PROBABLY THE MOST EFFECTIVE 1326 00:49:44,680 --> 00:49:46,200 INTERVENTION ALONG WITH 1327 00:49:46,200 --> 00:49:48,080 DISTRIBUTION AND ACCESS TO 1328 00:49:48,080 --> 00:49:50,360 NALOXONE THAN FOR PREVENTING 1329 00:49:50,360 --> 00:49:50,760 OVERDOSE. 1330 00:49:50,760 --> 00:49:54,000 EVEN DATA IS SHOWING IT'S VERY 1331 00:49:54,000 --> 00:49:56,840 EFFECTIVE, WE'RE AWARE NOT 1332 00:49:56,840 --> 00:50:01,120 PROVIDING THIS TREATMENT, THAT'S 1333 00:50:01,120 --> 00:50:03,600 A KEY COMPONENT. 1334 00:50:03,600 --> 00:50:06,560 WITH PREGNANT WOMEN THE LONGER 1335 00:50:06,560 --> 00:50:07,800 YOU RETAIN PEOPLE IN TREATMENT 1336 00:50:07,800 --> 00:50:10,360 THE BETTER YOU ARE AT PREVENTING 1337 00:50:10,360 --> 00:50:10,760 DISORDERS. 1338 00:50:10,760 --> 00:50:12,920 I WANT TO FOR THAT PURPOSE 1339 00:50:12,920 --> 00:50:15,640 HIGHLIGHT STUDY THAT WAS JUST 1340 00:50:15,640 --> 00:50:19,800 RECENTLY PUBLISHED. 1341 00:50:19,800 --> 00:50:22,160 IT'S A METH ANALYSIS 1342 00:50:22,160 --> 00:50:23,480 INVESTIGATION TO DETERMINE A BIG 1343 00:50:23,480 --> 00:50:27,240 CHALLENGE, WE TENSION OF PEOPLE 1344 00:50:27,240 --> 00:50:29,080 IN KNOWED KNOWED. 1345 00:50:29,080 --> 00:50:30,920 THERE'S ONE POINT, NOT GIVING 1346 00:50:30,920 --> 00:50:32,280 MEDICATION FOR OPIOID USE 1347 00:50:32,280 --> 00:50:33,360 DISORDER, EVERYONE THAT WOULD 1348 00:50:33,360 --> 00:50:34,680 BENEFIT, BUT THE OTHER SIDE OF 1349 00:50:34,680 --> 00:50:36,960 THE COIN WE'RE STILL NOT ABLE TO 1350 00:50:36,960 --> 00:50:38,600 RETAIN PEOPLE ON MEDICATIONS FOR 1351 00:50:38,600 --> 00:50:40,600 OPIOID USE DISORDER. 1352 00:50:40,600 --> 00:50:42,880 SO ONE QUESTION SCIENTIFICALLY 1353 00:50:42,880 --> 00:50:46,880 FOR WHICH CLINICAL TRIALS 1354 00:50:46,880 --> 00:50:49,880 NETWORK, SOME RESEARCH FUNDED IS 1355 00:50:49,880 --> 00:50:51,800 AIMING WHAT IS OPTIMAL 1356 00:50:51,800 --> 00:51:02,280 INTERVENTION THAT CAN ENSURE 1357 00:51:02,920 --> 00:51:04,720 TREATMENT RETENTION. 1358 00:51:04,720 --> 00:51:06,000 METHADONE IS SUPERIOR FROM 1359 00:51:06,000 --> 00:51:07,560 BUPRENORPHINE, WE KNOW THAT FROM 1360 00:51:07,560 --> 00:51:08,880 OTHER STUDIES, BUPRENORPHINE IS 1361 00:51:08,880 --> 00:51:10,600 SUPERIOR TO NALOXONE, AND EITHER 1362 00:51:10,600 --> 00:51:12,840 MEDICATION IS SUPERIOR TO 1363 00:51:12,840 --> 00:51:13,760 CONTROL. 1364 00:51:13,760 --> 00:51:16,200 BUT REGARDLESS, I THINK THAT THE 1365 00:51:16,200 --> 00:51:18,440 NUMBERS THEY ARE TELLING US, 1366 00:51:18,440 --> 00:51:20,840 THIS SUMMARIZES LEVEL OF 1367 00:51:20,840 --> 00:51:23,040 RETENTION ON RANDOMIZED CLINICAL 1368 00:51:23,040 --> 00:51:27,480 TRIALS WHICH ONE WOULD EXPECT, 1369 00:51:27,480 --> 00:51:28,520 UNDER OPTIMAL CONDITIONS, YOU 1370 00:51:28,520 --> 00:51:30,000 STILL HAVE -- THERE ARE 1371 00:51:30,000 --> 00:51:31,720 DIFFERENCES IN THE RANGE OF TIME 1372 00:51:31,720 --> 00:51:39,280 THEY ARE FOLLOWING THE RCT. 1373 00:51:39,280 --> 00:51:47,480 BASICALLY BETWEEN 50 AND 60%, 6 1374 00:51:47,480 --> 00:51:51,320 ARE 64% FOR METHADONE TREATMENT. 1375 00:51:51,320 --> 00:51:54,760 EXPAND AND RETAIN TREATMENT FOR 1376 00:51:54,760 --> 00:51:59,640 LONGER. 1377 00:51:59,640 --> 00:52:02,560 THEREFORE WE HAVE PUT PROJECTS 1378 00:52:02,560 --> 00:52:03,560 BASICALLY PRIORITIZING 1379 00:52:03,560 --> 00:52:04,880 IMPLEMENTATION RESEARCH, TAKING 1380 00:52:04,880 --> 00:52:07,720 ADVANTAGE OF UNIQUE RESOURCES 1381 00:52:07,720 --> 00:52:09,160 THAT WE HAVE, SO INVESTIGATORS 1382 00:52:09,160 --> 00:52:09,880 ACROSS THE COUNTRY. 1383 00:52:09,880 --> 00:52:15,760 ONE OF THEM THAT HAS BEEN 1384 00:52:15,760 --> 00:52:16,320 EXTRAORDINARILY VALUABLE HAS 1385 00:52:16,320 --> 00:52:16,960 BEEN OUR CLINICAL TRIALS NETWORK 1386 00:52:16,960 --> 00:52:22,920 THAT ENABLED US TO DEPLOY 1387 00:52:22,920 --> 00:52:26,760 INTERVENTION TO MAXIMIZE HEALTH 1388 00:52:26,760 --> 00:52:29,440 CARE SCREENING IN SCREENING AND 1389 00:52:29,440 --> 00:52:30,320 TREATMENT WITH OPIOID USE 1390 00:52:30,320 --> 00:52:31,880 DISORDER AND SUBSTANCE USE 1391 00:52:31,880 --> 00:52:32,840 DISORDERS. 1392 00:52:32,840 --> 00:52:34,600 THE OTHER OPIOID INNOVATION 1393 00:52:34,600 --> 00:52:37,000 NETWORK WAS LAUNCHED WITH "HEAL" 1394 00:52:37,000 --> 00:52:41,160 FUNDS, ENABLED US TO CREATE A 1395 00:52:41,160 --> 00:52:46,840 NETWORK OF PRACTITIONERS AND 1396 00:52:46,840 --> 00:52:49,600 AND -- PRACTITIONERS IN JUSTICE, 1397 00:52:49,600 --> 00:52:52,160 TO BRING THEM TOGETHER WITH 1398 00:52:52,160 --> 00:52:53,640 HEALTH CARE PROVIDERS, IN 1399 00:52:53,640 --> 00:52:55,200 JUSTICE SETTINGS, TO INFORM THE 1400 00:52:55,200 --> 00:52:56,200 MOST EFFECTIVE INTERVENTIONS. 1401 00:52:56,200 --> 00:52:59,800 AND THE THIRD BIG PROJECT I WANT 1402 00:52:59,800 --> 00:53:03,960 TO HIGHLIGHT IS THE HEALING 1403 00:53:03,960 --> 00:53:05,240 COMMUNITY STUDY WAS TARGETED 67 1404 00:53:05,240 --> 00:53:06,800 COMMUNITIES IN FOUR STATES WITH 1405 00:53:06,800 --> 00:53:08,320 VERY HIGH RATES OF OVERDOSE 1406 00:53:08,320 --> 00:53:12,680 DEATHS TO BRING TOGETHER 1407 00:53:12,680 --> 00:53:15,560 EVIDENCE-BASED INTERVENTIONS IN 1408 00:53:15,560 --> 00:53:16,200 A BATTERY OF INTEGRATION ACROSS 1409 00:53:16,200 --> 00:53:17,040 HEALTH CARE, JUSTICE AND 1410 00:53:17,040 --> 00:53:19,120 COMMUNITY, ACROSS THE STATES AND 1411 00:53:19,120 --> 00:53:21,760 ACADEMIC CENTERS TO BRING 1412 00:53:21,760 --> 00:53:24,040 TOGETHER ACTUALLY A 1413 00:53:24,040 --> 00:53:27,560 DEMONSTRATION THAT ONE CAN 1414 00:53:27,560 --> 00:53:29,640 BASICALLY SIGNIFICANTLY REDUCE 1415 00:53:29,640 --> 00:53:33,520 OVERDOSE DEATHS BY PROVIDING 1416 00:53:33,520 --> 00:53:34,840 INTERVENTION OF EVIDENCE-BASED 1417 00:53:34,840 --> 00:53:38,760 PRACTICES AND DEPLOYING THEM. 1418 00:53:38,760 --> 00:53:44,760 THIS IS AS MUCH 9/20/21 TO NOW, 1419 00:53:44,760 --> 00:53:51,200 STUDIES ARE ONGOING, 18 STUDIES. 1420 00:53:51,200 --> 00:53:53,880 THERE'S 25 WE'RE COLLECTING 1421 00:53:53,880 --> 00:54:00,880 DATAY, 21 ON DATA ANALYSIS, AND 1422 00:54:00,880 --> 00:54:02,600 111 ALREADY AT COMPLETION. 1423 00:54:02,600 --> 00:54:05,040 THESE STUDIES ARE ADDRESSING 1424 00:54:05,040 --> 00:54:06,320 TREATMENT RESEARCH, MINORITY 1425 00:54:06,320 --> 00:54:06,760 POPULATIONS. 1426 00:54:06,760 --> 00:54:15,640 WE HAVE SEVEN ACTIVE STUDIES, 1427 00:54:15,640 --> 00:54:17,680 SEVERAL BEING DEVELOPED. 1428 00:54:17,680 --> 00:54:19,080 SCREENING AND PREVENTION, TWO 1429 00:54:19,080 --> 00:54:21,120 ACTIVE STUDIES, TWO PENDING 1430 00:54:21,120 --> 00:54:21,320 AWARDS. 1431 00:54:21,320 --> 00:54:22,120 EXPANSION OF METHADONE FOR 1432 00:54:22,120 --> 00:54:26,120 OPIOID USE DISORDER IN PRIMARY 1433 00:54:26,120 --> 00:54:27,560 CARE, AGAIN, WE HAVE 1434 00:54:27,560 --> 00:54:28,880 BUPRENORPHINE IN PRIMARY CARE 1435 00:54:28,880 --> 00:54:32,160 AND THAT HAS SHOWN THAT IT CAN 1436 00:54:32,160 --> 00:54:35,280 LEAD TO VERY OPTIMAL OUTCOMES 1437 00:54:35,280 --> 00:54:39,600 BUT WE DON'T HAVE METHADONE, 1438 00:54:39,600 --> 00:54:41,080 DEMONSTRATING THAT IT IS 1439 00:54:41,080 --> 00:54:42,760 EFFECTIVE AND HELP US DEVELOP A 1440 00:54:42,760 --> 00:54:45,600 MODEL THAT WOULD BE EXPORTED TO 1441 00:54:45,600 --> 00:54:46,680 OTHER SIDES COULD BE VALUABLE. 1442 00:54:46,680 --> 00:54:48,880 THERE ARE TWO ACTIVE STUDIES 1443 00:54:48,880 --> 00:54:49,240 ONGOING. 1444 00:54:49,240 --> 00:54:51,840 STUDIES THAT RELATE TO HOW DO WE 1445 00:54:51,840 --> 00:54:54,320 OPTIMIZE EFFECTIVE TREATMENT IN 1446 00:54:54,320 --> 00:54:57,400 EMERGENCY DEPARTMENTS AND BEING 1447 00:54:57,400 --> 00:55:01,120 VERY ABLY SPEARHEADED THROUGH 1448 00:55:01,120 --> 00:55:03,200 GAIL D'ONOFRIO AND HER TEAM, 1449 00:55:03,200 --> 00:55:04,960 THREE TRIALS, THREE ANCILLARY 1450 00:55:04,960 --> 00:55:07,800 STUDIES, IN TERMS OF EXPANDING 1451 00:55:07,800 --> 00:55:09,560 THE USE OF MEDICATION FOR OPIOID 1452 00:55:09,560 --> 00:55:12,280 USE DISORDER, TAKING ADVANTAGE 1453 00:55:12,280 --> 00:55:13,160 OF COMMUNITY PHARMACISTS WHICH 1454 00:55:13,160 --> 00:55:16,040 AGAIN WOULD ENABLE US TO PROVIDE 1455 00:55:16,040 --> 00:55:18,640 TREATMENT AND SUPPORT TO 1456 00:55:18,640 --> 00:55:20,640 INDIVIDUALS THAT I GREW UP IN 1457 00:55:20,640 --> 00:55:22,400 PLACES WHERE HEALTH CARE IS NOT 1458 00:55:22,400 --> 00:55:23,520 AVAILABLE, EASILY AVAILABLE TO 1459 00:55:23,520 --> 00:55:25,240 GET THEM. 1460 00:55:25,240 --> 00:55:28,160 ONE PILOT COMPLETED WITH 1461 00:55:28,160 --> 00:55:29,320 POSITIVE RULES, ONE STARTING 1462 00:55:29,320 --> 00:55:31,280 THIS COMING SUMMER. 1463 00:55:31,280 --> 00:55:33,360 AND PROJECTS FOR STIMULANT USE 1464 00:55:33,360 --> 00:55:35,560 DISORDER WHICH AGAIN HAS NOW 1465 00:55:35,560 --> 00:55:38,160 WE'RE SEEING SIGNIFICANT 1466 00:55:38,160 --> 00:55:39,160 CONTRIBUTION TO OVERDOSE DEATHS, 1467 00:55:39,160 --> 00:55:42,640 THERE ARE TWO ACTIVE STUDIES, 1468 00:55:42,640 --> 00:55:44,160 AND TWO PENDING INITIATIONS 1469 00:55:44,160 --> 00:55:47,920 BECAUSE THEY ARE WAITING FOR 1470 00:55:47,920 --> 00:55:48,840 STUDY MEDICATIONS WHICH HAVE 1471 00:55:48,840 --> 00:55:53,960 BEEN DELAYED BECAUSE OF COVID, 1472 00:55:53,960 --> 00:55:54,920 WHICH HAS BEEN MADE WORSE 1473 00:55:54,920 --> 00:55:55,920 THROUGH COVID. 1474 00:55:55,920 --> 00:55:57,600 I ALSO WANT TO HIGHLIGHT 1475 00:55:57,600 --> 00:56:01,000 SOMETHING I HAD NOT SEEN 1476 00:56:01,000 --> 00:56:02,120 TABULATED UNTIL RECENTLY BUT 1477 00:56:02,120 --> 00:56:04,040 MADE ME HAPPY WE HAVE SUCH 1478 00:56:04,040 --> 00:56:04,600 NUMBERS. 1479 00:56:04,600 --> 00:56:08,360 I WANTED TO BE SURE IN THE 1480 00:56:08,360 --> 00:56:10,760 RECRUITMENT ACROSS PARTICIPANTS 1481 00:56:10,760 --> 00:56:16,160 FOR CTN WE WERE RECRUITING 1482 00:56:16,160 --> 00:56:17,480 MINORITY GROUPS, 27% OF ALL OF 1483 00:56:17,480 --> 00:56:20,000 THE PARTICIPANTS THAT HAVE BEEN 1484 00:56:20,000 --> 00:56:27,680 INCLUDED IN CTN STUDIES ARE 1485 00:56:27,680 --> 00:56:31,080 AFRICAN AMERICAN. 1486 00:56:31,080 --> 00:56:33,400 15% HISPANIC, 6% MULTI-RACE, 3% 1487 00:56:33,400 --> 00:56:37,760 ASIAN AMERICAN, 1% ALASKA 1488 00:56:37,760 --> 00:56:39,200 NATIVE, 39% WOMEN. 1489 00:56:39,200 --> 00:56:41,040 WE'RE ABLE TO RECRUIT DIVERSITY. 1490 00:56:41,040 --> 00:56:43,360 THERE ARE AREAS WE CAN EXPAND 1491 00:56:43,360 --> 00:56:53,840 LIKE ASIAN AMERICAN AND THE 1492 00:56:56,040 --> 00:56:57,120 AMERICAN INDIAN AND ALASKA 1493 00:56:57,120 --> 00:56:57,760 NATIVE. 1494 00:56:57,760 --> 00:57:02,520 WE HAVE A NEED TO TRUST IN THIS 1495 00:57:02,520 --> 00:57:03,080 COMMUNITY. 1496 00:57:03,080 --> 00:57:05,480 ONE SHOULD AIM TO EXPAND TO 1497 00:57:05,480 --> 00:57:06,000 EXPAND INCLUSION OF WOMEN. 1498 00:57:06,000 --> 00:57:08,680 THIS IS A NUMBER OF PUBLICATIONS 1499 00:57:08,680 --> 00:57:11,160 THAT HAVE RESULTED FROM CTN, IN 1500 00:57:11,160 --> 00:57:18,080 THE LAST 12 MONTHS IS 66 1501 00:57:18,080 --> 00:57:19,080 PUBLICATIONS. 1502 00:57:19,080 --> 00:57:21,120 69 ARE PENDING REVIEW. 1503 00:57:21,120 --> 00:57:26,600 CTN HAS HELPED US DEPLOY SORT OF 1504 00:57:26,600 --> 00:57:28,120 HIGHER LEVEL TO EVALUATE 1505 00:57:28,120 --> 00:57:29,520 EFFECTIVENESS OF INTERVENTIONS 1506 00:57:29,520 --> 00:57:32,680 FOR WHICH THERE WAS A 1507 00:57:32,680 --> 00:57:35,800 PRELIMINARY EVIDENCE OF POSITIVE 1508 00:57:35,800 --> 00:57:37,800 EFFECT. 1509 00:57:37,800 --> 00:57:39,040 IMPORTANTLY HAS BROUGHT IN THE 1510 00:57:39,040 --> 00:57:41,520 HEALTH CARE SYSTEMS TO BASICALLY 1511 00:57:41,520 --> 00:57:42,760 BE ACTIVELY INVOLVED IN THE 1512 00:57:42,760 --> 00:57:44,080 SCREENING AND TREATMENT OF 1513 00:57:44,080 --> 00:57:47,800 INDIVIDUALS WITH SUBSTANCE USE 1514 00:57:47,800 --> 00:57:48,200 DISORDER. 1515 00:57:48,200 --> 00:57:50,320 FOR THE JUSTICE COMMUNITY OPIOID 1516 00:57:50,320 --> 00:57:52,880 INNOVATION NETWORK I WANT TO 1517 00:57:52,880 --> 00:57:55,400 HIGHLIGHT THREE MAJOR 1518 00:57:55,400 --> 00:57:55,840 ACHIEVEMENTS. 1519 00:57:55,840 --> 00:57:59,200 ONE OF THEM, COMPLETION OF THE 1520 00:57:59,200 --> 00:58:03,200 SURVEY THAT ACTUALLY WAS 1521 00:58:03,200 --> 00:58:05,440 EVALUATING EXTENT TO WHICH JAILS 1522 00:58:05,440 --> 00:58:06,760 AND PRISONS WERE OFFERING ACCESS 1523 00:58:06,760 --> 00:58:07,920 TO MEDICATION FOR OPIOID USE 1524 00:58:07,920 --> 00:58:11,760 DISORDER AND OUT OF THAT SURVEY 1525 00:58:11,760 --> 00:58:18,120 ACTUALLY COMES ACROSS THAT 43% 1526 00:58:18,120 --> 00:58:21,240 OF JAILS IN COMMUNITIES OFFER 1527 00:58:21,240 --> 00:58:22,720 ALL THREE, 7% STATE PRISONS. 1528 00:58:22,720 --> 00:58:26,120 THE NOTION TO THE EXTENT WE CAN 1529 00:58:26,120 --> 00:58:27,240 PROVIDE ALL THREE MEDICATIONS 1530 00:58:27,240 --> 00:58:29,520 FOR OPIOID USE DISORDER, NOT 1531 00:58:29,520 --> 00:58:31,440 JUST ONE, CURRENTLY THE CASE FOR 1532 00:58:31,440 --> 00:58:34,520 MOST JAILS AND PRISONS, WE CAN 1533 00:58:34,520 --> 00:58:37,360 SIGNIFICANTLY IMPROVE OUTCOME. 1534 00:58:37,360 --> 00:58:42,560 THERE WAS ALSO PILOT STUDY THAT 1535 00:58:42,560 --> 00:58:45,280 WAS PUBLISHED, THAT COMPARED 1536 00:58:45,280 --> 00:58:50,120 OUOMES ON EXTENDED RELEASE 1537 00:58:50,120 --> 00:58:51,080 BUPRENORPHINE, AND PRIOR TO FROM 1538 00:58:51,080 --> 00:58:54,360 JAILS THOSE THAT WERE GIVEN 1539 00:58:54,360 --> 00:58:55,240 EXTENDED RELEASE BUPRENORPHINE 1540 00:58:55,240 --> 00:58:56,960 VERSUS THOSE THAT WERE GIVEN 1541 00:58:56,960 --> 00:58:59,400 JUST THE REGULAR BUPRENORPHINE 1542 00:58:59,400 --> 00:59:01,920 AND SHOW SIGNIFICANT IMPROVED 1543 00:59:01,920 --> 00:59:04,880 OUTCOMES WHEN EXTENDED RELEASE 1544 00:59:04,880 --> 00:59:12,400 BUPRENORPHINE VERSUS IMMEDIATE 1545 00:59:12,400 --> 00:59:15,160 RELEASE BUPRENORPHINE, IT'S A 1546 00:59:15,160 --> 00:59:21,120 PILOT STUDY PRESENTED AT LAST 1547 00:59:21,120 --> 00:59:23,920 COUNCIL, REPLICATING FINDINGS IN 1548 00:59:23,920 --> 00:59:26,120 A LARGER GROUP OF JAILS. 1549 00:59:26,120 --> 00:59:29,840 AND THEN THE LAST ONE IS ONE 1550 00:59:29,840 --> 00:59:34,480 THAT RELATES TO MEDICAID AND 1551 00:59:34,480 --> 00:59:35,160 INCARCERATION, REPORTING 1552 00:59:35,160 --> 00:59:37,080 MEDICAID PRE-ENROLLMENT PRIOR TO 1553 00:59:37,080 --> 00:59:38,200 RELEASE SIGNIFICANTLY INCREASES 1554 00:59:38,200 --> 00:59:41,800 ACCESS TO MEDICATION, IN THIS 1555 00:59:41,800 --> 00:59:46,400 CASE SEVEN-FOLD, THAT WAS AN 1556 00:59:46,400 --> 00:59:47,120 INTERVENTION THAT SIGNIFICANTLY 1557 00:59:47,120 --> 00:59:49,040 DECREASES RACIAL DISPARITIES. 1558 00:59:49,040 --> 00:59:51,280 IF YOU DO THE OTHER IMPORTANT 1559 00:59:51,280 --> 00:59:52,360 STUDY, IF YOU DO RECEIVE 1560 00:59:52,360 --> 00:59:54,920 MEDICATION FOR OPIOID USE 1561 00:59:54,920 --> 00:59:56,000 DISORDER, WHILE YOU'RE 1562 00:59:56,000 --> 01:00:02,920 INCARCERATED, THAT DOES NOT 1563 01:00:02,920 --> 01:00:07,720 CHANGE MEDICATION COST BUT DOES 1564 01:00:07,720 --> 01:00:09,600 DECREASE FROM EMERGENCY CARE, 1565 01:00:09,600 --> 01:00:12,200 INDICATIVE OF PREVENTING ADVERSE 1566 01:00:12,200 --> 01:00:13,320 CONSEQUENCES THAT SIGNIFICANTLY 1567 01:00:13,320 --> 01:00:18,400 CONTRIBUTE TO EMERGENCY VISIT IN 1568 01:00:18,400 --> 01:00:21,400 THIS POPULATION. 1569 01:00:21,400 --> 01:00:25,840 THE HEALING COMMUNITY STUDY, THE 1570 01:00:25,840 --> 01:00:32,640 GRADE 1 INTERVENTION WAS OF THE 1571 01:00:32,640 --> 01:00:34,640 67 COMMUNITIES, HALF WERE 1572 01:00:34,640 --> 01:00:36,360 RANDOMIZED TO TREATMENT 1573 01:00:36,360 --> 01:00:38,760 INTERVENTIONS AS USUAL. 1574 01:00:38,760 --> 01:00:40,520 ONES THAT RECEIVED INTERVENTION 1575 01:00:40,520 --> 01:00:41,920 FOR HEALING COMMUNITY STUDY 1576 01:00:41,920 --> 01:00:43,680 INCLUDING EXPANDED ACCESS TO 1577 01:00:43,680 --> 01:00:45,080 MEDICATION FOR OPIOID USE 1578 01:00:45,080 --> 01:00:47,080 DISORDER, EDUCATION AND EXPANDED 1579 01:00:47,080 --> 01:00:49,360 ACCESS TO NALOXONE, AND 1580 01:00:49,360 --> 01:00:51,440 PREVENTION INTERVENTION SUCH AS 1581 01:00:51,440 --> 01:00:52,760 IMPROVING PRESCRIPTION FOR 1582 01:00:52,760 --> 01:00:55,720 OPIOID FOR MANAGEMENT OF PAIN, 1583 01:00:55,720 --> 01:00:56,800 ALONGSIDE BUILDING AN 1584 01:00:56,800 --> 01:00:58,560 INFRASTRUCTURE FOR DATA 1585 01:00:58,560 --> 01:00:59,800 COLLECTION AND COMMUNICATION. 1586 01:00:59,800 --> 01:01:03,040 THAT STUDY IS ABOUT TO BE 1587 01:01:03,040 --> 01:01:07,640 COMPLETED IN JUNE 2022. 1588 01:01:07,640 --> 01:01:09,640 AT THAT POINT THEY WILL INITIATE 1589 01:01:09,640 --> 01:01:11,560 INTERVENTION FOR THE COMMUNITIES 1590 01:01:11,560 --> 01:01:13,200 WHICH WILL START IMPLEMENTATION 1591 01:01:13,200 --> 01:01:16,040 OF THE MODEL, ON JULY 2022. 1592 01:01:16,040 --> 01:01:18,560 THIS WILL ENABLE US TO COMPARE 1593 01:01:18,560 --> 01:01:20,320 THE TIMELINES FOR WHEN THE WAVE 1594 01:01:20,320 --> 01:01:21,640 ONE, BETWEEN WAVE ONE AND WAVE 1595 01:01:21,640 --> 01:01:23,160 TWO, THEY HAVE NOT RECEIVED 1596 01:01:23,160 --> 01:01:26,240 THEM, BUT WE ALSO GIVE THE 1597 01:01:26,240 --> 01:01:27,440 OPPORTUNITY FOR WAVE TWO 1598 01:01:27,440 --> 01:01:29,760 COMMUNITY TO TAKE ADVANTAGE OF 1599 01:01:29,760 --> 01:01:34,400 IMPLEMENTATION OF THE MODEL. 1600 01:01:34,400 --> 01:01:34,760 1601 01:01:34,760 --> 01:01:36,160 AND THIS BRINGS ME TO THE POINT 1602 01:01:36,160 --> 01:01:38,320 THAT I HAD JUST SHOWED YOU IN 1603 01:01:38,320 --> 01:01:41,760 TERMS OF DATA AND I JUST 1604 01:01:41,760 --> 01:01:42,120 PRESENTED THIS. 1605 01:01:42,120 --> 01:01:43,720 THE OVERDOSE DEATHS CONTINUE TO 1606 01:01:43,720 --> 01:01:44,240 INCREASE. 1607 01:01:44,240 --> 01:01:47,240 I WANT YOU TO ACTUALLY PAY 1608 01:01:47,240 --> 01:01:48,880 ATTENTION, FROM THE PERSPECTIVE 1609 01:01:48,880 --> 01:01:50,760 OF WHERE WE ARE, WHAT IS IT 1610 01:01:50,760 --> 01:01:53,360 TELLING US ON AREAS OF RESEARCH 1611 01:01:53,360 --> 01:01:54,200 THAT ARE NECESSARY. 1612 01:01:54,200 --> 01:01:56,320 AGAIN, I'M GOING TO HIGHLIGHT IT 1613 01:01:56,320 --> 01:01:57,960 IS TELLING US THAT JUST 1614 01:01:57,960 --> 01:02:00,440 ADDRESSING THE ISSUE OF 1615 01:02:00,440 --> 01:02:02,000 PRESCRIPTION OPIOIDS IS 1616 01:02:02,000 --> 01:02:03,880 IMPORTANT, BUT IT'S BASICALLY 1617 01:02:03,880 --> 01:02:04,720 NOT SUFFICIENT ANYMORE. 1618 01:02:04,720 --> 01:02:06,360 WE NEED TO CONTINUE DOING THE 1619 01:02:06,360 --> 01:02:08,680 WORK ON IMPROVING PRACTICES AND 1620 01:02:08,680 --> 01:02:10,880 PREVENTING PEOPLE THAT ARE 1621 01:02:10,880 --> 01:02:15,240 GETTING OPIOID MEDICATIONS TO 1622 01:02:15,240 --> 01:02:17,600 ACTUALLY DIVERT MEDICATIONS, WE 1623 01:02:17,600 --> 01:02:19,560 ALSO NEED TO CLEARLY UNDERSTAND 1624 01:02:19,560 --> 01:02:23,560 IN THE VIEWS THAT ARE ACTUALLY 1625 01:02:23,560 --> 01:02:28,240 EXPOSED TO DRUGS, ILLICIT DRUGS, 1626 01:02:28,240 --> 01:02:30,120 THAT'S WHAT IS DRIVING 1627 01:02:30,120 --> 01:02:30,600 OVERDOSES. 1628 01:02:30,600 --> 01:02:33,200 THE NOTABLE EXPANSION OF 1629 01:02:33,200 --> 01:02:35,160 METHAMPHETAMINE WHICH AT ONE 1630 01:02:35,160 --> 01:02:36,280 POINT WAS JUST PREDOMINANTLY IN 1631 01:02:36,280 --> 01:02:37,920 THE WEST COAST, NOW WE'RE SEEING 1632 01:02:37,920 --> 01:02:43,160 IT ALL OVER THE UNITED STATES. 1633 01:02:43,160 --> 01:02:44,720 WHICH BRINGS ME TO THE LAST DATA 1634 01:02:44,720 --> 01:02:47,120 POINT I WANTED TO SHOW YOU 1635 01:02:47,120 --> 01:02:48,760 BECAUSE THIS, AGAIN, CERTAINLY 1636 01:02:48,760 --> 01:02:51,640 TOOK ME BY SURPRISE, WHICH IS 1637 01:02:51,640 --> 01:02:57,000 DATA TELLING US OVERDOSE 1638 01:02:57,000 --> 01:02:59,360 FATALITIES AMONG ADOLESCENTS TO 1639 01:02:59,360 --> 01:03:03,640 22, AND OVERDOSE DEATHS OVERALL 1640 01:03:03,640 --> 01:03:04,840 AMONG TEENAGERS, THIS IS 19 1641 01:03:04,840 --> 01:03:09,880 YEARS OF AGE OR LOWER, ALWAYS 1642 01:03:09,880 --> 01:03:11,480 HAVE BEEN LOWEST, .5, BASICALLY 1643 01:03:11,480 --> 01:03:12,880 TRENDING DOWN, IF ANYTHING. 1644 01:03:12,880 --> 01:03:16,080 BUT LOOK AT THE BLUE LINE, THE 1645 01:03:16,080 --> 01:03:17,080 LINE OF FENTANYL OVERDOSES, 1646 01:03:17,080 --> 01:03:20,240 SOMETHING THAT WE HAVE NOT SEEN 1647 01:03:20,240 --> 01:03:22,800 IN THE PAST, STARTED ACTUALLY 1648 01:03:22,800 --> 01:03:24,280 VERY LOW NUMBERS IN 2015. 1649 01:03:24,280 --> 01:03:28,800 AND NOW WE BASICALLY ARE OVER 1650 01:03:28,800 --> 01:03:31,400 1.5 PER 100,000 POPULATIONS, YOU 1651 01:03:31,400 --> 01:03:33,920 CAN SEE THE VERY STEEP RISE. 1652 01:03:33,920 --> 01:03:35,640 I TOLD YOU WHEN I WAS SHOWING 1653 01:03:35,640 --> 01:03:41,440 YOU THE DATA FOR MEN AND WOMEN 1654 01:03:41,440 --> 01:03:42,480 ACROSS RACE/ETHNICITY AND AGES, 1655 01:03:42,480 --> 01:03:45,160 YOU START TO SEE RISE IN 1656 01:03:45,160 --> 01:03:46,840 OVERDOES DEATH JUST BEFORE THE 1657 01:03:46,840 --> 01:03:47,320 PANDEMIC. 1658 01:03:47,320 --> 01:03:49,760 AND I HIGHLIGHTED THAT BECAUSE 1659 01:03:49,760 --> 01:03:51,040 IT TELLS US, YES, THE PANDEMIC 1660 01:03:51,040 --> 01:03:53,760 HAS NOT HELPED BUT THE PROBLEM 1661 01:03:53,760 --> 01:03:55,160 STARTED BEFORE THE PANDEMIC. 1662 01:03:55,160 --> 01:03:57,120 THE QUESTION IS WHAT HAPPENED 1663 01:03:57,120 --> 01:03:58,040 THAT SO DRAMATICALLY OCCURRED 1664 01:03:58,040 --> 01:03:59,960 DURING THIS YEAR THAT CONTINUES 1665 01:03:59,960 --> 01:04:01,800 TO HAPPEN BECAUSE WE ARE 1666 01:04:01,800 --> 01:04:04,920 OBVIOUSLY SEEING SIGNIFICANT 1667 01:04:04,920 --> 01:04:06,400 RISE IN OVERDOSE DEATHS. 1668 01:04:06,400 --> 01:04:09,640 YOU SAY THE ISSUE IS THAT 1669 01:04:09,640 --> 01:04:13,120 TEENAGERS DO NOT CONSUME HEROIN. 1670 01:04:13,120 --> 01:04:17,400 WE HAVE LOWEST RATES OF 1671 01:04:17,400 --> 01:04:18,240 CONSUMPTION EVER, MONITORING 1672 01:04:18,240 --> 01:04:20,680 SINCE 1979, THE LOWEST WE'VE 1673 01:04:20,680 --> 01:04:21,320 EVER RECORDED. 1674 01:04:21,320 --> 01:04:22,320 WE HAVEN'T BEEN RECORDING 1675 01:04:22,320 --> 01:04:25,600 FENTANYL BECAUSE IT'S NOT 1676 01:04:25,600 --> 01:04:27,440 SOMETHING THEY ENDORSE USING. 1677 01:04:27,440 --> 01:04:35,120 WHAT TEENAGERS DO USE IS ALCOHOL 1678 01:04:35,120 --> 01:04:37,840 AND MARIJUANA BUT ENDORSE 1679 01:04:37,840 --> 01:04:39,040 PRESCRIPTION DRUGS, LIKE TO 1680 01:04:39,040 --> 01:04:42,640 PREPARE FOR AN EXAM OR GET HIGH 1681 01:04:42,640 --> 01:04:43,760 AND PARTY OR BENZODIAZEPINES 1682 01:04:43,760 --> 01:04:45,480 BECAUSE THEY ARE ANXIOUS OR TO 1683 01:04:45,480 --> 01:04:51,680 GET HIGH AT PARTIES MIXED WITH 1684 01:04:51,680 --> 01:04:51,960 ALCOHOL. 1685 01:04:51,960 --> 01:04:52,760 OPIOID THEY MAY CONSUME BECAUSE 1686 01:04:52,760 --> 01:04:55,800 THEY HAVE PAIN OR ALSO TO GET 1687 01:04:55,800 --> 01:04:58,400 HIGH AT PARTIES WITH TAKING 1688 01:04:58,400 --> 01:05:04,720 PRESCRIPTION DRUGS SO WE KNOW 1689 01:05:04,720 --> 01:05:06,320 THEY DO FAVOR THEM. 1690 01:05:06,320 --> 01:05:09,480 THIS IS DRAMATIC IMPACT, 1691 01:05:09,480 --> 01:05:12,200 CONTINUES TO RISE, ILLICITLY 1692 01:05:12,200 --> 01:05:15,160 MANUFACTURED PRESCRIPTION DRUGS 1693 01:05:15,160 --> 01:05:16,280 THAT CONTAIN FENTANYL. 1694 01:05:16,280 --> 01:05:20,640 AND FROM 2018 TO 2021 YOU CAN 1695 01:05:20,640 --> 01:05:26,120 SEE, A REFLECTION OF WHAT'S IN 1696 01:05:26,120 --> 01:05:28,520 THE MARKET, BECAUSE IT ALSO 1697 01:05:28,520 --> 01:05:31,120 DEPENDS HOW EFFECTIVE THEY ARE 1698 01:05:31,120 --> 01:05:33,120 AT GETTING THESE DRUG SEIZURES. 1699 01:05:33,120 --> 01:05:38,920 WHAT WE SEE OVER THREE YEARS 50 1700 01:05:38,920 --> 01:05:42,840 FOLD INCREASE IN NUMBER OF 1701 01:05:42,840 --> 01:05:45,040 SEIZURES FROM DRUGS THAT CONTAIN 1702 01:05:45,040 --> 01:05:49,240 FENTANYL, AND 30% AT LEAST OF 1703 01:05:49,240 --> 01:05:50,280 THOSE ILLICITLY MANUFACTURED 1704 01:05:50,280 --> 01:05:51,320 PRESCRIPTION PILLS ACTUALLY 1705 01:05:51,320 --> 01:05:54,080 CONTAIN A DOSE OF FENTANYL 1706 01:05:54,080 --> 01:05:56,000 THAT'S SUFFICIENT TO PRODUCE A 1707 01:05:56,000 --> 01:05:58,480 LETHAL OVERDOSE. 1708 01:05:58,480 --> 01:05:59,840 SO WE ARE HYPOTHESIZING. 1709 01:05:59,840 --> 01:06:01,320 AGAIN, THERE'S NO DATA. 1710 01:06:01,320 --> 01:06:02,680 JUST, AGAIN, THE DATA I'M 1711 01:06:02,680 --> 01:06:07,120 SHOWING YOU IS VERY RECENT. 1712 01:06:07,120 --> 01:06:09,320 THAT'S ONE OF THE REASONS WE'RE 1713 01:06:09,320 --> 01:06:11,160 OBSERVING SIGNIFICANT RISE IN 1714 01:06:11,160 --> 01:06:13,240 OVERDOSES FROM FENTANYL MAY 1715 01:06:13,240 --> 01:06:16,800 REFLECT THE EXPOSURE OF 1716 01:06:16,800 --> 01:06:18,640 TEENAGERS TO THESE ILLICITLY 1717 01:06:18,640 --> 01:06:19,440 MANUFACTURED PRESCRIPTION DRUGS 1718 01:06:19,440 --> 01:06:22,280 THAT CONTAIN FENTANYL, YOU CAN 1719 01:06:22,280 --> 01:06:23,560 SEE WE'RE RISING BEFORE THE 1720 01:06:23,560 --> 01:06:24,440 COVID PANDEMIC. 1721 01:06:24,440 --> 01:06:28,200 AND THEY CONTINUE TO RISE, WHICH 1722 01:06:28,200 --> 01:06:29,360 ACTUALLY HIGHLIGHTS WHAT IS IT 1723 01:06:29,360 --> 01:06:31,480 WE NEED TO ADDRESS BECAUSE IT'S 1724 01:06:31,480 --> 01:06:34,480 NOT JUST TEENAGERS THAT ARE 1725 01:06:34,480 --> 01:06:35,520 USING ILLICITLY MANUFACTURED 1726 01:06:35,520 --> 01:06:38,400 PRESCRIPTION DRUGS. 1727 01:06:38,400 --> 01:06:42,400 PEOPLE, ADULTS GET PRESCRIPTION 1728 01:06:42,400 --> 01:06:43,960 DRUGS FROM ILLICIT MARKETS 1729 01:06:43,960 --> 01:06:45,480 BECAUSE THEY CAN NOT SLEEP, HAVE 1730 01:06:45,480 --> 01:06:48,080 PAIN, ARE ANXIOUS. 1731 01:06:48,080 --> 01:06:51,160 EASY TO GET HANDS ON PILLS THAT 1732 01:06:51,160 --> 01:06:57,720 CONTAIN FENTANYL, THEY ARE 1733 01:06:57,720 --> 01:06:59,120 HIGHLY OVERDOSING. 1734 01:06:59,120 --> 01:07:00,680 PAIN TREATMENTS ARE NOT 1735 01:07:00,680 --> 01:07:02,320 SUFFICIENT TO ADDRESS OVERDOSE 1736 01:07:02,320 --> 01:07:03,640 CRISIS. 1737 01:07:03,640 --> 01:07:04,880 WE NEED TO CONTINUE TO ADVANCE 1738 01:07:04,880 --> 01:07:06,520 THE SCIENCE TO PROVIDE WITH 1739 01:07:06,520 --> 01:07:08,200 SAFER AND EFFECTIVE PAIN 1740 01:07:08,200 --> 01:07:09,600 TREATMENTS, AS WELL AS MODEL OF 1741 01:07:09,600 --> 01:07:12,280 CARE SO PEOPLE THAT HAVE THE 1742 01:07:12,280 --> 01:07:15,480 NEED FOR OPIOIDS ARE GETTING THE 1743 01:07:15,480 --> 01:07:16,560 MAXIMUM BENEFITS AND MINIMAL 1744 01:07:16,560 --> 01:07:18,360 HARMS FROM THEIR USE. 1745 01:07:18,360 --> 01:07:19,560 WE NEED TO DO THAT. 1746 01:07:19,560 --> 01:07:24,120 OTHERWISE THEY GO INTO THE 1747 01:07:24,120 --> 01:07:26,200 ILLICIT MARKET. 1748 01:07:26,200 --> 01:07:29,760 NOW INCLUDING ILLICIT 1749 01:07:29,760 --> 01:07:32,320 PRESCRIPTIONS IS A HIGH RISK 1750 01:07:32,320 --> 01:07:34,000 MARKET WITH HIGH RISK FOR 1751 01:07:34,000 --> 01:07:34,880 OVERDOSE. 1752 01:07:34,880 --> 01:07:36,720 WE'VE KNOWN ALL ALONG USE OF 1753 01:07:36,720 --> 01:07:37,640 MEDICATION FOR OPIOID USE 1754 01:07:37,640 --> 01:07:39,680 DISORDER ALONG WITH NALOXONE IS 1755 01:07:39,680 --> 01:07:42,320 THE MOST EFFECTIVE INTERVENTION 1756 01:07:42,320 --> 01:07:43,720 TO PREVENTING OVERDOSES BUT 1757 01:07:43,720 --> 01:07:45,200 REALIZE IT'S NOT SUFFICIENT. 1758 01:07:45,200 --> 01:07:47,440 WE NEED TO IMPROVE ON RETENTION 1759 01:07:47,440 --> 01:07:49,440 AND IMPROVE ON RECOVERY. 1760 01:07:49,440 --> 01:07:52,000 BUT WE NEED TO EXPAND TREATMENT 1761 01:07:52,000 --> 01:07:53,280 FOR INDIVIDUALS WITH OPIOID USE 1762 01:07:53,280 --> 01:07:55,440 DISORDER BECAUSE WE'RE SEEING 1763 01:07:55,440 --> 01:07:56,640 INCREASINGLY PEOPLE THAT ARE 1764 01:07:56,640 --> 01:08:01,480 BASICALLY DYING WITH USE OF 1765 01:08:01,480 --> 01:08:03,240 COCAINE AND METHAMPHETAMINE, 1766 01:08:03,240 --> 01:08:05,760 THEY DO NOT KNOW THEY WERE 1767 01:08:05,760 --> 01:08:07,800 ACTUALLY CONSUMING COCAINE OR 1768 01:08:07,800 --> 01:08:08,920 METHAMPHETAMINE THAT ACTUALLY 1769 01:08:08,920 --> 01:08:10,120 HAD FENTANYL. 1770 01:08:10,120 --> 01:08:12,440 75% OF THOSE DEATHS FROM COCAINE 1771 01:08:12,440 --> 01:08:15,200 HAVE FENTANYL. 1772 01:08:15,200 --> 01:08:16,760 WE KNOW MORE THAN 60% OF THOSE 1773 01:08:16,760 --> 01:08:17,720 DEATHS FROM METHAMPHETAMINE 1774 01:08:17,720 --> 01:08:18,360 CONTAIN FENTANYL. 1775 01:08:18,360 --> 01:08:21,120 SO WE NEED TO ACTUALLY HIGHLIGHT 1776 01:08:21,120 --> 01:08:23,120 HOW CRUCIAL IT IS THAT WE 1777 01:08:23,120 --> 01:08:25,760 DEVELOP TREATMENTS FOR OTHER 1778 01:08:25,760 --> 01:08:27,360 SUBSTANCE USE DISORDERS. 1779 01:08:27,360 --> 01:08:31,880 NALOXONE HAS BEEN VERY USEFUL 1780 01:08:31,880 --> 01:08:33,400 REVERSING OVERDOSES, AND 1781 01:08:33,400 --> 01:08:34,720 ACTUALLY EFFECTIVE, EVEN FROM 1782 01:08:34,720 --> 01:08:37,360 FENTANYL, PROVIDED YOU GIVE IT 1783 01:08:37,360 --> 01:08:38,640 RAPIDLY AT SUFFICIENTLY HIGH 1784 01:08:38,640 --> 01:08:46,320 DOSE AND THAT IT MAY REQUIRE 1785 01:08:46,320 --> 01:08:47,280 REDOSING TO AVOID 1786 01:08:47,280 --> 01:08:51,800 RENARCOTIZATION BUT IT IS VERY 1787 01:08:51,800 --> 01:08:53,960 EFFECTIVE. 1788 01:08:53,960 --> 01:08:55,280 THE COMBINATION, THAT PICTURE, 1789 01:08:55,280 --> 01:08:57,480 NALOXONE IS LIKELY TO BE MUCH 1790 01:08:57,480 --> 01:08:58,720 LESS EFFECTIVE IN REVERSING 1791 01:08:58,720 --> 01:08:59,920 OVERDOLES OF COMBINATION OF 1792 01:08:59,920 --> 01:09:01,520 METHAMPHETAMINE WITH FENTANYL. 1793 01:09:01,520 --> 01:09:03,600 ACTUALLY WHEN WE SPEAK ABOUT 1794 01:09:03,600 --> 01:09:04,840 METHAMPHETAMINE OVERDOSE, I ASK 1795 01:09:04,840 --> 01:09:06,440 THE QUESTION, WHAT DO WE REALLY 1796 01:09:06,440 --> 01:09:10,520 EVEN MEAN BY A METHAMPHETAMINE 1797 01:09:10,520 --> 01:09:10,800 OVERDOSE? 1798 01:09:10,800 --> 01:09:13,360 AND IT IS MUCH SIMPLER TO DEFINE 1799 01:09:13,360 --> 01:09:16,800 OVERDOSE WITH OPIOIDS, BUT THESE 1800 01:09:16,800 --> 01:09:17,280 ARE RESEARCH QUESTIONS, 1801 01:09:17,280 --> 01:09:18,240 CLARIFICATIONS THAT ARE 1802 01:09:18,240 --> 01:09:20,480 NECESSARY IN ORDER TO DEVELOP 1803 01:09:20,480 --> 01:09:24,120 TOOLS, GUIDELINES OF HOW TO 1804 01:09:24,120 --> 01:09:26,240 OPTIMALLY REVERSE STIMULANT 1805 01:09:26,240 --> 01:09:28,160 OVERDOSE BY ITSELF OR WHEN 1806 01:09:28,160 --> 01:09:29,360 COMBINED WITH OTHER DRUGS. 1807 01:09:29,360 --> 01:09:32,040 THE DATA THAT I JUST SHOWED YOU 1808 01:09:32,040 --> 01:09:34,000 INCLUDING SIGNIFICANT RISE WE'RE 1809 01:09:34,000 --> 01:09:36,760 SEEING IN OUR LESSONS, 1810 01:09:36,760 --> 01:09:37,520 HIGHLIGHTS AGAIN HOW CRUCIAL 1811 01:09:37,520 --> 01:09:39,280 PREVENTION IS. 1812 01:09:39,280 --> 01:09:42,520 AND THAT PREVENTION DRUG USE, 1813 01:09:42,520 --> 01:09:44,840 INTERVENTION, SHOULD GO WAY 1814 01:09:44,840 --> 01:09:46,240 BEYOND PREVENTION FOR USE OF 1815 01:09:46,240 --> 01:09:47,880 OPIOIDS WHICH WE'VE KNOWN ALL 1816 01:09:47,880 --> 01:09:49,880 ALONG HAS TO BE PREVENTING 1817 01:09:49,880 --> 01:09:58,600 INDIVIDUALS FOR THE USE OF 1818 01:09:58,600 --> 01:09:59,440 SUBSTANCES AND UNDERSTANDING 1819 01:09:59,440 --> 01:10:01,360 INTERVENTIONS HAVE TO BE 1820 01:10:01,360 --> 01:10:02,360 DEPLOYED, HOW TO DEPLOY, AS A 1821 01:10:02,360 --> 01:10:05,280 FUNCTION OF AGE AND THE 1822 01:10:05,280 --> 01:10:06,120 CONDITIONS OF INDIVIDUALS. 1823 01:10:06,120 --> 01:10:09,200 BUT THIS IS AN AREA WHERE 1824 01:10:09,200 --> 01:10:11,480 ACTUALLY WE HAVE AN OPPORTUNITY 1825 01:10:11,480 --> 01:10:12,800 TO SIGNIFICANTLY FEEL THE 1826 01:10:12,800 --> 01:10:15,400 INFRASTRUCTURE THAT WILL MAKE IT 1827 01:10:15,400 --> 01:10:17,560 EASIER FOR HEALTH CARE TO 1828 01:10:17,560 --> 01:10:17,960 IMPLEMENT. 1829 01:10:17,960 --> 01:10:20,480 IT'S ALSO CLEAR THAT WE NEED 1830 01:10:20,480 --> 01:10:23,240 MORE TIMELY DATA, INCLUDING 1831 01:10:23,240 --> 01:10:25,120 TIMELY REPORTING OF FATAL 1832 01:10:25,120 --> 01:10:26,280 OVERDOSES, WHAT TYPE OF DRUGS 1833 01:10:26,280 --> 01:10:29,480 WERE INVOLVED AND WE NEED MORE 1834 01:10:29,480 --> 01:10:31,680 TIMELY DATA OF EMERGING NEW 1835 01:10:31,680 --> 01:10:32,480 DRUGS AND DRUG COMBINATIONS. 1836 01:10:32,480 --> 01:10:34,600 FOR EXAMPLE, WE HAVE JUST FROM 1837 01:10:34,600 --> 01:10:37,280 THE NEWSPAPER INCREASED REPORTS 1838 01:10:37,280 --> 01:10:45,760 OF THE USE OF XYLAZINE, ON 1839 01:10:45,760 --> 01:10:47,120 OVERDOSES, WHAT ARE THE DRUGS 1840 01:10:47,120 --> 01:10:48,440 WE'RE NOT NECESSARILY MONITORING 1841 01:10:48,440 --> 01:10:54,800 THAT MAY BE CONTRIBUTING TO 1842 01:10:54,800 --> 01:10:57,840 OVERDOSES? 1843 01:10:57,840 --> 01:11:01,440 XYLAZINE IT IS USED AS 1844 01:11:01,440 --> 01:11:03,200 ANESTHETIC FOR VETERINARY 1845 01:11:03,200 --> 01:11:05,040 MEDICINE BUT IS USED WITH 1846 01:11:05,040 --> 01:11:11,760 FENTANYL COMBINED IN ORDER TO 1847 01:11:11,760 --> 01:11:15,160 PROLONG ITS DURATION. 1848 01:11:15,160 --> 01:11:15,280 1849 01:11:15,280 --> 01:11:15,880 THE OTHER SYNTHETIC OPIOIDS, 1850 01:11:15,880 --> 01:11:19,520 SOME MORE POTENT THAN FENTANYL, 1851 01:11:19,520 --> 01:11:22,440 OTHERS LESS POTENT, INCREASINGLY 1852 01:11:22,440 --> 01:11:23,800 APPEARING IN REPORTS FROM SOCIAL 1853 01:11:23,800 --> 01:11:26,040 MEDIA AND OTHER COUNTRIES TOO. 1854 01:11:26,040 --> 01:11:28,280 AND THEN THE LAST ELEMENT IS 1855 01:11:28,280 --> 01:11:28,920 SOCIAL DETERMINANTS OF HEALTH. 1856 01:11:28,920 --> 01:11:32,080 ONE OF THE ISSUES THAT WE HAVE 1857 01:11:32,080 --> 01:11:34,160 ALWAYS HAD TROUBLE WITH FOR 1858 01:11:34,160 --> 01:11:38,880 THOSE THAT OPPOSE THEM, THIS 1859 01:11:38,880 --> 01:11:41,600 MODEL OF, WELL, SOCIAL UNJUSTICE 1860 01:11:41,600 --> 01:11:42,840 PERPETUATING, THAT MEANS IT'S 1861 01:11:42,840 --> 01:11:44,600 NOT A DISEASE. 1862 01:11:44,600 --> 01:11:48,360 THESE ARE NOT CONTRADICTORY. 1863 01:11:48,360 --> 01:11:49,000 WE KNOW SOCIAL DETERMINANTS OF 1864 01:11:49,000 --> 01:11:50,360 HEALTH CONTRIBUTE TO A WIDE 1865 01:11:50,360 --> 01:11:52,000 VARIETY OF DISEASES, AND THEY 1866 01:11:52,000 --> 01:11:55,600 ARE CRUCIAL, TO THE EXTEND YOU 1867 01:11:55,600 --> 01:11:59,320 CAN IMPROVE THOSE DISPARITIES 1868 01:11:59,320 --> 01:12:00,360 YOU CAN IMPROVE HEALTH, 1869 01:12:00,360 --> 01:12:07,960 OBVIOUSLY TRUE FOR THE CASE OF 1870 01:12:07,960 --> 01:12:09,840 SUBSTANCE USE DISORDER. 1871 01:12:09,840 --> 01:12:11,920 I HAVE A PROPOSAL FOR 1872 01:12:11,920 --> 01:12:13,000 PREVENTION, TAKING ADVANTAGE OF 1873 01:12:13,000 --> 01:12:17,160 YOU AS A COUNCIL TO ACTUALLY 1874 01:12:17,160 --> 01:12:19,360 REACT AND GIVE SUGGESTIONS. 1875 01:12:19,360 --> 01:12:21,800 WE DON'T IN TERMS OF 1876 01:12:21,800 --> 01:12:23,800 PREVENTION -- WE HAVE BEEN 1877 01:12:23,800 --> 01:12:26,440 TRYING TO PUSH FORWARD THE IDEA 1878 01:12:26,440 --> 01:12:29,400 OF SCREENING AND INTERVENTION 1879 01:12:29,400 --> 01:12:31,360 FOR SUBSTANCE USE DISORDER, FOR 1880 01:12:31,360 --> 01:12:32,320 MILD SUBSTANCE USE DISORDER, 1881 01:12:32,320 --> 01:12:33,440 THIS HAS NOT GOTTEN TRACTION. 1882 01:12:33,440 --> 01:12:37,160 ONE OF THE THINGS WE'RE 1883 01:12:37,160 --> 01:12:39,480 PROPOSING IS RENAMING THE 1884 01:12:39,480 --> 01:12:40,280 INTERVENTION AS PRE-ADDICTION 1885 01:12:40,280 --> 01:12:44,080 WITH CONCEPT OF TRYING TO 1886 01:12:44,080 --> 01:12:45,000 EMULATE WHAT PREDIABETES FIELD 1887 01:12:45,000 --> 01:12:47,320 DID IN 2000 TO TRY TO GET 1888 01:12:47,320 --> 01:12:49,320 ATTENTION AND RESOURCES AND 1889 01:12:49,320 --> 01:12:50,360 REVERSEMENT FOR INTERVENTIONS 1890 01:12:50,360 --> 01:12:52,160 THAT WOULD HELP INDIVIDUALS THAT 1891 01:12:52,160 --> 01:12:55,120 DID NOT HAVE DIABETES BUT 1892 01:12:55,120 --> 01:12:55,920 INDICATORS THAT WERE INDICATED 1893 01:12:55,920 --> 01:12:57,000 HIGH LEVEL OF RISK. 1894 01:12:57,000 --> 01:12:59,320 WE WOULD LIKE TO MOVE THIS 1895 01:12:59,320 --> 01:13:00,800 FORWARD TO GENERATE THE SAME 1896 01:13:00,800 --> 01:13:04,760 TYPE OF EVIDENCE THAT WOULD 1897 01:13:04,760 --> 01:13:08,040 FACILITATE THE REVERSEMENT WHICH 1898 01:13:08,040 --> 01:13:09,840 WOULD THEN INCENTIVIZE SCREENING 1899 01:13:09,840 --> 01:13:11,280 AND INCENTIVIZE DEVELOPMENT OF 1900 01:13:11,280 --> 01:13:15,160 TREATMENT OR INTERVENTIONS FOR 1901 01:13:15,160 --> 01:13:15,560 PRE-ADDICTION. 1902 01:13:15,560 --> 01:13:17,560 THERE ARE TWO BIG GAPS IN HERE 1903 01:13:17,560 --> 01:13:20,440 THAT PUT IS AT A TREMENDOUS 1904 01:13:20,440 --> 01:13:21,960 DISADVANTAGE FROM THE DIABETES 1905 01:13:21,960 --> 01:13:22,280 FIELD. 1906 01:13:22,280 --> 01:13:24,680 ONE IN MANY WAYS DEFINING 1907 01:13:24,680 --> 01:13:29,080 PREDIABETES, IT'S EASIER THAN 1908 01:13:29,080 --> 01:13:29,600 DEFINING PRE-ADDICTION. 1909 01:13:29,600 --> 01:13:32,560 THERE'S NEED TO COME UP WITH 1910 01:13:32,560 --> 01:13:34,280 WAYS OF IDENTIFYING SUCH A 1911 01:13:34,280 --> 01:13:34,760 STAGE. 1912 01:13:34,760 --> 01:13:44,160 WE CAN TAKE ADVANTAGE OF THE 1913 01:13:44,160 --> 01:13:45,160 DSM-V DIAGNOSIS IDENTIFYING 1914 01:13:45,160 --> 01:13:47,240 SEVERITY FROM MILD TO MODERATE 1915 01:13:47,240 --> 01:13:48,000 VERSUS SEVERE SUBSTANCE USE 1916 01:13:48,000 --> 01:13:51,080 DISORDER AND COULD START BY 1917 01:13:51,080 --> 01:13:52,960 IDENTIFYING CERTAINLY A 1918 01:13:52,960 --> 01:13:53,760 PRE-ADDICTION PHENOTYPE, PERHAPS 1919 01:13:53,760 --> 01:13:56,560 ONE THAT'S MILD OR MODERATE. 1920 01:13:56,560 --> 01:14:01,040 AND WE KNOW THAT IN MILD CASE OF 1921 01:14:01,040 --> 01:14:02,880 OPIOID USE DISORDER USE OF 1922 01:14:02,880 --> 01:14:04,080 MEDICATIONS MAY NOT BE 1923 01:14:04,080 --> 01:14:04,680 INDICATED. 1924 01:14:04,680 --> 01:14:07,600 MORE IMPORTANTLY IF YOU DO 1925 01:14:07,600 --> 01:14:10,440 IDENTIFY, WHAT ARE GOING TO BE 1926 01:14:10,440 --> 01:14:11,240 THE EFFECTIVE INTERVENTIONS FOR 1927 01:14:11,240 --> 01:14:13,040 SUCH A CONDITION? 1928 01:14:13,040 --> 01:14:19,280 WE HAVE ONGOING PROJECTS, 1929 01:14:19,280 --> 01:14:20,440 CURRENTLY THROUGH HEAL-FUNDED 1930 01:14:20,440 --> 01:14:27,960 GRANTS THAT ARE LOOKING AT 1931 01:14:27,960 --> 01:14:28,840 THRESHOLD INTERVENTION, TO HELP 1932 01:14:28,840 --> 01:14:30,040 ADDRESS MILD OPIOID USE DISORDER 1933 01:14:30,040 --> 01:14:32,360 AND WHAT MAY BE THE BEST 1934 01:14:32,360 --> 01:14:32,760 OUTCOMES. 1935 01:14:32,760 --> 01:14:36,360 SO THIS IS AN AREA THAT WE'RE 1936 01:14:36,360 --> 01:14:40,200 LOOKING AT THESE NUMBERS, 1937 01:14:40,200 --> 01:14:41,200 IDENTIFYING, SHOWING DIFFERENT 1938 01:14:41,200 --> 01:14:44,040 PANORAMA FROM THE PAST, WHERE 1939 01:14:44,040 --> 01:14:46,640 THE EXPERIMENTATION WITH DRUGS 1940 01:14:46,640 --> 01:14:50,080 CAN ACTUALLY RESULT IN AN 1941 01:14:50,080 --> 01:14:51,080 OVERDOSE, RESULTING IN 1942 01:14:51,080 --> 01:14:57,320 OVERDOSES, CERTAINLY WE'RE 1943 01:14:57,320 --> 01:14:59,000 SEEING WITH TEENAGERS. 1944 01:14:59,000 --> 01:15:00,480 THE LAST SLIDE TO HIGHLIGHT THE 1945 01:15:00,480 --> 01:15:02,080 OTHER ELEMENTS WE'RE WORKING 1946 01:15:02,080 --> 01:15:04,560 WITH VERY ACTIVELY, VERY, VERY 1947 01:15:04,560 --> 01:15:07,760 SUCCESSFULLY, TO OFFICE OF 1948 01:15:07,760 --> 01:15:09,400 TRANSLATION AND INNOVATION 1949 01:15:09,400 --> 01:15:11,040 RESEARCH IS DEPLOYMENT AND 1950 01:15:11,040 --> 01:15:13,120 CREATION OF COMPANIES THAT CAN 1951 01:15:13,120 --> 01:15:16,880 BRING INNOVATION INTO THE 1952 01:15:16,880 --> 01:15:19,280 SUBSTANCE ABUSE FIELD. 1953 01:15:19,280 --> 01:15:21,600 HERE ARE SOME EXAMPLES OF 1954 01:15:21,600 --> 01:15:26,080 COMPANIES FUNDED BY OUR SBIR AND 1955 01:15:26,080 --> 01:15:26,720 STTR PROGRAMS ADDRESSING 1956 01:15:26,720 --> 01:15:29,040 PRIORITIES FOR HHS TO ADDRESS 1957 01:15:29,040 --> 01:15:31,120 THE OVERDOSE CRISIS. 1958 01:15:31,120 --> 01:15:32,480 PRIMARY PREVENTION, HIGH 1959 01:15:32,480 --> 01:15:33,000 REDUCTION, EVIDENCE-BASED 1960 01:15:33,000 --> 01:15:35,600 TREATMENT AND RECOVERY SUPPORT. 1961 01:15:35,600 --> 01:15:37,000 AND THESE ARE JUST A COUPLE OF 1962 01:15:37,000 --> 01:15:39,040 THEM BUT I'M GOING TO HIGHLIGHT 1963 01:15:39,040 --> 01:15:40,040 TWO OF THEM. 1964 01:15:40,040 --> 01:15:45,960 ONE OF THEM IS THE SUBJECT OF 1965 01:15:45,960 --> 01:15:49,240 ONE OF THE MAIN ARTICLES OF THE 1966 01:15:49,240 --> 01:15:51,640 "NEW YORK TIMES MAGAZINE" ON 1967 01:15:51,640 --> 01:15:52,960 LAST -- NOT LAST WEEKEND BUT THE 1968 01:15:52,960 --> 01:15:54,640 WEEKEND BEFORE THAT, A COMPANY 1969 01:15:54,640 --> 01:15:57,120 THAT WAS FUNDED THROUGH NIDA, 1970 01:15:57,120 --> 01:15:59,280 HAS ACTUALLY BEEN QUITE 1971 01:15:59,280 --> 01:16:04,840 SUCCESSFUL IN DEPLOYING VIRTUAL 1972 01:16:04,840 --> 01:16:06,520 REALITY INTERVENTION RESULTING 1973 01:16:06,520 --> 01:16:09,360 IN PATIENTS THEY TESTED THROUGH 1974 01:16:09,360 --> 01:16:10,560 DRAMATIC REDUCTION IN PAIN THAT 1975 01:16:10,560 --> 01:16:19,840 WAS ACHIEVED AACHIEVED. 1976 01:16:19,840 --> 01:16:23,880 THIS IS ANOTHER ONE, AGAIN A 1977 01:16:23,880 --> 01:16:25,920 COMPANY LAUNCHED THROUGH THE 1978 01:16:25,920 --> 01:16:28,040 SBIR PROGRAM, YOU SEE HERE WHEN 1979 01:16:28,040 --> 01:16:30,880 THE COMPANY BECAME PUBLIC, VERY, 1980 01:16:30,880 --> 01:16:35,000 VERY HIGH SUCCESS, THE FIRST 1981 01:16:35,000 --> 01:16:36,520 COMPANY THAT GOT FDA APPROVAL 1982 01:16:36,520 --> 01:16:38,920 FOR TREATMENT OF SUBSTANCE USE 1983 01:16:38,920 --> 01:16:39,560 DISORDER. 1984 01:16:39,560 --> 01:16:42,320 THESE INVESTMENTS ON INNOVATION 1985 01:16:42,320 --> 01:16:45,360 AND ACCELERATION OF KNOWLEDGE 1986 01:16:45,360 --> 01:16:46,680 HAVE BROUGHT UP PROBLEMS THAT 1987 01:16:46,680 --> 01:16:48,400 ARE EXTREMELY VALUABLE FOR 1988 01:16:48,400 --> 01:16:50,800 PEOPLE WITH SUBSTANCE USE 1989 01:16:50,800 --> 01:16:52,600 DISORDERS, I MEAN, MOTHERS 1990 01:16:52,600 --> 01:16:54,560 HAVING BABIES, COVERS A VERY 1991 01:16:54,560 --> 01:16:56,400 WIDE RANGE INCLUDING HOW DO WE 1992 01:16:56,400 --> 01:16:57,960 ADDRESS SOME OF THE MAJOR 1993 01:16:57,960 --> 01:17:01,560 CHALLENGES WE HAVE TO ADDRESSING 1994 01:17:01,560 --> 01:17:03,200 SOCIAL DISPARITIES, THAT MADE 1995 01:17:03,200 --> 01:17:07,560 PEOPLE SUBSTANCE USE DISORDER AT 1996 01:17:07,560 --> 01:17:09,320 GREATER RISK. 1997 01:17:09,320 --> 01:17:15,560 THERE ARE TWO MEETINGS I WANT TO 1998 01:17:15,560 --> 01:17:16,160 HIGHLIGHT, NIDA VIRTUAL RESEARCH 1999 01:17:16,160 --> 01:17:17,600 TEAM MEETING THAT TOOK PLACE, 2000 01:17:17,600 --> 01:17:19,000 STILL TAKING PLACE VIRTUALLY. 2001 01:17:19,000 --> 01:17:21,120 I WANT TO HIGHLIGHT IT. 2002 01:17:21,120 --> 01:17:23,760 IT'S THE FIRST IN ITS KIND, VERY 2003 01:17:23,760 --> 01:17:27,960 MUCH IN THE LINE OF WHAT IS IT 2004 01:17:27,960 --> 01:17:29,840 WE CAN DO PROACTIVELY TO BRING 2005 01:17:29,840 --> 01:17:31,400 IN MINORITY SERVING INSTITUTIONS 2006 01:17:31,400 --> 01:17:32,720 AND MINORITY RESEARCHERS INTO 2007 01:17:32,720 --> 01:17:33,800 ALL OF THE SPACE THAT RESEARCH 2008 01:17:33,800 --> 01:17:36,280 SPACE THAT WE'RE DOING AND 2009 01:17:36,280 --> 01:17:38,160 FUNDING AT NIDA. 2010 01:17:38,160 --> 01:17:42,200 SO THIS WAS IN PARTNERSHIP WITH 2011 01:17:42,200 --> 01:17:44,400 HOWARD UNIVERSITY AND NIDA, AND 2012 01:17:44,400 --> 01:17:52,080 I WANT TO THANK VERY MUCH BOTH 2013 01:17:52,080 --> 01:17:52,360 LEADERSHIP. 2014 01:17:52,360 --> 01:17:54,360 AND, AGAIN, WE ARE PLANNING TO 2015 01:17:54,360 --> 01:17:57,760 PUSH, I THINK THERE ARE MANY 2016 01:17:57,760 --> 01:18:01,120 WAYS WE CAN BRING FORWARD 2017 01:18:01,120 --> 01:18:03,560 CREATIVITY AND UNIQUE 2018 01:18:03,560 --> 01:18:04,160 PERSPECTIVE OF MINORITY 2019 01:18:04,160 --> 01:18:05,840 RESEARCHERS AND ALSO SUPPORT 2020 01:18:05,840 --> 01:18:06,440 THEM. 2021 01:18:06,440 --> 01:18:09,560 WE'VE HAD MANY LISTENING 2022 01:18:09,560 --> 01:18:11,400 SESSIONS LIKE MANY OTHER AT THE 2023 01:18:11,400 --> 01:18:15,320 NIH HAVE, BUT WHAT IS CLEAR 2024 01:18:15,320 --> 01:18:16,000 THERE ARE MANY THINGS, MANY 2025 01:18:16,000 --> 01:18:19,480 ACTIONABLE ITEMS WHERE WE CAN 2026 01:18:19,480 --> 01:18:21,320 ACTUALLY IMPLEMENT AND PROVIDE 2027 01:18:21,320 --> 01:18:23,560 RESOURCES AND FACILITATE AND 2028 01:18:23,560 --> 01:18:25,320 DIVERSIFY OR WORKPLACE. 2029 01:18:25,320 --> 01:18:27,280 AND THEN I DO WANT TO ADVERTISE 2030 01:18:27,280 --> 01:18:29,200 TO ALL OF YOU, I MEAN, WE'VE 2031 01:18:29,200 --> 01:18:33,880 BEEN TRYING TO OF COURSE 2032 01:18:33,880 --> 01:18:34,800 ADDRESSING STIGMA FOR 2033 01:18:34,800 --> 01:18:38,040 INDIVIDUALS WITH SUBSTANCE USE 2034 01:18:38,040 --> 01:18:39,320 DISORDER, WORSE DURING THE 2035 01:18:39,320 --> 01:18:41,000 PANDEMIC, MANY OF YOU BROUGHT IT 2036 01:18:41,000 --> 01:18:42,320 UP FROM COUNCIL. 2037 01:18:42,320 --> 01:18:44,200 IF YOU'RE SO SENSITIVE TO THE 2038 01:18:44,200 --> 01:18:46,400 ISSUE OF LANGUAGE, WE SHOULD USE 2039 01:18:46,400 --> 01:18:48,520 LANGUAGE THAT IS NOT 2040 01:18:48,520 --> 01:18:49,880 DISCRIMINATING, HOW COME, IF YOU 2041 01:18:49,880 --> 01:18:51,720 ARE SPEAKING THAT AND YOU'RE 2042 01:18:51,720 --> 01:18:54,680 BASICALLY AIMING TO CHANGE THE 2043 01:18:54,680 --> 01:18:55,280 CULTURE, HOW COME THE NATIONAL 2044 01:18:55,280 --> 01:18:58,960 INSTITUTE ON DRUG ABUSE STILL 2045 01:18:58,960 --> 01:19:00,680 USES "ABUSE" IF IT'S TITLE? 2046 01:19:00,680 --> 01:19:03,000 YES, NIDA REQUEST THE INSTITUTE 2047 01:19:03,000 --> 01:19:13,520 BE RENAMED NATIONAL INSTITUTE ON 2048 01:19:15,520 --> 01:19:16,040 DRUG AND ADDICTION, AND I'M 2049 01:19:16,040 --> 01:19:16,640 OPTIMISTIC IT WILL PASS AND 2050 01:19:16,640 --> 01:19:18,080 WE'LL HAVE A NEW NAME. 2051 01:19:18,080 --> 01:19:20,160 THANK YOU FOR YOUR ATTENTION. 2052 01:19:20,160 --> 01:19:21,240 I'M GOING TO STOP SHARING IN 2053 01:19:21,240 --> 01:19:22,480 CASE THERE ARE QUESTIONS THAT 2054 01:19:22,480 --> 01:19:26,920 ANY ONE OF YOU MAY HAVE. 2055 01:19:26,920 --> 01:19:31,840 >> NORA, YOU CAN GO TO 2:55. 2056 01:19:31,840 --> 01:19:33,320 WE'VE ASKED MIKE TO START THEN 2057 01:19:33,320 --> 01:19:35,600 SO YOU HAVE A FEW MORE MINUTES 2058 01:19:35,600 --> 01:19:38,400 FOR QUESTIONS. 2059 01:19:38,400 --> 01:19:41,800 >> I SEE A HAND RAISED. 2060 01:19:41,800 --> 01:19:44,280 >> GREAT DATA. 2061 01:19:44,280 --> 01:19:44,920 THANKS FOR SHARING. 2062 01:19:44,920 --> 01:19:47,840 I THINK THE NOTION OF LIKE 2063 01:19:47,840 --> 01:19:52,760 PRE-ADDICTION OR MAYBE BETTER 2064 01:19:52,760 --> 01:19:54,000 TITLING IT, PRE-USE DISORDER, I 2065 01:19:54,000 --> 01:19:57,920 THINK IT'S A GOOD CONCEPT IN 2066 01:19:57,920 --> 01:19:58,440 GENERAL. 2067 01:19:58,440 --> 01:20:01,320 THE ANALOGY TO PREDIABETES AND 2068 01:20:01,320 --> 01:20:01,960 INTERVENTION AROUND PREDIABETES, 2069 01:20:01,960 --> 01:20:04,920 THAT ALL MAKES SENSE. 2070 01:20:04,920 --> 01:20:06,560 HOWEVER, WHAT I'M SEEING OUT IN 2071 01:20:06,560 --> 01:20:09,200 THE MARKET RIGHT NOW IS THAT 2072 01:20:09,200 --> 01:20:11,840 PRIMARY CARE IS NOT REFERRING 2073 01:20:11,840 --> 01:20:15,320 PATIENTS TO TREATMENT. 2074 01:20:15,320 --> 01:20:15,840 IF PRIMARY CARE IS EVEN 2075 01:20:15,840 --> 01:20:16,440 SCREENING IN THE FIRST PLACE. 2076 01:20:16,440 --> 01:20:20,280 THERE'S A LOT OF DRIVERS BEHIND 2077 01:20:20,280 --> 01:20:20,480 THAT. 2078 01:20:20,480 --> 01:20:23,560 A LOT OF FRANKLY HAS TO DO WITH 2079 01:20:23,560 --> 01:20:28,680 STIGMA, THE OTHER PART PROBABLY 2080 01:20:28,680 --> 01:20:29,840 IS A PROCESS ISSUE. 2081 01:20:29,840 --> 01:20:36,040 I DON'T THINK THAT MODIFYING 2082 01:20:36,040 --> 01:20:37,680 DIAGNOSTIC CRITERIA IS GOING TO 2083 01:20:37,680 --> 01:20:39,200 MOVE THE NEEDLE A LOT. 2084 01:20:39,200 --> 01:20:43,720 THERE NEED TO BE MORE CARROT OR 2085 01:20:43,720 --> 01:20:45,120 MORE STICK, IF PAYERS, WHETHER 2086 01:20:45,120 --> 01:20:48,760 PUBLIC PAYERS OR COMMERCIAL 2087 01:20:48,760 --> 01:20:50,160 CARRIERS, TO CREATE THE 2088 01:20:50,160 --> 01:20:53,240 FINANCIAL PRESSURES OR 2089 01:20:53,240 --> 01:20:56,720 INCENTIVES ON PRIMARY CARE TO 2090 01:20:56,720 --> 01:20:58,920 SCREEN BUT ALSO TO REFER. 2091 01:20:58,920 --> 01:21:00,880 THE PLACES TO REFER ARE 2092 01:21:00,880 --> 01:21:02,880 INCREASINGLY BECOMING AVAILABLE. 2093 01:21:02,880 --> 01:21:04,800 ESPECIALLY FOR MILD AND MODERATE 2094 01:21:04,800 --> 01:21:07,120 USE DISORDERS. 2095 01:21:07,120 --> 01:21:09,600 YOU REFERENCE EVEN SOME OF THE 2096 01:21:09,600 --> 01:21:11,040 SBIR-FUNDED COMPANIES THAT CAN 2097 01:21:11,040 --> 01:21:14,400 BECOME AVAILABLE AS THE 2098 01:21:14,400 --> 01:21:15,960 RECIPIENTS OF THOSE REFERRALS. 2099 01:21:15,960 --> 01:21:17,760 BUT I'VE GOTTEN INVESTMENTS 2100 01:21:17,760 --> 01:21:22,880 ACROSS THREE DIFFERENT 2101 01:21:22,880 --> 01:21:24,640 COMPANIES, USE DISORDER SPACE, 2102 01:21:24,640 --> 01:21:26,960 ALSO I SENSE COMPANIES ALL THE 2103 01:21:26,960 --> 01:21:28,240 TIME RAISING CAPITAL, EVEN 2104 01:21:28,240 --> 01:21:31,200 COMPANIES WHOSE PRIMARY JOB IS 2105 01:21:31,200 --> 01:21:33,640 TO FACILITATE REFERRALS TO 2106 01:21:33,640 --> 01:21:38,440 SPECIALISTS, THEY ARE 2107 01:21:38,440 --> 01:21:40,320 STRUGGLING, REALLY STRUGGLING. 2108 01:21:40,320 --> 01:21:44,600 THE BETTER RESEARCH PRIORITY IS 2109 01:21:44,600 --> 01:21:49,960 PROBABLY CLARIFYING LIKE THE 2110 01:21:49,960 --> 01:21:52,800 ECONO-METRIC CONSIDERATIONS OR 2111 01:21:52,800 --> 01:21:54,600 STIGMAK OR PROVIDER CAPABILITY 2112 01:21:54,600 --> 01:22:00,240 CONSIDERATION AROUND SCREENING 2113 01:22:00,240 --> 01:22:01,320 AND REFERRALS, MAYBE BACKLOGGING 2114 01:22:01,320 --> 01:22:02,160 AROUND PRE-ADDICTION. 2115 01:22:02,160 --> 01:22:07,680 EVEN IF WE DO HAVE 2116 01:22:07,680 --> 01:22:09,760 PRE-ADDICTION, CHARACTERIZED AS 2117 01:22:09,760 --> 01:22:12,080 AN ICD-10 CODE, I DON'T SEE IT 2118 01:22:12,080 --> 01:22:15,520 MOVING THE NEEDLE MUCH. 2119 01:22:15,520 --> 01:22:16,320 >> I MEAN, I THINK THESE ARE -- 2120 01:22:16,320 --> 01:22:18,040 THANKS FOR THE PERSPECTIVE. 2121 01:22:18,040 --> 01:22:20,280 MY VIEW OBVIOUSLY WE REALIZE 2122 01:22:20,280 --> 01:22:21,760 IT'S NOT GOING TO BE EASY AND 2123 01:22:21,760 --> 01:22:23,960 CHANGE IT, WHAT WE CAN DO IS 2124 01:22:23,960 --> 01:22:24,360 PROVIDE EVIDENCE. 2125 01:22:24,360 --> 01:22:26,600 WE DO HAVE DATA SHOWING HOW COST 2126 01:22:26,600 --> 01:22:28,560 EFFECTIVE IT IS TO PROVIDE FOR 2127 01:22:28,560 --> 01:22:29,880 TREATMENT BUT THAT'S NOT BEEN 2128 01:22:29,880 --> 01:22:30,400 ENOUGH. 2129 01:22:30,400 --> 01:22:32,960 THE QUESTION IS WHAT EXTRA DATA 2130 01:22:32,960 --> 01:22:35,840 DO WE NEED AND WHAT ARE POLICIES 2131 01:22:35,840 --> 01:22:39,480 THAT COULD HELP, JUST LIKE WE'RE 2132 01:22:39,480 --> 01:22:42,360 DISCUSSING BEFORE, OVERALL HOW 2133 01:22:42,360 --> 01:22:47,400 DO WE CHANGE A CULTURE OF 2134 01:22:47,400 --> 01:22:52,080 STIGMA, AND ONE OF THE IMPACTFUL 2135 01:22:52,080 --> 01:22:54,320 INTERVENTIONS, IF YOU GET 2136 01:22:54,320 --> 01:22:55,960 REIMBURSED, SUFFICIENTLY, THAT 2137 01:22:55,960 --> 01:22:56,800 INCENTIVIZES BECAUSE THAT'S WHAT 2138 01:22:56,800 --> 01:22:57,880 WE'VE DISCUSSED IN PAST 2139 01:22:57,880 --> 01:22:58,400 COUNCILS. 2140 01:22:58,400 --> 01:22:59,760 ONE OF THE REASONS WHY PEOPLE 2141 01:22:59,760 --> 01:23:01,200 ARE NOT TREATING INDIVIDUALS 2142 01:23:01,200 --> 01:23:06,160 WITH SUBSTANCE USE DISORDER, 2143 01:23:06,160 --> 01:23:07,080 REIMBURSEMENT IS TOO LOW. 2144 01:23:07,080 --> 01:23:09,280 WE NEED TO BRING IT UP. 2145 01:23:09,280 --> 01:23:10,880 IT WAS YOU WHO BROUGHT IT UP. 2146 01:23:10,880 --> 01:23:15,280 WE NEED TO BRING UP MORE 2147 01:23:15,280 --> 01:23:15,920 EQUITABLE TYPE OF REIMBURSEMENT 2148 01:23:15,920 --> 01:23:17,520 FOR SUBSTANCE USE DISORDER THAN 2149 01:23:17,520 --> 01:23:18,640 FOR OTHER MEDICAL CONDITIONS. 2150 01:23:18,640 --> 01:23:20,480 WE NEED TO MOVE ALL OF THE 2151 01:23:20,480 --> 01:23:20,760 ISSUES. 2152 01:23:20,760 --> 01:23:23,400 HOW DO WE MOVE THEM? 2153 01:23:23,400 --> 01:23:30,560 RIGHT NOW WHAT IS DIFFERENT, IF 2154 01:23:30,560 --> 01:23:31,840 WE CAN BRING FORWARD, THAT RIGHT 2155 01:23:31,840 --> 01:23:34,680 NOW WE'RE LIVING IN A PERIOD 2156 01:23:34,680 --> 01:23:36,320 WHERE USE OF ILLICIT DRUGS IS 2157 01:23:36,320 --> 01:23:38,040 VERY HIGH RISK, WE NEED TO FOCUS 2158 01:23:38,040 --> 01:23:39,920 ON PROTECTING THESE PEOPLE. 2159 01:23:39,920 --> 01:23:42,000 YOU NEED TO INCENTIVIZE THOSE 2160 01:23:42,000 --> 01:23:44,040 THAT ARE PROVIDING IT, YOU 2161 01:23:44,040 --> 01:23:45,880 INCENTIVIZE THEM BY PAYING THEM, 2162 01:23:45,880 --> 01:23:46,760 BY REIMBURSING THEM. 2163 01:23:46,760 --> 01:23:49,560 WHICH IS AGAIN WHAT HAPPENED IN 2164 01:23:49,560 --> 01:23:50,440 THE DIABETES. 2165 01:23:50,440 --> 01:23:54,160 HAS IT SOLVED THE PROBLEM? 2166 01:23:54,160 --> 01:23:55,040 NO, IT HAS NOT. 2167 01:23:55,040 --> 01:23:56,560 OF COURSE THERE ARE OTHER 2168 01:23:56,560 --> 01:23:58,400 ISSUES. 2169 01:23:58,400 --> 01:24:00,520 WHAT IT HAS DEFINITELY HELPED 2170 01:24:00,520 --> 01:24:03,680 SOME INDIVIDUALS ACTUALLY 2171 01:24:03,680 --> 01:24:04,080 PREVENT DIABETES. 2172 01:24:04,080 --> 01:24:08,280 I THINK I'M TRYING TO OBSERVE 2173 01:24:08,280 --> 01:24:09,520 WHAT SERIES OF COMBINATIONS OF 2174 01:24:09,520 --> 01:24:11,600 ACTIONS WILL MAKE A DIFFERENCE 2175 01:24:11,600 --> 01:24:12,560 AND ENGAGING THE HEALTH CARE 2176 01:24:12,560 --> 01:24:15,920 SYSTEM IN SOMETHING LIKE THIS 2177 01:24:15,920 --> 01:24:17,600 WILL ALSO HAVE ANOTHER ADVANTAGE 2178 01:24:17,600 --> 01:24:18,480 WHICH IS EDUCATE THEM. 2179 01:24:18,480 --> 01:24:20,560 EDUCATE THEM THAT THEY NEED TO 2180 01:24:20,560 --> 01:24:21,080 SCREEN. 2181 01:24:21,080 --> 01:24:24,560 EDUCATE THEM ABOUT SUBSTANCE USE 2182 01:24:24,560 --> 01:24:24,840 DISORDER. 2183 01:24:24,840 --> 01:24:27,160 SO THAT'S WHY -- BUT I THINK 2184 01:24:27,160 --> 01:24:28,720 YOU'RE ABSOLUTELY RIGHT, BY 2185 01:24:28,720 --> 01:24:30,760 ITSELF IT'S NOT GOING TO BE THE 2186 01:24:30,760 --> 01:24:31,280 DIFFERENCE. 2187 01:24:31,280 --> 01:24:33,840 BUT I SEE MANY OTHER HANDS 2188 01:24:33,840 --> 01:24:36,240 RAISED. 2189 01:24:36,240 --> 01:24:39,840 WHO WAS THE SECOND? 2190 01:24:39,840 --> 01:24:42,640 >> THANK YOU FOR THE BEAUTIFUL 2191 01:24:42,640 --> 01:24:43,600 PRESENTATION AND HIGHLIGHTING 2192 01:24:43,600 --> 01:24:44,800 SOME OF THE CRITICAL ASPECTS 2193 01:24:44,800 --> 01:24:47,560 THAT WE HAVE TO PAY ATTENTION 2194 01:24:47,560 --> 01:24:48,720 TO, IT WAS REALLY BEAUTIFUL. 2195 01:24:48,720 --> 01:24:52,000 I ALSO WANT TO GO BACK TO YOUR 2196 01:24:52,000 --> 01:24:52,880 PRE-ADDICTION CONCEPT. 2197 01:24:52,880 --> 01:24:55,480 I THINK IT'S ACTUALLY QUITE 2198 01:24:55,480 --> 01:25:00,640 USEFUL, AND I LOVE THE ANALOGY 2199 01:25:00,640 --> 01:25:01,320 TO PREDIABETES. 2200 01:25:01,320 --> 01:25:03,520 TWO THINGS MAYBE TO FOCUS ON, 2201 01:25:03,520 --> 01:25:04,440 ONE IS SCREENING. 2202 01:25:04,440 --> 01:25:07,440 THE FIRST ONE WHICH YOU 2203 01:25:07,440 --> 01:25:07,960 MENTIONED. 2204 01:25:07,960 --> 01:25:09,960 AND ANDREW MENTIONED AS WELL. 2205 01:25:09,960 --> 01:25:11,600 THEY DID START WITH ELECTRONIC 2206 01:25:11,600 --> 01:25:13,240 MEDICAL RECORDS, DID START 2207 01:25:13,240 --> 01:25:15,320 SCREENING FOR DEPRESSION. 2208 01:25:15,320 --> 01:25:15,960 A LOT OF PRIMARY CARE AND OTHER 2209 01:25:15,960 --> 01:25:19,160 SPECIALTIES ARE DOING THAT. 2210 01:25:19,160 --> 01:25:21,000 WE ASK ABOUT SMOKING, EMR, BUT 2211 01:25:21,000 --> 01:25:25,240 THAT'S WHERE IT STOPS. 2212 01:25:25,240 --> 01:25:27,920 WITH CANNABIS RATES AS HIGH, 2213 01:25:27,920 --> 01:25:30,320 ALCOHOL AND PAIN, THIS IS VERY 2214 01:25:30,320 --> 01:25:31,440 NOT ASKED, IT'S NOT SCREENED 2215 01:25:31,440 --> 01:25:34,920 FOR, AND WE HAVE VERY NICE 2216 01:25:34,920 --> 01:25:35,720 SCREENING TOOLS. 2217 01:25:35,720 --> 01:25:38,880 I THINK IT MIGHT BE REALLY TIME 2218 01:25:38,880 --> 01:25:43,280 TO IMPLEMENT SOME SORT OF MORE 2219 01:25:43,280 --> 01:25:47,760 WIDESPREAD SCREENING. 2220 01:25:47,760 --> 01:25:50,040 IT'S AN OPPORTUNITY TO EDUCATE, 2221 01:25:50,040 --> 01:25:51,000 HIGHLIGHTS AMONG PROVIDERS, THEN 2222 01:25:51,000 --> 01:25:51,640 THEY HAVE TO DO SOMETHING ABOUT 2223 01:25:51,640 --> 01:25:52,360 IT. 2224 01:25:52,360 --> 01:25:54,640 THEY HAVE TO BRING IT TO 2225 01:25:54,640 --> 01:25:55,040 ATTENTION. 2226 01:25:55,040 --> 01:25:57,640 SO, FOR EXAMPLE, NICOTINE AND 2227 01:25:57,640 --> 01:25:59,360 SMOKING SCREENING LED TO MORE 2228 01:25:59,360 --> 01:26:01,000 COLLABORATIVE CARE MODELS IN 2229 01:26:01,000 --> 01:26:02,480 CANCER, FOR EXAMPLE. 2230 01:26:02,480 --> 01:26:05,640 AND SO THIS WAITING FOR A 2231 01:26:05,640 --> 01:26:07,520 REFERRAL, WAITING FOR A PROVIDER 2232 01:26:07,520 --> 01:26:09,680 TO PAY ATTENTION, WHEREAS 2233 01:26:09,680 --> 01:26:11,960 COLLABORATIVE CARE IS INTEGRATED 2234 01:26:11,960 --> 01:26:13,480 MODELS, INTEGRATED BEHAVIORAL 2235 01:26:13,480 --> 01:26:15,560 HEALTH MODELS, AND THAT'S 2236 01:26:15,560 --> 01:26:16,120 SOMETHING FOLKS ARE TALKING 2237 01:26:16,120 --> 01:26:17,640 ABOUT AND I THINK IT MIGHT BE 2238 01:26:17,640 --> 01:26:19,240 REALLY USEFUL TO GAIN EVIDENCE 2239 01:26:19,240 --> 01:26:20,480 TO PROVIDE THE EVIDENCE TO 2240 01:26:20,480 --> 01:26:25,840 SUPPORT THOSE KIND OF MODELS. 2241 01:26:25,840 --> 01:26:27,360 >> AGAIN, I APOLOGIZE BECAUSE I 2242 01:26:27,360 --> 01:26:33,640 MAY HAVE MISSED THE ORDER. 2243 01:26:33,640 --> 01:26:35,080 SHELLY I THINK IS NEXT. 2244 01:26:35,080 --> 01:26:37,440 >> I THINK SO. 2245 01:26:37,440 --> 01:26:38,440 THANK YOU. 2246 01:26:38,440 --> 01:26:40,080 THANK YOU FOR THAT PRESENTATION 2247 01:26:40,080 --> 01:26:41,520 WHICH IS SO DATA RICH AND 2248 01:26:41,520 --> 01:26:43,120 ACTUALLY THERE'S SO MUCH TO 2249 01:26:43,120 --> 01:26:43,400 COMMENT ON. 2250 01:26:43,400 --> 01:26:46,160 SO I'M GOING TO TRY TO DO MY 2251 01:26:46,160 --> 01:26:49,200 BEST TO RESTRICT MY COMMENTS. 2252 01:26:49,200 --> 01:26:51,960 YOU CAN TIE A LOT OF WHATTIOU'RE 2253 01:26:51,960 --> 01:26:52,880 SCIENCE RESEARCH. 2254 01:26:52,880 --> 01:26:54,640 WE HAD OTHER CONVERSATIONS HERE 2255 01:26:54,640 --> 01:26:56,400 ABOUT THE NEED FOR MORE 2256 01:26:56,400 --> 01:26:58,040 IMPLEMENTATION SCIENCE RESEARCH. 2257 01:26:58,040 --> 01:27:01,000 WHAT I MEAN BY THAT IS WHETHER 2258 01:27:01,000 --> 01:27:02,920 WE'RE TALKING ABOUT SCREENING, 2259 01:27:02,920 --> 01:27:06,080 USE OF THE EMRs, WHAT YOU WERE 2260 01:27:06,080 --> 01:27:08,680 CALLING PRE-ADDICTION, ALSO 2261 01:27:08,680 --> 01:27:09,760 TALKING ABOUT INITIATION AND 2262 01:27:09,760 --> 01:27:10,280 RETENTION, FOR EXAMPLE, 2263 01:27:10,280 --> 01:27:12,080 MEDICATIONS FOR OPIOID USE 2264 01:27:12,080 --> 01:27:12,320 DISORDER. 2265 01:27:12,320 --> 01:27:14,920 MANY OF THOSE THINGS FALL IN 2266 01:27:14,920 --> 01:27:16,120 IMPLEMENTATION SCIENCE RESEARCH. 2267 01:27:16,120 --> 01:27:19,960 THE SECOND THING I WANT TO SAY, 2268 01:27:19,960 --> 01:27:21,360 AMONGST MY COLLEAGUES BOTH IN 2269 01:27:21,360 --> 01:27:23,120 ADDICTION AND PSYCHIATRY AND 2270 01:27:23,120 --> 01:27:25,000 ADDICTION MEDICINE, ALSO MY 2271 01:27:25,000 --> 01:27:28,400 COLLEAGUES IN THE CTN, WE TALK A 2272 01:27:28,400 --> 01:27:30,600 LOT ABOUT THE OBSTACLES ON THE 2273 01:27:30,600 --> 01:27:32,680 PROVIDER SIDE, ON THE PATIENT 2274 01:27:32,680 --> 01:27:32,880 SIDE. 2275 01:27:32,880 --> 01:27:35,200 ON THE PROVIDER SIDE ONE OF THE 2276 01:27:35,200 --> 01:27:36,440 PROBLEMS IS THAT IT IS COMPLEX 2277 01:27:36,440 --> 01:27:38,560 TO TAKE CARE OF PATIENTS WITH 2278 01:27:38,560 --> 01:27:39,680 SUBSTANCE USE DISORDERS AND 2279 01:27:39,680 --> 01:27:41,000 OPIOID USE DISORDER IN 2280 01:27:41,000 --> 01:27:41,520 PARTICULAR. 2281 01:27:41,520 --> 01:27:44,080 AND IT IS REALLY TOUGH FOR 2282 01:27:44,080 --> 01:27:45,120 PROVIDERS WITHOUT A CARE TEAM 2283 01:27:45,120 --> 01:27:50,440 AROUND THEM TO DO THAT. 2284 01:27:50,440 --> 01:27:52,600 TREAT ABOUT ONCOLOGIST TREATING 2285 01:27:52,600 --> 01:27:54,680 CANCER, ONCOLOGISTS WOULD BE 2286 01:27:54,680 --> 01:27:55,800 LOATHE TO PRESCRIBE CHEMOTHERAPY 2287 01:27:55,800 --> 01:27:57,000 WITHOUT HAVING AN ENTIRE CARE 2288 01:27:57,000 --> 01:27:57,960 TEAM AROUND THEM. 2289 01:27:57,960 --> 01:28:01,240 THAT'S A VERY BROAD CARE TEAM 2290 01:28:01,240 --> 01:28:01,520 USUALLY. 2291 01:28:01,520 --> 01:28:02,840 AND FOR PHYSICIANS IN 2292 01:28:02,840 --> 01:28:05,440 PARTICULAR, I WOULD SAY WHO ARE 2293 01:28:05,440 --> 01:28:09,560 PRESCRIBING MEDICATIONS AND 2294 01:28:09,560 --> 01:28:12,200 OTHER PRESCRIBERS HAVING A CARE 2295 01:28:12,200 --> 01:28:12,800 TEAM MAKES A DIFFERENCE TAKING 2296 01:28:12,800 --> 01:28:15,040 THE STEP FORWARD AND IT'S HARD 2297 01:28:15,040 --> 01:28:17,280 TO CHANGE OR INCENTIVIZE HEALTH 2298 01:28:17,280 --> 01:28:18,560 SYSTEMS TO PROVIDE THOSE TYPES 2299 01:28:18,560 --> 01:28:19,240 OF CARE TEAMS. 2300 01:28:19,240 --> 01:28:21,320 THAT'S THE FIRST PART OF IT. 2301 01:28:21,320 --> 01:28:24,280 I THINK SOME THINGS THAT RAJITA 2302 01:28:24,280 --> 01:28:27,880 WAS TALKING ABOUT, EMR PROMPTS, 2303 01:28:27,880 --> 01:28:29,200 ALSO THE ECONO-METRICS ANDRE WAS 2304 01:28:29,200 --> 01:28:32,440 TALKING ABOUT CAN BE LIKE 2305 01:28:32,440 --> 01:28:33,280 INTEGRATED INTO RESEARCH 2306 01:28:33,280 --> 01:28:33,680 PROPOSAL. 2307 01:28:33,680 --> 01:28:36,840 THEN YOU GO TO THE PATIENT SIDE. 2308 01:28:36,840 --> 01:28:38,160 WE KNOW PRESCRIBING OF THE 2309 01:28:38,160 --> 01:28:40,920 MEDICATIONS IS NOT ENOUGH FOR 2310 01:28:40,920 --> 01:28:42,160 THE PATIENTS. 2311 01:28:42,160 --> 01:28:44,880 PATIENTS ARE GENERALLY COMPLEX 2312 01:28:44,880 --> 01:28:46,960 AND REQUIRE OTHER TREATMENTS. 2313 01:28:46,960 --> 01:28:47,880 SOME OF THOSE, THERE ARE, YOU 2314 01:28:47,880 --> 01:28:49,920 KNOW, DEPEND ON WHERE ARE YOU IN 2315 01:28:49,920 --> 01:28:50,800 THE COUNTRY. 2316 01:28:50,800 --> 01:28:53,360 THEY DEPEND ON A HOST OF 2317 01:28:53,360 --> 01:28:54,200 FACTORS, A LOT OF SOCIAL 2318 01:28:54,200 --> 01:28:55,960 DETERMINANTS OF HEALTH. 2319 01:28:55,960 --> 01:28:57,120 BUT ALSO GENDER DIFFERENCES. 2320 01:28:57,120 --> 01:29:00,280 A LOT OF THESE PATIENTS WE SEE 2321 01:29:00,280 --> 01:29:01,640 HAVE OTHER CO-OCCURRING 2322 01:29:01,640 --> 01:29:03,160 SUBSTANCE USE DISORDERS AND 2323 01:29:03,160 --> 01:29:05,080 OTHER CO-OCCURRING MENTAL HEALTH 2324 01:29:05,080 --> 01:29:05,560 CONDITIONS. 2325 01:29:05,560 --> 01:29:07,040 A LOT MAKE IT HARDER ONCE THEY 2326 01:29:07,040 --> 01:29:13,840 ARE ON MEDICATIONS TO STAY ON 2327 01:29:13,840 --> 01:29:14,120 MEDICATIONS. 2328 01:29:14,120 --> 01:29:15,240 WE HAVE PATIENT FACTORS THAT 2329 01:29:15,240 --> 01:29:18,680 MAKES IT HARD OFTEN TO BE 2330 01:29:18,680 --> 01:29:22,480 RETAINED ON THE MEDICATIONS. 2331 01:29:22,480 --> 01:29:24,560 RESEARCH ON BOTH SIDES, PROVIDER 2332 01:29:24,560 --> 01:29:27,160 AND PATIENT, ARE REALLY 2333 01:29:27,160 --> 01:29:27,720 IMPORTANT. 2334 01:29:27,720 --> 01:29:29,960 AND PRE-ADDICTION, I THINK 2335 01:29:29,960 --> 01:29:32,960 THAT'S A REALLY IMPORTANT 2336 01:29:32,960 --> 01:29:33,160 CONCEPT. 2337 01:29:33,160 --> 01:29:35,520 ONE OF THE IMPORTANT CHANGES TO 2338 01:29:35,520 --> 01:29:38,440 DSM-V WAS FOR US TO BEGIN TO 2339 01:29:38,440 --> 01:29:40,960 TALK ABOUT MILD, MODERATE, 2340 01:29:40,960 --> 01:29:41,720 SEVERE SUBSTANCE USE DISORDERS 2341 01:29:41,720 --> 01:29:42,840 ACROSS THE SUBSTANCES. 2342 01:29:42,840 --> 01:29:44,480 AND THE REASON IT'S IMPORTANT IS 2343 01:29:44,480 --> 01:29:46,960 SO WE ACTUALLY CAN GET IN AND 2344 01:29:46,960 --> 01:29:49,840 INTERVENE SOONER LIKE WE DO WITH 2345 01:29:49,840 --> 01:29:50,840 EVERY OTHER MEDICAL CONDITION 2346 01:29:50,840 --> 01:29:52,680 UNDER THE SUN EXCEPT FOR 2347 01:29:52,680 --> 01:29:52,920 ADDICTION. 2348 01:29:52,920 --> 01:29:56,680 IT'S BEEN VERY HARD TO GET IN 2349 01:29:56,680 --> 01:29:58,320 AND START TO INTERVENE AS 2350 01:29:58,320 --> 01:29:59,360 DOCTORS AND OTHER PROVIDERS. 2351 01:29:59,360 --> 01:30:03,000 SO I THINK THAT'S A VERY 2352 01:30:03,000 --> 01:30:04,160 ON-TARGET SET OF IDEAS. 2353 01:30:04,160 --> 01:30:07,080 I'M NOT SURE I WOULD CALL THEM 2354 01:30:07,080 --> 01:30:08,480 PRE-ADDICTION, MAYBE EARLY 2355 01:30:08,480 --> 01:30:08,840 INTERVENTION. 2356 01:30:08,840 --> 01:30:12,560 WE COULD QUIBBLE OVER THE ACTUAL 2357 01:30:12,560 --> 01:30:13,160 WAYS IN WHICH WE MIGHT DISCUSS 2358 01:30:13,160 --> 01:30:15,280 IT BUT I THINK GETTING RIGHT IN 2359 01:30:15,280 --> 01:30:18,040 ON MILD TO MODERATE AND 2360 01:30:18,040 --> 01:30:18,840 BEGINNING TO TARGET 2361 01:30:18,840 --> 01:30:19,840 INTERVENTIONS IS REALLY 2362 01:30:19,840 --> 01:30:20,320 IMPORTANT. 2363 01:30:20,320 --> 01:30:23,480 THE OTHER THING I WANT TO SAY, 2364 01:30:23,480 --> 01:30:25,560 HIGH-RISK POPULATIONS, WHICH I 2365 01:30:25,560 --> 01:30:31,920 THINK YOU SHOWED US COMPELLING 2366 01:30:31,920 --> 01:30:33,160 DATA ACROSS GENDER AND RACIAL 2367 01:30:33,160 --> 01:30:34,440 AND ETHNIC MINORITY STATUS. 2368 01:30:34,440 --> 01:30:36,320 I WANT TO SAY IN ORDER FOR US TO 2369 01:30:36,320 --> 01:30:39,240 DRILL DOWN AS TO WHAT TYPES OF 2370 01:30:39,240 --> 01:30:41,320 INTERVENTIONS WE HAVE TO 2371 01:30:41,320 --> 01:30:44,400 REMEMBER THAT THERE'S A LOT OF 2372 01:30:44,400 --> 01:30:45,880 HETEROGENEITY WITHIN EACH OF 2373 01:30:45,880 --> 01:30:47,120 THOSE HIGH RISK POPULATIONS. 2374 01:30:47,120 --> 01:30:49,200 WE NEED TO KNOW WHERE ARE THEY 2375 01:30:49,200 --> 01:30:50,520 IN THE COUNTRY. 2376 01:30:50,520 --> 01:30:54,160 YOU KNOW, ARE THERE REGIONAL 2377 01:30:54,160 --> 01:30:54,680 DIFFERENCES? 2378 01:30:54,680 --> 01:30:55,320 URBAN, RURAL, THERE'S A WHOLE 2379 01:30:55,320 --> 01:30:56,880 BUNCH OF THINGS IN ORDER TO 2380 01:30:56,880 --> 01:30:59,960 BEGIN TO DRILL DOWN AS TO WHAT 2381 01:30:59,960 --> 01:31:01,480 THE APPROPRIATE INTERVENTIONS 2382 01:31:01,480 --> 01:31:03,360 WOULD BE AND WHAT THE MOST 2383 01:31:03,360 --> 01:31:04,160 EFFECTIVE INTERVENTIONS COULD 2384 01:31:04,160 --> 01:31:04,360 BE. 2385 01:31:04,360 --> 01:31:07,800 THOSE WERE JUST SOME OF MY 2386 01:31:07,800 --> 01:31:09,760 THOUGHTS ABOUT WHAT YOU'VE 2387 01:31:09,760 --> 01:31:12,680 HIGHLIGHTED ALL OF WHICH ARE 2388 01:31:12,680 --> 01:31:13,200 JUST INCREDIBLY IMPORTANT 2389 01:31:13,200 --> 01:31:14,280 CLINICALLY AND FROM A PUBLIC 2390 01:31:14,280 --> 01:31:15,760 HEALTH STANDPOINT, ALL OF WHICH 2391 01:31:15,760 --> 01:31:17,960 I REALLY BELIEVE WITH 2392 01:31:17,960 --> 01:31:19,960 IMPLEMENTATION SCIENCE THERE'S A 2393 01:31:19,960 --> 01:31:21,040 LOT WE COULD DISCOVER AND 2394 01:31:21,040 --> 01:31:24,520 UNDERSTAND ABOUT WHAT WOULD BE 2395 01:31:24,520 --> 01:31:26,280 MOST EFFECTIVE. 2396 01:31:26,280 --> 01:31:28,360 >> THANKS VERY MUCH. 2397 01:31:28,360 --> 01:31:32,720 WE HAVE GAIL AND MELISSA AND 2398 01:31:32,720 --> 01:31:33,240 JESS. 2399 01:31:33,240 --> 01:31:35,280 >> THERE WAS SO MUCH. 2400 01:31:35,280 --> 01:31:36,800 THANKS FOR THAT. 2401 01:31:36,800 --> 01:31:39,200 I REALLY CAN'T EMPHASIZE ENOUGH 2402 01:31:39,200 --> 01:31:41,040 THE OTHER INDIVIDUALS BEFORE ME, 2403 01:31:41,040 --> 01:31:46,080 BUT THERE ARE SO MANY CHALLENGES 2404 01:31:46,080 --> 01:31:49,800 USING THE WORD "PRE-ADDICTION," 2405 01:31:49,800 --> 01:31:52,680 ET CETERA, LABELING THAT MIGHT 2406 01:31:52,680 --> 01:31:53,520 NEGATE ANYTHING WITH IDENTIFYING 2407 01:31:53,520 --> 01:31:54,240 THOSE PEOPLE. 2408 01:31:54,240 --> 01:31:57,040 WE NEED TO LEARN FROM THE 2409 01:31:57,040 --> 01:31:59,360 ALCOHOL LITERATURE, WE WERE 2410 01:31:59,360 --> 01:32:02,280 ABYSMAL ABOUT GETTING ANYONE 2411 01:32:02,280 --> 01:32:05,040 THAT WAS IN THE EARLIER STAGES 2412 01:32:05,040 --> 01:32:07,280 OF USE INTO TREATMENT BECAUSE NO 2413 01:32:07,280 --> 01:32:08,280 ONE WENT. 2414 01:32:08,280 --> 01:32:09,920 WE HAD SAMHSA MONEY, ALL KINDS 2415 01:32:09,920 --> 01:32:12,400 OF MONEY FROM EVERYWHERE. 2416 01:32:12,400 --> 01:32:13,040 AND BECAUSE PEOPLE DIDN'T FEEL 2417 01:32:13,040 --> 01:32:14,720 THAT IT WAS AN ISSUE FOR THEM 2418 01:32:14,720 --> 01:32:16,800 RIGHT NOW, IT WAS MILD, THEY 2419 01:32:16,800 --> 01:32:19,200 WEREN'T TAKING OFF WORK, THEY 2420 01:32:19,200 --> 01:32:21,960 WEREN'T GOING TO THESE SESSIONS, 2421 01:32:21,960 --> 01:32:22,640 ALMOST NOTHING HAPPENED. 2422 01:32:22,640 --> 01:32:26,320 SO I THINK WE HAVE TO BE CAREFUL 2423 01:32:26,320 --> 01:32:28,960 AROUND WHAT WE WOULD PROPOSE, 2424 01:32:28,960 --> 01:32:30,400 AND I ALSO AM A LITTLE NEGATIVE 2425 01:32:30,400 --> 01:32:32,040 IN THE WORD SCREENING. 2426 01:32:32,040 --> 01:32:39,640 I JUST WANT TO SAY THAT EACH 2427 01:32:39,640 --> 01:32:42,480 INSTITUTION, WHETHER IT'S E.D. 2428 01:32:42,480 --> 01:32:44,120 OR PRIMARY CARE, WE'RE SUPPOSED 2429 01:32:44,120 --> 01:32:45,440 TO SCREEN FOR 35 THINGS WHICH I 2430 01:32:45,440 --> 01:32:47,640 CAN'T SO I TRY TO USE THE WORD 2431 01:32:47,640 --> 01:32:49,120 IDENTIFY THROUGH A LOT OF WAYS 2432 01:32:49,120 --> 01:32:50,120 BECAUSE ONCE YOU GET TO 2433 01:32:50,120 --> 01:32:52,240 SCREENING YOU CAN NEVER GET PAST 2434 01:32:52,240 --> 01:32:52,640 IT. 2435 01:32:52,640 --> 01:32:53,360 EVERYBODY IS FIGHTING. 2436 01:32:53,360 --> 01:32:54,520 WHO IS SCREENING? 2437 01:32:54,520 --> 01:32:56,240 IS IT THE NURSE, P.A., THE 2438 01:32:56,240 --> 01:32:56,600 DOCTOR? 2439 01:32:56,600 --> 01:32:58,000 I'M DONE WITH THIS. 2440 01:32:58,000 --> 01:33:01,760 AND SO THE BEST AND EASIEST WAYS 2441 01:33:01,760 --> 01:33:03,680 IS SOMEHOW AS WE'RE DOING 2442 01:33:03,680 --> 01:33:06,240 EMBEDDING IT INTO EHR, SO ANYONE 2443 01:33:06,240 --> 01:33:06,960 COULD ACTUALLY SCREEN IN A 2444 01:33:06,960 --> 01:33:09,040 HEALTH CARE SYSTEM BUT I WOULD 2445 01:33:09,040 --> 01:33:12,720 TELL YOU THAT WE'RE NOT GOING TO 2446 01:33:12,720 --> 01:33:13,280 PICK UP THESE ADOLESCENTS IN 2447 01:33:13,280 --> 01:33:13,840 PRIMARY CARE. 2448 01:33:13,840 --> 01:33:16,560 THEY DON'T GO TO PRIMARY CARE, 2449 01:33:16,560 --> 01:33:16,920 ALL RIGHT? 2450 01:33:16,920 --> 01:33:20,320 SO, THEY ARE GOING TO BE IN THE 2451 01:33:20,320 --> 01:33:22,360 SCHOOLS ORS OR E.D.s. 2452 01:33:22,360 --> 01:33:23,720 IN THOSE AREAS, IT WOULD BE 2453 01:33:23,720 --> 01:33:26,760 GREAT TO HAVE SOME KIND OF 2454 01:33:26,760 --> 01:33:27,640 PREVENTION STRATEGIES THAT CAN 2455 01:33:27,640 --> 01:33:29,320 BE DONE THAT PEOPLE WOULD PICK 2456 01:33:29,320 --> 01:33:33,800 UP IN THE SCHOOL, A TEACHER 2457 01:33:33,800 --> 01:33:36,520 COULD HAVE, A PSYCHOLOGY 2458 01:33:36,520 --> 01:33:37,480 PSYCHOLOGIST OR SOME WAY TO 2459 01:33:37,480 --> 01:33:40,120 MEASURE FROM THAT POINT OF VIEW 2460 01:33:40,120 --> 01:33:42,920 OR IN AN ADOLESCENT EMERGENCY 2461 01:33:42,920 --> 01:33:44,440 DEPARTMENT OR SOMEWHERE THESE 2462 01:33:44,440 --> 01:33:46,640 INDIVIDUALS WOULD BE SEEN, AND 2463 01:33:46,640 --> 01:33:47,640 THEN COULD BE ADDRESSED BECAUSE 2464 01:33:47,640 --> 01:33:48,680 I DON'T THINK YOU'RE GOING TO 2465 01:33:48,680 --> 01:33:51,280 PICK THEM UP. 2466 01:33:51,280 --> 01:33:54,400 IT WOULD BE GREAT TO HAVE 2467 01:33:54,400 --> 01:33:56,440 BEHAVIORAL HEALTH INTEGRATED IN 2468 01:33:56,440 --> 01:33:56,880 THE SYSTEM. 2469 01:33:56,880 --> 01:33:58,360 IT'S ESSENTIAL CMS, I KNOW 2470 01:33:58,360 --> 01:34:00,720 THAT'S NOT OUR RESPONSIBILITY IN 2471 01:34:00,720 --> 01:34:02,480 RESEARCH BUT IT IS OUR 2472 01:34:02,480 --> 01:34:04,120 RESPONSIBILITY TO THINK ABOUT 2473 01:34:04,120 --> 01:34:05,760 THE MEASUREMENT TOOLS. 2474 01:34:05,760 --> 01:34:09,400 BUT CMS HAS GOT TO COME DOWN ON 2475 01:34:09,400 --> 01:34:12,240 THE FACT THAT IF YOU IDENTIFY 2476 01:34:12,240 --> 01:34:12,840 PEOPLE, IF YOU SEE PEOPLE, THAT 2477 01:34:12,840 --> 01:34:13,360 YOU HAVE TO DO THINGS. 2478 01:34:13,360 --> 01:34:19,640 WE HAVE ALL THESE NETWORKS OF 2479 01:34:19,640 --> 01:34:20,320 QUALITY IMPROVEMENT, AMERICAN 2480 01:34:20,320 --> 01:34:21,320 COLLEGE OF EMERGENCY PHYSICIAN 2481 01:34:21,320 --> 01:34:24,680 AND OTHERS, BUT WE'RE NOT 2482 01:34:24,680 --> 01:34:25,560 IDENTIFYING AND STRICT ONE, 2483 01:34:25,560 --> 01:34:27,200 ANYTHING RELATED TO USE IN 2484 01:34:27,200 --> 01:34:27,480 ADDICTION. 2485 01:34:27,480 --> 01:34:32,800 AN EXAMPLE IS IF YOU HAVE AN 2486 01:34:32,800 --> 01:34:35,760 ACUTE ELEVATION AND MISS TIME 2487 01:34:35,760 --> 01:34:37,000 POINTS WE'LL DISCUSSION FOR 2488 01:34:37,000 --> 01:34:38,160 HOURS ABOUT WHY EVERYBODY MISSED 2489 01:34:38,160 --> 01:34:41,000 IT AND WHAT'S THE OUTCOME. 2490 01:34:41,000 --> 01:34:42,640 WHEREAS IN AN OVERDOSE, FOR 2491 01:34:42,640 --> 01:34:46,120 EXAMPLE, WE DON'T HAVE THOSE 2492 01:34:46,120 --> 01:34:49,000 KINDS OF RESTRICTIONS AND THAT'S 2493 01:34:49,000 --> 01:34:52,800 BECAUSE CMS HAS TO ACTUALLY MAKE 2494 01:34:52,800 --> 01:34:54,560 IT A QUALITY MEASURE, NOT 2495 01:34:54,560 --> 01:34:56,000 SOMETHING YOU CAN PICK FROM BUR 2496 01:34:56,000 --> 01:35:00,920 A QUALITY MEASURE. 2497 01:35:00,920 --> 01:35:02,120 THE BEST WAY ARE PREDICTORS IN 2498 01:35:02,120 --> 01:35:03,960 THE I.T. SYSTEM. 2499 01:35:03,960 --> 01:35:06,720 IF YOU CAN GET PHENOTYPES 2500 01:35:06,720 --> 01:35:08,360 SOMEHOW IDENTIFIED IN SOME FORM 2501 01:35:08,360 --> 01:35:12,160 OF AN I.T. MECHANISM THAT IT 2502 01:35:12,160 --> 01:35:13,520 COMES OUT TO THE CLINICIAN, 2503 01:35:13,520 --> 01:35:16,760 WHETHER IN A PRIMARY CARE OR 2504 01:35:16,760 --> 01:35:18,000 E.D. SETTING, WHATEVER TOUCH 2505 01:35:18,000 --> 01:35:20,040 POINT, THAT WOULD BE GREAT. 2506 01:35:20,040 --> 01:35:23,360 SO RESEARCH INTO THAT AREA OF 2507 01:35:23,360 --> 01:35:24,200 IDENTIFYING PHENOTYPES, THEN 2508 01:35:24,200 --> 01:35:25,880 TRYING TO FIGURE OUT WHERE AND 2509 01:35:25,880 --> 01:35:28,280 WHAT WE WOULD DO NEXT WITH THEM 2510 01:35:28,280 --> 01:35:29,680 FOR PREVENTION WOULD BE GREAT 2511 01:35:29,680 --> 01:35:32,320 BUT I REALLY THINK IT NEEDS TO 2512 01:35:32,320 --> 01:35:34,840 BE IN THE SCHOOL OR E.D. 2513 01:35:34,840 --> 01:35:37,720 SETTINGS FIRST AND THE OTHER 2514 01:35:37,720 --> 01:35:39,680 LAST THING ABOUT ADOLESCENTS IS 2515 01:35:39,680 --> 01:35:42,520 I KNOW WE'VE BEEN HAVING TROUBLE 2516 01:35:42,520 --> 01:35:44,520 GETTING FUNDING FOR THINGS LIKE 2517 01:35:44,520 --> 01:35:45,920 BUPRENORPHINE IN YOUNG ADULTS. 2518 01:35:45,920 --> 01:35:48,280 IT'S CRAZY TO GET THAT ADOPTION 2519 01:35:48,280 --> 01:35:49,520 AND I'VE ACTUALLY SAID LET'S 2520 01:35:49,520 --> 01:35:50,520 FORGET IT. 2521 01:35:50,520 --> 01:35:56,320 I'VE BEEN WORKING WITH P-CARD TO 2522 01:35:56,320 --> 01:35:59,280 GET THAT IN AS EARLY PILOT, NOW 2523 01:35:59,280 --> 01:36:00,880 MAYBE WE HAVE TO DO 2524 01:36:00,880 --> 01:36:02,680 IMPLEMENTATION BECAUSE PEOPLE 2525 01:36:02,680 --> 01:36:04,120 ARE AFRAID TO INITIATE 2526 01:36:04,120 --> 01:36:05,640 MEDICATION WITH YOUNGER ADULTS. 2527 01:36:05,640 --> 01:36:08,760 THE OPTION IS IF THEY USE, THEY 2528 01:36:08,760 --> 01:36:09,120 DIE. 2529 01:36:09,120 --> 01:36:12,160 IT ISN'T LIKE ALCOHOL WHERE YOU 2530 01:36:12,160 --> 01:36:13,960 HAVE A LOT OF OPPORTUNITIES TO 2531 01:36:13,960 --> 01:36:14,280 INTERVENE. 2532 01:36:14,280 --> 01:36:16,480 AND WE NEED THEM TO BE PLACED ON 2533 01:36:16,480 --> 01:36:17,800 MEDICATION SO IF THEY ARE PLACED 2534 01:36:17,800 --> 01:36:19,680 ON MEDICATIONS THEY WILL BE 2535 01:36:19,680 --> 01:36:22,960 PROTECTED PARTICULARLY LIKE 2536 01:36:22,960 --> 01:36:24,400 BUPRENORPHINE. 2537 01:36:24,400 --> 01:36:29,200 SO, WE DEFINITELY NEED MORE -- I 2538 01:36:29,200 --> 01:36:30,080 GUESS NOW IMPLEMENTATION. 2539 01:36:30,080 --> 01:36:31,280 I WOULD HAVE SAID EFFICACY BUT 2540 01:36:31,280 --> 01:36:33,480 NO ONE WANTS TO FUND IT. 2541 01:36:33,480 --> 01:36:35,640 MAYBE THE IMPLICATION REALM OF 2542 01:36:35,640 --> 01:36:38,280 YOUNGER ADULTS GETTING INITIATED 2543 01:36:38,280 --> 01:36:39,600 ON BUPRENORPHINE, ALSO OBVIOUSLY 2544 01:36:39,600 --> 01:36:41,520 OTHER TREATMENTS THAT WOULD HAVE 2545 01:36:41,520 --> 01:36:42,760 TO BE SURROUNDING THAT. 2546 01:36:42,760 --> 01:36:46,120 ANYWAY, I'LL BE QUIET NOW. 2547 01:36:46,120 --> 01:36:46,360 THANKS. 2548 01:36:46,360 --> 01:36:48,920 >> THANKS VERY MUCH, GAIL. 2549 01:36:48,920 --> 01:36:51,000 I AGREE, BASICALLY INVOLVEMENT 2550 01:36:51,000 --> 01:36:56,520 OF ENGAGEMENT TO PRIMARY CARE 2551 01:36:56,520 --> 01:36:58,760 WAS PREDOMINANTLY IN ADULTS, THE 2552 01:36:58,760 --> 01:37:01,440 EASIEST TO TRY TO TACKLE. 2553 01:37:01,440 --> 01:37:02,600 ADOLESCENTS IS MORE COMPLEX AND 2554 01:37:02,600 --> 01:37:04,040 WE DON'T HAVE NECESSARILY THE 2555 01:37:04,040 --> 01:37:04,800 KNOWLEDGE BASE. 2556 01:37:04,800 --> 01:37:06,880 IT DOESN'T MEAN WE DON'T BUT I 2557 01:37:06,880 --> 01:37:09,080 AGREE THERE ARE OTHER 2558 01:37:09,080 --> 01:37:12,320 INTERVENTIONS THAT MAY BE PLACES 2559 01:37:12,320 --> 01:37:14,720 TO DO IT THAT ARE MORE RELEVANT 2560 01:37:14,720 --> 01:37:15,920 THAN PRIMARY CARE. 2561 01:37:15,920 --> 01:37:20,080 I SEE MELISSA HAS HAD HER HAND 2562 01:37:20,080 --> 01:37:20,520 RAISED. 2563 01:37:20,520 --> 01:37:21,960 >> NORA, WE HAVE THREE MORE 2564 01:37:21,960 --> 01:37:23,800 QUESTIONS AND MIKE IS HERE. 2565 01:37:23,800 --> 01:37:24,800 WE'VE ALREADY POSTPONED HIM FOR 2566 01:37:24,800 --> 01:37:26,800 TEN MINUTES SO WE SHOULD TRY TO 2567 01:37:26,800 --> 01:37:29,200 GO QUICKLY IF WE'RE GOING TO 2568 01:37:29,200 --> 01:37:30,400 HAVE PEOPLE SPEAK. 2569 01:37:30,400 --> 01:37:32,480 >> THANKS FOR REMINDING ME OF 2570 01:37:32,480 --> 01:37:35,240 THE TIME THAT'S PASSING. 2571 01:37:35,240 --> 01:37:35,640 MELISSA? 2572 01:37:35,640 --> 01:37:38,680 I. 2573 01:37:38,680 --> 01:37:41,760 >> BE SUPER BRIEF. 2574 01:37:41,760 --> 01:37:45,280 ONE, PRE-ADDICTION TO PREVENTION 2575 01:37:45,280 --> 01:37:48,400 COMMUNITY, INTERVENTION, AND 2576 01:37:48,400 --> 01:37:50,880 HARM REDUCTION I HEAR MOVING THE 2577 01:37:50,880 --> 01:37:57,000 NEEDLE ON WHAT CONSTITUTES RISKY 2578 01:37:57,000 --> 01:37:58,360 SUBSTANCE USE, AS A PARENT 2579 01:37:58,360 --> 01:37:59,120 SOMETHING I'M TERRIFIED ABOUT. 2580 01:37:59,120 --> 01:38:01,240 WE KNOW THEY ARE GOING TO DABBLE 2581 01:38:01,240 --> 01:38:03,640 AND TRY THINGS. 2582 01:38:03,640 --> 01:38:05,120 THAT DOESN'T -- TODAY'S 2583 01:38:05,120 --> 01:38:05,880 GENERATION, IT ISN'T THE SAME 2584 01:38:05,880 --> 01:38:09,360 THINGS WE HAD IN OUR PRIOR 2585 01:38:09,360 --> 01:38:09,640 GENERATIONS. 2586 01:38:09,640 --> 01:38:12,360 THIS IDEA, I AGREE WITH THE 2587 01:38:12,360 --> 01:38:13,080 OTHERS, MAYBE NOT CALLING IT 2588 01:38:13,080 --> 01:38:14,280 PRE-ADDICTION BUT MOVING THE 2589 01:38:14,280 --> 01:38:16,800 NEEDLE FOR COMMUNITY OUTREACH 2590 01:38:16,800 --> 01:38:18,480 PREVENTION AND INTERVENTION AND 2591 01:38:18,480 --> 01:38:20,320 NORMALIZING HARM REDUCTION MAKES 2592 01:38:20,320 --> 01:38:21,960 ME EXCITED. 2593 01:38:21,960 --> 01:38:26,680 SECOND QUICK THING, THE DATA, 2594 01:38:26,680 --> 01:38:29,520 INCREASES IS HEARTBREAKING. 2595 01:38:29,520 --> 01:38:30,120 TERRIFYING. 2596 01:38:30,120 --> 01:38:31,280 FOR SO MANY REASONS. 2597 01:38:31,280 --> 01:38:34,400 THE FACT THAT NIDA IS GETTING 2598 01:38:34,400 --> 01:38:36,200 MORE RESOURCES IS GREAT, I'M 2599 01:38:36,200 --> 01:38:37,520 WONDERING NIH-WIDE HOW THIS 2600 01:38:37,520 --> 01:38:39,320 TRANSLATES INTO HOW MONEY 2601 01:38:39,320 --> 01:38:41,440 TRICKLES DOWN TO INDIVIDUAL 2602 01:38:41,440 --> 01:38:42,560 INVESTIGATORS, AS WE KNOW 2603 01:38:42,560 --> 01:38:43,440 INFLATION IS KILLING A LOT OF 2604 01:38:43,440 --> 01:38:46,080 STUDIES IN TERMS OF STAFFING, 2605 01:38:46,080 --> 01:38:47,520 EQUIPMENT, COST TO RUN A STUDY, 2606 01:38:47,520 --> 01:38:50,640 BUT OUR BUDGETS ARE THE SAME. 2607 01:38:50,640 --> 01:38:52,680 MAYBE FOR LATER CONVERSATION. 2608 01:38:52,680 --> 01:38:52,960 >> THANKS. 2609 01:38:52,960 --> 01:38:54,160 IT'S IMPORTANT AND WE'LL LOOK 2610 01:38:54,160 --> 01:38:55,320 INTO IT. 2611 01:38:55,320 --> 01:38:57,040 I'M RESTRICTED IN TIME. 2612 01:38:57,040 --> 01:38:59,040 JESS, YOUR HAND IS RAISED. 2613 01:38:59,040 --> 01:39:01,400 >> I'LL BE QUICK TOO. 2614 01:39:01,400 --> 01:39:04,480 TIME IS SHORT. 2615 01:39:04,480 --> 01:39:05,640 ON THE PRE-ADDICTION PIECE, 2616 01:39:05,640 --> 01:39:07,800 WHATEVER YOU CALL IT, I WANT TO 2617 01:39:07,800 --> 01:39:08,840 ECHO WHAT SHELLY SAID AND HOW 2618 01:39:08,840 --> 01:39:12,840 IMPORTANT IT IS TO HAVE THIS 2619 01:39:12,840 --> 01:39:13,280 CONVERSATION. 2620 01:39:13,280 --> 01:39:16,880 I THINK TO THE ADD ANOTHER 2621 01:39:16,880 --> 01:39:19,480 ELEMENT TO IT, IT'S NOT JUST 2622 01:39:19,480 --> 01:39:20,560 ABOUT THE SCREENING PIECE, WHAT 2623 01:39:20,560 --> 01:39:22,280 HAPPENS IN HEALTH CARE. 2624 01:39:22,280 --> 01:39:23,160 IT'S ABOUT EMPOWERING PATIENTS 2625 01:39:23,160 --> 01:39:24,720 WITH INFORMATION AND HOW THEY 2626 01:39:24,720 --> 01:39:27,120 PROTECT THEIR OWN HEALTH. 2627 01:39:27,120 --> 01:39:29,040 AND AT ADDICTION POLICY FORUM, 2628 01:39:29,040 --> 01:39:31,000 MAYBE YOU WOULDN'T BE SURPRISED, 2629 01:39:31,000 --> 01:39:35,320 BUT THERE'S SO LITTLE LITERACY 2630 01:39:35,320 --> 01:39:36,920 OUT IN COMMUNITIES ABOUT WHAT 2631 01:39:36,920 --> 01:39:39,000 CONSTITUTES A MILD SUBSTANCE USE 2632 01:39:39,000 --> 01:39:41,000 DISORDER, WHAT ARE THE SYMPTOMS 2633 01:39:41,000 --> 01:39:42,560 TO BE ON THE LOOKOUT FOR FOR 2634 01:39:42,560 --> 01:39:47,240 YOURSELF OR SOMEONE YOU CARE 2635 01:39:47,240 --> 01:39:47,440 ABOUT. 2636 01:39:47,440 --> 01:39:48,920 I THINK INVESTING AND INCREASING 2637 01:39:48,920 --> 01:39:51,280 LITERACY AND HOW WE CAN ENGAGE 2638 01:39:51,280 --> 01:39:55,080 SOMEONE SOONER GOING BACK TO 2639 01:39:55,080 --> 01:39:56,200 SHELLY'S COMMENT, THE ONLY 2640 01:39:56,200 --> 01:39:59,920 ILLNESS WE WAIT FOR IT TO GET 2641 01:39:59,920 --> 01:40:01,120 WORSE BEFORE WE INTERVENE SO 2642 01:40:01,120 --> 01:40:02,760 DOUBLING ON CHANGING THAT IS AN 2643 01:40:02,760 --> 01:40:03,640 IMPORTANT TOPIC. 2644 01:40:03,640 --> 01:40:05,360 THE OTHER THING, IT'S ABOUT ALSO 2645 01:40:05,360 --> 01:40:08,560 USING MOMENTS FOR HARM 2646 01:40:08,560 --> 01:40:08,960 REDUCTION. 2647 01:40:08,960 --> 01:40:12,560 SO RISKY SUBSTANCE USE, WE CAN 2648 01:40:12,560 --> 01:40:13,360 ENGAGE IN EDUCATING THAT 2649 01:40:13,360 --> 01:40:15,160 PATIENT, TALKING ABOUT HARM 2650 01:40:15,160 --> 01:40:18,000 REDUCTION STRATEGIES, THAT'S A 2651 01:40:18,000 --> 01:40:19,480 REALLY IMPORTANT SORT OF POINT 2652 01:40:19,480 --> 01:40:20,800 ESPECIALLY SINCE WE HAVE SOME 2653 01:40:20,800 --> 01:40:21,800 HARM REDUCTIONS THAT ARE 2654 01:40:21,800 --> 01:40:22,880 CULTURAL WHEN IT COMES TO 2655 01:40:22,880 --> 01:40:24,760 ALCOHOL USE BUT HAVE NOT BUILT 2656 01:40:24,760 --> 01:40:30,800 THOSE STRATEGIES WHEN IT COMES 2657 01:40:30,800 --> 01:40:35,120 TO MARIJUANA USE OR 2658 01:40:35,120 --> 01:40:35,520 BENZODIAZEPINE. 2659 01:40:35,520 --> 01:40:39,200 I THINK THE THE TIME IS NOW AND 2660 01:40:39,200 --> 01:40:40,960 THIS IS CRITICAL. 2661 01:40:40,960 --> 01:40:43,920 ANOTHER THING TO MENTION ON YOUR 2662 01:40:43,920 --> 01:40:50,360 UPDATES AROUND MOUD, ONE OF OUR 2663 01:40:50,360 --> 01:40:56,720 MOST -- BIGGEST CONCERNS, 2664 01:40:56,720 --> 01:40:57,480 AMAZING INTERVENTIONS ARE NOT 2665 01:40:57,480 --> 01:40:59,120 UTILIZED, TRANSLATING THIS AND 2666 01:40:59,120 --> 01:41:00,440 MAKING SURE MORE HEALTH CARE 2667 01:41:00,440 --> 01:41:03,640 PROVIDERS ARE AWARE OF THAT, WE 2668 01:41:03,640 --> 01:41:06,920 JUST LOST A VOLUNTEER AND TEAM 2669 01:41:06,920 --> 01:41:08,440 MEMBER, SOMEONE WE WORK WITH, 2670 01:41:08,440 --> 01:41:09,720 STABLE ON BUPRENORPHINE FOR OVER 2671 01:41:09,720 --> 01:41:12,560 A DECADE AND IT WAS THIS PRIMARY 2672 01:41:12,560 --> 01:41:13,600 CARE PHYSICIAN WHO FORCED HIM 2673 01:41:13,600 --> 01:41:16,120 OFF THE MEDICATION. 2674 01:41:16,120 --> 01:41:18,800 I THINK THAT YOUR TALK, NORA, IN 2675 01:41:18,800 --> 01:41:20,400 THE HANDS AND IN FRONT OF AS 2676 01:41:20,400 --> 01:41:22,920 MANY HEALTH CARE PROVIDERS AND 2677 01:41:22,920 --> 01:41:30,160 THOSE THAT ARE SEEING PATIENTS 2678 01:41:30,160 --> 01:41:31,360 DAILY IS CRITICAL. 2679 01:41:31,360 --> 01:41:33,200 >> ANNA ROSE? 2680 01:41:33,200 --> 01:41:35,760 >> VERY FAST, TO SAY WE'RE AT 2681 01:41:35,760 --> 01:41:36,920 THIS EXTRAORDINARY POINT IN THE 2682 01:41:36,920 --> 01:41:39,520 NEXT FEW YEARS FROM ABCD AND 2683 01:41:39,520 --> 01:41:41,960 SIMILAR STUDIES MORE KNOWLEDGE 2684 01:41:41,960 --> 01:41:44,160 THAN WE'VE EVER HAD WHAT 2685 01:41:44,160 --> 01:41:46,440 PREDICTORS ARE AND WANT POLICY 2686 01:41:46,440 --> 01:41:47,200 AND IMPLEMENTATION ISSUES VERY 2687 01:41:47,200 --> 01:41:48,840 REAL BUT WE WANT THAT KNOWLEDGE 2688 01:41:48,840 --> 01:41:49,960 TO MEAN SOMETHING. 2689 01:41:49,960 --> 01:41:51,600 SO THAT BASICALLY WE CAN GO 2690 01:41:51,600 --> 01:41:53,360 EARLIER AND EARLIER AND WE 2691 01:41:53,360 --> 01:41:55,000 ACTUALLY HOPEFULLY DON'T HAVE TO 2692 01:41:55,000 --> 01:41:56,760 WAIT EVEN POTENTIALLY FOR 2693 01:41:56,760 --> 01:41:58,400 HARMFUL USE TO IDENTIFY PEOPLE 2694 01:41:58,400 --> 01:42:02,400 AT RISK BECAUSE WE'LL HAVE 2695 01:42:02,400 --> 01:42:04,080 PHENOTYPES TO MAKE USE OF BEFORE 2696 01:42:04,080 --> 01:42:05,400 THE BRAIN IS ADDITIONALLY 2697 01:42:05,400 --> 01:42:08,880 CHANGED BY THE SUBSTANCE 2698 01:42:08,880 --> 01:42:09,160 EXPOSURE. 2699 01:42:09,160 --> 01:42:12,320 SO EVEN THOUGH ALL OF THESE 2700 01:42:12,320 --> 01:42:14,560 THINGS ARE DIFFICULT, WE WANT TO 2701 01:42:14,560 --> 01:42:17,360 MAKE THAT INFORMATION IMPORTANT 2702 01:42:17,360 --> 01:42:17,840 AND USEFUL. 2703 01:42:17,840 --> 01:42:19,760 >> VERY GOOD POINTS. 2704 01:42:19,760 --> 01:42:20,960 I APOLOGIZE FOR NOT HAVING MORE 2705 01:42:20,960 --> 01:42:22,480 TIME FOR DISCUSSION. 2706 01:42:22,480 --> 01:42:24,960 ALL THESE POINTS YOU BROUGHT UP 2707 01:42:24,960 --> 01:42:25,680 ARE CRUCIAL. 2708 01:42:25,680 --> 01:42:31,760 BUT TIME HAS PASSED BY. 2709 01:42:31,760 --> 01:42:32,560 MOVE, NORA, MOVE. 2710 01:42:32,560 --> 01:42:34,040 I GIVE IT BACK TO YOU. 2711 01:42:34,040 --> 01:42:38,120 I'M SORRY FOR TAKING LONGER. 2712 01:42:38,120 --> 01:42:38,800 >> THAT'S OKAY. 2713 01:42:38,800 --> 01:42:40,960 I WANT TO INTRODUCE MIKE LAUER 2714 01:42:40,960 --> 01:42:41,400 QUICKLY. 2715 01:42:41,400 --> 01:42:42,680 HE WILL TALK ABOUT 2716 01:42:42,680 --> 01:42:44,520 IMPLEMENTATION OF THE NIH DATA 2717 01:42:44,520 --> 01:42:46,520 MANAGEMENT AND SHARING POLICY. 2718 01:42:46,520 --> 01:42:47,920 HE'S DEPUTY DIRECTOR FOR 2719 01:42:47,920 --> 01:42:50,280 EXTRAMURAL RESEARCH WHERE HE 2720 01:42:50,280 --> 01:42:51,440 SERVES AS PRINCIPAL SCIENTIFIC 2721 01:42:51,440 --> 01:42:54,720 LEADER AND ADVISER TO THE NIH 2722 01:42:54,720 --> 01:42:58,400 DIRECTOR ON THE NIH EXTRAMURAL 2723 01:42:58,400 --> 01:43:00,040 RESEARCH PROGRAM. 2724 01:43:00,040 --> 01:43:00,640 MIKE? 2725 01:43:00,640 --> 01:43:01,040 >> GREAT, SUSAN. 2726 01:43:01,040 --> 01:43:02,000 THANK YOU VERY MUCH. 2727 01:43:02,000 --> 01:43:03,160 GOOD AFTERNOON, EVERYBODY. 2728 01:43:03,160 --> 01:43:04,520 I WILL ATTEMPT TO SHARE MY 2729 01:43:04,520 --> 01:43:06,920 SCREEN. 2730 01:43:06,920 --> 01:43:12,880 2731 01:43:12,880 --> 01:43:13,040 2732 01:43:13,040 --> 01:43:14,720 >> THAT'S WORKING. 2733 01:43:14,720 --> 01:43:15,880 >> OKAY, GOOD. 2734 01:43:15,880 --> 01:43:16,640 ALL RIGHT. 2735 01:43:16,640 --> 01:43:18,000 SO, I WANT TO GIVE PARTICULAR 2736 01:43:18,000 --> 01:43:20,920 THANKS TO A NUMBER OF MIGHT HAVE 2737 01:43:20,920 --> 01:43:25,400 COLLEAGUES INCLUDING LYRIC 2738 01:43:25,400 --> 01:43:26,280 JORGENSON, ACTING DIRECTOR OF 2739 01:43:26,280 --> 01:43:32,520 OFFICE OF SCIENCE POLICY, AND 2740 01:43:32,520 --> 01:43:41,840 COLLEAGUES INCLUDING CINDY 2741 01:43:41,840 --> 01:43:44,000 DANIELSON, JULIA. 2742 01:43:44,000 --> 01:43:45,760 WHEN JOE BIDEN WAS VICE 2743 01:43:45,760 --> 01:43:47,160 PRESIDENT THERE WAS A HIGH 2744 01:43:47,160 --> 01:43:48,800 PRIORITY AREA. 2745 01:43:48,800 --> 01:43:52,320 IN 2016 THE 21ST CENTURY CURES 2746 01:43:52,320 --> 01:43:53,960 CURES WAS PASSED, INCLUDING 2747 01:43:53,960 --> 01:43:56,720 PROVISION THAT GAVE NIH DIRECTOR 2748 01:43:56,720 --> 01:43:57,680 AUTHORITY TO REQUIRE RECIPIENTS 2749 01:43:57,680 --> 01:43:59,720 OF NIH AWARDS TO SHARE 2750 01:43:59,720 --> 01:44:02,720 SCIENTIFIC DATA TO THE EXTENT 2751 01:44:02,720 --> 01:44:07,080 FEASIBLE GENERATED FROM NIH 2752 01:44:07,080 --> 01:44:07,400 AWARDS. 2753 01:44:07,400 --> 01:44:08,960 DATA SHARING POLICIES ARE NOT 2754 01:44:08,960 --> 01:44:09,440 KNEW. 2755 01:44:09,440 --> 01:44:12,960 IN 2003 WE ISSUED THE MAIN 2756 01:44:12,960 --> 01:44:14,160 POLICY, STILL EFFECTIVE TODAY, 2757 01:44:14,160 --> 01:44:17,760 APPLIES TO ALL AWARDS OVER 2758 01:44:17,760 --> 01:44:21,720 $500,000 A YEAR IN DIRECT COSTS. 2759 01:44:21,720 --> 01:44:23,720 IN 2014 WE ISSUED THE MORE 2760 01:44:23,720 --> 01:44:26,120 RECENT VERSION OF THE GENOMIC 2761 01:44:26,120 --> 01:44:27,640 DATA SHARING POLICY. 2762 01:44:27,640 --> 01:44:32,160 IN 2016 WE ISSUED A POLICY 2763 01:44:32,160 --> 01:44:33,960 REQUIRING REGISTRATION AND 2764 01:44:33,960 --> 01:44:35,040 REPORTING OF CLINICAL TRIALS 2765 01:44:35,040 --> 01:44:37,040 FUNDED BY NIH. 2766 01:44:37,040 --> 01:44:39,240 AND THERE HAVE BEEN A NUMBER OF 2767 01:44:39,240 --> 01:44:41,520 OTHER DATA SHARING POLICIES THAT 2768 01:44:41,520 --> 01:44:44,480 HAVE BEEN IMPLEMENTED BY 2769 01:44:44,480 --> 01:44:46,320 I.C.s, OR FOR SPECIFIC 2770 01:44:46,320 --> 01:44:48,440 PROGRAMS, PERHAPS MOST NOTABLY 2771 01:44:48,440 --> 01:44:51,040 THE CANCER MOONSHOT. 2772 01:44:51,040 --> 01:44:53,240 THE CURRENT POLICY HAS BEEN A 2773 01:44:53,240 --> 01:44:57,080 LONG TIME IN COMING, OSP GETS 2774 01:44:57,080 --> 01:44:59,240 THE PRIMARY CREDIT FOR 2775 01:44:59,240 --> 01:45:01,120 SHEPHERDING THIS THROUGH. 2776 01:45:01,120 --> 01:45:02,000 THERE WERE VARIOUS ITERATIONS 2777 01:45:02,000 --> 01:45:05,280 THAT WERE PUT OUT FOR PUBLIC 2778 01:45:05,280 --> 01:45:06,280 COMMENT, AT VARIOUS POINTS, 2779 01:45:06,280 --> 01:45:10,080 ALONG THE WAY BUT IN A WAY YOU 2780 01:45:10,080 --> 01:45:13,000 CAN SEE THIS START IN 2016 WITH 2781 01:45:13,000 --> 01:45:13,560 THE 21ST CENTURY CURES ACT. 2782 01:45:13,560 --> 01:45:16,480 IN OCTOBER OF 2020, THE POLICY 2783 01:45:16,480 --> 01:45:17,720 AND GUIDANCE WAS RELEASED, WITH 2784 01:45:17,720 --> 01:45:20,280 THE IDEA IT WOULD BECOME 2785 01:45:20,280 --> 01:45:21,000 EFFECTIVE FOR APPLICATIONS 2786 01:45:21,000 --> 01:45:24,040 COMING IN, IN JANUARY OF 2023. 2787 01:45:24,040 --> 01:45:25,280 THIS ALLOWED A FAIRLY LONG 2788 01:45:25,280 --> 01:45:27,200 PERIOD OF TIME TO GO BY TO 2789 01:45:27,200 --> 01:45:31,920 ENABLE THE AGENCY TO GET READY 2790 01:45:31,920 --> 01:45:35,840 FOR THE IMPLEMENTATION AND ALSO 2791 01:45:35,840 --> 01:45:40,000 FOR EXTRAMURAL COMMUNITY TO GET 2792 01:45:40,000 --> 01:45:40,720 PREPARED. 2793 01:45:40,720 --> 01:45:41,640 THERE HAVE BEEN MULTIPLE 2794 01:45:41,640 --> 01:45:42,640 CONSULTATIONS IN THE GOVERNMENT 2795 01:45:42,640 --> 01:45:46,520 AND OUTSIDE THE GOVERNMENT AS 2796 01:45:46,520 --> 01:45:47,560 THIS HAS MOVED ALONG. 2797 01:45:47,560 --> 01:45:49,000 VERY BRIEFLY THIS IS WHAT THE 2798 01:45:49,000 --> 01:45:50,520 POLICY IS. 2799 01:45:50,520 --> 01:45:53,800 THERE ARE TWO REQUIREMENTS. 2800 01:45:53,800 --> 01:45:56,080 ONE REQUIREMENT IS THAT WHEN AN 2801 01:45:56,080 --> 01:45:56,720 APPLICATION IS SUBMITTED, THERE 2802 01:45:56,720 --> 01:45:59,240 HAS TO BE A DATA MANAGEMENT AND 2803 01:45:59,240 --> 01:45:59,840 SHARING PLAN. 2804 01:45:59,840 --> 01:46:03,440 THIS IS FOR ALL NIH-FUNDED 2805 01:46:03,440 --> 01:46:06,040 RESEARCH THAT WILL GENERATE 2806 01:46:06,040 --> 01:46:08,480 DATA, PRESUMABLY THAT'S THE VAST 2807 01:46:08,480 --> 01:46:12,320 MAJORITY OF NIH-FUNDED DATA, 2808 01:46:12,320 --> 01:46:12,840 NIH-FUNDED RESEARCH WORLD 2809 01:46:12,840 --> 01:46:13,200 GENERATES DATA. 2810 01:46:13,200 --> 01:46:15,400 NOW, AN IMPORTANT PART OF THIS 2811 01:46:15,400 --> 01:46:18,240 IS THAT THE POLICY DOES NOT SAY 2812 01:46:18,240 --> 01:46:21,000 THAT DATA SHARING HAS TO OCCUR 2813 01:46:21,000 --> 01:46:22,080 IN A VERY SPECIFIC WAY. 2814 01:46:22,080 --> 01:46:23,960 THIS IS BECAUSE OF THE BREADTH 2815 01:46:23,960 --> 01:46:24,600 OF SCIENCE 2816 01:46:24,600 --> 01:46:27,040 HOW ONE WOULD SHARE DATA FOR 2817 01:46:27,040 --> 01:46:28,280 PHASE 3 OR PHASE 4 CLINICAL 2818 01:46:28,280 --> 01:46:30,240 TRIAL MAY BE VERY DIFFERENT FROM 2819 01:46:30,240 --> 01:46:33,000 ONE OF HOW ONE MIGHT SHARE DATA 2820 01:46:33,000 --> 01:46:36,040 FOR A BASIC SCIENCE STUDY. 2821 01:46:36,040 --> 01:46:41,880 AND SO THE IDEA IS THAT 2822 01:46:41,880 --> 01:46:43,280 RESEARCHERS AND GRANT 2823 01:46:43,280 --> 01:46:43,960 APPLICATION ORGANIZATIONS WILL 2824 01:46:43,960 --> 01:46:47,640 PROPOSE A DATA MANAGEMENT AND 2825 01:46:47,640 --> 01:46:50,160 SHARING PLAN, AND THEN WE WILL 2826 01:46:50,160 --> 01:46:52,040 WORK WITH THEM TO APPROVE IT OR 2827 01:46:52,040 --> 01:46:54,120 REVISE IT AS NEED BE. 2828 01:46:54,120 --> 01:46:55,000 SO THE FIRST REQUIREMENT THERE 2829 01:46:55,000 --> 01:46:57,520 HAS TO BE A SUBMISSION OF DATA 2830 01:46:57,520 --> 01:46:58,960 MANAGEMENT SHARING PLAN. 2831 01:46:58,960 --> 01:46:59,800 THE SECOND REQUIREMENT IS THAT 2832 01:46:59,800 --> 01:47:02,840 ONCE IN A PLAN IS AGREED TO, 2833 01:47:02,840 --> 01:47:04,280 THAT THE GRANT RECIPIENT NEEDS 2834 01:47:04,280 --> 01:47:06,560 TO COMPLY WITH THAT PLAN. 2835 01:47:06,560 --> 01:47:08,880 THAT DOES NOT IN ANY WAY PREVENT 2836 01:47:08,880 --> 01:47:12,040 REVISIONS OF A PLAN AS ONE MOVES 2837 01:47:12,040 --> 01:47:12,400 ALONG. 2838 01:47:12,400 --> 01:47:15,320 THIS IS' EFFECTIVE FOR 2839 01:47:15,320 --> 01:47:17,880 APPLICATIONS JANUARY 25, 2023 2840 01:47:17,880 --> 01:47:18,560 AND LATER. 2841 01:47:18,560 --> 01:47:20,320 THAT'S THE POLICY. 2842 01:47:20,320 --> 01:47:23,240 THE EXPECTATIONS ARE THAT DATA 2843 01:47:23,240 --> 01:47:25,000 SHARING SHOULD BE THE DEFAULT 2844 01:47:25,000 --> 01:47:26,800 AND DATA SHARING SHOULD BE 2845 01:47:26,800 --> 01:47:28,840 MAXIMIZED WITH JUSTIFIABLE 2846 01:47:28,840 --> 01:47:29,960 LIMITS FOR TECHNICAL, ETHICAL, 2847 01:47:29,960 --> 01:47:33,320 LEGAL FACTORS, SHOULD BE 2848 01:47:33,320 --> 01:47:34,560 RESPONSIVELY IMPLEMENTED WITH 2849 01:47:34,560 --> 01:47:36,840 APPROPRIATE PROTECTION OF 2850 01:47:36,840 --> 01:47:37,960 PRIVACY RIGHTS AND 2851 01:47:37,960 --> 01:47:40,800 CONFIDENTIALITY, ALSO ABIDING BY 2852 01:47:40,800 --> 01:47:42,080 EXISTING LAWS, REGULATIONS, 2853 01:47:42,080 --> 01:47:45,880 POLICIES, AND SHOULD BE 2854 01:47:45,880 --> 01:47:46,560 PROSPECTIVELY PLANNED. 2855 01:47:46,560 --> 01:47:48,120 THIS IS HOW WE THINK THIS IS 2856 01:47:48,120 --> 01:47:49,760 GOING TO LOOK. 2857 01:47:49,760 --> 01:47:50,960 THIS IS NOT ABSOLUTELY FINAL BUT 2858 01:47:50,960 --> 01:47:52,720 I THINK WHAT IS GOING TO BE 2859 01:47:52,720 --> 01:47:54,240 ABSOLUTELY FINAL WILL BE VERY 2860 01:47:54,240 --> 01:47:56,960 CLOSE TO THIS. 2861 01:47:56,960 --> 01:48:01,120 THE IDEA IS THAT THE PLAN IS 2862 01:48:01,120 --> 01:48:04,840 SUBMITTED WITH THE APPLICATION, 2863 01:48:04,840 --> 01:48:05,120 TWO PARTS. 2864 01:48:05,120 --> 01:48:07,040 A BRIEF DESCRIPTION OF THE PLAN. 2865 01:48:07,040 --> 01:48:08,680 WE UNDERSTAND SHARING DATA, 2866 01:48:08,680 --> 01:48:11,240 MAPPING DATA AND SHARING DATA 2867 01:48:11,240 --> 01:48:11,960 ENTAILS COST AND DIRECT COSTS TO 2868 01:48:11,960 --> 01:48:13,040 THE GRANT. 2869 01:48:13,040 --> 01:48:14,720 THAT WOULD BE INCLUDED WITHIN 2870 01:48:14,720 --> 01:48:17,360 THE BUDGET JUSTIFICATION OF THE 2871 01:48:17,360 --> 01:48:17,800 APPLICATION. 2872 01:48:17,800 --> 01:48:19,480 THAT'S SOMETHING THAT PEER 2873 01:48:19,480 --> 01:48:20,960 REVIEWERS WILL SEE. 2874 01:48:20,960 --> 01:48:23,760 THE FULL PLAN WILL BE SEPARATE 2875 01:48:23,760 --> 01:48:24,400 ATTACHMENT, THAT'S SOMETHING 2876 01:48:24,400 --> 01:48:26,160 THAT WE'RE NOT ASKING PEER 2877 01:48:26,160 --> 01:48:29,200 REVIEW TO DO BECAUSE THIS IS AN 2878 01:48:29,200 --> 01:48:31,280 ADMINISTRATIVE MATTER, SOMETHING 2879 01:48:31,280 --> 01:48:33,800 THAT PROGRAM STAFF WILL ASSESS, 2880 01:48:33,800 --> 01:48:35,680 WE ARE PROVIDING OUR PROGRAM 2881 01:48:35,680 --> 01:48:37,960 STAFF AND WE'RE GOING TO BE 2882 01:48:37,960 --> 01:48:38,640 DOING THIS QUITE INTENSIVELY 2883 01:48:38,640 --> 01:48:40,680 OVER THE NEXT FEW MONTHS OR SO 2884 01:48:40,680 --> 01:48:44,640 WITH VARIOUS TOOLS TO HELP THEM 2885 01:48:44,640 --> 01:48:45,440 WITH THESE ASSESSMENTS. 2886 01:48:45,440 --> 01:48:47,680 IF THE PLAN IS APPROVED THEN 2887 01:48:47,680 --> 01:48:49,320 THAT WOULD THEN BECOME PART OF 2888 01:48:49,320 --> 01:48:52,000 THE TERMS AND CONDITIONS OF AN 2889 01:48:52,000 --> 01:48:52,200 AWARD. 2890 01:48:52,200 --> 01:48:54,280 THE PLANS CAN BE REVISED, AS 2891 01:48:54,280 --> 01:48:56,160 NEED BE, AS TIME GOES ON. 2892 01:48:56,160 --> 01:49:00,160 WE UNDERSTAND THAT MAY ALL 2893 01:49:00,160 --> 01:49:00,400 HAPPEN. 2894 01:49:00,400 --> 01:49:02,160 ONE OF THE BIG QUESTIONS, WHAT 2895 01:49:02,160 --> 01:49:02,640 IS DATA? 2896 01:49:02,640 --> 01:49:13,200 WE DEFINE DATA, AND THESE CAN BE 2897 01:49:14,040 --> 01:49:14,600 PUBLISHED OR UNPUBLISHED, DATA 2898 01:49:14,600 --> 01:49:15,720 SHOULD BE MADE AVAILABLE AT THE 2899 01:49:15,720 --> 01:49:18,000 TIME OF PUBLICATION OR WHEN THE 2900 01:49:18,000 --> 01:49:19,520 AWARD COMES TO AN END. 2901 01:49:19,520 --> 01:49:23,040 NOW, WE'RE NOT ASKING FOR LAB 2902 01:49:23,040 --> 01:49:25,440 NOTEBOOKS, PRELIMINARY ANALYSES, 2903 01:49:25,440 --> 01:49:27,600 ORIGINAL CASE REPORT FORMS, OR 2904 01:49:27,600 --> 01:49:30,280 PHYSICAL OBJECTS. 2905 01:49:30,280 --> 01:49:31,560 I WILL MENTION THAT, THIS HAS 2906 01:49:31,560 --> 01:49:33,400 BEEN TRUE FOR A LONG TIME, THE 2907 01:49:33,400 --> 01:49:36,080 AGENCY HAS THE RIGHT TO ASK FOR 2908 01:49:36,080 --> 01:49:37,960 ORIGINAL DATA UNDER CERTAIN 2909 01:49:37,960 --> 01:49:38,560 SPECIFIC CIRCUMSTANCES. 2910 01:49:38,560 --> 01:49:40,560 BUT THAT'S NOT WHAT WE'RE 2911 01:49:40,560 --> 01:49:41,920 TALKING ABOUT HERE. 2912 01:49:41,920 --> 01:49:45,600 AND SO THIS IS NOT -- THESE 2913 01:49:45,600 --> 01:49:50,480 ITEMS LIKE THE LAB NOTEBOOKS ARE 2914 01:49:50,480 --> 01:49:52,600 NOT IN PLAY. 2915 01:49:52,600 --> 01:49:53,000 WHAT'S HAPPENING? 2916 01:49:53,000 --> 01:49:55,520 WHAT IS HAPPENING IS WE'RE 2917 01:49:55,520 --> 01:49:56,200 ADDRESSING COUNCILS, AND SO 2918 01:49:56,200 --> 01:49:57,080 DOING THAT NOW. 2919 01:49:57,080 --> 01:49:59,120 WE'RE GOING TO BE DOING MORE OF 2920 01:49:59,120 --> 01:50:00,840 THAT OVER THE NEXT FEW WEEKS. 2921 01:50:00,840 --> 01:50:03,960 WE'LL ALSO BE ADDRESSING 2922 01:50:03,960 --> 01:50:06,640 COUNCILS IN THE FALL. 2923 01:50:06,640 --> 01:50:08,800 WE HAVE PUT OUT -- WE'LL HAVE 2924 01:50:08,800 --> 01:50:12,120 WEBINARS, WEBINARS ARE BEING 2925 01:50:12,120 --> 01:50:13,160 SCHEDULED, PUTTING OUT FAQs, 2926 01:50:13,160 --> 01:50:14,560 IN JANUARY WE PUT OUT DRAFT 2927 01:50:14,560 --> 01:50:18,040 GUIDANCE FOR RESEARCHERS WHO ARE 2928 01:50:18,040 --> 01:50:19,240 WORKING WITH NATIVE AMERICANS, 2929 01:50:19,240 --> 01:50:25,880 AND THAT WAS AN RFI THAT WE'RE 2930 01:50:25,880 --> 01:50:28,640 CURRENTLY WORK ON WITH DREW. 2931 01:50:28,640 --> 01:50:29,240 THERE'S ALREADY BEEN 2932 01:50:29,240 --> 01:50:30,680 COMMUNICATION OF WHAT'S GOING ON 2933 01:50:30,680 --> 01:50:32,120 BUT IT'S GOING TO BUILD UP OVER 2934 01:50:32,120 --> 01:50:33,200 THE NEXT FEW MONTHS. 2935 01:50:33,200 --> 01:50:35,520 ONE THING WE'RE WORKING ON ARE 2936 01:50:35,520 --> 01:50:36,240 SAMPLE PLANS. 2937 01:50:36,240 --> 01:50:37,280 WRITING UP SAMPLE PLANS. 2938 01:50:37,280 --> 01:50:39,880 BY THE WAY, WE DO KNOW THERE ARE 2939 01:50:39,880 --> 01:50:42,120 EXTERNAL ORGANIZATIONS THAT HAVE 2940 01:50:42,120 --> 01:50:43,280 PUT OUT SAMPLE PLANS. 2941 01:50:43,280 --> 01:50:47,560 AND SOME OF THEM ARE REALLY 2942 01:50:47,560 --> 01:50:48,320 QUITE GOOD. 2943 01:50:48,320 --> 01:50:49,360 WE WILL DO THAT. 2944 01:50:49,360 --> 01:50:51,600 SOME PEOPLE MAY BE WONDERING 2945 01:50:51,600 --> 01:50:53,680 ABOUT THE GENOME DATA SHARING 2946 01:50:53,680 --> 01:50:54,080 POLICY. 2947 01:50:54,080 --> 01:50:57,040 SO IF ONE IS SHARING GENOMIC 2948 01:50:57,040 --> 01:50:59,080 DATA, WE'RE NOT ASKING FOR TWO 2949 01:50:59,080 --> 01:50:59,400 PLANS. 2950 01:50:59,400 --> 01:51:01,960 ONE REGULAR PLAN AND ONE GENOMIC 2951 01:51:01,960 --> 01:51:02,240 PLAN. 2952 01:51:02,240 --> 01:51:04,400 SO THERE WILL ONLY BE ONE PLAN. 2953 01:51:04,400 --> 01:51:05,520 SO THAT'S ANOTHER THING WE'RE 2954 01:51:05,520 --> 01:51:06,480 WORKING ON. 2955 01:51:06,480 --> 01:51:08,040 AND THEN OBVIOUSLY AS TIME GOES 2956 01:51:08,040 --> 01:51:12,160 ON WE WILL EVALUATE THIS TO SEE 2957 01:51:12,160 --> 01:51:13,960 WHETHER OR NOT IT'S WORKING. 2958 01:51:13,960 --> 01:51:16,440 ONE THEME WE OFTEN HEAR IS ABOUT 2959 01:51:16,440 --> 01:51:19,840 MAKING IT A POSITIVE THING TO 2960 01:51:19,840 --> 01:51:24,800 SHARE DATA. 2961 01:51:24,800 --> 01:51:25,520 INCENTIVIZING RESEARCHERS TO 2962 01:51:25,520 --> 01:51:27,440 SHARE DATA AS THEY HAVE BEEN 2963 01:51:27,440 --> 01:51:31,680 INCENTIVIZED TO PUBLISH RESULTS 2964 01:51:31,680 --> 01:51:32,280 OF THEIR WORK. 2965 01:51:32,280 --> 01:51:35,680 I'D LIKE TO POINT YOU TO OUR NEW 2966 01:51:35,680 --> 01:51:35,920 WEBSITE. 2967 01:51:35,920 --> 01:51:39,560 THIS IS BRAND NEW. 2968 01:51:39,560 --> 01:51:41,760 WE JUST RELEASED IT A FEW WEEKS 2969 01:51:41,760 --> 01:51:44,400 AGO. 2970 01:51:44,400 --> 01:51:47,960 IT'S GOT A CATCHY URL, 2971 01:51:47,960 --> 01:51:48,520 SHARING.NIH.GOV. 2972 01:51:48,520 --> 01:51:50,240 WHAT WE'RE ATTEMPTING TO DO HERE 2973 01:51:50,240 --> 01:51:53,760 IS PUT INTO ONE PLACE IN A 2974 01:51:53,760 --> 01:51:54,600 RELATIVELY USER FRIENDLY WAY 2975 01:51:54,600 --> 01:51:56,480 INFORMATION ABOUT OUR DATA 2976 01:51:56,480 --> 01:51:58,000 MANAGEMENT AND SHARING POLICY, 2977 01:51:58,000 --> 01:51:59,440 ABOUT THE GENOMIC DATA SHARING 2978 01:51:59,440 --> 01:52:01,360 POLICY WHICH OF COURSE HAS BEEN 2979 01:52:01,360 --> 01:52:03,680 AROUND FOR A WHILE, OTHER 2980 01:52:03,680 --> 01:52:04,720 SHARING POLICIES, WE ALSO HAVE 2981 01:52:04,720 --> 01:52:08,280 INFORMATION FOR PEOPLE WHO ARE 2982 01:52:08,280 --> 01:52:09,160 INTERESTED IN ACCESSING DATA, 2983 01:52:09,160 --> 01:52:12,040 USING IT, AND WE ALSO HAVE A 2984 01:52:12,040 --> 01:52:14,200 VARIETY OF INFORMATION ABOUT 2985 01:52:14,200 --> 01:52:15,240 OTHER THINGS. 2986 01:52:15,240 --> 01:52:16,360 RESOURCES AND EVENTS THAT ARE 2987 01:52:16,360 --> 01:52:20,040 GOING TO BE COMING UP. 2988 01:52:20,040 --> 01:52:22,760 ONE CAN EXPLORE A VARIETY OF 2989 01:52:22,760 --> 01:52:24,200 AREAS, SCIENTIFIC DATA, WHICH IS 2990 01:52:24,200 --> 01:52:25,400 OBVIOUSLY WHAT WE'RE TALKING 2991 01:52:25,400 --> 01:52:27,200 ABOUT RIGHT NOW. 2992 01:52:27,200 --> 01:52:28,480 GENOMIC DATA, POLICIES WILL 2993 01:52:28,480 --> 01:52:30,400 RESEARCH TOOLS, POLICIES ABOUT 2994 01:52:30,400 --> 01:52:32,640 MODEL ORGANISMS, AND CLINICAL 2995 01:52:32,640 --> 01:52:33,040 TRIALS. 2996 01:52:33,040 --> 01:52:35,200 AND ALSO THE PUBLIC ACCESS 2997 01:52:35,200 --> 01:52:36,720 POLICY. 2998 01:52:36,720 --> 01:52:38,480 THERE'S ALSO A DECISION TOOL, 2999 01:52:38,480 --> 01:52:40,560 WHERE YOU CAN CLICK THIS BUTTON 3000 01:52:40,560 --> 01:52:43,600 ON THE BOTTOM, FIND WHICH 3001 01:52:43,600 --> 01:52:44,920 POLICIES APPLY TO YOU, AND WE'LL 3002 01:52:44,920 --> 01:52:47,480 ASK A SERIES OF QUESTIONS WHERE 3003 01:52:47,480 --> 01:52:48,920 YOU CAN FIGURE OUT WHAT YOU NEED 3004 01:52:48,920 --> 01:52:50,960 TO PAY ATTENTION TO. 3005 01:52:50,960 --> 01:52:53,360 WE HAVE SECTIONS IN HERE ABOUT 3006 01:52:53,360 --> 01:52:55,000 WRITING A DATA MANAGEMENT AND 3007 01:52:55,000 --> 01:52:55,560 SHARING PLAN. 3008 01:52:55,560 --> 01:52:57,280 AND I'LL POINT OUT WHEN THE 3009 01:52:57,280 --> 01:53:00,000 POLICY CAME OUT BACK IN 2020 3010 01:53:00,000 --> 01:53:02,080 THERE WERE A NUMBER OF 3011 01:53:02,080 --> 01:53:03,280 SUPPLEMENTAL DOCUMENTS THAT WERE 3012 01:53:03,280 --> 01:53:05,920 ALSO PUBLISHED IN THE NIH GUIDE, 3013 01:53:05,920 --> 01:53:07,440 ABOUT WHAT ARE THE EXPECTED 3014 01:53:07,440 --> 01:53:11,280 ELEMENTS IN A DATA MANAGEMENT 3015 01:53:11,280 --> 01:53:12,880 SHARING PLAN, WHAT TYPE OF 3016 01:53:12,880 --> 01:53:14,120 THINGS CAN ONE BUDGET FOR, AND 3017 01:53:14,120 --> 01:53:16,680 THERE'S BEEN A LOT OF WORK 3018 01:53:16,680 --> 01:53:19,720 THAT'S HAPPENING ON THIS SINCE 3019 01:53:19,720 --> 01:53:23,560 THEN. 3020 01:53:23,560 --> 01:53:24,960 SELECTING A DATA REPOSITORY. 3021 01:53:24,960 --> 01:53:28,120 WHAT ARE THE CHARACTERISTICS OF 3022 01:53:28,120 --> 01:53:29,200 A REPOSITORY, THAT ONE SHOULD 3023 01:53:29,200 --> 01:53:29,960 LOOK FOR. 3024 01:53:29,960 --> 01:53:33,720 WE KNOW IN SOME CASES I.C.s 3025 01:53:33,720 --> 01:53:36,200 HAVE THEIR OWN POLICIES ABOUT 3026 01:53:36,200 --> 01:53:36,880 REPOSITORIES. 3027 01:53:36,880 --> 01:53:38,200 SOME SAY IF YOU'RE FUNDED BY US 3028 01:53:38,200 --> 01:53:40,600 YOU HAVE TO USE OUR REPOSITORY. 3029 01:53:40,600 --> 01:53:44,000 WE ALSO KNOW THAT A NUMBER OF 3030 01:53:44,000 --> 01:53:46,640 INSTITUTIONS AND PARTICULAR 3031 01:53:46,640 --> 01:53:47,400 INSTITUTIONAL LIBRARIES HAVE 3032 01:53:47,400 --> 01:53:50,120 REPOSITORIES OR ARE SETTING UP 3033 01:53:50,120 --> 01:53:52,120 REPOSITORIES. 3034 01:53:52,120 --> 01:53:54,960 WHICH ARE REALLY GOOD. 3035 01:53:54,960 --> 01:53:56,920 THAT MIGHT BE ANOTHER POSSIBLE 3036 01:53:56,920 --> 01:53:57,880 AVENUE. 3037 01:53:57,880 --> 01:53:58,080 OKAY. 3038 01:53:58,080 --> 01:53:59,560 WHAT ARE WE HEARING? 3039 01:53:59,560 --> 01:54:01,200 SO, WE'RE HEARING ON THE ONE 3040 01:54:01,200 --> 01:54:02,800 HAND THAT IT'S TOO AMBIGUOUS. 3041 01:54:02,800 --> 01:54:04,880 WE'RE HEARING ON THE OTHER HAND 3042 01:54:04,880 --> 01:54:06,240 THAT IT'S TOO PRESCRIBED. 3043 01:54:06,240 --> 01:54:08,640 I GUESS THERE'S NO WAY ONE CAN 3044 01:54:08,640 --> 01:54:11,600 AVOID THIS KIND OF THING. 3045 01:54:11,600 --> 01:54:14,120 SO SOME OF THE QUESTIONS ARE 3046 01:54:14,120 --> 01:54:16,960 WHAT EXACTLY IS SCIENTIFIC DATA? 3047 01:54:16,960 --> 01:54:19,800 WE TALKED ABOUT OUR DEFINITION 3048 01:54:19,800 --> 01:54:21,960 OF IT BUT STILL ONE CAN 3049 01:54:21,960 --> 01:54:23,520 UNDERSTAND THAT ONE IS DEALING 3050 01:54:23,520 --> 01:54:26,040 WITH SPECIFIC CASES THERE MAY BE 3051 01:54:26,040 --> 01:54:26,840 SOME GRAY ZONES. 3052 01:54:26,840 --> 01:54:28,440 WHERE SHOULD THE DATA BE SHARED? 3053 01:54:28,440 --> 01:54:30,840 SO THIS IS PART OF THE REASON 3054 01:54:30,840 --> 01:54:32,160 WE'RE GIVING AS MUCH INFORMATION 3055 01:54:32,160 --> 01:54:37,080 AS WE CAN ABOUT REPOSITORIES. 3056 01:54:37,080 --> 01:54:38,040 WE GIVE INFORMATION ABOUT 3057 01:54:38,040 --> 01:54:39,280 REPOSITORIES IN EXISTENCE, NOT 3058 01:54:39,280 --> 01:54:41,360 ONLY NIH BUT SOME GENERAL 3059 01:54:41,360 --> 01:54:43,200 REPOSITORIES THAT ARE OUT THERE 3060 01:54:43,200 --> 01:54:45,240 THAT ARE COMMONLY USED. 3061 01:54:45,240 --> 01:54:47,360 WHAT ABOUT I.C.s SPECIFIC DATA 3062 01:54:47,360 --> 01:54:48,920 SHARING POLICIES AND HOW DOES 3063 01:54:48,920 --> 01:54:49,640 THAT WORK? 3064 01:54:49,640 --> 01:54:55,680 NEXT QUESTION IS WHERE IS THE 3065 01:54:55,680 --> 01:54:56,560 MONEY COMING FROM? 3066 01:54:56,560 --> 01:55:00,520 WE RECOGNIZE THIS IS NOT FREE. 3067 01:55:00,520 --> 01:55:02,160 MANAGING AND SHARING DATA DOES 3068 01:55:02,160 --> 01:55:03,840 ENTAIL COSTS, PART OF THE REASON 3069 01:55:03,840 --> 01:55:05,880 WE DECIDED WE WOULD HIGHLIGHT 3070 01:55:05,880 --> 01:55:07,600 THIS, AND THE BUDGET 3071 01:55:07,600 --> 01:55:09,200 JUSTIFICATION, BECAUSE WE WANT 3072 01:55:09,200 --> 01:55:11,440 RESEARCHERS AND INSTITUTIONS TO 3073 01:55:11,440 --> 01:55:13,240 THINK HARD ABOUT THE KIND OF 3074 01:55:13,240 --> 01:55:16,920 MONEY THAT MAY BE NECESSARY TO 3075 01:55:16,920 --> 01:55:20,280 SUPPORT THIS KIND OF WORK. 3076 01:55:20,280 --> 01:55:21,240 WE ALSO -- NATIONAL LIBRARY OF 3077 01:55:21,240 --> 01:55:24,000 MEDICINE COMMISSION THE NATIONAL 3078 01:55:24,000 --> 01:55:26,800 ACADEMIES TO DO A STUDY ON THE 3079 01:55:26,800 --> 01:55:28,320 COST OF DATA SHARING. 3080 01:55:28,320 --> 01:55:29,560 AND THERE'S TOOLS PUT TOGETHER. 3081 01:55:29,560 --> 01:55:32,720 THIS IS SOMETHING WHICH IS 3082 01:55:32,720 --> 01:55:34,040 AVAILABLE THROUGH OUR WEBSITE. 3083 01:55:34,040 --> 01:55:36,160 WILL THE PLANS BE PUBLIC IS 3084 01:55:36,160 --> 01:55:37,120 ANOTHER QUESTION THAT WE'RE 3085 01:55:37,120 --> 01:55:38,400 HEARING. 3086 01:55:38,400 --> 01:55:39,640 THE ANSWER IS YES. 3087 01:55:39,640 --> 01:55:41,800 WE WILL BE POSTING THE DATA 3088 01:55:41,800 --> 01:55:44,280 SHARING PLANS, PROBABLY ON THE 3089 01:55:44,280 --> 01:55:45,120 QUARTER, EXACTLY HOW THAT'S 3090 01:55:45,120 --> 01:55:46,960 GOING TO LOOK IS SOMETHING WE'RE 3091 01:55:46,960 --> 01:55:48,760 STILL WORKING ON. 3092 01:55:48,760 --> 01:55:50,600 HOW WILL NIH ENFORCE COMPLIANCE? 3093 01:55:50,600 --> 01:55:52,680 JUST LIKE WE ENFORCE ANY OTHER 3094 01:55:52,680 --> 01:55:54,440 TERM AND CONDITION OF AWARD. 3095 01:55:54,440 --> 01:55:57,640 WE SUSPECT THERE'S GOING TO BE A 3096 01:55:57,640 --> 01:55:59,200 FAIR AMOUNT OF SELF-REGULATION 3097 01:55:59,200 --> 01:56:00,800 WITHIN THE COMMUNITY BECAUSE I 3098 01:56:00,800 --> 01:56:02,520 WILL TELL YOU THAT -- I'VE BEEN 3099 01:56:02,520 --> 01:56:03,760 AT NIH FOR 15 YEARS. 3100 01:56:03,760 --> 01:56:06,040 AT LEAST ONCE A MONTH OR ONCE 3101 01:56:06,040 --> 01:56:08,320 EVERY TWO MONTHS I GET AN E-MAIL 3102 01:56:08,320 --> 01:56:11,560 FROM SOMEBODY WHO SAYS YOU'RE 3103 01:56:11,560 --> 01:56:12,600 AGENCY PUBLISHED A STUDY ABOUT 3104 01:56:12,600 --> 01:56:14,000 X, Y,Z, NOBODY IS WILLING TO 3105 01:56:14,000 --> 01:56:17,000 SHARE THE DATA WITH ME. 3106 01:56:17,000 --> 01:56:18,280 AND UP UNTIL NOW THERE'S NOT 3107 01:56:18,280 --> 01:56:22,560 MUCH WE COULD DO ABOUT THAT. 3108 01:56:22,560 --> 01:56:24,440 BUT WE SUSPECT THAT THAT KIND OF 3109 01:56:24,440 --> 01:56:27,280 THING HAPPENS, WE MAY HEAR ABOUT 3110 01:56:27,280 --> 01:56:27,680 IT. 3111 01:56:27,680 --> 01:56:31,280 SO, LET ME CLOSE BY SAYING THAT 3112 01:56:31,280 --> 01:56:33,000 DATA SHARING HAS LONG BEEN 3113 01:56:33,000 --> 01:56:33,680 EXPECTED. 3114 01:56:33,680 --> 01:56:34,880 THERE'S NOTHING NEW HERE. 3115 01:56:34,880 --> 01:56:39,360 BUT WHAT IS NEW HERE IS THAT 3116 01:56:39,360 --> 01:56:43,160 WE'RE RAISING THE LEVEL, EXTENT, 3117 01:56:43,160 --> 01:56:44,520 AND DEPTH OF DATA SHARING, 3118 01:56:44,520 --> 01:56:48,200 MAKING THIS PART OF EVERY NIH 3119 01:56:48,200 --> 01:56:50,600 AWARD, ASKING RESEARCHERS AND 3120 01:56:50,600 --> 01:56:51,400 THEIR INSTITUTIONS TO 3121 01:56:51,400 --> 01:56:54,440 PROSPECTIVELY PLAN DATA 3122 01:56:54,440 --> 01:56:57,320 MANAGEMENT AND SHARING FROM THE 3123 01:56:57,320 --> 01:56:58,240 GET-GO. 3124 01:56:58,240 --> 01:57:01,160 THE IMPLEMENTATION WILL BEGIN IN 3125 01:57:01,160 --> 01:57:03,360 JANUARY OF 2023. 3126 01:57:03,360 --> 01:57:05,560 WE ANTICIPATE LIKE WITH ANYTHING 3127 01:57:05,560 --> 01:57:06,720 THAT'S NEW THAT WE WILL LEARN A 3128 01:57:06,720 --> 01:57:11,440 LOT AS THIS IS MOVING ALONG AND 3129 01:57:11,440 --> 01:57:14,520 SO WE'RE ALMOST CERTAIN THERE 3130 01:57:14,520 --> 01:57:15,640 WILL BE IMPROVEMENT AND 3131 01:57:15,640 --> 01:57:18,000 REFINEMENTS THAT WILL BE MADE 3132 01:57:18,000 --> 01:57:20,080 OVER TIME. 3133 01:57:20,080 --> 01:57:21,040 THE PRIMARY REQUIREMENT IS THAT 3134 01:57:21,040 --> 01:57:23,720 WE NEED TO SEE A DATA MANAGEMENT 3135 01:57:23,720 --> 01:57:25,240 AND SHARING PLAN, AND THAT ONCE 3136 01:57:25,240 --> 01:57:28,520 THAT PLAN IS AGREED UPON THAT 3137 01:57:28,520 --> 01:57:30,160 THERE'S COMPLIANCE WITH THE PLAN 3138 01:57:30,160 --> 01:57:32,240 AND THE KEY ELEMENTS THAT ARE IN 3139 01:57:32,240 --> 01:57:33,200 THERE, ALTHOUGH THERE'S A LOT, 3140 01:57:33,200 --> 01:57:35,720 IF YOU GO INTO THE WEBSITE OR GO 3141 01:57:35,720 --> 01:57:38,680 INTO THE ORIGINAL DOCUMENTS THAT 3142 01:57:38,680 --> 01:57:40,320 WERE PUBLISHED IN 2020 ARE HOW 3143 01:57:40,320 --> 01:57:43,120 WILL THE DATA BE MANAGED, WHAT 3144 01:57:43,120 --> 01:57:44,840 WILL THE DATA BE SHARED, AND HOW 3145 01:57:44,840 --> 01:57:47,640 MUCH WILL IT COST. 3146 01:57:47,640 --> 01:57:49,840 AND WHAT WILL THE BUDGETING BE. 3147 01:57:49,840 --> 01:57:51,840 PLEASE PAY ATTENTION TO THE 3148 01:57:51,840 --> 01:57:52,880 WEBSITE. 3149 01:57:52,880 --> 01:57:54,080 PLEASE ADVERTISE OUR WEBSITE. 3150 01:57:54,080 --> 01:57:58,040 AND IN THE WEBSITE WE DO HAVE A 3151 01:57:58,040 --> 01:58:00,880 NEWS ITEMS, THINGS COMING UP 3152 01:58:00,880 --> 01:58:03,280 SUCH AS WEBINARS, NEW FAQs 3153 01:58:03,280 --> 01:58:04,640 BEING POSTED. 3154 01:58:04,640 --> 01:58:06,320 AS WE GET FAQs WE'RE THINKING 3155 01:58:06,320 --> 01:58:11,240 ABOUT THEM AND THEN POSTING 3156 01:58:11,240 --> 01:58:11,440 THEM. 3157 01:58:11,440 --> 01:58:12,720 WE HOPE YOU FIND THE WEBSITE 3158 01:58:12,720 --> 01:58:13,160 HELPFUL. 3159 01:58:13,160 --> 01:58:14,520 AND IF THERE'S INFORMATION THERE 3160 01:58:14,520 --> 01:58:17,200 THAT YOU THINK IS CONFUSING OR 3161 01:58:17,200 --> 01:58:18,400 MISSING, OR COULD BE BETTER 3162 01:58:18,400 --> 01:58:20,880 PRESENTED, PLEASE LET US KNOW. 3163 01:58:20,880 --> 01:58:23,320 AND WE WILL CONTINUE TO WORK ON 3164 01:58:23,320 --> 01:58:23,520 THAT. 3165 01:58:23,520 --> 01:58:28,240 SO, I HOPE YOU FOUND THIS 3166 01:58:28,240 --> 01:58:29,440 INTERESTING AND THERE SHOULD BE 3167 01:58:29,440 --> 01:58:35,760 TIME FOR COMMENTS OR QUESTIONS. 3168 01:58:35,760 --> 01:58:37,400 >> THANKS VERY MUCH. 3169 01:58:37,400 --> 01:58:38,680 NOW WE'RE OPENING TO COUNCIL 3170 01:58:38,680 --> 01:58:40,440 MEMBERS, IF THERE ARE QUESTIONS 3171 01:58:40,440 --> 01:58:44,680 OR COMMENTS. 3172 01:58:44,680 --> 01:58:46,120 PLEASE RAISE YOUR HAND. 3173 01:58:46,120 --> 01:58:47,560 >> MELISSA HAS SOMETHING IN THE 3174 01:58:47,560 --> 01:58:49,160 CHAT, WHICH IS PROBABLY WORTH 3175 01:58:49,160 --> 01:58:50,720 RAISING BECAUSE THE PEOPLE ON 3176 01:58:50,720 --> 01:58:52,760 VIDEOCAST CAN'T READ THE CHAT. 3177 01:58:52,760 --> 01:58:53,400 >> OH, SURE. 3178 01:58:53,400 --> 01:58:55,320 THANKS FOR CALLING IT OUT. 3179 01:58:55,320 --> 01:58:57,400 I WAS CURIOUS, TWO THINGS. 3180 01:58:57,400 --> 01:58:59,040 ONE, IN THE PUBLIC COMMENT 3181 01:58:59,040 --> 01:59:00,760 PEOPLE ARE ASKING YOU ABOUT 3182 01:59:00,760 --> 01:59:02,960 QUALITY, DATA QUALITY, DATA 3183 01:59:02,960 --> 01:59:03,600 MANAGEMENT QUALITY, BECAUSE AS 3184 01:59:03,600 --> 01:59:05,840 WE ALL KNOW WHEN YOU START 3185 01:59:05,840 --> 01:59:07,600 WORKING WITH A NEW TEAM AND SEE 3186 01:59:07,600 --> 01:59:11,120 HOW THEY CODE DATA OR DON'T HAVE 3187 01:59:11,120 --> 01:59:11,720 A CODE BOOK IT'S DIFFICULT TO 3188 01:59:11,720 --> 01:59:15,440 WORK WITH THAT DATA AND IMPACTS 3189 01:59:15,440 --> 01:59:16,200 CONCLUSIONS DRAW. 3190 01:59:16,200 --> 01:59:17,320 THAT'S ONE. 3191 01:59:17,320 --> 01:59:19,800 AND I CAN'T HELP BUT NOTE YOU 3192 01:59:19,800 --> 01:59:20,560 MENTIONED AMERICAN INDIAN 3193 01:59:20,560 --> 01:59:25,480 CONTEXT, WHERE MY EXPERTISE IS. 3194 01:59:25,480 --> 01:59:29,640 LOTS OF WORK AROUND DATA 3195 01:59:29,640 --> 01:59:32,120 SOVEREIGNTY. 3196 01:59:32,120 --> 01:59:34,440 RESEARCHERS WHO WANT TO ACCESS 3197 01:59:34,440 --> 01:59:37,160 WILL HAVE TO PROBABLY GO ONE BY 3198 01:59:37,160 --> 01:59:39,320 ONE IN FRONT OF TRIBAL COUNCIL 3199 01:59:39,320 --> 01:59:41,480 TO REQUEST IT, ANOTHER LABORIOUS 3200 01:59:41,480 --> 01:59:41,840 PROCESS. 3201 01:59:41,840 --> 01:59:43,080 >> BOTH EXCELLENT COMMENTS. 3202 01:59:43,080 --> 01:59:46,680 YES, WE'VE HEARD A LOT ABOUT 3203 01:59:46,680 --> 01:59:48,000 DATA MANAGEMENT, DATA QUALITY 3204 01:59:48,000 --> 01:59:49,960 AND DATA MANAGEMENT QUALITY. 3205 01:59:49,960 --> 01:59:51,400 SOME DATA MAY NOT BE WHAT WE'VE 3206 01:59:51,400 --> 01:59:54,040 HEARD, SOME DATA IS NOT WORTH 3207 01:59:54,040 --> 01:59:54,280 SHARING. 3208 01:59:54,280 --> 01:59:57,200 I THINK ONE THING THAT IS 3209 01:59:57,200 --> 01:59:58,880 INTERESTING THAT WE THOUGHT 3210 01:59:58,880 --> 02:00:00,720 ABOUT, I SHOULDN'T SAY THERE'S 3211 02:00:00,720 --> 02:00:01,920 NOTHING ORIGINAL HERE, THESE ARE 3212 02:00:01,920 --> 02:00:04,760 IDEAS WE'VE HEARD FROM 3213 02:00:04,760 --> 02:00:06,160 ELSEWHERE, WHEN SCIENTISTS ARE 3214 02:00:06,160 --> 02:00:08,840 ASKED TO SHARE THEIR DATA AND 3215 02:00:08,840 --> 02:00:13,040 SHARE THEIR METHODS MORE 3216 02:00:13,040 --> 02:00:14,680 EXPLICITLY, SHARE THEIR CODE, 3217 02:00:14,680 --> 02:00:16,400 THAT THAT MAY INCENTIVIZE THEM 3218 02:00:16,400 --> 02:00:20,560 TO BE A BIT MORE CAREFUL. 3219 02:00:20,560 --> 02:00:24,040 I KNOW THIS MYSELF BECAUSE I'VE 3220 02:00:24,040 --> 02:00:26,960 DONE -- MY BACKGROUND IS 3221 02:00:26,960 --> 02:00:27,880 CARDIOVASCULAR EPIDEMIOLOGY, AND 3222 02:00:27,880 --> 02:00:29,080 I'VE ALWAYS WORKED IN A PLACE 3223 02:00:29,080 --> 02:00:30,680 WHERE I KNEW OTHER PEOPLE WERE 3224 02:00:30,680 --> 02:00:32,000 LOOKING AT MY STUFF BECAUSE 3225 02:00:32,000 --> 02:00:33,840 THAT'S HOW IT WAS BUILT IN. 3226 02:00:33,840 --> 02:00:36,160 PEOPLE WOULD BE LOOKING AT MY 3227 02:00:36,160 --> 02:00:39,560 CODE OR LOOKING AT THE TABLES. 3228 02:00:39,560 --> 02:00:41,840 AND I THINK THAT DOES CREATE 3229 02:00:41,840 --> 02:00:43,440 INCENTIVE TO SAY, OKAY, LET'S 3230 02:00:43,440 --> 02:00:45,000 MAKE SURE THAT THERE ARE NO 3231 02:00:45,000 --> 02:00:46,640 STUPID MISTAKES HERE. 3232 02:00:46,640 --> 02:00:49,200 LET'S ALSO MAKE SURE THAT THINGS 3233 02:00:49,200 --> 02:00:50,840 ARE WELL ANNOTATED SO THAT 3234 02:00:50,840 --> 02:00:52,040 PEOPLE UNDERSTAND WHAT WE'RE 3235 02:00:52,040 --> 02:00:52,240 DOING. 3236 02:00:52,240 --> 02:00:53,600 IT'S A REALLY GOOD POINT. 3237 02:00:53,600 --> 02:00:57,480 THAT'S SOMETHING WE'RE GOING TO 3238 02:00:57,480 --> 02:00:59,120 BE FOLLOWING CLOSELY. 3239 02:00:59,120 --> 02:01:00,880 >> ANY OTHER QUESTIONS? 3240 02:01:00,880 --> 02:01:03,440 YES, INDEED, BUT I DON'T KNOW 3241 02:01:03,440 --> 02:01:11,920 WHO WAS FIRST, SHARON OR 3242 02:01:11,920 --> 02:01:12,160 LAKSHMI. 3243 02:01:12,160 --> 02:01:13,400 >> VERY IMPORTANT. 3244 02:01:13,400 --> 02:01:16,120 MY QUESTION IS TO DO WITH 3245 02:01:16,120 --> 02:01:18,440 WHETHER YOU'RE CONSIDERING 3246 02:01:18,440 --> 02:01:19,600 HANDS-ON TRAINING SESSIONS ON 3247 02:01:19,600 --> 02:01:21,520 DATA MANAGEMENT. 3248 02:01:21,520 --> 02:01:25,040 YOU'RE DOING WEBINARS, AS YOU 3249 02:01:25,040 --> 02:01:26,840 ACCUMULATE MORE QUESTIONS THAT 3250 02:01:26,840 --> 02:01:29,720 ARE COMING FROM THE LARGER BODY 3251 02:01:29,720 --> 02:01:30,920 OF SCIENTIST. 3252 02:01:30,920 --> 02:01:32,560 IT MIGHT BE WORTHWHILE SETTING 3253 02:01:32,560 --> 02:01:36,440 UP SOME TRAINING SESSIONS ON HOW 3254 02:01:36,440 --> 02:01:37,840 TO MANAGE DATA, ANALYZE, AND 3255 02:01:37,840 --> 02:01:39,880 THEN HOW TO SHARE DATA. 3256 02:01:39,880 --> 02:01:42,120 MIGHT BE SOMETHING THAT MIGHT BE 3257 02:01:42,120 --> 02:01:45,040 WORTHWHILE ESPECIALLY IN THIS 3258 02:01:45,040 --> 02:01:48,160 AGE OF PROBLEMS WITH 3259 02:01:48,160 --> 02:01:48,560 REPRODUCIBILITY. 3260 02:01:48,560 --> 02:01:49,800 >> THAT'S VERY INTERESTING. 3261 02:01:49,800 --> 02:01:50,960 THERE ARE VARIOUS LEVELS. 3262 02:01:50,960 --> 02:01:53,200 ONE IS WHAT EXACTLY IS IT THAT 3263 02:01:53,200 --> 02:01:53,720 NIH IS ASKING FOR? 3264 02:01:53,720 --> 02:01:56,160 WHAT DO YOU NEED TO DO TO MEET 3265 02:01:56,160 --> 02:01:56,880 THE NIH EXPECTATIONS? 3266 02:01:56,880 --> 02:01:59,320 BUT I THINK YOU'RE TAKING THIS 3267 02:01:59,320 --> 02:02:02,400 TO AN EVEN HIGHER OR DEEPER 3268 02:02:02,400 --> 02:02:07,440 LEVEL, TO SAY, OKAY, WHAT DO YOU 3269 02:02:07,440 --> 02:02:08,360 DO -- MELISSA'S QUESTION, WHAT 3270 02:02:08,360 --> 02:02:11,680 DO DO YOU TO DO THIS WELL? 3271 02:02:11,680 --> 02:02:13,400 AND WHAT WHAT'S THE RIGHT WAY OF 3272 02:02:13,400 --> 02:02:14,120 DOING THIS? 3273 02:02:14,120 --> 02:02:18,000 WHEN WE PUT OUT THE RIGOR POLICY 3274 02:02:18,000 --> 02:02:21,280 IN 2015-2016, WE DID PUT OUT 3275 02:02:21,280 --> 02:02:22,600 SOME FUNDING OPPORTUNITIES FOR 3276 02:02:22,600 --> 02:02:23,840 TRAINING MODULES AND THERE ARE 3277 02:02:23,840 --> 02:02:28,280 TRAINING MODULES THAT ARE OUT 3278 02:02:28,280 --> 02:02:29,240 THERE, ON SCIENTIFIC RIGOR. 3279 02:02:29,240 --> 02:02:30,680 BUT THAT'S A REALLY INTERESTING 3280 02:02:30,680 --> 02:02:30,960 IDEA. 3281 02:02:30,960 --> 02:02:32,240 THAT'S SOMETHING WE'LL TAKE 3282 02:02:32,240 --> 02:02:32,920 BACK. 3283 02:02:32,920 --> 02:02:37,160 THANK YOU. 3284 02:02:37,160 --> 02:02:39,880 3285 02:02:39,880 --> 02:02:40,800 >> SHARON? 3286 02:02:40,800 --> 02:02:42,120 >> THANK YOU, NORA. 3287 02:02:42,120 --> 02:02:43,920 THANK YOU FOR THAT PRESENTATION. 3288 02:02:43,920 --> 02:02:46,800 I THINK THIS IS SUCH AN 3289 02:02:46,800 --> 02:02:47,160 IMPORTANT TOPIC. 3290 02:02:47,160 --> 02:02:51,040 AND I HAVE I GUESS TWO 3291 02:02:51,040 --> 02:02:52,560 QUESTIONS/COMMENTS RELATED TO 3292 02:02:52,560 --> 02:02:54,240 RECENT EXPERIENCES THAT I HAVE 3293 02:02:54,240 --> 02:02:54,560 HAD. 3294 02:02:54,560 --> 02:02:57,720 SO, ONE OF THE THINGS IS THAT IN 3295 02:02:57,720 --> 02:02:58,920 THE HEALING COMMUNITY STUDY, 3296 02:02:58,920 --> 02:03:04,200 WHICH IS A LARGE STUDY WITH 3297 02:03:04,200 --> 02:03:05,840 COMPLEX ADMINISTRATIVE DATA 3298 02:03:05,840 --> 02:03:07,040 MEASURES, WE'RE WORKING TOWARDS 3299 02:03:07,040 --> 02:03:11,520 PUTTING THESE INTO A REPOSITORY 3300 02:03:11,520 --> 02:03:12,080 BUT ONE OF THE THINGS THAT'S 3301 02:03:12,080 --> 02:03:12,680 BECOME CLEAR WORKING ON THE 3302 02:03:12,680 --> 02:03:14,120 PROJECT IS THAT EVEN PEOPLE THAT 3303 02:03:14,120 --> 02:03:19,120 ARE CLOSE TO THE PROJECT 3304 02:03:19,120 --> 02:03:21,760 SOMETIMES DON'T UNDERSTAND THE 3305 02:03:21,760 --> 02:03:23,120 LIMITS OR VAGARIES OF SPECIFIC 3306 02:03:23,120 --> 02:03:23,560 DATA SOURCES. 3307 02:03:23,560 --> 02:03:27,760 AND SO WE CONTINUE TO TALK 3308 02:03:27,760 --> 02:03:29,360 INTERNALLY ABOUT THE RISK OF -- 3309 02:03:29,360 --> 02:03:30,520 THERE'S NOT A RISK NECESSARILY 3310 02:03:30,520 --> 02:03:32,600 OF SHARING THE DATA BUT THE RISK 3311 02:03:32,600 --> 02:03:38,960 OF ONCE THE DATA ARE SHARED THEM 3312 02:03:38,960 --> 02:03:41,000 BEING MISINTERPRETED AND SCIENCE 3313 02:03:41,000 --> 02:03:41,800 BEING PUBLISHED THAT ISN'T 3314 02:03:41,800 --> 02:03:44,600 EXACTLY ACCURATE BECAUSE OF THE 3315 02:03:44,600 --> 02:03:45,920 COMPLEXITY OF DATA SOURCES. 3316 02:03:45,920 --> 02:03:46,800 THAT'S ONE THING. 3317 02:03:46,800 --> 02:03:52,720 AND THEN THE OTHER IS THAT I 3318 02:03:52,720 --> 02:03:54,560 RECENTLY WAS A SUBJECT IN A 3319 02:03:54,560 --> 02:03:57,200 STUDY WHICH I DON'T KNOW WHETHER 3320 02:03:57,200 --> 02:03:59,080 OTHERS ON COUNCIL RECEIVED THIS, 3321 02:03:59,080 --> 02:04:00,680 BUT I RECEIVED A QUERY FROM 3322 02:04:00,680 --> 02:04:02,760 SOMEONE WHO IS CONDUCTING A 3323 02:04:02,760 --> 02:04:04,160 STUDY AND I THINK THE PURPOSE OF 3324 02:04:04,160 --> 02:04:06,040 THE STUDY WAS ABOUT WILLINGNESS 3325 02:04:06,040 --> 02:04:07,160 TO SHARE DATA. 3326 02:04:07,160 --> 02:04:11,720 AND THOSE RESULTS ARE GOING TO 3327 02:04:11,720 --> 02:04:13,400 GET FED BACK TO NIDA, BUT IT WAS 3328 02:04:13,400 --> 02:04:17,400 A COLD CALL FROM E-MAIL ABOUT A 3329 02:04:17,400 --> 02:04:22,280 SPECIFIC STUDY, LOOKED LIKE A 3330 02:04:22,280 --> 02:04:26,280 FORM, CAME TO SHE ASKING IF I 3331 02:04:26,280 --> 02:04:30,320 WOULD SHARE DATA, GIVE IT TO 3332 02:04:30,320 --> 02:04:30,640 THEM. 3333 02:04:30,640 --> 02:04:32,200 THERE WERE PEOPLE I DIDN'T KNOW. 3334 02:04:32,200 --> 02:04:33,760 SCIENCE OF WILLINGNESS TO SHARE, 3335 02:04:33,760 --> 02:04:34,760 QUALITY, ALL THOSE THINGS WILL 3336 02:04:34,760 --> 02:04:36,360 BE IMPORTANT. 3337 02:04:36,360 --> 02:04:38,120 IN THAT CASE, I WROTE BACK AND I 3338 02:04:38,120 --> 02:04:39,360 MEAN I'M ALWAYS WILLING TO SHARE 3339 02:04:39,360 --> 02:04:43,080 BUT I WROTE BACK AND SET, YOU 3340 02:04:43,080 --> 02:04:44,120 KNOW, WHAT'S THE NATURE OF THE 3341 02:04:44,120 --> 02:04:45,480 PROJECT AND CAN YOU TELL ME 3342 02:04:45,480 --> 02:04:45,800 MORE? 3343 02:04:45,800 --> 02:04:46,600 I NEVER HEARD BACK. 3344 02:04:46,600 --> 02:04:49,440 WITH THE RATE AT WHICH WE 3345 02:04:49,440 --> 02:04:51,400 RECEIVE STAND-BY E-MAIL FROM 3346 02:04:51,400 --> 02:04:54,800 PEOPLE WHOSE NAMES WE DON'T 3347 02:04:54,800 --> 02:05:00,560 RECOGNIZE IT MADE ME WORRY THAT 3348 02:05:00,560 --> 02:05:02,000 WE'RE TRYING TO COLLECT 3349 02:05:02,000 --> 02:05:04,120 INFORMATIVE DATA FROM PEOPLE WHO 3350 02:05:04,120 --> 02:05:05,640 HAVE DATA TO SHARE. 3351 02:05:05,640 --> 02:05:11,400 AND THAT ALSO COULD BE 3352 02:05:11,400 --> 02:05:11,920 MISINTERPRETED. 3353 02:05:11,920 --> 02:05:12,440 >> YEAH, THESE ARE BOTH 3354 02:05:12,440 --> 02:05:13,760 EXCELLENT POINTS. 3355 02:05:13,760 --> 02:05:16,200 I'M IMPRESSED YOU ACTUALLY READ 3356 02:05:16,200 --> 02:05:16,800 THAT E-MAIL. 3357 02:05:16,800 --> 02:05:19,240 USUALLY I'LL GET TO THE THIRD OR 3358 02:05:19,240 --> 02:05:24,000 FOURTH WORD AND HIT THE DELETE 3359 02:05:24,000 --> 02:05:25,920 BUTTON. 3360 02:05:25,920 --> 02:05:28,120 THE QUESTION ABOUT ONE OF THE -- 3361 02:05:28,120 --> 02:05:33,400 THINK ABOUT DATA SHARING AS A 3362 02:05:33,400 --> 02:05:34,920 TWO-EDGED SWORD, PART OF THE 3363 02:05:34,920 --> 02:05:40,760 CONCERN IS DATA MAY GET MISUSED, 3364 02:05:40,760 --> 02:05:41,720 MISUNDERSTOOD, GROSSLY 3365 02:05:41,720 --> 02:05:43,280 MISUNDERSTOOD, AND THERE'S NO 3366 02:05:43,280 --> 02:05:45,320 MAGIC ANSWER TO THAT. 3367 02:05:45,320 --> 02:05:49,440 THERE CERTAINLY HAVE BEEN 3368 02:05:49,440 --> 02:05:51,240 EXPERIENCES, I THINK DBGaP HAD 3369 02:05:51,240 --> 02:05:54,800 AN EXPERIENCE WITH GENOMIC DATA. 3370 02:05:54,800 --> 02:05:55,840 NHLBI PUBLISHED A PAPER IN THE 3371 02:05:55,840 --> 02:05:56,480 NEW ENGLAND JOURNAL OF MEDICINE 3372 02:05:56,480 --> 02:05:58,320 A FEW YEARS AGO ABOUT THEIR DATA 3373 02:05:58,320 --> 02:06:00,440 SHARING EXPERIENCE. 3374 02:06:00,440 --> 02:06:04,680 THIS IS PRIMARILY DATA ON 3375 02:06:04,680 --> 02:06:05,800 CLINICAL TRIALS. 3376 02:06:05,800 --> 02:06:10,680 AND EVERYONE WAS QUITE POSITIVE. 3377 02:06:10,680 --> 02:06:12,360 AND A NUMBER OF THE PAPERS WORK 3378 02:06:12,360 --> 02:06:13,800 THAT WAS DONE BY INVESTIGATORS, 3379 02:06:13,800 --> 02:06:16,040 NOT PART OF THE ORIGINAL STUDY, 3380 02:06:16,040 --> 02:06:18,040 THEY DID SOME INTERESTING 3381 02:06:18,040 --> 02:06:18,440 THINGS. 3382 02:06:18,440 --> 02:06:20,000 THEY PUBLISHED INTERESTING 3383 02:06:20,000 --> 02:06:21,800 PAPERS THAT LED TO SOME INSIGHT. 3384 02:06:21,800 --> 02:06:22,400 YOU ARE RIGHT. 3385 02:06:22,400 --> 02:06:24,400 THERE IS A RISK THAT THEY COULD 3386 02:06:24,400 --> 02:06:29,560 BE EITHER DEPARTMENT -- 3387 02:06:29,560 --> 02:06:32,160 DELIBERATELY MISUSED OR PERHAPS 3388 02:06:32,160 --> 02:06:35,000 MORE LIKELY MISUSED BECAUSE OF 3389 02:06:35,000 --> 02:06:36,280 LACK OF UNDERSTANDING. 3390 02:06:36,280 --> 02:06:37,960 THAT'S-- I DON'T HAVE ANY MAGIC 3391 02:06:37,960 --> 02:06:38,320 ANSWER. 3392 02:06:38,320 --> 02:06:40,280 I THINK THAT'S ALL THE MORE 3393 02:06:40,280 --> 02:06:42,280 REASON WHY IT'S IMPORTANT THAT 3394 02:06:42,280 --> 02:06:45,520 DATA BE VERY WELL ANNOTATED. 3395 02:06:45,520 --> 02:06:47,520 WHEN I WAS A JUNIOR 3396 02:06:47,520 --> 02:06:49,480 INVESTIGATOR, BEFORE I CAME TO 3397 02:06:49,480 --> 02:06:53,200 NIH, I DID GET DATA FROM NIH. 3398 02:06:53,200 --> 02:06:55,960 SHARED DATA THAT WAS OUT THERE. 3399 02:06:55,960 --> 02:07:00,880 I REMEMBER HOW IMPRESSED I WAS 3400 02:07:00,880 --> 02:07:02,840 HOW INCREDIBLY WELL ANNOTATED IT 3401 02:07:02,840 --> 02:07:03,000 WAS. 3402 02:07:03,000 --> 02:07:04,600 THIS WAS -- LATER ON I FOUND 3403 02:07:04,600 --> 02:07:07,320 OUT, IT WAS A PROFESSIONAL JOB, 3404 02:07:07,320 --> 02:07:08,320 THEY HAD CONTRACTED SOMEONE 3405 02:07:08,320 --> 02:07:10,840 PROFESSIONAL DOING THIS AND SO 3406 02:07:10,840 --> 02:07:11,040 FORTH. 3407 02:07:11,040 --> 02:07:12,480 ONE THING WE DID WHICH I DON'T 3408 02:07:12,480 --> 02:07:16,200 KNOW WHETHER THIS IS A PRACTICE 3409 02:07:16,200 --> 02:07:17,360 THAT SHOULD BE ENCOURAGE BUD WE 3410 02:07:17,360 --> 02:07:22,840 WANTED TO MAKE SURE WE WOULD 3411 02:07:22,840 --> 02:07:25,520 REPRODUCE THE SAME PAPER, GET 3412 02:07:25,520 --> 02:07:26,600 THE SAME NUMBERS, THAT WAS OUR 3413 02:07:26,600 --> 02:07:28,240 CHECK TO MAKE SURE WE ACTUALLY 3414 02:07:28,240 --> 02:07:30,840 UNDERSTOOD WHAT WE WERE LOOKING 3415 02:07:30,840 --> 02:07:32,720 AT AND THE FIELDS MATCHED UP 3416 02:07:32,720 --> 02:07:34,360 WITH WHAT WE THOUGHT THEY WERE 3417 02:07:34,360 --> 02:07:36,720 BEFORE THEY WENT ON TO DO 3418 02:07:36,720 --> 02:07:37,120 SOMETHING ELSE. 3419 02:07:37,120 --> 02:07:39,520 THIS IS AN IMPORTANT POINT. 3420 02:07:39,520 --> 02:07:43,880 AN IMPORTANT PART OF OUR 3421 02:07:43,880 --> 02:07:44,280 MESSAGING. 3422 02:07:44,280 --> 02:07:46,400 >> AMIT, YOU HAVE YOUR HAND 3423 02:07:46,400 --> 02:07:46,640 RAISED. 3424 02:07:46,640 --> 02:07:52,400 >> YES, SO THIS IS A BIT MORE OF 3425 02:07:52,400 --> 02:07:54,960 A COMMENT OR SUGGESTION THAT BE 3426 02:07:54,960 --> 02:07:56,920 A QUESTION. 3427 02:07:56,920 --> 02:07:58,160 TWO PERSPECTIVES, SO THERE'S 3428 02:07:58,160 --> 02:07:59,280 MANY INVESTIGATORS WHO FEEL LIKE 3429 02:07:59,280 --> 02:08:00,760 SOMEBODY'S GOING TO SCOOP THEM 3430 02:08:00,760 --> 02:08:05,760 ON THEIR OWN WORK SO THEY EITHER 3431 02:08:05,760 --> 02:08:08,160 SHARE VERY LATE OR SHARE 3432 02:08:08,160 --> 02:08:10,920 SOMETHING THAT IS PARTIALLY 3433 02:08:10,920 --> 02:08:11,440 PROCESSED WHERE YOU CAN'T 3434 02:08:11,440 --> 02:08:12,760 ACTUALLY MAKE ANY SENSE OF IT 3435 02:08:12,760 --> 02:08:13,840 AND COULDN'T EVER PUBLISH A 3436 02:08:13,840 --> 02:08:16,000 PAPER FROM IT BECAUSE YOU DON'T 3437 02:08:16,000 --> 02:08:18,040 REALLY KNOW HOW IT CAME TO BE, 3438 02:08:18,040 --> 02:08:18,760 NOT MUCH DOCUMENTATION. 3439 02:08:18,760 --> 02:08:21,080 IN A WORLD NOW ESPECIALLY WITH 3440 02:08:21,080 --> 02:08:22,840 NEUROIMAGING WHICH IS MORE AND 3441 02:08:22,840 --> 02:08:26,400 MORE ATTENTIVE TO THE ISSUE OF 3442 02:08:26,400 --> 02:08:29,080 SAMPLES, AND I THINK IN CERTAIN 3443 02:08:29,080 --> 02:08:31,360 INSTITUTES YOU SEE A MUCH MORE 3444 02:08:31,360 --> 02:08:34,400 DELIBERATE ATTEMPT TO FUND 3445 02:08:34,400 --> 02:08:37,120 SECONDARY ANALYSES, YOU KNOW, 3446 02:08:37,120 --> 02:08:38,680 HIGHLIGHTING NIDA HAVING HAD A 3447 02:08:38,680 --> 02:08:41,000 CALL, YOU KNOW, DEDICATED FOR 3448 02:08:41,000 --> 02:08:43,240 THIS WHICH A LOT OF INSTITUTES 3449 02:08:43,240 --> 02:08:45,560 HAVE NOT HAVE, IT'S REALLY AN 3450 02:08:45,560 --> 02:08:46,880 OPPORTUNITY TO HIGHLIGHT GOOD 3451 02:08:46,880 --> 02:08:49,400 BEHAVIOR AND GOOD COMMUNITY 3452 02:08:49,400 --> 02:08:49,960 SUPPORT. 3453 02:08:49,960 --> 02:08:51,480 AND TIE THE WILLINGNESS TO SHARE 3454 02:08:51,480 --> 02:08:53,920 TO THE ABILITY TO GET NEW 3455 02:08:53,920 --> 02:08:56,120 FUNDING ON PUBLIC DATA. 3456 02:08:56,120 --> 02:08:58,360 WHICH IS OFTEN NOT PART OF THAT 3457 02:08:58,360 --> 02:09:00,760 DISCUSSION, I THINK NIDA HAS 3458 02:09:00,760 --> 02:09:04,280 DONE A FANTASTIC JOB ON THAT 3459 02:09:04,280 --> 02:09:04,600 FRONT. 3460 02:09:04,600 --> 02:09:07,480 >> THANK YOU. 3461 02:09:07,480 --> 02:09:10,760 >> ANY MORE QUESTIONS? 3462 02:09:10,760 --> 02:09:11,640 I DON'T SEE ANYONE RAISING THEIR 3463 02:09:11,640 --> 02:09:13,520 HAND. 3464 02:09:13,520 --> 02:09:15,840 AS YOU SEE, MIKE DID EXTREMELY 3465 02:09:15,840 --> 02:09:16,040 WELL. 3466 02:09:16,040 --> 02:09:16,880 THANKS FOR TAKING THE TIME TO 3467 02:09:16,880 --> 02:09:21,800 SPEAK WITH US AND FOR YOUR 3468 02:09:21,800 --> 02:09:23,760 LEADERSHIP AS DATA BECOMES MORE 3469 02:09:23,760 --> 02:09:26,920 WIDELY AVAILABLE AND QUALITY 3470 02:09:26,920 --> 02:09:28,080 DATA BECOMES WIDELY AVAILABLE. 3471 02:09:28,080 --> 02:09:29,320 >> THANK YOU VERY MUCH. 3472 02:09:29,320 --> 02:09:36,720 ENJOY THE REST OF YOUR MEETING. 3473 02:09:36,720 --> 02:09:37,400 >> THANKS. 3474 02:09:37,400 --> 02:09:37,680 BYE-BYE. 3475 02:09:37,680 --> 02:09:38,000 >> BYE-BYE. 3476 02:09:38,000 --> 02:09:40,040 >> SO BACK TO YOU, SUSAN. 3477 02:09:40,040 --> 02:09:42,120 >> YES, WE ACTUALLY HAVE A 3478 02:09:42,120 --> 02:09:43,440 10-MINUTE BREAK SCHEDULED FOR 3479 02:09:43,440 --> 02:09:43,880 NOW. 3480 02:09:43,880 --> 02:09:46,400 AND WHEN WE COME BACK WE'RE 3481 02:09:46,400 --> 02:09:48,600 GOING TO HEAR CONCEPT CLEARANCES 3482 02:09:48,600 --> 02:09:53,200 FROM A NUMBER OF OUR STAFF. 3483 02:09:53,200 --> 02:09:58,680 SO 3:27, IF YOU COULD BE BACK AT 3484 02:09:58,680 --> 02:10:00,240 3:40, WE'LL GIVE YOU 14 MINUTES 3485 02:10:00,240 --> 02:10:03,480 AND START DOING CONCEPTS THEN. 3486 02:10:03,480 --> 02:10:05,520 NORA HAS A CONFLICT, WE'LL HAVE 3487 02:10:05,520 --> 02:10:08,200 TO LEAVE US FOR -- AND WILL HAVE 3488 02:10:08,200 --> 02:10:11,480 TO LEAVE US FOR A WHILE AT 3:42. 3489 02:10:11,480 --> 02:10:13,120 >> AND I'LL BE BACK AS SOON AS 3490 02:10:13,120 --> 02:10:15,400 THAT MEETING ENDS. 3491 02:10:15,400 --> 02:10:17,480 >> RIGHT. 3492 02:10:17,480 --> 02:10:18,600 >> THANKS, SUSAN. 3493 02:10:18,600 --> 02:10:20,400 WE'RE ADJOURNED UNTIL -- 3494 02:10:20,400 --> 02:10:23,080 >> UNTIL 3:40. 3495 02:10:23,080 --> 02:10:27,960 WE HAVE A LOT OF CONCEPTS TO 3496 02:10:27,960 --> 02:10:31,560 GO THROUGH, ONE PERSON FROM EACH 3497 02:10:31,560 --> 02:10:33,080 DIVISION DO THE CONCEPTS 3498 02:10:33,080 --> 02:10:33,400 QUICKLY. 3499 02:10:33,400 --> 02:10:34,720 IF YOU HAVE QUESTIONS STOP US 3500 02:10:34,720 --> 02:10:36,480 ALONG THE WAY AND IF WE DON'T 3501 02:10:36,480 --> 02:10:38,120 GET THROUGH THEM ALL BEFORE WE 3502 02:10:38,120 --> 02:10:39,440 HEAR FROM JOSH DENNY FROM "ALL 3503 02:10:39,440 --> 02:10:41,400 OF US" WE CAN FINISH AFTERWARDS. 3504 02:10:41,400 --> 02:10:46,880 WE'LL SEE HOW IT GOES. 3505 02:10:46,880 --> 02:10:48,840 IVAN, YOUR DIVISION? 3506 02:10:48,840 --> 02:10:50,160 >> SURE. 3507 02:10:50,160 --> 02:10:53,200 I HAVE THREE CONCEPTS TO 3508 02:10:53,200 --> 02:10:55,040 PRESENT, FIRST ONE IS A REISSUE 3509 02:10:55,040 --> 02:10:58,840 OF THE BEHAVIORAL AND 3510 02:10:58,840 --> 02:10:59,320 INTEGRATIVE TREATMENT 3511 02:10:59,320 --> 02:11:03,920 DEVELOPMENT PROGRAM, A PROGRAM 3512 02:11:03,920 --> 02:11:07,440 THAT WILL AKLIN HAS BEEN 3513 02:11:07,440 --> 02:11:12,200 LEADING, WILL IS DIRECTOR OF THE 3514 02:11:12,200 --> 02:11:13,320 BEHAVIORAL PROGRAM. 3515 02:11:13,320 --> 02:11:17,360 THE PURPOSE OF THE CONCEPT IS TO 3516 02:11:17,360 --> 02:11:21,800 DEVELOP -- REISSUE THE FUNDING 3517 02:11:21,800 --> 02:11:24,760 OPPORTUNITY ANNOUNCEMENT TO 3518 02:11:24,760 --> 02:11:26,160 SUPPORT RESEARCH FOR DEVELOPMENT 3519 02:11:26,160 --> 02:11:27,800 OF BEHAVIORAL AND INTEGRATIVE 3520 02:11:27,800 --> 02:11:30,680 THERAPIES, TO ADVANCE BEHAVIORAL 3521 02:11:30,680 --> 02:11:33,400 THERAPIES IN THE NIDA DEFINED 3522 02:11:33,400 --> 02:11:35,880 STAGES AND GET NEW THERAPIES 3523 02:11:35,880 --> 02:11:37,200 ADOPTED AND IMPLEMENTED IN THE 3524 02:11:37,200 --> 02:11:42,080 REAL WORLD SETTINGS TO MAKE AN 3525 02:11:42,080 --> 02:11:45,720 IMPACT IN THE COMMUNITY. 3526 02:11:45,720 --> 02:11:51,200 THE SECOND CONCEPT WAS APPROVED 3527 02:11:51,200 --> 02:11:56,000 BY THE HEAL INITIATIVE, HEAL 3528 02:11:56,000 --> 02:11:56,880 THERAPEUTICS DEVELOPMENT FOR 3529 02:11:56,880 --> 02:12:01,400 OPIOID USE DISORDER IN PATIENTS 3530 02:12:01,400 --> 02:12:03,520 WITH COMORBID COMMONLY OCCURRING 3531 02:12:03,520 --> 02:12:10,480 MENTAL DISORDERS BY TANYA RAMEY 3532 02:12:10,480 --> 02:12:12,680 AND MATT SEGER, THE PURPOSE IS 3533 02:12:12,680 --> 02:12:14,880 TO DEVELOP A FUNDING OPPORTUNITY 3534 02:12:14,880 --> 02:12:18,280 ANNOUNCEMENT TO SUPPORT RESEARCH 3535 02:12:18,280 --> 02:12:21,120 ON THERAPEUTIC INCLUDING 3536 02:12:21,120 --> 02:12:22,440 PHARMACOLOGICAL INTERVENTIONS, 3537 02:12:22,440 --> 02:12:24,160 THERAPEUTIC DEVICES, DIGITAL 3538 02:12:24,160 --> 02:12:26,280 THERAPEUTICS FOR COMORBID OPIOID 3539 02:12:26,280 --> 02:12:28,640 USE DISORDERS AND WHAT NIMH 3540 02:12:28,640 --> 02:12:33,400 DEFINES AS COMMONLY OCCURRING 3541 02:12:33,400 --> 02:12:35,400 MENTAL DISORDERS. 3542 02:12:35,400 --> 02:12:36,240 THAT INCLUDES THE BIPOLAR, 3543 02:12:36,240 --> 02:12:37,840 DEPRESSION, PTSD, ET CETERA. 3544 02:12:37,840 --> 02:12:40,680 SO AS YOU KNOW, THERE IS A BIG 3545 02:12:40,680 --> 02:12:45,080 GAP IN THE RESEARCH, MOST OF THE 3546 02:12:45,080 --> 02:12:49,120 TIME, THOSE OF YOU WHO RUN 3547 02:12:49,120 --> 02:12:50,120 SUBSTANCE ABUSE CLINICAL TRIALS, 3548 02:12:50,120 --> 02:12:52,760 IT'S PATIENTS WITH MENTAL 3549 02:12:52,760 --> 02:12:54,040 DISORDERS, VICE VERSA. 3550 02:12:54,040 --> 02:12:56,680 CLINICAL TRIALS FOR MENTAL 3551 02:12:56,680 --> 02:12:58,440 DISORDERS, TO DEVELOP TREATMENT 3552 02:12:58,440 --> 02:13:00,080 OF MENTAL DISORDERS TO PEOPLE 3553 02:13:00,080 --> 02:13:02,080 WITH SUBSTANCE USE DISORDERS SO 3554 02:13:02,080 --> 02:13:03,280 THE GOAL OF THE FUNDING 3555 02:13:03,280 --> 02:13:07,720 OPPORTUNITY ANNOUNCEMENT IS TO 3556 02:13:07,720 --> 02:13:08,840 CLOSE THAT GAP AND SUPPORT 3557 02:13:08,840 --> 02:13:10,440 RESEARCH ON BOTH CO-MORBIDITIES 3558 02:13:10,440 --> 02:13:12,080 AND AS I SAID THIS HAS BEEN 3559 02:13:12,080 --> 02:13:18,880 SUPPORTED BY THE HEAL 3560 02:13:18,880 --> 02:13:19,360 INITIATIVE. 3561 02:13:19,360 --> 02:13:22,080 THIRD IS IN TUNE WITH WHAT NORA 3562 02:13:22,080 --> 02:13:22,920 MENTIONED DURING HER 3563 02:13:22,920 --> 02:13:27,560 PRESENTATION ABOUT THE NEED TO 3564 02:13:27,560 --> 02:13:30,160 HAVE TIMELY AND RAPID RESPONSE 3565 02:13:30,160 --> 02:13:34,360 TO EMERGING PUBLIC HEALTH 3566 02:13:34,360 --> 02:13:37,160 THREATS OF OPIOID DRUG USE, 3567 02:13:37,160 --> 02:13:38,280 SUPPORTED BY "HEAL," RAPIDLY 3568 02:13:38,280 --> 02:13:40,840 ASSESSING THE PUBLIC HEALTH 3569 02:13:40,840 --> 02:13:42,600 IMPACT OF EMERGING OPIOID 3570 02:13:42,600 --> 02:13:44,520 THREATS IS THE TITLE. 3571 02:13:44,520 --> 02:13:46,160 LEAD IS AIDAN HAMPSON ALSO FROM 3572 02:13:46,160 --> 02:13:48,120 MY DIVISION, AND THE PURPOSE OF 3573 02:13:48,120 --> 02:13:51,080 THE CONCEPT IS TO DEVELOP 3574 02:13:51,080 --> 02:13:52,280 FUNDING OPPORTUNITY ANNOUNCEMENT 3575 02:13:52,280 --> 02:13:54,920 WITH SUPPORT RESEARCH THAT CAN 3576 02:13:54,920 --> 02:13:57,800 RAPIDLY ASSESS THE HEALTH IMPACT 3577 02:13:57,800 --> 02:14:00,320 OF NEW ILLICIT OPIOIDS AND GOAL 3578 02:14:00,320 --> 02:14:03,400 TO RAPIDLY DEVELOP ANALYTICAL 3579 02:14:03,400 --> 02:14:07,280 TOOLS TO CHARACTERIZE NEW DRUG 3580 02:14:07,280 --> 02:14:07,840 THREATS TO HELP POLICYMAKERS 3581 02:14:07,840 --> 02:14:08,960 DEVELOP ADEQUATE PREVENTION AND 3582 02:14:08,960 --> 02:14:09,880 TREATMENT STRATEGIES AND ALSO 3583 02:14:09,880 --> 02:14:12,760 FOR CLINICIANS TO BE ABLE TO 3584 02:14:12,760 --> 02:14:18,840 DIAGNOSE AND TREAT PATIENTS 3585 02:14:18,840 --> 02:14:20,160 QUICKLY BEFORE USE OF NEW 3586 02:14:20,160 --> 02:14:21,600 OPIOIDS ARE SPREAD IN THE 3587 02:14:21,600 --> 02:14:22,400 COMMUNITY. 3588 02:14:22,400 --> 02:14:24,720 THOSE ARE THE THREE CONCEPTS FOR 3589 02:14:24,720 --> 02:14:25,760 MY DIVISION. 3590 02:14:25,760 --> 02:14:33,320 ANY QUESTIONS OR ANY COMMENTS? 3591 02:14:33,320 --> 02:14:36,960 >> QUICK QUESTION. 3592 02:14:36,960 --> 02:14:38,680 THE LIST OF COMMONLY OCCURRING 3593 02:14:38,680 --> 02:14:39,960 DISORDERS IS WHAT NIDA HAS? 3594 02:14:39,960 --> 02:14:45,400 IS THERE A LIST, CAN YOU TELL US 3595 02:14:45,400 --> 02:14:50,400 WHERE THOSE? 3596 02:14:50,400 --> 02:14:57,080 >> BY NIMH, BIPOLE AL, 3597 02:14:57,080 --> 02:15:01,480 POSTTRAUMATIC STRESS, I THINK 3598 02:15:01,480 --> 02:15:03,320 ALSO INCLUDES OBSESSIVE 3599 02:15:03,320 --> 02:15:03,760 COMPULSIVE DISORDER. 3600 02:15:03,760 --> 02:15:04,160 >> OKAY. 3601 02:15:04,160 --> 02:15:05,000 THANK YOU. 3602 02:15:05,000 --> 02:15:15,200 >> OKAY. 3603 02:15:16,000 --> 02:15:17,200 >> ANY OTHER QUESTIONS? 3604 02:15:17,200 --> 02:15:22,480 THEN MOVING ALONG WE WILL GO TO 3605 02:15:22,480 --> 02:15:25,080 THE DIVISION OF NEUROSCIENCE AND 3606 02:15:25,080 --> 02:15:29,480 BEHAVIOR, THREE PRESENTATIONS, 3607 02:15:29,480 --> 02:15:33,160 THREE CONCEPTS PRESENTED. 3608 02:15:33,160 --> 02:15:34,280 >> HI, EVERYONE. 3609 02:15:34,280 --> 02:15:42,120 THE FIRST TWO ARE FROM NIDA'S 3610 02:15:42,120 --> 02:15:50,920 HIV RESEARCH PROCESS, HOW THESE 3611 02:15:50,920 --> 02:15:56,200 MECHANISMS ARE AFFECTED BY 3612 02:15:56,200 --> 02:15:59,640 SUBSTANCE USE, METHODS FOR 3613 02:15:59,640 --> 02:16:00,920 SPRICIAL DISTRIBUTION AT HIGH 3614 02:16:00,920 --> 02:16:04,680 RESOLUTION IN BRAIN STRUCTURE. 3615 02:16:04,680 --> 02:16:15,240 THE GOAL, EX VIVO TOOL SETS AND 3616 02:16:16,600 --> 02:16:17,760 TISSUE PROCURING TO ENABLE HIGH 3617 02:16:17,760 --> 02:16:20,520 RESOLUTION ENABLE ANALYSIS OF 3618 02:16:20,520 --> 02:16:24,920 HIV INFECTION AND NEUROPATHOLOGY 3619 02:16:24,920 --> 02:16:28,200 IN CONTEXT OF DIVERSITY. 3620 02:16:28,200 --> 02:16:33,440 SECOND IS FROM SAM ANNANTHAN, 3621 02:16:33,440 --> 02:16:34,640 CHANGES IN THE FUNCTION OF 3622 02:16:34,640 --> 02:16:38,040 PROTEINS IN THE BRAIN THROUGH 3623 02:16:38,040 --> 02:16:40,280 CHANGES IN EXPRESSION, 3624 02:16:40,280 --> 02:16:40,680 POST-TRANSLATIONAL 3625 02:16:40,680 --> 02:16:42,920 MODIFICATIONS, SIGNIFICANT GAPS 3626 02:16:42,920 --> 02:16:44,240 IS NARROW KNOWLEDGE REGARDING 3627 02:16:44,240 --> 02:16:47,880 MECHANISMS THAT CONTRIBUTE TO 3628 02:16:47,880 --> 02:16:52,160 DEVELOPMENT OF NEUROPATHOGENESIS 3629 02:16:52,160 --> 02:16:53,800 AND COGNITIVE IMPAIRMENTS. 3630 02:16:53,800 --> 02:16:57,160 GOAL TO SUPPORT RESEARCH FOCUS 3631 02:16:57,160 --> 02:16:59,160 ON ELUCIDATING MECHANISMS BY 3632 02:16:59,160 --> 02:17:01,760 WHICH ADDICTIVE DRUGS AND HIV 3633 02:17:01,760 --> 02:17:07,440 INFECTION CONVERGE TO INDUCE 3634 02:17:07,440 --> 02:17:09,200 CHANGES IN BRAIN FUNCTION AND 3635 02:17:09,200 --> 02:17:14,080 IDENTIFYING TOOLS TO PREVENT OR 3636 02:17:14,080 --> 02:17:14,640 MITIGATE. 3637 02:17:14,640 --> 02:17:21,840 THIRD IS SUPPORTED BY HEAL 3638 02:17:21,840 --> 02:17:29,160 INITIATIVE, LED BY MYSELF, BRAIN 3639 02:17:29,160 --> 02:17:37,640 DEVELOPMENT IS SUSCEPTIBLE TO 3640 02:17:37,640 --> 02:17:38,800 INFLUENCE. 3641 02:17:38,800 --> 02:17:43,280 THIS CONCEPT SEEKS TO ESTABLISH 3642 02:17:43,280 --> 02:17:44,920 BIOBEHAVIORAL AND ENVIRONMENTAL 3643 02:17:44,920 --> 02:17:47,800 FACTORS, AND TRAJECTORIES OF 3644 02:17:47,800 --> 02:17:49,520 SUBSTANCE USE DISORDERS, GOAL TO 3645 02:17:49,520 --> 02:17:50,520 ESTABLISH TOOLS, METHODS, 3646 02:17:50,520 --> 02:17:52,680 PIPELINES FOR DATA ACQUISITION 3647 02:17:52,680 --> 02:17:58,480 AND ANALYSIS OF VIRTUAL AND 3648 02:17:58,480 --> 02:18:02,160 ASSESSMENT FOR RAPID DEPLOYMENT. 3649 02:18:02,160 --> 02:18:05,040 3650 02:18:05,040 --> 02:18:12,840 >> ANY QUESTIONS, COMMENTS? 3651 02:18:12,840 --> 02:18:13,080 FEEDBACK? 3652 02:18:13,080 --> 02:18:16,080 >> IN YOUR SECOND CONCEPT YOU 3653 02:18:16,080 --> 02:18:17,280 MENTIONED ADDICTIVE DRUGS, CAN 3654 02:18:17,280 --> 02:18:22,960 YOU EXPAND THE LIST OF DRUGS, IS 3655 02:18:22,960 --> 02:18:28,560 IT OPIOIDS AND MORE? 3656 02:18:28,560 --> 02:18:28,720 3657 02:18:28,720 --> 02:18:30,000 >> I BELIEVE DR. ANNANTHAN IS ON 3658 02:18:30,000 --> 02:18:31,280 THE CALL. 3659 02:18:31,280 --> 02:18:35,040 >> ANY SUBSTANCE THAT CAUSES 3660 02:18:35,040 --> 02:18:36,160 ADDICTIVE BEHAVIORS. 3661 02:18:36,160 --> 02:18:39,400 >> OKAY, THANK YOU. 3662 02:18:39,400 --> 02:18:42,680 3663 02:18:42,680 --> 02:18:46,720 >> THANK YOU VERY MUCH. 3664 02:18:46,720 --> 02:18:55,800 AND WE WILL MOVE TO DESPR. 3665 02:18:55,800 --> 02:18:57,120 >> I HAVE NINE CONCEPTS, IF WE 3666 02:18:57,120 --> 02:19:01,920 COULD GO TO THE NEXT SLIDE. 3667 02:19:01,920 --> 02:19:03,360 FIRST IS HIV RESEARCH PROGRAM, 3668 02:19:03,360 --> 02:19:08,000 FOCUSED ON HIV PREVENTION AND 3669 02:19:08,000 --> 02:19:09,200 TREATMENT IMPLEMENTATION 3670 02:19:09,200 --> 02:19:10,400 RESEARCH IN JUSTICE POPULATIONS 3671 02:19:10,400 --> 02:19:12,800 WITH SUBSTANCE USE DISORDER, 3672 02:19:12,800 --> 02:19:16,840 FOCUS ON NATIONAL RESEARCH 3673 02:19:16,840 --> 02:19:17,640 CAPACITY TARGETING GEOGRAPHIC 3674 02:19:17,640 --> 02:19:20,440 REGIONS WITH SPIKES IN HIV 3675 02:19:20,440 --> 02:19:25,760 INTERSECTING WITH JUSTICE 3676 02:19:25,760 --> 02:19:26,000 SYSTEM. 3677 02:19:26,000 --> 02:19:29,160 NEXT, THE GOAL IS TO DESIGN AND 3678 02:19:29,160 --> 02:19:31,000 TEST INTERVENTIONS THAT ADDRESS 3679 02:19:31,000 --> 02:19:34,000 DYNAMICS THAT INFLUENCE 3680 02:19:34,000 --> 02:19:35,200 WORKFORCE RECRUITMENT, TRAINING 3681 02:19:35,200 --> 02:19:36,360 AND INFECTION TO IMPROVE QUALITY 3682 02:19:36,360 --> 02:19:39,360 OF CARE IN PATIENT OUTCOMES, 3683 02:19:39,360 --> 02:19:41,880 STUDIES COULD TARGET INDIVIDUAL 3684 02:19:41,880 --> 02:19:44,000 ORGANIZATIONAL OR SYSTEM LEVELS. 3685 02:19:44,000 --> 02:19:47,560 THE NEXT CONCEPT IS ALSO THROUGH 3686 02:19:47,560 --> 02:19:48,200 THE "HEAL" PROGRAM. 3687 02:19:48,200 --> 02:19:51,040 GOAL OF THE THIRD IS TO PROVIDE 3688 02:19:51,040 --> 02:19:55,840 SUPPORT FOR ARRAY OF APPROACHES, 3689 02:19:55,840 --> 02:19:58,600 ADDRESS OPIOID USE, WITH GOAL OF 3690 02:19:58,600 --> 02:19:59,600 ACCELERATING TRANSLATION OF 3691 02:19:59,600 --> 02:20:02,680 RESEARCH TO PRACTICE IN THESE 3692 02:20:02,680 --> 02:20:03,280 DOMAINS. 3693 02:20:03,280 --> 02:20:07,320 THIS PROGRAM WILL EMPHASIZE 3694 02:20:07,320 --> 02:20:08,000 IMPLEMENTATION SCIENCE, HYBRID 3695 02:20:08,000 --> 02:20:09,920 IMPLEMENTATION, EFFECTIVENESS 3696 02:20:09,920 --> 02:20:11,720 TRIALS, AND DISSEMINATION 3697 02:20:11,720 --> 02:20:12,760 RESEARCH. 3698 02:20:12,760 --> 02:20:14,960 FOURTH IS ALSO A HEAL 3699 02:20:14,960 --> 02:20:18,200 INITIATIVE, LED BY SHELLY SU, 3700 02:20:18,200 --> 02:20:20,400 SUPPORTING RESEARCH TO EVALUATE 3701 02:20:20,400 --> 02:20:21,760 MULTI-LEVEL INTERVENTION FOR 3702 02:20:21,760 --> 02:20:23,280 PATIENTS USING LONG-TERM OPIOID 3703 02:20:23,280 --> 02:20:25,040 THERAPY TO MANAGE CHRONIC PAIN 3704 02:20:25,040 --> 02:20:27,640 AND FOR WHOM RISKS OF CONTINUING 3705 02:20:27,640 --> 02:20:29,640 MAY OUTWEIGH BENEFITS OF 3706 02:20:29,640 --> 02:20:30,920 CONTINUED OPIOID USE. 3707 02:20:30,920 --> 02:20:32,600 THIS PROGRAM WILL INCLUDE 3708 02:20:32,600 --> 02:20:34,560 INTERVENTION RESEARCH, WORK ON 3709 02:20:34,560 --> 02:20:36,520 DEVELOPING SHARED CLINICAL 3710 02:20:36,520 --> 02:20:38,160 DEFINITIONS, AND BUILDING AND 3711 02:20:38,160 --> 02:20:39,720 VALIDATING SCREENING TOOLS FOR 3712 02:20:39,720 --> 02:20:42,320 INDIVIDUALS ON LONG-TERM OPIOID 3713 02:20:42,320 --> 02:20:43,120 THERAPIES. 3714 02:20:43,120 --> 02:20:46,280 THE NEXT CONCEPT IS ALSO A HEAL 3715 02:20:46,280 --> 02:20:51,360 INITIATIVE, THIS ONE IS LED BY 3716 02:20:51,360 --> 02:20:53,400 SARAH RECEIVERMAN, COMMUNITY 3717 02:20:53,400 --> 02:20:55,520 HEALTH CENTERS AND SEEKS TO 3718 02:20:55,520 --> 02:20:56,560 ADDRESS PREVENTION AMONG 3719 02:20:56,560 --> 02:20:57,720 PATIENTS SERVED BY THESE 3720 02:20:57,720 --> 02:20:59,440 ORGANIZATIONS, THE SCOPE OF 3721 02:20:59,440 --> 02:21:00,960 SCIENCE WILL INCLUDE DEVELOPING 3722 02:21:00,960 --> 02:21:03,840 AND TESTING NEW OR ADAPTED 3723 02:21:03,840 --> 02:21:05,120 PREVENTION INTERVENTION AND 3724 02:21:05,120 --> 02:21:07,640 DEVELOPING IMPLEMENTATION 3725 02:21:07,640 --> 02:21:08,280 STRATEGIES TO SUPPORT SCREENING 3726 02:21:08,280 --> 02:21:10,840 AND REFERRAL TO PREVENTIVE 3727 02:21:10,840 --> 02:21:12,040 INTERVENTIONS IN THESE SETTINGS. 3728 02:21:12,040 --> 02:21:14,680 >> WHY DON'T YOU STOP HERE IN 3729 02:21:14,680 --> 02:21:16,240 CASE THERE ARE ANY QUESTIONS SO 3730 02:21:16,240 --> 02:21:18,200 PEOPLE CAN STILL REMEMBER WHAT 3731 02:21:18,200 --> 02:21:19,600 THEY SAW. 3732 02:21:19,600 --> 02:21:21,760 >> SURE, YEAH. 3733 02:21:21,760 --> 02:21:24,680 >> ANY COMMENTS OR QUESTIONS? 3734 02:21:24,680 --> 02:21:29,240 3735 02:21:29,240 --> 02:21:34,400 I DON'T SEE ANY HANDS RAISED. 3736 02:21:34,400 --> 02:21:34,600 OKAY. 3737 02:21:34,600 --> 02:21:36,640 THEN I THINK IT'S FINE TO GO ON 3738 02:21:36,640 --> 02:21:39,760 TO THE NEXT ONE. 3739 02:21:39,760 --> 02:21:40,640 >> OKAY. 3740 02:21:40,640 --> 02:21:44,120 NEXT BATCH, FIRST IN THIS BATCH 3741 02:21:44,120 --> 02:21:47,320 IS FOCUSED ON CAREER AWARDS, 3742 02:21:47,320 --> 02:21:49,080 IMPLEMENTATION SCIENCE, SEEKING 3743 02:21:49,080 --> 02:21:51,320 TO ADDRESS ONGOING OVERDOSE 3744 02:21:51,320 --> 02:21:51,960 EPIDEMIC BY SUPPORTING 3745 02:21:51,960 --> 02:21:54,760 EARLY-STAGE INVESTIGATORS WHO 3746 02:21:54,760 --> 02:21:57,120 CAN MOVER EXISTING TREATMENT AND 3747 02:21:57,120 --> 02:21:58,000 PREVENTION PRACTICES INTO 3748 02:21:58,000 --> 02:21:59,200 ROUTINE USE. 3749 02:21:59,200 --> 02:22:02,120 IT WILL PROVIDE EARLY CAREER 3750 02:22:02,120 --> 02:22:03,640 INVESTIGATORS WITH RESEARCH 3751 02:22:03,640 --> 02:22:04,920 EXPERIENCE AND IMPLEMENTATION 3752 02:22:04,920 --> 02:22:09,680 SCIENCE AND SUPPORT RESEARCH 3753 02:22:09,680 --> 02:22:12,320 PROJECTS THEY LEAD. 3754 02:22:12,320 --> 02:22:15,440 NEXT IS LED BY SARAH DUFFY, 3755 02:22:15,440 --> 02:22:18,920 CRITICAL ISSUE OF ENSURING THAT 3756 02:22:18,920 --> 02:22:19,960 INDIVIDUALS, FAMILIES AND PAYERS 3757 02:22:19,960 --> 02:22:22,400 CAN ACCESS DATA THAT HELPS 3758 02:22:22,400 --> 02:22:24,160 SELECT AND UNDERSTAND WHICH 3759 02:22:24,160 --> 02:22:25,760 PROVIDERS ARE MOST EFFECTIVE. 3760 02:22:25,760 --> 02:22:27,960 THIS PROGRAM IS GOING TO SUPPORT 3761 02:22:27,960 --> 02:22:30,160 RIGOROUS RESEARCH THAT BUILDS ON 3762 02:22:30,160 --> 02:22:33,360 EXISTING QUALITY MEASUREMENT AND 3763 02:22:33,360 --> 02:22:35,680 MANAGEMENT EFFORTS, AND FULFILLS 3764 02:22:35,680 --> 02:22:38,840 GAPS REQUIRED FOR DEVELOPMENT OF 3765 02:22:38,840 --> 02:22:39,440 FEASIBLE QUALITY MEASUREMENT 3766 02:22:39,440 --> 02:22:41,360 SYSTEMS, SO THESE SYSTEMS CAN 3767 02:22:41,360 --> 02:22:43,360 HELP PATIENTS, FAMILIES, AND 3768 02:22:43,360 --> 02:22:45,560 PEERS IDENTIFY EFFECTIVE 3769 02:22:45,560 --> 02:22:48,120 PROVIDERS AND HELP PROVIDERS AND 3770 02:22:48,120 --> 02:22:50,920 CLINICIANS IMPROVE PATIENT 3771 02:22:50,920 --> 02:22:51,440 OUTCOMES. 3772 02:22:51,440 --> 02:22:55,840 NEXT IS LED BY CARRIE MULFORD, 3773 02:22:55,840 --> 02:22:57,280 FOCUSING ON EXPOSURES TO 3774 02:22:57,280 --> 02:22:58,240 VIOLENCE, TESTING INNOVATIVE 3775 02:22:58,240 --> 02:22:59,760 MODELS OF SERVICE DELIVERY TO 3776 02:22:59,760 --> 02:23:01,760 IMPROVE SUBSTANCE USE AND MENTAL 3777 02:23:01,760 --> 02:23:04,000 HEALTH OUTCOMES FOR INDIVIDUALS 3778 02:23:04,000 --> 02:23:07,840 WHO EXPERIENCED EXPOSURE TO 3779 02:23:07,840 --> 02:23:08,400 VIOLENCE, SPECIFICALLY TO 3780 02:23:08,400 --> 02:23:11,160 SUPPORT INTERVENTIONS TO TEST 3781 02:23:11,160 --> 02:23:12,800 CARE PATHWAYS THAT PROVIDE OUD 3782 02:23:12,800 --> 02:23:13,560 SCREENING, PREVENTION AND 3783 02:23:13,560 --> 02:23:15,520 TREATMENT REFERRAL OR SERVICES 3784 02:23:15,520 --> 02:23:19,200 TO VICTIMS OF VIOLENCE IN 3785 02:23:19,200 --> 02:23:20,200 VICTIMS SERVICE SETTINGS OR TO 3786 02:23:20,200 --> 02:23:22,160 PROVIDE PTSD SCREENING AND 3787 02:23:22,160 --> 02:23:23,360 TREATMENT FOR INDIVIDUALS AS 3788 02:23:23,360 --> 02:23:27,400 THEY ARE RECEIVING OUD 3789 02:23:27,400 --> 02:23:27,680 TREATMENT. 3790 02:23:27,680 --> 02:23:33,360 AND THE LAST CONCEPT IS LED BY 3791 02:23:33,360 --> 02:23:34,400 BARBARA OUDEKERK FOCUSING ON 3792 02:23:34,400 --> 02:23:36,960 LOOKING AT CHILD WELFARE SYSTEM, 3793 02:23:36,960 --> 02:23:38,600 IMPLEMENTING PREVENTION SERVICES 3794 02:23:38,600 --> 02:23:39,880 AMONG CHILD WELFARE INVOLVED 3795 02:23:39,880 --> 02:23:41,200 YOUTH AND FAMILIES HAS POTENTIAL 3796 02:23:41,200 --> 02:23:43,080 TO REDUCE IMMEDIATE AND 3797 02:23:43,080 --> 02:23:44,080 MULTI-GENERATIONAL RISK FOR 3798 02:23:44,080 --> 02:23:46,240 SUBSTANCE USE DISORDERS. 3799 02:23:46,240 --> 02:23:47,920 THIS WILL SUPPORT RESEARCH THAT 3800 02:23:47,920 --> 02:23:52,280 TESTS EFFECTIVENESS OF 3801 02:23:52,280 --> 02:23:53,880 INTERVENTION TO PREVENT AMONG 3802 02:23:53,880 --> 02:23:54,600 YOUTH, CAREGIVERS, FAMILIES 3803 02:23:54,600 --> 02:23:56,600 INVOLVED IN THE CHILD WELFARE 3804 02:23:56,600 --> 02:23:57,120 SYSTEM. 3805 02:23:57,120 --> 02:24:00,920 I BELIEVE THAT IS ALL OF THEM. 3806 02:24:00,920 --> 02:24:03,560 ANY QUESTIONS? 3807 02:24:03,560 --> 02:24:09,160 3808 02:24:09,160 --> 02:24:11,400 >> AGAIN, SEEING NONE, THANK YOU 3809 02:24:11,400 --> 02:24:14,240 VERY MUCH, TISHA. 3810 02:24:14,240 --> 02:24:17,520 AND THE LAST CONCEPT WE'RE GOING 3811 02:24:17,520 --> 02:24:20,160 TO HEAR IS FROM OTIPI, WE'RE 3812 02:24:20,160 --> 02:24:25,200 GOING TO ASK YOU TO VOTE ON IT 3813 02:24:25,200 --> 02:24:27,680 AFTER TAM PRESENTS IT. 3814 02:24:27,680 --> 02:24:30,320 >> GOOD AFTERNOON, EVERYONE. 3815 02:24:30,320 --> 02:24:35,720 PROUD TO PRESENT THE CONCEPT, 3816 02:24:35,720 --> 02:24:38,160 CODE IN DRUG OVERDOSE, RAPID AND 3817 02:24:38,160 --> 02:24:41,840 PORTABLE CAUSE OF DEATH 3818 02:24:41,840 --> 02:24:42,360 DETECTION TECHNOLOGIES. 3819 02:24:42,360 --> 02:24:43,880 NEXT SLIDE PLEASE. 3820 02:24:43,880 --> 02:24:47,000 THE PROBLEM IS 20% OF OVERDOES 3821 02:24:47,000 --> 02:24:49,640 DEBTS DO NOT INDICATE DRUGS 3822 02:24:49,640 --> 02:24:50,520 INVOLVED, HINDERING ACCURATE 3823 02:24:50,520 --> 02:24:53,440 MONITORING OF DEATH RATES AND 3824 02:24:53,440 --> 02:24:55,880 ALSO CURBS ABILITY TO IDENTIFY 3825 02:24:55,880 --> 02:24:58,280 THREATS IN TIMELY MANNER AND 3826 02:24:58,280 --> 02:24:59,560 RESPOND EFFECTIVELY. 3827 02:24:59,560 --> 02:25:01,160 THERE'S HIGH VARIABILITY IN 3828 02:25:01,160 --> 02:25:03,000 UNDERREPORTING BETWEEN COUNTIES 3829 02:25:03,000 --> 02:25:07,600 AND STATES, TO TRY TO SHOW 3830 02:25:07,600 --> 02:25:08,680 THERE'S HIGHER UNDERREPORTING IN 3831 02:25:08,680 --> 02:25:10,200 CORONERS VERSUS MEDICAL EXAMINER 3832 02:25:10,200 --> 02:25:12,040 SYSTEMS, HIGHER REPORTS OF RURAL 3833 02:25:12,040 --> 02:25:14,160 VERSUS METRO AREAS, HIGHER 3834 02:25:14,160 --> 02:25:15,800 UNDERREPORTING IN LOW INCOME 3835 02:25:15,800 --> 02:25:18,200 COUNTIES VERSUS HIGH INCOME 3836 02:25:18,200 --> 02:25:18,480 COUNTIES. 3837 02:25:18,480 --> 02:25:26,200 ONE OF THE SIGNIFICANT HURDLES 3838 02:25:26,200 --> 02:25:34,920 IS RESULTS FROM POSTMORTEM 3839 02:25:34,920 --> 02:25:35,680 TOXICOLOGY. 3840 02:25:35,680 --> 02:25:39,320 SOME KEY FEATURES ARE ACCURACY, 3841 02:25:39,320 --> 02:25:42,720 TIME TO RESULTS, PORTABILITY, 3842 02:25:42,720 --> 02:25:43,600 AND AFFORDABILITY AND 3843 02:25:43,600 --> 02:25:45,560 ACCESSIBILITY, DEVICES SHOULD BE 3844 02:25:45,560 --> 02:25:47,960 A PRACTICAL TOOL FOR CORONERS 3845 02:25:47,960 --> 02:25:49,520 AND MEDICAL EXAMINERS, PROPOSALS 3846 02:25:49,520 --> 02:25:52,600 MAY INCLUDE DEVICE AND PLATFORM 3847 02:25:52,600 --> 02:25:54,200 DEVELOPMENT, BENCHMARKING AND 3848 02:25:54,200 --> 02:25:57,280 SYSTEMS IMPROVEMENT. 3849 02:25:57,280 --> 02:25:57,640 THANK YOU. 3850 02:25:57,640 --> 02:25:58,320 >> THANK YOU. 3851 02:25:58,320 --> 02:26:02,120 AS I SAID, WE NEED TO GET A VOTE 3852 02:26:02,120 --> 02:26:03,360 ON THIS. 3853 02:26:03,360 --> 02:26:07,560 WOULD SOMEBODY VOTE TO APPROVE 3854 02:26:07,560 --> 02:26:09,400 THIS CONCEPT DO A MOTION TO 3855 02:26:09,400 --> 02:26:09,880 APPROVE THIS CONCEPT. 3856 02:26:09,880 --> 02:26:11,520 THANK YOU. 3857 02:26:11,520 --> 02:26:11,920 SECOND? 3858 02:26:11,920 --> 02:26:15,320 ALL IN FAVOR? 3859 02:26:15,320 --> 02:26:16,080 OKAY. 3860 02:26:16,080 --> 02:26:16,360 ANY AGAINST? 3861 02:26:16,360 --> 02:26:17,160 LET'S SEE. 3862 02:26:17,160 --> 02:26:17,520 OKAY. 3863 02:26:17,520 --> 02:26:20,160 I THINK WE'RE GOOD TO GO. 3864 02:26:20,160 --> 02:26:27,160 THANKS VERY MUCH, TAM. 3865 02:26:27,160 --> 02:26:31,080 >> YEAH. 3866 02:26:31,080 --> 02:26:31,480 >> OKAY. 3867 02:26:31,480 --> 02:26:33,440 JILLIAN, IS JOSH HERE YET? 3868 02:26:33,440 --> 02:26:37,320 >> YES. 3869 02:26:37,320 --> 02:26:41,480 >> I'M SORRY, THERE ARE TWO 3870 02:26:41,480 --> 02:26:43,880 HANDS RAISED, ANNA ROSE? 3871 02:26:43,880 --> 02:26:45,280 OR WERE YOU VOTING? 3872 02:26:45,280 --> 02:26:47,000 >> THAT WAS RESIDUAL VOTING. 3873 02:26:47,000 --> 02:26:47,960 I APOLOGIZE. 3874 02:26:47,960 --> 02:26:48,680 SORRY. 3875 02:26:48,680 --> 02:26:50,040 >> OKAY. 3876 02:26:50,040 --> 02:26:50,360 THAT'S FINE. 3877 02:26:50,360 --> 02:26:51,640 DAN, SAME THING, WERE YOU JUST 3878 02:26:51,640 --> 02:26:53,560 VOTING OR DO YOU WANT TO MAKE A 3879 02:26:53,560 --> 02:26:58,360 COMMENT? 3880 02:26:58,360 --> 02:27:00,120 OKAY. 3881 02:27:00,120 --> 02:27:02,680 AND JOSH DENNY IS HERE. 3882 02:27:02,680 --> 02:27:07,400 SO I WILL INTRODUCE HIM. 3883 02:27:07,400 --> 02:27:08,760 I THINK NORA IS UNFORTUNATELY 3884 02:27:08,760 --> 02:27:11,160 NOT ABLE TO BE HERE, SHE REALLY 3885 02:27:11,160 --> 02:27:13,360 WANTED TO BE. 3886 02:27:13,360 --> 02:27:15,480 DR. DENNY IS CHIEF EXECUTIVE 3887 02:27:15,480 --> 02:27:18,120 OFFICER AT THE NIH "ALL OF US" 3888 02:27:18,120 --> 02:27:19,320 RESEARCH PROGRAM, BEEN INVOLVED 3889 02:27:19,320 --> 02:27:22,160 IN THE PROGRAM SINCE INCEPTION, 3890 02:27:22,160 --> 02:27:24,200 SERVING ON INITIAL ADVISORY 3891 02:27:24,200 --> 02:27:25,680 COMMITTEE, LEADING THE 3892 02:27:25,680 --> 02:27:26,520 PROTOTYPING PROJECT AND SERVING 3893 02:27:26,520 --> 02:27:29,960 AS P.I. OF THE DATA AND RESEARCH 3894 02:27:29,960 --> 02:27:30,200 CENTER. 3895 02:27:30,200 --> 02:27:33,760 DR. DENNY SPENT HIS CAREER AS A 3896 02:27:33,760 --> 02:27:34,800 PHYSICIAN-SCIENTIST IMPROVING 3897 02:27:34,800 --> 02:27:35,440 PATIENT CARE THROUGH ADVANCEMENT 3898 02:27:35,440 --> 02:27:36,160 OF PRECISION MEDICINE. 3899 02:27:36,160 --> 02:27:38,040 TODAY HE WILL BE DISCUSSING WAYS 3900 02:27:38,040 --> 02:27:40,040 THE "ALL OF US" RESEARCH PROGRAM 3901 02:27:40,040 --> 02:27:43,480 CAN BE USED TO FIND DRUG ABUSE 3902 02:27:43,480 --> 02:27:43,720 SOLUTIONS. 3903 02:27:43,720 --> 02:27:45,680 WE LOOK FORWARD TO HEARING HOW 3904 02:27:45,680 --> 02:27:50,080 WE MAY COLLABORATE. 3905 02:27:50,080 --> 02:27:50,320 DR. DENNY? 3906 02:27:50,320 --> 02:27:51,720 IT'S A REAL PLEASURE TO TALK TO 3907 02:27:51,720 --> 02:27:54,280 ALL OF YOU. 3908 02:27:54,280 --> 02:27:56,760 I APPRECIATE THE OPPORTUNITY AND 3909 02:27:56,760 --> 02:27:57,360 INVITATION. 3910 02:27:57,360 --> 02:27:58,760 NORA CAN'T BE HERE BUT I 3911 02:27:58,760 --> 02:28:00,920 CERTAINLY HAVE THANKED HER FOR 3912 02:28:00,920 --> 02:28:04,200 THE INVITATION TO SPEAK AND THIS 3913 02:28:04,200 --> 02:28:05,160 IS A POINT THAT'S VERY 3914 02:28:05,160 --> 02:28:07,360 INTERESTING FOR US AS A PROGRAM, 3915 02:28:07,360 --> 02:28:09,000 SOMETHING WE WANT TO SEE MORE 3916 02:28:09,000 --> 02:28:11,600 RESEARCH ON, AND ONE OF THE MANY 3917 02:28:11,600 --> 02:28:14,040 USE CASES WE BELIEVE THE "ALL OF 3918 02:28:14,040 --> 02:28:14,280 US" RESEARCH PROGRAM. 3919 02:28:14,280 --> 02:28:15,720 THE PROGRAM WAS ANNOUNCED IN 3920 02:28:15,720 --> 02:28:17,160 2015, LAUNCHED NATIONALLY IN 3921 02:28:17,160 --> 02:28:22,080 2018 FOR RECRUITMENT. 3922 02:28:22,080 --> 02:28:24,040 OUR MISSION IS TO ACCELERATE 3923 02:28:24,040 --> 02:28:26,560 HEALTH RESEARCH AND MEDICAL 3924 02:28:26,560 --> 02:28:30,320 BREAKTHROUGHS ENABLING 3925 02:28:30,320 --> 02:28:32,320 PREVENTION TREATMENT AND CARE. 3926 02:28:32,320 --> 02:28:34,160 FIRST IS NURTURING PARTNERSHIPS, 3927 02:28:34,160 --> 02:28:35,160 WITH A MILLION PARTICIPANTS, 3928 02:28:35,160 --> 02:28:38,560 REFLECTING DIVERSITY OF THE 3929 02:28:38,560 --> 02:28:38,920 UNITED STATES. 3930 02:28:38,920 --> 02:28:42,520 WE WANT TO DELIVER ONE OF THE 3931 02:28:42,520 --> 02:28:43,080 RICHEST DATASETS BROADLY 3932 02:28:43,080 --> 02:28:45,160 AVAILABLE AND SECURE. 3933 02:28:45,160 --> 02:28:47,440 WE WANT TO CATALYZE AN ECOSYSTEM 3934 02:28:47,440 --> 02:28:50,960 OF COMMUNITIES, RESEARCHERS, 3935 02:28:50,960 --> 02:28:52,040 FUNDERS, MAKING "ALL OF US" A 3936 02:28:52,040 --> 02:28:56,880 PART OF HEALTH RESEARCH, WITH 3937 02:28:56,880 --> 02:28:58,400 THE TEAM BUILT AROUND CORE 3938 02:28:58,400 --> 02:29:00,040 VALUES, VERY IMPORTANT TO US. 3939 02:29:00,040 --> 02:29:02,680 THAT INCLUDES TRUST WITH OUR 3940 02:29:02,680 --> 02:29:04,520 PARTICIPANTS, TRANSPARENCY, 3941 02:29:04,520 --> 02:29:11,320 MAKING A DATASET BROADLY 3942 02:29:11,320 --> 02:29:12,760 AVAILABLE, BEING A CATALYST FOR 3943 02:29:12,760 --> 02:29:17,920 CHANGE IN THE RESEARCH 3944 02:29:17,920 --> 02:29:18,200 ECOSYSTEM. 3945 02:29:18,200 --> 02:29:18,720 I MENTIONED WE STARTED OUR 3946 02:29:18,720 --> 02:29:19,560 NATIONAL LAUNCH IN MAY OF 2018. 3947 02:29:19,560 --> 02:29:22,800 AND SINCE THEN MORE THAN 490,000 3948 02:29:22,800 --> 02:29:23,840 PARTICIPANTS HAVE CONSENTED TO 3949 02:29:23,840 --> 02:29:26,560 JOIN THE PROGRAM. 3950 02:29:26,560 --> 02:29:28,480 PARTICIPANTS CAN JOIN AND 3951 02:29:28,480 --> 02:29:29,480 PARTICIPATE IN DIFFERENT WAYS, 3952 02:29:29,480 --> 02:29:32,640 SHARING DIFFERENT INFORMATION. 3953 02:29:32,640 --> 02:29:33,280 WE HAVE COLLECTED NEARLY 300,000 3954 02:29:33,280 --> 02:29:34,720 ELECTRONIC HEALTH RECORD FROM 3955 02:29:34,720 --> 02:29:35,920 OUR PARTICIPANTS, MANY MORE OF 3956 02:29:35,920 --> 02:29:37,840 COURSE HAVE GIVEN US PERMISSION 3957 02:29:37,840 --> 02:29:39,320 TO GET THEM. 3958 02:29:39,320 --> 02:29:41,280 AND WE CONTINUE TO GROW IN THAT 3959 02:29:41,280 --> 02:29:46,200 SPACE, AS WE FIND NEW WAYS OF 3960 02:29:46,200 --> 02:29:48,040 GETTING THOSE ACROSS PROVIDERS 3961 02:29:48,040 --> 02:29:51,480 AND SYSTEMS. 3962 02:29:51,480 --> 02:29:52,120 WE'VE COLLECTED 360,000 3963 02:29:52,120 --> 02:29:54,520 BIOSAMPLES, DNA AS THE CORE BUT 3964 02:29:54,520 --> 02:29:59,320 WE COLLECT OTHERS. 3965 02:29:59,320 --> 02:30:00,840 BLOOD, SERUM, PLASMA, URINE, 3966 02:30:00,840 --> 02:30:03,080 CELL-FREE RNA AND DNA. 3967 02:30:03,080 --> 02:30:05,960 LIKE MANY PROGRAMS WE WERE 3968 02:30:05,960 --> 02:30:08,120 DRAMATICALLY AFFECTED BY 3969 02:30:08,120 --> 02:30:08,360 COVID-19. 3970 02:30:08,360 --> 02:30:11,040 WE MORE THAN 99% OF OUR 3971 02:30:11,040 --> 02:30:13,320 BIOSPECIMEN COLLECTIONS WERE IN 3972 02:30:13,320 --> 02:30:15,000 PERSON, WHEN COVID STRUCK. 3973 02:30:15,000 --> 02:30:18,800 AND SO WE HAD TO CREATE NEW WAYS 3974 02:30:18,800 --> 02:30:20,120 OF ADJUSTING TO THAT, SAFE WAYS 3975 02:30:20,120 --> 02:30:21,800 TO ENROLL AND WAYS TO REACH 3976 02:30:21,800 --> 02:30:22,880 PEOPLE VIRTUALLY. 3977 02:30:22,880 --> 02:30:27,840 SO WE DID VIRTUAL ENGAGEMENT HE 3978 02:30:27,840 --> 02:30:29,240 WAS, DELIVERED SALIVA PROTOCOLS 3979 02:30:29,240 --> 02:30:31,640 TO SENT KITS IN THE MAIL, HAD TO 3980 02:30:31,640 --> 02:30:33,600 TEST THOSE WOULD BE SAFE AS WE 3981 02:30:33,600 --> 02:30:34,920 LEARNED ABOUT COVID IN THAT 3982 02:30:34,920 --> 02:30:36,360 SITUATION AS WELL. 3983 02:30:36,360 --> 02:30:39,520 AND HAVE RESTARTED OUR IN-PERSON 3984 02:30:39,520 --> 02:30:41,840 EFFORTS IN SAFE WAYS OVER THE 3985 02:30:41,840 --> 02:30:46,720 LAST 18 MONTHS OR SO IN SLOW AND 3986 02:30:46,720 --> 02:30:47,760 PROGRESSIVE WAYS. 3987 02:30:47,760 --> 02:30:49,280 WE'VE RECRUITED FROM 50 STATES 3988 02:30:49,280 --> 02:30:50,880 AND U.S. TERRITORIES. 3989 02:30:50,880 --> 02:30:52,800 DARKER AREAS HERE REPRESENT 3990 02:30:52,800 --> 02:30:55,200 STATES THAT HAVE HIGHER 3991 02:30:55,200 --> 02:30:56,320 PARTICIPATION, LARGELY BECAUSE 3992 02:30:56,320 --> 02:30:57,560 WE TYPICALLY HAVE HEALTH CARE 3993 02:30:57,560 --> 02:30:58,200 PROVIDER ORGANIZATIONS AS PART 3994 02:30:58,200 --> 02:31:00,680 OF THAT BUT WE CAN ENROLL FROM 3995 02:31:00,680 --> 02:31:03,040 ANYWHERE VIRTUALLY. 3996 02:31:03,040 --> 02:31:04,920 LIKE I SAID, CAN SEND A SALIVA 3997 02:31:04,920 --> 02:31:09,280 KIT ANYWHERE SO PEOPLE CAN 3998 02:31:09,280 --> 02:31:10,440 ENROLL IN MANY PLACES AND 3999 02:31:10,440 --> 02:31:11,720 LAUNCHING TO REACH PEOPLE TO 4000 02:31:11,720 --> 02:31:14,240 DONATE BLOOD IN OTHER STATES AS 4001 02:31:14,240 --> 02:31:19,280 WELL, WHERE WE CONT -- DON'T 4002 02:31:19,280 --> 02:31:23,360 HAVE HEALTH CARE PROVIDER 4003 02:31:23,360 --> 02:31:24,280 ORGANIZATIONS. 4004 02:31:24,280 --> 02:31:29,400 MISSION, TO OVERREPRESENT 4005 02:31:29,400 --> 02:31:31,120 UNDERREPRESENTED POPULATIONS, 4006 02:31:31,120 --> 02:31:31,880 80% ARE UNDERREPRESENTED BY 4007 02:31:31,880 --> 02:31:35,440 RESEARCH INCLUDING RACE AND 4008 02:31:35,440 --> 02:31:36,680 ETHNICITY, OVER 50% IDENTIFIES 4009 02:31:36,680 --> 02:31:39,120 AS A RACE AND ETHNICITY OTHER 4010 02:31:39,120 --> 02:31:41,080 THAN WHITE NON-HISPANIC. 4011 02:31:41,080 --> 02:31:42,360 AND BUT IT'S MUCH BROADER, IF 4012 02:31:42,360 --> 02:31:44,600 YOU LOOK AT THE OTHER UBR 4013 02:31:44,600 --> 02:31:45,000 CATEGORIES. 4014 02:31:45,000 --> 02:31:47,720 MOST OF THE PEOPLE WHO IDENTIFY 4015 02:31:47,720 --> 02:31:49,520 AS WHITE NON-HISPANIC END UP 4016 02:31:49,520 --> 02:31:51,080 BEING UBR IN SOME OTHER 4017 02:31:51,080 --> 02:31:51,520 CATEGORY. 4018 02:31:51,520 --> 02:31:56,200 WE THINK ABOUT THAT IN AGE, SEX 4019 02:31:56,200 --> 02:31:58,720 AT BIRTH, GENDER IDENTITY, 4020 02:31:58,720 --> 02:31:59,480 SEXUAL ORIENTATION, EDUCATIONAL 4021 02:31:59,480 --> 02:32:04,720 ATTAINMENT, OTHER FACTORS. 4022 02:32:04,720 --> 02:32:05,520 WE'VE ADDED DISABILITY. 4023 02:32:05,520 --> 02:32:08,040 .1% IS NOT CORRECT AS WE'VE 4024 02:32:08,040 --> 02:32:09,040 IMPLEMENTED, WE HAVE A MUCH 4025 02:32:09,040 --> 02:32:13,640 HIGHER PERCENTAGE OF INDIVIDUALS 4026 02:32:13,640 --> 02:32:17,400 WHO IDENTIFY AS DISABLED. 4027 02:32:17,400 --> 02:32:19,360 WE COLLECT FIVE MAJOR DATA 4028 02:32:19,360 --> 02:32:19,880 STREAMS FROM PARTICIPANTS, 4029 02:32:19,880 --> 02:32:21,840 ELECTRONIC HEALTH RECORD IS A 4030 02:32:21,840 --> 02:32:24,880 CORE TO OUR INFORMATION AND 4031 02:32:24,880 --> 02:32:26,640 PHENOTYPICALLY LONGITUDINALLY, 4032 02:32:26,640 --> 02:32:28,000 WE ALSO IMPLEMENT SURVEYS 4033 02:32:28,000 --> 02:32:29,920 FOCUSING ON KINDS OF INFORMATION 4034 02:32:29,920 --> 02:32:30,680 THAT WE DON'T GET FROM 4035 02:32:30,680 --> 02:32:34,200 ELECTRONIC HEALTH RECORD. 4036 02:32:34,200 --> 02:32:35,320 SO WE LEVERAGE TIME TO DO 4037 02:32:35,320 --> 02:32:36,200 THINGS, SUCH AS SOCIAL 4038 02:32:36,200 --> 02:32:37,920 DETERMINANTS OF HEALTH, THE MOST 4039 02:32:37,920 --> 02:32:39,160 RECENT SURVEY WE LAUNCHED. 4040 02:32:39,160 --> 02:32:43,040 WE DID ONE ON COVID, THAT WAS 4041 02:32:43,040 --> 02:32:44,160 REPEATED SIX TIMES. 4042 02:32:44,160 --> 02:32:48,000 WE'VE ASKED OTHER QUESTIONS, 4043 02:32:48,000 --> 02:32:49,880 BASIC QUESTIONS AROUND 4044 02:32:49,880 --> 02:32:51,840 DEMOGRAPHICS AND INCOME AND 4045 02:32:51,840 --> 02:32:53,920 SOCIOECONOMIC STATUS, ACCESS TO 4046 02:32:53,920 --> 02:32:55,520 CARE, PAST MEDICAL AND FAMILY 4047 02:32:55,520 --> 02:32:57,800 HISTORY, THINGS LIKE THAT AS 4048 02:32:57,800 --> 02:32:58,000 WELL. 4049 02:32:58,000 --> 02:33:02,000 WE HAVE A BASIC SET OF PHYSICAL 4050 02:33:02,000 --> 02:33:02,280 MEASURES. 4051 02:33:02,280 --> 02:33:03,720 I MENTIONED BIOSAMPLES WE 4052 02:33:03,720 --> 02:33:05,920 COLLECT, AND THEN WE ALSO ALLOW 4053 02:33:05,920 --> 02:33:07,600 PEOPLE TO LINK IN, DIGITAL 4054 02:33:07,600 --> 02:33:09,720 HEALTH TECHNOLOGIES RIGHT NOW 4055 02:33:09,720 --> 02:33:12,520 THROUGH FITBIT, APPLE HEALTH KIT 4056 02:33:12,520 --> 02:33:14,480 DATA AND WE'VE STARTED A PILOT, 4057 02:33:14,480 --> 02:33:18,320 GIVING OUT A COUPLE THOUSAND 4058 02:33:18,320 --> 02:33:20,840 FITBITS AS WELL TO DIFFERENT 4059 02:33:20,840 --> 02:33:21,160 PARTICIPANTS. 4060 02:33:21,160 --> 02:33:22,480 ONE OF THE OTHER CORE TENETS OF 4061 02:33:22,480 --> 02:33:26,160 OUR PROGRAM IS WE SEEK TO GET 4062 02:33:26,160 --> 02:33:27,400 INFORMATION BACK TO 4063 02:33:27,400 --> 02:33:28,320 PARTICIPANTS. 4064 02:33:28,320 --> 02:33:31,440 AS WE DID ENGAGEMENT STUDIOS IN 4065 02:33:31,440 --> 02:33:34,360 17 CITIES, BEFORE WE RECRUITED 4066 02:33:34,360 --> 02:33:36,840 OUR FIRST PARTICIPANTS, WE FOUND 4067 02:33:36,840 --> 02:33:39,760 IT WAS IMPORTANT TO PEOPLE THAT 4068 02:33:39,760 --> 02:33:41,840 THEY VALUED ESPECIALLY GENETIC 4069 02:33:41,840 --> 02:33:42,600 INFORMATION BACK. 4070 02:33:42,600 --> 02:33:45,640 WE PRESENTED WITH A NUMBER OF 4071 02:33:45,640 --> 02:33:45,920 SCENARIOS. 4072 02:33:45,920 --> 02:33:47,560 MOST PEOPLE JOINED AND THINK 4073 02:33:47,560 --> 02:33:50,840 ABOUT AND HAVE AN ALTRUISTIC 4074 02:33:50,840 --> 02:33:53,800 DRIVE TO BENEFIT MEDICAL 4075 02:33:53,800 --> 02:33:55,280 SCIENCE, BENEFIT COMMUNITIES, 4076 02:33:55,280 --> 02:33:56,360 COMMUNITIES LIKE THEIRS, AND 4077 02:33:56,360 --> 02:33:57,200 THAT SORT OF THING. 4078 02:33:57,200 --> 02:33:59,480 BUT WHEN YOU THINK ABOUT WAYS WE 4079 02:33:59,480 --> 02:34:01,560 CAN INTERACT AND ENGAGE PEOPLE, 4080 02:34:01,560 --> 02:34:03,200 AND THINK ABOUT DIFFERENT 4081 02:34:03,200 --> 02:34:06,520 ELEMENTS WE CAN RETURN, GETTING 4082 02:34:06,520 --> 02:34:07,960 HEALTH INFORMATION BACK FROM 4083 02:34:07,960 --> 02:34:10,800 GENETICS WAS NUMBER ONE THING 4084 02:34:10,800 --> 02:34:11,360 PEOPLE IDENTIFIED. 4085 02:34:11,360 --> 02:34:13,520 THEY TALKED ABOUT GENETIC 4086 02:34:13,520 --> 02:34:14,760 ANCESTRY, SOMETHING THAT WE 4087 02:34:14,760 --> 02:34:17,920 COULD RETURN MORE SIMPLY BECAUSE 4088 02:34:17,920 --> 02:34:18,560 IT DOESN'T INVOLVE INTERACTION 4089 02:34:18,560 --> 02:34:19,880 WITH THE FDA, YOU DON'T HAVE TO 4090 02:34:19,880 --> 02:34:21,960 DO THE SAME DEGREE OF 4091 02:34:21,960 --> 02:34:22,440 VERIFICATION. 4092 02:34:22,440 --> 02:34:25,400 YOU'RE NOT NECESSARILY LOOKING 4093 02:34:25,400 --> 02:34:28,080 AT RARE GENETIC VARIANTS. 4094 02:34:28,080 --> 02:34:30,080 WE LAUNCHED THAT IN DECEMBER OF 4095 02:34:30,080 --> 02:34:32,240 2021 AND YOU CAN SEE -- SORRY, 4096 02:34:32,240 --> 02:34:33,480 DECEMBER OF 2020, WE'VE BEEN 4097 02:34:33,480 --> 02:34:35,400 DOING THIS FOR A YEAR AND A HALF 4098 02:34:35,400 --> 02:34:36,040 NOW. 4099 02:34:36,040 --> 02:34:40,240 THE KINDS OF INFORMATION THAT WE 4100 02:34:40,240 --> 02:34:42,840 RETURNED CURRENTLY WITH GENETIC 4101 02:34:42,840 --> 02:34:43,960 ANCESTRY AND NON-HEALTH RELATED 4102 02:34:43,960 --> 02:34:46,000 TRAITS AND RETURNED THAT TO -- 4103 02:34:46,000 --> 02:34:49,000 OFFERED TO OVER 100,000 PEOPLE. 4104 02:34:49,000 --> 02:34:51,280 WITH HEALTH INFORMATION, TWO 4105 02:34:51,280 --> 02:34:54,840 MAJOR CATEGORIES, HEREDITARY 4106 02:34:54,840 --> 02:34:58,720 DISEASE RISK, SO-CALLED ACMG 59, 4107 02:34:58,720 --> 02:35:03,280 AND INCLUDING HEREDITARY CANCER 4108 02:35:03,280 --> 02:35:11,200 SYNDROMES, SOME HEREDITARY 4109 02:35:11,200 --> 02:35:11,880 CARDIOMYOPATHY, ALL INTERVENABLE 4110 02:35:11,880 --> 02:35:17,400 IF YOU HAVE A GENETIC VARIANT. 4111 02:35:17,400 --> 02:35:18,040 WE DO AS WITH STANDARD PRACTICE 4112 02:35:18,040 --> 02:35:21,000 DO THE TEST, CONFIRMATORY 4113 02:35:21,000 --> 02:35:23,600 TESTING, OFFER THE CLINICAL TEST 4114 02:35:23,600 --> 02:35:25,280 AS WELL. 4115 02:35:25,280 --> 02:35:26,600 PHARMACO GENETICS IS ANOTHER 4116 02:35:26,600 --> 02:35:29,440 KIND OF INFORMATION THAT WE 4117 02:35:29,440 --> 02:35:31,080 FOUND VALUABLE TO PARTICIPANTS, 4118 02:35:31,080 --> 02:35:33,320 AND SO WE'RE CURRENTLY GOING TO 4119 02:35:33,320 --> 02:35:35,960 BE PLANNING TO RELEASE SEVEN 4120 02:35:35,960 --> 02:35:40,320 GENES, RELATED TO CLINICAL 4121 02:35:40,320 --> 02:35:41,360 PHARMACOLOGIC PHARMACO GENETIC 4122 02:35:41,360 --> 02:35:44,840 LEVEL A GENE DRUG INTERACTION 4123 02:35:44,840 --> 02:35:46,640 PAIRS, AND THOSE ARE SOMETHING 4124 02:35:46,640 --> 02:35:48,680 WE ALSO PLAN TO RELEASE. 4125 02:35:48,680 --> 02:35:53,760 BOTH ARE THINGS THAT WE'RE 4126 02:35:53,760 --> 02:35:56,680 TARGETING TO RELEASE WITHIN A 4127 02:35:56,680 --> 02:35:59,680 YEAR TIME FRAME, HOPEFULLY THE 4128 02:35:59,680 --> 02:36:01,840 END OF 2022, EARLY 2023. 4129 02:36:01,840 --> 02:36:04,040 THESE ELEMENTS WE EXPECT ABOUT 4130 02:36:04,040 --> 02:36:07,280 3% OF PEOPLE, 2 TO 3% WILL HAVE 4131 02:36:07,280 --> 02:36:12,520 A POSITIVE ACMG 59 RETURN OF 4132 02:36:12,520 --> 02:36:17,720 RESULT, WON'T KNOW BEFORE WE 4133 02:36:17,720 --> 02:36:17,960 TELL THEM. 4134 02:36:17,960 --> 02:36:19,160 PHARMACOGENETICS, MOST PEOPLE 4135 02:36:19,160 --> 02:36:20,560 WILL HAVE A RESULT THAT'S 4136 02:36:20,560 --> 02:36:20,880 ACTIONABLE. 4137 02:36:20,880 --> 02:36:22,800 WE'VE LOOKED IN OUR DATA AND 4138 02:36:22,800 --> 02:36:27,400 EXPECT 96% OF PEOPLE WOULD HAVE 4139 02:36:27,400 --> 02:36:28,160 ACTIONABLE DRUG-GENE INTERACTION 4140 02:36:28,160 --> 02:36:30,600 IF THEY HAPPEN TO BE EXPOSED TO 4141 02:36:30,600 --> 02:36:32,320 THE DRUG OF INTEREST. 4142 02:36:32,320 --> 02:36:36,040 WE TALK ABOUT DOING RESEARCH ON 4143 02:36:36,040 --> 02:36:37,280 THE DATASET. 4144 02:36:37,280 --> 02:36:39,560 THIS IS A SNAPSHOT OF OUR 4145 02:36:39,560 --> 02:36:41,160 CURRENTLY RELEASED DATASET SO WE 4146 02:36:41,160 --> 02:36:43,240 FIRST RELEASED DATA TO 4147 02:36:43,240 --> 02:36:46,680 RESEARCHERS IN OUR CLOUD-BASED 4148 02:36:46,680 --> 02:36:49,160 ENVIRONMENT, IN MAY OF 2020. 4149 02:36:49,160 --> 02:36:51,160 AND THOSE DATASETS OF COURSE 4150 02:36:51,160 --> 02:36:54,320 LAG, WHERE PEOPLE ARE CURRENTLY 4151 02:36:54,320 --> 02:36:54,560 ENROLLING. 4152 02:36:54,560 --> 02:36:56,400 WE HAVE ABOUT 330,000 PEOPLE IN 4153 02:36:56,400 --> 02:37:00,600 CURRENTLY RELEASED DATASETS, YOU 4154 02:37:00,600 --> 02:37:02,440 CAN SEE MEASUREMENTS, EHRs ET 4155 02:37:02,440 --> 02:37:04,960 CETERA. 4156 02:37:04,960 --> 02:37:07,680 11,000 FIT BIT RECORDS, 20,000 4157 02:37:07,680 --> 02:37:12,520 SETS OF DATA DONATED SO FAR, 4158 02:37:12,520 --> 02:37:14,280 RELEASED 11,000. 4159 02:37:14,280 --> 02:37:17,680 DIFFERENT ORDER OF MAGNITUDE BUT 4160 02:37:17,680 --> 02:37:18,240 REPRESENTS A UNIQUE DATASET, 4161 02:37:18,240 --> 02:37:19,320 THAT AREN'T THAT MANY PUBLICLY 4162 02:37:19,320 --> 02:37:21,640 AVAILABLE DATASETS OUT THERE TO 4163 02:37:21,640 --> 02:37:24,160 GO ANALYZE AND TO ANALYZE ACROSS 4164 02:37:24,160 --> 02:37:25,320 ALL THESE OTHER DATASETS. 4165 02:37:25,320 --> 02:37:28,320 THE FIGURE ON THE RIGHT GIVES A 4166 02:37:28,320 --> 02:37:31,160 SENSIBLE LONGITUDINALLALITY OF 4167 02:37:31,160 --> 02:37:33,200 OUR DATA BECAUSE THEY GO BACK 4168 02:37:33,200 --> 02:37:37,400 AND WE WORK TO GET AS ROBUST 4169 02:37:37,400 --> 02:37:41,760 DATA FEET AS WE CAN, EVEN THOUGH 4170 02:37:41,760 --> 02:37:43,120 THEY STARTED JOINING IN PILOT 4171 02:37:43,120 --> 02:37:47,000 FORM IN 2017 SMALL NUMBERS, MORE 4172 02:37:47,000 --> 02:37:49,600 ROBUSTLY IN 2018, GOING BACK 40 4173 02:37:49,600 --> 02:37:51,120 YEARS ON SOME PARTICIPANTS, 4174 02:37:51,120 --> 02:37:53,080 INCLUDING PEDIATRIC DATA ON SOME 4175 02:37:53,080 --> 02:37:55,200 PEOPLE EVEN THOUGH WE ONLY 4176 02:37:55,200 --> 02:37:56,720 ENROLL ADULTS 18 OR OVER, WE 4177 02:37:56,720 --> 02:37:59,640 HAVE 20,000 PEOPLE THAT HAVE 4178 02:37:59,640 --> 02:38:01,280 SHARED DATA FROM CHILDHOOD AS 4179 02:38:01,280 --> 02:38:02,280 PART OF THEIR EHR. 4180 02:38:02,280 --> 02:38:06,320 SOME OF THOSE GO BACK TO BIRTH. 4181 02:38:06,320 --> 02:38:07,760 THE CURRENTLY MOST VOLUMINOUS BY 4182 02:38:07,760 --> 02:38:12,000 DATA POINT COUNT IS FITBIT DATA, 4183 02:38:12,000 --> 02:38:13,360 AND THAT GOES BACK TO 2010. 4184 02:38:13,360 --> 02:38:17,920 UNTIL YOU GET TO GENOTYPES, THAT 4185 02:38:17,920 --> 02:38:18,560 WAS THE MOST VOLUMINOUS PART OF 4186 02:38:18,560 --> 02:38:19,960 DATA WE HAVE. 4187 02:38:19,960 --> 02:38:23,040 WE RECENTLY RELEASED 100,000 4188 02:38:23,040 --> 02:38:25,080 WHOLE GENOMES, 165,000 ARRAYS. 4189 02:38:25,080 --> 02:38:28,000 A FEW MONTHS AGO. 4190 02:38:28,000 --> 02:38:30,640 THAT DATASET INAUGURATED OUR 4191 02:38:30,640 --> 02:38:32,920 CONTROL TIER, CONTROL TIER DATA 4192 02:38:32,920 --> 02:38:35,160 MOVES FROM DATASET THAT HAD 4193 02:38:35,160 --> 02:38:39,560 SHIFTED DATES TO REAL DATES AND 4194 02:38:39,560 --> 02:38:40,800 TIME, IT'S A DIFFERENT PROCESS, 4195 02:38:40,800 --> 02:38:42,120 SLIGHTLY IN TERMS OF APPLICATION 4196 02:38:42,120 --> 02:38:44,200 BUT STILL VERY EASY TO GO 4197 02:38:44,200 --> 02:38:45,080 THROUGH AND THERE'S SOME 4198 02:38:45,080 --> 02:38:48,880 ADDITIONAL TRAINING TO USE THE 4199 02:38:48,880 --> 02:38:50,640 DATASET. 4200 02:38:50,640 --> 02:38:59,680 I MENTIONED IT'S ABOUT 100,000 4201 02:38:59,680 --> 02:39:02,720 GENOME, 165,000 ARRAYS. 4202 02:39:02,720 --> 02:39:07,040 APPROXIMATELY 600 MILLION UNIQUE 4203 02:39:07,040 --> 02:39:07,960 VARIANTS, 400 MILLION OCCURRED 4204 02:39:07,960 --> 02:39:13,320 AT LEAST ONCE IN THE PLATFORM, 4205 02:39:13,320 --> 02:39:17,400 NOT IN NOMAD, A CONGREGATION 4206 02:39:17,400 --> 02:39:18,640 SITE WITH TENS OF THOUSANDS OF 4207 02:39:18,640 --> 02:39:19,560 GENOMES SHARED. 4208 02:39:19,560 --> 02:39:21,200 AND THAT IS OFTEN USED TO SEE 4209 02:39:21,200 --> 02:39:24,040 WHAT FREQUENCY OF VARIANTS IS IN 4210 02:39:24,040 --> 02:39:24,520 DIFFERENT POPULATIONS. 4211 02:39:24,520 --> 02:39:27,080 100 MILLION OF THOSE VARIANTS IN 4212 02:39:27,080 --> 02:39:29,840 OUR DATASETS OCCUR IN THREE OF 4213 02:39:29,840 --> 02:39:31,120 OUR PARTICIPANTS, SO CERTAINLY 4214 02:39:31,120 --> 02:39:34,200 NOT AT THIS POINT LIKELY A 4215 02:39:34,200 --> 02:39:35,080 GENOTYPING ERROR. 4216 02:39:35,080 --> 02:39:36,720 AND ARE NOT IN NOMAD. 4217 02:39:36,720 --> 02:39:38,480 IT SPEAKS TO THE DIVERSITY OF 4218 02:39:38,480 --> 02:39:40,320 THE DATASET WE HAVE, UNIQUENESS 4219 02:39:40,320 --> 02:39:41,960 OF IT. 4220 02:39:41,960 --> 02:39:44,680 AND IN FACT IF YOU LOOK IT'S NO 4221 02:39:44,680 --> 02:39:47,440 SURPRISE TO MOST OF YOU THAT THE 4222 02:39:47,440 --> 02:39:50,080 VAST MAJORITY OF GENETIC TESTING 4223 02:39:50,080 --> 02:39:51,720 SO FAR AND GENETIC GENOME WIDE 4224 02:39:51,720 --> 02:39:55,120 ASSOCIATION STUDIES HAVE BEEN 4225 02:39:55,120 --> 02:39:57,280 DONE IN EUROPEAN POPULATIONS. 4226 02:39:57,280 --> 02:40:00,480 CURRENT DATA AS OF FEBRUARY, 96% 4227 02:40:00,480 --> 02:40:02,000 OF ALL GENOME WIDE ASSOCIATION 4228 02:40:02,000 --> 02:40:03,640 STUDIES WERE DONE IN PEOPLE OF 4229 02:40:03,640 --> 02:40:04,280 EUROPEAN ANCESTRY. 4230 02:40:04,280 --> 02:40:08,280 YOU CAN LOOK AT LESS THAN 1% OUT 4231 02:40:08,280 --> 02:40:12,800 THERE, BLACK AFRICAN, AFRICAN 4232 02:40:12,800 --> 02:40:14,840 AMERICAN, LESS THAN 1% LATINO OR 4233 02:40:14,840 --> 02:40:24,440 RESPONSIBLE ISSUE, SO THESE ARE 4234 02:40:24,440 --> 02:40:27,880 WHOLE GENOME DATA, NOT JUST 4235 02:40:27,880 --> 02:40:29,240 GENOTYPING DATA THIS COLLECTS. 4236 02:40:29,240 --> 02:40:32,640 SO GETTING THAT DATA OUT THERE 4237 02:40:32,640 --> 02:40:33,960 AND MAKING ANALYSIS EASY HAS 4238 02:40:33,960 --> 02:40:35,080 BEEN SOMETHING WE'RE WORKING 4239 02:40:35,080 --> 02:40:37,320 TOWARDS, I'LL TELL YOU IT'S A 4240 02:40:37,320 --> 02:40:39,000 PROCESS, AND WE CONTINUE TO 4241 02:40:39,000 --> 02:40:39,240 EVOLVE. 4242 02:40:39,240 --> 02:40:40,840 ONE OF THE THINGS WE RELEASEED 4243 02:40:40,840 --> 02:40:43,720 FIRST WAS A DATA BROWSER. 4244 02:40:43,720 --> 02:40:46,680 THE IDEA WAS TO MAKE A WEBSITE 4245 02:40:46,680 --> 02:40:48,960 THAT YOU CAN GO QUERY, QUERY 4246 02:40:48,960 --> 02:40:54,560 RIGHT NOW ON YOUR PHONE OR OTHER 4247 02:40:54,560 --> 02:41:02,160 FOLLOWING A QR CODE AND LOOK AT 4248 02:41:02,160 --> 02:41:03,240 THE CURATED DATA, SURVEY 4249 02:41:03,240 --> 02:41:04,040 QUESTIONS, PHYSICAL MEASURES, 4250 02:41:04,040 --> 02:41:06,560 ALL THOSE THINGS AND SEE SIMPLE 4251 02:41:06,560 --> 02:41:07,760 CROSS-TABS OF DATA. 4252 02:41:07,760 --> 02:41:12,040 THIS IS WHAT'S PUBLIC, SO IT'S 4253 02:41:12,040 --> 02:41:12,880 BLURRED, AGGREGATED, WE LIMIT 4254 02:41:12,880 --> 02:41:18,360 INTERSECTIONS BUT THE IDEA IS TO 4255 02:41:18,360 --> 02:41:21,320 SAY IS A HYPOTHESIS TESTABLE? 4256 02:41:21,320 --> 02:41:24,000 HERE'S AN EXAMPLE, LOOKING AT 4257 02:41:24,000 --> 02:41:24,240 OPIOID. 4258 02:41:24,240 --> 02:41:34,800 ONE THING IS WE MAP ACROSS ERH 4259 02:41:35,600 --> 02:41:36,440 TERMINOLOGY, BILLING CODES, 4260 02:41:36,440 --> 02:41:39,920 SNOMED AND OTHERS, SO YOU CAN 4261 02:41:39,920 --> 02:41:42,680 SEE 6800 PEOPLE HAVE A DIAGNOSIS 4262 02:41:42,680 --> 02:41:43,360 OF OPIOID DEPENDENCE. 4263 02:41:43,360 --> 02:41:45,320 AND YOU CAN SEE THE OTHER 4264 02:41:45,320 --> 02:41:46,560 DIFFERENT CONDITIONS LISTED. 4265 02:41:46,560 --> 02:41:48,680 YOU CAN SEARCH THROUGH THOSE AND 4266 02:41:48,680 --> 02:41:50,120 SEE WHETHER THE MEDICATION 4267 02:41:50,120 --> 02:41:54,080 EXPOSURE OF INTEREST IS FREQUENT 4268 02:41:54,080 --> 02:41:56,360 ENOUGH, THINGS LIKE THAT. 4269 02:41:56,360 --> 02:41:58,280 TO DO AN ANALYSIS WE HAVE THE 4270 02:41:58,280 --> 02:41:58,760 RESEARCHER WORKBENCH. 4271 02:41:58,760 --> 02:42:02,720 THIS IS HOW YOU GET ACCESS TO 4272 02:42:02,720 --> 02:42:05,320 THAT ROW LEVEL INDIVIDUAL 4273 02:42:05,320 --> 02:42:06,760 PARTICIPANT DATASET. 4274 02:42:06,760 --> 02:42:10,160 ALL OF OUR DATASETS HAVE 4275 02:42:10,160 --> 02:42:11,040 OBVIOUSLY IDENTIFIERS REMOVED, 4276 02:42:11,040 --> 02:42:13,320 ALL OPERATE AS NON-HUMAN 4277 02:42:13,320 --> 02:42:14,440 SUBJECTS RESEARCH. 4278 02:42:14,440 --> 02:42:17,560 WE FORMALLY DO TEST 4279 02:42:17,560 --> 02:42:18,800 RE-IDENTIFICATION RISK OF THESE 4280 02:42:18,800 --> 02:42:19,080 MODELS. 4281 02:42:19,080 --> 02:42:21,080 IT'S A CLOUD BASED CENTRAL 4282 02:42:21,080 --> 02:42:21,720 RESOURCE. 4283 02:42:21,720 --> 02:42:28,120 YOU DO THE TRAINING AND THEN IT 4284 02:42:28,120 --> 02:42:29,520 INCLUDES AFFILIATION, 4285 02:42:29,520 --> 02:42:31,560 ESSENTIALLY USUALLY WITH MOST 4286 02:42:31,560 --> 02:42:34,400 INSTITUTIONS VERY RAPID APPROVAL 4287 02:42:34,400 --> 02:42:35,960 BY THAT INSTITUTION IN AN 4288 02:42:35,960 --> 02:42:37,680 AUTOMATED WAY TO BE ABLE TO 4289 02:42:37,680 --> 02:42:38,760 ACCESS THE RESOURCE. 4290 02:42:38,760 --> 02:42:42,520 ONCE IN THAT WE DO THE WORK IN 4291 02:42:42,520 --> 02:42:44,040 OUR CLOUD-BASED MODEL, GRANTED 4292 02:42:44,040 --> 02:42:45,440 PASSPORT ACCESS SO YOU CAN 4293 02:42:45,440 --> 02:42:47,360 CREATE A WORKSPACE FOR EACH 4294 02:42:47,360 --> 02:42:48,000 ANALYSIS, DESCRIBE WHAT YOU'RE 4295 02:42:48,000 --> 02:42:49,760 GOING TO DO, YOU HAVE ACCESS TO 4296 02:42:49,760 --> 02:42:50,800 DO THE ANALYSIS. 4297 02:42:50,800 --> 02:42:54,160 YOU DON'T HAVE TO DO A SEPARATE 4298 02:42:54,160 --> 02:42:55,880 IRB PROPOSAL OR YOU'RE GRANTED 4299 02:42:55,880 --> 02:42:57,480 ACCESS AS A PERSON AND YOU GET 4300 02:42:57,480 --> 02:43:00,240 TO DO THE ANALYSIS AND CREATE 4301 02:43:00,240 --> 02:43:02,200 NEW ANALYSES, WORK SETS ON THE 4302 02:43:02,200 --> 02:43:03,400 FLY, AND THOSE ARE MADE PUBLIC 4303 02:43:03,400 --> 02:43:05,360 AND CAN BE REVIEWED BY RESOURCE 4304 02:43:05,360 --> 02:43:06,960 ACCESS BOARD BUT WE DON'T 4305 02:43:06,960 --> 02:43:07,920 PREVENT YOU FROM STARTING TO 4306 02:43:07,920 --> 02:43:11,640 WORK ON IT THROUGH A FORMAL 4307 02:43:11,640 --> 02:43:11,880 PROCESS. 4308 02:43:11,880 --> 02:43:14,200 RIGHT NOW ACCESS IS LIMITED TO 4309 02:43:14,200 --> 02:43:18,480 U.S. NON-PROFITS AND ACADEMIC 4310 02:43:18,480 --> 02:43:19,560 AND HEALTH CARE FACILITIES, IF 4311 02:43:19,560 --> 02:43:21,520 YOU'RE A HEALTH CARE FACILITY OR 4312 02:43:21,520 --> 02:43:24,400 ACADEMIC FACILITY YOU CAN BE 4313 02:43:24,400 --> 02:43:25,280 FOR-PROFIT. 4314 02:43:25,280 --> 02:43:27,440 WE RECENTLY EXTENDED ACCESS TO 4315 02:43:27,440 --> 02:43:29,520 THAT GROUP WITHIN THE U.S. 4316 02:43:29,520 --> 02:43:32,200 AND AS WE GO THROUGH IT. 4317 02:43:32,200 --> 02:43:34,280 WE WALK THROUGH BRIEFLY WHAT 4318 02:43:34,280 --> 02:43:36,720 IT'S LIKE TO DO A GENOME WIDE 4319 02:43:36,720 --> 02:43:39,200 ASSOCIATION STUDY, WITH TEST 4320 02:43:39,200 --> 02:43:39,400 DATA. 4321 02:43:39,400 --> 02:43:41,000 WE COULD DO THE REAL THING WITH 4322 02:43:41,000 --> 02:43:43,040 MANY MORE PEOPLE ACTUALLY THAN 4323 02:43:43,040 --> 02:43:45,120 THE SMALL SAMPLE TEST DATA. 4324 02:43:45,120 --> 02:43:50,520 AS YOU COME INTO THE WORK BENCH, 4325 02:43:50,520 --> 02:43:51,920 USER APPROVED, CREATE A 4326 02:43:51,920 --> 02:43:52,200 WORKSPACE. 4327 02:43:52,200 --> 02:43:54,040 YOU CAN USE WEB BASED TOOLS TO 4328 02:43:54,040 --> 02:43:56,080 POINT AND CLICK THROUGH BUILDING 4329 02:43:56,080 --> 02:43:57,840 A COHORT AND SELECTING YOUR 4330 02:43:57,840 --> 02:43:59,520 DATASET AND WHAT VARIABLE US 4331 02:43:59,520 --> 02:44:03,400 WANT IN YOUR DATASET. 4332 02:44:03,400 --> 02:44:05,160 AND THEN IMPORTANTLY MULTIPLE 4333 02:44:05,160 --> 02:44:08,160 USERS FROM WORK WITHIN A 4334 02:44:08,160 --> 02:44:09,240 WORKSPACE, JUST LIKE SHARING 4335 02:44:09,240 --> 02:44:14,160 GOOGLE DOC BE ON -- OR 4336 02:44:14,160 --> 02:44:14,800 SOMETHING. 4337 02:44:14,800 --> 02:44:17,800 YOU CAN EXPORT INTO A JUPYTER 4338 02:44:17,800 --> 02:44:18,600 NOTEBOOK BOOK, CODING BECOMES 4339 02:44:18,600 --> 02:44:21,440 INVOLVED TO DO THE STATISTICAL 4340 02:44:21,440 --> 02:44:24,600 ANALYSIS TO RUN YOUR PLANK, 4341 02:44:24,600 --> 02:44:25,560 HAIL, GENOME ANALYSIS TOOL THAT 4342 02:44:25,560 --> 02:44:28,080 WOULD BE DONE THROUGH A NOTEBOOK 4343 02:44:28,080 --> 02:44:30,720 TYPICALLY, AND THAT WOULD BE 4344 02:44:30,720 --> 02:44:32,040 USING R PYTHON. 4345 02:44:32,040 --> 02:44:35,120 IN THIS TEST EXAMPLE HERE, WE 4346 02:44:35,120 --> 02:44:36,200 HAVE 10 MILLION VARIANTS, 5,000 4347 02:44:36,200 --> 02:44:36,560 PEOPLE. 4348 02:44:36,560 --> 02:44:38,400 ONE OF THE GREAT THINGS ABOUT 4349 02:44:38,400 --> 02:44:40,480 SUCH AN ENVIRONMENT IS ANYONE 4350 02:44:40,480 --> 02:44:43,560 CAN GO THROUGH THAT ANALYSIS, IN 4351 02:44:43,560 --> 02:44:47,160 THIS CASE THE COMPUTE 4352 02:44:47,160 --> 02:44:48,360 ENVIRONMENT UP TO 1,000 CPUs, 4353 02:44:48,360 --> 02:44:52,000 RAN FOR 30 MINUTES, COSTS $30 TO 4354 02:44:52,000 --> 02:44:55,280 DO THIS GWAS. 4355 02:44:55,280 --> 02:44:57,840 IT DOES REPLICATE THE SIGNAL 4356 02:44:57,840 --> 02:45:00,760 THAT TYPE 2 DIABETES WITH THE 4357 02:45:00,760 --> 02:45:02,280 SMALLER POPULATION SET. 4358 02:45:02,280 --> 02:45:05,240 THE REAL POWER COMES NOT JUST 4359 02:45:05,240 --> 02:45:07,200 HAVING GENOME SEQUENCES BUT 4360 02:45:07,200 --> 02:45:08,120 MULTIPLE TIMES OF PHENOTYPE 4361 02:45:08,120 --> 02:45:09,800 DATA, GENOMIC DATA, THIS GIVES A 4362 02:45:09,800 --> 02:45:11,280 SENSE OF HOW MANY DIFFERENT 4363 02:45:11,280 --> 02:45:13,120 PEOPLE HAVE DIFFERENT TYPES OF 4364 02:45:13,120 --> 02:45:13,440 DATA. 4365 02:45:13,440 --> 02:45:15,080 LIKE I SAID, PEOPLE HAVE 4366 02:45:15,080 --> 02:45:17,600 PARTICIPATED IN DIFFERENT WAYS 4367 02:45:17,600 --> 02:45:19,960 AND SHARE DATA, AND WE ACCRUE 4368 02:45:19,960 --> 02:45:21,480 ELECTRONIC HEALTH RECORDS, GET 4369 02:45:21,480 --> 02:45:26,400 GENETIC DATA GENERATED AT 4370 02:45:26,400 --> 02:45:27,840 DIFFERENT RATES, OVER TIME. 4371 02:45:27,840 --> 02:45:30,040 AND WE MENTIONED WHEN WE 4372 02:45:30,040 --> 02:45:33,560 LAUNCHED WE HAVE 2,000 4373 02:45:33,560 --> 02:45:34,640 RESEARCHERS USING IT NOW, 330 4374 02:45:34,640 --> 02:45:35,200 INSTITUTIONS. 4375 02:45:35,200 --> 02:45:38,480 MOST OF THE STATES IN THE U.S. 4376 02:45:38,480 --> 02:45:40,040 ARE REPRESENTED NOW, AND 4377 02:45:40,040 --> 02:45:41,640 IMPORTANTLY MOST OF THE 4378 02:45:41,640 --> 02:45:42,880 INSTITUTIONS HAVE SIGNED MASTER 4379 02:45:42,880 --> 02:45:45,160 AGREEMENTS WHICH MEANS THAT NEW 4380 02:45:45,160 --> 02:45:45,840 RESEARCHERS FROM THE 4381 02:45:45,840 --> 02:45:48,560 INSTITUTIONS CAN COME ON, GO 4382 02:45:48,560 --> 02:45:49,360 THROUGH THE TRAINING, 4383 02:45:49,360 --> 02:45:51,080 ESSENTIALLY VALIDATE THEIR 4384 02:45:51,080 --> 02:45:52,560 E-MAIL ADDRESS WITH THEIR 4385 02:45:52,560 --> 02:45:53,920 INSTITUTION IN THAT LOOP BACK 4386 02:45:53,920 --> 02:45:55,400 HOW MOST OF THESE MASTER 4387 02:45:55,400 --> 02:45:56,000 AGREEMENTS WORK. 4388 02:45:56,000 --> 02:45:58,240 IF YOU'RE IN THAT GROUP, YOU CAN 4389 02:45:58,240 --> 02:46:00,040 GO FROM APPLYING TO USING THE 4390 02:46:00,040 --> 02:46:02,400 RESOURCE AND DOING YOUR FIRST 4391 02:46:02,400 --> 02:46:05,560 SCIENCE IN LESS THAN TWO HOURS 4392 02:46:05,560 --> 02:46:07,320 FOR MOST PEOPLE. 4393 02:46:07,320 --> 02:46:09,640 ABOUT 23%, 25% OF OUR 4394 02:46:09,640 --> 02:46:10,880 INSTITUTIONS REPRESENT MINORITY 4395 02:46:10,880 --> 02:46:12,520 SERVING INSTITUTIONS, OTHER 4396 02:46:12,520 --> 02:46:17,400 TYPES OF NON-PROFITS SUCH AS 4397 02:46:17,400 --> 02:46:19,080 LIKE DO THESE ADVOCACY GROUPS, 4398 02:46:19,080 --> 02:46:21,080 OR COMMUNITY GROUPS. 4399 02:46:21,080 --> 02:46:22,360 ABOUT 6500 PROJECTS UNDERWAY. 4400 02:46:22,360 --> 02:46:24,880 MOST OF THOSE ARE DISEASE 4401 02:46:24,880 --> 02:46:25,360 FOCUSED. 4402 02:46:25,360 --> 02:46:30,120 WE HAVE LOTS OF SUPPORT, OFFICE 4403 02:46:30,120 --> 02:46:32,320 HOURS, TRAINING WORKSHOPS, WE 4404 02:46:32,320 --> 02:46:35,600 HAVE AMBASSADORS WITH DIFFERENT 4405 02:46:35,600 --> 02:46:37,800 ICs, TO HELP RESEARCHERS, 4406 02:46:37,800 --> 02:46:38,840 THERE'S VIDEOS ONLINE, OTHER 4407 02:46:38,840 --> 02:46:40,720 ELEMENTS TO HELP WALK THROUGH 4408 02:46:40,720 --> 02:46:43,120 AND OF COURSE HELP DESK 4409 02:46:43,120 --> 02:46:43,800 FEATURES. 4410 02:46:43,800 --> 02:46:46,240 THIS WALKING THROUGH JUST TWO 4411 02:46:46,240 --> 02:46:48,840 EXAMPLES OF RESEARCH DONE HERE, 4412 02:46:48,840 --> 02:46:50,920 THE FIRST I'LL HIGHLIGHT IS THIS 4413 02:46:50,920 --> 02:46:52,680 WAS THE FIRST PAPER PUBLISHED 4414 02:46:52,680 --> 02:46:55,080 OFF THE RESOURCE. 4415 02:46:55,080 --> 02:46:56,600 AND WHAT THEY DID, A MACHINE 4416 02:46:56,600 --> 02:46:58,440 LEARNING APPLICATION WHERE THEY 4417 02:46:58,440 --> 02:47:02,400 WANTED TO PREDICT WHO WITH 4418 02:47:02,400 --> 02:47:04,760 GLAUCOMA WOULD NEED SURGERY, 4419 02:47:04,760 --> 02:47:09,440 DEVELOPED A MODEL, SINGLE SITE 4420 02:47:09,440 --> 02:47:12,040 BUT WHEN THEY BROUGHT THE DATA 4421 02:47:12,040 --> 02:47:18,440 INTO "ALL OF US," THE ACTUAL 4422 02:47:18,440 --> 02:47:19,920 PERFORMANCE ALGORITHM WAS AUC OF 4423 02:47:19,920 --> 02:47:20,280 .5. 4424 02:47:20,280 --> 02:47:22,920 RANDOM CHANCE, DID NOT WORK 4425 02:47:22,920 --> 02:47:23,680 WELL. 4426 02:47:23,680 --> 02:47:27,960 AS THEY BUILT MODELS TRAINED ON 4427 02:47:27,960 --> 02:47:29,040 MULTI-SITE DATA ACROSS EHRs, 4428 02:47:29,040 --> 02:47:31,200 THAT SORT OF THING, MODELS 4429 02:47:31,200 --> 02:47:32,880 BECAME MORE ROBUST AND ACHIEVED 4430 02:47:32,880 --> 02:47:35,040 FAR BETTER PERFORMANCE. 4431 02:47:35,040 --> 02:47:39,200 YOU SEE BEST PERFORMING MODELS. 4432 02:47:39,200 --> 02:47:42,120 I LIKE THIS IDEA, MULTI-SITE 4433 02:47:42,120 --> 02:47:43,600 DATA, DIVERSE POPULATIONS TO 4434 02:47:43,600 --> 02:47:45,480 TRAIN MORE ROBUST MODELS AS WE 4435 02:47:45,480 --> 02:47:47,640 THINK ABOUT MACHINE LEARNING AND 4436 02:47:47,640 --> 02:47:48,280 ARTIFICIAL INTELLIGENCE BECOMING 4437 02:47:48,280 --> 02:47:52,680 A MORE IMPORTANT PART OF HOW WE 4438 02:47:52,680 --> 02:47:53,320 DELIVER HEALTH CARE. 4439 02:47:53,320 --> 02:47:55,520 THERE'S ANOTHER EXAMPLE OF ONE 4440 02:47:55,520 --> 02:47:58,280 PUBLISHED MORE RECENTLY, THAT 4441 02:47:58,280 --> 02:48:00,520 LOOKED AT ASSOCIATIONS BETWEEN 4442 02:48:00,520 --> 02:48:02,440 OPIOIDS AND MARIJUANA USE AND 4443 02:48:02,440 --> 02:48:06,920 OTHER CLINICAL FACTORS ON 4444 02:48:06,920 --> 02:48:09,200 RETINAL VEIN INCLUSION, THEY 4445 02:48:09,200 --> 02:48:12,280 FOUND ASSOCIATIONS WITH OPIOID 4446 02:48:12,280 --> 02:48:14,240 USE, IN MARIJUANA USE IT'S ON 4447 02:48:14,240 --> 02:48:17,960 THE OTHER DIRECTION OF THE LINE. 4448 02:48:17,960 --> 02:48:21,120 IT DID NOT ASSOCIATE WITH RISK 4449 02:48:21,120 --> 02:48:26,920 OF HAVING RETINAL VEIN 4450 02:48:26,920 --> 02:48:27,280 INCLUSION. 4451 02:48:27,280 --> 02:48:28,800 TYPE 2 DIABETES IS A RISK FACTOR 4452 02:48:28,800 --> 02:48:30,600 AS WELL. 4453 02:48:30,600 --> 02:48:33,720 THERE'S LOTS OF ANALYSES, LOTS 4454 02:48:33,720 --> 02:48:35,720 THAT LOOKED AT HOW OUR AGE 4455 02:48:35,720 --> 02:48:38,160 ADJUSTED RATES COMPARE TO 4456 02:48:38,160 --> 02:48:42,200 NHANES, BECAUSE WE'RE NOT A 4457 02:48:42,200 --> 02:48:43,600 REPRESENTATIVE POPULATION. 4458 02:48:43,600 --> 02:48:46,760 AND THOSE ANALYSES HAVE BEEN 4459 02:48:46,760 --> 02:48:51,600 LIKE EXPECTED AND OTHER 4460 02:48:51,600 --> 02:48:53,040 CAUSATIVE ANALYSIS. 4461 02:48:53,040 --> 02:48:56,080 AS WE WRAP UP, WHERE WE'RE 4462 02:48:56,080 --> 02:48:57,280 HEADED, THESE REPRESENT OUR 4463 02:48:57,280 --> 02:48:58,360 STRATEGIC GOALS FOR THE NEXT 4464 02:48:58,360 --> 02:48:59,320 FIVE YEARS. 4465 02:48:59,320 --> 02:49:01,440 WHERE WE WANT TO BE AT THE END 4466 02:49:01,440 --> 02:49:02,080 OF 2026. 4467 02:49:02,080 --> 02:49:05,240 OUR FIRST GOAL IS TO ENROLL A 4468 02:49:05,240 --> 02:49:07,920 MILLION DIVERSE PARTICIPANTS. 4469 02:49:07,920 --> 02:49:09,960 AND TO LAUNCH A PEDIATRIC 4470 02:49:09,960 --> 02:49:12,560 RIGHT NOW I MENTIONED THAT WE 4471 02:49:12,560 --> 02:49:13,920 ENROLL ONLY PEOPLE 18 OR OVER. 4472 02:49:13,920 --> 02:49:17,360 WE HAVE ALWAYS HAD THE MISSION 4473 02:49:17,360 --> 02:49:17,840 TO THINK ABOUT ENROLLING 4474 02:49:17,840 --> 02:49:18,520 CHILDREN AND PLAN TO EXTEND OVER 4475 02:49:18,520 --> 02:49:19,640 THE NEXT FIVE YEARS. 4476 02:49:19,640 --> 02:49:24,440 WE LIKELY WON'T BE DONE 4477 02:49:24,440 --> 02:49:25,520 ENROLLING CHILDREN IN FIVE YEARS 4478 02:49:25,520 --> 02:49:27,680 BUT WILL HAVE BEEN WELL ON OUR 4479 02:49:27,680 --> 02:49:28,000 WAY. 4480 02:49:28,000 --> 02:49:32,720 NEXT IS TO GENERATE MORE DATA. 4481 02:49:32,720 --> 02:49:33,320 OF COURSE, GENOME SEQUENCES, 4482 02:49:33,320 --> 02:49:35,840 WE'RE WELL ON OUR WAY THERE. 4483 02:49:35,840 --> 02:49:37,680 AND COLLECTION OF MORE HEALTH 4484 02:49:37,680 --> 02:49:39,080 DATA, LINKING IN MORE HEALTH 4485 02:49:39,080 --> 02:49:41,120 DATA TO FILL IN MORE GAPS, THAT 4486 02:49:41,120 --> 02:49:43,360 WE MIGHT HAVE IN TERMS OF 4487 02:49:43,360 --> 02:49:44,320 CURRENT COLLECTION OF ELECTRONIC 4488 02:49:44,320 --> 02:49:45,200 HEALTH DATA ESPECIALLY FOR 4489 02:49:45,200 --> 02:49:46,440 PEOPLE WHO ENROLL IN A PLACE 4490 02:49:46,440 --> 02:49:48,200 WHERE WE DON'T HAVE A HEALTH 4491 02:49:48,200 --> 02:49:49,000 CARE PROVIDER ORGANIZATION 4492 02:49:49,000 --> 02:49:50,360 THAT'S FUNDED TO PROVIDE DATA. 4493 02:49:50,360 --> 02:49:52,560 FIGURING OUT WAYS TO DO THAT. 4494 02:49:52,560 --> 02:49:54,760 WE'LL OF COURSE ASK MORE SURVEYS 4495 02:49:54,760 --> 02:49:56,520 AND WE'LL START COLLECTING AND 4496 02:49:56,520 --> 02:49:57,200 LINKING ENVIRONMENTAL DATA. 4497 02:49:57,200 --> 02:49:59,920 WE HAVE OUR FIRST PIECE OF 4498 02:49:59,920 --> 02:50:01,640 ENVIRONMENTAL DATA LINK IN 4499 02:50:01,640 --> 02:50:07,120 RECENTLY, AND WE INTEND TO GROW 4500 02:50:07,120 --> 02:50:07,880 THAT. 4501 02:50:07,880 --> 02:50:10,720 WITH ALL THESE SAMPLES WE'RE 4502 02:50:10,720 --> 02:50:12,920 GOING TO CREATE WAYS FOR OTHER 4503 02:50:12,920 --> 02:50:14,720 PARTNERSHIPS TO EXIST WITH OTHER 4504 02:50:14,720 --> 02:50:21,600 INSTITUTES AND CENTERS ACROSS 4505 02:50:21,600 --> 02:50:23,240 THE NIH AND ALLOW A PROCESS 4506 02:50:23,240 --> 02:50:23,880 WHERE OTHER INVESTIGATORS WOULD 4507 02:50:23,880 --> 02:50:25,720 BE ABLE TO GET ACCESS TO 4508 02:50:25,720 --> 02:50:32,960 SAMPLES, THAT WILL TAKE SOME 4509 02:50:32,960 --> 02:50:33,280 TIME. 4510 02:50:33,280 --> 02:50:34,640 THAT WILL PROBABLY NOT BE FOR 4511 02:50:34,640 --> 02:50:36,120 FIVE YEARS OR SO I SUSPECT 4512 02:50:36,120 --> 02:50:37,680 BECAUSE WE'LL START OTHER PLACES 4513 02:50:37,680 --> 02:50:38,840 WITH THAT, DEVELOPING THAT 4514 02:50:38,840 --> 02:50:40,680 CAPABILITY TO MAKE US MORE THAN 4515 02:50:40,680 --> 02:50:42,320 WE ARE AS A PLATFORM TO OTHER 4516 02:50:42,320 --> 02:50:43,560 PEOPLE TO USE US. 4517 02:50:43,560 --> 02:50:45,960 WE WANT TO GROW OUR RESEARCHER 4518 02:50:45,960 --> 02:50:46,480 POPULATION. 4519 02:50:46,480 --> 02:50:49,200 IMPORTANTLY WE'RE GOING TO GROW 4520 02:50:49,200 --> 02:50:50,720 IT INCLUDING GLOBAL AND 4521 02:50:50,720 --> 02:50:51,920 FOR-PROFIT RESEARCHERS AS WELL 4522 02:50:51,920 --> 02:50:53,120 AND WE UNDERSTAND AND RECOGNIZE 4523 02:50:53,120 --> 02:50:55,000 THE NUMBER OF USE CASES. 4524 02:50:55,000 --> 02:50:57,040 ALREADY PEOPLE ARE USING IT TO 4525 02:50:57,040 --> 02:50:59,400 TEACH DATA SCIENCE CLASSES IN 4526 02:50:59,400 --> 02:51:00,320 COMMUNITY COLLEGES, FOR 4527 02:51:00,320 --> 02:51:00,680 INSTANCE. 4528 02:51:00,680 --> 02:51:02,760 THINGS LIKE THAT, NOT MAYBE YOUR 4529 02:51:02,760 --> 02:51:04,480 TYPICAL OUTCOMES THAT YOU MIGHT 4530 02:51:04,480 --> 02:51:06,120 EXPECT TOWARDS PUBLICATION. 4531 02:51:06,120 --> 02:51:08,440 WE THINK THESE ARE IMPORTANT 4532 02:51:08,440 --> 02:51:09,520 OUTCOMES AS WE THINK ABOUT 4533 02:51:09,520 --> 02:51:11,720 GROWING A GLOBAL COMMUNITY OF 4534 02:51:11,720 --> 02:51:12,880 RESEARCHERS, ESPECIALLY HERE IN 4535 02:51:12,880 --> 02:51:14,920 THE U.S. AND ACROSS DIVERSE 4536 02:51:14,920 --> 02:51:17,520 POPULATIONS OF RESEARCHERS WHICH 4537 02:51:17,520 --> 02:51:18,280 IS A REAL FOCUS FOR US. 4538 02:51:18,280 --> 02:51:19,920 FINALLY IT'S IMPORTANT TO RETURN 4539 02:51:19,920 --> 02:51:22,200 VALUE TO PARTICIPANTS AND WE'RE 4540 02:51:22,200 --> 02:51:24,720 STARTING WITH GENOMICS, MOVING 4541 02:51:24,720 --> 02:51:25,880 TO ELECTRONIC HEALTH RECORDS, 4542 02:51:25,880 --> 02:51:26,680 GENOMICS RETURN WILL BE 4543 02:51:26,680 --> 02:51:28,160 SOMETHING WE CONTINUE TO LEARN 4544 02:51:28,160 --> 02:51:28,960 MORE ABOUT. 4545 02:51:28,960 --> 02:51:33,280 AND WE'LL RETURN MORE ELEMENTS 4546 02:51:33,280 --> 02:51:34,400 OF EXPANDED RARE VARIANTS, NEW 4547 02:51:34,400 --> 02:51:36,880 SETS OF DATA FROM THERE, AND 4548 02:51:36,880 --> 02:51:40,640 OTHER TYPES OF THINGS 4549 02:51:40,640 --> 02:51:42,680 POTENTIALLY POLYGENIC RISK 4550 02:51:42,680 --> 02:51:42,920 SCORES. 4551 02:51:42,920 --> 02:51:49,520 I'LL END AND PUT UP URLs. 4552 02:51:49,520 --> 02:51:51,840 "ALL OF US" IS OPEN TO ANYONE, 4553 02:51:51,840 --> 02:51:53,800 TO USE, TO JOIN. 4554 02:51:53,800 --> 02:51:55,560 I ENCOURAGE ALL OF YOU TO USE 4555 02:51:55,560 --> 02:51:57,000 THE RESOURCE BECAUSE WE NEED 4556 02:51:57,000 --> 02:51:59,720 MORE RESEARCHERS TO USE IT. 4557 02:51:59,720 --> 02:52:01,800 WE'RE CREATING A PLATFORM AND 4558 02:52:01,800 --> 02:52:02,800 COUNT ON RESEARCH COMMUNITY TO 4559 02:52:02,800 --> 02:52:05,840 COME IN AND DO THE SCIENCE ON 4560 02:52:05,840 --> 02:52:08,000 TOP OF IT, AND GENERATE NEW 4561 02:52:08,000 --> 02:52:08,560 FINDINGS. 4562 02:52:08,560 --> 02:52:10,120 SO THANK YOU VERY MUCH. 4563 02:52:10,120 --> 02:52:11,320 I'M HAPPY TO TAKE QUESTIONS AS 4564 02:52:11,320 --> 02:52:12,360 WE HAVE TIME. 4565 02:52:12,360 --> 02:52:14,040 >> JOSH, THANK YOU VERY MUCH. 4566 02:52:14,040 --> 02:52:17,520 A WONDERFUL PRESENTATION. 4567 02:52:17,520 --> 02:52:22,640 I SEE THAT WE HAVE AMIT WITH 4568 02:52:22,640 --> 02:52:23,520 HIS HAND UP. 4569 02:52:23,520 --> 02:52:24,000 >> RIGHT. 4570 02:52:24,000 --> 02:52:26,000 SO THANK YOU FOR THE 4571 02:52:26,000 --> 02:52:29,560 PRESENTATION, JOSH, IT'S QUITE 4572 02:52:29,560 --> 02:52:30,840 AN EFFORT. 4573 02:52:30,840 --> 02:52:32,120 TWO PARTLY RELATED QUESTIONS. 4574 02:52:32,120 --> 02:52:37,040 ONE, WHAT ARE THE PLANS AREN'T 4575 02:52:37,040 --> 02:52:43,760 GETTING BRAIN PHENOTYPIC DATA I 4576 02:52:43,760 --> 02:52:45,440 VIA EEG, BRAIN ASSESSMENT, 4577 02:52:45,440 --> 02:52:48,200 ANYTHING OF THAT SORT, THE 4578 02:52:48,200 --> 02:52:49,320 BRAIN-INTERESTING DISORDER CROWD 4579 02:52:49,320 --> 02:52:52,800 WOULD BE MOTIVATED BY ON ONE 4580 02:52:52,800 --> 02:52:53,000 HAND. 4581 02:52:53,000 --> 02:52:55,560 THE OTHER, WHY DELAY OR WHY KIND 4582 02:52:55,560 --> 02:52:57,640 OF PHASE IN LATER FOR-PROFIT 4583 02:52:57,640 --> 02:52:58,120 RESEARCHERS? 4584 02:52:58,120 --> 02:52:59,320 I SAY THIS REALLY AS SOMEBODY 4585 02:52:59,320 --> 02:53:02,120 WHO WOULD LOVE TO USE THE DATA 4586 02:53:02,120 --> 02:53:05,840 BUT RECENTLY LEFT MY POSITION AT 4587 02:53:05,840 --> 02:53:10,000 STANFORD TO FOUND A BIOTECH, SO 4588 02:53:10,000 --> 02:53:13,640 I'M ON THE FOR-PROFIT SIDE, WITH 4589 02:53:13,640 --> 02:53:17,880 LOTS OF QUESTIONS, MANY FOLKS 4590 02:53:17,880 --> 02:53:19,000 COULD BRING DATA TO ACTIONABLE 4591 02:53:19,000 --> 02:53:20,440 INSIGHT FOR PATIENTS SOONER, I'D 4592 02:53:20,440 --> 02:53:22,040 LIKE TO DIG INTO BOTH. 4593 02:53:22,040 --> 02:53:22,880 >> SURE. 4594 02:53:22,880 --> 02:53:24,360 I WILL TAKE THE FIRST, FIRST. 4595 02:53:24,360 --> 02:53:25,880 AND THE SECOND, SECOND. 4596 02:53:25,880 --> 02:53:27,440 I APPRECIATE THE QUESTION. 4597 02:53:27,440 --> 02:53:31,200 IN TERMS OF BRAIN PHENOTYPES, 4598 02:53:31,200 --> 02:53:33,440 THE FIRST THING TO SAY, WE 4599 02:53:33,440 --> 02:53:35,400 PURPOSELY DESIGNED OUR EHR 4600 02:53:35,400 --> 02:53:37,080 CAPTURE TO BE BROAD AND BE ABLE 4601 02:53:37,080 --> 02:53:38,280 TO HAVE ACCESS TO MORE THINGS 4602 02:53:38,280 --> 02:53:39,040 OVER TIME. 4603 02:53:39,040 --> 02:53:42,400 ONE OF THE THINGS THAT WE WANT 4604 02:53:42,400 --> 02:53:43,400 TO MOVE TOWARDS, FOR INSTANCE, 4605 02:53:43,400 --> 02:53:45,960 WOULD BE EVEN CAPTURES AT A 4606 02:53:45,960 --> 02:53:49,240 SIMPLE LEVEL OF EEG NARRATIVE 4607 02:53:49,240 --> 02:53:51,920 REPORTS YOU MIGHT GET AND THAT 4608 02:53:51,920 --> 02:53:54,120 ARE EXTANT IN MEDICAL RECORDS 4609 02:53:54,120 --> 02:53:56,880 AND MAYBE OTHER KINDS OF THINGS. 4610 02:53:56,880 --> 02:53:57,880 EVENTUALLY THINKING ABOUT THE 4611 02:53:57,880 --> 02:53:59,080 CLINICAL RADIOLOGY TESTING 4612 02:53:59,080 --> 02:54:02,000 THAT'S THERE, WE WANT TO BRING 4613 02:54:02,000 --> 02:54:02,520 IN. 4614 02:54:02,520 --> 02:54:06,240 AND THEN IN TERMS OF BEHAVIORAL 4615 02:54:06,240 --> 02:54:06,800 COGNITIVE ASSESSMENTS WE'RE 4616 02:54:06,800 --> 02:54:09,200 STARTING A PILOT OF ANCILLARY 4617 02:54:09,200 --> 02:54:11,320 STUDY WITH NIMH TOWARDS THE END 4618 02:54:11,320 --> 02:54:13,840 OF THIS YEAR, THAT WILL ASSESS 4619 02:54:13,840 --> 02:54:17,600 SOME MORE QUANTITATIVE MENTAL 4620 02:54:17,600 --> 02:54:19,400 HEALTH BEHAVIORS, AND THAT'S A 4621 02:54:19,400 --> 02:54:21,600 SET OF TASKS THAT HAVE BEEN 4622 02:54:21,600 --> 02:54:23,240 DEVELOPED AND VALIDATED BY THEM 4623 02:54:23,240 --> 02:54:25,680 THAT WE'LL BE PUTTING ON THERE. 4624 02:54:25,680 --> 02:54:31,760 BASED ON HOW THAT GOES WILL 4625 02:54:31,760 --> 02:54:32,880 SCALE INTO BROADER POPULATIONS. 4626 02:54:32,880 --> 02:54:36,840 I'M INTERESTED IN GETTING 4627 02:54:36,840 --> 02:54:39,880 PRIMARY IMAGING AND WE'LL HAVE 4628 02:54:39,880 --> 02:54:42,320 TO SEE HOW OTHER TYPES EVOLVE, 4629 02:54:42,320 --> 02:54:44,960 WHETHER IT BE PERSPECTIVE 4630 02:54:44,960 --> 02:54:46,160 IMAGING, EEGs OR WHATEVER 4631 02:54:46,160 --> 02:54:49,160 MIGHT COME OUR WAY IN TERMS OF 4632 02:54:49,160 --> 02:54:50,440 PROPOSALS AND INTERACTIONS 4633 02:54:50,440 --> 02:54:52,080 ACROSS THE NIH OR OTHER 4634 02:54:52,080 --> 02:54:52,960 INSTITUTES. 4635 02:54:52,960 --> 02:54:55,600 AND IN TERMS OF ACCESS, MY GOAL 4636 02:54:55,600 --> 02:54:57,640 IS THAT WITHIN ACTUALLY THIS 4637 02:54:57,640 --> 02:55:00,480 YEAR, TO START THOSE EXPANSIONS 4638 02:55:00,480 --> 02:55:02,480 TO FOR-PROFIT AND INTERNATIONAL 4639 02:55:02,480 --> 02:55:05,680 RESEARCHERS, AND IT COMES WITH A 4640 02:55:05,680 --> 02:55:08,800 VERY NOVEL ACCESS MODEL, THE 4641 02:55:08,800 --> 02:55:09,760 PASSPORT MODEL, CLOUD 4642 02:55:09,760 --> 02:55:10,440 ENVIRONMENT, DIVERSE POPULATION, 4643 02:55:10,440 --> 02:55:14,200 IT WAS FOUND TO BE IMPORTANT AS 4644 02:55:14,200 --> 02:55:17,560 WE TALKED TO OUR PARTICIPANTS 4645 02:55:17,560 --> 02:55:18,640 THAT WE DO THIS SLOW -- I 4646 02:55:18,640 --> 02:55:22,400 WOULDN'T SAY SLOW BUT THINK 4647 02:55:22,400 --> 02:55:24,000 ABOUT TESTING THE SYSTEM, MAKE 4648 02:55:24,000 --> 02:55:26,000 SURE WE'RE ASSESSING POTENTIAL 4649 02:55:26,000 --> 02:55:28,640 FOR RISK AS WE EXPAND WITH THOSE 4650 02:55:28,640 --> 02:55:30,400 ENTITIES THEY FEEL MAYBE ARE 4651 02:55:30,400 --> 02:55:31,720 MORE TRUSTED IN SOME OF THEIR 4652 02:55:31,720 --> 02:55:35,640 MINDS AS A CATEGORY OF USER AS 4653 02:55:35,640 --> 02:55:36,200 IT EXPANDS. 4654 02:55:36,200 --> 02:55:37,600 THINGS HAVE BEEN GOING WELL AND 4655 02:55:37,600 --> 02:55:39,720 WE LOOK FORWARD TO WORKING OUT 4656 02:55:39,720 --> 02:55:42,480 LEGAL PROCESSES TO EXPAND THE 4657 02:55:42,480 --> 02:55:43,200 OTHER AILMENTS. 4658 02:55:43,200 --> 02:55:45,720 CLEARLY IT'S EASIER TO DO U.S. 4659 02:55:45,720 --> 02:55:47,760 AND INTERNATIONAL PROBABLY AS 4660 02:55:47,760 --> 02:55:48,560 EASILY RECOGNIZED, THAT'S ONE OF 4661 02:55:48,560 --> 02:55:54,960 THE REASONS U.S. COMES FIRST, 4662 02:55:54,960 --> 02:56:01,600 EAGER TO GET FOR PROFIT. 4663 02:56:01,600 --> 02:56:03,240 >> I WAS INTRIGUED ABOUT THE 4664 02:56:03,240 --> 02:56:06,440 PAPER YOU PRESENTED WITH THE 4665 02:56:06,440 --> 02:56:08,040 RETINAL VENOUS OCCLUSION WITH 4666 02:56:08,040 --> 02:56:08,400 OPIOIDS. 4667 02:56:08,400 --> 02:56:10,080 MY QUESTION PERTAINING TO THAT 4668 02:56:10,080 --> 02:56:17,320 WHAT PERCENTAGE OF THE EHR 4669 02:56:17,320 --> 02:56:18,120 RECORDS BASICALLY HAVE 4670 02:56:18,120 --> 02:56:19,000 INFORMATION ON DRUG EXPOSURES, 4671 02:56:19,000 --> 02:56:20,720 AND I PRESUME SOME OF THESE 4672 02:56:20,720 --> 02:56:23,040 ASSOCIATIONS WERE DUE TO 4673 02:56:23,040 --> 02:56:24,960 EXPOSURE TO PRESCRIPTION 4674 02:56:24,960 --> 02:56:27,560 OPIOIDS. 4675 02:56:27,560 --> 02:56:30,480 SO WHAT IS -- HOW FREQUENTLY ARE 4676 02:56:30,480 --> 02:56:32,160 THESE MEASURES BEING TAKEN? 4677 02:56:32,160 --> 02:56:37,640 >> IN TERMS OF -- WE HAVE -- 4678 02:56:37,640 --> 02:56:39,640 PEOPLE ARE PROVIDING 4679 02:56:39,640 --> 02:56:40,760 COMPREHENSIVENESS OF THEIR 4680 02:56:40,760 --> 02:56:42,280 RECORD THAT THEY CAN GIVE. 4681 02:56:42,280 --> 02:56:44,760 AND MOST -- WE HAVE A SET OF 4682 02:56:44,760 --> 02:56:47,840 STANDARDS THAT INCLUDE 4683 02:56:47,840 --> 02:56:49,120 MEDICATION DATA. 4684 02:56:49,120 --> 02:56:51,520 SO PROVIDING WITH HIGH AFFINITY, 4685 02:56:51,520 --> 02:56:56,760 PRETTY GOOD DATA QUALITY. 4686 02:56:56,760 --> 02:56:58,680 THAT CONTINUES TO EVOLVE. 4687 02:56:58,680 --> 02:57:03,800 WE HAVE I GUESS VERY ROUGHLY 4688 02:57:03,800 --> 02:57:08,840 MAYBE 70 -- 60, 70% OF 4689 02:57:08,840 --> 02:57:09,560 PARTICIPANTS DONATING 4690 02:57:09,560 --> 02:57:10,680 BIOSPECIMENS MAYBE WE'VE 4691 02:57:10,680 --> 02:57:11,800 COLLECTED AND CURATED EHR DATA 4692 02:57:11,800 --> 02:57:12,040 FOR. 4693 02:57:12,040 --> 02:57:14,760 THAT MAY BE A FAIR AMOUNT OFF. 4694 02:57:14,760 --> 02:57:17,720 I'M JUST TRYING TO REMEMBER AND 4695 02:57:17,720 --> 02:57:19,000 ROUGHLY IN MY HEAD. 4696 02:57:19,000 --> 02:57:19,880 WE'RE WORKING ON CAPTURE. 4697 02:57:19,880 --> 02:57:21,880 IT'S EASY TO TELL WHO HAS EHR 4698 02:57:21,880 --> 02:57:23,720 DATA AND WHO DOESN'T. 4699 02:57:23,720 --> 02:57:25,200 YOU USE THE DENOMINATOR FOR YOUR 4700 02:57:25,200 --> 02:57:27,080 POPULATION OF WHAT KIND OF 4701 02:57:27,080 --> 02:57:28,680 ANALYSIS YOU'RE DOING LIKE FIT 4702 02:57:28,680 --> 02:57:30,360 BIT, YOU WOULD USE THAT DATA. 4703 02:57:30,360 --> 02:57:32,600 IN THE CURRENT DATASET I KNOW 4704 02:57:32,600 --> 02:57:34,840 IT'S OVER 200,000 HAVE EHR DATA. 4705 02:57:34,840 --> 02:57:37,440 IF THEY HAVE IT THEY ARE GOING 4706 02:57:37,440 --> 02:57:39,600 TO HAVE MEDICATION DATA. 4707 02:57:39,600 --> 02:57:40,320 OPIATE INFORMATION, FOR 4708 02:57:40,320 --> 02:57:42,280 INSTANCE, WOULD COME FROM BOTH 4709 02:57:42,280 --> 02:57:44,480 SURVEY QUESTIONS, WHICH WOULD 4710 02:57:44,480 --> 02:57:46,040 GET TOWARDS MORE RECREATIONAL 4711 02:57:46,040 --> 02:57:50,120 USE OF OPIOIDS OR OTHER DRUGS, 4712 02:57:50,120 --> 02:57:50,760 AND PRESCRIPTION DATA, 4713 02:57:50,760 --> 02:57:52,920 MEDICATION DATA THAT'S COMING 4714 02:57:52,920 --> 02:57:54,880 FROM THE TABLE, EHR IS GOING TO 4715 02:57:54,880 --> 02:57:56,440 BE THE PRESCRIPTION BASED DATA 4716 02:57:56,440 --> 02:57:58,360 THAT YOU COULD DATE AND TIME AND 4717 02:57:58,360 --> 02:58:03,040 LOOK AT EXPOSURE DOSE AND THAT 4718 02:58:03,040 --> 02:58:03,920 KIND OF STUFF. 4719 02:58:03,920 --> 02:58:05,360 >> THANKS. 4720 02:58:05,360 --> 02:58:08,080 ANY OTHER QUESTIONS? 4721 02:58:08,080 --> 02:58:10,880 4722 02:58:10,880 --> 02:58:17,640 >> LET ME FOLLOW UP AMIT REAL 4723 02:58:17,640 --> 02:58:18,240 QUICK, I WOULD ENCOURAGE YOU TO 4724 02:58:18,240 --> 02:58:28,680 WRITE IN AND TO -- GO TO 4725 02:58:30,080 --> 02:58:30,960 RESEARCH.ALLOFUS.ORG, THERE'S A 4726 02:58:30,960 --> 02:58:32,360 BOX THAT SAYS I WOULD BE 4727 02:58:32,360 --> 02:58:33,640 INTERESTED IN USING THIS, WE 4728 02:58:33,640 --> 02:58:35,080 NEED PEOPLE TO HELP US WORK 4729 02:58:35,080 --> 02:58:35,680 THROUGH LEGAL AGREEMENTS AND 4730 02:58:35,680 --> 02:58:37,080 THAT KIND OF STUFF. 4731 02:58:37,080 --> 02:58:38,600 WE'RE ACTIVELY WORKING ON THAT. 4732 02:58:38,600 --> 02:58:40,360 WE WELCOME YOU TO BE ONE OF THE 4733 02:58:40,360 --> 02:58:42,600 PEOPLE THAT COME IN AND HELP US 4734 02:58:42,600 --> 02:58:43,520 ENGINEER THAT WITH US. 4735 02:58:43,520 --> 02:58:47,000 >> VERY HAPPY TO DO THAT. 4736 02:58:47,000 --> 02:58:51,960 FOR CONTRAST, U.K. BIOBANK HAS A 4737 02:58:51,960 --> 02:58:56,440 MUCH MORE OPEN SHARING POLICY, 4738 02:58:56,440 --> 02:58:58,160 NIH DATA ARCHIVE, A LOT OF 4739 02:58:58,160 --> 02:58:59,560 SHARING AND RECEIVING FROM, IT 4740 02:58:59,560 --> 02:59:00,040 OPEN. 4741 02:59:00,040 --> 02:59:06,440 THERE'S A LOT OF PRECEDENCE. 4742 02:59:06,440 --> 02:59:07,720 >> WE PURPOSELY DECIDED WE 4743 02:59:07,720 --> 02:59:10,560 WANTED TO GO OUT SOONER AND GET 4744 02:59:10,560 --> 02:59:12,440 THINGS OUT THERE FASTER BEFORE 4745 02:59:12,440 --> 02:59:17,640 WE WERE READY FOR EVERYTHING. 4746 02:59:17,640 --> 02:59:18,200 AND SOME PLACES ARE STILL 4747 02:59:18,200 --> 02:59:18,800 GETTING IN PLACE. 4748 02:59:18,800 --> 02:59:20,320 >> HAPPY TO HELP. 4749 02:59:20,320 --> 02:59:21,840 >> YEAH, GREAT. 4750 02:59:21,840 --> 02:59:23,840 I'M ALIGNED WITH YOU THOUGH 4751 02:59:23,840 --> 02:59:24,240 PHILOSOPHICALLY. 4752 02:59:24,240 --> 02:59:26,800 WE'LL GET THERE. 4753 02:59:26,800 --> 02:59:28,080 >> THANKS VERY MUCH FOR TAKING 4754 02:59:28,080 --> 02:59:34,360 THE TIME AND GIVING US A 4755 02:59:34,360 --> 02:59:34,720 PRESENTATION. 4756 02:59:34,720 --> 02:59:37,320 I SEE RAJITA HAS A HAND RAISED. 4757 02:59:37,320 --> 02:59:40,840 >> YOU TALKED ABOUT THE GENETICS 4758 02:59:40,840 --> 02:59:42,760 PHENOTYPING, COULD YOU SPEAK 4759 02:59:42,760 --> 02:59:43,560 MORE TO BEHAVIORAL PHENOTYPING 4760 02:59:43,560 --> 02:59:46,280 IN TERMS OF DRUG USE BEHAVIORS, 4761 02:59:46,280 --> 02:59:49,200 I KNOW THAT BLOOD SAMPLES HAVE 4762 02:59:49,200 --> 02:59:51,040 BEEN CONNECTED, URINE SAMPLES 4763 02:59:51,040 --> 02:59:52,720 COLLECTED FOR DRUG TOXICOLOGY 4764 02:59:52,720 --> 02:59:57,320 AND SEQUENCING OF THAT, JUST 4765 02:59:57,320 --> 02:59:58,400 BECAUSE THERE'S ALWAYS SOME 4766 02:59:58,400 --> 02:59:59,920 DISCREPANCY WITH LARGE SCALE 4767 02:59:59,920 --> 03:00:03,160 SURVEYS IN TIMES OF SELF-REPORT 4768 03:00:03,160 --> 03:00:03,560 VERSUS -- 4769 03:00:03,560 --> 03:00:05,680 >> SURE, YEAH. 4770 03:00:05,680 --> 03:00:06,960 WE HAVE URINE SAMPLES ON THE 4771 03:00:06,960 --> 03:00:09,600 VAST MAJORITY OF PEOPLE WHO ARE 4772 03:00:09,600 --> 03:00:11,240 PROVIDING BIOSPECIMENS. 4773 03:00:11,240 --> 03:00:12,760 WE HAVE SERUM AND PLASMA ON THE 4774 03:00:12,760 --> 03:00:15,920 VAST MAJORITY OF PEOPLE 4775 03:00:15,920 --> 03:00:21,720 PROVIDING BIO BIOSPECIMENS. 4776 03:00:21,720 --> 03:00:22,680 WE UNDERTAKEN LARGE SCALE 4777 03:00:22,680 --> 03:00:23,000 SURVEY. 4778 03:00:23,000 --> 03:00:25,880 IT'S SOMETHING THAT WOULD BE A 4779 03:00:25,880 --> 03:00:36,280 POSSIBILITY, LIKE ANY 4780 03:00:38,480 --> 03:00:38,760 ANCILLARY. 4781 03:00:38,760 --> 03:00:39,360 >> AND HORMONE SAMPLES? 4782 03:00:39,360 --> 03:00:42,760 >> YOU'RE PUSHING MY KNOWLEDGE 4783 03:00:42,760 --> 03:00:53,240 OF WHAT WOULD BE -- WHETHER 4784 03:00:53,560 --> 03:00:54,560 BIOSAMPLES I DON'T THINK IT'S 4785 03:00:54,560 --> 03:00:59,200 THE QUALITY FOR CORD STEM BUT I 4786 03:00:59,200 --> 03:01:01,000 IMAGINE SOME HORMONES ARE. 4787 03:01:01,000 --> 03:01:03,640 >> COMING BACK TO THE QUESTION, 4788 03:01:03,640 --> 03:01:06,920 IF YOU HAVE URINE, YOU DID NOT 4789 03:01:06,920 --> 03:01:08,880 GET SPECIFIC CONCERN ABOUT 4790 03:01:08,880 --> 03:01:10,320 TESTING FOR DRUGS, I MEAN, 4791 03:01:10,320 --> 03:01:12,400 YOU'RE NOT GOING TO BE ABLE TO 4792 03:01:12,400 --> 03:01:17,520 DO IT BECAUSE YOU HAVE TO HAVE 4793 03:01:17,520 --> 03:01:17,720 THAT. 4794 03:01:17,720 --> 03:01:19,360 SO IS THIS SOMETHING THAT YOU'VE 4795 03:01:19,360 --> 03:01:20,360 ALL THOUGHT ABOUT? 4796 03:01:20,360 --> 03:01:20,680 INTERESTING. 4797 03:01:20,680 --> 03:01:22,800 YOU GET INTO A COUPLE AREAS. 4798 03:01:22,800 --> 03:01:26,080 FIRST WE HAVE BROAD CONSENT 4799 03:01:26,080 --> 03:01:27,760 ABOUT WHAT KIND OF ANALYTES WE 4800 03:01:27,760 --> 03:01:29,760 COULD TEST FOR AND IT IS VERY 4801 03:01:29,760 --> 03:01:30,800 IMPORTANT IF YOU THINK ABOUT 4802 03:01:30,800 --> 03:01:34,400 WHAT YOU RETURN OR NOT. 4803 03:01:34,400 --> 03:01:36,800 YOU KNOW, YEAH, THIS IS A DEEP 4804 03:01:36,800 --> 03:01:39,040 DIVE I HAVEN'T DONE. 4805 03:01:39,040 --> 03:01:41,800 AND WE ALWAYS HAVE THE ABILITY 4806 03:01:41,800 --> 03:01:43,720 TO RECONSENT BUT TESTING 4807 03:01:43,720 --> 03:01:45,160 COULD -- THERE ARE INTERESTING 4808 03:01:45,160 --> 03:01:47,560 LINES BECAUSE TESTING, SOME 4809 03:01:47,560 --> 03:01:51,040 COULD BE DONE IN DE-IDENTIFIED 4810 03:01:51,040 --> 03:01:51,240 WAYS. 4811 03:01:51,240 --> 03:01:53,240 I DON'T KNOW THE ANSWER TO YOUR 4812 03:01:53,240 --> 03:01:53,920 QUESTION. 4813 03:01:53,920 --> 03:01:55,960 ONE I'D BE HAPPY TO EXPLORE. 4814 03:01:55,960 --> 03:01:59,360 >> YEAH, EXPLORE IT AND LET US 4815 03:01:59,360 --> 03:01:59,600 KNOW. 4816 03:01:59,600 --> 03:02:03,400 IS IT ILLICIT TO TAKE DRUGS THAT 4817 03:02:03,400 --> 03:02:05,480 CAN PUT PEOPLE IN A PRECARIOUS 4818 03:02:05,480 --> 03:02:09,240 POSITION, SO I THINK IT'S 4819 03:02:09,240 --> 03:02:11,440 DEFINITELY WORTH LOOKING INTO 4820 03:02:11,440 --> 03:02:12,520 WHAT LEVEL OF ANONYMITY WOULD BE 4821 03:02:12,520 --> 03:02:14,360 POSSIBLE THEN TO DO THAT 4822 03:02:14,360 --> 03:02:18,600 TESTING. 4823 03:02:18,600 --> 03:02:19,080 I ACTUALLY DON'T KNOW. 4824 03:02:19,080 --> 03:02:21,880 WE CAN ALSO LOOK AND FIND 4825 03:02:21,880 --> 03:02:22,160 INFORMATION. 4826 03:02:22,160 --> 03:02:26,200 >> COULD BE INTERESTING POINT OF 4827 03:02:26,200 --> 03:02:26,520 DISCUSSION. 4828 03:02:26,520 --> 03:02:28,920 >> THANKS VERY MUCH. 4829 03:02:28,920 --> 03:02:30,200 WE'LL BE TALKING. 4830 03:02:30,200 --> 03:02:31,160 >> THANK YOU. 4831 03:02:31,160 --> 03:02:35,120 THANKS, EVERYONE FOR THAT 4832 03:02:35,120 --> 03:02:36,600 OPPORTUNITY. 4833 03:02:36,600 --> 03:02:36,920 >> BYE-BYE. 4834 03:02:36,920 --> 03:02:37,960 IT IS 4:33. 4835 03:02:37,960 --> 03:02:40,480 THIS IS A TIME WHERE WE HAVE AN 4836 03:02:40,480 --> 03:02:41,680 OPPORTUNITY FOR PUBLIC COMMENTS. 4837 03:02:41,680 --> 03:02:44,240 THE PUBLIC COMMENTS HAVE BEEN 4838 03:02:44,240 --> 03:02:45,960 SENT TO YOU BEFORE COUNCIL. 4839 03:02:45,960 --> 03:02:48,800 DO WE HAVE ANY PUBLIC COMMENTS 4840 03:02:48,800 --> 03:02:51,640 THAT YOU CAN READ FOR US? 4841 03:02:51,640 --> 03:02:52,840 >> NO, WE DO NOT. 4842 03:02:52,840 --> 03:02:55,200 WE ALSO WILL CONTINUE TO ACCEPT 4843 03:02:55,200 --> 03:02:58,440 PUBLIC COMMENTS FOR UP TO TEN 4844 03:02:58,440 --> 03:03:01,920 DAYS AFTER THIS MEETING, AND 4845 03:03:01,920 --> 03:03:04,360 WE'LL CONSIDER THAT WE'LL 4846 03:03:04,360 --> 03:03:05,440 RECEIVE -- WILL RECEIVE CAREFUL 4847 03:03:05,440 --> 03:03:07,160 CONSIDERATION OF PUBLIC COMMENTS 4848 03:03:07,160 --> 03:03:08,120 WE RECEIVE. 4849 03:03:08,120 --> 03:03:08,560 >> OKAY. 4850 03:03:08,560 --> 03:03:11,040 AND THAT IS EVERYTHING THAT I 4851 03:03:11,040 --> 03:03:12,680 HAVE ON THE AGENDA UNLESS IF 4852 03:03:12,680 --> 03:03:14,440 THERE'S ANYONE AT THIS TIME FROM 4853 03:03:14,440 --> 03:03:18,640 COUNCIL THAT WANTS TO BRING UP 4854 03:03:18,640 --> 03:03:21,640 ANYTHING BEFORE WE ADJOURN? 4855 03:03:21,640 --> 03:03:25,640 >> I JUST WANT TO REMIND PEOPLE 4856 03:03:25,640 --> 03:03:27,440 ABOUT CRAN COUNCIL TOMORROW 4857 03:03:27,440 --> 03:03:29,120 WHICH ALSO STARTS AT 11:00. 4858 03:03:29,120 --> 03:03:30,440 WE LOOK FORWARD TO SEEING YOU 4859 03:03:30,440 --> 03:03:32,120 THERE AS WELL. 4860 03:03:32,120 --> 03:03:34,120 >> ARE THERE ANY MISSING 4861 03:03:34,120 --> 03:03:34,840 COMMENTS? 4862 03:03:34,840 --> 03:03:38,320 I THINK ANNA ROSE IS SAYING 4863 03:03:38,320 --> 03:03:38,920 GOOD-BYE. 4864 03:03:38,920 --> 03:03:41,800 IF THERE ARE NO MORE QUESTIONS 4865 03:03:41,800 --> 03:03:47,600 OR ISSUES, THEN I GUESS, SUSAN, 4866 03:03:47,600 --> 03:03:48,920 WE CAN ADJOURN UNTIL TOMORROW. 4867 03:03:48,920 --> 00:00:00,000 >> THANKS VERY MUCH.