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>>I'M DIRECTOR OF

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MINORITY HEALTH AND HEALTH

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DISPARITIES. WELCOME TO THE 60TH

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MEETING OF THE NATIONAL COUNCIL

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OF MINORITY HEALTH AND HEALTH

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DISPARITIES ON TUESDAY MAY 24.

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WELCOME EVERYONE WHO IS WATCHING

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ON VIDEOCAST AS WELL AS THOSE

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WHO ARE IN THE IMMEDIATE ROOM.

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THE REST OF THE STAFF WHO ARE ON

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VIDEOCAST. SO LET ME TURN IT

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OVER TO OUR EXECUTIVE SECRETARY

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FOR THIS COUNCIL, DR. MONICA

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WEBB HOOPER DEPUTY DIRECTOR OF

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NIMHD. MONICA.

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>> GOOD MORNING, THANK
YOU, DR.

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PEREZ-STABLE. WELCOME EVERYONE

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TO THE 60TH MEETING OF THE NIMHD

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ADVISORY COUNCIL, TODAY'S

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SESSION IS OPEN TO THE PUBLIC

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AND BEING BROADCAST ON THE NIH

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VIDEOCAST NETWORK. 6TH MEETI ME.

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COUNCIL MEMBERS I ASK WHEN YOU

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SPEAK, ALL PRESENTERS THAT YOU

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SPEAK SLOWLY AND DISTINCTLY SO

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THAT THE VIDEOCAST OBSERVERS,

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TECHNICAL STAFF AND NOTE TAKERS

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CAN LISTEN AND NOTE YOUR

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COMMENTS. I WILL ADD THERE IS NO

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NEED TO ASK IF YOU ARE BEING

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HEARD IF YOU ARE RECOGNIZED TO

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SPEAK. I WILL PROMPT YOU IF

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THERE ARE AUDIO PROBLEMS. AND IN

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AN EFFORT TO CONSERVE INTERNET

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BANDWIDTH AND MINIMIZE

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BACKGROUND NOISE I WILL LEAD THE

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ROLL CALL. PLEASE TURN YOUR

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CAMERA ON UNMUTE INTRODUCE

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YOURSELF AND MAKE A BRIEF

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STATEMENT YOUR INSTITUTIONAL

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AFFILIATION, YOUR ROLE, AND A

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BRIEF STATEMENT ABOUT YOUR

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EXPERTISE AND RESEARCH INTEREST

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FOLLOWING YOUR INTRODUCTION.

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MUTE YOURSELF AND TURN CAMERA

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OFF AND MOVE TO THE NEXT PERSON 

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DR. AGUILA.

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>> GOOD MORNING, SO MY
NAME IS

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EMMA AGUILA, I'M ASSOCIATE

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PROFESSOR AT THE SCHOOL OF

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PUBLIC POLICY UNIVERSITY OF

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SOUTHERN CALIFORNIA. MY RESEARCH

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FOCUS ON HOW DIFFERENT DESIGNS

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OF SOCIAL INSURANCE PROGRAMS

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SUPPLEMENT PROGRAMS HEALTHCARE

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SERVICES THAT RACE ECONOMIC

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STATUS, IMPROVE THE HEALTH AND

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WELL BEING OF MINORITY AND

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MIGRANT OLDER ADULTS USING QUASI

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EXPERIMENTAL AND EXPERIMENTAL

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METHODS.  PLEASURE TO BE HERE,

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THANK YOU.

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>> DR. BARNES.

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>> GOOD MORNING, MY NAME
IS LISA

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BARNES. I AM THE ALLA V AND

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SOLOMON JESMER PROFESSOR

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GERONTOLOGY AT THE ALZHEIMER'S

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DISEASE CENTER AT THE RUSH

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UNIVERSITY MEDICAL CENTER. I'M A

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COGNITIVE NEUROPSYCHOLOGIST IN

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THE DEPARTMENT OF NEUROLOGY AND

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MY EXPERTISE IS ON DISPARITIES

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IN CHRONIC DISEASE OF AGING,

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WITH A PARTICULAR EMPHASIS ON

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ALZHEIMER'S DISEASE AND I RUN

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COMMUNITY BASED STUDIES OF

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AFRICAN AMERICANS TO IDENTIFY

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RISK FACTORS FOR ALZHEIMER'S.

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HAPPY TO BE HERE. 

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>> HAPPY TO HAVE YO YO
YOU. DR.

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CALMAN.

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>> GOOD MORNING. MY NAME
IS NEIL

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CALMAN, FAMILY PHYSICIAN.

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PRESIDENT AND CEO OF THE

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INSTITUTE FOR FAMILY HEALTH

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WHICH IS A NETWORK OF FEDERALLY

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QUALIFIED HEALTH CENTERS IN NEW

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YORK CITY AND UPSTATE NEW YORK.

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I ALSO CHAIR THE DEPARTMENT OF

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FAMILY MEDICINE AND COMMUNITY

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HEALTH AT MOUNT SINAI. MY

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RESEARCH HAVE BEEN IN EQUITY IN

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HEALTHCARE ACCESS FOR PEOPLE IN

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NEW YORK AND IN RURAL AREAS. AND

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MOSTLY IN COMMUNITY INVOLVEMENT

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FOR PEOPLE UNDERSTANDING AND

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ADVOCATING FOR EQUAL ACCESS TO

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CARE. THANK YOU.

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>> THANK YOU, GOOD
MORNING. DR.

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ELLIOT.

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>>

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>> GOOD MORNING, AMY
ELLIOT,

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CHIEF CLINICAL RESEARCH OFFICER

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AT AVEA HEALTH, A LARGE RURAL

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INTEGRATED HEALTH SYSTEM BASED

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MANY SOUTH DAKOTA. ALSO

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PROFESSOR AND DIVISION CHIEF IN

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THE DEPARTMENT OF PEDIATRICS AT

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THE UNIVERSITY OF SAN DIEGO

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SCHOOL OF MED SEN. RESEARCH

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INTERESTS HAVE BEEN IN MATERNAL

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CHILD HEALTH PRIMARILY EARLY

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CHILDHOOD EXPOSURE PRE-NATAL

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EXPOSURES AND EFFECT ON LATER

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CHILD DEVELOPMENT. OVER THE PAST

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SEVERAL DECADES I HAVE BEEN VERY

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INVOLVED IN HELPING HOSPITALS

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CLINICS, TRIBES BUILD THEIR INFD

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ADVANCE A RESEARCH AGENDA THAT

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HELPS WITH RURAL HEALTH AND

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AMERICAN INDIAN HEALTH.

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>> THANK YOU. MS.
ESCALERA.

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 DR. KEAWE

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KAHOLOKULA

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>> KEAWE KAHOLOKULA,
PROFESSOR

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CHAIR OF DEPARTMENT OF NATIVE

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HAWAII HEALTH, LEAD PRINCIPAL

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INVESTIGATOR FOR PACIFIC

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ININVESTIGATIONS KNOWLEDGE AND

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OPPORTUNITIES OF CLINICAL

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TRANSLATIONAL RESEARCH

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INFRASTRUCTURE PROGRAM, ALSO

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ACTIVE RESEARCHER DEVELOPING

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COMMUNITY BASED INTERVENTIONS TO

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ADDRESS ISSUES OF CHRONIC

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DISEASE, NATIVE HAWAIIANS AND

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PACIFIC ISLANDERS.

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>> THANK YOU.

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>> DR. MUSTANSKI.

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>> GOOD MORNING,
EVERYBODY. I'M

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DR. BRIAN MUSTANSKI, I'M FACULTY

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NORTHWESTERN UNIVERSITY FINEBURG

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SCHOOL OF MEDICINE, I DIRECT THE

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INSTITUTE FOR SEXUAL AND GENDER

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MINORITY HEALTH AND WELL BEING

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OR ISJEM, UNIVERSITY WIDE

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INSTITUTE FOCUSED ON PROMOTING

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LGBT HEALTH RESEARCH AND

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CO-DIRECT THE THIRD CO-CENTER

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FOR AIDS RESEARCH AND HAPPY TO

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SHARE WITH EVERYONE THE NATIONAL

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LGBT HEALTH CONFERENCE IS COMING

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UP END OF JULY HOTSED BY ISJEM

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AND UNIVERSITIES AND COMMUNITY

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PARTNERS AND SUPPORTED BY A

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CONFERENCE GRANT FROM NIMHD. SO

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IF YOU ARE INTERESTED IN THE

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FIELD OF LGBT HEALTH PLEASE

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CHECK IT OUT.

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>> THANK YOU. DR. SIMS.

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>> GOOD MORNING, EVERYONE.
I'M

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MARIO SIMS, PROFESSOR OF

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MEDICINE HERE AT THE UNIVERSITY

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OF MISSISSIPPI MEDICAL CENTER.

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ALSO CHIEF SCIENCE OFFICER FOR

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THE JACKSON HART STUDY AND MY

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RESEARCH IS ON EXTENT TO WHICH

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SOCIAL AND PSYCHOSOCIAL FACTORS

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SUCH AS STRESS DISCRIMINATION M

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IMPACT CARDIOVASCULAR DISEASE

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DISPARITIES.  GLAD TO BE HERE.

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>> THANK YOU. DR.
RESNICOW.

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>> THANK YOU, MONICA. I'M
KEN

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RESNICOW, I'M AT UNIVERSITY OF

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MICHIGAN, I SPLIT MY TIME

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BETWEEN SO SCHOOL OF PUBLIC

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HEALTH AND THE OGLE CANCER

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CENTER WHERE I'M ASSOCIATE

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HEALTH DISPARITIES RESEARCH, I'M

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AN INTERVENTION RESEARCHER SO

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MOST OF WHAT I DO INVOLVES SOME

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COMBINATION OF MOTIVATIONAL

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INTERVIEWING OR EHEALTH TAILORED

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INTERVENTION USUALLY IN

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UNDER-REPRESENTED OR OTHER

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CULTURAL AND RACIAL GROUPS.

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>> THANK YOU. DR. REEDE.
I'M

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SORRY, DR. REEDE IS NOT WITH US

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THIS MORNING.  DR. SUTHERLAND.

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>> I'M PROFESSOR
BIOCHEMISTRY AT

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THE HOWARD UNIVERSITY COLLEGE OF

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MEDICINE ALSO PRINCIPAL

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INVESTIGATOR OF RESEARCH CENTER

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MINORITY INSTITUTIONS PROGRAM.

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RCMI AND MY RESEARCH INTERESTS

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IS GENERALLY USING DATA SCIENCE

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AS A TOOL TO BETTER UNDERSTAND

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CHRONIC DISEASE BURDENS IN THE

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WARDS OF WASHINGTON D.C. AND

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ANALYSIS OF OMICS TYPE DATA TO

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BETTER UNDERSTAND ISSUES RELATED

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TO HEALTH DISPARITIES AND

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MINORITY HEALTH.

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>> THANK YOU. DR.
TRINH-SHEVRIN 

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>> GOOD MORNING, EVERYONE.
I'M

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CHAU TRINH SHEVRIN PROFESSOR

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OKAYAL HEALTH AND MEDICINE,

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DIVISION CHIEF OF HEALTH

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BEHAVIOR IN DEPARTMENT OF

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POPULATION HEALTH NYU SCHOOL OF

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MEDICINE. I'M ASSOCIATE

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EPIDEMIOLOGIST BY TRAINING AND

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MY WORK HAS BEEN FOCUSED ON

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UTILIZING A SOCIAL DETERMINANTS

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OF HEALTH AND COMMUNITY HEALTH

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APPROACHES TO CHRONIC DISEASE

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DISPARITIES IN NEW YORK CITY. I

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CO-LEAD THE CENTERS INCLUDING

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NIMHD CENTER OF EXCELLENCE

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FOCUSED ON HEALTH OF ASIAN

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AMERICAN COMMUNITIES. I WANT TO

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PUT IN A PLUG THAT WE ARE

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CO-SPONSORING WITH NATIONAL

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COMMUNITY COALITION A CONFERENCE

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ON HEALTH OF ASIAN AMERICANS AND

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NATIVE HUE I HIGHIANS AND

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PACIFIC ISLANDER COMMUNITIES ON

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JUNE 7 AND 8TH. THANK YOU.

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>> THANK YOU. DR.
ZORRILLA.

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>> GOOD MORNING. I'M
CARMEN

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ZORRILLA, I'M APPROXIMATE OBGYN,

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IN UNIVERSITY PUERTO RICO SAN

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JUAN. I FOCUSED 35 YEARS OF

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RESEARCH ON WOMEN LIVING WITH

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HIV AND ALSO RECENTLY ON ZIKA

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AND COVID. AND PREGNANCY AND IN

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WOMEN IN GENERAL. I JUST WANT TO

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ALSO THANK FOR THE OPPORTUNITY

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TO REPORT THE MISSION OF THE

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NATIONAL INSTITUTE OF MINORITY

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HEALTH AND HEALTH DISPARITIES

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NATIONAL ADVISORY COUNCIL FOR

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WHICH TODAY IS MY LAST MEETING.

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THIS -- I WANT TO REFLECT IT HAS

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BEEN A LEARNING EXPERIENCE AND I

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LEAD THIS GROUP FOR -- HEADACHE

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THE GROUP SUPPORTING OTHER

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INVESTIGATORS TO APPLY AND ALSO

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FOCUS ON THE AREAS OF

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DISPARITIES. I'M ON THE

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OUTSTANDING HEALTH DISPARITIES

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WEBSITE, ARE THERE RESEARCH

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FRAMEWORK AND OTHER DOCUMENTS

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AVAILABLE AND VERY USEFUL FOR

255
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INVESTIGATORS IN THIS AREA.

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00:09:57,840 --> 00:09:59,120
THANK YOU, DR. PEREZ-STABLE.

257
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>> THANK YOU. AND WE
APPRECIATE

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00:10:01,880 --> 00:10:05,600
YOUR SERVICE. I WILL CERTAINLY

259
00:10:05,600 --> 00:10:06,760
ASK OUR OTHER RETIRING MEMBERS

260
00:10:06,760 --> 00:10:08,320
TO SHARE REFLECTIONS A LITTLE

261
00:10:08,320 --> 00:10:10,320
LATER IN THE MEETING.  DROP

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JOHNSON.

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00:10:14,440 --> 00:10:16,400
>> GOOD MORNING,
EVERYBODY. I'M

264
00:10:16,400 --> 00:10:18,480
KIMBERLY JOHNSON, PROFESSOR OF

265
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MEDICINE AND THE DUKE UNIVERSITY

266
00:10:20,040 --> 00:10:21,320
SCHOOL OF MEDICINE HERE IN

267
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DURHAM, NORTH CAROLINA. I'M A

268
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GERIATRICIAN PALLIATIVE CARE

269
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CLINICIAN AND ALSO A HEALTH

270
00:10:26,160 --> 00:10:27,640
DISPARITIES INVESTIGATOR. MY

271
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RESEARCH FOCUSES ON IMPROVING

272
00:10:30,160 --> 00:10:31,800
THE QUALITY OF SERIOUS ILLNESS

273
00:10:31,800 --> 00:10:33,720
AND END OF LIFE CARE FOR OLDER

274
00:10:33,720 --> 00:10:35,320
AFRICAN AMERICANS.  I ALSO LEAD

275
00:10:35,320 --> 00:10:37,000
OUR HEALTH DISPARITIES IN

276
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MINORITY HEALTH RESEARCH CENTER

277
00:10:38,240 --> 00:10:39,400
OF EXCELLENCE WHICH IS CALLED

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REACH EQUITY. REACH EQUITY

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FOCUSES ON DEVELOPING AND

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TESTING INTERVENTIONS TO ADDRESS

281
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RACIAL ETHNIC DISPARITIES BY

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INIMPROVING THE QUALITY OF

283
00:10:48,920 --> 00:10:50,960
PATIENT CENTERED CARE AND THE

284
00:10:50,960 --> 00:10:52,280
CLINICAL ENCOUNTER. THANK YOU.

285
00:10:52,280 --> 00:10:52,680
GLAD TO BE HERE.

286
00:10:52,680 --> 00:10:54,320
>> WONDERFUL TO HAVE YOU.
DR.

287
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LONG.

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>> HI, I'M JUDITH LONG,
I'M THE

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00:11:01,000 --> 00:11:03,120
CO-DIRECTOR OF THE VA CENTER FOR

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HEALTH EQUITY RESEARCH AND

291
00:11:04,760 --> 00:11:07,800
PROMOTION AND I SERVE AS VA

292
00:11:07,800 --> 00:11:09,280
REPRESENTATIVE TO COUNCIL AND I

293
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AM THE DIVISION CHIEF OF GENERAL

294
00:11:11,280 --> 00:11:13,480
INTERNAL MEDICINE AT THE

295
00:11:13,480 --> 00:11:15,920
UNIVERSITY OF PENNSYLVANIA. I

296
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REMY RESEARCH FOCUSES ON

297
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INTERVENTIONS TO ADDRESS SOCIAL

298
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DETERMINANTS OF HEALTH IN AT

299
00:11:23,160 --> 00:11:24,880
RISK POPULATIONS. THANK YOU.

300
00:11:24,880 --> 00:11:28,920
>> THANK YOU. DR. SHELL.

301
00:11:28,920 --> 00:11:30,800
>> GOOD MORNING, EVERYONE.
MY

302
00:11:30,800 --> 00:11:32,320
NAME IS DONALD SHELL, ACTING

303
00:11:32,320 --> 00:11:33,920
DIRECTOR OF HEALTH SERVICE

304
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POLICY OVERSIGHT REPRESENTING

305
00:11:37,440 --> 00:11:38,960
DEPARTMENT OF -- EXOFFICIO

306
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MEMBER FAMILY PHYSICIAN AND

307
00:11:41,320 --> 00:11:43,880
DISEASE PREVENTION AND

308
00:11:43,880 --> 00:11:45,960
MANAGEMENT POPULATION HEALTH

309
00:11:45,960 --> 00:11:46,880
OVERSIGHT AND DEPARTMENT OF

310
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DEFENSE INCLUDING WIDE VARIETY

311
00:11:49,560 --> 00:11:52,320
OF DISEASES AND HEALTH EQUITY

312
00:11:52,320 --> 00:11:53,640
AND DISEASE POPULATION OF HEALTH

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DEPARTMENT OF DEFENSE. THANK

314
00:11:54,200 --> 00:11:54,440
YOU.

315
00:11:54,440 --> 00:12:01,120
>> THANK YOU. MS.
ESCALERA. 

316
00:12:01,120 --> 00:12:02,440
HOPEFULLY YOU CAN HEAR ME NOW.

317
00:12:02,440 --> 00:12:03,320
>> WE CAN.

318
00:12:03,320 --> 00:12:07,400
>> THANK YOU. APOLOGIES
FOR ALL

319
00:12:07,400 --> 00:12:10,440
THAT AUDIO SNAFU. MY NAME IS

320
00:12:10,440 --> 00:12:12,600
NITZA ESCALERA. I'M ATTORNEY BY

321
00:12:12,600 --> 00:12:15,440
TRAINING. I CURRENTLY TEACH AS

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00:12:15,440 --> 00:12:18,120
AN ADJUNCT AT JOHN JAY COLLEGE

323
00:12:18,120 --> 00:12:21,440
AND WHEN I WAS PRACTICING I

324
00:12:21,440 --> 00:12:23,320
PRACTICE FOCUS MAINLY ON HIV

325
00:12:23,320 --> 00:12:25,640
AIDS DISCRIMINATION,

326
00:12:25,640 --> 00:12:26,720
REPRODUCTIVE RIGHTS AND ACCESS

327
00:12:26,720 --> 00:12:27,920
TO HEALTHCARE. GOOD MORNING,

328
00:12:27,920 --> 00:12:31,680
EVERYONE. 

329
00:12:31,680 --> 00:12:34,360
>> GREAT TO SEE AND HEAR
YOU. 

330
00:12:34,360 --> 00:12:38,400
HAVE I MISSED ANY OF OUR COUNCIL

331
00:12:38,400 --> 00:12:45,160
MEMBERS IN ATTENDANCE? OKAY. I

332
00:12:45,160 --> 00:12:48,080
ALSO LIKE TO ACKNOWLEDGE THE

333
00:12:48,080 --> 00:12:51,800
NIMHD STAFF WHO ARE WITH US, DR.

334
00:12:51,800 --> 00:12:55,040
STINSON.

335
00:12:55,040 --> 00:12:56,840
>> DIRECTOR OF DIVISION OF

336
00:12:56,840 --> 00:12:58,320
COMMUNITY HEALTH AND POPULATION

337
00:12:58,320 --> 00:12:59,520
SCIENCE IN THE INSTITUTE.

338
00:12:59,520 --> 00:13:03,680
>> THANK YOU, DR. DAS.

339
00:13:03,680 --> 00:13:08,080
>> GOOD MORNING,
EVERYBODY.

340
00:13:08,080 --> 00:13:10,040
I'MRYNA DAS, INTEGRATIVE

341
00:13:10,040 --> 00:13:13,560
BIOLOGICAL BEHAVIORAL SCIENCES

342
00:13:13,560 --> 00:13:14,000
DIVISION AT NIMHD.

343
00:13:14,000 --> 00:13:15,840
>> THANK YOU. WE ALSO HAVE

344
00:13:15,840 --> 00:13:20,440
ANOTHER DIVISION DIRECTOR DR.

345
00:13:20,440 --> 00:13:23,880
SANCHEZ WHO IS ON THE VIDEOCAST.

346
00:13:23,880 --> 00:13:27,520
HELLO TO DR. SANTA. WE ALSO HAVE

347
00:13:27,520 --> 00:13:29,160
NEW DIRECTOR OF OF OFFICE OF

348
00:13:29,160 --> 00:13:30,160
EXTRA YOU RECALL MOO RESEARCH

349
00:13:30,160 --> 00:13:33,160
ACTIVITIES. WELCOME TO DR.

350
00:13:33,160 --> 00:13:38,760
POLYCOTTON. KIMBERLY ALAN.

351
00:13:38,760 --> 00:13:40,760
>> GOOD MORNING, I'M
KIMBERLY

352
00:13:40,760 --> 00:13:45,080
ALAN EXECUTIVE OFFICER DEPUTY

353
00:13:45,080 --> 00:13:47,680
EXECUTIVE COUNSELOR FOR NIMHD.

354
00:13:47,680 --> 00:13:52,000
>> THANK YOU. I ALSO LIKE
TO

355
00:13:52,000 --> 00:13:53,160
ACKNOWLEDGE THE NIMHD STAFF WHO

356
00:13:53,160 --> 00:13:55,080
WORKED MIND THE SCENES TO

357
00:13:55,080 --> 00:13:56,520
PREPARE AND BRING FORTH OUR

358
00:13:56,520 --> 00:13:57,760
COUNCIL MEETING SO THANKS TO ALL

359
00:13:57,760 --> 00:14:01,280
OF YOU. BEFORE WE MOVE ANY

360
00:14:01,280 --> 00:14:02,920
FURTHER, ELISEO, WOULD YOU LIKE

361
00:14:02,920 --> 00:14:04,360
TO ADD COMMENTS OR MAKE ANY

362
00:14:04,360 --> 00:14:08,360
OTHER INTRODUCTIONS YOURSELF?

363
00:14:08,360 --> 00:14:11,440
>> NO, I THINK WE ARE
COVERED. I

364
00:14:11,440 --> 00:14:13,960
THINK I NOTICE LINDS SHY

365
00:14:13,960 --> 00:14:16,200
CRISWELL JOINED THE ROOM AND WE

366
00:14:16,200 --> 00:14:18,360
WILL INTRODUCE HER BEFORE SHE

367
00:14:18,360 --> 00:14:20,880
PRESENTS, DIRECTOR OF THE NIAMS

368
00:14:20,880 --> 00:14:27,080
INSTITUTE. REVIEW THE MINUTES.

369
00:14:27,080 --> 00:14:30,600
>> YES WE WILL NOW REVIEW
THE

370
00:14:30,600 --> 00:14:32,280
FEBRUARY 2022 COUNCIL MINUTES.

371
00:14:32,280 --> 00:14:34,560
THE CHAT BOX WILL BE USED TO

372
00:14:34,560 --> 00:14:36,800
RECORD THE VOTE ON THE ACTIONS

373
00:14:36,800 --> 00:14:39,320
TODAY. WHEN ASKED ALL IN FAVOR

374
00:14:39,320 --> 00:14:40,880
PLEASE ENTER YES OR Y IN THE

375
00:14:40,880 --> 00:14:43,000
CHAT BOX. WHEN ASKED ANY OPPOSE

376
00:14:43,000 --> 00:14:45,880
PLEASE ENTER NO OR N IN THE CHAT

377
00:14:45,880 --> 00:14:49,440
BOX. THE MINUTES FROM THE

378
00:14:49,440 --> 00:14:50,760
FEBRUARY 2022 COUNCIL MEETINGS

379
00:14:50,760 --> 00:14:52,640
WERE POSTED IN THE ELECTRONIC

380
00:14:52,640 --> 00:14:54,080
COUNCIL BOOK. HAVING REVIEWED

381
00:14:54,080 --> 00:14:55,440
THE MINUTES ARE THERE ANY

382
00:14:55,440 --> 00:14:57,560
QUESTIONS, CONCERNS, OR

383
00:14:57,560 --> 00:15:00,160
CORRECTIONS FOR THESE MINUTES? 

384
00:15:00,160 --> 00:15:02,520
IF SO, PLEASE INDICATE THAT IN

385
00:15:02,520 --> 00:15:11,720
THE CHAT BOX. SEEK NONE, MAY I

386
00:15:11,720 --> 00:15:13,000
HAVE A MOTION TO APPROVE THE

387
00:15:13,000 --> 00:15:15,360
MINUTES FROM THE FEBRUARY 2022

388
00:15:15,360 --> 00:15:25,520
COUNCIL?

389
00:15:30,640 --> 00:15:32,240
>> MOTION TO APPROVE.

390
00:15:32,240 --> 00:15:34,120
>> GREAT. MAY I HAVE A
SECOND?

391
00:15:34,120 --> 00:15:37,800
>> SECOND.

392
00:15:37,800 --> 00:15:39,680
>> EXCELLENT. ALL IN FAVOR
ENTER

393
00:15:39,680 --> 00:15:41,560
Y IN THE CHAT BOX, ANY OPPOSED

394
00:15:41,560 --> 00:15:45,520
ENTER IN THE CHAT BOX OR NO. ANY

395
00:15:45,520 --> 00:15:56,040
ABSTENTIONS ALSO ENTER THAT. 

396
00:16:09,040 --> 00:16:10,840
OKAY. AFTER HAVING BEEN MOVED

397
00:16:10,840 --> 00:16:12,080
AND PROPERLY SECONDED THE

398
00:16:12,080 --> 00:16:17,360
MINUTES FROM THE FEBRUARY 2022

399
00:16:17,360 --> 00:16:18,280
ADVISORY COUNCIL MEETING ARE

400
00:16:18,280 --> 00:16:24,440
APPROVED.  THANK YOU. NOW WE

401
00:16:24,440 --> 00:16:26,960
WOULD LIKE TO ASK OUR RETIRING

402
00:16:26,960 --> 00:16:28,960
COUNCIL ADVISORY COUNCIL MEMBERS

403
00:16:28,960 --> 00:16:30,360
TO REFLECT MAYBE FOR A FEW

404
00:16:30,360 --> 00:16:34,680
MINUTES ON THEIR EXPERIENCE THUS

405
00:16:34,680 --> 00:16:36,160
FAR OR EXPERIENCE ON THEIR TIME

406
00:16:36,160 --> 00:16:38,480
ON THE ADVISORY COMMITTEE. WE

407
00:16:38,480 --> 00:16:39,560
DID HEAR FROM DR. (INAUDIBLE)

408
00:16:39,560 --> 00:16:41,440
BUT IF YOU WOULD LIKE TO ADD

409
00:16:41,440 --> 00:16:45,000
REFLECTIONS YOU MAY DO SO. DR.

410
00:16:45,000 --> 00:16:46,840
KEAWE KAHOLOKULA, MAY I ASK YOU

411
00:16:46,840 --> 00:16:49,920
TO TAKE THE FLOOR?

412
00:16:49,920 --> 00:16:52,400
>> THANK YOU FOR THAT,
EXCUSE

413
00:16:52,400 --> 00:16:53,520
ME, IT IS VERY EARLY IN THE

414
00:16:53,520 --> 00:16:55,160
MORNING HERE SO I'M STILL

415
00:16:55,160 --> 00:16:58,360
GETTING UP. BUT I JUST WANT TO

416
00:16:58,360 --> 00:17:00,760
SAY IT'S BEEN A GREAT PRIVILEGE

417
00:17:00,760 --> 00:17:03,160
AND HONOR TO SERVE ON THIS

418
00:17:03,160 --> 00:17:05,440
COUNCIL AND MAKE SO MANY -- MEET

419
00:17:05,440 --> 00:17:10,120
SO MANY GREAT COLLEAGUES, AND

420
00:17:10,120 --> 00:17:13,800
FRIENDS THAT ARE PASSIONATE

421
00:17:13,800 --> 00:17:15,160
ABOUT IMPROVING THE HEALTH AND

422
00:17:15,160 --> 00:17:16,480
WELL BEING OF OUR MOST

423
00:17:16,480 --> 00:17:17,280
VULNERABLE POPULATIONS IN THE

424
00:17:17,280 --> 00:17:22,440
UNITED STATES.  I WOULD LIKE TO

425
00:17:22,440 --> 00:17:25,560
ALLOCATE FOR NATIVE HAWAIIANS

426
00:17:25,560 --> 00:17:26,640
AND PACIFIC ISLANDERS

427
00:17:26,640 --> 00:17:27,520
SPECIFICALLY HAS BEEN A REAL

428
00:17:27,520 --> 00:17:30,480
PRIVILEGE AND HONOR OFTEN WHERE

429
00:17:30,480 --> 00:17:32,600
THEY FEEL OVERLOOKED OFTEN OUR

430
00:17:32,600 --> 00:17:33,640
COMMUNITIES AND TO BE ABLE TO

431
00:17:33,640 --> 00:17:35,840
SIT AT THE TABLE WHERE THESE

432
00:17:35,840 --> 00:17:37,800
DECISIONS ARE MADE ABOUT OUR

433
00:17:37,800 --> 00:17:39,200
POPULATIONS, AND ABOUT THE BEST

434
00:17:39,200 --> 00:17:42,520
WAYS TO ADDRESS THE HEALTH AND

435
00:17:42,520 --> 00:17:45,160
ADVANCE HEALTH EQUITY FOR ALL OF

436
00:17:45,160 --> 00:17:47,800
US. I MADE SOME GREAT CONTACTS

437
00:17:47,800 --> 00:17:51,920
AND RELATIONSHIPS HERE. FORMER

438
00:17:51,920 --> 00:17:53,800
COUNCIL MEMBER NOW SITS ON OUR

439
00:17:53,800 --> 00:17:56,360
EXTERNAL ADVISORY COMMITTEE FOR

440
00:17:56,360 --> 00:17:57,040
INFRASTRUCTURE GRANT AND

441
00:17:57,040 --> 00:17:59,600
CONTRIBUTES SIGNIFICANTLY TO

442
00:17:59,600 --> 00:18:00,920
BUILDING OUR INFRASTRUCTURE HERE

443
00:18:00,920 --> 00:18:06,960
IN HAWAII. BRIAN, DR. MUSTANSKI

444
00:18:06,960 --> 00:18:08,360
AS YOU MAY HAVE HEARD FROM

445
00:18:08,360 --> 00:18:09,760
YESTERDAY BEING ABLE TO LINK A

446
00:18:09,760 --> 00:18:11,920
JUNIOR FACULTY, ACTUALLY NO

447
00:18:11,920 --> 00:18:13,600
LONGER JUNIOR FACULTY, NATIVE

448
00:18:13,600 --> 00:18:15,360
HAWAIIAN DOING VERY WELL AND ON

449
00:18:15,360 --> 00:18:17,560
HER WAY TO BECOMING INDEPENDENT

450
00:18:17,560 --> 00:18:18,440
RESEARCHER BECAUSE OF THE

451
00:18:18,440 --> 00:18:20,240
CONNECTIONS I HAVE BEEN ABLE TO

452
00:18:20,240 --> 00:18:23,000
MAKE HERE BUT MOST OF ALL IT IS

453
00:18:23,000 --> 00:18:26,280
JUST BEEN AGAIN A REAL HONOR TO

454
00:18:26,280 --> 00:18:31,640
BE A PART OF THE PROCESS OF

455
00:18:31,640 --> 00:18:33,720
BEING ABLE TO DEVELOP CONCEPTS

456
00:18:33,720 --> 00:18:36,840
OR DEVELOP IDEAS AROUND THE BEST

457
00:18:36,840 --> 00:18:38,360
STRATEGIES AND WAYS TO ADDRESS

458
00:18:38,360 --> 00:18:40,160
THE CONCERNS OF OUR COMMUNITIES

459
00:18:40,160 --> 00:18:43,080
IN A WAY THAT IS SCIENTIFICALLY

460
00:18:43,080 --> 00:18:46,520
SOUND, CULTURALLY RESPONSIVE,

461
00:18:46,520 --> 00:18:48,440
AND REALLY INVOLVES COMMUNITY

462
00:18:48,440 --> 00:18:50,880
VOICES IN THE PROCESS AS WELL. I

463
00:18:50,880 --> 00:18:52,120
THINK THIS IS ALL INSTITUTES I

464
00:18:52,120 --> 00:18:53,840
HAVE BEEN INVOLVED WITH WHETHER

465
00:18:53,840 --> 00:18:56,240
AS FUNDED INVESTIGATOR OTHERWISE

466
00:18:56,240 --> 00:19:02,000
THIS IS BY FAR THE BEST

467
00:19:02,000 --> 00:19:03,520
INSTITUTE. JUST A LITTLE QUICK

468
00:19:03,520 --> 00:19:05,440
ONE BEFORE I JUMP OFF, I STARTED

469
00:19:05,440 --> 00:19:11,320
MY CAREER WITH A LOAN REPAYMENT,

470
00:19:11,320 --> 00:19:12,400
DIVERSITY SUPPLEMENT SUPPORTED

471
00:19:12,400 --> 00:19:16,080
BY NIMHD MY FIRST R GRANT WAS

472
00:19:16,080 --> 00:19:18,280
FROM NIMHD. SO REALLY BELIEVE IN

473
00:19:18,280 --> 00:19:23,640
A MISSION OF NIMHD AND

474
00:19:23,640 --> 00:19:25,160
DEVELOPING UNDER-REPRESENTED

475
00:19:25,160 --> 00:19:28,080
MINORITIES IN RESEARCH AND I DO

476
00:19:28,080 --> 00:19:29,280
WISH Y'ALL THE BEST INTO THE

477
00:19:29,280 --> 00:19:31,840
FUTURE AND I DO HOPE I CAN BE

478
00:19:31,840 --> 00:19:34,240
ENGAGED IN SOME WAY WITH OTHER

479
00:19:34,240 --> 00:19:39,920
INITIATIVES AND PROJECTS.

480
00:19:39,920 --> 00:19:41,600
>> THANK YOU, DR.
MUSTANSKI, MAY

481
00:19:41,600 --> 00:19:43,040
I ASK YOU TO OFFER SOME THOUGHTS

482
00:19:43,040 --> 00:19:46,920
AND REFLECTIONS?

483
00:19:46,920 --> 00:19:48,160
>> THANK YOU IT IS BEEN A

484
00:19:48,160 --> 00:19:49,760
PLEASURE AND HONOR TO BE PART OF

485
00:19:49,760 --> 00:19:52,000
THE COUNCIL FOR FOUR YEARS,

486
00:19:52,000 --> 00:19:54,000
PARTICULARLY I JOINED SHORTLY

487
00:19:54,000 --> 00:19:56,040
AFTER DR. PEREZ-STABLE HAD

488
00:19:56,040 --> 00:19:58,920
DESIGNATED SEXUAL AND GENDER

489
00:19:58,920 --> 00:20:01,280
MINORITY PEOPLE A HEALTH

490
00:20:01,280 --> 00:20:02,320
DISPARITY POPULATION FOR

491
00:20:02,320 --> 00:20:03,600
RESEARCH PURPOSES AT NIH WHICH

492
00:20:03,600 --> 00:20:05,040
IS A GAME CHANGER IN BRINGING

493
00:20:05,040 --> 00:20:07,160
ATTENTION TO THE DISPARITIES

494
00:20:07,160 --> 00:20:09,720
EXPERIENCED BY OUR COMMUNITY AND

495
00:20:09,720 --> 00:20:12,080
THE ROLE RESEARCH AND SCIENCE

496
00:20:12,080 --> 00:20:14,720
CAN PLAY IN CREATING HEALTH

497
00:20:14,720 --> 00:20:16,360
EQUITY. SO JOINING SHORTLY AFTER

498
00:20:16,360 --> 00:20:19,520
THAT WAS A REAL PRIVILEGE AND TO

499
00:20:19,520 --> 00:20:22,320
BE ABLE TO PROVIDE ADVICE TO

500
00:20:22,320 --> 00:20:24,440
THIS COUNCIL ON SGN HEALTH AND

501
00:20:24,440 --> 00:20:25,920
HIV RESEARCH AS WELL AS ADVOCATE

502
00:20:25,920 --> 00:20:28,440
FOR HOW TO INTEGRATE ISSUES OF

503
00:20:28,440 --> 00:20:29,160
MULTIPLE POPULATIONS AND

504
00:20:29,160 --> 00:20:32,160
MULTIPLE HEALTH ISSUES. ONE OF

505
00:20:32,160 --> 00:20:33,840
THE THINGS THAT IS REALLY

506
00:20:33,840 --> 00:20:36,080
VISIONARY AND UNIQUE ABOUT NIMHD

507
00:20:36,080 --> 00:20:38,000
IS IT REALLY FLIPS THE SCRIPT

508
00:20:38,000 --> 00:20:41,680
FROM THIS TRADITIONAL APPROACH

509
00:20:41,680 --> 00:20:43,240
FOCUSING ON A HEALTH ISSUE AND

510
00:20:43,240 --> 00:20:45,560
GOING TO FIND POPULATIONS THAT

511
00:20:45,560 --> 00:20:46,720
EXPERIENCE HEALTH ISSUES SO YOU

512
00:20:46,720 --> 00:20:49,960
CAN STUDY. AND INSTEAD TO CREATE

513
00:20:49,960 --> 00:20:53,440
A MODEL OF INVESTIGATORS

514
00:20:53,440 --> 00:20:54,040
BUILDING SUSTAIN PARTNERSHIPS

515
00:20:54,040 --> 00:20:55,440
WITH MINORITY HEALTH AND HEALTH

516
00:20:55,440 --> 00:20:59,000
DISPARITY COMMUNITIES AND

517
00:20:59,000 --> 00:21:00,000
FINDING WHAT THEIR NEEDS ARE AND

518
00:21:00,000 --> 00:21:02,200
WORKING TO ADDRESS THEM, IT IS A

519
00:21:02,200 --> 00:21:04,240
POWERFUL MODEL AND ALLOWS US TO

520
00:21:04,240 --> 00:21:06,240
ADVANCE HEALTH IN A REALLY

521
00:21:06,240 --> 00:21:07,760
INNOVATIVE WAY. SO IT'S BEEN A

522
00:21:07,760 --> 00:21:09,560
REAL PLEASURE AS DR. KEAWE

523
00:21:09,560 --> 00:21:10,880
KAHOLOKULA MENTIONED, IT'S BEEN

524
00:21:10,880 --> 00:21:12,400
GREAT TO FORM COLLABORATIONS,

525
00:21:12,400 --> 00:21:14,080
GET TO KNOW OTHERS AND I WANT TO

526
00:21:14,080 --> 00:21:15,720
THANK YOU FOR THE OPPORTUNITY TO

527
00:21:15,720 --> 00:21:19,880
BE PART OF THIS COUNCIL.

528
00:21:19,880 --> 00:21:25,200
>> THANK YOU. WE ALSO HAVE
DR.

529
00:21:25,200 --> 00:21:26,560
JOAN REEDE WHO IS ALSO RETIRING

530
00:21:26,560 --> 00:21:28,080
COUNCIL MEMBER, SHE WASN'T ABLE

531
00:21:28,080 --> 00:21:29,720
TO JOIN TODAY BUT DID WANT TO

532
00:21:29,720 --> 00:21:31,640
ACKNOWLEDGE AND THANK HER FOR

533
00:21:31,640 --> 00:21:33,360
HER FANTASTIC SERVICE AS PART OF

534
00:21:33,360 --> 00:21:35,480
NIMHD ADVISORY COMMITTEE.  

535
00:21:35,480 --> 00:21:39,560
BEFORE WE MOVE ON, DR. ZORRILLA,

536
00:21:39,560 --> 00:21:40,440
DO YOU HAVE ANY OTHER

537
00:21:40,440 --> 00:21:41,240
REFLECTIONS YOU WOULD LIKE TO

538
00:21:41,240 --> 00:21:41,440
ADD?

539
00:21:41,440 --> 00:21:42,400
>> THANK YOU SO MUCH, I
ALREADY

540
00:21:42,400 --> 00:21:43,240
DID. 

541
00:21:43,240 --> 00:21:48,840
>> GREAT.  OKAY NEXT,
FUTURE

542
00:21:48,840 --> 00:21:50,560
MEETING DATES ARE LISTED ON THE

543
00:21:50,560 --> 00:21:53,520
AGENDA. AFTER REVIEWING THE

544
00:21:53,520 --> 00:21:56,800
DATES THIS IS FOR COUNCIL

545
00:21:56,800 --> 00:21:58,320
MEMBERS, PLEASE LET US KNOW IF

546
00:21:58,320 --> 00:21:59,760
THERE IS A DATE YOU CAN'T MAKE,

547
00:21:59,760 --> 00:22:00,880
IT IS VERY IMPORTANT WE HAVE A

548
00:22:00,880 --> 00:22:03,000
QUORUM OF ADVISORY COUNCIL

549
00:22:03,000 --> 00:22:04,560
MEMBERS AT EACH MEETING TO

550
00:22:04,560 --> 00:22:05,800
CONDUCT THE BUSINESS OF THE

551
00:22:05,800 --> 00:22:09,080
INSTITUTE. THE LAST COUNCIL

552
00:22:09,080 --> 00:22:12,240
MEETING IN 202 WILL BE HELD ON

553
00:22:12,240 --> 00:22:16,320
SEPTEMBER 1 AND 2ND. THE 20223

554
00:22:16,320 --> 00:22:18,440
COUNCIL DATES ARE FEBRUARY 6 AND

555
00:22:18,440 --> 00:22:23,000
7 OF 2023. MAY 22ND, AND 23RD

556
00:22:23,000 --> 00:22:24,920
AND AUGUST 3 ISST AND SEPTEMBER

557
00:22:24,920 --> 00:22:27,040
1ST. PLEASE NOTE IT IS AN NIH

558
00:22:27,040 --> 00:22:29,400
POLICY THAT A COUNCIL MEMBER MAY

559
00:22:29,400 --> 00:22:32,280
HAVE ONLY ONE ABSENCE PER

560
00:22:32,280 --> 00:22:33,400
CALENDAR YEAR AND INDIVIDUAL

561
00:22:33,400 --> 00:22:35,520
CANNOT SERVE ON ANY NIH PEER

562
00:22:35,520 --> 00:22:38,440
REVIEW PANELS WHILE SERVING AS A

563
00:22:38,440 --> 00:22:40,920
COUNCIL MEMBER. WE WILL NOW TURN

564
00:22:40,920 --> 00:22:43,120
OVER THE MEETING TO DR.

565
00:22:43,120 --> 00:22:44,760
PEREZ-STABLE FOR THE NIMHD

566
00:22:44,760 --> 00:22:46,680
DIRECTORS REPORT. AFTER HIS

567
00:22:46,680 --> 00:22:47,800
PRESENTATION THE FLOOR WILL BE

568
00:22:47,800 --> 00:22:50,800
OPEN FOR DISCUSSIONS QUESTIONS

569
00:22:50,800 --> 00:22:52,360
AND COMMENTS. YOU MAY TYPE THE

570
00:22:52,360 --> 00:22:53,480
WORD QUESTION, COMMENT OR USE

571
00:22:53,480 --> 00:22:55,480
THE RAISED HAND FEATURE TO FLAG

572
00:22:55,480 --> 00:22:57,040
YOUR INTEREST IN SPEAKING YOU

573
00:22:57,040 --> 00:22:59,200
DON'T HAVE TO TYPE THE ACTUAL

574
00:22:59,200 --> 00:23:00,560
QUESTION OR COMMENT. I WILL BE

575
00:23:00,560 --> 00:23:01,920
MONITORING THE CHAT BOX AND WILL

576
00:23:01,920 --> 00:23:03,120
CALL ON YOU IN THE ORDER

577
00:23:03,120 --> 00:23:04,760
SUBMITTED OR THE OTHER OF HANDS

578
00:23:04,760 --> 00:23:05,960
RAISED. IT IS IMPORTANT THAT

579
00:23:05,960 --> 00:23:08,160
YOUR REMARKS ARE PART OF THE

580
00:23:08,160 --> 00:23:10,400
AUDIO FOR THE NIH VIDEOCAST SO

581
00:23:10,400 --> 00:23:11,680
WHEN YOU ARE CALLED UNMUTE YOUR

582
00:23:11,680 --> 00:23:13,360
SPEAKER, TURN ON YOUR VIDEO AND

583
00:23:13,360 --> 00:23:15,160
ONCE YOU HAVE SPOKEN PLEASE TURN

584
00:23:15,160 --> 00:23:16,440
OFF YOUR CAMERA AND MUTE YOUR

585
00:23:16,440 --> 00:23:20,320
SPEAKER. DR. PEREZ-STABLE. 

586
00:23:20,320 --> 00:23:22,520
>> THANK YOU SO MUCH,
MONICA. I

587
00:23:22,520 --> 00:23:26,480
WANT TO ESPECIALLY THANK ALL THE

588
00:23:26,480 --> 00:23:27,880
COUNCIL MEMBERS. THIS IS REALLY

589
00:23:27,880 --> 00:23:31,200
A PRIVILEGE FOR ME AS NIMHD

590
00:23:31,200 --> 00:23:37,440
DIRECTOR TO HELP SELECT AND WORK

591
00:23:37,440 --> 00:23:39,640
WITH YOU OVER YOUR FOUR YEAR

592
00:23:39,640 --> 00:23:43,080
APPOINTMENT, ENJOY THE

593
00:23:43,080 --> 00:23:44,080
COMRADERY, INTELLECTUAL

594
00:23:44,080 --> 00:23:48,800
DISCOURSE AND ALL YOUR GREAT

595
00:23:48,800 --> 00:23:51,840
ADVISE WE TAKE YOUR WORD AS

596
00:23:51,840 --> 00:23:53,960
IMPORTANT ADVICE IN THINKING

597
00:23:53,960 --> 00:23:54,720
ABOUT WHERE THE INSTITUTION

598
00:23:54,720 --> 00:23:55,840
DIRECTIONS ARE. 

599
00:23:55,840 --> 00:23:58,440
IT'S BEEN AS USUAL AN ACTIVE

600
00:23:58,440 --> 00:24:01,120
LAST ALMOST FOUR MONTHS SO LAST

601
00:24:01,120 --> 00:24:02,840
COUNCIL MEETING IN EARLY

602
00:24:02,840 --> 00:24:04,800
FEBRUARY. SO I WILL PROCEED WITH

603
00:24:04,800 --> 00:24:06,520
SUMMARY WHERE WE HAVE BEEN.

604
00:24:06,520 --> 00:24:09,600
COUPLE OF MAJOR NEW

605
00:24:09,600 --> 00:24:12,800
APPOINTMENTS. AT THE DEPARTMENT

606
00:24:12,800 --> 00:24:15,360
LEVEL ROB CALIFF WAS CONFIRMED

607
00:24:15,360 --> 00:24:18,760
BY THE SENATE AFTER SOMEWHAT

608
00:24:18,760 --> 00:24:21,960
CONTENTIOUS NOMINATION PROCESS.

609
00:24:21,960 --> 00:24:24,720
ROB IS COMING BACK TO BE FDA

610
00:24:24,720 --> 00:24:26,080
COMMISSIONER FOR SECOND TIME. HE

611
00:24:26,080 --> 00:24:29,800
IS A CARDSOLOGIST, REALLY

612
00:24:29,800 --> 00:24:32,880
DISTINGUISHED AND ACCOMPLISHED

613
00:24:32,880 --> 00:24:34,960
CLINICAL INVESTIGATOR IN

614
00:24:34,960 --> 00:24:37,760
INTERVENTIONS IN CLINICAL

615
00:24:37,760 --> 00:24:39,280
CARDIOLOGY PROBABLY DEFINE

616
00:24:39,280 --> 00:24:41,080
MODERN ERA OF INTERVENTIONAL

617
00:24:41,080 --> 00:24:44,200
CARDIOLOGY ALONG WITH OTHERS. I

618
00:24:44,200 --> 00:24:46,320
HAVE THE SHARED FIRST TWO YEARS

619
00:24:46,320 --> 00:24:49,640
OF RESIDENCY TOGETHER AT UCSF SO

620
00:24:49,640 --> 00:24:54,560
WE GO WAY BACK. ROBERT VALDEZ OR

621
00:24:54,560 --> 00:24:56,560
BOB, ROB VALDEZ IS MORE COMMONLY

622
00:24:56,560 --> 00:24:58,000
KNOWN WAS APPOINTED DIRECTOR OF

623
00:24:58,000 --> 00:25:00,840
THE AGENCY FOR HEALTHCARE

624
00:25:00,840 --> 00:25:02,200
RESEARCH AND QUALITY ROB CAME

625
00:25:02,200 --> 00:25:05,720
FROM UNIVERSITY OF NEW MEXICO.

626
00:25:05,720 --> 00:25:07,520
WHERE HE HAD BEEN THE LAST

627
00:25:07,520 --> 00:25:09,880
DECADE OR SO IN PREVIOUSLY IN

628
00:25:09,880 --> 00:25:14,080
THE FEDERAL GOVERNMENT AT HRSA,

629
00:25:14,080 --> 00:25:16,480
HE IS A HEALTH SERVICES

630
00:25:16,480 --> 00:25:18,600
RESEARCHER AND WE WILL WORK

631
00:25:18,600 --> 00:25:20,560
CLOSELY WITH THEM AND WILL BE

632
00:25:20,560 --> 00:25:25,560
PRESENTING TO COUNCIL LATER. DR.

633
00:25:25,560 --> 00:25:26,840
(INDISCERNIBLE) WAS APPOINTED AS

634
00:25:26,840 --> 00:25:28,960
THE CORONA VIRUS RESPONSE

635
00:25:28,960 --> 00:25:31,920
COORDINATOR. AFTER THE INITIAL

636
00:25:31,920 --> 00:25:33,760
APPOINTEE STEPPED DOWN OR

637
00:25:33,760 --> 00:25:36,840
ANNOUNCED HE WAS STEPPING AWAY.

638
00:25:36,840 --> 00:25:38,400
DR. JA (PHONETIC) IS DEAN SCHOOL

639
00:25:38,400 --> 00:25:39,840
OF PUBLIC HEALTH AT BROWN

640
00:25:39,840 --> 00:25:43,840
UNIVERSITY, HE IS A GENERAL

641
00:25:43,840 --> 00:25:45,400
INTERNIST ALSO KNEW HIM FROM MY

642
00:25:45,400 --> 00:25:47,040
TIME AT UCSF WHERE HE WAS A

643
00:25:47,040 --> 00:25:49,880
RESIDENT AND FELLOW IN THE VA

644
00:25:49,880 --> 00:25:53,200
MEDICAL CENTER THERE. DID

645
00:25:53,200 --> 00:25:55,960
RESEARCH AND HAD BEEN EITHER HAD

646
00:25:55,960 --> 00:25:57,640
BEEN IN THE NORTHEAST NOW

647
00:25:57,640 --> 00:25:59,520
HARVARD INITIALLY THEN AT BROWN

648
00:25:59,520 --> 00:26:02,720
SINCE THEN. SO HE IS THE

649
00:26:02,720 --> 00:26:04,800
COORDINATOR FROM THE WHITE

650
00:26:04,800 --> 00:26:08,840
HOUSE. ONE CAVEAT ASHISH TALKED

651
00:26:08,840 --> 00:26:10,320
ABOUT IN ONE OF HIS INTERVIEWS

652
00:26:10,320 --> 00:26:12,840
BEFORE HE WAS APPOINTED WAS THAT

653
00:26:12,840 --> 00:26:14,640
WEARING MASKS IS LIKE AN

654
00:26:14,640 --> 00:26:17,480
UMBRELLA. WHEN CASES ARE HIGH,

655
00:26:17,480 --> 00:26:18,960
WEAR IT, WHEN CASES ARE LOW YOU

656
00:26:18,960 --> 00:26:21,560
CAN RELAX. AND NOT HAVE TO HAVE

657
00:26:21,560 --> 00:26:23,800
AN UMBRELLA SO JUST REMINDER FOR

658
00:26:23,800 --> 00:26:26,480
EVERYONE ON WHAT WE DO FOR

659
00:26:26,480 --> 00:26:29,160
COVID. WE ARE CERTAINLY IN A

660
00:26:29,160 --> 00:26:30,440
PERIOD WE SHOULD BE WEARING

661
00:26:30,440 --> 00:26:34,360
MASKS INDOORSS. DR. COLLINS OUR

662
00:26:34,360 --> 00:26:36,880
NIH DIRECTOR HAS STEPPED DOWN IN

663
00:26:36,880 --> 00:26:38,240
DECEMBER AND WENT BACK TO HIS

664
00:26:38,240 --> 00:26:43,200
LAB TO DO SCIENCE, DIDN'T LAST

665
00:26:43,200 --> 00:26:44,960
LONG IN THAT MODE. HE RESPONDED

666
00:26:44,960 --> 00:26:47,520
TO THE CALL FROM PRESIDENT BIDEN

667
00:26:47,520 --> 00:26:49,720
IN MID FEBRUARY TO TAKE ON THE

668
00:26:49,720 --> 00:26:51,840
ROLE OF ACTING SCIENCE ADVISOR

669
00:26:51,840 --> 00:26:54,440
TO THE PRESIDENT WHICH DOES NOT

670
00:26:54,440 --> 00:26:55,800
REQUIRE CONGRESSIONAL

671
00:26:55,800 --> 00:26:56,120
CONFIRMATION.

672
00:26:56,120 --> 00:26:58,680
ASHISH JHA

673
00:26:58,680 --> 00:27:02,400
APPOINTED AS
RESPONSE

674
00:27:02,400 --> 00:27:04,360
COORDINATOR, WHICH IS NOT

675
00:27:04,360 --> 00:27:08,240
REQUIRE SENATE CONFIRMATION. AND

676
00:27:08,240 --> 00:27:09,560
ASHISH (PHONETIC) I MENTIONED

677
00:27:09,560 --> 00:27:11,520
TALKING ABOUT WEARING MASKS WHEN

678
00:27:11,520 --> 00:27:15,280
IT IS RAINING AND WE AND IT IS

679
00:27:15,280 --> 00:27:16,680
RIBBING NOW IN MODERATE

680
00:27:16,680 --> 00:27:18,280
TRANSMISSION MODE.  FRANCIS

681
00:27:18,280 --> 00:27:19,640
COLLINS NIH DIRECTOR STEPPED

682
00:27:19,640 --> 00:27:22,240
DOWN IN DECEMBER BUT BY MID

683
00:27:22,240 --> 00:27:24,760
FEBRUARY WAS ASKED BY PRESIDENT

684
00:27:24,760 --> 00:27:27,360
BIDEN TO TAKE OVER THE ROLE OF

685
00:27:27,360 --> 00:27:31,000
ACTING SCIENCE ADVISOR TO THE

686
00:27:31,000 --> 00:27:33,320
PRESIDENT AFTER THE CHANGE IN

687
00:27:33,320 --> 00:27:36,520
THAT OFFICE AND THIS IS NOT A

688
00:27:36,520 --> 00:27:38,640
CABINET LEVEL POSITION AS

689
00:27:38,640 --> 00:27:40,440
OPPOSED TO THE DIRECTOR OF THE

690
00:27:40,440 --> 00:27:41,800
WHITE HOUSE OFFICE OF SCIENCE

691
00:27:41,800 --> 00:27:45,920
AND TECHNOLOGY POLICY WHICH HAS

692
00:27:45,920 --> 00:27:47,640
AN ACTING ROLE NOW WITH THE

693
00:27:47,640 --> 00:27:52,160
FORMER DEPUTY. DR. NED SHARPLESS

694
00:27:52,160 --> 00:27:54,080
ANNOUNCED DECISION TO LEAVE NCI

695
00:27:54,080 --> 00:27:55,840
IN EARLY APRIL AND STEP DOWN AT

696
00:27:55,840 --> 00:27:57,760
THE END OF THE MONTH. HE WAS THE

697
00:27:57,760 --> 00:28:00,360
15TH DIRECTOR OF THE NATIONAL

698
00:28:00,360 --> 00:28:01,840
CANCER INSTITUTE. NED ALSO HAD

699
00:28:01,840 --> 00:28:05,000
SERVED AS ACTING COMMISSIONER

700
00:28:05,000 --> 00:28:06,040
FOR THE FOOD AND DRUG

701
00:28:06,040 --> 00:28:07,840
ADMINISTRATION DOING THE

702
00:28:07,840 --> 00:28:09,760
INTERVAL BETWEEN THE TWO FDA

703
00:28:09,760 --> 00:28:12,720
COMMISSIONERS UNDER FORMER

704
00:28:12,720 --> 00:28:18,560
PRESIDENT TRUMP. DR. DOUG LOWY

705
00:28:18,560 --> 00:28:20,360
WILL SERVE AS NCI ACTING

706
00:28:20,360 --> 00:28:22,160
DIRECTOR, A PRESIDENTIAL

707
00:28:22,160 --> 00:28:23,320
APPOINTMENT WITHOUT SENATE

708
00:28:23,320 --> 00:28:24,640
CONFIRMATION SO WE WILL WAIT FOR

709
00:28:24,640 --> 00:28:27,920
THAT TO HAPPEN. I HAVE TO SAY MY

710
00:28:27,920 --> 00:28:30,960
TIME COINCIDING WITH NED WAS

711
00:28:30,960 --> 00:28:33,480
VERY, VERY POSITIVE. WE WORK

712
00:28:33,480 --> 00:28:38,320
WELL TOGETHER WITH NUMBER OF

713
00:28:38,320 --> 00:28:39,800
INITIATIVES, AS AN NCI DIRECTOR

714
00:28:39,800 --> 00:28:43,000
I FIND HIM APPROACHABLE AND

715
00:28:43,000 --> 00:28:45,000
REALLY UNDERSTOOD THE ISSUES

716
00:28:45,000 --> 00:28:48,000
THAT CONCERNED US AT NIMHD IN

717
00:28:48,000 --> 00:28:53,600
TERMS OF DISPARITIES. I HAD THE

718
00:28:53,600 --> 00:28:55,760
HONOR AND THRILL TO VISIT THE

719
00:28:55,760 --> 00:28:58,320
WHITE HOUSE ON FRIDAY MARCH 18TH

720
00:28:58,320 --> 00:29:02,200
WITH VERY LITTLE ADVICE NOTICE. 

721
00:29:02,200 --> 00:29:05,360
DR. TABAK AND I WERE INVITED TO

722
00:29:05,360 --> 00:29:07,680
JOIN THE SECRETARY AND THREE

723
00:29:07,680 --> 00:29:09,160
MEMBERS OF THE CONGRESS FOR THE

724
00:29:09,160 --> 00:29:13,640
SIGNING OF THE JOHN LOUIS NIMHD

725
00:29:13,640 --> 00:29:19,720
RESEARCH ENDOWMENT ACT. THIS IS

726
00:29:19,720 --> 00:29:21,560
A THE NIMHD ENDOWMENT WHICH WE

727
00:29:21,560 --> 00:29:23,920
HAVE BEEN AUTHORIZED TO FUND

728
00:29:23,920 --> 00:29:27,680
SINCE FOUNDING OF THE CENTER

729
00:29:27,680 --> 00:29:30,280
MINORITY HEALTH AND HEALTH

730
00:29:30,280 --> 00:29:32,920
DISPARITIES AND IT WAS A --

731
00:29:32,920 --> 00:29:34,520
SOMEWHAT OF A FIX ON THE

732
00:29:34,520 --> 00:29:36,240
ELIGIBILITY CRITERIA THAT WE HAD

733
00:29:36,240 --> 00:29:40,440
BEEN WORKING ON FOR SOME TIME.

734
00:29:40,440 --> 00:29:44,200
AND IT BECAME VERY HIGH-LEVEL

735
00:29:44,200 --> 00:29:45,360
PRESENTATION AND GAVE ME THE

736
00:29:45,360 --> 00:29:46,960
OPPORTUNITY TO MEET THE

737
00:29:46,960 --> 00:29:48,000
PRESIDENT AND LISTEN TO HIM FOR

738
00:29:48,000 --> 00:29:50,640
A FEW MINUTES WHILE WE WENT

739
00:29:50,640 --> 00:29:53,760
THROUGH THE CEREMONY. WANTED TO

740
00:29:53,760 --> 00:29:57,880
SHARE THAT OPPORTUNITY WITH YO .

741
00:29:57,880 --> 00:30:00,120
LET ME SPEND COUPLE OF MINUTES

742
00:30:00,120 --> 00:30:03,000
TALKING ABOUT ARPAH. SOMETHING

743
00:30:03,000 --> 00:30:05,280
OUR IMMUNITY HAS NOT BEEN AS

744
00:30:05,280 --> 00:30:08,080
PROACTIVE ABOUT AS PERHAPS OTHER

745
00:30:08,080 --> 00:30:11,880
INSTITUTES. THIS IS THE PROPOSED

746
00:30:11,880 --> 00:30:14,040
AGENCY TO BENEFIT ALL AMERICANS

747
00:30:14,040 --> 00:30:15,840
BY CATALYZING BREAKTHROUGHS

748
00:30:15,840 --> 00:30:20,600
MODELED ON THE DARPA MODEL, FROM

749
00:30:20,600 --> 00:30:23,200
THE DEPARTMENT OF DEFENSE, MOST

750
00:30:23,200 --> 00:30:24,440
FAY LOUSE MOUSILY CREDITED WITH

751
00:30:24,440 --> 00:30:26,560
HAVING INVENTED THE INTERNET AND

752
00:30:26,560 --> 00:30:28,280
GPS AMONG OTHERS THINGS, THINGS

753
00:30:28,280 --> 00:30:30,520
THAT CLEARLY AFFECT OUR DAILY

754
00:30:30,520 --> 00:30:35,280
LIVES ACROSS THE GLOBE. THE GOAL

755
00:30:35,280 --> 00:30:37,520
WAS TO SUPPORT HIGH RISK HIGH

756
00:30:37,520 --> 00:30:39,080
REWARD RESEARCH USING A

757
00:30:39,080 --> 00:30:41,000
DIFFERENT MODEL THAN THE NIH HAS

758
00:30:41,000 --> 00:30:43,680
USED. APPLICATIONS AND

759
00:30:43,680 --> 00:30:46,920
IMPLEMENTATION OF BREAKTHROUGHS

760
00:30:46,920 --> 00:30:49,760
REALLY GOING FROM VIEW HERE

761
00:30:49,760 --> 00:30:51,600
PERSPECTIVE WAS TO GO FOR

762
00:30:51,600 --> 00:30:53,840
MOLECULAR WHAT IS THE NEW CURE

763
00:30:53,840 --> 00:30:57,720
FOR ALZHEIMER'S RELATED DEMEN 

764
00:30:57,720 --> 00:30:59,960
DEMENTIAS OR DIABETES OR CANCER

765
00:30:59,960 --> 00:31:02,440
TO SOCIETAL ONES MANY THE

766
00:31:02,440 --> 00:31:05,200
IMPLEMENTATION OF HEALTHCARE

767
00:31:05,200 --> 00:31:06,600
INTERVENTIONS AND CARE

768
00:31:06,600 --> 00:31:09,440
POPULATIONS. THAT IS THE

769
00:31:09,440 --> 00:31:12,320
ORIGINAL VISION. IT IS REALLY A

770
00:31:12,320 --> 00:31:14,120
WAY OF LOOKING AT EVERYTHING IN

771
00:31:14,120 --> 00:31:19,400
A FASTER TRACK USING DIFFERENT

772
00:31:19,400 --> 00:31:21,200
MODEL OF MILESTONE -- NOT

773
00:31:21,200 --> 00:31:22,040
MEETING MILESTONES DON'T HAVE

774
00:31:22,040 --> 00:31:23,920
FIVE YEARS TO SEE WHAT YOU CAN

775
00:31:23,920 --> 00:31:27,600
DO. VERY CLOSELY MANAGED BY

776
00:31:27,600 --> 00:31:30,240
STAFF. IT WOULD BE IN IN THE

777
00:31:30,240 --> 00:31:33,120
IDEAL SETTING COMPLIMENTARY TO

778
00:31:33,120 --> 00:31:34,600
NOT DUPLICATIVE OF NIH PROGRAMS

779
00:31:34,600 --> 00:31:38,080
THAT ABLE TO TAKE ADVANTAGE OF

780
00:31:38,080 --> 00:31:40,840
THE NIH EXPERTISE, KNOWLEDGE

781
00:31:40,840 --> 00:31:43,760
INFRASTRUCTURE INCLUDING THE

782
00:31:43,760 --> 00:31:46,480
ADMINISTRATIVE AND

783
00:31:46,480 --> 00:31:47,400
ORGANIZATIONAL INFRASTRUCTURE,

784
00:31:47,400 --> 00:31:49,760
BUT REMAIN DISTINCT WITH ITS OWN

785
00:31:49,760 --> 00:31:50,880
SEPARATE CULTURAL ORGANIZATION.

786
00:31:50,880 --> 00:31:53,000
AT LEAST THAT IS THE CONCEPTUAL

787
00:31:53,000 --> 00:31:57,800
IDEA. THE CURRENT STATUS OF

788
00:31:57,800 --> 00:32:00,960
ARPAH IS IT RECEIVED A BILLION

789
00:32:00,960 --> 00:32:03,400
DOLLARS IN APPROPRIATIONS SINCE

790
00:32:03,400 --> 00:32:05,560
FISCAL YEAR 22 IN MARCH ALONG

791
00:32:05,560 --> 00:32:07,880
WITH THE REST OF OUR BUDGET.

792
00:32:07,880 --> 00:32:09,360
THIS IS THREE YEAR MONEY SO THEY

793
00:32:09,360 --> 00:32:11,600
DON'T HAVE TO SPEND IT BY THE

794
00:32:11,600 --> 00:32:14,640
END OF SEPTEMBER, DIRECTOR OF

795
00:32:14,640 --> 00:32:16,040
ARPAH WILL BE A PRESIDENTIAL

796
00:32:16,040 --> 00:32:17,080
APPOINTMENT SO THAT IS ALSO IN

797
00:32:17,080 --> 00:32:20,920
THE QUEUE. THEY WILL USE A LOT

798
00:32:20,920 --> 00:32:23,920
OF NIH RESOURCES IN TERMS OF

799
00:32:23,920 --> 00:32:26,560
HIRING AND AWARDS AND ERA, ET

800
00:32:26,560 --> 00:32:28,000
CETERA, BUT IT WILL HAVE

801
00:32:28,000 --> 00:32:32,640
DIFFERENT FLEXIBILITIES AND WE

802
00:32:32,640 --> 00:32:35,160
HAVE AT NIH. THERE WAS A

803
00:32:35,160 --> 00:32:37,520
COMMENTARY PUBLISHED LAST YEAR

804
00:32:37,520 --> 00:32:39,200
TO DESCRIBE THE VISION OF WHICH

805
00:32:39,200 --> 00:32:41,880
DR. COLLINS WAS ONE OF THE

806
00:32:41,880 --> 00:32:45,720
AUTHORS. ARPA H ALONG WITH

807
00:32:45,720 --> 00:32:48,360
OTHERS AND ARPA H WAS OFFICIALLY

808
00:32:48,360 --> 00:32:53,600
NOT PLACED ANYWHERE IN THE

809
00:32:53,600 --> 00:32:56,280
OMNIBUS BILL. AND HAD TO BE

810
00:32:56,280 --> 00:32:57,680
DECIDED ON BY THE SECRETARY

811
00:32:57,680 --> 00:33:00,280
WITHIN 30 DAYS, SECRETARY MOVED

812
00:33:00,280 --> 00:33:03,560
IT TO NIH AT THAT TIME. AND ALSO

813
00:33:03,560 --> 00:33:05,520
DECIDED THE ARPA H DIRECTOR

814
00:33:05,520 --> 00:33:07,400
WOULD REPORT TO THE SECRETARY

815
00:33:07,400 --> 00:33:10,520
DIRECTLY. SO THERE WAS A DOTTED

816
00:33:10,520 --> 00:33:12,240
LINE BETWEEN NIH DIRECTOR AND

817
00:33:12,240 --> 00:33:14,720
ARPA H DIRECTOR, LOCATION RIGHT

818
00:33:14,720 --> 00:33:18,320
NOW IS BY DEFAULT IN THE

819
00:33:18,320 --> 00:33:20,280
WASHINGTON MARYLAND VIRGINIA

820
00:33:20,280 --> 00:33:23,760
AREA BUT THAT HAS ALSO NOT BEEN

821
00:33:23,760 --> 00:33:25,720
SETTLED. THERE ARE SENTIMENTS IN

822
00:33:25,720 --> 00:33:28,280
CONGRESS TO BOTH MAKE ARPA H

823
00:33:28,280 --> 00:33:30,200
INDEPENDENT OF NIH AND PUT IT

824
00:33:30,200 --> 00:33:34,760
OUTSIDE OF THE DMV THIS AREA. WE

825
00:33:34,760 --> 00:33:37,080
WILL SEE WHAT WILL HAPPEN. 

826
00:33:37,080 --> 00:33:38,840
TURNING TO NIMHD ACTIVITIES OVER

827
00:33:38,840 --> 00:33:41,600
THE LAST SEVERAL MONTHS WE HAD A

828
00:33:41,600 --> 00:33:42,800
SECOND ANNUAL WONDERFUL EVENT

829
00:33:42,800 --> 00:33:47,040
WITH THE SURGEON GENERAL VIVEK

830
00:33:47,040 --> 00:33:48,840
MURTHY, LECTURE SERIES FOR

831
00:33:48,840 --> 00:33:50,240
PUBLIC HEALTH LEADERSHIP, DONE

832
00:33:50,240 --> 00:33:53,840
IN MONTH OF MAY AND OBSERVATION

833
00:33:53,840 --> 00:33:55,920
OF ASIAN AMERICAN HAWAIIAN

834
00:33:55,920 --> 00:33:59,200
PACIFIC ISLANDER MONTH. WE HAD

835
00:33:59,200 --> 00:34:01,760
PRIVILEGE OF LISTENING TO THE

836
00:34:01,760 --> 00:34:03,680
MAYOR OF BOSTON MICHELLE WU WHO

837
00:34:03,680 --> 00:34:08,680
IS REALLY A QUITE A REMARKABLE

838
00:34:08,680 --> 00:34:10,360
INDIVIDUAL AND OUR OWN MONICA

839
00:34:10,360 --> 00:34:13,600
WEBB HOOPER WAS JUST A WONDERFUL

840
00:34:13,600 --> 00:34:16,600
MODERATOR AGAIN IN FIRE SIDE

841
00:34:16,600 --> 00:34:19,560
CHAT FORMAT, DR. MORTI ALSO

842
00:34:19,560 --> 00:34:22,080
PARTICIPATED OF COURSE AND RINA

843
00:34:22,080 --> 00:34:24,680
DAS WAS THE MAIN ORGANIZER. SO

844
00:34:24,680 --> 00:34:29,480
YOU CAN SEE IT ON VIDEO WATCH AT

845
00:34:29,480 --> 00:34:32,960
NIH, VIDEOCAST AT NIH. WE

846
00:34:32,960 --> 00:34:35,840
GRADUATED A 6TH RWANDAN

847
00:34:35,840 --> 00:34:37,600
PHYSICIAN TO PARTICIPATE IN

848
00:34:37,600 --> 00:34:40,680
NIMHD NIDDK HEALTH PROGRAM, THIS

849
00:34:40,680 --> 00:34:44,840
IS A PROGRAM THAT INITIATED IN

850
00:34:44,840 --> 00:34:47,000
2015, 16 WHEN ANN SUMNER

851
00:34:47,000 --> 00:34:50,040
APPROACHED ME AND ASKED WOULD

852
00:34:50,040 --> 00:34:52,840
NIMHD SUPPORT A FELLOW FROM

853
00:34:52,840 --> 00:34:56,480
RWANDA TO HAVE A YEAR EXPERIENCE

854
00:34:56,480 --> 00:34:59,840
AT NIH AS RESEARCHER. DR. SUMNER

855
00:34:59,840 --> 00:35:01,880
IS SENIOR INVESTIGATOR IN THE

856
00:35:01,880 --> 00:35:04,120
NATIONAL INSTITUTE OF DIABETES

857
00:35:04,120 --> 00:35:06,480
AND KIDNEY DIGESTIVE DISEASES,

858
00:35:06,480 --> 00:35:10,200
WHERE SHE HAS A PROGRAM ON

859
00:35:10,200 --> 00:35:13,640
DIABETES IN AFRICAN IMMIGRANTS.

860
00:35:13,640 --> 00:35:16,640
PRETTY MUCH ALL OF THE VISITING

861
00:35:16,640 --> 00:35:18,400
SCHOLARS HAVE BEEN PHYSICIANS,

862
00:35:18,400 --> 00:35:21,560
THEY HAVE RECEIVED TRAINING IN

863
00:35:21,560 --> 00:35:24,360
CLINICAL RESEARCH, HAVE

864
00:35:24,360 --> 00:35:25,960
CONDUCTED RESEARCH AND

865
00:35:25,960 --> 00:35:28,360
CONTRIBUTED TO AND LED

866
00:35:28,360 --> 00:35:30,880
PUBLICATIONS. WE HAD AND IN

867
00:35:30,880 --> 00:35:33,680
PERSON LECTURE THIS YEAR WITH

868
00:35:33,680 --> 00:35:36,600
DR. GOTTESMAN WAS ON VIDEO BUT

869
00:35:36,600 --> 00:35:38,920
DR. COURTHOUSE FROM NIDDK WAS

870
00:35:38,920 --> 00:35:42,040
THERE AND THIS IS ANN SUMNER

871
00:35:42,040 --> 00:35:44,320
HERE, MY CURSOR ISN'T WORKING,

872
00:35:44,320 --> 00:35:46,760
SO I CAN'T SHOW YOU, ANN IS ALSO

873
00:35:46,760 --> 00:35:52,320
A MAJOR ADVOCATE FOR DISABILITY

874
00:35:52,320 --> 00:35:56,640
ACCESS AT NIH. TURNING TO

875
00:35:56,640 --> 00:36:00,320
BUDGET, THE MARCH OMNIBUS BILL

876
00:36:00,320 --> 00:36:03,480
GAVE NIMHD BIGs DISCRETIONARY

877
00:36:03,480 --> 00:36:06,160
INCREASE EVER. WE WENT UP BY $50

878
00:36:06,160 --> 00:36:09,240
MILLION FOR HEALTH DISPARITIES

879
00:36:09,240 --> 00:36:10,720
RESEARCH WITHOUT AN EARMARK

880
00:36:10,720 --> 00:36:12,920
INCLUDED.  THERE WERE OTHER

881
00:36:12,920 --> 00:36:14,640
INCREASES RELATED TO THE OVERALL

882
00:36:14,640 --> 00:36:17,360
INCREASE AND FOR SPECIFIC

883
00:36:17,360 --> 00:36:20,000
SPECIFIC INCREASE FOR MY

884
00:36:20,000 --> 00:36:22,000
COORDINATING CENTER. YOU CAN SEE

885
00:36:22,000 --> 00:36:24,720
THE TRACK, WE TRENDED INCREASE

886
00:36:24,720 --> 00:36:26,760
WITHIN NIH INCREASES EACH YEAR

887
00:36:26,760 --> 00:36:29,480
IN FISCAL 21, MULTIPLE CHRONIC

888
00:36:29,480 --> 00:36:31,840
DISEASE RESEARCH CENTERS AND IN

889
00:36:31,840 --> 00:36:34,040
FISCAL 22 WE HAD MAJOR INCREASE.

890
00:36:34,040 --> 00:36:36,800
WE HAD HOPED FOR HIGHER

891
00:36:36,800 --> 00:36:39,000
INCREASE, BUT THAT DIDN'T

892
00:36:39,000 --> 00:36:40,840
MATERIALIZE ALTHOUGH THE

893
00:36:40,840 --> 00:36:43,880
INCREASE OF 200 MILLION IS IN

894
00:36:43,880 --> 00:36:46,320
THE PRESIDENT'S BUDGET FOR 2023

895
00:36:46,320 --> 00:36:48,240
SO WE SHALL SEE WHAT HAPPENS.

896
00:36:48,240 --> 00:36:51,560
THIS SLIDE IS ILLUSTRATIVE OF

897
00:36:51,560 --> 00:36:53,600
WHAT WE HAVE BEEN ABLE TO DO

898
00:36:53,600 --> 00:36:58,200
IMPACTING THE TRAINING AWARDS

899
00:36:58,200 --> 00:37:02,560
PRIMARILY KO 8 K 23 AND KO 1s,

900
00:37:02,560 --> 00:37:05,440
K99s HAVE BEEN PARTS OF

901
00:37:05,440 --> 00:37:08,520
NIMHD'S PORTFOLIO AND THEY HAVE

902
00:37:08,520 --> 00:37:09,920
INCREASED OVER TIME MORE

903
00:37:09,920 --> 00:37:15,200
VARIABLE. IF YOU LOOK AT THE

904
00:37:15,200 --> 00:37:18,480
2021 COLUMN THE GREEN, RED

905
00:37:18,480 --> 00:37:20,600
VIOLET, THOSE ARE ALL K AWARDS

906
00:37:20,600 --> 00:37:22,680
SO, NUMBER OF F GRANTS MORE OR

907
00:37:22,680 --> 00:37:25,360
LESS ARE GOING UP GRADUALLY,

908
00:37:25,360 --> 00:37:27,320
2022 IS TOO EARLY TO HAVE ANY

909
00:37:27,320 --> 00:37:29,080
FINAL WORD ON IT.  WE ARE

910
00:37:29,080 --> 00:37:30,160
PARTICULARLY PROUD OF THIS AND

911
00:37:30,160 --> 00:37:32,360
WE LOOK TO INCREASE THIS AS OUR

912
00:37:32,360 --> 00:37:36,760
BUDGET GOES UP. ANOTHER EXAMPLE

913
00:37:36,760 --> 00:37:38,640
OF WHERE WE HAVE BEEN OVER TIME

914
00:37:38,640 --> 00:37:41,360
IS TO LOOK AT THE NUMBER OF RO1

915
00:37:41,360 --> 00:37:45,640
APPLICATIONS WE HAVE RECEIVED.

916
00:37:45,640 --> 00:37:50,280
IN GOING FROM 2016 TO 2021,

917
00:37:50,280 --> 00:37:52,800
WHERE WE HAVE FULL YEAR NUMBER

918
00:37:52,800 --> 00:37:56,640
OF APPLICATIONS YOU CAN SEE THEY

919
00:37:56,640 --> 00:37:58,880
HAVE GONE UP BY ALMOST FOUR FOLD

920
00:37:58,880 --> 00:38:02,280
OVER THIS PERIOD OF TIME.

921
00:38:02,280 --> 00:38:03,840
UNFORTUNATELY OUR AWARD RATE HAS

922
00:38:03,840 --> 00:38:06,960
ALSO DECREASED BY ABOUT HALF. 

923
00:38:06,960 --> 00:38:09,800
ALTHOUGH HOPEFULLY WE BOTTOMED

924
00:38:09,800 --> 00:38:12,880
OUT IN 2020 AND WILL BE BEGIN TO

925
00:38:12,880 --> 00:38:14,680
SEE INCREASE FROM YEAR-TO-YEAR,

926
00:38:14,680 --> 00:38:18,320
I'M OPTIMISTIC OUR SUCCESS RATE

927
00:38:18,320 --> 00:38:20,440
FOR 2022 WILL BE AT LEAST 13% IF

928
00:38:20,440 --> 00:38:24,240
NOT HIGHER THAN 2021 IT IS FAR

929
00:38:24,240 --> 00:38:25,120
FROM OVER. THIS IS ONE OF THE

930
00:38:25,120 --> 00:38:28,800
MAIN AREAS WE WOULD EXPAND IF WE

931
00:38:28,800 --> 00:38:30,280
INCREASE OUR BUDGET. AS WE

932
00:38:30,280 --> 00:38:32,880
INCREASE OUR BUDGETS.  IN

933
00:38:32,880 --> 00:38:35,920
COMPARISON OF EARLY STAGE TO

934
00:38:35,920 --> 00:38:36,960
ESTABLISHED INVESTIGATOR

935
00:38:36,960 --> 00:38:40,840
SUCCESS, YOU CAN SEE THAT FISCAL

936
00:38:40,840 --> 00:38:45,000
21, 18.4% OF OUR EARLY STAGE

937
00:38:45,000 --> 00:38:46,280
INVESTIGATORS WERE SUCCESSFULLY

938
00:38:46,280 --> 00:38:48,240
AWARDED FOR RO1 APPLICATION

939
00:38:48,240 --> 00:38:52,520
COMPARED TO 21% ESTABLISHED

940
00:38:52,520 --> 00:38:54,080
INVESTIGATORS SHOWING YOU ALL

941
00:38:54,080 --> 00:38:56,400
THE DATA HERE TO SEE IN BETWEEN

942
00:38:56,400 --> 00:38:57,480
INVESTIGATORS, BUT YOU GET A

943
00:38:57,480 --> 00:38:59,520
SENSE THAT WE ARE GETTING

944
00:38:59,520 --> 00:39:02,080
APPLICATIONS FROM OUR FUTURE

945
00:39:02,080 --> 00:39:06,440
EARLY STAGE INVESTIGATORS BUILD

946
00:39:06,440 --> 00:39:14,440
GREAT ERICA DRER, CADRE OF LEGIE

947
00:39:14,440 --> 00:39:16,400
FUNDING. ON THE LEGISLATIVE

948
00:39:16,400 --> 00:39:17,840
FRONT HAVE BEEN ACTIVE. THERE

949
00:39:17,840 --> 00:39:21,240
WAS IN BRIEFING WITH THE FOUR

950
00:39:21,240 --> 00:39:22,800
CORNERS OR THE FOUR

951
00:39:22,800 --> 00:39:27,280
APPROPRIATIONS COMMITTEES, THE

952
00:39:27,280 --> 00:39:30,400
STAFFERS. WHICH RUN THE

953
00:39:30,400 --> 00:39:32,920
COMMITTEES. TO BROADEN UPDATE ON

954
00:39:32,920 --> 00:39:34,400
ONGOING COVID WORK WAS NUMBER OF

955
00:39:34,400 --> 00:39:37,200
IC DIRECTORS PRESENTED INCLUDING

956
00:39:37,200 --> 00:39:41,480
DR. TROMBURG AND GIB BONNES AND

957
00:39:41,480 --> 00:39:44,600
I PRESENTED ON RADX FOR

958
00:39:44,600 --> 00:39:47,600
UNDERSERVED POPULATIONS AND GARY

959
00:39:47,600 --> 00:39:49,960
GIBBONS PRESENTED ON CO 2

960
00:39:49,960 --> 00:39:51,440
PROGRAMS WE ARE VERY MUCH

961
00:39:51,440 --> 00:39:53,640
INVOLVED WITH IT I BRIEFED THE

962
00:39:53,640 --> 00:39:54,840
SENATE FINANCE COMMITTEE

963
00:39:54,840 --> 00:39:56,440
MAJORITY STAFF ON DATA ANALYTICS

964
00:39:56,440 --> 00:39:58,800
AND RESEARCH ON HEALTH

965
00:39:58,800 --> 00:40:02,080
DISPARITIES RESEARCH. ALTHOUGH

966
00:40:02,080 --> 00:40:03,720
NOT NOT SHOWN HERE I ALSO

967
00:40:03,720 --> 00:40:06,960
BRIEFED A MINORITY STAFFER

968
00:40:06,960 --> 00:40:09,120
ANOTHER COMMITTEE ON INCLUSIVE

969
00:40:09,120 --> 00:40:11,120
PARTICIPATION IN CLINICAL

970
00:40:11,120 --> 00:40:14,760
RESEARCH. DR. STINSON BRIEFED

971
00:40:14,760 --> 00:40:18,400
DAVID PRICE STAFFER ON THE COE

972
00:40:18,400 --> 00:40:20,360
PROGRAM AND DUKE UNIVERSITY COE

973
00:40:20,360 --> 00:40:22,800
PROGRAM IN PARTICULAR. WE

974
00:40:22,800 --> 00:40:25,000
BRIEFED THE -- THERE IT IS.

975
00:40:25,000 --> 00:40:26,600
ENERGY AND COMMERCE MINORITY

976
00:40:26,600 --> 00:40:28,120
COMMITTEE ON DIVERSITY IN THE

977
00:40:28,120 --> 00:40:30,000
WORK FORCE. LOT OF INTEREST IN

978
00:40:30,000 --> 00:40:33,680
THE LATTER ASPECT, SOME OF IT

979
00:40:33,680 --> 00:40:37,120
WAS THE DATA FROM NIH PROVIDED

980
00:40:37,120 --> 00:40:40,680
BY OFFICE OF EXTRAMURAL RESEARCH

981
00:40:40,680 --> 00:40:43,520
FROM MIKE LAUER OFFICE AND ALSO

982
00:40:43,520 --> 00:40:45,600
EXPERIENCE WE HAD WITH THE

983
00:40:45,600 --> 00:40:47,880
MODERNA VACCINE TRIA TRIAL. WE E

984
00:40:47,880 --> 00:40:51,360
DELIGHTED TO WELCOME PAUL COTTON

985
00:40:51,360 --> 00:40:56,560
TO THE NIMHD LEADERSHIP, PAUL

986
00:40:56,560 --> 00:41:00,120
COMES TO US WITH 20 YEARS OF

987
00:41:00,120 --> 00:41:01,400
FEDERAL SERVICE MOST RECENTLY AT

988
00:41:01,400 --> 00:41:04,360
THE NATIONAL HEART LUNG BLOOD

989
00:41:04,360 --> 00:41:05,840
INSTITUTE WHERE HE WAS PROGRAM

990
00:41:05,840 --> 00:41:06,720
OFFICER, THE LEAD PROGRAM

991
00:41:06,720 --> 00:41:10,160
OFFICER FOR THE DECIPHER

992
00:41:10,160 --> 00:41:11,040
PROGRAM. HE ALSO SPENT TIME AT

993
00:41:11,040 --> 00:41:12,320
THE NATIONAL INSTITUTE OF

994
00:41:12,320 --> 00:41:14,600
NURSING RESEARCH AND NUMBER OF

995
00:41:14,600 --> 00:41:18,160
YEARS AT THE U.S. DEPARTMENT OF

996
00:41:18,160 --> 00:41:19,480
AGRICULTURE WHERE HE ACTUALLY

997
00:41:19,480 --> 00:41:23,240
WAS IN THE LEAD OF THEIR

998
00:41:23,240 --> 00:41:25,480
RESEARCH PROGRAM. THAT HAS A

999
00:41:25,480 --> 00:41:28,200
BUDGET OVER $100 MILLION. DR.

1000
00:41:28,200 --> 00:41:29,800
COTTON HAS A BACKGROUND IN

1001
00:41:29,800 --> 00:41:33,240
NUTRITIONAL SCIENCES. HE IS A

1002
00:41:33,240 --> 00:41:35,560
GRADUATE OF HOWARD UNIVERSITY,

1003
00:41:35,560 --> 00:41:37,920
VERY PROUD AND I THINK MIGHT

1004
00:41:37,920 --> 00:41:39,600
STILL BE A WRESTLING COACH

1005
00:41:39,600 --> 00:41:42,720
THOUGH MAY HAVE HAD TO GIVE THAT

1006
00:41:42,720 --> 00:41:45,600
UP. WE WILL BE DELIGHTED TO HAVE

1007
00:41:45,600 --> 00:41:47,600
HIM JOIN AND BE THE FUTURE

1008
00:41:47,600 --> 00:41:48,880
EXECUTIVE SECRETARY OF THIS

1009
00:41:48,880 --> 00:41:54,200
COUNCIL, SO YOU WILL GET MORE,

1010
00:41:54,200 --> 00:41:55,040
BETTER IN THE NEXT COUNCIL

1011
00:41:55,040 --> 00:41:56,640
MEMBER. NEW MEMBERS OF NIMHD,

1012
00:41:56,640 --> 00:42:01,360
STAFF MEMBERS I SHOULD SAY

1013
00:42:01,360 --> 00:42:02,560
(INDISCERNIBLE) JOINED THE

1014
00:42:02,560 --> 00:42:03,480
DIVISION OF CLINICAL HEALTH

1015
00:42:03,480 --> 00:42:08,120
SERVICES RESEARCH, SIDONIA

1016
00:42:08,120 --> 00:42:09,840
BRINGS RICH EXPERIENCING

1017
00:42:09,840 --> 00:42:12,280
CLINICAL CARE AS A SOCIAL WORKER

1018
00:42:12,280 --> 00:42:15,080
AND SHE IS GOING TO BE WORKING

1019
00:42:15,080 --> 00:42:19,600
UNDER AVILA SANTA, OFFICE OF

1020
00:42:19,600 --> 00:42:20,920
DIRECTOR GINA TRANSITIONED FROM

1021
00:42:20,920 --> 00:42:24,680
CONTRACTOR TO EMPLOYEE, AS

1022
00:42:24,680 --> 00:42:26,360
ADVISOR DIRECTLY WORKING WITH

1023
00:42:26,360 --> 00:42:30,000
DR. WEBB HOOPER AND I AS WE TAKE

1024
00:42:30,000 --> 00:42:32,800
ON DIFFERENT ASPECTS OF PROJECTS

1025
00:42:32,800 --> 00:42:35,040
WITHIN THE INSTITUTE.  FINALLY

1026
00:42:35,040 --> 00:42:37,920
NEW ADMINISTRATIVE OFFICER

1027
00:42:37,920 --> 00:42:40,240
CRYSTAL LIONS JOINED THE OFFICE

1028
00:42:40,240 --> 00:42:42,720
OF ADMINISTRATIVE MANAGEMENT. WE

1029
00:42:42,720 --> 00:42:44,000
CERTAINLY CONTINUE TO RECRUIT

1030
00:42:44,000 --> 00:42:48,080
MORE STAFF THAN ARE NEEDED. SOME

1031
00:42:48,080 --> 00:42:50,040
INTERESTING ACTIVITIES, BLOGS

1032
00:42:50,040 --> 00:42:52,600
AND POSTS, MOST PROUD OF THE ONE

1033
00:42:52,600 --> 00:42:56,040
I DID WITH NED SHARPLESS ON THE

1034
00:42:56,040 --> 00:42:57,720
FIRST PROGRAM. STRENGTHENING

1035
00:42:57,720 --> 00:42:59,360
INCLUSIVE EXCELLENCE IN

1036
00:42:59,360 --> 00:43:00,400
BIOMEDICAL RESEARCH WILL

1037
00:43:00,400 --> 00:43:02,800
HOPEFULLY HEAR MORE ABOUT THIS

1038
00:43:02,800 --> 00:43:04,720
PROGRAM OVER TIME. NOT

1039
00:43:04,720 --> 00:43:08,600
NECESSARILY TODAY. AS THE SECOND

1040
00:43:08,600 --> 00:43:09,600
AND THIRD COHORT WILL BE AWARDED

1041
00:43:09,600 --> 00:43:14,080
OVER THE NEXT YEAR OR SO. I HAD

1042
00:43:14,080 --> 00:43:18,880
THE HONOR BEING INTERVIEWED BY

1043
00:43:18,880 --> 00:43:22,000
KOBE SMITH, FOR HER PODCAST BLOG

1044
00:43:22,000 --> 00:43:24,720
POST ON DIFFERENT KIND OF

1045
00:43:24,720 --> 00:43:28,320
LEADER. IT WAS FUN AND ENJOYED

1046
00:43:28,320 --> 00:43:30,120
THE TIME AND IT IS ACTUALLY NOW

1047
00:43:30,120 --> 00:43:33,360
POSTED. MANY OF OUR STAFF WERE

1048
00:43:33,360 --> 00:43:35,800
RECOGNIZED IN DIFFERENT AWARD

1049
00:43:35,800 --> 00:43:38,240
SETTINGS THIS PAST YEAR.

1050
00:43:38,240 --> 00:43:40,200
PARTICULARLY CALL THIS OUT,

1051
00:43:40,200 --> 00:43:41,760
BECAUSE IT WAS A DEPARTMENTAL

1052
00:43:41,760 --> 00:43:45,120
AWARD FOR THE WORK ON RADX

1053
00:43:45,120 --> 00:43:48,800
INITIATIVE. IN OUR CASE THE RADX

1054
00:43:48,800 --> 00:43:49,240
UNDERSERVED POPULATION

1055
00:43:49,240 --> 00:43:52,600
INITIATIVE. YOU CAN SEE ALL THE

1056
00:43:52,600 --> 00:43:54,520
NAMES HERE OF ALL DIFFERENT

1057
00:43:54,520 --> 00:43:57,600
STAFF WHO WORK SO MUCH TO GET

1058
00:43:57,600 --> 00:43:59,640
THIS STARTED IN REVIEWED AND

1059
00:43:59,640 --> 00:44:02,520
GOING. AND OF COURSE CONTINUE

1060
00:44:02,520 --> 00:44:05,200
WITH MUCH EFFORT COMING FROM A

1061
00:44:05,200 --> 00:44:06,640
NUMBER OF STAFF EXCEPT FOR OF

1062
00:44:06,640 --> 00:44:09,160
COURSE THE THREE WHO HAVE

1063
00:44:09,160 --> 00:44:13,200
RETIRED. JUST TO MENTIONED

1064
00:44:13,200 --> 00:44:14,080
WHEREX BRIEFLY, THE EXCITEMENT

1065
00:44:14,080 --> 00:44:16,400
OF GETTING IT STARTED AND MAKING

1066
00:44:16,400 --> 00:44:17,760
THE INITIAL AWARDS IS OVER. WE

1067
00:44:17,760 --> 00:44:22,360
ARE NOW IN A DIFFERENT PHASE.

1068
00:44:22,360 --> 00:44:27,840
DUKE UNC COORDINATING CENTER

1069
00:44:27,840 --> 00:44:30,160
NIMHD STAFF MEET EVERY OTHER

1070
00:44:30,160 --> 00:44:34,360
WEEK. WE HAVE FUNDED 127 UNIQUE

1071
00:44:34,360 --> 00:44:36,320
PROJECTS, ACROSS THE COUNTRY

1072
00:44:36,320 --> 00:44:42,400
FROM HAWAII TO PUERTO RICO. IN

1073
00:44:42,400 --> 00:44:44,520
DIFFERENT FORMATS. MENTIONED

1074
00:44:44,520 --> 00:44:46,720
COORDINATION -- COORDINATING

1075
00:44:46,720 --> 00:44:49,400
CENTER. 112,000 UNIQUE

1076
00:44:49,400 --> 00:44:51,600
PARTICIPANTS HAVE BEEN CONSENTED

1077
00:44:51,600 --> 00:44:56,160
SO FAR AS OF EARLY MAY. WITH

1078
00:44:56,160 --> 00:44:57,880
OVER 222,000 UNIQUE TESTS DONE,

1079
00:44:57,880 --> 00:44:59,280
SOME OF THEM ARE NOT IN PEOPLE

1080
00:44:59,280 --> 00:45:02,280
WHO HAVE CONSENT AND COMPLETED

1081
00:45:02,280 --> 00:45:06,200
SURVEYS. THEY ALSO ABSTRACTED

1082
00:45:06,200 --> 00:45:07,480
ALMOST 1.7 MILLION INDIVIDUAL

1083
00:45:07,480 --> 00:45:08,960
TESTS FROM THE ELECTRONIC HEALTH

1084
00:45:08,960 --> 00:45:11,520
RECORDS.  NUMBER OF GRANTS HAVE

1085
00:45:11,520 --> 00:45:13,080
BEEN GIVEN TO COMMUNITIES AS

1086
00:45:13,080 --> 00:45:15,640
WELL AS RAPID RESEARCH PILOT

1087
00:45:15,640 --> 00:45:18,440
AWARDS, AND OVER 75 PROJECTS ARE

1088
00:45:18,440 --> 00:45:21,080
SHARING DATA WITH THE CDCC

1089
00:45:21,080 --> 00:45:25,440
ACTIVELY NOW. THE SCIENTIFIC

1090
00:45:25,440 --> 00:45:27,400
SYMPOSIUM ON MAY 3RD HAD SIX

1091
00:45:27,400 --> 00:45:28,400
PRESENTATIONS VERY DIFFERENT

1092
00:45:28,400 --> 00:45:32,600
VERY EXCITING WITH PRELIMINARY

1093
00:45:32,600 --> 00:45:35,880
DATA OUTCOME RESULTS, MANY OF

1094
00:45:35,880 --> 00:45:38,280
THEM. THERE ARE 50 PUBLICATIONS

1095
00:45:38,280 --> 00:45:40,440
AT LEAST THAT HAVE COME FROM

1096
00:45:40,440 --> 00:45:44,120
RADX UP PROGRAM SO FAR. WE LOOK

1097
00:45:44,120 --> 00:45:46,960
FORWARD TO CONTINUING THIS

1098
00:45:46,960 --> 00:45:48,560
EFFORT TO BUILD THIS DATABASE

1099
00:45:48,560 --> 00:45:50,080
THAT CAN BE USED BIOVAR

1100
00:45:50,080 --> 00:45:56,000
INVESTIGATORS TO EVALUATE. I

1101
00:45:56,000 --> 00:45:59,040
HAVE THE HONOR OF BEING

1102
00:45:59,040 --> 00:46:02,440
CORRESPONDING AUTHOR ON THIS

1103
00:46:02,440 --> 00:46:06,200
VIEWPOINT THAT WAS TAKEN BY JAMA

1104
00:46:06,200 --> 00:46:07,600
AND PUBLISHED THIS LAST MONTH,

1105
00:46:07,600 --> 00:46:09,160
IT WAS AN EFFORT GENERATED BY

1106
00:46:09,160 --> 00:46:13,320
THE OFFICE OF NUTRITIONAL

1107
00:46:13,320 --> 00:46:14,000
RESEARCH, DIRECTED BY CHRIS

1108
00:46:14,000 --> 00:46:15,680
LYNCH AND NOW OFFICE OF DIRECTOR

1109
00:46:15,680 --> 00:46:18,280
IN WORKING WITH OUR STAFF IN

1110
00:46:18,280 --> 00:46:21,760
MANY COMMUNICATIONS, SHANNON

1111
00:46:21,760 --> 00:46:23,400
ZINK AND LARRY TABAK AND I,

1112
00:46:23,400 --> 00:46:26,640
PUBLISHED THIS VIEWPOINT ON THE

1113
00:46:26,640 --> 00:46:28,600
IMPORTANCE OF ADDRESSING

1114
00:46:28,600 --> 00:46:30,520
NUTRITION AND SECURITY. SO I

1115
00:46:30,520 --> 00:46:34,040
ENCOURAGE YOU TO LOOK AT THAT.

1116
00:46:34,040 --> 00:46:37,280
MONICA WEBB HOOPER PUBLISHED A

1117
00:46:37,280 --> 00:46:39,360
PAPER, COMMENTARY ON COVID-19

1118
00:46:39,360 --> 00:46:40,560
AND SOCIAL DETERMINANTS OF

1119
00:46:40,560 --> 00:46:43,080
HEALTH. I WAS ALSO PRIVILEGED TO

1120
00:46:43,080 --> 00:46:44,880
BE PART OF THIS. AND HIGHLIGHTS

1121
00:46:44,880 --> 00:46:47,840
ALL THE FACTORS RELATED TO

1122
00:46:47,840 --> 00:46:48,720
HEALTH AND HEALTHCARE

1123
00:46:48,720 --> 00:46:51,360
SOCIOECONOMICS AND ENVIRONMENTAL

1124
00:46:51,360 --> 00:46:52,920
DETERMINANTS IN A STRUCTURAL

1125
00:46:52,920 --> 00:46:54,960
RACISM AND DISCRIMINATION

1126
00:46:54,960 --> 00:46:57,520
PERSPECTIVE. THIS WAS IN

1127
00:46:57,520 --> 00:46:58,680
BEHAVIORAL MEDICINE COUPLE OF

1128
00:46:58,680 --> 00:47:03,280
MONTHS AGO. THE JOURNAL

1129
00:47:03,280 --> 00:47:05,080
PSYCHIATRY HAD A SPECIAL ISSUE

1130
00:47:05,080 --> 00:47:06,400
ON STRUCTURAL RACISM AND MENTAL

1131
00:47:06,400 --> 00:47:10,120
HEALTH DISPARITIES BUILDING ON A

1132
00:47:10,120 --> 00:47:12,560
WORKSHOP THAT WAS CO-SPONSORED

1133
00:47:12,560 --> 00:47:19,440
BY NIMH AND NIMHD. CRYSTAL

1134
00:47:19,440 --> 00:47:21,400
BARKSDALE WAS LEAD ON PUSHING

1135
00:47:21,400 --> 00:47:23,520
THIS, I CO-AUTHORED THE

1136
00:47:23,520 --> 00:47:25,360
COMMENTARY ALONG WITH JOSH

1137
00:47:25,360 --> 00:47:26,320
GORDON AND CRYSTAL IN THIS

1138
00:47:26,320 --> 00:47:30,560
ISSUE. THIS WAS JUST PUBLISHED

1139
00:47:30,560 --> 00:47:33,080
YESTERDAY I BELIEVE, AND I THINK

1140
00:47:33,080 --> 00:47:36,400
WE ARE NOW APPRECIATING THE

1141
00:47:36,400 --> 00:47:38,600
EFFECTS OF THE PANDEMIC, MILLION

1142
00:47:38,600 --> 00:47:41,240
PEOPLE HAVE DIED IN THIS

1143
00:47:41,240 --> 00:47:44,760
COUNTRY, WE HAVE HAD OVER 500

1144
00:47:44,760 --> 00:47:47,560
MILLION CASES WORLDWIDE, THE

1145
00:47:47,560 --> 00:47:49,880
BURDEN ON MEDICAL SIDE IS

1146
00:47:49,880 --> 00:47:52,640
ENORMOUS BUT THE CONSEQUENCES ON

1147
00:47:52,640 --> 00:47:55,080
MENTAL HEALTH PARTICULARLY AMONG

1148
00:47:55,080 --> 00:47:56,720
OUR YOUTH I THINK ARE GOING TO

1149
00:47:56,720 --> 00:47:59,160
BE WITH US FOR A LONG TIME. THIS

1150
00:47:59,160 --> 00:48:01,680
IS AN AREA THAT WILL NEED

1151
00:48:01,680 --> 00:48:04,360
INTENSIVE RESEARCH BOTH ON A

1152
00:48:04,360 --> 00:48:07,480
UNDERSTANDING MECHANISMS AND

1153
00:48:07,480 --> 00:48:09,920
INTERVENING TO MEDIATE,

1154
00:48:09,920 --> 00:48:12,960
ALLEVIATE THESE. TURNING TO SOME

1155
00:48:12,960 --> 00:48:16,120
SCIENTIFIC ADVANCES, OVER THE

1156
00:48:16,120 --> 00:48:17,040
COURSE OF THE LAST SEVERAL

1157
00:48:17,040 --> 00:48:17,840
MONTHS, THIS MAY HAVE BEEN ONE

1158
00:48:17,840 --> 00:48:19,320
OF THE MOST IMPORTANT PAPERS

1159
00:48:19,320 --> 00:48:23,000
PUBLISHED RECENTLY.  IT WAS IN

1160
00:48:23,000 --> 00:48:25,000
NEW ENGLAND JOURNAL FOCUSED ON

1161
00:48:25,000 --> 00:48:26,360
MINORITY HEALTH HEALTH

1162
00:48:26,360 --> 00:48:27,520
DISPARITIES.  IT WAS TREATMENT

1163
00:48:27,520 --> 00:48:29,960
OF WHAT THE AUTHORS CALLED MILD

1164
00:48:29,960 --> 00:48:32,080
CHRONIC HYPERTENSION, A THROW

1165
00:48:32,080 --> 00:48:34,080
BACK TO TERMINOLOGY WE USED TO

1166
00:48:34,080 --> 00:48:36,960
USEUSE.  THIS IS SYSTOLIC BLOOD

1167
00:48:36,960 --> 00:48:40,400
PRESSURE LESS THAN 160 BUT OVER

1168
00:48:40,400 --> 00:48:45,680
140. AND DIASTOLIC BETWEEN 90 TO

1169
00:48:45,680 --> 00:48:46,520
104. THAT'S MILD HYPERTENSION

1170
00:48:46,520 --> 00:48:48,880
AND CHRONIC IN THAT IT WASN'T

1171
00:48:48,880 --> 00:48:52,600
NEW WITH PREGNANCY. SO THE WOMEN

1172
00:48:52,600 --> 00:48:55,080
WERE ALREADY KNOWN TO HAVE HIGH

1173
00:48:55,080 --> 00:48:56,400
BLOOD PRESSURE. WHY IS THIS

1174
00:48:56,400 --> 00:48:59,280
IMPORTANT? ONE IS HYPERTENSION

1175
00:48:59,280 --> 00:49:01,920
DISPROPORTIONATELY AFFECTS

1176
00:49:01,920 --> 00:49:03,920
AFRICAN AMERICANS. LATINA WOMEN

1177
00:49:03,920 --> 00:49:05,360
AND WHITE WOMEN HAVE SIMILAR

1178
00:49:05,360 --> 00:49:07,560
RACE OF HYPERTENSION AND IT IS A

1179
00:49:07,560 --> 00:49:11,680
RISK FACTOR THAT CAN BE MODIFIED

1180
00:49:11,680 --> 00:49:15,200
VERY EASILY WITH MEDICATIONS TO

1181
00:49:15,200 --> 00:49:18,640
PREVENT COMPLICATIONS. PREGNANT

1182
00:49:18,640 --> 00:49:20,440
WOMEN WITH HYPERTENSION EVEN

1183
00:49:20,440 --> 00:49:22,880
MILD HYPERTENSION HAVE A HIGHER

1184
00:49:22,880 --> 00:49:25,680
RATE OF SIGNIFICANT MATERNAL

1185
00:49:25,680 --> 00:49:28,680
MORBIDITY, A PROBLEM THAT HAS

1186
00:49:28,680 --> 00:49:29,720
CHALLENGED THE U.S. HEALTH

1187
00:49:29,720 --> 00:49:32,120
SYSTEM AND INVESTIGATORS. SO THE

1188
00:49:32,120 --> 00:49:34,600
ACTIVE TREATMENT GROUP RECEIVED

1189
00:49:34,600 --> 00:49:38,440
MUCH MORE AGGRESSIVE OR

1190
00:49:38,440 --> 00:49:39,800
INTENSIVE ANTI-HYPERTENSIVE

1191
00:49:39,800 --> 00:49:42,600
MEDICATION TO LOWER TO A GOAL OF

1192
00:49:42,600 --> 00:49:45,560
UNDER 140 OVER 90 WHILE CONTROL

1193
00:49:45,560 --> 00:49:47,640
GROUP WOULD NOT RECEIVE AS

1194
00:49:47,640 --> 00:49:49,640
ACTIVE MEDICATIONS UNLESS THEY

1195
00:49:49,640 --> 00:49:52,720
WENT ABOVE 160 OVER 105. KEEP IN

1196
00:49:52,720 --> 00:49:55,200
MIND THAT THE NORMAL PHYSIOLOGY

1197
00:49:55,200 --> 00:49:58,360
OF PREGNANCY LEADS TO A LOWERING

1198
00:49:58,360 --> 00:50:01,360
OF BLOOD PRESSURE AND MOST WOMEN

1199
00:50:01,360 --> 00:50:02,560
WHO ARE PREGNANT BLOOD PRESSURE

1200
00:50:02,560 --> 00:50:04,800
IS MORE LIKE 110 OVER 70 IN THAT

1201
00:50:04,800 --> 00:50:08,120
RANGE. YOU CAN SEE THE RESULTS

1202
00:50:08,120 --> 00:50:11,320
IN THIS CHART, THE ACTIVE

1203
00:50:11,320 --> 00:50:12,880
TREATMENT GROUP HAD AN ABSOLUTE

1204
00:50:12,880 --> 00:50:14,720
REDUCTION OF 7% IN THE PRIMARY

1205
00:50:14,720 --> 00:50:17,160
OUTCOME. THE OUTCOME WAS A

1206
00:50:17,160 --> 00:50:19,720
COMPOSITE OF SEVERE

1207
00:50:19,720 --> 00:50:22,520
PRE-ECLAMPSIA. PRE-TERM BIRTH

1208
00:50:22,520 --> 00:50:25,040
BEFORE 35 WEEKS, PLACENTAL

1209
00:50:25,040 --> 00:50:27,040
ABRUPTION OR FETAL OR NEONATAL

1210
00:50:27,040 --> 00:50:29,360
DEATH WHICH IS THE MOST UNCOMMON

1211
00:50:29,360 --> 00:50:31,720
E COLLIELY PERHAPS THE MOST

1212
00:50:31,720 --> 00:50:34,840
IMPORTANT. THIS IS THE KIND OF

1213
00:50:34,840 --> 00:50:36,600
RESEARCH THAT WOULD POINT TO

1214
00:50:36,600 --> 00:50:39,400
WHAT WE NEED TO DO IF WE WILL

1215
00:50:39,400 --> 00:50:41,640
BEGIN TO DENT THE

1216
00:50:41,640 --> 00:50:43,920
DISPROPORTIONATE BURDEN OF

1217
00:50:43,920 --> 00:50:45,000
SEVERE MORBIDITY AND MORTALITY

1218
00:50:45,000 --> 00:50:46,800
PARTICULARLY EFFECTING NOT JUST

1219
00:50:46,800 --> 00:50:47,960
AFRICAN AMERICAN WOMEN AND

1220
00:50:47,960 --> 00:50:49,880
AMERICAN INDIAN WOMEN BUT ON THE

1221
00:50:49,880 --> 00:50:53,560
MORBIDITY SIDE ALL WOMEN OF

1222
00:50:53,560 --> 00:50:56,280
COLOR. IN THIS STUDY THAT DR.

1223
00:50:56,280 --> 00:51:00,040
WEBB HOOPER IS A COLLABORATOR

1224
00:51:00,040 --> 00:51:01,840
EXAMINATION OF EFFECTS OF

1225
00:51:01,840 --> 00:51:03,440
AEROBIC AND RESISTANT EXERCISE

1226
00:51:03,440 --> 00:51:06,280
ON FUNCTIONAL OUTCOMES AMONG

1227
00:51:06,280 --> 00:51:08,840
OLDER WOMEN, MEAN AGE OF 72, WHO

1228
00:51:08,840 --> 00:51:11,280
ARE BREAST CANCER SURVIVORS AND

1229
00:51:11,280 --> 00:51:12,120
STRATIFIED BY SOCIOECONOMIC

1230
00:51:12,120 --> 00:51:14,680
STATUS, THIS IS A YEAR LONG

1231
00:51:14,680 --> 00:51:16,520
RANDOMIZE TRIAL GROUP EXERCISE

1232
00:51:16,520 --> 00:51:18,000
INTERVENTION VERSUS SUPPORT

1233
00:51:18,000 --> 00:51:20,960
GROUP PLUS A FIT BIT TO MONITOR

1234
00:51:20,960 --> 00:51:23,680
YOUR ACTIVITY. OVER 213 WOMEN

1235
00:51:23,680 --> 00:51:25,800
WERE RANDOMIZED AFRICAN

1236
00:51:25,800 --> 00:51:27,240
AMERICAN, NOT QUITE HALF WERE

1237
00:51:27,240 --> 00:51:28,400
AFRICAN AMERICAN AND WHITE

1238
00:51:28,400 --> 00:51:30,000
BREAST CANCER SURVIVORS AND

1239
00:51:30,000 --> 00:51:33,040
STRATIFIED BY OCS'S ADVANTAGE.

1240
00:51:33,040 --> 00:51:35,520
OVERALL THE EXERCISE IS MORE

1241
00:51:35,520 --> 00:51:37,960
INTENSIVE INTERVENTION, IMPROVE

1242
00:51:37,960 --> 00:51:39,480
PHYSICAL PERFORMANCE IS ONE MAY

1243
00:51:39,480 --> 00:51:41,640
EXPECT. THE INTERESTING

1244
00:51:41,640 --> 00:51:43,520
OBSERVATION WAS THE EXERCISE

1245
00:51:43,520 --> 00:51:45,680
EFFECT MAYBE MODERATED BY RACE,

1246
00:51:45,680 --> 00:51:48,440
WITH AFRICAN AMERICAN WOMEN

1247
00:51:48,440 --> 00:51:50,920
APPEARING TO PROVIDE LARGER

1248
00:51:50,920 --> 00:51:52,120
BENEFIT THAN COMPARISON THE

1249
00:51:52,120 --> 00:51:54,440
WHITE WOMEN. WE MENTIONED THE

1250
00:51:54,440 --> 00:51:56,160
NOTION OF FINANCIAL INCENTIVES

1251
00:51:56,160 --> 00:52:00,560
AND THIS STUDY BY DR.

1252
00:52:00,560 --> 00:52:02,120
(INDISCERNIBLE) SHOWED YOU CAN

1253
00:52:02,120 --> 00:52:07,360
LOWER HEMOGLOBIN A 1C IN NOT

1254
00:52:07,360 --> 00:52:09,160
WELL CONTROLLED AFRICAN AMERICAN

1255
00:52:09,160 --> 00:52:10,280
PATIENTS WITH TYPE 2 DIABETES

1256
00:52:10,280 --> 00:52:12,440
OVER COURSE OF ONLY THREE MONTHS

1257
00:52:12,440 --> 00:52:13,760
BY PROVIDING FINANCIAL

1258
00:52:13,760 --> 00:52:15,800
INCENTIVES.  THIS WAS A

1259
00:52:15,800 --> 00:52:18,880
RANDOMIZED TO THREE CONDITIONS,

1260
00:52:18,880 --> 00:52:22,200
ONE TIME PAYMENT, TWO PARTS

1261
00:52:22,200 --> 00:52:23,560
PAYMENT AND GLUCOSE MEASUREMENT

1262
00:52:23,560 --> 00:52:27,360
UPLOAD AND THE HIGH

1263
00:52:27,360 --> 00:52:29,560
MULTI-COMPONENTS, MULTIPLE

1264
00:52:29,560 --> 00:52:32,200
FINANCIAL INCENTIVES WITH

1265
00:52:32,200 --> 00:52:33,400
EDUCATION SESSION ATTENDANCE

1266
00:52:33,400 --> 00:52:35,360
BEING PARTS OF IT. YOU CAN SEE A

1267
00:52:35,360 --> 00:52:38,880
GRADIENT DECREASE IN A 1C. THIS

1268
00:52:38,880 --> 00:52:42,040
ABSOLUTE REDUCTION OF 1.74%,

1269
00:52:42,040 --> 00:52:44,920
KEEP IN MIND THESE WERE ALL

1270
00:52:44,920 --> 00:52:47,400
PATIENTS THAT WERE ABOVE 8%.

1271
00:52:47,400 --> 00:52:49,760
WHICH FOR CLINICIANS THAT IS

1272
00:52:49,760 --> 00:52:51,520
SORT OF THE HALLMARK OF CUT

1273
00:52:51,520 --> 00:52:53,480
POINTS, IDEALLY YOU WANT PEOPLE

1274
00:52:53,480 --> 00:52:54,560
TO BE NORMALIZED WITHOUT DOING

1275
00:52:54,560 --> 00:52:59,360
HARM. UP B DEER 8% YOU ARE

1276
00:52:59,360 --> 00:53:04,360
USUALLY OKAY OVER 9 YOU ARE NOT 

1277
00:53:04,360 --> 00:53:05,800
SO THESE WERE NOT WELL

1278
00:53:05,800 --> 00:53:06,880
CONTROLLED TYPE 2 DIABETES. SO

1279
00:53:06,880 --> 00:53:09,400
GETTING A DENT THIS MAGNITUDE,

1280
00:53:09,400 --> 00:53:15,280
ONE AND A QUARTER TO ALMOST ONE

1281
00:53:15,280 --> 00:53:17,320
THREE QUARTER% IS LEVEL OF

1282
00:53:17,320 --> 00:53:19,320
MAGNITUDE OF CHANGE IN RANDOMIZE

1283
00:53:19,320 --> 00:53:21,680
THERAPY IN INSULIN THERAPY IN

1284
00:53:21,680 --> 00:53:24,880
TYPE 1 DIABETES 20, 25 YEARS AGO

1285
00:53:24,880 --> 00:53:26,440
FIRST STUDY SHOWS GLUCOSE

1286
00:53:26,440 --> 00:53:31,400
CONTROL DID LOWER COMPLICATIONS

1287
00:53:31,400 --> 00:53:33,840
FROM DIABETES. THIS IS THE KIND

1288
00:53:33,840 --> 00:53:37,160
OF RESEARCH WE ARE GOING TO SEE

1289
00:53:37,160 --> 00:53:42,760
MORE FUNDED BY NIMHD.  THIS WAS

1290
00:53:42,760 --> 00:53:44,000
AN OBSERVATIONAL STUDY LOOKING

1291
00:53:44,000 --> 00:53:47,200
AT ASSOCIATION OF NEIGHBORHOOD

1292
00:53:47,200 --> 00:53:48,960
COMPLAINTS OF EXCESSIVE POLICE

1293
00:53:48,960 --> 00:53:50,920
FORCE AND WHAT HAPPENED WITH

1294
00:53:50,920 --> 00:53:52,360
PRE-TERM DELIVERY IN

1295
00:53:52,360 --> 00:53:53,920
CARDIOVASCULAR DISEASE AMONG

1296
00:53:53,920 --> 00:53:55,920
BLACK WOMEN, IT IS EXTRACTED

1297
00:53:55,920 --> 00:53:59,200
FROM THE ELECTRONIC HEALTH

1298
00:53:59,200 --> 00:54:00,400
RECORD IN OUTCOMES IN PREGNANCY,

1299
00:54:00,400 --> 00:54:05,040
YOU CAN SEE THE SAMPLE SIZE, OF

1300
00:54:05,040 --> 00:54:07,000
67,000, CARDIOVASCULAR DISEASE

1301
00:54:07,000 --> 00:54:10,120
COHORT OF ALMOST 7,000. BLACK

1302
00:54:10,120 --> 00:54:12,720
WOMEN WHO WERE EXPOSED TO POLICE

1303
00:54:12,720 --> 00:54:14,200
VIOLENCE OR COMPLAINTS OF

1304
00:54:14,200 --> 00:54:15,440
EXCESSIVE POLICE FORCE MANY

1305
00:54:15,440 --> 00:54:16,880
THEIR NEIGHBORHOOD WERE 1.2

1306
00:54:16,880 --> 00:54:18,320
TIMES MORE LIKELY TO EXPERIENCE

1307
00:54:18,320 --> 00:54:21,520
PRE-TERM DELIVERY. 1.4 TIMES

1308
00:54:21,520 --> 00:54:25,360
MORE LIKELY TO DEVELOP

1309
00:54:25,360 --> 00:54:27,840
CARDIOVASCULAR DISEASE IN FOLLOW

1310
00:54:27,840 --> 00:54:30,840
SO IT IS AN INDICATION AGAIN OF

1311
00:54:30,840 --> 00:54:33,480
WHERE EXCESSIVE POLICE FORCE MAY

1312
00:54:33,480 --> 00:54:35,560
BE ADVERSELY AFFECTING HEALTH IN

1313
00:54:35,560 --> 00:54:38,480
ADDITION TO WHAT WE KNOW HAPPENS

1314
00:54:38,480 --> 00:54:44,120
WITH THE USE OF FIREARMS

1315
00:54:44,120 --> 00:54:45,880
EXCESSIVELY BY POLICE. BREAST

1316
00:54:45,880 --> 00:54:49,200
FEEDING HAS BEEN KNOWN TO BE

1317
00:54:49,200 --> 00:54:51,320
BENEFICIAL TO THE INFANT TO THE

1318
00:54:51,320 --> 00:54:54,600
CHILD AS WELL A Z MOTHER FOR

1319
00:54:54,600 --> 00:54:57,560
DECADES LITERALLY. WE HAVE NOT

1320
00:54:57,560 --> 00:55:03,240
BEEN ABLE TO GET THE MEETING THE

1321
00:55:03,240 --> 00:55:04,760
GOALS OF EVERY CHILD BEING

1322
00:55:04,760 --> 00:55:06,400
BREAST FED FOR A YEAR, NOW THERE

1323
00:55:06,400 --> 00:55:10,520
ARE LOGISTICAL SOMETIMES MEDICAL

1324
00:55:10,520 --> 00:55:12,960
BARRIERS OR OPERATIONAL

1325
00:55:12,960 --> 00:55:14,560
BARRIERS, IT IS HARD, WOMEN HAVE

1326
00:55:14,560 --> 00:55:16,520
TO PUMP IF THEY ARE WORKING.

1327
00:55:16,520 --> 00:55:18,360
THERE ARE VARIETY -- BUT WILL IS

1328
00:55:18,360 --> 00:55:21,640
ANOTHER BIT OF EVIDENCE IN A

1329
00:55:21,640 --> 00:55:24,600
SMALL STUDY THAT YOU CAN SEE

1330
00:55:24,600 --> 00:55:27,640
CARDIOVASCULAR BENEFIT FOR THE

1331
00:55:27,640 --> 00:55:31,080
MOM RELATED TO BREAST FEEDING

1332
00:55:31,080 --> 00:55:32,280
FOR AT LEAST 12 MONTHS.  THIS IS

1333
00:55:32,280 --> 00:55:33,600
THE RECOMMENDATION, THERE IS

1334
00:55:33,600 --> 00:55:35,000
BENEFICIAL EFFECTS ON DEVELOPING

1335
00:55:35,000 --> 00:55:37,000
BREAST CANCER, THERE ARE

1336
00:55:37,000 --> 00:55:38,600
MULTIPLE BENEFICIAL EFFECTS ON

1337
00:55:38,600 --> 00:55:41,200
INFANT. AGAIN, IT IS SOMETHING

1338
00:55:41,200 --> 00:55:44,600
WE DON'T SEE AS MUCH IN

1339
00:55:44,600 --> 00:55:45,680
POPULATIONS WITH HEALTH

1340
00:55:45,680 --> 00:55:47,920
DISPARITIES LOW INCOME AND

1341
00:55:47,920 --> 00:55:49,760
AFRICAN AMERICAN WOMEN HAVE LESS

1342
00:55:49,760 --> 00:55:51,120
LIKELIHOOD OF SUSTAINING BREAST

1343
00:55:51,120 --> 00:55:52,680
FEEDING FOR 12 MONTHS AND IT IS

1344
00:55:52,680 --> 00:55:54,800
AN AREA AGAIN OF ACTIVE

1345
00:55:54,800 --> 00:55:57,760
INTERVENTION THAT COULD WORK. 

1346
00:55:57,760 --> 00:56:00,200
THIS IS A STUDY THAT RECEIVED

1347
00:56:00,200 --> 00:56:04,440
MEDIA ATTENTION AS WELL. IT IS

1348
00:56:04,440 --> 00:56:05,800
FROM THE ELECTRONIC HEALTH

1349
00:56:05,800 --> 00:56:09,920
RECORDS LOOKING AT 18 STATES

1350
00:56:09,920 --> 00:56:12,040
EHRs AND COMMUNITY HEALTH

1351
00:56:12,040 --> 00:56:14,840
CENTERS, OVER 40,000 CHILDREN

1352
00:56:14,840 --> 00:56:17,880
AND ADOLESCENTS AGE 3 TO 17 WITH

1353
00:56:17,880 --> 00:56:20,200
ASTHMA DIAGNOSIS BASED ON THE

1354
00:56:20,200 --> 00:56:21,760
ELECTRONIC RECORD. AND SAW

1355
00:56:21,760 --> 00:56:25,240
SPANISH -- THEY REPORTED SPANISH

1356
00:56:25,240 --> 00:56:26,520
PREFERRING CHILDREN HAD HIGHER

1357
00:56:26,520 --> 00:56:30,040
ODDS OF CLINIC VISITS EVEN FOR

1358
00:56:30,040 --> 00:56:31,200
MASS EXACERBATIONS SO THEY WERE

1359
00:56:31,200 --> 00:56:33,360
COMING TO THE PRIMARY CARE

1360
00:56:33,360 --> 00:56:37,000
SETTING WHEN THEY HAD ASTHMA

1361
00:56:37,000 --> 00:56:39,280
EXACERBATION. FOR ACUTE

1362
00:56:39,280 --> 00:56:41,560
MANAGEMENT. AFRICAN AMERICAN

1363
00:56:41,560 --> 00:56:42,640
CHILDREN HAD LOWER USE OF

1364
00:56:42,640 --> 00:56:44,000
PRIMARY CARE SETTING AND HIGHER

1365
00:56:44,000 --> 00:56:46,440
ODDS GOING TO THE THE EMERGENCY

1366
00:56:46,440 --> 00:56:48,040
DEPARTMENT AND THIS WAS IN A SUB

1367
00:56:48,040 --> 00:56:50,280
ANALYSIS OF THE ORGAN MEDICAID.

1368
00:56:50,280 --> 00:56:52,040
THERE WERE NO INPATIENT

1369
00:56:52,040 --> 00:56:53,520
ADMISSION DIFFERENCES BY RACE

1370
00:56:53,520 --> 00:56:55,280
ETHNICITY IN THIS STUDY. THERE

1371
00:56:55,280 --> 00:56:57,480
ARE MULTIPLE OTHER FACTORS THAT

1372
00:56:57,480 --> 00:57:00,800
WOULD BE AFFECTING THIS. THIS IS

1373
00:57:00,800 --> 00:57:05,920
AN AREA OF DATA AS SCIENCE OR

1374
00:57:05,920 --> 00:57:08,640
ANALYSIS COMBINING ELECTRONIC

1375
00:57:08,640 --> 00:57:09,760
HEALTH RECORDS WE WILL SEE MORE

1376
00:57:09,760 --> 00:57:14,440
OF ACROSS THE BOARD IN HEALTH

1377
00:57:14,440 --> 00:57:15,480
CLINICAL RESEARCH, IN THIS

1378
00:57:15,480 --> 00:57:18,920
PARTICULAR SETTING. THIS IS AN

1379
00:57:18,920 --> 00:57:20,920
INTERESTING STUDY THAT LOOKED

1380
00:57:20,920 --> 00:57:23,480
HOW WE INTERVENE TO IMPROVE CARE

1381
00:57:23,480 --> 00:57:26,240
IN CLINICAL TRIAL PARTICIPATION

1382
00:57:26,240 --> 00:57:29,360
P ON LOW INCOME MINORITY ADULTS

1383
00:57:29,360 --> 00:57:30,960
WITH CANCER, THESE WERE 66

1384
00:57:30,960 --> 00:57:33,600
PATIENTS IN THE INTERVENTION

1385
00:57:33,600 --> 00:57:34,960
GROUP, 72 IN COMPARISON GROUP

1386
00:57:34,960 --> 00:57:37,280
AND NOT RANDOMIZED SO NOT

1387
00:57:37,280 --> 00:57:41,320
CONTROL GROUP. THEY WERE SICK. 

1388
00:57:41,320 --> 00:57:44,880
15 OF THE 66 AND 22 OF THE 72

1389
00:57:44,880 --> 00:57:46,480
DIED WITHIN SIX MONTHS. THE IDEA

1390
00:57:46,480 --> 00:57:50,200
HERE IS THAT QUALITY OF CARE

1391
00:57:50,200 --> 00:57:53,440
PEOPLE WHO INCURABLE CONDITION,

1392
00:57:53,440 --> 00:57:55,280
PUT IT THAT WAY, WHERE OUR GOALS

1393
00:57:55,280 --> 00:57:57,240
OF THERAPY ARE HEALTH RELATED

1394
00:57:57,240 --> 00:58:02,520
QUALITY OF LIFE, GOAL, NOT CURE,

1395
00:58:02,520 --> 00:58:04,160
WILL DEPEND ON INTERVENTIONS

1396
00:58:04,160 --> 00:58:07,560
SUCH AS ENGAGING COMMUNITY,

1397
00:58:07,560 --> 00:58:08,800
ORGANIZATIONS IN ENGAGING

1398
00:58:08,800 --> 00:58:09,960
COMMUNITY HEALTH WORKERS AND

1399
00:58:09,960 --> 00:58:12,320
IMPROVING SUPPORTIVE CARE

1400
00:58:12,320 --> 00:58:15,360
DELIVERY THROUGH SERVICES IN

1401
00:58:15,360 --> 00:58:19,440
HOUSE HOSPICE WHICH ARE VERY

1402
00:58:19,440 --> 00:58:21,320
UNDERUTILIZED ACROSS THE COUNTRY

1403
00:58:21,320 --> 00:58:22,600
PARTICULARLY FOR POPULATIONS

1404
00:58:22,600 --> 00:58:24,880
WITH HEALTH DISPARITIES.  AN

1405
00:58:24,880 --> 00:58:27,920
EXAMPLE OF HOW THESE CAN IMPROVE

1406
00:58:27,920 --> 00:58:30,720
AS AN ADDITIONAL BENEFIT,

1407
00:58:30,720 --> 00:58:32,040
PARTICIPATE POTENTIALLY IN

1408
00:58:32,040 --> 00:58:32,800
CLINICAL TRIALS THAT ARE

1409
00:58:32,800 --> 00:58:37,040
AVAILABLE. STUDY COMING FROM A K

1410
00:58:37,040 --> 00:58:39,280
AWARDEE, LOOKING AT VACCINE

1411
00:58:39,280 --> 00:58:40,800
HESITANCY AMONG AFRICAN

1412
00:58:40,800 --> 00:58:44,440
AMERICANS LIVING IN THE SOUTH,

1413
00:58:44,440 --> 00:58:47,920
SAMPLE OF CENTRAL SAVANNAH AREA,

1414
00:58:47,920 --> 00:58:50,560
ANY ADULT OVER AGE OF 18 WAS

1415
00:58:50,560 --> 00:58:52,760
STUDIED AND WE NOTICE THAT THE

1416
00:58:52,760 --> 00:58:54,720
HESITANCY AND RESISTANCE TO

1417
00:58:54,720 --> 00:58:56,280
RECEIVING COVID-19 VACCINE WAS

1418
00:58:56,280 --> 00:58:58,600
MORE LIKELY AMONG YOUNGER ADULTS

1419
00:58:58,600 --> 00:59:00,720
UNDER THE AGE OF 30,

1420
00:59:00,720 --> 00:59:01,920
PARTICULARLY THOSE WHO

1421
00:59:01,920 --> 00:59:04,320
EXPERIENCED ANY HOUSING

1422
00:59:04,320 --> 00:59:05,600
INSECURITY. SO FURTHER

1423
00:59:05,600 --> 00:59:08,600
EVALUATION OF THESE FACTORS THAT

1424
00:59:08,600 --> 00:59:10,280
CONTRIBUTE TO VACCINE HESITANCY,

1425
00:59:10,280 --> 00:59:13,760
LACK OF UPTAKE AMONG YOUNG

1426
00:59:13,760 --> 00:59:16,680
AFRICAN AMERICANS IS IMPORTANT.

1427
00:59:16,680 --> 00:59:18,440
CLEARLY, THE BENEFIT OF THE

1428
00:59:18,440 --> 00:59:21,560
COVID-19 VACCINE IN THIS

1429
00:59:21,560 --> 00:59:24,120
POPULATION IS IN ACTUAL TERMS

1430
00:59:24,120 --> 00:59:26,400
LESS CLEAR THAN IT IS FOR OLDER

1431
00:59:26,400 --> 00:59:27,520
ADULTS, BUT BENEFICIAL IN TERMS

1432
00:59:27,520 --> 00:59:30,480
OF INTERRUPTING AND DIMINISHING

1433
00:59:30,480 --> 00:59:33,520
NOT TO SAY ELIMINATE EXTENSIVE

1434
00:59:33,520 --> 00:59:35,880
COMMUNITY TRANSMISSION. AND

1435
00:59:35,880 --> 00:59:37,480
ENHANCING GENERAL IMMUNITY AND

1436
00:59:37,480 --> 00:59:41,600
COMMUNITY. OUR INTRAMURAL

1437
00:59:41,600 --> 00:59:45,760
PROGRAM, THIS IS FROM THE

1438
00:59:45,760 --> 00:59:47,280
(INDISCERNIBLE) LAB, WHERE E

1439
00:59:47,280 --> 00:59:50,640
WHAT'S BEEN USING THE UK BIOBANK

1440
00:59:50,640 --> 00:59:54,560
TO LOOK AT GENETIC ANCESTRY

1441
00:59:54,560 --> 00:59:56,440
COMPARISON TO INFLAMMATION IN

1442
00:59:56,440 --> 00:59:59,440
THIS CASE REFLECTED BY C

1443
00:59:59,440 --> 01:00:01,760
REACTIVE PROTEIN. CONCLUDING IN

1444
01:00:01,760 --> 01:00:05,040
THE UK BIOBANK DATA LAWS OF

1445
01:00:05,040 --> 01:00:06,800
IMPORTANCE OF AFRICAN ANCESTRY

1446
01:00:06,800 --> 01:00:09,520
AND ENVIRONMENTAL FACTORS REALLY

1447
01:00:09,520 --> 01:00:14,040
ACCOUNTING FOR MUCH MORE HIGHER

1448
01:00:14,040 --> 01:00:17,160
LEVEL C REACTIVE PROTEIN THAN

1449
01:00:17,160 --> 01:00:19,160
GENETIC ANCESTRY. IN ANOTHER

1450
01:00:19,160 --> 01:00:23,800
ANALYSIS USING A CANCER COHORT

1451
01:00:23,800 --> 01:00:25,400
CHANGES IN GENE EXPRESSION

1452
01:00:25,400 --> 01:00:28,720
MEDIATED BY EPIGENETIC

1453
01:00:28,720 --> 01:00:29,640
MECHANISMS WITH GREATER

1454
01:00:29,640 --> 01:00:32,360
CONTRIBUTION TO CANCER SURVIVAL.

1455
01:00:32,360 --> 01:00:35,800
HIS LAB IS LEVERAGING

1456
01:00:35,800 --> 01:00:38,240
AVAILABILITY OF LARGE DATA SETS,

1457
01:00:38,240 --> 01:00:39,960
WE LOOK FORWARD TO HIS WORK NOT

1458
01:00:39,960 --> 01:00:42,160
JUST NOW IN THE UK BIOBANK BUT

1459
01:00:42,160 --> 01:00:47,000
THE ALL OF US COHORT THAT HAS

1460
01:00:47,000 --> 01:00:50,560
RECENTLY RELEASED ALMOST 100,000

1461
01:00:50,560 --> 01:00:52,240
WHOLE GENOME SEQUENCES ON THE

1462
01:00:52,240 --> 01:00:54,120
PARTICIPANTS IN ALL OF US NUMBER

1463
01:00:54,120 --> 01:00:57,000
CLOSE TO HALF A MILLION. THESE

1464
01:00:57,000 --> 01:00:58,240
SIGNIFICANT EFFECTS OF

1465
01:00:58,240 --> 01:01:02,280
INTERACTION OF METHYLATION

1466
01:01:02,280 --> 01:01:04,200
ANCESTRY, IN MANY CASES WE ARE

1467
01:01:04,200 --> 01:01:07,960
GOING TO SEE LOOK AT THINGS LIKE

1468
01:01:07,960 --> 01:01:10,160
ANCESTRY AS PROXIES FOR OTHER

1469
01:01:10,160 --> 01:01:14,080
THINGS, WE DON'T HAVE DATA ON

1470
01:01:14,080 --> 01:01:16,600
THE SOCIAL DETERMINANTS OF

1471
01:01:16,600 --> 01:01:18,800
INDIVIDUAL LIFE EXPERIENCE. THIS

1472
01:01:18,800 --> 01:01:21,760
IS -- THESE ARE THE KIND OF

1473
01:01:21,760 --> 01:01:24,520
INVESTIGATIONS THAT WILL HELP US

1474
01:01:24,520 --> 01:01:26,800
FURTHER UNDERSTAND MECHANISMS.  

1475
01:01:26,800 --> 01:01:31,400
THIS IS FROM CALVIN TROY'S LAB

1476
01:01:31,400 --> 01:01:33,920
LOOKING AT SCAR SMOKING. I'M

1477
01:01:33,920 --> 01:01:36,200
ORIGINALLY FROM CUBA WHERE CIGAR

1478
01:01:36,200 --> 01:01:38,800
SMOKING WAS A TRADITION, IS A

1479
01:01:38,800 --> 01:01:41,560
TRADITION. NOTICE LATINOS HAVE

1480
01:01:41,560 --> 01:01:44,800
NO CHANGE IN PAGE OF CIGAR

1481
01:01:44,800 --> 01:01:46,400
SMOKING INITIATION BUT AFRICAN

1482
01:01:46,400 --> 01:01:47,600
AMERICANS WITH COLLEGE DEGREE

1483
01:01:47,600 --> 01:01:49,000
INTERESTINGLY INITIATING CIGAR

1484
01:01:49,000 --> 01:01:52,040
SMOKING AT OLDER AGE BUT NO

1485
01:01:52,040 --> 01:01:53,760
CHANGE IN THOSE WITH LESS THAN A

1486
01:01:53,760 --> 01:01:56,440
COLLEGE DEGREE. CALVIN'S GROUP

1487
01:01:56,440 --> 01:02:00,840
HAS BEEN WORKING DILIGENTLY ON

1488
01:02:00,840 --> 01:02:03,720
THE BEHAVIOR AROUND SMOKING

1489
01:02:03,720 --> 01:02:05,320
CIGARETTES COMBUSTIBLE

1490
01:02:05,320 --> 01:02:06,480
CIGARETTES ELECTRONIC OR IN THIS

1491
01:02:06,480 --> 01:02:11,040
CASE CIGARS. OVER THE YEARS. HOW

1492
01:02:11,040 --> 01:02:12,520
THIS INFLUENCES POLICY AND HOW

1493
01:02:12,520 --> 01:02:14,880
IT INTERACTS WITH POLICY AND ALL

1494
01:02:14,880 --> 01:02:17,840
CIGARS MAKE UP A SMALL

1495
01:02:17,840 --> 01:02:19,400
PROPORTION COMBUSTIBLE

1496
01:02:19,400 --> 01:02:21,720
CIGARETTES, IT IS A NICHE THAT

1497
01:02:21,720 --> 01:02:25,160
IS GAINED SOME POPULARITY IN

1498
01:02:25,160 --> 01:02:28,480
SOME YOUNGER ADULT GROUPS

1499
01:02:28,480 --> 01:02:33,520
PARTICULARLY YOUNG ADULTS OF

1500
01:02:33,520 --> 01:02:34,920
COLOR. FROM (INAUDIBLE) WILLIAMS

1501
01:02:34,920 --> 01:02:36,720
LAB WE SEE EFFORT ON LOOKING AT

1502
01:02:36,720 --> 01:02:40,040
THE NIEHS SISTER STUDY, NATIONAL

1503
01:02:40,040 --> 01:02:41,520
INSTITUTE ON ENVIRONMENTAL

1504
01:02:41,520 --> 01:02:43,080
HEALTH STUDY SISTER STUDY

1505
01:02:43,080 --> 01:02:44,080
LOOKING AT BREAST CANCER

1506
01:02:44,080 --> 01:02:46,760
SCREENING IN WOMEN BORN IN THE

1507
01:02:46,760 --> 01:02:48,920
U.S. VERSUS FOREIGN BORN WOME W.

1508
01:02:48,920 --> 01:02:50,880
THE PRIMARY IMPORTANT FINDING

1509
01:02:50,880 --> 01:02:53,320
HERE IS FOREIGN BORN LATINA

1510
01:02:53,320 --> 01:02:54,720
HISPANIC WOMEN ARE MORE LIKELY

1511
01:02:54,720 --> 01:02:58,200
TO HAVE NEVER BEEN SCREENED.

1512
01:02:58,200 --> 01:03:01,040
BREAST CANCER PERHAPS ONE

1513
01:03:01,040 --> 01:03:03,760
SCREENING HELPS BUT IS NOT

1514
01:03:03,760 --> 01:03:07,120
SUFFICIENT. IT IS INTENDED TO BE

1515
01:03:07,120 --> 01:03:10,800
OVER TIME, THERE IS NO LIMIT ON

1516
01:03:10,800 --> 01:03:14,120
YOU THINK 50 TO AGE 80, MAYBE 15

1517
01:03:14,120 --> 01:03:15,640
SCREENINGS OVER LIFETIME IS WHAT

1518
01:03:15,640 --> 01:03:17,920
WE KNOW RIGHT NOW WITH SCREENING

1519
01:03:17,920 --> 01:03:19,040
MAMMOGRAPHY, THERE ARE OTHER

1520
01:03:19,040 --> 01:03:22,000
METHODS THAT ARE BEING

1521
01:03:22,000 --> 01:03:23,680
CONSIDERED AND OTHER METRICS

1522
01:03:23,680 --> 01:03:27,000
BEING USED TO EVALUATE BUT

1523
01:03:27,000 --> 01:03:31,720
CLEARLY ONE OF THE CHALLENGES IN

1524
01:03:31,720 --> 01:03:33,120
NON-U.S. BORN PERSONS COMING THE

1525
01:03:33,120 --> 01:03:34,200
U.S. IS THEY ARE NOT USED TO

1526
01:03:34,200 --> 01:03:35,920
NECESSARILY HAVING ACCESS TO OR

1527
01:03:35,920 --> 01:03:39,080
BEING ASKED TO BE SCREENED.

1528
01:03:39,080 --> 01:03:40,800
WHETHER IT BE BREAST CANCER

1529
01:03:40,800 --> 01:03:42,520
SCREENING OR PAP SMEARS OR

1530
01:03:42,520 --> 01:03:46,400
COLORECTAL CANCER SCREENING. 

1531
01:03:46,400 --> 01:03:50,280
RECENTLY WE WERE PRIVILEGED TO

1532
01:03:50,280 --> 01:03:52,120
SEE OUR NIH POST BACCALAUREATE

1533
01:03:52,120 --> 01:03:55,880
POSTER DAY. THESE ARE THE YOUNG

1534
01:03:55,880 --> 01:04:03,160
FACES OF OUR POST BACKS. ONE --

1535
01:04:03,160 --> 01:04:03,840
FIRST PERSON PHOTS TOE ON THE

1536
01:04:03,840 --> 01:04:05,200
UPPER LEFT THERE WAS FROM MY

1537
01:04:05,200 --> 01:04:09,560
LAB, THE REST ARE NIMHD LABS. 

1538
01:04:09,560 --> 01:04:10,960
THE THREE BOTTOM ROW HIGHLIGHTED

1539
01:04:10,960 --> 01:04:16,200
IN YELLOW STEPHANIE, AND

1540
01:04:16,200 --> 01:04:17,600
GABRIELLE ZUCKERMAN WERE

1541
01:04:17,600 --> 01:04:19,200
RECOGNIZED FOR HAVING THE TOP

1542
01:04:19,200 --> 01:04:21,760
20% POSTERS BY THE RATERS. IT

1543
01:04:21,760 --> 01:04:25,800
WAS A VIRTUAL EVENT WITH THE

1544
01:04:25,800 --> 01:04:27,480
PEOPLE COMING IN TO THE ROOM AND

1545
01:04:27,480 --> 01:04:29,680
ASKING TO HAVE THE POSTER

1546
01:04:29,680 --> 01:04:32,920
PRESENTED. I PARTICIPATED IN IT

1547
01:04:32,920 --> 01:04:34,480
WITH CHELSEA OUR POSTBACK AND IT

1548
01:04:34,480 --> 01:04:36,400
WAS REALLY EXCITING AND DOESN'T

1549
01:04:36,400 --> 01:04:37,920
QUITE HAVE THE BECAUSE OF HAVING

1550
01:04:37,920 --> 01:04:40,360
THE IN PERSON EVENT. WITH

1551
01:04:40,360 --> 01:04:43,040
POSTERS AND PEOPLE TALKING, BUT

1552
01:04:43,040 --> 01:04:45,080
MAYBE NEXT YEAR WE WILL GET BACK

1553
01:04:45,080 --> 01:04:48,200
TO THAT. THERE WERE HONORS

1554
01:04:48,200 --> 01:04:52,800
ACCORDING TO THESE INTRAMURAL

1555
01:04:52,800 --> 01:04:54,320
FELLOWS FROM THE SOCIETY OF

1556
01:04:54,320 --> 01:04:57,440
BEHAVIORAL MEDICINE, FROM THE

1557
01:04:57,440 --> 01:04:59,560
ACADEMY HEALTH AND FROM THE

1558
01:04:59,560 --> 01:05:02,280
AMERICAN PUBLIC HEALTH

1559
01:05:02,280 --> 01:05:05,280
ASSOCIATION AS WELL. THAT BRINGS

1560
01:05:05,280 --> 01:05:07,560
AN END TO MY PRESENTATION. I

1561
01:05:07,560 --> 01:05:08,920
ENCOURAGE EVERYONE TO CONSIDER

1562
01:05:08,920 --> 01:05:10,960
APPLYING FOR A POSITION, WE ARE

1563
01:05:10,960 --> 01:05:14,440
IN CONTINUOUS RECRUITMENT MODE

1564
01:05:14,440 --> 01:05:17,200
AT NIMHD. BOTH ADDRESS OUR

1565
01:05:17,200 --> 01:05:18,600
HOPEFULLY INCREASING BUDGET OVER

1566
01:05:18,600 --> 01:05:23,560
TIME AS WELL AS TO CONTINUE TO

1567
01:05:23,560 --> 01:05:27,640
ADDRESS MOVEMENT OF STAFF WITHIN

1568
01:05:27,640 --> 01:05:28,360
NIH. THANK YOU VERY MUCH FOR

1569
01:05:28,360 --> 01:05:29,600
YOUR ATTENTION AND WE HAVE TIME

1570
01:05:29,600 --> 01:05:33,120
FOR SOME QUESTIONS.  GET ME --

1571
01:05:33,120 --> 01:05:35,040
>> WE DO. THANK YOU VERY
MUCH

1572
01:05:35,040 --> 01:05:38,000
FOR AN EXCELLENT OVERVIEW. I

1573
01:05:38,000 --> 01:05:40,360
INVITE OUR COUNCIL MEMBERS TO

1574
01:05:40,360 --> 01:05:42,280
INDICATE IN THE CHAT BOX IF YOU

1575
01:05:42,280 --> 01:05:43,000
HAVE QUESTION OR COMMENT YOU

1576
01:05:43,000 --> 01:05:53,560
WOULD LIKE TO MAKE.  DR. BARNES,

1577
01:05:54,080 --> 01:05:57,560
PLEASE. 

1578
01:05:57,560 --> 01:06:01,640
>> DR. PEREZ-STABLE, VERY
NICE

1579
01:06:01,640 --> 01:06:03,280
PRESENTATION AS USUAL. I WAS

1580
01:06:03,280 --> 01:06:04,840
REALLY INTRIGUED BY THE STUDY

1581
01:06:04,840 --> 01:06:06,960
THAT YOU TALKED ABOUT, WITH

1582
01:06:06,960 --> 01:06:11,000
CIGAR SMOKING. AND I WAS

1583
01:06:11,000 --> 01:06:15,320
WONDERING TWO QUESTIONS.  DID

1584
01:06:15,320 --> 01:06:17,800
THE PAPER GO INTO SOCIAL

1585
01:06:17,800 --> 01:06:22,200
CULTURAL DIFFERENCES BETWEEN

1586
01:06:22,200 --> 01:06:23,600
LATINOS AND AFRICAN AMERICANS

1587
01:06:23,600 --> 01:06:24,960
WITH AGE DIFFERENCE WITH AFRICAN

1588
01:06:24,960 --> 01:06:28,840
AMERICANS STARTING LATER COLLEGE

1589
01:06:28,840 --> 01:06:29,640
EDUCATED AFRICAN AMERICANS

1590
01:06:29,640 --> 01:06:33,040
STARTING LATER AND ALSO IS THERE

1591
01:06:33,040 --> 01:06:36,840
A DIFFERENCE IN ADVERSE OUTCOMES

1592
01:06:36,840 --> 01:06:39,240
BASED ON WHEN YOU START THE

1593
01:06:39,240 --> 01:06:40,080
CIGAR SMOKING? ?

1594
01:06:40,080 --> 01:06:43,600
>> THANK YOU FOR THAT
QUESTION,

1595
01:06:43,600 --> 01:06:44,880
LISA. I DON'T KNOW THE DETAIL

1596
01:06:44,880 --> 01:06:46,040
BUT THIS IS FROM THE NATIONAL

1597
01:06:46,040 --> 01:06:49,360
SURVEY ON DRUG USE AN HEALTH SO

1598
01:06:49,360 --> 01:06:51,320
ALL THOSE USUAL VARIABLES

1599
01:06:51,320 --> 01:06:52,400
DEMOGRAPHIC SOCIAL VARIABLES

1600
01:06:52,400 --> 01:06:56,000
WERE ADJUSTED FOR IN ANALYSIS. 

1601
01:06:56,000 --> 01:07:00,600
I CAN SAY THIS ABOUT CIGARS, IT

1602
01:07:00,600 --> 01:07:05,760
MAKES UP MAYBE 2% COME BUSTABLE

1603
01:07:05,760 --> 01:07:09,240
TOBACCO CONSUMED IS MUCH MORE

1604
01:07:09,240 --> 01:07:10,840
COMMON FORESI TOWARD USE SMOKERS

1605
01:07:10,840 --> 01:07:13,760
TO BE MEN THAN WOMEN. TOBACCO

1606
01:07:13,760 --> 01:07:17,400
PUT INTO CIGAR IS INTENDED TO BE

1607
01:07:17,400 --> 01:07:22,760
ABSORBED IN THE ORAL MUCOSA. 

1608
01:07:22,760 --> 01:07:24,360
NICOTINE, SO IT ISN 'T REALLY

1609
01:07:24,360 --> 01:07:26,720
DESIGNED FOR INHALATION INTO THE

1610
01:07:26,720 --> 01:07:31,360
LUNGS LIKE CIGARETTES ARE. SO

1611
01:07:31,360 --> 01:07:32,160
THEORETICALLY THERE SHOULD BE

1612
01:07:32,160 --> 01:07:35,800
MUCH LESS OF A RISK OF

1613
01:07:35,800 --> 01:07:37,680
RESPIRATORY TRACK LOWER

1614
01:07:37,680 --> 01:07:41,560
RESPIRATORY TRACK DISEASE Z AND

1615
01:07:41,560 --> 01:07:43,160
CANCER. THE REASON ASSOCIATION

1616
01:07:43,160 --> 01:07:44,760
WITH INCREASE RISK OF CART OWE

1617
01:07:44,760 --> 01:07:46,960
VASCULAR EVENTS WITH SECOND HAND

1618
01:07:46,960 --> 01:07:50,000
SMOKE AND THERE IS INCREASE RISK

1619
01:07:50,000 --> 01:07:56,720
OF ORAL PHARYNGEAL CANCERS. VERY

1620
01:07:56,720 --> 01:07:58,400
SLIGHT UNCREASE IN LUNG CANCER

1621
01:07:58,400 --> 01:07:59,760
MAYBE ASSOCIATED BUT HARD TO --

1622
01:07:59,760 --> 01:08:05,120
IT IS NOT AS COMMON A PROBLEM AS

1623
01:08:05,120 --> 01:08:09,800
COMBUSTIBLE CIGARETTES. THE

1624
01:08:09,800 --> 01:08:11,560
PATTERN WE SEE IN THE CARIBBEAN

1625
01:08:11,560 --> 01:08:14,400
LET'S SAY AMONG MEN WHO SMOKE

1626
01:08:14,400 --> 01:08:17,440
CIGARS WOULD BE THEY SMOKE TEN

1627
01:08:17,440 --> 01:08:18,880
CIGARS A DAY, BUT I DON'T THINK

1628
01:08:18,880 --> 01:08:22,200
WE ARE LOOKING AT THAT LEVEL OF

1629
01:08:22,200 --> 01:08:26,600
SMOKING IN THIS POPULATION. 

1630
01:08:26,600 --> 01:08:30,600
>> THANK YOU, DR.
SOUTHERLAND,

1631
01:08:30,600 --> 01:08:32,440
>> ELISEO, GREAT
PRESENTATION. I

1632
01:08:32,440 --> 01:08:37,200
HAD A QUESTION ABOUT ONE OF THE

1633
01:08:37,200 --> 01:08:38,920
IS THE DIS YOU PRESENCE

1634
01:08:38,920 --> 01:08:40,440
INVOLVING BREAST CANCER

1635
01:08:40,440 --> 01:08:44,640
SCREENING VERSUS U.S. VERSUS

1636
01:08:44,640 --> 01:08:48,320
FOREIGN BORN. DID AUTHORS

1637
01:08:48,320 --> 01:08:50,360
INVESTIGATORS HAVE ANY SIMILAR

1638
01:08:50,360 --> 01:08:53,800
CORRESPONDING DATA WITH BLACK OR

1639
01:08:53,800 --> 01:08:57,080
AFRICAN AMERICAN WOMEN, U.S.

1640
01:08:57,080 --> 01:09:00,600
BORN VERSUS FOREIGN BORN?

1641
01:09:00,600 --> 01:09:01,320
>>

1642
01:09:01,320 --> 01:09:02,760
>> AGAIN, I DON'T KNOW THE

1643
01:09:02,760 --> 01:09:04,640
ANSWER.  THIS IS FROM THE SISTER

1644
01:09:04,640 --> 01:09:08,400
STUDY, WHICH IS A COHORT STUDY

1645
01:09:08,400 --> 01:09:12,640
THAT IS IN FOLLOWING WOMEN WHO

1646
01:09:12,640 --> 01:09:16,720
HAVE A FIRST DEGREE RELATIVE

1647
01:09:16,720 --> 01:09:18,440
WITH BREAST CANCER, MAJORITY OF

1648
01:09:18,440 --> 01:09:21,160
THEM DO. AND MOST OF THE SAMPLE,

1649
01:09:21,160 --> 01:09:23,440
THOUGH IT IS A LARGE STUDY,

1650
01:09:23,440 --> 01:09:25,840
44,000 PLUS, ARE U.S. BORN WHITE

1651
01:09:25,840 --> 01:09:28,840
WOMEN. SO THE NUMBER OF MINORITY

1652
01:09:28,840 --> 01:09:29,960
WOMEN IN THIS COHORT STUDY IS

1653
01:09:29,960 --> 01:09:33,520
LIMITED. SO I DON'T THINK THAT

1654
01:09:33,520 --> 01:09:35,200
THERE WAS SUFFICIENT I'M GOING

1655
01:09:35,200 --> 01:09:36,320
TO GUESS SUFFICIENT AFRICAN

1656
01:09:36,320 --> 01:09:37,400
AMERICAN WOMEN WHO WERE BORN

1657
01:09:37,400 --> 01:09:38,680
OUTSIDE THE U.S. THAT THEY COULD

1658
01:09:38,680 --> 01:09:40,400
LOOK AT THIS. 

1659
01:09:40,400 --> 01:09:44,280
>> THANK YOU. 

1660
01:09:44,280 --> 01:09:46,360
>> DR. CALMAN.

1661
01:09:46,360 --> 01:09:48,160
>> GREAT PRESENTATION. I
LOVE

1662
01:09:48,160 --> 01:09:51,320
THIS PART OF THE MEETINGS

1663
01:09:51,320 --> 01:10:02,000
BECAUSE THERE IS A PO POTPOURRIF

1664
01:10:02,760 --> 01:10:04,360
INCENTIVES. THE ONE THAT STRUCK

1665
01:10:04,360 --> 01:10:06,320
ME WAS UNSENTIVES AND REDUCTION

1666
01:10:06,320 --> 01:10:09,240
OF A 1C. THAT IS A SIGNIFICANT

1667
01:10:09,240 --> 01:10:13,120
REDUCTION IN A 1C AMONG PEOPLE

1668
01:10:13,120 --> 01:10:16,560
WITH DIABETES. THAT WE GOT FOR

1669
01:10:16,560 --> 01:10:18,760
$300. THE QUESTION I HAVE IS DO

1670
01:10:18,760 --> 01:10:20,640
WE KNOW ANYTHING ABOUT WHAT THE

1671
01:10:20,640 --> 01:10:22,680
MONEY DID? DID IT PAY FOR

1672
01:10:22,680 --> 01:10:25,440
TRANSPORTATION TO THE CLINIC FOR

1673
01:10:25,440 --> 01:10:27,240
MEDICATIONS DID IT HELP IMPROVE

1674
01:10:27,240 --> 01:10:31,200
DIET OR WAS IT PURELY BRIBERY

1675
01:10:31,200 --> 01:10:33,880
SITUATION WHERE PEOPLE WERE

1676
01:10:33,880 --> 01:10:36,160
WORKING FOR THE DOLLARS? WE KNOW

1677
01:10:36,160 --> 01:10:37,880
ANYTHING ABOUT WHAT DID WE ASK

1678
01:10:37,880 --> 01:10:44,800
WHAT PEOPLE DID IN ORDER TO 

1679
01:10:44,800 --> 01:10:45,480
ACHEF THEIR IMPROVEMENT. WHAT

1680
01:10:45,480 --> 01:10:47,840
ELSE DO WE KNOW ABOUT IT?

1681
01:10:47,840 --> 01:10:49,200
>> NEIL I WILL SEND YOU
THE

1682
01:10:49,200 --> 01:10:53,760
PAPER. IT IS IN PLUS ONE BUT MY

1683
01:10:53,760 --> 01:10:56,000
UNDERSTANDING IS THEY ARE LOW

1684
01:10:56,000 --> 01:10:59,200
ONE TIME WAS BASICALLY BRIBERY

1685
01:10:59,200 --> 01:11:03,400
OF FINANCIAL INCENTIVE WHILE THE

1686
01:11:03,400 --> 01:11:09,160
OTHER MODERATE, HIGH DID INCLUDE

1687
01:11:09,160 --> 01:11:10,480
MORE SPECIFIC INTERVENTIONS

1688
01:11:10,480 --> 01:11:12,840
RELATED TO UPLOADING GLUCOSE

1689
01:11:12,840 --> 01:11:14,320
MEASUREMENTS, BEING ABLE TO

1690
01:11:14,320 --> 01:11:16,920
SHARE THOSE, ALSO USING GETTING

1691
01:11:16,920 --> 01:11:20,160
ATTENDING EDUCATIONAL SESSIONS. 

1692
01:11:20,160 --> 01:11:22,000
KEEP IN MIND THIS WAS QUITE A

1693
01:11:22,000 --> 01:11:27,040
SMALL SAMPLE SIZE. SO THERE

1694
01:11:27,040 --> 01:11:32,160
ISN'T A QUOTE UNQUOTE USUAL CARE

1695
01:11:32,160 --> 01:11:33,800
COMPARISON CONTINUE TO HAVE YOUR

1696
01:11:33,800 --> 01:11:35,920
DIABETES CONTROLLED. WHICH 3 TO

1697
01:11:35,920 --> 01:11:38,040
6 MONTHS WOULDN'T BE UNETHICAL

1698
01:11:38,040 --> 01:11:39,600
THOUGH YOU COULD ARGUE THAT THAT

1699
01:11:39,600 --> 01:11:43,480
WAS WHAT DROVE THEM NOT TO DO

1700
01:11:43,480 --> 01:11:44,240
THAT. I DON'T HAVE ENOUGH

1701
01:11:44,240 --> 01:11:46,120
RETENTION OF THE DETAILS OF THE

1702
01:11:46,120 --> 01:11:48,480
PAPER TO ANXIOUS YOUR QUESTIONS 

1703
01:11:48,480 --> 01:11:49,040
-- ANSWER YOUR QUESTIONS.

1704
01:11:49,040 --> 01:11:50,960
>> SEND IT. SEND IT.

1705
01:11:50,960 --> 01:11:54,640
>> THANK YOU. 

1706
01:11:54,640 --> 01:11:55,480
>> DR. ELLIOT.

1707
01:11:55,480 --> 01:11:56,360
>> THANK YOU FOR THAT

1708
01:11:56,360 --> 01:11:58,960
PRESENTATION. I LISTENED TO MANY

1709
01:11:58,960 --> 01:11:59,760
DIRECTORS REPORTS OVER THE

1710
01:11:59,760 --> 01:12:01,640
YEARS. SOMETHING THAT REALLY

1711
01:12:01,640 --> 01:12:03,280
STRUCK ME ABOUT THIS IS THE

1712
01:12:03,280 --> 01:12:06,720
QUALITY AND RIGOR OF THE

1713
01:12:06,720 --> 01:12:08,320
SCIENCE, THAT YOU PRESENTED AND

1714
01:12:08,320 --> 01:12:10,760
THE IMPACT OF JOURNALS GETTING

1715
01:12:10,760 --> 01:12:12,560
IN SO TWO QUESTIONS, FIRST WOULD

1716
01:12:12,560 --> 01:12:15,120
YOU AGREE WITH THAT OBSERVATION

1717
01:12:15,120 --> 01:12:19,600
AND IF YOU DO WHAT WOULD YOU

1718
01:12:19,600 --> 01:12:21,160
ATTRIBUTE THAT INCREASE IN

1719
01:12:21,160 --> 01:12:24,160
QUALITY AND RIGOR.

1720
01:12:24,160 --> 01:12:26,360
>> THANK YOU FOR THAT AMY.
I

1721
01:12:26,360 --> 01:12:28,000
WASN'T NECESSARILY TRYING TO

1722
01:12:28,000 --> 01:12:29,760
COMPARE TO ANYTHING ELSE. I

1723
01:12:29,760 --> 01:12:32,280
LEARNED THIS FROM MY TIME ON

1724
01:12:32,280 --> 01:12:33,520
NATIONAL INSTITUTE ON AGING

1725
01:12:33,520 --> 01:12:35,760
COUNCIL THAT IT WAS ALWAYS GOOD

1726
01:12:35,760 --> 01:12:38,240
TO FEATURE SOME OF THE SCIENCE

1727
01:12:38,240 --> 01:12:40,640
AND THAT IS WHAT DROVE ME HERE

1728
01:12:40,640 --> 01:12:43,520
AT NIH IS SCIENCE. I DO ENJOY

1729
01:12:43,520 --> 01:12:49,200
LOOKING AT THIS. STAFF FROM EACH

1730
01:12:49,200 --> 01:12:51,880
DIVISION SELECT OR NOMINATE

1731
01:12:51,880 --> 01:12:54,640
PAPERS BASED ON THAT WE HAVE

1732
01:12:54,640 --> 01:12:56,120
FUNDED SO THOSE ARE THE ONES

1733
01:12:56,120 --> 01:12:58,800
THAT COME TO ME, I ESPECIALLY

1734
01:12:58,800 --> 01:13:04,320
ASK FOR MORE INTERVENTIONS,

1735
01:13:04,320 --> 01:13:09,160
ECHOING DR. RESNICOW'S PLEA FROM

1736
01:13:09,160 --> 01:13:10,400
LAST COUNCIL. I DON'T PRESENT

1737
01:13:10,400 --> 01:13:12,560
ALL THAT ARE NOMINATED BUT I DO

1738
01:13:12,560 --> 01:13:14,280
MAKE A SELECTION. I DO -- DID

1739
01:13:14,280 --> 01:13:16,960
EMPHASIZE MORE THE INTRAMURAL

1740
01:13:16,960 --> 01:13:20,080
THIS TIME. AS IT WAS PRESENTED,

1741
01:13:20,080 --> 01:13:23,400
NOT ALL WERE THERE.  I WILL ALSO

1742
01:13:23,400 --> 01:13:28,520
LOOK AT OR RYE TO SELECT PAPERS

1743
01:13:28,520 --> 01:13:30,520
PUBLISHED THAT STUDIES THAT ARE

1744
01:13:30,520 --> 01:13:32,120
PUBLISHED THAT ARE PARTICULARLY

1745
01:13:32,120 --> 01:13:33,600
RELEVANT TO NIMHD ON THE

1746
01:13:33,600 --> 01:13:35,440
MINORITY HEALTH, HEALTH

1747
01:13:35,440 --> 01:13:37,120
DISPARITIES, THESE ARE FROM

1748
01:13:37,120 --> 01:13:39,600
THINGS I SEE COME MAYMY WAY, AS

1749
01:13:39,600 --> 01:13:42,120
OPPOSED TO NECESSARILY

1750
01:13:42,120 --> 01:13:45,160
HYPERTENSIVE STUDY FUNDED BY

1751
01:13:45,160 --> 01:13:48,000
NHLBI AND I THINK IT IS A VERY

1752
01:13:48,000 --> 01:13:50,920
CURRENT TOPIC. MATERNAL

1753
01:13:50,920 --> 01:13:51,680
MORBIDITY MORTALITY, WE ARE

1754
01:13:51,680 --> 01:13:53,680
WORKING ON THAT SO I THOUGHT IT

1755
01:13:53,680 --> 01:13:55,800
WAS PARTICULARLY RELEVANT WHAT

1756
01:13:55,800 --> 01:13:57,680
WE MAY WANT TO BE FUNDING IN

1757
01:13:57,680 --> 01:14:05,160
THAT AREA. THANKS FOR THAT.

1758
01:14:05,160 --> 01:14:07,760
>> DR. ZORRILLA.

1759
01:14:07,760 --> 01:14:12,760
>> THANKS FOR MENTIONING
THAT

1760
01:14:12,760 --> 01:14:14,400
STUDY EVEN THOUGH IT WAS OPEN

1761
01:14:14,400 --> 01:14:17,280
LABEL RANDOMIZE, I CHECK

1762
01:14:17,280 --> 01:14:19,160
INFORMATION I WASN'T AWARE OF

1763
01:14:19,160 --> 01:14:21,640
THAT RECENT PUBLICATIONS. I

1764
01:14:21,640 --> 01:14:26,920
THINK IT ALSO BRINGS MAKES US

1765
01:14:26,920 --> 01:14:28,480
AWARE THERE IS ANODE FOR

1766
01:14:28,480 --> 01:14:32,560
RESEARCH IN PREGNANCY, THAT IS

1767
01:14:32,560 --> 01:14:35,720
BEYOND PHASE 1 AND 2 BUT ALSO

1768
01:14:35,720 --> 01:14:38,520
PARTICIPATION IN VACCINE TRIALS

1769
01:14:38,520 --> 01:14:40,120
IN TREATMENT TRIALS CERTAINLY

1770
01:14:40,120 --> 01:14:41,600
BECAUSE SOMETIMES WE END UP

1771
01:14:41,600 --> 01:14:44,720
PRESCRIBING MEDICATIONS AND

1772
01:14:44,720 --> 01:14:47,480
PROVIDING TREATMENT STRATEGIES

1773
01:14:47,480 --> 01:14:48,800
THAT HAVE NOT BEEN PROPERLY

1774
01:14:48,800 --> 01:14:51,840
STUDIED IN PREGNANCY OR IN THAT

1775
01:14:51,840 --> 01:14:53,640
PERSON SO THANKS FOR BRINGING US

1776
01:14:53,640 --> 01:14:55,560
THAT TOPIC AND MAKING US AWARE

1777
01:14:55,560 --> 01:14:59,960
OF THE NEED FOR THAT PARTICULAR

1778
01:14:59,960 --> 01:15:00,720
BEAUTIFUL PEOPLE THAT NEED

1779
01:15:00,720 --> 01:15:01,480
RESEARCH.

1780
01:15:01,480 --> 01:15:04,280
>> THANK YOU, CARMEN. THE

1781
01:15:04,280 --> 01:15:07,240
INCLUSION ACROSS THE LIFE SPAN

1782
01:15:07,240 --> 01:15:09,080
EFFORTS PARTICULARLY AROUND THE

1783
01:15:09,080 --> 01:15:11,480
VACCINE COVID-19 VACCINE AND

1784
01:15:11,480 --> 01:15:12,800
THERAPIES EMPHASIZING THE

1785
01:15:12,800 --> 01:15:16,280
IMPORTANCE OF INCLUDING PREGNANT

1786
01:15:16,280 --> 01:15:20,600
PEOPLE AND IN STUDIES. THERE IS

1787
01:15:20,600 --> 01:15:22,240
A NATURAL RESISTANCE ON THE PART

1788
01:15:22,240 --> 01:15:23,680
OF INDIVIDUALS SAYING WELL WHY

1789
01:15:23,680 --> 01:15:25,400
SHOULD I VOLUNTEER TO STUDY, I

1790
01:15:25,400 --> 01:15:26,840
KNOW WHAT EFFECTS ARE GOING TO

1791
01:15:26,840 --> 01:15:29,320
BE. BUT I THINK YOU DONE KNOW

1792
01:15:29,320 --> 01:15:31,040
WHAT YOU DON'T KNOW. SO I THINK

1793
01:15:31,040 --> 01:15:33,680
IT IS IMPORTANT. NOTED THAT IN

1794
01:15:33,680 --> 01:15:37,400
BOTH PFIZER AND MODERNA VACCINE

1795
01:15:37,400 --> 01:15:41,400
TRIALS THAT WERE QUITE A FEW

1796
01:15:41,400 --> 01:15:42,760
RANDOMIZE PARTICIPANTS WHO NOT

1797
01:15:42,760 --> 01:15:43,920
KNOWINGLY WERE PREGNANT AT THE

1798
01:15:43,920 --> 01:15:47,920
TIME OF RANDOMIZATION. THERE ARE

1799
01:15:47,920 --> 01:15:50,160
DATA ON THOSE ORIGINAL TRIALS

1800
01:15:50,160 --> 01:15:51,600
THAT WHERE IT IS NOT DESIGNED

1801
01:15:51,600 --> 01:15:52,880
THAT WAY BUT THAT IS HOW IT

1802
01:15:52,880 --> 01:15:55,600
TURNED OUT. 

1803
01:15:55,600 --> 01:15:59,040
>> THAT WAS ONE OF THE

1804
01:15:59,040 --> 01:16:01,440
PRIESTESSESSORS TO LACK OF --

1805
01:16:01,440 --> 01:16:02,960
PREDECESSORS TO LACK OF PARTS

1806
01:16:02,960 --> 01:16:04,360
OPERATION AN ENROLLMENT OF WOMEN

1807
01:16:04,360 --> 01:16:06,440
IN PARTICULARLY IN THE VACCINE

1808
01:16:06,440 --> 01:16:07,960
COVID VACCINE TRIALS WHERE THERE

1809
01:16:07,960 --> 01:16:12,360
WERE ALL KINDS OF LEGAL

1810
01:16:12,360 --> 01:16:14,880
ASSURANCES PROTECTED FROM

1811
01:16:14,880 --> 01:16:18,120
LIABILITY. THIS IS I THINK AN

1812
01:16:18,120 --> 01:16:22,840
ONGOING DISCUSSION THAT WE NEED

1813
01:16:22,840 --> 01:16:26,480
MORE PROFOUND DISCUSSION. 

1814
01:16:26,480 --> 01:16:28,040
>> ABSOLUTELY. 

1815
01:16:28,040 --> 01:16:35,280
>> THANK YOU. DR. JOHNSON.

1816
01:16:35,280 --> 01:16:37,440
>> THANK YOU, DR.
PEREZ-STABLE

1817
01:16:37,440 --> 01:16:39,920
FOR A REALLY OUTSTANDING

1818
01:16:39,920 --> 01:16:41,000
PRESENTATION. I ALSO LOOK

1819
01:16:41,000 --> 01:16:43,120
FORWARD TO YOUR DIRECTOR'S

1820
01:16:43,120 --> 01:16:45,360
REPORT. I HAVE A QUESTION ABOUT

1821
01:16:45,360 --> 01:16:47,920
SOME OF THE DATA YOU PRESENTED

1822
01:16:47,920 --> 01:16:50,200
REGARDING FINDINGS, IT IS GREAT

1823
01:16:50,200 --> 01:16:52,720
THERE WAS A BUDGET INCREASE WHAT

1824
01:16:52,720 --> 01:16:56,080
YOU EXPECT AND YOU SHOW K AWARDS

1825
01:16:56,080 --> 01:16:58,480
AND THEN RO1s FIRST TIME

1826
01:16:58,480 --> 01:17:00,240
ESTABLISHED INVESTIGATORS. AS

1827
01:17:00,240 --> 01:17:02,600
YOU THINK ABOUT THE ADDITIONAL

1828
01:17:02,600 --> 01:17:04,520
FUNDING THAT'S NOW AVAILABLE FOR

1829
01:17:04,520 --> 01:17:06,680
THIS FISCAL YEAR, DID YOU SPEAK

1830
01:17:06,680 --> 01:17:09,640
SOME TO HOW YOU THINK ABOUT

1831
01:17:09,640 --> 01:17:10,720
PRIORITIES REGARDING

1832
01:17:10,720 --> 01:17:13,240
DISTRIBUTION OF FUNDING FOR MORE

1833
01:17:13,240 --> 01:17:16,240
Ks OR MORE Rs OR OTHER NIMHD

1834
01:17:16,240 --> 01:17:17,720
PROGRAMS?

1835
01:17:17,720 --> 01:17:22,080
>> GLOBALLY I CAN SHARE.

1836
01:17:22,080 --> 01:17:26,080
SPECIFICS ARE INTERNAL. SO ONE

1837
01:17:26,080 --> 01:17:28,200
OF MY GOALS WAS THAT WE WOULD BE

1838
01:17:28,200 --> 01:17:31,200
ABLE TO FUND MORE OF THE RO1s

1839
01:17:31,200 --> 01:17:33,960
EVERY CYCLE WERE LEAVING ON THE

1840
01:17:33,960 --> 01:17:36,880
TABLE. THESE WERE WELL REVIEWED,

1841
01:17:36,880 --> 01:17:39,120
FUNDABLE SCORES, NOT NECESSARILY

1842
01:17:39,120 --> 01:17:41,360
JUST EARLY STAGE INVESTIGATORS

1843
01:17:41,360 --> 01:17:43,600
BUT IN GENERAL. AND I THINK THAT

1844
01:17:43,600 --> 01:17:45,360
THIS ADDED FUNDING WILL BRING US

1845
01:17:45,360 --> 01:17:49,640
AT LEAST CLOSER TO OUR GOAL.

1846
01:17:49,640 --> 01:17:53,080
12%, 13% AWARD RATE IS NOT THE

1847
01:17:53,080 --> 01:17:54,520
WORST BUT IT IS NOT WHERE WE

1848
01:17:54,520 --> 01:17:57,760
WOULD LIKE TO BE. WE WOULD LIKE

1849
01:17:57,760 --> 01:17:59,360
TO BE AT 25% WHERE SOME OF THE

1850
01:17:59,360 --> 01:18:04,480
INSTITUTES ARE.  AND NOT HURT

1851
01:18:04,480 --> 01:18:05,760
OTHER PROGRAMS. SHORT TERM

1852
01:18:05,760 --> 01:18:08,040
INCREASING SUPPORT FOR THE LOAN

1853
01:18:08,040 --> 01:18:11,200
REPAYMENT PROGRAM IS AN EASY

1854
01:18:11,200 --> 01:18:13,960
ANSWER.  WE ALSO WILL PARTNER

1855
01:18:13,960 --> 01:18:15,840
WITH NATIONAL HEART LUNG BLOOD

1856
01:18:15,840 --> 01:18:17,480
INSTITUTE ON THE SEAL INITIATIVE

1857
01:18:17,480 --> 01:18:20,640
WHICH NEEDS FUNDING. AND WAS

1858
01:18:20,640 --> 01:18:22,160
ALSO NOT -- DID NOT RECEIVE

1859
01:18:22,160 --> 01:18:25,360
FUNDING WE EXPECTED IN THE

1860
01:18:25,360 --> 01:18:26,640
APPROPRIATIONS. AND GOING

1861
01:18:26,640 --> 01:18:30,360
FORWARD WILL LOOK FOR MORE

1862
01:18:30,360 --> 01:18:33,760
STRUCTURAL RESOLVE ON THAT. THEN

1863
01:18:33,760 --> 01:18:35,760
CONTINUE OUR PROGRAMS, SOME OF

1864
01:18:35,760 --> 01:18:38,760
THE THINGS WE LAUNCHED YOU DID

1865
01:18:38,760 --> 01:18:41,400
OVER PUBLIC WE HAVE AN RFA OUT

1866
01:18:41,400 --> 01:18:42,800
FOR CLINICAL RESEARCH NETWORK

1867
01:18:42,800 --> 01:18:45,480
WITHIN THE RCMI, I WOULD LIKE TO

1868
01:18:45,480 --> 01:18:48,600
SEE THAT EXPAND IN THE FUTURE IF

1869
01:18:48,600 --> 01:18:53,040
WE HAVE THE FUNDING. WE

1870
01:18:53,040 --> 01:18:53,840
CURRENTLY HAVE GRANTS FOR

1871
01:18:53,840 --> 01:18:56,120
COMMUNITY LEVEL INTERVENTIONS,

1872
01:18:56,120 --> 01:18:59,240
THIS IS AN AREA WE HAVE ALWAYS

1873
01:18:59,240 --> 01:19:01,840
BEEN VERY UP FRONT ON COMMUNITY

1874
01:19:01,840 --> 01:19:03,640
INTERVENTIONS AND WE WANT TO

1875
01:19:03,640 --> 01:19:07,080
CONTINUE THAT, THE STRUCTURAL

1876
01:19:07,080 --> 01:19:09,760
RACISM RFA WAS ONE TIME RFA BUT

1877
01:19:09,760 --> 01:19:11,400
WE HOPE AN EXPECT THAT THAT WILL

1878
01:19:11,400 --> 01:19:13,760
CONTINUE TO FOSTER RESPONSES

1879
01:19:13,760 --> 01:19:16,120
ALONG THIS LINE TO BE

1880
01:19:16,120 --> 01:19:17,000
SYNERGISTIC WITH A COMMON FUND

1881
01:19:17,000 --> 01:19:21,280
PROGRAM. AND FOR EXAMPLE, THE

1882
01:19:21,280 --> 01:19:22,560
MATERNAL MORBIDITY MORTALITY WE

1883
01:19:22,560 --> 01:19:27,840
HAD A ONE TIME RFA BACK IN 2020

1884
01:19:27,840 --> 01:19:30,880
WE FUNDED TOTAL OF FIVE RO1s

1885
01:19:30,880 --> 01:19:33,760
AND NHLBI FUNDED ONE OR TWO. WE

1886
01:19:33,760 --> 01:19:37,400
HAVE NOW BEEN RECEIVING MORE RO1

1887
01:19:37,400 --> 01:19:38,680
APPLICATIONS IN THAT SPACE SO

1888
01:19:38,680 --> 01:19:39,960
HAVING PROGRAM ANNOUNCEMENT WILL

1889
01:19:39,960 --> 01:19:44,120
THEN FOSTER MORE APPLICATIONS

1890
01:19:44,120 --> 01:19:46,320
AFTER THE INITIAL EFFORT. I

1891
01:19:46,320 --> 01:19:48,480
THINK WE LOOK FORWARD FOR THOSE

1892
01:19:48,480 --> 01:19:50,120
EFFORTS AS WELL. WE CONTINUE TO

1893
01:19:50,120 --> 01:19:51,840
GROW OUR INTRAMURAL PROGRAM,

1894
01:19:51,840 --> 01:19:53,520
THOUGH I WILL GO AHEAD AND

1895
01:19:53,520 --> 01:19:55,640
EMPHASIZE THAT WE HAVE THE

1896
01:19:55,640 --> 01:19:58,040
SMALLEST INTRAMURAL PROGRAM

1897
01:19:58,040 --> 01:19:59,520
PROPORTIONAL IN TERMS OF BUDGET

1898
01:19:59,520 --> 01:20:04,400
ALLOCATED.  TO THE ONE OF THE

1899
01:20:04,400 --> 01:20:05,680
INSTITUTES DOES NOT HAVE AN

1900
01:20:05,680 --> 01:20:06,920
INTRAMURAL PROGRAM SO WE --

1901
01:20:06,920 --> 01:20:08,640
THOSE THAT DO, WE HAVE THE

1902
01:20:08,640 --> 01:20:13,760
SMALLEST BY BUDGET. THAT GROATS

1903
01:20:13,760 --> 01:20:15,320
IS PROJECTED TO CONTINUE. WE

1904
01:20:15,320 --> 01:20:18,400
CONTINUE TO HAVE INVESTIGATORS

1905
01:20:18,400 --> 01:20:20,520
RECRUITED. WE EXPECT ONE NEW

1906
01:20:20,520 --> 01:20:22,400
TENURE TRACK INVESTIGATOR THIS

1907
01:20:22,400 --> 01:20:23,720
YEAR, AND SHE WILL START LATER

1908
01:20:23,720 --> 01:20:28,040
THIS YEAR. THOSE ARE SOME IDEAS.

1909
01:20:28,040 --> 01:20:28,800
YOU MIGHT BE PARTICULARLY

1910
01:20:28,800 --> 01:20:30,240
INTERESTED IN THE CENTERS OF

1911
01:20:30,240 --> 01:20:33,000
EXCELLENCE I THINK. AND YES THAT

1912
01:20:33,000 --> 01:20:34,480
WILL CONTINUE, WE ARE

1913
01:20:34,480 --> 01:20:36,040
CONGRESSIONALLY MANDATED TO HAVE

1914
01:20:36,040 --> 01:20:38,080
CENTERS OF EXCELLENCE PROGRAM

1915
01:20:38,080 --> 01:20:41,840
AND THERE WILL BE A CALL FOR

1916
01:20:41,840 --> 01:20:51,560
APPLICATIONS IN FOR FISCAL 23.

1917
01:20:51,560 --> 01:20:52,160
>> THANK YOU.

1918
01:20:52,160 --> 01:20:55,000
>> THANK YOU. SO I THINK
THAT

1919
01:20:55,000 --> 01:20:56,040
CONCLUDES THE QUESTIONS AND

1920
01:20:56,040 --> 01:20:57,240
COMMENTS INDICATE MISDEMEANOR

1921
01:20:57,240 --> 01:20:58,520
THE CHAT BOX. THE TIMING IS

1922
01:20:58,520 --> 01:21:01,840
ACTUALLY PERFECT. BECAUSE IT IS

1923
01:21:01,840 --> 01:21:04,360
TIME FOR OUR FIRST BREAK. SO WE

1924
01:21:04,360 --> 01:21:06,600
HAVE NOW COME TO THE END OF OUR

1925
01:21:06,600 --> 01:21:10,280
FIRST THIRD OF OUR COUNCIL

1926
01:21:10,280 --> 01:21:12,680
MEETING. WE WILL START AGAIN

1927
01:21:12,680 --> 01:21:14,240
PROMPTLY AT 1 P.M. WITH TWO

1928
01:21:14,240 --> 01:21:16,080
PRESENTATIONS THEN THE FINAL

1929
01:21:16,080 --> 01:21:18,640
THIRD WILL BE DISCUSSION AND

1930
01:21:18,640 --> 01:21:22,480
APPROVAL OF NEW NIMHD CONCEPTS.

1931
01:21:22,480 --> 01:21:24,760
SO SEE YOU BACK AT 1 P.M.

1932
01:21:24,760 --> 01:21:25,000
EASTERN.

1933
01:21:25,000 --> 01:21:28,600
>>THANK YOU, MONICA.

1934
01:21:28,600 --> 01:21:32,000
>>IT IS MY HONOR

1935
01:21:32,000 --> 01:21:34,000
AND PLEASURE TO INTRODUCE A

1936
01:21:34,000 --> 01:21:35,240
INSTITUTE DIRECTOR COLLEAGUE WHO

1937
01:21:35,240 --> 01:21:38,160
WILL PRESENT TO US NOW. DR.

1938
01:21:38,160 --> 01:21:40,160
LINDSEY CRISWELL, SHE BECAME

1939
01:21:40,160 --> 01:21:43,120
DIRECTOR OF NATIONAL INSTITUTE

1940
01:21:43,120 --> 01:21:46,280
ON NEPHRITIS MUSCULOSKELETAL

1941
01:21:46,280 --> 01:21:50,080
DISEASE IN FEBRUARY OF 2021. SO

1942
01:21:50,080 --> 01:21:53,520
WELL INTO THE PANDEMIC. SHE IS I

1943
01:21:53,520 --> 01:21:56,520
THINK REFERRED TO THE PANDEMIC

1944
01:21:56,520 --> 01:21:58,120
FIVE, NEW IC DIRECTORS WHO

1945
01:21:58,120 --> 01:22:00,320
JOINED THE NIH AFTER MARCH OF

1946
01:22:00,320 --> 01:22:03,640
2020. PRIOR TO THAT SHE WAS VICE

1947
01:22:03,640 --> 01:22:06,560
CHANCELLOR RESEARCH UNIVERSITY

1948
01:22:06,560 --> 01:22:08,360
OF CALIFORNIA SAN FRANCISCO

1949
01:22:08,360 --> 01:22:09,400
WHERE RENEW HER AND SHE WAS

1950
01:22:09,400 --> 01:22:11,200
PROFESSOR OF MEDICINE IN THE

1951
01:22:11,200 --> 01:22:12,800
DIVISION OF RHEUMATOLOGY CHIEF

1952
01:22:12,800 --> 01:22:14,320
OF THE DIVISION RHEUMATOLOGY FOR

1953
01:22:14,320 --> 01:22:17,040
TIME AND PROFESSOR OF OR ROW

1954
01:22:17,040 --> 01:22:18,520
FACIAL SCIENCE. HER RESEARCH IS

1955
01:22:18,520 --> 01:22:20,240
FOCUSED ON GENETICS AND

1956
01:22:20,240 --> 01:22:23,520
EPIDEMIOLOGY OF HUMAN AUTOIMMUNE

1957
01:22:23,520 --> 01:22:25,240
DISEASE, PARTICULARLY ARTHRITIS

1958
01:22:25,240 --> 01:22:29,680
AND SYSTEMIC LUPUS.  WHICH IS A

1959
01:22:29,680 --> 01:22:32,160
PARTICULARLY RELEVANT BECAUSE IT

1960
01:22:32,160 --> 01:22:33,120
DISPROPORTIONATELY AFFECTS WOMEN

1961
01:22:33,120 --> 01:22:38,240
OF COLOR. SHE ALSO MENTORED MANY

1962
01:22:38,240 --> 01:22:39,960
STUDENTS JUNIOR FACULTY TO

1963
01:22:39,960 --> 01:22:41,360
INDEPENDENT RESEARCH CAREERS.

1964
01:22:41,360 --> 01:22:43,000
SHE GOT BACHELORS DEGREE IN

1965
01:22:43,000 --> 01:22:46,120
GENETICS AND MASTERS IN PUBLIC

1966
01:22:46,120 --> 01:22:47,160
HEALTH FROM THE UNIVERSITY

1967
01:22:47,160 --> 01:22:49,720
CALIFORNIA BERKELEY, GENETIC

1968
01:22:49,720 --> 01:22:51,240
EPIDEMIOLOGY DOCTOR IN SCIENCES

1969
01:22:51,240 --> 01:22:53,440
AND GENETIC EPIDEMIOLOGY FROM

1970
01:22:53,440 --> 01:22:55,320
NETHERLANDS AND MOST IMPORTANTLY

1971
01:22:55,320 --> 01:22:57,720
SHE GRADUATED FROM THE UCSF

1972
01:22:57,720 --> 01:22:59,320
MEDICAL SCHOOL. I FIRST MET

1973
01:22:59,320 --> 01:23:02,280
LINDSEY WHEN SHE WAS A FOURTH

1974
01:23:02,280 --> 01:23:04,400
YEAR MEDICAL STUDENT. I WAS

1975
01:23:04,400 --> 01:23:06,080
ASSISTANT PROFESSOR AND STARTED

1976
01:23:06,080 --> 01:23:08,600
ON THE WARD WE OVERLAPPED FOR A

1977
01:23:08,600 --> 01:23:11,800
WEEK AND AT THAT TIME LITTLE DID

1978
01:23:11,800 --> 01:23:14,040
I KNOW OUR CIRCLES WOULD BRING

1979
01:23:14,040 --> 01:23:17,680
US TOGETHER MULTIPLE TIMES. SO

1980
01:23:17,680 --> 01:23:19,000
LINDSEY, YOU CAN SHARE THE

1981
01:23:19,000 --> 01:23:20,920
SCREEN. 

1982
01:23:20,920 --> 01:23:23,920
>> THANK YOU SO MUCH, I
WILL

1983
01:23:23,920 --> 01:23:34,240
SHARE MY SCREEN. 

1984
01:23:36,520 --> 01:23:39,080
>> CAN YOU SEE MY SCREEN
OKAY?

1985
01:23:39,080 --> 01:23:39,720
>> ALL GOOD. 

1986
01:23:39,720 --> 01:23:43,240
>> GREAT. SO YES, IT IS
REALLY A

1987
01:23:43,240 --> 01:23:45,480
PLEASURE TO BE HERE IN PART

1988
01:23:45,480 --> 01:23:48,120
BECAUSE OF MY RELATIONSHIP WITH

1989
01:23:48,120 --> 01:23:50,440
ELISEO, GOES BACK MANY, MANY

1990
01:23:50,440 --> 01:23:51,800
YEARS AND I NEVER WOULD HAVE

1991
01:23:51,800 --> 01:23:54,000
GUESSED WE WOULD BE WORKING

1992
01:23:54,000 --> 01:23:55,240
TOGETHER LIKE THIS AT NIH AND

1993
01:23:55,240 --> 01:23:56,400
IT'S A PRIVILEGE TO WORK WITH

1994
01:23:56,400 --> 01:23:57,480
ELISEO AND THE OTHER INSTITUTE

1995
01:23:57,480 --> 01:24:00,440
AND CENTER DIRECTORS.  SO I

1996
01:24:00,440 --> 01:24:02,240
APPRECIATE THE OPPORTUNITY TO

1997
01:24:02,240 --> 01:24:02,920
FOCUS ON SOME OF THE WORK WE

1998
01:24:02,920 --> 01:24:05,120
HAVE BEEN DOING AT NIAMS TO

1999
01:24:05,120 --> 01:24:07,200
ELIMINATE HEALTH DISPARITIES

2000
01:24:07,200 --> 01:24:09,480
THROUGH RESEARCH WORKFORCE AND

2001
01:24:09,480 --> 01:24:11,440
ENGAGEMENT.  I'M GOING TO ADJUST

2002
01:24:11,440 --> 01:24:21,960
THE VIEW HERE A MINUTE. I WILL

2003
01:24:22,400 --> 01:24:25,800
BEGIN WITH A REVIEW NIAMS

2004
01:24:25,800 --> 01:24:27,080
INCLUDING THE CURRENT STEGE

2005
01:24:27,080 --> 01:24:28,000
PLAN. THE INSTITUTE WAS

2006
01:24:28,000 --> 01:24:29,400
ESTABLISHED IN IS IT 86 BUT

2007
01:24:29,400 --> 01:24:30,080
PREVIOUSLY PART OF THE NATIONAL

2008
01:24:30,080 --> 01:24:32,520
INSTITUTE OF ARTHRITIS,

2009
01:24:32,520 --> 01:24:33,840
DIABETES, AND DIGESTIVE AND

2010
01:24:33,840 --> 01:24:35,760
KIDNEY DISEASE.  WHICH IS MOW

2011
01:24:35,760 --> 01:24:38,720
THE NIDDK. AND OUR MISSION OF

2012
01:24:38,720 --> 01:24:40,480
COURSE IS TO SUPPORT AND CONDUCT

2013
01:24:40,480 --> 01:24:43,360
RESEARCH IN TO THE CAUSES

2014
01:24:43,360 --> 01:24:44,080
TREATMENT AND PREVENTION OF

2015
01:24:44,080 --> 01:24:46,400
ARTHRITIS AND MUSCULOSKELETAL

2016
01:24:46,400 --> 01:24:48,320
AND SKIN DISEASE. TO TRAIN THE

2017
01:24:48,320 --> 01:24:49,880
NEXT GENERATION OF SCIENTISTS

2018
01:24:49,880 --> 01:24:51,920
CARRY OUT THIS RESEARCH, AND

2019
01:24:51,920 --> 01:24:53,120
PROVIDE INFORMATION TO THE

2020
01:24:53,120 --> 01:24:54,280
PUBLIC ABOUT RESEARCH PROGRESS

2021
01:24:54,280 --> 01:24:55,600
IN OUR MISSION AREAS AND HOW IT

2022
01:24:55,600 --> 01:24:56,880
CAN BE APPLIED TO IMPROVE

2023
01:24:56,880 --> 01:25:02,400
HEALTH. OUR CURRENT BUDGETS IS

2024
01:25:02,400 --> 01:25:05,600
656 MILLION. WHICH REPRESENTS A

2025
01:25:05,600 --> 01:25:06,920
3.4% INCREASE COMPARED TO LAST

2026
01:25:06,920 --> 01:25:11,120
YEAR. NIAMS SUPPORTS INTRAMURAL

2027
01:25:11,120 --> 01:25:12,480
RESEARCH AND EXTRAMURAL RESEARCH

2028
01:25:12,480 --> 01:25:16,200
PROGRAMS. SO THIS SLIDE SHOWS

2029
01:25:16,200 --> 01:25:17,920
THE BREAK DOWN OF OUR BUDGET

2030
01:25:17,920 --> 01:25:22,800
INTO THE MAJOR CATEGORIES NIAMS

2031
01:25:22,800 --> 01:25:24,600
ON THE RIGHT COMPARED TO THE NIH

2032
01:25:24,600 --> 01:25:28,040
OVERALL ON THE LEV. SIMILAR TO

2033
01:25:28,040 --> 01:25:31,000
THE REST OF NIH MOST OF OUR

2034
01:25:31,000 --> 01:25:34,480
FUNDING GOES TO THE EXTRAMURAL

2035
01:25:34,480 --> 01:25:37,920
RESEARCH COMMUNITY, 84%, WITH 10

2036
01:25:37,920 --> 01:25:40,560
1/2 PERCENT GOING TO OUR

2037
01:25:40,560 --> 01:25:43,800
INTRAMURAL RESEARCH PROGRAM. RMS

2038
01:25:43,800 --> 01:25:46,080
OPT SLIDE STANDS FOR RESEARCH

2039
01:25:46,080 --> 01:25:46,680
MANAGEMENT SUPPORT BUT YOU CAN

2040
01:25:46,680 --> 01:25:53,560
THINK OF AS OUR OVERHEAD.  SO

2041
01:25:53,560 --> 01:25:55,680
OUR CURRENT STREAM PLAN GOES TO

2042
01:25:55,680 --> 01:25:59,480
2024 AND IT WAS DEVELOPED WITH

2043
01:25:59,480 --> 01:26:01,160
INPUT FROM THE NIAMS ADVISORY

2044
01:26:01,160 --> 01:26:04,080
COUNCIL AND PUBLIC. THE ULTIMATE

2045
01:26:04,080 --> 01:26:05,160
GOAL DEVELOP PATIENT CENTERED

2046
01:26:05,160 --> 01:26:06,400
PERSONALIZED WAYS TO IMPROVE

2047
01:26:06,400 --> 01:26:07,880
HEALTH OUTCOMES AND ARE FIVE

2048
01:26:07,880 --> 01:26:13,360
CORE AREAS ON THE RIGHT OF THE

2049
01:26:13,360 --> 01:26:15,280
SLIDE, SYSTEMIC AUTOMATIC AND

2050
01:26:15,280 --> 01:26:17,760
AUTOIMMUNE DISEASE, SKIN BIOLOGY

2051
01:26:17,760 --> 01:26:20,280
AND DISEASE. BONE BIOLOGY AN

2052
01:26:20,280 --> 01:26:22,720
DISEASES, MUSCLE BIOLOGY AN

2053
01:26:22,720 --> 01:26:25,920
DISEASE, AND JOINT BIOLOGY

2054
01:26:25,920 --> 01:26:26,600
DISEASES AND ORTHOPEDICS

2055
01:26:26,600 --> 01:26:29,200
RESEARCH. SO THE PLAN INCLUDES

2056
01:26:29,200 --> 01:26:31,120
DEDICATED SECTION FOR EACH AREAS

2057
01:26:31,120 --> 01:26:33,920
INCLUDING SOME BROAD RESEARCH

2058
01:26:33,920 --> 01:26:36,440
DIRECTIONS. IMPORTANTLY THOUGH

2059
01:26:36,440 --> 01:26:38,840
ARTHRITIS AND MUSCULOSKELETAL

2060
01:26:38,840 --> 01:26:40,680
SKIN CONDITIONS AFFECT PEOPLE

2061
01:26:40,680 --> 01:26:43,120
AWFUL AGES RACIAL AND ETHNIC

2062
01:26:43,120 --> 01:26:44,280
BACKGROUNDS, INFECT TENS OF

2063
01:26:44,280 --> 01:26:46,040
MILLIONS OF AMERICANS THEY CAUSE

2064
01:26:46,040 --> 01:26:46,960
TREMENDOUS SUFFERING AND THEY

2065
01:26:46,960 --> 01:26:49,080
HAVE A MAJOR IMPACT OF U.S.

2066
01:26:49,080 --> 01:26:51,280
ECONOMY DUE TO HEALTHCARE COSTS

2067
01:26:51,280 --> 01:26:54,840
AND LOST PRODUCTIVITY. ALSO MOST

2068
01:26:54,840 --> 01:26:56,800
OF THESE ARE KRONIG, MANY ARE

2069
01:26:56,800 --> 01:27:01,080
ASSOCIATED WITH CHRONIC PAIN AN

2070
01:27:01,080 --> 01:27:02,960
DISABILITY MANY COMMON AND RARE

2071
01:27:02,960 --> 01:27:05,080
AFFECT WOMEN AND MINORITY, BOTH

2072
01:27:05,080 --> 01:27:06,560
TERMS OF RISK OF DISEASE AS WELL

2073
01:27:06,560 --> 01:27:13,640
AS DISEASE SEVERITY.  SO THE

2074
01:27:13,640 --> 01:27:16,640
CURRENT STRATEGIC PLAN ALSO

2075
01:27:16,640 --> 01:27:17,360
HIGHLIGHTS SEVERAL SCIENTIFIC

2076
01:27:17,360 --> 01:27:19,080
THEMES THAT CUT ACROSS THE FIVE

2077
01:27:19,080 --> 01:27:21,520
DISEASE AREAS.  THESE ARE LISTED

2078
01:27:21,520 --> 01:27:22,840
ON THE SLIDE INCLUDING NEW

2079
01:27:22,840 --> 01:27:25,560
TECHNOLOGIES TO IDENTIFY SHARED

2080
01:27:25,560 --> 01:27:28,000
MECHANISMS OF HEALTH AMONG

2081
01:27:28,000 --> 01:27:29,600
DISEASE, ADVANCING PATIENT

2082
01:27:29,600 --> 01:27:32,800
CENTERED APPROACHES, ENABLING

2083
01:27:32,800 --> 01:27:34,320
PRECISION MEDICINE TO TAILOR

2084
01:27:34,320 --> 01:27:37,040
CARE FOR EACH PATIENT. AND

2085
01:27:37,040 --> 01:27:38,200
ADDRESSING THE HEALTH NEEDS OF

2086
01:27:38,200 --> 01:27:40,000
DIVERSE POPULATIONS.  THESE

2087
01:27:40,000 --> 01:27:41,920
CROSS CUTTING THEMES EMERGE FROM

2088
01:27:41,920 --> 01:27:43,200
THE NIAMS LISTENING SESSION THAT

2089
01:27:43,200 --> 01:27:45,160
WE HELD WITH THOUGHT LEADERS OF

2090
01:27:45,160 --> 01:27:46,480
EACH -- IN EACH FIVE DISEASE

2091
01:27:46,480 --> 01:27:49,720
AREAS.  IT WAS REALLY CLEAR FROM

2092
01:27:49,720 --> 01:27:51,840
THE LISTENING SESSIONS AND AS

2093
01:27:51,840 --> 01:27:53,040
REFLECTED IN OUR STRATEGIC PLAN

2094
01:27:53,040 --> 01:27:55,520
OUR COMMUNITY CLEARLY RECOGNIZES

2095
01:27:55,520 --> 01:27:56,560
THAT NIAMS FUNDED RESEARCH MUST

2096
01:27:56,560 --> 01:27:58,160
BE APPLICABLE TO HEALTH AND

2097
01:27:58,160 --> 01:27:59,280
DISEASE AND DIVERSE POPULATIONS

2098
01:27:59,280 --> 01:28:00,880
TO ACHIEVE THE GOAL IN IMPROVING

2099
01:28:00,880 --> 01:28:09,560
HEALTH OF ALL AMERICANS. IN THIS

2100
01:28:09,560 --> 01:28:14,280
NEXT SECTION I WILL HIGHLIGHT

2101
01:28:14,280 --> 01:28:15,800
DISPROPORTIONAL IMPACTS ON

2102
01:28:15,800 --> 01:28:16,760
UNDER-REPRESENTED MINORITY

2103
01:28:16,760 --> 01:28:18,880
POPULATIONS.  I WILL START WITH

2104
01:28:18,880 --> 01:28:19,840
OSTEOARTHRITIS, THE MOST COMMON

2105
01:28:19,840 --> 01:28:21,920
TYPE OF ARTHRITIS AND LEADING

2106
01:28:21,920 --> 01:28:24,440
CAUSE OF DISABILITY IN THE U.S.

2107
01:28:24,440 --> 01:28:26,960
AND WORLD WIDE.  THE

2108
01:28:26,960 --> 01:28:29,080
OSTEOARTHRITIS INSTITUTE OR OAI

2109
01:28:29,080 --> 01:28:33,200
ALSO IS AN EXAMPLE OF NIAMS

2110
01:28:33,200 --> 01:28:35,840
PARTNERING WITH NIMHD. NIMHD HAS

2111
01:28:35,840 --> 01:28:37,640
SPONSORED THIS EFFORT SINCE THE

2112
01:28:37,640 --> 01:28:39,960
BEGINNING OF 2001 AND CONTINUES

2113
01:28:39,960 --> 01:28:41,560
THROUGH EIGHT YEARS FOLLOWING.

2114
01:28:41,560 --> 01:28:43,960
IT IS AN EXTRAORDINARY EFFORT

2115
01:28:43,960 --> 01:28:46,800
WITH ALMOST 4800 PARTICIPANTS

2116
01:28:46,800 --> 01:28:49,640
WHO ARE BETWEEN AGE 45 AND 79,

2117
01:28:49,640 --> 01:28:51,200
ONE OF THE LARGEST MOST

2118
01:28:51,200 --> 01:28:53,600
IMPORTANT DATA SETS IN THE

2119
01:28:53,600 --> 01:28:56,040
HISTORY OF RESEARCH, INCLUDES

2120
01:28:56,040 --> 01:28:57,160
CLINICAL GENOMIC PATIENT

2121
01:28:57,160 --> 01:28:59,520
REPORTED AND FUNCTIONAL DATA AS

2122
01:28:59,520 --> 01:29:02,800
WELL AS BIOLOGICAL SPECIMENS AND

2123
01:29:02,800 --> 01:29:05,880
X-RAY AND IMAGING DATA. THE DATA

2124
01:29:05,880 --> 01:29:09,320
ARE FREELY AVAILABLE AT

2125
01:29:09,320 --> 01:29:10,760
OAI.NIH.GOV TO SUPPORT STUDIES

2126
01:29:10,760 --> 01:29:12,640
OF NATURAL HISTORY, BIOMARKERS

2127
01:29:12,640 --> 01:29:15,360
AND RISK FACTORS FOR OA RISK AS

2128
01:29:15,360 --> 01:29:17,320
WELL AS PROGRESSION.  IT IS ALSO

2129
01:29:17,320 --> 01:29:19,600
A NICE RESOURCE FOR

2130
01:29:19,600 --> 01:29:20,880
INVESTIGATORS WITH COMPUTATIONAL

2131
01:29:20,880 --> 01:29:22,880
AND MACHINE LEARNING EXPERTISE

2132
01:29:22,880 --> 01:29:24,800
TO APPLY THOSE BIG DATA METHODS

2133
01:29:24,800 --> 01:29:29,400
TO SOME OF THESE PROBLEMS.  ALSO

2134
01:29:29,400 --> 01:29:31,360
HIGHLY PRODUCTIVE WITH 680 PEER

2135
01:29:31,360 --> 01:29:33,080
REVIEWED PAPERS USING THE

2136
01:29:33,080 --> 01:29:38,400
RESOURCES FROM THIS INITIATIVE. 

2137
01:29:38,400 --> 01:29:41,080
HEALTH DISPARITIES INST OWE

2138
01:29:41,080 --> 01:29:42,080
ARTHRITIS TREATMENT OUTCOMES AND

2139
01:29:42,080 --> 01:29:44,080
ACCESS TO CARE ARE WELL

2140
01:29:44,080 --> 01:29:45,360
DOCUMENTED. COUPLE OF EXAMPLES

2141
01:29:45,360 --> 01:29:48,600
ON THIS SLIDE, AFRICAN AMERICANS

2142
01:29:48,600 --> 01:29:50,360
WHO UNDERGO TOTAL KNEE

2143
01:29:50,360 --> 01:29:52,280
REPLACEMENT FOR VEER OA ARE TWO

2144
01:29:52,280 --> 01:29:54,600
AND A HALF TO FIVE TIMES MORE

2145
01:29:54,600 --> 01:29:55,800
LIKELY THAN WHITES TO BE

2146
01:29:55,800 --> 01:29:57,680
DISCHARGED TO IN PATIENT

2147
01:29:57,680 --> 01:29:58,840
REHABILITATION FACILITY OR

2148
01:29:58,840 --> 01:30:00,400
SKILLED NURSING FACILITY RATHER

2149
01:30:00,400 --> 01:30:02,640
THAN TO HOME HEALTHCARE OR HOME

2150
01:30:02,640 --> 01:30:07,040
SELF CARE.  ANOTHER STUDY

2151
01:30:07,040 --> 01:30:08,080
DEMONSTRATED AFRICAN AMERICANS

2152
01:30:08,080 --> 01:30:09,880
WERE MORE LIKELY TO DELAY TOTAL

2153
01:30:09,880 --> 01:30:12,400
KNEE REPLACEMENT AND THUS ENTER

2154
01:30:12,400 --> 01:30:14,080
SURGERY WITH MORE SEVERE DISEASE

2155
01:30:14,080 --> 01:30:16,360
COMPARED TO WHITE PATIENTS.  AS

2156
01:30:16,360 --> 01:30:19,240
RESULT OF SOME OF THESE CONCERNS

2157
01:30:19,240 --> 01:30:21,200
NIAMS NIA AND NIMHD WILL BE

2158
01:30:21,200 --> 01:30:23,120
HOSTING A VIRTUAL TWO DAY

2159
01:30:23,120 --> 01:30:26,480
WORKSHOP TO BETTER UNDERSTAND OA

2160
01:30:26,480 --> 01:30:27,960
HEALTH DISPARITIES, HOW AND WHY

2161
01:30:27,960 --> 01:30:30,760
THEY DEVELOP AND HOW THEY CAN BE

2162
01:30:30,760 --> 01:30:32,120
ADDRESSED AND THE OVERALL GOAL

2163
01:30:32,120 --> 01:30:34,640
TO IDENTIFY RESEARCH GAPS AND

2164
01:30:34,640 --> 01:30:35,320
NEEDS THAT COULD BE ADDRESSED IN

2165
01:30:35,320 --> 01:30:37,480
FUTURE ACTIVITIES BY BRINGING

2166
01:30:37,480 --> 01:30:38,840
TOGETHER OSTEOARTHRITIS

2167
01:30:38,840 --> 01:30:40,240
INVESTIGATORS WITH OTHERS WHO

2168
01:30:40,240 --> 01:30:42,760
ARE HEALTH DISPARITIES RESEARCH

2169
01:30:42,760 --> 01:30:45,000
EXPERTISE. LISTED ON THIS SLIDE

2170
01:30:45,000 --> 01:30:46,840
IS DATE THE REGISTRATION OPENS

2171
01:30:46,840 --> 01:30:48,280
AND HOPE TO ENCOURAGE YOUR

2172
01:30:48,280 --> 01:30:55,120
COMMUNITY TO PARTICIPATE.  NIMHD

2173
01:30:55,120 --> 01:30:57,160
PARTNERED WITH NIAMS NIA AND THE

2174
01:30:57,160 --> 01:31:00,040
NIH OFFICE OF DISEASE PREVENTION

2175
01:31:00,040 --> 01:31:02,600
ON THE 2018 PATHWAYS TO

2176
01:31:02,600 --> 01:31:04,000
PREVENTION WORKSHOP ON THE

2177
01:31:04,000 --> 01:31:05,800
APPROPRIATE USE OF DRUG

2178
01:31:05,800 --> 01:31:08,640
THERAPIES FOR OSTEO PRODUCT

2179
01:31:08,640 --> 01:31:11,080
PLAQUE PREVENTION. A COMMON

2180
01:31:11,080 --> 01:31:12,320
MISPERCEPTION THAT IT IS

2181
01:31:12,320 --> 01:31:14,280
EXCLUSIVELY ELDERLY FRAIL WHITE

2182
01:31:14,280 --> 01:31:16,040
WOMEN, WHO ARE AT RISK FOR

2183
01:31:16,040 --> 01:31:20,680
OSTEOPOROSIS.  CLEAR EVIDENCE

2184
01:31:20,680 --> 01:31:22,480
INDICATES WOMEN OF OTHER RACES

2185
01:31:22,480 --> 01:31:24,560
AN MEN ARE AFFECTED BY

2186
01:31:24,560 --> 01:31:26,120
OSTEOPOROSIS. THERE ARE ALREADY

2187
01:31:26,120 --> 01:31:28,120
WELL DOCUMENTED DISPARITIES IN

2188
01:31:28,120 --> 01:31:29,800
SCREENING DIAGNOSIS AND

2189
01:31:29,800 --> 01:31:31,600
TREATMENT OF OSTEOPOROSIS. ONCE

2190
01:31:31,600 --> 01:31:32,720
AGAIN I HUE I LIGHT AD FEW

2191
01:31:32,720 --> 01:31:35,400
STUDIES ON THIS SLIDE

2192
01:31:35,400 --> 01:31:38,080
INSHREWDING A 2020 STUDY USING

2193
01:31:38,080 --> 01:31:39,400
MEDICARE DATA THAT SHOW IN THE

2194
01:31:39,400 --> 01:31:42,000
YEAR FOLLOWING AN OSTEOPOROSIS

2195
01:31:42,000 --> 01:31:47,280
RELATED FERTILITY FRACTURE POST

2196
01:31:47,280 --> 01:31:48,320
MENOPAUSAL BLACK WOMEN WERE MORE

2197
01:31:48,320 --> 01:31:49,880
LIKELY TO DIE, PLACED IN LONG

2198
01:31:49,880 --> 01:31:51,400
TERM NURSING FACILITY OR BECOME

2199
01:31:51,400 --> 01:31:53,280
NEWLY ELIGIBLE FOR MEDICAID

2200
01:31:53,280 --> 01:31:56,600
COMPARED TO WHITE PATIENTS.  IN

2201
01:31:56,600 --> 01:31:58,560
ANOTHER STUDY AFRICAN AMERICAN

2202
01:31:58,560 --> 01:32:00,560
WOMEN OVER AGE 65 HAD LESS

2203
01:32:00,560 --> 01:32:02,200
KNOWLEDGE OF OSTEOPOROSIS THAN

2204
01:32:02,200 --> 01:32:03,360
WHITE AND DEEMED A LOWER

2205
01:32:03,360 --> 01:32:04,920
PRIORITY RELATIVE TO THEIR OTHER

2206
01:32:04,920 --> 01:32:09,080
HEALTH PROBLEMS.  FURTHER, MOST

2207
01:32:09,080 --> 01:32:10,800
GENETIC STUDIES OF OSTEOPOROSIS

2208
01:32:10,800 --> 01:32:13,040
HAVE FOCUSED ON POPULATIONS OF

2209
01:32:13,040 --> 01:32:15,680
EUROPEAN DESCENT. THERE WAS A

2210
01:32:15,680 --> 01:32:17,600
LARGE META ANALYSIS THAT

2211
01:32:17,600 --> 01:32:18,960
EXAMINED SIX INDEPENDENT

2212
01:32:18,960 --> 01:32:20,560
POPULATION OF AFRICAN DESCENT,

2213
01:32:20,560 --> 01:32:24,800
THEY FOUND OF THOSE 56

2214
01:32:24,800 --> 01:32:26,080
ASSOCIATED GENETIC MARKERS

2215
01:32:26,080 --> 01:32:29,880
IDENTIFIED IN EUROPEANS ONLY 3

2216
01:32:29,880 --> 01:32:31,680
WERE PRESENT IN THESE STUDY

2217
01:32:31,680 --> 01:32:33,320
POPULATIONS OF AFRICAN ANCESTRY

2218
01:32:33,320 --> 01:32:35,960
AND IDENTIFIED SOME NOVEL

2219
01:32:35,960 --> 01:32:39,360
GENETIC PARKER IN THE AFRICAN

2220
01:32:39,360 --> 01:32:41,640
AMERICAN ANCESTRY POPULATIONS SO

2221
01:32:41,640 --> 01:32:43,200
HOPEFULLY THESE RESEARCH

2222
01:32:43,200 --> 01:32:44,360
FINDINGS INDICATE SOME GENETIC

2223
01:32:44,360 --> 01:32:45,800
DIFFERENCES THAT MAY IMPACT

2224
01:32:45,800 --> 01:32:47,720
FUTURE DEVELOPMENT OF TARGETED

2225
01:32:47,720 --> 01:32:49,480
THERAPIES, OR BE INFORMATIVE FOR

2226
01:32:49,480 --> 01:32:55,880
RISK PREDICTION. AS ELISEO

2227
01:32:55,880 --> 01:32:58,480
MENTIONED LUPUS PREDOMINANTLY

2228
01:32:58,480 --> 01:33:00,920
AFFECTS WOMEN AND IN PARTICULAR

2229
01:33:00,920 --> 01:33:04,320
WOMEN FROM NON-EUROPEAN ANCESTRY

2230
01:33:04,320 --> 01:33:06,120
POPULATIONS, STRIKING

2231
01:33:06,120 --> 01:33:08,120
DISPROPORTIONATE IMPACT IN THESE

2232
01:33:08,120 --> 01:33:10,440
POPULATIONS.  OF A DNA AMERICANS

2233
01:33:10,440 --> 01:33:12,440
AND HISPANICS DEVELOP AT YOUNGER

2234
01:33:12,440 --> 01:33:13,520
AGE AND HAVE MORE SEVERE

2235
01:33:13,520 --> 01:33:15,320
DISEASE.  I HIGHLIGHTED A COUPLE

2236
01:33:15,320 --> 01:33:16,800
OF RESEARCH FINDINGS HERE ON THE

2237
01:33:16,800 --> 01:33:21,000
RIGHT SIDE OF THE SLIDE BY

2238
01:33:21,000 --> 01:33:21,840
(INDISCERNIBLE) A PIONEER IN

2239
01:33:21,840 --> 01:33:23,800
THIS AREA, SHE HAPPENS TO BE

2240
01:33:23,800 --> 01:33:27,560
FROM UCSF. SHE HAS SHOWN THAT

2241
01:33:27,560 --> 01:33:30,160
RACIAL ETHNIC MINORITIES AND

2242
01:33:30,160 --> 01:33:31,240
INDIVIDUALS FROM LOW

2243
01:33:31,240 --> 01:33:32,560
SOCIOECONOMIC STATUS BACKGROUNDS

2244
01:33:32,560 --> 01:33:34,280
ARE MUCH HIGHER RISK FOR POOR

2245
01:33:34,280 --> 01:33:36,480
ACCESS TO SPECIALTY CARE AND

2246
01:33:36,480 --> 01:33:37,320
EXPERIENCE LOWER QUALITY OF

2247
01:33:37,320 --> 01:33:40,960
CARE.  ALSO IN RECENT

2248
01:33:40,960 --> 01:33:46,920
PUBLICATION FROM JUST THIS YEAR,

2249
01:33:46,920 --> 01:33:49,480
HISPANIC AND ASIAN PATIENTS HAVE

2250
01:33:49,480 --> 01:33:51,720
HIGHER INCIDENTS OF RENAL,

2251
01:33:51,720 --> 01:33:53,880
HEMOTHE LOGIC AND ORGAN DISEASE.

2252
01:33:53,880 --> 01:33:57,840
ONE OF OUR FEW P 30 CLINICAL

2253
01:33:57,840 --> 01:34:00,240
RESEARCH CENTERS LED BY GARY

2254
01:34:00,240 --> 01:34:03,840
(INAUDIBLE) AT MEDICAL

2255
01:34:03,840 --> 01:34:06,720
UNIVERSITY OF SOUTH CAROLINA

2256
01:34:06,720 --> 01:34:08,720
FOCUSES ON LUPUS AND SCLERODERMA

2257
01:34:08,720 --> 01:34:14,560
PATIENTS.  I ALSO WANT TO LIGHT

2258
01:34:14,560 --> 01:34:15,400
INTRAMURAL RESEARCH PROGRAMS

2259
01:34:15,400 --> 01:34:18,160
THAT FOCUS ON SCLERODERMA AND IN

2260
01:34:18,160 --> 01:34:20,480
FACT SPECIFICALLY AFRICAN

2261
01:34:20,480 --> 01:34:21,880
AMERICAN SCLERODERMA PATIENTS. 

2262
01:34:21,880 --> 01:34:23,960
RESEARCH IS LED BY DR.

2263
01:34:23,960 --> 01:34:25,400
(INAUDIBLE) WHO DEVELOPED

2264
01:34:25,400 --> 01:34:26,440
RESEARCH PROGRAM WITH STRONG

2265
01:34:26,440 --> 01:34:30,200
SUPPORT OF HIS MENTOR DAN

2266
01:34:30,200 --> 01:34:32,400
KASLER, A VERY WIDELY RECOGNIZED

2267
01:34:32,400 --> 01:34:34,360
AND PRODUCTIVE SCIENTIST AT THE

2268
01:34:34,360 --> 01:34:36,520
NIH AND WAS THE DIRECTOR OF THE

2269
01:34:36,520 --> 01:34:38,440
SCIENTIFIC DIRECTOR OF NHGRI

2270
01:34:38,440 --> 01:34:39,480
UNTIL HE STEPPED DOWN THIS PAST

2271
01:34:39,480 --> 01:34:43,080
YEAR.  BECAUSE OF THE VERY

2272
01:34:43,080 --> 01:34:45,120
IMPORTANT IMPACT OF SCLERODERMA

2273
01:34:45,120 --> 01:34:47,200
ON AFRICAN AMERICANS THEY

2274
01:34:47,200 --> 01:34:48,800
DEVELOPED AN IMPORTANT RESEARCH

2275
01:34:48,800 --> 01:34:51,640
RESOURCE FOR GENETICS STUDIES OF

2276
01:34:51,640 --> 01:34:54,920
AFRICAN AMERICANS CALLED GRASP,

2277
01:34:54,920 --> 01:34:56,000
ON THE RIGHT HAND SIDE OF THE

2278
01:34:56,000 --> 01:34:58,520
SLIDE THAT INCLUDES 25 CENTERS

2279
01:34:58,520 --> 01:35:00,360
AROUND THE UNITED STATES

2280
01:35:00,360 --> 01:35:02,840
EXPLORING ANCESTOR SPECIFIC

2281
01:35:02,840 --> 01:35:04,800
GENETIC VARIANTS THAT CONTRIBUTE

2282
01:35:04,800 --> 01:35:06,320
NOT ONLY TO INCREASE RISK IN

2283
01:35:06,320 --> 01:35:07,280
THESE POPULATIONS BUT ALSO TO

2284
01:35:07,280 --> 01:35:14,560
MORE SEVERE DISEASE OUTCOMES.  

2285
01:35:14,560 --> 01:35:16,920
ATOPIC DERMATITIS, ALSO KNOWN AS

2286
01:35:16,920 --> 01:35:19,240
ECZEMA USUALLY BEGINS IN

2287
01:35:19,240 --> 01:35:21,360
CHILDHOOD, MORE COMMON IN BLACK

2288
01:35:21,360 --> 01:35:22,360
CHILDREN. FURTHER THE RASH IS

2289
01:35:22,360 --> 01:35:26,520
MORE LIKELY TO BE RAISED AND IN

2290
01:35:26,520 --> 01:35:28,840
TO FALL IN EFFECTED AREAS AROUND

2291
01:35:28,840 --> 01:35:30,320
THE JOINTS IN BLACKS THAN

2292
01:35:30,320 --> 01:35:33,600
WHITES.  RECENT VERGE GIVES

2293
01:35:33,600 --> 01:35:35,960
CLUES TO MECHANISTIC DIFFERENCES

2294
01:35:35,960 --> 01:35:37,560
BETWEEN POPULATION GROUPS THAT

2295
01:35:37,560 --> 01:35:38,320
EXPLAIN DIFFERENCES IN MANY

2296
01:35:38,320 --> 01:35:42,400
PREVALENCE.  ALSO LISTED HERE

2297
01:35:42,400 --> 01:35:43,840
ARE SOME OF THE MANY STUDIES

2298
01:35:43,840 --> 01:35:46,400
NIAMS SUPPORTS RELATED TO ATOPIC

2299
01:35:46,400 --> 01:35:49,840
DERMATITIS INCLUDING COUPLE THAT

2300
01:35:49,840 --> 01:35:51,360
FOCUS ON SOME OF THE HEALTH

2301
01:35:51,360 --> 01:35:52,000
DISPARITIES WITHIN THIS

2302
01:35:52,000 --> 01:36:01,760
CONDITION. (INAUDIBLE) IS THE

2303
01:36:01,760 --> 01:36:04,000
LOSS OF NATURAL COLOR OR PIG.

2304
01:36:04,000 --> 01:36:05,000
WHICH MAKES THE DISEASE MORE

2305
01:36:05,000 --> 01:36:07,840
APPARENT ON DARKER SKIN. 

2306
01:36:07,840 --> 01:36:09,120
CURRENTLY THE CONDITION IS TREAT

2307
01:36:09,120 --> 01:36:13,280
WITH BLEW CO-CORTICOIDS, BROAD

2308
01:36:13,280 --> 01:36:15,760
RANGE IMMUNOSUPPRESSANTS AND

2309
01:36:15,760 --> 01:36:17,440
PHOTOTHERAPY WITH INADEQUATE

2310
01:36:17,440 --> 01:36:21,120
RESULTSES AND LONG TERM TOXICITY

2311
01:36:21,120 --> 01:36:22,320
SO THERE INTEREST IN TRYING TO

2312
01:36:22,320 --> 01:36:23,160
UNDERSTAND BETTER THE

2313
01:36:23,160 --> 01:36:24,120
MECHANISTIC UNDERPINNINGS OF THE

2314
01:36:24,120 --> 01:36:26,080
DISEASE SO TARGETED THERAPIES

2315
01:36:26,080 --> 01:36:28,360
CAN BE DEVELOPED. OF PARTICULAR

2316
01:36:28,360 --> 01:36:31,560
INTEREST IS RECENT WORK IN AN

2317
01:36:31,560 --> 01:36:34,080
ANIMAL MODEL THAT SHOWS SKIN

2318
01:36:34,080 --> 01:36:36,000
RESIDENT MEMORY T-CELLS AS WELL

2319
01:36:36,000 --> 01:36:39,600
AS CIRCULATING T-CELLS COOPERATE

2320
01:36:39,600 --> 01:36:40,760
TO ESTABLISH LESIONS IN THE

2321
01:36:40,760 --> 01:36:43,400
SKIN. SO OUR HOPE IS THIS WORK

2322
01:36:43,400 --> 01:36:44,920
WILL CONTINUE IN TRANSLATIONAL

2323
01:36:44,920 --> 01:36:52,720
STUDIES IN HUMAN SKIN SAMPLES.  

2324
01:36:52,720 --> 01:36:55,480
NIAMS IS PARTNERING WITH NIMHD

2325
01:36:55,480 --> 01:36:56,440
AND OTHER INSTITUTES AN CENTERS

2326
01:36:56,440 --> 01:36:58,400
ON A FUNDING DONE ANNOUNCEMENT

2327
01:36:58,400 --> 01:36:59,760
TO SUPPORT INNOVATIVE

2328
01:36:59,760 --> 01:37:00,920
COLLABORATIVE AND

2329
01:37:00,920 --> 01:37:03,160
MULTI-DISCIPLINARY RESEARCH THAT

2330
01:37:03,160 --> 01:37:05,600
IS DESIGNED TO STUDY EFFECTIVE

2331
01:37:05,600 --> 01:37:07,800
ADAPTATION INTEGRATION AND

2332
01:37:07,800 --> 01:37:09,000
IMPLEMENTATION OF RECOMMENDED

2333
01:37:09,000 --> 01:37:10,720
GUIDELINES FOR CARE OF PERSONS

2334
01:37:10,720 --> 01:37:12,600
WITH MULTIPLE CHRONIC CONDITIONS

2335
01:37:12,600 --> 01:37:13,960
FROM POPULATIONS THAT EXPERIENCE

2336
01:37:13,960 --> 01:37:16,560
HEALTH DISPARITIES.  I HAVE

2337
01:37:16,560 --> 01:37:18,080
LISTED THE NIAMS FOCUS AREAS ON

2338
01:37:18,080 --> 01:37:20,240
THE BOTTOM OF THE SLIDE BUT AS

2339
01:37:20,240 --> 01:37:22,280
YOU CAN SEE THEY INCLUDE THE

2340
01:37:22,280 --> 01:37:23,720
SPAN OF CONDITIONS WITHIN THE

2341
01:37:23,720 --> 01:37:29,520
NIAMS PORTFOLIO. WE ALSO

2342
01:37:29,520 --> 01:37:31,680
PARTICIPATE IN A NUMBER OF

2343
01:37:31,680 --> 01:37:33,520
TRANS-NIH ACTIVITIES RELATED TO

2344
01:37:33,520 --> 01:37:36,320
DEVELOPING A MORE BALANCED AND

2345
01:37:36,320 --> 01:37:37,840
EQUITABLE WORK FORCE. I ASSUME

2346
01:37:37,840 --> 01:37:39,600
YOU ARE FAMILIAR WITH THE

2347
01:37:39,600 --> 01:37:40,960
CORNERSTONE OF THESE ACTIVITIES

2348
01:37:40,960 --> 01:37:43,400
WITHIN THE NIH WHICH IS UNITE

2349
01:37:43,400 --> 01:37:45,920
INITIATIVE WHICH INCLUDES FIVE

2350
01:37:45,920 --> 01:37:47,560
DISTINCT COMMITTEES THAT TACKLE

2351
01:37:47,560 --> 01:37:49,560
DIFFERENT ASPECT OF THIS REALLY

2352
01:37:49,560 --> 01:37:54,240
COMPLEX CHALLENGING ISSUE. I

2353
01:37:54,240 --> 01:37:56,440
ALSO WANT TO HIGHLIGHT SOME OF

2354
01:37:56,440 --> 01:37:58,840
THE NIAMS EFFORTS IN THIS AREA,

2355
01:37:58,840 --> 01:38:00,920
THESE WERE DEVELOPED BEFORE I

2356
01:38:00,920 --> 01:38:02,280
ARRIVED BUT I FEEL PROUD OUR

2357
01:38:02,280 --> 01:38:03,720
INSTITUTE HAS BEEN SO ACTIVE IN

2358
01:38:03,720 --> 01:38:05,840
THIS AREA. AS I HAVE ALREADY

2359
01:38:05,840 --> 01:38:07,360
MENTIONED OUR CURRENT STRATEGIC

2360
01:38:07,360 --> 01:38:10,520
PLAN RECOGNIZES THAT MANY

2361
01:38:10,520 --> 01:38:12,080
CONDITIONS WITHIN OUR MISSION

2362
01:38:12,080 --> 01:38:12,920
DISPROPORTIONATELY AFFECT PEOPLE

2363
01:38:12,920 --> 01:38:16,320
IN UNDERSERVED DEMOGRAPHIC

2364
01:38:16,320 --> 01:38:17,880
GROUPS. SEVERAL YEARS AGO WE

2365
01:38:17,880 --> 01:38:20,080
CREATED THE NIAMS CULTURE

2366
01:38:20,080 --> 01:38:22,200
COMMITTEE TO PROMOTE AN

2367
01:38:22,200 --> 01:38:23,040
ORGANIZATIONAL CLIMATE

2368
01:38:23,040 --> 01:38:25,400
CHARACTERIZED BY INCLUSIVITY,

2369
01:38:25,400 --> 01:38:27,480
CIVILITY AND DIVERSITY. AND THIS

2370
01:38:27,480 --> 01:38:29,880
GROUP ALSO ADVISES INSTITUTE

2371
01:38:29,880 --> 01:38:31,120
LEADERSHIP ON RECRUITING

2372
01:38:31,120 --> 01:38:32,320
RETAINING AND PROET NOING

2373
01:38:32,320 --> 01:38:34,360
EMPLOYEES FROM UNDER-REPRESENTED

2374
01:38:34,360 --> 01:38:36,360
BACKGROUNDS. WE HAVE A NUMBER OF

2375
01:38:36,360 --> 01:38:37,360
OTHER ACTIVITIES WITHIN OUR

2376
01:38:37,360 --> 01:38:39,160
INTRAMURAL AND EXTRAMURAL

2377
01:38:39,160 --> 01:38:40,320
ACTIVITIES AND HIGHLIGHT A

2378
01:38:40,320 --> 01:38:41,360
COUPLE OF THOSE ON THE NEXT FEW

2379
01:38:41,360 --> 01:38:47,120
SLIDES.  OUR INTRAMURAL RESEARCH

2380
01:38:47,120 --> 01:38:49,600
PROGRAM CAREER DEVELOPMENT

2381
01:38:49,600 --> 01:38:50,840
OUTREACH BRANCH HAS BEEN VERY

2382
01:38:50,840 --> 01:38:52,880
ACTIVE IN DEVELOPING AND

2383
01:38:52,880 --> 01:38:54,440
IMPLEMENTING PROGRAMS TO ENHANCE

2384
01:38:54,440 --> 01:38:56,720
DIVERSITY IN THE NIAMS WORK

2385
01:38:56,720 --> 01:38:58,280
FORCE AND TO ADDRESS STRUCTURAL

2386
01:38:58,280 --> 01:39:01,360
RACISM IN BIOMEDICAL SCIENCE.

2387
01:39:01,360 --> 01:39:02,560
DURING THE PAST YEAR IN RESPONSE

2388
01:39:02,560 --> 01:39:05,880
TO THE COVID-19 PANDEMIC WHEN IT

2389
01:39:05,880 --> 01:39:07,880
BECAME IMPOSSIBLE TO HOST

2390
01:39:07,880 --> 01:39:08,680
UNDERGRADUATE STUDENTS WITHIN

2391
01:39:08,680 --> 01:39:09,640
OUR LABORATORIES THE BRANCH

2392
01:39:09,640 --> 01:39:12,720
DEVELOPED HIGHLIGHTED PILOTED

2393
01:39:12,720 --> 01:39:15,920
INTRAMURAL VIRTUAL TRAINING AND

2394
01:39:15,920 --> 01:39:18,080
RESEARCH CALLED IN VITRO. THIS

2395
01:39:18,080 --> 01:39:20,800
WAS A HIGHLY COMPETITIVE PROGRAM

2396
01:39:20,800 --> 01:39:22,960
INVOLVING APPLICANTS FROM AROUND

2397
01:39:22,960 --> 01:39:26,720
THE COUNTRY AND PUERTO RICO AND

2398
01:39:26,720 --> 01:39:28,040
SUCCESSFUL CANDIDATES

2399
01:39:28,040 --> 01:39:29,200
PARTICIPATED IN EIGHT WEEK

2400
01:39:29,200 --> 01:39:32,040
VIRTUAL ONLINE INTERACTIVE

2401
01:39:32,040 --> 01:39:33,840
PLATFORPLATFORM.  OF PROFESSIONL

2402
01:39:33,840 --> 01:39:36,000
CAREER DEVELOPMENT AND TRAINING

2403
01:39:36,000 --> 01:39:37,240
OPPORTUNITIES, IT WAS SUCCESSFUL

2404
01:39:37,240 --> 01:39:41,840
AND APPRECIATED. WE HAVE ALSO

2405
01:39:41,840 --> 01:39:45,200
POSTED SERIES OF VIDEOS ON NIAMS

2406
01:39:45,200 --> 01:39:46,520
YOUTUBE CHANNEL THAT HIGHLIGHTS

2407
01:39:46,520 --> 01:39:47,680
DIVERSITY AND INCLUSION WITHIN

2408
01:39:47,680 --> 01:39:50,120
OUR NIAMS RESEARCH WORK FORCE. 

2409
01:39:50,120 --> 01:39:53,760
COUPLE LISTED HERE ARE FROM

2410
01:39:53,760 --> 01:39:56,000
(INAUDIBLE) CHIEF OF THE

2411
01:39:56,000 --> 01:39:57,720
SYSTEMIC BRANCH AND NATASHA HILL

2412
01:39:57,720 --> 01:39:59,720
ONE UNDERPEN DEN RESEARCH

2413
01:39:59,720 --> 01:40:04,760
SCHOLARS WITHIN THE NIAMS IRP. 

2414
01:40:04,760 --> 01:40:07,840
ON THE EXTRAMURAL SIDE NIAMS

2415
01:40:07,840 --> 01:40:10,880
SUPPORTS THE NIH ADMINISTRATIVE

2416
01:40:10,880 --> 01:40:12,280
SUPPLEMENTS PROGRAM, TO ENHANCE

2417
01:40:12,280 --> 01:40:13,880
DIVERSITY OF THE RESEARCH WORK

2418
01:40:13,880 --> 01:40:15,560
FORCE AT THE STUDENT POST DOC

2419
01:40:15,560 --> 01:40:19,000
AND JUNIOR INVESTIGATOR LEVELS.

2420
01:40:19,000 --> 01:40:20,240
WE HAVE BEEN STRONGLY SUPPORTIVE

2421
01:40:20,240 --> 01:40:22,520
OF THIS PROGRAM FOR MANY, MANY

2422
01:40:22,520 --> 01:40:24,920
YEARS, WIKI PENDING UPON CAREER

2423
01:40:24,920 --> 01:40:26,920
LEVEL CAN PROVIDE DIRECT COST

2424
01:40:26,920 --> 01:40:31,400
FROM 5,000 TO $100,000. AND

2425
01:40:31,400 --> 01:40:34,000
RELATED TO THIS PROGRAM IN 2021

2426
01:40:34,000 --> 01:40:35,840
WE LAUNCHED A NEW PROGRAM

2427
01:40:35,840 --> 01:40:37,840
CALLING THE NIAMS DIVERSITY

2428
01:40:37,840 --> 01:40:39,400
SCHOLARS PROGRAM IN WHICH WE

2429
01:40:39,400 --> 01:40:41,520
ESTABLISH COHORT OF SCHOLARS AND

2430
01:40:41,520 --> 01:40:43,280
MENTORS EACH YEAR AND BRING THEM

2431
01:40:43,280 --> 01:40:45,120
TOGETHER IN THE FORM OF A

2432
01:40:45,120 --> 01:40:50,520
WEBINAR FOR NETWORKING AND

2433
01:40:50,520 --> 01:40:52,920
REALLY TO SUPPORT THE COHORT

2434
01:40:52,920 --> 01:40:54,080
THESE INDIVIDUALS AN PROVIDE

2435
01:40:54,080 --> 01:40:56,120
THEM WITH ADDITIONAL

2436
01:40:56,120 --> 01:40:58,960
PROFESSIONAL TRAINING AND

2437
01:40:58,960 --> 01:41:00,440
OUTREACH OPPORTUNITIES, WE HOLD

2438
01:41:00,440 --> 01:41:01,320
PROFESSIONAL DEVELOPMENT

2439
01:41:01,320 --> 01:41:02,800
ACTIVITIES THAT ARE LED BY

2440
01:41:02,800 --> 01:41:04,960
FORMER SUCCESSFUL DIVERSITY

2441
01:41:04,960 --> 01:41:06,520
SUPPLEMENT SCHOLARS, COUPLE OF

2442
01:41:06,520 --> 01:41:08,480
ONES WE HELD THIS YEAR THAT WERE

2443
01:41:08,480 --> 01:41:10,600
POPULAR INCLUDE ONE CALLED MY

2444
01:41:10,600 --> 01:41:13,040
JOURNEY TOWARD CAREER IN

2445
01:41:13,040 --> 01:41:14,680
RESEARCH, CAREER PATHS AND

2446
01:41:14,680 --> 01:41:16,720
INDUSTRY AT THE NIH. I WAS ABLE

2447
01:41:16,720 --> 01:41:18,200
TO PARTICIPATE IN THE MOST

2448
01:41:18,200 --> 01:41:19,920
RECENT ONE OF THESE PROGRAMS AND

2449
01:41:19,920 --> 01:41:21,880
IT IS FUN AND BE VERY HELPFUL

2450
01:41:21,880 --> 01:41:23,120
FOR THESE VERY EARLY STAGE

2451
01:41:23,120 --> 01:41:30,240
INVESTIGATORS.  RECENTLY I WAS

2452
01:41:30,240 --> 01:41:31,960
INTERVIEWED BY DR. DAVID WILSON,

2453
01:41:31,960 --> 01:41:33,320
WHO IS DIRECTOR OF THE TRIBAL

2454
01:41:33,320 --> 01:41:35,520
HEALTH RESEARCH OFFICE.  THAT

2455
01:41:35,520 --> 01:41:36,960
WAS IN RECOGNITION OF THE FACT

2456
01:41:36,960 --> 01:41:38,080
THAT NIAMS IS A VERY LONG

2457
01:41:38,080 --> 01:41:40,000
HISTORY OF SUPPORTING TRIBAL

2458
01:41:40,000 --> 01:41:42,040
HEALTH INCLUDING FORMATION OF

2459
01:41:42,040 --> 01:41:44,560
THE NIH AMERICAN INDIAN ALASKA

2460
01:41:44,560 --> 01:41:46,040
NATIVE HEALTH COMMUNICATION

2461
01:41:46,040 --> 01:41:48,480
INFORMATION WORKING GROUP. THE

2462
01:41:48,480 --> 01:41:50,600
PRIMARY OUTPUT OF THAT WORKING

2463
01:41:50,600 --> 01:41:52,400
GROUP WAS AN E NEWS LETTER

2464
01:41:52,400 --> 01:41:54,680
ENTITLED HONORING HEALTH WHICH

2465
01:41:54,680 --> 01:41:56,680
WAS SUCCESSFULLY TRANSITIONED TO

2466
01:41:56,680 --> 01:42:04,840
THE TRHO THIS PAST YEAR. IN

2467
01:42:04,840 --> 01:42:06,880
ADDITION OUR SCIENCE

2468
01:42:06,880 --> 01:42:07,680
COMMUNICATION OUTREACH BRANCH

2469
01:42:07,680 --> 01:42:09,880
POSTED A SERIES OF VIDEOS IN

2470
01:42:09,880 --> 01:42:11,440
ENGLISH AND SPANISH TO INCREASE

2471
01:42:11,440 --> 01:42:15,080
AWARENESS AND ENHANCE INCLUSION

2472
01:42:15,080 --> 01:42:16,240
OF UNDER-REPRESENTED RACIALETH

2473
01:42:16,240 --> 01:42:18,160
IN THIS GROUPS IN CLINICAL

2474
01:42:18,160 --> 01:42:19,840
RESEARCH. IN THESE VIDEOS

2475
01:42:19,840 --> 01:42:20,840
PATIENTS TELL PERSONAL STORIES

2476
01:42:20,840 --> 01:42:22,920
ABOUT LIVING WITH DISEASE AND

2477
01:42:22,920 --> 01:42:24,880
PARTICIPATING IN STUDIES AT THE

2478
01:42:24,880 --> 01:42:27,760
NIH CLINICAL CENTER IN AN EFFORT

2479
01:42:27,760 --> 01:42:30,520
TO INCREASE PARTICIPATION FROM

2480
01:42:30,520 --> 01:42:31,360
UNDER-REPRESENTED INDIVIDUALS

2481
01:42:31,360 --> 01:42:40,080
ACROSS THE COMMUNITY. WE ALSO

2482
01:42:40,080 --> 01:42:41,480
POSED FREE HEALTH INFORMATION ON

2483
01:42:41,480 --> 01:42:44,080
VARIETY OF AUTOIMMUNE

2484
01:42:44,080 --> 01:42:44,800
MUSCULOSKELETAL AND SKIN

2485
01:42:44,800 --> 01:42:48,000
CONDITIONS IN CHINESE, KOREAN,

2486
01:42:48,000 --> 01:42:51,600
VIETNAMESE AND SPANISH. AND OUR

2487
01:42:51,600 --> 01:42:52,560
ENTIRE HEALTH INFORMATION WEBB

2488
01:42:52,560 --> 01:42:55,240
PRESENCE IS TRANSLATED TO HELP

2489
01:42:55,240 --> 01:42:56,120
SPANISH LANGUAGE SPEAKERS FIND

2490
01:42:56,120 --> 01:43:01,680
RESOURCES THEY ARE LOOKING FOR. 

2491
01:43:01,680 --> 01:43:04,920
THIS SLIDE SHOWS SOME OF THE

2492
01:43:04,920 --> 01:43:06,280
TRANSLATED MATERIALS, THESE

2493
01:43:06,280 --> 01:43:07,880
FOCUSING ON BACK PAIN ARTHRITIS

2494
01:43:07,880 --> 01:43:10,960
AND LUPUS. WHICH HAVE BEEN VERY

2495
01:43:10,960 --> 01:43:12,360
POPULAR, INCLUDE HOW TO MANAGE

2496
01:43:12,360 --> 01:43:14,480
THE CONDITIONS AND THEY HAVE

2497
01:43:14,480 --> 01:43:17,320
TEAR OUT TOOLS SUCH AS SYMPTOM,

2498
01:43:17,320 --> 01:43:18,800
DATA REACTIVE AND MEDICATION

2499
01:43:18,800 --> 01:43:24,240
TRACKERS THAT HAVE BEEN POPULAR 

2500
01:43:24,240 --> 01:43:26,560
SO I JUST WANTED TO CONCLUDE

2501
01:43:26,560 --> 01:43:28,280
WITH THIS SLIDE THAT SHOWS SOME

2502
01:43:28,280 --> 01:43:29,440
OF THE OTHER WAYS TO CONNECT

2503
01:43:29,440 --> 01:43:30,920
WITH US FOR THOSE THAT AREN'T

2504
01:43:30,920 --> 01:43:32,640
FAMILIAR WITH THE NIAMS

2505
01:43:32,640 --> 01:43:35,040
COMMUNITY, WE SHARE A LOT OF

2506
01:43:35,040 --> 01:43:37,360
INTEREST WITH NIMHD AND LOOK

2507
01:43:37,360 --> 01:43:39,920
FORWARD TO HEARING IDEAS ABOUT

2508
01:43:39,920 --> 01:43:41,880
WAYS WE CAN PARTNER TOGETHER. 

2509
01:43:41,880 --> 01:43:43,520
ON THAT NOTE I AM HAPPY TO TAKE

2510
01:43:43,520 --> 01:43:44,600
ANY QUESTIONS. I WILL STOP

2511
01:43:44,600 --> 01:43:48,720
SHARING NOW. 

2512
01:43:48,720 --> 01:43:51,400
>> THANK YOU SO SO MUCH
LINDSEY,

2513
01:43:51,400 --> 01:43:53,320
I DON'T THINK I APPRECIATE THE

2514
01:43:53,320 --> 01:43:54,600
OVERLAPS WE HAVE HAD OR HISTORY

2515
01:43:54,600 --> 01:43:56,000
OF YOUR INSTITUTE HAVING BEEN

2516
01:43:56,000 --> 01:44:00,360
PART OF NIDDK PRIOR TO 1986, I

2517
01:44:00,360 --> 01:44:01,880
GUESS AT THAT TIME I WAS JUST

2518
01:44:01,880 --> 01:44:03,160
STARTING MANY PI RESEARCH CAREER

2519
01:44:03,160 --> 01:44:08,480
SO WOULDN'T HAVE KNOWN ANY BEAR 

2520
01:44:08,480 --> 01:44:10,760
QUESTIONS FOR CRISWELL? FROM

2521
01:44:10,760 --> 01:44:13,800
COUNCIL MEMBERS? OR STAFF WHO

2522
01:44:13,800 --> 01:44:24,360
ARE IN THE ROOM? YOU DID MENTION

2523
01:44:25,320 --> 01:44:27,040
THE ECONOMIC BURDEN OF

2524
01:44:27,040 --> 01:44:27,760
OSTEOARTHRITIS, IT IS A

2525
01:44:27,760 --> 01:44:30,040
CONDITION THAT I THINK

2526
01:44:30,040 --> 01:44:33,480
HISTORICALLY HAS HAD LITTLE

2527
01:44:33,480 --> 01:44:35,960
SCIENTIFIC INTEREST IN MANY

2528
01:44:35,960 --> 01:44:37,680
WAYS, DEGENERATIVE JOINT DISEASE

2529
01:44:37,680 --> 01:44:41,600
IT IS INEVITABLE WITH AGING I

2530
01:44:41,600 --> 01:44:44,520
GUESS YET ISSUES AROUND BACK

2531
01:44:44,520 --> 01:44:46,520
PAIN OR PATIENTS RELATED TO

2532
01:44:46,520 --> 01:44:49,440
ARTHRITIS AT THE SPINE I THINK

2533
01:44:49,440 --> 01:44:52,960
IS STILL NUMBER 1 TICKET ITEM ON

2534
01:44:52,960 --> 01:44:54,960
THE MEDICARE BUDGET BETWEEN ALL

2535
01:44:54,960 --> 01:44:56,720
THE MEDICAL CARE AND THE

2536
01:44:56,720 --> 01:44:59,720
SURGICAL CARE. WE ARE VERY

2537
01:44:59,720 --> 01:45:01,080
EXCITED ABOUT THE UPCOMING

2538
01:45:01,080 --> 01:45:03,800
WORKSHOP THAT WE ARE SPONSORING

2539
01:45:03,800 --> 01:45:06,280
WITH YOU AND IT IS A GOOD TIMING

2540
01:45:06,280 --> 01:45:10,320
TO ADDRESS THIS. AS A COMMON

2541
01:45:10,320 --> 01:45:12,840
CLINICAL PROBLEM THAT EXTENDS

2542
01:45:12,840 --> 01:45:14,960
BEYOND THE SPECIALTY

2543
01:45:14,960 --> 01:45:17,960
PERSPECTIVE. SO WE HAVE A COUPLE

2544
01:45:17,960 --> 01:45:19,520
OF QUESTIONS I THINK BILL YOU

2545
01:45:19,520 --> 01:45:20,000
ARE FIRST.

2546
01:45:20,000 --> 01:45:21,760
>> THE GREAT PRESENTATION,
THANK

2547
01:45:21,760 --> 01:45:26,160
YOU SO MUCH. I WANTED TO ASK CAN

2548
01:45:26,160 --> 01:45:27,840
YOU SAY SOMETHING ABOUT

2549
01:45:27,840 --> 01:45:29,920
MAGNITUDE OF THE DIVERSITY YOU

2550
01:45:29,920 --> 01:45:36,600
SEE IN SCLERODERMA? AND CAN YOU

2551
01:45:36,600 --> 01:45:38,240
SAY ANYTHING ABOUT GENETICS THAT

2552
01:45:38,240 --> 01:45:43,440
MIGHT BE DRIVING THAT DISPARITY 

2553
01:45:43,440 --> 01:45:46,120
>> YEAH. THANK YOU FOR
THAT

2554
01:45:46,120 --> 01:45:49,680
QUESTION. AS IS THE CASE FOR

2555
01:45:49,680 --> 01:45:51,360
MANY CONDITIONS THAT KISS

2556
01:45:51,360 --> 01:45:52,160
PROPORTIONATELY AFFECT

2557
01:45:52,160 --> 01:45:53,240
INDIVIDUALS IN THE UNITED

2558
01:45:53,240 --> 01:45:55,120
STATES, WE DON'T HAVE GREAT

2559
01:45:55,120 --> 01:45:56,680
POPULATION BASED DATA THAT CAN

2560
01:45:56,680 --> 01:46:00,360
SPEAK TO THAT SPECIFICALLY.

2561
01:46:00,360 --> 01:46:01,760
EXCEPT ALL OF THE STUDIES THAT

2562
01:46:01,760 --> 01:46:04,320
HAVE ATTEMPTED TO COMPARE RATES

2563
01:46:04,320 --> 01:46:07,400
OF DISEASE AND SEVERITY OF

2564
01:46:07,400 --> 01:46:09,640
DISEASE AMONG AFRICAN AMERICANS

2565
01:46:09,640 --> 01:46:11,520
WITH SCLERODERMA AND EUROPEAN

2566
01:46:11,520 --> 01:46:13,480
ANCESTRY SHOW INCREASE RISK IN

2567
01:46:13,480 --> 01:46:15,960
INCREASE DISEASE SEVERITY. NOW

2568
01:46:15,960 --> 01:46:19,840
SOME OF THAT MAY BE ATTRIBUTABLE

2569
01:46:19,840 --> 01:46:21,400
OR AT LEAST ASSOCIATED WITH

2570
01:46:21,400 --> 01:46:24,680
INCREASE FREQUENCY OF SPECIFIC

2571
01:46:24,680 --> 01:46:26,280
AUTOANTIBODIES AMONG INDIVIDUALS

2572
01:46:26,280 --> 01:46:31,040
AFRICAN AMERICAN ANCESTRY AND

2573
01:46:31,040 --> 01:46:32,240
INTERESTINGLY CONSIDER ACROSS

2574
01:46:32,240 --> 01:46:33,880
MULTIPLE AUTOIMMUNE DISEASE,

2575
01:46:33,880 --> 01:46:37,960
OFTEN GENETIC ASSOCIATION WITH

2576
01:46:37,960 --> 01:46:39,320
SPECIFIC AUTOANTIBODIES STRONGER

2577
01:46:39,320 --> 01:46:40,520
THAN GENETIC ASSOCIATION WITH

2578
01:46:40,520 --> 01:46:45,440
THE DISEASE THEMSELVES.  SO

2579
01:46:45,440 --> 01:46:46,960
PROBABLY GENETIC RISK FACTORS IF

2580
01:46:46,960 --> 01:46:50,280
YOU WANT TO THINK THAT WAY, THAT

2581
01:46:50,280 --> 01:46:51,680
PRE-DISPOSE TO SPECIFIC

2582
01:46:51,680 --> 01:46:53,080
AUTOANTIBODY PROFILES ARE

2583
01:46:53,080 --> 01:46:54,040
DRIVING DISEASE, IT IS

2584
01:46:54,040 --> 01:46:58,520
INTERESTING TO SPECULATE WHY THE

2585
01:46:58,520 --> 01:47:00,000
DIFFERENCES IN THOSE

2586
01:47:00,000 --> 01:47:00,640
AUTOANTIBODIES.  THERE IS

2587
01:47:00,640 --> 01:47:02,320
INTERESTING RESEARCH IN

2588
01:47:02,320 --> 01:47:06,920
AUTOIMMUNE DISEASE TRYING TO

2589
01:47:06,920 --> 01:47:09,680
RELATE INCREASE FREQUENCY OF

2590
01:47:09,680 --> 01:47:10,800
VARIANTS TO DIFFERENT PRESSURE

2591
01:47:10,800 --> 01:47:13,160
RELATED TO INFECTIOUS DISEAS

2592
01:47:13,160 --> 01:47:13,800
DISEASE.MENT IN DIFFERENT PARTS

2593
01:47:13,800 --> 01:47:19,440
OF THE WORLD. SO INPICACHOS

2594
01:47:19,440 --> 01:47:21,840
DISEASE EXPOSURE TRIGGERS IMMUNE

2595
01:47:21,840 --> 01:47:23,520
RESPONSE AND WITH ONGOING

2596
01:47:23,520 --> 01:47:26,440
EXPOSURE OVER TIME THERE IS

2597
01:47:26,440 --> 01:47:28,720
SELECTION FOR CERTAIN GENERAL

2598
01:47:28,720 --> 01:47:30,720
TECH VARIANTS TO PROTECT AGAINST

2599
01:47:30,720 --> 01:47:33,240
THAT INPICACHOS AGENT, MALARIA

2600
01:47:33,240 --> 01:47:35,120
IS A COMMON EXAMPLE --

2601
01:47:35,120 --> 01:47:37,160
INFECTIOUS AGEN AGENT. THE PLAG.

2602
01:47:37,160 --> 01:47:38,320
IMPACT OF PLAGUE IN WESTERN

2603
01:47:38,320 --> 01:47:40,080
EUROPE AND HOW IT SELECTED

2604
01:47:40,080 --> 01:47:41,880
CERTAIN GENETIC VARIANTS THAT

2605
01:47:41,880 --> 01:47:43,440
PRE-DISPOSES NOW TO AUTOIMMUNE

2606
01:47:43,440 --> 01:47:54,040
DISEASE ARE GOOD EXAMPLES.  IT S

2607
01:47:56,600 --> 01:47:58,080
DRIVEN BY GENETIC RISK VARIANTS

2608
01:47:58,080 --> 01:48:00,840
THAT MIGHT BE HISTORICAL REASONS

2609
01:48:00,840 --> 01:48:02,360
FOR DIFFERENT POPULATIONS AND

2610
01:48:02,360 --> 01:48:02,640
FREQUENCY.

2611
01:48:02,640 --> 01:48:07,680
>> THANK YOU. LISA.

2612
01:48:07,680 --> 01:48:11,240
>> THANK YOU FOR YOUR

2613
01:48:11,240 --> 01:48:15,760
PRESENTATPRESENTATPRESENTATION.Y

2614
01:48:15,760 --> 01:48:18,440
THE SLIDE WHERE YOU SHOWED

2615
01:48:18,440 --> 01:48:19,160
OSTEOPOROSIS AND RACIAL

2616
01:48:19,160 --> 01:48:22,160
DIFFERENCES.  I THOUGHT FOR MANY

2617
01:48:22,160 --> 01:48:23,800
YEARS THAT AFRICAN AMERICAN

2618
01:48:23,800 --> 01:48:25,120
WOMEN HAD LOWER RISK AND YOU

2619
01:48:25,120 --> 01:48:28,160
SAID IT WAS A MYTH. SO I WAS

2620
01:48:28,160 --> 01:48:30,600
JUST CURIOUS WHAT PLAYS INTO

2621
01:48:30,600 --> 01:48:34,920
THAT MYTH? WHY IS IT SO --

2622
01:48:34,920 --> 01:48:36,320
WIDESPREAD THAT PEOPLE THINK

2623
01:48:36,320 --> 01:48:38,280
THAT IS LOWER IN AFRICAN

2624
01:48:38,280 --> 01:48:41,640
AMERICAN WOMEN?

2625
01:48:41,640 --> 01:48:45,040
>> ONCE AGAIN WE LACKED
GREAT

2626
01:48:45,040 --> 01:48:46,560
EPIDEMIOLOGIC DATA TO HAVE

2627
01:48:46,560 --> 01:48:48,560
SPECIFIC NUMBERS FOR SOME OF

2628
01:48:48,560 --> 01:48:50,440
THOSE ASSOCIATIONS BUT PART OF

2629
01:48:50,440 --> 01:48:52,800
IT MIGHT HAVE BEEN IN THE OTHER

2630
01:48:52,800 --> 01:48:55,120
STUDY THAT I HAD ON THAT SLIDE

2631
01:48:55,120 --> 01:48:57,680
WHICH TALKS ABOUT PRIORITIZATION

2632
01:48:57,680 --> 01:48:59,880
OF HEALTH PROBLEMS. SO IF YOU

2633
01:48:59,880 --> 01:49:02,040
THINK ABOUT INDIVIDUALS FROM

2634
01:49:02,040 --> 01:49:03,680
LOWER SOCIOECONOMIC STATUS

2635
01:49:03,680 --> 01:49:05,040
GROUPS OR ETHNIC MINORITY

2636
01:49:05,040 --> 01:49:06,240
POPULATIONS THAT EXPERIENCE A

2637
01:49:06,240 --> 01:49:09,240
HIGHER BURDEN OF HYPERTENSION

2638
01:49:09,240 --> 01:49:12,120
AND DIABETES AND ET CETERA, ET

2639
01:49:12,120 --> 01:49:14,880
CETERA, ET CETERA, THE NOTION

2640
01:49:14,880 --> 01:49:16,560
CONCERNS ABOUT OSTEOPOROSIS

2641
01:49:16,560 --> 01:49:18,760
WHICH TYPICALLY LEAD TO

2642
01:49:18,760 --> 01:49:24,520
FRACTURES LATE IN LIFE, MIGHT BE

2643
01:49:24,520 --> 01:49:26,600
NOT AS MUCH IN THE FOR FRONT OF

2644
01:49:26,600 --> 01:49:29,600
THEIR MINDS OR CONCERNS FOR

2645
01:49:29,600 --> 01:49:31,800
THOSE OTHER REASONS. I THINK IT

2646
01:49:31,800 --> 01:49:33,760
IS ALSO GOOD TO KEEP IN MIND

2647
01:49:33,760 --> 01:49:35,680
THAT MAYBE OTHER CO-MORE BITTIES

2648
01:49:35,680 --> 01:49:37,560
THAT MIGHT HAVE TO HELP EXPLAIN

2649
01:49:37,560 --> 01:49:42,520
THESE ASSOCIATIONS OSTEOPOROSIS

2650
01:49:42,520 --> 01:49:45,840
IS MORE COMMON IN THIN

2651
01:49:45,840 --> 01:49:47,320
INDIVIDUALS AND TO EXTENT

2652
01:49:47,320 --> 01:49:50,400
OBESITY IS ASSOCIATED WITH

2653
01:49:50,400 --> 01:49:51,720
AFRICAN AMERICAN OR LATINO

2654
01:49:51,720 --> 01:49:53,360
BACKGROUNDS THAT MIGHT BE

2655
01:49:53,360 --> 01:49:56,160
PROTECTING THEM FROM

2656
01:49:56,160 --> 01:49:57,200
OSTEOPOROSIS. SO ON THE OTHER

2657
01:49:57,200 --> 01:49:58,520
HAND THERE IS ALSO SOME DATA

2658
01:49:58,520 --> 01:50:01,000
THAT SUGGESTS TYPE 2 DIABETES

2659
01:50:01,000 --> 01:50:02,600
MIGHT INCREASE RISK OF

2660
01:50:02,600 --> 01:50:04,520
OSTEOPOROSIS SO THERE IS A LOT

2661
01:50:04,520 --> 01:50:05,800
WE DON'T UNDERSTAND. BUT

2662
01:50:05,800 --> 01:50:07,320
PROBABLY PART OF WHAT IS

2663
01:50:07,320 --> 01:50:12,320
HAPPENED IS THAT OSTEOPOROSIS

2664
01:50:12,320 --> 01:50:13,960
HASN'T BEEN FRONT OF MIND FOR

2665
01:50:13,960 --> 01:50:15,240
MANY INDIVIDUALS FROM AFRICAN

2666
01:50:15,240 --> 01:50:18,320
AMERICAN HISPANIC BACKGROUNDS

2667
01:50:18,320 --> 01:50:20,680
BECAUSE OF THE HEALTH PROBLEMS

2668
01:50:20,680 --> 01:50:21,880
THEY FACE THAT MIGHT HAVE MORE

2669
01:50:21,880 --> 01:50:22,960
IMMEDIATE IMPACT ON HEALTH AND

2670
01:50:22,960 --> 01:50:24,040
WELL BEING.

2671
01:50:24,040 --> 01:50:27,280
>> THANK YOU.

2672
01:50:27,280 --> 01:50:31,080
>> I WOULD ADD ONE OF THE

2673
01:50:31,080 --> 01:50:32,920
REASONS I THINK ALSO PLAYED IN

2674
01:50:32,920 --> 01:50:36,840
THE ORIGINAL STUDY OF

2675
01:50:36,840 --> 01:50:38,400
OSTEOPOROSIS FRACTURE

2676
01:50:38,400 --> 01:50:41,360
COORDINATED UCSF BY STEVE

2677
01:50:41,360 --> 01:50:42,320
CUMMINGS, THE INCLUSION CRITERIA

2678
01:50:42,320 --> 01:50:44,080
WERE ONLY WHITE WOMEN. AND THE

2679
01:50:44,080 --> 01:50:48,040
RATIONALE AT THE TIME, IT WAS

2680
01:50:48,040 --> 01:50:49,440
DESIGNED IN 1980s, THE RATES

2681
01:50:49,440 --> 01:50:52,480
OF FRACTURE IS GREATER. THEY

2682
01:50:52,480 --> 01:50:53,960
WANT TO MAXIMIZE NUMBER OF

2683
01:50:53,960 --> 01:50:55,200
EVENTS IN ORDER TO MAKE

2684
01:50:55,200 --> 01:50:56,560
SOMETHING OF THE EPIDEMIOLOGICAL

2685
01:50:56,560 --> 01:51:02,560
STUDY.  THE ANSWER IS THESE

2686
01:51:02,560 --> 01:51:04,440
DISEASES ARE NOT ABSENT IN BY

2687
01:51:04,440 --> 01:51:08,240
RACE ETHNICITY OR GENDER OR SEX.

2688
01:51:08,240 --> 01:51:10,440
THEY JUST LESS -- GET LESS

2689
01:51:10,440 --> 01:51:13,280
OUTCOMES. FEWER OUTCOMES. AND

2690
01:51:13,280 --> 01:51:15,440
BUT IT DOESN'T MEAN IT IS ABSENT

2691
01:51:15,440 --> 01:51:17,840
SO THAT WAS RETROSPECTIVELY

2692
01:51:17,840 --> 01:51:20,160
PROBABLY PARROTED DIFFERENTLY OR

2693
01:51:20,160 --> 01:51:21,120
INCLUDED AT LEAST BLACK WOMEN,

2694
01:51:21,120 --> 01:51:23,000
AND THEN I THINK THE OTHER

2695
01:51:23,000 --> 01:51:26,360
CHALLENGE IS MEN ALSO GET

2696
01:51:26,360 --> 01:51:28,720
OSTEOPOROSIS AND DEVELOP

2697
01:51:28,720 --> 01:51:30,200
FRACTURES AND WILL IS NOT A

2698
01:51:30,200 --> 01:51:31,760
CLINICAL CONSENSUS I'M AWARE OF

2699
01:51:31,760 --> 01:51:33,400
UNLESS YOU KNOW THAT MEN SHOULD

2700
01:51:33,400 --> 01:51:35,760
BE SCREENED. NUMBER OF YEARS AGO

2701
01:51:35,760 --> 01:51:36,800
STILL ACTIVE CLINICALLY, I

2702
01:51:36,800 --> 01:51:39,000
THOUGHT THAT DATA WERE ALREADY

2703
01:51:39,000 --> 01:51:40,120
GOOD, THAT THERE WASN'T

2704
01:51:40,120 --> 01:51:44,920
CONSENSUS ON THAT. 

2705
01:51:44,920 --> 01:51:50,400
>> THERE IS A BIOMARKERS F
NIH

2706
01:51:50,400 --> 01:51:52,360
BIOMARKERS CONSORTIUM PROJECT

2707
01:51:52,360 --> 01:51:54,280
FOCUSING ON BIOMARKERS FOR

2708
01:51:54,280 --> 01:51:55,800
OSTEOPOROSIS. I HEARD AN UPDATE

2709
01:51:55,800 --> 01:51:58,400
OF THAT A FEW DAYS AGO AND SOME

2710
01:51:58,400 --> 01:52:01,000
OF THE STATISTICS SHARED IN THAT

2711
01:52:01,000 --> 01:52:03,320
SETTING WERE THAT 50% OF WOMEN

2712
01:52:03,320 --> 01:52:04,800
OVER THAT ARE LIFETIME

2713
01:52:04,800 --> 01:52:07,760
EXPERIENCE OSTEOPOROTIC FRACTURE

2714
01:52:07,760 --> 01:52:09,960
AND 25% MEN. SO YES, IT IS LESS

2715
01:52:09,960 --> 01:52:14,200
COMMON IN MEN BUT 25% LATER AGE,

2716
01:52:14,200 --> 01:52:15,360
SO I THINK YOU ARE RIGHT.  ONE

2717
01:52:15,360 --> 01:52:19,800
OF THE CHALLENGES HAS BEEN THAT

2718
01:52:19,800 --> 01:52:23,280
TO IF LOOKING FOR OUTCOME OF

2719
01:52:23,280 --> 01:52:29,720
FRACTURE IN CLINICAL TRIAL THE

2720
01:52:29,720 --> 01:52:32,160
NUMBER OF NEW AGENTS TO TEST FOR

2721
01:52:32,160 --> 01:52:34,120
IS MIND BOGGLING. SO THIS EFFORT

2722
01:52:34,120 --> 01:52:36,160
IS TRYING TO GET BONE MINERAL

2723
01:52:36,160 --> 01:52:38,360
DENSITY VALIDATED AS VALID

2724
01:52:38,360 --> 01:52:39,320
BIOMARKER IN THESE CLINICAL

2725
01:52:39,320 --> 01:52:42,200
TRIALS SO THEY CAN BE PERFORMED

2726
01:52:42,200 --> 01:52:43,400
AT ONE-TENTH THE COST OF STUDIES

2727
01:52:43,400 --> 01:52:45,720
IN THE PAST SO WE FORTUNATELY

2728
01:52:45,720 --> 01:52:48,480
WILL LIKELY SEE MUCH MORE

2729
01:52:48,480 --> 01:52:51,120
PROGRESS RELATED TO OSTEOPOROSIS

2730
01:52:51,120 --> 01:52:53,360
ONCE FDA APPROVES THAT IMPORTANT

2731
01:52:53,360 --> 01:52:54,880
BIOMARKER FOR OSTEOPOROTIC

2732
01:52:54,880 --> 01:53:05,240
FRACTURES.  ELISEO IF I CAN

2733
01:53:05,240 --> 01:53:07,200
SPEAK TO THE BACK PAIN ISSUE, I

2734
01:53:07,200 --> 01:53:09,040
WANT TO SHARE, I SHARE THE

2735
01:53:09,040 --> 01:53:10,760
OBSERVATION YOU MADE WHICH IS AS

2736
01:53:10,760 --> 01:53:15,400
A MEDICAL STUDENT OR TRAINEE,

2737
01:53:15,400 --> 01:53:17,400
BACK MAYBE AND OSTEOARTHRITIS

2738
01:53:17,400 --> 01:53:19,200
ARE NOT GLAMOROUS, THEY DON'T

2739
01:53:19,200 --> 01:53:19,800
ARACKET THE GREAT MINDS OF

2740
01:53:19,800 --> 01:53:21,280
MEDICINE AND IT IS UNFORTUNATE

2741
01:53:21,280 --> 01:53:22,440
BECAUSE OF THE BURDEN AND IMPACT

2742
01:53:22,440 --> 01:53:26,280
ON QUALITY OF LIFE. I HOPE WE

2743
01:53:26,280 --> 01:53:28,320
ARE ENTERING AN ERA WE DON'T

2744
01:53:28,320 --> 01:53:29,680
FOCUS EXCLUSIVELY ON DISEASES

2745
01:53:29,680 --> 01:53:33,480
THAT WILL KILL YOU AND THINK

2746
01:53:33,480 --> 01:53:34,720
ABOUT QUALITY OF LIFE IN CON UK

2747
01:53:34,720 --> 01:53:37,040
DISEASE SUCH AS LOW BACK AND

2748
01:53:37,040 --> 01:53:38,080
OSTEOARTHRITIS AND THINKING

2749
01:53:38,080 --> 01:53:40,320
ABOUT OKAY THIS IS NOT AN

2750
01:53:40,320 --> 01:53:42,080
INEVITABLE CONSEQUENCE OF AGING

2751
01:53:42,080 --> 01:53:45,520
BUT MAYBE WE CAN PREVENT THIS

2752
01:53:45,520 --> 01:53:50,000
AND INTERVENE TO CHANGE THAT

2753
01:53:50,000 --> 01:53:51,280
ASSUMPTION, IT IS KIND OF THE

2754
01:53:51,280 --> 01:53:53,680
PARADIGM OR MIND SET THAT WE ARE

2755
01:53:53,680 --> 01:53:57,840
HOPING TO ADDRESS AND YOU MAY BE

2756
01:53:57,840 --> 01:54:00,840
AWARE OF LARGE EFFORT BEING

2757
01:54:00,840 --> 01:54:06,640
FUNDED THROUGH HEAL, HELPING END

2758
01:54:06,640 --> 01:54:08,760
ADDICTION LOW BACK PAIN,

2759
01:54:08,760 --> 01:54:09,920
CONSIDER SOCIO BEHAVIORAL

2760
01:54:09,920 --> 01:54:11,320
FACTORS, ENVIRONMENTAL FACTORS,

2761
01:54:11,320 --> 01:54:13,440
GENETIC RISK FACTORS, OTHER

2762
01:54:13,440 --> 01:54:16,200
CLINICAL PREDICTORS AND RYE TO

2763
01:54:16,200 --> 01:54:18,240
UNDERSTAND MUCH MORE

2764
01:54:18,240 --> 01:54:20,280
COMPREHENSIVE APPROACH MUCH MORE

2765
01:54:20,280 --> 01:54:21,360
COMPREHENSIVE THEORETICAL

2766
01:54:21,360 --> 01:54:23,320
FRAMEWORK HOW TO ADDRESS CHRONIC

2767
01:54:23,320 --> 01:54:24,400
LOW BACK PAIN SO LOOK FORWARD TO

2768
01:54:24,400 --> 01:54:27,520
SEEING THE RESULTS OF THAT

2769
01:54:27,520 --> 01:54:30,960
EFFORT. 

2770
01:54:30,960 --> 01:54:34,240
>> ABSOLUTELY. WE HAVE
ENTERED A

2771
01:54:34,240 --> 01:54:35,760
NEW ERA THINKING ABOUT THESE FOR

2772
01:54:35,760 --> 01:54:38,680
SOME TIME AND HEAL IS AN

2773
01:54:38,680 --> 01:54:41,080
EXAMPLE. PEOPLE FOCUS ON,

2774
01:54:41,080 --> 01:54:45,520
QUALITY OF LIFE NOT JUST THE

2775
01:54:45,520 --> 01:54:52,080
QUANTITY. OSTEOARTHRITIS

2776
01:54:52,080 --> 01:54:54,040
PARTICULARLY BECAUSE SO COMMON

2777
01:54:54,040 --> 01:54:59,240
HAS BIG IMPAC IMPACT. YOU MENTID

2778
01:54:59,240 --> 01:55:00,160
STUDY OVERMERRY PLACEMENT. KNEE

2779
01:55:00,160 --> 01:55:02,720
REPLACEMENT IS A TERRIFIC

2780
01:55:02,720 --> 01:55:04,880
INTERVENTION, IT IS SAFE, IT IS

2781
01:55:04,880 --> 01:55:06,880
CAN BE DONE IN MANY PLACE, YOU

2782
01:55:06,880 --> 01:55:08,040
DON'T NEED TO GO TO HIGH END

2783
01:55:08,040 --> 01:55:13,080
MEDICAL CENTER TO GET IT DONE. 

2784
01:55:13,080 --> 01:55:15,120
IT CHANGES PEOPLE'S LIVES IN A

2785
01:55:15,120 --> 01:55:16,600
DRAMATIC WAY. 30 YEARS AGO THAT

2786
01:55:16,600 --> 01:55:18,120
WASN'T THE CASE. THERE WERE

2787
01:55:18,120 --> 01:55:21,080
STILL -- AND YET IT IS PROBABLY

2788
01:55:21,080 --> 01:55:23,000
I DON'T WANT THE SAY

2789
01:55:23,000 --> 01:55:25,200
UNDERUTILIZED BUT FREQUENTLY

2790
01:55:25,200 --> 01:55:26,960
PEOPLE ARE AVERSE TO THINKING OF

2791
01:55:26,960 --> 01:55:31,920
GETTING IT DONE AND AN IMPORTANT

2792
01:55:31,920 --> 01:55:33,600
QUALITY OF LIFE, WE ARE NOT

2793
01:55:33,600 --> 01:55:36,720
SAVING LIVES WE ARE IMPROVING

2794
01:55:36,720 --> 01:55:39,400
QUALITY OF LIFE IN SOMEONE WITH

2795
01:55:39,400 --> 01:55:41,880
SEVERE KNEE OSTEOARTHRITIS.  SO

2796
01:55:41,880 --> 01:55:45,880
QUESTION FROM KEN.

2797
01:55:45,880 --> 01:55:48,720
>> DR. CRISWELL, THANKS
FOR THE

2798
01:55:48,720 --> 01:55:50,760
WONDERFUL PRESENTATION. CURIOUS

2799
01:55:50,760 --> 01:55:53,960
IF THE INSTITUTE EVER HAS OR

2800
01:55:53,960 --> 01:55:56,200
PLANS TO OFFER FOA SPECIFICALLY

2801
01:55:56,200 --> 01:55:57,360
AROUND DISPARITIES, OBVIOUSLY

2802
01:55:57,360 --> 01:55:59,240
YOU HAVE SCIENTIST WHOSE ARE

2803
01:55:59,240 --> 01:56:01,520
FUNDED TO DO DISPARITY RESEARCH

2804
01:56:01,520 --> 01:56:02,600
BUT HAVE YOU SOUGHT PROPOSALS

2805
01:56:02,600 --> 01:56:04,000
WITH THAT AS ONE OF THE

2806
01:56:04,000 --> 01:56:07,120
EXCLUSIVE THEME?

2807
01:56:07,120 --> 01:56:10,680
>> THIS IS FOR HEALTH

2808
01:56:10,680 --> 01:56:12,040
DISPARITIES IN PATIENTS OR

2809
01:56:12,040 --> 01:56:13,160
UNDER-REPRESENTED WORK FORCE,

2810
01:56:13,160 --> 01:56:14,000
WANT TO MAKE SURE I UNDERSTAND.

2811
01:56:14,000 --> 01:56:16,600
>> AMONG PATIENTS, SORRY.

2812
01:56:16,600 --> 01:56:22,640
>> AFRAID I CAN'T SPEAK
ABOUT

2813
01:56:22,640 --> 01:56:25,800
HISTORICALLY. BUT AT THE MOMENT

2814
01:56:25,800 --> 01:56:30,200
JUST TRYING TO THINK, I DON'T

2815
01:56:30,200 --> 01:56:32,600
BELIEVE WE HAVE FOA THAT

2816
01:56:32,600 --> 01:56:33,720
INVOLVES FUNDS SET ASIDE

2817
01:56:33,720 --> 01:56:35,040
SPECIFICALLY FOR THAT THOUGH I

2818
01:56:35,040 --> 01:56:36,800
WOULD HIGHLIGHT THAT MANY OF THE

2819
01:56:36,800 --> 01:56:41,600
DISEASES IN OUR MISSION AREAS

2820
01:56:41,600 --> 01:56:43,480
AFFECT INDIVIDUALS OF ETHNIC

2821
01:56:43,480 --> 01:56:44,840
MINORITY SO IT DOES FOCUS ON

2822
01:56:44,840 --> 01:56:50,280
THOSE POPULATIONS.  WE HOPED

2823
01:56:50,280 --> 01:56:52,960
OVER COUPLE OF YEARS TO HAVE

2824
01:56:52,960 --> 01:56:57,320
OPPORTUNITIES FOR FUNDING TO

2825
01:56:57,320 --> 01:56:59,120
DIRECT FUNDING TO THIS IMPORTANT

2826
01:56:59,120 --> 01:57:01,480
AREA. OUR -- WE HAVE NOT HAD

2827
01:57:01,480 --> 01:57:03,160
ADDITIONAL FUNDS BEYOND THE 3%

2828
01:57:03,160 --> 01:57:04,440
OR SO ANNUAL INCREASE FOR MANY,

2829
01:57:04,440 --> 01:57:07,000
MANY YEARS.  AND OUR PAY LINE IS

2830
01:57:07,000 --> 01:57:10,360
VERY TIGHT. AND OUR COSTS OF

2831
01:57:10,360 --> 01:57:11,800
GRANTS THAT COME INTO OUR

2832
01:57:11,800 --> 01:57:13,960
INSTITUTE EACH YEAR ARE MORE

2833
01:57:13,960 --> 01:57:15,840
EXPENSIVE THAN THE INCREASE IN

2834
01:57:15,840 --> 01:57:18,400
OUR BUDGETS SO IT IS REALLY

2835
01:57:18,400 --> 01:57:20,960
CHALLENGING TIMES FOR US TO

2836
01:57:20,960 --> 01:57:21,600
CONTINUE TO SUPPORT THE WORK

2837
01:57:21,600 --> 01:57:27,280
FORCE. THIS IS AN AREA IMPORTANT

2838
01:57:27,280 --> 01:57:28,320
TO US BECAUSE OF DISEASE WITHIN

2839
01:57:28,320 --> 01:57:29,560
OUR MISSION AREA AND I HOPE WE

2840
01:57:29,560 --> 01:57:31,000
HAVE AN OPPORTUNITY TO DO MORE

2841
01:57:31,000 --> 01:57:35,760
AND CERTAINLY COLLABORATING WITH

2842
01:57:35,760 --> 01:57:37,000
NIMHD MOVING FORWARD WILL BE A

2843
01:57:37,000 --> 01:57:38,120
GREAT OPPORTUNITY TO LOOK OUT

2844
01:57:38,120 --> 01:57:40,880
FOR. ELISEO, MAYBE YOU CAN SAY

2845
01:57:40,880 --> 01:57:45,040
MORE ABOUT YOUR CHRONIC DISEASE

2846
01:57:45,040 --> 01:57:48,000
INITIATIVE THAT I THINK HAS BEEN

2847
01:57:48,000 --> 01:57:49,600
AN OPPORTUNITY OR SOMETHING YOU

2848
01:57:49,600 --> 01:57:55,040
MAY HAVE AN OPPORTUNITY TO FOCUS

2849
01:57:55,040 --> 01:57:57,080
ON AT THE NIH. GREAT OPPORTUNITY

2850
01:57:57,080 --> 01:57:58,040
TO JOIN FORCES WITH YOU.

2851
01:57:58,040 --> 01:58:02,200
>> ABSOLUTELY. SO LARISSA
LED

2852
01:58:02,200 --> 01:58:04,560
THE EFFORT TO PUBLISH THAT

2853
01:58:04,560 --> 01:58:06,920
PROGRAM ANNOUNCEMENT. WE ARE NOT

2854
01:58:06,920 --> 01:58:12,280
SETTING AD SIDE MONEY BUT DOING

2855
01:58:12,280 --> 01:58:13,720
SEE WHAT PEOPLE COME IN. IT IS

2856
01:58:13,720 --> 01:58:15,920
INTENDED LARGER THAN STANDARD

2857
01:58:15,920 --> 01:58:20,480
RO1 SO WE ARE LOOKING MORE THAN

2858
01:58:20,480 --> 01:58:22,320
A MILLION DOLLARS IN SIZE SIZE.U

2859
01:58:22,320 --> 01:58:26,120
HAVE HAVE TWO OR MORE INNOVATIVE

2860
01:58:26,120 --> 01:58:28,400
MODELS OF CARE, COUNCIL FAMILIAR

2861
01:58:28,400 --> 01:58:30,440
WITH CONCEPTS LAST SEPTEMBER,

2862
01:58:30,440 --> 01:58:35,000
AND FOA, IS OUT. SO YOU SCIAENID

2863
01:58:35,000 --> 01:58:36,120
UP, THAT IS WHAT YOU SHOWED IN

2864
01:58:36,120 --> 01:58:40,080
YOUR PRESENTATION.  Z IT MAKES

2865
01:58:40,080 --> 01:58:41,880
PERFECT SENSE WE HAVEN'T

2866
01:58:41,880 --> 01:58:43,360
ENTERTAINED APPLICATIONS YET BUT

2867
01:58:43,360 --> 01:58:46,840
LOOK FORWARD TO GETTING SOME

2868
01:58:46,840 --> 01:58:51,600
ALMOST EVERY PATIENT I SAW UCSF

2869
01:58:51,600 --> 01:58:56,520
HAD OSTEOARTHRITIS. HEART PAIL

2870
01:58:56,520 --> 01:59:03,080
YOUR DIABETES OR OR DISORDER TO

2871
01:59:03,080 --> 01:59:04,360
PARTNER WITH NIAMS AND OTHER

2872
01:59:04,360 --> 01:59:06,480
INSTITUTES ON THIS AND SEE WHAT

2873
01:59:06,480 --> 01:59:11,640
COMES IN. THE OTHER ONE IS WE

2874
01:59:11,640 --> 01:59:13,080
DID FUND 11 CENTERS FOCUS ON

2875
01:59:13,080 --> 01:59:21,960
MULTIPLE CHRONIC DISEASE. WE I

2876
01:59:21,960 --> 01:59:23,240
CAN SITESSED THEM TO

2877
01:59:23,240 --> 01:59:24,080
PARTICIPATE, AROUND THE TIME WE

2878
01:59:24,080 --> 01:59:25,840
WERE BUSY WRITING THE FOA BUT

2879
01:59:25,840 --> 01:59:30,200
NONE OF THE FUNDED ONES

2880
01:59:30,200 --> 01:59:32,480
HIGHLIGHTED DISEASE AS THEIR

2881
01:59:32,480 --> 01:59:35,320
TARGET. DIABETES HEART DISEASE,

2882
01:59:35,320 --> 01:59:36,680
LIVER DISEASE KIDNEY DISEASE BUT

2883
01:59:36,680 --> 01:59:41,480
AND IT WAS ONE FOCUSED ON

2884
01:59:41,480 --> 01:59:45,520
CHILDREN SO THAT IS AREA WE CAN

2885
01:59:45,520 --> 01:59:46,880
THINK ABOUT ADDING COMPONENT TO

2886
01:59:46,880 --> 01:59:48,720
OR FIGURING WHAT TO DO ABOUT IT.

2887
01:59:48,720 --> 01:59:53,520
IT WAS A CONGRESSIONAL SET ASIDE

2888
01:59:53,520 --> 01:59:56,360
SO THAT WAS DONE THROUGH RFA. SO

2889
01:59:56,360 --> 01:59:58,480
BUT THAT IS AN AREA WE HOPE TO

2890
01:59:58,480 --> 02:00:01,360
LEVERAGE INTO MORE.

2891
02:00:01,360 --> 02:00:02,680
>> I SHOULD HAVE CLARIFIED
I WAS

2892
02:00:02,680 --> 02:00:08,400
SPEAKING ABOUT A SET ASIDE THAT

2893
02:00:08,400 --> 02:00:09,240
CERTAINLY ANY OPPORTUNITY LIKE

2894
02:00:09,240 --> 02:00:13,680
YOU MENTIONED WHERE WE CAN PART

2895
02:00:13,680 --> 02:00:14,600
NEAR USING NORMAL MECHANISM

2896
02:00:14,600 --> 02:00:15,800
WOULD BE GREAT INTEREST BUT LOVE

2897
02:00:15,800 --> 02:00:18,720
TO SET ASIDE MONEY SPECIFICALLY

2898
02:00:18,720 --> 02:00:20,320
FOR THIS BUT NOT HAD THE

2899
02:00:20,320 --> 02:00:22,040
OPPORTUNITY YET. 

2900
02:00:22,040 --> 02:00:23,520
>> THANK YOU. ALL
UNDERSTOOD IN

2901
02:00:23,520 --> 02:00:26,160
THE CONTEXT OF DIMINISHING OUR

2902
02:00:26,160 --> 02:00:32,360
SMALL INCREASES IN BUDGETS. 

2903
02:00:32,360 --> 02:00:35,320
>> OTHER COMMENTS OR
QUESTIONS

2904
02:00:35,320 --> 02:00:45,760
FOR DR. CRISWELL? IF NONE

2905
02:00:47,880 --> 02:00:51,200
>> ONE MORE.

2906
02:00:51,200 --> 02:00:53,480
>> I WANTED TO FOLLOW-UP
ON THE

2907
02:00:53,480 --> 02:00:54,720
HEALTHCARE MODELS PROGRAM

2908
02:00:54,720 --> 02:00:56,200
ANNOUNCEMENT. I HAVEN'T LOOKED

2909
02:00:56,200 --> 02:00:59,720
AT IT, I'M CURIOUS IN THAT FOA,

2910
02:00:59,720 --> 02:01:01,080
WHAT ARE -- ARE THERE

2911
02:01:01,080 --> 02:01:02,080
OPPORTUNITIES TO CONSIDER

2912
02:01:02,080 --> 02:01:03,960
ALTERNATIVE MODELS, FOR EXAMPLE

2913
02:01:03,960 --> 02:01:05,800
INTEGRATING COMMUNITY HEALTH

2914
02:01:05,800 --> 02:01:07,640
WORKERS JUST GET AN -- I'M

2915
02:01:07,640 --> 02:01:09,160
THINKING ABOUT LIKE THE

2916
02:01:09,160 --> 02:01:11,160
DISPARITIES THAT WERE NOTED NOR

2917
02:01:11,160 --> 02:01:13,640
ASIAN AND LATINX COMMUNITIES.

2918
02:01:13,640 --> 02:01:16,840
AND OFTENTIMES THE WORK THAT WE

2919
02:01:16,840 --> 02:01:19,080
HAVE SEEN IN NEW YORK CITY,

2920
02:01:19,080 --> 02:01:20,240
COMMUNITY HEALTH WORKERS WHO ARE

2921
02:01:20,240 --> 02:01:22,920
PART OF THAT TEAM BASED CARE

2922
02:01:22,920 --> 02:01:24,880
CONSIDER EFFECTIVE IN TERMS OF

2923
02:01:24,880 --> 02:01:26,800
SUPPORTING ENGAGEMENT ADHERENCE

2924
02:01:26,800 --> 02:01:28,960
AND REDUCING STIGMA ASSOCIATED

2925
02:01:28,960 --> 02:01:34,360
WITH CERTAIN DISPARITIES. SO

2926
02:01:34,360 --> 02:01:35,360
JUST A THOUGHT AND A PLOT FOR

2927
02:01:35,360 --> 02:01:36,320
INTEGRATING COMMUNITY HEALTH

2928
02:01:36,320 --> 02:01:39,840
WORKERS IN THOSE TYPE OF MODELS 

2929
02:01:39,840 --> 02:01:42,360
>> I WOULD ASSUME THOSE
WOULD BE

2930
02:01:42,360 --> 02:01:45,800
ENCOURAGED.  ABSOLUTELY.

2931
02:01:45,800 --> 02:01:47,040
>> I DON'T THINK THAT IT
IS UP

2932
02:01:47,040 --> 02:01:49,000
TO THE INDIVIDUAL INVESTIGATORS

2933
02:01:49,000 --> 02:01:51,760
TO SEE WHAT THEY WOULD PROPOSE.

2934
02:01:51,760 --> 02:01:56,840
OBVIOUSLY IN THINKING ABOUT

2935
02:01:56,840 --> 02:01:58,000
INNOVATIVE MODELS OF CHRONIC

2936
02:01:58,000 --> 02:01:59,200
CARE, WE ARE NOT SAYING --

2937
02:01:59,200 --> 02:02:02,720
THERE'S THE LIMITATIONS ARE NOT

2938
02:02:02,720 --> 02:02:05,320
STANDARD. SO LARISSA IS NOT ON

2939
02:02:05,320 --> 02:02:08,600
THE ZOOM SO I CAN'T CALL HER TO

2940
02:02:08,600 --> 02:02:13,600
ANSWER YOU BUT TAKE A LOOK, THE

2941
02:02:13,600 --> 02:02:16,360
IDEA IS TO GET THE COMMUNITY TO

2942
02:02:16,360 --> 02:02:19,120
THIS SCIENTIFIC COMMUNITY TO

2943
02:02:19,120 --> 02:02:20,840
THINK OUT OF THE BOX AND HOW WE

2944
02:02:20,840 --> 02:02:24,000
CAN DEMONSTRATE IMPROVEMENT IN

2945
02:02:24,000 --> 02:02:30,360
HOW WE ARE DOING IT.  THANK YOU

2946
02:02:30,360 --> 02:02:32,480
FOR CONSIDERING THAT.

2947
02:02:32,480 --> 02:02:35,080
>> ELISEO, SHE HAS JOINED
THE

2948
02:02:35,080 --> 02:02:36,440
ZOOM IF YOU WANT TO INVITE HER

2949
02:02:36,440 --> 02:02:37,040
TO COMMENT.

2950
02:02:37,040 --> 02:02:38,720
>> DO YOU WANT TO COMMENT
ON THE

2951
02:02:38,720 --> 02:02:49,240
QUESTION? IF YOU ARE THERE? NOTE

2952
02:02:51,640 --> 02:02:54,880
SEEING HER.

2953
02:02:54,880 --> 02:02:56,560
>> IF YOU ARE SPEAKING YOU
ARE

2954
02:02:56,560 --> 02:02:58,280
MUTED. MAYBE SHE'S NOT THERE, I

2955
02:02:58,280 --> 02:03:00,200
SEE HER MUTED. 

2956
02:03:00,200 --> 02:03:03,480
>> ALL RIGHT.

2957
02:03:03,480 --> 02:03:08,120
>> WE WILL FOLLOWUP.

2958
02:03:08,120 --> 02:03:10,280
>> THANK YOU AGAIN
LINDSEY. IT

2959
02:03:10,280 --> 02:03:14,520
IS WONDERFUL TO HAVE YOU AT THE

2960
02:03:14,520 --> 02:03:16,280
DIRECTOR'S TABLE. GLAD FRANCIS

2961
02:03:16,280 --> 02:03:18,080
WAS ABLE TO RECRUIT YOU AND

2962
02:03:18,080 --> 02:03:20,760
SELECTED YOU TO BE THE DIRECTOR

2963
02:03:20,760 --> 02:03:26,240
OF NIAMS. YOU FOLLOWED A LEGEND

2964
02:03:26,240 --> 02:03:29,120
IN STEVE KATZ WHO WAS LOVED BY

2965
02:03:29,120 --> 02:03:33,280
ALL WHO KNEW HIM, AND BOB CARTER

2966
02:03:33,280 --> 02:03:34,880
WHO WAS ACTING FOR TWO YEARS AND

2967
02:03:34,880 --> 02:03:36,120
WE LOOK FORWARD TO MORE

2968
02:03:36,120 --> 02:03:38,080
COLLABORATION AND SYNERGY IN

2969
02:03:38,080 --> 02:03:39,600
WORK WITH NIAMS IN THE COMING

2970
02:03:39,600 --> 02:03:40,800
YEARS. THANKS AGAIN FOR TAKING

2971
02:03:40,800 --> 02:03:41,800
THE TIME.

2972
02:03:41,800 --> 02:03:44,360
>> THANK YOU SO MUCH FOR
YOUR

2973
02:03:44,360 --> 02:03:46,400
SUPPORT.  PLEASURE TO MEET

2974
02:03:46,400 --> 02:03:46,960
Y'ALL.

2975
02:03:46,960 --> 02:03:49,400
>> BYE-BYE.

2976
02:03:49,400 --> 02:03:56,160
>> WE HAVE BOB BACK. DR.
VALDEZ.

2977
02:03:56,160 --> 02:04:06,680
CALL YOU FIVE NAMES TODAY P. IS

2978
02:04:07,160 --> 02:04:08,600
IT THAT LONG? YOU ARE COUNTING

2979
02:04:08,600 --> 02:04:10,280
NOT ME. OUR SECOND PRESENTER

2980
02:04:10,280 --> 02:04:12,520
TODAY IS THE NEW DIRECTOR FOR

2981
02:04:12,520 --> 02:04:14,480
THE AGENCY FOR HEALTHCARE

2982
02:04:14,480 --> 02:04:16,920
RESEARCH AND QUALITY. ROBERT

2983
02:04:16,920 --> 02:04:19,640
VALDEZ IS APPOINTED DIRECTOR IN

2984
02:04:19,640 --> 02:04:20,920
FEBRUARY, I KNEW HE WAS PLANNING

2985
02:04:20,920 --> 02:04:22,480
TO COME TO WASHINGTON BECAUSE HE

2986
02:04:22,480 --> 02:04:23,920
HAD TOLD ME BUT I THOUGHT IT WAS

2987
02:04:23,920 --> 02:04:27,720
FOR DIFFERENT JOBS. WHEN HE SAID

2988
02:04:27,720 --> 02:04:30,080
OH, I CAN'T DO THIS, I CAN'T DO

2989
02:04:30,080 --> 02:04:32,360
THAT. WEEK LATER I SEE THE

2990
02:04:32,360 --> 02:04:33,960
ANNOUNCEMENT, IT WAS LIKE WOW,

2991
02:04:33,960 --> 02:04:37,280
SO IT WAS A GREAT WONDERFUL

2992
02:04:37,280 --> 02:04:40,880
SURPRISE. AHRQ HAD BEEN WITH

2993
02:04:40,880 --> 02:04:42,160
OTHER PERMANENT DIRECTORS WITHIN

2994
02:04:42,160 --> 02:04:46,720
THE NEW ADMINISTRATION. REALLY

2995
02:04:46,720 --> 02:04:50,080
IS AGENCY THAT NIMHD SEES IN

2996
02:04:50,080 --> 02:04:53,200
MANY WAYS SHAREING A LOT OF

2997
02:04:53,200 --> 02:04:55,480
COMMON DIRECTION AND COMMON

2998
02:04:55,480 --> 02:04:56,760
EFFORTS, AT LEAST WITHIN PART OF

2999
02:04:56,760 --> 02:04:59,800
OUR AGENDA. USE PREVIOUSLY

3000
02:04:59,800 --> 02:05:01,200
ROBERT WOOD JOHNSON FOUNDATION

3001
02:05:01,200 --> 02:05:02,800
PROFESSOR EMERITUS OF FAMILY AND

3002
02:05:02,800 --> 02:05:04,080
COMMUNITY MEDICINE IN ECONOMICS

3003
02:05:04,080 --> 02:05:06,000
AT UNIVERSITY OF NEW MEXICO

3004
02:05:06,000 --> 02:05:10,080
WHERE I VISITED IN SEPTEMBER OF

3005
02:05:10,080 --> 02:05:14,200
2019 AND SPENT TIME WITH DR.

3006
02:05:14,200 --> 02:05:16,720
VALDEZ, IT WAS REALLY A PLEASURE

3007
02:05:16,720 --> 02:05:18,400
TO BE THERE AND SEE THE

3008
02:05:18,400 --> 02:05:20,120
INSTITUTION AND VISIT THE

3009
02:05:20,120 --> 02:05:23,000
AMERICAN INDIAN COMMUNITY.  IN

3010
02:05:23,000 --> 02:05:24,880
THE SUNY RESERVATION.  HE

3011
02:05:24,880 --> 02:05:27,960
RECEIVED HIS Ph.D. FROM THE

3012
02:05:27,960 --> 02:05:30,120
RAND GRADUATE SCHOOL FOR PUBLIC

3013
02:05:30,120 --> 02:05:32,080
POLICY STUDIES. SPECIALIZING IN

3014
02:05:32,080 --> 02:05:33,480
STUDIES OF HEALTHCARE FINANCING

3015
02:05:33,480 --> 02:05:35,720
QUALITY OF MEDICAL CARE SO VERY

3016
02:05:35,720 --> 02:05:39,600
WELL SUITED FOR AHRQ DIRECTOR.

3017
02:05:39,600 --> 02:05:40,800
AT UNIVERSITY OF MICHIGAN SCHOOL

3018
02:05:40,800 --> 02:05:42,040
OF PUBLIC HEALTH HE WAS AWARDED

3019
02:05:42,040 --> 02:05:44,440
A MASTERS DEGREE IN HEALTH

3020
02:05:44,440 --> 02:05:47,880
POLICY ADMINISTRATION AND GONE

3021
02:05:47,880 --> 02:05:49,760
PREVIOUSLY TO HARVARD WHERE HE

3022
02:05:49,760 --> 02:05:51,560
STUDIED DEPARTMENT OF HISTORY

3023
02:05:51,560 --> 02:05:53,440
AND SCIENCE SPECIALIZING IN

3024
02:05:53,440 --> 02:05:56,240
LATIN AMERICAN HISTORY AND

3025
02:05:56,240 --> 02:05:57,960
BIOCHEMISTRY. THOSE ARE A LITTLE

3026
02:05:57,960 --> 02:06:00,320
DIFFERENT. HE WAS THE FOUNDING

3027
02:06:00,320 --> 02:06:02,960
EXECUTIVE DIRECTOR OF RWJ CENTER

3028
02:06:02,960 --> 02:06:04,520
FOR HEALTH POLICY IN NEW MEXICO

3029
02:06:04,520 --> 02:06:08,240
AN HAD A LONG CAREER WORKING IN

3030
02:06:08,240 --> 02:06:11,320
ACADEMIC AND SOME TIME IN

3031
02:06:11,320 --> 02:06:16,200
GOVERNMENT AND UCLA AT DREXEL

3032
02:06:16,200 --> 02:06:19,200
AND VARY OF OTHER SETTINGS. I

3033
02:06:19,200 --> 02:06:21,080
HAVE KNOWN BOB MOSTLY BECAUSE

3034
02:06:21,080 --> 02:06:22,960
THEY ARE JUST NOT THAT MANY

3035
02:06:22,960 --> 02:06:27,120
LATINO SCIENTISTS THAT HAD BEEN

3036
02:06:27,120 --> 02:06:29,320
KNOWN AROUND THE COUNTRY THAT

3037
02:06:29,320 --> 02:06:33,560
WORK IN THE AREA OF CLINICAL OR

3038
02:06:33,560 --> 02:06:35,440
POPULATION SCIENCE OR HEALTH

3039
02:06:35,440 --> 02:06:38,320
SERVICES SCIENCE SO OUR PATHS

3040
02:06:38,320 --> 02:06:41,200
INTERSECTED A NUMBER OF TIMES

3041
02:06:41,200 --> 02:06:45,000
AROUND DIFFERENT PROGRAMS AND IT

3042
02:06:45,000 --> 02:06:48,280
IS REALLY WONDERFUL TO HOST HIM

3043
02:06:48,280 --> 02:06:49,760
HERE AT OUR COUNCIL SINCE IT

3044
02:06:49,760 --> 02:06:53,440
WILL BE WORKING TOGETHER MORE

3045
02:06:53,440 --> 02:06:55,480
NOW THAT HE IS DIRECTOR OF AHRQ

3046
02:06:55,480 --> 02:06:58,520
AND WE SHARED A LOT OF COMMON

3047
02:06:58,520 --> 02:07:00,640
GROUND. DR. VALDEZ. 

3048
02:07:00,640 --> 02:07:07,440
>> THANKS VERY MUCH. I
REMEMBER

3049
02:07:07,440 --> 02:07:10,160
OUR ANNUAL MEETINGS IN SAN

3050
02:07:10,160 --> 02:07:15,440
ANTONIO MY HOMETOWN FOR THE

3051
02:07:15,440 --> 02:07:22,560
CANCER PROGRAM. (INAUDIBLE) NEAR

3052
02:07:22,560 --> 02:07:26,520
AND DEAR ACTIVITY AS PART OF OUR

3053
02:07:26,520 --> 02:07:28,240
WORK TOGETHER. MAY I HAVE MY

3054
02:07:28,240 --> 02:07:35,880
SLIDES UP? THANK YOU. I WANT TO

3055
02:07:35,880 --> 02:07:38,160
TALK ABOUT AND REMIND EVERYBODY

3056
02:07:38,160 --> 02:07:40,400
THE 20TH ANNIVERSARY OF IOM

3057
02:07:40,400 --> 02:07:44,840
REPORT CALLED UNEQUAL TREATMENT.

3058
02:07:44,840 --> 02:07:46,520
TO TALK A LITTLE BIT ABOUT WHAT

3059
02:07:46,520 --> 02:07:49,040
HAVE WE DONE THE LAST 20 YEARS

3060
02:07:49,040 --> 02:07:50,400
WITH REGARD TO CONFRONTING

3061
02:07:50,400 --> 02:07:53,280
RACIAL ETHNIC DISPARITIES IN

3062
02:07:53,280 --> 02:07:55,880
HEALTHCARE WHICH IS WHAT THE

3063
02:07:55,880 --> 02:07:57,520
FOCUS OF UNEQUAL TREATMENT WAS

3064
02:07:57,520 --> 02:07:59,720
ABOUT, MUCH OF WHAT YOUR

3065
02:07:59,720 --> 02:08:02,080
INSTITUTE DOES IS FOCUS ON

3066
02:08:02,080 --> 02:08:04,280
DISPARITIES IN HEALTH WHICH IS

3067
02:08:04,280 --> 02:08:06,200
THE IMPORTANT OUTCOME OF THAT

3068
02:08:06,200 --> 02:08:11,760
CARE. NEXT SLIDE PLEASE.  AHRQ

3069
02:08:11,760 --> 02:08:13,200
FOR THOSE WHO DON'T KNOW BECAUSE

3070
02:08:13,200 --> 02:08:16,360
WE ARE A SMALL AGENCY MOST

3071
02:08:16,360 --> 02:08:19,360
PEOPLE DON'T REALLY KNOW WHO --

3072
02:08:19,360 --> 02:08:23,680
WHAT AHRQ IS AMONG THE SCIENCE

3073
02:08:23,680 --> 02:08:24,840
ORGANIZATIONS WITHIN THE

3074
02:08:24,840 --> 02:08:26,640
DEPARTMENT OF HEALTH AND HUMAN

3075
02:08:26,640 --> 02:08:29,160
SERVICES. WE ARE ONE OF THE FOUR

3076
02:08:29,160 --> 02:08:34,600
SCIENCE BASED ORGANIZATIONS THAT

3077
02:08:34,600 --> 02:08:36,800
HAS CONGRESSIONAL

3078
02:08:36,800 --> 02:08:38,640
RESPONSIBILITIES TO PRODUCE

3079
02:08:38,640 --> 02:08:40,400
SCIENTIFIC EVIDENCE THAT MAKES

3080
02:08:40,400 --> 02:08:42,720
HEALTHCARE ALWAYS AMAZING THINGS

3081
02:08:42,720 --> 02:08:46,360
WE GOT TO GET IT DONE YESTERDAY.

3082
02:08:46,360 --> 02:08:49,360
THE ACA ADDED ALSO A SPECIAL

3083
02:08:49,360 --> 02:08:51,480
FOCUS ON PRIMARY CARE RESEARCH

3084
02:08:51,480 --> 02:08:53,400
AND PRIMARY CARE IMPROVEMENT. SO

3085
02:08:53,400 --> 02:08:57,560
YOU CAN ADD THAT ON TO THAT LIST

3086
02:08:57,560 --> 02:08:59,160
OF SCIENTIFIC EVIDENCE. WHAT IS

3087
02:08:59,160 --> 02:09:00,440
MET BY SCIENTIFIC EVIDENCE IS

3088
02:09:00,440 --> 02:09:03,080
REALLY TAKING ALL THE MANY

3089
02:09:03,080 --> 02:09:06,680
STUDIES YOU HEARD ABOUT DESCRIBE

3090
02:09:06,680 --> 02:09:08,680
TODAY BY DR. PEREZ-STABLE IN ALL

3091
02:09:08,680 --> 02:09:11,080
THE WORK THAT GETS DONE AT NIH

3092
02:09:11,080 --> 02:09:14,480
AND ELSEWHERE. AND SIFTS THROUGH

3093
02:09:14,480 --> 02:09:19,000
ALL THOSE MANY STUDIES IN FLANKS

3094
02:09:19,000 --> 02:09:20,840
THAT COLONEL OF EVIDENCE OR WHAT

3095
02:09:20,840 --> 02:09:22,560
WE CAN SAY WHAT OUR KNOWLEDGE IS

3096
02:09:22,560 --> 02:09:25,440
TODAY AND OUR MIGHT IS REALLY TO

3097
02:09:25,440 --> 02:09:26,520
TAKE THAT KNOWLEDGE AND

3098
02:09:26,520 --> 02:09:28,840
TRANSPORT BACK INTO THE CLINIC. 

3099
02:09:28,840 --> 02:09:31,080
SO THAT PATIENTS AND HEALTH

3100
02:09:31,080 --> 02:09:32,840
PROFESSIONALS AND HAIR

3101
02:09:32,840 --> 02:09:34,440
INTERACTIONS TAKE ADVANTAGE OF

3102
02:09:34,440 --> 02:09:37,000
MOST RECENT INFORMATION AND

3103
02:09:37,000 --> 02:09:38,280
THERAPIES. WE CAN'T DO THIS

3104
02:09:38,280 --> 02:09:41,040
BECAUSE WE ARE SMALL AGENCY WITH

3105
02:09:41,040 --> 02:09:43,160
OUR OWN PROGRAMS, SO WE RELY

3106
02:09:43,160 --> 02:09:45,520
TREMENDOUSLY ON OUR PARTNERSHIPS

3107
02:09:45,520 --> 02:09:47,880
WITH OTHER FEDERAL AGENCIES,

3108
02:09:47,880 --> 02:09:50,840
SUCH AS THIS ONE. BUT ALSO

3109
02:09:50,840 --> 02:09:52,920
TRIBAL STATE AND LOCAL HEALTH

3110
02:09:52,920 --> 02:09:57,400
DEPARTMENTS AND AGENCIES AND

3111
02:09:57,400 --> 02:09:58,040
UNIVERSITIES ACROSS THE COUNTRY

3112
02:09:58,040 --> 02:10:02,880
AS WELL AS OUR EFFORTS TO WORK

3113
02:10:02,880 --> 02:10:04,800
MORE DIRECTLY WITH THE

3114
02:10:04,800 --> 02:10:06,680
HEALTHCARE DELIVERY

3115
02:10:06,680 --> 02:10:07,480
ORGANIZATIONS AND HEALTHCARE

3116
02:10:07,480 --> 02:10:16,440
SYSTEMS ACROSS THE COUNTRY.  SO

3117
02:10:16,440 --> 02:10:20,760
HERE IS THE FOUR BIG SCIENCE

3118
02:10:20,760 --> 02:10:24,600
AGENCIES OF THE DEPARTMENT. NIH,

3119
02:10:24,600 --> 02:10:28,080
FDA, CDC. THE FOUR OF US

3120
02:10:28,080 --> 02:10:29,240
TOGETHER ARE TRYING TO MOVE

3121
02:10:29,240 --> 02:10:31,800
TOWARD THAT GOAL THAT THE

3122
02:10:31,800 --> 02:10:33,600
PRESIDENT PUT FORWARD, MAKING

3123
02:10:33,600 --> 02:10:35,360
21ST CENTURY CARE A REALITY FOR

3124
02:10:35,360 --> 02:10:39,480
EVERYONE IN OUR COUNTRY. PRIME

3125
02:10:39,480 --> 02:10:43,040
MEDICAL SCIENCE IS NECESSARY BUT

3126
02:10:43,040 --> 02:10:44,360
INSUFFICIENT SO WHAT AHRQ TRIES

3127
02:10:44,360 --> 02:10:47,480
TO DO FOCUS ON HEALTHCARE

3128
02:10:47,480 --> 02:10:50,560
IMPROVEMENT USING THE SCIENCES,

3129
02:10:50,560 --> 02:10:52,520
SOCIAL BEHAVIORAL AND CLINICAL

3130
02:10:52,520 --> 02:10:55,400
SCIENCES AS WELL AS

3131
02:10:55,400 --> 02:10:57,320
IMPLEMENTATION SCIENCE NECESSARY

3132
02:10:57,320 --> 02:11:01,120
FOR UNDERSTANDING HOW TO BETTER

3133
02:11:01,120 --> 02:11:04,240
ADOPT AND DELIVER INNOVATIVE

3134
02:11:04,240 --> 02:11:06,360
THERAPIES THAT ARE INITIATIVE

3135
02:11:06,360 --> 02:11:11,400
REQUIRES. NEXT SLIDE PLEASE.  

3136
02:11:11,400 --> 02:11:12,360
UNEQUAL TREATMENT IS AN

3137
02:11:12,360 --> 02:11:13,280
INTERESTING READ IF YOU HAVEN'T

3138
02:11:13,280 --> 02:11:15,640
SEEN IT MANY THE LAST 20 YEARS,

3139
02:11:15,640 --> 02:11:16,720
I RECOMMEND YOU PICK IT UP

3140
02:11:16,720 --> 02:11:18,120
AGAIN. BECAUSE IT HAD SOME

3141
02:11:18,120 --> 02:11:22,440
REALLY INSIGHTFUL AND

3142
02:11:22,440 --> 02:11:23,840
CHALLENGING IDEAS.  SOME WHICH

3143
02:11:23,840 --> 02:11:25,520
WE PICKED UP OVER THE LAST 20

3144
02:11:25,520 --> 02:11:29,720
YEARS AND SOME WHICH WE LET LIE

3145
02:11:29,720 --> 02:11:34,680
FALLOW. IN THAT PARTICULAR BOOK,

3146
02:11:34,680 --> 02:11:36,320
AM TOOTING OUR OWN HORN AT AHRQ

3147
02:11:36,320 --> 02:11:37,880
WE WERE RECOGNIZED FOR THE WORK

3148
02:11:37,880 --> 02:11:39,040
WE ALREADY STARTED TO UNDERSTAND

3149
02:11:39,040 --> 02:11:41,200
HOW TO ELIMINATE HEALTH

3150
02:11:41,200 --> 02:11:43,400
DISPARITIES IN THE CARE THAT IS

3151
02:11:43,400 --> 02:11:47,120
PROVIDED IN OUR COMMUNITIES.  

3152
02:11:47,120 --> 02:11:49,320
THE COMMITTEE MADE A GREAT URGE

3153
02:11:49,320 --> 02:11:51,120
IN THAT BOOK FOR GREATER SUPPORT

3154
02:11:51,120 --> 02:11:53,880
FOR THIS KIND OF WORK TO

3155
02:11:53,880 --> 02:11:57,080
ELIMINATE DISPARITIES IN

3156
02:11:57,080 --> 02:12:00,520
HEALTHCARE. AND ALSO REALLY

3157
02:12:00,520 --> 02:12:02,200
PUSHED US TO CREATE A MORE

3158
02:12:02,200 --> 02:12:06,360
AMBITIOUS AGENDA THAT

3159
02:12:06,360 --> 02:12:07,320
DISENTANGLE THE PROCESS

3160
02:12:07,320 --> 02:12:08,840
STRUCTURE AND OUTCOMES WHICH IS

3161
02:12:08,840 --> 02:12:12,800
THE FRAMEWORK THAT MICHIGAN PUT

3162
02:12:12,800 --> 02:12:15,200
FORWARD SO MANY YEARS AGO. IS

3163
02:12:15,200 --> 02:12:16,360
THE BASIS FOR MUCH OF THE

3164
02:12:16,360 --> 02:12:19,200
QUALITY OF CARE AWARD, STILL

3165
02:12:19,200 --> 02:12:20,440
GOES ON TODAY. NEXT SLIDE

3166
02:12:20,440 --> 02:12:25,400
PLEASE.  THE UNEQUAL TREATMENT

3167
02:12:25,400 --> 02:12:27,040
DID A NICE JOB TAKING ALL

3168
02:12:27,040 --> 02:12:29,680
STUDIES AVAILABLE AT THE TIME

3169
02:12:29,680 --> 02:12:31,920
DOCUMENTED HOW PERSONS OF COLOR

3170
02:12:31,920 --> 02:12:35,880
REALLY EXPERIENCE THE HEALTHCARE

3171
02:12:35,880 --> 02:12:37,720
SYSTEM. THEY WANTED TO TRY TO

3172
02:12:37,720 --> 02:12:40,160
UNDERSTAND HOW THESE DISPARITIES

3173
02:12:40,160 --> 02:12:41,680
IN TREATMENT AROSE AND WHAT

3174
02:12:41,680 --> 02:12:44,680
ASPECT OF THE CLINICAL ENCOUNTER

3175
02:12:44,680 --> 02:12:47,320
MADE THEMSELVES AVAILABLE FOR

3176
02:12:47,320 --> 02:12:54,000
INTERVENTION. AND MODIFICATION. 

3177
02:12:54,000 --> 02:12:59,760
THESE ARE AREAS I THINK UNEQUAL

3178
02:12:59,760 --> 02:13:00,880
TREATMENT TRY TO GET US TO PAY

3179
02:13:00,880 --> 02:13:02,440
ATTENTION TO, THAT WAS MEDICAL

3180
02:13:02,440 --> 02:13:06,440
CARE AND FINANCING, THE ACTUAL

3181
02:13:06,440 --> 02:13:08,040
ALLOCATION OF HEALTHCARE IS MADE

3182
02:13:08,040 --> 02:13:08,840
TODAY I DON'T THINK PEOPLE ARE

3183
02:13:08,840 --> 02:13:11,000
TALKING ABOUT THE FACT THAT WE

3184
02:13:11,000 --> 02:13:14,360
CREATED OVER THE LAST 20, 25

3185
02:13:14,360 --> 02:13:15,880
YEARS, A SEGREGATED CARE

3186
02:13:15,880 --> 02:13:23,120
DELIVERY SYSTEM. IN OUR COUNTRY 

3187
02:13:23,120 --> 02:13:23,920
SEGREGATED NOT NECESSARILY BY

3188
02:13:23,920 --> 02:13:25,800
RACE AND ETHNICITY BUT CERTAINLY

3189
02:13:25,800 --> 02:13:30,720
CLASS AND INCOME. THEY ALSO

3190
02:13:30,720 --> 02:13:32,480
RAISED THE ISSUE OF AVAILABILITY

3191
02:13:32,480 --> 02:13:34,160
OF LANGUAGE TRANSLATION.

3192
02:13:34,160 --> 02:13:38,920
SERVICES.  CREATED MANDATES FOR

3193
02:13:38,920 --> 02:13:39,960
LANGUAGE TRANSLATION SERVICES

3194
02:13:39,960 --> 02:13:43,800
SINCE THE LAST 20 YEARS. AMONG

3195
02:13:43,800 --> 02:13:45,280
NON-PROFIT HOSPITALS, TWO-THIRDS

3196
02:13:45,280 --> 02:13:47,600
OF THEM PROVIDE LANGUAGE

3197
02:13:47,600 --> 02:13:50,120
TRANSLATION SERVICES. AMONG FOR

3198
02:13:50,120 --> 02:13:52,520
PROFIT HOSPITALS SITUATION IS

3199
02:13:52,520 --> 02:13:57,840
WORSE. ONLY 18% PROVIDE THESE

3200
02:13:57,840 --> 02:14:01,040
MANDATED SERVICESS. WE HAVE YET

3201
02:14:01,040 --> 02:14:02,840
ENFORCE THOSE MANDATES IN

3202
02:14:02,840 --> 02:14:04,480
MEANINGFUL WAY TO MAKE LANGUAGE

3203
02:14:04,480 --> 02:14:09,720
TRANSLATION THE NORM RATHER THAN

3204
02:14:09,720 --> 02:14:17,480
EXCEPTION THE RESEARCH SPECIFIC

3205
02:14:17,480 --> 02:14:19,600
RECOMMENDATIONS WERE QUITE

3206
02:14:19,600 --> 02:14:22,000
INTERESTING TO REREAD BECAUSE IT

3207
02:14:22,000 --> 02:14:26,200
REALLY RECOMMENDED WE FOCUS ON

3208
02:14:26,200 --> 02:14:27,200
PROMISING INTERVENTION

3209
02:14:27,200 --> 02:14:29,800
STRATEGIES. I HEARD EARLIER

3210
02:14:29,800 --> 02:14:31,640
TODAY THAT THERE WAS INTEREST IN

3211
02:14:31,640 --> 02:14:33,840
REALLY UNDERSTANDING

3212
02:14:33,840 --> 02:14:36,040
INTERVENTIONS AND INTERVENTION

3213
02:14:36,040 --> 02:14:40,880
STRATEGIES. AMONG THIS GROUP. I

3214
02:14:40,880 --> 02:14:42,400
ENCOURAGE YOU TO RETHINK HOW WE

3215
02:14:42,400 --> 02:14:45,320
MIGHT DO THAT. THERE IS ANOTHER

3216
02:14:45,320 --> 02:14:47,320
SET OF ISSUE, AND THAT IS TO

3217
02:14:47,320 --> 02:14:50,680
CONDUCT RESEARCH ON ETHICAL

3218
02:14:50,680 --> 02:14:52,840
ISSUES AND OTHER BARRIERS ON

3219
02:14:52,840 --> 02:14:55,800
ELIMINATING DISPARITIES IN CARE 

3220
02:14:55,800 --> 02:14:56,960
I DON'T THINK WE HAVE DONE MUCH

3221
02:14:56,960 --> 02:15:00,960
IN THE WAY OF LOOKING AT ETHICAL

3222
02:15:00,960 --> 02:15:02,120
ISSUES. WE CLEARLY ARE LOOKING

3223
02:15:02,120 --> 02:15:07,560
AT BARRIER ISSUES CLEARLY NOT

3224
02:15:07,560 --> 02:15:08,560
ENOUGH UNDERSTANDING WHAT

3225
02:15:08,560 --> 02:15:09,920
SPECIFICALLY ARE THE BARRIERS

3226
02:15:09,920 --> 02:15:12,760
BEYOND THE ISSUES OF RESOURCE

3227
02:15:12,760 --> 02:15:13,680
ALLOCATION THAT AFFECT IN

3228
02:15:13,680 --> 02:15:22,520
IMMUNITIES.  NEXT SLIDE PLEASE. 

3229
02:15:22,520 --> 02:15:24,880
AT AHRQ WE TRY TO ADDRESS THESE

3230
02:15:24,880 --> 02:15:26,400
ISSUES IN THIS RESEARCH BY

3231
02:15:26,400 --> 02:15:28,480
HAVING A GOAL. I REALLY CHANGED

3232
02:15:28,480 --> 02:15:30,160
THE FOCUS OF AHRQ SINCE

3233
02:15:30,160 --> 02:15:33,600
ARRIVING, AWAY FROM SIMPLY BEING

3234
02:15:33,600 --> 02:15:36,320
PATIENT FOCUSED TO UNDERSTANDING

3235
02:15:36,320 --> 02:15:39,520
WE NEED TO RECOGNIZE THAT

3236
02:15:39,520 --> 02:15:41,400
RELATIONSHIP OF THE PATIENT AND

3237
02:15:41,400 --> 02:15:43,520
HEALTH PROFESSIONAL SO THE WELL

3238
02:15:43,520 --> 02:15:44,800
BEING OF THE HEALTH PROFESSIONAL

3239
02:15:44,800 --> 02:15:47,320
IS EXTREMELY IMPORTANT IF IN

3240
02:15:47,320 --> 02:15:50,880
FACT WE PROVIDE OPTIMAL CARE FOR

3241
02:15:50,880 --> 02:15:53,320
PATIENTS. I THINK THE PANDEMIC

3242
02:15:53,320 --> 02:15:56,480
HAS MADE THAT EXCEEDINGLY CLEAR 

3243
02:15:56,480 --> 02:15:58,080
AT LEAST EXCEEDINGLY CLAIRE

3244
02:15:58,080 --> 02:16:00,160
CLEAR TO ME MANY MY PERSONAL

3245
02:16:00,160 --> 02:16:01,000
EXPERIENCE NEW MEXICO, AND

3246
02:16:01,000 --> 02:16:02,800
WORKING WITH MY COLLEAGUES

3247
02:16:02,800 --> 02:16:06,880
DURING COURSE OF THE PANDEMIC. 

3248
02:16:06,880 --> 02:16:09,560
MANY WHOM HADN'T BEEN MT.

3249
02:16:09,560 --> 02:16:11,920
HOSPITAL IN AGES AND FOUND

3250
02:16:11,920 --> 02:16:14,640
THEMSELVES BECOME HOSPITALLISTS

3251
02:16:14,640 --> 02:16:16,080
WHILE THOSE WHO DIDN'T HAVE

3252
02:16:16,080 --> 02:16:17,520
CLINICAL RESPONSIBILITIES OR WHO

3253
02:16:17,520 --> 02:16:21,360
HAD OTHER RESPONSIBILITIES TAKE

3254
02:16:21,360 --> 02:16:23,720
UP TEACHING RESPONSIBILITIES AND

3255
02:16:23,720 --> 02:16:25,320
ADMINISTRATIVE GOALS. BUT IT WAS

3256
02:16:25,320 --> 02:16:28,560
CLEAR THAT THE -- THEIR WORKING

3257
02:16:28,560 --> 02:16:29,960
EXPERIENCE TAKEN INTO ACCOUNT IN

3258
02:16:29,960 --> 02:16:32,200
ORDER FOR THEM TO PROVIDES HIGH

3259
02:16:32,200 --> 02:16:33,800
QUALITY CARE AS WAS EXPECTD BY

3260
02:16:33,800 --> 02:16:38,520
THE PATIENTS AND BY MY

3261
02:16:38,520 --> 02:16:40,840
COLLEAGUES. AT AHRQ WE GO ABOUT

3262
02:16:40,840 --> 02:16:42,440
OUR WORK THROUGH AN EFFORT TO

3263
02:16:42,440 --> 02:16:44,720
LOOK AT HEALTH SYSTEMS RESEARCH

3264
02:16:44,720 --> 02:16:47,680
ISSUES AROUND PRACTICE

3265
02:16:47,680 --> 02:16:49,320
IMPROVEMENT AND COLLECTION OF

3266
02:16:49,320 --> 02:16:51,400
DATA AND DEVELOPMENT OF NEW

3267
02:16:51,400 --> 02:16:52,760
ANALYTICS FOR UNDERSTANDING

3268
02:16:52,760 --> 02:16:56,520
THOSE DATA AND TURNING THAT DATA

3269
02:16:56,520 --> 02:16:57,360
INTO INFORMATION. NEXT SLIDE

3270
02:16:57,360 --> 02:17:05,760
PLEASE.  COUPLE OF ILLUSTRATIONS

3271
02:17:05,760 --> 02:17:08,840
DONE AT AHRQ TRYING TO RESPOND

3272
02:17:08,840 --> 02:17:12,920
TO THIS IOM REPORT. SOME OF THE

3273
02:17:12,920 --> 02:17:14,000
FINDINGS THAT DRIVE US TO

3274
02:17:14,000 --> 02:17:18,360
CONTINUE TO DO MORE OF THIS WORK

3275
02:17:18,360 --> 02:17:21,000
NOT ONLY ON THEIR OWN BUT IN

3276
02:17:21,000 --> 02:17:22,800
PARTNERSHIP WITH NIH AND CDC AND

3277
02:17:22,800 --> 02:17:26,280
OTHER AGENCIES IN THE FEDERAL

3278
02:17:26,280 --> 02:17:27,960
GOVERNMENT. OTHER DEPARTMENTS

3279
02:17:27,960 --> 02:17:31,000
HONESTLY. TODAY ONE OF THE

3280
02:17:31,000 --> 02:17:32,520
BIGGEST INVESTORS IN RURAL

3281
02:17:32,520 --> 02:17:35,240
HEALTHCARE IS DEPARTMENT OF

3282
02:17:35,240 --> 02:17:38,160
AGRICULTURE WHO HAS SECRETARY

3283
02:17:38,160 --> 02:17:40,960
WHO DECIDED THE RESPONSE TO

3284
02:17:40,960 --> 02:17:42,680
PANDEMIC REQUIRES REAL

3285
02:17:42,680 --> 02:17:45,680
INVESTMENT IN RURAL HEALTHCARE. 

3286
02:17:45,680 --> 02:17:46,720
AND HEALTHCARE SYSTEMS. NEXT

3287
02:17:46,720 --> 02:17:51,840
SLIDE PLEASE.  THESE ARE OUR

3288
02:17:51,840 --> 02:17:55,120
FUNDING ANNOUNCEMENTS ON THE

3289
02:17:55,120 --> 02:17:56,640
RESEARCH SIDE AND ONE OF THE

3290
02:17:56,640 --> 02:17:58,480
REASONS PEOPLE DON'T KNOW AHRQ

3291
02:17:58,480 --> 02:18:00,240
EXISTS IS MANY FUNDING

3292
02:18:00,240 --> 02:18:02,280
ANNOUNCEMENTS COME OUTLOOKING AS

3293
02:18:02,280 --> 02:18:04,320
IF THEY ARE NIH GRANTS SO MANY

3294
02:18:04,320 --> 02:18:08,840
OF OUR GRANTEES HAVE NO CLUE

3295
02:18:08,840 --> 02:18:11,960
FUNDED BY AHRQ IN LARGE PART WE

3296
02:18:11,960 --> 02:18:13,360
PURCHASE THE FUNDING

3297
02:18:13,360 --> 02:18:16,200
ANNOUNCEMENT FUNDING PROCESS

3298
02:18:16,200 --> 02:18:24,600
THAT NIH DOES SO WELL. SOME OF

3299
02:18:24,600 --> 02:18:25,920
THE WORK WE ARE DOING IN

3300
02:18:25,920 --> 02:18:28,520
RESPONSE TO THE PRESIDENT

3301
02:18:28,520 --> 02:18:29,280
INITIATIVE AND PARTICULARLY

3302
02:18:29,280 --> 02:18:32,200
FOCUS ON CLIMATE CHANGE, LOOKING

3303
02:18:32,200 --> 02:18:34,000
AT THE STRESSES AND STRAINS OUR

3304
02:18:34,000 --> 02:18:35,240
HEALTH SYSTEMS EXPERIENCE AS A

3305
02:18:35,240 --> 02:18:36,600
RESULT OF CLIMATE CHANGE ISSUES

3306
02:18:36,600 --> 02:18:39,520
AND THIS ONE EXAMPLE OF A REPORT

3307
02:18:39,520 --> 02:18:43,200
WE PUT OUTLOOKING AT CHIEF

3308
02:18:43,200 --> 02:18:43,840
RELATED EMERGENCY DEPARTMENT

3309
02:18:43,840 --> 02:18:52,320
VISITS.  MUCH OF THE WORK THAT

3310
02:18:52,320 --> 02:18:56,320
WE DO AT AHRQ IS CONSOLIDATING

3311
02:18:56,320 --> 02:18:57,320
SIFTING THROUGH MANY STUDIES

3312
02:18:57,320 --> 02:19:00,320
THAT ARE DONE ACROSS THE COUNTRY

3313
02:19:00,320 --> 02:19:01,640
AND AROUND THE GLOBE AROUND

3314
02:19:01,640 --> 02:19:04,120
PARTICULAR SETS OF ISSUES AND

3315
02:19:04,120 --> 02:19:07,880
CONCERNS. THIS PARTICULAR

3316
02:19:07,880 --> 02:19:09,680
KNOWLEDGE PIECE COMPARATIVE

3317
02:19:09,680 --> 02:19:11,440
EFFECTIVENESS REVIEW IS FOCUSED

3318
02:19:11,440 --> 02:19:13,760
ON PREVENTIVE SERVICES FOR

3319
02:19:13,760 --> 02:19:16,640
ADULTS. AND NEEDLESS TO SAY MANY

3320
02:19:16,640 --> 02:19:19,720
OF OUR COMMUNITY MEMBERS DO NOT

3321
02:19:19,720 --> 02:19:23,280
GET ALL THE RECOMMENDED

3322
02:19:23,280 --> 02:19:28,240
PREVENTIVE SERVICES THAT

3323
02:19:28,240 --> 02:19:31,200
PREVENTIVE TASK FORCE HAS MADE

3324
02:19:31,200 --> 02:19:32,800
MANNEDTORY AND COVERED UNDER

3325
02:19:32,800 --> 02:19:34,080
HEALTH INSURANCE PROGRAMS AS A

3326
02:19:34,080 --> 02:19:36,240
RESULT OF AFFORDABLE CARE ACT. 

3327
02:19:36,240 --> 02:19:40,840
NEXT SLIDE PLEASE.  AS I SAID WE

3328
02:19:40,840 --> 02:19:45,920
FOCUS ON PRACTICE RECRUITMENT

3329
02:19:45,920 --> 02:19:49,800
AND -- WE HAVE BEEN LOOKING AT

3330
02:19:49,800 --> 02:19:52,080
DIAGNOSTIC AREA IN PARTICULAR,

3331
02:19:52,080 --> 02:19:54,120
AND THIS PARTICULAR STUDY IS AN

3332
02:19:54,120 --> 02:19:56,240
EXAMPLE OF AN AREA THAT HAS

3333
02:19:56,240 --> 02:20:01,400
CAUGHT A LOT OF ATTENTION, WE

3334
02:20:01,400 --> 02:20:03,000
HAVE ASP DNA AMERICAN MATERNAL

3335
02:20:03,000 --> 02:20:06,320
MORTALITY AT UNBELIEVABLY HIGH

3336
02:20:06,320 --> 02:20:09,280
RATES AND IN MY TRAINING, AND IN

3337
02:20:09,280 --> 02:20:10,200
PUBLIC HEALTH WAY BACK MANY THE

3338
02:20:10,200 --> 02:20:18,640
DAY.  THAT SIGNAL SYSTEMS

3339
02:20:18,640 --> 02:20:20,840
PROBLEMS. MANY FOLKS LOOK AT THE

3340
02:20:20,840 --> 02:20:21,760
INDIVIDUAL AS MAYBE THE

3341
02:20:21,760 --> 02:20:24,800
INDIVIDUAL HAS AN ISSUE OR

3342
02:20:24,800 --> 02:20:28,240
PROBLEM. AT LEAST IN MY

3343
02:20:28,240 --> 02:20:30,400
EXPERIENCE NATIONALLY ABOUT NOW,

3344
02:20:30,400 --> 02:20:32,200
IT IS CLEARLY A SIGNAL THAT OUR

3345
02:20:32,200 --> 02:20:40,680
HEALTHCARE SYSTEMS ARE FAILING. 

3346
02:20:40,680 --> 02:20:42,880
WE DO COMPARATIVE EFFECTIVENESS

3347
02:20:42,880 --> 02:20:45,480
REVIEWS, IN THIS PARTICULAR

3348
02:20:45,480 --> 02:20:46,640
REVIEW WHICH WE DID DEPARTMENT

3349
02:20:46,640 --> 02:20:48,840
OF AGRICULTURE WE ILLUSTRATED

3350
02:20:48,840 --> 02:20:51,680
THE IMPORTANCE OF WIC FOR

3351
02:20:51,680 --> 02:20:53,920
NUTRITION OF WOMEN AND CHILDREN.

3352
02:20:53,920 --> 02:20:59,960
NOT ONLY DOES WIC SUPPORT THE

3353
02:20:59,960 --> 02:21:00,960
WELL BEING OF CHILDREN AS

3354
02:21:00,960 --> 02:21:02,560
EXPECTED TO DO BUT ALSO HAS A

3355
02:21:02,560 --> 02:21:06,600
GREAT EFFECT ON MATERNAL HEALTH

3356
02:21:06,600 --> 02:21:13,640
OUTCOMES. WE HAVE BEEN LOOKING

3357
02:21:13,640 --> 02:21:16,400
AT ALSO ISSUES AROUND CANCER AS

3358
02:21:16,400 --> 02:21:18,280
A RESULT OF THE PRESIDENT'S

3359
02:21:18,280 --> 02:21:20,120
CANCER MOON SHOT INITIATIVES AND

3360
02:21:20,120 --> 02:21:21,800
THIS IS AN EFFORT TO LOOK AT

3361
02:21:21,800 --> 02:21:24,120
CHILD KAREN SURVIVORSHIP. IT IS

3362
02:21:24,120 --> 02:21:27,840
CLEAR THAT THOSE CHILDREN WHO

3363
02:21:27,840 --> 02:21:29,320
SURVIVE CANCER DON'T DO AS WELL

3364
02:21:29,320 --> 02:21:34,160
AND VARIETY OF OTHER DIMENSIONS

3365
02:21:34,160 --> 02:21:35,760
THAT WE WANT OR EXPECT CHILDREN

3366
02:21:35,760 --> 02:21:37,320
TO SUCCEED IN SO GREAT

3367
02:21:37,320 --> 02:21:39,080
OPPORTUNITIES FOR US TO IMPROVE

3368
02:21:39,080 --> 02:21:43,160
LIVES CHILDREN SURVIVE CANCER.

3369
02:21:43,160 --> 02:21:47,440
NEXT SLIDE PLEASE. THIS IS

3370
02:21:47,440 --> 02:21:50,120
SOMETHING WAS EXCITING. I WAS

3371
02:21:50,120 --> 02:21:53,760
DEALING WITH WHEN I JOINED AHRQ

3372
02:21:53,760 --> 02:21:55,520
THREE MONTHS AGO I WAS DEALING

3373
02:21:55,520 --> 02:22:00,440
WITH MY MOTHERS CANCER. I USED

3374
02:22:00,440 --> 02:22:03,320
TO TAKE HER TO ONCOLOGIST EVERY

3375
02:22:03,320 --> 02:22:05,200
TIME BEFORE WE WENT TO HER

3376
02:22:05,200 --> 02:22:08,840
ONCOLOGY VISIT WE SIT DOWN AT

3377
02:22:08,840 --> 02:22:10,960
KITCHEN TABLE AND JOT DOWN ON

3378
02:22:10,960 --> 02:22:14,640
PIECE OF PAPER SOMEWHERE WHAT

3379
02:22:14,640 --> 02:22:16,480
WERE THOSE QUESTIONS WHAT WERE

3380
02:22:16,480 --> 02:22:19,320
ISSUES THAT MY MOM WANTED TO ASK

3381
02:22:19,320 --> 02:22:22,120
HER ONCOLOGIST. WHAT IS IT SHE

3382
02:22:22,120 --> 02:22:25,720
NEEDED TO KNOW TO FEEL BETTER

3383
02:22:25,720 --> 02:22:26,640
ABOUT THE TREATMENT SHE WAS

3384
02:22:26,640 --> 02:22:28,480
RECEIVING ABOUT PROCEDURES SHE

3385
02:22:28,480 --> 02:22:30,920
SHOULD BE FOLLOWING AT HOME. I

3386
02:22:30,920 --> 02:22:32,080
WASN'T HOME WITH HER MOST OF THE

3387
02:22:32,080 --> 02:22:34,160
TIME, I WAS IN ALBUQUERQUE AND

3388
02:22:34,160 --> 02:22:37,440
SHE LIVED IN SAN ANTONIO SO I

3389
02:22:37,440 --> 02:22:41,080
WOULD DRIVE DOWN A 12 HOUR

3390
02:22:41,080 --> 02:22:42,560
DRIVE, TO TAKE HER TO HER

3391
02:22:42,560 --> 02:22:47,040
ONCOLOGY VISITS. AND SO WE WOULD

3392
02:22:47,040 --> 02:22:49,680
WRITE THESE THINGS DOWN BUT

3393
02:22:49,680 --> 02:22:51,120
SOMETIMES WE WOULD BE DOING IT

3394
02:22:51,120 --> 02:22:53,920
ON THE TELEPHONE THE WEEKEND

3395
02:22:53,920 --> 02:22:56,400
BEFORE, BEFORE I WAS DRIVING

3396
02:22:56,400 --> 02:22:57,920
OFF, AND MY MOM WOULD FIND

3397
02:22:57,920 --> 02:22:59,400
LITTLE PIECES OF PAPER WHEN I

3398
02:22:59,400 --> 02:23:01,600
GOT THERE. THIS PARTICULAR

3399
02:23:01,600 --> 02:23:04,400
LITTLE DEVICE WHICH GOES ON YOUR

3400
02:23:04,400 --> 02:23:08,400
SMART PHONE WAS GREAT WAY OF

3401
02:23:08,400 --> 02:23:09,920
BUILDING THE QUESTIONS THE

3402
02:23:09,920 --> 02:23:13,160
PATIENTS NEED ANSWERED AIDS AS

3403
02:23:13,160 --> 02:23:16,320
THEY GO CLINICIANS.  IT IS A

3404
02:23:16,320 --> 02:23:18,520
GREAT REMINDER, GREAT TOOL. ONE

3405
02:23:18,520 --> 02:23:21,960
OF THE HOTTEST TOOLS ON APPLE

3406
02:23:21,960 --> 02:23:27,840
APPS ONE OF THE TOP DOWNLOADS

3407
02:23:27,840 --> 02:23:35,440
NEXT SLIDE PLEASE.  MUCH OF OUR

3408
02:23:35,440 --> 02:23:38,520
WORK IS DONE ALSO COLLECTING

3409
02:23:38,520 --> 02:23:40,280
DATA AND ANALYZING IT AND MAKING

3410
02:23:40,280 --> 02:23:41,720
AVAILABLE FOR DECISION MAKERS

3411
02:23:41,720 --> 02:23:47,000
AND CLINICIANS TO USE AS WELL AS

3412
02:23:47,000 --> 02:23:49,640
OTHERS. WE PUT OUT THE NATIONAL

3413
02:23:49,640 --> 02:23:51,000
HEALTHCARE QUALITY AND

3414
02:23:51,000 --> 02:23:53,360
DISPARITIES REPORT ON AN ANNUAL

3415
02:23:53,360 --> 02:23:56,200
BASIS IN ORDER TO KEEP TRACK OF

3416
02:23:56,200 --> 02:23:58,840
THE KIND OF HEALTHCARE

3417
02:23:58,840 --> 02:24:00,840
EXPERIENCE AND OUTCOMES THE

3418
02:24:00,840 --> 02:24:02,440
AMERICAN PUBLIC EXPERIENCES,

3419
02:24:02,440 --> 02:24:04,240
WITH A SPECIAL FOCUS ON HOW

3420
02:24:04,240 --> 02:24:07,160
RACIAL ETHNIC MINORITIES GROUPS

3421
02:24:07,160 --> 02:24:10,400
EXPERIENCE THE HEALTHCARE

3422
02:24:10,400 --> 02:24:13,120
SYSTEM. NEEDLESS TO SAY MORE

3423
02:24:13,120 --> 02:24:17,240
THAN HALF OF THE QUALITY

3424
02:24:17,240 --> 02:24:18,680
INDICATORS HAVEN'T MOVED AN INCH

3425
02:24:18,680 --> 02:24:21,240
FOR RACIAL ETHNIC COMMUNITIES,

3426
02:24:21,240 --> 02:24:23,760
IN FACT SOME HAVE IMPROVE BUD

3427
02:24:23,760 --> 02:24:25,640
THE VAST MAJORITY STAYED THE

3428
02:24:25,640 --> 02:24:28,600
SAME OR GOTTEN WORSE

3429
02:24:28,600 --> 02:24:30,400
PARTICULARLY DURING THE COURSE

3430
02:24:30,400 --> 02:24:31,360
OF THE PANDEMIC. NEXT SLIDE

3431
02:24:31,360 --> 02:24:36,880
PLEASE.  WE USE A NUMBER OF

3432
02:24:36,880 --> 02:24:42,840
ANALYTIC TOOLS TO LOOK AT THE

3433
02:24:42,840 --> 02:24:44,680
EXPERIENCE AMERICAN PUBLIC. THIS

3434
02:24:44,680 --> 02:24:47,880
IS A STUDY THAT WAS DONE

3435
02:24:47,880 --> 02:24:50,400
INTERNALLY LOOKING AT

3436
02:24:50,400 --> 02:24:51,760
HOSPITALIZATIONS AND HOSPITAL

3437
02:24:51,760 --> 02:24:54,920
DEATHS BY RACE AND ETHNICITY

3438
02:24:54,920 --> 02:24:57,120
BOTH BEFORE PANDEMIC AND AFTER

3439
02:24:57,120 --> 02:24:59,880
THE PANDEMIC. WHAT YOU CAN SEE

3440
02:24:59,880 --> 02:25:03,200
IS THAT THE THERE IS A GREAT

3441
02:25:03,200 --> 02:25:07,240
CHANGE IN HOSPITALIZATIONS AND

3442
02:25:07,240 --> 02:25:11,880
AS WELL AS MORTALITY WITH A

3443
02:25:11,880 --> 02:25:13,840
GREATER MORTALITY AMONG RACIAL

3444
02:25:13,840 --> 02:25:15,320
ETHNIC COMMUNITIES, THAT IS NOT

3445
02:25:15,320 --> 02:25:18,440
A SURPRISE BUT IT IS ANOTHER

3446
02:25:18,440 --> 02:25:20,760
INDICATION OF THE -- OF THE

3447
02:25:20,760 --> 02:25:21,720
EXPERIENCE OUR COMMUNITIES HAD

3448
02:25:21,720 --> 02:25:24,040
DURING THE COURSE OF THE

3449
02:25:24,040 --> 02:25:28,640
PANDEMIC. NEXT SLIDE PLEASE.  

3450
02:25:28,640 --> 02:25:30,640
THIS IS AGAIN ANOTHER LOOK USING

3451
02:25:30,640 --> 02:25:33,960
A DIFFERENT DATA SET LOOKING AT

3452
02:25:33,960 --> 02:25:36,000
MEPS RESEARCH THAT LOOKS AT THE

3453
02:25:36,000 --> 02:25:36,720
IMPORTANCE OF SOCIAL

3454
02:25:36,720 --> 02:25:38,600
DETERMINANTS OF HEALTH. FOR

3455
02:25:38,600 --> 02:25:41,520
THOSE WHO WERE ENGAGED IN

3456
02:25:41,520 --> 02:25:42,800
RESEARCH AND NEED ACCESS TO

3457
02:25:42,800 --> 02:25:44,560
SOCIAL DETERMINANTS OF HEALTH

3458
02:25:44,560 --> 02:25:47,040
DATA AHRQ IS RELEASING A SOCIAL

3459
02:25:47,040 --> 02:25:49,960
DETERMINANTS OF HEALTH DATA SET

3460
02:25:49,960 --> 02:25:54,200
LINKABLE TO MOST DATA SETS

3461
02:25:54,200 --> 02:25:58,600
AVAILABLE STATE AND NATIONAL

3462
02:25:58,600 --> 02:26:01,560
LEVEL DATA ON HEALTH AND

3463
02:26:01,560 --> 02:26:03,400
HEALTHCARE USE SO THE SOCIAL

3464
02:26:03,400 --> 02:26:04,560
DETERMINANTS OF HEALTH DATA IS

3465
02:26:04,560 --> 02:26:07,600
AN ATTEMPT TO TRY TO POOL IN A

3466
02:26:07,600 --> 02:26:08,680
SYSTEMATIC KIND OF WAY THE

3467
02:26:08,680 --> 02:26:10,040
INFORMATION THAT IS NEEDED AT

3468
02:26:10,040 --> 02:26:13,680
THE LOCAL AND INSTITUTE LEVEL TO

3469
02:26:13,680 --> 02:26:15,880
DO THIS RESEARCH. NEXT SLIDE

3470
02:26:15,880 --> 02:26:23,200
PLEASE.  THIS IS ANOTHER AREA

3471
02:26:23,200 --> 02:26:25,960
GREAT IMPORTANCE TO THE -- THE

3472
02:26:25,960 --> 02:26:29,440
OPIOID CRISIS, THIS IS WORK DONE

3473
02:26:29,440 --> 02:26:32,000
TO LOOK AT NON-ELDERLY ADULTS

3474
02:26:32,000 --> 02:26:35,520
FILL PRESCRIPTIONS AND WHO THEY

3475
02:26:35,520 --> 02:26:38,320
HAPPEN TO BE. THIS IS A CLEAR

3476
02:26:38,320 --> 02:26:40,040
SIGNAL OF WHAT WE HAVE KNOWN FOR

3477
02:26:40,040 --> 02:26:42,320
SOME YEARS THE OPIOID CRISIS IS

3478
02:26:42,320 --> 02:26:45,040
LARGELY NOT BEEN A CRISIS OF

3479
02:26:45,040 --> 02:26:48,640
ETHNIC MINORITIES AS WAS ASSUMED

3480
02:26:48,640 --> 02:26:50,040
BY THE MEDIA AND BY MANY

3481
02:26:50,040 --> 02:26:55,000
DECISION MAKERS EARLY ON CRISIS.

3482
02:26:55,000 --> 02:26:58,840
NEXT SLIDE PLEASE.  THIS

3483
02:26:58,840 --> 02:27:00,520
PANDEMIC IS REALLY UNDERSCORED

3484
02:27:00,520 --> 02:27:05,240
THE URGENCY OF THE WORK AHRQ IS

3485
02:27:05,240 --> 02:27:07,400
DOING AROUND MAKING HEALTHCARE

3486
02:27:07,400 --> 02:27:09,240
SAFER AND HIGHER QUALITY, IN

3487
02:27:09,240 --> 02:27:12,280
FACT ON THE QUALITY SIDE PATIENT

3488
02:27:12,280 --> 02:27:18,080
SAFETY DECLINED TREMENDOUSLY.

3489
02:27:18,080 --> 02:27:21,040
SINCE IT BEGAN ALL THE SUCCESS

3490
02:27:21,040 --> 02:27:23,040
WE HAD IN THE FIVE PREVIOUS

3491
02:27:23,040 --> 02:27:24,360
YEARS ON PATIENT SAFETY HAVE

3492
02:27:24,360 --> 02:27:27,080
BEEN ERASED IN THE LAST TWO

3493
02:27:27,080 --> 02:27:29,000
YEARS AS A RESULT OF THE

3494
02:27:29,000 --> 02:27:32,560
PANDEMIC SO WE FIND OURSELVES IN

3495
02:27:32,560 --> 02:27:35,360
A HEALTHCARE SYSTEM THAT IS TA

3496
02:27:35,360 --> 02:27:36,920
TEARED AND ATTORNEY AND -- AT

3497
02:27:36,920 --> 02:27:38,120
THAT TIME TEARED AND ATTORNEY

3498
02:27:38,120 --> 02:27:41,840
AND NEEDS OUR ATTENTION. 

3499
02:27:41,840 --> 02:27:44,800
COLLABORATION IN BOTH HEALTHCARE

3500
02:27:44,800 --> 02:27:48,440
SPHERE TO SUCCEED IN ELIMINATING

3501
02:27:48,440 --> 02:27:50,440
BOTH HEALTHCARE DISPARITIES AND

3502
02:27:50,440 --> 02:27:52,480
HEALTH DISPARITIES IS SOMETHING

3503
02:27:52,480 --> 02:27:54,040
THAT I HAVE BEEN LOOKING FORWARD

3504
02:27:54,040 --> 02:28:00,240
TO BECAUSE HAVING DR.

3505
02:28:00,240 --> 02:28:02,960
PEREZ-STABLE AT NIMH, A NATURAL

3506
02:28:02,960 --> 02:28:04,680
PARTNERSHIP WITH AHRQ AND YOUR

3507
02:28:04,680 --> 02:28:07,680
AGENCY, I LOOK FORWARD TO TRYING

3508
02:28:07,680 --> 02:28:10,080
TO WORK TO END STRUCTURAL RACISM

3509
02:28:10,080 --> 02:28:12,360
THAT AFFECTS THE HEALTHCARE

3510
02:28:12,360 --> 02:28:14,800
PEOPLE RECEIVE, TO IMPROVE NOT

3511
02:28:14,800 --> 02:28:17,240
ONLY HEALTHCARE BUT THE HEALTH

3512
02:28:17,240 --> 02:28:19,160
OF ALL OUR COMMUNITIES. SO THANK

3513
02:28:19,160 --> 02:28:21,720
YOU VERY MUCH FOR GIVING ME THE

3514
02:28:21,720 --> 02:28:25,600
TIME TO REMIND YOU OF 20TH

3515
02:28:25,600 --> 02:28:27,480
ANNIVERSARY OF UNEQUAL TREATMENT

3516
02:28:27,480 --> 02:28:31,480
AND ENCOURAGE YOU TO READ IT, IT

3517
02:28:31,480 --> 02:28:34,880
WILL ALSO PROVIDE YOU WITH THE

3518
02:28:34,880 --> 02:28:36,640
KINDS OF RECOGNITION OF THE KIND

3519
02:28:36,640 --> 02:28:38,080
OF WORK YOU HAVE DONE THE LAST

3520
02:28:38,080 --> 02:28:40,720
20 YEARS TO ELIMINATE THOSE

3521
02:28:40,720 --> 02:28:45,720
DISPARITIES.  THANK YOU.

3522
02:28:45,720 --> 02:28:48,680
>> THANK YOU SO MUCH, BOB.
I

3523
02:28:48,680 --> 02:28:51,320
THINK APROPOS TO THE 20TH

3524
02:28:51,320 --> 02:28:53,320
ANNIVERSARY I HIGHLIGHT THE

3525
02:28:53,320 --> 02:28:56,600
REPORT AT THE TIME HAD LIMITED

3526
02:28:56,600 --> 02:29:00,040
DATA ON NON-AFRICAN AMERICAN

3527
02:29:00,040 --> 02:29:02,720
DISPARITIES. WAY BACK WHEN I DID

3528
02:29:02,720 --> 02:29:04,320
READ THE REPORT OR WENT THROUGH

3529
02:29:04,320 --> 02:29:07,000
IT FAIRLY THOROUGHLY I FOUND ALL

3530
02:29:07,000 --> 02:29:10,480
THE LATINO DATA IN A

3531
02:29:10,480 --> 02:29:12,880
SUPPLEMENTAL CD THAT WAS WITH

3532
02:29:12,880 --> 02:29:17,280
THE BOOK. .  THAT WAS SORT OF

3533
02:29:17,280 --> 02:29:18,680
REFLECTION OF THE TIME, I

3534
02:29:18,680 --> 02:29:22,440
SUPPOSE NOW BE DOWNLOADABLE AS

3535
02:29:22,440 --> 02:29:26,680
SUPPLEMENT FROM PDF. LET ME ASK

3536
02:29:26,680 --> 02:29:29,920
YOU TWO QUESTIONS CONSTANTLY

3537
02:29:29,920 --> 02:29:32,280
BEING BROUGHT UP AT NIH THAT WE

3538
02:29:32,280 --> 02:29:36,720
ARE IN THE MIDDLE OF, ONE IS --

3539
02:29:36,720 --> 02:29:39,160
WHAT IS THE DIVERSITY RACE

3540
02:29:39,160 --> 02:29:40,680
ETHNIC DISABILITY SOCIOECONOMIC

3541
02:29:40,680 --> 02:29:45,520
STATUS OF THE WORK FORCE YOU

3542
02:29:45,520 --> 02:29:48,200
FUND? PRINCIPLE INVESTIGATORS OF

3543
02:29:48,200 --> 02:29:50,080
THE GRANTS AHRQ FUNDS? YOU SAID

3544
02:29:50,080 --> 02:29:52,160
YOU ARE SMALL AND I CERTAINLY

3545
02:29:52,160 --> 02:29:55,720
KNOW ABOUT AHRQ, FROM ITS

3546
02:29:55,720 --> 02:29:56,960
BEGINNING, THEY FUNDED A CENTER

3547
02:29:56,960 --> 02:29:59,200
AT UCSF ON DISPARITIES BEFORE IT

3548
02:29:59,200 --> 02:30:01,480
WAS AHRQ WHEN IT WAS CALLED

3549
02:30:01,480 --> 02:30:04,920
H,CPR. -- HCPR. THAT IS ONE

3550
02:30:04,920 --> 02:30:07,720
QUESTION, THE PARALLEL QUESTION

3551
02:30:07,720 --> 02:30:11,000
IS HOW MANY -- WHAT DOES AHRQ DO

3552
02:30:11,000 --> 02:30:14,720
TO FUND THE LESS RESOURCE

3553
02:30:14,720 --> 02:30:15,480
INSTITUTIONS, PARTICULARLY

3554
02:30:15,480 --> 02:30:19,720
MINORITY SERVING OR HBCUs BUT

3555
02:30:19,720 --> 02:30:26,760
NOT THE GORILLAS IN THE -- THE

3556
02:30:26,760 --> 02:30:28,720
BIG INSTITUTIONS GET BULK OF NIH

3557
02:30:28,720 --> 02:30:29,160
FUNDING.

3558
02:30:29,160 --> 02:30:32,560
>> I THINK WE HAVE THE
SAME

3559
02:30:32,560 --> 02:30:37,640
EXPERIENCE AT NIH HAS, THAT IS

3560
02:30:37,640 --> 02:30:43,720
TOO FEW RACIAL -- HISTORICALLY

3561
02:30:43,720 --> 02:30:48,000
MINORITY RESEARCHERS FUNDED AT

3562
02:30:48,000 --> 02:30:54,960
AHRQ AND WE ALSO HAVE VAST

3563
02:30:54,960 --> 02:30:57,240
MAJORITY OF FUNDING DOMINATED BY

3564
02:30:57,240 --> 02:31:02,320
BIGGER ORGANIZATIONS THOUGH AHRQ

3565
02:31:02,320 --> 02:31:04,680
HAS DONE A NICE JOB OF REACHING

3566
02:31:04,680 --> 02:31:07,960
THE MIDDLE OF THE COUNTRY MUCH

3567
02:31:07,960 --> 02:31:10,960
MORE SO THAN MUCH -- MANY OF THE

3568
02:31:10,960 --> 02:31:13,720
NIH INSTITUTES. THERE IS A

3569
02:31:13,720 --> 02:31:14,680
CONSCIOUS EFFORT PARTICULARLY

3570
02:31:14,680 --> 02:31:18,280
OVER THE LAST DECADE, WITH NOT

3571
02:31:18,280 --> 02:31:20,360
ONLY RESEARCH PROGRAMS BUT ALSO

3572
02:31:20,360 --> 02:31:23,320
SOME OF ITS PROGRAMMATIC

3573
02:31:23,320 --> 02:31:24,960
ACTIVITIES. TO REACH INTO THE

3574
02:31:24,960 --> 02:31:30,080
MIDDLE OF THE COUNTRY.  AM I

3575
02:31:30,080 --> 02:31:32,840
SATISFIED? I CAN TELL YOU I

3576
02:31:32,840 --> 02:31:36,880
SIGNED OFF ON A DOCUMENT FOR

3577
02:31:36,880 --> 02:31:38,560
MEMBERS OF COMMITTEE WHERE THERE

3578
02:31:38,560 --> 02:31:40,520
CLEARLY WASN'T ENOUGH DIVERSITY

3579
02:31:40,520 --> 02:31:46,240
IN THAT COMMITTEE. I'M PUTTING

3580
02:31:46,240 --> 02:31:48,600
IN PLACE SOME EFFORTS TO TRY TO

3581
02:31:48,600 --> 02:31:52,600
MAKE OUR RESEARCHERS MORE

3582
02:31:52,600 --> 02:31:54,520
VISIBLE MORE ACTIVE WE HAVE A

3583
02:31:54,520 --> 02:31:56,640
NEW PCORI INITIATIVE WHICH IS

3584
02:31:56,640 --> 02:32:02,920
JUST GETTING UNDERWAY THIS JUNE.

3585
02:32:02,920 --> 02:32:04,120
THAT AS A RESULT OF COMING ON

3586
02:32:04,120 --> 02:32:06,760
BOARD IN FEBRUARY, I WAS ABLE TO

3587
02:32:06,760 --> 02:32:10,360
CHANGE COMPOSITION OF THE GROUPS

3588
02:32:10,360 --> 02:32:13,600
THAT WE HAVE NOW MUCH MORE

3589
02:32:13,600 --> 02:32:17,240
REPRESENTATIVE GROUP OF SCHOLARS

3590
02:32:17,240 --> 02:32:18,400
HELPING LEAD STRATEGIC PLANNING

3591
02:32:18,400 --> 02:32:21,240
AROUND THAT PCORI WORK.

3592
02:32:21,240 --> 02:32:22,960
>> THERE ARE NUMBER OF
QUESTIONS

3593
02:32:22,960 --> 02:32:25,360
LINED UP. I WILL START WITH DON

3594
02:32:25,360 --> 02:32:29,320
SHELL.

3595
02:32:29,320 --> 02:32:31,680
>> THANK YOU, SIR. COME
OFF

3596
02:32:31,680 --> 02:32:34,080
MUTE. GREAT PRESENTATION, I

3597
02:32:34,080 --> 02:32:36,800
APPRECIATE THE WEALTH OF

3598
02:32:36,800 --> 02:32:37,520
INFORMATION AND YOU ARE

3599
02:32:37,520 --> 02:32:40,240
PRESENTATION MADE ME THINK ABOUT

3600
02:32:40,240 --> 02:32:42,160
ARE YOU AWAR OF COMPARISONS

3601
02:32:42,160 --> 02:32:45,760
BETWEEN SIMILARITIES RACE AND/OR

3602
02:32:45,760 --> 02:32:47,400
ETHNIC SIMILARITIES OF PROVIDERS

3603
02:32:47,400 --> 02:32:50,160
WITH YOUR PATIENTS? THUS HAVE

3604
02:32:50,160 --> 02:32:54,520
ANY IMPACT ON OUTCOMES?

3605
02:32:54,520 --> 02:32:55,640
SPARSE DISPARITIES THAT I HAVE

3606
02:32:55,640 --> 02:32:58,120
SEEN? INTERESTING THOUGHTS ON

3607
02:32:58,120 --> 02:32:59,160
THAT. WHETHER OR NOT ANY

3608
02:32:59,160 --> 02:33:02,240
COMPARISONS ON IF YOU ARE AWARE

3609
02:33:02,240 --> 02:33:05,040
OF SIMILARITY THRENE BETWEEN

3610
02:33:05,040 --> 02:33:11,520
PROKPROVIDER, AND RACIAL ETHNIC

3611
02:33:11,520 --> 02:33:11,840
(INAUDIBLE)

3612
02:33:11,840 --> 02:33:13,360
>> CERTAINLY OVER THE
YEARS WE

3613
02:33:13,360 --> 02:33:15,720
HAVE SEEN CONSIDERABLE

3614
02:33:15,720 --> 02:33:17,760
LITERATURE ON CONCURRENCE THAT

3615
02:33:17,760 --> 02:33:20,840
IS HOW PATIENTS AND THEIR

3616
02:33:20,840 --> 02:33:23,000
PROVIDERS WHO COME FROM SAME OR

3617
02:33:23,000 --> 02:33:28,880
SIMILAR RACIAL ETHNIC BACK

3618
02:33:28,880 --> 02:33:30,040
GROUNDS. I DON'T KNOW IF AHRQ

3619
02:33:30,040 --> 02:33:32,040
DID THAT WORK BUT CERTAINLY LOOK

3620
02:33:32,040 --> 02:33:34,080
AT IT SUGGESTS THAT WHEN YOU DO

3621
02:33:34,080 --> 02:33:36,480
HAVE CONCURRENCE YOU ARE ABLE TO

3622
02:33:36,480 --> 02:33:37,920
GET BETTER ADHERENCE TO

3623
02:33:37,920 --> 02:33:40,400
TREATMENT REGIMENS AND

3624
02:33:40,400 --> 02:33:43,680
COMMUNICATION ISSUES, THAT

3625
02:33:43,680 --> 02:33:45,080
UNEQUAL TREATMENT TRIED TO POINT

3626
02:33:45,080 --> 02:33:48,440
OUT, IN ITS REPORT F THAT PLAY

3627
02:33:48,440 --> 02:33:51,240
OUT THAT IS, WHAT ARE THE ISSUES

3628
02:33:51,240 --> 02:33:55,000
ONE OF THE WAYS UNEQUAL

3629
02:33:55,000 --> 02:33:59,480
TREATMENT WAS RECOMMENDING WAS

3630
02:33:59,480 --> 02:34:03,160
THAT MINORITY POSITIONS IN

3631
02:34:03,160 --> 02:34:05,120
PARTICULAR IN OTHER HEALTHCARE

3632
02:34:05,120 --> 02:34:07,240
PROFESSIONALS GET CULTURE AND

3633
02:34:07,240 --> 02:34:09,400
LINGUISTIC TRAINING TO BETTER

3634
02:34:09,400 --> 02:34:11,440
SERVE AND UNDERSTAND PATIENTS, I

3635
02:34:11,440 --> 02:34:12,400
DON'T KNOW THAT WE HAVE DONE

3636
02:34:12,400 --> 02:34:13,560
THAT GOOD A JOB, IT WAS A

3637
02:34:13,560 --> 02:34:16,840
RECOGNITION THAT THERE IS NO WAY

3638
02:34:16,840 --> 02:34:18,600
IN HELL WE CAN INCREASE THE

3639
02:34:18,600 --> 02:34:19,600
NUMBER OF HEALTH CARE

3640
02:34:19,600 --> 02:34:21,560
PROFESSIONALS PARTICULARLY

3641
02:34:21,560 --> 02:34:23,000
PHYSICIANS, WHO COME FROM

3642
02:34:23,000 --> 02:34:24,560
MINORITY COMMUNITIES GIVEN THE

3643
02:34:24,560 --> 02:34:25,080
RATE OF GROWTH OF THE

3644
02:34:25,080 --> 02:34:30,080
POPULATION.  AND THE LENGTH OF

3645
02:34:30,080 --> 02:34:33,520
PIPELINE IT TAKES TO GET PEOPLE

3646
02:34:33,520 --> 02:34:35,000
TO THE CLINICAL SETTING.

3647
02:34:35,000 --> 02:34:36,240
CERTAINLY THE PEOPLE HAVE DONE

3648
02:34:36,240 --> 02:34:37,920
MOST WORK IN THIS AREA ARE

3649
02:34:37,920 --> 02:34:41,120
PSYCHOLOGISTS.  WHO LOOKED AT

3650
02:34:41,120 --> 02:34:42,680
THE MENTAL HEALTH ISSUE US,

3651
02:34:42,680 --> 02:34:46,320
WHERE COMMUNICATIONS IN MANY

3652
02:34:46,320 --> 02:34:47,000
WHATEVER LANGUAGE PREFERENCE

3653
02:34:47,000 --> 02:34:50,320
THERE IS AND RACE AND CULTURAL

3654
02:34:50,320 --> 02:34:51,720
RELATIONSHIPS ARE KEY TO

3655
02:34:51,720 --> 02:34:57,960
UNDERSTANDING BOTH CONCEPTS AND

3656
02:34:57,960 --> 02:35:02,520
CONCERNS DEMONSTRATED

3657
02:35:02,520 --> 02:35:06,160
CONSIDERABLE EFFECTIVENESS WHEN

3658
02:35:06,160 --> 02:35:08,280
YOU HAVE CONCURRENCE.

3659
02:35:08,280 --> 02:35:14,960
>> THANK YOU, APPRECIATE
THAT.

3660
02:35:14,960 --> 02:35:16,720
>> THANK YOU, SIR.
APPRECIATE

3661
02:35:16,720 --> 02:35:17,440
THE PRESENTATION.

3662
02:35:17,440 --> 02:35:19,320
>> SORRY I'M COUGHING ALL
THE

3663
02:35:19,320 --> 02:35:20,520
TIME BUT JUST RECOVERING FROM

3664
02:35:20,520 --> 02:35:21,280
COVICOVID.

3665
02:35:21,280 --> 02:35:22,080
>> THANK YOU THANK YOU FOR
BEING

3666
02:35:22,080 --> 02:35:29,000
WITH US. HOPEFULLY (INAUDIBLE).

3667
02:35:29,000 --> 02:35:30,680
KEAWE KAHOLOKULA.

3668
02:35:30,680 --> 02:35:34,000
>> HELLO, DR. VALDEZ,
THANK YOU

3669
02:35:34,000 --> 02:35:35,480
FOR YOUR PRESENTATION, REALLY

3670
02:35:35,480 --> 02:35:37,000
ENJOYED IT. I HAVE A COUPLE OF

3671
02:35:37,000 --> 02:35:38,840
QUESTIONS, HOPEFULLY THEY ARE

3672
02:35:38,840 --> 02:35:41,280
SHORT OR SHORT RESPONSES TO, ONE

3673
02:35:41,280 --> 02:35:44,680
HAS TO DO WITH DIAGNOSTIC ERRORS

3674
02:35:44,680 --> 02:35:46,640
WORK THAT YOU PRESENTED, IT MADE

3675
02:35:46,640 --> 02:35:48,080
ME THINK ABOUT WORK WE ARE DOING

3676
02:35:48,080 --> 02:35:52,520
HERE AND ALSO MADE ME THINK HOW

3677
02:35:52,520 --> 02:35:53,560
DIAGNOSTIC TOOLS AND SCORES WE

3678
02:35:53,560 --> 02:35:55,640
USE BASED AN ETHNIC DIFFERENCES

3679
02:35:55,640 --> 02:35:58,120
OR ETHNICITY SUCH AS THE

3680
02:35:58,120 --> 02:36:00,360
ESTIMATED GFR FOR KIDNEY

3681
02:36:00,360 --> 02:36:02,680
DISEASE, AFRICAN AMERICANS AND

3682
02:36:02,680 --> 02:36:05,520
OTHERS END UP I HAVE BEEN

3683
02:36:05,520 --> 02:36:06,480
ADVERTENTLY CAUSING MORE

3684
02:36:06,480 --> 02:36:09,000
PROBLEMS PERHAPS AND BEING

3685
02:36:09,000 --> 02:36:10,320
HELPFUL, HAVE YOU -- IS THERE

3686
02:36:10,320 --> 02:36:13,480
MUCH WORK OR FUNDING FOR THINK

3687
02:36:13,480 --> 02:36:14,920
ABOUT PATIENT PROVIDER

3688
02:36:14,920 --> 02:36:16,640
RELATIONSHIPS AND PATIENT

3689
02:36:16,640 --> 02:36:18,440
CENTERED CARE, IMPLICIT BIASES

3690
02:36:18,440 --> 02:36:21,800
AMONG PROVIDERS, AND THE ROLE

3691
02:36:21,800 --> 02:36:23,240
MIGHT PLAY SIMILAR TO WHAT DR.

3692
02:36:23,240 --> 02:36:26,920
SHELL WAS REFERRING TO, IN

3693
02:36:26,920 --> 02:36:29,760
AFFECTING QUALITY OF CARE AND

3694
02:36:29,760 --> 02:36:31,240
HEALTHCARE OUTCOMES. THAT'S MY

3695
02:36:31,240 --> 02:36:34,920
FIRST QUESTION.  SECOND IS

3696
02:36:34,920 --> 02:36:36,560
SIMPLE PROBABLY, WILL THERE BE

3697
02:36:36,560 --> 02:36:38,760
FUNDING OPPORTUNITIES TO

3698
02:36:38,760 --> 02:36:40,920
TRANSLATE TO OTHER LANGUAGES?

3699
02:36:40,920 --> 02:36:42,560
THINKING PACIFIC ISLANDER

3700
02:36:42,560 --> 02:36:45,040
LANGUAGES AS WELL AS PERHAPS

3701
02:36:45,040 --> 02:36:47,520
ASIAN AMERICAN POPULATIONS.

3702
02:36:47,520 --> 02:36:50,240
>> LET ME TAKE THE SECOND
FIRST,

3703
02:36:50,240 --> 02:36:54,880
YES, WE ARE ALREADY WORKING ON

3704
02:36:54,880 --> 02:36:56,120
-- THAT WAS A TOOL THAT WAS

3705
02:36:56,120 --> 02:37:02,080
DEVELOPED IN HOUSE AND WE BOTH

3706
02:37:02,080 --> 02:37:03,880
HAVE ENGLISH AND SPANISH

3707
02:37:03,880 --> 02:37:05,120
CAPACITIES IN HOUSE. . SO THAT

3708
02:37:05,120 --> 02:37:10,640
WAS RELATIVELY EASY. WE ARE

3709
02:37:10,640 --> 02:37:12,240
LOOKING HOW TO BAND TO THE NEXT

3710
02:37:12,240 --> 02:37:14,920
SET OF LANGUAGES THAT ARE MOST

3711
02:37:14,920 --> 02:37:19,160
IN USE IN THE UNITED STATES.

3712
02:37:19,160 --> 02:37:20,000
CERTAINLY SINCE JOINING THE

3713
02:37:20,000 --> 02:37:22,240
AGENCY WE ARE ATTEMPTING TO NOT

3714
02:37:22,240 --> 02:37:23,360
ONLY DO OUR ANNOUNCEMENTS IN

3715
02:37:23,360 --> 02:37:24,880
MANY ENGLISH BUT ALSO IN

3716
02:37:24,880 --> 02:37:28,680
LANGUAGES OTHER THAN ENGLISH. I

3717
02:37:28,680 --> 02:37:32,920
HAVE BEEN PUSHING THE

3718
02:37:32,920 --> 02:37:34,400
DEPARTMENTS FOLKS BECAUSE THEY

3719
02:37:34,400 --> 02:37:35,920
HISTORICALLY ONLY PUT THINGS OUT

3720
02:37:35,920 --> 02:37:39,920
IN ENGLISH UNLESS THERE

3721
02:37:39,920 --> 02:37:40,560
SOMETHING SPECIFICALLY OTHER

3722
02:37:40,560 --> 02:37:41,480
LANGUAGE THEY WANT TO DO. THAT

3723
02:37:41,480 --> 02:37:44,640
IS NOT ACCEPTABLE BECAUSE WE

3724
02:37:44,640 --> 02:37:47,560
EXPECT OUR HEALTHCARE DELIVERY

3725
02:37:47,560 --> 02:37:48,720
SYSTEM TO RESPOND IN LANGUAGE

3726
02:37:48,720 --> 02:37:50,160
OTHER THAN ENGLISH. SO WE SHOULD

3727
02:37:50,160 --> 02:37:51,600
ALSO BE PROVIDING INFORMATION

3728
02:37:51,600 --> 02:37:53,240
AND MAKING ANNOUNCEMENTS IN

3729
02:37:53,240 --> 02:37:54,560
LANGUAGES OTHER THAN ENGLISH IN

3730
02:37:54,560 --> 02:37:59,080
THE DEPARTMENT. THE QUESTION

3731
02:37:59,080 --> 02:38:02,040
ABOUT FIRST QUESTION IS QUESTION

3732
02:38:02,040 --> 02:38:03,920
OF IMPLICIT BUYERS AND OTHER

3733
02:38:03,920 --> 02:38:05,360
ISSUES THAT AFFECT PATIENT

3734
02:38:05,360 --> 02:38:08,800
QUALITY OF CARE. OUR SEQUENCE

3735
02:38:08,800 --> 02:38:11,320
UNIT WITHIN THE AGENCY WHICH IS

3736
02:38:11,320 --> 02:38:15,920
THE KEY PART OF THE HEALTHCARE

3737
02:38:15,920 --> 02:38:18,040
QUALITY RESEARCH QUALITY IS

3738
02:38:18,040 --> 02:38:19,880
FOCUSED ON THAT ISSUE AND

3739
02:38:19,880 --> 02:38:23,600
FOCUSES ON DIAGNOSTIC ERROR AND

3740
02:38:23,600 --> 02:38:25,760
THAT LEADS TO POOR QUALITY CARE.

3741
02:38:25,760 --> 02:38:27,920
SO WE HAVE A NUMBER OF

3742
02:38:27,920 --> 02:38:29,480
INITIATIVES UNDERWAY AND WE ARE

3743
02:38:29,480 --> 02:38:33,560
RETHINKING THE WHOLE ISSUE

3744
02:38:33,560 --> 02:38:35,880
AROUND QUALITY, QUALITY HAS

3745
02:38:35,880 --> 02:38:36,960
LARGELY BEEN PARTICULARLY

3746
02:38:36,960 --> 02:38:40,320
AFFECTS MEDICARE AND MEDICAID,

3747
02:38:40,320 --> 02:38:42,920
ISSUES IS OFTEN FOCUSED ON THE

3748
02:38:42,920 --> 02:38:46,160
HOSPITAL SIDE OF THE SYSTEM. AND

3749
02:38:46,160 --> 02:38:48,560
YET WE KNOW THERE ARE MANY OTHER

3750
02:38:48,560 --> 02:38:49,480
SETTINGS WHERE QUALITY AND

3751
02:38:49,480 --> 02:38:51,560
UNDERSTANDING HOW TO PROVIDE

3752
02:38:51,560 --> 02:38:54,120
HIGH QUALITY CARE NEEDS TO BE

3753
02:38:54,120 --> 02:38:54,840
UNDERSTOOD THAT REQUIRE

3754
02:38:54,840 --> 02:38:56,480
DIFFERENT METRICS AND DIFFERENT

3755
02:38:56,480 --> 02:38:59,400
APPROACH. SO THAT IS AN AGENDA I

3756
02:38:59,400 --> 02:39:02,880
SET OUT FOR THE AGENCY, GIVEN

3757
02:39:02,880 --> 02:39:04,840
QUALITY AND QUALITY MEASUREMENT

3758
02:39:04,840 --> 02:39:10,920
IS A LONG STANDING AREA OF MY

3759
02:39:10,920 --> 02:39:12,280
WORK. (INAUDIBLE) AT MICHIGAN IS

3760
02:39:12,280 --> 02:39:14,800
ONE OF MY MENTORS, (INAUDIBLE)

3761
02:39:14,800 --> 02:39:17,520
AT THE RAND CORPORATION AND

3762
02:39:17,520 --> 02:39:18,960
QUALITY OF CARE WHEN I WENT TO

3763
02:39:18,960 --> 02:39:20,360
WORK FOR THE RAND HEALTH

3764
02:39:20,360 --> 02:39:25,600
INSURANCE EXPERIMENT. SO I

3765
02:39:25,600 --> 02:39:26,200
MAINTAINED MY CHIEF OPERATING

3766
02:39:26,200 --> 02:39:27,000
OFFICER ON THE QUALITY SIDE AND

3767
02:39:27,000 --> 02:39:29,680
HOPING THAT I CAN BRING BACK TO

3768
02:39:29,680 --> 02:39:34,240
WORK HERE AT AHRQ AND WITH DR.

3769
02:39:34,240 --> 02:39:35,160
PEREZ-STABLE AND WORK YOU ARE

3770
02:39:35,160 --> 02:39:37,880
DOING.

3771
02:39:37,880 --> 02:39:40,560
>> THANK YOU FOR THAT
QUESTION,

3772
02:39:40,560 --> 02:39:42,680
KEAWE KAHOLOKULA. BRIAN.

3773
02:39:42,680 --> 02:39:45,280
>> NICE TO MEET YOU. I'M
HEAVILY

3774
02:39:45,280 --> 02:39:46,600
INVOLVED IN THE INITIATIVE

3775
02:39:46,600 --> 02:39:50,160
AROUND THE USE OF IMPLEMENTATION

3776
02:39:50,160 --> 02:39:51,480
SCIENCE TO HELP AND THE HIV

3777
02:39:51,480 --> 02:39:52,880
EPIDEMIC. AS IMPLEMENTATION

3778
02:39:52,880 --> 02:39:57,720
SCIENCE HAS BEEN GROWING ACROSS

3779
02:39:57,720 --> 02:39:59,840
NIH NCI NIMH OTHER INSTITUTES, I

3780
02:39:59,840 --> 02:40:02,640
FREQUENTLY GET ASKED BY A

3781
02:40:02,640 --> 02:40:05,360
COLLEAGUE IS THEIR ROLE FOR

3782
02:40:05,360 --> 02:40:06,560
IMPLEMENTATION SCIENCE AT AHRQ,

3783
02:40:06,560 --> 02:40:09,400
OBVIOUSLY QUALITY IS AN

3784
02:40:09,400 --> 02:40:11,240
IMPORTANT COMPONENT OF

3785
02:40:11,240 --> 02:40:12,560
UNDERSTANDING HOW INTERVENTION,

3786
02:40:12,560 --> 02:40:14,080
NEW INTERVENTION BEING

3787
02:40:14,080 --> 02:40:15,280
IMPLEMENTED SO LOVE TO HEAR YOUR

3788
02:40:15,280 --> 02:40:16,680
THOUGHTS ABOUT WHERE

3789
02:40:16,680 --> 02:40:19,840
IMPLEMENTATION SCIENCE LIES AHRQ

3790
02:40:19,840 --> 02:40:21,600
PART OF OUR MANDATE YOU ALSO

3791
02:40:21,600 --> 02:40:24,400
MENTIONED PCORI IN YOUR

3792
02:40:24,400 --> 02:40:25,600
RELATIONSHIP, MAYBE HELP US

3793
02:40:25,600 --> 02:40:28,440
UNDERSTAND A LITTLE BIT ABOUT

3794
02:40:28,440 --> 02:40:31,560
HOW THESE THINGS LINK UP.

3795
02:40:31,560 --> 02:40:35,080
>> IMPLEMENTATION SCIENCE
HAS

3796
02:40:35,080 --> 02:40:36,600
INITIAL HOME IN AHRQ, THAT'S

3797
02:40:36,600 --> 02:40:40,200
PARTS OF OUR MISSION. TO MOVE

3798
02:40:40,200 --> 02:40:44,360
EVIDENCE INTO PRACTICE.  YOU

3799
02:40:44,360 --> 02:40:47,320
CAN'T DO THAT WITHOUT

3800
02:40:47,320 --> 02:40:51,880
UNDERSTANDING IMPLEMENTATION AND

3801
02:40:51,880 --> 02:40:52,480
IMPLEMENTATION SCIENCE AS A

3802
02:40:52,480 --> 02:40:54,680
RESULT OF THESE EFFORTS OVER THE

3803
02:40:54,680 --> 02:40:56,840
YEARS. OUR WORK WITH PCORI IS

3804
02:40:56,840 --> 02:41:00,000
THE RESULT OF THE FACT THAT AHRQ

3805
02:41:00,000 --> 02:41:04,160
IS RECIPIENT OF PART OF THE

3806
02:41:04,160 --> 02:41:06,640
PCORE TRUST FUNDS THAT CONGRESS

3807
02:41:06,640 --> 02:41:09,400
SET ASIDE. SO WHILE MOST OF

3808
02:41:09,400 --> 02:41:12,000
PCORI FOCUSES ON THE RESEARCH

3809
02:41:12,000 --> 02:41:14,880
ACTIVITIES, DISSEMINATION AND

3810
02:41:14,880 --> 02:41:18,520
IMPLEMENTATION HAS FALLEN NOW TO

3811
02:41:18,520 --> 02:41:20,880
AHRQ TO DO. THAT WAS PART OF THE

3812
02:41:20,880 --> 02:41:23,400
WORK I MENTIONED BRIEFLY IN MY

3813
02:41:23,400 --> 02:41:25,280
CONVERSATION ABOUT PUT TOGETHER

3814
02:41:25,280 --> 02:41:26,920
STRATEGIC PLANNING GROUP MUCH

3815
02:41:26,920 --> 02:41:28,120
MORE REPRESENTATIVE NOW OF OUR

3816
02:41:28,120 --> 02:41:33,560
NATION.  IN PART RECOGNIZING

3817
02:41:33,560 --> 02:41:35,720
THAT WE NEED PEOPLE FROM

3818
02:41:35,720 --> 02:41:36,600
DIFFERENT PARTS OF THE COUNTRY

3819
02:41:36,600 --> 02:41:38,080
BECAUSE OUR HEALTHCARE SYSTEMS

3820
02:41:38,080 --> 02:41:40,120
OPERATE DIFFERENTLY IN DIFFERENT

3821
02:41:40,120 --> 02:41:43,400
PARTS OF THE COUNTRY, DIFFERENT

3822
02:41:43,400 --> 02:41:48,560
TREATMENT AND STYLES OF MEDICAL

3823
02:41:48,560 --> 02:41:51,520
CARE HEALTHCARE WELL DOCUMENTED

3824
02:41:51,520 --> 02:41:53,320
FOR REACHING THE REGION, AND

3825
02:41:53,320 --> 02:41:58,680
LOCATION TO LOCATION.  

3826
02:41:58,680 --> 02:42:03,280
IMPLEMENTATION IS PART OF THE

3827
02:42:03,280 --> 02:42:06,920
BONE OF AHRQ AND HEALTH SERVICES

3828
02:42:06,920 --> 02:42:09,880
RESEARCH PORTFOLIO THAT INCLUDES

3829
02:42:09,880 --> 02:42:10,920
IMPLEMENTATION SCIENCE NIH IS

3830
02:42:10,920 --> 02:42:15,200
STILL RELATIVELY NEW AND YOUNG

3831
02:42:15,200 --> 02:42:18,560
AND DEVELOPING. OURS IS FAIRLY

3832
02:42:18,560 --> 02:42:21,120
WELL ESTABLISHED AS A LONG

3833
02:42:21,120 --> 02:42:27,000
TRADITION. WE CONTINUE TO HAVE

3834
02:42:27,000 --> 02:42:30,720
GRANTS THROUGH THE PCORE TRUST

3835
02:42:30,720 --> 02:42:32,280
FUND TRAIN IMPLEMENTATION

3836
02:42:32,280 --> 02:42:34,960
SCIENTISTS AS PART OF OUR AGENDA

3837
02:42:34,960 --> 02:42:38,520
WITH THE PCORI RUST FUND. SO WE

3838
02:42:38,520 --> 02:42:41,400
HOPE THAT IMPLEMENTATION

3839
02:42:41,400 --> 02:42:42,720
SCIENTISTS FIND HEALTH SERVICES

3840
02:42:42,720 --> 02:42:44,720
RESEARCHERS AND OTHER AREAS HAVE

3841
02:42:44,720 --> 02:42:50,480
FOUND AHRQ AS THEIR HOME AGENCY 

3842
02:42:50,480 --> 02:42:57,520
>> THANK YOU, BRIAN. LISA.
HI,

3843
02:42:57,520 --> 02:42:59,760
DR. VALDEZ. THANK YOU FOR YOUR

3844
02:42:59,760 --> 02:43:02,280
PRESENTATION. I AM ON CLINICAL

3845
02:43:02,280 --> 02:43:04,400
TASK FORCE FOR THE ALZHEIMER'S

3846
02:43:04,400 --> 02:43:08,200
DISEASE RESEARCH CENTERS AND WE

3847
02:43:08,200 --> 02:43:11,160
ARE WORK GROUP TO INTEGRATE OR

3848
02:43:11,160 --> 02:43:12,520
DEVELOP BATTERY FOR SOCIAL

3849
02:43:12,520 --> 02:43:14,560
DETERMINANTS OF HEALTH USED

3850
02:43:14,560 --> 02:43:16,720
ACROSS THE 30 PLUS CENTERS, I

3851
02:43:16,720 --> 02:43:18,280
SAW THAT YOU HAVE A SOCIAL

3852
02:43:18,280 --> 02:43:19,400
DETERMINANT BATTERY COMING OUT

3853
02:43:19,400 --> 02:43:21,760
SO MY QUESTION IS, WHEN WILL IT

3854
02:43:21,760 --> 02:43:24,200
BE AVAILABLE AND HOW MUCH DOES

3855
02:43:24,200 --> 02:43:28,360
IT OVERLAP WITH THE PHOENIX TOOL

3856
02:43:28,360 --> 02:43:32,800
KIT THAT I THINK NIMHD IF WE ARE

3857
02:43:32,800 --> 02:43:34,480
HOSTING IT OR WE JUST SIGNED ON

3858
02:43:34,480 --> 02:43:36,280
TO IT BUT I HAVE BEEN USING THAT

3859
02:43:36,280 --> 02:43:37,840
TOOL KIT AND I WANT TO KNOW HOW

3860
02:43:37,840 --> 02:43:39,440
MUCH OVERLAP YOUR DATABASE WILL

3861
02:43:39,440 --> 02:43:42,320
HAVE WITH THAT. 

3862
02:43:42,320 --> 02:43:43,880
>> I CAN'T ANSWER THAT
QUESTION,

3863
02:43:43,880 --> 02:43:45,360
NOT FAMILIAR, BUT I CAN TELL YOU

3864
02:43:45,360 --> 02:43:49,760
WE HAVE HAD A BETA TEST DATA SET

3865
02:43:49,760 --> 02:43:51,160
AVAILABLE, WE HAVEN'T MADE IT

3866
02:43:51,160 --> 02:43:53,840
ALL THAT WIDELY KNOWN. BUT THE

3867
02:43:53,840 --> 02:43:55,800
ACTUAL LAUNCH OF THE SOCIAL

3868
02:43:55,800 --> 02:44:02,200
DETERMINANTS OF HEALTH DATABASE

3869
02:44:02,200 --> 02:44:04,520
LAST REPORT I GOT SHOULD BE

3870
02:44:04,520 --> 02:44:09,360
READY FOR PUBLIC RELEASE IN MID

3871
02:44:09,360 --> 02:44:10,520
TO LATE JUNE.

3872
02:44:10,520 --> 02:44:12,240
>> JUST NEXT MONTH.

3873
02:44:12,240 --> 02:44:14,120
>> YES.

3874
02:44:14,120 --> 02:44:16,200
>> GREAT. ENTER WHERE CAN
WE

3875
02:44:16,200 --> 02:44:17,760
FIND IT?

3876
02:44:17,760 --> 02:44:20,160
>> IF YOU GO TO WEBSITE
YOU

3877
02:44:20,160 --> 02:44:22,320
SHOULD BE ABLE TO FIND ATE AMONG

3878
02:44:22,320 --> 02:44:23,360
DATA SETS THAT ARE AVAILABLE. WE

3879
02:44:23,360 --> 02:44:25,320
HAVE H CUP AND MENTION AND WILL

3880
02:44:25,320 --> 02:44:27,120
WILL BE A SEPARATE LINE NEAR FOR

3881
02:44:27,120 --> 02:44:30,000
THE SOCIAL DETERMINANTS OF

3882
02:44:30,000 --> 02:44:31,840
HEALTH DATA WHICH YOU CAN GO ON

3883
02:44:31,840 --> 02:44:33,920
LINE AND DOWNLOAD THE DIFFERENT

3884
02:44:33,920 --> 02:44:35,080
SPECIFICATIONS OF DATA THAT YOU

3885
02:44:35,080 --> 02:44:36,440
WILL NEED OR WANT.

3886
02:44:36,440 --> 02:44:40,160
>> AWESOME. THANK YOU. 

3887
02:44:40,160 --> 02:44:42,800
>> JUST CLARIFY, LISA, THE

3888
02:44:42,800 --> 02:44:45,560
PHOENIX TOOL KIT IS MEASURES SO

3889
02:44:45,560 --> 02:44:48,320
IT IS VETTED MEASURES WE

3890
02:44:48,320 --> 02:44:49,720
ENCOURAGE ALL INVESTIGATORS TO

3891
02:44:49,720 --> 02:44:53,880
USE, WHEN THEY COLLECT DATA, I

3892
02:44:53,880 --> 02:44:56,080
THINK BOB IS REFERRING TO

3893
02:44:56,080 --> 02:44:58,440
EXISTING DATA THAT IS LINKED TO

3894
02:44:58,440 --> 02:45:02,200
SOCIAL DETERMINANTS, SO NOT

3895
02:45:02,200 --> 02:45:06,880
MEASURED. TOTALLY COMPLIMENTARY,

3896
02:45:06,880 --> 02:45:09,440
I KIND OF REMEMBER HEARING THIS

3897
02:45:09,440 --> 02:45:11,040
MINORITY OFFICE OF MYFORTY

3898
02:45:11,040 --> 02:45:16,080
HEALTH DIRECTORS MEETING BUT

3899
02:45:16,080 --> 02:45:18,080
YEAH IT IS SOMETHING THAT WE ARE

3900
02:45:18,080 --> 02:45:20,120
AWARE OF AND PROBABLY BE ABLE TO

3901
02:45:20,120 --> 02:45:22,640
HELP OUR COMMUNITY KNOW ABOUT IT

3902
02:45:22,640 --> 02:45:27,280
BY PUSHING IT OUT THROUGH EMAIL 

3903
02:45:27,280 --> 02:45:28,800
>> THANK YOU FOR
CLARIFYING THAT

3904
02:45:28,800 --> 02:45:29,120
DISTINCTION.

3905
02:45:29,120 --> 02:45:32,000
>> DR. CALMAN. YOU WILL BE
THE

3906
02:45:32,000 --> 02:45:33,400
LAST QUESTION.

3907
02:45:33,400 --> 02:45:37,640
>> HI. THANK YOU, THIS WAS

3908
02:45:37,640 --> 02:45:39,800
GREAT. YOU MADE REFERENCES TO

3909
02:45:39,800 --> 02:45:43,040
THE UNEQUAL TREATMENT REPORT SO

3910
02:45:43,040 --> 02:45:45,520
I SIT ON THE BOARD OF HEALTHCARE

3911
02:45:45,520 --> 02:45:47,280
SERVICES FOR NATIONAL ACADEMY OF

3912
02:45:47,280 --> 02:45:48,800
MEDICINE AND YOU KNOW THAT THERE

3913
02:45:48,800 --> 02:45:52,680
IS DISCUSSION ABOUT UPDATING THE

3914
02:45:52,680 --> 02:45:55,680
REPORT, A NEW IDEA WHICH I'M

3915
02:45:55,680 --> 02:45:57,360
PROMOTING TO SAY INEQUITABLE

3916
02:45:57,360 --> 02:45:58,520
SYSTEMS IN HEALTHCARE BECAUSE

3917
02:45:58,520 --> 02:46:00,000
THE TREATMENT IS A RESULT OF THE

3918
02:46:00,000 --> 02:46:02,240
SYSTEMS AND AS YOU POINTED OUT

3919
02:46:02,240 --> 02:46:05,320
BY MENTIONING SEGREGATED CARE,

3920
02:46:05,320 --> 02:46:07,880
THESE SYSTEMS ARE SORT OF THE

3921
02:46:07,880 --> 02:46:09,160
UNDERPINNING OF TREATMENT, THE

3922
02:46:09,160 --> 02:46:11,160
TREATMENT THAT TAKES PLACE BY

3923
02:46:11,160 --> 02:46:14,640
DOCTORS AND NURSES AND ALL THOSE

3924
02:46:14,640 --> 02:46:16,840
ARE REALLY REACTIONS TO THE

3925
02:46:16,840 --> 02:46:18,840
SETTINGS IN WHICH THEY PRACTICE.

3926
02:46:18,840 --> 02:46:21,360
SO I'M WONDERING IF YOU WERE TO

3927
02:46:21,360 --> 02:46:26,280
LOOK FORWARD FROM THAT TOE THINK

3928
02:46:26,280 --> 02:46:27,440
ABOUT THOSE SYSTEMS, ANY

3929
02:46:27,440 --> 02:46:29,520
THOUGHTS ABOUT WHAT THE FOCUS OF

3930
02:46:29,520 --> 02:46:30,640
THE NEXT REPORT LOOKS LIKE THAT

3931
02:46:30,640 --> 02:46:31,920
WOULD BE DIFFERENT THAN WHAT WE

3932
02:46:31,920 --> 02:46:34,880
SAID 20 YEARS AGO? AS WE POINTED

3933
02:46:34,880 --> 02:46:36,280
OUT NOT A LOT CHANGED.  WE

3934
02:46:36,280 --> 02:46:38,400
PUBLISHED THE MONOGRAPH IN 2005

3935
02:46:38,400 --> 02:46:41,000
CALLED SEGREGATED CARE. SO NOT

3936
02:46:41,000 --> 02:46:43,760
MUCH CHANGED SINCE THEN BUT ANY

3937
02:46:43,760 --> 02:46:44,920
THOUGHTS MOVING FORWARD?

3938
02:46:44,920 --> 02:46:47,320
INTERESTED TO HEAR YOUR IDEAS. 

3939
02:46:47,320 --> 02:46:49,440
>> THAT IS A GREAT
QUESTION AND

3940
02:46:49,440 --> 02:46:52,680
ONE THAT AS I WAS TRYING TO

3941
02:46:52,680 --> 02:46:55,080
REVIEW UNEQUAL TREATMENT I ASKED

3942
02:46:55,080 --> 02:46:58,880
MYSELF AS WELL WHAT WOULD I DO

3943
02:46:58,880 --> 02:47:01,400
NEXT? HOW DO WE MOVE AS PEOPLE

3944
02:47:01,400 --> 02:47:03,480
SAY I HATE THIS TERMS, BUT WHAT

3945
02:47:03,480 --> 02:47:06,480
CAN SAY HOW CAN YOU MOVE THE

3946
02:47:06,480 --> 02:47:08,080
NEEDLE AND HOW CAN WE DO BETTER

3947
02:47:08,080 --> 02:47:09,720
THE NEXT 20 YEARS THAN WE HAVE

3948
02:47:09,720 --> 02:47:13,960
THE LAST 20 YEARS. QUITE

3949
02:47:13,960 --> 02:47:15,320
HONESTLY, IT IS REFLECTION OF

3950
02:47:15,320 --> 02:47:19,240
HOW OUR SOCIETIES MOVED. MORE

3951
02:47:19,240 --> 02:47:20,800
SEGREGATED TODAY THAN WE HAVE

3952
02:47:20,800 --> 02:47:23,240
EVER BEEN. PEOPLE JUST DON'T

3953
02:47:23,240 --> 02:47:24,240
RECOGNIZE SEGREGATION BECAUSE IT

3954
02:47:24,240 --> 02:47:25,840
IS NOT NECESSARILY ABOUT YOUR

3955
02:47:25,840 --> 02:47:27,880
SKIN COLOR, AS MUCH AS IT IS

3956
02:47:27,880 --> 02:47:29,160
ABOUT THE KINDS OF RESOURCES

3957
02:47:29,160 --> 02:47:30,480
THAT YOUR FAMILIES HAVE

3958
02:47:30,480 --> 02:47:36,040
AVAILABLE TO YOU. WE ALMOST LOST

3959
02:47:36,040 --> 02:47:38,160
HEALTHY PEOPLE SOCIAL GRADIENT

3960
02:47:38,160 --> 02:47:42,160
OF HEALTH DATA AND INDICATOR IN

3961
02:47:42,160 --> 02:47:44,080
FAVOR OF LOOKING AT RACE

3962
02:47:44,080 --> 02:47:47,480
ETHNICITY AS PROXY. FOR THOSE

3963
02:47:47,480 --> 02:47:49,880
RESOURCE ISSUES, WHICH MAKES

3964
02:47:49,880 --> 02:47:53,200
SENSE IN AREAS, BUT THERE'S

3965
02:47:53,200 --> 02:47:56,000
STILL SOME INDEPENDENT

3966
02:47:56,000 --> 02:47:57,240
INFORMATION IN THAT RESOURCE

3967
02:47:57,240 --> 02:47:59,840
ALLOCATION ISSUE THAT CUTS

3968
02:47:59,840 --> 02:48:05,080
ACROSS POPULATIONS. THE POOR

3969
02:48:05,080 --> 02:48:08,240
HAVE POORER HEALTH THE MORE WELL

3970
02:48:08,240 --> 02:48:09,440
OFF ARE GOING TO HAVE MORE

3971
02:48:09,440 --> 02:48:10,920
ACCESS TO THE RESOURCES TO

3972
02:48:10,920 --> 02:48:13,960
MAINTAIN THEIR HEALTH AND WELL

3973
02:48:13,960 --> 02:48:15,760
BEING. WE HAVE KNOWN THAT FOR

3974
02:48:15,760 --> 02:48:17,560
CENTURIES IT IS NOT A NEW

3975
02:48:17,560 --> 02:48:21,120
CONCEPT, IT IS NOT NEW ISSUE,

3976
02:48:21,120 --> 02:48:22,320
SOMETIMES SOME SOCIETIES DO

3977
02:48:22,320 --> 02:48:25,280
BETTER THAN OTHERS FOR SOME

3978
02:48:25,280 --> 02:48:27,720
PERIODS OF TIME. WE ARE A

3979
02:48:27,720 --> 02:48:30,960
SOCIETY QUITE HONESTLY HAS FELT

3980
02:48:30,960 --> 02:48:33,480
COMFORTABLE CREATING SEGREGATED

3981
02:48:33,480 --> 02:48:36,160
HEALTHCARE IN OUR SOCIETY. AND

3982
02:48:36,160 --> 02:48:40,120
ACCEPTS IT.  EITHER ACCEPTS U IT

3983
02:48:40,120 --> 02:48:42,600
OR BLINDLY ACCEPTS IT BECAUSE WE

3984
02:48:42,600 --> 02:48:44,120
HAVEN'T BROUGHT TO THEIR

3985
02:48:44,120 --> 02:48:45,520
ATTENTION. THAT IS ONE THING

3986
02:48:45,520 --> 02:48:48,240
THAT I THINK AT LEAST DURING MY

3987
02:48:48,240 --> 02:48:50,520
SHORT TIME AT AHRQ I WANT TO DO,

3988
02:48:50,520 --> 02:48:53,960
MAKE IT MORE VISIBLE, MAKE IT --

3989
02:48:53,960 --> 02:48:54,880
MAKE CLEAR FOR THE AMERICAN

3990
02:48:54,880 --> 02:48:57,360
PUBLIC AND PRECISION MAKERS WHAT

3991
02:48:57,360 --> 02:48:58,960
THE UNDERPINNINGS OF OUR

3992
02:48:58,960 --> 02:49:00,480
HEALTHCARE DELIVERY SYSTEMS ARE

3993
02:49:00,480 --> 02:49:02,640
AND THAT IS IT IS NOT ONE SYSTEM

3994
02:49:02,640 --> 02:49:04,880
BUT IT IS MULTIPLE SYSTEMS AND

3995
02:49:04,880 --> 02:49:06,120
WE HAVE MULTIPLE POPULATIONS

3996
02:49:06,120 --> 02:49:08,920
THAT ARE SERVED BY IT.  I

3997
02:49:08,920 --> 02:49:10,360
USUALLY GET ON MY SOAP BOX WHEN

3998
02:49:10,360 --> 02:49:14,040
I TALK ABOUT THIS, BY POINTING

3999
02:49:14,040 --> 02:49:16,520
OUT WE HAVE MANY DIFFERENT

4000
02:49:16,520 --> 02:49:17,400
HEALTHCARE SYSTEMS IN THE UNITED

4001
02:49:17,400 --> 02:49:19,760
STATES AND DIFFERENT PEOPLE HAVE

4002
02:49:19,760 --> 02:49:21,320
THIS INTERSECTIONALITY CONCEPT

4003
02:49:21,320 --> 02:49:23,960
OF MULTIPLE IDENTITIES DEPENDING

4004
02:49:23,960 --> 02:49:25,120
WHICH HEALTHCARE SYSTEM THEY GO

4005
02:49:25,120 --> 02:49:28,200
TO. VETERANS MY COUSIN FOR

4006
02:49:28,200 --> 02:49:30,240
EXAMPLE, HE GETS ALL HIS CARE IN

4007
02:49:30,240 --> 02:49:35,200
THE VA BUT HE CLEARLY BECAUSE OF

4008
02:49:35,200 --> 02:49:37,040
HIS WORK AND HIS RETIREMENT AND

4009
02:49:37,040 --> 02:49:39,440
HIS RETIREMENT AND PENSION FUNDS

4010
02:49:39,440 --> 02:49:42,880
COULD GET HIS CARE AT SORT OF

4011
02:49:42,880 --> 02:49:45,480
HIGH END TERTIARY MEDICAL

4012
02:49:45,480 --> 02:49:47,680
CENTERS, IF HE WANTED TO OR

4013
02:49:47,680 --> 02:49:50,560
CHOSE TO. WHEREAS HIS BROTHER

4014
02:49:50,560 --> 02:49:53,240
NEVER WAS IN THE MILITARY AND

4015
02:49:53,240 --> 02:49:57,280
NEVER DID WELL ECONOMICALLY, IS

4016
02:49:57,280 --> 02:49:58,600
ON MEDICAID. IN A PLACE LIKE

4017
02:49:58,600 --> 02:50:03,240
TEXAS. WHERE MEDICAID PROGRAM IS

4018
02:50:03,240 --> 02:50:06,200
NEVER SHOWN ITSELF TO BE A

4019
02:50:06,200 --> 02:50:06,960
PARTICULARLY EFFECTIVE DELIVERY

4020
02:50:06,960 --> 02:50:10,480
SYSTEM. YOU HAVE TO BE

4021
02:50:10,480 --> 02:50:12,760
COMPLETELY DIRT POOR TO GET ON.

4022
02:50:12,760 --> 02:50:14,280
THEY STILL HAVEN'T EXPANDED

4023
02:50:14,280 --> 02:50:21,520
UNDER THE ACA. SO I HAVE TO GET

4024
02:50:21,520 --> 02:50:23,840
OFF THIS SOAP BOX BUT CERTAINLY

4025
02:50:23,840 --> 02:50:26,640
ONE THAT YOU REMINDED ME THAT IF

4026
02:50:26,640 --> 02:50:29,800
I CAN COME UP WITH GOOD IDEAS, I

4027
02:50:29,800 --> 02:50:31,960
KNOW WHO TO SEND THEM TO.

4028
02:50:31,960 --> 02:50:36,440
>> THANK YOU SO MUCH. LET
ME

4029
02:50:36,440 --> 02:50:37,720
BRING THIS DISCUSSION TO A

4030
02:50:37,720 --> 02:50:40,400
CLOSE. MORE OPTIMISTIC NOTE,

4031
02:50:40,400 --> 02:50:41,800
KNEEL YOU WORK IN A PARTICULAR

4032
02:50:41,800 --> 02:50:43,240
-- NEIL YOU WORK IN A

4033
02:50:43,240 --> 02:50:44,280
PARTICULARLY SEGREGATED SYSTEM

4034
02:50:44,280 --> 02:50:45,560
IN NEW YORK CITY I LEARNED

4035
02:50:45,560 --> 02:50:48,000
SEVERAL YEARS AGO, THERE ARE

4036
02:50:48,000 --> 02:50:51,440
OTHER MODELS WHERE I HAD

4037
02:50:51,440 --> 02:50:54,160
PATIENTS WHO WERE BOTH PRIVATELY

4038
02:50:54,160 --> 02:50:55,760
INSURED, HIGHER END,

4039
02:50:55,760 --> 02:50:57,920
SOCIOECONOMIC STATUS AND LOTS OF

4040
02:50:57,920 --> 02:51:01,640
MEDICAID PATIENTS OR OLDER

4041
02:51:01,640 --> 02:51:05,160
ADULTS WHO WERE DEFINITELY NOT

4042
02:51:05,160 --> 02:51:08,600
DIRT POOR BUT DEFINITELY NOT

4043
02:51:08,600 --> 02:51:11,040
WELL OFF. I DO THINK THAT THERE

4044
02:51:11,040 --> 02:51:13,480
HAVE BEEN IMPROVEMENTS NOT TO

4045
02:51:13,480 --> 02:51:16,840
SAY EVERYTHING IS GETTING WORSE,

4046
02:51:16,840 --> 02:51:19,240
THE RATE OF UNINSURED WAS CUT BY

4047
02:51:19,240 --> 02:51:25,240
A THIRD AMONG LATINOS, FROM 2014

4048
02:51:25,240 --> 02:51:27,160
TO 2020. IT WAS REDUCED ALSO FOR

4049
02:51:27,160 --> 02:51:28,160
AFRICAN AMERICANS AND OVERALL

4050
02:51:28,160 --> 02:51:31,480
FOR THE POPULATI POPULATION. ANE

4051
02:51:31,480 --> 02:51:33,560
THE EFFORTS OF THE PRIOR

4052
02:51:33,560 --> 02:51:35,760
ADMINISTRATION, IT DIDN'T

4053
02:51:35,760 --> 02:51:36,960
INCREASE BY MUCH, WENT UP A

4054
02:51:36,960 --> 02:51:39,960
LITTLE BIT SO I THINK THERE IS

4055
02:51:39,960 --> 02:51:43,280
OPPORTUNITY TO CONTINUE TO MAKE

4056
02:51:43,280 --> 02:51:45,680
PROGRESS. SEGREGATED CARE DOES

4057
02:51:45,680 --> 02:51:47,520
EXIST BUT NOT EVERYWHERE. TEXAS

4058
02:51:47,520 --> 02:51:50,040
IS A PARTICULARLY BAD EXAMPLE OF

4059
02:51:50,040 --> 02:51:51,200
MEDICAID, MEDICAID WORKS WELL IN

4060
02:51:51,200 --> 02:51:55,160
NEW YORK. THOUGH IT IS

4061
02:51:55,160 --> 02:51:56,840
SEGREGATED. SO I'M GOING TO TURN

4062
02:51:56,840 --> 02:51:58,480
IT BACK TO MONICA TO MOVE US ON.

4063
02:51:58,480 --> 02:52:00,960
I THIS HI WE HAVE A BREAK NOW. I

4064
02:52:00,960 --> 02:52:01,680
THINK WE HAVE A BREAK NOW.

4065
02:52:01,680 --> 02:52:02,440
>> THANK YOU VERY MUCH,

4066
02:52:02,440 --> 02:52:02,840
EVERYONE.

4067
02:52:02,840 --> 02:52:07,800
>> THANK YOU, BOB BOB FOR
YOUR

4068
02:52:07,800 --> 02:52:08,440
WONDERFUL PRESENTATION.

4069
02:52:08,440 --> 02:52:09,680
>> THANK YOU.

4070
02:52:09,680 --> 02:52:13,600
>> THANK YOU. SO YES, IT
IS TIME

4071
02:52:13,600 --> 02:52:17,000
FOR A 15-MINUTE BREAK. SO I WILL

4072
02:52:17,000 --> 02:52:20,040
ASK THAT EVERYONE RETURN AT 2:46

4073
02:52:20,040 --> 02:52:21,680
AND WE WILL START THEN WITH THE

4074
02:52:21,680 --> 02:52:22,840
DISCUSSION OF OUR SCIENTIFIC

4075
02:52:22,840 --> 02:52:23,680
CONCEPTS. THANK YOU.

4076
02:52:23,680 --> 02:52:24,560
WELCOME BACK. WE WILL

4077
02:52:24,560 --> 02:52:25,720
CONTINUE WITH THE MEETING AT

4078
02:52:25,720 --> 02:52:29,040
THIS TIME. SO IS THE NEXT ITEM

4079
02:52:29,040 --> 02:52:32,600
ON THE AGENDA IS THE REVIEW OF

4080
02:52:32,600 --> 02:52:38,640
AND DISCUSSION OF SCIENTIFIC

4081
02:52:38,640 --> 02:52:40,480
CONCEPTS, THERE ARE TWO CONCEPTS

4082
02:52:40,480 --> 02:52:42,920
FOR APPROVAL. TWO COUNCIL

4083
02:52:42,920 --> 02:52:43,960
MEMBERS REASON ASSIGNED TO

4084
02:52:43,960 --> 02:52:45,680
REVIEW EACH CONCEPT TO MAKE THE

4085
02:52:45,680 --> 02:52:48,040
BEST USE OF THIS TIME OTHER

4086
02:52:48,040 --> 02:52:50,280
MEMBERS WERE ASKED TO SHARE ANY

4087
02:52:50,280 --> 02:52:51,920
COMMENTS WITHIN AN ASSIGNED

4088
02:52:51,920 --> 02:52:54,000
REVIEWER AND ASSIGNED REVIEWERS

4089
02:52:54,000 --> 02:52:55,680
ARE ASKED TO INCLUDE THESE

4090
02:52:55,680 --> 02:52:56,320
THOUGHTS WITH THEIR OWN

4091
02:52:56,320 --> 02:52:59,480
COMMENTS.  THERE IS OPEN

4092
02:52:59,480 --> 02:53:01,560
DISCUSSION PERIOD FOR ADDITIONAL

4093
02:53:01,560 --> 02:53:02,200
COMMENTS FROM ANY MEMBER AND

4094
02:53:02,200 --> 02:53:05,080
THEN A MOTION, TO APPROVAL OR

4095
02:53:05,080 --> 02:53:06,600
DISAPPROVE AND THE VOTE BY ALL

4096
02:53:06,600 --> 02:53:10,760
OF THE MEMBERS. DR. RINA DAS

4097
02:53:10,760 --> 02:53:13,440
WILL PRESENT THE FIRST CONCEPT,

4098
02:53:13,440 --> 02:53:15,040
TITLE IS STRUCTURED

4099
02:53:15,040 --> 02:53:16,160
INSTITUTIONAL NEEDS ASSESSMENT

4100
02:53:16,160 --> 02:53:19,400
AND ACTION PLAN DEVELOPMENT FOR

4101
02:53:19,400 --> 02:53:21,440
NSIs. THE COUNCIL REVIEWERS

4102
02:53:21,440 --> 02:53:25,320
ARE DR. WILLIAM SOUTHERLAND AND

4103
02:53:25,320 --> 02:53:28,600
DR. AMILA VEGA. I WILL TURN IT

4104
02:53:28,600 --> 02:53:30,880
TO DR. DAS AND PRESUME YOUR

4105
02:53:30,880 --> 02:53:32,640
SLIDES WILL BE APPEARING ON THE

4106
02:53:32,640 --> 02:53:39,320
SCREEN MOMENTARILY. 

4107
02:53:39,320 --> 02:53:41,960
>> GREAT. GOOD AFTERNOON,

4108
02:53:41,960 --> 02:53:43,760
EVERYBODY. SO TODAY I'M

4109
02:53:43,760 --> 02:53:47,520
PRESENTING A CONCEPT FROM THE

4110
02:53:47,520 --> 02:53:49,520
UNITE eCOMMITTEE

4111
02:53:49,520 --> 02:53:50,840
IMPLEMENTATION TEAM AND THE

4112
02:53:50,840 --> 02:53:52,800
TITLE IS STRUCTURED

4113
02:53:52,800 --> 02:53:54,680
INSTITUTIONAL NEEDS ASSESSMENT

4114
02:53:54,680 --> 02:53:57,280
AND ACTION PLAN DEVELOPMENT FOR

4115
02:53:57,280 --> 02:54:00,360
MINORITY SERVING INSTITUTI INST.

4116
02:54:00,360 --> 02:54:03,000
LIKE THE ACKNOWLEDGE EFFORTS OF

4117
02:54:03,000 --> 02:54:07,720
TEAM MEMBERS CHARLENE BRUCE AND

4118
02:54:07,720 --> 02:54:10,360
DAVID WHO ARE FROM DIFFERENT

4119
02:54:10,360 --> 02:54:11,960
INSTITUTES AT NIH AND CENTERS

4120
02:54:11,960 --> 02:54:16,360
AND OFFICES. NEXT SLIDE PLEASE. 

4121
02:54:16,360 --> 02:54:19,920
SO THE OVERALL GOAL OF THIS NIH

4122
02:54:19,920 --> 02:54:24,000
WIDE INITIATIVE IS TO SUPPORT

4123
02:54:24,000 --> 02:54:26,240
RESEARCH ACTIVE MINORITY SERVING

4124
02:54:26,240 --> 02:54:29,080
INSTITUTIONS IN CONDUCTING A

4125
02:54:29,080 --> 02:54:31,960
STRUCTURED NEEDS ASSESSMENT AND

4126
02:54:31,960 --> 02:54:34,480
THEN DEVELOP SHORT TERM AND LONG

4127
02:54:34,480 --> 02:54:37,560
TERM ACTION PLAN BASED ON THE

4128
02:54:37,560 --> 02:54:39,800
RESULTS. THE AWARDS ARE INTENDED

4129
02:54:39,800 --> 02:54:43,760
TO SUPPORT RESEARCH ACTIVE

4130
02:54:43,760 --> 02:54:44,960
QUANTIFYING INSTITUTIONAL

4131
02:54:44,960 --> 02:54:48,920
RESEARCH CAPACITY, NEEDS AS WELL

4132
02:54:48,920 --> 02:54:53,960
AS ASSETS AND STRENGTHS. SO JUST

4133
02:54:53,960 --> 02:54:57,200
TO GIVE YOU A BRIEF BACKGROUND

4134
02:54:57,200 --> 02:54:58,760
ON THE CONCEPT YOU MAY BE

4135
02:54:58,760 --> 02:55:01,680
FAMILIAR WITH NIH UNITE

4136
02:55:01,680 --> 02:55:04,760
INITIATIVE. WHICH IS COMPRISED

4137
02:55:04,760 --> 02:55:07,480
OF FIVE COMMITTEES. THIS

4138
02:55:07,480 --> 02:55:09,200
SPECIFIC CONCEPT IS PART OF THE

4139
02:55:09,200 --> 02:55:11,400
UNITE eCOMMITTEE AND THE

4140
02:55:11,400 --> 02:55:14,080
CHARGE OF THE UNITE eCOMMITTEE

4141
02:55:14,080 --> 02:55:17,480
IS TO PERFORM A BROAD SYSTEMATIC

4142
02:55:17,480 --> 02:55:19,400
EVALUATION OF NIH EXTRAMURAL

4143
02:55:19,400 --> 02:55:23,160
POLICIES AND PROCESSES TO

4144
02:55:23,160 --> 02:55:26,680
IDENTIFY CHANGE PRACTICES AND

4145
02:55:26,680 --> 02:55:28,960
STRUCTURES THAT PERPETUATE LACK

4146
02:55:28,960 --> 02:55:31,720
OF INCLUSIVITY, DIVERSITY,

4147
02:55:31,720 --> 02:55:34,160
WITHIN THE EXTRAMURAL RESEARCH

4148
02:55:34,160 --> 02:55:37,280
ECOSYSTEM. SO THIS INCLUDES

4149
02:55:37,280 --> 02:55:38,880
DEVELOPING STRATEGIES TO ADDRESS

4150
02:55:38,880 --> 02:55:42,280
FUNDING DISPARITIES AND INCREASE

4151
02:55:42,280 --> 02:55:44,240
APPLICATIONS TO SUPPORT

4152
02:55:44,240 --> 02:55:46,480
INDIVIDUALS FROM

4153
02:55:46,480 --> 02:55:47,960
UNDER-REPRESENTED GROUPS SO IN

4154
02:55:47,960 --> 02:55:51,360
THIS SLIDE, I'M TRYING TO SHOW

4155
02:55:51,360 --> 02:55:53,680
YOU SETTLE TEAMS WHO ARE WORKING

4156
02:55:53,680 --> 02:55:55,240
ON DIFFERENT INITIATIVES AND WE

4157
02:55:55,240 --> 02:55:59,240
ARE FOCUSED ON THE BOTTOM LEFT

4158
02:55:59,240 --> 02:56:03,360
ON RESOURCES AND CAPACITIES AT

4159
02:56:03,360 --> 02:56:08,280
MSIs. SO JUST TO REITERATE THE

4160
02:56:08,280 --> 02:56:11,280
NEED FOR THIS INITIATIVE HAS

4161
02:56:11,280 --> 02:56:14,640
BEEN GOING ON WITH DISCUSSIONS

4162
02:56:14,640 --> 02:56:18,480
TRYING TO INCREASE DIVERSITY OF

4163
02:56:18,480 --> 02:56:19,520
SCIENTIFIC WORK FORCE FROM

4164
02:56:19,520 --> 02:56:22,480
DIFFERENT BACKGROUNDS AND ALL

4165
02:56:22,480 --> 02:56:26,200
LEVELS. THOUGH NIH HAS BEEN

4166
02:56:26,200 --> 02:56:30,520
FUNDING SEVERAL PROGRAMS AT NIH,

4167
02:56:30,520 --> 02:56:32,640
SUPPORT FOR RESEARCH EXCELLENCE,

4168
02:56:32,640 --> 02:56:36,040
THE SHORE PROGRAM RCMI RESEARCH

4169
02:56:36,040 --> 02:56:37,280
CENTERS AND MINORITY

4170
02:56:37,280 --> 02:56:39,400
INSTITUTIONS ARE THE PATCHY

4171
02:56:39,400 --> 02:56:41,720
PARTNERSHIPS TO ADDRESS CANCER

4172
02:56:41,720 --> 02:56:44,240
HEALTH EQUITY. THERE IS STILL

4173
02:56:44,240 --> 02:56:47,920
EXISTS A HUGE GAP IN NIH

4174
02:56:47,920 --> 02:56:50,880
FUNDING. WHEN WE WERE LOOKING AT

4175
02:56:50,880 --> 02:56:52,880
SOME REPORTS WE FOUND NATIONAL

4176
02:56:52,880 --> 02:56:54,920
ACADEMY OF SCIENCE ENGINEERING

4177
02:56:54,920 --> 02:56:57,840
AND MEDICINE IN 2019 TITLED

4178
02:56:57,840 --> 02:57:00,920
MINORITY SERVING INSTITUTIONS,

4179
02:57:00,920 --> 02:57:03,120
AMERICAS UNDERUTILIZED RESOURCE

4180
02:57:03,120 --> 02:57:05,560
FOR STRENGTHENING THE STEM WORK

4181
02:57:05,560 --> 02:57:08,320
FORCE. SO THAT REPORT REALLY

4182
02:57:08,320 --> 02:57:09,560
OUTLINES CERTAIN STRATEGIES AND

4183
02:57:09,560 --> 02:57:12,760
ONE OF THEM WAS PROVIDING MORE

4184
02:57:12,760 --> 02:57:16,680
SUPPORT FOR MSIs. THAT REPORT

4185
02:57:16,680 --> 02:57:19,120
WAS MORE GENERAL SO WE STILL

4186
02:57:19,120 --> 02:57:20,920
NEED TO UNDERSTAND WHAT ARE SOME

4187
02:57:20,920 --> 02:57:24,120
OF THE RESEARCH CAPACITIES

4188
02:57:24,120 --> 02:57:26,240
SPECIFIC NEEDS. THIS INITIATIVE

4189
02:57:26,240 --> 02:57:29,840
IS STRUCTURED TO CONDUCT THAT

4190
02:57:29,840 --> 02:57:34,160
ASSESSMENT OF THE ORGANIZATIONAL

4191
02:57:34,160 --> 02:57:34,840
RESEARCH INFRASTRUCTURE

4192
02:57:34,840 --> 02:57:37,440
COMPONENT THAT WILL HELP US

4193
02:57:37,440 --> 02:57:40,920
UNDERSTAND SOME OF THE BARRIERS

4194
02:57:40,920 --> 02:57:42,040
MAYBE ENHANCE ADMINISTRATIVE

4195
02:57:42,040 --> 02:57:45,480
RESEARCH RESOURCES AND EXPAND

4196
02:57:45,480 --> 02:57:47,080
OPPORTUNITIES FOR STUDENTS AND

4197
02:57:47,080 --> 02:57:48,960
FACULTY FOR BIOMEDICAL RESEARCH

4198
02:57:48,960 --> 02:57:55,680
ENTERPRISE. NEXT SLIDE PLEASE. 

4199
02:57:55,680 --> 02:57:59,520
SO THE PURPOSE OF THIS

4200
02:57:59,520 --> 02:58:01,920
INITIATIVE IS TO SUPPORT

4201
02:58:01,920 --> 02:58:04,960
RESEARCH ACTIVE MSI IN

4202
02:58:04,960 --> 02:58:07,680
CONDUCTING RIGOROUS RESEARCH

4203
02:58:07,680 --> 02:58:09,440
CAPACITY NEEDS ASSESSMENT AND

4204
02:58:09,440 --> 02:58:13,640
THEN CREATING ACTION PLAN. SO

4205
02:58:13,640 --> 02:58:16,040
THEY WILL CONDUCT A NEEDS

4206
02:58:16,040 --> 02:58:19,120
ASSESSMENT USING VALID

4207
02:58:19,120 --> 02:58:21,640
INSTRUMENTS THAT ALREADY EXIST.

4208
02:58:21,640 --> 02:58:24,440
OR COULD ADAPT THEM TO THEIR

4209
02:58:24,440 --> 02:58:29,560
NEEDS TO ASSESS THEIR

4210
02:58:29,560 --> 02:58:30,040
INSTITUTIONAL RESEARCH

4211
02:58:30,040 --> 02:58:30,720
INFRASTRUCTURE. ONCE THEY

4212
02:58:30,720 --> 02:58:33,320
CONDUCT THE NEEDS ASSESSMENT THE

4213
02:58:33,320 --> 02:58:35,560
NEXT PHASE WILL BE TO DEVELOP

4214
02:58:35,560 --> 02:58:38,280
SHORT TERM LONG TERM ACTION

4215
02:58:38,280 --> 02:58:40,960
PLANS, STRATEGIC PLANS, DEVELOP

4216
02:58:40,960 --> 02:58:45,040
METRICS AND METHODS, ON

4217
02:58:45,040 --> 02:58:49,560
EVALUATING THE PROGRESS OF THEIR

4218
02:58:49,560 --> 02:58:54,360
PROGRAMS. THE NOTION IS THAT NIH

4219
02:58:54,360 --> 02:58:56,480
INSTITUTES AND CEN WILL SIGN

4220
02:58:56,480 --> 02:58:58,640
ON TO FUNDING OPPORTUNITY

4221
02:58:58,640 --> 02:59:00,200
ANNOUNCEMENT THAT WILL BE

4222
02:59:00,200 --> 02:59:03,480
DEVELOPDEVELOPED. WHAT WE MEAN T

4223
02:59:03,480 --> 02:59:06,320
IS THAT THE INSTITUTES WHO ARE

4224
02:59:06,320 --> 02:59:07,520
INTERESTED IN SUPPORTING THIS

4225
02:59:07,520 --> 02:59:10,160
EFFORT WILL BE SIGNING ON TO THE

4226
02:59:10,160 --> 02:59:12,200
FUNDING OPPORTUNITY. WE WILL

4227
02:59:12,200 --> 02:59:14,360
ALSO HAVE ONE LEAD INSTITUTE AT

4228
02:59:14,360 --> 02:59:16,440
NIH WHO WILL COORDINATE THE

4229
02:59:16,440 --> 02:59:21,520
EFFORTS ACROSS NIH. SO IN TERMS

4230
02:59:21,520 --> 02:59:23,840
OF THE RESEARCH ACTIVE MSI WHEN

4231
02:59:23,840 --> 02:59:25,400
WE LOOK AT THE DATA WE REALIZE

4232
02:59:25,400 --> 02:59:29,880
THAT THERE IS A HUGE DIVERSITY

4233
02:59:29,880 --> 02:59:33,960
BETWEEN DIFFERENT INSTITUTIONS.

4234
02:59:33,960 --> 02:59:35,680
SO TO REALLY BE FAIR WE THOUGHT

4235
02:59:35,680 --> 02:59:38,920
WE NEEDED TO HAVE CERTAIN

4236
02:59:38,920 --> 02:59:40,800
CRITERIA FOR THESE DIFFERENT

4237
02:59:40,800 --> 02:59:42,600
TYPES OF INSTITUTIONS. NEXT

4238
02:59:42,600 --> 02:59:50,520
SLIDE PLEASE.  SO BASED ON THE

4239
02:59:50,520 --> 02:59:52,440
NSF DATA AND THE CARNEGIE REPORT

4240
02:59:52,440 --> 02:59:58,040
WE REALIZED THAT NOT ALL MSIs

4241
02:59:58,040 --> 03:00:01,280
ARE SAME SO DO REALLY CREATE AN

4242
03:00:01,280 --> 03:00:03,760
EQUITABLE PLAYING FIELD FOR

4243
03:00:03,760 --> 03:00:06,000
INSTITUTIONS TO SUBMIT

4244
03:00:06,000 --> 03:00:09,360
APPLICATIONS WE DECIDED THAT

4245
03:00:09,360 --> 03:00:10,920
CREATING TWO SEPARATE

4246
03:00:10,920 --> 03:00:14,000
CATEGORIES, ONE WOULD BE LOW

4247
03:00:14,000 --> 03:00:16,840
RESEARCH ACTIVE CATEGORY WITH

4248
03:00:16,840 --> 03:00:20,840
CAP OF 6 MILLION PER YEAR NIH

4249
03:00:20,840 --> 03:00:24,760
RPG FUNDING FOR THREE OUT OF

4250
03:00:24,760 --> 03:00:29,720
FIVE YEARS. WHICH IS A SIMILAR

4251
03:00:29,720 --> 03:00:33,600
CATEGORY NIGMS USED FOR SOME OF

4252
03:00:33,600 --> 03:00:35,040
THEIR PROGRAMS, JUST A SHORE

4253
03:00:35,040 --> 03:00:38,800
PROGRAM. IT COULD BE INSTITUTION

4254
03:00:38,800 --> 03:00:40,920
THAT UNDERGRADUATE OR GRADUATE

4255
03:00:40,920 --> 03:00:42,720
DEGREE GRANTING INSTITUTIONS,

4256
03:00:42,720 --> 03:00:45,760
THEY NEED TO HAVE HISTORIC

4257
03:00:45,760 --> 03:00:47,680
MISSION TO SUPPORT

4258
03:00:47,680 --> 03:00:49,320
UNDER-REPRESENTED GROUPS. AT

4259
03:00:49,320 --> 03:00:51,560
LEAST 25% OF UNDERGRADUATE

4260
03:00:51,560 --> 03:00:53,040
STUDENTS SUPPORTED BY PELL

4261
03:00:53,040 --> 03:01:00,160
GRANTS BASED ON THE MOST RECENT

4262
03:01:00,160 --> 03:01:01,880
DATA AVAILABLE. FOR THE HIGH

4263
03:01:01,880 --> 03:01:03,000
RESEARCH ACTIVE INSTITUTIONS WE

4264
03:01:03,000 --> 03:01:04,480
PROPOSE A CAP OF 25 MILLION PER

4265
03:01:04,480 --> 03:01:08,200
YEAR OF RPG FUNDING IN THE LAST

4266
03:01:08,200 --> 03:01:10,200
THREE YEARS. THIS IS SIMILAR TO

4267
03:01:10,200 --> 03:01:14,240
THE RCMI PROGRAM WE HAVE AT

4268
03:01:14,240 --> 03:01:15,960
NIMHD, THIS SHOULD BE DOCTORAL

4269
03:01:15,960 --> 03:01:17,840
DEGREE GRANTING INSTITUTIONS,

4270
03:01:17,840 --> 03:01:20,320
HISTORICAL MISSION OF SUPPORTING

4271
03:01:20,320 --> 03:01:21,680
UNDER-REPRESENTED GROUPS IN

4272
03:01:21,680 --> 03:01:24,000
BIOMEDICAL SCIENCES, AND WE

4273
03:01:24,000 --> 03:01:27,440
PROPOSE LOWER CAP OF 6 MILLION

4274
03:01:27,440 --> 03:01:28,800
FROM THIS CATEGORY TO SEPARATE

4275
03:01:28,800 --> 03:01:32,040
FROM THE FIRST ONE. JUST WANT TO

4276
03:01:32,040 --> 03:01:35,080
MAKE IT KNOWN THAT THE CARNEGIE

4277
03:01:35,080 --> 03:01:37,240
RO1 CATEGORY INSTITUTIONS WILL

4278
03:01:37,240 --> 03:01:43,320
NOT BE ELIGIBLE.  SO NEXT SLIDE

4279
03:01:43,320 --> 03:01:45,800
PLEASE IN TERMS OF TOPIC AREAS

4280
03:01:45,800 --> 03:01:48,000
FOR THE NEEDS ASSESSMENT, THESE

4281
03:01:48,000 --> 03:01:53,360
ARE A FEW SUGGESTIONS FOR

4282
03:01:53,360 --> 03:01:55,600
RESEARCH INFRASTRUCTURE AREAS

4283
03:01:55,600 --> 03:01:58,400
THAT COULD INCLUDE RESEARCH

4284
03:01:58,400 --> 03:02:00,320
READINESS IN VARIOUS AREAS SUCH

4285
03:02:00,320 --> 03:02:05,360
AS BASIC BEHAVIORAL OR CLINICAL

4286
03:02:05,360 --> 03:02:07,040
RESEARCH HUMAN SUBJECTS

4287
03:02:07,040 --> 03:02:08,240
RESEARCH, WHETHER THEY HAVE

4288
03:02:08,240 --> 03:02:16,560
SUPPORT FOR GRANTSMANSHMANSHIP

4289
03:02:16,560 --> 03:02:17,680
MR. THEY NEED SUSTAINABLE

4290
03:02:17,680 --> 03:02:18,920
PARTNER SHEEPS, COLLABORATIONS

4291
03:02:18,920 --> 03:02:21,480
WITH ASSOCIATIONS, INSTITUTIONS

4292
03:02:21,480 --> 03:02:24,520
WHICH ARE SUSTAINABLE FOR

4293
03:02:24,520 --> 03:02:26,560
RESEARCH SUPPORT CORE FACILITIES

4294
03:02:26,560 --> 03:02:29,720
HOW ARE THERE CORE FACILITIES OR

4295
03:02:29,720 --> 03:02:32,560
LAB EQUIPMENT, ALSO CAPACITY FOR

4296
03:02:32,560 --> 03:02:35,520
COMMUNITY ENGAGEMENT RESEARCH.

4297
03:02:35,520 --> 03:02:38,080
IN TERMS OF ADMINISTRATIVE AREAS

4298
03:02:38,080 --> 03:02:43,280
THAT COULD INCLUDE ESTABLISHING

4299
03:02:43,280 --> 03:02:47,360
OR ENHANCING OFFICE SPONSOR

4300
03:02:47,360 --> 03:02:50,440
PROGRAM, PERSONNEL RESOURCES,

4301
03:02:50,440 --> 03:02:53,120
SUPPORT STAFF, GRANT AWARD

4302
03:02:53,120 --> 03:02:54,920
SUPPORT FOR PRE AND POST GRANT

4303
03:02:54,920 --> 03:02:57,680
AWARD WHICH IS ALSO CRITICAL TO

4304
03:02:57,680 --> 03:02:59,560
HAVE AN UNDERSTANDING OF THOSE

4305
03:02:59,560 --> 03:03:02,680
AREAS. IN TERMS OF STUDENT AND

4306
03:03:02,680 --> 03:03:06,200
FACULTY DEVELOPMENT, THERE COULD

4307
03:03:06,200 --> 03:03:09,920
BE NEEDS FOR TRAINING PURPOSES

4308
03:03:09,920 --> 03:03:12,720
FOR MENTORSHIP, SPONSORSHIP, FOR

4309
03:03:12,720 --> 03:03:16,800
OTHER FACULTY DEVELOPMENT AREAS.

4310
03:03:16,800 --> 03:03:19,520
IN TERMS OF INSTITUTIONAL

4311
03:03:19,520 --> 03:03:22,680
POLICIES, THAT CAN LOOK AT HOW

4312
03:03:22,680 --> 03:03:24,920
INSTITUTIONS ARE SUPPORTING

4313
03:03:24,920 --> 03:03:27,320
RESEARCH EFFORTS WHETHER THERE

4314
03:03:27,320 --> 03:03:29,720
IS PROTECTED TIME AVAILABLE TO

4315
03:03:29,720 --> 03:03:32,120
CONDUCT RESEARCH. SO THESE ARE

4316
03:03:32,120 --> 03:03:35,240
JUST SOME SUGGESTED AREAS EACH

4317
03:03:35,240 --> 03:03:38,200
AREA EACH INSTITUTION WOULD HAVE

4318
03:03:38,200 --> 03:03:39,200
DIFFERENT NEEDS SO THEY CAN

4319
03:03:39,200 --> 03:03:41,720
TAYLOR THE NEEDS ASSESSMENT

4320
03:03:41,720 --> 03:03:43,480
ACCORDINGLY. ONCE THE NEEDS

4321
03:03:43,480 --> 03:03:46,440
ASSESSMENT ARE COMPLETED, THE

4322
03:03:46,440 --> 03:03:49,240
INSTITUTIONS WILL THEN DEVELOP

4323
03:03:49,240 --> 03:03:50,920
ACTION PLAN FOR SHORT TERM LONG

4324
03:03:50,920 --> 03:03:54,240
TERM GOALS AND DEVELOP METRICS

4325
03:03:54,240 --> 03:04:00,120
FOR ASSESSMENT OF THOSE AREAS.  

4326
03:04:00,120 --> 03:04:01,720
JUST KNOW NIH PLANS TO WORK WITH

4327
03:04:01,720 --> 03:04:04,560
GRANTEES TO CONNECT THE GRANTEES

4328
03:04:04,560 --> 03:04:08,120
WITH EXISTING OPPORTUNITIES AND

4329
03:04:08,120 --> 03:04:10,240
PROGRAMS THAT EXIST IN VARIOUS

4330
03:04:10,240 --> 03:04:13,080
AGENCIES.  SO THAT IS ALL I

4331
03:04:13,080 --> 03:04:16,680
HAVE. NEXT SLIDE, HAPPY TO TAKE

4332
03:04:16,680 --> 03:04:18,760
ANY QUESTIONS OR COMMENTS.

4333
03:04:18,760 --> 03:04:19,560
>> THANK YOU VERY MUCH FOR

4334
03:04:19,560 --> 03:04:24,000
PRESENTING THAT FOR US, DR. DAS.

4335
03:04:24,000 --> 03:04:25,840
THE NEXT THING IS I WOULD LIKE

4336
03:04:25,840 --> 03:04:28,680
TO MAKE SURE OUR COUNCIL MEMBERS

4337
03:04:28,680 --> 03:04:31,360
WHO REVIEW THIS CONCEPT PROPOSAL

4338
03:04:31,360 --> 03:04:34,120
HAVE AN OPPORTUNITY TO COMMENT

4339
03:04:34,120 --> 03:04:37,200
SO DR. SOUTHERLAND DO YOU HAVE

4340
03:04:37,200 --> 03:04:39,120
ANY COMMENTS ON THIS CONCEPT?

4341
03:04:39,120 --> 03:04:42,120
>> I DO. FIRST THANK YOU
FOR

4342
03:04:42,120 --> 03:04:44,320
ASKING ME TO REVIEW THIS CONCEPT

4343
03:04:44,320 --> 03:04:45,600
AND THE SECOND I WANT TO SAY

4344
03:04:45,600 --> 03:04:49,200
THAT THIS CONCEPT COULD NOT BE

4345
03:04:49,200 --> 03:04:52,600
MORE IMPORTANT AT THIS TIME OR

4346
03:04:52,600 --> 03:04:54,280
TIMELIER. YOU HAVE JUST HEARD

4347
03:04:54,280 --> 03:04:57,040
THE DETAILS OF GOALS OF THE

4348
03:04:57,040 --> 03:04:59,760
CONCEPTS SO I WON'T REPEAT THEM

4349
03:04:59,760 --> 03:05:02,040
IN WHAT I HAVE TO SAY. ONLY TO

4350
03:05:02,040 --> 03:05:04,240
EMPHASIZE THE CONCEPT AIMS TO

4351
03:05:04,240 --> 03:05:07,560
DEVELOP A CADRE OF MSI

4352
03:05:07,560 --> 03:05:08,360
INSTITUTIONS THAT HAVE

4353
03:05:08,360 --> 03:05:13,720
DETERMINED WHAT THEIR NEEDS ARE 

4354
03:05:13,720 --> 03:05:14,960
AND DEVELOPED A PLAN TO ACHIEVE

4355
03:05:14,960 --> 03:05:18,800
THOSE NEEDS.  SO THIS IS AN

4356
03:05:18,800 --> 03:05:23,600
OPPORTUNITY FOR MSI TO DETERMINE

4357
03:05:23,600 --> 03:05:26,680
UNDERSTAND WHAT THEY NEED TO

4358
03:05:26,680 --> 03:05:28,120
PARTICIPATE EFFECTIVELY IN

4359
03:05:28,120 --> 03:05:29,760
BIOMEDICAL RESEARCH AND DEVELOP

4360
03:05:29,760 --> 03:05:31,320
PLANNINGS TO HAVE THE ISSUE

4361
03:05:31,320 --> 03:05:32,280
ACCOMPLISHED.  ALSO I SHOULD

4362
03:05:32,280 --> 03:05:35,040
NOTE THIS CONCEPT USES THE TERM

4363
03:05:35,040 --> 03:05:36,880
BIOMEDICAL COLLECTIVELY TO

4364
03:05:36,880 --> 03:05:40,400
INCLUDE BIOMEDICAL CLINICAL

4365
03:05:40,400 --> 03:05:43,520
BEHAVIORAL AND SOCIAL SCIENCE

4366
03:05:43,520 --> 03:05:46,960
RESEARCH. SO WE ALL KNOW AS A

4367
03:05:46,960 --> 03:05:49,760
NATION AND SOCIETY WE FACE

4368
03:05:49,760 --> 03:05:51,200
PERSISTENT AND EVER INCREASING

4369
03:05:51,200 --> 03:05:53,680
PROBLEMS AND CONCERNS IN THESE

4370
03:05:53,680 --> 03:05:57,200
RESEARCH AREAS.  AND IN THE FACE

4371
03:05:57,200 --> 03:05:58,960
OF HERCULEAN EFFORTS THESE

4372
03:05:58,960 --> 03:06:03,200
PROBLEMS HAVE CONTINUED TO

4373
03:06:03,200 --> 03:06:05,560
PERSIST. ALSO WHILE WE RECOGNIZE

4374
03:06:05,560 --> 03:06:07,080
SOLUTIONS TO THE PROBLEM

4375
03:06:07,080 --> 03:06:09,920
REQUIRES TEAM EFFORT IT IS TRUE

4376
03:06:09,920 --> 03:06:11,760
THAT FOR TOO LONG AND TOO MANY

4377
03:06:11,760 --> 03:06:12,920
MEMBERS OF THE TEAM HAVE BEEN

4378
03:06:12,920 --> 03:06:16,600
LEFT SITTING ON THE BENCH. ALSO

4379
03:06:16,600 --> 03:06:18,520
FOR TOO LONG TOO MUCH NATION'S

4380
03:06:18,520 --> 03:06:20,440
POTENTIAL HAVE NOT BEEN UTILIZED

4381
03:06:20,440 --> 03:06:23,080
OR HAVE NOT BEEN CONSIDERED

4382
03:06:23,080 --> 03:06:26,000
VALUABLE IN THE NATIONS

4383
03:06:26,000 --> 03:06:27,880
BIOMEDICAL RESEARCH EFFORT. WHAT

4384
03:06:27,880 --> 03:06:31,360
I FIND SO EXCITING ABOUT THIS

4385
03:06:31,360 --> 03:06:33,520
CONCEPT IS IT REPRESENTS A E

4386
03:06:33,520 --> 03:06:35,760
MANY SURED METHODICAL AND

4387
03:06:35,760 --> 03:06:38,000
SYSTEMATIC APPROACH OF TAPPING

4388
03:06:38,000 --> 03:06:39,760
THE UNTAP POTENTIAL OF THE

4389
03:06:39,760 --> 03:06:45,200
NATION'S MSI COMMUNITY. THIS

4390
03:06:45,200 --> 03:06:47,000
CONCEPT RECOGNIZES THE VALUE

4391
03:06:47,000 --> 03:06:48,960
THAT THIS COMMUNITY INSTITUTION

4392
03:06:48,960 --> 03:06:52,960
BRINGS TO THE NATION RESEARCH

4393
03:06:52,960 --> 03:06:55,240
EFFORT. ALSO RECOGNIZES THE

4394
03:06:55,240 --> 03:06:58,800
GRANULARITY OF THE MSIss. THAT

4395
03:06:58,800 --> 03:07:03,280
GRANULARITY IS EXPRESSED IN WIDE

4396
03:07:03,280 --> 03:07:04,840
VARIABILITY OF THE CURRENT

4397
03:07:04,840 --> 03:07:08,440
RESEARCH CAPACITY OBSERVED IN

4398
03:07:08,440 --> 03:07:10,640
THIS COMMUNITY. ANOTHER POINT

4399
03:07:10,640 --> 03:07:13,280
WORTH NOTING THE MSI COMMUNITY

4400
03:07:13,280 --> 03:07:16,720
ITSELF IS A DIVERSE ENTITY.

4401
03:07:16,720 --> 03:07:19,200
PRIMARILY COMPRISED OF TRIBAL

4402
03:07:19,200 --> 03:07:21,520
COLLEGES TCUs, HISPANIC

4403
03:07:21,520 --> 03:07:24,680
SERVING INSTITUTIONS OR HSIs

4404
03:07:24,680 --> 03:07:27,120
AND HISTORIC BLACK COLLEGES AND

4405
03:07:27,120 --> 03:07:30,360
UNIVERSITIES HBCUs. OR MORE

4406
03:07:30,360 --> 03:07:32,720
GENERALLY SPEAKING, ANY

4407
03:07:32,720 --> 03:07:36,200
INSTITUTION WITH AN ENROLLMENT

4408
03:07:36,200 --> 03:07:37,960
OF 25% SPECIFIC MINORITY GROUP

4409
03:07:37,960 --> 03:07:40,720
MAYBE DESIGNATED AS MYFORTY

4410
03:07:40,720 --> 03:07:42,240
SERVING FOR THAT GROUP --

4411
03:07:42,240 --> 03:07:43,800
MINORITY SERVING FOR THAT GROUP.

4412
03:07:43,800 --> 03:07:45,680
SO THE DIVERSITY OF THE MSI

4413
03:07:45,680 --> 03:07:49,600
COMMUNITY EMPHASIZES THE

4414
03:07:49,600 --> 03:07:51,080
MULTIPLICITY OF PERSPECTIVE THIS

4415
03:07:51,080 --> 03:07:53,360
COMMUNITY PROMISES TO DELIVER

4416
03:07:53,360 --> 03:07:54,520
WHICH HAVE BEEN FOR THE MOST

4417
03:07:54,520 --> 03:07:58,800
PART LARGELY UNTAPPED.  AS

4418
03:07:58,800 --> 03:08:01,000
SOMEONE WHO SPENT HIS CAREER AT

4419
03:08:01,000 --> 03:08:03,440
HBCU, THIS CONCEPTS IS VERY

4420
03:08:03,440 --> 03:08:04,440
ENCOURAGING AND HOLD IT IS

4421
03:08:04,440 --> 03:08:06,160
PROMISE OF ENHANCING THE

4422
03:08:06,160 --> 03:08:11,520
CONTRIBUTIONS OF MSIs TO THE

4423
03:08:11,520 --> 03:08:12,960
BIOMEDICAL RESEARCH EFFORT IN A

4424
03:08:12,960 --> 03:08:16,080
TIME IT REALLY COUNTS. ANOTHER

4425
03:08:16,080 --> 03:08:17,760
IMPORTANT ASPECT OF THIS CONCEPT

4426
03:08:17,760 --> 03:08:22,880
IS IT ALLOWS MSIs WHICH ARE AS

4427
03:08:22,880 --> 03:08:24,440
INDICATED EARLIER VARIOUS

4428
03:08:24,440 --> 03:08:25,480
INSTITUTIONS TO CHART THEIR OWN

4429
03:08:25,480 --> 03:08:28,080
COURSE AND PROCEED AT THEIR OWN

4430
03:08:28,080 --> 03:08:29,920
PACE. THE BUILT IN H PLANNING

4431
03:08:29,920 --> 03:08:31,720
COME POINT OF THIS COMPONENT

4432
03:08:31,720 --> 03:08:34,440
CHALLENGES THE MSI TO LOOK

4433
03:08:34,440 --> 03:08:37,000
CAREFULLY WHERE THEY ARE

4434
03:08:37,000 --> 03:08:38,160
CURRENTLY AND DECIDES WHERE YOU

4435
03:08:38,160 --> 03:08:40,400
WANT TO GO AND PLAN A PATH FOR

4436
03:08:40,400 --> 03:08:43,320
HOW THEY SHOULD GET THERE. IT

4437
03:08:43,320 --> 03:08:45,120
GIVES INSTITUTIONS THE

4438
03:08:45,120 --> 03:08:46,480
OPPORTUNITY TO TAKE THEIR

4439
03:08:46,480 --> 03:08:49,440
BIOMEDICAL RESEARCH DESTINY AND

4440
03:08:49,440 --> 03:08:51,440
THEIR OWN HANDS.  IN ADDITION TO

4441
03:08:51,440 --> 03:08:53,280
CONDUCTING OBJECTIVE NEEDS

4442
03:08:53,280 --> 03:08:54,800
ASSESSMENTS THIS CONCEPT

4443
03:08:54,800 --> 03:08:55,800
PROVIDES OPPORTUNITY TO DEVELOP

4444
03:08:55,800 --> 03:08:58,160
SHORT AND LONG TERM GOALS AND TO

4445
03:08:58,160 --> 03:09:01,520
DEVELOP METRICS AND METHODS FOR

4446
03:09:01,520 --> 03:09:05,560
ASSESSING PROGRESS TO THOSE. 

4447
03:09:05,560 --> 03:09:07,040
THERE IS A STATEMENT IN CONCEPT

4448
03:09:07,040 --> 03:09:08,800
THAT INDICATES GUIDANCE WILL BE

4449
03:09:08,800 --> 03:09:11,840
PROVIDED BY THE HUN PROGRAM

4450
03:09:11,840 --> 03:09:13,120
STAFF TO CONNECT AWARDEES TO

4451
03:09:13,120 --> 03:09:15,000
PROGRAMS AND FUNDING

4452
03:09:15,000 --> 03:09:15,800
OPPORTUNITIES AT DIFFERENT

4453
03:09:15,800 --> 03:09:18,760
FUNDING AGENCIES TO ADDRESS

4454
03:09:18,760 --> 03:09:23,160
IDENTIFIED NEEDS. THAT IS A VERY

4455
03:09:23,160 --> 03:09:24,080
POSITIVE RECOMMENDATION AND

4456
03:09:24,080 --> 03:09:27,280
MAYBE MORE NEEDED BY SOME MSIs

4457
03:09:27,280 --> 03:09:30,360
THAN FOR -- THAN FOR OTHERS SO

4458
03:09:30,360 --> 03:09:31,360
BECAUSE OF THAT IT WOULD BE

4459
03:09:31,360 --> 03:09:34,120
HELPFUL TO GET A BETTER IDEA OF

4460
03:09:34,120 --> 03:09:37,120
WHAT THE PROCESS LOOKS LIKE.  

4461
03:09:37,120 --> 03:09:39,400
ANOTHER STATEMENT THAT CAUGHT MY

4462
03:09:39,400 --> 03:09:42,560
ATTENTION IS N NIH ICs WERE

4463
03:09:42,560 --> 03:09:46,480
SIGNED ON TO FOAs TO FOA

4464
03:09:46,480 --> 03:09:48,320
PROVIDE SHARED SUPPORT AND A

4465
03:09:48,320 --> 03:09:49,520
LEAD INSTITUTE WILL BE ASSIGNED

4466
03:09:49,520 --> 03:09:51,000
TO COORDINATE THIS SUPPORT

4467
03:09:51,000 --> 03:09:54,200
EFFORTS ACROSS THE NIH ICs,

4468
03:09:54,200 --> 03:09:55,640
THIS EXTENDED LEVEL SUPPORT

4469
03:09:55,640 --> 03:09:57,040
SHOULD HAVE TO ENSURE THE

4470
03:09:57,040 --> 03:10:00,880
SUCCESS OF THE AWARDEES.  ONE OF

4471
03:10:00,880 --> 03:10:03,400
THE PERENNIAL ISSUES WITH THE

4472
03:10:03,400 --> 03:10:07,440
PARTICIPATION OF MSI IN RESEARCH

4473
03:10:07,440 --> 03:10:08,280
IS THEY HAVE BEEN TOO OFTEN

4474
03:10:08,280 --> 03:10:11,400
ASKED TO OR INDEED REQUIRED TO

4475
03:10:11,400 --> 03:10:13,720
MARCH TO THE TUNE INTEREST OF

4476
03:10:13,720 --> 03:10:16,560
RESEARCH INTENSIVE PARTNER.

4477
03:10:16,560 --> 03:10:18,040
WHILE THOSE ARRANGEMENTS HAVE

4478
03:10:18,040 --> 03:10:22,360
HAD SOME SUCCESS, IT ALSO

4479
03:10:22,360 --> 03:10:25,800
LIMITED THE UNFETTERED

4480
03:10:25,800 --> 03:10:27,080
EXPRESSION AND THEREFORE

4481
03:10:27,080 --> 03:10:29,920
CONTRIBUTIONS OF MSI PARTNER. I

4482
03:10:29,920 --> 03:10:32,440
HAVE PROPOSED NEEDS ASSESSMENTS

4483
03:10:32,440 --> 03:10:33,760
INCLUDE VERY BROAD CATEGORIES

4484
03:10:33,760 --> 03:10:37,280
WHICH PROVIDE INSTITUTIONS AMPLE

4485
03:10:37,280 --> 03:10:38,560
FLEXIBILITY AND CHARTING THE

4486
03:10:38,560 --> 03:10:40,920
WEST COURSE FOR THEIR OWN

4487
03:10:40,920 --> 03:10:43,320
INDIVIDUALIZED GOALS AND

4488
03:10:43,320 --> 03:10:45,840
INTERESTS. SO AS INDICATED

4489
03:10:45,840 --> 03:10:47,200
EARLIER, POSITIVE IMPACT OF THIS

4490
03:10:47,200 --> 03:10:49,800
PLAN IS INVITES MSIS TO LOOK

4491
03:10:49,800 --> 03:10:50,560
CRITICALLY AT THE CURRENT STATE

4492
03:10:50,560 --> 03:10:54,560
OF BIOMEDICAL RESEARCH AT THEIR

4493
03:10:54,560 --> 03:10:55,600
INSTITUTION, COMPARE PRESENT

4494
03:10:55,600 --> 03:10:56,800
STATE WHERE THEY ARE AND WHERE

4495
03:10:56,800 --> 03:10:58,800
THEY WANT TO BE, AND CHART A

4496
03:10:58,800 --> 03:11:02,320
PATH HOW TO GET THERE. THIS

4497
03:11:02,320 --> 03:11:05,280
CONCEPT PROVIDES FUNDING

4498
03:11:05,280 --> 03:11:06,520
ASSISTANCE IN DOING EACH OF

4499
03:11:06,520 --> 03:11:09,360
THESE STEPS AND ONCE THE PLAN IS

4500
03:11:09,360 --> 03:11:10,880
DEVELOPED Z THERE SEEMS TO BE

4501
03:11:10,880 --> 03:11:14,800
SUGGESTION WORKING WITH THE

4502
03:11:14,800 --> 03:11:15,920
INSTITUTIONS, ACQUIRE FUNDING

4503
03:11:15,920 --> 03:11:17,320
FROM OTHER SOURCES TO IMPLEMENT

4504
03:11:17,320 --> 03:11:20,080
DEVELOPED PLANS SO THIS CONCEPT

4505
03:11:20,080 --> 03:11:23,440
PROVIDE FUNDS FOR PLAN

4506
03:11:23,440 --> 03:11:24,040
DEVELOPMENT WHILE EFFECT

4507
03:11:24,040 --> 03:11:24,880
COMPLICIT FUNDS FOR PLAN

4508
03:11:24,880 --> 03:11:25,720
IMPLEMENTATION WILL COME FROM

4509
03:11:25,720 --> 03:11:32,040
ELSEWHERE. SO THE CONCEPT IN

4510
03:11:32,040 --> 03:11:32,800
ENACTED WILL INCREASE

4511
03:11:32,800 --> 03:11:34,200
PARTICIPATION OF MSI IN THE

4512
03:11:34,200 --> 03:11:37,520
NATIONAL BIOMEDICAL RESEARCH

4513
03:11:37,520 --> 03:11:39,480
CONVERSATION IN TWO WAYS.  ONE

4514
03:11:39,480 --> 03:11:42,680
IN TERMS OF DIRECT CONTRIBUTION

4515
03:11:42,680 --> 03:11:47,400
BY EXISTING DIVERSE WORK FORCE

4516
03:11:47,400 --> 03:11:50,760
PRESENT AT MSI, AND ALSO BY

4517
03:11:50,760 --> 03:11:52,400
PROVIDING CONTINUAL FLOW OF

4518
03:11:52,400 --> 03:11:54,880
DIVERSITY INTO THE WORK FORCE BY

4519
03:11:54,880 --> 03:11:58,680
VIRTUE OF MSI ENHANCED ABILITY

4520
03:11:58,680 --> 03:12:02,040
TO PROVIDE APPROPRIATELY TRAINED

4521
03:12:02,040 --> 03:12:03,200
STUDENTS. TO ENTER INTO THE WORK

4522
03:12:03,200 --> 03:12:06,640
FORCE. IN SUMMARY I BELIEVE THIS

4523
03:12:06,640 --> 03:12:09,840
CONCEPT IS A STEP IN THE RIGHT

4524
03:12:09,840 --> 03:12:11,760
DIRECTION AND I GIVE IT MY FULL

4525
03:12:11,760 --> 03:12:14,440
SUPPORT. THANK YOU.

4526
03:12:14,440 --> 03:12:18,680
>> THANK YOU VERY MUCH FOR
THOSE

4527
03:12:18,680 --> 03:12:21,480
COMMENTS. DR. VEGA, DO YOU HAVE

4528
03:12:21,480 --> 03:12:25,000
COMMENTS TO ADD ON THIS CONCEPT?

4529
03:12:25,000 --> 03:12:25,240
PLEASE.

4530
03:12:25,240 --> 03:12:28,840
>> THANK YOU. THERE ARE
MORE

4531
03:12:28,840 --> 03:12:31,960
THAN 100 MIGHTY SERVING SAUCE

4532
03:12:31,960 --> 03:12:33,800
AND THEY ARE -- PARTICULAR

4533
03:12:33,800 --> 03:12:35,240
INTEREST STUDENTS OF COLORND

4534
03:12:35,240 --> 03:12:36,520
THOSE WITH LOW INCOME

4535
03:12:36,520 --> 03:12:39,080
BACKGROUNDS. MSI SERVE ABOUT 30%

4536
03:12:39,080 --> 03:12:41,240
OF UNDERGRADUATES SOME OF THE

4537
03:12:41,240 --> 03:12:45,000
ISSUES THAT MSI FACE LACK OF

4538
03:12:45,000 --> 03:12:46,160
RESEARCH SUPPORT, LACK OF

4539
03:12:46,160 --> 03:12:46,880
INAPPROPRIATE RESEARCH

4540
03:12:46,880 --> 03:12:50,800
ENVIRONMENT AND LACK OF FACULTY

4541
03:12:50,800 --> 03:12:53,560
AND STAFF. SO MENTIONED BEFORE,

4542
03:12:53,560 --> 03:12:54,920
DR. DAS MENTIONED THAT THE GOAL

4543
03:12:54,920 --> 03:12:58,120
OF THESE CONCEPT NOW IS TO

4544
03:12:58,120 --> 03:13:00,760
INCREASE TO HAVE ASSESSMENT

4545
03:13:00,760 --> 03:13:03,080
INSTITUTIONAL RESEARCH CAPACITY

4546
03:13:03,080 --> 03:13:04,520
AND (INAUDIBLE) PLAN, THIS IS A

4547
03:13:04,520 --> 03:13:07,680
VERY IMPORTANT TIMELY TOPIC B I

4548
03:13:07,680 --> 03:13:09,400
CAN SEE THE CONCEPT WOULD

4549
03:13:09,400 --> 03:13:10,760
BENEFIT FROM INCLUDING MORE

4550
03:13:10,760 --> 03:13:12,480
INFORMATION HOW IT IS GOING TO

4551
03:13:12,480 --> 03:13:14,400
BE IMPLEMENTED, HOW THEY DEFINE

4552
03:13:14,400 --> 03:13:17,760
IT TO CATEGORIES AND ARE THERE

4553
03:13:17,760 --> 03:13:18,640
DIFFERENT GOALS FOR EACH

4554
03:13:18,640 --> 03:13:20,880
CATEGORY AND HOW DO MSI COMPARE

4555
03:13:20,880 --> 03:13:23,200
WITH RESPECT TO OTHER

4556
03:13:23,200 --> 03:13:25,520
NON-SCIENCE INSTITUTIONS IN

4557
03:13:25,520 --> 03:13:28,640
TERMS OF NIH SUPPORT. WE ALSO

4558
03:13:28,640 --> 03:13:29,880
RELEVANT TO CONSIDER MSI

4559
03:13:29,880 --> 03:13:32,440
INSTITUTIONS NEED TO ASSESS THE

4560
03:13:32,440 --> 03:13:33,520
SUSTAINABILITY OF THEIR

4561
03:13:33,520 --> 03:13:36,720
INITIATIVES. IT IS ALSO RELEVANT

4562
03:13:36,720 --> 03:13:41,880
THIS INITIATIVE INCLUDES

4563
03:13:41,880 --> 03:13:44,040
IMPLEMENTATION RESEARCH CAPACITY

4564
03:13:44,040 --> 03:13:46,400
AT MS I.  GIVEN THE

4565
03:13:46,400 --> 03:13:47,240
HETEROGENEITY AS MENTIONED

4566
03:13:47,240 --> 03:13:52,240
BEFORE AND POPULATION YES SERVE,

4567
03:13:52,240 --> 03:13:53,560
MANY MAYBE READY TO START

4568
03:13:53,560 --> 03:13:57,440
INTERVENTION STAGE. SO MSI

4569
03:13:57,440 --> 03:13:58,200
REQUEST FUNDS TO IMPLEMENT

4570
03:13:58,200 --> 03:14:00,720
INTERVENTIONS BASED ON THE MOST

4571
03:14:00,720 --> 03:14:02,920
PRESSING NEEDS AS THEY MAY HAVE

4572
03:14:02,920 --> 03:14:03,800
ALREADY DONE THEIR OWN

4573
03:14:03,800 --> 03:14:06,040
ASSESSMENT AND PROVIDE TOOLS OF

4574
03:14:06,040 --> 03:14:07,280
IMPLEMENTATION SUSTAINABILITY OF

4575
03:14:07,280 --> 03:14:09,480
THIS INTERVENTION. THE PREVIOUS

4576
03:14:09,480 --> 03:14:11,800
REPORT OF THE NATIONAL ACADEMY

4577
03:14:11,800 --> 03:14:13,400
OF SCIENCE PROPOSE QUANTITATIVE

4578
03:14:13,400 --> 03:14:15,720
INTERVIEWS WITH MSI LEADERSHIP

4579
03:14:15,720 --> 03:14:18,000
AND SOME SEEM TO INDICATE THAT

4580
03:14:18,000 --> 03:14:19,640
THEY HAVE IDENTIFIED THE MOST

4581
03:14:19,640 --> 03:14:22,720
PRESSING RESEARCH CAPACITY NEEDS

4582
03:14:22,720 --> 03:14:26,080
SO TIMING IS OF ESSENCE AND MSI

4583
03:14:26,080 --> 03:14:28,680
REQUIRES SUPPORT. IT WOULD BE

4584
03:14:28,680 --> 03:14:30,480
RELEVANT TO NEED IN DIFFERENT

4585
03:14:30,480 --> 03:14:31,760
STAGES OF IDENTIFICATION OF

4586
03:14:31,760 --> 03:14:34,120
INSTITUTIONAL RESEARCH CAPACITY

4587
03:14:34,120 --> 03:14:38,000
NEEDS. I JUST WANT TO HIGHLIGHT

4588
03:14:38,000 --> 03:14:43,560
THE IMPORTANCE OF RELEVANCE TO

4589
03:14:43,560 --> 03:14:45,960
THIS TOPIC FOR THE MARKET MANUAL

4590
03:14:45,960 --> 03:14:48,160
ASPECT, SO FIRST POPULATION IS

4591
03:14:48,160 --> 03:14:50,760
BECOMING RACIALLY DIVERSE, IT IS

4592
03:14:50,760 --> 03:14:54,120
EXPECTED MSI WILL SERVE A LARGER

4593
03:14:54,120 --> 03:14:55,440
PROPORTION OF UNDERGRADUATES IN

4594
03:14:55,440 --> 03:14:57,360
THE U.S. AND MANY NOT EQUIPPED

4595
03:14:57,360 --> 03:14:58,720
TO PROVIDE IDEAL RESEARCH

4596
03:14:58,720 --> 03:15:00,880
ENVIRONMENTS TO ALLOW STUDENTS

4597
03:15:00,880 --> 03:15:02,880
PURSUE DIFFERENT CAREERS THAT

4598
03:15:02,880 --> 03:15:04,680
INCREASE DIVERSITY OF THE WORK

4599
03:15:04,680 --> 03:15:08,200
FORCE. SECOND, PREVIOUSLY SEARCH

4600
03:15:08,200 --> 03:15:09,720
DOCUMENTED THAT IS CAUSING JOB

4601
03:15:09,720 --> 03:15:13,000
REPLACEMENT OF SKILLED WORK

4602
03:15:13,000 --> 03:15:18,920
WORKERS. THIS IS IDEAL WORK

4603
03:15:18,920 --> 03:15:22,200
FORCE. FINALLY LARGE PROPORTION

4604
03:15:22,200 --> 03:15:24,560
OF MINORITY ADULTS FACING

4605
03:15:24,560 --> 03:15:26,080
LIMITED WORK OPPORTUNITIES

4606
03:15:26,080 --> 03:15:28,800
DURING THEIR PRIME YEARS AND

4607
03:15:28,800 --> 03:15:30,720
THAT RESULTS IN WORK

4608
03:15:30,720 --> 03:15:33,080
OPPORTUNITIES GIVEN OLDER AGES. 

4609
03:15:33,080 --> 03:15:35,400
SO IF THIS INITIATIVE CONSIDERS

4610
03:15:35,400 --> 03:15:39,320
INCLUDING A IMPLEMENTATION OF

4611
03:15:39,320 --> 03:15:40,320
INTERVENTIONS OPPORTUNITY IN

4612
03:15:40,320 --> 03:15:43,240
SHORT TERM, IF WE USE LIFE CYCLE

4613
03:15:43,240 --> 03:15:44,560
LIFE COURSE APPROACH

4614
03:15:44,560 --> 03:15:47,080
INTERVENTIONS TO PRODUCE IN THE

4615
03:15:47,080 --> 03:15:49,880
SHORT RUN STARTED THIS IN

4616
03:15:49,880 --> 03:15:51,360
EMPLOYMENT AND DIVERSIFY THE

4617
03:15:51,360 --> 03:15:53,200
WORK FORCE WITH LONG TERM

4618
03:15:53,200 --> 03:15:54,600
EFFECTS ON HEALTH AND WELL BEING

4619
03:15:54,600 --> 03:15:57,600
OF MINORITY POPULATION. IT ALSO

4620
03:15:57,600 --> 03:16:00,440
PRODUCE INTERGENERATIONAL IN

4621
03:16:00,440 --> 03:16:03,000
TERMS OF POTENTIAL SOCIAL

4622
03:16:03,000 --> 03:16:06,200
MOBILITY. I JUST IN SUM I THINK

4623
03:16:06,200 --> 03:16:08,920
THIS IS A VERY IMPORTANT

4624
03:16:08,920 --> 03:16:10,560
INITIATIVE AND THANK YOU FOR THE

4625
03:16:10,560 --> 03:16:12,000
OPPORTUNITY TO REVIEW THIS

4626
03:16:12,000 --> 03:16:13,680
CONCEPT. 

4627
03:16:13,680 --> 03:16:16,520
>> THANK YOU VERY MUCH FOR
THOSE

4628
03:16:16,520 --> 03:16:18,520
COMMENTS. THE FLOOR IS NOW OPEN

4629
03:16:18,520 --> 03:16:21,760
FOR DISCUSSION.  ARE THERE ANY

4630
03:16:21,760 --> 03:16:23,560
COMMENTS OR QUESTIONS FROM OTHER

4631
03:16:23,560 --> 03:16:25,400
ADVISORY COUNCIL MEMBERS ON THIS

4632
03:16:25,400 --> 03:16:33,760
SCIENTIFIC CONCEPT? PLEASE

4633
03:16:33,760 --> 03:16:36,640
INDICATE QUESTION OR COMMENT OR

4634
03:16:36,640 --> 03:16:46,960
RAISE YOUR HAND.

4635
03:16:47,600 --> 03:16:50,200
>> THIS IS JUDITH. I
COMMENTED

4636
03:16:50,200 --> 03:16:52,080
YESTERDAY THAT I THINK THAT THIS

4637
03:16:52,080 --> 03:16:56,240
IS INCREDIBLY IMPORTANT BUT I

4638
03:16:56,240 --> 03:16:59,320
WOULD -- I DIDN'T HEAR MUCH

4639
03:16:59,320 --> 03:17:01,200
ABOUT HOW SUSTAINABILITY IS

4640
03:17:01,200 --> 03:17:02,760
BEING CONSIDERED IN THESE PLANS

4641
03:17:02,760 --> 03:17:04,280
AND NEEDS ASSESSMENT AND THINK

4642
03:17:04,280 --> 03:17:06,640
THERE WOULD BE A LOT OF VALUE IN

4643
03:17:06,640 --> 03:17:09,880
EXPLICITLY CALLING OUT

4644
03:17:09,880 --> 03:17:11,000
SUSTAINABILITY AS WELL AS PARTS

4645
03:17:11,000 --> 03:17:20,240
OF THE NEEDS ASSESSMENT?

4646
03:17:20,240 --> 03:17:24,680
>> THANK YOU FOR THAT
COMMENT.

4647
03:17:24,680 --> 03:17:26,800
>> DR. DAS.

4648
03:17:26,800 --> 03:17:29,840
>> SO I WANT TO THANK ALL
THE

4649
03:17:29,840 --> 03:17:33,200
COUNCIL MEMBERS, I THINK THE

4650
03:17:33,200 --> 03:17:34,800
COMMENTS PROVIDED BY THEM ARE

4651
03:17:34,800 --> 03:17:38,800
VERY USEFUL AND JUST WANT TO

4652
03:17:38,800 --> 03:17:41,320
REITERATE THIS IS A CONCEPT SO

4653
03:17:41,320 --> 03:17:43,440
ONCE WE DEVELOP FUNDING

4654
03:17:43,440 --> 03:17:45,000
OPPORTUNITY ALL THE DETAILS

4655
03:17:45,000 --> 03:17:48,480
WOULD BE INCORPORATED AS TO WHAT

4656
03:17:48,480 --> 03:17:51,760
KIND OF MECHANISM WE ARE -- WE

4657
03:17:51,760 --> 03:17:56,160
CAN USE FOR PROVIDING SUPPORT

4658
03:17:56,160 --> 03:17:58,680
THAT DR. SOUTHERLAND MENTIONED,

4659
03:17:58,680 --> 03:18:01,800
WE ARE THINKING ABOUT USING A

4660
03:18:01,800 --> 03:18:04,760
COOPERATIVE AGREEMENT MECHANISM

4661
03:18:04,760 --> 03:18:08,200
FOR THIS PARTICULAR FUNDING

4662
03:18:08,200 --> 03:18:11,400
ANNOUNCEMENT WHICH ALOUSE MORE

4663
03:18:11,400 --> 03:18:14,080
PROGRAM STAFF INVOLVEMENT

4664
03:18:14,080 --> 03:18:16,640
THROUGHOUT THE COURSE OF THE

4665
03:18:16,640 --> 03:18:18,840
FUNDED GRANT. THAT WILL REALLY

4666
03:18:18,840 --> 03:18:22,720
HELP US ADDRESS THE NEEDS EACH

4667
03:18:22,720 --> 03:18:25,360
INSTITUTION MAY HAVE. AS YOU

4668
03:18:25,360 --> 03:18:26,880
INDICATED THERE ARE DIFFERENT

4669
03:18:26,880 --> 03:18:29,720
DIVERSE TYPES OF MSIs SO THE

4670
03:18:29,720 --> 03:18:30,880
NEEDS WOULD BE QUITE DIFFERENT

4671
03:18:30,880 --> 03:18:33,280
AND WE HAVE TO ACKNOWLEDGE AND

4672
03:18:33,280 --> 03:18:37,240
TRY TO ADDRESS NEEDS OF ALL THE

4673
03:18:37,240 --> 03:18:40,480
MSIs WHO ARE AT DIFFERENT

4674
03:18:40,480 --> 03:18:42,080
LEVELS. NIH PROGRAM WOULD BE

4675
03:18:42,080 --> 03:18:45,400
INVOLVED IN PROVIDING SUPPORT

4676
03:18:45,400 --> 03:18:50,480
FOR DURING THIS PROCESS.  IN

4677
03:18:50,480 --> 03:18:52,080
TERMS OF DR. (INAUDIBLE)

4678
03:18:52,080 --> 03:18:56,280
COMMENTS, I APPRECIATE YOUR

4679
03:18:56,280 --> 03:18:58,280
FEEDBACK THAT SOME OF THE

4680
03:18:58,280 --> 03:19:00,720
INSTITUTIONS MAY HAVE ALREADY

4681
03:19:00,720 --> 03:19:03,680
CONDUCTED THEIR NEEDS

4682
03:19:03,680 --> 03:19:06,560
ASSESSMENT. I UNDERSTAND THAT

4683
03:19:06,560 --> 03:19:10,240
NIH HAS BEEN PROVIDING FUNDS FOR

4684
03:19:10,240 --> 03:19:15,320
PROGRAMS ON TRAINING, SPONSORED

4685
03:19:15,320 --> 03:19:16,720
RESEARCH PROGRAMS, DEVELOPING

4686
03:19:16,720 --> 03:19:19,160
CERTAIN AREAS, SO IT WOULD BE

4687
03:19:19,160 --> 03:19:22,800
REALLY GOOD TO KNOW WHAT TYPE OF

4688
03:19:22,800 --> 03:19:25,440
NEXT STEPS WOULD BE NECESSARY TO

4689
03:19:25,440 --> 03:19:28,320
REALLY ADDRESS SOME OF THE

4690
03:19:28,320 --> 03:19:30,600
CRITICAL GAPS AND WE THOUGHT

4691
03:19:30,600 --> 03:19:32,600
HAVING STRUCTURED NEEDS

4692
03:19:32,600 --> 03:19:36,360
ASSESSMENT WILL GIVE US SOME

4693
03:19:36,360 --> 03:19:37,720
CLUES WHAT TYPE OF FUNDING

4694
03:19:37,720 --> 03:19:38,840
OPPORTUNITY WE NEED TO CREATE

4695
03:19:38,840 --> 03:19:41,200
ADDRESS THE NEEDS OF THOSE

4696
03:19:41,200 --> 03:19:46,600
SPECIFIC AREAS. SO INTERVENTIONS

4697
03:19:46,600 --> 03:19:48,880
ARE PROBABLY MUCH NEEDED, BUT IT

4698
03:19:48,880 --> 03:19:51,200
WOULD BE PROBABLY IN THE NEXT

4699
03:19:51,200 --> 03:19:52,480
ITERATION OR DIFFERENT FUNDING

4700
03:19:52,480 --> 03:19:57,680
ANNOUNCEMENT. I APPRECIATE THE

4701
03:19:57,680 --> 03:19:59,320
SUSTAINABILITY COMMENT AND WE

4702
03:19:59,320 --> 03:20:00,400
ARE DEFINITELY WILL CONSIDER

4703
03:20:00,400 --> 03:20:03,440
THAT MANY THE NEEDS ASSESSMENT.

4704
03:20:03,440 --> 03:20:06,880
THANK YOU.

4705
03:20:06,880 --> 03:20:10,320
>> IF I CAN JUST ADD, I
WANT TO

4706
03:20:10,320 --> 03:20:12,920
SUGGEST THAT AS I LOOK OVER AND

4707
03:20:12,920 --> 03:20:18,560
READ THE CONCEPT, I THINK

4708
03:20:18,560 --> 03:20:21,200
BECAUSE OF THE VARIABILITY IN

4709
03:20:21,200 --> 03:20:23,120
THIS COMMUNITY OF INSTITUTIONS,

4710
03:20:23,120 --> 03:20:26,720
THIS PROGRAM CAN BE OF

4711
03:20:26,720 --> 03:20:28,040
SIGNIFICANCE AND GREAT

4712
03:20:28,040 --> 03:20:29,640
ASSISTANCE NO MATTER WHERE

4713
03:20:29,640 --> 03:20:30,880
INSTITUTION IS ALONG THE

4714
03:20:30,880 --> 03:20:40,720
CONTINUUM. THE INFUSION OF THIS

4715
03:20:40,720 --> 03:20:41,720
ASSISTANCE COULD BE A HELP TO

4716
03:20:41,720 --> 03:20:45,720
THE INSTITUTION.  REALIZING THAT

4717
03:20:45,720 --> 03:20:47,480
ALL INSTITUTIONS RELY ON A

4718
03:20:47,480 --> 03:20:49,160
CONTINUUM OF THEIR RESEARCH

4719
03:20:49,160 --> 03:20:52,560
CAPACITY AND WHAT THE RESEARCH

4720
03:20:52,560 --> 03:20:54,080
CAPABILITY. BUT THIS COULD HELP

4721
03:20:54,080 --> 03:20:58,600
THEM NO MATTER WHERE THEY ARE.

4722
03:20:58,600 --> 03:21:00,880
>> THAT IS MY PERSPECTIVE.

4723
03:21:00,880 --> 03:21:05,280
>> THANK YOU. IN TERMS OF
THE I

4724
03:21:05,280 --> 03:21:09,400
FORGOT TO MENTION ONE COMMENT

4725
03:21:09,400 --> 03:21:12,120
DR. AGILA HAD IN TERMS OF

4726
03:21:12,120 --> 03:21:14,040
IMPLEMENTATION OF THE RESEARCH

4727
03:21:14,040 --> 03:21:16,320
ACTIVE VERSUS HIGH RESEARCH

4728
03:21:16,320 --> 03:21:18,360
ACTIVE, WE HAVE DETERMINED BY

4729
03:21:18,360 --> 03:21:20,520
THE DOLLAR AMOUNT AND SOME OF

4730
03:21:20,520 --> 03:21:24,120
THE OTHER CRITERIA LISTED IN MY

4731
03:21:24,120 --> 03:21:29,960
SLIDE BUT AS WE GO FORWARD WE

4732
03:21:29,960 --> 03:21:33,040
REALIZE THESE ARE PROBABLY EVER

4733
03:21:33,040 --> 03:21:37,280
CHANGING AREAS AND IF SOMEBODY

4734
03:21:37,280 --> 03:21:42,480
IS AT THE TIME OF APPLICATION IF

4735
03:21:42,480 --> 03:21:44,000
THEY QUALIFY LOW RESEARCH ACTIVE

4736
03:21:44,000 --> 03:21:45,400
THAT'S WHERE THEY SUBMIT HAIR

4737
03:21:45,400 --> 03:21:47,600
APPLICATION.  THEY DEVELOP THEIR

4738
03:21:47,600 --> 03:21:49,800
NEEDS ACCORDINGLY IF FOR SOME

4739
03:21:49,800 --> 03:21:51,120
REASON LOW RESEARCH ACTIVE

4740
03:21:51,120 --> 03:21:53,960
BECOMES A HIGH RESEARCH THAT IS

4741
03:21:53,960 --> 03:21:57,400
FANTASTIC. WE WOULD LIKE TO

4742
03:21:57,400 --> 03:21:59,160
UNDERSTAND SOME OF THOSE

4743
03:21:59,160 --> 03:22:00,640
STRATEGIES THAT HAVE BEEN

4744
03:22:00,640 --> 03:22:01,880
WORKING THAT ALLOW THEM TO MOVE

4745
03:22:01,880 --> 03:22:05,480
TO THAT HIGH LEVEL. FROM 6

4746
03:22:05,480 --> 03:22:07,800
MILLION TO 25 MILLION. THAT

4747
03:22:07,800 --> 03:22:10,560
WOULD BE FANTASTIC AND THAT IS

4748
03:22:10,560 --> 03:22:12,920
WHERE WE WANT MOST INSTITUTIONS

4749
03:22:12,920 --> 03:22:14,360
TO GET THEIRS TO REDUCE THESE

4750
03:22:14,360 --> 03:22:16,520
FUNDING GAPS. SO WE DEFINITELY

4751
03:22:16,520 --> 03:22:20,360
WANT THEM TO CAPTURE THEIR

4752
03:22:20,360 --> 03:22:22,120
STRENGTH AND SEE WHAT STRATEGIES

4753
03:22:22,120 --> 03:22:22,840
ARE WORKING IN THEIR

4754
03:22:22,840 --> 03:22:24,280
INSTITUTION. WHAT ARE THE

4755
03:22:24,280 --> 03:22:25,720
STRUCTURAL FACTORS THAT THEY

4756
03:22:25,720 --> 03:22:27,200
HAVE CHANGED IN THE INSTITUTION

4757
03:22:27,200 --> 03:22:29,360
THAT ALLOW THEM TO REACH THAT

4758
03:22:29,360 --> 03:22:34,000
LEVEL. DURING THE REVIEW PROCESS

4759
03:22:34,000 --> 03:22:35,200
MAYBE WE CAN EVEN HAVE A

4760
03:22:35,200 --> 03:22:38,360
SEPARATE REVIEW PANEL TO HAVE A

4761
03:22:38,360 --> 03:22:40,840
FAIR ASSESSMENT OF EACH OF THOSE

4762
03:22:40,840 --> 03:22:43,400
MSIs AT THE LOW RESEARCH

4763
03:22:43,400 --> 03:22:44,880
ACTIVE VERSUS HIGH RESEARCH

4764
03:22:44,880 --> 03:22:48,000
ACTIVE. THOSE ARE SOME OF THE

4765
03:22:48,000 --> 03:22:49,480
AREAS.  AS WE DEVELOP THE

4766
03:22:49,480 --> 03:22:50,400
FUNDING ANNOUNCEMENT WE WILL

4767
03:22:50,400 --> 03:22:51,600
HAVE MORE DETAILS COMING OUT OF

4768
03:22:51,600 --> 03:22:58,520
THOSE. 

4769
03:22:58,520 --> 03:22:59,520
>> ANY OTHER POINTS OF

4770
03:22:59,520 --> 03:23:10,120
DISCUSSION.  IN ORDER FOR A

4771
03:23:10,120 --> 03:23:12,120
CONCEPT TO MOVE FORWARD FOR

4772
03:23:12,120 --> 03:23:14,160
DEVELOPMENT AS A FUNDING

4773
03:23:14,160 --> 03:23:15,320
OPPORTUNITY WE WOULD NEED A

4774
03:23:15,320 --> 03:23:19,360
MOTION AND SECOND.  MAY I HAVE A

4775
03:23:19,360 --> 03:23:22,640
MOTION TO MOVE THIS CONCEPT

4776
03:23:22,640 --> 03:23:23,920
FORWARD FOR FUNDING OPPORTUNITY

4777
03:23:23,920 --> 03:23:24,400
DEVELOPMENT? THE

4778
03:23:24,400 --> 03:23:26,280
>> SO MOVE MOVED.

4779
03:23:26,280 --> 03:23:28,720
>> MOTION TO APPROVE AND
MOVE

4780
03:23:28,720 --> 03:23:30,760
THIS CONCEPT FORWARD. 

4781
03:23:30,760 --> 03:23:36,000
>> MAY I HAVE A SECOND?

4782
03:23:36,000 --> 03:23:40,880
>> SECOND. 

4783
03:23:40,880 --> 03:23:44,200
>> OKAY SO IN THE CHAT BOX

4784
03:23:44,200 --> 03:23:48,320
COUNCIL MEMBERS WILL VOTES.

4785
03:23:48,320 --> 03:23:49,800
PLEASE ENTER WHY IF YOU ARE IN

4786
03:23:49,800 --> 03:23:51,280
FAVOR OR NO IF YOU ARE NOT IN

4787
03:23:51,280 --> 03:24:01,760
FAVOR.  IF YOU ARE OPPOSED. 

4788
03:24:08,760 --> 03:24:10,520
LOOKS LIKE WE HAVE THE VOTE.

4789
03:24:10,520 --> 03:24:11,760
AFTER HAVING MOVED PROPERLY

4790
03:24:11,760 --> 03:24:13,560
SECONDED THE CONCEPT WE WILL

4791
03:24:13,560 --> 03:24:15,320
MOVE TO FORWARD OPPORTUNITY

4792
03:24:15,320 --> 03:24:16,240
ANNOUNCEMENT DEVELOPMENT. THANK

4793
03:24:16,240 --> 03:24:21,200
YOU ALL. NOW WE MOVE TO THE

4794
03:24:21,200 --> 03:24:22,080
SECOND SCIENTIFIC CONCEPT FOR

4795
03:24:22,080 --> 03:24:24,640
YOUR CONSIDERATION. DR. RADA

4796
03:24:24,640 --> 03:24:26,000
DAGHER WILL PRESENT THIS

4797
03:24:26,000 --> 03:24:27,400
CONCEPT, ENTITLED ADDRESSING

4798
03:24:27,400 --> 03:24:28,640
HEALTH AND HEALTHCARE

4799
03:24:28,640 --> 03:24:30,280
DISPARITIES IN SEXUAL AND GENDER

4800
03:24:30,280 --> 03:24:33,440
MINORITY POPULATIONS. THE

4801
03:24:33,440 --> 03:24:36,720
COUNCIL REVIEWERS ARE DR.

4802
03:24:36,720 --> 03:24:39,320
MUSTANSKI AND DR. RESNICOW. SO

4803
03:24:39,320 --> 03:24:40,560
SOON AS SLIDES ARE UP I WILL

4804
03:24:40,560 --> 03:24:43,440
TURN THE FLOW OVER FOR THE

4805
03:24:43,440 --> 03:24:44,120
PRESENTATION BY DR. DAGHER.

4806
03:24:44,120 --> 03:24:50,480
THANK YOU.

4807
03:24:50,480 --> 03:24:52,640
>> THANK YOU DR. HOOPER.
GOOD

4808
03:24:52,640 --> 03:24:53,640
AFTERNOON EVERYONE. BEFORE I

4809
03:24:53,640 --> 03:24:54,760
START MY PRESENTATION, I WOULD

4810
03:24:54,760 --> 03:24:57,200
LIKE TO ACKNOWLEDGE THE MEMBERS

4811
03:24:57,200 --> 03:25:00,240
OF THE TEAM WHO ARE WORKING ON

4812
03:25:00,240 --> 03:25:04,880
THIS CONCEPT WITH ME, DR.

4813
03:25:04,880 --> 03:25:07,880
(INAUDIBLE) CRYSTAL BARKSDALE

4814
03:25:07,880 --> 03:25:10,280
AND DEBRA (INAUDIBLE). I WOULD

4815
03:25:10,280 --> 03:25:12,120
ALSO LIKE TO ACKNOWLEDGE THE

4816
03:25:12,120 --> 03:25:15,440
GREAT GUIDANCE AN SUPPORT WE

4817
03:25:15,440 --> 03:25:19,320
RECEIVED FROM DR. AVILA SANTA

4818
03:25:19,320 --> 03:25:21,200
FOR THIS CONCEPT AND ALSO WOULD

4819
03:25:21,200 --> 03:25:23,520
LIKE TO THANK STAFF FROM THE

4820
03:25:23,520 --> 03:25:27,480
SEXUAL GENDER MINORITY RESEARCH

4821
03:25:27,480 --> 03:25:30,840
OFFICE DR.S KAREN PARKER,

4822
03:25:30,840 --> 03:25:34,800
CHRISTOPHER BARNHART AND RYAN

4823
03:25:34,800 --> 03:25:36,840
FOR THEIR SUPPORT AND HELP OF

4824
03:25:36,840 --> 03:25:43,040
THE PORTFOLIO ANALYSIS.  SO JUST

4825
03:25:43,040 --> 03:25:44,960
TO GIVE YOU BACKGROUND ON WHY

4826
03:25:44,960 --> 03:25:46,960
THIS IS AN IMPORTANT PROBLEM.

4827
03:25:46,960 --> 03:25:49,640
THERE ARE 11 MILLION LESBIAN GAY

4828
03:25:49,640 --> 03:25:50,720
BISEXUAL AND TRANSGENDER

4829
03:25:50,720 --> 03:25:52,200
INDIVIDUALS WHO LIVE IN THE

4830
03:25:52,200 --> 03:25:54,480
UNITED STATES. THIS IS

4831
03:25:54,480 --> 03:25:55,600
APPROXIMATELY THE POPULATION

4832
03:25:55,600 --> 03:25:58,800
SIZE OF OHIO. SEXUAL GENDER

4833
03:25:58,800 --> 03:26:01,200
MINORITY POPULATIONS INCLUDE

4834
03:26:01,200 --> 03:26:07,280
LESBIAN GAY BISEXUAL ASEX WALL

4835
03:26:07,280 --> 03:26:10,320
TRANSGENDER, QUEER AND/OR

4836
03:26:10,320 --> 03:26:13,680
ENTERSEX. SAME SEX OR GENDER

4837
03:26:13,680 --> 03:26:15,480
ATTRACTIONS OR BEHAVIORS IN

4838
03:26:15,480 --> 03:26:16,120
DIFFERENCES WITH SEX DEVELOPMENT

4839
03:26:16,120 --> 03:26:18,120
AND THOSE WHO DO NOT

4840
03:26:18,120 --> 03:26:20,760
SELF-IDENTIFY WITH ONE TERM BUT

4841
03:26:20,760 --> 03:26:22,120
WHOSE SEXUAL ORIENTATION GENDER

4842
03:26:22,120 --> 03:26:23,880
IDENTITY OR EXPRESSION OR

4843
03:26:23,880 --> 03:26:26,640
PRODUCTIVE DEVELOPMENT IS

4844
03:26:26,640 --> 03:26:28,080
CHARACTERIZED BY NON-BINARY

4845
03:26:28,080 --> 03:26:30,000
CONSTRUCTS OF SEXUAL ORIENTATION

4846
03:26:30,000 --> 03:26:32,200
GENDER AND/OR SEX SO THIS IS THE

4847
03:26:32,200 --> 03:26:36,640
OFFICIAL DEFINITION THE NIH HAS

4848
03:26:36,640 --> 03:26:39,440
FOR SEXUAL AND GENDER MINORITY

4849
03:26:39,440 --> 03:26:40,880
POPULATIONS.  AS POPULATIONS

4850
03:26:40,880 --> 03:26:42,400
HAVE BEEN SHOWN TO HAVE INCREASE

4851
03:26:42,400 --> 03:26:45,440
RISK FOR HEALTH DISPARITIES

4852
03:26:45,440 --> 03:26:47,000
INCLUDING CARDIOVASCULAR

4853
03:26:47,000 --> 03:26:47,800
DISEASE, CANCER VIOLENCE AND

4854
03:26:47,800 --> 03:26:50,160
HIV, FOR EXAMPLE, THEY HAVE

4855
03:26:50,160 --> 03:26:52,320
HIGHER ODDS OF RISK FACTORS

4856
03:26:52,320 --> 03:26:54,360
CERTAIN RISK FACTORS FOR

4857
03:26:54,360 --> 03:26:55,880
CARDIOVASCULAR DISEASE SUCH AS

4858
03:26:55,880 --> 03:26:58,040
DIABETES AND HYPERTENSION. THEY

4859
03:26:58,040 --> 03:26:59,840
ALSO EXPERIENCE DISPARITIES IN

4860
03:26:59,840 --> 03:27:01,960
MENTAL HEALTH SUBSTANCE USE AND

4861
03:27:01,960 --> 03:27:05,760
BEHAVIORAL HEALTH FOR EXAMPLE

4862
03:27:05,760 --> 03:27:07,480
YOUNG POPULATION VERSUS

4863
03:27:07,480 --> 03:27:08,440
HEIGHTENED ANXIETY AND

4864
03:27:08,440 --> 03:27:11,080
DEPRESSIVE SYMPTOMS AND GREATER

4865
03:27:11,080 --> 03:27:15,160
SUICIDALITY THAN IF WE COMPARE

4866
03:27:15,160 --> 03:27:16,680
THEM TO HEAD OWE SEXUAL OR CIS

4867
03:27:16,680 --> 03:27:19,000
GENDER POPULATIONS.  THEY ALSO

4868
03:27:19,000 --> 03:27:22,520
REPORT LESS HEALTHY SLEEP. THE

4869
03:27:22,520 --> 03:27:28,760
NEXT SLIDE PLEASE. SO THERE ARE

4870
03:27:28,760 --> 03:27:31,480
BUNCH OF RESEARCH GRAVES WE FIND

4871
03:27:31,480 --> 03:27:35,000
IN THE LITERATURE FOR SGM

4872
03:27:35,000 --> 03:27:36,200
POPULATIONS. SO THERE IS

4873
03:27:36,200 --> 03:27:37,840
SCARCITY OF RESEARCH ON EVIDENCE

4874
03:27:37,840 --> 03:27:39,960
BASED INTERVENTIONS, AND

4875
03:27:39,960 --> 03:27:42,120
LONGITUDINAL STUDIES THAT EMPLOY

4876
03:27:42,120 --> 03:27:45,840
A LIFE COURSE PERSPECTIVE. THERE

4877
03:27:45,840 --> 03:27:48,840
IS ALSO NEED FOR STUDIES HOW

4878
03:27:48,840 --> 03:27:50,080
STRUCTURAL STIGMA DEVELOPS AND

4879
03:27:50,080 --> 03:27:51,840
EVOLVES ACROSS THE LIFE SPAN TO

4880
03:27:51,840 --> 03:27:52,680
HEALTH AND HEALTHCARE

4881
03:27:52,680 --> 03:27:56,680
DISPARITIES AND SGM POPULATIONS.

4882
03:27:56,680 --> 03:27:58,240
FOR EXAMPLE STRUCTURAL STIGMA

4883
03:27:58,240 --> 03:28:01,560
RESEARCH DOES NOT HAVE MUCH

4884
03:28:01,560 --> 03:28:05,240
FOCUS ON INTERSECTIONALITY WITH

4885
03:28:05,240 --> 03:28:06,720
OTHER HEALTH DISPARITY

4886
03:28:06,720 --> 03:28:08,600
POPULATIONS FOR EXAMPLE RACIAL

4887
03:28:08,600 --> 03:28:11,240
ETHNIC MINORITIES OR THOSE WHO

4888
03:28:11,240 --> 03:28:13,760
LIVE IN RURAL AREAS OR THOSE WHO

4889
03:28:13,760 --> 03:28:15,240
ARE SOCIOECONOMICICALLY

4890
03:28:15,240 --> 03:28:17,240
DISADVANTAGED. THERE IS ALSO

4891
03:28:17,240 --> 03:28:18,560
NEED FOR INTERVENTION THAT

4892
03:28:18,560 --> 03:28:20,480
ADDRESS DISPARITIES FOR SEXUAL

4893
03:28:20,480 --> 03:28:22,080
GENDER MINORITY POPULATIONS WHO

4894
03:28:22,080 --> 03:28:27,240
LIVE IN RURAL AREAS OR WHO ARE

4895
03:28:27,240 --> 03:28:29,520
PERSONS OF COLOR AND WHO ARE

4896
03:28:29,520 --> 03:28:30,520
SOCIOECONOMICICALLY

4897
03:28:30,520 --> 03:28:32,320
DISADVANTAGED. THERE IS ALSO A

4898
03:28:32,320 --> 03:28:33,720
NEED FOR INTERVENTIONS TO

4899
03:28:33,720 --> 03:28:36,600
IMPROVE ACCESS TO CALL OF THE

4900
03:28:36,600 --> 03:28:37,600
WARE FOR SEXUAL AND GENDER

4901
03:28:37,600 --> 03:28:38,920
MYMORE I POPULATIONS. THERE IS

4902
03:28:38,920 --> 03:28:43,400
SCARETY OF STUDIES THAT EXAMINE

4903
03:28:43,400 --> 03:28:44,640
SOCIAL DETERMINANTS OF HEALTH

4904
03:28:44,640 --> 03:28:45,400
AND DIFFERENTIAL ACCESS TO

4905
03:28:45,400 --> 03:28:46,520
OPPORTUNITIES AND RESOURCES MAY

4906
03:28:46,520 --> 03:28:48,120
IMPACT HEALTH AND HEALTHCARE

4907
03:28:48,120 --> 03:28:54,280
DISPARITIES IN SGM POPULATIONS. 

4908
03:28:54,280 --> 03:28:56,160
SO THE PURPOSE OF THIS CONCEPT

4909
03:28:56,160 --> 03:28:58,280
IS TO SOLICIT RESEARCH TO

4910
03:28:58,280 --> 03:28:59,520
ADDRESS AND UNDERSTAND HEALTH

4911
03:28:59,520 --> 03:29:01,240
AND HEALTHCARE DISPARITIES IN

4912
03:29:01,240 --> 03:29:05,920
SGM POPULATIONS. USING AN

4913
03:29:05,920 --> 03:29:07,880
INTERSECTIONAL LENS WHEN

4914
03:29:07,880 --> 03:29:10,880
FEASIBLE. THERE IS A NEED FOR

4915
03:29:10,880 --> 03:29:13,640
STUDIES THAT EMPLOY

4916
03:29:13,640 --> 03:29:15,320
INTERVENTION, OBSERVATIONAL

4917
03:29:15,320 --> 03:29:16,800
STUDIES AND DATA ANALYSES AMONG

4918
03:29:16,800 --> 03:29:21,960
OTHERS. THE HEALTH DISPARITY

4919
03:29:21,960 --> 03:29:23,840
TOPICS OF INTEREST THAT WE THINK

4920
03:29:23,840 --> 03:29:26,040
THERE IS A NEED FOR MORE

4921
03:29:26,040 --> 03:29:28,080
RESEARCH INCLUDE CARDIOVASCULAR

4922
03:29:28,080 --> 03:29:30,160
DISEASE, DIABETES, OBESITY,

4923
03:29:30,160 --> 03:29:34,520
CANCER, COVID-19, MENTAL HEALTH

4924
03:29:34,520 --> 03:29:36,720
INCLUDING SUBSTANCE USE SUICIDE

4925
03:29:36,720 --> 03:29:43,120
AND REPRODUCTIVE HEALTH. SO IF

4926
03:29:43,120 --> 03:29:44,680
WE LOOK AT THE PORTFOLIO

4927
03:29:44,680 --> 03:29:48,120
ANALYSIS OF SGM RELATED PROJECT

4928
03:29:48,120 --> 03:29:50,680
NIMHD WE FIND THE NUMBER OF

4929
03:29:50,680 --> 03:29:53,000
PROJECTS THAT WERE AWARDED HAS

4930
03:29:53,000 --> 03:29:55,840
INCREASED BY 69% FROM 2015 TO

4931
03:29:55,840 --> 03:30:00,040
2020. THE LARGEST POPULATION

4932
03:30:00,040 --> 03:30:01,000
REPRESENTED HAVE BEEN MEN WHO

4933
03:30:01,000 --> 03:30:04,440
HAVE SEX WITH MEN, FOLLOWED BY

4934
03:30:04,440 --> 03:30:07,000
LGBT POPULATION WHOSE ARE NOT

4935
03:30:07,000 --> 03:30:09,080
SPECIFIED, TRANSGENDER, BISEXUAL

4936
03:30:09,080 --> 03:30:12,280
AND LESBIAN INDIVIDUALS.  LESS

4937
03:30:12,280 --> 03:30:13,960
THAN 5% OF THE STUDIES FOCUS ON

4938
03:30:13,960 --> 03:30:16,040
THE FOLLOWING TOPICS. CANCER,

4939
03:30:16,040 --> 03:30:18,920
SUBSTANCE USE, ALCOHOL OR

4940
03:30:18,920 --> 03:30:21,320
TOBACCO USE, AGING COVID-19,

4941
03:30:21,320 --> 03:30:22,720
DEMENTIA OR REPRODUCTIVE HEALTH

4942
03:30:22,720 --> 03:30:26,800
AND OPIOID.  THERE WERE

4943
03:30:26,800 --> 03:30:27,840
NON-CARDIOVASCULAR DISEASE. MOST

4944
03:30:27,840 --> 03:30:30,520
USED THE FOLLOWING MIX METHODS

4945
03:30:30,520 --> 03:30:32,400
OF ORIGINAL STUDIES APPELLEE

4946
03:30:32,400 --> 03:30:33,760
FEASIBILITY STUDIES RANDOMIZE

4947
03:30:33,760 --> 03:30:35,400
INTERVENTION STUDIES FOLLOWED BY

4948
03:30:35,400 --> 03:30:37,480
ANALYSIS OF EXISTING DATA. LESS

4949
03:30:37,480 --> 03:30:39,960
THAN 5% OF THE STUDIES INCLUDED

4950
03:30:39,960 --> 03:30:43,480
NATIVE AMERICAN ALASKA NATIVE,

4951
03:30:43,480 --> 03:30:45,040
NATIVE HAWAIIAN AND OTHER

4952
03:30:45,040 --> 03:30:49,960
PACIFIC ISLANDER. SO THE

4953
03:30:49,960 --> 03:30:52,200
POTENTIAL RESEARCH AREA THAT WE

4954
03:30:52,200 --> 03:30:56,400
ARE THINKING WILL NEED MORE WORK

4955
03:30:56,400 --> 03:30:58,000
WOULD BE EXAMINING THE

4956
03:30:58,000 --> 03:31:00,360
INTERSECTION OF SGM AND OTHER

4957
03:31:00,360 --> 03:31:01,840
POPULATIONS THAT EXPERIENCE

4958
03:31:01,840 --> 03:31:03,720
HEALTH DISPARITIES, RACIAL

4959
03:31:03,720 --> 03:31:08,080
ETHNIC MINORITIES UNDERSERVED

4960
03:31:08,080 --> 03:31:10,320
RURAL AND SOCIO -- TESTING TO

4961
03:31:10,320 --> 03:31:13,960
REDUCE MGM HEALTH AND HEALTHCARE

4962
03:31:13,960 --> 03:31:15,320
DISPARITIES, EVALUATION THAT

4963
03:31:15,320 --> 03:31:17,080
EFFECT SGM POPULATION INCLUDING

4964
03:31:17,080 --> 03:31:19,840
THOSE POLICIES THAT ARE SOCIAL

4965
03:31:19,840 --> 03:31:22,120
DETERMINANTS OF HEALTH BASED.

4966
03:31:22,120 --> 03:31:23,800
AND CONDUCTING SECONDARY DATA

4967
03:31:23,800 --> 03:31:27,360
ANALYSIS OF DISPARITIES IN

4968
03:31:27,360 --> 03:31:28,960
HEALTHCARE AND OUTCOMES USING

4969
03:31:28,960 --> 03:31:30,400
NATIONAL COHORT STUDIES THAT

4970
03:31:30,400 --> 03:31:32,400
INCLUDE SEXUAL ORIENTATION AND

4971
03:31:32,400 --> 03:31:33,640
GENDER IDENTITY MEASURES.  THIS

4972
03:31:33,640 --> 03:31:35,960
IS THE END OF MY PRESENTATION. I

4973
03:31:35,960 --> 03:31:39,360
WOULD BE HAPPY TO ANSWER

4974
03:31:39,360 --> 03:31:41,000
QUESTIONS AND HEAR THE POINTS OF

4975
03:31:41,000 --> 03:31:44,400
VIEW OF THE COUNCIL MEMBERS.

4976
03:31:44,400 --> 03:31:46,960
>> THANK YOU VERY MUCH,
DR.

4977
03:31:46,960 --> 03:31:50,000
DAGHER. SO THE COUNCIL REVIEWERS

4978
03:31:50,000 --> 03:31:51,320
WILL ASK FOR COMMENTS AT THIS

4979
03:31:51,320 --> 03:31:53,120
TIME STARTING WITH DR.

4980
03:31:53,120 --> 03:31:53,760
MUSTANSKI, DO YOU HAVE COMMENTS

4981
03:31:53,760 --> 03:31:55,360
ON THIS CONCEPT?

4982
03:31:55,360 --> 03:31:57,360
>> IT IS MY PLEASURE TO
GIVE

4983
03:31:57,360 --> 03:31:58,960
SOME COMMENTS ON THIS CONCEPT

4984
03:31:58,960 --> 03:32:01,560
FOCUSED ON SGM DISPARITIES,

4985
03:32:01,560 --> 03:32:03,600
WHICH ARE VERY WELL DOCUMENTED

4986
03:32:03,600 --> 03:32:05,400
FOR DECADES AND NUMBER OF

4987
03:32:05,400 --> 03:32:10,520
OUTCOMES AS DESCRIBED HIV

4988
03:32:10,520 --> 03:32:12,880
SUBSTANCE USE CANCER AND OTHER

4989
03:32:12,880 --> 03:32:14,680
DISPARITIES GETTING LIKE

4990
03:32:14,680 --> 03:32:16,680
CARDIOVASCULAR DISEASE,

4991
03:32:16,680 --> 03:32:18,000
DIABETES, THERE HAS BEEN FOR THE

4992
03:32:18,000 --> 03:32:20,480
LAST 20 YEARS MAJORITY OF LGBT

4993
03:32:20,480 --> 03:32:22,200
HEALTH RESEARCH IS FOCUS ON

4994
03:32:22,200 --> 03:32:24,280
DOCUMENTING EXISTENCE OF THESE

4995
03:32:24,280 --> 03:32:25,480
DISPARITIES AND EXCITING THAT

4996
03:32:25,480 --> 03:32:26,960
THE FIELD IS MOVED TO A POINT

4997
03:32:26,960 --> 03:32:28,920
WHERE IT IS NOW TIME TO TURN OUR

4998
03:32:28,920 --> 03:32:30,360
ATTENTION TO MORE WORK FOCUSED

4999
03:32:30,360 --> 03:32:32,360
ON THE MECHANISMS THAT DRIVE

5000
03:32:32,360 --> 03:32:34,120
THOSE DISPARITIES THAT LINK

5001
03:32:34,120 --> 03:32:35,560
SOCIAL DETERMINANTS OF HEALTH TO

5002
03:32:35,560 --> 03:32:40,000
THESE OUTCOMES INTERVENTIONS

5003
03:32:40,000 --> 03:32:41,240
INFORMED BY THE WORK AND

5004
03:32:41,240 --> 03:32:43,520
IMPLEMENTATION SCIENCE TO GET

5005
03:32:43,520 --> 03:32:46,400
INTERVENTIONS MOVED TOWARDS

5006
03:32:46,400 --> 03:32:48,280
UTILIZATION. AS WAS SHOWN THE

5007
03:32:48,280 --> 03:32:49,640
NIH PORTFOLIO ANALYSIS

5008
03:32:49,640 --> 03:32:51,080
DEMONSTRATES A STRIKING INCREASE

5009
03:32:51,080 --> 03:32:54,080
IN THE NUMBER OF GRANTS FOCUS ON

5010
03:32:54,080 --> 03:32:55,320
SGM HEALTH AND ALSO IMPORTANTLY

5011
03:32:55,320 --> 03:32:58,480
THAT THE PROPORTION OF GRANTS

5012
03:32:58,480 --> 03:33:00,760
FOCUSED ON HIV HAVE -- FOCUS ON

5013
03:33:00,760 --> 03:33:03,040
AREAS OUTSIDE OF HIV, HAVE

5014
03:33:03,040 --> 03:33:06,440
INCREASE FROM JUST 28% IN 2015

5015
03:33:06,440 --> 03:33:10,080
UP TO 40% IN 2020 WHICH STILL

5016
03:33:10,080 --> 03:33:11,840
MEANS MAJORITY OF PROJECTS HAVE

5017
03:33:11,840 --> 03:33:14,280
FOCUS ON HIV AND THAT

5018
03:33:14,280 --> 03:33:15,240
DEMONSTRATES THERE HAS BEEN A

5019
03:33:15,240 --> 03:33:18,000
BROADENING IN THE SCOPE OF SGM

5020
03:33:18,000 --> 03:33:20,280
HEALTH RESEARCH BEYOND HIV BUT

5021
03:33:20,280 --> 03:33:22,520
ALSO THERE IS AREAS BEYOND HIV

5022
03:33:22,520 --> 03:33:25,120
THAT STILL DESERVE

5023
03:33:25,120 --> 03:33:26,560
INVESTIGATION. AS MENTIONED IN

5024
03:33:26,560 --> 03:33:28,920
TERMS OF POPULATIONS, THERE HAS

5025
03:33:28,920 --> 03:33:30,960
BEEN A TREMENDOUS INCREASE IN

5026
03:33:30,960 --> 03:33:33,160
RESEARCH ON TRANSGENDER HEALTH

5027
03:33:33,160 --> 03:33:34,440
THE PAST FEW YEARS BUT THERE ARE

5028
03:33:34,440 --> 03:33:36,600
SOME POPULATIONS STILL VERY

5029
03:33:36,600 --> 03:33:37,680
UNDERSTUDIED SUCH AS LESBIAN

5030
03:33:37,680 --> 03:33:41,680
WOMEN. AND SOME TOPICS THAT

5031
03:33:41,680 --> 03:33:43,760
RECEIVE LIMITED ATTENTION FOR

5032
03:33:43,760 --> 03:33:45,120
EXAMPLE, SUICIDE IS THE NUMBER

5033
03:33:45,120 --> 03:33:46,600
TWO CAUSE OF DEATH AMONG YOUNG

5034
03:33:46,600 --> 03:33:49,040
PEOPLE IN THE UNITED STATES, BUT

5035
03:33:49,040 --> 03:33:52,320
ONLY 3% OF SGM HEALTH FROM NIH

5036
03:33:52,320 --> 03:33:53,600
FOCUSED ON SUICIDE SO THERE'S

5037
03:33:53,600 --> 03:33:55,320
CLEARLY SOME AREAS WHERE WE NEED

5038
03:33:55,320 --> 03:33:57,880
TO STIMULATE NEW RESEARCH AND

5039
03:33:57,880 --> 03:34:00,200
SGM HEALTH RESEARCH. COUPLE OF

5040
03:34:00,200 --> 03:34:02,960
COMMENTS ON THE CONCEPT AS IT

5041
03:34:02,960 --> 03:34:06,120
CONTINUES TO BE DEVELOPED.  AS

5042
03:34:06,120 --> 03:34:08,480
MENTIONED IN AREA OF TO CUSS IS

5043
03:34:08,480 --> 03:34:09,920
INTERSECTIONALITY, WHICH I THINK

5044
03:34:09,920 --> 03:34:13,480
THE IOM REPORT AND OTHERS HAVE

5045
03:34:13,480 --> 03:34:15,360
IDENTIFIED AS AN IMPORTANT LENS

5046
03:34:15,360 --> 03:34:16,400
FOR SEXUAL GENDER MINORITY

5047
03:34:16,400 --> 03:34:20,960
HEALTH RESEARCH. IT IS IMPORTANT

5048
03:34:20,960 --> 03:34:22,440
TO CONSIDER INTERSECTIONALITY

5049
03:34:22,440 --> 03:34:25,840
RESEARCH WHEN DONE WELL IS

5050
03:34:25,840 --> 03:34:26,920
INCREDIBLY COMPLEX GIVEN THE

5051
03:34:26,920 --> 03:34:29,560
NEED TO ATTEND TO SUB GROUPS OF

5052
03:34:29,560 --> 03:34:31,880
SGM HEALTH COMMUNITIES SUCH AS

5053
03:34:31,880 --> 03:34:35,400
LESBIAN GAY BISEXUAL TRANSGENDER

5054
03:34:35,400 --> 03:34:36,360
NON-BINARY AND INTERSECTING THAT

5055
03:34:36,360 --> 03:34:38,280
WITH MANY RACIAL ETHNIC SUB

5056
03:34:38,280 --> 03:34:44,200
GROUPS CAN BE QUITE COMPLEX.  

5057
03:34:44,200 --> 03:34:45,080
MUCH BETTER INTERSECTIONALITY

5058
03:34:45,080 --> 03:34:47,120
WORK THAT IS DONE AS QUALITATIVE

5059
03:34:47,120 --> 03:34:48,320
AND WE ARE BEGINNING TO

5060
03:34:48,320 --> 03:34:50,720
UNDERSTAND HOW TO TRANSLATE THIS

5061
03:34:50,720 --> 03:34:52,320
INTO QUANTITATIVE AND

5062
03:34:52,320 --> 03:34:53,400
INTERVENTION RESEARCH SO IT IS

5063
03:34:53,400 --> 03:34:55,720
AN AREA WE NEED METHOD LOGICAL

5064
03:34:55,720 --> 03:34:58,280
DEVELOPMENT. SO GLAD TO SEE THAT

5065
03:34:58,280 --> 03:34:59,760
IDENTIFIED AREA OF FOCUS BUT WE

5066
03:34:59,760 --> 03:35:00,800
HAVE TO UNDERSTAND THAT IT MAY

5067
03:35:00,800 --> 03:35:02,800
NOT BE THE RIGHT LENS FOR EVERY

5068
03:35:02,800 --> 03:35:05,080
STUDY SO IT MAKES SENSE AREA OF

5069
03:35:05,080 --> 03:35:07,840
FOCUS RATHER THAN REQUIRED

5070
03:35:07,840 --> 03:35:10,520
ELEMENT. FINALLY I'M GLAD TO SEE

5071
03:35:10,520 --> 03:35:11,600
THERE WAS MENTION OF THE NEED

5072
03:35:11,600 --> 03:35:14,160
FOR LONGITUDINAL RESEARCH, THAT

5073
03:35:14,160 --> 03:35:15,880
SHOULD BE CALLED OUT AS A

5074
03:35:15,880 --> 03:35:19,160
SPECIFIC AREA OF FOCUS. THERE IS

5075
03:35:19,160 --> 03:35:22,000
FEW LONGITUDESNAL STUDIES OF OUR

5076
03:35:22,000 --> 03:35:25,160
COMMUNITY. COHORT STUDIES IS

5077
03:35:25,160 --> 03:35:27,040
SORT OF AT LEAST COMMUNITY

5078
03:35:27,040 --> 03:35:28,480
UNDERSTANDING THAT COHORT

5079
03:35:28,480 --> 03:35:30,880
STUDIES DON'T ALWAYS FAIR SO

5080
03:35:30,880 --> 03:35:32,320
WELL IN STANDING STUDY SECTIONS,

5081
03:35:32,320 --> 03:35:34,720
AND WE DO NEED LONGITUDINAL

5082
03:35:34,720 --> 03:35:36,840
COHORT STUDIES THAT IDENTIFY

5083
03:35:36,840 --> 03:35:38,880
RISKS AND PROTECTIVE FACTORS TO

5084
03:35:38,880 --> 03:35:41,360
INFORM INTERVENTIONS SO

5085
03:35:41,360 --> 03:35:43,720
INCLUDING THAT MAKES A LOT OF

5086
03:35:43,720 --> 03:35:45,520
SENSE IN AREA OF FOCUS. THE

5087
03:35:45,520 --> 03:35:47,680
PORTFOLIO ANALYSIS SHOWED FEW

5088
03:35:47,680 --> 03:35:49,640
CLINICAL TRIALS FOCUSED ON SGM

5089
03:35:49,640 --> 03:35:51,640
HEALTH RESEARCH SO CALLING OUT

5090
03:35:51,640 --> 03:35:54,400
INTERVENTION RESEARCH, ALSO

5091
03:35:54,400 --> 03:35:57,360
IMPLEMENTATION RESEARCH MAKES

5092
03:35:57,360 --> 03:35:58,840
SENSE. I THINK THIS IS AN

5093
03:35:58,840 --> 03:36:00,440
EXCELLENT CONCEPT AND SUGGEST

5094
03:36:00,440 --> 03:36:01,840
THESE CONSIDERATIONS AS IT IS

5095
03:36:01,840 --> 03:36:03,280
MOVED FORWARD AND I HOPE THAT

5096
03:36:03,280 --> 03:36:06,560
OTHER ICs WILL SIGN ON IF THIS

5097
03:36:06,560 --> 03:36:08,120
BECOMES AN RFA PARTICULARLY SOME

5098
03:36:08,120 --> 03:36:11,440
OF THE ICs THAT THE PORTFOLIO

5099
03:36:11,440 --> 03:36:13,920
ANALYSIS HAS SHOWN HAVE BEEN

5100
03:36:13,920 --> 03:36:15,320
UNDERINVESTED IN THIS AREA OVER

5101
03:36:15,320 --> 03:36:16,520
TIME. SO HUE FOR THE OPPORTUNITY

5102
03:36:16,520 --> 03:36:17,520
TO GIVE FEEDBACK ON THIS

5103
03:36:17,520 --> 03:36:18,320
CONCEPTS. 

5104
03:36:18,320 --> 03:36:23,120
>> THANK YOU, DR.
MUSTANSKI. 

5105
03:36:23,120 --> 03:36:25,840
>> THANK YOU VERY MUCH.
DR.

5106
03:36:25,840 --> 03:36:26,800
RESNICOW DO YOU HAVE COMMENTS TO

5107
03:36:26,800 --> 03:36:27,320
ADD ON?

5108
03:36:27,320 --> 03:36:29,640
>> I DO AND I THINK I NEED
VIDEO

5109
03:36:29,640 --> 03:36:37,720
RIGHTS. 

5110
03:36:37,720 --> 03:36:39,840
>> YOUR VIDEO WON'T TURN
ON?

5111
03:36:39,840 --> 03:36:41,800
>> IT SAYS HOST HAS
STOPPED IT,

5112
03:36:41,800 --> 03:36:43,480
IT'S IN THE A BIG DEAL I CAN BE

5113
03:36:43,480 --> 03:36:44,800
AUDIO ONLY IF IT'S NOT EASY TO

5114
03:36:44,800 --> 03:36:50,720
FIX.

5115
03:36:50,720 --> 03:36:53,280
>> YOU CAN BEGIN TO GIVE
YOUR

5116
03:36:53,280 --> 03:36:54,560
COMMENTS AND I'LL ASK THE HOST

5117
03:36:54,560 --> 03:36:54,760
TO --

5118
03:36:54,760 --> 03:36:57,000
>> DOESN'T EFFECT ME.
OKAY.

5119
03:36:57,000 --> 03:37:00,400
FIRST I WOULD LIKE TO CONCUR

5120
03:37:00,400 --> 03:37:02,840
WITH DR. MUSTANSKI THAT THOUGH

5121
03:37:02,840 --> 03:37:05,800
INTERSECTIONALITY IS A WONDERFUL

5122
03:37:05,800 --> 03:37:07,240
OPPORTUNITY FOR NOVEL RESEARCH,

5123
03:37:07,240 --> 03:37:08,080
I DON'T THINK IT SHOULD BE A

5124
03:37:08,080 --> 03:37:09,160
REQUIREMENT. SO FOLKS WHO MIGHT

5125
03:37:09,160 --> 03:37:11,000
WANT TO FOCUS ON INTERVENTIONS

5126
03:37:11,000 --> 03:37:16,920
OR EPIRESEARCH JUST ON ONE SLICE

5127
03:37:16,920 --> 03:37:19,280
OF THE SGM POPULATION, THAT

5128
03:37:19,280 --> 03:37:24,320
SHOULD STILL BE ACTIVATED.  I

5129
03:37:24,320 --> 03:37:25,560
LIKE INTERSECTIONALITY BUT NOT A

5130
03:37:25,560 --> 03:37:26,840
FORMAL REQUIREMENT POTENTIAL

5131
03:37:26,840 --> 03:37:28,360
RESEARCH THAT MIGHT COME OUT OF

5132
03:37:28,360 --> 03:37:32,960
THIS. I THINK THE CONCEPT COULD

5133
03:37:32,960 --> 03:37:35,120
USE A LITTLE STRONGER RATIONALE

5134
03:37:35,120 --> 03:37:39,160
ABOUT TWO THINGS.  AS DR.

5135
03:37:39,160 --> 03:37:40,480
MUSTANSKI SAID THERE IS DECREASE

5136
03:37:40,480 --> 03:37:43,280
AT PERCENT OF SGM RELATED

5137
03:37:43,280 --> 03:37:48,360
RESEARCH, HIV FOCUS, AND THAT IS

5138
03:37:48,360 --> 03:37:50,480
CONSIDERED TO BE SOMETHING GOOD

5139
03:37:50,480 --> 03:37:51,760
LOOK AT CHRONIC DISEASE AND

5140
03:37:51,760 --> 03:37:53,320
LONGER TERM EFFECT BUT I DON'T

5141
03:37:53,320 --> 03:37:54,560
THINK THE CONCEPT DISCUSSES THAT

5142
03:37:54,560 --> 03:37:57,160
SO WHY IS IT IN THE BEST

5143
03:37:57,160 --> 03:37:59,280
INTEREST OF THE RESEARCH

5144
03:37:59,280 --> 03:38:02,080
COMMUNITY TO EXPAND SGM RESEARCH

5145
03:38:02,080 --> 03:38:04,880
BEYOND HIV? SECONDLY, GIVEN IT

5146
03:38:04,880 --> 03:38:08,200
IS ALREADY ESTABLISHED DISPARITY

5147
03:38:08,200 --> 03:38:10,160
GROUP, WHAT IS THE NEED FOR A

5148
03:38:10,160 --> 03:38:11,280
UNIQUE POTENTIAL RFA IN THIS

5149
03:38:11,280 --> 03:38:13,080
AREA? WHAT IS NOT GETTING DONE?

5150
03:38:13,080 --> 03:38:15,160
ARE YOU NOT ATTRACTING ENOUGH

5151
03:38:15,160 --> 03:38:16,640
PROPOSALS, DOES IT ALLOW YOU TO

5152
03:38:16,640 --> 03:38:20,040
SET ASIDE MONEY, WHAT ARE THE

5153
03:38:20,040 --> 03:38:21,840
BENEFITS HAVING CALL OUT FOR

5154
03:38:21,840 --> 03:38:26,440
POTENTIAL FOA GIVEN IMPLICITLY

5155
03:38:26,440 --> 03:38:28,120
INVESTIGATORS APPLY FOR SGM

5156
03:38:28,120 --> 03:38:29,520
RELATED RESEARCH WITHIN THE

5157
03:38:29,520 --> 03:38:34,640
CURRENT DISPARITY FRAMEWORK.  IT

5158
03:38:34,640 --> 03:38:36,560
WOULD BE INTERESTING TO BROADEN

5159
03:38:36,560 --> 03:38:38,120
THE RATIONALE OR THE SCOPE OF

5160
03:38:38,120 --> 03:38:40,720
PROPOSALS NOT JUST TO BE BASED

5161
03:38:40,720 --> 03:38:43,320
ON BETWEEN GROUP DIFFERENCES,

5162
03:38:43,320 --> 03:38:45,760
NOT JUST BECAUSE SGM GROUPS

5163
03:38:45,760 --> 03:38:48,680
LESBIAN AND GAY MEN MAY USE MORE

5164
03:38:48,680 --> 03:38:51,120
TOBACCO OR DRINK MORE BUT EVEN

5165
03:38:51,120 --> 03:38:54,120
WITHIN GROUP JUST TO LOOK AT

5166
03:38:54,120 --> 03:38:58,280
TAILORED INTERVENTIONS, FOR

5167
03:38:58,280 --> 03:38:59,680
EXAMPLE, UNIQUE DETERMINANTS IN

5168
03:38:59,680 --> 03:39:00,920
THESE COMMUNITIES YOU MENTIONED

5169
03:39:00,920 --> 03:39:08,280
SOME IN CONCEPT FOR EXAMPLE

5170
03:39:08,280 --> 03:39:11,600
STIGMA, YOU CAN ENCOURAGE WITHIN

5171
03:39:11,600 --> 03:39:13,120
GROUP HETEROGENEITY AS THESE

5172
03:39:13,120 --> 03:39:14,720
UNIQUE DETERMINANTS NOT DRIVEN

5173
03:39:14,720 --> 03:39:17,000
BY A DISEASE OR RISK FACTOR

5174
03:39:17,000 --> 03:39:18,560
DISPARITIES SO EVEN IF A RISK

5175
03:39:18,560 --> 03:39:23,000
FACTOR MIGHT HAVE THE SAME

5176
03:39:23,000 --> 03:39:24,760
PREVALENCE, JUST SAY SMOKING

5177
03:39:24,760 --> 03:39:27,280
THOUGH GAY LESBIAN ADULTS DO

5178
03:39:27,280 --> 03:39:28,880
SMOKE MORE, SAY THEY SMOKE THE

5179
03:39:28,880 --> 03:39:30,760
SAME AMOUNT AS STRAIGHT COUNTER

5180
03:39:30,760 --> 03:39:31,880
PARTS, THERE WOULD BE AN

5181
03:39:31,880 --> 03:39:33,360
ARGUMENT TO BRING IN PROPOSALS

5182
03:39:33,360 --> 03:39:35,360
THAT ADDRESS THE UNIQUE

5183
03:39:35,360 --> 03:39:36,120
DETERMINANTS WITHIN GROUP EVEN

5184
03:39:36,120 --> 03:39:38,760
IF WILL IS NOT ANY BETWEEN GROUP

5185
03:39:38,760 --> 03:39:42,640
DIFFERENCES.  JUST SOME SMALLER

5186
03:39:42,640 --> 03:39:44,880
THINGS INCLUDED AS HOPEFULLY

5187
03:39:44,880 --> 03:39:48,640
PROGRESSES TO SOME FORM OF FOA.

5188
03:39:48,640 --> 03:39:50,520
SPECIFICALLY ENCOURAGE THE

5189
03:39:50,520 --> 03:39:52,200
RESEARCH THAT LOOKS AT IMPACT OF

5190
03:39:52,200 --> 03:39:54,840
RECENT POLICIES THE FLORIDA

5191
03:39:54,840 --> 03:39:57,400
PARENTS RIGHTS AND EDUCATION

5192
03:39:57,400 --> 03:40:01,280
BILL WHICH SOME OF US REFER TO

5193
03:40:01,280 --> 03:40:02,880
AS DON'T SAY GAY TYPE OF

5194
03:40:02,880 --> 03:40:04,320
LEGISLATION, WHAT IS THE IMPACT

5195
03:40:04,320 --> 03:40:13,280
OF THAT. AND SIMILAR, MYRIAD OF

5196
03:40:13,280 --> 03:40:13,840
ANTI-TRANS LEGISLATION BEING

5197
03:40:13,840 --> 03:40:15,920
PROPOSED.  WHAT IS IS THE IMPACT

5198
03:40:15,920 --> 03:40:17,080
OF THAT PSYCHOLOGICALLY AND

5199
03:40:17,080 --> 03:40:22,640
MEDICALLY ON THOSE COMMUNITIES. 

5200
03:40:22,640 --> 03:40:26,200
FINALLY, TO LOOK AT SOME I THINK

5201
03:40:26,200 --> 03:40:28,240
NOVEL DETERMINANTS, SUCH AS

5202
03:40:28,240 --> 03:40:31,160
FUTURE ORIENTATION, THERE ARE

5203
03:40:31,160 --> 03:40:32,680
SOME UNIQUE INTERVENTIONS THAT

5204
03:40:32,680 --> 03:40:35,280
HAVE NOT BEEN FULLY TESTED USING

5205
03:40:35,280 --> 03:40:36,960
THOSE TYPES OF VERY NOVEL

5206
03:40:36,960 --> 03:40:37,960
INTERVENTIONS YOU DO MENTION

5207
03:40:37,960 --> 03:40:39,960
STIGMA AS I SAID BUT THAT LIST

5208
03:40:39,960 --> 03:40:41,560
IS SUGGESTED TOPICS TO BE

5209
03:40:41,560 --> 03:40:44,760
BROADENED. FINALLY JUST TO BE

5210
03:40:44,760 --> 03:40:46,560
CONSCIOUS THAT THIS TYPE OF

5211
03:40:46,560 --> 03:40:48,480
RESEARCH THAT THE RIGOR OF THE

5212
03:40:48,480 --> 03:40:50,000
CONTROL GROUP IS ESSENTIAL. THAT

5213
03:40:50,000 --> 03:40:52,760
WE DO OUR BEST TO ISOLATE THE

5214
03:40:52,760 --> 03:40:54,600
CULTURALLY TAILORED COMPONENTS

5215
03:40:54,600 --> 03:40:56,120
OF THE INTERVENTION AND THAT CAN

5216
03:40:56,120 --> 03:40:57,400
BE DONE THROUGH A VARIETY OF

5217
03:40:57,400 --> 03:40:59,400
DESIGNS. BUT I THINK THE DAYS

5218
03:40:59,400 --> 03:41:01,440
WHEN WE SAY WE HAVE A CULTURALLY

5219
03:41:01,440 --> 03:41:02,560
TAILORED INTERVENTION VERSUS

5220
03:41:02,560 --> 03:41:03,680
SOMETHING MINIMAL LIKE A

5221
03:41:03,680 --> 03:41:05,040
BROCHURE, I THINK WE MOVED

5222
03:41:05,040 --> 03:41:07,040
BEYOND THAT, AND I THINK THE

5223
03:41:07,040 --> 03:41:08,880
MOST OF THE TIME THE PROPOSALS

5224
03:41:08,880 --> 03:41:12,160
THAT ARE BEING SOLICITED SHOULD

5225
03:41:12,160 --> 03:41:16,280
THEMSELVES HAVE MORE RIGOROUS

5226
03:41:16,280 --> 03:41:17,720
ARE CONTROL GROUPS.  OTHER THAN

5227
03:41:17,720 --> 03:41:18,840
I'M ENTHUSIASTIC AND LOOK

5228
03:41:18,840 --> 03:41:21,440
FORWARD TO SEEING THIS PROGRESS

5229
03:41:21,440 --> 03:41:28,360
TO THE FOA PROCESS. 

5230
03:41:28,360 --> 03:41:35,600
>> THANK YOU. I WANT TO
MAKING

5231
03:41:35,600 --> 03:41:37,880
IT TRUE THIS IT IS ONE OF THE

5232
03:41:37,880 --> 03:41:40,520
POPULATIONS AFFECTED BY HEALTH

5233
03:41:40,520 --> 03:41:43,760
DISPARITIES THAT WE IS PART OF

5234
03:41:43,760 --> 03:41:45,480
OUR INSTITUTE BUT WHEN WE LOOK

5235
03:41:45,480 --> 03:41:47,760
AT THE LITERATURE WE FOUND A LOT

5236
03:41:47,760 --> 03:41:49,400
OF RESEARCH GAPS MANY THAT

5237
03:41:49,400 --> 03:41:55,600
LITERATURE. WE ALSO LOOK AT OF

5238
03:41:55,600 --> 03:41:58,320
COURSE ANNOUNCE NIH RELATED

5239
03:41:58,320 --> 03:42:02,920
PROJECT AND OF SWG RELATED

5240
03:42:02,920 --> 03:42:04,720
PROJECT AND WE FOUND CERTAIN

5241
03:42:04,720 --> 03:42:06,360
DISEASES THERE IS NO OR VERY

5242
03:42:06,360 --> 03:42:11,360
LITTLE RESEARCH ON. ALSO THAT IN

5243
03:42:11,360 --> 03:42:14,000
THE LITERATURE WE FIND THAT

5244
03:42:14,000 --> 03:42:18,880
THERE ARE VERY FEW EVIDENCE

5245
03:42:18,880 --> 03:42:21,000
BASED INTERVENTIONS DONE TO

5246
03:42:21,000 --> 03:42:21,920
DECREASE DISPARITIES IN THESE

5247
03:42:21,920 --> 03:42:26,320
POPULATIONS. SO THERE ARE NUMBER

5248
03:42:26,320 --> 03:42:29,760
OF REASONS WHY WE THOUGHT IT

5249
03:42:29,760 --> 03:42:33,280
WOULD BE IMPORTANT TO PUT FORTH

5250
03:42:33,280 --> 03:42:37,480
THIS CONCEPT. ONE OF -- LOOKING

5251
03:42:37,480 --> 03:42:39,720
AT THE INITIATIVES THAT HAVE

5252
03:42:39,720 --> 03:42:43,200
BEEN GENERATED AT NIH ON SGM

5253
03:42:43,200 --> 03:42:45,720
POPULATIONS THEY WERE NOT VERY

5254
03:42:45,720 --> 03:42:49,280
SPECIFIC SO WE ARE TRYING TO

5255
03:42:49,280 --> 03:42:53,200
MAYBE PUSH A LITTLE BIT FOR

5256
03:42:53,200 --> 03:42:53,880
INITIATIVE THAT TRIES TO

5257
03:42:53,880 --> 03:42:56,680
SPECIFICALLY ADDRESS SOME OF THE

5258
03:42:56,680 --> 03:43:01,360
GAPS IN THE RESEARCH AND TO

5259
03:43:01,360 --> 03:43:02,440
COMPLIMENT OUR PORTFOLIO IN

5260
03:43:02,440 --> 03:43:05,800
THESE POPULATIONS. 

5261
03:43:05,800 --> 03:43:07,160
>> I FIND THOSE REASONS

5262
03:43:07,160 --> 03:43:09,120
COMPELLING AND WELCOME

5263
03:43:09,120 --> 03:43:10,720
INTEGRATIONS MORE EXPLICITLY IN

5264
03:43:10,720 --> 03:43:12,760
THE CONCEPT BUT HERE HERE, THOSE

5265
03:43:12,760 --> 03:43:14,240
ARE STRONG REASONS TO HAVE

5266
03:43:14,240 --> 03:43:15,440
SEPARATE OR UNIQUE FOA.

5267
03:43:15,440 --> 03:43:18,640
>> THANK YOU, WILL DO.

5268
03:43:18,640 --> 03:43:20,360
>> SO THE FLOOR IS OPEN
FOR

5269
03:43:20,360 --> 03:43:23,080
DISCUSSION.  IF THERE ARE OTHER

5270
03:43:23,080 --> 03:43:24,560
COMMENTS OR QUESTIONS, FROM ANY

5271
03:43:24,560 --> 03:43:27,520
OF OUR COUNCIL MEMBERS, PLEASE

5272
03:43:27,520 --> 03:43:32,000
INDICATE THAT BY RAISING YOUR

5273
03:43:32,000 --> 03:43:33,440
HAND OR INDICATING YOU HAVE A

5274
03:43:33,440 --> 03:43:34,360
QUESTION OR COMMENT IN THE CHAT

5275
03:43:34,360 --> 03:43:44,800
BOX. SEEING NO QUESTIONS OR

5276
03:43:59,040 --> 03:44:00,640
COMMENTS HERE NOTED. SO TO MOVE

5277
03:44:00,640 --> 03:44:03,520
THIS CONCEPT FORWARD TO FUNDING

5278
03:44:03,520 --> 03:44:04,800
OPPORTUNITY DEVELOPMENT WE WOULD

5279
03:44:04,800 --> 03:44:06,240
NEED TO HAVE A MOTION ON THE

5280
03:44:06,240 --> 03:44:10,840
FLOOR TO MOVE THE CONCEPT

5281
03:44:10,840 --> 03:44:12,640
FORWARD. MAY I HAVE A MOTION TO

5282
03:44:12,640 --> 03:44:13,560
MOVE THE CONCEPT FORWARD?

5283
03:44:13,560 --> 03:44:14,880
>> I MOVE TO MOVE IT
FORWARD.

5284
03:44:14,880 --> 03:44:16,560
>> MAY I HAVE A SECOND?

5285
03:44:16,560 --> 03:44:19,880
>> SECOND.

5286
03:44:19,880 --> 03:44:24,360
>> NOW WE WILL VOTE. ALL
IN

5287
03:44:24,360 --> 03:44:30,040
FAVOR ENTER Y OR YES IN THE CHAT

5288
03:44:30,040 --> 03:44:40,640
BOX, OR N OR NO IN THE CHAT BOX 

5289
03:44:56,960 --> 03:44:59,160
>> I THINK WE HAVE THE
VOTE. SO

5290
03:44:59,160 --> 03:45:00,600
AFTER HAVING BEEN MOVED AND

5291
03:45:00,600 --> 03:45:02,080
PROPERLY SECONDED THIS CONCEPT

5292
03:45:02,080 --> 03:45:04,080
WILL MOVE FORWARD TO FUNDING

5293
03:45:04,080 --> 03:45:04,880
OPPORTUNITY ANNOUNCEMENT

5294
03:45:04,880 --> 03:45:07,720
DEVELOPMENT. THANK YOU AND THANK

5295
03:45:07,720 --> 03:45:08,400
YOU DR. DAGHER FOR THE

5296
03:45:08,400 --> 03:45:09,080
PRESENTATION.

5297
03:45:09,080 --> 03:45:14,520
>> THANK YOU.

5298
03:45:14,520 --> 03:45:16,680
>> SO WE HAVE COME TO THE
END OF

5299
03:45:16,680 --> 03:45:18,240
OUR AGENDA, AT THIS TIME I WOULD

5300
03:45:18,240 --> 03:45:19,800
LIKE TO TURN THE MEETING OVER TO

5301
03:45:19,800 --> 03:45:23,320
DR. PEREZ-STABLE FOR CLOSING

5302
03:45:23,320 --> 03:45:26,920
REMARKS AND ADJOURNMENT.

5303
03:45:26,920 --> 03:45:29,240
>> FIRST OF ALL THANK YOU,

5304
03:45:29,240 --> 03:45:31,960
MONICA FOR MAKING -- MAGNIFICENT

5305
03:45:31,960 --> 03:45:33,520
JOB STEERING US THROUGH THESE

5306
03:45:33,520 --> 03:45:36,880
TWO DAYS OF VIRTUAL MEETING. AND

5307
03:45:36,880 --> 03:45:39,400
I WANT TO THANK THE STAFF THAT

5308
03:45:39,400 --> 03:45:44,080
SUPPORTED THE MEETING AS WELL.

5309
03:45:44,080 --> 03:45:47,760
AND PRESENTERS BOTH YESTERDAY

5310
03:45:47,760 --> 03:45:51,520
AND TODAY. BOTH INVITED

5311
03:45:51,520 --> 03:45:57,200
PRESENTERS AND RINA DAS AND RADA

5312
03:45:57,200 --> 03:45:58,920
DAGHER. ESPECIALLY THANK THE

5313
03:45:58,920 --> 03:46:02,360
COUNCIL MEMBERS THOSE NOT

5314
03:46:02,360 --> 03:46:03,560
JOINING US IN SEPTEMBER I TRUST

5315
03:46:03,560 --> 03:46:07,640
THAT YOU WILL CONTINUE TO BE

5316
03:46:07,640 --> 03:46:11,280
STRONG SUPPORTERS OF THE SCIENCE

5317
03:46:11,280 --> 03:46:13,560
NIMHD REPRESENTS AND NIH. I DO

5318
03:46:13,560 --> 03:46:16,920
THINK OVER THE COURSE OF THE

5319
03:46:16,920 --> 03:46:21,320
PAST DECADE LOTS HAS CHANGED.

5320
03:46:21,320 --> 03:46:26,560
THE STEREO TYPES OF NIH ARE FAR

5321
03:46:26,560 --> 03:46:29,560
FROM BEING CONSISTENTLY THE

5322
03:46:29,560 --> 03:46:30,960
CASE. THERE IS A LOT OF

5323
03:46:30,960 --> 03:46:31,640
IMPLEMENTATION SCIENCE THAT

5324
03:46:31,640 --> 03:46:34,800
HAPPENS AT NIH, A LOT OF HEALTH

5325
03:46:34,800 --> 03:46:36,240
SERVICES RESEARCH, A LOT OF

5326
03:46:36,240 --> 03:46:37,840
MINORITY HEALTH AND HEALTH

5327
03:46:37,840 --> 03:46:40,240
DISPARITIES RESEARCH. NOT JUST

5328
03:46:40,240 --> 03:46:42,400
NIMHD THERE IS A LOT OF INTEREST

5329
03:46:42,400 --> 03:46:45,040
IN THIS -- IN THESE AREAS,

5330
03:46:45,040 --> 03:46:47,200
ACROSS THE INSTITUTES. AND EVEN

5331
03:46:47,200 --> 03:46:49,720
MORE IN THE LAST SEVERAL YEARS

5332
03:46:49,720 --> 03:46:52,080
AS THERE HAS BEEN NEW LEADERSHIP

5333
03:46:52,080 --> 03:46:55,000
IN SEVERAL INSTITUTES.  SO I

5334
03:46:55,000 --> 03:46:58,160
WANT TO MAKE SURE WE EXPLICITLY

5335
03:46:58,160 --> 03:47:04,800
STATED THAT. I THINK THIS WAS

5336
03:47:04,800 --> 03:47:07,360
OUR 7TH FULLY VIRTUAL MEETING.  

5337
03:47:07,360 --> 03:47:08,520
IT HAS NOT MEANT THAT WE HAVE

5338
03:47:08,520 --> 03:47:10,240
BEEN ABLE TO SEE EACH OTHER TO

5339
03:47:10,240 --> 03:47:13,400
HAVE INFORMAL CONVERSATION.

5340
03:47:13,400 --> 03:47:18,320
SOMETHING THAT IS OVERRATED. I

5341
03:47:18,320 --> 03:47:19,760
PERMLY KIND OF ENJOY IT AND LIKE

5342
03:47:19,760 --> 03:47:22,000
THE INTERPERSONAL INTERACTIONS

5343
03:47:22,000 --> 03:47:26,400
IN REAL TIME. BUT WE HAVE

5344
03:47:26,400 --> 03:47:29,040
ADAPTED TO TIMES AND WHAT THE

5345
03:47:29,040 --> 03:47:30,720
NEXT COUNCIL WILL BRING WE WILL

5346
03:47:30,720 --> 03:47:34,800
SEE. BUT I WANT TO THANK ALL OF

5347
03:47:34,800 --> 03:47:37,160
YOU FOR YOUR EFFORTS, FOR THE

5348
03:47:37,160 --> 03:47:39,200
SCIENTIFIC EFFORTS YOU DO ON

5349
03:47:39,200 --> 03:47:40,800
YOUR OWN WORK AND FOR YOUR

5350
03:47:40,800 --> 03:47:43,680
SERVICE TO NIH AND NIMHD BY

5351
03:47:43,680 --> 03:47:45,640
PARTICIPATING IN OUR COUNCIL. SO

5352
03:47:45,640 --> 03:47:47,520
WITH THAT I WILL BRING THIS TO A

5353
03:47:47,520 --> 03:47:50,240
CLOSE. I DON'T HAVE A GAVEL. BUT

5354
03:47:50,240 --> 03:47:53,160
JUST IMAGINE YOU HEAR A GAVEL

5355
03:47:53,160 --> 03:47:56,280
AND GO ON TO REST OF YOUR DAY.

5356
03:47:56,280 --> 03:47:58,080
THANK YOU, KEAWE KAHOLOKULA AND

5357
03:47:58,080 --> 03:47:58,440
THANK YOU ALL.

5358
03:47:58,440 --> 00:00:00,000
THANKS, EVERYONE.