1 00:00:05,920 --> 00:00:07,600 IT'S MY PLEASURE TO CALL TO 2 00:00:07,600 --> 00:00:09,880 ORDER THIS MEETING OF THE 3 00:00:09,880 --> 00:00:10,800 NATIONAL LIBRARY OF MEDICINE 4 00:00:10,800 --> 00:00:11,440 BOARD OF REGENTS. 5 00:00:11,440 --> 00:00:13,440 I'D LIKE TO WELCOME EVERYONE IN 6 00:00:13,440 --> 00:00:15,560 ATTENDANCE TODAY, BOTH THOSE IN 7 00:00:15,560 --> 00:00:22,000 PERSON AS WELL AS JOINING VIA 8 00:00:22,000 --> 00:00:22,360 THIS VIDEOCAST. 9 00:00:22,360 --> 00:00:23,000 SEPTEMBER 2023 NATIONAL LIBRARY 10 00:00:23,000 --> 00:00:25,600 OF MEDICINE BOARD OF REGENTS. 11 00:00:25,600 --> 00:00:27,400 REMINDER, THIS MEETING IS BEING 12 00:00:27,400 --> 00:00:28,480 VIDEOCAST TO THE PUBLIC, AND SO 13 00:00:28,480 --> 00:00:31,200 WITH THAT I WOULD LIKE TO OPEN 14 00:00:31,200 --> 00:00:32,520 OUR FIRST ITEM OF BUSINESS, 15 00:00:32,520 --> 00:00:38,440 WHICH IS A REPORT FROM THE 16 00:00:38,440 --> 00:00:41,680 OFFICE OF THE SURGEON GENERAL, 17 00:00:41,680 --> 00:00:43,480 WELCOME JEAN GARCIA DAVIS, HHS, 18 00:00:43,480 --> 00:00:44,480 OFFICE OF SURGEON GENERAL FOR 19 00:00:44,480 --> 00:00:49,680 HER REPORT. 20 00:00:49,680 --> 00:00:51,960 THANK YOU. 21 00:00:51,960 --> 00:00:58,800 >>THANK YOU SO MUCH, DR. 22 00:00:58,800 --> 00:01:02,720 HOLMES. 23 00:01:02,720 --> 00:01:03,920 WELL, GOOD MORNING. 24 00:01:03,920 --> 00:01:06,880 IT'S LOVELY TO SEE YOU IN 25 00:01:06,880 --> 00:01:07,120 PERSON. 26 00:01:07,120 --> 00:01:09,280 I MUST SAY I HAVEN'T BEEN BACK 27 00:01:09,280 --> 00:01:11,840 ON YOUR CAMPUS IN A LONG TIME, 28 00:01:11,840 --> 00:01:13,000 ABOUT TEN YEARS. 29 00:01:13,000 --> 00:01:14,480 I DID A CLINICAL ROTATION HERE 30 00:01:14,480 --> 00:01:17,080 AT THE CLINICAL CENTER, SO IT'S 31 00:01:17,080 --> 00:01:18,920 REALLY QUITE AN HONOR, I'M 32 00:01:18,920 --> 00:01:20,160 HUMBLED TO BE BACK, PARTICULAR 33 00:01:20,160 --> 00:01:22,280 THROW REPRESENT OUR OFFICE AND 34 00:01:22,280 --> 00:01:30,640 APOLOGIES FROM DR. MURTHY AND 35 00:01:30,640 --> 00:01:32,000 (INDISCERNIBLE), WHO INTENDED TO 36 00:01:32,000 --> 00:01:33,200 BE HERE. 37 00:01:33,200 --> 00:01:34,240 WE'RE EXCITED TO CONNECT AND 38 00:01:34,240 --> 00:01:35,360 HEAR ABOUT YOUR WORK AND LEARN 39 00:01:35,360 --> 00:01:37,720 ABOUT HOW WE CAN BE HELPFUL IN 40 00:01:37,720 --> 00:01:38,160 COLLABORATION. 41 00:01:38,160 --> 00:01:40,440 I WANTED TO ALSO GIVE A NOTE OF 42 00:01:40,440 --> 00:01:41,080 HUGE GRATITUDE AND 43 00:01:41,080 --> 00:01:42,840 ACKNOWLEDGMENT AND THANKS TO DR. 44 00:01:42,840 --> 00:01:43,240 BRENNAN. 45 00:01:43,240 --> 00:01:50,720 I KNOW I SAW THERE WAS A RECENT 46 00:01:50,720 --> 00:01:51,520 ANNOUNCEMENT ON YOUR RETIREMENT. 47 00:01:51,520 --> 00:01:52,600 THANK YOU SO MUCH. 48 00:01:52,600 --> 00:01:54,280 IT'S BEEN AN HONOR, I CAN ONLY 49 00:01:54,280 --> 00:01:55,480 IMAGINE WHAT IT FEELS LIKE AT 50 00:01:55,480 --> 00:01:56,960 THIS TIME IN YOUR AMAZING 51 00:01:56,960 --> 00:02:00,800 CAREER, SO THANK YOU. 52 00:02:00,800 --> 00:02:02,840 THAT SAID, I WANT TO JUST MOVE 53 00:02:02,840 --> 00:02:03,240 FORWARD. 54 00:02:03,240 --> 00:02:04,600 I WORK AS ASSOCIATE DIRECTOR ON 55 00:02:04,600 --> 00:02:05,960 THE SCIENCE AND POLICY TEAM. 56 00:02:05,960 --> 00:02:07,800 IT'S A PLEASURE TO SEE MANY OF 57 00:02:07,800 --> 00:02:08,200 YOU AGAIN. 58 00:02:08,200 --> 00:02:09,920 I MIGHT HAVE SEEN YOU EARLIER OR 59 00:02:09,920 --> 00:02:11,640 MAYBE THIS TIME LAST YEAR WHEN 60 00:02:11,640 --> 00:02:18,680 WE DID A REPORT OUT FROM OUR 61 00:02:18,680 --> 00:02:18,880 TEAM. 62 00:02:18,880 --> 00:02:20,560 SO HERE'S WHAT WE'LL BE 63 00:02:20,560 --> 00:02:21,680 DISCUSSING TODAY. 64 00:02:21,680 --> 00:02:27,240 SINCE THE LAST TIME WE SPOKE, 65 00:02:27,240 --> 00:02:29,320 WHERE I BELIEVE SOMEONE FROM OUR 66 00:02:29,320 --> 00:02:31,440 TEAM WAS WITH YOU IN MAY WHERE 67 00:02:31,440 --> 00:02:33,840 WE LAUNCHED AN ADVISORY ON THE 68 00:02:33,840 --> 00:02:35,400 EPIDEMIC OF LONELINESS AND 69 00:02:35,400 --> 00:02:36,400 ISOLATION, WHICH RESONATED FOR 70 00:02:36,400 --> 00:02:38,880 MANY OF YOU AS I WAS ALSO ON 71 00:02:38,880 --> 00:02:39,160 THAT CALL. 72 00:02:39,160 --> 00:02:40,600 I WANTED TO DISCUSS THE OTHER 73 00:02:40,600 --> 00:02:43,720 ADVISORY THAT CAME OUT FROM OUR 74 00:02:43,720 --> 00:02:46,520 TEAM ON SOCIAL MEDIA, IMPACTS ON 75 00:02:46,520 --> 00:02:47,320 YOUTH MENTAL HEALTH. 76 00:02:47,320 --> 00:02:49,640 WOULD ALSO LIKE TO DISCUSS 77 00:02:49,640 --> 00:02:51,520 BRIEFLY SOME OF THE FINDINGS BUT 78 00:02:51,520 --> 00:02:54,000 ALSO WHAT WILL BE COMING THROUGH 79 00:02:54,000 --> 00:02:55,680 THAT'S EMBARGOED NOW WITH THE 80 00:02:55,680 --> 00:02:58,520 SURGEON GENERAL'S REPORT ON 81 00:02:58,520 --> 00:02:59,520 TOBACCO DISPARITIES, VERY 82 00:02:59,520 --> 00:03:01,760 HISTORIC TIME FOR THAT REPORT. 83 00:03:01,760 --> 00:03:03,080 AND THEN FINALLY I'D LIKE TO 84 00:03:03,080 --> 00:03:05,240 JUST SHARE BRIEF UPDATES FROM 85 00:03:05,240 --> 00:03:06,600 THE TEAM ON ADDITIONAL AND 86 00:03:06,600 --> 00:03:07,600 CONTINUED PRIORITIES FROM OUR 87 00:03:07,600 --> 00:03:09,080 OFFICE AND HOPEFULLY HAVE TIME 88 00:03:09,080 --> 00:03:16,000 TO TAKE SOME QUESTIONS AS WELL. 89 00:03:16,000 --> 00:03:17,400 SO, THIS SLIDE WE'VE SEEN BEFORE 90 00:03:17,400 --> 00:03:18,400 MANY TIMES. 91 00:03:18,400 --> 00:03:21,040 IT'S REALLY A REMINDER OF SOME 92 00:03:21,040 --> 00:03:22,920 OF OUR WORK INCLUDING OUR 93 00:03:22,920 --> 00:03:23,480 MISSION. 94 00:03:23,480 --> 00:03:25,880 AS MANY OF YOU WHO WORK IN 95 00:03:25,880 --> 00:03:27,080 PUBLIC HEALTH AND HEALTH CARE 96 00:03:27,080 --> 00:03:29,320 AND WITH YOUR OWN AGENCY, 97 00:03:29,320 --> 00:03:30,520 MISSION DRIVEN, THIS IS THE 98 00:03:30,520 --> 00:03:31,720 MISSION HERE. 99 00:03:31,720 --> 00:03:32,800 I WANTED TO HIGHLIGHT SOME OF 100 00:03:32,800 --> 00:03:34,600 THE PRODUCTS FROM OUR OFFICE AS 101 00:03:34,600 --> 00:03:35,280 WELL. 102 00:03:35,280 --> 00:03:36,880 AND JUST AS ANOTHER REMINDER 103 00:03:36,880 --> 00:03:39,080 THAT I'M ONE VOICE AMONG MANY ON 104 00:03:39,080 --> 00:03:42,080 OUR TEAM, INCLUDING SO MANY OF 105 00:03:42,080 --> 00:03:44,720 YOU WHO ARE DRAWN IN TERMS OF 106 00:03:44,720 --> 00:03:47,800 THE LITERATURE BASE AND SO MANY 107 00:03:47,800 --> 00:03:49,120 OF THE REVIEWS, SYSTEMATIC 108 00:03:49,120 --> 00:03:51,040 REVIEWS AND ARTICLES THAT ARE 109 00:03:51,040 --> 00:03:53,720 COMING OUT FROM YOUR WORK IN 110 00:03:53,720 --> 00:03:54,160 PARTICULAR. 111 00:03:54,160 --> 00:03:55,720 WE ALSO -- IT'S NOT DISPLAYED 112 00:03:55,720 --> 00:03:57,640 HERE THAT WE SPOKE ABOUT, MAYBE 113 00:03:57,640 --> 00:04:00,080 BRIEFLY LAST TIME, DR. MURTHY'S 114 00:04:00,080 --> 00:04:01,720 WORK ON COMMUNICATIONS, KIND OF 115 00:04:01,720 --> 00:04:03,520 THE PUBLIC-FACING SIDE WITH 116 00:04:03,520 --> 00:04:04,920 TRANSLATING THE EVIDENCE TO THE 117 00:04:04,920 --> 00:04:10,520 GENERAL PUBLIC IN TERMS OF 118 00:04:10,520 --> 00:04:12,040 ENGAGEMENTS ON THE ROAD, WITH 119 00:04:12,040 --> 00:04:13,120 MEETINGS, INTERNALLY, ON THE 120 00:04:13,120 --> 00:04:14,480 HILL AND ALSO THE GENERAL 121 00:04:14,480 --> 00:04:16,800 PUBLIC. 122 00:04:16,800 --> 00:04:20,120 123 00:04:20,120 --> 00:04:22,840 SO THIS IS THE FIRST ADVISORY. 124 00:04:22,840 --> 00:04:24,840 IT CAME OUT THE SAME MONTH, AS 125 00:04:24,840 --> 00:04:26,280 YOU MENTIONED, ALSO A VERY 126 00:04:26,280 --> 00:04:30,720 HISTORIC ONE FOR US. 127 00:04:30,720 --> 00:04:31,600 ALIGNED WITH OUR PRIORITIES. 128 00:04:31,600 --> 00:04:33,640 MAJOR IN PARTICULAR FOR ME AS A 129 00:04:33,640 --> 00:04:35,000 PARENT, FOR MAYBE MANY OF YOU 130 00:04:35,000 --> 00:04:37,280 WHO ARE PARENTS OR CAREGIVERS 131 00:04:37,280 --> 00:04:39,600 AND HAVE YOUNG PEOPLE IN YOUR 132 00:04:39,600 --> 00:04:40,960 LIVES IN DIFFERENT WAYS, WE HOPE 133 00:04:40,960 --> 00:04:43,080 THAT THIS CONTINUES TO RESONATE 134 00:04:43,080 --> 00:04:45,400 IN TERMS OF WHAT'S BEEN SAID IN 135 00:04:45,400 --> 00:04:47,680 IT, BUT ALSO WHAT IT SAYS ARE 136 00:04:47,680 --> 00:04:50,080 STILL GAPS IN THE EVIDENCE BASE 137 00:04:50,080 --> 00:04:53,600 THAT CAN HELP DRIVE FURTHER 138 00:04:53,600 --> 00:04:55,400 RESEARCH AND ADVANCE FURTHER 139 00:04:55,400 --> 00:04:56,600 RESEARCH QUESTIONS. 140 00:04:56,600 --> 00:05:00,440 SO WE KNOW FROM THE RESEARCH TOO 141 00:05:00,440 --> 00:05:03,560 IT'S A VERY SAD STATE, DR. 142 00:05:03,560 --> 00:05:04,560 MURTHY RAISED THIS MANY TIMES 143 00:05:04,560 --> 00:05:07,480 ALONG WITH SO MANY OTHER 144 00:05:07,480 --> 00:05:08,320 STAKEHOLDERS, AND RESEARCHERS, 145 00:05:08,320 --> 00:05:10,280 AND SUBJECT MATTER EXPERTS ABOUT 146 00:05:10,280 --> 00:05:13,720 THE EPIDEMIC OF NOT ONLY YOUTH 147 00:05:13,720 --> 00:05:14,960 MENTAL HEALTH AND SOCIAL 148 00:05:14,960 --> 00:05:15,880 ISOLATION AND LONELINESSN 149 00:05:15,880 --> 00:05:19,160 PARTICULAR WHAT HAPPENED THROUGH 150 00:05:19,160 --> 00:05:19,760 THE PANDEMIC. 151 00:05:19,760 --> 00:05:21,400 WE HOPE THIS PAINTS A PICTURE IN 152 00:05:21,400 --> 00:05:24,200 TERMS OF WHAT MORE CAN BE SAID, 153 00:05:24,200 --> 00:05:26,720 IN PARTICULAR FOR THOSE YOUNG 154 00:05:26,720 --> 00:05:30,400 PEOPLE IN OUR LIVES, CHILDREN, 155 00:05:30,400 --> 00:05:31,320 YOUTH, YOUNG ADULTS, TEENAGERS 156 00:05:31,320 --> 00:05:33,560 WHO SPEND MORE THAN THREE HOURS 157 00:05:33,560 --> 00:05:35,200 A DAY ON SOCIAL MEDIA AND HOW 158 00:05:35,200 --> 00:05:37,800 MUCH THIS DOUBLES THEIR RISK OF 159 00:05:37,800 --> 00:05:39,120 EXPERIENCING SYMPTOMS OF 160 00:05:39,120 --> 00:05:40,920 DEPRESSION AND ANXIETY. 161 00:05:40,920 --> 00:05:42,240 AND THIS IS DEEPLY CONCERNING 162 00:05:42,240 --> 00:05:44,080 FOR ALL OF US, AND I MENTIONED 163 00:05:44,080 --> 00:05:46,120 FOR MANY OF YOU, KNOWING THAT 164 00:05:46,120 --> 00:05:47,920 EVEN ON AVERAGE MANY TEENAGERS 165 00:05:47,920 --> 00:05:50,560 SPEND MORE THAN 3 1/2 HOURS A 166 00:05:50,560 --> 00:05:52,960 DAY, SOMETIMES THE RESEARCH WAS 167 00:05:52,960 --> 00:05:53,760 SHOWING 5 HOURS, EVEN 7 HOURS, 168 00:05:53,760 --> 00:05:56,880 MANY OF THEM HAVE A HARD TIME 169 00:05:56,880 --> 00:05:58,000 REMOVING THEMSELVES, REALLY 170 00:05:58,000 --> 00:06:01,200 STEPPING AWAY FROM IT, SO WE'RE 171 00:06:01,200 --> 00:06:01,440 HOPEFUL. 172 00:06:01,440 --> 00:06:08,480 WE ALWAYS REALLY LOOK FOR THE 173 00:06:08,480 --> 00:06:09,480 HOPEFUL OPPORTUNITIES, BRIGHT 174 00:06:09,480 --> 00:06:14,280 SPOTS, WHAT IS HAPPENING IN 175 00:06:14,280 --> 00:06:16,600 TERMS OF RISK AND IMPACTS ON 176 00:06:16,600 --> 00:06:17,680 MENTAL HEALTH AND WELL-BEING, 177 00:06:17,680 --> 00:06:18,560 BUT WHAT ARE OPPORTUNITIES, 178 00:06:18,560 --> 00:06:19,720 WHERE CAN RESEARCH AND FUNDING 179 00:06:19,720 --> 00:06:21,400 GO TO ADVANCE THAT RESEARCH AND 180 00:06:21,400 --> 00:06:31,040 WHAT CAN PARENTS DO TODAY. 181 00:06:31,040 --> 00:06:33,200 I WANTED TO SHARE, THIS CAME OUT 182 00:06:33,200 --> 00:06:35,480 IN MAY, AROUND THE SAME TIME, 183 00:06:35,480 --> 00:06:39,040 LED BY THE WHITE HOUSE BUT ALSO 184 00:06:39,040 --> 00:06:40,720 IN PARTNERSHIP WITH STAKEHOLDERS 185 00:06:40,720 --> 00:06:44,160 FROM NIH IN ADDITION TO DOMESTIC 186 00:06:44,160 --> 00:06:49,880 POLICY COUNCIL, OFFICE OF 187 00:06:49,880 --> 00:06:51,920 SCIENCE TECHNOLOGY AND POLICY, 188 00:06:51,920 --> 00:06:52,680 ALSO STAKEHOLDERS WITHIN CDC, 189 00:06:52,680 --> 00:06:54,480 DEPARTMENT OF JUSTICE, OFFICE OF 190 00:06:54,480 --> 00:06:56,760 THE ASSISTANT SECRETARY FOR 191 00:06:56,760 --> 00:06:59,080 CHILDREN AND FAMILIES, NATIONAL 192 00:06:59,080 --> 00:07:02,000 ECONOMIC COUNCIL, NUMEROUS 193 00:07:02,000 --> 00:07:04,280 STAKEHOLDERS ARE INVOLVED, 194 00:07:04,280 --> 00:07:05,640 SENIOR REPRESENTATIVES TO ENSURE 195 00:07:05,640 --> 00:07:07,480 THESE OBJECTIVES, THE HOPE IS 196 00:07:07,480 --> 00:07:09,520 WITH THIS INTERAGENCY TASK 197 00:07:09,520 --> 00:07:11,960 FORCE, WITHIN HHS, THAT'S BEEN 198 00:07:11,960 --> 00:07:14,320 ESTABLISHED ON THIS TOPIC FOR 199 00:07:14,320 --> 00:07:16,480 KIDS' ONLINE HEALTH AND SAFETY 200 00:07:16,480 --> 00:07:19,960 THAT WE'RE LOOKING MORE CLOSELY 201 00:07:19,960 --> 00:07:21,800 AT SAFEGUARDS, THAT WE LOOK AT 202 00:07:21,800 --> 00:07:27,480 SOCIAL MEDIA AND THE WAY WE'VE 203 00:07:27,480 --> 00:07:28,840 LOOKED AT OTHER PRODUCTS, WERE 204 00:07:28,840 --> 00:07:31,480 COMMERCIAL TOBACCO OR VEHICLES 205 00:07:31,480 --> 00:07:32,560 THAT SAFEGUARDS NEED TO BE PUT 206 00:07:32,560 --> 00:07:34,520 IN PLACE TO MAKE SURE WE'VE 207 00:07:34,520 --> 00:07:35,600 IDENTIFIED RISKS OF HARM FOR 208 00:07:35,600 --> 00:07:35,880 MINORS. 209 00:07:35,880 --> 00:07:39,720 SO THE HOPE IS THAT BY THE 210 00:07:39,720 --> 00:07:43,120 SPRING OF 2024, THIS TASK FORCE 211 00:07:43,120 --> 00:07:45,440 WILL DEVELOP VOLUNTARY GUIDANCE, 212 00:07:45,440 --> 00:07:46,800 POLICY RECOMMENDATIONS, AND 213 00:07:46,800 --> 00:07:49,680 ULTIMATELY A TOOLKIT ON SAFETY, 214 00:07:49,680 --> 00:07:51,080 HEALTH, PRIVACY BY DESIGN FOR 215 00:07:51,080 --> 00:07:54,920 INDUSTRY THAT ARE DEVELOPING 216 00:07:54,920 --> 00:07:55,960 DIGITAL PRODUCTS AND SERVICES. 217 00:07:55,960 --> 00:07:58,800 THEY ARE INCLUDING A NUMBER OF 218 00:07:58,800 --> 00:08:01,000 INTERNAL AND THEN OUTSIDE OF 219 00:08:01,000 --> 00:08:01,760 GOVERNMENT STAKEHOLDERS BECAUSE 220 00:08:01,760 --> 00:08:03,480 OBVIOUSLY THIS HAS TO COME FROM 221 00:08:03,480 --> 00:08:10,240 THE COMMUNITY, FROM THE 222 00:08:10,240 --> 00:08:13,440 INDUSTRY, TECHNOLOGISTS AND 223 00:08:13,440 --> 00:08:15,280 ENGINEERS AND THOSE INVOLVED IN 224 00:08:15,280 --> 00:08:18,440 LOOKING AT HARMS AND LOOKING AT 225 00:08:18,440 --> 00:08:23,640 OPPORTUNITIES FOR MITIGATING 226 00:08:23,640 --> 00:08:23,920 RISKS. 227 00:08:23,920 --> 00:08:25,880 SO HERE I'M GOING TO JUST MOVE 228 00:08:25,880 --> 00:08:27,920 TO AND PIVOT TO THIS HISTORIC 229 00:08:27,920 --> 00:08:30,720 REPORT I MENTIONED ON THE NEXT 230 00:08:30,720 --> 00:08:32,320 SURGEON GENERAL'S REPORT THAT'S 231 00:08:32,320 --> 00:08:36,200 COMING OUT HOPEFULLY THIS YEAR, 232 00:08:36,200 --> 00:08:38,440 THE AIM, BEFORE THE END OF THIS 233 00:08:38,440 --> 00:08:38,760 YEAR. 234 00:08:38,760 --> 00:08:39,560 IT'S HISTORIC. 235 00:08:39,560 --> 00:08:41,440 I WANTED TO SHARE JUST ONE -- 236 00:08:41,440 --> 00:08:44,840 THIS WILL BE THE 35th REPORT 237 00:08:44,840 --> 00:08:46,720 SINCE DR. LUTHER TERRY'S REPORT 238 00:08:46,720 --> 00:08:49,040 IN 1964, BUT I'D LOVE TO SHARE. 239 00:08:49,040 --> 00:08:52,960 THIS IS 25 YEARS SINCE DR. 240 00:08:52,960 --> 00:08:54,680 SATCHER'S REPORT ON THIS IN 241 00:08:54,680 --> 00:08:55,120 1998. 242 00:08:55,120 --> 00:08:56,880 SO IT'S A VERY HISTORIC ONE 243 00:08:56,880 --> 00:09:00,080 BECAUSE AT THE TIME YOU'LL NOTE 244 00:09:00,080 --> 00:09:06,080 IT JUST LOOKED AT TOBACCO USE 245 00:09:06,080 --> 00:09:07,840 AND RAISED THE TOBACCO-RELATED 246 00:09:07,840 --> 00:09:09,360 HEALTH DISPARITIES AMONG THESE 247 00:09:09,360 --> 00:09:10,440 RACIAL AND ETHNIC MINORITY 248 00:09:10,440 --> 00:09:12,080 GROUPS, I'LL TALK ABOUT WHAT 249 00:09:12,080 --> 00:09:12,960 MAKES THIS NEXT REPORT 250 00:09:12,960 --> 00:09:13,360 DIFFERENT. 251 00:09:13,360 --> 00:09:15,160 FOR THOSE WHO HAVE BEEN INVOLVED 252 00:09:15,160 --> 00:09:17,720 IN THE DEVELOPMENT OF IT, OR 253 00:09:17,720 --> 00:09:21,640 REVIEWED CHAPTERS SO FAR, YOU'LL 254 00:09:21,640 --> 00:09:23,760 SEE OR YOU'LL KNOW EXACTLY THE 255 00:09:23,760 --> 00:09:26,320 DEVELOPMENT TO DATE BECAUSE IT 256 00:09:26,320 --> 00:09:29,240 HAS -- IT'S BEEN -- IT WAS 257 00:09:29,240 --> 00:09:31,360 COMMISSIONED BY DR. MURTHY IN 258 00:09:31,360 --> 00:09:34,200 2017 AND THEN THE REPORT WRITING 259 00:09:34,200 --> 00:09:37,040 BEGAN IN 2018, SO IT'S UNDERGONE 260 00:09:37,040 --> 00:09:40,880 A NUMBER OF SCIENTIFIC REVIEWS 261 00:09:40,880 --> 00:09:44,160 ALREADY, ABOUT 50 SCIENTIFIC 262 00:09:44,160 --> 00:09:49,360 EDITORS, INCLUDING THE SENIOR 263 00:09:49,360 --> 00:09:51,360 SCIENTIFIC EDITOR DR. PEBBLES 264 00:09:51,360 --> 00:09:52,920 FAKIN AND THOSE ACROSS 265 00:09:52,920 --> 00:10:00,040 GOVERNMENT IN PARTICULAR LED BY 266 00:10:00,040 --> 00:10:01,480 THE CDC. 267 00:10:01,480 --> 00:10:03,080 SOME FOCUS POPULATIONS I WANTED 268 00:10:03,080 --> 00:10:04,880 TO FLAG HERE VISUALLY, SO THIS 269 00:10:04,880 --> 00:10:06,680 IS THE GROUPS WE LOOKED AT, THAT 270 00:10:06,680 --> 00:10:10,520 WERE LOOKED AT BY THE TEAM IN 271 00:10:10,520 --> 00:10:12,920 1998, AGAIN THOSE RACIAL AND 272 00:10:12,920 --> 00:10:14,240 ETHNIC MINORITY GROUPS, AND THIS 273 00:10:14,240 --> 00:10:16,560 YEAR THIS REPORT WILL FOCUS A 274 00:10:16,560 --> 00:10:18,640 LOT MORE ON OTHER DISPARATE 275 00:10:18,640 --> 00:10:19,640 GROUPS AND DISPARITIES THAT 276 00:10:19,640 --> 00:10:26,520 REMAIN TO REACH THE END GAME OF 277 00:10:26,520 --> 00:10:29,560 ELIMINATING TOBACCO DISPARITIES. 278 00:10:29,560 --> 00:10:32,440 AND SO AFTER FIVE YEARS ABOUT, 279 00:10:32,440 --> 00:10:34,920 SOUNDS LIKE, FROM 2018, NOW THE 280 00:10:34,920 --> 00:10:36,240 LITERATURE REVIEW, ONGOING 281 00:10:36,240 --> 00:10:38,560 CONVERSATIONS LED TO LOOKING AT 282 00:10:38,560 --> 00:10:40,880 WHERE ARE THOSE TOBACCO-RELATED 283 00:10:40,880 --> 00:10:41,480 DISPARITIES. 284 00:10:41,480 --> 00:10:44,760 SO, THEY ARE LOOKING, YOU'LL SEE 285 00:10:44,760 --> 00:10:46,400 THE REVIEW SUMMARIZES DISPARATE 286 00:10:46,400 --> 00:10:50,200 GROUPS AND DISPARITIES THAT 287 00:10:50,200 --> 00:10:52,600 REMAIN AMONG NOT ONLY 288 00:10:52,600 --> 00:10:55,000 RACIAL/ETHNIC MINORITY GROUPS 289 00:10:55,000 --> 00:10:57,400 BUT USE, AVAILABILITY, CESSATION 290 00:10:57,400 --> 00:10:59,760 PROGRAMS, WHERE ARE THE GROUPS 291 00:10:59,760 --> 00:11:03,640 IN TERMS OF DISPARITIES FOR 292 00:11:03,640 --> 00:11:06,120 LGBTQ POPULATIONS, ALSO BY 293 00:11:06,120 --> 00:11:07,280 INCOME, ADDITIONAL STRATIFIED 294 00:11:07,280 --> 00:11:10,480 DATA BY AGE, AND ALSO FOR THOSE 295 00:11:10,480 --> 00:11:11,600 EXPERIENCING MENTAL HEALTH 296 00:11:11,600 --> 00:11:13,440 CHALLENGES AND CONDITIONS, BY 297 00:11:13,440 --> 00:11:15,160 BEHAVIORAL HEALTH, AND THEN AS 298 00:11:15,160 --> 00:11:16,920 WELL AS BY GEOGRAPHY. 299 00:11:16,920 --> 00:11:19,320 YOU'LL SEE TWO, THERE ARE 300 00:11:19,320 --> 00:11:21,280 NUMEROUS DATA POINTS THAT ARE 301 00:11:21,280 --> 00:11:23,160 REALLY NOTEWORTHY IN TERMS OF 302 00:11:23,160 --> 00:11:24,080 WHERE ARE THOSE DISPARITIES IN 303 00:11:24,080 --> 00:11:25,880 THE MIDWEST, FOR EXAMPLE, VERSUS 304 00:11:25,880 --> 00:11:27,520 THE NORTHEAST, AS WELL AS BY 305 00:11:27,520 --> 00:11:29,360 AGE, AS I HAD MENTIONED. 306 00:11:29,360 --> 00:11:31,080 I THINK ONE OF THE IMPORTANT 307 00:11:31,080 --> 00:11:33,000 THINGS TO REALLY UNDERSCORE HERE 308 00:11:33,000 --> 00:11:37,400 IS THAT WHILE THE PREVALENCE IS 309 00:11:37,400 --> 00:11:39,120 LOWER, SIGNIFICANTLY SINCE THE 310 00:11:39,120 --> 00:11:42,160 60 YEARS AND FIRST-EVER HISTORIC 311 00:11:42,160 --> 00:11:43,440 REPORT, THESE DISPARITIES ARE 312 00:11:43,440 --> 00:11:45,760 NOT SHARED EVENLY ACROSS THESE 313 00:11:45,760 --> 00:11:46,640 GROUPS. 314 00:11:46,640 --> 00:11:50,240 IN PARTICULAR FOR COMMERCIAL 315 00:11:50,240 --> 00:11:52,120 USE, COMMERCIAL TOBACCO USE 316 00:11:52,120 --> 00:11:54,160 INITIATION WHICH MOSTLY THE 317 00:11:54,160 --> 00:11:56,280 MAJORITY STARTS DURING YOUTH, 318 00:11:56,280 --> 00:11:58,200 AND THEN WHERE THEY ARE TOO. 319 00:11:58,200 --> 00:11:59,920 WHERE WE'RE SEEING, WHERE IS THE 320 00:11:59,920 --> 00:12:01,600 LIMITATION IN TERMS OF POLICY OR 321 00:12:01,600 --> 00:12:04,240 PROGRAM, WHETHER IT'S A 322 00:12:04,240 --> 00:12:05,640 CESSATION PROGRAM FOR SMOKING, 323 00:12:05,640 --> 00:12:08,080 AND SO YOU'LL ALSO SEE SIMILAR 324 00:12:08,080 --> 00:12:10,680 TO OTHER SGRs THERE'S GOING TO 325 00:12:10,680 --> 00:12:13,400 BE AN END GAME AND VISION 326 00:12:13,400 --> 00:12:15,880 CHAPTER, WHICH I'LL POINT YOU 327 00:12:15,880 --> 00:12:17,360 TO, CHAPTER 8 AND 9. 328 00:12:17,360 --> 00:12:19,040 IT'S NINE CHAPTERS TOTAL, IT'S 329 00:12:19,040 --> 00:12:21,640 ABOUT 900 PAGES RIGHT NOW. 330 00:12:21,640 --> 00:12:23,320 SO WE'RE REVIEWING IT 331 00:12:23,320 --> 00:12:25,800 EXTENSIVELY WITH THE CDC. 332 00:12:25,800 --> 00:12:28,560 AND END GAME ALSO POINTS TO, I 333 00:12:28,560 --> 00:12:31,720 THINK THE LANGUAGE BEFORE WAS 334 00:12:31,720 --> 00:12:32,440 REALLY ABOUT TOBACCO CONTROL, 335 00:12:32,440 --> 00:12:37,080 AND I THINK IT'S MOVING TOWARDS 336 00:12:37,080 --> 00:12:40,880 REALLY ENSURING THE ELIMINATION 337 00:12:40,880 --> 00:12:42,000 OF TOBACCO, DISEASE, DISABILITY, 338 00:12:42,000 --> 00:12:43,520 AND DEATH, IN PARTICULAR 339 00:12:43,520 --> 00:12:48,560 DISPARITIES FELT AMONG THESE 340 00:12:48,560 --> 00:12:49,000 GROUPS. 341 00:12:49,000 --> 00:12:51,200 SO HERE'S WHERE SOME OF THE 342 00:12:51,200 --> 00:12:52,800 OTHER CONTENT FOR THOSE, IF YOU 343 00:12:52,800 --> 00:12:54,480 HAVE DIFFERENT INTERESTS, 344 00:12:54,480 --> 00:12:56,960 THERE'S AN ENTIRE CHAPTER, FOR 345 00:12:56,960 --> 00:12:58,440 EXAMPLE, ON MENTHOL AND FLAVORED 346 00:12:58,440 --> 00:13:01,080 CIGARS BECAUSE THIS IS ALIGNED 347 00:13:01,080 --> 00:13:04,760 WITH FDA REGULATIONS THAT ARE 348 00:13:04,760 --> 00:13:05,840 ALSO FORTHCOMING, YOU'VE 349 00:13:05,840 --> 00:13:08,240 PROBABLY BEEN AWARE AND SEEN 350 00:13:08,240 --> 00:13:09,560 RECENT NEWS ARTICLES ON. 351 00:13:09,560 --> 00:13:13,800 IT GOES INTO THE DIFFERENT 352 00:13:13,800 --> 00:13:15,440 INFLUENCES BY INDUSTRY, BUT ALSO 353 00:13:15,440 --> 00:13:16,600 DEEPLY ROOTED IN LOOKING AT 354 00:13:16,600 --> 00:13:18,280 BECAUSE THERE ARE THESE 355 00:13:18,280 --> 00:13:20,600 DISPARATE GROUPS, WHAT ARE THE 356 00:13:20,600 --> 00:13:22,600 SOCIAL DETERMINANTS OF HEALTH, 357 00:13:22,600 --> 00:13:25,480 STRUCTURAL ISSUES THAT ARE 358 00:13:25,480 --> 00:13:27,680 REALLY IMPACTING THE APPEAL, THE 359 00:13:27,680 --> 00:13:29,120 AVAILABILITY, AND THEN 360 00:13:29,120 --> 00:13:30,520 ADDICTIVENESS OF COMMERCIAL 361 00:13:30,520 --> 00:13:31,240 TOBACCO IN PARTICULAR. 362 00:13:31,240 --> 00:13:32,760 AND THEN AGAIN I MENTIONED THE 363 00:13:32,760 --> 00:13:34,000 END GAME HERE. 364 00:13:34,000 --> 00:13:36,160 I HOPE THAT YOU'LL TAKE TIME TO 365 00:13:36,160 --> 00:13:38,840 READ IT. 366 00:13:38,840 --> 00:13:42,280 IT'S DEFINITELY -- 900 PAGES OF 367 00:13:42,280 --> 00:13:43,400 BEDSIDE READING, THAT'S NOT NEW 368 00:13:43,400 --> 00:13:45,360 FOR MANY OF YOU TO HAVE HUGE 369 00:13:45,360 --> 00:13:48,440 DREAMS OF THINGS TO READ ON YOUR 370 00:13:48,440 --> 00:13:49,440 BEDSIDE TABLES. 371 00:13:49,440 --> 00:13:52,040 SO HERE I WANTED TO JUST SHARE A 372 00:13:52,040 --> 00:13:55,080 LITTLE BIT MORE ABOUT WHERE WE 373 00:13:55,080 --> 00:13:56,480 ARE WITH THE SOCIAL CONNECTION 374 00:13:56,480 --> 00:13:58,440 PRIORITIES AS WELL AS YOUTH 375 00:13:58,440 --> 00:13:59,480 MENTAL HEALTH. 376 00:13:59,480 --> 00:14:01,600 STILL EXCITING WORK GOING ON. 377 00:14:01,600 --> 00:14:02,720 WE'RE HOPEFUL DR. MURTHY CAN 378 00:14:02,720 --> 00:14:05,720 JOIN YOU IF NOT FOR THE NEXT 379 00:14:05,720 --> 00:14:06,560 REPORT FOR SUBSEQUENT REPORT-OUT 380 00:14:06,560 --> 00:14:08,560 FROM OUR OFFICE BECAUSE HE DOES 381 00:14:08,560 --> 00:14:10,080 SO MUCH WITH OUR TEAM AND WITH 382 00:14:10,080 --> 00:14:14,160 SO MANY OF YOU AND THE PUBLIC TO 383 00:14:14,160 --> 00:14:15,880 AMPLIFY THIS ONGOING WORK, TO 384 00:14:15,880 --> 00:14:17,600 HEAR WHAT'S GOING WELL, LEARN 385 00:14:17,600 --> 00:14:21,120 ABOUT BRIGHT SPOTS BUT ON THE 386 00:14:21,120 --> 00:14:24,520 PUBLIC HEALTH SERVICE CORPS, THE 387 00:14:24,520 --> 00:14:25,160 COMMISSIONED CORPS AND THERE'S A 388 00:14:25,160 --> 00:14:26,520 LOT OF WORK THERE. 389 00:14:26,520 --> 00:14:27,680 WITH SOCIAL CONNECTION I WANTED 390 00:14:27,680 --> 00:14:31,280 TO SHARE BRIEFLY SOME WORK 391 00:14:31,280 --> 00:14:32,400 WITHIN OUR OFFICE, ACROSS OUR 392 00:14:32,400 --> 00:14:33,840 TEAMS, IT'S ONGOING. 393 00:14:33,840 --> 00:14:36,120 IN ADDITION TO DISSEMINATION OF 394 00:14:36,120 --> 00:14:37,760 THAT ADVISORY, AND HEARING HOW 395 00:14:37,760 --> 00:14:42,840 IT IS RESONATING WITH THE 396 00:14:42,840 --> 00:14:45,360 PUBLIC, THERE'S ALSO A LOT BEING 397 00:14:45,360 --> 00:14:47,040 PLANNED IN TERMS OF -- THERE'S 398 00:14:47,040 --> 00:14:49,560 GOING TO BE WORK ON GUIDELINES, 399 00:14:49,560 --> 00:14:51,200 THERE'S A RECENT STRATEGY THAT'S 400 00:14:51,200 --> 00:14:55,200 POSSIBLY IN PLACE AT NATIONAL 401 00:14:55,200 --> 00:14:56,720 LEVEL, AND GUIDELINES, LOOKING 402 00:14:56,720 --> 00:14:59,000 TOO AT METRICS, HOW DOES ONE, 403 00:14:59,000 --> 00:15:00,720 FOR EXAMPLE, MAYBE FOR MANY OF 404 00:15:00,720 --> 00:15:02,480 YOU, FOR MYSELF AS A NURSE, HOW 405 00:15:02,480 --> 00:15:05,880 DO WE -- WHAT DOES IT MEAN TO 406 00:15:05,880 --> 00:15:06,760 NOT NECESSARILY DIAGNOSE 407 00:15:06,760 --> 00:15:07,720 ISOLATION AND SOCIAL CONNECTION 408 00:15:07,720 --> 00:15:09,560 BUT HOW DO WE EVEN ASSESS FOR IT 409 00:15:09,560 --> 00:15:11,800 AND WHAT ARE THE RESOURCES AND 410 00:15:11,800 --> 00:15:13,280 TOOLS AT OUR FINGERTIPS IN THE 411 00:15:13,280 --> 00:15:14,840 CLINICAL SETTING OR COMMUNITY 412 00:15:14,840 --> 00:15:18,040 SETTING TO HELP THE PUBLIC 413 00:15:18,040 --> 00:15:19,440 REALLY UNDERSTAND HOW THEY CAN 414 00:15:19,440 --> 00:15:21,320 ADDRESS IT AND RESPOND TO IT AND 415 00:15:21,320 --> 00:15:23,600 KIND OF REDUCE ANY OF THE RISKS 416 00:15:23,600 --> 00:15:25,160 OR ONGOING IMPACTS. 417 00:15:25,160 --> 00:15:27,360 SO THAT'S HAPPENING RIGHT NOW. 418 00:15:27,360 --> 00:15:29,000 WE'RE HAPPY TO SAY THAT, YOU 419 00:15:29,000 --> 00:15:30,880 KNOW, THERE'S ALSO THE 420 00:15:30,880 --> 00:15:32,200 INTERESTING WORK THAT'S EXCITING 421 00:15:32,200 --> 00:15:33,680 AROUND METRICS AND HOW TO 422 00:15:33,680 --> 00:15:35,480 MEASURE IT TOO SO NOT ONLY HOW 423 00:15:35,480 --> 00:15:38,640 TO ASSESS IT OR WHAT DO I LOOK 424 00:15:38,640 --> 00:15:39,920 FOR AS A CLINICIAN BUT WHAT 425 00:15:39,920 --> 00:15:43,200 SHOULD I BE DOING IN ORDER TO 426 00:15:43,200 --> 00:15:45,320 MEASURE IT AND WHAT DOES THAT 427 00:15:45,320 --> 00:15:49,400 MEAN IN TERMS OF THE 428 00:15:49,400 --> 00:15:50,080 IMPLICATIONS FOR INSURANCE, WHAT 429 00:15:50,080 --> 00:15:52,120 DOES THAT MEAN FOR HEALTH 430 00:15:52,120 --> 00:15:52,480 SYSTEMS. 431 00:15:52,480 --> 00:15:53,640 IT HAS SO MANY OTHER 432 00:15:53,640 --> 00:15:56,440 CONSIDERATIONS THERE. 433 00:15:56,440 --> 00:15:57,320 SO THERE'S ONGOING CONVERSATION 434 00:15:57,320 --> 00:16:00,280 ACROSS NOT ONLY OUR OFFICE BUT 435 00:16:00,280 --> 00:16:01,600 ACROSS HHS, AND WITH 436 00:16:01,600 --> 00:16:02,600 STAKEHOLDERS TO UNDERSTAND WHAT 437 00:16:02,600 --> 00:16:05,720 IT MEANS TO TAKE IT FORWARD 438 00:16:05,720 --> 00:16:06,880 INCLUDING LEARNING MODELS FROM 439 00:16:06,880 --> 00:16:08,720 OBVIOUSLY WE'RE NOT THE ONLY -- 440 00:16:08,720 --> 00:16:12,480 THIS IS A GLOBAL WORLD, SO WE'RE 441 00:16:12,480 --> 00:16:16,760 LOOKING AT A LOT OF THOSE 442 00:16:16,760 --> 00:16:17,800 METRICS, GUIDELINES, EVERYTHING 443 00:16:17,800 --> 00:16:19,800 THAT'S EMERGING OUT OF THE U.K. 444 00:16:19,800 --> 00:16:22,480 AND OTHER AREAS TOO THAT ARE 445 00:16:22,480 --> 00:16:23,440 IMPACTED OR ADVANCING THIS 446 00:16:23,440 --> 00:16:27,200 FURTHER, FURTHER THAN WE ARE IN 447 00:16:27,200 --> 00:16:28,040 THE U.S. 448 00:16:28,040 --> 00:16:29,800 ON YOUTH MENTAL HEALTH I WANT TO 449 00:16:29,800 --> 00:16:32,880 SHARE, YOU KNOW, IN ADDITION TO 450 00:16:32,880 --> 00:16:34,600 THIS THAT WE KNOW THAT SEPTEMBER 451 00:16:34,600 --> 00:16:36,480 IS A VERY IMPORTANT MONTH. 452 00:16:36,480 --> 00:16:39,080 SO DR. MURTHY HAS BEEN VERY 453 00:16:39,080 --> 00:16:42,360 ENGAGED ON THE ROAD TO DISCUSS 454 00:16:42,360 --> 00:16:43,880 WITH STAKEHOLDERS AND THE 455 00:16:43,880 --> 00:16:46,200 GENERAL PUBLIC AND AS I 456 00:16:46,200 --> 00:16:48,400 MENTIONED HERE A LOT ABOUT THE 457 00:16:48,400 --> 00:16:50,920 BRIGHT SPOTS AND EMERGING 458 00:16:50,920 --> 00:16:52,840 PROMISING PRACTICES AND CONNECT 459 00:16:52,840 --> 00:16:55,080 WITH YOUNG PEOPLE IN PARTICULAR 460 00:16:55,080 --> 00:16:56,360 BECAUSE OF SEPTEMBER BEING 461 00:16:56,360 --> 00:16:57,800 NATIONAL SUICIDE PREVENTION 462 00:16:57,800 --> 00:16:59,320 MONTH AS WELL AS SUBSTANCE USE 463 00:16:59,320 --> 00:17:01,800 AND RECOVERY MONTH. 464 00:17:01,800 --> 00:17:04,600 SO IT'S REALLY A TIME TO CONNECT 465 00:17:04,600 --> 00:17:07,520 WITH YOUNG PEOPLE, INCLUDING 466 00:17:07,520 --> 00:17:08,080 THEIR CAREGIVERS, EDUCATORS, 467 00:17:08,080 --> 00:17:10,760 PEOPLE IN THE COMMUNITY WHO ARE 468 00:17:10,760 --> 00:17:13,080 LIFTING THE WORK AND DOING THE 469 00:17:13,080 --> 00:17:16,880 HARD WORK ON THE GROUND TOO. 470 00:17:16,880 --> 00:17:18,080 OCTOBER WILL BE -- JUST WANTED 471 00:17:18,080 --> 00:17:20,320 TO NOTE FOR US IT'S A ONE-YEAR 472 00:17:20,320 --> 00:17:20,640 ANNIVERSARY. 473 00:17:20,640 --> 00:17:22,880 WE HAD A LAUNCH OF OUR FRAMEWORK 474 00:17:22,880 --> 00:17:24,400 ON MENTAL HEALTH AND WELL-BEING 475 00:17:24,400 --> 00:17:26,000 WHICH WE ENGAGED WITH YOU ON 476 00:17:26,000 --> 00:17:27,800 THIS TIME LAST YEAR, SO WE'RE 477 00:17:27,800 --> 00:17:29,480 EXCITED TO SEE HOW THAT HAS 478 00:17:29,480 --> 00:17:32,280 CONTINUED TO MAYBE HELP SHAPE OR 479 00:17:32,280 --> 00:17:33,440 DRIVE CONVERSATIONS AND POLICY. 480 00:17:33,440 --> 00:17:34,600 AND SO STAY TUNED THERE. 481 00:17:34,600 --> 00:17:37,080 I KNOW THERE'S SOME UPCOMING 482 00:17:37,080 --> 00:17:38,120 ENGAGEMENTS, AND WE'RE HOPING TO 483 00:17:38,120 --> 00:17:39,280 STAY CONNECTED WITH YOU ALL 484 00:17:39,280 --> 00:17:41,440 BECAUSE I KNOW THAT YOUR OWN 485 00:17:41,440 --> 00:17:48,840 AGENCY HAS BEEN DOING A LOT OF 486 00:17:48,840 --> 00:17:54,080 WORK ON THAT TOO. 487 00:17:54,080 --> 00:17:54,480 OKAY. 488 00:17:54,480 --> 00:17:55,480 TWO MORE SLIDES. 489 00:17:55,480 --> 00:17:56,280 THANK YOU FOR LISTENING. 490 00:17:56,280 --> 00:17:58,320 ONE IS I WANTED TO SHARE SOME 491 00:17:58,320 --> 00:18:00,120 RECENT EVENTS AS I MENTIONED, 492 00:18:00,120 --> 00:18:03,560 DR. MURTHY WAS ON THE ROAD AND 493 00:18:03,560 --> 00:18:07,360 CONNECTING WITH FOLKS ACROSS THE 494 00:18:07,360 --> 00:18:07,640 COUNTRY. 495 00:18:07,640 --> 00:18:11,880 ONE, HE TRAVELED WITH FLOTUS, 496 00:18:11,880 --> 00:18:14,600 DR. BIDEN, WENT TO INDIANA AND 497 00:18:14,600 --> 00:18:15,720 VISITED ROBBIE'S HOPE, AN 498 00:18:15,720 --> 00:18:17,800 ORGANIZATION WE HAVE ENGAGED 499 00:18:17,800 --> 00:18:20,320 WITH MANY TIMES, AT LEAST ONCE 500 00:18:20,320 --> 00:18:21,400 BEFORE, DURING THIS 501 00:18:21,400 --> 00:18:21,760 ADMINISTRATION. 502 00:18:21,760 --> 00:18:24,000 AND THEN THE OTHER IS REALLY 503 00:18:24,000 --> 00:18:25,680 HIGHLIGHTING AGAIN MENTAL HEALTH 504 00:18:25,680 --> 00:18:28,920 AS HEALTH, THE SAME WAY WE LOOK 505 00:18:28,920 --> 00:18:30,720 AT PHYSICAL HEALTH, BY TALKING 506 00:18:30,720 --> 00:18:35,160 TO -- YOU'LL SEE HERE NAOMI 507 00:18:35,160 --> 00:18:36,800 OSAKA AND MICHAEL PHELPS AT THE 508 00:18:36,800 --> 00:18:38,360 U.S. OPEN, THAT'S ALSO ONLINE. 509 00:18:38,360 --> 00:18:40,360 I CAN SHARE THAT WITH YOU, A 510 00:18:40,360 --> 00:18:42,640 WONDERFUL CONVERSATION THAT THEY 511 00:18:42,640 --> 00:18:45,400 HAD TOGETHER TO REALLY HIGHLIGHT 512 00:18:45,400 --> 00:18:47,360 VULNERABILITY AS STRENGTH WHEN 513 00:18:47,360 --> 00:18:50,400 WE TALK ABOUT OUR MENTAL HEALTH, 514 00:18:50,400 --> 00:18:52,080 AND WE'RE HOPEFUL THAT MORE WILL 515 00:18:52,080 --> 00:18:54,440 CONTINUE TO WATCH THAT, 516 00:18:54,440 --> 00:18:55,840 ESPECIALLY YOUNG PEOPLE AND 517 00:18:55,840 --> 00:18:58,440 THEIR CAREGIVERS AS WELL BECAUSE 518 00:18:58,440 --> 00:19:01,920 OF EVEN NAOMI SHARED HER 519 00:19:01,920 --> 00:19:03,320 STRUGGLE QUITE OPENLY IN 520 00:19:03,320 --> 00:19:06,120 PARTICULARLY DURING PREGNANCY 521 00:19:06,120 --> 00:19:06,520 AND AFTERWARDS. 522 00:19:06,520 --> 00:19:12,560 AS AN ATHLETE AND SOMEONE IN THE 523 00:19:12,560 --> 00:19:14,080 PUBLIC REALM TOO. 524 00:19:14,080 --> 00:19:15,960 LASTLY I'D LOVE TO TAKE THIS 525 00:19:15,960 --> 00:19:17,840 TIME TO INVITE YOU ALL. 526 00:19:17,840 --> 00:19:20,440 YOU'RE MOST WELCOME, I KNOW IT'S 527 00:19:20,440 --> 00:19:21,840 LAST MINUTE POSSIBLY, BUT ON 528 00:19:21,840 --> 00:19:23,720 MONDAY A WONDERFUL EVENT AT THE 529 00:19:23,720 --> 00:19:26,400 KENNEDY CENTER, STILL I BELIEVE 530 00:19:26,400 --> 00:19:27,080 TICKETS AVAILABLE. 531 00:19:27,080 --> 00:19:29,200 IT'S REALLY BEEN QUITE A TIME. 532 00:19:29,200 --> 00:19:31,960 AND I THINK OUR OFFICE AND TEAM 533 00:19:31,960 --> 00:19:32,800 WANTS TO CONTINUE RECOGNIZING, 534 00:19:32,800 --> 00:19:35,600 YOU KNOW, SO MANY OF WHAT WE'VE 535 00:19:35,600 --> 00:19:38,120 BEEN THROUGH TOGETHER, OVER THE 536 00:19:38,120 --> 00:19:46,520 LAST NOT ONLY THREE PLUS YEARS 537 00:19:46,520 --> 00:19:48,360 BUT AS A NATION, TO THANK MANY 538 00:19:48,360 --> 00:19:50,360 PEOPLE WITH THE HIGHEST HONORS. 539 00:19:50,360 --> 00:19:52,680 YOU'LL SEE THEY WILL BE AWARDING 540 00:19:52,680 --> 00:19:54,280 SURGEON GENERAL'S MEDALLION TO 541 00:19:54,280 --> 00:19:55,880 SIX AWARDEES, WHICH WAS PUBLICLY 542 00:19:55,880 --> 00:19:56,400 ANNOUNCED. 543 00:19:56,400 --> 00:19:57,840 WE HOPE YOU'LL JOIN US. 544 00:19:57,840 --> 00:19:59,000 IT'S NOT TOO FAR. 545 00:19:59,000 --> 00:20:02,560 IT'S A VERY -- IT'S GOING TO BE 546 00:20:02,560 --> 00:20:04,280 REALLY FOCUSED ON MUSIC AND 547 00:20:04,280 --> 00:20:05,720 TOGETHERNESS AND HOW CONNECTED 548 00:20:05,720 --> 00:20:09,520 WE ARE, AND REALLY ON HEALING, 549 00:20:09,520 --> 00:20:11,000 RECOGNIZING WE NEED AN ONGOING 550 00:20:11,000 --> 00:20:13,480 TIME TO GRIEVE, TO HEAL, TO BE 551 00:20:13,480 --> 00:20:15,440 TOGETHER, THE WAY WE ARE 552 00:20:15,440 --> 00:20:17,440 PERSONALLY BUT ALSO TAKING THESE 553 00:20:17,440 --> 00:20:18,800 MOMENTS TO PAUSE AND REALLY 554 00:20:18,800 --> 00:20:19,560 CELEBRATE EACH OTHER. 555 00:20:19,560 --> 00:20:23,200 SO WITH THAT I SEE WE HAVE A FEW 556 00:20:23,200 --> 00:20:23,800 MINUTES. 557 00:20:23,800 --> 00:20:25,240 I WANTED TO SAY THANK YOU AGAIN. 558 00:20:25,240 --> 00:20:28,400 IT'S ALWAYS AN HONOR AND A 559 00:20:28,400 --> 00:20:33,240 PLEASURE TO SEE YOU ALL AND TO 560 00:20:33,240 --> 00:20:34,000 SHARE OUR WORK. 561 00:20:34,000 --> 00:20:39,000 THERE THERE'S ANYTHING WE CAN DO 562 00:20:39,000 --> 00:20:42,480 TO AMPLIFY THE WORK, AMPLIFY 563 00:20:42,480 --> 00:20:46,200 YOUR WORK, WE'VE BEEN TALKING AS 564 00:20:46,200 --> 00:20:47,800 A TEAM, HAVE SPOKEN IN THE PAST 565 00:20:47,800 --> 00:20:51,360 HOW TO EVALUATE AND DOCUMENT THE 566 00:20:51,360 --> 00:20:54,320 CONTRIBUTIONS TOWARD SHARED 567 00:20:54,320 --> 00:20:55,600 IMPACT, OUR TEAM IS LOOKING AT 568 00:20:55,600 --> 00:20:56,880 MAYBE SOME SORT OF ANNUAL OR 569 00:20:56,880 --> 00:20:58,720 YEAR IN REVIEW, FOR THE LAST 570 00:20:58,720 --> 00:20:59,400 THREE YEARS THROUGH THE PANDEMIC 571 00:20:59,400 --> 00:21:01,400 WHAT ARE SOME OF THE WAYS THAT 572 00:21:01,400 --> 00:21:05,840 WE WITHIN OUR AGENCIES EVEN HAVE 573 00:21:05,840 --> 00:21:06,840 CONTRIBUTED TO DRIVING MENTAL 574 00:21:06,840 --> 00:21:08,880 HEALTH AS A PUBLIC HEALTH ISSUE 575 00:21:08,880 --> 00:21:09,960 TOGETHER, KNOWING WE'VE BEEN 576 00:21:09,960 --> 00:21:11,880 DOING THIS AS A COMMUNITY. 577 00:21:11,880 --> 00:21:14,080 SO WITH THAT, THANK YOU SO MUCH 578 00:21:14,080 --> 00:21:14,280 AGAIN. 579 00:21:14,280 --> 00:21:15,920 I'M ALWAYS HUMBLED AND HONORED 580 00:21:15,920 --> 00:21:18,320 TO JOIN YOU, AND THE MANY 581 00:21:18,320 --> 00:21:21,320 INCREDIBLE MINDS IN THE ROOM 582 00:21:21,320 --> 00:21:22,680 ADVANCING THE WORK TOGETHER WITH 583 00:21:22,680 --> 00:21:23,120 US. 584 00:21:23,120 --> 00:21:24,480 SO THANK YOU ALL. 585 00:21:24,480 --> 00:21:25,800 I'LL PAUSE THERE. 586 00:21:25,800 --> 00:21:27,440 IF YOU HAVE QUESTIONS, ANYTHING 587 00:21:27,440 --> 00:21:38,000 THAT I SHARED, YOU'D LIKE TO ASK 588 00:21:38,440 --> 00:21:39,040 MORE ABOUT. 589 00:21:39,040 --> 00:21:39,360 >>A QUESTION. 590 00:21:39,360 --> 00:21:45,000 >>DO I HAVE TO USE THE 591 00:21:45,000 --> 00:21:45,280 MICROPHONE? 592 00:21:45,280 --> 00:21:46,840 >>WE HAVE MICS ON THE TABLE. 593 00:21:46,840 --> 00:21:48,920 BE CAREFUL WHEN YOU WHISPER. 594 00:21:48,920 --> 00:21:49,160 [LAUGHTER] 595 00:21:49,160 --> 00:21:50,120 >>THANK YOU. 596 00:21:50,120 --> 00:21:51,680 WHEN YOU STARTED TALKING ABOUT 597 00:21:51,680 --> 00:21:54,120 YOUTH, MENTAL HEALTH AND SOCIAL 598 00:21:54,120 --> 00:21:56,280 MEDIA, IT TRIGGERED MY 599 00:21:56,280 --> 00:21:57,960 IMAGINATION, I MAY HAVE MISSED 600 00:21:57,960 --> 00:21:58,240 SOMETHING. 601 00:21:58,240 --> 00:21:59,160 ARE THERE RECOMMENDATIONS ABOUT 602 00:21:59,160 --> 00:22:01,600 THE USE OF SOCIAL MEDIA TO 603 00:22:01,600 --> 00:22:03,480 SUPPORT MENTAL HEALTH AS WELL AS 604 00:22:03,480 --> 00:22:05,200 LOOKING AT THE IMPACT, ADVERSE 605 00:22:05,200 --> 00:22:05,440 IMPACT? 606 00:22:05,440 --> 00:22:06,640 >>EXACTLY, YES. 607 00:22:06,640 --> 00:22:09,840 IT'S A GREAT QUESTION, GREAT 608 00:22:09,840 --> 00:22:13,400 POINT, BECAUSE THERE ARE -- WHEN 609 00:22:13,400 --> 00:22:15,920 WE LOOK AT DATA, THERE ARE MANY 610 00:22:15,920 --> 00:22:17,320 YOUNG PEOPLE, MAJORITY OF 611 00:22:17,320 --> 00:22:18,640 ADOLESCENTS, GIRLS IN 612 00:22:18,640 --> 00:22:19,320 PARTICULAR, EVEN WHEN WE'RE 613 00:22:19,320 --> 00:22:24,520 SEEING SOME OF THE DATA WHERE 614 00:22:24,520 --> 00:22:27,680 THERE ARE, FOR EXAMPLE, 1 IN 3 615 00:22:27,680 --> 00:22:28,680 SERIOUSLY CONSIDERING SUICIDE, 616 00:22:28,680 --> 00:22:30,960 ALSO HIGH NUMBERS OF YOUNG 617 00:22:30,960 --> 00:22:33,080 PEOPLE, ADOLESCENTS AND GIRLS IN 618 00:22:33,080 --> 00:22:35,240 PARTICULAR, WHO ALSO LOOK TO 619 00:22:35,240 --> 00:22:38,400 SOCIAL MEDIA FOR FEELINGS OF 620 00:22:38,400 --> 00:22:39,320 BELONGING, FOR FEELING INCLUDED, 621 00:22:39,320 --> 00:22:43,000 AND SO WE REALLY TRY TO INCLUDE 622 00:22:43,000 --> 00:22:46,480 BOTH BECAUSE WE SAW BOTH, THERE 623 00:22:46,480 --> 00:22:47,400 WASN'T A SUFFICIENCY OF EVIDENCE 624 00:22:47,400 --> 00:22:49,520 TO SAY OR TO LEAN ANY PARTICULAR 625 00:22:49,520 --> 00:22:49,880 WAY. 626 00:22:49,880 --> 00:22:54,880 SO WE DO OUR BEST TO REALLY 627 00:22:54,880 --> 00:22:56,440 OBJECTIVELY SHARE THAT IN 628 00:22:56,440 --> 00:22:56,720 PARTICULAR. 629 00:22:56,720 --> 00:23:01,320 >>I'M THINKING ABOUT ACTIVE 630 00:23:01,320 --> 00:23:02,560 RECOMMENDATIONS FOR -- 631 00:23:02,560 --> 00:23:03,200 >>YEAH. 632 00:23:03,200 --> 00:23:04,360 >>IMPROVING, IDENTIFYING PEOPLE 633 00:23:04,360 --> 00:23:06,640 AT RISK OR GIVING THEM 634 00:23:06,640 --> 00:23:08,520 ALTERNATIVE INFORMATION SOURCES 635 00:23:08,520 --> 00:23:13,840 THAT MAYBE WILL COUNTER SOME OF 636 00:23:13,840 --> 00:23:15,400 THE NEGATIVITY THEY ARE SEEING. 637 00:23:15,400 --> 00:23:16,160 >>I DON'T WORK SPECIFICALLY ON 638 00:23:16,160 --> 00:23:18,440 THE YOUTH MENTAL HEALTH 639 00:23:18,440 --> 00:23:20,120 PORTFOLIO BUT HAPPY TO GO BACK 640 00:23:20,120 --> 00:23:21,640 AND CONNECT YOU WITH OUR TEAM 641 00:23:21,640 --> 00:23:23,400 MEMBER BECAUSE I DON'T WANT 642 00:23:23,400 --> 00:23:24,960 TO -- YOU KNOW, IT'S NOT AS 643 00:23:24,960 --> 00:23:26,720 EXTENSIVE, THE CALLS TO ACTION 644 00:23:26,720 --> 00:23:29,920 IN TERMS OF EACH STAKEHOLDER 645 00:23:29,920 --> 00:23:31,840 GROUP AS SOME OF OUR SGR 646 00:23:31,840 --> 00:23:33,600 REPORTS, SO WE HAVE 647 00:23:33,600 --> 00:23:34,760 RECOMMENDATIONS FOR POLICYMAKERS 648 00:23:34,760 --> 00:23:37,320 WHICH LOOKS MORE KIND OF AGE AND 649 00:23:37,320 --> 00:23:38,600 DIFFERENT POLICIES, AND THEN WE 650 00:23:38,600 --> 00:23:40,720 SPEAK TO PARENTS AND CAREGIVERS, 651 00:23:40,720 --> 00:23:42,440 BUT I CAN ASK HER TO KIND OF 652 00:23:42,440 --> 00:23:44,560 LOOK THROUGH A LITTLE BIT 653 00:23:44,560 --> 00:23:46,200 FURTHER TO GET TO THE ANSWER FOR 654 00:23:46,200 --> 00:23:47,160 THAT QUESTION IN PARTICULAR 655 00:23:47,160 --> 00:23:48,400 BECAUSE IT'S AN IMPORTANT ONE 656 00:23:48,400 --> 00:23:50,040 JUST TO SEE EXACTLY WHERE YOU 657 00:23:50,040 --> 00:23:52,240 CAN POINT TO AND IF THERE IS AN 658 00:23:52,240 --> 00:23:54,720 ACTION THAT CAN BE TAKEN OR 659 00:23:54,720 --> 00:23:55,200 RECOMMENDED. 660 00:23:55,200 --> 00:24:00,160 I'M HAPPY TO TAKE THAT BACK. 661 00:24:00,160 --> 00:24:00,600 >>RESEARCH AGENDA. 662 00:24:00,600 --> 00:24:03,400 >>EXACTLY, YES. 663 00:24:03,400 --> 00:24:04,920 EVEN UNDER THAT, WITH THAT 664 00:24:04,920 --> 00:24:08,080 QUESTION, THERE IS A SPECIFIC 665 00:24:08,080 --> 00:24:09,360 RESEARCH SECTION THAT FOCUSES ON 666 00:24:09,360 --> 00:24:11,680 THAT SO WE CAN PULL THAT UP FOR 667 00:24:11,680 --> 00:24:11,840 YOU. 668 00:24:11,840 --> 00:24:13,600 >>SO THANK YOU VERY MUCH FOR 669 00:24:13,600 --> 00:24:15,240 THAT WONDERFUL PRESENTATION. 670 00:24:15,240 --> 00:24:18,400 AND, AGAIN, I WANT TO COMMEND 671 00:24:18,400 --> 00:24:19,840 YOU AND THE ENTIRE OFFICE, 672 00:24:19,840 --> 00:24:22,800 OFFICE OF THE SURGEON GENERAL, 673 00:24:22,800 --> 00:24:24,400 FOR THESE TERRIFIC 674 00:24:24,400 --> 00:24:25,640 EVIDENCE-BASED REPORTS AND ALSO 675 00:24:25,640 --> 00:24:27,040 YOUR TREMENDOUS EFFORTS ON 676 00:24:27,040 --> 00:24:27,920 ENGAGING THE PUBLIC. 677 00:24:27,920 --> 00:24:31,160 I THINK IT OPENS UP DIALOGUE AT 678 00:24:31,160 --> 00:24:31,720 A LEVEL. 679 00:24:31,720 --> 00:24:33,280 SO THANK YOU VERY MUCH. 680 00:24:33,280 --> 00:24:35,360 WITH THAT, WE WILL MOVE TO OUR 681 00:24:35,360 --> 00:24:37,320 NEXT ITEM OF BUSINESS, WHICH IS 682 00:24:37,320 --> 00:24:39,320 THE APPROVAL OF OUR MAY 2023 683 00:24:39,320 --> 00:24:42,120 MINUTES AND OUR FUTURE MEETINGS. 684 00:24:42,120 --> 00:24:43,360 SO, THE MINUTES WERE DISTRIBUTED 685 00:24:43,360 --> 00:24:45,440 TO THE BOARD AHEAD OF TODAY'S 686 00:24:45,440 --> 00:24:46,560 MEETING, AND SO FIRST I'D LIKE 687 00:24:46,560 --> 00:24:48,120 TO ASK IF THERE ARE ANY 688 00:24:48,120 --> 00:24:50,160 QUESTIONS OR CONCERNS WITH THE 689 00:24:50,160 --> 00:24:54,240 MINUTES AS YOU RECEIVED THEM. 690 00:24:54,240 --> 00:24:55,080 OKAY. 691 00:24:55,080 --> 00:24:56,840 SO NOW I'M GOING TO -- SEEING 692 00:24:56,840 --> 00:25:02,560 THAT, I'M GOING TO ASK FOR A 693 00:25:02,560 --> 00:25:05,280 MOTION FROM THE BOARD TO APPROVE 694 00:25:05,280 --> 00:25:05,560 MINUTES. 695 00:25:05,560 --> 00:25:05,960 >>SO MOVED. 696 00:25:05,960 --> 00:25:08,720 >>IT'S BEEN MOVED AND SECONDED. 697 00:25:08,720 --> 00:25:11,320 ALL IN FAVOR OF APPROVAL, PLEASE 698 00:25:11,320 --> 00:25:11,960 INDICATE. 699 00:25:11,960 --> 00:25:12,920 OKAY. 700 00:25:12,920 --> 00:25:14,480 ARE THERE ANY DISSENTING VOTES? 701 00:25:14,480 --> 00:25:16,960 I DON'T SEE ANY. 702 00:25:16,960 --> 00:25:19,960 SO WITH THAT, MOTION TO APPROVE 703 00:25:19,960 --> 00:25:21,240 THE MINUTES PASSES. 704 00:25:21,240 --> 00:25:24,840 OUR NEXT ITEM OF BUSINESS IS A 705 00:25:24,840 --> 00:25:26,000 LIST OF FUTURE MEETING DATES, 706 00:25:26,000 --> 00:25:27,800 CALLING YOUR ATTENTION TO THE 707 00:25:27,800 --> 00:25:29,760 2025 FALL MEETING WHICH IS 708 00:25:29,760 --> 00:25:32,480 SCHEDULED FOR SEPTEMBER 9th 709 00:25:32,480 --> 00:25:33,440 AND 10th OF 2025. 710 00:25:33,440 --> 00:25:35,560 I WOULD LIKE TO ASK THE BOARD 711 00:25:35,560 --> 00:25:37,280 FOR APPROVAL OF THIS FUTURE 712 00:25:37,280 --> 00:25:38,720 MEETING DATE. 713 00:25:38,720 --> 00:25:46,840 THIS CAN BE DONE BY ACCLIMATION, 714 00:25:46,840 --> 00:25:49,680 - - ACCLAIMATION, ARE THERE ANY 715 00:25:49,680 --> 00:25:53,560 ISSUES WITH THE SEPTEMBER 9 AND 716 00:25:53,560 --> 00:25:54,600 10 OF 2025 DATES? 717 00:25:54,600 --> 00:25:56,000 WE'LL ADD TO TO THE LIST. 718 00:25:56,000 --> 00:25:59,800 I WANT TO NOTE THE MEETINGS IN 719 00:25:59,800 --> 00:26:02,800 2024, FEBRUARY AND MAY MEETINGS, 720 00:26:02,800 --> 00:26:06,840 WILL BE HEALTH VIRTUALLY, 721 00:26:06,840 --> 00:26:08,720 RECOMMENDED VIRTUALLY, 722 00:26:08,720 --> 00:26:11,080 RECOMMENDED IN-PERSON MEETING 723 00:26:11,080 --> 00:26:13,000 FOR SEPTEMBER 24 AND 25, AND 724 00:26:13,000 --> 00:26:15,440 THEN THAT FEBRUARY AND MAY 725 00:26:15,440 --> 00:26:17,280 MEETING IN 25 WILL ALSO BE 726 00:26:17,280 --> 00:26:18,880 RECOMMENDED TO BE VIRTUAL. 727 00:26:18,880 --> 00:26:20,560 YOU'LL ALSO SEE THAT THERE ARE A 728 00:26:20,560 --> 00:26:21,960 NUMBER OF OTHER MEETING DATES 729 00:26:21,960 --> 00:26:23,680 THAT ARE LISTED IN THE AGENDA, 730 00:26:23,680 --> 00:26:26,640 SO THESE ARE JUST FOR 731 00:26:26,640 --> 00:26:27,960 INFORMATIONAL PURPOSE ONLY. 732 00:26:27,960 --> 00:26:31,360 WITH THAT I'M GOING TO TURN IT 733 00:26:31,360 --> 00:26:33,280 OVER TO OUR BOARD OF REGENTS -- 734 00:26:33,280 --> 00:26:35,800 OR OUR DIRECTOR OF THE NATIONAL 735 00:26:35,800 --> 00:26:39,640 LIBRARY OF MEDICINE, PATTI 736 00:26:39,640 --> 00:26:39,840 BRENNAN. 737 00:26:39,840 --> 00:26:42,240 THANK YOU, PATTI. 738 00:26:42,240 --> 00:26:44,840 >>THANK YOU VERY MUCH, AND 739 00:26:44,840 --> 00:26:47,560 WELCOME TO BEING BOARD CHAIR. 740 00:26:47,560 --> 00:26:49,800 I APPRECIATE YOUR PRESENCE. 741 00:26:49,800 --> 00:26:51,960 I'M GOING TO SHOW YOU HOW 742 00:26:51,960 --> 00:26:54,720 SKILLFUL I AM AT COMPUTERS. 743 00:26:54,720 --> 00:26:59,360 I WANT TO BEGIN FIRST BY 744 00:26:59,360 --> 00:27:00,360 THANKING JEANE FOR THAT REPORT 745 00:27:00,360 --> 00:27:02,720 FROM THE SURGEON GENERAL'S 746 00:27:02,720 --> 00:27:03,040 OFFICE. 747 00:27:03,040 --> 00:27:05,800 MANY OF YOU RAISED AN ADOLESCENT 748 00:27:05,800 --> 00:27:07,200 AND FOUND OUT ADOLESCENT 749 00:27:07,200 --> 00:27:07,480 STRUGGLED. 750 00:27:07,480 --> 00:27:09,240 ANY MATERIALS THAT CAN BE 751 00:27:09,240 --> 00:27:15,640 AVAILABLE TO HELP PARENTS SEE 752 00:27:15,640 --> 00:27:20,920 THE CUES, SEE THEM AND FEEL LESS 753 00:27:20,920 --> 00:27:22,800 GUILTY IS IMPORTANT. 754 00:27:22,800 --> 00:27:27,120 THIS IS THE 194th MEETING, MY 755 00:27:27,120 --> 00:27:28,920 22nd MEETING, I'M THANKFUL FOR 756 00:27:28,920 --> 00:27:30,360 OUR BOARD OF REGENTS, AN 757 00:27:30,360 --> 00:27:32,120 IMPORTANT SERVICE YOU PROVIDE TO 758 00:27:32,120 --> 00:27:32,960 THE NIH, TO THE NATIONAL LIBRARY 759 00:27:32,960 --> 00:27:37,160 OF MEDICINE, AND TO ME 760 00:27:37,160 --> 00:27:39,120 PERSONALLY, A SOUNDING BOARD, 761 00:27:39,120 --> 00:27:40,400 GUIDES, ENCOURAGERS, MANY OF YOU 762 00:27:40,400 --> 00:27:42,000 STARTED AS FRIENDS SO I'M REALLY 763 00:27:42,000 --> 00:27:43,320 VERY GRATEFUL FOR THAT. 764 00:27:43,320 --> 00:27:45,600 WE'VE BEEN ON A NICE JOURNEY. 765 00:27:45,600 --> 00:27:49,160 I WOULD BE REMISS BY NOT ALSO 766 00:27:49,160 --> 00:27:50,680 THANKING THE STAFF, CHRISTINE, 767 00:27:50,680 --> 00:27:53,120 LORETTA, THE TEAM THAT SUPPORTS 768 00:27:53,120 --> 00:27:53,760 US. 769 00:27:53,760 --> 00:27:55,360 I'VE KNOWN MANY FOR ALMOST 20 770 00:27:55,360 --> 00:27:57,480 YEARS, I CAME AS A SPEAKER, 771 00:27:57,480 --> 00:28:00,240 NEVER AS A BOARD MEMBER BUT THEN 772 00:28:00,240 --> 00:28:01,400 AS DIRECTOR AND THEY REALLY 773 00:28:01,400 --> 00:28:01,680 HELPED US. 774 00:28:01,680 --> 00:28:02,840 WE'RE IN A ROOM THAT'S A SPECIAL 775 00:28:02,840 --> 00:28:03,680 ROOM TO THE NATIONAL LIBRARY OF 776 00:28:03,680 --> 00:28:04,560 MEDICINE. 777 00:28:04,560 --> 00:28:05,840 THIS IS OUR VISITORS CENTER. 778 00:28:05,840 --> 00:28:07,640 NLM IS THOUGHT OF AS THE FRONT 779 00:28:07,640 --> 00:28:09,120 DOOR TO NIH. 780 00:28:09,120 --> 00:28:11,440 THIS ROOM HAS HOSTED MANY, MANY, 781 00:28:11,440 --> 00:28:13,600 MANY VISITORS, SEVERAL IN 782 00:28:13,600 --> 00:28:15,320 LUNCHEON MEETINGS IN HERE AND 783 00:28:15,320 --> 00:28:16,840 ARE NOTICING THE VENTILATION 784 00:28:16,840 --> 00:28:17,920 HASN'T GOTTEN MUCH BETTER OVER 785 00:28:17,920 --> 00:28:18,640 THE YEARS. 786 00:28:18,640 --> 00:28:18,880 [LAUGHTER] 787 00:28:18,880 --> 00:28:20,680 I'VE ASKED THEM TO TAKE A LOOK 788 00:28:20,680 --> 00:28:21,880 AND GET MOVING. 789 00:28:21,880 --> 00:28:25,640 THIS TIME, FOR THIS PARTICULAR 790 00:28:25,640 --> 00:28:28,120 MEETING, I THANK MEDIA OPS STAFF 791 00:28:28,120 --> 00:28:29,600 AND CHRISTINE AND RENOVATING. 792 00:28:29,600 --> 00:28:31,720 WE HAVE BRIGHT LIGHTS, WE HAVE 793 00:28:31,720 --> 00:28:32,520 SCREENS AVAILABLE. 794 00:28:32,520 --> 00:28:34,080 WE HAVE GOOD SOUND. 795 00:28:34,080 --> 00:28:37,520 SO I'M REALLY VERY GRATEFUL FOR 796 00:28:37,520 --> 00:28:38,320 WHAT HAS CHANGED. 797 00:28:38,320 --> 00:28:41,760 IF YOU GET A MINUTE, WANDER OFF 798 00:28:41,760 --> 00:28:43,400 INTO THE ALCOVE. 799 00:28:43,400 --> 00:28:49,360 ABOUT 20 YEARS AGO, WITH DR. 800 00:28:49,360 --> 00:28:52,600 LINDBERG'S GREAT DIRECTION, HE 801 00:28:52,600 --> 00:28:55,200 COMMISSIONED AN EXHIBITION, 802 00:28:55,200 --> 00:28:56,800 DREAM ANATOMY. 803 00:28:56,800 --> 00:28:58,560 OUR HISTORIC AND CONTEMPORARY 804 00:28:58,560 --> 00:28:59,880 SOURCES WERE CONVERTED INTO ART 805 00:28:59,880 --> 00:29:00,120 PIECES. 806 00:29:00,120 --> 00:29:01,920 YOU'LL SEE SOME IN THE ROOM NEXT 807 00:29:01,920 --> 00:29:02,280 DOOR. 808 00:29:02,280 --> 00:29:04,600 WE MISS HAVING THE ABILITY TO 809 00:29:04,600 --> 00:29:05,920 SHOW OUR BEAUTIFUL PRECIOUS 810 00:29:05,920 --> 00:29:08,120 PIECES OVER THE YEARS. 811 00:29:08,120 --> 00:29:10,800 WE'RE EXCITEDLY AWAITING THE 812 00:29:10,800 --> 00:29:11,920 RENOVATION OF BUILDING 38, OUR 813 00:29:11,920 --> 00:29:13,240 SQUAT BUILDING IN THE FRONT. 814 00:29:13,240 --> 00:29:18,000 I WAS TOLD IT WAS GOING TO BE 815 00:29:18,000 --> 00:29:25,880 READY IN MAY OF 2023, I'LL 816 00:29:25,880 --> 00:29:27,960 RETIRE AFTER THAT. 817 00:29:27,960 --> 00:29:29,720 IT WILL OPEN IN 2025, SO I'LL BE 818 00:29:29,720 --> 00:29:30,200 BACK. 819 00:29:30,200 --> 00:29:36,520 I NEED TO CALL OUT THOSE WHO 820 00:29:36,520 --> 00:29:37,520 PUSHED OUR RESEARCH FACILITIES 821 00:29:37,520 --> 00:29:39,200 PEOPLE ALONG TO GET THIS 822 00:29:39,200 --> 00:29:40,640 BUILDING GOING. 823 00:29:40,640 --> 00:29:41,720 WE'VE FOUND MANY SURPRISES, 824 00:29:41,720 --> 00:29:43,000 FORTUNATELY NO DEAD BODIES IN 825 00:29:43,000 --> 00:29:44,600 THE WALLS, BUT A NUMBER OF 826 00:29:44,600 --> 00:29:46,160 MESSAGES FROM THE PAST THAT HAVE 827 00:29:46,160 --> 00:29:47,160 COME UP TO US. 828 00:29:47,160 --> 00:29:49,080 I WANT TO THANK ALL OF YOU ON 829 00:29:49,080 --> 00:29:52,720 THE VIDEOCAST ALSO AND LISTENING 830 00:29:52,720 --> 00:29:53,440 IN TODAY. 831 00:29:53,440 --> 00:29:54,560 ATTENDING THE MEETING IS BORN TO 832 00:29:54,560 --> 00:29:55,360 UNDERSTAND WHAT THE NATIONAL 833 00:29:55,360 --> 00:29:57,280 LIBRARY OF MEDICINE IS GOING AND 834 00:29:57,280 --> 00:29:59,280 I WANT TO THANK LEADERSHIP TEAM 835 00:29:59,280 --> 00:30:01,280 WHO ARE MOSTLY IN THE ROOM HERE 836 00:30:01,280 --> 00:30:02,480 TODAY, YOU KNOW SOME OF THESE 837 00:30:02,480 --> 00:30:04,320 PEOPLE IN THE FLESH, MANY OF 838 00:30:04,320 --> 00:30:05,640 THEM FROM PICTURES, BUT I WANT 839 00:30:05,640 --> 00:30:10,920 TO MAKE SURE YOU GET A CHANCE TO 840 00:30:10,920 --> 00:30:13,520 MEET WEI MA, TWO MOST RECENTLY 841 00:30:13,520 --> 00:30:14,720 APPOINTED ACTING DIRECTORS, I'M 842 00:30:14,720 --> 00:30:18,040 DELIGHTED WITH THEIR SUPPORT AND 843 00:30:18,040 --> 00:30:18,640 HELP. 844 00:30:18,640 --> 00:30:19,880 THIS IS A ROOM AND MEDIUM THAT 845 00:30:19,880 --> 00:30:21,480 WOULD NOT BE POSSIBLE WITHOUT 846 00:30:21,480 --> 00:30:22,360 THE MEDIA OPERATIONS TEAM. 847 00:30:22,360 --> 00:30:23,480 I DON'T THINK WE'LL EVER SEE 848 00:30:23,480 --> 00:30:25,120 THEM TODAY BUT THEY ARE LURKING 849 00:30:25,120 --> 00:30:26,560 AROUND EVERYWHERE HELPING US. 850 00:30:26,560 --> 00:30:28,760 THANK YOU, MEDIA OPS PEOPLE. 851 00:30:28,760 --> 00:30:31,040 ONE OF THE THINGS OUR OFFICE OF 852 00:30:31,040 --> 00:30:32,080 COMMUNICATIONS AND PUBLIC 853 00:30:32,080 --> 00:30:33,520 LIAISON AND MEDIA OPS DO IS 854 00:30:33,520 --> 00:30:34,240 PREPARE VIDEOS. 855 00:30:34,240 --> 00:30:37,120 I'M GOING TO SHOW OUR LATEST 856 00:30:37,120 --> 00:30:37,480 VIDEO. 857 00:30:37,480 --> 00:30:38,080 WE'RE EXCITED ABOUT THE ABILITY 858 00:30:38,080 --> 00:30:39,920 TO BRING TO THE PUBLIC THIS 859 00:30:39,920 --> 00:30:40,920 SCIENCE AND CONTRIBUTIONS TO THE 860 00:30:40,920 --> 00:30:42,480 NATIONAL LIBRARY OF MEDICINE 861 00:30:42,480 --> 00:30:44,920 THROUGH VIDEO. 862 00:30:44,920 --> 00:30:47,200 SO MEDIA OPS PEOPLE, TAKE THE 863 00:30:47,200 --> 00:30:48,480 VIDEO UP, I WOULD APPRECIATE IT. 864 00:30:48,480 --> 00:30:50,040 >>THERE'S NEVER BEEN A TIME IN 865 00:30:50,040 --> 00:30:52,480 HISTORY WE'VE HAD SO MUCH ACCESS 866 00:30:52,480 --> 00:30:53,960 TO SCIENCE AND TECHNOLOGY AS 867 00:30:53,960 --> 00:30:55,560 BEING APPLIED TO HEALTH CARE. 868 00:30:55,560 --> 00:30:57,560 ONE OF THE CHALLENGES FOR THE 869 00:30:57,560 --> 00:31:00,120 FUTURE IS HOW TO MOVE THINGS 870 00:31:00,120 --> 00:31:00,840 LIKE BIOMEDICAL INFORMATICS AND 871 00:31:00,840 --> 00:31:02,200 ARTIFICIAL INTELLIGENCE AND DATA 872 00:31:02,200 --> 00:31:04,480 SCIENCE INTO THE MAINSTREAM OF 873 00:31:04,480 --> 00:31:05,440 HEALTH CARE. 874 00:31:05,440 --> 00:31:09,400 >>THERE IS NO ONE OTHER THAN 875 00:31:09,400 --> 00:31:12,840 NLM WHO IS SPECIFICALLY 876 00:31:12,840 --> 00:31:14,080 DEDICATED TO BIOMEDICAL 877 00:31:14,080 --> 00:31:17,320 INFORMATION RETRIEVAL. 878 00:31:17,320 --> 00:31:19,560 WE KEEP PEOPLE FOCUSED ON WHAT 879 00:31:19,560 --> 00:31:22,200 REALLY MATTERS FOR HEALTH AND 880 00:31:22,200 --> 00:31:23,840 ADVANCING MEDICINE. 881 00:31:23,840 --> 00:31:25,720 >>OUR RESEARCH FOCUSES ON A.I. 882 00:31:25,720 --> 00:31:28,000 AND MACHINE LEARNING. 883 00:31:28,000 --> 00:31:30,040 IN THE LONG RUN WE AIM TO TEACH 884 00:31:30,040 --> 00:31:32,800 COMPUTERS TO READ AND UNDERSTAND 885 00:31:32,800 --> 00:31:36,120 SCIENTIFIC PAPERS LIKE 886 00:31:36,120 --> 00:31:38,560 SCIENTISTS, TO INTERPRET X-RAYS 887 00:31:38,560 --> 00:31:40,360 OR IMAGES LIKE RADIOLOGISTS, AT 888 00:31:40,360 --> 00:31:42,400 A SPEED AND ACCURACY THAT'S 889 00:31:42,400 --> 00:31:44,840 ABOVE AND BEYOND HUMAN ABILITY. 890 00:31:44,840 --> 00:31:47,240 >>MEDICINE HAS BEEN DREAMING 891 00:31:47,240 --> 00:31:49,720 ABOUT HAVING THIS ABILITY TO 892 00:31:49,720 --> 00:31:50,960 CONSULT A LARGE LIBRARY OF 893 00:31:50,960 --> 00:31:53,240 PATIENT RECORDS, TO MAKE BETTER 894 00:31:53,240 --> 00:31:53,520 DECISIONS. 895 00:31:53,520 --> 00:31:54,520 WE'VE BEEN THINKING ABOUT THIS 896 00:31:54,520 --> 00:31:55,920 AS A FIELD FOR 40 YEARS. 897 00:31:55,920 --> 00:31:56,720 FINALLY WITH THE SUPPORT OF THE 898 00:31:56,720 --> 00:31:59,600 NATIONAL LIBRARY OF MEDICINE, WE 899 00:31:59,600 --> 00:32:00,400 HAVE ESTABLISHED ITS 900 00:32:00,400 --> 00:32:03,200 FEASIBILITY, ITS SAFETY, AND 901 00:32:03,200 --> 00:32:04,000 LONG-TERM VIABILITY. 902 00:32:04,000 --> 00:32:04,800 >>EVERY CLINICIAN HAS SEEN 903 00:32:04,800 --> 00:32:06,480 CERTAIN NUMBER OF PATIENTS IN 904 00:32:06,480 --> 00:32:08,280 THEIR CLINICAL TRAINING, THEY 905 00:32:08,280 --> 00:32:09,800 BECOME VERY ADEPT AT THAT 906 00:32:09,800 --> 00:32:10,080 POPULATION. 907 00:32:10,080 --> 00:32:12,120 MACHINES ON THE OTHER HAND COULD 908 00:32:12,120 --> 00:32:14,080 BE TRAINED ON DATA THAT IS FREE 909 00:32:14,080 --> 00:32:17,600 OF BIAS FROM DIFFERENT PARTS OF 910 00:32:17,600 --> 00:32:20,880 THE WORLD, FROM DIFFERENT 911 00:32:20,880 --> 00:32:22,160 ETHNICITIES, DIFFERENT AGE 912 00:32:22,160 --> 00:32:27,080 GROUPS SO THERE'S AN IMPROVED 913 00:32:27,080 --> 00:32:27,720 CAREGIVING, THEREFORE BETTER 914 00:32:27,720 --> 00:32:28,960 EXPECTATION ON TREATMENT AND 915 00:32:28,960 --> 00:32:29,760 CARE. 916 00:32:29,760 --> 00:32:31,960 >>A.I. CAN BE SOMEWHAT FRAGILE, 917 00:32:31,960 --> 00:32:33,960 IF GIVEN UNEXPECTED INPUT CAN 918 00:32:33,960 --> 00:32:35,240 GIVE A VERY UNEXPECTED OUTPUT. 919 00:32:35,240 --> 00:32:37,040 REALLY THE WHOLE GOAL OF OUR 920 00:32:37,040 --> 00:32:39,440 RESEARCH IS TO UNDERSTAND HOW 921 00:32:39,440 --> 00:32:41,840 CAN WE INVESTIGATE WHERE A.I. IS 922 00:32:41,840 --> 00:32:42,800 FRAGILE, ESSENTIALLY BREAK IT SO 923 00:32:42,800 --> 00:32:44,560 WE CAN UNDERSTAND HOW TO FIX IT 924 00:32:44,560 --> 00:32:46,440 AND MAKE IT STRONGER. 925 00:32:46,440 --> 00:32:47,680 REALLY IT COMES DOWN TO THE 926 00:32:47,680 --> 00:32:50,160 ABILITY TO TAKE WHAT IS 927 00:32:50,160 --> 00:32:51,840 THEORETICAL RESEARCH AND APPLY 928 00:32:51,840 --> 00:32:53,280 IT TO HEALTH CARE, AND IMPROVE 929 00:32:53,280 --> 00:32:58,160 THE TREATMENT THAT WE CAN 930 00:32:58,160 --> 00:32:58,800 PROVIDE PATIENTS. 931 00:32:58,800 --> 00:32:58,960 ♪ 932 00:32:58,960 --> 00:33:00,120 >>THANK YOU VERY MUCH, MEDIA 933 00:33:00,120 --> 00:33:02,280 OPS PEOPLE. 934 00:33:02,280 --> 00:33:03,360 THESE VIDEOS ARE AVAILABLE ON 935 00:33:03,360 --> 00:33:04,760 THE YouTube CHANNEL AND OUR 936 00:33:04,760 --> 00:33:08,720 WEBSITE, CAN BE USED FOR PUBLIC 937 00:33:08,720 --> 00:33:09,160 EDUCATION, DOWNLOADED. 938 00:33:09,160 --> 00:33:14,480 LET US KNOW HOW TO MAKE USE OF 939 00:33:14,480 --> 00:33:15,480 THESE VIDEOS. 940 00:33:15,480 --> 00:33:17,040 WE'RE DRIVEN BY A STRATEGIC PLAN 941 00:33:17,040 --> 00:33:19,600 THE BOARD OF REGENTS HELPED US 942 00:33:19,600 --> 00:33:21,840 CRAFT IN 2017 WITH THREE PILLARS 943 00:33:21,840 --> 00:33:23,280 OF DIRECTION, TO ACCELERATE DATA 944 00:33:23,280 --> 00:33:28,040 DISCOVERY, HANS HEALTH THROUGH 945 00:33:28,040 --> 00:33:30,280 DATA GIVEN RESEARCH, BUILD A 946 00:33:30,280 --> 00:33:32,000 WORKFORCE FOR DATA DRIVEN 947 00:33:32,000 --> 00:33:32,520 RESEARCH. 948 00:33:32,520 --> 00:33:33,320 WE'VE DONE AMAZING THINGS IN THE 949 00:33:33,320 --> 00:33:34,440 SEVEN YEARS I'VE BEEN HERE. 950 00:33:34,440 --> 00:33:35,800 I'M PROUD OF THE WORK WE'VE DONE 951 00:33:35,800 --> 00:33:37,160 BUT WE'RE NOT DONE YET. 952 00:33:37,160 --> 00:33:39,200 WE HAVE THREE YEARS LEFT IN THE 953 00:33:39,200 --> 00:33:39,760 STRATEGIC PLAN. 954 00:33:39,760 --> 00:33:42,320 WE'RE LOOKING AT CONTINUED NEW 955 00:33:42,320 --> 00:33:43,520 WAYS, ACCELERATION OF RESEARCH 956 00:33:43,520 --> 00:33:44,960 PARTICULARLY WITH LARGE LANGUAGE 957 00:33:44,960 --> 00:33:46,000 MODELS. 958 00:33:46,000 --> 00:33:48,400 I NEED TO CALL DIANNE BABSKI OUT 959 00:33:48,400 --> 00:33:50,440 AGAIN, SHE'S BEEN OUR LEADER, 960 00:33:50,440 --> 00:33:54,560 WHAT DO THESE HAVE TO DO FOR OUR 961 00:33:54,560 --> 00:33:56,040 OPERATIONS, PARTNERED WITH 962 00:33:56,040 --> 00:33:57,600 RESEARCHERS AND ACROSS CAMPUS TO 963 00:33:57,600 --> 00:33:59,480 BUILD A COMMUNITY OF CAMPUS 964 00:33:59,480 --> 00:34:00,920 AROUND LARGE LANGUAGE MODELS FOR 965 00:34:00,920 --> 00:34:04,480 RESEARCH AND FEDERAL OPERATIONS, 966 00:34:04,480 --> 00:34:04,840 REALLY TERRIFIC. 967 00:34:04,840 --> 00:34:06,920 WE DO QUITE A BIT OF EDUCATION, 968 00:34:06,920 --> 00:34:09,120 PLEASED WITH THE INTRAMURAL 969 00:34:09,120 --> 00:34:10,600 RESEARCH PROGRAM WITH NEW 970 00:34:10,600 --> 00:34:12,360 PROJECTS TO CREATE OPPORTUNITIES 971 00:34:12,360 --> 00:34:13,560 FOR PEOPLE TO LEARN. 972 00:34:13,560 --> 00:34:14,920 I WANT TO TAKE A PAUSE AND 973 00:34:14,920 --> 00:34:16,920 MOMENT TO ACKNOWLEDGE IMPORTANCE 974 00:34:16,920 --> 00:34:18,080 OF OUR BOARD MEMBERS, THOSE WHO 975 00:34:18,080 --> 00:34:21,400 HAVE GOTTEN THROUGH ALL OF THE 976 00:34:21,400 --> 00:34:23,280 590 FORMS AND MILLIONS OF PAGES 977 00:34:23,280 --> 00:34:25,440 NOW, IT'S A FREE SERVICE TO THE 978 00:34:25,440 --> 00:34:26,600 GOVERNMENT TO EXPOSURE PERSONAL 979 00:34:26,600 --> 00:34:26,880 INFORMATION. 980 00:34:26,880 --> 00:34:30,920 BUT WE TAKE VERY GOOD CARE OF 981 00:34:30,920 --> 00:34:32,600 IT. 982 00:34:32,600 --> 00:34:33,480 PROMISE. 983 00:34:33,480 --> 00:34:37,240 MITCHELL KATZ AND PHILIP WALKER 984 00:34:37,240 --> 00:34:40,160 ARE FULLY APPOINTED, CARMEN 985 00:34:40,160 --> 00:34:41,800 PORTILLO IS CONSULTANT UNTIL THE 986 00:34:41,800 --> 00:34:44,360 SECRETARY'S OFFICE MAKES THE 987 00:34:44,360 --> 00:34:44,760 APPROVAL. 988 00:34:44,760 --> 00:34:47,600 AND ANN QUIDIC IS NOT ABLE TO BE 989 00:34:47,600 --> 00:34:48,560 HERE TODAY. 990 00:34:48,560 --> 00:34:50,200 WE HAD ANDY CLARK WAS TO BE 991 00:34:50,200 --> 00:34:51,960 CONTINUING ON AS BOARD MEMBER. 992 00:34:51,960 --> 00:34:54,680 HE'S HAD A FAMILY ISSUE THAT 993 00:34:54,680 --> 00:34:56,200 REQUIRED HIM TO STEP AWAY FROM 994 00:34:56,200 --> 00:34:57,840 PUBLIC SERVICE, WE HOPE TO 995 00:34:57,840 --> 00:34:59,080 ENGAGE HIM IN THE FUTURE. 996 00:34:59,080 --> 00:35:01,320 I'M GOING TO TAKE DIRECTOR'S 997 00:35:01,320 --> 00:35:02,280 PREROGATIVE TO TAKE A FEW 998 00:35:02,280 --> 00:35:03,720 MINUTES OF REFLECTION OF MY TIME 999 00:35:03,720 --> 00:35:05,800 HERE AT THE NATIONAL LIBRARY OF 1000 00:35:05,800 --> 00:35:06,080 MEDICINE. 1001 00:35:06,080 --> 00:35:07,640 I FIRST KNEW OF THE NATIONAL 1002 00:35:07,640 --> 00:35:09,080 LIBRARY OF MEDICINE IN 1984, 1003 00:35:09,080 --> 00:35:11,160 WHEN I WAS TRYING DESPERATELY TO 1004 00:35:11,160 --> 00:35:12,360 FUND MY DOCTORAL STUDY, WHICH 1005 00:35:12,360 --> 00:35:13,720 DIDN'T WORK, BY THE WAY. 1006 00:35:13,720 --> 00:35:15,240 I HAVE BEEN SUPPORTED BY THE 1007 00:35:15,240 --> 00:35:16,720 NATIONAL LIBRARY OF MEDICINE 1008 00:35:16,720 --> 00:35:19,160 BOTH AS RESEARCHER AND NOW AS 1009 00:35:19,160 --> 00:35:21,360 PROFESSIONAL FOR ALMOST 40 1010 00:35:21,360 --> 00:35:21,560 YEARS. 1011 00:35:21,560 --> 00:35:23,400 IT'S BEEN A GREAT PRIVILEGE. 1012 00:35:23,400 --> 00:35:25,920 WHEN I LOOK BACK TO WHAT I 1013 00:35:25,920 --> 00:35:27,000 BELIEVE WAS MY CONTRIBUTION, I 1014 00:35:27,000 --> 00:35:30,000 WOULD SAY IT WAS THE CREATION 1015 00:35:30,000 --> 00:35:31,600 AND ADOPTION AND EMBRACING OF A 1016 00:35:31,600 --> 00:35:35,800 CONCEPT WE CALL ONE NLM. 1017 00:35:35,800 --> 00:35:37,520 JIM OSTELL MIGHT TEASE ME BUT WE 1018 00:35:37,520 --> 00:35:41,120 HAVE OVER THE LAST 7 YEARS 1019 00:35:41,120 --> 00:35:41,720 RECOGNIZED THE INTERDEPENDENCE 1020 00:35:41,720 --> 00:35:43,400 ACROSS THE NATIONAL LIBRARY OF 1021 00:35:43,400 --> 00:35:44,880 MEDICINE, NOT JUST IN THE 1022 00:35:44,880 --> 00:35:46,720 PHRASING OF RESEARCH DRIVES OUR 1023 00:35:46,720 --> 00:35:48,520 SERVICES, SERVICE DRIVES OUR 1024 00:35:48,520 --> 00:35:49,320 RESEARCH, BUT OUR DOLLARS HAVE 1025 00:35:49,320 --> 00:35:52,080 TO FLOW IN A WAY THAT SUPPORTS 1026 00:35:52,080 --> 00:35:53,160 PROJECTS THAT REQUIRE ENGAGEMENT 1027 00:35:53,160 --> 00:35:54,520 ACROSS THE NATIONAL LIBRARY OF 1028 00:35:54,520 --> 00:35:55,000 MEDICINE. 1029 00:35:55,000 --> 00:35:56,720 MY RESEARCH TEAM HAS BEEN 1030 00:35:56,720 --> 00:35:57,560 INCREDIBLY SUPPORTIVE OF MY 1031 00:35:57,560 --> 00:35:58,920 DESIRE TO SIT AND TALK, 1032 00:35:58,920 --> 00:35:59,840 SOMETIMES IN LONG PERIODS OF 1033 00:35:59,840 --> 00:36:01,400 TIME ABOUT WHAT DOES IT MEAN TO 1034 00:36:01,400 --> 00:36:03,800 BE ONE NLM AND HOW DO WE GET 1035 00:36:03,800 --> 00:36:04,240 THERE. 1036 00:36:04,240 --> 00:36:06,440 MOVING FROM A DIVISION FIRST TO 1037 00:36:06,440 --> 00:36:08,960 AN INSTITUTE OR LIBRARY OR NLM 1038 00:36:08,960 --> 00:36:11,040 FIRST PERSPECTIVE, OR AT LEAST 1039 00:36:11,040 --> 00:36:12,520 COMPLEMENTING A DIVISION FIRST 1040 00:36:12,520 --> 00:36:14,360 WITH THIS PERSPECTIVE HAS BEEN 1041 00:36:14,360 --> 00:36:15,280 REALLY VERY IMPORTANT. 1042 00:36:15,280 --> 00:36:17,600 WE HAVE OVER THE LAST SEVEN 1043 00:36:17,600 --> 00:36:18,720 YEARS STRENGTHENED OUR 1044 00:36:18,720 --> 00:36:19,200 INFRASTRUCTURE, BOTH OUR 1045 00:36:19,200 --> 00:36:20,880 PHYSICAL INFRASTRUCTURE AS WELL 1046 00:36:20,880 --> 00:36:21,720 AS COMPUTING INFRASTRUCTURE, 1047 00:36:21,720 --> 00:36:23,600 MUCH OF THAT DONE WITH SUPPORT 1048 00:36:23,600 --> 00:36:26,680 OF NIH BUT MUCH DONE ALSO WITH 1049 00:36:26,680 --> 00:36:28,120 REMOVING $30 MILLION OF OUR 1050 00:36:28,120 --> 00:36:30,840 OPERATIONAL FUNDS TO MAKE SURE 1051 00:36:30,840 --> 00:36:32,200 OUR BUILDINGS STAY INTACT, GOOD 1052 00:36:32,200 --> 00:36:34,000 PLACES FOR PEOPLE TO WORK AND 1053 00:36:34,000 --> 00:36:35,760 PRESERVING OUR MATERIALS FOR THE 1054 00:36:35,760 --> 00:36:36,240 FUTURE. 1055 00:36:36,240 --> 00:36:38,440 I'M PROUD OF THE GROWTH IN 1056 00:36:38,440 --> 00:36:39,560 SCIENCE, DURING MY PERIOD OF 1057 00:36:39,560 --> 00:36:41,720 TIME WE'VE BROUGHT IN EIGHT NEW 1058 00:36:41,720 --> 00:36:42,840 INVESTIGATORS INTO THE 1059 00:36:42,840 --> 00:36:44,400 INTRAMURAL RESEARCH PROGRAM, 1060 00:36:44,400 --> 00:36:45,720 EXPANDED OUR EXTRAMURAL FUNDING, 1061 00:36:45,720 --> 00:36:47,680 WE'VE REALIGNED THE FUNDING FOR 1062 00:36:47,680 --> 00:36:48,560 THE NETWORK OF NATIONAL LIBRARY 1063 00:36:48,560 --> 00:36:49,720 OF MEDICINE AND PUT TOGETHER 1064 00:36:49,720 --> 00:36:52,400 WHAT I BELIEVE IS REALLY A 1065 00:36:52,400 --> 00:36:54,520 POWERHOUSE OF RESEARCH PREPARING 1066 00:36:54,520 --> 00:36:55,760 FOR THE FUTURE. 1067 00:36:55,760 --> 00:36:56,560 PERHAPS GREATEST PERSONAL PRIDE 1068 00:36:56,560 --> 00:36:58,360 FOR ME HAS BEEN THE POSITIONING 1069 00:36:58,360 --> 00:37:00,720 OF NLM AS A LEADER AT THE NIH 1070 00:37:00,720 --> 00:37:02,600 FOR DATA SCIENCE AND INFORMATION 1071 00:37:02,600 --> 00:37:02,960 TECHNOLOGY. 1072 00:37:02,960 --> 00:37:05,040 BECAUSE OF THE WORK OF PEOPLE IN 1073 00:37:05,040 --> 00:37:09,080 THIS ROOM, KIM PRUITT, STEVE 1074 00:37:09,080 --> 00:37:11,040 SHERRY, MYSELF, DIANE, WE'VE 1075 00:37:11,040 --> 00:37:12,520 MADE THE NIH RECOGNIZE NOT ONLY 1076 00:37:12,520 --> 00:37:14,720 ARE WE AT THE BORDER BUT ALSO AT 1077 00:37:14,720 --> 00:37:18,120 THE CENTER OF DATA SCIENCE. 1078 00:37:18,120 --> 00:37:20,720 I'M PROUD TO SAY IN INSTITUTE 1079 00:37:20,720 --> 00:37:21,880 AND CENTER DIRECTORS MEETINGS 1080 00:37:21,880 --> 00:37:24,080 EVERY THURSDAY PEOPLE SAY DATA 1081 00:37:24,080 --> 00:37:25,400 WITHOUT TRIPPING OVER IT OR CAN 1082 00:37:25,400 --> 00:37:27,040 TALK ABOUT FUTURE OF INFORMATION 1083 00:37:27,040 --> 00:37:28,440 RESOURCES SAYING WHY DO THEY 1084 00:37:28,440 --> 00:37:29,680 COST SO DARN MUCH. 1085 00:37:29,680 --> 00:37:33,160 I'M READY TO GET R. -- LET GO 1086 00:37:33,160 --> 00:37:34,480 AND MOVE ON, I BELIEVE THIS IS 1087 00:37:34,480 --> 00:37:36,360 THE RIGHT TIME FOR ME TO MOVE 1088 00:37:36,360 --> 00:37:36,520 ON. 1089 00:37:36,520 --> 00:37:38,800 WE'VE ACCOMPLISHED AS MUCH AS WE 1090 00:37:38,800 --> 00:37:39,800 CAN ACCOMPLISHED WITH THIS 1091 00:37:39,800 --> 00:37:41,240 LEADER, IT'S TIME TO MOVE TO THE 1092 00:37:41,240 --> 00:37:42,560 NEXT LEADERS. 1093 00:37:42,560 --> 00:37:43,440 I'LL TALK ABOUT LEADERSHIP 1094 00:37:43,440 --> 00:37:45,040 TRANSITION WHICH IS VERY 1095 00:37:45,040 --> 00:37:45,320 EXCITING. 1096 00:37:45,320 --> 00:37:47,320 STEVE SHERRY, HERE IN THE ROOM 1097 00:37:47,320 --> 00:37:49,240 WITH US, WILL BE SPEAKING IN A 1098 00:37:49,240 --> 00:37:53,040 FEW MOMENTS, WILL BECOME ACTING 1099 00:37:53,040 --> 00:37:54,880 DIRECTOR OCTOBER 1. 1100 00:37:54,880 --> 00:37:57,480 DR. RICHARD SUREMAN JOINED US AS 1101 00:37:57,480 --> 00:37:59,760 OF SUNDAY MORNING AS OUR VERY 1102 00:37:59,760 --> 00:38:02,720 FIRST NLM SCIENTIFIC DIRECTOR. 1103 00:38:02,720 --> 00:38:03,920 AND VALERIE FLORANCE, ACTING 1104 00:38:03,920 --> 00:38:04,720 SCIENTIFIC DIRECTOR FOR THE LAST 1105 00:38:04,720 --> 00:38:06,680 THREE YEARS, WILL BE STEPPING 1106 00:38:06,680 --> 00:38:09,600 INTO A NEW POSITION INNED 1107 00:38:09,600 --> 00:38:11,400 LEADERSHIP. 1108 00:38:11,400 --> 00:38:12,440 WE HAVE EXCITING OPPORTUNITIES 1109 00:38:12,440 --> 00:38:14,640 FOR DEPUTY DIRECTOR OF 1110 00:38:14,640 --> 00:38:15,680 OPERATIONS AND INNOVATION, MIKE 1111 00:38:15,680 --> 00:38:17,360 IS SEARCHING IN THIS POSITION, 1112 00:38:17,360 --> 00:38:19,000 ACTING ROLE RIGHT NOW. 1113 00:38:19,000 --> 00:38:20,720 SOLICITATION FOR THESE POSITION 1114 00:38:20,720 --> 00:38:23,920 APPLICATIONS IS OPEN AT PRESENT. 1115 00:38:23,920 --> 00:38:26,080 WE HAVE PLANS TO CREATE OR, 1116 00:38:26,080 --> 00:38:27,880 SORRY, REFILL THE POSITION OF 1117 00:38:27,880 --> 00:38:29,200 DEPUTY DIRECTOR FOR POLICY AND 1118 00:38:29,200 --> 00:38:30,600 EXTERNAL AFFAIRS WHICH WAS HELD 1119 00:38:30,600 --> 00:38:32,040 BY JERRY SHEEHAN UNTIL HE LEFT 1120 00:38:32,040 --> 00:38:33,120 FOR FRANCE. 1121 00:38:33,120 --> 00:38:35,120 WE HAVE ENGAGED A DETAIL, WE 1122 00:38:35,120 --> 00:38:36,320 HOPE TO MAKE THAT ANNOUNCEMENT 1123 00:38:36,320 --> 00:38:39,440 VERY SOON. 1124 00:38:39,440 --> 00:38:42,840 WE'LL BE MAKING, INITIATING 1125 00:38:42,840 --> 00:38:45,800 SEARCH FOR DEPUTY DIRECTOR FOR 1126 00:38:45,800 --> 00:38:46,680 EXTRAMURAL RESEARCH, BY THE END 1127 00:38:46,680 --> 00:38:47,880 OF THIS MONTH. 1128 00:38:47,880 --> 00:38:50,120 I'M LOOKING AT TODD TO SEE HOW 1129 00:38:50,120 --> 00:38:51,640 WE'RE DOING, COMING UP FAIRLY 1130 00:38:51,640 --> 00:38:52,320 SOON. 1131 00:38:52,320 --> 00:38:55,640 WE HAVE TWO POSITIONS ACTIVELY 1132 00:38:55,640 --> 00:38:58,720 SEARCHING FOR, TO ME REALLY A 1133 00:38:58,720 --> 00:39:00,600 PART WHERE NLM MUST SUCCEED, 1134 00:39:00,600 --> 00:39:02,120 THAT'S THE USE OF CLINICAL DATA 1135 00:39:02,120 --> 00:39:02,880 FOR RESEARCH. 1136 00:39:02,880 --> 00:39:04,920 WE HAVE A POSITION OPEN FOR OUR 1137 00:39:04,920 --> 00:39:06,520 DIRECTOR OF THE LISTER HILL 1138 00:39:06,520 --> 00:39:08,520 CENTER AND DEPUTY DIRECTOR FOR 1139 00:39:08,520 --> 00:39:10,560 LISTER HILL CENTER, THESE TWO 1140 00:39:10,560 --> 00:39:12,560 POSITIONS HAVE BEEN FILLED, 1141 00:39:12,560 --> 00:39:14,280 OLIVIA AND JIM, FOR THE LAST 1142 00:39:14,280 --> 00:39:16,880 FIVE YEARS BUT TRANSITION TIME 1143 00:39:16,880 --> 00:39:20,720 IS HERE AND WE HAVE CREATED A 1144 00:39:20,720 --> 00:39:22,200 CENTER FOR OBSERVATIONAL 1145 00:39:22,200 --> 00:39:24,120 INVESTIGATIONS, WE'RE INCREASING 1146 00:39:24,120 --> 00:39:27,760 OUR CAREFUL HANDLING OF HUMAN 1147 00:39:27,760 --> 00:39:31,680 DATA, CLINICAL DATA FOR 1148 00:39:31,680 --> 00:39:33,680 RESEARCH, LISTER HILL IS BEING 1149 00:39:33,680 --> 00:39:37,640 POSITIONED AS A RESEARCH ARM. 1150 00:39:37,640 --> 00:39:39,280 DR. SUREMAN JOINED US YESTERDAY, 1151 00:39:39,280 --> 00:39:40,880 YOU'RE AWARE OF HIM BECAUSE OF 1152 00:39:40,880 --> 00:39:44,160 HISTORY AND REPUTATION, RECENTLY 1153 00:39:44,160 --> 00:39:49,720 DIRECTOR OF THE CRAIG VENTER 1154 00:39:49,720 --> 00:39:52,400 INSTITUTE IN LA JOLLA, 1155 00:39:52,400 --> 00:39:54,600 CONTRIBUTIONS IN MOLECULAR 1156 00:39:54,600 --> 00:39:56,640 STUDIES, PARTICULAR INTEREST IN 1157 00:39:56,640 --> 00:39:59,840 KNOWLEDGE GAPS, LINKING DATA 1158 00:39:59,840 --> 00:40:00,680 INTO INTERPRETABLE UNIT IS 1159 00:40:00,680 --> 00:40:02,040 CRITICAL FOR OUR PROGRAM. 1160 00:40:02,040 --> 00:40:04,680 HE'S ALREADY STARTED TO BUILD 1161 00:40:04,680 --> 00:40:05,720 BRIDGES WITH OUR NCBI 1162 00:40:05,720 --> 00:40:06,680 PARTICULARLY TO UNDERSTAND HOW 1163 00:40:06,680 --> 00:40:09,560 TO BRING TOGETHER THE KNOWLEDGE 1164 00:40:09,560 --> 00:40:12,400 OF RESEARCHERS WITH RESEARCH 1165 00:40:12,400 --> 00:40:13,320 SUPPORT OPERATIONS. 1166 00:40:13,320 --> 00:40:14,560 I'M EXCITED WITH RICHARD JOIN US 1167 00:40:14,560 --> 00:40:17,720 IN PART BECAUSE HIS VISION WILL 1168 00:40:17,720 --> 00:40:18,760 BRING OUR INVESTIGATORS DEEPER 1169 00:40:18,760 --> 00:40:20,360 INTO THEIR OTHER THAN SCIENCE, 1170 00:40:20,360 --> 00:40:21,360 BUT TOGETHER INTO ADVANCING THE 1171 00:40:21,360 --> 00:40:22,400 SCIENCE OF THE NATIONAL LIBRARY 1172 00:40:22,400 --> 00:40:23,400 OF MEDICINE. 1173 00:40:23,400 --> 00:40:24,040 SO WELCOME, RICHARD. 1174 00:40:24,040 --> 00:40:26,200 HE WILL BE WITH US FOR DINNER 1175 00:40:26,200 --> 00:40:27,800 THIS EVENING, PLEASE TAKE TIME 1176 00:40:27,800 --> 00:40:29,120 TO MEET HIM A LITTLE BIT. 1177 00:40:29,120 --> 00:40:31,040 STEVE, I'LL ASK YOU TO COME UP 1178 00:40:31,040 --> 00:40:32,480 WHILE I INTRODUCE YOU. 1179 00:40:32,480 --> 00:40:34,440 STEVE SHERRY HAS BEEN HERE FOR 1180 00:40:34,440 --> 00:40:36,080 25 YEARS AT THE NATIONAL LIBRARY 1181 00:40:36,080 --> 00:40:37,880 OF MEDICINE, MAJOR LEADERSHIP 1182 00:40:37,880 --> 00:40:40,360 ROLES, CREATING AND ENSURING 1183 00:40:40,360 --> 00:40:43,760 MANY OF OUR MOLECULAR SERVICES. 1184 00:40:43,760 --> 00:40:47,040 HE HAS REORIENTED, REPOSITIONED 1185 00:40:47,040 --> 00:40:51,040 THE AMAZING NCBI AROUND THREE 1186 00:40:51,040 --> 00:40:55,560 THEMES, RESILIENCE, 1187 00:40:55,560 --> 00:40:56,120 REPRESENTATION, RELIABILITY, 1188 00:40:56,120 --> 00:40:57,120 BEGAN AS ANTHROPOLOGIST, 1189 00:40:57,120 --> 00:40:58,120 TREMENDOUS SERVICE IN 9/11 1190 00:40:58,120 --> 00:40:59,200 PERIOD WITH IDENTIFICATION OF 1191 00:40:59,200 --> 00:41:00,200 SOME VICTIMS. 1192 00:41:00,200 --> 00:41:01,720 STEVE IS WELL KNOWN AS A 1193 00:41:01,720 --> 00:41:03,000 SCIENTIST AND LEADER AND NOW 1194 00:41:03,000 --> 00:41:06,440 WILL BECOME OUR INTERIM DIRECTOR 1195 00:41:06,440 --> 00:41:09,560 AS OF OCTOBER 1, I'LL GIVE HIM A 1196 00:41:09,560 --> 00:41:09,800 MINUTE. 1197 00:41:09,800 --> 00:41:11,440 >>THANK YOU, PATTI. 1198 00:41:11,440 --> 00:41:12,800 GOOD MORNING, EVERYONE. 1199 00:41:12,800 --> 00:41:15,360 FIRST I WANT TO SAY GRATITUDE I 1200 00:41:15,360 --> 00:41:16,800 HAVE FOR PATTI BRENNAN AND 1201 00:41:16,800 --> 00:41:18,040 LEADERSHIP IN THE LAST SEVEN 1202 00:41:18,040 --> 00:41:18,440 YEARS. 1203 00:41:18,440 --> 00:41:23,000 THESE ARE BIG SHOES TO FILL, AS 1204 00:41:23,000 --> 00:41:24,440 ACTING DIRECTOR. 1205 00:41:24,440 --> 00:41:25,760 THE PRINCIPLES I'M TRYING TO 1206 00:41:25,760 --> 00:41:27,760 PULL TOGETHER TO STEWARD THINGS 1207 00:41:27,760 --> 00:41:28,400 SHE'S BUILT. 1208 00:41:28,400 --> 00:41:29,360 THERE'S FOUR I WANT TO SHARE 1209 00:41:29,360 --> 00:41:31,600 WITH THE BOARD NOW. 1210 00:41:31,600 --> 00:41:34,520 THE FIRST IS CULTIVATING THIS 1211 00:41:34,520 --> 00:41:35,400 ORGANIZATION, CULTURE, SHE 1212 00:41:35,400 --> 00:41:36,320 MENTIONED ONE NLM. 1213 00:41:36,320 --> 00:41:39,120 AND THAT'S SOMETHING THAT WE CAN 1214 00:41:39,120 --> 00:41:40,600 CONTINUE TO CULTIVATE AND 1215 00:41:40,600 --> 00:41:42,600 REINFORCE OVER THE NEXT COMING 1216 00:41:42,600 --> 00:41:45,240 YEAR AS OUR DIVISIONS LEARN HOW 1217 00:41:45,240 --> 00:41:48,200 TO WORK SYNERGISTICALLY ON NEW 1218 00:41:48,200 --> 00:41:48,680 OPPORTUNITIES. 1219 00:41:48,680 --> 00:41:50,480 THE WHOLE EMERGING ROLE OF 1220 00:41:50,480 --> 00:41:51,680 CLINICAL DATA IN RESEARCH I 1221 00:41:51,680 --> 00:41:54,960 THINK WILL HAVE AN INTERPLAY 1222 00:41:54,960 --> 00:41:56,520 WITH NATURAL SCIENCE DATA, SO 1223 00:41:56,520 --> 00:42:00,120 THERE'S A LOT OF ARCHITECTURAL 1224 00:42:00,120 --> 00:42:01,440 COMPUTATIONAL AND, YOU KNOW, 1225 00:42:01,440 --> 00:42:02,520 JUST DISCOVERY OPPORTUNITIES 1226 00:42:02,520 --> 00:42:03,160 THERE. 1227 00:42:03,160 --> 00:42:05,080 LOOKING FORWARD TO WORKING WITH 1228 00:42:05,080 --> 00:42:05,920 RICHARD ON THAT. 1229 00:42:05,920 --> 00:42:09,080 PART TOO IS PURSUING STRUCTURES 1230 00:42:09,080 --> 00:42:09,800 FOR EQUITY, INCLUSION, 1231 00:42:09,800 --> 00:42:10,440 EXCELLENCE. 1232 00:42:10,440 --> 00:42:11,560 I THINK THE LIBRARY HAS DONE A 1233 00:42:11,560 --> 00:42:13,960 LOT OF WORK IN THIS AREA, YOU'LL 1234 00:42:13,960 --> 00:42:17,080 HEAR MORE THROUGHOUT THE YEAR 1235 00:42:17,080 --> 00:42:19,000 AND FOLLOWING MEETINGS AROUND 1236 00:42:19,000 --> 00:42:19,760 REAP GOALS, FEEDBACK ANALYSIS, 1237 00:42:19,760 --> 00:42:22,080 AND THIS IS JUST A TREMENDOUS 1238 00:42:22,080 --> 00:42:24,120 OPPORTUNITY TO BRING DIVERSITY 1239 00:42:24,120 --> 00:42:25,240 FORWARD. 1240 00:42:25,240 --> 00:42:26,560 SECOND PRINCIPLE, BUDGET 1241 00:42:26,560 --> 00:42:27,000 CONSCIOUS EXECUTION. 1242 00:42:27,000 --> 00:42:28,440 I THINK WE'RE IN INTERESTING 1243 00:42:28,440 --> 00:42:30,360 TIMES WITH OUR BUDGET. 1244 00:42:30,360 --> 00:42:32,520 I'M HERE TO REASSURE WE'RE GOING 1245 00:42:32,520 --> 00:42:34,480 TO EXECUTE WITH KEEN AWARENESS 1246 00:42:34,480 --> 00:42:36,120 FOR BUDGET REALITIES AND ENSURE 1247 00:42:36,120 --> 00:42:38,520 RESPONSIBLE MANAGEMENT OF OUR 1248 00:42:38,520 --> 00:42:39,080 OFFERINGS. 1249 00:42:39,080 --> 00:42:39,920 THIRDS, EMBRACE CONTINUOUS 1250 00:42:39,920 --> 00:42:40,680 INNOVATION. 1251 00:42:40,680 --> 00:42:42,120 THIS IS TO ENHANCE OPERATIONS 1252 00:42:42,120 --> 00:42:43,800 AND SERVICES, WE'LL HEAR MORE 1253 00:42:43,800 --> 00:42:46,360 ABOUT THAT LATER THIS AFTERNOON. 1254 00:42:46,360 --> 00:42:47,520 I WON'T STEAL ANYONE'S THUNDER 1255 00:42:47,520 --> 00:42:49,080 BUT THAT'S AN IMPORTANT 1256 00:42:49,080 --> 00:42:50,720 INITIATIVE FOR LEADERSHIP TEAM 1257 00:42:50,720 --> 00:42:51,040 TO CONTINUE. 1258 00:42:51,040 --> 00:42:52,040 FINALLY WHAT COVERS ALL OF THIS 1259 00:42:52,040 --> 00:42:56,440 IN THE STRATEGIC PLAN IS 1260 00:42:56,440 --> 00:42:56,880 PURSUING EXCELLENCE. 1261 00:42:56,880 --> 00:42:57,800 UNWAVERING COMMITMENT TO PURSUE 1262 00:42:57,800 --> 00:42:59,880 EXCELLENCE IN RESEARCH AND 1263 00:42:59,880 --> 00:43:00,800 PUBLIC SERVICES, UPHOLDING 1264 00:43:00,800 --> 00:43:01,720 HIGHEST STANDARDS IN EVERYTHING 1265 00:43:01,720 --> 00:43:02,040 WE DO. 1266 00:43:02,040 --> 00:43:04,080 I THINK NLM HAS BEEN A LEADER 1267 00:43:04,080 --> 00:43:06,040 AROUND DATA QUALITY AND TRUST WE 1268 00:43:06,040 --> 00:43:07,840 HAVE IN OUR SERVICES IS 1269 00:43:07,840 --> 00:43:08,960 PARAMOUNT TO EVERYTHING ELSE. 1270 00:43:08,960 --> 00:43:10,480 THOSE ARE THE PRINCIPLES I'M 1271 00:43:10,480 --> 00:43:12,600 GOING FORWARD WITH. 1272 00:43:12,600 --> 00:43:15,320 THANK YOU AGAIN, PATTI. 1273 00:43:15,320 --> 00:43:16,800 >>THANK YOU. 1274 00:43:16,800 --> 00:43:19,360 I CAN REST IN PEACE. 1275 00:43:19,360 --> 00:43:22,720 [LAUGHTER] 1276 00:43:22,720 --> 00:43:24,520 YOU MAY KNOW I'M MOVING ACROSS 1277 00:43:24,520 --> 00:43:26,560 THE BAY TO EASTERN MARYLAND, TO 1278 00:43:26,560 --> 00:43:28,520 A HOME I'VE RENOVATED THERE. 1279 00:43:28,520 --> 00:43:29,640 THERE'S NO INTERNET OVER THERE. 1280 00:43:29,640 --> 00:43:33,000 I JUST WANT TO LET YOU KNOW. 1281 00:43:33,000 --> 00:43:33,280 [LAUGHTER] 1282 00:43:33,280 --> 00:43:34,840 I ALSO WANT TO TAKE A MOMENT TO 1283 00:43:34,840 --> 00:43:36,160 PAUSE AND INVITE THOSE IN THE 1284 00:43:36,160 --> 00:43:39,560 ROOM AND THOSE LISTENING TO OUR 1285 00:43:39,560 --> 00:43:41,080 HOMECOMING CELEBRATION ON THE 1286 00:43:41,080 --> 00:43:42,960 19th OF SEPTEMBER FROM 12 TO 1287 00:43:42,960 --> 00:43:47,000 2, WE'RE GOING TO -- 12:30 TO 1288 00:43:47,000 --> 00:43:48,480 2:30, EXCUSE ME, CELEBRATING 1289 00:43:48,480 --> 00:43:52,640 WITH A PIZZA LUNCH AND ANOTHER 1290 00:43:52,640 --> 00:43:55,000 CHANCE TO SAY FAREWELL AND TURN 1291 00:43:55,000 --> 00:43:56,800 THE KEYS TO STEVE. 1292 00:43:56,800 --> 00:44:02,240 SINCE WE SAW YOU LAST WE'RE 1293 00:44:02,240 --> 00:44:03,200 FOCUSING ON ADMINISTRATIVE 1294 00:44:03,200 --> 00:44:04,000 RESILIENCE, TRANSITION REQUIRES 1295 00:44:04,000 --> 00:44:05,920 US TO THINK HARD ABOUT PUTTING 1296 00:44:05,920 --> 00:44:07,080 THE RIGHT ADMINISTRATIVE 1297 00:44:07,080 --> 00:44:08,360 STRUCTURE IN PLACE, INCLUDING 1298 00:44:08,360 --> 00:44:10,080 BRINGING OUR STAFF INTO 1299 00:44:10,080 --> 00:44:12,440 CONVERSATION, BETTER AND MORE 1300 00:44:12,440 --> 00:44:13,640 SPECIFIC WAYS. 1301 00:44:13,640 --> 00:44:14,760 FEVS, THE VIEWPOINT SURVEY, TOLD 1302 00:44:14,760 --> 00:44:17,120 US OUR STAFF AREN'T FEELING AS 1303 00:44:17,120 --> 00:44:18,440 ENGAGED AS THEY WOULD LIKE TO 1304 00:44:18,440 --> 00:44:21,200 FEEL SO WE DID BRAINSTORMING IN 1305 00:44:21,200 --> 00:44:22,480 THE SPRING AND CREATED THE 1306 00:44:22,480 --> 00:44:23,800 SUMMER SPRINT. 1307 00:44:23,800 --> 00:44:27,200 WE HAVE CREATED THREE GROUPS OF 1308 00:44:27,200 --> 00:44:29,280 STAFF AND LEADERSHIP TEAM 1309 00:44:29,280 --> 00:44:35,080 WORKING TOGETHER, ONE ADDRESSING 1310 00:44:35,080 --> 00:44:41,120 PARTICIPATORY DECISION DECISION 1311 00:44:41,120 --> 00:44:42,720 MAKING, COMMUNICATION AND CAREER 1312 00:44:42,720 --> 00:44:43,040 DEVELOPMENT. 1313 00:44:43,040 --> 00:44:44,280 STAFF ARE HUNGRY FOR A MODEL. 1314 00:44:44,280 --> 00:44:45,800 THEY DON'T WANT TO BE IN EVERY 1315 00:44:45,800 --> 00:44:47,760 DECISION BUT WANT TO BE 1316 00:44:47,760 --> 00:44:49,560 MEANINGFULLY ENGAGED IN THE 1317 00:44:49,560 --> 00:44:49,960 RIGHT DECISIONS. 1318 00:44:49,960 --> 00:44:50,840 CAREER DEVELOPMENT HAS TO BE 1319 00:44:50,840 --> 00:44:53,600 MORE THAN KNOWING I GOT A PMAP 1320 00:44:53,600 --> 00:44:54,960 AND SCORED FIVE, I HAVE A VISION 1321 00:44:54,960 --> 00:44:58,600 FOR FIVE YEARS, MY SUPERVISOR 1322 00:44:58,600 --> 00:44:58,920 CARES. 1323 00:44:58,920 --> 00:44:59,800 WE'RE WORKING TOWARDS THAT. 1324 00:44:59,800 --> 00:45:03,320 THE WITH THE SUPPORT OF A SERIES 1325 00:45:03,320 --> 00:45:06,000 OF CONSULTANTS WE'VE LAUNCHED 1326 00:45:06,000 --> 00:45:06,840 LEADERSHIP INITIATIVE, CREATING 1327 00:45:06,840 --> 00:45:09,640 A CULTURE OF CONTINUOUS 1328 00:45:09,640 --> 00:45:09,920 INNOVATION. 1329 00:45:09,920 --> 00:45:11,200 DANA WILL SPEAK THIS AFTERNOON 1330 00:45:11,200 --> 00:45:14,120 TO TELL YOU MORE ABOUT THAT. 1331 00:45:14,120 --> 00:45:15,520 THIS IS EXCITING, MOVING FROM 1332 00:45:15,520 --> 00:45:17,600 PROJECT BY PROJECT BASE TO LOOK 1333 00:45:17,600 --> 00:45:19,000 AT WHAT DOES INNOVATION TAKE AND 1334 00:45:19,000 --> 00:45:20,960 HOW DO WE MANAGE FOR INNOVATION. 1335 00:45:20,960 --> 00:45:23,040 I SPOKE ABOUT THE LISTER HILL 1336 00:45:23,040 --> 00:45:25,440 LEADERSHIP TRANSITION TO 1337 00:45:25,440 --> 00:45:26,040 REORGANIZE AND REENVISION ONE 1338 00:45:26,040 --> 00:45:27,520 BRANCH, THEY HAVE SEVERAL BUT 1339 00:45:27,520 --> 00:45:29,120 THE ONE BRANCH OF APPLIED 1340 00:45:29,120 --> 00:45:31,080 INFORMATICS WILL BE OUR R&D 1341 00:45:31,080 --> 00:45:32,480 SITE, AND WE'RE LOOKING FORWARD 1342 00:45:32,480 --> 00:45:35,240 TO THIS SITE FOR CLINICAL DATA, 1343 00:45:35,240 --> 00:45:37,560 FOR CLINICAL DATA STANDARDS, FOR 1344 00:45:37,560 --> 00:45:39,560 TRANSLATING RESEARCH INTO 1345 00:45:39,560 --> 00:45:39,840 PRACTICE. 1346 00:45:39,840 --> 00:45:41,880 WE'RE ENHANCING EVALUATION OF 1347 00:45:41,880 --> 00:45:42,880 EVIDENCE-BASED DECISION MAKING, 1348 00:45:42,880 --> 00:45:44,480 LISA FEDERER WILL TALK ABOUT 1349 00:45:44,480 --> 00:45:46,920 THIS AS WE GO MORE INTO OUR 1350 00:45:46,920 --> 00:45:48,040 STRATEGIC DIRECTIONS 1351 00:45:48,040 --> 00:45:49,200 CONVERSATION, BUT ESSENTIALLY 1352 00:45:49,200 --> 00:45:50,080 UNDER THE FEDERAL GOVERNMENT'S 1353 00:45:50,080 --> 00:45:51,120 DIRECTION WE'RE TRYING TO MAKE 1354 00:45:51,120 --> 00:45:52,720 SURE OUR DECISIONS ARE NOT JUST 1355 00:45:52,720 --> 00:45:54,560 MADE WITH GOOD INTENT BUT WITH 1356 00:45:54,560 --> 00:45:55,160 GOOD DATA. 1357 00:45:55,160 --> 00:45:58,120 THE RACIAL AND ETHNIC PLAN IS 1358 00:45:58,120 --> 00:45:58,720 PROCEEDING. 1359 00:45:58,720 --> 00:46:00,480 WE HAVE THREE WORKING GROUPS, 1360 00:46:00,480 --> 00:46:01,880 TODD AND MIKE ARE DIRECTING 1361 00:46:01,880 --> 00:46:03,680 THOSE, AND WE HAVE BEEN 1362 00:46:03,680 --> 00:46:04,480 PRESENTING AND COORDINATING 1363 00:46:04,480 --> 00:46:06,160 PLANS WITH THE NIH SO THAT WORK 1364 00:46:06,160 --> 00:46:07,720 IS GOING QUITE WELL. 1365 00:46:07,720 --> 00:46:09,960 WE'RE TRYING TO IMPROVE AND 1366 00:46:09,960 --> 00:46:11,040 SUSTAIN OUR PUBLIC-FACING 1367 00:46:11,040 --> 00:46:11,720 RESOURCES. 1368 00:46:11,720 --> 00:46:13,280 THERE'S SO MUCH THAT GOES IN THE 1369 00:46:13,280 --> 00:46:14,120 BACKGROUND NOBODY SEES. 1370 00:46:14,120 --> 00:46:16,200 WHAT YOU DO SEE ARE RESOURCES 1371 00:46:16,200 --> 00:46:18,120 THAT ARE CRITICAL TO THE PUBLIC, 1372 00:46:18,120 --> 00:46:20,240 FROM THIS BOARD OF REGENTS YOU 1373 00:46:20,240 --> 00:46:21,200 HAVE SUPPORTED US THROUGH A 1374 00:46:21,200 --> 00:46:23,520 WORKING GROUP THAT'S HELPED WITH 1375 00:46:23,520 --> 00:46:24,920 MODERNIZATION AND CLINICAL 1376 00:46:24,920 --> 00:46:26,560 TRIALS WORKING GROUP RELEASED A 1377 00:46:26,560 --> 00:46:28,240 BETA SITE BUT WHAT'S BEHIND THAT 1378 00:46:28,240 --> 00:46:32,680 IS NEW WAYS OF INTEGRATING DATA. 1379 00:46:32,680 --> 00:46:36,760 ACCESS GOOD ID TO PUT LABELS ON 1380 00:46:36,760 --> 00:46:38,520 OUR NUMERICAL CODES ON EVERY 1381 00:46:38,520 --> 00:46:40,240 DEVICE NOW USING A SPECIAL 1382 00:46:40,240 --> 00:46:41,640 CODING TERMINOLOGY SO THIS IS 1383 00:46:41,640 --> 00:46:41,920 IMPORTANT. 1384 00:46:41,920 --> 00:46:44,000 THIS IS A SERVICE WE PROVIDE IN 1385 00:46:44,000 --> 00:46:47,560 COLLABORATION WITH THE FDA. 1386 00:46:47,560 --> 00:46:48,800 OUR COMPARATIVE GENOMICS 1387 00:46:48,800 --> 00:46:49,360 RESOURCE WHICH IS OUR 1388 00:46:49,360 --> 00:46:50,720 PUBLIC/PRIVATE PARTNERSHIP THAT 1389 00:46:50,720 --> 00:46:52,360 IS HELPING SCIENTISTS WORK WITH 1390 00:46:52,360 --> 00:46:55,400 US, WORKING BETTER WITH THEM, 1391 00:46:55,400 --> 00:46:57,400 HAS RELEASED NEW RESOURCES 1392 00:46:57,400 --> 00:47:00,560 INCLUDING NEW VIEWER, NEW 1393 00:47:00,560 --> 00:47:02,480 ALIGNMENTS, MOST IMPORTANTLY NEW 1394 00:47:02,480 --> 00:47:03,880 DATASETS THAT PEOPLE CAN ACCESS. 1395 00:47:03,880 --> 00:47:05,560 WITHIN THE LIBRARY OPERATIONS 1396 00:47:05,560 --> 00:47:06,440 WE'VE MOVED MANY IMPORTANT 1397 00:47:06,440 --> 00:47:07,760 RESOURCES TO THE CLOUD. 1398 00:47:07,760 --> 00:47:11,440 THIS ALLOWS US TO WITH GREATER 1399 00:47:11,440 --> 00:47:12,040 RELIABILITY AND SUSTAINABILITY, 1400 00:47:12,040 --> 00:47:14,280 MEDLINEPLUS CONNECT IS A SERVICE 1401 00:47:14,280 --> 00:47:17,000 THAT ELECTRONIC HEALTH RECORDS 1402 00:47:17,000 --> 00:47:18,720 CAN REACH INFORMATION DIRECTLY. 1403 00:47:18,720 --> 00:47:20,720 DOCLINE IS INTERLIBRARY LOAN. 1404 00:47:20,720 --> 00:47:22,680 DIGITAL COLLECTIONS WE'RE 1405 00:47:22,680 --> 00:47:23,680 ALIGNING TO ENSURE PRESERVATION 1406 00:47:23,680 --> 00:47:26,640 FOR THE FUTURE. 1407 00:47:26,640 --> 00:47:27,760 MEDLINE PLUS, PUBLIC ACCESS 1408 00:47:27,760 --> 00:47:29,520 INFORMATION IS 25 YEARS OLD. 1409 00:47:29,520 --> 00:47:31,560 NOW AVAILABLE IN ENGLISH AND 1410 00:47:31,560 --> 00:47:32,440 SPANISH, MOST RECENTLY I'VE 1411 00:47:32,440 --> 00:47:34,920 LEARNED THAT THE SPANISH 1412 00:47:34,920 --> 00:47:37,800 LANGUAGE MEDLINE PLUS IS USED 1413 00:47:37,800 --> 00:47:39,600 MORE OFTEN, HIT MORE OFTEN THAN 1414 00:47:39,600 --> 00:47:41,520 ENGLISH, PROVIDING A SERVICE TO 1415 00:47:41,520 --> 00:47:43,640 PEOPLE WHO CANNOT SPEAK OUR 1416 00:47:43,640 --> 00:47:45,920 MAJORITY LANGUAGE. 1417 00:47:45,920 --> 00:47:47,840 CIRCULATING NOW IS TEN YEARS 1418 00:47:47,840 --> 00:47:49,680 OLD, RIGHT THERE'S A MEETING 1419 00:47:49,680 --> 00:47:52,440 GOING ON AT NATCHER WHERE SOME 1420 00:47:52,440 --> 00:47:53,880 OF THE DESCENDANTS OF THE 1421 00:47:53,880 --> 00:47:56,520 PATIENTS WHO PARTICIPATED IN THE 1422 00:47:56,520 --> 00:47:58,320 TUSKEGEE TRIAL ARE LOOKING AT 1423 00:47:58,320 --> 00:47:59,240 OUR MATERIALS. 1424 00:47:59,240 --> 00:48:03,120 THERE WAS A BLOG POST 1425 00:48:03,120 --> 00:48:04,720 CIRCULATING DESCRIBING THE 1426 00:48:04,720 --> 00:48:06,320 TUSKEGEE PAPERS, IMPORTANT TO 1427 00:48:06,320 --> 00:48:07,600 GET RESOLUTION AND PERHAPS 1428 00:48:07,600 --> 00:48:09,520 RECONCILIATION FOR PEOPLE WHO 1429 00:48:09,520 --> 00:48:11,120 MAY HAVE EXPERIENCED THE LESS 1430 00:48:11,120 --> 00:48:17,760 GOOD RESEARCH STRATEGIES THAT WE 1431 00:48:17,760 --> 00:48:20,400 HOPED WOULD BE PRESENTED. 1432 00:48:20,400 --> 00:48:21,640 I'VE MADE PROGRESS, LISTER HILL 1433 00:48:21,640 --> 00:48:23,000 IS IN THE FOREFRONT. 1434 00:48:23,000 --> 00:48:26,360 THIS IS ALL FEDERAL JARGON. 1435 00:48:26,360 --> 00:48:30,720 BASICALLY WHAT THIS MEANS IS 1436 00:48:30,720 --> 00:48:33,320 WE'RE KEEPING CLINICAL DATA 1437 00:48:33,320 --> 00:48:34,800 SAFE. 1438 00:48:34,800 --> 00:48:35,640 WE HAVE TWO INVESTIGATORS 1439 00:48:35,640 --> 00:48:38,120 JOINING US AT THE END OF THE 1440 00:48:38,120 --> 00:48:41,680 MONTH, DR. LUNA WITH A FOCUS ON 1441 00:48:41,680 --> 00:48:47,080 HOW NETWORK BIOLOGY CAN LEAD TO 1442 00:48:47,080 --> 00:48:48,400 CLINICAL INTERVENTIONS, JOINING 1443 00:48:48,400 --> 00:48:53,720 JEREMY WEISS AND MICHAEL CHIANG. 1444 00:48:53,720 --> 00:48:55,600 AND RELEASING A NEW 1445 00:48:55,600 --> 00:48:56,240 SOLICITATION, YOU HEARD ABOUT 1446 00:48:56,240 --> 00:48:58,080 THIS AT THE LAST MEETING, A WAY 1447 00:48:58,080 --> 00:48:59,680 OF MAKING SURE VALUE AND 1448 00:48:59,680 --> 00:49:02,680 BENEFITS OF INFORMATICS GET INTO 1449 00:49:02,680 --> 00:49:03,920 HANDS OF EVERYDAY PEOPLE. 1450 00:49:03,920 --> 00:49:05,760 THE BUDGET, I WISH I HAD BETTER 1451 00:49:05,760 --> 00:49:07,320 NEWS ON THE BUDGET, BUT I JUST 1452 00:49:07,320 --> 00:49:08,880 WANT YOU TO BEAR WITH US. 1453 00:49:08,880 --> 00:49:11,600 WE'RE GOING INTO A PERIOD OF 1454 00:49:11,600 --> 00:49:12,080 SIGNIFICANT CHALLENGE. 1455 00:49:12,080 --> 00:49:13,480 IF YOU LOOK AT THAT LOVELY 1456 00:49:13,480 --> 00:49:18,160 CURVE, I'D LIKE TO CLAIM FROM 1457 00:49:18,160 --> 00:49:20,880 2016 TO 2024 THAT ENORMOUS 1458 00:49:20,880 --> 00:49:21,800 ALMOST $100 MILLION RAISE IS DUE 1459 00:49:21,800 --> 00:49:23,040 TO ME. 1460 00:49:23,040 --> 00:49:24,600 IT'S NOT BUT BUT IT'S BECAUSE 1461 00:49:24,600 --> 00:49:25,440 WE'VE DONE GOOD WORK AND 1462 00:49:25,440 --> 00:49:27,040 CONTINUE TO DO GOOD WORK. 1463 00:49:27,040 --> 00:49:30,800 FISCAL 24 WE THINK WE'RE FACING 1464 00:49:30,800 --> 00:49:31,960 SIGNIFICANT BUDGET CHALLENGES AT 1465 00:49:31,960 --> 00:49:34,680 VERY BEST WE'LL BE FLAT TO OUR 1466 00:49:34,680 --> 00:49:35,880 23 APPROPRIATION WHICH MEANS 1467 00:49:35,880 --> 00:49:38,040 BEHIND BECAUSE THE PRESIDENT IS 1468 00:49:38,040 --> 00:49:39,600 ALSO ADVOCATING FOR A 5% RAISE 1469 00:49:39,600 --> 00:49:42,000 FOR OUR FEDERAL STAFF. 1470 00:49:42,000 --> 00:49:45,000 WE MAY -- WE'RE ANTICIPATING A 1471 00:49:45,000 --> 00:49:47,040 CONTINUING RESOLUTION, MAY BE 1472 00:49:47,040 --> 00:49:47,960 ANCHORED AT SLIGHTLY LOWER 1473 00:49:47,960 --> 00:49:48,240 NUMBER. 1474 00:49:48,240 --> 00:49:49,160 THAT'S THE BAD NEWS. 1475 00:49:49,160 --> 00:49:52,480 THE GOOD NEWS IS THAT OUR 1476 00:49:52,480 --> 00:49:54,440 LEADERSHIP TEAM IS MEETING 1477 00:49:54,440 --> 00:49:56,360 ALMOST EVERY OTHER WEAK 1478 00:49:56,360 --> 00:49:57,000 DEVELOPING SCENARIOS AND 1479 00:49:57,000 --> 00:49:59,600 SIMULATIONS, HOW WE'LL HANDLE 1480 00:49:59,600 --> 00:49:59,800 THIS. 1481 00:49:59,800 --> 00:50:00,800 WE'RE POISED AND READY. 1482 00:50:00,800 --> 00:50:02,600 WE'RE NOT HAPPY BUT WE'RE POISE 1483 00:50:02,600 --> 00:50:05,480 AND READY. 1484 00:50:05,480 --> 00:50:08,920 DURING ON YOU RESEARCH FRONTIERS 1485 00:50:08,920 --> 00:50:10,480 MEETINGS TODAY HELD JOINTLY 1486 00:50:10,480 --> 00:50:12,680 WE'LL DISCUSS IN MORE DEPTH. 1487 00:50:12,680 --> 00:50:14,320 WE NEED GUIDANCE HOW TO ENSURE 1488 00:50:14,320 --> 00:50:15,160 DECISIONS WE'RE MAKING REFLECT 1489 00:50:15,160 --> 00:50:16,240 WHAT WE BELIEVE IS THE BEST BUT 1490 00:50:16,240 --> 00:50:20,320 ALSO WHAT IS THE BEST FOR THE 1491 00:50:20,320 --> 00:50:21,360 PUBLIC. 1492 00:50:21,360 --> 00:50:22,160 THE NUMBERS, THE PRESIDENT'S 1493 00:50:22,160 --> 00:50:24,400 MARK IS LOWER THAN WE WOULD 1494 00:50:24,400 --> 00:50:24,600 LIKE. 1495 00:50:24,600 --> 00:50:26,200 IT'S HIGHER BUT THE HOUSE AND 1496 00:50:26,200 --> 00:50:27,200 SENATE WHO REALLY CONTROL OUR 1497 00:50:27,200 --> 00:50:28,400 NUMBERS IS REALLY THE NUMBERS 1498 00:50:28,400 --> 00:50:30,160 THAT WE'RE LOOKING AT HERE. 1499 00:50:30,160 --> 00:50:32,440 WE'LL KEEP YOU POSTED ABOUT HOW 1500 00:50:32,440 --> 00:50:35,960 THINGS ARE GOING. 1501 00:50:35,960 --> 00:50:38,520 WITH RESPECT TO PERSONNEL, I'M 1502 00:50:38,520 --> 00:50:40,400 SORRY TO ANNOUNCE WHO 1503 00:50:40,400 --> 00:50:42,840 RETIREMENTS, THE CHIEF OF THE 1504 00:50:42,840 --> 00:50:47,320 BIBLIOGRAPHIC GRAPHIC SERVICES 1505 00:50:47,320 --> 00:50:48,760 RETIRED AND VALERIE FLORANCE 1506 00:50:48,760 --> 00:50:53,040 WILL BE RETIRING, SHE SERVED 1507 00:50:53,040 --> 00:50:54,440 SEVERAL ROLES, ACTING DIRECTOR 1508 00:50:54,440 --> 00:50:56,240 FOR EXTRAMURAL PROGRAMS. 1509 00:50:56,240 --> 00:50:59,840 WE'LL BE HAVING A FAREWELL 1510 00:50:59,840 --> 00:51:00,680 CELEBRATORY COFFEE NEXT 1511 00:51:00,680 --> 00:51:09,320 WEDNESDAY, SEPTEMBER 20, ON ZOOM 1512 00:51:09,320 --> 00:51:10,040 FOR VALARIE. 1513 00:51:10,040 --> 00:51:11,800 EACH YEAR WE HAVE FOUR TO FIVE 1514 00:51:11,800 --> 00:51:15,560 LIBRARIANS WHO JOIN US FOR ONE 1515 00:51:15,560 --> 00:51:16,800 YEAR INTENSIVE AND OCCASIONALLY 1516 00:51:16,800 --> 00:51:21,680 SECOND YEAR OF INTERNSHIP TO 1517 00:51:21,680 --> 00:51:22,720 LEARN CONTEMPORARY LIBRARY 1518 00:51:22,720 --> 00:51:23,720 OPERATIONS, FOCUSING ON DATA 1519 00:51:23,720 --> 00:51:24,680 SIGNS, PRESENTING INFORMATION 1520 00:51:24,680 --> 00:51:25,800 AND PRESERVING INFORMATION FOR 1521 00:51:25,800 --> 00:51:27,280 THE PUBLIC. 1522 00:51:27,280 --> 00:51:28,920 WELCOME TO OUR FELLOWS. 1523 00:51:28,920 --> 00:51:30,480 I'LL ASK RICHARD PALMER TO COME 1524 00:51:30,480 --> 00:51:32,680 TO THE PODIUM NOW TO TALK ABOUT 1525 00:51:32,680 --> 00:51:35,480 SBIR WHILE I FINISH WITH 1526 00:51:35,480 --> 00:51:36,160 ASSOCIATE FELLOWS, A WAY FOR THE 1527 00:51:36,160 --> 00:51:37,160 NATIONAL LIBRARY OF MEDICINE TO 1528 00:51:37,160 --> 00:51:39,800 MAKE SURE WE REACH INTO THE 1529 00:51:39,800 --> 00:51:42,320 COMMUNITY TO PROVIDE LIBRARY 1530 00:51:42,320 --> 00:51:43,800 TRAINING AND NATIONAL LIBRARY OF 1531 00:51:43,800 --> 00:51:48,200 MEDICINE INTRODUCTIONS TO OUR 1532 00:51:48,200 --> 00:51:48,680 LIBRARIANS. 1533 00:51:48,680 --> 00:51:51,320 RICHARD WILL INTRODUCE YOU TO A 1534 00:51:51,320 --> 00:51:52,000 PROGRAM WE'RE ENERGIZEING 1535 00:51:52,000 --> 00:51:53,880 >>GREAT TO SEE EVERYONE IN 1536 00:51:53,880 --> 00:51:55,120 PERSON, I'M ACTING DIRECTOR OF 1537 00:51:55,120 --> 00:51:56,440 DIVISION OF EXTRAMURAL PROGRAM. 1538 00:51:56,440 --> 00:52:05,000 LATER TODAY WE'LL HAVE A 1539 00:52:05,000 --> 00:52:06,360 PRESENTATION, DR. ANDREW 1540 00:52:06,360 --> 00:52:07,720 GOSTEIN, FINDINGS FROM SMALL 1541 00:52:07,720 --> 00:52:08,400 BUSINESS FUNDING. 1542 00:52:08,400 --> 00:52:11,360 IN PREPARATION IT CAME TO OUR 1543 00:52:11,360 --> 00:52:12,800 ATTENTION THAT WE'VE NEVER 1544 00:52:12,800 --> 00:52:14,440 SPOKEN ABOUT THE SMALL BUSINESS 1545 00:52:14,440 --> 00:52:16,000 INVESTMENT HERE AT NLM. 1546 00:52:16,000 --> 00:52:18,720 I WANTED TO GIVE A PRIMER SO 1547 00:52:18,720 --> 00:52:23,600 WE'RE PREPARED FOR THE 1548 00:52:23,600 --> 00:52:24,360 PRESENTATION LATER TODAY. 1549 00:52:24,360 --> 00:52:26,680 BASICALLY THE SMALL BUSINESS 1550 00:52:26,680 --> 00:52:28,960 PROGRAM IS SMALL BUSINESS 1551 00:52:28,960 --> 00:52:31,680 INVASION RESEARCH PROGRAM SBIR 1552 00:52:31,680 --> 00:52:33,560 AND SMALL BUSINESS TECHNOLOGY 1553 00:52:33,560 --> 00:52:34,960 TRANSFER PROGRAM STTR. 1554 00:52:34,960 --> 00:52:37,520 COLLECTIVELY THEY ARE KNOWN AT 1555 00:52:37,520 --> 00:52:39,400 SMALL BUSINESS PROGRAMS, 1556 00:52:39,400 --> 00:52:39,920 CONGRESSIONALLY MANDATED, 1557 00:52:39,920 --> 00:52:41,600 THERE'S A SET ASIDE WE HAVE TO 1558 00:52:41,600 --> 00:52:43,280 SPEND EVERY YEAR ON SMALL 1559 00:52:43,280 --> 00:52:44,080 BUSINESS. 1560 00:52:44,080 --> 00:52:45,040 THAT'S ACROSS NIH AND ACROSS THE 1561 00:52:45,040 --> 00:52:46,120 FEDERAL GOVERNMENT IN GENERAL, 1562 00:52:46,120 --> 00:52:52,280 ALL THE AGENCIES HAVE A SMALL 1563 00:52:52,280 --> 00:52:53,240 BUSINESS MANDATE. 1564 00:52:53,240 --> 00:52:55,280 GRANTS PROVIDE SUPPORT FOR SMALL 1565 00:52:55,280 --> 00:52:57,160 BUSINESSES TO EXPLORE AND REFINE 1566 00:52:57,160 --> 00:53:01,720 INNOVATIVE IDEAS, CONDUCT 1567 00:53:01,720 --> 00:53:05,080 RESEARCH, DEVELOP PROTOTYPES OR 1568 00:53:05,080 --> 00:53:06,040 SOFTWARE. 1569 00:53:06,040 --> 00:53:07,960 FOR OUR INSTITUTE USE BIOMEDICAL 1570 00:53:07,960 --> 00:53:09,680 TECHNIQUES, ENHANCE THE USE OF 1571 00:53:09,680 --> 00:53:09,880 DATA. 1572 00:53:09,880 --> 00:53:12,760 IN TERMS OF THE SBIR AND STTR, 1573 00:53:12,760 --> 00:53:16,800 THEY ARE PRETTY MUCH SIMILAR. 1574 00:53:16,800 --> 00:53:19,320 THE ONLY DIFFERENCE IS THAT 1575 00:53:19,320 --> 00:53:21,200 PARTNERSHIPS WITH A NON-PROFIT 1576 00:53:21,200 --> 00:53:22,760 RESEARCH AGENCY IS ALLOWED FOR 1577 00:53:22,760 --> 00:53:27,120 THE SBIR, BUT FOR THE STTR IT IS 1578 00:53:27,120 --> 00:53:27,880 REQUIRED. 1579 00:53:27,880 --> 00:53:30,080 SO OFTENTIMES SMALL BUSINESS 1580 00:53:30,080 --> 00:53:32,720 CONCERNS MUST PARTNER WITH 1581 00:53:32,720 --> 00:53:35,520 ACADEMIC NON-PROFIT ACADEMIC 1582 00:53:35,520 --> 00:53:36,880 INSTITUTION OR FEDERAL 1583 00:53:36,880 --> 00:53:37,520 LABORATORY. 1584 00:53:37,520 --> 00:53:40,240 IN TERMS OF FUNDING THERE'S TWO 1585 00:53:40,240 --> 00:53:42,560 APPROACHES AND A COUPLE 1586 00:53:42,560 --> 00:53:42,920 COMBINATIONS. 1587 00:53:42,920 --> 00:53:45,440 TRADITIONALLY, A SMALL BUSINESS 1588 00:53:45,440 --> 00:53:46,640 CONCERN WILL REQUEST SUPPORT FOR 1589 00:53:46,640 --> 00:53:48,720 PHASE 1. 1590 00:53:48,720 --> 00:53:51,960 THAT'S A SMALL ONE-YEAR STUDY TO 1591 00:53:51,960 --> 00:53:54,800 SEE ABOUT FEASIBILITY AND 1592 00:53:54,800 --> 00:53:55,040 DISCOVERY. 1593 00:53:55,040 --> 00:53:57,680 BASED ON PHASE 1 RESULTS SMALL 1594 00:53:57,680 --> 00:53:59,520 BUSINESS CONCERN WILL THEN 1595 00:53:59,520 --> 00:54:01,120 SUBMIT APPLICATION FOR PHASE 2 1596 00:54:01,120 --> 00:54:02,720 WHICH IS FURTHER DEVELOPMENT AND 1597 00:54:02,720 --> 00:54:07,160 MORE OF THE R&D TO GET THE 1598 00:54:07,160 --> 00:54:07,720 PRODUCT READY FOR 1599 00:54:07,720 --> 00:54:08,280 COMMERCIALIZATION, BECAUSE 1600 00:54:08,280 --> 00:54:09,400 BEHIND THE SMALL BUSINESS 1601 00:54:09,400 --> 00:54:13,200 PROGRAM IS THE VIABILITY OF THE 1602 00:54:13,200 --> 00:54:14,160 PRODUCT FOR COMMERCIALIZATION. 1603 00:54:14,160 --> 00:54:15,720 THERE ARE FAST TRACK 1604 00:54:15,720 --> 00:54:16,760 APPLICATIONS THAT ALLOW 1605 00:54:16,760 --> 00:54:17,680 APPLICANTS TO SUBMIT A PHASE 1 1606 00:54:17,680 --> 00:54:20,080 AND PHASE 2 AT THE SAME TIME AS 1607 00:54:20,080 --> 00:54:22,040 WELL AS THE POSSIBILITY OF JUST 1608 00:54:22,040 --> 00:54:24,440 SUBMITTING A PHASE 2 APPLICATION 1609 00:54:24,440 --> 00:54:27,000 IF THERE'S ALREADY FEASIBILITY 1610 00:54:27,000 --> 00:54:28,000 DATA. 1611 00:54:28,000 --> 00:54:31,400 SO IN TERMS OF WHAT NLM FUNDS, 1612 00:54:31,400 --> 00:54:33,720 NLM IS INTERESTED IN SUPPORTING 1613 00:54:33,720 --> 00:54:36,280 SMALL BUSINESS CONCERNS WHO 1614 00:54:36,280 --> 00:54:37,360 PROPOSE COMMERCIALLY VIABLE 1615 00:54:37,360 --> 00:54:38,920 PRODUCTS THAT HARNESS POWER OF 1616 00:54:38,920 --> 00:54:40,160 HEALTH DATA. 1617 00:54:40,160 --> 00:54:43,080 EXAMPLES OF TOPICS THAT ALIGN 1618 00:54:43,080 --> 00:54:47,240 WITH NLM INCLUDE NOT EXHAUSTIVE, 1619 00:54:47,240 --> 00:54:48,120 VISUALIZATION APPROACHES, 1620 00:54:48,120 --> 00:54:48,760 TECHNIQUES FOR COMPLEX 1621 00:54:48,760 --> 00:54:51,000 BIOMEDICAL DATA. 1622 00:54:51,000 --> 00:54:53,000 A.I. TECHNIQUES FOR 1623 00:54:53,000 --> 00:54:54,160 HEALTH-RELATED DATA ANALYSIS. 1624 00:54:54,160 --> 00:54:58,400 PRODUCTS THAT ALLOW FOR 1625 00:54:58,400 --> 00:54:59,040 INTEGRATING HETEROGENEOUS 1626 00:54:59,040 --> 00:54:59,680 BIOMEDICAL RESOURCES, WE HAVE 1627 00:54:59,680 --> 00:55:01,440 LOTS OF DATA AND HOW DO WE 1628 00:55:01,440 --> 00:55:04,480 COMBINE THE DATA. 1629 00:55:04,480 --> 00:55:05,520 PRODUCTS THAT ENHANCE 1630 00:55:05,520 --> 00:55:06,720 CONFIDENTIALITY OF DATA STORAGE 1631 00:55:06,720 --> 00:55:08,840 AND SHARING AS WELL AS PRODUCTS 1632 00:55:08,840 --> 00:55:11,240 THAT ENHANCE SECURITY OF DATA. 1633 00:55:11,240 --> 00:55:16,320 INNOVATIVE TOOLS AND METHODS FOR 1634 00:55:16,320 --> 00:55:18,360 MANAGING BIOMEDICAL DATA 1635 00:55:18,360 --> 00:55:18,640 RESOURCES. 1636 00:55:18,640 --> 00:55:20,720 NOVEL DATA SCIENCE METHODS TO 1637 00:55:20,720 --> 00:55:21,480 FACILITATE HEALTH-RELATED 1638 00:55:21,480 --> 00:55:23,440 DECISION MAKING IN REAL TIME AND 1639 00:55:23,440 --> 00:55:28,960 TOOLS, TECHNOLOGIES TO TRACK 1640 00:55:28,960 --> 00:55:30,640 DISEASE OUTBREAKS, EPIDEMICS, 1641 00:55:30,640 --> 00:55:34,160 PANDEMICS, AND TOOLS FOR 1642 00:55:34,160 --> 00:55:35,120 PREDICTING CLIMATE AND HUMAN 1643 00:55:35,120 --> 00:55:35,640 HEALTH. 1644 00:55:35,640 --> 00:55:39,880 THIS IS NOT AN EXHAUSTIVE LIST. 1645 00:55:39,880 --> 00:55:42,080 OVER THE LAST TEN YEARS NLM 1646 00:55:42,080 --> 00:55:43,480 SUPPORTED 25 DIFFERENT SMALL 1647 00:55:43,480 --> 00:55:43,800 BUSINESSES. 1648 00:55:43,800 --> 00:55:45,840 WHEN WE LOOK AT THE BUSINESS 1649 00:55:45,840 --> 00:55:47,240 VERTICALS, MEANING THE MAIN 1650 00:55:47,240 --> 00:55:48,320 FOCUS OF THOSE BUSINESSES, 1651 00:55:48,320 --> 00:55:50,840 MAJORITY OF THE BUSINESSES WERE 1652 00:55:50,840 --> 00:55:56,640 ARTIFICIAL INTELLIGENCE, MACHINE 1653 00:55:56,640 --> 00:55:57,480 LEARNING, BIG DATA, 1654 00:55:57,480 --> 00:55:58,240 CYBERSECURITY, DIGITAL HEALTH. 1655 00:55:58,240 --> 00:56:00,200 A QUICK OVERVIEW OF NLM 1656 00:56:00,200 --> 00:56:01,280 INVESTMENT OVER SIX YEARS, YOU 1657 00:56:01,280 --> 00:56:04,800 CAN SEE MOST OF OUR FUNDING HAS 1658 00:56:04,800 --> 00:56:07,640 GONE TO SUPPORT PHASE 1 STUDIES, 1659 00:56:07,640 --> 00:56:09,040 SMALL FEASIBILITY STUDIES. 1660 00:56:09,040 --> 00:56:09,960 THE OTHER THING THAT I WANT TO 1661 00:56:09,960 --> 00:56:12,280 POINT OUT ON THIS GRAPH IS THAT 1662 00:56:12,280 --> 00:56:15,200 THE AMOUNT OF MONEY THAT WE'VE 1663 00:56:15,200 --> 00:56:16,600 FUNDED OR PROVIDED FOR SMALL 1664 00:56:16,600 --> 00:56:17,520 BUSINESS HAS INCREASED OVER THE 1665 00:56:17,520 --> 00:56:19,760 YEARS AND WE'RE JUST SHY OF 1666 00:56:19,760 --> 00:56:22,280 $2.5 MILLION THAT WE SPEND ON 1667 00:56:22,280 --> 00:56:23,320 SMALL BUSINESSES. 1668 00:56:23,320 --> 00:56:27,600 FOR 2022 WE'RE UNIQUE, FUNDING 1669 00:56:27,600 --> 00:56:28,760 THREE PHASE 2 STUDIES, AND 1670 00:56:28,760 --> 00:56:30,200 THAT'S WITH THE HELP OF 1671 00:56:30,200 --> 00:56:32,120 CO-FUNDING FROM OTHER I.C.s. 1672 00:56:32,120 --> 00:56:33,680 THAT'S A QUICK OVERVIEW OF SMALL 1673 00:56:33,680 --> 00:56:34,440 BUSINESS. 1674 00:56:34,440 --> 00:56:35,400 IF YOU HAVE ADDITIONAL QUESTIONS 1675 00:56:35,400 --> 00:56:37,560 ABOUT THE SMALL BUSINESS I 1676 00:56:37,560 --> 00:56:38,640 INVITE THEM LATER THIS AFTERNOON 1677 00:56:38,640 --> 00:56:39,840 DURING OUR CLOSED SESSION. 1678 00:56:39,840 --> 00:56:42,120 THANKS. 1679 00:56:42,120 --> 00:56:46,680 1680 00:56:46,680 --> 00:56:49,120 >>I WANT TO MAKE SURE IT'S 1681 00:56:49,120 --> 00:56:52,920 CLEAR, THE SMALL BUSINESS 1682 00:56:52,920 --> 00:56:54,320 INNOVATION PROJECTS ARE FUNDING 1683 00:56:54,320 --> 00:56:56,040 ACTIVITIES ACROSS THE ENTIRE 1684 00:56:56,040 --> 00:56:57,720 NIH, REPRESENTING A DIFFERENT 1685 00:56:57,720 --> 00:56:58,800 KIND OF RESEARCH INNOVATION, A 1686 00:56:58,800 --> 00:57:01,960 CHANCE TO MOVE INTO PRODUCTS. 1687 00:57:01,960 --> 00:57:04,160 LAST REPORT THIS MORNING, POLICY 1688 00:57:04,160 --> 00:57:07,200 AND LEGISLATIVE REPORT. 1689 00:57:07,200 --> 00:57:07,840 GOOD MORNING. 1690 00:57:07,840 --> 00:57:08,920 >>GOOD MORNING. 1691 00:57:08,920 --> 00:57:09,880 THANK YOU, PATTI. 1692 00:57:09,880 --> 00:57:11,800 AND JUST A QUICK NOTE ON THE 1693 00:57:11,800 --> 00:57:12,880 LEGISLATIVE FRONT THE SMALL 1694 00:57:12,880 --> 00:57:14,000 BUSINESS PROGRAM IS SOMETHING 1695 00:57:14,000 --> 00:57:17,000 THAT SEES A LOT OF LEGISLATIVE 1696 00:57:17,000 --> 00:57:18,400 ACTIVITY, THE PROGRAM REQUIRES 1697 00:57:18,400 --> 00:57:20,280 AUTHORIZATION PERIODICALLY. 1698 00:57:20,280 --> 00:57:21,680 THERE'S SOME PROPOSED LANGUAGE 1699 00:57:21,680 --> 00:57:23,200 WITH REGARDS TO RESTRICTIONS FOR 1700 00:57:23,200 --> 00:57:24,080 PHASE 2 PROJECTS. 1701 00:57:24,080 --> 00:57:28,040 I WANT TO GIVE SOME BRIEF POLICY 1702 00:57:28,040 --> 00:57:28,960 AND LEGISLATIVE UPDATES. 1703 00:57:28,960 --> 00:57:30,800 TAKE A LOOK AT THE WRITTEN 1704 00:57:30,800 --> 00:57:32,560 UPDATE IN ADVANCE FOR ME DETAILS 1705 00:57:32,560 --> 00:57:34,600 AND LINKS FOR INFORMATION. 1706 00:57:34,600 --> 00:57:37,320 ON THE POLICY FRONT, I WANT TO 1707 00:57:37,320 --> 00:57:39,600 PROVIDE TWO QUICK UPDATES, FIRST 1708 00:57:39,600 --> 00:57:44,200 OFF, ON JUNE 8 DR. LYRIC 1709 00:57:44,200 --> 00:57:45,520 JORGENSON PRESENTED TO THE NIH 1710 00:57:45,520 --> 00:57:49,040 ADVISORY COMMITTEE TO THE 1711 00:57:49,040 --> 00:57:51,240 DIRECTOR SYNTHESIS OF PUBLIC 1712 00:57:51,240 --> 00:57:52,640 COMMENTS RECEIVED IN RESPONSE 1713 00:57:52,640 --> 00:57:55,280 PLAN TO ENHANCE PUBLIC ACCESS TO 1714 00:57:55,280 --> 00:57:57,280 RESULTS OF NIH-SUPPORTED 1715 00:57:57,280 --> 00:57:59,520 RESEARCH WITH SOME POSSIBLE 1716 00:57:59,520 --> 00:58:00,200 IMPLICATIONS FOR POLICY 1717 00:58:00,200 --> 00:58:00,800 DEVELOPMENT. 1718 00:58:00,800 --> 00:58:02,400 IN ADDITION I WANTED TO 1719 00:58:02,400 --> 00:58:04,480 HIGHLIGHT AS WE CONTINUE TO 1720 00:58:04,480 --> 00:58:06,880 ADVOCATE AND SUPPORT THE USE OF 1721 00:58:06,880 --> 00:58:08,280 HEALTH I.T. STANDARDS REQUIRED 1722 00:58:08,280 --> 00:58:10,160 IN REGULATION THAT THE OFFICE OF 1723 00:58:10,160 --> 00:58:11,600 THE NATIONAL COORDINATOR FOR 1724 00:58:11,600 --> 00:58:13,440 HEALTH INFORMATION TECHNOLOGY 1725 00:58:13,440 --> 00:58:18,080 RELEASED THE FINAL VERSION, FOUR 1726 00:58:18,080 --> 00:58:21,040 ADDS 20 DATA ELEMENTS AND ONE 1727 00:58:21,040 --> 00:58:23,720 NEW DATA CLASS, FACILITY 1728 00:58:23,720 --> 00:58:24,160 INFORMATION. 1729 00:58:24,160 --> 00:58:27,200 ONC IS NOW ACCEPTING SUBMISSIONS 1730 00:58:27,200 --> 00:58:30,200 FOR VERSE 5 OF USCDI DUE BY 1731 00:58:30,200 --> 00:58:32,960 WEDNESDAY, SEPTEMBER 20. 1732 00:58:32,960 --> 00:58:33,920 ON THE LEGISLATIVE FRONT 1733 00:58:33,920 --> 00:58:37,840 CONGRESS IS BACK IN SESSION, 1734 00:58:37,840 --> 00:58:40,000 WE'RE MONITORING THE 1735 00:58:40,000 --> 00:58:40,760 APPROPRIATIONS PROCESS. 1736 00:58:40,760 --> 00:58:47,640 THE SENATE INTRODUCED THEIR 1737 00:58:47,640 --> 00:58:48,720 APPROPRIATIONS BILL, STILL 1738 00:58:48,720 --> 00:58:49,160 AWAITING PLACEMENT. 1739 00:58:49,160 --> 00:58:52,840 ON THE HOUSE SIDE THE BILL 1740 00:58:52,840 --> 00:58:54,200 AWAITING FULL COMMITTEE 1741 00:58:54,200 --> 00:58:58,480 CONSIDERATION, VOTED OUT OF 1742 00:58:58,480 --> 00:58:58,880 SUBCOMMITTEE. 1743 00:58:58,880 --> 00:59:00,680 IN TERMS OF LEGISLATIVE 1744 00:59:00,680 --> 00:59:07,920 ACTIVITY, WE'RE MONITORING QUITE 1745 00:59:07,920 --> 00:59:10,160 A BIT, WE FUND A.I.-RELATED 1746 00:59:10,160 --> 00:59:12,720 RESEARCH AND LEVERAGE METHODS TO 1747 00:59:12,720 --> 00:59:14,560 IMPROVE OUR BIOMEDICAL 1748 00:59:14,560 --> 00:59:15,040 INFORMATION SERVICES. 1749 00:59:15,040 --> 00:59:18,040 IN PARTICULAR THERE ARE THREE 1750 00:59:18,040 --> 00:59:20,520 A.I. FOCUSED HEARINGS, TWO BEING 1751 00:59:20,520 --> 00:59:22,280 HELD CONCURRENTLY TODAY AND ONE 1752 00:59:22,280 --> 00:59:22,840 ON THURSDAY. 1753 00:59:22,840 --> 00:59:26,440 IF YOU HAVEN'T SEEN THE NEWS 1754 00:59:26,440 --> 00:59:32,880 REPORTS ON FRIDAY, THE CHAIR OF 1755 00:59:32,880 --> 00:59:33,880 THE SENATE JUDICIARY 1756 00:59:33,880 --> 00:59:39,480 SUBCOMMITTEE AND RANKING MEMBER 1757 00:59:39,480 --> 00:59:43,600 RELEASED BIPARTISAN FRAMEWORK 1758 00:59:43,600 --> 00:59:46,040 FOR USAI ACT, CREATING 1759 00:59:46,040 --> 00:59:48,640 INDEPENDENT OVERSIGHT AGENCY FOR 1760 00:59:48,640 --> 00:59:49,960 ARTIFICIAL INTELLIGENCE 1761 00:59:49,960 --> 00:59:50,640 TECHNOLOGIES, REQUIRING 1762 00:59:50,640 --> 00:59:52,160 COMPANIES TO REGISTER WITH THIS 1763 00:59:52,160 --> 00:59:53,160 NEW BODY. 1764 00:59:53,160 --> 00:59:56,200 IN ADDITION, THERE ARE TEN 1765 00:59:56,200 --> 00:59:57,920 A.I.-RELATED BILLS INTRODUCED IN 1766 00:59:57,920 --> 00:59:58,920 CONGRESS THIS YEAR. 1767 00:59:58,920 --> 01:00:00,960 ONE OF THEM SINCE WE SUBMITTED 1768 01:00:00,960 --> 01:00:02,440 THE WRITTEN REPORT IN AUGUST 1769 01:00:02,440 --> 01:00:04,880 WHICH I WANTED TO HIGHLIGHT, 1770 01:00:04,880 --> 01:00:07,240 IT'S THE CREATING RESOURCES FOR 1771 01:00:07,240 --> 01:00:09,880 EVERY AMERICAN TO EXPERIMENT 1772 01:00:09,880 --> 01:00:12,920 WITH ARTIFICIAL INTELLIGENCE, OR 1773 01:00:12,920 --> 01:00:16,120 CREATE A.I. ACT, INTRODUCED, AND 1774 01:00:16,120 --> 01:00:17,400 WOULD DIRECT NATIONAL SCIENCE 1775 01:00:17,400 --> 01:00:20,200 FOUNDATION TO ESTABLISH A 1776 01:00:20,200 --> 01:00:21,360 NATIONAL ARTIFICIAL INTELLIGENCE 1777 01:00:21,360 --> 01:00:22,560 RESEARCH RESOURCE TO SPUR 1778 01:00:22,560 --> 01:00:25,040 INNOVATION AND IMPROVE ACCESS TO 1779 01:00:25,040 --> 01:00:27,680 RESOURCES ESSENTIAL TO A.I. AND 1780 01:00:27,680 --> 01:00:29,000 RESEARCH AN DEVELOPMENT. 1781 01:00:29,000 --> 01:00:31,800 IN ADDITION I DID WANT TO 1782 01:00:31,800 --> 01:00:35,680 HIGHLIGHT A CONFIRMATION HEARING 1783 01:00:35,680 --> 01:00:36,920 FOR DR. MONICA BERTAGNOLLI, 1784 01:00:36,920 --> 01:00:38,120 NOMINATED TO SERVE AS DIRECTOR 1785 01:00:38,120 --> 01:00:39,640 OF NIH, IS EXPECTED TO BE 1786 01:00:39,640 --> 01:00:40,720 SCHEDULED NEXT MONTH. 1787 01:00:40,720 --> 01:00:48,160 WITH THAT I TURN IT OVER TO 1788 01:00:48,160 --> 01:00:49,280 PATTI. 1789 01:00:49,280 --> 01:00:49,760 THANK YOU. 1790 01:00:49,760 --> 01:00:51,520 >>THANK YOU, THERESA. 1791 01:00:51,520 --> 01:00:59,600 IN ADDITION TO MONITORING 1792 01:00:59,600 --> 01:01:02,200 LEGISLATION, WE WORK CLOSELY 1793 01:01:02,200 --> 01:01:02,880 WITH OUR COLLEAGUES AT THE 1794 01:01:02,880 --> 01:01:05,160 NATIONAL SCIENCE FOUNDATION. 1795 01:01:05,160 --> 01:01:06,400 NIH HAS PERSPECTIVE, WE SHOULD 1796 01:01:06,400 --> 01:01:07,120 INVEST IN ARTIFICIAL 1797 01:01:07,120 --> 01:01:09,840 INTELLIGENCE AS IT ADVANCES OUR 1798 01:01:09,840 --> 01:01:11,280 HEALTH INITIATIVES AND HEALTH 1799 01:01:11,280 --> 01:01:11,480 GOALS. 1800 01:01:11,480 --> 01:01:13,680 WE NEED TO RECOGNIZE THOUGH THAT 1801 01:01:13,680 --> 01:01:15,120 BASIC APPROACHES IN DATA 1802 01:01:15,120 --> 01:01:16,760 SCIENCE, NEW ALGORITHMS, HAVE TO 1803 01:01:16,760 --> 01:01:18,640 ALSO BE INVESTED IN. 1804 01:01:18,640 --> 01:01:19,720 THAT'S WHERE OUR COLLABORATION 1805 01:01:19,720 --> 01:01:21,240 ACROSS THE GOVERNMENT BECOMES 1806 01:01:21,240 --> 01:01:23,440 PARTICULARLY IMPORTANT. 1807 01:01:23,440 --> 01:01:27,720 WE WORK CLOSELY WITH THE HHS CIO 1808 01:01:27,720 --> 01:01:29,360 TO MAKE SURE RESOURCES ACROSS 1809 01:01:29,360 --> 01:01:31,160 THE HHS HAVE DATA AVAILABLE THAT 1810 01:01:31,160 --> 01:01:33,800 CAN BE USED SAFELY AND SECURELY 1811 01:01:33,800 --> 01:01:35,360 FOR GENERATING NEW ALGORITHMS. 1812 01:01:35,360 --> 01:01:38,160 IT'S IMPORTANT TO NOTE THE DATA 1813 01:01:38,160 --> 01:01:39,880 THAT GETS DEALT WITH WITH HHS 1814 01:01:39,880 --> 01:01:40,960 DEALS WITH INDIVIDUALS, HUMAN 1815 01:01:40,960 --> 01:01:43,280 INFORMATION, SO WE HAVE A 1816 01:01:43,280 --> 01:01:44,400 SPECIAL LEVEL OF SECURITY, 1817 01:01:44,400 --> 01:01:46,240 BANKING PEOPLE HAVE NOTHING ON 1818 01:01:46,240 --> 01:01:46,520 US. 1819 01:01:46,520 --> 01:01:50,000 WE CAN BRING NEW PROBLEMS FOR 1820 01:01:50,000 --> 01:01:50,360 THEM. 1821 01:01:50,360 --> 01:01:55,520 I WROTE MY LAST WEEK, THANK OCPL 1822 01:01:55,520 --> 01:01:58,040 FOR 300 BLOGS, I'M NOT SURE 1823 01:01:58,040 --> 01:01:59,160 YOU'LL SEE STEVE'S PICTURE BUT 1824 01:01:59,160 --> 01:02:01,200 WE EXPECT THIS KIND OF 1825 01:02:01,200 --> 01:02:02,400 COMMUNICATION WILL CONTINUE, IT 1826 01:02:02,400 --> 01:02:03,960 ALLOWS A NICE INFORMAL 1827 01:02:03,960 --> 01:02:04,600 ENGAGEMENT FROM NLM. 1828 01:02:04,600 --> 01:02:06,200 I'M GOING TO SIT DOWN AND TAKE 1829 01:02:06,200 --> 01:02:06,600 YOUR QUESTIONS. 1830 01:02:06,600 --> 01:02:08,640 THANK YOU VERY MUCH FOR YOUR 1831 01:02:08,640 --> 01:02:11,920 TIME AND YOUR ATTENTION. 1832 01:02:11,920 --> 01:02:13,960 >>THANK YOU VERY MUCH, DR. 1833 01:02:13,960 --> 01:02:14,240 BRENNAN. 1834 01:02:14,240 --> 01:02:16,000 WE WOULD LIKE TO EXTEND OUR 1835 01:02:16,000 --> 01:02:16,840 THANKS AND GRATITUDE ON BEHALF 1836 01:02:16,840 --> 01:02:19,880 OF THE BOARD OF REGENTS TO DR. 1837 01:02:19,880 --> 01:02:20,360 BRENNAN. 1838 01:02:20,360 --> 01:02:21,240 YOUR LEADERSHIP SERVES AS BEACON 1839 01:02:21,240 --> 01:02:25,920 FOR SO MANY OF US TO SUPPORT 1840 01:02:25,920 --> 01:02:26,800 EXCELLENCE, INCLUSION, AND 1841 01:02:26,800 --> 01:02:28,720 INNOVATION AND HEALTH, NO MATTER 1842 01:02:28,720 --> 01:02:29,640 OUR ROLES. 1843 01:02:29,640 --> 01:02:30,320 THANK YOU VERY MUCH. 1844 01:02:30,320 --> 01:02:32,840 >>THANK YOU. 1845 01:02:32,840 --> 01:02:35,120 [APPLAUSE] 1846 01:02:35,120 --> 01:02:36,960 >>WITH THAT, I WILL OPEN THE 1847 01:02:36,960 --> 01:02:38,400 FLOOR FOR QUESTIONS FOR DR. 1848 01:02:38,400 --> 01:02:46,280 BRENNAN. 1849 01:02:46,280 --> 01:02:47,920 >>SO, THERE'S A LOT -- 1850 01:02:47,920 --> 01:02:50,080 >>YOU MEAN THE SEVEN YEARS? 1851 01:02:50,080 --> 01:02:50,920 >>I HEARD INTELLIGENCE AND 1852 01:02:50,920 --> 01:02:55,840 CONGRESS IN THE SAME SENTENCE. 1853 01:02:55,840 --> 01:02:57,280 THAT WAS NICE. 1854 01:02:57,280 --> 01:02:59,520 ARTIFICIAL INTELLIGENCE. 1855 01:02:59,520 --> 01:03:03,480 YOU MENTIONED THE CENTER FOR 1856 01:03:03,480 --> 01:03:04,000 OBSERVATIONAL -- 1857 01:03:04,000 --> 01:03:04,640 >>CLINICAL OBSERVATION 1858 01:03:04,640 --> 01:03:05,160 RESEARCH. 1859 01:03:05,160 --> 01:03:08,760 >>I GET THE TITLE WRONG ALL THE 1860 01:03:08,760 --> 01:03:08,960 TIME. 1861 01:03:08,960 --> 01:03:10,800 >>CENTER FOR CLINICAL 1862 01:03:10,800 --> 01:03:11,440 OBSERVATION AND INVESTIGATION. 1863 01:03:11,440 --> 01:03:12,080 >>OKAY. 1864 01:03:12,080 --> 01:03:15,400 I WONDER IF YOU COULD SAY MORE 1865 01:03:15,400 --> 01:03:17,160 ABOUT WHAT THE SCOPE OF THAT 1866 01:03:17,160 --> 01:03:17,960 WILL BE, PARTICULARLY INTERESTED 1867 01:03:17,960 --> 01:03:20,880 TO KNOW WHETHER IT'S GOING TO 1868 01:03:20,880 --> 01:03:22,640 MAKE RECOMMENDATIONS ABOUT 1869 01:03:22,640 --> 01:03:24,080 IMPROVING THE OBSERVATION PART. 1870 01:03:24,080 --> 01:03:25,680 WE USE ELECTRONIC HEALTH RECORD 1871 01:03:25,680 --> 01:03:27,840 AS OUR WAY OF GETTING -- THAT'S 1872 01:03:27,840 --> 01:03:29,200 OUR LOW-HANGING FRUIT BUT 1873 01:03:29,200 --> 01:03:31,360 THERE'S ROOM FOR IMPROVEMENT 1874 01:03:31,360 --> 01:03:33,520 THERE AND WHEN WE SHINE A BRIGHT 1875 01:03:33,520 --> 01:03:36,920 LIGHT HOPEFULLY PEOPLE WILL GO, 1876 01:03:36,920 --> 01:03:38,240 YOU'RE USING THAT DATA TO DO 1877 01:03:38,240 --> 01:03:39,800 WHAT, OR TO MEAN WHAT? 1878 01:03:39,800 --> 01:03:43,600 MAYBE THAT WILL FEED BACK TO THE 1879 01:03:43,600 --> 01:03:44,600 HEALTH CARE COMMUNITY TO 1880 01:03:44,600 --> 01:03:45,640 HOPEFULLY IMPROVE DATA 1881 01:03:45,640 --> 01:03:47,400 COLLECTION NOT JUST FOR RESEARCH 1882 01:03:47,400 --> 01:03:48,400 BUT PATIENT CARE. 1883 01:03:48,400 --> 01:03:51,080 >>I'M GOING TO LED OLIVIA SPEAK 1884 01:03:51,080 --> 01:03:53,000 TO THIS, IF YOU WANT TO JOIN US 1885 01:03:53,000 --> 01:03:54,320 AT THE TABLE. 1886 01:03:54,320 --> 01:03:56,520 THIS IS AN INITIATIVE THAT 1887 01:03:56,520 --> 01:03:58,520 OLIVIER BROUGHT TO OUR POSITION 1888 01:03:58,520 --> 01:04:00,680 WHEN HE BECAME ACTING DIRECTOR 1889 01:04:00,680 --> 01:04:04,280 OF LISTER HILL ALMOST FOUR YEARS 1890 01:04:04,280 --> 01:04:05,400 AGO. 1891 01:04:05,400 --> 01:04:06,240 THE IDEA WE SHOULD 1892 01:04:06,240 --> 01:04:09,320 SYSTEMATICALLY LOOK AT THE 1893 01:04:09,320 --> 01:04:10,440 TECHNOLOGIES NEEDED TO USE 1894 01:04:10,440 --> 01:04:13,160 CLINICAL DATA AS WELL AS MAKE 1895 01:04:13,160 --> 01:04:14,680 USE OF, INCLUDING ITS EARLY 1896 01:04:14,680 --> 01:04:16,160 CAPTURE, IS CRITICALLY 1897 01:04:16,160 --> 01:04:16,480 IMPORTANT. 1898 01:04:16,480 --> 01:04:18,800 THIS IS AN INTRAMURAL INITIATIVE 1899 01:04:18,800 --> 01:04:23,360 BUT OF COURSE COMPLEMENTED AND 1900 01:04:23,360 --> 01:04:28,240 OLIVIER, GIVE THE FIRST 1901 01:04:28,240 --> 01:04:28,480 OVERVIEW. 1902 01:04:28,480 --> 01:04:31,880 >>THE IDEA IS ADD METADATA TO 1903 01:04:31,880 --> 01:04:33,080 EXISTING CLINICAL DATASETS TO 1904 01:04:33,080 --> 01:04:35,560 MAKE IT EASIER FOR PEOPLE TO -- 1905 01:04:35,560 --> 01:04:36,880 MOST PEOPLE CAN'T JUST DOWNLOAD 1906 01:04:36,880 --> 01:04:40,560 THE DATASET AND PLAY WITH IT. 1907 01:04:40,560 --> 01:04:42,640 SO KNOWING WHAT'S IN THERE IS 1908 01:04:42,640 --> 01:04:42,920 IMPORTANT. 1909 01:04:42,920 --> 01:04:45,640 TO YOUR POINT, THERE'S GOING TO 1910 01:04:45,640 --> 01:04:47,400 BE ALSO ELEMENTS OF QUALITY OF 1911 01:04:47,400 --> 01:04:56,000 THE DATA THAT ARE IMPORTANT TO 1912 01:04:56,000 --> 01:04:56,360 KNOW. 1913 01:04:56,360 --> 01:04:58,600 (INDISCERNIBLE) THESE KIND OF 1914 01:04:58,600 --> 01:04:59,000 THINGS. 1915 01:04:59,000 --> 01:05:00,000 THAT'S JUST STARTING. 1916 01:05:00,000 --> 01:05:03,520 SO WE HAVE PLANS FOR IT BUT NOT 1917 01:05:03,520 --> 01:05:05,720 MUCH HAS HAPPENED YET BECAUSE 1918 01:05:05,720 --> 01:05:11,640 IT'S JUST GETTING -- 1919 01:05:11,640 --> 01:05:14,600 >>A MILLION DOLLARS. 1920 01:05:14,600 --> 01:05:14,920 [LAUGHTER] 1921 01:05:14,920 --> 01:05:17,800 >>SO THESE PROJECTS TAKE SHAPE 1922 01:05:17,800 --> 01:05:20,440 OVER A COUPLE YEARS, AND WE WERE 1923 01:05:20,440 --> 01:05:24,480 VERY FORTUNATE IN 23 TO HAVE 1924 01:05:24,480 --> 01:05:26,040 BEEN ABLE TO REDEPLOY $18 1925 01:05:26,040 --> 01:05:27,000 MILLION OF FUNDS ACROSS THE NLM. 1926 01:05:27,000 --> 01:05:29,840 ONE OF THE UNITS WE INVESTED IN 1927 01:05:29,840 --> 01:05:32,080 WAS THIS CENTER, IT'S KNOW 1928 01:05:32,080 --> 01:05:34,600 FORMALIZED, WE'RE BEGINNING TO 1929 01:05:34,600 --> 01:05:36,440 HAVE MISSION STATEMENT VISIBLE 1930 01:05:36,440 --> 01:05:38,520 ON THE WEBSITE. 1931 01:05:38,520 --> 01:05:39,520 THE RELATIONSHIP BETWEEN THE 1932 01:05:39,520 --> 01:05:40,640 UPSTREAM WHERE DID YOU GET THE 1933 01:05:40,640 --> 01:05:43,040 DATA AND HOW MUCH DO WE BELIEVE 1934 01:05:43,040 --> 01:05:44,440 AND TRUST IT AND WHAT WE'VE 1935 01:05:44,440 --> 01:05:46,400 LEARNED FROM IT, AND HOW DO WE 1936 01:05:46,400 --> 01:05:48,320 FEED THAT BACK INTO THE PROCESS, 1937 01:05:48,320 --> 01:05:49,960 IS AN IMPORTANT ASPECT TO BE 1938 01:05:49,960 --> 01:05:52,880 LOOKING AT. 1939 01:05:52,880 --> 01:05:53,920 NIH HAS JUST RELEASED A 1940 01:05:53,920 --> 01:05:55,360 STRATEGIC PLAN FOR DATA SCIENCE 1941 01:05:55,360 --> 01:05:57,800 ADDRESSING A NUMBER OF ASPECTS 1942 01:05:57,800 --> 01:06:00,600 OF USING HUMAN DATA FOR 1943 01:06:00,600 --> 01:06:01,440 RESEARCH. 1944 01:06:01,440 --> 01:06:03,000 WITHIN THAT HAS THE SECOND 1945 01:06:03,000 --> 01:06:04,880 BASEALLY OBJECTIVE OF THAT 1946 01:06:04,880 --> 01:06:06,560 PROJECT IS CLINICAL DATA FOR 1947 01:06:06,560 --> 01:06:07,640 CLINICAL CARE AND RESEARCH. 1948 01:06:07,640 --> 01:06:09,480 NOW, I HAVE TO TELL YOU, I DON'T 1949 01:06:09,480 --> 01:06:11,680 WANT TOO MUCH OF NIH GETTING 1950 01:06:11,680 --> 01:06:12,440 INTO CLINICAL CARE. 1951 01:06:12,440 --> 01:06:14,200 I THINK THE PROCESS IS 1952 01:06:14,200 --> 01:06:15,160 COMPLICATED AND REQUIRES PEOPLE 1953 01:06:15,160 --> 01:06:18,080 WHO ARE EXPERT IN THAT AREA. 1954 01:06:18,080 --> 01:06:20,040 I ALSO BELIEVE THAT CLINICIANS 1955 01:06:20,040 --> 01:06:21,520 ARE NOT DATA COLLECTORS FOR 1956 01:06:21,520 --> 01:06:22,320 RESEARCHERS. 1957 01:06:22,320 --> 01:06:23,440 WE'RE TRYING TO MOVE FORWARD 1958 01:06:23,440 --> 01:06:25,400 WITH THE IDEA HOW TO MAKE BEST 1959 01:06:25,400 --> 01:06:27,200 USE OF CLINICAL INFORMATION FOR 1960 01:06:27,200 --> 01:06:29,760 RESEARCH, AT THE SAME TIME DO 1961 01:06:29,760 --> 01:06:31,400 THE STUDIES THAT REQUIRE, THAT 1962 01:06:31,400 --> 01:06:33,000 HELP US BETTER UNDERSTAND, LIKE 1963 01:06:33,000 --> 01:06:36,000 THE ONE YOU SAW, A WAY TO GET 1964 01:06:36,000 --> 01:06:38,000 CONSULTATION IN THE MOMENT. 1965 01:06:38,000 --> 01:06:39,400 WE ARE CERTAINLY -- WE'RE VERY 1966 01:06:39,400 --> 01:06:40,480 OPEN TO RESEARCH PROJECTS IN 1967 01:06:40,480 --> 01:06:43,280 THIS AREA WITHIN THE NLM, AND 1968 01:06:43,280 --> 01:06:46,440 ARE LOOKING ALSO IN SOME OF THE 1969 01:06:46,440 --> 01:06:47,800 HIGH RISK, HIGH REWARD 1970 01:06:47,800 --> 01:06:49,440 INVESTMENTS AT THE DIRECTOR'S 1971 01:06:49,440 --> 01:06:50,640 LEVEL AT THE CLINICAL DATA, 1972 01:06:50,640 --> 01:06:52,520 YOU'LL SEE A LOT MORE INVESTMENT 1973 01:06:52,520 --> 01:06:56,680 IN THESE AREAS OVER THE NEXT FEW 1974 01:06:56,680 --> 01:06:56,880 YEARS. 1975 01:06:56,880 --> 01:07:01,480 >>BY WAY OF EXAMPLE, SINCE I'M 1976 01:07:01,480 --> 01:07:02,000 AN ADVISOR -- 1977 01:07:02,000 --> 01:07:02,280 >>RIGHT. 1978 01:07:02,280 --> 01:07:04,800 >>WE KNOW VERY LITTLE ABOUT 1979 01:07:04,800 --> 01:07:08,080 PATIENT OUTCOMES FROM THE CARE 1980 01:07:08,080 --> 01:07:09,880 PROCESSES THAT OCCUR IN THE 1981 01:07:09,880 --> 01:07:10,160 COMMUNITY. 1982 01:07:10,160 --> 01:07:10,920 PATIENT GOES HOME. 1983 01:07:10,920 --> 01:07:12,280 AND DID THEY DROP DEAD WHEN THEY 1984 01:07:12,280 --> 01:07:13,440 GOT TO THE STREET? 1985 01:07:13,440 --> 01:07:14,800 OR DID THEY GO BACK TO WORK? 1986 01:07:14,800 --> 01:07:17,280 DID THEY STAY IN BED SIX WEEKS? 1987 01:07:17,280 --> 01:07:19,200 YOU KNOW, WE DON'T KNOW. 1988 01:07:19,200 --> 01:07:20,800 AND SO HAVING A WAY TO GET AT 1989 01:07:20,800 --> 01:07:21,920 THOSE DATA WILL BE IMPORTANT IF 1990 01:07:21,920 --> 01:07:23,800 WE'RE GOING TO HAVE LEARNING 1991 01:07:23,800 --> 01:07:25,120 HEALTH SYSTEMS AND WE NEED TO 1992 01:07:25,120 --> 01:07:26,680 KNOW WHAT HAPPENED. 1993 01:07:26,680 --> 01:07:29,040 SO THE OUTCOMES IS ONE OF THE 1994 01:07:29,040 --> 01:07:30,400 KEY THINGS. 1995 01:07:30,400 --> 01:07:31,800 IT'S RELATIVELY LOW-HANGING 1996 01:07:31,800 --> 01:07:34,760 FRUIT COMPARED TO, SAY, FAMILY 1997 01:07:34,760 --> 01:07:36,680 HISTORY OR, YOU KNOW, TRAVEL 1998 01:07:36,680 --> 01:07:38,120 HISTORY OR WHERE PEOPLE LIVE. 1999 01:07:38,120 --> 01:07:39,720 YES, THEY LIVE IN BETHESDA FOR A 2000 01:07:39,720 --> 01:07:42,320 YEAR BUT THEY LIVED IN LOVE 2001 01:07:42,320 --> 01:07:43,600 CANAL FOR 40 YEARS, THAT'S HARD 2002 01:07:43,600 --> 01:07:45,200 TO GET AT. 2003 01:07:45,200 --> 01:07:47,120 OUTCOMES, WE KNOW WE CAN ENGAGE 2004 01:07:47,120 --> 01:07:49,440 WITH THE PATIENT. 2005 01:07:49,440 --> 01:07:52,600 I'M USING THAT AS AN EXAMPLE AN 2006 01:07:52,600 --> 01:07:53,680 AREA WE COULD ENCOURAGE THE 2007 01:07:53,680 --> 01:07:54,680 HEALTH CARE COMMUNITY NOT JUST 2008 01:07:54,680 --> 01:07:56,320 TO SAY, HEY, DO THIS BECAUSE 2009 01:07:56,320 --> 01:07:57,880 IT'S BETTER FOR RESEARCH, IT'S 2010 01:07:57,880 --> 01:07:59,960 BETTER FOR PATIENT CARE TO KNOW 2011 01:07:59,960 --> 01:08:02,520 WHAT HAPPENS TO YOUR PATIENT. 2012 01:08:02,520 --> 01:08:04,240 >>NIH IS NEVER ONE TO LET A 2013 01:08:04,240 --> 01:08:07,600 GOOD CRISIS GO TO THE WAYSIDE. 2014 01:08:07,600 --> 01:08:11,360 WE OF COURSE SHARE WITH THE 2015 01:08:11,360 --> 01:08:21,640 WORLD THE SHOCKING HORROR OF THE 2016 01:08:21,640 --> 01:08:27,320 PANDEMIC, BUT A RESEARCH 2017 01:08:27,320 --> 01:08:27,760 OPPORTUNITY. 2018 01:08:27,760 --> 01:08:28,880 ReCOVer IS UNDERSTANDING 2019 01:08:28,880 --> 01:08:29,760 LONG COVID BECAUSE IT DOESN'T 2020 01:08:29,760 --> 01:08:31,400 HAPPEN IN THE HOSPITAL. 2021 01:08:31,400 --> 01:08:34,680 SO THERE'S A SIGNIFICANT PART OF 2022 01:08:34,680 --> 01:08:36,920 THE ReCOVer PROGRAM THAT'S 2023 01:08:36,920 --> 01:08:39,320 INVESTING IN WHAT I CONSIDER IN 2024 01:08:39,320 --> 01:08:41,480 THE MOMENT ASSESSMENTS, MOBILE 2025 01:08:41,480 --> 01:08:42,360 TECHNOLOGIES, SELF-REPORTS, AND 2026 01:08:42,360 --> 01:08:43,640 ONE OF THE REAL INTERESTING 2027 01:08:43,640 --> 01:08:46,400 CHALLENGES THAT THEY HAVE 2028 01:08:46,400 --> 01:08:46,920 BROUGHT, THEIR COMMUNITY 2029 01:08:46,920 --> 01:08:48,040 GUIDANCE GROUP BROUGHT TO US, 2030 01:08:48,040 --> 01:08:49,760 WHERE DOES THAT DATA GO? 2031 01:08:49,760 --> 01:08:51,400 SO THE CLINICIANS ARE SAYING 2032 01:08:51,400 --> 01:08:53,520 DON'T GIVE ME SOMEBODY'S TWITTER 2033 01:08:53,520 --> 01:08:54,400 FEED OR STEP COUNT. 2034 01:08:54,400 --> 01:08:55,680 I DON'T KNOW WHAT TO DO WITH 2035 01:08:55,680 --> 01:08:56,040 THAT. 2036 01:08:56,040 --> 01:08:58,520 WE NEED A STEP IN BETWEEN THAT 2037 01:08:58,520 --> 01:08:59,600 TAKES INFORMATION FROM THE 2038 01:08:59,600 --> 01:09:01,160 PERSON AND FEEDS IT BACK IN A 2039 01:09:01,160 --> 01:09:02,680 MEANINGFUL WAY TO THE COMMUNITY, 2040 01:09:02,680 --> 01:09:04,760 AND NEEDS TO BE A LOOP IN THE 2041 01:09:04,760 --> 01:09:06,320 MIDDLE THAT HELPS WITH 2042 01:09:06,320 --> 01:09:07,600 INTERPRETATION OF THAT. 2043 01:09:07,600 --> 01:09:08,960 SO ReCOVer PROJECT IS 2044 01:09:08,960 --> 01:09:11,600 INTENDED TO ADDRESS THIS IN 2045 01:09:11,600 --> 01:09:13,760 GREAT DETAIL. 2046 01:09:13,760 --> 01:09:15,280 BRUCE TROMBERG, WHO HEADS THE 2047 01:09:15,280 --> 01:09:19,400 NATIONAL INSTITUTE FOR 2048 01:09:19,400 --> 01:09:21,280 BIOMEDICAL ENGINEERING AND 2049 01:09:21,280 --> 01:09:22,960 IMAGING, IS FOSTERING A 2050 01:09:22,960 --> 01:09:24,000 TECHNOLOGY TRANSFER NETWORK AND 2051 01:09:24,000 --> 01:09:29,920 THEY ARE MAKING MUCH MORE USE OF 2052 01:09:29,920 --> 01:09:31,080 TECHNOLOGY TRANSFER INNOVATION, 2053 01:09:31,080 --> 01:09:33,120 THE APPROACH LIES BETWEEN 2054 01:09:33,120 --> 01:09:35,640 TRADITIONAL R01 RESEARCH WHICH 2055 01:09:35,640 --> 01:09:40,760 MEANS INVESTIGATORS PROPOSE AN 2056 01:09:40,760 --> 01:09:45,320 IDEA AND SBI SBIR GETS TO 2057 01:09:45,320 --> 01:09:47,040 MARKET QUICKLY, IDENTIFYING 2058 01:09:47,040 --> 01:09:48,360 EARLY OPERATIONS, WE DID THIS 2059 01:09:48,360 --> 01:09:49,840 WITH TESTING IN THE PANDEMIC, 2060 01:09:49,840 --> 01:09:51,520 NOW APPLYING TO MATERNAL CARE, 2061 01:09:51,520 --> 01:09:52,960 PARTICULARLY WOMEN WHO ARE 2062 01:09:52,960 --> 01:09:54,840 PREGNANT OR FOLLOWING THE FIRST 2063 01:09:54,840 --> 01:09:56,240 YEAR, FOLLOWING PREGNANCY AND 2064 01:09:56,240 --> 01:09:57,400 MATERNITY CARE DESERTS TO SEE 2065 01:09:57,400 --> 01:09:59,360 HOW WE CAN DO IN THE HOME 2066 01:09:59,360 --> 01:10:00,680 ASSESSMENTS IN A WAY THAT'S 2067 01:10:00,680 --> 01:10:02,760 MEANINGFUL FOR CARE OF THE 2068 01:10:02,760 --> 01:10:04,280 PERSON AND FEEDS RESEARCH. 2069 01:10:04,280 --> 01:10:06,960 I THINK THE COLLABORATION AROUND 2070 01:10:06,960 --> 01:10:09,200 THE TECHNICAL PLATFORMS FOR 2071 01:10:09,200 --> 01:10:10,160 MOBILE ASSESSMENTS ISN'T QUITE 2072 01:10:10,160 --> 01:10:11,360 THERE YET BUT IT'S GETTING THERE 2073 01:10:11,360 --> 01:10:13,520 AND WE'RE SEEING MORE OPENNESS 2074 01:10:13,520 --> 01:10:15,200 BUT STILL THERE'S A LOT OF 2075 01:10:15,200 --> 01:10:15,920 QUESTIONS ABOUT PRIVACY AND 2076 01:10:15,920 --> 01:10:17,040 INTRUSION WE STILL NEED TO 2077 01:10:17,040 --> 01:10:19,560 HANDLE. 2078 01:10:19,560 --> 01:10:20,200 2079 01:10:20,200 --> 01:10:20,560 >>THANK YOU. 2080 01:10:20,560 --> 01:10:22,120 >>THAT WAS SOMETHING I WAS 2081 01:10:22,120 --> 01:10:23,680 INTERESTED IN, WHETHER THE 2082 01:10:23,680 --> 01:10:28,000 SOURCES OF THE DATA THAT YOU'LL 2083 01:10:28,000 --> 01:10:29,720 BE PULLING AND WILL IT -- 2084 01:10:29,720 --> 01:10:31,960 SIMILAR TO THE SURGEON GENERAL 2085 01:10:31,960 --> 01:10:34,920 REPORT ON DIVERSITY OF 2086 01:10:34,920 --> 01:10:36,680 ETHNICITY, ANCESTRY, 2087 01:10:36,680 --> 01:10:37,400 SOCIOECONOMIC STATUS IS THAT 2088 01:10:37,400 --> 01:10:39,280 ALSO GOING IN THERE TO KIND OF I 2089 01:10:39,280 --> 01:10:40,480 GUESS COMPENSATE FOR SOME OF THE 2090 01:10:40,480 --> 01:10:45,760 LACK OF DIVERSITY WE SEE IN 2091 01:10:45,760 --> 01:10:47,560 CLINICAL TRIALS? 2092 01:10:47,560 --> 01:10:50,720 >>RIGHT NOW WE START WITH 2093 01:10:50,720 --> 01:10:51,880 WHAT'S AVAILABLE. 2094 01:10:51,880 --> 01:10:58,400 SO WE'RE LOOKING AT THE USUAL 2095 01:10:58,400 --> 01:10:58,680 SUSPECTS. 2096 01:10:58,680 --> 01:11:02,120 LOOKING AT THE MEDICARE ASSETS, 2097 01:11:02,120 --> 01:11:04,080 FOR EXAMPLE, U.K. BIOBANK 2098 01:11:04,080 --> 01:11:05,640 DATASETS, THESE KIND OF THINGS. 2099 01:11:05,640 --> 01:11:07,240 WE DON'T REALLY CONTROL WHAT 2100 01:11:07,240 --> 01:11:09,520 GETS IN THERE. 2101 01:11:09,520 --> 01:11:13,280 IT'S TO SOME EXTENT LIKE 2102 01:11:13,280 --> 01:11:14,720 (INDISCERNIBLE) THAT EXISTS AND 2103 01:11:14,720 --> 01:11:16,800 INTEGRATE THEM. 2104 01:11:16,800 --> 01:11:19,080 RIGHT NOW THE PROCESS IS ON 2105 01:11:19,080 --> 01:11:22,920 GETTING THESE DATASETS THAT 2106 01:11:22,920 --> 01:11:25,160 EXIST AND MAKING THEM -- 2107 01:11:25,160 --> 01:11:29,720 TRANSFORMING THEM INTO COMMON 2108 01:11:29,720 --> 01:11:30,560 DATA MODEL. 2109 01:11:30,560 --> 01:11:31,880 OF COURSE WE CAN EXTEND FROM 2110 01:11:31,880 --> 01:11:33,280 THERE BUT WE NEED TO START 2111 01:11:33,280 --> 01:11:38,000 SOMEWHERE AND THAT'S WHERE WE 2112 01:11:38,000 --> 01:11:38,720 ARE RIGHT NOW. 2113 01:11:38,720 --> 01:11:39,760 >>KIM, COULD YOU SPEAK ABOUT 2114 01:11:39,760 --> 01:11:42,800 WHAT CLINICAL TRIALS IS DOING TO 2115 01:11:42,800 --> 01:11:52,400 MONITOR PARTICIPATION IN 2116 01:11:52,400 --> 01:11:52,760 CLINICAL TRIALS. 2117 01:11:52,760 --> 01:11:55,800 >>(INAUDIBLE) 2118 01:11:55,800 --> 01:11:58,360 ENCOURAGE COMMUNITIES TO PROVIDE 2119 01:11:58,360 --> 01:11:59,280 INFORMATION ABOUT THE 2120 01:11:59,280 --> 01:12:00,440 PARTICIPANTS IN THE SENSE OF 2121 01:12:00,440 --> 01:12:04,600 DIVERSITY SO THEY ARE ABLE TO 2122 01:12:04,600 --> 01:12:06,280 COLLECT -- SUBMISSIONS AND 2123 01:12:06,280 --> 01:12:07,000 CLINICAL TRIALS CAN REPRESENT 2124 01:12:07,000 --> 01:12:08,080 DIVERSITY IN CLINICAL TRIALS. 2125 01:12:08,080 --> 01:12:13,000 THEY HAVE BEEN VERY ACTIVE IN 2126 01:12:13,000 --> 01:12:13,640 COMMUNITY REGARDING ADVOCATING 2127 01:12:13,640 --> 01:12:19,640 FOR INCLUSION OF THIS KIND OF 2128 01:12:19,640 --> 01:12:20,760 INFORMATION AS TRIALS ARE 2129 01:12:20,760 --> 01:12:21,040 SUBMITTED. 2130 01:12:21,040 --> 01:12:26,320 >>THOSE WONDERING ABOUT HOW DO 2131 01:12:26,320 --> 01:12:27,920 WE ACCURATE AND FAIRLY DESCRIBE 2132 01:12:27,920 --> 01:12:30,360 RACE AND ETHNICITY, THE OMB IS 2133 01:12:30,360 --> 01:12:31,480 WORKING ON A RECLASSIFICATION, 2134 01:12:31,480 --> 01:12:32,640 WORKING FOR A WHILE BUT 2135 01:12:32,640 --> 01:12:34,320 EXPECTING IT WILL MOVE US BEYOND 2136 01:12:34,320 --> 01:12:35,800 THE CURRENT FIVE LEVELS OF 2137 01:12:35,800 --> 01:12:37,000 RECORDING THAT HAPPENS. 2138 01:12:37,000 --> 01:12:40,600 THAT WILL BE HELPFUL. 2139 01:12:40,600 --> 01:12:44,680 THERE IS A POLICY ADVISORY GROUP 2140 01:12:44,680 --> 01:12:46,920 THAT SERVES NIH, IT HAS 2141 01:12:46,920 --> 01:12:49,640 SOMETHING TO DO WITH NEW 2142 01:12:49,640 --> 01:12:50,840 TECHNOLOGIES, THEY RELEASED A 2143 01:12:50,840 --> 01:12:53,560 REPORT TO NIH ADVOCATING FOR 2144 01:12:53,560 --> 01:12:55,160 UNDERSTANDING NOT JUST 2145 01:12:55,160 --> 01:12:55,760 INDIVIDUAL LEVEL BUT COMMUNITY 2146 01:12:55,760 --> 01:12:57,920 LEVEL ABOUT DIVERSITY, RETURN OF 2147 01:12:57,920 --> 01:12:58,920 RESULTS, GETTING BENEFITS AT THE 2148 01:12:58,920 --> 01:13:00,280 COMMUNITY LEVEL BECAUSE WHAT WE 2149 01:13:00,280 --> 01:13:03,680 FIND IS KNOWING THAT WE HAVE 300 2150 01:13:03,680 --> 01:13:07,160 PEOPLE WITH THIS LEVEL OF RACIAL 2151 01:13:07,160 --> 01:13:08,360 AND ETHNIC DISTRIBUTION DOESN'T 2152 01:13:08,360 --> 01:13:09,880 HAPPY, A LOT ARE CLUSTERED IN 2153 01:13:09,880 --> 01:13:11,960 ONE NEIGHBORHOOD, A FEW IN 2154 01:13:11,960 --> 01:13:13,480 ANOTHER, LOOKING AT PROVIDING 2155 01:13:13,480 --> 01:13:15,680 BETTER INFORMATION FROM RESEARCH 2156 01:13:15,680 --> 01:13:17,520 BACK TO THE COMMUNITIES. 2157 01:13:17,520 --> 01:13:17,760 >>OKAY. 2158 01:13:17,760 --> 01:13:20,040 WELL, THANK YOU SO MUCH FOR THIS 2159 01:13:20,040 --> 01:13:20,600 REPORT. 2160 01:13:20,600 --> 01:13:22,120 AND FOR THE GREAT DISCUSSION 2161 01:13:22,120 --> 01:13:22,400 TODAY. 2162 01:13:22,400 --> 01:13:24,960 WE ARE READY TO MOVE TO OUR NEXT 2163 01:13:24,960 --> 01:13:27,360 ITEM ON THE AGENDA, WHICH ARE 2164 01:13:27,360 --> 01:13:30,200 FIRST OF ALL COFFEE AND TRAVEL 2165 01:13:30,200 --> 01:13:33,160 TO BREAK OUTROOMS, FOLLOWED BY 2166 01:13:33,160 --> 01:13:34,920 WORKING GROUP BREAKOUTS, JUST 2167 01:13:34,920 --> 01:13:36,200 SOME INFORMATION ABOUT THAT. 2168 01:13:36,200 --> 01:13:38,120 THERE WILL BE ZOOMS IN EACH OF 2169 01:13:38,120 --> 01:13:39,640 THE BREAKOUT ROOMS, BUT THOSE 2170 01:13:39,640 --> 01:13:41,040 WILL BE FOR RECORDING THE 2171 01:13:41,040 --> 01:13:42,320 SESSIONS ONLY. 2172 01:13:42,320 --> 01:13:46,320 SO THOSE WILL NOT BE BROADCAST. 2173 01:13:46,320 --> 01:13:47,560 THE STRATEGIC PLANNING AND 2174 01:13:47,560 --> 01:13:49,200 RESEARCH FRONTIER WORKING GROUPS 2175 01:13:49,200 --> 01:13:51,280 ARE COMBINED INTO ONE ROOM. 2176 01:13:51,280 --> 01:14:00,480 THAT IS ON THE NINTH FLOOR, ROOM 2177 01:14:00,480 --> 01:14:02,000 9N, 905. 2178 01:14:02,000 --> 01:14:04,240 AND THE PUBLIC SERVICES BREAKOUT 2179 01:14:04,240 --> 01:14:07,880 GROUP WILL BE ON FLOOR B1, AND I 2180 01:14:07,880 --> 01:14:11,600 ASSUME THERE WILL BE SIGNS AND 2181 01:14:11,600 --> 01:14:13,680 DIRECTIONS TO THAT, ROOM B1, N 2182 01:14:13,680 --> 01:14:15,080 30K, AND COLLECTIONS WILL BE 2183 01:14:15,080 --> 01:14:17,760 RIGHT HERE, SO IF YOU'RE IN THE 2184 01:14:17,760 --> 01:14:20,040 COLLECTIONS GROUP PLEASE GET 2185 01:14:20,040 --> 01:14:21,880 COFFEE AND RETURN BACK. 2186 01:14:21,880 --> 01:14:23,200 FOLLOWING THE BREAKOUTS WE'LL 2187 01:14:23,200 --> 01:14:25,440 MEET BACK IN THE LOBBY ON THE 2188 01:14:25,440 --> 01:14:28,120 LOBBY STAIRS FOR GROUP PHOTO, 2189 01:14:28,120 --> 01:14:29,040 AND HAVE LUNCH. 2190 01:14:29,040 --> 01:14:31,960 SO WITH THAT I'M GOING TO CLOSE 2191 01:14:31,960 --> 01:14:33,920 THE PUBLIC SESSION, UNTIL 1:00 2192 01:14:33,920 --> 01:14:34,760 WHEN WE RECONVENE. 2193 01:14:34,760 --> 01:14:40,640 THANK YOU VERY MUCH, EVERYONE. 2194 01:14:40,640 --> 01:14:42,840 >>PRESENTATION ABOUT THE NIH 2195 01:14:42,840 --> 01:14:47,480 VIRTUAL TOUR SO I'D LIKE TO 2196 01:14:47,480 --> 01:14:49,360 WELCOME RENATA MILES TO THE 2197 01:14:49,360 --> 01:14:52,480 PODIUM, ACTING NIH COMMUNICATION 2198 01:14:52,480 --> 01:14:53,520 DIRECTOR, MANAGING NIH'S 2199 01:14:53,520 --> 01:14:55,000 COMMUNICATION ON NIH PROGRAMS 2200 01:14:55,000 --> 01:14:57,960 AND ACTIVITIES TO NIH STAFF, THE 2201 01:14:57,960 --> 01:15:00,600 PUBLIC, THE MEDIA AND 2202 01:15:00,600 --> 01:15:01,440 STAKEHOLDER COMMUNITIES. 2203 01:15:01,440 --> 01:15:05,320 LOCATED IN THE NIH OFFICE OF THE 2204 01:15:05,320 --> 01:15:15,800 DIRECTOR,FOR PUBLIC AFFAIRS. 2205 01:15:50,000 --> 01:15:51,400 >>THANK YOU SO MUCH. 2206 01:15:51,400 --> 01:15:53,280 I WANT TO THANK DR. BRENNAN FOR 2207 01:15:53,280 --> 01:15:55,440 INVITING ME TO SHARE ABOUT A NEW 2208 01:15:55,440 --> 01:15:58,640 PRODUCT WE LAUNCHED IN JUNE. 2209 01:15:58,640 --> 01:16:00,680 AS WAS MENTIONED, IN ADDITION TO 2210 01:16:00,680 --> 01:16:02,800 MANAGING THE COMMUNICATIONS FOR 2211 01:16:02,800 --> 01:16:06,400 THE NIH DIRECTOR AND NIH-WIDE 2212 01:16:06,400 --> 01:16:08,320 PROGRAMS, WE PLAY A COURT 2213 01:16:08,320 --> 01:16:10,640 COMMUNICATIONS FUNCTION AND 2214 01:16:10,640 --> 01:16:11,920 COORDINATE ACROSS THE 27 2215 01:16:11,920 --> 01:16:13,920 INSTITUTES AND CENTERS, AND THE 2216 01:16:13,920 --> 01:16:14,800 THING -- NIH IS SUCH A COMPLEX 2217 01:16:14,800 --> 01:16:15,280 ORGANIZATION, AS YOU KNOW, AND 2218 01:16:15,280 --> 01:16:16,800 SO OUR FOCUS IN EVERYTHING WE DO 2219 01:16:16,800 --> 01:16:20,640 IN MY OFFICE IS HOW DO WE MAKE 2220 01:16:20,640 --> 01:16:25,040 IT EASIER FOR ALL OF OUR 2221 01:16:25,040 --> 01:16:26,240 AUDIENCES TO UNDERSTAND WHO WE 2222 01:16:26,240 --> 01:16:30,880 ARE AND WHAT WE DO. 2223 01:16:30,880 --> 01:16:32,960 NOT AN EASY TASK. 2224 01:16:32,960 --> 01:16:34,720 WHY A VIRTUAL TOUR? 2225 01:16:34,720 --> 01:16:36,800 BEFORE COVID HIT, MY OFFICE 2226 01:16:36,800 --> 01:16:39,560 HOSTED AROUND 6,000 VISITORS A 2227 01:16:39,560 --> 01:16:42,000 YEAR WHO CAME TO HAVE TOURS ON 2228 01:16:42,000 --> 01:16:43,320 THE NIH CAMPUS. 2229 01:16:43,320 --> 01:16:46,520 AND ON AVERAGE, WE HAVE ABOUT 2230 01:16:46,520 --> 01:16:51,320 230,000 VISITORS TO THE NIH 2231 01:16:51,320 --> 01:16:53,240 CAMPUS FOR VARIOUS REASONS. 2232 01:16:53,240 --> 01:16:55,040 WHEN COVID HIT EVERYTHING BUT 2233 01:16:55,040 --> 01:16:56,000 BUSINESS ESSENTIAL CAME TO A 2234 01:16:56,000 --> 01:16:58,960 HALT INCLUDING ALL OF OUR TOURS. 2235 01:16:58,960 --> 01:17:02,120 AND SO, BASED ON LESSONS LEARNED 2236 01:17:02,120 --> 01:17:03,160 FROM THE COVID PANDEMIC, 2237 01:17:03,160 --> 01:17:04,920 PARTICULARLY THE USE OF VIRTUAL 2238 01:17:04,920 --> 01:17:06,400 TECHNOLOGIES WE ALL HAD TO 2239 01:17:06,400 --> 01:17:08,160 SCRAMBLE AND LEARN TO USE, BUT 2240 01:17:08,160 --> 01:17:10,800 IT REALLY HELPED US TO STAY 2241 01:17:10,800 --> 01:17:12,360 CONNECTED WITH THOSE FOLKS WHO 2242 01:17:12,360 --> 01:17:13,840 WERE GOING REMOTE, WE THOUGHT, 2243 01:17:13,840 --> 01:17:17,520 WOW, NO BETTER TIME THAN NOW TO 2244 01:17:17,520 --> 01:17:19,400 LAUNCH -- TO BEGIN THE LAUNCH OF 2245 01:17:19,400 --> 01:17:21,200 A VIRTUAL TOUR BECAUSE WE KNOW 2246 01:17:21,200 --> 01:17:23,520 IT WILL MAKE NIH MUCH MORE 2247 01:17:23,520 --> 01:17:24,320 ACCESSIBLE TO SO MANY PEOPLE WHO 2248 01:17:24,320 --> 01:17:35,080 MAY NOT HAVE THE MEANS TO COME . 2249 01:17:58,520 --> 01:17:59,480 ACROSS THE INSTITUTES AND 2250 01:17:59,480 --> 01:18:01,440 CENTERS WITH A SPECIFIC OFFICES 2251 01:18:01,440 --> 01:18:03,280 AND CLINICAL CENTER, AND WITH 2252 01:18:03,280 --> 01:18:04,120 OUR FACILITIES AND SECURITY 2253 01:18:04,120 --> 01:18:10,400 FOLKS TO ENSURE WE WEREN'T 2254 01:18:10,400 --> 01:18:11,480 INTRODUCING ANY SECURITY RISKS. 2255 01:18:11,480 --> 01:18:12,440 WE NEEDED TO THINK THROUGH WHO 2256 01:18:12,440 --> 01:18:15,400 ARE GOING TO BE OUR PRIMARY 2257 01:18:15,400 --> 01:18:17,400 AUDIENCES, FOR THIS TOUR, AND 2258 01:18:17,400 --> 01:18:19,440 WHAT TASKS WOULD THEY WANT TO 2259 01:18:19,440 --> 01:18:20,000 COMPLETE. 2260 01:18:20,000 --> 01:18:23,080 AND THE FOUR PRIMARY AUDIENCES 2261 01:18:23,080 --> 01:18:24,160 ARE PATIENTS AND FAMILIES WHO 2262 01:18:24,160 --> 01:18:25,800 MAY BED THERE IN PARTICIPATING 2263 01:18:25,800 --> 01:18:28,240 IN A CLINICAL TRIAL AT THE NIH 2264 01:18:28,240 --> 01:18:31,240 CLINICAL CENTER, SCIENTIFIC 2265 01:18:31,240 --> 01:18:33,680 COMMUNITY WHO WANT TO WORK, 2266 01:18:33,680 --> 01:18:35,560 TRAIN OR COLLABORATE, CONGRESS 2267 01:18:35,560 --> 01:18:36,640 AND ADVOCATES INTERESTING IN 2268 01:18:36,640 --> 01:18:41,560 UNDERSTANDING BENEFIT OF THEIR 2269 01:18:41,560 --> 01:18:42,960 INVESTMENT IN NIH RESEARCH AND 2270 01:18:42,960 --> 01:18:46,160 FOLKS WHO ARE INTERESTED IN 2271 01:18:46,160 --> 01:18:50,760 EVIDENCE-BASED HEALTH 2272 01:18:50,760 --> 01:18:53,600 INFORMATION WHO OR UNDERSTANDING 2273 01:18:53,600 --> 01:18:54,800 IMPACT OF BIOMEDICAL RESEARCH ON 2274 01:18:54,800 --> 01:18:57,200 PUBLIC HEALTH. 2275 01:18:57,200 --> 01:19:00,320 THE TOUR DRAWS USERS IN THROUGH 2276 01:19:00,320 --> 01:19:00,640 STORY TELLING. 2277 01:19:00,640 --> 01:19:04,960 THIS IS NOT INTENDED TO BE A 2278 01:19:04,960 --> 01:19:05,520 LITERAL MAP. 2279 01:19:05,520 --> 01:19:06,720 BUT AN EXPERIENCE. 2280 01:19:06,720 --> 01:19:10,280 WE'LL NEVER HAVE EVERY BUILDING, 2281 01:19:10,280 --> 01:19:11,960 EVERY SITE ON THIS NAP. 2282 01:19:11,960 --> 01:19:15,000 WE ORGANIZE THE TOUR BY AUDIENCE 2283 01:19:15,000 --> 01:19:16,160 INTEREST SO USERS CAN TAKE THE 2284 01:19:16,160 --> 01:19:18,440 FULL TOUR BUT WE ALSO HAVE A 2285 01:19:18,440 --> 01:19:19,800 TRACK SPECIFICALLY FOR PATIENTS 2286 01:19:19,800 --> 01:19:21,280 AND CAREGIVERS, AND I WILL TELL 2287 01:19:21,280 --> 01:19:22,840 YOU THAT IS OUR MOST POPULAR 2288 01:19:22,840 --> 01:19:23,920 TRACK RIGHT NOW. 2289 01:19:23,920 --> 01:19:26,200 ALSO A TRACK THAT'S MORE 2290 01:19:26,200 --> 01:19:28,360 RESEARCH FOCUSED FOR SCIENTISTS 2291 01:19:28,360 --> 01:19:31,920 OR ANYBODY INTERESTED IN 2292 01:19:31,920 --> 01:19:32,200 RESEARCH. 2293 01:19:32,200 --> 01:19:33,880 INDIVIDUALS FOR COMMENTARIES TO 2294 01:19:33,880 --> 01:19:36,400 TELL THEIR STORIES WERE CHOSEN 2295 01:19:36,400 --> 01:19:38,880 TO SHOW THE DIVERSITY OF NIH, 2296 01:19:38,880 --> 01:19:42,440 OUR PEOPLE AND THE JOBS WE HOLD. 2297 01:19:42,440 --> 01:19:44,840 THE TOUR IS SCALABLE, SO PENDING 2298 01:19:44,840 --> 01:19:49,440 AVAILABILITY OF FUNDS IN MY 2299 01:19:49,440 --> 01:19:52,160 BUDGET WE HOPE TO EXPAND TO 2300 01:19:52,160 --> 01:19:53,160 INCLUDE THE NATIONAL LIBRARY OF 2301 01:19:53,160 --> 01:19:54,040 MEDICINE WHO WE COULDN'T INCLUDE 2302 01:19:54,040 --> 01:19:56,600 AT THE TIME BECAUSE THEY WERE 2303 01:19:56,600 --> 01:19:57,560 GOING -- UNDERGOING CONSTRUCTION 2304 01:19:57,560 --> 01:20:01,800 BUT WE DO WANT TO ADD THEM, BUT 2305 01:20:01,800 --> 01:20:05,080 ALSO CAMPUSES THAT ARE -- OTHER 2306 01:20:05,080 --> 01:20:06,200 CAMPUSES, NATIONAL INSTITUTE OF 2307 01:20:06,200 --> 01:20:07,640 ENVIRONMENTAL HEALTH SCIENCES IN 2308 01:20:07,640 --> 01:20:09,600 NORTH CAROLINA, FACILITIES IN 2309 01:20:09,600 --> 01:20:10,560 BALTIMORE, CERTAINLY MORE 2310 01:20:10,560 --> 01:20:16,720 FACILITIES IN THE SURROUNDING 2311 01:20:16,720 --> 01:20:18,560 BETHESDA AREA, CURRENTLY WORKING 2312 01:20:18,560 --> 01:20:21,280 ON A SPANISH LANGUAGE PLATFORM 2313 01:20:21,280 --> 01:20:22,960 TO TOGGLE BETWEEN THE TWO 2314 01:20:22,960 --> 01:20:28,600 HOPEFULLY LAUNCHED BY THE EDGED 2315 01:20:28,600 --> 01:20:34,200 -- END OF THE YEAR. 2316 01:20:34,200 --> 01:20:36,200 TRYING TO GIVE FOLKS A GOOD 2317 01:20:36,200 --> 01:20:40,240 BIRDSEYE VIEW OF WHAT NIH IS 2318 01:20:40,240 --> 01:20:40,880 ABOUT, THE INDIVIDUALS 2319 01:20:40,880 --> 01:20:42,840 HIGHLIGHTED SPEAK ABOUT THEIR 2320 01:20:42,840 --> 01:20:44,200 EXPERIENCES WORKING AND LEARNING 2321 01:20:44,200 --> 01:20:46,960 AT NIH ACROSS A RANGE OF TOPICS 2322 01:20:46,960 --> 01:20:51,720 DEMONSTRATING WHAT MAKES NIH 2323 01:20:51,720 --> 01:20:52,320 SPECIAL. 2324 01:20:52,320 --> 01:20:55,480 WE HOPE YOU'LL EXPLORE DIRECTLY. 2325 01:20:55,480 --> 01:20:57,960 IN ADDITION TO THE VIRTUAL TOUR, 2326 01:20:57,960 --> 01:20:59,920 THE TOUR FEATURES AN INTERACTIVE 2327 01:20:59,920 --> 01:21:02,200 MAP THAT HIGHLIGHTS 32 BUILDINGS 2328 01:21:02,200 --> 01:21:05,960 INCLUDING THOSE FULL IN DEPTH 2329 01:21:05,960 --> 01:21:07,920 STOPS, A LAYERING FEATURE, 2330 01:21:07,920 --> 01:21:10,000 PEOPLE COMING TO CAMPUS CAN 2331 01:21:10,000 --> 01:21:15,280 LEARN MORE ABOUT PARKING, 2332 01:21:15,280 --> 01:21:17,040 TRANSPORTATION, FOOD, DRINK, 2333 01:21:17,040 --> 01:21:17,240 MORE. 2334 01:21:17,240 --> 01:21:18,280 USERS CAN CHOOSE THE TRACKS OF 2335 01:21:18,280 --> 01:21:20,200 INTEREST OR COME TO THE 2336 01:21:20,200 --> 01:21:23,600 INTERACTIVE MAP AND SELECT A 2337 01:21:23,600 --> 01:21:25,360 BUILDING OF INTEREST. 2338 01:21:25,360 --> 01:21:26,800 THESE ARE BUILDINGS WE FEATURE, 2339 01:21:26,800 --> 01:21:29,880 A LOT OF FOLKS VISIT FOR VARIOUS 2340 01:21:29,880 --> 01:21:40,400 REASONS SO THERE WAS INFORMATION 2341 01:21:41,680 --> 01:21:44,560 AS WELL. 2342 01:21:44,560 --> 01:21:47,160 ALL ARE 508 COMPLIANT, OPTIMIZED 2343 01:21:47,160 --> 01:21:50,920 FOR SCREEN READERS, USERS CAN 2344 01:21:50,920 --> 01:21:52,240 EXECUTE FUNCTIONS VIA KEYBOARD, 2345 01:21:52,240 --> 01:21:59,120 WE WORKED CLOSELY WITH THE 2346 01:21:59,120 --> 01:22:05,240 OFFICE OF THE CHIEF INFORMATION 2347 01:22:05,240 --> 01:22:07,200 WE DID SHARE THE TOUR WITH MANY 2348 01:22:07,200 --> 01:22:10,960 OFFICES THAT WE KNEW WOULD HAVE 2349 01:22:10,960 --> 01:22:12,600 A PARTICULAR INTEREST IN USING 2350 01:22:12,600 --> 01:22:14,120 THIS, OFFICE OF HUMAN RESOURCES 2351 01:22:14,120 --> 01:22:24,680 IS USING IT ON USAJOBS.GOV, FOR 2352 01:22:35,440 --> 01:22:37,760 RECRUITMENT OF TRAINEES, AND 2353 01:22:37,760 --> 01:22:40,280 WE'RE CREATING PHYSICAL SIGNAGE 2354 01:22:40,280 --> 01:22:43,200 WITH QR CODES AT ENTRYWAYS AND 2355 01:22:43,200 --> 01:22:44,880 TOUR STOPS SO FOLKS CAN PULL UP 2356 01:22:44,880 --> 01:22:48,600 THE iPHONE AND TAKE IT ON THE 2357 01:22:48,600 --> 01:22:49,040 SPOT. 2358 01:22:49,040 --> 01:22:57,160 THIS IS AP OVERVIEW, WE HAVE 2359 01:22:57,160 --> 01:22:59,040 THIS ON THE SITE TO ORIENT FOLKS 2360 01:22:59,040 --> 01:23:01,160 HOW TO USE IT. 2361 01:23:01,160 --> 01:23:01,320 ♪ 2362 01:23:01,320 --> 01:23:04,040 >>WELCOME TO THE NIH VIRTUAL 2363 01:23:04,040 --> 01:23:04,840 TOUR WEBSITE. 2364 01:23:04,840 --> 01:23:08,520 INTERACTIVE EXPERIENCE TO GET TO 2365 01:23:08,520 --> 01:23:10,840 KNOW NIH AND HOW WE HELP 2366 01:23:10,840 --> 01:23:11,960 AMERICANS LIVE LONGER, 2367 01:23:11,960 --> 01:23:13,360 HEALTHIER, HAPPIER LIVES. 2368 01:23:13,360 --> 01:23:15,000 WITH MULTIPLE VIRTUAL TOUR 2369 01:23:15,000 --> 01:23:16,000 OPTIONS AVAILABLE, YOU CAN 2370 01:23:16,000 --> 01:23:19,600 CHOOSE THE PATH THAT BEST MEETS 2371 01:23:19,600 --> 01:23:21,000 YOUR INTERESTS, ALL OF THE 2372 01:23:21,000 --> 01:23:23,840 VIDEOS ARE DESIGNED TO PROVIDE A 2373 01:23:23,840 --> 01:23:30,240 SHORT OVERVIEW OF NIH'S MISSION, 2374 01:23:30,240 --> 01:23:31,280 RESEARCH, LABS, FACILITIES, MANY 2375 01:23:31,280 --> 01:23:32,720 ARE CONNECTED TO INTERVIEW 2376 01:23:32,720 --> 01:23:34,280 VIDEOS THAT EXPAND ON TOPICS 2377 01:23:34,280 --> 01:23:35,800 EXPLORED IN THE TOUR STOP. 2378 01:23:35,800 --> 01:23:37,560 YOU CAN DISCOVER ALL THE 2379 01:23:37,560 --> 01:23:39,640 INTERVIEW VIDEOS AS A 2380 01:23:39,640 --> 01:23:40,720 COLLECTION, AND HEAR INSIGHTS 2381 01:23:40,720 --> 01:23:44,680 ABOUT NIH AND ITS IMPACT FROM 2382 01:23:44,680 --> 01:23:46,000 SENIOR LEADERS, ADMINISTRATORS, 2383 01:23:46,000 --> 01:23:46,720 SCIENTISTS, AND PATIENTS. 2384 01:23:46,720 --> 01:23:47,760 >>THE REASON I LOVE WORKING AT 2385 01:23:47,760 --> 01:23:49,360 THE NIH IS I WAS A PATIENT 2386 01:23:49,360 --> 01:23:53,640 BEFORE I WAS AN EMPLOYEE. 2387 01:23:53,640 --> 01:23:56,160 A CANCER SURVIVOR, I CAME HERE 2388 01:23:56,160 --> 01:23:58,560 TO BASICALLY PARTICIPATE IN A 2389 01:23:58,560 --> 01:23:59,880 CLINICAL TRIAL, AT THE SAME TIME 2390 01:23:59,880 --> 01:24:04,080 SOMEONE TOLD ME ABOUT A JOB HERE 2391 01:24:04,080 --> 01:24:07,280 AT THE NIH. 2392 01:24:07,280 --> 01:24:09,160 >>FROM BROAD OBSERVATIONS ABOUT 2393 01:24:09,160 --> 01:24:10,400 GOALS TO EXPLANATIONS OF 2394 01:24:10,400 --> 01:24:12,800 RESEARCH HAPPENING AT NIH, THESE 2395 01:24:12,800 --> 01:24:13,680 INTERVIEWS PROVIDE VALUABLE 2396 01:24:13,680 --> 01:24:16,280 CONTEXT TO THE VIRTUAL TOUR 2397 01:24:16,280 --> 01:24:17,160 STOPS, NAVIGATING OUR 2398 01:24:17,160 --> 01:24:18,280 INTERACTIVE MAP IS ANOTHER WAY 2399 01:24:18,280 --> 01:24:21,360 TO GET TO KNOW THE NIH CAMPUS IN 2400 01:24:21,360 --> 01:24:23,000 BETHESDA, MARYLAND. 2401 01:24:23,000 --> 01:24:23,800 MANY BUILDINGS ARE INTERACTIVE 2402 01:24:23,800 --> 01:24:26,240 AND CONTAIN A WEALTH OF 2403 01:24:26,240 --> 01:24:27,560 INFORMATION ABOUT WHAT CAN BE 2404 01:24:27,560 --> 01:24:29,200 FOUND IN THE BUILDING RELATED 2405 01:24:29,200 --> 01:24:30,320 TOUR SYMPTOMS AND INTERVIEWS, 2406 01:24:30,320 --> 01:24:32,480 AND LINKS TO LEARN MORE. 2407 01:24:32,480 --> 01:24:34,800 ADDITIONALLY, THE MAP HAS MANY 2408 01:24:34,800 --> 01:24:36,320 LAYERS AVAILABLE THAT WILL 2409 01:24:36,320 --> 01:24:40,400 DISPLAY AMENITIES SUCH AS 2410 01:24:40,400 --> 01:24:42,560 PARKING, DINING, AND MORE. 2411 01:24:42,560 --> 01:24:44,320 WE'VE ENSURED THE SITE IS 2412 01:24:44,320 --> 01:24:46,640 SEARCHABLE AND SHAREABLE WITH 2413 01:24:46,640 --> 01:24:47,920 LINKS FOR PEOPLE INSPIRED TO 2414 01:24:47,920 --> 01:24:52,400 WORK WITH NIH, EXPLORE OPTIONS 2415 01:24:52,400 --> 01:25:02,800 OR CONNECTING IN OTHER WAYS. 2416 01:25:02,800 --> 01:25:04,240 WHEREVER YOU WITH, NIH IS READY 2417 01:25:04,240 --> 01:25:13,480 TO HELP YOU EXPLORE OUR CAMPUS. 2418 01:25:13,480 --> 01:25:13,640 ♪ 2419 01:25:13,640 --> 01:25:14,960 >>NOW I'M GOING TO HAND OVER TO 2420 01:25:14,960 --> 01:25:18,120 HEATHER WHO IS GOING TO WALK YOU 2421 01:25:18,120 --> 01:25:19,480 THROUGH WITH THE DEMO, AND WE'RE 2422 01:25:19,480 --> 01:25:30,400 HAPPY TO TAKE YOUR QUESTIONS. 2423 01:25:30,400 --> 01:25:33,480 >>HI, EVERYONE. 2424 01:25:33,480 --> 01:25:34,160 THANKS, RENATE. 2425 01:25:34,160 --> 01:25:39,480 I'M GOING TO PULL UP THE TOUR. 2426 01:25:39,480 --> 01:25:41,440 WE'LL JUMP RIGHT IN. 2427 01:25:41,440 --> 01:25:51,960 I WANT TO SHOW VIDEO CONTENT 2428 01:25:51,960 --> 01:26:01,040 AND HOW WE NAVIGATE. 2429 01:26:01,040 --> 01:26:11,520 FROM THIS HOME PAGE, YOU HAVE 2430 01:26:38,440 --> 01:26:40,080 THE OVERVIEW OF THE TOUR, LOOK 2431 01:26:40,080 --> 01:26:41,720 AT THE FULL TOUR WITH 20 TOUR 2432 01:26:41,720 --> 01:26:49,600 STOPS, OR YOU CAN GET INTO 2433 01:26:49,600 --> 01:26:51,480 TRACKS RELEVANT TO PATIENTS, 2434 01:26:51,480 --> 01:26:52,120 CAREGIVERS, FOLKS WHO MAY WANT 2435 01:26:52,120 --> 01:26:53,000 TO WORK WITH NIH. 2436 01:26:53,000 --> 01:26:54,960 FOR THE SAKE OF TODAY'S TOUR 2437 01:26:54,960 --> 01:27:01,560 WE'LL GO AHEAD AND CLICK ON THE 2438 01:27:01,560 --> 01:27:02,400 FULL TOUR. 2439 01:27:02,400 --> 01:27:05,480 WE'RE GOING TO JUMP INTO THE 2440 01:27:05,480 --> 01:27:08,800 WELCOME AND OVERVIEW VIDEO WHICH 2441 01:27:08,800 --> 01:27:10,120 HIGHLIGHTS NOT ONLY NIH'S 2442 01:27:10,120 --> 01:27:11,840 HISTORY AND WHAT NIH IS ABOUT 2443 01:27:11,840 --> 01:27:14,840 BUT THE RESEARCH BEING DONE ON 2444 01:27:14,840 --> 01:27:17,560 CAMPUS AS WELL AS HOW FUNDING IS 2445 01:27:17,560 --> 01:27:18,680 SPEND, AND REALLY JUST A LITTLE 2446 01:27:18,680 --> 01:27:19,760 BIT MORE ABOUT NIH BEFORE YOU 2447 01:27:19,760 --> 01:27:28,640 JUMP INTO THE FULL TOUR. 2448 01:27:28,640 --> 01:27:31,520 WE WILL WATCH THAT VIDEO NOW. 2449 01:27:31,520 --> 01:27:33,760 ♪ 2450 01:27:33,760 --> 01:27:36,720 >>FROM ITS HUMBLE BEGINNINGS IN 2451 01:27:36,720 --> 01:27:39,880 1887, AS A ONE-ROOM LABORATORY, 2452 01:27:39,880 --> 01:27:41,160 THE NATIONAL INSTITUTES OF 2453 01:27:41,160 --> 01:27:44,320 HEALTH HAS GROWN INTO A 2454 01:27:44,320 --> 01:27:46,080 MULTI-BILLION DOLLAR FEDERAL 2455 01:27:46,080 --> 01:27:47,400 AGENCY, WITH 27 INSTITUTES AND 2456 01:27:47,400 --> 01:27:50,040 CENTERS, EACH WITH THEIR OWN 2457 01:27:50,040 --> 01:27:52,680 PORTFOLIO OF RESEARCH FOCUSED ON 2458 01:27:52,680 --> 01:27:54,080 PARTICULAR DISEASES OR BODY 2459 01:27:54,080 --> 01:27:54,320 SYSTEMS. 2460 01:27:54,320 --> 01:27:57,240 ALL BUT THREE RECEIVE THEIR 2461 01:27:57,240 --> 01:27:59,440 FUNDING DIRECTLY FROM CONGRESS, 2462 01:27:59,440 --> 01:28:00,440 ADMINISTER THEIR OWN BUDGETS. 2463 01:28:00,440 --> 01:28:01,800 >>NIH INSTITUTES AND CENTERS 2464 01:28:01,800 --> 01:28:04,360 COLLABORATE AND WORK TOGETHER ON 2465 01:28:04,360 --> 01:28:05,920 RESEARCH INITIATIVES BECAUSE 2466 01:28:05,920 --> 01:28:07,200 MANY HEALTH ISSUES CUT ACROSS 2467 01:28:07,200 --> 01:28:11,480 MULTIPLE DISEASE AREAS. 2468 01:28:11,480 --> 01:28:12,920 ROUGHLY 82% OF NIH'S $45 BILLION 2469 01:28:12,920 --> 01:28:15,640 BUDGET IS INVESTED EACH YEAR IN 2470 01:28:15,640 --> 01:28:16,640 BIOMEDICAL RESEARCH, CONDUCTED 2471 01:28:16,640 --> 01:28:18,240 AT ACADEMIC AND MEDICAL 2472 01:28:18,240 --> 01:28:19,680 INSTITUTIONS ACROSS THE COUNTRY 2473 01:28:19,680 --> 01:28:21,680 AND AROUND THE WORLD. 2474 01:28:21,680 --> 01:28:23,640 NIH ALSO CONDUCTS RESEARCH AS 2475 01:28:23,640 --> 01:28:24,960 PART OF ITS INTRAMURAL RESEARCH 2476 01:28:24,960 --> 01:28:27,560 PROGRAM ON THE NIH CAMPUS AND AT 2477 01:28:27,560 --> 01:28:29,800 SATELLITE CAMPUSES ACROSS THE 2478 01:28:29,800 --> 01:28:30,480 NATION INCLUDING THE NATIONAL 2479 01:28:30,480 --> 01:28:31,960 INSTITUTE OF ENVIRONMENTAL 2480 01:28:31,960 --> 01:28:34,400 HEALTH SCIENCES LOCATED IN 2481 01:28:34,400 --> 01:28:35,520 DURHAM, NORTH CAROLINA. 2482 01:28:35,520 --> 01:28:37,000 >>NIH INVESTMENT IN RESEARCH 2483 01:28:37,000 --> 01:28:39,600 HAS BEEN RESPONSIBLE FOR MEDICAL 2484 01:28:39,600 --> 01:28:40,720 ADVANCEMENTS THAT SAVED 2485 01:28:40,720 --> 01:28:42,480 COUNTLESS LIVES. 2486 01:28:42,480 --> 01:28:43,600 THESE ADVANCEMENTS INCLUDE 2487 01:28:43,600 --> 01:28:46,640 CONTRIBUTING TO A HIGH CURE RATE 2488 01:28:46,640 --> 01:28:47,640 FOR COMMON CHILDHOOD LEUKEMIA, 2489 01:28:47,640 --> 01:28:50,080 MAKING HIV/AIDS ONCE A FATAL 2490 01:28:50,080 --> 01:28:52,080 DIAGNOSIS NOW A TREATABLE 2491 01:28:52,080 --> 01:28:52,600 DISEASE. 2492 01:28:52,600 --> 01:28:55,000 AND DEVELOPING VACCINES TO 2493 01:28:55,000 --> 01:28:57,920 PREVENT DISEASES LIKE HEPATITIS, 2494 01:28:57,920 --> 01:29:00,240 HUMAN PAPILLOMAVIRUS, COVID-19, 2495 01:29:00,240 --> 01:29:02,880 AND MORE. 2496 01:29:02,880 --> 01:29:05,160 2497 01:29:05,160 --> 01:29:07,120 >>IN ADDITION TO THE GUIDED 2498 01:29:07,120 --> 01:29:10,320 TOUR VIDEOS THAT INCLUDE B ROLL, 2499 01:29:10,320 --> 01:29:11,640 FOLKS ACROSS CAMPUS, SOME 2500 01:29:11,640 --> 01:29:13,800 RESEARCH BEING DONE, WE USE 2501 01:29:13,800 --> 01:29:15,440 DIFFERENT TYPES OF MEDIA 2502 01:29:15,440 --> 01:29:17,120 INCLUDING SLIDE SHOWS, PANORAMIC 2503 01:29:17,120 --> 01:29:18,760 IMAGES WHICH WE'LL GET TO IN A 2504 01:29:18,760 --> 01:29:19,000 SECOND. 2505 01:29:19,000 --> 01:29:23,040 WE DO WANT TO SHOW ONE OF THE 2506 01:29:23,040 --> 01:29:25,440 OTHER VIDEOS. 2507 01:29:25,440 --> 01:29:29,280 THE NICHD RESEARCH LAB, 2508 01:29:29,280 --> 01:29:29,840 ZEBRAFISH RESEARCH LAB. 2509 01:29:29,840 --> 01:29:33,280 THANK YOU. 2510 01:29:33,280 --> 01:29:35,160 WHICH GETS INTO OBVIOUSLY THE 2511 01:29:35,160 --> 01:29:37,120 RESEARCH BEING DONE BUT FEATURES 2512 01:29:37,120 --> 01:29:39,000 A LAB INCLUDING ONE OF THE 2513 01:29:39,000 --> 01:29:41,200 FELLOWS THAT IS FEATURED IN OUR 2514 01:29:41,200 --> 01:29:44,160 COMMENTARY INTERVIEWS AS WELL. 2515 01:29:44,160 --> 01:29:45,000 2516 01:29:45,000 --> 01:29:47,320 >>NIH HOUSES THE LARGEST 2517 01:29:47,320 --> 01:29:49,600 ZEBRAFISH FACILITY IN THE WORLD 2518 01:29:49,600 --> 01:29:52,400 WITH OVER HALF A MILLION FISH, 2519 01:29:52,400 --> 01:29:55,200 CURRENTLY HOUSED ON OUR CAMPUS. 2520 01:29:55,200 --> 01:29:56,840 ZEBRAFISH POSSESS A UNIQUE 2521 01:29:56,840 --> 01:29:58,680 COMBINATION OF FEATURES THAT 2522 01:29:58,680 --> 01:30:01,640 MAKE THEM PARTICULARLY SUITABLE 2523 01:30:01,640 --> 01:30:03,600 FOR STUDYING DEVELOPMENTAL 2524 01:30:03,600 --> 01:30:04,040 PROCESSES. 2525 01:30:04,040 --> 01:30:06,320 THE INCH-LONG ZEBRAFISH ARE 2526 01:30:06,320 --> 01:30:07,080 TRANSPARENT, REPRODUCE VERY 2527 01:30:07,080 --> 01:30:09,520 QUICKLY, AND CAN BE KEPT IN 2528 01:30:09,520 --> 01:30:11,160 LARGE GROUPS. 2529 01:30:11,160 --> 01:30:12,680 ALTHOUGH THE SMALL TROPICAL 2530 01:30:12,680 --> 01:30:15,200 FRESH WATER FISH MAY LOOK QUITE 2531 01:30:15,200 --> 01:30:16,720 DIFFERENT FROM HUMANS WE SHARE 2532 01:30:16,720 --> 01:30:19,480 MOST OF THE SAME ORGANS AND 2533 01:30:19,480 --> 01:30:22,400 TISSUE, 70% OF THE SAME GENES. 2534 01:30:22,400 --> 01:30:24,480 THIS MEANS SCIENTISTS CAN USE 2535 01:30:24,480 --> 01:30:26,680 ZEBRAFISH TO STUDY GENETIC 2536 01:30:26,680 --> 01:30:28,440 MUTATIONS, ON THOSE SHARED 2537 01:30:28,440 --> 01:30:30,440 GENES, TO BETTER UNDERSTAND HOW 2538 01:30:30,440 --> 01:30:34,320 HUMAN DISEASES MAY OCCUR. 2539 01:30:34,320 --> 01:30:35,080 DR. BRANT WEINSTEIN'S LAB 2540 01:30:35,080 --> 01:30:36,520 RESEARCHERS USE ZEBRAFISH TO 2541 01:30:36,520 --> 01:30:39,920 STUDY THE CELLULAR AND MOLECULAR 2542 01:30:39,920 --> 01:30:42,320 MECHANISMS RESPONSIBLE FOR BLOOD 2543 01:30:42,320 --> 01:30:43,440 AND LYMPHATIC VESSEL FORMATION. 2544 01:30:43,440 --> 01:30:45,640 AND BIOLOGY WHICH CAN BE 2545 01:30:45,640 --> 01:30:46,960 CRITICAL IN UNDERSTANDING 2546 01:30:46,960 --> 01:30:52,760 CONDITIONS LIKE HEART DISEASE, 2547 01:30:52,760 --> 01:30:53,120 STROKE, CANCER. 2548 01:30:53,120 --> 01:30:55,480 >>IN ADDITION TO THE SLIDE 2549 01:30:55,480 --> 01:30:58,440 SHOWS AND VIDEOS, WE USE 2550 01:30:58,440 --> 01:31:00,080 PANORAMIC IMAGES TO GET A FEEL 2551 01:31:00,080 --> 01:31:01,440 FOR WHAT IT'S LIKE TO BE ON THE 2552 01:31:01,440 --> 01:31:03,240 NIH CAMPUS. 2553 01:31:03,240 --> 01:31:07,320 FOR EXAMPLE, WE'LL JUMP INTO THE 2554 01:31:07,320 --> 01:31:10,360 CLINICAL CENTER ATRIUM. 2555 01:31:10,360 --> 01:31:13,200 I'LL PAUSE IT. 2556 01:31:13,200 --> 01:31:16,280 IT GIVES A FULL 360 VIEW OF WHAT 2557 01:31:16,280 --> 01:31:18,800 IT'S LIKE TO BE IN THE ATRIUM, 2558 01:31:18,800 --> 01:31:21,960 BUT YOU CAN LET IT AUTOMATICALLY 2559 01:31:21,960 --> 01:31:23,480 ROTATE, LOOK AROUND, OR YOU CAN 2560 01:31:23,480 --> 01:31:26,200 GO AHEAD AND GRAB IT WITH YOUR 2561 01:31:26,200 --> 01:31:27,320 MOUSE AND MANIPULATE THE IMAGE 2562 01:31:27,320 --> 01:31:30,200 SO YOU CAN TAKE A LOOK AT WHAT 2563 01:31:30,200 --> 01:31:35,240 IT'S LIKE TO BE IN THE ATRIUM 2564 01:31:35,240 --> 01:31:36,440 ITSELF, GRABBING COFFEE OR 2565 01:31:36,440 --> 01:31:37,480 STOPPING IN THE GIFT SHOP, WHAT 2566 01:31:37,480 --> 01:31:40,120 IT'S LIKE TO BE IN THE SPACE. 2567 01:31:40,120 --> 01:31:42,520 THIS IS REALLY IMPORTANT FOR 2568 01:31:42,520 --> 01:31:46,080 FOLKS WHO LET'S SAY PATIENTS, 2569 01:31:46,080 --> 01:31:47,240 PROSPECTIVE PATIENTS, WE'LL 2570 01:31:47,240 --> 01:31:49,000 CHECK OUT THE CLINICAL CENTER 2571 01:31:49,000 --> 01:31:49,760 PATIENT ROOM, PEOPLE MIGHT WANT 2572 01:31:49,760 --> 01:31:51,400 TO KNOW WHAT IT'S LIKE TO 2573 01:31:51,400 --> 01:31:52,360 ACTUALLY BE RECEIVING TREATMENT 2574 01:31:52,360 --> 01:31:55,760 OR CARE AT THE CLINICAL CENTER. 2575 01:31:55,760 --> 01:31:56,400 AGAIN, IT AUTOMATICALLY ROTATES 2576 01:31:56,400 --> 01:31:59,520 WHEN YOU JUMP INTO THE PANORAMIC 2577 01:31:59,520 --> 01:31:59,800 IMAGE. 2578 01:31:59,800 --> 01:32:03,000 BUT YOU CAN ALSO MANIPULATE THE 2579 01:32:03,000 --> 01:32:04,400 IMAGE, CHECK OUT CERTAIN VIEWS, 2580 01:32:04,400 --> 01:32:06,160 SEE WHAT IT'S LIKE TO BE IN THE 2581 01:32:06,160 --> 01:32:06,800 SPACE. 2582 01:32:06,800 --> 01:32:09,320 WE USE THESE THROUGHOUT THE TOUR 2583 01:32:09,320 --> 01:32:09,880 INCLUDING SPECIAL CLINICAL 2584 01:32:09,880 --> 01:32:15,560 STUDIES UNIT AS WELL AS MCRU. 2585 01:32:15,560 --> 01:32:18,040 AND AS RENATE MENTIONED WE DO 2586 01:32:18,040 --> 01:32:23,000 FEATURE MULTIPLE MEMBERS OF THE 2587 01:32:23,000 --> 01:32:25,400 NIH SPEAKING ABOUT EXPERIENCES. 2588 01:32:25,400 --> 01:32:27,360 SO THAT'S -- YOU CAN ACCESS 2589 01:32:27,360 --> 01:32:29,360 THROUGH THE WE ARE NIH TAB RIGHT 2590 01:32:29,360 --> 01:32:31,560 HERE, OR AS YOU CAN SEE HERE 2591 01:32:31,560 --> 01:32:32,960 THESE THUMB NAILS NEXT TO EVERY 2592 01:32:32,960 --> 01:32:34,400 TOUR STOP. 2593 01:32:34,400 --> 01:32:36,760 THESE ARE ALSO LOCATED NEXT TO 2594 01:32:36,760 --> 01:32:37,680 DIFFERENT BUILDINGS, WHICH WE'LL 2595 01:32:37,680 --> 01:32:39,680 GET INTO IN A LITTLE BIT. 2596 01:32:39,680 --> 01:32:42,400 BUT YOU'LL BE ABLE TO SEE THE 2597 01:32:42,400 --> 01:32:42,920 COMMENTARIES, RELATED TO 2598 01:32:42,920 --> 01:32:46,240 DIFFERENT TOUR STOPS AND 2599 01:32:46,240 --> 01:32:47,040 BUILDINGS THROUGHOUT. 2600 01:32:47,040 --> 01:32:49,840 TODAY WE WANT TO START WITH -- 2601 01:32:49,840 --> 01:32:52,680 I'LL SHOW YOU THE DIFFERENT 2602 01:32:52,680 --> 01:32:53,520 CATEGORIES. 2603 01:32:53,520 --> 01:32:55,000 SENIOR LEADERS, DR. BRENNAN 2604 01:32:55,000 --> 01:32:59,920 RIGHT HERE, WE'VE GOT 2605 01:32:59,920 --> 01:33:02,840 ADMINISTRATORS. 2606 01:33:02,840 --> 01:33:04,520 FELLOWS TO BRANCH CHIEFS AND 2607 01:33:04,520 --> 01:33:05,480 HAVE THE PATIENT EXPERIENCE 2608 01:33:05,480 --> 01:33:06,240 CAPTURED AS WELL. 2609 01:33:06,240 --> 01:33:08,360 WE WANT TO SHARE A COMMENTARY 2610 01:33:08,360 --> 01:33:11,520 FROM DR. BRENNAN TALKING ABOUT 2611 01:33:11,520 --> 01:33:13,040 THE NLM, NOT ONLY ITS HISTORY 2612 01:33:13,040 --> 01:33:16,240 BUT WHAT IT'S LOOKING FORWARD TO 2613 01:33:16,240 --> 01:33:16,440 AS WELL. 2614 01:33:16,440 --> 01:33:17,040 >>THE NATIONAL LIBRARY OF 2615 01:33:17,040 --> 01:33:18,960 MEDICINE IS ONE OF THE FEW 2616 01:33:18,960 --> 01:33:20,280 INSTITUTES ON THE NIH CAMPUS 2617 01:33:20,280 --> 01:33:22,080 THAT ACTUALLY HAS ITS OWN 2618 01:33:22,080 --> 01:33:22,600 BUILDINGS. 2619 01:33:22,600 --> 01:33:24,480 WE HAVE TWO BUILDINGS, WE ALSO 2620 01:33:24,480 --> 01:33:26,640 HAVE STAFF IN SOME AUXILIARY 2621 01:33:26,640 --> 01:33:27,440 SPACE. 2622 01:33:27,440 --> 01:33:29,280 TWO MAIN BUILDINGS ARE ON THE 2623 01:33:29,280 --> 01:33:31,360 SOUTHEAST CORNER OF THE CAMPUS. 2624 01:33:31,360 --> 01:33:33,440 WHAT WE HAVE IS A BUILDING THAT 2625 01:33:33,440 --> 01:33:38,360 WAS BUILT DURING THE COLD WAR 2626 01:33:38,360 --> 01:33:39,120 SPEARED, IN 1956 THE NATIONAL 2627 01:33:39,120 --> 01:33:40,680 LIBRARY OF MEDICINE WAS 2628 01:33:40,680 --> 01:33:41,320 TRANSFERRED FROM THE DEPARTMENT 2629 01:33:41,320 --> 01:33:42,840 OF DEFENSE TO THE PUBLIC HEALTH 2630 01:33:42,840 --> 01:33:44,600 SERVICE, AND THEY NEEDED A 2631 01:33:44,600 --> 01:33:45,080 BUILDING. 2632 01:33:45,080 --> 01:33:47,120 AND SO IT WAS ORIGINALLY 2633 01:33:47,120 --> 01:33:48,680 DOWNTOWN WHEN IT WAS A MILITARY 2634 01:33:48,680 --> 01:33:50,640 LIBRARY, WAS GOING TO BE HOUSED 2635 01:33:50,640 --> 01:33:51,680 AT THE NATIONAL INSTITUTES OF 2636 01:33:51,680 --> 01:33:52,600 HEALTH CAMPUS. 2637 01:33:52,600 --> 01:33:54,800 A BUILDING WAS BUILT BUT IT WAS 2638 01:33:54,800 --> 01:33:57,080 BUILT TO COLD WAR STANDARDS. 2639 01:33:57,080 --> 01:33:58,920 SO THE BUILDING DOCUMENTS WE CAN 2640 01:33:58,920 --> 01:34:00,480 SEE THE DELIBERATION MADE SURE 2641 01:34:00,480 --> 01:34:02,440 THE BUILDING ARE WALLS THICK 2642 01:34:02,440 --> 01:34:04,080 ENOUGH TO WITHSTAND A NUCLEAR 2643 01:34:04,080 --> 01:34:05,960 BLAST, FLOORS THICK ENOUGH TO 2644 01:34:05,960 --> 01:34:08,440 PRESERVE ALL OF THE LITERATURE, 2645 01:34:08,440 --> 01:34:09,560 EARLY JOURNALS, EARLY DOCUMENTS, 2646 01:34:09,560 --> 01:34:11,400 SO OUR WALLS ARE 14 INCHES 2647 01:34:11,400 --> 01:34:15,000 THICK, FLOORS ARE 17 INCHES 2648 01:34:15,000 --> 01:34:15,560 THICK. 2649 01:34:15,560 --> 01:34:16,560 BUILDING HAS SPECIALIZED SPACES 2650 01:34:16,560 --> 01:34:20,160 TO HOLD SOME OF OUR VERY 2651 01:34:20,160 --> 01:34:21,440 PRECIOUS FRAGILE BOOKS. 2652 01:34:21,440 --> 01:34:23,640 WE ALSO HAVE A 12-STORY RESEARCH 2653 01:34:23,640 --> 01:34:25,520 BUILDING ATTACHED TO OUR SPACE. 2654 01:34:25,520 --> 01:34:28,600 NOW, AS YOU HEARD FROM VICTORIA, 2655 01:34:28,600 --> 01:34:30,440 THE NIH CAMPUS HAS TO REINVEST A 2656 01:34:30,440 --> 01:34:32,080 LOT TO KEEP THESE BUILDINGS 2657 01:34:32,080 --> 01:34:32,760 ALIVE. 2658 01:34:32,760 --> 01:34:35,520 OUR MAIN BUILDING WAS BUILT IN 2659 01:34:35,520 --> 01:34:36,880 1960, NOW IN 2022 WE'RE IN THE 2660 01:34:36,880 --> 01:34:38,000 MIDST OF A FOUR-YEAR RENOVATION 2661 01:34:38,000 --> 01:34:40,280 OF THE SPACE TO BE ABLE TO MAKE 2662 01:34:40,280 --> 01:34:44,400 IT MORE MODERN, HAVE MORE OPEN 2663 01:34:44,400 --> 01:34:46,160 SPACES FOR PEOPLE TO WORK 2664 01:34:46,160 --> 01:34:47,040 COLLABORATIVELY AND MORE 2665 01:34:47,040 --> 01:34:48,680 ACCEPTABLE TO THE PUBLIC WHO MAY 2666 01:34:48,680 --> 01:34:50,320 COME TO CAMPUS TO USE SOME OF 2667 01:34:50,320 --> 01:34:52,320 OUR RESOURCES AND HISTORY OF 2668 01:34:52,320 --> 01:34:53,400 MEDICINE COLLECTION. 2669 01:34:53,400 --> 01:34:55,280 OUR SPACE IS JUST BEAUTIFUL. 2670 01:34:55,280 --> 01:34:58,560 I HOPE YOU'LL GET TO SEE IT. 2671 01:34:58,560 --> 01:35:00,640 2672 01:35:00,640 --> 01:35:02,600 >>NEXT I THINK EVERYBODY WHO 2673 01:35:02,600 --> 01:35:04,800 WORKS AT NIH OR WITH KNOWS HOW 2674 01:35:04,800 --> 01:35:06,240 SPECIAL OF A PLACE IT IS BUT WE 2675 01:35:06,240 --> 01:35:08,520 WANT TO SHARE A COMMENTARY FROM 2676 01:35:08,520 --> 01:35:10,520 DR. TABAK ON WHAT HE THINKS 2677 01:35:10,520 --> 01:35:13,960 MAKES NIH SUCH A UNIQUE AND 2678 01:35:13,960 --> 01:35:14,960 SPECIAL PLACE, ESPECIALLY AS 2679 01:35:14,960 --> 01:35:19,000 RELATES TO THE HEALTH OF THE 2680 01:35:19,000 --> 01:35:19,240 NATION. 2681 01:35:19,240 --> 01:35:23,520 >>THIS IS A VERY SPECIAL PLACE, 2682 01:35:23,520 --> 01:35:24,040 NIH. 2683 01:35:24,040 --> 01:35:25,560 THIS SINGULAR FOCUS, THE 2684 01:35:25,560 --> 01:35:27,000 SINGULAR DEDICATION TO IMPROVING 2685 01:35:27,000 --> 01:35:28,840 THE HEALTH OF ALL AMERICANS 2686 01:35:28,840 --> 01:35:32,040 INDEED FOR ALL PEOPLE OF THE 2687 01:35:32,040 --> 01:35:34,320 WORLD IS SOMEWHAT UNIQUE. 2688 01:35:34,320 --> 01:35:38,800 AND, AGAIN, WE'RE A TEAM. 2689 01:35:38,800 --> 01:35:42,520 ADMINISTRATORS, PEOPLE IN THE 2690 01:35:42,520 --> 01:35:43,680 BUSINESS OFFICES, INDIVIDUALS 2691 01:35:43,680 --> 01:35:46,680 WHO WORK IN THE KITCHENS FOR THE 2692 01:35:46,680 --> 01:35:50,520 CLINIC, TO FEED THE PATIENTS AND 2693 01:35:50,520 --> 01:35:52,920 THE STAFF, THE TECHNICIANS, THE 2694 01:35:52,920 --> 01:35:54,360 CLINICIANS, THE RESEARCHERS, 2695 01:35:54,360 --> 01:35:55,760 EVERYBODY IS WORKING TOWARDS THE 2696 01:35:55,760 --> 01:35:56,520 SAME GOAL. 2697 01:35:56,520 --> 01:35:59,040 AND WE NEED EACH AND EVERY ONE 2698 01:35:59,040 --> 01:36:02,960 OF THOSE FOLKS TO SUCCEED IN OUR 2699 01:36:02,960 --> 01:36:03,200 MISSION. 2700 01:36:03,200 --> 01:36:05,840 2701 01:36:05,840 --> 01:36:06,600 >>OKAY. 2702 01:36:06,600 --> 01:36:08,800 NOW WE WANT TO TAKE YOU, NOW 2703 01:36:08,800 --> 01:36:09,960 THAT WE'VE SHOWN YOU TOUR STOPS 2704 01:36:09,960 --> 01:36:13,360 AND SOME OF THE FOLKS THAT 2705 01:36:13,360 --> 01:36:14,040 PROVIDED INTERVIEWS ABOUT HOW 2706 01:36:14,040 --> 01:36:15,680 THEY ARE CONNECTED TO NIH, HOW 2707 01:36:15,680 --> 01:36:17,880 THEY CAME TO NIH, WHAT MAKES NIH 2708 01:36:17,880 --> 01:36:19,280 SO SPECIAL, WE WANT TO JUMP INTO 2709 01:36:19,280 --> 01:36:22,760 THE MAP SO WE CAN SHOW HOW TO 2710 01:36:22,760 --> 01:36:23,440 NAVIGATE THAT. 2711 01:36:23,440 --> 01:36:24,960 SO AS I THINK EVERYBODY KNOWS, 2712 01:36:24,960 --> 01:36:27,280 NIH HAS A VERY BIG CAMPUS WITH A 2713 01:36:27,280 --> 01:36:28,720 LOT OF BUILDINGS ON IT. 2714 01:36:28,720 --> 01:36:32,000 WE'RE GOING TO START WITH OUR 2715 01:36:32,000 --> 01:36:34,840 NAVIGATION OF THE BUILDINGS. 2716 01:36:34,840 --> 01:36:36,920 AS YOU CAN SEE, A LOT OF 2717 01:36:36,920 --> 01:36:39,280 BUILDINGS ARE FEATURED HERE. 2718 01:36:39,280 --> 01:36:40,880 RENATE SHARED THE LIST OF 2719 01:36:40,880 --> 01:36:43,040 BUILDINGS WE DO FEATURE IN THE 2720 01:36:43,040 --> 01:36:45,760 TOUR IN HER PRESENTATION. 2721 01:36:45,760 --> 01:36:47,240 SO EVERYTHING THAT'S AVAILABLE 2722 01:36:47,240 --> 01:36:48,920 TO CHECK OUT IS HERE. 2723 01:36:48,920 --> 01:36:51,000 OF COURSE, CERTAIN BUILDINGS 2724 01:36:51,000 --> 01:36:52,240 WEREN'T INCLUDED FOR SECURITY 2725 01:36:52,240 --> 01:36:52,640 REASONS. 2726 01:36:52,640 --> 01:36:53,440 BUT EVERYTHING ELSE IS AVAILABLE 2727 01:36:53,440 --> 01:36:55,880 TO LEARN A LITTLE BIT MORE 2728 01:36:55,880 --> 01:36:56,920 ABOUT, WHETHER THAT'S HISTORY OF 2729 01:36:56,920 --> 01:36:58,880 THE BUILDING, A LITTLE BIT MORE 2730 01:36:58,880 --> 01:37:01,760 INFORMATION ON OTHER NIH WEB 2731 01:37:01,760 --> 01:37:03,600 PROPERTIES, EVEN RELATED TOUR 2732 01:37:03,600 --> 01:37:05,200 STOPS AND COMMENTARIES. 2733 01:37:05,200 --> 01:37:07,000 SO, YOU CAN NAVIGATE TO ALL THE 2734 01:37:07,000 --> 01:37:08,720 BUILDINGS, OF COURSE AS YOU CAN 2735 01:37:08,720 --> 01:37:10,600 SEE AS WE HOVER OVER THESE IT 2736 01:37:10,600 --> 01:37:12,800 HIGHLIGHTS ON THE MAPS SO YOU 2737 01:37:12,800 --> 01:37:14,760 CAN NAVIGATE THAT WAY. 2738 01:37:14,760 --> 01:37:18,040 OR YOU CAN JUST SCROLL OVER THE 2739 01:37:18,040 --> 01:37:18,560 MAP. 2740 01:37:18,560 --> 01:37:19,760 AND LEARN ABOUT BUILDINGS THAT 2741 01:37:19,760 --> 01:37:19,920 WAY. 2742 01:37:19,920 --> 01:37:21,520 I'LL ZOOM IN A LITTLE BIT. 2743 01:37:21,520 --> 01:37:23,800 I KNOW THIS IS HARD TO SEE. 2744 01:37:23,800 --> 01:37:28,880 WE DO WANT TO START WITH THE 2745 01:37:28,880 --> 01:37:32,920 NATIONAL LIBRARY OF MEDICINE. 2746 01:37:32,920 --> 01:37:34,760 HERE YOU'LL FIND A SHORT 2747 01:37:34,760 --> 01:37:37,200 WRITE-UP OF -- HOPEFULLY 2748 01:37:37,200 --> 01:37:42,520 EVERYBODY CAN SEE THIS, OF THE 2749 01:37:42,520 --> 01:37:44,280 NLM, LINKS TO EXTERNAL WEB 2750 01:37:44,280 --> 01:37:45,280 PROPERTIES, WE HAVE COMMENTARIES 2751 01:37:45,280 --> 01:37:47,440 JUST LIKE WITH THE TOUR STOPS, 2752 01:37:47,440 --> 01:37:50,320 AND WE'VE ALSO GOT IMAGES AND 2753 01:37:50,320 --> 01:37:52,080 EVEN VIDEOS FROM THE NIH 2754 01:37:52,080 --> 01:37:53,280 YouTube PAGE LINKED HERE. 2755 01:37:53,280 --> 01:37:55,680 THIS IS REALLY A COMPREHENSIVE 2756 01:37:55,680 --> 01:37:56,640 RESOURCE FOR FOLKS WHO WANT TO 2757 01:37:56,640 --> 01:37:58,640 LEARN A LITTLE BIT MORE ABOUT 2758 01:37:58,640 --> 01:38:01,240 EACH OF THE BUILDINGS, AND THEN 2759 01:38:01,240 --> 01:38:03,120 THE WEB PROPERTIES, DIRECT THEM 2760 01:38:03,120 --> 01:38:03,760 TO ADDITIONAL INFORMATION SO 2761 01:38:03,760 --> 01:38:07,960 THEY CAN LEARN ALL ABOUT THOSE 2762 01:38:07,960 --> 01:38:08,280 SPACES. 2763 01:38:08,280 --> 01:38:12,200 NEXT WE'RE GOING TO HEAD OVER 2764 01:38:12,200 --> 01:38:14,440 ACROSS CAMPUS TO THE CLINICAL 2765 01:38:14,440 --> 01:38:14,640 CENTER. 2766 01:38:14,640 --> 01:38:17,120 OF COURSE, BUILDING 10 IS THE 2767 01:38:17,120 --> 01:38:18,560 BIGGEST BUILDING ON CAMPUS, ALSO 2768 01:38:18,560 --> 01:38:21,080 DOES HOUSE MOST OF OUR TOUR 2769 01:38:21,080 --> 01:38:22,400 STOPS BECAUSE OF THE ENORMOUS 2770 01:38:22,400 --> 01:38:23,840 AMOUNT OF RESEARCH THAT'S BEING 2771 01:38:23,840 --> 01:38:26,880 DONE IN THE CLINICAL CENTER. 2772 01:38:26,880 --> 01:38:28,880 WE'LL CLICK HERE, AS YOU CAN 2773 01:38:28,880 --> 01:38:35,160 SEE, AGAIN WE HAVE THOSE IMAGES 2774 01:38:35,160 --> 01:38:38,960 FROM VARIOUS POINTS IN TIME, OF 2775 01:38:38,960 --> 01:38:40,920 THE CLINICAL CENTER, AS WELL AS 2776 01:38:40,920 --> 01:38:43,000 MULTIPLE VIDEOS THAT TALK MORE 2777 01:38:43,000 --> 01:38:45,640 ABOUT THE CLINICAL CENTER AND 2778 01:38:45,640 --> 01:38:48,280 EVERYTHING THAT THE NIH CLINICAL 2779 01:38:48,280 --> 01:38:49,280 CENTER DOES. 2780 01:38:49,280 --> 01:38:51,440 ADDITIONALLY, WE'VE GOT THAT 2781 01:38:51,440 --> 01:38:52,320 SAME -- ANOTHER WRITE-UP, A 2782 01:38:52,320 --> 01:38:53,320 LITTLE BIT MORE ABOUT THE 2783 01:38:53,320 --> 01:38:55,720 HISTORY AS WELL AS WHAT THE NIH 2784 01:38:55,720 --> 01:38:57,040 CLINICAL CENTER IS FOCUSED ON. 2785 01:38:57,040 --> 01:38:59,680 WE HAVE A LIST OF ALL THE 2786 01:38:59,680 --> 01:39:00,880 DIFFERENT TOUR STOPS, AS I 2787 01:39:00,880 --> 01:39:06,120 MENTIONED THERE'S A LOT OF TOUR 2788 01:39:06,120 --> 01:39:08,640 STOPS IN THE CLINICAL CENTER, 2789 01:39:08,640 --> 01:39:09,640 LISTED HERE FOR EASY ACCESS. 2790 01:39:09,640 --> 01:39:12,360 WE HAVE A LIST OF RESOURCES AND 2791 01:39:12,360 --> 01:39:14,640 ANY OF THE BUILDINGS ON CAMPUS 2792 01:39:14,640 --> 01:39:17,800 THAT DO HAVE RESOURCES THAT ARE 2793 01:39:17,800 --> 01:39:19,680 RELEVANT TO STAFF, AND TO 2794 01:39:19,680 --> 01:39:22,640 PATIENTS OR VISITORS, WILL BE 2795 01:39:22,640 --> 01:39:24,040 LISTED IN THOSE BUILDINGS. 2796 01:39:24,040 --> 01:39:25,640 AND HERE IN THE CLINICAL CENTER 2797 01:39:25,640 --> 01:39:27,800 OBVIOUSLY THERE'S A LOT OF 2798 01:39:27,800 --> 01:39:29,160 RESOURCES FOR STAFF AND PATIENTS 2799 01:39:29,160 --> 01:39:30,280 AND VISITORS ALIKE. 2800 01:39:30,280 --> 01:39:32,680 EVERYTHING FROM BADGING TO THE 2801 01:39:32,680 --> 01:39:36,320 BLOOD BANK, TO GIFT SHOPS, AND 2802 01:39:36,320 --> 01:39:37,080 DIFFERENT CONFERENCE SPACES. 2803 01:39:37,080 --> 01:39:40,720 SO OF COURSE ALL OF THE RESEARCH 2804 01:39:40,720 --> 01:39:45,400 BEING DONE IN THE CLINICAL 2805 01:39:45,400 --> 01:39:47,360 CENTER. 2806 01:39:47,360 --> 01:39:50,640 WE HAVE OF COURSE THOSE 2807 01:39:50,640 --> 01:39:51,800 COMMENTARY INTERVIEWS LISTED AS 2808 01:39:51,800 --> 01:39:52,280 THUMB NAILS. 2809 01:39:52,280 --> 01:39:54,560 A LOT OF FOLKS WHO WORK IN THE 2810 01:39:54,560 --> 01:39:55,880 CLINICAL CENTER, WE DID 2811 01:39:55,880 --> 01:39:57,080 INTERVIEW, FOR THOSE COMMENTARY 2812 01:39:57,080 --> 01:39:57,560 INTERVIEWS. 2813 01:39:57,560 --> 01:39:59,600 WE ALSO HAVE THEM ALL LISTED OUT 2814 01:39:59,600 --> 01:39:59,840 HERE. 2815 01:39:59,840 --> 01:40:02,360 AND THEN OF COURSE AS WITH OTHER 2816 01:40:02,360 --> 01:40:05,200 BUILDINGS ON CAMPUS, WE LINK TO 2817 01:40:05,200 --> 01:40:06,400 ADDITIONAL NIH WEB PROPERTIES SO 2818 01:40:06,400 --> 01:40:10,440 WE CAN LEARN MORE ABOUT BUILDING 2819 01:40:10,440 --> 01:40:10,960 10. 2820 01:40:10,960 --> 01:40:12,920 AS RENATE MENTIONED IT'S NOT 2821 01:40:12,920 --> 01:40:15,280 MEANT TO BE A LITERAL MAP. 2822 01:40:15,280 --> 01:40:17,560 WE DID DIRECT FOLKS TO OTHER 2823 01:40:17,560 --> 01:40:18,320 RESOURCES. 2824 01:40:18,320 --> 01:40:19,280 THERE'S SO MUCH TO LEARN, WE 2825 01:40:19,280 --> 01:40:22,000 COULDN'T PUT IT ALL IN THE 2826 01:40:22,000 --> 01:40:25,000 VIRTUAL TOUR, THOUGH WE 2827 01:40:25,000 --> 01:40:25,640 DEFINITELY TRIED. 2828 01:40:25,640 --> 01:40:31,360 NEXT WE'RE GOING TO GO AHEAD AND 2829 01:40:31,360 --> 01:40:32,800 SHARE WITH YOU, RENATE MENTIONED 2830 01:40:32,800 --> 01:40:34,280 THE LAYERING FEATURE, WE'LL 2831 01:40:34,280 --> 01:40:36,160 SHARE AMENITIES ON CAMPUS. 2832 01:40:36,160 --> 01:40:39,000 WE HAVE EVERYTHING FROM PARKING 2833 01:40:39,000 --> 01:40:44,680 TO FOOD AN DRINK, TO EVEN THE 2834 01:40:44,680 --> 01:40:45,560 BADGING AND INTERPRETING 2835 01:40:45,560 --> 01:40:48,760 SERVICES WHICH WE'LL GET INTO, 2836 01:40:48,760 --> 01:40:51,480 BUT WE HAVE PARKING FOR STAFF, 2837 01:40:51,480 --> 01:40:53,560 FOR PATIENTS, WE EVEN HAVE EV 2838 01:40:53,560 --> 01:40:55,400 CHARGING STATIONS AND BIKE RACKS 2839 01:40:55,400 --> 01:40:56,720 AVAILABLE WHEN YOU CLICK ON 2840 01:40:56,720 --> 01:40:57,920 THESE, YOU'LL SEE THAT THOSE 2841 01:40:57,920 --> 01:40:59,120 ICONS POP UP. 2842 01:40:59,120 --> 01:41:00,400 YOU CAN FIND EXACTLY WHERE THOSE 2843 01:41:00,400 --> 01:41:04,040 ARE AND A LITTLE BIT MORE ABOUT 2844 01:41:04,040 --> 01:41:04,600 THOSE HERE. 2845 01:41:04,600 --> 01:41:07,520 AND THEN OF COURSE UNDER 2846 01:41:07,520 --> 01:41:08,880 TRANSPORTATION, WE KNOW A LOT OF 2847 01:41:08,880 --> 01:41:10,160 FOLKS GET TO CAMPUS VIA THE 2848 01:41:10,160 --> 01:41:11,800 METRO SO WE DO HAVE THE METRO 2849 01:41:11,800 --> 01:41:13,320 HIGHLIGHTED OF COURSE. 2850 01:41:13,320 --> 01:41:16,120 AND WE'VE GOT THE CAMPUS SHUTTLE 2851 01:41:16,120 --> 01:41:18,280 STOP, VITAL FOR STAFF AND 2852 01:41:18,280 --> 01:41:20,000 VISITORS ALIKE. 2853 01:41:20,000 --> 01:41:21,080 AND THE SHUTTLE STOPS, YOU'LL 2854 01:41:21,080 --> 01:41:22,840 SEE WHEN YOU CLICK ON THOSE AS 2855 01:41:22,840 --> 01:41:24,160 WITH MANY ICONS THROUGHOUT THE 2856 01:41:24,160 --> 01:41:27,120 TOUR, THIS GIVES YOU A LOT MORE 2857 01:41:27,120 --> 01:41:29,200 INFORMATION ON ACTUALLY USING 2858 01:41:29,200 --> 01:41:35,080 THE SHUTTLE, SO THE ICONS WE 2859 01:41:35,080 --> 01:41:36,760 HAVE LISTED HERE ARE THE MAIN 2860 01:41:36,760 --> 01:41:38,920 ROUTE BUT WE DO HAVE ALL THE 2861 01:41:38,920 --> 01:41:40,360 OTHER ROUTES LISTED SO YOU CAN 2862 01:41:40,360 --> 01:41:42,000 LEARN MORE IF YOU NEED TO TAKE 2863 01:41:42,000 --> 01:41:45,600 THE PURPLE LINE OR GRAY LINE, WE 2864 01:41:45,600 --> 01:41:47,480 ALSO HAVE THE LIVE SHUTTLE BUS 2865 01:41:47,480 --> 01:41:51,800 MAP LINKED HERE AS WELL. 2866 01:41:51,800 --> 01:41:53,920 ADDITIONALLY, WE REALLY DID WANT 2867 01:41:53,920 --> 01:41:55,800 TO FOCUS ON ACCESSIBILITY AND 2868 01:41:55,800 --> 01:41:57,760 INCLUSIVITY IN THIS TOUR. 2869 01:41:57,760 --> 01:42:00,320 SO WE MADE SURE THAT GENDER 2870 01:42:00,320 --> 01:42:01,320 NEUTRAL AND ACCESSIBLE RESTROOMS 2871 01:42:01,320 --> 01:42:02,960 WERE LISTED ON THE MAP. 2872 01:42:02,960 --> 01:42:04,600 WE'LL GO BACK TO BUILDING 10 2873 01:42:04,600 --> 01:42:06,760 HERE, FOR EXAMPLE, WHEN WE CLICK 2874 01:42:06,760 --> 01:42:08,640 ON THE GENDER NEUTRAL INCLUSIVE 2875 01:42:08,640 --> 01:42:09,640 RESTROOMS, CLICK HERE, THIS WILL 2876 01:42:09,640 --> 01:42:12,440 GIVE A LIST OF WHERE EVERY 2877 01:42:12,440 --> 01:42:14,520 SINGLE ONE OF THOSE GENDER 2878 01:42:14,520 --> 01:42:16,160 NEUTRAL RESTROOMS IS SO FOLKS 2879 01:42:16,160 --> 01:42:17,720 AREN'T HUNTING GOING INTO 2880 01:42:17,720 --> 01:42:18,680 BUILDINGS TRYING TO FIGURE IT 2881 01:42:18,680 --> 01:42:19,040 OUT. 2882 01:42:19,040 --> 01:42:21,880 THIS IS HELPFUL FOR ANYBODY 2883 01:42:21,880 --> 01:42:24,520 VISITING CAMPUS TO JUST GET THAT 2884 01:42:24,520 --> 01:42:25,520 INFORMATION RIGHT AT THEIR 2885 01:42:25,520 --> 01:42:25,920 FINGERTIPS. 2886 01:42:25,920 --> 01:42:28,560 AND THEN OF COURSE WE DO HAVE 2887 01:42:28,560 --> 01:42:34,120 FOOD AND DRINK LISTED AS WELL. 2888 01:42:34,120 --> 01:42:36,200 AND THIS -- CAFES, CAFETERIAS, 2889 01:42:36,200 --> 01:42:37,640 CONCESSION STANDS, THINGS ARE 2890 01:42:37,640 --> 01:42:39,400 OPENING AND CLOSING AS THERE'S 2891 01:42:39,400 --> 01:42:40,680 CONSTRUCTION ON CAMPUS, AS 2892 01:42:40,680 --> 01:42:42,880 THINGS ARE OPENING UP MORE SO WE 2893 01:42:42,880 --> 01:42:44,840 DO HAVE BACK ENDS ACCESS. 2894 01:42:44,840 --> 01:42:46,640 AS THINGS OPEN, AS THINGS -- 2895 01:42:46,640 --> 01:42:48,120 HOURS CHANGE, WE NEED TO UPDATE 2896 01:42:48,120 --> 01:42:50,880 THINGS, WE CAN DO THAT. 2897 01:42:50,880 --> 01:42:55,680 AND SAME GOES FOR -- I WANT TO 2898 01:42:55,680 --> 01:42:57,240 HIGHLIGHT ONE MORE THING ON -- 2899 01:42:57,240 --> 01:43:01,800 LET ME GET RID OF THESE. 2900 01:43:01,800 --> 01:43:03,680 ON TRANSPORTATION, WE WANTED TO 2901 01:43:03,680 --> 01:43:05,200 FOCUS ON ACCESSIBILITY AND SO WE 2902 01:43:05,200 --> 01:43:08,400 INCLUDED ROADS AS PART OF THIS 2903 01:43:08,400 --> 01:43:10,600 MENU UNDER TRANSPORTATION, AND 2904 01:43:10,600 --> 01:43:14,280 THIS IS BECAUSE FOLKS WITH -- 2905 01:43:14,280 --> 01:43:16,040 USING KEYBOARDS SHOULD BE ABLE 2906 01:43:16,040 --> 01:43:19,040 TO CLICK THROUGH ROADS AVAILABLE 2907 01:43:19,040 --> 01:43:21,080 AS WELL. 2908 01:43:21,080 --> 01:43:22,080 FOLKS USING THEIR KEYBOARD CAN 2909 01:43:22,080 --> 01:43:27,560 GET A WHOLE LIST OF THE ROADS AS 2910 01:43:27,560 --> 01:43:28,080 WELL. 2911 01:43:28,080 --> 01:43:30,080 WE MADE SURE TO -- ALL THE ROADS 2912 01:43:30,080 --> 01:43:34,880 HAVE THIS POP-UP YOU SEE HERE, 2913 01:43:34,880 --> 01:43:37,080 CEDAR LANE, EAST DRIVE, ALL THE 2914 01:43:37,080 --> 01:43:37,720 DIFFERENT ROADS AROUND, BECAUSE 2915 01:43:37,720 --> 01:43:42,400 A LOT OF MAPS ARE NOT ACTUALLY 2916 01:43:42,400 --> 01:43:43,200 508 ACCESSIBLE WITH EMBEDDED 2917 01:43:43,200 --> 01:43:44,720 STREET NAMES AND WE WANTED TO 2918 01:43:44,720 --> 01:43:48,120 MAKE SURE FOLKS USING SCREEN 2919 01:43:48,120 --> 01:43:49,560 READERS COULD ACCESS WHERE THEY 2920 01:43:49,560 --> 01:43:51,280 WERE ON CAMPUS, ORIENT 2921 01:43:51,280 --> 01:43:59,720 THEMSELVES BETTER WHEN EXPLORING 2922 01:43:59,720 --> 01:44:00,160 THIS TOUR. 2923 01:44:00,160 --> 01:44:04,520 ADDITIONALLY, WE HAVE OTHER 2924 01:44:04,520 --> 01:44:05,040 AMENITIES, INCLUDING 2925 01:44:05,040 --> 01:44:07,360 INTERPRETING SERVICES, AS I 2926 01:44:07,360 --> 01:44:09,120 MENTIONED, LACTATION ROOMS, 2927 01:44:09,120 --> 01:44:10,280 CREDIT UNION AND ATMs, AND 2928 01:44:10,280 --> 01:44:11,560 BADGING CENTERS. 2929 01:44:11,560 --> 01:44:17,560 THIS IS A REALLY GREAT LIST OF 2930 01:44:17,560 --> 01:44:19,200 RESOURCES FOR FOLKS VISITING 2931 01:44:19,200 --> 01:44:21,160 CAMPUS, WHETHER STAFF, PATIENTS, 2932 01:44:21,160 --> 01:44:21,440 VISITORS. 2933 01:44:21,440 --> 01:44:23,240 ADDITIONALLY WE HAVE A LEARN 2934 01:44:23,240 --> 01:44:24,760 MORE TAB, SO ANYTHING THAT'S NOT 2935 01:44:24,760 --> 01:44:27,840 IN THE TOUR WE HOPE HAS BEEN 2936 01:44:27,840 --> 01:44:28,920 INCLUDED IN WHAT WE'RE LINKING 2937 01:44:28,920 --> 01:44:29,480 OUT TO. 2938 01:44:29,480 --> 01:44:32,760 SO YOU CAN LEARN MORE ABOUT NIH, 2939 01:44:32,760 --> 01:44:40,120 NIH'S MISSION, WHAT YOU ALL DO, 2940 01:44:40,120 --> 01:44:41,080 GETTING INVOLVED IN NIH WHETHER 2941 01:44:41,080 --> 01:44:43,240 THROUGH A CAREER AT NIH OR 2942 01:44:43,240 --> 01:44:44,680 GRANTS AND FUNDING, APPLYING FOR 2943 01:44:44,680 --> 01:44:45,600 GRANTS, OR EVEN GETTING INVOLVED 2944 01:44:45,600 --> 01:44:46,320 IN A CLINICAL TRIAL. 2945 01:44:46,320 --> 01:44:49,600 AND THEN OF COURSE WE DO HAVE A 2946 01:44:49,600 --> 01:44:52,880 LINK TO OTHER CAMPUS MAPS, WHICH 2947 01:44:52,880 --> 01:44:54,520 DOES INCLUDE PRINTABLE MAPS FOR 2948 01:44:54,520 --> 01:44:58,600 THE BETHESDA CAMPUS AS WELL AS 2949 01:44:58,600 --> 01:45:00,360 OTHER CAMPUSES. 2950 01:45:00,360 --> 01:45:02,720 FINALLY, EVERYTHING IS 2951 01:45:02,720 --> 01:45:03,520 SEARCHABLE AND SHAREABLE. 2952 01:45:03,520 --> 01:45:07,040 SO, LET'S SAY YOU WANTED TO -- 2953 01:45:07,040 --> 01:45:07,760 WE MENTIONED CONFERENCE 2954 01:45:07,760 --> 01:45:08,520 SERVICES. 2955 01:45:08,520 --> 01:45:10,360 SO IF YOU WANTED TO FIGURE OUT 2956 01:45:10,360 --> 01:45:12,240 WHERE THE CONFERENCE FACILITIES 2957 01:45:12,240 --> 01:45:15,360 WERE ON CAMPUS, ALL THE 2958 01:45:15,360 --> 01:45:16,760 BUILDINGS THAT HAVE SERVICES OR 2959 01:45:16,760 --> 01:45:18,960 FACILITIES ARE LISTED HERE AS 2960 01:45:18,960 --> 01:45:21,760 WELL AS THIS SPECIFIC 2961 01:45:21,760 --> 01:45:24,000 AUDITORIUMS AND AMPHITHEATERS 2962 01:45:24,000 --> 01:45:24,320 THEMSELVES. 2963 01:45:24,320 --> 01:45:25,520 AND FINALLY, EVERYTHING IS 2964 01:45:25,520 --> 01:45:27,840 SHAREABLE AND WE MADE SURE IT 2965 01:45:27,840 --> 01:45:29,800 WAS GRANULAR IN TERMS OF WHAT 2966 01:45:29,800 --> 01:45:31,560 YOU COULD SHARE. 2967 01:45:31,560 --> 01:45:35,880 SO, I'M GOING TO GO BACK TO THE 2968 01:45:35,880 --> 01:45:36,240 NLM. 2969 01:45:36,240 --> 01:45:38,200 LET'S SAY WE WANTED TO SHARE 2970 01:45:38,200 --> 01:45:39,880 THIS VIEW, DRIVE FOLKS TO THE 2971 01:45:39,880 --> 01:45:40,920 NATIONAL LIBRARY OF MEDICINE 2972 01:45:40,920 --> 01:45:42,120 WITHIN THE TOUR. 2973 01:45:42,120 --> 01:45:43,800 HIT THIS SHARE BUTTON RIGHT 2974 01:45:43,800 --> 01:45:44,120 HERE. 2975 01:45:44,120 --> 01:45:44,920 COPY THIS LINK. 2976 01:45:44,920 --> 01:45:47,080 AND WHOEVER YOU SEND THIS TO 2977 01:45:47,080 --> 01:45:48,640 WHEN YOU'RE SHARING, THEY WILL 2978 01:45:48,640 --> 01:45:50,840 GET THIS EXACT VIEW SO THEY CAN 2979 01:45:50,840 --> 01:45:56,320 POP RIGHT INTO THE TOUR AT THE 2980 01:45:56,320 --> 01:45:58,280 NATIONAL LIBRARY OF MEDICINE. 2981 01:45:58,280 --> 01:46:03,640 I THINK THAT'S IT FOR MY TOUR. 2982 01:46:03,640 --> 01:46:05,640 I'LL INVITE RENATE UP TO ANSWER 2983 01:46:05,640 --> 01:46:06,000 ANY QUESTIONS. 2984 01:46:06,000 --> 01:46:11,520 >>HAPPY TO TAKE ANY QUESTIONS. 2985 01:46:11,520 --> 01:46:14,800 AGAIN, IT WAS A HUGE INVESTMENT, 2986 01:46:14,800 --> 01:46:16,920 WE'RE TRYING TO MAXIMIZE USE. 2987 01:46:16,920 --> 01:46:19,800 IT'S BEING USED ACROSS NIH AND 2988 01:46:19,800 --> 01:46:20,800 WEB PROPERTIES, WOULD LOVE OTHER 2989 01:46:20,800 --> 01:46:22,160 FOLKS THINKING OF OTHER WAYS TO 2990 01:46:22,160 --> 01:46:26,840 USE IT IN THE COMMUNITY, WE 2991 01:46:26,840 --> 01:46:28,480 DIDN'T MENTION THE CHILDREN'S 2992 01:46:28,480 --> 01:46:30,360 INN, RESOURCES FOR PATIENTS AND 2993 01:46:30,360 --> 01:46:33,000 CAREGIVERS, HAPPY TO TAKE ANY 2994 01:46:33,000 --> 01:46:33,720 QUESTIONS YOU MIGHT HAVE. 2995 01:46:33,720 --> 01:46:34,400 >>WONDERFUL. 2996 01:46:34,400 --> 01:46:36,040 THIS IS SUCH A TREMENDOUS 2997 01:46:36,040 --> 01:46:36,320 RESOURCE. 2998 01:46:36,320 --> 01:46:38,680 THANK YOU SO MUCH FOR BRINGING 2999 01:46:38,680 --> 01:46:40,400 IT TO US TODAY. 3000 01:46:40,400 --> 01:46:49,280 I AM DELIGHTED TO WELCOME 3001 01:46:49,280 --> 01:46:54,840 DOCTORS SIMINO AND OGUNYEMI TO 3002 01:46:54,840 --> 01:46:55,440 FACILITATE QUESTIONS. 3003 01:46:55,440 --> 01:46:56,000 >>IT'S STRAIGHT FORWARD. 3004 01:46:56,000 --> 01:46:57,240 >>THIS IS AVAILABLE TO 3005 01:46:57,240 --> 01:46:57,520 EVERYBODY. 3006 01:46:57,520 --> 01:47:08,040 CAN YOU MAKE IT KNOWN TO FOLKS ( 3007 01:47:09,160 --> 01:47:10,640 INAUDIBLE) FED-EX AND UPS, DO 3008 01:47:10,640 --> 01:47:10,880 THEY KNOW? 3009 01:47:10,880 --> 01:47:12,520 >>WE DO WORK WITH OFFICE OF 3010 01:47:12,520 --> 01:47:13,800 RESEARCH FACILITIES AND OFFICE 3011 01:47:13,800 --> 01:47:15,320 OF RESEARCH SERVICES TO MAKE 3012 01:47:15,320 --> 01:47:17,920 SURE THEY ARE INCORPORATING IT 3013 01:47:17,920 --> 01:47:19,160 IN THEIR MATERIALS, AND THEN 3014 01:47:19,160 --> 01:47:22,440 ANYBODY AT NIH CAN USE IT. 3015 01:47:22,440 --> 01:47:23,720 SOMEBODY'S COMING TO CAMPUS, OH, 3016 01:47:23,720 --> 01:47:25,280 HERE'S A LINK TO THIS, THERE'S 3017 01:47:25,280 --> 01:47:27,120 INFORMATION HOW TO GET HERE, 3018 01:47:27,120 --> 01:47:28,360 WHAT AMENITIES, WHEN YOU'RE 3019 01:47:28,360 --> 01:47:32,080 HERE, HOW TO PARK, SO FORTH. 3020 01:47:32,080 --> 01:47:34,240 YES, WE LAUNCHED IN JUNE, 3021 01:47:34,240 --> 01:47:36,200 MID-JUNE, AND WE'RE REALLY 3022 01:47:36,200 --> 01:47:41,920 TRYING TO PROPAGATE IT AS MUCH 3023 01:47:41,920 --> 01:47:42,320 AS POSSIBLE. 3024 01:47:42,320 --> 01:47:44,880 >>IS THERE INFORMATION ABOUT 3025 01:47:44,880 --> 01:47:45,920 GETTING THROUGH SECURITY? 3026 01:47:45,920 --> 01:47:48,160 >>YES, LINKS TO SITES, VARIOUS 3027 01:47:48,160 --> 01:47:50,480 WAYS TO COMMON TO CAMPUS, HOW TO 3028 01:47:50,480 --> 01:47:58,440 PARK ON CAMPUS, IT'S NOT EASY. 3029 01:47:58,440 --> 01:48:00,520 WE'RE HOPING THIS MAKES IT EASY. 3030 01:48:00,520 --> 01:48:02,160 MY OFFICE MANAGES THE NIH 3031 01:48:02,160 --> 01:48:03,360 VISITORS CENTER BECAUSE WE GIVE 3032 01:48:03,360 --> 01:48:08,200 TOURS TO FOLKS AND SO FORTH, WE 3033 01:48:08,200 --> 01:48:09,760 MANAGE VIP VISITS, AND IT'S -- 3034 01:48:09,760 --> 01:48:12,720 YOU KNOW, IT'S A HUGE CAMPUS, 3035 01:48:12,720 --> 01:48:20,320 AND A CHALLENGE TO FIGURE OUT. 3036 01:48:20,320 --> 01:48:21,800 >>FOR PEOPLE WHO DONATE BLOOD 3037 01:48:21,800 --> 01:48:23,440 AND LIVE IN THE COMMUNITY, TO 3038 01:48:23,440 --> 01:48:24,520 CUT THROUGH TO GET TO THE METRO, 3039 01:48:24,520 --> 01:48:28,560 DO YOU HAVE THAT INFORMATION IN 3040 01:48:28,560 --> 01:48:28,880 THERE? 3041 01:48:28,880 --> 01:48:29,560 >>RIGHT, WE HAVE INFORMATION 3042 01:48:29,560 --> 01:48:31,120 ABOUT THE GATEWAY CENTER AND HOW 3043 01:48:31,120 --> 01:48:40,400 TO COME ON AND THE METRO CENTER 3044 01:48:40,400 --> 01:48:41,160 AND SO FORTH. 3045 01:48:41,160 --> 01:48:43,400 THE OFFICE OF HUMAN RESOURCES, 3046 01:48:43,400 --> 01:48:45,680 OH, WE SHOULD PUT A VIDEO HOW TO 3047 01:48:45,680 --> 01:48:50,040 GET FROM HERE TO THE BADGING 3048 01:48:50,040 --> 01:48:50,560 STATION. 3049 01:48:50,560 --> 01:48:54,800 AGAIN, IT'S AN EXPERIENCE, ALSO 3050 01:48:54,800 --> 01:48:55,360 INFORMATIONAL, BUT A LOT OF 3051 01:48:55,360 --> 01:48:57,360 FOLKS ARE ADDING MORE 3052 01:48:57,360 --> 01:48:58,560 INFORMATION TO THEIR WEBSITES AS 3053 01:48:58,560 --> 01:49:00,400 THEY SEE IT AND FIGURE OUT HOW 3054 01:49:00,400 --> 01:49:01,600 TO USE IT. 3055 01:49:01,600 --> 01:49:03,720 >>I THINK THERE'S LIKE GOOGLE 3056 01:49:03,720 --> 01:49:05,800 MAPS THINGS THAT TAKE YOU 3057 01:49:05,800 --> 01:49:07,200 INSIDE, AT LEAST BUILDING 10. 3058 01:49:07,200 --> 01:49:08,680 YOU HAVE THAT LINKED SOMEWHERE 3059 01:49:08,680 --> 01:49:10,680 SO PEOPLE CAN KNOW ABOUT THAT? 3060 01:49:10,680 --> 01:49:13,360 >>I DON'T KNOW, YOU MEAN ON THE 3061 01:49:13,360 --> 01:49:13,840 GOOGLE MAP? 3062 01:49:13,840 --> 01:49:17,800 >>YEAH, I DON'T REMEMBER HOW 3063 01:49:17,800 --> 01:49:19,840 YOU GET TO IT, YOU CAN GO ON THE 3064 01:49:19,840 --> 01:49:25,920 FLOORS AND NAVIGATE THROUGH THE 3065 01:49:25,920 --> 01:49:26,440 DIFFERENT FLOORS. 3066 01:49:26,440 --> 01:49:28,880 >>I KNOW THERE WAS AN APP, IT 3067 01:49:28,880 --> 01:49:30,200 MIGHT BE UNDER CONSTRUCTION. 3068 01:49:30,200 --> 01:49:31,600 MIGHT NOT BE ON THE SITE RIGHT 3069 01:49:31,600 --> 01:49:35,000 NOW BUT WE DO I BELIEVE HAVE THE 3070 01:49:35,000 --> 01:49:37,280 SORT OF CLINICAL CENTER LAYERING 3071 01:49:37,280 --> 01:49:38,880 THAT WALKS YOU THROUGH. 3072 01:49:38,880 --> 01:49:39,800 >>THAT'S PARTICULARLY 3073 01:49:39,800 --> 01:49:40,120 CHALLENGING. 3074 01:49:40,120 --> 01:49:42,560 >>YEAH, THERE'S A CLINICAL 3075 01:49:42,560 --> 01:49:43,960 CENTER, I THINK IT'S FUNCTIONAL, 3076 01:49:43,960 --> 01:49:45,640 HOW TO GET AROUND THE CLINICAL 3077 01:49:45,640 --> 01:49:47,160 CENTER, YEAH, TAKE ME THERE. 3078 01:49:47,160 --> 01:49:49,000 IT'S ON THEIR WEBSITE. 3079 01:49:49,000 --> 01:49:50,400 AGAIN, WE LINK. 3080 01:49:50,400 --> 01:49:51,880 WE WORK CLOSELY WITH THE 3081 01:49:51,880 --> 01:49:53,800 CLINICAL CENTER, THEY ARE TRYING 3082 01:49:53,800 --> 01:49:55,800 TO LEVERAGE AS MUCH FOR PATIENT 3083 01:49:55,800 --> 01:49:56,760 MATERIALS AND HOPEFULLY 3084 01:49:56,760 --> 01:49:59,600 CHILDREN'S INN AS WELL. 3085 01:49:59,600 --> 01:50:06,080 AND WE HAVE SAFFER LODGE, SO 3086 01:50:06,080 --> 01:50:06,280 FORTH. 3087 01:50:06,280 --> 01:50:08,600 >>POINTERS TO THE NEIGHBORHOOD, 3088 01:50:08,600 --> 01:50:09,440 RESOURCES SO PEOPLE COMING TO 3089 01:50:09,440 --> 01:50:10,760 TAKE THEIR KIDS TO THE 3090 01:50:10,760 --> 01:50:12,520 CHILDREN'S INN CAN FIND A 3091 01:50:12,520 --> 01:50:12,840 RESTAURANT. 3092 01:50:12,840 --> 01:50:13,320 >>RIGHT. 3093 01:50:13,320 --> 01:50:14,600 >>OR GET THINGS, RESOURCES FOR 3094 01:50:14,600 --> 01:50:14,800 THAT. 3095 01:50:14,800 --> 01:50:17,240 >>YOU MEAN IN THE SURROUNDING 3096 01:50:17,240 --> 01:50:17,560 NEIGHBORHOOD? 3097 01:50:17,560 --> 01:50:21,320 >>WELL, WE HAVE A -- MY OFFICE 3098 01:50:21,320 --> 01:50:23,280 MANAGES THE COMMUNITY LIAISON 3099 01:50:23,280 --> 01:50:24,840 GROUP, AND SO WE HAVEN'T MET 3100 01:50:24,840 --> 01:50:25,920 SINCE WE LAUNCHED BUT WE'RE 3101 01:50:25,920 --> 01:50:27,680 GOING TO BE MEETING WITH THEM 3102 01:50:27,680 --> 01:50:28,240 AND SHARING. 3103 01:50:28,240 --> 01:50:29,120 FOR THOSE MEMBERS OF THE 3104 01:50:29,120 --> 01:50:30,040 COMMUNITY THAT RECOMMENDS THE 3105 01:50:30,040 --> 01:50:31,480 COMMUNITY SO WE'LL SHARE THAT 3106 01:50:31,480 --> 01:50:32,240 INFORMATION WITH THEM. 3107 01:50:32,240 --> 01:50:35,320 AS WELL AS OUR NEIGHBORS AND SO 3108 01:50:35,320 --> 01:50:37,840 FORTH, YEAH. 3109 01:50:37,840 --> 01:50:38,600 3110 01:50:38,600 --> 01:50:42,080 >>IS IT POSSIBLE TO MAP OUT 3111 01:50:42,080 --> 01:50:44,080 ROUTES BETWEEN AN ENTRY POINT SO 3112 01:50:44,080 --> 01:50:45,480 YOU HAVE VISITORS YOU CAN 3113 01:50:45,480 --> 01:50:47,680 PROVIDE THEM WITH A ROUTE MAP? 3114 01:50:47,680 --> 01:50:52,080 >>WE DO HAVE PRINTABLE MAPS, 3115 01:50:52,080 --> 01:50:52,680 I'M NOT -- 3116 01:50:52,680 --> 01:50:54,880 >>HIGHLIGHTED TO SAVE THE URL? 3117 01:50:54,880 --> 01:50:56,800 >>YOU COULD IF YOU SELECTED 3118 01:50:56,800 --> 01:50:57,200 PRINTABLE MAP. 3119 01:50:57,200 --> 01:50:59,840 I MEAN IF YOU SELECTED A ROAD, 3120 01:50:59,840 --> 01:51:02,160 FOR EXAMPLE, YOU CAN SAY THAT. 3121 01:51:02,160 --> 01:51:04,240 BUT THE PRINTABLE MAPS ARE 3122 01:51:04,240 --> 01:51:05,640 PROBABLY EASIER FOR PEOPLE 3123 01:51:05,640 --> 01:51:06,520 COMING ON CAMPUS BECAUSE 3124 01:51:06,520 --> 01:51:09,120 SOMETIMES YOU NEED THAT PHYSICAL 3125 01:51:09,120 --> 01:51:09,280 MAP. 3126 01:51:09,280 --> 01:51:13,880 BUT TO HAVE ALL THE KEY POINTS 3127 01:51:13,880 --> 01:51:15,360 ON IT -- THEY HAVE ALL THE KEY 3128 01:51:15,360 --> 01:51:15,720 POINTS. 3129 01:51:15,720 --> 01:51:17,120 >>I RECEIVED A LINK OVER THE 3130 01:51:17,120 --> 01:51:19,320 SUMMER AND WAS JUST THRILLED TO 3131 01:51:19,320 --> 01:51:20,200 SEE IT. 3132 01:51:20,200 --> 01:51:22,880 SO REALLY A TREAT TO GET THE 3133 01:51:22,880 --> 01:51:23,560 OFFICIAL DEMO. 3134 01:51:23,560 --> 01:51:24,920 THANK YOU. 3135 01:51:24,920 --> 01:51:26,560 I'M CURIOUS, IT'S ONLY BEEN UP 3136 01:51:26,560 --> 01:51:29,520 AND RUNNING FOR A FEW MONTHS BUT 3137 01:51:29,520 --> 01:51:30,800 WHAT HAVE YOU SEEN THE WEB 3138 01:51:30,800 --> 01:51:33,440 TRAFFIC LOOK LIKE SINCE IT 3139 01:51:33,440 --> 01:51:33,720 LAUNCHED? 3140 01:51:33,720 --> 01:51:38,040 >>WE JUST GOT ANALYTICS. 3141 01:51:38,040 --> 01:51:40,440 WE DID PROMOTION THROUGH SOCIAL 3142 01:51:40,440 --> 01:51:42,520 AND VARIOUS EFFORTS, PROMOTED 3143 01:51:42,520 --> 01:51:44,440 THROUGH LISTSERVS AND SO FORTH. 3144 01:51:44,440 --> 01:51:45,600 THE TRACK THAT GETS THE MOST 3145 01:51:45,600 --> 01:51:47,800 TRAFFIC SO FAR HAS BEEN THE 3146 01:51:47,800 --> 01:51:49,320 PATIENT AND CAREGIVER, WHICH 3147 01:51:49,320 --> 01:51:50,760 MAKES SENSE. 3148 01:51:50,760 --> 01:51:53,920 BUT I WOULD SAY, YOU KNOW, 3149 01:51:53,920 --> 01:51:57,200 WITHIN A MONTHS WE'VE HAD 20,000 3150 01:51:57,200 --> 01:51:57,600 VISITS TO IT. 3151 01:51:57,600 --> 01:51:57,880 >>GREAT. 3152 01:51:57,880 --> 01:51:59,160 >>AND NOW WE'RE TRYING TO 3153 01:51:59,160 --> 01:52:01,160 EXPLORE OTHER WAYS. 3154 01:52:01,160 --> 01:52:05,000 AGAIN, IT'S ONLY AS GOOD AS 3155 01:52:05,000 --> 01:52:07,280 PEOPLE USE IT. 3156 01:52:07,280 --> 01:52:09,240 AGAIN WORKING CLOSELY WITH OHR 3157 01:52:09,240 --> 01:52:11,360 FOR JOB PURPOSES, AND WE JUST SO 3158 01:52:11,360 --> 01:52:12,880 YOU KNOW HAVE BEGUN GIVING 3159 01:52:12,880 --> 01:52:19,560 ACTUAL TOURS AGAIN ON THE NIH 3160 01:52:19,560 --> 01:52:20,080 CAMPUS, HOORAY. 3161 01:52:20,080 --> 01:52:22,160 AFTER THREE YEARS OF IT STOPPED. 3162 01:52:22,160 --> 01:52:22,920 DEMAND IS HUGE. 3163 01:52:22,920 --> 01:52:24,560 PEOPLE LOVE TO COME TO THE 3164 01:52:24,560 --> 01:52:26,120 CAMPUS BUT NOW WE'RE ABLE TO SAY 3165 01:52:26,120 --> 01:52:27,320 EXPLORE THIS, SEE WHAT YOU 3166 01:52:27,320 --> 01:52:34,000 THINK, WHAT MIGHT BE OF 3167 01:52:34,000 --> 01:52:34,280 INTEREST. 3168 01:52:34,280 --> 01:52:36,000 AND REACHING OUT, WE SHARED IT 3169 01:52:36,000 --> 01:52:37,200 WITH THE PUBLIC INFORMATION 3170 01:52:37,200 --> 01:52:42,320 OFFICER NETWORK ON MANY FUNDED 3171 01:52:42,320 --> 01:52:43,480 INSTITUTIONS TO SHARE WITH THEIR 3172 01:52:43,480 --> 01:52:48,240 FOLKS BECAUSE WE HAVE SO MANY 3173 01:52:48,240 --> 01:52:49,000 VISITORS, SCIENTIFIC VISITORS, 3174 01:52:49,000 --> 01:52:49,200 YEAH. 3175 01:52:49,200 --> 01:52:51,600 REALLY TRYING TO PUSH THAT. 3176 01:52:51,600 --> 01:52:52,080 >>THANK YOU. 3177 01:52:52,080 --> 01:52:56,680 >>IT MAKES SENSE AS YOU SAID 3178 01:52:56,680 --> 01:52:58,640 THE PATIENT -- 3179 01:52:58,640 --> 01:52:59,120 >>CAREGIVER, YEAH. 3180 01:52:59,120 --> 01:53:02,880 >>THAT IS THE MOST VISITED TOUR 3181 01:53:02,880 --> 01:53:04,360 BUT WHAT ABOUT RESEARCH? 3182 01:53:04,360 --> 01:53:05,560 >>IT'S ALSO VERY POPULAR. 3183 01:53:05,560 --> 01:53:07,360 WE HAVE A LOT OF FOLKS WHO WANT 3184 01:53:07,360 --> 01:53:15,160 TO COME TO WORK FOR NIH IN THE 3185 01:53:15,160 --> 01:53:17,320 SCIENTIFIC COMMUNITY, ALSO 3186 01:53:17,320 --> 01:53:19,440 TRAINEES AND COLLABORATORS. 3187 01:53:19,440 --> 01:53:21,120 ONE THING THAT'S INTERESTING 3188 01:53:21,120 --> 01:53:22,280 HISTORICALLY SPEAKING I FELT 3189 01:53:22,280 --> 01:53:24,520 LIKE -- THIS WAS BEFORE MY TIME, 3190 01:53:24,520 --> 01:53:26,880 SO MUCH EMPHASIS ON THE 3191 01:53:26,880 --> 01:53:28,520 RESEARCHER BUT NOT ON THE 3192 01:53:28,520 --> 01:53:30,640 WORKFORCE, WHICH ACTUALLY IS 3193 01:53:30,640 --> 01:53:32,360 LARGER ON THE ADMINISTRATIVE 3194 01:53:32,360 --> 01:53:34,520 SIDE SO WE REALLY FEATURED A LOT 3195 01:53:34,520 --> 01:53:36,160 OF OUR ADMINISTRATORS BECAUSE 3196 01:53:36,160 --> 01:53:37,760 PEOPLE WHO WORK HERE ARE NOT 3197 01:53:37,760 --> 01:53:39,560 SCIENTISTS OR NOT IN A 3198 01:53:39,560 --> 01:53:40,520 SCIENTIFIC ROLE. 3199 01:53:40,520 --> 01:53:41,840 WE FEATURE PEOPLE WITH 3200 01:53:41,840 --> 01:53:46,000 DISABILITIES TO SHOW WE'RE A 3201 01:53:46,000 --> 01:53:46,840 DIVERSE POPULATION. 3202 01:53:46,840 --> 01:53:48,280 I THINK WE'VE HAD A LOT OF 3203 01:53:48,280 --> 01:53:50,040 TRAFFIC ON THE SCIENTIFIC ONE AS 3204 01:53:50,040 --> 01:53:50,600 WELL. 3205 01:53:50,600 --> 01:54:00,840 >>FOLKS ARE INTERESTED IN THE 3206 01:54:00,840 --> 01:54:01,320 RESEARCH NIH DOES. 3207 01:54:01,320 --> 01:54:01,920 >>YEAH. 3208 01:54:01,920 --> 01:54:03,320 AND WE'LL CONTINUE TO PROMOTE IT 3209 01:54:03,320 --> 01:54:04,760 HEAVILY TO GET MORE TRAFFIC AND 3210 01:54:04,760 --> 01:54:05,840 USE OUT OF IT. 3211 01:54:05,840 --> 01:54:08,800 AS I SAID WE'RE GOING TO -- WE 3212 01:54:08,800 --> 01:54:11,640 HOPE TO EXPAND TO OTHER CAMPUSES 3213 01:54:11,640 --> 01:54:12,640 SUCH AS NIEHS, AND SO THAT WILL 3214 01:54:12,640 --> 01:54:16,240 BE OF INTEREST TO THEM AS WELL. 3215 01:54:16,240 --> 01:54:19,080 >>I THINK ONE THING IS THAT A 3216 01:54:19,080 --> 01:54:20,600 LOT OF FOLKS ARE ALSO CLICKING 3217 01:54:20,600 --> 01:54:22,760 THROUGH MULTIPLE PAGES WHICH IS 3218 01:54:22,760 --> 01:54:24,440 GREAT TO SEE. 3219 01:54:24,440 --> 01:54:26,880 >>THEY ARE STAYING. 3220 01:54:26,880 --> 01:54:28,880 >>PEOPLE ARE REALLY SPENDING 3221 01:54:28,880 --> 01:54:29,160 TIME. 3222 01:54:29,160 --> 01:54:29,480 >>EXPLORING. 3223 01:54:29,480 --> 01:54:30,880 >>THE TIME SPENT ON THE TOUR IS 3224 01:54:30,880 --> 01:54:32,480 A LITTLE BIT HIGHER THAN AVERAGE 3225 01:54:32,480 --> 01:54:34,520 I THINK FOR A WEBSITE THOUGH. 3226 01:54:34,520 --> 01:54:35,800 >>AND, AGAIN, IT'S REALLY TO 3227 01:54:35,800 --> 01:54:39,200 TELL THE NIH STORY IN A SIMPLE 3228 01:54:39,200 --> 01:54:41,080 CLEAR WAY WHICH IS ALWAYS A BIG 3229 01:54:41,080 --> 01:54:43,240 CHALLENGE FOR US. 3230 01:54:43,240 --> 01:54:47,120 BECAUSE WE ARE SO LARGE, SO MANY 3231 01:54:47,120 --> 01:54:47,840 DIFFERENT ORGANIZATIONS WITHIN 3232 01:54:47,840 --> 01:54:48,440 NIH. 3233 01:54:48,440 --> 01:54:50,600 THE BIG EFFORT WAS IN 2013 WHEN 3234 01:54:50,600 --> 01:54:52,440 WE MADE EVERYTHING HAVE ONE 3235 01:54:52,440 --> 01:54:55,960 LOGO, THAT WAS HUGE, A HUGE 3236 01:54:55,960 --> 01:54:56,680 ACCOMPLISHMENT. 3237 01:54:56,680 --> 01:54:58,360 HUGE CHANGE MANAGEMENT PROJECT. 3238 01:54:58,360 --> 01:54:59,760 SO BUT, YEAH, TRYING TO REALLY 3239 01:54:59,760 --> 01:55:01,080 MAKE IT EASY FOR PEOPLE TO KNOW 3240 01:55:01,080 --> 01:55:04,400 WHO WE ARE AND WHAT WE DO. 3241 01:55:04,400 --> 01:55:05,920 >>WELL, VERY GOOD. 3242 01:55:05,920 --> 01:55:06,720 THANK YOU SO MUCH. 3243 01:55:06,720 --> 01:55:07,280 >>OUR PLEASURE. 3244 01:55:07,280 --> 01:55:08,680 >>THIS WAS A TREAT AND IT WAS 3245 01:55:08,680 --> 01:55:11,600 NICE TO SEE THE CHILDREN'S INN 3246 01:55:11,600 --> 01:55:11,920 HIGHLIGHTED. 3247 01:55:11,920 --> 01:55:13,680 THANKS FOR SHOWING US THAT. 3248 01:55:13,680 --> 01:55:16,400 AND I THINK WITH THAT WE'RE 3249 01:55:16,400 --> 01:55:21,600 READY TO GO TO OUR NEXT ITEM OF 3250 01:55:21,600 --> 01:55:21,840 BUSINESS. 3251 01:55:21,840 --> 01:55:24,600 [APPLAUSE] 3252 01:55:24,600 --> 01:55:27,240 3253 01:55:27,240 --> 01:55:30,080 NEXT ITEM OF BUSINESS IS 3254 01:55:30,080 --> 01:55:33,680 CREATING A CULTURE OF CONTINUOUS 3255 01:55:33,680 --> 01:55:37,440 INNOVATION, AND I'M DELIGHTED TO 3256 01:55:37,440 --> 01:55:40,400 WELCOME DR. DANA BENSIKER TO 3257 01:55:40,400 --> 01:55:41,480 PROVIDE COMMENTS, A SUBJECT 3258 01:55:41,480 --> 01:55:44,240 MATTER EXPERT IN OFFICE OF THE 3259 01:55:44,240 --> 01:55:47,360 DIRECTOR, NATIONAL LIBRARY OF 3260 01:55:47,360 --> 01:55:47,640 MEDICINE. 3261 01:55:47,640 --> 01:55:49,920 , A RECOGNIZED INFORMATICS AND 3262 01:55:49,920 --> 01:55:51,440 INNOVATION LEADER WITH OVER 30 3263 01:55:51,440 --> 01:55:53,760 YEARS OF EXPERIENCE ALIGNING THE 3264 01:55:53,760 --> 01:55:56,600 STRATEGY AND CULTURE OF HEALTH 3265 01:55:56,600 --> 01:55:57,800 CARE PROVIDERS AND BIOMEDICAL 3266 01:55:57,800 --> 01:55:58,560 ORGANIZATIONS. 3267 01:55:58,560 --> 01:56:01,200 THANK YOU FOR JOINING US TODAY. 3268 01:56:01,200 --> 01:56:02,720 >>THANK YOU FOR HAVING ME AND 3269 01:56:02,720 --> 01:56:04,240 THE OPPORTUNITY TO SHARE WITH 3270 01:56:04,240 --> 01:56:07,640 YOU A PROJECT WE JUST STARTED 3271 01:56:07,640 --> 01:56:08,880 HERE, BEGINNING TO DEVELOP AND 3272 01:56:08,880 --> 01:56:12,280 BUILD A CULTURE OF CONTINUOUS 3273 01:56:12,280 --> 01:56:13,480 INNOVATION AT THE NATIONAL 3274 01:56:13,480 --> 01:56:14,120 LIBRARY. 3275 01:56:14,120 --> 01:56:17,080 I'M NOT GOING TO FURTHER 3276 01:56:17,080 --> 01:56:18,040 INTRODUCE MYSELF, OTHER THAN TO 3277 01:56:18,040 --> 01:56:20,000 SAY MY COLLEAGUE WAS UNABLE TO 3278 01:56:20,000 --> 01:56:21,200 JOIN ME TODAY SO YOU'LL BE 3279 01:56:21,200 --> 01:56:23,080 LISTENING TO ME THE ENTIRE 3280 01:56:23,080 --> 01:56:23,400 PRESENTATION. 3281 01:56:23,400 --> 01:56:25,480 AS WE TALKED WITH SOME FOLKS 3282 01:56:25,480 --> 01:56:27,360 DURING THE BREAK HOW CAREERS 3283 01:56:27,360 --> 01:56:29,440 HAVE GONE THROUGH THE NATIONAL 3284 01:56:29,440 --> 01:56:30,320 LIBRARY OF MEDICINE, NATIONAL 3285 01:56:30,320 --> 01:56:32,040 INSTITUTES OF HEALTH, THEY HAVE 3286 01:56:32,040 --> 01:56:35,040 COME BACK, I ACTUALLY IN THE 3287 01:56:35,040 --> 01:56:36,760 LATE 1980s WAS A VERY YOUNG 3288 01:56:36,760 --> 01:56:37,880 AND VERY FIT SECOND LIEUTENANT 3289 01:56:37,880 --> 01:56:39,640 IN THE ARMY NURSE CORPS, AND I 3290 01:56:39,640 --> 01:56:41,560 HAD AN OPPORTUNITY TO COME TO 3291 01:56:41,560 --> 01:56:42,440 THE NATIONAL INSTITUTES OF 3292 01:56:42,440 --> 01:56:45,720 HEALTH FOR WHAT AT THE TIME 3293 01:56:45,720 --> 01:56:46,760 WAS -- WE DIDN'T CALL IT 3294 01:56:46,760 --> 01:56:49,600 INNOVATIVE BUT IT WAS. 3295 01:56:49,600 --> 01:56:50,240 I WAS TOLD THE NATIONAL 3296 01:56:50,240 --> 01:56:52,680 INSTITUTES OF HEALTH HAD A CUTER 3297 01:56:52,680 --> 01:56:53,840 SYSTEM DOCTORS AND NURSES WERE 3298 01:56:53,840 --> 01:56:54,920 ENTERING THEIR OWN ORDERS, TAKE 3299 01:56:54,920 --> 01:56:55,760 A LOOK. 3300 01:56:55,760 --> 01:56:58,920 GOT HERE, THERE WAS THIS HUGE 3301 01:56:58,920 --> 01:57:04,240 CRT WITH GREEN FLASHING SCREENS, 3302 01:57:04,240 --> 01:57:05,880 DOING THEIR ORDERS, I WAS 3303 01:57:05,880 --> 01:57:06,120 SHOCKED. 3304 01:57:06,120 --> 01:57:08,440 I WAS IN THE RESERVES, I WENT 3305 01:57:08,440 --> 01:57:10,040 BACK TO MY CIVILIAN JOB, TAKE A 3306 01:57:10,040 --> 01:57:12,440 LOOK, THIS IS WHAT WE'RE GOING 3307 01:57:12,440 --> 01:57:13,240 TO BE DOING. 3308 01:57:13,240 --> 01:57:15,000 DIDN'T GET THERE AS FAST AS I 3309 01:57:15,000 --> 01:57:16,640 THOUGHT BUT WE GOT THERE. 3310 01:57:16,640 --> 01:57:20,480 WE LOOK AT INNOVATION AND LOOK 3311 01:57:20,480 --> 01:57:21,360 AT THINGS THAT STIMULATE 3312 01:57:21,360 --> 01:57:23,280 CAREERS, FOR ME I GO BACK TO THE 3313 01:57:23,280 --> 01:57:25,960 TIME WHEN I SAW WHAT TO ME WAS 3314 01:57:25,960 --> 01:57:27,320 AN AMAZING INNOVATION, AT THE 3315 01:57:27,320 --> 01:57:27,520 TIME. 3316 01:57:27,520 --> 01:57:29,320 TO START OUR TALK TODAY I WANT 3317 01:57:29,320 --> 01:57:31,040 TO TALK ABOUT SOME LEVEL 3318 01:57:31,040 --> 01:57:33,160 SETTING, THAT LEVEL SETTING IS 3319 01:57:33,160 --> 01:57:34,760 TO DEFINE SOME TERMS THAT WE'LL 3320 01:57:34,760 --> 01:57:37,040 TALK ABOUT TODAY, AND AS WE GO 3321 01:57:37,040 --> 01:57:39,240 THROUGH THIS PROJECT WITH THE 3322 01:57:39,240 --> 01:57:39,480 TEAM. 3323 01:57:39,480 --> 01:57:41,800 FIRST OF ALL WHEN WE TALK ABOUT 3324 01:57:41,800 --> 01:57:43,960 INNOVATION WE TALK ABOUT THE 3325 01:57:43,960 --> 01:57:45,840 INTRODUCTION OF NOVEL IDEAS, 3326 01:57:45,840 --> 01:57:46,840 METHODS, PRODUCTS, SERVICES, 3327 01:57:46,840 --> 01:57:50,000 THINGS THAT CREATE AN 3328 01:57:50,000 --> 01:57:52,080 EXISTING -- ENHANCE CHANGE 3329 01:57:52,080 --> 01:57:53,280 THROUGHOUT OUR ORGANIZATIONS, 3330 01:57:53,280 --> 01:57:54,880 IT'S INTENTIONAL AND ITERATIVE. 3331 01:57:54,880 --> 01:57:56,640 THAT'S IMPORTANT. 3332 01:57:56,640 --> 01:57:59,520 INNOVATION IS INTENTIONAL AND 3333 01:57:59,520 --> 01:58:00,720 IT'S ITERATIVE AS OPPOSED TO 3334 01:58:00,720 --> 01:58:02,440 CHANGE IS GOING TO HAPPEN NO 3335 01:58:02,440 --> 01:58:03,760 MATTER WHAT, IF WE DON'T DO 3336 01:58:03,760 --> 01:58:05,080 ANYTHING CHANGE WILL HAPPEN 3337 01:58:05,080 --> 01:58:06,320 WHETHER POSITIVE OR NEGATIVE. 3338 01:58:06,320 --> 01:58:08,160 BUT WE INTENTIONALLY HAVE TO SET 3339 01:58:08,160 --> 01:58:11,200 FOOT INTO AN INNOVATION PROJECT. 3340 01:58:11,200 --> 01:58:12,600 AND INNOVATION ALSO IS AT 3341 01:58:12,600 --> 01:58:13,400 DIFFERENT SCALES. 3342 01:58:13,400 --> 01:58:16,360 WE'LL TALK ABOUT THAT AS WE TAKE 3343 01:58:16,360 --> 01:58:18,560 A DEEPER DIVE INTO THIS. 3344 01:58:18,560 --> 01:58:20,040 THE OTHER PIECE THAT'S IMPORTANT 3345 01:58:20,040 --> 01:58:23,280 FOR US TO LEVEL SET ON IS THAT 3346 01:58:23,280 --> 01:58:24,680 CULTURE OF CONTINUOUS 3347 01:58:24,680 --> 01:58:24,960 INNOVATION. 3348 01:58:24,960 --> 01:58:27,920 THAT IS THAT SHARED BELIEFS, 3349 01:58:27,920 --> 01:58:29,600 VALUES, PRACTICES, THAT SUPPORT 3350 01:58:29,600 --> 01:58:31,120 THE GENERATION OF INNOVATIVE 3351 01:58:31,120 --> 01:58:33,320 IDEAS, NEW SOLUTIONS, NEW WAYS 3352 01:58:33,320 --> 01:58:34,520 OF DOING THINGS. 3353 01:58:34,520 --> 01:58:36,480 AND IT BECOMES PART OF OUR CORE 3354 01:58:36,480 --> 01:58:37,480 IDENTITY AND STRATEGY. 3355 01:58:37,480 --> 01:58:40,560 IT'S WHO WE ARE. 3356 01:58:40,560 --> 01:58:41,520 INNOVATION, AS DR. BRENNAN 3357 01:58:41,520 --> 01:58:43,280 CAUTIONED US AS WE STARTED THIS 3358 01:58:43,280 --> 01:58:44,720 PROCESS, SHOULD NOT BE THOUGHT 3359 01:58:44,720 --> 01:58:46,360 OF AS SOMETHING I'M GOING TO DO 3360 01:58:46,360 --> 01:58:47,880 IN ADDITION TO MY CURRENT JOB. 3361 01:58:47,880 --> 01:58:49,880 IT NEEDS TO BE EMBEDDED IN OUR 3362 01:58:49,880 --> 01:58:51,680 CULTURE OF WHAT WE DID, WE'RE 3363 01:58:51,680 --> 01:58:53,640 NOT THINKING BIT, WE'RE THINKING 3364 01:58:53,640 --> 01:58:54,640 IN INNOVATIVE WAY AND THAT'S 3365 01:58:54,640 --> 01:58:56,840 PART OF OUR GOAL TO BE ABLE TO 3366 01:58:56,840 --> 01:58:58,800 BUILD THAT CULTURE OF INNOVATIVE 3367 01:58:58,800 --> 01:58:59,080 THINKING. 3368 01:58:59,080 --> 01:59:03,000 SO WE TALK ABOUT THE DIFFERENT 3369 01:59:03,000 --> 01:59:04,880 SCALES OF INNOVATION, I LIKE 3370 01:59:04,880 --> 01:59:06,320 THIS GRAPHIC FROM McKENZIE 3371 01:59:06,320 --> 01:59:09,760 MANY YEARS AGO, THERE'S SOME 3372 01:59:09,760 --> 01:59:12,080 INTERESTING PERSPECTIVES. 3373 01:59:12,080 --> 01:59:14,800 THIS DIAGRAM CAME OUT, THIS WAS 3374 01:59:14,800 --> 01:59:16,160 INNOVATION WAS OCCURRING SLOWER 3375 01:59:16,160 --> 01:59:17,120 BECAUSE TECHNOLOGY WASN'T TO THE 3376 01:59:17,120 --> 01:59:19,720 POINT WHERE IT IS TODAY. 3377 01:59:19,720 --> 01:59:22,640 SO WE HAVE THIS THREE HORIZONS 3378 01:59:22,640 --> 01:59:23,640 APPROACH TO INNOVATION, SCALES 3379 01:59:23,640 --> 01:59:24,320 OF INNOVATION. 3380 01:59:24,320 --> 01:59:27,040 WE LOOKED AT THAT VERY FIRST 3381 01:59:27,040 --> 01:59:29,480 HORIZON BEING INCREMENTAL AND 3382 01:59:29,480 --> 01:59:30,680 PERIOD OF TIME RELATIVELY SLOW, 3383 01:59:30,680 --> 01:59:32,440 IN AREAS WELL KNOWN TO US. 3384 01:59:32,440 --> 01:59:35,040 AND WE LOOK AT THAT SECOND PHASE 3385 01:59:35,040 --> 01:59:38,000 OF THAT NEW, WHAT'S NEW, NEW 3386 01:59:38,000 --> 01:59:39,120 PROCESS, NEW WORKFLOW, SOMETHING 3387 01:59:39,120 --> 01:59:40,440 THAT'S NEW WITHIN OUR 3388 01:59:40,440 --> 01:59:40,760 ORGANIZATION. 3389 01:59:40,760 --> 01:59:42,840 TAKES A LITTLE BIT MORE TIME TO 3390 01:59:42,840 --> 01:59:44,720 DEVELOP, MORE TIME FOR US TO BE 3391 01:59:44,720 --> 01:59:46,440 ABLE TO GET EMBRACED INTO OUR 3392 01:59:46,440 --> 01:59:49,000 CULTURE AND WE LOOKED AT THAT 3393 01:59:49,000 --> 01:59:50,200 DISRUPTIVE INNOVATION, THAT 3394 01:59:50,200 --> 01:59:52,720 LONGER PERIOD OF TIME, MORE 3395 01:59:52,720 --> 01:59:56,760 RESOURCES, MORE PEOPLE, BUT WE 3396 01:59:56,760 --> 01:59:59,160 NOW KNOW THOSE ARE COMPRESSED, 3397 01:59:59,160 --> 02:00:01,760 AND PRETTY MUCH WE'VE FLIPPED 3398 02:00:01,760 --> 02:00:06,560 THROUGH THOSE PHASES, FAIRLY 3399 02:00:06,560 --> 02:00:07,920 QUICKLY. 3400 02:00:07,920 --> 02:00:09,760 I USE IS THIS EXAMPLE TO SHOW 3401 02:00:09,760 --> 02:00:11,080 INNOVATION OCCURS AT DIFFERENT 3402 02:00:11,080 --> 02:00:12,160 LEVELS WITHIN ORGANIZATIONS. 3403 02:00:12,160 --> 02:00:16,320 WE STILL HAVE THAT INCREMENTAL 3404 02:00:16,320 --> 02:00:17,080 INNOVATION WORKFLOW CHANGES, 3405 02:00:17,080 --> 02:00:18,560 THINGS HELPING US DO OUR JOBS 3406 02:00:18,560 --> 02:00:20,160 MORE EFFICIENTLY. 3407 02:00:20,160 --> 02:00:21,560 WE DID HAVE NEW THINGS WE'RE 3408 02:00:21,560 --> 02:00:24,440 BRINGING IN AND WE HAVE 3409 02:00:24,440 --> 02:00:24,760 DISRUPTORS. 3410 02:00:24,760 --> 02:00:26,600 IT'S STILL A VERY RELEVANT TO 3411 02:00:26,600 --> 02:00:28,280 WHAT WE'RE TALKING ABOUT, BUT 3412 02:00:28,280 --> 02:00:30,560 IT'S ALSO MUCH MORE COMPRESSED 3413 02:00:30,560 --> 02:00:31,680 THAN WHEN WE ORIGINALLY LOOKED 3414 02:00:31,680 --> 02:00:35,120 AT THIS TYPE OF A MODEL. 3415 02:00:35,120 --> 02:00:38,000 I WANT TO BE CLEAR THAT THE NLM 3416 02:00:38,000 --> 02:00:38,680 IS INNOVATIVE TODAY. 3417 02:00:38,680 --> 02:00:40,640 WE'RE NOT HERE BECAUSE THE NLM 3418 02:00:40,640 --> 02:00:42,040 IS NOT INNOVATIVE. 3419 02:00:42,040 --> 02:00:43,120 THE NLM OBVIOUSLY, YOU'VE HEARD 3420 02:00:43,120 --> 02:00:45,120 TODAY WITH ALL OF OUR 3421 02:00:45,120 --> 02:00:46,760 PRESENTATIONS, A LEVEL OF 3422 02:00:46,760 --> 02:00:49,040 INNOVATION IS OCCURRING HERE, 3423 02:00:49,040 --> 02:00:50,360 HAS ALWAYS OCCURRED HERE, 3424 02:00:50,360 --> 02:00:52,320 WHETHER THROUGH A.I., MACHINE 3425 02:00:52,320 --> 02:00:54,520 LEARNING, SOME EXAMPLES THAT WE 3426 02:00:54,520 --> 02:00:56,480 HAVE HERE, SOME FOLKS WHEN WE 3427 02:00:56,480 --> 02:00:58,000 STARTED GOING THROUGH THE 3428 02:00:58,000 --> 02:00:58,600 PRESENTATION DON'T 3429 02:00:58,600 --> 02:01:00,120 NECESSARILY -- DIDN'T THINK OF 3430 02:01:00,120 --> 02:01:01,400 THESE AS INNOVATIVE THINGS. 3431 02:01:01,400 --> 02:01:03,160 WHEN WE START TO TALK ABOUT A 3432 02:01:03,160 --> 02:01:05,240 PROJECT, WE'RE SAYING LET'S TALK 3433 02:01:05,240 --> 02:01:06,480 ABOUT THIS PARTICULAR PROJECT. 3434 02:01:06,480 --> 02:01:08,520 WELL, IT'S SOMETHING WE DID, 3435 02:01:08,520 --> 02:01:10,080 IT'S VERY SUCCESSFUL, WORKED 3436 02:01:10,080 --> 02:01:12,880 REALLY WELL, BUT WE STARTED 3437 02:01:12,880 --> 02:01:14,640 PUTTING LABEL, DEFINITION OF 3438 02:01:14,640 --> 02:01:18,720 INNOVATIVE ON, IT WASN'T 3439 02:01:18,720 --> 02:01:20,760 INNOVATIVE, IT MAY HAVE BEEN 3440 02:01:20,760 --> 02:01:22,200 DISRUPTIVE, SO WE'RE TRYING TO 3441 02:01:22,200 --> 02:01:23,840 IN BUILDING THAT CULTURE TO 3442 02:01:23,840 --> 02:01:27,480 IDENTIFY INNOVATION THAT'S 3443 02:01:27,480 --> 02:01:29,120 OCCURRING THROUGHOUT THE NLM. 3444 02:01:29,120 --> 02:01:30,080 SO WHY? 3445 02:01:30,080 --> 02:01:32,080 WHY FOSTER THAT CULTURE OF 3446 02:01:32,080 --> 02:01:32,880 INNOVATION? 3447 02:01:32,880 --> 02:01:34,880 WELL, FIRST OF ALL I THINK IT 3448 02:01:34,880 --> 02:01:36,560 INVESTS IN THOSE LONG-TERM 3449 02:01:36,560 --> 02:01:37,960 VALUES, WITHIN THE NLM. 3450 02:01:37,960 --> 02:01:40,040 IT IS IMPORTANT FOR US TO 3451 02:01:40,040 --> 02:01:42,600 CONTINUE TO INVEST IN THOSE NEW 3452 02:01:42,600 --> 02:01:43,960 AND INNOVATIVE THINGS WE'RE 3453 02:01:43,960 --> 02:01:45,200 DOING TO CONTINUE TO BE CUTTING 3454 02:01:45,200 --> 02:01:48,280 EDGE OF WHAT WE'VE BEEN DOING 3455 02:01:48,280 --> 02:01:50,560 FOR MANY, MANY YEARS. 3456 02:01:50,560 --> 02:01:56,480 WE LOOK AT THE ATTRIBUTES OF 3457 02:01:56,480 --> 02:01:57,160 INNOVATIVE ORGANIZATIONS, WHEN 3458 02:01:57,160 --> 02:01:58,760 OUR FIRM CAME IN WE STARTED 3459 02:01:58,760 --> 02:01:59,960 TALKING TO FOLKS AND WE'RE 3460 02:01:59,960 --> 02:02:02,600 STARTING TO LOOK AT DIFFERENT 3461 02:02:02,600 --> 02:02:03,240 ATTRIBUTES OF INNOVATIVE 3462 02:02:03,240 --> 02:02:03,800 ORGANIZATIONS. 3463 02:02:03,800 --> 02:02:06,000 ONE OF THE THINGS WE SEE IN 3464 02:02:06,000 --> 02:02:07,280 INNOVATIVE ORGANIZATIONS IS THAT 3465 02:02:07,280 --> 02:02:08,960 THAT VALUE AND TIME AND ENERGY 3466 02:02:08,960 --> 02:02:11,120 THE STAFF INVESTS IN DEVELOPING 3467 02:02:11,120 --> 02:02:12,440 INNOVATIVE IDEAS IS VERY 3468 02:02:12,440 --> 02:02:12,760 IMPORTANT. 3469 02:02:12,760 --> 02:02:14,280 THINK ABOUT IT YOURSELVES AS 3470 02:02:14,280 --> 02:02:15,920 YOU'RE SITTING BACK AND COMING 3471 02:02:15,920 --> 02:02:16,680 UP IN YOUR ORGANIZATIONS, YOU 3472 02:02:16,680 --> 02:02:18,680 HAVE A NEW IDEA, YOU THINK IT'S 3473 02:02:18,680 --> 02:02:20,960 A GREAT IDEA, IT'S GOING TO BE 3474 02:02:20,960 --> 02:02:24,120 CHANGING WHAT YOU DO, HOW YOU DO 3475 02:02:24,120 --> 02:02:27,200 IT, AND ENORMOUS AMOUNT OF 3476 02:02:27,200 --> 02:02:27,880 ENERGY, EMOTIONAL AND 3477 02:02:27,880 --> 02:02:28,960 INTELLECTUAL ENERGY FOR US TO 3478 02:02:28,960 --> 02:02:29,960 DEVELOP THOSE IDEAS. 3479 02:02:29,960 --> 02:02:31,440 WE NEED TO CELEBRATE AND 3480 02:02:31,440 --> 02:02:32,120 ENCOURAGE THAT. 3481 02:02:32,120 --> 02:02:33,960 THAT'S WHAT'S IMPORTANT IN 3482 02:02:33,960 --> 02:02:35,760 HELPING US IN DEVELOPING THAT 3483 02:02:35,760 --> 02:02:36,920 CONTINUED CULTURE IS TO VALUE 3484 02:02:36,920 --> 02:02:38,800 THE AMOUNT OF TIME FOLKS ARE 3485 02:02:38,800 --> 02:02:41,320 PUTTING INTO THOSE TYPES OF 3486 02:02:41,320 --> 02:02:41,520 IDEAS. 3487 02:02:41,520 --> 02:02:45,160 THE FREE AND OPEN SHARING OF 3488 02:02:45,160 --> 02:02:47,440 IDEAS CREATING THAT ENVIRONMENT, 3489 02:02:47,440 --> 02:02:49,080 THAT OPPORTUNITY TO PROMOTE FOR 3490 02:02:49,080 --> 02:02:50,920 LACK OF BETTER WORD, A 3491 02:02:50,920 --> 02:02:52,400 BRAINSTORMING, LET'S SIT DOWN 3492 02:02:52,400 --> 02:02:53,560 AND THINK ABOUT THIS, 3493 02:02:53,560 --> 02:02:55,760 BRAINSTORM, SHARE HOW WOULD YOU 3494 02:02:55,760 --> 02:02:57,720 SOLVE THIS PROBLEM OR HOW WOULD 3495 02:02:57,720 --> 02:02:59,720 WE ADDRESS THIS ISSUE. 3496 02:02:59,720 --> 02:03:01,040 HAVING AN OPPORTUNITY TO HAVE 3497 02:03:01,040 --> 02:03:04,760 THAT FREE AND OPEN SHARING OF 3498 02:03:04,760 --> 02:03:05,080 IDEAS. 3499 02:03:05,080 --> 02:03:06,160 DIVERSITY AND INCLUSION IS VERY 3500 02:03:06,160 --> 02:03:06,480 IMPORTANT. 3501 02:03:06,480 --> 02:03:09,560 WE NEED TO REMEMBER THAT, WE ALL 3502 02:03:09,560 --> 02:03:10,760 EXPERIENCE INNOVATION IN 3503 02:03:10,760 --> 02:03:12,280 DIFFERENT WAYS, THAT INNOVATION 3504 02:03:12,280 --> 02:03:14,240 IS CREATIVE, IT REQUIRES A LEVEL 3505 02:03:14,240 --> 02:03:16,240 OF CREATIVE THINKING, REQUIRES A 3506 02:03:16,240 --> 02:03:17,520 LEVEL OF CREATIVE TRUST AND THAT 3507 02:03:17,520 --> 02:03:18,640 ALSO IS AFFECTED BY OUR 3508 02:03:18,640 --> 02:03:20,400 DIVERSITY AND INCLUSION. 3509 02:03:20,400 --> 02:03:22,560 HOW WE EXPERIENCE OR EXPRESS 3510 02:03:22,560 --> 02:03:23,720 CREATIVITY MAY BE DIFFERENT 3511 02:03:23,720 --> 02:03:24,480 BASED ON OUR EXPERIENCES. 3512 02:03:24,480 --> 02:03:26,040 WE NEED TO UNDERSTAND AND BE 3513 02:03:26,040 --> 02:03:28,080 RECEPTIVE AND BE ABLE TO 3514 02:03:28,080 --> 02:03:31,360 ENCOURAGE THAT IN OUR INNOVATIVE 3515 02:03:31,360 --> 02:03:31,600 PROCESS. 3516 02:03:31,600 --> 02:03:38,720 ONE OF THE THINGS WE LOOK AT IN 3517 02:03:38,720 --> 02:03:40,000 INNOVATION, IT STARTS WITH A 3518 02:03:40,000 --> 02:03:40,760 PROBLEM TO SOLVE. 3519 02:03:40,760 --> 02:03:42,640 WE THINK OF INNOVATION AS I'VE 3520 02:03:42,640 --> 02:03:43,800 GOT THIS THING AND NOW WE'RE 3521 02:03:43,800 --> 02:03:46,240 GOING TO DO IT. 3522 02:03:46,240 --> 02:03:48,000 IN LOOKING AT THE CULTURAL 3523 02:03:48,000 --> 02:03:50,000 CHANGE, LET'S START WITH THE 3524 02:03:50,000 --> 02:03:50,240 PROBLEM. 3525 02:03:50,240 --> 02:03:52,840 OFTENTIMES IF WE DON'T START 3526 02:03:52,840 --> 02:03:53,920 INNOVATION WITH THE PROBLEM TO 3527 02:03:53,920 --> 02:03:56,760 SOLVE, WITH JUST WHAT WE THINK 3528 02:03:56,760 --> 02:03:58,400 IS THE SOLUTION, OFTENTIMES WE 3529 02:03:58,400 --> 02:04:00,080 COME UP WITH MAYBE A PRODUCT 3530 02:04:00,080 --> 02:04:01,680 THAT DOESN'T SOLVE THAT PROBLEM 3531 02:04:01,680 --> 02:04:03,760 IN THE FIRST PLACE. 3532 02:04:03,760 --> 02:04:05,880 WHEN WE START INNOVATION, WITH A 3533 02:04:05,880 --> 02:04:07,160 PROBLEM TO SOLVE, WE MAY FIND 3534 02:04:07,160 --> 02:04:08,360 THAT THE PROBLEM WE'RE TRYING TO 3535 02:04:08,360 --> 02:04:10,040 SOLVE WASN'T THE PROBLEM IN THE 3536 02:04:10,040 --> 02:04:11,880 FIRST PLACE, NUMBER ONE. 3537 02:04:11,880 --> 02:04:15,360 WE MAY FIND MULTIPLE DIFFERENT 3538 02:04:15,360 --> 02:04:15,840 SOLUTIONS, OR MULTIPLE 3539 02:04:15,840 --> 02:04:17,200 OPPORTUNITIES, TO SOLVE THAT 3540 02:04:17,200 --> 02:04:17,440 PROBLEM. 3541 02:04:17,440 --> 02:04:19,520 SO AGAIN AS WE BEGIN TO BUILD 3542 02:04:19,520 --> 02:04:21,400 THAT CULTURE WE WORK WITH TEAMS 3543 02:04:21,400 --> 02:04:22,680 TO UNDERSTAND, LET'S START WITH 3544 02:04:22,680 --> 02:04:24,320 A PROBLEM WE WANT TO SOLVE 3545 02:04:24,320 --> 02:04:25,640 FIRST, NOT NECESSARILY WITH WHAT 3546 02:04:25,640 --> 02:04:30,040 WE THINK THE FIRST SOLUTION IS. 3547 02:04:30,040 --> 02:04:32,000 RISK TOLERANCE AND SAFE PLACE 3548 02:04:32,000 --> 02:04:33,920 FOR EXPERIMENTATION, THIS IS AN 3549 02:04:33,920 --> 02:04:34,960 IMPORTANT PART BECAUSE THIS IS 3550 02:04:34,960 --> 02:04:36,920 ALLOWING US TO HAVE A LITTLE BIT 3551 02:04:36,920 --> 02:04:38,120 OF CREATIVITY TO PUT OURSELVES 3552 02:04:38,120 --> 02:04:39,720 OUT THERE AND SAY, HEY, I GOT 3553 02:04:39,720 --> 02:04:41,080 THIS GREAT IDEA, THIS IS WHAT I 3554 02:04:41,080 --> 02:04:42,760 WANT TO DO. 3555 02:04:42,760 --> 02:04:44,240 YOU DON'T WANT SOMEONE TO SAY 3556 02:04:44,240 --> 02:04:45,680 THAT WAS THE DUMBEST THING, GET 3557 02:04:45,680 --> 02:04:47,200 OUT OF HERE. 3558 02:04:47,200 --> 02:04:49,480 HAVING THAT SAFE SPACE WHERE 3559 02:04:49,480 --> 02:04:51,040 EVERYONE'S OPINION IS VALUED, 3560 02:04:51,040 --> 02:04:52,880 EVERYONE'S IDEA IS VALUED, IT 3561 02:04:52,880 --> 02:04:54,560 DOESN'T NECESSARILY RESULT IN AN 3562 02:04:54,560 --> 02:04:55,280 INNOVATIVE PRODUCT BUT IT'S 3563 02:04:55,280 --> 02:04:56,840 SOMETHING WE NEED TO BE ABLE TO 3564 02:04:56,840 --> 02:04:58,040 CONSIDER AND PROVIDE THAT SAFE 3565 02:04:58,040 --> 02:05:00,120 SPACE FOR PEOPLE TO BE ABLE TO 3566 02:05:00,120 --> 02:05:06,880 TALK ABOUT AND EXPERIMENT. 3567 02:05:06,880 --> 02:05:07,320 3568 02:05:07,320 --> 02:05:10,520 THIS IS A BIDIRECTIONAL 3569 02:05:10,520 --> 02:05:11,360 INNOVATION. 3570 02:05:11,360 --> 02:05:12,840 WHEN I TALK TO ORGANIZATIONS, 3571 02:05:12,840 --> 02:05:14,440 IT'S HOW THE ORGANIZATION THINKS 3572 02:05:14,440 --> 02:05:16,200 OR WHERE THE ORGANIZATION THINKS 3573 02:05:16,200 --> 02:05:16,880 INNOVATION SHOULD LIVE. 3574 02:05:16,880 --> 02:05:19,800 IS IT IN THE LEADERSHIP, IS IT 3575 02:05:19,800 --> 02:05:20,680 IN THE STAFF? 3576 02:05:20,680 --> 02:05:24,320 OR IS IT A COMBINATION OF BOTH? 3577 02:05:24,320 --> 02:05:27,160 MY ANSWER HERE IS IT IS VERY 3578 02:05:27,160 --> 02:05:27,600 BIDIRECTIONAL. 3579 02:05:27,600 --> 02:05:30,360 THERE IS INNOVATION THAT IS 3580 02:05:30,360 --> 02:05:31,000 TOP-DOWN, STRATEGIC INNOVATION, 3581 02:05:31,000 --> 02:05:34,040 THAT THE ROLE THAT YOU ALL PLAY 3582 02:05:34,040 --> 02:05:35,360 IS LEADERS, GUIDING THE STRATEGY 3583 02:05:35,360 --> 02:05:37,120 AND THROUGH INNOVATION IS AN 3584 02:05:37,120 --> 02:05:38,200 IMPORTANT COMPONENT OF 3585 02:05:38,200 --> 02:05:38,840 INNOVATION. 3586 02:05:38,840 --> 02:05:40,600 BUT THERE'S ALSO THAT 3587 02:05:40,600 --> 02:05:41,680 OPERATIONAL INNOVATION, THERE'S 3588 02:05:41,680 --> 02:05:44,520 THAT -- I DON'T LIKE THE TERM 3589 02:05:44,520 --> 02:05:45,880 BOTTOM-UP, BUT IT'S HOW WE 3590 02:05:45,880 --> 02:05:46,520 UNDERSTAND IT BEST. 3591 02:05:46,520 --> 02:05:49,480 BUT IT IS THE NON-LEADERSHIP 3592 02:05:49,480 --> 02:05:51,880 GROUP THAT IS HELPING US IN 3593 02:05:51,880 --> 02:05:53,400 THOSE INNOVATIONS IN THEIR DAILY 3594 02:05:53,400 --> 02:05:54,600 WORKFLOWS, DAILY WORK. 3595 02:05:54,600 --> 02:05:56,440 THE TWO WORK TOGETHER. 3596 02:05:56,440 --> 02:05:58,800 WHEN WE LOOK AT INNOVATION 3597 02:05:58,800 --> 02:06:01,600 THAT'S LED BY A LEADERSHIP TEAM, 3598 02:06:01,600 --> 02:06:03,600 THE CHALLENGE WE HAVE WITH THAT 3599 02:06:03,600 --> 02:06:05,320 IS THAT WE ONLY INNOVATE BASED 3600 02:06:05,320 --> 02:06:07,280 ON WHAT THAT LEADER OR THAT 3601 02:06:07,280 --> 02:06:08,840 LEADERSHIP TEAM WE THINK THEY 3602 02:06:08,840 --> 02:06:09,320 VALUE. 3603 02:06:09,320 --> 02:06:11,880 AND I ALWAYS USE THE OTHER 3604 02:06:11,880 --> 02:06:15,120 EXAMPLE, IF DR. BRENNAN'S 3605 02:06:15,120 --> 02:06:17,720 FAVORITE COLOR IS BLUE WE'LL 3606 02:06:17,720 --> 02:06:19,240 ONLY INNOVATE ON BLUE BECAUSE WE 3607 02:06:19,240 --> 02:06:21,520 WANT TO MAKE DR. BRENNAN HAPPY. 3608 02:06:21,520 --> 02:06:23,720 THAT'S A STIFLING PROCESS IN 3609 02:06:23,720 --> 02:06:24,800 INNOVATION SO WE'LL SURE WE 3610 02:06:24,800 --> 02:06:28,120 DON'T DO THAT BUT CAN'T GET RID 3611 02:06:28,120 --> 02:06:29,040 OF THAT STRATEGIC LEADERSHIP, 3612 02:06:29,040 --> 02:06:30,280 THE TEAM NEEDS TO BE ABLE TO 3613 02:06:30,280 --> 02:06:31,280 INNOVATE AS WELL. 3614 02:06:31,280 --> 02:06:39,840 WE NEED TO NOT PUT THAT BARRIER 3615 02:06:39,840 --> 02:06:41,040 IN INNOVATION. 3616 02:06:41,040 --> 02:06:43,960 WHEN WE LOOK AT THE CULTURAL 3617 02:06:43,960 --> 02:06:46,080 ALIGNMENT, CULTURE BEGINS WITH 3618 02:06:46,080 --> 02:06:46,840 DEFINING CRITICAL ELEMENTS WE 3619 02:06:46,840 --> 02:06:48,200 NEED TO DELIVER FIRST. 3620 02:06:48,200 --> 02:06:49,720 WHAT IS IT, WHAT DO WE NEED TO 3621 02:06:49,720 --> 02:06:53,680 DELIVER TO MAKE THIS HAPPEN? 3622 02:06:53,680 --> 02:06:54,800 IDENTIFYING EXISTING CULTURAL 3623 02:06:54,800 --> 02:06:57,840 ELEMENTS THAT COULD ENABLE OR 3624 02:06:57,840 --> 02:06:59,720 HINDER NLM STRATEGY IS OUR 3625 02:06:59,720 --> 02:07:01,120 SECOND STEP. 3626 02:07:01,120 --> 02:07:04,000 AS WE TALK TO PEOPLE ABOUT THEIR 3627 02:07:04,000 --> 02:07:06,480 IDEAS AND THOUGHTS AND 3628 02:07:06,480 --> 02:07:07,320 INNOVATION, WE PAY SLOWINGS 3629 02:07:07,320 --> 02:07:09,560 ATTENTION TO THINGS THAT WOULD 3630 02:07:09,560 --> 02:07:10,720 INHIBIT INNOVATION. 3631 02:07:10,720 --> 02:07:13,240 YOU KNOW, WHY DON'T YOU BRING 3632 02:07:13,240 --> 02:07:14,680 THAT MESSAGE FORWARD? 3633 02:07:14,680 --> 02:07:16,240 IS IT THAT YOU'RE AFRAID TO 3634 02:07:16,240 --> 02:07:17,760 BRING IT FORWARD OR THERE'S NO 3635 02:07:17,760 --> 02:07:19,720 MECHANISM TO BRING IT FORWARD, 3636 02:07:19,720 --> 02:07:21,360 NO POLICY, NO PROCEDURE TO DO 3637 02:07:21,360 --> 02:07:21,680 THAT? 3638 02:07:21,680 --> 02:07:24,440 SO WE LISTEN TO THOSE THINGS, 3639 02:07:24,440 --> 02:07:26,520 WHETHER CULTURAL OR WITHIN THE 3640 02:07:26,520 --> 02:07:27,560 STRATEGY WITHIN THE LEADERSHIP, 3641 02:07:27,560 --> 02:07:29,440 AND BE ABLE TO IDENTIFY HOW 3642 02:07:29,440 --> 02:07:31,440 WE'RE GOING TO MITIGATE THOSE. 3643 02:07:31,440 --> 02:07:33,480 THEN WE WORK ON AN UNDERSTAND 3644 02:07:33,480 --> 02:07:35,360 OFFING VARIANCES IN CULTURE AND 3645 02:07:35,360 --> 02:07:37,120 LEVERAGE THOSE, IN ORDER TO 3646 02:07:37,120 --> 02:07:40,200 BRING IN A CULTURAL CHANGE TO 3647 02:07:40,200 --> 02:07:42,600 THE ORGANIZATION. 3648 02:07:42,600 --> 02:07:44,000 UNDERSTANDING THOSE BARRIERS, 3649 02:07:44,000 --> 02:07:45,960 OVERCOMING BARRIERS WE CAN 3650 02:07:45,960 --> 02:07:47,400 EASILY OVERCOME, CELEBRATING 3651 02:07:47,400 --> 02:07:53,080 AREAS THAT SUPPORT AND ENGAGE 3652 02:07:53,080 --> 02:07:53,400 INNOVATION. 3653 02:07:53,400 --> 02:07:57,120 WHEN WE LOOK AT NLM'S INNOVATION 3654 02:07:57,120 --> 02:07:59,200 PRIORITIES, NLM IS FOCUSING ON 3655 02:07:59,200 --> 02:08:00,720 THAT CONTINUOUS INNOVATION. 3656 02:08:00,720 --> 02:08:02,800 BEING ABLE TO HARNESS ENERGY OF 3657 02:08:02,800 --> 02:08:05,000 CONTINUOUS INNOVATION WITHIN THE 3658 02:08:05,000 --> 02:08:05,200 NLM. 3659 02:08:05,200 --> 02:08:08,320 SO, TOP LEFT CORNER WE TALKED 3660 02:08:08,320 --> 02:08:09,000 ABOUT ASSESSING CULTURE, THAT'S 3661 02:08:09,000 --> 02:08:11,160 WHERE WE ARE TODAY WITH OUR 3662 02:08:11,160 --> 02:08:13,560 FIRM, ASSESSING CULTURE OF 3663 02:08:13,560 --> 02:08:14,600 INNOVATION HERE, AS THE INTEGRAL 3664 02:08:14,600 --> 02:08:17,840 PART OF THE FIRST STEP OF THIS 3665 02:08:17,840 --> 02:08:18,480 PROCESS. 3666 02:08:18,480 --> 02:08:19,800 THEN ESTABLISHING APPROACH TO 3667 02:08:19,800 --> 02:08:21,200 FOSTER INNOVATION, CONTINUE TO 3668 02:08:21,200 --> 02:08:23,720 GROW, CONTINUE TO BUILD ON THE 3669 02:08:23,720 --> 02:08:24,840 INNOVATION THAT'S HAPPENING. 3670 02:08:24,840 --> 02:08:26,920 THEN EVENTUALLY DEVELOPING THAT 3671 02:08:26,920 --> 02:08:27,800 MULTI-YEAR INNOVATION ROADMAP, 3672 02:08:27,800 --> 02:08:30,080 WHAT DOES IT LOOK LIKE, NEXT 3673 02:08:30,080 --> 02:08:32,640 YEAR, NEXT TWO YEARS, HOW DO WE 3674 02:08:32,640 --> 02:08:35,000 MAKE SURE CULTURE CONTINUES TO 3675 02:08:35,000 --> 02:08:36,560 MOVE FORWARD YEAR AFTER YEAR AND 3676 02:08:36,560 --> 02:08:39,080 CONTINUE TO GROW AND MEET NEEDS 3677 02:08:39,080 --> 02:08:43,480 OF THE LIBRARY. 3678 02:08:43,480 --> 02:08:44,920 ENABLE AND IMPLEMENT FUTURE 3679 02:08:44,920 --> 02:08:45,160 VISION. 3680 02:08:45,160 --> 02:08:47,120 WE DON'T FOCUS ON THE END PIECE 3681 02:08:47,120 --> 02:08:49,960 BECAUSE THE FIRST THREE PIECES 3682 02:08:49,960 --> 02:08:52,160 ARE A LARGE SCOPE OF WORK BUT 3683 02:08:52,160 --> 02:08:54,000 ALSO A LARGE SCOPE OF CHANGE WE 3684 02:08:54,000 --> 02:08:56,720 WANT TO MAKE SURE THAT IS 3685 02:08:56,720 --> 02:08:58,680 EMBEDDED WITHIN THE CULTURE 3686 02:08:58,680 --> 02:09:00,680 BEFORE WE MOVE TO, OKAY, THE 3687 02:09:00,680 --> 02:09:05,520 NEXT BIG STEP AND BIG PIECE. 3688 02:09:05,520 --> 02:09:06,800 WE WANT A STRONG FOUNDATION TO 3689 02:09:06,800 --> 02:09:08,000 WHERE PEOPLE UNDERSTAND HOW TO 3690 02:09:08,000 --> 02:09:13,360 INCORPORATE INTO THEIR DAILY 3691 02:09:13,360 --> 02:09:13,720 LIVES. 3692 02:09:13,720 --> 02:09:17,400 THE MODEL WE PUT TOGETHER FOR 3693 02:09:17,400 --> 02:09:21,040 GUIDING THROUGH THIS WORK, IT'S 3694 02:09:21,040 --> 02:09:22,320 OUR INNOVATION ASSESSMENT 3695 02:09:22,320 --> 02:09:23,320 FRAMEWORK, SIX COMPONENTS WITHIN 3696 02:09:23,320 --> 02:09:24,200 THE FRAMEWORK. 3697 02:09:24,200 --> 02:09:28,480 WHEN WE LOOK AT THE FIRST TOP 3698 02:09:28,480 --> 02:09:29,280 COMPONENT, GOVERNANCE IS, TO ME 3699 02:09:29,280 --> 02:09:33,480 AND TO ALL OF YOU, UBIQUITOUS, 3700 02:09:33,480 --> 02:09:35,280 NO MATTER WHERE YOU'RE DOING, 3701 02:09:35,280 --> 02:09:36,680 WHETHER INNOVATION, WHETHER IT'S 3702 02:09:36,680 --> 02:09:38,080 A RESEARCH PROJECT, YOU'VE GOT 3703 02:09:38,080 --> 02:09:40,080 TO HAVE SOME LEVEL OF 3704 02:09:40,080 --> 02:09:41,160 GOVERNANCE, IMPORTANT TO HAVE 3705 02:09:41,160 --> 02:09:41,800 THAT STARTING POINT. 3706 02:09:41,800 --> 02:09:43,040 THESE ARE THE PEOPLE THAT ARE 3707 02:09:43,040 --> 02:09:45,080 GOING TO GUIDE US, FUND US, MAKE 3708 02:09:45,080 --> 02:09:49,040 SURE THAT WE ARE ABLE TO 3709 02:09:49,040 --> 02:09:51,800 CONTINUE WITH THIS PROJECT. 3710 02:09:51,800 --> 02:09:54,040 NEXT STEP, NEEDS IDENTIFICATION, 3711 02:09:54,040 --> 02:09:57,360 NEXT THREE STEPS ARE GROUPED 3712 02:09:57,360 --> 02:09:58,440 TOGETHER, NEEDS IDENTIFICATION, 3713 02:09:58,440 --> 02:09:59,840 DESIGN AND BUILD TEST, LOOKING 3714 02:09:59,840 --> 02:10:01,600 AT UNDERSTANDING NEEDS AND 3715 02:10:01,600 --> 02:10:03,480 CHALLENGES AND ASPIRATIONS OF 3716 02:10:03,480 --> 02:10:05,880 THE NLM, WE'RE CREATING AN 3717 02:10:05,880 --> 02:10:08,080 INNOVATIVE SOLUTIONS THAT 3718 02:10:08,080 --> 02:10:09,160 EMPOWER CONTINUOUS INNOVATION. 3719 02:10:09,160 --> 02:10:11,680 WE MOVE INTO TAKING IDEAS AND 3720 02:10:11,680 --> 02:10:14,840 THAT IDEA GENERATION, WHAT IS 3721 02:10:14,840 --> 02:10:15,600 THAT COLLABORATIVE INCLUSIVE 3722 02:10:15,600 --> 02:10:16,960 ENVIRONMENT THAT SUPPORTS US ALL 3723 02:10:16,960 --> 02:10:20,200 GETTING IN ONE ROOM, TO A 3724 02:10:20,200 --> 02:10:21,080 VIRTUAL EVENT, GETTING 3725 02:10:21,080 --> 02:10:23,040 SOMEWHERE, WORKING ON THE SAME 3726 02:10:23,040 --> 02:10:24,800 PROBLEM BEING ABLE TO GENERATE 3727 02:10:24,800 --> 02:10:26,360 IDEAS FOR HOW WE CAN SOLVE THAT 3728 02:10:26,360 --> 02:10:29,840 PROBLEM OR HOW WE CAN CHANGE THE 3729 02:10:29,840 --> 02:10:30,920 WORKFLOW OR WHEN INNOVATIVE 3730 02:10:30,920 --> 02:10:35,320 PROCESS WE'RE WORKING FOR AT THE 3731 02:10:35,320 --> 02:10:37,280 TIME. 3732 02:10:37,280 --> 02:10:38,800 OUT OF IDEA GENERATION, A FEW 3733 02:10:38,800 --> 02:10:39,880 MIGHT WORK. 3734 02:10:39,880 --> 02:10:41,720 WE'RE AGREEING SO LET'S MOVE 3735 02:10:41,720 --> 02:10:43,520 INTO THIS DESIGN, BUILD, TEST. 3736 02:10:43,520 --> 02:10:44,920 WE'LL GO THROUGH ITERATIVE 3737 02:10:44,920 --> 02:10:46,680 PROCESS, WE'LL DESIGN THIS IDEA. 3738 02:10:46,680 --> 02:10:47,680 FANTASTIC SOMETHING THAT NEEDS 3739 02:10:47,680 --> 02:10:49,200 TO BE BUILT OR WORKFLOW THAT 3740 02:10:49,200 --> 02:10:51,520 NEEDS TO BE TESTED, IT'S THAT 3741 02:10:51,520 --> 02:10:54,240 PERIOD OF TIME WE'RE DOING SMALL 3742 02:10:54,240 --> 02:10:55,000 INCREMENTAL BUILDS, CHANGES, 3743 02:10:55,000 --> 02:10:57,640 TESTING TO MAKE SURE THAT THIS 3744 02:10:57,640 --> 02:11:02,680 IS A WORKFLOW, A PRODUCT, AN 3745 02:11:02,680 --> 02:11:03,440 INNOVATION THAT THAT'S GOING TO 3746 02:11:03,440 --> 02:11:05,640 IMMEDIATE OUR NEEDS AND WORK. 3747 02:11:05,640 --> 02:11:08,160 WE GO BACK AND LOOK AT 3748 02:11:08,160 --> 02:11:08,680 ORGANIZATIONAL READINESS, 3749 02:11:08,680 --> 02:11:09,800 IMPORTANT BECAUSE NO MATTER WHAT 3750 02:11:09,800 --> 02:11:11,960 YOU ARE INNOVATION SPITS OUT OF 3751 02:11:11,960 --> 02:11:13,080 THIS DESIGN, BUILD, TEST PHASE, 3752 02:11:13,080 --> 02:11:16,360 IF THE ORGANIZATION IS NOT READY 3753 02:11:16,360 --> 02:11:18,320 FOR IT, IT MAY NOT WORK, IT MAY 3754 02:11:18,320 --> 02:11:18,520 FAIL. 3755 02:11:18,520 --> 02:11:25,200 WE NEED NEED TO UNDERSTAND IS 3756 02:11:25,200 --> 02:11:26,680 THE ORGANIZATION READY SO THE 3757 02:11:26,680 --> 02:11:30,400 INNOVATION TAKES HOLD. 3758 02:11:30,400 --> 02:11:32,280 THE LAST PHASE, DID IT WORK, OR 3759 02:11:32,280 --> 02:11:34,840 DO WE NEED TO TAKE IT BACK TO 3760 02:11:34,840 --> 02:11:37,040 THE DESIGN, BUILD, TEST TO TWEAK 3761 02:11:37,040 --> 02:11:40,720 IT AND GO BACK TO THE DEPLOYMENT 3762 02:11:40,720 --> 02:11:41,440 AND MEASUREMENT. 3763 02:11:41,440 --> 02:11:44,480 OUR GOAL IS TO MAKE SURE WE HAVE 3764 02:11:44,480 --> 02:11:46,240 AN ITERATIVE AND STRUCTURED 3765 02:11:46,240 --> 02:11:49,960 PROCESS THAT ALLOWS US TO MOVE 3766 02:11:49,960 --> 02:11:51,720 IDEAS THROUGH OUR INNOVATION 3767 02:11:51,720 --> 02:11:53,000 ENGINE THROUGHOUT THE NLM. 3768 02:11:53,000 --> 02:11:55,520 AND THE OVERLAY I HAVE HERE IS 3769 02:11:55,520 --> 02:11:58,600 WE LOOK AT THESE FIRST THREE 3770 02:11:58,600 --> 02:12:01,320 GROUPINGS, OUR INNOVATION PHASE, 3771 02:12:01,320 --> 02:12:03,280 THE DESIGN THINKING PHASE, IT'S 3772 02:12:03,280 --> 02:12:04,720 THAT DESIGN THINKING COMPONENT 3773 02:12:04,720 --> 02:12:05,400 OF INNOVATION. 3774 02:12:05,400 --> 02:12:07,880 AND THE TOP TWO ON THE LEFT ARE 3775 02:12:07,880 --> 02:12:08,760 CHANGE COMPONENTS. 3776 02:12:08,760 --> 02:12:11,840 SO WHEN WE LOOK AT INNOVATION, 3777 02:12:11,840 --> 02:12:14,360 THOSE THREE DESIGN THINKING 3778 02:12:14,360 --> 02:12:17,640 COMPONENTS OF INNOVATION ARE THE 3779 02:12:17,640 --> 02:12:18,960 INNOVATION ENGINE, WHAT'S 3780 02:12:18,960 --> 02:12:19,680 DRIVING INNOVATION, DRIVING THE 3781 02:12:19,680 --> 02:12:23,200 PROCESS TO MAKE SURE WE'RE 3782 02:12:23,200 --> 02:12:24,120 APPROPRIATELY MOVING IDEAS 3783 02:12:24,120 --> 02:12:25,600 THROUGH THIS PROCESS AND WE GET 3784 02:12:25,600 --> 02:12:27,800 GOOD PRODUCT OUT THE OTHER END. 3785 02:12:27,800 --> 02:12:31,520 SO THAT BECOMES THAT INNOVATION 3786 02:12:31,520 --> 02:12:31,760 ENGINE. 3787 02:12:31,760 --> 02:12:33,760 CHANGE IS, AS WE MOVE FORWARD, 3788 02:12:33,760 --> 02:12:34,960 ANYTIME WE'RE BRINGING SOMETHING 3789 02:12:34,960 --> 02:12:36,880 NEW, SOMETHING COMES OUT OF THAT 3790 02:12:36,880 --> 02:12:38,200 DESIGN, BUILD, TEST PHASE, IT'S 3791 02:12:38,200 --> 02:12:40,720 GOING TO BE CHANGE WITHIN THE 3792 02:12:40,720 --> 02:12:41,920 ORGANIZATION INTO SEPARATE 3793 02:12:41,920 --> 02:12:42,200 COMPONENTS. 3794 02:12:42,200 --> 02:12:43,880 GOVERNANCE IS OFF TO THE SIDE 3795 02:12:43,880 --> 02:12:47,680 BECAUSE AS WE SAID EARLIER IT'S 3796 02:12:47,680 --> 02:12:48,680 UBIQUITOUS TO EVERYTHING, NOT 3797 02:12:48,680 --> 02:12:50,480 THAT IT'S NOT INCLUDED IN THIS 3798 02:12:50,480 --> 02:12:51,640 PROCESS, IT'S THAT WE ASSUME 3799 02:12:51,640 --> 02:12:53,400 IT'S ALWAYS IN THE PROCESS. 3800 02:12:53,400 --> 02:12:57,480 SO WE MAKE SURE THAT THAT 3801 02:12:57,480 --> 02:12:58,800 GOVERNANCE TEAM IS GUIDING THE 3802 02:12:58,800 --> 02:12:59,960 INNOVATION GROUP, THEY CONTROL 3803 02:12:59,960 --> 02:13:01,520 THE MONEY, CONTROL THE 3804 02:13:01,520 --> 02:13:03,280 SCHEDULES, THEY CONTROL THAT 3805 02:13:03,280 --> 02:13:06,640 MISSION OF THAT GROUP. 3806 02:13:06,640 --> 02:13:09,480 SO KIND OF THE QUICK OVERVIEW OF 3807 02:13:09,480 --> 02:13:11,920 THE FRAMEWORK, HOW WE SEE 3808 02:13:11,920 --> 02:13:15,600 INNOVATION CONTINUING TO BE 3809 02:13:15,600 --> 02:13:16,000 SUPPORTED. 3810 02:13:16,000 --> 02:13:17,640 WHERE DO WE GO FROM HERE? 3811 02:13:17,640 --> 02:13:21,000 WE WANT TO MAKE SURE WE 3812 02:13:21,000 --> 02:13:22,160 ARTICULATE A CLEAR VISION AND 3813 02:13:22,160 --> 02:13:23,880 COMMUNICATE ITS IMPORTANCE TO 3814 02:13:23,880 --> 02:13:25,080 THE GREATER NLM COMMUNITY. 3815 02:13:25,080 --> 02:13:27,680 WHEN WE LOOK AT INNOVATION, 3816 02:13:27,680 --> 02:13:29,520 INNOVATION IS NOT JUST THE 3817 02:13:29,520 --> 02:13:34,120 PEOPLE WITHIN THE WALLS OF NLM. 3818 02:13:34,120 --> 02:13:35,240 ALL WORKING WITH OUTSIDE 3819 02:13:35,240 --> 02:13:37,120 PARTIES, THERE'S A LOT OF THINGS 3820 02:13:37,120 --> 02:13:40,040 WE DO NOT JUST DESIGNED TO ONLY 3821 02:13:40,040 --> 02:13:43,200 BE IN THIS FOUR WALLS OF THIS 3822 02:13:43,200 --> 02:13:43,480 BUILDING. 3823 02:13:43,480 --> 02:13:47,200 HISTORY THAT GREATER COMMUNITY 3824 02:13:47,200 --> 02:13:48,160 INVOLVEMENT ALSO IN INNOVATIONS 3825 02:13:48,160 --> 02:13:51,320 AS WELL. 3826 02:13:51,320 --> 02:13:53,080 DEFINING CULTURAL ELEMENTS TO 3827 02:13:53,080 --> 02:13:54,720 ACHIEVE THAT MODEL, WHAT ARE THE 3828 02:13:54,720 --> 02:13:55,920 CULTURAL PIECES TO MAKE SURE ARE 3829 02:13:55,920 --> 02:13:57,760 IN PLACE SO THE MODEL CONTINUES 3830 02:13:57,760 --> 02:14:04,240 TO GROW AND MEET YOUR NEEDS. 3831 02:14:04,240 --> 02:14:05,880 PRIORITIZING THOSE NEXT KEY 3832 02:14:05,880 --> 02:14:08,840 STEPS TO MAKE SURE OUR 3833 02:14:08,840 --> 02:14:09,720 INNOVATION PURSUITS ARE DONE 3834 02:14:09,720 --> 02:14:11,760 ACCORDING TO THE SUPPORT OF YOUR 3835 02:14:11,760 --> 02:14:13,040 MISSION, SO THAT THERE MAY BE 3836 02:14:13,040 --> 02:14:17,160 THINGS THAT COME OUT OF 3837 02:14:17,160 --> 02:14:18,160 INNOVATION THAT, WELL, THIS 3838 02:14:18,160 --> 02:14:19,240 ISN'T QUITE READY, WE'LL PUT 3839 02:14:19,240 --> 02:14:20,760 THIS ON HOLD, BUT THIS OTHER 3840 02:14:20,760 --> 02:14:23,920 INNOVATION IN RIGHT IN LINE WITH 3841 02:14:23,920 --> 02:14:25,640 OUR STRATEGY, STRATEGIC PLAN, 3842 02:14:25,640 --> 02:14:26,880 WE'LL MOVE IT FORWARD, 3843 02:14:26,880 --> 02:14:27,840 UNDERSTANDING PRIORITIZATIONS IN 3844 02:14:27,840 --> 02:14:29,400 THE INNOVATION. 3845 02:14:29,400 --> 02:14:30,920 AND CONTINUOUSLY MONITORING AND 3846 02:14:30,920 --> 02:14:33,440 EVALUATING THE PROCESS. 3847 02:14:33,440 --> 02:14:36,320 JUST BECAUSE WE'VE BROUGHT 3848 02:14:36,320 --> 02:14:37,360 INNOVATIVE IDEAS, AND PRODUCTS 3849 02:14:37,360 --> 02:14:38,520 AND PROCESS DOESN'T MEAN IT'S 3850 02:14:38,520 --> 02:14:40,000 ALWAYS GOING TO MEET OUR NEEDS. 3851 02:14:40,000 --> 02:14:42,080 WE NEED TO CONTINUE TO EVALUATE, 3852 02:14:42,080 --> 02:14:43,840 CONTINUE TO TWEAK IT, NEED TO 3853 02:14:43,840 --> 02:14:45,520 CONTINUE TO MAKE SURE IT'S 3854 02:14:45,520 --> 02:14:47,000 SERVING THE PURPOSE WE HAVE 3855 02:14:47,000 --> 02:14:51,600 IDENTIFIED AND DESIGNED IT TO 3856 02:14:51,600 --> 02:14:52,160 DO. 3857 02:14:52,160 --> 02:14:54,640 SO, I TALK FAST, I WENT THROUGH 3858 02:14:54,640 --> 02:14:56,440 IT VERY QUICKLY. 3859 02:14:56,440 --> 02:14:59,440 BUT THAT IS KIND OF THE SCOPE OF 3860 02:14:59,440 --> 02:15:01,440 WORK THAT WE'RE DOING IN A 3861 02:15:01,440 --> 02:15:03,320 RELATIVELY SMALL FRAME OF TIME. 3862 02:15:03,320 --> 02:15:04,560 I'M HAPPY TO TAKE ANY QUESTIONS 3863 02:15:04,560 --> 02:15:07,240 YOU MAY HAVE IN THE PROCESS. 3864 02:15:07,240 --> 02:15:07,560 >>WONDERFUL. 3865 02:15:07,560 --> 02:15:09,640 THANK YOU SO MUCH. 3866 02:15:09,640 --> 02:15:16,880 SO I'D LIKE TO WELCOME PAUL 3867 02:15:16,880 --> 02:15:19,360 WESTER AND JENNIFER LUCCA TO 3868 02:15:19,360 --> 02:15:19,920 FACILITATE THE DISCUSSION. 3869 02:15:19,920 --> 02:15:23,000 >>I HAVE A QUESTION BEFORE WE 3870 02:15:23,000 --> 02:15:25,840 LET ANYONE ELSE ASK ANY. 3871 02:15:25,840 --> 02:15:28,160 WE HAVE OUR COLLECTION SUBGROUP 3872 02:15:28,160 --> 02:15:29,240 CONVERSATION THIS MORNING. 3873 02:15:29,240 --> 02:15:31,760 WE TALKED ABOUT A LOT OF 3874 02:15:31,760 --> 02:15:32,640 DIFFERENT INNOVATIONS THAT HAVE 3875 02:15:32,640 --> 02:15:34,120 COME FROM NLM OVER A NUMBER OF 3876 02:15:34,120 --> 02:15:37,320 YEARS THAT ARE ALL COMING 3877 02:15:37,320 --> 02:15:37,600 TOGETHER. 3878 02:15:37,600 --> 02:15:39,520 AND I FORGET HOW THE PHRASE 3879 02:15:39,520 --> 02:15:45,000 GOES, YOU GO ALONE, YOU GO FAST. 3880 02:15:45,000 --> 02:15:46,320 BRING EVERY TOGETHER, IT TAKES A 3881 02:15:46,320 --> 02:15:47,120 LONG TIME. 3882 02:15:47,120 --> 02:15:47,480 >>YOU GO FAR. 3883 02:15:47,480 --> 02:15:49,560 >>THANK YOU FOR THE CORRECTION. 3884 02:15:49,560 --> 02:15:52,680 >>ALONE YOU GO FAST, WITH US 3885 02:15:52,680 --> 02:15:53,320 YOU GO FAR. 3886 02:15:53,320 --> 02:15:57,320 >>BRING OTHERS AND GO FAR, IT 3887 02:15:57,320 --> 02:15:58,240 TAKES LONGER. 3888 02:15:58,240 --> 02:15:58,520 [LAUGHTER] 3889 02:15:58,520 --> 02:16:00,760 I WAS WONDERING IF YOU COULD 3890 02:16:00,760 --> 02:16:03,240 TALK ABOUT THE NEXUS OF 3891 02:16:03,240 --> 02:16:05,240 COLLABORATION WITH WHAT YOU'RE 3892 02:16:05,240 --> 02:16:07,720 TRYING TO DO WITH THE CONTINUOUS 3893 02:16:07,720 --> 02:16:08,640 INNOVATION, BECAUSE THAT'S WHERE 3894 02:16:08,640 --> 02:16:10,840 I THINK A LOT OF ORGANIZATIONS 3895 02:16:10,840 --> 02:16:15,640 STRUGGLE AND IN A PLACE LIKE 3896 02:16:15,640 --> 02:16:16,720 THIS WITH TREMENDOUS INNOVATION 3897 02:16:16,720 --> 02:16:17,800 ALL THE TIME HOW DO YOU FIGURE 3898 02:16:17,800 --> 02:16:19,680 OUT HOW TO DEAL WITH THAT 3899 02:16:19,680 --> 02:16:19,920 PROBLEM? 3900 02:16:19,920 --> 02:16:22,200 >>VERY GOOD QUESTION. 3901 02:16:22,200 --> 02:16:24,160 IT'S A CONCERN WE RUN INTO 3902 02:16:24,160 --> 02:16:25,920 MULTIPLE TIMES, PUT A GROUP OF 3903 02:16:25,920 --> 02:16:32,400 40 PEOPLE IN A ROOM, AND START 3904 02:16:32,400 --> 02:16:33,360 INNOVATING, START IDEATING, 3905 02:16:33,360 --> 02:16:35,920 THAT'S GREAT, BUT WE WHITTLE IT 3906 02:16:35,920 --> 02:16:37,280 DOWN, PEOPLE FALL OUT OF THE 3907 02:16:37,280 --> 02:16:37,880 GROUP INTENTIONALLY. 3908 02:16:37,880 --> 02:16:40,240 WE'LL BRING A GROUP OF PEOPLE IN 3909 02:16:40,240 --> 02:16:42,440 THAT WILL CONTRIBUTE THEIR 3910 02:16:42,440 --> 02:16:45,400 EXPERTISE, KNOWLEDGE TO THE 3911 02:16:45,400 --> 02:16:46,680 IDEATION, THE DESIGN THINKING 3912 02:16:46,680 --> 02:16:47,240 PIECE. 3913 02:16:47,240 --> 02:16:48,440 THAT'S NOT NECESSARILY THE 3914 02:16:48,440 --> 02:16:50,080 ENTIRE GROUP TO TAKE IT THE 3915 02:16:50,080 --> 02:16:51,800 WHOLE WAY THROUGH. 3916 02:16:51,800 --> 02:16:53,720 AS WE STRUCTURE LEADERSHIP AND 3917 02:16:53,720 --> 02:16:55,320 GOVERNANCE PROCESS THERE WILL BE 3918 02:16:55,320 --> 02:16:56,960 SUBSETS OF PEOPLE THAT FALL OUT 3919 02:16:56,960 --> 02:16:58,600 IT THAT CONTINUE TO TAKE THIS 3920 02:16:58,600 --> 02:16:58,840 FORWARD. 3921 02:16:58,840 --> 02:17:01,920 I WANT AN ARMY OF PEOPLE TO HELP 3922 02:17:01,920 --> 02:17:02,360 ME THINK. 3923 02:17:02,360 --> 02:17:03,320 YOU'LL THINK OF SOMETHING I 3924 02:17:03,320 --> 02:17:04,320 NEVER THOUGHT OF. 3925 02:17:04,320 --> 02:17:05,400 I DON'T NECESSARILY NEED THAT 3926 02:17:05,400 --> 02:17:07,240 ARMY TO BE WITH ME THE WHOLE 3927 02:17:07,240 --> 02:17:07,600 TIME. 3928 02:17:07,600 --> 02:17:10,080 SO THAT'S WHY AS WE START TO 3929 02:17:10,080 --> 02:17:11,200 DEVELOP THAT CULTURE, LEAD 3930 02:17:11,200 --> 02:17:12,520 PEOPLE THROUGH THE PROCESS, 3931 02:17:12,520 --> 02:17:14,040 THAT'S WHERE WE SAY, OKAY, NOW 3932 02:17:14,040 --> 02:17:15,440 WHAT'S THE NEXT GROUP LOOK LIKE? 3933 02:17:15,440 --> 02:17:17,120 HOW DO WE MOVE INTO THE NEXT 3934 02:17:17,120 --> 02:17:17,320 PHASE? 3935 02:17:17,320 --> 02:17:19,280 WHO MOVES INTO THE NEXT PHASE? 3936 02:17:19,280 --> 02:17:25,960 WE DON'T WANT TO BE IN A 3937 02:17:25,960 --> 02:17:27,600 NEVER-ENDING PROCESS, NUMBER 3938 02:17:27,600 --> 02:17:29,800 ONE, AND LEVERAGE TIME AND 3939 02:17:29,800 --> 02:17:32,200 TALENT OF THE RIGHT PEOPLE, 3940 02:17:32,200 --> 02:17:33,840 RIGHT TIME, RIGHT PLACE. 3941 02:17:33,840 --> 02:17:35,040 I NEED YOUR EXPERTISE THIS WEEK 3942 02:17:35,040 --> 02:17:36,400 BUT THEN I'M DONE WITH YOU, 3943 02:17:36,400 --> 02:17:42,400 WE'LL BRING YOU BACK WHEN WE 3944 02:17:42,400 --> 02:17:42,840 NEED TO. 3945 02:17:42,840 --> 02:17:43,120 >>THANKS. 3946 02:17:43,120 --> 02:17:49,160 >>I GUESS TWO QUESTIONS, WHEN I 3947 02:17:49,160 --> 02:17:50,880 THINK OF NLM, ESPECIALLY MY 3948 02:17:50,880 --> 02:17:53,400 THREE YEARS ON THE BOARD OF 3949 02:17:53,400 --> 02:17:54,080 REGENTS, INNOVATION ALREADY 3950 02:17:54,080 --> 02:17:54,280 GOES. 3951 02:17:54,280 --> 02:17:56,240 I'M TRYING TO FIGURE OUT THE 3952 02:17:56,240 --> 02:17:57,800 PROBLEM WE'RE TRYING TO SOLVE 3953 02:17:57,800 --> 02:17:58,720 WITH THE FRAMEWORK. 3954 02:17:58,720 --> 02:18:01,200 IS IT THAT INNOVATION WILL STOP? 3955 02:18:01,200 --> 02:18:02,480 >>NO, GREAT QUESTION. 3956 02:18:02,480 --> 02:18:04,360 WHAT WE'RE TRYING TO DO IS 3957 02:18:04,360 --> 02:18:05,040 HARNESS INNOVATION CULTURE 3958 02:18:05,040 --> 02:18:05,720 THAT'S ALREADY HERE. 3959 02:18:05,720 --> 02:18:08,400 THERE ARE POCKETS OF INNOVATION, 3960 02:18:08,400 --> 02:18:09,160 EVERYBODY'S INNOVATING EVERY 3961 02:18:09,160 --> 02:18:09,560 AREA. 3962 02:18:09,560 --> 02:18:11,800 BUT WHAT WE'RE TRYING TO DO IS 3963 02:18:11,800 --> 02:18:13,600 BRING IT ALL TOGETHER WITH ONE 3964 02:18:13,600 --> 02:18:15,320 CULTURE THAT ALLOWS US TO BE 3965 02:18:15,320 --> 02:18:17,440 ABLE TO SUPPORT EACH OTHER 3966 02:18:17,440 --> 02:18:18,280 THROUGH THAT PROCESS. 3967 02:18:18,280 --> 02:18:22,240 THERE ARE TIMES WHEN WE LOOK AT 3968 02:18:22,240 --> 02:18:23,680 AREAS THAT MAYBE AREN'T BE A 3969 02:18:23,680 --> 02:18:25,880 INNOVATIVE OR DON'T HAVE THE 3970 02:18:25,880 --> 02:18:27,400 PROCESS IN PLACE, MAYBE THEIR 3971 02:18:27,400 --> 02:18:28,280 IDEAS AREN'T GETTING FORWARD 3972 02:18:28,280 --> 02:18:32,120 WHERE THEY WANT THEM TO GO. 3973 02:18:32,120 --> 02:18:33,640 ANOTHER AREA, THERE'S SOME 3974 02:18:33,640 --> 02:18:34,600 REALLY GREAT INNOVATIONS COMING 3975 02:18:34,600 --> 02:18:34,920 OUT. 3976 02:18:34,920 --> 02:18:37,760 WE WANT TO LEVEL THAT PLAYING 3977 02:18:37,760 --> 02:18:39,560 FIELD SO INNOVATION IS COMING 3978 02:18:39,560 --> 02:18:44,480 FROM ALL AREAS WITHIN THE NLM. 3979 02:18:44,480 --> 02:18:46,240 SO, LOTS OF INNOVATION, WE WANT 3980 02:18:46,240 --> 02:18:47,600 TO CONSOLIDATE AND GIVE SUPPORT 3981 02:18:47,600 --> 02:18:49,200 AND STRUCTURE THAT IS NEEDED TO 3982 02:18:49,200 --> 02:18:55,120 BE ABLE TO CONTINUE TO DRIVE. 3983 02:18:55,120 --> 02:18:57,960 >>I'M INTERESTED TO UNDERSTAND, 3984 02:18:57,960 --> 02:19:00,480 INNOVATION, WHICH BECAME A HOT 3985 02:19:00,480 --> 02:19:01,880 TOPIC, I DON'T KNOW, PROBABLY 3986 02:19:01,880 --> 02:19:06,080 TEN YEARS AGO, INTERESTED TO 3987 02:19:06,080 --> 02:19:07,800 UNDERSTAND WITHIN THESE 3988 02:19:07,800 --> 02:19:08,680 FRAMEWORKS WORK ENVIRONMENTS, I 3989 02:19:08,680 --> 02:19:10,240 DON'T SEE IT IN THE FRAMEWORK 3990 02:19:10,240 --> 02:19:12,960 AND WONDER IF IT'S NECESSARY, 3991 02:19:12,960 --> 02:19:13,600 POST-PANDEMIC WORK ENVIRONMENT. 3992 02:19:13,600 --> 02:19:15,680 >>IT'S ANOTHER VERY GOOD 3993 02:19:15,680 --> 02:19:15,960 QUESTION. 3994 02:19:15,960 --> 02:19:18,400 HOW DOES OUR REMOTE OR SEMI 3995 02:19:18,400 --> 02:19:20,040 REMOTE WORK ENVIRONMENT AFFECT 3996 02:19:20,040 --> 02:19:20,760 INNOVATION, IT'S INTERESTING 3997 02:19:20,760 --> 02:19:22,680 BECAUSE WHEN WE TALK TO FOLKS 3998 02:19:22,680 --> 02:19:24,440 ONE OF THE QUESTIONS, WE DON'T 3999 02:19:24,440 --> 02:19:25,880 HAVE THE WATER COOLER 4000 02:19:25,880 --> 02:19:26,760 CONVERSATION ANYMORE, LET ME 4001 02:19:26,760 --> 02:19:30,840 BOUNCE SOMETHING OFF OF YOU. 4002 02:19:30,840 --> 02:19:32,240 SO THAT IN MY UNDERSTANDING 4003 02:19:32,240 --> 02:19:35,080 BECOMES AN INNOVATION IN AND OF 4004 02:19:35,080 --> 02:19:35,280 ITSELF. 4005 02:19:35,280 --> 02:19:38,240 WE RAMP UP THAT INNOVATION TEAM 4006 02:19:38,240 --> 02:19:39,760 TO SAY, OKAY, OUR ENVIRONMENT 4007 02:19:39,760 --> 02:19:41,200 HAS CHANGED, WE'RE NOT JUST 4008 02:19:41,200 --> 02:19:42,840 GOING AROUND THE CORNER WORKING 4009 02:19:42,840 --> 02:19:44,280 INTO SOMEONE ELSE'S OFFICE OR 4010 02:19:44,280 --> 02:19:45,560 CUBICLE AND HAVING A 4011 02:19:45,560 --> 02:19:46,280 CONVERSATION. 4012 02:19:46,280 --> 02:19:50,080 SOMEHOW THAT IMPACTING YOUR 4013 02:19:50,080 --> 02:19:51,520 ABILITY TO INNOVATEE AND HOW DO 4014 02:19:51,520 --> 02:19:52,880 WE SOLVE FOR THAT? 4015 02:19:52,880 --> 02:19:55,000 I'D LOVE TO GIVE THE PERFECT 4016 02:19:55,000 --> 02:19:56,840 ANSWER BUT IT'S AN INNOVATIVE 4017 02:19:56,840 --> 02:19:58,400 PROCESS TO TAKE FOLKS THROUGH 4018 02:19:58,400 --> 02:19:59,800 AND GET FOLKS LIKE YOU IN A ROOM 4019 02:19:59,800 --> 02:20:01,800 TO SAY WHAT ARE THOSE UNIQUE 4020 02:20:01,800 --> 02:20:04,840 THINGS THAT WE NEED TO DO IN 4021 02:20:04,840 --> 02:20:06,600 ORDER TO STIMULATE OR REPLICATE 4022 02:20:06,600 --> 02:20:08,680 SIMILAR TO WHAT WE DID IN THE 4023 02:20:08,680 --> 02:20:10,960 SAME ROOM TOGETHER AND HAD THAT 4024 02:20:10,960 --> 02:20:11,560 COMMUNICATION. 4025 02:20:11,560 --> 02:20:11,920 >>THANK YOU. 4026 02:20:11,920 --> 02:20:12,240 >>YEAH, SURE 4027 02:20:12,240 --> 02:20:14,400 >>COULD YOU GO BACK TO THE 4028 02:20:14,400 --> 02:20:15,280 PREVIOUS SLIDE PLEASE. 4029 02:20:15,280 --> 02:20:15,800 >>SURE. 4030 02:20:15,800 --> 02:20:18,440 >>I WONDER IF YOU COULD ANCHOR 4031 02:20:18,440 --> 02:20:21,000 THIS FOR ME WITH SOME EXAMPLES 4032 02:20:21,000 --> 02:20:23,000 BECAUSE I THINK WE ALL HAVE OUR 4033 02:20:23,000 --> 02:20:26,760 OWN IDEA WHAT INNOVATION IS. 4034 02:20:26,760 --> 02:20:28,160 BUT IT'S BEEN A VERY GENERAL 4035 02:20:28,160 --> 02:20:32,320 LEVEL AND DOESN'T HAVE TO BE NLM 4036 02:20:32,320 --> 02:20:32,640 EXAMPLE. 4037 02:20:32,640 --> 02:20:34,040 BUT SOME EXAMPLES WHAT VISION 4038 02:20:34,040 --> 02:20:36,680 FOR INNOVATION WHO LOOK LIKE, 4039 02:20:36,680 --> 02:20:38,320 THAT IS SPECIFICS BUT RELEVANT 4040 02:20:38,320 --> 02:20:39,480 TO ONE ORGANIZATION AND NOT 4041 02:20:39,480 --> 02:20:40,280 ANOTHER ONE. 4042 02:20:40,280 --> 02:20:42,360 DO YOU KNOW WHAT I MEAN? 4043 02:20:42,360 --> 02:20:44,360 AND THEN WHAT'S AN EXAMPLE OF A 4044 02:20:44,360 --> 02:20:45,000 CULTURAL ELEMENT? 4045 02:20:45,000 --> 02:20:47,120 AND THEN WHAT DOES IT MEAN TO 4046 02:20:47,120 --> 02:20:48,840 PRIORITIZE STEPS? 4047 02:20:48,840 --> 02:20:51,680 I THINK I UNDERSTAND MONITOR, 4048 02:20:51,680 --> 02:20:54,760 YOU SAY EVALUATION, EVALUATING 4049 02:20:54,760 --> 02:20:59,000 THE INNOVATIVE PROCESS OR 4050 02:20:59,000 --> 02:21:01,520 EVALUATING WHAT INNOVATION IS 4051 02:21:01,520 --> 02:21:02,200 TRYING TO ACHIEVE. 4052 02:21:02,200 --> 02:21:04,680 >>I'LL ANSWER LAST QUESTION 4053 02:21:04,680 --> 02:21:05,240 FIRST. 4054 02:21:05,240 --> 02:21:05,440 YES. 4055 02:21:05,440 --> 02:21:09,640 SO IF WE GO BACK, LET'S TAKE A 4056 02:21:09,640 --> 02:21:12,040 LOOK IN THAT CULTURE, WE WANT TO 4057 02:21:12,040 --> 02:21:13,720 ENSURE THAT IN GETTING AN 4058 02:21:13,720 --> 02:21:15,840 INNOVATIVE CULTURE WE WANT TO 4059 02:21:15,840 --> 02:21:18,240 MAKE SURE EVERYONE IN THE NLM, 4060 02:21:18,240 --> 02:21:20,240 IN WHATEVER COMPANY WE'RE 4061 02:21:20,240 --> 02:21:21,200 INNOVATING IN UNDERSTANDS THEIR 4062 02:21:21,200 --> 02:21:23,840 ROLE, THAT THEY HAVE A ROLE IN 4063 02:21:23,840 --> 02:21:24,160 INNOVATION. 4064 02:21:24,160 --> 02:21:26,720 >>BUT A SPECIFIC EXAMPLE, MAYBE 4065 02:21:26,720 --> 02:21:27,400 FROM A PREVIOUS -- 4066 02:21:27,400 --> 02:21:34,480 >>SO I'LL GIVE AN EXAMPLE. 4067 02:21:34,480 --> 02:21:39,720 IN THE NEWS THIS WEEK, AN 4068 02:21:39,720 --> 02:21:40,720 ARTICLE, THEY ALWAYS MADE 4069 02:21:40,720 --> 02:21:42,800 APPLIANCES FOR BEING IN THE 4070 02:21:42,800 --> 02:21:44,000 HOUSE, YOUR REFRIGERATOR, YOUR 4071 02:21:44,000 --> 02:21:45,080 RANGE, HERE'S THIS. 4072 02:21:45,080 --> 02:21:48,800 A GROUP OF EMPLOYEES WERE 4073 02:21:48,800 --> 02:21:54,280 R.V.-ERS, WHY AREN'T WE MAKING 4074 02:21:54,280 --> 02:21:56,120 SMALL -- THEY GOT A SMALL GROUP 4075 02:21:56,120 --> 02:21:57,760 TOGETHER AND INNOVATED ON THAT. 4076 02:21:57,760 --> 02:21:59,120 AND THEY DEVELOPED A WHOLE 4077 02:21:59,120 --> 02:22:03,040 BUSINESS LINE THAT IS RUNNING 4078 02:22:03,040 --> 02:22:06,320 VERY SUCCESSFULLY NOW, IT WAS 4079 02:22:06,320 --> 02:22:08,520 MAKING THEIR EMPLOYEES, THEY 4080 02:22:08,520 --> 02:22:14,320 CALL IT -- WE SAY ENTREPRENEURS, 4081 02:22:14,320 --> 02:22:15,480 THEY CALL THEM INTRAPRENEURS, TO 4082 02:22:15,480 --> 02:22:17,680 BRING DOWN TO THE LEVEL OF 4083 02:22:17,680 --> 02:22:18,880 EMPLOYEES, WE GOT A GREAT IDEA, 4084 02:22:18,880 --> 02:22:21,200 BUILD THIS OUT. 4085 02:22:21,200 --> 02:22:25,320 THAT'S AN EXAMPLE HOW A FIRM 4086 02:22:25,320 --> 02:22:26,080 WOULD HAVE -- 4087 02:22:26,080 --> 02:22:28,280 >>WHAT'S A CULTURAL ELEMENT? 4088 02:22:28,280 --> 02:22:30,600 >>THIS IS RISK. 4089 02:22:30,600 --> 02:22:32,000 THIS IS CREATIVITY. 4090 02:22:32,000 --> 02:22:34,400 AND TO BE CREATIVE, SIT DOWN AND 4091 02:22:34,400 --> 02:22:36,160 THINK HOW TO SOLVE THIS PROBLEM, 4092 02:22:36,160 --> 02:22:38,240 BEING ABLE TO CREATE THAT 4093 02:22:38,240 --> 02:22:40,360 CULTURE, GIVING THAT ENVIRONMENT 4094 02:22:40,360 --> 02:22:44,840 WHERE WE FEEL COMFORTABLE TAKING 4095 02:22:44,840 --> 02:22:46,680 THAT RISK, THE BOSS WON'T SAY 4096 02:22:46,680 --> 02:22:49,440 GET OUT OF HERE, CREATE THAT 4097 02:22:49,440 --> 02:22:50,080 CULTURE, SUPPORTIVE CULTURE THAT 4098 02:22:50,080 --> 02:22:53,480 ALLOWS US TO BE ABLE TO TOLERATE 4099 02:22:53,480 --> 02:22:54,680 RISK AND FAILURE. 4100 02:22:54,680 --> 02:22:59,160 AS WE GO THROUGH INNOVATION, NOT 4101 02:22:59,160 --> 02:23:00,160 EVERYTHING BECOMES INNOVATIVE 4102 02:23:00,160 --> 02:23:01,000 PRODUCTS. 4103 02:23:01,000 --> 02:23:03,000 WHEN WE TALK TO LEADERSHIP WE 4104 02:23:03,000 --> 02:23:05,320 WANT TO SAY, IT'S IMPORTANT 4105 02:23:05,320 --> 02:23:06,440 THAT, YOU KNOW, MAYBE 80% OF 4106 02:23:06,440 --> 02:23:08,760 WHAT COMES OUT OF INNOVATION 4107 02:23:08,760 --> 02:23:11,080 GROUPS NEVER IS GOING TO COME TO 4108 02:23:11,080 --> 02:23:11,320 REALITY. 4109 02:23:11,320 --> 02:23:13,520 BEING ABLE TO SUPPORT THAT FROM 4110 02:23:13,520 --> 02:23:15,240 A LEADERSHIP POINT OF VIEW 4111 02:23:15,240 --> 02:23:16,360 UNDERSTANDING THERE'S GOING TO 4112 02:23:16,360 --> 02:23:16,880 BE FAILURE. 4113 02:23:16,880 --> 02:23:18,320 IF WE'RE NOT FAILING A LOT, 4114 02:23:18,320 --> 02:23:24,000 WE'RE NOT DOING IT RIGHT. 4115 02:23:24,000 --> 02:23:25,680 DOES THAT MAKE SENSE? 4116 02:23:25,680 --> 02:23:29,360 >>I APPRECIATE THE CONTEXT OF 4117 02:23:29,360 --> 02:23:35,800 THE MATURITY, THINKING ABOUT 4118 02:23:35,800 --> 02:23:37,000 INNOVATION IN THE CONTEXT OF 4119 02:23:37,000 --> 02:23:37,560 MATURITY. 4120 02:23:37,560 --> 02:23:39,560 IF WE THINK ABOUT AN 4121 02:23:39,560 --> 02:23:42,760 ORGANIZATION, AND THEIR WORK ON 4122 02:23:42,760 --> 02:23:43,400 THIS INNOVATION JOURNEY, THEY 4123 02:23:43,400 --> 02:23:45,200 ARE GOING TO BE AT VARYING 4124 02:23:45,200 --> 02:23:47,320 LEVELS OF MATURITY ON ANY OF 4125 02:23:47,320 --> 02:23:51,160 THESE PARTICULAR POINTS. 4126 02:23:51,160 --> 02:23:53,160 HOW DO YOU ASSESS -- THIS IS AN 4127 02:23:53,160 --> 02:23:53,560 INNOVATION MODEL. 4128 02:23:53,560 --> 02:23:57,600 HOW DO YOU ASSESS THE MODEL IS 4129 02:23:57,600 --> 02:23:59,040 APPROPRIATELY REFLECTING 4130 02:23:59,040 --> 02:24:00,440 INNOVATION AND CHANGING -- 4131 02:24:00,440 --> 02:24:01,960 ACCOMMODATING CHANGES SO IT 4132 02:24:01,960 --> 02:24:06,320 CONTINUES TO BE RELEVANT? 4133 02:24:06,320 --> 02:24:08,080 >>WE WANT OUR INNOVATION 4134 02:24:08,080 --> 02:24:09,080 PRODUCT TO REMODEL AGAIN. 4135 02:24:09,080 --> 02:24:11,400 IF WE GO BACK AND LOOK AT BRING 4136 02:24:11,400 --> 02:24:14,560 UP THE MODEL AGAIN, LOOK AT THAT 4137 02:24:14,560 --> 02:24:16,320 MODEL, WE'LL RUN THE WHOLE 4138 02:24:16,320 --> 02:24:18,040 INNOVATION FRAMEWORK AGAIN BACK 4139 02:24:18,040 --> 02:24:18,680 TO OUR INNOVATION FRAMEWORK TO 4140 02:24:18,680 --> 02:24:24,080 SAY, YOU KNOW, ARE WE MEETING 4141 02:24:24,080 --> 02:24:26,800 THE NEEDS, CREATING IDEAS, SO 4142 02:24:26,800 --> 02:24:27,800 THE INNOVATION MODEL SERVES 4143 02:24:27,800 --> 02:24:30,000 ITSELF AS WELL TO MAKE SURE 4144 02:24:30,000 --> 02:24:31,880 WE'RE MEETING THE NEEDS THROUGH 4145 02:24:31,880 --> 02:24:32,760 THE INNOVATIVE PROCESS. 4146 02:24:32,760 --> 02:24:34,280 DOES THAT ANSWER YOUR QUESTION? 4147 02:24:34,280 --> 02:24:35,240 >>IT DOES, IT DOES. 4148 02:24:35,240 --> 02:24:38,560 CAN I ASK ONE MORE QUESTION? 4149 02:24:38,560 --> 02:24:38,920 >>ABSOLUTELY. 4150 02:24:38,920 --> 02:24:43,960 >>I'M CURIOUS, I FIND THIS 4151 02:24:43,960 --> 02:24:44,640 TOPIC FASCINATING BECAUSE 4152 02:24:44,640 --> 02:24:46,400 THERE'S A LITTLE BIT OF ART AND 4153 02:24:46,400 --> 02:24:48,480 A LITTLE BIT OF MAGIC AND THEN 4154 02:24:48,480 --> 02:24:49,560 BRINGING THE RIGHT PEOPLE 4155 02:24:49,560 --> 02:24:53,880 TOGETHER IN A ROOM SOMETIMES. 4156 02:24:53,880 --> 02:24:55,200 IN ALL YOUR WORK IN THIS AREA 4157 02:24:55,200 --> 02:25:01,240 HAVE YOU FOUND THERE ARE SOME 4158 02:25:01,240 --> 02:25:03,440 HALLMARKS OF TEAMS THAT ARE 4159 02:25:03,440 --> 02:25:04,320 GETTING THAT RIGHT COMBINATION 4160 02:25:04,320 --> 02:25:07,840 OR SEEM TO BE HEADED ON THAT 4161 02:25:07,840 --> 02:25:08,280 INNOVATION JOURNEY? 4162 02:25:08,280 --> 02:25:10,000 >>THERE ARE HALLMARKS OF TEAMS, 4163 02:25:10,000 --> 02:25:12,800 IF WE LOOK IN TWO INDUSTRIES, IN 4164 02:25:12,800 --> 02:25:14,360 HEALTHCARE TODAY THERE'S A LOT 4165 02:25:14,360 --> 02:25:16,120 OF HEALTH SYSTEMS THAT PUT 4166 02:25:16,120 --> 02:25:20,200 TOGETHER NURSING INNOVATION 4167 02:25:20,200 --> 02:25:23,720 CENTERS, PUT TOGETHER COMBINED, 4168 02:25:23,720 --> 02:25:25,680 A LOT OF HOSPITALS REALIZE THE 4169 02:25:25,680 --> 02:25:27,200 PEOPLE AT THE BEDSIDE REALLY 4170 02:25:27,200 --> 02:25:31,120 HAVE THE IDEAS AND ANSWERS, THEY 4171 02:25:31,120 --> 02:25:36,840 NEED THE ENGINE TO GET THEM TO 4172 02:25:36,840 --> 02:25:37,840 GO FORWARD. 4173 02:25:37,840 --> 02:25:39,360 I'M A NURSE, I CONCENTRATE ON 4174 02:25:39,360 --> 02:25:39,680 NURSING FIRST. 4175 02:25:39,680 --> 02:25:41,680 IF YOU LOOK AT INNOVATIONS AND 4176 02:25:41,680 --> 02:25:44,040 INVENTIONS THAT CAME OUT OF 4177 02:25:44,040 --> 02:25:46,240 BEDSIDE NURSING, THAT HAD WORKED 4178 02:25:46,240 --> 02:25:49,120 IN ORGANIZATIONS THAT HAD AN 4179 02:25:49,120 --> 02:25:50,840 INNOVATION DEPARTMENT THAT THEY 4180 02:25:50,840 --> 02:25:52,240 WERE ABLE TO RUN THESE THROUGH 4181 02:25:52,240 --> 02:25:54,760 AND BECOME A REAL PRODUCT, IT'S 4182 02:25:54,760 --> 02:25:54,960 AMAZING. 4183 02:25:54,960 --> 02:25:58,800 THERE'S COOL THINGS THEY HAVE 4184 02:25:58,800 --> 02:26:00,360 COME OUT WITH. 4185 02:26:00,360 --> 02:26:02,320 SOME BECAME COMMERCIAL PRODUCTS 4186 02:26:02,320 --> 02:26:03,200 SOLD THROUGHOUT THE INDUSTRY. 4187 02:26:03,200 --> 02:26:04,640 DID I ANSWER YOUR QUESTION? 4188 02:26:04,640 --> 02:26:08,240 >>YOU DID. 4189 02:26:08,240 --> 02:26:09,240 THANK YOU SO MUCH. 4190 02:26:09,240 --> 02:26:12,000 >>SO IN THE INTRAMURAL RESEARCH 4191 02:26:12,000 --> 02:26:13,800 PROGRAM WE HAVE A LOT OF 4192 02:26:13,800 --> 02:26:16,200 INDIVIDUAL INVESTIGATORS WHO ARE 4193 02:26:16,200 --> 02:26:18,600 DOING INNOVATIVE RESEARCH THAT'S 4194 02:26:18,600 --> 02:26:19,240 INDEPENDENT. 4195 02:26:19,240 --> 02:26:21,440 YOU MENTIONED THAT YOU ALSO WANT 4196 02:26:21,440 --> 02:26:23,200 TO HAVE STRATEGIC INNOVATION, 4197 02:26:23,200 --> 02:26:25,080 COMING FROM LEADERSHIP. 4198 02:26:25,080 --> 02:26:27,920 THERE MIGHT BE INNOVATIVE 4199 02:26:27,920 --> 02:26:30,400 PROJECTS THAT COME ACROSS THE 4200 02:26:30,400 --> 02:26:37,640 NLM, YOU KNOW, THE SYSTEM. 4201 02:26:37,640 --> 02:26:39,760 HOW DO WE INCENTIVIZE TO 4202 02:26:39,760 --> 02:26:40,040 PARTICIPATE? 4203 02:26:40,040 --> 02:26:43,120 >>WHEN YOU LOOK AT THAT, SOME 4204 02:26:43,120 --> 02:26:45,000 INCENTIVE IS HOPEFULLY DOING 4205 02:26:45,000 --> 02:26:47,640 THEIR JOBS EASIER WITH, YOU 4206 02:26:47,640 --> 02:26:50,360 KNOW, LESS OBSTACLES IN THEIR 4207 02:26:50,360 --> 02:26:51,120 WAY. 4208 02:26:51,120 --> 02:26:52,560 IF YOUR INVESTIGATORS ARE SAYING 4209 02:26:52,560 --> 02:26:56,280 HERE IS MY PROBLEM TO SOLVE 4210 02:26:56,280 --> 02:26:59,000 I'M HERE AND CAN'T GET TO HERE 4211 02:26:59,000 --> 02:27:00,560 BECAUSE OF BUREAUCRACY, BECAUSE 4212 02:27:00,560 --> 02:27:02,320 OF THIS OR THAT, SAY LET'S WORK 4213 02:27:02,320 --> 02:27:06,360 THROUGH THIS. 4214 02:27:06,360 --> 02:27:07,360 GET TOGETHER WITH LEADERSHIP, 4215 02:27:07,360 --> 02:27:07,800 STRATEGIC PEOPLE AND 4216 02:27:07,800 --> 02:27:09,640 INVESTIGATORS TO COME UP WITH A 4217 02:27:09,640 --> 02:27:10,960 SOLUTION GIVING THEM THE FORUM 4218 02:27:10,960 --> 02:27:15,240 TO WORK TOGETHER ON SOLVING THE 4219 02:27:15,240 --> 02:27:15,680 PROBLEM. 4220 02:27:15,680 --> 02:27:16,760 >>DO THEY HAVE TO SEE SOMETHING 4221 02:27:16,760 --> 02:27:26,720 THAT'S GOING TO BENEFIT THEIR 4222 02:27:26,720 --> 02:27:30,400 DAY DAY-TO-DAY ACTIVITIES? 4223 02:27:30,400 --> 02:27:34,240 >>WHAT'S GOING TO MAKE MY 4224 02:27:34,240 --> 02:27:36,640 POSITION EASIER, THE WHOLE 4225 02:27:36,640 --> 02:27:38,520 PROCESS IS GOING TO THE GREATER 4226 02:27:38,520 --> 02:27:38,760 GOOD. 4227 02:27:38,760 --> 02:27:40,480 >>I'LL RESPOND TO THE COMMENT, 4228 02:27:40,480 --> 02:27:40,800 WHAT EXAMPLES. 4229 02:27:40,800 --> 02:27:44,120 I WANT TO BACK UP AND SAY ONE OF 4230 02:27:44,120 --> 02:27:45,400 THE MOST ESSENTIAL THINGS THE 4231 02:27:45,400 --> 02:27:47,280 NLM CAN DO IS ADOPT THIS CULTURE 4232 02:27:47,280 --> 02:27:47,880 OF CONTINUOUS INNOVATION. 4233 02:27:47,880 --> 02:27:49,680 WE HAVE TO BE ABLE TO MOVE 4234 02:27:49,680 --> 02:27:54,280 TOWARDS THE FUTURE WITH A 4235 02:27:54,280 --> 02:27:56,440 DIFFERENT MODEL, ACCESS, WE NEED 4236 02:27:56,440 --> 02:27:58,320 TO STOP THINKING OF NEW THINGS, 4237 02:27:58,320 --> 02:27:59,840 REALLY THINKING TO WHAT EXTENT 4238 02:27:59,840 --> 02:28:03,240 DO WE HAVE TO REORGANIZE CORE 4239 02:28:03,240 --> 02:28:06,320 BUSINESS, CAN WE ADD SMALL 4240 02:28:06,320 --> 02:28:08,480 PILOTS, LARGE PILOTS, THIS TAKES 4241 02:28:08,480 --> 02:28:09,040 MANAGEMENT STRUCTURE. 4242 02:28:09,040 --> 02:28:10,440 AS I EXPLAINED THIS MORNING 4243 02:28:10,440 --> 02:28:14,960 WE'VE BEEN EXPOSED TO MANY IDEAS 4244 02:28:14,960 --> 02:28:16,480 ABOUT LARGE LANGUAGE MODELS, 4245 02:28:16,480 --> 02:28:18,640 CHAT GPT. 4246 02:28:18,640 --> 02:28:20,400 I'LL HAVE DIANNE BABSKI TALKS 4247 02:28:20,400 --> 02:28:22,040 ABOUT THIS, IN JUST A MINUTE, AN 4248 02:28:22,040 --> 02:28:23,880 EXAMPLE OF HOW WE BUILD A 4249 02:28:23,880 --> 02:28:24,760 CULTURE OF CONTINUOUS 4250 02:28:24,760 --> 02:28:25,320 INNOVATION. 4251 02:28:25,320 --> 02:28:28,160 WE HAVE A KNOWLEDGEABLE PERSON, 4252 02:28:28,160 --> 02:28:29,480 A RISK ASSESSMENT, WHAT DO WE 4253 02:28:29,480 --> 02:28:31,920 HAVE TO TRADE OFF? 4254 02:28:31,920 --> 02:28:34,440 WE HAVE WAYS TO ENGAGE OUR 4255 02:28:34,440 --> 02:28:39,360 LEADERSHIP IN RISK TOLERANCE. 4256 02:28:39,360 --> 02:28:40,760 THIS IS FAIRLY LOW RISK BUT 4257 02:28:40,760 --> 02:28:42,760 MIGHT GET TO HIGHER RISK, 4258 02:28:42,760 --> 02:28:43,760 LEADERSHIP HAS TO BE INVOLVED. 4259 02:28:43,760 --> 02:28:48,760 WE HAVE TO HAVE CHAMPIONS, 4260 02:28:48,760 --> 02:28:50,720 SOMEBODY TAKING THIS FORWARD, 4261 02:28:50,720 --> 02:28:51,920 THEY CAN ARISE FROMFULLY WHERE 4262 02:28:51,920 --> 02:28:53,480 AND BRING OTHER CHAMPIONS WITH 4263 02:28:53,480 --> 02:28:53,800 THEM. 4264 02:28:53,800 --> 02:28:55,800 WE DON'T HAVE THE STRUCTURE TO 4265 02:28:55,800 --> 02:28:58,400 SAY WHO ARE THEY AND HOW DO WE 4266 02:28:58,400 --> 02:28:59,080 EMPOWER THEM? 4267 02:28:59,080 --> 02:29:03,200 WE HAVE TO HAVE A STRATEGY FOR 4268 02:29:03,200 --> 02:29:05,160 MONITORING COSTS, NOT ONLY WHAT 4269 02:29:05,160 --> 02:29:06,800 WE THINK IS NICE, INTERESTING 4270 02:29:06,800 --> 02:29:08,360 NOVEL IDEA BUT ALL THE OTHER 4271 02:29:08,360 --> 02:29:09,480 STUFF THEY SAME TIME, WHETHER 4272 02:29:09,480 --> 02:29:11,960 CAN WE TAKE OTHER FUNDS FROM, 4273 02:29:11,960 --> 02:29:13,600 WHAT WILL IMPACT BE MAYBE ON 4274 02:29:13,600 --> 02:29:14,160 FUTURE SAVINGS. 4275 02:29:14,160 --> 02:29:16,120 AND WE HAVE TO HAVE EVALUATION 4276 02:29:16,120 --> 02:29:17,320 OF METRICS, BUILD IN THIS 4277 02:29:17,320 --> 02:29:18,520 CULTURE THAT SAYS THIS IS A 4278 02:29:18,520 --> 02:29:20,280 COMMON WAY OF DOING THINGS. 4279 02:29:20,280 --> 02:29:22,160 RIGHT NOW IT'S A ONE-OFF. 4280 02:29:22,160 --> 02:29:23,560 WE MOBILIZE PEOPLE, THEY GET 4281 02:29:23,560 --> 02:29:25,440 EXCITED AND THAT GOES, WE WANT 4282 02:29:25,440 --> 02:29:26,520 TO CAPTURE THAT LEARNING AND ONE 4283 02:29:26,520 --> 02:29:33,520 OF THE WAYS IS ESTABLISHING 4284 02:29:33,520 --> 02:29:33,880 PARTNERSHIPS. 4285 02:29:33,880 --> 02:29:35,960 IT MIGHT NEED A SMALL CORE GROUP 4286 02:29:35,960 --> 02:29:37,520 BUT AS IDEAS GROW MIGHT BE 4287 02:29:37,520 --> 02:29:40,120 SUSTAINED BY LARGER COMMUNITY OF 4288 02:29:40,120 --> 02:29:43,160 PRACTICE OR PARTNERSHIPS. 4289 02:29:43,160 --> 02:29:47,000 LET ME HAVE DIANNE TALK ABOUT 4290 02:29:47,000 --> 02:29:47,680 LARGE LANGUAGE MODELS. 4291 02:29:47,680 --> 02:29:50,200 COME UP TO THE TABLE PLEASE. 4292 02:29:50,200 --> 02:29:51,000 >>SURE. 4293 02:29:51,000 --> 02:29:55,360 SO WE HAVE JUST LAUNCHED A 4294 02:29:55,360 --> 02:29:57,240 PILOT, AND LET ME GIVE 4295 02:29:57,240 --> 02:30:01,120 BACKGROUND ON IT FIRST. 4296 02:30:01,120 --> 02:30:02,360 ACROSS NIH, WITHIN NLM, THERE'S 4297 02:30:02,360 --> 02:30:06,200 BEEN A LOT OF EXCITEMENT ABOUT 4298 02:30:06,200 --> 02:30:09,880 GENERATIVE A.I., WHAT CAN WE DO 4299 02:30:09,880 --> 02:30:12,960 WITH THIS, SEEING PINGS 4300 02:30:12,960 --> 02:30:13,960 STARTING, LITTLE PLANTS GROWING 4301 02:30:13,960 --> 02:30:15,600 ALL OVER THE PLACE. 4302 02:30:15,600 --> 02:30:17,040 WE WANT TO CREATE AN ENVIRONMENT 4303 02:30:17,040 --> 02:30:18,760 WHERE WE COULD BRING PEOPLE 4304 02:30:18,760 --> 02:30:21,920 TOGETHER THAT HAVE DIFFERENT 4305 02:30:21,920 --> 02:30:24,600 LEVELS OF SKILL, AND ALSO IT'S A 4306 02:30:24,600 --> 02:30:26,640 LEARNING PROCESS FOR US BECAUSE 4307 02:30:26,640 --> 02:30:27,720 INSTEAD OF EVERYONE REINVENTING 4308 02:30:27,720 --> 02:30:30,040 THE WHEEL WE WANT TO BUILD FROM 4309 02:30:30,040 --> 02:30:33,440 EACH OTHER, BOTH WITHIN NLM AND 4310 02:30:33,440 --> 02:30:34,840 EXTERNALLY THROUGHOUT NIH BUT 4311 02:30:34,840 --> 02:30:37,680 ALSO WITH COMMERCIAL ENTITIES AS 4312 02:30:37,680 --> 02:30:38,880 WELL. 4313 02:30:38,880 --> 02:30:42,520 SO, WHAT WE'RE DOING IS WE HAVE 4314 02:30:42,520 --> 02:30:47,120 A PILOT HERE AT NLM THAT'S GOING 4315 02:30:47,120 --> 02:30:47,280 OUT. 4316 02:30:47,280 --> 02:30:51,160 >>USE YOUR OUTSIDE VOICE. 4317 02:30:51,160 --> 02:30:52,360 >>OH. 4318 02:30:52,360 --> 02:30:55,200 SO WE HAVE ABOUT SIX USE CASES 4319 02:30:55,200 --> 02:30:57,520 THAT SPAN A VARIETY OF DIFFERENT 4320 02:30:57,520 --> 02:30:57,720 AREAS. 4321 02:30:57,720 --> 02:31:00,360 SOME OF THEM ARE LOOKING FOR 4322 02:31:00,360 --> 02:31:02,960 EFFICIENCIES IN OUR PROCESSES, 4323 02:31:02,960 --> 02:31:05,280 SOME ARE LOOKING AT HOW TO 4324 02:31:05,280 --> 02:31:06,680 PROVIDE BETTER OR DIFFERENT 4325 02:31:06,680 --> 02:31:09,760 TYPES OF CUSTOMER SERVICE AS 4326 02:31:09,760 --> 02:31:16,760 MUCH LOWER MORE TARGETED 4327 02:31:16,760 --> 02:31:19,120 RESPONSE FOR USERS, JOHN LU IS 4328 02:31:19,120 --> 02:31:24,760 WORKING ON CREATING A WAY WITH 4329 02:31:24,760 --> 02:31:26,880 TRIAL GPT THAT'S MATCHING 4330 02:31:26,880 --> 02:31:27,920 PATIENTS TO CLINICAL TRIALS, AND 4331 02:31:27,920 --> 02:31:32,520 SO THERE'S A LOT OF DIFFERENT 4332 02:31:32,520 --> 02:31:33,520 CLINICAL ADMINISTRATIVE AND 4333 02:31:33,520 --> 02:31:34,200 INFORMATION MANAGEMENT THAT'S 4334 02:31:34,200 --> 02:31:35,400 GOING ON WITH IT. 4335 02:31:35,400 --> 02:31:38,880 WE HAVE ANOTHER RESEARCHER AT 4336 02:31:38,880 --> 02:31:46,080 NIH THAT'S LOOKING AT USING HELP 4337 02:31:46,080 --> 02:31:47,720 DEVELOP DATA MANAGEMENT PLANS 4338 02:31:47,720 --> 02:31:53,880 THAT IS CROSS-MAPPED WITH CDEs 4339 02:31:53,880 --> 02:31:55,880 AND STANDARDS SO THERE'S THAT 4340 02:31:55,880 --> 02:31:56,280 INTEROPERABILITY. 4341 02:31:56,280 --> 02:31:58,920 WE'RE BRINGING THESE PEOPLE 4342 02:31:58,920 --> 02:31:59,440 TOGETHER. 4343 02:31:59,440 --> 02:32:02,400 WE'RE PROVIDING THEM A SIMILAR 4344 02:32:02,400 --> 02:32:03,160 PLATFORM. 4345 02:32:03,160 --> 02:32:04,400 WE ARE WORKING WITH MICROSOFT 4346 02:32:04,400 --> 02:32:06,000 AZURE BECAUSE WE ALREADY HAVE 4347 02:32:06,000 --> 02:32:08,400 ACCESS TO THAT AND HAVE ACCESS 4348 02:32:08,400 --> 02:32:10,680 TO CLOUD, WHERE WE NEED TO PUT 4349 02:32:10,680 --> 02:32:11,600 ADDITIONAL DATASETS IN. 4350 02:32:11,600 --> 02:32:13,440 WE'LL TRY TO ANSWER SOME OF 4351 02:32:13,440 --> 02:32:15,840 THESE USE CASES, BRING PEOPLE 4352 02:32:15,840 --> 02:32:20,560 TOGETHER WITHIN NLM AND ACROSS 4353 02:32:20,560 --> 02:32:21,640 NIH, NOW CDC. 4354 02:32:21,640 --> 02:32:23,160 WE WANT TO SHARE WHAT WE'RE 4355 02:32:23,160 --> 02:32:26,480 DOING AND HOW WE'RE PUTTING THIS 4356 02:32:26,480 --> 02:32:28,520 TOGETHER AND LONG TERM IS WHAT 4357 02:32:28,520 --> 02:32:30,320 INVESTMENTS DO WE WANT TO MAKE 4358 02:32:30,320 --> 02:32:31,480 GOING FORWARD, DO WE WANT TO ADD 4359 02:32:31,480 --> 02:32:33,760 MORE DATASETS, HOW DO WE DO 4360 02:32:33,760 --> 02:32:36,760 THAT, HOW DO WE SYNC ACROSS 4361 02:32:36,760 --> 02:32:37,800 CAMPUS AND BEYOND. 4362 02:32:37,800 --> 02:32:39,480 SO, WE'RE DOING THIS FOR SIX 4363 02:32:39,480 --> 02:32:41,360 MONTHS, WE'LL HAVE A STOP POINT, 4364 02:32:41,360 --> 02:32:43,600 TAKE A LOOK AT WHAT WE'RE DOING, 4365 02:32:43,600 --> 02:32:45,360 WHAT'S WORKING, WHAT'S NOT, AND 4366 02:32:45,360 --> 02:32:55,520 MAKE DECISIONS GOING ON FROM 4367 02:32:55,520 --> 02:32:55,760 THERE. 4368 02:32:55,760 --> 02:32:56,880 >>SO YOU ILLUSTRATED THIS WHERE 4369 02:32:56,880 --> 02:32:59,280 DO WE GO FROM HERE AS LINEAR. 4370 02:32:59,280 --> 02:33:06,040 HOWEVER, WHEN I THINK ABOUT THE 4371 02:33:06,040 --> 02:33:06,920 FORTHCOMING CHANGE IN 4372 02:33:06,920 --> 02:33:10,080 LEADERSHIP, HOW FAR BACK DOES 4373 02:33:10,080 --> 02:33:14,600 THAT PUSH YOUR HE GUESS 4374 02:33:14,600 --> 02:33:16,880 CONSULTATION RECOMMENDATIONS? 4375 02:33:16,880 --> 02:33:18,840 AND ALSO DOES THAT STIFLE THE 4376 02:33:18,840 --> 02:33:21,360 NEXT LEADER TO SAY WE HAVE THIS 4377 02:33:21,360 --> 02:33:22,880 PLAN, YET MAYBE I DO WANT TO 4378 02:33:22,880 --> 02:33:24,880 CHANGE THE ELEMENTS OR MAYBE THE 4379 02:33:24,880 --> 02:33:26,520 VISION IS SLIGHTLY DIFFERENT, SO 4380 02:33:26,520 --> 02:33:30,240 HOW DO YOU MIX THAT -- YOU ALSO 4381 02:33:30,240 --> 02:33:31,880 WANT TO COME IN WITH VISION, TO 4382 02:33:31,880 --> 02:33:33,320 BE PREPARED FOR THE NEXT 4383 02:33:33,320 --> 02:33:36,480 STRATEGIC PLAN, BUT YOU HAVE 4384 02:33:36,480 --> 02:33:41,360 THIS HERE, AND YET I CAN SEE 4385 02:33:41,360 --> 02:33:43,240 ARROW COMING BACK DOWN TO GO UP, 4386 02:33:43,240 --> 02:33:45,600 AND DOWN TO GO UP, HOW DO YOU 4387 02:33:45,600 --> 02:33:47,280 BRING IN YES, LET'S MOVE FORWARD 4388 02:33:47,280 --> 02:33:49,800 BUT THIS IS WHAT WE WOULD LIKE 4389 02:33:49,800 --> 02:33:50,800 TO DO RIGHT NOW? 4390 02:33:50,800 --> 02:33:54,000 >>SO I THINK I'LL ANSWER AND 4391 02:33:54,000 --> 02:33:55,840 PASS TO DR. BRENNAN. 4392 02:33:55,840 --> 02:34:00,480 AS WE LOOK AT -- THIS IS NOT 4393 02:34:00,480 --> 02:34:01,440 NECESSARILY LINEAR, IT STARTS 4394 02:34:01,440 --> 02:34:03,280 AND STOPS IN MULTIPLE AREAS. 4395 02:34:03,280 --> 02:34:04,520 IN SUPPORTING THAT CULTURE OF 4396 02:34:04,520 --> 02:34:05,560 INNOVATION WE HAVE THE 4397 02:34:05,560 --> 02:34:07,320 OPPORTUNITY TO RETHINK IT. 4398 02:34:07,320 --> 02:34:09,320 SO IT IS NIMBLE, NOT SOMETHING 4399 02:34:09,320 --> 02:34:10,920 THAT'S WRITTEN IN STONE, WE'RE 4400 02:34:10,920 --> 02:34:11,360 MOVING FORWARD. 4401 02:34:11,360 --> 02:34:14,560 IT SHOULD BE ABLE TO FLEX ITSELF 4402 02:34:14,560 --> 02:34:15,960 WITH ANY PERSPECTIVE FROM 4403 02:34:15,960 --> 02:34:17,520 LEADER, FROM ANYONE ELSE, AND 4404 02:34:17,520 --> 02:34:19,160 STILL SUPPORT WHAT WE'RE TRYING 4405 02:34:19,160 --> 02:34:21,800 TO GET OUT OF AN INNOVATIVE 4406 02:34:21,800 --> 02:34:22,240 CULTURE. 4407 02:34:22,240 --> 02:34:24,400 I DON'T KNOW IF DR. BRENNAN 4408 02:34:24,400 --> 02:34:26,440 WANTS TO WEIGH IN. 4409 02:34:26,440 --> 02:34:28,880 >>SO, WE DID A COUPLE THINGS. 4410 02:34:28,880 --> 02:34:32,840 FOR ONE, I DIDN'T LEAD THE 4411 02:34:32,840 --> 02:34:36,000 PROCESS OF THE CONSULTATION. 4412 02:34:36,000 --> 02:34:38,600 TODD AND MIKE AND WHILE HE WAS 4413 02:34:38,600 --> 02:34:40,920 HERE JERRY, THEY HAD THE 4414 02:34:40,920 --> 02:34:43,440 CONVERSATION WITH LEADERSHIP. 4415 02:34:43,440 --> 02:34:46,720 WE WORK TO GET LEADERSHIP BUY-IN 4416 02:34:46,720 --> 02:34:50,200 A YEAR AGO, IT TOOK A YEAR GET A 4417 02:34:50,200 --> 02:34:50,760 CONTRACT IN PLACE. 4418 02:34:50,760 --> 02:34:52,760 I WOULD HAVE LIKED TO HAVE 4419 02:34:52,760 --> 02:34:54,160 STARTED THIS LAST SEPTEMBER. 4420 02:34:54,160 --> 02:34:56,440 I'M GOING TO BE HERE FOR THE 4421 02:34:56,440 --> 02:34:56,640 PARTY. 4422 02:34:56,640 --> 02:34:59,040 IT'S GOING TO GO ON WITHOUT ME. 4423 02:34:59,040 --> 02:35:00,920 ONE OF THE THINGS, I WORK WITH 4424 02:35:00,920 --> 02:35:02,040 AN EXECUTIVE COACH, HE'S BEEN 4425 02:35:02,040 --> 02:35:04,720 SAYING THE LAST THREE MONTHS, 4426 02:35:04,720 --> 02:35:06,480 YOU CANNOT RULE FROM BEYOND THE 4427 02:35:06,480 --> 02:35:06,720 GRAVE. 4428 02:35:06,720 --> 02:35:07,600 YOU CANNOT LEAVE PEOPLE WITH 4429 02:35:07,600 --> 02:35:08,720 WORK TO DO AND EXPECT THEY ARE 4430 02:35:08,720 --> 02:35:09,880 GOING TO DO IT. 4431 02:35:09,880 --> 02:35:11,080 THEY HAVE A CHOICE, WHEN YOU'RE 4432 02:35:11,080 --> 02:35:13,720 GONE THEY MIGHT DO SOMETHING 4433 02:35:13,720 --> 02:35:16,560 DIFFERENT. 4434 02:35:16,560 --> 02:35:17,360 TRY IT. 4435 02:35:17,360 --> 02:35:17,680 [LAUGHTER] 4436 02:35:17,680 --> 02:35:20,080 BUT THIS IS SOMETHING THAT I 4437 02:35:20,080 --> 02:35:23,480 THINK I'M GOING TO ASK MIKE. 4438 02:35:23,480 --> 02:35:25,840 WEIGH IN. 4439 02:35:25,840 --> 02:35:34,440 ARE WE STARTING OFF, IS IT GOING 4440 02:35:34,440 --> 02:35:36,880 TO DISAPPEAR OCTOBER 2? 4441 02:35:36,880 --> 02:35:39,080 >>NO, IT'S NOT GOING TO 4442 02:35:39,080 --> 02:35:40,880 DISAPPEAR ON OCTOBER 2. 4443 02:35:40,880 --> 02:35:43,280 WHEN WE ENVISIONED THIS 4444 02:35:43,280 --> 02:35:46,880 ACTIVITY, WE REALLY ENVISIONED A 4445 02:35:46,880 --> 02:35:48,520 LEADERSHIP DEVELOPMENT FIRST. 4446 02:35:48,520 --> 02:35:49,600 AND ORGANIZATIONAL DEVELOPMENT 4447 02:35:49,600 --> 02:35:49,840 SECOND. 4448 02:35:49,840 --> 02:35:52,120 AND WE DID NOT START FROM A 4449 02:35:52,120 --> 02:35:54,320 PREMISE THAT WE HAVE A PROBLEM 4450 02:35:54,320 --> 02:35:55,320 HERE AT NLM. 4451 02:35:55,320 --> 02:35:57,160 WE STARTED FROM THE PREMISE THAT 4452 02:35:57,160 --> 02:35:59,000 WE HAVE REAL STRENGTHS AND THAT 4453 02:35:59,000 --> 02:36:03,200 WE NEED TO OPTIMIZE AND BECOME 4454 02:36:03,200 --> 02:36:04,720 MORE SYSTEMATIC ABOUT HOW WE 4455 02:36:04,720 --> 02:36:06,440 THINK ABOUT INNOVATION AND HOW 4456 02:36:06,440 --> 02:36:09,320 WE DRIVE IT FORWARD AS A 4457 02:36:09,320 --> 02:36:11,160 LEADERSHIP TEAM. 4458 02:36:11,160 --> 02:36:14,880 AND SO WE SET UP THIS ACTIVITY 4459 02:36:14,880 --> 02:36:17,200 WITH A BASE AND SEVERAL OPTIONS 4460 02:36:17,200 --> 02:36:18,520 THAT WE COULD EXECUTE IN THE 4461 02:36:18,520 --> 02:36:19,080 FUTURE. 4462 02:36:19,080 --> 02:36:21,360 SO RIGHT NOW WE'RE JUST REALLY 4463 02:36:21,360 --> 02:36:22,640 IN THE FIRST PHASE. 4464 02:36:22,640 --> 02:36:24,400 WE'LL HAVE A SEARCH FOR A NEW 4465 02:36:24,400 --> 02:36:26,160 DIRECTOR THAT WILL TAKE PLACE 4466 02:36:26,160 --> 02:36:29,640 OVER THE NEXT YEAR. 4467 02:36:29,640 --> 02:36:31,400 AND STEVE, AS YOU KNOW, 4468 02:36:31,400 --> 02:36:33,040 INTRODUCED HIMSELF AND WILL BE 4469 02:36:33,040 --> 02:36:35,240 ACTING OVER THE NEXT YEAR UNTIL 4470 02:36:35,240 --> 02:36:38,080 WE HAVE A PERMANENT DIRECTOR 4471 02:36:38,080 --> 02:36:38,520 APPOINTED. 4472 02:36:38,520 --> 02:36:41,920 AND SO WHAT WE WANT TO DO IS 4473 02:36:41,920 --> 02:36:45,880 MAKE SURE THAT NLM IS BEST 4474 02:36:45,880 --> 02:36:47,360 POSITIONED FOR OUR FUTURE, 4475 02:36:47,360 --> 02:36:50,560 TOGETHER, AND SO THAT WHEN A NEW 4476 02:36:50,560 --> 02:36:52,080 DIRECTOR COMES IN, WE CAN 4477 02:36:52,080 --> 02:36:56,480 SHOWCASE WHAT WE'RE DOING HERE 4478 02:36:56,480 --> 02:37:00,640 AND THEN MAKE APPROPRIATE 4479 02:37:00,640 --> 02:37:01,360 ADJUSTMENTS. 4480 02:37:01,360 --> 02:37:05,200 BUT AS DANA SAID, THIS IS NOT A 4481 02:37:05,200 --> 02:37:05,960 RIGID ACTIVITY. 4482 02:37:05,960 --> 02:37:13,120 IT'S NOT SET IN STONE. 4483 02:37:13,120 --> 02:37:14,520 AND THERE'S NOT A LOT OF 4484 02:37:14,520 --> 02:37:15,600 OPPORTUNITY FOR ADJUSTMENT AS WE 4485 02:37:15,600 --> 02:37:16,840 GO ALONG OF THE BEING IN THE 4486 02:37:16,840 --> 02:37:18,040 FIRST PHASE WE DON'T KNOW WHAT 4487 02:37:18,040 --> 02:37:20,520 THE END RESULT IS GOING TO LOOK 4488 02:37:20,520 --> 02:37:21,080 LIKE. 4489 02:37:21,080 --> 02:37:28,520 YOU KNOW, WHEN DANA WAS LEVEL 4490 02:37:28,520 --> 02:37:29,320 SETTING, THE INITIAL TERMINOLOGY 4491 02:37:29,320 --> 02:37:31,800 YOU COULD HAVE WRITTEN THAT A 4492 02:37:31,800 --> 02:37:34,400 THOUSAND DIFFERENT WAYS. 4493 02:37:34,400 --> 02:37:34,680 >>RIGHT. 4494 02:37:34,680 --> 02:37:36,560 >>AND SO, YOU KNOW, MAINLY KEEP 4495 02:37:36,560 --> 02:37:39,440 IN MIND THAT THIS IS JUST THE 4496 02:37:39,440 --> 02:37:41,560 VERY START TO BUILD UPON THE 4497 02:37:41,560 --> 02:37:42,960 STRENGTHS THAT WE ALREADY HAVE. 4498 02:37:42,960 --> 02:37:45,360 >>IF I COULD ADD TO THAT, REAL 4499 02:37:45,360 --> 02:37:50,040 FOCUS HAS TO BE ON THE WORD 4500 02:37:50,040 --> 02:37:51,280 "CULTURE" THAT. 4501 02:37:51,280 --> 02:37:52,920 GETS TO SOMETHING THAT PATTI 4502 02:37:52,920 --> 02:37:54,440 BROUGHT UP THIS MORNING, THE 4503 02:37:54,440 --> 02:37:56,520 STRENGTH OF ONE NLM AND WHEN YOU 4504 02:37:56,520 --> 02:37:57,520 TALK ABOUT CULTURAL CHANGE, 4505 02:37:57,520 --> 02:37:59,920 YOU'RE TALKING ABOUT CHANGES IN 4506 02:37:59,920 --> 02:38:01,880 BEHAVIOR, TALKING ABOUT 4507 02:38:01,880 --> 02:38:03,080 INCENTIVE STRUCTURES, AND I 4508 02:38:03,080 --> 02:38:05,160 THINK THOSE WILL LEVERAGE THE 4509 02:38:05,160 --> 02:38:07,920 ONE NLM AND VICE VERSA. 4510 02:38:07,920 --> 02:38:09,320 ONE NLM WILL LEVERAGE THIS 4511 02:38:09,320 --> 02:38:10,400 ACTIVITY AS WELL. 4512 02:38:10,400 --> 02:38:11,960 SO I SEE A LOT OF POSITIVE 4513 02:38:11,960 --> 02:38:13,920 COMING OUT OF IT. 4514 02:38:13,920 --> 02:38:17,640 CERTAINLY WON'T END ON OCTOBER 4515 02:38:17,640 --> 02:38:17,760 2. 4516 02:38:17,760 --> 02:38:20,480 >>STEVE, ARE WE GIVING YOU A 4517 02:38:20,480 --> 02:38:21,680 PRESCRIPTION? 4518 02:38:21,680 --> 02:38:23,440 DO YOU FEEL LIKE THIS IS ROLLED 4519 02:38:23,440 --> 02:38:29,080 INTO YOUR OWN LEADERSHIP 4520 02:38:29,080 --> 02:38:29,320 THINKING? 4521 02:38:29,320 --> 02:38:33,080 >>SO, IT HAS ALL THE RIGHT 4522 02:38:33,080 --> 02:38:36,000 ELEMENTS FOR CULTURAL CHANGE. 4523 02:38:36,000 --> 02:38:38,800 CHOICES YOU MAKE HOW YOU 4524 02:38:38,800 --> 02:38:40,600 ACTUALIZE, TO THE POINT OF 4525 02:38:40,600 --> 02:38:43,360 SOMETHING RAISED ABOUT IS THIS 4526 02:38:43,360 --> 02:38:44,880 ENDURING, DANA WAS RIGHT. 4527 02:38:44,880 --> 02:38:49,240 ALL OF THE ELEMENTS ARE ALWAYS 4528 02:38:49,240 --> 02:38:52,040 REQUIRED. 4529 02:38:52,040 --> 02:38:53,000 IT'S HOW YOU CHANGE. 4530 02:38:53,000 --> 02:38:58,240 I THINK WE'RE ON THE RIGHT 4531 02:38:58,240 --> 02:38:58,440 TRACK. 4532 02:38:58,440 --> 02:39:00,480 FIGURING OUT WHAT WE WANT THE 4533 02:39:00,480 --> 02:39:02,760 CULTURE TO DO HERE BASED ON 4534 02:39:02,760 --> 02:39:05,400 STRENGTHS, ALL IN THE DISCOVERY 4535 02:39:05,400 --> 02:39:07,560 PROCESS OF SHARING, TRYING TO 4536 02:39:07,560 --> 02:39:08,680 ALIGN IT. 4537 02:39:08,680 --> 02:39:11,840 I WOULD SEE MY TENURE TRYING TO 4538 02:39:11,840 --> 02:39:14,560 SUPPORT THAT DISCOVERY ACTIVITY 4539 02:39:14,560 --> 02:39:15,720 AND THAT FIRST ALIGNMENT, 4540 02:39:15,720 --> 02:39:16,880 PERMANENT DIRECTOR COMES IN. 4541 02:39:16,880 --> 02:39:19,040 I THINK THERE'S SOMETHING IN 4542 02:39:19,040 --> 02:39:21,800 PLACE, WE'RE ALL SELF-AWARE 4543 02:39:21,800 --> 02:39:32,280 ABOUT, WE CAN THEN APPROVE OR 4544 02:39:34,800 --> 02:39:34,960 FOLLOW. 4545 02:39:34,960 --> 02:39:37,480 [ INAUDIBLE, OFF MIC ]. 4546 02:39:37,480 --> 02:39:43,120 >>I WOULD ADD WHEN YOU LOOK AT 4547 02:39:43,120 --> 02:39:43,720 EXPENSIVE INNOVATION AT THE 4548 02:39:43,720 --> 02:39:44,680 NATIONAL LIBRARY OF MEDICINE AND 4549 02:39:44,680 --> 02:39:46,880 ASK ANY ONE OF US TO STRIKE THE 4550 02:39:46,880 --> 02:39:50,040 FRAMEWORK HOW WE ACCOMPLISHED 4551 02:39:50,040 --> 02:39:52,440 THAT, WE WOULD HAVE LIKE UM, UM, 4552 02:39:52,440 --> 02:39:54,000 UM, YOU KNOW. 4553 02:39:54,000 --> 02:39:59,880 SO IT JUST SEEMS LOGICAL TO TRY 4554 02:39:59,880 --> 02:40:01,960 TO INSTITUTIONALIZE A WAY OF 4555 02:40:01,960 --> 02:40:04,880 SUPPORTING INNOVATION SO WE CAN 4556 02:40:04,880 --> 02:40:08,280 BE EVEN STRONGER. 4557 02:40:08,280 --> 02:40:11,040 BUT, YEAH, INNOVATION, IT'S 4558 02:40:11,040 --> 02:40:12,240 ALWAYS OCCURRED, ALWAYS OCCURRED 4559 02:40:12,240 --> 02:40:15,440 THROUGH THE STRONG LEADERSHIP OF 4560 02:40:15,440 --> 02:40:17,840 OUR DIRECTORS AND INSTITUTE 4561 02:40:17,840 --> 02:40:19,400 DIRECTORS, IT JUST HAPPENS. 4562 02:40:19,400 --> 02:40:21,640 WE'VE BEEN PREPARED TO TAKE 4563 02:40:21,640 --> 02:40:23,720 ADVANTAGE OF OPPORTUNITIES AS 4564 02:40:23,720 --> 02:40:25,040 THEY HAVE ARISEN. 4565 02:40:25,040 --> 02:40:30,400 BUT AS FAR AS LIKE A STRUCTURE, 4566 02:40:30,400 --> 02:40:34,680 SET OF PRINCIPLES, MANAGEMENT 4567 02:40:34,680 --> 02:40:37,200 FRAMEWORK, I DON'T KNOW WHAT I 4568 02:40:37,200 --> 02:40:42,000 COULD PUT UP OVER THE LAST 10 OR 4569 02:40:42,000 --> 02:40:42,440 20 YEARS. 4570 02:40:42,440 --> 02:40:43,520 >>WE WOULD WELCOME YOUR 4571 02:40:43,520 --> 02:40:45,720 FEEDBACK ABOUT WHAT YOU TRIED IN 4572 02:40:45,720 --> 02:40:47,480 YOUR ORGANIZATIONS AND WHETHER 4573 02:40:47,480 --> 02:40:48,920 YOU THINK THIS FITS WITH 4574 02:40:48,920 --> 02:40:50,640 ESPECIALLY THE PEOPLE WE SPOKE 4575 02:40:50,640 --> 02:40:51,960 ABOUT THIS MORNING, ABOUT THE 4576 02:40:51,960 --> 02:40:54,000 NEED TO THINK ABOUT HOW WE 4577 02:40:54,000 --> 02:40:55,680 PRIORITIZE OUR ACTIVITIES AND 4578 02:40:55,680 --> 02:40:57,400 HOW WE DECIDE WHAT WE INVESTED 4579 02:40:57,400 --> 02:41:00,840 IN AND WHAT WE DON'T INVEST IN. 4580 02:41:00,840 --> 02:41:03,120 >>I WOULD JUST ADD TO THINK 4581 02:41:03,120 --> 02:41:05,840 ABOUT THAT THE TRUE INNOVATIONS 4582 02:41:05,840 --> 02:41:07,360 ARE HARD TO THINK ABOUT BECAUSE 4583 02:41:07,360 --> 02:41:09,240 WE HAVEN'T THOUGHT ABOUT THEM 4584 02:41:09,240 --> 02:41:09,960 YET. 4585 02:41:09,960 --> 02:41:10,320 RIGHT? 4586 02:41:10,320 --> 02:41:20,160 WHAT I FIND OFTEN HELPFUL ARE 4587 02:41:20,160 --> 02:41:21,160 INTELLECTUAL EXERCISES. 4588 02:41:21,160 --> 02:41:22,920 HOUSING IN LOS ANGELES, LET'S 4589 02:41:22,920 --> 02:41:24,360 ASSUME THE HOMELESS PROBLEM IS 4590 02:41:24,360 --> 02:41:25,680 NOT SOLVABLE. 4591 02:41:25,680 --> 02:41:29,520 NOW LET'S IMAGINE THAT AN 4592 02:41:29,520 --> 02:41:31,400 EARTHQUAKE DESTROYS 40,000 UNITS 4593 02:41:31,400 --> 02:41:32,920 OF MIDDLE CLASS HOUSING. 4594 02:41:32,920 --> 02:41:34,960 HOW DO YOU THINK -- DO YOU THINK 4595 02:41:34,960 --> 02:41:36,280 EVERYBODY WILL SAY, WELL, WHAT 4596 02:41:36,280 --> 02:41:38,440 CAN YOU DO? 4597 02:41:38,440 --> 02:41:40,360 HOMELESSNESS IS NOT A SOLVABLE 4598 02:41:40,360 --> 02:41:40,800 PROBLEM. 4599 02:41:40,800 --> 02:41:43,200 YOU KNOW, WE'LL PASS OUT TENTS. 4600 02:41:43,200 --> 02:41:45,280 AND JUST LET PEOPLE LIVE ON THE 4601 02:41:45,280 --> 02:41:47,080 STREET. 4602 02:41:47,080 --> 02:41:47,360 NO. 4603 02:41:47,360 --> 02:41:49,840 YOU KNOW WHAT WOULD HAPPEN IF 4604 02:41:49,840 --> 02:41:52,840 40,000 UNITS OF EXISTING HOUSING 4605 02:41:52,840 --> 02:41:55,000 WERE SWEPT AWAY. 4606 02:41:55,000 --> 02:41:56,200 WHEN WE TALK ABOUT MENTAL 4607 02:41:56,200 --> 02:41:59,360 HEALTH, I OFTEN SAY THAT I 4608 02:41:59,360 --> 02:42:02,560 BELIEVE, OTHER PEOPLE DON'T HAVE 4609 02:42:02,560 --> 02:42:04,640 TO SHARE AS A CLINICIAN, CURRENT 4610 02:42:04,640 --> 02:42:09,320 TREATMENT OF MENTAL HEALTH WILL 4611 02:42:09,320 --> 02:42:10,760 BE LAUGHED OUGHT IN 25 YEARS. 4612 02:42:10,760 --> 02:42:13,160 PEOPLE WILL SAY WHAT YOU THOUGHT 4613 02:42:13,160 --> 02:42:15,640 BY GIVING THIS ONE DRUG WHICH 4614 02:42:15,640 --> 02:42:19,280 WOULD KEEP A CONSTANT LEVEL OF 4615 02:42:19,280 --> 02:42:21,440 INHIBITION, OF THIS ONE 4616 02:42:21,440 --> 02:42:22,320 NEUROTRANSMITTER, THEY THOUGHT 4617 02:42:22,320 --> 02:42:24,280 THEY WERE GOING TO CHANGE 4618 02:42:24,280 --> 02:42:26,280 PSYCHOTIC THOUGHT. 4619 02:42:26,280 --> 02:42:26,920 HOW RIDICULOUS! 4620 02:42:26,920 --> 02:42:29,200 THAT IF YOU REALLY WANT TO 4621 02:42:29,200 --> 02:42:31,400 INNOVATE, YOU THINK -- THE TEMPT 4622 02:42:31,400 --> 02:42:34,280 OF TEMPTATION IS TO DO VERY 4623 02:42:34,280 --> 02:42:37,680 SMALL THINGS, AND THINK YOU'RE 4624 02:42:37,680 --> 02:42:38,000 INNOVATING. 4625 02:42:38,000 --> 02:42:39,000 THE DISRUPTIVE -- WHEN YOU PUT 4626 02:42:39,000 --> 02:42:40,720 IT UP, IT WAS INTERESTING, AT 4627 02:42:40,720 --> 02:42:43,920 LEAST ON THAT SLIDE, IT WASN'T 4628 02:42:43,920 --> 02:42:45,440 YOURS, DISRUPTIVE WAS SEEN AS 4629 02:42:45,440 --> 02:42:47,720 LONGER TIME FRAME BUT I DON'T 4630 02:42:47,720 --> 02:42:51,440 THINK DISRUPTIVE HAS A TIME 4631 02:42:51,440 --> 02:42:51,680 FRAME. 4632 02:42:51,680 --> 02:42:52,320 DISRUPTIVE MEANS THAT YOU'VE 4633 02:42:52,320 --> 02:42:55,600 COME UP WITH A WAY THAT IS 4634 02:42:55,600 --> 02:42:57,800 COMPLETELY DIFFERENT THAN HOW 4635 02:42:57,800 --> 02:42:59,880 YOU CURRENTLY DO THINGS. 4636 02:42:59,880 --> 02:43:04,040 SO, YOU KNOW, I WOULD JUST ADD 4637 02:43:04,040 --> 02:43:06,680 THAT TO THE PRESENTATION, TO 4638 02:43:06,680 --> 02:43:08,360 REALLY GET INNOVATION, YOU HAVE 4639 02:43:08,360 --> 02:43:12,440 TO ALLOW PEOPLE A LITTLE BIT OF 4640 02:43:12,440 --> 02:43:14,840 FANTASY, A LITTLE BIT OF 4641 02:43:14,840 --> 02:43:17,360 OPPORTUNITY TO THINK ABOUT 4642 02:43:17,360 --> 02:43:21,080 THINGS THAT ARE IMPOSSIBLE. 4643 02:43:21,080 --> 02:43:21,760 BECAUSE OTHERWISE YOUR 4644 02:43:21,760 --> 02:43:25,400 INNOVATION WILL BE LIMITED BY 4645 02:43:25,400 --> 02:43:28,320 SOLVING THE SMALLEST PROBLEM. 4646 02:43:28,320 --> 02:43:33,480 >>I LOVE THE IDEA OF ALLOWING 4647 02:43:33,480 --> 02:43:33,720 FANTASY. 4648 02:43:33,720 --> 02:43:44,200 HOW IS THAT SITTING WITH YOU, 4649 02:43:44,680 --> 02:43:44,840 DIANNE? 4650 02:43:44,840 --> 02:43:45,200 >>(INAUDIBLE). 4651 02:43:45,200 --> 02:43:45,600 >>OKAY. 4652 02:43:45,600 --> 02:43:48,640 THANK YOU FOR YOUR PRESENTATION. 4653 02:43:48,640 --> 02:43:50,200 ALL RIGHT. 4654 02:43:50,200 --> 02:43:52,840 SO WE ARE NOW ON SCHEDULE FOR 4655 02:43:52,840 --> 02:43:55,560 COFFEE BREAK. 4656 02:43:55,560 --> 02:43:57,880 AND WE WILL RETURN BACK, LET'S 4657 02:43:57,880 --> 02:43:59,600 HAVE COFFEE BREAK FOR 15 4658 02:43:59,600 --> 02:44:03,080 MINUTES, WE'LL RETURN BACK TO 4659 02:44:03,080 --> 02:44:06,840 THE SESSION AT THE SCHEDULED 4660 02:44:06,840 --> 02:44:07,560 2:45. 4661 02:44:07,560 --> 02:44:09,240 THANK YOU VERY MUCH, EVERYONE. 4662 02:44:09,240 --> 02:44:14,960 AND WE'LL BE BACK SHORTLY. 4663 02:44:14,960 --> 02:44:18,320 >>WE'RE GOING TO COME BACK INTO 4664 02:44:18,320 --> 02:44:18,760 SESSION. 4665 02:44:18,760 --> 02:44:26,440 SO I AM NOW DELIGHTED TO 4666 02:44:26,440 --> 02:44:36,160 INTRODUCE DR. ANDREW GOSTEIN, 4667 02:44:36,160 --> 02:44:39,680 PRACTICING ANESTHESIOLOGIST, 4668 02:44:39,680 --> 02:44:42,360 FOUNDER OF ARTISIGHT 4669 02:44:42,360 --> 02:44:44,680 INCORPORATED. 4670 02:44:44,680 --> 02:44:47,400 HE FOUNDED THIS IN 2017 TO 4671 02:44:47,400 --> 02:44:53,360 ADDRESS FRUSTRATIONS OVER 4672 02:44:53,360 --> 02:44:54,120 INEFFICIENCY MEDICINE IS 4673 02:44:54,120 --> 02:44:55,120 PRACTICED IN HOSPITALS. 4674 02:44:55,120 --> 02:44:57,640 OVER TIME IT HAS DEVELOPED INTO 4675 02:44:57,640 --> 02:45:01,440 THE LEADING ENTERPRISE GRADE 4676 02:45:01,440 --> 02:45:03,000 COMPUTER VISION AND IoT VISION 4677 02:45:03,000 --> 02:45:03,720 FOR HEALTH WARE. 4678 02:45:03,720 --> 02:45:05,600 WE WELCOME YOU TO THE BOARD OF 4679 02:45:05,600 --> 02:45:07,360 REGENTS MEETING AND LOOK FORWARD 4680 02:45:07,360 --> 02:45:07,880 TO YOUR PRESENTATION. 4681 02:45:07,880 --> 02:45:09,760 >>THANK YOU. 4682 02:45:09,760 --> 02:45:10,960 CAN EVERYONE HEAR ME? 4683 02:45:10,960 --> 02:45:12,720 WHEN I DO PRESENTATIONS I HAVE 4684 02:45:12,720 --> 02:45:13,360 TO PACE. 4685 02:45:13,360 --> 02:45:15,600 IT BRINGS ME BACK TO MEDICAL 4686 02:45:15,600 --> 02:45:17,320 TRAINING, JUST HOW HORRIBLE OF 4687 02:45:17,320 --> 02:45:21,600 AN EXPERIENCE THAT WAS, I GET 4688 02:45:21,600 --> 02:45:22,040 HEATED. 4689 02:45:22,040 --> 02:45:23,040 MY PRESENTATIONS ARE VERY BLUNT. 4690 02:45:23,040 --> 02:45:27,840 I DON'T WANT YOU TO HAVE TO 4691 02:45:27,840 --> 02:45:29,160 THINK AND DIGEST FOUR-SYLLABLE 4692 02:45:29,160 --> 02:45:30,680 WORDS BUT NORMAL PEOPLE DON'T 4693 02:45:30,680 --> 02:45:31,400 START COMPANIES. 4694 02:45:31,400 --> 02:45:33,000 NORMAL PEOPLE WOULD GIVE UP. 4695 02:45:33,000 --> 02:45:34,280 IT'S WAY TOO HARD. 4696 02:45:34,280 --> 02:45:37,040 WHAT I'M GOING TO SHOW IS REALLY 4697 02:45:37,040 --> 02:45:39,520 ME FIGHTING TRYING TO CHANGE 40 4698 02:45:39,520 --> 02:45:41,760 YEARS OF MEDICAL PRACTICE, MY 4699 02:45:41,760 --> 02:45:42,880 DAD'S A PHYSICIAN. 4700 02:45:42,880 --> 02:45:44,800 IF I JOINT HIS JOINTS WE WOULD 4701 02:45:44,800 --> 02:45:48,120 BE TALKING ABOUT THE SAME 4702 02:45:48,120 --> 02:45:48,880 PROBLEMS TODAY. 4703 02:45:48,880 --> 02:45:50,280 I STARTED ARTISIGHT BECAUSE I 4704 02:45:50,280 --> 02:45:51,720 WAS FRUSTRATED AS ALL HELL. 4705 02:45:51,720 --> 02:45:53,480 IT CONTINUES TO MOTIVATE ME. 4706 02:45:53,480 --> 02:45:54,960 I'M STILL UPSET WITH HOW MESSED 4707 02:45:54,960 --> 02:45:57,760 UP IT IS BUT WE'RE MAKING IT A 4708 02:45:57,760 --> 02:45:58,600 LOT BETTER. 4709 02:45:58,600 --> 02:46:00,120 REALLY CAME HERE TO SAY THANK 4710 02:46:00,120 --> 02:46:01,160 YOU. 4711 02:46:01,160 --> 02:46:05,920 THANK YOU FOR BELIEVING IN US, 4712 02:46:05,920 --> 02:46:07,440 AGAIN PEOPLE GIVE UP BECAUSE A 4713 02:46:07,440 --> 02:46:09,520 THOUSAND PEOPLE WILL SAY, NO, 4714 02:46:09,520 --> 02:46:12,600 YOU GUYS SAID YES, AND I WANT TO 4715 02:46:12,600 --> 02:46:13,880 SHOW YOU WHAT WE DID. 4716 02:46:13,880 --> 02:46:16,080 WE DID NOT LET YOU DOWN. 4717 02:46:16,080 --> 02:46:18,960 SO WE'LL TAKE ABOUT WHY WE NEED 4718 02:46:18,960 --> 02:46:20,920 ARTISIGHT, WHAT THE PLATFORM IS, 4719 02:46:20,920 --> 02:46:22,120 ARTIFICIAL INTELLIGENCE TRAINING 4720 02:46:22,120 --> 02:46:23,760 AND VALIDATION BECAUSE NOBODY 4721 02:46:23,760 --> 02:46:25,400 REALLY UNDERSTANDS THAT. 4722 02:46:25,400 --> 02:46:27,360 THEN THE AREAS OF SUCCESS, BULK 4723 02:46:27,360 --> 02:46:29,000 IS ABOUT THE COMMERCIAL SUCCESS 4724 02:46:29,000 --> 02:46:31,640 WE'VE HAD TO SHOW THIS WAS NOT A 4725 02:46:31,640 --> 02:46:33,040 WASTED INVESTMENT. 4726 02:46:33,040 --> 02:46:35,760 FAST FORWARDING, YOU GAVE US 4727 02:46:35,760 --> 02:46:36,240 COLLECTIVELY $2 MILLION 4728 02:46:36,240 --> 02:46:37,760 INVESTMENT IN THE FORM OF A 4729 02:46:37,760 --> 02:46:41,920 GRANT, WE RAISED MONEY AT $200 4730 02:46:41,920 --> 02:46:43,080 MILLION VALUATION. 4731 02:46:43,080 --> 02:46:45,400 WE BEEN A DRAMATIC SUCCESS FROM 4732 02:46:45,400 --> 02:46:46,520 THAT METRIC. 4733 02:46:46,520 --> 02:46:48,040 HEALTH CARE'S PRODUCTIVITY AND 4734 02:46:48,040 --> 02:46:50,000 LABOR CRISIS, WHEN I WAS IN 4735 02:46:50,000 --> 02:46:51,520 TRAINING, JUST GOING THROUGH MY 4736 02:46:51,520 --> 02:46:55,040 DAILY ROUTINE IN THE HOSPITALS, 4737 02:46:55,040 --> 02:46:56,120 I FOUND IT INCREDIBLY 4738 02:46:56,120 --> 02:46:58,120 FRUSTRATING WITH HOW HARD IT WAS 4739 02:46:58,120 --> 02:47:03,040 TO COMMUNICATE INFORMATION OR TO 4740 02:47:03,040 --> 02:47:04,160 GET ACCURATE DATA. 4741 02:47:04,160 --> 02:47:12,440 I LEFT AND DID VENTURE CAPITAL 4742 02:47:12,440 --> 02:47:17,080 FULL TIME, MICROWAVE TOWERS TO 4743 02:47:17,080 --> 02:47:18,040 COMMUNICATE INFORMATION A 4744 02:47:18,040 --> 02:47:19,600 MICROSECOND FASTER. 4745 02:47:19,600 --> 02:47:21,320 WE DID IT, MADE A BILLION 4746 02:47:21,320 --> 02:47:23,520 DOLLARS IN PROFIT WITH A 4747 02:47:23,520 --> 02:47:24,280 THOUSAND PEOPLE. 4748 02:47:24,280 --> 02:47:26,120 I WENT BACK TO MY RESIDENCY, 4749 02:47:26,120 --> 02:47:28,520 THEY GAVE ME A PAGER BACK AND 4750 02:47:28,520 --> 02:47:30,200 FAX MACHINE. 4751 02:47:30,200 --> 02:47:32,160 WITH A 15-MINUTE ROUND CYCLE 4752 02:47:32,160 --> 02:47:32,960 TRIP FOR COMMUNICATION. 4753 02:47:32,960 --> 02:47:34,680 AND THEY LOOKED AT ME, HERE'S 4754 02:47:34,680 --> 02:47:36,320 THE LATEST AND GREATEST. 4755 02:47:36,320 --> 02:47:38,160 THERE WAS 17 GENERATIONS OF 4756 02:47:38,160 --> 02:47:39,480 TECHNOLOGY BETWEEN WHERE WE WERE 4757 02:47:39,480 --> 02:47:43,000 OPERATING AND WHERE THE REST OF 4758 02:47:43,000 --> 02:47:44,760 THE WORLD WAS. 4759 02:47:44,760 --> 02:47:45,960 THIS HAS LED TO THIS. 4760 02:47:45,960 --> 02:47:48,040 HEALTH CARE IS THE ONLY INDUSTRY 4761 02:47:48,040 --> 02:47:50,040 THAT GETS LESS PRODUCTIVE. 4762 02:47:50,040 --> 02:47:51,800 THIS IS BOB COKER, NEW ENGLAND 4763 02:47:51,800 --> 02:47:53,200 JOURNAL OF MEDICINE, 2011. 4764 02:47:53,200 --> 02:47:55,400 EVERY YEAR IT GETS HARDER TO DO 4765 02:47:55,400 --> 02:47:57,120 MY JOB. 4766 02:47:57,120 --> 02:47:58,680 WE COMPENSATE BY HIRING PEOPLE 4767 02:47:58,680 --> 02:48:00,640 SO WE CAN CONTINUE TO EXPAND THE 4768 02:48:00,640 --> 02:48:03,120 SERVICES WE PROVIDE FOR THE 4769 02:48:03,120 --> 02:48:03,480 NATION. 4770 02:48:03,480 --> 02:48:07,400 70% OF US ARE CLINICIANS. 4771 02:48:07,400 --> 02:48:09,280 NOBODY GIVES ME AN AUTOMATION 4772 02:48:09,280 --> 02:48:09,760 SOLUTION. 4773 02:48:09,760 --> 02:48:12,680 AUTOMATION IS ON BACK OFFICE 4774 02:48:12,680 --> 02:48:13,880 I.T. 4775 02:48:13,880 --> 02:48:15,280 BILLING CYCLE MANAGEMENT, 4776 02:48:15,280 --> 02:48:16,720 CYBERSECURITY, THREAT DETECTION, 4777 02:48:16,720 --> 02:48:19,240 IMPORTANT THINGS BUT NOBODY 4778 02:48:19,240 --> 02:48:21,880 CARES ABOUT ME. 4779 02:48:21,880 --> 02:48:22,800 I STARTED ARTISIGHT. 4780 02:48:22,800 --> 02:48:24,400 THIS IS HAPPENING AT THE TIME 4781 02:48:24,400 --> 02:48:27,400 WHEN BABY BOOMERS ARE RETIRING. 4782 02:48:27,400 --> 02:48:27,800 COVID HIT. 4783 02:48:27,800 --> 02:48:29,520 A LOT OF NURSES DROPPED OUT OF 4784 02:48:29,520 --> 02:48:32,840 THE LABOR FORCE, FED UP WITH IT. 4785 02:48:32,840 --> 02:48:33,760 LABOR FORCE PARTICIPATION IS 4786 02:48:33,760 --> 02:48:34,240 GOING DOWN. 4787 02:48:34,240 --> 02:48:37,400 AT THE SAME TIME THE BABY 4788 02:48:37,400 --> 02:48:39,960 BOOMERS ARE IN THAT 65+ RANGE, 4789 02:48:39,960 --> 02:48:41,240 SO NUMBER OF BABY BOOMERS WE 4790 02:48:41,240 --> 02:48:43,560 HAVE TO TAKE CARE OF GOING UP 4791 02:48:43,560 --> 02:48:44,640 28% THIS DECADE. 4792 02:48:44,640 --> 02:48:48,800 WHICH MEANS WE HAVE A VERY 4793 02:48:48,800 --> 02:48:49,400 UNBALANCED EQUATION, MORE 4794 02:48:49,400 --> 02:48:50,840 PATIENCE THAN EVER TO TREAT, 4795 02:48:50,840 --> 02:48:52,720 FEWER HEALTH CARE WORKERS THAN 4796 02:48:52,720 --> 02:48:54,400 EVER, AND THE NUMBER OF PATIENTS 4797 02:48:54,400 --> 02:48:57,240 WE CAN TREAT PER WORKER IS GOING 4798 02:48:57,240 --> 02:48:57,800 DOWN. 4799 02:48:57,800 --> 02:49:02,600 EVERY ONE OF THESE IS HEADED IN 4800 02:49:02,600 --> 02:49:03,680 THE WRONG DIRECTION. 4801 02:49:03,680 --> 02:49:04,920 IF WE TREAT FEWER PATIENTS WHAT 4802 02:49:04,920 --> 02:49:07,120 DO YOU THINK ABOUT HAPPEN? 4803 02:49:07,120 --> 02:49:10,160 DISPARITIES IN CARE ARE GOING TO 4804 02:49:10,160 --> 02:49:10,800 EXPLODE. 4805 02:49:10,800 --> 02:49:12,640 WE'RE SEEING MATERNAL MORTALITY 4806 02:49:12,640 --> 02:49:13,000 SKYROCKET. 4807 02:49:13,000 --> 02:49:14,400 WE'RE SEEING HOSPITAL ACQUIRED 4808 02:49:14,400 --> 02:49:15,680 INFECTIONS GO UP. 4809 02:49:15,680 --> 02:49:16,600 WE CAN'T CLONE HEALTH CARE 4810 02:49:16,600 --> 02:49:17,040 WORKERS. 4811 02:49:17,040 --> 02:49:21,760 WE'VE TALKED ABOUT IT, NOT ON 4812 02:49:21,760 --> 02:49:22,600 THE HORIZON. 4813 02:49:22,600 --> 02:49:24,400 WHAT MAKES SENSE IS INCREASE 4814 02:49:24,400 --> 02:49:24,920 PRODUCTIVITY. 4815 02:49:24,920 --> 02:49:26,120 DO THAT THROUGH AUTOMATION. 4816 02:49:26,120 --> 02:49:28,440 SO WHEN WE FIRST STARTED TALKING 4817 02:49:28,440 --> 02:49:30,960 TO YOU, WE WERE COMPUTER VISION. 4818 02:49:30,960 --> 02:49:33,040 WE'VE NOW ADDED SENSES OR 4819 02:49:33,040 --> 02:49:34,560 SENSORS THAT REPLICATE ALL HUMAN 4820 02:49:34,560 --> 02:49:34,880 SENSES. 4821 02:49:34,880 --> 02:49:36,120 YOU CANNOT TELL A DOCTOR OR 4822 02:49:36,120 --> 02:49:37,920 NURSE TO GO TO WORK AND SAY YOU 4823 02:49:37,920 --> 02:49:40,320 CAN USE YOUR EYES TODAY. 4824 02:49:40,320 --> 02:49:41,240 DOESN'T WORK LIKE THAT. 4825 02:49:41,240 --> 02:49:42,960 WHEN I SEE A PATIENT, I SEE 4826 02:49:42,960 --> 02:49:43,160 THEM. 4827 02:49:43,160 --> 02:49:44,200 I TALK TO THEM. 4828 02:49:44,200 --> 02:49:45,720 I LISTEN TO THEM. 4829 02:49:45,720 --> 02:49:46,800 I TOUCH THEM. 4830 02:49:46,800 --> 02:49:49,000 I HAVE RADAR SENSORS THAT 4831 02:49:49,000 --> 02:49:50,640 COLLECT VITAL SIGNS WITH FDA 4832 02:49:50,640 --> 02:49:52,280 CLEARANCE FOR HEART RATE AND 4833 02:49:52,280 --> 02:49:53,480 RESPIRATORY RATE, TAKING THIS 4834 02:49:53,480 --> 02:49:54,720 DATA SO THAT THE CLINICIANS 4835 02:49:54,720 --> 02:49:57,840 DON'T HAVE TO BE THE ONES TO SIT 4836 02:49:57,840 --> 02:50:00,040 DOWN AT THESE COMPUTERS LIKE 4837 02:50:00,040 --> 02:50:01,480 COURTROOM STENOGRAPHERS ALL DAY. 4838 02:50:01,480 --> 02:50:04,240 WE DO THIS WITH PASSIVE SENSOR 4839 02:50:04,240 --> 02:50:05,080 TECHNOLOGY THAT STRUCTURES THAT 4840 02:50:05,080 --> 02:50:06,720 DATA AND FEEDS IT INTO 4841 02:50:06,720 --> 02:50:07,840 APPLICATIONS, OUR GRANT WITH YOU 4842 02:50:07,840 --> 02:50:09,480 ALL WAS ON THE O.R 4843 02:50:09,480 --> 02:50:12,960 THIS IS NOW EXPLODED INTO A 4844 02:50:12,960 --> 02:50:15,080 WHOLE HOSPITAL AMBIENT SYSTEM. 4845 02:50:15,080 --> 02:50:17,240 SO BEST WAY TO EXPLAIN 4846 02:50:17,240 --> 02:50:17,960 ARTIFICIAL INTELLIGENCE 4847 02:50:17,960 --> 02:50:19,200 DEVELOPMENT IS TO COMPARE IT TO 4848 02:50:19,200 --> 02:50:20,120 SOMETHING PEOPLE HAVE MAYBE A 4849 02:50:20,120 --> 02:50:23,360 LITTLE BIT MORE KNOWLEDGE OF. 4850 02:50:23,360 --> 02:50:24,880 I COMPARE TO AUTONOMOUS DRIVING. 4851 02:50:24,880 --> 02:50:27,000 WE GOT THE MODEL T, YOU COULDN'T 4852 02:50:27,000 --> 02:50:28,840 TURN THE KEY TO TURN IT ON. 4853 02:50:28,840 --> 02:50:30,400 YOU CRANKED IT. 4854 02:50:30,400 --> 02:50:32,800 THEN WE STARTED GETTING MORE AND 4855 02:50:32,800 --> 02:50:36,920 MORE AUTOMATION IN THE CAR. 4856 02:50:36,920 --> 02:50:38,920 ELON IS CHASING LEVEL 5 FULL 4857 02:50:38,920 --> 02:50:39,280 SELF-DRIVING. 4858 02:50:39,280 --> 02:50:41,720 YOU DON'T JUST GO IT ZERO TO 4859 02:50:41,720 --> 02:50:41,960 FIVE. 4860 02:50:41,960 --> 02:50:44,520 YOU KEEP SEQUENTIALLY AND 4861 02:50:44,520 --> 02:50:45,320 SERIALLY ADDING MORE 4862 02:50:45,320 --> 02:50:45,680 CAPABILITIES. 4863 02:50:45,680 --> 02:50:47,320 HEALTH CARE NEEDS TO GO THROUGH 4864 02:50:47,320 --> 02:50:48,440 THE SAME PROGRESSION. 4865 02:50:48,440 --> 02:50:50,360 HEALTH CARE IS VERY MUCH IN THE 4866 02:50:50,360 --> 02:50:52,200 ZERO PHASE. 4867 02:50:52,200 --> 02:50:55,760 EVEN JUST A 1 HELPS A LOT. 4868 02:50:55,760 --> 02:50:59,240 WE DON'T REALLY WANT LEVEL 5, 4869 02:50:59,240 --> 02:51:00,680 HOSPITAL FALLS BIG PROBLEM. 4870 02:51:00,680 --> 02:51:03,640 I CAN EASILY TRAIN A COMPUTER 4871 02:51:03,640 --> 02:51:06,920 VISION ALGORITHM ON THAT CAMERA 4872 02:51:06,920 --> 02:51:07,560 THAT MONITORS PATIENTS GETTING 4873 02:51:07,560 --> 02:51:10,000 OUT OF BED BUT THE INTERVENTION 4874 02:51:10,000 --> 02:51:12,080 IS A NURSE. 4875 02:51:12,080 --> 02:51:13,080 THAT'S LEVEL 2. 4876 02:51:13,080 --> 02:51:15,600 TO BE LEVEL 5 I NEED THE CAMERA 4877 02:51:15,600 --> 02:51:19,120 TO DETECT THEM, KETAMINE DART 4878 02:51:19,120 --> 02:51:20,320 OUT OF THE CEILING THAT DROPS 4879 02:51:20,320 --> 02:51:21,160 THEM BACK IN BED. 4880 02:51:21,160 --> 02:51:23,120 NOBODY WANTS THAT. 4881 02:51:23,120 --> 02:51:24,000 WE WANT AUGMENTATION SYSTEMS 4882 02:51:24,000 --> 02:51:26,200 BECAUSE WE'RE TRYING TO GET RID 4883 02:51:26,200 --> 02:51:27,520 OF DRIVERS WITH ARTIFICIAL 4884 02:51:27,520 --> 02:51:29,360 INTELLIGENCE FOR DRIVING BECAUSE 4885 02:51:29,360 --> 02:51:30,240 94% OF ACCIDENTS, WE'RE NOT 4886 02:51:30,240 --> 02:51:34,960 TRYING TO GET RID OF DOCTORS AND 4887 02:51:34,960 --> 02:51:35,280 NURSES. 4888 02:51:35,280 --> 02:51:40,840 YOU'LL NEVER MAKE A ROBOT TO DO 4889 02:51:40,840 --> 02:51:43,960 WHAT A NURSE DOES, HOLD HANDS, 4890 02:51:43,960 --> 02:51:45,600 GET ICE CHIPS, START AN I.V 4891 02:51:45,600 --> 02:51:47,680 IF YOU TAKE A FEW THINGS OFF 4892 02:51:47,680 --> 02:51:50,400 THEIR PLATE TO AUGMENT THEM IT'S 4893 02:51:50,400 --> 02:51:52,040 INFINITELY EASIER AND YOU'LL GET 4894 02:51:52,040 --> 02:51:53,120 A WAY BETTER RETURN, PLUS CAN 4895 02:51:53,120 --> 02:51:55,840 YOU DO IT NOW. 4896 02:51:55,840 --> 02:51:58,800 ARTIFICIAL NURSE ROBOTS, 100 4897 02:51:58,800 --> 02:52:00,000 YEARS AWAY. 4898 02:52:00,000 --> 02:52:01,000 MACHINE LEARNING IS CALLED 4899 02:52:01,000 --> 02:52:02,120 MACHINE LEARNING BECAUSE IT 4900 02:52:02,120 --> 02:52:04,040 NEEDS TO BE EDUCATED. 4901 02:52:04,040 --> 02:52:05,200 IT'S NOT CALLED MACHINE ALREADY 4902 02:52:05,200 --> 02:52:05,600 KNOWS. 4903 02:52:05,600 --> 02:52:07,480 YOU HAVE TO EDUCATE IT. 4904 02:52:07,480 --> 02:52:09,480 THIS IS HOW EVERYONE TRAINS 4905 02:52:09,480 --> 02:52:10,120 ARTIFICIAL INTELLIGENCE. 4906 02:52:10,120 --> 02:52:12,720 YOU TAKE A VERY LARGE IMAGE 4907 02:52:12,720 --> 02:52:13,720 DATASET, SEND IT OVERSEAS, THE 4908 02:52:13,720 --> 02:52:16,240 TITLE FROM THE WASHINGTON POST 4909 02:52:16,240 --> 02:52:17,320 WAS ARTIFICIAL INTELLIGENCE HAS 4910 02:52:17,320 --> 02:52:19,760 ITS ROOTS IN RURAL CHINA. 4911 02:52:19,760 --> 02:52:23,440 BECAUSE THEY PAY FARMERS TO COME 4912 02:52:23,440 --> 02:52:25,120 INTO THESE PLACES, DRAW PICTURES 4913 02:52:25,120 --> 02:52:26,400 AND BOXES AROUND US, THIS IS A 4914 02:52:26,400 --> 02:52:27,840 BUS, THIS IS A CAR. 4915 02:52:27,840 --> 02:52:29,680 WE TAKE DATASETS BACK TO THE 4916 02:52:29,680 --> 02:52:31,200 UNITED STATES, WE TRAIN 4917 02:52:31,200 --> 02:52:32,000 ALGORITHMS. 4918 02:52:32,000 --> 02:52:33,200 THAT DOESN'T WORK IN HEALTH 4919 02:52:33,200 --> 02:52:33,400 CARE. 4920 02:52:33,400 --> 02:52:36,040 CAN'T PUT A BUNCH OF CAMERAS 4921 02:52:36,040 --> 02:52:37,800 INTO WALTER REED AND TAKE A 4922 02:52:37,800 --> 02:52:40,560 BUNCH OF PICTURES AND SEND IT 4923 02:52:40,560 --> 02:52:41,520 OVER TO CHINA. 4924 02:52:41,520 --> 02:52:42,400 BEING VERY BLUNT 4925 02:52:42,400 --> 02:52:43,480 WHAT DO WE DO? 4926 02:52:43,480 --> 02:52:46,320 WE HAD TO SPEND THE FIRST TWO 4927 02:52:46,320 --> 02:52:49,920 YEARS OF OUR COMPANY BUILDING 4928 02:52:49,920 --> 02:52:51,040 ANONYMIZATION TECHNIQUES TO 4929 02:52:51,040 --> 02:52:52,360 TRAIN THESE ALGORITHMS WITHOUT 4930 02:52:52,360 --> 02:52:54,000 EVER SENDING DATA OUTSIDE THE 4931 02:52:54,000 --> 02:52:56,280 HEALTH SYSTEM WITHOUT EVER 4932 02:52:56,280 --> 02:52:58,520 SAVING A PICTURE, BECAUSE EVEN 4933 02:52:58,520 --> 02:53:00,120 THAT REQUIRES PATIENT CONCEPT. 4934 02:53:00,120 --> 02:53:01,760 BUT THE HARDEST PART ABOUT 4935 02:53:01,760 --> 02:53:02,480 TRAINING ARTIFICIAL INTELLIGENCE 4936 02:53:02,480 --> 02:53:04,600 IS GETTING ALL OF THE DATA TO 4937 02:53:04,600 --> 02:53:07,160 MAKE SURE YOU MAKE A VERY GOOD 4938 02:53:07,160 --> 02:53:07,400 ALGORITHM. 4939 02:53:07,400 --> 02:53:09,800 SO WE HAD TO SOLVE THAT PROBLEM 4940 02:53:09,800 --> 02:53:10,280 FIRST. 4941 02:53:10,280 --> 02:53:12,200 WE SUBMITTED EVERYTHING TO AN 4942 02:53:12,200 --> 02:53:14,520 INDEPENDENT THIRD PARTY WHO 4943 02:53:14,520 --> 02:53:16,600 DECLARED IT IN EXCESS OF 4944 02:53:16,600 --> 02:53:19,520 STANDARDS DEFINED BY HIPAA TO BE 4945 02:53:19,520 --> 02:53:19,840 DE-IDENTIFIED. 4946 02:53:19,840 --> 02:53:22,600 THIS IS HOW WE DID IT. 4947 02:53:22,600 --> 02:53:23,760 WE USED UNSUPERVISED TRAINING. 4948 02:53:23,760 --> 02:53:27,520 SO THIS IS THE SAME WAY CHAT GPT 4949 02:53:27,520 --> 02:53:29,160 WAS TRAINED, TAKE A SENTENCE, 4950 02:53:29,160 --> 02:53:33,520 COVER A WORD, PREDICT THE 4951 02:53:33,520 --> 02:53:35,080 MISSING WORD AND DO A FEEDBACK 4952 02:53:35,080 --> 02:53:35,600 LOOP. 4953 02:53:35,600 --> 02:53:37,720 WE TAKE A PICTURE, DELETE PART, 4954 02:53:37,720 --> 02:53:39,440 AN ALGORITHM PAINTS IN MISSING 4955 02:53:39,440 --> 02:53:41,600 PIXELS AND GETS GOOD AT 4956 02:53:41,600 --> 02:53:42,400 UNDERSTANDING NORMAL PIXEL 4957 02:53:42,400 --> 02:53:44,160 COMBINATIONS IN THIS HOSPITAL. 4958 02:53:44,160 --> 02:53:46,800 WHICH IS PART OF NORTHWESTERN 4959 02:53:46,800 --> 02:53:47,480 UNIVERSITY. 4960 02:53:47,480 --> 02:53:49,040 WE THEN GIVE IT 100 EXAMPLES. 4961 02:53:49,040 --> 02:53:52,360 HOW WE GET THAT IS THROUGH 4962 02:53:52,360 --> 02:53:53,640 GAMIFICATION OF OUR TECHNOLOGY 4963 02:53:53,640 --> 02:53:55,400 HAVING NURSES AND DOCTORS 4964 02:53:55,400 --> 02:53:57,280 INTERACT WITH TECHNOLOGY FOR 4965 02:53:57,280 --> 02:53:59,880 SOME TYPE OF TELEHEALTH CLINICAL 4966 02:53:59,880 --> 02:54:01,440 REASON, SIMULTANEOUSLY 4967 02:54:01,440 --> 02:54:02,240 RETRAINING THE ARTIFICIAL 4968 02:54:02,240 --> 02:54:02,560 INTELLIGENCE. 4969 02:54:02,560 --> 02:54:04,320 THIS IS HOW WE DO WITH LLMs, 4970 02:54:04,320 --> 02:54:07,080 TAKE IT TO THE HOSPITAL, READ 4971 02:54:07,080 --> 02:54:09,440 THE CLINICAL NOTES, ASSOCIATE AN 4972 02:54:09,440 --> 02:54:09,760 OUTCOME. 4973 02:54:09,760 --> 02:54:11,800 SAY THE PERSON IN THIS NOTE 4974 02:54:11,800 --> 02:54:12,840 STAYED FOR 7.4 DAYS. 4975 02:54:12,840 --> 02:54:14,960 I'LL SHOW YOU BECAUSE WE 4976 02:54:14,960 --> 02:54:16,240 PUBLISHED THAT IN "NATURE." 4977 02:54:16,240 --> 02:54:18,200 THE REASON WE DO ALL OF THIS, 4978 02:54:18,200 --> 02:54:20,600 LAST MILE OF A.I. IS LOCAL. 4979 02:54:20,600 --> 02:54:23,000 IF WE ONLY EVER TRAINED TESLA IN 4980 02:54:23,000 --> 02:54:25,200 SAN FRANCISCO, WOULD ANY OF YOU 4981 02:54:25,200 --> 02:54:27,200 TURN AUTONOMOUS DRIVING ON IN 4982 02:54:27,200 --> 02:54:27,720 LONDON? 4983 02:54:27,720 --> 02:54:27,920 RIGHT? 4984 02:54:27,920 --> 02:54:30,040 WHY DO PEOPLE THINK YOU CAN TAKE 4985 02:54:30,040 --> 02:54:31,240 AN ALGORITHM MADE AT STANFORD 4986 02:54:31,240 --> 02:54:32,440 AND TURN OUT IN EVERY OTHER 4987 02:54:32,440 --> 02:54:34,640 HOSPITAL AND HAVE IT DO ANYTHING 4988 02:54:34,640 --> 02:54:35,480 EXCEPT CREATE CONFUSION? 4989 02:54:35,480 --> 02:54:36,800 DOESN'T WORK LIKE THAT. 4990 02:54:36,800 --> 02:54:39,320 YOU HAVE TO RETRAIN AT EVERY 4991 02:54:39,320 --> 02:54:42,400 SITE AND BECAUSE WE CAN EXPLAIN 4992 02:54:42,400 --> 02:54:45,760 IT, IF YOU ONLY EVER TRAIN LIKE 4993 02:54:45,760 --> 02:54:46,960 SILICON VALLEY, ALGORITHMS ON 4994 02:54:46,960 --> 02:54:48,520 37-YEAR-OLD WHITE GUYS AT NOON, 4995 02:54:48,520 --> 02:54:49,600 THAT'S THE ONLY TIME IT'S GOING 4996 02:54:49,600 --> 02:54:50,480 TO WORK. 4997 02:54:50,480 --> 02:54:54,200 WHEN WE DO THIS SAMPLING WE KEEP 4998 02:54:54,200 --> 02:54:55,400 ANONYMIZEED METADATA RECORD 4999 02:54:55,400 --> 02:54:56,280 ABOUT WHAT PATIENT DEMOGRAPHIC 5000 02:54:56,280 --> 02:54:58,600 WAS IN THE ROOM. 5001 02:54:58,600 --> 02:55:00,320 SO I CAN PROVE WE HAD ENOUGH 5002 02:55:00,320 --> 02:55:02,080 AFRICAN AMERICANS REPRESENTED IN 5003 02:55:02,080 --> 02:55:04,040 THIS DATASET, WE WERE 5004 02:55:04,040 --> 02:55:07,560 UNDERWEIGHTED IN ASIAN BASED ON 5005 02:55:07,560 --> 02:55:09,640 WHAT GOT ADMITTED, WE'LL START 5006 02:55:09,640 --> 02:55:11,040 OVERSAMPLING FROM ROOMS WITH AN 5007 02:55:11,040 --> 02:55:12,560 ASIAN PATIENT, HAVE ALL SEXES, 5008 02:55:12,560 --> 02:55:14,640 ALL AGES, AND WE HAVE TO TRAIN 5009 02:55:14,640 --> 02:55:16,560 AT ALL TIMES OF DAY BECAUSE IT 5010 02:55:16,560 --> 02:55:18,800 CAN'T JUST WORK IN THE 5011 02:55:18,800 --> 02:55:19,080 AFTERNOON. 5012 02:55:19,080 --> 02:55:21,000 EVERYTHING LOOKS DIFFERENT AT 5013 02:55:21,000 --> 02:55:21,200 NIGHT. 5014 02:55:21,200 --> 02:55:22,440 SO WHAT HAVE WE DONE NOW WITH 5015 02:55:22,440 --> 02:55:23,320 ALL OF THIS? 5016 02:55:23,320 --> 02:55:26,400 HERE IS WHERE THE GRANT CAME IN. 5017 02:55:26,400 --> 02:55:27,120 AGAIN, THANK YOU. 5018 02:55:27,120 --> 02:55:28,440 THIS IS WHAT THE OPERATING ROOM 5019 02:55:28,440 --> 02:55:34,240 OF THE FUTURE LOOKS LIKE. 5020 02:55:34,240 --> 02:55:35,840 IDENTICAL TO NOW EXCEPT WITH 5021 02:55:35,840 --> 02:55:37,640 CAMERAS AND SPEAKER AND 5022 02:55:37,640 --> 02:55:39,480 MICROPHONE, INDOOR POSITIONS 5023 02:55:39,480 --> 02:55:41,280 SYSTEMS FOR ASSET TRACKING, USE 5024 02:55:41,280 --> 02:55:42,880 IT TO COLLECT INFORMATION. 5025 02:55:42,880 --> 02:55:45,640 NOW AGAIN GOING BACK TO 5026 02:55:45,640 --> 02:55:50,200 AUTONOMOUS DRIVING, 0 TO 1, 1 TO 5027 02:55:50,200 --> 02:55:53,720 2, 2 TO 3, FIRST LEVEL 1, A 5028 02:55:53,720 --> 02:55:54,600 FRICTIONLESS VIEW INTO OPERATING 5029 02:55:54,600 --> 02:55:56,240 ROOMS SO YOU DON'T HAVE TO GO TO 5030 02:55:56,240 --> 02:55:57,120 EVERY SINGLE OPERATING ROOM. 5031 02:55:57,120 --> 02:56:01,800 WHEN I WAS A RESIDENT I HAD TO 5032 02:56:01,800 --> 02:56:02,800 CALL 85 OPERATING ROOMS TO 5033 02:56:02,800 --> 02:56:05,640 FIGURE OUT WHAT WAS HAPPENING IN 5034 02:56:05,640 --> 02:56:07,920 THEM, A HERCULEAN TASK. 5035 02:56:07,920 --> 02:56:10,320 YOU CANNOT CALL 85 OPERATING 5036 02:56:10,320 --> 02:56:10,800 ROOMS SIMULTANEOUSLY. 5037 02:56:10,800 --> 02:56:11,880 IT IS DESTINED TO FAIL. 5038 02:56:11,880 --> 02:56:13,920 WE PUT EYES IN THE OPERATING 5039 02:56:13,920 --> 02:56:14,160 ROOMS. 5040 02:56:14,160 --> 02:56:16,040 THEN WE ALLOWED THE REVERSE OF 5041 02:56:16,040 --> 02:56:19,080 THAT, MANY TO ONE, CAN HAVE FOUR 5042 02:56:19,080 --> 02:56:20,520 SURGEONS REMOTELY CONSULT INTO 5043 02:56:20,520 --> 02:56:26,640 AN OPERATING ROOM, SEE THE 5044 02:56:26,640 --> 02:56:28,280 SURGICAL FEEDS, PROVIDE COUNSEL, 5045 02:56:28,280 --> 02:56:28,800 PRETENDING THERE'S A 5046 02:56:28,800 --> 02:56:30,240 COMPLICATION, THEY WANT ANOTHER 5047 02:56:30,240 --> 02:56:30,600 OPINION. 5048 02:56:30,600 --> 02:56:32,400 NOW THAT SENSORS ARE THERE WE 5049 02:56:32,400 --> 02:56:33,880 CAN TRAIN ALGORITHMS TO DO 5050 02:56:33,880 --> 02:56:35,520 THINGS LIKE MONITOR DIFFERENT 5051 02:56:35,520 --> 02:56:39,040 EVENTS TO BUILD REALLY ACCURATE 5052 02:56:39,040 --> 02:56:40,360 DATASETS ABOUT HOW PERFORMANT WE 5053 02:56:40,360 --> 02:56:41,760 ARE AS A HOSPITAL. 5054 02:56:41,760 --> 02:56:43,480 YOU CAN TAKE DATASETS AND 5055 02:56:43,480 --> 02:56:44,480 OPTIMIZE THE HOSPITAL. 5056 02:56:44,480 --> 02:56:47,120 SO HERE BECAUSE WE NOW COLLECT 5057 02:56:47,120 --> 02:56:48,640 THIS DATA PASSIVELY, WE SEND 5058 02:56:48,640 --> 02:56:49,520 NOTIFICATIONS TO THE PEOPLE THAT 5059 02:56:49,520 --> 02:56:52,600 ARE SUPPOSED TO BE IN THE O.R 5060 02:56:52,600 --> 02:56:54,920 WE DO THE DOCUMENTATION INSIDE 5061 02:56:54,920 --> 02:56:55,640 THE EMR. 5062 02:56:55,640 --> 02:56:57,720 SO EVERYONE WAS IN THIS ROOM 5063 02:56:57,720 --> 02:56:59,040 WHEN THE PATIENT SHOWED UP, NO 5064 02:56:59,040 --> 02:57:01,760 ONE IS PICKING UP THEIR PHONE TO 5065 02:57:01,760 --> 02:57:02,600 TEXT ME, THE ANESTHESIOLOGIST, 5066 02:57:02,600 --> 02:57:03,840 COMING TO OPERATING ROOM. 5067 02:57:03,840 --> 02:57:06,480 NOBODY'S SITTING DOWN AT THE 5068 02:57:06,480 --> 02:57:09,560 COMPUTER TO DOCUMENT IN EPIC 5069 02:57:09,560 --> 02:57:10,840 FOUR A FOUR-MINUTE LOG-IN 5070 02:57:10,840 --> 02:57:12,080 PROCESS, HEY, THIS PATIENT 5071 02:57:12,080 --> 02:57:13,280 ENTERED THE OPERATING ROOM. 5072 02:57:13,280 --> 02:57:15,440 BUT WE ALSO COLLECT SURGICAL 5073 02:57:15,440 --> 02:57:16,440 VIDEO BECAUSE SURGEONS WANT 5074 02:57:16,440 --> 02:57:18,440 ACCESS TO IT, TO TRAIN 5075 02:57:18,440 --> 02:57:21,360 RESIDENTS, THE LAST TIME I GOT 5076 02:57:21,360 --> 02:57:22,320 FEEDBACK ON ME AS AN 5077 02:57:22,320 --> 02:57:24,120 ANESTHESIOLOGIST WAS MY LAST DAY 5078 02:57:24,120 --> 02:57:25,120 OF RESIDENCY. 5079 02:57:25,120 --> 02:57:26,520 YOU DON'T PUT TWO 5080 02:57:26,520 --> 02:57:27,600 ANESTHESIOLOGISTISTS IN THE SAME 5081 02:57:27,600 --> 02:57:28,120 O.R 5082 02:57:28,120 --> 02:57:30,760 WE DON'T HAVE ENOUGH. 5083 02:57:30,760 --> 02:57:32,640 SO THIS, LIKE THE POST-GAME 5084 02:57:32,640 --> 02:57:35,680 DEBRIEF, YOU CAN GO BACK AND 5085 02:57:35,680 --> 02:57:38,760 LOOK AT IT. 5086 02:57:38,760 --> 02:57:39,960 RIGHT HERE WE CLIPPED THE 5087 02:57:39,960 --> 02:57:41,400 ARTERY, SHARE WITH THE RESIDENT, 5088 02:57:41,400 --> 02:57:43,120 BUT IT'S HOW I GET THE 100 5089 02:57:43,120 --> 02:57:44,440 EXAMPLES OF WHAT A SURGEON 5090 02:57:44,440 --> 02:57:46,840 COMING INTO THE SYSTEM TO TEACH 5091 02:57:46,840 --> 02:57:47,440 THE ARTIFICIAL INTELLIGENCE, 5092 02:57:47,440 --> 02:57:50,440 THIS IS WHAT IT LOOKS LIKE WHEN 5093 02:57:50,440 --> 02:57:55,160 THEY CLIP THE CYSTIC ARTERY AND 5094 02:57:55,160 --> 02:57:55,480 DUCT. 5095 02:57:55,480 --> 02:57:56,560 WE GAMIFIED. 5096 02:57:56,560 --> 02:57:59,320 THERE'S A REASON TO PUT THIS IN, 5097 02:57:59,320 --> 02:58:00,520 THAT SIMULTANEOUSLY RETRAINS THE 5098 02:58:00,520 --> 02:58:00,840 ALGORITHMS. 5099 02:58:00,840 --> 02:58:03,160 WE WANTED TO MAKE SURE THIS WAS 5100 02:58:03,160 --> 02:58:03,560 SAFE. 5101 02:58:03,560 --> 02:58:04,320 ANONYMIZED VIDEO. 5102 02:58:04,320 --> 02:58:05,440 WHEN THE CAMERA GOES IN THE 5103 02:58:05,440 --> 02:58:06,320 BODY, RECORD IT. 5104 02:58:06,320 --> 02:58:08,280 IF IT COMES OUT, I DON'T WANT IT 5105 02:58:08,280 --> 02:58:13,600 TO SEE SOMEONE'S FACE AND OPEN 5106 02:58:13,600 --> 02:58:14,880 EMR SCREENS, WE ALGORITHMICALLY 5107 02:58:14,880 --> 02:58:16,040 DELETE THAT FOOTAGE WHEN IT 5108 02:58:16,040 --> 02:58:16,600 COMES OUT. 5109 02:58:16,600 --> 02:58:19,760 IT GOES BACK IN, WE SAVE AGAIN 5110 02:58:19,760 --> 02:58:20,640 FOR SURGEONS, RESIDENTS, WHOEVER 5111 02:58:20,640 --> 02:58:24,600 NEEDS TO TRAIN ON THE VIDEO. 5112 02:58:24,600 --> 02:58:25,240 WE'RE TRACKING DIFFERENT 5113 02:58:25,240 --> 02:58:26,880 INSTRUMENTS AND IF I KNOW A 5114 02:58:26,880 --> 02:58:33,560 CAMERA IS IN THE BODY, WHAT 5115 02:58:33,560 --> 02:58:34,880 INSTRUMENTS AND ORGANS, FIGURE 5116 02:58:34,880 --> 02:58:37,440 OUT THE STEP, COMPARE TO 5117 02:58:37,440 --> 02:58:40,680 AVERAGE, LAST TIME THEY HAD 30 5118 02:58:40,680 --> 02:58:44,400 MINUTES BUT THEY ARE BOOKED TO 5119 02:58:44,400 --> 02:58:49,320 HAVE 40 MINUTES, RUNNING AHEAD 5120 02:58:49,320 --> 02:58:51,200 OF SCHEDULE, GET THE NEXT 5121 02:58:51,200 --> 02:58:53,200 PATIENT PREPPED SO WE DON'T HAVE 5122 02:58:53,200 --> 02:58:56,960 A SITUATION LIKE THIS. 5123 02:58:56,960 --> 02:58:57,880 PROCEDURE IN PROCESS, 1:43 TO 5124 02:58:57,880 --> 02:58:59,400 GET THE PATIENT ON THE TRANSPORT 5125 02:58:59,400 --> 02:59:00,600 BED AND OUT. 5126 02:59:00,600 --> 02:59:03,000 NO HOSPITAL HAS DATA THAT 5127 02:59:03,000 --> 02:59:04,520 ACCURATE. 5128 02:59:04,520 --> 02:59:06,840 TOOK FIVE MINUTES AND 16 SECONDS 5129 02:59:06,840 --> 02:59:10,320 TO CLEAN, 7:13 TO SET UP FOR THE 5130 02:59:10,320 --> 02:59:11,200 NEXT PROCEDURE, THERE WAS 25 5131 02:59:11,200 --> 02:59:16,160 MINUTES WHERE WE WERE JUST 5132 02:59:16,160 --> 02:59:17,200 SITTING THERE PLAYING PAC-MAN OR 5133 02:59:17,200 --> 02:59:19,120 NOBODY WAS IN THE OPERATING ROOM 5134 02:59:19,120 --> 02:59:20,760 BECAUSE NOBODY WANTED TO WALK 5135 02:59:20,760 --> 02:59:22,600 300 YARDS AT MY HOSPITAL OVER TO 5136 02:59:22,600 --> 02:59:24,360 PRE-OP TO TELL THEM GET THE NEXT 5137 02:59:24,360 --> 02:59:25,320 PATIENT READY. 5138 02:59:25,320 --> 02:59:27,520 EVEN IN EPIC NOW WHICH WE USE AT 5139 02:59:27,520 --> 02:59:29,400 NORTHWESTERN, I CANNOT FIGURE 5140 02:59:29,400 --> 02:59:30,920 OUT THE PRE-OP NURSE TAKING CARE 5141 02:59:30,920 --> 02:59:32,520 OF MY NEXT PATIENT. 5142 02:59:32,520 --> 02:59:33,640 FASTEST WAY TO GET THAT 5143 02:59:33,640 --> 02:59:38,000 INFORMATION IS TO WALK OVER 5144 02:59:38,000 --> 02:59:39,120 THERE. 5145 02:59:39,120 --> 02:59:41,960 WE'VE DONE THIS NOW AT 11 5146 02:59:41,960 --> 02:59:43,760 HOSPITALS, WE'VE GOT RESULTS, 5147 02:59:43,760 --> 02:59:46,160 WE'VE DELIVERED INCREASED CASE 5148 02:59:46,160 --> 02:59:50,800 VOLUME, 5 TO 30%, BUT 5 IS A 27X 5149 02:59:50,800 --> 02:59:52,880 RETURN ON INVESTMENT FOR THE 5150 02:59:52,880 --> 02:59:53,320 HOSPITAL. 5151 02:59:53,320 --> 02:59:57,840 EVEN IF WE HAD ONLY ONE .5% 5152 02:59:57,840 --> 03:00:01,000 INCREASE, IT WOULD HAVE BEEN ONE 5153 03:00:01,000 --> 03:00:03,160 OF THE HIGHER ROIs HOSPITAL 5154 03:00:03,160 --> 03:00:06,560 ARE SEEING, WE GOT AN EXTRA 350 5155 03:00:06,560 --> 03:00:07,800 PROCEDURES DONE. 5156 03:00:07,800 --> 03:00:10,080 HOSPITALS ARE A VOLUME GAME, 5157 03:00:10,080 --> 03:00:11,400 MEDICAID, EVERYTHING, IF IT'S 5158 03:00:11,400 --> 03:00:15,920 THAT LAST PROCEDURE OF THE YEAR, 5159 03:00:15,920 --> 03:00:18,320 THAT'S HOW YOU IMPROVE ACCESS TO 5160 03:00:18,320 --> 03:00:18,560 CARE. 5161 03:00:18,560 --> 03:00:22,280 HOW SUCCESSFUL HAS THEN BEEN? 5162 03:00:22,280 --> 03:00:25,360 WE SIGNED A CONTRACT, RUNNING 5163 03:00:25,360 --> 03:00:29,040 50% OF OPERATING ROOMS, MOVING 5164 03:00:29,040 --> 03:00:34,320 THIS IN, WE'RE THE EXCLUSIVE 5165 03:00:34,320 --> 03:00:36,960 PROVIDER OF STORZ, STRYKER'S 5166 03:00:36,960 --> 03:00:38,000 BIGGEST COMPETITOR, PUTTING US 5167 03:00:38,000 --> 03:00:41,440 IN 9,000 OPERATING ROOMS, GLOBAL 5168 03:00:41,440 --> 03:00:43,200 TO CHINA, UK, GERMANY. 5169 03:00:43,200 --> 03:00:44,600 THIS WAS SO SUCCESSFUL THAT 5170 03:00:44,600 --> 03:00:45,840 EVERYONE SAID CAN WE DO THE SAME 5171 03:00:45,840 --> 03:00:47,680 THING IN THE PATIENT ROOMS? 5172 03:00:47,680 --> 03:00:48,320 SURE. 5173 03:00:48,320 --> 03:00:52,080 WE TOOK THE SAME TECHNOLOGY, 5174 03:00:52,080 --> 03:00:52,880 SPEAKER, CAMERA, MICROPHONE, 5175 03:00:52,880 --> 03:00:55,360 APPLE TV FIRE STICK THING THAT 5176 03:00:55,360 --> 03:00:57,480 GOES BEHIND THE TV TO CONTROL 5177 03:00:57,480 --> 03:00:59,640 THE PATIENT TV. 5178 03:00:59,640 --> 03:01:01,200 WE WRAPPED THE PROCESSES AROUND 5179 03:01:01,200 --> 03:01:03,240 CHANGE MANAGEMENT INTO THIS. 5180 03:01:03,240 --> 03:01:05,240 WE TAKE THE TRADITIONAL CARE 5181 03:01:05,240 --> 03:01:07,760 TEAM, WE GIVE THEM THE BEDSIDE 5182 03:01:07,760 --> 03:01:10,360 NURSES GET A VIDEO FEED OF THEIR 5183 03:01:10,360 --> 03:01:11,040 PATIENTS. 5184 03:01:11,040 --> 03:01:13,240 WE GIVE THEM A REMOTE NURSE SO 5185 03:01:13,240 --> 03:01:15,160 IT'S BEDSIDE NURSE AND REMOTE 5186 03:01:15,160 --> 03:01:15,920 NURSE WORKING TOGETHER, BUT 5187 03:01:15,920 --> 03:01:18,120 REMOTE NURSE LIKE THE SURGEON 5188 03:01:18,120 --> 03:01:20,120 PUTTING THE ANNOTATION AND 5189 03:01:20,120 --> 03:01:21,080 VIEWING SOFTWARE IS RETRAINING 5190 03:01:21,080 --> 03:01:22,400 ARTIFICIAL INTELLIGENCE TO DO 5191 03:01:22,400 --> 03:01:24,800 DOCUMENTATION AND THINGS LIKE 5192 03:01:24,800 --> 03:01:25,680 THAT. 5193 03:01:25,680 --> 03:01:27,560 THE VIRTUAL NURSE CREATES A 5194 03:01:27,560 --> 03:01:28,760 MASSIVE AMOUNT OF AUTOMATION FOR 5195 03:01:28,760 --> 03:01:30,280 THE HOSPITAL, WE PLANT THEM TO 5196 03:01:30,280 --> 03:01:31,600 THESE PATIENTS AT HOME. 5197 03:01:31,600 --> 03:01:33,800 EVERYBODY'S TRYING TO GET TO THE 5198 03:01:33,800 --> 03:01:34,640 HOSPITAL AT HOME, NOBODY KNOWS 5199 03:01:34,640 --> 03:01:35,960 HOW TO DO IT. 5200 03:01:35,960 --> 03:01:37,240 LIKE YOU'RE NOT GOING TO TAKE A 5201 03:01:37,240 --> 03:01:39,680 MODEL T AND MAKE IT A TESLA, YOU 5202 03:01:39,680 --> 03:01:41,760 HAVE TO WALK THESE HOSPITAL 5203 03:01:41,760 --> 03:01:42,840 SYSTEMS THROUGH THESE LITTLE, 5204 03:01:42,840 --> 03:01:43,480 LITTLE STEPS. 5205 03:01:43,480 --> 03:01:45,120 TO HELP THEM CHANGE THEIR 5206 03:01:45,120 --> 03:01:45,520 PROCESSES. 5207 03:01:45,520 --> 03:01:46,560 HOW DID WE DO IT? 5208 03:01:46,560 --> 03:01:50,880 WE WROTE A BUNCH OF PLAY BOOKS, 5209 03:01:50,880 --> 03:02:01,360 REMOTE NURSING FOR ICU VERSUS 5210 03:02:01,840 --> 03:02:06,920 STEPDOWN, WE PUT A SPEAKER, 5211 03:02:06,920 --> 03:02:12,280 CAMERA, SET UP COMMAND CENTERS, 5212 03:02:12,280 --> 03:02:14,400 THEY NEED TWO SCREENS, ATRIUM 5213 03:02:14,400 --> 03:02:16,880 HEALTH IS RUNNING OUR SYSTEMS 5214 03:02:16,880 --> 03:02:17,440 DISTRIBUTED. 5215 03:02:17,440 --> 03:02:19,720 REMOTE NURSES WORK FROM HOME. 5216 03:02:19,720 --> 03:02:21,160 TALK ABOUT EXTENDING THE LIFE OF 5217 03:02:21,160 --> 03:02:23,680 A CAREER FOR A NURSE, WHO CAN 5218 03:02:23,680 --> 03:02:26,000 WORK FROM HOME, OR WHILE SHE'S 5219 03:02:26,000 --> 03:02:27,400 PREGNANT, AND IS NINE MONTHS 5220 03:02:27,400 --> 03:02:28,400 PREGNANT, DOESN'T WANT TO COME 5221 03:02:28,400 --> 03:02:30,200 IN FOR THE LAST FEW DAYS, IT 5222 03:02:30,200 --> 03:02:31,840 OPENS A WHOLE LOT OF OPTIONS TO 5223 03:02:31,840 --> 03:02:34,400 BRING NURSES BACK TO THE LABOR 5224 03:02:34,400 --> 03:02:34,600 FORCE. 5225 03:02:34,600 --> 03:02:36,280 FIRST THING WE DO, LIKE IN THE 5226 03:02:36,280 --> 03:02:39,920 O.R., GIVE THEM A VIDEO FEED. 5227 03:02:39,920 --> 03:02:40,760 DO TELECONSULTATION, PUT MANY, 5228 03:02:40,760 --> 03:02:44,200 UP TO EIGHT PEOPLE ON THE TV. 5229 03:02:44,200 --> 03:02:46,360 SPANISH TRANSLATORS, PATIENT 5230 03:02:46,360 --> 03:02:47,640 FAMILY MEMBER, NEUROSURGEON, ICU 5231 03:02:47,640 --> 03:02:48,440 PHYSICAL EXAMINATION, ALL SHOW 5232 03:02:48,440 --> 03:02:50,160 UP AND TALK TO THE PATIENT. 5233 03:02:50,160 --> 03:02:51,600 WE ADD THE REMOTE NURSE. 5234 03:02:51,600 --> 03:02:55,080 IF YOU WALK INTO THE ROOM, SAY 5235 03:02:55,080 --> 03:02:57,960 HEY ARTISIGHT, VOICE ACTIVATED 5236 03:02:57,960 --> 03:03:00,760 LIKE ALEXA, HEY ARTISIGHT, 5237 03:03:00,760 --> 03:03:02,000 REMOTE NURSE, THIS BLINKS, 5238 03:03:02,000 --> 03:03:03,080 CLICKS THE BUTTON, SHE WILL SHOW 5239 03:03:03,080 --> 03:03:05,600 UP ON THE TV, HOW CAN I HELP? 5240 03:03:05,600 --> 03:03:07,280 BEDSIDE NURSE WILL SAY I'M 5241 03:03:07,280 --> 03:03:12,840 PUTTING 18 GAGE IV IN RIGHT 5242 03:03:12,840 --> 03:03:13,960 HAND, REMOVING FOLEY, INCISION 5243 03:03:13,960 --> 03:03:16,440 BLOODIER, CAN YOU PAGE THE 5244 03:03:16,440 --> 03:03:20,920 RESIDENT? 5245 03:03:20,920 --> 03:03:22,440 YOUR MAKE THEM 127% MORE 5246 03:03:22,440 --> 03:03:25,080 EFFICIENT, IN AN INDUSTRY THAT 5247 03:03:25,080 --> 03:03:26,400 GETS .6% LESS EFFICIENT EVERY 5248 03:03:26,400 --> 03:03:27,400 YEAR. 5249 03:03:27,400 --> 03:03:29,160 THAT IS A MASSIVE SWING. 5250 03:03:29,160 --> 03:03:30,880 SO THIS, WE'VE MEASURED THIS, 5251 03:03:30,880 --> 03:03:33,920 I'LL SHOW YOU RESULTS, OUTCOMES, 5252 03:03:33,920 --> 03:03:35,040 BUT IT TRAINS THE ARTIFICIAL 5253 03:03:35,040 --> 03:03:37,000 INTELLIGENCE SO WE HAVE CAMERAS 5254 03:03:37,000 --> 03:03:38,640 WITH ALGORITHMS THAT CAN DETECT 5255 03:03:38,640 --> 03:03:40,320 PATIENTS NOT JUST GETTING OUT OF 5256 03:03:40,320 --> 03:03:42,360 BEDS BUT THE CHAIR, THE STOOL, 5257 03:03:42,360 --> 03:03:44,360 WHATEVER THING THEY ARE SITTING 5258 03:03:44,360 --> 03:03:45,440 ON THAT THEY SHOULD BE STAYING 5259 03:03:45,440 --> 03:03:47,200 ON SO THEY DON'T FALL. 5260 03:03:47,200 --> 03:03:49,200 WE HAVE PRESSURE ULCER 5261 03:03:49,200 --> 03:03:50,600 PREVENTION ALGORITHMS MAKING 5262 03:03:50,600 --> 03:03:53,040 SURE PATIENTS GET ROTATED, HAND 5263 03:03:53,040 --> 03:03:53,840 HYGIENE BECAUSE REGULATORY 5264 03:03:53,840 --> 03:03:55,200 BODIES THAT BE WANT TO KNOW HOW 5265 03:03:55,200 --> 03:03:57,600 WELL WE ARE AT WASHING OUR 5266 03:03:57,600 --> 03:03:58,160 HANDS. 5267 03:03:58,160 --> 03:04:07,160 SO WE DO THIS BUT FOR FOR 5268 03:04:07,160 --> 03:04:10,080 1/1,000 THE PRICE. 5269 03:04:10,080 --> 03:04:11,840 WE HAVE STAFF FOR SOLUTIONS, 5270 03:04:11,840 --> 03:04:13,240 WE'LL SEE IF THE AUDIO COMES 5271 03:04:13,240 --> 03:04:13,480 THROUGH. 5272 03:04:13,480 --> 03:04:14,000 NOT SURE. 5273 03:04:14,000 --> 03:04:15,640 YOU WALK INTO A ROOM. 5274 03:04:15,640 --> 03:04:19,160 FEEL THREATENED BY A PATIENT. 5275 03:04:19,160 --> 03:04:22,560 YOU SAY HEY ARTISIGHT, SPEAKER 5276 03:04:22,560 --> 03:04:24,640 TEST, CODE WORD, IT WILL 5277 03:04:24,640 --> 03:04:25,720 CONFIRM, SEND NOTIFICATION TO 5278 03:04:25,720 --> 03:04:26,000 SECURITY. 5279 03:04:26,000 --> 03:04:28,920 WE'LL SEE IF IT PLAYS. 5280 03:04:28,920 --> 03:04:31,960 >>HEY ARTISIGHT, SPEAKER TEST. 5281 03:04:31,960 --> 03:04:32,680 >>SPEAKER TEST COMPLETE. 5282 03:04:32,680 --> 03:04:36,880 >>I'M HAPPY TO SHOW YOU THAT WE 5283 03:04:36,880 --> 03:04:39,200 ACTUALLY GOT A CIO THAT REPLIED 5284 03:04:39,200 --> 03:04:41,840 THE OTHER DAY, ALREADY SEEING AN 5285 03:04:41,840 --> 03:04:42,120 IMPACT. 5286 03:04:42,120 --> 03:04:43,920 UNFORTUNATELY, WE HAD AN 5287 03:04:43,920 --> 03:04:46,760 EXPERIENCE LAST WEEK, PATIENT 5288 03:04:46,760 --> 03:04:48,720 WAS CHOKING A NURSE. 5289 03:04:48,720 --> 03:04:51,240 THIS ISN'T MADE UP SHIT, I'M NOT 5290 03:04:51,240 --> 03:04:53,400 MAKING STUFF UP. 5291 03:04:53,400 --> 03:04:54,280 REMOTE OBSERVER, ANOMALY 5292 03:04:54,280 --> 03:04:55,800 ALGORITHM WE HAVE STARTED 5293 03:04:55,800 --> 03:04:56,160 FLASHING. 5294 03:04:56,160 --> 03:04:58,440 EVEN BEFORE SHE SAID THE WAKE 5295 03:04:58,440 --> 03:04:58,960 WORD. 5296 03:04:58,960 --> 03:05:00,840 TRIGGERED REMOTE NURSE TO CALL 5297 03:05:00,840 --> 03:05:01,200 SECURITY. 5298 03:05:01,200 --> 03:05:03,760 MULTIPLE LAYERS OF REDUNDANCY IN 5299 03:05:03,760 --> 03:05:05,040 THIS SYSTEM. 5300 03:05:05,040 --> 03:05:05,920 CAPACITY ORCHESTRATION, I CAN 5301 03:05:05,920 --> 03:05:07,560 TELL YOU THE ROOMS OCCUPIED, 5302 03:05:07,560 --> 03:05:10,360 THAT ARE OPEN, WHICH HAS A 5303 03:05:10,360 --> 03:05:11,360 DISCHARGE PATIENT, SEND 5304 03:05:11,360 --> 03:05:13,200 NOTIFICATION, LIKE AIR TRAFFIC 5305 03:05:13,200 --> 03:05:13,520 CONTROL. 5306 03:05:13,520 --> 03:05:15,400 BUT NOW WE'RE TAKING THE CASE 5307 03:05:15,400 --> 03:05:17,120 MANAGERS WHOSE JOB IT IS TO MOVE 5308 03:05:17,120 --> 03:05:17,920 PATIENTS THROUGH THE HOSPITAL 5309 03:05:17,920 --> 03:05:19,680 WHO DIDN'T GO TO MEDICAL SCHOOL, 5310 03:05:19,680 --> 03:05:21,520 DIDN'T GO TO NURSING SCHOOL, 5311 03:05:21,520 --> 03:05:24,040 WHAT WE DO IS WE ENABLE THEM 5312 03:05:24,040 --> 03:05:25,360 WITH LARGE LANGUAGE MODEL 5313 03:05:25,360 --> 03:05:26,040 SUPPORT. 5314 03:05:26,040 --> 03:05:28,760 I HAVE LARGE LANGUAGE MODELS 5315 03:05:28,760 --> 03:05:33,440 READING EVERYONE'S CHART, 5316 03:05:33,440 --> 03:05:35,080 BEHIND THE FIRE WALL, SAFE FROM 5317 03:05:35,080 --> 03:05:36,600 THE INTERNET, NOT SAVING BUT 5318 03:05:36,600 --> 03:05:37,600 TELLING CASE MANAGERS WHEN YOU 5319 03:05:37,600 --> 03:05:41,000 SHOW UP THESE ARE THE TEN 5320 03:05:41,000 --> 03:05:42,520 PATIENTS MOST LIKELY TO BE 5321 03:05:42,520 --> 03:05:43,640 DISCHARGED THIS MORNING. 5322 03:05:43,640 --> 03:05:45,360 THE PATIENT CAN GO AS SOON AS 5323 03:05:45,360 --> 03:05:47,600 THE MRI IS READ, HAVE RADIOLOGY 5324 03:05:47,600 --> 03:05:48,320 PRIORITIZE THAT TO GET THE 5325 03:05:48,320 --> 03:05:49,840 PATIENT OUT OF THE HOSPITAL. 5326 03:05:49,840 --> 03:05:51,800 THIS ONE CAN GO BUT THEY WILL 5327 03:05:51,800 --> 03:05:54,680 NEED HOME OXYGEN SUPPORT, THAT 5328 03:05:54,680 --> 03:05:57,280 TAKES SIX HOURS TO ARRANGE, THEY 5329 03:05:57,280 --> 03:05:59,480 WON'T GO HOME UNTIL THAT'S 5330 03:05:59,480 --> 03:05:59,760 DELIVERED. 5331 03:05:59,760 --> 03:06:01,560 TELL THEM WHEN THEY SHOW UP 5332 03:06:01,560 --> 03:06:02,640 START WORKING BECAUSE WE PREDICT 5333 03:06:02,640 --> 03:06:04,400 THEY WILL BE DISCHARGED IN FOUR 5334 03:06:04,400 --> 03:06:04,960 HOURS. 5335 03:06:04,960 --> 03:06:07,800 DO THINGS LIKE PREDICT ICU NEED, 5336 03:06:07,800 --> 03:06:08,680 REALLY EARLY WARNING SYSTEM WHO 5337 03:06:08,680 --> 03:06:11,400 IS GOING TO BE SEPTIC, HAVE A 5338 03:06:11,400 --> 03:06:14,360 BAD OUTCOME, WHO IS GOING TO GET 5339 03:06:14,360 --> 03:06:16,440 DELIRIUM BASED ON EYE OPENING 5340 03:06:16,440 --> 03:06:17,320 AND MOVEMENT AT INAPPROPRIATE 5341 03:06:17,320 --> 03:06:19,080 HOURS OF THE DAY. 5342 03:06:19,080 --> 03:06:20,120 CLIENT RESULTS. 5343 03:06:20,120 --> 03:06:21,560 THAT LARGE LANGUAGE MODEL WORK, 5344 03:06:21,560 --> 03:06:23,720 MY CO-FOUNDER ON THE GRANT, 5345 03:06:23,720 --> 03:06:27,720 ERIC, JUST PUBLISHED THIS AT 5346 03:06:27,720 --> 03:06:27,880 NYU. 5347 03:06:27,880 --> 03:06:29,360 WE READ ALL 7.25 MILLION NOTES 5348 03:06:29,360 --> 03:06:30,240 INSIDE EPIC. 5349 03:06:30,240 --> 03:06:32,760 TRAINED THE LARGE LANGUAGE 5350 03:06:32,760 --> 03:06:33,000 MODELS. 5351 03:06:33,000 --> 03:06:35,480 FIVE TO 15% DEPENDING ON 5352 03:06:35,480 --> 03:06:36,080 OUTCOME. 5353 03:06:36,080 --> 03:06:37,440 MORE ACCURATE AT PREDICTING 5354 03:06:37,440 --> 03:06:39,080 OUTCOMES THAN ANYTHING EVER 5355 03:06:39,080 --> 03:06:40,280 PUBLISHED BEFORE. 5356 03:06:40,280 --> 03:06:42,360 SO SUCCESSFUL THAT EPIC 5357 03:06:42,360 --> 03:06:44,640 THEMSELVES CAUGHT WIND OF IT AND 5358 03:06:44,640 --> 03:06:45,480 STARTED HIGHLIGHTING GUTHRIE, 5359 03:06:45,480 --> 03:06:48,080 ONE OF OUR EARLIER CUSTOMERS 5360 03:06:48,080 --> 03:06:49,840 DOING REMOTE NURSING IN O.R. 5361 03:06:49,840 --> 03:06:51,880 OPTIMIZATION, SAYING GUTHRIE IS 5362 03:06:51,880 --> 03:06:53,320 SAVING $7 MILLION A YEAR. 5363 03:06:53,320 --> 03:06:55,240 IN PENNSYLVANIA, THEY HAVE A 5364 03:06:55,240 --> 03:06:57,720 BILL TO FIX NURSING RATIOS. 5365 03:06:57,720 --> 03:07:00,040 THE GOVERNOR CAME TO GUTHRIE AND 5366 03:07:00,040 --> 03:07:02,400 SAID THIS IS SUCH A PHENOMENAL 5367 03:07:02,400 --> 03:07:04,600 SOLUTION YOU CAN EXEMPT FROM 5368 03:07:04,600 --> 03:07:06,240 NURSING RATIOS, YOU DO WHATEVER 5369 03:07:06,240 --> 03:07:08,560 MAKES SENSE FOR YOUR 5370 03:07:08,560 --> 03:07:09,520 INSTITUTION. 5371 03:07:09,520 --> 03:07:12,720 SO JUST OTHER ROIs, WE HAVE 5372 03:07:12,720 --> 03:07:14,640 ONE PERSON MONITORING 48 VIDEO 5373 03:07:14,640 --> 03:07:15,760 FEEDS INSTEAD OF 48 PEOPLE 5374 03:07:15,760 --> 03:07:17,000 SITTING IN THE ROOMS TELLING 5375 03:07:17,000 --> 03:07:20,840 PEOPLE DON'T GET OUT OF BED. 5376 03:07:20,840 --> 03:07:23,000 THAT'S A 24X ROI. 5377 03:07:23,000 --> 03:07:24,960 REMOTE NURSING RESULTS AT 5378 03:07:24,960 --> 03:07:25,840 NORTHWESTERN HIGHEST EVER 5379 03:07:25,840 --> 03:07:26,440 PATIENT SATISFACTION SCORES, 5380 03:07:26,440 --> 03:07:28,040 TOOK THREE WEEKS TO FIGURE IT 5381 03:07:28,040 --> 03:07:28,560 OUT. 5382 03:07:28,560 --> 03:07:30,760 BUT THEN HIGHEST EVER PATIENT 5383 03:07:30,760 --> 03:07:31,640 SATISFACTION SCORES. 5384 03:07:31,640 --> 03:07:33,120 NURSING OVERTIME FROM AVERAGE OF 5385 03:07:33,120 --> 03:07:35,000 80 HOURS TO 40 HOURS, THEY STAY 5386 03:07:35,000 --> 03:07:38,200 OVER TIME TO DO CHARTING. 5387 03:07:38,200 --> 03:07:39,080 NURSES STOPPED LEAVING, STRAIGHT 5388 03:07:39,080 --> 03:07:39,240 UP. 5389 03:07:39,240 --> 03:07:40,920 SAID I CAN'T GET A JOB LIKE THIS 5390 03:07:40,920 --> 03:07:43,120 ANYWHERE ELSE IN THE COUNTRY, 5391 03:07:43,120 --> 03:07:43,720 I'M NOT LEAVING. 5392 03:07:43,720 --> 03:07:45,000 DO YOU HAVE ADEQUATE TIME TO 5393 03:07:45,000 --> 03:07:47,080 COMPLETE ALL OF YOUR PATIENT 5394 03:07:47,080 --> 03:07:49,360 CARE TASKS, FROM 30 TO 71% YES. 5395 03:07:49,360 --> 03:07:51,880 WE HAD ONE FALL ON THE DAY OF GO 5396 03:07:51,880 --> 03:07:55,360 LIVE, A LOT OF TIMES PEOPLE WILL 5397 03:07:55,360 --> 03:07:57,560 REDUCE 60 TO 80%. 5398 03:07:57,560 --> 03:07:58,880 WE ELIMINATED BECAUSE NURSES 5399 03:07:58,880 --> 03:08:00,840 WERE SPENDING WAY MORE TIME IN 5400 03:08:00,840 --> 03:08:02,160 THE PATIENT ROOM ELIMINATING 5401 03:08:02,160 --> 03:08:03,240 THEIR NEED FOR GETTING OUT OF 5402 03:08:03,240 --> 03:08:06,560 BED TO GET ICE CHIPS OR GO TO 5403 03:08:06,560 --> 03:08:07,760 THE BATHROOM. 5404 03:08:07,760 --> 03:08:17,840 WITH 5405 03:08:29,000 --> 03:08:31,120 FOR NURSING RAISES, NEW BEDS, 5406 03:08:31,120 --> 03:08:32,440 NEW OPERATING ROOMS, EXPANDING 5407 03:08:32,440 --> 03:08:34,120 CAPACITY, ALL OF THESE THINGS IS 5408 03:08:34,120 --> 03:08:36,880 REALLY HOW YOU FIX CARE AND WE 5409 03:08:36,880 --> 03:08:42,360 HAVE THIS NOW LIVE, 87 HOSPITAL, 5410 03:08:42,360 --> 03:08:43,160 200 HOSPITALS WORKING THROUGH 5411 03:08:43,160 --> 03:08:45,960 THE SALES PROCESS RIGHT NOW. 5412 03:08:45,960 --> 03:08:47,920 THAT'S IT. 5413 03:08:47,920 --> 03:08:52,360 >>THANK YOU VERY MUCH. 5414 03:08:52,360 --> 03:08:55,520 SO, WITH THAT I WOULD LIKE TO 5415 03:08:55,520 --> 03:08:58,160 OPEN THE DISCUSSION PORTION OF 5416 03:08:58,160 --> 03:09:08,680 THIS PRESENTATION AND WELCOME 5417 03:09:09,400 --> 03:09:11,720 DR. KATZ. 5418 03:09:11,720 --> 03:09:13,400 >>I THINK IT'S HELPFUL, PEOPLE 5419 03:09:13,400 --> 03:09:15,560 SPEND LESS TIME IN A HOSPITAL, 5420 03:09:15,560 --> 03:09:16,960 YOU HAVE MULTIPLE INTERVENTIONS 5421 03:09:16,960 --> 03:09:19,520 GOING ON AT ONCE. 5422 03:09:19,520 --> 03:09:24,000 SO, THE MOST SORT OF COMMON 5423 03:09:24,000 --> 03:09:26,400 SENSE AND WHERE I THINK 5424 03:09:26,400 --> 03:09:28,560 HOSPITALS, WITHOUT NECESSARILY 5425 03:09:28,560 --> 03:09:30,640 BUYING ALL THE GADGETS ARE 5426 03:09:30,640 --> 03:09:35,360 DOING, IS THE MONITORING. 5427 03:09:35,360 --> 03:09:36,360 EVERYBODY AGREES THE OLD MODEL 5428 03:09:36,360 --> 03:09:42,360 OF THE PATIENT RINGS A BELL AND 5429 03:09:42,360 --> 03:09:43,720 SOMEBODY HAS TO FIND THE NURSE, 5430 03:09:43,720 --> 03:09:46,960 THE NURSE HAS TO WALK FROM THE 5431 03:09:46,960 --> 03:09:48,920 DESK TO THE PATIENT ROOM TO GO 5432 03:09:48,920 --> 03:09:50,320 IN TO DISCOVER THAT THE THING 5433 03:09:50,320 --> 03:09:53,160 THE PATIENT NEEDED WAS BACK AT 5434 03:09:53,160 --> 03:09:56,960 THE NURSING DESK, EVERYBODY 5435 03:09:56,960 --> 03:10:00,400 AGREES THAT THAT'S ABSURD. 5436 03:10:00,400 --> 03:10:04,040 SO I THINK THE CAMERA, THE 5437 03:10:04,040 --> 03:10:06,680 VOICE, THE PICTURE ALL MAKE 5438 03:10:06,680 --> 03:10:08,800 TOTAL SENSE. 5439 03:10:08,800 --> 03:10:09,920 PEOPLE ARE MOVING. 5440 03:10:09,920 --> 03:10:11,840 WHAT YOU'RE ADDING THAT IS MORE 5441 03:10:11,840 --> 03:10:16,920 THAN WHAT MOST PEOPLE ARE DOING, 5442 03:10:16,920 --> 03:10:18,640 THAT IS USING THAT DATA TO TRAIN 5443 03:10:18,640 --> 03:10:19,360 A.I. 5444 03:10:19,360 --> 03:10:25,440 THAT'S WHAT I SEE IS BEING MORE 5445 03:10:25,440 --> 03:10:26,400 THAN WHAT MOST PLACES HAVE 5446 03:10:26,400 --> 03:10:28,600 THOUGHT THEY ARE GOING TO DO. 5447 03:10:28,600 --> 03:10:29,640 EVEN VIRTUAL NURSES, THERE'S 5448 03:10:29,640 --> 03:10:31,520 SOME MOVEMENT ON THAT. 5449 03:10:31,520 --> 03:10:33,040 TRAINING THE A.I. PART, YOU 5450 03:10:33,040 --> 03:10:35,560 KNOW, I WOULD SAY I'M NOT AWARE 5451 03:10:35,560 --> 03:10:41,080 OF ANYBODY WHO IS NECESSARILY 5452 03:10:41,080 --> 03:10:43,000 USING VISUAL IMAGES OF STUFF 5453 03:10:43,000 --> 03:10:45,080 GOING ON IN THE O.R 5454 03:10:45,080 --> 03:10:47,600 I THINK THE NEXT STEP, MAYBE 5455 03:10:47,600 --> 03:10:48,880 IT'S IN THE ARTICLES, MAYBE YOU 5456 03:10:48,880 --> 03:10:53,760 WANT TO TALK ABOUT IT, IS SORT 5457 03:10:53,760 --> 03:10:56,120 OF WHAT'S THE EVIDENCE THAT PART 5458 03:10:56,120 --> 03:10:58,320 IS MAKING A DIFFERENCE, THAT THE 5459 03:10:58,320 --> 03:11:06,440 A.I. PART IS WORKING TO MAKE 5460 03:11:06,440 --> 03:11:07,560 PEOPLE'S CARE BETTER. 5461 03:11:07,560 --> 03:11:08,640 >>SO, IT DEPENDS, RIGHT? 5462 03:11:08,640 --> 03:11:11,120 THERE'S A LOT OF WAYS TO ANSWER 5463 03:11:11,120 --> 03:11:11,920 THAT QUESTION. 5464 03:11:11,920 --> 03:11:14,440 I THINK THE BEST EXAMPLE I HAVE 5465 03:11:14,440 --> 03:11:15,680 OF THAT, THERE'S CERTAINLY OTHER 5466 03:11:15,680 --> 03:11:18,440 COMPANIES THAT PUT CAMERAS IN 5467 03:11:18,440 --> 03:11:18,640 ROOMS. 5468 03:11:18,640 --> 03:11:19,680 CERNER PROVIDES THAT AS A PART 5469 03:11:19,680 --> 03:11:21,080 OF CERNER. 5470 03:11:21,080 --> 03:11:23,360 YOU CAN ONLY MONITOR SIX 5471 03:11:23,360 --> 03:11:27,760 PATIENTS FROM THE CERNER COMMAND 5472 03:11:27,760 --> 03:11:28,120 CONSOLE. 5473 03:11:28,120 --> 03:11:30,960 THE FIRST BIG COMPANY PUT ONE 5474 03:11:30,960 --> 03:11:31,760 PERSON MONITORING 12 CAMERAS, 5475 03:11:31,760 --> 03:11:34,800 BECAUSE WE HAVE AN A.I. CO-PILOT 5476 03:11:34,800 --> 03:11:38,000 I WOULD NEVER TRUST A PURE A.I. 5477 03:11:38,000 --> 03:11:39,440 SYSTEM. 5478 03:11:39,440 --> 03:11:41,840 NOW I PROBABLY WOULDN'T TRUST A 5479 03:11:41,840 --> 03:11:44,040 PURE HUMAN SYSTEM BUT WORKING 5480 03:11:44,040 --> 03:11:49,520 TOGETHER, COVERING UP EACH 5481 03:11:49,520 --> 03:11:55,160 OVER'S WEAKNESS , THE OPTIMAL 5482 03:11:55,160 --> 03:11:56,520 RESULT IN 2023, MONITORING 48 5483 03:11:56,520 --> 03:11:58,560 CAMERAS, A.I. IS TELLING PEOPLE 5484 03:11:58,560 --> 03:12:00,080 TRYING TO MONITOR VIDEO STREAMS, 5485 03:12:00,080 --> 03:12:01,160 LIKE HERE, THERE'S ACTIVITY OF A 5486 03:12:01,160 --> 03:12:02,800 PATIENT GETTING OUT OF BED. 5487 03:12:02,800 --> 03:12:05,760 THE OTHER 47 ARE LAYING IN BED. 5488 03:12:05,760 --> 03:12:06,480 EVEN MONITORING 12 PEOPLE 5489 03:12:06,480 --> 03:12:07,560 WITHOUT A.I. WHEN YOU'RE TRYING 5490 03:12:07,560 --> 03:12:09,680 TO KEEP AN EYE ON EVERYTHING 5491 03:12:09,680 --> 03:12:11,560 THAT'S HAPPENING IS DIFFICULT 5492 03:12:11,560 --> 03:12:13,240 AND TAXING FOR A 12-HOUR SHIFT. 5493 03:12:13,240 --> 03:12:15,840 HAVING THAT A.I. CO-PILOT SIT 5494 03:12:15,840 --> 03:12:17,600 THERE FOR FALL PREVENTION TO 5495 03:12:17,600 --> 03:12:22,560 TELL YOU LOOK HERE, OR LOOK 5496 03:12:22,560 --> 03:12:24,600 HERE, WE'VE GOT A LOT OF 5497 03:12:24,600 --> 03:12:26,720 POSITIVE FEEDBACK. 5498 03:12:26,720 --> 03:12:27,560 AMOUNT OF TIME DOCUMENTING 5499 03:12:27,560 --> 03:12:29,440 THINGS OR SHOWED UP LATE TO 5500 03:12:29,440 --> 03:12:30,560 OPERATING ROOM BECAUSE NURSES 5501 03:12:30,560 --> 03:12:33,280 WERE TOO BUSY TRYING TO START AN 5502 03:12:33,280 --> 03:12:36,680 I.V. AND DIDN'T PAGE ME, 15 5503 03:12:36,680 --> 03:12:38,440 MINUTES, 30 MINUTES A DAY. 5504 03:12:38,440 --> 03:12:40,440 BY AUTOMATING THE SYSTEMS AROUND 5505 03:12:40,440 --> 03:12:43,680 CLINICAL CARE, WE'VE SEEN HUGE 5506 03:12:43,680 --> 03:12:43,920 RESULTS. 5507 03:12:43,920 --> 03:12:47,680 I COULD ANSWER WITH A BILLION 5508 03:12:47,680 --> 03:12:48,240 EXAMPLES. 5509 03:12:48,240 --> 03:12:52,640 >>BEFORE I GO INTO MY 5510 03:12:52,640 --> 03:12:54,960 CO-MODERATOR, PRIVACY. 5511 03:12:54,960 --> 03:12:56,400 DO PATIENTS -- ARE PATIENTS 5512 03:12:56,400 --> 03:12:59,600 ASKED IF THEY MIND THERE'S A 5513 03:12:59,600 --> 03:12:59,840 CAMERA? 5514 03:12:59,840 --> 03:13:02,080 IF SO, WHAT PROPORTION OF 5515 03:13:02,080 --> 03:13:04,040 PATIENTS SAY NO, THIS IS 5516 03:13:04,040 --> 03:13:13,120 PRIVATE, I DON'T WANT A CAMERA 5517 03:13:13,120 --> 03:13:13,840 ON ME. 5518 03:13:13,840 --> 03:13:16,160 >>THERE ARE POSTERS IN THE 5519 03:13:16,160 --> 03:13:19,000 ROOM, IT NEVER SAVES AUDIO OR 5520 03:13:19,000 --> 03:13:19,200 VIDEO. 5521 03:13:19,200 --> 03:13:19,840 I HAVES POLITICAL. 5522 03:13:19,840 --> 03:13:22,040 IN THE REDDEST OF RED STATES, 5523 03:13:22,040 --> 03:13:23,560 SOUTH DAKOTA, UNDER CONTRACT 5524 03:13:23,560 --> 03:13:25,680 WITH EVERY SINGLE HOSPITAL IN 5525 03:13:25,680 --> 03:13:27,680 THE ENTIRE STATE. 5526 03:13:27,680 --> 03:13:28,840 TYPICALLY THE MORE CONSERVATIVE 5527 03:13:28,840 --> 03:13:30,000 STATES WE SEE PEOPLE ASKING 5528 03:13:30,000 --> 03:13:31,680 ABOUT THE CAMERA, CAN I HAVE IT 5529 03:13:31,680 --> 03:13:32,360 OFF, WHATEVER. 5530 03:13:32,360 --> 03:13:35,200 EVEN IN THE REDDEST OF STATES, 5531 03:13:35,200 --> 03:13:37,120 IT HAPPENS FAR LESS THAN 1% OF 5532 03:13:37,120 --> 03:13:37,880 THE TIME. 5533 03:13:37,880 --> 03:13:39,240 BUT YOU ALSO HAVE TO COMPARE TO 5534 03:13:39,240 --> 03:13:40,280 A NEW STANDARD. 5535 03:13:40,280 --> 03:13:42,040 I DON'T LET PATIENTS COME TO MY 5536 03:13:42,040 --> 03:13:44,560 HOSPITAL, I DON'T WANT THE BED 5537 03:13:44,560 --> 03:13:45,760 ALARM TURNED ON. 5538 03:13:45,760 --> 03:13:48,040 NO, YOU'RE HERE, YOU'RE NIGH MY 5539 03:13:48,040 --> 03:13:50,800 RESPONSE, I'M TURNING IT ON. 5540 03:13:50,800 --> 03:13:53,040 SO THERE IS AN OPT-OUT PROCESS 5541 03:13:53,040 --> 03:13:54,240 AT MOST HOSPITALS, BUT MOST 5542 03:13:54,240 --> 03:13:55,680 HOSPITALS WILL NOT LET PEOPLE 5543 03:13:55,680 --> 03:13:56,240 OPT OUT. 5544 03:13:56,240 --> 03:13:58,920 THE COMPLAINTS WE GET ARE VERY, 5545 03:13:58,920 --> 03:14:01,280 VERY RARE. 5546 03:14:01,280 --> 03:14:03,760 >>SO, MY BROTHER HAPPENS TO BE 5547 03:14:03,760 --> 03:14:05,760 AN ANESTHESIOLOGIST, WE WERE ON 5548 03:14:05,760 --> 03:14:06,960 VACATION LAST WEEK, GETTING 5549 03:14:06,960 --> 03:14:08,400 READY TO MOVE SOMETHING HEAVY. 5550 03:14:08,400 --> 03:14:11,320 HE SAID WE'RE GOING ON TWO. 5551 03:14:11,320 --> 03:14:12,800 I'M A UROLOGIESIST. 5552 03:14:12,800 --> 03:14:13,720 WHY TWO, NOT THREE? 5553 03:14:13,720 --> 03:14:15,960 IF I MOVE EVERY PATIENT ON TWO, 5554 03:14:15,960 --> 03:14:17,360 EVERYBODY GOES HOME SEVERAL 5555 03:14:17,360 --> 03:14:20,040 SECONDS EARLIER AT THE END OF 5556 03:14:20,040 --> 03:14:20,560 THE DAY. 5557 03:14:20,560 --> 03:14:20,800 [LAUGHTER] 5558 03:14:20,800 --> 03:14:24,400 SO YOU'VE TAKEN THIS TO THE NEXT 5559 03:14:24,400 --> 03:14:26,240 LEVEL. 5560 03:14:26,240 --> 03:14:26,600 [LAUGHTER] 5561 03:14:26,600 --> 03:14:32,320 SO, WITH THAT, YOU CAN SAY, HEY, 5562 03:14:32,320 --> 03:14:34,000 I HEAR NURSING METRICS. 5563 03:14:34,000 --> 03:14:36,840 DO YOU HAVE METRICS ON 5564 03:14:36,840 --> 03:14:37,600 IMPROVEMENT OF PHYSICIAN, 5565 03:14:37,600 --> 03:14:41,320 QUALITY OF LIFE? 5566 03:14:41,320 --> 03:14:41,680 >>YEAH. 5567 03:14:41,680 --> 03:14:43,760 GETTING DATA FROM HOSPITALS ON 5568 03:14:43,760 --> 03:14:46,760 THEIR BASELINE IS VERY, VERY 5569 03:14:46,760 --> 03:14:47,120 DIFFICULT. 5570 03:14:47,120 --> 03:14:50,480 YOU WOULD THINK EMRs DID THAT. 5571 03:14:50,480 --> 03:14:51,640 OFTENTIMES HOSPITALS WILL BE 5572 03:14:51,640 --> 03:14:53,480 LIKE CONVINCE US OF ROI. 5573 03:14:53,480 --> 03:14:54,680 SURE, SHOW ME YOUR BASELINE. 5574 03:14:54,680 --> 03:14:55,640 WE DON'T HAVE A BASELINE. 5575 03:14:55,640 --> 03:14:59,280 HOW DO YOU WANT ME TO SHOW SOME 5576 03:14:59,280 --> 03:15:00,480 THEORETICAL IMPROVEMENT FROM 5577 03:15:00,480 --> 03:15:02,960 SOME UNDEFINED BASELINE? 5578 03:15:02,960 --> 03:15:06,160 SO WE DO GET ANECDOTALLY 5579 03:15:06,160 --> 03:15:07,080 FEEDBACK, SUBJECTIVE SURVEY 5580 03:15:07,080 --> 03:15:08,840 RESULTS FROM CLINICIANS SHOWING 5581 03:15:08,840 --> 03:15:09,120 IMPROVMENTS. 5582 03:15:09,120 --> 03:15:12,480 WE NEVER HAVE A BASELINE. 5583 03:15:12,480 --> 03:15:17,000 IT'S ALWAYS AN UNDEFINED 5584 03:15:17,000 --> 03:15:17,360 IMPROVEMENT. 5585 03:15:17,360 --> 03:15:22,840 >>ARE YOU IN ANY HOSPITALS 5586 03:15:22,840 --> 03:15:23,480 (INDISCERNIBLE). 5587 03:15:23,480 --> 03:15:25,120 >>NYU HAS UNIONIZED NURSES. 5588 03:15:25,120 --> 03:15:27,360 UNIVERSITY OF CHICAGO HAS VERY 5589 03:15:27,360 --> 03:15:30,880 PUBLICLY HAD UNION SPATS WITH 5590 03:15:30,880 --> 03:15:31,920 U.S. INS. 5591 03:15:31,920 --> 03:15:35,440 CEO OF UNIVERSITY OF CHICAGO, 5592 03:15:35,440 --> 03:15:38,400 ALSO A NURSE, JOINED OUR BOARD 5593 03:15:38,400 --> 03:15:39,240 AFTER RESULTING. 5594 03:15:39,240 --> 03:15:40,800 EVEN NOW GETTING READY TO GO 5595 03:15:40,800 --> 03:15:43,120 LIVE AT STANFORD WHERE I DID MY 5596 03:15:43,120 --> 03:15:44,800 FELLOWSHIP, WHO HAS UNIONIZED 5597 03:15:44,800 --> 03:15:46,400 NURSES, WE FOUND OTHER WAYS, 5598 03:15:46,400 --> 03:15:48,160 THEY HAVE FIXED RATIOS IN 5599 03:15:48,160 --> 03:15:54,160 CALIFORNIA SO OTHER WAYS WE'RE 5600 03:15:54,160 --> 03:15:55,200 DELIVERING VALUE THERE. 5601 03:15:55,200 --> 03:15:55,560 >>(INAUDIBLE). 5602 03:15:55,560 --> 03:15:58,040 >>I'M HAPPY TO SAY IN THE 140 5603 03:15:58,040 --> 03:15:58,640 MILLION HOURS OF PATIENT 5604 03:15:58,640 --> 03:16:00,720 MONITORING WE'VE NEVER HAD A 5605 03:16:00,720 --> 03:16:01,600 CLINICIAN PERSONALIZED BY OUR 5606 03:16:01,600 --> 03:16:01,960 SYSTEM. 5607 03:16:01,960 --> 03:16:03,760 I WON'T ALLOW IT. 5608 03:16:03,760 --> 03:16:04,200 WE WON'T ALLOW FACIAL 5609 03:16:04,200 --> 03:16:07,400 RECOGNITION TO BE USED ON OUR 5610 03:16:07,400 --> 03:16:09,120 PLATFORM BECAUSE IT'S A SLIPPERY 5611 03:16:09,120 --> 03:16:09,320 SLOPE. 5612 03:16:09,320 --> 03:16:11,320 YOU ADD SOMETHING LIKE THAT, 5613 03:16:11,320 --> 03:16:12,240 SOON ADMINISTRATORS WANT TO KNOW 5614 03:16:12,240 --> 03:16:13,760 WHO WAS IN THE ROOM WHEN THAT 5615 03:16:13,760 --> 03:16:16,520 HAPPENED, WHERE IS THE MISSING 5616 03:16:16,520 --> 03:16:17,600 BOTTLE OF FENTANYL. 5617 03:16:17,600 --> 03:16:19,320 GOOD USE CASES BUT IT'S A 5618 03:16:19,320 --> 03:16:21,520 SLIPPERY SLOPE SO WE WON'T ALLOW 5619 03:16:21,520 --> 03:16:22,200 IT. 5620 03:16:22,200 --> 03:16:23,720 FIRST THING WE DO IS JUST STREAM 5621 03:16:23,720 --> 03:16:26,400 THE VIDEO FEEDS TO THE NURSING 5622 03:16:26,400 --> 03:16:27,000 STATION. 5623 03:16:27,000 --> 03:16:29,160 IF FOR NO OTHER REASON THAN IT 5624 03:16:29,160 --> 03:16:30,280 JUST BUILDS TRUST WITH THE 5625 03:16:30,280 --> 03:16:31,600 SYSTEM WHEN YOU PUT THE VIDEO 5626 03:16:31,600 --> 03:16:34,320 FEED IN THE HANDS OF THE BEDSIDE 5627 03:16:34,320 --> 03:16:36,800 NURSE, IF YOU START THERE, THE 5628 03:16:36,800 --> 03:16:37,480 CULTURE CHANGES. 5629 03:16:37,480 --> 03:16:40,000 IF YOU WERE TO HAVE IT NOT 5630 03:16:40,000 --> 03:16:42,520 ACCESSIBLE TO THEM, IT'S THIS 5631 03:16:42,520 --> 03:16:43,520 MYTHICAL BLACK BOX, THEY DON'T 5632 03:16:43,520 --> 03:16:44,400 KNOW WHERE IT'S GOING. 5633 03:16:44,400 --> 03:16:46,680 YOU HAVE TO GIVE THE END USER 5634 03:16:46,680 --> 03:16:48,480 NURSE AT THE BEDSIDE ACCESS TO 5635 03:16:48,480 --> 03:16:50,800 THE FEED. 5636 03:16:50,800 --> 03:16:54,960 5637 03:16:54,960 --> 03:16:56,760 >>SO LOOKS LIKE YOU'RE DOING A 5638 03:16:56,760 --> 03:16:59,320 LOT OF DIFFERENT THINGS THAT 5639 03:16:59,320 --> 03:17:01,200 REQUIRE DIFFERENT TRAINING. 5640 03:17:01,200 --> 03:17:03,840 AND WONDERING ABOUT HOW YOU 5641 03:17:03,840 --> 03:17:08,000 SCALE HORIZONTALLY IN TERMS OF 5642 03:17:08,000 --> 03:17:10,960 DIFFERENT KINDS OF TASKS AND 5643 03:17:10,960 --> 03:17:12,240 VERTICALLY IN DIFFERENT PLACES. 5644 03:17:12,240 --> 03:17:13,640 SO WHEN YOU DECIDE YOU'RE GOING 5645 03:17:13,640 --> 03:17:15,440 TO DO A NEW TASK, DO YOU KIND OF 5646 03:17:15,440 --> 03:17:18,680 HAVE TO START FROM SCRATCH OR DO 5647 03:17:18,680 --> 03:17:21,480 YOU HAVE A FRAMEWORK TO BUILD ON 5648 03:17:21,480 --> 03:17:24,040 FOR THE NEXT TEST, THE NEXT 5649 03:17:24,040 --> 03:17:25,680 TEST, AND DIFFERENT PLACES HOW 5650 03:17:25,680 --> 03:17:27,320 MUCH TRAINING YOU HAVE TO DO TO 5651 03:17:27,320 --> 03:17:28,440 MAKE SURE IT KNOWS WHAT A BED 5652 03:17:28,440 --> 03:17:30,400 LOOK LIKES IN THAT HOSPITAL. 5653 03:17:30,400 --> 03:17:34,040 >>YOU KNOW SOMETHING ABOUT 5654 03:17:34,040 --> 03:17:35,120 ARTIFICIAL INTELLIGENCE CLEARLY. 5655 03:17:35,120 --> 03:17:37,840 >>I AM ARTIFICIALLY 5656 03:17:37,840 --> 03:17:38,160 INTELLIGENT. 5657 03:17:38,160 --> 03:17:38,440 [LAUGHTER] 5658 03:17:38,440 --> 03:17:41,200 >>SO, WE HAVE SOMETHING THAT WE 5659 03:17:41,200 --> 03:17:43,360 DEVELOP, ARTISIGHT NET, A 5660 03:17:43,360 --> 03:17:44,800 COLLECTION OF FOUNDATIONAL 5661 03:17:44,800 --> 03:17:48,000 MODELS, LIKE A CHAT GPT, A 5662 03:17:48,000 --> 03:17:48,520 FOUNDATIONAL MODEL. 5663 03:17:48,520 --> 03:17:50,160 THERE'S EIGHT COMPANIES IN THE 5664 03:17:50,160 --> 03:17:51,880 WORLD THAT ACTUALLY MAKE 5665 03:17:51,880 --> 03:17:53,040 FOUNDATIONAL MODELS, THE REST 5666 03:17:53,040 --> 03:17:54,720 ARE JUST RETRAINING THEM. 5667 03:17:54,720 --> 03:17:56,240 TYPICALLY RETRAINING THE LAST 5668 03:17:56,240 --> 03:17:58,600 FEW LAYERS OF A NETWORK. 5669 03:17:58,600 --> 03:18:01,320 SO WE HAVE A TOOLBOX OF A 5670 03:18:01,320 --> 03:18:03,400 CERTAIN SET OF ALGORITHMS, 5671 03:18:03,400 --> 03:18:06,600 WHETHER FOR NLP, OBJECT 5672 03:18:06,600 --> 03:18:08,280 DETECTION, BODY POSE ESTIMATION, 5673 03:18:08,280 --> 03:18:09,560 CLASSIFICATION, THAT HAVE BEEN 5674 03:18:09,560 --> 03:18:10,960 INTEGRATED INTO OUR SYSTEM. 5675 03:18:10,960 --> 03:18:12,800 THAT THEN EVERY TIME WE TAKE ON 5676 03:18:12,800 --> 03:18:15,560 A NEW PROBLEM THERE'S A 5677 03:18:15,560 --> 03:18:16,440 COMMERCIAL APPLICATION, WILL 5678 03:18:16,440 --> 03:18:17,760 SOMEONE PAY US FOR THIS, IS THIS 5679 03:18:17,760 --> 03:18:20,680 A PROBLEM IN AT LEAST 40% OF 5680 03:18:20,680 --> 03:18:21,760 HOSPITALS. 5681 03:18:21,760 --> 03:18:23,000 WE WILL THEN START TRAINING THE 5682 03:18:23,000 --> 03:18:25,040 ALGORITHM THROUGH A HUMAN IN THE 5683 03:18:25,040 --> 03:18:27,560 LOOP PROCESS, WITH THE 5684 03:18:27,560 --> 03:18:28,080 UNSUPERVISED PRE-TRAINING 5685 03:18:28,080 --> 03:18:29,520 UNDERLYING IT. 5686 03:18:29,520 --> 03:18:31,600 THAT TYPICALLY TAKES 3 TO 6 5687 03:18:31,600 --> 03:18:32,120 MONTHS. 5688 03:18:32,120 --> 03:18:34,040 WHEN WE TAKE THAT ALGORITHM TO 5689 03:18:34,040 --> 03:18:35,520 THE NEXT HOSPITAL DEPENDING ON 5690 03:18:35,520 --> 03:18:38,440 HOW DIFFERENT IT IS, IT COULD BE 5691 03:18:38,440 --> 03:18:40,640 FROM 60 TO 85% ACCURATE OUT OF 5692 03:18:40,640 --> 03:18:42,960 THE BOX. 5693 03:18:42,960 --> 03:18:44,720 THAT RETRAINING PROCESS WHICH 5694 03:18:44,720 --> 03:18:46,120 TAKES 100 OR 200 EXAMPLES 5695 03:18:46,120 --> 03:18:47,880 DEPENDS HOW FAST WE CAN GET THE 5696 03:18:47,880 --> 03:18:50,000 HUMAN IN THE LOOP ANNOTATIONS TO 5697 03:18:50,000 --> 03:18:50,720 RETRAIN IT. 5698 03:18:50,720 --> 03:18:53,240 SO TYPICALLY WE SEE A WEAK OR 5699 03:18:53,240 --> 03:18:55,200 TWO WEEKS. 5700 03:18:55,200 --> 03:18:57,960 >>YOU SAY YOU DON'T RECORD, HOW 5701 03:18:57,960 --> 03:19:00,040 DO YOU DO THE TRAINING? 5702 03:19:00,040 --> 03:19:03,240 >>A HUGE SOURCE OF IP, A TRADE 5703 03:19:03,240 --> 03:19:03,800 SECRET. 5704 03:19:03,800 --> 03:19:05,720 BUT I'LL TELL YOU 5705 03:19:05,720 --> 03:19:07,160 CONFIDENTIALALLY, WE BASICALLY 5706 03:19:07,160 --> 03:19:09,360 CREATE A VECTOR EMBEDDING SO WE 5707 03:19:09,360 --> 03:19:11,200 DON'T SAVE THE IMAGE, WE CREATE 5708 03:19:11,200 --> 03:19:13,320 A VECTOR MAP OF WHAT WAS 5709 03:19:13,320 --> 03:19:20,000 REPRESENTED IN THAT IMAGE THAT 5710 03:19:20,000 --> 03:19:22,800 IS IRREVERSIBLE AND ANONYMIZED 5711 03:19:22,800 --> 03:19:23,960 BUT CONTAINS 99% OF INFORMATION 5712 03:19:23,960 --> 03:19:25,960 WHAT THE ALGORITHM WOULD HAVE 5713 03:19:25,960 --> 03:19:28,160 LOOKED FOR, CREATING A SYNTHETIC 5714 03:19:28,160 --> 03:19:32,360 IMAGE, WE DO NOT SAVE THE RAW 5715 03:19:32,360 --> 03:19:33,360 IMAGE, ANY WAY REIDENTIFIABLE. 5716 03:19:33,360 --> 03:19:38,560 WE GOT THE THIRD PARTY TO SIGN 5717 03:19:38,560 --> 03:19:39,120 OFF ON. 5718 03:19:39,120 --> 03:19:43,160 >>WHAT I'M HEARING A LOT IS, AT 5719 03:19:43,160 --> 03:19:48,320 LEAST WHAT IN THE LITERATURE, 5720 03:19:48,320 --> 03:19:49,040 EVIDENCE GENERATING MEDICINE, 5721 03:19:49,040 --> 03:19:53,520 HAVE YOU HAD DISCUSSIONS OR EVEN 5722 03:19:53,520 --> 03:19:56,040 ANY OPINIONS WHETHER OR NOT -- I 5723 03:19:56,040 --> 03:19:58,200 SEE YOU'RE PUBLISHING ON THE 5724 03:19:58,200 --> 03:19:59,640 MODEL, THE TECHNOLOGY, THINGS 5725 03:19:59,640 --> 03:20:02,280 LIKE THAT, BUT HAVE YOU HAD 5726 03:20:02,280 --> 03:20:05,120 DISCUSSIONS ON HOW THIS CAN 5727 03:20:05,120 --> 03:20:08,000 IMPACT WHAT WE WILL CALL 5728 03:20:08,000 --> 03:20:09,200 EVIDENCE IN THE FUTURE AND 5729 03:20:09,200 --> 03:20:14,200 CHANGE OF PRACTICE AS WELL AS 5730 03:20:14,200 --> 03:20:14,440 POLICY? 5731 03:20:14,440 --> 03:20:15,160 >>YEAH JUST NEED MORE SUPPORT. 5732 03:20:15,160 --> 03:20:16,920 ONE OF THE REASONS I CAME HERE. 5733 03:20:16,920 --> 03:20:18,040 WE HAVE 120 PEOPLE IN THE 5734 03:20:18,040 --> 03:20:18,480 COMPANY. 5735 03:20:18,480 --> 03:20:20,200 WHEN WE FILED THE GRANT WE HAD 5736 03:20:20,200 --> 03:20:21,360 12 PEOPLE. 5737 03:20:21,360 --> 03:20:26,000 WE WERE 10X THE SIZE NOW. 5738 03:20:26,000 --> 03:20:27,160 EVEN PUBLISHING EVIDENCE BASED 5739 03:20:27,160 --> 03:20:30,000 LITERATURE IS A HUGE 5740 03:20:30,000 --> 03:20:30,280 UNDERTAKING. 5741 03:20:30,280 --> 03:20:31,840 WE TEND TO PUBLISH A LOT OF CASE 5742 03:20:31,840 --> 03:20:33,240 STUDIES WHICH DOES NOT GO 5743 03:20:33,240 --> 03:20:35,040 THROUGH A PEER REVIEW PROCESS 5744 03:20:35,040 --> 03:20:36,720 BUT IS ENOUGH TYPICALLY TO GET 5745 03:20:36,720 --> 03:20:38,320 HOSPITALS TO READ IT, CALL THE 5746 03:20:38,320 --> 03:20:40,680 HOSPITAL, MAKE SURE IT WAS 5747 03:20:40,680 --> 03:20:42,800 LEGITIMATE, TO MOVE FORWARD WITH 5748 03:20:42,800 --> 03:20:43,240 CONTRACT. 5749 03:20:43,240 --> 03:20:45,400 WE HAVE TO DECIDE, DO WE JUST 5750 03:20:45,400 --> 03:20:48,520 FUND R&D ALL DAY AND DO 5751 03:20:48,520 --> 03:20:52,080 LITERATURE OR OPEN ACCESS TO 5752 03:20:52,080 --> 03:20:52,280 CARE? 5753 03:20:52,280 --> 03:20:54,760 WE'RE JUST RESOURCE CONSTRAINT, 5754 03:20:54,760 --> 03:20:56,360 RAISED $40 MILLION TO ACCELERATE 5755 03:20:56,360 --> 03:20:58,960 ON ALL FRONTS BUT LIMITED BY 5756 03:20:58,960 --> 03:20:59,560 RESOURCES. 5757 03:20:59,560 --> 03:21:00,760 WITH MORE SUPPORT WE'LL BE 5758 03:21:00,760 --> 03:21:04,600 FILING MORE GRANTS. 5759 03:21:04,600 --> 03:21:07,640 THANK YOU. 5760 03:21:07,640 --> 03:21:15,800 HOPEFULLY CAN DO MORE 5761 03:21:15,800 --> 03:21:16,200 EVIDENCE-BASED. 5762 03:21:16,200 --> 03:21:18,680 >>IF YOU HAVE A WORK CAN THEY 5763 03:21:18,680 --> 03:21:21,400 OBTAIN DATA TO DO RIGOROUS 5764 03:21:21,400 --> 03:21:21,920 PUBLISHING? 5765 03:21:21,920 --> 03:21:25,080 >>DEPENDS ON THE OUTCOME. 5766 03:21:25,080 --> 03:21:27,720 FOR THINGS LIKE CASE VOLUME, IN 5767 03:21:27,720 --> 03:21:29,160 THE OPERATING ROOMS, ABSOLUTELY. 5768 03:21:29,160 --> 03:21:31,760 THAT DATA IS PRETTY ACCURATE IN 5769 03:21:31,760 --> 03:21:34,760 THE EMR. 5770 03:21:34,760 --> 03:21:37,160 THINGS LIKE I JUST SEPARATELY, 5771 03:21:37,160 --> 03:21:38,120 SOME RESEARCH, INSTALLED BLUE 5772 03:21:38,120 --> 03:21:43,360 LIGHTS IN THE O.R., NEAR 5773 03:21:43,360 --> 03:21:44,040 ULTRAVIOLET, 400-NANOMETER, TO 5774 03:21:44,040 --> 03:21:46,360 SEE IF I COULD REDUCE INFECTIONS 5775 03:21:46,360 --> 03:21:50,360 WITH JUST KIND OF SIMILAR TO 5776 03:21:50,360 --> 03:21:51,440 SUNLIGHT WAVELENGTHS, TOOK ME 5777 03:21:51,440 --> 03:21:54,160 NINE MONTHS TO GET OUR DATA ON 5778 03:21:54,160 --> 03:21:55,520 SURGICAL SITE INFECTIONS, 5779 03:21:55,520 --> 03:21:56,680 WORKING WITH EDW, TRYING TO 5780 03:21:56,680 --> 03:21:58,360 CLEAN UP THE DATA. 5781 03:21:58,360 --> 03:21:59,680 THIS IS THE NINTH BEST 5782 03:21:59,680 --> 03:22:03,200 INSTITUTION IN THE COUNTRY. 5783 03:22:03,200 --> 03:22:05,160 THAT HAS ABOUT $400 MILLION IN 5784 03:22:05,160 --> 03:22:06,880 PROFIT AS A NON-PROFIT LAST 5785 03:22:06,880 --> 03:22:07,200 YEAR. 5786 03:22:07,200 --> 03:22:10,200 EVEN WITH THOSE TYPE OF 5787 03:22:10,200 --> 03:22:12,240 RESOURCES, IT TOOK ME LOOKING 5788 03:22:12,240 --> 03:22:15,600 CASE BY CASE IN A DATASET TRYING 5789 03:22:15,600 --> 03:22:17,440 TO VALIDATE EVERY SURGICAL SITE 5790 03:22:17,440 --> 03:22:17,840 INFECTION. 5791 03:22:17,840 --> 03:22:22,840 SO IT IS AN INCREDIBLY TEDIOUS 5792 03:22:22,840 --> 03:22:25,600 MANUAL PROCESS DESPITE DIGITAL 5793 03:22:25,600 --> 03:22:27,360 TRANSFORMATIONS WE'VE UNDERGONE. 5794 03:22:27,360 --> 03:22:29,880 THE REASON I WANT TO 5795 03:22:29,880 --> 03:22:30,640 DISINTERMEDIATE THE CLINICIANS 5796 03:22:30,640 --> 03:22:31,880 FROM DATA COLLECTION BECAUSE WE 5797 03:22:31,880 --> 03:22:36,160 DON'T DO A GOOD JOB AND THE DATA 5798 03:22:36,160 --> 03:22:37,800 WE HAVE IN MASSIVE DATABASES IS 5799 03:22:37,800 --> 03:22:38,600 LARGELY GARBAGE. 5800 03:22:38,600 --> 03:22:43,200 SO IT'S VERY HARD TO PUT OUT 5801 03:22:43,200 --> 03:22:44,440 REALLY GOOD MEDICAL RESEARCH 5802 03:22:44,440 --> 03:22:45,440 WITH HIGH QUALITY DATASETS IF 5803 03:22:45,440 --> 03:22:46,880 YOU DON'T PAY AN ARMY OF PEOPLE 5804 03:22:46,880 --> 03:22:48,960 TO GO THROUGH THESE THINGS. 5805 03:22:48,960 --> 03:22:50,600 WE JUST DON'T HAVE THE 5806 03:22:50,600 --> 03:22:50,840 RESOURCES. 5807 03:22:50,840 --> 03:22:53,480 >>THIS MIGHT BE A QUESTION BEST 5808 03:22:53,480 --> 03:22:56,280 OVER COFFEE BUT I'M GOING TO ASK 5809 03:22:56,280 --> 03:22:57,160 IT ANYWAY. 5810 03:22:57,160 --> 03:22:58,760 WHICH IS, WHAT DOES YOUR 5811 03:22:58,760 --> 03:23:02,480 WORKFLOW LOOK LIKE AS YOU'RE 5812 03:23:02,480 --> 03:23:04,760 INTERFACING WITH THE ELECTRONIC 5813 03:23:04,760 --> 03:23:08,080 DATA WAREHOUSE TEAM, SO THEY 5814 03:23:08,080 --> 03:23:11,120 HAVE A STRONG I THINK SERVICE 5815 03:23:11,120 --> 03:23:12,800 CULTURE IN TERMS OF HELPING 5816 03:23:12,800 --> 03:23:14,440 PEOPLE ASK THE QUERIES BEFORE 5817 03:23:14,440 --> 03:23:16,640 THEY REALLY NEED TO DIVE IN DEEP 5818 03:23:16,640 --> 03:23:17,640 INTO THE DATA. 5819 03:23:17,640 --> 03:23:20,320 SO ARE YOU ABLE TO CONNECT WITH 5820 03:23:20,320 --> 03:23:22,240 THAT TEAM OR WHAT DO THOSE 5821 03:23:22,240 --> 03:23:23,240 THINGS LOOK LIKE? 5822 03:23:23,240 --> 03:23:26,000 >>JUST FOR FULL TRANSPARENCY, I 5823 03:23:26,000 --> 03:23:27,000 HAVE GODLIKE ACCESS AT 5824 03:23:27,000 --> 03:23:29,200 NORTHWESTERN, IF I'M BEING TRULY 5825 03:23:29,200 --> 03:23:29,720 HONEST. 5826 03:23:29,720 --> 03:23:31,600 NORTHWESTERN IS AN INVESTOR. 5827 03:23:31,600 --> 03:23:32,880 THE CEO OF NORTHWESTERN, HIS SON 5828 03:23:32,880 --> 03:23:34,720 WORKS AT MY COMPANY NOW. 5829 03:23:34,720 --> 03:23:38,280 THE CIO SITS ON MY BOARD. 5830 03:23:38,280 --> 03:23:42,280 C.E.O. SITS ON MY BOARD. 5831 03:23:42,280 --> 03:23:45,920 I TALK TO DOUG DAILY. 5832 03:23:45,920 --> 03:23:49,080 HE'S PROBABLY TEXTING ME NOW. 5833 03:23:49,080 --> 03:23:51,600 I CAN GET INNING. 5834 03:23:51,600 --> 03:23:53,560 DAN SCHNEIDERU TALK TO HIM ALL 5835 03:23:53,560 --> 03:23:56,240 THE TIME, HE GAVE ME ACCESS TO 5836 03:23:56,240 --> 03:23:59,400 PULL A SURGICAL SITE INFECTION 5837 03:23:59,400 --> 03:24:01,480 DATASET, FIRST FIVE LINES WERE 5838 03:24:01,480 --> 03:24:05,480 THE SAME CASE, DUPLICATED FIVE 5839 03:24:05,480 --> 03:24:05,920 TIMES. 5840 03:24:05,920 --> 03:24:07,560 AT NORTHWESTERN, NOT A DIFFICULT 5841 03:24:07,560 --> 03:24:07,760 THING. 5842 03:24:07,760 --> 03:24:10,640 OPEN THE DATASET AND SEE THAT 5843 03:24:10,640 --> 03:24:11,400 IT'S DUPLICATED. 5844 03:24:11,400 --> 03:24:13,400 THERE WAS A HUNDRED AND LIKE 5845 03:24:13,400 --> 03:24:14,600 THIRTY THOUSAND CASE RECORDS FOR 5846 03:24:14,600 --> 03:24:17,840 ONE YEAR IN A HOSPITAL THAT DOES 5847 03:24:17,840 --> 03:24:18,720 7,000 CASES. 5848 03:24:18,720 --> 03:24:22,400 THERE WAS THAT MUCH DEDUPING TO 5849 03:24:22,400 --> 03:24:23,200 CLEAN UP THE DATASET. 5850 03:24:23,200 --> 03:24:25,360 THIS IS WHAT WE'RE WORKING WITH. 5851 03:24:25,360 --> 03:24:26,640 WHY WOULD YOU WORK IN HEALTH 5852 03:24:26,640 --> 03:24:28,800 CARE IF YOU COULD GO TO FINANCE, 5853 03:24:28,800 --> 03:24:31,040 CLICK A BUTTON, MAKE A 10X 5854 03:24:31,040 --> 03:24:33,560 RETURN? 5855 03:24:33,560 --> 03:24:34,760 IT'S JUST THE SYSTEMS THAT WE 5856 03:24:34,760 --> 03:24:35,960 HAVE IN PLACE. 5857 03:24:35,960 --> 03:24:38,000 WE'RE TRYING TO JUMP FORWARD TO 5858 03:24:38,000 --> 03:24:39,760 TAKE ARTIFICIAL INTELLIGENCE TO 5859 03:24:39,760 --> 03:24:41,240 CREATE BETTER DATASETS, START 5860 03:24:41,240 --> 03:24:41,440 OVER. 5861 03:24:41,440 --> 03:24:43,160 BECAUSE WHAT WE HAVE IN THE 5862 03:24:43,160 --> 03:24:48,800 EMRs RIGHT NOW IS REALLY NOT 5863 03:24:48,800 --> 03:24:49,600 RESEARCH GRADE INFORMATION. 5864 03:24:49,600 --> 03:24:51,160 >>SO WHAT DOES DOCUMENTATION 5865 03:24:51,160 --> 03:24:55,400 LOOK LIKE WITH THESE SYSTEMS IN 5866 03:24:55,400 --> 03:24:55,880 PLACE? 5867 03:24:55,880 --> 03:24:58,280 WHAT YOU'RE RECORDING, IS IT 5868 03:24:58,280 --> 03:25:01,720 MAKING THOSE BIGGER, SMALLER, 5869 03:25:01,720 --> 03:25:01,960 BETTER? 5870 03:25:01,960 --> 03:25:03,240 >>WE DON'T DO NOTE 5871 03:25:03,240 --> 03:25:06,480 DOCUMENTATION, WE HAVE A 5872 03:25:06,480 --> 03:25:08,280 PARTNERSHIP ARE AUG METICS WHO 5873 03:25:08,280 --> 03:25:09,840 DOES AMBIENT NOTE TRANSCRIPTION. 5874 03:25:09,840 --> 03:25:14,040 WE'RE TRACKING DISCRETER THINGS. 5875 03:25:14,040 --> 03:25:16,960 YOU CAN SAY, ARTISIGHT, OR 5876 03:25:16,960 --> 03:25:20,680 ENTRY, DOCUMENTING THAT DISCRETE 5877 03:25:20,680 --> 03:25:23,640 DATA FIELD BUT FRICTIONLESSLY, 5878 03:25:23,640 --> 03:25:25,720 HANDS FREE. 5879 03:25:25,720 --> 03:25:27,000 OR VOICE RECOGNITION COULD TRAIN 5880 03:25:27,000 --> 03:25:29,960 COMPUTER VISION OTHER ULTRA WIDE 5881 03:25:29,960 --> 03:25:31,080 BAND TRACKING COULD DETECT 5882 03:25:31,080 --> 03:25:31,960 EVENT, TRAIN COMPUTER VISION. 5883 03:25:31,960 --> 03:25:34,560 A LOT OF WHAT WE'RE GOING AFT 5884 03:25:34,560 --> 03:25:36,440 ARE DISCRETE DATA FIELDS. 5885 03:25:36,440 --> 03:25:40,840 IT TAKES TWO TO FOUR MINUTES TO 5886 03:25:40,840 --> 03:25:43,000 LOG INTO EPIC, FIVE SECONDS TO 5887 03:25:43,000 --> 03:25:43,280 DOCUMENT. 5888 03:25:43,280 --> 03:25:44,800 THAT BARRIER MEANS WE NEVER GET 5889 03:25:44,800 --> 03:25:50,120 DATA IN REAL TIME AND DON'T GET 5890 03:25:50,120 --> 03:25:52,800 ACCURATE DATA, A LOT OF TIMES 5891 03:25:52,800 --> 03:25:54,320 WITH REMOTE NURSING THE BEDSIDE 5892 03:25:54,320 --> 03:25:55,960 NURSE IS TELLING REMOTE NURSE 5893 03:25:55,960 --> 03:25:57,840 SOMETHING, REMOTE NURSE IS 5894 03:25:57,840 --> 03:25:59,160 ALREADY LOGGED INTO EPIC OR 5895 03:25:59,160 --> 03:26:01,600 CERNER DOING THE CHARTING. 5896 03:26:01,600 --> 03:26:03,720 IT'S JUST SPLITTING WHO IS DOING 5897 03:26:03,720 --> 03:26:06,280 THE PHYSICAL ACTION AND WHO IS 5898 03:26:06,280 --> 03:26:07,760 DOING THE ACTUAL DOCUMENTATION. 5899 03:26:07,760 --> 03:26:10,160 YOU'RE HAVING THE SAME LENGTH OF 5900 03:26:10,160 --> 03:26:11,440 NOTES, EVERYTHING IS ENDING UP 5901 03:26:11,440 --> 03:26:12,680 IN THE SAME USER INTERFACE. 5902 03:26:12,680 --> 03:26:15,600 BUT A LOT OF WHAT OUR SYSTEM 5903 03:26:15,600 --> 03:26:18,560 DOES IS AUTOMATES THE DISCRETE 5904 03:26:18,560 --> 03:26:20,240 VARIABLES, THE NLP TYPE USE 5905 03:26:20,240 --> 03:26:22,000 CASES OR NOTES ARE TYPICALLY 5906 03:26:22,000 --> 03:26:23,120 DONE BY HUMANS, IN THE FUTURE 5907 03:26:23,120 --> 03:26:28,360 MAY HEAD INTO THE VERY CROWDED 5908 03:26:28,360 --> 03:26:28,960 AMBIENT DOCUMENTATION SPACE, 5909 03:26:28,960 --> 03:26:30,520 MORE LIKELY WITH A PARTNERSHIP. 5910 03:26:30,520 --> 03:26:33,840 >>WITH DATA YOU'RE COLLECTING, 5911 03:26:33,840 --> 03:26:34,280 IS IT APPROPRIATE? 5912 03:26:34,280 --> 03:26:36,920 >>WE PUT IT INTO THE EPIC OR 5913 03:26:36,920 --> 03:26:37,920 CERNER DATABASES, AND PEOPLE CAN 5914 03:26:37,920 --> 03:26:40,080 PULL IT INTO THEIR NOTES THROUGH 5915 03:26:40,080 --> 03:26:40,480 NORMAL MECHANISMS. 5916 03:26:40,480 --> 03:26:42,160 WE DIDN'T WANT TO HAVE TO 5917 03:26:42,160 --> 03:26:46,120 RECREATE MECHANISMS SO WE PUT 5918 03:26:46,120 --> 03:26:47,840 IT IN THE SAME DATABASES 5919 03:26:47,840 --> 03:26:48,280 EVERYONE IS ACCESSING 5920 03:26:48,280 --> 03:26:55,040 >>CAN YOU GO BACK TO THE SLIDE, 5921 03:26:55,040 --> 03:26:55,560 BUDGET SLIDE. 5922 03:26:55,560 --> 03:27:00,960 >>WHICH ONE? 5923 03:27:00,960 --> 03:27:04,160 >>YEAH, THERE. 5924 03:27:04,160 --> 03:27:06,240 >>SURE. 5925 03:27:06,240 --> 03:27:08,920 >>SO, THIS IS -- OVER FIVE 5926 03:27:08,920 --> 03:27:12,480 YEARS, THE COST OF YOUR 5927 03:27:12,480 --> 03:27:14,960 BUSINESS, YOUR MODEL INCLUDED? 5928 03:27:14,960 --> 03:27:16,560 >>WE CHARGE ANNUALLY, $2,000 5929 03:27:16,560 --> 03:27:17,560 PER CAMERA PER YEAR. 5930 03:27:17,560 --> 03:27:20,720 >>WHAT ABOUT THE NURSE REMOTE 5931 03:27:20,720 --> 03:27:20,920 NURSE? 5932 03:27:20,920 --> 03:27:22,080 >>THAT'S HOSPITAL STAFF. 5933 03:27:22,080 --> 03:27:25,080 SO WHAT THEY ARE DOING, YOU CAN 5934 03:27:25,080 --> 03:27:28,120 LOOK AT THIS MODEL, IT'S HARD TO 5935 03:27:28,120 --> 03:27:29,120 SEE AND HEAR. 5936 03:27:29,120 --> 03:27:32,160 HERE IS THE NUMBER IN BLUE OF 5937 03:27:32,160 --> 03:27:33,200 BEDSIDE NURSES. 5938 03:27:33,200 --> 03:27:35,840 AND THEN THE REMOTE NURSES GOES 5939 03:27:35,840 --> 03:27:36,160 UP. 5940 03:27:36,160 --> 03:27:38,960 YOU ACTUALLY END WITH A VERY 5941 03:27:38,960 --> 03:27:41,000 SIMILAR AMOUNT OF NURSES BUT IN 5942 03:27:41,000 --> 03:27:43,080 A NEW CARE MODEL WHERE INSTEAD 5943 03:27:43,080 --> 03:27:44,960 OF EACH NURSE HAVING FOUR 5944 03:27:44,960 --> 03:27:46,400 PATIENTS, THEY EACH HAVE FIVE, 5945 03:27:46,400 --> 03:27:49,160 BUT THEY GET AN OWN DEDICATED 5946 03:27:49,160 --> 03:27:52,200 PCT, PATIENT CARE TECHNICIAN OR 5947 03:27:52,200 --> 03:27:53,800 CNA, AND REMOTE NURSE TO DO 5948 03:27:53,800 --> 03:27:55,120 THEIR DOCUMENTATION. 5949 03:27:55,120 --> 03:27:56,480 THE NET IS REDUCTION IN THE 5950 03:27:56,480 --> 03:28:02,760 AMOUNT OF WORK A NURSE HAS TO DO 5951 03:28:02,760 --> 03:28:05,880 WITH THESE SAME HUMAN, LOOKING 5952 03:28:05,880 --> 03:28:08,440 AT SAVINGS, FIVE MILLION A YEAR, 5953 03:28:08,440 --> 03:28:10,800 ROUGHLY UNCHANGED FOR A 5954 03:28:10,800 --> 03:28:11,680 3,000-BED HEALTH SYSTEM. 5955 03:28:11,680 --> 03:28:17,400 IT'S JUST A NEW MODEL. 5956 03:28:17,400 --> 03:28:20,600 >>WHO IS LEGALLY RESPONSIBLE 5957 03:28:20,600 --> 03:28:22,040 FOR THE NOTE? 5958 03:28:22,040 --> 03:28:23,640 >>THE HOSPITAL STAFF. 5959 03:28:23,640 --> 03:28:26,600 >>IT'S AN INDIVIDUAL NURSE 5960 03:28:26,600 --> 03:28:27,760 ACCOUNTABILITY, IS THAT SHARED 5961 03:28:27,760 --> 03:28:29,600 ACROSS THE SPEAKER AND 5962 03:28:29,600 --> 03:28:29,880 RESPONDER? 5963 03:28:29,880 --> 03:28:32,880 >>SO, THE WAY IT WORKS IS IN 5964 03:28:32,880 --> 03:28:35,280 EPIC THEY CHART WHO IS THE 5965 03:28:35,280 --> 03:28:37,040 ACTUAL BEDSIDE NURSE, DOING THE 5966 03:28:37,040 --> 03:28:37,440 ACTION. 5967 03:28:37,440 --> 03:28:39,080 AND THROUGH THEIR EPIC LOG-IN, 5968 03:28:39,080 --> 03:28:42,680 THE REMOTE NURSE IS KEEPING AN 5969 03:28:42,680 --> 03:28:44,120 AUDIT TRAIL OF HER DOCUMENTATION 5970 03:28:44,120 --> 03:28:45,520 OF THOSE EVENTS. 5971 03:28:45,520 --> 03:28:47,560 SO YOU RAISE A VERY GOOD POINT. 5972 03:28:47,560 --> 03:28:47,800 >>GOT IT. 5973 03:28:47,800 --> 03:28:48,600 >>THERE'S A LOT OF TRUST 5974 03:28:48,600 --> 03:28:50,040 BETWEEN THE TWO NURSES, ONE OF 5975 03:28:50,040 --> 03:28:51,800 THE THINGS WE PUT IN THE 5976 03:28:51,800 --> 03:28:54,040 PLAYBOOK, DO NOT SET UP 5977 03:28:54,040 --> 03:28:55,040 DEDICATED REMOTE NURSES THAT 5978 03:28:55,040 --> 03:28:56,760 HAVE NEVER WORKED WITH THOSE 5979 03:28:56,760 --> 03:28:58,160 BEDSIDE NURSES. 5980 03:28:58,160 --> 03:28:59,840 USING A HYBRID SYSTEM, WHERE 5981 03:28:59,840 --> 03:29:01,880 INSTEAD OF WORKING THREE DAYS AT 5982 03:29:01,880 --> 03:29:03,760 THE BEDSIDE, YOU WORK TWO DAYS 5983 03:29:03,760 --> 03:29:06,320 AT THE BEDSIDE, ONE IS REMOTE 5984 03:29:06,320 --> 03:29:09,120 NURSE, AND NOW WHEN YOU CALL, 5985 03:29:09,120 --> 03:29:09,960 HEY, ARTISIGHT, REMOTE NURSE, 5986 03:29:09,960 --> 03:29:11,240 STACY WHO YOU'VE BEEN WORKING 5987 03:29:11,240 --> 03:29:13,480 WITH FOR TWO YEARS ANSWERS, YOU 5988 03:29:13,480 --> 03:29:16,360 TRUST HER TO DO THE 5989 03:29:16,360 --> 03:29:17,080 DOCUMENTATION. 5990 03:29:17,080 --> 03:29:20,360 THIS IS FAR MORE ABOUT THE KIND 5991 03:29:20,360 --> 03:29:21,800 OF CHANGE MANAGEMENT, PEOPLE AND 5992 03:29:21,800 --> 03:29:23,320 PROCESSES, THAN IT IS ABOUT THE 5993 03:29:23,320 --> 03:29:24,680 TECHNOLOGY BECAUSE DR. KATZ IS 5994 03:29:24,680 --> 03:29:25,040 RIGHT. 5995 03:29:25,040 --> 03:29:26,720 PUTTING A CAMERA IN A ROOM IS 5996 03:29:26,720 --> 03:29:28,160 NOT A NOVEL THING BUT FIGURING 5997 03:29:28,160 --> 03:29:29,920 OUT EVERYTHING THAT HAS TO BE 5998 03:29:29,920 --> 03:29:32,560 WRAPPED AROUND THAT TO MAKE A 5999 03:29:32,560 --> 03:29:34,120 NEW CARE TEAM MODEL IS 6000 03:29:34,120 --> 03:29:35,400 COMPLICATED, THERE'S A BILLION 6001 03:29:35,400 --> 03:29:39,200 WAYS TO MESS IT UP. 6002 03:29:39,200 --> 03:29:41,160 >>THANK YOU. 6003 03:29:41,160 --> 03:29:41,520 >>ALL RIGHT. 6004 03:29:41,520 --> 03:29:42,320 >>LAST QUESTION. 6005 03:29:42,320 --> 03:29:43,960 >>DO YOU WORK WITH HOSPITAL 6006 03:29:43,960 --> 03:29:46,840 SYSTEM TO SET THAT UP BEFORE YOU 6007 03:29:46,840 --> 03:29:47,240 -- 6008 03:29:47,240 --> 03:29:53,240 >>OH, YEAH, ALL THE CHANGE 6009 03:29:53,240 --> 03:29:55,200 MANAGEMENT, PARTNERSHIPS WITH 6010 03:29:55,200 --> 03:29:57,000 DELOITTE, BAKER TILLY, WE DRIVE 6011 03:29:57,000 --> 03:29:57,680 CONSULTING. 6012 03:29:57,680 --> 03:30:00,480 THERE'S A HUGE ECONOMY AROUND 6013 03:30:00,480 --> 03:30:05,560 ARTISIGHT WITH CDW, INVIDIA, YOU 6014 03:30:05,560 --> 03:30:07,400 DON'T HAVE TO BUY A $40,000 6015 03:30:07,400 --> 03:30:09,480 CAMERA TO MAKE THIS WORK. 6016 03:30:09,480 --> 03:30:11,760 WE BUILT THIS ECONOMY AROUND 6017 03:30:11,760 --> 03:30:13,880 ARTISIGHT FROM CONSULTANTS TO 6018 03:30:13,880 --> 03:30:15,160 HARDWARE RESELLERS, TO GOD KNOWS 6019 03:30:15,160 --> 03:30:19,000 WHAT TO JUST HELP MAKE THIS WORK 6020 03:30:19,000 --> 03:30:19,320 AT SCALE. 6021 03:30:19,320 --> 03:30:20,240 >>OKAY. 6022 03:30:20,240 --> 03:30:23,480 THANK YOU FOR YOUR PRESENTATION. 6023 03:30:23,480 --> 03:30:24,320 WE APPRECIATE IT. 6024 03:30:24,320 --> 03:30:27,360 WITH THAT WE WILL MOVE INTO OUR 6025 03:30:27,360 --> 03:30:29,600 NEXT ITEM OF BUSINESS, WHICH IS 6026 03:30:29,600 --> 03:30:31,560 MOVING INTO CLOSED SESSION. 6027 03:30:31,560 --> 03:30:35,440 SO WE'RE GOING TO BE ENDING OUR 6028 03:30:35,440 --> 03:30:37,280 VIDEOCAST AND THANK EVERYONE FOR 6029 03:30:37,280 --> 03:30:38,240 TUNING IN TODAY. 6030 03:30:38,240 --> 03:30:40,080 AND WELCOME YOU TO JOIN US 6031 03:30:40,080 --> 03:30:42,920 TOMORROW FOR OUR OPEN SESSION. 6032 03:30:42,920 --> 00:00:00,000 THANK YOU.