1 00:00:05,000 --> 00:00:10,680 I WOULD LIKE TO CALL THIS 2 00:00:10,680 --> 00:00:13,920 MEETING TO START, THE MEETING OF 3 00:00:13,920 --> 00:00:14,120 THE NATIONAL LIBRARY OF MEDICINE 4 00:00:14,120 --> 00:00:16,720 BOARD OF REGENTS IS NOW CALLED 5 00:00:16,720 --> 00:00:17,920 TO ORDER. 6 00:00:17,920 --> 00:00:18,600 WELCOME, EVERYONE. 7 00:00:18,600 --> 00:00:21,160 BEFORE WE BEGIN, I HAVE A FEW 8 00:00:21,160 --> 00:00:22,960 HOUSEKEEPING ANNOUNCEMENTS. 9 00:00:22,960 --> 00:00:24,600 YOU SHOULD USE YOUR RAISE HAND 10 00:00:24,600 --> 00:00:28,280 FEATURE TO BE RECOGNIZED, AND 11 00:00:28,280 --> 00:00:29,600 DURING DISCUSSION SESSIONS, 12 00:00:29,600 --> 00:00:32,080 PLEASE, THE ZOOM RAISE HAND 13 00:00:32,080 --> 00:00:34,640 FEATURE, AND I WILL MONITOR THE 14 00:00:34,640 --> 00:00:36,640 PARTICIPANTS' WINDOW AND TRY TO 15 00:00:36,640 --> 00:00:38,000 RECOGNIZE PARTICIPANTS WITH 16 00:00:38,000 --> 00:00:39,600 RAISED HANDS IN THE ORDER I SEE 17 00:00:39,600 --> 00:00:39,920 THEM RAISED. 18 00:00:39,920 --> 00:00:41,480 IF YOU NEED ASSISTANCE, USE 19 00:00:41,480 --> 00:00:41,920 CHAT. 20 00:00:41,920 --> 00:00:44,040 THE NLM MEDIA OPERATIONS STAFF 21 00:00:44,040 --> 00:00:45,520 WILL BE MONITORING THE CHAT 22 00:00:45,520 --> 00:00:47,120 THROUGHOUT TODAY'S MEETING AND 23 00:00:47,120 --> 00:00:48,120 ARE AVAILABLE TO PROVIDE ANY 24 00:00:48,120 --> 00:00:49,000 TECHNICAL ASSISTANCE THAT YOU 25 00:00:49,000 --> 00:00:49,200 NEED. 26 00:00:49,200 --> 00:00:51,400 YOU CAN ALSO REACH THEM VIA 27 00:00:51,400 --> 00:00:55,960 EMAIL AT NLMMEDIAOPERATIONSTEAM 28 00:00:55,960 --> 00:00:59,400 AT NLM.NIH.GOV. 29 00:00:59,400 --> 00:01:01,240 PLEASE REMEMBER TO BE MINDFUL OF 30 00:01:01,240 --> 00:01:03,040 YOUR CAMERA, THIS IS BEING 31 00:01:03,040 --> 00:01:04,120 BROADCAST LIVE AND YOUR 32 00:01:04,120 --> 00:01:05,400 MICROPHONE, BE SURE TO MUTE YOUR 33 00:01:05,400 --> 00:01:07,440 MIC WHEN YOU'RE NOT PRESENTING 34 00:01:07,440 --> 00:01:08,640 OR PARTICIPATING IN DISCUSSION. 35 00:01:08,640 --> 00:01:12,160 SO THAT'S IT FOR OUR LOGISTICS 36 00:01:12,160 --> 00:01:13,680 FOR THE MEETING. 37 00:01:13,680 --> 00:01:17,200 AND NOW I WOULD LIKE TO 38 00:01:17,200 --> 00:01:18,120 INTRODUCE A FEW PEOPLE. 39 00:01:18,120 --> 00:01:20,720 SO WE HAVE A NEW ALTERNATE 40 00:01:20,720 --> 00:01:25,520 EX-OFFICIO MEMBER, DR. MICHELLE 41 00:01:25,520 --> 00:01:26,720 ELKANICH, DEPUTY DIVISION 42 00:01:26,720 --> 00:01:30,640 DIRECTOR AND DI VUTION OF 43 00:01:30,640 --> 00:01:32,440 INTEGRATED ORGANISMAL SYSTEMS, 44 00:01:32,440 --> 00:01:33,840 SHE IS REPLACING DR. BRENT 45 00:01:33,840 --> 00:01:34,080 MILLER. 46 00:01:34,080 --> 00:01:36,120 ALSO I WANTED -- I HAVE THE 47 00:01:36,120 --> 00:01:38,200 PLEASURE OF ANNOUNCING THREE NEW 48 00:01:38,200 --> 00:01:41,040 PENDING BOARD MEMBERS. 49 00:01:41,040 --> 00:01:42,720 THEY ARE ATTENDING AS 50 00:01:42,720 --> 00:01:43,560 CONSULTANTS RIGHT NOW UNTIL 51 00:01:43,560 --> 00:01:44,960 THEIR APPOINTMENTS ARE APPROVED 52 00:01:44,960 --> 00:01:48,160 BY THE DEPARTMENT. 53 00:01:48,160 --> 00:01:50,360 I'D LIKE TO WELCOME DR. ANDREW 54 00:01:50,360 --> 00:01:51,640 CLARKE, PROFESSOR OF THE 55 00:01:51,640 --> 00:01:52,800 DEPARTMENT OF MOLECULAR BIOLOGY 56 00:01:52,800 --> 00:01:54,200 AND GENETICS AT CORNELL 57 00:01:54,200 --> 00:01:55,160 UNIVERSITY. 58 00:01:55,160 --> 00:01:56,400 WELCOME, DR. CLARKE. 59 00:01:56,400 --> 00:01:58,920 ALSO WELCOME DR. MITCHELL KATZ, 60 00:01:58,920 --> 00:02:02,400 PRESIDENT AND CEO OF NEW YORK 61 00:02:02,400 --> 00:02:03,600 CITY HEALTH HOSPITALS, LAST BUT 62 00:02:03,600 --> 00:02:08,280 NOT LEAST, MR. PHILIP WALKER, 63 00:02:08,280 --> 00:02:10,280 DIRECTOR OF THE ES KINE FAMILY 64 00:02:10,280 --> 00:02:12,240 MEDICAL LIBRARY AND LEARNING 65 00:02:12,240 --> 00:02:16,800 CENTER AT VANDERBILT UNIVERSITY. 66 00:02:16,800 --> 00:02:18,720 SO A VERY WARM WELCOME TO OUR 67 00:02:18,720 --> 00:02:21,520 THREE NEW PENDING BOARD MEMBERS. 68 00:02:21,520 --> 00:02:22,560 WITH THAT, WE ARE GOING TO TURN 69 00:02:22,560 --> 00:02:26,840 OVER TO OUR FIRST REPORT FROM 70 00:02:26,840 --> 00:02:27,360 THE OFFICE OF THE SURGEON 71 00:02:27,360 --> 00:02:27,960 GENERAL. 72 00:02:27,960 --> 00:02:31,440 AND THAT WILL BE FROM MS. JEANE 73 00:02:31,440 --> 00:02:32,720 GARCIA DAVIS. 74 00:02:32,720 --> 00:02:34,200 SHE IS A PUBLIC HEALTH 75 00:02:34,200 --> 00:02:35,880 PRACTITIONER COMMITTED TO 76 00:02:35,880 --> 00:02:37,360 EQUITABLE EVIDENCE-BASED HEALTH 77 00:02:37,360 --> 00:02:40,560 POLICY AND PROGRAMMING, 78 00:02:40,560 --> 00:02:42,000 PARTICULARLY AMONG MARGINALIZED 79 00:02:42,000 --> 00:02:43,520 POPULATIONS WORLDWIDE. 80 00:02:43,520 --> 00:02:45,160 SHE CURRENTLY SEFS AS ASSOCIATE 81 00:02:45,160 --> 00:02:47,520 DIRECTOR WITHIN THE DEPARTMENT 82 00:02:47,520 --> 00:02:48,880 OF HEALTH AND HUMAN SERVICES IN 83 00:02:48,880 --> 00:02:51,160 THE OFFICE OF THE U.S. SURGEON 84 00:02:51,160 --> 00:02:51,760 GENERAL. 85 00:02:51,760 --> 00:02:54,680 PREVIOUSLY SHE WORKED AS A 86 00:02:54,680 --> 00:02:55,240 COMMUNITY OUTREACH COVID-19 87 00:02:55,240 --> 00:02:56,880 NURSE WITH THE MEDICAL RESERVE 88 00:02:56,880 --> 00:02:58,600 CORE AND THE NEW YORK CITY 89 00:02:58,600 --> 00:03:00,880 DEPARTMENT OF HEALTH IN 2020. 90 00:03:00,880 --> 00:03:07,640 SHE HOLDS A BD IN CHEMISTRY M 91 00:03:07,640 --> 00:03:08,360 JOHNS HOPKINS UNIVERSITY AND A 92 00:03:08,360 --> 00:03:09,920 DUAL MASTERS IN NURSING AT 93 00:03:09,920 --> 00:03:11,400 PUBLIC HEALTH FROM JOHNS HOPKINS 94 00:03:11,400 --> 00:03:12,760 UNIVERSITY SCHOOL OF NURSING, 95 00:03:12,760 --> 00:03:15,040 AND THE BLOOMBERG SCHOOL OF 96 00:03:15,040 --> 00:03:17,000 PUBLIC HEALTH. 97 00:03:17,000 --> 00:03:20,600 WELCOME, MS. GARCIA DAVIS. 98 00:03:20,600 --> 00:03:23,080 >> THANK YOU SO MUCH, DR. REHM, 99 00:03:23,080 --> 00:03:24,240 AND WELCOME, EVERYONE. 100 00:03:24,240 --> 00:03:26,080 THIS IS TRULY AN HONOR, I JUST 101 00:03:26,080 --> 00:03:27,280 WANTED TO START AND SAY THAT I'M 102 00:03:27,280 --> 00:03:28,480 SO GRATEFUL AND HONORED TO BE 103 00:03:28,480 --> 00:03:29,960 WITH YOU ALL AND I'M HUMBLED FOR 104 00:03:29,960 --> 00:03:32,120 THIS OPPORTUNITY TO REPRESENT 105 00:03:32,120 --> 00:03:34,120 OUR OFFICE AND DR. VIVEK MURPHY 106 00:03:34,120 --> 00:03:36,360 ON BEHALF OF OUR TEAM. 107 00:03:36,360 --> 00:03:38,400 I WORK ON THE SCIENCE AND POLICY 108 00:03:38,400 --> 00:03:39,400 TEAM, I'M AN ASSOCIATE DIRECTOR 109 00:03:39,400 --> 00:03:42,240 WITH OUR S & P TEAM AND I ALSO 110 00:03:42,240 --> 00:03:43,560 WANTED TO WELCOME OUR DIRECTOR 111 00:03:43,560 --> 00:03:46,040 WHO'S HERE WITH US, AS WELL AS 112 00:03:46,040 --> 00:03:49,360 OUR DEPUTY DIRECTOR, AND LET ME 113 00:03:49,360 --> 00:03:51,640 JUST ALSO START BY SAYING THANK 114 00:03:51,640 --> 00:03:53,200 YOU ALL, THANK YOU, DR. BRENNAN, 115 00:03:53,200 --> 00:03:54,480 IT'S REALLY JUST AN HONOR TO 116 00:03:54,480 --> 00:03:55,720 WORK WITH YOU AND TO BE WITH YOU 117 00:03:55,720 --> 00:03:59,080 AND BE INVITED, AND THANK YOU TO 118 00:03:59,080 --> 00:04:00,040 THE WHOLE BOARD OF DIRECTORS 119 00:04:00,040 --> 00:04:01,680 HERE FOR THIS OPPORTUNITY TODAY. 120 00:04:01,680 --> 00:04:05,200 WE ARE SO THANK FULL FUL FOR R 121 00:04:05,200 --> 00:04:05,760 WORK. 122 00:04:05,760 --> 00:04:06,760 PUBMED, IT FEELS LIKE SUCH A 123 00:04:06,760 --> 00:04:09,240 PART OF MY OWN CAREER JOURNEY 124 00:04:09,240 --> 00:04:11,760 OVER THE LAST 20 OR SO YEARS 125 00:04:11,760 --> 00:04:13,440 JUST SINCE I STARTED AS A HEALTH 126 00:04:13,440 --> 00:04:16,360 WORKER, AND YOUR RESOURCES ARE 127 00:04:16,360 --> 00:04:17,280 REALLY INSTRUMENTAL, AND FOR 128 00:04:17,280 --> 00:04:21,120 MANY YEARS I THINK BACK TO THE 129 00:04:21,120 --> 00:04:21,760 FIRST ADVISORY ON TOBACCO WHICH 130 00:04:21,760 --> 00:04:22,920 I LOOKED THAT UP THE OTHER DAY 131 00:04:22,920 --> 00:04:25,120 WAS OVER 7,000 ARTICLES, MANY OF 132 00:04:25,120 --> 00:04:27,720 WHICH WERE LIKELY RELATED TO 133 00:04:27,720 --> 00:04:30,480 SEARCH ENGINES THAT YOU ALL 134 00:04:30,480 --> 00:04:32,880 HELPED TO PROVIDE WITH YOUR 135 00:04:32,880 --> 00:04:34,280 INTRAMURAL AND EXTRAMURAL 136 00:04:34,280 --> 00:04:35,520 RESEARCH, SO THANK YOU FOR BEING 137 00:04:35,520 --> 00:04:37,480 HART PART OF OUR JOURNEY WITH 138 00:04:37,480 --> 00:04:38,560 THE OFFICE OF THE SURGEON 139 00:04:38,560 --> 00:04:39,720 GENERAL, KEEPING OUR EVIDENCE 140 00:04:39,720 --> 00:04:41,640 BASE REALLY RICH AND INFORMING 141 00:04:41,640 --> 00:04:45,280 THE SCIENCE AND POLICY AND THE 142 00:04:45,280 --> 00:04:46,000 COMMUNICATION WE HAVE WITH THE 143 00:04:46,000 --> 00:04:46,440 GENERAL PUBLIC. 144 00:04:46,440 --> 00:04:47,560 IT'S REALLY INSTRUMENTAL. 145 00:04:47,560 --> 00:04:49,600 AND I'D ALSO LIKE TO THANK YOU 146 00:04:49,600 --> 00:04:52,520 ESPECIALLY FOR HELPING US 147 00:04:52,520 --> 00:04:54,440 PARTNER WITH A NUMBER OF 148 00:04:54,440 --> 00:04:57,200 DIFFERENT RESEARCHERS AND 149 00:04:57,200 --> 00:04:58,560 ADVOCATES FROM COLUMBIA 150 00:04:58,560 --> 00:05:00,400 UNIVERSITY, DR. ROSETTI WITH THE 151 00:05:00,400 --> 00:05:02,880 AMERICAN MEDICAL INFORMATICS 152 00:05:02,880 --> 00:05:04,160 ASSOCIATION, THAT WORK ON 153 00:05:04,160 --> 00:05:05,040 REDUCING ADMINISTRATIVE BURDENS 154 00:05:05,040 --> 00:05:08,680 IS REALLY ALSO VIE VITAL FOR S 155 00:05:08,680 --> 00:05:09,680 WORK I'M ABOUT TO PRESENT TODAY, 156 00:05:09,680 --> 00:05:11,280 WHICH IS AROUND THE LAST SURGEON 157 00:05:11,280 --> 00:05:13,160 GENERAL'S ADVISORY, WHICH IS ON 158 00:05:13,160 --> 00:05:14,160 ADDRESSING HEALTH WORKER 159 00:05:14,160 --> 00:05:14,720 BURNOUT. 160 00:05:14,720 --> 00:05:19,840 SO THANK YOU IN ADVANCE. 161 00:05:19,840 --> 00:05:21,360 I WANTED TO JUST START THIS AND 162 00:05:21,360 --> 00:05:22,680 HOPEFULLY YOU CAN SEE ALL OF 163 00:05:22,680 --> 00:05:24,120 THIS, IF ANYONE IS ABLE TO GIVE 164 00:05:24,120 --> 00:05:25,840 ME A QUICK THUMBS UP IF YOU CAN 165 00:05:25,840 --> 00:05:26,240 SEE MY SCREEN. 166 00:05:26,240 --> 00:05:27,040 THANK YOU SO MUCH. 167 00:05:27,040 --> 00:05:27,800 APPRECIATE THAT. 168 00:05:27,800 --> 00:05:29,520 WE HAVE A DEDICATION PAGE FOR 169 00:05:29,520 --> 00:05:31,280 THOSE OF YOU WHO WERE ABLE TO 170 00:05:31,280 --> 00:05:33,040 DOWNLOAD AND SEE THIS ADVISORY. 171 00:05:33,040 --> 00:05:35,400 IF YOU HAVEN'T SEEN IT YET, I 172 00:05:35,400 --> 00:05:38,600 WELCOME YOU TO OUR WEBSITE TO 173 00:05:38,600 --> 00:05:43,240 DOWNLOAD THE ADVISORY. 174 00:05:43,240 --> 00:05:44,960 THIS IS IN MEMORY OF ALL OF THE 175 00:05:44,960 --> 00:05:46,840 HEALTH WORKERS WHO LOST THEIR 176 00:05:46,840 --> 00:05:49,120 LIVES AND COMING OUT OF 177 00:05:49,120 --> 00:05:51,280 NEW YORK, I KNOW A NUMBER OF YOU 178 00:05:51,280 --> 00:05:52,840 HAVE WORKED THERE, MIGHT BE FROM 179 00:05:52,840 --> 00:05:55,720 THERE, BUT THIS IS FOR THEM AS 180 00:05:55,720 --> 00:05:56,680 WELL AS THE FAMILIES WHO 181 00:05:56,680 --> 00:06:00,200 CONTINUE ON. 182 00:06:00,200 --> 00:06:02,400 SO TODAY, THIS JOURNEY TOGETHER 183 00:06:02,400 --> 00:06:04,440 VEILY AN 184 00:06:04,440 --> 00:06:06,320 REALLY AN OVERVIEW OF THE THIS 185 00:06:06,320 --> 00:06:07,160 ADVISORY, A LOT OF THE WORK I'VE 186 00:06:07,160 --> 00:06:08,960 BEEN HELPING TO SUPPORT OUR TEAM 187 00:06:08,960 --> 00:06:10,040 WITH OVER THE LAST -- WE 188 00:06:10,040 --> 00:06:11,120 LAUNCHED THIS IN MAY, SO I'M 189 00:06:11,120 --> 00:06:12,960 GOING TO GIVE A BRIEF OVERVIEW 190 00:06:12,960 --> 00:06:13,800 AND WELCOME ANY QUESTIONS AT THE 191 00:06:13,800 --> 00:06:15,440 END IF THERE'S TIME, BUT THEN 192 00:06:15,440 --> 00:06:16,800 ALSO EMAIL, WE'RE ALWAYS HERE 193 00:06:16,800 --> 00:06:17,880 AND HAPPY TO SUPPORT. 194 00:06:17,880 --> 00:06:21,400 THEN FINALLY, I'LL CLOSE WITH A 195 00:06:21,400 --> 00:06:22,080 PARTNERSHIP THAT WE WILL 196 00:06:22,080 --> 00:06:23,280 CONTINUE ON WITH THE NATIONAL 197 00:06:23,280 --> 00:06:24,200 ACADEMY OF MEDICINE, 198 00:06:24,200 --> 00:06:26,400 PARTICULARLY THEIR ACTION 199 00:06:26,400 --> 00:06:28,320 COLLABORATIVE THAT PRECEDED OUR 200 00:06:28,320 --> 00:06:30,520 OWN EFFORTS JUST ON CLINICIAN 201 00:06:30,520 --> 00:06:33,000 WELL-BEING AND RESILIENCE. 202 00:06:33,000 --> 00:06:34,520 SO AS I MENTIONED EARLIER, THE 203 00:06:34,520 --> 00:06:35,560 SURGEON GENERAL'S ADVISORIES, AS 204 00:06:35,560 --> 00:06:37,240 MANY OF YOU KNOW, THESE ARE 205 00:06:37,240 --> 00:06:38,360 RESERVED FOR PUBLIC HEALTH 206 00:06:38,360 --> 00:06:40,440 ISSUES TO CALL URGENT ATTENTION 207 00:06:40,440 --> 00:06:42,400 TO THE AMERICAN PEOPLE. 208 00:06:42,400 --> 00:06:44,160 AND ONE OF THE FIRST ONES WAS 209 00:06:44,160 --> 00:06:45,560 WITH U.S. SURGEON GENERAL TERRY, 210 00:06:45,560 --> 00:06:48,720 THIS WAS IN THE LATE 1950s ON 211 00:06:48,720 --> 00:06:49,080 TOBACCO. 212 00:06:49,080 --> 00:06:51,560 HERE IN THE MIDDLE, DR. MURTHY 213 00:06:51,560 --> 00:06:52,760 PRESENTING THE LAST ADVISORY 214 00:06:52,760 --> 00:06:55,200 LAST YEAR ON CONFRONTING HEALTH 215 00:06:55,200 --> 00:06:57,240 MISINFORMATION, AND THEN ALSO A 216 00:06:57,240 --> 00:06:58,280 MORE RECENT ONE JUST PRECEDING 217 00:06:58,280 --> 00:06:59,760 OURS ON HEALTH WORKER BURNOUT 218 00:06:59,760 --> 00:07:01,120 WAS LAST DECEMBER, AND THIS WAS 219 00:07:01,120 --> 00:07:03,280 ON PROTECTING YOUTH AND MENTAL 220 00:07:03,280 --> 00:07:03,760 HEALTH. 221 00:07:03,760 --> 00:07:05,000 AGAIN, THESE ARE SHORTER 222 00:07:05,000 --> 00:07:06,360 DOCUMENTS CALLING ATTENTION, 223 00:07:06,360 --> 00:07:10,360 THESE ARE NOT SURGEON GENERALS' 224 00:07:10,360 --> 00:07:12,120 REPORTS. 225 00:07:12,120 --> 00:07:13,560 THAT ONE WAS MORE YOU'VE 226 00:07:13,560 --> 00:07:14,360 PROBABLY SEEN IN THE LAST 10 227 00:07:14,360 --> 00:07:16,000 YEARS ON ADDICTION AND ARE MEANT 228 00:07:16,000 --> 00:07:17,840 TO REALLY FRAME THE 229 00:07:17,840 --> 00:07:18,480 CONVERSATION, ISSUES, IN A WAY 230 00:07:18,480 --> 00:07:19,920 THAT ARE ACCESSIBLE TO 231 00:07:19,920 --> 00:07:20,880 STAKEHOLDERS, INCLUDING POLICY 232 00:07:20,880 --> 00:07:23,120 AND LAWMAKERS. 233 00:07:23,120 --> 00:07:24,960 IN TERMS OF THE IMPACTS, THAT'S 234 00:07:24,960 --> 00:07:25,800 SOMETHING WE'RE ALSO CONTINUING 235 00:07:25,800 --> 00:07:27,480 TO LOOK AT, IS HOW DO WE MEASURE 236 00:07:27,480 --> 00:07:27,720 SUCCESS. 237 00:07:27,720 --> 00:07:29,840 SO I JUST WANTED TO NOTE, SO FOR 238 00:07:29,840 --> 00:07:33,080 THE ONE ON TOBACCO, SINCE THEN, 239 00:07:33,080 --> 00:07:35,280 IN ADDITION TO REALLY INSPIRING 240 00:07:35,280 --> 00:07:36,880 AND SUPPORTING OTHER RESEARCH 241 00:07:36,880 --> 00:07:42,360 AND POLICY EFFORTS, THIS LED TO 242 00:07:42,360 --> 00:07:44,760 A NUMBER OF LAWS THAT WERE 243 00:07:44,760 --> 00:07:45,760 BANNING CIGARETTE ADVERTISEMENTS 244 00:07:45,760 --> 00:07:47,040 THAT PROMPTED THE HEALTH 245 00:07:47,040 --> 00:07:49,120 WARNINGS ON PRODUCTS AND ALSO 246 00:07:49,120 --> 00:07:50,200 CALLED FOR ANNUAL REPORTS ON 247 00:07:50,200 --> 00:07:53,960 HEALTH CONSEQUENCES OF SMOKING. 248 00:07:53,960 --> 00:07:55,320 SO HERE I WANTED TO SHARE, THIS 249 00:07:55,320 --> 00:07:56,840 IS OUR HEALTH WORKER BURNOUT 250 00:07:56,840 --> 00:07:57,240 ADVISORY. 251 00:07:57,240 --> 00:07:59,160 I HAVE A COPY IF ANYONE WOULD 252 00:07:59,160 --> 00:08:01,840 LIKE ONE, WE'RE HAPPY TO SHARE, 253 00:08:01,840 --> 00:08:03,840 WE'RE OVER AT THE HUMPHREY 254 00:08:03,840 --> 00:08:06,440 BUILDING AND WE HAVE A NUMBER OF 255 00:08:06,440 --> 00:08:07,280 COPIES AVAILABLE OR YOU CAN 256 00:08:07,280 --> 00:08:08,160 DOWNLOAD IT AT ANY TIME. 257 00:08:08,160 --> 00:08:09,160 AGAIN, THIS IS THE WEBSITE AND 258 00:08:09,160 --> 00:08:10,360 YOU'RE WELCOME TO LOOK AT IT. 259 00:08:10,360 --> 00:08:11,960 WE HAVE A NUMBER OF DIFFERENT 260 00:08:11,960 --> 00:08:13,360 STAKEHOLDERS AS OUR TARGET 261 00:08:13,360 --> 00:08:15,160 AUDIENCE, PRIMARILY IT'S HEALTH 262 00:08:15,160 --> 00:08:17,440 WORKERS AND HEALTHCARE DELIVERY 263 00:08:17,440 --> 00:08:18,720 ORGANIZATIONS, PROVIDERS, PUBLIC 264 00:08:18,720 --> 00:08:20,160 AND PRIVATE HEALTHCARE SYSTEMS. 265 00:08:20,160 --> 00:08:21,800 IT ALSO INCLUDES GOVERNMENT AT 266 00:08:21,800 --> 00:08:24,960 ALL LEVELS, IT SPEAKS TO -- 267 00:08:24,960 --> 00:08:27,440 THERE'S A SECTION ON PAYORS, 268 00:08:27,440 --> 00:08:27,960 HEALTH TECHNOLOGY AND 269 00:08:27,960 --> 00:08:29,280 INFORMATION TECHNOLOGY 270 00:08:29,280 --> 00:08:32,640 COMPANIES, WHICH IS OUR 271 00:08:32,640 --> 00:08:33,400 PARTNERSHIPS THAT YOU'RE AWARE 272 00:08:33,400 --> 00:08:34,720 OF IN TERMS OF THE ASSOCIATIONS 273 00:08:34,720 --> 00:08:36,720 FOR MEDICAL INFORMATICS AND 274 00:08:36,720 --> 00:08:37,240 BIOMEDICAL INFORMATION. 275 00:08:37,240 --> 00:08:39,120 WE ALSO PARTNER AND SUPPORT A 276 00:08:39,120 --> 00:08:40,120 NUMBER OF DIFFERENT HEALTH 277 00:08:40,120 --> 00:08:43,680 PROFESSIONAL TRAINING 278 00:08:43,680 --> 00:08:45,160 ORGANIZATIONS, PROGRAMS, 279 00:08:45,160 --> 00:08:47,280 INSTITUTIONS AND RESEARCHERS, 280 00:08:47,280 --> 00:08:48,320 ACCREDITATION BODY, AND LAST BUT 281 00:08:48,320 --> 00:08:49,160 NOT LEAST ARE THE COMMUNITIES 282 00:08:49,160 --> 00:08:53,600 THAT HEALTH WORKERS ARE FROM. 283 00:08:53,600 --> 00:08:55,440 SO THE TWO MAIN GOALS I WANTED 284 00:08:55,440 --> 00:09:00,000 TO HIGHLIGHT THAT REALLY ARE THE 285 00:09:00,000 --> 00:09:02,680 FOUNDATION FOR THIS WORK ARE 286 00:09:02,680 --> 00:09:03,640 SOUNDING THE ALARM AND CALLING 287 00:09:03,640 --> 00:09:05,120 ATTENTION TO THE UNPRECEDENTED 288 00:09:05,120 --> 00:09:06,440 IMPACTS ON OUR NATION'S HEALTH 289 00:09:06,440 --> 00:09:07,040 WORKERS. 290 00:09:07,040 --> 00:09:08,760 AND WE'LL TALK A LITTLE BIT, 291 00:09:08,760 --> 00:09:09,920 I'LL OVERVIEW WHAT WE MEAN BY 292 00:09:09,920 --> 00:09:11,320 HEALTH WORKERS, BECAUSE THIS IS 293 00:09:11,320 --> 00:09:13,120 A TERM THAT WE -- A PHRASE THAT 294 00:09:13,120 --> 00:09:15,520 WE HAVE DONE TOGETHER WITH THE 295 00:09:15,520 --> 00:09:17,120 NATIONAL ACADEMY OF MEDICINE AND 296 00:09:17,120 --> 00:09:20,600 OTHER PARTNERS IN RAISING 297 00:09:20,600 --> 00:09:22,640 ATTENTION TO NOT ONLY THE 298 00:09:22,640 --> 00:09:23,960 UNPRECEDENTED IMPACTS BUT MANY 299 00:09:23,960 --> 00:09:25,360 OF THESE THAT WERE LONG-STANDING 300 00:09:25,360 --> 00:09:27,440 THAT PRECEDED THE COVID-19 301 00:09:27,440 --> 00:09:28,200 PANDEMIC. 302 00:09:28,200 --> 00:09:32,040 MANY SYSTEMATIC -- SYSTEMIC 303 00:09:32,040 --> 00:09:32,320 CHALLENGES. 304 00:09:32,320 --> 00:09:34,440 AND THE AIM IS, WITH MANY 305 00:09:34,440 --> 00:09:36,480 ADVISORIES AND CALLS TO ACTION 306 00:09:36,480 --> 00:09:38,360 AND PRODUCTS OUT OF OUR OFFICE 307 00:09:38,360 --> 00:09:42,600 IS REALLY TO HELP OTHERS 308 00:09:42,600 --> 00:09:43,520 CATALYZE AND MOBILIZE, AMPLIFY 309 00:09:43,520 --> 00:09:45,600 THEIR WORK, BUT ALSO CALL FOR 310 00:09:45,600 --> 00:09:46,840 CHANGES, LOOKING AT POLICY 311 00:09:46,840 --> 00:09:48,560 CHANGES, STRUCTURES, 312 00:09:48,560 --> 00:09:49,760 ORGANIZATIONAL CULTURES, 313 00:09:49,760 --> 00:09:51,800 ANYTHING THAT HAS BEEN 314 00:09:51,800 --> 00:09:53,200 CONTRIBUTED TO HEALTH WORKER 315 00:09:53,200 --> 00:09:53,480 WELL-BEING. 316 00:09:53,480 --> 00:09:54,760 SO I WANTED TO SHARE THIS, IT'S 317 00:09:54,760 --> 00:09:57,200 A LOT OF INFORMATION ON THE 318 00:09:57,200 --> 00:09:59,400 SLIDE, BUT WHEN I MENTIONED THE 319 00:09:59,400 --> 00:10:00,840 PANDEMIC HAVING THESE 320 00:10:00,840 --> 00:10:02,120 UNPRECEDENTED IMPACTS ON THE 321 00:10:02,120 --> 00:10:04,280 HEALTH AND WELL-BEING OF HEALTH 322 00:10:04,280 --> 00:10:05,080 WORKER, THREE OF THEM I WANTED 323 00:10:05,080 --> 00:10:06,920 TO POINT OUT IN PARTICULAR, THE 324 00:10:06,920 --> 00:10:10,040 FIRST ONE, AS WE ALL KNOW, THE 325 00:10:10,040 --> 00:10:10,960 MENTAL HEALTH AND WELL-BEING OF 326 00:10:10,960 --> 00:10:12,720 OUR HEALTH WORKERS HAS NEVER 327 00:10:12,720 --> 00:10:14,280 BEEN SPOTLIGHTED MORE THAN 328 00:10:14,280 --> 00:10:18,640 THROUGH THE LAST THREE YEARS, 329 00:10:18,640 --> 00:10:23,480 AND THIS SUMMER LAST YEAR AND 330 00:10:23,480 --> 00:10:25,360 MWR-CDC RELEASED THIS SURVEY 331 00:10:25,360 --> 00:10:27,160 DATA HIGHLIGHTING THE INCREDIBLE 332 00:10:27,160 --> 00:10:28,520 EFFECTS ON HEALTH WORKERS WHO 333 00:10:28,520 --> 00:10:30,680 WERE REPORTING SYMPTOMS OF AT 334 00:10:30,680 --> 00:10:32,600 LEAST ONE MENTAL HEALTH 335 00:10:32,600 --> 00:10:33,720 CONDITION, MEANING SYMPTOMS OF 336 00:10:33,720 --> 00:10:36,240 ANXIETY, DEPRESSION, PTSD OR 337 00:10:36,240 --> 00:10:37,640 SUICIDAL IDEATION. 338 00:10:37,640 --> 00:10:39,840 THAT WAS IN MARCH, THROUGH APRIL 339 00:10:39,840 --> 00:10:40,840 OF 2021. 340 00:10:40,840 --> 00:10:44,640 THEY ACTUALLY FOLLOWED UP WITH A 341 00:10:44,640 --> 00:10:45,640 SURVEY IN MARCH THIS TIME OF 342 00:10:45,640 --> 00:10:46,160 THIS YEAR. 343 00:10:46,160 --> 00:10:50,000 SO THE PREVIOUS DATA WAS -- THE 344 00:10:50,000 --> 00:10:51,240 PREVALENCE DATA WAS HIGHER THAN 345 00:10:51,240 --> 00:10:52,440 REPORTED AMONG THE GENERAL 346 00:10:52,440 --> 00:10:53,640 POPULATION, AND OUT OF THE 347 00:10:53,640 --> 00:10:55,160 FOLLOW-UP SURVEY, I ALSO 348 00:10:55,160 --> 00:10:56,000 WELCOME, IF YOU'RE INTERESTED IN 349 00:10:56,000 --> 00:10:57,240 LOOKING AT THAT DATA, I'VE 350 00:10:57,240 --> 00:10:59,760 INCLUDED THE LINK BELOW. 351 00:10:59,760 --> 00:11:02,120 WHILE THE DATA IS NOW LOWER THAN 352 00:11:02,120 --> 00:11:03,960 IT WAS, THANKFULLY, THIS TIME 353 00:11:03,960 --> 00:11:05,240 LAST YEAR IN TERMS OF REPORTED 354 00:11:05,240 --> 00:11:06,520 SYMPTOMS, IT STILL REMAINS 355 00:11:06,520 --> 00:11:07,640 ACTUALLY QUITE HIGH AMONG THOSE 356 00:11:07,640 --> 00:11:09,640 WHO ARE WORKING, MORE THAN 60 357 00:11:09,640 --> 00:11:13,000 HOURS PER WEEK AND WHO REPORT 358 00:11:13,000 --> 00:11:15,000 HAVING SPENT MORE THAN 75% OF 359 00:11:15,000 --> 00:11:17,240 THEIR TIME WORKING ON THE COVID 360 00:11:17,240 --> 00:11:18,400 RESPONSE. 361 00:11:18,400 --> 00:11:22,520 SO THIS IS AN IMPORTANT CALL TO 362 00:11:22,520 --> 00:11:25,320 ACTION AND SOME WAYS ON WHAT WE 363 00:11:25,320 --> 00:11:26,640 NEED TO DO IN ORDER TO, AS A 364 00:11:26,640 --> 00:11:28,520 COUNTRY AND AS DIFFERENT 365 00:11:28,520 --> 00:11:30,160 STAKEHOLDERS IN SUPPORT RG THE 366 00:11:30,160 --> 00:11:30,520 MENTAL HEALTH. 367 00:11:30,520 --> 00:11:32,960 THIS STUDY, I'LL ALSO NOTE, IS 368 00:11:32,960 --> 00:11:34,840 AMONG PUBLIC HEALTH WORKERS AND 369 00:11:34,840 --> 00:11:36,080 SO WHILE MOST OF THE RESEARCH 370 00:11:36,080 --> 00:11:40,240 THAT WE HAVE FOUND HAS BEEN 371 00:11:40,240 --> 00:11:41,320 AMONG PHYSICIANS AND NURSES WITH 372 00:11:41,320 --> 00:11:42,520 RESPECT TO BURNOUT AND 373 00:11:42,520 --> 00:11:43,840 WELL-BEING, WE ARE ALSO SEEING 374 00:11:43,840 --> 00:11:47,240 IN THE LAST THREE YEARS A RISE 375 00:11:47,240 --> 00:11:49,840 IN RESEARCHER OR OTHER HEALTH 376 00:11:49,840 --> 00:11:52,680 WORKERS, SO I'LL GO INTO THAT 377 00:11:52,680 --> 00:11:52,880 NEXT. 378 00:11:52,880 --> 00:11:54,920 BUT AGAIN, THE VIOLENCE AGAINST 379 00:11:54,920 --> 00:11:55,920 HEALTH WORKERS, THIS IS ALSO 380 00:11:55,920 --> 00:11:57,080 BECOMING INCREDIBLY SIGNIFICANT, 381 00:11:57,080 --> 00:11:59,400 BUT ALSO AS A LONG-STANDING 382 00:11:59,400 --> 00:12:00,560 ISSUE, AND FINALLY, 383 00:12:00,560 --> 00:12:01,560 MISINFORMATION AND THE IMPACTS 384 00:12:01,560 --> 00:12:02,920 THAT HAS NOT ONLY ON COMMUNITIES 385 00:12:02,920 --> 00:12:04,640 BUT ALSO ON THE HEALTH WORKERS 386 00:12:04,640 --> 00:12:07,280 THAT SERVE THEM. 387 00:12:07,280 --> 00:12:08,640 SO I WANTED TO RAISE HERE HOW 388 00:12:08,640 --> 00:12:10,760 WE'RE DEFINING HEALTH WORKERS. 389 00:12:10,760 --> 00:12:12,440 AND HERE IS THE DEFINITION THAT 390 00:12:12,440 --> 00:12:15,440 WE'VE BEEN USING THAT'S ROOTED 391 00:12:15,440 --> 00:12:15,840 IN THE WORLD HEALTH 392 00:12:15,840 --> 00:12:19,640 ORGANIZATION, ALSO THE U.S. 393 00:12:19,640 --> 00:12:21,120 CENTER FOR DISEASE CONTROL AND 394 00:12:21,120 --> 00:12:22,320 PREVENTION AND IT REALLY 395 00:12:22,320 --> 00:12:23,280 DESCRIBES ALL HEALTH WORKERS. 396 00:12:23,280 --> 00:12:24,680 WE WANTED TO MAKE SURE THAT WE 397 00:12:24,680 --> 00:12:26,800 WERE INCLUSIVE WHILE MUCH OF THE 398 00:12:26,800 --> 00:12:28,120 RESEARCH HAS BEEN AMONG 399 00:12:28,120 --> 00:12:30,840 PHYSICIANS AND NURSES AND OTHER 400 00:12:30,840 --> 00:12:31,880 PRACTITIONERS AND PROVIDERS, 401 00:12:31,880 --> 00:12:34,040 THERE ARE ALSO DISPROPORTIONATE 402 00:12:34,040 --> 00:12:36,000 IMPACTS THAT HAVE BEEN AFFECTING 403 00:12:36,000 --> 00:12:38,280 LOW WAGE WORKERS SUCH AS NURSING 404 00:12:38,280 --> 00:12:40,040 ASSISTANTS, HOME CARE AIDES, 405 00:12:40,040 --> 00:12:41,360 HEALTH WORKERS AND INDIAN HEALTH 406 00:12:41,360 --> 00:12:43,080 SERVICES WHO MIGHT ALSO FACE 407 00:12:43,080 --> 00:12:45,600 SIMILAR HEALTH DISPARITIES AND 408 00:12:45,600 --> 00:12:51,640 FOOD INSECURITY, BUT ALSO BLACK, 409 00:12:51,640 --> 00:12:53,680 INDIGENOUS WORKERS OF COLOR WHO 410 00:12:53,680 --> 00:12:55,600 MIGHT BE DISPROPORTIONATELY 411 00:12:55,600 --> 00:12:56,280 AFFECTED, AS WE SAW IN NEW YORK 412 00:12:56,280 --> 00:12:56,880 CITY AS WELL. 413 00:12:56,880 --> 00:12:58,080 AND YOU'LL SEE THERE ARE A 414 00:12:58,080 --> 00:12:59,320 NUMBER OF QUOTATIONS THROUGHOUT 415 00:12:59,320 --> 00:13:00,720 THE ADVISORY. 416 00:13:00,720 --> 00:13:02,720 THESE ARE ACTUAL QUOTATIONS, 417 00:13:02,720 --> 00:13:09,120 WE'VE CHANGED THE NAMES OR FIRST 418 00:13:09,120 --> 00:13:11,560 AND LAST NAME INITIALS TO 419 00:13:11,560 --> 00:13:12,800 PROTECT PRIVACY BUT WE ALSO 420 00:13:12,800 --> 00:13:14,000 WANTED TO GIVE LIFE TO THE 421 00:13:14,000 --> 00:13:15,160 VOICES OF HEALTH WORKERS 422 00:13:15,160 --> 00:13:20,200 THROUGHOUT. 423 00:13:20,200 --> 00:13:22,520 SO HERE I'LL PAUSE ON THIS SLIDE 424 00:13:22,520 --> 00:13:25,880 AND YOU'RE ALSO AGAIN TO USE THE 425 00:13:25,880 --> 00:13:27,560 GRAPHICS OR ON THE WEBSITE TO 426 00:13:27,560 --> 00:13:29,680 RAISE AWARENESS. 427 00:13:29,680 --> 00:13:31,240 BURNOUT AS MANY OF YOU KNOW AND 428 00:13:31,240 --> 00:13:32,320 MANY OF YOU HAVE LIKELY 429 00:13:32,320 --> 00:13:33,520 EXPERIENCED, IT HAS THREE 430 00:13:33,520 --> 00:13:33,800 DIMENSIONS. 431 00:13:33,800 --> 00:13:36,040 IT WAS RECOGNIZED IN 2019 AS AN 432 00:13:36,040 --> 00:13:39,480 OCCUPATIONAL PHENOMENON BY THE 433 00:13:39,480 --> 00:13:41,320 WHO AND INCLUDED IN ICD-11 AND 434 00:13:41,320 --> 00:13:43,360 IT'S REALLY -- THE THREE 435 00:13:43,360 --> 00:13:45,120 DIMENSIONS ARE EXHAUSTION, A 436 00:13:45,120 --> 00:13:46,200 CYNICISM OR JOB 437 00:13:46,200 --> 00:13:47,600 DEPERSONALIZATION FROM WORK, AND 438 00:13:47,600 --> 00:13:50,920 THEN ALSO A REDUCED FEELING OF 439 00:13:50,920 --> 00:13:52,440 PERSONAL ACHIEVEMENT AT WORK OR 440 00:13:52,440 --> 00:13:53,640 REDUCED PROFESSIONAL EFFICACY. 441 00:13:53,640 --> 00:13:55,520 SO WE REALLY WANTED TO HIGHLIGHT 442 00:13:55,520 --> 00:13:58,520 THAT BURNOUT IS A SPECIFIC 443 00:13:58,520 --> 00:14:00,400 DEFINITION AND IT HAD REACHED 444 00:14:00,400 --> 00:14:02,800 CRISIS LEVELS WHEN IN 2019, IT 445 00:14:02,800 --> 00:14:04,880 WAS FURTHER DEFINED AND ELEVATED 446 00:14:04,880 --> 00:14:06,600 AND CALLED TO ATTENTION BY THE 447 00:14:06,600 --> 00:14:08,400 NATIONAL ACADEMY OF MEDICINE. 448 00:14:08,400 --> 00:14:10,920 THEY FOUND IT REACHED CRISIS 449 00:14:10,920 --> 00:14:11,720 LEVELS PARTICULARLY AMONG 450 00:14:11,720 --> 00:14:15,960 PHYSICIANS AND NURSES. 451 00:14:15,960 --> 00:14:18,920 SO WHAT'S DRIVING BURNOUT? 452 00:14:18,920 --> 00:14:20,200 THERE ARE A NUMBER OF FACTORS, 453 00:14:20,200 --> 00:14:22,520 AND HERE'S ANOTHER GRAPHIC. 454 00:14:22,520 --> 00:14:23,640 I'M SORRY IT'S QUITE SMALL BUT I 455 00:14:23,640 --> 00:14:27,600 ANY TIME WAKED TO SHARE THAT I 456 00:14:27,600 --> 00:14:28,880 WANTED TO SHARE THERE ARE MANY 457 00:14:28,880 --> 00:14:30,840 FACTORS ASSOCIATED WITH BURNOUT, 458 00:14:30,840 --> 00:14:31,880 MANY LONG-STANDING. 459 00:14:31,880 --> 00:14:34,080 SO I WELCOME YOU TO KIND OF SIT 460 00:14:34,080 --> 00:14:35,720 WITH THIS VISUAL. 461 00:14:35,720 --> 00:14:37,840 MANY OF THE ISSUES, MANY OF YOU 462 00:14:37,840 --> 00:14:40,400 ARE WORKING ON OR KNOW VERY 463 00:14:40,400 --> 00:14:41,720 WELL, AND ARE SUBJECT MATTER 464 00:14:41,720 --> 00:14:43,000 EXPERTS ON. 465 00:14:43,000 --> 00:14:44,440 SO MANY OF THEM, JUST TO 466 00:14:44,440 --> 00:14:45,360 HIGHLIGHT THE ONES WE CONTINUE 467 00:14:45,360 --> 00:14:47,120 TO HEAR ABOUT THAT ARE 468 00:14:47,120 --> 00:14:48,440 LONG-STANDING BUT THAT HAVE BEEN 469 00:14:48,440 --> 00:14:51,040 INTENSIFIED BY THE PANDEMIC AND 470 00:14:51,040 --> 00:15:01,520 SPOTLIGHTED ACCESSING MENTAL 471 00:15:02,880 --> 00:15:04,720 HEALTH AND SUBSTANCE USE EITHER 472 00:15:04,720 --> 00:15:08,680 WITH QUESTIONS, FOR EXAMPLE, ON 473 00:15:08,680 --> 00:15:09,880 HEALTH PROFESSIONAL LICENSING OR 474 00:15:09,880 --> 00:15:10,840 CREDENTIALING APPLICATIONS, AND 475 00:15:10,840 --> 00:15:13,560 THEN FINALLY THE HIDDEN 476 00:15:13,560 --> 00:15:14,560 CURRICULUM, THESE KIND OF 477 00:15:14,560 --> 00:15:16,520 EMBEDDED ORGANIZATIONAL 478 00:15:16,520 --> 00:15:17,840 CULTURES, BOTH IN WORK AND 479 00:15:17,840 --> 00:15:22,120 LEARNING ENVIRONMENTS, WHERE 480 00:15:22,120 --> 00:15:23,520 PEOPLE ARE AFRAID TO SPEAK UP, 481 00:15:23,520 --> 00:15:26,400 SPEAK OUT OR CHANGE THE CULTURES 482 00:15:26,400 --> 00:15:28,800 THAT ARE SO HARD WIRED INTO 483 00:15:28,800 --> 00:15:29,800 THEIR WORKPLACES AND LEARNING 484 00:15:29,800 --> 00:15:37,200 ENVIRONMENTS. 485 00:15:37,200 --> 00:15:38,400 AND SO WITH SO MANY OF OUR 486 00:15:38,400 --> 00:15:42,000 VIEFERS RES AND CALLS 487 00:15:42,000 --> 00:15:44,200 ADVISORIES, CALLS TO ACTION AND 488 00:15:44,200 --> 00:15:45,080 SURGEON GENERAL REPORTS, WE 489 00:15:45,080 --> 00:15:48,360 WANTED TO HIGHLIGHT EXACTLY WHAT 490 00:15:48,360 --> 00:15:49,840 WERE THE IMPACTS NOT ONLY ON 491 00:15:49,840 --> 00:15:51,520 HEALTH WORKERS BUT ON THE ENTIRE 492 00:15:51,520 --> 00:15:51,960 HEALTHCARE SYSTEM. 493 00:15:51,960 --> 00:15:54,920 THIS IS A VERY IMPORTANT ISSUE, 494 00:15:54,920 --> 00:15:57,640 IT'S COMPLEX, IT'S INCREDIBLY 495 00:15:57,640 --> 00:15:59,000 VAST, AND THERE ARE SO MANY 496 00:15:59,000 --> 00:16:00,320 ISSUES AROUND IT, BUT THE IMPACT 497 00:16:00,320 --> 00:16:03,360 WE WANTED TO MAKE SURE REACHED 498 00:16:03,360 --> 00:16:05,560 THE AMERICAN PUBLIC AND GENERAL 499 00:16:05,560 --> 00:16:07,480 PUBLIC AND CALL THEIR ATTENTION 500 00:16:07,480 --> 00:16:08,840 TO WHY SHOULD THE PUBLIC CARE? 501 00:16:08,840 --> 00:16:09,680 THIS IS A QUESTION WE CONTINUE 502 00:16:09,680 --> 00:16:11,880 TO GRAPPLE WITH IN OUR STRATEGIC 503 00:16:11,880 --> 00:16:15,600 COMMUNICATIONS EFFORTS. 504 00:16:15,600 --> 00:16:17,840 AND SO SOME OF THE GREATEST 505 00:16:17,840 --> 00:16:18,680 CONSEQUENCES ARE NOT ONLY THE 506 00:16:18,680 --> 00:16:19,880 IMPACTS ON HEALTH WORKERS BUT 507 00:16:19,880 --> 00:16:21,160 HOW THEY ALSO IMPACT THE 508 00:16:21,160 --> 00:16:22,720 PATIENTS AND COMMUNITIES 509 00:16:22,720 --> 00:16:23,760 THEMSELVES, THE HEALTHCARE 510 00:16:23,760 --> 00:16:25,760 SYSTEM AND A LOT OF THE SOCIETAL 511 00:16:25,760 --> 00:16:26,560 IMPACTS YOU SEE HERE. 512 00:16:26,560 --> 00:16:28,960 SO MUCH OF IT HAS BEEN LINKED TO 513 00:16:28,960 --> 00:16:30,360 THE INCREASE IN MEDICAL ERRORS 514 00:16:30,360 --> 00:16:32,880 AND A LOWER QUALITY OF CARE AND 515 00:16:32,880 --> 00:16:34,400 SAFETY IN THE HEALTH SYSTEM, BUT 516 00:16:34,400 --> 00:16:36,600 WE'RE ALSO LOOKING AT INCREDIBLE 517 00:16:36,600 --> 00:16:39,040 WORKFORCE SHORTAGES, NOT LIMITED 518 00:16:39,040 --> 00:16:41,600 TO PHYSICIANS BUT ALSO TO 519 00:16:41,600 --> 00:16:43,440 NURSES, TO OTHER HEALTH WORKERS, 520 00:16:43,440 --> 00:16:46,840 AND LASTLY, ONE THAT CONTINUES 521 00:16:46,840 --> 00:16:49,360 TO BE A TOPIC IS THIS EROSION OF 522 00:16:49,360 --> 00:16:50,800 TRUST, MAKING SURE WE ARE 523 00:16:50,800 --> 00:16:53,440 ADDRESSING THIS LOSS OF TRUST 524 00:16:53,440 --> 00:16:56,400 BETWEEN COMMUNITIES AND THE 525 00:16:56,400 --> 00:17:01,440 PUBLIC HEALTH SYSTEM AS WELL. 526 00:17:01,440 --> 00:17:02,640 SO WHILE THERE ARE MANY 527 00:17:02,640 --> 00:17:03,840 PROBLEMS, WE ARE ALSO WANTING TO 528 00:17:03,840 --> 00:17:05,840 SUPPORT SO MANY OF THE SOLUTIONS 529 00:17:05,840 --> 00:17:07,200 THAT EVERYONE HAS BEEN WORKING 530 00:17:07,200 --> 00:17:09,080 ON AND ADVOCATING THAT STILL 531 00:17:09,080 --> 00:17:11,160 NEED FURTHER SUPPORT, SO HERE I 532 00:17:11,160 --> 00:17:16,280 WANTED TO HIGHLIGHT THE TOP LINE 533 00:17:16,280 --> 00:17:16,640 RECOMMENDATIONS. 534 00:17:16,640 --> 00:17:18,240 WE HAVE SIX HERE THAT HAVE 535 00:17:18,240 --> 00:17:19,800 INFORMED THE ENTIRE REST OF THE 536 00:17:19,800 --> 00:17:22,080 DOCUMENT YOU'LL SEE, WHICH IS A 537 00:17:22,080 --> 00:17:24,480 STRUCTURE IN A WAY THAT'S BY 538 00:17:24,480 --> 00:17:26,480 DIFFERENT STAKEHOLDER, SO I 539 00:17:26,480 --> 00:17:27,880 WON'T READ THESE THROUGH HERE, 540 00:17:27,880 --> 00:17:29,200 BUT YOU'LL SEE, THESE ARE THE 541 00:17:29,200 --> 00:17:30,720 MAIN -- WE CALL THEM THE BROAD 542 00:17:30,720 --> 00:17:32,520 CATEGORIES OR BUCKETS OF WHERE 543 00:17:32,520 --> 00:17:34,560 DIFFERENT STRATEGIES AND 544 00:17:34,560 --> 00:17:39,720 APPROACHES CAN BE UTILIZED. 545 00:17:39,720 --> 00:17:40,720 THERE'S AN ACCOMPANYING GRAPHIC 546 00:17:40,720 --> 00:17:42,520 THAT YOU'RE ALSO WELCOME TO 547 00:17:42,520 --> 00:17:43,960 DOWNLOAD AND SHARE AS WELL, AND 548 00:17:43,960 --> 00:17:46,240 YOU'LL SEE ALL OF THOSE 549 00:17:46,240 --> 00:17:48,680 SOLUTIONS, WHILE LARGELY -- 550 00:17:48,680 --> 00:17:53,680 THERE ARE MANY SYSTEMS, PROBLEMS 551 00:17:53,680 --> 00:17:55,040 THAT NEED CHANGE, WE CAN DO 552 00:17:55,040 --> 00:17:56,320 THIS, WE'RE BETTER AND STRONGER 553 00:17:56,320 --> 00:17:56,880 TOGETHER. 554 00:17:56,880 --> 00:17:57,960 SO THESE ARE SOME OF THE 555 00:17:57,960 --> 00:18:00,520 ADDITIONAL KIND OF CATEGORIES OF 556 00:18:00,520 --> 00:18:03,680 SOLUTIONS AND REALLY THIS IS THE 557 00:18:03,680 --> 00:18:04,760 VISION, EVERYTHING YOU SEE HERE 558 00:18:04,760 --> 00:18:09,240 IN THE TREES AND THE LEAVES IS 559 00:18:09,240 --> 00:18:10,360 BUILT ON TRUST AND AMONG THE 560 00:18:10,360 --> 00:18:11,560 ROOTS IS REALLY THE 561 00:18:11,560 --> 00:18:11,880 STAKEHOLDERS. 562 00:18:11,880 --> 00:18:13,520 I WILL JUST POINT OUT HERE THAT 563 00:18:13,520 --> 00:18:15,480 NOT VISUALIZED ARE DIFFERENT 564 00:18:15,480 --> 00:18:17,560 ASSOCIATIONS BY MEDICAL OR 565 00:18:17,560 --> 00:18:18,600 HEALTH PROFESSIONAL SPECIALTY, 566 00:18:18,600 --> 00:18:19,960 FOSH 567 00:18:19,960 --> 00:18:21,160 FOR EXAMPLE, THE AMERICAN 568 00:18:21,160 --> 00:18:22,040 MEDICAL STUDENT ASSOCIATION AND 569 00:18:22,040 --> 00:18:24,120 OTHERS THAT ARE INSTRUMENTAL AS 570 00:18:24,120 --> 00:18:25,080 WELL IN BEING A PART OF THIS 571 00:18:25,080 --> 00:18:25,880 CHANGE. 572 00:18:25,880 --> 00:18:29,040 AND LABOR AND TRADE. 573 00:18:29,040 --> 00:18:30,240 MANY OF US, WE UNDERSTAND THERE 574 00:18:30,240 --> 00:18:33,200 ARE OPPORTUNITIES FOR WORKERS' 575 00:18:33,200 --> 00:18:34,160 VOICE, 576 00:18:34,160 --> 00:18:35,520 VOICES, INCLUDING THOSE WITH 577 00:18:35,520 --> 00:18:39,440 ORGANIZED GROUPS. 578 00:18:39,440 --> 00:18:40,560 I WANTED TO HIGHLIGHT AND THANK 579 00:18:40,560 --> 00:18:42,480 YOU ALL FOR THIS PARTNERSHIP AND 580 00:18:42,480 --> 00:18:52,560 SUPPORT WITH DR. ROW SE ROS, 581 00:18:52,560 --> 00:18:55,280 DR. ROSENBLUM, THOSE WORKING TO 582 00:18:55,280 --> 00:19:01,560 LOWER ADMINISTRATIVE BURDENS BY 583 00:19:01,560 --> 00:19:02,080 2025. 584 00:19:02,080 --> 00:19:03,240 IT ONE EXAMPLE, SO YOU'LL SEE 585 00:19:03,240 --> 00:19:04,600 ONE EXAMPLE IS SPECIFIC TO 586 00:19:04,600 --> 00:19:09,600 HEALTH TECHNOLOGY AND 587 00:19:09,600 --> 00:19:10,920 INFORMATION, ONE FOR HEALTHCARE 588 00:19:10,920 --> 00:19:12,040 ORGANIZATIONS, AND WE WELCOME 589 00:19:12,040 --> 00:19:13,680 YOU TO TAKE A LOOK AT THOSE. 590 00:19:13,680 --> 00:19:20,160 THIS IS ANOTHER EXAMPLE, THE 591 00:19:20,160 --> 00:19:23,200 CHAPTER THAT'S ON HEALTHCARE 592 00:19:23,200 --> 00:19:23,880 ORGANIZATIONS SPECIFICALLY, WHEN 593 00:19:23,880 --> 00:19:25,200 WE TALK ABOUT ORGANIZATIONAL 594 00:19:25,200 --> 00:19:27,040 CULTURE AND CHANGING THE HIDDEN 595 00:19:27,040 --> 00:19:28,640 CULTURE OF MEDICINE TOWARDS ONE 596 00:19:28,640 --> 00:19:32,800 OF WELLNESS AND BURNOUT TO ONE 597 00:19:32,800 --> 00:19:33,880 OF WELL-BEING, THIS IS ONE OF 598 00:19:33,880 --> 00:19:36,240 THE WAYS THAT LEADERS AT ALL 599 00:19:36,240 --> 00:19:37,280 LEVELS CAN USE A GRAPHIC LIKE 600 00:19:37,280 --> 00:19:38,720 THIS TO REALLY TALK ABOUT WHAT 601 00:19:38,720 --> 00:19:42,920 ELSE IS NEEDED WITHIN THEIR NOT 602 00:19:42,920 --> 00:19:44,040 JUST LARGELY ORGANIZATION BUT 603 00:19:44,040 --> 00:19:44,920 WITHIN THEIR UNIT, WHETHER IT'S 604 00:19:44,920 --> 00:19:47,880 A NURSING UNIT OR A COMMUNITY 605 00:19:47,880 --> 00:19:51,800 MOBILIZATION TEAM OR OVERALL, 606 00:19:51,800 --> 00:19:52,960 IT'S REALLY GROUNDED IN THESE 607 00:19:52,960 --> 00:19:54,920 AREAS BUT IT'S ABOUT WELLNESS 608 00:19:54,920 --> 00:19:56,360 CENTERED LEADERSHIP AND CARE, 609 00:19:56,360 --> 00:19:57,800 CARING ABOUT EACH OTHER, 610 00:19:57,800 --> 00:19:58,640 COMPASSION. 611 00:19:58,640 --> 00:20:00,400 SO I JUST WANTED TO GIVE A FEW 612 00:20:00,400 --> 00:20:02,160 BRIEF HIGHLIGHTS. 613 00:20:02,160 --> 00:20:02,680 IN THE LAST 614 00:20:02,680 --> 00:20:03,240 MINUTE HERE. 615 00:20:03,240 --> 00:20:04,800 SINCE WE LAUNCHED THIS EVENT, 616 00:20:04,800 --> 00:20:08,160 WE'VE HAD A NUMBER OF DIFFERENT 617 00:20:08,160 --> 00:20:11,440 EVENTS WITHIN ATLANTA AND WITH 618 00:20:11,440 --> 00:20:13,320 THE VICE PRESIDENT, SINCE MAY 619 00:20:13,320 --> 00:20:17,760 AND SINCE THAT TIME AND ALSO 620 00:20:17,760 --> 00:20:19,200 CHILDREN'S NATIONAL MEDICAL 621 00:20:19,200 --> 00:20:22,360 CENTER, THERE IS A SCREENING ON 622 00:20:22,360 --> 00:20:23,480 THE FIRST WAVE IF YOU HAVEN'T 623 00:20:23,480 --> 00:20:25,160 SEEN IT YET WITH "NATIONAL 624 00:20:25,160 --> 00:20:26,400 GEOGRAPHIC," AND DR. MURTHY HAS 625 00:20:26,400 --> 00:20:29,160 ALSO WRITTEN A NEW ENGLAND 626 00:20:29,160 --> 00:20:30,600 JOURNAL OF MEDICINE PERSPECTIVE, 627 00:20:30,600 --> 00:20:31,680 I'VE ALSO INCLUDED THAT HERE IF 628 00:20:31,680 --> 00:20:33,040 YOU'RE INTERESTED, AND MORE 629 00:20:33,040 --> 00:20:35,400 RECENTLY, LAST WEEK HE'S ALWAYS 630 00:20:35,400 --> 00:20:36,840 REALLY TRYING TO CONNECT AT ANY 631 00:20:36,840 --> 00:20:40,240 EVENT OR ENGAGEMENT HE HAS, AND 632 00:20:40,240 --> 00:20:43,600 THIS ONE UP IN NEW HAVEN, 633 00:20:43,600 --> 00:20:45,400 FORTHCOMING WITH THE AMERICAN 634 00:20:45,400 --> 00:20:46,520 MEDICAL STUDENTS ASSOCIATION TO 635 00:20:46,520 --> 00:20:47,520 REALLY HELP INSPIRE THIS CULTURE 636 00:20:47,520 --> 00:20:49,160 OF WELL-BEING AND ADDRESS THE 637 00:20:49,160 --> 00:20:51,120 HIDDEN CULTURE AND ONGOING 638 00:20:51,120 --> 00:20:52,680 ENGAGEMENT OF STAKEHOLDERS. 639 00:20:52,680 --> 00:20:53,920 THESE ARE SOME PHOTOS I WANTED 640 00:20:53,920 --> 00:21:01,800 TO SHARE FROM THE LAUNCH. 641 00:21:01,800 --> 00:21:03,520 AND FINALLY THE LAST AND NEXT 642 00:21:03,520 --> 00:21:03,960 IMPORTANT EVENTS ARE 643 00:21:03,960 --> 00:21:05,320 COLLABORATION WITH THE NATIONAL 644 00:21:05,320 --> 00:21:06,600 ACADEMY OF MEDICINE, SO THIS 645 00:21:06,600 --> 00:21:08,640 ACTION COLLABORATIVE, THEY WILL 646 00:21:08,640 --> 00:21:10,640 BE LAUNCHING A PLAN IN OCTOBER 647 00:21:10,640 --> 00:21:12,280 IN THE NATIONAL PLAN ON THIS 648 00:21:12,280 --> 00:21:14,480 PARTICULAR TOPIC. 649 00:21:14,480 --> 00:21:16,760 DR. MURTHY SERVED AS CO-CHAIR 650 00:21:16,760 --> 00:21:18,520 SINCE LAST YEAR ALTHOUGH THE 651 00:21:18,520 --> 00:21:19,920 COLLABORATIVE HAS BEEN AROUND 652 00:21:19,920 --> 00:21:21,000 SINCE 2017. 653 00:21:21,000 --> 00:21:21,920 SADLY, IT REALLY -- THE 654 00:21:21,920 --> 00:21:23,760 INCEPTION OF IT, AS MANY OF YOU 655 00:21:23,760 --> 00:21:25,360 KNOW, NOT ONLY RELATED TO THE 656 00:21:25,360 --> 00:21:32,080 RESEARCH AND ALL OF THE SOBERING 657 00:21:32,080 --> 00:21:34,720 STATISTICS, BUT DR. ZAU WHO IS A 658 00:21:34,720 --> 00:21:35,760 VISIONARY LOOKED AROUND THE ROOM 659 00:21:35,760 --> 00:21:37,120 AND ASKED EVERYONE WHO HAS BEEN 660 00:21:37,120 --> 00:21:38,000 AFFECTED AND KNOWS SOMEONE 661 00:21:38,000 --> 00:21:39,840 THAT'S BEEN IMPACTED BY SUICIDE 662 00:21:39,840 --> 00:21:42,040 AS A PHYSICIAN, AND SO MANY 663 00:21:42,040 --> 00:21:52,520 PEOPLE RAISED THEIR HANDS. 664 00:22:09,440 --> 00:22:10,240 ALIGNED WITH THE SURGEON 665 00:22:10,240 --> 00:22:11,960 GENERAL'S ADVISORY AS WELL ON 666 00:22:11,960 --> 00:22:22,160 THIS TOPIC. 667 00:22:25,400 --> 00:22:32,760 AND LASTLY HERE, THIS WAS OUR 668 00:22:32,760 --> 00:22:33,960 SINGLE -- OUR NATION'S 669 00:22:33,960 --> 00:22:35,080 WELL-BEING DEPENDS ON THE HEALTH 670 00:22:35,080 --> 00:22:35,960 OF OUR WORKFORCE. 671 00:22:35,960 --> 00:22:37,360 THANK YOU SO MUCH. 672 00:22:37,360 --> 00:22:39,360 APOLOGIES FOR GOING IN A MINUTE 673 00:22:39,360 --> 00:22:40,000 OR TWO OVER. 674 00:22:40,000 --> 00:22:40,800 WELCOME QUESTIONS AT ANY TIME. 675 00:22:40,800 --> 00:22:41,520 >> THANK YOU SO MUCH. 676 00:22:41,520 --> 00:22:42,720 THAT WAS REALLY TERRIFIC AND 677 00:22:42,720 --> 00:22:45,640 REALLY FOCUSING ON SUCH AN 678 00:22:45,640 --> 00:22:48,640 IMPORTANT AREA RIGHT NOW FOR OUR 679 00:22:48,640 --> 00:22:50,280 ENTIRE SOCIETY BUT CERTAINLY 680 00:22:50,280 --> 00:22:50,920 HEALTHCARE WORKERS IN 681 00:22:50,920 --> 00:22:52,680 PARTICULAR. 682 00:22:52,680 --> 00:22:53,680 WE DO HAVE A COUPLE MINUTES 683 00:22:53,680 --> 00:22:55,440 BEFORE WE NEED TO MOVE ON, SO 684 00:22:55,440 --> 00:23:00,320 I'M HAPPY TO FACILITATE 685 00:23:00,320 --> 00:23:01,880 QUESTIONS. 686 00:23:01,880 --> 00:23:02,120 LOURDES. 687 00:23:02,120 --> 00:23:02,520 >> THANK YOU. 688 00:23:02,520 --> 00:23:03,600 THANK YOU SO MUCH FOR THAT 689 00:23:03,600 --> 00:23:04,160 PRESENTATION. 690 00:23:04,160 --> 00:23:04,520 THAT WAS SLEPT. 691 00:23:04,520 --> 00:23:07,320 I DO HAVE -- THAT WAS 692 00:23:07,320 --> 00:23:07,640 EXCELLENT. 693 00:23:07,640 --> 00:23:09,400 I COULD HAVE A QUESTION ABOUT IN 694 00:23:09,400 --> 00:23:11,600 WHAT WAYS ARE WE MONITORING HOW 695 00:23:11,600 --> 00:23:13,000 THINGS WILL BE CHANGING GIVEN 696 00:23:13,000 --> 00:23:14,000 THE NATIONAL PLAN AND OTHER 697 00:23:14,000 --> 00:23:15,880 THINGS? 698 00:23:15,880 --> 00:23:18,400 SO JUST CURIOUS ABOUT HOW THE 699 00:23:18,400 --> 00:23:19,840 POTENTIAL CHANGES ARE BEING 700 00:23:19,840 --> 00:23:21,680 MONITORED SO THAT WE COULD TELL 701 00:23:21,680 --> 00:23:25,200 WHETHER WE'VE MADE A DIFFERENCE? 702 00:23:25,200 --> 00:23:27,680 >> THANK YOU SO MUCH, LOURDES. 703 00:23:27,680 --> 00:23:28,880 THIS IS AN EXCELLENT QUESTION, 704 00:23:28,880 --> 00:23:31,400 AND SOMEONE WHO HAS ALWAYS KEPT 705 00:23:31,400 --> 00:23:32,160 MONITORING EVALUATION VERY 706 00:23:32,160 --> 00:23:33,200 CLOSE, IT'S CLOSE TO MY HEART 707 00:23:33,200 --> 00:23:35,760 AND MAKING SURE WE ARE DATA AND 708 00:23:35,760 --> 00:23:36,240 EVIDENCE-DRIVEN. 709 00:23:36,240 --> 00:23:40,040 I'LL SAY THAT THIS IS TOP OF 710 00:23:40,040 --> 00:23:41,920 MIND BECAUSE WE ARE TALKING WITH 711 00:23:41,920 --> 00:23:42,880 ALSO THE NATIONAL ACADEMY ON 712 00:23:42,880 --> 00:23:44,080 THIS AND THE JOINT COMMISSION, I 713 00:23:44,080 --> 00:23:45,720 THINK THERE'S A LOT OF 714 00:23:45,720 --> 00:23:46,960 OPPORTUNITY IN TERMS OF HOW DO 715 00:23:46,960 --> 00:23:52,840 WE ME SURE ACCOUNT ACCOUNTAY 716 00:23:52,840 --> 00:23:53,720 MEASURED, SO WE'RE LOOKING AT 717 00:23:53,720 --> 00:23:54,680 THE DIFFERENT METRICS AND THERE 718 00:23:54,680 --> 00:23:58,760 ARE A NUMBER OF VALIDATED TOOLS 719 00:23:58,760 --> 00:24:01,680 NOT LIMITED TO HEALTH 720 00:24:01,680 --> 00:24:03,040 ORGANIZATIONS THAT MANY 721 00:24:03,040 --> 00:24:04,080 STAKEHOLDERS CAN USE, SO WE'RE 722 00:24:04,080 --> 00:24:04,760 DEFINITELY INTERESTED IN 723 00:24:04,760 --> 00:24:05,720 SPEAKING MORE ABOUT HOW WE 724 00:24:05,720 --> 00:24:07,840 MEASURE THE IMPACTS AND EVEN 725 00:24:07,840 --> 00:24:11,520 SUPPORT SOME OF THOSE CHANGES, 726 00:24:11,520 --> 00:24:13,520 BECAUSE THERE ARE SO MANY, THESE 727 00:24:13,520 --> 00:24:14,720 ARE CHANGES IN INVESTMENTS, 728 00:24:14,720 --> 00:24:15,920 CHANGES IN POLICY AT 729 00:24:15,920 --> 00:24:17,760 ORGANIZATIONAL LEVELS BUT ALSO 730 00:24:17,760 --> 00:24:20,840 ACROSS CITIES AND ACROSS SO MANY 731 00:24:20,840 --> 00:24:22,280 HEALTH SYSTEMS, PROVIDERS, EVEN 732 00:24:22,280 --> 00:24:26,080 WITH RESEARCH, LOOKING AT THE 733 00:24:26,080 --> 00:24:27,200 NUMBER OF EVEN RESEARCH 734 00:24:27,200 --> 00:24:28,960 INITIATIVES THAT ARE COMING OUT 735 00:24:28,960 --> 00:24:31,880 IN TERMS OF WHAT'S NEEDED. 736 00:24:31,880 --> 00:24:33,680 SO I'LL SAY THAT IT'S DEFINITELY 737 00:24:33,680 --> 00:24:36,480 ON OUR MIND, SOMETHING WE'VE 738 00:24:36,480 --> 00:24:37,600 TALKED ABOUT IS MAKING SURE THAT 739 00:24:37,600 --> 00:24:39,440 THIS STAYS NOT -- THAT IT 740 00:24:39,440 --> 00:24:40,440 DOESN'T JUST STAY AT THE FEDERAL 741 00:24:40,440 --> 00:24:43,920 LEVEL BUT THIS IS AT ALL LEVELS 742 00:24:43,920 --> 00:24:45,120 OF GOVERNMENT BUT ALSO THE 743 00:24:45,120 --> 00:24:47,440 PARTNERSHIPS WITH COMMUNITY 744 00:24:47,440 --> 00:24:48,200 ORGANIZATIONS, SO SOMETHING 745 00:24:48,200 --> 00:24:50,800 WE'VE SPOKEN ABOUT IS IF THIS IS 746 00:24:50,800 --> 00:24:54,160 SOMETHING THAT CAN BE -- THAT 747 00:24:54,160 --> 00:24:55,120 CAN STAY WITHIN THE FEDERAL 748 00:24:55,120 --> 00:24:59,160 LEVEL IN TERMS OF A WORKFORCE 749 00:24:59,160 --> 00:25:00,160 STRATEGY, SO NOT JUST PUTTING 750 00:25:00,160 --> 00:25:01,960 OUT THE PLAN BUT THE EVALUATION 751 00:25:01,960 --> 00:25:05,040 BEHIND IT AND WHO WILL MONITOR 752 00:25:05,040 --> 00:25:05,200 IT. 753 00:25:05,200 --> 00:25:07,240 THE NATIONAL ACADEMY ALSO HAS 754 00:25:07,240 --> 00:25:10,160 WHAT THEY'RE CALLING AN 755 00:25:10,160 --> 00:25:11,840 IMPACT -- IMPACT AREAS THEY'RE 756 00:25:11,840 --> 00:25:13,040 LOOKING AT TO MAKE SURE THAT AS 757 00:25:13,040 --> 00:25:17,520 WE CONTINUE TO SUPPORT THOSE WHO 758 00:25:17,520 --> 00:25:18,920 MOBILIZE AROUND ALL OF THE 759 00:25:18,920 --> 00:25:20,200 DIFFERENT TOPICS, WHETHER IT'S 760 00:25:20,200 --> 00:25:23,600 HEALTH IT, ADD ADMIN BURDENS R 761 00:25:23,600 --> 00:25:24,360 ORGANIZATIONAL CULTURE, THEY 762 00:25:24,360 --> 00:25:26,400 HAVE SOMETHING CALLED A 763 00:25:26,400 --> 00:25:31,600 QUARTERLY MOBILIZING NATIONAL 764 00:25:31,600 --> 00:25:32,440 STAKEHOLDERS, SO EACH TIME WE'LL 765 00:25:32,440 --> 00:25:33,840 BE BRINGING STAKEHOLDERS 766 00:25:33,840 --> 00:25:34,920 TOGETHER IN THE NEXT TWO YEARS, 767 00:25:34,920 --> 00:25:36,640 LOOKING AT WHAT'S WORKING BUT 768 00:25:36,640 --> 00:25:37,960 ALSO LOOKING AT WHAT'S NOT 769 00:25:37,960 --> 00:25:39,480 WORKING AS A WAY TO HAVE NOT 770 00:25:39,480 --> 00:25:40,680 ONLY INFORMATION AND PROMISING 771 00:25:40,680 --> 00:25:42,520 PRACTICE EXCHANGE, BUT I THINK 772 00:25:42,520 --> 00:25:44,640 AS A WAY TO ALSO CAPTURE WHAT'S 773 00:25:44,640 --> 00:25:46,080 HAPPENING, NOT LIMITED TO THE 774 00:25:46,080 --> 00:25:48,080 FEDERAL LEVEL. 775 00:25:48,080 --> 00:25:51,320 SO WELCOME YOUR ADVICE VOOS L 776 00:25:51,320 --> 00:25:52,160 AND RECOMMENDATION BECAUSE I 777 00:25:52,160 --> 00:25:53,360 THINK IT'S SOMETHING WHERE WE 778 00:25:53,360 --> 00:25:54,320 CAN ALL BE A PART OF THE CHANGES 779 00:25:54,320 --> 00:25:55,360 AS WELL AS THE MEASUREMENT OF 780 00:25:55,360 --> 00:25:56,040 THAT SUCCESS. 781 00:25:56,040 --> 00:26:00,600 >> THANK YOU. 782 00:26:00,600 --> 00:26:01,040 >> JOE. 783 00:26:01,040 --> 00:26:02,040 >> THANK YOU. 784 00:26:02,040 --> 00:26:04,360 NICE PRESENTATION, MS. DAVIS. 785 00:26:04,360 --> 00:26:06,400 AND I'M WITH THE DEPARTMENT OF 786 00:26:06,400 --> 00:26:07,200 VETERANS AFFAIRS AND WE'RE 787 00:26:07,200 --> 00:26:08,960 LISTED ON YOUR FINAL SLIDE AS 788 00:26:08,960 --> 00:26:11,120 ONE OF THE PARTNERS IN THIS. 789 00:26:11,120 --> 00:26:13,760 I WANTED TO PUT KIND OF A SHOUT 790 00:26:13,760 --> 00:26:15,600 OUT TO THE IMPORTANCE OF 791 00:26:15,600 --> 00:26:17,880 MEASUREMENT AND ANALYSIS IN 792 00:26:17,880 --> 00:26:18,480 REPORTING WITHIN AN 793 00:26:18,480 --> 00:26:18,920 ORGANIZATION. 794 00:26:18,920 --> 00:26:21,400 WE DO THIS ANNUALLY AND WE 795 00:26:21,400 --> 00:26:22,920 INCLUDE A BURNOUT SCALE. 796 00:26:22,920 --> 00:26:26,400 AND IT HAS SOME SURPRISING 797 00:26:26,400 --> 00:26:26,840 FINDINGS. 798 00:26:26,840 --> 00:26:30,440 WHICH WE'RE HAPPY TO SPEND SOME 799 00:26:30,440 --> 00:26:31,880 TIME GOING OVER WITH YOU, BUT I 800 00:26:31,880 --> 00:26:32,760 CAN TELL YOU IT IS NOT JUST 801 00:26:32,760 --> 00:26:34,600 LIMITED TO HEALTHCARE PERSONNEL. 802 00:26:34,600 --> 00:26:36,480 OUR MOST RECENT SURVEY WHICH WAS 803 00:26:36,480 --> 00:26:37,800 CONDUCTED A FEW MONTHS AGO, SOME 804 00:26:37,800 --> 00:26:39,160 OF OUR HOT SPOTS WERE ACTUALLY 805 00:26:39,160 --> 00:26:41,280 IN OUR VETERAN CEMETERIES. 806 00:26:41,280 --> 00:26:44,040 PARTICULARLY IN AREAS LIKE THE 807 00:26:44,040 --> 00:26:45,080 SOUTHEAST, WHERE THERE ARE VERY 808 00:26:45,080 --> 00:26:50,400 HIGH RATES OF MORTALITY RELATEDD 809 00:26:50,400 --> 00:26:52,600 ALSO PERHAPS NOT SURPRISING IN 810 00:26:52,600 --> 00:26:54,240 RETROSPECT, SOME OF OUR I.T. 811 00:26:54,240 --> 00:26:55,320 STAFF, PEOPLE THAT HAVE BEEN 812 00:26:55,320 --> 00:26:56,960 WORKING EXTRA HARD TO MAINTAIN 813 00:26:56,960 --> 00:26:59,360 TELEHEALTH, TO MAINTAIN ZOOM AND 814 00:26:59,360 --> 00:27:01,000 TEAMS CONFERENCES AND OUR 815 00:27:01,000 --> 00:27:02,880 INFRASTRUCTURE AND PROTECTING US 816 00:27:02,880 --> 00:27:06,040 FROM CYBER ATTACKS. 817 00:27:06,040 --> 00:27:07,360 SO HAPPY TO SHARE THAT WITH THE 818 00:27:07,360 --> 00:27:08,800 GROUP, BUT WHEN YOU LOOK AT 819 00:27:08,800 --> 00:27:10,200 HEALTHCARE WORKER BURNOUT, 820 00:27:10,200 --> 00:27:13,680 THAT'S A VERY BIG TENT, AND NOT 821 00:27:13,680 --> 00:27:14,840 JUST NECESSARILY THE CLINICIAN 822 00:27:14,840 --> 00:27:15,120 WORKFORCE. 823 00:27:15,120 --> 00:27:17,600 SO THANK YOU. 824 00:27:17,600 --> 00:27:22,320 >> THANK YOU SO MUCH, 825 00:27:22,320 --> 00:27:23,000 DR. FRANCIS. 826 00:27:23,000 --> 00:27:23,680 I REALLY APPRECIATE IT. 827 00:27:23,680 --> 00:27:25,400 IT'S AN IMPORTANT POINT YOU 828 00:27:25,400 --> 00:27:27,000 RAISE, AND I THINK THE VA HAS 829 00:27:27,000 --> 00:27:29,120 BEEN SUCH A VANGUARD IN REALLY 830 00:27:29,120 --> 00:27:30,760 ADVANCING THIS VISION AND 831 00:27:30,760 --> 00:27:31,280 TALKING ABOUT HEALTH AND 832 00:27:31,280 --> 00:27:32,960 WELL-BEING AS WHOLE HEALTH, THE 833 00:27:32,960 --> 00:27:35,240 WORK THAT YOU DO IS INCREDIBLY 834 00:27:35,240 --> 00:27:35,920 INSPIRING, SO WE'RE GRIT FULL 835 00:27:35,920 --> 00:27:37,360 FOR IT, ESPECIALLY AS YOU LOOK 836 00:27:37,360 --> 00:27:39,080 AT THE MEASUREMENT, AND ALSO 837 00:27:39,080 --> 00:27:41,600 LOOK AT GROUPS THAT ARE REALLY 838 00:27:41,600 --> 00:27:42,600 DISPROPORTIONATELY IMPACTED, 839 00:27:42,600 --> 00:27:44,400 THAT THE QUANTITATIVE AND 840 00:27:44,400 --> 00:27:45,520 QUALITATIVE RESEARCH TODAY MIGHT 841 00:27:45,520 --> 00:27:50,880 NOT BE SHOWING, SO WELCOME 842 00:27:50,880 --> 00:27:52,440 CONTINUED CONVERSATION AND THE 843 00:27:52,440 --> 00:27:53,480 RESOURCES TOGETHER WITH YOU, BUT 844 00:27:53,480 --> 00:27:59,920 THANK YOU TO YOU, ALL THE FOLKS 845 00:27:59,920 --> 00:28:02,120 AT THE V.A. WHO ARE INSTRUMENTAL 846 00:28:02,120 --> 00:28:03,320 AS PART OF THIS JOURNEY. 847 00:28:03,320 --> 00:28:05,960 >> GREAT. 848 00:28:05,960 --> 00:28:08,720 WITH THAT, THANK YOU AGAIN, 849 00:28:08,720 --> 00:28:09,920 MS. GARCIA DAVIS, FOR THAT 850 00:28:09,920 --> 00:28:11,000 WONDERFUL PRESENTATION. 851 00:28:11,000 --> 00:28:12,120 WE'RE GOING TO MOVE ON TO THE 852 00:28:12,120 --> 00:28:15,600 NEXT TOPIC IN OUR AGENDA. 853 00:28:15,600 --> 00:28:17,160 WHICH IS ACTUALLY LOOKING AT 854 00:28:17,160 --> 00:28:18,880 APPROVING THE MINUTES, FUTURE 855 00:28:18,880 --> 00:28:20,440 MEETINGS. 856 00:28:20,440 --> 00:28:24,600 SO WE'VE DISTRIBUTED THE MAY 857 00:28:24,600 --> 00:28:26,080 TENTH, 2022 MINUTES, AND NOW I'M 858 00:28:26,080 --> 00:28:28,080 GOING TO ASK FOR A MOTION TO 859 00:28:28,080 --> 00:28:29,480 APPROVE THOSE MINUTES. 860 00:28:29,480 --> 00:28:34,760 FROM THE BOARD. 861 00:28:34,760 --> 00:28:35,960 AND IF THERE ARE ANY QUESTIONS 862 00:28:35,960 --> 00:28:37,520 OR CONCERNS ABOUT THE MINUTES, 863 00:28:37,520 --> 00:28:38,040 PLEASE RAISE THEM. 864 00:28:38,040 --> 00:28:39,080 >> SO MOVED. 865 00:28:39,080 --> 00:28:40,240 >> THANK YOU, JAMES. 866 00:28:40,240 --> 00:28:41,280 AND A SECOND? 867 00:28:41,280 --> 00:28:42,440 >> SECOND. 868 00:28:42,440 --> 00:28:44,160 >> LOURDES. 869 00:28:44,160 --> 00:28:47,200 ALL IN FAVOR OF APPROVAL? 870 00:28:47,200 --> 00:28:51,560 >> AYE. 871 00:28:51,560 --> 00:28:53,360 >> EXCELLENT, SO THOSE STAND 872 00:28:53,360 --> 00:28:53,640 APPROVED. 873 00:28:53,640 --> 00:28:56,760 NOW MOVING ON IN YOUR AGENDA ARE 874 00:28:56,760 --> 00:29:00,680 A LIST OF THE FUTURE MEETING 875 00:29:00,680 --> 00:29:01,080 DATES. 876 00:29:01,080 --> 00:29:02,280 I WILL CALL OUT ONE THING, WHICH 877 00:29:02,280 --> 00:29:07,840 IS THAT THE WINTER MEETING HAS 878 00:29:07,840 --> 00:29:08,800 NOW OFFICIALLY BEEN MOVED TO A 879 00:29:08,800 --> 00:29:09,240 VIRTUAL MEETING. 880 00:29:09,240 --> 00:29:11,120 IT WILL BE ONE DAY ON 881 00:29:11,120 --> 00:29:12,760 FEBRUARY 7TH. 882 00:29:12,760 --> 00:29:14,600 AS MUCH AS WE ALL ARE YEARNING 883 00:29:14,600 --> 00:29:17,880 TO EVENTUALLY BE TOGETHER IN 884 00:29:17,880 --> 00:29:19,320 PERSON, IT WON'T HAPPEN IN 885 00:29:19,320 --> 00:29:20,960 FEBRUARY, BUT WE ARE STILL 886 00:29:20,960 --> 00:29:23,400 HOPEFUL THAT MAYBE IN THE 887 00:29:23,400 --> 00:29:23,880 SPRING. 888 00:29:23,880 --> 00:29:25,880 SO KEEP THAT ON YOUR CALENDAR AS 889 00:29:25,880 --> 00:29:27,360 A POSSIBLE IN-PERSON MEETING IN 890 00:29:27,360 --> 00:29:28,720 THE SPRING. 891 00:29:28,720 --> 00:29:30,600 THERE HAS BEEN ONE ADDITIONAL 892 00:29:30,600 --> 00:29:33,200 MEETING ADDED TO THE CALENDAR 893 00:29:33,200 --> 00:29:34,960 FOR 2024, THE SEPTEMBER 13TH 894 00:29:34,960 --> 00:29:38,240 THROUGH 14TH DATE. 895 00:29:38,240 --> 00:29:39,960 SO THAT'S WHERE WE STAND WITH 896 00:29:39,960 --> 00:29:41,080 MEETINGS, AND NOW I'D LIKE TO 897 00:29:41,080 --> 00:29:43,800 ASK THE BOARD FOR APPROVAL OF 898 00:29:43,800 --> 00:29:45,000 FUTURE MEETING DATES. 899 00:29:45,000 --> 00:29:50,400 IS THERE A MOTION? 900 00:29:50,400 --> 00:29:51,520 >> MOTION TO APPROVE. 901 00:29:51,520 --> 00:29:52,440 >> THANK YOU, NANCY. 902 00:29:52,440 --> 00:29:54,240 AND A SECOND? 903 00:29:54,240 --> 00:29:54,640 >> SECOND. 904 00:29:54,640 --> 00:29:55,520 >> THANK YOU, JAMES. 905 00:29:55,520 --> 00:30:01,560 ALL THOSE IN FAVOR? 906 00:30:01,560 --> 00:30:01,840 EXCELLENT. 907 00:30:01,840 --> 00:30:03,440 ALL RIGHT, THE FUTURE MEETING 908 00:30:03,440 --> 00:30:04,280 DATES STAND APPROVED. 909 00:30:04,280 --> 00:30:06,160 THERE ARE ALSO A NUMBER OF OTHER 910 00:30:06,160 --> 00:30:11,400 FUTURE MEETING DATES FOR YOUR 911 00:30:11,400 --> 00:30:12,600 AWARENESS ON THE AGENDA. 912 00:30:12,600 --> 00:30:14,240 AND WITH THAT, I THINK WE WILL 913 00:30:14,240 --> 00:30:16,760 MOVE ON TO THE REPORT FROM OUR 914 00:30:16,760 --> 00:30:18,440 NLM DIRECTOR, PATTI BRENNAN. 915 00:30:18,440 --> 00:30:27,280 OVER TO YOU, PATTI. 916 00:30:27,280 --> 00:30:28,000 >> HI. 917 00:30:28,000 --> 00:30:28,600 JIM, YOUR LAND IS UP. 918 00:30:28,600 --> 00:30:31,400 DID YOU -- YOUR HAND . 919 00:30:31,400 --> 00:30:32,920 DID YOU HAVE A COMMENT OR 920 00:30:32,920 --> 00:30:33,840 QUESTION BEFORE WE MOVE ON? 921 00:30:33,840 --> 00:30:35,240 >> THE SYSTEM ACTUALLY DID THAT 922 00:30:35,240 --> 00:30:40,160 FOR ME WHEN I RAISED MY HAND 923 00:30:40,160 --> 00:30:40,480 APPARENTLY. 924 00:30:40,480 --> 00:30:41,600 >> I DIDN'T THINK EVERYBODY'S 925 00:30:41,600 --> 00:30:42,760 APPROVAL WOULD SHOW UP THAT 926 00:30:42,760 --> 00:30:42,960 FAST. 927 00:30:42,960 --> 00:30:44,680 GOOD MORNING, EVERYONE. 928 00:30:44,680 --> 00:30:47,000 NLM STAFF, SENIOR LEADERSHIP WHO 929 00:30:47,000 --> 00:30:48,520 ARE HERE, BOARD MEMBERS AND 930 00:30:48,520 --> 00:30:49,360 GUESTS, THANK YOU VERY MUCH FOR 931 00:30:49,360 --> 00:30:51,000 JOINING US FOR THIS BOARD 932 00:30:51,000 --> 00:30:51,680 MEETING. 933 00:30:51,680 --> 00:30:52,880 THE BOARD OF REGENTS PROVIDES 934 00:30:52,880 --> 00:30:54,720 GUIDANCE AND HELPS THE NLM 935 00:30:54,720 --> 00:30:58,000 IMPROVE ITS SERVICES AND YOUR 936 00:30:58,000 --> 00:30:59,120 PRESENCE HERE AND YOUR WORK IN 937 00:30:59,120 --> 00:31:00,840 BETWEEN THE BOARD MEETINGS IS OF 938 00:31:00,840 --> 00:31:01,600 TREMENDOUS IMPORTANCE AS WE GO 939 00:31:01,600 --> 00:31:04,360 FORWARD WITH OUR MISSION HERE. 940 00:31:04,360 --> 00:31:06,560 I WANT TO INTRODUCE YOU FOR 941 00:31:06,560 --> 00:31:07,520 THOSE WHO ARE NOT FAMILIAR WITH 942 00:31:07,520 --> 00:31:09,720 OUR LEADERSHIP STAFF, TO OUR 943 00:31:09,720 --> 00:31:10,160 LEADERSHIP TEAM. 944 00:31:10,160 --> 00:31:11,600 WE HAVE AN OUTSTANDING GROUP OF 945 00:31:11,600 --> 00:31:13,080 LEADERS THAT ARE PICTURED ON THE 946 00:31:13,080 --> 00:31:13,560 SCREEN HERE. 947 00:31:13,560 --> 00:31:14,680 MOST ARE AVAILABLE ON THE CALL 948 00:31:14,680 --> 00:31:16,400 TODAY, AND ALL ARE AVAILABLE TO 949 00:31:16,400 --> 00:31:18,880 YOU TO HELP WITH INTERPRETING, 950 00:31:18,880 --> 00:31:20,080 UNDERSTANDING THE NLM, PROVIDING 951 00:31:20,080 --> 00:31:21,400 ANSWERS TO QUESTIONS. 952 00:31:21,400 --> 00:31:23,720 IF YOU GET ASKED SPECIFIC 953 00:31:23,720 --> 00:31:25,280 QUESTIONS AS A BOARD MEMBER AND 954 00:31:25,280 --> 00:31:26,640 YOU NEED PARTICULAR ASSISTANCE, 955 00:31:26,640 --> 00:31:27,880 PLEASE DON'T HESITATE TO CONTACT 956 00:31:27,880 --> 00:31:30,160 ME OR ANY OF THE MEMBERS THAT 957 00:31:30,160 --> 00:31:31,360 ARE HERE. 958 00:31:31,360 --> 00:31:32,000 THE NATIONAL LIBRARY OF MEDICINE 959 00:31:32,000 --> 00:31:34,440 IS SUPPORTED BY A STRONG 960 00:31:34,440 --> 00:31:37,040 LEADERSHIP TEAM, SEVERAL OF OUR 961 00:31:37,040 --> 00:31:38,200 MEMBERS ARE IN ACTING POSITIONS 962 00:31:38,200 --> 00:31:39,200 AND I'LL BE TALKING WITH YOU 963 00:31:39,200 --> 00:31:41,240 ABOUT THAT IN A FEW MINUTES. 964 00:31:41,240 --> 00:31:42,680 THE BOARD OF REGENTS ON THE 965 00:31:42,680 --> 00:31:45,680 OTHER HAND HAS BOTH APPOINTED 966 00:31:45,680 --> 00:31:46,920 AND EX-OFFICIO MEMBERS, AND I 967 00:31:46,920 --> 00:31:49,680 AIN'T POOED I 968 00:31:49,680 --> 00:31:50,880 APPOINTED MEMBERS MUST BE 969 00:31:50,880 --> 00:31:51,600 APPROVED BY THE SECRETARY'S 970 00:31:51,600 --> 00:31:51,880 OFFICE. 971 00:31:51,880 --> 00:31:53,040 WE'RE IN THE PROCESS OF 972 00:31:53,040 --> 00:31:54,040 APPOINTING OUR NEW MEMBERS FOR 973 00:31:54,040 --> 00:31:55,320 THIS YEAR, BUT WE ARE PLEASED TO 974 00:31:55,320 --> 00:31:57,320 HAVE ALL OF OUR THREE MEMBERS 975 00:31:57,320 --> 00:32:01,240 JOINING US AS CONSULTANTS TODAY. 976 00:32:01,240 --> 00:32:04,320 PHILIP WALKER, MITCHELL KATZ AND 977 00:32:04,320 --> 00:32:05,960 ANDREW CLARK. 978 00:32:05,960 --> 00:32:09,640 I HAVEN'T SEEN ANDREW CLARK YET 979 00:32:09,640 --> 00:32:11,480 ON THE SYSTEM BUT I WONDER IF 980 00:32:11,480 --> 00:32:13,160 MITCHELL AND PHILIP COME OFF 981 00:32:13,160 --> 00:32:14,160 MUTE SO PEOPLE CAN HEAR YOUR 982 00:32:14,160 --> 00:32:15,160 VOICE AND UNDERSTAND A LITTLE 983 00:32:15,160 --> 00:32:16,880 ABOUT WHAT YOU BRING TO US. 984 00:32:16,880 --> 00:32:17,160 MITCHELL? 985 00:32:17,160 --> 00:32:18,520 >> YES, AND I'M JUST TRYING TO 986 00:32:18,520 --> 00:32:21,920 PUT BACK ON MY CAMERA AS WELL. 987 00:32:21,920 --> 00:32:25,000 MEANWHILE I'LL SPEAK. 988 00:32:25,000 --> 00:32:27,040 SO I'M THE PRESIDENT AND CEO OF 989 00:32:27,040 --> 00:32:27,920 NEW YORK CITY HEALTH AND 990 00:32:27,920 --> 00:32:30,920 HOSPITALS, WHICH IS THE LARGEST 991 00:32:30,920 --> 00:32:31,840 MUNICIPAL PUBLIC HEALTH SYSTEM 992 00:32:31,840 --> 00:32:36,560 IN THE COUNTRY WITH THE OLDEST 993 00:32:36,560 --> 00:32:38,640 PUBLIC HOSPITAL, BELLEVUE, AS 994 00:32:38,640 --> 00:32:41,520 OUR FLAGSHIP HOSPITAL. 995 00:32:41,520 --> 00:32:43,400 WE WENT THROUGH -- I VERY MUCH 996 00:32:43,400 --> 00:32:47,040 ENJOYED THE PRIOR PRESENTATION 997 00:32:47,040 --> 00:32:48,760 ON BURNOUT BECAUSE NRKZ HAD SUCH 998 00:32:48,760 --> 00:32:55,000 A DIFFICULT TIME OF DEALING WITH 999 00:32:55,000 --> 00:32:58,280 COVID THROUGH MARCH OF 2020, 1000 00:32:58,280 --> 00:33:02,000 WHEN SO MANY PEOPLE WERE ILL AND 1001 00:33:02,000 --> 00:33:04,320 THE STATE OF THE CITY WAS SO 1002 00:33:04,320 --> 00:33:06,480 AWFUL AND A LOT OF PEOPLE DIED 1003 00:33:06,480 --> 00:33:08,440 AND A LOT OF PEOPLE, I THINK, 1004 00:33:08,440 --> 00:33:12,560 WERE VERY MUCH TRAUMATIZED. 1005 00:33:12,560 --> 00:33:16,800 BEFORE I RUN RAN THE NEW YORKY 1006 00:33:16,800 --> 00:33:18,400 SYSTEM, I RAN THE PUBLIC SYSTEM 1007 00:33:18,400 --> 00:33:19,760 IN LOS ANGELES AND, BEFORE THAT, 1008 00:33:19,760 --> 00:33:20,920 THE SAN FRANCISCO SYSTEM. 1009 00:33:20,920 --> 00:33:24,560 SO I'M VERY INTERESTED 1010 00:33:24,560 --> 00:33:29,160 ESPECIALLY IN HOW THE LIBRARY 1011 00:33:29,160 --> 00:33:32,200 CAN BE OF GREATEST USE TO 1012 00:33:32,200 --> 00:33:33,320 PROFESSIONALS IN THE PUBLIC 1013 00:33:33,320 --> 00:33:34,080 HOSPITAL SYSTEM. 1014 00:33:34,080 --> 00:33:37,280 THANK YOU, PATTI. 1015 00:33:37,280 --> 00:33:38,760 >> THANKS VERY MUCH, MITCHELL. 1016 00:33:38,760 --> 00:33:40,320 GREAT TO SEE YOU AGAIN. 1017 00:33:40,320 --> 00:33:46,400 MITCHELL AND I WORKED TOGETHER 1018 00:33:46,400 --> 00:33:48,000 BEFORE SO WE HAVE A LITTLE 1019 00:33:48,000 --> 00:33:49,160 HISTORY BEHIND US. 1020 00:33:49,160 --> 00:33:49,720 PHILIP WALKER. 1021 00:33:49,720 --> 00:33:50,960 >> GOOD MORNING, EVERYONE. 1022 00:33:50,960 --> 00:33:52,200 THANK YOU BETWEEN THE INVITATION 1023 00:33:52,200 --> 00:33:53,680 OF DR. BRENNAN, I THINK THE 1024 00:33:53,680 --> 00:33:54,720 RECOMMENDATION FROM DIANE AND 1025 00:33:54,720 --> 00:33:56,160 ALL THE HELP FROM CHRISTINE OVER 1026 00:33:56,160 --> 00:33:58,480 THE LAST FEW MONTHS, THANK YOU 1027 00:33:58,480 --> 00:34:00,160 SO MUCH FOR THE OPPORTUNITY. 1028 00:34:00,160 --> 00:34:01,840 SO I'M PHILIP WALKER, CURRENTLY 1029 00:34:01,840 --> 00:34:05,160 THE DIRECTOR OF THE ANNETTE AND 1030 00:34:05,160 --> 00:34:07,360 IRWIN ESKIND FAMILY BIOMEDICAL 1031 00:34:07,360 --> 00:34:09,080 LIBRARY AND LEARNING CENTER AT 1032 00:34:09,080 --> 00:34:09,680 VANDERBILT UNIVERSITY. 1033 00:34:09,680 --> 00:34:12,720 I'VE BEEN IN LIBRARIES FOR 23 1034 00:34:12,720 --> 00:34:13,960 YEARS, ALTHOUGH 17 OF THOSE HAVE 1035 00:34:13,960 --> 00:34:16,240 BEEN INVOLVED IN ACADEMIC 1036 00:34:16,240 --> 00:34:18,280 MEDICAL CENTERS, A FEW YEARS AT 1037 00:34:18,280 --> 00:34:19,960 TULANE UNIVERSITY, NOW AT AT 1038 00:34:19,960 --> 00:34:20,800 VANDERBILT. 1039 00:34:20,800 --> 00:34:22,200 OF THOSE 23 YEARS, I'VE BEEN 1040 00:34:22,200 --> 00:34:24,000 INVOLVED BETWEEN PUBLIC 1041 00:34:24,000 --> 00:34:24,920 SERVICES, INFORMATION SERVICES 1042 00:34:24,920 --> 00:34:29,040 AND EDUCATION SERVICES, 1043 00:34:29,040 --> 00:34:29,840 COLLECTIONS, AS WELL AS -- AND 1044 00:34:29,840 --> 00:34:35,240 TECHNICAL SERVICES IN 1998. 1045 00:34:35,240 --> 00:34:37,200 AND IN ADDITION TO THAT, BEING 1046 00:34:37,200 --> 00:34:38,840 IN THE VANDERBILT ENVIRONMENT, 1047 00:34:38,840 --> 00:34:45,480 ALSO BEING -- LEARNING 1048 00:34:45,480 --> 00:34:46,280 HEALTHCARE AND A NEW INTEREST 1049 00:34:46,280 --> 00:34:54,040 I'VE KIND OF FELL INTO WITH 1050 00:34:54,040 --> 00:34:55,800 INFORMATION -- I CONSIDER MYSELF 1051 00:34:55,800 --> 00:34:58,840 A GENERAL LIST, JACK OF ALL 1052 00:34:58,840 --> 00:34:59,640 TRADES FOR INFORMATION. 1053 00:34:59,640 --> 00:35:01,640 SO THANK YOU ALL AGAIN. 1054 00:35:01,640 --> 00:35:03,680 LOOKING FORWARD TO THE NEXT FOUR 1055 00:35:03,680 --> 00:35:03,880 YEARS. 1056 00:35:03,880 --> 00:35:05,240 >> THANK YOU VERY MUCH. 1057 00:35:05,240 --> 00:35:07,320 DR. ANDREW CLARK HAS A 1058 00:35:07,320 --> 00:35:08,520 COMMITMENT, A CO-OCCURRING 1059 00:35:08,520 --> 00:35:09,320 COMMITMENT TODAY SO HE WILL BE 1060 00:35:09,320 --> 00:35:10,920 WITH US BUT HE'S NOT HERE NOW. 1061 00:35:10,920 --> 00:35:13,000 I'LL HAVE HIM JOIN IN AS SOON AS 1062 00:35:13,000 --> 00:35:15,880 HE LOGS IN TO THE SYSTEM. 1063 00:35:15,880 --> 00:35:17,680 APPOINTED MEMBERS ARE IMPORTANT, 1064 00:35:17,680 --> 00:35:20,160 THEY REPRESENT DIFFERENT 1065 00:35:20,160 --> 00:35:21,680 SPECIALTIES THAT SUPPORT THE 1066 00:35:21,680 --> 00:35:22,760 LIBRARY FROM COMPUTATIONAL 1067 00:35:22,760 --> 00:35:24,120 GENOMICS TO PUBLIC HEALTH 1068 00:35:24,120 --> 00:35:26,080 OUTREACH, AND WE'RE DELIGHTED TO 1069 00:35:26,080 --> 00:35:27,600 HAVE THIS BREADTH OF MEMBERSHIP 1070 00:35:27,600 --> 00:35:28,920 FROM THE PRIVATE SECTOR, FROM 1071 00:35:28,920 --> 00:35:29,480 THE PUBLIC SECTOR. 1072 00:35:29,480 --> 00:35:32,120 WE ALSO HAVE EX-OFFICIO MEMBERS. 1073 00:35:32,120 --> 00:35:34,520 BY LEGISLATION, THE NATIONAL 1074 00:35:34,520 --> 00:35:35,960 LIBRARY OF MEDICINE'S BOARD OF 1075 00:35:35,960 --> 00:35:37,440 REGENTS HAS ON IT REPRESENTATION 1076 00:35:37,440 --> 00:35:39,120 FROM THE MAJOR FEDERAL 1077 00:35:39,120 --> 00:35:40,240 LIBRARIES, PARTICULARLY LIBRARY 1078 00:35:40,240 --> 00:35:41,400 OF CONGRESS AND THE NATIONAL 1079 00:35:41,400 --> 00:35:43,840 AGRICULTURE LIBRARY, FROM THE 1080 00:35:43,840 --> 00:35:44,680 NATIONAL SCIENCE FOUNDATION, 1081 00:35:44,680 --> 00:35:46,240 FROM THE UNIFORMED SERVICES, AS 1082 00:35:46,240 --> 00:35:48,960 WELL AS THE UNIFORMED SERVICES 1083 00:35:48,960 --> 00:35:49,320 UNIVERSITY. 1084 00:35:49,320 --> 00:35:50,480 TODAY I'M HAPPY TO INTRODUCE YOU 1085 00:35:50,480 --> 00:35:57,920 TO DR. MICHELLE ALOCONICH. 1086 00:35:57,920 --> 00:35:58,720 >> THANK YOU. 1087 00:35:58,720 --> 00:36:01,200 I'M THE DEPUTY DIVISION DIRECTOR 1088 00:36:01,200 --> 00:36:04,720 FOR THE DIVISION OF INTEGRATIVE 1089 00:36:04,720 --> 00:36:05,720 ORGANISMAL SYSTEMS, WHERE WE 1090 00:36:05,720 --> 00:36:11,080 FUND GENOMICS, GENETICS, 1091 00:36:11,080 --> 00:36:12,040 PHYSIOLOGY, NEUROSCIENCE AND 1092 00:36:12,040 --> 00:36:12,560 DEVELOPMENTAL BIOLOGY. 1093 00:36:12,560 --> 00:36:14,440 I'VE BEEN AT NSF FOR ABOUT 12 1094 00:36:14,440 --> 00:36:17,560 YEARS AND BEFORE THAT, I WAS A 1095 00:36:17,560 --> 00:36:19,440 PROFESSOR AT THE UNIVERSITY OF 1096 00:36:19,440 --> 00:36:22,480 NEVADA LAS VEGAS, WHERE I DID 1097 00:36:22,480 --> 00:36:24,520 RESEARCH ON STRESS AND AGING 1098 00:36:24,520 --> 00:36:25,360 FUNCTIONAL GENOMICS OF STRESS 1099 00:36:25,360 --> 00:36:30,360 AND AGING USING A HONEY BEE 1100 00:36:30,360 --> 00:36:31,600 MODEL SYSTEM, BECAUSE YOU CAN 1101 00:36:31,600 --> 00:36:33,600 MAKE THEM AGE AND MAKE THEM GO 1102 00:36:33,600 --> 00:36:35,120 BACKWARDS, WHICH IS A REALLY 1103 00:36:35,120 --> 00:36:36,560 POWERFUL THING TO BE ABLE TO DO. 1104 00:36:36,560 --> 00:36:40,040 SO THANK YOU. 1105 00:36:40,040 --> 00:36:40,680 >> THANK YOU VERY MUCH. 1106 00:36:40,680 --> 00:36:41,560 I'VE NOT KNOWN THAT BEFORE. 1107 00:36:41,560 --> 00:36:43,560 I THINK I WANT TO BECOME A HONEY 1108 00:36:43,560 --> 00:36:44,440 BEE. 1109 00:36:44,440 --> 00:36:45,200 THE NATIONAL LIBRARY OF MEDICINE 1110 00:36:45,200 --> 00:36:46,840 CREATED A STRATEGIC PLAN ABOUT 1111 00:36:46,840 --> 00:36:47,600 FIVE YEARS AGO. 1112 00:36:47,600 --> 00:36:49,800 THIS IS DONE ABOUT EVERY DEKATE 1113 00:36:49,800 --> 00:36:50,880 FOR THE NLM. 1114 00:36:50,880 --> 00:36:52,680 OUR STRATEGIC PLAN IS DRIVEN BY 1115 00:36:52,680 --> 00:36:54,640 THREE PILLARS RIGHT NOW, TO 1116 00:36:54,640 --> 00:36:56,480 ACCELERATE DISCOVERY AND ADVANCE 1117 00:36:56,480 --> 00:36:57,280 HEALTH THROUGH DATA-DRIVEN 1118 00:36:57,280 --> 00:36:58,480 RESEARCH, TO REACH MORE PEOPLE 1119 00:36:58,480 --> 00:37:00,440 IN MORE WAYS THROUGH ENHANCED 1120 00:37:00,440 --> 00:37:02,840 DISSEMINATION AND ENENGAGEMENT 1121 00:37:02,840 --> 00:37:05,680 AND TO BUILD A WORKFORCE FOR 1122 00:37:05,680 --> 00:37:05,960 RESEARCH. 1123 00:37:05,960 --> 00:37:08,240 WE USE THIS MODEL TO EVALUATE 1124 00:37:08,240 --> 00:37:09,400 PROGRESS TO GUIDE OUR NEW 1125 00:37:09,400 --> 00:37:10,000 INVESTMENTS. 1126 00:37:10,000 --> 00:37:10,920 WE RECOGNIZE THAT UNDERLYING THE 1127 00:37:10,920 --> 00:37:13,720 POWER OF THE NATIONAL LIE F 1128 00:37:13,720 --> 00:37:14,480 MEDICINE IS A LONG TERM 1129 00:37:14,480 --> 00:37:15,840 COMMITMENT TO IMPORTANT SERVICES 1130 00:37:15,840 --> 00:37:18,040 SUCH AS PUBMED, 1131 00:37:18,040 --> 00:37:19,080 CLINICALTRIALS.GOV, AND OUR 1132 00:37:19,080 --> 00:37:20,520 OUTREACH SERVICES. 1133 00:37:20,520 --> 00:37:22,400 WE RECOGNIZE THAT THESE SERVICES 1134 00:37:22,400 --> 00:37:24,040 WILL CONTINUE AND THE STRATEGIC 1135 00:37:24,040 --> 00:37:25,800 PLAN PROVIDES US WITH IDEAS OF 1136 00:37:25,800 --> 00:37:28,200 HOW TO IMPROVE OR ENHANCE OR 1137 00:37:28,200 --> 00:37:29,120 COMPLEMENT THESE SERVICES. 1138 00:37:29,120 --> 00:37:30,280 ONE OF THE IMPORTANT ACTIVITIES 1139 00:37:30,280 --> 00:37:33,160 WE'VE BEEN WORKING ON IN THE 1140 00:37:33,160 --> 00:37:34,680 PAST YEAR IS FORMALIZING OUR 1141 00:37:34,680 --> 00:37:35,680 COMMITMENT TO CONTRIBUTIONS IN 1142 00:37:35,680 --> 00:37:37,640 POLICY LEGISLATION AND EXTERNAL 1143 00:37:37,640 --> 00:37:38,080 AFFAIRS. 1144 00:37:38,080 --> 00:37:40,040 YOU MIGHT NOT BE AWARE HOW MUCH 1145 00:37:40,040 --> 00:37:43,240 THE NLM PROVIDES GUIDANCE ACROSS 1146 00:37:43,240 --> 00:37:45,120 THE NIH AND ACROSS THE FEDERAL 1147 00:37:45,120 --> 00:37:46,200 GOVERNMENT AND FRANKLY 1148 00:37:46,200 --> 00:37:47,000 INTERNATIONALLY ON POLICIES 1149 00:37:47,000 --> 00:37:48,640 RELATED TO SCIENTIFIC 1150 00:37:48,640 --> 00:37:49,800 COMMUNICATION, TO CLINICAL DATA 1151 00:37:49,800 --> 00:37:53,480 AND OPEN DATA AND OPEN SCIENCE. 1152 00:37:53,480 --> 00:37:54,880 WE ARE CRITICAL IN MANY 1153 00:37:54,880 --> 00:37:56,800 DISCUSSIONS, MANY, MANY OF OUR 1154 00:37:56,800 --> 00:37:57,400 NATIONAL LIBRARY OF MEDICINE 1155 00:37:57,400 --> 00:37:59,040 STAFF MEMBERS HAVE SERVED ON 1156 00:37:59,040 --> 00:38:00,560 COMMITTEES WITH THE NATIONAL 1157 00:38:00,560 --> 00:38:01,840 ACADEMIES, WITH THE OFFICE OF 1158 00:38:01,840 --> 00:38:03,160 SCIENCE TECHNOLOGY POLICY, AND 1159 00:38:03,160 --> 00:38:07,560 HAVE PROVIDED THEIR EXPERTISE TO 1160 00:38:07,560 --> 00:38:08,680 THE NIH. 1161 00:38:08,680 --> 00:38:10,120 IN ADDITION ON THE FLIP SIDE, 1162 00:38:10,120 --> 00:38:12,080 POLICY AND LEGISLATION GUIDE 1163 00:38:12,080 --> 00:38:14,400 MUCH OF WHAT THE NLM CAN DO, 1164 00:38:14,400 --> 00:38:15,920 WHAT OUR PRODUCTS AND SERVICES 1165 00:38:15,920 --> 00:38:18,120 MUST LOOK LIKE OR HOW THEY'RE 1166 00:38:18,120 --> 00:38:18,840 USED IN THE PUBLIC GOOD. 1167 00:38:18,840 --> 00:38:21,640 FOR EXAMPLE, CLINICAL CLINV 1168 00:38:21,640 --> 00:38:22,280 RESULTED IN PART FROM 1169 00:38:22,280 --> 00:38:24,040 REGULATIONS THAT DESCRIBED HOW 1170 00:38:24,040 --> 00:38:25,960 TO BE PUBLICLY ACCOUNTABLE FOR 1171 00:38:25,960 --> 00:38:26,880 CLINICAL TRIALS. 1172 00:38:26,880 --> 00:38:28,240 PUBMED CENTRAL IS A VEHICLE THAT 1173 00:38:28,240 --> 00:38:32,360 WE USE TO DEVELOP AND IMPLEMENT 1174 00:38:32,360 --> 00:38:35,000 THE NIH'S RESPONSE TO THE 2013 1175 00:38:35,000 --> 00:38:36,440 OSTP MEMO ON OPEN ACCESS. 1176 00:38:36,440 --> 00:38:38,080 SO WE HAVE A BROAD RANGE OF 1177 00:38:38,080 --> 00:38:43,440 TOOLS THAT WE BUILD, MINDFUL OF 1178 00:38:43,440 --> 00:38:43,760 LEGISLATION. 1179 00:38:43,760 --> 00:38:44,560 IN THE LAST COUPLE OF MONTHS 1180 00:38:44,560 --> 00:38:46,160 WE'VE BEEN FORMALIZING OUR 1181 00:38:46,160 --> 00:38:47,600 POLICY LEGISLATION AND EXTERNAL 1182 00:38:47,600 --> 00:38:47,840 AFFAIRS. 1183 00:38:47,840 --> 00:38:48,800 IN JANUARY, WHEN HE RETURNED 1184 00:38:48,800 --> 00:38:50,760 FROM HIS DETAIL AT THE OFFICE OF 1185 00:38:50,760 --> 00:38:54,880 SIGH EBBS AND OFFICF 1186 00:38:54,880 --> 00:38:55,840 SCIENCE AND TECHNOLOGY POLICY 1187 00:38:55,840 --> 00:39:01,080 JERRY SHEEHAN ACCEPTED DEPUTY 1188 00:39:01,080 --> 00:39:07,680 DIRECT INVENTORY FOR POLICY 1189 00:39:07,680 --> 00:39:09,000 DIRECTOR FOR POLICY AND EXTERNAL 1190 00:39:09,000 --> 00:39:09,640 AFFAIRS. 1191 00:39:09,640 --> 00:39:10,600 WE ALSO PRESENTED A CONCEPT PLAN 1192 00:39:10,600 --> 00:39:11,920 TO THE NIH TO REQUEST APPROVAL 1193 00:39:11,920 --> 00:39:13,120 TO ESTABLISH A NEW OFFICE OF 1194 00:39:13,120 --> 00:39:14,560 POLICY AND LEGISLATIVE AFFAIRS 1195 00:39:14,560 --> 00:39:17,120 WITHIN THE NLM OFFICE OF THE 1196 00:39:17,120 --> 00:39:17,360 DIRECTOR. 1197 00:39:17,360 --> 00:39:18,320 AGAIN BECAUSE WE ARE OFTEN 1198 00:39:18,320 --> 00:39:21,160 CALLED UPON TO COMMENT ON, 1199 00:39:21,160 --> 00:39:24,560 PROVIDE GUIDANCE TO OR EVEN 1200 00:39:24,560 --> 00:39:25,640 PROVIDE PHRASES FOR IMPORTANT 1201 00:39:25,640 --> 00:39:26,400 PUBLIC DOCUMENTS. 1202 00:39:26,400 --> 00:39:27,080 ON THE RIGHT-HAND SIDE OF THE 1203 00:39:27,080 --> 00:39:28,720 SCREEN, YOU SEE OUR KEY POLICY 1204 00:39:28,720 --> 00:39:32,240 TOPICS AT THIS POINT IN TIME. 1205 00:39:32,240 --> 00:39:34,000 THE NEW NIH DATA MANAGEMENT AND 1206 00:39:34,000 --> 00:39:35,080 SHARING POLICY WILL COME INTO 1207 00:39:35,080 --> 00:39:39,360 EFFECT JANUARY 25TH OF 2023. 1208 00:39:39,360 --> 00:39:40,920 OUR TEAMS HAVE BEEN ACTIVE WITH 1209 00:39:40,920 --> 00:39:44,400 THAT FOR THE LAST SEVEN YEARS, 1210 00:39:44,400 --> 00:39:45,920 FORMALIZING THE POLICY, STANDING 1211 00:39:45,920 --> 00:39:47,520 HOW TO INTERPRET IT AND HELPING 1212 00:39:47,520 --> 00:39:49,480 RESEARCHERS AROUND THE COUNTRY 1213 00:39:49,480 --> 00:39:51,440 TO GET READY FOR RESPONSE TO 1214 00:39:51,440 --> 00:39:53,080 THIS POLICY. 1215 00:39:53,080 --> 00:39:55,440 WE'VE ENGAGED THE NETWORK OF THE 1216 00:39:55,440 --> 00:39:56,360 NATIONAL LIBRARY OF MEDICINE 1217 00:39:56,360 --> 00:39:57,680 CENTER FOR DATA SERVICES TO HELP 1218 00:39:57,680 --> 00:39:59,800 PREPARE THE LIBRARY COMMUNITY TO 1219 00:39:59,800 --> 00:40:00,440 BECOME PARTNERS WITH 1220 00:40:00,440 --> 00:40:01,040 INVESTIGATORS AROUND THE 1221 00:40:01,040 --> 00:40:02,320 COUNTRY. 1222 00:40:02,320 --> 00:40:03,080 OUR NATIONAL LIBRARY -- OUR 1223 00:40:03,080 --> 00:40:04,440 NETWORK OF THE NATIONAL LIBRARY 1224 00:40:04,440 --> 00:40:05,000 OF MEDICINE IF YOU'RE NOT 1225 00:40:05,000 --> 00:40:07,480 FAMILIAR WITH IT IS AN 8,000 1226 00:40:07,480 --> 00:40:08,800 POINTS OF PRESENCE AROUND THE 1227 00:40:08,800 --> 00:40:10,520 COUNTRY IN ACADEMIC MEDICAL 1228 00:40:10,520 --> 00:40:11,880 CENTERS, LIBRARIES, PUBLIC 1229 00:40:11,880 --> 00:40:12,760 LIBRARY, HOSPITAL LIBRARIES, 1230 00:40:12,760 --> 00:40:13,920 THAT BRINGS THE RESOURCES OF THE 1231 00:40:13,920 --> 00:40:19,320 N LSM M TO LM FROM THE COMMS 1232 00:40:19,320 --> 00:40:20,560 US AN OPPORTUNITY TO HEAR BACK 1233 00:40:20,560 --> 00:40:21,840 WHAT IS NEEDED. 1234 00:40:21,840 --> 00:40:23,680 IMPORTANTLY DURING THIS TIME OF 1235 00:40:23,680 --> 00:40:25,040 TRANSITION TO A DATA-DRIVEN 1236 00:40:25,040 --> 00:40:26,160 RESEARCH STRATEGY, WE NEED TO 1237 00:40:26,160 --> 00:40:27,360 HELP OUR INVESTIGATORS WHO ONCE 1238 00:40:27,360 --> 00:40:29,120 THOUGHT MAYBE KEEPING DATA ON A 1239 00:40:29,120 --> 00:40:31,600 FLOPPY DISK OR AN EXCEL SHEET 1240 00:40:31,600 --> 00:40:32,600 WAS SUFFICIENT TO BE PREPARED 1241 00:40:32,600 --> 00:40:34,360 FOR THE PUBLIC ACCOUNTABILITY OF 1242 00:40:34,360 --> 00:40:35,560 THE EXPECTATIONS UNDER THE DATA 1243 00:40:35,560 --> 00:40:37,640 MAN 1244 00:40:37,640 --> 00:40:38,440 MANAGEMENT AND SHARING PLAN. 1245 00:40:38,440 --> 00:40:41,080 WE HAVE ALSO BEEN ACTIVE NOW FOR 1246 00:40:41,080 --> 00:40:42,720 OVER 30 YEARS IN GENOME DATA 1247 00:40:42,720 --> 00:40:42,960 SHARING. 1248 00:40:42,960 --> 00:40:44,840 WHAT'S NEW RIGHT NOW IS WE 1249 00:40:44,840 --> 00:40:46,240 RECOGNIZE THE CRITICAL NEED FOR 1250 00:40:46,240 --> 00:40:49,880 GLOBAL COVERAGE AND 1251 00:40:49,880 --> 00:40:51,400 REPRESENTATIVE OF REPOSITORIES 1252 00:40:51,400 --> 00:40:52,320 THROUGH INTERNATIONAL ENGAGEMENT 1253 00:40:52,320 --> 00:40:52,920 AND COLLABORATION. 1254 00:40:52,920 --> 00:40:54,720 WE CAREFULLY ALIGN OUR WORK IN 1255 00:40:54,720 --> 00:40:56,760 THIS AREA WITH THE NIH AND THE 1256 00:40:56,760 --> 00:40:58,920 HHS AND OTHER PARTNERS IN THE 1257 00:40:58,920 --> 00:40:59,960 FEDERAL GOVERNMENT BUT WE 1258 00:40:59,960 --> 00:41:02,600 RECOGNIZE THE COMPELLING NEED 1259 00:41:02,600 --> 00:41:04,400 FOR OPEN ACCESS TO GENOMIC DATA 1260 00:41:04,400 --> 00:41:06,240 AROUND THE WORLD TO RESPOND TO 1261 00:41:06,240 --> 00:41:07,240 PANDEMICS, TO PREPARE FOR THE 1262 00:41:07,240 --> 00:41:08,560 NEXT PANDEMIC, AND TO IMPROVE 1263 00:41:08,560 --> 00:41:13,040 THE HEALTH OF THE PUBLIC. 1264 00:41:13,040 --> 00:41:15,520 WE'VE BEEN ACTIVE IN EXPANDING 1265 00:41:15,520 --> 00:41:16,880 ACCESS TO THE LITERATURE. 1266 00:41:16,880 --> 00:41:18,480 WHILE THERE'S MANY TECHNICAL 1267 00:41:18,480 --> 00:41:20,920 ASPECTS THAT REQUIRE LIBRARY 1268 00:41:20,920 --> 00:41:22,120 OPERATIONS AND STAFF INVOLVED 1269 00:41:22,120 --> 00:41:23,880 WITH, THERE ARE VERY IMPORTANT 1270 00:41:23,880 --> 00:41:24,960 POLICY DIMENSIONS ALSO. 1271 00:41:24,960 --> 00:41:26,520 WE'VE COLLABORATED WITH 1272 00:41:26,520 --> 00:41:27,800 PUBLISHERS TO ACCELERATE ACCESS 1273 00:41:27,800 --> 00:41:29,040 TO THE MONKEYPOX LITERATURE 1274 00:41:29,040 --> 00:41:30,560 DURING THIS PERIOD OF RAPID 1275 00:41:30,560 --> 00:41:31,200 INFECTION. 1276 00:41:31,200 --> 00:41:33,600 WE'VE ALSO BEEN WORKING CLOSELY, 1277 00:41:33,600 --> 00:41:35,600 BEFORE THE RELEASE OF THE 1278 00:41:35,600 --> 00:41:37,680 STATEMENT AND AFTERWARDS, WITH 1279 00:41:37,680 --> 00:41:38,680 THE OFFICE OF SCIENCE AND 1280 00:41:38,680 --> 00:41:39,680 TECHNOLOGY POLICY ON THEIR 1281 00:41:39,680 --> 00:41:41,240 STATEMENT ENSURING FREE, 1282 00:41:41,240 --> 00:41:42,840 IMMEDIATE AND EQUITABLE ACCESS 1283 00:41:42,840 --> 00:41:44,160 TO FEDERALLY FUNDED RESEARCH. 1284 00:41:44,160 --> 00:41:46,240 MANY OF THESE ENGAGEMENTS BRING 1285 00:41:46,240 --> 00:41:48,600 THE NLM'S EXPERTISE TO THE NIH'S 1286 00:41:48,600 --> 00:41:50,440 OFFICE OF SCIENCE POLICY, AND 1287 00:41:50,440 --> 00:41:53,640 THE REPUTATION THAT OUR STAFF 1288 00:41:53,640 --> 00:41:55,000 HAVE FOR BEING RESPONSIVE, 1289 00:41:55,000 --> 00:41:55,960 INSIGHTFUL AND CLEAR THINKING IN 1290 00:41:55,960 --> 00:41:57,720 THESE AREAS HAS BEEN CRITICAL 1291 00:41:57,720 --> 00:42:00,920 FOR THE FEDERAL RESPONSE. 1292 00:42:00,920 --> 00:42:02,040 WE ARE PREPARING FOR THE FUTURE 1293 00:42:02,040 --> 00:42:03,520 OF THE NATIONAL LIBRARY OF 1294 00:42:03,520 --> 00:42:03,760 MEDICINE. 1295 00:42:03,760 --> 00:42:05,320 WE WILL REACH OUR 200TH AN VERSE 1296 00:42:05,320 --> 00:42:07,400 REAL IN ABOUT 12, 14 YEARS NOW, 1297 00:42:07,400 --> 00:42:08,800 AND THERE ARE THREE AREAS I WANT 1298 00:42:08,800 --> 00:42:12,440 TO CALL TO YOUR ATTENTION TODAY. 1299 00:42:12,440 --> 00:42:14,120 FIRST, STRENGTHENING OUR 1300 00:42:14,120 --> 00:42:15,440 LEADERSHIP THROUGH STRATEGIC 1301 00:42:15,440 --> 00:42:15,640 HIRES. 1302 00:42:15,640 --> 00:42:16,640 WE'RE IN THE PROCESS OF 1303 00:42:16,640 --> 00:42:18,080 FINALIZING THE APPOINTMENT OF A 1304 00:42:18,080 --> 00:42:20,680 DIRECTOR FOR NCBI, NATIONAL 1305 00:42:20,680 --> 00:42:22,160 CENTER FOR BIOTECHNOLOGY 1306 00:42:22,160 --> 00:42:23,360 INFORMATION, WHO WILL ALSO HOLD 1307 00:42:23,360 --> 00:42:24,920 THE TITLE OF ASSOCIATE DIRECTOR 1308 00:42:24,920 --> 00:42:28,720 OF NLM FOR SCIENTIFIC DATA 1309 00:42:28,720 --> 00:42:29,000 RESOURCES. 1310 00:42:29,000 --> 00:42:31,040 THEE DUAL TITLES REFLECT THE 1311 00:42:31,040 --> 00:42:31,920 IMPORTANT RESPONSIBILITIES OF 1312 00:42:31,920 --> 00:42:33,160 EVERY MEMBER OF OUR LEADERSHIP 1313 00:42:33,160 --> 00:42:34,160 TEAM TO NOT ONLY UNDERSTAND 1314 00:42:34,160 --> 00:42:35,240 THEIR OWN DIVISION AND 1315 00:42:35,240 --> 00:42:36,040 RESPONSIBILITIES BUT ALSO TO 1316 00:42:36,040 --> 00:42:39,560 TAKE A BROAD ONE NLM PERSPECTIVE 1317 00:42:39,560 --> 00:42:42,280 TO FIND LEVERAGING EFFICIENCIES, 1318 00:42:42,280 --> 00:42:44,360 EXPERTISE AROUND THE NLM SO WE 1319 00:42:44,360 --> 00:42:45,400 ADVANCE OUR OVERALL MISSION IN 1320 00:42:45,400 --> 00:42:49,040 ADDITION TO SUPPORTING OUR 1321 00:42:49,040 --> 00:42:49,520 DIVISIONAL ACTIVITIES. 1322 00:42:49,520 --> 00:42:50,960 WE HAVE BEEN ACTIVELY SEARCHING 1323 00:42:50,960 --> 00:42:53,040 FOR A SCIENTIFIC DIRECTOR. 1324 00:42:53,040 --> 00:42:54,560 IN MAY OF THIS YEAR, I BROUGHT 1325 00:42:54,560 --> 00:42:57,320 TO YOU WHAT I THOUGHT WAS GOOD 1326 00:42:57,320 --> 00:42:58,880 NEWS WE WERE IMMINENTLY MAKING 1327 00:42:58,880 --> 00:43:00,280 AN APPOINTMENT FOR SCIENTIFIC 1328 00:43:00,280 --> 00:43:00,920 DIRECTOR. 1329 00:43:00,920 --> 00:43:02,040 WE DID EXTEND AN OFFER. 1330 00:43:02,040 --> 00:43:03,520 THE OFFER WAS DECLINED. 1331 00:43:03,520 --> 00:43:05,360 SO THE SCIENTIFIC DIRECTOR 1332 00:43:05,360 --> 00:43:06,280 SEARCH COMMITTEE CONTINUES WITH 1333 00:43:06,280 --> 00:43:07,480 A TARGETED OUTREACH. 1334 00:43:07,480 --> 00:43:11,760 THIS HE THEY ARE IDENTIFYINGW 1335 00:43:11,760 --> 00:43:14,080 CANDIDATES AND IN THE PROCESS OF 1336 00:43:14,080 --> 00:43:15,160 INTERVIEWING NEW CANDIDATES. 1337 00:43:15,160 --> 00:43:16,760 WE HAVE THREE LEADERSHIP 1338 00:43:16,760 --> 00:43:17,880 POSITIONS THAT ARE IN THE 1339 00:43:17,880 --> 00:43:18,680 PREPLANNING PHASE OF THE 1340 00:43:18,680 --> 00:43:19,120 RECRUITMENT. 1341 00:43:19,120 --> 00:43:21,000 THE FIRST IS THE NLM ASSOCIATE 1342 00:43:21,000 --> 00:43:23,040 DIRECTOR FOR EXTRAMURAL 1343 00:43:23,040 --> 00:43:24,480 PROGRAMS. 1344 00:43:24,480 --> 00:43:25,320 DR. FLORENCE HELD THIS POSITION 1345 00:43:25,320 --> 00:43:26,320 FOR MANY YEARS AND ABOUT TWO 1346 00:43:26,320 --> 00:43:30,000 YEARS AGO, ASSUMED THE ACTING 1347 00:43:30,000 --> 00:43:30,760 SCIENTIFIC DIRECTOR, WHICH 1348 00:43:30,760 --> 00:43:34,400 REQUIRED THAT SHE VACATE HER 1349 00:43:34,400 --> 00:43:35,280 LEADERSHIP IN THE EXTRAMURAL 1350 00:43:35,280 --> 00:43:35,680 PROGRAM. 1351 00:43:35,680 --> 00:43:38,240 WE'VE BEEN VERY PLEASED TO HAVE 1352 00:43:38,240 --> 00:43:39,320 DR. RICHARD PALMER SERVE AS 1353 00:43:39,320 --> 00:43:40,560 ACTING DIRECTOR OF THE 1354 00:43:40,560 --> 00:43:41,320 EXTRAMURAL PROGRAMS. 1355 00:43:41,320 --> 00:43:42,640 WE NEED TO STRENGTHEN THAT 1356 00:43:42,640 --> 00:43:44,320 POSITION AND WE ARE PREPARING 1357 00:43:44,320 --> 00:43:47,600 THE STRATEGY FOR DOING SO. 1358 00:43:47,600 --> 00:43:48,600 THOSE IN THE FEDERAL GOVERNMENT 1359 00:43:48,600 --> 00:43:49,680 CAN IMAGINE WHAT IT'S LIKE TO 1360 00:43:49,680 --> 00:43:50,880 THINK ABOUT RECRUITING WHEN YOU 1361 00:43:50,880 --> 00:43:55,960 HAVE AN INCOUPLE WENT INT 1362 00:43:55,960 --> 00:43:56,520 QUITE IN THE POSITION. 1363 00:43:56,520 --> 00:43:59,920 IT'S A FASCINATING WAY TO 1364 00:43:59,920 --> 00:44:01,040 RECRUIT INDIVIDUALS FRANKLY. 1365 00:44:01,040 --> 00:44:06,280 THE LISTER HILL CENTER FOR 1366 00:44:06,280 --> 00:44:09,480 BIOMEDICAL COMMUNICATIONS IN THE 1367 00:44:09,480 --> 00:44:12,320 LAST 2 1/2 YEARS REORGANIZE 1368 00:44:12,320 --> 00:44:13,560 UNDER AT CLEAR BRANCH STRUCTURE 1369 00:44:13,560 --> 00:44:15,760 OF A RESEARCH BRANCH, THE 1370 00:44:15,760 --> 00:44:16,840 COMPUTATIONAL HEALTH BRANCH, A 1371 00:44:16,840 --> 00:44:20,760 RESEARCH AND DEVELOPMENT BRANCH, 1372 00:44:20,760 --> 00:44:24,520 AND SCIENTIFIC COMPUTING BRANCH. 1373 00:44:24,520 --> 00:44:26,200 DR. BONERAIDER HAS BEEN SERVING 1374 00:44:26,200 --> 00:44:28,880 AS ACTING DIRECTOR WITH 1375 00:44:28,880 --> 00:44:31,560 TREMENDOUS LEADERSHIP IN THIS 1376 00:44:31,560 --> 00:44:31,760 AREA. 1377 00:44:31,760 --> 00:44:33,680 WE DO RECOGNIZE THE NEED FOR A 1378 00:44:33,680 --> 00:44:35,160 PERMANENT DIRECTOR. 1379 00:44:35,160 --> 00:44:37,040 WE ARE SEARCHING FOR DEPUTY 1380 00:44:37,040 --> 00:44:38,800 DIRECTOR FOR OPERATIONS AND 1381 00:44:38,800 --> 00:44:39,240 INNOVATION. 1382 00:44:39,240 --> 00:44:40,520 WE HAVE IN THE PAST ALWAYS HAVE 1383 00:44:40,520 --> 00:44:41,640 TWO DEPUTY DIRECTORS. 1384 00:44:41,640 --> 00:44:42,880 THIS POSITION WILL REPORT TO ME 1385 00:44:42,880 --> 00:44:46,040 AND HAVE OVERSIGHT ON CRITICAL 1386 00:44:46,040 --> 00:44:47,560 PROGRAMS SUCH AS OUR DIVERSITY 1387 00:44:47,560 --> 00:44:49,040 AND EQUITY INITIATIVES, THE 1388 00:44:49,040 --> 00:44:49,760 OPERATIONAL DECISIONS THAT 1389 00:44:49,760 --> 00:44:51,640 IMPREMENT 1390 00:44:51,640 --> 00:44:52,320 IMPLEMENT THE POLICIES THAT 1391 00:44:52,320 --> 00:44:53,920 WE'RE ENGAGED WITH, AND MOST 1392 00:44:53,920 --> 00:44:55,120 IMPORTANTLY, KEEP US FOCUSED ON 1393 00:44:55,120 --> 00:44:57,480 A CONCEPT OF CONTINUOUS 1394 00:44:57,480 --> 00:44:58,200 INNOVATION. 1395 00:44:58,200 --> 00:44:59,600 WE RECOGNIZE THE IMPORTANCE 1396 00:44:59,600 --> 00:45:01,040 ESPECIALLY DURING THIS NEW MODE 1397 00:45:01,040 --> 00:45:03,000 OF WORKING TO CREATE A CULTURE 1398 00:45:03,000 --> 00:45:05,440 OF CONTINUOUS INNOVATION IN AN 1399 00:45:05,440 --> 00:45:07,200 INSTITUTION THAT IS BOTH AS 1400 00:45:07,200 --> 00:45:08,400 VENERABLE AND AS 1401 00:45:08,400 --> 00:45:09,960 FORWARD-THINKING AS THE NATIONAL 1402 00:45:09,960 --> 00:45:10,480 LIBRARY OF MEDICINE IS. 1403 00:45:10,480 --> 00:45:11,880 WE NEED TO INSTILL INNOVATION 1404 00:45:11,880 --> 00:45:15,120 ACROSS OUR ENTIRE WORKFORCE TO 1405 00:45:15,120 --> 00:45:16,920 EMPOWER WORK TEAMS TO BE ABLE TO 1406 00:45:16,920 --> 00:45:19,680 IN AN ACCOUNTABLE FASHION 1407 00:45:19,680 --> 00:45:20,960 ENVISION AND CARRY FORWARD NEW 1408 00:45:20,960 --> 00:45:23,320 IDEAS AND REPLACE OR SUPPLANT OR 1409 00:45:23,320 --> 00:45:25,160 SUNSET WORK THAT IS NO LONGER AS 1410 00:45:25,160 --> 00:45:27,240 CRITICAL OR AS VALUABLE TO OUR 1411 00:45:27,240 --> 00:45:27,800 MISSION. 1412 00:45:27,800 --> 00:45:29,080 PRESENTLY THERE IS A REQUEST FOR 1413 00:45:29,080 --> 00:45:30,360 INFORMATION THAT'S BEEN 1414 00:45:30,360 --> 00:45:32,200 CIRCULATED TO CONDUCT MARKET 1415 00:45:32,200 --> 00:45:34,280 RESEARCH TO INFORM THIS 1416 00:45:34,280 --> 00:45:35,840 INITIATIVE ON INNOVATION. 1417 00:45:35,840 --> 00:45:37,680 WE ENVISION A 9 TO 12 MONTH 1418 00:45:37,680 --> 00:45:40,760 EXERCISE TO STRENGTHEN THE 1419 00:45:40,760 --> 00:45:41,680 ORGANIZATIONAL POSTURE OF 1420 00:45:41,680 --> 00:45:43,680 CONTINUOUS INNOVATION. 1421 00:45:43,680 --> 00:45:45,840 THE RFI WAS RELEASED IN EARLIER 1422 00:45:45,840 --> 00:45:47,560 SEPTEMBER THIS YEAR, AND THE 1423 00:45:47,560 --> 00:45:48,040 RESPONSES ARE DUE 1424 00:45:48,040 --> 00:45:48,480 SEPTEMBER 20TH. 1425 00:45:48,480 --> 00:45:49,920 IF ANY OF YOU ARE INTERESTED, 1426 00:45:49,920 --> 00:45:51,320 PLEASE LET ME, JERRY OR 1427 00:45:51,320 --> 00:45:52,120 CHRISTINE KNOW AND WE'LL BE 1428 00:45:52,120 --> 00:45:53,440 HAPPY TO PROVIDE YOU WITH THE 1429 00:45:53,440 --> 00:45:57,280 LINK TO THAT RFI. 1430 00:45:57,280 --> 00:45:59,360 NLM REMAINS COMMITTED TO 1431 00:45:59,360 --> 00:46:02,000 ADVANCING THE NIH'S COMMITMENT 1432 00:46:02,000 --> 00:46:03,840 TO DIVERSITY, EQUITY, INCLUSION 1433 00:46:03,840 --> 00:46:05,520 AND -- I'M SORRY, ACCESSIBILITY, 1434 00:46:05,520 --> 00:46:07,400 THAT LAST WORD SHOULD BE, NOT 1435 00:46:07,400 --> 00:46:08,680 EQUITY. 1436 00:46:08,680 --> 00:46:09,920 WE DID IN THE SUMMER OF THIS 1437 00:46:09,920 --> 00:46:11,680 YEAR SUBMIT THE NATIONAL LIBRARY 1438 00:46:11,680 --> 00:46:13,440 OF MEDICINE'S RACIAL AND ETHNIC 1439 00:46:13,440 --> 00:46:15,520 EQUITY PLAN, REFERRED TO AS THE 1440 00:46:15,520 --> 00:46:17,200 REEP PLAN, WHICH IS AN EXERCISE 1441 00:46:17,200 --> 00:46:18,600 THAT ALL INSTITUTES AND CENTERS 1442 00:46:18,600 --> 00:46:21,480 AROUND THE NIH HAVE UNDERTAKEN. 1443 00:46:21,480 --> 00:46:26,200 THIS ENGAGED OVER 40 NLM STAFF 1444 00:46:26,200 --> 00:46:27,320 MEMBERS INCLUDING THREE MEMBERS 1445 00:46:27,320 --> 00:46:28,440 OF THE INTRAMURAL RESEARCH 1446 00:46:28,440 --> 00:46:30,600 PROGRAM TO ENSURE THAT DEIA 1447 00:46:30,600 --> 00:46:31,520 ADDRESSED BOTH OPERATIONS AND 1448 00:46:31,520 --> 00:46:32,040 RESEARCH. 1449 00:46:32,040 --> 00:46:34,280 THE REEP PLAN FOCUSES VERY 1450 00:46:34,280 --> 00:46:37,800 CLEARLY ON THE NIH'S WORKFORCE. 1451 00:46:37,800 --> 00:46:38,880 WE HAVE PARALLEL EFFORTS GOING 1452 00:46:38,880 --> 00:46:41,880 ON IN TERMS OF OUR RESEARCH 1453 00:46:41,880 --> 00:46:43,200 PROGRAM, THE OPENNESS AND EQUITY 1454 00:46:43,200 --> 00:46:45,360 OF THE TERMINOLOGIES USED TO 1455 00:46:45,360 --> 00:46:46,640 SEARCH OUR REPOSITORIES AND 1456 00:46:46,640 --> 00:46:51,440 ACCESS TO DATA IN OUR LARGE DATA 1457 00:46:51,440 --> 00:46:51,960 REPOSITORIES. 1458 00:46:51,960 --> 00:46:53,080 OVER THIS PAST SUMMER, THE 1459 00:46:53,080 --> 00:46:54,840 INTRAMURAL RESEARCH PROGRAM 1460 00:46:54,840 --> 00:46:55,920 HOSTED FIVE DATA SCIENCE 1461 00:46:55,920 --> 00:46:56,600 DIVERSITY INTERNS. 1462 00:46:56,600 --> 00:47:00,880 THIS BROUGHT YOUNG PEOPLE FROM 1463 00:47:00,880 --> 00:47:04,640 SCHOOLS THAT SERVE MARGINALLY 1464 00:47:04,640 --> 00:47:05,280 REPRESENTED COMMUNITIES TO THE 1465 00:47:05,280 --> 00:47:06,960 NIH FOR A 10-WEEK EXPERIENCE, 1466 00:47:06,960 --> 00:47:08,160 PARTNERING WITH ONE OF OUR SEEN 1467 00:47:08,160 --> 00:47:08,640 YEAR INVESTIGATORS. 1468 00:47:08,640 --> 00:47:10,000 I WAS REALLY DELIGHTED TO SEE 1469 00:47:10,000 --> 00:47:12,240 THAT WE HAD A LOT OF OUR SENIOR 1470 00:47:12,240 --> 00:47:13,360 INVESTIGATORS WILLING AND READY 1471 00:47:13,360 --> 00:47:16,880 TO BRING THESE YOUNG PEOPLE IN. 1472 00:47:16,880 --> 00:47:17,840 WE FUND RESEARCH IN THE 1473 00:47:17,840 --> 00:47:19,920 COMMUNITY AS WELL AS AT THE NIH, 1474 00:47:19,920 --> 00:47:21,280 AND I WANT TO SPEAK A LITTLE 1475 00:47:21,280 --> 00:47:22,360 ABOUT THE ADVANCES IN OUR 1476 00:47:22,360 --> 00:47:24,480 EXTRAMURAL RESEARCH PROGRAM, 1477 00:47:24,480 --> 00:47:26,120 HIGHLIGHTING FOUR KEY TOPICS. 1478 00:47:26,120 --> 00:47:28,520 FIRST, WE ARE VERY PLEASED TO 1479 00:47:28,520 --> 00:47:30,320 HAVE THE INSTITUTE THAT IS 1480 00:47:30,320 --> 00:47:32,920 OVERSEEING A PIONEER AWARD TO 1481 00:47:32,920 --> 00:47:34,080 DR. SHERRY ROSE, TO DEVELOP A 1482 00:47:34,080 --> 00:47:35,520 FRAMEWORK FOR THE SOCIAL IMPACT 1483 00:47:35,520 --> 00:47:37,800 OF ALGORITHMS IN HEALTHCARE. 1484 00:47:37,800 --> 00:47:39,800 DR. ROSE IS WELL-KNOWN TO THE 1485 00:47:39,800 --> 00:47:41,800 NLM FOR HER WORK IN ARTIFICIAL 1486 00:47:41,800 --> 00:47:45,040 INTELLIGENCE THAT MITIGATES OR 1487 00:47:45,040 --> 00:47:47,440 AT LEAST REDUCES THE CHANCE OF 1488 00:47:47,440 --> 00:47:53,440 INEQUITABLE RESPONSES AND 1489 00:47:53,440 --> 00:47:53,800 RECOMMENDATIONS. 1490 00:47:53,800 --> 00:47:55,200 THIS WILL BROADEN HER WORK 1491 00:47:55,200 --> 00:47:56,440 AROUND A STRUCTURE WHICH OTHER 1492 00:47:56,440 --> 00:47:57,840 INVESTIGATORS CAN EVALUATE THE 1493 00:47:57,840 --> 00:47:58,840 SOCIAL IMPACT OF THEIR 1494 00:47:58,840 --> 00:47:59,920 ALGORITHMS. 1495 00:47:59,920 --> 00:48:01,960 WE'RE ALSO SUPPORTING A VERY 1496 00:48:01,960 --> 00:48:02,920 INNOVATIVE PROGRAM TOWARDS THE 1497 00:48:02,920 --> 00:48:05,680 SMART BIONIC EYE. 1498 00:48:05,680 --> 00:48:06,320 AI-POWERED ARTIFICIAL VISION FOR 1499 00:48:06,320 --> 00:48:08,640 THE TREATMENT OF INCURABLE 1500 00:48:08,640 --> 00:48:08,920 BLINDNESS. 1501 00:48:08,920 --> 00:48:14,440 THIS IS AN NIH INNOVATORS AWARD, 1502 00:48:14,440 --> 00:48:16,560 AND THIS IS A WAY TO MOVE AWAY 1503 00:48:16,560 --> 00:48:19,400 FROM THE BIOLOGICALLY BASED OR 1504 00:48:19,400 --> 00:48:21,040 PHYSIOLOGICALLY BASED ARTIFICIAL 1505 00:48:21,040 --> 00:48:24,040 VISION TO ACTUALLY INCREASING 1506 00:48:24,040 --> 00:48:24,720 THE VISUAL INTERPRETATION 1507 00:48:24,720 --> 00:48:26,640 THROUGH A.I. AND MAKING A 1508 00:48:26,640 --> 00:48:27,680 CONNECTION THROUGH NEURAL 1509 00:48:27,680 --> 00:48:28,320 PROCESSES. 1510 00:48:28,320 --> 00:48:29,560 WE'RE EXCITED TO SEE HOW THIS 1511 00:48:29,560 --> 00:48:30,520 WORK MAY OCCUR. 1512 00:48:30,520 --> 00:48:31,880 IT REPRESENTS A SIGNIFICANT 1513 00:48:31,880 --> 00:48:34,720 CHANGE IN THE EFFORTS OF HELPING 1514 00:48:34,720 --> 00:48:37,560 THOSE WHO ARE VISION-IMPAIRED. 1515 00:48:37,560 --> 00:48:39,200 UNDER DR. PALMER'S DIRECTION, WE 1516 00:48:39,200 --> 00:48:40,080 RELEASED SOMETHING CALLED THE 1517 00:48:40,080 --> 00:48:42,000 SHORT TERM RESEARCH EDUCATION 1518 00:48:42,000 --> 00:48:43,440 EXPERIENCES TO ATTRACT TALENTED 1519 00:48:43,440 --> 00:48:46,320 STUDENTS TO BIOMEDICAL 1520 00:48:46,320 --> 00:48:47,280 INFORMATICS DATA SCIENCE CAREERS 1521 00:48:47,280 --> 00:48:48,520 AND ENHANCE DIVERSITY. 1522 00:48:48,520 --> 00:48:50,440 WE MADE 12 AWARDS IN THE PAST 1523 00:48:50,440 --> 00:48:50,680 MONTH. 1524 00:48:50,680 --> 00:48:52,240 THEY'RE MARKED ON THE MAP ON THE 1525 00:48:52,240 --> 00:48:54,560 SCREEN IN FRONT OF YOU, TO REACH 1526 00:48:54,560 --> 00:48:56,440 AREAS AND REACH YOUNG PEOPLE 1527 00:48:56,440 --> 00:48:58,000 ADDRESSING THOSE WHO ARE NOT 1528 00:48:58,000 --> 00:49:00,200 TRADITIONALLY REPRESENTED IN THE 1529 00:49:00,200 --> 00:49:01,400 BIOMEDICAL AND DATA SCIENCE 1530 00:49:01,400 --> 00:49:04,960 WORKFORCE. 1531 00:49:04,960 --> 00:49:06,560 FINALLY, WE CONTINUE OUR T15 1532 00:49:06,560 --> 00:49:07,000 TRAINING SUPPORT. 1533 00:49:07,000 --> 00:49:08,920 WE HAD OUR FIRST IN-PERSON 1534 00:49:08,920 --> 00:49:10,080 CONFERENCE WITH OUR T15 1535 00:49:10,080 --> 00:49:11,000 TRAININGS. 1536 00:49:11,000 --> 00:49:12,440 DR. PALMER AND HIS TEAM ARE 1537 00:49:12,440 --> 00:49:13,280 WORKING WITH THE TRAINING 1538 00:49:13,280 --> 00:49:14,160 DIRECTORS TO UNDERSTAND THE BEST 1539 00:49:14,160 --> 00:49:16,160 WAY TO SUPPORT OUR TRAINEES, 1540 00:49:16,160 --> 00:49:17,600 CONSIDERING MODIFICATIONS, FOR 1541 00:49:17,600 --> 00:49:18,560 EXAMPLE, IN DIFFERENT 1542 00:49:18,560 --> 00:49:20,120 FLEXIBILITIES TO ALLOW TRAINEES 1543 00:49:20,120 --> 00:49:21,600 TO ATTEND MEETINGS THAT ARE 1544 00:49:21,600 --> 00:49:22,480 TOPICALLY RELEVANT AS WELL AS 1545 00:49:22,480 --> 00:49:23,800 THOSE THAT ARE RELEVANT TO THE 1546 00:49:23,800 --> 00:49:26,200 TRAINING PROGRAM. 1547 00:49:26,200 --> 00:49:28,520 AT MOST OF OUR MEETINGS, I'M 1548 00:49:28,520 --> 00:49:29,760 DELIGHTED TO BRING YOU A VIDEO 1549 00:49:29,760 --> 00:49:31,040 THAT SHOWCASES SOME OF OUR WORK 1550 00:49:31,040 --> 00:49:33,520 AND NOW I WOULD LIKE TO SHOWCASE 1551 00:49:33,520 --> 00:49:35,160 OUR WORK GOING ON AT THE 1552 00:49:35,160 --> 00:49:37,680 UNIVERSITY OF MICHIGAN. 1553 00:49:37,680 --> 00:49:47,560 DERRICK? 1554 00:49:47,560 --> 00:49:49,960 >> MY PROPOSAL TO THE NATIONAL 1555 00:49:49,960 --> 00:49:51,960 LIBRARY OF MEDICINE WAS TO 1556 00:49:51,960 --> 00:49:56,120 DEVELOP AND DESIGN ARTIFICIAL 1557 00:49:56,120 --> 00:49:57,000 INTELLIGENCE, SPECIFICALLY A 1558 00:49:57,000 --> 00:49:58,440 COMPUTER VISION MODEL WHICH 1559 00:49:58,440 --> 00:50:01,880 COULD LOOK AT A PICTURE OF PILLS 1560 00:50:01,880 --> 00:50:03,840 INSIDE A MEDICATION BOTTLE AND 1561 00:50:03,840 --> 00:50:07,480 ACCURATELY IDENTIFY THE CONTENTS 1562 00:50:07,480 --> 00:50:08,240 OF THAT BOTTLE. 1563 00:50:08,240 --> 00:50:10,520 WE ARE TESTING HOW THAT MODEL 1564 00:50:10,520 --> 00:50:12,680 CAN BE USED IN COLLABORATION 1565 00:50:12,680 --> 00:50:14,200 WITH THE HUMAN, SO THAT ERRORS 1566 00:50:14,200 --> 00:50:16,000 DON'T HAPPEN IN THE PHARMACY. 1567 00:50:16,000 --> 00:50:18,400 >> HOW DO YOU TEACH A MACHINE? 1568 00:50:18,400 --> 00:50:19,840 IF YOU WANT A MACHINE TO 1569 00:50:19,840 --> 00:50:21,680 DIFFERENTIATE BETWEEN AN ANOMALY 1570 00:50:21,680 --> 00:50:23,200 IN MEDICAL DISPENSING OR NOT, 1571 00:50:23,200 --> 00:50:24,800 WHAT YOU DO IS YOU GIVE THE 1572 00:50:24,800 --> 00:50:26,960 MACHINE IMAGES OF ANOMALIES, YOU 1573 00:50:26,960 --> 00:50:29,120 GIVE THE MACHINE IMAGES OF GOOD 1574 00:50:29,120 --> 00:50:30,200 MEDICATIONS, AND YOU TELL THEM, 1575 00:50:30,200 --> 00:50:31,600 THIS IS GOOD, THIS IS BAD. 1576 00:50:31,600 --> 00:50:34,120 WHEN THE ALGORITHM CAN MAKE THIS 1577 00:50:34,120 --> 00:50:35,720 LINK, THEN IF YOU GIVE THE 1578 00:50:35,720 --> 00:50:37,800 ALGORITHM A NEW IMAGE, THE 1579 00:50:37,800 --> 00:50:41,160 ALGORITHM CAN PREDICT THIS IMAGE 1580 00:50:41,160 --> 00:50:42,520 BELONGS TO WHICH CLASS, IS IT 1581 00:50:42,520 --> 00:50:43,760 THE GOOD GROUP OR THE BAD GROUP. 1582 00:50:43,760 --> 00:50:45,680 SO FUNDAMENTALLY, IT'S A 1583 00:50:45,680 --> 00:50:47,640 MATCHING DECISION. 1584 00:50:47,640 --> 00:50:50,240 DONE IN A FANCY MATHEMATIC WAY. 1585 00:50:50,240 --> 00:50:51,680 >> THE WAY WE SEE THIS BEING 1586 00:50:51,680 --> 00:50:52,600 IMPLEMENTED IS ONCE WE HAVE THAT 1587 00:50:52,600 --> 00:50:54,560 PICTURE OF PILLS IN THE BOTTLE, 1588 00:50:54,560 --> 00:50:56,200 WE CAN USE THIS MODEL TO PREDICT 1589 00:50:56,200 --> 00:50:58,160 WHAT MEDICATION IS IN THAT IMAGE 1590 00:50:58,160 --> 00:51:00,000 AND CROSS-REFERENCE IT WITH THE 1591 00:51:00,000 --> 00:51:01,400 EXPECTED OR INTENDED MEDICATION 1592 00:51:01,400 --> 00:51:03,240 THAT WAS SUPPOSED TO BE FILLED. 1593 00:51:03,240 --> 00:51:05,000 IN THIS WAY, WE CAN SUPPORT 1594 00:51:05,000 --> 00:51:06,320 PHARMACISTS IN THEIR 1595 00:51:06,320 --> 00:51:08,240 DOUBLE-CHECK VERIFICATION OF THE 1596 00:51:08,240 --> 00:51:09,520 PATIENT GETTING THE RIGHT PILL 1597 00:51:09,520 --> 00:51:10,440 IN THE RIGHT BOTTLE. 1598 00:51:10,440 --> 00:51:12,280 >> THE RESULTS WERE SURPRISINGLY 1599 00:51:12,280 --> 00:51:13,680 POSITIVE. 1600 00:51:13,680 --> 00:51:17,160 AND WE FOUND THAT OUR ALGORITHM 1601 00:51:17,160 --> 00:51:21,440 CAN PREDICT WITH AN ACCURACY 1602 00:51:21,440 --> 00:51:22,160 ABOVE 99.5%. 1603 00:51:22,160 --> 00:51:23,400 BUT ONE THING THAT WE ARE AFRAID 1604 00:51:23,400 --> 00:51:27,680 OF, EVEN THOUGH 0.5% CAN BE 1605 00:51:27,680 --> 00:51:29,680 CRITICAL, OUR HOPE IS THAT IN 1606 00:51:29,680 --> 00:51:31,360 THOSE CASES WHERE THE ALGORITHM 1607 00:51:31,360 --> 00:51:33,160 IS WRONG, THE ALGORITHM CAN TELL 1608 00:51:33,160 --> 00:51:34,600 US THAT IT IS NOT CONFIDENT IN 1609 00:51:34,600 --> 00:51:36,200 ITS RESULTS. 1610 00:51:36,200 --> 00:51:37,520 THEN AT LEAST THE HUMAN CAN 1611 00:51:37,520 --> 00:51:38,400 DOUBLE-CHECK. 1612 00:51:38,400 --> 00:51:45,840 >> OUR NEXT STEP IS TO WITH 1613 00:51:45,840 --> 00:51:48,600 PHARMACISTS, HAVING TO TRACK HOW 1614 00:51:48,600 --> 00:51:49,680 THEIR TRUST CHANGES OVER TIME ON 1615 00:51:49,680 --> 00:51:50,800 A TRIAL TO TRIAL BASIS. 1616 00:51:50,800 --> 00:51:53,800 SO THROUGH THE EXPERIMENT, WE 1617 00:51:53,800 --> 00:51:55,520 CAN COLLECT PARTICIPANTS' 1618 00:51:55,520 --> 00:51:58,160 RESPONSES, THEIR PHYSIOLOGICAL 1619 00:51:58,160 --> 00:52:00,400 SIGNALS, AND WE WANT TO USE EYE 1620 00:52:00,400 --> 00:52:02,160 TRACKING AND BY ANALYZING THEIR 1621 00:52:02,160 --> 00:52:03,800 RESPONSES AND SEEING THOSE, WE 1622 00:52:03,800 --> 00:52:05,560 CAN TRACK HOW THEIR TRUST 1623 00:52:05,560 --> 00:52:07,800 CHANGES OVER TIME, HOW THEIR 1624 00:52:07,800 --> 00:52:09,000 BEHAVIORS, THEIR PERFORMANCE 1625 00:52:09,000 --> 00:52:09,800 CHANGES OVER TIME. 1626 00:52:09,800 --> 00:52:12,000 >> THE ULTIMATE GOAL OF THIS 1627 00:52:12,000 --> 00:52:14,080 PROJECT IS TO DEVELOP SAFER 1628 00:52:14,080 --> 00:52:16,400 SYSTEMS THAT CAN BE USED TO SAVE 1629 00:52:16,400 --> 00:52:17,680 LIVES AND PREVENT MEDICATION 1630 00:52:17,680 --> 00:52:18,840 ERRORS FROM CAUSING HARM TO 1631 00:52:18,840 --> 00:52:21,360 PATIENTS. 1632 00:52:21,360 --> 00:52:22,680 >> IT MAKES SENSE TO ME. 1633 00:52:22,680 --> 00:52:24,400 AS AN ENGINEER, I BELIEVE OUR 1634 00:52:24,400 --> 00:52:25,880 ULTIMATE MISSION IS TO PROPOSE 1635 00:52:25,880 --> 00:52:27,080 SOLUTIONS THAT CAN BE USED TO 1636 00:52:27,080 --> 00:52:28,520 ENHANCE PEOPLE'S LIFE. 1637 00:52:28,520 --> 00:52:29,920 BEING PART OF THE PROJECT IS 1638 00:52:29,920 --> 00:52:30,320 DOING JUST THAT. 1639 00:52:30,320 --> 00:52:33,440 >> THE NATIONAL NATIONAL LF 1640 00:52:33,440 --> 00:52:34,080 MEDICINE'S FINANCIAL SUPPORT OF 1641 00:52:34,080 --> 00:52:35,520 THIS PROJECT HAS REALLY BEEN 1642 00:52:35,520 --> 00:52:36,080 INVALUABLE. 1643 00:52:36,080 --> 00:52:37,840 SO REALLY, THEY'VE BEEN 1644 00:52:37,840 --> 00:52:39,240 INSTRUMENTAL IN MAKING ALL OF 1645 00:52:39,240 --> 00:52:41,680 THIS RESEARCH POSSIBLE. 1646 00:52:41,680 --> 00:52:42,920 >> WITHOUT THAT, WE WOULD NOT 1647 00:52:42,920 --> 00:52:44,800 HAVE HAD THE CAPABILITY TO 1648 00:52:44,800 --> 00:52:46,600 COLLECT ALL THIS DATA TO DO ALL 1649 00:52:46,600 --> 00:52:48,440 THIS ANALYSIS. 1650 00:52:48,440 --> 00:52:49,640 AND GENERATE THE 1651 00:52:49,640 --> 00:52:53,640 PROMISING RESULTS WE HAVE RIGHT 1652 00:52:53,640 --> 00:52:59,400 NOW. 1653 00:52:59,400 --> 00:53:00,840 >> I'M SO PROUD OF OUR 1654 00:53:00,840 --> 00:53:01,520 INVESTIGATORS AND SO PLEASED 1655 00:53:01,520 --> 00:53:03,160 THAT WE'RE ABLE TO BRING THIS 1656 00:53:03,160 --> 00:53:05,280 KIND OF APPLICATION OF A.I. TO A 1657 00:53:05,280 --> 00:53:07,960 NEW COMMUNITY. 1658 00:53:07,960 --> 00:53:09,360 I WANTED TO TAKE A FEW MINUTES 1659 00:53:09,360 --> 00:53:10,880 TO TELL YOU WHAT'S BEEN 1660 00:53:10,880 --> 00:53:11,960 HAPPENING WITH OUR NLM 1661 00:53:11,960 --> 00:53:12,840 RESOURCES. 1662 00:53:12,840 --> 00:53:14,880 WE'VE BEEN BUSY OVER THE SUMMER. 1663 00:53:14,880 --> 00:53:17,480 ONE OF THE MOST EXCITING THINGS 1664 00:53:17,480 --> 00:53:19,440 THAT'S HAPPENED FROM THE LISTER 1665 00:53:19,440 --> 00:53:21,640 HILL CENTER IS THEY MAPPED THE 1666 00:53:21,640 --> 00:53:24,560 MODELS FROM FOUR DIFFERENT 1667 00:53:24,560 --> 00:53:30,480 CRITICAL DATA SYSTEMS TO A 1668 00:53:30,480 --> 00:53:31,160 STANDARD DATA MODEL. 1669 00:53:31,160 --> 00:53:32,880 THIS IMPROVES INTEROPERABILITY 1670 00:53:32,880 --> 00:53:34,120 AND ACTUALLY PROVIDES SOME TESTS 1671 00:53:34,120 --> 00:53:36,560 OF WHAT MIGHT BE FEASIBLE IN THE 1672 00:53:36,560 --> 00:53:36,800 FUTURE. 1673 00:53:36,800 --> 00:53:37,720 WE'VE BEEN VERY MUCH INVOLVED 1674 00:53:37,720 --> 00:53:41,280 WITH THE PUBLIC HEALTH RESPONSE. 1675 00:53:41,280 --> 00:53:42,760 THE GENBANK RELEASED SEQUENCES 1676 00:53:42,760 --> 00:53:43,640 FROM TWO CRITICAL VIRAL 1677 00:53:43,640 --> 00:53:44,840 OUTBREAKS THAT ARE HAPPENING 1678 00:53:44,840 --> 00:53:46,080 THIS SUMMER. 1679 00:53:46,080 --> 00:53:46,960 THESE REFERENCE SEQUENCES 1680 00:53:46,960 --> 00:53:48,400 ADDRESS BOTH THE POLIO VIRUS AND 1681 00:53:48,400 --> 00:53:49,960 THE MONKEYPOX. 1682 00:53:49,960 --> 00:53:52,000 WITHIN THE LIBRARY OPERATIONS, 1683 00:53:52,000 --> 00:53:54,280 WE ENHANCED THE MESH AND HEALTH 1684 00:53:54,280 --> 00:53:55,920 TERMINOLOGIES WITH RESPONSIVE 1685 00:53:55,920 --> 00:53:56,680 TERMINOLOGY ENHANCEMENTS TO MAKE 1686 00:53:56,680 --> 00:53:58,120 SURE THE MONKEYPOX TERMS WERE 1687 00:53:58,120 --> 00:54:01,000 VISIBLE IN OUR DATASETS. 1688 00:54:01,000 --> 00:54:02,680 IN TERMS OF TECHNICAL ADVANCES, 1689 00:54:02,680 --> 00:54:04,360 DB GAP, ONE OF OUR IMPORTANT 1690 00:54:04,360 --> 00:54:05,880 RESOURCES, THE DATABASE OF 1691 00:54:05,880 --> 00:54:09,920 GENOTYPES AND PHENOTYPES, NOW IS 1692 00:54:09,920 --> 00:54:11,000 ALLOWING INVESTIGATORS TO ACCESS 1693 00:54:11,000 --> 00:54:12,520 THE SERVICES THROUGH A SINGLE 1694 00:54:12,520 --> 00:54:12,960 SIGN-ON. 1695 00:54:12,960 --> 00:54:14,920 THE RAS, THE RESEARCH 1696 00:54:14,920 --> 00:54:15,640 AUTHENTICATION SERVICE, AND 1697 00:54:15,640 --> 00:54:20,680 WE'RE ALSO WORKING TO MAKE DBGAP 1698 00:54:20,680 --> 00:54:21,000 FHIR-ENABLED. 1699 00:54:21,000 --> 00:54:22,360 WE'LL BE HEARING A LOT MORE 1700 00:54:22,360 --> 00:54:23,600 ABOUT THE COMPARATIVE GENOMICS 1701 00:54:23,600 --> 00:54:23,920 RESOURCE. 1702 00:54:23,920 --> 00:54:25,400 THIS IS AN INVESTMENT 1703 00:54:25,400 --> 00:54:26,640 SPECIFICALLY TO BETTER 1704 00:54:26,640 --> 00:54:27,800 UNDERSTAND AND SUPPORT 1705 00:54:27,800 --> 00:54:28,800 COMPARATIVE GENOMICS BUT THE 1706 00:54:28,800 --> 00:54:30,000 RESOURCES THAT WE'RE BUILDING 1707 00:54:30,000 --> 00:54:31,720 UNDERNEATH THIS PROJECT HAVE 1708 00:54:31,720 --> 00:54:33,440 BROAD SERVICE ACROSS THE NLM, SO 1709 00:54:33,440 --> 00:54:34,960 WE'RE VERY PLEASED ABOUT HOW 1710 00:54:34,960 --> 00:54:37,160 THIS WORK IS ADVANCING OR 1711 00:54:37,160 --> 00:54:38,280 OVERALL PROTOCOL. 1712 00:54:38,280 --> 00:54:40,400 THE CLINVAR GRAPHICAL DISPLAY 1713 00:54:40,400 --> 00:54:41,920 NOW HAS AN OPPORTUNITY TO 1714 00:54:41,920 --> 00:54:44,720 HIGHLIGHT VERY SPECIFIC VARIANTS 1715 00:54:44,720 --> 00:54:46,040 WITHIN A GENE AND ALLOWS 1716 00:54:46,040 --> 00:54:47,120 INVESTIGATORS TO GET TO A LOCUS 1717 00:54:47,120 --> 00:54:50,840 OF INTEREST VERY QUICKLY. 1718 00:54:50,840 --> 00:54:52,480 CLINICAL TRIALS.DPOF, WHICH 1719 00:54:52,480 --> 00:54:53,400 WE'LL BE GETTING A LITTLE MORE 1720 00:54:53,400 --> 00:54:54,520 INFORMATION ABOUT THE 1721 00:54:54,520 --> 00:54:56,160 MODERNIZATION PROCESS TODAY, 1722 00:54:56,160 --> 00:55:00,480 LAUNCHED A BETA SITE, ADVANCE AD 1723 00:55:00,480 --> 00:55:01,240 SEARCH TOOL WHICH USERS HAVE 1724 00:55:01,240 --> 00:55:02,880 BEEN ASKING FOR AS WELL AS A 1725 00:55:02,880 --> 00:55:04,160 PROTOCOL SUBMISSION SYSTEM THAT 1726 00:55:04,160 --> 00:55:06,120 HAS BEEN MUCH EASIER FOR 1727 00:55:06,120 --> 00:55:13,680 INVESTIGATORS TO USE. 1728 00:55:13,680 --> 00:55:16,200 WE HELPED THE HHS CREATE A BUY 1729 00:55:16,200 --> 00:55:18,480 OG FEE ON LONG COVID RESEARCH 1730 00:55:18,480 --> 00:55:19,240 SUPPORTED BY THE FEDERAL 1731 00:55:19,240 --> 00:55:19,920 GOVERNMENT. 1732 00:55:19,920 --> 00:55:21,520 YOU MAY BE AWARE THERE'S REALLY 1733 00:55:21,520 --> 00:55:23,240 NO GOOD DEFINITION OF WHAT IS 1734 00:55:23,240 --> 00:55:25,200 LONG COVID, SO OUR LIBRARY 1735 00:55:25,200 --> 00:55:26,760 SCIENCE TEAMS CAME TOGETHER WITH 1736 00:55:26,760 --> 00:55:28,440 OUR FEDERAL COLLEAGUES AND PUT 1737 00:55:28,440 --> 00:55:30,320 THAT BIBLIOGRAPHY TOGETHER. 1738 00:55:30,320 --> 00:55:33,040 IT'S AVAILABLE, THESE SLEEDZ 1739 00:55:33,040 --> 00:55:35,720 WILL BE DISTRIBUTED TO YOU. 1740 00:55:35,720 --> 00:55:37,400 WE'RE VERY EXCITED TO SAY THAT 1741 00:55:37,400 --> 00:55:38,880 NLM MEETING ROOM WILL BE OPEN AS 1742 00:55:38,880 --> 00:55:39,840 OF OCTOBER 1ST. 1743 00:55:39,840 --> 00:55:41,480 NOW IT GOING TO BE A TEMPORARY 1744 00:55:41,480 --> 00:55:43,000 READING ROOM, YOU SEE IT PRETTY 1745 00:55:43,000 --> 00:55:43,760 SPARSELY SET UP. 1746 00:55:43,760 --> 00:55:45,600 IT IS OPEN ONLY BY APPOINTMENT 1747 00:55:45,600 --> 00:55:46,920 BUT THIS WILL ALLOW OUR 1748 00:55:46,920 --> 00:55:49,000 RESOURCES TO BE ACCESSED BY 1749 00:55:49,000 --> 00:55:50,920 OTHERS MORE QUICKLY. 1750 00:55:50,920 --> 00:55:52,320 I HAVE MIXED NEWS ABOUT THE 1751 00:55:52,320 --> 00:55:52,800 BUDGET. 1752 00:55:52,800 --> 00:55:55,840 WE ARE STILL IN THE PROCESS OF 1753 00:55:55,840 --> 00:55:58,320 HAVING NO SPECIFIC BUDGET FOR 1754 00:55:58,320 --> 00:55:59,160 FISCAL '23 SO WE ARE LIKELY TO 1755 00:55:59,160 --> 00:56:00,160 HAVE A CONTINUING RESOLUTION. 1756 00:56:00,160 --> 00:56:01,720 IF YOU LOOK AT THE BLUE ON THE 1757 00:56:01,720 --> 00:56:02,920 BOTTOM LINE, YOU'LL SEE THE 1758 00:56:02,920 --> 00:56:05,160 HOUSE AND THE SENATE NUMBERS ARE 1759 00:56:05,160 --> 00:56:06,000 PRETTY CLOSE TOGETHER. 1760 00:56:06,000 --> 00:56:08,120 SOME VARIATION OF $494 MILLION, 1761 00:56:08,120 --> 00:56:10,040 WHICH IS GREAT NEWS FOR ME SINCE 1762 00:56:10,040 --> 00:56:13,000 THIS IS ALMOST $100 MILLION 1763 00:56:13,000 --> 00:56:14,120 INCREASED SINCE I JOINED THE 1764 00:56:14,120 --> 00:56:14,680 LIBRARY SIX YEARS AGO. 1765 00:56:14,680 --> 00:56:15,880 THE PRESIDENT'S BUDGET IS A 1766 00:56:15,880 --> 00:56:16,440 LITTLE BIT LOWER. 1767 00:56:16,440 --> 00:56:18,040 THIS IS REALLY MORE AN ARTIFACT 1768 00:56:18,040 --> 00:56:19,480 OF WHEN THE BUDGETS GET 1769 00:56:19,480 --> 00:56:20,760 DEVELOPED THAN IT IS ACTUALLY A 1770 00:56:20,760 --> 00:56:22,200 RISK THAT WE WILL HAVE THAT MUCH 1771 00:56:22,200 --> 00:56:23,520 OF A LOSS IN OUR BUDGET. 1772 00:56:23,520 --> 00:56:27,120 IF YOU LOOK OVER THE LAST WE GO 1773 00:56:27,120 --> 00:56:28,680 NOW ALMOST EIGHT YEARS BACK, THE 1774 00:56:28,680 --> 00:56:29,800 PRESIDENT'S BUDGET LINE IS THE 1775 00:56:29,800 --> 00:56:31,200 BLUE LINE, THE HOUSE AND THE 1776 00:56:31,200 --> 00:56:33,040 SENATE ARE RESPECTIVELY THE GREY 1777 00:56:33,040 --> 00:56:34,480 AND THE YELLOW LINES, AND WE 1778 00:56:34,480 --> 00:56:36,600 CONTINUE TO SHOW GROWTH EVEN 1779 00:56:36,600 --> 00:56:37,520 THOUGH THE PRESIDENT'S BUDGET 1780 00:56:37,520 --> 00:56:38,920 DOESN'T ALWAYS KEEP UP TO 1781 00:56:38,920 --> 00:56:41,040 EXACTLY WHERE WE WANT TO BE. 1782 00:56:41,040 --> 00:56:44,440 I'M EXCITED TO ANNOUNCE SEVERAL 1783 00:56:44,440 --> 00:56:45,640 PERSONNEL UPDATE. 1784 00:56:45,640 --> 00:56:46,640 DR. RANDY MILLER KNOWN TO MANY 1785 00:56:46,640 --> 00:56:48,880 YOU HAVE AS A LEADING EXPERT 1786 00:56:48,880 --> 00:56:49,800 INTERNATIONALLY IN BIOMEDICAL 1787 00:56:49,800 --> 00:56:51,760 INFORMATICS HAS JOINED THE 1788 00:56:51,760 --> 00:56:53,480 APPLIED INFORMATICS BRANCH AS A 1789 00:56:53,480 --> 00:56:54,880 CONSULTANT AND A CONTRACTOR, 1790 00:56:54,880 --> 00:56:56,640 BRINGING HIS EXPERTISE TO LOOK 1791 00:56:56,640 --> 00:56:58,720 AT OUR RXNORM AND SOME OF OUR 1792 00:56:58,720 --> 00:56:59,400 TERMINOLOGY SYSTEMS. 1793 00:56:59,400 --> 00:57:01,520 WE'RE DELIGHTED TO HAVE HIM ON 1794 00:57:01,520 --> 00:57:02,360 BOARD. 1795 00:57:02,360 --> 00:57:03,560 AMANDA WILSON, WHO'S BEEN WITH 1796 00:57:03,560 --> 00:57:05,080 US NOW ACTUALLY FOR FIVE YEARS, 1797 00:57:05,080 --> 00:57:08,240 HAS BEEN APPOINTED THE DEPUTY 1798 00:57:08,240 --> 00:57:09,560 ASSOCIATE DIRECTOR FOR LIBRARY 1799 00:57:09,560 --> 00:57:10,520 OPERATIONS REFLECTING A BROADER 1800 00:57:10,520 --> 00:57:13,120 MANDATE FOR MANAGEMENT, 1801 00:57:13,120 --> 00:57:14,560 PERSONNEL AND BUDGET DECISIONS. 1802 00:57:14,560 --> 00:57:15,920 HER LEADERSHIP IS MUCH VALUED BY 1803 00:57:15,920 --> 00:57:16,840 THE NLM. 1804 00:57:16,840 --> 00:57:19,440 WE HAVE SOME NEW HIRES AND 1805 00:57:19,440 --> 00:57:20,280 PROMOTIONS TO TELL YOU ABOUT. 1806 00:57:20,280 --> 00:57:21,800 THREE OF THESE ARE IN THE 1807 00:57:21,800 --> 00:57:31,680 EXTRAMURAL PROGRAM. 1808 00:57:31,680 --> 00:57:32,360 ALISON DENNIS -- KEVIN GATES IN 1809 00:57:32,360 --> 00:57:33,920 THE OFFICE OF COMPUTER AND 1810 00:57:33,920 --> 00:57:34,760 COMMUNICATIONS SYSTEMS FOR MANY 1811 00:57:34,760 --> 00:57:36,760 YEARS NOW HAS BEEN APPOINTED TO 1812 00:57:36,760 --> 00:57:38,160 CHIEF ASSISTANCE TECHNOLOGY 1813 00:57:38,160 --> 00:57:39,880 BRANCH AFTER A SEARCH. 1814 00:57:39,880 --> 00:57:42,960 WE'RE ALSO THRILLED TO HAVE FIVE 1815 00:57:42,960 --> 00:57:44,480 NEW NLM ASSOCIATE FELLOWS. 1816 00:57:44,480 --> 00:57:46,320 NLM ASSOCIATE FELLOWS SPEND A 1817 00:57:46,320 --> 00:57:48,040 YEAR AT THE NLM, EITHER 1818 00:57:48,040 --> 00:57:49,440 PHYSICALLY OR VIRTUALLY, WORKING 1819 00:57:49,440 --> 00:57:51,040 ON SPECIALIZED PROJECTS TO 1820 00:57:51,040 --> 00:57:52,920 EXPAND THEIR SKILLS IN LIBRARY 1821 00:57:52,920 --> 00:57:53,240 SCIENCE. 1822 00:57:53,240 --> 00:57:54,680 WE'RE DELIGHTED TO HAVE THIS 1823 00:57:54,680 --> 00:57:55,760 SHARP TEAM OF YOUNG PEOPLE 1824 00:57:55,760 --> 00:57:57,160 JOINING US NOW. 1825 00:57:57,160 --> 00:58:04,480 I WANT TO TURN TO A POLICY AND 1826 00:58:04,480 --> 00:58:05,560 LEGISLATION UPDATE. 1827 00:58:05,560 --> 00:58:07,400 >> THANK YOU, PATTI. 1828 00:58:07,400 --> 00:58:08,960 AND GOOD MORNING. 1829 00:58:08,960 --> 00:58:11,360 GLAD TO BE WITH YOU THIS 1830 00:58:11,360 --> 00:58:11,880 MORNING. 1831 00:58:11,880 --> 00:58:13,680 I WANTED TO SHARE SOME BRIEF 1832 00:58:13,680 --> 00:58:15,680 POLICY AND LEGISLATIVE UPDATES 1833 00:58:15,680 --> 00:58:17,200 AS ALWAYS, I ENCOURAGE YOU TO 1834 00:58:17,200 --> 00:58:18,760 REVIEW THE WRITTEN UPDATE WE 1835 00:58:18,760 --> 00:58:24,960 PROVIDE FOR MORE DETAILS AS WELL 1836 00:58:24,960 --> 00:58:31,440 AS MORE INFORMATION. 1837 00:58:31,440 --> 00:58:34,000 >> SO I DID WANT TO PROVIDE AN 1838 00:58:34,000 --> 00:58:36,320 UPDATE THAT IS NOT ON THE SLIDE, 1839 00:58:36,320 --> 00:58:40,120 AND I AM PUTTING A LINK IN THE 1840 00:58:40,120 --> 00:58:41,280 CHAT, BUT YESTERDAY THE 1841 00:58:41,280 --> 00:58:42,440 PRESIDENT ISSUED AN EXECUTIVE 1842 00:58:42,440 --> 00:58:45,320 ORDER TO ADVANCE BIOTECHNOLOGY 1843 00:58:45,320 --> 00:58:47,400 AND BIOMANUFACTURING TOWARD 1844 00:58:47,400 --> 00:58:50,920 INNOVATIVE SOLUTIONS IN VARIOUS 1845 00:58:50,920 --> 00:58:52,320 SECTORS OF THE U.S. ECONOMY 1846 00:58:52,320 --> 00:58:53,000 INCLUDING HEALTH AS WELL AS 1847 00:58:53,000 --> 00:58:54,280 NATIONAL AND ECONOMIC SECURITY. 1848 00:58:54,280 --> 00:58:55,920 THE EXECUTIVE ORDER TOUCHES ON 1849 00:58:55,920 --> 00:58:59,640 SEVERAL AREAS OF INTEREST TO 1850 00:58:59,640 --> 00:59:02,960 NLM, INCLUDING CROSS-GOVERNMENT 1851 00:59:02,960 --> 00:59:03,280 COORDINATION. 1852 00:59:03,280 --> 00:59:04,840 IN PARTICULAR, I WANTED TO DRAW 1853 00:59:04,840 --> 00:59:06,600 YOUR ATTENTION TO SECTION 1854 00:59:06,600 --> 00:59:07,920 4 FOCUSED ON DATA FOR THE 1855 00:59:07,920 --> 00:59:10,080 BIOECONOMY, INCLUDING ENSURING 1856 00:59:10,080 --> 00:59:13,640 THAT HIGH QUALITY SECURE 1857 00:59:13,640 --> 00:59:15,520 DATASETS ARE EASILY ACCESSIBLE 1858 00:59:15,520 --> 00:59:18,240 FOR BREAKTHROUGHS FOR THE U.S. 1859 00:59:18,240 --> 00:59:19,000 BIOECONOMY. 1860 00:59:19,000 --> 00:59:21,200 SECTION 10 WHICH IS FOCUSED ON 1861 00:59:21,200 --> 00:59:23,240 CREATING AND MAKING PUBLICLY 1862 00:59:23,240 --> 00:59:25,000 ACCESSIBLE LEXICON FOR THE 1863 00:59:25,000 --> 00:59:25,960 BIOECONOMY, AND SECTION 12, 1864 00:59:25,960 --> 00:59:27,720 WHICH IS FOCUSED ON ENGAGING 1865 00:59:27,720 --> 00:59:30,640 WITH INTERNATIONAL PARTNERS ON, 1866 00:59:30,640 --> 00:59:31,960 AMONG MANY THINGS, PROMOTING 1867 00:59:31,960 --> 00:59:33,680 OPEN SHARING OF SCIENTIFIC DATA, 1868 00:59:33,680 --> 00:59:35,680 INCLUDING GENETIC SEQUENCE DATA. 1869 00:59:35,680 --> 00:59:39,320 NLM STAFF WILL BE ENGAGING IN 1870 00:59:39,320 --> 00:59:41,640 RELEVANT NIH ACTIONS TO 1871 00:59:41,640 --> 00:59:43,080 IMPLEMENT THE EXECUTIVE ORDER. 1872 00:59:43,080 --> 00:59:46,160 IN ADDITION TO THAT, ON 1873 00:59:46,160 --> 00:59:47,680 AUGUST 25, THE WHITE HOUSE 1874 00:59:47,680 --> 00:59:48,920 OFFICE OF SCIENCE AND TECHNOLOGY 1875 00:59:48,920 --> 00:59:52,080 POLICY ISSUED UPDATED POLICY 1876 00:59:52,080 --> 00:59:54,880 GUIDANCE REGARDING PROVIDING 1877 00:59:54,880 --> 00:59:56,400 EXPEDITED ACCESS TO THE RESULTS 1878 00:59:56,400 --> 00:59:58,400 OF FEDERALLY FUNDED RESEARCH 1879 00:59:58,400 --> 01:00:01,520 OVER THE COMING MONTHS, NIH WILL 1880 01:00:01,520 --> 01:00:02,440 WORK TO DEVELOP AND SHARE ITS 1881 01:00:02,440 --> 01:00:05,480 PLAN FOR IMPLEMENTING THE POLICY 1882 01:00:05,480 --> 01:00:07,520 GUIDANCE, AND NIH INTENDS TO 1883 01:00:07,520 --> 01:00:08,720 WORK WITH INTERAGENCY PARTNERS 1884 01:00:08,720 --> 01:00:10,480 AND STAKEHOLDERS TO REVISE ITS 1885 01:00:10,480 --> 01:00:12,680 CURRENT PUBLIC ACCESS POLICY TO 1886 01:00:12,680 --> 01:00:14,480 ENABLE RESEARCHERS, CLINICIANS, 1887 01:00:14,480 --> 01:00:16,000 STUDENTS AND THE PUBLIC TO 1888 01:00:16,000 --> 01:00:17,880 ACCESS NIH RESEARCH RESULTS 1889 01:00:17,880 --> 01:00:21,800 IMMEDIATELY UPON PUBLICATION. 1890 01:00:21,800 --> 01:00:23,880 WE STAND READY TO SUPPORT NIH'S 1891 01:00:23,880 --> 01:00:24,560 IMPLEMENTATION OF THIS UPDATED 1892 01:00:24,560 --> 01:00:26,760 GRAY DANCE UPDATE 1893 01:00:26,760 --> 01:00:28,320 GUIDANCE THROUGH PUBMED CENTRAL 1894 01:00:28,320 --> 01:00:31,160 AND OTHER RELEVANT DATA 1895 01:00:31,160 --> 01:00:31,480 REPOSITORIES. 1896 01:00:31,480 --> 01:00:32,760 IN ADDITION TO THAT, YOU MAY 1897 01:00:32,760 --> 01:00:35,280 HAVE READ THAT IN EARLY AUGUST, 1898 01:00:35,280 --> 01:00:38,440 OSTP ALSO ISSUED, ALONG WITH 1899 01:00:38,440 --> 01:00:41,280 SCIENCE AND TECHNOLOGY LEADERS 1900 01:00:41,280 --> 01:00:42,720 AND ADVISORS FROM 19 GOVERNMENTS 1901 01:00:42,720 --> 01:00:47,600 A CALL TO ACTION ASKING MEMBERS 1902 01:00:47,600 --> 01:00:49,440 OF SCHOLARLY PUBLISHING 1903 01:00:49,440 --> 01:00:53,080 COMMITTING TO VOLUNTARILY MAKE 1904 01:00:53,080 --> 01:00:55,880 THEIR MONKEYPOX RELATED RESEARCH 1905 01:00:55,880 --> 01:00:57,160 ACCESSIBLE IN HUMAN AND MACHINE 1906 01:00:57,160 --> 01:00:58,160 READABLE FORMS. 1907 01:00:58,160 --> 01:01:00,000 AS THIS PAST THURSDAY, NLM 1908 01:01:00,000 --> 01:01:02,280 ANNOUNCED ITS NEW PUBLIC HEALTH 1909 01:01:02,280 --> 01:01:05,680 EMERGENCY MONKEYPOX WEBPAGE 1910 01:01:05,680 --> 01:01:07,760 WHICH HELPS INDIVIDUALS FIND 1911 01:01:07,760 --> 01:01:08,960 MONKEYPOX RELATED LITERATURE AND 1912 01:01:08,960 --> 01:01:09,920 PROVIDES ADDITIONAL INFORMATION 1913 01:01:09,920 --> 01:01:11,880 TO ASSIST PUBLISHERS INTERESTED 1914 01:01:11,880 --> 01:01:15,400 IN PARTICIPATING IN THIS EFFORT. 1915 01:01:15,400 --> 01:01:16,880 AND THEN THE LAST ITEM I WANTED 1916 01:01:16,880 --> 01:01:20,800 TO HIGHLIGHT ON THE POLICY FRONT 1917 01:01:20,800 --> 01:01:23,560 IS A GUIDANCE ISSUED AGAIN BY 1918 01:01:23,560 --> 01:01:24,720 OSTP IN MAY OF THIS YEAR THAT 1919 01:01:24,720 --> 01:01:27,120 WAS DEVELOPED BY THE NATIONAL 1920 01:01:27,120 --> 01:01:29,960 SCIENCE AND TECHNOLOGY COUNCIL 1921 01:01:29,960 --> 01:01:31,880 SUBCOMMITTEE ON OPEN SCIENCE 1922 01:01:31,880 --> 01:01:32,800 DEFINING DESIRABLE 1923 01:01:32,800 --> 01:01:35,120 CHARACTERISTICS OF REPOSITORIES 1924 01:01:35,120 --> 01:01:37,040 RESULTED FROM FEDERALLY FUNDED 1925 01:01:37,040 --> 01:01:37,320 RESEARCH. 1926 01:01:37,320 --> 01:01:39,680 GIET DANCE AIMS TO PROVIDE 1927 01:01:39,680 --> 01:01:40,560 CONSISTENCY ACROSS FEDERAL 1928 01:01:40,560 --> 01:01:41,760 AGENCIES WITH REGARDS TO MAKING 1929 01:01:41,760 --> 01:01:44,160 DATA FINDABLE, ACCESSIBLE, 1930 01:01:44,160 --> 01:01:45,640 INTEROPERABLE AND REUSABLE OR 1931 01:01:45,640 --> 01:01:47,000 FAIR WHILE MAINTAINING 1932 01:01:47,000 --> 01:01:48,960 APPROPRIATE PROTECTIONS FOR DATA 1933 01:01:48,960 --> 01:01:51,120 PRIVACY AND SECURITY. 1934 01:01:51,120 --> 01:01:52,160 THIS GUIDANCE WAS DEVELOPED WITH 1935 01:01:52,160 --> 01:01:54,200 A LOT OF INPUT FROM NLM AND NIH 1936 01:01:54,200 --> 01:01:57,320 AND IS CONSISTENT WITH 1937 01:01:57,320 --> 01:01:58,320 SUPPLEMENTAL INFORMATION THAT 1938 01:01:58,320 --> 01:02:01,080 HAS BEEN ISSUED BY NIH TO 1939 01:02:01,080 --> 01:02:02,960 ACCOMPANY THE DATA MANAGEMENT 1940 01:02:02,960 --> 01:02:03,880 AND SHARING POLICY. 1941 01:02:03,880 --> 01:02:05,760 ON THE LEGISLATIVE FRONT AS 1942 01:02:05,760 --> 01:02:07,360 PATTI MENTIONED, CONGRESS IS 1943 01:02:07,360 --> 01:02:08,880 BACK IN SESSION AND WE ARE 1944 01:02:08,880 --> 01:02:12,600 MONITORING THE 2023 1945 01:02:12,600 --> 01:02:13,400 APPROPRIATION PROCESS. 1946 01:02:13,400 --> 01:02:14,920 THERE HAVE BEEN APPROPRIATION 1947 01:02:14,920 --> 01:02:16,080 BILLS INTRODUCED IN BOTH THE 1948 01:02:16,080 --> 01:02:19,360 HOUSE AND THE SENATE, BUT IT IS 1949 01:02:19,360 --> 01:02:22,200 EXPECTED THAT WE WILL HAVE A 1950 01:02:22,200 --> 01:02:23,680 CONTINUING RESOLUTION. 1951 01:02:23,680 --> 01:02:28,320 THE HOUSE HAD DISCUSSED A 1952 01:02:28,320 --> 01:02:29,160 POTENTIAL RESOLUTION THAT WOULD 1953 01:02:29,160 --> 01:02:34,840 GO THROUGH DECEMBER 16 AT 2022 1954 01:02:34,840 --> 01:02:36,160 ENACTED LEVELS TO BE CONSIDERED 1955 01:02:36,160 --> 01:02:37,160 POSSIBLY THIS WEEK BUT THE 1956 01:02:37,160 --> 01:02:38,200 TIMING FOR THAT REMAINS 1957 01:02:38,200 --> 01:02:38,880 UNCERTAIN. 1958 01:02:38,880 --> 01:02:41,160 THE SENATE MIGHT ACTUALLY MOVE 1959 01:02:41,160 --> 01:02:42,800 FIRST ON A CONTINUING RESOLUTION 1960 01:02:42,800 --> 01:02:44,560 TO FUND THE FEDERAL GOVERNMENT 1961 01:02:44,560 --> 01:02:47,040 PAST SEPTEMBER 30TH BUT NO 1962 01:02:47,040 --> 01:02:47,800 ADDITIONAL INFORMATION IS 1963 01:02:47,800 --> 01:02:49,880 AVAILABLE ABOUT THAT AT THIS 1964 01:02:49,880 --> 01:02:50,320 TIME. 1965 01:02:50,320 --> 01:02:51,640 WITH THAT, I'LL TURN IT BACK 1966 01:02:51,640 --> 01:02:53,920 OVER TO PATTI. 1967 01:02:53,920 --> 01:02:56,080 >> THANKS VERY MUCH, TERESA. 1968 01:02:56,080 --> 01:02:58,840 SHE MENTIONED THE AFLOUNCEMENTS 1969 01:02:58,840 --> 01:02:59,880 YESTERDAY ABOUT THE BIOECONOMY. 1970 01:02:59,880 --> 01:03:02,600 FOR THOSE FOLLOWING THE ARPA-H 1971 01:03:02,600 --> 01:03:03,800 TRAJECTORY, WE'RE VERY EXCITED 1972 01:03:03,800 --> 01:03:04,920 TO HAVE HEARD THE PRESIDENT MAKE 1973 01:03:04,920 --> 01:03:08,560 AN INTENT TO APPOINT DR. LENNAE 1974 01:03:08,560 --> 01:03:12,960 AND I'M GOING TO TRY THIS, 1975 01:03:12,960 --> 01:03:15,480 WIGRAZEN, TO THE DIRECTOR OF THE 1976 01:03:15,480 --> 01:03:16,440 ARPA-H. 1977 01:03:16,440 --> 01:03:20,240 SHE'S BEEN WITH INGO FOR THE 1978 01:03:20,240 --> 01:03:21,440 LAST FIVE YEARS, ALSO HAS 1979 01:03:21,440 --> 01:03:22,640 EXPERIENCE WITH DARPA. 1980 01:03:22,640 --> 01:03:24,680 WE'RE VERY EXCITED SHE BRINGS A 1981 01:03:24,680 --> 01:03:26,360 BLENDING OF BIOLOGICAL AND 1982 01:03:26,360 --> 01:03:27,640 TECHNOLOGICAL EXPERTISE TO THIS 1983 01:03:27,640 --> 01:03:27,920 POSITION. 1984 01:03:27,920 --> 01:03:30,280 AS YOU RECALL, ARPA-H WILL BE 1985 01:03:30,280 --> 01:03:32,880 WITHIN THE NIH PORTFOLIO AT THE 1986 01:03:32,880 --> 01:03:36,600 EXACT LOCATION OF THE ARPA-H IS 1987 01:03:36,600 --> 01:03:37,720 NOT QUITE KNOWN YET, THERE ARE A 1988 01:03:37,720 --> 01:03:39,080 LOT OF STATES ENGAGED IN THAT. 1989 01:03:39,080 --> 01:03:41,160 LET ME STOP NOW AND TURN TO 1990 01:03:41,160 --> 01:03:42,440 HEIDI TO SEE IF YOU HAVE ANY 1991 01:03:42,440 --> 01:03:43,280 COMMENTS OR QUESTIONS ABOUT THE 1992 01:03:43,280 --> 01:03:44,560 VARIETY OF TOPICS THAT WE 1993 01:03:44,560 --> 01:03:46,240 BROUGHT UP DURING THE DIRECTOR'S 1994 01:03:46,240 --> 01:03:47,560 REPORT TODAY. 1995 01:03:47,560 --> 01:03:47,760 HEIDI? 1996 01:03:47,760 --> 01:03:48,600 >> THANKS, PATTI. 1997 01:03:48,600 --> 01:03:50,800 THAT WAS A WEALTH OF TERRIFIC 1998 01:03:50,800 --> 01:03:51,720 INFORMATION. 1999 01:03:51,720 --> 01:03:54,520 I HAVE A QUESTION BUT ALSO IF 2000 01:03:54,520 --> 01:03:56,640 ANY OTHERS FOR PATTI WANT TO 2001 01:03:56,640 --> 01:03:57,680 RAISE YOUR HAND, I'LL CALL ON 2002 01:03:57,680 --> 01:03:59,440 YOU WHEN I START SEEING HANDS 2003 01:03:59,440 --> 01:04:00,120 UP. 2004 01:04:00,120 --> 01:04:04,360 ONE AREA THAT I'VE RECENTLY 2005 01:04:04,360 --> 01:04:05,480 BEEN -- AS PART OF THE ALL-OF-US 2006 01:04:05,480 --> 01:04:08,920 PROGRAM BEEN STRUGGLING WITH IS 2007 01:04:08,920 --> 01:04:10,680 ENABLING INTERNATIONAL ACCESS TO 2008 01:04:10,680 --> 01:04:16,160 DATASETS. 2009 01:04:16,160 --> 01:04:17,160 THAT THE ALL-OF-US RESEARCH 2010 01:04:17,160 --> 01:04:19,080 PROGRAM IS INTENDING TO ALLOW 2011 01:04:19,080 --> 01:04:20,080 WIDE GLOBAL ACCESS, BUT THAT'S 2012 01:04:20,080 --> 01:04:21,920 BEEN HINDERED, AND I WONDER TO 2013 01:04:21,920 --> 01:04:26,040 WHAT EXTENT THE NLM AND NCBI IS 2014 01:04:26,040 --> 01:04:27,800 PLAYING ANY ROLE IN THAT, OR THE 2015 01:04:27,800 --> 01:04:29,120 ALL-OF-US IS REALLY TRYING TO 2016 01:04:29,120 --> 01:04:31,280 DEAL WITH THAT THEMSELVES WITHIN 2017 01:04:31,280 --> 01:04:34,640 THE DATA RESEARCH CENTER THAT IT 2018 01:04:34,640 --> 01:04:35,200 SUPPORTS. 2019 01:04:35,200 --> 01:04:38,920 DO YOU OR -- STEVE SHERRI IS ON, 2020 01:04:38,920 --> 01:04:40,760 HE MIGHT KNOW, HAVE A SENSE OF 2021 01:04:40,760 --> 01:04:44,040 WHAT ROLE NLM PLAYS IN 2022 01:04:44,040 --> 01:04:44,600 FACILITATING INTERNATIONAL 2023 01:04:44,600 --> 01:04:45,480 ACCESS TO DATASETS? 2024 01:04:45,480 --> 01:04:47,840 >> SO THE QUESTION ABOUT 2025 01:04:47,840 --> 01:04:48,960 INTERNATIONAL ACCESS TO DATASETS 2026 01:04:48,960 --> 01:04:50,240 IS THE MUCH BROADER THAN THE 2027 01:04:50,240 --> 01:04:51,160 ALL-OF-US. 2028 01:04:51,160 --> 01:04:53,840 WE HAVE ISSUES ABOUT INNATIONAL 2029 01:04:53,840 --> 01:04:55,240 ACCESS TO STRIDES, TO CLINVAR, 2030 01:04:55,240 --> 01:04:56,160 TO THINGS LIKE THAT. 2031 01:04:56,160 --> 01:04:58,640 SO I'M GOING TO ASK JERRY OR 2032 01:04:58,640 --> 01:04:59,720 TERESA TO START TO COMMENT AND 2033 01:04:59,720 --> 01:05:01,280 STEVE IF YOU WANT TO WEIGH IN, 2034 01:05:01,280 --> 01:05:02,240 SPECIFICALLY WITH RESPECT TO ALL 2035 01:05:02,240 --> 01:05:03,760 YOU, I WANT TO REMIND YOU THAT 2036 01:05:03,760 --> 01:05:05,400 ALL-OF-US IS AN EXTRAMURALLY 2037 01:05:05,400 --> 01:05:06,320 FUNDED PROGRAM. 2038 01:05:06,320 --> 01:05:07,880 THE HOUSING OF THE DATASET IS 2039 01:05:07,880 --> 01:05:08,960 MANAGED THROUGH VANDERBILT 2040 01:05:08,960 --> 01:05:09,520 UNIVERSITY. 2041 01:05:09,520 --> 01:05:11,560 SO THEY DO OPERATE SOMEWHAT 2042 01:05:11,560 --> 01:05:11,920 INDEPENDENTLY. 2043 01:05:11,920 --> 01:05:13,560 WE CERTAINLY PROVIDE THEM WITH 2044 01:05:13,560 --> 01:05:14,960 TECHNICAL ADVICE AND ASSISTANCE 2045 01:05:14,960 --> 01:05:15,440 AS NEEDED. 2046 01:05:15,440 --> 01:05:15,640 JERRY? 2047 01:05:15,640 --> 01:05:17,720 >> I THINK IT WAS BECAUSE I WAS 2048 01:05:17,720 --> 01:05:20,320 UNDERSTANDING THAT THE ERA 2049 01:05:20,320 --> 01:05:21,960 COMMON SYSTEM IS WHAT IS 2050 01:05:21,960 --> 01:05:22,800 ACTUALLY AUTHENTICATING THE 2051 01:05:22,800 --> 01:05:24,120 RESEARCH OR ACCESS, AND 2052 01:05:24,120 --> 01:05:25,400 THEREFORE IN SOME WAYS, EVEN 2053 01:05:25,400 --> 01:05:27,280 THOUGH IT'S BEING HOUSED THROUGH 2054 01:05:27,280 --> 01:05:29,240 BROAD AND VANDERBILT, THE 2055 01:05:29,240 --> 01:05:30,360 DATASETS, I WONDERED WHAT ROLE, 2056 01:05:30,360 --> 01:05:32,200 YOU KNOW, WE'RE PLAYING. 2057 01:05:32,200 --> 01:05:34,600 BUT YES, GO AHEAD. 2058 01:05:34,600 --> 01:05:36,800 >> I CAN SAY JUST A WORD ABOUT 2059 01:05:36,800 --> 01:05:38,560 THAT AND I HESITATE TO DO THIS, 2060 01:05:38,560 --> 01:05:39,960 TO SPEAK ON BEHALF OF THE 2061 01:05:39,960 --> 01:05:40,640 ALL-OF-US PROGRAM, BUT AS YOU 2062 01:05:40,640 --> 01:05:42,120 KNOW, THEY'VE BEEN DOING A 2063 01:05:42,120 --> 01:05:43,480 PHASED ACCESS PROGRAM. 2064 01:05:43,480 --> 01:05:45,840 THERE WAS SOME PHASED ACCESS FOR 2065 01:05:45,840 --> 01:05:47,280 I THINK NIH STAFF THAT'S MOVING 2066 01:05:47,280 --> 01:05:50,320 TO GRANTEES AND OTHERS WITH ERA 2067 01:05:50,320 --> 01:05:51,240 COMMONS ACCOUNTS, AND I THINK -- 2068 01:05:51,240 --> 01:05:52,520 I DON'T KNOW WHAT THEIR FUTURE 2069 01:05:52,520 --> 01:05:54,520 PLAN IS IN TERMS OF BROADENING, 2070 01:05:54,520 --> 01:05:55,760 AND SOME OF THAT WILL COME DOWN 2071 01:05:55,760 --> 01:05:57,080 TO SOME TECHNICAL FEATURES AND 2072 01:05:57,080 --> 01:05:59,680 SO FORTH IN TERMS OF PROVIDING 2073 01:05:59,680 --> 01:06:00,000 ACCESS. 2074 01:06:00,000 --> 01:06:01,920 WE HAVE PROVIDED SOME 2075 01:06:01,920 --> 01:06:03,160 CONSULTATION TO THEM ON A 2076 01:06:03,160 --> 01:06:06,600 VARIETY OF ISSUES, INCLUDING 2077 01:06:06,600 --> 01:06:08,760 THEY WERE TRYING TO RUN A PUBLIC 2078 01:06:08,760 --> 01:06:09,840 ACCESS POLICY TO THE RESULTS OF 2079 01:06:09,840 --> 01:06:11,880 THEIR -- IT'S NOT THEIR FUNDED 2080 01:06:11,880 --> 01:06:13,640 RESEARCH, BUT PUBLIC ACCESS TO 2081 01:06:13,640 --> 01:06:14,720 PUBLICATIONS REPORTING ON 2082 01:06:14,720 --> 01:06:17,680 RESEARCH THAT WERE CONDUCTED 2083 01:06:17,680 --> 01:06:18,760 WITH ALL-OF-US DATA. 2084 01:06:18,760 --> 01:06:22,080 AND SO THOSE CONVERSATIONS 2085 01:06:22,080 --> 01:06:24,120 CONTINUE, AND IF THERE ARE 2086 01:06:24,120 --> 01:06:25,000 PARTICULAR ISSUES AROUND 2087 01:06:25,000 --> 01:06:25,760 INTERNATIONAL ACCESS TO THE 2088 01:06:25,760 --> 01:06:29,680 DATA, WE CAN -- WE HAVE 2089 01:06:29,680 --> 01:06:31,200 PLATFORMS FOR ENGAGING THOSE, 2090 01:06:31,200 --> 01:06:32,760 SOCIAL PLATFORMS, I SHOULD SAY, 2091 01:06:32,760 --> 01:06:33,840 FOR TAKING THOSE TO THE 2092 01:06:33,840 --> 01:06:35,160 ALL-OF-US PROGRAM AND DISCUSSING 2093 01:06:35,160 --> 01:06:36,360 WITH THEM. 2094 01:06:36,360 --> 01:06:39,600 STEVE OR TERESA, I DON'T KNOW IF 2095 01:06:39,600 --> 01:06:40,400 YOU'VE GOT ANYTHING TO ADD 2096 01:06:40,400 --> 01:06:40,600 THERE. 2097 01:06:40,600 --> 01:06:44,640 >> SO I THINK, HEIDI, I'M NOT 2098 01:06:44,640 --> 01:06:45,960 100% SURE, AGAIN, BECAUSE IT'S 2099 01:06:45,960 --> 01:06:47,120 ALL-OF-US AND I DON'T KNOW THE 2100 01:06:47,120 --> 01:06:48,240 DETAILS OF THEIR APPROVAL 2101 01:06:48,240 --> 01:06:49,760 PROCESS, YOU MENTIONED ERA AND 2102 01:06:49,760 --> 01:06:50,880 THAT MAKES ME THINK THEY'RE 2103 01:06:50,880 --> 01:06:52,480 TRYING TO USE THE RAS SYSTEM, 2104 01:06:52,480 --> 01:06:54,320 WHICH IS BASED ON ERA AND THAT'S 2105 01:06:54,320 --> 01:06:56,200 THE RESEARCHER AUTHORIZATION 2106 01:06:56,200 --> 01:06:56,840 SYSTEM. 2107 01:06:56,840 --> 01:06:59,560 IT'S THE INFRASTRUCTURE WE 2108 01:06:59,560 --> 01:07:03,600 OPERATE IN PARTNERSHIP WITH CIT, 2109 01:07:03,600 --> 01:07:06,000 AND IT IS REPLACING DIRECT DBGAP 2110 01:07:06,000 --> 01:07:08,320 APPROVAL, SO ALL THE 2111 01:07:08,320 --> 01:07:11,000 CREDENTIALING AND THE APPROVAL 2112 01:07:11,000 --> 01:07:13,760 RIGHTS ARE RECORDED AT CIT AND 2113 01:07:13,760 --> 01:07:16,040 CONNECTED IN RAS TO ERA 2114 01:07:16,040 --> 01:07:16,400 IDENTITIES. 2115 01:07:16,400 --> 01:07:18,680 BUT THE IDENTITIES CAN ACTUALLY 2116 01:07:18,680 --> 01:07:20,720 USE OPEN ID IN THE BROADER 2117 01:07:20,720 --> 01:07:22,360 COLLECTION THAN JUST ERA, SO IT 2118 01:07:22,360 --> 01:07:24,680 DOES EXTEND TO ACADEMIC 2119 01:07:24,680 --> 01:07:27,920 IDENTITIES AND PUBLIC 2120 01:07:27,920 --> 01:07:28,600 IDENTITIES. 2121 01:07:28,600 --> 01:07:31,120 INTERNATIONAL USERS CAN REQUEST 2122 01:07:31,120 --> 01:07:33,640 DATA TO THE SETS IN THAT SYSTEM 2123 01:07:33,640 --> 01:07:35,880 IF THEY HAVE AN IDENTITY IN THE 2124 01:07:35,880 --> 01:07:36,120 SYSTEM. 2125 01:07:36,120 --> 01:07:37,760 SO THERE ARE MANY INTERNATIONAL 2126 01:07:37,760 --> 01:07:42,160 RESEARCH INSTITUTIONS THAT WORK 2127 01:07:42,160 --> 01:07:44,320 AND GIVE ACCESS TO DBGAP DATA. 2128 01:07:44,320 --> 01:07:45,840 I'M THINKING IN ANALOGY TO ALL 2129 01:07:45,840 --> 01:07:48,120 OF US IN A SIMPLER PROCESS UNDER 2130 01:07:48,120 --> 01:07:48,560 RAS. 2131 01:07:48,560 --> 01:07:50,440 THERE ARE SOME INSTITUTIONS THAT 2132 01:07:50,440 --> 01:07:51,960 HAVE TROUBLE OR HAVE HAD TROUBLE 2133 01:07:51,960 --> 01:07:54,120 IN THE PAST GETTING THEIR 2134 01:07:54,120 --> 01:07:55,440 INVESTIGATORS REGISTERED IN ERA, 2135 01:07:55,440 --> 01:07:56,880 AND THEY'RE COMING FROM THE 2136 01:07:56,880 --> 01:07:57,520 DEVELOPING WORLD. 2137 01:07:57,520 --> 01:07:59,680 I KNOW OF EXAMPLES IN MALAYSIA 2138 01:07:59,680 --> 01:08:00,880 AND OTHER PARTS OF SOUTHEAST 2139 01:08:00,880 --> 01:08:02,320 ASIA, BECAUSE THE PROCESS USED 2140 01:08:02,320 --> 01:08:06,680 TO INVOLVE AN INSTITUTIONAL 2141 01:08:06,680 --> 01:08:07,760 RECOGNITION COUPLE TO DUN & 2142 01:08:07,760 --> 01:08:08,760 BRADSTREET NUMBERS SO THAT 2143 01:08:08,760 --> 01:08:10,560 TURNED INTO KIND OF AN ECONOMIC 2144 01:08:10,560 --> 01:08:12,160 REGISTRATION COORDINATION 2145 01:08:12,160 --> 01:08:12,760 PROBLEM. 2146 01:08:12,760 --> 01:08:14,040 NIH HAS BEEN AWARE OF THIS FOR 2147 01:08:14,040 --> 01:08:15,200 FIVE OR SIX YEARS, THEY'VE TRIED 2148 01:08:15,200 --> 01:08:17,440 TO STEP AWAY AND I KNOW THEY'VE 2149 01:08:17,440 --> 01:08:19,080 DROPPED THAT DUN & BRADSTREET 2150 01:08:19,080 --> 01:08:20,000 REGISTRATION REQUIREMENT, SO 2151 01:08:20,000 --> 01:08:21,840 INSTITUTIONS CAN THEN GET 2152 01:08:21,840 --> 01:08:24,480 REGISTERED, RECOGNIZED, AND THEN 2153 01:08:24,480 --> 01:08:25,360 EMPLOYED INDIVIDUALS CAN. 2154 01:08:25,360 --> 01:08:26,760 SO THAT'S ONE FRAMEWORK. 2155 01:08:26,760 --> 01:08:29,080 THE OTHER WAY I WOULD THINK I 2156 01:08:29,080 --> 01:08:30,120 WOULD MENTION ABOUT COORDINATION 2157 01:08:30,120 --> 01:08:33,640 ON THIS IS GA4GH, BECAUSE WE DO 2158 01:08:33,640 --> 01:08:38,240 TRY TO USE THOSE PRINCIPLES 2159 01:08:38,240 --> 01:08:39,840 AROUND RESTRICTION OF USE AND 2160 01:08:39,840 --> 01:08:40,480 DESCRIPTION OF IDENTITY. 2161 01:08:40,480 --> 01:08:41,840 SO I THINK THERE'S STILL ROOM 2162 01:08:41,840 --> 01:08:43,720 FOR INNOVATION THERE. 2163 01:08:43,720 --> 01:08:45,080 I DON'T KNOW IF THAT'S HELPFUL 2164 01:08:45,080 --> 01:08:45,840 OR ALIGNED. 2165 01:08:45,840 --> 01:08:46,920 THE LAST POINT I WOULD MAKE IS 2166 01:08:46,920 --> 01:08:48,320 THAT I THINK THE ALL-OF-US 2167 01:08:48,320 --> 01:08:50,000 ACCESS IS PROBABLY TRYING TO 2168 01:08:50,000 --> 01:08:53,840 ALIGN WITH THE LARGER COMMON 2169 01:08:53,840 --> 01:08:56,440 FUND ECOSYSTEM, USING A COMMON 2170 01:08:56,440 --> 01:08:59,320 FRAMEWORK ACROSS ALL OF THEIR 2171 01:08:59,320 --> 01:09:00,520 MODALITIES OF DATA THAT THEY'RE 2172 01:09:00,520 --> 01:09:00,960 HOLDING. 2173 01:09:00,960 --> 01:09:02,080 AGAIN, I DON'T KNOW IF THAT'S 2174 01:09:02,080 --> 01:09:03,560 ALL ON RAS, BUT THAT'S WHAT 2175 01:09:03,560 --> 01:09:07,840 WE'RE TRYING TO DO EXTRA STEEJ 2176 01:09:07,840 --> 01:09:09,920 STRATEGICALLY, IS ONE POINT OF 2177 01:09:09,920 --> 01:09:11,160 ACCESS OPERATED THROUGH CIT. 2178 01:09:11,160 --> 01:09:12,400 >> THANKS, STEVE. 2179 01:09:12,400 --> 01:09:13,080 THAT'S HELPFUL. 2180 01:09:13,080 --> 01:09:15,240 I THINK THIS IS JUST A REALLY 2181 01:09:15,240 --> 01:09:17,640 IMPORTANT AREA OF EFFORT, SO 2182 01:09:17,640 --> 01:09:21,560 THAT WE CAN HAVE 18 DIFFERENT 2183 01:09:21,560 --> 01:09:25,200 APPROACHES TO THIS AND I KNOW 2184 01:09:25,200 --> 01:09:25,880 THERE'S SIGNIFICANT CRITICISM 2185 01:09:25,880 --> 01:09:27,400 RIGHT NOW OF LACK OF ACCESS TO 2186 01:09:27,400 --> 01:09:28,680 THE ALL-OF-US DATASET, AND 2187 01:09:28,680 --> 01:09:30,640 THAT'S NOT THE ONLY ONE THAT'S 2188 01:09:30,640 --> 01:09:32,040 IMPORTANT, BUT JUST REALLY 2189 01:09:32,040 --> 01:09:35,680 EMPHASIZING THE IMPORTANCE OF 2190 01:09:35,680 --> 01:09:36,440 FOCUSING ON THIS AREA. 2191 01:09:36,440 --> 01:09:37,320 >> EXCUSE ME. 2192 01:09:37,320 --> 01:09:38,880 JUST A SECOND. 2193 01:09:38,880 --> 01:09:39,640 TERESA, DID YOU HAVE ANYTHING 2194 01:09:39,640 --> 01:09:40,680 YOU WANT TO ADD TO THAT? 2195 01:09:40,680 --> 01:09:42,120 >> NOT ON THAT. 2196 01:09:42,120 --> 01:09:43,480 LIKE JERRY SAID, WE DON'T MANAGE 2197 01:09:43,480 --> 01:09:44,400 THE ALL-OF-US RESEARCH PROGRAM 2198 01:09:44,400 --> 01:09:45,560 SO IT WOULD BE GOOD TO FOLLOW UP 2199 01:09:45,560 --> 01:09:47,080 WITH THEM AND GET CLARIFICATION 2200 01:09:47,080 --> 01:09:48,200 ON WHAT THEY'RE PLANNING. 2201 01:09:48,200 --> 01:09:49,360 >> AND DIANE, DID YOU HAVE 2202 01:09:49,360 --> 01:09:53,760 SOMETHING YOU WANTED TO ADD IN? 2203 01:09:53,760 --> 01:09:55,400 >> NO. 2204 01:09:55,400 --> 01:09:56,160 >> DIANE IS HERE IN THE ROOM 2205 01:09:56,160 --> 01:09:57,880 WITH ME. 2206 01:09:57,880 --> 01:09:58,560 OKAY. 2207 01:09:58,560 --> 01:10:04,040 I WANT TO ALSO SAY THAT WE 2208 01:10:04,040 --> 01:10:06,200 ARE -- THE CHALLENGES OF 2209 01:10:06,200 --> 01:10:08,400 ACCESSING NIH DATA IS COMMON 2210 01:10:08,400 --> 01:10:10,360 ACROSS BOTH INTERNATIONAL AND 2211 01:10:10,360 --> 01:10:12,240 FRANKLY CITIZEN SCIENTISTS, AND 2212 01:10:12,240 --> 01:10:13,880 WE'RE LOOKING FOR WORKING WITH 2213 01:10:13,880 --> 01:10:17,120 CIT AND LOOKING AT WAYS -- AT A 2214 01:10:17,120 --> 01:10:18,120 CITIZEN SCIENTIST THAT'S NOT 2215 01:10:18,120 --> 01:10:18,960 AFFILIATED WITH A SPECIFIC 2216 01:10:18,960 --> 01:10:19,880 ORGANIZATION COULD ALSO BE ABLE 2217 01:10:19,880 --> 01:10:21,720 TO HAVE ACCESS, PARTICULARLY TO 2218 01:10:21,720 --> 01:10:23,480 RESOURCES LIKE THE ALL-OF-US 2219 01:10:23,480 --> 01:10:23,920 PROGRAM. 2220 01:10:23,920 --> 01:10:25,760 THERE ARE -- THERE'S A GREAT 2221 01:10:25,760 --> 01:10:27,720 OPENNESS OF DATA ACROSS THE 2222 01:10:27,720 --> 01:10:28,720 FEDERAL GOVERNMENT, AND WE ARE 2223 01:10:28,720 --> 01:10:30,800 TRYING TO ALIGN POLICIES TO 2224 01:10:30,800 --> 01:10:32,400 PREVENT SILOING AND ENCOURAGE 2225 01:10:32,400 --> 01:10:35,160 ENGAGEMENT. 2226 01:10:35,160 --> 01:10:36,680 AND HEIDI, ONCE THERE ARE NO 2227 01:10:36,680 --> 01:10:38,280 MORE QUESTIONS, I SEE DR. CLARK 2228 01:10:38,280 --> 01:10:39,640 HAS JOINED US. 2229 01:10:39,640 --> 01:10:44,440 >> SURE. 2230 01:10:44,440 --> 01:10:49,160 ANY OTHER QUESTIONS? 2231 01:10:49,160 --> 01:10:51,640 >> TERESA, DID YOU HAVE ANOTHER 2232 01:10:51,640 --> 01:10:52,920 COMMENT YOU WANTED TO MAKE ON 2233 01:10:52,920 --> 01:10:53,200 SOMETHING? 2234 01:10:53,200 --> 01:10:56,120 >> JUST MORE BROADLY, PATTI, YOU 2235 01:10:56,120 --> 01:10:57,760 ALLUDED TO THE FACT THAT 2236 01:10:57,760 --> 01:10:58,400 INTERNATIONAL GENOMIC DATA 2237 01:10:58,400 --> 01:10:59,720 SHARING IS SOMETHING WE THINK OF 2238 01:10:59,720 --> 01:11:01,000 IN THE CONTEXT OF OUR 2239 01:11:01,000 --> 01:11:02,000 REPOSITORIES, MANY OF WHICH ARE 2240 01:11:02,000 --> 01:11:03,360 PUBLICLY ACCESSIBLE. 2241 01:11:03,360 --> 01:11:08,800 >> THANK YOU. 2242 01:11:08,800 --> 01:11:11,640 >> SO DR. CLARK HAS JUST JOINED 2243 01:11:11,640 --> 01:11:15,040 US, OUR NEWEST PENDING BOARD 2244 01:11:15,040 --> 01:11:17,000 MEMBER, AND ANDY, WE HAD THE 2245 01:11:17,000 --> 01:11:18,840 OTHER TWO NEW MEMBERS BRIEFLY 2246 01:11:18,840 --> 01:11:20,920 INTRODUCE THEMSELVES, SO WE'D 2247 01:11:20,920 --> 01:11:25,040 LOVE TO LET YOU TAKE A MINUTE OR 2248 01:11:25,040 --> 01:11:26,280 TWO TO SHARE A LITTLE BIT ABOUT 2249 01:11:26,280 --> 01:11:26,520 YOURSELF. 2250 01:11:26,520 --> 01:11:28,920 >> I'M SORRY I'M LATE. 2251 01:11:28,920 --> 01:11:30,560 I JUST GOT OUT OF CLASS, TAKING 2252 01:11:30,560 --> 01:11:35,120 A HORSE IN -- A COURSE IN . 2253 01:11:35,120 --> 01:11:36,720 LIVELY GROUP. 2254 01:11:36,720 --> 01:11:40,560 MY BACKGROUND IS IN POPULATION 2255 01:11:40,560 --> 01:11:42,520 GENOMICS, STANFORD, 1980 DOING 2256 01:11:42,520 --> 01:11:45,720 WORK FOR PRIMARILILY DROSOPHILA 2257 01:11:45,720 --> 01:11:48,040 BUT THAT MOVED MORE AND MORE 2258 01:11:48,040 --> 01:11:48,880 INTO HUMAN CONTACT AS WELL, 2259 01:11:48,880 --> 01:11:56,360 WORKING WITH EARLY SNP PROJECTS. 2260 01:11:56,360 --> 01:11:59,320 CONSULTANT WORKING A DAY AWEEK 2261 01:11:59,320 --> 01:12:01,400 AND GOT INTO THE INTEGRATION OF 2262 01:12:01,400 --> 01:12:04,760 POPULATION GENETICS INTO THE 2263 01:12:04,760 --> 01:12:06,160 SOLERA ASSEMBLER AND THE SORT OF 2264 01:12:06,160 --> 01:12:08,280 EARLY IDEAS OF THINKING ABOUT 2265 01:12:08,280 --> 01:12:10,600 GENOME-WIDE SNPs WAS SORT OF A 2266 01:12:10,600 --> 01:12:11,360 BIG THING. 2267 01:12:11,360 --> 01:12:13,200 WE'VE DONE A LOT OF WORK AT 2268 01:12:13,200 --> 01:12:14,800 COMPLEX TRADES, CARDIOVASCULAR 2269 01:12:14,800 --> 01:12:15,840 DISEASE WORK, MOST RECENTLY 2270 01:12:15,840 --> 01:12:19,240 WE'RE DOING WORK WITH SATELLITE 2271 01:12:19,240 --> 01:12:21,160 REPEATS AND THE ROLE OF 2272 01:12:21,160 --> 01:12:24,680 SATELLITE REPEATS IN HAVING 2273 01:12:24,680 --> 01:12:31,040 TRANS EFFECTS ON EPIGENETIC 2274 01:12:31,040 --> 01:12:31,720 STATES. 2275 01:12:31,720 --> 01:12:33,760 TELOMERE PROJECT, WHAT'S GOING 2276 01:12:33,760 --> 01:12:36,400 ON AROUND CENTROMERES, EVOLUTION 2277 01:12:36,400 --> 01:12:37,160 OF CENTROMERES. 2278 01:12:37,160 --> 01:12:38,240 THESE ARE PROBLEMS THAT ARE OF 2279 01:12:38,240 --> 01:12:41,120 GREAT INTEREST TO ME. 2280 01:12:41,120 --> 01:12:42,000 >> TERRIFIC. 2281 01:12:42,000 --> 01:12:43,400 WE WELCOME YOUR PARTICIPATION 2282 01:12:43,400 --> 01:12:45,280 GOING FORWARD. 2283 01:12:45,280 --> 01:12:46,480 SO WELCOME. 2284 01:12:46,480 --> 01:12:48,120 I THINK WITH THAT, SO I DID WANT 2285 01:12:48,120 --> 01:12:49,320 TO JUST MENTION THAT THE 2286 01:12:49,320 --> 01:12:51,720 BREAKOUT ROOMS ARE OPEN SO IF 2287 01:12:51,720 --> 01:12:54,640 THE PRESENTERS WANT TO JUMP IN 2288 01:12:54,640 --> 01:12:57,080 QUICKLY, THEY ARE NOW AVAILABLE 2289 01:12:57,080 --> 01:12:59,160 TO JOIN IN, BUT WE'LL BE 2290 01:12:59,160 --> 01:13:01,240 STARTING THOSE BREAKOUT SESSIONS 2291 01:13:01,240 --> 01:13:04,960 RIGHT AT 11:15 IN A FEW MINUTES. 2292 01:13:04,960 --> 01:13:08,240 ANYTHING ELSE BEFORE WE ALL 2293 01:13:08,240 --> 01:13:09,000 TRANSITION OVER TO THE 2294 01:13:09,000 --> 01:13:10,560 BREAKOUTS? 2295 01:13:10,560 --> 01:13:11,960 I THINK THAT'S IT. 2296 01:13:11,960 --> 01:13:14,920 SO YOU SHOULD GET AN INVITATION 2297 01:13:14,920 --> 01:13:16,440 COME UP. 2298 01:13:16,440 --> 01:13:19,520 FOR WHERE YOU'RE ASSIGNED. 2299 01:13:19,520 --> 01:13:20,960 IF THERE'S ANY LACK OF CLARITY, 2300 01:13:20,960 --> 01:13:23,560 SOMEBODY CAN HELP APPOINT OR 2301 01:13:23,560 --> 01:13:26,000 SEND YOU IN THE RIGHT DIRECTION. 2302 01:13:26,000 --> 01:13:27,160 >> THANK YOU VERY MUCH, HEIDI. 2303 01:13:27,160 --> 01:13:29,480 YOU DID A GREAT JOB FOR YOUR 2304 01:13:29,480 --> 01:13:30,680 FIRST HALF OF BOARD MEETING. 2305 01:13:30,680 --> 01:13:32,320 ONCE THE BREAKOUTS ARE OVER, 2306 01:13:32,320 --> 01:13:33,960 YOU'LL BE BREAKING FOR LUNCH 2307 01:13:33,960 --> 01:13:36,120 BREAK AND THEN WE'LL SEE YOU AT 2308 01:13:36,120 --> 01:15:00,320 12:45. 2309 01:15:00,320 --> 01:15:02,160 >>DOES IT SAY SUMMARY SLIDE AND 2310 01:15:02,160 --> 01:15:02,480 REPORT OUT? 2311 01:15:02,480 --> 01:15:05,680 >> WE SEE THE EXPERTISE THE OSI 2312 01:15:05,680 --> 01:15:06,560 TEAM SLIDE. 2313 01:15:06,560 --> 01:15:11,040 >> OKAY. 2314 01:15:11,040 --> 01:15:13,440 NEST NOT DOING IT. 2315 01:15:13,440 --> 01:15:17,200 SORRY ABOUT THIS, FOLKS. 2316 01:15:17,200 --> 01:15:18,920 >> MIKE, I HAVE IF YOU'D LIKE ME 2317 01:15:18,920 --> 01:15:19,400 TO SHARE. 2318 01:15:19,400 --> 01:15:22,200 >> I'VE GOT IT. 2319 01:15:22,200 --> 01:15:24,800 THANKS FOR THAT OFFER. 2320 01:15:24,800 --> 01:15:26,680 SORRY ABOUT THAT, FOLKS. 2321 01:15:26,680 --> 01:15:28,400 WELL, HI, EVERYBODY. 2322 01:15:28,400 --> 01:15:30,280 I'M MIKE HUERTA. 2323 01:15:30,280 --> 01:15:31,560 I WAS VOLUNTEERED TO REPORT OUT 2324 01:15:31,560 --> 01:15:32,920 FROM OUR GROUP. 2325 01:15:32,920 --> 01:15:34,200 I'M THE ASSOCIATE DIRECTOR OF 2326 01:15:34,200 --> 01:15:35,520 NLM FOR STRATEGY, AND I ALSO 2327 01:15:35,520 --> 01:15:38,360 DIRECT THE OFFICE OF STRATEGIC 2328 01:15:38,360 --> 01:15:39,480 INITIATIVES, WHICH HAS A NUMBER 2329 01:15:39,480 --> 01:15:42,760 OF FUNCTIONS INCLUDING LEADING 2330 01:15:42,760 --> 01:15:44,480 AND DEVELOPING DATA SCIENCE AND 2331 01:15:44,480 --> 01:15:45,800 OPEN SCIENCE INITIATIVES, KIND 2332 01:15:45,800 --> 01:15:48,920 OF BROADLY, AND AT A STAFFING 2333 01:15:48,920 --> 01:15:50,040 KIND OF LEVEL. 2334 01:15:50,040 --> 01:15:52,160 AND TECHNOLOGY TRANSFER FOR THE 2335 01:15:52,160 --> 01:15:54,040 INTRAMURAL RESEARCH PROGRAM, AND 2336 01:15:54,040 --> 01:15:55,840 LAST BUT NOT LEAST, THE OFFICE 2337 01:15:55,840 --> 01:15:58,240 IS ALSO RESPONSIBLE FOR 2338 01:15:58,240 --> 01:15:59,680 STRATEGIC PLANNING, MONITORING 2339 01:15:59,680 --> 01:16:02,440 OF THE IMPLEMENTATION OF THOSE 2340 01:16:02,440 --> 01:16:04,880 PLANS, ANALYZING AND REPORTING 2341 01:16:04,880 --> 01:16:07,680 ON NLM ACCOMPLISHMENT, AND FOR 2342 01:16:07,680 --> 01:16:09,080 STRATEGIC EVALUATION. 2343 01:16:09,080 --> 01:16:12,080 SO TODAY, WE TALKED ABOUT IN THE 2344 01:16:12,080 --> 01:16:16,520 GROUP CHANGES IN THIS LATTER 2345 01:16:16,520 --> 01:16:17,760 SPACE, SPECIFICALLY STRATEGIC 2346 01:16:17,760 --> 01:16:21,480 PLANNING AND NIH USED TO BE VERY 2347 01:16:21,480 --> 01:16:22,200 ISOLATED, INSTITUTE CENTER AND 2348 01:16:22,200 --> 01:16:26,280 OFFICE BY SINCE TEUT CENTER D 2349 01:16:26,280 --> 01:16:27,160 OFFICE. 2350 01:16:27,160 --> 01:16:28,880 A FEW YEARS AGO A NEW OFFICE WAS 2351 01:16:28,880 --> 01:16:29,920 ESTABLISHED IN THE NIH OFFICE OF 2352 01:16:29,920 --> 01:16:33,280 THE DIRECTOR CALLED THE OFFICE 2353 01:16:33,280 --> 01:16:36,120 OF EVALUATION, OEPR. 2354 01:16:36,120 --> 01:16:36,880 PERFORMANCE AND REPORTING. 2355 01:16:36,880 --> 01:16:39,920 AND THEY ARE NOW MUCH MORE 2356 01:16:39,920 --> 01:16:41,360 INVOLVED, THEY BEING NIH CENTRAL 2357 01:16:41,360 --> 01:16:45,760 IS MUCH MORE INVOLVED IN 2358 01:16:45,760 --> 01:16:46,960 COORDINATING STRATEGIC PLANS 2359 01:16:46,960 --> 01:16:47,360 ACROSS NIH. 2360 01:16:47,360 --> 01:16:50,960 I SHOULD SAY THAT THERE ARE SOME 2361 01:16:50,960 --> 01:16:51,960 27 INSTITUTES AND CENTERS AT NIH 2362 01:16:51,960 --> 01:16:53,720 AND ANOTHER 22 OFFICES. 2363 01:16:53,720 --> 01:16:57,320 SO FOR EXAMPLE, THE ALL-OF-US 2364 01:16:57,320 --> 01:16:58,720 PROGRAM WE TALKED ABOUT EARLIER 2365 01:16:58,720 --> 01:17:00,240 TODAY IS RUN OUT OF AN OFFICE. 2366 01:17:00,240 --> 01:17:01,880 IT'S NOT RUN OUT OF ONE OF THE 2367 01:17:01,880 --> 01:17:03,040 INSTITUTES OR CENTERS. 2368 01:17:03,040 --> 01:17:04,960 SO THAT'S WHERE YOU SEE ICO. 2369 01:17:04,960 --> 01:17:08,800 SO THERE ARE MANY STRATEGIC 2370 01:17:08,800 --> 01:17:10,440 PLANS NOT JUST FOR EACH OF THESE 2371 01:17:10,440 --> 01:17:11,440 ORGANIZATIONAL UNITS BUT FOR 2372 01:17:11,440 --> 01:17:13,520 EFFORTS SUCH AS COVID RESEARCH 2373 01:17:13,520 --> 01:17:18,200 ACROSS NIH AND SO FORTH. 2374 01:17:18,200 --> 01:17:19,640 THE OFFICE OF STRATEGIC 2375 01:17:19,640 --> 01:17:21,600 INITIATIVES HERE AT NLM IS 2376 01:17:21,600 --> 01:17:23,560 RESPONSIBLE FOR CONNECTING OUR 2377 01:17:23,560 --> 01:17:24,360 INFORMATION, OUR 2378 01:17:24,360 --> 01:17:24,920 ACCOMPLISHMENTS, OUR 2379 01:17:24,920 --> 01:17:28,400 COLLABORATIONS AND SO FORTH, 2380 01:17:28,400 --> 01:17:29,960 WITH THESE OTHER PLANS, SO WE 2381 01:17:29,960 --> 01:17:32,880 TALKED ABOUT IN OUR BREAKOUT 2382 01:17:32,880 --> 01:17:33,760 GROUP SOME OF THE THINGS THAT 2383 01:17:33,760 --> 01:17:37,360 ARE HAPPENING IN THE SPACE AND 2384 01:17:37,360 --> 01:17:37,840 NIH. 2385 01:17:37,840 --> 01:17:40,760 SO WE HAVE -- IN ADDITION, I 2386 01:17:40,760 --> 01:17:42,080 THINK WE'VE HEARD ABOUT THE 2387 01:17:42,080 --> 01:17:44,240 REEP, THE RACIAL AND ETHNIC 2388 01:17:44,240 --> 01:17:48,600 EQUITY PLAN THAT IS NOW BEING IN 2389 01:17:48,600 --> 01:17:51,360 PLACE, IT'S ACTUALLY IN PLACE, 2390 01:17:51,360 --> 01:17:52,760 AND AGAIN, THESE KINDS OF THINGS 2391 01:17:52,760 --> 01:17:53,880 WILL NEED TO BE REPORTED ON AS 2392 01:17:53,880 --> 01:17:58,560 WELL. 2393 01:17:58,560 --> 01:18:03,000 SO AS THESE PLANS MULTIPLY AND 2394 01:18:03,000 --> 01:18:04,600 AS DATA CALLS ABOUT THEM 2395 01:18:04,600 --> 01:18:05,840 MULTIPLY, AND I SHOULD SAY THAT 2396 01:18:05,840 --> 01:18:06,800 THERE'S ALSO THE EVIDENCE ACT 2397 01:18:06,800 --> 01:18:09,840 THAT HAS BEEN IMPLEMENTED NOW AT 2398 01:18:09,840 --> 01:18:14,040 NIH, WHICH WILL REQUIRE MORE 2399 01:18:14,040 --> 01:18:15,320 EVALUATION, ANALYSIS AND 2400 01:18:15,320 --> 01:18:18,160 DATA-DRIVEN DECISION-MAKING. 2401 01:18:18,160 --> 01:18:20,040 WE ARE DOING A NUMBER OF THINGS 2402 01:18:20,040 --> 01:18:23,000 WITHIN THE OFFICE OF STRATEGIC 2403 01:18:23,000 --> 01:18:24,200 INITIATIVES TO TRY TO STREAMLINE 2404 01:18:24,200 --> 01:18:26,600 SOME OF THIS. 2405 01:18:26,600 --> 01:18:28,360 WE HAVE JUST A FEW STAFF MEMBERS 2406 01:18:28,360 --> 01:18:30,160 THAT DO THIS FOR ALL OF NLM, SO 2407 01:18:30,160 --> 01:18:34,920 ONE OF THE THINGS THAT WE'VE 2408 01:18:34,920 --> 01:18:35,880 DONE IN THE LAST FEW MONTHS IS 2409 01:18:35,880 --> 01:18:37,600 TO START ENGAGING THE INDIVIDUAL 2410 01:18:37,600 --> 01:18:41,160 DIVISIONS AND OFFICES CH OF ND 2411 01:18:41,160 --> 01:18:41,960 REPORTING THEIR INFORMATION TO 2412 01:18:41,960 --> 01:18:42,800 US IN MORE FINAL FORM. 2413 01:18:42,800 --> 01:18:53,440 THIS NOT ONLIESES THE ONE 2414 01:18:53,440 --> 01:18:54,800 SELECTING WHAT THEY REALLY WANT 2415 01:18:54,800 --> 01:18:56,920 TO BE HIGHLIGHTED RATHER THAN 2416 01:18:56,920 --> 01:18:57,640 THE OSI DETERMINATION OF THAT 2417 01:18:57,640 --> 01:18:58,320 INFORMATION. 2418 01:18:58,320 --> 01:19:00,080 WE'VE ALSO WORKED CLOSELY WITH 2419 01:19:00,080 --> 01:19:02,680 THE OFFICE OF COMPUTING AND 2420 01:19:02,680 --> 01:19:05,440 COMMUNICATION SYSTEMS AT NLM TO 2421 01:19:05,440 --> 01:19:07,600 DEVELOP AN INFORMATION SYSTEM 2422 01:19:07,600 --> 01:19:10,120 FOR INTERNAL USE TO COLLECT 2423 01:19:10,120 --> 01:19:13,280 INFORMATION ABOUT WHAT NLM IS 2424 01:19:13,280 --> 01:19:14,720 DOING IN STRATEGIC INITIATIVES 2425 01:19:14,720 --> 01:19:17,560 AND OTHER PROGRAMS AND 2426 01:19:17,560 --> 01:19:18,880 ACTIVITIES IN SUPPORT OF THE 2427 01:19:18,880 --> 01:19:19,440 STRATEGIC PLAN. 2428 01:19:19,440 --> 01:19:21,160 THIS IS GOING TO NOW BE A 2429 01:19:21,160 --> 01:19:22,480 COLLECTION OF INFORMATION THAT 2430 01:19:22,480 --> 01:19:25,440 WE CAN GO IN AND MINE FOR OTHER 2431 01:19:25,440 --> 01:19:26,680 PURPOSES SO WE HAVE THE 2432 01:19:26,680 --> 01:19:28,400 INFORMATION IN ONE PLACE, WE CAN 2433 01:19:28,400 --> 01:19:30,040 REPURPOSE IT FOR DIFFERENT 2434 01:19:30,040 --> 01:19:31,560 REPORTING, OR EVALUATION 2435 01:19:31,560 --> 01:19:33,960 ACTIVITIES, OR OTHER KINDS OF 2436 01:19:33,960 --> 01:19:37,680 PROGRAMMATIC FUNCTIONS. 2437 01:19:37,680 --> 01:19:42,480 I MINGS MERNTION -- I M. 2438 01:19:42,480 --> 01:19:44,240 WE HAVE THREE IMPLEMENTATION 2439 01:19:44,240 --> 01:19:45,440 GROUPS FOR THAT AND THESE ARE 2440 01:19:45,440 --> 01:19:46,880 LOOKING AT INCREASING 2441 01:19:46,880 --> 01:19:48,640 PARTICIPATION IN THE WORKPLACE, 2442 01:19:48,640 --> 01:19:52,800 CULTURAL ASSESSMENTS, AND 2443 01:19:52,800 --> 01:19:54,080 EVALUATING RECOGNITION, 2444 01:19:54,080 --> 01:19:56,080 RETENTION AND PROMOTIONS, OH, 2445 01:19:56,080 --> 01:19:57,160 AND ESTABLISHING A MANAGEMENT 2446 01:19:57,160 --> 01:20:00,440 COMMITMENT PLAN FOR ENHANCING 2447 01:20:00,440 --> 01:20:02,120 WORKFORCE, ETHNIC AND RACIAL 2448 01:20:02,120 --> 01:20:04,120 DIVERSITY AND INCLUSIVITY. 2449 01:20:04,120 --> 01:20:06,760 SO WE WILL BE -- AGAIN, THESE 2450 01:20:06,760 --> 01:20:07,760 ARE MORE ACTIVITIES THAT NEED TO 2451 01:20:07,760 --> 01:20:12,600 BE MONITORED AND REPORTED ON, 2452 01:20:12,600 --> 01:20:15,160 AND WE THINK THE SYSTEM WE 2453 01:20:15,160 --> 01:20:17,600 DEVELOPED WITH OCCS WILL HELP US 2454 01:20:17,600 --> 01:20:19,000 DO THAT IN A NUMBER OF DIFFERENT 2455 01:20:19,000 --> 01:20:20,120 WAYS. 2456 01:20:20,120 --> 01:20:21,560 WE ALSO TALKED ABOUT A NUMBER OF 2457 01:20:21,560 --> 01:20:23,960 THINGS THAT ARE HAPPENING AT 2458 01:20:23,960 --> 01:20:24,120 NIH. 2459 01:20:24,120 --> 01:20:25,360 AS I MENTIONED THERE IS THIS NEW 2460 01:20:25,360 --> 01:20:27,120 OFFICE AT NIH THAT IS PROMOTING 2461 01:20:27,120 --> 01:20:33,160 AND COORDINATING SOME OF THIS SO 2462 01:20:33,160 --> 01:20:34,520 NOW EVEN THOUGH WE HAVE A 2463 01:20:34,520 --> 01:20:38,280 10-YEAR EXTRA TEE STRATEGIE 2464 01:20:38,280 --> 01:20:45,400 WORKING FROM RIGHT NOW, THE 21ST 2465 01:20:45,400 --> 01:20:46,800 CENTURIES CURES ACT WE HAVE 2466 01:20:46,800 --> 01:20:47,920 MANDATE EVERY FIVE YEARS, THIS 2467 01:20:47,920 --> 01:20:49,120 OFFICE AT NIH IS COORDINATING 2468 01:20:49,120 --> 01:20:49,320 THAT. 2469 01:20:49,320 --> 01:20:50,840 SO NOW THERE ARE SPECIFIC 2470 01:20:50,840 --> 01:20:53,960 TEMPLATE FOR THE PLANS AS WELL 2471 01:20:53,960 --> 01:20:56,240 AS GUIDELINES AS TO HOW TO 2472 01:20:56,240 --> 01:20:58,720 PROCESS THESE. 2473 01:20:58,720 --> 01:21:01,480 WE ARE WORKING WITH THE NHOD, 2474 01:21:01,480 --> 01:21:02,560 THAT OFFICE AND SOME OTHER 2475 01:21:02,560 --> 01:21:03,800 OFFICES, TO DEVELOP A SIMILAR 2476 01:21:03,800 --> 01:21:10,240 SYSTEM TO THIS OCCS SYSTEM, BUT 2477 01:21:10,240 --> 01:21:11,320 FOR NIH-WIDE USE. 2478 01:21:11,320 --> 01:21:13,000 AGAIN THE IDEA IS THAT ALL OF 2479 01:21:13,000 --> 01:21:14,360 THE NIH WILL BE SUBMITTING 2480 01:21:14,360 --> 01:21:16,040 INFORMATION TO THAT SYSTEM, 2481 01:21:16,040 --> 01:21:18,200 WHICH IS CALLED START, AND THE 2482 01:21:18,200 --> 01:21:19,960 IDEA IS THE INFORMATION IN THAT 2483 01:21:19,960 --> 01:21:22,400 SYSTEM CAN BE MAPPED TO VARIOUS 2484 01:21:22,400 --> 01:21:25,640 PLANS, AND IT CAN BE REPURPOSED 2485 01:21:25,640 --> 01:21:31,160 IF NEEDED. 2486 01:21:31,160 --> 01:21:32,720 FINALLY WE HAVE BEEN WORKING ON 2487 01:21:32,720 --> 01:21:33,760 MAPPING NLM ACTIVITIES TO A 2488 01:21:33,760 --> 01:21:35,640 NUMBER OF THE MORE SALIENT AND 2489 01:21:35,640 --> 01:21:37,480 RELEVANT NIH-WIDE PLANS, 2490 01:21:37,480 --> 01:21:41,440 INCLUDING THE NIH-WIDE STRATEGIC 2491 01:21:41,440 --> 01:21:42,640 PLAN, AS WELL AS MORE TOPICAL 2492 01:21:42,640 --> 01:21:44,960 PLANS SUCH AS THE NIH STRATEGIC 2493 01:21:44,960 --> 01:21:46,920 PLAN FOR COVID RESEARCH. 2494 01:21:46,920 --> 01:21:49,440 IN ALL OF THIS WORK, WE ARE 2495 01:21:49,440 --> 01:21:52,640 TRYING TO EMPHASIZE ON REPORTING 2496 01:21:52,640 --> 01:21:55,560 OUT OF WHAT NLM IS DOING AND HAS 2497 01:21:55,560 --> 01:21:55,840 DONE. 2498 01:21:55,840 --> 01:21:58,000 WHAT THE IMPACT IS, AND WHAT THE 2499 01:21:58,000 --> 01:22:00,120 OUTCOMES ARE AS OPPOSED TO JUST 2500 01:22:00,120 --> 01:22:03,320 SAYING, YOU KNOW, WE'VE REACHED 2501 01:22:03,320 --> 01:22:05,400 5,000 USERS FOR THIS DATA 2502 01:22:05,400 --> 01:22:06,040 RESOURCE YESTERDAY. 2503 01:22:06,040 --> 01:22:07,680 YOU KNOW, WHAT'S THE IMPACT OF 2504 01:22:07,680 --> 01:22:07,880 THAT? 2505 01:22:07,880 --> 01:22:10,520 AND SO THIS, AGAIN, GETS US BACK 2506 01:22:10,520 --> 01:22:12,080 TO WORKING MORE DIRECTLY WITH 2507 01:22:12,080 --> 01:22:15,160 THE STAFF THAT ARE RUNNING THESE 2508 01:22:15,160 --> 01:22:16,120 SPECIFIC ACTIVITIES, AND ASKING 2509 01:22:16,120 --> 01:22:20,040 THEM WHAT THE IMPACT WAS, WAS 2510 01:22:20,040 --> 01:22:23,200 SUPPOSED TO BE AT THE OUTSET AND 2511 01:22:23,200 --> 01:22:25,080 WAS THAT OUTCOME WHAT ENDED UP 2512 01:22:25,080 --> 01:22:26,600 TAKING PLACE. 2513 01:22:26,600 --> 01:22:28,800 WE THINK BY REPORTING OUTCOMES 2514 01:22:28,800 --> 01:22:31,760 AND IMPACT, WE'LL BE ABLE TO 2515 01:22:31,760 --> 01:22:35,440 SHOW THE SUCCESS THAT NLM HAS 2516 01:22:35,440 --> 01:22:39,160 AND MAKE IT MORE OBVIOUS ACROSS 2517 01:22:39,160 --> 01:22:40,360 NIH AND BEYOND, THE 2518 01:22:40,360 --> 01:22:45,840 CONTRIBUTIONS THAT NLM MAKES. 2519 01:22:45,840 --> 01:22:46,720 SO AT THE END OF OUR 2520 01:22:46,720 --> 01:22:48,360 PRESENTATION ON THIS, WE ASKED 2521 01:22:48,360 --> 01:22:49,720 THE BOARD MEMBERS IN THIS 2522 01:22:49,720 --> 01:22:51,120 WORKING GROUP HOW THEY MEASURED 2523 01:22:51,120 --> 01:22:52,520 SUCCESS AND IMPACT OF THEIR 2524 01:22:52,520 --> 01:22:55,560 VARIOUS PROGRAMS OR ASPECTS AT 2525 01:22:55,560 --> 01:22:56,920 THEIR INSTITUTIONS, AND WE HAD A 2526 01:22:56,920 --> 01:22:58,120 GOOD DISCUSSION OF THAT, AND 2527 01:22:58,120 --> 01:23:00,280 THAT LED TO DISCUSSION OF A 2528 01:23:00,280 --> 01:23:01,720 NUMBER OF OTHER TOPICS THAT I 2529 01:23:01,720 --> 01:23:05,000 WON'T GET INTO HERE, BUT WERE 2530 01:23:05,000 --> 01:23:05,960 VERY INTERESTING AND I THINK 2531 01:23:05,960 --> 01:23:06,880 WILL BE USEFUL. 2532 01:23:06,880 --> 01:23:09,160 SO WITH THAT, LET ME TURN OFF MY 2533 01:23:09,160 --> 01:23:11,240 SLIDES AND ASK IF THERE ARE ANY 2534 01:23:11,240 --> 01:23:13,080 QUESTIONS OR ASK IF ANYBODY ELSE 2535 01:23:13,080 --> 01:23:15,680 ON THE WORKING GROUP WOULD LIKE 2536 01:23:15,680 --> 01:23:17,480 TO ADD ANYTHING TO WHAT I'VE 2537 01:23:17,480 --> 01:23:22,720 JUST HAD TO SAY. 2538 01:23:22,720 --> 01:23:23,920 >> THANKS, MIKE. 2539 01:23:23,920 --> 01:23:27,080 THAT WAS A GOOD OVERVIEW OF OUR 2540 01:23:27,080 --> 01:23:29,800 MAIN TOPIC. 2541 01:23:29,800 --> 01:23:31,560 ANY QUESTIONS FOR MIKE? 2542 01:23:31,560 --> 01:23:34,200 >> I WAS WONDERING IF YOU WANTED 2543 01:23:34,200 --> 01:23:35,880 TO TALK A LITTLE ABOUT SOME OF 2544 01:23:35,880 --> 01:23:38,680 THE ISSUES YOU BROUGHT UP 2545 01:23:38,680 --> 01:23:39,560 RELATED TO PUBLICATION. 2546 01:23:39,560 --> 01:23:41,440 >> I'M HAPPY TO SUMMARIZE THAT. 2547 01:23:41,440 --> 01:23:43,720 SO ONE OF THE THINGS I BROUGHT 2548 01:23:43,720 --> 01:23:48,640 OF WAS, WITH THIS RECENT 2549 01:23:48,640 --> 01:23:50,720 PLANNING AROUND NO EMBARGO DATE 2550 01:23:50,720 --> 01:23:52,680 FOR NIH-FUNDED PROJECTS IN TERMS 2551 01:23:52,680 --> 01:23:56,160 OF PUBLICATIONS, REALLY STARTING 2552 01:23:56,160 --> 01:23:58,480 TO THINK ABOUT THE ROLE OF THE 2553 01:23:58,480 --> 01:24:00,720 NLM IN THAT ROLLOUT AND, IN 2554 01:24:00,720 --> 01:24:02,200 FACT, NOT ONLY JUST THINKING 2555 01:24:02,200 --> 01:24:04,480 ABOUT HOW TO SUPPORT A VERY 2556 01:24:04,480 --> 01:24:08,560 SPECIFIC GOAL OF NO EMBARGO FOR 2557 01:24:08,560 --> 01:24:13,440 PUBLICATIONS, BUT THE ENTIRE 2558 01:24:13,440 --> 01:24:14,240 BIOMEDICAL PUBLICATION SYSTEM 2559 01:24:14,240 --> 01:24:16,640 AND THAT NLM MIGHT CONSIDER 2560 01:24:16,640 --> 01:24:19,600 PLAYING THE ROLE IT DOES WELL, 2561 01:24:19,600 --> 01:24:22,800 WHICH IS CONVENING AS A NEUTRAL 2562 01:24:22,800 --> 01:24:25,360 PARTY STAKEHOLDERS ACROSS THE 2563 01:24:25,360 --> 01:24:26,160 PUBLISHING ECOSYSTEM FROM 2564 01:24:26,160 --> 01:24:31,240 JOURNAL EDITORS TO PROFESSIONAL 2565 01:24:31,240 --> 01:24:34,760 SOCIETIES THAT HAVE THEIR OWN 2566 01:24:34,760 --> 01:24:36,200 JOURNALS, TO THE ACADEMIC 2567 01:24:36,200 --> 01:24:37,360 SYSTEMS THAT SUPPORT PROMOTION 2568 01:24:37,360 --> 01:24:39,160 AND ALL THE DIFFERENT ELEMENTS 2569 01:24:39,160 --> 01:24:40,800 THAT FACTOR IN, AND REALLY 2570 01:24:40,800 --> 01:24:44,200 STARTING TO HAVE SOME STRATEGIC 2571 01:24:44,200 --> 01:24:45,160 DISCUSSIONS ABOUT HOW TO THINK 2572 01:24:45,160 --> 01:24:46,720 ABOUT THE PUBLISHING ECOSYSTEM. 2573 01:24:46,720 --> 01:24:47,840 AND I'M JUST GOING TO OPEN THE 2574 01:24:47,840 --> 01:24:51,920 DOOR BEFORE MY CATS CLAW IT 2575 01:24:51,920 --> 01:24:56,800 DOWN. 2576 01:24:56,800 --> 01:24:58,280 >> MAYBE I CAN JUST SAY A WORD 2577 01:24:58,280 --> 01:24:59,280 ABOUT THAT. 2578 01:24:59,280 --> 01:25:03,120 THE NIH WILL BE TAKING UP THE 2579 01:25:03,120 --> 01:25:04,120 PROCESS DEVELOPING OUR PLAN FOR 2580 01:25:04,120 --> 01:25:05,840 HOW WE'RE GOING TO IMPLEMENT OUR 2581 01:25:05,840 --> 01:25:07,280 POLICIES TO ACHIEVE THE GOALS 2582 01:25:07,280 --> 01:25:11,560 THAT ARE OUTLINED IN THAT NEW 2583 01:25:11,560 --> 01:25:13,640 MEMO, AND NLM HAS RECOGNIZED A 2584 01:25:13,640 --> 01:25:16,360 KEY PARTNER, WE'RE HELPING, IN 2585 01:25:16,360 --> 01:25:17,120 ESSENCE, CO-LEAD SOME OF THE 2586 01:25:17,120 --> 01:25:18,640 EFFORTS ON THAT, IN PARTICULAR 2587 01:25:18,640 --> 01:25:20,720 AROUND THE PUBLICATIONS EMBARGO 2588 01:25:20,720 --> 01:25:20,920 ISSUE. 2589 01:25:20,920 --> 01:25:21,920 I KNOW THERE'S A BIT OF 2590 01:25:21,920 --> 01:25:23,040 DISCUSSION ABOUT HOW BEST TO 2591 01:25:23,040 --> 01:25:25,000 ORGANIZE STAKEHOLDER 2592 01:25:25,000 --> 01:25:28,080 CONSULTATIONS AND SO FORTH. 2593 01:25:28,080 --> 01:25:29,480 WE, NLM, KIND OF ON BEHALF OF 2594 01:25:29,480 --> 01:25:31,000 NIH, HAVE ALSO BEEN 2595 01:25:31,000 --> 01:25:32,000 PARTICIPATING FOR THE LAST FEW 2596 01:25:32,000 --> 01:25:34,400 YEARS IN A NATIONAL ACADEMIES 2597 01:25:34,400 --> 01:25:37,480 SPONSORED ROUNDTABLE ON ALIGNING 2598 01:25:37,480 --> 01:25:38,760 INCENTIVES FOR OPEN SCIENCE, 2599 01:25:38,760 --> 01:25:40,640 WHICH HAS ALSO BEEN TRYING TO 2600 01:25:40,640 --> 01:25:42,960 PULL TOGETHER ACROSS THE 2601 01:25:42,960 --> 01:25:46,760 SCIENCES WITHOUT A BIOMEDICAL 2602 01:25:46,760 --> 01:25:46,960 FOCUS. 2603 01:25:46,960 --> 01:25:49,480 SOCIETIES, OTHERS IN SCHOLARLY 2604 01:25:49,480 --> 01:25:50,240 COMMUNICATION, UNIVERSITIES AND 2605 01:25:50,240 --> 01:25:54,960 SO FORTH TO HELP BUILD OUT A 2606 01:25:54,960 --> 01:25:56,600 TRANSITION TOWARD MORE OPENNESS 2607 01:25:56,600 --> 01:25:58,240 AND IMMEDIATE ACCESS. 2608 01:25:58,240 --> 01:26:00,440 SO THAT MIGHT ALSO BE ANOTHER 2609 01:26:00,440 --> 01:26:01,440 PLATFORM FOR SOME OF THE ISSUES 2610 01:26:01,440 --> 01:26:02,200 THAT YOU'RE RAISING. 2611 01:26:02,200 --> 01:26:05,960 I THINK WE CERTAINLY SEE NLM AS 2612 01:26:05,960 --> 01:26:10,520 PLAYING A KEY ROLE HERE AS A 2613 01:26:10,520 --> 01:26:12,040 CONVENER AND THOSE WHO CAN BRING 2614 01:26:12,040 --> 01:26:13,440 SOME ALSO INTO THE BROADER NIH 2615 01:26:13,440 --> 01:26:14,560 DISCUSSIONS UNDERSTANDING OF THE 2616 01:26:14,560 --> 01:26:15,920 SCHOLARLY PUBLISHING COMMUNITY 2617 01:26:15,920 --> 01:26:19,680 AND HOW IT WORKS AND HOW IT WILL 2618 01:26:19,680 --> 01:26:21,600 LIKELY BE EFFECTIVE NEXT TO A 2619 01:26:21,600 --> 01:26:22,840 LOT OF UNCERTAINTIES AROUND IT, 2620 01:26:22,840 --> 01:26:24,480 BUT WE'LL BE POSITIONING 2621 01:26:24,480 --> 01:26:25,440 OURSELVES BOTH I THINK IN TERMS 2622 01:26:25,440 --> 01:26:29,040 OF THE POLICY DEVELOPMENT AS 2623 01:26:29,040 --> 01:26:30,520 WELL AS MAKING SURE OUR SYSTEMS 2624 01:26:30,520 --> 01:26:32,440 LIKE PUBMED CENTRAL AND OTHERS 2625 01:26:32,440 --> 01:26:33,720 ARE CAPABLE OF SUPPORTING THE 2626 01:26:33,720 --> 01:26:34,400 NEW DIRECTIONS. 2627 01:26:34,400 --> 01:26:35,440 >> ABSOLUTELY. 2628 01:26:35,440 --> 01:26:40,040 THANKS, JERRY. 2629 01:26:40,040 --> 01:26:42,120 ANY OTHER THINGS BEFORE WE MOVE 2630 01:26:42,120 --> 01:26:47,440 ON TO OUR NEXT WORKING GROUP? 2631 01:26:47,440 --> 01:26:48,560 OKAY, TERRIFIC. 2632 01:26:48,560 --> 01:26:50,400 THANK YOU, MIKE. 2633 01:26:50,400 --> 01:26:52,960 SO LET'S MOVE ON TO RESEARCH 2634 01:26:52,960 --> 01:26:56,800 FRONTIERS AS THE NEXT ONE. 2635 01:26:56,800 --> 01:27:00,840 >> SO JIM SAMINO HERE. 2636 01:27:00,840 --> 01:27:02,560 I WAS TAPPED TO REPORT OUT AND I 2637 01:27:02,560 --> 01:27:04,240 WANT TO APPLAUD MIKE FOR HAVING 2638 01:27:04,240 --> 01:27:08,360 THE TIME TO PUT TOGETHER A 2639 01:27:08,360 --> 01:27:08,680 SLIDE. 2640 01:27:08,680 --> 01:27:10,200 I HAD A DREAM THE OTHER NIGHT 2641 01:27:10,200 --> 01:27:12,400 WHERE I HAD TO GIVE A TALK AND I 2642 01:27:12,400 --> 01:27:14,320 DIDN'T I HAVE MY SLIDES. 2643 01:27:14,320 --> 01:27:16,680 IT WAS A NIGHTMARE. 2644 01:27:16,680 --> 01:27:18,200 I'VE GIVEN THE TALK IN MY SLEEP 2645 01:27:18,200 --> 01:27:19,640 MANY TIMES SO NOW I HAVE 2646 01:27:19,640 --> 01:27:20,720 LITERALLY GIVEN IN MY SLEEP, BUT 2647 01:27:20,720 --> 01:27:22,360 I DON'T HAVE SLIDES FOR THE 2648 01:27:22,360 --> 01:27:25,120 REPORT OUT. 2649 01:27:25,120 --> 01:27:28,160 WE GOT AS FAR AS ONE AUDACIOUS 2650 01:27:28,160 --> 01:27:30,600 GOAL THAT WAS THE RE-INVENTION 2651 01:27:30,600 --> 01:27:32,760 OF THE ELECTRONIC HEALTH RECORD. 2652 01:27:32,760 --> 01:27:34,200 OH, WAIT, I DO HAVE A SLIDE. 2653 01:27:34,200 --> 01:27:37,680 THERE WE GO. 2654 01:27:37,680 --> 01:27:39,520 SO AS YOU CAN IMAGINE, TALKING 2655 01:27:39,520 --> 01:27:40,320 ABOUT RE-INVENTION OF THE 2656 01:27:40,320 --> 01:27:41,080 ELECTRONIC HEALTH RECORD OPENED 2657 01:27:41,080 --> 01:27:42,480 UP A LOT OF DISCUSSION ABOUT A 2658 01:27:42,480 --> 01:27:44,480 LOT OF THINGS, SO LET ME JUST 2659 01:27:44,480 --> 01:27:48,640 TRY TO BOIL DOWN TO A COUPLE OF 2660 01:27:48,640 --> 01:27:48,880 POINTS. 2661 01:27:48,880 --> 01:27:50,720 WE TALKED ABOUT THAT ELECTRONIC 2662 01:27:50,720 --> 01:27:53,640 HEALTH RECORD WAS NOT ORIGINALLY 2663 01:27:53,640 --> 01:27:55,680 DESIGNED TO BE AN ADVANCE IN 2664 01:27:55,680 --> 01:27:58,160 PATIENT CARE, BUT SIMPLY TO 2665 01:27:58,160 --> 01:28:00,560 REPRODUCE THE PAPER RECORD THAT 2666 01:28:00,560 --> 01:28:02,840 WAS MAINLY DEVELOPED FOR BILLING 2667 01:28:02,840 --> 01:28:04,480 PURPOSES AND SECONDARILY FOR 2668 01:28:04,480 --> 01:28:07,320 PATIENT CARE AND WE'VE KIND OF 2669 01:28:07,320 --> 01:28:08,960 REINVENTED THAT IN AN ELECTRONIC 2670 01:28:08,960 --> 01:28:11,360 FORM SO WE HAVE GARBAGE IN, 2671 01:28:11,360 --> 01:28:13,040 GARBAGE OUT, WE HAVE POOR DATA 2672 01:28:13,040 --> 01:28:14,240 INTEGRATION, AND WE HAVE BIASED 2673 01:28:14,240 --> 01:28:16,480 INFORMATION THAT LEADS TO BIASED 2674 01:28:16,480 --> 01:28:17,640 ALGORITHMS, WHICH LEADS TO 2675 01:28:17,640 --> 01:28:19,040 BIASED PATIENT CARE WHICH THEN 2676 01:28:19,040 --> 01:28:26,800 LEADS TO MORE BIASED DATA. 2677 01:28:26,800 --> 01:28:28,560 THERE'S CALLS FOR CHANGING 2678 01:28:28,560 --> 01:28:30,600 THINGS IN ELECTRONIC MEDICAL 2679 01:28:30,600 --> 01:28:31,960 RECORDS LIKE THE REASON BEHIND 2680 01:28:31,960 --> 01:28:33,200 DECISION-MAKING AND SO ON. 2681 01:28:33,200 --> 01:28:35,000 ONC IS RESPONSIBLE FOR 2682 01:28:35,000 --> 01:28:36,400 STANDARDIZING WHAT GOES -- WHAT 2683 01:28:36,400 --> 01:28:39,520 IS IN THE ELECTRONIC HEALTH 2684 01:28:39,520 --> 01:28:40,240 RECORD, BUT THAT THE QUESTIONS 2685 01:28:40,240 --> 01:28:42,080 OF WHAT SHOULD BE ADDED TO THE 2686 01:28:42,080 --> 01:28:43,080 ELECTRONIC HEALTH RECORD AND HOW 2687 01:28:43,080 --> 01:28:44,680 THE ELECTRONIC HEALTH RECORD 2688 01:28:44,680 --> 01:28:45,920 SHOULD FUNCTION ARE STILL VERY 2689 01:28:45,920 --> 01:28:47,600 MUCH RESEARCH ISSUES OR SHOULD 2690 01:28:47,600 --> 01:28:51,720 BE RESEARCH ISSUES THAT FALL 2691 01:28:51,720 --> 01:28:53,520 UNDER THE PURVIEW OF NIH AND 2692 01:28:53,520 --> 01:28:55,880 THEN THE QUESTION IS, IS IT NLM 2693 01:28:55,880 --> 01:28:58,520 OR IS IT MORE THAN THAT, AND 2694 01:28:58,520 --> 01:29:00,600 REALLY, WE THOUGHT -- THE WHOLE 2695 01:29:00,600 --> 01:29:01,800 OF NIH SHOULD BE CONCERNED ABOUT 2696 01:29:01,800 --> 01:29:03,840 THIS, AND THAT OTHER INSTITUTES 2697 01:29:03,840 --> 01:29:06,240 WHO WANT TO PERFORM BETTER 2698 01:29:06,240 --> 01:29:07,440 RESEARCH AND WANT BETTER DATA 2699 01:29:07,440 --> 01:29:08,600 OUT OF ELECTRONIC HEALTH RECORDS 2700 01:29:08,600 --> 01:29:10,320 AND WANT TO SEE THEIR DECISIONS 2701 01:29:10,320 --> 01:29:13,520 THAT COME OR THE KNOWLEDGE THAT 2702 01:29:13,520 --> 01:29:16,800 THEY GENERATE BE REINVESTED INTO 2703 01:29:16,800 --> 01:29:18,960 PATIENT CARE SHOULD ALL CARE 2704 01:29:18,960 --> 01:29:20,720 ABOUT THE FUNCTIONALITY OF 2705 01:29:20,720 --> 01:29:23,240 ELECTRONIC HEALTH RECORDS. 2706 01:29:23,240 --> 01:29:25,080 AND SO YOU KNOW, AS AN AUDACIOUS 2707 01:29:25,080 --> 01:29:26,520 GOAL, THE QUESTION IS WHETHER 2708 01:29:26,520 --> 01:29:29,840 SOMETHING CAN BE TOO AUDACIOUS. 2709 01:29:29,840 --> 01:29:35,280 AND IN TERMS OF DEVELOPING 2710 01:29:35,280 --> 01:29:36,560 METHODOLOGY, AT LEAST WE DIDN'T 2711 01:29:36,560 --> 01:29:38,200 GET TO TALK TOO MUCH ABOUT THIS 2712 01:29:38,200 --> 01:29:39,320 SO I'LL JUST THROW MY OWN 2713 01:29:39,320 --> 01:29:43,120 OPINION IN, WHICH IS THAT 2714 01:29:43,120 --> 01:29:45,240 THERE'S A LOT OF METHODOLOGY WE 2715 01:29:45,240 --> 01:29:46,840 NEED TO UNDERSTAND WHEN 2716 01:29:46,840 --> 01:29:47,640 ELECTRONIC MEDICAL RECORDS ARE 2717 01:29:47,640 --> 01:29:48,560 WORKING, WHEN THEY'RE NOT 2718 01:29:48,560 --> 01:29:50,360 WORKING, WHAT THE OUTCOMES OF 2719 01:29:50,360 --> 01:29:53,080 USING THEM SHOULD BE, AND WE 2720 01:29:53,080 --> 01:29:57,040 NEED COGNITIVE SCIENTIST, DATA 2721 01:29:57,040 --> 01:29:58,760 SCIENTISTS, IMPLEMENTATION 2722 01:29:58,760 --> 01:30:00,400 SCIENTISTS AS WELL AS CLINICAL 2723 01:30:00,400 --> 01:30:00,760 INFORMATICIANS. 2724 01:30:00,760 --> 01:30:01,840 SO THERE'S A LOT OF METHODOLOGY 2725 01:30:01,840 --> 01:30:03,280 WORK THAT NEEDS TO GO INTO 2726 01:30:03,280 --> 01:30:04,360 STUDYING WHAT'S WRONG, DECIDING 2727 01:30:04,360 --> 01:30:05,680 HOW WE'RE GOING TO FIX 2728 01:30:05,680 --> 01:30:06,880 ELECTRONIC HEALTH RECORDS SO 2729 01:30:06,880 --> 01:30:07,960 THEY DELIVER BETTER INFORMATION 2730 01:30:07,960 --> 01:30:09,720 TO SUPPORT THE LEARNING HEALTH 2731 01:30:09,720 --> 01:30:11,480 SYSTEM, AND THEN HOW WE MODIFY 2732 01:30:11,480 --> 01:30:14,000 THEM OR ADAPT THEM SO THAT THEY 2733 01:30:14,000 --> 01:30:16,280 CAN DELIVER KNOWLEDGE BACK TO 2734 01:30:16,280 --> 01:30:18,200 THE POINT OF CARE AND KEEP UP 2735 01:30:18,200 --> 01:30:20,000 WITH THE EVER-EXPANDING RATE AT 2736 01:30:20,000 --> 01:30:21,000 WHICH KNOWLEDGE IS BEING 2737 01:30:21,000 --> 01:30:26,120 GENERATED. 2738 01:30:26,120 --> 01:30:27,560 AND WE TALKED ABOUT A LOT OF 2739 01:30:27,560 --> 01:30:28,320 DIFFERENT THINGS OVER THE COURSE 2740 01:30:28,320 --> 01:30:30,400 OF THE HOUR, BUT THOSE WERE, I 2741 01:30:30,400 --> 01:30:32,680 THINK, THE BASIC POINTS. 2742 01:30:32,680 --> 01:30:34,520 AND I WELCOME OTHERS TO CHIME IN 2743 01:30:34,520 --> 01:30:41,960 WITH THINGS I MISSED. 2744 01:30:41,960 --> 01:30:46,040 NO? 2745 01:30:46,040 --> 01:30:46,440 OKAY. 2746 01:30:46,440 --> 01:30:46,920 QUESTIONS? 2747 01:30:46,920 --> 01:30:54,360 I MEAN, FOR PEOPLE WHO AREN'T 2748 01:30:54,360 --> 01:30:54,560 HERE? 2749 01:30:54,560 --> 01:30:56,840 >> SORRY, KRISTI, DID YOU HAVE A 2750 01:30:56,840 --> 01:30:57,200 COMMENT? 2751 01:30:57,200 --> 01:30:57,760 GO AHEAD. 2752 01:30:57,760 --> 01:31:01,120 >> I'M VERY INTERESTED IN THE 2753 01:31:01,120 --> 01:31:01,960 CONVERSATION, IT SOUNDS LIKE IT 2754 01:31:01,960 --> 01:31:02,760 WAS A GREAT DISCUSSION. 2755 01:31:02,760 --> 01:31:05,920 WHEN YOU WERE DESCRIBING THE 2756 01:31:05,920 --> 01:31:07,120 CONVERSATION OF THE GROUP AND 2757 01:31:07,120 --> 01:31:08,680 THE DIFFERENT WORKFORCE ROLES 2758 01:31:08,680 --> 01:31:13,920 THAT ARE INVOLVED WITH COULD 2759 01:31:13,920 --> 01:31:16,120 EVEN CONSIDER SUCH A HUGE 2760 01:31:16,120 --> 01:31:16,680 ENDEAVOR. 2761 01:31:16,680 --> 01:31:19,960 I'M WONDERING IF THE TOPIC OF 2762 01:31:19,960 --> 01:31:21,680 LIBRARIANS CAME UP AND THE ROLE 2763 01:31:21,680 --> 01:31:24,000 THAT THEY'RE PLAYING IN THE 2764 01:31:24,000 --> 01:31:25,840 CLINICAL SYSTEMS WITH PROVIDING 2765 01:31:25,840 --> 01:31:29,240 INFORMATION SUPPORT, OR IF YOU 2766 01:31:29,240 --> 01:31:30,400 COULD EXPAND ON THAT FOR US. 2767 01:31:30,400 --> 01:31:34,880 >> SO WE DID NOT, BUT IT MAY BE 2768 01:31:34,880 --> 01:31:36,880 THAT, YOU KNOW, WE JUST 2769 01:31:36,880 --> 01:31:38,000 FUNDAMENTALLY EXPECT THAT THEY 2770 01:31:38,000 --> 01:31:39,080 WOULD BE INVOLVED. 2771 01:31:39,080 --> 01:31:40,920 I HAD A SYSTEM CALLED THE 2772 01:31:40,920 --> 01:31:43,680 LIBRARIAN INFO BUTTON TAILORING 2773 01:31:43,680 --> 01:31:46,560 ENVIRONMENT A LONG TIME AGO, BUT 2774 01:31:46,560 --> 01:31:50,360 IT WAS SOMEBODY WHO WAS GOING TO 2775 01:31:50,360 --> 01:31:51,160 DELIVER KNOWLEDGE TO THE POINT 2776 01:31:51,160 --> 01:31:53,320 IT WAS NEEDED, AS A LIBRARIAN, 2777 01:31:53,320 --> 01:31:55,920 WHETHER THEY CARRY THAT TITLE OR 2778 01:31:55,920 --> 01:31:56,920 NOT. 2779 01:31:56,920 --> 01:32:01,800 IT WAS A HASTY DISCUSSION BUT 2780 01:32:01,800 --> 01:32:03,880 MEDICAL LIBRARIANSHIP IS AN 2781 01:32:03,880 --> 01:32:04,560 IMPORTANT PART OF THAT. 2782 01:32:04,560 --> 01:32:09,680 >> I WONDER TO WHAT EXTENT 2783 01:32:09,680 --> 01:32:12,000 REALLY GETTING THE LARGER 2784 01:32:12,000 --> 01:32:13,200 COMMUNITY OF STAKEHOLDERS IN 2785 01:32:13,200 --> 01:32:15,600 TERMS OF THE HEALTHCARE 2786 01:32:15,600 --> 01:32:18,320 INSTITUTIONS TOGETHER TO THINK 2787 01:32:18,320 --> 01:32:19,200 STRATEGICALLY ABOUT THIS AND BE 2788 01:32:19,200 --> 01:32:21,600 ABLE TO WORK IN PARTNERSHIP WITH 2789 01:32:21,600 --> 01:32:23,800 THE MAJOR EHR VENDORS, BECAUSE I 2790 01:32:23,800 --> 01:32:26,120 FEEL LIKE WHAT OFTEN HAPPENS IS 2791 01:32:26,120 --> 01:32:27,880 THERE'S ISOLATED INSTITUTIONS 2792 01:32:27,880 --> 01:32:31,240 DOING INNOVATIVE PROJECTS, AND 2793 01:32:31,240 --> 01:32:32,560 THEY DO OFTEN WORK WITH THE 2794 01:32:32,560 --> 01:32:34,000 VENDOR, BUT THEN EACH 2795 01:32:34,000 --> 01:32:35,200 INSTITUTION ENDS UP COMING UP 2796 01:32:35,200 --> 01:32:36,280 WITH DIFFERENT SOLUTIONS TO THE 2797 01:32:36,280 --> 01:32:39,120 PROBLEMS. 2798 01:32:39,120 --> 01:32:41,320 AND SO WOULD NLM PLAY A ROLE IN 2799 01:32:41,320 --> 01:32:44,480 A CONVENER OF THE HEALTHCARE 2800 01:32:44,480 --> 01:32:45,880 INSTITUTIONS THAT ARE TRYING TO 2801 01:32:45,880 --> 01:32:49,320 WEIGH IN ON THEIR OWN EHR 2802 01:32:49,320 --> 01:32:51,280 IMPLEMENTATIONS TO TRY TO CREATE 2803 01:32:51,280 --> 01:32:53,000 CONSISTENCY AND REDUCE RESOURCES 2804 01:32:53,000 --> 01:32:56,160 INVOLVED IN THAT? 2805 01:32:56,160 --> 01:32:58,000 LOOKS LIKE PATTI HAS HER HAND UP 2806 01:32:58,000 --> 01:32:58,960 AND THEN VALERIE. 2807 01:32:58,960 --> 01:33:03,080 >> YES, THANKS VERY MUCH. 2808 01:33:03,080 --> 01:33:04,200 ACTUALLY I'M RAISING MY HAND SO 2809 01:33:04,200 --> 01:33:07,880 I CAN ASK MITCH TO SAY 2810 01:33:07,880 --> 01:33:09,080 SOMETHING, BECAUSE THE NLM 2811 01:33:09,080 --> 01:33:10,960 PEOPLE WHO WERE INVOLVED IN THE 2812 01:33:10,960 --> 01:33:13,280 DEVELOPMENT OF THE STRATEGIC 2813 01:33:13,280 --> 01:33:14,320 PLAN, REMEMBER THE MANY REQUESTS 2814 01:33:14,320 --> 01:33:16,080 FOR WHAT WE COULD DO FOR 2815 01:33:16,080 --> 01:33:18,080 CLINICAL INFORMATION DURING THE 2816 01:33:18,080 --> 01:33:18,600 PLANNING PROCESS. 2817 01:33:18,600 --> 01:33:20,640 MITCH, I WONDER IF YOU CAN RAISE 2818 01:33:20,640 --> 01:33:22,120 THE ISSUE YOU RAISED -- IS MITCH 2819 01:33:22,120 --> 01:33:22,760 BACK, BY THE WAY? 2820 01:33:22,760 --> 01:33:24,200 CAN RAISE THE ISSUE HE RAISED IN 2821 01:33:24,200 --> 01:33:24,640 OUR DISCUSSION. 2822 01:33:24,640 --> 01:33:25,840 I DON'T SEE HIM RIGHT HERE RIGHT 2823 01:33:25,840 --> 01:33:28,240 NOW. 2824 01:33:28,240 --> 01:33:31,160 SO I'LL START AND THEN MAYBE 2825 01:33:31,160 --> 01:33:32,840 HEIDI OR JOE OR SOMEONE WHO WAS 2826 01:33:32,840 --> 01:33:34,360 THERE CAN TALK ABOUT THIS. 2827 01:33:34,360 --> 01:33:40,920 MITCH WAS ASKING -- WAS GIING GA 2828 01:33:40,920 --> 01:33:41,960 PLEA FOR GETTING CLINICAL 2829 01:33:41,960 --> 01:33:43,120 INFORMATION MORE READILY 2830 01:33:43,120 --> 01:33:45,720 AVAILABLE, SO SCIENCE-BASED 2831 01:33:45,720 --> 01:33:46,560 TRUSTABLE CLINICAL INFORMATION, 2832 01:33:46,560 --> 01:33:48,800 WHAT COULD -- AND RECOGNIZE THAT 2833 01:33:48,800 --> 01:33:51,960 NLM IS NOT THE PLACE TO DEVELOP 2834 01:33:51,960 --> 01:33:53,400 CLINICAL GUIDANCE. 2835 01:33:53,400 --> 01:33:54,600 WE'RE GOING TO HAVE A GREAT TALK 2836 01:33:54,600 --> 01:33:57,880 THIS AFTERNOON, BY THE WAY, FROM 2837 01:33:57,880 --> 01:34:00,760 N IGA M SHAH ABOUT SOME OF THE 2838 01:34:00,760 --> 01:34:02,160 THINGS WE'VE BEEN INVESTING IN, 2839 01:34:02,160 --> 01:34:04,200 BUT OTHER WAYS TO INVEST IN THE 2840 01:34:04,200 --> 01:34:05,520 MODULAR COMPONENTS OF ELECTRONIC 2841 01:34:05,520 --> 01:34:07,800 HEALTH RECORDS THAT WILL ALLOW 2842 01:34:07,800 --> 01:34:10,240 FOR RAPID EXTRACTION OF THE 2843 01:34:10,240 --> 01:34:11,200 LITERATURE AND PRESENTATION IN A 2844 01:34:11,200 --> 01:34:15,240 WAY THAT MAKES IT ACCEPTABLE TO 2845 01:34:15,240 --> 01:34:15,920 CLINICIANS AND SHOULD BE 2846 01:34:15,920 --> 01:34:16,960 THINKING ABOUT THIS INNOVATION 2847 01:34:16,960 --> 01:34:20,480 MORE FROM AN AN ARCHITECTURAL 2848 01:34:20,480 --> 01:34:21,720 PERSPECTIVE THAN FROM A FULL 2849 01:34:21,720 --> 01:34:24,320 STACK DESIGN PERSPECTIVE. 2850 01:34:24,320 --> 01:34:25,520 JOE OR HEIDI, IF YOU WANT TO 2851 01:34:25,520 --> 01:34:27,840 WEIGH IN TO WHAT I MIGHT HAVE 2852 01:34:27,840 --> 01:34:28,840 MISSPOKEN. 2853 01:34:28,840 --> 01:34:30,360 BEFORE WE GO, I WANT TO MAKE 2854 01:34:30,360 --> 01:34:32,240 SURE WE THINK ABOUT HOW DO WE 2855 01:34:32,240 --> 01:34:33,320 GET GENOMIC INFORMATION INTO THE 2856 01:34:33,320 --> 01:34:34,560 ELECTRONIC HEALTH RECORD IN A 2857 01:34:34,560 --> 01:34:35,840 USABLE FASHION. 2858 01:34:35,840 --> 01:34:36,080 THANKS. 2859 01:34:36,080 --> 01:34:39,560 >> YEAH, I MEAN, I WILL SAY THAT 2860 01:34:39,560 --> 01:34:41,760 IN OUR OWN EHR SYSTEM, WE'VE 2861 01:34:41,760 --> 01:34:43,480 BEEN TRYING TO ROLL OUT 2862 01:34:43,480 --> 01:34:47,320 EDUCATIONAL MODULES, LIKE PCOI, 2863 01:34:47,320 --> 01:34:51,040 THESE POINT OF CARE SORT OF 2864 01:34:51,040 --> 01:34:53,040 EDUCATION PIECES WITHIN OUR EPIC 2865 01:34:53,040 --> 01:34:53,880 IMPLEMENTATION. 2866 01:34:53,880 --> 01:34:55,400 AFTER A YEAR OF PUTTING THESE 2867 01:34:55,400 --> 01:34:56,400 MODULES OUT THERE THAT ARE 2868 01:34:56,400 --> 01:34:57,920 PRETTY READILY ACCESSIBLE, WE 2869 01:34:57,920 --> 01:34:59,240 FOUND VERY LITTLE UPTAKE. 2870 01:34:59,240 --> 01:35:00,440 AND I THINK MITCH'S POINT THAT 2871 01:35:00,440 --> 01:35:04,720 HE WAS MAKING WAS MORE AROUND 2872 01:35:04,720 --> 01:35:06,120 REALLY THE CLINICAL DECISION 2873 01:35:06,120 --> 01:35:07,640 SUPPORT SIDE, WHERE IT'S NOT A 2874 01:35:07,640 --> 01:35:09,400 BUSY CLINICIAN WHO HAS NO TIME, 2875 01:35:09,400 --> 01:35:12,480 YOU KNOW, HAVING TO THINK TO GO 2876 01:35:12,480 --> 01:35:14,560 SEARCH OUT INFORMATION, READ 2877 01:35:14,560 --> 01:35:15,760 ABOUT IT AND IMPLEMENT IT, BUT 2878 01:35:15,760 --> 01:35:19,040 HOW CAN THE SYSTEM HELP GUIDE 2879 01:35:19,040 --> 01:35:20,040 THE CLINICIAN SO THEY DON'T HAVE 2880 01:35:20,040 --> 01:35:23,000 TO THINK TO GO LOOK FOR 2881 01:35:23,000 --> 01:35:23,280 INFORMATION. 2882 01:35:23,280 --> 01:35:25,240 SO I THINK SOME OF THAT IS 2883 01:35:25,240 --> 01:35:27,200 REARRANGING THE EHR OR NOT 2884 01:35:27,200 --> 01:35:29,520 REARRANGING BUT CREATING MORE 2885 01:35:29,520 --> 01:35:31,880 USEFUL FIELDS AND FUNCTIONS AND 2886 01:35:31,880 --> 01:35:33,280 KNOWLEDGE THAT'S MORE 2887 01:35:33,280 --> 01:35:37,320 EFFECTIVELY COLLECTED JUST AS A 2888 01:35:37,320 --> 01:35:38,640 PART OF CARE AS WELL AS GUIDING 2889 01:35:38,640 --> 01:35:40,200 THE CLINICIAN BASED ON MORE 2890 01:35:40,200 --> 01:35:40,920 ACCURATE INFORMATION OF WHAT TO 2891 01:35:40,920 --> 01:35:43,640 DO WITH THEIR PATIENT IN A CDS 2892 01:35:43,640 --> 01:35:44,400 SORT OF WAY. 2893 01:35:44,400 --> 01:35:45,760 I THINK THAT'S WHAT HE WAS, I 2894 01:35:45,760 --> 01:35:47,600 THINK, YOU KNOW, TRYING TO SORT 2895 01:35:47,600 --> 01:35:49,800 OF FOCUS ON, AND THAT REQUIRES A 2896 01:35:49,800 --> 01:35:53,160 FAIR BIT OF REJIGGERING OF THE 2897 01:35:53,160 --> 01:35:55,360 EHR, SHALL WE SAY. 2898 01:35:55,360 --> 01:35:56,560 BUT VALERIE, YOU'VE HAD YOUR 2899 01:35:56,560 --> 01:36:05,240 HAND UP, SO YOU CAN COMMENT. 2900 01:36:05,240 --> 01:36:07,520 >> I JUST WANTED TO SAY PATTI 2901 01:36:07,520 --> 01:36:09,920 HAD ALREADY ALLUDED TO SOMETHING 2902 01:36:09,920 --> 01:36:11,000 WE HAD STARTED TALKING ABOUT BUT 2903 01:36:11,000 --> 01:36:12,720 DIDN'T HAVE A FULLY FORMED 2904 01:36:12,720 --> 01:36:16,000 STATEMENT THE WAY JIM DID ABOUT 2905 01:36:16,000 --> 01:36:20,920 OMICS DATA, RIGHT, ABOUT THE 2906 01:36:20,920 --> 01:36:24,760 VARIOUS WAYS THAT WE COULD THINK 2907 01:36:24,760 --> 01:36:29,800 ABOUT AFN OWE TATING --E 2908 01:36:29,800 --> 01:36:31,240 GENOME BECAUSE WE HAVE DATASETS 2909 01:36:31,240 --> 01:36:32,520 THAT WOULD BE HELPFUL. 2910 01:36:32,520 --> 01:36:33,960 WE JUST DIDN'T GET FAR ENOUGH IN 2911 01:36:33,960 --> 01:36:35,040 THAT DISCUSSION YET. 2912 01:36:35,040 --> 01:36:36,320 SO ANDY CAN SAY WHAT HE REALLY 2913 01:36:36,320 --> 01:36:36,680 SAID. 2914 01:36:36,680 --> 01:36:37,880 I'M JUST TELLING YOU THAT WE DID 2915 01:36:37,880 --> 01:36:40,840 HAVE A BROADER CONVERSATION THAN 2916 01:36:40,840 --> 01:36:43,080 ONLY CLINICAL. 2917 01:36:43,080 --> 01:36:47,120 >> SO THIS WAS ANOTHER IDEA THAT 2918 01:36:47,120 --> 01:36:48,840 SORT OF, I GUESS, I WOULD SAY 2919 01:36:48,840 --> 01:36:50,760 PARALLELS NOT DOWNSTREAM OF THE 2920 01:36:50,760 --> 01:36:51,120 EHR PROBLEM. 2921 01:36:51,120 --> 01:36:52,680 ONCE WE SOLVE THE EHR PROBLEM, 2922 01:36:52,680 --> 01:36:55,480 THERE ARE PLENTY OF OTHER REALLY 2923 01:36:55,480 --> 01:36:56,400 COMPELLING, EXCITING SCIENTIFIC, 2924 01:36:56,400 --> 01:37:03,600 YOU KNOW, RESEARCH TOPICS IN THE 2925 01:37:03,600 --> 01:37:06,240 REALM OF NLM THAT RELATE TO 2926 01:37:06,240 --> 01:37:08,200 ANNOTATING THE GENOME, 2927 01:37:08,200 --> 01:37:10,080 FUNCTIONAL EFFECTS OF VARIANCE 2928 01:37:10,080 --> 01:37:13,960 IN THE GENOME THAT INTEGRATE 2929 01:37:13,960 --> 01:37:16,920 ACROSS MULTIPLE PLATFORMS OF 2930 01:37:16,920 --> 01:37:17,920 INQUIRY OF THE GENOME, THERE'S 2931 01:37:17,920 --> 01:37:20,680 MULTI-OMICS METHODS, METHODS 2932 01:37:20,680 --> 01:37:24,320 THAT USE SPATIAL TRANSCRIPTOMICS 2933 01:37:24,320 --> 01:37:25,560 AND SO FORTH. 2934 01:37:25,560 --> 01:37:27,000 IF WE COULD SOLVE JIM'S PROBLEM, 2935 01:37:27,000 --> 01:37:29,960 THAT IS THE SINGLE BIGGEST KIND 2936 01:37:29,960 --> 01:37:34,000 OF PROBLEM THAT WOULD REALLY, 2937 01:37:34,000 --> 01:37:37,400 REALLY ACCELERATE THE DELIVERY 2938 01:37:37,400 --> 01:37:39,240 OF HEALTHCARE, EVEN USING GENOME 2939 01:37:39,240 --> 01:37:40,040 DATA. 2940 01:37:40,040 --> 01:37:43,000 SO HOW TO INTEGRATE THE GENOME 2941 01:37:43,000 --> 01:37:45,920 INTO THE EHR IS ANOTHER KEY 2942 01:37:45,920 --> 01:37:48,800 PROBLEM THAT WE JUST TOUCHED ON. 2943 01:37:48,800 --> 01:37:50,800 >> AND I WILL SAY AT THE GLOBAL 2944 01:37:50,800 --> 01:37:52,360 ALLIANCE MEETING, WHICH FOR 2945 01:37:52,360 --> 01:37:55,360 THOSE OF YOU WHO DON'T KNOW IS 2946 01:37:55,360 --> 01:37:57,400 THE GLOBAL ALLIANCE FOR GENOMICS 2947 01:37:57,400 --> 01:37:59,720 AND HEALTH, STANDARDS, BUILDING 2948 01:37:59,720 --> 01:38:01,680 BODY, AND OUR NEXT PLENARY 2949 01:38:01,680 --> 01:38:03,200 MEETING IS NEXT WEEK IN 2950 01:38:03,200 --> 01:38:06,680 BARCELONA, AND WE WILL HAVE A 2951 01:38:06,680 --> 01:38:08,560 SECTION FOCUSED ON SOME OF THESE 2952 01:38:08,560 --> 01:38:10,480 STANDARDS, I KNOW EPIC WILL BE 2953 01:38:10,480 --> 01:38:12,600 THERE, PERHAPS OTHER EHR VENDOR, 2954 01:38:12,600 --> 01:38:14,480 AND THERE'S AN INCREASING AMOUNT 2955 01:38:14,480 --> 01:38:15,960 OF WORK ACROSS THE GROUPS TO 2956 01:38:15,960 --> 01:38:18,920 REALLY THINK ABOUT STANDARDS FOR 2957 01:38:18,920 --> 01:38:19,680 INTEGRATING GENOMIC DATA INTO 2958 01:38:19,680 --> 01:38:22,960 THE EHR WHICH I THINK TO START 2959 01:38:22,960 --> 01:38:25,040 WITH IS JUST LIKE REPORTED 2960 01:38:25,040 --> 01:38:29,400 VARIANCE ON REPORTS DURING 2961 01:38:29,400 --> 01:38:31,160 THEIR -- NOT AS SCANNED PDFs 2962 01:38:31,160 --> 01:38:33,240 IN THE MEDIA TAB, IN FACT, 2963 01:38:33,240 --> 01:38:34,680 CONSUMABLE GENOMIC DATA OR 2964 01:38:34,680 --> 01:38:37,000 VARIANTS THAT HAVE BEEN REPORTED 2965 01:38:37,000 --> 01:38:38,960 AND INTERPRETED BEFORE WE EVEN 2966 01:38:38,960 --> 01:38:40,920 GET TO ANNOTATING GENOMIC DATA. 2967 01:38:40,920 --> 01:38:42,800 BUT I THINK THAT CLOSE WORKING 2968 01:38:42,800 --> 01:38:43,320 RELATIONSHIP BETWEEN OUR 2969 01:38:43,320 --> 01:38:44,920 COMMUNITY AND THE VENDORS IS 2970 01:38:44,920 --> 01:38:46,720 GOING TO HAVE TO BE CRITICAL TO 2971 01:38:46,720 --> 01:38:50,000 DRIVING THAT. 2972 01:38:50,000 --> 01:38:52,080 >> IF I COULD JUST ADD ONE OTHER 2973 01:38:52,080 --> 01:38:53,280 THING, WHICH IS ANTICIPATION 2974 01:38:53,280 --> 01:38:55,040 THAT ARTIFICIAL INTELLIGENCE IS 2975 01:38:55,040 --> 01:38:56,360 GOING TO BE LIKE A REALLY KEY 2976 01:38:56,360 --> 01:38:57,880 PART OF ALL OF THIS, AND SO 2977 01:38:57,880 --> 01:39:00,600 HAVING A.I. PEOPLE IN THE ROOM 2978 01:39:00,600 --> 01:39:02,240 AS WELL, HOW DOES THE STRUCTURE 2979 01:39:02,240 --> 01:39:06,400 OF THESE DATABASES MOST EASILY 2980 01:39:06,400 --> 01:39:08,800 GET TRIPPED UP BY A.I., HOW CAN 2981 01:39:08,800 --> 01:39:11,200 WE BEST EMPOWER OUR SORT OF 2982 01:39:11,200 --> 01:39:12,560 FUTURE IMAGINATION OF THE 2983 01:39:12,560 --> 01:39:13,760 SOFTWARE THAT WILL MAKE 2984 01:39:13,760 --> 01:39:14,640 INFERENCE FROM THE DATA? 2985 01:39:14,640 --> 01:39:18,040 THAT'S GOING TO BE A KEY PART OF 2986 01:39:18,040 --> 01:39:18,520 THIS DESIGN TOO. 2987 01:39:18,520 --> 01:39:19,960 >> ABSOLUTELY. 2988 01:39:19,960 --> 01:39:22,160 >> SO I DIDN'T SEE RICHARD HERE, 2989 01:39:22,160 --> 01:39:27,520 BUT OUR DEPUTY DIRECTOR IN THE 2990 01:39:27,520 --> 01:39:28,600 EXTRAMURAL PROGRAMS IS HERE. 2991 01:39:28,600 --> 01:39:30,160 THIS IS SOMETHING WE PROBABLY 2992 01:39:30,160 --> 01:39:34,160 SHOULD THINK ABOUT BRINGING UP 2993 01:39:34,160 --> 01:39:35,160 AGAIN WITH RICHARD TO THINK 2994 01:39:35,160 --> 01:39:37,360 ABOUT WHAT CAN WE DO FROM THE 2995 01:39:37,360 --> 01:39:40,320 EXTRAMURAL PROGRAMS' 2996 01:39:40,320 --> 01:39:40,960 PERSPECTIVE. 2997 01:39:40,960 --> 01:39:42,080 CLEARLY WE NEED SCOPING 2998 01:39:42,080 --> 01:39:42,960 DISCUSSIONS, WE NEED TO THINK 2999 01:39:42,960 --> 01:39:44,400 ABOUT WHERE DOES THE LIBRARY FIT 3000 01:39:44,400 --> 01:39:46,000 IN UNIQUELY, WHAT KIND OF 3001 01:39:46,000 --> 01:39:46,880 PARTNERSHIPS MIGHT WE WANT TO 3002 01:39:46,880 --> 01:39:48,200 THINK ABOUT WITH INDUSTRY. 3003 01:39:48,200 --> 01:39:50,280 SO I COULD SEE SOME INTERESTING 3004 01:39:50,280 --> 01:39:50,920 OPPORTUNITIES HERE. 3005 01:39:50,920 --> 01:39:53,240 AND WE MAY TAP SOME OF YOU TO 3006 01:39:53,240 --> 01:39:54,080 FLESH THAT OUT A LITTLE BIT 3007 01:39:54,080 --> 01:39:54,800 MORE. 3008 01:39:54,800 --> 01:39:56,280 I CAN'T PROMISE YOU A FUNDING 3009 01:39:56,280 --> 01:39:57,480 ANNOUNCEMENT THIS YEAR, THOUGH, 3010 01:39:57,480 --> 01:40:04,720 JIM, I'M SORRY ABOUT THAT ONE. 3011 01:40:04,720 --> 01:40:08,560 >> PHILIP AND THEN NANCY. 3012 01:40:08,560 --> 01:40:12,480 >> I KNOW WITH MOBILIZING 3013 01:40:12,480 --> 01:40:14,360 BIOMEDICAL KNOWLEDGE COMMUNITY, 3014 01:40:14,360 --> 01:40:16,760 THERE'S A LOT OF DISCUSSION 3015 01:40:16,760 --> 01:40:22,000 ABOUT ARC CDS -- ALSO -- AT 3016 01:40:22,000 --> 01:40:24,840 LEAST FROM THE PERSPECTIVE OF 3017 01:40:24,840 --> 01:40:25,920 DECISION SUPPORT AND HOW TO DEAL 3018 01:40:25,920 --> 01:40:27,600 WITH THE SYSTEM IN TERMS OF 3019 01:40:27,600 --> 01:40:29,880 MAKING THEM MORE USER-FRIENDLY 3020 01:40:29,880 --> 01:40:36,320 AND MORE RELEVANT, AND AT THE 3021 01:40:36,320 --> 01:40:38,040 SAME TIME ALSO CORRELATE WITH 3022 01:40:38,040 --> 01:40:38,960 THE LEARNING HEALTHCARE, BUT AT 3023 01:40:38,960 --> 01:40:42,120 THE SAME TIME, I CAN SEE NLM AND 3024 01:40:42,120 --> 01:40:44,960 ARC PARTNERING WITH THAT AS WELL 3025 01:40:44,960 --> 01:40:47,480 AS MY PROFESSION, AND ALSO WHAT 3026 01:40:47,480 --> 01:40:48,920 I LIKE, THE LITTLE BIT I'VE 3027 01:40:48,920 --> 01:40:52,480 HEARD ABOUT IT, IS THAT IT ALSO 3028 01:40:52,480 --> 01:40:55,440 SEEMS TO BE AP AN EQUALIZER. 3029 01:40:55,440 --> 01:40:59,040 WE'VE GOT A LOT OF CAN DIVIDE 3030 01:40:59,040 --> 01:41:00,920 AMONGST THESE HEALTHCARE SYSTEMS 3031 01:41:00,920 --> 01:41:02,960 TO ACADEMIC MEDICAL CENTERS. 3032 01:41:02,960 --> 01:41:04,760 IT WOULD BE, I THINK, REALLY 3033 01:41:04,760 --> 01:41:06,080 GREAT AS PATTI MENTIONED WITH 3034 01:41:06,080 --> 01:41:07,520 THE EXTRAMURAL PROGRAMS AS WELL 3035 01:41:07,520 --> 01:41:11,720 TO BE ABLE TO FIGURE OUT HOW IT 3036 01:41:11,720 --> 01:41:16,720 WOULD BEEF UP ARC, THAT 3037 01:41:16,720 --> 01:41:18,560 EQUALIZER, DECISION-SUPPORTED 3038 01:41:18,560 --> 01:41:24,680 PROCESS MAKE IN THE HEALTHCARE 3039 01:41:24,680 --> 01:41:25,000 ORGANIZATIONS 3040 01:41:25,000 --> 01:41:26,640 >> THANKS, PHILIP AND NANCY. 3041 01:41:26,640 --> 01:41:30,720 >> I JUST WANTED TO ECHO, HEIDI, 3042 01:41:30,720 --> 01:41:32,440 YOUR POINT ABOUT ENGAGING WITH 3043 01:41:32,440 --> 01:41:33,320 EHR VENDORS. 3044 01:41:33,320 --> 01:41:34,640 I THINK OFTEN ASSUMPTIONS ARE 3045 01:41:34,640 --> 01:41:37,920 MADE ABOUT WHAT A GIVEN EHR CAN 3046 01:41:37,920 --> 01:41:42,080 OR CAN'T DO THAT MAY OR MAY NOT 3047 01:41:42,080 --> 01:41:43,280 BE REFLECTIVE OF THEIR CURRENT 3048 01:41:43,280 --> 01:41:44,720 CAPABILITIES AND MORE SO OF THE 3049 01:41:44,720 --> 01:41:46,000 DEVELOPMENT THAT THEY HAVE IN 3050 01:41:46,000 --> 01:41:46,680 PROCESS ALREADY. 3051 01:41:46,680 --> 01:41:48,920 AND SO PARTICULARLY IN THESE 3052 01:41:48,920 --> 01:41:52,760 EMERGING AREAS THAT ARE MOVING 3053 01:41:52,760 --> 01:41:54,640 RAPIDLY TO MAKE ASSUMPTIONS, 3054 01:41:54,640 --> 01:41:56,600 ONE, THAT ALL EHRs ARE THE 3055 01:41:56,600 --> 01:41:58,680 SAME, OR TWO, THAT ANY GIVEN 3056 01:41:58,680 --> 01:41:59,600 IMPLEMENTATION OF AN 3057 01:41:59,600 --> 01:42:02,000 ORGANIZATION'S EHR IS THE SAME 3058 01:42:02,000 --> 01:42:04,720 AS OTHERS OR THAT A GIVEN 3059 01:42:04,720 --> 01:42:05,920 IMPLEMENTATION REFLECTS CURRENT 3060 01:42:05,920 --> 01:42:07,120 AND FUTURE CAPABILITIES OF THE 3061 01:42:07,120 --> 01:42:10,920 SYSTEM MEANS WE COULD MISS 3062 01:42:10,920 --> 01:42:11,640 OPPORTUNITIES TO MOVE FASTER 3063 01:42:11,640 --> 01:42:12,080 TOGETHER. 3064 01:42:12,080 --> 01:42:15,240 SO THAT'S SORT OF MY POINT. 3065 01:42:15,240 --> 01:42:17,440 >> NANCY, I COMPLETELY AGREE 3066 01:42:17,440 --> 01:42:19,080 WITH YOU, AS I'VE LEARNED MORE 3067 01:42:19,080 --> 01:42:20,800 AND MORE ABOUT DIFFERENT EPIC 3068 01:42:20,800 --> 01:42:21,480 IMPLEMENTATIONS AND THAT THEY 3069 01:42:21,480 --> 01:42:23,120 ARE SO DIFFERENT, BUT DO YOU 3070 01:42:23,120 --> 01:42:24,320 THINK THAT THERE'S A WAY THAT WE 3071 01:42:24,320 --> 01:42:26,040 CAN ACTUALLY CREATE THEM MORE 3072 01:42:26,040 --> 01:42:28,880 THE SAME AND CONVENE THE 3073 01:42:28,880 --> 01:42:32,200 DIFFERENT PARTIES THAT HAVE EHR 3074 01:42:32,200 --> 01:42:34,360 SYSTEMS TO DESIGN THOSE 3075 01:42:34,360 --> 01:42:35,000 IMPLEMENTATIONS SO THAT THEY'RE 3076 01:42:35,000 --> 01:42:35,720 THE SAME, RIGHT? 3077 01:42:35,720 --> 01:42:39,840 >> SO THERE ARE, AND AGAIN I 3078 01:42:39,840 --> 01:42:41,280 THINK THERE'S GOING TO BE SOME 3079 01:42:41,280 --> 01:42:42,160 VARIATION ACROSS DIFFERENT 3080 01:42:42,160 --> 01:42:42,760 VENDORS. 3081 01:42:42,760 --> 01:42:45,280 I CAN ONLY SPEAK FOR THE GROUP 3082 01:42:45,280 --> 01:42:47,000 THAT I WORK WITH, WHICH IS WE 3083 01:42:47,000 --> 01:42:52,720 VERY MUCH WORK ON TAKING THE 3084 01:42:52,720 --> 01:42:54,600 BEST OR THE MOST EFFECTIVE OF 3085 01:42:54,600 --> 01:42:56,160 WHAT COMMUNITIES ARE DOING AND 3086 01:42:56,160 --> 01:43:00,520 WHAT WE'RE RELEASING AND TRY TO 3087 01:43:00,520 --> 01:43:01,400 STANDARDIZE PEOPLE THAT -- OVER 3088 01:43:01,400 --> 01:43:02,720 TIME AND THAT'S CONSTANTLY 3089 01:43:02,720 --> 01:43:03,840 EVOLVING TO A STANDARD, AND WE 3090 01:43:03,840 --> 01:43:06,200 HAVE WAYS OF DOING THAT, WE HAVE 3091 01:43:06,200 --> 01:43:07,080 VERY STRONG COMMUNITY ENGAGEMENT 3092 01:43:07,080 --> 01:43:08,840 AS WELL. 3093 01:43:08,840 --> 01:43:11,880 BUT THEN YOUR SECOND QUESTION 3094 01:43:11,880 --> 01:43:12,840 ABOUT EVEN RAISING THAT UP A 3095 01:43:12,840 --> 01:43:16,280 LEVEL AND LOOKING AT A MORE EHR 3096 01:43:16,280 --> 01:43:17,080 INDUSTRY-WIDE APPROACH TO WHAT 3097 01:43:17,080 --> 01:43:19,080 ARE SOME OF THE KEY SUCCESS 3098 01:43:19,080 --> 01:43:20,280 FACTORS, AND I THINK THAT'S 3099 01:43:20,280 --> 01:43:23,480 IMPORTANT, BUT WE ALSO DON'T 3100 01:43:23,480 --> 01:43:25,000 WANT TO SORT OF LOWER THINGS TO 3101 01:43:25,000 --> 01:43:28,160 THE LOWEST COMMON DENOMINATOR, 3102 01:43:28,160 --> 01:43:29,840 BUT LET INNOVATION AND LET NEW 3103 01:43:29,840 --> 01:43:35,800 DEVELOPMENT LEAD WHERE IT CAN. 3104 01:43:35,800 --> 01:43:40,240 >> ABC 3105 01:43:40,240 --> 01:43:41,480 >> ABSOLUTELY. 3106 01:43:41,480 --> 01:43:43,520 >> IF I COULD JUST GIVE AN 3107 01:43:43,520 --> 01:43:44,680 EXAMPLE OF SOMETHING THAT IS NOT 3108 01:43:44,680 --> 01:43:46,560 ABOUT STANDARDIZATION OR, YOU 3109 01:43:46,560 --> 01:43:50,080 KNOW, IT'S A FUNDAMENTALLY 3110 01:43:50,080 --> 01:43:50,840 DIFFERENT PROPERTY THAT ONE 3111 01:43:50,840 --> 01:43:52,880 MIGHT INTRODUCE TO AN EHR AND 3112 01:43:52,880 --> 01:43:53,920 THAT'S -- CLEM BROUGHT THIS UP, 3113 01:43:53,920 --> 01:43:55,520 THAT'S THE FORMAL REPRESENTATION 3114 01:43:55,520 --> 01:43:59,480 OF WHY THINGS ARE DONE. 3115 01:43:59,480 --> 01:44:00,240 WHAT'S THE REASON. 3116 01:44:00,240 --> 01:44:02,080 SO A MEDICATION WAS STARTED, 3117 01:44:02,080 --> 01:44:04,040 USUALLY YOU CAN FIGURE OUT, OH, 3118 01:44:04,040 --> 01:44:05,440 PATIENT HAD THIS PROBLEM AND 3119 01:44:05,440 --> 01:44:06,800 THEY STARTED THIS MEDICATION. 3120 01:44:06,800 --> 01:44:07,800 BECAUSE MAYBE SOMETIMES THE 3121 01:44:07,800 --> 01:44:09,360 ORDER ENTRY SYSTEM REQUIRES IT. 3122 01:44:09,360 --> 01:44:10,400 AND OTHER TIMES YOU CAN JUST 3123 01:44:10,400 --> 01:44:11,440 FIGURE IT OUT BECAUSE IT MAKES 3124 01:44:11,440 --> 01:44:11,880 SENSE. 3125 01:44:11,880 --> 01:44:12,920 BUT THEN THEY STOP IT. 3126 01:44:12,920 --> 01:44:14,680 WHY DID THEY STOP IT? 3127 01:44:14,680 --> 01:44:16,240 DID IT WORK, DID IT NOT WORK? 3128 01:44:16,240 --> 01:44:18,000 IF YOU'RE TRYING TO DO OUTCOMES 3129 01:44:18,000 --> 01:44:20,880 ANALYSIS, THE DIFFERENCE BETWEEN 3130 01:44:20,880 --> 01:44:22,280 THOSE TWO ANSWERS MAKE A 3131 01:44:22,280 --> 01:44:23,120 DIFFERENCE, YET WE DON'T 3132 01:44:23,120 --> 01:44:24,880 DOCUMENT THAT IN A FORMAL 3133 01:44:24,880 --> 01:44:26,080 STRUCTURED WAY OR REQUIRE PEOPLE 3134 01:44:26,080 --> 01:44:27,160 TO DOCUMENT WHY THEY MAKE 3135 01:44:27,160 --> 01:44:27,840 CHANGES THEY DO. 3136 01:44:27,840 --> 01:44:29,720 SOMETIMES IT GOT STOPPED BECAUSE 3137 01:44:29,720 --> 01:44:31,080 SOMEBODY DROPPED THE BALL AND 3138 01:44:31,080 --> 01:44:33,720 THERE WAS POOR CONTINUITY IN THE 3139 01:44:33,720 --> 01:44:35,480 PATIENT'S CARE. 3140 01:44:35,480 --> 01:44:38,160 SO WE DON'T HAVE -- THERE'S A 3141 01:44:38,160 --> 01:44:39,080 LOT OF THESE KINDS OF THINGS 3142 01:44:39,080 --> 01:44:40,320 THAT WE NEED TO FIGURE OUT WHAT 3143 01:44:40,320 --> 01:44:42,040 SHOULD BE IN THE EHR IF WE 3144 01:44:42,040 --> 01:44:43,800 REALLY WANT TO DO A LEARNING 3145 01:44:43,800 --> 01:44:45,600 HEALTH SYSTEM, OR WE REALLY WANT 3146 01:44:45,600 --> 01:44:47,080 TO DO BETTER DECISION SUPPORT OR 3147 01:44:47,080 --> 01:44:49,040 WE REALLY WANT TO MAKE THE EHR A 3148 01:44:49,040 --> 01:44:50,360 PARTNER IN THE PATIENT CARE 3149 01:44:50,360 --> 01:44:52,560 PROCESS, AS OPPOSED TO SIMPLY 3150 01:44:52,560 --> 01:44:53,120 RECORDING WHAT PEOPLE THINK 3151 01:44:53,120 --> 01:44:54,280 SHOULD BE IN THERE AND THEN 3152 01:44:54,280 --> 01:44:56,160 SENDING TO WHOEVER THINKS IT 3153 01:44:56,160 --> 01:44:59,440 WOULD BE REUSABLE. 3154 01:44:59,440 --> 01:45:00,440 SO THAT'S RESEARCH TO FIGURE 3155 01:45:00,440 --> 01:45:00,960 THAT OUT. 3156 01:45:00,960 --> 01:45:03,720 I DON'T EXPECT THE VENDORS TO DO 3157 01:45:03,720 --> 01:45:04,840 THAT BECAUSE THEIR CUSTOMERS 3158 01:45:04,840 --> 01:45:05,760 AREN'T ASKING FOR THAT. 3159 01:45:05,760 --> 01:45:07,440 WE'VE GOT THE RESEARCHERS HAVE 3160 01:45:07,440 --> 01:45:08,760 TO DEMONSTRATE THAT IT'S WORTH 3161 01:45:08,760 --> 01:45:10,720 DOING THOSE THINGS, AND THAT'S 3162 01:45:10,720 --> 01:45:13,360 WHERE THE HIGH RISK, HIGH RETURN 3163 01:45:13,360 --> 01:45:14,200 PART COMES IN. 3164 01:45:14,200 --> 01:45:15,960 HOW DO WE DO THAT SO IT DOESN'T 3165 01:45:15,960 --> 01:45:17,040 TORTURE THE PHYSICIANS AND 3166 01:45:17,040 --> 01:45:17,840 NURSES? 3167 01:45:17,840 --> 01:45:19,160 AND MAKE BURDEN OF DOCUMENTATION 3168 01:45:19,160 --> 01:45:19,360 WORSE? 3169 01:45:19,360 --> 01:45:20,680 WE WANT TO MAKE IT EASIER. 3170 01:45:20,680 --> 01:45:23,200 SO IF YOU TELL ME WHY I'M DOING 3171 01:45:23,200 --> 01:45:26,480 SOMETHING, IF I TELL A SYSTEM 3172 01:45:26,480 --> 01:45:28,480 I'M DOING SOMETHING, THE SYSTEM 3173 01:45:28,480 --> 01:45:30,520 CAN COME BACK AND HELP ME DO IT 3174 01:45:30,520 --> 01:45:31,840 BETTER BECAUSE IT KNOWS WHAT I'M 3175 01:45:31,840 --> 01:45:32,480 THINKING ABOUT. 3176 01:45:32,480 --> 01:45:36,000 BUT THAT'S A RESEARCH ISSUE. 3177 01:45:36,000 --> 01:45:37,200 IT'S NOT -- I DON'T THINK FOR -- 3178 01:45:37,200 --> 01:45:38,520 WE TALKED ABOUT SMALL BUSINESSES 3179 01:45:38,520 --> 01:45:39,840 MAYBE, BUT EVEN THERE, 3180 01:45:39,840 --> 01:45:41,040 SOMEBODY'S GOT TO DEMONSTRATE A 3181 01:45:41,040 --> 01:45:45,520 RETURN ON INVESTMENT BEFORE WE 3182 01:45:45,520 --> 01:45:46,800 CAN EXPECT A LOT OF INVESTMENT 3183 01:45:46,800 --> 01:45:47,400 TO DO IT RIGHT. 3184 01:45:47,400 --> 01:45:50,960 SO THAT'S THE RESEARCH PART. 3185 01:45:50,960 --> 01:45:52,840 >> I'M GOING TO ALLOW ONE MORE 3186 01:45:52,840 --> 01:45:54,200 COMMENT, CLEM'S GOT HIS HAND UP 3187 01:45:54,200 --> 01:45:57,880 AND WE NEED TO MOVE ON TO THE 3188 01:45:57,880 --> 01:45:58,840 NEXT BREAKOUT GROUP. 3189 01:45:58,840 --> 01:45:59,040 CLEM. 3190 01:45:59,040 --> 01:46:04,960 >> OH, I JUST WANT -- WELL, 3191 01:46:04,960 --> 01:46:05,280 THAT'S ME? 3192 01:46:05,280 --> 01:46:05,840 >> YES. 3193 01:46:05,840 --> 01:46:07,400 >> I JUST WANTED TO SUPPORT 3194 01:46:07,400 --> 01:46:08,160 JIM'S POSITION. 3195 01:46:08,160 --> 01:46:18,840 JUST ASKING WHY IT STOPPED IT -- 3196 01:46:18,840 --> 01:46:19,600 BURDENSOME -- OPTIONS AND THAT 3197 01:46:19,600 --> 01:46:21,560 WOULD BE SO DARN USEFUL, BECAUSE 3198 01:46:21,560 --> 01:46:23,800 YOU CAN FIGURE OUT WHY THEY 3199 01:46:23,800 --> 01:46:25,600 STARTED, YOU'VE GOT THEM ON BETA 3200 01:46:25,600 --> 01:46:28,520 BLOCKERS, YOU GOT HEART FAIL , 3201 01:46:28,520 --> 01:46:30,040 IT'S REALLY HARD TO FIGURE OUT 3202 01:46:30,040 --> 01:46:31,640 WHY THEY STOPPED IT FROM OTHER 3203 01:46:31,640 --> 01:46:32,560 INFORMATION IN THE MEDICAL 3204 01:46:32,560 --> 01:46:32,800 RECORD. 3205 01:46:32,800 --> 01:46:34,960 >> EVEN ENGAGING THE PATIENT IN 3206 01:46:34,960 --> 01:46:36,360 THAT DOCUMENTATION MIGHT BE A 3207 01:46:36,360 --> 01:46:40,000 GOOD THING AS WELL, BECAUSE 3208 01:46:40,000 --> 01:46:40,880 SOMETIMES IT'S THEIR REASONING. 3209 01:46:40,880 --> 01:46:43,040 BUT WITH THAT, I'M GOING TO -- 3210 01:46:43,040 --> 01:46:45,560 THIS IS A REALLY GREAT 3211 01:46:45,560 --> 01:46:45,920 DISCUSSION. 3212 01:46:45,920 --> 01:46:47,960 I'M GOING TO MOVE US ON TO THE 3213 01:46:47,960 --> 01:46:48,880 NEXT PUBLIC SERVICES WORK GROUP 3214 01:46:48,880 --> 01:46:50,520 SO WE CAN HEAR FROM THEM. 3215 01:46:50,520 --> 01:46:53,880 >> THANK YOU. 3216 01:46:53,880 --> 01:46:57,720 CAN SOMEONE PUT UP THE SLIDES? 3217 01:46:57,720 --> 01:46:59,800 I DON'T KNOW IF THE STAFF WAS 3218 01:46:59,800 --> 01:47:00,360 GOING TO DO THAT? 3219 01:47:00,360 --> 01:47:05,160 THANK YOU. 3220 01:47:05,160 --> 01:47:10,280 SO I'M LOURDES 3221 01:47:10,280 --> 01:47:10,880 BAEZCONDE-GARBANATI, CHAIR OF 3222 01:47:10,880 --> 01:47:11,360 THE WORK GROUP. 3223 01:47:11,360 --> 01:47:14,200 THESE ARE THE MEMBERS OF OUR 3224 01:47:14,200 --> 01:47:15,440 WORK GROUP, AND I JUST WANTED TO 3225 01:47:15,440 --> 01:47:16,160 REMIND EVERYBODY THAT THESE 3226 01:47:16,160 --> 01:47:18,720 FOLKS ARE ALL ON BOARD AND HAVE 3227 01:47:18,720 --> 01:47:19,920 COMMITTED THEIR TALENT TO 3228 01:47:19,920 --> 01:47:21,760 ANOTHER YEAR AND SO WE'RE VERY 3229 01:47:21,760 --> 01:47:23,520 EXCITED ABOUT KEEPING THEM IN 3230 01:47:23,520 --> 01:47:27,000 THIS WORK GROUP. 3231 01:47:27,000 --> 01:47:28,440 THEIR CONTRIBUTIONS HAVE JUST 3232 01:47:28,440 --> 01:47:32,800 BEEN TERRIFIC. 3233 01:47:32,800 --> 01:47:34,360 SO WE'VE BEEN HAVING A SERIES OF 3234 01:47:34,360 --> 01:47:35,120 MEETINGS. 3235 01:47:35,120 --> 01:47:36,640 OUR LAST MEETING WAS ON 3236 01:47:36,640 --> 01:47:38,200 SEPTEMBER 2ND, AND WE'VE REALLY 3237 01:47:38,200 --> 01:47:41,120 CONTINUED TO MEET THREE TIMES 3238 01:47:41,120 --> 01:47:44,280 PER YEAR ON ZOOM MOSTLY, AND 3239 01:47:44,280 --> 01:47:48,880 WE'VE BEEN CONTINUING ALL OF OUR 3240 01:47:48,880 --> 01:47:50,120 MEETINGS IN DISCUSSIONS OF A 3241 01:47:50,120 --> 01:47:52,960 VARIETY OF TOPICS INCLUDING SOME 3242 01:47:52,960 --> 01:47:56,920 VERY INTERESTING TOPICS LIKE 3243 01:47:56,920 --> 01:47:59,840 PLAIN LANGUAGE, THE JUST USE OF 3244 01:47:59,840 --> 01:48:05,000 INFORMATION JUST IN TIME, LAYOUT 3245 01:48:05,000 --> 01:48:06,480 AND JUST A VARIETY OF THINGS 3246 01:48:06,480 --> 01:48:08,040 THAT HAVE TAKEN PLACE, AND WE'VE 3247 01:48:08,040 --> 01:48:08,920 HAD GREAT FEEDBACK FROM THE 3248 01:48:08,920 --> 01:48:10,320 STAFF AND VARIOUS PRODUCT 3249 01:48:10,320 --> 01:48:14,400 DEVELOPERS ON THIS. 3250 01:48:14,400 --> 01:48:19,280 SO WE'RE WRAPPING UP NOW OUR 3251 01:48:19,280 --> 01:48:20,920 THIRD YEAR IN THE CLINICAL 3252 01:48:20,920 --> 01:48:22,280 TRIALS TEAM, AND IT'S DELIVERED 3253 01:48:22,280 --> 01:48:24,120 NOW THE BETA WEBSITE THIS YEAR, 3254 01:48:24,120 --> 01:48:26,840 AS WELL AS A PROTOCOL 3255 01:48:26,840 --> 01:48:28,360 REGISTRATION AND RESULT SYSTEMS 3256 01:48:28,360 --> 01:48:31,880 RECORDS, AND WE'VE BEEN 3257 01:48:31,880 --> 01:48:33,120 RECEIVING GOOD COMMENTS ABOUT IT 3258 01:48:33,120 --> 01:48:35,840 AND HAVE REALLY MADE A LOT OF 3259 01:48:35,840 --> 01:48:37,680 PROGRESS AND HAVE ACHIEVED 3260 01:48:37,680 --> 01:48:44,680 SEVERAL ACCOMPLISHMENTS. 3261 01:48:44,680 --> 01:48:46,040 SINCE THIS WORKING GROUP LAST 3262 01:48:46,040 --> 01:48:48,960 MET, THERE WERE TWO RELEASES 3263 01:48:48,960 --> 01:48:51,480 ABOUT DATA ON THE 3264 01:48:51,480 --> 01:48:52,880 CLINICALTRIALS.GOV AND ALSO ON 3265 01:48:52,880 --> 01:48:57,120 OUR PRS. 3266 01:48:57,120 --> 01:48:57,760 AND ONE OF THE THINGS THAT HAS 3267 01:48:57,760 --> 01:48:58,920 BEEN REALLY IMPORTANT IS THAT 3268 01:48:58,920 --> 01:49:01,800 NOW WE'RE TRYING TO SUMMARIZE 3269 01:49:01,800 --> 01:49:03,000 OUR PROGRESS AND REALLY 3270 01:49:03,000 --> 01:49:03,960 GENERATING A NEW REPORT THAT'S 3271 01:49:03,960 --> 01:49:05,880 GOING TO BE COMING OUT THIS 3272 01:49:05,880 --> 01:49:07,600 FALL, WHICH WILL HIGHLIGHT ALL 3273 01:49:07,600 --> 01:49:11,400 OF THIS YEAR'S ACCOMPLISHMENTS, 3274 01:49:11,400 --> 01:49:12,640 AND THAT WILL BE SENT OUT TO YOU 3275 01:49:12,640 --> 01:49:13,840 FOLKS WITH LOTS OF DETAILS ON 3276 01:49:13,840 --> 01:49:19,560 THIS FOR YOUR FEEDBACK. 3277 01:49:19,560 --> 01:49:20,760 SO THE WORKING GROUP HAS 3278 01:49:20,760 --> 01:49:22,520 PROVIDED A LOT OF FEEDBACK, AND 3279 01:49:22,520 --> 01:49:25,120 HERE YOU CAN SEE SOME OF THE 3280 01:49:25,120 --> 01:49:27,960 DIFFERENT KINDS OF FEATURES THAT 3281 01:49:27,960 --> 01:49:29,520 WE'RE SHARING AND APPRECIATING 3282 01:49:29,520 --> 01:49:35,600 SOME OF THE NEW FEATURES 3283 01:49:35,600 --> 01:49:36,280 INCLUDING CHOOSING DIFFERENT 3284 01:49:36,280 --> 01:49:37,720 OPTIONS FOR WHEN PEOPLE COME ON 3285 01:49:37,720 --> 01:49:45,240 THE RECORD LIST. 3286 01:49:45,240 --> 01:49:46,440 AND FOR EXAMPLE, HERE IS SOME 3287 01:49:46,440 --> 01:49:48,080 FEEDBACK THAT WE'VE RECEIVED 3288 01:49:48,080 --> 01:49:49,760 RELATED TO WHICH KINDS OF 3289 01:49:49,760 --> 01:49:51,600 FEEDBACK PEOPLE WOULD LIKE, OR 3290 01:49:51,600 --> 01:50:00,240 HOW TO USE -- THE ONE WITH 3291 01:50:00,240 --> 01:50:01,240 MINIMAL CONTENT HAS BEEN THE 3292 01:50:01,240 --> 01:50:02,880 MOST POPULAR SO WE THINK THIS IS 3293 01:50:02,880 --> 01:50:04,080 GOING TO BE REALLY THE ONE THAT 3294 01:50:04,080 --> 01:50:12,160 WILL BE USED IN THE NEW WEBSITE. 3295 01:50:12,160 --> 01:50:16,760 SO WE'VE REALLY BEEN ENHANCING 3296 01:50:16,760 --> 01:50:18,600 SEVERAL ITEMS IN PARTICULAR, 3297 01:50:18,600 --> 01:50:20,600 ENHANCING THE ABILITY TO SEARCH, 3298 01:50:20,600 --> 01:50:22,880 WHICH NOW REPLACES BASIC AND 3299 01:50:22,880 --> 01:50:24,280 ADVANCED SEARCHES, AND REALLY 3300 01:50:24,280 --> 01:50:26,040 BEING ABLE TO USE TABULAR VIEWS 3301 01:50:26,040 --> 01:50:30,560 OF THE SEARCH RESULTS. 3302 01:50:30,560 --> 01:50:32,080 THERE'S BEEN A LOT OF AUTOMATION 3303 01:50:32,080 --> 01:50:34,520 SUPPORT APPLYING NEW AND 3304 01:50:34,520 --> 01:50:35,800 ADVANCED COMPUTATIONAL 3305 01:50:35,800 --> 01:50:36,920 TECHNIQUES, AND WE PLAN TO 3306 01:50:36,920 --> 01:50:39,440 SUBMIT THESE TOOLS FOR THE USERS 3307 01:50:39,440 --> 01:50:41,160 SO THAT THEY CAN ALSO PROVIDE 3308 01:50:41,160 --> 01:50:42,640 THEIR FEEDBACK, WHICH HAS BEEN 3309 01:50:42,640 --> 01:50:53,000 VERY VALUABLE THROUGHOUT. 3310 01:50:53,000 --> 01:50:54,560 SO HERE OUR PRIORITY HAS REALLY 3311 01:50:54,560 --> 01:50:57,920 BEEN TO IMPROVE THE USER'S 3312 01:50:57,920 --> 01:50:58,840 EXPERIENCE WITHOUT ANY 3313 01:50:58,840 --> 01:51:00,120 DISRUPTION IN THE WORKFLOW. 3314 01:51:00,120 --> 01:51:03,200 SO WE'VE HAD BOTH THE BETA AND 3315 01:51:03,200 --> 01:51:07,400 THE REGULAR SITE EXISTING AT THE 3316 01:51:07,400 --> 01:51:09,520 SAME TIME, BUT EVENTUALLY THE 3317 01:51:09,520 --> 01:51:11,880 BETA WILL BE THE PRIMARY ADOPTED 3318 01:51:11,880 --> 01:51:13,160 ONE WITH ALL OF THE EVOLVING 3319 01:51:13,160 --> 01:51:15,160 CHANGES AS WE GAIN REAL WORLD 3320 01:51:15,160 --> 01:51:18,960 KNOWLEDGE ABOUT THIS, AND 3321 01:51:18,960 --> 01:51:20,600 SOMETIME NEXT YEAR, WE REALLY 3322 01:51:20,600 --> 01:51:22,800 INTEND TO HAVE THE BETA BE THE 3323 01:51:22,800 --> 01:51:24,120 PRIMARY, SO WE'VE BEEN TRYING TO 3324 01:51:24,120 --> 01:51:25,800 DRIVE MORE AND MORE TRAFFIC TO 3325 01:51:25,800 --> 01:51:27,600 IT SO THAT PEOPLE CAN GET USED 3326 01:51:27,600 --> 01:51:32,320 TO THE CHANGES, AND THE FEEDBACK 3327 01:51:32,320 --> 01:51:35,080 WE'VE RECEIVED HAS BEEN VERY 3328 01:51:35,080 --> 01:51:36,080 ENCOURAGING, AND PEOPLE REALLY 3329 01:51:36,080 --> 01:51:40,080 ARE PROVIDING FEEDBACK, AND THE 3330 01:51:40,080 --> 01:51:41,440 WHOLE TEAM HAS BEEN LEARNING AS 3331 01:51:41,440 --> 01:51:45,720 WE BUILD THIS PROCESS, SO 3332 01:51:45,720 --> 01:51:47,520 THERE'S BEEN A LOT OF LEARNING 3333 01:51:47,520 --> 01:51:48,640 THROUGHOUT THE TIME WITH THE 3334 01:51:48,640 --> 01:51:56,000 FEEDBACK FROM THE USERS. 3335 01:51:56,000 --> 01:51:57,760 SO HERE WHAT WE SEE IS THIS IS 3336 01:51:57,760 --> 01:51:59,480 THE BETA THAT'S GOING TO BE KIND 3337 01:51:59,480 --> 01:52:00,720 OF PRIMARY, SOME OF THE THINGS 3338 01:52:00,720 --> 01:52:01,600 THAT ARE ALREADY AVAILABLE, 3339 01:52:01,600 --> 01:52:02,680 OTHER THINGS ARE STILL IN 3340 01:52:02,680 --> 01:52:04,760 PROGRESS AND OTHER THINGS WILL 3341 01:52:04,760 --> 01:52:06,760 BE SEEN IN THE FUTURE, AND WE'RE 3342 01:52:06,760 --> 01:52:08,080 REALLY GETTING A LOT OF FEEDBACK 3343 01:52:08,080 --> 01:52:10,680 FROM OUR WORK GROUP MEMBERS AND 3344 01:52:10,680 --> 01:52:11,280 THEIR PERSPECTIVES ON WHAT ARE 3345 01:52:11,280 --> 01:52:12,560 SOME OF THE MOST CRUCIAL 3346 01:52:12,560 --> 01:52:14,960 FEATURES THAT WE NEED TO HAVE 3347 01:52:14,960 --> 01:52:15,400 HERE. 3348 01:52:15,400 --> 01:52:17,200 WE'VE ADDED NEW SEARCH CRITERIA 3349 01:52:17,200 --> 01:52:20,000 TO HELP THE USERS COMPLETE THEIR 3350 01:52:20,000 --> 01:52:20,360 TASK. 3351 01:52:20,360 --> 01:52:23,960 WE'RE GETTING GREAT SUGGESTIONS 3352 01:52:23,960 --> 01:52:25,240 FROM THEM SINCE THE INITIAL 3353 01:52:25,240 --> 01:52:27,120 RELEASE OF THE BETA, AND WE'VE 3354 01:52:27,120 --> 01:52:29,000 INTRODUCED BOTH EXPANDABLE AND 3355 01:52:29,000 --> 01:52:30,720 CLASSIBLE POP-UP SUPPORT WITH 3356 01:52:30,720 --> 01:52:31,720 ACTION BARS THAT PEOPLE CAN 3357 01:52:31,720 --> 01:52:32,280 CLICK ON. 3358 01:52:32,280 --> 01:52:34,120 WE HAVE A NEW BANNER TO DRIVE 3359 01:52:34,120 --> 01:52:37,000 TRAFFIC TO THE BETA, AND WE'RE 3360 01:52:37,000 --> 01:52:38,720 SEEING ALREADY SOME EXCITING 3361 01:52:38,720 --> 01:52:40,840 ALMOST LIKE THREE TIMES AS MANY 3362 01:52:40,840 --> 01:52:42,880 PEOPLE STARTING TO USE BETA THAN 3363 01:52:42,880 --> 01:52:44,520 WE'VE HAD IN THE PAST, AND SO 3364 01:52:44,520 --> 01:52:46,640 WE'RE SEEING THAT TRANSITION 3365 01:52:46,640 --> 01:52:48,160 HAPPENING, WHICH IS VERY 3366 01:52:48,160 --> 01:52:55,360 EXCITING. 3367 01:52:55,360 --> 01:52:57,000 SO PRETTY MUCH WE'VE CONTINUED 3368 01:52:57,000 --> 01:52:58,360 THE ENGAGEMENT OF THE PUBLIC. 3369 01:52:58,360 --> 01:53:01,800 THIS HAS BEEN REALLY A KEY THING 3370 01:53:01,800 --> 01:53:05,000 FOR US, IS TO REALLY ENGAGE THE 3371 01:53:05,000 --> 01:53:06,560 PUBLIC AND THE USERS IN THIS 3372 01:53:06,560 --> 01:53:09,920 ENTIRE EFFORT AS WE IMPROVE THE 3373 01:53:09,920 --> 01:53:13,000 VARIOUS THINGS WE HAVE BEEN 3374 01:53:13,000 --> 01:53:14,000 PRESENTING, AND ALREADY HAVE 3375 01:53:14,000 --> 01:53:18,280 BEEN RECOGNIZED ABOUT DOING MUCH 3376 01:53:18,280 --> 01:53:19,600 BETTER AND MORE IMPROVED WORK IN 3377 01:53:19,600 --> 01:53:20,880 THIS AREA, BUT WE'RE STILL 3378 01:53:20,880 --> 01:53:23,200 BUILDING OUR PRODUCT, SO IT'S 3379 01:53:23,200 --> 01:53:24,160 IMPORTANT TO NOTE THAT, AND 3380 01:53:24,160 --> 01:53:27,960 WE'LL BE SHARING THE DESIGN IN 3381 01:53:27,960 --> 01:53:29,880 THE FUTURE PROBABLY EARLY NEXT 3382 01:53:29,880 --> 01:53:33,800 YEAR OR MID YEAR. 3383 01:53:33,800 --> 01:53:35,920 AND AGAIN, THE NEW BETA WILL BE 3384 01:53:35,920 --> 01:53:38,080 THE PRIMARY ONE, AND WE REALLY 3385 01:53:38,080 --> 01:53:39,360 WELCOME ANY FEEDBACK FROM THE 3386 01:53:39,360 --> 01:53:40,760 BOARD OF REGENTS AS WE MOVE ON 3387 01:53:40,760 --> 01:53:44,680 IN THIS PROCESS, AND WE CONTINUE 3388 01:53:44,680 --> 01:53:45,040 INTO 2023. 3389 01:53:45,040 --> 01:53:47,440 AND AGAIN, THANKS TO OUR WORKING 3390 01:53:47,440 --> 01:53:48,640 GROUP THAT HAS WORKED SO HARD 3391 01:53:48,640 --> 01:53:51,040 AND TO THE ENTIRE STAFF AND SOME 3392 01:53:51,040 --> 01:53:53,240 OF THE PRODUCT DONORS THAT HAVE 3393 01:53:53,240 --> 01:53:55,320 BEEN ABSOLUTELY AMAZING IN WHAT 3394 01:53:55,320 --> 01:53:57,840 THEY HAVE PRODUCED. 3395 01:53:57,840 --> 01:53:59,360 IT'S JUST REALLY EXTRAORDINARY. 3396 01:53:59,360 --> 01:54:00,480 SO THANK YOU, AND I'M OPEN FOR 3397 01:54:00,480 --> 01:54:02,920 ANY QUESTIONS. 3398 01:54:02,920 --> 01:54:04,320 >> THANKS, LOURDES. 3399 01:54:04,320 --> 01:54:05,960 REALLY EXCITING PROGRESS BEING 3400 01:54:05,960 --> 01:54:08,920 MADE THERE. 3401 01:54:08,920 --> 01:54:10,360 ANY QUESTIONS FOR LOURDES OR THE 3402 01:54:10,360 --> 01:54:12,320 WORK GROUP? 3403 01:54:12,320 --> 01:54:13,280 >> THIS IS CLEM. 3404 01:54:13,280 --> 01:54:16,680 I HAVE A COUPLE QUESTIONS. 3405 01:54:16,680 --> 01:54:20,720 FIRST, I THOUGHT THE BIG PROBLEM 3406 01:54:20,720 --> 01:54:23,040 WAS NOT THE OUTPUT OR THE 3407 01:54:23,040 --> 01:54:24,320 DISPLAY BUT THE INPUT. 3408 01:54:24,320 --> 01:54:25,760 SO THERE'S TWO QUESTIONS. 3409 01:54:25,760 --> 01:54:28,520 SO WAS THERE ANY BIG CHANGES ON 3410 01:54:28,520 --> 01:54:31,040 THE INPUT OR BIG CHANGES IN 3411 01:54:31,040 --> 01:54:40,960 HAPPINESS ABOUT THE INPUT? 3412 01:54:40,960 --> 01:54:42,840 >> ABSOLUTELY, WE'RE WORKING ON 3413 01:54:42,840 --> 01:54:45,240 BOTH IN PARALLEL, NOT ONLY THE 3414 01:54:45,240 --> 01:54:46,880 PUBLIC SITE, MAKING SURE IT'S 3415 01:54:46,880 --> 01:54:49,440 MORE USER-FRIENDLY, BUT ALSO THE 3416 01:54:49,440 --> 01:54:50,280 INPUT, OF COURSE. 3417 01:54:50,280 --> 01:54:52,240 SO WE'VE ALREADY HAD THE RECORDS 3418 01:54:52,240 --> 01:54:53,240 MANAGEMENT DISPLAY, WHICH WAS 3419 01:54:53,240 --> 01:54:54,800 ONE OF THE SLIDES THAT LOURDES 3420 01:54:54,800 --> 01:54:56,760 HAD HIGHLIGHTED, AND WE'RE NOW 3421 01:54:56,760 --> 01:54:58,200 ACTIVELY BUILDING THAT INPUT 3422 01:54:58,200 --> 01:54:59,920 REGISTRATION PIECE, WHICH WILL 3423 01:54:59,920 --> 01:55:00,960 HOPEFULLY BE AVAILABLE SOMETIME 3424 01:55:00,960 --> 01:55:04,440 NEXT YEAR AS WELL, AND THEN 3425 01:55:04,440 --> 01:55:05,200 SUBSEQUENTLY THE RESULT 3426 01:55:05,200 --> 01:55:06,640 SUBMISSIONS. 3427 01:55:06,640 --> 01:55:08,080 DESIEBS ARE CURRENTLY IN THE 3428 01:55:08,080 --> 01:55:09,200 WORKS, THAT'S THE FEEDBACK THE 3429 01:55:09,200 --> 01:55:12,880 BOARD OF REGENTS HAD PROVIDED. 3430 01:55:12,880 --> 01:55:15,600 SO EXAMPLE OF HOW WE'RE PUTTING 3431 01:55:15,600 --> 01:55:16,720 REALTIME SUPPORT FOR THOSE 3432 01:55:16,720 --> 01:55:17,920 PUTTING INFORMATION INTO PRS. 3433 01:55:17,920 --> 01:55:22,240 >> A SECOND QUESTION, YOU HAVE A 3434 01:55:22,240 --> 01:55:22,840 FHIR VERSION OF IT. 3435 01:55:22,840 --> 01:55:24,840 IS THAT RELATED TO THE EBM 3436 01:55:24,840 --> 01:55:28,240 WORKING GROUP IN FHIR, 3437 01:55:28,240 --> 01:55:29,280 EVIDENCE-BASED MEDICINE, OR IS 3438 01:55:29,280 --> 01:55:33,720 THAT A DIFFERENT ONE? 3439 01:55:33,720 --> 01:55:35,080 >> MY COLLEAGUE CHRISTINE IS 3440 01:55:35,080 --> 01:55:36,800 ALSO HERE BUT WE ARE WORKING 3441 01:55:36,800 --> 01:55:42,040 WITH LISTER HILL WITH YOUR 3442 01:55:42,040 --> 01:55:43,360 GROUP, SO RIGHT NOW IT'S A PILOT 3443 01:55:43,360 --> 01:55:45,200 AND IT'S JUST GIVING A ONE TO 3444 01:55:45,200 --> 01:55:46,560 ONE CONVERSION JUST TO SEE THE 3445 01:55:46,560 --> 01:55:47,880 UTILITY AND IF THE CONVERSION 3446 01:55:47,880 --> 01:55:49,080 ACTUALLY IS REALLY WORKING WELL, 3447 01:55:49,080 --> 01:55:50,520 AND THEN THE GOAL IN THE FUTURE 3448 01:55:50,520 --> 01:55:52,040 IS TO HAVE HOPEFULLY A BROADER 3449 01:55:52,040 --> 01:55:53,280 VERSION WHERE YOU COULD DOWNLOAD 3450 01:55:53,280 --> 01:55:59,000 A WHOLE DATASET IN THE FHIR API. 3451 01:55:59,000 --> 01:56:00,280 SO THANKS TO YOUR TEAM IN 3452 01:56:00,280 --> 01:56:01,040 SUPPORTING US IN THAT. 3453 01:56:01,040 --> 01:56:08,960 >> THANK YOU. 3454 01:56:08,960 --> 01:56:19,360 >> ANY OTHER QUESTIONS? 3455 01:56:20,080 --> 01:56:20,440 GREAT. 3456 01:56:20,440 --> 01:56:22,880 WE HAVE OUR LAST WORK GROUP, 3457 01:56:22,880 --> 01:56:24,040 WHICH IS THE COLLECTIONS WORK 3458 01:56:24,040 --> 01:56:25,200 GROUP. 3459 01:56:25,200 --> 01:56:25,760 >> OKAY. 3460 01:56:25,760 --> 01:56:27,440 THANK YOU. 3461 01:56:27,440 --> 01:56:30,080 I'M DIANE BABSKI, ASSOCIATE 3462 01:56:30,080 --> 01:56:32,200 DIRECTOR FOR LIBRARY OPERATIONS, 3463 01:56:32,200 --> 01:56:33,200 AND I VOLUNTEERED TO DO THE 3464 01:56:33,200 --> 01:56:37,560 REPORT OUT FOR OUR GROUP. 3465 01:56:37,560 --> 01:56:39,200 SO LET ME GO AHEAD AND START 3466 01:56:39,200 --> 01:56:42,720 WITH LAST YEAR, MY DIVISION, 3467 01:56:42,720 --> 01:56:44,040 DIVISION OF LIBRARY OPERATIONS. 3468 01:56:44,040 --> 01:56:46,240 WE DEVELOPED A 15-YEARLONG RANGE 3469 01:56:46,240 --> 01:56:47,760 PLAN BASED ON EXTENSIVE FEEDBACK 3470 01:56:47,760 --> 01:56:50,520 FROM STAFF, A VARIETY OF 3471 01:56:50,520 --> 01:56:51,160 STAKEHOLDERS. 3472 01:56:51,160 --> 01:56:53,000 WE USE PRODUCT DATA AND USER 3473 01:56:53,000 --> 01:56:55,360 FEEDBACK TO THINK ABOUT WHAT WE 3474 01:56:55,360 --> 01:56:55,760 DO. 3475 01:56:55,760 --> 01:56:59,160 WE REFLECTED ON WHAT WORKED AND 3476 01:56:59,160 --> 01:57:00,400 WHAT DIDN'T WORK DURING THE 3477 01:57:00,400 --> 01:57:02,800 PANDEMIC AND HOW WE CAN BETTER 3478 01:57:02,800 --> 01:57:04,840 MEET OUR LEGISLATIVE MANDATE AS 3479 01:57:04,840 --> 01:57:05,840 A NATIONAL LIBRARY TO COLLECT, 3480 01:57:05,840 --> 01:57:08,480 PRESERVE AND DISSEMINATE 3481 01:57:08,480 --> 01:57:09,240 BIOMEDICAL LITERATURE AND 3482 01:57:09,240 --> 01:57:14,920 INFORMATION. 3483 01:57:14,920 --> 01:57:16,280 SO TODAY'S REALITY IS THAT NEW 3484 01:57:16,280 --> 01:57:17,560 AND DIFFERENT CHALLENGES EXIST 3485 01:57:17,560 --> 01:57:19,120 FOR LIBRARIES DUE TO RAPIDLY 3486 01:57:19,120 --> 01:57:20,760 CHANGING DIGITAL AND VIRTUAL 3487 01:57:20,760 --> 01:57:23,400 EXPECTATIONS OF OUR USERS, NEW 3488 01:57:23,400 --> 01:57:25,240 FORMATS FOR ACCESSING AND 3489 01:57:25,240 --> 01:57:27,040 STORING INFORMATION, AND THE 3490 01:57:27,040 --> 01:57:31,200 RAPID EVOLUTION OF SCIENCE. 3491 01:57:31,200 --> 01:57:32,800 WE'RE RECKONING WITH THE 3492 01:57:32,800 --> 01:57:34,840 COMPLEXITY, SCOPE AND 3493 01:57:34,840 --> 01:57:36,880 INTERCONNECT IFNESS OF 3494 01:57:36,880 --> 01:57:38,640 CHALLENGES THAT INVOLVE GROWING 3495 01:57:38,640 --> 01:57:40,720 INEQUALITY, HEALTH DISPARITIES, 3496 01:57:40,720 --> 01:57:44,680 HEALTH MIS AND DISINFORMATION 3497 01:57:44,680 --> 01:57:49,800 AND RAPID SHIFTS IN TECHNOLOGY. 3498 01:57:49,800 --> 01:57:51,240 A CLICK FROM WHEREVER THEY ARE 3499 01:57:51,240 --> 01:57:52,320 AND HOWEVER THEY WANT IT, 3500 01:57:52,320 --> 01:57:53,680 WHATEVER FORMAT. 3501 01:57:53,680 --> 01:57:55,640 THAT'S THE FUTURE WE'RE NEEDING 3502 01:57:55,640 --> 01:57:56,520 TO BUILD TOWARD AND WHAT WE'RE 3503 01:57:56,520 --> 01:57:57,760 THINKING ABOUT IN LIBRARY 3504 01:57:57,760 --> 01:58:00,160 OPERATIONS. 3505 01:58:00,160 --> 01:58:03,000 SO OUR 15-YEAR PLANS -- PLAN 3506 01:58:03,000 --> 01:58:04,960 INTENDS TO IDENTIFY WHERE TO 3507 01:58:04,960 --> 01:58:07,720 FOCUS OUR EFFORTS. 3508 01:58:07,720 --> 01:58:08,840 WE ARE GOING TO MAKE SOME 3509 01:58:08,840 --> 01:58:10,400 CHANGES TO PROVIDE SOME CAPACITY 3510 01:58:10,400 --> 01:58:13,000 AND SPACE FOR US TO REFOCUS SOME 3511 01:58:13,000 --> 01:58:14,200 EFFORTS AND ADDRESS THOSE 3512 01:58:14,200 --> 01:58:15,280 CHALLENGES I JUST MENTIONED IN 3513 01:58:15,280 --> 01:58:17,800 THE LAST SLIDE. 3514 01:58:17,800 --> 01:58:21,880 OUR PLANNED PLAN SUPPORTS NN 3515 01:58:21,880 --> 01:58:23,720 AND OUR FEDERAL MANDATE IS TO 3516 01:58:23,720 --> 01:58:24,720 COLLECT, PRESERVE AND 3517 01:58:24,720 --> 01:58:26,920 DISSEMINATE THE BIOMEDICAL 3518 01:58:26,920 --> 01:58:28,760 INFORMATION, AND THAT WILL TAKE 3519 01:58:28,760 --> 01:58:30,640 US INTO OUR 200TH ANNIVERSARY. 3520 01:58:30,640 --> 01:58:32,160 SO BEFORE I GET INTO OUR PLAN, I 3521 01:58:32,160 --> 01:58:33,160 THOUGHT IT WOULD BE PRUDENT TO 3522 01:58:33,160 --> 01:58:34,720 GIVE YOU A LITTLE BACKGROUND 3523 01:58:34,720 --> 01:58:36,440 ABOUT LIBRARY OPERATIONS AND 3524 01:58:36,440 --> 01:58:40,200 SOME OF THE WORK THAT WE DO. 3525 01:58:40,200 --> 01:58:41,640 TWO YEARS AGO WE STARTED DOING 3526 01:58:41,640 --> 01:58:43,120 THESE PRESENTATIONS IN OUR NLM 3527 01:58:43,120 --> 01:58:44,560 TOWN HALLS CALLED GETTING TO 3528 01:58:44,560 --> 01:58:46,640 KNOW YOU, AND THEY WERE A SERIES 3529 01:58:46,640 --> 01:58:49,600 OF PRESENTATIONS TO OUR STAFF, 3530 01:58:49,600 --> 01:58:51,560 AND LIKE MANY OF YOU, WE HAD 3531 01:58:51,560 --> 01:58:53,240 STAFF THAT WERE ONBOARDING 3532 01:58:53,240 --> 01:58:55,320 DURING THE PANDEMIC, AND THESE 3533 01:58:55,320 --> 01:58:57,200 PRESENTATIONS WERE A WAY TO HELP 3534 01:58:57,200 --> 01:58:59,720 STAFF UNDERSTAND THE 3535 01:58:59,720 --> 01:59:00,520 ORGANIZATION BEYOND THEIR 3536 01:59:00,520 --> 01:59:00,880 DIVISION. 3537 01:59:00,880 --> 01:59:02,760 SO FOR US, WE CREATED A 3538 01:59:02,760 --> 01:59:04,280 FRAMEWORK TO HELP DESCRIBE OUR 3539 01:59:04,280 --> 01:59:07,000 WORK AND WE REFER TO THIS AS OUR 3540 01:59:07,000 --> 01:59:08,560 THREE Cs. 3541 01:59:08,560 --> 01:59:10,280 WE COLLECT, WE CURATE, AND WE 3542 01:59:10,280 --> 01:59:17,240 CONNECT. 3543 01:59:17,240 --> 01:59:18,360 BEFORE I MOVE INTO THE SPECIFICS 3544 01:59:18,360 --> 01:59:19,640 OF THE LONG-RANGE PLAN, I WANT 3545 01:59:19,640 --> 01:59:22,120 TO FIRST SHOW THAT LIBRARY 3546 01:59:22,120 --> 01:59:23,280 OPERATIONS IS ALREADY RESPONDING 3547 01:59:23,280 --> 01:59:25,680 AND ADAPTING TO TECHNICAL 3548 01:59:25,680 --> 01:59:27,080 CHANGES, AND USER NEEDS THROUGH 3549 01:59:27,080 --> 01:59:31,120 A FEW INITIATIVES ALREADY 3550 01:59:31,120 --> 01:59:31,920 UNDERWAY. 3551 01:59:31,920 --> 01:59:33,760 WE'VE RETHOUGHT HOW WE USE OUR 3552 01:59:33,760 --> 01:59:36,480 SPACE, ESPECIALLY GIVEN THE PAN 3553 01:59:36,480 --> 01:59:37,600 PANDEMIC AND OUR MULTIYEAR 3554 01:59:37,600 --> 01:59:38,920 RENOVATIONS WHERE WE HAD TO 3555 01:59:38,920 --> 01:59:41,120 UPROOT OVER 300 STAFF VERY 3556 01:59:41,120 --> 01:59:41,960 QUICKLY. 3557 01:59:41,960 --> 01:59:43,200 WE'RE HOTELING AND SHARING WORK 3558 01:59:43,200 --> 01:59:44,720 SPACES IN NEW WAYS AND REALLY 3559 01:59:44,720 --> 01:59:47,000 THINKING ABOUT HOW WE UTILIZE 3560 01:59:47,000 --> 01:59:51,000 SPACE ON CAMPUS. 3561 01:59:51,000 --> 01:59:52,000 AS PATTI MENTIONED IN HER 3562 01:59:52,000 --> 01:59:53,840 OPENING REMARKS, IN RESPONSE TO 3563 01:59:53,840 --> 01:59:55,080 USER NEEDS, WE'RE OPENING A 3564 01:59:55,080 --> 01:59:58,280 TEMPORARY READING ROOM, A 3565 01:59:58,280 --> 02:00:00,680 UNIFIED READING ROOM IN BUILDING 3566 02:00:00,680 --> 02:00:00,840 38. 3567 02:00:00,840 --> 02:00:03,400 THAT'S GOING TO BE ON 3568 02:00:03,400 --> 02:00:04,600 OCTOBER 3RD WITH THE SAFETY OF 3569 02:00:04,600 --> 02:00:07,480 OUR STAFF AND USERS A PRIORITY. 3570 02:00:07,480 --> 02:00:08,760 AUTOMATED INDEXING HAS ALSO 3571 02:00:08,760 --> 02:00:10,960 REDUCED THE TIME TO INDEX 3572 02:00:10,960 --> 02:00:12,920 CITATIONS IN MEDLINE FROM MANY 3573 02:00:12,920 --> 02:00:14,720 MONTHS TO JUST DAYS, AND MOST 3574 02:00:14,720 --> 02:00:16,000 ARE WITHIN 24 HOURS. 3575 02:00:16,000 --> 02:00:19,840 AND WE FINALLY GOT THROUGH THAT 3576 02:00:19,840 --> 02:00:21,520 600K AND GROWING BACKLOG OF 3577 02:00:21,520 --> 02:00:22,840 CITATIONS. 3578 02:00:22,840 --> 02:00:27,040 WE NOW PROVIDE 62% OF OUR 3579 02:00:27,040 --> 02:00:28,240 INTERLIBRARY LOAN REQUEST FROM A 3580 02:00:28,240 --> 02:00:29,960 DIGITAL FORMAT, WHICH IS AN 3581 02:00:29,960 --> 02:00:32,200 INCREASE OF ALMOST 20% FROM 3582 02:00:32,200 --> 02:00:34,600 PREPANDEMIC NUMBERS, AND AFTER 3583 02:00:34,600 --> 02:00:36,480 GETTING BACK INTO THE BUILDING, 3584 02:00:36,480 --> 02:00:43,040 WE'RE NOW AT A PRE-PANDEMIC RATE 3585 02:00:43,040 --> 02:00:44,360 OF INTERLIBRARY LOAN. 3586 02:00:44,360 --> 02:00:45,480 WE'VE ALSO SEEN A STEADY 3587 02:00:45,480 --> 02:00:47,120 INCREASE IN E ELECTRONIC FIRST 3588 02:00:47,120 --> 02:00:49,000 ACQUISITIONS OF OUR LITERATURE 3589 02:00:49,000 --> 02:00:52,160 BY ALMOST 140%, AND A REDUCTION 3590 02:00:52,160 --> 02:00:59,400 OF PRINT BY ALMOST 38%. 3591 02:00:59,400 --> 02:01:01,240 NOW I'M GOING TO PIVOT TO THE 3592 02:01:01,240 --> 02:01:01,680 LONG-RANGE PLAN. 3593 02:01:01,680 --> 02:01:03,280 SO WE TOOK A VERY THOUGHTFUL 3594 02:01:03,280 --> 02:01:04,800 APPROACH TO DEVELOPING THE PLAN, 3595 02:01:04,800 --> 02:01:05,680 ENGAGING ALL LEVELS OF OUR 3596 02:01:05,680 --> 02:01:06,120 STAFF. 3597 02:01:06,120 --> 02:01:07,240 WE WANTED EVERYONE TO BE A PART 3598 02:01:07,240 --> 02:01:08,440 OF IT. 3599 02:01:08,440 --> 02:01:09,720 THE LONG-RANGE PLAN IS INTENDED 3600 02:01:09,720 --> 02:01:10,920 TO BE VISIONARY. 3601 02:01:10,920 --> 02:01:13,160 THEREFORE, WE WANTED A VALUED 3602 02:01:13,160 --> 02:01:14,960 AND A DIVERSIFIED PERSPECTIVE TO 3603 02:01:14,960 --> 02:01:16,440 HELP US MOVE FORWARD. 3604 02:01:16,440 --> 02:01:19,760 TO ACCOMPLISH THIS, WE CONDUCTED 3605 02:01:19,760 --> 02:01:20,920 A VARIETY OF FEEDBACK SESSIONS 3606 02:01:20,920 --> 02:01:22,600 AND EMPLOYED FEEDBACK GATHERING 3607 02:01:22,600 --> 02:01:24,240 MECHANISMS TO CROWD SOURCE IDEAS 3608 02:01:24,240 --> 02:01:25,920 FOR WHAT OUR FUTURE WILL LOOK 3609 02:01:25,920 --> 02:01:26,120 LIKE. 3610 02:01:26,120 --> 02:01:31,240 AND AS YOU CAN SEE HERE, WE DID 3611 02:01:31,240 --> 02:01:32,840 SEVERAL DIFFERENT THINGS 3612 02:01:32,840 --> 02:01:35,000 INTERNALLY, LIKE VIRTUAL 3613 02:01:35,000 --> 02:01:36,080 WALK-ABOUTS AND FOCUS GROUPS, 3614 02:01:36,080 --> 02:01:39,720 AND WE HAD SOME DISCUSSIONS WITH 3615 02:01:39,720 --> 02:01:40,920 STAKEHOLDERS, WE LOOKED AT 3616 02:01:40,920 --> 02:01:42,560 RESPONSES TO RFIs, AND, OF 3617 02:01:42,560 --> 02:01:45,000 COURSE, WE REVIEWED OUR USER 3618 02:01:45,000 --> 02:01:51,920 DATA AND CUSTOMER SERVICE 3619 02:01:51,920 --> 02:01:52,360 FEEDBACK. 3620 02:01:52,360 --> 02:01:55,200 AS I JUST MENTIONED, THE 3621 02:01:55,200 --> 02:01:56,400 EXTERNAL USER FEEDBACK FROM OUR 3622 02:01:56,400 --> 02:01:58,280 CUSTOMER SERVICE PORTAL WAS KEY 3623 02:01:58,280 --> 02:02:01,000 AND WE REALLY WANTED TO SEE WHAT 3624 02:02:01,000 --> 02:02:02,240 WAS -- WHAT WERE SOME COMMON 3625 02:02:02,240 --> 02:02:03,200 THEMES GOING ON IN THERE. 3626 02:02:03,200 --> 02:02:04,880 AND AS YOU CAN SEE, HERE'S A 3627 02:02:04,880 --> 02:02:06,080 SAMPLING OF SOME ACTUAL 3628 02:02:06,080 --> 02:02:08,840 SUBMISSIONS FROM OUR USERS. 3629 02:02:08,840 --> 02:02:10,120 WE HOPE TO ADDRESS THESE GOING 3630 02:02:10,120 --> 02:02:12,680 FORWARD. 3631 02:02:12,680 --> 02:02:14,520 WHAT WE SAW THROUGHOUT THE 3632 02:02:14,520 --> 02:02:16,320 PROCESS WERE KEY THEMES THAT 3633 02:02:16,320 --> 02:02:17,200 EMERGED. 3634 02:02:17,200 --> 02:02:18,720 SO KEEPING THE NEEDS OF OUR 3635 02:02:18,720 --> 02:02:21,320 USERS IN MIND MAKE OUR 3636 02:02:21,320 --> 02:02:24,200 COLLECTION ACCESSIBLE TO ALL 3637 02:02:24,200 --> 02:02:27,040 USERS AND PROVIDE TRANSLATION 3638 02:02:27,040 --> 02:02:27,560 OPTIONS FOR NON-ENGLISH 3639 02:02:27,560 --> 02:02:27,800 SPEAKERS. 3640 02:02:27,800 --> 02:02:29,800 THESE WERE SOME THEMES AGAIN 3641 02:02:29,800 --> 02:02:30,960 THAT EMERGED OUT OF THAT 3642 02:02:30,960 --> 02:02:31,400 FEEDBACK. 3643 02:02:31,400 --> 02:02:33,360 WE NEED TO FACILITATE TRAINING 3644 02:02:33,360 --> 02:02:37,400 AND COLLABORATION ACROSS LL AND 3645 02:02:37,400 --> 02:02:39,480 NLM DIVISIONS AND ENHANCE 3646 02:02:39,480 --> 02:02:40,480 EMPLOYEES' CURRENT SKILLS TO 3647 02:02:40,480 --> 02:02:41,840 ADAPT TO THE FUTURE WORK NEEDS. 3648 02:02:41,840 --> 02:02:43,560 WE NEED TO PRIORITIZE 3649 02:02:43,560 --> 02:02:45,680 DIGITIZATION OF OUR RESOURCES, 3650 02:02:45,680 --> 02:02:47,280 AND CONTINUOUSLY COMMUNICATE 3651 02:02:47,280 --> 02:02:50,120 WITH STAFF REGARDING THE UTMOST 3652 02:02:50,120 --> 02:02:52,920 IMPORTANCE OF THIS DIGITIZATION 3653 02:02:52,920 --> 02:02:55,400 EFFORT. 3654 02:02:55,400 --> 02:02:57,280 AND WE NEED TO EMBRACE AN 3655 02:02:57,280 --> 02:02:59,280 INNOVATIVE, FLEXIBLE AND AGILE 3656 02:02:59,280 --> 02:03:00,280 MINDSET WHEN IDENTIFYING 3657 02:03:00,280 --> 02:03:02,120 SOLUTIONS AND IMPLEMENTING 3658 02:03:02,120 --> 02:03:04,080 CHANGE AND BEING READY TO PIVOT 3659 02:03:04,080 --> 02:03:05,400 BECAUSE WE KNOW THAT A LOT OF 3660 02:03:05,400 --> 02:03:07,840 THINGS POP UP UNEXPECTEDLY. 3661 02:03:07,840 --> 02:03:10,640 SO NOW LET ME TAKE YOU INTO A 3662 02:03:10,640 --> 02:03:13,040 VERY HIGH LEVEL OF OUR 3663 02:03:13,040 --> 02:03:15,080 LONG-RANGE PLAN GOALS. 3664 02:03:15,080 --> 02:03:17,920 SO WE'VE ESTABLISHED FIVE VERY 3665 02:03:17,920 --> 02:03:19,120 AMBITIOUS GOALS BUT WE BELIEVE 3666 02:03:19,120 --> 02:03:20,600 THEY ARE ATTAINABLE, AND THESE 3667 02:03:20,600 --> 02:03:22,920 AGAIN ARE GOING TO TAKE US INTO 3668 02:03:22,920 --> 02:03:24,640 OUR THIRD CENTURY AT THE 3669 02:03:24,640 --> 02:03:25,320 NATIONAL LIBRARY OF MEDICINE. 3670 02:03:25,320 --> 02:03:27,080 SO GOAL ONE IS TO CREATE A 3671 02:03:27,080 --> 02:03:28,160 MODERNIZED ORGANIZATIONAL 3672 02:03:28,160 --> 02:03:28,760 STRUCTURE. 3673 02:03:28,760 --> 02:03:31,600 THE FOCUS ON THIS IS REALLY 3674 02:03:31,600 --> 02:03:33,480 INTERNALLY ON THE ORGANIZATIONAL 3675 02:03:33,480 --> 02:03:34,280 STRUCTURE. 3676 02:03:34,280 --> 02:03:36,080 OUR WORK PROCESSES AND OUR 3677 02:03:36,080 --> 02:03:39,600 WORKFORCE NEEDS THAT ARE PAIR 3678 02:03:39,600 --> 02:03:41,480 PARAMOUNT TO MAKING THE 3679 02:03:41,480 --> 02:03:42,800 LONG-RANGE VISION ACHIEVABLE. 3680 02:03:42,800 --> 02:03:44,920 GOAL TWO IS TO UNIFY AND 3681 02:03:44,920 --> 02:03:49,160 TRANSFORM OUR NLM COLLECTIONS. 3682 02:03:49,160 --> 02:03:50,800 AND WE'LL REDEFINE AND MANAGE 3683 02:03:50,800 --> 02:03:52,240 THE DIVERSE COLLECTION AS A 3684 02:03:52,240 --> 02:03:53,920 SINGLE UNIFIED PRODUCT. 3685 02:03:53,920 --> 02:03:56,120 WE'LL ACCELERATE DIGITIZATION, 3686 02:03:56,120 --> 02:03:57,120 INCREASE DIGITAL ACQUISITIONS 3687 02:03:57,120 --> 02:03:59,120 AND IMPROVE DISCOVERABILITY OF 3688 02:03:59,120 --> 02:04:01,600 COLLECTIONS AND DATA AND 3689 02:04:01,600 --> 02:04:03,360 CONTINUE THE INVESTMENT IN OUR 3690 02:04:03,360 --> 02:04:05,640 PHYSICAL COLLECTION SPACE TO 3691 02:04:05,640 --> 02:04:07,120 ENSURE FUTURE PRESERVATION, 3692 02:04:07,120 --> 02:04:08,760 WHICH, AGAIN, IS PART OF OUR 3693 02:04:08,760 --> 02:04:10,720 LEGISLATIVE MANDATE. 3694 02:04:10,720 --> 02:04:12,200 GOAL THREE IS TO SUPPORT AND 3695 02:04:12,200 --> 02:04:15,160 PROMOTE THE USE OF HEALTH DATA 3696 02:04:15,160 --> 02:04:16,440 STANDARDS AND TERMINOLOGIES. 3697 02:04:16,440 --> 02:04:18,200 THIS POSITIONS LIBRARY 3698 02:04:18,200 --> 02:04:19,440 OPERATIONS AS A CENTRALIZED 3699 02:04:19,440 --> 02:04:20,960 LEADER IN THE PRODUCTION AND 3700 02:04:20,960 --> 02:04:22,960 ACCESS TO TERMINOLOGY STANDARDS 3701 02:04:22,960 --> 02:04:25,120 AND TOOLS AND SUPPORT OF HEALTH 3702 02:04:25,120 --> 02:04:26,400 DATA STANDARDS. 3703 02:04:26,400 --> 02:04:29,560 GOAL FOUR IS TO PROVIDE CUSTOMER 3704 02:04:29,560 --> 02:04:31,720 DESIGN EXPERIENCE AND SUPPORT. 3705 02:04:31,720 --> 02:04:35,320 THIS GOAL IS -- ITS FOCUS IS TO 3706 02:04:35,320 --> 02:04:36,600 EXPAND PRODUCT OWNERS' 3707 02:04:36,600 --> 02:04:38,480 UNDERSTANDING OF ITS CUSTOMERS 3708 02:04:38,480 --> 02:04:40,360 NEEDS AND TRANSLATE THAT INTO 3709 02:04:40,360 --> 02:04:43,760 PRODUCT DEVELOPMENT AND 3710 02:04:43,760 --> 02:04:44,680 MANAGEMENT BY PUTTING THE 3711 02:04:44,680 --> 02:04:46,160 PRINCIPLES OF A MODERN DIGITAL 3712 02:04:46,160 --> 02:04:49,480 STRATEGY INTO PRACTICE. 3713 02:04:49,480 --> 02:04:50,360 REALLY IT'S ABOUT MAKING 3714 02:04:50,360 --> 02:04:52,080 EVERYTHING MORE USEFUL FOR OUR 3715 02:04:52,080 --> 02:04:54,480 USERS WHEN THEY COME IN AND 3716 02:04:54,480 --> 02:04:55,960 HAVING A SEAMLESS TRANSITION 3717 02:04:55,960 --> 02:04:58,480 ACROSS PRODUCTS AND SERVICES. 3718 02:04:58,480 --> 02:05:02,360 AND LAST, GOAL 5 IS TO KNOW AND 3719 02:05:02,360 --> 02:05:03,480 EQUITABLY ENGAGE OUR USERS. 3720 02:05:03,480 --> 02:05:05,960 WITH THIS GOAL, WE WANT TO 3721 02:05:05,960 --> 02:05:07,600 EFFECTIVELY AND MEASURABLY 3722 02:05:07,600 --> 02:05:09,480 ENGAGE STAKEHOLDERS TO 3723 02:05:09,480 --> 02:05:11,920 FACILITATE ACCESS, DELIVERY AND 3724 02:05:11,920 --> 02:05:14,960 DISSEMINATION OF NLM AND NIH'S 3725 02:05:14,960 --> 02:05:19,480 TRUSTED HEALTH INFORMATION 3726 02:05:19,480 --> 02:05:19,840 RESOURCES. 3727 02:05:19,840 --> 02:05:20,920 SO THEN WE GOT INTO SOME 3728 02:05:20,920 --> 02:05:24,440 DISCUSSIONS ABOUT THIS, AND SOME 3729 02:05:24,440 --> 02:05:26,200 OF THE THINGS THAT WE TALKED 3730 02:05:26,200 --> 02:05:27,520 ABOUT WERE WE CHATTED ABOUT 3731 02:05:27,520 --> 02:05:28,880 HAVING SUFFICIENT FUNDS TO 3732 02:05:28,880 --> 02:05:31,360 ACQUIRE AND PROVIDE ACCESS TO 3733 02:05:31,360 --> 02:05:34,240 OUR ELECTRONIC JOURNALS, THEIR 3734 02:05:34,240 --> 02:05:34,880 ONGOING PRESERVATION AND OUR 3735 02:05:34,880 --> 02:05:36,240 COMMITMENT TO PROVIDING 3736 02:05:36,240 --> 02:05:38,200 INTERLIBRARY LOAN AND SUPPORTING 3737 02:05:38,200 --> 02:05:39,720 THE DOCLINE REQUEST SYSTEM. 3738 02:05:39,720 --> 02:05:41,720 THIS WORK IS CORE TO OUR MISSION 3739 02:05:41,720 --> 02:05:42,960 AND WILL CONTINUE TO BE A 3740 02:05:42,960 --> 02:05:45,440 PRIORITY. 3741 02:05:45,440 --> 02:05:48,360 WE WERE ASKED TO THINK ABOUT THE 3742 02:05:48,360 --> 02:05:50,520 WORK ELO IS DOING IN TERMS OF 3743 02:05:50,520 --> 02:05:51,600 SUPPORTING RESEARCH, 3744 02:05:51,600 --> 02:05:54,600 REPRODUCIBILITY, SCIENTIFIC 3745 02:05:54,600 --> 02:05:55,880 INTEGRITY, AND EVIDENCE-BASED 3746 02:05:55,880 --> 02:05:56,160 DISCOVERY. 3747 02:05:56,160 --> 02:05:58,800 IT WAS POINTED OUT THAT THE NEED 3748 02:05:58,800 --> 02:05:59,920 FOR REPRODUCIBILITY OF RESEARCH 3749 02:05:59,920 --> 02:06:01,640 IS COMING OUT MORE AND MORE IN 3750 02:06:01,640 --> 02:06:02,320 DIFFERENT VENUES. 3751 02:06:02,320 --> 02:06:05,680 SO ARE WE CONSIDERING THE QUELL 3752 02:06:05,680 --> 02:06:07,960 OF WHAT DOES IT TAKE TO 3753 02:06:07,960 --> 02:06:09,360 REPRODUCE RESEARCH, INCLUDING 3754 02:06:09,360 --> 02:06:11,120 THE WIDE RANGE OF OBJECTS 3755 02:06:11,120 --> 02:06:15,120 INVOLVED AND MACHINE 3756 02:06:15,120 --> 02:06:16,440 INTERACTIONS. 3757 02:06:16,440 --> 02:06:18,520 WE WERE ASKED ABOUT SOME OF THE 3758 02:06:18,520 --> 02:06:19,760 PROCESSES USED DURING OUR PLAN 3759 02:06:19,760 --> 02:06:21,880 AND ROLLOUT, INCLUDING HOW WILL 3760 02:06:21,880 --> 02:06:24,240 WE EVOLVE IT, WILL WE DO ANY 3761 02:06:24,240 --> 02:06:27,680 MILESTONE CHECKUPS, HOW WILL WE 3762 02:06:27,680 --> 02:06:29,120 PRIORITIZE RESOURCES AND MEASURE 3763 02:06:29,120 --> 02:06:29,640 OUTCOMES? 3764 02:06:29,640 --> 02:06:30,880 SO OVER THE NEXT THREE MONTHS, 3765 02:06:30,880 --> 02:06:32,240 WE'RE GOING TO PRIORITIZE SOME 3766 02:06:32,240 --> 02:06:34,520 LOW HANGING FRUIT AND IMPLEMENT 3767 02:06:34,520 --> 02:06:34,960 THAT. 3768 02:06:34,960 --> 02:06:38,440 AS WE BUILD EFFICIENCIES BY 3769 02:06:38,440 --> 02:06:39,480 ALIGNING SOME OF THE LIKE 3770 02:06:39,480 --> 02:06:41,040 FUNCTIONS, WE'LL FREE UP SOME 3771 02:06:41,040 --> 02:06:42,680 CAPACITY TO FOCUS ON NEW WORK. 3772 02:06:42,680 --> 02:06:45,040 AND THE OTHER PART THAT WE 3773 02:06:45,040 --> 02:06:47,640 HAVEN'T TSH WE HAVEN'T RETURNED 3774 02:06:47,640 --> 02:06:52,160 TO CAMPUS IN FULL CAPACITY, 3775 02:06:52,160 --> 02:06:53,480 ESPECIALLY DUE TO THE 3776 02:06:53,480 --> 02:06:55,120 RENOVATIONS THAT WE HAVE GOING 3777 02:06:55,120 --> 02:06:58,040 ON, SO WHAT WE WANT TO DO IS TO 3778 02:06:58,040 --> 02:07:00,240 RECOGNIZE THAT WE HAVEN'T DONE 3779 02:07:00,240 --> 02:07:02,720 SOME STUFF OVER THE LAST 2 1/2 3780 02:07:02,720 --> 02:07:03,240 YEARS. 3781 02:07:03,240 --> 02:07:04,440 THIS IS A UNIQUE OPPORTUNITY FOR 3782 02:07:04,440 --> 02:07:06,000 US TO NOT JUST RETURN TO WHAT WE 3783 02:07:06,000 --> 02:07:07,560 WERE DOING WHEN WE LEFT BUT 3784 02:07:07,560 --> 02:07:10,640 REALLY TAKE A HARD LOOK AT WHAT 3785 02:07:10,640 --> 02:07:12,160 HAVEN'T WE DONE, DO WE NEED TO 3786 02:07:12,160 --> 02:07:13,840 DO IT OR BETTER, DO WE NEED TO 3787 02:07:13,840 --> 02:07:15,600 DO IT DIFFERENTLY TO MAXIMIZE 3788 02:07:15,600 --> 02:07:19,200 EFFICIENCIES. 3789 02:07:19,200 --> 02:07:20,560 WE'VE RECOGNIZED THAT WE HAVE TO 3790 02:07:20,560 --> 02:07:22,120 ADAPT OUR PLAN AS TECHNOLOGY AND 3791 02:07:22,120 --> 02:07:24,600 SCIENCE EVOLVES OVER TIME AND/OR 3792 02:07:24,600 --> 02:07:25,960 MAYBE SUPPORT ANOTHER GLOBAL 3793 02:07:25,960 --> 02:07:26,480 PANDEMIC. 3794 02:07:26,480 --> 02:07:27,400 WHO KNOWS. 3795 02:07:27,400 --> 02:07:32,040 SO TO DO MEASURES, WE'RE USING 3796 02:07:32,040 --> 02:07:33,440 SMARTI, SPECIFIC MEASURABLE 3797 02:07:33,440 --> 02:07:35,400 ACHIEVABLE RELEVANT TIME BOUND 3798 02:07:35,400 --> 02:07:39,200 INCLUSIVE AND EQUITABLE GOALS, 3799 02:07:39,200 --> 02:07:40,720 AND METRICS TO BENCHMARK OUR 3800 02:07:40,720 --> 02:07:42,680 PROGRESS, AND WE'RE TYING THIS 3801 02:07:42,680 --> 02:07:44,400 INTO MEASURES OF REPORTING OUT 3802 02:07:44,400 --> 02:07:46,680 WITH THE NLM STRATEGIC PLAN 3803 02:07:46,680 --> 02:07:50,520 INITIATIVES AS WELL. 3804 02:07:50,520 --> 02:07:51,200 AND THE OTHER POINT OF 3805 02:07:51,200 --> 02:07:53,160 DISCUSSION WAS RELATED TO HEALTH 3806 02:07:53,160 --> 02:07:54,600 MISINFORMATION AND THE NEED TO 3807 02:07:54,600 --> 02:07:55,800 STRENGTHEN COLLABORATION ACROSS 3808 02:07:55,800 --> 02:08:00,240 OTHER AGENCIES LIKE THE CDC AND 3809 02:08:00,240 --> 02:08:01,320 CONNECTING WITH OTHER PUBLIC 3810 02:08:01,320 --> 02:08:03,400 GROUPS AND FAMILY GROUPS LIKE 3811 02:08:03,400 --> 02:08:04,040 THE NATIONAL ASSOCIATION OF 3812 02:08:04,040 --> 02:08:05,480 SCHOOL NURSES. 3813 02:08:05,480 --> 02:08:07,800 WE SEE OUR OFFICE OF ENGAGEMENT 3814 02:08:07,800 --> 02:08:09,680 AS TRAINING, WHICH SUPPORTS THE 3815 02:08:09,680 --> 02:08:12,800 NETWORK OF THE NATIONAL LIBRARY 3816 02:08:12,800 --> 02:08:13,880 OF MEDICINE AS A KEY PLAYER IN 3817 02:08:13,880 --> 02:08:15,280 OUR EFFORTS TO TACKLE THIS 3818 02:08:15,280 --> 02:08:20,000 CHALLENGE OF HEALTH MIS AND 3819 02:08:20,000 --> 02:08:20,480 DISINFORMATION. 3820 02:08:20,480 --> 02:08:21,360 SO THAT'S MY SUMMARY. 3821 02:08:21,360 --> 02:08:23,240 I WANT TO THANK EVERYONE IN OUR 3822 02:08:23,240 --> 02:08:24,320 COLLECTION GROUP FOR THEIR 3823 02:08:24,320 --> 02:08:25,720 THOUGHTFUL FEEDBACK. 3824 02:08:25,720 --> 02:08:27,120 I REALLY LOVE WORKING WITH THIS 3825 02:08:27,120 --> 02:08:27,440 GROUP. 3826 02:08:27,440 --> 02:08:30,760 WE ALWAYS HAVE GREAT 3827 02:08:30,760 --> 02:08:31,600 DISCUSSIONS, AND IT'S GREAT TO 3828 02:08:31,600 --> 02:08:32,560 HEAR THEIR PERSPECTIVES. 3829 02:08:32,560 --> 02:08:33,840 SO WITH THAT, I'M GOING TO OPEN 3830 02:08:33,840 --> 02:08:35,560 IT UP TO THE REST OF THE GROUP 3831 02:08:35,560 --> 02:08:37,200 TO SEE IF I MISSED FLIG OR IF 3832 02:08:37,200 --> 02:08:38,800 YOU WANTED TO ELABORATE OR ARE 3833 02:08:38,800 --> 02:08:49,280 THERE ANY OTHER QUESTIONS. 3834 02:08:50,040 --> 02:08:51,280 >> THANKS, DIANE. 3835 02:08:51,280 --> 02:08:53,280 THAT WAS AN INCREDIBLE SUMMARY. 3836 02:08:53,280 --> 02:08:55,600 I REITERATE, I MEAN, DIANE'S 3837 02:08:55,600 --> 02:08:57,120 COMMENT ABOUT THIS BEING A GREAT 3838 02:08:57,120 --> 02:08:59,280 GROUP TO WORK WITH, THERE ARE 3839 02:08:59,280 --> 02:09:03,120 ALWAYS SO MANY INTERESTING 3840 02:09:03,120 --> 02:09:04,600 CONVERSATIONS, AND THINKING 3841 02:09:04,600 --> 02:09:09,440 ABOUT WHAT KNOWLEDGE MEANS, HOW 3842 02:09:09,440 --> 02:09:10,600 KNOWLEDGE IS COMMUNICATED, 3843 02:09:10,600 --> 02:09:11,560 STORED AND MADE AVAILABLE. 3844 02:09:11,560 --> 02:09:13,200 IT'S ALWAYS A VERY INVIGORATING 3845 02:09:13,200 --> 02:09:13,520 CONVERSATION. 3846 02:09:13,520 --> 02:09:14,800 SO THANK YOU TO THE GROUP 3847 02:09:14,800 --> 02:09:19,600 MEMBERS AND TO DIANE. 3848 02:09:19,600 --> 02:09:20,800 >> THANKS, KRISTI. 3849 02:09:20,800 --> 02:09:29,960 ANYONE ELSE? 3850 02:09:29,960 --> 02:09:31,840 >> MAYBE JUST A POINT TO A 3851 02:09:31,840 --> 02:09:33,920 COMMENT, I THINK IT WAS MITCH 3852 02:09:33,920 --> 02:09:36,920 THAT MADE EARLIER IN ONE OF OUR 3853 02:09:36,920 --> 02:09:37,680 CONVERSATIONS AROUND AS WE LOOK 3854 02:09:37,680 --> 02:09:43,000 AT COLLECTIONS OF INFORMATION 3855 02:09:43,000 --> 02:09:45,600 ARTICLES, FIGURING OUT WAYS TO 3856 02:09:45,600 --> 02:09:50,640 HIGHLIGHT THE M ETA REVIEWS OR 3857 02:09:50,640 --> 02:09:52,080 SYSTEMATIC EVIDENCE-BASED 3858 02:09:52,080 --> 02:09:53,080 REVIEWS, THINGS WHERE THE MYRIAD 3859 02:09:53,080 --> 02:09:56,600 OF LITERATURE THAT'S OUT THERE 3860 02:09:56,600 --> 02:09:59,480 AND HOW CAN WE BUBBLE UP TO THE 3861 02:09:59,480 --> 02:10:01,480 TOP, SHALL WE SAY, THINGS THAT 3862 02:10:01,480 --> 02:10:03,520 ARE MORE RELIABLE. 3863 02:10:03,520 --> 02:10:09,280 IS THAT SOMETHING OF FOCUS? 3864 02:10:09,280 --> 02:10:10,560 >> DIANE, WHEN THIS WAS BROUGHT 3865 02:10:10,560 --> 02:10:12,360 UP IN OUR GROUP I THOUGHT IT 3866 02:10:12,360 --> 02:10:14,760 MIGHT BE AN OPPORTUNE TIME TO 3867 02:10:14,760 --> 02:10:16,760 TALK ABOUT THE SEARCH TAGS FOR A 3868 02:10:16,760 --> 02:10:18,600 MOMENT AND PERHAPS HOW PEOPLE 3869 02:10:18,600 --> 02:10:21,600 CAN USE MYNCBI TO AUTOMATICALLY 3870 02:10:21,600 --> 02:10:23,280 INVOKE THOSE. 3871 02:10:23,280 --> 02:10:25,240 >> SEARCH TAGS, ARE YOU TALKING 3872 02:10:25,240 --> 02:10:27,240 MESH TAGS OR METADATA? 3873 02:10:27,240 --> 02:10:28,800 >> THE METADATA. 3874 02:10:28,800 --> 02:10:32,480 BECAUSE WE CAN PULL FOR 3875 02:10:32,480 --> 02:10:33,080 SYSTEMATIC REVIEWS. 3876 02:10:33,080 --> 02:10:34,880 >> ABSOLUTELY. 3877 02:10:34,880 --> 02:10:38,080 AND THAT IS SOMETHING THAT WE'RE 3878 02:10:38,080 --> 02:10:39,480 NOT COMPLETELY INVOLVED IN, BUT 3879 02:10:39,480 --> 02:10:41,840 WE DO SUPPLY -- WE DO A LOT OF 3880 02:10:41,840 --> 02:10:43,560 CURATION TO MAKE THAT AVAILABLE, 3881 02:10:43,560 --> 02:10:47,600 THAT DATA AVAILABLE, WE'RE 3882 02:10:47,600 --> 02:10:49,120 REALLY MAXIMIZING OUR MESH IN 3883 02:10:49,120 --> 02:10:51,400 DIFFERENT FORMATS LIKE RDFs, 3884 02:10:51,400 --> 02:10:52,400 LINKED DATA AND THINGS LIKE THAT 3885 02:10:52,400 --> 02:10:58,120 TO REALLY MAKE MORE FINDABILITY 3886 02:10:58,120 --> 02:11:01,640 ACROSS DATASETS A POSSIBILITY. 3887 02:11:01,640 --> 02:11:04,160 DID YOU HAVE ANY SPECIFIC 3888 02:11:04,160 --> 02:11:04,800 RECOMMENDATIONS TIED TO THAT 3889 02:11:04,800 --> 02:11:09,240 THAT WE SHOULD CONSIDER? 3890 02:11:09,240 --> 02:11:11,200 >> IT SOUNDED LIKE AN 3891 02:11:11,200 --> 02:11:12,120 OPPORTUNITY DO SOME EDUCATION 3892 02:11:12,120 --> 02:11:13,080 ABOUT HOW AN INDIVIDUAL WOULD 3893 02:11:13,080 --> 02:11:14,600 SET UP A STRUCTURED SEARCH THAT 3894 02:11:14,600 --> 02:11:16,280 WOULD COME TO THEM IN THEIR 3895 02:11:16,280 --> 02:11:17,360 MAILBOX WEEKLY, AND THAT COULD 3896 02:11:17,360 --> 02:11:19,240 ALSO BE INVOKED ON DEMAND. 3897 02:11:19,240 --> 02:11:20,840 SO IT MAY BE AB OPPORTUNITY FOR 3898 02:11:20,840 --> 02:11:23,240 OUR NETWORK TO DO SOME CLINICAL 3899 02:11:23,240 --> 02:11:23,520 OUTREACH. 3900 02:11:23,520 --> 02:11:25,480 >> WE DO THAT ON A REGULAR 3901 02:11:25,480 --> 02:11:25,800 BASIS. 3902 02:11:25,800 --> 02:11:29,720 THAT'S A BIG PART OF THE 3903 02:11:29,720 --> 02:11:30,840 NETWORK' FOCUS, IS TEACHING 3904 02:11:30,840 --> 02:11:32,600 PEOPLE HOW TO USE OUR PRODUCT 3905 02:11:32,600 --> 02:11:33,880 AND SERVICES AT NLM, AND OF 3906 02:11:33,880 --> 02:11:36,760 COURSE IN THE LIBRARY COMMUNITY, 3907 02:11:36,760 --> 02:11:39,200 THEY ARE REALLY THE CHAMPIONS OF 3908 02:11:39,200 --> 02:11:40,280 PUTTING TOGETHER GOOD SEARCHES 3909 02:11:40,280 --> 02:11:43,160 AND REALLY LOOKING BEYOND THE 3910 02:11:43,160 --> 02:11:44,520 FOLD IN YOUR SEARCH RESULTS AND 3911 02:11:44,520 --> 02:11:49,040 HOW TO MAXIMIZE THE TOOLS, 3912 02:11:49,040 --> 02:11:50,560 ESPECIALLY THINGS LIKE ADVANCED 3913 02:11:50,560 --> 02:11:51,960 SEARCH AND THOSE MECHANISMS FOR 3914 02:11:51,960 --> 02:11:55,320 REFINING YOUR SEARCH AND 3915 02:11:55,320 --> 02:11:57,000 REALLY HITTING THE KEY TARGETED 3916 02:11:57,000 --> 02:11:58,520 RESULTS. 3917 02:11:58,520 --> 02:12:00,960 >> I THINK -- 3918 02:12:00,960 --> 02:12:02,840 >> I'M SORRY, GO AHEAD, CLEM. 3919 02:12:02,840 --> 02:12:04,840 >> I WAS JUST GOING TO SAY YOU 3920 02:12:04,840 --> 02:12:06,040 MUST HAVE BEEN LISTENING IN ON 3921 02:12:06,040 --> 02:12:07,240 OUR CONVERSATION, BECAUSE ONE OF 3922 02:12:07,240 --> 02:12:08,840 THE -- I THINK ONE OF THE THEMES 3923 02:12:08,840 --> 02:12:10,600 PAUL HAD BROUGHT UP AND I THINK 3924 02:12:10,600 --> 02:12:12,480 KRISTI AS WELL WAS THIS NOTION 3925 02:12:12,480 --> 02:12:14,160 THAT INCREASED ATTENTION, EVEN 3926 02:12:14,160 --> 02:12:16,320 IN THE FEDERAL GOVERNMENT TO 3927 02:12:16,320 --> 02:12:16,920 EVIDENCE-BASED DECISION-MAKING 3928 02:12:16,920 --> 02:12:20,720 AND SO FORTH COULD BE CREATING 3929 02:12:20,720 --> 02:12:24,160 OR ACCENT 3930 02:12:24,160 --> 02:12:25,360 AK 16 TWAITING DEMAND FOR 3931 02:12:25,360 --> 02:12:30,440 CERTAIN TYPES OF INFORMATION, 3932 02:12:30,440 --> 02:12:31,800 THERE CAN BE WHOLE OTHER 3933 02:12:31,800 --> 02:12:33,520 PACKAGES OF INFORMATION AROUND 3934 02:12:33,520 --> 02:12:34,520 PARTICULAR FINDINGS, WHETHER 3935 02:12:34,520 --> 02:12:35,880 IT'S THE DATA AND THE PROTOCOLS 3936 02:12:35,880 --> 02:12:37,200 AND OTHERS, THAT WILL HELP 3937 02:12:37,200 --> 02:12:40,720 PEOPLE ASSESS THE RELIABILITY OF 3938 02:12:40,720 --> 02:12:41,960 FINDINGS AND THAT WAS MY BIG 3939 02:12:41,960 --> 02:12:44,280 NOTE AND TAKEAWAY FROM THE 3940 02:12:44,280 --> 02:12:45,160 DISCUSSION, WAS THAT WE MIGHT 3941 02:12:45,160 --> 02:12:47,320 NEED TO THINK ABOUT THOSE KINDS 3942 02:12:47,320 --> 02:12:50,560 OF USES AND USERS IN DIFFERENT 3943 02:12:50,560 --> 02:12:53,320 WAYS THAN WE HAVE IN THE PAST. 3944 02:12:53,320 --> 02:12:54,680 SO WELCOME YOUR IDEAS ABOUT HOW 3945 02:12:54,680 --> 02:12:56,440 TO DO THAT, BUT THAT'S AT 3946 02:12:56,440 --> 02:12:56,680 LEAST -- 3947 02:12:56,680 --> 02:13:00,480 >> I THINK IT'S ANOTHER LEVEL 3948 02:13:00,480 --> 02:13:01,760 BEYOND -- BECAUSE I'VE USED 3949 02:13:01,760 --> 02:13:02,960 ADVANCED SEARCH AND STATED I 3950 02:13:02,960 --> 02:13:04,400 WANT REVIEWS AND THINGS LIKE 3951 02:13:04,400 --> 02:13:05,600 THAT, BUT EVEN IF YOU CLICK THE 3952 02:13:05,600 --> 02:13:07,400 REVIEWS BUTTON, YOU END UP WITH 3953 02:13:07,400 --> 02:13:08,160 STILL THOUSANDS OF THINGS THAT 3954 02:13:08,160 --> 02:13:10,680 COME UP. 3955 02:13:10,680 --> 02:13:11,760 SO THIS MIGHT END UP BEING 3956 02:13:11,760 --> 02:13:12,960 SOMETHING THAT REQUIRES SOME 3957 02:13:12,960 --> 02:13:15,320 ACTUAL MANUAL CURATION OR WAYS 3958 02:13:15,320 --> 02:13:17,400 TO EVEN ALLOW THE COMMUNITY TO, 3959 02:13:17,400 --> 02:13:20,240 I DON'T KNOW, UPVOTE THINGS THAT 3960 02:13:20,240 --> 02:13:26,760 ARE HIGH QUALITY RECENT SORT OF 3961 02:13:26,760 --> 02:13:27,520 BROAD TOPICS. 3962 02:13:27,520 --> 02:13:28,920 I HAVEN'T THOUGHT THROUGH IT, 3963 02:13:28,920 --> 02:13:31,560 BUT SOMETHING THAT'S SORT OF 3964 02:13:31,560 --> 02:13:32,360 ANOTHER LEVEL. 3965 02:13:32,360 --> 02:13:36,560 I SEE CLEM HAS HIS HAND UP. 3966 02:13:36,560 --> 02:13:37,880 DIANE, DID YOU WANT TO RESPOND 3967 02:13:37,880 --> 02:13:38,320 TO THAT? 3968 02:13:38,320 --> 02:13:39,400 >> JUST A QUICK RESPONSE. 3969 02:13:39,400 --> 02:13:40,440 THAT'S THE OTHER THING WITH THE 3970 02:13:40,440 --> 02:13:42,000 BEAUTY OF USING MESH TAGS IN 3971 02:13:42,000 --> 02:13:43,520 YOUR SEARCHING, ESPECIALLY NOW 3972 02:13:43,520 --> 02:13:46,000 THAT WE DON'T HAVE A BIG 3973 02:13:46,000 --> 02:13:47,640 BACKLOG, YOU DON'T HAVE TO AND 3974 02:13:47,640 --> 02:13:49,040 IN ANOTHER WHOLE SUBSET. 3975 02:13:49,040 --> 02:13:52,640 SO WHEN YOU'RE USING THE CONTROL 3976 02:13:52,640 --> 02:13:57,440 VOCABULARY, IT REALLY HELPS TO 3977 02:13:57,440 --> 02:13:59,200 DO A MUCH MORE FOCUSED SEARCH 3978 02:13:59,200 --> 02:14:00,680 AND OF COURSE WITH THE 3979 02:14:00,680 --> 02:14:02,120 SUBHEADINGS, YOU CAN GET ON SOME 3980 02:14:02,120 --> 02:14:03,800 OF THE ATTRIBUTES WITH SOME OF 3981 02:14:03,800 --> 02:14:04,840 THE DIFFERENT MAIN HEADINGS THAT 3982 02:14:04,840 --> 02:14:05,760 YOU'RE LOOKING FOR. 3983 02:14:05,760 --> 02:14:07,760 BUT THAT IS AVAILABLE THROUGH 3984 02:14:07,760 --> 02:14:09,160 OUR OFFICE OF ENGAGEMENT AND 3985 02:14:09,160 --> 02:14:16,880 TRAINING, AND IT IS A HIGHLY 3986 02:14:16,880 --> 02:14:18,200 REQUESTED TRAINING COURSE 3987 02:14:18,200 --> 02:14:23,000 THROUGH THE NETWORK AS WELL. 3988 02:14:23,000 --> 02:14:24,200 WHICH IS OPEN AND AVAILABLE TO 3989 02:14:24,200 --> 02:14:26,640 ANYONE. 3990 02:14:26,640 --> 02:14:28,240 >> THANKS. 3991 02:14:28,240 --> 02:14:28,440 CLEM? 3992 02:14:28,440 --> 02:14:31,840 >> SO THERE IS AN ACTIVE PROCESS 3993 02:14:31,840 --> 02:14:35,640 UNDERWAY, I THINK IT'S IN 3994 02:14:35,640 --> 02:14:38,840 CLINICALTRIALS.GOV, TO USE THE 3995 02:14:38,840 --> 02:14:40,880 FHIR EVIDENCE-BASED STRUCTURE 3996 02:14:40,880 --> 02:14:43,400 FOR SUBMISSIONS, AND I HAVEN'T 3997 02:14:43,400 --> 02:14:45,400 QUITE KEPT UP TO WHERE IT STANDS 3998 02:14:45,400 --> 02:14:48,600 NOW, BUT THIS STRUCTURE IS 3999 02:14:48,600 --> 02:14:50,880 SOMETHING THAT PERMITS OR 4000 02:14:50,880 --> 02:14:52,520 ENABLES THE COMBINING OF DATA 4001 02:14:52,520 --> 02:14:55,520 ACROSS STUDIES FOR ALL THE 4002 02:14:55,520 --> 02:14:56,080 PURPOSES PEOPLE ARE TALKING 4003 02:14:56,080 --> 02:14:56,840 ABOUT. 4004 02:14:56,840 --> 02:14:58,160 I HAVEN'T KEPT UP WITH IT IN THE 4005 02:14:58,160 --> 02:14:59,280 LAST COUPLE MONTHS, BUT THEY 4006 02:14:59,280 --> 02:15:00,400 WERE WORKING ON IT AND I THINK 4007 02:15:00,400 --> 02:15:07,680 IT'S MAKING GOOD PROGRESS. 4008 02:15:07,680 --> 02:15:08,920 >> GREAT. 4009 02:15:08,920 --> 02:15:12,960 THANK YOU. 4010 02:15:12,960 --> 02:15:14,560 >> I'LL BRING UP WITH PAUL JUST 4011 02:15:14,560 --> 02:15:16,360 PUT INTO THE CHAT JUST IN CASE 4012 02:15:16,360 --> 02:15:17,560 AS PART OF WHAT WE TALKED ABOUT 4013 02:15:17,560 --> 02:15:19,000 WAS TO BETTER UNDERSTAND HOW TO 4014 02:15:19,000 --> 02:15:22,400 MANAGE AND PROVIDE ACCESS TO 4015 02:15:22,400 --> 02:15:23,960 DIGITAL OBJECTS BEYOND JUST THE 4016 02:15:23,960 --> 02:15:25,520 LITERATURE TO INCLUDE DATA 4017 02:15:25,520 --> 02:15:26,280 PROTOCOLS, ET CETERA, FOR A 4018 02:15:26,280 --> 02:15:28,040 BROAD RANGE OF EVIDENCE 4019 02:15:28,040 --> 02:15:29,960 SYNTHESIS TASK TO INCLUDE 4020 02:15:29,960 --> 02:15:32,720 SYSTEMATIC REVIEWS, AND ASSIGN 4021 02:15:32,720 --> 02:15:33,360 REPRODUCIBILITY. 4022 02:15:33,360 --> 02:15:39,040 AND ALSO ANTICIPATING THE NEEDS, 4023 02:15:39,040 --> 02:15:40,480 THE LONG-RANGE LL PLANS, SO 4024 02:15:40,480 --> 02:15:44,280 THANKS, PAUL, FOR BRINGING THAT 4025 02:15:44,280 --> 02:15:49,320 UP. 4026 02:15:49,320 --> 02:15:49,960 >> OKAY. 4027 02:15:49,960 --> 02:15:54,000 THAT WAS A GREAT DISCUSSION, AND 4028 02:15:54,000 --> 02:15:55,360 WE ARE RIGHT ON TIME, JUST TWO 4029 02:15:55,360 --> 02:15:55,720 MINUTES OVER. 4030 02:15:55,720 --> 02:15:57,040 SO I THINK WE'RE GOING TO MOVE 4031 02:15:57,040 --> 02:15:59,280 ON TO OUR NEXT TOPIC AND 4032 02:15:59,280 --> 02:16:01,040 SPEAKER. 4033 02:16:01,040 --> 02:16:02,120 SO VALERIE SCHNEIDER IS GOING TO 4034 02:16:02,120 --> 02:16:04,680 GIVE AN UPDATE ON THE 4035 02:16:04,680 --> 02:16:05,360 COMPARATIVE GENOMICS RESOURCE 4036 02:16:05,360 --> 02:16:08,880 AND THE COMMUNITY ENGAGEMENT 4037 02:16:08,880 --> 02:16:09,400 STRATEGY. 4038 02:16:09,400 --> 02:16:09,640 VALERIE. 4039 02:16:09,640 --> 02:16:10,720 >> THANK YOU. 4040 02:16:10,720 --> 02:16:12,200 AND IN FACT, I'D LIKE TO THANK 4041 02:16:12,200 --> 02:16:14,080 THE NLM AND THE BOARD FOR THE 4042 02:16:14,080 --> 02:16:15,720 OPPORTUNITY TO PRESENT THE 4043 02:16:15,720 --> 02:16:17,240 COMMUNITY ENGAGEMENT STRATEGY 4044 02:16:17,240 --> 02:16:19,040 FOR THE COMPARATIVE GENOMICS 4045 02:16:19,040 --> 02:16:21,000 RESOURCE PROJECT TO YOU TODAY. 4046 02:16:21,000 --> 02:16:22,600 AS HEIDI MENTIONED, MY NAME IS 4047 02:16:22,600 --> 02:16:24,600 VALERIE SCHNEIDER, HEAD OF THE C 4048 02:16:24,600 --> 02:16:27,200 PLUS PROGRAM IN THE INFORMATION 4049 02:16:27,200 --> 02:16:29,160 ENGINEERING BRANCH AT NCBI, I'M 4050 02:16:29,160 --> 02:16:30,320 THE LEAD FOR THIS EFFORT. 4051 02:16:30,320 --> 02:16:32,840 I'M GOING TO APOLOGIZE FOR ANY 4052 02:16:32,840 --> 02:16:34,240 IPT 4053 02:16:34,240 --> 02:16:35,760 INTERRUPTIONS BY THIS LINGERING 4054 02:16:35,760 --> 02:16:42,240 COVID COUGH THAT I'VE GOT. 4055 02:16:42,240 --> 02:16:44,520 IN THIS PRESENTATION, I'LL BE 4056 02:16:44,520 --> 02:16:46,120 RE-INTRODUCING YOU TO CGR, 4057 02:16:46,120 --> 02:16:47,200 REVIEWING THE KEY POINTS FOR 4058 02:16:47,200 --> 02:16:48,520 EACH SECTION OF THE ENGAGEMENT 4059 02:16:48,520 --> 02:16:49,520 STRATEGY AND HIGHLIGHTING SOME 4060 02:16:49,520 --> 02:16:51,560 OF OUR ONGOING 4061 02:16:51,560 --> 02:16:52,200 ENGAGEMENT-RELATED ACTIVITIES 4062 02:16:52,200 --> 02:16:53,880 AND SHARING THEIR IMPACTS ON THE 4063 02:16:53,880 --> 02:16:54,320 CGR EFFORT. 4064 02:16:54,320 --> 02:16:55,760 AS I SPEAK TODAY, I INVITE YOU 4065 02:16:55,760 --> 02:16:56,760 TO THINK ABOUT ENGAGEMENT 4066 02:16:56,760 --> 02:16:58,960 OPPORTUNITIES IN YOUR OWN 4067 02:16:58,960 --> 02:17:00,400 COMMUNITIES FOR NCBI TO 4068 02:17:00,400 --> 02:17:03,960 INTRODUCE THIS PROJECT. 4069 02:17:03,960 --> 02:17:05,480 TODAY I'LL BE TALKING ABOUT THE 4070 02:17:05,480 --> 02:17:06,800 ENGAGEMENT STRATEGY FOR A 4071 02:17:06,800 --> 02:17:08,040 PROJECT THAT AIMS TO MAXIMIZE 4072 02:17:08,040 --> 02:17:11,040 THE BIOMEDICAL IMPACT OF 4073 02:17:11,040 --> 02:17:12,120 EUKARYOTIC RESEARCH ORGANISMS 4074 02:17:12,120 --> 02:17:14,280 AND THEIR GENOMIC DATA. 4075 02:17:14,280 --> 02:17:16,800 YOU'RE CARE YOATS ARE ORGANISMS 4076 02:17:16,800 --> 02:17:18,880 COMPRISED OF CELLS THAT HAVE 4077 02:17:18,880 --> 02:17:21,440 NUCLEI, BUT NOT BACTERIA AND 4078 02:17:21,440 --> 02:17:21,680 VIRUSES. 4079 02:17:21,680 --> 02:17:23,760 AND WHEN I TALK ABOUT RESEARCH 4080 02:17:23,760 --> 02:17:25,920 ORGANISMS IN THE CONTEXT OF CGR, 4081 02:17:25,920 --> 02:17:27,200 I'M TALKING ABOUT THE BROAD 4082 02:17:27,200 --> 02:17:29,400 COLLECTION OF ALL EUKARYOTES FOR 4083 02:17:29,400 --> 02:17:32,000 WHICH WE HAVE GENOMIC DATA. 4084 02:17:32,000 --> 02:17:35,040 CURRENTLY MORE THAN 9,000 -- 4085 02:17:35,040 --> 02:17:36,880 SORRY -- ASSEMBLE GENOMES FROM 4086 02:17:36,880 --> 02:17:39,520 MORE THAN 9,000 SPECIES IN 4087 02:17:39,520 --> 02:17:40,160 GENBANK. 4088 02:17:40,160 --> 02:17:41,360 THE VALUE OF RESEARCH 4089 02:17:41,360 --> 02:17:46,920 ORGANIZISMS IS REALLY TWOFOLD. 4090 02:17:46,920 --> 02:17:47,680 UNDERSTANDING BIOLOGICAL 4091 02:17:47,680 --> 02:17:48,760 PROCESSES AND HUMAN DISEASE. 4092 02:17:48,760 --> 02:17:50,840 THE POWER OF THESE RESEARCH 4093 02:17:50,840 --> 02:17:51,720 ORGANISMS IS REALIZED TO 4094 02:17:51,720 --> 02:17:54,160 COMPARATIVE ANALYSES TO 4095 02:17:54,160 --> 02:17:55,360 SYSTEMATICALLY EXPLORE THEIR 4096 02:17:55,360 --> 02:17:56,240 BIOLOGICAL RELATIONSHIPS. 4097 02:17:56,240 --> 02:17:58,160 THIS APPROACH HAS BEEN USED TO 4098 02:17:58,160 --> 02:17:59,160 ADVANCE OUR UNDERSTANDING IN 4099 02:17:59,160 --> 02:18:01,120 AREAS AS DIVERSE SUCH AS 4100 02:18:01,120 --> 02:18:03,080 BIOCHEMICAL PATHWAY, ILLUSTRATED 4101 02:18:03,080 --> 02:18:04,200 HERE ON THE TOP RIGHT, CANCER AT 4102 02:18:04,200 --> 02:18:09,400 THE BOTTOM LEFT, HOST PATHOGEN 4103 02:18:09,400 --> 02:18:10,680 INTERACTIONS INCLUDING THE 4104 02:18:10,680 --> 02:18:14,400 SARS-COV-2 VIRUS, ALSO VISION 4105 02:18:14,400 --> 02:18:17,480 STUDIES, FORM COKINETICS AND 4106 02:18:17,480 --> 02:18:18,760 TRANSPLANTATION. 4107 02:18:18,760 --> 02:18:20,080 BUT WHEEL THEY OFFER GREAT 4108 02:18:20,080 --> 02:18:23,440 PROMISE THE CURRENT LANDSCAPE OF 4109 02:18:23,440 --> 02:18:24,600 INDIVIDUALIZED RESOURCES 4110 02:18:24,600 --> 02:18:26,320 PRESENTS INVESTIGATORS WITH 4111 02:18:26,320 --> 02:18:27,520 SEVERAL CHALLENGES. 4112 02:18:27,520 --> 02:18:28,880 THERE'S MULTIPLE DIFFERENT USER 4113 02:18:28,880 --> 02:18:29,720 INTERFACES, THERE'S ONLY A 4114 02:18:29,720 --> 02:18:31,040 LIMITED NUMBER OF ORGANISMS THAT 4115 02:18:31,040 --> 02:18:33,200 HAVE CORRESPONDING ROBUST DATA 4116 02:18:33,200 --> 02:18:34,160 RESOURCES, THE DATA AND THE 4117 02:18:34,160 --> 02:18:35,520 APPLICATIONS THEMSELVES CAN BE 4118 02:18:35,520 --> 02:18:36,800 SILOED AND USERS TYPICALLY HAVE 4119 02:18:36,800 --> 02:18:39,200 TO DOWNLOAD DAY TO APPLY TOOLS 4120 02:18:39,200 --> 02:18:40,720 SO THERE'S REALLY JUST A LIMITED 4121 02:18:40,720 --> 02:18:47,880 SCALABILITY IN THIS APPROACH. 4122 02:18:47,880 --> 02:18:52,000 TO ESTABLISH AN ECOSYSTEM TO 4123 02:18:52,000 --> 02:18:54,280 FACILITATE ANALYSES LOU A SUITE 4124 02:18:54,280 --> 02:18:56,040 OF REPOSITORIES AND KNOWLEDGE 4125 02:18:56,040 --> 02:18:57,480 BASES OFFERING HIGH VALUE DATA, 4126 02:18:57,480 --> 02:18:58,880 TOOLS AND INTERFACES THAT ARE 4127 02:18:58,880 --> 02:18:59,720 COMPATIBLE WITH COMMUNITY 4128 02:18:59,720 --> 02:19:02,960 PROVIDED ORGANISM RESOURCES. 4129 02:19:02,960 --> 02:19:04,600 SO WHILE USERS WILL STILL BE 4130 02:19:04,600 --> 02:19:06,600 ABLE TO ACCESS TOOLS AND 4131 02:19:06,600 --> 02:19:10,640 DATABASES AS THEY ALWAYS HAVE, 4132 02:19:10,640 --> 02:19:12,760 CGR WILL PROVIDE AN ADDITIONAL 4133 02:19:12,760 --> 02:19:21,160 AXIS POINT. 4134 02:19:21,160 --> 02:19:23,280 AS YOU CAN SEE, WITH THE RED 4135 02:19:23,280 --> 02:19:24,640 VERTICAL LINE WE ARE NEARING THE 4136 02:19:24,640 --> 02:19:26,280 COMPLETION OF ITS SECOND YEAR. 4137 02:19:26,280 --> 02:19:27,360 MULTIPLE INITIATIVES ARE 4138 02:19:27,360 --> 02:19:29,080 UNDERWAY TO SUPPORT THE 4139 02:19:29,080 --> 02:19:29,960 STRATEGIC GOAL SHOWN ON THE TOP 4140 02:19:29,960 --> 02:19:31,520 RIGHT HERE, WHICH ARE TO PROMOTE 4141 02:19:31,520 --> 02:19:33,280 HIGH QUALITY DATA SUBMISSION, 4142 02:19:33,280 --> 02:19:36,360 FACILITATE COMPARATIVE 4143 02:19:36,360 --> 02:19:37,800 BIOLOGICAL ANALYSES, ENRICH 4144 02:19:37,800 --> 02:19:39,520 NLM-PELD HELD GENOMIC RELATE 4145 02:19:39,520 --> 02:19:41,480 CONTENT AND SUPPORT WORKFORCE 4146 02:19:41,480 --> 02:19:42,320 DEVELOPMENT. 4147 02:19:42,320 --> 02:19:43,320 WITHIN EACH OF THOSE INITIATIVES 4148 02:19:43,320 --> 02:19:45,520 THERE ARE FREQUENT PRODUCT 4149 02:19:45,520 --> 02:19:48,920 VALLEYS THAT -- 4150 02:19:48,920 --> 02:19:49,880 ILLUSTRATED BY THESE DIAMONDS AT 4151 02:19:49,880 --> 02:19:51,040 THE TOP OF THE IMAGE. 4152 02:19:51,040 --> 02:19:51,600 THIS MEANS THAT THE PUBLIC 4153 02:19:51,600 --> 02:19:53,120 DOESN'T HAVE TO WAIT FOR THE 4154 02:19:53,120 --> 02:19:53,640 OVERALL COMPLETION OF THE 4155 02:19:53,640 --> 02:19:54,760 PROJECT TO START REAPING THE 4156 02:19:54,760 --> 02:20:01,640 BENEFITS OF THE WORK. 4157 02:20:01,640 --> 02:20:04,040 SO WHAT EXACTLY IS THE CGR 4158 02:20:04,040 --> 02:20:08,200 PROJECT PROVIDING? 4159 02:20:08,200 --> 02:20:09,520 NCBI HAS BEEN DEVELOPING NEW AND 4160 02:20:09,520 --> 02:20:11,040 IMPROVED WEB AND PROGRAMMATIC 4161 02:20:11,040 --> 02:20:12,760 INTERFACES THAT FACILITATE THE 4162 02:20:12,760 --> 02:20:14,720 DISCOVERY ANALYSIS AND DELIVERY 4163 02:20:14,720 --> 02:20:16,440 OF EUKARYOTIC GENOME RELATED 4164 02:20:16,440 --> 02:20:19,960 CONTENT AND BY IMPLEMENTING FAIR 4165 02:20:19,960 --> 02:20:21,000 DATA STANDARDS DATA CAN BE 4166 02:20:21,000 --> 02:20:22,800 SEARCHED, BROWSED AND DOWNLOADED 4167 02:20:22,800 --> 02:20:24,400 MORE SEAMLESSLY AND ALSO BETTER 4168 02:20:24,400 --> 02:20:26,680 USED WITH A BETTER RANGE OF 4169 02:20:26,680 --> 02:20:27,800 STANDARD BIOINFORMATICS TOOLS 4170 02:20:27,800 --> 02:20:29,200 AND PLATFORMS IN THE COMMUNITY. 4171 02:20:29,200 --> 02:20:32,680 NEWLY IMPROVED ACCESSIBLE TOOLS 4172 02:20:32,680 --> 02:20:34,280 WILL ALSO PROVIDE THE GENOMICS 4173 02:20:34,280 --> 02:20:36,840 COMMUNITY WITH A CORE FOUNDATION 4174 02:20:36,840 --> 02:20:39,880 OF UNCONTAMINATED AND 4175 02:20:39,880 --> 02:20:41,840 CONSISTENTLY ANNOTATED 4176 02:20:41,840 --> 02:20:43,240 EUKARYOTIC GENOMES. 4177 02:20:43,240 --> 02:20:44,880 IN ADDITION TO THE TOOLS 4178 02:20:44,880 --> 02:20:48,560 PROVIDING HIGH QUALITY GENOMIC 4179 02:20:48,560 --> 02:20:50,640 DATA, IMPROVING AND SIMPLIFYING 4180 02:20:50,640 --> 02:20:51,520 COMPARATIVE ANALYSES. 4181 02:20:51,520 --> 02:20:54,360 A NEW COMPARATIVE GENOME VIEWER 4182 02:20:54,360 --> 02:20:55,560 ALLOWS QUICK COMPARISON AND 4183 02:20:55,560 --> 02:20:57,640 MAKES IT EASIER TO VISUALIZE 4184 02:20:57,640 --> 02:20:59,040 GENOMIC STRUCTURE CHANGES AND A 4185 02:20:59,040 --> 02:21:00,960 NEW DATABASE FOR BLASTS PROVIDES 4186 02:21:00,960 --> 02:21:02,640 REDUCED REDUNDANCY, FASTER 4187 02:21:02,640 --> 02:21:03,680 SEARCHES AND MORE INFORMATIVE 4188 02:21:03,680 --> 02:21:05,520 RESULTS. 4189 02:21:05,520 --> 02:21:11,320 CGR EFFORTS WILL ENHANCE CONTENT 4190 02:21:11,320 --> 02:21:13,040 AND CONNECT NCBI RESOURCES WITH 4191 02:21:13,040 --> 02:21:14,120 COMMUNITY PROVIDED RESOURCES TO 4192 02:21:14,120 --> 02:21:15,920 AMPLIFY THE IMPACT OF THIS DATA. 4193 02:21:15,920 --> 02:21:16,760 WE'RE DOING THIS ALREADY IN 4194 02:21:16,760 --> 02:21:19,440 TERMS OF ENGAGING IN ANNOTATION 4195 02:21:19,440 --> 02:21:20,200 EFFORTS. 4196 02:21:20,200 --> 02:21:21,440 LASTLY I'LL SAY WE ARE 4197 02:21:21,440 --> 02:21:22,920 DEVELOPING CONTENT AND TOOLS TO 4198 02:21:22,920 --> 02:21:24,000 SUPPORT EMERGING BIG DATA 4199 02:21:24,000 --> 02:21:25,200 APPROACHES TO COMPARATIVE 4200 02:21:25,200 --> 02:21:27,200 ANALYSES, AND THIS WILL MEET NEW 4201 02:21:27,200 --> 02:21:29,760 RESEARCH NEEDS AND ANTICIPATED 4202 02:21:29,760 --> 02:21:30,080 DATA GROWTH. 4203 02:21:30,080 --> 02:21:32,000 SO I WOULD INVITE YOU TO CHECK 4204 02:21:32,000 --> 02:21:33,280 OUT THE CGR WEBSITE TO LEARN 4205 02:21:33,280 --> 02:21:34,440 MORE ABOUT THE RESOURCES AND 4206 02:21:34,440 --> 02:21:37,000 TOOLS THAT ARE PART OF THIS 4207 02:21:37,000 --> 02:21:38,160 PROJECT, THE RED BOX HIGHLIGHTS 4208 02:21:38,160 --> 02:21:39,480 HOW YOU CAN FIND SOME OF THE 4209 02:21:39,480 --> 02:21:40,320 THINGS IN THE PUBLIC DOMAIN 4210 02:21:40,320 --> 02:21:44,360 ALREADY. 4211 02:21:44,360 --> 02:21:46,920 I WANT TO BRIEFLY SHARE AN 4212 02:21:46,920 --> 02:21:49,080 OVERVIEW OF CGR OVERSIGHT WITH 4213 02:21:49,080 --> 02:21:50,480 YOU, THE GOVERNANCE STRUCTURE IS 4214 02:21:50,480 --> 02:21:51,160 SHOWN ON THE SLIDE. 4215 02:21:51,160 --> 02:21:52,360 DOWN HERE AT THE BOTTOM, THE 4216 02:21:52,360 --> 02:21:55,240 ROLE OF NCBI IS TO ESTABLISH THE 4217 02:21:55,240 --> 02:21:56,680 STRATEGIC ROAD MAP AND RELEASE 4218 02:21:56,680 --> 02:21:57,560 PLAN, INTEGRATE COMMUNITY 4219 02:21:57,560 --> 02:21:59,280 FEEDBACK AND IMPLEMENT THAT 4220 02:21:59,280 --> 02:22:01,440 PLAN, WHILE WE'RE MONITORING AND 4221 02:22:01,440 --> 02:22:02,320 ESTABLISHING SUCCESS METRICS AND 4222 02:22:02,320 --> 02:22:04,720 TRACKING AND REPORTING OUR 4223 02:22:04,720 --> 02:22:05,400 BUDGET. 4224 02:22:05,400 --> 02:22:07,120 OVER ON THE LEFT, I'LL TALK 4225 02:22:07,120 --> 02:22:08,880 ABOUT THE FIRST OF TWO NIH 4226 02:22:08,880 --> 02:22:12,120 GOVERNING BODIES THAT WE REPORT 4227 02:22:12,120 --> 02:22:12,280 TO. 4228 02:22:12,280 --> 02:22:14,960 THE FIRST IS AN NIH CGR STEERING 4229 02:22:14,960 --> 02:22:15,240 COMMITTEE. 4230 02:22:15,240 --> 02:22:18,640 IT MONITORS THE BUDGET, PROJECT 4231 02:22:18,640 --> 02:22:21,080 PROGRESS AND ENSURES IT REMAINS 4232 02:22:21,080 --> 02:22:23,920 WITHIN ITS APPROVED AND FUNDED 4233 02:22:23,920 --> 02:22:24,560 SCOPE. 4234 02:22:24,560 --> 02:22:27,040 AND AMPLIFY COMMUNICATIONS ABOUT 4235 02:22:27,040 --> 02:22:30,000 CGR VALUE TO NIH STAKEHOLDERS 4236 02:22:30,000 --> 02:22:32,480 FOR NOT JUST CGR BUT ALSO OTHER 4237 02:22:32,480 --> 02:22:34,880 RESEARCH FOR RESEARCH ORGANISMS. 4238 02:22:34,880 --> 02:22:36,280 THE SECOND ON THE RIGHT IS AN 4239 02:22:36,280 --> 02:22:38,800 NLM CGR BOARD OF REGENTS WORKING 4240 02:22:38,800 --> 02:22:40,080 GROUP, CHAIR IS DR. KRISTI 4241 02:22:40,080 --> 02:22:41,280 HOLMES AND WE ARE ASSOCIATED 4242 02:22:41,280 --> 02:22:42,440 WITH THE COLLECTION WORKING 4243 02:22:42,440 --> 02:22:47,640 GROUP CHAIRED BY DIANE BABSKI. 4244 02:22:47,640 --> 02:22:48,720 THE PRIMARY FUNCTION IS TO HELP 4245 02:22:48,720 --> 02:22:49,840 ENGAGE THE SCIENTIFIC COMMUNITY 4246 02:22:49,840 --> 02:22:51,720 AND IN DOING SO HELP NLM SET 4247 02:22:51,720 --> 02:22:52,840 PRIORITIES AND GUIDE THE 4248 02:22:52,840 --> 02:22:55,520 DEVELOPMENT OF A NEW APPROACH TO 4249 02:22:55,520 --> 02:22:57,080 SCIENTIFIC DISCOVERY THROUGH THE 4250 02:22:57,080 --> 02:22:57,960 CGR OUTCOMES. 4251 02:22:57,960 --> 02:23:00,120 AS YOU CAN SEE, THEY PLAY A KEY 4252 02:23:00,120 --> 02:23:02,640 ROLE IN COMMUNITY ENGAGEMENT FOR 4253 02:23:02,640 --> 02:23:10,200 CGR. 4254 02:23:10,200 --> 02:23:14,240 THIS YEAR NCBI ESTABLISHED A 4255 02:23:14,240 --> 02:23:19,480 WORKING RELATIONSHIP WITH NDR. 4256 02:23:19,480 --> 02:23:20,160 WE FELT THIS WAS IMPORTANT 4257 02:23:20,160 --> 02:23:22,600 BECAUSE IT'S NOT ENOUGH FOR NCBI 4258 02:23:22,600 --> 02:23:24,040 TO SIMPLY ANNOUNCE THE OUTPUTS 4259 02:23:24,040 --> 02:23:25,280 OF THE CGR PROJECT TO THE 4260 02:23:25,280 --> 02:23:25,960 PUBLIC. 4261 02:23:25,960 --> 02:23:26,720 RATHER, IN ORDER FOR THIS 4262 02:23:26,720 --> 02:23:28,720 PROJECT TO SUCCEED AND BE WIDELY 4263 02:23:28,720 --> 02:23:29,320 ADOPTED BY THE COMMUNITY, WE 4264 02:23:29,320 --> 02:23:33,280 NEED TO BE ENIMAIJING ENGO 4265 02:23:33,280 --> 02:23:36,400 LEARN ABOUT WHAT RESOURCES IN 4266 02:23:36,400 --> 02:23:37,200 NCBI AND THOSE IN THE BROADER 4267 02:23:37,200 --> 02:23:39,720 COMMUNITY WORK AND DON'T WORK 4268 02:23:39,720 --> 02:23:41,400 FOR GENOMICS IN THEIR RESEARCH, 4269 02:23:41,400 --> 02:23:42,840 TRAINING AND EDUCATION, AS WELL 4270 02:23:42,840 --> 02:23:44,000 AS FIND OUT HOW WE CAN MAKE 4271 02:23:44,000 --> 02:23:45,400 THINGS BETTER FOR THEM. 4272 02:23:45,400 --> 02:23:48,440 SO THE OUTREACH AND ENGAGEMENT 4273 02:23:48,440 --> 02:23:49,280 ACTIVITIES COMPASS THE FOUR 4274 02:23:49,280 --> 02:23:50,600 AREAS SHOWN ON THE SLIDE. 4275 02:23:50,600 --> 02:23:52,160 IN THE AREA OF COMMUNICATIONS, 4276 02:23:52,160 --> 02:23:53,440 THEY'RE HELPING US DEVELOP 4277 02:23:53,440 --> 02:23:55,080 OUTREACH MATERIALS THAT INSPIRE 4278 02:23:55,080 --> 02:23:56,160 SPECIFIC AUDIENCES TO TAKE 4279 02:23:56,160 --> 02:23:57,920 SPECIFIC ACTIONS, THUS 4280 02:23:57,920 --> 02:23:59,960 GENERATING EXCITEMENT FOR CGR 4281 02:23:59,960 --> 02:24:01,400 AND INCREASING ITS USE. 4282 02:24:01,400 --> 02:24:02,520 THE ENVIRONMENTAL SCAN IS AN 4283 02:24:02,520 --> 02:24:04,560 ACTION TO RESEARCH GENOMICS 4284 02:24:04,560 --> 02:24:05,640 RESOURCES TO UNDERSTAND THE 4285 02:24:05,640 --> 02:24:07,160 ENVIRONMENT THAT CGR IS JOINING 4286 02:24:07,160 --> 02:24:09,240 AND IDENTIFY RESEARCH GAPS THAT 4287 02:24:09,240 --> 02:24:11,320 CGR CAN HELP FILL. 4288 02:24:11,320 --> 02:24:12,720 IN THE AREA OF DATA COLLECTION, 4289 02:24:12,720 --> 02:24:13,800 WE'VE BEEN INTERVIEWING 4290 02:24:13,800 --> 02:24:15,640 STAKEHOLDERS TO UNDERSTAND THEIR 4291 02:24:15,640 --> 02:24:18,200 COMPARATIVE GENOMICS WORKFLOWS 4292 02:24:18,200 --> 02:24:19,920 AND EXISTING NEEDS TO INFORM THE 4293 02:24:19,920 --> 02:24:21,320 CGR DEVELOPMENT AND FURTHER 4294 02:24:21,320 --> 02:24:22,520 CONNECTIONS THAT WE'RE MAKING, 4295 02:24:22,520 --> 02:24:24,080 AND LASTLY, WE'RE CREATING AN 4296 02:24:24,080 --> 02:24:25,280 ENGAGEMENT STRATEGY AND TODAY 4297 02:24:25,280 --> 02:24:31,720 WE'LL BE LOOKING AT THAT 4298 02:24:31,720 --> 02:24:32,360 STRATEGY. 4299 02:24:32,360 --> 02:24:33,920 SO AS DESCRIBED HERE, THE 4300 02:24:33,920 --> 02:24:34,880 COMMUNITY ENGAGEMENT STRATEGY 4301 02:24:34,880 --> 02:24:35,960 PROVIDES A FRAMEWORK FOR 4302 02:24:35,960 --> 02:24:37,520 REACHING OUT AND ACTIVELY 4303 02:24:37,520 --> 02:24:39,240 ENGAGING STAKEHOLDERS TO SPREAD 4304 02:24:39,240 --> 02:24:41,200 AWARENESS OF CGR INVOLVED IN 4305 02:24:41,200 --> 02:24:42,320 THESE CONTRIBUTORS AND PARTNER 4306 02:24:42,320 --> 02:24:43,520 WITH THEM AS ADVOCATES. 4307 02:24:43,520 --> 02:24:45,160 THE FRAMEWORK INCLUDES A NUMBER 4308 02:24:45,160 --> 02:24:46,560 OF THINGS INCLUDING PROPOSED 4309 02:24:46,560 --> 02:24:47,920 ENGAGEMENT METHODS, 4310 02:24:47,920 --> 02:24:49,600 COMMUNICATIONS NEEDED TO SUPPORT 4311 02:24:49,600 --> 02:24:53,040 THEM, AND A MEASUREMENT PLAN TO 4312 02:24:53,040 --> 02:24:54,600 ASSESS STAKEHOLDER ENGAGEMENT 4313 02:24:54,600 --> 02:24:56,240 AND IDENTIFY OPPORTUNITIES TO 4314 02:24:56,240 --> 02:24:57,440 MAXIMIZE THE ENGAGEMENT PLAN'S 4315 02:24:57,440 --> 02:25:01,000 EFFICACY. 4316 02:25:01,000 --> 02:25:02,680 THERE ARE THREE MAIN COMPONENTS 4317 02:25:02,680 --> 02:25:04,000 TO THE ENGAGEMENT STRATEGY 4318 02:25:04,000 --> 02:25:04,280 FRAMEWORK. 4319 02:25:04,280 --> 02:25:05,920 THEY ARE ENGAGEMENT, 4320 02:25:05,920 --> 02:25:07,480 COMMUNICATION AND MEASUREMENT. 4321 02:25:07,480 --> 02:25:09,120 FIRST WELL HAVE THIS HIGH LEVEL 4322 02:25:09,120 --> 02:25:10,760 ENGAGEMENT STRATEGY WHICH IS 4323 02:25:10,760 --> 02:25:12,800 FOCUSED ON REACHING OUT TO THREE 4324 02:25:12,800 --> 02:25:14,040 PRIMARY STAKEHOLDER GROUPS WHICH 4325 02:25:14,040 --> 02:25:14,760 I'LL INTRODUCE SHORTLY. 4326 02:25:14,760 --> 02:25:17,320 AND THIS SECTION ALSO DEFINES AN 4327 02:25:17,320 --> 02:25:19,040 ENGAGEMENT PROCESS THAT RELIES 4328 02:25:19,040 --> 02:25:22,520 ON A FEEDBACK LOOP BY WHICH 4329 02:25:22,520 --> 02:25:25,440 ENGAGEMENTS ARE PLANNED -- 4330 02:25:25,440 --> 02:25:29,560 SECOND WE HAVE A COMMUNICATIONS 4331 02:25:29,560 --> 02:25:30,840 COMPONENT TO EXISTING ISSUES AND 4332 02:25:30,840 --> 02:25:32,480 FINALLY WE HAVE A MEASUREMENT 4333 02:25:32,480 --> 02:25:34,240 COMPONENT THAT ALLOWS THE CGR 4334 02:25:34,240 --> 02:25:35,960 PROJECT TO MEASURE A SUCCESS IN 4335 02:25:35,960 --> 02:25:39,120 AREAS SUCH AS STAKEHOLDER 4336 02:25:39,120 --> 02:25:40,520 ENGAGEMENT, COMMUNICATIONS, AND 4337 02:25:40,520 --> 02:25:41,640 TRAINING IN WORKFORCE 4338 02:25:41,640 --> 02:25:42,360 DEVELOPMENT. 4339 02:25:42,360 --> 02:25:44,240 I'LL POINT OUT THIS COMPONENT 4340 02:25:44,240 --> 02:25:45,280 INCLUDES BOTH PROCESS AND 4341 02:25:45,280 --> 02:25:47,120 OUTCOME MEASURES THAT ALIGN TO 4342 02:25:47,120 --> 02:25:48,880 NEAR TERM AND LONG TERM 4343 02:25:48,880 --> 02:25:51,360 OPPORTUNITIES. 4344 02:25:51,360 --> 02:25:51,520 -- 4345 02:25:51,520 --> 02:25:52,000 ACTIVITIES. 4346 02:25:52,000 --> 02:25:53,760 SO LET'S FIRST TAKE A LOOK AT 4347 02:25:53,760 --> 02:25:55,480 THE ENGAGEMENT SECTION, THEN 4348 02:25:55,480 --> 02:25:57,120 WE'LL COVER THE STAKEHOLDER 4349 02:25:57,120 --> 02:25:58,240 GROUPS, THEIR ROLES AND 4350 02:25:58,240 --> 02:26:00,680 PROCESSES FOR THE ENGAGEMENT 4351 02:26:00,680 --> 02:26:04,200 STRATEGY. 4352 02:26:04,200 --> 02:26:05,960 WE IDENTIFIED THREE HIGH LEVEL 4353 02:26:05,960 --> 02:26:07,480 STAKEHOLDER GROUPS FOR CGR FOR 4354 02:26:07,480 --> 02:26:08,680 THE FOCUS OF THE INITIAL 4355 02:26:08,680 --> 02:26:09,280 STRATEGY. 4356 02:26:09,280 --> 02:26:12,040 AND WHILE ENGAGEMENT WITH ALL 4357 02:26:12,040 --> 02:26:14,720 THREE GROUPS DO OCCUR 4358 02:26:14,720 --> 02:26:15,360 CONCURRENTLY WE'RE VERY MUCH 4359 02:26:15,360 --> 02:26:16,920 TAKING A PHASED APPROACH IN 4360 02:26:16,920 --> 02:26:18,520 WHERE WE'RE APPLYING OUR FOCUS 4361 02:26:18,520 --> 02:26:19,520 TO THE DIFFERENT GROUPS. 4362 02:26:19,520 --> 02:26:21,240 SO FOR EXAMPLE, THE RECENTLY 4363 02:26:21,240 --> 02:26:22,760 COMPLETED FIRST PHASE OF 4364 02:26:22,760 --> 02:26:24,040 ANALYSIS EMPHASIZED DATA 4365 02:26:24,040 --> 02:26:27,240 COLLECTION FROM A GROPE KNOWN AS 4366 02:26:27,240 --> 02:26:29,400 THE CGR CHAMPIONS. 4367 02:26:29,400 --> 02:26:32,680 CHAMPIONS INCLUDE BOARD OF 4368 02:26:32,680 --> 02:26:34,760 REGENTS CGR WORKING GROUP 4369 02:26:34,760 --> 02:26:36,720 MEMBERS, STEERING COMMITTEE 4370 02:26:36,720 --> 02:26:40,440 MEMBERS, NCBI SENIOR LEADERS AND 4371 02:26:40,440 --> 02:26:41,440 PRODUCT TEAM LEADS. 4372 02:26:41,440 --> 02:26:44,800 CHAMPIONS ARE RESPONSIBLE FOR 4373 02:26:44,800 --> 02:26:48,520 CONTRIBUTING TO CGR'S 4374 02:26:48,520 --> 02:26:49,520 DECISION-MAKING AS WELL AS 4375 02:26:49,520 --> 02:26:50,480 IDENTIFYING SUCCESS WITH 4376 02:26:50,480 --> 02:26:51,160 STAKEHOLDER GROUPS. 4377 02:26:51,160 --> 02:26:53,640 THEY PROVIDE PRIMARY ENERGY FOR 4378 02:26:53,640 --> 02:26:55,160 THE GROUP AND DECISIONS MADE TO 4379 02:26:55,160 --> 02:26:57,200 MOVE THIS PROJECT FORWARD. 4380 02:26:57,200 --> 02:26:58,760 PHASE TWO WHICH WE'RE IN TODAY 4381 02:26:58,760 --> 02:27:01,160 FOCUSES ON A GROUP KNOWN AS CGR 4382 02:27:01,160 --> 02:27:02,640 ENABLERS. 4383 02:27:02,640 --> 02:27:04,640 ENABLERS INCLUDE RESEARCH OR 4384 02:27:04,640 --> 02:27:05,440 GOVERNMENT ORGANIZATIONS, 4385 02:27:05,440 --> 02:27:06,200 PROFESSIONAL SOCIETIES AND 4386 02:27:06,200 --> 02:27:09,440 GROUPS THAT ARE LIKELY 4387 02:27:09,440 --> 02:27:11,520 CONTRIBUTORS OF DATA TOOLS OR 4388 02:27:11,520 --> 02:27:11,880 GUIDANCE. 4389 02:27:11,880 --> 02:27:13,200 BOTH THE WORKING GROUP AND 4390 02:27:13,200 --> 02:27:14,480 STEERING COMMITTEE HAVE 4391 02:27:14,480 --> 02:27:15,760 EMPHASIZED THE IMPORTANCE OF 4392 02:27:15,760 --> 02:27:17,200 PROFESSIONAL SOCIETIES IN 4393 02:27:17,200 --> 02:27:19,160 DISSEMINATING INFORMATION AND 4394 02:27:19,160 --> 02:27:20,040 WE'RE SOON REACHING OUT TO 4395 02:27:20,040 --> 02:27:21,000 SEVERAL OF THESE. 4396 02:27:21,000 --> 02:27:22,200 I'LL ALSO POINT OUT THAT 4397 02:27:22,200 --> 02:27:24,320 ENABLERS ARE CONDUITS TO USERS 4398 02:27:24,320 --> 02:27:25,720 BECAUSE THEY PROVIDE ADDITIONAL 4399 02:27:25,720 --> 02:27:27,920 OPPORTUNITIES TO REACH POTENTIAL 4400 02:27:27,920 --> 02:27:30,080 USERS AND CONTRIBUTORS WHILE 4401 02:27:30,080 --> 02:27:31,280 ADDING A LEVEL OF AUTHORITY AND 4402 02:27:31,280 --> 02:27:33,200 TRUST, AND THEIR INSIDER VIEW 4403 02:27:33,200 --> 02:27:36,200 INTO THE LARGER COMPARATIVE 4404 02:27:36,200 --> 02:27:37,120 GENOME COMMUNITY PROVIDES 4405 02:27:37,120 --> 02:27:37,960 CRITICAL OPPORTUNITIES FOR 4406 02:27:37,960 --> 02:27:39,640 CONTINUOUS FEEDBACK THAT HELPS 4407 02:27:39,640 --> 02:27:43,280 CGR RESPOND FLEXIBLY TO THE 4408 02:27:43,280 --> 02:27:44,280 ENVIRONMENT. 4409 02:27:44,280 --> 02:27:45,040 PHASE III WHICH WE'LL BE 4410 02:27:45,040 --> 02:27:46,240 ENTERING TOWARDS THE END OF THIS 4411 02:27:46,240 --> 02:27:48,480 YEAR FOCUSES ON CGR USERS, AND 4412 02:27:48,480 --> 02:27:50,280 THESE ARE STAKEHOLDERS WHO 4413 02:27:50,280 --> 02:27:52,440 ACTIVITY USE CG. 4414 02:27:52,440 --> 02:27:53,720 R AND WE'VE 4415 02:27:53,720 --> 02:27:54,720 DEVELOPED FICTIONAL 4416 02:27:54,720 --> 02:27:56,120 REPRESENTATIONS OF DIFFERENT 4417 02:27:56,120 --> 02:27:58,560 ANTICIPATED USER GROUPS AS 4418 02:27:58,560 --> 02:27:59,120 ILLUSTRATED HERE. 4419 02:27:59,120 --> 02:28:01,600 AND THE PHASE TWO RESEARCH AND 4420 02:28:01,600 --> 02:28:03,480 ENGAGEMENTS WILL DEFINE HOW TO 4421 02:28:03,480 --> 02:28:04,440 EFFECTIVELY TARGET THESE GROUPS 4422 02:28:04,440 --> 02:28:05,880 AND HOW WE CAN BEST ADAPT TO 4423 02:28:05,880 --> 02:28:07,040 THEIR NEEDS. 4424 02:28:07,040 --> 02:28:08,600 I'D NOW LIKE TO SAY A FEW WORDS 4425 02:28:08,600 --> 02:28:11,640 OF WHAT WE'VE SAID SO FAR AND 4426 02:28:11,640 --> 02:28:15,800 HOW WE PROCEED WITH ENGAGEMENT. 4427 02:28:15,800 --> 02:28:17,440 THE RESEARCH FROM PHASE ONE 4428 02:28:17,440 --> 02:28:18,520 IDENTIFIED AREAS ON WHICH TO 4429 02:28:18,520 --> 02:28:20,160 FOCUS AS WE ENTER PHASE TWO TO 4430 02:28:20,160 --> 02:28:21,800 ENSURE THE SUCCESS OF THE 4431 02:28:21,800 --> 02:28:22,080 OUTREACH. 4432 02:28:22,080 --> 02:28:25,520 THESE INCLUDED EMPHASIZING THE 4433 02:28:25,520 --> 02:28:27,200 KEY DISTINGUISHING FEATURES OF 4434 02:28:27,200 --> 02:28:28,600 CGR IN OUR COMMUNICATIONS 4435 02:28:28,600 --> 02:28:29,680 MATERIALS, NAMELY ITS 4436 02:28:29,680 --> 02:28:31,000 COMPARATIVE ASPECT AND THE 4437 02:28:31,000 --> 02:28:31,760 CENTRALIZATION AND 4438 02:28:31,760 --> 02:28:32,960 STANDARDIZATION FEATURES THAT IT 4439 02:28:32,960 --> 02:28:33,520 OFFERS. 4440 02:28:33,520 --> 02:28:36,000 WE ALSO WORK TO CLARIFY WHAT CGR 4441 02:28:36,000 --> 02:28:37,120 IS AND WHAT IT IS NOT BECAUSE AS 4442 02:28:37,120 --> 02:28:38,840 WE ARE IN PHASE TWO, THERE'S A 4443 02:28:38,840 --> 02:28:40,160 DECREASED NEED FOR THESE HIGH 4444 02:28:40,160 --> 02:28:41,600 LEVEL DISCUSSIONS ABOUT IT AND 4445 02:28:41,600 --> 02:28:43,240 AN INCREASED NEED FOR MORE 4446 02:28:43,240 --> 02:28:44,200 CONCRETE SPECIFIC EXAMPLES OF 4447 02:28:44,200 --> 02:28:47,040 HOW IT CAN BE USED. 4448 02:28:47,040 --> 02:28:48,240 ADDITIONALLY WE WORK TO CLARIFY 4449 02:28:48,240 --> 02:28:50,520 IN OUR MESSAGING WHAT USERS CAN 4450 02:28:50,520 --> 02:28:52,080 EXPECT FROM C TB. R IN THE LONG 4451 02:28:52,080 --> 02:28:53,760 TERM WHILE REMAINING FLEXIBLE IN 4452 02:28:53,760 --> 02:28:55,200 THE EXECUTION OF THOSE GOALS SO 4453 02:28:55,200 --> 02:28:56,200 WE CAN REFLECT THE FEEDBACK THAT 4454 02:28:56,200 --> 02:28:59,720 WE HEAR IN WHAT WE DELIVER. 4455 02:28:59,720 --> 02:29:00,480 LASTLY, WE'VE CONTINUED OUR 4456 02:29:00,480 --> 02:29:01,560 RESEARCH INTO THE 4457 02:29:01,560 --> 02:29:02,440 INTEROPERABILITY OF TOOLS AND 4458 02:29:02,440 --> 02:29:04,400 SOFTWARE THAT ARE WIDELY USED IN 4459 02:29:04,400 --> 02:29:05,440 DATA ANALYSIS THAT MAY NOT 4460 02:29:05,440 --> 02:29:06,800 SPECIFICALLY BE USED FOR 4461 02:29:06,800 --> 02:29:08,000 COMPARATIVE GENOMICS RESEARCH TO 4462 02:29:08,000 --> 02:29:08,880 BETTER UNDERSTAND HOW THEY MIGHT 4463 02:29:08,880 --> 02:29:18,160 BE ABLE TO CONTRIBUTE TO CGR. 4464 02:29:18,160 --> 02:29:19,680 THIS CHART DESCRIBES THE 4465 02:29:19,680 --> 02:29:20,600 STAKEHOLDER ENGAGEMENT PROCESS 4466 02:29:20,600 --> 02:29:22,240 WE'RE USING IN PHASE TWO. 4467 02:29:22,240 --> 02:29:23,320 I'M GOING TO BRIEFLY STEP YOU 4468 02:29:23,320 --> 02:29:25,720 THROUGH IT. 4469 02:29:25,720 --> 02:29:27,320 ONICS THE LEFT IN THE FIRST 4470 02:29:27,320 --> 02:29:32,040 STEP, CGR CHAMPIONS INTRODUCED 4471 02:29:32,040 --> 02:29:33,360 CGR TO STAKEHOLDERS. 4472 02:29:33,360 --> 02:29:34,680 THE ARROWS INDICATE THE 4473 02:29:34,680 --> 02:29:36,120 DIFFERENT CATEGORIES OF 4474 02:29:36,120 --> 02:29:37,520 CHAMPIONS WILL FOCUS ON MAKING 4475 02:29:37,520 --> 02:29:38,520 INTRODUCTIONS TO DIFFERENT 4476 02:29:38,520 --> 02:29:41,560 CATEGORIES OF STAKEHOLDERS. 4477 02:29:41,560 --> 02:29:42,880 ONCE INTRODUCTIONS ARE MADE, 4478 02:29:42,880 --> 02:29:45,200 CHAMPIONS ASSESS THE OUTCOMES TO 4479 02:29:45,200 --> 02:29:47,680 IDENTIFY AND INFORM NCBI OF WHAT 4480 02:29:47,680 --> 02:29:49,400 TYPES OF FOLLOW-UP ENGAGEMENTS 4481 02:29:49,400 --> 02:29:50,760 THEY SHOULD PERFORM. 4482 02:29:50,760 --> 02:29:52,360 AND ASSESSMENTS ARE MADE USING 4483 02:29:52,360 --> 02:29:53,560 SIMPLE CHECKLISTS THAT ASK ABOUT 4484 02:29:53,560 --> 02:29:55,560 THE STAKEHOLDER'S RESPONSE TO 4485 02:29:55,560 --> 02:29:56,080 THE INTRODUCTION. 4486 02:29:56,080 --> 02:29:57,640 FOR EXAMPLE, IF A STAKEHOLDER 4487 02:29:57,640 --> 02:29:58,400 INDICATED THAT THEY WERE 4488 02:29:58,400 --> 02:29:59,680 INTERESTED IN PROVIDING FEEDBACK 4489 02:29:59,680 --> 02:30:03,840 ON A CGR CONCEPT, THEN AN 4490 02:30:03,840 --> 02:30:04,760 NCBI-HOSTED LISTENING SITION 4491 02:30:04,760 --> 02:30:07,320 MIGHT BE SESSION 4492 02:30:07,320 --> 02:30:08,320 MIGHT BE IN ORDER. 4493 02:30:08,320 --> 02:30:10,160 THESE FOLLOW-UPS ARE CONDUCTED 4494 02:30:10,160 --> 02:30:11,160 BY NCBI. 4495 02:30:11,160 --> 02:30:13,760 SUBSEQUENT TO A FOLLOW-UP, NCBI 4496 02:30:13,760 --> 02:30:16,400 WILL RE-ASSESS TO DETERMINE IF 4497 02:30:16,400 --> 02:30:19,360 FOLLOW-UPS ARE NECESSARY OR 4498 02:30:19,360 --> 02:30:21,400 ENGAGEMENTS RESULTED IN DESIRED 4499 02:30:21,400 --> 02:30:21,680 OUTCOMES. 4500 02:30:21,680 --> 02:30:24,160 IN THE LATTER CASE, THEY'LL 4501 02:30:24,160 --> 02:30:25,240 RECEIVE ROUTINE OUTREACH DEFINED 4502 02:30:25,240 --> 02:30:26,280 IN THE COMMUNICATIONS PLAN BUT 4503 02:30:26,280 --> 02:30:28,480 IF NOT, ADDITIONAL FOLLOW-UPS 4504 02:30:28,480 --> 02:30:31,480 WILL BE PERFORMED. 4505 02:30:31,480 --> 02:30:32,360 IT'S IMPORTANT TO NOTE HERE THAT 4506 02:30:32,360 --> 02:30:35,520 THIS IS REALLY A BIDIRECTIONAL 4507 02:30:35,520 --> 02:30:40,240 RELATIONSHIP WHERE BOTH PARTIES 4508 02:30:40,240 --> 02:30:42,160 REALIZE VALUE, THE CHAMPIONS 4509 02:30:42,160 --> 02:30:43,280 RECEIVE FEEDBACK FROM 4510 02:30:43,280 --> 02:30:44,720 STAKEHOLDERS TO IMPROVE THE 4511 02:30:44,720 --> 02:30:46,160 ENGAGEMENT STRATEGIES AND THE 4512 02:30:46,160 --> 02:30:46,680 RELATED COMMUNICATIONS. 4513 02:30:46,680 --> 02:30:48,160 SO ALONG THE BOTTOM, YOU'LL SEE 4514 02:30:48,160 --> 02:30:51,280 THAT THERE'S CONSTANT MONITORING 4515 02:30:51,280 --> 02:30:52,480 THROUGH THE PROCESS, AND THIS IS 4516 02:30:52,480 --> 02:30:54,000 TO ENSURE THE STRATEGY, 4517 02:30:54,000 --> 02:30:55,320 MESSAGING AND MATERIALS ARE 4518 02:30:55,320 --> 02:30:58,320 CONSTANTLY ITERATED AND IMPROVED 4519 02:30:58,320 --> 02:30:59,600 AS WE LEARN WHAT WORKS WELL AND 4520 02:30:59,600 --> 02:31:01,080 WHAT NEEDS ADJUSTMENT. 4521 02:31:01,080 --> 02:31:02,760 THE ASSESSMENT ALSO ENSURES 4522 02:31:02,760 --> 02:31:05,840 WE'RE MOVING THROUGH OUR LIST OF 4523 02:31:05,840 --> 02:31:07,800 STAKEHOLDERS AND GETTING 4524 02:31:07,800 --> 02:31:11,520 MEETINGS ON THE CALENDAR. 4525 02:31:11,520 --> 02:31:15,000 NEXT WE'LL TAKE A LOOK AT THE 4526 02:31:15,000 --> 02:31:17,840 WORK TO DEVELOP -- HOW WORK TO 4527 02:31:17,840 --> 02:31:21,560 DEVELOP AND DELIVER CGR 4528 02:31:21,560 --> 02:31:25,160 COMMUNICATIONS WILL PROCEED. 4529 02:31:25,160 --> 02:31:27,120 TO PROMOTE THEIR PRODUCTS AND 4530 02:31:27,120 --> 02:31:30,840 INVOLVE STAKEHOLDERS FLOO. THIS 4531 02:31:30,840 --> 02:31:32,440 SLIDE PROVIDES AN OVERVIEW OF 4532 02:31:32,440 --> 02:31:35,440 THE COMMUNICATIONS AND OUTREACH 4533 02:31:35,440 --> 02:31:36,080 STRATEGIES FOR ENGAGEMENTS 4534 02:31:36,080 --> 02:31:37,400 HAPPENING IN THE NEAR TERM, 4535 02:31:37,400 --> 02:31:38,080 SPECIFICALLY JULY THROUGH THE 4536 02:31:38,080 --> 02:31:40,880 END OF OCTOBER. 4537 02:31:40,880 --> 02:31:42,200 THE TEAM CREATED A LIST OF 4538 02:31:42,200 --> 02:31:44,520 SPECIFIC RECURRING, EVENT-BASED 4539 02:31:44,520 --> 02:31:47,560 AND ENABLER FOCUSED ENGAGEMENTS, 4540 02:31:47,560 --> 02:31:48,440 SOME GENERAL EXAMPLES ARE SHOWN 4541 02:31:48,440 --> 02:31:50,120 ON THE SLIDE WHICH WILL TAKE 4542 02:31:50,120 --> 02:31:51,280 PLACE OVER THE DURATION OF PHASE 4543 02:31:51,280 --> 02:31:53,800 TWO, AND MESSAGING MATERIALS AND 4544 02:31:53,800 --> 02:31:55,560 ACTIVITIES TO SUPPORT THESE 4545 02:31:55,560 --> 02:32:02,680 ENGAGEMENTS HAVE BEEN CREATED. 4546 02:32:02,680 --> 02:32:03,800 ON THE LEFT-HAND SIDE OF THIS 4547 02:32:03,800 --> 02:32:06,160 SLIDE HERE, YOU CAN SEE THAT THE 4548 02:32:06,160 --> 02:32:07,600 KEY MESSAGES BEING USED IN THE 4549 02:32:07,600 --> 02:32:08,280 COMMUNICATION MATERIALS 4550 02:32:08,280 --> 02:32:09,800 EMPHASIZING THE BENEFITS OF CGR 4551 02:32:09,800 --> 02:32:11,600 TO USERS, AND ON THE RIGHT-HAND 4552 02:32:11,600 --> 02:32:12,880 SIDE OF THIS SLIDE, WE SEE SOME 4553 02:32:12,880 --> 02:32:14,080 AREAS IN WHICH WE'RE ACTIVELY 4554 02:32:14,080 --> 02:32:15,560 WORKING TO IMPROVE OUR 4555 02:32:15,560 --> 02:32:16,120 MESSAGING. 4556 02:32:16,120 --> 02:32:17,680 A FEW OF THESE OF NOTE INCLUDE 4557 02:32:17,680 --> 02:32:19,080 THE DEVELOPMENT OF A PUBLIC 4558 02:32:19,080 --> 02:32:22,040 FACING CGR ROAD MAP WHICH WILL 4559 02:32:22,040 --> 02:32:23,920 BE PUBLISHING ON THE CGR WEBSITE 4560 02:32:23,920 --> 02:32:25,560 AND SHARING IN OUR UPCOMING 4561 02:32:25,560 --> 02:32:26,000 PRESENTATIONS. 4562 02:32:26,000 --> 02:32:27,320 WE'RE ALSO AGAIN AS I MENTIONED 4563 02:32:27,320 --> 02:32:29,040 DEVELOPING MESSAGING TARGETED TO 4564 02:32:29,040 --> 02:32:31,880 SPECIFIC STAKEHOLDER GROUPS. 4565 02:32:31,880 --> 02:32:33,320 WORKING TO FURTHER CLARIFY OUR 4566 02:32:33,320 --> 02:32:35,240 INTENTIONS AND OUR MESSAGING FOR 4567 02:32:35,240 --> 02:32:38,680 A FEW AREAS INCLUDING USE OF THE 4568 02:32:38,680 --> 02:32:44,040 CLOUD, AND WORKFLOWS. 4569 02:32:44,040 --> 02:32:45,560 SO THERE ARE VARIOUS 4570 02:32:45,560 --> 02:32:46,200 COMMUNICATION CHANNELS THAT WE 4571 02:32:46,200 --> 02:32:48,280 CAN LEVERAGE TO ENGAGE 4572 02:32:48,280 --> 02:32:49,640 STAKEHOLDERS, AND THEY FALL INTO 4573 02:32:49,640 --> 02:32:50,920 THREE MAIN CATEGORIES AS 4574 02:32:50,920 --> 02:32:53,000 ILLUSTRATED HERE. 4575 02:32:53,000 --> 02:32:54,320 DIRECT CHANNELS ALSO KNOWN AS 4576 02:32:54,320 --> 02:32:56,360 PUSH COMMUNICATIONS ARE USED TO 4577 02:32:56,360 --> 02:32:58,480 DELIVER PROJECT INFORMATION TO 4578 02:32:58,480 --> 02:32:59,240 STAKEHOLDERS THAT'S TIMELY AND 4579 02:32:59,240 --> 02:33:01,440 RELEVANT AND RESONATES WITH 4580 02:33:01,440 --> 02:33:01,840 THEM. 4581 02:33:01,840 --> 02:33:04,280 AND THIS INCLUDES PROMOTING CGR 4582 02:33:04,280 --> 02:33:06,880 THROUGH SUBSCRIBED EMAILS, 4583 02:33:06,880 --> 02:33:08,080 PUBLICATIONS, SOCIAL MEDIA, 4584 02:33:08,080 --> 02:33:09,000 PRODUCT ANNOUNCEMENTS AND 4585 02:33:09,000 --> 02:33:09,840 SURVEYS. 4586 02:33:09,840 --> 02:33:12,480 INDIRECT CHANNELS WHICH ARE ALSO 4587 02:33:12,480 --> 02:33:13,560 CONSIDERED POLL COMMUNICATIONS 4588 02:33:13,560 --> 02:33:14,960 PROVIDE ACCESS TO CGR 4589 02:33:14,960 --> 02:33:16,000 INFORMATION THAT STAKEHOLDERS 4590 02:33:16,000 --> 02:33:17,920 CAN PROACTIVELY RETRIEVE AND 4591 02:33:17,920 --> 02:33:18,680 THIS INCLUDES THEIR EXPERIENCE 4592 02:33:18,680 --> 02:33:20,280 WITH THE NCBI PRODUCTS THAT ARE 4593 02:33:20,280 --> 02:33:23,640 A PART OF CGR, THE CGR WEBSITE 4594 02:33:23,640 --> 02:33:29,000 AND SELF SERVICE PRODUCTS LIKE 4595 02:33:29,000 --> 02:33:36,000 FAQs AND FACT SHEETS. 4596 02:33:36,000 --> 02:33:36,760 INTERACTIVE -- AS WELL AS 4597 02:33:36,760 --> 02:33:39,160 CONFERENCES AND OTHER MEETINGS, 4598 02:33:39,160 --> 02:33:41,200 TRAINING, CODEATHONS, WORKSHOPS 4599 02:33:41,200 --> 02:33:45,440 AS WELL AS THE NCBI HELP DESK. 4600 02:33:45,440 --> 02:33:46,640 ON THIS SLIDE HERE I'M JUST 4601 02:33:46,640 --> 02:33:48,200 GIVING YOU A QUICK GLANCE AT THE 4602 02:33:48,200 --> 02:33:51,280 TYPES OF ENGAGEMENTS THAT NC BSM 4603 02:33:51,280 --> 02:33:52,320 I ALREADY EMBARKED UPON. 4604 02:33:52,320 --> 02:33:56,480 SOME HIGHLIGHTS INCLUDE 4605 02:33:56,480 --> 02:33:57,920 BRIEFINGS OF PRINCIPAL 4606 02:33:57,920 --> 02:33:59,320 INVESTIGATORS AND PROGRAM 4607 02:33:59,320 --> 02:34:00,520 OFFICERS, AND WE WILL CONTINUE 4608 02:34:00,520 --> 02:34:02,280 TO EXPAND IN THIS AREA. 4609 02:34:02,280 --> 02:34:03,920 OUR PARTICIPATION IN AN 4610 02:34:03,920 --> 02:34:05,240 INTERAGENCY COMPARATIVE GENOMICS 4611 02:34:05,240 --> 02:34:06,640 INTEREST GROUP, BLOGS ABOUT THE 4612 02:34:06,640 --> 02:34:08,280 PROJECT AND ITS CONSTITUENT 4613 02:34:08,280 --> 02:34:09,520 TOOLS AND IN JULY, WE LAUNCHED 4614 02:34:09,520 --> 02:34:11,000 AN EMAIL MARKETING CAMPAIGN AND 4615 02:34:11,000 --> 02:34:14,840 ALREADY HAVE MORE THAN 600 4616 02:34:14,840 --> 02:34:15,160 SUBSCRIBERS. 4617 02:34:15,160 --> 02:34:16,400 WE'VE INITIATED CONVERSATIONS 4618 02:34:16,400 --> 02:34:17,960 WITH TECHNOLOGY PLATFORMS LIKE 4619 02:34:17,960 --> 02:34:19,480 CYBER SO WE'VE ENGAGED WITH A 4620 02:34:19,480 --> 02:34:22,560 GROUP KNOWN AS ICASR, THE 4621 02:34:22,560 --> 02:34:25,400 INTERNATIONAL CONSORTIUM TO 4622 02:34:25,400 --> 02:34:28,040 ADVANCE CROSS SPECIES USING 4623 02:34:28,040 --> 02:34:30,440 COMPARATIVE GENOMICS IN 4624 02:34:30,440 --> 02:34:35,040 TOXICOLOGY RESEARCH. 4625 02:34:35,040 --> 02:34:36,880 TWO WELL ESTABLISHED MODEL 4626 02:34:36,880 --> 02:34:38,760 ORGANISM DATABASES BOTH OF WHOM 4627 02:34:38,760 --> 02:34:40,520 WITH WHICH WE'LL NOW BE HAVING 4628 02:34:40,520 --> 02:34:41,480 REGULAR MEETINGS. 4629 02:34:41,480 --> 02:34:44,440 WE'VE BEEN TESTING OUR 4630 02:34:44,440 --> 02:34:45,760 DEVELOPING RESOURCES EXTENSIVELY 4631 02:34:45,760 --> 02:34:47,520 WITH USERS, AND WE HELD OUR 4632 02:34:47,520 --> 02:34:48,840 FIRST ONLINE LISTENING SESSION 4633 02:34:48,840 --> 02:34:50,800 JUST LAST MONTH AND HAVE AN 4634 02:34:50,800 --> 02:34:52,880 ADDITIONAL FOUR SCHEDULED, 4635 02:34:52,880 --> 02:34:54,680 INCLUDING AN UPCOMING IN-PERSON 4636 02:34:54,680 --> 02:34:56,440 ONE AT THE MEETING FOR THE 4637 02:34:56,440 --> 02:34:57,600 AMERICAN SOCIETY OF HUMAN 4638 02:34:57,600 --> 02:34:58,560 GENETICS. 4639 02:34:58,560 --> 02:35:00,240 SO THROUGH ALL THESE ACTIVITIES, 4640 02:35:00,240 --> 02:35:01,880 WE'RE ENGAGING WITH A DIVERSE 4641 02:35:01,880 --> 02:35:03,160 REPRESENTATION OF STAKEHOLDERS 4642 02:35:03,160 --> 02:35:05,120 FROM THE COMPARATIVE GENOMICS 4643 02:35:05,120 --> 02:35:06,560 COMMUNITY, INCLUDING THOSE THAT 4644 02:35:06,560 --> 02:35:08,120 ARE AT THE LEADING EDGE OF 4645 02:35:08,120 --> 02:35:09,640 RESEARCH AND DEVELOPMENT. 4646 02:35:09,640 --> 02:35:11,280 THE CGR WORKING GROUP CHAIR AND 4647 02:35:11,280 --> 02:35:12,600 MEMBERS OF THE WORKING GROUP 4648 02:35:12,600 --> 02:35:15,120 HAVE ALSO BEEN RAISING AWARENESS 4649 02:35:15,120 --> 02:35:16,160 IN THEIR RESPECTIVE COMMUNITIES 4650 02:35:16,160 --> 02:35:18,040 AND ARE NOW POISED DO SO 4651 02:35:18,040 --> 02:35:18,480 EXTENSIVELY. 4652 02:35:18,480 --> 02:35:20,000 SO I'LL JUST SAY IT'S BEEN A 4653 02:35:20,000 --> 02:35:21,640 BUSY START AND WE EXPECT THESE 4654 02:35:21,640 --> 02:35:22,880 NUMBERS WILL GROW SIGNIFICANTLY 4655 02:35:22,880 --> 02:35:28,880 AS WE PROCEED THROUGH PHASE TWO. 4656 02:35:28,880 --> 02:35:30,320 THIS SLIDE PROVIDES A HIGH LEVEL 4657 02:35:30,320 --> 02:35:33,600 OVERVIEW OF OUR UPCOMING CGR 4658 02:35:33,600 --> 02:35:34,040 ENGAGEMENTS. 4659 02:35:34,040 --> 02:35:35,680 WE'RE ALSO TALKING WITH SEVERAL 4660 02:35:35,680 --> 02:35:36,320 INDIVIDUAL USERS HIGHLIGHTED 4661 02:35:36,320 --> 02:35:37,760 HERE IN THIS BLUE BOX THAT 4662 02:35:37,760 --> 02:35:40,720 REPRESENTS A MIX OF COMMUNITY 4663 02:35:40,720 --> 02:35:41,480 DATABASE, PROFESSIONAL SOCIETIES 4664 02:35:41,480 --> 02:35:43,480 AND TECHNICAL PLATFORMS WE'VE 4665 02:35:43,480 --> 02:35:44,560 PRIORITIZED FOR OUR INITIAL 4666 02:35:44,560 --> 02:35:45,560 CONTACTS. 4667 02:35:45,560 --> 02:35:47,160 NCBI HAS RELAITION SHIPS WITH 4668 02:35:47,160 --> 02:35:48,800 SEVERAL OF THESE ALREADY SO THE 4669 02:35:48,800 --> 02:35:50,160 EMPHASIS NOW IS GOING BACK AND 4670 02:35:50,160 --> 02:35:51,640 COMMUNICATING TO THEM ABOUT THE 4671 02:35:51,640 --> 02:35:54,400 CGR PROJECT. 4672 02:35:54,400 --> 02:35:56,680 THE MONTHS HERE ALSO REFLECT 4673 02:35:56,680 --> 02:35:57,440 NUMBER OF THE MEETINGS THAT 4674 02:35:57,440 --> 02:36:05,680 WE'LL BE ATTENDING. 4675 02:36:05,680 --> 02:36:09,400 THESE ARE MOVING AMINOINGFUL TO 4676 02:36:09,400 --> 02:36:10,920 THE CGR PROJECT. 4677 02:36:10,920 --> 02:36:11,920 JUST BRIEFLY LET ME SHARE A 4678 02:36:11,920 --> 02:36:14,560 COUPLE OF EXAMPLES. 4679 02:36:14,560 --> 02:36:17,040 FROM CHAMPIONS SUCH AS THE NLM 4680 02:36:17,040 --> 02:36:18,960 BOARD OF REGENTS CGR WORKING 4681 02:36:18,960 --> 02:36:20,040 GROUP WE'VE LEARNED ABOUT GAPS 4682 02:36:20,040 --> 02:36:22,760 IN OUR MESSAGING AND ITS TONE. 4683 02:36:22,760 --> 02:36:24,000 JUST LAST WEEK IN OUR MEETING 4684 02:36:24,000 --> 02:36:24,880 WITH THE WORKING GROUP WE 4685 02:36:24,880 --> 02:36:26,520 LEARNED BY OVEREMPHASIZING THE 4686 02:36:26,520 --> 02:36:28,600 EMPHASIS ON HUMAN HEALTH OF CGR, 4687 02:36:28,600 --> 02:36:30,880 WE MIGHT BE OFF-PUTTING TO 4688 02:36:30,880 --> 02:36:32,920 RESEARCHERS WHO ARE FOCUSED ON 4689 02:36:32,920 --> 02:36:35,040 BIODIVERSITY AND EVOLUTION AS 4690 02:36:35,040 --> 02:36:37,560 THEY WORK ON VARIOUS EUKARYOTIC 4691 02:36:37,560 --> 02:36:38,160 ORGANISMS. 4692 02:36:38,160 --> 02:36:39,160 AND THAT WOULD BE PROBLEMATIC 4693 02:36:39,160 --> 02:36:42,360 BECAUSE IT MIGHT LIMIT 4694 02:36:42,360 --> 02:36:43,360 SUBSEQUENT ENGAGEMENTS WITH THEM 4695 02:36:43,360 --> 02:36:44,960 AND THE AMPLIFICATION OF THEIR 4696 02:36:44,960 --> 02:36:46,960 DATA, BECAUSE THAT DATA, EVEN IF 4697 02:36:46,960 --> 02:36:48,920 THEIR FOCUS IS BIODIVERSITY OR 4698 02:36:48,920 --> 02:36:50,240 EVOLUTION, THE DATA IS STILL OF 4699 02:36:50,240 --> 02:36:51,600 BENEFIT TO HUMAN HEALTH SO WE 4700 02:36:51,600 --> 02:36:52,560 WANT TO MAKE SURE THAT WE 4701 02:36:52,560 --> 02:36:56,360 CONNECT WITH IT. 4702 02:36:56,360 --> 02:36:58,440 FROM ENABLERS, WE'RE ALSO 4703 02:36:58,440 --> 02:37:00,440 LEARNING ABOUT THE CGR MECHANISM 4704 02:37:00,440 --> 02:37:01,840 OF WHICH CGR WILL BE A PART. 4705 02:37:01,840 --> 02:37:02,760 FOR EXAMPLE BOTH FROM THE 4706 02:37:02,760 --> 02:37:04,840 ALLIANCE OF GENOME RESOURCES 4707 02:37:04,840 --> 02:37:06,680 AND -- THESE WELL ESTABLISHED 4708 02:37:06,680 --> 02:37:08,880 ORGANISM MODEL DATABASES, WE'VE 4709 02:37:08,880 --> 02:37:11,080 IDENTIFIED ONTOLOGIES AND GINO 4710 02:37:11,080 --> 02:37:11,880 MORPHOLOGIES IN TWO AREAS WHERE 4711 02:37:11,880 --> 02:37:13,080 WE CAN PURSUE FURTHER 4712 02:37:13,080 --> 02:37:14,480 CONVERSATIONS WITH ONE ANOTHER. 4713 02:37:14,480 --> 02:37:16,480 WE'VE ALSO IDENTIFIED SPECIFIC 4714 02:37:16,480 --> 02:37:17,880 DATA EXCHANGE AND DEVELOPMENT 4715 02:37:17,880 --> 02:37:21,400 OPPORTUNITIES AND ARE 4716 02:37:21,400 --> 02:37:24,000 COLLABORATING ON IMPROVEMENTS TO 4717 02:37:24,000 --> 02:37:25,880 ANNOTATIONS AND INSECT GENOMES, 4718 02:37:25,880 --> 02:37:28,080 VECTORS OF HUMAN DISEASE AS WELL 4719 02:37:28,080 --> 02:37:29,720 AS RAT. 4720 02:37:29,720 --> 02:37:32,120 AND FROM USER, WE'VE RECEIVED 4721 02:37:32,120 --> 02:37:32,920 IMPORTANT PRODUCT DEVELOPMENT 4722 02:37:32,920 --> 02:37:33,240 FEEDBACK. 4723 02:37:33,240 --> 02:37:34,320 FOR EXAMPLE, WE LEARNED IF WE 4724 02:37:34,320 --> 02:37:37,640 WANTED TO ENSURE ADOPTION OF OUR 4725 02:37:37,640 --> 02:37:38,240 PUBLIC CONTAMINATION SCREENING 4726 02:37:38,240 --> 02:37:41,240 TOOL THAT HELPS ENSURE THAT 4727 02:37:41,240 --> 02:37:42,640 SUBMITTED GENOMES ARE OF HIGH 4728 02:37:42,640 --> 02:37:44,640 QUALITY, WE'D NEED TO MAKE SURE 4729 02:37:44,640 --> 02:37:47,160 IT WAS AVAILABLE IN THE SINK 4730 02:37:47,160 --> 02:37:48,160 LAIRT CONTAINERRIZATION 4731 02:37:48,160 --> 02:37:49,000 FRAMEWORK AS THIS IS THE 4732 02:37:49,000 --> 02:37:49,880 FRAMEWORK THAT MOST OF THE 4733 02:37:49,880 --> 02:37:50,560 COMMUNITY USES. 4734 02:37:50,560 --> 02:37:51,960 SO THESE ARE JUST A FEW 4735 02:37:51,960 --> 02:37:53,600 HIGHLIGHTS ILLUSTRATING HOW THE 4736 02:37:53,600 --> 02:37:54,920 STRUCTURED APPROACH TO 4737 02:37:54,920 --> 02:37:56,120 ENGAGEMENT IS PAYING OFF FOR US 4738 02:37:56,120 --> 02:37:57,480 AS WELL AS ULTIMATELY FOR OUR 4739 02:37:57,480 --> 02:38:04,800 USERS. 4740 02:38:04,800 --> 02:38:06,600 THE TEAM ALSO CREATED A SERIES 4741 02:38:06,600 --> 02:38:07,640 OF COMMUNICATION AND OUTREACH 4742 02:38:07,640 --> 02:38:09,400 RECOMMENDATIONS TO SUPPORT 4743 02:38:09,400 --> 02:38:10,320 STAKEHOLDER ENGAGEMENTS THAT ARE 4744 02:38:10,320 --> 02:38:11,400 GOING TO BE TAKING PLACE FURTHER 4745 02:38:11,400 --> 02:38:12,840 OUT AND THOSE ARE SHOWN ON THIS 4746 02:38:12,840 --> 02:38:14,560 SLIDE HERE BRIEFLY AND INCLUDE 4747 02:38:14,560 --> 02:38:16,120 UPDATING ENGAGEMENT STRATEGY, 4748 02:38:16,120 --> 02:38:18,200 CREATING NEW MESSAGING AND 4749 02:38:18,200 --> 02:38:20,240 COMMUNICATIONS PRODUCTS, WHICH 4750 02:38:20,240 --> 02:38:21,600 MIGHT INCLUDE BUT AREN'T 4751 02:38:21,600 --> 02:38:22,280 NECESSARILY LIMITED TO THE 4752 02:38:22,280 --> 02:38:23,680 DEVELOPMENT OF USER STORIES, 4753 02:38:23,680 --> 02:38:25,320 DEMOS AND TRAINING MATERIALS, 4754 02:38:25,320 --> 02:38:27,040 WORK WILL ALSO FOCUS ON REFINING 4755 02:38:27,040 --> 02:38:28,600 THE OUTREACH PROCESS AND SUPPORT 4756 02:38:28,600 --> 02:38:33,920 FOR CHAMPIONS AND LAST BY TAKING 4757 02:38:33,920 --> 02:38:36,560 ADVANTAGE OF CODEATHONS AND 4758 02:38:36,560 --> 02:38:37,880 DESIGNING WORKSHOPS THAT CAN 4759 02:38:37,880 --> 02:38:39,520 ADDRESS SPECIFIC STAKEHOLDER 4760 02:38:39,520 --> 02:38:45,880 NEEDS OR QUESTIONS. 4761 02:38:45,880 --> 02:38:47,400 SO LASTLY THE MEASUREMENT 4762 02:38:47,400 --> 02:38:48,880 SECTION PROPOSES A SAMPLING OF 4763 02:38:48,880 --> 02:38:50,920 PROCESS AND OUTCOME MEASURES 4764 02:38:50,920 --> 02:38:53,360 THAT NCBI CAN USE TO ASSESS OUR 4765 02:38:53,360 --> 02:38:54,240 PROGRESS TOWARDS MEETING GOALS 4766 02:38:54,240 --> 02:39:01,480 AND OBJECTIVES. 4767 02:39:01,480 --> 02:39:02,240 ENGAGEMENT MEASURES ARE GROUPED 4768 02:39:02,240 --> 02:39:04,000 INTO CATEGORIES OF ENGAGEMENT 4769 02:39:04,000 --> 02:39:04,320 ACTIVITY. 4770 02:39:04,320 --> 02:39:05,880 THESE ACTIVITIES WORK TOGETHER 4771 02:39:05,880 --> 02:39:07,520 TO FULFILL CGR ENGAGEMENT AND 4772 02:39:07,520 --> 02:39:11,560 ACHIEVE THE DESIRED OUTCOMES. 4773 02:39:11,560 --> 02:39:15,200 SO I'LL MOVE ON TO THE NEXT 4774 02:39:15,200 --> 02:39:15,840 SLIDE. 4775 02:39:15,840 --> 02:39:20,120 AS DESCRIBED IN THE PLAN, THE 4776 02:39:20,120 --> 02:39:20,800 ENGAGEMENT CATEGORIES INCLUDE 4777 02:39:20,800 --> 02:39:23,440 BOARD OF REGENTS WORKING GROUP 4778 02:39:23,440 --> 02:39:27,200 ENGAGEMENT AND PROMOTION, AS 4779 02:39:27,200 --> 02:39:29,240 WELL AS TRAINING AND WORKFORCE 4780 02:39:29,240 --> 02:39:29,720 DEVELOPMENT. 4781 02:39:29,720 --> 02:39:31,640 THESE CATEGORIES CAN BE 4782 02:39:31,640 --> 02:39:33,360 EXPANDED, MODIFIED OR REDUCED AT 4783 02:39:33,360 --> 02:39:36,120 ANY TIME TO BETTER SUIT NCBI'S 4784 02:39:36,120 --> 02:39:37,240 MEASUREMENT NEEDS. 4785 02:39:37,240 --> 02:39:39,960 THIS SECTION OF THE PLAN ALSO 4786 02:39:39,960 --> 02:39:41,520 INCLUDES A LISTING OF THE 4787 02:39:41,520 --> 02:39:42,600 ENGAGEMENT SUCCESS MEASURES FOR 4788 02:39:42,600 --> 02:39:43,760 EACH OF THESE CATEGORIES THAT 4789 02:39:43,760 --> 02:39:44,840 THE BOARD OF REGENTS WORKING 4790 02:39:44,840 --> 02:39:48,640 GROUP SHARED AND NCBI WORKED 4791 02:39:48,640 --> 02:39:50,080 TOGETHER TO DEFINE. 4792 02:39:50,080 --> 02:39:51,240 ANYWHERE FROM FIVE TO 15 4793 02:39:51,240 --> 02:39:52,480 MEASURES WERE DEFINED FOR EACH 4794 02:39:52,480 --> 02:39:56,960 CATEGORY. 4795 02:39:56,960 --> 02:39:59,640 THEN MIDR SUPPORTED US BY 4796 02:39:59,640 --> 02:40:00,280 CATEGORIZING THE INDIVIDUAL 4797 02:40:00,280 --> 02:40:01,600 MEASURES IN EACH CATEGORY INTO 4798 02:40:01,600 --> 02:40:03,240 PROCESS AND OUTCOME MEASURES AS 4799 02:40:03,240 --> 02:40:04,480 WELL AS WHETHER THEY ARE NEAR 4800 02:40:04,480 --> 02:40:06,120 TERM OR PERHAPS LONG TERM OR 4801 02:40:06,120 --> 02:40:07,120 EVEN CONTINUOUS. 4802 02:40:07,120 --> 02:40:08,320 AND WE DID THIS BECAUSE IT'S 4803 02:40:08,320 --> 02:40:09,520 IMPORTANT TO HAVE A BALANCE OF 4804 02:40:09,520 --> 02:40:10,520 THESE TYPES OF MEASURES IN ORDER 4805 02:40:10,520 --> 02:40:12,480 TO HAVE A WELL-ROUNDED PICTURE 4806 02:40:12,480 --> 02:40:14,200 OF THE EFFECTIVENESS OF THE 4807 02:40:14,200 --> 02:40:21,440 ENGAGEMENTS. 4808 02:40:21,440 --> 02:40:23,120 WE THEN SURVEYED MEMBERS OF THE 4809 02:40:23,120 --> 02:40:24,640 NIH WORKING GROUP AND CGR 4810 02:40:24,640 --> 02:40:26,040 STEERING COMMITTEE IN ORDER TO 4811 02:40:26,040 --> 02:40:29,040 PRIORITIZE THE MEASURES FOR EACH 4812 02:40:29,040 --> 02:40:29,560 CATEGORY. 4813 02:40:29,560 --> 02:40:31,720 THE SURVEY WAS ORGANIZED BY 4814 02:40:31,720 --> 02:40:32,960 DR. KRISTI HOLMES, OUR CHAIR, IN 4815 02:40:32,960 --> 02:40:38,320 CONJUNCTION WITH THE NCBI AND 4816 02:40:38,320 --> 02:40:40,720 MIDR TEAMS AND CARRIED OUT BY 4817 02:40:40,720 --> 02:40:41,360 THE NATIONAL EVALUATION CENTER. 4818 02:40:41,360 --> 02:40:42,600 I WANT TO POINT OUT THIS 4819 02:40:42,600 --> 02:40:43,720 ACTIVITY WAS REALLY VERY 4820 02:40:43,720 --> 02:40:44,480 IMPORTANT, BECAUSE WHILE IT'S 4821 02:40:44,480 --> 02:40:48,320 POSSIBLE TO MEASURE MANY THINGS, 4822 02:40:48,320 --> 02:40:49,080 IT'S EVEN MORE IMPORTANT TO KNOW 4823 02:40:49,080 --> 02:40:50,760 WHICH OF THOSE MEASURES IS BEST 4824 02:40:50,760 --> 02:40:51,720 ALIGNED WITH THE GOALS OF THE 4825 02:40:51,720 --> 02:40:53,240 STRATEGY AND WILL INDICATE OUR 4826 02:40:53,240 --> 02:41:00,880 PROGRESS IN EFFECTING CHANGE. 4827 02:41:00,880 --> 02:41:03,240 SO FOR EACH OF THE ENGAGEMENT 4828 02:41:03,240 --> 02:41:04,040 CATEGORIES ON THE RIGHT SIDE OF 4829 02:41:04,040 --> 02:41:05,520 THE SLIDE, SURVEY RESPONDENTS 4830 02:41:05,520 --> 02:41:07,480 WERE ASKED TO FOCUS ON THREE 4831 02:41:07,480 --> 02:41:08,920 MAIN CRITERIA AS THEY PRIORITIZE 4832 02:41:08,920 --> 02:41:11,200 THE PROPOSED MEASURES, NAMELY 4833 02:41:11,200 --> 02:41:18,320 HOW WELL DOES THE ENGAGEMENT 4834 02:41:18,320 --> 02:41:20,200 REFLECT -- AND HOW DOES IT I 4835 02:41:20,200 --> 02:41:22,160 INFORM THE DESIRED OUTCOME FOR 4836 02:41:22,160 --> 02:41:26,120 THE CATEGORY. 4837 02:41:26,120 --> 02:41:27,240 THIS SLIDE PROVIDES AN EXAMPLE 4838 02:41:27,240 --> 02:41:29,640 OF THE TYPES OF RESULTS AND 4839 02:41:29,640 --> 02:41:32,040 THOSE IN SPECIFIC THAT WE GOT 4840 02:41:32,040 --> 02:41:33,320 FROM THE ENGAGEMENT AND 4841 02:41:33,320 --> 02:41:34,400 PROMOTION MEASURES CATEGORY. 4842 02:41:34,400 --> 02:41:35,920 THE VARIOUS MEASURES ARE LISTED 4843 02:41:35,920 --> 02:41:37,560 HERE ON THE TABLE LEFT, ORDERED 4844 02:41:37,560 --> 02:41:39,120 IN DECREASING PRIORITY ACCORDING 4845 02:41:39,120 --> 02:41:40,640 TO ALL SURVEY RESPONSES. 4846 02:41:40,640 --> 02:41:42,280 AND ON THE RIGHT, THE GRAPH 4847 02:41:42,280 --> 02:41:44,160 SHOWS THE BREAKDOWN BY 4848 02:41:44,160 --> 02:41:44,560 RESPONDENT ROLE. 4849 02:41:44,560 --> 02:41:46,440 EITHER THE BOARD OF REGENTS 4850 02:41:46,440 --> 02:41:48,320 WORKING GROUP MEMBERS OR THE 4851 02:41:48,320 --> 02:41:48,920 STEERING COMMITTEE. 4852 02:41:48,920 --> 02:41:50,880 AGAIN I'M NOT GOING TO DELVE 4853 02:41:50,880 --> 02:41:52,560 INTO ALL THESE DEA TAILS BUT 4854 02:41:52,560 --> 02:41:53,720 JUST POINT OUT THIS 4855 02:41:53,720 --> 02:41:54,360 STRATIFICATION OF RESULTS IS 4856 02:41:54,360 --> 02:41:55,360 USEFUL INFORMATION BECAUSE WHEN 4857 02:41:55,360 --> 02:41:57,320 WE SEE DIFFERENCES SUCH AS THE 4858 02:41:57,320 --> 02:41:59,000 ONE ILLUSTRATED HERE, IT ALLOWS 4859 02:41:59,000 --> 02:42:00,080 US THE OPPORTUNITY TO GO BACK 4860 02:42:00,080 --> 02:42:01,720 AND TALK TO THESE GROUPS AND 4861 02:42:01,720 --> 02:42:03,280 PROBE FOR INFORMATION THAT MIGHT 4862 02:42:03,280 --> 02:42:05,000 INFORM THE FINAL RANKING. 4863 02:42:05,000 --> 02:42:07,800 SO WE ALSO RECEIVED FEEDBACK 4864 02:42:07,800 --> 02:42:08,800 SUGGESTING SOME OTHER MEASURES 4865 02:42:08,800 --> 02:42:10,560 THAT HAD DO WITH THE IMPACT OF 4866 02:42:10,560 --> 02:42:12,680 THE PROJECT OVERALL AND NOT JUST 4867 02:42:12,680 --> 02:42:14,400 THE SUCCESS OF THE ENGAGEMENT 4868 02:42:14,400 --> 02:42:15,600 ACTIVITIES. 4869 02:42:15,600 --> 02:42:16,600 THEE INCLUDE MEASUREMENTS OF THE 4870 02:42:16,600 --> 02:42:18,600 USE OF CGR TOOLS, SPECIFICALLY 4871 02:42:18,600 --> 02:42:21,240 BY SMALL OR LESS FUNDED 4872 02:42:21,240 --> 02:42:21,960 INSTITUTIONS, LEARNING -- 4873 02:42:21,960 --> 02:42:23,920 MEASURING THE BUZZ IN THE 4874 02:42:23,920 --> 02:42:24,680 COMMUNITY, REQUESTS THAT ARE 4875 02:42:24,680 --> 02:42:29,960 MADE TO CONNECT NIDDK NCBI RS 4876 02:42:29,960 --> 02:42:31,800 AS WELL AS RELATED TOOLS. 4877 02:42:31,800 --> 02:42:32,480 WE'RE TAKING NOTE OF THESE AS 4878 02:42:32,480 --> 02:42:34,400 WELL AS THE CORRESPONDING 4879 02:42:34,400 --> 02:42:36,480 METRICS TO EVALUATE THE OVERALL 4880 02:42:36,480 --> 02:42:37,560 SUCCESS OF THE PROJECT AND WE'LL 4881 02:42:37,560 --> 02:42:38,480 BE CONTINUING TO WORK WITH THE 4882 02:42:38,480 --> 02:42:43,080 WORKING GROUP IN THAT AREA. 4883 02:42:43,080 --> 02:42:44,840 SO HAVING COMPLETED THE SURVEY, 4884 02:42:44,840 --> 02:42:46,400 WE'RE NOW FOCUSED ON THE 4885 02:42:46,400 --> 02:42:47,080 ACTIVITIES LISTED ON THIS SLIDE 4886 02:42:47,080 --> 02:42:48,560 AND I JUST WANT TO WRAP UP MY 4887 02:42:48,560 --> 02:42:51,320 PRESENTATION BY FOCUSING ON 4888 02:42:51,320 --> 02:42:55,520 ADVERSITIES. 4889 02:42:55,520 --> 02:42:56,680 THAT HAS TO DO WITH REFINEMENT 4890 02:42:56,680 --> 02:42:58,160 OF THE MEASURES THAT WE SURVEYED 4891 02:42:58,160 --> 02:43:00,320 INTO SMART MEASURES WITH 4892 02:43:00,320 --> 02:43:01,960 ACHIEVABLE BASELINES AND 4893 02:43:01,960 --> 02:43:02,200 MEASURES. 4894 02:43:02,200 --> 02:43:03,120 ADDITIONALLY, WE WANT TO SELECT 4895 02:43:03,120 --> 02:43:04,600 A FEW CRITICAL ENGAGEMENT 4896 02:43:04,600 --> 02:43:07,160 MEASURES THAT CAN SERVE AS 4897 02:43:07,160 --> 02:43:08,400 INDICATORS OF GENERAL LEVELS AND 4898 02:43:08,400 --> 02:43:12,960 ESTABLISH BASELINES FOR THOSE. 4899 02:43:12,960 --> 02:43:14,480 SO AS PART OF THIS WORK, JUST 4900 02:43:14,480 --> 02:43:15,840 LAST WEEK AT OUR MEETING WITH 4901 02:43:15,840 --> 02:43:17,160 THE CGR WORKING GROUP, WE 4902 02:43:17,160 --> 02:43:18,880 GATHERED THEIR FEEDBACK IN 4903 02:43:18,880 --> 02:43:19,840 SETTING TARGETS FOR THE MEASURES 4904 02:43:19,840 --> 02:43:21,080 IN THE BOARD OF REGENTS WORKING 4905 02:43:21,080 --> 02:43:24,280 GROUP AND ENGAGEMENT PROMOTION 4906 02:43:24,280 --> 02:43:24,720 MEASUREMENT SECTION. 4907 02:43:24,720 --> 02:43:29,000 THOSE MEASURES ARE LISTED HERE. 4908 02:43:29,000 --> 02:43:30,640 DID SCRIBED AS SMART GOALS. 4909 02:43:30,640 --> 02:43:32,840 AND ALSO WE FELT THEIR INPUT IN 4910 02:43:32,840 --> 02:43:34,160 PROVIDING TARGETS FOR THIS 4911 02:43:34,160 --> 02:43:35,720 ENGAGEMENT SECTION WAS EXTREMELY 4912 02:43:35,720 --> 02:43:36,680 CRITICAL AS THESE ARE THE 4913 02:43:36,680 --> 02:43:38,320 MEASURES THAT INVOLVE THE MOST 4914 02:43:38,320 --> 02:43:40,080 WORKING GROUP MEMBER ENGAGEMENT 4915 02:43:40,080 --> 02:43:41,720 AND COMMITMENT AND FOR EACH OF 4916 02:43:41,720 --> 02:43:43,040 THE MEASURES, WE WANTED TO FIND 4917 02:43:43,040 --> 02:43:44,760 THE MOST ACHIEVABLE TARGET THAT 4918 02:43:44,760 --> 02:43:47,800 WILL ENABLE DETERMINATION OF 4919 02:43:47,800 --> 02:43:48,040 SUCCESS. 4920 02:43:48,040 --> 02:43:49,440 THIS WAS VERY ENLIGHTENING FOR 4921 02:43:49,440 --> 02:43:51,600 US AND HELPS US TO UNDERSTAND 4922 02:43:51,600 --> 02:43:53,000 HOW WE CAN USE THE WORKING GROUP 4923 02:43:53,000 --> 02:43:54,080 MOST EFFECTIVELY SO WE'RE 4924 02:43:54,080 --> 02:43:55,880 CONTINUING TO REFINE THESE 4925 02:43:55,880 --> 02:43:57,400 MEASURES FOR THE OTHER 4926 02:43:57,400 --> 02:43:58,080 CATEGORIES AND WE'LL BE 4927 02:43:58,080 --> 02:43:59,120 CONTINUING TO REVIEW THESE WITH 4928 02:43:59,120 --> 02:44:04,960 THE WORKING GROUP. 4929 02:44:04,960 --> 02:44:06,160 SO AS A WIND DOWN THIS 4930 02:44:06,160 --> 02:44:07,160 PRESENTATION, I'LL JUST SAY 4931 02:44:07,160 --> 02:44:08,560 WE'LL BE REALLY GRATEFUL IF 4932 02:44:08,560 --> 02:44:10,160 BOARD OF REGENTS MEMBERS WOULD 4933 02:44:10,160 --> 02:44:12,120 HELP US SPREAD THE WORD ABOUT 4934 02:44:12,120 --> 02:44:13,400 THE CGR PROJECT. 4935 02:44:13,400 --> 02:44:15,280 PLEASE LET YOUR CONNECTIONS 4936 02:44:15,280 --> 02:44:17,480 INVOLVED IN AREAS THAT MAY BE 4937 02:44:17,480 --> 02:44:19,840 RELEVANT KNOW ABOUT AN UPCOMING 4938 02:44:19,840 --> 02:44:20,880 LISTENING SESSION IN WHICH THEY 4939 02:44:20,880 --> 02:44:22,360 CAN PROVIDE FEEDBACK ABOUT THE 4940 02:44:22,360 --> 02:44:23,760 RESOURCES THEY CURRENTLY USE FOR 4941 02:44:23,760 --> 02:44:25,040 COMPARATIVE GENOMICS RESEARCH 4942 02:44:25,040 --> 02:44:26,880 AND AREAS WHERE WE CAN MAKE 4943 02:44:26,880 --> 02:44:27,320 THINGS BETTER. 4944 02:44:27,320 --> 02:44:31,320 YOU CAN ALSO CHECK OUT OUR 4945 02:44:31,320 --> 02:44:32,120 WEBSITE TO LEARN MORE ABOUT 4946 02:44:32,120 --> 02:44:33,320 TOOLS WE'VE ALREADY MADE PUBLIC 4947 02:44:33,320 --> 02:44:34,280 AS WELL AS SIGN UP FOR THE 4948 02:44:34,280 --> 02:44:36,200 MAILING LIST TO STAY ABREAST OF 4949 02:44:36,200 --> 02:44:36,960 NEW DEVELOPMENTS, AND FINALLY, 4950 02:44:36,960 --> 02:44:38,160 IF YOU WOULD LIKE ANY MATERIALS 4951 02:44:38,160 --> 02:44:39,840 TO SUPPORT COMMUNICATIONS ABOUT 4952 02:44:39,840 --> 02:44:41,480 CGR, PLEASE CONTACT US AT THE 4953 02:44:41,480 --> 02:44:47,960 FOLLOWING ADDRESS. 4954 02:44:47,960 --> 02:44:49,200 IN SUMMARY I'D LIKE TO LEAVE YOU 4955 02:44:49,200 --> 02:44:50,480 WITH THE FOLLOWING TAKE-HOME 4956 02:44:50,480 --> 02:44:50,920 POINTS. 4957 02:44:50,920 --> 02:44:52,040 FIRST, WE HAVE A WELL THOUGHT 4958 02:44:52,040 --> 02:44:54,560 OUT STRATEGY TO GUIDE OUR CGR 4959 02:44:54,560 --> 02:44:55,480 ENGAGEMENTS. 4960 02:44:55,480 --> 02:44:57,720 SECOND, THAT OUR ENGAGEMENTS ARE 4961 02:44:57,720 --> 02:44:59,080 UNDERWAY ALREADY IMPACTING THE 4962 02:44:59,080 --> 02:45:01,600 DEVELOPMENT OF THE CGR PROJECT. 4963 02:45:01,600 --> 02:45:02,360 THIRD, WE'RE ESTABLISHING 4964 02:45:02,360 --> 02:45:03,680 MEASURES THAT ALLOW US TO ASSESS 4965 02:45:03,680 --> 02:45:07,520 AND REFINE OUR ENGAGEMENTS AND 4966 02:45:07,520 --> 02:45:09,160 OPTIMIZING THEM WE HAVE THE BEST 4967 02:45:09,160 --> 02:45:10,960 HOPE TO MAKE CGR TRULY USEFUL TO 4968 02:45:10,960 --> 02:45:11,360 THE COMMUNITY. 4969 02:45:11,360 --> 02:45:14,000 AND THIRDLY, THAT THE BOARD OF 4970 02:45:14,000 --> 02:45:15,120 REGENTS CGR WORKING GROUP PLAYS 4971 02:45:15,120 --> 02:45:16,560 A KEY ROLE IN THIS AND WE'RE 4972 02:45:16,560 --> 02:45:17,800 SUPPORTING THEM AND WE ALSO 4973 02:45:17,800 --> 02:45:20,840 WELCOME YOUR PARTICIPATION. 4974 02:45:20,840 --> 02:45:22,480 IN THIS PROCESS, ACTUALLY AS 4975 02:45:22,480 --> 02:45:22,920 ANOTHER CHAMPION. 4976 02:45:22,920 --> 02:45:33,160 SO THANK YOU. 4977 02:45:38,680 --> 02:45:39,800 I'M HAPPY TO TAKE ANY QUESTIONS. 4978 02:45:39,800 --> 02:45:42,120 I KNOW WE HAVE A DISCUSSION. 4979 02:45:42,120 --> 02:45:42,520 >> YES. 4980 02:45:42,520 --> 02:45:44,200 THANK YOU, VALERIE. 4981 02:45:44,200 --> 02:45:45,440 THAT WAS A GREAT PRESENTATION. 4982 02:45:45,440 --> 02:45:48,360 I THINK I'M GOING TO TURN TO 4983 02:45:48,360 --> 02:45:49,720 KRISTI FIRST TO ASK -- I KNOW 4984 02:45:49,720 --> 02:45:51,040 SHE HAS SOME THOUGHTS AND 4985 02:45:51,040 --> 02:45:53,440 QUESTIONS. 4986 02:45:53,440 --> 02:45:53,880 >> SURE. 4987 02:45:53,880 --> 02:45:54,640 THANK YOU. 4988 02:45:54,640 --> 02:45:57,200 SO FIRST OFF, THANK YOU, 4989 02:45:57,200 --> 02:45:58,040 VALERIE, FOR SHARING THE 4990 02:45:58,040 --> 02:45:58,840 PROJECT. 4991 02:45:58,840 --> 02:46:02,800 IT'S AN INCREDIBLE NOT ONLY 4992 02:46:02,800 --> 02:46:03,640 ACCOMPLISHMENT WITH THE 4993 02:46:03,640 --> 02:46:05,000 TECHNICAL AND DATA ASPECTS THAT 4994 02:46:05,000 --> 02:46:08,920 I THINK ALSO REALLY REACHING OUT 4995 02:46:08,920 --> 02:46:10,240 AND PARTNERING WITH THE VARIOUS 4996 02:46:10,240 --> 02:46:11,480 MODEL ORGANISM COMMUNITIES AND 4997 02:46:11,480 --> 02:46:13,440 ALL OF THE OTHER INTERESTED 4998 02:46:13,440 --> 02:46:16,400 STAKEHOLDERS. 4999 02:46:16,400 --> 02:46:17,080 SO ANYWAY, THANK YOU VERY MUCH. 5000 02:46:17,080 --> 02:46:18,240 THIS HAS BEEN A GREAT 5001 02:46:18,240 --> 02:46:18,920 DISCUSSION. 5002 02:46:18,920 --> 02:46:21,360 SO I WOULD LIKE TO, I GUESS, 5003 02:46:21,360 --> 02:46:23,760 START OUR QUESTION SESSION OFF 5004 02:46:23,760 --> 02:46:26,040 WITH AN INITIAL QUESTION, WHICH 5005 02:46:26,040 --> 02:46:28,280 IS, WE'VE TALKED A LOT ABOUT HOW 5006 02:46:28,280 --> 02:46:30,920 WE'RE ENGAGING THE COMMUNITY, 5007 02:46:30,920 --> 02:46:32,240 BUT THERE'S A TREMENDOUS AMOUNT 5008 02:46:32,240 --> 02:46:33,560 OF PLANNING THAT'S REQUIRED FOR 5009 02:46:33,560 --> 02:46:35,760 SUCH AN ARDUOUS PROJECT, AND SO 5010 02:46:35,760 --> 02:46:36,840 I WONDER IF YOU CAN TELL US A 5011 02:46:36,840 --> 02:46:38,280 LITTLE BIT ABOUT HOW YOU BALANCE 5012 02:46:38,280 --> 02:46:41,040 THAT FEEDBACK THAT YOU GET FROM 5013 02:46:41,040 --> 02:46:42,480 THE COMMUNITY WITH WHAT'S ON THE 5014 02:46:42,480 --> 02:46:44,080 ROAD MAP AND HOW YOU CARRY THAT 5015 02:46:44,080 --> 02:46:46,320 WORK FORWARD. 5016 02:46:46,320 --> 02:46:47,000 >> THANKS. 5017 02:46:47,000 --> 02:46:49,280 THAT'S A GREAT QUESTION. 5018 02:46:49,280 --> 02:46:51,240 SO I'LL MENTION THAT WE'RE USING 5019 02:46:51,240 --> 02:46:52,760 A CONTINUOUS ITERATIVE CYCLE FOR 5020 02:46:52,760 --> 02:46:55,640 THE PROJECT, AND AS WELL AS OUR 5021 02:46:55,640 --> 02:46:57,080 ENGAGEMENT SO FOR THOSE WHO ARE 5022 02:46:57,080 --> 02:47:00,360 FAMILIAR WITH THE AGILE PROCESS 5023 02:47:00,360 --> 02:47:02,000 AND DEVELOPMENT METHODS, THAT'S 5024 02:47:02,000 --> 02:47:03,320 WHAT WE'RE APPLYING TO CGR. 5025 02:47:03,320 --> 02:47:05,200 WHAT THIS MEANS IS THAT WE ARE 5026 02:47:05,200 --> 02:47:07,320 DELIVERING IN INCREMENTS 5027 02:47:07,320 --> 02:47:08,200 CONSISTENTLY REVIEWING OUR 5028 02:47:08,200 --> 02:47:10,240 DELIVERIES WITH THE COMMUNITY, 5029 02:47:10,240 --> 02:47:12,080 AND THEN TAKING THAT FEEDBACK. 5030 02:47:12,080 --> 02:47:16,280 SO BECAUSE WE HAVE ENGAGEMENTS 5031 02:47:16,280 --> 02:47:17,720 WITH THE COMMUNITY BUILT IN TO 5032 02:47:17,720 --> 02:47:19,720 OUR PROCESS, IT ALLOWS US TO 5033 02:47:19,720 --> 02:47:22,320 PIVOT MORE QUICKLY ON WHAT WE'RE 5034 02:47:22,320 --> 02:47:24,200 DOING SO WE WILL BUILD SOMETHING 5035 02:47:24,200 --> 02:47:25,640 OUT QUICKLY, GET TO THE 5036 02:47:25,640 --> 02:47:26,880 COMMUNITY AND SAY, HEY, WE HEARD 5037 02:47:26,880 --> 02:47:27,960 FROM YOU EARLY ON THAT THIS IS 5038 02:47:27,960 --> 02:47:29,520 THE TYPE OF RESOURCE OR TOOL 5039 02:47:29,520 --> 02:47:33,960 THAT YOU MIGHT NEED TO WORK IN 5040 02:47:33,960 --> 02:47:35,000 COMPARATIVE GENOMICS. 5041 02:47:35,000 --> 02:47:36,320 A GREAT EXAMPLE IS OUR 5042 02:47:36,320 --> 02:47:37,000 COMPARATIVE GENOME VIEWER. 5043 02:47:37,000 --> 02:47:38,640 WE DID SOME ADDITIONAL RESEARCH 5044 02:47:38,640 --> 02:47:40,520 TO FIND OUT WHAT SORT OF TOOLS 5045 02:47:40,520 --> 02:47:44,680 EXISTED IN THE ENVIRONMENT AND 5046 02:47:44,680 --> 02:47:46,160 WHERE WE MIGHT GO WITH IT SO WE 5047 02:47:46,160 --> 02:47:47,680 BUILT A VIEWER AND GOT IT OUT 5048 02:47:47,680 --> 02:47:48,880 THERE TO THE PUBLIC AND SAID, 5049 02:47:48,880 --> 02:47:50,560 HEY, TELL US A LITTLE BIT MORE 5050 02:47:50,560 --> 02:47:51,480 ABOUT WHAT YOU'VE SEEN. 5051 02:47:51,480 --> 02:47:52,680 SO THAT FEEDBACK SAID WE LOVE 5052 02:47:52,680 --> 02:47:54,200 WHAT WE SEE SO FAR, BUT WE WISH 5053 02:47:54,200 --> 02:47:55,760 WE COULD DO GENE SEARCH IN 5054 02:47:55,760 --> 02:47:56,200 THERE. 5055 02:47:56,200 --> 02:47:57,960 SO WE CAN NOW GO BACK AND START 5056 02:47:57,960 --> 02:47:59,600 ADDING THAT IN AS OPPOSED TO 5057 02:47:59,600 --> 02:48:00,760 HAVING GONE ALL THE WAY DOWN THE 5058 02:48:00,760 --> 02:48:02,480 ROAD AND BUILT A VIEWER THAT 5059 02:48:02,480 --> 02:48:05,000 MAYBE HAD 10,000 BELLS AND 5060 02:48:05,000 --> 02:48:07,680 WHISTLE BUT WAS MISSING GENE 5061 02:48:07,680 --> 02:48:07,920 SEARCH. 5062 02:48:07,920 --> 02:48:09,320 SO I THINK THE APPROACH WE'RE 5063 02:48:09,320 --> 02:48:11,560 TAKING ALLOWS US TO PIVOT 5064 02:48:11,560 --> 02:48:12,840 QUICKLY AND IF WE LEARN 5065 02:48:12,840 --> 02:48:14,280 SOMETHING THAT EARLY RESEARCH 5066 02:48:14,280 --> 02:48:15,840 SUGGESTED WAS VALUE BUT ISN'T 5067 02:48:15,840 --> 02:48:17,240 TURNING OUT TO BE SO, WE CAN 5068 02:48:17,240 --> 02:48:18,400 SHIFT AWAY. 5069 02:48:18,400 --> 02:48:19,520 LOGISTICALLY, I WILL SAY THIS IS 5070 02:48:19,520 --> 02:48:21,480 A BIG CHALLENGE, ESPECIALLY IN 5071 02:48:21,480 --> 02:48:25,720 THE SPACE OF THE ENGAGEMENTS 5072 02:48:25,720 --> 02:48:26,720 THEMSELVES, BECAUSE THE 5073 02:48:26,720 --> 02:48:28,920 COMPARATIVE GENOMICS RESEARCH 5074 02:48:28,920 --> 02:48:30,880 COMMUNITY IS HUGE. 5075 02:48:30,880 --> 02:48:32,960 WE HAD NINE DIFFERENT PERSONAS 5076 02:48:32,960 --> 02:48:33,560 OUT THERE. 5077 02:48:33,560 --> 02:48:35,200 IT GOES EVERYWHERE FROM 5078 02:48:35,200 --> 02:48:36,360 RESEARCHERS TO MEDICAL 5079 02:48:36,360 --> 02:48:37,160 LIBRARIANS TO PHYSICIANS TO 5080 02:48:37,160 --> 02:48:39,960 STUDENTS TO ALL KINDS OF THINGS, 5081 02:48:39,960 --> 02:48:41,240 AND WHILE WE COULD SORT OF VERY 5082 02:48:41,240 --> 02:48:45,880 QUICKLY SEND OUT A BUNCH OF 5083 02:48:45,880 --> 02:48:49,840 COMMUNICATIONS LIKE HEY, NCBI IS 5084 02:48:49,840 --> 02:48:51,280 BUILDING THE CGR, THAT ISN'T 5085 02:48:51,280 --> 02:48:52,360 EFFECTIVE BECAUSE WE DON'T 5086 02:48:52,360 --> 02:48:54,240 TARGET THEM AND IT ALSO IS A 5087 02:48:54,240 --> 02:48:54,800 LOGISTICAL ISSUE BECAUSE THE 5088 02:48:54,800 --> 02:48:56,360 COMMUNITY IS BIGGER THAN WE ARE 5089 02:48:56,360 --> 02:48:56,600 AT NCBI. 5090 02:48:56,600 --> 02:48:58,320 SO IF WE START GETTING LOTS OF 5091 02:48:58,320 --> 02:48:59,640 FEEDBACK ALL AT ONCE, WE MIGHT 5092 02:48:59,640 --> 02:49:01,360 BE PERCEIVED AS NOT BEING 5093 02:49:01,360 --> 02:49:02,480 RESPONSIVE TO THAT FEEDBACK 5094 02:49:02,480 --> 02:49:03,440 BECAUSE WE'RE TRYING TO WORK 5095 02:49:03,440 --> 02:49:03,880 THROUGH IT. 5096 02:49:03,880 --> 02:49:05,560 SO THAT'S WHY THE STRATEGY IS 5097 02:49:05,560 --> 02:49:08,200 REALLY CRITICAL TO HELP US METE 5098 02:49:08,200 --> 02:49:09,960 THAT OUT AND LOGISTICALLY WE'RE 5099 02:49:09,960 --> 02:49:12,040 DOING THINGS BY TRACKING OUR 5100 02:49:12,040 --> 02:49:13,360 WORK, BOTH INTERNAL AT NCBI AND 5101 02:49:13,360 --> 02:49:17,120 AS WELL AS FOR THE WORKING 5102 02:49:17,120 --> 02:49:18,320 GROUP, WE'VE CREATED TRACKER 5103 02:49:18,320 --> 02:49:20,120 THRAS FOLKS CAN REPORT IN THEIR 5104 02:49:20,120 --> 02:49:20,920 ACTIVITIES, WHERE THEY ARE IN 5105 02:49:20,920 --> 02:49:22,640 THE PROCESS, WHAT FOLLOW-UPS ARE 5106 02:49:22,640 --> 02:49:23,120 NEEDED. 5107 02:49:23,120 --> 02:49:24,320 FOR THE WORKING GROUP MEMBER, 5108 02:49:24,320 --> 02:49:25,600 WE'VE ESTABLISHED A TEAMS 5109 02:49:25,600 --> 02:49:26,920 CHANNEL FOR THEM WHERE THEY CAN 5110 02:49:26,920 --> 02:49:28,960 EASILY FIND ACCESS TO THE LATEST 5111 02:49:28,960 --> 02:49:29,880 MATERIALS THAT WE HAVE 5112 02:49:29,880 --> 02:49:33,920 AVAILABLE, SUCH AS TALKING 5113 02:49:33,920 --> 02:49:35,240 POINTS -- DECKS AND ALL OF THAT. 5114 02:49:35,240 --> 02:49:40,640 SO REALLY, IT'S REALLY BY HAVING 5115 02:49:40,640 --> 02:49:41,160 PROCESSES, STANDARDIZED 5116 02:49:41,160 --> 02:49:42,600 OPERATING PROCEDURES SUCH AS 5117 02:49:42,600 --> 02:49:44,960 THAT PROCESS I WALKED YOU 5118 02:49:44,960 --> 02:49:45,800 THROUGH ON THE EARLIER SLIDE 5119 02:49:45,800 --> 02:49:47,000 THAT HELP US MANAGE THIS. 5120 02:49:47,000 --> 02:49:48,640 SO WHILE IT SEEMS LIKE A LOT OF 5121 02:49:48,640 --> 02:49:50,120 WORK UP FRONT AND IT CAN SEEM 5122 02:49:50,120 --> 02:49:52,440 LIKE WHY ALL THIS EFFORT, THE 5123 02:49:52,440 --> 02:49:55,160 BENEFIT OF THIS IS BY HAVING 5124 02:49:55,160 --> 02:49:56,920 THAT STRUCTURE, IT ALLOWS US TO 5125 02:49:56,920 --> 02:49:58,160 BE FOCUSED ON WHO WE'RE TALKING 5126 02:49:58,160 --> 02:49:59,720 TO AND I THINK MOST IMPORTANTLY 5127 02:49:59,720 --> 02:50:01,360 RESPONSIVE TO THOSE GROUPS IN A 5128 02:50:01,360 --> 02:50:02,320 TIMELY FASHION AND IN THE RIGHT 5129 02:50:02,320 --> 02:50:05,240 WAY. 5130 02:50:05,240 --> 02:50:05,640 >> GREAT. 5131 02:50:05,640 --> 02:50:06,880 THANK YOU. 5132 02:50:06,880 --> 02:50:09,440 HEIDI, DID YOU HAVE A QUESTION? 5133 02:50:09,440 --> 02:50:13,360 >> SO ONE THING I ALWAYS FIND 5134 02:50:13,360 --> 02:50:15,400 HELPFUL AND I'VE FORGOTTEN 5135 02:50:15,400 --> 02:50:17,400 EXACTLY HOW THIS FALLS INTO 5136 02:50:17,400 --> 02:50:19,960 PLACE, BUT COMPARING THIS 5137 02:50:19,960 --> 02:50:21,240 PROJECT WITH ANY THAT ARE 5138 02:50:21,240 --> 02:50:23,000 ALREADY IN EXISTENCE IN THE 5139 02:50:23,000 --> 02:50:26,560 COMMUNITY AND SORT OF BALANCING 5140 02:50:26,560 --> 02:50:29,720 TRYING TO ENHANCE OTHER PRODUCTS 5141 02:50:29,720 --> 02:50:32,200 VERSUS BUILD A NEW ONE. 5142 02:50:32,200 --> 02:50:34,480 AND SO JUST -- LIKE FOR 5143 02:50:34,480 --> 02:50:36,800 INSTANCE, FOR ME I'M VERY HUMAN 5144 02:50:36,800 --> 02:50:38,520 CENTRIC IN TERMS OF MY OWN WORK, 5145 02:50:38,520 --> 02:50:41,560 SO I TEND TO GO TO THE UCSC 5146 02:50:41,560 --> 02:50:43,080 BROWSER WHEN I WANT TO SEE 5147 02:50:43,080 --> 02:50:44,160 COMPARATIVE INFORMATION AROUND 5148 02:50:44,160 --> 02:50:47,680 OTHER SPECIES, SO HOW DO YOU 5149 02:50:47,680 --> 02:50:49,720 ENGAGE SOMEONE AND SAY WHAT DO 5150 02:50:49,720 --> 02:50:50,880 YOU LIKE OVER THERE, WHAT WOULD 5151 02:50:50,880 --> 02:50:54,120 YOU LIKE TO SEE HERE, AND HOW 5152 02:50:54,120 --> 02:50:56,000 ARE YOU GOING TO USE ONE VERSUS 5153 02:50:56,000 --> 02:50:56,720 THE OTHER? 5154 02:50:56,720 --> 02:50:59,560 THOSE KINDS OF THINGS. 5155 02:50:59,560 --> 02:51:00,800 AND ALSO THERE WAS A LOT OF -- 5156 02:51:00,800 --> 02:51:02,120 AND I ACTUALLY DON'T KNOW THE 5157 02:51:02,120 --> 02:51:05,960 ANSWER TO THIS QUESTION, BUT 5158 02:51:05,960 --> 02:51:08,480 WORM BASED, FLY BASED, THIS 5159 02:51:08,480 --> 02:51:10,320 OTHER ORGANISM-SPECIFIC 5160 02:51:10,320 --> 02:51:11,320 DATABASES, AND I KNOW THERE'S 5161 02:51:11,320 --> 02:51:13,160 BEEN DECREASED FUNDING OF THOSE 5162 02:51:13,160 --> 02:51:14,920 OVER TIME, WHAT'S THE EVOLUTION 5163 02:51:14,920 --> 02:51:16,600 OF THOSE RESOURCES COMPARED TO 5164 02:51:16,600 --> 02:51:20,320 CGR AND HOW THESE THINGS WILL 5165 02:51:20,320 --> 02:51:20,560 EVOLVE. 5166 02:51:20,560 --> 02:51:23,600 >> THOSE ARE BOTH GREAT 5167 02:51:23,600 --> 02:51:24,240 QUESTIONS. 5168 02:51:24,240 --> 02:51:26,440 I'LL TACKLE THE -- MAYBE THE 5169 02:51:26,440 --> 02:51:29,840 FIRST FROM A LITTLE BIT IN TERMS 5170 02:51:29,840 --> 02:51:31,360 OF UNDERSTANDING WHAT RESOURCES 5171 02:51:31,360 --> 02:51:33,000 PEOPLE USE IN THE COMMUNITY AS 5172 02:51:33,000 --> 02:51:34,840 WELL AS CONNECTING WITH THOSE 5173 02:51:34,840 --> 02:51:39,360 THINGS LIKE THE SU. UCSC BROW. 5174 02:51:39,360 --> 02:51:41,040 THE LISTENING SESSIONS REALLY 5175 02:51:41,040 --> 02:51:44,280 INTENDED TO BE ONE AREA IN WHICH 5176 02:51:44,280 --> 02:51:46,720 WE DO THAT. 5177 02:51:46,720 --> 02:51:47,920 LISTENING SESSIONS, THE NAME MAY 5178 02:51:47,920 --> 02:51:49,040 IMPLY THAT THE COMMUNITY IS 5179 02:51:49,040 --> 02:51:50,320 LISTENING TO US BUT IT'S REALLY 5180 02:51:50,320 --> 02:51:53,280 THE OTHER WAY AROUND. 5181 02:51:53,280 --> 02:51:54,160 THESE ARE SMALL GROUP 5182 02:51:54,160 --> 02:51:55,720 DISCUSSIONS THAT ARE GUIDED BY A 5183 02:51:55,720 --> 02:51:56,760 FEW PRINCIPLES THAT BASICALLY 5184 02:51:56,760 --> 02:51:58,400 ASK WHAT ARE YOU USING? 5185 02:51:58,400 --> 02:51:59,800 WHAT'S WORKING, WHAT'S NOT, HOW 5186 02:51:59,800 --> 02:52:01,120 WOULD YOU LIKE TO SEE THAT WORK 5187 02:52:01,120 --> 02:52:02,880 WITH THINGS THAT YOU DO AT NCBI. 5188 02:52:02,880 --> 02:52:03,920 SO WE'RE LISTENING TO THE 5189 02:52:03,920 --> 02:52:05,360 COMMUNITY IN THAT SPACE AND 5190 02:52:05,360 --> 02:52:07,440 FEEDING THAT BACK IN. 5191 02:52:07,440 --> 02:52:13,160 IN TERMS OF CONNECTING TO OTHER 5192 02:52:13,160 --> 02:52:15,560 RESOURCES, THE UCSC BROWSER IS A 5193 02:52:15,560 --> 02:52:15,880 GREAT EXAMPLE. 5194 02:52:15,880 --> 02:52:18,240 SO THIS IS A GROUP THAT NCBI HAS 5195 02:52:18,240 --> 02:52:20,120 LONG HAD A WORKING RELATIONSHIP 5196 02:52:20,120 --> 02:52:22,840 WITH, THEY CONSUME INFORMATION 5197 02:52:22,840 --> 02:52:28,480 FROM US, AND SO WE'RE NOW REALLY 5198 02:52:28,480 --> 02:52:29,760 POISED TO GO BACK TO THEM AND 5199 02:52:29,760 --> 02:52:31,280 TALK ABOUT HOW DO WE GROW THAT 5200 02:52:31,280 --> 02:52:33,000 RELATIONSHIP IN THE CONTEXT OF 5201 02:52:33,000 --> 02:52:35,600 CGR, FOR EXAMPLE, WE KNOW THAT 5202 02:52:35,600 --> 02:52:37,000 USERS OUT THERE DON'T JUST LOOK 5203 02:52:37,000 --> 02:52:38,280 AT ONE BROWSER, THEY LOOK AT 5204 02:52:38,280 --> 02:52:38,480 MANY. 5205 02:52:38,480 --> 02:52:39,640 THEY LIKE HAVING A DIVERSE 5206 02:52:39,640 --> 02:52:41,160 NUMBER OF RESOURCES BECAUSE 5207 02:52:41,160 --> 02:52:42,120 EVERYONE TELLS THEM SOMETHING A 5208 02:52:42,120 --> 02:52:42,960 LITTLE BIT DIFFERENT IN THAT 5209 02:52:42,960 --> 02:52:43,720 SPIRIT OF SIGN TIIVE 5210 02:52:43,720 --> 02:52:46,880 INVESTIGATION, -- OFC 5211 02:52:46,880 --> 02:52:47,240 INVESTIGATION. 5212 02:52:47,240 --> 02:52:49,040 I WANT TO THINK CRITICALLY ABOUT 5213 02:52:49,040 --> 02:52:50,320 WHAT I'M SEEING AND MAKE 5214 02:52:50,320 --> 02:52:50,600 DECISIONS. 5215 02:52:50,600 --> 02:52:53,520 SO I THINK AS WE PURSUE WITH 5216 02:52:53,520 --> 02:52:54,520 THEM, THEY RECENTLY DEVELOPED 5217 02:52:54,520 --> 02:52:56,400 THE GENOME ARC WHICH PROVIDES 5218 02:52:56,400 --> 02:52:58,520 VIEWERS FOR A NUMBER OF 5219 02:52:58,520 --> 02:53:00,600 RESOURCES, HOW WE MAKE ACCESS TO 5220 02:53:00,600 --> 02:53:01,960 THAT SEAMLESS FROM A USER WHO 5221 02:53:01,960 --> 02:53:03,240 MIGHT BE AT NCBI LOOKING AT THE 5222 02:53:03,240 --> 02:53:04,840 RECORD FOR A PARTICULAR GENOME. 5223 02:53:04,840 --> 02:53:05,920 SO THEY'VE ALREADY REACHED OUT 5224 02:53:05,920 --> 02:53:08,000 TO US ACTUALLY IN THAT SPACE AND 5225 02:53:08,000 --> 02:53:11,120 WE'LL BE FOLLOWING UP WITH THEM. 5226 02:53:11,120 --> 02:53:12,640 WITH REGARD TO THE QUESTION 5227 02:53:12,640 --> 02:53:15,160 ABOUT ALL OF THE OTHER MODEL 5228 02:53:15,160 --> 02:53:18,040 ORGANISM DATABASES OUT THERE, SO 5229 02:53:18,040 --> 02:53:19,600 THE ALLIANCE OF GENOME RESOURCES 5230 02:53:19,600 --> 02:53:21,240 IS AN UMBRELLA ORGANIZATION THAT 5231 02:53:21,240 --> 02:53:22,880 COVERS ABOUT SIX OF THOSE, IT 5232 02:53:22,880 --> 02:53:25,760 COVERS MOUSE, FLY, WORM, YEAST 5233 02:53:25,760 --> 02:53:28,520 AND A FEW OTHERS. 5234 02:53:28,520 --> 02:53:31,240 AND SO VIEW PATH DB IS THE MODEL 5235 02:53:31,240 --> 02:53:35,440 ORGANISM DATABASE THAT COVERS 5236 02:53:35,440 --> 02:53:37,080 INSECTS AND MICROBIAL EUKARYOTES 5237 02:53:37,080 --> 02:53:38,800 THAT ARE ESSENTIALLY VECTORS OF 5238 02:53:38,800 --> 02:53:39,600 HUMAN DISEASE. 5239 02:53:39,600 --> 02:53:41,080 SO BY BEING ENGAGED WITH BOTH OF 5240 02:53:41,080 --> 02:53:43,800 THOSE GROUPS, WE DO HAVE THOSE 5241 02:53:43,800 --> 02:53:44,520 PARTNERS IN THE COMMUNITY TO 5242 02:53:44,520 --> 02:53:46,240 TALK ABOUT WHAT DOES THAT 5243 02:53:46,240 --> 02:53:48,800 LANDSCAPE LOOK LIKE GOING 5244 02:53:48,800 --> 02:53:49,320 FORWARD. 5245 02:53:49,320 --> 02:53:50,360 NIH FUNDS ALL OF THESE THINGS, 5246 02:53:50,360 --> 02:53:51,640 SO THE DECISION ABOUT WHERE ALL 5247 02:53:51,640 --> 02:53:55,760 THIS GOES IS NIH'S, BUT I THINK 5248 02:53:55,760 --> 02:53:57,360 IT'S THROUGH OUR PARTNERSHIP IN 5249 02:53:57,360 --> 02:54:00,520 TALKING TO THEM, LIKE WE NOW 5250 02:54:00,520 --> 02:54:01,160 MEET EVERY OTHER MONTH WITH THE 5251 02:54:01,160 --> 02:54:03,360 ALLIANCE OF GENOME RESOURCES, 5252 02:54:03,360 --> 02:54:05,760 WITH UPAF, THERE ARE SPECIFIC 5253 02:54:05,760 --> 02:54:07,560 DATA EXCHANGE ACTIVITIES WE'RE 5254 02:54:07,560 --> 02:54:09,080 INVOLVED WITH, WE'RE ALSO 5255 02:54:09,080 --> 02:54:10,160 SETTING UP MEETINGS FOR THEM 5256 02:54:10,160 --> 02:54:10,440 REGULARLY. 5257 02:54:10,440 --> 02:54:13,080 WE TALK ABOUT THOSE AREAS WHERE 5258 02:54:13,080 --> 02:54:14,720 NCBI OFFERS THE MOST BENEFIT 5259 02:54:14,720 --> 02:54:18,120 THROO ITS TOOLS AND THEIRS, AND 5260 02:54:18,120 --> 02:54:22,440 IT'S NOT AN I SCRATCH YOUR BACK, 5261 02:54:22,440 --> 02:54:23,800 YOU SCRATCH MINE BUT 5262 02:54:23,800 --> 02:54:24,760 UNDERSTANDING HOW WE CAN EACH I 5263 02:54:24,760 --> 02:54:29,320 THINK SORT OF AMPLIFY THE 5264 02:54:29,320 --> 02:54:30,640 STRENGTHS THAT WE EACH CARRY. 5265 02:54:30,640 --> 02:54:31,760 THAT'S GOING TO BE A BIG PART OF 5266 02:54:31,760 --> 02:54:35,800 THE CONVERSATION GOING FORWARD. 5267 02:54:35,800 --> 02:54:36,880 >> THANKS, VALERIE. 5268 02:54:36,880 --> 02:54:37,880 ANDY. 5269 02:54:37,880 --> 02:54:41,080 >> THANKS A LOT, VALLEY. 5270 02:54:41,080 --> 02:54:41,360 VALERIE. 5271 02:54:41,360 --> 02:54:42,080 THIS IS TERRIFIC. 5272 02:54:42,080 --> 02:54:43,040 I'M A BIG FAN. 5273 02:54:43,040 --> 02:54:44,600 I THINK MODEL ORGANISMS PLAY A 5274 02:54:44,600 --> 02:54:46,200 KEY ROLE AND WILL CONTINUE TO DO 5275 02:54:46,200 --> 02:54:46,680 SO. 5276 02:54:46,680 --> 02:54:48,600 THIS IS A REAL MOVING TARGET AS 5277 02:54:48,600 --> 02:54:55,240 WE GET BETTER AND BETTER QUALITY 5278 02:54:55,240 --> 02:54:57,720 GENOMES, COMING ONLINE ARE JUST 5279 02:54:57,720 --> 02:54:58,800 AMAZING IMPROVEMENT OF THE SORT 5280 02:54:58,800 --> 02:55:00,640 OF QUALITY OF GENOME ASSEMBLIES 5281 02:55:00,640 --> 02:55:02,160 AND EVEN GENE ANNOTATION. 5282 02:55:02,160 --> 02:55:05,760 I'M WONDERING HOW YOU'LL 5283 02:55:05,760 --> 02:55:06,920 REPRESENT THE SORT OF OVERALL 5284 02:55:06,920 --> 02:55:11,400 DATA QUALITY AND AS NEW GENE 5285 02:55:11,400 --> 02:55:12,600 ANNOTATIONS COME ONLINE, IS 5286 02:55:12,600 --> 02:55:13,760 THERE A CONTINUOUS UPDATING? 5287 02:55:13,760 --> 02:55:16,160 HOW IS IT SORT OF KEPT SORT OF 5288 02:55:16,160 --> 02:55:20,360 UP WITH THE LATEST? 5289 02:55:20,360 --> 02:55:23,360 >> THAT'S A GREAT QUESTION AS 5290 02:55:23,360 --> 02:55:23,880 WELL. 5291 02:55:23,880 --> 02:55:26,080 THE RECENT ADVANCES IN 5292 02:55:26,080 --> 02:55:27,960 SEQUENCING AND ASSEMBLY HAVE 5293 02:55:27,960 --> 02:55:30,000 GIVEN US MORE GENOMES THAT ARE 5294 02:55:30,000 --> 02:55:31,040 MORE CONTIGUOUS AND MORE 5295 02:55:31,040 --> 02:55:33,880 COMPLETE THAN EVER, BUT ONE OF 5296 02:55:33,880 --> 02:55:35,000 THE THINGS WE LEARNED BY LOOKING 5297 02:55:35,000 --> 02:55:36,680 AT THE DATA THAT COMES IN TO 5298 02:55:36,680 --> 02:55:39,760 GENBANK IS THAT EVEN AS RECENTLY 5299 02:55:39,760 --> 02:55:42,320 AS 2021, MORE THAN HALF OF THE 5300 02:55:42,320 --> 02:55:44,000 GENOMES GETTING SUBMITTED ARE 5301 02:55:44,000 --> 02:55:45,720 CONTAMINATED WITH FOREIGN -- 5302 02:55:45,720 --> 02:55:47,280 THERE'S A PROCESS THAT RUNS 5303 02:55:47,280 --> 02:55:48,200 INTERNALLY TO DO THIS, BUT IT 5304 02:55:48,200 --> 02:55:49,600 REALLY KIND OF SLOWS DOWN THE 5305 02:55:49,600 --> 02:55:50,720 WHOLE DELIVERY OF THAT DATA TO 5306 02:55:50,720 --> 02:55:51,920 THE PUBLIC BECAUSE WE HAVE TO GO 5307 02:55:51,920 --> 02:55:53,280 BACK TO THE SUBMITTERS AND GET 5308 02:55:53,280 --> 02:55:54,960 CLEANED UP SO ONE OF THE BIG 5309 02:55:54,960 --> 02:55:56,400 THINGS WE'RE DOING AS PART OF 5310 02:55:56,400 --> 02:55:58,280 CGR IS PUTTING CONTAMINATION 5311 02:55:58,280 --> 02:55:59,720 SCREENING TOOLS INTO THE HANDS 5312 02:55:59,720 --> 02:56:01,240 OF THE PUBLIC, WE'VE DEVELOPED 5313 02:56:01,240 --> 02:56:02,840 AN ENTIRELY NEW ONE WITH THE NEW 5314 02:56:02,840 --> 02:56:03,840 ALGORITHM THAT'S NOW AVAILABLE 5315 02:56:03,840 --> 02:56:05,800 ON GITHUB FOR FOLKS TO TRY AND 5316 02:56:05,800 --> 02:56:08,080 WE'VE BEEN PARTNERED WITH GROUPS 5317 02:56:08,080 --> 02:56:10,480 LIKE THE VERTEBRATE GENOME 5318 02:56:10,480 --> 02:56:12,120 PROJECTS AND OTHERS TO TEST THIS 5319 02:56:12,120 --> 02:56:13,440 OUT AND USE IT. 5320 02:56:13,440 --> 02:56:16,200 SO THAT'S ONE OF THE AREAS IN 5321 02:56:16,200 --> 02:56:16,800 WHICH WE'RE HELPING IMPLOF THE 5322 02:56:16,800 --> 02:56:19,280 QUALITY OF IMPROVE TE 5323 02:56:19,280 --> 02:56:20,160 QUALITY OF THE DATA THAT COMES 5324 02:56:20,160 --> 02:56:22,640 IN BUT ONCE IT'S HERE, HOW DO 5325 02:56:22,640 --> 02:56:24,360 USERS KNOW WHAT'S GOOD AND 5326 02:56:24,360 --> 02:56:24,960 WHAT'S NOT. 5327 02:56:24,960 --> 02:56:28,920 WE'VE RECENTLY REDESIGNED OUR 5328 02:56:28,920 --> 02:56:30,280 GENOME RECORD PAGES AND WE SHOW 5329 02:56:30,280 --> 02:56:31,840 THERE SOME OF THE KEY METADATA 5330 02:56:31,840 --> 02:56:34,840 ABOUT THE ASSEMBLIES IN TERMS OF 5331 02:56:34,840 --> 02:56:38,120 CON NEWT, 5332 02:56:38,120 --> 02:56:39,120 CONTINUITY, LENGTH, THINGS LIKE 5333 02:56:39,120 --> 02:56:39,480 THAT. 5334 02:56:39,480 --> 02:56:41,240 YOU CAN ACTUALLY ACCESS THAT NOT 5335 02:56:41,240 --> 02:56:42,480 JUST FOR INDIVIDUAL SPECIES BUT 5336 02:56:42,480 --> 02:56:44,000 YOU CAN SAY I WANT TO EASILY 5337 02:56:44,000 --> 02:56:47,880 ACCESS ALL THE RECORDS FOR 5338 02:56:47,880 --> 02:56:49,640 GENOMES THAT FALL UNDER A 5339 02:56:49,640 --> 02:56:51,720 PARTICULAR GENUS OR HIGHER GROUP 5340 02:56:51,720 --> 02:56:53,840 THAT CAN EASILY NAVIGATE FROM 5341 02:56:53,840 --> 02:56:55,040 ONE TO THE OTHER TO SEE HOW THEY 5342 02:56:55,040 --> 02:56:56,480 COMPARE AND DOWNLOAD ALL OF THAT 5343 02:56:56,480 --> 02:56:58,280 DATA IN A SINGLE DATA PACKAGE 5344 02:56:58,280 --> 02:57:01,000 THAT ALLOWS YOU TO DO THOSE 5345 02:57:01,000 --> 02:57:05,160 COMPARISONS PROGRAMMATICALLY. 5346 02:57:05,160 --> 02:57:06,840 THE OTHER PART OF YOUR QUESTION 5347 02:57:06,840 --> 02:57:10,480 HERE WITH REGARDS TO THE 5348 02:57:10,480 --> 02:57:11,680 ANNOTATIONS, THAT'S AN AREA 5349 02:57:11,680 --> 02:57:13,480 WHICH WE'RE ALSO REALLY -- WE'RE 5350 02:57:13,480 --> 02:57:15,200 DOING WORK INTERNALLY BUT 5351 02:57:15,200 --> 02:57:16,480 WORKING WITH THE COMMUNITY IN 5352 02:57:16,480 --> 02:57:19,120 THE SPACE AS WELL. 5353 02:57:19,120 --> 02:57:23,840 FOR A LONG TIME, , NCBI HAS DONE 5354 02:57:23,840 --> 02:57:25,040 ANNOTATION OF A SUBSET OF 5355 02:57:25,040 --> 02:57:28,960 GENOMES USING A PIPELINE HERE. 5356 02:57:28,960 --> 02:57:30,160 AND MORE THAN HALF OF THE 5357 02:57:30,160 --> 02:57:31,440 ANNOTATIONS WE DO ARE AT THE 5358 02:57:31,440 --> 02:57:32,200 REQUEST OF THE COMMUNITY SO 5359 02:57:32,200 --> 02:57:33,320 WE'RE NOW ACTIVELY WORKING TO 5360 02:57:33,320 --> 02:57:35,000 MAKE THAT A CLOUD-BASED TOOL 5361 02:57:35,000 --> 02:57:35,880 THAT WE CAN PUT INTO THE HANDS 5362 02:57:35,880 --> 02:57:39,200 OF THE PUBLIC SO THAT THEY CAN 5363 02:57:39,200 --> 02:57:39,720 USE. 5364 02:57:39,720 --> 02:57:41,440 BUT MORE THAN THAT, WE'RE ALSO 5365 02:57:41,440 --> 02:57:45,360 LOOKING TO GROW THE TAXONOMIC 5366 02:57:45,360 --> 02:57:46,680 BREADTH THAT'S SUITABLE FOR THAT 5367 02:57:46,680 --> 02:57:49,520 AND WE'RE WORKING -- TO FIGURE 5368 02:57:49,520 --> 02:57:51,000 OUT HOW WELL THAT TOOL MIGHT 5369 02:57:51,000 --> 02:57:54,520 WORK FOR SPECIES SUCH AS FUNGI, 5370 02:57:54,520 --> 02:57:56,720 AND IF THAT'S NOT THE RIGHT TOOL 5371 02:57:56,720 --> 02:57:58,160 WHAT IS BEING USED BY THE 5372 02:57:58,160 --> 02:57:58,440 COMMUNITY. 5373 02:57:58,440 --> 02:58:00,040 SO THIS IS WHERE BEING INVOLVED 5374 02:58:00,040 --> 02:58:04,240 WITH THESE OTHER DATABASES AS 5375 02:58:04,240 --> 02:58:05,440 ENABLERS AND LEARN FROM THEM 5376 02:58:05,440 --> 02:58:06,440 ABOUT WHAT ARE THE THINGS THAT 5377 02:58:06,440 --> 02:58:07,880 WE NEED TO MAKE THIS TOOL WORK 5378 02:58:07,880 --> 02:58:11,000 OR DO YOU HAVE TOOLS THAT ON 5379 02:58:11,000 --> 02:58:12,960 THEIR OWN MIGHT NOT BE SUITABLE 5380 02:58:12,960 --> 02:58:14,040 FOR PRODUCTION LEVEL FOR DEALING 5381 02:58:14,040 --> 02:58:15,760 WITH THOUSANDS OF GENOMES, BUT 5382 02:58:15,760 --> 02:58:20,040 WE COULD LEVERAGE ON THAT SPACE. 5383 02:58:20,040 --> 02:58:22,560 >> ONE OTHER QUESTION I HAVE I 5384 02:58:22,560 --> 02:58:24,480 JUST REMINDED MYSELF ABOUT AND 5385 02:58:24,480 --> 02:58:26,200 THIS MAYBE MAY NOT BE AS 5386 02:58:26,200 --> 02:58:28,160 RELEVANT FOR CGR BUT OTHER 5387 02:58:28,160 --> 02:58:29,520 RESOURCES THAT NCBI SUPPORTS 5388 02:58:29,520 --> 02:58:32,400 WHICH IS HAS NCBI OR NLM APPLIED 5389 02:58:32,400 --> 02:58:34,280 FOR THE GLOBAL CORE BIODATA 5390 02:58:34,280 --> 02:58:36,480 RESOURCE SELECTION PROCESS FOR 5391 02:58:36,480 --> 02:58:39,800 ANY OF ITS RESOURCES? 5392 02:58:39,800 --> 02:58:44,080 >> IS KIM PRUITT ON OR STEVE 5393 02:58:44,080 --> 02:58:44,560 SHERRY ON? 5394 02:58:44,560 --> 02:58:45,320 >> STEVE IS ON. 5395 02:58:45,320 --> 02:58:47,080 >> STEVE, DO YOU WANT TO TAKE 5396 02:58:47,080 --> 02:58:47,360 THIS ONE? 5397 02:58:47,360 --> 02:58:50,360 >> WE'RE AWARE OF IT, HEIDI. 5398 02:58:50,360 --> 02:58:52,160 THERE ARE SOME RESERVATIONS WE 5399 02:58:52,160 --> 02:58:53,480 HAVE ABOUT APPLYING FOR THIS 5400 02:58:53,480 --> 02:58:56,440 BECAUSE OF THE INFORMATION 5401 02:58:56,440 --> 02:58:58,760 THAT'S REQUIRED IN THE 5402 02:58:58,760 --> 02:59:00,480 APPLICATION, IT'S A LOT OF 5403 02:59:00,480 --> 02:59:01,440 DETAILED INFORMATION WE 5404 02:59:01,440 --> 02:59:02,960 TYPICALLY DON'T DISCLOSE AROUND 5405 02:59:02,960 --> 02:59:03,480 OFFERINGS. 5406 02:59:03,480 --> 02:59:06,880 WE HAVE SOME MEETINGS SET UP 5407 02:59:06,880 --> 02:59:11,440 WITH A GUY ABOUT -- THE 5408 02:59:11,440 --> 02:59:12,440 LEADERSHIP ABOUT ACCOMMODATIONS 5409 02:59:12,440 --> 02:59:15,720 FOR OUR DATA RELEASE 5410 02:59:15,720 --> 02:59:18,040 RESTRICTIONS ON COSTS, 5411 02:59:18,040 --> 02:59:23,000 USABILITY, THERE'S A 5412 02:59:23,000 --> 02:59:24,920 LONG-STANDING NLM POLICY AND 5413 02:59:24,920 --> 02:59:26,080 PROCEDURE, PRINCIPLE, THAT WE 5414 02:59:26,080 --> 02:59:28,960 DON'T SHARE GRANULAR USAGE 5415 02:59:28,960 --> 02:59:29,840 INFORMATION AT THE LEVEL THEY 5416 02:59:29,840 --> 02:59:30,920 WERE REQUESTING IT. 5417 02:59:30,920 --> 02:59:36,720 I THINK WE'VE PUT OUR EMPHASIS 5418 02:59:36,720 --> 02:59:38,000 FOR VALUE IN CORE TRUST, WHICH 5419 02:59:38,000 --> 02:59:41,480 IS A DIFFERENT ALTERNATIVE 5420 02:59:41,480 --> 02:59:44,560 REPOSITORY BASED CERTIFICATION 5421 02:59:44,560 --> 02:59:46,920 OF QUALITY AROUND OPERATIONS, 5422 02:59:46,920 --> 02:59:49,000 RELIABILITY, HAVING BEST 5423 02:59:49,000 --> 02:59:51,960 PRACTICES FOR ACCURACY, 5424 02:59:51,960 --> 02:59:53,160 FIDELITY -- EXCUSE ME -- AND IT 5425 02:59:53,160 --> 02:59:55,480 GETS INTO THE SPIRIT MORE OF 5426 02:59:55,480 --> 03:00:00,960 WHAT IS A PROPERLY AND WELL 5427 03:00:00,960 --> 03:00:03,600 TUNED OPERATION IN TERMS OF 5428 03:00:03,600 --> 03:00:06,120 LEADING PRINCIPLES OF 5429 03:00:06,120 --> 03:00:07,200 MANAGEMENT, SCIENTIFIC CURATION 5430 03:00:07,200 --> 03:00:10,120 AND SERVICE, SO I THINK THEY'RE 5431 03:00:10,120 --> 03:00:10,800 COMPLEMENTARY. 5432 03:00:10,800 --> 03:00:12,720 WE'RE STILL OPEN TO, LIKE I 5433 03:00:12,720 --> 03:00:18,120 SAID, THE GLOBAL BIO CORE 5434 03:00:18,120 --> 03:00:20,040 ENTERPRISE, BUT TRYING TO WORK 5435 03:00:20,040 --> 03:00:23,000 OUT WHAT IS THE RIGHT 5436 03:00:23,000 --> 03:00:24,080 RELATIONSHIP, I GUESS I WOULD 5437 03:00:24,080 --> 03:00:25,720 SAY FOR US TO HAVE. 5438 03:00:25,720 --> 03:00:27,040 >> EXCUSE ME, HEIDI AND STEVE, 5439 03:00:27,040 --> 03:00:28,200 I'M GOING TO HAVE TO INTERRUPT 5440 03:00:28,200 --> 03:00:30,480 HERE BECAUSE WE HAVE A BREAK AND 5441 03:00:30,480 --> 03:00:32,920 OUR NEXT SPEAKER IS COMING IN 5442 03:00:32,920 --> 03:00:33,320 ABOUT 13 MINUTES. 5443 03:00:33,320 --> 03:00:34,720 SO THIS IS REALLY AN IMPORTANT 5444 03:00:34,720 --> 03:00:36,160 TOPIC AND IF YOU'D LIKE, WE CAN 5445 03:00:36,160 --> 03:00:38,000 ADD IT IN TO THE AGENDA LATER, 5446 03:00:38,000 --> 03:00:40,280 BUTTS BU IT'S 5447 03:00:40,280 --> 03:00:41,480 BUT IT'S REALLY ONE WE'RE NOT 5448 03:00:41,480 --> 03:00:43,200 PREPARED TO GO INTO MUCH DETAIL 5449 03:00:43,200 --> 03:00:43,400 TODAY. 5450 03:00:43,400 --> 03:00:44,960 >> I THINK THAT WOULD BE GREAT, 5451 03:00:44,960 --> 03:00:46,240 PATTI, AT THE NEXT BOARD 5452 03:00:46,240 --> 03:00:48,160 MEETING, BECAUSE THE CYCLE HAS 5453 03:00:48,160 --> 03:00:49,920 ENDED, IF YOU DIDN'T APPLY, IT 5454 03:00:49,920 --> 03:00:51,160 WON'T BE UNTIL WHO KNOWS WHEN, 5455 03:00:51,160 --> 03:00:53,040 BUT I DO THINK IT'S A REALLY 5456 03:00:53,040 --> 03:00:54,480 IMPORTANT TOPIC, SO IF WE COULD 5457 03:00:54,480 --> 03:00:55,800 PUT THAT ON THE AGENDA. 5458 03:00:55,800 --> 03:00:57,160 >> WE'VE HAD MANY DISCUSSIONS 5459 03:00:57,160 --> 03:00:58,480 ABOUT IT WITH NIH LEADERSHIP AND 5460 03:00:58,480 --> 03:00:59,160 ACROSS THE NLM. 5461 03:00:59,160 --> 03:01:01,440 SO THANKS FOR BRINGING IT UP. 5462 03:01:01,440 --> 03:01:02,200 >> GREAT. 5463 03:01:02,200 --> 03:01:02,640 ALL RIGHT. 5464 03:01:02,640 --> 03:01:04,160 AS PATTI MENTIONED, IT IS TIME 5465 03:01:04,160 --> 03:01:07,320 FOR OUR BREAK, AND SO WE WILL 5466 03:01:07,320 --> 03:01:10,320 RECONVENE AT 2:45 FOR OUR NEXT 5467 03:01:10,320 --> 03:01:11,800 SPEAKER. 5468 03:01:11,800 --> 03:01:12,520 THANKS, EVERYONE. 5469 03:01:12,520 --> 03:01:15,880 >> THANKS, EVERYONE. 5470 03:01:15,880 --> 03:01:17,920 SO I THINK WE'RE GOING TO GET 5471 03:01:17,920 --> 03:01:21,720 STARTED AGAIN. 5472 03:01:21,720 --> 03:01:23,160 IT'S A GREAT PLEASURE TO 5473 03:01:23,160 --> 03:01:25,160 INTRODUCE OUR SPEAKER, DR. NIGAM 5474 03:01:25,160 --> 03:01:27,120 SHAH. 5475 03:01:27,120 --> 03:01:29,960 WHO IS PROFESSOR OF MEDICINE, 5476 03:01:29,960 --> 03:01:31,560 MEDICAL INFORMATICS RESEARCH AND 5477 03:01:31,560 --> 03:01:32,400 STANFORD UNIVERSITY AND SERVES 5478 03:01:32,400 --> 03:01:36,160 AS THE CHIEF DATA SCIENTIST FOR 5479 03:01:36,160 --> 03:01:37,040 STANFORD HEALTHCARE. 5480 03:01:37,040 --> 03:01:38,880 DR. SHAH'S RESEARCH GROUP 5481 03:01:38,880 --> 03:01:40,000 ANALYZING MULTIPLE TYPES OF 5482 03:01:40,000 --> 03:01:41,600 HEALTH DATA INCLUDING EHR 5483 03:01:41,600 --> 03:01:44,760 CLAIMS, WEARABLES, PATIENT 5484 03:01:44,760 --> 03:01:45,960 BLOGS, TO ANSWER CLINICAL 5485 03:01:45,960 --> 03:01:47,600 QUESTIONS, GENERATE INSIGHT AND 5486 03:01:47,600 --> 03:01:52,320 BUILD PREDICTIVE MODELS FOR THE 5487 03:01:52,320 --> 03:01:53,520 LEARNING SYSTEM. 5488 03:01:53,520 --> 03:01:56,600 HE'S AUTHORED OVER 200 5489 03:01:56,600 --> 03:01:58,360 SCIENTIFIC PUBLICATIONS AND HAS 5490 03:01:58,360 --> 03:01:59,040 COFOUNDED THREE COMPANIES. 5491 03:01:59,040 --> 03:02:06,560 HE HAS AN M B.S. DEGREE, PH.D. 5492 03:02:06,560 --> 03:02:07,760 AND COMPLETED HIS POSTDOCTORAL 5493 03:02:07,760 --> 03:02:12,800 TRAINING AT STANFORD UNIVERSITY. 5494 03:02:12,800 --> 03:02:14,120 USING AGGREGATE PATIENT DATA AT 5495 03:02:14,120 --> 03:02:18,080 THE BEDSIDE VIA AN ON DEMAND 5496 03:02:18,080 --> 03:02:19,200 CONSULTATION SERVICE. 5497 03:02:19,200 --> 03:02:19,960 WELCOME, DR. SHAH. 5498 03:02:19,960 --> 03:02:20,760 >> THANK YOU, THANK YOU. 5499 03:02:20,760 --> 03:02:25,080 CAN YOU HEAR ME OKAY? 5500 03:02:25,080 --> 03:02:25,920 >> YES. 5501 03:02:25,920 --> 03:02:34,960 >> PLEASE CALL ME N IGA M. 5502 03:02:34,960 --> 03:02:36,640 IT'S AN ABSOLUTE PLEASURE TO BE 5503 03:02:36,640 --> 03:02:37,680 HERE. 5504 03:02:37,680 --> 03:02:40,640 WITHOUT FURTHER ADO, I'LL GET 5505 03:02:40,640 --> 03:02:41,000 STARTED. 5506 03:02:41,000 --> 03:02:42,240 FEEL FREE TO ASK QUESTIONS ALONG 5507 03:02:42,240 --> 03:02:44,160 THE WAY. 5508 03:02:44,160 --> 03:02:47,280 THAT'S THE TITLE. 5509 03:02:47,280 --> 03:02:48,960 I WANT TO START WITH 5510 03:02:48,960 --> 03:02:51,200 ACKNOWLEDGMENTINGS 5511 03:02:51,200 --> 03:02:51,760 ACKNOWLEDGMENTS THAT THIS 5512 03:02:51,760 --> 03:02:52,560 PROJECT WOULDN'T HAVE HAPPENED 5513 03:02:52,560 --> 03:02:53,680 WITHOUT OF COURSE THE NLM 5514 03:02:53,680 --> 03:02:54,760 FUNDING WHICH IS LISTED FIRST IN 5515 03:02:54,760 --> 03:02:56,200 THE FUNDING LINE, WHICH THEN 5516 03:02:56,200 --> 03:03:01,360 SORT OF VALIDATED THE IDEA SO 5517 03:03:01,360 --> 03:03:02,760 OTHER PEOPLE PILED ON, INCLUDING 5518 03:03:02,760 --> 03:03:05,960 MEMBERS OF OUR HEALTHCARE 5519 03:03:05,960 --> 03:03:06,800 SYSTEM, PROFESSORS IN 5520 03:03:06,800 --> 03:03:10,520 CARDIOLOGY, IN STATISTICS, AND A 5521 03:03:10,520 --> 03:03:12,120 VERY GOOD TEAM CAME TOGETHER TO 5522 03:03:12,120 --> 03:03:13,360 MAKE POSSIBLE THAT I'M GOING TO 5523 03:03:13,360 --> 03:03:17,280 TALK TO YOU TODAY, DEFINITELY 5524 03:03:17,280 --> 03:03:19,800 NOT JUST MY WORK, SO TO SPEAK, 5525 03:03:19,800 --> 03:03:21,320 HENCE I WANT TO START WITH THIS 5526 03:03:21,320 --> 03:03:23,920 BROAD TEAM THAT MADE THIS ALL 5527 03:03:23,920 --> 03:03:24,200 POSSIBLE. 5528 03:03:24,200 --> 03:03:27,560 >> ARE YOU TINING INTENDINGE 5529 03:03:27,560 --> 03:03:28,880 SLIDES AT THIS POINT? 5530 03:03:28,880 --> 03:03:31,240 I JUST WANT TO MAKE SURE WE HAVE 5531 03:03:31,240 --> 03:03:31,480 THEM UP. 5532 03:03:31,480 --> 03:03:33,520 >> I THINK NOW THEY SHOULD BE 5533 03:03:33,520 --> 03:03:33,920 SHOWING? 5534 03:03:33,920 --> 03:03:39,960 >> WE CAN SEE THEM NOW. 5535 03:03:39,960 --> 03:03:42,240 >> THAT WAS THE TEAM I WAS 5536 03:03:42,240 --> 03:03:43,160 RAMBLING ABOUT. 5537 03:03:43,160 --> 03:03:44,000 SORRY ABOUT THAT. 5538 03:03:44,000 --> 03:03:45,600 IT HAS TO HAPPEN ONCE IN A ZOOM 5539 03:03:45,600 --> 03:03:48,880 SESSION, RIGHT? 5540 03:03:48,880 --> 03:03:50,520 SO NLM SORT OF SAW THE 5541 03:03:50,520 --> 03:03:52,600 POTENTIAL, FUNDED THIS AWARD 5542 03:03:52,600 --> 03:03:56,520 ACTUALLY 5 1/2 YEARS AGO NOW, 5543 03:03:56,520 --> 03:03:57,720 ONE YEAR OF EXTENSION IN BETWEEN 5544 03:03:57,720 --> 03:04:02,920 AND MADE ALL OF THIS POSSIBLE. 5545 03:04:02,920 --> 03:04:04,360 ALL RIGHT. 5546 03:04:04,360 --> 03:04:06,360 SO I'M GOING TO START WITH ONE 5547 03:04:06,360 --> 03:04:07,320 SLIDE OF PRIOR EFFORTS. 5548 03:04:07,320 --> 03:04:13,240 GOING BACK REALLY INTO THE 5549 03:04:13,240 --> 03:04:13,720 1970s. 5550 03:04:13,720 --> 03:04:15,080 SO THIS WAS THE FIRST EFFORT I 5551 03:04:15,080 --> 03:04:16,160 FOUND WHERE SOMEONE ATTEMPTED TO 5552 03:04:16,160 --> 03:04:19,160 USE A COMPUTER PROGRAM ON A 5553 03:04:19,160 --> 03:04:21,720 LIBRARY OF PATIENTS TO ESTIMATE 5554 03:04:21,720 --> 03:04:23,800 PROGNOSIS. 5555 03:04:23,800 --> 03:04:24,440 DR. FEINSTEIN, FAMOUS DOCTOR, 5556 03:04:24,440 --> 03:04:28,240 THIS IS THE YALE UNIVERSITY AND 5557 03:04:28,240 --> 03:04:31,360 NEW HAVEN VA WHERE THIS 5558 03:04:31,360 --> 03:04:32,320 HAPPENED. 5559 03:04:32,320 --> 03:04:33,200 THE SECOND BIG ONE WAS AT DUKE. 5560 03:04:33,200 --> 03:04:36,200 THEY ACTUALLY PRODUCED THESE 5561 03:04:36,200 --> 03:04:41,800 REPORTS CALLED PROGOSTOGRAMS, 5562 03:04:41,800 --> 03:04:42,800 THEY'RE TABULATING HOW MANY 5563 03:04:42,800 --> 03:04:46,640 LIVED FOR HOW LONG ON MEDICAL 5564 03:04:46,640 --> 03:04:49,000 TREATMENT VERSUS SURGICAL 5565 03:04:49,000 --> 03:04:49,560 TREATMENT. 5566 03:04:49,560 --> 03:04:50,960 AGAIN, THIS WAS MID 70s, THE 5567 03:04:50,960 --> 03:04:53,280 PAPER IS FROM 1975, AND THEN THE 5568 03:04:53,280 --> 03:04:54,880 THIRD ONE IS FROM OUR CAMPUS, 5569 03:04:54,880 --> 03:04:56,000 RIGHT AROUND THE TIME WHEN I 5570 03:04:56,000 --> 03:04:57,520 JOINED THE FACULTY, THAT CAME 5571 03:04:57,520 --> 03:05:03,040 OUT IN THE NEW ENGLAND JOURNAL. 5572 03:05:03,040 --> 03:05:04,040 THE POINT OF SHOWING THIS SLIDE 5573 03:05:04,040 --> 03:05:06,120 IS THE IDEA OF USING AGGREGATE 5574 03:05:06,120 --> 03:05:07,680 PATIENT DATA AT THE BEDSIDE HAS 5575 03:05:07,680 --> 03:05:09,480 BEEN IN THE MEDICAL 5576 03:05:09,480 --> 03:05:12,000 CONSCIOUSNESS SINCE THE 70s. 5577 03:05:12,000 --> 03:05:13,640 AND IT'S ABOUT 50 YEARS LATER 5578 03:05:13,640 --> 03:05:16,080 THAT WE ACTUALLY ARE ABLE TO DO 5579 03:05:16,080 --> 03:05:18,320 IT ON A ROUTINE SYSTEMATIC 5580 03:05:18,320 --> 03:05:20,160 BASES, SO I JUST WANT TO TRACE 5581 03:05:20,160 --> 03:05:21,920 BACK TO THIS RICH HISTORY THAT 5582 03:05:21,920 --> 03:05:25,200 BRINGS US HERE. 5583 03:05:25,200 --> 03:05:26,920 SO WHEN I JOINED THE FACULTY, 5584 03:05:26,920 --> 03:05:28,240 THIS THIRD PROJECT, 5585 03:05:28,240 --> 03:05:31,160 EVIDENCE-BASED MEDICINE HAD JUST 5586 03:05:31,160 --> 03:05:32,440 HIT THE JOURNALS AND MADE A LOT 5587 03:05:32,440 --> 03:05:34,440 OF NOISE ON OUR CAMPUS BECAUSE A 5588 03:05:34,440 --> 03:05:36,920 RESEARCHER, IN THAT CASE, 5589 03:05:36,920 --> 03:05:39,560 JENNIFER FRANKOVICH, WAS SEEING 5590 03:05:39,560 --> 03:05:43,120 A PATIENT, A TEENAGER WITH 5591 03:05:43,120 --> 03:05:48,920 SYSTEMIC LUPUS, THE THING SHE 5592 03:05:48,920 --> 03:05:52,200 WAS TASKED WITH DECIDING IS 5593 03:05:52,200 --> 03:05:54,160 SHOULD THEY USE ANTI-COAGULATION 5594 03:05:54,160 --> 03:05:55,360 OR NOT ON A TEENAGER. 5595 03:05:55,360 --> 03:05:57,200 SHE DID A SHOCKING THING OF 5596 03:05:57,200 --> 03:05:59,520 SEARCHING OUR DATA WAREHOUSE, 5597 03:05:59,520 --> 03:06:00,200 FINDING 98 PATIENTS AND FINDING 5598 03:06:00,200 --> 03:06:02,440 THAT TO BASE HER DECISION, AND 5599 03:06:02,440 --> 03:06:05,040 GOT INTO TROUBLE WITH IRB, 5600 03:06:05,040 --> 03:06:06,040 COMPLIANCE, SECURITY, PRIVACY, 5601 03:06:06,040 --> 03:06:07,160 LEGAL, THE DEAN'S OFFICE, 5602 03:06:07,160 --> 03:06:11,280 EVERYBODY. 5603 03:06:11,280 --> 03:06:13,040 WITHIN A SPAN OF 24 HOURS, 5604 03:06:13,040 --> 03:06:13,800 EVERYBODY THOUGHT ABOUT THIS AND 5605 03:06:13,800 --> 03:06:15,640 SAID, ISN'T THIS WOULD WE WOULD 5606 03:06:15,640 --> 03:06:18,160 LIKE TO DO ON A ROUTINE BASIS, 5607 03:06:18,160 --> 03:06:20,240 THAT LEARNS FROM PAST PATIENT 5608 03:06:20,240 --> 03:06:20,920 EXPERIENCE? 5609 03:06:20,920 --> 03:06:22,400 SO OTHER THAN THE IRB WHICH GAVE 5610 03:06:22,400 --> 03:06:24,360 HER A SLAP ON THE WRIST, 5611 03:06:24,360 --> 03:06:26,000 EVERYBODY ELSE SAID, YEAH, THIS 5612 03:06:26,000 --> 03:06:26,680 IS WORTH DOING. 5613 03:06:26,680 --> 03:06:28,320 THAT'S WHEN I JOINED THE 5614 03:06:28,320 --> 03:06:29,960 FACULTY, SO FRESH IN MY MIND. 5615 03:06:29,960 --> 03:06:32,200 WHEN WE LOOKED AT IT FROM AN 5616 03:06:32,200 --> 03:06:33,000 INFORMATICS LENS WHAT YOU HAVE 5617 03:06:33,000 --> 03:06:35,680 GOING ON IS YOU HAVE THIS SET OF 5618 03:06:35,680 --> 03:06:36,880 PATIENTS, SOME PEDIATRIC, SOME 5619 03:06:36,880 --> 03:06:42,680 HAVE SLE, SOME HAVE PROTEINURIA, 5620 03:06:42,680 --> 03:06:45,440 AND FINDING THIS COHORT OF 5621 03:06:45,440 --> 03:06:47,280 PEDIATRIC PATIENTS THAT HAD SLE, 5622 03:06:47,280 --> 03:06:51,720 THAT HAD SLE ANTIPROTEINURIA AND 5623 03:06:51,720 --> 03:06:52,360 PHOSPHOLIPID ANTIBODY, AND THEN 5624 03:06:52,360 --> 03:06:53,800 SOME OF THEM DEVELOPED THIS RED 5625 03:06:53,800 --> 03:06:55,240 DOT, WHICH IS THE BLOOD CLOT IN 5626 03:06:55,240 --> 03:06:56,520 BOTH SIDES. 5627 03:06:56,520 --> 03:06:58,600 AND THEN WE TRIED TO ESTIMATE 5628 03:06:58,600 --> 03:07:01,760 THE RISK FACTORS FOR THIS, 5629 03:07:01,760 --> 03:07:07,880 THERE'S LITTLE TINY DOTS HERE. 5630 03:07:07,880 --> 03:07:09,200 AND THE FACTORS THAT ASSOCIATE 5631 03:07:09,200 --> 03:07:10,400 WITH OR WITHOUT HAVING THAT 5632 03:07:10,400 --> 03:07:11,160 PARTICULAR OUTCOME. 5633 03:07:11,160 --> 03:07:12,440 THAT'S THE CRUX OF THE 5634 03:07:12,440 --> 03:07:16,040 OPERATIONS THAT WE'RE DOING. 5635 03:07:16,040 --> 03:07:24,680 BEHIND THE XENOS, SCENES THS 5636 03:07:24,680 --> 03:07:27,200 OPERATION TIMELINE. 5637 03:07:27,200 --> 03:07:29,720 IT HAS EVENTS ARRAYED OVER TIME, 5638 03:07:29,720 --> 03:07:31,280 SOME OF IT OPERATIONAL LIKE 5639 03:07:31,280 --> 03:07:33,640 STAYING IN THE ICU, GETTING A 5640 03:07:33,640 --> 03:07:36,160 WAVE FORM RECORDED, SOME OF THEM 5641 03:07:36,160 --> 03:07:37,200 LONGITUDINAL, SOME VITAL SIGN 5642 03:07:37,200 --> 03:07:39,040 MEASUREMENTS ALONG THE WAY, SOME 5643 03:07:39,040 --> 03:07:40,120 CODE ASSIGNMENTS AND SO ON, SO 5644 03:07:40,120 --> 03:07:41,720 THIS IS SORT OF A FICTIONAL 5645 03:07:41,720 --> 03:07:45,200 PATIENT JOURNEY, NOT TOO 5646 03:07:45,200 --> 03:07:46,400 OUTRAGEOUS, YOU'D SEE THIS IN 5647 03:07:46,400 --> 03:07:49,320 MANY DATASETS. 5648 03:07:49,320 --> 03:07:52,840 BUT WE DO SET OPERATIONS ON TIME 5649 03:07:52,840 --> 03:07:53,080 LINES. 5650 03:07:53,080 --> 03:07:56,200 WHICH IS REALLY HARD, AND THAT'S 5651 03:07:56,200 --> 03:08:03,320 WHAT LEADS TO THIS DIFFICULTY, 5652 03:08:03,320 --> 03:08:06,480 WHR WE 5653 03:08:06,480 --> 03:08:10,960 WE END UP SENDING TWO TO FOUR 5654 03:08:10,960 --> 03:08:13,840 WEEKS, DOING THE ANALYSIS AND 5655 03:08:13,840 --> 03:08:14,760 WRITING A PAPER ON IT. 5656 03:08:14,760 --> 03:08:19,240 WE HAVE THE EHR, A NOT TOO 5657 03:08:19,240 --> 03:08:20,280 HIDEOUS LOOKING INTERFACE. 5658 03:08:20,280 --> 03:08:23,600 BEHIND THE SCENES IS THIS 5659 03:08:23,600 --> 03:08:25,120 TIMELINE OBJECT, WE HAVE THAT ON 5660 03:08:25,120 --> 03:08:27,640 MILLIONS OF PEOPLE. 5661 03:08:27,640 --> 03:08:28,920 AND WE'RE TRYING TO DO SOME 5662 03:08:28,920 --> 03:08:33,960 OPERATIONS TO GET THIS MATRIX, 5663 03:08:33,960 --> 03:08:36,680 PATIENTS, FEATURES, AND THIS 5664 03:08:36,680 --> 03:08:38,760 SPECIFIC TIME AXIS, WE FLATTEN 5665 03:08:38,760 --> 03:08:40,080 IT OUT, THEN WE MAKE THE 5666 03:08:40,080 --> 03:08:42,880 DECISIONS OF WHETHER TO TREAT OR 5667 03:08:42,880 --> 03:08:43,360 HOW TO TREAT. 5668 03:08:43,360 --> 03:08:44,760 IN THAT EXAMPLE I WAS SHOWING, 5669 03:08:44,760 --> 03:08:46,280 IF THE RISK OF A BLOOD CLOT IS 5670 03:08:46,280 --> 03:08:50,200 HIGH ENOUGH, AND HIGH BEING A 5671 03:08:50,200 --> 03:08:51,240 SUBJECTIVE THRESHOLD, THAT 5672 03:08:51,240 --> 03:08:52,520 DECIDES WE SHOULD TREAT AND THEN 5673 03:08:52,520 --> 03:08:55,800 HOW TO TREAT, IN THAT CASE, WE 5674 03:08:55,800 --> 03:08:58,720 WOULD USE ANTICOAGULANT THERAPY, 5675 03:08:58,720 --> 03:08:59,680 LOW DOSE HEPARIN OR SOMETHING 5676 03:08:59,680 --> 03:09:00,280 LIKE THAT. 5677 03:09:00,280 --> 03:09:01,680 SO THAT'S WHERE THE ESSENCE OF 5678 03:09:01,680 --> 03:09:02,560 THE PROBLEM IS, SEARCHING TIME 5679 03:09:02,560 --> 03:09:05,400 LINES TO DEFINE PHENOTYPES AND 5680 03:09:05,400 --> 03:09:07,240 BUILD COHORTS, AND WE TOOK ON 5681 03:09:07,240 --> 03:09:09,440 FEATURED ENGINEERING, 5682 03:09:09,440 --> 03:09:11,400 PHENOTYPING AND FINDING MATCHING 5683 03:09:11,400 --> 03:09:17,280 PATIENTS, THREE THINGS IN ONE 5684 03:09:17,280 --> 03:09:19,240 SHOT, AND THE REVIEWERS WERE 5685 03:09:19,240 --> 03:09:22,160 SORT OF KIND ENOUGH TO BELIEVE 5686 03:09:22,160 --> 03:09:24,200 ME AT FACE VALUE AND FUND THE 5687 03:09:24,200 --> 03:09:24,640 PROPOSAL. 5688 03:09:24,640 --> 03:09:25,920 SO NOW I'M GOING TO TELL YOU THE 5689 03:09:25,920 --> 03:09:27,560 END, THEN WE'LL SORT OF DO A 5690 03:09:27,560 --> 03:09:30,520 FLASHBACK ON HOW WE GOT -- HOW 5691 03:09:30,520 --> 03:09:31,400 WE DID THE PROJECT. 5692 03:09:31,400 --> 03:09:33,280 HERE'S THE PUNCH LINE. 5693 03:09:33,280 --> 03:09:34,440 SO THE PROJECT GOES BY TWO 5694 03:09:34,440 --> 03:09:34,680 NAMES. 5695 03:09:34,680 --> 03:09:35,960 THERE'S THE GREEN BUTTON PROJECT 5696 03:09:35,960 --> 03:09:38,280 AND THE INFORMATICS CONSULTATION 5697 03:09:38,280 --> 03:09:38,840 SERVICE. 5698 03:09:38,840 --> 03:09:42,120 GREEN BUTTON IS THE IDEA, AND 5699 03:09:42,120 --> 03:09:43,600 THE CONSULTATION SERVICE IS THE 5700 03:09:43,600 --> 03:09:45,920 EXECUTION OF THAT IDEA ON OUR 5701 03:09:45,920 --> 03:09:46,240 CAMPUS. 5702 03:09:46,240 --> 03:09:48,520 REDUCTION TO PRACTICE. 5703 03:09:48,520 --> 03:09:50,520 AND GIVEN A SPECIFIC CASE, WE 5704 03:09:50,520 --> 03:09:52,160 PROVIDE A SUMMARY OF SIMILAR 5705 03:09:52,160 --> 03:09:54,120 PATIENTS IN STANFORD'S DATA 5706 03:09:54,120 --> 03:09:55,200 WAREHOUSE, THE COMMON TREATMENT 5707 03:09:55,200 --> 03:09:56,720 CHOICES MADE AND THE OBSERVED 5708 03:09:56,720 --> 03:09:57,240 OUTCOMES. 5709 03:09:57,240 --> 03:09:59,440 SO IRB APPROVED PROJECT, WE 5710 03:09:59,440 --> 03:10:01,280 SERVED 100 CONSULTATIONS ACROSS 5711 03:10:01,280 --> 03:10:04,880 ALL SERVICE LINES. 5712 03:10:04,880 --> 03:10:06,640 SO THE FINAL PAPER ON THIS CAME 5713 03:10:06,640 --> 03:10:08,160 OUT IN THE NEW ENGLAND JOURNAL 5714 03:10:08,160 --> 03:10:11,920 IN OCTOBER 2021, WHERE WE 5715 03:10:11,920 --> 03:10:13,720 SUMMARIZED THE 100 CONSULTATIONS 5716 03:10:13,720 --> 03:10:15,160 AND ALONG THE WAY, WE HAVE A 5717 03:10:15,160 --> 03:10:17,240 LISTSERV OF 39 PUBLICATIONS 5718 03:10:17,240 --> 03:10:18,320 ATTRIBUTED TO THIS GRANT, AND 5719 03:10:18,320 --> 03:10:20,160 WHAT WE'RE SEEING ON THE RIGHT 5720 03:10:20,160 --> 03:10:23,680 IS A PLOT OF THE UNIQUE DOCTORS, 5721 03:10:23,680 --> 03:10:25,400 PHYSICIANS, WHO REQUESTED A 5722 03:10:25,400 --> 03:10:27,240 CONSULTATION ON THE X AXIS, THE 5723 03:10:27,240 --> 03:10:28,600 Y AXIS, THE NUMBER OF 5724 03:10:28,600 --> 03:10:31,000 CONSULTATIONS THAT THEY 5725 03:10:31,000 --> 03:10:32,440 REQUESTED, SERVICE LINES ARE 5726 03:10:32,440 --> 03:10:33,200 ENCODED BY THE COLOR OF THE 5727 03:10:33,200 --> 03:10:35,360 BUBBLE AND IT'S SIZED ACCORDING 5728 03:10:35,360 --> 03:10:37,240 TO THE NUMBER OF CONSULTATIONS. 5729 03:10:37,240 --> 03:10:38,520 I'M IN INTERNAL MEDICINE 5730 03:10:38,520 --> 03:10:39,440 DEPARTMENT SO NATURALLY THAT WAS 5731 03:10:39,440 --> 03:10:42,480 THE LARGEST SOURCE OF REQUEST, 5732 03:10:42,480 --> 03:10:44,520 BUT WE DID AT LEAST ONE FROM 5733 03:10:44,520 --> 03:10:48,920 EVERY SPECIALTY. 5734 03:10:48,920 --> 03:10:52,160 IF IN THE FIRST 100, 17, WE COUD 5735 03:10:52,160 --> 03:10:55,400 NOT DO BECAUSE SOME DATA WERE 5736 03:10:55,400 --> 03:10:56,040 MISSING, SOME LABORATORY TEST 5737 03:10:56,040 --> 03:10:57,400 RESULTS WERE IN A FORMAT WE 5738 03:10:57,400 --> 03:11:02,200 COULDN'T PROCESS OR IT WAS A 5739 03:11:02,200 --> 03:11:02,880 DISCHARGE SERVICE WE COULDN'T 5740 03:11:02,880 --> 03:11:04,760 HANDLE IN THE DATA TIMELINE OR 5741 03:11:04,760 --> 03:11:06,240 TOO FEW PATIENTS IN ABOUT FIVE 5742 03:11:06,240 --> 03:11:08,120 CASES. 5743 03:11:08,120 --> 03:11:14,240 WE COMPLETED 83, AND 48 WERE 5744 03:11:14,240 --> 03:11:14,920 ANALYSES OR SUMMARIZING RATES. 5745 03:11:14,920 --> 03:11:16,520 THAT WAS THE BIGGEST SURPRISE TO 5746 03:11:16,520 --> 03:11:17,000 US. 5747 03:11:17,000 --> 03:11:18,080 WE THOUGHT PEOPLE WOULD BE 5748 03:11:18,080 --> 03:11:20,040 ASKING COMPARISON QUESTIONS, A 5749 03:11:20,040 --> 03:11:23,080 VERSUS B, YOU BUT THAT WAS THE 5750 03:11:23,080 --> 03:11:23,840 MINORITY, THAT WAS 35. 5751 03:11:23,840 --> 03:11:25,960 17 WERE TRYING TO -- 18 WERE 5752 03:11:25,960 --> 03:11:27,800 BINARY OUTCOMES, BUT THE 5753 03:11:27,800 --> 03:11:29,440 MAJORITY WERE JUST -- SUMMARIZE 5754 03:11:29,440 --> 03:11:34,560 THE COULD HE HORT FOR . 5755 03:11:34,560 --> 03:11:35,960 THAT IS AWESOME BECAUSE THAT CAN 5756 03:11:35,960 --> 03:11:42,760 BE DONE VERY RELIABLY. 5757 03:11:42,760 --> 03:11:45,600 THIS SLIDE IS A SUMMARY OF THE 5758 03:11:45,600 --> 03:11:47,040 83 WE DID, AND THE ROWS WERE 5759 03:11:47,040 --> 03:11:50,600 WHAT WERE THE MOTIVATION? 5760 03:11:50,600 --> 03:11:51,520 OUT COME RATES OF CERTAIN EVENTS 5761 03:11:51,520 --> 03:11:56,720 ON APPROVED DRUGS AND EVALUATING 5762 03:11:56,720 --> 03:11:58,040 INSTITUTIONAL PATIENT MANAGEMENT 5763 03:11:58,040 --> 03:11:59,760 WERE THE TWO BIGGEST, 29 EACH. 5764 03:11:59,760 --> 03:12:01,320 THEN ASKING FOR, I GOT THIS TEST 5765 03:12:01,320 --> 03:12:03,480 RESULT, WHAT DOES IT MEAN, WAS 5766 03:12:03,480 --> 03:12:05,440 THE NEXT BIGGEST AND A FEW OTHER 5767 03:12:05,440 --> 03:12:06,440 REASONS THAT THEY WERE ASKING 5768 03:12:06,440 --> 03:12:10,240 THESE QUESTIONS. 5769 03:12:10,240 --> 03:12:12,240 THIS PARTICULAR WORD CHOICE 5770 03:12:12,240 --> 03:12:13,640 INSTEAD SUBSEQUENT ACTIONS, AT 5771 03:12:13,640 --> 03:12:15,480 SOME POINT I HAD USED THE WORD 5772 03:12:15,480 --> 03:12:17,560 OUTCOME, LED TO A NINE MONTH 5773 03:12:17,560 --> 03:12:19,000 DELAY AT A PRESTIGIOUS JOURNAL. 5774 03:12:19,000 --> 03:12:21,800 THAT'S A FUN FACTOID THAT A 5775 03:12:21,800 --> 03:12:22,400 REVIEWER TOOK OFFENSE AT THE 5776 03:12:22,400 --> 03:12:23,880 FACT THAT THESE WERE OUTCOMES IN 5777 03:12:23,880 --> 03:12:28,360 THE FORM OF CHANGING PATIENT 5778 03:12:28,360 --> 03:12:29,480 CARE, GUIDING FURTHER RESEARCH 5779 03:12:29,480 --> 03:12:31,000 OR FOLLOW-UP ANALYSES. 5780 03:12:31,000 --> 03:12:33,160 WE NOW USE THE VOCABULARY THE 5781 03:12:33,160 --> 03:12:34,000 SUBSEQUENT ACTION, WHAT HAPPENED 5782 03:12:34,000 --> 03:12:35,040 AFTER THE CONSULTATION. 5783 03:12:35,040 --> 03:12:41,040 AND IN 10 CASES TOTAL, WE DID 5784 03:12:41,040 --> 03:12:42,240 LEAN TO A DECISION THAT WOULD 5785 03:12:42,240 --> 03:12:43,440 NOT HAVE BEEN POSSIBLE TO MAKE 5786 03:12:43,440 --> 03:12:45,240 WITHOUT HAVING THE REPORT IN 5787 03:12:45,240 --> 03:12:45,520 HAND. 5788 03:12:45,520 --> 03:12:47,600 WE'RE AN ACADEMIC MEDICAL CENTER 5789 03:12:47,600 --> 03:12:50,000 SO FURTHER RESEARCH WA THE 5790 03:12:50,000 --> 03:12:50,440 MAJORITY OUTCOME. 5791 03:12:50,440 --> 03:12:53,160 A BUNCH OF THESE HAVE GONE ON TO 5792 03:12:53,160 --> 03:12:54,080 BECOME PEER REVIEWED 5793 03:12:54,080 --> 03:12:57,080 PUBLICATIONS IN THEIR OWN RIGHT, 5794 03:12:57,080 --> 03:12:58,320 AND 17 CONSULTATIONS LED TO 5795 03:12:58,320 --> 03:13:00,040 RETREATING THE COHORT AND DOING 5796 03:13:00,040 --> 03:13:01,760 FOLLOW-UP ANALYSES INDEPENDENTLY 5797 03:13:01,760 --> 03:13:05,600 BY THE INVESTIGATORS. 5798 03:13:05,600 --> 03:13:08,160 WE ALSO SURVEYED SELF-REPORTED 5799 03:13:08,160 --> 03:13:09,400 USER SATISFACTION. 5800 03:13:09,400 --> 03:13:11,160 SO WHAT I'M SHOWING YOU HERE HAS 5801 03:13:11,160 --> 03:13:12,800 FOUR ROWS. 5802 03:13:12,800 --> 03:13:13,920 THE FIRST ROW IS WOULD YOU USE 5803 03:13:13,920 --> 03:13:15,120 THIS AGAIN AND REFER TO A 5804 03:13:15,120 --> 03:13:15,920 COLLEAGUE? 5805 03:13:15,920 --> 03:13:16,680 AND THE OTHER THREE ARE PARTS OF 5806 03:13:16,680 --> 03:13:17,280 THE REPORT. 5807 03:13:17,280 --> 03:13:20,440 WE SHOWED A GRAPHICS TABLE, WE 5808 03:13:20,440 --> 03:13:21,920 WRITE AN INTERPRETATION, JUST 5809 03:13:21,920 --> 03:13:25,280 LIKE YOU WOULD GET FROM A 5810 03:13:25,280 --> 03:13:26,280 RADIOLOGY OR PATHOLOGY REPORT, 5811 03:13:26,280 --> 03:13:28,440 AND THEN WE ALSO OUTLINE IN TWO 5812 03:13:28,440 --> 03:13:31,280 PAGES A RESEARCH WALK-THROUGH AS 5813 03:13:31,280 --> 03:13:32,920 IN RATIONALIZING OR THINKING. 5814 03:13:32,920 --> 03:13:35,280 ON A 1 TO 5 SCALE, YOU CAN SEE A 5815 03:13:35,280 --> 03:13:36,920 MAJORITY OF IT IS BLUE, THE 5816 03:13:36,920 --> 03:13:38,920 LIKELIHOOD TO RECOMMEND WAS LIKE 5817 03:13:38,920 --> 03:13:41,400 NEAR 100%, AND THEN PEOPLE LOVE 5818 03:13:41,400 --> 03:13:43,280 THE RESEARCH WALK-THROUGH 5819 03:13:43,280 --> 03:13:44,800 ACTUALLY MORE THAN JUST OUR 5820 03:13:44,800 --> 03:13:45,200 INTERPRETATION. 5821 03:13:45,200 --> 03:13:46,600 LIKE THEY WANTED TO KNOW, WHY 5822 03:13:46,600 --> 03:13:47,920 ARE YOU SAYING WHAT YOU'RE 5823 03:13:47,920 --> 03:13:48,160 SAYING? 5824 03:13:48,160 --> 03:13:49,640 THEN WHEN THEY GOT THE REPORT 5825 03:13:49,640 --> 03:13:51,680 AFTER A FEW DAYS, WE WOULD 5826 03:13:51,680 --> 03:13:52,600 SURVEY THEM AND ASK THEM TO 5827 03:13:52,600 --> 03:13:54,840 DESCRIBE THE WHOLE EXPERIENCE IN 5828 03:13:54,840 --> 03:13:59,120 THREE WORDS, AND THEN THIS IS 5829 03:13:59,120 --> 03:14:00,680 THE TACK CLOUD MADE OUT OF THOSE 5830 03:14:00,680 --> 03:14:01,880 WORDS THEY USED TO DESCRIBE THE 5831 03:14:01,880 --> 03:14:02,280 SERVICE. 5832 03:14:02,280 --> 03:14:05,080 WE ALSO DID QUANTIFY THE 5833 03:14:05,080 --> 03:14:06,480 RELIABILITY IN A QUANTITATIVE 5834 03:14:06,480 --> 03:14:08,440 MATTER IN FOUR DIFFERENT WAYS. 5835 03:14:08,440 --> 03:14:10,160 THE SIMPLEST WAS TO HAVE 5836 03:14:10,160 --> 03:14:11,800 SYNTHETIC DATA, SYNTHETIC 5837 03:14:11,800 --> 03:14:13,240 CONTROLS, MORE LIKE A BUG CHECK 5838 03:14:13,240 --> 03:14:14,680 TO MAKE SURE THE CODE IS DOING 5839 03:14:14,680 --> 03:14:16,160 WHAT IT'S SUPPOSED TO DO. 5840 03:14:16,160 --> 03:14:19,720 AND THEN FOR SOME OF THE 5841 03:14:19,720 --> 03:14:20,800 QUESTIONS, WE COULD ALSO RESPOND 5842 03:14:20,800 --> 03:14:27,360 TO THEM USING TRUVEN AND OPTUM 5843 03:14:27,360 --> 03:14:27,680 DATASETS. 5844 03:14:27,680 --> 03:14:29,120 WE ASKED THEM TO WHAT RESULTS 5845 03:14:29,120 --> 03:14:33,280 DID THE DATA DEGREE AND 5846 03:14:33,280 --> 03:14:34,960 DEPENDING ON WHICH WE LOOKED AT, 5847 03:14:34,960 --> 03:14:37,640 68 TO 74% CONCORDANCE, ABOUT THE 5848 03:14:37,640 --> 03:14:40,280 SAME RATE AT WHICH RCTs AGREE 5849 03:14:40,280 --> 03:14:40,920 WITH EACH OTHER. 5850 03:14:40,920 --> 03:14:42,120 WE ALSO COMPARED PATIENT 5851 03:14:42,120 --> 03:14:44,200 MATCHING STRATEGIES, HIGH 5852 03:14:44,200 --> 03:14:45,400 DIMENSIONAL PROPENSITY SCORE 5853 03:14:45,400 --> 03:14:46,960 VERSUS OTHER APPROACHES, ABOUT 5854 03:14:46,960 --> 03:14:48,160 80% OF THE TIME WE GET THE SAME 5855 03:14:48,160 --> 03:14:50,080 ANSWER. 5856 03:14:50,080 --> 03:14:51,760 AND THEN TO GET A HANDLE ON HOW 5857 03:14:51,760 --> 03:14:56,800 OFTEN ARE WE WRONG, IT'S VERY 5858 03:14:56,800 --> 03:15:00,600 HARD TO DO THAT FOR DESCRIPTIVE 5859 03:15:00,600 --> 03:15:01,920 ANALYSIS WHERE WE'RE JUST 5860 03:15:01,920 --> 03:15:03,240 DESCRIBING SOMETHING, BUT FOR 5861 03:15:03,240 --> 03:15:04,320 ONES WHERE THERE WAS A 5862 03:15:04,320 --> 03:15:10,040 COMPARISON, WE CREATED FALSE 5863 03:15:10,040 --> 03:15:11,680 ASSOCIATIONS, 179 5864 03:15:11,680 --> 03:15:16,800 NON-ASSOCIATIONS, AND WE SAID IF 5865 03:15:16,800 --> 03:15:18,360 WE WERE ANSWERING THESE AS A 5866 03:15:18,360 --> 03:15:19,400 QUESTION, HOW OFTEN WOULD WE 5867 03:15:19,400 --> 03:15:21,720 HAVE SAID THAT THIS DRUG AND 5868 03:15:21,720 --> 03:15:24,000 THIS OUTCOME ARE ASSOCIATED, AND 5869 03:15:24,000 --> 03:15:25,440 THAT WOULD BE 17 TO 20% TIME. 5870 03:15:25,440 --> 03:15:28,400 THAT APPLIES TO THE 35 QUESTIONS 5871 03:15:28,400 --> 03:15:29,480 THAT WE'RE LOOKING AT SOME 5872 03:15:29,480 --> 03:15:30,240 OUTCOME. 5873 03:15:30,240 --> 03:15:32,120 THE 48 THAT WERE DESCRIPTIVE, 5874 03:15:32,120 --> 03:15:34,640 IT'S HARD TO EVEN HAVE A NOTION 5875 03:15:34,640 --> 03:15:36,480 OF WHAT WOULD COMPRISE A FALSE 5876 03:15:36,480 --> 03:15:40,280 POSITIVE RATE. 5877 03:15:40,280 --> 03:15:41,120 THEN BEHIND THE SCENES, THERE'S 5878 03:15:41,120 --> 03:15:42,480 SORT OF THREE MOVING PARTS. 5879 03:15:42,480 --> 03:15:45,800 THERE IS THE SERVICE, WHICH HAS 5880 03:15:45,800 --> 03:15:48,200 SOFTWARE, WHICH HANDLES THESE 5881 03:15:48,200 --> 03:15:49,320 PATIENT TIME LINES THAT I SHARED 5882 03:15:49,320 --> 03:15:50,720 WITH YOU A WHILE AGO. 5883 03:15:50,720 --> 03:15:53,120 THERE ARE DATA, EHR AND CLAIMS, 5884 03:15:53,120 --> 03:15:56,320 AND THEN PEOPLE WHO ARE STAFFING 5885 03:15:56,320 --> 03:15:57,320 THEIR SERVICE. 5886 03:15:57,320 --> 03:15:58,600 THERE'S THE SEARCH ENGINE. 5887 03:15:58,600 --> 03:16:01,360 IT'S PUBLISHED OPEN SOURCE 5888 03:16:01,360 --> 03:16:03,320 AVAILABLE FOR ACADEMIC 5889 03:16:03,320 --> 03:16:03,600 LICENSING. 5890 03:16:03,600 --> 03:16:05,240 THE SCREEN SHOT, IT LITERALLY IS 5891 03:16:05,240 --> 03:16:07,280 A COMMAND LINE ON THE WEB, SO TO 5892 03:16:07,280 --> 03:16:07,640 SPEAK. 5893 03:16:07,640 --> 03:16:09,160 SOMEONE HAS TO LEARN THIS 5894 03:16:09,160 --> 03:16:17,320 HIDEOUS SYNTAX, WHICH 5895 03:16:17,320 --> 03:16:18,520 AFICIONADOS LOVE BUT MOST FIND 5896 03:16:18,520 --> 03:16:19,640 IT NOT TOO AMUSING. 5897 03:16:19,640 --> 03:16:20,720 ONLY THE PEOPLE OFFERING THE 5898 03:16:20,720 --> 03:16:21,920 SERVICE USE THIS, AND WHAT'S 5899 03:16:21,920 --> 03:16:25,280 HAPPENING HERE IS, I'M DEFINING 5900 03:16:25,280 --> 03:16:30,080 THE FEATURE OF CRYPTOGENIC 5901 03:16:30,080 --> 03:16:35,960 SOURCE OR PHENOTYPES TO SO TO 5902 03:16:35,960 --> 03:16:40,960 SPEAK, AND I'M ASKING HOW MANY 5903 03:16:40,960 --> 03:16:43,920 PEOPLE HAD CRYPTOGENIC STROKE 5904 03:16:43,920 --> 03:16:46,640 AND WHETHER GOT DIAGNOSED WITH 5905 03:16:46,640 --> 03:16:47,720 ATRIAL FIBLY RANGE OF MOTION IN 5906 03:16:47,720 --> 03:16:49,400 ONE TO FIVE YEARS WHERE AFIB IS 5907 03:16:49,400 --> 03:16:50,480 DEFINED AS THE FIRST MENTION OF 5908 03:16:50,480 --> 03:16:53,120 THAT THING IN THEIR TIMELINE. 5909 03:16:53,120 --> 03:16:54,880 AND WHAT WE GET BACK IS 5910 03:16:54,880 --> 03:16:59,760 TIMELINES OBVIOUSLY, EACH 5911 03:16:59,760 --> 03:17:00,960 PATIENT HAS A TIMELINE IN THE 5912 03:17:00,960 --> 03:17:02,400 LOWER PANEL, SORT OF THE THING I 5913 03:17:02,400 --> 03:17:03,960 WAS SHOWING YOU ON THE THIRD OR 5914 03:17:03,960 --> 03:17:06,760 FOURTH SLIDE, THIS URL HAS A 5915 03:17:06,760 --> 03:17:07,640 LITTLE VIDEO DEMONSTRATING THE 5916 03:17:07,640 --> 03:17:08,520 CAPABILITIES OF THIS SEARCH 5917 03:17:08,520 --> 03:17:08,960 ENGINE. 5918 03:17:08,960 --> 03:17:10,040 NOW WE'RE ROLLING THIS OUT TO 5919 03:17:10,040 --> 03:17:11,720 ALL OF STANFORD. 5920 03:17:11,720 --> 03:17:13,600 AND ALSO SHARING IT WITH OUR 5921 03:17:13,600 --> 03:17:17,440 CTSA PEER HUBS. 5922 03:17:17,440 --> 03:17:23,560 THE SERVICE TAKES ABOUT 24 TO 7S 5923 03:17:23,560 --> 03:17:24,880 STEPS, THEY REQUEST THE CONSULT, 5924 03:17:24,880 --> 03:17:26,160 WE PICK UP THE PHONE AND TALK TO 5925 03:17:26,160 --> 03:17:27,880 THEM TO GET TO THE QUESTION 5926 03:17:27,880 --> 03:17:29,240 BEHIND THE QUESTION AND REFINE 5927 03:17:29,240 --> 03:17:35,920 IT INTO A PCOT FORMAT. 5928 03:17:35,920 --> 03:17:37,760 THAT'S WHAT THE SEARCH ENGINE 5929 03:17:37,760 --> 03:17:39,600 DOES, AND IN THE PROCESS ALLOWS 5930 03:17:39,600 --> 03:17:44,800 YOU TO DEFINE PHENOTYPES, USE 16 5931 03:17:44,800 --> 03:17:48,480 KNOWLEDGE GRAPHS, SO YOU CAN SAY 5932 03:17:48,480 --> 03:17:49,160 ANTIHYPERTENSIVES AND IT FIGURES 5933 03:17:49,160 --> 03:17:51,800 OUT WHAT THEY ARE, DO THE COHORT 5934 03:17:51,800 --> 03:17:52,760 GENERATION WHILE SEARCHING TIME 5935 03:17:52,760 --> 03:17:52,960 LINES. 5936 03:17:52,960 --> 03:17:54,240 ALL OF THAT WORK IS PACKAGED 5937 03:17:54,240 --> 03:17:56,080 INTO THIS PIECE OF SOFTWARE. 5938 03:17:56,080 --> 03:17:57,560 THE STATISTICAL ANALYSES ARE 5939 03:17:57,560 --> 03:17:59,120 VERY STANDARD, MOSTLY INSPIRED 5940 03:17:59,120 --> 03:18:00,720 FROM THE ODYSSEY COMMUNITY USING 5941 03:18:00,720 --> 03:18:03,240 PUBLICLY VETTED COAT. 5942 03:18:03,240 --> 03:18:05,120 CODE. 5943 03:18:05,120 --> 03:18:07,320 AND THEN WE WRITE A REPORT, 5944 03:18:07,320 --> 03:18:09,160 REVIEW THE RESULTS INTERNALLY 5945 03:18:09,160 --> 03:18:10,440 AND HAVE A DEBRIEF WITH THEM 5946 03:18:10,440 --> 03:18:11,800 JUST TO WALK THROUGH HOW WE 5947 03:18:11,800 --> 03:18:12,400 ARRIVED AT THE RECOMMENDATION 5948 03:18:12,400 --> 03:18:15,520 THAT WE ARRIVED AT. 5949 03:18:15,520 --> 03:18:18,000 SO QUESTIONS THAT REMAIN, I 5950 03:18:18,000 --> 03:18:19,640 BUCKET THEM INTO TWO CATEGORIES. 5951 03:18:19,640 --> 03:18:22,400 THERE'S QUESTIONS ABOUT THE 5952 03:18:22,400 --> 03:18:22,920 SERVICE'S OPERATION. 5953 03:18:22,920 --> 03:18:25,120 WHAT IS THE IDEAL FUNDING MODEL 5954 03:18:25,120 --> 03:18:26,680 FOR THIS? 5955 03:18:26,680 --> 03:18:28,440 THE RESEARCH WAS SUPPORTED BY 5956 03:18:28,440 --> 03:18:29,960 NLM, AND THEN THE HOSPITAL AND 5957 03:18:29,960 --> 03:18:31,880 THE DEAN'S OFFICE AND ALL 5958 03:18:31,880 --> 03:18:34,760 STEPPED IN, BUT LONG TERM CAN'T 5959 03:18:34,760 --> 03:18:36,320 RUN THIS ON GRANTS. 5960 03:18:36,320 --> 03:18:38,480 SO IN PARTNERSHIP WITH OUR CEO 5961 03:18:38,480 --> 03:18:40,360 AND EMERSON COLLECTIVE, WE SPUN 5962 03:18:40,360 --> 03:18:44,320 OUT A COMPANY. 5963 03:18:44,320 --> 03:18:46,040 THEN ONGOING, DOES SUCH A 5964 03:18:46,040 --> 03:18:48,120 CONSULTATION SERVICE CHANGE 5965 03:18:48,120 --> 03:18:49,000 PATIENT OUTCOMES? 5966 03:18:49,000 --> 03:18:50,640 THE ANSWER IS YES, BUT DOES IT 5967 03:18:50,640 --> 03:18:52,200 CHANGE FOR THE BETTER OR WORSE? 5968 03:18:52,200 --> 03:18:53,640 SO THAT REQUIRES LONG-TERM 5969 03:18:53,640 --> 03:18:54,240 FOLLOW-UP. 5970 03:18:54,240 --> 03:18:55,840 COULD WE GET CONSULTATIONS FROM 5971 03:18:55,840 --> 03:18:56,880 MULTIPLE HEALTH SYSTEMS? 5972 03:18:56,880 --> 03:19:00,080 LIKE WE TALK ABOUT THE LEARNING 5973 03:19:00,080 --> 03:19:01,680 HEALTH SYSTEM, BUT WHY CAN'T WE 5974 03:19:01,680 --> 03:19:04,760 DO IT ACROSS THE ENTIRE CT SA 5975 03:19:04,760 --> 03:19:05,720 NETWORK, FOR EXAMPLE? 5976 03:19:05,720 --> 03:19:06,520 COULD PATIENTS BENEFIT FROM 5977 03:19:06,520 --> 03:19:10,760 HAVING ACCESS TO SUCH REPORTS? 5978 03:19:10,760 --> 03:19:11,920 AND THEN ON THE KINDS OF ANSWERS 5979 03:19:11,920 --> 03:19:15,480 WE PROVIDE, WE WENT IN WITH THE 5980 03:19:15,480 --> 03:19:16,560 HYPOTHESIS THAT WE'D BE GIVEN 5981 03:19:16,560 --> 03:19:22,400 QUESTIONS OF THE NATURE IS X 5982 03:19:22,400 --> 03:19:23,760 ASSOCIATED WITH Z, THE ANALYSIS 5983 03:19:23,760 --> 03:19:24,680 WE DO IN MEDICINE. 5984 03:19:24,680 --> 03:19:27,040 BUT IT TURNS OUT WHAT PEOPLE 5985 03:19:27,040 --> 03:19:27,840 CARE ABOUT, PARTICULARLY 5986 03:19:27,840 --> 03:19:29,080 PATIENTS, IS THAT IF I GET X, 5987 03:19:29,080 --> 03:19:32,080 WHAT IS THE CLANS OF Y -- THE 5988 03:19:32,080 --> 03:19:33,320 OF WHY HAPPENING TO ME? 5989 03:19:33,320 --> 03:19:34,200 THAT'S WHAT A PATIENT CARES 5990 03:19:34,200 --> 03:19:35,040 ABOUT. 5991 03:19:35,040 --> 03:19:37,080 AND WE COULD SUMMARIZE THE RATE 5992 03:19:37,080 --> 03:19:39,480 OF THAT EVENT AND HISTORICAL 5993 03:19:39,480 --> 03:19:40,600 DATA, WHICH IS LIKE THE MAJORITY 5994 03:19:40,600 --> 03:19:43,040 OF THE QUESTIONS WE GOT, SO LEND 5995 03:19:43,040 --> 03:19:47,320 SOME SUPPORT TO THIS HYPOTHESIS, 5996 03:19:47,320 --> 03:19:49,320 THAT WE COULD TRY PREDICTING THE 5997 03:19:49,320 --> 03:19:51,040 RISK OF SOME OUTCOME OR TRY THE 5998 03:19:51,040 --> 03:19:53,280 HARDER PROBLEM OF COUNTERFACTUAL 5999 03:19:53,280 --> 03:19:54,200 INFERENCE AND TELL ME WHAT 6000 03:19:54,200 --> 03:19:55,440 HAPPENS IF I DON'T GET THE 6001 03:19:55,440 --> 03:19:57,600 INTERVENTION. 6002 03:19:57,600 --> 03:19:59,920 SO THAT'S WHERE THE FUTURE OF 6003 03:19:59,920 --> 03:20:01,200 RESEARCH IS LEADING ME TOWARDS, 6004 03:20:01,200 --> 03:20:03,200 AND I BELIEVE THIS IS MY LAST 6005 03:20:03,200 --> 03:20:04,240 SLIDE. 6006 03:20:04,240 --> 03:20:04,960 AMAZING GROUP I HAVE THE 6007 03:20:04,960 --> 03:20:08,800 PRIVILEGE OF WORKING WITH. 6008 03:20:08,800 --> 03:20:09,800 THIS PHOTO IS LIKE TWO WEEKS 6009 03:20:09,800 --> 03:20:10,680 BEFORE THE PANDEMIC. 6010 03:20:10,680 --> 03:20:12,280 MOST OF THEM HAVE NOW GRADUATED 6011 03:20:12,280 --> 03:20:14,400 OR MOVED ON TO OTHER ADVENTURES, 6012 03:20:14,400 --> 03:20:16,800 BUT I STILL USE THE OLD PHOTO. 6013 03:20:16,800 --> 03:20:20,120 AND THE URL AND MY CONTACT 6014 03:20:20,120 --> 03:20:23,600 INFORMATION. 6015 03:20:23,600 --> 03:20:24,280 I'LL STOP HERE. 6016 03:20:24,280 --> 03:20:25,920 >> THANK YOU, THAT WAS A PERFECT 6017 03:20:25,920 --> 03:20:27,040 PRESENTATION AND EXACTLY WHERE 6018 03:20:27,040 --> 03:20:28,560 OUR FIELD NEEDS TO HEAD. 6019 03:20:28,560 --> 03:20:30,520 I'M GOING TO FIRST TURN OVER TO 6020 03:20:30,520 --> 03:20:32,040 OUR DISCUSSANTS, JIM AND NANCY, 6021 03:20:32,040 --> 03:20:34,200 IF THEY HAVE QUESTIONS AND 6022 03:20:34,200 --> 03:20:35,040 COMMENTS THEY WANT TO START 6023 03:20:35,040 --> 03:20:35,240 WITH. 6024 03:20:35,240 --> 03:20:37,000 >> SURE. 6025 03:20:37,000 --> 03:20:37,880 DO YOU WANT TO START? 6026 03:20:37,880 --> 03:20:39,080 >> GO AHEAD, NANCY. 6027 03:20:39,080 --> 03:20:39,400 >> SURE. 6028 03:20:39,400 --> 03:20:41,600 THANK YOU AGAIN FOR THE 6029 03:20:41,600 --> 03:20:42,840 PRESENTATION AND CONGRATULATIONS 6030 03:20:42,840 --> 03:20:44,840 ON THE WORK AND THE BODY OF 6031 03:20:44,840 --> 03:20:45,040 WORK. 6032 03:20:45,040 --> 03:20:47,720 IT'S AN IMPORTANT AREA TO BRING 6033 03:20:47,720 --> 03:20:50,080 THE REAL WORLD EVIDENCE TO THE 6034 03:20:50,080 --> 03:20:51,240 POINT OF CARE OF THE CLINICAL 6035 03:20:51,240 --> 03:20:53,640 USER. 6036 03:20:53,640 --> 03:20:55,360 I HAVE A VARIETY OF QUESTIONS, 6037 03:20:55,360 --> 03:20:56,840 BUT MAYBE I'LL START WITH SOME 6038 03:20:56,840 --> 03:21:00,840 THAT ARE DATA-RELATED. 6039 03:21:00,840 --> 03:21:03,400 SO YOU MENTIONED THAT 17 TO 20% 6040 03:21:03,400 --> 03:21:05,600 FALSE POSITIVE RATE THAT YOU SAW 6041 03:21:05,600 --> 03:21:07,240 ON THOSE 35 CASES. 6042 03:21:07,240 --> 03:21:09,400 ARE YOU ABLE TO COMMENT ON SORT 6043 03:21:09,400 --> 03:21:13,480 OF WHAT FEATURES OR ABSENCE OF 6044 03:21:13,480 --> 03:21:14,560 FEATURES ACCOUNTED FOR THOSE 6045 03:21:14,560 --> 03:21:16,240 FALSE POSITIVES AND WHAT YOU 6046 03:21:16,240 --> 03:21:18,520 MIGHT BE THINKING ABOUT IN TERMS 6047 03:21:18,520 --> 03:21:22,880 OF BRIDGING THAT GAP? 6048 03:21:22,880 --> 03:21:25,040 >> THAT'S A TOUGH ONE. 6049 03:21:25,040 --> 03:21:28,160 SO THE CHALLENGE WITH ESTIMATING 6050 03:21:28,160 --> 03:21:29,920 FALSE DISCOVERY RATES IS WE NEED 6051 03:21:29,920 --> 03:21:33,280 AN INDEPENDENT SOURCE OF TRUTH. 6052 03:21:33,280 --> 03:21:36,240 AND THESE ASSOCIATIONS, THESE 6053 03:21:36,240 --> 03:21:37,360 179 ASSOCIATIONS, THIS DRUG AND 6054 03:21:37,360 --> 03:21:42,640 THIS OUTCOME, OUR BELIEF IS THAT 6055 03:21:42,640 --> 03:21:48,640 THEY ARE INDEED NOT ASSOCIATED. 6056 03:21:48,640 --> 03:21:49,600 SOME OF THEM COULD BE 6057 03:21:49,600 --> 03:21:50,360 ASSOCIATED, WE JUST DON'T KNOW 6058 03:21:50,360 --> 03:21:50,800 YET. 6059 03:21:50,800 --> 03:21:53,120 JUST REALLY GOOD TO GET A HARD 6060 03:21:53,120 --> 03:21:54,880 HANDLE ON IS THE FALSE POSITIVE 6061 03:21:54,880 --> 03:21:56,120 TRULY A FALSE POSITIVE? 6062 03:21:56,120 --> 03:21:57,920 LET'S SAY 90% OF THE TIME IT 6063 03:21:57,920 --> 03:21:59,360 ACTUALLY IS. 6064 03:21:59,360 --> 03:22:00,160 NOW WHY ARE WE SEEING THAT 6065 03:22:00,160 --> 03:22:01,160 ASSOCIATION? 6066 03:22:01,160 --> 03:22:07,600 USUALLY IT BOILS DOWN TO NOT THE 6067 03:22:07,600 --> 03:22:08,480 FUTURE SPACE BUT THE TEMPORAL 6068 03:22:08,480 --> 03:22:09,680 NATURE OF THE TIME LINE AND 6069 03:22:09,680 --> 03:22:11,080 HAVING SOME KIND OF CONFOUNDING 6070 03:22:11,080 --> 03:22:12,600 GOING ON OVER THERE, AS IN THEY 6071 03:22:12,600 --> 03:22:13,840 HAD SOME OTHER INDICATION OR 6072 03:22:13,840 --> 03:22:16,560 REASON TO HAVE THAT EVENT, WHICH 6073 03:22:16,560 --> 03:22:19,000 IS NOT CAPTURED IN THAT TIMELINE 6074 03:22:19,000 --> 03:22:20,080 AND YOU ONLY HAVE A SMALL 6075 03:22:20,080 --> 03:22:21,680 FRACTION OF IT, AND SO ONE OF 6076 03:22:21,680 --> 03:22:24,560 THE THINGS THAT WE DO IN 6077 03:22:24,560 --> 03:22:26,120 HINDSIGHT IS THAT YOU CAN HAVE 6078 03:22:26,120 --> 03:22:27,480 AN INCLUSION FILTER SAYING I'M 6079 03:22:27,480 --> 03:22:28,800 NOT GOING TO USE THE DATA UNLESS 6080 03:22:28,800 --> 03:22:32,320 I HAVE FIVE CONTIGUOUS YEARS. 6081 03:22:32,320 --> 03:22:33,800 AND THAT PUSHES DOWN THE CHANCES 6082 03:22:33,800 --> 03:22:35,640 OF GETTING FALSE POSITIVES. 6083 03:22:35,640 --> 03:22:36,160 >> THANKS. 6084 03:22:36,160 --> 03:22:37,880 I HAVE A RELATED QUESTION. 6085 03:22:37,880 --> 03:22:40,200 IT'S A BIT OF A METHODOLOGY BUT 6086 03:22:40,200 --> 03:22:43,680 ALSO A THOUGHT QUESTION WHICH 6087 03:22:43,680 --> 03:22:45,800 IS, CAN YOU SHARE YOUR 6088 03:22:45,800 --> 03:22:47,320 PERSPECTIVE ON GUARDING AGAINST 6089 03:22:47,320 --> 03:22:50,680 THE POTENTIALLY INADVERTENT 6090 03:22:50,680 --> 03:22:52,120 PERPETUATION OF HISTORICAL 6091 03:22:52,120 --> 03:22:54,200 BIASES IN TREATMENT? 6092 03:22:54,200 --> 03:22:58,160 SO IF CERTAIN POPULATIONS OR 6093 03:22:58,160 --> 03:23:00,880 COHORT OF -- MATCH COHORTS HAVE 6094 03:23:00,880 --> 03:23:02,200 SYSTEMATICALLY EITHER NOT BEEN 6095 03:23:02,200 --> 03:23:04,720 GIVEN CERTAIN TREATMENT OPTIONS 6096 03:23:04,720 --> 03:23:06,160 OR BEEN GIVEN DIFFERENT 6097 03:23:06,160 --> 03:23:10,960 TREATMENT OPTIONS, HOW DO WE NOT 6098 03:23:10,960 --> 03:23:13,400 PERPETUATE THAT IN TERMS OF A 6099 03:23:13,400 --> 03:23:13,800 CONSULT DIRECTION? 6100 03:23:13,800 --> 03:23:15,360 >> THAT IS ABSOLUTELY CRITICAL 6101 03:23:15,360 --> 03:23:17,560 TO HAVE A HUMAN IN THE LOOP SO 6102 03:23:17,560 --> 03:23:19,320 THAT EXACT QUESTION CAN BE 6103 03:23:19,320 --> 03:23:21,200 ASKED, AS IF IN WE ALWAYS SEE 6104 03:23:21,200 --> 03:23:22,640 PEOPLE OF A CERTAIN SKIN COLOR 6105 03:23:22,640 --> 03:23:23,840 WERE TREATED A CERTAIN WAY, 6106 03:23:23,840 --> 03:23:25,240 MAYBE THAT'S GOOD MEDICINE OR 6107 03:23:25,240 --> 03:23:27,680 MAYBE THAT WAS JUST BAD SOCIAL 6108 03:23:27,680 --> 03:23:28,040 DISCRIMINATION. 6109 03:23:28,040 --> 03:23:30,600 THERE'S NO WAY AN ALGORITHM CAN 6110 03:23:30,600 --> 03:23:32,920 TELL. 6111 03:23:32,920 --> 03:23:34,920 AND I THINK MAKING THIS THING 6112 03:23:34,920 --> 03:23:36,280 AUTOMATED, I DON'T THINK IS A 6113 03:23:36,280 --> 03:23:38,120 GOOD IDEA, AND HENCE ONE OF THE 6114 03:23:38,120 --> 03:23:40,960 BIG THINGS THAT WE -- THAT WE 6115 03:23:40,960 --> 03:23:43,600 MADE WAS THE ORIGINAL IDEA WAS 6116 03:23:43,600 --> 03:23:44,840 GREEN BUTTON IS A TOOL THAT 6117 03:23:44,840 --> 03:23:46,440 WOULD WORK INSIDE OF THE EHR. 6118 03:23:46,440 --> 03:23:48,200 LIKE WE ACTUALLY ENVISION A 6119 03:23:48,200 --> 03:23:49,560 BUTTON INSIDE OF EP INK WHEN WE 6120 03:23:49,560 --> 03:23:50,400 WROTE THAT PAPER. 6121 03:23:50,400 --> 03:23:52,520 BUT THEN WE DECIDED LET'S NOT 6122 03:23:52,520 --> 03:23:53,920 MAKE A BUTTON, LET'S MAKE A 6123 03:23:53,920 --> 03:23:55,800 SERVICE WHERE THERE IS A HUMAN 6124 03:23:55,800 --> 03:23:57,080 BEING LOOKING AT THE REPORT AND 6125 03:23:57,080 --> 03:23:59,280 SAYING, IS IT RELIABLE ENOUGH, 6126 03:23:59,280 --> 03:24:01,160 IS IT PLAUSIBLE, SHOULD I GIVE 6127 03:24:01,160 --> 03:24:05,080 TO THE TREATING PHYSICIAN OR 6128 03:24:05,080 --> 03:24:05,280 NOT? 6129 03:24:05,280 --> 03:24:07,080 >> THANKS, JIM. 6130 03:24:07,080 --> 03:24:07,720 DO YOU WANT TO ASK? 6131 03:24:07,720 --> 03:24:09,720 >> IT'S KIND OF RELATED TO THAT 6132 03:24:09,720 --> 03:24:12,600 QUESTION A LITTLE BIT. 6133 03:24:12,600 --> 03:24:16,120 YOU KNOW, IT'S SUCH AN 6134 03:24:16,120 --> 03:24:17,160 INTERESTING NOTION, IT'S SO EASY 6135 03:24:17,160 --> 03:24:20,680 TO GET AN ANSWER, AND IF YOU 6136 03:24:20,680 --> 03:24:24,080 ASAWM THAT PEOPLE LIKE YOUR 6137 03:24:24,080 --> 03:24:25,400 PATIENT WHO EITHER DID OR DID 6138 03:24:25,400 --> 03:24:26,760 NOT RECEIVE THE TREATMENT THAT 6139 03:24:26,760 --> 03:24:30,320 YOU'RE CONSIDERING, DID OR DID 6140 03:24:30,320 --> 03:24:32,760 NOT GET THAT TREATMENT SORT OF 6141 03:24:32,760 --> 03:24:37,200 RANDOMLY, THEN THAT'S GREAT. 6142 03:24:37,200 --> 03:24:38,920 BUT WHAT IF THERE'S SOME 6143 03:24:38,920 --> 03:24:39,840 CONFOUNDING FACTOR THAT YOU'RE 6144 03:24:39,840 --> 03:24:41,480 NOT THINKING OF, OR YOU MIGHT 6145 03:24:41,480 --> 03:24:42,920 THINK OF IT BUT IF YOU DON'T 6146 03:24:42,920 --> 03:24:46,080 LOOK FOR IT, FOR INSTANCE, SAY, 6147 03:24:46,080 --> 03:24:47,840 WELL, YOU KNOW, IF THEY WERE 6148 03:24:47,840 --> 03:24:48,800 MASSIVELY OBESE OR THEY HAD A 6149 03:24:48,800 --> 03:24:50,760 HISTORY OF HEART DISEASE OR SOME 6150 03:24:50,760 --> 03:24:53,880 OTHER THING THAT THE PHYSICIAN 6151 03:24:53,880 --> 03:24:57,040 WOULD NOT HAVE CHOSEN THIS DRUG, 6152 03:24:57,040 --> 03:24:58,560 AND SO IF YOU'RE NOT ACCOUNTING 6153 03:24:58,560 --> 03:25:00,880 FOR THAT, YOU MAY BE SEEING -- 6154 03:25:00,880 --> 03:25:05,280 THERE MAY BE A BIAS IN HOW THAT 6155 03:25:05,280 --> 03:25:06,680 TREATMENT OR WHATEVER IT IS IS 6156 03:25:06,680 --> 03:25:09,880 BEING CHOSEN. 6157 03:25:09,880 --> 03:25:11,080 AM I MAKING SENSE? 6158 03:25:11,080 --> 03:25:12,600 IT MAKES SENSE IN MY HEAD, 6159 03:25:12,600 --> 03:25:12,800 BUT -- 6160 03:25:12,800 --> 03:25:15,440 >> SO WE STRUGGLE WITH THAT ALL 6161 03:25:15,440 --> 03:25:15,920 THE TIME. 6162 03:25:15,920 --> 03:25:17,240 I MEAN, THERE'S ALWAYS THE 6163 03:25:17,240 --> 03:25:20,960 POSSIBILITY OF BIAS. 6164 03:25:20,960 --> 03:25:23,360 BUT I WANT TO SHOW THIS IMAGE AS 6165 03:25:23,360 --> 03:25:25,160 WHAT IS IT -- WHAT THE 6166 03:25:25,160 --> 03:25:27,000 ALTERNATIVE IS? 6167 03:25:27,000 --> 03:25:37,400 THAT'S OUR ALTERNATIVE. 6168 03:25:39,440 --> 03:25:40,000 >> OKAY. 6169 03:25:40,000 --> 03:25:41,760 >> SO IT'S NOT PERFECT. 6170 03:25:41,760 --> 03:25:43,960 I'M NOT MAKING THE CLAIM THAT 6171 03:25:43,960 --> 03:25:46,600 LOOKING AT PRIOR DATA OR LOOKING 6172 03:25:46,600 --> 03:25:48,920 AT A REPORT AND HAVING A HUMAN 6173 03:25:48,920 --> 03:25:51,520 IN THE LOOP IS LIKE THE PERFECT 6174 03:25:51,520 --> 03:25:52,080 SOLUTION. 6175 03:25:52,080 --> 03:25:53,600 BUT OUR ALTERNATIVE IS GUESSING, 6176 03:25:53,600 --> 03:25:54,240 WITH NO DATA. 6177 03:25:54,240 --> 03:25:55,920 >> RIGHT. 6178 03:25:55,920 --> 03:26:00,080 BUT WHAT IF YOU SYSTEMATICALLY 6179 03:26:00,080 --> 03:26:03,480 INCLUDE THINGS THAT WOULD BE 6180 03:26:03,480 --> 03:26:04,160 USED IN THE DECISION TO 6181 03:26:04,160 --> 03:26:05,600 PARTITION THE POPULATION THAT 6182 03:26:05,600 --> 03:26:06,240 YOU'RE LOOKING AT INTO THE 6183 03:26:06,240 --> 03:26:08,640 PEOPLE THAT HAVE AND DON'T HAVE 6184 03:26:08,640 --> 03:26:11,160 THAT WHATEVER IT IS RISK FACTOR, 6185 03:26:11,160 --> 03:26:12,400 CONCURRENT CONDITION, CONCURRENT 6186 03:26:12,400 --> 03:26:14,120 MEDICATION, WHATEVER THAT IS, 6187 03:26:14,120 --> 03:26:16,440 YOU KNOW, A BLOOD TEST RESULT 6188 03:26:16,440 --> 03:26:23,000 THAT SAYS THIS PERSON'S, YOU 6189 03:26:23,000 --> 03:26:24,760 KNOW, PROTHROMBIN TIME IS TOO 6190 03:26:24,760 --> 03:26:25,760 HIGH TO DO THIS TREATMENT OR 6191 03:26:25,760 --> 03:26:26,320 WHATEVER THAT IS. 6192 03:26:26,320 --> 03:26:28,720 YOU BRING IN AS MANY OF THOSE 6193 03:26:28,720 --> 03:26:29,840 THINGS AS POSSIBLE AND IF WE 6194 03:26:29,840 --> 03:26:31,800 WERE DOING A STUDY OF THIS AND 6195 03:26:31,800 --> 03:26:32,960 ENROLL PEOPLE PROSPECTIVELY, 6196 03:26:32,960 --> 03:26:34,400 WHAT THINGS WOULD WE USE THAT WE 6197 03:26:34,400 --> 03:26:36,200 WOULD WANT TO MAKE SURE WERE 6198 03:26:36,200 --> 03:26:37,600 INCLUDED IN OUR CONTROL AND 6199 03:26:37,600 --> 03:26:39,280 INTERVENTION GROUPS THAT WERE 6200 03:26:39,280 --> 03:26:41,440 DISTRIBUTED EVENLY ACROSS THOSE 6201 03:26:41,440 --> 03:26:42,040 GROUPS? 6202 03:26:42,040 --> 03:26:43,320 THAT REQUIRES EXPERTISE, IT 6203 03:26:43,320 --> 03:26:44,080 REQUIRES MAYBE LITERATURE 6204 03:26:44,080 --> 03:26:45,440 SEARCH, IT REQUIRES A LOT OF 6205 03:26:45,440 --> 03:26:46,880 OTHER WORK THAT'S NOT JUST SIT 6206 03:26:46,880 --> 03:26:48,880 DOWN AND HIT A BUTTON AND LOOK 6207 03:26:48,880 --> 03:26:51,680 AT THE DIFFERENCE BETWEEN 6208 03:26:51,680 --> 03:26:52,720 OUTCOMES OR CHOICES OF TREATMENT 6209 03:26:52,720 --> 03:26:53,520 OR WHAT HAVE YOU. 6210 03:26:53,520 --> 03:26:55,480 AND I THINK OUTCOME IS A 6211 03:26:55,480 --> 03:26:57,200 PERFECTLY GOOD TERM FOR THAT, 6212 03:26:57,200 --> 03:26:57,400 BUT -- 6213 03:26:57,400 --> 03:27:01,560 >> THAT IS THE EXACT REASON, YOU 6214 03:27:01,560 --> 03:27:02,960 AR 6215 03:27:02,960 --> 03:27:04,120 ARTICULATED IT PERFECTLY, THAT 6216 03:27:04,120 --> 03:27:05,360 IS THE EXACT REASON WE DON'T 6217 03:27:05,360 --> 03:27:06,600 MAKE IT A TOOL AND IT IS A 6218 03:27:06,600 --> 03:27:07,120 SERVICE. 6219 03:27:07,120 --> 03:27:08,080 THERE IS A CONVERSATION, AND IN 6220 03:27:08,080 --> 03:27:09,600 THAT CONVERSATION, AND I DIDN'T 6221 03:27:09,600 --> 03:27:12,480 DRILL DOWN INTO IT, WE ACTUALLY 6222 03:27:12,480 --> 03:27:13,680 FOLLOW THE SUGGESTIONS FROM 6223 03:27:13,680 --> 03:27:16,240 MIGUEL HERNAN'S GROUP OF 6224 03:27:16,240 --> 03:27:18,440 FORMULATING A TARGET TRIAL, AND 6225 03:27:18,440 --> 03:27:21,600 THE MINDSET BEING IF THERE WAS 6226 03:27:21,600 --> 03:27:23,880 AN RCT BEING SET UP FOR THIS 6227 03:27:23,880 --> 03:27:26,920 QUESTION, WHAT FORM WOULD IT 6228 03:27:26,920 --> 03:27:27,120 TAKE? 6229 03:27:27,120 --> 03:27:31,320 AND THEN WE ATTEMPT TO FIND THE 6230 03:27:31,320 --> 03:27:32,480 PICOT CRITERIA AS CLOSE AS 6231 03:27:32,480 --> 03:27:33,640 POSSIBLE TO THAT RCT. 6232 03:27:33,640 --> 03:27:35,520 THAT IS THE JOB OF THE INTAKE 6233 03:27:35,520 --> 03:27:35,960 PHYSICIAN. 6234 03:27:35,960 --> 03:27:37,800 WE NEVER SAY THE WORD TARGET 6235 03:27:37,800 --> 03:27:39,000 TRIAL OR ANY OF THAT TO THE 6236 03:27:39,000 --> 03:27:40,440 DOCTOR REQUESTING THE 6237 03:27:40,440 --> 03:27:41,160 CONSULTATION, BUT THAT'S WHAT WE 6238 03:27:41,160 --> 03:27:42,640 ARE DOING, THAT IS THE MANUAL 6239 03:27:42,640 --> 03:27:44,600 WORK WE'RE DOING TO DESIGN THE 6240 03:27:44,600 --> 03:27:47,240 STUDY THAT IS THE MOST 6241 03:27:47,240 --> 03:27:48,560 DEFENSIBLE IN TERMS OF ITS 6242 03:27:48,560 --> 03:27:53,280 STRUCTURE. 6243 03:27:53,280 --> 03:27:53,920 >> OKAY. 6244 03:27:53,920 --> 03:27:58,880 >> I'M WONDERING IF YOU'VE 6245 03:27:58,880 --> 03:27:59,880 THOUGHT ABOUT -- SO IT MAKES A 6246 03:27:59,880 --> 03:28:06,920 LOT OF SENSE TO HAVE A PIECE OF 6247 03:28:06,920 --> 03:28:08,560 THIS BE THAT HUMAN CONSULT 6248 03:28:08,560 --> 03:28:10,080 SERVICE, THAT MAKES A TREMENDOUS 6249 03:28:10,080 --> 03:28:11,600 AMOUNT OF SENSE. 6250 03:28:11,600 --> 03:28:13,600 BUT EVEN AT THAT EVIDENCE AT THE 6251 03:28:13,600 --> 03:28:17,000 POINT OF CARE POINT, DID YOU 6252 03:28:17,000 --> 03:28:18,960 CONSIDER OR DID YOU TRY AND THEN 6253 03:28:18,960 --> 03:28:21,280 DECIDE IT WASN'T VIABLE OR 6254 03:28:21,280 --> 03:28:24,480 SOMETHING, THE ABILITY TO HAVE 6255 03:28:24,480 --> 03:28:29,400 THAT, THAT BASICALLY THAT DATA 6256 03:28:29,400 --> 03:28:30,480 PRESENTATION, BUT BE ABLE TO 6257 03:28:30,480 --> 03:28:31,880 CHANGE THE FILTERS ON IT, FOR 6258 03:28:31,880 --> 03:28:35,240 EXAMPLE, SO IF I REMOVE GENDER 6259 03:28:35,240 --> 03:28:37,520 FROM THIS, WHAT DO THOSE 6260 03:28:37,520 --> 03:28:38,320 OUTCOMES LOOK LIKE? 6261 03:28:38,320 --> 03:28:41,080 IF I REMOVE RACE FROM IT OR IF I 6262 03:28:41,080 --> 03:28:41,520 ADD RACE. 6263 03:28:41,520 --> 03:28:43,600 SO HOW DID THAT WORK FOR YOU? 6264 03:28:43,600 --> 03:28:45,600 >> SO DEFINITELY THOUGHT ABOUT 6265 03:28:45,600 --> 03:28:46,000 IT. 6266 03:28:46,000 --> 03:28:51,160 WE DECIDED NOT TO PURSUE IT, 6267 03:28:51,160 --> 03:28:52,240 BECAUSE IN THE COURSE OF THE 6268 03:28:52,240 --> 03:28:53,360 GRANT, IT WAS BECOMING TOO MUCH. 6269 03:28:53,360 --> 03:28:55,040 IN FACT, WE'VE HAD A TEAM FROM 6270 03:28:55,040 --> 03:28:57,320 EPIC VISIT US FOR A DEEP DIVE 6271 03:28:57,320 --> 03:28:58,280 TWICE. 6272 03:28:58,280 --> 03:29:02,920 WE'VE HAD CONVERSATION AS WELL. 6273 03:29:02,920 --> 03:29:04,680 NOT EVERYTHING HAS TO BE A 6274 03:29:04,680 --> 03:29:05,160 SERVICE. 6275 03:29:05,160 --> 03:29:07,520 AND THEN THE REPORT THAT GOES 6276 03:29:07,520 --> 03:29:09,840 BACK NEEDS TO HAVE THESE LEVERS 6277 03:29:09,840 --> 03:29:14,560 THAT A DOCTOR CAN SAY -- IN OUR 6278 03:29:14,560 --> 03:29:15,640 CASE, WHAT HAPPENS IS IT WOULD 6279 03:29:15,640 --> 03:29:16,960 BECOME A NEW REPORT. 6280 03:29:16,960 --> 03:29:18,160 THAT'S WHAT SOMETIMES LED TO 6281 03:29:18,160 --> 03:29:18,600 72 HOURS. 6282 03:29:18,600 --> 03:29:20,040 LIKE WE SHOWED THEM THE FIRST 6283 03:29:20,040 --> 03:29:23,000 CUT REPORT AND -- OH, BUT WHAT 6284 03:29:23,000 --> 03:29:25,000 IF I CHANGE THE AGE CRITERIA? 6285 03:29:25,000 --> 03:29:27,000 FINE, LET'S RE-RUN IT FOR YOU. 6286 03:29:27,000 --> 03:29:28,640 BUT SOME OF THOSE THINGS CAN BE 6287 03:29:28,640 --> 03:29:29,080 AUTOMATED. 6288 03:29:29,080 --> 03:29:30,520 LIKE HERE ARE THE 10 VARIATIONS 6289 03:29:30,520 --> 03:29:33,120 THAT A RESEARCHER IS LIKELY TO 6290 03:29:33,120 --> 03:29:34,080 ASK FOR. 6291 03:29:34,080 --> 03:29:36,160 AGE, GENDER, AGE GROUP, 6292 03:29:36,160 --> 03:29:39,080 INDICATIONS BEING THE EASY ONES 6293 03:29:39,080 --> 03:29:40,440 TO PRECALCULATE AND HAVE IT IN A 6294 03:29:40,440 --> 03:29:40,760 LIVE REPORT. 6295 03:29:40,760 --> 03:29:42,520 BUT WE DIDN'T HAVE LIVE REPORTS, 6296 03:29:42,520 --> 03:29:43,800 WE HAD PDFs. 6297 03:29:43,800 --> 03:29:46,120 SO WE WOULD JUST RE-RUN THE 6298 03:29:46,120 --> 03:29:51,360 REPORT AS VERSION 1.1, 1.2, 1.3. 6299 03:29:51,360 --> 03:29:56,320 BUT THERE'S ONLY 100 UNIQUE 6300 03:29:56,320 --> 03:29:56,560 REPORT. 6301 03:29:56,560 --> 03:29:58,600 >> IT SEEMS REASONABLE THAT A 6302 03:29:58,600 --> 03:30:00,000 GOAL MIGHT BE FOR THIS TO 6303 03:30:00,000 --> 03:30:01,760 CONTINUE TO EVOLVE TO BOTH HAVE 6304 03:30:01,760 --> 03:30:03,640 A CONSULT SERVICE TYPE OF BRANCH 6305 03:30:03,640 --> 03:30:08,320 TO IT AND A MORE SORT OF 6306 03:30:08,320 --> 03:30:09,760 REALTIME POINT OF CARE 6307 03:30:09,760 --> 03:30:10,080 INTERACTIVE. 6308 03:30:10,080 --> 03:30:10,800 >> 100%. 6309 03:30:10,800 --> 03:30:12,720 I WOULD LOVE TO DO THIS ON 6310 03:30:12,720 --> 03:30:14,000 COSMOS, JUST TO PUT IT OUT 6311 03:30:14,000 --> 03:30:14,200 THERE. 6312 03:30:14,200 --> 03:30:17,440 >> YEAH. 6313 03:30:17,440 --> 03:30:19,000 IS IT OKAY IF I ASK ANOTHER 6314 03:30:19,000 --> 03:30:20,440 QUESTION OR SHALL WE OPEN IT UP 6315 03:30:20,440 --> 03:30:23,320 TO OTHERS? 6316 03:30:23,320 --> 03:30:25,200 >> GO AHEAD BUT IF OTHERS CAN 6317 03:30:25,200 --> 03:30:26,720 RAISE THEIR HANDS IF THEY HAVE 6318 03:30:26,720 --> 03:30:28,440 QUESTIONS THEN WE'LL QUEUE THEM 6319 03:30:28,440 --> 03:30:28,600 UP. 6320 03:30:28,600 --> 03:30:29,880 >> THANKS, HEIDI. 6321 03:30:29,880 --> 03:30:31,880 ANOTHER THING I FOUND NOT REALLY 6322 03:30:31,880 --> 03:30:33,320 SURPRISING BUT DEFINITELY 6323 03:30:33,320 --> 03:30:35,400 NOTABLE IN YOUR TABLE OF 6324 03:30:35,400 --> 03:30:37,360 MOTIVATIONS AND SUBSEQUENT 6325 03:30:37,360 --> 03:30:39,480 ACTIONS, OTHERWISE KNOWN AS 6326 03:30:39,480 --> 03:30:41,680 OUTCOMES, THAT THE IMPACT OF 6327 03:30:41,680 --> 03:30:44,080 CLINICAL -- ON CLINICAL CARE WAS 6328 03:30:44,080 --> 03:30:47,360 THE GREATEST ALBEIT FOR VERY LOW 6329 03:30:47,360 --> 03:30:48,720 END 100% FOR THE RARE DISEASE 6330 03:30:48,720 --> 03:30:49,880 CASE, WHICH IS NOT SURPRISING 6331 03:30:49,880 --> 03:30:55,080 THAT THAT IMPACTED CLINICAL 6332 03:30:55,080 --> 03:30:55,280 CARE. 6333 03:30:55,280 --> 03:30:56,480 SO I THINK ONE OF THE THINGS 6334 03:30:56,480 --> 03:31:00,400 THAT THAT BRINGS TO MIND IS THAT 6335 03:31:00,400 --> 03:31:02,160 THE OPPORTUNITY TO USE VAST 6336 03:31:02,160 --> 03:31:04,720 POPULATION DATA TO SUPPORT 6337 03:31:04,720 --> 03:31:06,360 CLINICAL CARE FOR RARE CASE 6338 03:31:06,360 --> 03:31:07,680 PRESENTATIONS IN PARTICULAR 6339 03:31:07,680 --> 03:31:09,600 COULD REALLY BE GAME CHANGING. 6340 03:31:09,600 --> 03:31:10,640 >> 100%. 6341 03:31:10,640 --> 03:31:11,840 SO ON BOTH COUNTS ACTUALLY. 6342 03:31:11,840 --> 03:31:14,160 SO THE FIRST ONE, I THINK IT'S 6343 03:31:14,160 --> 03:31:15,600 WORTH DOUBLE CLICKING ON, IT 6344 03:31:15,600 --> 03:31:17,880 SEEMS LOW, 10 OUT OF 83, BUT 6345 03:31:17,880 --> 03:31:20,440 THAT'S ABOUT THE RATE AT WHICH A 6346 03:31:20,440 --> 03:31:21,320 SECOND OPINION CHANGES OUTCOMES. 6347 03:31:21,320 --> 03:31:26,640 >> YEAH. 6348 03:31:26,640 --> 03:31:29,000 >> AND FOR RARE DISEASES, IT HAS 6349 03:31:29,000 --> 03:31:29,680 MUCH HIGHER VALUE. 6350 03:31:29,680 --> 03:31:32,760 >> SO MY QUESTION ACTUALLY 6351 03:31:32,760 --> 03:31:33,640 EXTENDS ON THE RARE DISEASE 6352 03:31:33,640 --> 03:31:34,840 CASE, WHICH IS WHEN YOU ARE 6353 03:31:34,840 --> 03:31:39,440 THINKING ABOUT DOING SOMETHING 6354 03:31:39,440 --> 03:31:41,040 ON THE RARE DISEASE FRONT, I'M 6355 03:31:41,040 --> 03:31:41,640 NOT GOING TO ANSWER YOUR 6356 03:31:41,640 --> 03:31:42,600 QUESTION FOR YOU, I'LL HAVE YOU 6357 03:31:42,600 --> 03:31:48,080 ANSWER IT, BUT CAN YOU COMMENT 6358 03:31:48,080 --> 03:31:50,080 ON HOW EITHER YOU'VE ARCHITECTED 6359 03:31:50,080 --> 03:31:51,440 THINGS OR YOU WISH THINGS COULD 6360 03:31:51,440 --> 03:31:54,920 BE ARCHITECTED SO THAT YOU CAN 6361 03:31:54,920 --> 03:31:57,680 GAIN THE BENEFIT OF THAT 6362 03:31:57,680 --> 03:32:00,680 MATCHING ACTIVITY IN THE RARE 6363 03:32:00,680 --> 03:32:02,960 DISEASE CASE WITHOUT RISK OF 6364 03:32:02,960 --> 03:32:05,040 EXPOSURE OF INDIVIDUAL IDENTITY? 6365 03:32:05,040 --> 03:32:07,000 >> SO I HAVEN'T SPENT MUCH TIME 6366 03:32:07,000 --> 03:32:08,160 IN THE RARE DISEASE SPACE. 6367 03:32:08,160 --> 03:32:10,000 ALL OF THE WORK I PRESENTED IS 6368 03:32:10,000 --> 03:32:12,520 WITH DE-IDENTIFIED DATA. 6369 03:32:12,520 --> 03:32:14,560 BUT WITH RARE DISEASES, THE 6370 03:32:14,560 --> 03:32:15,400 USUAL DEIDENTIFICATION DOESN'T 6371 03:32:15,400 --> 03:32:16,120 WORK. 6372 03:32:16,120 --> 03:32:18,600 I MEAN, SO THE SHORT ANSWER IS 6373 03:32:18,600 --> 03:32:20,480 NO, I PROBABLY WANT TO CALL OUT 6374 03:32:20,480 --> 03:32:21,600 BRAD BEFORE I DO ANYTHING IN 6375 03:32:21,600 --> 03:32:26,080 THAT SPACE. 6376 03:32:26,080 --> 03:32:26,720 >> THANKS. 6377 03:32:26,720 --> 03:32:29,640 I TURN IT OVER TO ANDY. 6378 03:32:29,640 --> 03:32:31,240 >> THAT WAS A REALLY INTERESTING 6379 03:32:31,240 --> 03:32:32,120 TALK. 6380 03:32:32,120 --> 03:32:34,640 I'M WONDERING, YOU DIDN'T 6381 03:32:34,640 --> 03:32:36,800 MENTION GENETIC VARIANTS OR 6382 03:32:36,800 --> 03:32:39,400 RELATEDNESS AMONG CASES AT ALL, 6383 03:32:39,400 --> 03:32:40,800 AND WHAT ARE THE PROSPECTS, I 6384 03:32:40,800 --> 03:32:41,800 SUPPOSE IT WOULD BE MOST LIKELY 6385 03:32:41,800 --> 03:32:45,200 TO BE APPLIED WHERE THERE ARE 6386 03:32:45,200 --> 03:32:46,520 TARGETED VARIANTS IN TARGETED 6387 03:32:46,520 --> 03:32:47,720 GENES IN A KNOWN PATHWAY OR 6388 03:32:47,720 --> 03:32:48,720 SOMETHING RATHER THAN 6389 03:32:48,720 --> 03:32:49,960 GENOME-WIDE GIVEN THE SAMPLES 6390 03:32:49,960 --> 03:32:51,040 YOU'RE TALKING ABOUT, BUT WHAT'S 6391 03:32:51,040 --> 03:32:52,800 THE FUTURE OF GENETIC 6392 03:32:52,800 --> 03:32:53,560 INFORMATION BEING USED IN THIS 6393 03:32:53,560 --> 03:32:56,360 KIND OF PROCESS? 6394 03:32:56,360 --> 03:32:58,640 >> I THINK IT WILL BE ONE MORE 6395 03:32:58,640 --> 03:33:04,120 TRACK IN THE PATIENT TIMELINE, 6396 03:33:04,120 --> 03:33:05,960 AND THE STANFORD DATABASE IS 6397 03:33:05,960 --> 03:33:07,320 SMALL AND ON THE OPERATIONAL 6398 03:33:07,320 --> 03:33:08,760 SIDE, THE KINDS OF TESTS WE GOT, 6399 03:33:08,760 --> 03:33:11,960 A LOT OF THEM ARE SCANNED PDFs 6400 03:33:11,960 --> 03:33:12,960 WHICH ARE REALLY DIFFICULT TO 6401 03:33:12,960 --> 03:33:13,600 WORK WITH. 6402 03:33:13,600 --> 03:33:19,000 BUT IN ONCOLOGY, I TOTALLY SEE 6403 03:33:19,000 --> 03:33:19,840 STRUCTURED GENETIC INFORMATION 6404 03:33:19,840 --> 03:33:23,480 BECOMING A HIGHLY USEFUL TRACK 6405 03:33:23,480 --> 03:33:25,760 THAT HELPS IN DECIDING TREATMENT 6406 03:33:25,760 --> 03:33:27,080 A VERSUS TREATMENT B. 6407 03:33:27,080 --> 03:33:29,040 IT'S ALREADY THERE, THERE'S 6408 03:33:29,040 --> 03:33:30,600 MULTIPLE COMPANIES OFFERING 6409 03:33:30,600 --> 03:33:32,920 THOSE REPORTS, BUT THE DATA ARE 6410 03:33:32,920 --> 03:33:34,720 STILL SCATTERED IN TERMS OF 6411 03:33:34,720 --> 03:33:35,600 INSTITUTIONS, IN TERMS OF 6412 03:33:35,600 --> 03:33:38,120 PATIENTS, IN TERMS OF DIAGNOSIS 6413 03:33:38,120 --> 03:33:40,480 AREAS, AND THERE ISN'T ENOUGH -- 6414 03:33:40,480 --> 03:33:42,680 BIG ENOUGH REPOSITORIES AT ONE 6415 03:33:42,680 --> 03:33:46,240 PLACE TO SAY IF YOU HAVE, ASIDE 6416 03:33:46,240 --> 03:33:48,160 FROM SAY BREAST CANCER, MAYBE, 6417 03:33:48,160 --> 03:33:49,680 BUT IF YOU HAVE THIS PARTICULAR 6418 03:33:49,680 --> 03:33:51,200 KIND OF MUTATION PROFILE, WE 6419 03:33:51,200 --> 03:33:53,440 RECOMMEND THIS AND BASED ON THE 6420 03:33:53,440 --> 03:33:54,640 PAST 500 PATIENTS, HERE'S THE 6421 03:33:54,640 --> 03:33:56,440 PROGNOSTIC PROFILE. 6422 03:33:56,440 --> 03:33:58,640 WE'RE NOT THERE YET, BUT I THINK 6423 03:33:58,640 --> 03:34:01,960 THAT'S THE NEXT THING THING D 6424 03:34:01,960 --> 03:34:02,480 HAPPEN OR SHOULD HAPPEN. 6425 03:34:02,480 --> 03:34:04,680 >> A QUICK FOLLOW-UP, YOU HAVE 6426 03:34:04,680 --> 03:34:07,120 SHARED THIS KIND OF CONSULTATION 6427 03:34:07,120 --> 03:34:08,200 SERVICE WITH OTHER INSTITUTION, 6428 03:34:08,200 --> 03:34:08,480 I GATHER. 6429 03:34:08,480 --> 03:34:10,320 IS THERE A PLAN TO THEN UNIFY 6430 03:34:10,320 --> 03:34:11,480 THE DATABASES AS WELL? 6431 03:34:11,480 --> 03:34:20,520 >> SO ME AS AN NIH-FUNDED -- 6432 03:34:20,520 --> 03:34:21,720 INVESTIGATOR I DO NOT PLAN TO 6433 03:34:21,720 --> 03:34:23,320 TRY TO UNIFY DATABASES. 6434 03:34:23,320 --> 03:34:26,240 IT IS A MUCH HARDER PROBLEM AS 6435 03:34:26,240 --> 03:34:29,600 YOU'VE SOON WITH N3C AND ALL THE 6436 03:34:29,600 --> 03:34:30,480 FUSS. 6437 03:34:30,480 --> 03:34:32,040 IT IS A NON-TRIVIAL ENTERPRISE. 6438 03:34:32,040 --> 03:34:33,280 THE OTHER THING I SEE HAPPENING 6439 03:34:33,280 --> 03:34:37,560 IS THAT THERE IS A GOLD RUSH TO 6440 03:34:37,560 --> 03:34:40,520 CREATE WALLED GARDENS OF 6441 03:34:40,520 --> 03:34:41,520 LONGITUDINAL DATA. 6442 03:34:41,520 --> 03:34:42,520 THERE'S AT LEAST EIGHT TO 10 6443 03:34:42,520 --> 03:34:43,560 COMPANIES THAT ARE OUT THERE. 6444 03:34:43,560 --> 03:34:45,480 AND AS AN ACADEMIC, IT'S REALLY 6445 03:34:45,480 --> 03:34:47,480 DIFFICULT TO GO UP AGAINST, YOU 6446 03:34:47,480 --> 03:34:51,320 KNOW, MILLIONS OF DOLLARS OF -- 6447 03:34:51,320 --> 03:34:51,760 MONEY. 6448 03:34:51,760 --> 03:34:53,480 THAT'S THE REASON I'VE STAYED 6449 03:34:53,480 --> 03:34:55,280 AWAY FROM IT AS A RESEARCHER, 6450 03:34:55,280 --> 03:34:57,160 BUT AS A COMMUNITY, WE'VE GOT TO 6451 03:34:57,160 --> 03:34:58,600 FIND A WAY TO SOLVE THIS. 6452 03:34:58,600 --> 03:35:00,600 WE CAN'T HAVE THE LEARNING L 6453 03:35:00,600 --> 03:35:02,120 SYSTEM, WE CAN'T FIGURE OUT A 6454 03:35:02,120 --> 03:35:06,320 WAY TO SHARE DATA. 6455 03:35:06,320 --> 03:35:08,080 AS SOME OF THE ETHICISTS HAVE 6456 03:35:08,080 --> 03:35:11,800 PUT IT, WE ALL WANT TO BENEFIT 6457 03:35:11,800 --> 03:35:13,400 FROM THE LEARNING HEALTH SYSTEM 6458 03:35:13,400 --> 03:35:14,560 BUT WE DON'T WANT TO SHARE OUR 6459 03:35:14,560 --> 03:35:15,960 DATA. 6460 03:35:15,960 --> 03:35:16,520 HOW'S THAT? 6461 03:35:16,520 --> 03:35:19,600 IT'S NOT GOING TO WORK. 6462 03:35:19,600 --> 03:35:25,640 >> PATTI. 6463 03:35:25,640 --> 03:35:27,600 WE CAN'T HEAR YOU, PATTI. 6464 03:35:27,600 --> 03:35:28,200 MAYBE DOUBLE MUTE GOING ON. 6465 03:35:28,200 --> 03:35:30,400 >> I GOT TOO MANY BUTTONS TO 6466 03:35:30,400 --> 03:35:31,480 TOUCH HERE TODAY. 6467 03:35:31,480 --> 03:35:33,040 THANKS VERY MUCH, NIGAM. 6468 03:35:33,040 --> 03:35:35,320 I COULD LISTEN TO YOU TALK ALL 6469 03:35:35,320 --> 03:35:35,880 AFTERNOON. 6470 03:35:35,880 --> 03:35:37,120 YOUR WORK IS VERY INSPIRING. 6471 03:35:37,120 --> 03:35:38,560 I WAS VERY INTRIGUED BY YOUR 6472 03:35:38,560 --> 03:35:40,080 IDEA OF SHARING THE OUTPUT WITH 6473 03:35:40,080 --> 03:35:42,320 THE PATIENT AND WONDERED IF 6474 03:35:42,320 --> 03:35:44,720 YOU'D DONE ANY EXPLORATION AT 6475 03:35:44,720 --> 03:35:46,240 ALL ABOUT WHAT THAT MIGHT BE 6476 03:35:46,240 --> 03:35:49,560 LIKE OR HOW PEOPLE RESPOND TO 6477 03:35:49,560 --> 03:35:50,800 THAT OR DO THEY IMMEDIATELY GO 6478 03:35:50,800 --> 03:35:55,120 BACK TO UCSF OR STANFORD OR WHAT 6479 03:35:55,120 --> 03:35:55,720 DO THEY DO? 6480 03:35:55,720 --> 03:35:58,360 >> SO WE'VE HAD FIVE OR SIX OF 6481 03:35:58,360 --> 03:36:00,200 THESE THAT WERE ACTUALLY 6482 03:36:00,200 --> 03:36:05,400 TRIGGERED BY THE PATIENT. 6483 03:36:05,400 --> 03:36:08,160 BUT BECAUSE THIS WAS AN IRB LN 6484 03:36:08,160 --> 03:36:09,840 FUNDED OR COVERED STUDY, WE THEN 6485 03:36:09,840 --> 03:36:10,840 ASKED THEM TO GO TO THEIR DOCTOR 6486 03:36:10,840 --> 03:36:14,120 AND HAVE THEIR DOCTOR REQUEST 6487 03:36:14,120 --> 03:36:14,480 IT. 6488 03:36:14,480 --> 03:36:15,880 AND THEN THE DOCTOR CAN CHOOSE 6489 03:36:15,880 --> 03:36:17,360 TO SHARE WITH THE PATIENT 6490 03:36:17,360 --> 03:36:17,760 DIRECTLY OR NOT. 6491 03:36:17,760 --> 03:36:20,080 SO I DON'T KNOW WHETHER THE 6492 03:36:20,080 --> 03:36:20,960 FINAL REPORT WENT TO THE PATIENT 6493 03:36:20,960 --> 03:36:26,280 OR NOT, BUT IT WAS DEFINITELY 6494 03:36:26,280 --> 03:36:27,160 TRIGGERED BECAUSE OF A PATIENT 6495 03:36:27,160 --> 03:36:28,160 REQUEST BECAUSE A PHYSICIAN EVEN 6496 03:36:28,160 --> 03:36:29,880 TOLD US, MY PATIENT SO-AND-SO IS 6497 03:36:29,880 --> 03:36:33,000 ASKING FOR THIS. 6498 03:36:33,000 --> 03:36:34,520 DOES THAT MAKE A DIFFERENCE? 6499 03:36:34,520 --> 03:36:40,080 I WOULD LIKE TO BELIEVE IT DOES. 6500 03:36:40,080 --> 03:36:41,400 THERE WAS REASON FOR ME TO ORDER 6501 03:36:41,400 --> 03:36:43,440 A REPORT FOR MYSELF, AND IT DID 6502 03:36:43,440 --> 03:36:45,000 CHANGE THE DECISION I MADE FOR 6503 03:36:45,000 --> 03:36:46,160 MY OWN TREATMENT. 6504 03:36:46,160 --> 03:36:49,520 >> INTERESTING. 6505 03:36:49,520 --> 03:36:52,160 >> THAT'S AN N OF 1. 6506 03:36:52,160 --> 03:36:55,400 I'M ONE OF THOSE 5. 6507 03:36:55,400 --> 03:36:57,120 >> THAT EXPERIENCE MIGHT BE VERY 6508 03:36:57,120 --> 03:36:58,600 INTERESTING WHEN WE LOOK TOWARDS 6509 03:36:58,600 --> 03:37:00,480 HOW DO WE CHANGE A PAYMENT 6510 03:37:00,480 --> 03:37:01,840 SYSTEM FOR CONSULTATION SERVICES 6511 03:37:01,840 --> 03:37:03,640 LIKE THIS. 6512 03:37:03,640 --> 03:37:06,080 I MEAN, I COULD SEE THAT -- A 6513 03:37:06,080 --> 03:37:07,600 PATIENT BEING MORE COMFORTABLE, 6514 03:37:07,600 --> 03:37:09,160 BEING MORE CONFIDENT IN THE 6515 03:37:09,160 --> 03:37:10,160 STRATEGY MIGHT BE WORTH PAYING 6516 03:37:10,160 --> 03:37:11,600 FOR. 6517 03:37:11,600 --> 03:37:12,360 TWO MORE POINTS I'M GOING TO 6518 03:37:12,360 --> 03:37:13,800 MAKE, YOU DON'T HAVE TO RESPOND 6519 03:37:13,800 --> 03:37:15,320 IF OTHER PEOPLE WANT TO ASK 6520 03:37:15,320 --> 03:37:15,800 QUESTIONS. 6521 03:37:15,800 --> 03:37:17,240 ONE OF THEM IS, I'M SO IMPRESSED 6522 03:37:17,240 --> 03:37:19,720 THAT YOU'RE TRYING TO TAKE INTO 6523 03:37:19,720 --> 03:37:21,480 CONSIDERATION THIS TIME VARIANT 6524 03:37:21,480 --> 03:37:21,960 DATA. 6525 03:37:21,960 --> 03:37:23,840 I THINK THAT'S A REALLY HARD 6526 03:37:23,840 --> 03:37:24,720 INFORMATICS PROBLEM, AND I DON'T 6527 03:37:24,720 --> 03:37:26,120 THINK WE HAVE REALLY GOOD MODELS 6528 03:37:26,120 --> 03:37:28,160 FOR IT. 6529 03:37:28,160 --> 03:37:32,200 AND I JUST FIND THAT -- THAT, TO 6530 03:37:32,200 --> 03:37:33,560 ME, IS A VERY IMPORTANT NEXT 6531 03:37:33,560 --> 03:37:35,680 STEP TO THINK ABOUT CLINICAL 6532 03:37:35,680 --> 03:37:38,400 RECOMMENDATIONS WHEN WE HAVE 6533 03:37:38,400 --> 03:37:40,280 THIS TIME OF VARIANCE. 6534 03:37:40,280 --> 03:37:42,000 SECOND, I'M IMPRESSED WITH THE 6535 03:37:42,000 --> 03:37:44,400 NUMBER OF PAPERS FROM YOUR 6536 03:37:44,400 --> 03:37:45,360 PROJECT, AND AS WE'VE BEEN 6537 03:37:45,360 --> 03:37:46,600 TALKING ABOUT MAKING RESEARCH 6538 03:37:46,600 --> 03:37:48,440 DATA ACCESSIBLE AND MOVING INTO 6539 03:37:48,440 --> 03:37:49,800 DIRECT ACCESS, ARE I WOULD BE 6540 03:37:49,800 --> 03:37:51,600 INTERESTED IN YOUR THOUGHTS 6541 03:37:51,600 --> 03:37:52,960 SOMETIME ABOUT HOW MUCH WOULD WE 6542 03:37:52,960 --> 03:37:56,080 NEED TO PROVIDE FOR OPEN ACCESS 6543 03:37:56,080 --> 03:37:58,600 COST TO YOU, IF WE WERE GOING TO 6544 03:37:58,600 --> 03:38:00,680 REALLY HAVE THIS BE A STRATEGY 6545 03:38:00,680 --> 03:38:03,120 TO SUPPORT LARGE VOLUME PAPER 6546 03:38:03,120 --> 03:38:06,000 PRODUCTION STUDIES. 6547 03:38:06,000 --> 03:38:06,880 >> NOT MUCH. 6548 03:38:06,880 --> 03:38:11,040 IN FACT, IT WOULD PROBABLY BE 6549 03:38:11,040 --> 03:38:13,320 MORE OF USING THE GOVERNMENT'S 6550 03:38:13,320 --> 03:38:17,360 MANDATE TO LEAN ON COMMERCIAL 6551 03:38:17,360 --> 03:38:18,560 PAYORS, COMMERCIAL DATA SELLERS. 6552 03:38:18,560 --> 03:38:20,560 THEY ALREADY HAVE REASONABLY 6553 03:38:20,560 --> 03:38:22,320 GOOD OR MANAGEABLE ACADEMIC 6554 03:38:22,320 --> 03:38:23,840 PRICE POINTS FOR LICENSING THE 6555 03:38:23,840 --> 03:38:26,280 DATA. 6556 03:38:26,280 --> 03:38:27,960 BUT THEN THEY COME WITH LIKE, 6557 03:38:27,960 --> 03:38:29,280 OH, YOU CAN'T GIVE TO ANYBODY 6558 03:38:29,280 --> 03:38:32,000 ELSE, YOU CAN ONLY RUN ANALYSIS 6559 03:38:32,000 --> 03:38:33,720 FOR YOURSELF AND SO ON. 6560 03:38:33,720 --> 03:38:36,000 THIS HAS BEEN DONE BEFORE. 6561 03:38:36,000 --> 03:38:37,640 SNOMED HAS A U.S.-WIDE LICENSE. 6562 03:38:37,640 --> 03:38:40,160 CAN WE HAVE A U.S.-WIDE LICENSE 6563 03:38:40,160 --> 03:38:45,160 FOR, SAY, OPTUM OR TRU, HE PICK 6564 03:38:45,160 --> 03:38:46,960 COSMOS, FOR RESEARCH USE, NOT 6565 03:38:46,960 --> 03:38:47,800 FOR PROFITING FROM IT. 6566 03:38:47,800 --> 03:38:49,680 BUT IF WE FIGURE OUT THAT LEGAL 6567 03:38:49,680 --> 03:38:51,640 LEGISLATIVE PIECE, I THINK THE 6568 03:38:51,640 --> 03:38:53,440 TECHNOLOGY IS NOT THE PROBLEM 6569 03:38:53,440 --> 03:38:53,840 HERE. 6570 03:38:53,840 --> 03:38:56,200 AND I DON'T THINK THE NUMBERS OF 6571 03:38:56,200 --> 03:38:59,280 DOLLARS WOULD ALSO SCARE 6572 03:38:59,280 --> 03:38:59,520 ANYBODY. 6573 03:38:59,520 --> 03:39:00,520 >> THAT'S VERY HELPFUL. 6574 03:39:00,520 --> 03:39:04,400 THANK YOU. 6575 03:39:04,400 --> 03:39:06,920 >> SO YOU MENTIONED, NOT FEELING 6576 03:39:06,920 --> 03:39:08,160 YOU COULD SUPPORT THIS AND 6577 03:39:08,160 --> 03:39:12,000 MOVING TO A COMMERCIAL MODEL. 6578 03:39:12,000 --> 03:39:13,560 CAN YOU JUST DESCRIBE THAT MODEL 6579 03:39:13,560 --> 03:39:14,320 A LITTLE BIT? 6580 03:39:14,320 --> 03:39:15,680 IS IT STILL A SERVICE SPECIFIC 6581 03:39:15,680 --> 03:39:19,600 TO THE ONE HEALTHCARE SYSTEM BUT 6582 03:39:19,600 --> 03:39:21,320 IT'S NOW A PAYMENT SYSTEM, OR 6583 03:39:21,320 --> 03:39:22,920 ARE YOU DEVELOPING IT AS A 6584 03:39:22,920 --> 03:39:24,880 COMMERCIAL ENTITY THAT WILL 6585 03:39:24,880 --> 03:39:26,960 ACTUALLY SERVICE THIS ACROSS 6586 03:39:26,960 --> 03:39:28,040 DIFFERENT INSTITUTIONS AND IF 6587 03:39:28,040 --> 03:39:29,160 SO, IS THERE ANY ABILITY TO 6588 03:39:29,160 --> 03:39:31,240 BRING THE DATA TOGETHER ACROSS 6589 03:39:31,240 --> 03:39:31,560 INSTITUTIONS? 6590 03:39:31,560 --> 03:39:33,080 YOU MENTIONED THAT DIFFICULTY. 6591 03:39:33,080 --> 03:39:40,080 >> SO THE COMPANY IS 6592 03:39:40,080 --> 03:39:41,160 ATROPOSHEALTH.COM FUNDED IN 6593 03:39:41,160 --> 03:39:43,120 LARGE PART BY EMERSON 6594 03:39:43,120 --> 03:39:45,280 COLLECTIVE, THE SAME 6595 03:39:45,280 --> 03:39:47,880 PHILANTHROPY GROUP THAT FUNDED 6596 03:39:47,880 --> 03:39:48,360 THE RESEARCH. 6597 03:39:48,360 --> 03:39:49,560 THE CURRENT WAY IT IS OPERATING 6598 03:39:49,560 --> 03:39:50,800 IS THAT NOBODY'S DATA LEAVES 6599 03:39:50,800 --> 03:39:51,680 THEIR ORGANIZATION. 6600 03:39:51,680 --> 03:39:53,640 WE TAKE THE SEARCH ENGINE AND 6601 03:39:53,640 --> 03:39:58,600 ALL OF THAT TO THE DATA ASSET. 6602 03:39:58,600 --> 03:40:04,720 AND STANFORD IS THE FIRST PAYING 6603 03:40:04,720 --> 03:40:06,280 CUSTOMER, AND THEY MAKE ME LOOK 6604 03:40:06,280 --> 03:40:08,120 SILLY, IT TOOK A YEAR AND A HALF 6605 03:40:08,120 --> 03:40:10,480 TO DO 100 AND THEY DID 100 IN 60 6606 03:40:10,480 --> 03:40:10,680 DAYS. 6607 03:40:10,680 --> 03:40:13,000 SO IT'S LIKE -- BUT IT'S UP AND 6608 03:40:13,000 --> 03:40:15,320 RUNNING, THERE WILL BE 500 6609 03:40:15,320 --> 03:40:18,640 SERVED TO STANFORD ITSELF ACROSS 6610 03:40:18,640 --> 03:40:23,200 190 OR SO PHYSICIANS. 6611 03:40:23,200 --> 03:40:24,520 THERE ARE TWO OTHER INSTITUTIONS 6612 03:40:24,520 --> 03:40:28,560 THAT HAVE SIGNED DATA CONTRACTS, 6613 03:40:28,560 --> 03:40:31,320 LIKE ASCO BEING PRIVATELY 6614 03:40:31,320 --> 03:40:31,880 ANNOUNCED. 6615 03:40:31,880 --> 03:40:33,160 MAYO IS GOING TO BE THE NEXT 6616 03:40:33,160 --> 03:40:34,400 ONE. 6617 03:40:34,400 --> 03:40:35,920 AND THE WAY AT LEAST I'M PUSHING 6618 03:40:35,920 --> 03:40:37,280 THEM, LIKE I'M NOT AN EMPLOYEE 6619 03:40:37,280 --> 03:40:40,800 OF THE COMPANY, MY LEGAL 6620 03:40:40,800 --> 03:40:42,680 RELATIONSHIP IS AN ADVISOR, AND 6621 03:40:42,680 --> 03:40:44,480 I TELL THEM THAT OFFER THE 6622 03:40:44,480 --> 03:40:47,880 ABILITY TO ANSWER THE QUESTION 6623 03:40:47,880 --> 03:40:51,480 ON MY INSTITUTION AND TWO OTHER 6624 03:40:51,480 --> 03:40:51,800 INSTITUTIONS. 6625 03:40:51,800 --> 03:40:54,360 BECAUSE I WOULD BE VERY 6626 03:40:54,360 --> 03:40:56,760 SURPRISED IF THE KINDS OF BIASES 6627 03:40:56,760 --> 03:41:01,000 WE SEE IN THE DATA ARE THE SAME, 6628 03:41:01,000 --> 03:41:02,400 LIKE HERE, HARVARD AND DUKE, 6629 03:41:02,400 --> 03:41:03,600 THERE'S GOT TO BE DIFFERENT 6630 03:41:03,600 --> 03:41:04,280 BIASES. 6631 03:41:04,280 --> 03:41:05,240 AND IF YOU CAN RUN THE SAME 6632 03:41:05,240 --> 03:41:07,880 QUESTION ON FIVE, 10 COHORT AND 6633 03:41:07,880 --> 03:41:11,040 THEN DO A META-ANALYSIS, WE'D BE 6634 03:41:11,040 --> 03:41:12,520 REALLY SOLID IN OUR ANSWERS, AS 6635 03:41:12,520 --> 03:41:12,960 A COMMUNITY. 6636 03:41:12,960 --> 03:41:16,080 AND THAT'S WHAT DOCTORS DO. 6637 03:41:16,080 --> 03:41:18,000 YOU ASK THREE COLLEAGUES, YOU 6638 03:41:18,000 --> 03:41:19,160 ASK FIVE COLLEAGUES. 6639 03:41:19,160 --> 03:41:21,720 YOU'RE JUST MAKING AN ASSEMBLE. 6640 03:41:21,720 --> 03:41:24,560 WHY DON'T WE DO AN ENSEMBLE 6641 03:41:24,560 --> 03:41:25,680 ACROSS 10 HEALTH SYSTEMS? 6642 03:41:25,680 --> 03:41:26,240 ENSEMBLES WORK. 6643 03:41:26,240 --> 03:41:27,640 IT'S BEEN SHOWN OVER AND OVER 6644 03:41:27,640 --> 03:41:31,640 AGAIN IN SO MANY DISCIPLINES. 6645 03:41:31,640 --> 03:41:34,040 SO THAT ALSO GETS -- MINIMIZES 6646 03:41:34,040 --> 03:41:36,160 THE DATA RIGHTS ISSUES AND 6647 03:41:36,160 --> 03:41:37,520 COMPLIANCE, LEGAL, ALL THAT 6648 03:41:37,520 --> 03:41:40,560 STUFF, BECAUSE ALL THAT THATG 6649 03:41:40,560 --> 03:41:41,760 OUT IS THE ANSWER. 6650 03:41:41,760 --> 03:41:43,200 AND THERE'S PAYMENT MODELS TO 6651 03:41:43,200 --> 03:41:44,080 SUPPORT THAT. 6652 03:41:44,080 --> 03:41:45,800 LIKE THERE'S CPT CODES FOR 6653 03:41:45,800 --> 03:41:48,080 OFFERING A SECOND OPINION BY 6654 03:41:48,080 --> 03:41:49,600 REVIEWING AN ELECTRONIC DATA 6655 03:41:49,600 --> 03:41:50,320 ASSET. 6656 03:41:50,320 --> 03:41:50,680 IT'S CHEAP. 6657 03:41:50,680 --> 03:41:52,280 IT'S LIKE 40 BUCKS OR SOMETHING, 6658 03:41:52,280 --> 03:41:53,640 BUT AT LEAST IT'S THERE. 6659 03:41:53,640 --> 03:41:57,120 >> GREAT. 6660 03:41:57,120 --> 03:41:57,720 THANKS. 6661 03:41:57,720 --> 03:41:57,960 ALL RIGHT. 6662 03:41:57,960 --> 03:42:01,920 ANY LAST QUESTIONS? 6663 03:42:01,920 --> 03:42:04,600 >> I'LL TAKE ONE, HEIDI, IF WE 6664 03:42:04,600 --> 03:42:05,920 CAN. 6665 03:42:05,920 --> 03:42:07,000 NIGAM, THERE'S A GREAT DEAL OF 6666 03:42:07,000 --> 03:42:08,080 INTEREST IN SOCIAL DETERMINANTS 6667 03:42:08,080 --> 03:42:10,240 OF HEALTH AND BRINGING IN FAMILY 6668 03:42:10,240 --> 03:42:12,400 STRUCTURE, BRINGING IN HOUSING, 6669 03:42:12,400 --> 03:42:13,400 VETERAN STATUS, ET CETERA. 6670 03:42:13,400 --> 03:42:15,400 AS YOU LOOK AT HOW YOUR MODELS 6671 03:42:15,400 --> 03:42:19,200 WERE DEVELOPED, ARE THEY ROBUST 6672 03:42:19,200 --> 03:42:23,000 ENOUGH TO HANDLE THIS MORE 6673 03:42:23,000 --> 03:42:23,960 DIFFUSE, LESS WELL-DEFINED 6674 03:42:23,960 --> 03:42:25,280 DATASETS, OR WOULD THAT BE AN 6675 03:42:25,280 --> 03:42:26,400 OVERLAY ON TOP OF THE MODEL 6676 03:42:26,400 --> 03:42:28,120 RESULTS THAT MIGHT REQUIRE THE 6677 03:42:28,120 --> 03:42:28,880 HUMAN INTERPRETATION? 6678 03:42:28,880 --> 03:42:32,080 >> IN THE FIRST CASE I'D 6679 03:42:32,080 --> 03:42:33,760 PROBABLY MAKE IT AN OVERLAY. 6680 03:42:33,760 --> 03:42:35,360 WHEN WE LOOKED AT RACE AND 6681 03:42:35,360 --> 03:42:39,040 ETHNICITY DATA ON OUR CAMPUS, 6682 03:42:39,040 --> 03:42:40,400 28% OF THE TIME IT WASN'T EVEN 6683 03:42:40,400 --> 03:42:42,200 THERE AND WHEN IT WAS THERE, WE 6684 03:42:42,200 --> 03:42:43,240 DID A RANDOM SELECTION AND CALL 6685 03:42:43,240 --> 03:42:45,120 PEOPLE AND SAY HEY, YOU SHOW UP 6686 03:42:45,120 --> 03:42:46,400 AS ASIAN, DO YOU BELIEVE THAT, 6687 03:42:46,400 --> 03:42:49,360 OR IS THAT HOW YOU WOULD 6688 03:42:49,360 --> 03:42:51,480 SELF-REPORT YOURSELF? 6689 03:42:51,480 --> 03:42:52,560 MY OWN WAS WRONG IN THE DATA. 6690 03:42:52,560 --> 03:42:53,560 >> OH, MY GOSH. 6691 03:42:53,560 --> 03:42:56,480 >> SO IT IS ABSOLUTELY TERRIBLE 6692 03:42:56,480 --> 03:42:57,080 DATA QUALITY. 6693 03:42:57,080 --> 03:42:59,320 SO THAT'S WHY THE FIRST PASS, I 6694 03:42:59,320 --> 03:43:01,880 WOULDN'T AUTOMATE THAT 6695 03:43:01,880 --> 03:43:02,400 INFORMATION. 6696 03:43:02,400 --> 03:43:04,120 I'VE GOT IT OVERLAID AS A SECOND 6697 03:43:04,120 --> 03:43:05,760 LAYER UNTIL WE FIGURE OUT DATA 6698 03:43:05,760 --> 03:43:07,880 QUALITY ISSUES IN THAT SPACE. 6699 03:43:07,880 --> 03:43:08,960 >> THAT'S HELPFUL. 6700 03:43:08,960 --> 03:43:19,080 THANKS. 6701 03:43:19,760 --> 03:43:20,920 >> OKAY, GREAT. 6702 03:43:20,920 --> 03:43:22,040 THEN I THINK WE'RE GOING TO MOVE 6703 03:43:22,040 --> 03:43:26,280 OVER TO THE REGENTS AWARD, WHICH 6704 03:43:26,280 --> 03:43:28,000 IT'S MY DISTINCT PLEASURE TO 6705 03:43:28,000 --> 03:43:31,600 ACTUALLY ANNOUNCE THE 2022 6706 03:43:31,600 --> 03:43:35,720 REGENTS AWARD. 6707 03:43:35,720 --> 03:43:37,560 WHICH RECOGNIZES -- REGENTS 6708 03:43:37,560 --> 03:43:39,960 AWARD RECOGNIZES SCHOLARSHIP OR 6709 03:43:39,960 --> 03:43:40,840 TECHNICAL ACHIEVEMENT. 6710 03:43:40,840 --> 03:43:42,040 THIS WAS AWARD WAS ESTABLISHED 6711 03:43:42,040 --> 03:43:43,760 IN 1970 BY THE BOARD OF REGENTS 6712 03:43:43,760 --> 03:43:45,160 TO RECOGNIZE AND STIMULATE 6713 03:43:45,160 --> 03:43:47,160 INDEPENDENT CREATIVITY LEADING 6714 03:43:47,160 --> 03:43:49,280 TO SCHOLARLY AND/OR TECHNICAL 6715 03:43:49,280 --> 03:43:50,720 ACHIEVEMENTS THAT ENRICH 6716 03:43:50,720 --> 03:43:51,360 BIOMEDICINE. 6717 03:43:51,360 --> 03:43:52,680 EMPHASIS IS PLACED ON 6718 03:43:52,680 --> 03:43:54,720 ORIGINALITY AND CREATION OF A 6719 03:43:54,720 --> 03:43:55,840 SCHOLARLY TREATISE, A NEW 6720 03:43:55,840 --> 03:43:57,560 PRODUCT OR A METHODOLOGY THAT 6721 03:43:57,560 --> 03:43:58,600 IMPROVES BIOMEDICAL KNOWLEDGE OR 6722 03:43:58,600 --> 03:43:59,160 SERVICE. 6723 03:43:59,160 --> 03:44:00,280 THE BOARD CONSIDERS THIS AWARD 6724 03:44:00,280 --> 03:44:02,960 THE HIGHEST HONOR IT CAN GIVE TO 6725 03:44:02,960 --> 03:44:04,040 A MEMBER OF THE STAFF. 6726 03:44:04,040 --> 03:44:05,480 AND WE ARE PLEASED TO PRESENT 6727 03:44:05,480 --> 03:44:12,960 THE REGENTS AWARD TO A RESEARCH 6728 03:44:12,960 --> 03:44:14,440 FELLOW WITH THE COMPUTATIONAL 6729 03:44:14,440 --> 03:44:16,800 HEALTH RESEARCH BRANCH AT LISTER 6730 03:44:16,800 --> 03:44:17,720 HILL NATIONAL CENTER FOR 6731 03:44:17,720 --> 03:44:19,120 BIOMEDICAL COMMUNICATIONS IN THE 6732 03:44:19,120 --> 03:44:21,040 NLM INTRAMURAL RESEARCH PROGRAM. 6733 03:44:21,040 --> 03:44:23,240 SHE IS BEING RECOGNIZED FOR HER 6734 03:44:23,240 --> 03:44:24,120 OUTSTANDING EFFORTS IN 6735 03:44:24,120 --> 03:44:30,840 DEVELOPING AN END TO END ECHO 6736 03:44:30,840 --> 03:44:32,800 CARDIOGRAPHY FOR CARDIAC DISEASE 6737 03:44:32,800 --> 03:44:33,120 DETECTION. 6738 03:44:33,120 --> 03:44:35,840 SHE HAS MADE SEVERAL INNOVATIONS 6739 03:44:35,840 --> 03:44:36,680 USING THE LATEST ARTIFICIAL 6740 03:44:36,680 --> 03:44:40,120 INTELLIGENCE TECHNOLOGY TO 6741 03:44:40,120 --> 03:44:42,280 INTERPRE ECHO CARDIOGRAPHY 6742 03:44:42,280 --> 03:44:44,320 VIDEOS, USING ACTIVE LEARNING IN 6743 03:44:44,320 --> 03:44:45,760 AN OPEN WORLD ENVIRONMENT TO 6744 03:44:45,760 --> 03:44:47,680 ANALYZE IMAGES OF THE HEART. 6745 03:44:47,680 --> 03:44:49,400 THIS INNOVATION IMPROVES 6746 03:44:49,400 --> 03:44:51,080 CLINICAL PRACTICE IN HEALTHCARE 6747 03:44:51,080 --> 03:44:52,560 FOR PATIENTS, BY ALLOWING FOR 6748 03:44:52,560 --> 03:44:53,640 BETTER DIAGNOSIS AND RISK 6749 03:44:53,640 --> 03:44:55,600 PREDICTION OF CARDIAC DISEASE. 6750 03:44:55,600 --> 03:44:57,400 AND THIS WORK WAS DONE IN 6751 03:44:57,400 --> 03:45:01,280 COLLABORATION WITH DR. SIMIR 6752 03:45:01,280 --> 03:45:02,360 ANTANI, IN THE INTRAMURAL 6753 03:45:02,360 --> 03:45:04,080 RESEARCH PROGRAM, AS WELL AS 6754 03:45:04,080 --> 03:45:06,240 RESEARCHERS AT NHLBI WHO WERE SO 6755 03:45:06,240 --> 03:45:07,040 IMPRESSED WITH THE RESULTS THAT 6756 03:45:07,040 --> 03:45:08,720 THEY RECOMMENDED THE TECHNOLOGY 6757 03:45:08,720 --> 03:45:09,440 BE PATENTED, FURTHER 6758 03:45:09,440 --> 03:45:12,680 DEMONSTRATING EURT DEE 6759 03:45:12,680 --> 03:45:15,040 THE UNIQUE TECHNICAL ACHIEVEMENT 6760 03:45:15,040 --> 03:45:15,520 ACCOMPLISHED. 6761 03:45:15,520 --> 03:45:16,720 LET'S EXTEND OUR WARM 6762 03:45:16,720 --> 03:45:17,680 CONGRATULATIONS FORM THIS 6763 03:45:17,680 --> 03:45:19,120 EXCELLENT ACHIEVEMENT. 6764 03:45:19,120 --> 03:45:25,320 THANK YOU, AND CONGRATULATIONS. 6765 03:45:25,320 --> 03:45:32,640 AND DO WE HAVE OUR RECIPIENT? 6766 03:45:32,640 --> 03:45:33,200 WE MAY NOT. 6767 03:45:33,200 --> 03:45:37,640 >> I THINK SHE'S ON THE ZOOM. 6768 03:45:37,640 --> 03:45:40,800 >> SHE WAS ON EARLIER. 6769 03:45:40,800 --> 03:45:43,080 PERHAPS SHE COULD COME OFF MUTE 6770 03:45:43,080 --> 03:45:44,920 AND SPEAK TO US FOR A MINUTE OR 6771 03:45:44,920 --> 03:45:47,120 TWO IF THAT WOULD WORK. 6772 03:45:47,120 --> 03:45:49,080 >> THANK YOU, EVERYONE, FOR THIS 6773 03:45:49,080 --> 03:45:49,960 GREAT HONOR. 6774 03:45:49,960 --> 03:45:52,320 LIKE I'M SO HAPPY TO BE PART OF 6775 03:45:52,320 --> 03:45:54,520 NLM, AND THIS VERY HEALTHY 6776 03:45:54,520 --> 03:45:54,960 RESEARCH ENVIRONMENT. 6777 03:45:54,960 --> 03:45:58,880 THANK YOU FOR THIS HONOR. 6778 03:45:58,880 --> 03:45:59,960 >> TERRIFIC. 6779 03:45:59,960 --> 03:46:03,440 WELL, IT'S WELL-DESERVED BASED 6780 03:46:03,440 --> 03:46:10,800 ON ALL OF YOUR ACCOMPLISHMENTS. 6781 03:46:10,800 --> 03:46:11,360 OKAY. 6782 03:46:11,360 --> 03:46:12,240 SO THANK YOU FOR THAT. 6783 03:46:12,240 --> 03:46:13,640 AND I THINK WITH THAT, IT IS 6784 03:46:13,640 --> 03:46:14,000 TIME TO MOVE TO THE CLOSED 6785 03:46:14,000 --> 00:00:00,000 PORTION OF THE MEETING.