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THANK YOU FOR BEARING WITH US AS

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WE WORKED OUT A FEW TECHNICAL

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00:00:11,489 --> 00:00:12,457
ISSUES, WHICH I THINK HAVE NOW

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BEEN RESOLVED.

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AND I'M PLEASED TO TURN THE

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MEETING OVER TO OUR CHAIR,

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DR. ANDREA HAYES DIXON.

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>> THANK YOU SO MUCH,
LARRY, AND

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THANK YOU, EVERYONE, FOR

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ATTENDING.

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THANK YOU VERY MUCH FOR

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PARTICIPATING.

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I KNOW WE ALL HAVE COMPETING

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THINGS THAT WE HAVE TO DO, AND I

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KNOW WE ALL HAVE AGREED THAT

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THIS IS A SIGNIFICANT, MAJOR AND

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CRITICAL COMMITMENT FOR ALL OF

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US.

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I WANT TO THANK AHEAD OF TIME

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DR. TABAK AND DR. BERTAGNOLLI.

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SINCE WE LAST MET, WE'VE HAD A

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CHANGE OF ADMINISTRATION AND WE

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KNOW THAT WE WILL BE EXPECTING A

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NEW ADMINISTRATION IN A WEEK OR

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SO.

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I WANT TO THANK DR. BERTAGNOLLI

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IN ADVANCE.

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I KNOW THAT THIS WILL BE HER

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LAST MEETING WITH US.

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I ALSO WANT TO JUST REMIND US OF

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A COUPLE OF THINGS THAT SORT OF

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SHOULD KEEP US TOGETHER.

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I THINK THAT EVERY SINGLE ONE OF

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US AROUND THIS TABLE, AROUND

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THIS VIRTUAL TABLE IS A

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SCIENTIST, AND AS SCIENTISTS, I

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THINK THAT WE ARE VERY COMMITTED

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TO THREE VERY SPECIFIC THINGS: 

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SCIENTIFIC INTEGRITY, DISCOVERY,

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AND PROGRESS.

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AND THOSE THREE THINGS BIND US

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AND IS A COMMONALITY THAT WILL

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ALLOW US TO ACCOMPLISH THIS HUGE

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TASK SUCCESSFULLY.

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BUT I ALSO WANT TO IDENTIFY THAT

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WE ALL HAVE A DIFFERENT

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PERSPECTIVE AS SCIENTISTS FROM

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DIFFERENT ASPECTS OF SCIENCE AND

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MEDICINE, AND THOSE ARE REALLY

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GOING TO STRENGTHEN US AND BE

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ABLE TO PROVIDE AN OUTSTANDING

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DOCUMENT AT THE END OF THIS TO

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ACCOMPLISH OUR TASK.

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SO I JUST WANTED TO START BY

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SAYING THANK YOU, AND THANK YOU

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FOR BEING HERE, AND I LOOK

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FORWARD TO ALL OF US CONTINUING

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TO WORK TOGETHER TO THIS REALLY

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SIGNIFICANT GOAL.

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>> BEFORE WE GO TO THE
NEXT

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SLIDE, WE WERE GOING TO HEAR

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SOME COMMENTS FROM

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DR. BERTAGNOLLI.

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SO MONICA, WOULD YOU PLEASE MAKE

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YOUR COMMENTS?

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>> OKAY.

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THANK YOU SO MUCH, LARRY.

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GOOD MORNING, EVERYONE.

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THANK YOU ALL SO MUCH FOR BEING

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HERE.

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I JUST WANT TO START BY SAYING

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WE'RE ALSO ALL THINKING OF OUR

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FRIENDS IN LOS ANGELES AND

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HOPING FOR THE BEST IN THIS

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TERRIBLE TIME THAT THEY'RE

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HAVING.

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AND WITH THAT, I'M SO GRATEFUL

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THAT YOU'RE ALL HERE TO HELP US

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WITH THIS VERY IMPORTANT

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COMMITTEE.

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WELCOME TO THE 29TH MEETING OF

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THE NIH SCIENTIFIC REVIEW BOARD.

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WE'RE MEETING JUST TWO MONTHS

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AFTER WE CONVENED THIS NEW

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GROUP, WHERE WE RE-LAUNCHED THE

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BOARD WHICH WAS CREATED IN

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CONGRESS IN 2006 TO ADVISE NIH

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AND THE DEPARTMENT OF HEALTH AND

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HUMAN SERVICES ON THE

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ORGANIZATION OF NIH, ITS

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INSTITUTES AND IT ITS CENTERS AD

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ITS OFFICES WITHIN THE OFFICE OF

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THE DIRECTOR.

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YOUR MISSION IS TO RECOMMEND

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ORGANIZATIONAL CHANGES THAT

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COULD HELP NIH TO BETTER FULFILL

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ITS MISSION OF SEEKING

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00:03:37,528 --> 00:03:38,629
FUNDAMENTAL KNOWLEDGE ABOUT THE

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NATURE AND BEHAVIOR OF LIVING

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SYSTEMS AND APPLYING THAT

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KNOWLEDGE TO ENHANCE HEALTH,

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LENGTHEN LIFE AND REDUCE

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ILLNESS.

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NIH IS A UNIQUE INSTITUTION IN

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THE WORLD, GIVEN OUR SIZE AND

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OUR REACH, WE CAN DO THINGS THAT

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NO OTHER ENTITY CAN IN SUPPORT

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OF RESEARCH TO IMPROVE HEALTH.

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THIS INCREDIBLE AGENCY HAS A

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RICH 138-YEAR HISTORY OF

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00:04:07,758 --> 00:04:10,361
SCIENTIFIC DISCOVERY.

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IN MY TIME AS DIRECTOR OF NIH

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00:04:11,896 --> 00:04:13,631
AND THEN BEFORE AS THE HEAD OF

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00:04:13,631 --> 00:04:16,600
NCI, I'VE SEEN THAT DESPITE THE

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00:04:16,600 --> 00:04:19,003
FACT THAT WE HAVE MORE THAN TWO

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DOZEN INSTITUTES AND CENTERS

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THAT FOCUS ON SPECIFIC HEALTH

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PROBLEMS OR SPECIFIC

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DISCIPLINES:  POPULATION, BODY

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SYSTEMS.

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00:04:28,946 --> 00:04:32,249
THE DIRECTORS ACROSS THE

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00:04:32,249 --> 00:04:36,053
INSTITUTE WORK TOGETHER EVERY

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00:04:36,053 --> 00:04:37,488
DAY, ALONG WITH THE NIH DIRECTOR

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AND THE OFFICE OF THE NIH

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DIRECTOR, WHOSE PRIMARY

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RESPONSIBILITY IT IS TO MAKE

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SURE THAT WE ALL COLLABORATE AND

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ACT IN COORDINATION.

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BUT THERE'S ANOTHER -- SO WE'RE

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HERE, WE'RE HERE TO SERVE

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SCIENCE AND OUR INSTITUTES AND

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CENTERS DO THIS VERY POWERFULLY.

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BUT AS RECIPIENTS OF PUBLIC

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MONEY, AND THE PEOPLE WE SERVE

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ARE THE AMERICAN PEOPLE.

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WE HAVE AN OBLIGATION TO USE OUR

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FUNDING AS WISELY AS

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PRODUCTIVELY AS POSSIBLE.

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SO IF WE MAKE ANY CHANGES, WE

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NEED TO BE AWARE THAT ANY

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BENEFITS TO THESE CHANGES MAY

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ALSO HAVE CONSEQUENCES.

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I'D LIKE TO GIVE YOU A SPECIFIC

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EXAMPLE THAT ILLUSTRATES A

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SPECIFIC CONCERN IF THE BOARD

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WERE TO RECOMMEND CHANGES IN THE

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00:05:37,982 --> 00:05:42,686
OVERALL NUMBER OF INSTITUTES AND

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CENTERS OR HOW WE CLASSIFY OUR

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INSTITUTES AND CENTERS.

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AND THIS IS A SPECIFIC EXAMPLE

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THAT AROSE DURING MY TENURE AS

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NIH DIRECTOR.

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HERE IT IS.

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NIH HAS AN AMAZING HISTORY OF

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RESEARCH IN WOMEN'S HEALTH.

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WE HAVE AN OFFICE OF WOMEN'S

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HEALTH RESEARCH WITHIN THE

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OFFICE OF THE DIRECTOR, AND

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LITERALLY EVERY SINGLE ONE OF

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THE 27 INSTITUTES AND CENTERS OF

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NIH CONDUCTS RESEARCH RELEVANT

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TO WOMEN AND RELEVANT TO WOMEN'S

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HEALTH.

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NOW, I DON'T WANT TO PRETEND

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THAT WE DO IT PERFECTLY.

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NOTHING WE DO, THERE'S ALWAYS

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TRADEOFFS AND BALANCES WE MADE

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AND I AM THRILLED WITH THE

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RECENT FOCUS OF THE BIDEN

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ADMINISTRATION AND THE OFFICE OF

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THE FIRST LADY ON HELPING US

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AUGMENT OUR WORK IN WOMEN'S

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HEALTH, BY TAKING A LOOK AND

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FINDING OUT WHERE WE HAVE GAPS.

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BUT ONE OF THE PROBLEMS IS THAT,

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FOR EXAMPLE, WE HAVE NO ONE

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INSTITUTE AND CENTER THAT HAS,

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AMONG ITS NAME, RESEARCH FOR

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WOMEN AND WOMEN'S HEALTH.

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THIS IS A WAY OF ILLUSTRATING

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WHAT I CONSIDER THE VALUE, AND I

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KNOW WE TALKED ABOUT THIS AT OUR

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LAST MEETING, OF HAVING MANY

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INSTITUTES AND CENTERS, OR AT

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THE VERY MINIMUM, HAVING

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INSTITUTES AND CENTERS THAT ARE

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CLEARLY IDENTIFIED NOT ONLY TO

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US, WE GET IT, WE CAN

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COLLABORATE, BUT TO THE PEOPLE

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WE SERVE.

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ONE OF THE THINGS THAT NIH ALSO

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IS, PROFOUNDLY, WE'RE NOT JUST

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HERE FOR THE SCIENTISTS.

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WE'RE NOT JUST HERE FOR THE

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RESEARCHERS.

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WE NEED TO BE A VISIBLE

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REPRESENTATIVE TO ALL THE PEOPLE

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WE SERVE AND WE NEED TO PARTNER

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WITH THE PEOPLE WE SERVE VERY

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EFFECTIVELY.

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TO PUT IT SIMPLY, IT WOULD HAVE

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BEEN USEFUL LAST YEAR HAD WE HAD

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AN INSTITUTE THAT HAD BEEN THE

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HOME OF WOMEN'S HEALTH RESEARCH.

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NOT THAT THAT INSTITUTE WOULD

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HAVE BEEN THE ONLY ONE DOING

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THAT KIND OF WORK, BUT THAT

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00:08:06,597 --> 00:08:09,900
INSTITUTE COULD HAVE BEEN A

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VISIBLE FRONT DOOR FOR THE

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COMMUNITY THAT REALLY CARE ABOUT

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WOMEN'S HEALTH.

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SO ONE THING I WILL TAKE MAYBE

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MY FINAL PRIVILEGE WITH YOU, I

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HOPE, AS AN OUTGOING DIRECTOR TO

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SAY THAT IF I WERE TO SERVE ON

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THIS COMMITTEE, I WOULD ASK YOU

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TO CONSIDER ONE THING FOR US AND

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THAT IS AT A MINIMUM TO THINK

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ABOUT ASKING CONGRESS, BECAUSE

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ONLY CONGRESS CAN DO THIS, TO

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RENAME OUR INSTITUTE FOR CHILD

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HEALTH AND DEVELOPMENT THE

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EUNICE KENNEDY SHRIVER INSTITUTE

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FOR CHILD HEALTH AND

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DEVELOPMENT, AND RENAME THAT

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GROUP SOMETHING CONSISTENT WITH

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THE AMAZING RESEARCH MISSION OF

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THE SHRIVER INSTITUTE AND RENAME

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IT INSTEAD "THE SHRIVER NATIONAL

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00:09:05,489 --> 00:09:08,726
INSTITUTE FOR WOMEN, CHILDREN,

231
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AND DISABILITY RESEARCH."

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JUST A THOUGHT.

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BUT THE REASON I WANT TO GIVE

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00:09:13,230 --> 00:09:15,966
YOU THIS THOUGHT IS, IT ALSO

235
00:09:15,966 --> 00:09:17,501
REPRESENTS SOMETHING THAT I

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00:09:17,501 --> 00:09:20,037
THINK -- SOME WAY, I THINK

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00:09:20,037 --> 00:09:21,772
ORGANIZATIONAL CHANGE, MAYBE

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00:09:21,772 --> 00:09:23,974
EVEN SIMPLE AS A NAME CHANGE,

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00:09:23,974 --> 00:09:25,476
COULD REALLY HELP US MAKE SURE

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WE HAVE OPEN DOORS FOR ALL THE

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PEOPLE OUT THERE WHO LOOK TO NIH

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00:09:30,948 --> 00:09:35,319
AND WANT TO KNOW WHERE THEIR

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00:09:35,319 --> 00:09:38,922
INVOLVEMENT -- VERY QUICKLY AND

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VISIBLY, WHERE THEIR INVOLVEMENT

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00:09:40,124 --> 00:09:41,125
CAN FIT IN.

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00:09:41,125 --> 00:09:44,194
OKAY, SO WITH THAT, AGAIN, I

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URGE ALL OF YOU IN YOUR

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DELIBERATIONS ABOUT

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00:09:48,766 --> 00:09:50,200
ORGANIZATIONAL CHANGE THAT YOU

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00:09:50,200 --> 00:09:54,238
REMEMBER THAT THE PUBLIC ARE

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00:09:54,238 --> 00:09:59,076
PARTNERS IN OUR RESEARCH, AND WE

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00:09:59,076 --> 00:10:00,377
GARNER THEIR INVOLVEMENT, THEIR

253
00:10:00,377 --> 00:10:01,578
INVESTMENT AND ABOVE ALL THEIR

254
00:10:01,578 --> 00:10:02,780
TRUST IS REALLY CRITICAL.

255
00:10:02,780 --> 00:10:04,615
SO WE WANT YOUR RECOMMENDATIONS

256
00:10:04,615 --> 00:10:08,318
TO SERVE SCIENCE AND EFFICIENCY

257
00:10:08,318 --> 00:10:09,787
AND RESPONSIBILITY AND JUST --

258
00:10:09,787 --> 00:10:12,823
WE ALSO WANT TO MAKE SURE THAT

259
00:10:12,823 --> 00:10:14,258
YOUR RECOMMENDATIONS SERVE OUR

260
00:10:14,258 --> 00:10:16,026
PEOPLE.

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00:10:16,026 --> 00:10:18,095
THE BOARD HAS MANY TOPICS TO

262
00:10:18,095 --> 00:10:19,830
CONSIDER AS YOU EVALUATE THE

263
00:10:19,830 --> 00:10:22,666
STRUCTURE AND PROPOSED NEW

264
00:10:22,666 --> 00:10:23,767
RECOMMENDATIONS, I'VE JUST

265
00:10:23,767 --> 00:10:24,768
ILLUSTRATED ONE OF THEM,

266
00:10:24,768 --> 00:10:28,372
INCLUDING REPORTS FROM OTHER

267
00:10:28,372 --> 00:10:29,907
PRIOR SMRB MEETINGS AND

268
00:10:29,907 --> 00:10:32,409
PROPOSALS FROM CONGRESS WHO

269
00:10:32,409 --> 00:10:33,944
REALLY DOES HAVE THE FINAL WORD

270
00:10:33,944 --> 00:10:35,479
IN WHAT YOU PROPOSE.

271
00:10:35,479 --> 00:10:37,581
IT REMAINS CRITICAL FOR NIH TO

272
00:10:37,581 --> 00:10:41,185
CONTINUE TO SUPPORT A WIDE RANGE

273
00:10:41,185 --> 00:10:44,121
OF FUNDAMENTAL SCIENCE, BUT ALSO

274
00:10:44,121 --> 00:10:46,523
TO WORK TO BETTER UNDERSTAND

275
00:10:46,523 --> 00:10:49,460
OTHER ASPECTS OF HEALTH SUCH AS

276
00:10:49,460 --> 00:10:52,096
HOW HEALTH DELIVERY AND SOCIAL

277
00:10:52,096 --> 00:10:54,231
AND ENVIRONMENTAL FACTORS AFFECT

278
00:10:54,231 --> 00:10:56,166
HEALTH OUTCOMES.

279
00:10:56,166 --> 00:10:58,802
THIS NEEDS TO ALSO -- I BELIEVE

280
00:10:58,802 --> 00:11:00,070
IT IS TODAY BUT IT NEEDS TO

281
00:11:00,070 --> 00:11:02,639
CONTINUE TO BE BUILT INTO OUR

282
00:11:02,639 --> 00:11:03,040
DNA.

283
00:11:03,040 --> 00:11:04,575
YOUR EFFORTS WILL BE SUPPORTED

284
00:11:04,575 --> 00:11:06,977
BY A TALENTED NIH WORKFORCE WITH

285
00:11:06,977 --> 00:11:09,046
A STRONG COMMITMENT TO HELPING

286
00:11:09,046 --> 00:11:10,914
THE NATION SOLVE THE COMPLEX

287
00:11:10,914 --> 00:11:12,349
SCIENTIFIC AND HEALTH CHALLENGES

288
00:11:12,349 --> 00:11:13,650
THAT WE FACE.

289
00:11:13,650 --> 00:11:16,820
THANK YOU SO MUCH FOR ALL OF

290
00:11:16,820 --> 00:11:18,689
YOUR TIME AND YOUR COMMITMENT TO

291
00:11:18,689 --> 00:11:20,057
THIS VERY IMPORTANT PROCESS, AND

292
00:11:20,057 --> 00:11:21,191
I THANK YOU AGAIN AND NOW CALL

293
00:11:21,191 --> 00:11:25,996
ON DR. TABAK TO REVIEW PAST SMRB

294
00:11:25,996 --> 00:11:26,363
RECOMMENDATIONS.

295
00:11:26,363 --> 00:11:28,065
THANK YOU.

296
00:11:28,065 --> 00:11:30,701
>> THANK YOU, MONICA.

297
00:11:30,701 --> 00:11:35,639
APPRECIATE THAT.

298
00:11:35,639 --> 00:11:38,375
AND JUST BEFORE I LAUNCH INTO

299
00:11:38,375 --> 00:11:40,444
THE PRESENTATIONS, WE'RE GOING

300
00:11:40,444 --> 00:11:41,845
TO KEEP FORMAL PRESENTATIONS AT

301
00:11:41,845 --> 00:11:43,180
A MINIMUM TODAY BECAUSE WE WANT

302
00:11:43,180 --> 00:11:45,249
TO HAVE PLENTY OF TIME FOR

303
00:11:45,249 --> 00:11:45,816
DISCUSSION.

304
00:11:45,816 --> 00:11:49,419
I DID WANT TO EXTEND A WARM

305
00:11:49,419 --> 00:11:57,394
WELCOME TO SMRB MEMBER DR. GILDA

306
00:11:57,394 --> 00:11:58,495
BARABINO WHO WASN'T ABLE TO JOIN

307
00:11:58,495 --> 00:12:00,664
US FOR THE NOVEMBER MEETING BUT

308
00:12:00,664 --> 00:12:01,765
IS ON TRAVEL TODAY AND HAS

309
00:12:01,765 --> 00:12:02,766
JOINED US VIRTUALLY.

310
00:12:02,766 --> 00:12:04,301
FOR THOSE OF YOU WHO DON'T KNOW

311
00:12:04,301 --> 00:12:13,143
HER, DR. BEAR DR. BARABINO SERVE

312
00:12:13,143 --> 00:12:15,445
OLIN COLLEGE OF ENGINEERING IN

313
00:12:15,445 --> 00:12:21,151
NEEDHAM, MASSACHUSETTS AND DR

314
00:12:21,151 --> 00:12:22,653
DR. REBECCA WONG HAS JOINED AS

315
00:12:22,653 --> 00:12:24,321
AN AD HOC MEMBER WHILE HER

316
00:12:24,321 --> 00:12:25,722
APPOINTMENT IS BEING FINALIZED,

317
00:12:25,722 --> 00:12:31,862
SO WELCOME TO HER AS WELL.

318
00:12:31,862 --> 00:12:35,699
SO WITH THAT, LET'S BEGIN WITH A

319
00:12:35,699 --> 00:12:40,070
VERY BRIEF REVIEW OF THE PRIOR

320
00:12:40,070 --> 00:12:42,606
RECOMMENDATIONS AND THEN THE

321
00:12:42,606 --> 00:12:45,075
ACCOMPLISHMENTS AGAINST THOSE

322
00:12:45,075 --> 00:12:46,210
RECOMMENDATIONS SO THAT YOU HAVE

323
00:12:46,210 --> 00:12:47,845
A SENSE OF WHERE WE'VE BEEN AND

324
00:12:47,845 --> 00:12:54,051
WHAT WE'VE DONE.

325
00:12:54,051 --> 00:12:56,954
THE DELIVERY ORGANIZATIONAL

326
00:12:56,954 --> 00:12:58,121
CHANGE AND EFFECTIVENESS AS YOU

327
00:12:58,121 --> 00:12:59,756
KNOW WAS THE FIRST OF MANY

328
00:12:59,756 --> 00:13:05,863
REPORTS ISSUED BY THIS BOARD AND

329
00:13:05,863 --> 00:13:07,397
INDEED WE DID ESTABLISH THE

330
00:13:07,397 --> 00:13:08,932
DELIBERATIVE PROCESS AND GUIDING

331
00:13:08,932 --> 00:13:10,634
PRINCIPLES FOR SMRB ACTIONS AND

332
00:13:10,634 --> 00:13:14,605
ONE OF THE THINGS ON THE

333
00:13:14,605 --> 00:13:15,706
TABLE TODAY IS WHETHER OR NOT WE

334
00:13:15,706 --> 00:13:18,609
SHOULD CONTINUE USING THAT

335
00:13:18,609 --> 00:13:22,813
FRAMEWORK OR IF INDIVIDUALS HAVE

336
00:13:22,813 --> 00:13:23,413
ENHANCEMENTS/IMPROVEMENTS TO

337
00:13:23,413 --> 00:13:24,715
MAKE, AND WE WILL DISCUSS THAT A

338
00:13:24,715 --> 00:13:26,416
BIT LATER.

339
00:13:26,416 --> 00:13:28,485
AT LEAST ONE MEMBER SENT A NOTE

340
00:13:28,485 --> 00:13:30,220
TO THE GROUP LAST NIGHT

341
00:13:30,220 --> 00:13:31,655
INDICATING THAT THEY FELT THAT

342
00:13:31,655 --> 00:13:33,090
WE SHOULD JUST CONTINUE USING

343
00:13:33,090 --> 00:13:35,459
THAT FRAMEWORK, BUT WE SHOULD,

344
00:13:35,459 --> 00:13:36,360
OF COURSE, DISCUSS THAT

345
00:13:36,360 --> 00:13:38,896
FORMALLY.

346
00:13:38,896 --> 00:13:41,064
THERE WAS A REPORT ON SUBSTANCE

347
00:13:41,064 --> 00:13:46,003
USE, ABUSE AND ADDICTION, IN

348
00:13:46,003 --> 00:13:47,638
WHICH THE RECOMMENDATION WAS TO

349
00:13:47,638 --> 00:13:50,040
CREATE A NEW INSTITUTE SO THAT

350
00:13:50,040 --> 00:13:52,009
ALL SUBSTANCE USE, ABUSE AND

351
00:13:52,009 --> 00:13:52,676
ADDICTION-RELATED RESEARCH WOULD

352
00:13:52,676 --> 00:13:55,445
BE IN ONE ORGANIZATION.

353
00:13:55,445 --> 00:13:56,914
THIS WAS FUNCTIONALLY

354
00:13:56,914 --> 00:13:59,316
IMPLEMENTED IN THE SENSE THAT

355
00:13:59,316 --> 00:14:02,886
NIDA AND NIAAA HAVE JOINT

356
00:14:02,886 --> 00:14:06,423
COUNCIL MEETINGS ONCE A YEAR,

357
00:14:06,423 --> 00:14:08,725
AND THERE ARE OTHER SYNERGIES

358
00:14:08,725 --> 00:14:11,461
THAT THEY HAVE CREATED AT THE

359
00:14:11,461 --> 00:14:15,065
STAFF LEVEL, BUT THE ACTUAL

360
00:14:15,065 --> 00:14:16,833
FORMAL COMBINATION INTO A SINGLE

361
00:14:16,833 --> 00:14:18,035
INSTITUTE WAS SOMETHING THAT DID

362
00:14:18,035 --> 00:14:21,104
NOT OCCUR.

363
00:14:21,104 --> 00:14:23,674
THERE WAS A REPORT ON THE

364
00:14:23,674 --> 00:14:24,808
CLINICAL CENTER, THERE HAS BEEN

365
00:14:24,808 --> 00:14:27,010
A LONG-STANDING DISCUSSION ABOUT

366
00:14:27,010 --> 00:14:31,381
HOW BEST TO FUND THE CLINICAL

367
00:14:31,381 --> 00:14:31,815
CENTER.

368
00:14:31,815 --> 00:14:33,550
ONE VIEW WAS TO HAVE THE

369
00:14:33,550 --> 00:14:35,319
CLINICAL CENTER RECEIVE ITS OWN

370
00:14:35,319 --> 00:14:37,721
LINE ITEM BUDGET.

371
00:14:37,721 --> 00:14:40,123
THAT WAS NOT IMPLEMENTED, AGAIN,

372
00:14:40,123 --> 00:14:42,526
FOR A NUMBER OF REASONS WHICH WE

373
00:14:42,526 --> 00:14:45,162
CAN DISCUSS IF PEOPLE ARE

374
00:14:45,162 --> 00:14:47,664
INTERESTED, AND -- BUT THE

375
00:14:47,664 --> 00:14:49,433
REMAINING RECOMMENDATIONS OF

376
00:14:49,433 --> 00:14:52,035
THAT REPORT WERE INDEED

377
00:14:52,035 --> 00:14:55,205
IMPLEMENTED OR ARE ONGOING,

378
00:14:55,205 --> 00:14:57,407
PARTICULARLY THE LATTER POINT OF

379
00:14:57,407 --> 00:14:58,508
PROVIDING STABLE, ADEQUATE

380
00:14:58,508 --> 00:15:00,344
BUDGET FOR FISCAL VIABILITY AND

381
00:15:00,344 --> 00:15:06,283
SUSTAINABILITY.

382
00:15:06,283 --> 00:15:09,553
THERE WAS A REPORT ON

383
00:15:09,553 --> 00:15:10,821
TRANSLATIONAL MEDICINE AND

384
00:15:10,821 --> 00:15:11,755
THERAPEUTICS WHERE THE

385
00:15:11,755 --> 00:15:14,358
RECOMMENDATION WAS TO CREATE A

386
00:15:14,358 --> 00:15:16,226
NEW CENTER, AND INDEED THAT WAS

387
00:15:16,226 --> 00:15:17,194
ACCOMPLISHED THROUGH THE

388
00:15:17,194 --> 00:15:19,162
CREATION OF NCATS.

389
00:15:19,162 --> 00:15:23,033
ANOTHER REPORT ON THE SBIR

390
00:15:23,033 --> 00:15:27,804
PROGRAM SUGGESTED A VARIETY OF

391
00:15:27,804 --> 00:15:30,207
RECOMMENDATIONS THAT ARE

392
00:15:30,207 --> 00:15:33,076
OUTLINED HERE, ALL OF WHICH WERE

393
00:15:33,076 --> 00:15:34,578
IMPLEMENTED.

394
00:15:34,578 --> 00:15:36,246
THERE WAS A REPORT ON APPROACHES

395
00:15:36,246 --> 00:15:39,182
TO ASSESSING THE VALUE OF

396
00:15:39,182 --> 00:15:40,617
BIOMEDICAL RESEARCH.

397
00:15:40,617 --> 00:15:44,321
AND THIS -- YOU KNOW, THIS IS A

398
00:15:44,321 --> 00:15:46,857
COMPLICATED THING, AND WE COULD

399
00:15:46,857 --> 00:15:48,492
ALWAYS CONTINUE TO DO BETTER AND

400
00:15:48,492 --> 00:15:51,561
BETTER AT IT.

401
00:15:51,561 --> 00:15:56,266
BUT INDEED, WE HAVE ATTEMPTED TO

402
00:15:56,266 --> 00:15:57,434
MEET THE RECOMMENDATIONS OF THIS

403
00:15:57,434 --> 00:15:58,668
REPORT BOTH IN TERMS OF OUR

404
00:15:58,668 --> 00:16:00,637
ABILITY TO CAPTURE AND

405
00:16:00,637 --> 00:16:02,873
COMMUNICATE NIH'S VALUE AND

406
00:16:02,873 --> 00:16:07,411
USING COORDINATED AND SYSTEMATIC

407
00:16:07,411 --> 00:16:08,612
APPROACHES IN SELECTING STUDY

408
00:16:08,612 --> 00:16:09,246
TOPICS.

409
00:16:09,246 --> 00:16:14,418
BUT AGAIN, BY DEFINITION, THAT'S

410
00:16:14,418 --> 00:16:16,153
HOW SCIENCE IS DONE SO IT'S AN

411
00:16:16,153 --> 00:16:20,190
ONGOING PROCESS.

412
00:16:20,190 --> 00:16:21,491
THEN THE FINAL TWO REPORTS FROM

413
00:16:21,491 --> 00:16:24,461
THE PREVIOUS ITERATION OF THIS

414
00:16:24,461 --> 00:16:26,096
BOARD WAS THE PRE-COLLEGE

415
00:16:26,096 --> 00:16:31,601
ENGAGEMENT IN BIOMEDICAL SCIE 

416
00:16:31,601 --> 00:16:32,235
SCIENCES.

417
00:16:32,235 --> 00:16:34,004
NIH HAS HISTORICALLY NOT DONE A

418
00:16:34,004 --> 00:16:38,341
GREAT DEAL OF PRE-COLLEGE WORK.

419
00:16:38,341 --> 00:16:40,477
NIGMS HAS DONE THE YEOMAN'S

420
00:16:40,477 --> 00:16:42,412
SHARE OF THAT, ALTHOUGH OTHER

421
00:16:42,412 --> 00:16:43,713
INSTITUTES AND CENTERS HAVE

422
00:16:43,713 --> 00:16:47,150
PARTICIPATED A BIT, AND WE HAVE

423
00:16:47,150 --> 00:16:50,087
IMPLEMENTED THIS AND INDEED IN

424
00:16:50,087 --> 00:16:52,355
RECENT DAYS HAVE EXPANDED BEYOND

425
00:16:52,355 --> 00:16:55,192
JUST THE NIGMS SUPPORT, ALTHOUGH

426
00:16:55,192 --> 00:16:57,294
THEY DO CONTINUE TO BE THE

427
00:16:57,294 --> 00:17:01,865
LEADERS IN THIS EFFORT.

428
00:17:01,865 --> 00:17:03,200
AND THEN THE FINAL REPORT ISSUED

429
00:17:03,200 --> 00:17:06,136
IN JULY OF 2015 ON GRANT REVIEW

430
00:17:06,136 --> 00:17:07,671
AWARD AND MANAGEMENT PROCESS,

431
00:17:07,671 --> 00:17:12,909
THE VARIOUS RECOMMENDATIONS THAT

432
00:17:12,909 --> 00:17:14,711
WERE LISTED IN THAT REPORT HAVE

433
00:17:14,711 --> 00:17:18,515
BEEN IMPLEMENTED, BUT AGAIN, AN

434
00:17:18,515 --> 00:17:23,420
ONGOING EFFORT AS WE ARE ABLE TO

435
00:17:23,420 --> 00:17:26,223
USE MORE AND MORE TOOLS, SO FOR

436
00:17:26,223 --> 00:17:29,659
EXAMPLE, WE ARE NOW ABLE TO USE

437
00:17:29,659 --> 00:17:31,294
ARTIFICIAL INTELLIGENCE TO

438
00:17:31,294 --> 00:17:33,063
ENHANCE SOME OF THE

439
00:17:33,063 --> 00:17:36,099
ADMINISTRATIVE ISSUES THAT WE DO

440
00:17:36,099 --> 00:17:39,503
AND, OF COURSE, BACK IN 2015, WE

441
00:17:39,503 --> 00:17:41,271
DIDN'T FORESHADOW THAT

442
00:17:41,271 --> 00:17:43,106
POSSIBILITY, GIVEN THE RAPIDITY

443
00:17:43,106 --> 00:17:44,508
WITH WHICH THOSE TOOLS HAVE COME

444
00:17:44,508 --> 00:17:46,076
ON THE SCENE.

445
00:17:46,076 --> 00:17:50,013
BUT WE DO CONTINUE TO ITERATE

446
00:17:50,013 --> 00:17:51,948
AND IMPROVE THESE PROCESSES.

447
00:17:51,948 --> 00:17:54,584
SO I'M GOING TO STOP THERE WITH

448
00:17:54,584 --> 00:17:58,221
THAT VERY HIGH LEVEL

449
00:17:58,221 --> 00:17:58,922
OVERVIEW/SUMMARY.

450
00:17:58,922 --> 00:18:03,026
I HOPE THAT AT LEAST THE GROUP

451
00:18:03,026 --> 00:18:06,863
HAD A CHANCE TO READ IN SOME

452
00:18:06,863 --> 00:18:09,065
DETAIL THE REPORT ON

453
00:18:09,065 --> 00:18:10,066
DELIBERATING ORGANIZATIONAL

454
00:18:10,066 --> 00:18:11,234
CHANGE AND EFFECTIVENESS, WHICH

455
00:18:11,234 --> 00:18:14,204
WAS THE FIRST REPORT, BUT

456
00:18:14,204 --> 00:18:16,239
OBVIOUSLY WE SHOULD OPEN THE

457
00:18:16,239 --> 00:18:18,808
FLOOR NOW FOR DISCUSSION ON ANY

458
00:18:18,808 --> 00:18:21,511
OF THE REPORTS OR ANY OTHER

459
00:18:21,511 --> 00:18:23,580
TOPICS THAT FOLKS WANT TO RAISE

460
00:18:23,580 --> 00:18:25,749
RELATED TO THIS PART OF THE

461
00:18:25,749 --> 00:18:28,919
MEETING.

462
00:18:28,919 --> 00:18:32,556
SO COULD WE HAVE BACK THE

463
00:18:32,556 --> 00:18:34,191
HOLLYWOOD SQUARES SO EVERYBODY

464
00:18:34,191 --> 00:18:40,664
CAN SEE EVERYBODY?

465
00:18:40,664 --> 00:18:43,066
>> THANK YOU, LARRY.

466
00:18:43,066 --> 00:18:44,267
WE HAVE PLENTY OF TIME FOR

467
00:18:44,267 --> 00:18:46,336
DISCUSSION AND REALLY WE WANT TO

468
00:18:46,336 --> 00:18:49,272
HEAR FROM MOST IF NOT ALL OF

469
00:18:49,272 --> 00:18:51,041
YOU, SO I'LL JUST ENCOURAGE

470
00:18:51,041 --> 00:18:53,777
ANYONE TO GO AHEAD AND SPEAK UP.

471
00:18:53,777 --> 00:18:55,412
USE THE HAND RAISE FUNCTION SO

472
00:18:55,412 --> 00:19:05,956
WE CAN RECOGNIZE FOLKS IN ORDER.

473
00:19:16,266 --> 00:19:16,433
LINDSEY?

474
00:19:16,433 --> 00:19:18,401
>> YEAH, THANK YOU.

475
00:19:18,401 --> 00:19:19,803
THANK YOU VERY MUCH FOR THAT

476
00:19:19,803 --> 00:19:20,203
SUMMARY.

477
00:19:20,203 --> 00:19:24,941
AND I GUESS IT WAS VERY USEFUL

478
00:19:24,941 --> 00:19:28,011
READING THE INITIAL REPORT ABOUT

479
00:19:28,011 --> 00:19:28,545
ORGANIZATIONAL CHANGE, ET

480
00:19:28,545 --> 00:19:28,778
CETERA.

481
00:19:28,778 --> 00:19:30,747
WITH RESPECT TO THE MORE FOCUSED

482
00:19:30,747 --> 00:19:32,048
REPORTS, I WONDER WHETHER THERE

483
00:19:32,048 --> 00:19:36,319
WERE ANY LESSONS LEARNED THROUGH

484
00:19:36,319 --> 00:19:37,287
THAT PROCESS, PERHAPS

485
00:19:37,287 --> 00:19:38,488
PARTICULARLY WITH RESPECT TO

486
00:19:38,488 --> 00:19:39,256
RECOMMENDATIONS THAT WERE MADE

487
00:19:39,256 --> 00:19:40,890
AND WERE NOT IMPLEMENTED OR NOT

488
00:19:40,890 --> 00:19:42,759
FULLY IMPLEMENTED, I WONDER

489
00:19:42,759 --> 00:19:46,596
WHETHER ANY LESSONS THAT WE CAN

490
00:19:46,596 --> 00:19:49,766
CONSIDER AS WE START TO

491
00:19:49,766 --> 00:19:53,703
DELIBERATE POTENTIAL CHANGES.

492
00:19:53,703 --> 00:19:54,804
AND I GUESS THIS WOULD BE FOR

493
00:19:54,804 --> 00:19:56,339
THOSE OF YOU WHO WERE INVOLVED

494
00:19:56,339 --> 00:19:58,475
PREVIOUSLY.

495
00:19:58,475 --> 00:20:02,078
>> YEAH, THE MOST
SIGNIFICANT

496
00:20:02,078 --> 00:20:05,181
ONE THAT WE DIDN'T IMPLEMENT WAS

497
00:20:05,181 --> 00:20:07,517
THE PROPOSED MERGER OF NIDA AND

498
00:20:07,517 --> 00:20:12,622
AAA.

499
00:20:12,622 --> 00:20:15,025
AND ULTIMATELY THE CONGRESS

500
00:20:15,025 --> 00:20:18,628
DIDN'T SUPPORT THAT MERGER.

501
00:20:18,628 --> 00:20:22,432
AND SO I THINK GOING FORWARD,

502
00:20:22,432 --> 00:20:27,504
WHEN CONTEMPLATING APPROACHES OF

503
00:20:27,504 --> 00:20:29,806
THAT NATURE, WE NEED TO DO -- WE

504
00:20:29,806 --> 00:20:31,207
WOULD NEED TO DO A MORE

505
00:20:31,207 --> 00:20:33,510
EFFECTIVE JOB IN COMMUNICATING

506
00:20:33,510 --> 00:20:35,145
WITH CONGRESS AND OF COURSE

507
00:20:35,145 --> 00:20:39,416
LISTEN TO THEIR FEEDBACK,

508
00:20:39,416 --> 00:20:40,684
BECAUSE ULTIMATELY, YOU KNOW, AS

509
00:20:40,684 --> 00:20:42,519
YOU ALL KNOW, FOR ORGANIZATIONAL

510
00:20:42,519 --> 00:20:45,322
CHANGES OF THAT MAGNITUDE, IT

511
00:20:45,322 --> 00:20:47,223
REQUIRES CONGRESSIONAL APPROVAL.

512
00:20:47,223 --> 00:20:48,825
>> LARRY, WAS THERE
ANYTHING

513
00:20:48,825 --> 00:20:52,162
ELSE THAT THEY REJECTED FROM THE

514
00:20:52,162 --> 00:20:54,331
2010 RECOMMENDATIONS?

515
00:20:54,331 --> 00:20:58,001
>> THAT WAS THE MAIN

516
00:20:58,001 --> 00:20:59,769
RECOMMENDATION THAT THEY -- THAT

517
00:20:59,769 --> 00:21:02,172
WAS THE MAIN RECOMMENDATION THAT

518
00:21:02,172 --> 00:21:03,840
WE MADE DURING THE FIRST

519
00:21:03,840 --> 00:21:06,676
ITERATION THAT THEY DID NOT

520
00:21:06,676 --> 00:21:08,511
APPROVE.

521
00:21:08,511 --> 00:21:09,946
I DON'T RECALL OTHERS BUT THERE

522
00:21:09,946 --> 00:21:11,581
ARE OTHER MEMBERS ON THE

523
00:21:11,581 --> 00:21:14,417
COMMITTEE, PARTICULARLY GRIFF

524
00:21:14,417 --> 00:21:17,153
RODGERS, WHO MAY REMEMBER IF

525
00:21:17,153 --> 00:21:25,261
THERE WERE OTHER EXAMPLES.

526
00:21:25,261 --> 00:21:26,296
IS GRIFF WITH US THIS MORNING?

527
00:21:26,296 --> 00:21:29,099
>> I SAW HIM ON HERE, YES.

528
00:21:29,099 --> 00:21:30,433
I DO APPRECIATE LINDSEY'S

529
00:21:30,433 --> 00:21:31,267
QUESTION BECAUSE WE DON'T WANT

530
00:21:31,267 --> 00:21:32,902
TO MAKE THE SAME ERRORS THIS

531
00:21:32,902 --> 00:21:37,173
TIME IF THERE'S ANY LESSONS

532
00:21:37,173 --> 00:21:37,907
LEARNED.

533
00:21:37,907 --> 00:21:40,243
OR RESPONSES THAT THEY WERE, YOU

534
00:21:40,243 --> 00:21:41,644
KNOW, RECEIVED IN A NEGATIVE

535
00:21:41,644 --> 00:21:45,181
WAY, PERHAPS.

536
00:21:45,181 --> 00:21:46,282
>> GO AHEAD, GRIFF.

537
00:21:46,282 --> 00:21:48,118
>> JUST A WORD.

538
00:21:48,118 --> 00:21:51,388
I AGREE TOTALLY WITH DR. TABAK'S

539
00:21:51,388 --> 00:21:53,022
COMMENTS.

540
00:21:53,022 --> 00:21:55,992
I THINK IN ESSENCE, THEY WERE

541
00:21:55,992 --> 00:21:57,827
VERY SUPPORTIVE OF THE WHOLE

542
00:21:57,827 --> 00:21:59,162
CONCEPT OF DELIBERATING AND SORT

543
00:21:59,162 --> 00:22:00,797
OF THINKING OF THE PROS AND CONS

544
00:22:00,797 --> 00:22:06,936
AND THE NEED TO EFFECT THESE

545
00:22:06,936 --> 00:22:07,904
ORGANIZATIONAL CHANGES.

546
00:22:07,904 --> 00:22:10,306
BUT ON THE ISSUE SPECIFICALLY

547
00:22:10,306 --> 00:22:13,710
ABOUT THE MERGER, IT WAS AN

548
00:22:13,710 --> 00:22:17,547
ISSUE THAT I THINK IN HINDSIGHT,

549
00:22:17,547 --> 00:22:21,351
SOME DISCUSSION WITH THE MEMBERS

550
00:22:21,351 --> 00:22:24,954
WHO GAVE US THE AUTHORITY TO

551
00:22:24,954 --> 00:22:26,823
MAKE THESE RECOMMENDATIONS AND

552
00:22:26,823 --> 00:22:30,560
MOVE FORWARD, GETTING AN

553
00:22:30,560 --> 00:22:31,961
APPRECIATION OF WHETHER THEY

554
00:22:31,961 --> 00:22:37,333
THOUGHT WE DID A THOROUGH SWOT

555
00:22:37,333 --> 00:22:38,768
ANALYSIS OF PARTICULARLY SOME OF

556
00:22:38,768 --> 00:22:40,703
THE DOWNSIDE ASSOCIATED WITH

557
00:22:40,703 --> 00:22:42,272
THIS, PARTICULARLY UNANTICIPATED

558
00:22:42,272 --> 00:22:46,509
EFFECTS OF THESE CHANGES,

559
00:22:46,509 --> 00:22:48,611
PROBABLY WOULD HAVE SERVED US

560
00:22:48,611 --> 00:22:50,146
BETTER RETROSPECTIVELY AND

561
00:22:50,146 --> 00:22:51,414
PROBABLY PROSPECTIVELY, IT WOULD

562
00:22:51,414 --> 00:22:54,684
BE GOOD TO GET SORT OF A

563
00:22:54,684 --> 00:22:56,052
SENSE OF, YOU KNOW, THE

564
00:22:56,052 --> 00:22:57,220
TEMPERATURE IN THE ROOM IN THAT

565
00:22:57,220 --> 00:22:58,021
REGARD.

566
00:22:58,021 --> 00:23:03,793
>> YEAH, I HAVE TO SAY, AS
THE

567
00:23:03,793 --> 00:23:06,763
PERSON WHO LED THE EFFORT TO DO

568
00:23:06,763 --> 00:23:16,906
THIS ON BHOOF BEHALF OF NIH, I K

569
00:23:16,906 --> 00:23:20,009
WE CONSIDERED THE PROS AND CONS,

570
00:23:20,009 --> 00:23:22,078
AND THERE WERE MANY OF EACH.

571
00:23:22,078 --> 00:23:25,582
THERE WERE MANY OF EACH.

572
00:23:25,582 --> 00:23:29,519
ANY OF YOU WHO ARE AT ACADEMIC

573
00:23:29,519 --> 00:23:34,524
HEALTH CENTERS KNOW WHAT CHANGE

574
00:23:34,524 --> 00:23:38,795
BEGETS IN TERMS OF REQUIREMENTS

575
00:23:38,795 --> 00:23:41,764
TO WORK WITH STAFF AND SO FORTH,

576
00:23:41,764 --> 00:23:43,600
AND WHEN YOU THEN SUPERIMPOSE

577
00:23:43,600 --> 00:23:44,701
SOME OF THE RULES THAT WE HAVE

578
00:23:44,701 --> 00:23:46,135
IN THE FEDERAL GOVERNMENT OR FOR

579
00:23:46,135 --> 00:23:48,204
THOSE OF YOU WHO ARE AT STATE

580
00:23:48,204 --> 00:23:49,405
INSTITUTIONS, YOU PROBABLY HAVE

581
00:23:49,405 --> 00:23:52,041
A GOOD SAMPLING OF THIS AS WELL,

582
00:23:52,041 --> 00:23:57,180
AND I DO THINK THAT WE WERE ABLE

583
00:23:57,180 --> 00:23:58,381
TO ARTICULATE SOME OF THOSE

584
00:23:58,381 --> 00:23:59,048
CONCERNS.

585
00:23:59,048 --> 00:24:01,651
BUT ULTIMATELY, THE GROUP

586
00:24:01,651 --> 00:24:03,086
DECIDED, YOU KNOW, TO GO FORWARD

587
00:24:03,086 --> 00:24:05,922
WITH THE RECOMMENDATION TO

588
00:24:05,922 --> 00:24:07,991
EFFECT THE MERGER.

589
00:24:07,991 --> 00:24:09,559
SO AGAIN, JUST TO UNDERSCORE

590
00:24:09,559 --> 00:24:12,061
WHAT DR. RODGERS SAID, ANYTHING

591
00:24:12,061 --> 00:24:13,930
OF THAT TYPE GOING FORWARD, WE

592
00:24:13,930 --> 00:24:16,199
WOULD HAVE TO DO AN EVEN BETTER

593
00:24:16,199 --> 00:24:17,934
JOB OF DOING A PRE-COMMUNICATION

594
00:24:17,934 --> 00:24:20,370
WITH THE CONGRESS, JUST TO TAKE

595
00:24:20,370 --> 00:24:22,839
THEIR TEMPERATURE AS IT WAS, AS

596
00:24:22,839 --> 00:24:24,774
WAS SAID.

597
00:24:24,774 --> 00:24:26,709
>> ALLISON AND THEN
DEBORAH AND

598
00:24:26,709 --> 00:24:27,477
THEN MICHAEL.

599
00:24:27,477 --> 00:24:30,880
>> SO MY COMMENT WAS
FOLLOWING

600
00:24:30,880 --> 00:24:32,515
UP WHAT LARRY SAID AND SUCH.

601
00:24:32,515 --> 00:24:34,350
I WAS VERY IMPRESSED WITH THE

602
00:24:34,350 --> 00:24:36,786
AMOUNT OF WORK THAT HAD GONE ON

603
00:24:36,786 --> 00:24:39,822
BACK WITH THE PRIOR BOARD, AND I

604
00:24:39,822 --> 00:24:43,560
THINK ONE WONDERS WHETHER THE

605
00:24:43,560 --> 00:24:44,861
CURRENT ARTICLES THAT WE READ,

606
00:24:44,861 --> 00:24:46,262
WHETHER THEY HAD ANY KIND OF

607
00:24:46,262 --> 00:24:47,163
INSIGHTS INTO ALL THE WORK THAT

608
00:24:47,163 --> 00:24:51,901
WENT ON AND SO I WOULD JUST

609
00:24:51,901 --> 00:24:54,203
STRESS THE POINT ABOUT

610
00:24:54,203 --> 00:24:56,839
COMMUNICATION AND BUY-IN AS WE

611
00:24:56,839 --> 00:24:57,373
GO FORWARD.

612
00:24:57,373 --> 00:24:58,575
I THINK THAT'S CRITICALLY

613
00:24:58,575 --> 00:24:59,142
IMPORTANT.

614
00:24:59,142 --> 00:25:04,380
I ALSO REALLY ENDORSE THE GREEN

615
00:25:04,380 --> 00:25:06,583
PAPER, THE REPORT ON

616
00:25:06,583 --> 00:25:07,750
DELIBERATING ORGANIZATIONAL

617
00:25:07,750 --> 00:25:09,953
CHANGE AND EFFECTIVENESS, FROM

618
00:25:09,953 --> 00:25:12,155
AN ACADEMIC PERSPECTIVE, IT WAS

619
00:25:12,155 --> 00:25:16,092
SPOT-ON, AND TALKED ABOUT HOW

620
00:25:16,092 --> 00:25:17,060
CRITICALLY IMPORTANT THE

621
00:25:17,060 --> 00:25:17,560
COMMUNICATION PIECE IS.

622
00:25:17,560 --> 00:25:20,163
SO THANKS.

623
00:25:20,163 --> 00:25:22,765
>> OKAY, THANK YOU FOR
THAT

624
00:25:22,765 --> 00:25:26,369
COMMENT.

625
00:25:26,369 --> 00:25:26,636
DEBARA?

626
00:25:26,636 --> 00:25:28,871
>> DEBARA, DEB, THANK YOU.

627
00:25:28,871 --> 00:25:30,740
SO IN THINKING ABOUT THE PRIOR

628
00:25:30,740 --> 00:25:33,042
REPORTS THAT HAVE BEEN DONE,

629
00:25:33,042 --> 00:25:35,545
THIS IS A REAL WIDE RANGE OF

630
00:25:35,545 --> 00:25:38,848
DIFFERENT TYPES OF TOPICS, NOT

631
00:25:38,848 --> 00:25:41,784
ONLY DEALING WITH SORT OF

632
00:25:41,784 --> 00:25:43,653
HARDSCAPE ORGANIZATIONAL CHANGE,

633
00:25:43,653 --> 00:25:46,723
BUT ALSO PROCESS CHANGE AND

634
00:25:46,723 --> 00:25:48,224
FUNCTIONAL ORGANIZATION AS WAS

635
00:25:48,224 --> 00:25:51,527
POINTED OUT IN THE GREEN REPORT.

636
00:25:51,527 --> 00:25:53,496
SO I JUST WANT TO ENCOURAGE US

637
00:25:53,496 --> 00:25:55,365
TO ALSO THINK ABOUT THAT AND

638
00:25:55,365 --> 00:25:57,967
THINK ABOUT WAYS THAT WE AT NIH

639
00:25:57,967 --> 00:26:00,703
CAN BE MORE EFFICIENT WITH THE

640
00:26:00,703 --> 00:26:03,239
RESOURCES THAT WE HAVE.

641
00:26:03,239 --> 00:26:05,508
HOW, PERHAPS, WE COULD

642
00:26:05,508 --> 00:26:05,975
COLLABORATE BETTER.

643
00:26:05,975 --> 00:26:07,477
WE THINK THAT THERE ARE MANY,

644
00:26:07,477 --> 00:26:09,345
MANY EXAMPLES OF COLLABORATION

645
00:26:09,345 --> 00:26:11,114
ACROSS OUR INSTITUTES, BUT COULD

646
00:26:11,114 --> 00:26:13,516
IT BE BETTER AND COULD OUR

647
00:26:13,516 --> 00:26:15,051
OPPORTUNITIES TO COLLABORATE

648
00:26:15,051 --> 00:26:18,554
WITH OTHER FEDERAL AGENCIES BE

649
00:26:18,554 --> 00:26:19,522
BETTER?

650
00:26:19,522 --> 00:26:20,623
I THINK THAT THAT IS AN

651
00:26:20,623 --> 00:26:22,692
IMPORTANT ASPECT OF THIS AS

652
00:26:22,692 --> 00:26:22,892
WELL.

653
00:26:22,892 --> 00:26:23,559
THANK YOU.

654
00:26:23,559 --> 00:26:25,862
>> YES, I AGREE, THAT

655
00:26:25,862 --> 00:26:28,831
COLLABORATION PIECE IS VERY

656
00:26:28,831 --> 00:26:30,900
IMPORTANT.

657
00:26:30,900 --> 00:26:32,168
MIKE, MICHAEL?

658
00:26:32,168 --> 00:26:34,303
>> ANDREA, THANKS.

659
00:26:34,303 --> 00:26:35,705
FIRST OF ALL, COMPLETELY AGREE

660
00:26:35,705 --> 00:26:39,208
WITH WHAT DEB JUST SAID ABOUT

661
00:26:39,208 --> 00:26:40,743
LOOKING FOR WAYS TO DO THINGS

662
00:26:40,743 --> 00:26:42,612
BETTER AND THINKING ABOUT

663
00:26:42,612 --> 00:26:45,014
COLLABORATION.

664
00:26:45,014 --> 00:26:46,749
I JUST THOUGHT I WOULD SAY, I

665
00:26:46,749 --> 00:26:49,919
REALLY LIKED THE GREEN REPORT.

666
00:26:49,919 --> 00:26:53,089
IT WAS -- I THOUGHT,

667
00:26:53,089 --> 00:26:54,757
THOUGHTFULLY DONE AND REALLY

668
00:26:54,757 --> 00:26:56,826
PRETTY COMPREHENSIVE.

669
00:26:56,826 --> 00:27:00,530
I WOULD MAKE A PLUG TO INCLUDE

670
00:27:00,530 --> 00:27:02,832
SOME OF THE SPIRIT THAT MONICA

671
00:27:02,832 --> 00:27:04,901
MENTIONED AT THE VERY BEGINNING,

672
00:27:04,901 --> 00:27:07,804
THAT AS I REFLECT ON THIS, ONE

673
00:27:07,804 --> 00:27:09,505
THING THAT HAS REALLY STRUCK ME

674
00:27:09,505 --> 00:27:11,474
IN THE FOUR YEARS THAT I'VE BEEN

675
00:27:11,474 --> 00:27:12,575
HERE IS THE PURPOSE THAT WE

676
00:27:12,575 --> 00:27:14,777
EXIST IS TO SERVE THE AMERICAN

677
00:27:14,777 --> 00:27:17,046
PUBLIC, AND HOW WE CAN GET THAT

678
00:27:17,046 --> 00:27:19,882
SPIRIT IN THE REPORT THAT WE ARE

679
00:27:19,882 --> 00:27:21,551
THAT -- YOU KNOW, IN A LOT OF

680
00:27:21,551 --> 00:27:22,952
WAYS, THAT ORGANIZATION THAT

681
00:27:22,952 --> 00:27:25,855
FACES THEM WHEN THEY HAVE, FOR

682
00:27:25,855 --> 00:27:27,857
EXAMPLE, HEALTH PROBLEMS,

683
00:27:27,857 --> 00:27:29,192
WHATEVER DIFFERENT TYPE, AND

684
00:27:29,192 --> 00:27:30,493
IT'S REALLY IMPORTANT TO HAVE

685
00:27:30,493 --> 00:27:34,063
THAT COMMUNICATION WITH THEM.

686
00:27:34,063 --> 00:27:39,035
AS I LOOK AT HOW OUR

687
00:27:39,035 --> 00:27:39,902
ORGANIZATIONAL STRUCTURE IS,

688
00:27:39,902 --> 00:27:42,338
SEVERAL OF US WHO ARE NIH

689
00:27:42,338 --> 00:27:45,041
DIRECTORS HAVE INSTITUTES THAT

690
00:27:45,041 --> 00:27:48,111
ARE DISEASE-FOCUSED AND OTHERS

691
00:27:48,111 --> 00:27:51,948
HAVE INSTITUTES THAT ARE MORE

692
00:27:51,948 --> 00:27:54,016
METHODOLOGY-FOCUSED, YOU KNOW,

693
00:27:54,016 --> 00:27:56,753
FOR EXAMPLE, DEB IS HEARING, AND

694
00:27:56,753 --> 00:28:00,323
I'M EYES, AND THERE'S A NATIONAL

695
00:28:00,323 --> 00:28:03,426
LIBRARY OF MEDICINE, GENOMICS

696
00:28:03,426 --> 00:28:06,496
RESEARCH, AND TO ME,

697
00:28:06,496 --> 00:28:08,998
COLLABORATIONS OFTEN OCCUR WHEN

698
00:28:08,998 --> 00:28:10,199
METHODOLOGIES INTERSECT WITH

699
00:28:10,199 --> 00:28:10,767
DISEASES.

700
00:28:10,767 --> 00:28:13,569
AND I THINK THAT'S ONE OF THE

701
00:28:13,569 --> 00:28:16,773
REAL STRENGTHS THAT I LIKE ABOUT

702
00:28:16,773 --> 00:28:18,407
THIS, HOW OFTEN WE COLLABORATE

703
00:28:18,407 --> 00:28:20,276
FROM DISEASE TO METHODOLOGY.

704
00:28:20,276 --> 00:28:21,711
AND I HOPE THAT WE CAN MAKE A

705
00:28:21,711 --> 00:28:24,313
PLUG AS WE DELIBERATE MORE ABOUT

706
00:28:24,313 --> 00:28:29,352
HOW WE CAN LOOK AT OUR, PERHAPS,

707
00:28:29,352 --> 00:28:30,219
FUNCTIONAL ORGANIZATIONAL

708
00:28:30,219 --> 00:28:32,188
STRUCTURE TO TRY TO FACILITATE

709
00:28:32,188 --> 00:28:33,623
THOSE METHODOLOGY DISEASE

710
00:28:33,623 --> 00:28:34,390
COLLABORATIONS.

711
00:28:34,390 --> 00:28:36,025
I THINK THERE'S A TON TO GAIN

712
00:28:36,025 --> 00:28:37,193
FROM THAT.

713
00:28:37,193 --> 00:28:39,762
SO THANKS.

714
00:28:39,762 --> 00:28:40,730
>> YES.

715
00:28:40,730 --> 00:28:41,497
GREAT COMMENTS.

716
00:28:41,497 --> 00:28:43,166
LISA?

717
00:28:43,166 --> 00:28:45,201
>> YEAH, I WAS PROBABLY
THE ONE

718
00:28:45,201 --> 00:28:46,736
THAT LARRY WAS REFERRING TO

719
00:28:46,736 --> 00:28:49,906
MAYBE THAT ENDORSED THE

720
00:28:49,906 --> 00:28:52,108
DOCUMENT.

721
00:28:52,108 --> 00:28:58,848
I AGREE THAT THIS DOCUMENT WAS

722
00:28:58,848 --> 00:29:00,950
PRETTY WELL LAID OUT IN TERMS  

723
00:29:00,950 --> 00:29:01,984
OF -- MADE A DIFFERENCE TO ME IN

724
00:29:01,984 --> 00:29:03,252
THE APPROACH TO THIS.

725
00:29:03,252 --> 00:29:06,322
BUT THEN I ALSO AGREE WITH THE

726
00:29:06,322 --> 00:29:07,523
POINT, WHY DIDN'T IT QUITE WORK

727
00:29:07,523 --> 00:29:11,961
WHEN IT WAS APPLIED TO THE ONE

728
00:29:11,961 --> 00:29:13,095
MERGER THAT WENT THROUGH THIS

729
00:29:13,095 --> 00:29:16,599
PROCESS AND THEN DIDN'T ACTUALLY

730
00:29:16,599 --> 00:29:18,668
END UP HAPPENING, SO I DO THINK

731
00:29:18,668 --> 00:29:20,236
MAYBE SOME TWEAKING AND TRYING

732
00:29:20,236 --> 00:29:22,171
TO FIGURE OUT MAYBE IT'S

733
00:29:22,171 --> 00:29:23,840
COMMUNICATION WITH MEMBERS OR

734
00:29:23,840 --> 00:29:26,542
WHATEVER TO TRY TO UNDERSTAND

735
00:29:26,542 --> 00:29:28,511
THAT MORE IS VERY IMPORTANT.

736
00:29:28,511 --> 00:29:30,179
AND I GUESS I'LL MAKE THE

737
00:29:30,179 --> 00:29:31,380
COMMENT FOR MYSELF, I THOUGHT

738
00:29:31,380 --> 00:29:35,117
THE DOCUMENT ALSO DID A PRETTY

739
00:29:35,117 --> 00:29:36,285
GOOD JOB OF POINTING OUT THAT

740
00:29:36,285 --> 00:29:37,920
WHEN YOU MAKE THESE KINDS OF --

741
00:29:37,920 --> 00:29:41,991
IF THEY'RE VERY LARGE CHANGES,

742
00:29:41,991 --> 00:29:44,927
THEY CAN CREATE MORE HAVOC THAN

743
00:29:44,927 --> 00:29:47,830
YOU EVER INTENDED, AND SO REALLY

744
00:29:47,830 --> 00:29:53,803
HAVE TO BE CAREFUL ABOUT ALSO

745
00:29:53,803 --> 00:29:55,771
UNDERSTANDING THE POST HOC

746
00:29:55,771 --> 00:29:58,174
ALMOST EFFECTS OF THAT CHANGE

747
00:29:58,174 --> 00:29:59,475
AND THE STAFF AND I THINK THAT'S

748
00:29:59,475 --> 00:30:01,010
BEEN BROUGHT UP AND THE MANY

749
00:30:01,010 --> 00:30:04,180
PEOPLE THAT IT WILL AFFECT.

750
00:30:04,180 --> 00:30:05,481
SO IT'S NOT SOMETHING TO BE

751
00:30:05,481 --> 00:30:08,017
TAKEN LIGHTLY, AND I THOUGHT THE

752
00:30:08,017 --> 00:30:11,621
REPORT DID A GOOD JOB OF FRAMING

753
00:30:11,621 --> 00:30:12,188
THAT.

754
00:30:12,188 --> 00:30:13,689
>> YES, YES, THANK YOU.

755
00:30:13,689 --> 00:30:14,891
I AGREE WITH THOSE COMMENTS AS

756
00:30:14,891 --> 00:30:16,325
WELL.

757
00:30:16,325 --> 00:30:19,061
ANY OTHER COMMENTS OR QUESTIONS?

758
00:30:19,061 --> 00:30:27,570
BEFORE DR. TABAK STARTS AGAIN?

759
00:30:27,570 --> 00:30:28,371
>> OKAY.

760
00:30:28,371 --> 00:30:29,906
WELL, IT SEEMS LIKE WE'VE

761
00:30:29,906 --> 00:30:31,207
TRANSITIONED INTO -- OH, I'M

762
00:30:31,207 --> 00:30:34,744
SORRY, GILDA, PLEASE GO AHEAD.

763
00:30:34,744 --> 00:30:36,045
>> THANK YOU.

764
00:30:36,045 --> 00:30:38,114
IT JUST TOOK ME A MOMENT TO FIND

765
00:30:38,114 --> 00:30:40,850
MY RAISE HAND FUNCTION.

766
00:30:40,850 --> 00:30:42,385
I WOULD CONCUR WITH THE COMMENTS

767
00:30:42,385 --> 00:30:43,819
THAT HAVE ALREADY BEEN MADE

768
00:30:43,819 --> 00:30:45,421
ABOUT THE FRAMING AND PROCESS

769
00:30:45,421 --> 00:30:47,390
AND HOW GOOD IT WAS DONE IN THE

770
00:30:47,390 --> 00:30:47,757
REPORT.

771
00:30:47,757 --> 00:30:51,594
MY QUESTION IS ABOUT CULTURE,

772
00:30:51,594 --> 00:30:54,096
AND THE CULTURAL ASPECTS.

773
00:30:54,096 --> 00:30:56,365
AND WHEN WE'RE THINKING ABOUT

774
00:30:56,365 --> 00:30:58,467
ORGANIZATIONS AND ORGANIZATIONAL

775
00:30:58,467 --> 00:31:01,871
CHANGES, I THINK MANY TIMES WE

776
00:31:01,871 --> 00:31:03,406
FORGET ABOUT THE CULTURE AND HOW

777
00:31:03,406 --> 00:31:06,108
THE CULTURE INFORMS CHANGE, AND

778
00:31:06,108 --> 00:31:08,744
JUST CREATING STRUCTURES ALONE

779
00:31:08,744 --> 00:31:10,947
WILL START TO CREATE A CULTURE,

780
00:31:10,947 --> 00:31:12,782
BUT THERE NEEDS TO BE SOME

781
00:31:12,782 --> 00:31:13,783
INTENTIONALITY AND SOME

782
00:31:13,783 --> 00:31:16,619
UNDERSTANDING OF HOW CULTURE IS

783
00:31:16,619 --> 00:31:18,487
IMPACTING WHATEVER STRUCTURE YOU

784
00:31:18,487 --> 00:31:19,021
HAVE PRESENT.

785
00:31:19,021 --> 00:31:20,523
AND IT DID STAND OUT TO ME THAT

786
00:31:20,523 --> 00:31:22,291
THERE WAS SOME GUIDING

787
00:31:22,291 --> 00:31:24,593
PRINCIPLES THAT WERE LISTED FOR

788
00:31:24,593 --> 00:31:27,330
THE FRAMEWORK, AND SO I WOULD

789
00:31:27,330 --> 00:31:28,664
JUST LIKE TO GET A BETTER SENSE

790
00:31:28,664 --> 00:31:30,967
OF HOW THE NIH CULTURE FACTORS

791
00:31:30,967 --> 00:31:38,941
IN ON THAT.

792
00:31:38,941 --> 00:31:40,476
>> I THINK THAT CULTURE
COMMENT

793
00:31:40,476 --> 00:31:41,444
IS IMPORTANT AND WE SHOULD

794
00:31:41,444 --> 00:31:44,180
INCLUDE THAT IN OUR DISCUSSIONS

795
00:31:44,180 --> 00:31:48,117
AS WE LOOK TOWARDS FORMING THIS

796
00:31:48,117 --> 00:31:49,085
DOCUMENT, TO MAKE SURE WE

797
00:31:49,085 --> 00:31:50,419
INCLUDE THAT CULTURE.

798
00:31:50,419 --> 00:31:51,754
AND THERE ARE OBVIOUSLY MEMBERS

799
00:31:51,754 --> 00:31:53,055
ON THE COMMITTEE WHO HAVE BEEN

800
00:31:53,055 --> 00:31:55,024
IN THAT NIH CULTURE FOR YEARS,

801
00:31:55,024 --> 00:31:56,659
AND SO THAT WOULD BE -- THEIR

802
00:31:56,659 --> 00:31:58,160
COMMENTS WILL BE HELPFUL IN THAT

803
00:31:58,160 --> 00:31:58,961
PART OF THE DISCUSSION, I

804
00:31:58,961 --> 00:32:01,130
BELIEVE.

805
00:32:01,130 --> 00:32:03,032
MARK?

806
00:32:03,032 --> 00:32:04,200
>> YES, THANK YOU.

807
00:32:04,200 --> 00:32:07,470
I THINK THIS IS A VERY

808
00:32:07,470 --> 00:32:08,604
PRODUCTIVE DISCUSSION.

809
00:32:08,604 --> 00:32:12,208
BUT I THINK THAT WE'RE LEAVING

810
00:32:12,208 --> 00:32:16,345
OUT AN ESSENTIAL ELEMENT, SO I'M

811
00:32:16,345 --> 00:32:18,314
REMINDED OF THE RECENT ELECTION

812
00:32:18,314 --> 00:32:19,648
CYCLE WHERE MANY VOTERS FELT

813
00:32:19,648 --> 00:32:22,051
THAT THE ONLY TIME THEY WERE

814
00:32:22,051 --> 00:32:23,019
SPOKEN TO WAS DURING THE

815
00:32:23,019 --> 00:32:24,020
ELECTION CYCLE.

816
00:32:24,020 --> 00:32:25,621
AND THEN IN THE INTERVENING

817
00:32:25,621 --> 00:32:28,724
THREE YEARS, THEY WERE IGNORED.

818
00:32:28,724 --> 00:32:33,429
I THINK THAT BRINGING UP

819
00:32:33,429 --> 00:32:34,530
PROPOSALS TO CONGRESS AND TRYING

820
00:32:34,530 --> 00:32:40,102
TO GET THEM ON BOARD TO ENDORSE

821
00:32:40,102 --> 00:32:43,272
THAT SPECIFIC PROPOSAL LEAVES

822
00:32:43,272 --> 00:32:46,876
OUT THE OPPORTUNITY TO

823
00:32:46,876 --> 00:32:49,178
CONSTANTLY EDUCATE CONGRESS AND

824
00:32:49,178 --> 00:32:52,448
THE PUBLIC ABOUT WHAT NIH DOES,

825
00:32:52,448 --> 00:32:54,216
WHAT IT MIGHT DO, WHAT IT MIGHT

826
00:32:54,216 --> 00:33:00,990
DO BETTER, AND PAVE THE WAY FOR

827
00:33:00,990 --> 00:33:02,758
BETTER DIALOGUE, NOT ONLY

828
00:33:02,758 --> 00:33:04,427
BETWEEN CONGRESS AND NIH, BUT

829
00:33:04,427 --> 00:33:07,096
BETWEEN THE PUBLIC AND NIH.

830
00:33:07,096 --> 00:33:09,065
AND YOU KNOW, IN THE BEST OF ALL

831
00:33:09,065 --> 00:33:11,801
POSSIBLE WORLDS, THE CONGRESS IS

832
00:33:11,801 --> 00:33:13,436
RESPONSIVE TO THE PUBLIC.

833
00:33:13,436 --> 00:33:15,204
THE MORE THE PUBLIC KNOWS ABOUT

834
00:33:15,204 --> 00:33:17,406
WHAT NIH DOES, THE MORE LIKELY

835
00:33:17,406 --> 00:33:20,009
IT IS THAT NIH IS GOING TO BE

836
00:33:20,009 --> 00:33:23,612
SUPPORTED BY CONGRESS.

837
00:33:23,612 --> 00:33:25,381
SO I SEE THIS AS A POLITICAL

838
00:33:25,381 --> 00:33:25,614
REALITY.

839
00:33:25,614 --> 00:33:27,783
IT IS NOT TRADITIONALLY WHAT NIH

840
00:33:27,783 --> 00:33:30,419
DOES, AS HAS BEEN POINTED OUT TO

841
00:33:30,419 --> 00:33:30,719
ME.

842
00:33:30,719 --> 00:33:32,388
YOU KNOW, IT'S NOT AN

843
00:33:32,388 --> 00:33:34,657
EDUCATIONAL INSTITUTION.

844
00:33:34,657 --> 00:33:37,093
THAT BEING SAID, I THINK THERE'S

845
00:33:37,093 --> 00:33:40,696
AN OBLIGATION TO DISSEMINATE

846
00:33:40,696 --> 00:33:41,664
SCIENCE TO THE PUBLIC AND TO

847
00:33:41,664 --> 00:33:42,865
LISTEN TO THE PUBLIC ABOUT WHAT

848
00:33:42,865 --> 00:33:43,966
THEIR CONCERNS ARE, WHAT THEIR

849
00:33:43,966 --> 00:33:45,401
NEEDS ARE, WHAT THEIR

850
00:33:45,401 --> 00:33:46,602
PERCEPTIONS OF THEIR HEALTHCARE

851
00:33:46,602 --> 00:33:47,803
NEEDS ARE THAT ARE NOT BEING

852
00:33:47,803 --> 00:33:48,571
MET.

853
00:33:48,571 --> 00:33:50,639
AND TO BE RESPONSIVE TO THAT.

854
00:33:50,639 --> 00:33:52,408
AND THIS DIALOGUE HAS TO BE

855
00:33:52,408 --> 00:33:55,144
ONGOING.

856
00:33:55,144 --> 00:33:56,645
SO SOMEHOW, I THINK WE NEED TO

857
00:33:56,645 --> 00:34:00,583
CONSIDER HOW WE WOULD BUILD THIS

858
00:34:00,583 --> 00:34:04,220
IN TO THE NIH FRAMEWORK, IF YOU

859
00:34:04,220 --> 00:34:07,590
WILL.

860
00:34:07,590 --> 00:34:12,728
BECAUSE I THINK THAT

861
00:34:12,728 --> 00:34:13,963
PARTICULARLY ANTICIPATING A MORE

862
00:34:13,963 --> 00:34:15,164
CHALLENGING POLITICAL CLIMATE

863
00:34:15,164 --> 00:34:16,265
OVER THE NEXT FOUR YEARS, I

864
00:34:16,265 --> 00:34:18,100
THINK WE'RE GOING TO HAVE A VERY

865
00:34:18,100 --> 00:34:20,402
DIFFICULT TIME MAKING THE CASE

866
00:34:20,402 --> 00:34:24,006
FOR ANY LOGICAL CHANGES, THE

867
00:34:24,006 --> 00:34:26,108
CHANGES THAT MAY BE IMPOSED ON

868
00:34:26,108 --> 00:34:28,711
US MAY BE DISTASTEFUL AND

869
00:34:28,711 --> 00:34:31,680
DESTRUCTIVE.

870
00:34:31,680 --> 00:34:33,315
>> THANK YOU FOR THOSE
COMMENTS.

871
00:34:33,315 --> 00:34:36,719
I THINK THAT THAT CAME OUT IN

872
00:34:36,719 --> 00:34:39,755
THE DOCUMENT FROM 2010, BUT I

873
00:34:39,755 --> 00:34:40,956
THINK THAT PROVIDING -- IT

874
00:34:40,956 --> 00:34:42,091
SOUNDS LIKE WHAT YOU WERE SAYING

875
00:34:42,091 --> 00:34:43,425
IS THAT WE SHOULD BE ABLE TO

876
00:34:43,425 --> 00:34:45,327
FIGURE OUT SORT OF A -- I WON'T

877
00:34:45,327 --> 00:34:47,062
SAY STRUCTURE BUT AN INTENTIONAL

878
00:34:47,062 --> 00:34:50,366
WAY OF COMMUNICATING WITH THE

879
00:34:50,366 --> 00:34:51,267
PUBLIC.

880
00:34:51,267 --> 00:34:53,969
REMEMBERING ALSO -- WHAT THAT

881
00:34:53,969 --> 00:34:55,938
BRINGS TO MIND TO ME IS THE

882
00:34:55,938 --> 00:34:57,039
CONGRESSMEN, SENATORS WHO WROTE

883
00:34:57,039 --> 00:34:58,374
THESE QUESTIONS THAT WE REVIEWED

884
00:34:58,374 --> 00:35:00,309
LAST TIME ARE ALSO PART OF THE

885
00:35:00,309 --> 00:35:02,311
PUBLIC, AND WE WERE ALL VERY

886
00:35:02,311 --> 00:35:04,146
SURPRISED BY THE QUESTIONS THAT

887
00:35:04,146 --> 00:35:06,448
THEY POSED AND THE CONCERNS THAT

888
00:35:06,448 --> 00:35:07,082
THEY HAD.

889
00:35:07,082 --> 00:35:11,587
AND I THINK THAT REFLECTS THAT

890
00:35:11,587 --> 00:35:12,788
WE'RE NOT COMMUNICATING WELL

891
00:35:12,788 --> 00:35:14,123
WITH THE PUBLIC ON WHAT THE NIH

892
00:35:14,123 --> 00:35:16,959
IS DOING.

893
00:35:16,959 --> 00:35:18,694
SO I THINK IT'S DEFINITELY

894
00:35:18,694 --> 00:35:20,563
REQUIRED OF US TO BE ABLE TO

895
00:35:20,563 --> 00:35:22,865
PROVIDE SOME INSIGHT ON HOW THAT

896
00:35:22,865 --> 00:35:28,537
SHOULD LOOK.

897
00:35:28,537 --> 00:35:35,010
OTHER COMMENTS, QUESTIONS?

898
00:35:35,010 --> 00:35:35,644
OKAY.

899
00:35:35,644 --> 00:35:36,845
LARRY, YOU HAD A FEW MORE

900
00:35:36,845 --> 00:35:37,079
SLIDES?

901
00:35:37,079 --> 00:35:38,614
>> WELL, YES, I THINK
THERE'S

902
00:35:38,614 --> 00:35:41,784
ACTUALLY ONLY ONE MORE, SO IF WE

903
00:35:41,784 --> 00:35:42,985
CAN GO TO THAT.

904
00:35:42,985 --> 00:35:48,891
YES, NEXT, PLEASE.

905
00:35:48,891 --> 00:35:50,326
SO I THINK WE'VE ACTUALLY

906
00:35:50,326 --> 00:35:52,494
ALREADY HAD MUCH OF THIS

907
00:35:52,494 --> 00:35:53,596
DISCUSSION.

908
00:35:53,596 --> 00:35:56,232
THIS JUST OUTLINES THE FRAMEWORK

909
00:35:56,232 --> 00:35:59,668
FROM THAT ORIGINAL REPORT, AND

910
00:35:59,668 --> 00:36:02,004
SO REALLY THE QUESTION TO PUT ON

911
00:36:02,004 --> 00:36:04,740
THE TABLE IS DOES ANYBODY WANT

912
00:36:04,740 --> 00:36:07,276
TO SPEAK AGAINST USING THIS

913
00:36:07,276 --> 00:36:09,578
FRAMEWORK, CONTINUING TO USE IT,

914
00:36:09,578 --> 00:36:11,747
DOES ANYBODY WANT TO AMEND THE

915
00:36:11,747 --> 00:36:16,018
FRAMEWORK IN SOME WAY, OR ARE WE

916
00:36:16,018 --> 00:36:19,288
SATISFIED WITH THIS PARTICULAR

917
00:36:19,288 --> 00:36:22,157
FRAMEWORK, AND OF COURSE ALWAYS

918
00:36:22,157 --> 00:36:25,094
HAVE THE OPTION OF REVISITING

919
00:36:25,094 --> 00:36:26,395
AMENDMENT IF ALONG THE WAY

920
00:36:26,395 --> 00:36:28,264
DURING OUR DELIBERATIONS, WE

921
00:36:28,264 --> 00:36:29,798
REALIZE THAT SOMETHING IS

922
00:36:29,798 --> 00:36:30,566
LACKING.

923
00:36:30,566 --> 00:36:33,636
BUT AT THE MOMENT, IT SEEMS LIKE

924
00:36:33,636 --> 00:36:37,139
THE GROUP IS IN FAVOR OF

925
00:36:37,139 --> 00:36:39,208
CONTINUING WITH THIS FRAMEWORK.

926
00:36:39,208 --> 00:36:41,510
BUT THE GROUP NEEDS TO WEIGH IN

927
00:36:41,510 --> 00:36:42,411
NOW.

928
00:36:42,411 --> 00:36:44,580
SO I THINK THAT'S REALLY THE

929
00:36:44,580 --> 00:36:47,750
ONLY THING TO SAY ABOUT THIS.

930
00:36:47,750 --> 00:36:50,286
>> I THINK SO.

931
00:36:50,286 --> 00:36:52,121
AND SO YOU'VE OUTLINED HERE ON

932
00:36:52,121 --> 00:36:53,989
THIS SLIDE THE GUIDING

933
00:36:53,989 --> 00:36:55,391
PRINCIPLES AS WERE IN THE

934
00:36:55,391 --> 00:36:59,561
PREVIOUS DOCUMENT, THE STEPS AND

935
00:36:59,561 --> 00:37:00,929
CONSIDERATIONS FROM THE PREVIOUS

936
00:37:00,929 --> 00:37:02,831
DOCUMENT AND THE UNDERPINNING

937
00:37:02,831 --> 00:37:03,165
ATTRIBUTES.

938
00:37:03,165 --> 00:37:06,135
WHEN YOU LOOK AT THE GUIDING

939
00:37:06,135 --> 00:37:07,102
PRINCIPLES, STRENGTHEN ABILITY

940
00:37:07,102 --> 00:37:09,872
OF NIH TO CARRY OUT ITS MISSION,

941
00:37:09,872 --> 00:37:11,940
PROVIDE AN ENVIRONMENT FOR

942
00:37:11,940 --> 00:37:13,676
COLLABORATION, COORDINATION AND

943
00:37:13,676 --> 00:37:16,211
INTERACTION, BRING TOGETHER

944
00:37:16,211 --> 00:37:17,513
SYNERGIES, ENHANCE PUBLIC

945
00:37:17,513 --> 00:37:18,947
UNDERSTANDING, CONFIDENCE AND

946
00:37:18,947 --> 00:37:20,582
SUPPORT, AND INCREASE

947
00:37:20,582 --> 00:37:22,651
OPERATIONAL EFFICIENCY, I THINK

948
00:37:22,651 --> 00:37:25,287
IN THE PREVIOUS COMMENTS, WE

949
00:37:25,287 --> 00:37:28,257
TOUCHED ON MANY OF THOSE.

950
00:37:28,257 --> 00:37:31,960
I THINK WHAT I HEARD WAS PEOPLE

951
00:37:31,960 --> 00:37:33,162
AGREED WITH THEM BUT WHAT I

952
00:37:33,162 --> 00:37:35,030
WOULD LIKE THE GROUP TO ASK

953
00:37:35,030 --> 00:37:36,031
THEMSELVES IS, ARE THERE ANY

954
00:37:36,031 --> 00:37:37,866
THAT WE WOULD WANT TO ADD TO

955
00:37:37,866 --> 00:37:39,101
THESE GUIDING PRINCIPLES THAT

956
00:37:39,101 --> 00:37:42,371
YOU FEEL ARE MISSING THAT WE

957
00:37:42,371 --> 00:37:43,672
SHOULD ADDRESS ON THIS

958
00:37:43,672 --> 00:37:44,006
ITERATION?

959
00:37:44,006 --> 00:37:47,076
IS THERE ANYTHING -- I THINK WE

960
00:37:47,076 --> 00:37:49,244
ALL WOULD AGREE THAT

961
00:37:49,244 --> 00:37:50,679
TRANSPARENCY, KEUNCATION AND

962
00:37:50,679 --> 00:37:52,414
ACCOUNTABILITY ARE THE

963
00:37:52,414 --> 00:37:53,716
UNDERPINNINGS, BUT AGAIN, IS

964
00:37:53,716 --> 00:37:54,850
THERE ANYTHING YOU WOULD ADD TO

965
00:37:54,850 --> 00:37:56,218
THOSE UNDERPINNING ATTRIBUTES,

966
00:37:56,218 --> 00:37:57,453
IS THERE ANYTHING YOU WOULD ADD

967
00:37:57,453 --> 00:38:08,030
TO TH THE GUIDING PRINCIPLES?

968
00:38:14,470 --> 00:38:16,338
ARE WE BACK ON THE HOLLYWOOD

969
00:38:16,338 --> 00:38:26,615
SQUARES VERSION?

970
00:38:27,549 --> 00:38:30,352
OKAY, MARK, AND THEN DEBARA.

971
00:38:30,352 --> 00:38:32,554
>> MARK, DEB AND ALLISON
ARE

972
00:38:32,554 --> 00:38:33,422
CUED UP.

973
00:38:33,422 --> 00:38:35,057
>> THANK YOU.

974
00:38:35,057 --> 00:38:37,126
I THINK THAT THE GUIDING

975
00:38:37,126 --> 00:38:38,560
PRINCIPLES COULD BE SIMPLIFIED A

976
00:38:38,560 --> 00:38:44,900
LITTLE BIT.

977
00:38:44,900 --> 00:38:46,435
YOU PULLED DOWN THE SLIDE BUT I

978
00:38:46,435 --> 00:38:48,771
THINK THE BULLET ABOUT SYNERGIES

979
00:38:48,771 --> 00:38:51,473
IS REALLY IMPLICIT IN THE

980
00:38:51,473 --> 00:38:53,675
PREVIOUS BULLET.

981
00:38:53,675 --> 00:38:56,178
ABOUT BRINGING INSTITUTES

982
00:38:56,178 --> 00:38:58,147
TOGETHER, AND I DON'T THINK IT'S

983
00:38:58,147 --> 00:39:00,015
NECESSARY TO HAVE A SEPARATE

984
00:39:00,015 --> 00:39:01,850
LINE ITEM FOR THAT.

985
00:39:01,850 --> 00:39:05,154
BUT I THINK WE SHOULD ADD

986
00:39:05,154 --> 00:39:06,655
SOMETHING TO THE COMMUNICATION

987
00:39:06,655 --> 00:39:08,357
PIECE.

988
00:39:08,357 --> 00:39:10,325
SO YES, NIH SHOULD PROVIDE

989
00:39:10,325 --> 00:39:11,727
INFORMATION TO THE PUBLIC, BUT I

990
00:39:11,727 --> 00:39:13,262
THINK WE NEED TO HAVE A FORMAL

991
00:39:13,262 --> 00:39:16,331
WAY TO LISTEN TO THE PUBLIC.

992
00:39:16,331 --> 00:39:18,834
AND I WOULD LIKE TO SEE THAT, OR

993
00:39:18,834 --> 00:39:20,369
I SUGGEST THAT WE TRY TO BUILD

994
00:39:20,369 --> 00:39:23,906
THAT IN IF PEOPLE AGREE.

995
00:39:23,906 --> 00:39:25,641
>> AND WHEN YOU SAY FORMAL
WAY

996
00:39:25,641 --> 00:39:30,112
TO LISTEN, YOU MEAN A

997
00:39:30,112 --> 00:39:34,383
COMMUNICATION OUTLET THAT WOULD

998
00:39:34,383 --> 00:39:35,451
ALLOW COMMUNICATION --

999
00:39:35,451 --> 00:39:36,018
>> RIGHT.

1000
00:39:36,018 --> 00:39:39,188
SO FOR EXAMPLE, WE HAVE NIH

1001
00:39:39,188 --> 00:39:40,489
SUPPORTED INVESTIGATORS IN EVERY

1002
00:39:40,489 --> 00:39:45,093
STATE OF THE UNION, AND IN EVERY

1003
00:39:45,093 --> 00:39:47,296
TERRITORY, AND PART OF THEIR

1004
00:39:47,296 --> 00:39:48,497
RESPONSIBILITY AS NIH

1005
00:39:48,497 --> 00:39:50,566
INVESTIGATORS MIGHT BE TO INVITE

1006
00:39:50,566 --> 00:39:55,804
THE PUBLIC IN FOR DISCUSSION.

1007
00:39:55,804 --> 00:39:57,473
AND THAT DISCUSSION, THE

1008
00:39:57,473 --> 00:39:58,674
PROCEEDINGS OF THAT DISCUSSION

1009
00:39:58,674 --> 00:40:01,610
SHOULD BE RECORDED, SHARED,

1010
00:40:01,610 --> 00:40:03,679
DISSECTED, UNDERSTOOD, SO THAT

1011
00:40:03,679 --> 00:40:06,682
WE GET A BETTER CHANCE TO

1012
00:40:06,682 --> 00:40:08,517
UNDERSTAND WHAT'S GOING ON AT

1013
00:40:08,517 --> 00:40:11,820
STREET LEVEL.

1014
00:40:11,820 --> 00:40:13,288
>> RIGHT.

1015
00:40:13,288 --> 00:40:14,523
OKAY.

1016
00:40:14,523 --> 00:40:15,924
I UNDERSTAND.

1017
00:40:15,924 --> 00:40:18,193
DEBARA?

1018
00:40:18,193 --> 00:40:19,528
>> YES, THIS RELATES TO

1019
00:40:19,528 --> 00:40:20,896
SOMETHING THAT I MENTIONED

1020
00:40:20,896 --> 00:40:25,801
EARLIER, AND I DON'T KNOW IF

1021
00:40:25,801 --> 00:40:27,035
THIS RISES TO THE LEVEL OF BEING

1022
00:40:27,035 --> 00:40:30,539
A GAIDI GUIDING PRINCIPLE.

1023
00:40:30,539 --> 00:40:32,074
SO I THINK THAT THE FEDERAL

1024
00:40:32,074 --> 00:40:35,210
GOVERNMENT AND THE SORT OF

1025
00:40:35,210 --> 00:40:35,878
HEALTHCARE WORKFORCE THAT'S

1026
00:40:35,878 --> 00:40:37,746
RELATED TO HEALTH, THE FDA, THE

1027
00:40:37,746 --> 00:40:40,282
CDC, THE WHOLE GROUP OF AGENCIES

1028
00:40:40,282 --> 00:40:42,251
THAT ARE RELATED TO HEALTH COULD

1029
00:40:42,251 --> 00:40:44,520
BENEFIT FROM WORKING TOGETHER

1030
00:40:44,520 --> 00:40:46,355
BETTER AND INTEGRATING WHAT

1031
00:40:46,355 --> 00:40:48,156
WE'RE DOING BETTER.

1032
00:40:48,156 --> 00:40:49,691
SO I DON'T KNOW IF THAT'S PART

1033
00:40:49,691 --> 00:40:51,093
OF SOMETHING THAT WE SHOULD

1034
00:40:51,093 --> 00:40:51,960
CONSIDER HERE.

1035
00:40:51,960 --> 00:40:54,596
AND I'M JUST PUTTING IT OUT FOR

1036
00:40:54,596 --> 00:40:55,497
COMMENT.

1037
00:40:55,497 --> 00:40:58,767
>> I THINK THAT IS IN ONE
OF THE

1038
00:40:58,767 --> 00:41:00,402
GUIDING PRINCIPLES, THE

1039
00:41:00,402 --> 00:41:01,270
INTEGRATION -- LET ME GO BACK TO

1040
00:41:01,270 --> 00:41:03,238
THAT.

1041
00:41:03,238 --> 00:41:03,772
 -- LIST.

1042
00:41:03,772 --> 00:41:06,742
BUT THAT IS PART OF THE -- I

1043
00:41:06,742 --> 00:41:07,743
CAN'T REMEMBER HOW IT'S WORDED

1044
00:41:07,743 --> 00:41:09,511
IN THERE, BUT THAT IS PART OF

1045
00:41:09,511 --> 00:41:10,679
THE GUIDING PRINCIPLES.

1046
00:41:10,679 --> 00:41:20,956
>> OKAY, GREAT.

1047
00:41:22,057 --> 00:41:22,824
>> OKAY.

1048
00:41:22,824 --> 00:41:25,727
LET'S SEE, WHO WAS NEXT?

1049
00:41:25,727 --> 00:41:30,499
>> ALLISON AND GRIFF NEXT.

1050
00:41:30,499 --> 00:41:32,167
>> I'LL FOLLOW UP ON WHAT
MARK

1051
00:41:32,167 --> 00:41:33,769
SAID AND JUST SAY, INSERTING IN

1052
00:41:33,769 --> 00:41:36,738
THE FRAMEWORK, BIDIRECTIONAL

1053
00:41:36,738 --> 00:41:37,606
COMMUNICATION, SO WE PROVIDE

1054
00:41:37,606 --> 00:41:38,740
INFORMATION TO THE PUBLIC BUT WE

1055
00:41:38,740 --> 00:41:39,708
HEAR BACK FROM THE PUBLIC ABOUT

1056
00:41:39,708 --> 00:41:42,911
THEIR CONCERNS.

1057
00:41:42,911 --> 00:41:46,148
>> DEFINITELY CRITICAL,
YES.

1058
00:41:46,148 --> 00:41:47,182
>> YES, THAT WOULD BE
GOOD.

1059
00:41:47,182 --> 00:41:52,120
THANK YOU.

1060
00:41:52,120 --> 00:41:55,624
>> GRIFF AND THEN JONI.

1061
00:41:55,624 --> 00:41:59,895
>> I THINK I'M UNMUTED.

1062
00:41:59,895 --> 00:42:07,102
AGAIN, I REALLY DO LIKE THE DOCI

1063
00:42:07,102 --> 00:42:08,003
REPORT AND ITS GUIDING

1064
00:42:08,003 --> 00:42:10,205
PRINCIPLES.

1065
00:42:10,205 --> 00:42:11,840
THE ONE THING -- AND PERHAPS I'M

1066
00:42:11,840 --> 00:42:13,475
RIFFING OFF OF WHAT OTHERS HAVE

1067
00:42:13,475 --> 00:42:15,243
SAID, I'M JUST SAYING IT IN A

1068
00:42:15,243 --> 00:42:15,911
DIFFERENT WAY, IS THAT GIVING

1069
00:42:15,911 --> 00:42:18,313
THE EVOLVING LANDSCAPE OF

1070
00:42:18,313 --> 00:42:20,282
BIOMEDICAL RESEARCH AND PUBLIC

1071
00:42:20,282 --> 00:42:23,151
HEALTH CHALLENGES, IS OF COURSE

1072
00:42:23,151 --> 00:42:25,420
PRUDENT TO SORT OF REVISIT THE

1073
00:42:25,420 --> 00:42:27,522
REPORT TO ENSURE THE

1074
00:42:27,522 --> 00:42:29,257
RECOMMENDATIONS REMAIN RELEVANT

1075
00:42:29,257 --> 00:42:30,993
AND IMPACTFUL.

1076
00:42:30,993 --> 00:42:35,297
AND YOU KNOW, RATHER THAN BEING

1077
00:42:35,297 --> 00:42:37,165
REACTIVE TO THINGS THAT MAY BE

1078
00:42:37,165 --> 00:42:40,102
PUT FORWARD TO US TO CONSIDER,

1079
00:42:40,102 --> 00:42:43,071
BEING MAYBE A LITTLE MORE

1080
00:42:43,071 --> 00:42:44,373
PREEMPTIVE IN THAT REGARD.

1081
00:42:44,373 --> 00:42:48,110
AND SO FOR EXAMPLE, PROVIDING AN

1082
00:42:48,110 --> 00:42:50,846
ON-RAMP FOR AN IDEA THAT MONICA

1083
00:42:50,846 --> 00:42:54,549
MENTIONED AT THE BEGINNING,

1084
00:42:54,549 --> 00:42:57,386
HAVING A FOCUS ON WOMEN'S HEALTH

1085
00:42:57,386 --> 00:43:00,022
AND MAYBE, YOU KNOW, THIS GROUP

1086
00:43:00,022 --> 00:43:01,356
MIGHT BE THE GROUP TO SORT OF

1087
00:43:01,356 --> 00:43:02,457
CONSIDER THAT.

1088
00:43:02,457 --> 00:43:03,992
THE OTHER THING TO CONSIDER, FOR

1089
00:43:03,992 --> 00:43:04,960
EXAMPLE, IS THAT SINCE THE

1090
00:43:04,960 --> 00:43:07,829
REPORT CAME OUT, THERE'S BEEN A

1091
00:43:07,829 --> 00:43:10,365
LOT OF ADVANCEMENT IN

1092
00:43:10,365 --> 00:43:10,666
TECHNOLOGY.

1093
00:43:10,666 --> 00:43:14,369
THIS SORT OF ALIGNS WITH WHAT

1094
00:43:14,369 --> 00:43:16,471
DR. CHIANG SAID, ESPECIALLY IN

1095
00:43:16,471 --> 00:43:19,207
ARTIFICIAL INTELLIGENCE, MACHINE

1096
00:43:19,207 --> 00:43:21,743
LEARNING, GENE EDITING FOR

1097
00:43:21,743 --> 00:43:22,044
EXAMPLE.

1098
00:43:22,044 --> 00:43:23,712
THESE OBVIOUSLY WILL

1099
00:43:23,712 --> 00:43:24,579
SIGNIFICANTLY INFLUENCE OUR

1100
00:43:24,579 --> 00:43:27,482
APPROACH TO BIOMEDICAL RESEARCH,

1101
00:43:27,482 --> 00:43:30,786
SO MAKING SURE THAT THE NIH CAN

1102
00:43:30,786 --> 00:43:32,688
SORT OF FUNCTIONALLY ADAPT TO

1103
00:43:32,688 --> 00:43:34,890
THESE SHARED AREAS OF INTEREST

1104
00:43:34,890 --> 00:43:37,192
MIGHT BE SOMETHING WE MIGHT

1105
00:43:37,192 --> 00:43:40,262
CONSIDER SORT OF PREEMPTIVELY

1106
00:43:40,262 --> 00:43:40,562
ADDRESSING.

1107
00:43:40,562 --> 00:43:41,697
NOW BEFORE I CLOSE, DO I WANT TO

1108
00:43:41,697 --> 00:43:43,165
MAKE SURE THAT I'M NOT INVOLVED

1109
00:43:43,165 --> 00:43:45,400
IN AN AREA OF MISSION CREEP, AND

1110
00:43:45,400 --> 00:43:47,803
I KNOW THAT THE DIRECTOR AND THE

1111
00:43:47,803 --> 00:43:50,138
DEPUTY DIRECTOR OF NIH HAS AN

1112
00:43:50,138 --> 00:43:51,640
ADVISORY COUNCIL TO THE DIRECTOR

1113
00:43:51,640 --> 00:43:54,843
AND A COUNCIL OF COUNCILS, SO I

1114
00:43:54,843 --> 00:43:56,044
JUST WANT TO MAKE SURE THAT

1115
00:43:56,044 --> 00:43:57,946
WE'RE NOT -- THIS SUGGESTION

1116
00:43:57,946 --> 00:44:00,882
WOULDN'T BE ENCROACHING UPON

1117
00:44:00,882 --> 00:44:03,952
THEIR ADVISORY ROLE TO THE

1118
00:44:03,952 --> 00:44:05,087
DIRECTOR AND DEPUTY.

1119
00:44:05,087 --> 00:44:07,289
SO MAYBE I COULD ASK EITHER

1120
00:44:07,289 --> 00:44:09,357
MONICA OR LARRY TO COMMENT ON

1121
00:44:09,357 --> 00:44:14,196
THAT.

1122
00:44:14,196 --> 00:44:15,831
>> I CAN COMMENT QUICKLY,
GRIFF.

1123
00:44:15,831 --> 00:44:17,265
I THINK IT'S A VERY, VERY GOOD

1124
00:44:17,265 --> 00:44:19,034
COMMENT FOR THIS GROUP, AND I

1125
00:44:19,034 --> 00:44:21,002
THINK THERE'S GOING TO BE SOME

1126
00:44:21,002 --> 00:44:23,105
CROSSTALK BETWEEN THESE TWO

1127
00:44:23,105 --> 00:44:24,306
COMMITTEES ANYWAY AND THAT'S

1128
00:44:24,306 --> 00:44:28,243
VERY IMPORTANT.

1129
00:44:28,243 --> 00:44:32,380
THE SCIENTIFIC GOALS ARE MORE

1130
00:44:32,380 --> 00:44:35,283
THE PROVINCE OF THE ADVISORY

1131
00:44:35,283 --> 00:44:37,853
COMMITTEE TO THE DIRECTOR, BUT

1132
00:44:37,853 --> 00:44:41,923
ONCE THOSE ARE ARTICULATED, THE

1133
00:44:41,923 --> 00:44:47,062
EXECUTION CONCERNS ARE -- THERE

1134
00:44:47,062 --> 00:44:48,330
REALLY HAS TO BE CROSSTALK

1135
00:44:48,330 --> 00:44:51,233
BETWEEN THE TWO.

1136
00:44:51,233 --> 00:44:52,701
I THINK THIS IS A CRITICAL

1137
00:44:52,701 --> 00:44:52,901
POINT.

1138
00:44:52,901 --> 00:44:53,201
>> THANKS.

1139
00:44:53,201 --> 00:44:59,241
>> JONI?

1140
00:44:59,241 --> 00:45:01,877
>> DOUBLE DOWN OR MAYBE
EVEN

1141
00:45:01,877 --> 00:45:03,278
TRIPLE DOWN ON SOME POINTS THAT

1142
00:45:03,278 --> 00:45:04,379
WERE PREVIOUSLY MENTIONED BUT I

1143
00:45:04,379 --> 00:45:05,814
WANTED TO UNDERSCORE THEM A BIT

1144
00:45:05,814 --> 00:45:08,650
MORE TOO, IN THIS IDEA THAT I

1145
00:45:08,650 --> 00:45:09,618
THINK THE GUIDING PRINCIPLES

1146
00:45:09,618 --> 00:45:10,919
MIGHT HELP WITH A LITTLE BIT

1147
00:45:10,919 --> 00:45:13,121
MORE FOCUS ON BEING

1148
00:45:13,121 --> 00:45:15,757
FORWARD-LOOKING, AND THINKING

1149
00:45:15,757 --> 00:45:18,927
ABOUT HOW IN TERMS OF A VERY

1150
00:45:18,927 --> 00:45:21,396
FAST-MOVING SET OF AREAS THAT

1151
00:45:21,396 --> 00:45:24,166
GRIFF JUST ARTICULATED, FOR

1152
00:45:24,166 --> 00:45:28,570
EXAMPLE, TO FOSTER ADAPTABILITY,

1153
00:45:28,570 --> 00:45:29,805
INNOVATION, AND ANTICIPATE AND

1154
00:45:29,805 --> 00:45:31,106
ADDRESSEE MERGING SCIENTIFIC

1155
00:45:31,106 --> 00:45:31,306
AREAS.

1156
00:45:31,306 --> 00:45:34,376
I THINK BEING A LITTLE BIT MORE

1157
00:45:34,376 --> 00:45:35,510
CONCRETE IN HOW WE CAN

1158
00:45:35,510 --> 00:45:37,145
STRENGTHEN THE ABILITY OF NIH TO

1159
00:45:37,145 --> 00:45:38,680
CARRY OUT ITS MISSION, FOR

1160
00:45:38,680 --> 00:45:41,650
EXAMPLE, USING THAT KIND OF

1161
00:45:41,650 --> 00:45:45,687
FORWARD-LOOKING FRAMEWORK MIGHT

1162
00:45:45,687 --> 00:45:47,455
HELP KIND OF FOCUS THOSE GUIDING

1163
00:45:47,455 --> 00:45:47,856
PRINCIPLES.

1164
00:45:47,856 --> 00:45:49,724
I THINK THE ONLY OTHER -- MAYBE

1165
00:45:49,724 --> 00:45:51,593
NOT THE ONLY BUT ONE OTHER AREA

1166
00:45:51,593 --> 00:45:53,562
THAT I KIND OF SAW NOT QUITE

1167
00:45:53,562 --> 00:45:56,398
ADDRESSED IN THEM IS THE IDEA OF

1168
00:45:56,398 --> 00:46:02,337
HOW WE SHOULD BE CONSIDERING THE

1169
00:46:02,337 --> 00:46:04,873
NEED FOR SUSTAINABLE ACTION AS

1170
00:46:04,873 --> 00:46:06,942
WELL, AND SO SORT OF ENSURING

1171
00:46:06,942 --> 00:46:09,477
THAT WE HAVE SUSTAINABLE

1172
00:46:09,477 --> 00:46:12,747
PRACTICES IN RESOURCE

1173
00:46:12,747 --> 00:46:13,515
ALLOCATION, INFRASTRUCTURE AND

1174
00:46:13,515 --> 00:46:15,684
RESEARCH TO SUPPORT LONG TERM

1175
00:46:15,684 --> 00:46:17,786
BIOMEDICAL INNOVATION AND PUBLIC

1176
00:46:17,786 --> 00:46:20,088
HEALTH GOALS IN THIS WAY I THINK

1177
00:46:20,088 --> 00:46:21,389
COULD ALSO SORT OF BE A POINT

1178
00:46:21,389 --> 00:46:23,525
THAT WE TALK ABOUT IN TERMS OF

1179
00:46:23,525 --> 00:46:24,826
INCREASING THAT OPERATIONAL

1180
00:46:24,826 --> 00:46:25,827
EFFICIENCY.

1181
00:46:25,827 --> 00:46:27,562
IT HARD TO REALLY HIGHLIGHT WHAT

1182
00:46:27,562 --> 00:46:28,897
REALLY THAT MEANS, SO PUTTING A

1183
00:46:28,897 --> 00:46:31,099
LITTLE BIT MORE CONTEXT AROUND

1184
00:46:31,099 --> 00:46:34,069
THAT COULD BE HELPFUL IN

1185
00:46:34,069 --> 00:46:35,136
THINKING ABOUT WHEN WE TALK

1186
00:46:35,136 --> 00:46:37,239
ABOUT SOME OF THESE AREAS FOR

1187
00:46:37,239 --> 00:46:38,106
GUIDING PRINCIPLES TO ENSURE

1188
00:46:38,106 --> 00:46:40,208
THAT WE'RE THINKING ABOUT BEING

1189
00:46:40,208 --> 00:46:42,277
FORWARD-LOOKING BUT ALSO BEING

1190
00:46:42,277 --> 00:46:46,314
QUITE SUSTAINABLE IN HOW WE CAN

1191
00:46:46,314 --> 00:46:46,681
IMPLEMENT THEM.

1192
00:46:46,681 --> 00:46:49,951
THANK YOU.

1193
00:46:49,951 --> 00:46:51,786
>> YEAH, THAT'S GOOD.

1194
00:46:51,786 --> 00:46:53,655
WE SHOULD ADD -- MAKE SURE THAT

1195
00:46:53,655 --> 00:46:54,356
THE FORWARD-THINKING AND

1196
00:46:54,356 --> 00:46:55,423
SUSTAINABILITY IS IN THERE.

1197
00:46:55,423 --> 00:46:57,292
I THINK THAT'S VERY IMPORTANT.

1198
00:46:57,292 --> 00:47:01,997
MICHAEL?

1199
00:47:01,997 --> 00:47:07,903
>> ANDREA, I WOULD
DEFINITELY

1200
00:47:07,903 --> 00:47:09,437
SUGGEST VERSION TWO OF THE

1201
00:47:09,437 --> 00:47:10,538
GUIDING PRINCIPLES IF WE SAY

1202
00:47:10,538 --> 00:47:12,407
SOMETHING UP FRONT TO EMPHASIZE

1203
00:47:12,407 --> 00:47:14,743
HOW WE EXIST TO SERVE THE

1204
00:47:14,743 --> 00:47:15,911
AMERICAN PUBLIC ABOUT THE

1205
00:47:15,911 --> 00:47:17,545
RESEARCH AND HOW IT AFFECTS

1206
00:47:17,545 --> 00:47:19,514
THEM, JUST SORT OF THE POINT

1207
00:47:19,514 --> 00:47:22,050
THAT ALLISON MADE ABOUT

1208
00:47:22,050 --> 00:47:22,918
BIDIRECTIONALITY, I THINK IS

1209
00:47:22,918 --> 00:47:24,119
EXTREMELY IMPORTANT, AND MAYBE

1210
00:47:24,119 --> 00:47:25,887
PUTTING THAT IN THE FIRST -- UP

1211
00:47:25,887 --> 00:47:30,158
NEAR THE FRONT SOMEWHERE.

1212
00:47:30,158 --> 00:47:32,661
I TOTALLY AGREE WITH WHAT JONI

1213
00:47:32,661 --> 00:47:34,229
SAID ABOUT BEING FORWARD

1214
00:47:34,229 --> 00:47:35,096
THINKING, WHAT GRIFF SAID

1215
00:47:35,096 --> 00:47:35,764
BEFORE.

1216
00:47:35,764 --> 00:47:40,001
I THINK ONE THING THAT WE HEAR A

1217
00:47:40,001 --> 00:47:42,337
LOT MORE NOW THAT WE DIDN'T

1218
00:47:42,337 --> 00:47:44,940
NECESSARILY 10 IN 2010 WAS TEAM

1219
00:47:44,940 --> 00:47:46,274
SCIENCE, AND I THINK THAT MAY BE

1220
00:47:46,274 --> 00:47:47,342
WORTH GETTING SOME OF THAT

1221
00:47:47,342 --> 00:47:48,043
SPIRIT IN THERE.

1222
00:47:48,043 --> 00:47:51,746
AND JUST THAT OVERALL SENSE OF

1223
00:47:51,746 --> 00:47:54,049
LEADERSHIP AND THAT WE CAN HELP

1224
00:47:54,049 --> 00:47:58,119
DIRECT WHERE THE PUCK IS GOING.

1225
00:47:58,119 --> 00:47:59,854
AND JUST IN TERMS OF

1226
00:47:59,854 --> 00:48:01,389
COMMUNICATION, I REALLY

1227
00:48:01,389 --> 00:48:04,526
APPRECIATED LITION E LISTENING T

1228
00:48:04,526 --> 00:48:05,060
MARK SAID.

1229
00:48:05,060 --> 00:48:08,563
I THINK ONE OF THE CHALLENGES TO

1230
00:48:08,563 --> 00:48:10,966
ME IN TERMS OF INTERFACING WITH

1231
00:48:10,966 --> 00:48:12,767
THE PUBLIC IS THAT ONE OF THE

1232
00:48:12,767 --> 00:48:16,271
GAPS IS THAT MOST OF THE

1233
00:48:16,271 --> 00:48:19,874
RESEARCH OCCURS IN UNIVERSITIES

1234
00:48:19,874 --> 00:48:22,010
AND IS DELIVERED BY CLINICIANS

1235
00:48:22,010 --> 00:48:23,345
FROM AROUND THE COUNTRY.

1236
00:48:23,345 --> 00:48:24,846
IN OTHER WORDS, WE DON'T DO MOST

1237
00:48:24,846 --> 00:48:26,581
OF THAT HERE IN BETHESDA.

1238
00:48:26,581 --> 00:48:28,149
THERE'S A LITTLE BIT OF A GAP,

1239
00:48:28,149 --> 00:48:30,352
WELL, WHAT DOES NIH DO, AND I

1240
00:48:30,352 --> 00:48:32,087
THINK IT'S REALLY INCUMBENT UPON

1241
00:48:32,087 --> 00:48:33,989
US TO HELP COMMUNICATE THAT WITH

1242
00:48:33,989 --> 00:48:35,957
THE PUBLIC, THAT THOSE THINGS

1243
00:48:35,957 --> 00:48:36,958
CAN'T HAPPEN WITHOUT WHAT

1244
00:48:36,958 --> 00:48:39,127
HAPPENS IN BETHESDA, EVEN IF

1245
00:48:39,127 --> 00:48:40,695
IT'S NOT US WHO'S DELIVERING

1246
00:48:40,695 --> 00:48:43,531
THOSE TO THEM.

1247
00:48:43,531 --> 00:48:45,500
AND MAYBE WE SHOULD LOOK A

1248
00:48:45,500 --> 00:48:48,003
LITTLE BIT ABOUT -- AT A COMPANY

1249
00:48:48,003 --> 00:48:51,206
LIKE NVIDIA, SAME THING, THAT

1250
00:48:51,206 --> 00:48:55,477
COMPUTING AND A.I. CAN'T EXIST

1251
00:48:55,477 --> 00:48:58,213
WITHOUT NVIDIA BUT THEY DON'T DO

1252
00:48:58,213 --> 00:48:59,981
MOST OF THAT, THEY PROVIDE THE

1253
00:48:59,981 --> 00:49:00,949
ENGINE THAT HELPS TO DO IT.

1254
00:49:00,949 --> 00:49:02,817
SO I THINK THAT MIGHT GIVE US A

1255
00:49:02,817 --> 00:49:04,052
LITTLE BIT OF LESSONS MAYBE

1256
00:49:04,052 --> 00:49:06,688
ABOUT HOW WE CAN HELP BRIDGE

1257
00:49:06,688 --> 00:49:09,958
THAT GAP.

1258
00:49:09,958 --> 00:49:11,493
>> YEAH, I THINK YOU'RE
EXACTLY

1259
00:49:11,493 --> 00:49:13,028
RIGHT ABOUT THAT, MICHAEL,

1260
00:49:13,028 --> 00:49:14,229
BECAUSE IF YOU RECALL WHEN WE

1261
00:49:14,229 --> 00:49:17,966
WERE REVIEWING THE COMMENTS FROM

1262
00:49:17,966 --> 00:49:20,268
THE CONGRESSMEN AND SENATORS,

1263
00:49:20,268 --> 00:49:22,470
THAT ONE OF THE COMMENTS WAS

1264
00:49:22,470 --> 00:49:23,872
ASKING WHY THERE'S SO MANY

1265
00:49:23,872 --> 00:49:24,873
DIFFERENT INSTITUTES WHEN

1266
00:49:24,873 --> 00:49:26,408
THERE'S SORT OF ONE HUMAN BODY

1267
00:49:26,408 --> 00:49:27,175
TYPE OF THING.

1268
00:49:27,175 --> 00:49:28,943
SO WE CLEARLY ARE NOT DOING A

1269
00:49:28,943 --> 00:49:33,748
GOOD JOB COMMUNICATING THAT TEAM

1270
00:49:33,748 --> 00:49:36,684
SISCIENCE IS CENTRAL TO WHAT WE

1271
00:49:36,684 --> 00:49:38,453
DO, AND THAT EVEN THOUGH THERE

1272
00:49:38,453 --> 00:49:39,988
ARE DIFFERENT INSTITUTES, THAT

1273
00:49:39,988 --> 00:49:41,756
THERE'S TEAM SCIENCE GOING ON

1274
00:49:41,756 --> 00:49:43,491
THAT HELPS BRIDGE THESE GAPS, I

1275
00:49:43,491 --> 00:49:45,460
THINK THAT'S A POINT THAT THEY

1276
00:49:45,460 --> 00:49:47,562
WOULD APPRECIATE HEARING BASED

1277
00:49:47,562 --> 00:49:51,733
ON THE QUESTIONS THAT THEY HAVE.

1278
00:49:51,733 --> 00:49:53,568
LINDSEY?

1279
00:49:53,568 --> 00:49:57,672
>> YES, I JUST WANTED TO
NOTE,

1280
00:49:57,672 --> 00:49:58,540
UNDERSTANDABLY WE'RE HEARING A

1281
00:49:58,540 --> 00:50:00,308
LOT OF COMMENTS ABOUT

1282
00:50:00,308 --> 00:50:03,244
COMMUNICATION, AND I'M REMINDED

1283
00:50:03,244 --> 00:50:05,780
THAT THE NIH HAS DEVOTED A LOT

1284
00:50:05,780 --> 00:50:08,083
OF TIME AND EFFORT RECENTLY TO

1285
00:50:08,083 --> 00:50:10,185
DEVELOPING A NEW COMMUNICATION

1286
00:50:10,185 --> 00:50:10,718
PLAN.

1287
00:50:10,718 --> 00:50:14,389
I THINK IN PART MOTIVATED AND

1288
00:50:14,389 --> 00:50:15,457
INSPIRED BY THE PANDEMIC.

1289
00:50:15,457 --> 00:50:17,725
SO IN TERMS OF OUR PROCESS,

1290
00:50:17,725 --> 00:50:22,297
SINCE THIS I MERGING IS SUCH AN

1291
00:50:22,297 --> 00:50:23,531
IMPORTANT TOPIC, I HOPE WE'LL

1292
00:50:23,531 --> 00:50:24,399
HAVE AN OPPORTUNITY FOR THIS

1293
00:50:24,399 --> 00:50:25,633
GROUP TO HEAR ABOUT THOSE PLANS,

1294
00:50:25,633 --> 00:50:28,703
AND IT WILL GIVE US AN

1295
00:50:28,703 --> 00:50:32,740
OPPORTUNITY TO REACT TO OR

1296
00:50:32,740 --> 00:50:35,577
RESPOND TO SUPPORT, ET CETERA,

1297
00:50:35,577 --> 00:50:37,245
AND THAT KIND OF RELATES TO THIS

1298
00:50:37,245 --> 00:50:38,780
ISSUE OF WHAT SORT OF

1299
00:50:38,780 --> 00:50:40,215
INFORMATION WE WOULD LIKE TO

1300
00:50:40,215 --> 00:50:40,748
REVIEW.

1301
00:50:40,748 --> 00:50:42,750
SO I HOPE THAT WE'LL HAVE AN

1302
00:50:42,750 --> 00:50:44,819
OPPORTUNITY TO HEAR WHAT THE

1303
00:50:44,819 --> 00:50:46,788
CURRENT PLANS ARE MOVING FORWARD

1304
00:50:46,788 --> 00:50:48,890
FOR NIH COMMUNICATIONS SINCE

1305
00:50:48,890 --> 00:50:50,658
THIS IS EMERGING AS SUCH AN

1306
00:50:50,658 --> 00:50:55,130
IMPORTANT TOPIC FOR US.

1307
00:50:55,130 --> 00:50:57,098
>> DR. TABAK, LARRY, WILL
THAT

1308
00:50:57,098 --> 00:50:58,233
BE POSSIBLE FOR US TO HEAR ABOUT

1309
00:50:58,233 --> 00:50:59,234
THOSE THINGS THAT ARE --

1310
00:50:59,234 --> 00:51:02,804
>> OH, YES, OF COURSE.

1311
00:51:02,804 --> 00:51:05,039
IT TRANSPIRES THAT OUR

1312
00:51:05,039 --> 00:51:06,574
COMMUNICATIONS DIRECTOR IS ON

1313
00:51:06,574 --> 00:51:08,309
LEAVE TODAY, BUT CERTAINLY FOR

1314
00:51:08,309 --> 00:51:10,512
THE NEXT MEETING, IF THAT SUITS

1315
00:51:10,512 --> 00:51:15,350
THE GROUP, WE CAN ARRANGE TO

1316
00:51:15,350 --> 00:51:18,520
HAVE RANONA MYLES SPEAK TO THE

1317
00:51:18,520 --> 00:51:20,288
GROUP AND HAVE A DIALOGUE,

1318
00:51:20,288 --> 00:51:20,588
ABSOLUTELY.

1319
00:51:20,588 --> 00:51:23,958
>> OKAY, SOUNDS GOOD.

1320
00:51:23,958 --> 00:51:25,894
ANY OTHER COMMENTS ON THE

1321
00:51:25,894 --> 00:51:27,228
GUIDING PRINCIPLES AND HOW WE

1322
00:51:27,228 --> 00:51:28,796
MIGHT MODIFY THEM IN THIS

1323
00:51:28,796 --> 00:51:33,968
ITERATION?

1324
00:51:33,968 --> 00:51:35,303
OKAY.

1325
00:51:35,303 --> 00:51:37,472
MAYBE WE CAN GO BACK TO THE

1326
00:51:37,472 --> 00:51:47,615
SLIDES.

1327
00:51:48,816 --> 00:51:50,585
SO I THINK WE'VE SORT OF GONE

1328
00:51:50,585 --> 00:51:55,356
THROUGH SOME OF THIS ALREADY,

1329
00:51:55,356 --> 00:51:56,658
BUT I THOUGHT OUR GOALS FOR

1330
00:51:56,658 --> 00:51:59,394
TODAY WERE TO ASK AND ANSWER ANY

1331
00:51:59,394 --> 00:52:01,196
QUESTIONS ABOUT THE SMRB BEFORE,

1332
00:52:01,196 --> 00:52:02,630
WHICH WE'VE ALREADY DONE.

1333
00:52:02,630 --> 00:52:04,265
AGREE ON THE PRINCIPLES TO

1334
00:52:04,265 --> 00:52:05,333
FOLLOW, WHICH WE'VE ALREADY

1335
00:52:05,333 --> 00:52:06,701
DONE.

1336
00:52:06,701 --> 00:52:09,771
AND NEXT, AGREE ON WHAT DATA WE

1337
00:52:09,771 --> 00:52:12,073
NEED FROM DR. TABAK AND THE TEAM

1338
00:52:12,073 --> 00:52:15,109
IN ORDER TO MOVE FORWARD.

1339
00:52:15,109 --> 00:52:17,245
AND THEN IN THAT DISCUSSION,

1340
00:52:17,245 --> 00:52:18,546
DEFINE THE SUBCOMMITTEES, HOW

1341
00:52:18,546 --> 00:52:20,114
MANY WE THINK WE'RE GOING TO

1342
00:52:20,114 --> 00:52:23,051
NEED, WHO WE'RE GOING TO LEAD,

1343
00:52:23,051 --> 00:52:24,619
ARE OUTSIDE CONSULTANTS NEED, ET

1344
00:52:24,619 --> 00:52:25,320
CETERA.

1345
00:52:25,320 --> 00:52:26,688
SO THAT'S WHERE WE'LL SPEND THE

1346
00:52:26,688 --> 00:52:28,556
MAJORITY OF THE REMAINDER OF THE

1347
00:52:28,556 --> 00:52:32,093
TIME TRYING TO AGREE ON WHAT

1348
00:52:32,093 --> 00:52:33,461
DATA WE NEED AND WHAT QUESTIONS

1349
00:52:33,461 --> 00:52:35,597
WE NEED TO ASK SO WE CAN HAVE A

1350
00:52:35,597 --> 00:52:37,165
CONSISTENT PROCESS FOR THE

1351
00:52:37,165 --> 00:52:45,573
EVALUATION OF THE 27 CENTERS.

1352
00:52:45,573 --> 00:52:47,909
SO DR. TABAK OUTLINED IN THE

1353
00:52:47,909 --> 00:52:49,677
EMAIL, I JUST COPIED AND PASTED

1354
00:52:49,677 --> 00:52:52,180
THE THREE BULLETS AND TOPICS FOR

1355
00:52:52,180 --> 00:52:53,514
CONSIDERATION:  THE OVERSIGHT

1356
00:52:53,514 --> 00:52:55,817
ISSUES, THE NIH STRUCTURE AND

1357
00:52:55,817 --> 00:52:57,352
LEADERSHIP, AND INNOVATION.

1358
00:52:57,352 --> 00:52:59,887
AND WE'VE TALKED ABOUT THIS

1359
00:52:59,887 --> 00:53:02,757
SOMEWHAT ALREADY, IMPROVING THE

1360
00:53:02,757 --> 00:53:06,494
OVERSIGHT OF THE ALLEGATIONS OF

1361
00:53:06,494 --> 00:53:10,798
MISCONDUCT AND PROTECTION OF

1362
00:53:10,798 --> 00:53:11,766
WHISTLEBLOWERS, UPDATING,

1363
00:53:11,766 --> 00:53:15,036
COMMUNICATING AND IMPLEMENTING

1364
00:53:15,036 --> 00:53:17,171
COI POLICIES, EXPLORE OPTIONS TO

1365
00:53:17,171 --> 00:53:18,239
BALANCE ADMINISTRATIVE BURDEN

1366
00:53:18,239 --> 00:53:19,907
WITH TRULY MEANINGFUL OVERSIGHT

1367
00:53:19,907 --> 00:53:21,242
TOOLS, AND HAVING THE NIH

1368
00:53:21,242 --> 00:53:23,444
RESTORE THE PUBLIC TRUST IN THE

1369
00:53:23,444 --> 00:53:25,413
SCIENTIFIC PROCESS.

1370
00:53:25,413 --> 00:53:27,282
THE SECOND SORT OF BIG BUCKET OF

1371
00:53:27,282 --> 00:53:30,685
TOPICS IS THE NIH STRUCTURE AND

1372
00:53:30,685 --> 00:53:33,554
LEADERSHIP, FIGURING OUT HOW WE

1373
00:53:33,554 --> 00:53:36,624
MIGHT TO MINIMIZE A DEUBLCATION

1374
00:53:36,624 --> 00:53:40,061
AND REDUNDANT INFRASTRUCTURE

1375
00:53:40,061 --> 00:53:42,797
AMONG THE CENTERS.

1376
00:53:42,797 --> 00:53:43,998
TERM LIMITS MAY BE A TOPIC OF

1377
00:53:43,998 --> 00:53:45,199
DISCUSSION.

1378
00:53:45,199 --> 00:53:48,369
ELIMINATING SILOS BETWEEN THE

1379
00:53:48,369 --> 00:53:50,038
CENTERS AND REQUIRING ANY NIH

1380
00:53:50,038 --> 00:53:50,805
REPORTS.

1381
00:53:50,805 --> 00:53:52,674
UNDER INNOVATION, ANALYSIS OF

1382
00:53:52,674 --> 00:53:53,975
NIH INTERNAL DATA THAT COULD

1383
00:53:53,975 --> 00:53:56,110
HELP THE RESEARCH COMMUNITY, THE

1384
00:53:56,110 --> 00:53:58,746
POLICYMAKERS, THE STAKEHOLDERS

1385
00:53:58,746 --> 00:54:00,281
UNDERSTAND HOW TO BALANCE THESE

1386
00:54:00,281 --> 00:54:01,916
COMPETING INTERESTS WITH

1387
00:54:01,916 --> 00:54:03,685
TARGETED VERSUS INVESTIGATOR

1388
00:54:03,685 --> 00:54:04,786
INITIATED RESEARCH, AND I THINK

1389
00:54:04,786 --> 00:54:06,454
I WOULD ADD THERE THE

1390
00:54:06,454 --> 00:54:08,189
COMMUNICATION OF SUCH.

1391
00:54:08,189 --> 00:54:09,791
AND TO ENCOURAGE REPLICATION

1392
00:54:09,791 --> 00:54:12,960
STUDIES AND/OR ENCOURAGE THE

1393
00:54:12,960 --> 00:54:14,996
VOLUNTARY SHARING OF NEGATIVE

1394
00:54:14,996 --> 00:54:17,832
RESULTS.

1395
00:54:17,832 --> 00:54:20,435
SO WITH THESE TOPICS FOR

1396
00:54:20,435 --> 00:54:23,171
CONSIDERATION IN MIND, THESE ARE

1397
00:54:23,171 --> 00:54:25,640
LARRY'S SUMMARY BASED ON WHAT WE

1398
00:54:25,640 --> 00:54:26,808
HAD -- QUESTIONS WE RECEIVED

1399
00:54:26,808 --> 00:54:28,910
FROM THE CONGRESS AND SENATE, I

1400
00:54:28,910 --> 00:54:33,381
THINK WE SHOULD GO THROUGH AND

1401
00:54:33,381 --> 00:54:37,051
DISCUSS WHAT -- FIRST OF ALL --

1402
00:54:37,051 --> 00:54:37,919
IS THERE A NEXT SLIDE?

1403
00:54:37,919 --> 00:54:39,320
I THINK THERE MIGHT BE ONE MORE

1404
00:54:39,320 --> 00:54:40,088
SLIDE.

1405
00:54:40,088 --> 00:54:41,656
IF NOT, WE'LL JUST GO TO THE

1406
00:54:41,656 --> 00:54:48,563
OTHER VIEW.

1407
00:54:48,563 --> 00:54:50,098
>> THAT WAS THE FINAL
SLIDE.

1408
00:54:50,098 --> 00:54:50,732
>> OKAY.

1409
00:54:50,732 --> 00:54:51,866
SO WE'LL JUST GO TO THE OTHER

1410
00:54:51,866 --> 00:54:52,100
VIEW.

1411
00:54:52,100 --> 00:54:55,503
SO I THINK WHAT I'D LIKE TO DO

1412
00:54:55,503 --> 00:54:58,773
NOW IS REALLY HEAR FROM YOU

1413
00:54:58,773 --> 00:55:00,475
AGAIN ON WHAT DATA DO WE NEED TO

1414
00:55:00,475 --> 00:55:03,111
MAKE THESE DECISIONS AND PUT

1415
00:55:03,111 --> 00:55:05,413
THIS REPORT TOGETHER, BUT ONE OF

1416
00:55:05,413 --> 00:55:06,914
THE FIRST QUESTIONS, AND I THINK

1417
00:55:06,914 --> 00:55:09,917
WE'VE ALREADY AGREED THAT WE'RE

1418
00:55:09,917 --> 00:55:13,087
GOING TO -- WE'RE GOING TO LOOK

1419
00:55:13,087 --> 00:55:17,525
AT ALL 27 CENTERS, AND THEN THE

1420
00:55:17,525 --> 00:55:18,960
QUESTION IS, WHICH QUESTIONS DO

1421
00:55:18,960 --> 00:55:20,928
WE NEED TO ASK OF EACH CENTER.

1422
00:55:20,928 --> 00:55:22,764
AND LARRY MENTIONED THAT WE

1423
00:55:22,764 --> 00:55:24,565
MIGHT THINK OF GROUPING THE

1424
00:55:24,565 --> 00:55:26,534
CENTERS INTO LARGE, MEDIUM AND

1425
00:55:26,534 --> 00:55:28,369
SMALL AS FAR AS THE SIZE OF THE

1426
00:55:28,369 --> 00:55:29,504
CENTERS.

1427
00:55:29,504 --> 00:55:33,474
IN ORDER TO MAKE THE TASK A

1428
00:55:33,474 --> 00:55:35,910
LITTLE MORE TIME-EFFICIENT.

1429
00:55:35,910 --> 00:55:39,580
SO I WILL ASK IF WE COULD START

1430
00:55:39,580 --> 00:55:41,149
TO TALK ABOUT WHAT DATA WE NEED

1431
00:55:41,149 --> 00:55:42,350
AND WHAT QUESTIONS WE NEED TO

1432
00:55:42,350 --> 00:55:43,885
ASK SO WE CAN HAVE A LIST OF

1433
00:55:43,885 --> 00:55:46,554
QUESTIONS THAT WE CAN

1434
00:55:46,554 --> 00:55:47,321
CONSISTENTLY ASK FOR EACH CENTER

1435
00:55:47,321 --> 00:55:48,723
IN ORDER TO GET THE DATA WE NEED

1436
00:55:48,723 --> 00:55:51,793
TO MAKE THE DECISIONS BASED ON

1437
00:55:51,793 --> 00:55:53,027
THE REPORT THAT WE NEED TO

1438
00:55:53,027 --> 00:55:54,162
GENERATE.

1439
00:55:54,162 --> 00:55:56,831
>> IF I COULD JUST
INTERJECT ONE

1440
00:55:56,831 --> 00:55:58,733
THING THAT WE WERE ABLE TO

1441
00:55:58,733 --> 00:56:00,968
DISCUSS YESTERDAY, FOR SOME OF

1442
00:56:00,968 --> 00:56:06,974
THESE TOPICS, THESE ARE

1443
00:56:06,974 --> 00:56:09,277
FUNCTIONS OR ACTIVITIES THAT ARE

1444
00:56:09,277 --> 00:56:13,614
NOT REALLY RUN AT THE CENTER OR

1445
00:56:13,614 --> 00:56:14,882
INSTITUTE LEVEL.

1446
00:56:14,882 --> 00:56:20,788
BUT REALLY ARE RUN ACROSS THE

1447
00:56:20,788 --> 00:56:21,456
AGENCY.

1448
00:56:21,456 --> 00:56:23,424
SO THINGS LIKE CONFLICT OF

1449
00:56:23,424 --> 00:56:25,993
INTEREST POLICIES, THINGS LIKE

1450
00:56:25,993 --> 00:56:28,162
DEALING WITH WHISTLEBLOWERS, YOU

1451
00:56:28,162 --> 00:56:31,065
KNOW, THINGS OF THAT NATURE.

1452
00:56:31,065 --> 00:56:35,770
SO THERE, YOU WOULD WANT TO

1453
00:56:35,770 --> 00:56:39,073
INTERROGATE WHAT WE DO AT THE

1454
00:56:39,073 --> 00:56:40,475
AGENCY LEVEL.

1455
00:56:40,475 --> 00:56:41,676
THE INDIVIDUAL INSTITUTES AND

1456
00:56:41,676 --> 00:56:43,377
CENTERS MERELY FOLLOW THE

1457
00:56:43,377 --> 00:56:44,412
GUIDANCE THAT THE OFFICE OF THE

1458
00:56:44,412 --> 00:56:45,680
DIRECTOR PROVIDES.

1459
00:56:45,680 --> 00:56:50,184
FOR SOME OF THE OTHER TOPICS,

1460
00:56:50,184 --> 00:56:53,621
PARTICULARLY RELATED TO

1461
00:56:53,621 --> 00:56:55,656
INNOVATION, WHICH EVERYBODY

1462
00:56:55,656 --> 00:56:58,192
KNOWS IT WHEN THEY SEE IT, BUT

1463
00:56:58,192 --> 00:57:00,194
IT'S HARD TO DESCRIBE UNTIL YOU

1464
00:57:00,194 --> 00:57:03,598
DO SEE IT.

1465
00:57:03,598 --> 00:57:05,233
THERE, OF COURSE, A MORE

1466
00:57:05,233 --> 00:57:06,567
INSTITUTE AND CENTER-CENTRIC

1467
00:57:06,567 --> 00:57:10,104
APPROACH MIGHT BE EXTREMELY

1468
00:57:10,104 --> 00:57:13,574
VALUABLE BECAUSE WE ARE

1469
00:57:13,574 --> 00:57:16,210
FORTUNATE, WE HAVE 27

1470
00:57:16,210 --> 00:57:18,513
EXPERIMENTS GOING ON

1471
00:57:18,513 --> 00:57:19,614
SIMULTANEOUSLY, AND WHILE THERE

1472
00:57:19,614 --> 00:57:23,684
IS SOME COMMONALITY IN PROCESS,

1473
00:57:23,684 --> 00:57:26,420
EACH INSTITUTE AND CENTER DOES

1474
00:57:26,420 --> 00:57:28,589
DO THINGS IN A UNIQUE WAY

1475
00:57:28,589 --> 00:57:31,058
TAILORED TO THE VARIOUS RESEARCH

1476
00:57:31,058 --> 00:57:32,994
COMMUNITIES, PATIENT COMMUNITIES

1477
00:57:32,994 --> 00:57:36,063
THAT THEY SERVE WITH.

1478
00:57:36,063 --> 00:57:38,933
AND THEN THAT IN BETWEEN

1479
00:57:38,933 --> 00:57:41,903
CATEGORY OF HOW CAN WE BEST

1480
00:57:41,903 --> 00:57:43,938
OPTIMIZE OUR INFRASTRUCTURE, ET

1481
00:57:43,938 --> 00:57:47,508
CETERA, THERE I THINK IT'S A

1482
00:57:47,508 --> 00:57:47,842
HYBRID.

1483
00:57:47,842 --> 00:57:49,343
SOME OF IT COMES ACROSS THE

1484
00:57:49,343 --> 00:57:51,045
AGENCY AND SOME OF IT IS VERY

1485
00:57:51,045 --> 00:57:52,346
CENTRIC TO THE INDIVIDUAL

1486
00:57:52,346 --> 00:57:54,882
INSTITUTES AND CENTERS.

1487
00:57:54,882 --> 00:57:58,085
SO I THINK AS YOU THINK OF THOSE

1488
00:57:58,085 --> 00:58:02,356
THREE BIG CATEGORIES OF

1489
00:58:02,356 --> 00:58:04,825
POSSIBILITIES, PLEASE KEEP IN

1490
00:58:04,825 --> 00:58:07,628
MIND SOME ARE OVERARCING THE

1491
00:58:07,628 --> 00:58:09,297
AGENCY, SOME ARE VERY CENTRIC TO

1492
00:58:09,297 --> 00:58:10,831
THE INSTITUTE AND CENTER, AND

1493
00:58:10,831 --> 00:58:11,832
SOME ARE HYBRID.

1494
00:58:11,832 --> 00:58:14,335
I HOPE THAT IS HELPFUL,

1495
00:58:14,335 --> 00:58:18,606
PARTICULARLY TO OUR EXTRAMURAL

1496
00:58:18,606 --> 00:58:21,075
COLLEAGUES.

1497
00:58:21,075 --> 00:58:22,910
>> YES, THAT'S VERY, VERY

1498
00:58:22,910 --> 00:58:25,846
HELPFUL, I THINK.

1499
00:58:25,846 --> 00:58:26,881
SO LET'S CONTINUE WITH THE

1500
00:58:26,881 --> 00:58:29,116
DISCUSSION.

1501
00:58:29,116 --> 00:58:32,486
SO WHICH QUESTIONS DO WE NEED,

1502
00:58:32,486 --> 00:58:34,355
WHAT DATA DO WE NEED SO THAT WE

1503
00:58:34,355 --> 00:58:36,591
CAN HAVE SOME CONSISTENCY,

1504
00:58:36,591 --> 00:58:38,326
KEEPING IN MIND WHAT LARRY JUST

1505
00:58:38,326 --> 00:58:40,294
SAID ABOUT HOW SOME THINGS ARE

1506
00:58:40,294 --> 00:58:43,864
CENTRAL AND SOME THINGS ARE NOT,

1507
00:58:43,864 --> 00:58:47,168
DO WE NEED THE BASIC METRICS FOR

1508
00:58:47,168 --> 00:58:51,305
THE CENTER ON FUNDING,

1509
00:58:51,305 --> 00:58:52,073
PUBLICATIONS, ET CETERA?

1510
00:58:52,073 --> 00:58:55,943
DO WE NEED MORE DETAILED

1511
00:58:55,943 --> 00:58:56,477
INFORMATION?

1512
00:58:56,477 --> 00:58:59,680
WHAT QUESTIONS AND DATA DO WE

1513
00:58:59,680 --> 00:59:00,748
NEED IN ORDER TO ANSWER OUR

1514
00:59:00,748 --> 00:59:06,354
QUESTIONS?

1515
00:59:06,354 --> 00:59:08,055
JONI?

1516
00:59:08,055 --> 00:59:08,789
>> HI.

1517
00:59:08,789 --> 00:59:10,458
THANK YOU.

1518
00:59:10,458 --> 00:59:11,659
I GUESS I DON'T KNOW THAT I HAVE

1519
00:59:11,659 --> 00:59:14,729
AN ANSWER TO YOUR QUESTION HERE.

1520
00:59:14,729 --> 00:59:18,699
MAYBE MORE OF A QUESTION.

1521
00:59:18,699 --> 00:59:20,334
I GUESS SORT OF THINKING ABOUT

1522
00:59:20,334 --> 00:59:23,070
OUR PREVIOUS DISCUSSION AND HOW

1523
00:59:23,070 --> 00:59:24,372
WE KIND OF THOUGHT ABOUT THIS

1524
00:59:24,372 --> 00:59:26,407
IDEA OF BEING A LITTLE BIT MORE

1525
00:59:26,407 --> 00:59:27,608
FORWARD LOOKING, THESE AREAS

1526
00:59:27,608 --> 00:59:28,809
ALMOST FEEL LIKE THEY'RE

1527
00:59:28,809 --> 00:59:32,413
BACKWARD LOOKING.

1528
00:59:32,413 --> 00:59:35,416
AND SO I WANTED TO KIND OF GET A

1529
00:59:35,416 --> 00:59:36,951
SENSE OF WHAT ARE KINDS OF WAYS

1530
00:59:36,951 --> 00:59:39,820
THAT WE CAN HELP DRIVE US IN

1531
00:59:39,820 --> 00:59:42,256
AREAS THAT WILL HELP US BE MORE

1532
00:59:42,256 --> 00:59:42,857
FORWARD-LOOKING AND THINKING

1533
00:59:42,857 --> 00:59:44,425
ABOUT SOME OF THE ITEMS THAT

1534
00:59:44,425 --> 00:59:46,761
WERE MENTIONED EARLIER LIKE

1535
00:59:46,761 --> 00:59:49,397
ARTIFICIAL INTELLIGENCE, QUANTUM

1536
00:59:49,397 --> 00:59:50,931
SCIENCES, DATA SCIENCE WRIT

1537
00:59:50,931 --> 00:59:53,067
LARGE, PRECISION MEDICINE, GENE

1538
00:59:53,067 --> 00:59:55,803
THERAPY, GENE EDITING, CLINICAL

1539
00:59:55,803 --> 00:59:56,871
TRIALS SCIENCE.

1540
00:59:56,871 --> 00:59:59,407
THESE ARE QUITE BIG AREAS, I

1541
00:59:59,407 --> 01:00:02,943
THINK, THAT MANY OF US DO IN A

1542
01:00:02,943 --> 01:00:04,378
WAY, BUT PERHAPS WE MIGHT BE

1543
01:00:04,378 --> 01:00:06,347
ABLE TO USE THIS AS AN

1544
01:00:06,347 --> 01:00:10,117
OPPORTUNITY TO FIND BETTER WAYS

1545
01:00:10,117 --> 01:00:11,519
OF FINDING EFFICIENCIES TO

1546
01:00:11,519 --> 01:00:12,820
WORKING TOGETHER, NOT JUST

1547
01:00:12,820 --> 01:00:14,522
WITHIN NIH BUT ACROSS THE

1548
01:00:14,522 --> 01:00:16,490
BROADER ECOSYSTEM.

1549
01:00:16,490 --> 01:00:18,793
THESE AREAS ARE INCREDIBLY

1550
01:00:18,793 --> 01:00:20,661
DYNAMIC AND FAST-MOVING, SO HOW

1551
01:00:20,661 --> 01:00:23,431
CAN WE AS A GROUP KIND OF

1552
01:00:23,431 --> 01:00:24,298
RE-TOOL OURSELVES AND THINK

1553
01:00:24,298 --> 01:00:27,134
ABOUT THAT ASPECT OF THEM AND

1554
01:00:27,134 --> 01:00:30,271
DEVELOP STRATEGIES FOR

1555
01:00:30,271 --> 01:00:31,906
RAPIDLY -- FOR THESE RAPIDLY

1556
01:00:31,906 --> 01:00:34,642
EVOLVING FIELDS INTO OUR

1557
01:00:34,642 --> 01:00:35,643
EXISTING COLLABORATIVE

1558
01:00:35,643 --> 01:00:37,812
FRAMEWORK, AND THEN DOING SO

1559
01:00:37,812 --> 01:00:41,716
ALSO IN A WAY THAT DOESN'T ADD

1560
01:00:41,716 --> 01:00:44,218
TO BUREAUCRACY BUT HELPS US

1561
01:00:44,218 --> 01:00:46,887
STREAMLINE OUR BUREAUCRACY, AND

1562
01:00:46,887 --> 01:00:52,693
EVEN REDUCES IT IN SOME AREAS.

1563
01:00:52,693 --> 01:00:55,329
THINKING BACK TO MONICA'S WORDS

1564
01:00:55,329 --> 01:00:56,430
EARLIER AND HER THOUGHTS ABOUT

1565
01:00:56,430 --> 01:00:57,498
MORE ACCURATELY REFLECTING THE

1566
01:00:57,498 --> 01:00:58,866
MISSION ON WOMEN, CHILDREN AND

1567
01:00:58,866 --> 01:00:59,633
DISABILITY RESEARCH, I THINK

1568
01:00:59,633 --> 01:01:00,901
THAT'S KIND OF ONE OF THOSE WAYS

1569
01:01:00,901 --> 01:01:03,304
IN WHICH WE'RE TRYING TO

1570
01:01:03,304 --> 01:01:05,306
ACTUALLY BE MORE FORWARD-LOOKING

1571
01:01:05,306 --> 01:01:07,942
AND APPROACHING THE WAYS WE DO

1572
01:01:07,942 --> 01:01:09,577
THINGS, BUT I THINK THESE OTHER

1573
01:01:09,577 --> 01:01:11,112
AREAS, THE LARGER AREAS ARE

1574
01:01:11,112 --> 01:01:12,346
AREAS WE'RE ALL WORKING IN THAT

1575
01:01:12,346 --> 01:01:16,383
WE COULD PERHAPS USE AS A --

1576
01:01:16,383 --> 01:01:21,455
SORT OF HIGHLIGHTS OR GUIDING

1577
01:01:21,455 --> 01:01:22,757
LIGHTS, SOME DIRECTIONS FORWARD,

1578
01:01:22,757 --> 01:01:24,125
AND THINKING ABOUT WHERE WE ARE

1579
01:01:24,125 --> 01:01:26,327
IN OUR ABILITY TO HAVE

1580
01:01:26,327 --> 01:01:28,395
LEADERSHIP IN THESE SPACES, AND

1581
01:01:28,395 --> 01:01:30,364
THINKING ABOUT JUST IN OUR

1582
01:01:30,364 --> 01:01:32,600
OWN -- WHAT WE'RE DOING FOR OUR

1583
01:01:32,600 --> 01:01:34,368
OWN PUBLIC BENEFIT BUT ALSO IN

1584
01:01:34,368 --> 01:01:35,903
GLOBAL COMPETITION, ET CETERA.

1585
01:01:35,903 --> 01:01:39,240
SO I JUST -- I KIND OF WANT US

1586
01:01:39,240 --> 01:01:43,177
TO ALSO HAVE AN OPPORTUNITY TO

1587
01:01:43,177 --> 01:01:44,678
HAVE THIS REALLY AMAZING GROUP

1588
01:01:44,678 --> 01:01:45,713
OF PEOPLE TOGETHER TO HELP US

1589
01:01:45,713 --> 01:01:49,383
REALLY MOVE FORWARD AND

1590
01:01:49,383 --> 01:01:50,584
HIGHLIGHT AREAS THAT WE MIGHT BE

1591
01:01:50,584 --> 01:01:54,622
ABLE TO USE TO DRIVE THAT KIND

1592
01:01:54,622 --> 01:01:55,856
OF THINKING AND INTERACTION

1593
01:01:55,856 --> 01:01:56,123
HERE.

1594
01:01:56,123 --> 01:01:57,324
SO MORE OF A QUESTION ABOUT HOW

1595
01:01:57,324 --> 01:01:59,493
CAN WE KIND OF TAKE THESE TOPICS

1596
01:01:59,493 --> 01:02:00,928
FOR CONSIDERATION AND MAYBE

1597
01:02:00,928 --> 01:02:05,699
RETOOL THEM TO HAVE THAT

1598
01:02:05,699 --> 01:02:06,467
FORWARD-LOOKING BENT.

1599
01:02:06,467 --> 01:02:06,700
THANKS.

1600
01:02:06,700 --> 01:02:08,369
>> SO HAVING A
FORWARD-LOOKING

1601
01:02:08,369 --> 01:02:10,037
BENT FOR ALL THE CENTERS INSTEAD

1602
01:02:10,037 --> 01:02:12,206
OF -- I MEAN, WE OBVIOUSLY NEED

1603
01:02:12,206 --> 01:02:13,541
TO HAVE SOME FOUNDATIONAL

1604
01:02:13,541 --> 01:02:16,877
KNOWLEDGE, BUT TO FOCUS ON WHAT

1605
01:02:16,877 --> 01:02:18,846
WE CAN DO MOVING FORWARD WITHIN

1606
01:02:18,846 --> 01:02:19,246
THOSE INSTITUTES.

1607
01:02:19,246 --> 01:02:21,015
IS THAT WHAT YOU MEAN?

1608
01:02:21,015 --> 01:02:22,383
JUST WANT TO MAKE SURE I

1609
01:02:22,383 --> 01:02:23,284
CAPTURED WHAT YOU MEANT.

1610
01:02:23,284 --> 01:02:24,151
>> YES.

1611
01:02:24,151 --> 01:02:26,187
I THINK IN A NUTSHELL, THAT'S

1612
01:02:26,187 --> 01:02:26,787
PRIMARILY IT.

1613
01:02:26,787 --> 01:02:30,124
AND AS WE CAN THINK ABOUT THAT

1614
01:02:30,124 --> 01:02:31,992
FRAMEWORK, THAT CAN HELP US

1615
01:02:31,992 --> 01:02:34,161
DRIVE, YOU KNOW, IN THESE AREAS

1616
01:02:34,161 --> 01:02:36,297
THAT WERE MENTIONED EARLIER,

1617
01:02:36,297 --> 01:02:39,233
THAT ARE INCREDIBLY DYNAMIC.

1618
01:02:39,233 --> 01:02:40,901
WE CERTAINLY DON'T WANT TO LOSE

1619
01:02:40,901 --> 01:02:41,235
GROUND.

1620
01:02:41,235 --> 01:02:43,904
WE WANT TO MAKE SURE THAT WE'RE

1621
01:02:43,904 --> 01:02:45,005
SETTING OUR SIGHTS REALLY TO

1622
01:02:45,005 --> 01:02:47,608
MAKE SURE THAT WE'RE NOT JUST IN

1623
01:02:47,608 --> 01:02:50,177
THESE AREAS BUT DRIVING THEM.

1624
01:02:50,177 --> 01:02:51,979
>> OKAY, GOT IT.

1625
01:02:51,979 --> 01:02:56,350
LINDSEY?

1626
01:02:56,350 --> 01:02:57,318
>> THANK YOU.

1627
01:02:57,318 --> 01:02:59,286
FOLLOWING IN PART ON LARRY'S

1628
01:02:59,286 --> 01:03:01,956
COMMENTS, AND I APPRECIATED

1629
01:03:01,956 --> 01:03:04,391
LARRY'S COMMENTS ABOUT THE MANY

1630
01:03:04,391 --> 01:03:06,126
ACTIVITIES AND PROCESSES THAT

1631
01:03:06,126 --> 01:03:07,761
ARE EITHER ALREADY CENTRALIZED

1632
01:03:07,761 --> 01:03:12,833
OR MOVING TOWARDS THAT, I THINK

1633
01:03:12,833 --> 01:03:14,935
A FOCUS ON CENTERS, FIRST OF

1634
01:03:14,935 --> 01:03:16,170
ALL, I AGREE WITH THE SUGGESTION

1635
01:03:16,170 --> 01:03:18,138
TO LUMP THEM BY SIZE.

1636
01:03:18,138 --> 01:03:19,673
I THINK THAT MIGHT BE MOST

1637
01:03:19,673 --> 01:03:21,742
USEFUL IN TERMS OF IDENTIFYING

1638
01:03:21,742 --> 01:03:24,345
SOME COMMON CHALLENGES THAT THE

1639
01:03:24,345 --> 01:03:25,412
INSTITUTES AND CENTERS ARE

1640
01:03:25,412 --> 01:03:28,249
FACING THAT MIGHT BE INHIBITING

1641
01:03:28,249 --> 01:03:28,816
EFFICIENCY, ET CETERA.

1642
01:03:28,816 --> 01:03:31,185
SO I THINK THAT MIGHT BE THE

1643
01:03:31,185 --> 01:03:32,152
GREATEST VALUE IN TERMS OF HOW

1644
01:03:32,152 --> 01:03:37,825
CAN WE IMPROVE NIH WELL BY

1645
01:03:37,825 --> 01:03:38,692
UNDERSTANDING CHALLENGES CENTERS

1646
01:03:38,692 --> 01:03:40,427
ARE HAVING, THE SMALL, MEDIUM

1647
01:03:40,427 --> 01:03:41,996
AND LARGE, I THINK THAT MIGHT BE

1648
01:03:41,996 --> 01:03:42,630
INFORMATIVE.

1649
01:03:42,630 --> 01:03:44,765
BUT AS A RELATIVE NEWCOMER TO

1650
01:03:44,765 --> 01:03:49,770
THE NIH, I HAVE SEEN MANY, MANY

1651
01:03:49,770 --> 01:03:52,806
DISCUSSIONS WITH A GOAL OF

1652
01:03:52,806 --> 01:03:57,177
CENTRALIZING IN AN EFFORT TO

1653
01:03:57,177 --> 01:03:58,479
INCREASE EFFICIENCIES AND TO

1654
01:03:58,479 --> 01:04:00,214
ALLOW US TO MOVE FORWARD MORE

1655
01:04:00,214 --> 01:04:00,514
EFFECTIVELY.

1656
01:04:00,514 --> 01:04:01,815
AND ANOTHER EXAMPLE THAT I THINK

1657
01:04:01,815 --> 01:04:04,218
THAT WE SHOULD MAKE SURE WE

1658
01:04:04,218 --> 01:04:05,519
UNDERSTAND IS THIS -- I THINK

1659
01:04:05,519 --> 01:04:08,956
IT'S CALLED DIGITAL NIH.

1660
01:04:08,956 --> 01:04:12,593
THERE IS A VISION AND A PLAN

1661
01:04:12,593 --> 01:04:17,731
RELATED TO IT AND INNOVATION AND

1662
01:04:17,731 --> 01:04:20,067
COMPUTATION THAT IS HIGHLY

1663
01:04:20,067 --> 01:04:21,402
RELEVANT TO SOME OF THE ISSUES

1664
01:04:21,402 --> 01:04:22,703
WE'RE LIKELY TO TALK ABOUT, SO I

1665
01:04:22,703 --> 01:04:25,005
THINK IT BEHOOVES US TO BE

1666
01:04:25,005 --> 01:04:26,473
FAMILIAR WITH ALL OF THE WORK

1667
01:04:26,473 --> 01:04:28,008
THAT WENT INTO DEVELOPING THAT

1668
01:04:28,008 --> 01:04:29,576
VIEW, AND ONCE AGAIN, WE MAY --

1669
01:04:29,576 --> 01:04:31,478
IT WILL INFORM OUR THINKING, WE

1670
01:04:31,478 --> 01:04:33,147
MAY BE ABLE TO REACT TO IT, WE

1671
01:04:33,147 --> 01:04:35,950
MAY BE ABLE TO PROVIDE SOME

1672
01:04:35,950 --> 01:04:37,051
IDEAS AND RECOMMENDATIONS TO

1673
01:04:37,051 --> 01:04:38,319
FURTHER STRENGTHEN IT, BUT I

1674
01:04:38,319 --> 01:04:39,286
THINK IT'S AN EXAMPLE OF

1675
01:04:39,286 --> 01:04:41,155
SOMETHING THAT IS HAPPENING

1676
01:04:41,155 --> 01:04:44,124
ACROSS NIH AND NOT WITHIN

1677
01:04:44,124 --> 01:04:46,293
SPECIFIC INSTITUTES AND CENTERS.

1678
01:04:46,293 --> 01:04:47,361
>> RIGHT, RIGHT.

1679
01:04:47,361 --> 01:04:47,995
OKAY.

1680
01:04:47,995 --> 01:04:49,129
YES.

1681
01:04:49,129 --> 01:04:54,001
UNDERSTOOD.

1682
01:04:54,001 --> 01:04:56,070
CERTAINLY NOW, 12 YEARS LATER,

1683
01:04:56,070 --> 01:04:57,738
14 YEARS LATER, THE DIGITAL

1684
01:04:57,738 --> 01:05:06,714
PORTION IS NEW.

1685
01:05:06,714 --> 01:05:11,051
MARK?

1686
01:05:11,051 --> 01:05:15,322
[SPEAKER MUTED]

1687
01:05:15,322 --> 01:05:16,724
>> CAN YOU HEAR ME NOW?

1688
01:05:16,724 --> 01:05:17,124
>> YES.

1689
01:05:17,124 --> 01:05:18,592
>> OKAY, THANK YOU.

1690
01:05:18,592 --> 01:05:20,494
I THINK THIS IS A VERY, VERY

1691
01:05:20,494 --> 01:05:22,796
GOOD DISCUSSION.

1692
01:05:22,796 --> 01:05:24,898
I THINK WE NEED -- IF WE WANT TO

1693
01:05:24,898 --> 01:05:26,367
BE FORWARD-THINKING, THOUGH, I

1694
01:05:26,367 --> 01:05:28,102
THINK WE NEED TO SEPARATE OUT

1695
01:05:28,102 --> 01:05:34,241
FOR THE MOMENT TOOLS AND BIG

1696
01:05:34,241 --> 01:05:34,508
QUESTIONS.

1697
01:05:34,508 --> 01:05:37,811
SO IF WE'RE GOING TO INVEST IN

1698
01:05:37,811 --> 01:05:41,949
TOOLS,, IT CAN'T BE FOR THE SAKE

1699
01:05:41,949 --> 01:05:44,852
OF DEVELOPING THE TOOL ITSELF,

1700
01:05:44,852 --> 01:05:45,452
EXCEPT MAYBE -- WELL, I DON'T

1701
01:05:45,452 --> 01:05:47,321
WANT TO CREATE AN EXCEPTION

1702
01:05:47,321 --> 01:05:48,689
HERE, BUT THE VALUE OF THE TOOLS

1703
01:05:48,689 --> 01:05:50,491
IS THAT THEY WILL ALLOW US TO

1704
01:05:50,491 --> 01:05:53,360
ASK BIG QUESTIONS LIKE, CAN WE

1705
01:05:53,360 --> 01:05:55,963
DO BETTER DIAGNOSTICS BY TAKING

1706
01:05:55,963 --> 01:05:58,165
ADVANTAGE OF A.I.?

1707
01:05:58,165 --> 01:06:01,535
CAN WE FORECAST DISEASE TRENDS

1708
01:06:01,535 --> 01:06:04,571
IN POPULATIONS BY USING BIG DATA

1709
01:06:04,571 --> 01:06:05,873
AND ANALYTICAL TECHNIQUES?

1710
01:06:05,873 --> 01:06:07,241
WHAT ARE THE BIG QUESTIONS THAT

1711
01:06:07,241 --> 01:06:08,675
COME FROM EACH OF THE

1712
01:06:08,675 --> 01:06:10,210
INSTITUTES?

1713
01:06:10,210 --> 01:06:12,379
FRANKLY, I DON'T THINK THAT THE

1714
01:06:12,379 --> 01:06:13,947
SIZE OF THE INSTITUTE IS REALLY

1715
01:06:13,947 --> 01:06:15,849
THE IMPORTANT METRIC.

1716
01:06:15,849 --> 01:06:20,454
I THINK IT'S THE DEMOGRAPHICS,

1717
01:06:20,454 --> 01:06:21,655
IT'S THE PREVALENCE OF DISEASES

1718
01:06:21,655 --> 01:06:26,727
THAT EACH OF THE INSTITUTES

1719
01:06:26,727 --> 01:06:29,596
SERVES.

1720
01:06:29,596 --> 01:06:30,798
HOW MANY PEOPLE ARE AFFECTED BY

1721
01:06:30,798 --> 01:06:32,099
WHAT GOES ON IN THE INSTITUTES,

1722
01:06:32,099 --> 01:06:33,233
AND WHAT ARE THE BIG QUESTIONS

1723
01:06:33,233 --> 01:06:34,468
FROM THE INSTITUTES THAT CAN BE

1724
01:06:34,468 --> 01:06:38,272
ADDRESSED WITH NEW TECHNOLOGIES?

1725
01:06:38,272 --> 01:06:39,907
FRANKLY I COULD SEE TECHNOLOGIES

1726
01:06:39,907 --> 01:06:45,913
BEING ONE OF THOSE CROSS-NIH

1727
01:06:45,913 --> 01:06:51,051
MISSIONS, JUST LIKE

1728
01:06:51,051 --> 01:06:52,119
TRANSPARENCY, JUST LIKE ETHICS.

1729
01:06:52,119 --> 01:06:54,188
IT CUTS ACROSS THE INSTITUTES.

1730
01:06:54,188 --> 01:06:56,223
THE DEVELOPMENT OF THE

1731
01:06:56,223 --> 01:06:57,224
TECHNOLOGY SERVES VIRTUALLY

1732
01:06:57,224 --> 01:06:58,759
EVERY INSTITUTE AND CENTER

1733
01:06:58,759 --> 01:07:01,695
BECAUSE THEY HAVE A SCIENTIFIC

1734
01:07:01,695 --> 01:07:04,865
MISSION.

1735
01:07:04,865 --> 01:07:06,166
SO WE WOULD LIKE DISCUSSION

1736
01:07:06,166 --> 01:07:07,134
BETWEEN TECHNOLOGIES AND

1737
01:07:07,134 --> 01:07:08,235
INSTITUTES TO THE EXTENT THAT WE

1738
01:07:08,235 --> 01:07:10,037
WANT TO IMPROVE TECHNOLOGY TO

1739
01:07:10,037 --> 01:07:11,472
ANSWER QUESTIONS.

1740
01:07:11,472 --> 01:07:14,441
BUT I THINK THE PUBLIC IS MOST

1741
01:07:14,441 --> 01:07:20,214
CAPTIVATED BY THE QUESTIONS.

1742
01:07:20,214 --> 01:07:21,782
SO THERE'S A LOT OF ATTENTION IN

1743
01:07:21,782 --> 01:07:23,884
THE MEDIA GIVEN TO A.I.

1744
01:07:23,884 --> 01:07:26,220
THERE'S A LOT OF FEAR MONGERING

1745
01:07:26,220 --> 01:07:27,955
ABOUT A.I.

1746
01:07:27,955 --> 01:07:29,156
AND THERE ARE A LOT OF ARTICLES

1747
01:07:29,156 --> 01:07:30,424
THAT COME FROM SCIENTISTS ABOUT

1748
01:07:30,424 --> 01:07:32,059
HOW A.I. IS BEING USED TO

1749
01:07:32,059 --> 01:07:33,994
IMPROVE DIAGNOSTICS.

1750
01:07:33,994 --> 01:07:39,266
THOSE LATTER ONES GET LOST.

1751
01:07:39,266 --> 01:07:40,033
THE FEAR PREVAILS.

1752
01:07:40,033 --> 01:07:41,135
WE WANT TO OVERCOME THAT.

1753
01:07:41,135 --> 01:07:42,269
WE WANT TO TALK ABOUT QUESTIONS

1754
01:07:42,269 --> 01:07:43,704
THAT ARE REALLY CAPTIVATING TO

1755
01:07:43,704 --> 01:07:46,306
THE PUBLIC.

1756
01:07:46,306 --> 01:07:48,008
AND I THINK WE HAVE TO FIND A

1757
01:07:48,008 --> 01:07:48,942
WAY TO DO THAT IF WE'RE REALLY

1758
01:07:48,942 --> 01:07:53,080
GOING TO BE FORWARD THINKING.

1759
01:07:53,080 --> 01:07:53,714
>> YES.

1760
01:07:53,714 --> 01:07:54,748
I APPRECIATE WHAT YOU SAID ABOUT

1761
01:07:54,748 --> 01:07:59,052
THE TECHNOLOGIES.

1762
01:07:59,052 --> 01:08:00,020
YOU MENTIONED ABOUT HOW MANY

1763
01:08:00,020 --> 01:08:01,321
PEOPLE ARE AFFECTED BY THE

1764
01:08:01,321 --> 01:08:01,588
INSTITUTE.

1765
01:08:01,588 --> 01:08:02,956
IS THAT A PIECE OF DATA YOU

1766
01:08:02,956 --> 01:08:07,961
THINK WOULD BE HELPFUL FOR US?

1767
01:08:07,961 --> 01:08:10,130
>> YES, I THINK THE
PREVALENCE

1768
01:08:10,130 --> 01:08:11,665
OF DISEASE THAT FALSE UNDER THE

1769
01:08:11,665 --> 01:08:17,437
UMBRELLA OF EACH INSTITUTE CAN'T

1770
01:08:17,437 --> 01:08:18,105
BE LOST.

1771
01:08:18,105 --> 01:08:19,773
THE IMPACT OF THAT INSTITUTE MAY

1772
01:08:19,773 --> 01:08:21,708
APPEAR SMALL BECAUSE OF THE

1773
01:08:21,708 --> 01:08:24,611
BUDGETARY SIZE, BUT THE IMPACT

1774
01:08:24,611 --> 01:08:28,649
OTO THE PUBLIC MAY BE VERY LARGE

1775
01:08:28,649 --> 01:08:30,417
AND I THINK THAT'S WHAT WE MAY

1776
01:08:30,417 --> 01:08:31,485
NEED TO CRYSTALLIZE.

1777
01:08:31,485 --> 01:08:32,119
>> OKAY, YES.

1778
01:08:32,119 --> 01:08:38,625
THANK YOU.

1779
01:08:38,625 --> 01:08:42,095
MICHAEL?

1780
01:08:42,095 --> 01:08:46,700
>> ANDREA, REALLY,
DEFINITELY

1781
01:08:46,700 --> 01:08:49,903
AGREE WITH WHAT MARK SAID ABOUT

1782
01:08:49,903 --> 01:08:53,640
THE IMPACT OF WHAT WE DO.

1783
01:08:53,640 --> 01:08:56,109
I WANT TO FOLLOW ON THIS COMMENT

1784
01:08:56,109 --> 01:08:57,411
OF BEING FORWARD-LOOKING.

1785
01:08:57,411 --> 01:09:01,014
I THINK THAT'S EXTREMELY

1786
01:09:01,014 --> 01:09:02,616
IMPORTANT, SORT OF LOOKING

1787
01:09:02,616 --> 01:09:05,118
FORWARD, NOT LOOKING BACK.

1788
01:09:05,118 --> 01:09:08,422
I THINK ALL OF US -- MAYBE I'LL

1789
01:09:08,422 --> 01:09:11,792
JUST SPEAK FOR MYSELF BECAUSE I

1790
01:09:11,792 --> 01:09:12,859
CAN'T -- NO RIGHT TO SPEAK FOR

1791
01:09:12,859 --> 01:09:14,228
ANYBODY ELSE, BUT I'M ALWAYS

1792
01:09:14,228 --> 01:09:15,696
TRYING TO FIGURE OUT HOW I CAN

1793
01:09:15,696 --> 01:09:17,297
DO MY JOB BETTER, YOU KNOW, HOW

1794
01:09:17,297 --> 01:09:19,399
WE CAN INNOVATE AND DRIVE THE

1795
01:09:19,399 --> 01:09:20,701
FIELD, AND JUST ADVANCE THE

1796
01:09:20,701 --> 01:09:21,902
FIELD BASICALLY.

1797
01:09:21,902 --> 01:09:24,705
I DO THINK THAT'S WHAT

1798
01:09:24,705 --> 01:09:26,139
EVERYBODY -- ALL OF US HERE ARE

1799
01:09:26,139 --> 01:09:27,874
DOING, AND THAT'S REALLY WHAT

1800
01:09:27,874 --> 01:09:29,476
EVERYBODY IN ACADEMIA IS TRYING

1801
01:09:29,476 --> 01:09:30,811
TO DO.

1802
01:09:30,811 --> 01:09:34,114
AND I THINK THE CHALLENGE IS

1803
01:09:34,114 --> 01:09:36,283
THAT NIH IS A BIG PLACE, AND I

1804
01:09:36,283 --> 01:09:38,085
SPEND A LOT OF EFFORT TRYING TO

1805
01:09:38,085 --> 01:09:38,852
UNDERSTAND, KEEP TRACK OF

1806
01:09:38,852 --> 01:09:40,721
EVERYTHING THAT'S HAPPENING

1807
01:09:40,721 --> 01:09:44,458
AROUND ALL THE OTHER PLACES

1808
01:09:44,458 --> 01:09:45,726
HERE, AND REALLY THE REASON FOR

1809
01:09:45,726 --> 01:09:47,894
THAT IS THAT THE BREADTH OF

1810
01:09:47,894 --> 01:09:50,664
SCIENCE AND MEDICINE ARE

1811
01:09:50,664 --> 01:09:52,833
ENORMOUS, AND IN AM DEEM YA,

1812
01:09:52,833 --> 01:09:58,171
EVEACADEMIA,EVERYBODY ELSE IS SE

1813
01:09:58,171 --> 01:09:59,339
UNDERSTANDING WHAT'S HAPPENING

1814
01:09:59,339 --> 01:09:59,973
AROUND THE UNIVERSITY.

1815
01:09:59,973 --> 01:10:02,509
I DIDN'T KNOW THIS FACULTY

1816
01:10:02,509 --> 01:10:03,710
MEMBER IS DOING SOMETHING THAT

1817
01:10:03,710 --> 01:10:05,279
RELATES TO WHAT I'M DOING.

1818
01:10:05,279 --> 01:10:06,079
SOMETHING ALONG THOSE LINES.

1819
01:10:06,079 --> 01:10:07,147
ONE THING THAT I WOULD SUGGEST

1820
01:10:07,147 --> 01:10:08,782
IS THAT WE MIGHT BE PRODUCTIVE

1821
01:10:08,782 --> 01:10:15,989
AS A GROUP BY TRYING TO ASK

1822
01:10:15,989 --> 01:10:18,292
PEOPLE WHAT WORKS WELL AND WHAT

1823
01:10:18,292 --> 01:10:19,593
CHALLENGES PEOPLE HAVE IN TERMS

1824
01:10:19,593 --> 01:10:21,028
OF HOW WE CAN CONTINUOUSLY DO

1825
01:10:21,028 --> 01:10:23,964
BETTER.

1826
01:10:23,964 --> 01:10:27,000
I WOULD ACTUALLY BE CURIOUS, WE

1827
01:10:27,000 --> 01:10:28,969
COULD DO THAT WITHIN NIH, AND I

1828
01:10:28,969 --> 01:10:31,171
WOULD BE CURIOUS FOR THOSE OF

1829
01:10:31,171 --> 01:10:33,540
YOU WHO ARE IN ACADEMIA, WHAT

1830
01:10:33,540 --> 01:10:39,446
LESSONS YOU HAVE ABOUT HOW TO DO

1831
01:10:39,446 --> 01:10:47,220
BETTER ACROSS THE INSTITUT INST.

1832
01:10:47,220 --> 01:10:48,355
I FEEL LIKE THAT'S WHAT I'M

1833
01:10:48,355 --> 01:10:49,690
ALWAYS TRYING TO DO AND WHAT WE

1834
01:10:49,690 --> 01:10:50,857
WOULD ALL LEARN FROM DOING

1835
01:10:50,857 --> 01:10:52,959
BETTER.

1836
01:10:52,959 --> 01:10:55,195
>> YEAH, I THINK THAT'S A
GREAT

1837
01:10:55,195 --> 01:10:56,663
COMMENT.

1838
01:10:56,663 --> 01:10:59,166
LARRY, IS THERE A WAY TO -- LIKE

1839
01:10:59,166 --> 01:11:01,668
IN SOME SORT OF ANNUAL REPORT

1840
01:11:01,668 --> 01:11:04,204
FOR THE CENTERS, OR DO THEY DO A

1841
01:11:04,204 --> 01:11:05,105
SELF ASSESSMENT OF THEIR

1842
01:11:05,105 --> 01:11:06,006
CHALLENGES AND WHAT HAS BEEN

1843
01:11:06,006 --> 01:11:07,541
WORKING WELL, OR IS THERE A

1844
01:11:07,541 --> 01:11:09,042
CENTRAL DOCUMENT OR SOMETHING WE

1845
01:11:09,042 --> 01:11:10,043
COULD LOOK AT WITH THAT

1846
01:11:10,043 --> 01:11:11,745
INFORMATION?

1847
01:11:11,745 --> 01:11:17,351
>> IT IT VARIES AMONG THE

1848
01:11:17,351 --> 01:11:18,118
INSTITUTES AND CENTERS.

1849
01:11:18,118 --> 01:11:19,853
EACH HAS A STRATEGIC PLAN, BUT

1850
01:11:19,853 --> 01:11:22,789
THAT IS TYPICALLY DONE ON A FOUR

1851
01:11:22,789 --> 01:11:25,125
TO FIVE-YEAR BASIS, BUT MANY OF

1852
01:11:25,125 --> 01:11:26,693
THE INSTITUTES AND CENTERS DO

1853
01:11:26,693 --> 01:11:29,196
PUT TOGETHER ANNUAL REPORTS.

1854
01:11:29,196 --> 01:11:33,333
FOR EXAMPLE, NIDDK DOES ONE

1855
01:11:33,333 --> 01:11:34,434
EACH -- I BELIEVE IT'S EACH

1856
01:11:34,434 --> 01:11:36,636
YEAR, IS IT NOT, GRIFF?

1857
01:11:36,636 --> 01:11:37,371
>> YEAH.

1858
01:11:37,371 --> 01:11:39,873
>> AND SO WE COULD ROUND
UP

1859
01:11:39,873 --> 01:11:42,175
EXAMPLES OF THOSE IF THE GROUP

1860
01:11:42,175 --> 01:11:44,010
WOULD LIKE TO TAKE A LOOK AT

1861
01:11:44,010 --> 01:11:44,211
THEM.

1862
01:11:44,211 --> 01:11:45,746
I DON'T KNOW HOW MANY OTHER

1863
01:11:45,746 --> 01:11:46,613
INSTITUTES AND CENTERS DO IT ON

1864
01:11:46,613 --> 01:11:50,350
A YEARLY BASIS, BUT I KNOW GRIFF

1865
01:11:50,350 --> 01:11:52,886
IS ONE OF THE -- NIDDK IS ONE OF

1866
01:11:52,886 --> 01:11:53,687
THE INSTITUTES THAT DOES THAT.

1867
01:11:53,687 --> 01:11:59,860
>> I THINK THAT WOULD BE
HELPFUL

1868
01:11:59,860 --> 01:12:01,962
JUST TO SEE WHAT THE INSTITUTES

1869
01:12:01,962 --> 01:12:03,563
SEE THEMSELVES AS DOING WELL AND

1870
01:12:03,563 --> 01:12:05,632
WHAT THEY PERCEIVE AS

1871
01:12:05,632 --> 01:12:11,972
OPPORTUNITY.

1872
01:12:11,972 --> 01:12:15,942
JEANNE?

1873
01:12:15,942 --> 01:12:17,744
>> SO THIS IS ALSO GOING
TO

1874
01:12:17,744 --> 01:12:20,480
REFLECT MY RELATIVE NEWNESS,

1875
01:12:20,480 --> 01:12:24,317
LIKE LINDSEY MENTIONED, AND

1876
01:12:24,317 --> 01:12:25,852
RELATES TO BOTH JONI'S COMMENTS

1877
01:12:25,852 --> 01:12:28,755
AND A COUPLE OF OTHER THINGS.

1878
01:12:28,755 --> 01:12:32,459
I THINK MY QUESTION REALLY IS,

1879
01:12:32,459 --> 01:12:34,161
ARE WE TRYING TO FIGURE OUT FOR

1880
01:12:34,161 --> 01:12:35,195
THE PURPOSES OF THIS REPORT

1881
01:12:35,195 --> 01:12:39,232
WHETHER THE INSTITUTES ARE DOING

1882
01:12:39,232 --> 01:12:40,534
THEIR JOBS IN ORDER TO INFORM

1883
01:12:40,534 --> 01:12:44,704
HOW WE CHANGE THEM, OR ARE WE

1884
01:12:44,704 --> 01:12:45,639
TRYING TO FIGURE OUT GOING

1885
01:12:45,639 --> 01:12:47,073
FORWARD HOW COULD THEY DO A

1886
01:12:47,073 --> 01:12:52,212
GIVEN JOB BETTER, AND HENCE DO

1887
01:12:52,212 --> 01:12:53,580
THEY REQUIRE REFORM.

1888
01:12:53,580 --> 01:12:55,115
SO I DON'T THINK WE CAN REALLY

1889
01:12:55,115 --> 01:12:55,882
LOOK FORWARD WITHOUT LOOKING

1890
01:12:55,882 --> 01:12:57,350
BACK TO SOME DEGREE, AND I THINK

1891
01:12:57,350 --> 01:12:59,352
IF WE'RE GOING TO LOOK BACK TO

1892
01:12:59,352 --> 01:13:00,887
INFORM SIGNIFICANT CHANGE

1893
01:13:00,887 --> 01:13:02,522
RECOMMENDATIONS, WE HAVE TO

1894
01:13:02,522 --> 01:13:03,824
THINK CREATIVELY ABOUT THE KIND

1895
01:13:03,824 --> 01:13:04,891
OF DATA WE WANT.

1896
01:13:04,891 --> 01:13:06,593
SO A LOT OF THE DATA THAT HAS

1897
01:13:06,593 --> 01:13:08,295
BEEN REFERRED TO IS LIKE ON OUR

1898
01:13:08,295 --> 01:13:08,962
WEBSITES.

1899
01:13:08,962 --> 01:13:10,997
I MEAN, IT'S EASY TO FIND OUT

1900
01:13:10,997 --> 01:13:12,299
HOW MUCH MONEY WE HAVE, IT'S

1901
01:13:12,299 --> 01:13:13,700
EASY TO FIND OUT WHERE WE PUT

1902
01:13:13,700 --> 01:13:15,669
OUR MONEY, IT'S EASY TO FIND OUT

1903
01:13:15,669 --> 01:13:16,770
WHAT'S EARMARKED FROM CONGRESS

1904
01:13:16,770 --> 01:13:17,971
AND WHAT SOMETIMES IS VERY

1905
01:13:17,971 --> 01:13:18,605
LIMITING.

1906
01:13:18,605 --> 01:13:22,542
SO I GUESS I DO THINK, AND I'VE

1907
01:13:22,542 --> 01:13:24,044
HEARD IT A LITTLE BIT, I THINK

1908
01:13:24,044 --> 01:13:25,779
MICHAEL MIGHT HAVE JUST REALLY

1909
01:13:25,779 --> 01:13:27,747
ALSO GONE IN THIS DIRECTION.

1910
01:13:27,747 --> 01:13:30,517
YOU KNOW, HAVING PEOPLE

1911
01:13:30,517 --> 01:13:31,918
REGURGITATE SORT OF THE SAME

1912
01:13:31,918 --> 01:13:33,954
INFORMATION IN A DIFFERENT FORM

1913
01:13:33,954 --> 01:13:35,622
IN DIFFERENT WORDS IS I DON'T

1914
01:13:35,622 --> 01:13:36,523
THINK GOING TO HELP US VERY

1915
01:13:36,523 --> 01:13:39,326
MUCH.

1916
01:13:39,326 --> 01:13:40,327
SO REALLY I GUESS THE QUESTION

1917
01:13:40,327 --> 01:13:41,828
IS WHAT ARE WE BEING ASKED TO

1918
01:13:41,828 --> 01:13:42,362
DO.

1919
01:13:42,362 --> 01:13:43,263
I UNDERSTAND THE FOUNDATIONS

1920
01:13:43,263 --> 01:13:44,564
THAT WE JUST DISCUSSED AND THAT

1921
01:13:44,564 --> 01:13:48,335
MAKES SENSE, BUT IT WOULD HELP

1922
01:13:48,335 --> 01:13:49,469
ME A LITTLE BIT MORE TO BE

1923
01:13:49,469 --> 01:13:50,971
SOMEWHAT MORE EXPLICIT  WHERE WE

1924
01:13:50,971 --> 01:13:56,142
WANT TO END UP HERE.

1925
01:13:56,142 --> 01:13:57,744
>> LARRY, I KNOW WE HAD

1926
01:13:57,744 --> 01:13:58,612
MENTIONED SOME OF THAT AT THE

1927
01:13:58,612 --> 01:13:59,145
PREVIOUS MEETING.

1928
01:13:59,145 --> 01:14:00,881
IF YOU WANT TO SORT OF HIGHLIGHT

1929
01:14:00,881 --> 01:14:06,052
THAT AGAIN FOR THE GROUP.

1930
01:14:06,052 --> 01:14:06,786
>> RIGHT.

1931
01:14:06,786 --> 01:14:07,988
MONICA, DID YOU WANT TO WEIGH

1932
01:14:07,988 --> 01:14:08,688
IN?

1933
01:14:08,688 --> 01:14:10,323
PLEASE, GO RIGHT AHEAD.

1934
01:14:10,323 --> 01:14:11,992
>> YOU CAN HANDLE IT,
LARRY.

1935
01:14:11,992 --> 01:14:17,230
>> SO BASICALLY, CONGRESS,
YOU

1936
01:14:17,230 --> 01:14:22,769
KNOW, HAS ISSUED REPORTS WHICH

1937
01:14:22,769 --> 01:14:25,071
HAVE CALLED OUT A NUMBER OF

1938
01:14:25,071 --> 01:14:26,506
ISSUES.

1939
01:14:26,506 --> 01:14:30,310
THEY TEND TO FOCUS ON WHAT THEY

1940
01:14:30,310 --> 01:14:34,114
PERCEIVE AS TOO MUCH SILOING

1941
01:14:34,114 --> 01:14:35,882
AMONGST THE INSTITUTES AND

1942
01:14:35,882 --> 01:14:37,384
CENTERS THAT THEY HAVE CREATED,

1943
01:14:37,384 --> 01:14:42,722
AND AS WE HAVE TRIED WITH ONLY

1944
01:14:42,722 --> 01:14:43,790
PARTIAL SUCCESS TO SHOW HOW WE

1945
01:14:43,790 --> 01:14:46,760
ARE TRYING TO BREAK THOSE SILOS

1946
01:14:46,760 --> 01:14:49,462
DOWN AND PROVIDED EXAMPLES, SO

1947
01:14:49,462 --> 01:14:52,966
THAT'S ONE THING.

1948
01:14:52,966 --> 01:14:59,739
THERE ARE QUESTIONS ABOUT HOW

1949
01:14:59,739 --> 01:15:02,475
THE AGENCY AS A WHOLE MANAGES

1950
01:15:02,475 --> 01:15:04,544
WHAT MIGHT BE PERCEIVED AS

1951
01:15:04,544 --> 01:15:09,115
CONFLICTS OF INTEREST.

1952
01:15:09,115 --> 01:15:15,689
AND AGAIN, I THINK THAT IS MORE

1953
01:15:15,689 --> 01:15:19,492
A NEED TO BETTER ARTICULATE WHAT

1954
01:15:19,492 --> 01:15:21,561
OUR POLICIES ARE AND HOW THEY

1955
01:15:21,561 --> 01:15:23,630
COMPORT WITH THE LAW, BECAUSE

1956
01:15:23,630 --> 01:15:24,931
OBVIOUSLY WE HAVE TO BE GUIDED

1957
01:15:24,931 --> 01:15:28,101
BY THE LAW.

1958
01:15:28,101 --> 01:15:31,171
THERE IS CONCERN BY THE CONGRESS

1959
01:15:31,171 --> 01:15:39,012
THAT WE SOMEHOW HAVE NOT

1960
01:15:39,012 --> 01:15:41,281
MAXIMIZED THE EFFICIENCY OF THE

1961
01:15:41,281 --> 01:15:42,382
ORGANIZATION.

1962
01:15:42,382 --> 01:15:45,251
SO THEY SEE 27 INSTITUTES AND

1963
01:15:45,251 --> 01:15:46,686
CENTERS, 27 DIRECTORS OF

1964
01:15:46,686 --> 01:15:48,054
INSTITUTES AND CENTERS AND SO ON

1965
01:15:48,054 --> 01:15:52,892
AND SO FORTH, AND HAVE SORT OF

1966
01:15:52,892 --> 01:15:54,728
WONDERED OUT LOUD, COULD THERE

1967
01:15:54,728 --> 01:15:58,298
BE EFFICIENCIES GAINED BY

1968
01:15:58,298 --> 01:16:01,801
REALIGNING THAT ORGANIZATIONAL

1969
01:16:01,801 --> 01:16:02,235
STRUCTURE.

1970
01:16:02,235 --> 01:16:04,971
I THINK THOSE ARE THE MAJOR

1971
01:16:04,971 --> 01:16:10,877
THINGS THAT THEY HAVE ASKED US

1972
01:16:10,877 --> 01:16:16,016
ABOUT, AND I THINK IF WE WERE TO

1973
01:16:16,016 --> 01:16:21,254
TACKLE THE VERY TANGIBLE THINGS,

1974
01:16:21,254 --> 01:16:22,756
WHICH PERHAPS SOME WOULD NOT SEE

1975
01:16:22,756 --> 01:16:23,857
AS FORWARD LOOKING BUT I THINK

1976
01:16:23,857 --> 01:16:26,493
THESE ARE THE TANGIBLE THINGS

1977
01:16:26,493 --> 01:16:29,329
THAT AT LEAST THE CONGRESS HAS

1978
01:16:29,329 --> 01:16:32,265
CHALLENGED US TO THINK ABOUT AND

1979
01:16:32,265 --> 01:16:33,700
RESPOND TO, THAT WOULD THEN FORM

1980
01:16:33,700 --> 01:16:36,636
THE BASIS UPON WHICH WE COULD

1981
01:16:36,636 --> 01:16:37,904
THEN BE FORWARD LOOKING.

1982
01:16:37,904 --> 01:16:45,812
BUT UNTIL YOU'RE ABLE TO DISCUSS

1983
01:16:45,812 --> 01:16:51,051
AND ANSWER HOW WE'RE DOING

1984
01:16:51,051 --> 01:16:52,118
THINGS, EXPLORE WHAT MIGHT BE A

1985
01:16:52,118 --> 01:16:53,420
BETTER WAY OF DOING THINGS IN

1986
01:16:53,420 --> 01:16:58,458
THOSE DOMAINS, IT'S A LITTLE

1987
01:16:58,458 --> 01:16:59,993
HARD TO KNOW HOW FORWARD LOOKING

1988
01:16:59,993 --> 01:17:03,129
WE CAN BE BECAUSE YOU'VE GOT TO

1989
01:17:03,129 --> 01:17:04,531
KNOW WHERE YOU'RE STARTING FROM.

1990
01:17:04,531 --> 01:17:05,965
AT LEAST THAT'S HOW I LOOK AT

1991
01:17:05,965 --> 01:17:10,236
IT.

1992
01:17:10,236 --> 01:17:16,342
SO AS ONE WAY FORWARD, MAYBE WE

1993
01:17:16,342 --> 01:17:19,279
PICK ONE OF THESE THINGS, AND

1994
01:17:19,279 --> 01:17:25,852
THEN AS A GROUP, WORK THROUGH IT

1995
01:17:25,852 --> 01:17:27,253
TOGETHER AS THE PRELUDE TO THEN

1996
01:17:27,253 --> 01:17:29,656
BREAKING UP INTO SUBGROUPS TO

1997
01:17:29,656 --> 01:17:30,857
TACKLE MULTIPLE THINGS

1998
01:17:30,857 --> 01:17:31,291
SIMULTANEOUSLY.

1999
01:17:31,291 --> 01:17:36,863
BUT I'M NOT SURE WITHOUT DOING A

2000
01:17:36,863 --> 01:17:38,398
GROUP THINK ON AT LEAST ONE JUST

2001
01:17:38,398 --> 01:17:41,768
SO THAT EVERYBODY IS ABLE TO

2002
01:17:41,768 --> 01:17:43,970
WEIGH IN ON HOW WE WOULD

2003
01:17:43,970 --> 01:17:47,674
APPROACH THIS AND COME UP WITH

2004
01:17:47,674 --> 01:17:48,942
THE TYPES OF INFORMATION THAT

2005
01:17:48,942 --> 01:17:53,546
ARE NEEDED, THE DATA THAT'S

2006
01:17:53,546 --> 01:17:54,647
NEEDED AND SO FORTH.

2007
01:17:54,647 --> 01:17:56,883
OTHERWISE I FEAR THAT THE

2008
01:17:56,883 --> 01:17:58,651
GROUPS, HOWEVER WELL INTENDED,

2009
01:17:58,651 --> 01:18:02,422
MAY FIND IT CHALLENGING TO FIND

2010
01:18:02,422 --> 01:18:04,224
FOCUS.

2011
01:18:04,224 --> 01:18:04,791
MONICA, PLEASE.

2012
01:18:04,791 --> 01:18:06,326
>> NO, THANK YOU VERY
MUCH,

2013
01:18:06,326 --> 01:18:06,626
LARRY.

2014
01:18:06,626 --> 01:18:08,394
I MEAN, YOU HIT THE NAIL ON THE

2015
01:18:08,394 --> 01:18:08,895
HEAD.

2016
01:18:08,895 --> 01:18:10,563
I'M JUST GOING TO SAY IT IN A

2017
01:18:10,563 --> 01:18:16,569
VERY -- IN A MORE DIRECT WAY.

2018
01:18:16,569 --> 01:18:18,204
CONGRESS GOVERNS A LOT OF WHAT

2019
01:18:18,204 --> 01:18:19,405
WE DO.

2020
01:18:19,405 --> 01:18:20,907
THEY TELL US HOW MANY INSTITUTES

2021
01:18:20,907 --> 01:18:21,908
AND CENTERS, THEY TELL US WHAT

2022
01:18:21,908 --> 01:18:23,276
THE NAME IS, THEY TELL US HOW

2023
01:18:23,276 --> 01:18:24,744
WE'RE GOING TO SPEND THE MONEY.

2024
01:18:24,744 --> 01:18:27,147
CONGRESS IS VERY DIRECTIVE WITH

2025
01:18:27,147 --> 01:18:27,480
US.

2026
01:18:27,480 --> 01:18:29,549
AND WE HAVE THESE TWO REPORTS

2027
01:18:29,549 --> 01:18:31,151
FROM CONGRESS THAT SAY, HEY, YOU

2028
01:18:31,151 --> 01:18:34,320
SHOULD DO THIS.

2029
01:18:34,320 --> 01:18:35,755
BUT -- GREAT, YOU KNOW, GOOD

2030
01:18:35,755 --> 01:18:36,523
FAITH.

2031
01:18:36,523 --> 01:18:38,024
WE -- AND I THINK WE HAVE --

2032
01:18:38,024 --> 01:18:39,425
WE'VE HAD A REALLY TERRIFIC

2033
01:18:39,425 --> 01:18:40,760
RELATIONSHIP WITH CONGRESS,

2034
01:18:40,760 --> 01:18:41,394
FRANKLY.

2035
01:18:41,394 --> 01:18:43,897
I PERSONALLY HAVE FELT VERY

2036
01:18:43,897 --> 01:18:46,499
SUPPORTED BY BOTH SIDES OF THE

2037
01:18:46,499 --> 01:18:47,066
AISLE.

2038
01:18:47,066 --> 01:18:48,168
I'VE NEVER -- I THINK IT'S BEEN

2039
01:18:48,168 --> 01:18:49,903
GREAT.

2040
01:18:49,903 --> 01:18:51,070
HOWEVER, CONGRESS DOESN'T SIT

2041
01:18:51,070 --> 01:18:52,839
DOWN WITH US IN A ROOM AND GO

2042
01:18:52,839 --> 01:18:54,474
THROUGH A DEEP DIVE OF EVERY

2043
01:18:54,474 --> 01:18:54,808
LITTLE THING.

2044
01:18:54,808 --> 01:18:56,109
YOU KNOW, THEY THINK WHAT THEY

2045
01:18:56,109 --> 01:18:56,543
THINK.

2046
01:18:56,543 --> 01:19:01,114
THIS IS AN OPPORTUNITY FOR US TO

2047
01:19:01,114 --> 01:19:03,750
RESPOND TO CONGRESS BY HAVING A

2048
01:19:03,750 --> 01:19:06,486
VERY CAREFUL THOUGHT PROCESS

2049
01:19:06,486 --> 01:19:09,289
WITH YOU ALL FROM THE EXTERNAL

2050
01:19:09,289 --> 01:19:09,556
COMMUNITY.

2051
01:19:09,556 --> 01:19:11,291
SO THAT IT'S NOT JUST ME WRITING

2052
01:19:11,291 --> 01:19:12,492
A LETTER BACK TO CONGRESS

2053
01:19:12,492 --> 01:19:13,860
SAYING, WELL, NO, I DON'T THINK

2054
01:19:13,860 --> 01:19:15,528
WHAT YOU ASKED US TO DO IS SUCH

2055
01:19:15,528 --> 01:19:16,196
A GOOD IDEA.

2056
01:19:16,196 --> 01:19:18,264
IT'S TO HAVE -- THAT'S WHY WE

2057
01:19:18,264 --> 01:19:19,132
HAVE SMRB.

2058
01:19:19,132 --> 01:19:22,302
IT'S FOR YOU TO BE INDEPENDENT

2059
01:19:22,302 --> 01:19:25,605
OF US IN MANY WAYS, WORK WITH

2060
01:19:25,605 --> 01:19:27,440
US, AND THEN COME BACK TO

2061
01:19:27,440 --> 01:19:28,608
CONGRESS AND SAY, WELL, THAT WAS

2062
01:19:28,608 --> 01:19:31,144
A VERY INTERESTING IDEA, BUT

2063
01:19:31,144 --> 01:19:33,546
HERE'S WHAT THIS GROUP THINKS.

2064
01:19:33,546 --> 01:19:35,181
SO THAT'S FRANKLY WHERE I THINK

2065
01:19:35,181 --> 01:19:36,950
WE MOST NEED YOUR HELP WITH.

2066
01:19:36,950 --> 01:19:38,685
AND WHAT I KIND OF HOPED GOING

2067
01:19:38,685 --> 01:19:40,253
INTO THIS IS THAT YOU'D LOOK AT

2068
01:19:40,253 --> 01:19:41,721
THE FRAME WORKS AND SAY YEAH,

2069
01:19:41,721 --> 01:19:43,256
THIS FRAMEWORK IS NOT TOO BAD OR

2070
01:19:43,256 --> 01:19:44,357
MAYBE TWEAK IT JUST A LITTLE

2071
01:19:44,357 --> 01:19:45,592
BIT, AND THEN LET'S GET TO

2072
01:19:45,592 --> 01:19:46,392
BUSINESS IN RESPONDING TO

2073
01:19:46,392 --> 01:19:47,927
CONGRESS ON THESE TWO THINGS

2074
01:19:47,927 --> 01:19:50,129
THEY'VE ASKED US TO DO WHERE

2075
01:19:50,129 --> 01:19:51,865
SOME OF IT, WE THINK IS GREAT

2076
01:19:51,865 --> 01:19:54,367
IDEAS AND SOME OF IT, WE THINK

2077
01:19:54,367 --> 01:19:55,802
WOULD BE FRANKLY NOT A VERY GOOD

2078
01:19:55,802 --> 01:19:56,502
IDEA.

2079
01:19:56,502 --> 01:19:57,003
SO THERE YOU GO.

2080
01:19:57,003 --> 01:19:58,538
THANK YOU.

2081
01:19:58,538 --> 01:20:00,807
>> AND I THINK WHAT YOU
BOTH

2082
01:20:00,807 --> 01:20:02,141
HAVE JUST BEEN TALKING ABOUT, IF

2083
01:20:02,141 --> 01:20:03,576
WE COULD GO BACK TO THE -- I

2084
01:20:03,576 --> 01:20:04,811
THINK IT'S THE LAST SLIDE OR

2085
01:20:04,811 --> 01:20:06,512
SECOND TO LAST SLIDE, LARRY, YOU

2086
01:20:06,512 --> 01:20:08,882
HAD PUT IN THE EMAIL WHICH WAS

2087
01:20:08,882 --> 01:20:09,849
FOCUSING ON THE CONGRESSIONAL

2088
01:20:09,849 --> 01:20:10,950
QUESTIONS, HERE ARE THE BULLETS

2089
01:20:10,950 --> 01:20:13,553
AND THE THREE AREAS THAT WE NEED

2090
01:20:13,553 --> 01:20:16,289
TO FOCUS ON TO ANSWER, AND I

2091
01:20:16,289 --> 01:20:18,591
THINK THAT SHOULD BE OUR SORT OF

2092
01:20:18,591 --> 01:20:24,831
GUIDE, THOSE THREE BULLETS, AND

2093
01:20:24,831 --> 01:20:26,699
BECAUSE YOU'VE HERE DISTILLED

2094
01:20:26,699 --> 01:20:29,636
WHAT THEIR QUESTIONS WERE.

2095
01:20:29,636 --> 01:20:32,272
SO THEY HAD QUESTIONS ABOUT

2096
01:20:32,272 --> 01:20:33,773
MISCONDUCT AND PROTECTION, ALL

2097
01:20:33,773 --> 01:20:35,074
THESE BULLETS ARE IN RESPONSE OF

2098
01:20:35,074 --> 01:20:35,675
THOSE QUESTIONS.

2099
01:20:35,675 --> 01:20:36,843
IS THAT ACCURATE, LARRY?

2100
01:20:36,843 --> 01:20:37,477
>> YES.

2101
01:20:37,477 --> 01:20:40,980
THESE ALL REFLECT THE VARIOUS

2102
01:20:40,980 --> 01:20:42,181
QUESTIONS IN THOSE TWO REPORTS.

2103
01:20:42,181 --> 01:20:42,749
>> RIGHT.

2104
01:20:42,749 --> 01:20:45,251
AND SO THAT -- JUST TO REMIND

2105
01:20:45,251 --> 01:20:47,553
THE GROUP EVEN AGAIN, THIS IS

2106
01:20:47,553 --> 01:20:49,055
WHAT WE REALLY NEED TO FOCUS ON

2107
01:20:49,055 --> 01:20:50,723
AS WE LOOK AT ALL THE 27

2108
01:20:50,723 --> 01:20:55,194
INSTITUTES.

2109
01:20:55,194 --> 01:20:55,762
ALLISON?

2110
01:20:55,762 --> 01:21:00,433
I'M SORRY, YOU WANTED TO MAKE A

2111
01:21:00,433 --> 01:21:00,667
COMMENT?

2112
01:21:00,667 --> 01:21:01,968
>> I WAS SITTING HERE
LISTENING

2113
01:21:01,968 --> 01:21:02,802
TO THIS DISCUSSION AND IF YOU

2114
01:21:02,802 --> 01:21:03,970
COULD LEAVE THE SLIDE BACK UP,

2115
01:21:03,970 --> 01:21:04,871
THAT WOULD BE WONDERFUL.

2116
01:21:04,871 --> 01:21:06,506
I WOULD LOVE TO MAKE KIND OF A

2117
01:21:06,506 --> 01:21:08,675
FRIENDLY AMENDMENT SO THAT I

2118
01:21:08,675 --> 01:21:09,676
ABSOLUTELY AGREE WITH WHAT

2119
01:21:09,676 --> 01:21:13,713
MONICA SAID IS WE NEED TO DO THE

2120
01:21:13,713 --> 01:21:15,014
FIRST TWO BUCKETS, THE FIRST TWO

2121
01:21:15,014 --> 01:21:15,448
BULLETS.

2122
01:21:15,448 --> 01:21:17,717
SO IF YOU CHANGE THOSE TO

2123
01:21:17,717 --> 01:21:19,919
INTERNAL OPERATIONS, YOU COULD

2124
01:21:19,919 --> 01:21:23,523
GET THEM INTO A BULLET WHICH

2125
01:21:23,523 --> 01:21:25,158
WOULD TOTALLY MEET WHAT CONGRESS

2126
01:21:25,158 --> 01:21:27,493
WANTS US TO DO.

2127
01:21:27,493 --> 01:21:29,862
AND TO JONI'S POINT ABOUT BEING

2128
01:21:29,862 --> 01:21:30,830
INNOVATIVE AND FORWARD LOOKING,

2129
01:21:30,830 --> 01:21:32,799
IF WE DID INNOVATION AND IMPACT,

2130
01:21:32,799 --> 01:21:36,502
SO THAT'S THE FUTURE PIECE, THAT

2131
01:21:36,502 --> 01:21:37,503
WOULD LET US DO BOTH.

2132
01:21:37,503 --> 01:21:39,439
I THINK IF WE DON'T DO THE FIRST

2133
01:21:39,439 --> 01:21:43,076
TWO BULLETS, IT'S GOING TO --

2134
01:21:43,076 --> 01:21:47,914
IT'S NOT GOING TO GET READ.

2135
01:21:47,914 --> 01:21:48,748
I THINK THEY'RE LOOKING FOR

2136
01:21:48,748 --> 01:21:49,882
SOMETHING BUT WE ALSO HAVE TO

2137
01:21:49,882 --> 01:21:51,918
LEAN IN, SO I'D LOVE TO BE

2138
01:21:51,918 --> 01:21:53,453
INNOVATION AND IMPACT ON HUMAN

2139
01:21:53,453 --> 01:21:58,524
HEALTH AND DISEASE BECAUSE I

2140
01:21:58,524 --> 01:21:59,726
THINK THAT'S WHAT MICHAEL HAS

2141
01:21:59,726 --> 01:22:01,761
BEEN SAYING ABOUT HUMAN HEALTH.

2142
01:22:01,761 --> 01:22:03,396
NIH DOESN'T JUST STUDY DISEASE.

2143
01:22:03,396 --> 01:22:05,131
THEY ACTUALLY STUDY DISEASE TO

2144
01:22:05,131 --> 01:22:07,133
PROMOTE HEALTH.

2145
01:22:07,133 --> 01:22:09,635
>> RIGHT.

2146
01:22:09,635 --> 01:22:13,139
SO DISTILLING THOSE, AND I THINK

2147
01:22:13,139 --> 01:22:16,409
TYRONE IS TAKING SOME NOTES.

2148
01:22:16,409 --> 01:22:17,410
DISTILLING THOSE TWO BULLETS

2149
01:22:17,410 --> 01:22:18,711
INTO INTERNAL OPERATIONS AND THE

2150
01:22:18,711 --> 01:22:20,880
LAST ONE, INNOVATION AND IMPACT

2151
01:22:20,880 --> 01:22:21,681
IN A FORWARD-LOOKING WAY.

2152
01:22:21,681 --> 01:22:22,448
IS THAT WHAT YOU MEANT?

2153
01:22:22,448 --> 01:22:23,983
>> YEP, ON HUMAN HEALTH.

2154
01:22:23,983 --> 01:22:25,184
>> HUMAN HEALTH, RIGHT.

2155
01:22:25,184 --> 01:22:25,618
RIGHT.

2156
01:22:25,618 --> 01:22:26,285
BECAUSE THAT WAS ONE OF THE

2157
01:22:26,285 --> 01:22:28,087
WORDS THAT THEY USED IN THEIR

2158
01:22:28,087 --> 01:22:31,724
REPORT ACTUALLY.

2159
01:22:31,724 --> 01:22:32,358
OKAY.

2160
01:22:32,358 --> 01:22:33,926
I CAN'T SEE -- WHO'S THE NEXT

2161
01:22:33,926 --> 01:22:36,596
HAND THAT'S UP?

2162
01:22:36,596 --> 01:22:39,032
>> I BELIEVE LISA IS THE
NEXT

2163
01:22:39,032 --> 01:22:39,399
ONE UP.

2164
01:22:39,399 --> 01:22:41,667
>> WELL, I THINK I'M JUST
GOING

2165
01:22:41,667 --> 01:22:43,870
TO PUT IT IN THE CONTEXT OF HOW

2166
01:22:43,870 --> 01:22:46,039
I'LL RESPOND TO REVIEWS OF MY

2167
01:22:46,039 --> 01:22:47,607
NIH GRANTS.

2168
01:22:47,607 --> 01:22:49,909
CAN WE JUST TAKE SOMETHING OF A

2169
01:22:49,909 --> 01:22:51,210
SIMILAR APPROACH, IT SOUNDS LIKE

2170
01:22:51,210 --> 01:22:53,813
WE HAVE TO DEAL WITH THESE

2171
01:22:53,813 --> 01:22:59,185
OVERSIGHT ISSUES AND THOSE ARE

2172
01:22:59,185 --> 01:23:00,153
THINGS THAT I GUESS WE'RE JUST

2173
01:23:00,153 --> 01:23:01,487
GOING TO HAVE TO DEAL WITH IN

2174
01:23:01,487 --> 01:23:02,922
RESPONDING TO EACH ONE OF THOSE.

2175
01:23:02,922 --> 01:23:05,091
THE MIDDLE PART, WHICH I THINK

2176
01:23:05,091 --> 01:23:07,060
WE JUST THOUGHT ABOUT

2177
01:23:07,060 --> 01:23:08,461
REORGANIZING WHICH THEY'VE ALSO

2178
01:23:08,461 --> 01:23:10,329
MADE RECOMMENDATIONS ON, IF I

2179
01:23:10,329 --> 01:23:12,632
UNDERSTAND THAT CORRECTLY, IS

2180
01:23:12,632 --> 01:23:15,368
THE BIGGER PIECE WHERE I THINK

2181
01:23:15,368 --> 01:23:18,571
IT WILL TAKE A LOT MORE

2182
01:23:18,571 --> 01:23:20,173
UNDERSTANDING.

2183
01:23:20,173 --> 01:23:21,507
I'D LIKE TO HEAR FROM THE

2184
01:23:21,507 --> 01:23:22,708
INSTITUTE DIRECTORS THEMSELVES,

2185
01:23:22,708 --> 01:23:24,110
I THINK WE'VE HEARD THAT, WHAT

2186
01:23:24,110 --> 01:23:27,180
ARE YOUR MAJOR CHALLENGES, WHAT

2187
01:23:27,180 --> 01:23:29,582
IS WORKING WELL FOR YOU, WHAT

2188
01:23:29,582 --> 01:23:33,119
ARE THEIR THOUGHTS ON RESPONSE

2189
01:23:33,119 --> 01:23:35,154
TO THAT REPORT ON REORGANIZING

2190
01:23:35,154 --> 01:23:38,324
THESE INSTITUTES AND A MORE

2191
01:23:38,324 --> 01:23:41,294
FORWARD-LOOKING APPROACH TO TRY

2192
01:23:41,294 --> 01:23:43,162
TO INCORPORATE NEW STRATEGIES,

2193
01:23:43,162 --> 01:23:44,363
NEW EMERGING TECHNOLOGIES AND

2194
01:23:44,363 --> 01:23:45,998
NEW THINGS, I THINK FLEXIBILITY

2195
01:23:45,998 --> 01:23:50,036
IS GOING TO BE KEY IN EVEN THOSE

2196
01:23:50,036 --> 01:23:51,137
GUIDING PRINCIPLES AND AFFORDING

2197
01:23:51,137 --> 01:23:52,238
THAT, SO THAT THERE IS

2198
01:23:52,238 --> 01:23:53,973
FLEXIBILITY TO RESPOND TO ALL

2199
01:23:53,973 --> 01:23:54,841
THESE THINGS THAT WE HAVE TO

2200
01:23:54,841 --> 01:23:55,274
DEAL WITH.

2201
01:23:55,274 --> 01:23:57,276
SO I GUESS MY SUGGESTION OR

2202
01:23:57,276 --> 01:23:59,112
THOUGHT IS, CAN WE SIMPLY JUST

2203
01:23:59,112 --> 01:24:00,546
DEAL WITH THIS AS RESPONDING

2204
01:24:00,546 --> 01:24:04,484
LIKE WE DO TO REVIEWERS.

2205
01:24:04,484 --> 01:24:05,785
CHECK THESE OFF OUR LIST SO WE

2206
01:24:05,785 --> 01:24:07,086
MAKE SURE WE'VE DEALT WITH THOSE

2207
01:24:07,086 --> 01:24:08,521
ON BEHALF OF THE NIH AND TO

2208
01:24:08,521 --> 01:24:12,024
CONGRESS, AND THEN SPEND MORE

2209
01:24:12,024 --> 01:24:13,559
TIME ON THE STRUCTURE,

2210
01:24:13,559 --> 01:24:16,329
INNOVATION ASPECTS TO TRY TO

2211
01:24:16,329 --> 01:24:18,698
INCORPORATE FLEXIBILITY AND NEW

2212
01:24:18,698 --> 01:24:19,198
TECHNOLOGY.

2213
01:24:19,198 --> 01:24:21,400
>> PERFECT.

2214
01:24:21,400 --> 01:24:22,235
>> ALL RIGHT.

2215
01:24:22,235 --> 01:24:23,102
SOUNDS GOOD.

2216
01:24:23,102 --> 01:24:25,404
GILDA?

2217
01:24:25,404 --> 01:24:27,273
>> I WANTED TO SPEAK TO

2218
01:24:27,273 --> 01:24:30,343
INNOVATION IN PARTICULAR.

2219
01:24:30,343 --> 01:24:32,845
INNOVATION, THE WORD IS SO

2220
01:24:32,845 --> 01:24:34,147
OVERUSED, AND IT MEANS SO MANY

2221
01:24:34,147 --> 01:24:36,482
DIFFERENT THINGS TO PEOPLE.

2222
01:24:36,482 --> 01:24:38,651
AND SO I'M CONCERNED SOMETIMES

2223
01:24:38,651 --> 01:24:40,620
WHEN FOLKS THINK THEY'RE

2224
01:24:40,620 --> 01:24:42,989
INNOVATIVE AND THEY'RE NOT, OR

2225
01:24:42,989 --> 01:24:44,223
YOU DON'T UNDERSTAND WHAT THEIR

2226
01:24:44,223 --> 01:24:46,959
CONCEPT OF INNOVATION REALLY IS.

2227
01:24:46,959 --> 01:24:50,997
WHAT I WOULD LIKE TO KNOW FROM

2228
01:24:50,997 --> 01:24:52,298
FOLKS IS, WHATEVER THEIR

2229
01:24:52,298 --> 01:24:54,934
DEFINITION OF INNOVATION IS.

2230
01:24:54,934 --> 01:24:56,669
WHAT GETS IN THE WAY OF

2231
01:24:56,669 --> 01:24:57,904
INNOVATION?

2232
01:24:57,904 --> 01:24:59,939
LIKE, WHAT IS GETTING IN THE WAY

2233
01:24:59,939 --> 01:25:04,243
OF THEIR ABILITY TO INNOVATE

2234
01:25:04,243 --> 01:25:06,646
ACROSS WHATEVER THEIR UNIT IS OR

2235
01:25:06,646 --> 01:25:08,481
ACROSS NIH AS A WHOLE AGENCY,

2236
01:25:08,481 --> 01:25:10,016
LIKE WHAT IS GETTING IN THE WAY

2237
01:25:10,016 --> 01:25:13,986
OF INNOVATION?

2238
01:25:13,986 --> 01:25:16,822
>> OKAY, SO YOU'RE SAYING
TO ASK

2239
01:25:16,822 --> 01:25:18,457
FOR INFORMATION ON WHAT ARE THE

2240
01:25:18,457 --> 01:25:20,092
BARRIERS OF INNOVATION IN THE

2241
01:25:20,092 --> 01:25:20,960
VARIOUS INSTITUTES, IS THAT

2242
01:25:20,960 --> 01:25:21,227
RIGHT?

2243
01:25:21,227 --> 01:25:22,128
THAT'S THE PIECE OF INFORMATION

2244
01:25:22,128 --> 01:25:22,995
THAT MIGHT BE HELPFUL?

2245
01:25:22,995 --> 01:25:26,165
>> YES, BECAUSE I ACTUALLY
THINK

2246
01:25:26,165 --> 01:25:27,133
JUST HONING IN ON THE QUESTION,

2247
01:25:27,133 --> 01:25:28,501
WHAT GETS IN THE WAY OF

2248
01:25:28,501 --> 01:25:30,236
INNOVATION COULD BE INSIGHTFUL.

2249
01:25:30,236 --> 01:25:31,337
>> RIGHT, THAT WOULD BE A
GOOD

2250
01:25:31,337 --> 01:25:35,508
QUESTION FOR THE DIRECTORS, YES.

2251
01:25:35,508 --> 01:25:40,012
DEBARA?

2252
01:25:40,012 --> 01:25:40,780
>> YES.

2253
01:25:40,780 --> 01:25:42,615
A LOT OF WHAT WE HEAR FROM

2254
01:25:42,615 --> 01:25:44,083
CONGRESS AND FROM OTHER

2255
01:25:44,083 --> 01:25:46,552
SCIENTIFIC LEADERS AROUND THE

2256
01:25:46,552 --> 01:25:49,822
COUNTRY IS THAT NIH INSTITUTES

2257
01:25:49,822 --> 01:25:51,157
ARE SILOED, AND I THINK THAT

2258
01:25:51,157 --> 01:25:53,359
THAT'S THE MAIN DRIVER OF THEIR

2259
01:25:53,359 --> 01:25:54,760
RECOMMENDATION, THAT WE

2260
01:25:54,760 --> 01:25:55,194
REORGANIZE.

2261
01:25:55,194 --> 01:25:57,396
SO AS PART OF THIS, I THINK IN

2262
01:25:57,396 --> 01:25:59,098
ADDITION TO GETTING INFORMATION

2263
01:25:59,098 --> 01:26:01,334
FROM THE INSTITUTES AND

2264
01:26:01,334 --> 01:26:02,635
INSTITUTE DIRECTORS, THAT IT

2265
01:26:02,635 --> 01:26:04,303
WOULD BE HELPFUL FOR THIS GROUP

2266
01:26:04,303 --> 01:26:06,806
TO LOOK AT BIG TRANS-NIH

2267
01:26:06,806 --> 01:26:10,643
PROGRAMS AND HOW THOSE ARE

2268
01:26:10,643 --> 01:26:13,346
CARRIED OUT.

2269
01:26:13,346 --> 01:26:15,781
AND IF THEY ARE ORGANIZED

2270
01:26:15,781 --> 01:26:17,316
OPTIMALLY, FOR EXAMPLE, THERE'S

2271
01:26:17,316 --> 01:26:19,919
A TRANS-NIH INITIATIVE ON A.I.

2272
01:26:19,919 --> 01:26:22,221
THERE ARE TRANS-NIH INITIATIVES

2273
01:26:22,221 --> 01:26:24,857
ON A NUMBER OF THINGS.

2274
01:26:24,857 --> 01:26:25,424
ALZHEIMER'S DISEASE, WOMEN'S

2275
01:26:25,424 --> 01:26:26,292
HEALTH.

2276
01:26:26,292 --> 01:26:30,663
SO HOW ARE THOSE ISSUES

2277
01:26:30,663 --> 01:26:34,600
ADDRESSED AT THE TRANS-NIH LEVEL

2278
01:26:34,600 --> 01:26:35,534
AND ARE THERE OPPORTUNITIES TO

2279
01:26:35,534 --> 01:26:37,336
DO THAT BETTER.

2280
01:26:37,336 --> 01:26:38,437
BECAUSE I THINK WE HAVE TO

2281
01:26:38,437 --> 01:26:43,776
ADDRESS THE SILOING ISSUE

2282
01:26:43,776 --> 01:26:44,777
DIRECTLY, AND SOMEWHAT

2283
01:26:44,777 --> 01:26:46,045
INDEPENDENTLY OF THE STRUCTURE

2284
01:26:46,045 --> 01:26:48,180
OF THE INSTITUTES AND CENTERS

2285
01:26:48,180 --> 01:26:50,249
BECAUSE THE PROGRAMS AREN'T

2286
01:26:50,249 --> 01:26:51,784
IMPLEMENTED ONLY THROUGH THE

2287
01:26:51,784 --> 01:26:52,551
INSTITUTES AND CENTERS.

2288
01:26:52,551 --> 01:26:56,922
AND THERE ARE SOME, IT'S BEEN

2289
01:26:56,922 --> 01:26:57,890
MENTIONED THAT SOME OF OUR

2290
01:26:57,890 --> 01:26:59,859
INSTITUTES ARE VERY

2291
01:26:59,859 --> 01:27:02,928
DISEASE-SPECIFIC, BUT WE USE

2292
01:27:02,928 --> 01:27:07,533
TRANS-NIH PROGRAMS TO ANSWER THE

2293
01:27:07,533 --> 01:27:09,435
QUESTIONS THAT ARE IN OUR

2294
01:27:09,435 --> 01:27:11,904
MISSION AREAS.

2295
01:27:11,904 --> 01:27:13,606
SO THERE'S SORT OF A DUAL WAY

2296
01:27:13,606 --> 01:27:17,643
THAT WE ADDRESS THESE ISSUES.

2297
01:27:17,643 --> 01:27:19,378
>> YES, AND I REMEMBER
MONICA

2298
01:27:19,378 --> 01:27:20,246
MENTIONING SOME OF THOSE

2299
01:27:20,246 --> 01:27:22,315
PROGRAMS AT OUR LAST MEETING

2300
01:27:22,315 --> 01:27:24,183
THAT WERE TRANS-NIH PROGRAMS,

2301
01:27:24,183 --> 01:27:27,586
PERHAPS WE COULD GET A MORE

2302
01:27:27,586 --> 01:27:28,688
EXTENSIVE LIST YOU WERE THINKING

2303
01:27:28,688 --> 01:27:30,323
OR DESCRIPTION OF SOME OF THOSE

2304
01:27:30,323 --> 01:27:31,957
TRANS-NIH PROGRAMS?

2305
01:27:31,957 --> 01:27:33,059
OKAY.

2306
01:27:33,059 --> 01:27:35,061
I SEE YOU NODDING.

2307
01:27:35,061 --> 01:27:39,765
MARK?

2308
01:27:39,765 --> 01:27:41,934
>> YES, THANK YOU.

2309
01:27:41,934 --> 01:27:44,036
I'M A LITTLE CONFUSED.

2310
01:27:44,036 --> 01:27:47,306
ARE WE SPEAKING ABOUT WHAT'S

2311
01:27:47,306 --> 01:27:50,576
GOING ON IN BETHESDA ON THE NIH

2312
01:27:50,576 --> 01:27:53,546
CAMPUS, OR ARE WE SPEAKING ABOUT

2313
01:27:53,546 --> 01:27:55,848
SILOING BECAUSE OF THE EXISTENCE

2314
01:27:55,848 --> 01:27:59,118
OF INSTITUTES ACROSS THE ENTIRE

2315
01:27:59,118 --> 01:28:00,553
U.S. RESEARCH COMMUNITY THAT'S

2316
01:28:00,553 --> 01:28:02,188
SUPPORTED BY NIH?

2317
01:28:02,188 --> 01:28:04,623
AND I THINK THAT IDENTIFYING

2318
01:28:04,623 --> 01:28:05,758
PROBLEMS AND SOLUTIONS ARE

2319
01:28:05,758 --> 01:28:07,126
DIFFERENT FOR THE TWO.

2320
01:28:07,126 --> 01:28:08,794
AND I THINK WE HAVE TO SORT OF

2321
01:28:08,794 --> 01:28:12,264
KEEP THAT IN MIND.

2322
01:28:12,264 --> 01:28:13,699
>> I WILL PUT THAT
QUESTION OVER

2323
01:28:13,699 --> 01:28:15,668
TO LARRY BUT I THINK IT'S BOTH.

2324
01:28:15,668 --> 01:28:19,071
>> WELL, I'LL CHIME IN
HERE AND

2325
01:28:19,071 --> 01:28:22,975
SAY IF YOU'RE RESPONDING TO

2326
01:28:22,975 --> 01:28:24,276
CONGRESS, THEN YOU'RE RESPONDING

2327
01:28:24,276 --> 01:28:27,713
TO WHAT CONGRESS IS GOING TO

2328
01:28:27,713 --> 01:28:28,581
TELL THE NEW DIRECTOR

2329
01:28:28,581 --> 01:28:31,851
SPECIFICALLY TO DO.

2330
01:28:31,851 --> 01:28:33,919
SO I KNOW I DIDN'T ANSWER YOUR

2331
01:28:33,919 --> 01:28:36,222
QUESTION COMPLETELY, BUT I DO

2332
01:28:36,222 --> 01:28:37,456
THINK I'VE HELPED GEAR IT A

2333
01:28:37,456 --> 01:28:38,023
LITTLE BIT.

2334
01:28:38,023 --> 01:28:41,827
THIS ISN'T ABOUT TELLING, YOU

2335
01:28:41,827 --> 01:28:42,795
KNOW, UNIVERSITY PRESIDENTS WHAT

2336
01:28:42,795 --> 01:28:44,397
THEY'RE GOING TO DO.

2337
01:28:44,397 --> 01:28:45,765
THIS IS ABOUT TELLING EXACTLY

2338
01:28:45,765 --> 01:28:47,299
WHAT THE DIRECTOR IS GOING TO

2339
01:28:47,299 --> 01:28:49,301
DO.

2340
01:28:49,301 --> 01:28:54,440
>> MARK, THERE'S THE RUB.

2341
01:28:54,440 --> 01:29:00,546
THE CONGRESS LOOKS AT NIH AND

2342
01:29:00,546 --> 01:29:02,181
MAKES THE OBSERVATION THAT THEY

2343
01:29:02,181 --> 01:29:06,585
FEEL WE ARE SO-CALLED SILOED.

2344
01:29:06,585 --> 01:29:09,688
BUT THEY DON'T LOOK TO THE

2345
01:29:09,688 --> 01:29:11,624
SECOND DERIVATIVE WHERE THE

2346
01:29:11,624 --> 01:29:13,692
ACTION IS IN THE EXTRAMURAL

2347
01:29:13,692 --> 01:29:14,460
COMMUNITY WHERE YOU WERE ALL

2348
01:29:14,460 --> 01:29:18,931
DOING YOUR SCIENCE AND WHERE IF

2349
01:29:18,931 --> 01:29:21,867
YOUR WORK IS FROM INSTITUTE A,

2350
01:29:21,867 --> 01:29:22,668
YOU'RE STILL GOING TO

2351
01:29:22,668 --> 01:29:24,303
COLLABORATE WITH SOMEBODY FROM

2352
01:29:24,303 --> 01:29:26,038
INSTITUTE B WITH FUNDING FROM

2353
01:29:26,038 --> 01:29:28,374
INSTITUTE B IF YOU HAVE COMMON

2354
01:29:28,374 --> 01:29:31,544
INTERESTS AND CAN SYNERGIZE.

2355
01:29:31,544 --> 01:29:34,613
UNFORTUNATELY, THAT SECOND AND

2356
01:29:34,613 --> 01:29:36,248
THIRD DERIVATIVE IS NEVER TAKEN

2357
01:29:36,248 --> 01:29:37,450
INTO ACCOUNT.

2358
01:29:37,450 --> 01:29:38,551
AND MAYBE THAT'S SOMETHING THAT

2359
01:29:38,551 --> 01:29:41,520
WE'VE GOT TO DO A BETTER JOB

2360
01:29:41,520 --> 01:29:44,690
EXPLAINING TO THE CONGRESS.

2361
01:29:44,690 --> 01:29:48,494
>> OKAY.

2362
01:29:48,494 --> 01:29:49,328
JON AND THEN JAMES?

2363
01:29:49,328 --> 01:29:50,830
>> I JUST WANT TO RAISE
KIND OF

2364
01:29:50,830 --> 01:29:52,364
A PRACTICAL ISSUE.

2365
01:29:52,364 --> 01:29:53,699
I'M HEARING A LOT OF BOILING THE

2366
01:29:53,699 --> 01:29:54,800
OCEAN HERE.

2367
01:29:54,800 --> 01:29:56,202
I MEAN, THE THINGS THAT ARE

2368
01:29:56,202 --> 01:29:58,504
BEING TALKED ABOUT SOUND TO ME

2369
01:29:58,504 --> 01:30:00,706
LIKE VERY LONG TERM HIGH LEVEL

2370
01:30:00,706 --> 01:30:03,008
KINDS OF QUESTIONS.

2371
01:30:03,008 --> 01:30:04,143
AND MY UNDERSTANDING OF THIS

2372
01:30:04,143 --> 01:30:06,078
GROUP IS IT'S SUPPOSED TO BE

2373
01:30:06,078 --> 01:30:09,114
FOCUSED ON MANAGEMENT AND

2374
01:30:09,114 --> 01:30:10,115
ADMINISTRATION ISSUES.

2375
01:30:10,115 --> 01:30:11,851
SO I'D LIKE TO MAKE THE FRIENDLY

2376
01:30:11,851 --> 01:30:13,519
SUGGESTION THAT AS A START,

2377
01:30:13,519 --> 01:30:14,987
SINCE WE'RE JUST GETTING OUR

2378
01:30:14,987 --> 01:30:18,991
FEET WET IN THIS, THAT WE PICK

2379
01:30:18,991 --> 01:30:21,727
ONE OR TWO OF THOSE FIRST THREE

2380
01:30:21,727 --> 01:30:23,062
SUBBULLETS UNDER OVERSIGHT

2381
01:30:23,062 --> 01:30:24,563
ISSUES AND TRY TO FOCUS ON THAT

2382
01:30:24,563 --> 01:30:26,866
AND SEE HOW THAT WORKS OUT

2383
01:30:26,866 --> 01:30:29,168
BEFORE WE TRY TO TALK ABOUT HOW

2384
01:30:29,168 --> 01:30:31,704
WE'RE GOING TO FIX THE WHOLE

2385
01:30:31,704 --> 01:30:32,805
INNOVATION ECOSYSTEM.

2386
01:30:32,805 --> 01:30:35,941
WHICH IS A MUCH LONGER TERM MORE

2387
01:30:35,941 --> 01:30:39,712
COMPLEX TOPIC.

2388
01:30:39,712 --> 01:30:41,046
SO THAT WOULD BE MY SUGGESTION.

2389
01:30:41,046 --> 01:30:42,548
LET'S TRY TO APPROACH SOMETHING

2390
01:30:42,548 --> 01:30:43,983
THAT WE CAN ACTUALLY DIG OUR

2391
01:30:43,983 --> 01:30:45,618
TEETH INTO, MAKE SOME

2392
01:30:45,618 --> 01:30:49,255
SIGNIFICANT PROGRESS ON, FIGURE

2393
01:30:49,255 --> 01:30:50,756
OUT HOW THE GROUP WORKS, AND

2394
01:30:50,756 --> 01:30:52,191
THOSE FIRST THREE SUBBELL ET

2395
01:30:52,191 --> 01:30:56,262
CSUBBULLETSSEEM TO ME LIKE THINE

2396
01:30:56,262 --> 01:30:57,696
CONGRESS HAS EXPRESSED A

2397
01:30:57,696 --> 01:30:59,231
PARTICULAR CONCERN AND WE COULD

2398
01:30:59,231 --> 01:30:59,865
DO SOMETHING.

2399
01:30:59,865 --> 01:31:02,535
>> YES, I HEAR WHAT YOU'RE

2400
01:31:02,535 --> 01:31:03,702
SAYING, BUT I THINK EVENTUALLY

2401
01:31:03,702 --> 01:31:07,773
WE HAVE TO GET TO ALL OF THOSE

2402
01:31:07,773 --> 01:31:08,774
FIRST FOUR BULLETS, BECAUSE

2403
01:31:08,774 --> 01:31:10,943
THOSE ARE PART OF WHAT THEY

2404
01:31:10,943 --> 01:31:12,811
ASKED, WHAT CONGRESS ASKED US TO

2405
01:31:12,811 --> 01:31:13,145
ADDRESS.

2406
01:31:13,145 --> 01:31:15,114
SO I HEAR WHAT YOU'RE SAYING, WE

2407
01:31:15,114 --> 01:31:17,516
CAN'T DO IT ALL AT ONCE, BUT I

2408
01:31:17,516 --> 01:31:21,353
THINK ONE OF LARRY'S SUGGESTIONS

2409
01:31:21,353 --> 01:31:23,689
THAT WE MIGHT CONSIDER IS LET'S,

2410
01:31:23,689 --> 01:31:25,791
AS A COMMITTEE, TAKE ONE

2411
01:31:25,791 --> 01:31:29,361
INSTITUTE AND DO WHAT WE NEED TO

2412
01:31:29,361 --> 01:31:31,463
DO AND GET THESE QUESTIONS

2413
01:31:31,463 --> 01:31:34,366
ANSWERED, ET CETERA, TRAY  TRY T

2414
01:31:34,366 --> 01:31:35,668
TOGETHER A SORT OF MINI SUMMARY,

2415
01:31:35,668 --> 01:31:37,269
IF YOU WILL, AND THEN BREAK OFF

2416
01:31:37,269 --> 01:31:40,806
INTO SUBGRAWPS T SUBGROUPS TO DE

2417
01:31:40,806 --> 01:31:42,341
REMAINDER OF THE 26

2418
01:31:42,341 --> 01:31:42,675
INSTITUTIONS.

2419
01:31:42,675 --> 01:31:44,743
>> SORRY TO INTERRUPT, BUT
THOSE

2420
01:31:44,743 --> 01:31:45,945
FIRST THREE BULLETS, AS LARRY

2421
01:31:45,945 --> 01:31:47,613
SAID, ARE NOT

2422
01:31:47,613 --> 01:31:48,581
INSTITUTE-SPECIFIC.

2423
01:31:48,581 --> 01:31:49,148
THEY'RE NIH --

2424
01:31:49,148 --> 01:31:50,115
>> RIGHT, EXACTLY.

2425
01:31:50,115 --> 01:31:51,150
SO I THINK --

2426
01:31:51,150 --> 01:31:53,419
>> THAT IS A MUCH MORE

2427
01:31:53,419 --> 01:31:54,620
MEANINGFUL APPROACH FOR US TO

2428
01:31:54,620 --> 01:31:57,856
TAKE, SOMETHING THAT'S NIH-WIDE,

2429
01:31:57,856 --> 01:31:59,758
THAN TO TRY TO GO INSTITUTE BY

2430
01:31:59,758 --> 01:32:00,492
INSTITUTE AT THIS STAGE.

2431
01:32:00,492 --> 01:32:04,496
>> NO, NO BE  -- I SEE
WHAT YOUE

2432
01:32:04,496 --> 01:32:04,797
SAYING.

2433
01:32:04,797 --> 01:32:06,365
I THOUGHT YOU WERE SAYING

2434
01:32:06,365 --> 01:32:06,665
ULTIMATELY.

2435
01:32:06,665 --> 01:32:07,900
YOU MEANT RIGHT NOW.

2436
01:32:07,900 --> 01:32:09,201
I THOUGHT YOU MEANT IN OUR TOTAL

2437
01:32:09,201 --> 01:32:10,636
EFFORTS TO JUST FOCUS ON THOSE

2438
01:32:10,636 --> 01:32:11,403
THREE BULLETS.

2439
01:32:11,403 --> 01:32:13,472
YOU JUST MI MEAN INITIALLY.

2440
01:32:13,472 --> 01:32:14,607
>> I MEAN INITIALLY.

2441
01:32:14,607 --> 01:32:15,808
LET'S GET STARTED WITH SOMETHING

2442
01:32:15,808 --> 01:32:17,109
CONCRETE, THAT WE CAN ACTUALLY

2443
01:32:17,109 --> 01:32:18,611
DIG OUR TEETH INTO AND MAKE SOME

2444
01:32:18,611 --> 01:32:20,446
PROGRESS ON.

2445
01:32:20,446 --> 01:32:23,816
WE ALSO DON'T KNOW WHAT THE NEXT

2446
01:32:23,816 --> 01:32:25,784
NIH DIRECTOR IS GOING TO HAVE AS

2447
01:32:25,784 --> 01:32:26,885
PRIORITIES, SO THESE ARE THINGS

2448
01:32:26,885 --> 01:32:28,354
THAT ARE BEFORE US FROM CONGRESS

2449
01:32:28,354 --> 01:32:30,856
SO LET'S GET STARTED.

2450
01:32:30,856 --> 01:32:34,860
>> UNDERSTOOD.

2451
01:32:34,860 --> 01:32:35,661
JAMES?

2452
01:32:35,661 --> 01:32:36,428
SORRY, MONICA, GO AHEAD.

2453
01:32:36,428 --> 01:32:37,196
>> SORRY.

2454
01:32:37,196 --> 01:32:38,597
I JUST WANT TO ADD ONE OTHER

2455
01:32:38,597 --> 01:32:39,365
LITTLE THING.

2456
01:32:39,365 --> 01:32:41,033
THIS IS WHY IT'S SO WONDERFUL TO

2457
01:32:41,033 --> 01:32:45,404
HAVE AN OUTSIDE GROUP, BECAUSE I

2458
01:32:45,404 --> 01:32:50,442
WOULD JUST ASK YOU, WITH YOUR

2459
01:32:50,442 --> 01:32:52,745
INDEPENDENT EYES HERE, TO NOT

2460
01:32:52,745 --> 01:32:54,413
JUST AUTOMATICALLY ASSUME WHAT'S

2461
01:32:54,413 --> 01:32:56,482
BEING SAID ABOUT US IS TRUE,

2462
01:32:56,482 --> 01:32:59,685
PLEASE.

2463
01:32:59,685 --> 01:33:00,753
NOW YOU DIVE IN AND TELL

2464
01:33:00,753 --> 01:33:02,488
EVERYBODY IF IT'S TRUE OR NOT,

2465
01:33:02,488 --> 01:33:05,357
BUT PLEASE DON'T JUST

2466
01:33:05,357 --> 01:33:09,828
AUTOMATICALLY ACCEPT THE PREMISE

2467
01:33:09,828 --> 01:33:12,431
OF THE RECOMMENDATION.

2468
01:33:12,431 --> 01:33:12,698
>> RIGHT.

2469
01:33:12,698 --> 01:33:13,666
>> THAT'S IT.

2470
01:33:13,666 --> 01:33:14,600
>> RIGHT.

2471
01:33:14,600 --> 01:33:17,102
EXACTLY.

2472
01:33:17,102 --> 01:33:22,341
JIM?

2473
01:33:22,341 --> 01:33:22,875
JAMES?

2474
01:33:22,875 --> 01:33:23,108
SORRY.

2475
01:33:23,108 --> 01:33:26,078
>> OKAY, THANK YOU.

2476
01:33:26,078 --> 01:33:27,613
FIRST I WANT TO AGREE WITH WHAT

2477
01:33:27,613 --> 01:33:29,281
THE DIRECTOR JUST SAID.

2478
01:33:29,281 --> 01:33:30,582
I THINK I POINTED THIS OUT LAST

2479
01:33:30,582 --> 01:33:32,317
TIME.

2480
01:33:32,317 --> 01:33:33,786
I DON'T THINK THAT WE SHOULD

2481
01:33:33,786 --> 01:33:35,854
ASSUME THAT ALL THE ASSUMPTIONS

2482
01:33:35,854 --> 01:33:38,057
MADE BY CONGRESS AS TO THE

2483
01:33:38,057 --> 01:33:42,528
FAILINGS OF NIH ARE TRUE.

2484
01:33:42,528 --> 01:33:43,529
THERE ACTUALLY HAD BEEN AN

2485
01:33:43,529 --> 01:33:44,530
EFFORT MADE TO SET THE RECORD

2486
01:33:44,530 --> 01:33:44,797
STRAIGHT.

2487
01:33:44,797 --> 01:33:46,398
I ALSO WANT TO AGREE WITH WHAT

2488
01:33:46,398 --> 01:33:48,734
MARK SAID A FEW MOMENTS AGO

2489
01:33:48,734 --> 01:33:51,203
ABOUT THE PROFOUND INFLUENCE OF

2490
01:33:51,203 --> 01:33:52,371
NIH ON SETTING THE RESEARCH

2491
01:33:52,371 --> 01:33:54,273
AGENDA FOR THE WHOLE COUNTRY.

2492
01:33:54,273 --> 01:33:55,474
THAT'S REALLY, REALLY IMPORTANT

2493
01:33:55,474 --> 01:33:57,209
HERE AND SHOULD NOT BE

2494
01:33:57,209 --> 01:34:00,079
OVERLOOKED.

2495
01:34:00,079 --> 01:34:01,714
WHEN THERE WAS AN -- MADE THAT

2496
01:34:01,714 --> 01:34:03,148
NIH BUDGET WAS GOING TO INCREASE

2497
01:34:03,148 --> 01:34:04,383
BY SOME AMOUNT, MANY

2498
01:34:04,383 --> 01:34:06,318
UNIVERSITIES AND PRESIDENTS OF

2499
01:34:06,318 --> 01:34:07,653
UNIVERSITIES INVESTED IN

2500
01:34:07,653 --> 01:34:09,621
INCREASING THEIR RESEARCH

2501
01:34:09,621 --> 01:34:10,389
CAPACITY, AND LOOK WHAT

2502
01:34:10,389 --> 01:34:11,490
HAPPENED.

2503
01:34:11,490 --> 01:34:13,992
SO I ALSO WANT TO POINT OUT THAT

2504
01:34:13,992 --> 01:34:17,429
ONE WAY THAT INNOVATION IS

2505
01:34:17,429 --> 01:34:19,732
STIFLED IS BY FUNDING THE SAME

2506
01:34:19,732 --> 01:34:21,467
INVESTIGATORS AND THE SAME

2507
01:34:21,467 --> 01:34:22,167
INSTITUTIONS OVER AND OVER

2508
01:34:22,167 --> 01:34:23,969
AGAIN.

2509
01:34:23,969 --> 01:34:25,604
WE MISS OUT ON A LOT OF

2510
01:34:25,604 --> 01:34:28,440
INNOVATION BY MISSING OUT ON THE

2511
01:34:28,440 --> 01:34:30,008
TALENTS OF MANY INVESTIGATORS

2512
01:34:30,008 --> 01:34:31,977
AND RESEARCHERS WHO HAPPEN NOT

2513
01:34:31,977 --> 01:34:36,248
TO BE VIEWED AS FAVORITES OF

2514
01:34:36,248 --> 01:34:38,650
CERTAIN FOLKS WHO AWARD THE

2515
01:34:38,650 --> 01:34:39,785
FUNDS FOR RESEARCH.

2516
01:34:39,785 --> 01:34:40,986
SO ONE BIT OF DATA I WOULD LIKE

2517
01:34:40,986 --> 01:34:43,589
TO SEE US GET FROM THE

2518
01:34:43,589 --> 01:34:45,357
INSTITUTES IS WHAT PERCENTAGE OF

2519
01:34:45,357 --> 01:34:48,527
THE FUNDS THEY GIVE EXTRAMURALLY

2520
01:34:48,527 --> 01:34:49,728
GOES TO THE SAME INVESTIGATORS

2521
01:34:49,728 --> 01:34:51,497
OR THE SAME INSTITUTES YEAR

2522
01:34:51,497 --> 01:34:52,564
AFTER YEAR AFTER YEAR.

2523
01:34:52,564 --> 01:34:54,366
IF THERE'S NO EVIDENCE THAT

2524
01:34:54,366 --> 01:34:56,001
THEY'RE HAVING A BROADENING OF

2525
01:34:56,001 --> 01:35:00,739
THEIR AT THE PRE TENT, THEN THAO

2526
01:35:00,739 --> 01:35:03,142
STIFLE INNOVATION FOR SURE

2527
01:35:03,142 --> 01:35:04,576
BECAUSE INNOVATION DOESN'T JUST

2528
01:35:04,576 --> 01:35:05,611
HAPPEN ON THE EAST COAST AND

2529
01:35:05,611 --> 01:35:06,011
WEST COAST.

2530
01:35:06,011 --> 01:35:07,412
IT HAPPENS THROUGHOUT THE WHOLE

2531
01:35:07,412 --> 01:35:07,746
COUNTRY.

2532
01:35:07,746 --> 01:35:08,747
SO THAT'S JUST SOMETHING I'D

2533
01:35:08,747 --> 01:35:09,848
LIKE TO SAY.

2534
01:35:09,848 --> 01:35:11,817
THE OTHER THING I'D MENTION LAST

2535
01:35:11,817 --> 01:35:13,352
TIME IS, AT SOME POINT

2536
01:35:13,352 --> 01:35:14,887
IMPLEMENTATION HAS TO BE A FOCUS

2537
01:35:14,887 --> 01:35:17,623
IF WE'RE GOING TO HAVE A TRUE

2538
01:35:17,623 --> 01:35:18,757
IMPACT IN THE HEALTH OF THE

2539
01:35:18,757 --> 01:35:22,628
AMERICAN PEOPLE.

2540
01:35:22,628 --> 01:35:24,429
AND -- MAY NOT BE WITHIN THE

2541
01:35:24,429 --> 01:35:25,964
PURVIEW OF NIH PER SE BUT I

2542
01:35:25,964 --> 01:35:27,399
THINK WE HAVE TO THINK ABOUT

2543
01:35:27,399 --> 01:35:30,135
IMPLEMENTATION SCIENCE TO REALLY

2544
01:35:30,135 --> 01:35:31,236
IMPROVE THE HEALTH STATUS OF THE

2545
01:35:31,236 --> 01:35:31,770
U.S. POPULATION.

2546
01:35:31,770 --> 01:35:33,772
SO THOSE ARE MY THOUGHTS.

2547
01:35:33,772 --> 01:35:34,072
THANK YOU.

2548
01:35:34,072 --> 01:35:34,973
>> THANK YOU, JAMES.

2549
01:35:34,973 --> 01:35:36,942
COULD YOU EXPAND A LITTLE BIT

2550
01:35:36,942 --> 01:35:38,610
ABOUT WHAT YOU MEAN BY -- I

2551
01:35:38,610 --> 01:35:39,978
MEAN, I KNOW WHAT IMPLEMENTATION

2552
01:35:39,978 --> 01:35:43,415
SCIENCE IS, BUT ARE YOU TALKING

2553
01:35:43,415 --> 01:35:44,316
ABOUT CLINICAL TRIALS, GETTING

2554
01:35:44,316 --> 01:35:45,951
DRUGS TO PATIENTS, OR WHAT

2555
01:35:45,951 --> 01:35:47,820
EXACTLY DO YOU MEAN BY

2556
01:35:47,820 --> 01:35:49,154
IMPLEMENTATION SCIENCE?

2557
01:35:49,154 --> 01:35:52,457
>> SO I THINK THERE ARE
SOME

2558
01:35:52,457 --> 01:35:54,092
DISCOVERIES THAT HAVE BEEN MADE

2559
01:35:54,092 --> 01:35:56,395
THAT DON'T NECESSARILY INVOLVE

2560
01:35:56,395 --> 01:35:59,064
DRUGS OR DEVICES OR WHATEVER.

2561
01:35:59,064 --> 01:36:01,433
THAT CAN PROMOTE HEALTH AND

2562
01:36:01,433 --> 01:36:03,101
WELL-BEING OF INDIVIDUALS.

2563
01:36:03,101 --> 01:36:07,673
THERE ARE SOME -- BY SOME

2564
01:36:07,673 --> 01:36:09,241
COMMUNITIES IN OUR COUNTRY WHERE

2565
01:36:09,241 --> 01:36:11,210
SLAWTIONS ARE KNOWN OR MAYBE

2566
01:36:11,210 --> 01:36:12,744
UNDERSTOOD BUT THE CAPACITY AND

2567
01:36:12,744 --> 01:36:15,180
THE RESOURCES NEEDED TO

2568
01:36:15,180 --> 01:36:18,350
IMPLEMENT THEM ARE NOT

2569
01:36:18,350 --> 01:36:18,784
AVAILABLE.

2570
01:36:18,784 --> 01:36:20,219
SO AGAIN, THIS MAY NOT BE WITHIN

2571
01:36:20,219 --> 01:36:22,187
THE PURVIEW OF NIH, PER SE, BUT

2572
01:36:22,187 --> 01:36:23,088
I JUST THINK IT'S SOMETHING THAT

2573
01:36:23,088 --> 01:36:25,591
NEEDS TO BE PART OF OUR

2574
01:36:25,591 --> 01:36:30,062
CONVERSATIONS, HOW DO WE FOCUS

2575
01:36:30,062 --> 01:36:32,097
ON IMPLEMENTING THE

2576
01:36:32,097 --> 01:36:33,065
INTERVENTIONS AND DISCOVERIES

2577
01:36:33,065 --> 01:36:35,267
THAT HAVE BEEN MADE, SOME OF

2578
01:36:35,267 --> 01:36:36,768
WHICH ARE TRULY REMARKABLE.

2579
01:36:36,768 --> 01:36:38,370
NOW WITH THE AVAILABILITY OF

2580
01:36:38,370 --> 01:36:39,338
ARTIFICIAL INTELLIGENCE TO HELP

2581
01:36:39,338 --> 01:36:40,973
US SHAPE WHAT THOSE ARE, I THINK

2582
01:36:40,973 --> 01:36:41,907
THERE'S SOME EXCITING

2583
01:36:41,907 --> 01:36:43,208
OPPORTUNITIES IN FRONT OF US.

2584
01:36:43,208 --> 01:36:46,245
BUT I DO WANT TO EMPHASIZE WHENT

2585
01:36:46,245 --> 01:36:47,613
I SAID BEFORE.

2586
01:36:47,613 --> 01:36:49,781
INNOVATION IS CERTAINLY STIFLE

2587
01:36:49,781 --> 01:36:54,720
IEDIF THE SAME INDIVIDUALS AND E

2588
01:36:54,720 --> 01:36:55,888
INSTITUTIONS ARE DOMINATING THE

2589
01:36:55,888 --> 01:36:58,023
FUNDING THAT GOES OUT TO

2590
01:36:58,023 --> 01:36:59,992
RESEARCHERS IN THE FIELD.

2591
01:36:59,992 --> 01:37:01,827
>> OKAY.

2592
01:37:01,827 --> 01:37:08,300
AND I THINK THAT LAST POINT IS

2593
01:37:08,300 --> 01:37:10,636
WHAT WE REQUESTED IN NEEDING

2594
01:37:10,636 --> 01:37:13,038
THAT DATA, I'M SURE THAT IS

2595
01:37:13,038 --> 01:37:15,007
AVAILABLE ON FUNDERS AND REPEAT

2596
01:37:15,007 --> 01:37:17,643
FUNDERS, ESSME, ET CETERA.

2597
01:37:17,643 --> 01:37:18,543
I'VE SEEN IT BEFORE.

2598
01:37:18,543 --> 01:37:20,078
>> SO I'M JUST GOING TO DO
A

2599
01:37:20,078 --> 01:37:20,412
TIME CHECK.

2600
01:37:20,412 --> 01:37:22,915
WE HAVE ABOUT 15 MINUTES OR SO

2601
01:37:22,915 --> 01:37:25,851
REMAINING.

2602
01:37:25,851 --> 01:37:29,521
AND SO HOW BEST, ANDREA, DO YOU

2603
01:37:29,521 --> 01:37:32,791
THINK WE SHOULD PROCEED IN THE

2604
01:37:32,791 --> 01:37:34,760
REMAINING 15 MINUTES SO THAT THE

2605
01:37:34,760 --> 01:37:36,762
TEAM HAS A SENSE OF WHERE WE'RE

2606
01:37:36,762 --> 01:37:37,996
HEADING NEXT?

2607
01:37:37,996 --> 01:37:40,165
>> I THINK WE'VE
SUMMARIZED WHAT

2608
01:37:40,165 --> 01:37:42,034
WE NEED AS FAR AS DATA.

2609
01:37:42,034 --> 01:37:43,802
THE ONLY THING THAT MAY OR MAY

2610
01:37:43,802 --> 01:37:45,337
NOT HAVE BEEN CLEAR IS, AS WE

2611
01:37:45,337 --> 01:37:47,739
LOOK AT THOSE THREE BULLETS, IS

2612
01:37:47,739 --> 01:37:52,911
THERE A WAY TO PUT TOGETHER THE

2613
01:37:52,911 --> 01:37:54,646
COI POLICIES THAT CURRENTLY

2614
01:37:54,646 --> 01:37:56,315
EXIST SO THE COMMITTEE CAN

2615
01:37:56,315 --> 01:37:57,516
REVIEW THOSE AS WE MOVE FORWARD

2616
01:37:57,516 --> 01:37:58,750
IN THOSE DISCUSSIONS.

2617
01:37:58,750 --> 01:38:00,152
BUT I THINK WHAT WE CAN USE THE

2618
01:38:00,152 --> 01:38:01,720
NEXT AMOUNT OF TIME FOR IS

2619
01:38:01,720 --> 01:38:04,022
DISCUSSING NEXT STEPS MOVING

2620
01:38:04,022 --> 01:38:05,223
FORWARD, AND WHAT WE'RE GOING TO

2621
01:38:05,223 --> 01:38:06,858
DO AT OUR NEXT MEETING AND OUR

2622
01:38:06,858 --> 01:38:07,759
SUBSEQUENT MEETINGS.

2623
01:38:07,759 --> 01:38:09,528
I KNOW, LARRY, YOU HAD MENTIONED

2624
01:38:09,528 --> 01:38:12,264
HAVING A GROUP MEETING AROUND

2625
01:38:12,264 --> 01:38:14,366
ONE INSTITUTE, AND SEEING IF

2626
01:38:14,366 --> 01:38:17,769
FOLKS THINK THAT'S A GOOD IDEA,

2627
01:38:17,769 --> 01:38:20,539
AND THEN OUR SUBCOMMITTEES,

2628
01:38:20,539 --> 01:38:22,240
KEEPING IN MIND THAT WE HAVE

2629
01:38:22,240 --> 01:38:25,210
EIGHT MORE MEETINGS OR SEVEN

2630
01:38:25,210 --> 01:38:26,345
MORE -- EIGHT MORE MEETINGS,

2631
01:38:26,345 --> 01:38:27,312
RIGHT?

2632
01:38:27,312 --> 01:38:29,214
SO -- AND MY EXPECTATION WAS

2633
01:38:29,214 --> 01:38:30,615
THAT THOSE MEETINGS WOULD BE

2634
01:38:30,615 --> 01:38:31,516
MUCH LONGER THAN THIS ONE AND

2635
01:38:31,516 --> 01:38:33,018
WOULD LIKE TO HEAR SOME GROUP

2636
01:38:33,018 --> 01:38:35,120
INPUT ON THAT, THAT WE WOULD

2637
01:38:35,120 --> 01:38:38,290
SPEND FIVE OR SIX HOURS ON THE

2638
01:38:38,290 --> 01:38:39,725
SUBSEQUENT MEETINGS GETTING ALL

2639
01:38:39,725 --> 01:38:40,926
THE ANSWERS THAT WE'VE TALKED

2640
01:38:40,926 --> 01:38:43,328
ABOUT GETTING.

2641
01:38:43,328 --> 01:38:44,596
SO I'D LIKE TO HEAR SOME

2642
01:38:44,596 --> 01:38:55,140
FEEDBACK ON THAT FOR NEXT STEPS.

2643
01:38:55,474 --> 01:38:56,608
LINDSEY?

2644
01:38:56,608 --> 01:39:00,545
>> I JUST WANT TO CLARIFY
A

2645
01:39:00,545 --> 01:39:01,313
POINT.

2646
01:39:01,313 --> 01:39:02,547
I'M HEARING A COUPLE OF

2647
01:39:02,547 --> 01:39:04,082
COMPETING NEXT STEPS.

2648
01:39:04,082 --> 01:39:06,952
ONE IDEA THAT -- WHERE I THOUGHT

2649
01:39:06,952 --> 01:39:10,522
WE WERE GOING WAS TO PICK ONE OF

2650
01:39:10,522 --> 01:39:14,259
THESE PARTICULAR STATEMENTS FROM

2651
01:39:14,259 --> 01:39:17,896
CONGRESS THAT REPRESENTS A

2652
01:39:17,896 --> 01:39:19,531
CONCERN AND TO DO A DEEP DIVE ON

2653
01:39:19,531 --> 01:39:23,902
THAT, AS OPPOSED TO IDENTIFYING

2654
01:39:23,902 --> 01:39:25,137
ONE INSTITUTE TO DO A DEEP DIVE

2655
01:39:25,137 --> 01:39:25,470
ON.

2656
01:39:25,470 --> 01:39:26,772
SO I JUST WANT TO MAKE SURE THAT

2657
01:39:26,772 --> 01:39:28,140
WE'RE ALL ON THE SAME PAGE ABOUT

2658
01:39:28,140 --> 01:39:29,241
THAT.

2659
01:39:29,241 --> 01:39:30,942
I THOUGHT THE FORMER WAS WHAT WE

2660
01:39:30,942 --> 01:39:33,045
TALKED ABOUT DOING.

2661
01:39:33,045 --> 01:39:34,246
PICK ONE OF THESE QUESTION

2662
01:39:34,246 --> 01:39:35,480
THAT'S ALREADY BEEN POSED TO US

2663
01:39:35,480 --> 01:39:37,082
TO SHOW THAT WE'RE LISTENING,

2664
01:39:37,082 --> 01:39:38,817
THAT WE'RE RESPONSIVE, TO FIGURE

2665
01:39:38,817 --> 01:39:40,318
OUT HOW WE CAN BEST WORK

2666
01:39:40,318 --> 01:39:42,821
TOGETHER TO TRY APPLYING THIS

2667
01:39:42,821 --> 01:39:44,356
FRAMEWORK, AND THEN TO SEE HOW

2668
01:39:44,356 --> 01:39:47,125
THAT WENT AND TO ADDRESS OTHER

2669
01:39:47,125 --> 01:39:47,359
TOPICS.

2670
01:39:47,359 --> 01:39:50,462
BUT I WANT TO MAKE SURE I'M

2671
01:39:50,462 --> 01:39:53,198
UNDERSTANDING CORRECTLY.

2672
01:39:53,198 --> 01:39:54,232
>> IT'S BOTH.

2673
01:39:54,232 --> 01:39:55,333
IT BOTH.

2674
01:39:55,333 --> 01:39:57,569
BECAUSE THOSE FIRST THREE

2675
01:39:57,569 --> 01:39:59,404
BULLETS ARE OVERARCHING -- ARE

2676
01:39:59,404 --> 01:40:01,073
NOT INSTITUTE-SPECIFIC.

2677
01:40:01,073 --> 01:40:02,707
>> RIGHT.

2678
01:40:02,707 --> 01:40:05,577
>> SO WE NEED TO ANSWER
THOSE

2679
01:40:05,577 --> 01:40:07,879
QUESTIONS, AND WE NEED TO

2680
01:40:07,879 --> 01:40:09,081
EVALUATE THE INSTITUTES.

2681
01:40:09,081 --> 01:40:10,749
GO AHEAD, LARRY.

2682
01:40:10,749 --> 01:40:11,850
SORRY IF I INTERRUPTED YOU.

2683
01:40:11,850 --> 01:40:14,252
>> NO, NO, NO, THANK YOU.

2684
01:40:14,252 --> 01:40:16,688
WHAT I WOULD PROPOSE FOR THE

2685
01:40:16,688 --> 01:40:19,758
NEXT MEETING, IF THE GROUP

2686
01:40:19,758 --> 01:40:20,959
AGREES, AND THE CHAIR AGREES

2687
01:40:20,959 --> 01:40:26,865
THAT WE SHOULD GO THROUGH ONE OF

2688
01:40:26,865 --> 01:40:30,202
THESE SO THAT WE CAN LEVEL-SET,

2689
01:40:30,202 --> 01:40:33,038
IS WE TAKE THE FIRST TWO BULLETS

2690
01:40:33,038 --> 01:40:34,005
UNDER OVERSIGHT.

2691
01:40:34,005 --> 01:40:36,108
OVERSIGHT OF ALLEGATIONS OF

2692
01:40:36,108 --> 01:40:37,642
MISCONDUCT, THE PROTECTION OF

2693
01:40:37,642 --> 01:40:38,643
WHISTLEBLOWER, AND THEN THINGS

2694
01:40:38,643 --> 01:40:40,745
RELATED TO OUR COI POLICIES.

2695
01:40:40,745 --> 01:40:44,116
AND WE TAKE THOSE TWO BULLETS,

2696
01:40:44,116 --> 01:40:47,519
WE PREPARE FOR THE GROUP A GREAT

2697
01:40:47,519 --> 01:40:51,089
DEAL OF BACKGROUND INFORMATION,

2698
01:40:51,089 --> 01:40:52,591
THE ONUS ON THIS IS IN THE

2699
01:40:52,591 --> 01:40:53,692
OFFICE OF THE DIRECTOR, BECAUSE

2700
01:40:53,692 --> 01:40:57,329
THAT'S WHERE THOSE POLICIES ARE

2701
01:40:57,329 --> 01:41:02,033
MADE, OVERSEEN AND SO FORTH.

2702
01:41:02,033 --> 01:41:06,838
AND AGAIN, WHEN WE TALK ABOUT

2703
01:41:06,838 --> 01:41:08,707
THIS, I'M SURE YOU ALL

2704
01:41:08,707 --> 01:41:09,841
APPRECIATE, THERE'S A PART A AND

2705
01:41:09,841 --> 01:41:11,176
THERE'S A PART B.

2706
01:41:11,176 --> 01:41:13,678
PART A IS WHAT DO WE DO WITH OUR

2707
01:41:13,678 --> 01:41:16,982
OWN STAFF, THE FEDERAL

2708
01:41:16,982 --> 01:41:18,116
EMPLOYEES, OR B, IS WHAT DO WE

2709
01:41:18,116 --> 01:41:22,587
DO WITH ALL OF YOUR STAFF AND

2710
01:41:22,587 --> 01:41:23,889
GRANTEE INSTITUTIONS AROUND THE

2711
01:41:23,889 --> 01:41:25,157
COUNTRY?

2712
01:41:25,157 --> 01:41:29,194
AND THE APPROACHES ARE TRUE,

2713
01:41:29,194 --> 01:41:31,029
TRUE BUT NOT NECESSARILY

2714
01:41:31,029 --> 01:41:33,565
RELATED, RIGHT?

2715
01:41:33,565 --> 01:41:36,001
SO THAT'S A FAIR AMOUNT TO

2716
01:41:36,001 --> 01:41:39,404
COVER, BUT I THINK TO SHOW -- I

2717
01:41:39,404 --> 01:41:40,839
THINK LINDSEY USED THE TERM GOOD

2718
01:41:40,839 --> 01:41:43,275
FAITH AS IT WERE, IF WE TOOK

2719
01:41:43,275 --> 01:41:45,677
THOSE TWO, THESE ARE NOT

2720
01:41:45,677 --> 01:41:46,344
INSTITUTE-SPECIFIC, THIS IS ALL

2721
01:41:46,344 --> 01:41:47,612
DONE AT THE LEVEL OF THE OFFICE

2722
01:41:47,612 --> 01:41:50,949
OF THE DIRECTOR, LET'S GET THE

2723
01:41:50,949 --> 01:41:52,817
BACKGROUND INFORMATION FOR THE

2724
01:41:52,817 --> 01:41:56,154
GROUP, AND THEN IN AN EXTENDED

2725
01:41:56,154 --> 01:41:57,689
PERIOD OF TIME WHICH NO ONE HAS

2726
01:41:57,689 --> 01:42:00,325
WEIGHED IN ON YET BUT I

2727
01:42:00,325 --> 01:42:01,293
CERTAINLY SECOND THE CHAIR'S

2728
01:42:01,293 --> 01:42:02,727
SUGGESTION THAT WE HAVE A LONGER

2729
01:42:02,727 --> 01:42:05,764
MEETING GOING FORWARD, THAT WE

2730
01:42:05,764 --> 01:42:07,365
TRY AND WORK THROUGH AT LEAST

2731
01:42:07,365 --> 01:42:08,466
THESE TWO OR AT LEAST TRY TO

2732
01:42:08,466 --> 01:42:09,668
WORK THROUGH THE TWO.

2733
01:42:09,668 --> 01:42:10,702
WE'LL START WITH THE FIRST ONE

2734
01:42:10,702 --> 01:42:12,237
AND SEE HOW FAR WE GET.

2735
01:42:12,237 --> 01:42:15,540
SO THAT WE HAVE SOMETHING

2736
01:42:15,540 --> 01:42:16,741
TANGIBLE, AND THEN WE'LL GET A

2737
01:42:16,741 --> 01:42:18,710
BETTER SENSE OF HOW THE GROUP

2738
01:42:18,710 --> 01:42:22,914
WILL WANT TO WORK THROUGH

2739
01:42:22,914 --> 01:42:24,783
ADDITIONAL THINGS, AND THEN WE

2740
01:42:24,783 --> 01:42:26,084
CAN SPLIT UP INTO DIFFERENT

2741
01:42:26,084 --> 01:42:28,119
GROUPS SO THAT WE'RE AT LEAST

2742
01:42:28,119 --> 01:42:30,388
FOLLOWING SOMEWHAT SIMILAR

2743
01:42:30,388 --> 01:42:30,956
APPROACHES.

2744
01:42:30,956 --> 01:42:38,530
WOULD THAT BE OF VALUE TO FOLKS?

2745
01:42:38,530 --> 01:42:39,864
>> I SEE SOME NODS.

2746
01:42:39,864 --> 01:42:41,666
WE CAN GO BACK TO THE "HOLLYWOOD

2747
01:42:41,666 --> 01:42:44,903
SQUARES" VIEW.

2748
01:42:44,903 --> 01:42:46,338
I SEE SOME THUMBS UP AND SOME

2749
01:42:46,338 --> 01:42:46,771
NODS.

2750
01:42:46,771 --> 01:42:49,407
THAT'S GOOD.

2751
01:42:49,407 --> 01:42:50,842
ANY OPPOSITION OR ALTERNATIVE

2752
01:42:50,842 --> 01:42:53,678
SUGGESTIONS?

2753
01:42:53,678 --> 01:42:55,747
>> A COUPLE OF HANDS
RAISED,

2754
01:42:55,747 --> 01:42:57,782
JONI AND MIKE CHIANG.

2755
01:42:57,782 --> 01:42:58,216
>> THANKS.

2756
01:42:58,216 --> 01:42:59,384
I THINK THAT'S A REASONABLE

2757
01:42:59,384 --> 01:43:00,518
PLACE TO START GIVEN THE

2758
01:43:00,518 --> 01:43:01,119
DISCUSSION ABOUT --

2759
01:43:01,119 --> 01:43:02,821
>> JONI, I'M SORRY, I'M
NOT ABLE

2760
01:43:02,821 --> 01:43:03,955
TO HEAR YOU FOR SOME REASON.

2761
01:43:03,955 --> 01:43:04,956
>> SPEAK LOUDER.

2762
01:43:04,956 --> 01:43:05,790
>> OH.

2763
01:43:05,790 --> 01:43:06,891
IS THAT BETTER?

2764
01:43:06,891 --> 01:43:07,659
>> YES.

2765
01:43:07,659 --> 01:43:09,661
>> OKAY.

2766
01:43:09,661 --> 01:43:10,862
THANKS FOR THAT.

2767
01:43:10,862 --> 01:43:12,297
I THINK GIVEN THE CONVERSATION

2768
01:43:12,297 --> 01:43:16,534
WE'VE HAD ABOUT THE NEED TO SORT

2769
01:43:16,534 --> 01:43:19,537
OF GET -- SINK IN TO A COUPLE OF

2770
01:43:19,537 --> 01:43:20,538
THESE THINGS AND MOVE THEM

2771
01:43:20,538 --> 01:43:21,506
FORWARD, I THINK THAT'S

2772
01:43:21,506 --> 01:43:21,806
REASONABLE.

2773
01:43:21,806 --> 01:43:23,174
I WOULD ENCOURAGE US TO SET A

2774
01:43:23,174 --> 01:43:25,043
TIME FRAME TO THAT SO THAT WE

2775
01:43:25,043 --> 01:43:26,444
DON'T LOSE SIGHT OF THE FACT OF

2776
01:43:26,444 --> 01:43:29,848
HOW WE CAN BE MORE FORWARD

2777
01:43:29,848 --> 01:43:32,817
LOOKING IN SOME OF THE OTHER

2778
01:43:32,817 --> 01:43:34,352
ASPECTS WE'VE DISCUSSED AS WELL

2779
01:43:34,352 --> 01:43:37,088
AND SORT OF HAVE THAT AS A WAY

2780
01:43:37,088 --> 01:43:38,323
OF THE NEXT MAYBE COUPLE

2781
01:43:38,323 --> 01:43:39,758
MEETINGS TO FOCUS ON THAT BUT

2782
01:43:39,758 --> 01:43:40,725
THEN TRANSITION INTO OTHER AREAS

2783
01:43:40,725 --> 01:43:42,327
WHERE WE CAN REALLY HIGHLIGHT

2784
01:43:42,327 --> 01:43:45,063
THE WAYS TO MOVE FORWARD.

2785
01:43:45,063 --> 01:43:47,799
>> AND JUST AS A COMMENT,
DEB

2786
01:43:47,799 --> 01:43:49,434
PUT IN THE CHAT THAT WE SHOULD

2787
01:43:49,434 --> 01:43:52,304
ALSO HEAR FROM RE NA DA NEXT

2788
01:43:52,304 --> 01:43:53,505
TIME ON THE COMMUNICATIONS PLAN

2789
01:43:53,505 --> 01:43:55,140
AND I AGREE, WE SHOULD CARVE OUT

2790
01:43:55,140 --> 01:43:56,641
A LITTLE TIME FOR THAT AS WELL,

2791
01:43:56,641 --> 01:43:56,808
YES.

2792
01:43:56,808 --> 01:43:57,409
>> OKAY.

2793
01:43:57,409 --> 01:43:59,277
>> LARRY, CAN I THROW
SOMETHING

2794
01:43:59,277 --> 01:44:00,178
IN HERE REALLY QUICKLY?

2795
01:44:00,178 --> 01:44:02,213
>> YEAH, YOU'RE THE
DIRECTOR,

2796
01:44:02,213 --> 01:44:02,781
YOU'RE ALLOWED TO DO THAT.

2797
01:44:02,781 --> 01:44:04,883
>> WELL, NO, THIS IS FOR
LARRY

2798
01:44:04,883 --> 01:44:05,984
TOO, BECAUSE, YOU KNOW, YOU KNOW

2799
01:44:05,984 --> 01:44:09,054
MORE THAN I DO ABOUT THIS.

2800
01:44:09,054 --> 01:44:10,355
THESE RECOMMENDATIONS CAME FROM

2801
01:44:10,355 --> 01:44:11,823
A DIFFERENT CONGRESS.

2802
01:44:11,823 --> 01:44:13,124
BY THE WAY.

2803
01:44:13,124 --> 01:44:14,326
UNDER A DIFFERENT

2804
01:44:14,326 --> 01:44:14,793
ADMINISTRATION.

2805
01:44:14,793 --> 01:44:16,294
NOW, I'M NOT SAYING WE SHOULD

2806
01:44:16,294 --> 01:44:17,762
IGNORE THEM, FAR BE IT.

2807
01:44:17,762 --> 01:44:20,498
THERE ARE SO MANY MEMBERS OF THE

2808
01:44:20,498 --> 01:44:21,266
COMMITTEE THAT ARE GOING TO BE

2809
01:44:21,266 --> 01:44:22,267
THE SAME.

2810
01:44:22,267 --> 01:44:23,835
I'M JUST SAYING THAT WITH A

2811
01:44:23,835 --> 01:44:25,437
LITTLE BIT OF TIME OVER THE

2812
01:44:25,437 --> 01:44:27,105
COMING MONTHS, WE'RE ALSO GOING

2813
01:44:27,105 --> 01:44:32,377
TO HEAR FROM A NEW CHAIR OF THE

2814
01:44:32,377 --> 01:44:33,244
ENC COMMITTEE IN THE HOUSE AND A

2815
01:44:33,244 --> 01:44:34,879
NEW CHAIR OF THE HEALTH

2816
01:44:34,879 --> 01:44:37,615
COMMITTEE IN THE SENATE, ET

2817
01:44:37,615 --> 01:44:39,451
CETERA.

2818
01:44:39,451 --> 01:44:41,086
AND SO WE OBVIOUSLY WANT TO BE

2819
01:44:41,086 --> 01:44:42,153
RESPONSIVE TO THIS CONGRESS

2820
01:44:42,153 --> 01:44:45,457
BECAUSE, FRANKLY, IN 10 DAYS,

2821
01:44:45,457 --> 01:44:46,224
THAT CONGRESS, DONE.

2822
01:44:46,224 --> 01:44:46,858
THAT'S ALL.

2823
01:44:46,858 --> 01:44:50,161
AND LARRY, YOU KNOW, SO BEFORE

2824
01:44:50,161 --> 01:44:51,996
WE GO TOO CRAZY HERE, OBVIOUSLY

2825
01:44:51,996 --> 01:44:52,764
DO ANYTHING YOU THINK IS

2826
01:44:52,764 --> 01:44:53,932
IMPORTANT THAT WE OUGHT TO BE

2827
01:44:53,932 --> 01:44:56,434
LOOKING AT FOR SURE, BUT BEFORE

2828
01:44:56,434 --> 01:44:58,069
WE GO TOO CHAPTER AND VERSE

2829
01:44:58,069 --> 01:44:59,738
HERE, WE MIGHT WANT TO KNOW WHO

2830
01:44:59,738 --> 01:45:00,572
WE'RE REALLY RESPONDING TO.

2831
01:45:00,572 --> 01:45:04,376
>> AND AGAIN, ONE OF THE
REASONS

2832
01:45:04,376 --> 01:45:06,978
WHY I HAVE SUGGESTED FOR

2833
01:45:06,978 --> 01:45:09,347
CONSIDERATION THAT THE BURDEN

2834
01:45:09,347 --> 01:45:11,316
INITIALLY BEING ON THE OFFICE OF

2835
01:45:11,316 --> 01:45:13,151
THE DIRECTOR RATHER THAN ALL THE

2836
01:45:13,151 --> 01:45:14,652
ICs, AS A STARTING POINT, SO

2837
01:45:14,652 --> 01:45:16,054
THAT WE CAN AT LEAST WORK

2838
01:45:16,054 --> 01:45:17,722
THROUGH IT AND USE THAT AS A

2839
01:45:17,722 --> 01:45:19,791
POTENTIAL MODEL GOING FORWARD,

2840
01:45:19,791 --> 01:45:21,493
AND YOU'RE QUITE RIGHT, ONCE THE

2841
01:45:21,493 --> 01:45:23,428
NEW CONGRESS IS IN PLACE, THEY

2842
01:45:23,428 --> 01:45:26,297
MAY ADD, SUBTRACT AND SO FORTH,

2843
01:45:26,297 --> 01:45:29,567
BUT THEN AT LEAST THE INITIAL

2844
01:45:29,567 --> 01:45:34,639
BURDEN HAS BEEN ON OUR TEAM HERE

2845
01:45:34,639 --> 01:45:37,375
AND THE GROUP CAN GET ITS

2846
01:45:37,375 --> 01:45:39,010
GROUNDING ON HOW TO HAVE IT

2847
01:45:39,010 --> 01:45:41,112
PROCEED GOING FORWARD.

2848
01:45:41,112 --> 01:45:43,314
>> MONICA, SHOULD WE LOOK
AT A

2849
01:45:43,314 --> 01:45:48,153
PARTICULAR TIME FRAME TO HEAR

2850
01:45:48,153 --> 01:45:49,788
PERHAPS ADDITIONAL COMMENTS FROM

2851
01:45:49,788 --> 01:45:52,357
THE COMMITTEE IN CONGRESS, THE

2852
01:45:52,357 --> 01:45:53,658
NEW CONGRESSIONAL COMMITTEE?

2853
01:45:53,658 --> 01:45:56,594
IS THERE -- OR JUST KEEP

2854
01:45:56,594 --> 01:45:57,595
MARCHING ALONG AND WHEN WE HEAR

2855
01:45:57,595 --> 01:45:58,830
FROM THEM, WE HEAR FROM THEM?

2856
01:45:58,830 --> 01:46:00,165
>> SO THERE'S NO WAY TO
KNOW,

2857
01:46:00,165 --> 01:46:02,133
AND I TOTALLY AGREE WITH LARRY.

2858
01:46:02,133 --> 01:46:03,268
FOCUS ON THE DIRECTOR'S OFFICE

2859
01:46:03,268 --> 01:46:04,269
RIGHT NOW.

2860
01:46:04,269 --> 01:46:05,437
BECAUSE THEY'LL ALSO TELL YOU

2861
01:46:05,437 --> 01:46:09,274
THAT, YOU KNOW, A LOT OF THE

2862
01:46:09,274 --> 01:46:12,510
CONCERN ABOUT SILO HERE, SILO

2863
01:46:12,510 --> 01:46:15,246
THERE, FRANKLY THAT'S THE

2864
01:46:15,246 --> 01:46:16,214
DIRECTOR'S JOB.

2865
01:46:16,214 --> 01:46:18,082
IN MY OPINION.

2866
01:46:18,082 --> 01:46:19,651
I HAVE TRIED TO REALLY OWN THAT,

2867
01:46:19,651 --> 01:46:21,753
THAT IT'S THE DIRECTOR'S JOB TO

2868
01:46:21,753 --> 01:46:24,889
MAKE SURE EVERYBODY HAS THE

2869
01:46:24,889 --> 01:46:26,758
STRUCTURES AND ABILITY TO WORK

2870
01:46:26,758 --> 01:46:27,725
TOGETHER, GIVEN THE

2871
01:46:27,725 --> 01:46:29,761
INFRASTRUCTURE THAT WE HAVE

2872
01:46:29,761 --> 01:46:30,428
INHERITED FOR CONGRESS.

2873
01:46:30,428 --> 01:46:31,629
SO I THINK STARTING THERE WOULD

2874
01:46:31,629 --> 01:46:32,831
BE A GOOD USE OF YOUR TIME WHILE

2875
01:46:32,831 --> 01:46:33,865
YOU WAIT TO SEE WHAT HAPPENS,

2876
01:46:33,865 --> 01:46:35,500
AND THEN WE'RE GOING TO GET

2877
01:46:35,500 --> 01:46:36,935
TO -- WE'RE GOING TO GET THROUGH

2878
01:46:36,935 --> 01:46:37,735
BUDGET SEASON AND THEN WE'RE

2879
01:46:37,735 --> 01:46:40,138
GOING TO GET TO THE SPRING, WHEN

2880
01:46:40,138 --> 01:46:41,439
WE START -- WHEN ALL OF US GET

2881
01:46:41,439 --> 01:46:43,141
CALLED IN FRONT OF CONGRESS AND

2882
01:46:43,141 --> 01:46:45,109
ASKED TO TALK ABOUT WHAT WE WANT

2883
01:46:45,109 --> 01:46:47,645
AND WHAT WE THINK WE'RE DOING.

2884
01:46:47,645 --> 01:46:49,214
BUT IF YOU START WITH THE

2885
01:46:49,214 --> 01:46:49,881
DIRECTOR'S OFFICE, GET THROUGH

2886
01:46:49,881 --> 01:46:52,183
THE SPRING, THEN YOU'RE GOING TO

2887
01:46:52,183 --> 01:46:55,587
HOPEFULLY BE GETTING SOME

2888
01:46:55,587 --> 01:46:56,054
SIGNALS FROM CONGRESS.

2889
01:46:56,054 --> 01:46:58,456
>> TYPICALLY THE BUDGET
HEARINGS

2890
01:46:58,456 --> 01:46:59,791
ARE MARCH, APRIL.

2891
01:46:59,791 --> 01:47:00,425
>> OKAY.

2892
01:47:00,425 --> 01:47:01,960
THANK YOU.

2893
01:47:01,960 --> 01:47:05,497
MIKE MIE CAL?

2894
01:47:05,497 --> 01:47:05,730
MICHAEL?

2895
01:47:05,730 --> 01:47:07,899
>> ANDREA, JUST TO COMMENT

2896
01:47:07,899 --> 01:47:08,800
ABOUT -- TOTALLY LOOK FORWARD TO

2897
01:47:08,800 --> 01:47:10,468
THE NEXT MEETING AND REVIEWING

2898
01:47:10,468 --> 01:47:13,204
THESE FIRST TWO BULLET POINTS

2899
01:47:13,204 --> 01:47:16,608
UNDER OVERSIGHT.

2900
01:47:16,608 --> 01:47:17,842
MY COMMENT IS JUST THAT I THINK

2901
01:47:17,842 --> 01:47:20,478
IT GOING TO BE IMPORTANT TO MAKE

2902
01:47:20,478 --> 01:47:24,649
SURE THAT WE STRIKE THAT BALANCE

2903
01:47:24,649 --> 01:47:26,050
BETWEEN THIS COMMITTEE RECEIVING

2904
01:47:26,050 --> 01:47:27,652
INFORMATION AND LISTENING TO IT

2905
01:47:27,652 --> 01:47:29,387
AND DISSECTING IT VERSUS TALKING

2906
01:47:29,387 --> 01:47:32,657
AND MAKING DECISIONS AND SORT OF

2907
01:47:32,657 --> 01:47:33,691
NEXT STEPS ABOUT IT.

2908
01:47:33,691 --> 01:47:35,994
MAYBE THAT'S GOING TO REQUIRE US

2909
01:47:35,994 --> 01:47:38,963
DOING THE HOMEWORK BEFOREHAND OF

2910
01:47:38,963 --> 01:47:40,765
THINKING ABOUT IT, I JUST THINK

2911
01:47:40,765 --> 01:47:42,066
IT'S GOING TO BE -- IT WOULD BE

2912
01:47:42,066 --> 01:47:45,470
TOO BAD IF WE HAD A SCENARIO

2913
01:47:45,470 --> 01:47:48,439
WHERE OUR NEXT MEETING WAS ABOUT

2914
01:47:48,439 --> 01:47:51,976
TALKING ABOUT WHAT HAPPENS, THEN

2915
01:47:51,976 --> 01:47:53,511
WE SPEND THREE MEETINGS TALKING

2916
01:47:53,511 --> 01:47:55,346
ABOUT THE FIRST TWO BULLET

2917
01:47:55,346 --> 01:47:56,714
POINTS, SO JUST PUTTING THAT OUT

2918
01:47:56,714 --> 01:47:56,881
IN.

2919
01:47:56,881 --> 01:47:58,583
>> YEAH, I'M VERY -- THANK
YOU

2920
01:47:58,583 --> 01:47:59,684
FOR MENTIONING THAT.

2921
01:47:59,684 --> 01:48:02,086
I'VE BEEN VERY SENSITIVE ABOUT

2922
01:48:02,086 --> 01:48:03,788
THE TIME AND LARRY AND I HAVE

2923
01:48:03,788 --> 01:48:07,191
DISCUSSED IT AND I THINK THAT'S

2924
01:48:07,191 --> 01:48:08,493
WHY WE'RE SUGGESTING THAT WE

2925
01:48:08,493 --> 01:48:10,495
HAVE LENGTHY MEETINGS, YOU KNOW,

2926
01:48:10,495 --> 01:48:13,898
FIVE, SIX-HOUR MEETINGS MOVING

2927
01:48:13,898 --> 01:48:15,333
FORWARD SO WE CAN ACCOMPLISH

2928
01:48:15,333 --> 01:48:16,467
THIS EUJ TASK.

2929
01:48:16,467 --> 01:48:18,970
BUT I AGREE WITH YOU, I DON'T

2930
01:48:18,970 --> 01:48:19,871
THINK WE WANT TO BE TALKING

2931
01:48:19,871 --> 01:48:21,172
ABOUT WHAT WE'RE GOING TO DO, WE

2932
01:48:21,172 --> 01:48:24,909
WANT TO ACTUALLY GET IT DONE.

2933
01:48:24,909 --> 01:48:25,109
ALBA?

2934
01:48:25,109 --> 01:48:26,444
>> THANK YOU FOR WHAT YOU
JUST

2935
01:48:26,444 --> 01:48:27,111
SAID, LARRY.

2936
01:48:27,111 --> 01:48:28,112
I'M TRYING TO FIGURE OUT WHERE

2937
01:48:28,112 --> 01:48:29,681
WE ARE IN THIS PROCESS, AND

2938
01:48:29,681 --> 01:48:31,649
WHAT'S HAPPENED IS WE'RE MEETING

2939
01:48:31,649 --> 01:48:32,917
NOW BECAUSE CONGRESS HAS REALLY

2940
01:48:32,917 --> 01:48:33,318
REQUESTED IT.

2941
01:48:33,318 --> 01:48:37,155
BUT WE'RE REALLY SETTING THE

2942
01:48:37,155 --> 01:48:38,456
FOUNDATION FOR THIS COMMITTEE TO

2943
01:48:38,456 --> 01:48:41,693
MEET ON A REGULAR BASIS AND

2944
01:48:41,693 --> 01:48:44,429
CONTINUOUSLY REVIEW NIH.

2945
01:48:44,429 --> 01:48:46,164
SO I THINK IT -- I LIKE TO GO

2946
01:48:46,164 --> 01:48:46,931
BACK TO THAT.

2947
01:48:46,931 --> 01:48:48,866
SO I APPRECIATE THE COMMENTS

2948
01:48:48,866 --> 01:48:50,835
THAT DR. BERTAGNOLLI HAS SAID,

2949
01:48:50,835 --> 01:48:52,770
BECAUSE WHILE WE ARE RESPONDING

2950
01:48:52,770 --> 01:48:55,073
TO THESE DOCUMENTS, WE HAVE A

2951
01:48:55,073 --> 01:48:57,208
BIGGER PICTURE, WHICH AS I SEE

2952
01:48:57,208 --> 01:48:58,643
IT IS REALLY TO ENSURE THE

2953
01:48:58,643 --> 01:49:01,045
PUBLIC TRUST THAT NIH HAS THEIR

2954
01:49:01,045 --> 01:49:02,513
INTERESTS AT HEART, AND THAT WE

2955
01:49:02,513 --> 01:49:04,148
ARE DOING OUR JOB BY ALL THE

2956
01:49:04,148 --> 01:49:05,350
WAYS THAT WE'RE SUPPOSED TO DO

2957
01:49:05,350 --> 01:49:05,683
IT.

2958
01:49:05,683 --> 01:49:08,252
WHEN I READ THOSE REPORTS, I DID

2959
01:49:08,252 --> 01:49:10,221
READ THINGS THAT RESONATE WITH

2960
01:49:10,221 --> 01:49:11,956
WHAT THE COMMUNITY SAYS TO ME.

2961
01:49:11,956 --> 01:49:14,158
FOR EXAMPLE, THE NEED FOR MORE

2962
01:49:14,158 --> 01:49:16,494
YOUNG INVESTIGATORS, FUNDING

2963
01:49:16,494 --> 01:49:19,030
MORE PEOPLE AT ALL STAGES.

2964
01:49:19,030 --> 01:49:21,099
AND THE INNOVATION PIECE, I

2965
01:49:21,099 --> 01:49:22,166
REALLY APPRECIATED WHAT WAS SAID

2966
01:49:22,166 --> 01:49:24,435
ABOUT THAT, AND WE KNOW THAT

2967
01:49:24,435 --> 01:49:25,536
MORE PEOPLE GIVES YOU A BETTER

2968
01:49:25,536 --> 01:49:27,238
CHANCE AT INNOVATION.

2969
01:49:27,238 --> 01:49:29,307
SO I HOPE THAT AS WE MOVE

2970
01:49:29,307 --> 01:49:31,843
FORWARD, WE REMEMBER THAT WE

2971
01:49:31,843 --> 01:49:33,811
HAVE PRESSURE BECAUSE OF WHAT'S

2972
01:49:33,811 --> 01:49:35,847
HAPPENING, BUT WE'RE ALSO

2973
01:49:35,847 --> 01:49:37,582
SETTING THE TONE FOR THIS

2974
01:49:37,582 --> 01:49:39,584
REGULAR PROCESS.

2975
01:49:39,584 --> 01:49:42,520
>> RIGHT, EXACTLY.

2976
01:49:42,520 --> 01:49:47,091
THANK YOU.

2977
01:49:47,091 --> 01:49:48,993
ALL RIGHT.

2978
01:49:48,993 --> 01:49:51,629
ANY OTHER QUESTIONS OR COMMENTS?

2979
01:49:51,629 --> 01:49:54,032
IT'S TIME TO WRAP UP.

2980
01:49:54,032 --> 01:49:56,234
THE NEXT -- AS FAR AS THE NEXT

2981
01:49:56,234 --> 01:49:58,870
MEETING, I THINK TO TRY TO DO

2982
01:49:58,870 --> 01:50:00,238
SORT OF -- LET ME ASK PEOPLE.

2983
01:50:00,238 --> 01:50:02,507
TODAY IS FRIDAY.

2984
01:50:02,507 --> 01:50:04,976
IS FRIDAY AS A DAY OF THE WEEK

2985
01:50:04,976 --> 01:50:05,843
PREFERABLE FOR FOLKS IF WE'RE

2986
01:50:05,843 --> 01:50:07,078
PLANNING A MORE LENGTHY MEETING

2987
01:50:07,078 --> 01:50:10,014
OR IS THERE ANOTHER DAY OF THE

2988
01:50:10,014 --> 01:50:11,883
WEEK BEFORE OUR ASSISTANTS START

2989
01:50:11,883 --> 01:50:12,784
TRYING TO PUT OUR SCHEDULES

2990
01:50:12,784 --> 01:50:14,619
TOGETHER?

2991
01:50:14,619 --> 01:50:16,087
>> I THINK WE'RE JUST
GOING TO

2992
01:50:16,087 --> 01:50:17,722
HAVE TO DO POLLS.

2993
01:50:17,722 --> 01:50:22,827
I UNFORTUNATELY -- THIS GROUP IS

2994
01:50:22,827 --> 01:50:25,997
SO BUSY AND SO HETEROGENEOUS SO

2995
01:50:25,997 --> 01:50:28,766
LET'S DO POLLS AND OUR TEAM

2996
01:50:28,766 --> 01:50:31,102
WILL -- WITH ALL OF YOUR

2997
01:50:31,102 --> 01:50:33,104
ASSISTANTS, WE'LL SOMEHOW FIGURE

2998
01:50:33,104 --> 01:50:35,707
OUT A WAY TO GET US ON THE BOOKS

2999
01:50:35,707 --> 01:50:38,276
FOR FIVE TO SIX HOURS, AND MY

3000
01:50:38,276 --> 01:50:39,577
HOPE IS THAT THE NEXT MEETING

3001
01:50:39,577 --> 01:50:41,979
WOULD BE IN PERSON.

3002
01:50:41,979 --> 01:50:43,614
WE WOULD HAVE A ZOOM OPTION

3003
01:50:43,614 --> 01:50:44,615
BECAUSE I KNOW SOMETIMES IT'S

3004
01:50:44,615 --> 01:50:48,720
JUST NOT POSSIBLE FOR PEOPLE TO

3005
01:50:48,720 --> 01:50:49,787
TRAVEL.

3006
01:50:49,787 --> 01:50:52,323
SO I HOPE THE NEXT ONE CAN BE IN

3007
01:50:52,323 --> 01:50:55,393
PERSON.

3008
01:50:55,393 --> 01:50:58,596
WE ALL LOVE OR HATE ZOOM

3009
01:50:58,596 --> 01:51:00,031
DEPENDING UPON WHICH HOUR OF THE

3010
01:51:00,031 --> 01:51:02,433
ZOOM MEETING YOU'RE ON, BUT I DO

3011
01:51:02,433 --> 01:51:03,968
HOPE WE CAN DO THE NEXT ONE IN

3012
01:51:03,968 --> 01:51:05,236
PERSON.

3013
01:51:05,236 --> 01:51:05,870
>> YEAH.

3014
01:51:05,870 --> 01:51:06,971
I THINK THAT'S WHAT WE TALKED

3015
01:51:06,971 --> 01:51:12,810
ABOUT LAST TIME LAI EE, LARRY,

3016
01:51:12,810 --> 01:51:13,945
ALTERNATING, OUR NEXT MEETING

3017
01:51:13,945 --> 01:51:15,613
WILL BE IN PERSON, ET CETERA.

3018
01:51:15,613 --> 01:51:16,047
ALL RIGHT.

3019
01:51:16,047 --> 01:51:18,983
>> AND WE'VE CAPTURED THE
MANY

3020
01:51:18,983 --> 01:51:19,617
REALLY IMPORTANT COMMENTS THAT

3021
01:51:19,617 --> 01:51:23,087
THE GROUP HAS MADE.

3022
01:51:23,087 --> 01:51:26,290
AND OBVIOUSLY INFORMED BY THOSE,

3023
01:51:26,290 --> 01:51:28,693
WE'LL BEGIN TO DRAFT ACTION

3024
01:51:28,693 --> 01:51:29,660
MATERIALS FOR THE CHAIR'S

3025
01:51:29,660 --> 01:51:30,428
CONSIDERATION AND THEN

3026
01:51:30,428 --> 01:51:32,897
ULTIMATELY FOR THE GROUP AS A

3027
01:51:32,897 --> 01:51:34,232
WHOLE.

3028
01:51:34,232 --> 01:51:35,399
>> ALL RIGHT.

3029
01:51:35,399 --> 01:51:36,601
WELL, THANK YOU, THANK YOU,

3030
01:51:36,601 --> 01:51:37,068
THANK YOU, EVERYONE.

3031
01:51:37,068 --> 01:51:38,469
THANK YOU SO MUCH FOR YOUR TIME

3032
01:51:38,469 --> 01:51:39,971
AND ALL YOUR VERY HELPFUL

3033
01:51:39,971 --> 01:51:42,473
COMMENTS, AND THANK YOU, MONICA.

3034
01:51:42,473 --> 01:51:43,608
WE'RE GOING TO MISS YOU.

3035
01:51:43,608 --> 01:51:45,376
>> I'M SO GRATEFUL TO ALL
OF

3036
01:51:45,376 --> 01:51:47,779
YOU, AND LISTENING TODAY, I AM

3037
01:51:47,779 --> 01:51:50,782
SURE WE HAVE A FANTASTIC TEAM TO

3038
01:51:50,782 --> 01:51:53,084
REALLY HELP US DO WHAT WE CAN'T

3039
01:51:53,084 --> 01:51:55,153
DO OURSELF.

3040
01:51:55,153 --> 01:51:56,220
SO THANK YOU SO MUCH.

3041
01:51:56,220 --> 01:51:57,088
>> ALL RIGHT.

3042
01:51:57,088 --> 01:51:58,289
EVERYBODY, HAVE A GREAT DAY.

3043
01:51:58,289 --> 01:52:07,832
>> BYE-BYE.